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HomeMy WebLinkAbout06-25-10 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-060 1 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 E):(11-96) NO. CD 012983 BURNS-RITSCH JACQUELINE PO BOX 1475 BUFFALO, MO 65622 -------- fold ESTATE INFORMATION: SSN: 494-16-2556 FILE NUMBER: 2110-0646 DECEDENT NAME: GILLESPIE DOROTHEA MAE DATE OF PAYMENT: 06/25/2010 POSTMARK DATE: 06/25/2010 COUNTY: CUMBERLAND DATE OF DEATH : 04/ 04/ 2010 REMARKS: RECEIPT TO ATTY CHECK# 2006 ACN ASSESSMENT ,AMOUNT CONTROL NUMBER 101 ~ $856.73 TOTAL AMOUNT PAID: INITIALS: WZ 5856.73 SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS DEPARTMENT OF REVENUE 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 012984 GILLESPIE NELLICE 173 SONY POINT AVENUE SHIPPENSBURG, PA 17257 ACN ASSESSMENT ,AMOUNT CONTROL NUMBER -------- fold ESTATE INFORMATION: SSN: 494-16-2556 FILE NUMBER: 2110-0646 DECEDENT NAME: GILLESPIE DOROTHEA MAE DATE OF PAYMENT: 06/25/2010 POSTMARK DATE: 06/25/2010 COUNTY: CUMBERLAND DATE OF DEATH: 04/04/2010 REMARKS: RECEIPT TO ATTY SEAL CHECK#114 101 ~ $387.19 TOTAL AMOUNT PAID: REV-1162 EX(11-96) 5387.19 INITIALS: WZ RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS DEPARTMENT OF REVENUE