HomeMy WebLinkAbout01-22-13COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
TAYLOR DANIEL J
121 COVENTRY DRIVE
CARLISLE, PA 17015
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 017074
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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ESTATE INFORMATION: SSN:
FILE NUMBER: 211 1-0171
DECEDENT NAME: TAYLOR MARTHA
DATE OF PAYMENT: 01 / 22/ 201 3
POSTMARK DATE: 01 /22/201 3
COUNTY: CUMBERLAND
DATE OF DEATH: 06/07/2010
101 ~ S 5, 206.00
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK#172
INITIALS: HMW
RECEIVED BY:
$ 5, 206.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
INHERITANCE TAX
RECORD ADJUSTMENT
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
- ~ f.
-, ~ - -
DANIEL J TAYLOR ~~•~~'~ •`~ ~~~``~ '`'
121 COVENTRY DR ~i~1r~~~~ 4'•;~ '* '•3
CARLISLE PA 17015-4507
Pennsylvania
DEPARTMENT OF REVENUE
REV-1593 EX AFP C12-12)
DATE 12-11-2012
ESTATE OF TAYLOR MARTH
DATE OF DEATH 06-07-2010
FILE NUMBER 21 11-0171
COUNTY CUMBERLAND
ACN 101
Amount Remitted
J ; ~0 6 ~ ~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.