HomeMy WebLinkAbout08-13-12 (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
REV-1162 EX(11-96)
NO. CD 016375
SCHAEFFER GLENN A
3873 LARABY DRIVE
HARRISBURG, PA 17110
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FILE NUMBER: 2112-0632
DECEDENT NAME: COUSART SARA N
DATE OF PAYMENT: 08/ 1 3/201 2
POSTMARK DATE: 08/ 13/2012
couNTY: CUMBERLAND
DATE OF DEATH: 05/31 /2012
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $5,489.14
TOTAL AMOUNT PAID:
$5,489.14
CHECK# 1016
INITIALS: HMW
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS