HomeMy WebLinkAbout06-02-15 (2) 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
N0. CD 020764
FALVO ANNE
620 GARRISON ROAD
YORK HAVEN, PA 17370
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
__________ ----____
14101966 $1 ,422.42
ESTATE INFORMATION: SSN:
FILE NUMBER: 2114-1155
DECEDENT NAME: RUGGIERI JOAN
DATE OF PAYMENT: 06/02/2015
POSTMARK DATE: 05/30/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 01/10/2013
TOTAL AMOUNT PAID: $1 ,422.42
REMARKS: ANNE FALVO
CHECK#4404
INITIALS: WZ
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
INHERITANCE TAX
RECORD ADJUSTMENT pennsylvania
BUREAU OF INDIVIDUAL TAXES
JOINTLY HELD OR TRUST ASSETS ? DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION REV-1604 EX AFP (11-14)
PO BOX 280601 [� �+/�P,-,,-, �(^ _
HARRISBURG PA 17128-0601 R C r C C L.:�
REG
I` `rf` 1TE 05-21-2015
1 ESTATE OF RUGGIERI JOAN
?0i5 JU-N I 1 �11 2 ISE OF DEATH 01-10-2013
E NUMBER 21 14-1155
_ COUNTY CUMBERLAND
CL ri SSN/DC
ANNE L FALVO
0 R P H A=ay + n : '-:-ACN 14101966
620 GARRISTON RD Remitted—
MAKE
(+ _ Amount Re
YORK HAVEN PA 1737b LM'6i-- -' em
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-
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