HomeMy WebLinkAbout10-18-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DUPLICATE
BRICKNER JONI K
29 HICKORYTOWN RD
CARLISLE, PA 17015
ACN
ASSESSMENT
CONTROL
NUMBER
fold
ESTATE INFORMATION: sSN: 174-20-1745
FILE NUMBER: 2110-0758
DECEDENT NAME: WERT LORRETTA M
DATE OF PAYMENT: 10/18/2010
POSTMARK DATE: 10/18/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 07/22/2010
REV-1162 EX(11-96)
NO. CD 013502
AMOUNT
101 ~ ~ 6, 000.00
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 212
INITIALS: SAP
RECEIVED BY:
$ 6, 000.00
GLENDA EARNER STf~ASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS