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HomeMy WebLinkAbout01-20-12COMMONWEALTH 01- PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: REV-1162 EXI11-961 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 015492 GENEVIEVE KLEE GUC~Z 2129 N 2ND ST '~ HARRISBURG, PA 17h 10 folG ' ESTATE INFORMATION: ~ SSN: 160-38-2920 FILE NUMBER: 2111 1-0680 DECEDENT NAME: HA ZLIK ROBERT F DATE OF PAYMENT: 01 / 20/201 2 POSTMARK DATE: 01 / 8/201 2 couNTY: CU BERLAND DATE OF DEATH: 04/ 4/201 1 REMARKS: CHECK# 2075 ~, SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ $5.00 TOTAL AMOUNT PAID: 55.00 INITIALS: HEA RECEIVED BY: GLENDA EARNER RTRncRel Ir_u REGISTER OF WILLS REGISTER OF WILLS SSN: 160-38-2920 STATE INFORMATION: 2111-0680 ILE NUMBER: ~ ~ q~ }.~q~dZ~41~`aR ~.... DECEDENT NAME: ~~ i.. 11/29/2011 SATE OF PAYMENT: ~ ~ ~k~; ' ,- KDATE: 11 I23I ~~i1'~ "` ~ ~ POSTMAR •;~~ ~ '~ CUMBER~~~ ,,~,~ 1 ! ;~.k1 1~f` COUNTY: i i~t; , 04/p4/~ PATE OF DEATH: _--- ~~ .~ -~.r ••S C~ 1 fir} 1^.3 n c~~ ~~ o~ 15.1 4:d ~ N~~' ZIP:: ~j I t~'k,'. 1^ ~ a ,i i«!r . ~ .~-~ ~ ~1;~~~i~ix~~ L. ,..5. ~~`/ prY r,~g r/. ~ti CKY ~' ~'4 ~~ ~~ i~~ ... 'IF~ c_,... __~ - -- - -- - -