HomeMy WebLinkAbout06-05-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX�11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBUiiG,PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 019251
HAIN C DIANE
714 BARBARA STREET
NEW CUMBERLAND, PA 17070
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
__'_""__ __'_""
101 � 5261 .80
ESTATE INFORMATION: SStv: I
FILE NUMBER: 21 1 3-0792 I
�ECE�E►vT ►vAME: HAIN CLARENCE E �
DATE OF PAYMENT: 06/05/2014 I
POSTMARK DATE: 06/04/2014 I
CoUNTY: CUMBERLAND �
DATE OF DEATH: 06/28/201 3 I
�
TOTAL AMOUNT PAID: 5261 .80
REMARKS: RECEIPT TO ATTY
CHECK# 1073
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
i �` �� �w Estate PlaRning • Elder Law • Specia[Needs Planning
2000 Linglestown Road �►.:(71'�540-4332
Suite 202 F.vc: (71�540�313
Harrisburg,PA 17110 www.HazenElderLaw.com
June 4, 2014
� a
� � s � �
C"� �J � r;_i t-t1
Register of Wills ��� ?? c t a `�'
`:a ; `="�' -_.._' :. �,
Cumberland County Courthouse � r. , p ��,
One Courthouse Square � �? :� " � � ��Y
...:� ,:..,� "y
Carlisle, PA 17013
� `7 �-� ,�j .:�
,...� _., -.� � r T-'�,
._.. �_. ,
� =� �, ;� _.:.
Re: Estate of Clarence E. Hain � y � ,��� ��=�
�
File No.: 21 13 0792 o G, c,
Inheritance Tax Return �''
To: The Register of Wills:
Enclosed for filing please find the original and one copy of the above-referenced
Inheritance Tax Return and Inventory, along with a copy of the first page of the
Inheritance Tax Return. Please date stamp the first page of the return and a copy of the
Inventory and return them to my office in the enclosed self-addressed envelope.
Also enclosed is check number 1073 in the amount of$261.80 for the tax due.
If you have any questions or require any additional information, please do not
hesitate to contact me.
Sincerely,
� �
�(��cL�
Corinne Eggers Woodhouse
Paralegal
Enclosures
cc: Diane Hain
_.
� �a� ,e�;�
_.., ��,��..��,� �,.,�_.�
� c� y , ,... . a�.
� N
w � �7
o Li�} 1 T-
m
z �" �''-�
� �
� �y -�:.�
a� `,�..�
_��L
�,�i � hJ
�Q. 47�.,�:
y x:�
O R I "?`i�'
c. �,��a_
N [.L.dsi-1
u� s •-.�7 e+a
`�b c�=:-1 �>
�so�liN� «�ry�� � ° �
� s �� �
�._ c� ,.;� c�
_� ^� �
�._, � t�� �...,
r�� ��' ��. � �,�y ..�
;T_J �"y . . .� r�.�
�._ j.4. � ,� �"�3
� .
.,:'� ` _
,...,
.,., �,....y <:.;7
1
Cj r� � —•r�
�l C� --r} � ��`i
:�7 C:w v_
. :I3 H --- C'-�
� _..0 F—+ �, )"t'i
yr C:1 U'i Q
O `n
�
c�t
�
�
�
�
O
� O �
� � � � �
� � � � U � M
a � ^" ^ �*-+ �c�
� � O � ;� � [\
O � y --�
w � c� c� o � od
� � � � U � a
.�
bA� � � � �
N �--1 '.� �bA � O •�
� o � � U � U
c� x � O
�
�
�
�.
�
_ �
_ �
_ O U