HomeMy WebLinkAbout05-29-12COMMONWEALTH 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 EX(11-961
NO. CD 016027
GUDZ GENEVIEVE KLEE
2129 N 2ND STREET
HARRISBURG, PA 17110
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fOltl
ESTATE INFORMATION: SSN: Aso-38-2920
FILE NUMBER: 21 1 1 -0680
DECEDENT NAME: HANZLIK ROBERT F
DATE OF PAYMENT: 05/29/2012
POSTMARK DATE: 05/26/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 04/04/201 1
11136373 ~ 55.00
TOTAL AMOUNT PAID:
REMARKS: GENEVIEVE KLEE GUDZ
SEAL
CHECK# 2139
INITIALS: WZ
RECEIVED BY:
55.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO !OX 280601
WIRRISlUR6 PA 17128-0601
x- ~ Tax
N~e ACCOUNT
Pennsylvania
DEPARTMENT OF REVENUE
REV-1607 IX APP Q2-lll
jfl~2 ~~Y 2g ~~ I. 4~ATE 04-23-2012
STATE OF HANZLIK ROBERT F
DATE OF DEATH 04-04-2011
FILE NUMBER 21 11-0680
OR~'Fiti,`~ , '~.UU~j COUNTY CUMBERLAND
~gFR~-~ Ci~., ~ A1CN 11136373
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
NOTE: To ensure proper credit to your account, submit the
PVT p,~. ~1M1= TNTC 1. T1JF ~- RETAIN 1. f+W_Cp D(1D TT~ly
I Genevieve Gudz
~ ~ (~~
~' o~
i?~~J~~ ~c~~
/v ~ / i n~ r
1~w ~-, ~
V-
u~ -~ ~ ~
.;, .= - ~ .
`` _ ~ ~ . c~jc~.
.n
"~ .~q ~ ~
~ o'
~~
1
~~ - ~~
~ i?
i~
~y
'/
~~
t •~
i
~~
V f!~
~~
i
1
d
,;
F
A
m
m ~
O
4
=7a: ~..j W~a
F
~,I J
~_ ~
i N`
~;
~~ W ~~
~" N~'~.
YC~~
~ ~
~ ,.~ -
fi
.iV ~1~_t i~ -
~'''' ~`~' 6Z.t~'!~~ZlBZ
r. ~ ,
a 1 1t~} r. ~ ~ t n'~'
_ ,r,~~I
.~~1~-,~' ~~:~~U~,;~i.~
a~sLY[N(; UiJR HEROES