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HomeMy WebLinkAbout11-17-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OFREVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 019914 NICKELSBURG TRACY A 303 WEST MASONIC VIEW AVE ALEXANDRIA, VA 22301-2418 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold "_"'_"' ___"'_' 101 � S 50,000.00 ESTATE INFORMATION: Ssrv: � I FILE NUMBER: 2114-0944 I DECEDENT NAME: ZIERDT MARIE A I DATE OF PAYMENT: 1 1/1 7/2014 I POSTMARK DATE: 1 1/1 4/201 4 I couNrv: CUMBERLAND � DATE OF DEATH: 08/1 6/201 4 I � TOTAL AMOUNT PAID: 550,000.00 REMARKS: RECEIPT TO ATTY CHECK# 501 INITIALS: HMW SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS