HomeMy WebLinkAbout08-18-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 1 ] 128-0801
RECEIVED FROM:
KOSTELAC CYNTHIA Y
520 FAIRWAY DRIVE
CAMP HILL, PA 17011
-------- folE
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1182 EXI71-96)
N0. CD 01 1639
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSN: 172-Ot-7237
FILE NUMBER: 2109-0434
DECEDENT NAME: BAIRD DAISY B
DATE OF PAYMENT: 08/18/2009
POSTMARK DATE: 08/18/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 04/12/2008
REMARKS:
CHECK#105
SEAL
101 ~ 521,799.00
TOTAL AMOUNT PAID:
INITIALS: CJ
RECEIVED BY
521,799.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS