HomeMy WebLinkAbout12-05-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX01-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 019994
CLARK DAWN M
997 PINETOWN ROAD
LEWISBURG, PA 17339
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- told
__________ --------
101 $772.25
ESTATE INFORMATION: SSN:
FILE NUMBER: 2112- 1183
DECEDENT NAME: CLARK JESSE R
DATE OF PAYMENT: 12/05/2014
POSTMARK DATE: 12/05/2014
COUNTY: CUMBERLAND
DATE OF DEATH: 10/28/2012
TOTAL AMOUNT PAID: $772.25
REMARKS: RECEIPT TO ATTY
CHECK# 1539
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS