HomeMy WebLinkAbout06-16-15 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
NO. CD 020843
LEPPIN DONNA M
15 CENTER DRIVE
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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101 $826.84
ESTATE INFORMATION: SSN:
FILE NUMBER: 2114-0946
DECEDENT NAME: LEPPIN MATTHEW H
DATE OF PAYMENT: 06/16/2015
POSTMARK DATE: 06/16/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 09/28/2014
TOTAL AMOUNT PAID: $826.84
REMARKS: RCPT TO ATTY
CHECK# 6552
INITIALS: DB1
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX pennsytvarna
BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP (11-14)
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 04-20-2015
ESTATE OF LEPPIN MATTHEW H
DATE OF DEATH 09-28-2014
FILE NUMBER 21 14-0946
COUNTY CUMBERLAND
FLOWER ESQ THOMAS E
ACN 101
10 W HIGH ST APPEAL DATE: 06-19-2015
CARLISLE PA 17013-2922 (See reverse side under Objections)
Amount Remitted 19a ,9 L — I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE —1 RETAIN LOWER PORTION FW? YOUR REC( S 4—
"' ■ 11 1 I I
101 1N111