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RECEIVE� FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT NO. CD 021 180
MARTIN GALEN
719 E LINCOLN AVE
MYERSTOWN, PA 17067
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
--_.__ ----
-- - - fV�^ 1p1 � 53,355.95
ESTATE INFOFMATION: 55n��. I
FILE NUMBER: 21 � 4-OH3J I
oECEOErvT NannE: HORST FLORENCE Z I
DATEOFPAYMENT: O8/Z�/2015 I
POSTMARK DATE: 08/26/2015 I
cOUN7v: CUMBERLAND I
DATEOFDEATH: OH/O�/2014 I
TOTAL AMOUNT PAID: 53,355.95
REMARKS:
CHECKt/ 3474
INITIAIS: CJ
sEA� RECENED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
aeaisTea oF wi��s
FJLlimnaminalPrepayment
Tra nsm ittal
Prepayment of Inheritance Tax
Name and address of Attorney of Record / Financial Institution:
Mc� +� �101+ , 44u1 K�l °Ilo L'iber�yy 1CY `fa53�
Name ef Decedent past, first, middle initi2l�:
E1 r5t,�lo�enc¢- Z.
File Number (if probate has begun): a 1 - ot0 I'+ - R 3 9
Date of Death: (�P�n�-� ao)+1-
Amount: �3,355. 95
If probate has not commenced or if it is a non-probate estate, additional information
listed below will be required.
Social Security Number:
Residence at Death (city, borough or township):
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