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HomeMy WebLinkAbout09-14-15 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPAFTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG,PA 1 7 1 28-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 021253 SHIELDS KELLY M PO BOX 401 CARLISLE, PA 17013 ACN ASSESSMENT AMOUNT CONTROL NUMBER """_' fold '__'_'_"' ____'_'_ 101 � S 100.00 ESTATE INFORMATION: ssrv: � � FILE NUMBER: 21 14-021 3 � �ECE�ENT N,4ME: HEBERLIG ALICE FAY � DATE OF PAYMENT: 09/14/2015 � POSTMARK DATE: 09/1 1/201 5 � courvrY: CUMBERLAND � DATE OF DEATH: 01/1 3/201 4 � � TOTAL AMOUNT PAID: 5100.00 REMARKS: CHECK# 17242345163 INITIALS: HMW SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS � S � � ( \� � � � __ �! � '� � � � � f� � � �� �°',� — �a � �— � _ ,/ � � � � ! � � � I � � `�1 ' � 4- � � �; � �� ,..:. �; � � �,; � i - � t�i •� ,..,, C, .�..} � �i� " �.�.> > .....�� t„1 � C� �..- ,� �•. _ - _ , �a � - � �=�- ' � � � ����� . ��j � _ , , . ` ', t.- , �,� � S '_11 , ��_.l �', p_ ;-r3 C'�:� Q— ��.Y, . (✓ �'' � O •:..7 cc� c.� cIj' v c.� t's , u� t� ] � G� c�- � �� > � � � i �" : � � � � � � � , � , � i / ,n J � � � �