HomeMy WebLinkAbout11-16-09 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
DEMCHAK-HERB SUSAN
125 CLAY ROAD
CARLISLE, PA 17013
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SsN: 207-28-9047
FILE NUMBER: 2109-0307
DECEDENT NAME: DEMCHAK MAXIM M
DATE OF PAYMENT: 1 1 / 16/ 2009
POSTMARK DATE: 1 1 / 1 6/2009
COUNTY: CUMBERLAND
DATE OF DEATH: 02/18/2009
ACN
ASSESSMENT
CONTROL
NUMBER
__ I _.. __. _..
REV-1162EX~11-961
NO. CD 012001
AMOUNT
101 ~ 5187.49
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK#112
5187.49
INITIALS: DM
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS