HomeMy WebLinkAbout01-19-10 (3)REV-1162 EX111-96)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PATRICK JANE L
2312 YALE AVENUE
CAMP HILL, PA 17011
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT
CONTROL
NUMBER
fold
ESTATE INFORMATION: ssrv: i78-~s-4575
FILE NUMBER: 2109-0506
DECEDENT NAME: HARRIS ALICE M
DATE OF PAYMENT: 01 / 19/2010
POSTMARK DATE: 01 /1 5/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 05/20/2009
NO. CD 012244
AMOUNT
101 ~ 5948.46
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
SEAL
CHECK#1003
INITIALS: CJ
RECEIVED BY:
5948.46
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS