HomeMy WebLinkAbout11-18-14 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
N0. CD 019928
GOVER ANNMARIE L
142 ASHFORD WAY
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- told
---------- --------
13166393 $139.28
ESTATE INFORMATION: SSN:
FILE NUMBER: 2112-1323
DECEDENT NAME: GOVER MATTHEW R
DATE OF PAYMENT: 11/18/2014
POSTMARK DATE: 11/17/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 11/27/2012
TOTAL AMOUNT PAID: $139.28
REMARKS:
CHECK# 1666
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
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BUREAU OF INDIVIDUA lCfiS�rt n r_ r F NOTICE OF INHERITANCE TAX
;S;J -� � AP RAISEMENT, ALLOWANCE OR DISALLOWANCE
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISI �- , REV-1548 EX AFP (12-13)
PO BOX 280601 S `"'M,-SEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG PA 17128-060flE GISC ' 41 t JOINTLY HELD OR TRUST ASSETS
DATE -2014
ESTATE OF GOVER MATTHEW R
DATE OF DEATH 11-27-2012
�t,,� FILE NUMBER 21 12-1323
OR
r;ti�,' r n�'I- COUNTY CUMBERLAND
ORPHA
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SSN/DC
ANDREW RC[}(�QV•C
kstl7RP�I, nF ACN 13166393
142 ASHFORD WAY APPEAL BY DATE:01-02-2015
CAMP HILL PA 17011-3919 (See reverse side under Objec 'ons)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013