HomeMy WebLinkAbout10-08-12 (3)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 016608
MATEYA MARK A
55 WEST CHURCH AVE
CARLISLE, PA 17013
fold
ESTATE INFORMATION: ssN: 204-2s-8407
FILE NUMBER: 2112-0151
DECEDENT NAME: BOUDER GAIL LOUISE
DATE OF PAYMENT: 10/08/2012
POSTMARK DATE: 10/08/2012
couNTY: CUMBERLAND
DATE OF DEATH: 01 / 1 5/201 2
REMARKS:
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 5155.86
TOTAL AMOUNT PAID:
5155.86
CHECK#115
INITIALS: DMB
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS