HomeMy WebLinkAbout02-21-14 (4) COMMONWEALTH OF PENNSYLVANIA REV-1162 EX0 1-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 018794
MILLER ADESSA R
209 ST JOHNS CHURCH ROAD
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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__________ ________
101 $396.11
ESTATE INFORMATION: SSN:
FILE NUMBER: 2112-1223
DECEDENT NAME: HAILEY JOHN MICHAEL
DATE OF PAYMENT: 02/21/2014
POSTMARK DATE: 02/21/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 11/21/2012
TOTAL AMOUNT PAID: $396.11
REMARKS: RCPT TO ATTY
CHECK# 54
INITIALS: DB1
SEAL RECEIVED BY: LISA M., GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS