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LAW OFFICES
BALL, MURREN & CONNELL
2103 MARKET STREET
CAMP HILL, PENNSYLVANIA 17011
(717)232.8731
PFIAJP J. MURRETI FACSIMILE (717) 232-2142
RICFIARD E. C016`IELL.
TERESA R. MCGORMACK
~~ A. C/1PPER MAfLING ADDRESS:
P.O. BOX 1106
HARRISBURG, PENNSYLVANIA 17108-1108
HAND DELIVERED
July 29, 2010
MIILLJAM BEMiEY BALL
(1916.1)
Glenda Farner Strasbaugh
Register of Wills -Cumberland County ~~ ~ ~=~,, .=
Cumberland County Courthouse ~~~ -v c % t° ::~
One Courthouse Square ,~~ ~ rn
~ N ~= ~` ~~'
Carlisle, PA 17013 :" v
3 ~ `° ~~
RE: Estate of Orpha M. Douden (deceased} ~~~ ~ ~ ~
Date of Death: 10/29!2009 a ~ ~
o ~~ ~)
Will No. 2009-01121 a)
Our File No. 2916
Dear Ms. Farner Strasbaugh:
Enclosed please find, in duplicate, the Inheritance Tax Return and Inventoryy for Orpha M.
Douden. An estate check (#108) to pay additional tax due is also enclosed. Please date-stamp
the additional copies of the Return and Inventory for our records.
Also enclosed, please find a check in the amount of $30 for the filing of the Return and
Inventory.
V my yours,
~_
Richard E. Connell
REC/gc
Enclosures
cc: Mr. Jeil'rey L. Douden
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
OEPT.280601
HARRISBURG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DOUDEN JEFFREY L
119 EWE ROAD
MECHANICSBURG, PA 17055
+oa
ESTATE INFORMATION: SSN: 194-28-8479
FILE NUMBER: 2109-1121
DECEDENT NAME: DOUDEN ORPHA MAY
DATE OF PAYMENT: 07/29/2010
POSTMARK DATE: 07/29/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 10j29/2009
REMARKS:
SEAL
CHECK#108
REV-1162 EX(11-96)
NO. CD 0131 14
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
00013114 ~ 5383.79
TOTAL AMOUNT PAID:
5383.79
INITIALS: SAP
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21 - 09 -1121
Jeffrey L. Douden
Personal Representative(s) of the Estate of DOUd@n, Orpha May
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 al estate outside of the
Commonwealth of Pennsybania except that which appears in a memora um at the a oft 's inve ry.
I verify that the statements made in this Inven- 2
tory are true and correct. 1 understand that false state- } Je O en
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney - (Name) Richard E Connell Esq (Supreme Court I.D. No.) 21542
(Plr-n) Ball, Murren 8s Connell
c-n a
(address) 2303 Market Street ~ C3 a _T ;~ a
Camp Hill, PA 17011 ~~~~ ~ ~rj;`
(Telephone) 717/232-8731 : `=: v> ~ w ~:,' ,' ;-'
DATE OF DEATH
10/2912009 LAST RESIDENCE 1555 Simpson Ferry Road soc. arc. No.
8479 '
8
'
New Cumberland, PA 17070 -
4
FIGURES MUST BE TOTALED ~" o ~ ~~~ ~,
cac, `~
Personal Proaerty
Verizon -140 shares ~ x30.04/share 4,205.60
Manulife Financial - 206 shares ~ x19.41 3,998.46
Fairpoint Communications - 2 shares S .115 0.23
Belco Savings 49.00
Account No. 836848-51
B@Ico Checking 743.21
Account No. 836848-S4
(Attach additional sheets if necessary) Total Personal Property and Real Estat@ $138,559.31
s~
REGISTER OF WILLS OF
INVENTORY
(continued)
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21 - 09 -1121
DATE OF DEATH LAST RESIDENCE 1555 Simp$On Ferry Road DECEDeNTS SOC. SEC. NO.
10/29/2009 New Cumberland, PA 17070 194-2$-8479
Beico Money Market
Account No. 836848-S6
1996 Oldsmobile Cutlass Supreme
VIN #1G3WH52MOTF359818
Mileage 72,835
Personal Property
Haar's Auction x672.35
Miscellaneous Household Goods and Personal Effects 5250.00
1,367.59
1.200.00
922.35
Weis Markets 11.88
Highmark -Freedom Blue Premium Dividend 3.86
The Patriot News -Refund 6.45
Verizon -Refund 2.00
Real Estate Tax Reimbursement 7.85
Credit Refund -Horace/Mann Insurance 101.00
Beico Variable IRA No. 836848-S5 2.00
Pennsylvania American Water Company 11.41
Beico Community Credit Union 3.803.67
Total Personal Property 16,436.56
2
INVENTORY
(continued)
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21 - 09 -1121
DATE OF DEATH LAST RESIDENCE 1555 Simpson Ferry Road DECEDENT'S SOC. SEC. NO.
10/29/2009 New Cumberland, PA 17070 19428-8479
Real Estate
1555 Simpson Ferry Road
New Cumberland, PA 17070
(HUD-1 Attached)
(Tax Parcel Number: 26-24-0809-013)
122,122.75
Total Real Estate 122,122.75
3