HomeMy WebLinkAbout06-03-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0801
RECEIVED FROM:
. __ ___
__ - _ ___
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. C'~D 012841
SHEKLETSKI GERALD J ESQUIRE
STONE LAFAVER &SHEKLETSKI
414 BRIDGE ST PO BOX E
NEW CUMBERLAND, PA 17070
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ESTATE INFORMATION: ssN: i ss-12-s~2~
FILE NUMBER: 2109-1211
DECEDENT NAME: PHILLIPS DORIS M
DATE OF PAYMENT: 06/03/2010
POSTMARK DATE: 06/03/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 12/25/2009
REMARKS:
CHECK# 138954
SEAL
ACN
ASSESSMENT
CONTROL
NUMBER
AI,MOUNT
101 ~ $'1 b,065.66
~ ~'
TOTAL AMOUNT PAID:
S 10,065.66
INITIALS: SAP
RECEIVED BY: GLENDA EARNER STRA~SBAUGH
REGISTER OF WILLS