HomeMy WebLinkAbout06-02-15 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
NO. CD 020763
MELLINGER SHIRLEY J
9 HILLTOP RD
NEWBURG, PA 17240
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- told
__________ --------
101 $49.13
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-1217
DECEDENT NAME: SWARTZ LEWIS D
DATE OF PAYMENT: 06/02/2015
POSTMARK DATE: 05/29/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 10/23/2013
1
TOTAL AMOUNT PAID: $49.13
REMARKS: CTL tt) at�L�
CHECK# 177
INITIALS: DB1
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX 117
Pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL AE �� i OFIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION t Ut REV-1547 EX AFP (11-14)
PO BOX 280601 _ {
HARRISBURG PA 17128-0601 R E G I.5 T '7� r r.1 W#L t�S
q pj ry� DATE 05-25-2015
?015 JUN 1 PI ! 1.2 51 ESTATE OF SWARTZ LEWIS D
DATE OF DEATH 10-23-2013-
CLEI U FILE NUMBER 21 13-1217
0RPHAP, COUNTY CUMBERLAND
MURPHY Jp,R, + . T r , ACN 101
237 EAST gUN'�TREET APPEAL DATE: 07-24-2015
CHAMBERSBURG PA 17201 (See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4—
'i
� N
fD ,y
p m
N N
w rn r:
N Qo
-J ro
N * >
O N
h
'O
1
f"V
(rT7
to
J
t� n0n �,
tai > Z C m
tai
A rn G)
tL� 0 m m
_ o
C)
w mC:
Z � �
o : -
> Q �
Orn
m C 3
Z
O
to
rn
A�4 UMITFps�
m(0
Q� �i
a C'
m
Qpm .