HomeMy WebLinkAbout09-07-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
BROBST BARBARA E
122 STONEHEDGE DR
CARLISLE, PA 17013
-------- ,ova
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: 194-t s-9000
FILE NUMBER: 2111-0540
DECEDENT NAME: BROBST RICHARD C
DATE OF PAYMENT: 09/08/2011
POSTMARK DATE: 09/07/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 07/21/2010
REV-1162 EX111.961
NO. CD 014941
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 56.70
TOTAL AMOUNT PAID:
REMARKS:
CHECK#5459
SEAL
INITIALS: DB
56.70
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX pennsylvania ~
AP~t`X~~E~(~N~~-}i~~WA NCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~,i~
INHERITANCE TAX DIYISION BF
7lEpUCTIQ~I~ SAND ASSESSMENT OF TAX REV-1547 IX AFP Q2-10)
PO BOX 280601 I
Int a '!...!J
HARRISBURG PA 17128-0601
'ii ~ ~~~'8 ~'~aS {L~ ~4 DATE 08-22-2011
ESTATE OF BROBST RICHARD C
DATE OF DEATH 07-21-2010
CLERK pF
UMBER
ORP1~N'S
COURT
CUMBERLAND
COUNTY
ROBERT J BROBST ,
CU~.~RF'PL.~'+`~~%C~. PA ACN 101
122 STONEHEDGE DR APPEAL DATE: 10-21-2011
CARLISLE P A 17 013 (See reverse side under Objections
A~ount Re~itted , 7(;~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
--------------------------------
__ ---- -_
` ` Mr Robert Brobsf ~'
'; ..;__,122 Stonehedgge Dr.: ~ .~ . ~~~
Carlisle, f'r,~i': 1705`" , ^~e p!y !~`~, 9p 1 }~ ~+ 9
. ..... ._ f`. ~~.1'' ~~~N- ~r^'iM.it~,i. ~x"_i"'~ :i0. d..
~~
V1 N
lli _ _~ N T
'.,
<.
ii =- BOO
n
1 ~,~ l1 : z~~ ~Q~ ~
J
r t v, r i._ L:~
~~~~~ ~ P,A. ~~ o ~3
6,~it6,-111:,~«.11,.11,,,11.I,11-isl,~,li:t1,1»i111~~~11-1