HomeMy WebLinkAbout08-18-14 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 019561
CLOUSE J EDWARD
2075 RITNER HIGHWAY
CARLISLE, PA 17015
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------- 1016
---------- --------
13128753 $45.70
ESTATE INFORMATION: SSN:
FILE NUMBER: 2114-0407
DECEDENT NAME: CLOUSE TIFFANY B
DATE OF PAYMENT: 08/18/2014
POSTMARK DATE: 08/15/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 05/20/2012
TOTAL AMOUNT PAID: $45.70
REMARKS:
CHECK# 1009
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT TO .�
THE REGISTER OF WILLS IDENTIFIED =
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Estate of: r v c- cl)c
CLOUSE TIFFANY B '° r
SSN: REGISTER OF WILLS ci; °D ' c-
DateofDeatb: 05-20-2012 1 COURTHOUSE SQUARE -r;
File Number: 21 14-0407 CARLISLE PA 17013 a Q
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Date of Assessment: 04-28-2014
ACN: 13128753 T\
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