HomeMy WebLinkAbout01-04-10REV-1162 EX(11-961
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
FIELD DEBRA A
409 LAKEVIEW DRIVE
LITITZ, PA 17543
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT
CONTROL
NUMBER
fold
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN:
2108-1055
KELLEY JACK F
01/04/2010
12/31 /2009
CUMBERLAND
10/03/2008
TOTAL AMOUNT PAFD:
REMARKS:
CHECK#1035
SEAL
INITIALS: CJ
RECEIVED BY:
NO. CD 012189
AMOUNT
5356.49
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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