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10-15-13
_ _ __ � _ __ _ _ _ __ ___ COMMONWEALTHOFPENNSYLVANIA � flEV-1182EX�11-96) OEPAPTMENT OF REVENUE � � BUREAU OF INDIVIDUAL TA%ES �I DEPT.280801 HARRISBURG,PA 1]128-0801 �� PENNSYLVANIA � RECEIVED FROM: INHERITANCE AND ESTATE TAX i OFFICIAL RECEIPT j NO. CD 018248 YOHN MARLIN A SR 6 HICKORY LANE MECHANICSBURG, PA 17055 ACN ASSESSME T AMOUNT CONTRO NUMBER -------- lab ---------- ------- 101 � S 13,000.00 ESTATE INFORMATION: ssN: � FILE NUMBER: 2113-0870 � DECEDENT NAME: YOHN MARY ROMAYNE � DATEOFPAYMENT: 10/15/2013 � POSTMARK DATE: 10/15/2013 � COUNTY: CUMBERLAND � DATE OFDEATH: 07/27/2013 � � TOTAL AMOUNT PAID: 513,000.00 REMARKS: RCPT TO ATTY CHECK# 117 INITIALS: D61 SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGIST OF WiLLS I REGISTER OF WILLS . I � I . .__ ----. _....._.._�.----�_ ... .. . .. . . ... . . _. I