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06-25-14
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280607 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 019339 RYAN MICHELLE L 324 DEERFIELD RD CAMP HILL, PA 1701 1 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold 14126636 � 525.59 ESTATE INFORMATION: Ssrv: � ( Ft�E tvuMBER: 2113-1 153 � DECEDENT NAME: RYAN PATRICK E � DATE OF PAYMENT: 06/25/2014 � POSTMARK DATE: 06/24/2014 � CoUNTY: CUMBERLAND � DATE OF DEATH: 08/30/2013 � � TOTAL AMOUNT PAID: 525.59 REMARKS: CHECK# 904 INITIALS: HMW SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS R�^ ,: < . � r�; , , , ;';�� p� BUREA� OF INDIVIDUA� TAXE31 � c INHERI7ANCE TqX DIVIgjON �����'�A�DICE PO BOX 2go6o1 ���� ��� APPRAISETENT, ALLOWpNCETORCDISALLOWqNCE • ; pE���Sy(van'a NARRISBURG PA 17128-0601 `� N `� ����E���S• AND ASS E S S M E N T O F A R T M E N T O F R E VENUE �1 4 1 HELD OR TRUST ASSETS AX ON v R�-1548 EX AFP C12-13) �' narE ��n�`� ` "" � �<<n ESTATE pF 06-23-2014 C';�!?� ° ° � �%`�t, ,'-�� FILE NUMBERrH �$A30-2013 PATRICK E MICHELLE COUNTY 21 13-1153 L RYAN SSN/DC �UMBERLAND 324 DEERFIELD RD 176-52- CAMP ACN 14126636554 HILL PA 17011-8436 APPEAL BY DATE:08-22_2p14 (See reverse side under Objections) Amount Remitted MAKE CHECK PAYABLE AND REMIT p REGISTER OF AYMENT T0: 1 COURTHOUSEWgLLS CARLISLE Q�ARE PA 17013 C!!T ALONG TFLIS LIIdE .�..�__.�__ �) _ � __..,.�_ RETAIN LO6YER PQRTIAN FOR YOUR _ . .. ��� � RECORAS � ,.__- `'' -- _--�.������- ,.�.;��,�:�._�._--- 'E.' �• T � _y., � 4 � � ,� � % �: _ � s i .� �. r� A i � � F�. % � ��y» � i�i.. � �. � '�' � � _ ,,, c� r-, — �� � � --� ,. _ �� 5 - g `,1.�,► �o cn c �: ' J � _ : � �`'�,, -; �-, F- `�' 3 �(�" . � ��, _ ,_..� � - � ,¢ f�i� - � c�.'� � � - � " E o i � t-�- �`- C� �J � � � �� �j < ; � . � �7 �` � G � +! t,t_1 �'-' � � r-� , „ � � r' J G� „��y � ." �� � G� •�� � f..`'� `� �, M'. � � � � L'.; � ,rj �= V � ,.:r � � � � � m / `j (� � (� �: „ � � ,. ., m : � �, � � � � � N s � v � � ,:> � y- � �. : ,� , ��; � ; �. � ; � ; � �° ; r � � J � % � \ � � pJ 1 � -� � � � � � � s ...a � � � � � � � � o J � � � � U