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REV-183 EX 11-04 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO BOX 280603 HARRISBURG PA 17128-0603 RECORDER S USE ONLY REALTY TRANSFER TAX STATEMENT OF VALUE State Tax Paid Book Number Page Number See Reverse for Instructions Date Recorded Complete each section and file in duplicate with Recorder of Deeds when 1 the full value/consideration is not set forth in the deed 2 when the...
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rev 183 ex
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