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09-09-13
COMMONWEALiM Of PENNSVLVANIA REV-1 762 EX�i 1-98) DEPARTMENT OF REVENUE BUflEAU OF IN�IVIDUALTAXES DEPT.280801 HARRISSVRG,PA t J t 28�OSOt PENNSYLVANIA RECEIVED FROM: tNHERtTANCE AND ESTATE TAX OFFICfAL RECEIPT N0. CD 018125 BRINK JACQUELINE L 503 SCHI.EY AVENUE FREDERlCK, MD 21702 ACN ASSESSMENT AMOUNT C!JlVTROL NUMBER -------- �� •------ ------- 901 � 595,828.77 E$TATE INFdRMATIOid: SSN: 2o6-3s-8833 � ' FILE NUMBER: 2112-0125 � �ECeaervT NAnne: HUNTZ BERNETTE LYNN ! DATEOFPAYMENT: 09/09f2O13 ( PqSTMRRK DATE: 09/09(2013 � I COUNTY: GUMBER�AND � DATE OF DERTH: 0'1�12j2012 � � TOTAL AMCIUNT PAID: 595,62$.77 REMARKS: RCPT T4 ATTY CHECK# 252 INITIALS: Q81 sea� REGEfVED BY: GLENC}A FARIVER STRASBAUGH REGISTER OF Wl�LS REGISTER pF WII.LS