HomeMy WebLinkAbout01-15-14 COMMONWEALT14 OF PENNSYLVAMA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARMSBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 018656
BURR MATTHEW L
27 JOSEPH DRIVE
BOILING SPRINGS, PA 17007-954
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------- fa B
---------- --------
13106682 $4.03
ESTATE INFORMATION: SSN: 13106683 $4.03
FILE NUMBER: 2114-0035 13106684 $50.73
DECEDENT NAME: BURR RICHARD A 13106685 $50.73
DATE OF PAYMENT: 01/15/2014 13106686 $3.94
POSTMARK DATE: 01/14/2014 13106687 $3.94
COUNTY: CUMBERLAND
DATE OF DEATH: 01/25/2013
TOTAL AMOUNT PAID: $117.40
REMARKS:
CHECK# 2544
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
pennsylvanE
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX OIVISIDN APPRAI SEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 288601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13)
HARRISBURG PA 17128-8601 JOINTLY HELD OR TRUST ASSETS
RECORDED OFFICE OF DATE 01-13-2014
REGISTER OF WILLS ESTATE OF BURR RICHARD A
DATE OF DEATH 01-25-2013 2
�u� JftN 15 Fn 03 FILE NUMBER
`i
COUNTY CUMBERLAND
SSN/DC
MATTHEW L Bua&ERY OF ACN 13106682
27 JOSEPH URPHANS' COURT APPEAL BY DATE:03-14-2014
BOILING '66 E R L �6 7 ff 354 9 (See reverse side under Objections)
YfA Amount Remitted r L)3
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS +—
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX pennsylvania DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEME NT, ALLOWANCE OR DISALLOWANCE 10 PO BOX 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13)
HARRISBURG PA 17128-0601 O'INTLY HELD OR TRUST ASSETS
RECORDED OFFICE dI
REGISTER OF WILLS DATE 01-13-2014
ESTATE OF BURR RICHARD A
1 't DATE OF DEATH 01-25-2013
l7l1'I JIM 15 FM 12 03 FILE NUMBER a I-I' _cb35
COUNTY CUMBERLAND
VICTORIA L BURR CLERK OF SSN/DC
ACN - 13106683
27 JOSEPH DR
ORPHANS' COURT APPEAL BY DATE:03-14-2014
BOILING SPRGSGUMgt R1L7f0p1)-9-"p PA (See reverse side under Objections)
Amount Remitted q, 03
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
__ CUT ALONG THIS LINE 1 RETAIN LOWER PORTION FOR YOUR RECORDS 4"-
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX 1111,11 Pennsylvania
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13)
HARRISBURG URG P PA A 17128-0601 O L 'FIELD OR TRUST ASSETS
RECORDED QF�I_ Gi
REGISTER OF WILLS DATE 01-13-2014
ESTATE OF BURR RICHARD A
p�� L n n DATE OF DEATH 01-25-2013
_Jjli J({IV i5 111 12 U3 FILE NUMBER a�_ l y-per
COUNTY CUMBERLAND
MATTHEW L BURR CLERK OF SSN/DC
ACN 13106684
27 JOSEPH DR ORPHANS COURT APPEAL BY DATE:03-14-2014
BOILING SPRGS P
UV8 E-fzL9,&IQ?) Co.. PA (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT-ALONG-THIS LINE --/ RETAIN LOWER PORTION FOR YOUR RECORDS
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX �,7` Pennsylvania
HARRISBURG URG PA 17128-0601
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13)
PA D LIi
RECORDED 1 v� T•tSEC[F OR TRUST ASSETS
REGISTER OF WILLS DATE 01-13-2014
ESTATE OF BURR RICHARD A
15 Ffl 12 03 FILE NUMBER DEATH 201-25-20C3103S
COUNTY CUMBERLAND
VICTORIA L BURR CLERK OF SSN/DC
27 JOSEPH DR ORPHANS' COURT ACN 13106685
APPEAL BY DATE:03-14-2014
BOILING SPRGS PA lMpMBe&yAND CO., PA (See reverse side under objections)
Amount Remitted tl ,-73
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE
RETAIN LOWER PORTION FOR YOUR RECORDS F"
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX pennsylvania
INHERITANCE TAX DIVISION PPRAL N�' ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
PO BOX 280601 RECORDEaF�bED� ONSF AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-13)
HARRISBURG PA 17128-0601
REGISTER OFJP.Y.k46 HELD OR TRUST ASSETS
tuS �j �I DATE 01-13-2014
LPN 15 Fn 12 IZ O`t DATE OF
ESTATE O RICHARD A
DEATH 01-25-2013
CLERK OF FILE NUMBER eI- ILi_�j
COUNTY UMBERLAND
MATTHEW L BURR ORPHANS COURT SACN/DC
27 JOSEPH DR CUMBERLAND CO.. PA APPEAL BY DATE60 3 614-2014
BOILING SPRGS PA 1 70 07-9549 (See reverse side under objections)
Amount Remitted 9
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE --I' RETAIN LOWER PORTION FOR YOUR RECORDS
BUREAU OF INDIVIDUAL TAXES RECORDED pp O��QQF((��ICE LK RNHERITANCE TAX pennsylvania OF
INHERITANCE TAX DIVISION REGIArB�RA�P52MENf�, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
HA BOX HARRISBURG PA OF DEDUCTIO�NVS, ANI�;QA,ySSESSMENT OF TAX ON REV-1548 EX AFP I12-13)
HARRISBURG PA 1]128-0681 ♦ .��.,(1I2
TRUST ASSETS
LJ `�U`�IFE DATE 01-13-2014
CLERK OF ESTATE OF BURR RICHARD A
ORPHANS' COURT DATE OF DEATH 01-25-2013
FILE NUMBER �/�- �L-l_('Q5,'
CUMBERLAND CO" PACOUNTY CUMBERLAND
VICTORIA L BURR SSN/DC
27 JOSEPH DR ACN 13106687
APPEAL BY DATE:03-14-2014
BOILING SPRGS PA 17007-9549
(See reverse side under Objections)
Amount Remitted 3
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS (--�
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