HomeMy WebLinkAbout05-31-12 (2)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
HIRSHMAN SUSAN L.
151 YELLOW BREECHES DRIVE
CAMP HILL, PA 1701 1
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ESTATE INFORMATION: SSN: X85-~2-9413
FILE NUMBER: 2112-0318
DECEDENT NAME: BELCHER LEWIS E
DATE OF PAYMENT: 05/31 /201 2
POSTMARK DATE: 05/31 /201 2
couNTY: CUMBERLAND
DATE OF DEATH: 03/08/201 2
REV-1162 EX(11-961
NO. CD 016041
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 525,833.63
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK#132
SEAL
INITIALS: DMB
RECEIVED BY
525,833.63
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS