HomeMy WebLinkAbout09-08-09 (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
REV-1162 EX(11-96)
NO. CD 01 1717
HERB MICHAEL
35 MALLARD CT
MECHANICSBURG, PA 17055
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ESTATE INFORMATION: ssN: 174-05-0964
FILE NUMBER: 2109-0573
DECEDENT NAME: HERB RUSSELL
DATE OF PAYMENT: 09/08/2009
POSTMARK DATE: 09/08/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 05/ 14/2009
REMARKS: MICHAEL HERB
CHECK# 1012
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $250.00
I
TOTAL AMOUNT PAID:
INITIALS: JN
$250.00
sE,aL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS