HomeMy WebLinkAbout08-13-18 (2) 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
N0. CD 021 109
KLINE ROBERT P
714 BRIDGE STREET
PO BOX 461
NEW CUMBERLAND, PA 17070
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
101 $37.83
ESTATE INFORMATION: SSN:
FILE NUMBER: 2115-0398
DECEDENT NAME: CLEMENTS THEODORE
DATE OF PAYMENT: 08/13/2015
POSTMARK DATE: 08/12/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 01/13/2015
TOTAL AMOUNT PAID: $37.83
REMARKS:
CHECK# 4821
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
ROBERT P.KLINE,ESQ.
1111111
August 12, 2015
C= O f rl>n
Lisa Grayson, Register of Wills W
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Cumberland County Courthouse M ca �;o c)
One Courthouse Square, Room 102 � % o
Carlisle, PA 17013 CD -71
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Re: Theodore E. Clements r.) (n CDP
No. 21-15-00398 co
Dear Lisa:
Enclosed is an original and two copies of an Inheritance Tax Return in regard to the
above-referenced decedent. Please file this Return and return a time-stamped copy to my office
in the enclosed postage paid envelope, together with a receipt for the payments that are enclosed.
I have enclosed a check in the amount of$15.00 to cover the filing fee, as well as a check in the
amount of$37.83, representing the remaining tax due.
If you have any questions concerning this request, please do not hesitate to contact me at
my office.
ery tru ours,
Robert P. Kline, Esquire
RPK/srf
Enclosures
cc: Theodore Clements
714 Bridge Street
P.O.Box 461
New Cumberland,PA 17070
(717)770-2540
(717)243-5940
Fax(71.7)770-2553
` US POSTAGE
RtCOADED OFFICE OF $02.0
82' 1':trst-Classas
REGISTER OF WiLLS Mailed From 17070
08/12/2015
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714 Bridge Street
P.O.Box 461
New Cumberland,PA 17070
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Lisa Grayson, Register of Wills
Cumberland County Courthouse
One Courthouse Square, Room 102
Carlisle, PA 17013