HomeMy WebLinkAbout09-29-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX0 1-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 019729
OSZUSTOWICZ JOHN C
104 SOUTH HANOVER STREET
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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101 $1 ,760.63
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-0546
DECEDENT NAME: TEITRICK FRANCES BIXLER
DATE OF PAYMENT: 09/29/2014
POSTMARK DATE: 09/29/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 04/22/2013
TOTAL AMOUNT PAID: $1 ,760.63
REMARKS: RECPT TO ATTY
CHECK# 153
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL raxEs OF DEDUCTIONS AND ASSESSMENT OF TAX __._r}
INHERITANCE TAX DIVISION REV-1547 IX AFP (08-13)
PO I 6
HARRISBURG PA 17128-0601 RECORDED OFFICE OF
REGISTEP c` v.ILL..S DATE 09-22-2014
?014 SEP 29 ply 2 28 ESTATE OF TEITRICK FRANCES B
DATE OF DEATH 04-22-2013
FILE NUMBER 21 13-0546
CLEil;.; t0,- COUNTY CUMBERLAND
OSZUSTOWICZ HANS'C00 T ACN 101
104 S NOVERt. DAe: 11-21-2014
cumpE�CARLISLE �b1 =342U (APPEAL s � under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS !--
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