HomeMy WebLinkAbout08-17-10COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280801
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
VAN ORMAN PAUL
523~STRATHMORE DR
MECHANICSBURG, PA 17050
ACN
ASSESSMENT
CONTROL
NUMBER
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ESTATE INFORMATION: ssN: zto-t2-ost2
FILE NUMBER: 2110-0167
DECEDENT NAME: VAN ORMAN ELLIS
DATE OF PAYMENT: 08/17/2010
POSTMARK DATE: 08/16/2010
COUNTY: CUMBERLAND
DATE OF DEATH: 1 1 / 1 9/ 2009
REV-1162 EXI11-98)
NO. CD 013216
AMOUNT
101 ~ 51,563.80
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
SEAL
CHECK# 492
INITIALS: WZ
RECEIVED BY:
51,563.80
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
Q 040708/EP-14 MAY 2008
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CLERK OF
ORPHA~!'S CO~JRT
CUPv4CF^'~;'~J~' ~~. PA.
August 16, 2010
Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
ItE: Trust Estate of Ellis Van Orman
Social Security Number: 210-12-0512
Date of Death: 11-19-2009
File No.: 21-10-0167
Ladies and Gentlemen:
Enclosed for filing with your office please find two (2) completed Forms
Rev-1500 with the following attachments:
• Date of death valuations;
• Copy of the Ellis Van Orman Living Trust;
• Copy of the First Amendment to the Ellis Van Orman Living Trust;
• Check made payable to "Register of Wills, Agent" in the amount of
$1,563.80 for inheritance tax due; and
• Check made payable to "Register of Wills" in the amount of $15.00
for filing fees.
One (1) additional photocopy of the front-page of the completed REV-1500
form has been provided. Please time/date stamp this copy as received and return it to
my office in the envelope provided.
If there are any questions or further requirements regarding this return, please
do not hesitate to contact me.
Very truly yours,
~~
Amy M. oya
Enclosures
5011 Locust Lane • Harrisburg, PA 17109 • Phone 717.652.7323 Fax 717.652.7340 • susan@ledererlaw.com
www.ledererlaw com