HomeMy WebLinkAbout04-15-11COMMONWEALTH 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
NO. CD 014315
FIELDS ELIZABETH
15 KEMPSEN ST
NEWPORT, RI 02840
-------- fold
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
10500848 ~ $44.76
ESTATE INFORMATION: SSN: 172-24-7953
FILE NUMBER: 2110-0430
DECEDENT NAME: FIELDS GLADYS J
DATE OF PAYMENT: 04/ 15/201 1
POSTMARK DATE: 04/15/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 04/ 10/2010
REMARKS:
CHECK# 7742
SEAL
TOTAL AMOUNT PAID:
INITIALS: HMW
REV-1 16~ EX(1 1-96)
$44.76
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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Po Box 280601 0[„ -11- 2011 GLADYS ~
HARRISBURG, PA 17128-0601 ~ _ , ~ ~ '~ DATE
~~~ F]~ELDS
-. `~ ~~'~~ ~ ~ ESTATE OF 0,~ -10 - 2010
DATE OF DEATH 21 10_0430
ELIZABETH FIELDS
L15 KEMPSEN STREE RI 02840
NEWPORT
FILE NUMBER CUMBERLAND
COUNTY 172_24-7953
SSN/DC 1.0500848 2011
pCN BY DATE: 06-10-
APP EAL ections)
(See reverse sidE- under Obj
Remitted ~ REMIT PAYMENT T0:
Amount PAYABLE AND
MAKE CHECK
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
15 KEMP
NE\IVPORT RI 02840 y _ ..
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