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11-20-12 (2)
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: SHIELDS MICHAEL 1984 CLINTON AVENUE CHAMBERSBURG, PA 17201 REV-1162 EX(11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER fold ESTATE INFORMATION: SSN: ~ 79-30-3630 FILE NUMBER: 2112-0274 DECEDENT NAME: SHIELDS SHERLEY A DATE OF PAYMENT: 1 1 /20/201 2 POSTMARK DATE: 1 1 /1 9/201 2 COUNTY: CUMBERLAND DATE OF DEATH: 02/22/2012 AMOUNT 101 ~ 553.86 TOTAL AMOUNT PAID: REMARKS: RECEIPT TO ATTY SEAL CHECK# 5820 553.86 INITIALS: DMB RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS NO. CD 016808 REGISTER OF WILLS ~~~~; m r ~ 2 ~ ~, C ~~~, 1 (i. ~4 i h~ ~ ~ (:.. CU L . u~l F ~. a cn ~`' ~.~ .., - . ~~~1f~Vt1 ~ {`, r .a `. ~ '.~•• '~ y-n~ A yyi ~ ,~ .. {M1 ~~ A I O ~- -. ~ ~ 3 1'l - ee y L / - L.L. CJ G~ iV ~ Q _. ~ ,q :__: 3 ~t ..... ~ ® ._ i ~ a ~ ` ~-- ~ w O t~ - ~ ~ y . ~ L2 ~. ©: _ L"L"'. r-v ~. U +~ O ~ to ~ V ~ ~ ~ N b0 4l SG ~ PSG V P V QI ~ ~ M W ~ ~ , ~ ~ ~' r + a`~' N ~ U 0 ~ ~ ~ ~ ~ ~ d ~ o ~ a W , °~ W ~~ A a . ~.