HomeMy WebLinkAbout05-04-10 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
POTTS TIMOTHY W
18 HAR-JOHN DRIVE
CARLISLE, PA 17015
ACN
ASSESSMENT
CONTROL
NUMBER
fob
101
ESTATE INFORMATION: SSN: 408-03-3234
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: 12/16/2009
REMARKS:
SEAL
CHECK# 5
TOTAL AMOUNT PAID:
INITIALS: SAP
RECEIVED BY:
REGISTER OF WILLS
REV-1162 EX(11-96)
NO. CDI 012696
GLENDA EARNER STR~
REGISTER OF WILLS I~
MOUNT
352.64
352.64
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