HomeMy WebLinkAbout09-21-15 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 021272
MATEYA MARK A
55 WEST CHURCH AVE
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------- fold
101 ( $3,829.22
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-0970
DECEDENT NAME: HANSON EUGENE R
DATE OF PAYMENT: 09/21/2015
POSTMARK DATE: 09/21/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 09/06/2013
TOTAL AMOUNT PAID: $3,829.22
REMARKS:
CHECK# 1013
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
NOTICE OF INHERITANCE TAX pennSytvarna
BUREAU OF INDIVIDUAL TAxES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION g."'r'('�'� 0��F`, DED16j�NS AND ASSESSMENT OF TAX _ ____
PO BOX 280601 R:-GQ,RDEC� VFI-1� r- V1 -� REV-1547 EX AFP (11-14)
HARRISBURG PA 17128-0601 'R E WIJ E R OF VVILLS
701 SEP 21 PM 3 11 DATE 09-15-2015
ESTATE OF HANSON EUGENE R
DATE OF DEATH 09-06-2013
C`Ekt� OF FILE NUMBER 21 13-0970
MATEYA � I� ���`'pCC;" COUNTY CUMBERLAND
101
55 W CHURCH AQJMB -RLt,I!�D ACN APPEAL DATE: 11-14-2015
CARLISLE PA 17013-3202 (See reverse side under Objections)
Amount Remitted 7 Z Z
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS _LINE ---- —) R_ETA_IN LOWER PORTION_ FOR YOUR RECORDS
REV 1547 EX AFP (11-14) NOTICE OF INHERITANCE TAX SPPRAISEMJENT, &Lin &b C,F 4A