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HomeMy WebLinkAbout01-08-15 (2) COMMONWEALTH OF PENNSYLVANIA REV-1162 EX01-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 020102 MACE MARY ANN 412 SPRING HOUSE ROAD CAMP HILL, PA 17011 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold 101 $5,000.00 ESTATE INFORMATION: SSN: FILE NUMBER: 2114-1012 DECEDENT NAME: ROUPAS MARY RUTLEDGE DATE OF PAYMENT: 01/08/2015 POSTMARK DATE: 01/08/2015 COUNTY: CUMBERLAND DATE OF DEATH: 10/09/2014 TOTAL AMOUNT PAID: $5,000.00 REMARKS: CHECK# 4346 INITIALS: DMB SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS