HomeMy WebLinkAbout11-22-11 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
FOX WEAVER S
622 CHESTNUT HILL ROAD
DENVER, PA 17517
REV-1162 EX111-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 015239
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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ESTATE INFORMATION: SSN: 161-30-5251
FILE NUMBER: 211 1-1252
DECEDENT NAME: FOX EVA S
DATE OF PAYMENT: 1 1 /22/201 1
POSTMARK DATE: 1 1 /21 /201 1
COUNTY: CUMBERLAND
DATE OF DEATH: 05/17/2011
101 ~ 5578.25
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 1510
5578.25
INITIALS: CJ
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS