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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT, 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
WORDIER SANDRA K
~ 5 N 12TH STREET
L.EMOYNE, PA 17043
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: 2ss-32-7805
FILE NUMBER: 2109-0293
DECEDENT NAME: FOULK SUSAN P
DATE OF PAYMENT: 12/11/2009
POSTMARK DATE: 12/1 1 /2009
couNTY: CUMBERLAND
DATE OF DEATH: 03/01 /2009
REV-1162 EX(11-96)
N0. CD 012094
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 ~ 53,051.58
TOTAL AMOUNT PAID:
REMAiRKS:
CHECK# 1010
SEAL
INITIALS: DM
RECEIVED BY:
53,051.58
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS