HomeMy WebLinkAbout06-01-07 (3)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
CLARK CHRISTY RAE
1322 LONGFELLOW CIRCLE
ROSEVILLE, CA 95747
____un fold
ESTATE INFORMATION: SSN: 206-10-8996
FILE NUMBER: 2106-0823
DECEDENT NAME: CLARK HELEN F
DATE OF PAYMENT: 06/01/2007
POSTMARK DATE: OS/29/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 09/04/2006
ACN
ASSESSMENT
CONTROL
NUMBER
101
TOTAL AMOUNT PAID:
REMARKS: RECEIPT SENT TO ATTY
CHECK# 515
SEAL
INITIALS: OM
RECEIVED BY:
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CD 008223
AMOUNT
$5,026.75
$5,026.75
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS