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HomeMy WebLinkAbout03-21-14 'COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(t 1-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280661 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 018913 BREITENBACH RAY 604 SUNSET ST WHITE LAKE, MI 48383 ACN ASSESSMENT AMOUNT CONTROL NUMBER ---------- ------ 101 $21 .00 ESTATE INFORMATION: SSN: FILE NUMBER: 2112- 1151 DECEDENT NAME: BREITENBACH GERALDINE P DATE OF PAYMENT: 03/21/2014 POSTMARK DATE: 03/21/2014 COUNTY: CUMBERLAND DATE OF DEATH: 10/15/2012 TOTAL AMOUNT PAID: $21 .00 REMARKS: INITIALS: DB1 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS