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COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PETERS JANET M
135 AMITY ROAD
DUNCANNON, PA 17020
fold
ESTATE INFORMATION: SSN: 761-34-2046
FILE NUMBER: 2108-0744
DECEDENT NAME: LANTZY LOIS M
DATE OF PAYMENT: 1 2/23/2009
POSTMARK DATE: 1 2/21 /2009
COUNTY: CUMBERLAND
DATE OF DEATH: 07/03/2008
REMARKS:
CHECK# 151
SEAL
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 012143
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08145214 ~ 5318.04
TOTAL AMOUNT PAID:
INITIALS: CJ
5318.04
GLENDA EARNER STRASBAUGH
RECEIVED BY:
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PETERS JANET M
135 AMITY ROAD
DUNCANNON, PA 17020
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: ssN: is~-34-2046
FILE NUMBER: 2108-0744
DECEDENT NAME: LANTZY LOIS M
DATE OF PAYMENT: 1 2/23/2009
POSTMARK DATE: 12/21 /2009
COUNTY: CUMBERLAND
DATE OF DEATH: 07/03/2008
REV-1162 EX111-961
NO. CD 012142
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
08145213 ~ 5318.04
TOTAL AMOUNT PAID:
REMARKS:
CHECK#152
SEAL
INITIALS: CJ
RECEIVED BY:
5318.04
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
INHERITANCE TAX
RECORD ADJUSTMENT
,~,~~ 1``ra ,~~~I~~~LY HELD OR TRUST ASSETS
NDIVIDUAL TAXES ;<; ` ti ~
lAX ~IVISIOH t -.
PA 17128-0601
24p9 OEC 23 PM ~' S9
JANET M PETEf~e~", :'"~;~ "I <:. . ~~!3~~.1, PA.
135 AMITY ROAD
DUNCANNON PA 17020
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pennsyLvania ~
DEPARTMENT OF REVENUE
REV-1604 EX AFP (10-09)
DATE 12-07-2009
ESTATE OF LANTZY LOIS M
DATE OF DEATH 07-03-2008
FILE NUMBER 21 08-0744
COUNTY CUMBERLAND
SSN/DC 161-34-2046
ACN 08145213
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
T ALONG THIS LINE ~---) RETAIN LOWER PORTION FOR YOUR RECORDS E-~
~'.
. ~.
INHERITANCE TAX
RECORD ADJUSTMENT
' ;'''~ `~~~ ~h (~}OINTLY HELD OR TRUST ASSETS
BUREAU OF INDIVIDUAL TAXES ~- ,, ~, } r
INHERITANCE TAX DIVISION , „~ ,,, _ri ~y ~,
PO B00( 280601 ~ ~ x
HARRISBURG PA 17128-0601
' 2009 DEC 23 P1~ 1= 59
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MARY K ~C~I~N~'ZY n M ^(' ` ~A'
203 LANTZY ROAD
MECHANICSBURG PA 17055
CUT ALONG THIS LINE
Pennsylvania ~
DEPARTMENT OF REVENUE
REY-1604 EX AFP C10-09)
DATE 12-07-2009
ESTATE OF LANTZY LOIS M
DATE OF DEATH 07-03-2008
FILE NUMBER 21 08-0744
COUNTY CUMBERLAND
SSN/DC 161-34-2046
ACN 08145214
Amount Remitted
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MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
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