HomeMy WebLinkAbout05-09-11 (3)COMMONWEALTH 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
NO. CD 014436
BAILEY NORMAN
31 HICKORY ROAD
MOHNTON, PA 19540
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REMARKS:
CHECK#1022
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
REV-1162 EX111-96)
S 1, 928.34
TOTAL AMOUNT PAID:
INITIALS: DB
RECEIVED BY:
REGISTER OF WILLS
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
BURE
:~_ ~f-
NOTI • ` ~® ~
pennsylvan~a ~
AU OF INDIVIDUAL TAXES CE OF INHERITANCE TAX
INHERITANCE TAX DIVISION
i _
A'P
~R~~SEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
HARRIOSBURG601
PA 17128-0601 OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-10)
' JOINTLY HELD OR TRUST ASSETS
C if ~ ~ ~ f-, ~ ;
~' ~ i`!„~ € :> i i ~ ~:~- 1 ~;;~
DATE 04-25-2011
~ ESTATE OF BAILEY NICOLE M
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r !i ;-~~~~ DATE OF DEATH 06-11-2010
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~~; '(-i?~ FILE NUMBER 21 10-0672
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CUMBERLAND
BRIDGET L _
BAILEY SSN/DC 187-56-3732
31 HICKORY ROAD ACN 11001805
APPEAL BY DATE:06-24-2011
M O H N T O N P A 19 5 4 0 (See reverse side under Objections)
Amount Remitted ~ ~ ~ ~,
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~"~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
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