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 017477
COLDREN CLINTON W
1535 SONIAT STREET
NEW ORLEANS, LA 70115
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 $7,325.00
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-0151
DECEDENT NAME: COLDREN NORA K
DATE OF PAYMENT: 04/22/2013
POSTMARK DATE: 04/18/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 01 /24/2013
TOTAL AMOUNT PAID: $7,325.00
REMARKS:
CHECK# 1014
INITIALS: HEA
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
� � -- 13--- ► Sl
JAMES E. HOLLAND, CPA
ESTATE OF NORA COLDREN
MEMO FOR FILING THIS TAX RETURN
Attached is you PA REV-1500 Supplemental Inheritance Tax Return
Please sign, date and mail the original return
TO: Cumberland County Register of Wills
Courthouse
1 Courthouse Square
Carlisle, PA 17013
THE BOXES CHECKED BELOW APPLY TO THIS RETURN:
( ) No Tax due/refund 0 ,
° rn m
( X ) Submit your remittance in the amount of$7,325.00 ,a"n C)moo
nr �� acs
( } You have overpaid your tax by ran = r" }
O y
SPECIAL INSTRUCTION ARE AS FOLLOWS:
U1 •n
( X } Make check payable to: Resister of Wills.Agent
( X } Be sure to include your account/social security number on your check.
( X ) Other instructions: Mail in the envelope provided.
7 WEST MAIN STREET / SHIREMANSTOWN, PA 17011 /(717) 763-6890
/
f
@
k�{
k �
} / / »
§ P z
` } / Q /
\ s@ � j :
§ e0 ® .
\ j \ \ .
m � . « \
2 °
�
y / aza 2 § 3
\
\ y
\ A f } !
2
$ y o
% � � ■
.� _