HomeMy WebLinkAbout03-11-13 1
REV-1162 EX(11-96)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601 PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT NO, CD 017311
JUZBASIC STEPHEN ANDREW
142 16TH STREET
NEW CUMBERLAND, PA 17070
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
told
13105662 I $247.79
ESTATE INFORMATION: SSN: I
FILE NUMBER: 2112-1179
DECEDENT NAME: JUZBASIC STEPHEN A
DATE OF PAYMENT: 03/12/2013 I
POSTMARK DATE: 03/11/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 10/18/2012
TOTAL AMOUNT PAID: $247.79
REMARKS:
CHECK# 20B
INITIALS: DMB
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
� � pennsylvania
NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE REV-1548 EX AFP C12 12)
INHERITANCE TAX DIVISION OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601 r JOINTLY HELD OR TRUST ASSETS
HARRISBURG PA 17128-060 r
RECORDED Or --
`� i DATE 03-11-2013
� !1:s" ESTATE OF JUZBASIC STEPHEN A
`^ DATE OF DEATH 10-18-2012
�^pp - FILE NUMBER 21 12-1179{ Iltil 1 !y J COUNTY CUMBERLAND
SSN/DC
cCa� rt _ ACN 13105662
STEPHEN A JUZik41i '' ^ . . APPEAL BY DATE:05-10-2013
142 16TH ST 'R H� ) ''uoi�ilt (See reverse side under Objections)
NEW CUMBER B E A if t;'9 Remitted 2C() 7
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
PURPOSE OF
NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S.
Section 9140).
PAYMENT: Detach the top portion of this notice and submit with your
reverse side. Make check or money order Register of Wills,the Agent.
of Wills printed on the
Failure to payable to: Register of Wills, Agent.
pay the tax, interest and penalty due may result in the filing of a lien in the appropriate
county or the issuance of an Orphan's Court citation.
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