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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 020527
GARBACIK RICHARD J
221 N 17TH ST
CAMP HILL, PA 17011
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- told
14101755 $291 .64
ESTATE INFORMATION: SSN:
FILE NUMBER: 2113-0194
a DECEDENT NAME: GARBACIK RAYMOND R
DATE OF PAYMENT: 04/17/2015
POSTMARK DATE: 04/14/2015
COUNTY: CUMBERLAND
DATE OF DEATH: 02/08/2013
TOTAL AMOUNT PAID: $291 .64
REMARKS:
CHECK# 177
INITIALS: D131
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
----------------- - ----------------------------------------------------------------------------- -- ----------r_==°-.---- HiMMUPAYMENT -1
EGI.STER OF-
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT TO WILLS-
THE REGISTER OF WILLS IDENTIFIED p1pR 16 P19 12 02
Estate of-
GARBACIK RAYMOND R GLERK Of'
SSN: REGISTER OF WILLMPHANS' COIAT
A
Date of Death: 02-08-2013 1 COURTHOUSE Sffll�FFERIL.0iD"-
File Number: 21 13-0194 CARLISLE PA 7013
Date of Assessment: 12-15-2014
ACN: 14101755
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