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HomeMy WebLinkAbout05-08-08 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 EL Y GEORGE W JR 11 BRENEL Y LANE MT HOLLY SPRINGS, PA 17065 -------- fold ESTATE INFORMATION: SSN: 178-16-0189 FILE NUMBER: 2108-0080 DECEDENT NAME: EL Y GEORGE W SR DATE OF PAYMENT: 05/08/2008 POSTMARK DATE: 05/08/2008 COUNTY: CUMBERLAND DATE OF DEATH: 01/16/2008 NO. CD 009680 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $231.14 I I I I I I I I TOTAL AMOUNT PAID: $231.14 REMARKS: RECEIPT TO ATTORNEY CHECK# 110 SEAL INITIALS: AJW RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS INVENTORY REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA } ss Geor~e W. Elv. Jr. I . () fth E f George W. Ely, a.k.a. George W. Ely, Sr. Persona RepresentatIve s 0 estate 0 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 Dece t, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the decedent's dea, that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a mem and at the end of this inventory. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND File Number 21-08-0080 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. Keith O. Brenneman Attorney -- (Name) (Supreme Court J.D. No.) 47077 (Address) 44 W. Main Street. Mechanicsbur~. PA 170155 (Tekphon~ 717-697-8528 DATE OF DEATH LAST RESIDENCE January 16, 2008 5225 Wilson Lane, Mechanicsburg, PA 17055 DECEDENT'S SOC. SEC. NO. 178-16-0189 I. II. FIGURES MUST BE TOTALED REAL,ESTATE None -.' -, .. , ~ PERSONALTY: A. Merrill Lynch Investment Accounts: None $813,308.32 B. Miscellaneous furniture, furnishings and personalty 500.00 C. 1995 Chevrolet S10 pickup truck E. Chase Bank/Chase credit refund 9.29 ~r) i~~; FIj 0;~ ~5 ~:~[;:~ :X:J CJ C:) -if :x <..-':!J ~..-'""-) $81~79 .P.7 ~"'~I .- -, ~:~~ Q) r-...) <:::) c:::::t Cl') ::J: > -< I co 1,655.00 D. Cumberland County Veteran's benefit 100.00 F. Mobile X-ray Imaging refund 6.96 :I:JII (Attach additional sheets as needed) TOTAL: 815,579.57 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 Pa. c.s. f 3301 (b)) Form RW-09 rev. 10.13.06 ~ Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Ki~S.Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle. PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: KEITH 0 BRENNEMAN 44 WEST MAIN STREET MECHANICSBURG, PA 17055 Qty 1 Fee Description Additional Probate Fee Total 580.00 $580.00 Total: $580.00 Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. 2000 5/8/2008 Geore-e W. Elv. Sr. 21-08-0080 ajw