HomeMy WebLinkAbout07-22-05 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU 0- INDIVIDUAL TAXES
-~°~. -80601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
SEIBERT JEAN D ESQUIRE
109 LOCUST STREET
HARRISBURG, PA 17101
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX~11-961
NO. CD 005607
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSN: 172-0~-9525
FILE NUMBER: 2105-0126
DECEDENT NAME: BLACK ALICE W
DATE OF PAYMENT: 07/22/2005
POSTMARK DATE: 07/21 /2005
COUNTY: CUMBERLAND
DATE OF DEATH: 01 /28/2005
REMARKS:
CHECK# 1016
SEAL
101 ~ 5675.78
TOTAL AMOUNT PAID:
INITIALS: JA
5675.78
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS