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HomeMy WebLinkAbout08-26-13 COMMONWEALTH OF PENNSVLVANIA flEV-1162 EX�11-96I DEPARTMENT OF REVENUE BUREAU OF INDNIDUA�TA%ES DEPT.280601 HARRISBUFG,PA 1]128-0801 PENNSYLVANIA RECEIVED FROM; INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 018062 HARTRANFT DENNIS M 151 E MAINE STREET EPHRATA, PA 17522 ACN ASSESSMENT AMOUNT CONTROL NUMBER __'___ �oie _'__'_"'" _'__'_ 101 � 53,000.00 ESTATE INFORMATION: Ssrv: i83-i2a�2s � FILE NUMBER: 2113-0774 � DECEDEtvT NAME: KLEFFEL ELIZABETH � DATEOFPAYMENT: 08/26/2013 � POSTMARK DATE: 08/23/201 3 I COUNTY: CUMBERLAND � DATE OF DEATH: 06/25/2013 I � TOTAL AMOUNT PAID: 53,000.00 REMARKS: DENNIS M HARTRANFT JR CHECK# 99 INITIALS: D61 sen� RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS Transmittal Payment of Inheritanee Taz Name &Address of Attorney of Record/Financial Institution: ` /-' —5 ' rj E M�-�� s+ � h� P� - a� Name of Aecedent(last, first, middle initial) , i� �f�i'cl G � �Zab� � - File Number(if probate has begun) �� � 3— d d 7�� Date of Death: � �z S ��� Social Security: -- I �' 3 - r � - ��z� Amount � t� 3 Q U(� �v . ._ ' -- ' If probate has not commenced or if tUis is a non-piobate estate,additional information listed below is required. , Residence at Death (City, borougl� or township) � ` � � � � , � ° ""' c� � m � _ `'�' o � c5 �u rn = � r' a m �� �� + r:=i a � z; �' . _ ' z • :�c c::r =�:-a rJ C� „� �-.^J _ ..�.( � <? ..., � '' .,..� . � C ' . . , _ :C) F--' � ;�p�� � _� E_ y C...; � f.:., i-J 1� _'�} Y ' ! v m z z v� � � 3 a� `" � x y �m � � � ^ y N � � a z � : � �. � ,r c.� ►� �� �iI � � � 1 � � � � � �� � c� � j 1 _ � �� � n l _ � � r c, -� � m � � �. 1 -� c� W � ... � C �°� - -`_ c:> � � � �`r��.� ` ' � : V� '\ ��cn '�' � ..i m J \��/'� <J l? ' i7 C `..� Q � � �) / � C ' � -,� (A � �J ^ �. _ W c � _, �� �� t„ � � � �; � � W �. �. � � µ 1 =. ` � . � .• � ,; 0 b A C � A n@ ' 3 � � i IfiT N� � �! � �4 �' Y ���y • 5 € A� �y:'� 3� �Y^ Yyt�#i� �Zi .;�,�'��. � (�e ..�:::t;i: .:�`�F tl'�,.� . � ��� zt��, ��^�t n � f�SaSt wT x ^°, :�* � ` � i. ':�..v �if�.