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HomeMy WebLinkAbout02-04-15 (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 NO. CD 020212 CHAMBERLIN SUSAN C 10710 BLIND LANE SHIPPENSBURG, PA 17257 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- told 101 $117.14 ESTATE INFORMATION: SSN: 202-05-5287 FILE NUMBER: 2113-1194 DECEDENT NAME: HANCOCK ANNA M DATE OF PAYMENT: 02/04/2015 POSTMARK DATE: 01/29/2015 COUNTY: CUMBERLAND DATE OF DEATH: 09/09/2013 TOTAL AMOUNT PAID: $117.14 REMARKS: CHECK# 17104033656 INITIALS: D131 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS �4 Y �. o U) , .:. W LU L.L--� rt: �. cr- lei • r S r z i i r ., i _ �r ,,l �: ,a:��: {�` .� � /� .t �� 1 i` . Ff�F..n,• ...) i «� � a \ � I {. �1 w � \ «f �� � �. :�. ,, ;�;". � �\ t ,l �� /, i � � � r. I �� - � � ,� ,€',. �' �� ,.. f ," `r, `.� � ._ I