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11-03-11
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BONIN MONICA 1037 W 17TH ST HAZELTOWN, PA 18202 fold ESTATE INFORMATION: ssrv: 205-2s-21 i 5 FILE NUMBER: 2110-0261 DECEDENT NAME: BONIN MARTHA G DATE OF PAYMENT: 1 1 /03/201 1 POSTMARK DATE: 1 1 /02/201 1 CouNTY: CUMBERLAND DATE OF DEATH: 02/25/2010 REMARKS: SEAL CHECK# 3805 ACN ASSESSMENT CONTROL NUMBER REV-1162 EX(11-96) NO. CD 015162 AMOUNT 10045598 ~ S 192.94 TOTAL AMOUNT PAID: INITIALS: DMB RECEIVED BY: REGISTER OF WILLS S 192.94 GLENDA EARNER STRASBAUGH REGISTER OF WILLS X06-i1 05:01 AM F. 01 AEPAptMEN~'CS~F~$~iE'A~~ iU$ AU OF INDYYxpUA'L TAXES "INNE~t.I7ANCE TAX REV-16'67 EX AEP t]2-.ltl> x ITANCE TAX QTYISION STATEMENT Of= ACCOUNT ~o epx zao6oi ~ . 0401 PA 1728 Y ~-; ~ (.x`? ~ ~4: - - S/URG WIRR . , . CLERK'~;,~ ~srar~ of Ba~IN. .~'.:.•: '.:,i !~ y~,~n' =?r : n~~~~~1~ `vJV~I IiA7E OF DEATH .. : ;~ D~ - 25.-2R,1,~~.,'~' rf',{~=wT •~...~ ~+`#~t: y AR; 1' - -7i~~ ~., PA FILE NUMBER , . 21 • 1Z1=4~.~1..• ...;.~, ~ =4~:;~.. . ~ •~~~~' _ COUNTY #:~' ~ ,~. : ~. 5 "-i~:~,. '~' ;~:'e';s<°' ' : ~ 100 ' 9 ~• BONIN H~1LARy ACN _ ~ ; ;• 4 ~ a ..,; ?~ jJ+J - 99 W ~.<r~EEN ST ;:Y. „A~o. of m. t ~,,:, ' WEST HAxLE70N PA 18202 ~-r•'- - '' ,:. _• ' lIAKE CHECK PAYA$L~. A11• ,~`~I'YYM.pA"Y~i~~tT 'T6'•i,• REGISTER ~j~,~ . QF WTI, .$,.,..:: ~ . • ... ~.aa~= ~ ' •''` '<'!:i:",.. .:: ~- CARLISLE `PA •" "' .~;+ ~ ', .. i. ..~ • •..r ..> a .; ;,,,,,,, ;,,;,v~,ti,i;d~A~. r:. . ~~~Y~i~i r PAP. ~. ~0. Your acco4n~,• submit., tha uPp --- __ _ ~~ 1 ~„~ ,w~ J +r~ y' i'•, :~ ~ !Y AT S X; _~• l~:.I iki ~. ~,nS ~~ ~~ ~~ ~ ~~ ~= d~ ~~~ ~~ v - t '~ i~ ~~ ~~ ~r rt F ~" ri