HomeMy WebLinkAbout06-12-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX�11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBUFG,PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 019292
EVANS DAVID B
21 BRAGG STREET
EAST BERLIN, PA 17316
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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"'_""" '_'_"_'
14127510 � 5152.39
ESTATE INFORMATION: ssrv: 7s�-o5-7s4o I
FILE NUMBER: 2114-0568 I
DECEDENT NAME: EVANS HELEN L I
DATE OF PAYMENT: 06/12/2014 I
POSTMARK DATE: 06/1 2/2014 I
CoU►vTY: CUMBERLAND �
DATE OF DEATH: 09/09/201 3 I
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TOTAL AMOUNT PAID: 5152.39
REMARKS: DAVID B EVANS
CHECK# 2386
INITIALS: WZ
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS