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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
SHADE WAYNE F
53 WEST POMFRET ST
CARLISLE, PA 17013
n____h fold
ESTATE INFORMATION: SSN: 406-34-1797
FILE NUMBER: 2105-0366
DECEDENT NAME: BRANDT WILLIAM E
DATE OF PAYMENT: 02/23/2006
POSTMARK DATE: 02/23/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 01/28/2005
NO. CD 006364
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $633.61
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: WAYNE F SHADE
CHECK# 2900
SEAL
INITIALS: CM
RECEIVED BY:
REGISTER OF WILLS
$633.61
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS