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HomeMy WebLinkAbout07-02-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE f BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128.0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 019376 FROCK JACKIE R 11418 ASHLEY DR NORTH BETHESDA, MD 20805 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 $1,851 .36 ESTATE INFORMATION: SSN: FILE NUMBER: 2113-1141 DECEDENT NAME: HAMBRIGHT LORAIN DERICK DATE OF PAYMENT: 07/02/2014 POSTMARK DATE: 07/01/2014 COUNTY: CUMBERLAND DATE OF DEATH: 10/23/2013 TOTAL AMOUNT PAID: $1,851 .36 REMARKS: RCPT TO ATTY CHECK# 1033 INITIALS: DB1 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS RECORDED OFFICE OF ` { REGISTER OF WILLS 1014 AL 2 P.M 1200 CL tg OF o ( RFHA nCOyURRf W 1 ya 2-2 /��m• i' �J W 4` » u• � a �..� /N Q �' y Fr o CC � � $$ S zj' Y ' o y C X n a * w a XX } e O ao 131,0 X 01 W 8 y o h iKpKp Si i^ e gg 4� O ga. g 11,_ ` 8 w b W v t n C, . �f�OO¢ J' �} --I 4 g �a IC 3191�J31 S3 0011 3NVVY 01d1WFJ1=1 3DUM h F J N .L Jz Of X' 0 W Z O W N N. _ W 0 > a a a; W �LU� o � N FWW F u)m M wy LU -X< i S m 13X? N � .