HomeMy WebLinkAbout07-26-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 1 7 1 28-0601
PENNSYLVANIA
: RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 017946
ROTH PATRICIA J
122 RIDGE HILL RD
MECHANICSBURG, PA 17050
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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101 � 5218.72
ESTATE INFORMATION: ssN: I
FILE NUMBER: 2112-1025 I
DECEDENT NAME: DUVALL ESTELLE C �
DATE OF PAYMENT: 07/26/2013 I
POSTMARK DATE: 07/26/2013 I
COUNTY: CUMBERLAND �
DATE OF DEATH: 06/06/2012 I
: �
TOTAL AMOUNT PAID: $218.72
REMARKS:
CHECK# 2590
INITIALS: HMW
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER