HomeMy WebLinkAbout06-27-13 (2) COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 017805
BRILLHART ROBERT D
417 VALLEY STREET
MECHANICSBURG, PA 17055
ACN
� ASSESSMENT AMOUNT
CONTROL
NUMBER
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_'__'_'"_' """"
101 � S5,375.71
ESTATE INFORMATION: sSN: � �
FILE NUMBER: 21 1 2-0056 I
DECEDENT NAME: CLARK DEANE D I
DATE OF PAYMENT: O6/27/2013 I
POS7MARK DATE: O6/27/201 3 �
CoUNTY: CUMBERLAND �
DATE OF DEATH: 12/28/201 1 �
�
TOTAL AMOUNT PAID: 55,375.71
REMARKS: RECEIPT TO ATTY
CHECK# 99
INITIALS: GJ
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER