HomeMy WebLinkAbout10-28-05 (2)
II
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX( 11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 005938
BLOOM STEPHEN L
2100 LONGS GAP RD
CARLISLE, PA 17013
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
-------- fold
101
$6,056.~6
ESTATE INFORMATION: SSN: 174-05-0664
FILE NUMBER: 2105-0502
DECEDENT NAME: BOSLER MARTHA J
DATE OF PAYMENT: 10/28/2005
POSTMARK DATE: 10/28/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 05/30/2005
:
TOTAL AMOUNT PAID:
$6,056.86
REMARKS:
CHECK# 108
SEAL
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS '
REGISTER OF WILLS