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HomeMy WebLinkAbout05-06-05 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B0601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT FASIG DAVID G 1941 MOUNTAIN ROAD MIDDLETOWN, PA 17057 _u__n_ fold ESTATE INFORMATION: SSN: 174-36-6930 FILE NUMBER: 2105-0186 DECEDENT NAME: FASIG EDNA DATE OF PAYMENT: 05/06/2005 POSTMARK DATE: 05/06/2005 COUNTY: CUMBERLAND DATE OF DEATH: 02/09/2005 NO. CD 005297 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $900.00 I I I I I I I I TOTAL AMOUNT PAID: $900.00 REMARKS: D FASIG CHECK#1835 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WillS