HomeMy WebLinkAbout07-22-11 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
MILLER SHERRI L
625 MOUNTAIN RD
BOILING SPRINGS, PA 17007
fold
REV-1162 EX111-96-
NO. CD 014757
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSN: 049-24-1985
FILE NUMBER: 21 10-0638
DECEDENT NAME: HENRY HAMILTON M
DATE OF PAYMENT: 07/ 22/ 201 1
POSTMARK DATE: 07/22/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 06/06/2010
REMARKS: RECIPT TO ATTY
SEAL
CHECK#104
101 ~ 572.65
I~
TOTAL AMOUNT PAID:
$72.65
INITIALS: DB
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS