HomeMy WebLinkAbout01-22-15 (2) 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
N0. CD 020148
KELLY SEAN D
1060 MEMORY LANE
MECHANICSBURG, PA 17050
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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101 $4,055.00
ESTATE INFORMATION: SSN:
FILE NUMBER: 2114-1073
DECEDENT NAME: KELLY FRANCES JEAN
DATE OF PAYMENT: 01/22/2015
POSTMARK DATE: 01/22/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 11/02/2014
TOTAL AMOUNT PAID: $4,055.00
REMARKS:
CHECK# 2055
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS