HomeMy WebLinkAbout10-06-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
MARTIN SAMUEL RICHARD
2236 RITNER HIGHWAY
SHIPPENSBURG, PA 17257
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REV-1162 EX(11-961
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: 205-o9-9t82
FILE NUMBER: 21 1 1-0153
DECEDENT NAME: MARTIN SAMUEL I
DATE OF PAYMENT: 10/06/201 1
POSTMARK DATE: 10/05/201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 01 /07/201 1
NO. CCI 015044
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 5739.23
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
SEAL
CHECK#115
5739.23
INITIALS: DB
RECEIVED BY: GLENDA EARNER STR,ASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS