HomeMy WebLinkAbout01-07-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PATRICK MICHAEL S
440 WALNUT ST UNIT 202
KNOXVILLE, TN 37902
folG
REV-1162 EXI11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: ~ 74-20-6742
FILE NUMBER: 2109-1028
DECEDENT NAME: PATRICK JAMES R
DATE OF PAYMENT: 01 /07/2010
POSTMARK DATE: 01 /05/2010
couNTY: CUMBERLAND
DATE OF DEATH: 08/ 1 1 /2009
N0. CD 012203
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
09006175 ~ 51,210.40
TOTAL AMOUNT PAID:
REMARKS:
51,210.40
CHECK# 3899
INITIALS: SAP
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS