HomeMy WebLinkAbout11-07-12 (3)COMMONWEALTH 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 016747
GALLOWAY MICHELE
95 BASS LAKE ROAD
ETTERS, PA 17319
-------- fold
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
1 1 161696 ~ $121 .94
ESTATE INFORMATION:
FILE NUMBER: 2112-0635
DECEDENT NAME: BEAVERSON JAMES KENNETH
DATE OF PAYMENT: 1 1 /07/201 2
POSTMARK DATE: 1 1 /06/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 09/05/201 1
REMARKS:
CHECK# 0804
SEAL
TOTAL AMOUNT PAID:
INITIALS: HMW
REV-1162 EX(11-96)
$121.94
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES ~r ~" C NOTI`~E.. d.C~~ INHERITANCE TAX
INHERITANCE TAX DIVISION p e e n sylva n i a ~
PO BOX 280601 ~. ApPRAISEM,ENTy 1~LOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
HARRISBURG PA 17128-0601 "OF•~DEDUCT'IdNS'°-74ND ASSESSMENT OF TAX ON
JOINTLY1}'f~HE~LD OR TRUST ASSETS REV-1548 IX AFP (12-11)
~ ~F ~.r
~. ~+ DATE
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CHARMANYE ~ ~r~~ ' I~`
GROVE L.a~ J ; ,, ~, ~I_~ ~~~.: ,' ~'~,
TRLR 6
300 RIDGE RD
ETTERS PA 17319-9690
08-13-2012
ESTATE OF BEAVERSON
DATE OF DEATH 09-05-2011 JAMES K
FILE NUMBER 21 12-0635
COUNTY CUMBERLAND
ACN 11161696
APPEAL BY DATE:10-12-2012
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 CQURTHOUSE SQUARE
CARLISLE PA 17013
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