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HomeMy WebLinkAbout10-11-11COMMONWEALTH 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 EX111-96) NO. CD 015048 PARK JEFFREY S 18 COLD SPRINGS ROAD DILLSBURG, PA 17019 fold ESTATE INFORMATION: ssN: 357-05-s97~ FILE NUMBER: 211 1-1065 DECEDENT NAME: VANDERBERG MARJORIE W DATE OF PAYMENT: 10/ 1 1 /201 1 POSTMARK DATE: 10/08/201 1 couNTY: CUMBERLAND DATE OF DEATH: 07/20/2010 REMARKS: ACN ASSESSMENT AMOUNT CONTROL NUMBER 10143436 ~ 520.91 10143435 ~ 520.91 10143438 ~ 527.68 10143437 ~ 527.68 TOTAL AMOUNT PAID: 597.18 CHECK# 191 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~~,~_,r pennsylvania ~ i BUREAU OF INDIVIDUAL TAXES ~ ' -Nt0`~T~ OF INHERITANCE TAX DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION ~' APPRAISF~MEN7nn`; ALLOWANCE OR DISALLOWANCE PO BOX 280601 -, OF DEDUCtI~,KS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-10) HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~_ 1 - ~ .. , _ r f r"1'r '1r Q~l~~f,'' ~ "` I` "' !, T JEFFREY S PARK 1 r' ~'`~ ~'~ 18 COLD SPRINGS ROAD DILLSBURG PA 17019 DATE 06-27-2011 ESTATE OF VANDERBERG MARJORIE W DATE OF DEATH 07-20-2010 FILE NUMBER COUNTY CUMBERLAND SSN/DC 357-05-9971 ACN 10143436 APPEAL BY DATE:08-26-2011 (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 BUREAU OF INDIVIDUAL TAXHS~-- ~ '~~'FF ii~~~~OTICE OF INHERITANCE TAX INHERITANCE TAX DIVISION AI'P'RA`YSEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 I 0~'.LjE~UCTIONS, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 ~ 'JOINTLY HELD OR TRUST ASSETS .. "r ~ ~ r _~ 1 ((~~ GRPF'~ni C ~~fi~T SHARON V PJY~ICr~~ ~ ±~ _ ~7a. 18 COLD SPRINGS ROAD DILLSBURG PA 17019 pennsylvania ~ DEPARTMENT OF REVENUE ~• REV-1548 EX AFP (12-10) DATE 06-27-2011 ESTATE OF VANDERBERG MARJORIE W DATE OF DEATH 07-20-2010 FILE NUMBER COUNTY CUMBERLAND SSN/DC 357-05-9971 ACN 10143435 APPEAL BY DATE:08-26-2011 (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 ~' r'~ fir ~ ~. '+• ~-~y' - NGF~C~OF INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES - INHERITANCE TAX DIVISION j ;_ _; ARPRAISEMIaHITC ALLOWANCE OR DISALLOWANCE PO BOX 280601 OF DEDUCYID`N~S~, AND ASSESSMENT OF TAX ON HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS - ~ ;-~~? I ~ ~; :~~ I; f DATE Cam., ~~._ OR~N',~~'~ ' ~~U~,T JEFFREY S PARK 18 COLD SPRINGS ROAD DILLSBURG PA 17019 ESTATE OF DATE OF DEATH FILE NUMBER pennsylvania i. DEPARTMENT OF REVENUE REV-1548 EX AFP (12-10) 06-27-2011 VANDERBERG MARJORIE W 07-20-2010 COUNTY CUMBERLAND SSN/DC 357-05-9971 ACN 10143438 APPEAL BY DATE:08-26-2011 (See reverse side under Objections) Amount Remitted ~ ~,(a 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 <~ BUREAU OF INDIVIDUAL TAXES r~~' !4 I "O~E OF INHERITANCE TAX INHERITANCE TAX DIVISION ' APPRAI$,~~F.{lT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 t OF DEDUC. ENS, AND ASSESSMENT OF TAX ON i :~_ HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS ~~~~ S~~ ~; ~ ni `~~ SHARON V PARK (;~)i~~''~' ~' ~' ~ ~`' ap 18 COLD SPRINGS ROAD DILLSBURG PA 17019 pennsylvania ~ i DEPARTMENT OF REVENUE REV-1548 EX AFP (12-10) DATE 06-27-2011 ESTATE OF VANDERBERG MARJORIE W DATE OF DEATH 07-20-2010 FILE NUMBER COUNTY CUMBERLAND SSN/DC 357-05-9971 ACN 10143437 APPEAL BY DATE:08-26-2011 (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 ~ ~`,, - ...~ ~;., i' ~- ~._ >~, f T? r,; : ~, f. fi° `- ,E.. ~,, -i.. ~., ,. -- , ~ - 1"^ CJ ~~ ., w ~' V ~^l~' \ ~ V \v `^w` f ~ "# L v rti.e,.J" l ~~ t~ Q~ ~ ~ • `~ _ V'_'' .~ U j ._ - ~ ~ - y fi ~ t ~ ~`'~ ~ --- - J ~ 4r ~ ~ ;;: _ _ Cr `~~ ' Y .~ ~ psi } ! L ~ _._ ~..^ ! •r•: ' ___ ~ a ~ ~ t' •.. •iM © `^~