HomeMy WebLinkAbout01-29-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 012294
DOUDEN JEFFREY L
119 EWE ROAD
MECHANICSBURG, PA 17055
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ESTATE INFORMATION: ssrv: i94-28-says
FILE NUMBER: 2109-1 121
DECEDENT NAME: DOUDEN ORPHA MAY
DATE OF PAYMENT: 01 /29/2010
POSTMARK DATE: 01 /29/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 10/29/2009
REMARKS:
CHECK# 366
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 55,557.50
TOTAL AMOUNT PAID:
INITIALS: CJ
REV-1162 EX111-96)
55,557.50
GLENDA EARNER STRASBAUGH
RECEIVED BY:
REGISTER OF WILLS
REGISTER OF WILLS