HomeMy WebLinkAbout03-16-17 (2) BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION APPRAISEMENT ALLONANCE OR DISALLONANCE pe n n sylva ni a
PO BOX 280601 OF DEDUCTION AND ASSESSMENT OF TAX ON DEPARTMENT OF REVENUE
HARRISBURG, PA 17128-0601 SECURI�Y ACCOUNTS HELD IN
BENEFICIARY FORM REV-1568A APP (1144)
LL- -` DATE 02-16-2015
ESTATE OF KISER ERIC J
DATE OF DEATH 12-28-2013
FILE NUMBER 21 14-0444
COUNTY CUMBERLAND
SSN/DC
(-.DANIELn J- KISER ACN 14501549
L2�49 R-EYNOEDSIRUN RD APPEAL BY DATE: 04-17-2015
C�2USSEtcN cL w PA 16345-7445 (See reverse side under Objections)
dt:- a:w
E p Amount Remitted 3�3-7�
v MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
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cl- REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS F
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 020351
KISER DANIEL
29 COTTAGE ST
APT 5
NEW LONDON, CT 06320
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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__________ --------
14501549 $7,373.76
ESTATE INFORMATION: SSN:
FILE NUMBER: 2114-0444
DECEDENT NAME: KISER ERIC J
DATE OF PAYMENT: 03/16/2015
POSTMARK DATE: 03/11/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 12/28/2013
TOTAL AMOUNT PAID: $7,373.76
REMARKS:
CHECK# 1002
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS