HomeMy WebLinkAbout10-15-12 (4)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 016635
DOUGLAS WILLIAM P
43 W SOUTH STREET
PO BOX 261
CARLISLE, PA 17013
ACN
ASSESSMENT
CONTROL
NUMBER
fold
ESTATE INFORMATION: ssN: 405-34-53ts
FILE NUMBER: 2112-0708
DECEDENT NAME: LEWIS DELIA ANN
DATE OF PAYMENT: 10/ 1 5/201 2
POSTMARK DATE: 10/15/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 05/02/201 2
REMARKS:
SEAL
CHECK# 2698
AMOUNT
101 ~ $14,125.38
TOTAL AMOUNT PAID:
INITIALS: DMB
RECEIVED BY:
S 14,125.38
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS