HomeMy WebLinkAbout03-23-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
SZAJEK JOEL
1014 SOUTHFIELD COURT
HARRISBURG, PA 17111
fold
REV-1162 EXI11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ssN: ass-o5-is99
FILE NUMBER: 21 1 1 -0355
DECEDENT NAME: SZAJEK JOSEPH
DATE OF PAYMENT: 03/ 23/ 201 2
POSTMARK DATE: 03/23/201 2
COUNTY: CUMBERLAND
DATE OF DEATH: 01 /22/201 1
ACN
ASSESSMENT
CONTROL
NUMBER
NO. CD 015746
AMOUNT
1 1 156143 ~ 51 13.87
TOTAL AMOUNT PAID:
REMARKS:
S 1 13.87
CHECK#179
INITIALS: DMB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
~+rt!~`~'~1~-1.i ~.~t~~~`J~~~CE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAXES rr=..
INHERITANCE TAX DIVISION t ' "' `'APPt~Aii~~Ip~NT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 ~~~'" '"" `'OF`~1ED((}IEFId1NS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
~-~~ 7 ~N~ 23 f'~'0 ~• J
CLERK ~r
ORPH~!'S CpURT
JOEL A SZAJEK
1014 SOUTHFIELD CT
HARRISBURG PA 17111
pennsylvania ~
DEPARTMENT OF REVENUE
REV-1548 EX AFP C12-10)
DATE 10-10-2011
ESTATE OF SZAJEK JOSEPH P
DATE OF DEATH 01-22-2011
FILE NUMBER 21 11-0355
COUNTY CUMBERLAND
SSN/DC 196-05-1899
ACN 11156143
APPEAL BY DATE:12-09-2011
(See reverse side underQ~ije~ti~)
Amount Remitted I ~'~ } Ij~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
*I~G THIS LINE ~> RETAIN LOWER PORTION FOR YOUR RECORDS E~