HomeMy WebLinkAbout08-06-15 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 021078
NICHOLS ELLA JEAN
1208 REDWOOD HILLS CIRCLE
CARLISLE, PA 17015
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
__________ --------
101 $797.18
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-0184
DECEDENT NAME: HUMPHREY ESTHER
DATE OF PAYMENT: 08/06/2015
POSTMARK DATE: 08/04/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 01/29/2013
TOTAL AMOUNT PAID: $797.18
REMARKS:
CHECK# 900021
INITIALS: DMB
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
St f!RS7-CLASS MAIL
neopost, AUTO
ADDRESS 08/04/2015 _ 11V)0 r3~°i 1
/16 5000 Louise Drive SERVICE `..::77�r
P.O.Box 40
Mechanicsburg,PA 17055-0040 REQUESTED ME
ZIP 1"x055
MEMBERS Int `�t , a4 t1 rz '03 F
ff;EEUERALCREM UNION - - -
vd", t}0 C1t 12138Wft.0'
JO N�1310
Sl` 1M JO 811S10H
30 301330 030U.0038
ti
5
7-013 t;ltfirt,1.111 till lit 111111I'll��t1111'III! id,I .: Iii-Y111-