HomeMy WebLinkAbout12-08-10 (3)_ __.. .,__ T _ -- I
CQMMONWEALTH OF PENNSYLVANIA REV-7162 EX(11- 6
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280607
HARRISBURG, PA 1 7 7 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX ~
OFFICIAL RECEIPT
N0. CD 0'1375
ERTEL CHRISTEL L
2966 MAPLE ROAD
CAMP HILL, PA 1 701 1-2824
ACN
ASSESSMENT
CONTROL
NUMBER
cola
ESTATE INFORMATION: SSN: ~s5-28-8228
FILE NUMBER: 2110-1164
DECEDENT NAME: ERTEL SHIRLEY MARTHA
DATE OF PAYMENT: 12/08/2010
POSTMARK DATE: 12/08/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 09/12/2010
REMARKS:
SEAL
CHECK# 724170373
I
AMOUNT
101 ~ $60, 50.00
TOTAL AMOUNT PAID;
INITIALS: SAP
RECEIVED BY:
REGISTER OF WILLS
S 6q', 250.
GLENDA EARNER STR SBAU H
REGISTER OF WILLS