HomeMy WebLinkAbout10-07-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OP INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-96)
NO. CD 01 1839
COOMBS ROY E JR
1105 COUNTRY CLUB ROAD
CAMP HILL, PA 1701 1
toed
ESTATE INFORMATION: ssN: i3o-22-25x6
FILE NUMBER: 2109-0865
DECEDENT NAME: COOMBS FRANCES T
DATE OF PAYMENT: 10/07/2009
POSTMARK DATE: 10/06/2009
couNTY: CUMBERLAND
DATE OF DEATH: 08/19/2009
REMARKS:
SEAL
CHECK#163
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 ~ 51,140.00
TOTAL AMOUNT PAID:
51,140.00
INITIALS: DM
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS