HomeMy WebLinkAbout10-03-13 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 018198
BREITENBACH JOSEPH M
1310 PHEASANT DR S
CARLISLE, PA 17013
� ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fo� ---------- --------
, 12158492 � $20.30
ESTATE INFORMATION: SSN: I
FILE NUMBER: 2112-1151 �
DECEDENT NAME: BREITENBACH GERALDINE P �
DATE OF PAYMENT: 10/03/2013 �
POSTMARK DATE: 10/03/2013 �
COUNTY:. CUMBERLAND �
DATE OF DEATH: 10/15/2012 �
(
TOTAL AMOUNT PAID: 520.30
REMARKS:
CHECK# 1017
INITIALS: HMW
sEa� RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
� pennsylvania
NOTICE OF INHERITANCE TAX DEPARTMENT OFREVENUE
BUREAU OF INDIVIDUAL TAXES pppRAISEMENT, ALLOWANCE OR DISALLOWANCE REy-1548 IX AFP c12-12)
INHERITANCE TAX4IIVISION (�.,. OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
PO BOX 280601 Ca C/� Ll7
HARRISBUR6 PA �2a�*.i601 � � JOINTLY HELD OR TRUST ASSETS
'� -^ � t� � DATE 09-23-2013
� �
� "�" � d.�„ a � ESTATE OF BREITENBACH GERALDINE
� ,Q CC �` t„� � DATE OF DEATH 10-15-2012
� - FILE NUMBER 21 12-1151
;� ;� M � ..��, � C�UNTY CUMBERLAND
� 6� ,...1 *c� "~�' SSN/DC
JOSI�P� � BR���CH ACN 12158492
13� i�EA�T DR� ,,, APPEAL BY DATE:11-22-2013
CAIE�I�E M' P�17 013-1229 (See reverse side under Objections)
,�,....
,"�' A�ount Re�itted �
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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 payment to the Register of Wills printed on the
reverse side. Make check or money order payable to: Register of Wills, Agent.
Failure to 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.