HomeMy WebLinkAbout09-22-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
BANGS MICHAEL L
429 S 18TH STREET
CAMP HILL, PA 17011
REV-1162 EX~11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 01 1777
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
ESTATE INFORMATION: ssrv: i74-o5-sazo
FILE NUMBER: 2109-0166
DECEDENT NAME: OTSTOT WILLIAM J
DATE OF PAYMENT: 09/22/2009
POSTMARK DATE: 09/21 /2009
couNTY: CUMBERLAND
DATE OF DEATH: 01 /20/2009
101 ~ 566.49
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK#104
INITIALS: DM
RECEIVED BY:
566.49
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS