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HomeMy WebLinkAbout12-29-10 (2)COMMONWEALTH OF PENNSYLVANIA REV-1162 EX111-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 013830 HOFFMAN ROBIN M 127 NITTANY DRIVE MECHANICSBURG, PA 17055 -- fold ESTATE INFORMATION: ssN: 187-56-3732 FILE NUMBER: 2110-0672 DECEDENT NAME: BAILEY NICOLE MARIE DATE OF PAYMENT: 1 2/ /2010 POSTMARK DATE: 12/29/2010 COUNTY: CUMBERLAND DATE OF DEATH: 06/11/2010 REMARKS: RECEIPT TO ATTY SEAL CHECK# 5823 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~ $5,185.17 TOTAL AMOUNT PAID: $5,185.17 INITIALS: HMW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS