HomeMy WebLinkAbout08-09-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 016369
KAUFFMAN BARBARA J
6214 CHARING CROSS
MECHANICSBURG, PA 17050
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ESTATE INFORMATION: SSty: 210-26-2037
FILE NUMBER: 21 1 1 -1364
DECEDENT NAME: COULTER LOTS C
DATE OF PAYMENT: 08/09/2012
POSTMARK DATE: 08/08/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 1 1 /22/201 1
REMARKS:
CHECK# 7061
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
11181081 ~ $356.18
TOTAL AMOUNT PAID:
INITIALS: HMW
REV-1162 EX111-96)
$356.18
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL ~iK~Et=Sf~I ~~ ' ~'~ ~~-E~~ ~ NOTICE OF INHERITANCE TAX Pennsylvania ~
~~ ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION .~ ~- F'PRAISEMENT,
PO BOX 280601 "' _' .S'ri~ ~ REV-1548 EX AFP C12-11)
~+~~._?~w ,_; ~ ~. ~ DEDUCTIONS, AND ASSESSMENT DF TAX ON
HARRISBURG PA 17128-060 1 JOINTLY HELD OR TRUST ASSETS
3"~ ~~~~ _(~ P~:ol ~, r ~ DATE 04-16-2012
! ESTATE OF COULTER LOIS C
DATE OF DEATH 11-22-2011
FILE NUMBER 21 11-1364
.~~_ :.
~+(~F~F`1-~~~~~`~ ~~~~~+ COUNTY CUMBERLAND
BARBARA
.1~""`~€~~1~Ai~ ~.'~.. ~~ ACN/DC 11181081037
6214 CHARING CROSS APPEAL BY DATE:06-15-2012
M E C H A N I C S B U R G P A 17 0 5 0- 5 2 0 5 (See reverse side under Objections)
Amount Remitted ~C,~, ~ ~
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 ~
Barbara J Kauffman
6214 Charing Cross
Mechanicsburg, Y~~ 1 705 0-5 205
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