HomeMy WebLinkAbout07-08-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 01 1463
WAGNER JODI L
5 SOUTH HANOVER ST
CARLISLE, PA 17013
fold
ESTATE INFORMATION: SSN: 168-26-5497
FILE NUMBER: 2109-0631
DECEDENT NAME: ROUSH JAY W
DATE OF PAYMENT: 07/08/2009
POSTMARK DATE: 07/08/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 04/09/2009
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $ 4, 000.00
TOTAL AMOUNT PAID:
REMARKS: RECEIPT GIVEN TO ATTY
CHECK# 501
SEAL
INITIALS: JN
REV-1162 EX111-96)
S 4, 000.00
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS