HomeMy WebLinkAbout05-15-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 171 28-0601
RECEIVED FROM:
CLOUSER DOUGLAS G
1875 TOWN HILL ROAD
YORK SPRINGS, PA 17372
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ESTATE INFORMATION: ssrv: ia4-2s-5048
FILE NUMBER: 2109-0204
DECEDENT NAME: CLOUSER DAVID H
DATE OF PAYMENT: 05/15/2009
POSTMARK DATE: 05/15/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 02/20/2009
REV-1162 EX111-96)
NO. CD 01 1247
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 57,000.00
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 0000429043
SEAL
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
INITIALS: AJW
57,000.00
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS