HomeMy WebLinkAbout01-16-07 (2)
&:==-c::~
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
EVANS CHARLES W
225 SOUTH 17TH ST
CAMP Hill, PA 17011
-------- fold
ESTATE INFORMATION: SSN: 209-16-6109
FILE NUMBER: 2106-0916
DECEDENT NAME: EV ANS RUTH R
DATE OF PAYMENT: 01/16/2007
POSTMARK DATE: 01/12/2007
COUNTY: CUMBERLAND
DA TE OF DEATH: 09/20/2006
NO. CD 007701
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $543.96
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: CHARLES EVANS
CHECK#1008
SEAL
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
$543.96
GLENDA FARNER STRASBAUGH
REGISTER OF WillS