HomeMy WebLinkAbout09-17-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
CHELAP GREG S
17 S SECOND STREET
6TH FLOOR
HARRISBURG, PA 17101
-------- fold
REV-1162 EX~11-96)
NO. CD 013372
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
---------- --------
ESTATE INFORMATION: SSN: 318-01-3843
FILE NUMBER: 21 10-0446
DECEDENT NAME: LARSEN ANN G
DATE OF PAYMENT: 09/ 1 7/2010
POSTMARK DATE: 09/ 1 6/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 03/ 23/ 2010
REMARKS: RECEIPT TO ATTY
SEAL
CHECK# 10561
101 ~ 5863.00
TOTAL AMOUNT PAID:
INITIALS: HMW
RECEIVED BY:
5863.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS