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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 018959
JENSEN ERIC W
2048 CHEVY CHASE DRIVE
HARRISBURG, PA 17110
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
------ fald
_____'_"' ____"__
101 � S 140.96
ESTATE INFORMATION: SsN: � I
FILE NUMBER: 211 3-0685 I
DECEDENT NAME: JENSEN EARL N I
DATE OF PAYMENT: 03/31/2014 I
POSTMARK DATE: 03/28/201 4 I
CoUNTY: CUMBERLAND �
DATE OF DEATH: 06/02/2013 �
�
TOTAL AMOUNT PAID: 5140.96
REMARKS:
CHECK#44
INITIALS: CJ
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS