HomeMy WebLinkAbout06-13-11 (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
JACKSON DENNIS O
82 FAIRWAY DRIVE
CAMP HILL, PA 1701 1
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ESTATE INFORMATION: SSN: 524-16-3196
FILE NUMBER: 211 1-0515
DECEDENT NAME: JACKSON DAISY B
DATE OF PAYMENT: 06/ 13/201 1
POSTMARK DATE: 06/09/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 04/ 22/ 201 1
REMARKS:
SEAL
CHECK# 108
AMOUNT
ACN
ASSESSMENT
CONTROL
NUMBER
101 ~ 57,659.00
TOTAL AMOUNT PAID:
INITIALS: DB
RECEIVED BY:
57,659.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
REV-1162 EX111-96)
NO. CD 014563