HomeMy WebLinkAbout08-26-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TA%ES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
SHAVER PATRICIA A
5008 COLORADO AVE
HARRISBURG, PA 17109
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1182 EX111-981
N0. CD 01 1668
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
,ova
ESTATE INFORMATION: SSN: 195-07-3567
FILE NUMBER: 2109-0803
DECEDENT NAME: FALEY JAMES J
DATE OF PAYMENT: 08/26/2009
POSTMARK DATE: 08/26/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 11/29/2008
101 ~ 57,322.11
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
SEAL
CHECK#117
INITIALS: CJ
RECEIVED BY:
57,322.1 1
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS