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HomeMy WebLinkAbout11-03-05 COMMONWEALTH OF PENNSYLVANIA REV-1162 EX111-961 DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CO 005963 SMITH TINA L 6092 31ST AVENUE N ST PETERSBURG, FL 33710 ACN ASSESSMENT AMOUNT CONTROL NUMBER ____u__ fold ---------- -------- 101 I $11,396.00 ESTATE INFORMATION: SSN: 160-16-0680 I FILE NUMBER: 2105-0712 I DECEDENT NAME: SMITH HELEN H I DA TE OF PAYMENT: 11/03/2005 I POSTMARK DATE: 10/31/2005 I COUNTY: CUMBERLAND I DATE OF DEATH: 08/05/2005 I I TOTAL AMOUNT PAID: $11,396.00 REMARKS: KERN AND COMPANY CHECK# 41 09 INITIALS: RSK SEAL RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS m o rl ..;t 11 CJ\ ~i~ ~\ m " ~ ~ ~~ ::::--""",'\:1::3 "".~ iA ~ '8,;&,1'" c;-'M '" to '" !;;: Cl o III o t'- !li 0"'1 0'" ['- \ (' ) fj f3 . .. - ~I~ U1 ". U1 ~~ 0'" l:Q j~ ru ~ ~i "" 0 hI r1'l :sU~ ... '" r1'l :I:,,", II ~~ f-.o 0 00<: f-.", .. >-,0 - <<:0<: 2: 0..0 1:J3d'f'd-U.3,.'f'S 311f:)Ild(\O I:JO .l311VM 3~nl3a a r---~~-- n......n;;o () )> C["Tl m" :;on3:GJ JJm r 0 OJ....... :::!JJ ....... C ["Tl (/) ()~:!!z (/):;O:;O-j r-jrrrl l>wm ..,J ["Tl :r: )> :;0 s::......O)> CJ o Z -us::-uz CJ COO -0 (/) '1 Il>CC lJ1 )>["Tln -JJOJ 0:::::: ,^rO I:-' f-' (/) C ....... rmoO Q:> -...JDZ r :u-il>S: nI OC-lr CJ f-' )> -< (/) :J>(J)() W ;;0 ......-i()~ I ["Tln -....JJJO CJ w 0 Om Z CJ w C ......mC-< CJ co :;0 ...... -i 2~ a- '-I -l );!:o ::c 0 20 I:-' C -i. nI (/) (J) w ["Tl a- ni w I:-' ..D ST PE.TE PLAZA # 0000007362 c::a CT'l .~ lJ' ..,.. \ c: en '~ = en i1 .....