HomeMy WebLinkAbout04-22-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 4174$0
JACKSON EDWINA A
108 S 15TH STREET
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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101 $5,892.54
ESTATE INFORMATION: SSN: 198-30-1703
FILE NUMBER: 2112-0549
DECEDENT NAME: KUTZ GLENDA L
DATE OF PAYMENT: 04/22/2013
POSTMARK DATE: 04/19/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 04/21/2012
TOTAL AMOUNT PAID: $5,892.54
REMARKS:
CHECK# 3087
INITIALS: CJ
SEAL RECEIVED BY: GLENDA FARMER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
O BOX TAX DIVISION OF DEDUCTIONS AND perms (�/a
HA 8IS 2gp6pT ASSESSMENT OF TAX ✓ nia
HARRISBURG PA 17128-odor DEPARTMENT OF REVENUE
REV-1547 EX AFP (09-12)
RECORDED CF;:tC�' DATE
REGIST OF D, E OF 03-25-2013
ESTATE v ..> KUTZ
J� DATE OF DEATH 04-21-2012 GLENDA L
Lt1i3 JRPR 22 it �� FILE NUMBER 21 12-0549
HARRY M BATURIN
2604 N 2ND ST COUNTY CUMBERLAND
HARRISBURG CLERK Ct~' ACN 101
PAOgIi #i4'O DDRT APPEAL DATE: 05-24-2013
CUMBERLAND CO.,SPA Amount(Remittedsule under OLjections)
MAKE CHECK PAYABLE AND ITT ENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CUT ALONG THIS LINE CARLISLE PA j7111-
RETAIN LOWER PORTION FnD