HomeMy WebLinkAbout08-17-07
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
~T 280601
HARRISBURG. PA 17128-0601
REV-1 162 EX(1 1-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
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CRISSMAN KEITH ALAN
10565 LONG FELLOW TRACE
SHREVEPORT, LA 71106
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ESTATE INFORMATION: SSN: 184-24-2729
FILE NUMBER: 2107-0568
DECEDENT NAME: CRISSMAN JACQUELYN Y
DATE OF PAYMENT: 08/17/2007
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I POSTMARK DATE: 08/14/2007
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I COUNTY: CUMBERLAND
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I DATE OF DEATH: OS/21/2007
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NO. CD 008563
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ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $26,203.00
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 116
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
$26,203.00 .
GLENDA FARNER STRASBAUGH "
REGISTER OF WILLS.
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