HomeMy WebLinkAbout03-26-15 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 020413
KOE MELODIE J
19630 ASH CREST LOOP
APT 11
POULSBO, WA 98370-8747
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
---------- --------
13103246 $216.99
ESTATE INFORMATION:
FILE NUMBER: 2113-1346
DECEDENT NAME: KELLER GLADYS L
DATE OF PAYMENT: 03/26/2015
POSTMARK DATE: 01/23/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 01/09/2013
TOTAL AMOUNT PAID: $216.99
REMARKS: MELODIE J KOE
INITIALS: WZ
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
TAXPAYER
Bureau of Imaging Document Management
PO Box 280400 pennsytvania
Harrisburg PA 17128-0400 DEPARTMENT OF REVENUE
March 24, 2015
tin
Lisa M. Grayson, Esq. C_ C) ::73
Register of Wills _2Z
Cumberland Cnty Courthouse
I Courthouse Sq Rm 102 C-0 Tj
Carlisle PA 17013
rrl.
rs')
File Number: 2113-1346
Estate of: Gladys L. Keller
Decedent's SSN:
Date of Death: 01-09-2013
ACN: 13103246
Payment Amount: 216.99
Postmark Date: January 23, 2015
An Inheritance Tax payment on the above-referenced estate has been received and
transferred to the Inheritance Tax fund. Please issue an Official Inheritance Tax Receipt for
the payment amount and postmark date shown above. The date of payment should be the
date on which the receipt is prepared by your office. The receipt should be issued to:
Mellodie J. Kae
19630 Ash Crest Loop,Apt 11
Poullsbo WA 98370-8747
The Department's copy of the Official Receipt should be mailed using the postage-paid
Inheritance Tax bulk mail envelope (E-136) within five (5) business days after receiving this
credit letter. Please keep the receipts sorted and bound separately from the other
Inheritance Tax documents when placing them in the bulk envelope.
On your next Register of Wills Monthly Report, REV-714, include the payment amount in the
monthly Inheritance Tax collections reported on Line 5 and claim a credit on Line 7. Your
monthly Inheritance Tax collections less the credit for this payment should equal the Total
Amount Deposited on Line 12.
Your efforts in issuing and mailing the Department of Revenue's copy of the tax payment
receipt are greatly appreciated. Thank you for your timely attention to this matter. If you
have any questions, please call me at 717-705-8915.
:Sincerely,
S muel W. ShaYl4cs,4Clerk III
Bank Reconciliation Division
Bureau of Imaging Doc. Mangement
c�.
Bureau of LD.M I PO Box 2804001 Harrisburg, PA 17128-0400 1 717.705-8915
1 www.revenue.state.pa.us