HomeMy WebLinkAbout10-16-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 2 8-0601
RECEIVED FROM:
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 01 1866
MERRIS JOHN B JR
921 SHETTER LANE
CAMP HILL, PA 1701 1
fold
ESTATE INFORMATION: sSN: t 77-~ s-t 773
FILE NUMBER: 2109-0761
DECEDENT NAME: MERRIS MARY C
DATE OF PAYMENT: 10/16/2009
POSTMARK DATE: 10/16/2009
CouNTY: CUMBERLAND
DATE OF DEATH: 08/08/2009
AMOUNT
ACN
ASSESSMENT
CONTROL
NUMBER
101 ~ 5 7, 000.00
TOTAL AMOUNT PAID: 57,000.00
REMARKS: RECEIPT GIVEN TO ATTY
CHECK# 0995
INITIALS: JN
SEAL RECEIVED BY: GLENDA EARNER ~TRLIRR~1If;i-I
REGISTER OF WILLS
REGISTER OF WILLS