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COMMONWEALTH OF PENNSYLVANIA .
DEPARTMENT OF REVENUE .' '- \I
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
GIVEN PATRICIA K
2717 KEYSTONE DRIVE
HARRISBURG, PA 17112
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ESTATE INFORMATION: SSN: 162-22-0556
FILE NUMBER: 2106-0831
DECEDENT NAME: BURLESON BETTY J
DA TE OF PAYMENT: 12/05/2006
POSTMARK DATE: 1 2/05/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 09/07/2006
NO. CD 007511
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $16,160.16
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TOTAL AMOUNT PAID:
REMARKS: PATRICIA GIVEN
DARLENE NOGGLE
CHECK# 3
SEAL
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
$16,160.16
GLENDA FARNER STRASBAUGH
REGISTER OF WillS