HomeMy WebLinkAbout12-27-10COMMONWEALTH 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(11-961
NO. CD 013819
SMITH MELANIE L
5510 SILVERCREEK DRIVE
MECHANICSBURG, PA 17050
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ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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ESTATE INFORMATION: ssN: ~ 66-52-5379
FILE NUMBER: 2110-0080
DECEDENT NAME: FEALTMAN DOLORES A
DATE OF PAYMENT: 12/27/2010
POSTMARK DATE: 1 2/24/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 03/01 /2009
REMARKS:
101 ~ $10.32
1
TOTAL AMOUNT PAID:
$10.32
CHECK# 1684
INITIALS: DB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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BUREAU OF INDIVIDUAL TAXES r~~~~l ~~ '` ~ ~ ~~''~I~HERITANCE TAB
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INHERITANCE TAX DIVISION ~ '~,, ~.:. ~,5~"~k'f'LMENT OF ACCOUNT
Po Box 2BO6o1 i •,;,,., _.
HARRISBURG PA 17128-0601 ~~"..
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MELANIE L SMITH ~~j~;"'-,`
5510 SILVER CREEK DRIVE
MECHANICSBURG PA 17050
Pennsylvania ~~
DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09) ?
DATE 12-06-2010
ESTATE OF FEALTMAN Dt]LORES A
DATE OF DEATH 03-01-2009
FILE NUMBER 21 10-0080
COUNTY CUMBERLAND
ACN 101
Amount Remitted
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MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
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