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01-12-15
COMMONWEALTH OF PENNSYIVANIA 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 0201 19 ZEDERS RICHARD L 619 MARTIN DRIVE MECHANICSBURG, PA 17055 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold ---------- -------- 13150818 � 554.20 ESTATE INFORMATION: ssrv: � F�LE NUMBER: 21 14-081 6 � �ECE�ENT NamE: FASNACHT WILLIAM E I DATE OF PAYMENT: 01/1 2/201 5 � POSTMARK DATE: 01/09/201 5 � coUNTY: CUMBERLAND I DATE OF DEATH: 02/20/2013 I � TOTAL AMOUNT PAID: 554.20 REMARKS: CHECK# 3077 INITIALS: CJ SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS N DATE : 12/17/2014 �C�P� Page 2 Estate of : WILLIAM E FASNACHT Date of Death : 02/20/2013 File Number: 2114-0816 PLEASE SUBMIT A COPY OF THIS PA6E WITH YOUR PAYMENT. ACN Tax Interest Penalty Total 13150818 52 .41 1 . 79 0 . 00 54. 20 � � �__� c� uy c'"' r.;.. � ;__ I.aS ,_.� N t"'— ..., ,... 4J '�" ...,_> . � �� � `s c.�: Lx_. t"J �- �; .. G:S ��'�� C�1 LLS "= ~ , � I..a.� ri __� �'� C;- f3G �'� � � d' CC'�� t';:7 � � � � � W Q a W � ._`s'_., C.� FL o c�..� � � s � � �� C' � � � � �� � � � � �e 4� . � � � � � �� �. � � � � � .� �, c,, tJ (� y �� W R� � ui _ � ( � � �1 C �`V � , \ ' � �y� _�,.� c� � � � � ��p c� rn �m-., _ �► p r � '? c� = Q r� � �(� � ;n � ��;, � � �� T , 1-� i � tyj ' �1, - N ,,, r'�1 � _-.� �::.:7 Z7 �-r� :.n a � .� --3 � �> rV r=- � — , t"' � C.i U� p CJ"1 � �