HomeMy WebLinkAbout01-28-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0801
RECEIVED FROM:
MILLER MITCHELL A
60 GEISEL ROAD
HARRISBURG, PA 17112
fold
_ i ~~
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. C~ 013956
ESTATE INFORMATION: ssrv: Aso-2o-5299
FILE NUMBER: 2109-1046
DECEDENT NAME: DAVIS JANET C
DATE OF PAYMENT: 01 /2$/201 1
POSTMARK DATE: 01 /28/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 10/ 15/2009
ACN
ASSESSMENT 'AMOUNT
CONTROL '
NUMBER
101 ~ i' 58,335.32
~;
TOTAL AMOUNT PAID: ! 58,335.32
REMARKS:
CHECK#1022
INITIALS: SAP
sEa~ RECEIVED BY: GLENDA FARN IR ISTRASBAUGH
REGISTER OF V11III~LS