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HomeMy WebLinkAbout12-27-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 018572 SHIPMAN JEFFERSON JAY 102 WEST MAIN STREET SHIREMANSTOWN, PA 17011 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ---------- 101 $100,000.00 ESTATE INFORMATION: SSN: FILE NUMBER: 2113-1088 DECEDENT NAME: SHIPMAN JAYNE A DATE OF PAYMENT: 12/27/2013 POSTMARK DATE: 12/27/2013 COUNTY: CUMBERLAND DATE OF DEATH: 09/30/2013 TOTAL AMOUNT PAID: $100,000.00 REMARKS: RCPT TO ATTY CHECK# 1007 INITIALS: D131 SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS