HomeMy WebLinkAbout01-28-13BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
PO BaX 280601 p,_ `~-~ OF DEDUCTIONS, AHD ASSESSMENT OF TAX ON
HARRISBURG PA jR}2dr,0601 T"'"~ - JOINTLY HELD OR TRUST ASSETS
C'
J
cV ~ ~
ROBE cn W~~'SM M E~Tr~i. m
APT 3~15!i =~ Q g
325 ~~Y HiP
O
MECHAI~ICSBUf~ PA 17055-3505
CUT ALONG THIS LINE
~)
Pennsylvania
DEPARTMENT OF REVEN UE
REV-1548 EX AFP (12-1 Z)
DATE 01-21-2D13
ESTATE OF OMMERT ISABELLE F
DATE OF DEATH 09-17-2011
FILE NUMBER 21 11-1007
COUNTY CUMBERLAND
SSN/DC
ACN 12107864
APPEAL BY DATE:03-22-2013
(See reverse side under Objecrions)
Amount Remitted ~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SpUARE '
CARLISLE PA 17013
RETAIN LOWER PORTION FOR YOUR RECORDS
!~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT Of REVENUE
BUREAU OF INDIVIDUAL TA%ES
DEPT. 280601
HARRISBURG, PA 1 ]128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
KEYS JAMES A
3 DEVONSHIRE SQUARE
MECHANICSBURG, PA 17050
REV-1162 EX111-96)
N0. CD 017103
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
- - - mle
ESTATE INFORMATION:
FILE NUMBER: 211 1-1007
DECEDENT NAME: OMMERT ISABELLE F
DATE OF PAYMENT: 01/28/2013
POSTMARK DATE: O1 /28/201 3
COUNTY: CUMBERLAND
DATE OF DEATH: 09/17/2011
12107864 ~ $75.07
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK#1137
INITIALS: HEA
RECEIVED BY:
575.07
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS