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02-23-11
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT R! 0 . C D 014048 EARNER MELVIN W 216 RESSER RD CAMP HILL, PA 1701 1 -------- fold ESTATE INFORMATION: SSN: 195-24-5713 FILE NUMBER: 211 1-0246 DECEDENT NAME: EARNER BETTY J DATE OF PAYMENT: 02/ 23/ 201 1 POSTMARK DATE: 02/22/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 03/ 21 / 2010 REMARKS: CHECK#1444 INITIALS: DB SEAL RECEIVED BY: ~~- _ Q-~. ~, ~~-~(~~ ~~~ ~~~C,~~DEPARTMENT OF REVENUE t r'~ - ~ --~ ~ ~. ~ ~ ~.~~ LPL. ,~~ ~-, . ~~~ , ~ ~ c~ ACN ASSESSMENT AMOUNT CONTROL NUMBER 1 1 107783 + S 90.14 TOTAL AMOUNT PAID: REV-1162 EX111-96) $90.14 GLENDA EARNER STRASBAUGH REGISTER OF WILLS ~>~~ `~,1L~, O ~ I ~1 c z; ~ IrE ~~ ~. `. i F ~: R :r. -} ,' `:i, .~... .y.;' n' .': .-t ;,. 7 r' ~ q V ..~.- aa yy W J 1i ~y( ~~ a' T ~ v [ t T ~ "~ '~ ~ S" ~ ~ © 1 'V '~1 ~ f ~ ~ ^' 1 f'~ ~ # } s=j L iJ~~ t f ':"'F ~; i'. t ,j„t T T r m l.. ~2 J .j (~ a N (~ `~