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03-20-13
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX111-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 017345 GWOZDECKI HOLLY L 595 WEST 1ST STREET BOILING SPRINGS, PA 17007 ACN ASSESSMENT AMOUNT CONTROL NUMBER fold 13105354 J $38.10 ESTATE INFORMATION: SSN: 180-34-5928 13105355 J $47.48 FILE NUMBER: 2113-0328 DECEDENT NAME: GWOZDECKI ANGELA L DATE OF PAYMENT: 03/20/2013 J POSTMARK DATE: 03/19/2013 COUNTY: CUMBERLAND DATE OF DEATH: 12/29/2012 TOTAL AMOUNT PAID: $85.58 REMARKS: CHECK# 7727 INITIALS: DMB SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS 0 ,, ‘,..... :....: : . _ ..... ,......... = :,. ....... ... 1 , :... = _ , _..., ..-... ...... ....- ." f .f ....- ..... = ...... ...... .-- .-- -..._ . .-.. ..... ...., ,-- ....- ...... « ...... ..-. ...... ..... 1 . '.... „...... 1 -3.-- t''''', ..--.• -.. . .1-,... 1 ..- .„.. r.. a .f...t _ 0 ....- ...- "".7.... ,..' -,.- ... It -- ---:. ,-, -'; ... -,'"• 3 .• cp Alp 4 u— c■...1 -...., . ...-- c4 i•1 •.,: 1''4 , V <-, Ca lb Cr) -;-,k - ri) 1...s.... j41.1 0 t C.) '.".• • ..! cr"... CD 11-1 4.4 LI (NJ, • La IW" CO fir -r4 C) ( (..1 $ w • Ql. ..------ .... V- 4-• to If. 1 ei la ea 1 A"