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07-21-11
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 014775 LAUGHMAN SHELLEY J 90 DONRENE ROAD MOUNT WOLF, PA 17347 -------- fold ACN ASSESSMENT AMOUNT CONTROL NUMBER ---------- -------- ESTATE INFORMATION: SSN: 208-38-3323 FILE NUMBER: 2110-1 168 DECEDENT NAME: MYERS WILLIAM L DATE OF PAYMENT: 07/28/201 1 POSTMARK DATE: 07/27/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 1 1 /07/2010 REMARKS: SHELLEY LAUGHMAN SEAL CHECK# 655 101 ~ $ 2, 000.00 TOTAL AMOUNT PAID: $ 2 , 000.00 INITIALS: WZ RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~~ 1 ~,~: ~u ~ .-~. J '~'~ I JUL 2$ Phi ~ CLERK OF ORPHAN'S COURT C~JMR~R~ . ~~J 1 Cn PA ".~ ~ L~ la 3 s X11 . `~ ~~V "~~ ~ „ (~ V I 0 ~~ ~~~ ~a ~' ~ <~' .x ~<< ~' ~~. ~t7 ~ I ~ ~ d ~°`~,,s ~_ ~ a ~} _ ~ `-~ ~ ~,. ~ ~ - ~ L^X~-, - V +~ ~ ~' 1~-- ti ~ ~ ~~ LERK ~F OR a~~;-~ ~~~.~~T Cl~ ~- ~~.~'}~'~'~ ~',;~., PA (~ v~ 6 ~~ ~,G~ V ~ ~ ~ ~ ~ ~ ~ ~' c~ r~ .~