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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128.0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BROUJOS JOHN
4 NORTH HANOVER STREET
CARLISLE, PA 17013
____h__ fold
ESTATE INFORMATION: SSN: 111-16-7875
FILE NUMBER: 2105-0691
DECEDENT NAME: HARLIN LOIS A
DATE OF PAYMENT: 08/05/2005
POSTMARK DATE: 08/05/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 05/06/2005
NO. CD 005657
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $16,000.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$16,000.00
REMARKS:
CHECK# 93
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS