HomeMy WebLinkAbout07-23-10BUREAU flF INDIVIDUAL TAXES
IFtHERITANCE 7AX DIVISIOti
PO EtIDC 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX pe~~~~~,`~'~"I
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE oEPAATMENT aF REVENUE-'
OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 Ex AFP cl2-o9~ ',
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DORMAN L GODLOYE ~
402 MIDDLE COPE RD
MATHIAS ~ ~ ~' ` r ' ~~~' i r
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)IiC T~IIS LINE ~- RETAIN, LI
DATE 07-13-2010
ESTATE OF DREY JOHN C
DATE OF DEATH 02-19-2010
FILE NtiMBE1t 21 10-0183
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-11-2010
(See reverse side under Q ecNons
Amount Rswitted ~,
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
GODLOVE DORMAN L JR
402 MIDDLE COVE RD
MATHlAS, WV 2fi812
--'-'--- fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SsN: 174-30-5561
FILE NUMBER: 2110-0183
DECEDENT NAME: DREY JOHN C
DATE OF PAYMENT: 07 j 23/ 2010
POSTMARK DATE: 07/22/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 02j 19/ 2010
REV-1162 EX(11-96)
NO. CD 013084
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ( $25.36
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 1 18
SEAL
INITIALS: DM
$25.36
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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