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HomeMy WebLinkAbout05-14-13 GOMMONW EptTN OF PENNSYLVANIA REV-'?82 EX(1 7-961 OEPRR?MENT qP FEVENVE BUREAU 6P INpiViDUAI TAXES DEPL 280601 NAPRISBURG,PA i]i 28AR01 PENNSYLVANIA RECEIVEQ FROM: INHERlTANCE AND ESTATE TAX OPFICiAL RECEiPT No. c� a� ��a� CRCCIAMANI PAUL A 1011 MUMMA RD LEMOYNE, PA 17043 ACN ASSESSMENT AMOUNT CONTRdL NUMSER - --- to�a ------ ----- 101 ( 5945,QQ0.00 ESTATE INFORMATION: ( FILE NUMBER: 2113-Q280 � DECEdENT NAME: POLIQCK GRACE M � DATE QF PAYMENT: 05J14f 2Q1 3 � POSTMARK DATE: 05i14i2013 � CouNTY: CUMBERIAND { DATE OF DEATH: 02f 15f 2013 � � TOTAL AMOUN7 PAID: 5945,Od0.00 REMARKS: CHECK# 1Q11 INITIALS: HEA sea� RECE{VED BY: GLENDA FARNER STRRSBAUGH REGISTER OF WILL5 REGISTER OF WfLLS . _ . . . . . . . . . . . . . _ . Transraittal Payment of Inheritance Tax Cipriani & Werner, P.C. iQl l Murnma'Raad, Suite 201 Gemoyne, PA I?Q43 717-975-9600 Name of Decedent(Last, First,Middle) Pollock,Grace M. File Number(if prabate has begun): 21-13-0280 Date of Death: 02It5/2013 Sociat Security No: 116-It?-477Q Amount: $945,Od0.00 If probate has not commenced or if this is a non-probate estate, additionat inforrnation listed below is required. Residence at Death: (City, borough or Cawnship) Camp Hilt Horough u., �' �*- cr �� �' c t.i �� �.� eM : `' :: � c: =- o ?�, ��.�. ;� ,:_. ,� ca c:'� c7 `�*-'' � Q a.�r. C:: S � ' J LaS �'..: .—i J °4 p�^ a E-- � c.> � w c: � � �`- m � �n �. � S � w ° � � � M �