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HomeMy WebLinkAbout04-18-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE REV-1162 EX111-96) BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 015868 YOUNG SALLY ANN 598 RANGE END ROAD DILLSBURG, PA 17019 ACN ASSESSMENT AMOUNT CONTROL NUMBER foltl ESTATE INFORMATION: ssN: 2os-12-ss4~ FILE NUMBER: 2112-0192 DECEDENT NAME: CRIDER NEDA M DATE OF PAYMENT: 04/ 1 8/201 2 POSTMARK DATE: 04/17/2012 couNTY: CUMBERLAND DATE OF DEATH: 1 1 / 1 7/201 1 TOTAL AMOUNT PAID: 101 ~ $974.03 REMARKS: RECEIPT TO ATTY 5974.03 CHECK# 991 INITIALS: HEA SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS INVENTORY REGISTER OF WILLS OF Cumberland COUNTY", PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA SS 21-12-(1192 COiJNTY OF Cumberland File Number Personal Representative(s) of the Estate of Neda M. Crider 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- tory are 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. } Attorne ame John M. Eakin (Supreme Court I.D. No.) 6351 Y -- ~ ) (Address) Market Square Building, Mechanicsburg, PA 17055 (Telephone) 717-766-3172 DATE OF DEATH LAST RESIDENCE DECEDENTS SOC. SEC. N0. 11/17/2011 Messiah Village 209-12-6647 FIGURES MUST BE TOTALED Citizens Bank Checking Account # 3304 Highmark Refund Humana Refund 23,337.00 58.98 44.00 {•._. Q F'.`J x~ ~? i?l ~(7 ~ r_t-,~ c ~ i ~ y ~--- i. c - ~ C --r _:. r. N _ i-~=~ t.J `'~ ~ -- ~ r-r (Attach additional sheets as needed) TOTAL: ~ 23,439.98 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of thr, 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 JOHN M. EAKIN ATTpRNEY AT LAW MARKET SQUARE BUILOINO MECHANICSBURG, PA. 17055 April 16, 2012 Register of Wills Cumberland County Courthouse Carlisle, PA 17013 Re: Neda M. Crider Estate No. 21-12-0192 Gentlemen: TELEPHONE 17171 766-3172 FAX (7171 691-3281 /~ .. / © ..., ~ ~ ~~ ~~~ ~} 1'f ,F ~~ -a ~ u '~ ; `' ~~ "' ~ , , ~t7 C~ : .. ,_ ..:~, . _.'..i f'+..: ~..~. ~ ~3 u~ Enclosed for filing please find the Pennsylvania Inheritance 1"ax Return and Inventory together with the checks for the tax and the filing fees in the above estate. Please time stamp one copy and send back in the enclosed envelope. Very truly yours, hn M. Eakin p Q N ~ O O O I O ~ N r ~~jrw 0 ~i6~~~ a ~ N op M ~~ ~,i `~ O LL O a`p°w O J "Q,~~,n N O ~~++~~~ry O O ~ f'- C;1 C" ~ i.7 _. _ 9r-- ~; ^' _ ~,zt~ ~.`~ ``; ~ JQ~ iti ~ U Q !L LYE ~~ ti ~~ O -~ 1 U .,, _. r.. ;.. .= -;~ ~. _ ~ I ~ s~ y ~ ~ ~ ~ \~_ y -~ M ~~ ^v 1 ` ~~ q ~ ,">> ~ "~'~ ~ ~~ ~~ ~~