HomeMy WebLinkAbout05-18-15 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX�11-96)
DEPARTMENT OFREVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601 �
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 020681
LIEB KRISTEN
BUCHANAN INGERSOLL & ROONEY
409 NORTH SECOND ST SUITE 500
HARRISBURG, PA 17101-1357
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
"____" fold "_____"' "__""
101 � S55.06
ESTATE INFORMATION: ssrv: � �
FILE NUMBER: 21 14-0463 �
DECEDENT NAME: GUILLIAMS JOHN W �
DATE OF PAYMENT: 05/1 8/201 5 �
POSTMARK DATE: 05/15/2015 �
courvrY: CUMBERLAND �
DATE OF DEATH: 04/15/2014 �
�
TOTAL AMOUNT PAID: 555.06
REMARKS:
CHECK# 121348
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WiLLS
REGISTER OF WILLS
� I!II II IIIIII �
BUREAU OF INDIVIDUAL TAXES
APPRAISEMENTE ALLOWANCETORCDISALLOWANCE � PennSY�VaI1�a
INHERITANCE TAX DIVISION �F D�S' /CN�'' DEPARTMENT OF REVENUE
Po eox zao6oi ���i���.,. ._ ��MENT OF TAX
HARRISBURG PA 17128-0601 ��"(i'f��"""� - ^��. REV-1547 EX AFP (11-14)
r;� ��,��
� R � ._. .
�(�'�C � ��t� �O �fi �AT� 05-11-2015
`� U � � STi4 E OF GUILLIAMS
JOHN W
�., ;-- . -- DATE OF DEATH 04-15-2014
�` FILE NUMBER 21 14-0463
����"' COUNTY CUMBERLAND
LIEB ESQ KRISTEN �
STE 500 :����? . ACW ;''. 1O1
409 N 2ND ST APPEAL DATE: 07-10-2015
H A R R I S B U R G (See reverse side under Objections)
PA 17101-1357 Amount Remitted
55,D
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS �
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