HomeMy WebLinkAbout09-16-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX01-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 018144
COLLINS CHERYL L
100 HICKORYTOWN ROAD
CARLISLE, PA 17015
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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101 $6,200.00
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-0990
DECEDENT NAME: HINDA GEORGE JR
DATE OF PAYMENT: 09/16/2013
POSTMARK DATE: 09/12/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 06/15/2013
TOTAL AMOUNT PAID: $6,200.00
REMARKS:
CHECK# 101
INITIALS: HMW
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
CUMBERLAND COUNTY
INHERITANCE TAX PAYMENT I FILING FORM
WHEN ESTATE NOT PROBATED
C7 U
c= a; ESfaEFILE NUMBER: To be assigned by the Register of Wills Office.
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EST`M-E OF: GEORGE HINDA JR.
C.
SOCIAL SECURITY NUMBER: 171-16-6680
DATE OF DEATH: JUNE 15, 2013
DATE OF BIRTH: DECEMBER 29, 1920
LAST PRINCIPAL RESIDENCE: 172 W. MIDDLESEX DRIVE
TOWNSHIP/BOROUGH: CARLISLE
CORRESPONDENT: BRETT B. WEINSTEIN, ESQUIRE
705 W. DEKALB PIKE
KING OF PRUSSIA, PA 19406
PHONE NUMBER: 610-337-3733
Enclosed you will find:
1. This form completed
2. A DEATH CERTIFICATE
3. A check in the amount of$6,200.00 made payable to"Register of Wills,Agent"
Please mail to: REGISTER OF WILLS OFFICE
CUMBERLAND COUNTY COURTHOUSE
1 Courthouse Square
Carlisle, PA 17013-3387
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