HomeMy WebLinkAbout10-10-12COMMONWEALTH 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
DOUGLAS GEORGE F III
SALZMANN HUGHES
354 ALEXANDER SPRING ROAD
CARLISLE, PA 17015
REV-1162 EXI11-96)
NO. CD 016617
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
ESTATE INFORMATION: ssN: ~ s4-3o-4922
FILE NUMBER: 2112-0816
DECEDENT NAME: MENTZER LEE WAYNE
DATE OF PAYMENT: 1 O/ 10/201 2
POSTMARK DATE: 10/10/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 07/ 1 2/201 2
REMARKS:
SEAL
CHECK# 6156
101 ( 58,300.00
TOTAL AMOUNT PAID:
INITIALS: DMB
RECEIVED BY:
58,300.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS