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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 020160
ORRSTOWN BANK
PO BOX 250
SHIPPENSBURG, PA 17257
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
__________ --------
101 $1 ,091 .41
ESTATE INFORMATION:
FILE NUMBER: 2114-0534
DECEDENT NAME: HOLTZINGER LEWIS T
DATE OF PAYMENT: 01/23/2015
POSTMARK DATE: 01/21/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 05/15/2014
TOTAL AMOUNT PAID: $1 ,091 .41
REMARKS: ORRSTOWN BANK
CHECK# 01 1517
INITIALS: WZ
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
ORRSTOWNBANK. PAYEE:
A Tradition of Excelknce
P.O. BOX 250, SHIPPENSBURG, PA 17257-0250 REGISTER OF WILLS, CUMBERLAND COUNTY
30 t10
TRUST gE REQ n !Y=lLl
�9 D 05
EST OF L HOLTZINGER '�
BOTU E FOR INHERITANCE TORPIA '� CHECK#: 0011517
LEWIS T . HOLTZINGER ESTATE C� DATE: Jan 20, 2015
FILE #21-14-0534 AMOUNT: $1, 091 . 41
�' OF Hasler FIRsr-cuss r1AIL
ORRSTOWNBANK ftECOic EI C>•�lutI S RETURN 01/21/2015 ('� AQuro
A Tradition of Excellence R G 1 ST E(Z U r e a�-- 1.10.3 V 1
77 East King Street G �5 SERVICE
P.O.Box 250 ?015 L3 \ 12 REQUESTED ''Y' '' z(P 11201
Shippensburg, PA 17257 _ 011D12602253
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