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HomeMy WebLinkAbout07-03-07 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 , PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT . NO. CO 008369 DUPLICA TE FORNWALD PAUL R 6095 SIXTH STREET SURF CITY, NC 28445 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ---------- ---.---- 101 I $16,340.76 ESTATE INFORMATION: SSN: 177-16-0984 I FILE NUMBER: 2107-0329 I DECEDENT NAME: FORNWALD LILLIAN H I DATE OF PAYMENT: 07/03/2007 I POSTMARK DATE: 06/29/2007 I COUNTY: CUMBERLAND I DATE OF DEATH: 03/31/2007 I TOTAL AMOUNT PAID: $16,340.76 REMARKS: CHECK#1014 SEAL INITIALS: WZ RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS