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COMMONWEALTH OF PENNSYLVANIA REV-1162 EX0 1-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 017034
SHANNON RICHARD C JR
4 HOMESTEAD LANE
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
101 $103.76
ESTATE INFORMATION: SSN: 198-30-1571
FILE NUMBER: 2112-0589
DECEDENT NAME: SHANNON RICHARD C
DATE OF PAYMENT: 01/10/2013
POSTMARK DATE: 01/10/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 05/20/2012
TOTAL AMOUNT PAID: $103.76
REMARKS:
CHECK# 33008
INITIALS: CJ
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
BUREAU of INDIVIDUAL T NOTICE OF INHERITANCE TAX
INHERITANCE TAX DIVISION AXES APPRAISEMENT, ALLOWANCE 0
PO BOX 280601 OF DEDUCTIONS R DISALLOWANCE Pennsylvania
HARRISBURG 01 1712E-0601 AND ASSESSMENT OF TAX
E ~ DEPARTMENT OF REVENUE
{piiLL REV-1547 EX AFP (12-12)
JAN 10 2013 DATE 01-07-2013
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C:~ CA C'7 ESTATE OF SHANNON
RICHARD C
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`D~LAS C' MOFFI~E~ FILE NUMBER 21 12-0589
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AFP C12-12) NOTICE OF INHERITANCE TAX APPRAISEMENT,
DISALLOWANCE _OF DEDUCTIONS -
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