HomeMy WebLinkAbout05-30-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX{11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128 0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 01921 $
DAVID WENDY A
2209 BOXWOOD LN
MECHANICSBURG, PA 17055
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------- mm
14119005 $145.15
ESTATE INFORMATION: SSN: 200-16-0679
FILE NUMBER: 2114-0354
DECEDENT NAME: DAVID ANN S
DATE OF PAYMENT: 05/30/2014
POSTMARK DATE: 05/27/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 03/24/2014
TOTAL AMOUNT PAID: $145.15
REMARKS:
CHECK# 1923
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
RECORDED F /��D/�T�I;LE OF INHERITANCE TAX pennsylvania
BUREAU OF INDIVIDUAL TAX _ DdP 36E qy�T, ALLOWANCE OR DISALLOWANCE _ DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISIONL.G'S r REV-1548 FX AFP (12-13J
PO BOX 280601 —� .-OF IABQ gTIINS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-0601 L+ (� pm `J(fl`I�T LY HELD OR TRUST ASSETS DATE 2011 �fly 29 ( ' + Oy ESTATE OF DAVID 2014 ANN S
C�ei DATE OF DEATH 03-24-2014
` � OF FILE NUMBER 21 14-0354
COUNTY CUMBERLAND
ORPHANS, COURT
CUMSERLpi1t` SSN/DC 200-16-0679
WENDY A DAVID - CD., PA ACN 14119005
2209 BOXWOOD LN APPEAL BY DATE:07-25-2014
MECHANICSBURG PA 17055-5583 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4—_ _
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