HomeMy WebLinkAbout10-31-06
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 280601
HARRISBURG, PA 17128-0601
REV-1'162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 007371
LAROCCA JAMES N
5 WINCHESTER CT
MECHANICSBURG, PA 17050
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
n______ fold ---------- --------
101 I $4.60
ESTATE INFORMATION: SSN: 171-03-4869 I
FILE NUMBER: 2105-0168 I
DECEDENT NAME: LAROCCA J ELSI E C I
DATE OF PAYMENT: 10/31/2006 I
POSTMARK DATE: 10/27/2006 I
COUNTY: CUMBERLAND I
DA TE OF DEATH: 09/16/2004 I
I
TOT AL AMOUNT PAID: $4.60
REMARI<S:
CHECK# 6265
INITIALS: MW
I SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
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~EAU OF I~VIDUAL TAXES
tNHERITANCE~~IVISION
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KEEFER ETAL
PO BOX 11963
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REV-1607 EX AFP (03-05)
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-10-2006
LAROCCA
09-16-2004
21 05-0168
CUMBERLAND
101
JELSIE C
PA 17108
Amount Remitted
fi7'~1.0
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MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with you;r tax payment.
CUT ALONG THIS LINE
--+ RETAIN LOWER PORTION FOR YOUR RECORDS
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