HomeMy WebLinkAbout07-20-10REV-1162 EX111-96)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 1 7 1 25-0601
RECEIVED FROM:
BLACK ROBERT R
36 S HANOVER STREET
CARLISLE, PA 17013
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 013073
ACN
ASSESSMENT
CONTROL
NUMBER
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ESTATE INFORMATION:
SSN: 209-28-7711
FILE NUMBER: 2109-0783
DECEDENT NAME: ROTH MADELINE W
DATE OF PAYMENT: 07/ 20/ 2010
POSTMARK DATE: 07/20/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 08/03/2009 -
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
CHECK#1011
SEAL
AMOUNT
S 11.80
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS