HomeMy WebLinkAbout01-14-15 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 020138
MATTSON JOHN R
7600 BAJA COVE
AUSTIN, TX 78759
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
---------- --------
101 $28,202.14
ESTATE INFORMATION:
FILE NUMBER: 2112-1011
DECEDENT NAME: MATTSON RAYMOND H
DATE OF PAYMENT: 01/20/2015
POSTMARK DATE: 01/14/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 09/15/2012
TOTAL AMOUNT PAID: $28,202.14
REMARKS: JOHN R MATTSON
CHECK# 9994
INITIALS: WZ
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
�..�' NOTICE OF INHERITANCE TAX pennsylvania
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE �TjjAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX -- REV-1547 EX AFP (08-13)
PO BOX
L)T�R;, FR P4' 7128-0601
y 1at1�
� i-" J", '""� DATE 10-27-2014
m n i ESTATE OF MATTSON RAYMOND H
^ C 12 `'6 EL�vL ? u DATE OF DEATH 09-15-2012
10-AFILE NUMBER 21 12-1011
. RO;YECOUNTY CUMBERLAND
R ESQ HEATHER D ,
+t`� "),j;° ACN 101
"-F 3,E APPEAL DATE: 12-26-2014
,UMBER
�"4 4 1 N FRONT S T (See reverse side under Objections)
HARRISBURG PA 17110-1778 Amount Remitted # otg a p a, �yc
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 F—
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