HomeMy WebLinkAbout12-31-09 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 2 8-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT
CONTROL
NUMBER
NO. CD 012155
HAVERSTOCK DAVID SCOTT
2620 NORTH ROSEGARDEN BLVD
MECHANICSBURG, PA 17055
fold
ESTATE INFORMATION: ssN: 204-28-006
FILE NUMBER: 2109-0367
DECEDENT NAME: HAVERSTOCK PAUL RICHARD
DATE OF PAYMENT: 1 2/29/2009
POSTMARK DATE: 1 2/29/2009
couNTY: CUMBERLAND
DATE OF DEATH: 03/27/2009
E3EV-1162 EX~11-96)
AMOUNT
101 ~ 5973.94
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
CHECK# 1010
SEAL
INITIALS: CJ
RECEIVED BY:
5973.94
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS