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11-03-14
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 019873 BALTIMORE JULIAN T 410 WESTOVER ROAD SHIPPENSBURG, PA 17257 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold "_____"' _____'_' 101 � 540.00 ESTATE INFORMATION: Ssrv: I FILE NUMBER: 2114-0590 I DECEDENT NAME: BALTIMORE JULIAN O � DATE OF PAYMENT: 1 1/03/201 4 I POSTMARK DATE: 1 1/01/201 4 I CourvTY: CUMBERLAND � DATE OF DEATH: 06/1 2/2014 I � TOTAL AMOUNT PAID: 540.00 REMARKS: CHECK# 116 INITIALS: HMW SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS �����.�a... C �, _ ��U�.;� _ n :,;,,, - , .��..;,d� �'r= .,, ` „ _� � � �;fr� 3 ���1 � - � 5g GL'__ — :�it;�t r`,f ' _ � � — ,�av�?' � � � �� _ . � � � � - �,� � ,� _ u- � ;;� � . �= � � ,�` � ,� ��: .. � � ,.� � ��. r - � � � �x� �= , � � � �� u�_ \ .� >��y •+` ti� '� !� -� � �. � �. `�. � ;� — �� � �� � : ��s e�� � � �� v . � � �� � ��. .._.. � � � ,� � ��� ,�� � � � ��