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HomeMy WebLinkAbout01-08-15 (3) 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 N0. CD 020104 MILLS MARY L 481 OLD STAGE RD LEWISBERRY, PA 17339 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold __________ -------- 101 $4,003.19 ESTATE INFORMATION: SSN: FILE NUMBER: 2114-0683 DECEDENT NAME: SHAFFER SOPHIE LOUISE DATE OF PAYMENT: 01/08/2015 POSTMARK DATE: 01/08/2015 COUNTY: CUMBERLAND DATE OF DEATH: 04/19/2014 TOTAL AMOUNT PAID: $4,003.19 REMARKS: CHECK# 1001 INITIALS: DB1 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS