HomeMy WebLinkAbout10-18-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 013505
BETZ GARY
33 ROYAL PALM DRIVE
MECHANICSBURG, PA 17050
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ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
---------- --------
10047498 ~ $356.02
ESTATE INFORMATION: SS-v: ~ 69-09-9947
FILE NUMBER: 2110-0207
DECEDENT NAME: HUGHES HAYDN
DATE OF PAYMENT: 10/ 18/2010
POSTMARK DATE: 10/ 1 8/201 0
COUNTY: CUMBERLAND
DATE OF DEATH: 10/ 25/ 2009
REMARKS: GARY R BETZ
SEAL
CHECK# 7087
TOTAL AMOUNT PAID:
,356.02
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
EUREAU OF INDIVIbUAL TAXES
INHERITANCE TAX DIVISION
Po Box 2ao6o1
HARRISBURG PA 17128-0601
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;_;, ~n_, DE--1~ON H BETZ
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ME„C,HANIC~BkN2G PA 17050
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NOTICE OF INHERITANCE TAX Pennsylvania \~
DEPARTMENT OF REVENUE
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP C12-09)
JOINTLY HELD OR TRUST ASSETS
DATE 10-04-2010
ESTATE OF HUGHES HAYDN
DATE OF DEATH 10-25-2009
FILE NUMBER 21 10-0207
COUNTY CUM$ERLAND
SSN/DC 169-09-9947
ACN 10047498
APPEAL BY DATE:12-03-2010
(See reverse side under Objections)
Amount Remitted 3~~. Q 5 "--1
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17D13
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