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09-27-13
i COMMQNWEALTH QP pENNSYi.VANtA REV-i 1S2 EX{�7-96� DEPARTMENT pF REVENUE BUflEAV GF IN�IVIDUAL TAXE5 DEPT.280601 HAflRI58URG,PA 1]i 28 0801 PENNSYLVANlA RECEIVED FR4M: INHERITANCE AND ESTATE TAX OFFICtRI RECEtPT NCI. CD 018187 NICHOL.AS STEVE C 221 �FOREST HILLS DR1VE SUIT 37 HAR ISBURG, PA 17112-1099 ACN ASSESSMENT AMdUNT CONTRO� � NUMBER ----- �� I 101 � 520,04Q.Q0 ESTATE I FORMATIpN: SsN: s25-to-5a73 ( FILE NUM ER: 2113-p85Q � DECEDEN NannE: TREJO JOSE MERCED ' DATEOF AYMENT: 09/27/2013 � PQSTMAR DATE: 09/27J2013 � COUtvTV: CUMBERLAND ( DATE OF EATH: 06/28f 2013 � � � TOTA� AMOUNT PAlQ: 520,000.00 REMARKS: � CI�ECK# 5470 � IN1TlALS; OB1 SEAL �� RECEtVED BY: GLENDA FARNER STRASBAUGH I REGISTER QF WlLLS IREGiSTER OF WILLS iI i I i , >� ; I, < , ;:� ,,. ;;s ;,,, k,�F. 3 �'? ".'.:�':`-{tl. '..�r?;�=���� 9 E Rµ� ��n t ���f jti ' M� ^V �ukt. . ...;'�u.::�:.�h „ �} .';;'4 �