HomeMy WebLinkAbout08-06-07
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
KURZEPA SONJIA J
10380 GREAT GLEN CT
LAS VEGAS, NV 89129
__n__n fold
ESTATE INFORMATION: SSN: 191-12-2533
FILE NUMBER: 2107-0741
DECEDENT NAME: STACKHOUSE WILLIAM 0
DATE OF PAYMENT: 08/06/2007
POSTMARK DATE: 08/03/2007
COUNTY: CUMBERLAND
DATE OF DEATH: 05/07/2007
NO. CD 008504
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $7,891.42
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$7,891.42
REMARKS:
CHECK# 1015
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
1,' , r< _~I~~ ~_ ~';
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
No.
)~~
Local Registrar
p
13517125
.,
,.
MAY 08 2007
Date
o
C:;O
-.:-D
u
-rO
'~~~ f-
cC:., In
.~A~2
QO
-.' '..J -n
,-...:J
=
=
--..I
J:IIo
C
G')
I
C7\
-0
=t:
~
-...,
N
..
'-",
N
U1
84
v"-
COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
lSee Inatrucllona and axamplea on ..varaa)
H105-143 REV 1112OD1
TYPE I PRINT IN
..-.
IlLACI(lNK
1._~_(Anl._"'_
L""CLooI~
~l
"'CaoOIy~OooIh
<iMmm:>
11,DIoIdInl'tUMI
1<lId~_
~
"'00__
~--
I~F--'_(Anl._"'_
.l<MS SOO<lOEE
MWCN SOO<lOEE
P:.~ l7..lJ....__~ FAIIM:EW
-' J7d.0....___
_...~
.....
. 1~_.-.__clyl__..._
8 foE&C.(W IlUVE, OM' HIIL, ~ liUll
~
I?b.CaoOIy \{R{
ClyIBaoo
....
CA.... OF .....nt (a. -....... _ I
_u..... t EMIr..1tIII.lt.-. -........... or....... -l1li...,............. DONOt....tInllInII...lldl. CMIIc-.
........li'liiii, orVlNllc:Ulf adlIIon................. UII cn,tIlI ~ OR.......
:m-==-::. L ~",A.- j .-,0-
Ouo"(ar.'_;"~ ~//
~"'...':.'::':'~L" r --- _. Lc.,rtt:-
E::1:~e.wIE DwtD(or..~ef):
=-a~
....._-.__cly/__...-
8 foE&C.(W tRlVE, eM' HIIL, ~ liU11
21._~__~_._,,__
.moor>. MHlU.AL ~
21d.LocIIlcr\(CIlr/.........zIpoodll
UWISlllIN, ~ lW+
ma...................{l'Jrpe/Pml)
~
~
21L MIh:ldol ~
1lO- 0-...-
00lllat-_
Z2L~~__"-
. ~ RnR G. !lAm
~_....",,--
......... NIt ........ at .. ClI..."
--~-
-....-..-,,-
...--
_1.-._
,(J A5""7/ /c::z(
a WII c.. AIIatJId to ..... e..iner , CoroMr for . FWion 0Iwr ... CNInIIon or eor.ion1
o....~
--
Onoot.._
PIflI;e..aIIIIr.........~~IrI....
Wnat.....II..~__gMnMPlltL
21. D1d'iillclco U. CclndMt lD DellI?
ra.--EJ-
0"'0-
....-
~-.......
o _.-~_
0..._.._-....,.
~-
0...-...._....,...,...
~;[;] =.."":'--.........
....:==~-.-
c.
DulID(or..~oft:
"'WII.~
--
d.
.....---
........PlIatIo~
~cuo~_,
0'" 0'"
11........oIo.1l1
cr- D-
O- 0......_
0- oCclOl....._
0'" B'No
I
l!>
I
IYllJIYIII<g1
-.........
LAW OFFICES
HOUCK & GINGRICH
ALBERT HOUCK (1933-1984)
RICHARD L. GINGRICH
JOSEPH E. SIKORSKY
AARON L. GINGRICH
PLEASE REPLY TO:
LEWISTOWN OFFICE
23 N. WAYNE ST.
P. O. BOX 430
LEWISTOWN. PA. 17044
(717) 248-6751
AND
August 3, 2007
P. O. BOX 5897
BELLEVILLE, PA. 17004
(717) 935-2804
Glenda Farner Strasbaugh
Cumberland County Register of Wills
1 Courthouse Square
Carlisle, PAl 70 13
RE: Estate of William O. Stackhouse
Date of Death 05/07/2007
Last address 8 Meadow Drive, Camp Hill, P A 17011
Dear Ms. Strasbaugh:
Enclosed is a certified death certificate and estate information sheet
in the above matter. A check for estimated payment of Inheritance Tax
within the discount period is being forwarded to you from Sonjia Joan
Kurzepa, daughter of the decedent. An Inheritance Tax Return will be
filed in the near future. If you require anything additional to accept
payment, please contact my Lewistown office.
. /7very truly yours, f"_._-A~
YC:fdd.. ~ .Af!7----
RICHARD L. GINGRICH
RLG/lb
EncIs.
pc: Marion R. Stackhouse
,-,
Co
, ::':0
~::;:.IC)
[':I
:::0
;~,
. i3~~
I'"~.J
c:.>
c;:,
--I
J:...
c::
G"J
I
c;r\
-0
=t:
~ N
1'''
c.n
t
f
'l"'l ~
f"', ,""i
'l'"f
~ ~
~
~ 1',
ex: ~
~ \.i,
("1
V1 ~
t<9
r;t; '..!
ex: <(
ti rri
:k C
l
.1
I'
/'"
i
,I
~
I'
~
i
.
1
I,
,
I:
~
I
J:
U v
- v
0:: R
C) .
cnZ""o<
w III Z
o - bI ~ Z
i;:C>~x~
IL c( 0
o .)1 ~ ~ Z
~tUzo~
~ ~ :;J 0: ~
U ~
::> ~
o ~
J:
('
..~,.)
r) I
r~ '
."S PH 2: 2S
\.lERK OF
",~~Pt~~:r'f& ('
~Ur/:p:!-"I_, =
~
-
o
.....
Q)
-
L:.w
t:n .....
:;,0>
m Q)
.QCl::Q)
W >-.....
m_mC")
;:;c::J......
-= (/) ::J C" 0
=.....0(/)......
::=Q)0Q)......
=E"Ow<(
-:mcgo..
::u.mL:. _
= ..... - Q)
-mQ)....._
-:"O.Q::JW
=cEo=
= Q) , '\ .....
-=_::l'-'m
-=(90......0
...:
-
...:
... 1"':1
.rl
(14
iJ"'
fr'l
;'::t
:t.
(I
r'"
":-ot
/
+'
J
~
'3
~
~
#tt
~ C'r)
~ ......
\J
~ ~f\ ~-'\' .(YJ
. ~" I,
<:0" ",,' ','"'() IN\ ,-,=0
.Lei ":>~ 'tItBl~!
..(
} a
:t'
C';S ......f'
p" OOV
~ .~8
::s 'Coo
~~~O
'~'e>U
Og::Jcn ~
~ :::5
::;;::;0
",,"1W
-)J~I
''j3\d
\ \ I I O.J- ~rw UJ~Z
Z \: t,:J
. " .,~ ~
a~!AJas ieJsod .S"(1 @LOOZ )"'v'lIIIdetd3 "a{f!SaJIDJ1OrrS! UU!JJr::Jf>JrnnN~ rnr::rp:r."'~~HV~!""'r":"u""" nu__"
"@f!eW ssaJdX3 6u!puas u! asn JOJ A/a/OS pap/AoJd S! pue @a~!AJas /eJsod "s.n al./J JO ApadoJd al./J S! 6u!6e>t~e(,
III
I
~
II'"
Q)
~
(])'CU
Cla
o~
mE
>!
.s
C-o
mW ~
~ u
to 0) +:
ry-C~
WL -- "E
~~ 0
(t5mQ
LL~~
@)
!1 ~
tiJ S
f\.j fij
~==~
~ S
~~~
elf]
~
'II
~~<t
~o<o
c:;::::;r--
OctlO>
'.p ro C\\
ctl- ....
C () 0
Q5 Q) -
.....'0<0
Cenr--
,- EO>
'OoC\\
Q)""'E
~ en ....
C 5 0
Q)xu-
L: ,- Cf)
s1ae:,
r
>0'" Q)
Q.~ Q)
0-" II)
o~ II)
::< Q)
l"i ~
"
~~ :i
Q)~
~--' (l
" ~ i,
:i Q) ~
s ~
U 1ii ~. 1ii
iE ~ c < , ~
0> 0> \I' 0>
Cii i:i) ,', Cii
0 ~ ~ ~
~ ~ ' ~
U; >- ~-,'\; >-
9- 0
0. 1i.~.\ 1;
0 E E . E
0. w, w w
::; ::; ::; ::;
~ @
~ .
LLi s
Q:: III ~ ~
.... III E ~ "
~ ... ;::
- S
~ ~
LLi Go .
E .
I c. 'it
E ME"
S . ~ o ~.."
III ~ <(
Q ~ n.
~ ~
.~ . .;>....,
~ Q; ~~
:;, .0
,
~,.
(,
E
o
u
u)
~
:::J
.....
CU
II)
:::J
....
....
.le
==-
VI
::l
r-'l
r-'l
w,
00
00
nJ
CJ
..JJ
r-'l
""
UJ
~
~
...
~
~
...
~
u ~
~ ~
e ~
~ ...
~ ~:
'"
J!
~
o
a.
n;
~;2
~
~
f
ci.
E
w
~
u
~
J!!
0.
~
u
th.:f.
0.
'~
u
~
II:
~ ~
~ ~
1;) Q)
&. th II:
g t
;!i ~
~ e
. ~ 0 ~
.~ ~ ~
Q; 0]
o ~
'0 i-g
g ~~
~
~
...
o
o
thO
~
.~ ~
>~ (')
i'lo 0
~
E
;::
il
~ ~
o .c
::; al
i:'
0. ~
1! 'C
" 0
o~
1:
~
o
o
i:' M
0. .c
" B-
~ ~
0'5
g ~
z ~
O~
<Ii
1;; ::< ::; E ~
<( a.
e ~ 0 0 ,2'
>- ~
G) . ~
.... . 'C il a
~ ~
'& C. ~Q. 0 <Ii
~ o 8 f!
0 u ~
a.. u :i. ~
<(
N ~ .1 E
. 0 1ii
. a. 0 ~1;::_ u:
""1"1 ~ If'" c.
L'iU 1.\.. :1. -"",
.,~j..) ,-I\..' "J v
CI E.R' !I ('or.:
'b~ ,I (\ ,,Ii
w
z
0.
%
..
i=
z
ii:
..
~
e,
:;J
o
a:
II.
'S3IdO:J f: fJNl'>ftlW 31::/'tI no).. 'Ol:fv'H SS3tld
I
/'
J: I ,W\,
...
I
i :._, :
:l
f ; 1111~1
r'MM'1
, I:
L,_~ ,I
~,
91
III 1
wi
+ ~I
r<!
....(
~I
81
I!!!
ii
ai!
~\
~l
iii
~:
;;Ii
z:
O~
t=:
c,
!!
~:
!'
fL
...
a:
~
w
III
"
l-
e
z
0.
0.
~
z
0.
i
..
a:
..
~
<Ii
a
..
.
..
N
.
I
_I
-
-
-
~
I
IE-
I.~
!-.