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10-30-07
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES u!>- r. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT HERSHEY ABSTRACT LLC ESCROW ACCOUNT 150 WEST CHOCOLATE AVENUE HERSHEY, PA 17033 u______ fold - , ESTATE INFORMATION: SSN: 208-24-4340 FILE NUMBER: 2107-0440 DECEDENT NAME: FISHER HELEN A DATE OF PAYMENT: 10/30/2007 POSTMARK DATE: 10/30/2007 COUNTY: CUMBERLAND DATE OF DEATH: 04/30/2007 NO. CD 008876 " ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I ~532.93 I .. I I I I I I I 0._- - ~ 1 ; TOTAL AMOUNT PAID: $'532.93 - REMARKS: HERSHEY ABSTRACT LLC CHECK# 1953 SEAL INITIALS: WZ RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS l ' " , .J '!"'\ \.1'\ i"-. '!"'\ ~ J:,. 4. c.. 0.. \.;) t,. tt Q ::i 7!i \ ~ \- 'I.') \ ) \ ~ b \.... ~ 01 "'" t,~ . '.t. '1 ,?; \ \ \ \ \ ~ i Q ., C 3 ,...,- "J \~ ~ e- D ~ 1~~ ;3 ~ (1- ~~\ :cot 4~ ct\ · ^ 'r- ?t. \I~ ~CI) ~ Q)~ u \.1.141 ... '): ~ i -:: -::: -:: -:: -; -::: -:: - =. -::: ~ ~ .~ ~ - -:: .. .. .-,:::. '-; .. -:::: S - .,." "'1 \~~\ I.~\ \.,' ,,', \ ' "'.\ . ., i:;, \ . ,t' a,., \ . .~ :", I... \'" .....