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HomeMy WebLinkAbout01-06-15 (4) 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 020108 COVERT GILLIAN M 215 S NORWAY ST MECHANICSBURG, PA 17055-3445 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- told 14162100 $40.00 ESTATE INFORMATION: SSN: FILE NUMBER: 2115-0024 DECEDENT NAME: HOLSTINE MARY E DATE OF PAYMENT: 01/09/2015 POSTMARK DATE: 01/06/2015 COUNTY: CUMBERLAND DATE OF DEATH: 10/23/2014 TOTAL AMOUNT PAID: $40.00 REMARKS: CHECK# 1652 INITIALS: DB1 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS \ � . � ( § UO \ \, CD } � \ Cl � G m :7-0CD Q � $ \ y {, }� r : Co = - r �