HomeMy WebLinkAbout07-18-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EXI11-96)
DEPARTMENT OFREVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 1 71 2 8-060 7
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 019434
MARTIN GALEN M
721 E LINCOLN AVE
MYERSTOWN, PA 17067
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
__"___' fold "'___'___
101 � $1 ,100.00
ESTATE INFORMATION: ssrv: �
FILE NUMBER: 21 14-0556 I
DECEDENT N,4ME: LEHMAN GALEN F �
DATE OF PAYMENT: 07/18/2014 �
POSTMARK DATE: 07/17/2014 I
CoUrvTY: CUMBERLAND �
DATE OF DEATH: 04/20/2014 �
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TOTAL AMOUNT PAID: $1 ,100.00
REMARKS:
CHECK# 3184
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
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l � F:1L\Transmittal Prepayment
Transmittal
Prepayment of Inheritance Tax
Name and address of Attorney of Record / Financial Institution:
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Name of Decedent (last, first, middle initial):
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File Number (if probate has begun): .
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Date of Death: ,�Qr;L, �(� �t� I�- _ ��r, � ' `�
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If probate has not commenced or if it is a non-probate estate, additional information
listed below will be required.
Residence at Death (city, borough or township): �U' o.li,rt.q 5��ti�q5
Inheritance Tax Department
Office of Register of Wills
8/3/98
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