HomeMy WebLinkAbout12-20-06 (2)
COMMm~WEAlTH OF PEI'JNSYlVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 280601
HARRISBURG, PA i7l 28-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SAMPSON R.A YMOND A
1473 LUTZTOWN RD
BOILING SPF~INGS, PA 17007
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ESTATE INFORMATION: SSN: 197-07-7527
FILE NUMBER: 2106-0394
DECEDENT NAME: SAMPSON RAYMOND J
DA TE OF PAYMENT: 12/20/2006
POSTMARK DATE: 1 2/20/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: 04/17/2006
NO. CD 007587
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $430.66
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$430.66
REMARKS: F~AYMOND J SAMPSON ESTATE
CHECI<#1012
INITIALS: AJW
SEAL
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WilLS