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HomeMy WebLinkAbout06-09-10COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: CREE RAY F 409 HOLLY DRIVE DAUPHIN, PA 17018 -------- fold REV-1 162 EX(1 1-96) NO. CD 012884 ACN ASSESSMENT AMOUNT CONTROL NUMBER PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: 193-24-0647 FILE NUMBER: 2110-0596 DECEDENT NAME: CREE MARY A DATE OF PAYMENT: 06/09/2010 POSTMARK DATE: 06/09/2010 COUNTY: CUMBERLAND DATE OF DEATH: 03/05/2010 101 ~ $ 300.00 TOTAL AMOUNT PAID: REMARKS: CHECK# 1072 SEAL INITIALS: SAP $300.00 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS REV-346 EX (8-92) PA DEPARTMENT OF REVENUE ESTATE INFORMATION SHEET FOR REGISTER'S OFFICE USE ONLY Coun Code Year File Number ~ (o v ~ s~ DECEDENT INFORMATION: Enter data as it will appear on all documents submitted to the department. Name (Last) (First) (Miiddle) Cree Mary A. Decedent's Social Security Number Date of Death Date of Birth 193-24-0647 March S, 2010 June 30, 1932 TYPE FILING: Enter check / mark to indicate the nature of the return to be filed with the de artment. Probate Return ~ Joint Assets Only ~ Estate Tax Only ~ Litigation Purposes (No Other Assets) 'ERS GRANTED: Enter check (/) mark to indicate the nature of the proceedings at the Register of Wills Office. Attach additional sheets if ex lanation is necessa Testamentary ~ Administration ~ No Letters ~ Other (Please Explain) IRNEY/CORRESPONDENT: Enter all data concerning the attorney or other individual to receive all tax information and corres ondence. Name (Last) (First) (Middle) Supreme Court I.D. No. Scherer Michael Andrew 61974 Street Address 19 West South Street City State Zip Code Telephone Number Carlisle PA 17013 (717) 249-6873 PERSONAL REPRESENTATIVE Enter all data concerning the personal representative(s) of the estate authorized by the INFORMATION: Register of Wills Executor/Administrator Name (Last) (First) (Middle) Social Security Number Cree Ray F. Street Address 409 Holly Drive City State Zip Code Telephone Number Dauphin PA 17018 (717) 921-8497 Co-Executor/Administrator Name (Last) (First) (Middle) Social Security Number Street Address City State Zip Code Telephone Number N Co-Executor/Administrator ~ © ° ~ ~r: ; ;':;~ Name (Last) (First) (Middle) Social Seca ~y~~er ~ . ~ -? `~ ; 4 ~ Street Address ~~-:.~ C"~ r A C-- " ~ ~~"T I - ~ -+" T 7 C `~. City State Zip Code Telephone iYider W f:::,_ ~ ~ .~ Prepazed By ; f „ ~ Date / _ ~ ~~ rev. 10.13.06