HomeMy WebLinkAbout03-11-15 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX01-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 020326
SMITH JILL HOUSE
111 BOWER LANE
FOREST HILL, MD 21050
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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__________ --------
14139857 $22.11
ESTATE INFORMATION:
FILE NUMBER: 2114-0845
DECEDENT NAME: HOUSE RICHARD M
DATE OF PAYMENT: 03/11/2015
POSTMARK DATE: 03/09/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 12/29/2013
TOTAL AMOUNT PAID: $22.11
REMARKS: JILL HOUSE SMITH
CHECK# 2201
INITIALS: WSZ
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
INHERITANCE TAX Lvania
RECORD ADJUSTMENT P enns Y
r JOINTLY HELD OR TRUST ASSETS # DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL {TAXES'i� - ')
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INHERITANCE TAX DIVISION REV-1604 EX AFP (11-14)
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PO BOX 280601 U
HARRISBURG PA 17128-0�'jl, _
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DATE 02-20-2015
Z ESTATE OF HOUSE RICHARD M
DATE OF DEATH 12-29-2013
FILE NUMBER 21 14-0845
COUNTY CUMBERLAND
r SSN/DC
JILL H SMITH° ACN 14139857
111 BOWER LN %`..
Amount Remitted
FOREST HILL MD 21050-1750 2! zz
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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