HomeMy WebLinkAbout01-20-10 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
FISCHER PATRICIA
606 WOODLAND AVE
MT HOLLY SPRINGS, PA 17065
ACN
ASSESSMENT
CONTROL
NUMBER
fold
ESTATE INFORMATION: ssN: ~ 52-05-8698
FILE NUMBER: 2109-0956
DECEDENT NAME: SERVIENTE MARTHA A
DATE OF PAYMENT: 01 / 20/ 2010
POSTMARK DATE: 01 /20/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 10/03/2009
AMOUNT
101 ~ 53,719.00
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK#104
INITIALS: CJ
RECEIVED BY:
53,719.00
~. rw~1'1A rA nwlrn c~TnA O~AIIC LJ
REGISTER OF WILLS
NO. CD 012251
REGISTER OF WILLS