HomeMy WebLinkAbout03-23-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 012506
ADAMS CONSTANCE
5 SOUTH HANOVER ST
CARLISLE, PA 17013
fold
ESTATE INFORMATION: ssN: tss-26-5497
FILE NUMBER: 2109-0631
DECEDENT NAME: ROUSH JAY W
DATE OF PAYMENT: 03/23/2010
POSTMARK DATE: 03/23/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 04/09/2009
REMARKS:
CHECK# 525
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 51,439.32
TOTAL AMOUNT PAID:
INITIALS: DM
REV-1162 EX(11-96)
51,439.32
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS