HomeMy WebLinkAbout06-29-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.2B0601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 011413
YINGST DYAN L
801 PHEASANT RD
HARRISBURG, PA 17112
fold
ESTATE INFORMATION: SSN: 1s9-18-5058
FILE NUMBER: 2108-1000
DECEDENT NAME: LOTZ JOSEPH S
DATE OF PAYMENT: 06/29/2009
POSTMARK DATE: 06/29/2009
couNTY: CUMBERLAND
DATE OF DEATH: 10/02/2008
REMARKS:
CHECK#124
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 5 5, 000.00
TOTAL AMOUNT PAID:
INITIALS: CJ
REV-1162 EX111-961
55,000.00
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS