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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
NEILSON JAMES R
2413 ASPEN WAY
HARRISBURG, PA 17110
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 016927
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
ESTATE INFORMATION: SSN: 217-54-6661
FILE NUMBER: 21 12-0454
DECEDENT NAME: NEILSON JAMES DANIEL
DATE OF PAYMENT: 1 2/ 17/201 2
POSTMARK DATE: 12/15/2012
COUNTY: CUMBERLAND
DATE OF DEATH: 03/ 1 7/201 2
101 ~ $1, 343.23
TOTAL AMOUNT PAID:
REMARKS:
SEAL
CHECK#147
INITIALS: DMB
RECEIVED BY:
S 1,343.23
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS