HomeMy WebLinkAbout10-05-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17'128-0601
RECEIVED FROM:
WEIGLE JERRY A
WEIGLE & ASSOCIATES PC
126 E KING STREET
SHIPPENSBURG, PA 17257
fold
FiEV-1162 EX111-961
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ssN: ~ 74-i s-s2o2
FILE NUMBER: 2109-01 15
DECEDENT NAME: FERGUSON HAROLD K
DATE OF PAYMENT: 10/05/201 1
POSTMARK DATE: 10/04/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 01 / 26/ 2009
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 5187
INITIALS: DB
SEAL RECEIVED BY:
5107.52
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
NO. CD 015039
REGISTER OF WILLS
NOTIC,~ (4,~F INHERITANCE TAX Pennsylvania ~ ~ ~
BUREAU OF INDIVIDUAL TAXES ~iP~S`~~ML~T~~.1piLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ~" ,~,
PO BOX 280601 CTT,olh~ AND ASSESSMENT OF TAX DEPARTMENT OF REVENUE
HARRISBURG PA 17128-0601 ~,~~.._D F DED U REV-1547 EX AFP (12-10) r
JERRY A WEIGLE ESQ
126 E KING ST
SHIPP
I '.' ~ i -' J ~ ~;~ t
c~~R}<. c-
ORPNA'~!'r "~"'l ART
i i )v.,~.
ENSBURG PA 17257
DATE 09-26-2011
ESTATE OF FERGUSON
DATE OF DEATH 01-26-2009 HAROLD K
FILE NUMBER 21 09-0115
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 11-2.5-2011
(See reverse side under Objections)
Amount Remitted 0-~ ~ .Z-
MAKE CHECK PAYABLE AND REMIT PAYMENT 70:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 170
13
CUT ALONG THIS LINE__ _~ RETAIN LOWER PORTION FOR YOUR RECORDS E~-~
~,
;:
~:~~
~:.,
,:.!
,.,:,
-~ :~
~~ ~ ,, r•~
~~ F I~~ G1
~ , c, •o
r.,
,~
i
J
J ~ N t
~
~~
jj
~~,,
~
F'
a C~7 0
'OQ ~ C/1
H
Gib ~ ~, ~ o
~
~RP~'~ ,.r N ~ ~
~ ,'a
W
b
~° ~~
w o rt
~ p co
~' ~ ,~
m ~
~ o
,.ti ~ rn
9 N ~
~ N.
r
r ~ N
J rA ~
O ~ n
W ~
(D
F~
w
a
0
rt
r
~.
F'~• .-r~
r
_
uNir~
, S'r
O
TI ~,l --~ ~,l•
O ~ T7
-n ~~ 3
>J
O t r ~y
~ O
'~
N a~ i
O
-
n ~ ~ ~- ~
,
,
O o Z
p ~ ~ m
Tip ~
m
,~ N jp 0
~~~,p~
m
~, 1
~ ~ O '~