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HomeMy WebLinkAbout01-14-13 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX01=96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 018647 PROCK JACKIE R 11418 ASHLEY DR NORTH BETHESDA, MD 20805 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ---------- 101 $9,000.00 ESTATE INFORMATION: SSN: FILE NUMBER: 2113-1141 DECEDENT NAME: HAMBRIGHT LORAIN DERICK DATE OF PAYMENT: 01/14/2014 POSTMARK DATE: 01/13/2014 COUNTY: CUMBERLAND DATE OF DEATH: 10/23/2013 TOTAL AMOUNT PAID: $9,000.00 REMARKS: CHECK# 1013 INITIALS: D131 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS 710 tj JD Th C> Po 'Fn M C-:1 C> % --D M Co r- rn C> -n C> m C> 710 fV