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02-17-15
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 NO. CD 020245 WAGNER DAVID J 104 LONGWOOD DRIVE MECHANICSBURG, PA 17050 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold 101 $3,630.58 ESTATE INFORMATION: SSN: FILE NUMBER: 2114-0515 DECEDENT NAME: SPANGLER ROBERT T DATE OF PAYMENT: 02/18/2015 POSTMARK DATE: 02/12/2015 COUNTY: CUMBERLAND DATE OF DEATH: 04/22/2014 TOTAL AMOUNT PAID: $3,630.58 REMARKS: CHECK# 142 INITIALS: D131 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS NOTICE OF INHERITANCE TAX pennsylvania pp APPRAISEMENT, ALLOWANCE OR DISALLOWANCE BUREAU OF INDIVIDUAL tR� TDEPARTMENT OF REVENUE � 11�3^`� OF DEDUCTIONS AND ASSESSMENT OF TAX INHERITANCE TPO BOX 280601AX DIVISION �r r L D C TIt�E 017� REV 1547 EX AFP (11-14) HARRISBURG PA 17128-0601 C1 t ft t ILl B C DATE 02-02-2015 ?Q1J FEB 0 2 ESTATE OF SPANGLER ROBERT T � DATE OF DEATH 04-22-2014 L OF�pf f OF FILE NUMBER 21 14-0515 t�P.'`' r qn- COUNTY CUMBERLAND GOODMAN 4BEFMIIND.Y`"-',Sd ACN 101 STE 35 t APPEAL DATE: 04-03-2015 2 215 FOREST HILLS D R (See reverse side under Objections) HARRISBURG PA 17112 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 ----- ----- - ---- DAVM W!;c�t-zg -32 17b�� IFEB 17 FF, 1 02 � s rtcc © Ns--LS (CM L,sS Lc, , -P/,- 1-7613