HomeMy WebLinkAbout02-06-12
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 015549
ROLAND CONSTANC~~ E
1519 FISHER ROAD ''
MECHANICSBURG, P,~ 17055
fold
ESTATE INFORMATION: ~ SSN: 168-26-4147
FILE NUMBER: 21 ~ 1 - 1 224
DECEDENT NAME: BL CK SAMUEL H
DATE OF PAYMENT: 02 06/2012
POSTMARK DATE: 02 06/201 2
couNTY: CU BERLAND
DATE OF DEATH: 1 1 1 1 /201 1
REMARKS: RECEIPT TOATTY
CHECK# 1 14
SEAL
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 52,800.00
TOTAL AMOUNT PAID:
INITIALS: HEA
RECEIVED BY:
REGISTER OF WILLS
5 2, 800.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS