HomeMy WebLinkAbout03-22-11 (2)COMMONWEALTH OF PENNS~'LvL!'J1A
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 2 8-0601
RECEIVED FROM:
QUIGLEY GARY E-
428 WOODRUFF WAY
HARRISBURG, P.A 17112
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REV-1162 EX(11-961
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 014171
ACN
ASSESSMENT A'~/IOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSN: 204-28-os~ ~
FILE NUMBER: 21 1 1 -0040
DECEDENT NAME: NICHOLS PATSIE A Q
DATE OF PAYMENT: (~3/ 22/ 201 1
POSTMARK DATE: 03/22/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: ~I 2/ 29/ 201 0
101 ~ $ 34-, 803.00
TOTAL AMOUNT PAID:
REMARKS:
SEAL
GHECK# 1026
INITIALS: HMW
RECEIVED BY:
$ 34~, 803.00
GLENDA FARNER STRASE3AUGH
REGISTER, OF WILLS
REGISTER OF WILLS