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01-11-11 (2)
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: GIRONDf RITA 2305 CLARIDGE CT ENOLA, PA 17025 -------- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) N0. CD 013883 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: SSN: 195-07-8891 FILE NUMBER: 2110-0160 DECEDENT NAME: GIRONDI EVA R DATE OF PAYMENT: 01 / 1 1 / 201 1 POSTMARK DATE: 01 / 10/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 5/2010 10106065 ~ 561.99 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK# 1712 $61.99 INITIALS: HMW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 t.:.... ~G~ L~~ ©_ ~ rep ~` ., ~`t1,.r -' ~-~ R,i.TA w~-'~=, GIRONDIMARCIN ,.. ~~ 1 ~i 0 A~~~~-T C T ~.__. ._.: g~~. ~:..-=• ~~-.-_ Mt~HANIG PA 17050 ~~: ~x_. _ __ Ca _; N~~ C ~G-t Rita Girondi 2305 Claridge Ct. Enola, PA 17025 1_ NOTICE OF INHERITANCE TAX Pennsylvania ~ DEPARTMENT OF REVENUE APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON REV-1548 EX AFP (12-10) JOINTLY HELD OR TRUST ASSETS DATE 01-03-2011 ESTATE OF GIRONDI EVA R DATE OF DEATH 01-15-2010 FILE NUMBER 21 10-0160 COUNTY CUMBERLAND SSN/DC 195-07-8891 ACN 10106065 APPEAL BY DATE:03-04-2011 - 8348 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND,REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 "^. 9~ ~ V 1 ~}~, r . ~ , " .~ ~ , `\~\ l~`r~` ~ j V 4- 1 i1i r+ ~,~ ~F .a 1 ~~~ 1~ ~~' ~}~ fry ;: ~~~p444 ~t~ Y ~~ ~ ~ x=-~ ~~ "' ~,~ M ~ ~r .y~ ~:~; h,F ~i!4: )`~ .~S•: 2i~k+ ~%a _~'~ . t~ ~~ rx~ fii`• ~~ ~'^ ~~ fir: ~~ l tiffs o N ~ ~ 3 1~ ~. `~` ~v y ~ "'1 U p G ~~':' ~` o ~, ~ .;, .~"~ ~ - .- ~V ~ ~~ .r+ o .. C2! ~, W N e ~~ {~ ~ti .,•! 3„ 1 K"~