HomeMy WebLinkAbout12-16-10 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-961
N0. CCU 013797
MOSEMANN JAMES E
3776 MELL RIDGE ROAD
EDMONTON, KY 42129
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ESTATE INFORMATION: ssrv: ~~~-~0-9252
FILE NUMBER: 2110-0710
DECEDENT NAME: MOSEMANN ALTA E
DATE OF PAYMENT: 1 2/ 1 6/ 2010
POSTMARK DATE: 1 2/ 1 6/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 05/06/2010
AMOUNT
ACN
ASSESSMENT
CONTROL
NUMBER
101 ~ ti>984.69
5984.69
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
CHECK# 4
SEAL
INITIALS: CJ
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS