HomeMy WebLinkAbout12-28-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
REV-1162 EX(11-961
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
GRAY MICHAEL J
704 GREEN ACRES STREET
MECHANICSBURG, PA 17055
fold
ESTATE INFORMATION: SSN:
FILE NUMBER: 21 12-1204
DECEDENT NAME: GRAY RICHARD R
DATE OF PAYMENT: 12/28/2012
POSTMARK DATE: 1 2/28/201 2
COUNTY: CUMBERLAND
DATE OF DEATH: 09/30/2012
NO. CD 016979
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ $25,000.00
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
SEAL
CHECK# 101
$25,000.00
INITIALS: DMB
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS