HomeMy WebLinkAbout06-29-10 (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 012999
BANJAK LISA S
1837 W LISBURN ROAD
CARLISLE, PA 17015
fold
ESTATE INFORMATION: SSN:
FILE NUMBER: 2109-1 152
DECEDENT NAME: BANJAK CHAD E
DATE OF PAYMENT: 06/29/2010
POSTMARK DATE: 06/29/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 1 1 /25/2009
REMARKS:
CHECK# 139
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $1,717.99
TOTAL AMOUNT PAID:
INITIALS: DM
REV-1162 EX(11-96)
$1,717.99
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS