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05-29-13 (4)
COMMONWEALTN OF PENNSVLVANIA REV-1162 EXiI 1-98} DEPAFTMENT OF REVENUE BUftEaU OF INOIVIDUAL TAXES OEPT.?80601 HAHRISBURG,PA 1]128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 017676 DISIMONI HEDY 501 EWING STREET PRINCETON, NJ 08540 ACN ASSESSMENT AMOUNT CONTROL NUMBER --- �o�� - -- --- 101 � 57,000.00 ESTATE INFORMATION: Ssrv: � FILE NUMBEF: 2113-0605 � DECEDENT NAME: MUNSON THERESA G � DATE OF PAYMENT: 05/29/2013 � POSTMARK DATE: 05/29/2013 � coUrvTY: CUMBERLAND � DATE OF DEATH: 09/02/2012 � � TOTAL AMOUNT PAID: 57,000.00 REMARKS: CHECK# 1001 INITIALS: HMW SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS