HomeMy WebLinkAbout09-14-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1 162 EXi 1 1-96)
NO. CC- 013348
JEFFREY L YOHN
RR 1 BOX 196
EAST WATERFORD, PA 17021
-------- fold
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
---------- --------
ESTATE INFORMATION: ssrv: ~ 63-44-04~ 8
FILE NUMBER: 2109-0086
DECEDENT NAME: BLACK DEBORAH A
DATE OF PAYMENT: 09/ 14/ 2010
POSTMARK DATE: 09/ 13/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 09/ 14f 2008
101 ~ $1 1 .21
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 1429
SEAL
$11.21
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX
INHERITANCE TAX DIVISION STATEMENT O F A C C O U N T
PO BOX 280601
HARRISBURG PA 17128-0601
penns~lvania r
DEPARTMENT OF REVENUE
REV-1607 F.X AFP (12-09)
DATE 05-10-2010
_ ESTATE OF BLACK DEBORAH A
~d v,~' `_~Y~ `Z..I~~t~~TE OF DEATH 09-14-2008
i~E~3~ ~ S~i'~~~d~~ILE NUMBER 21 09-0086
~~~~~~~~ COUNTY CUMBERLAND
JEFFREY L YOHN qCN 10003399
142 MOUNTAIN DRIVE ~(~' ~~ ~~ }, ! j~s ~j~~ Amount Remitted
EAST WATERFORD PA 17021 't t7 / f. ~ /
- ~ ~._ _ ~. _":'J MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
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REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013