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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU Of' INDIVIDUAL TAXES
. DEPT. 280601
HARRISBURG, PA 17128-0601
REV-ll~2 EX(11-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
WILEY JAN M
130 WEST CHURCH STREET
DILLSBURG, PA 17019
n__nu fold
ESTATE INFORMATION: SSN: 172-01-1864
FILE NUMBER: 2105-0206
DECEDENT NAME: DENNIS JEAN E
DATE OF PAYMENT: 05/16/2005
POSTMARK DATE: 05/16/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 03/01/2005
NO. CD 005324
ACN
ASSESSMENT
CONTROL
NUMBER
AMOLlNT
101 I $16,67t50
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TOTAL AMOUNT PAID:
$16,674.50
REMARKS: ESTATE CHECK
CHECK# 116
SEAL
INITIALS: RSK
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAWGH
REGISTER OF WILLS