HomeMy WebLinkAbout04-03-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
BLOOM STEPHEN L
60 W POMFRET ST
CARLISLE, PA 17013
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-96)
N0. CD 011071
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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ESTATE INFORMATION: ssN: 083-22-ss34
FILE NUMBER: 2109-0316
DECEDENT NAME: FITZGERALD MERTON B
DATE OF PAYMENT: 04/03/2009
POSTMARK DATE: 04/03/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 01 /28/2009
101 ~ 5338.59
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 027297
INITIALS: JN
RECEIVED BY:
5338.59
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REGISTER OF WILLS
REGISTER OF WILLS