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COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
nEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 009093
OVERHEIM DAVID CHARLES
3736 FARNSWORTH DRIVE
CHESAPEAKE, VA 23321
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
fold
F 101 $7,102.56
ESTATE INFORMATION: SSN: 231-22-1356
FILE NUMBER: 2107-0310
DECEDENT NAME: OVERHEIM JOHN THOMAS JR
DATE OF PAYMENT: 12/19/2007
POSTMARK DATE: 12/19/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 03/23/2007
TOTAL AMOUNT PAID: $7,102.56
REMARKS:
CHECK#1001
INITIALS: JA
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
ESTATE OF JOHN THOMAS OVERHEIM 96533-50/310 1001
DAVID OVERHEIM, EXECUTOR
223 SOUTH 19TH STREET
Ia CAMP HILL, VA 17011 DATE 2007
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WACHOVIA
Wachovia Bank, N.A.
wachovia.com
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