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01-12-15 (2)
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX�11-96) DEPARTMENT OFREVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280607 HARRISBURG,PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICiAL RECEIPT NO. CD 0201 15 LOGAN LAUREN L 215 WEST 83RD ST APT 7D NEW YORK, NY 10024 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold _"""'_' ________ 101 � 58,000.00 ESTATE INFORMATION: Sstv: � I FILE NUMBER: 2114-0981 I DECEDENT NAME: LOGAN MARIAN F � DATE OF PAYMENT: 01/1 2/201 5 I POSTMARK DATE: 01/1 2/201 5 I COUNTY: CUMBERLAND � DATE OF DEATH: 1 O/1 1/2014 I � TOTAL AMOUNT PAID: 58,000.00 REMARKS: RECEIPT TO ATTY CHECK# 9218 INITIALS: HMW SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS /". Lv� �,��,C��-7�s ,� ��a�T ���1 c�-- ���-�-�-- �� � ��-/�-9�/ _ __ __ ----- _ REC4�ULD C��ICL OF ..r. (ali����� .. ...___. _.. . .. ._.. __'__"—___—__ . .... ... . (�r�'Ie�T; �{1C�1v 3 �.- - �15 �1�N 12 Fc 1 1 _05 _ __ _________- _ �t�- -;_ :�r_ _ _ _ ----- ----__ 4��1��,���;� :.�.���:� _ _ __ _ _- --__ _ _-- _ CU�S�E;"`_,z . � . ,., ;,,,{ -