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01-18-13
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: NELSON BARBARA J 829 MANDY LANE CAMP HILL, PA 1701 1 ----- fold ESTATE INFORMATION: S FILE NUMBER: 211 1-1240 DECEDENT NAME: KEITH JEAN A DATE OF PAYMENT: 01/18/2013 POSTMARK DATE: 01 / 17/2013 CouNTY: CUMBERLAND DATE OF DEATH: 1 1 /01 /201 1 REMARKS: CHECK# 512 SEAL PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX~11-96) NO. CD 017070 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ $98.48 TOTAL AMOUNT PAID: INITIALS: HMW 598.48 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS '~~ ~ ennsywania ANCE TAX ! pEPARTMENT OF REVEN 2E NOTICE OF INHERIT REV-1547 Ex AFP c12 1 MENT, ALLOWANCE OR DISALLOWANCE APPRAISE pF TAX AL TAXES pF DEDUCTIONS AND ASSESSMENT BUREAU OF INDDIVID10N 2013 A INHERITANCE TAX ~ 1 - 14 JEAN Po Box 280601 _ _ _DATE REITH HARRISBURG PA 17128-0601 ~ ~ ~ :~s ~ -. - --~$TATE ~F _~ATE OF DEATH 11-01-2011 ~.~°:~:~,s ~~ .`D 21 11-1240 FILE NUMBER CUMBERLAND ,~ ~ ~ ~ ~ ; ~ 3 _ ,., ~C~ UNTY 101 _ .~.~i~ .~ ~ ~.~ ~ .~~~ 15-2013 ACN AppEAL DATE' 03 ections) J NELSON g ~ = ~ See reverse side under Obj BARBARA ~. }`~ ~ ~~ 829 MANDY LN ` ' , _- _~ ... pA 17011Q~=;, .... Amount Remitted ppYMENT T0: REMIT CAMP HILL (;U~~~ d~._~~~~ _. ,, ~.=1r1AKE CHECK PAYABLE AND REGISTER OF WILLS ~~ 1 COURTHOUSE SQUARE CARLISLE PA 17013 PORTION FOR_YOUR-RECORDS- ~ --------------- ~ RETAIN LOWER __ .r,~Te ~ INE - €. 4: .1 ~ i ~,. 2 ~. 4: `j -'! ,~ . '~ :: s .t•~ gg d ,~ 7 `: 1 'ya . F ~: Fr ~F l `tr: .f~ .:L j~.;~ :: ~::: i tT;; H r' ~'~ .~" ', 1 0 M r^ v/ \ `~ ~U 5~sy~ +~~Jy^ ff{ n"! i"/ ff~ L~ .may ~»~ •r4 O ~-+ '~ ~ ~O z ~ ¢' ~a ~~~ ~~~ ~~ U t j> - :a 1 ,~~ ~, t;~® ~., ~: ~ ~t~- - s .~ -~ .~ ~ ~, -~ y:_ti -_ ~ ~ t ~, ~~ ~ J ~ ~'