HomeMy WebLinkAbout12-21-11COMMONWEALTH OF PENNSYLVANIA - - --
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL. TAXES REV-1162 EX(11-96)
DEPT. 280601
HARRISBURG, PA 1712£-0601
RECEIVED FROM: PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 015374
COX DAVID C
509 JOYCE RD
CAMP HILL, PA 1701 1
ACN
ASSESSMENT AMOUNT
CONTROL
'----- fold NUMBER
ESTATE INFORMATION:
FILE NUMBER:
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
SSN: 045-16-4423
2111-0639
COX J FREDERIC II
12/21/2011
12/20/201 1
CUMBERLAND
05/17/2011
TOTAL AMOUNT PAID:
:EMARKS: RECEIPT TO ATTY
CHECK# 3143
INITIALS: HEA
SEAL RECEIVED BY:
$180.41
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
HAZ~v ELDER Law
2000 I.invlr~~+.,,.... o__
Suite 202
Harrisburg, PA 17110
Estate Planning • Elder Law • ,s
pedal Needs Planning
'rE-.: (71'~ 540-4332
rax: (717) 540-4313
~+vww.HazenElderLaw. com
December 19, 2011
CERTIFIED MAIL ,~. ,
~? -M .
Register of Wills ~~
~ ~
Cwnberland County Courthouse _
~~~? :-
One Courthouse Square _:T~ ~,,, ~. ~ -.... __
Carlisle, PA 17013-3387 "~ ~~;~
Re: Estate of J Frederic Cox II ~' ~ T~ ~ ,r,
~ • a
File No.: 2011-00639 n
c~~
ct -;-,
SSN: 045-16-4423
Inheritance Tax Ret
urn
To: The Register of Will
s:
Enclosed for filing please find the original and one copy of the above-ref
Inheritance Tax Return and Invento erenced
Inheritance Tax Return. Please date stamp lthe first page of the ret he f rst page of the
Inventory and return them to my off ce in the enclosed self-addressed end ed a co
py of the
lope.
Also enclosed are two checks, one for the filing fee in the amount of $30.
one for the tax due in the amount of $180.41. 00 and
If you have any questions or require any additional information, leas
hesitate to contact me.
P e do not
Sincerely,
~s~..' . ~ ~~,., w~A>,e
Corinne Eggers Woodhouse
Paralegal
Enclosures
cc: David Cox
INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Cumberland } SS
David C. Cox
Personal Representative(s) of the Estate of
J. Frederic
Attorney - (Name)
(Firm)
(Address)
(Telephone)
DATE OF DEATH
05/17/2011
PA 17110
FIGURES MUST BE TOTALED
Personal Prooert f
Cash ....................................................................
...........................
ersonal Property ........................................................................
Stocks/Listed ...............................
.................................................
Stocks/Closely Held .....................................................................
Bonds ..................
......................
..........................................
Partnershi s """""
p and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ............................................
Total Personal and Real Property ........................
0.96
n q~, '>
6,.tI90.00
4 O
«.. .~.~
~ ..t
-} --~ ~ t~.Y> - -
_; r-, ;.~
....~,-=
~ 5 it
~ -
r .. -r,
6,690.96
365, 000.00
~371,69U.913
Marielile F Hazen,
Hazen Elder Law
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 m orandum at th end of this inventory.
I verify that the statements made in this Inven- t
tory are true and correct. I understand that false state- J ~ '
ments herein are made subject to the penalties of David C. Cox
18 Pa.C.S. § 4904 relating to unswom falsification to J
authorities.
(Supreme Courtl.D. No.) 68003
CUMBERLAND
_ COUNTY, PENNSYLVANIA
File Number 21-11-00639
717-5410-4332
Ha
LOST RESIDENCE 610 Gale Rd
DECEDENTS SOC. SEC. NO.
045-16-4423
NOTE: The Memorandum of real estate outside the Commo
item, but such figures should not be extended into the~totaltof theenventoania may, at the election of the
ry. (See 20 Pa. C.S. § 3301(b))~~onal representative include the value of each
Form RW-09 Re~.~o-~3-zoos
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Cumberland } SS
File Number 21-11-00639
DATE OF DEATH LAST RESIDENCE
05/17/2011 610 Gale Rd DECEDENTS SOC. SEC. NO.
Cam Hill PA 17011 045-16-4423
~b
Pentagon Federal CU -Reg. Acct. #876753-01-3
0.96
Total Cash --_.
0.96
~I Pron rt •
Vehicle - 2002 Buick Park Avenue -attached Kelley Blue Book valuation
6,690.00
Total Personal Property -~
6,690.00
Real ctata
Real Estate -103 Little Run Rd., Camp Hill, PA -see attached appraisal.
50,000.00
Real Estate - 610 Gale Rd. ,Camp Hill, PA -see attached appraisal.
315,000.00
Total Real Estate
365,000.00
-- • • ,.....,.~.,~ ~a~ sleets it necessary) Total Personal Property and Real Estate
371,690.96
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