HomeMy WebLinkAbout06-17-05 (3)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
EBERLY STEPHEN R
2176 MERRIMAC AVE
MECHANICSBURG, PA 17055
-___un fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
EST ATE INFORMATION: SSN: 195-07-4906
FILE NUMBER: 2105-0304
DECEDENT NAME: BUSHEY KENNETH A
DA TE OF PAYMENT: 06/17/2005
POSTMARK DATE: 06/16/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 03/24/2005
REMARKS:
CHECK#105
SEAL
ACN
ASSESSMENT
CONTROL
NUMBER
101
TOTAL AMOUNT PAID:
INITIALS: CCP
RECEIVED BY:
REGISTER OF WILLS
--
REV-1162 EX(11-96)
NO. CD 005445
AMOUNT
$29,659.95
$29,659.95
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS