HomeMy WebLinkAbout10-19-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 ]128-0601
RECEIVED FROM:
GROUSE ROBERT C
3346 ST ANDREWS DRIVE
CHAMBERSBURG, PA 17202
----" mle
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ssrv: tao-of-ssot
FILE NUMBER: 2112-0431
DECEDENT NAME: GROUSE DOROTHY M
DATE OF PAYMENT: 10/19/2012
POSTMARK DATE: 10/19/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 03/18/2012
REV-1162 EX111-96)
N0. CD 016664
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ S87.00
TOTAL AMOUNT PAID:
REMARKS:
CHECK#114
SEAL
INITIALS: HEA
RECEIVED BY
587.00
GLENDA EARNER STRASBAUGH
REGISTER CIF WILLS
REGISTER OF WILLS