HomeMy WebLinkAbout10-12-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
GONTKOVIC CATHERINE
161 BRINDLE ROAD
MECHANICSBURG, PA 17055
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX111-961
NO. ~~ 013483
ACN
ASSESSMENT ' AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSN: 003-09-9580
FILE NUMBER: 2110-1029
DECEDENT NAME: MARTEL WILFRED J
DATE OF PAYMENT: 10/12/2010
POSTMARK DATE: 10/09/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 07/31 /2010
REMARKS:
SEAL
CHECK# 2173
10145026 ~ 579.74
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TOTAL AMOUNT PAID:
INITIALS: SAP
RECEIVED BY:
REGISTER OF WILLS
579.74
GLENDA EARNER S~'R~gSBAUGH
REGISTER OF WILL
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