HomeMy WebLinkAbout01-12-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
LEITHEAD, EDWARD C III
62 FAIRVIEW AVENUE
CHATHAM, NJ 07928
fold
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 015447
ESTATE INFORMATION: ssN: i5s-12-375
FILE NUMBER: 211 1-0598
DECEDENT NAME: LEITHEAD MARY C
DATE OF PAYMENT: 01 / 1 2/201 2
POSTMARK DATE: 01 /09/201 2
couNTY: CUMBERLAND
DATE OF DEATH: 05/ 1 4/201 1
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 543,128.00
TOTAL AMOUNT PAID:
REMARKS:
543,128.00
CHECK# 1017
INITIALS: DMB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
Edward C. Leithead III
62 Fairview Avenue
Chatham, NJ 07928
973-635-8786 (H)
212-449-0429 (W)
January 3, 2012
Register of Wills of Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013-3387
Subject: Pennsylvania Inheritance Tax Return Form 1500
To Whom It May Concern:
As Executor for the Estate of Mary C. Leithead, formerly of 221 S. College Street
Carlisle, I am submitting to you, in duplicate, Form 1500. Accompanying the forms are
two checks: # 1017, a Tax Payment $43,128 and # 1018, a Filing Fee of $15.00.
Should there be additional information required, please contact me using the above
information.
Sincerely, ,~~ ~C~
.~~, ~'
Leitl<lead III
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