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09-06-07 (3)
REV-1162 EX(11-96) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 008643 RECEIVED FROM: PACE SANDRA E 1443 NEWTOWN CIRCLE MECHANICSBURG, PA 17050 ACN ASSESSMENT CONTROL NUMBER AMOUNT ________ fold 101 $26,933.64 ESTATE INFORMATION: SSN: 208-42-6204 FILE NUMBER: 2106-1139 DECEDENT NAME: PACE CAROL R DATE OF PAYMENT: 09/06/2007 POSTMARK DATE: 09/05/2007 COUNTY: CUMBERLAND DATE OF DEATH: 12/16/2006 TOTAL AMOUNT PAID: $26,933.64 REMARKS: RECEIPT TO A TTY CHECK#1046 INITIALS: CJ RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS SEAL REGISTER OF WILLS II 0 l-(J) :z 0) g ::: h~~s ~I ~ '-- Cl "'00..0 (><(,( 10: ~ ~ ~ I:s' l~ ,~ 25 3 l~ ::::rr lI- '"3 N LL ,. 0..("') CJ ~ ~ ~"'~ ~..s' fhl""'{\ l"l g :;;: "'::1.1' 00:;<; II r" , ) 1"- ., 20D7 SEP -6 PH I: 23 (:1 r:ov r-.~ I1n","," , L,:n: 01 II.! vv'. - - - -, - - - - - =- - - - - lOr -' ..oj il Ii rI) ~ ~ =- =' = .- at r: ~~E-- :; rI) -.: =: ,.;l ~ ~5 ~ ~'-lU o.:l _~.~ [I.l N ;... <oq.<!::<~[I.l " ~:E~~ == ~~t::~ ~ ~E-<~~~ Q..c~ t;:l '-~... ~ f.<l[l.l ;;J = ~ ~ "~ .~ ~ ~-.: == =' ~ Q) fJ) ::s o .c: +J f..l ::s Q) o f..l UcOM ::s..... fJ) :>10'0 .-l+JCI.lI' .-l s:: ..... .,-i ::s Q) S:OfJ) U::S~ 4-l 0 P-l O'O.c: s:: +J ... f..l cO f..l Q) Q).-l ::s .-l +J f..l 0 fJ) fJ) Q) U .,-i .,-i .0 .-l tYlE;: Q) f..l Q) ::s s:: cO ~UOU o Eo-