HomeMy WebLinkAbout08-12-14 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
NO. CD 019526
JOSEPH LANCE
2062 SOUTHPOINT DR
HUMMELSTOWN, PA 17036
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
"""__ fold """"_'
14505148 � $105.33
ESTATE INFORMATION: ssN: � I
FILE NUMBER: 21 13-1 248 �
DECEDENT NAME: DERSIN DORIS L I
DATE OF PAYMENT: O8/12/2014 �
POSTMARK DATE: 08/07/2014 I
COUrvTY: CUMBERLAND �
DATE OF DEATH: 10/22/2013 �
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TOTAL AMOUNT PAID: $105.33
REMARKS:
CHECK# 272
INITIALS: HMW
sEA� RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
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BUREAU DF INDIVIDUAL TAX6S ..� i� �.at. NlfTitg OF INHERI?ANC£ TAX
IHHEFtITANCE TAX DIYISION t�) '- 1kPP'3��$�($ ALGONANCE OR DZSAL[.t7NdNC� „��u`� pennsy�vania
PO BOX 280601 i-13 � �� ' OF S (t&7I'ION� ,ANFt ASSESSI'�IT OF TAX ON f
HARRTSBURG, PA I7128-p601 SECURZ�'Y ACL'QUHTS FfELD IN ��, pEPARTMENT QF REYENUE
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DATE Q$-04-2U14
ESTATE 0� DERSIN DORIS L
-. . DA7� OF bEATFf 10-22-2013
�Rf''}'i�tf��v v{JiJi'f� FIIE NUMBER 21 33-1248
CIJMBER(.AND CO., PA COUNTY CUMBERLAND
LANCE ,�ps�p}� SSN/DC
2U62 SpUTHP�FNT DR APPEAL gY DATE. 10-U3-2014
HllMM�LSTOWN PA I7036-8935 (SeereversesideunderQhjectivns)
Amaunt Remitted � ��� S�� �
MAKE CHECK PAYABLE AND REMIT PAYMEhiT T0:
RE6ISTER OF WiLLS
1 CqilRTHdUSE SQUARE
CAR�TSLE PA 17t)13
CU7 ALQNG THIS LINE �► REFALN LDWER P4RTIpN FQR YOUR RECQRDS �
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