HomeMy WebLinkAbout12-12-05
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1712B-0601
REV-1162 EX( 11-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ADAMS H ANTHONY
49 W ORANGE STREET SUITE 3
SHIPPENSBURG, PA 17257
-------- fold
ESTATE INFORMATION: SSN: 000-00-0000
FILE NUMBER: 2105-0295
DECEDENT NAME: DA VIS LESTER E
DATE OF PAYMENT: 1 2/1 2/2005
POSTMARK DATE: 12/12/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 01/01/2005
NO. CD 006090
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $463.36
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$463.36
REMARKS:
CHECK# 322
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
r-----------
it/i'
<....$'.;;....,...... ..
'.:;.;
\~~,
!
~~
\l
..-.
.~-
'"
Q)
l/)
::J
o
..c.
t::
::J
o
()
>-
} c C")
VJ$50
a- = () I"-
~~-c~
\ 0 ~ a.
01 ID ID <Ii
r". 1i) .0 (j)
'-' .- E .-
\ C> -;::
- Q) ::J ro
~ 0:: () ()
('.'
(:)
('./
(rt
("':1
1"':'
.-t-.
,.,)
.,..,
C)
""
.,..'
....
M I!':
rJ1 01
I'l ....
~ ....
E-< ~
< S ....
A [fj ~
~ ~
< I'l ~ : _icJ~J
:.l I'l "
~ >- 0:: [fj "
.... z )
'" E-<
* Z [fj z
0 I'l I'l
i::: c Po
~ ~ z gl 0 . -'1 '1l
..:i 8 ~ (, .'~l i
Z ~ ;J
.~ III
< E-< [fj
[fj Z
I'l I'l
i::: p. "
~ Ol Po ;,', :rr:
'1' 5i ::lu .. ',~
[fj