HomeMy WebLinkAbout05-15-14 REV-1162 EX111-96)
COMMONWEALTH OF PENNSYLVANIA
DEPAFTMENT OFflEVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,Pa»>ze-asa� PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT N�. CD 019159
BIETSCH T. ALLAN
21 KENSINGTON SQUARE
MECHANICSBURG, PA 17050
ACN qMOUNT
ASSESSMENT
CONTROL
NUMBER
"""" fold 101 �
$2,404.9
ESTATE INFORMATION:
SSN: 189-18-5713 I
FILE NUMBER:
2113-0951 I
DECEDENT NAME: BIETSCH TOM H I
DATE OF PAYMENT: 05/1 5/2014 I
POSTMARK DATE: 05/15/2014 I
COUNTY:
CUMBERLAND I
DATE OF DEATH: O8/26/201 3 I
�
TOTAL AMOUNT PAID:
S 2,404.97
REMARKS: RECEIPT TO ATTY
CHECK# 105 �NITIALS: HMW
RECEIVED BY: LISA M. GRAYSON, ESQ.
SEAL
REGISTER OF WILLS
REGISTER OF WILLS