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10-20-14
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 NO. CD 019804 FOSTER JENNIFER M 4 STONE RUN DRIVE MECHANICSBURG, PA 17050 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ---------- -------- 101 � 53,000.00 ESTATE INFORMATION: SSN: � � FILE NUMBER: 2114-0079 � �ECE�ENr NannE: MEYERS BARBARA G � DATE OF PAYMENT: 10/20/2014 � POSTMARK DATE: 1 O/20/2014 � COUNTY: CUMBERLAND � DATE OF DEATH: 01/1 6/201 4 � � TOTAL AMOUNT PAID: $3,000.00 REMARKS: CHECK# 123 INITIALS: CJ SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS _ � � z* � , � ��n � �� �: _ 3J _ - � � � � a � � � � � � � . . d �. -� � � L - _ ; .-�. � -�' _ � � � .� , � � � � . .�:��� � — ; 3 � .��:�z� �`.J e !� � . . _ �.. .,i J � , Z� �� �Z 1J� �ju� , '� �^!.��:, _ .-._ �.J i tl�C7 i (�n `, . �+. ;." v.��L.;UV�❑ �