HomeMy WebLinkAbout04-28-11 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601 PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REAGER & ADLER PC
2331 MARKET STREET
CAMP HILL, PA 1701 1
REV--1162 EX(11-96)
NO. CD 014374
ACN
ASSESSMENT A,MOUNT
CONTROL
NUMBER
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ESTATE INFORMATION: SSN: 202-20-4411
FILE NUMBER: 2110-1021
DECEDENT NAME: BLOSSER THELMA A
DATE OF PAYMENT: 04/ 28/ 201 1
POSTMARK DATE: 04/28/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 09/ 30/ 2010
REMARKS:
CHECK# 29370
SEAL
101 ~ X6.59
TOTAL AMOUNT PAID:
$6.59
INITIALS: DB
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS