HomeMy WebLinkAbout12-19-08 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 260601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
- --
REV-1162 EX111-96)
N0. CD 010663
BROWN PATRICIA R
354 ALEXANDER SRPING RD
SUITE 1
CARLISLE, PA 17015
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ESTATE INFORMATION: ssN: iss-o5-~is4
FILE NUMBER: 2108-0765
DECEDENT NAME: CULBERTSON RICHARD N
DATE OF PAYMENT: 1 2/ 1 9/2008
POSTMARK DATE: 12/19/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 06/ 1 6/2008
REMARKS:
SEAL
CHECK# 4164
II
ACN
ASSESSMENT ~ AMOUNT
CONTROL
TOTAL AMOUNT f
INITIALS: JN ~I
RECEIVED BY: GLENDA FARNE~i STRASBAUGH
REGISTER OF W'~ILLS
REGISTER OF WILLS