HomeMy WebLinkAbout12-14-10_ _ _ _ __ _ _
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COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. ~C'~D 013781
CLOOS JOAN K
87 NORTHVIEW DRIVE
MECHANICSBURG, PA 17050
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ACN
ASSESSMENT i 'AMOUNT
CONTROL
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ESTATE INFORMATION: sSN: i 0~-28-~ 067
FILE NUMBER: 2110-0626
DECEDENT NAME: CLOOS TIMOTHY N
DATE OF PAYMENT: 12/14/2010
POSTMARK DATE: 1 2/10/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 03/25/2010
REMARKS:
SEAL
CHECK#5920
TOTAL AMOUNT PAID:
INITIALS: SAP
RECEIVED BY:
REGISTER QF WILLS
534.55
GLENDA EARNER ~S~RASBAUGH
REGISTER OF WII~L~
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