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HomeMy WebLinkAbout12-08-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DAVID BEAR 1606 PEARCE RD WINTER HAVEN .D,ATE ZonG DEe -8 MlIl: E!sTATE OF DATE OF DEATH FILE NUMBER C! cF,!j COUNTY 1_L H\ OR,PLj,l,,\I'<; rf)! :q'-I' SSN/DC \\ \ I' ,I' ,-,",__, --.if, . F'.:lACN -,r r,r'~~f:\~nl!'I~~ITANCE TAX AP'iltA~~EtEN"VijUlL.OWANCE OR DISALLOWANCE OF.DEQUCTION$J. ~ i KSSESSHENT OF TAX ON -30Imt.V'HEt.:6'OR TRUST ASSETS 11-27-2006 BEAR 01-07-2006 21 06-0441 CUMBERLAND 210-26-7642 06002533 APPEAL DATE: 01-26-2007 (See reverse side under Objections) Amount Remitted I ~ 0 (,17. ~.~- I MAKE CHECK PAYABL AND REM T PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 REV-1548 EX AFP (0&-05) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80&01 HARRISBURG PA 171Z8-0&01 DALE L CUi FL 33881 TO: CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- ,..,..~~ '"......, - -..- ...--- " ..-..,.--- BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX Z80&01 HARRISBURG PA 171Z8-0&01 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE F'F,ijm~llr:~/!I~I~ANCE TAX APPRAi~EMttft;:~~J..!>W'ANEE)OR DISALLOWANCE OF DEDUCTtbN~; ~No:~~~E$SHENT OF TAX ON JOINTLY HELD OR TRUST ASSETS REV-1548 EX AFP (0&-05) DAVID BEAR 1606 PEARCE RD WINTER HAVEN Z006 DEC - 8 AM I ~:~~TE OF DATE OF DEATH C! EDK' (Y" FILE NUMBER - ! h, 'r OR."r)i-r';\,i\"" (',.'\1 rn,cOUNTY I I ",,,, ''\'' ' . l'lSSN DC cU:" ' .- .,;-" " f4:.N/ 11-27-2006 BEAR 01-07-2006 21 06-0441 CUMBERLAND 210-26-7642 06002536 APPEAL DATE: 01-26-2007 (See reverse side under Objections) Amount Remitted I f3i-O, ()~ I MAKE CHECK PAYABL AND REMIT PAYMENT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 DALE L FL 33881 TO: CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR YOUR RECORDS +-- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BEAR DAVID 1606 PEARCE RD WINTER HA VENt Fl 33881 -------- fold ESTATE INFORMATION: SSN: 210-26-7642 FILE NUMBER: 2106-0441 DECEDENT NAME: BEAR DALE l DA TE OF PA YMENT: 12/08/2006 POSTMARK DATE: 1 2/08/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 01/07/2006 NO. CD 007538 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06002536 I $150.06 I I I I I , I I TOTAL AMOUNT PAID: REMARI<S: CHECI(# 151 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $150.06 GLENDA FARNER STRASBAUGH REGISTER OF WillS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BEAR DAVID 1606 PEARCE RD WINTER HAVEN, Fl 33881 ___n_n kid ESTATE INFORMATION: SSN: 210-26-7642 FILE NUMBER: 2106-0441 DECEDENT NAME: BEAR DALE l DATE OF PAYMENT: 12/08/2006 POSTMARK DATE: 1 2/08/2006 COUNTY: CUMBERLAND DATE OF DEATH: 01/07/2006 NO. CD 007539 ACN ASSESSMENT CONTROL NUMBER AMOUNT 06002533 I $1,007.95 I I I I I I I I TOTAL AMOUNT PAID: $ 1 ,007.95 REMARI<S: CHECI<# 152 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WillS