HomeMy WebLinkAbout09-30-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 1 7 1 28-0801
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
THOMAS R MARK
101 S MARKET STREET
MECHANICSBURG, PA 17055-3851
______-_ fold
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 184-26-5222
2110-0030
COLBAN JAMES J
09/30/2010
09/30/2010
CUMBERLAND
12/30/2009
ACN
ASSESSMENT
CONTROL
NUMBER
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 2952
SEAL
i
REV-1162 EX111-96)
NO. ~~ 013433
AMOUNT
5225.50
INITIALS: SAP
RECEIVED BY: GLENDA FARNE~i ~TRASBAUGH
REGISTER OF V1~iL~.S
I
REGISTER OF WILLS
I_ i i