HomeMy WebLinkAbout09-10-09 (5)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17126-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 011728
HAZEN MARIELLE F
SUITE 202
2000 LINGLESTOWN ROAD
HARRISBURG, PA 17110
fold
ESTATE INFORMATION: SSN: ~ 65-26-6227
FILE NUMBER: 2109-001 9
DECEDENT NAME: GRAYBILL DARVIN E
DATE OF PAYMENT: 09/ 10/2009
POSTMARK DATE: 09/09/2009
couNTY: CUMBERLAND
DATE OF DEATH: 12/09/2008
REMARKS: RECEIPT TO ATTY
CHECK#1123
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 53,500.00
TOTAL AMOUNT PAID:
INITIALS: CJ
REV-1162 EX11f-961
53,500.00
GLENDA EARNER STRASBAUGH
RECEIVED BY:
REGISTER OF WILLS
REGISTER OF WILLS