HomeMy WebLinkAbout06-27-14 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 019352
SHIPMAN JEFFERSON JAY
102 WEST MAIN STREET
SHIREMANSTOWN, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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_""'_'__ ""'_"
101 � S 10,000.00
ESTATE INFORMATION: sstv: I
FILE NUMBER: 21 13-1088 I
�ECE�ENT ►vAME: SHIPMAN JAYNE A �
DATE OF PAYMENT: 06/27/2014 I
POSTMARK DATE: 06/27/2014 I
couNrY: CUMBERLAND �
DATE OF DEATH: 09/30/2013 I
�
TOTAL AMOUNT PAID: 510,000.00
REMARKS: RECEIPT TO ATTY
CHECK# 1027
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS