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03-05-10
REV-1162 EX111-961 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: KOSTELAC CYNTHIA Y 520 FAIRWAY DRIVE CAMP HILL, PA 1701 1 fold ESTATE INFORMATION: FILE NUMBER: DECEDENT NAME: DATE OF PAYMENT: POSTMARK DATE: COUNTY: DATE OF DEATH: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SSN: 2109-0434 BAIRD DAISY B 03/05/2010 03/05/2010 CUMBERLAND 04/12/2008 172-01-7237 TOTAL AMOUNT PAID: REMARKS: CHECK# 3468 SEAL INITIALS: CJ RECEIVED BY: NO. CD 012421 5651.05 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ACN ASSESSMENT AMOUNT CONTROL NUMBER r. /R W ~ ~V ~ O~ ~^ Z o W '~ R! ~ ~ LL LL ~~ O a Z w f r ¢ ~ a ~' A~ W w W O a a W ~x za a~ 3 O iy a J O ~a~ y Z W N W U q Z Z N ~ O W ,,,, W N ~ U N W Z Q = Q q Z 3 Z "O a LL J J y ~'' vt C F- '~ _ O Zy~ ~J i ~~r Sp~. .~ ~{~'= +' ~`l 'e . t, La a^. _L. N W Q ao e ~ .. .a qN o N ~ ~ ~ H N ~+ D ~ ",~ z rr~ o d LL W V 0=~~ Q N ~ ~~ m ~Wm~ a~aH°a~ a ~, 0 } ~ N Z N W a ~ A O -~ Q o ~ d w fV ~ ~ ~ O -~ ,--~ ~~ O W 2 ~ o M Z M ~ \~ H M 0 o~Q of L a'+ N N o J ~ ZN O o oe r aJOr~ M q N O~ W .. ~ J U .a .-~ ~ .-~ o W W d W ~-r i w~ Z '~ F- ;CS J 3 O ~ Q ~7 .a O o Q h P4 U a o a1 o N U r+q y 9 aLL d y m ~O A ~ y Z H Q~ ++ d OC Q w Q OC W y~ +~ W J J W W d E Y~ ~ N LL q W a~ ~ U N CO J O Z a~ OG W f.9 F OC LL. ~ `- _ ~ O Z~ C UOWG U U W Q W W Z ~ W F- H F- J~ Z E Y q W q LL. U Q Q Z ..~ . p.._ C Z ~~ r!7 . kf') G~ ~ E .c1' s © ~ e~-1 Q d C`~J U Q J W F- ~' V1 A O Y } Q > 3 J ~ J Q M H 11 Q 2 2 LL F- a ~ N Q U lt1 U H G OC 0 U W OC 7 O OC O LL Z O F OC' O a. OG .. W~ 3F O~ Jt Z~ H~ Q~ F~ W~ ~t 1 1 1' i W~ Zi N~ J~ y~. ~"~ 1 ; =1 H~~ ~. C~ ~ Z~1 ~1~ J~1 a„ ~~: ~~~ Uit