HomeMy WebLinkAbout08-20-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMEM OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 ]128-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1182 EXI71-981
NO. CD 01 1650
KOONTZ GENE C
813 MICHIGAN AVENUE
LEMOYNE, PA 17043
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ESTATE INFORMATION: ssN: i~a-aa-saes
FILE NUMBER: 2109-0095
DECEDENT NAME: KOONTZ INEZ J
DATE OF PAYMENT: 08/20/2009
POSTMARK DATE; 08/19/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 01/04/2009
AMOUNT
ACN
ASSESSMENT
CONTROL
NUMBER
101 ~ 53,712.88
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
CHECK#1009
53,712.88
INITIALS: WZ
seal RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS