HomeMy WebLinkAbout07-17-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 016271
HENRY ROLAND
5215 SIMPSON FERRY RD
MECHANICSBURG, PA 17050
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ESTATE INFORMATION: ssly: 450-~~-o54s
FILE NUMBER: 21 1 1 - 1 251
DECEDENT NAME: HENRY NOAH A
DATE OF PAYMENT: 07/ 1 8/201 2
POSTMARK DATE: 07/ 1 6/201 2
couNTY: CUMBERLAND
DATE OF DEATH: 04/ 1 9/201 1
REMARKS:
CHECK# 878
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 5102.55
TOTAL AMOUNT PAID:
INITIALS: HMW
REV-1162 EX(11-96)
5102.55
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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PO BOX 280601
HARRISBURG PA 17128-0601
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'.~~~ ..~~~ , ~ f rt 4' ~ SATE 05-07-2012
ESTATE OF HENRY NOAH A
DATE OF DEATH 04-19-2011
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~~~~~('~ t~t~~1~ FILE NUMBER 21 11-1251
W~+B~~~C ~, p{~ COUNTY CUMBERLAND
ROLAND HENRY ACN 101
5215 SIMPSON FERRY RD APPEAL DATE: 07-06-2012
MECHANICSBURG PA 17050-350 0 (See reverse side under Objections)
Amount Remitted d Z ~ 5
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 ~
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