HomeMy WebLinkAbout04-12-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 015834
SHUGHART LISA D
204 BURNT HOUSE RD
CARLISLE, PA 17015
fold
ESTATE INFORMATION: ssN: 202-36-7136
FILE NUMBER: 211 1-0797
DECEDENT NAME: RUBERT WILLIAM F JR
DATE OF PAYMENT: 04/ 1 2/201 2
POSTMARK DATE: 04/12/2012
couNTY: CUMBERLAND
DATE OF DEATH: 07/ 1 2/201 1
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $ 4, 400.00
TOTAL AMOUNT PAID:
S 4, 400.00
CHECK#103
INITIALS: CJ
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS