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HomeMy WebLinkAbout01-10-14 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 N0. CD 018632 HOVIS JACK JR 124 YORKTOWN DRIVE MT LAUREL, NJ 08054 ACN ASSESSMENT AMOUNT CONTROL NUMBER ------ told ---------- -------- 101 $20,000.00 ESTATE INFORMATION: SSN: FILE NUMBER: 2113-0467 DECEDENT NAME: HOVIS LORAINE DATE OF PAYMENT: 01/10/2014 POSTMARK DATE: 01/09/2014 COUNTY: CUMBERLAND �. DATE OF DEATH: 03/31/2013 TOTAL AMOUNT PAID: $20,000.00 REMARKS: CHECK# 121 INITIALS: D131 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS This is a check for$20,000 for the Estate of Loraine Hovis No. 2013-00467. This is an estimated return. Thank you, Jack G. Hovis,Jr. (Executor) 125 Yorktown Drive Mount Laurel. NJ 08054 :tea, rrt Mc� ' r- :zM co r-� F rn . a CO C) co r G ~ p o K t {LI) (3 C9 cr w� t .► no 6 KZY �, , O 't7 o -T)� w = G o a FOREVER @ C r D (03.13 O N n 08336985 A 0