HomeMy WebLinkAbout08-24-15 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
NO. CD 021158
GROSZ MARK L
412 ALISON AVE
MECHANICSBURG, PA 17055
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
"_'___' fold ____"_"'
101 � 5 640.00
ESTATE INFORMATION: sstv: �$$-� �
FILE NUMBER: 2115-0032 �
DECEDENT NAME: GROSZ MARK L K �
DATE OF PAYMENT: O8/24/2015 �
POSTMARK DATE: 08/24/201 5 I
courvTY: CUMBERLAND �
DATE OF DEATH: 01/02/201 5 �
�
TOTAL AMOUNT PAID: $640.00
REMARKS: RECEIPT TO ATTY
CHECK# 106
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS