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BURFAU OF INDIVIDUAL TAXES ~ ~ ~NH~-I~ANCE TAX
INNE{:ITANCE TAX DIYISIDN i ~i,'~ i1~!'~'.~'F.~~~?~, QF ACCOUNT
PO BOX 280601
HARRISBURG PA 17128-0601
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MARY K LANTZY C'u~~~~~~"j"'~`~ ~^~" ~~
aD3 L..an-~zy Rd.
MECHANICSBURG PA 17055
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DEPARTMENT OF REVENUE
REY-1607 EX AFP (12-091
DATE 12-14-2009
ESTATE OF LANTZY LOIS M
DATE OF DEATH 07-03-2008
FILE NUMBER 21 08-0744
COUNTY CUMBERLAND
ACN 08145212
Amount Remitted
~ ~ a9.~~ ~
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLTSLE, PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
N LOWER PORTI
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 260601
HARRISBURG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 012146
LANTZY MARY
203 LANTZY RD
MECHANICSBURG, PA 17055
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ESTATE INFORMATION: SsN: ~s~-34-2046
FILE NUMBER: 2108-0744
DECEDENT NAME: LANTZY LOIS M
DATE OF PAYMENT: 1 2/28/2009
POSTMARK DATE: 1 2/28/2009
couNTY: CUMBERLAND
DATE OF DEATH: 07/03/2008
REMARKS:
CHECK# 2367
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08145212 ~ 529.47
TOTAL AMOUNT PAID: 529.47
INITIALS: JN
SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS