HomeMy WebLinkAbout10-28-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17126-0601
RECEIVED FROM:
JAHN STEPHEN M
5 ASHLEY DRIVE
DILLSBURG, PA 17019
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EXI11-96)
NO. CD 01 191 1
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: ssN: 330-32-9955
FILE NUMBER: 2109-0237
DECEDENT NAME: JAHN WILLIAM F
DATE OF PAYMENT: 10/28/2009
POSTMARK DATE: 10/27/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 03/01 /2009
REMARKS: RECEIPT TO ATTY
CHECK#122
SEAL
101 ~ 5482.57
TOTAL AMOUNT PAID:
INITIALS: WZ
5482.57
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS'..
REGISTER OF WILLS