HomeMy WebLinkAbout03-18-05
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Susquehanna Trust & Investment Co.
PO Box 1000
24 North Cedar Street
Lititz P A 17543-7000
REGISTER OF WILLS, AGENT
CUMBERLAND COUNTY COURTHOUSE
1 COURTHOUSE SQUARE
CARLISLE PA 17013
Susquehanna Trust & Investment Co.
61-L167-05-5
AGT EST CAMERON E SHELLEY
WLB DEPT: TRS
INC: $ . 00
PRIN: $79,087.50
TOTAL: $79,087.50
,c?-
NEW ADDRESS OR NAME
ACCOUNT NUMBER: 61-L167-05-5
PLEASE INDICATE ADDRESS OR NAME CHANGES AND RETURN
DATE 03/15/05
0503080000014
REGISTER OF WILLS, AGENT
PREPAYMENT; NO. 21-2005-0027
CHECK NO. 2035005
TRANSMITTAL
PREPAYMENT OF INHERITANCE TAX
Name and address of Representative:
Daniel E. Basehoar
clo Susquehanna Trust & Investment Co.
PO Box 1000
Lititz PA 17543-7000
Return Receipt to:
Wendy L. Basehoar, SVP
Susquehanna Trust & Investment Co.
PO Box 1000
Lititz PA 17543-7000
Name of Attorney of Record:
Name of Decedent (last, first, middle Initial):
File Number (if probate has begun):
Date of Death:
None
Shelley, Cameron E.
21-05-0027
December 26, 2004
Social Security Number:
176-01-7982
Residence at Death (City, Borough or Township): Lower Allen Township
Amount of Prepayment:
~
Tax Due at 15%
Tax Due at 12%
T ota! Payment
GmU'TlIX
17,250.00
66.000.00
83,250.00
J)ise-($~)
(862.50)
(3.300.00)
(4,162.50)
p.~..Atnt:
16,387.50
62.700.00
79,087.50
Should you have any questions ooncerning this Transmittal or the enclosed check, please oontact:
Wendy L. Sasehoar
Susquehanna Trust & Investment Co.
Phone: 717-625-6231
Fax: 717-626-4193
Email: Wendv.Basehoar@susQuehanna.net
"-.,
--^
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BASEHOAR DANIEL
22 CANTERBURY CT
L1TITZ, PA 17543
-----n-/old
ESTATE INFORMATION: SSN: 176-01.7982
FILE NUMBER: 2105-0027
DECEDENT NAME: SHELLEY CAMERON E
DATE OF PAYMENT: 03/17/2005
POSTMARK DATE: 03/15/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 12/26/2004
NO. CD 005074
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $79,087.50
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK# 2035005
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
$79,087.50
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS