HomeMy WebLinkAbout09-17-15 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
NO. CD 021265
EZBIANSKY HONORA LEEDY
103 FAIRWAY DRIVE
MECHANICSBURG, PA 17055
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold __________
15125129 $18.63
ESTATE INFORMATION: SSN:
FILE NUMBER: 2115-0490
DECEDENT NAME: WORK JOHN T
DATE OF PAYMENT: 09/17/2015
POSTMARK DATE: 09/15/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 04/15/2015
TOTAL AMOUNT PAID: $18.63
REMARKS: HONORA EZBIANSKY
CHECK#0057
INITIALS: WZ
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
rPennsylvania
BUREAU OF INDIVIDUAL TAXES NOTICE OF INHERITANCE TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
PO BOX 280601 !� 0 E CTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (11-14)
HARRISBURG PA 17128-0601 R F C V R D E 1, OFF ICE DINTLY HELD OR TRUST ASSETS
RE I S T E R F ;VlLLS DATE 09-15-2015
ESTATE OF WORK JOHN T
HIS I;Ep 17 9M 1l 32 DATE OF DEATH 04-15-2015
FILE NUMBER 21 15-0490
COUNTY CUMBERLAND
CLQ. ^ - SSN/DC
HONORA M EW
Pt SKYf > r --.-r ACN 15125129
103 FAIRWAY ((� APPEAL BY DATE:11-14-2015
MECHANICSBURG�} �iQl I 055-5710`4' (See reverse side under Objections)
Amount Remitted s, 6 3
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
a- -
Mrs Honora Ezbiansky �"<
103 Fairway Dr ' x _. - *-1741N'
Mechanicsburg PA 1.7055-5710
USA
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