HomeMy WebLinkAbout06-17-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
BLACK ROBERT R
36 S HANOVER STREET
CARLISLE, PA 17013
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ssrv: 2o9-2s-~~> >
FILE NUMBER: 2109-0783
DECEDENT NAME: ROTH MADELINE W
DATE OF PAYMENT: 06/ 17/ 2010
POSTMARK DATE: 06/17/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 08/03/2009
REV-1162 EX111-961
N0. CD 012936
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ S 2, 384.49
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 1010
SEAL
INITIALS: CJ
$ 2, 384.49
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS