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09-08-15 (2)
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 N0. CD 021225 SIDERIS JAMES C 1012 WANSFORD ROAD MECHANICSBURG, PA 17050 ACN ASSESSMENT AMOUNT CONTROL NUMBER -------- fold __________ -------- 101 $6,604.99 ESTATE INFORMATION: SSN: FILE NUMBER: 2115-0733 DECEDENT NAME: SIDERIS CONSTANTINE T DATE OF PAYMENT: 09/08/2015 POSTMARK DATE: 08/26/2015 COUNTY: CUMBERLAND DATE OF DEATH: 06/22/2015 TOTAL AMOUNT PAID: $6,604.99 REMARKS: JAMES SIDERIS CHECK# 106 INITIALS: WZ SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS REGISTER OF WILLS USA USA Mrlames sideris � � PA.17 1 . ` 1012 Wansford Rd BU,RG Mechanicsburg,PA 1 705 0-91 31 X &ss ti FOREVER2)5 Al FOREVER i3c/l't.�&t, P© Box Q ffD 60 s 6 U o6© / ve; I i 2F.101M 0 10 111111111"1111'I'llfill jill'31dof1ffl,11Jill�rl,��j�it