HomeMy WebLinkAbout06-30-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
FIELD DEBRA A
409 LAKEVIEW DRIVE
LiTITZ, PA 17543
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 013002
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
ESTATE INFORMATION: ssN:
FILE NUMBER: 2108-1055
DECEDENT NAME: KELLEY JACK F
DATE OF PAYMENT: 06/ 30/ 2010
POSTMARK DATE: 06/29/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 10/03/2008
101 ~ $8.84
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 1041
$8.84
INITIALS: DM
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGIS~'ER OF WILLS
REGISTER OF WILLS
~~
REGI TES ~~ 1NlLLS •
~(vt..{ i-~-A~ -T-Ax NOTICE OF INHERITANCE TAX ~fE~I~~Vi~~l~
BUREAU APP AISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERIT E TAX DI ISI F DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP clz-o9~
PO SOX 2 0601
HARRISB 6 PA_ p~ft8 ~ M~
~IV1~ Ltj DATE 05-31-2010
ESTATE OF KELLEY ACK F
LAN ASTER COUNTY DATE OF DEATH 10-03-2008 ~~ _ .,
PENNSYLVANIA 1,, ~ FILE NUMHER 21 OS-1055 ~~~~..~ s "
t~ COUNTY CUMBERLAND ~~--- ~ ~ ~ ~~
TRACEY B GitINESTA ACN 101 ;~~~ p ~ ;~~~' ';
GIBBEL ETAL APPEAL DATES 07-30-2
PO BOX 16 (See r~cr~erse side under Objectio ~ ` ~' ~~
LITITZ PA 17543 ~ G-~~' Auount Renittad "'"' "~ ~"~
MAKE CHECK PAYABLE AND REMIT AYMENT ~ s `: "~ t'~,-a
REGISTER OF WILLS ,~,~, - ~~
1 COURTHOUSE SgUARE
CARLISLE PA 17013
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