HomeMy WebLinkAbout09-10-09COMMONWEALTH 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
RIVERS MARK STEPHEN
20507 QUARTERPATH TRACE CIRCLE
POTOMAC FALLS, VA 20165
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ESTATE INFORMATION: SSN: 201-26-9119
FILE NUMBER: 2109-0598
DECEDENT NAME: RIVERS JEROME J
DATE OF PAYMENT: 09/10/2009
POSTMARK DATE: 09/08/2009
couNTY: CUMBERLAND
DATE OF DEATH: 06/08/2009
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 ~ S 6, 500.00
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 96
SEAL
INITIALS: JN
RECEIVED BY:
S 6, 500.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REV-1162 EX(11-96)
N0. CD 01 1733
REGISTER OF WILLS