HomeMy WebLinkAbout11-28-11COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE REV-1162 EXI11-96)
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 015258
IRWIN & MCKNIGHT PC
60 WEST POMFRET ST
CARLISLE, PA 17013
ACN
ASSESSMENT' AMOUNT
CONTROL
NUMBER
fold
ESTATE INFORMATION: ssrv: 204-46-5s3i
FILE NUMBER: 211 1-0745
DECEDENT NAME: LIBERATOR DIANNE K
DATE OF PAYMENT: 1 1 /28/201 1
POSTMARK DATE: 1 1 /28/201 1
couNTY: CUMBERLAND
DATE OF DEATH: 05/29/201 1
REMARKS: RECEIPT TO ATTY
CHECK# 31090
SEAL
101 ~ 5622.31
TOTAL AMOUNT PAID:
INITIALS: HMW
RECEIVED BY:
REGISTER OF WILLS
5622.31
GLENDA EARNER STRASBAUGH
REGISTER OF~ WILLS
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF CUMBERLAND J SS
File Number 21-11-0745
Personal Representative(s) of the Estate of DIANNE K. LIBERATOR
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 tltis inventory.
I verify that the statements made in this Inven-
tory aze true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) DOUGLAS G. MILLER, ESQUIRE
(Supreme Court I.D. No.) 83776
(Address) 60 WEST POMFRET STREET, CARLISLE, PA 17013
(Telephone) (717) 249-2353 '
DATE OF DEATH LAST RESIDENCE
DECEDENT'S SOC. SEC. NO.
05/29/2011 170 E. PENN STREET, CARLISLE, PA 17013
204-46-5831
2011 CHEVROLET HHR
(Attach additional sheets as needed)
FIGURES MUST BE TOTALED
14,609.00
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14,609.00
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. ,¢ 3301(b))
Form RW-09 rev. /0.13.06