HomeMy WebLinkAbout05-14-14 (2) COMMONWEALTH OF PENNSYLVANIA REV-1162 EX�11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUALTAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 019154
MINCHIN SYDNEY
304 SARHELM RD
HARRISBURG, PA 17112
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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13127886 � 596.75
ESTATE INFORMATION: SSN: � I
FILE NUMBER: 2114-0401 I
�ECE�ENT rv,4ME: ESHLEMAN MACK F �
DATE OF PAYMENT: 05/1 4/2014 I
POSTMARK DATE: 05/13/2014 I
CoUrvTY: CUMBERLAND �
DATE OF DEATH: 05/14/2013 I
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TOTAL AMOUNT PAID: 596.75
REMARKS:
CHECK# 1956
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
. . . _ . .._n- .:,., ::.es _.4.-. , ::�,..-.-.M.���t . .
���'�'o�=��� o�-��'���ANCE TAX � pennsylvania
BUREAU OF INDIVIDUAL TAXES DEPARTMENTOFREVENUE
INHERI7ANCE TAX DIVISION APPR/��t�f,��H��T�.,� :A#:L�PYl�1N� OR DISALLOWANCE
PO BOX 280601 OF DEDUGTIO�lS,'`{1ND��-�A�'�SSMENT OF TAX ON REV-1548 EX AFP (12-13)
HARRISBURG PA 17128-0601 JOINTLY HELD OR TRUST ASSETS
'`������� �� �� G���E 04-21-2014
ESTATE OF ESHLEMAN MACK F
DATE OF DEATH 05-1�f 013
����Na l.,i�iJ��COUNTYUMBER �MBE�AND��
CUM����� CQ, {�N/DC 161-
MINCHIN ACN 13127886
301 PENNSYLVANIA AVE APPEAL BY DATE:06-20-2014
CAM P H I L L PA 17 O 11-54 39 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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CUT ALONG THIS LINE "'> RETAIN LOWER PORTION FOR YOUR RECORDS �
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