HomeMy WebLinkAbout08-06-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 171 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DUPLICATE
LOY SANDRA K
1501 PISGAH STATE ROAD
SHERMANS DALE, PA 17090
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ESTATE INFORMATION: ssN: 202-20-2179
FILE NUMBER: 2109-0495
DECEDENT NAME: KLINE JEAN K
DATE OF PAYMENT: 08/06/2009
POSTMARK DATE: 08/06/2009
couNTY: CUMBERLAND
DATE OF DEATH: 05/ 1 1 /2009
REV-1162 EX(11-96)
NO. CD 01 1578
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ S 10, 000.00
TOTAL AMOUNT PAID:
REMARKS: RECEIPT GIVEN TO ATTY
SEAL
CHECK# 1018
INITIALS: JN
RECEIVED BY:
S 10,000.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS