HomeMy WebLinkAbout06-03-08
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRIS8URG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ERTZ STEPHEN E
94 HOBART AVENUE
SUMMIT, NJ 07901
---~---- fold
ESTATE INFORMATION: SSN: 195-38-9494
FILE NUMBER: 2107-0833
DECEDENT NAME: ERTZ VINSON F
DA TE OF PAYMENT: 06/03/2008
POSTMARK DATE: 06/03/2008
COUNTY: CUMBERLAND
DATE OF DEATH: 09/03/2007
NO. CD 009833
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $2,441.89
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$2,441.89
REMARKS: RECEIPT TO ATTORNEY
CHECK#1012
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
File Number 21 - 07 - 00833
Stephen E. Ertz
Personal Representative(s) of the Estate of Ertz, Vinson F.
------...-.-
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 memor ndum at the end .. tory.
I verify that the statements made in this Inve -
tory are true and correct. I understand that false sta e-
ments herein are made subject to the penalties of
18 Pa.C.S. 94904 relating to unsworn falsification to
authorities.
Attorney -- (Name)
(Firm)
Richard E. Connell
Ball, Murren & Connell
-~---_.-
c::Q
e a;
~Q C- i'-~ : -.. -
(D~ --C:-"---6~': ;~_=~7-
':B~p Z ~.'; \~;;
! m I fT;cn
.,;: t.Jj :0 ("J :n t.:?
(Supreme c~- . ~o.) ~4Z:-.(..~.:)
n ~ x---n
O :- ~'"'"
- ~ - ---- E:.~ ~.(,.
::P \:.~-'.::.J
:Jii' W -., ~
(Address)
2303 Market Street
Camp Hill, PA 17011
(Telephone) 717/232/8731
DATE OF DEATH
9/3/2007
LAST RESIDENCE 660 #13 Geneva Drive
Mechanicsburg, PA 17055
I FIGURES MUST BE TOTALED I
DECEDENT'S SOC. SEC. NO.
195-38-9494
Personal Property
AT&T Stock - 45.2 shares
(Account No. 1000912278)
1.802.12
Comcast Stopck -114 shares
(CUSIP) 20030N-10-1)
2.974.26
T. Rowe Price Funds - 438.419 shares
(CUSIP 77957Q-10-3)
(Account No. 7150092570-8)
18.676.65
Belco Checking
92.89
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
$25,693.92
REGISTER OF WILLS OF
INVENTORY
(continued)
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } 5S
COUNTY OF Cumberland }
File Number 21 - 07 - 00833
DATE OF DEATH
9/3/2007
LAST RESIDENCE 660 #13 Geneva Drive
Mechanicsburg, PA 17055
DECEDENT'S SOC. SEC. NO.
195-38-9494
Travelers' Insurance - refund
48.00
Television - private sale to Alexander Bodar - purchaser of real estate
1.000.00
Satu rn - 1996
VIN -1G8ZG5288TZ127012
Mileage - 76,021
Sold to Michael A. Rios
800.00
AT&T CingularWireless - pension payment
300.00
Total Personal Property
$25,693.92
2