HomeMy WebLinkAbout06-25-12 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
FALK DALE J
14 INDEPENDENCE DRIVE
MT HOLLY SPRINGS, PA 17065
REV-1162 EX(11-96)
NO. CD 016167
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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ESTATE INFORMATION: SSN: 079-68-6206
FILE NUMBER: 21 1 1 - 1 1 94
DECEDENT NAME: FALK JUSTIN E
DATE OF PAYMENT: 06/25/2012
POSTMARK DATE: 06/25/2012
couNTY: CUMBERLAND
DATE OF DEATH: 1 0/ 1 6/201 1
101 ~ $37.49
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
SEAL
CHECK# 98
INITIALS: DMB
RECEIVED BY:
537.49
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS