HomeMy WebLinkAbout06-22-15 REV-1162 EX(11-96)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUALTAXES
DEPT.280601
HARRISBURG,PA»�za-oso, PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT NO. CD OZOH7O
KELLY JACQUELINE A
845 SIR THOMAS COURT SUITE 12
HARRISBURG, PA 17109
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
----------
-------- fold
101 � 51 ,129.78
ESTATE INFORMATION: ssrv: 2� I
FILE NUMBER: 2114-0629 �
�ECE�ENT rvAME: SHELLENBERGER DORCAS M I
DATE OF PAYMENT: 06/22/2015 �
POSTMARK DATE: 06/17/201 5 �
couNrY: CUMBERLAND �
DATE OF DEATH: 06/19/2014 �
�
TOTAL AMOUNT PAID: S 1 ,129.78
REMARKS: RECEIPT TO ATTY
CHECK# 17371 1
INITIALS: HMW
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
REGISTER OF WILLS
�-�i�n-ir rr�i r
Jan L. Brown & Associates
ATTORNEYS AND COUNSELORS AT LAW
JAN L. BROWN,ESQUIRE BRtiNDA F. KEPHART,LEGAL ASSISTANT
JACQUELINE A. KELLY,ESQUIRE JUDITH A. EBERSOLE,ADMINISTRATNE ASSISTANT
CHRISTA M. APLIN,ESQUIRE MELISSA L. SMITH,LEGAL ASSISTANT
KATHERINE Y.KAUTZ,LEGAL ASSISTANT
Sender's email: brenda(a)�janbrownlaw.com
June 17, 2015
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: Estate of Dorcas M. Shellenberger
File No. 2214-00629
Gentlemen or Ladies:
Enclosed please find the following items far filing with the Register of Wills:
1. Inventory.
2. An original and one copy of the Inheritance Tax Return.
3. Check 1064 payable to the Register of Wills in the amount of$240 for payment of the
additional Grant of Letters probate fee.
4. Check 173711 payable to the Register of Wills, Agent in the amount of$1,129.78 for
payment of Inheritance Tax.
P,lease time stamp and return our file copies of the Inheritance Tax Return and Inventory,
�,nd=sen�^us a receipt:for the probate fee and Inheritance Tax payment.
�J,� � ; �� � � ,.
�.� == � ,
;-- , � Sincerely,
�, � �_
, +, ' '�
L � , ��'� ������.. G�j(,2''�
, � �,r �
��..� ..._, .
r-_ �'- :r' c�
�.� T; � Brenda F. Kephart
c� �':; � r� ,� Legal Assistant
� �'= 'r c�
f-_:�
�:._;
bflc
Enclosure
Olde English Gap • 845 Sir Thomas Court • Suite 12 • Harrisburg,PA 17109
Telephone(717)541-5550 • Fax(717)541-9223 • Email:JLBassoc@janbrownla���.com • www.janbrownlaw.com
,.�.,���,_.�, .•�.� �
r�_ �
�} , 1._:^J
__�' i`,-_._ ..._
� �
C..!,.� --.. _. _.
C_..':; ........ �—i ,:.,..
€ � .:..:: ..� `..
..._ l.' _ � .. � .
f `, �'
� .' i _ CV � .
. . -
,�- ,, —r c.; :',:_ ;',
c:.._ .. .,_..
c� -. �- _._ ....
c� i,.; -' "�"� w_
�
�1.-� �`... 4�..} -
�v �'_i r�
r_>
t'-..�
� �
(D O O O
a� ��� N
N ` � �
�� (� � _
O� '" � �
�LL � �
N � �
(O OO �
� v � �
� � o �
� � =
-- � _ � o
J �
� s�' Q � � (M -
Q '��' J � O �M
� �- ,-�` � � cnUcno =
� _ � _
� �
�
g � ti =
� � �♦A � � � � —
C �
My � v♦ �o � p = d
r '1
N°a � � O� � v � � �
�� � � �a � � � N -
��� � � V N =
V� ��m � UT- U =
� a m�cn
(n ��n� a
� = 0
� ¢
�
�a�o= f� F-
.����1_.II l.fl�. ,