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11-15-12
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 2 8-0601 RECEIVED FROM: REV-1162 EX(11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 016787 KUTZ BARBARA L 415 N BALTIMORE STREET AVENUE MT HOLLY SPRINGS, PA 17065 fold ESTATE INFORMATION: SSN: 164-34-8552 FILE NUMBER: 211 1-0313 DECEDENT NAME: KUTZ DONALD E JR DATE OF PAYMENT: 1 1 / 1 5/201 2 POSTMARK DATE: 1 1 /14/201 2 couNTY: CUMBERLAND DATE OF DEATH: 1 1 /27/201 0 REMARKS: ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ S 150.00 TOTAL AMOUNT PAiD: S 150.00 CHECK# 6452 INITIALS: DMB SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~ ~~~ -~~ ~~- . `~ ~-~~ ~~ ~n ~~ -,, -- ~, .~ ~„ ~~ ,_ . _U ~. . _ __ t . _~. ~,- ~ ~ _~.__ - ~1 ~, " ~.~ _ ~~ S' i4 G~ ~COP~ ~'~;~ ; ,,~_~~t,E OF 2Qi2it_s':~` i 5 f~r9 i~ 31 ~.. ~ . ~~ !MBFRL~~; ;;p. Pq ~~ _~ ~ ~ i O =~ _ G` O _ / _ V ~. c J ~--- © ~ (/~ Uv C~ _ i_ i ~~ ~ i ~~ I s ~, °° 4Z~ 0 ~~ ~ >' ~ 7C ~ o~ ~ ~ i ;~ a ~,. r~ ~3 ~~ J-.J .,.,~ l ~e