HomeMy WebLinkAbout08-07-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 1 7 1 2 8-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 019519
OSZUSTOWICZ JOHN C
104 SOUTH HANOVER STREET
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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"'_'____' '____'__
101 � 56,326.28
ESTATE INFORMATION: ssrv: I
FILE NUMBER: 21 14-01 23 I
DECEDENT NAME: URTON STELLA CUSSINS �
DATE OF PAYMENT: O8/07/2014 I
POSTMARK DATE: 08/07/2014 I
CoUNTY: CUMBERLAND �
DATE OF DEATH: 1 1/1 1/2013 I
�
TOTAL AMOUNT PAID: 56,326.28
REMARKS: RECEIPT TO ATTY
CHECK# 12165
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS