HomeMy WebLinkAbout08-10-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX111-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 005658
BROUJOS JOHN
4 NORTH HANOVER STREET
CARLISLE, PA 17013
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
n____n told
101
$5,000.00
ESTATE INFORMATION: SSN: 111-16-7875
FILE NUMBER: 2105-0691
DECEDENT NAME: HARLIN LOIS A
DATE OF PAYMENT: 08/05/2005
POSTMARK DATE: 08/05/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 05/06/2005
TOTAL AMOUNT PAID:
$5,000.00
REMARKS:
CHECK# 1026275
SEAL
INITIALS: CCP
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS