HomeMy WebLinkAbout08-24-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
MYERS DONNA S
1873 LISBURN ROAD
CARLISLE, PA 17013
-------- fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EXI"11-96)
NO. CD 013245
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSN: 213-24-7785
FILE NUMBER: 2109-0478
DECEDENT NAME: CUNNINGHAM PHYLLIS WAUN
DATE OF PAYMENT: 08/ 24/ 2010
POSTMARK DATE: 08/24/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 04/ 29/ 2009
REMARKS:
101 ~ 552.26
T
TOTAL AMOUNT PAID:
552.26
CHECK# 104
INITIALS: DM
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX
-~:~rAPPRA~ a~NT, ALLOWANCE OR DISALLOWANCE
BUREAU OF INDIVIDUAL TAXES ~~ ~r
INHERITANCE TAX DIV1S1oN flF '`D~~CTIONS AND ASSESSMENT OF TAX
PO BOX 280601 ~~
HARRISBURG PA 17128-0601 ~- ,
?~~~ BUG 24 ~~7 I ~ 27
C~.E~E; ~~`r
~~~~~~~i ~ L.~J~~~
DONNA S M Y E R ! , ~ ~ ~ ~', ,~..'~ ~ f ~; ~~'"~ , PA.
1873 W LIS$URN RD
CARLISLE PA 17015
Pennsylvania ~ ~'
DEPARTMENT OF REVENUE
REV-1547 EX AFP C12-09)
DATE 08-09-2010
ESTATE OF CUNNINGHAM PHYLLIS W
DATE OF DEATH 04-29-2009
FILE NUMBER 21 09-0478
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 10-08-2010
(See reverse side under Objections
Amount Remitted S~ • 2=~/
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
IS LINE -~! RETAIN LOWER PORTION FOR YOUR RECORDS F--