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03-13-12
C6MMONWEALTkJ OF RENNSYIVANIA pERABF~ytENT OF tiEV~NUE 6UREAU QF INQIVIpUAL TAXES pEPT.26p601 FIARRISBURG. PA 17128-Q601 RECEIVED FROM: PENN~aYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EXi11-661 N0. GD Q156~3 FORTNEY WILLIAM B 2381 W APOLLO ROAD APT' 142 GARLAND, TX 75044 <._, _.__ fold ESTATE INFORMATION: SSN: 188-36-8691 FILE NUMBER: 211 1 -4645 DECEDENT NAME: FORTNEY MARIAN J DATE OF PAYMENT: ®3/ 13/2012 POSTMARK DATE: Q3/13/2Q1 ~ COUNTY: CUMBERLAND DATE OF DEATH: 05/16/2011 REMARKS: f~ECEIPT TO ATTY CH~eK~1o63 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 38,210.20 TQTAL AM©UNT PAID: INITIALS; HEA RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS RE616~~~ QF WILL$