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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANC!;; AND (;gTAT~ TAX
OFFICIAL RECEIPT
KLINGER DEBRA K
201 EWE ROAD
MECHANICSBURG, PA 17055
...----. lotd
ESTATE INFORMATION: SSN: 191-28-2232
FILE NUMBER: 2107-0080
DECEDENT NAME: FALLON SARAH E
DATE OF PAYMENT: 04/13/2007
POSTMARK DATE: 04/13/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 01/19/2007
NO. CD 008019
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1,500.00
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TOTAL AMOUNT PAID:
$1,500.00
REMARKS: ESTATE OF SARAH E FALLON
DEBRA KARNS KLINGER EXEC
CHECK#125
INITIALS: AJW
RECEIVED BY:
SEAL
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REGISTER OF WILLS
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GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
3 - 00056
P.O. Box 767, Buffalo, NY 14240.
(1IYWJ
JlO
M&T's QuickLine:
Buffalo
Outside Of The Buffalo Area
(716) 626-1900
(800) 724-2440
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AMOUNT OF CHECK(S) RETURNED $
NUMBER OF ITEMS #
1,50.0.00
1
CUMBERLAND COUNTY
INHERITANCE TAX
DEPT 280400
HARRISBURG
PA 17128-0400
DATE 04-19-07
PAGE
1 OF
Dear Customer:
<66/1 /,/1
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Your account, number 523313492 , has been charged for the total value of
the fol lowing items which were deposited and subsequently returned for the reasons
indicated below. Fees incurred as a result of these transactions wi I I be reflected
in your monthly service charges. If you have any' questions, please cal I your
relationship manager or cal I QuickLine at the phone number listed above.
DETAILED LISTING OF RETURNED DEPOSITED ITEMS
*053000206*
04/19/2007
6131875751
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61
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Dollars
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Th i s is a LEGAL COPY 0 f
your check. You can use it
t he same way you wou I d
use the original check.
RETURN REASON-A
NOT SUFfICIENT
FUNDS
Citizens Bank
FOf 7;;;~ J~~
h~'/
b ~ 1. S 5 S 3l, 2 91'.-
~1V ~.
o It 25 10000 ~ SOOOO~rti
.:0 3bO?~ .Soa:
L.I:O 3J 1;0 ? I; . 501~
b 2 ~ 5 55? L. 2 g III
jl'OOOO l. 50000,1'