HomeMy WebLinkAbout12-05-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
NO. CD 015284
ADAMS DOROTHEA S
3 ARBOR DRIVE
BOILING SPRINGS, PA 17007
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ESTATE INFORMATION: ssN: ~ 86-30-6693
FILE NUMBER: 211 1-0338
DECEDENT NAME: MENTZER WILLIAM F SR
DATE OF PAYMENT: 12/05/201 1
POSTMARK DATE: 1 2/05/201 1
couNTY: CUMBERLAND
DATE OF DEATH: 03/05/201 1
REMARKS: RECEIPT TO ATTY
CHECK#120
SEAL
101 ~ 5199.17
TOTAL AMOUNT PAID:
REV-1162 EX(11-96)
5199.17
GLENDA EARNER STRASBAUGH
REGISTER OF~ WILLS
INITIALS: HEA
RECEIVED BY:
REGISTER OF WILLS