HomeMy WebLinkAbout09-29-09COMMONWEALTH OF PENNSYLVANIA REV-1162 EX~11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 01 1814
HICKOK CHARLES N
250 HIDDEN VALLY LANE
HARRISBURG, PA 17112
-- fora
ESTATE INFORMATION: SSN: 195-16-3s77
FILE NUMBER: 2109-0643
DECEDENT NAME: HICKOK ELISABETH H D
DATE OF PAYMENT: 09/29/2009
POSTMARK DATE: 09/29/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 06/29/2009
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 5130, 000.00
TOTAL AMOUNT PAID: 5130,000.00
REMARKS: CHARLES NELSO HICKOK
CHECK#115
INITIALS: SAP
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER C)F WILLS
DEPARTMENT OF REVENUE