HomeMy WebLinkAbout07-25-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7128-0601
RECEIVED FROM:
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N~' CD 014763
HAVERSTICK SUSAN ANN
55 LONE OAK DRIVE
MARYSVILLE, PA 17053
------- fold
ESTATE INFORMAT ION:
FILE NUMBER: SSN: 192-20-1 198
2110-1187
DECEDENT NAME: FISHER SHIR
LEY D
DATE OF PAYMENT:
07/25/201 1
POSTMARK DATE: 07/22/2011
COUNTY: CUMBERLAN
D
DATE OF DEATH:
10/23/2010
REMARKS: RECEIPT TO gTTY
ACN
ASSESSMENT
CONTROL AMOUNT
NUMBER
TOTAL AMOUNT Fq~p;
CHECK# 1003
INITIALS: WZ
SEAL
RECEIVEp gy;
GLENDA EARNER STRASggUGH
REGISTER OF WILLS
REGISTER OF WILLS
$1 1, 305.08