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12-04-14
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280607 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 019987 BALTIMORE JULIAN T 410 WESTOVER ROAD SHIPPENSBURG, PA 17257 ACN ASSESSMENT AMOUNT CONTROL NUMBER '_"'_'_ fold '_"""" "__'_" 101 � 540.00 ESTATE INFORMATION: sstv: � � FILE NUMBER: 2110-1207 � DECEDENT NAME: BALTMORE E MAI � DATE OF PAYMENT: 1 2/04/2014 � POSTMARK DATE: 1 2/03/2014 � CourvTY: CUMBERLAND � DATE OF DEATH: 1 1/21/201 O � � TOTAL AMOUNT PAID: 540.00 REMARKS: CHECK# 124 INITIALS: CJ SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS ��, � � ��� � � � �, ,e . �`b � , REG�FtDED OFFtCE pF'�� U� r,.,f RE�►STEFi t�F �►ILLS � o� ?01� [�EC y �� �� t�r � � � � � � ��, � � O�Pf�r ���- Ct! ER[ n�*�-=� �� � U - ��F� � � � ��'� _ � � � � ;� � � � � � � � �' �. � °si 3 - � � n � :� � � �- � �:' � � Ui q� �. . � n� � . _ � �"�- ;f_, , �`� ,� ��� � ,,�.. ��: ,