HomeMy WebLinkAbout02-06-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
_ _ _ _
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 010871
FARMERS & MERCHANTS TRUST CO
P O BOX 6010
CHAMBERSBURG, PA 17210
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
foW
ESTATE INFORMATION: SSN: 168-26-7420
FILE NUMBER: 2108-1 166
DECEDENT NAME: KAUFFMAN NANCY L
DATE OF PAYMENT: 02/06/2009
POSTMARK DATE: 02/05/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 1 1 /09/2008
101 ~ S 1, 069.67
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 310345
INITIALS: CJ
RECEIVED BY:
$1,069.67
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS