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08-31-15
COMMONWEALTH OF PENNSYLVANIA REV-1162 EXI11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 021200 VERDEKALALBERT 757 MOUNT ROCK RD CARLISLE, PA 17015 ACN ASSESSMENT AMOUNT CONTROL NUMBER ________ fold __"""" 14144006 � 520.44 ESTATE INFORMATION: ssrv: I FILE NUMBER: 2114-0644 � �ECE�ErvT N,4ME: VERDEKAL MARIA � DATE OF PAYMENT: 08/31/201 5 � POSTMARK DATE: O8/29/201 5 I COUtvTY: CUMBERLAND � DATE OF DEATH: 05/30/2014 � � TOTAL AMOUNT PAID: 520.44 REMARKS: CHECK# 1201 INITIALS: HMW SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS � pennsylvania BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENTOFREVENUE INHERITANCE TAX DIVISION �+ �+ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE PO BOX 280601 `j�41 i' QF �F�DN(�'f��N�,""AND ASSESSMENT OF TAX ON � REV-1548 EX AFP (11-14) HARRISBURG PA 17128-0601 � ,�,;, s� _.1Q,;NTL�Y� ELD OR TRUST ASSETS � y DATE 07-06-2015 �F'� '(' �� ESTATE OF VERDEKAL MARIA t,! #'�rv � �� � r. F �� � +_�� DATE OF DEATH 05-30-2014 FILE NUMBER 21 14-0644 ��` COUNTY CUMBERLAND v�..��..�.. (}�'��'� SSN/DC ALBERT VERDE,�CA�Lt{f '` � ACN 14144006 747 MOUNT ROCK R�•'G �-. APPEAL BY DATE:09-04-2015 CARLISLE PA 17015-9427 (SeereversesideunderObjections) Amount Remitted �� L�t.� � . MAKE CHECK PAYABLE AND REMIT PAYMENT T0: RE6ISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 -"M31?r aN�^mg�€"c"� _,. H#A�d.w`.�p�.fr`�'4.e'^:.SPrtota.cqY�',ti... -�. �ZaN*:.=�M .--.>k3o-. ,z�- �..>,y. --.. � i. � � �� ��� f - � �� � � � � - � � r � -�A��, �� ��� � . ��� , �., � _ �'�9 :'� � �:' �. �:1: 15 , ,{) r-i �a � � '� ^� . �" � �: �r-a s�:: . �; �a G � � �' � �, �_ � r-+ ---' �--� c, cn �--� � �, --� � i:tt Ls� _ cr.� "' �ji ; C� �� t''�I ; E � L �,n � �i5 � q i I [.Y_ T�t � C1 ". ,., '"�J � �'1 �-, �...._{ � t�j � t l � . �) `�< ; - ,.., ' �,= c;. L:� ��.� � s.'� � _.> k.. ' C-' �-'' c��. �'!t�' � ' �.•, � U ta.; �C7 �—� � �r— �� � � S : � �� �_, �,� f ` �:� -� � ; � , S l � ► � 4, 1� r� ��� � � � �� � � � � .� � i �� � � . � � � � � �, �� v