HomeMy WebLinkAbout05-23-12 (3)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAX ES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
BOGAR JAMES D
1 W MAIN STREET
SHIREMANSTOWN, PA
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
17011
ESTATE INFORMATION: ssrv: Aso-2s-6600
FILE NUMBER: 2112-0271
DECEDENT NAME: FASICK FLORENCE M
DATE OF PAYMENT: 05/23/201 2
POSTMARK DATE: 05/23/201 2
CouNTY: CUMBERLAND
DATE OF DEATH: 02/27/2012
REV-1162 EX(11-96)
NO. CD 016009
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 IG 5 50, 803.44
TOTAL AMOUNT PAID:
REMARKS:
CHECK#1003
SEAL
INITIALS: DMB
550,803.44
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS