HomeMy WebLinkAbout12-27-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
BERKHEIMER DONNA
2160 SAND BEACH ROAD
HUMMELSTOWN, PA 17036
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ssN: ~ 69-44-2562
FILE NUMBER: 2107-0657
DECEDENT NAME: HAMMACHER ARCHIE F
DATE OF PAYMENT: 1 2/ 27/ 201 0
POSTMARK DATE: 1 2/23/201 0
COUNTY: CUMBERLAND
DATE OF DEATH: 07/03/2007
REV-1162 EX(11-96)
NO. CD 013820
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 5905.23
TOTAL AMOUNT PAID:
REMARKS:
5905.23
CHECK# 1002
INITIALS: DB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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BUREAU OF INDIVIDUAL TAXES ~~ 4 . ~ ~° ~~ I N~FfH:R I TANCE TAX
INHERITANCE TAX DIVISION S TA T E M~ N T O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601 ~~~~ ~~~ ~~ ~•
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NORA F BLAIR
5440 JONESTOWN RD
PO BOX 6216
HBG PA 17112-0216
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DEPARTMENT OF REVENUE
REV-1607 EX AFP (12-09) --
DATE 11-29-2010
ESTATE OF HAMMACHER ARCHIE F
DATE OF DEATH 07-03-2007
FILE NUMBER 21 07-0657
COUNTY CUMBERLAND
ACN 101
Amount Remitted
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MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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.
CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS ~
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