HomeMy WebLinkAbout12-18-14 (3) REV-1162 EX�11-96)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601 PENNSYLVANIA
RECEIVED FROM: INHERiTANCE AND ESTATE TAX
OFFICIAL RECEIPT NO. CD OZOO4Z
MATEYA MARK A
55 WEST CHURCH AVE
CARLISLE, PA 17013
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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101 � 587.63
ESTATE INFORMATION: SSN: I
FILE NUMBER: 2114-031 2 �
�ECE�ENT NAME: RUE CLAIRE ADELAIDE I
DATE OF PAYMENT: 12/18/2014 �
POSTMARK DATE: 1 2/18/2014 �
COUNTY: CUMBERLAND I
DATE OF DEATH: 03/23/2014 �
�
TOTAL AMOUNT PAID: 587.63
REMARKS:
CHECK# 1005
INITIALS: CJ
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
TAXPAYER