HomeMy WebLinkAbout08-27-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OFREVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 019609
HILTZ NICOLEE M
359 EQUUS DR
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
"'_"" fold "_'_""'
13149959 � $128.39
ESTATE INFORMATION: ssrv: �
FILE NUMBER: 2114-0800 (
�ECE�ENT NAME: MENGEL CHESTER R �
DATE OF PAYMENT: 08/27/2014 �
POSTMARK DATE: 08/26/2014 (
COUNTY: CUMBERLAND �
DATE OF DEATH: 03/02/2013 �
�
TOTAL AMOUNT PAID: 5128.39
REMARKS:
CHECK# 159
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
_ _ _
� pennsylvania
NOTICE OF INHERITANCE TAX DEPARTMENTOFREVENUE
BUREAU OF INDIVIDUAL TAXES P T��ALLOWANCE OR DISALLOWANCE REV-1548 EX AFP c12-13)
INHERITANCE TAX DIVISION ������� �������l�ELD DR TRUST ASSETS AX ON
PO BOX 280601 ��' ��tJ�X
HARRISBURG PA 17128-0601 pC��CJ��=:� ._.
��� 08-25-2014
DATE
201'i A�� �� �� �1 y9 DATETOFODEATH 03NO2L 013 CHESTER R
FILE NUMBER 2 �- �QQ
��,Et�..• i'� COUNTY �U�BERLAND
��q,�se� (;L !;�'� SSN/DC 210-12-1379
� ACN
PA 17 O 11-8355 (See reverse side under Objections)
CAMP HILL Amount Remitted �Z$ , 3
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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