HomeMy WebLinkAbout09-24-10 (2)~,.
BUREAU Ok`` INDIV't~DUAI. T~~E-5~~,.J
INHERITANCE .~~R~:IAI~1 '';`i'_ i i
PO BOX 280601 '-a ~' ~' ' '-' '
HARRISBURG PA 17128-0601
~! 0 SEP 2 4 A 11 ~ 3 0
nn CLERK ~O~RT
D PL` U~~`~~'~`~ WA G N E R
1209 STRATFORD DR
CARLISLE PA 17013
NOTICE OF INHERITANCE TAX pennsylvania ~
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-09)
JOINTLY HELD OR TRUST ASSETS
DATE 09-20-2010
ESTATE OF COHEN DORIS M
DATE OF DEATH 07-20-2009
FILE NUMBER ~~- ~(;~ - C.' ~{ 1~
COUNTY ~U BERLAND
SSNlDC 215-O1-5439
ACN 09168758
APPEAL BY DATE:11-19-2010
(See reverse side under Objections)
Amount Remitted ~~~
e
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ~
COMMONWEALTH 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)
N0. CD 013403
WAGNER DONALD D
1209 STRATFORD DR
CARLISLE, PA 17013
-~------- fold
ESTATE INFORMATION: SSN: 215-01-5439
FILE NUMBER: 2110-0975
DECEDENT NAME: COHEN DORIS M
DATE OF PAYMENT: 09/ 24/ 2010
POSTMARK DATE: 09/23/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 07/ 20/ 2009
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09168758 ~ $698.46
TOTAL AMOUNT PAID:
$698.46
CHECK# 795
INITIALS: DM
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS