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Home My WebLink About12-09-14 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 1 71 28-060 7 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 020009 KARCZEWSKI LAURA 394 MELIUS RD MCCONNELLSBURG, PA 17233 ACN ASSESSMENT AMOUNT CONTROL NUMBER ------- fold '__"'_'__ ____"" 101 � 5408.89 ESTATE INFORMATION: sstv: i I FILE NUMBER: 2113-0456 I DECEDENT NAME: KARCZEWSKI JOAN D I DATE OF PAYMENT: 12/09/2014 I POSTMARK DATE: 1 2/O8/2014 I COurvTY: CUMBERLAND � DATE OF DEATH: 01/31/201 2 I � TOTAL AMOUNT PAID: 5408.89 REMARKS: CHECK# 314 INITIALS: HMW SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS Co R�� OF��CE f}F HARRISBURG DISTRICT OFFICE ��'��L.CFNNSYLVANIA PA DEPARTMENT OF REVENUE NT OF REVENUE 1825 STANLEY DRIVE HARRiSBURG PA 17103-1256 g �� 3 32 2�1� �� r c�..��r. o� �RP�MIIS�' "'`�`-'�� REV-875FO�AFP(10-0'7) (/l�MBEr�,L� ?^ nr,., �t�A LAURA A KARCZEWSKI DATE: 11/10/2014 394 MELIUS RD Estateof: MC CONNELLSBURG PA 17233-8433 JOAN D KARCZEWSKI Date of Death: O 1/31/2 012 File Number: 21 13-0 4 5 6 � A C N(s): (See Reverse Side) (Certified Mail-Return Receipt Requested) Dear LAURA A KARCZEWSKI : -�!� Page 2 DATE: 11/10/2014 Estate of : JOAN D KARCZEWSKI Date of Death : O1/31/2012 File Number: 2113-0456 ��" PLEASE SUBMIT A COPY OF THIS PAGE WITH YOUR PAYMENT . Tax Interest Penalty Total ACN �� 101 380 . 95 27 . 94 0 . 00 40$ .89 � � � ' : �' .,,;, � . .�- �� ,� ;�� - :��; cn r� �.� .� � b ,� ,"�' `� � �, ;� j�: � � �-- , �� `�;. �� . �� ; ��. � � , F; y4�' � � � s-+�? t��. �'+1 � � �� (z` �y,, � -� � �3� � � � �Q �;�� ' � � �' ��`� ��a �.,, � �� i+�31� ; �� : C� v �� 6 �3�; � � � � �' �Lsr�: � � � S`1itM 3� Q34�0� � � �,� 30 3�4�,�� . �� '� � � ��