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HomeMy WebLinkAbout05-03-13 (4) COMMONWEALTH OF PENNSYLVANIA REV-1162 EX�11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUALTAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 017540 GOODHART SUSAN B 405 N GARLAND ST ALEXANDRIA, VA 22304 ACN ASSESSMENT AMOUNT CONTROL NUMBER ------ fold """_"_ '_______ 101 � $1 ,154.66 ESTATE INFORMATION: ssrv: i62-22-545� I FILE NUMBER: 21 13-0058 I DECEDENT NAME: SOUTNER PAULINE B I DATE OF PAYMENT: 05/03/201 3 I POSTMARK DATE: 05/03/201 3 I Cou►vTY: CUMBERLAND � DATE OF DEATH: 1 2/1 1/201 2 I � TOTAL AMOUNT PAID: $1 ,154.66 REMARKS: CHECK# 1009 INITIALS: CJ SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS