HomeMy WebLinkAbout01-04-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
GGNSC CAMP HILL WEST SHORE
770 POPLAR CHURCH RD
CAMP HILL, PA 17011
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ESTATE INFORMATION: SSN: ~ 68-26-7427
FILE NUMBER: 2111-0010
DECEDENT NAME: NYE MILDRED
DATE OF PAYMENT: 01 /04/201 1
POSTMARK DATE: 1 2/20/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 06/09/2010
REMARKS:
SEAL
CHECK# 002780
TOTAL AMOUNT PAID:
INITIALS: SAP
RECEIVED BY:
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I
GLENDA EARNER S'
REGISTER OF WI
REGISTER OF WILLS
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REV-1162 EX111-96)
N0. ~~ 013853
ACN '
ASSESSMENT ', iAMOUNT
CONTROL
NUMBER !,
10140848 ~ '',5187.78
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5187.78
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