HomeMy WebLinkAbout11-04-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX{11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
OEPT.280601
HARRISBURG,PA 17128 0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 018363
SHEAFFER DONALD G_
2213 ORCHARD RD
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- tole --------- --------
13143080 $50.00
ESTATE INFORMATION: SSN:
FILE NUMBER: 2112-1094
DECEDENT NAME: LEICHTE MEDA M
DATE OF PAYMENT: 11/04/2013
POSTMARK DATE: 11102/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 09/11/2012
! TOTAL AMOUNT PAID: $50.00
REMARKS:
CHECK# 3157
INITIALS: dMB
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
i pennsylvania
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX ` yT DEPARTMENT OF REVENUE
INHERITANCE TA% DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
HARRISBURG 280603
PA n1YB=AlA,'�DED UFFI((���� `.OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1545 EX AFP (12-12)
`IPC�W,.. JOINTLY HELD OR TRUST ASSETS
^TER OF V114I niST.... .
DATE 08-19-2013
J ESTATE OF LEICHTE MEDA M
16(f U� t{ �i� ' 7 t: DATE OF DEATH 09-11-2012
-- FILE NUMBER 21 12-1094
CLERK t'; r COUNTY CUMBERLAND
DONALD
ORPfi$M€AFPERI" /DC
343080U i� CN
L L�Z �yN4i?p Rd, APPEAL BY DATE:10-18-2013
e' 'c•' (See reverse side under Objections)
CAMPf4ft—, �!� 17011—z�F�2Amount Remitted 0.60
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
RTHOUS SQUARE
CARLISLE PA 17013
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