HomeMy WebLinkAbout06-22-10 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
BITNER JUDITH A
811 SURREY COURT
CAMP HILL, PA 1701 1
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ssN: 048-12-6771
FILE NUMBER: 2110-0245
DECEDENT NAME: BLACKWELDER CLAIRE G
DATE OF PAYMENT: 06/22/2010
POSTMARK DATE: 06/22/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 02/ 28/ 2010
REV-1162 EX(11-96)
NO. CD 012966
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $16,097.84
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 100
SEAL
INITIALS: DM
$16,097.84
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS