HomeMy WebLinkAbout08-26-10~ _i
REV-1162 EX111-961
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17126-0601
RECEIVED FROM:
BROWN PATRICIA R
354 ALEXANDER SPRING RD
CARLISLE, PA 17013
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ESTATE INFORMATION: SSN: 162-36-8470
FILE NUMBER: 2110-0105
DECEDENT NAME: FRAKER ARLENE
DATE OF PAYMENT: 08/26/2010
POSTMARK DATE: 08/26/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 10/01 /2009
TOTAL AMOUNT
REMARKS:
NO. CD 013259
CHECK# 5048 ',
INITIALS: SAP
SEAL RECEIVED BY: GLENDA EARNER ST~ASBAUGH
REGISTER OF WILLS I,
REGISTER OF WILLS
ACN
ASSESSMENT MOUNT
CONTROL i
NUMBER ''~
1N`J.~NTORY
REt^iS'TER Of WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
Deanna Salisbury
Personal Representative(s) of the Estate of
Arlene Fraker
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal a sets wherever
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation pfa d apposite each
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned o real estate
outside of the Commonwealth of Pennsylvania except that whi appears in a me orandum at the end of this i ventory.
I verify that the statements made in this Inven- ~ j ~,d~` ~ .~ It ~,(j~;•r•.•- li
tory are true and correct. I understand that false state- v
Deanna Salisbury
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney - (Name)
(Firm)
(Address)
(Telephone)
Patricia R. Brown Esq. (Supreme Court f.~. No.) 27474
Salzmann Hughes, P C
354 Alexander S rin Road Suite 1 Carlisle PA
717-249-6333
DATE OF DEATH LAST RESIDENCE 4029 Carlisle Rd
1010112009 Gardners, PA 1
FIGURES MUST BE TOTALED
Personal Proms
Cash ...............................................................................................
Personal Property ........................................................................
StockslListed ................................................................................
Stocks/Closely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ................................................
Total Personal and Real Property ........................
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may at the election of the personal representative include thevalue of each
item, but such figures should not be extended into the fatal of the Inventory. (See X10 Pa. C.S. § 3301(b))
i
Form RW-09 Rev. 10-132006
File Number 21-10-0105
DECEDENT SOC. SEG. no.
162-36 840
C'7
C
i~t''
:= ' C/~
~--' C7 i
~:C7.
:~, ~
_o -•i
v
78.66
~00.~-~ f
N _- . C"7
t71 ~_~ ;
3 r"~ -,r
~:~ `: ,
CJi :-~.~
t~ -;,;
55, 078.66
.' F ~' f~~` ~~ 55,078.66
REGlS~ER OF WILLa _OF CUMBERLA°ND COUNTY, PENN~YLWANlA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland File Number 21-10-0105
DECEDENTS SOC. ISEC. NO.
DATE OF DEATH LAST RESIDENCE 4029 Carlisle Rd
10/01!2009 Gardners PA 17324 162-36-847
~b
Estate of Dallas J. Paxton -1/3rd residual distribution
HMA -Physician Management -refund
Total Cash
Personal Pro~ertr
2002 Dodge Intrepid -VIN 2B3HD46R72H101296
Total Personal Property
53,228.66
50.00
53__.
1,800.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 55,078.66