HomeMy WebLinkAbout08-05-10- --- - -- - ---- - - __. ___ __ _.r .. __ __ _.
COMMONWEALTH OF PENNSYLVANIA REV-1162 EXI11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAl7AXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
1RWIN ROGER B ESQ
60 W POMFRET ST
CARLISLE, PA 17013
ACN
ASSESSMENT
CONTROL
NUMBER
roa
ESTATE INFORMATION: SSN: 193-12-9918
FILE NUMBER: 2110-0583
DECEDENT NAME: BROWN MYRON R
DATE OF PAYMENT: 08/05/2010
POSTMARK DATE: 08/05/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 05/31 /2010
REMARKS:
SEAL
CHECK# 29112
NO. CD 013166
AMOUNT
101 ~ $4,99.66
TOTAL AMOUNT PAID:
INIT{ALS: SAP
RECEIVED BY:
REGISTER OF WILLS
$4,799.66
GLENDA EARNER STRASSAUGH
r
REGISTER OF WILLS
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF CU~ERL~-ND f SS
COUNTY, PENNSYLVANIA
File Number 21-10-583
Personal Representative(s) of the Estate of MYRON R. BROWN
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal
and all ofthe real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed op
inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no ire
Commonwealth of Penns lvania exce t that h' h d
sets wherever situate
site each item of said
estate outside of the
y p w tc appears in a memoran um at the end of thts inventory.
I verify that the statements made in this Inven-
tory aze true and correct. I understand that false state-
ments herein aze made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
1 /
-
l
Attorney -- (Name) ROGER B. IRWIN, ESQUIItE (Supreme Court LD. ~No.) 6282
(Address) 60 WEST POMFRET STREET, CARLISLE, PA 17013
(Telephone) (717) 249-2353
DATE OF DEATH LAST RESIDENCE DECEbEN S SOC. SEC. NO.
05/31/2010 442 WALNUT BOTTOM ROAD, CARLISLE, PA 17013 193-12- 918
FIGURES MUST BE TOTALED
456 SHARES OF PNC FINANCIAL SERVICES GROUP, INC. STOCK ', 27,843.36
SERIES E AND EE SAVINGS BONDS I' 64.46
CITIZENS BANK -CHECKING ACCOUNT #6100729443 74,089.93
I~
rv
0
'~ ca
C
41
I~ t
C.J1
.'";1
,~
a
(Attach additional sheets as needed)
"t7
w
N
~x-; .
~') •_'.f
f77 ~,.~
r~;,
~-'~y ice..,
~:: ~:~7
C`:,~~,
-r-, ~-,
.~.1
a ~: ,..~:
~:.~
101,997.75
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. § 3301(b))
Form RW-09 rex 10.13.06