HomeMy WebLinkAbout11-16-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
BROWN STEVEN R
921 BIG SPRING RD
SHIPPENSBURG, PA 17257
REV-1162 EX(11-961
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 015212
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
,,,d
ESTATE INFORMATION: sSN: 0~~-20-~00~
FILE NUMBER: 2111-1114
DECEDENT NAME: BROWN GILBERT S
DATE OF PAYMENT: 11 / 16/2011
POSTMARK DATE: 11 /15/2011
COUNTY: CUMBERLAND
DATE OF DEATH: 08/27/201 1
1 1 161690 ~ S 168.03
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 0816
S 168.03
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
RFC~~?~~; ~ r~~~~~~~~ Pennsylvania
_AU OF INDIVIDUAL TAXES ., CE
C :`
RITANCE TAX DIVISION !'j `,~;~ i n)4pPRA'~~E~ NT,
OX 28 OF INHERITANCE TAX
DEPARTMENT OF REVENUE
ALLOWANCE OR DISALLOWANCE
0601
ISBURG PA 17128-0601 OF DEDITCONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-10)
JOINTLY HELD OR TRUST ASSETS
~'~'~# ~~ !S ~ ~~' ~~
DATE 11-14-2011
ESTATE OF BROWN GILBERT S
CLERK ~~ DATE OF DEATH OS-27-2011
ORPHRi~'S CURT UMBER
~MRPRL~`11'~~' Cl)
PA COUNTY
CUMBERLAND
SSN
.
STEVEN R BROWN /DC 011- 20 -10 O 1
ACN 11161690
921 BIG SPRING
RD .
APPEAL BY DATEz01-13-2012
SHIPPEN8BURG PA 17257-9753 (See reverse side underObjeclYons)
A~ount Rewitted
MAKE CHECK PAYABLE AND. REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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