HomeMy WebLinkAbout07-20-10NOTICE OF INHERITANCE TAX
~~~~ ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ~'`~~ ,..•
INHERITANCE TAX DIVISION ~~}~~,~~~ ~~ f ' , ~NS AND ASSESSMENT OF TAX
PO 80X 280601 + Lr , ~~,.i.,
HARRISBURG PA 17128-0601
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JAMES D BOGAR ~~~~~-
ONE WEST MAIN ST
SHIREMANSTOWN PA 17011
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DEPARTMENT OF REVENUE
REV-1547 IX AFP C12-04)
DATE 06-08-2010
ESTATE OF WORDEN NANCY A
DATE OF DEATH 11-29-2009
FILE NUMBER 21 10-0153
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 08-07-2010
(See reverse side uwder Objections)
Awount Rewitted h
MAKE CHECK PAYABLE AND EMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 013074
WORDEN DEBRA L
416 E MAIN STREET
SWIREMANSTOWN, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: ssN: 175-16-7359
FILE NUMBER: 2110- 0153
DECEDENT NAME: WORDEN NANCY A
DATE OF PAYMENT: 07/ 20/ 2010
POSTMARK DATE: 07/20/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 11 / 29/ 2009
REMARKS:
SEAL
CHECK# 630
101 ~ S 2, 605.45
1
TOTAL AMOUNT PAID:
INITIALS: DM
RECEIVED BY:
S 2, 605.45
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS