HomeMy WebLinkAbout08-24-15 (3) COMMONWEALTH OF PENNSYLVANIA REV-1162 EX�11-96I
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 021 162
POLINKA TERRI L
829 FAIRFIELD ST
MECHANICSBURG, PA 17055
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
'______' fold _"'_'_"' "_""_
101 � 5650.00
ESTATE INFORMATION: SSN: � �
FILE NUMBER: 211 5-0626 �
DECEDENT NAME: HILL JUNE A �
DATE OF PAYMENT: 08/24/2015 �
POSTMARK DATE: 08/21/201 5 �
CouNTY: CUMBERLAND �
DATE OF DEATH: 05/1 5/201 5 �
�
TOTAL AMOUNT PAID: $650.00
REMARKS: RECEIPT TO ATTY
CHECK# 15621
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
David J. Lenox
Attorney At Law
8 Tristan Drive, Suite 3, Dillsburg, PA 17019
717-271-7175 (phone)
717-271-7178 (fax)
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In Re: Estate of Joan A. Hill
File Numbex: 21-15-0626
Dear Register:
Enclosed for filing,please find an Inventory,the Inheritance Tax Return in duplicate,and the Status
report with regard to the above captioned estate along with a check in the amount of$650.00
representing the tax due.
Please return a receipt to my attention. I am enclosing a self-addressed, stamped envelope for your
use.
Thank you for your cooperation.
Sinc ely,
David J. Le ox, squire
DJL/saw
Encl.
David J. Lenox, Esq: Ext 101, law@davidjlenox.comcastbiz.net
Sheryl A. Wasbers,Office Adm.: Ext. 102,Sheryl@davidjlenox.comcastbiz.net
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