HomeMy WebLinkAbout10-11-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
CLOOS JOAN K
87 NORTHVIEW DR
MECHANICSBURG, PA 17050
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ESTATE INFORMATION: sSN: i o~-2s-~ os~
FILE NUMBER: 2110-0626
DECEDENT NAME: CLOOS TIMOTHY N
DATE OF PAYMENT: 10/ 1 1 /2010
POSTMARK DATE: 10/08/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 03/25/2010
REMARKS:
SEAL
CHECK# 5905
TOTAL AMOUNT
INITIALS: SAP
RECEIVED BY:
REGISTER OF WILLS
__ ,
PIEV-1162 EX(11-96)
N0. CD 013476
ACN
ASSESSMENT
CONTROL
NUMBER
MOUNT
10152131 ~ $34.55
SAID:
GLENDA EARNER ST $34.55
ASBAUGH
REGISTER OF WILLS
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