HomeMy WebLinkAbout11-24-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 E;K(11-96)
N0. CD 01304
COMMUNITY LAND TRANSFER LLC
2331 MARKET STREET
CAMP HILL, PA 1701 1
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ESTATE INFORMATION: SSN: 176-34-9231
FILE NUMBER: 2109-1 1 19
DECEDENT NAME: GOUSE DELL H `
DATE OF PAYMENT: 1 1 / 24/ 2010
POSTMARK DATE: 1 1 /24/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 1 1 /23/2009
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 $1 , 567.22'
TOTAL AMOUNT PAID:
$1,567.22
CHECK# 39317
INITIALS: DB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS