HomeMy WebLinkAbout10-28-09COMMONWEALTH 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
SHUFFLEBARGER WILLIAM MINOR
131 1 WOOODWARD DRIVE
CARLISLE, PA 17013
ACN
ASSESSMENT
CONTROL
NUMBER
fold
ESTATE INFORMATION: ssN: 226-26-9173
FILE NUMBER: 2109-0860
DECEDENT NAME: SHUFFLEBARGER MARTHA J_
DATE OF PAYMENT: 10/ 28/ 2009
POSTMARK DATE: 10/28/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 09/04/2009
REV-1162 EX(11-96)
NO. CD 01 1907
AMOUNT
101 ~ S 17,000.00
NES ~
A
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 1024
INITIALS: SAP
RECEIVED BY:
$17, 000.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS