HomeMy WebLinkAbout07-31-14 COMMONWEALTH OF PENNSYLVANIA REV-1 162 EX�1 1-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 019494
ALBERT JENNIFER LYNN
226 CARLISLE RD
DILLSBURG, PA 17019
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------- fold
______"__ __'_____
13118102 � 532.73
ESTATE INFORMATION: ssrv: 2os-i 2-5322 I
FILE NUMBER: 2113-0392 �
DECEDENT NAME: METZGER JOHN W I
DATE OF PAYMENT: 07/31/201 4 (
POSTMARK DATE: 07/30/2014 �
CoUtvTY: CUMBERLAND (
DATE OF DEATH: 03/26/2013 �
�
TOTAL AMOUNT PAID: 532.73
REMARKS:
CHECK# 1177
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
� pennsylvania
`-`"-� NOTICE OF INHERITANCE TAX � DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES ('�[/r. �'+,r�� REV-1548 EX AFP (12-13)
f�! 4 �vA�i.��pt��hj��ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION ,� OF-AEDUCY' AND ASSESSMENT OF TAX ON
PO BOX 280601
HARRISBURG PA 17128-0601 � �� . �,,, JOI�� ,j HELD OR TRUST ASSETS
DATE 03-03-2014
:i,j� �I.IL 3 � Hr� ��� 3� ESTATE OF METZGER JOHN M�
DATE OF DEATH 03-26-2013
FILE NUMBER 21 13-0392
COUNTY CUMBERLAND
- , ,. SSN/DC 209-12-5322
dk����`v vl.iv�"i± 13118102
JENNIFER L ALBERT C����R`�D �,� PA ACN APPEAL BY DATE:05-02-2014
9 S C H E S T N U T S T (See reverse side under Objections)
DILLSBURG PA 17019-1310 Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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