HomeMy WebLinkAbout06-17-15 �.111 Y I� IIIII . I
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 020847
GROVES KAREN ANN
14144 FLAGSTONE TRAIL
APPLE VALLEY, MN 55124
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
""""" _____"'
101 � S 1 ,700.00
ESTATE INFORMATION: ssrv: I
FILE NUMBER: 2114-0943 I
DECEDENT NAME: BERG ANNA MAY I
DATE OF PAYMENT: 06/17/2015 I
POSTMARK DATE: 06/13/2015 I
coUrvTY: CUMBERLAND �
DATE OF DEATH: 09/14/201 4 I
�
TOTAL AMOUNT PAID: 51 ,700.00
REMARKS:
CHECK# 3062
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
„,,,,,�;rrr_r trmi �
KARENA. GROVES, EXECUTRIX
ESTATE OFANNA M. BERG
14144 FLA GSTONE TRAIL
APPLE VALLEY, PA 55124
Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle,PA 17013
Re: Estate of Anna M. Berg
File No. 21-14-0943
Dear Register:
Enclosed is a check for $1,700.00 made payable to the "Register of Wills, Agent" as a
payment for Pennsylvania inheritance tax due in my mother's Fstate. Please forward a
receipt for this payment to my attention at the address above.
If you have any questions, please contact me or Cheryl Baker, CP of JSDC Law Offices
at(717) 298-2094.
Sincerely, _
�
,��1�'�.,.".��L.��,� �
/
Date: Karen A. Ciroves
Executrix
Enclosure
, .a
�.:_� �
e� � ='-� r-�
C �,.� c�
� � r `.`.,' �-'
��� -,
_
r,, _„_ � .,, ..._,
.» ,., 7
�-� _��
. -- }---' ;�
-, --� .
. . _ ::.>
. , _..� t
.
-' ` , �„3 .�
�.3 ..
. -., � �� = t.7
__ .. �.,;1
p�..� _
� w� �
�.,y� �� ' C_.g -';�'1
y �
-�.ri.i....�,�,�.�. p
N
O
N
� �
CA N � �
� V •t
�
� � 7 �.
�o z: p C
� ° n �
Z �' 0 �`M�
w � ,c�n T
w �
��^ �
�� a
�
� T � �
N � �
O �
W
-�? '��} fl
c�> �r1
....
� �J� � t. C� O
i C.>
�
�-�: . �
Q �.'_; �r i
�= l] '�, , I�
--; ._,
.z;, ..., .�.,._ ; ,:";`� �
�_ a , r-r
� ' ` , ��_� '�
< <
�
_ .ry ,,tQ
..
. _,'^.�
_.., � "�.,4 = c,`
:
i .,� _
{ �_.> . �rN
^ 1--.a f' p
t..� � _� \ '^�. �' (.��' Gn �ti
p.i. � � � �t::J
:t'� �
� e� ,..�
I,11 �J � tJ �"r.�..���
�S'� -C
;tt i :_...
i',� � � � � ru °"'�'�"�'
��:���■�
t.{:} �� ��
�;t � � � ru �:�--
C� ��'���
:m.�
� �_ .����
� [�
. �� � � �11 :.,��.'"", �
F,��.
- � . �� !'�`_` �
� � �CJ ��_��� '-'�"`:.�•.
d � � " ' O �u��` -
� � � �'�:::�,_
N�
;:�, ,..
Mi:.
;��o o ��n
� �
„��:��j �� ��
_ - �j n �
oz-ovzs��oo ��OL� 000� � ''
s, �
��,Y� •3JIAtf3S 7V1TOd
r S3191S O3LNl1
1Nnowv
s�`s�Nnr I��
4Z 1.9S
NW'Jl3ll1/Q�3�dddtl
3�JV1SOd'S'f1
x , � � .. -
_ � p �,. �..
�',IIII' �c� ����..