HomeMy WebLinkAbout05-03-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
6EPARTMENT Of REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-dfi01
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 017550
MEMBERS 1 ST
PO BOX 44
MECHANICSBURG, PA 170�5
ACN
ASSESSMENT ANlOUNT
CONTRfJL
NUMBER
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3 01 � $3�,o(Jd.00
E5TATE lNFORNIATI{3N: SSN: �67-5s-o153 �
FI�E NUMBER: 2113-4304 �
DECEDENT NAME: GRAY WAYNE A �
DATE OF PAYMENT: C?5/03/2013 �
POSTMARK DATE: Q5/03/2013 �
CQUNTY: CUMBERLAND �
DAi'E OF DEATH: O2j07j2013 f
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TOTAL AMOUNT PAID: $36,000.00
REMARKS: RECEIPT TQ ATTY
CHECK# 81 1357
1NITIALS: CJ
s�AL RECEIVED BY: GLENQA FARNER STRASBAUGH
REGISTER QF WILLS
REGISTER OF WILLS