HomeMy WebLinkAbout10-14-11 (3)..,~
Jan M. Wiley
David J. Lenox
t
THE WILEY GROUP
Attorneys at Law
October 13, 2011
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle. PA 17013
In Re: Estate of Harry L. Moyer, deceased
File Number 21-11-152
Dear Register:
Enclosed for filing please find an Inventory, the inheritance tax return in duplicate, and the status
report with regard to the above captioned estate. Also enclosed is a check in the amount of
$321.14 representing the tax due, and a check in the amount of $30.00 representing the filing fee.
Please return the recording receipts to my attention in the enclosed envelope.
Thank you for your cooperation.
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3 N. Baltimore Street Dillsbur~;, PA 17019 Phone: (717) 432-9666 (800) 682-4250 Fax: (717) 432-0426
REV-1162 EX111-961
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
WILEY JAN M
THE WILEY GROUP
130 W CHURCH ST STE 100
DILLSBURG, PA 17019
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ACN
ASSESSMENT
CONTROL
NUMBER
fold
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 207-30-6499
2111-0152
MOYER HARRY L
10/14/2011
10/13/201 1
CUMBERLAND
01/29/2011
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TO ATTY
CHECK#10775
SEAL
INITIALS: HEA
RECEIVED BY:
NO. CD 015066
AMOUNT
$321.14
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland
Vivian L. Warner
Personal Representative(s) of the Estate of
CUMBERLAND
} ss
COUNTY, PENNSYLVANIA
File Number 21-11-0152
Harry L. Moyer - __
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 real estate
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven- ~,C ~~~K~ ,~ -~~/,~_-~-, o~ i
tory are true and correct. I understand that false state- Vivian L. Warner
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)
Jan M Wiley
The Wiley Group, PC
3 N. Baltimore St., Di
71732-9666
PA 17019
(Supreme Court I.D. No.) 06298
DATE OF DEATH
01129/2011
LAST RESIDENCE 265 Key West Boulevard
Carlisle, PA 17015
FIGURES MUST BE TOTALED
~rsonal Property
Cash ...............................................................................................
Personal Property ........................................................................
Stocks/Listed ................................................................................
StockslClosely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
p y ...................................................................
All Other Pro ert °"'
Total Personal Property ........................................
Total Real Property ................................................
Total Personal and Real Property ........................
DECEDENT'S SOC. SEC. NO.
207-30-6499
7,949~fi9
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7,949.59
~- 7,949.59
NOTE: Item buff suchdf guns should ntot be etltended ~ tonthe totaltof t eenvent ry I (Seey20 PaeC ISC§ 3301(bj)personal representative include the value of each
Form RW-09 Rey io-is-loos
r
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS File Number 21-11-0152
COUNTY OF Cumberland -
DECEDENTS SOC. SEC. NO.
DATE OF DEATH LAST RESIDENCE 265 Key West Boulevard
01/29/2011 Carlisle, PA 17015 207-30-6499
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Income tax refund:
Refund on truck insurance:
Refunds from Carlisle Medical Center & Physicians:
Sale of 2005 Dodge Dakota Truck:
Total Cash
125.00
42.31
607.28
7,175.00
7,949.59
Total Personal Property and Real Estate 7,949.59
(Attach additional sheets if necessary)