HomeMy WebLinkAbout12-30-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EXt11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
� PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 018587
SEBRING RICHARD G
3 PAMELA PLACE
� MECHANICSBURG, PA 17050
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
----°-- foid
13103644 � 526.04
ESTATE INFORMATION: sstv: I
FILE NUMBER: 2113-0182 I
DECEDENT NAME: SEBRING MILDRED E �
DATE OF PAYMENT: 12/30/2013 I
POSTMARK DATE: 12/27/2013 I
COUNTY: CUMBERLAND �
DATE OF DEATH: 01/12/2013 I
(
TOTAL AMOUNT PAID: $26.04
REMARKS:
CHECK#4034
INITIALS: HMW
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX � pennsylvania
INHERITANCE TAX DIVISION
PO BOX 2g0601 APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
HARRISBURG PA 17128-0601 OF DEDUCTIONS, AND ASSESSMENT OF TAX ON DEPARTMENT OF REVENUE
JOINTLY HELD OR TRUST ASSETS R��1�8 a AFP C12-13)
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����S��'� �� ����-�.�'.:r' ESTATE OF 12-23-2013
SEBRING MILDRED E
DATE OF DEATH O 1--12�-2p 13
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RICHARD G SEBRING CuMBERLAND
����� Q� ACN/DC ` ; , 198-14-194`9
3 PAMELA PL ' " �
MECHANICSBUR�G PA ��� ��3.���„��T .AP�PE�1L `BY �/���;fl 21-2p14
S'e�,re� �'- ,,
�i����: A 1±�i� ��., PA ,: ( �rs�`si��u�i��r,`��,��c�ions) _
A�ount Re�itted
MAKE CHECK PAYABLE AND,R M
IT PAYMENT T0:
REGISTER OF WILLS
1 CUURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALON6 THIS LINE � i��f/
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PURPOSE OF
NOTICE:
To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. C72 P• •
Section 9140).
PAYMENT:
Detach the top Portion of this notice and submit to h Regi term of W 11sheAgentster of WiIls printed o{ethe
reverse side. Make check or moneY order pavab e
Failure to pay the tax, inter0�phanasPCourtycitatmon.re5ult in the filing of a lien in the apPropria
county or the issuance of an
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