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COM:'!::: f.~I.H 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
SAMPSON RAYMOND A
1473 LUTZTOWN RD
BOILING SPRINGS, PA 17007
____u__ fold
ESTATE INFORMATION: SSN: 197-07-7527
FILE NUMBER: 2106-0394
DECEDENT NAME: SAMPSON RAYMOND J
DATE OF PAYMENT: 04/04/2007
POSTMARK DATE: 04/04/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 04/17/2006
NO. CD 007970
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $2,192.28
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: RAYMOND J SAMPSON TRUST
RAYMOND A SAMPSON TRUSTEE
CHECK# 1011
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
$2,192.28
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS