HomeMy WebLinkAbout04-17-15 REV-1162 EX�11-96)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUALTAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT NO. CD 020533
GALBRAITH JOHN H
3712 FENTON AVE
FORT WORTH, TX 76133
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
---------- --------
101 � S 19.76
ESTATE INFORMATION: ssrv: 207-22-3243 I
FILE NUMBER: 2114-0130 �
�ECE�EtvT NAME: GALBRAITH JAMES C I
DATE OF PAYMENT: 04/17/2015 �
POSTMARK DATE: 04/13/2015 �
CourvTv: CUMBERLAND I
DATE OF DEATH: 02/06/2014 I
�
TOTAL AMOUNT PAID: 519.76
REMARKS:
CHECK# 149
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
i oi i �
*� k.� ��-;=i�� 0 t' �-..,4
BUREAU OF INDIVIDUAL TAXE���tY�M� ���E OF INHERITANCE TAX ;��° pennsylvania
c .�KR,'PI�i�T�� NT, ALLOWANCE OR DISALLOWANCE
��i--� � OF DEDUCT S AND ASSESSMENT DF TAX ` DEPARTMENTOFREVENUE
INHERITANCE TAX DIVISION �� � �������� � REV-1547 EX AFP (11-14)
PO BOX 280601 m�•'
HARRISBURG PA 17128-D601 ���� {3117� 1� �.f '
ji
^,`� DATE 03-30-2015
�',`" ESTATE OF GALBRAITH JAMES C
Q�t�����k` , DATE OF DEATH 02-06-2014
����F,�:� FILE NUMBER 21 14-0130
COUNTY CUMBERLAND
JOHNSON ESQ RONALD E ACN 101
78 W POMFRET ST APPEAL DATE: 05-29-2015
CARL ISLE PA 17013-3216 (See reverse,side under Objections)
Amount Remitted �
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE —y RETAIN LOWER PORTION FOR Y��O'U"R 'REqp�CYORDS F–
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