HomeMy WebLinkAbout06-17-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
FULTON LAUREN C
138 NORTH 25TH STREET
CAMP HILL, PA 1701 1
fold
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT N 0 , C D 01 13 70
ESTATE INFORMATION: ssN: 041-18-8462
FILE NUMBER: 2109-031 1
DECEDENT NAME: CAMPISI JOHN
DATE OF PAYMENT: 06/ 17/2009
POSTMARK DATE: 06/ 16/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 03/ 20/ 2009
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 54,390.97
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
CHECK# 1012
SEAL
INITIALS: JN
$4,390.97
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS