HomeMy WebLinkAbout12-16-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
GOTSHALL ELWOOD R JR
8 MANOR DRIVE
WEST CHESTER, PA 19380
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ss-v: 206-~0-9488
FILE NUMBER: 2109-0449
DECEDENT NAME: GOTSHALL DOROTHY M
DATE OF PAYMENT: 1 2/ 1 6/2010
POSTMARK DATE: 12/14/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 05/02/2009
REV-1162 EX111-96)
N0. CD- 013796
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ( $ 708.94
TOTAL AMOUNT PAID:
REMARKS:
$708.94
CHECK# 1017
INITIALS: DB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
December 15, 2010
Register of Wills
Glenda Farrier Strasbaugh
Cumberland County Courthouse
1 S` Floor, Room 102 ~ -~-°- "
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1 Courthouse Square ~ ~ '~j:
Carlisle, PA 17013
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RE: Dorothy M. Gotshall Estate [~'~.~. RAJ
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REV-1500 Supplemental Return .
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File #: 21-09-0449 ' "' ~ .
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Date of Death: 05/02/2009 ~ .
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Social Security #: 206-10-9488 ~
FILING of REV-1500 Supplemental Return:
Two copies, with original signatures, of the Supplemental Pennsylvania inheritance Tax Return (Form
REV-1500) for the above noted Decedent.
Check in the amount of $708.94 payable to "Register of Wills, Agent" for the balance due per the
attached Supplemental Pennsylvania Inheritance Tax Form REV-1500.
Check in the amount of $15.00 payable to "Register of Wills" for the Filing Fee for the Pennsylvania
Inheritance Tax.
Respectfully submitted,
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Elwood R. Gotshall, Jr., Executor
Mailing address:
8 Manor Drive
West Chester, PA 19380-3932
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