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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
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REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 009499
SIPE R GARY
1216 KINGS CIRCLE
MECHANICSBURG, PA 17050
u___n_ fold
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
ESTATE INFORMATION: SSN: 203-10-2624
FILE NUMBER: 2107-1012
DECEDENT NAME: GROVE THELMA S
DA TE OF PAYMENT: 04/03/2008
POSTMARK DATE: 04/03/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 10/30/2007
101 I $595.41
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TOTAL AMOUNT PAID:
$595.41
REMARKS: RECEIPT TO A TTY
CHECK# 99
SEAL
INITIALS: CJ
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS