Loading...
HomeMy WebLinkAbout09-23-11 (2)COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: FITZPATRICK THERESA 1302 WILLOW STREET CAMP HILL, PA 17011 _____--- role PENNSYLVANIA INHERI oFFCICIANRECEIpT ETAX ESTATE INFORMATION: SSN: 191-18-2686 FILE NUMBER: 2111-0784 HENNIGAN MARY S DECEDENT NAME: DATE OF PAYMENT: 09/ 23/ 201 1 POSTMARK DATE: 09/23/201 1 CUMBERLAND COUNTY: DATE OF DEATH: 06/26/2011 TOTAL AMOUNT PAID: REMARKS: RECEIPT TO ATTY SEAL CHECK#1012 REV-1162 EXU 1-961 NO. CD 014992 $32,809.82 INITIALS: CJ RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ACN AMOUNT ASSESSMENT CONTROL NUMBER ______-- -z_, ~ ` -Tl INVENTORY ~ ~~ ~~. COUNTY, PENN ~i~NI CUMBERLAND -~-, ~~} REGISTER OF WILLS OF _ -~~ 11 ' X1718 4 SS File Number 2~' -a~ ~`~" " COMMONWEALTH OF PE LANDVANIA ~ _ ~- 7 COUNTY OF CUMBER T' e' MARY S• H E N N I G A N ersonal assets wherever situate of the Estate of in the following inventory include all of the placed opposite each item of said Personal Representative(s) Baring ose s and say(s) that the items app lvania of said Decedent, that the valuation p deceased, dep ~ ) 11 ate of the decedent's death, and that Dee edent owned no real estate outside o t e of the real estate in the Commonwealth of Pennsy nd of this inventory. and a ears in a memorandum at th inventory represents its fair value as of the Commonwealth of Pennsylvania except that which app T(~ ~ ~~~'~ ~r~'"~k'~" FITZPA ICK, EXECUTRIX I verify that the statements made in this Inven- T H E R E S A tory are true and correct. I understand enaltiessof tate- CAMP HILL , P A 17 011 ments herein are made subj to unsworn falsification to 1 8 0 2 WILL 0 W R O A D, 18 pa. C.S. § 4904 relating t{ D 4 8 6 authorities. (Supreme Court L D. No.) GERALD J• SHEKLETSKI pq 17070 Attorney -- (Name) ~ NEW CUMBERLAND (Address) 414 BRIDGE ST (? 1?) ?? 4 -? 4 3 5 DECEDENT'S SOC. SEC. N0. (Telephone) LAST RESIDENCE CT #~ 191182686 DATE OF DEATH 3620 LOGAN PA L?011 CAMP HILL 6 / 2 6 / 2 011 FIGURES MUST BE TOTALED PERSONAL PROPERTY 549,342.62 OSURE OF JANNEY MONTGOMERY SCOTT ACCOUNT PROCEEDS FORM CL 3D,067•DO Y ~40~ 1/2 OZ. GOLD AMERICAN EAGLE COINS FORT 16,536.85 110 1/1D OZ• GOLD AMERICAN EAGLE COINS 34,2D0.00 10pD 1 OUNCE SILVER AMERICAN EAGLE COINS 3,420.Or 100 1 OUNCE SILVER ROUND COINS 24,453•Dl 7, BOX 90i SILVER COINS ?19,408•' TOTAL: (Attach additional sheets as needed) at the election of the personal representative include the value of each NpTg: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, ~ =ures should not be extended into the total of the Inventory. (See 20 Pa. C.S. ,¢ 3301(6)) item, but such f 6 Fonn RYV-09 rev. 10.13.06 Continuation of Inventory MARY S• HENNIGAN Decedent Name -_ 21 11 0784 File Number 10,089.00 Description of Inventory 1 BOX 40i SILVER COINS 150 TEN (10~ ~Z• SILVER BARS REAL ESTATE NONE 51,300.00 Subtotal $ Grand Total $ 61~-- 719,408