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HomeMy WebLinkAbout06-05-15 (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 NO. CD 020784 LUNSFORD WILLIAM T III RR2 BOX 1-J US ROUTE 50 & 220 BURLINGTON, WV 26710 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold __________ -------- 101 $187.61 ESTATE INFORMATION: SSN: FILE NUMBER: 2115-0276 DECEDENT NAME: LUNSFORD SARA JANE DATE OF PAYMENT: 06/05/2015 POSTMARK DATE: 06/05/2015 COUNTY: CUMBERLAND DATE OF DEATH: 03/06/2015 TOTAL AMOUNT PAID: $187.61 REMARKS: CHECK# 5019 INITIALS: DMB SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS