HomeMy WebLinkAbout03-13-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX0 1-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128.0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 018884
FORNEY DAVID L
1601 K STREET NW
WASHINGTON, DC 20006-1600
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
__________ ________
101 $2,200.00
ESTATE INFORMATION: SSN:
FILE NUMBER: 2114-0005
DECEDENT NAME: FORNEY RAY K
DATE OF PAYMENT: 03/13/2014
POSTMARK DATE: 03/11/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 12/18/2013
TOTAL AMOUNT PAID: $2,200.00
REMARKS:
CHECK# 105
INITIALS: DB1
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
March 11, 2014
Register of Wills,Agent
Courthouse
1 Courthouse Square
Carlisle,PA 17013-3387
Re: Estate of Ray K. Forney SSN:
Ladies and Gentlemen:
Enclosed is a payment of inheritance taxes for the estate of Ray K. Forney who died on December
18,2013.
His will was probated in Cumberland County under File No. 2014-00005 and PA File No. 21-14-
0005.
ours ly,
avid L. Fo ney, Exec r
Estate of Ray K. Forney
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