HomeMy WebLinkAbout08-04-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 013162 -~~
LAKE THOMAS A
1 1071 A HAUGHS CHURCH ROAD
KEYMAR, MD 21757
-------- fold
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $30.57
ESTATE INFORMATION: SSN: ~ 89-09-4082
FILE NUMBER: 2110-0214
DECEDENT NAME: DEWALT EUGENE A
DATE OF PAYMENT: 08/04/2010
POSTMARK DATE: 08/02/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 02/09/2010
REMARKS:
CHECK#118
SEAL
TOTAL AMOUNT PAID:
$30.57
INITIALS: DM
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
~~
THOMAS A LAKE V~.~P~ ,~ ~.., ~ ~ ~ ~~~ ~ ~~
11071A HAUGHS CHURCH RD
KEYMAR MD 21757
NOTICE OF INHERITANCE TAX
A'F~~P~aA~SE!MEN3;~~~`~~AI~'-~OWANCE OR DISALLOWANCE
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~~~~' JDEDUCT~;~O(~~ AND ASSESSMENT OF TAX
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DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
DATE 07-26-2010
ESTATE OF DEWALT EUGENE A
DATE OF DEATH 02-09-2010
FILE NUMBER 21 10-0214
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 09-24-2010
(See reverse side under Objections
Amount Remitted ~~~~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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