HomeMy WebLinkAbout09-24-15 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX�11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 021288
MEZEWSKI EDWARD J
2619 BRADENBAUGH RD
WHITE HALL, MD 21161
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
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101 � 58,625.00
ESTATE INFORMATION: ssN: I
FILE NUMBER: 21 1 4-1 201 �
DECEDENT NAME: MYERS RICHARD E �
DATE OF PAYMENT: 09/24/2015 �
POSTMARK DATE: 09/12/2015 �
CouNTv: CUMBERLAND I
DATE OF DEATH: 12/14/2014 �
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TOTAL AMOUNT PAID: 58,625.00
REMARKS:
CHECK# 1049
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
TAXPAYER
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