HomeMy WebLinkAbout05-09-11COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 014438
BAILEY NORMAN C
31 HICKORY LANE
MOHNTON, PA 19540
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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ESTATE INFORMATION: SSN: 187-56-3732
FILE NUMBER: 2110-0672
DECEDENT NAME: BAILEY NICOLE MARIE
DATE OF PAYMENT: 05/09/201 1
POSTMARK DATE: 05/06/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 06/ 1 1 /2010
REMARKS:
SEAL
CHECK# 21 1
11001804 ~ $723.13
TOTAL AMOUNT PAID:
S723.13
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
pp gOX 280601
HARRISBURG PA 17128-0601
NORMAN C BAILEY
31 HICKORY ROAD
MOHNTON P
_. _.... rurc 1 THE
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ennsylvan~a << ~
~~ ~~' '~-`~ - - ~-,!T~li~ - TAX ~ DEPARTMENT OF REVENUE `
~, ~ INHERITANCE r
;=•,~ ~,~ NOT, ~ REV-1548 IX AFP C12-10)
`~pP¢~pISEMEIy~,L~ LLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
n~~~~ „ ~ _ JOINTLY HELD OR TRUST ASSETS
Y ~ ~+~~ (~ ~ ~~~' DATE 0~4-25-2011 NICOLE M
ESTATE OF BAILEY
DATE OF DEATH 06-11-2010
C~~~K ~~ FILE NUMBER 21 10-0672
C~RPHAN~C CJURT COUNTY CUMBERLAND
CUM3E~~~. ~~{,~`~~~ l ~1 . PA SSN/DC 1.87 - 56 - 3732
ACN ].1001804
APPEAL BY I)ATE:06-24-2011
(See reverse side under Objections)
19540 Amount Remitted ,~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SI~UARE
CARLISLE PA 17013
~ RETAIN LOWER PORTION FOR YOUR_RECORDS ___ -- -
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