HomeMy WebLinkAbout01-17-12COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
MILLER DOUGLAS G
60 WEST POMFRET STREET
CARLISLE, PA 17013
fold
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EXI11-961
NO. CD 015468
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: SSN: 203-34-2082
FILE NUMBER: 211 1-0406
DECEDENT NAME: DALWAY BRUCE C
DATE OF PAYMENT: 01 / 1 7/201 2
POSTMARK DATE: 01 /1 7/201 2
couNTY: CUMBERLAND
DATE OF DEATH: 03/ 1 8/201 1
REMARKS: RECEIPT TO ATTY
CHECK# 31248
SEAL
101 ~ $341.46
TOTAL AMOUNT PAID:
INITIALS: HEA
5341.46
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA 1 SS
COUNTY OF CUMBERLAND J
COUNTY, PENNSYLVANIA
File Number 21-11-0406
Personal Representative(s) ofthe Estate of BRUCE C. DALWAY
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 memo um the end of this invento
I verify that the statements made in this Inven- ~''~-
tory are true and correct. 1 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
(Address) 60 WEST POMFRET STREET, CARLISLE, PA 17013
(Telephone) (717) 249-2353
(Supreme Court LD. No.) 83776
DATE OF DEATH LAST RESIDENCE DECEDENT'S SOC. SEC. NO.
03/18/2011 1212 FLEETWOOD DRIVE, CARLISLE, PA 17013 203-34-2082
FIGURES MUST BE TOTALED
1212 FLEETWOOD DRIVE, CARLISLE, PA 225,000.00
26 SHARES OF GENESO STOCK 960.70
8 SHARES OF THE FINISH LINE, INC. STOCK 144.88
MORGAN STANLEY SMITH BARNEY ACCOUNT #48J-04164 1,099.45
MORGAN STANLEY SMITH BARNEY ACCOUNT #48J-04762 66,305.07
MORGAN STANLEY SMITH BARNEY ACCOUNT #48J-61009 203,493.56
PERSONAL PROPERTY 1,875.00
1999 JEEP GRAND CHEROKEE 2;525.00
2000 DODGE DAKOTA ~ '"~~ - 2,~2~•
WEDDING RING `'!-~
.__ 600.04
,.
., .
CEMETERY PLOTS ° =' ~ - ~ 500.00
2004 TOYOTA CAMRY
~ ~- ~
._...
_,-I
__.:::~
...
-, 10,233.00
...,,
,
,._. ...
.. - ---
(Attach additional sheets as needed)
TOTAL: 515,061.66
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. § 330/(bJ)
Form RW-09 rev. 10.13.06