HomeMy WebLinkAbout08-08-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 7 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-961
NO. ~D 010109
CLAY JEFFREY
233 GETTYSBURG PIKE
MECHANICSBURG, PA 17055
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ESTATE INFORMATION: ss-v: ~
FILE NUMBER: 2108-0823
DECEDENT NAME: CLAY BEVERLY A
DATE OF PAYMENT: 08/08/2008
POSTMARK DATE: 08/08/200$
COUNTY: CUMBERLAND
DATE OF DEATH: 05/ 1 5/2008
REMARKS:
CHECK# 254
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 5302.19
TOTAL AMOUNT PAID:
INITIALS: CJ
RECEIVED BY:
5302.19
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER