HomeMy WebLinkAbout12-04-06 (3)
COMMONWEALTH OF ~IA
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
KEITER DEBRA RILEY
645 KNIGHTBRIDGE DRIVE
HAGERSTOWN, MD 21740
____un fold
ESTATE INFORMATION: SSN: 162-20-8724
FILE NUMBER: 2106-0836
DECEDENT NAME: KEITER DEAN C
DATE OF PAYMENT: 12/04/2006
POSTMARK DATE: 11/30/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: . 08/19/2006
NO. CD 007504
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
06154029 I $18.49
06154030 I $46.51
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$ 65.00
REMARKS: DEBRA RILEY
CHECK# 567
SEAL
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS