HomeMy WebLinkAbout05-11-11 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
KERWIN GREGORY M
4245 ROUTE 209
ELIZABETHVILLE, PA 17023
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REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 014454
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSN: ~ 75-34-8294
FILE NUMBER: 211 1-0393
DECEDENT NAME: BROOKS THEODORE S
DATE OF PAYMENT: 05/ 1 1 /201 1
POSTMARK DATE: 05/10/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 01 / 31 / 201 1
101 ~ $45.00
TOTAL AMOUNT PAID:
REMARKS:
$45.00
CHECK# 018493
INITIALS: DB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS