HomeMy WebLinkAbout10-22-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
HEISEY EDWARD
13031 TRIPLE CROWN LOOP
GAINSVILLE, VA 20155
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1 162 EX(1 1-96)
NO. CD 013534
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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ESTATE INFORMATION: SSN: 461-86-3383
FILE NUMBER: 2110-1061
DECEDENT NAME: HEISEY ESTHER MAE
DATE OF PAYMENT: 10/22/2010
POSTMARK DATE: 10/22/2010
CouNTY: CUMBERLAND
DATE OF DEATH: 09/05/2010
101 ~ $22,500.00
TOTAL AMOUNT PAID:
REMARKS: EDWARD HEISEY
SEAL
CHECK# 141
$2~?,500.00
INITIALS: HMW
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS