HomeMy WebLinkAbout09-03-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 01 1710
WAGNER DAVID
65 SPRINGFIELD ROAD
SHIPPENSBURG, PA 17257
,ova
ESTATE INFORMATION: SSN: iso-5s-s77s
FILE NUMBER: 2109-0253
DECEDENT NAME: KOSER GUY W JR
DATE OF PAYMENT: 09/04/2009
POSTMARK DATE: ~143fA4~99~9 ~l ~03
couNTY: CUMBERLAND
DATE OF DEATH: 02/ 1 3/2009
REMARKS: DAVID A WAGNER
SEAL
CHECK# 1004
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $17,867.00
TOTAL AMOUNT PAID:
INITIALS: SAP
RECEIVED BY:
S 17,867.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS