HomeMy WebLinkAbout02-10-11 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 260601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
THOMAS R MARK
101 S MARKET STREET
MECHANICSBURG, PA 17055-3851
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ESTATE INFORMATION: SSN: 210-~6-7413
FILE NUMBER: 2110-0948
DECEDENT NAME: LUPOLD JEAN E
DATE OF PAYMENT: 02/10/2011
POSTMARK DATE: 02/10/2011
COUNTY: CUMBERLAND
DATE OF DEATH: 07/21 /2010
REV-1162 EX(11-961
NO. CID 014002
ACN
ASSESSMENT (AMOUNT
CONTROL
NUMBER
101 ~ X14,261.10
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 3161
$14,261.10
INITIALS: SAP
RECEIVED BY: GLENDA EARNER $TRASBAUGH
REGISTER OF WILLS~'~,
REGISTER OF WILLS