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HomeMy WebLinkAbout01-08-14 COMMONWEALTH OF PENNSYLVANIA REV 1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280801 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 018623 SHIREY THOMAS N 1937 MISTY WOODS DRIVE DULUTH, GA 30097 ACN ASSESSMENT AMOUNT CONTROL NUMBER --------- -------- 101 $19,707.00 - I ESTATE INFORMATION: SSN: 577-62-9888 i FILE NUMBER: 2112-0752 DECEDENT NAME: SHIREY CHRISTA DATE OF PAYMENT: 01/08/2014 f POSTMARK DATE: 01/07/2014 COUNTY: CUMBERLAND f DATE OF DEATH: 07/07/2012 TOTAL AMOUNT PAID: $19,707.00 REMARKS: CHECK# 114 INITIALS: DMB SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS N O I N W O, (� N Q I ti N E y R jalseH r.k J ' r1 Q: 4LA N lz O U C3 CC 00 Lu 4J w J 4 N Z X11! ww T S W O N 0 t rn r c m o .0 U U > C 7 J CO � C) 0 Uo J � 3U n � + E a y '- m o c ZQ U m o a a m m : -C m 4L EQ c o . m rn U IC * 0 � UUU 4 o. , M M Wd o 44 oft Aft J t