HomeMy WebLinkAbout09-28-12 (2)COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
SHADE WAYNE FULTON
53 WEST POMFRET STREET
CARLISLE, PA 17013
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 016566
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: ssN: 179-12-4350
FILE NUMBER: 2112-0010
DECEDENT NAME: EPPLEY RUTH K
DATE OF PAYMENT: 09/28/2012
POSTMARK DATE: 09/28/201 2
couNTY: CUMBERLAND
DATE OF DEATH: 12/28/201 1
REMARKS:
CHECK# 4657
SEAL
101 ~ 5338.48
TOTAL AMOUNT PAID:
INITIALS: DMB
RECEIVED BY:
5338.48
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS