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Home My WebLink About04-29-08 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 BAKER JOHN C 1075 ORRS BRIDGE ROAD MECHANICSBURG, PA 17050 ____n__ fold ESTATE INFORMATION: SSN: 168-24-0179 FILE NUMBER: 2107-0740 DECEDENT NAME: HORAN LEONA E DA TE OF PAYMENT: 04/29/2008 POSTMARK DATE: 04/29/2008 COUNTY: CUMBERLAND DATE OF DEATH: 08/01/2007 NO. CD 009633 ACN ASSESSMENT CONTROL NUMBER ~ - .. ...... ,~ ."....L.I. ',::IIi ;;.- :==- ;I 3! '::iii ~-::iiIi =a "::II ":;Y; ::ti ::::JU :::::n. "-,...- ,...u. AMOUNT 101 I $983. 13 I I I I I I I I "...... .- ,...~'. .. ..... :~ ~ :~.. ~~ ~..- J-- "':g; J__ ":sa ~ :r.~ TOTAL AMOUNT PAID: $983.13 -:l!!!i "::iIii( ::a ~~= ..~ :::-'iEI '.::H ::;0. .I :I REMARKS: RECEIPT TO A TTY CHECK#1016 SEAL INITIALS: CJ RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } SS File Number 21 07 0740 I verify that the statements made in 'this Inven- tory are true and correct. I understand that false state- ments herein are made subject to the penalties of 18 Pa. C.S. ~ 4904 relating to unsworn falsification to authorities. Personal Representative(s) of the Estate of LEONA E HORAN deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. ~ (") c;.::':) C c:.o ,:;:; 0 ::tJI" ~":; ~ -0 '.~ '-1. A) N \.0 } ^3~! ') Q ':::f1 "'c-, :j :0 r:- :..-t . · - .- (Supreme CifJrt J.D. No.H9785 " N NEW CUMBERLAND PA 17070- -0 :x. (,'. (~3 , : '": ,:::::; :- . ~- :- ,~-:~ Attorney -- (Name) DAVID H. STONE, ESQUIRE (Address) 414 BRIDGE STREET (Telephone) (717) 774-7435 DATE OF DEATH LAST RESIDENCE 4905 EAST TRINDLE ROAD MECHANICSBURG PA 17050 I FIGURES MUST BE TOTALED I DECEDENT'S SOC. SEC. NO. 8/1/2007 168-24-0179 Bank of America-Checking Acct. 747-3028040 Prine. $33.417.68, Int. $43.95 33.417.68 Bank of America-Checking Acct. 747-3028040 - Accrued Int 43.95 Cash on hand 496.00 DFAS-retirement checks received 7,944.15 Heritage Medical Group-refund 30.34 M&T Bank-Cert of Deposit #031003913913915559 Prine. $36,646.63, Int. $98.52 36,646.63 M&T Bank-Cert of Deposit #031003913913915559 - Accrued Int 98.52 (Attach additional sheets as needed) TOTAL: 215,655.00 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may. at the election of the personal representative include the value of each item. but such figures should not be extended into the total of the Inventory. (See 20 Po. c.s. J 3301(b)) Form RW-OIJ rev, jO.i3,06 ~ Continuation of Inventory LEONA E HORAN Decedent Name 21 07 0740 File Number Page 1 Description of Inventory M&T Bank-Cert of Deposit #031003913913915567 Prine. $75,000.00, Int. $201.63 75,000.00 M&T Bank-Cert of Deposit #031003913913915567 - Accrued Int 201.63 M&T Bank-Cert of Deposit #031003913916234 Prine. $6,156.83, Int. $41.80 6,156.83 M&T Bank-Cert of Deposit #031003913916234 - Accrued Int 41.80 M&T Bank-Cert of Deposit #031003914395841 Prine. $24,529.55, Int. $31.63 24,529.55 M&T Bank-Cert of Deposit #031003914395841 - Accrued Int 31.63 M&T Bank-Cert of Deposit #031003914507751 Prine. $15,398.14, In1. $1.65 15,398.14 M&T Bank-Cert of Deposit #031003914507751 - Accrued Int 1.65 M& T Bank-Checking Acc1. #98116940 Prine. $13,808.52, In1. $1.81 13808.52 M&T Bank-Checking Acct. #98116940 - Accrued Int 1.81 Social security eheck received 470.00 Urology of Central PA-refund 30.34 USSA Savings Acct. #000580498 on insurance 1,048.96 Verizon-refund 8.20 Veterans Affairs-refund burial expenses 188.67 Miscellaneous personal property (assorted military items and trinkets) given to Judith Nassida 50.00 Subtotal $ 136,967.73 Continuation of Inventory LEONA E HORAN Decedent Name 21 07 0740 File Number Page 2 Description of Inventory Miscellaneous personal property (family bible and photographs & framed pictures) given to Noel Horan 10.00 Clothing and miscellaneous items given to Shining Light Thrift Store with no value Subtotal $ 10.00