HomeMy WebLinkAbout11-06-09COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
ROTZ DANA R
10920 THORNWOOD ROAD
SHIPPENSBURG, PA 17257
REV-1162 EX(11-961
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT
CONTROL
NUMBER
fold
ESTATE INFORMATION: SSN: ~ 89-44-4977
FILE NUMBER: 2109-0802
DECEDENT NAME: DIEHL GLENN A JR
DATE OF PAYMENT: 1 1 /06/2009
POSTMARK DATE: 1 1 /06/2009
couNTY: CUMBERLAND
DATE OF DEATH: 08/22/2009
NO. CD 01 1967
AMOUNT
101 ~ $ 22, 800.00
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 103
INITIALS: DM
RECEIVED BY:
X22,800.00
GLENDA EARNER ST~RASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS