HomeMy WebLinkAbout08-28-12COMMONWEALTH 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
REV-1162 EX(11-96)
NO. CD 016439
WENGER OLIVER L
4718 E TRINDLE RD
MECHANICSBURG, PA 17050
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ESTATE INFORMATION: SSN: 178-16-0979
FILE NUMBER: 21 1 1 - 1 01 2
DECEDENT NAME: WENGER FRANCIS I
DATE OF PAYMENT: 08/ 28/ 201 2
POSTMARK DATE: 08/27/201 2
COUNTY: CUMBERLAND
DATE OF DEATH: 07/ 28/ 201 1
REMARKS:
CHECK# 1080
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
11152680 ~ $23.14
TOTAL AMOUNT PAID:
INITIALS: HMW
$23.14
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
INHERITANCE TAX ~-~
RECORD ADJUSTMENT pennsylvan~a ~
{INTL-Ya ,H.E1tD; ,.~ TRUST ASSETS DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ~-~ ~ '-- ~ ~~,~t.~~ ___.__..i
REV-1604 EX AFP C12-11)
INHERITANCE TAX DIVISION f"~ ~ 3,~;~ ~ C
PO BOX 280601 ~ ~ ~ ~_' ._.' _ ..;.,~,i
HARRISBURG PA 17128-0601
• 4`,'~ ~3 ~$ ~tR' ~~+ES~ATE OF WENGER2012 FRANCIS I
DATE OF DEATH 07-28-2011
FILE NUMBER 21 11-1012
~'~~~~~~'~ ,~ «~~~~5 ~~ COUNTY CUMBERLAND
OL IVER L WENGER ~~~R~.~d ~~•, p~SN/DC 1185268p979
4718 E TRINDLE ROAD '~A~~ Amount Remitted
MECHANICSBURG PA 17055
~~; ~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
! V30
~MMONWEALTH OF PENNSYLVANIA ~,' ; '~; ~ ,__
PARTMENT OF PUBLIC WELFARE ` ~` .!: l.}k~
1REAU OF FINANCIAL OPERATIONS ~'_ ~ ~~` ~ ~ F '~ ` `" ' ' ~'
JISION OF THIRD PARTY LIABILITY ~ ~'~"~
~ BOX 8486
:RRISBURG PA 17105-8486 :.,' ~ F
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