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HomeMy WebLinkAbout10-21-14 (2) COMMONWEALTH OF PENNSYLVANIA REV-1162 EX01-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 019810 SHIPMAN JEFFERSON JAY 102 WEST MAIN STREET SHIREMANSTOWN, PA 17011 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold __________ -------- 101 $238.92 ESTATE INFORMATION: SSN: FILE NUMBER: 2113-1088 DECEDENT NAME: SHIPMAN JAYNE A DATE OF PAYMENT: 10/21/2014 POSTMARK DATE: 10/21/2014 COUNTY: CUMBERLAND DATE OF DEATH: 09/30/2013 TOTAL AMOUNT PAID: $238.92 REMARKS: CHECK# 1024 INITIALS: DMB SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS