HomeMy WebLinkAbout11-04-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162i EXI11-96)
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RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
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NO. CD OO~975
A
ACN
SSESSMENT AMour ~T
CONTROL
NUMBER
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101 I $12,000 .00
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AID: $12,000 .00
GLENDA FARNER STRASBAl ~GH
REGISTER OF WILLS
HOUSEAL PEGGY M
PO BOX 7
DOVER, PA 17315
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ESTATE INFORMATION: SSN: 184-12-2073
FILE NUMBER: 2105-0840
DECEDENT NAME: MELLINGER FRANCES W
DATE OF PAYMENT: 11/04/2005
POSTMARK DATE: 11/04/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 08/06/2005
TOTAL AMOUNT P
REMARKS:
CHECK# 1019
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
,:)1-6) ~,b
INHERITANCE TAX PREPAYMENTS SHEET
FOR
INFORMANT RETURNS LATER BEING FILED
Full Name of Decedent FRANCES W MELLINGER
Date of Death
08-06-
Social Security Number
Informant's Name and A
Attorney's Name and Ad
(If applicable)
PA FILE NO. 21-05-0840
PREPAYMENT 12,000.00
CHECK 1019
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2005
184-12-2073
ddress PEGGY M. HOUSEAL, EXECUTRIX
P.O. BOX 7
DOVER, PA 17315
dress