HomeMy WebLinkAbout05-05-11COMMONWEALTH 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(11-961
NO. CD 014414
ORRIS RENEE
2579 RALEIGH RD
HUMMELSTOWN, PA 17036
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ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
---------- --------
10130403 ~ $30.08
ESTATE INFORMATION: ssnl: ~ 95-0~-5626
FILE NUMBER: 21 1 1 -0127
DECEDENT NAME: ORRIS ANNA M
DATE OF PAYMENT: 05/05/201 1
POSTMARK DATE: 05/04/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 01 / 23/ 201 0
REMARKS:
TOTAL AMOUNT PAID:
$30.08
CHECK# 4007
INITIALS: DB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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EUREAU OF INDIVIDUAL TAXES
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~~~~• l NOTICE OF INHERITANCE TAX
pennsylvan~a
DE:~ARTMENT OF REVENUE ~~.
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INHERITANCE TAX DIVISION ~"' ._ APP'a'~1$~MENT, ALLOWANCE OR DISALLOWANCE
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PO BOX 280601 ~- - 'DF DEIIU'~TIONS, AND ASSESSMENT OF TAX ON RE
V-1548 EX AFP (12-10)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
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DATE 04-25-2011
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JOSHUA ORRrS~~'i~.~.C~'~~_ ~f',~~~I ~ i~',~)
2579 RALEIGH RD
HUMMELSTOWN PA 17036
ESTATE OF ORRIS ANNA M
DATE OF DEATH 01-23-2010
FILE NUMBER 21 11-0127
COUNTY CUMBERLAND
SSN/DC 195-07-5626
ACN 10130403
APPEAL BY DATE:06-24-2011
(See reverse side under Objections)
Amount Remitted ~ ~~~ v
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
~"'IS LIN ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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