HomeMy WebLinkAbout05-04-10COMMON`~/EALTH OF PENNSYL\/ANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-060'. PENNSYLVANIA
RECEIVED FROM: INHERITANCE: AND ESTATE TAX
OFFICIAL RECEIPT
POTTS TIMOTHY W
18 HAR-JOHN DRIVE
CARLISLE, PA 17015
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ESTATE INFORMATION: SSN: 408-0;3-3234
FILE NUMBER: 2110-0081
DECEDENT NAME: POTTS MARINE C
DATE OF PAYMENT: 05/04/2010
POSTMARK DATE: 05/04/2010
CouNTY: CUMBERLAND
DATE OF DEATH: 1 2/ 1 6/2009
REMARKS:
SEAL
CHECK# 5
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 ~ $352.64
TOTAL AMOUNT PAID:
~~352.64
INITIALS: SAP
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER (~F WILLS
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CD 012696