HomeMy WebLinkAbout02-09-12REV-1162 EX111-961
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 1 7 1 28-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ROMBERGER SHERRY A
13211 GOLDERS GREEN PLACE
BRISTOW, VA 20136
ACN
ASSESSMENT
CONTROL
NUMBER
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ESTATE INFORMATION: SsN: 171-2$-347s
FILE NUMBER: 211 1-0108
DECEDENT NAME: GREEN BERTHA A
DATE OF PAYMENT: 02/09/201 2
POSTMARK DATE: 02/07/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 01 / 20/ 201 1
AMOUNT
101 ~ 5218.92
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK# 1008
INITIALS: CJ
RECEIVED BY:
5218.92
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
NO. CD 015569
REGISTER OF WILLS