HomeMy WebLinkAbout01-12-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
fold
N0. CD 012220
BROSIUS DONNA L
6342 SOUTH POWDERHORN RD
MECHANICSBURG, PA 17050
ESTATE INFORMATION: ssN: 182-28-x558
FILE NUMBER: 2109-101 1
DECEDENT NAME: BOHNER CLAYTON E
DATE OF PAYMENT: 01 / 1 2/2010
POSTMARK DATE: 01 /1 2/201 0
couNTY: CUMBERLAND
DATE OF DEATH: 10/ 1 6/2009
AMOUNT
ACN
ASSESSMENT
CONTROL
NUMBER
101 ~ 53,845.22
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 1 1
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
INITIALS: SAP
RECEIVED BY:
53,845.22
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS