HomeMy WebLinkAbout05-18-05
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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Mona P.. Graham
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bein9 duly sworn aeeordin9 to law, deposes and says that ~e' is
the Executrix of the Estate of Calvin.'G. Grim
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late of Monroe 'l2~~I:!.!E...._ Cumberland,County, Pa., deeeased and that the
within is an inventory made by her ' ", the said Executrix .: "'....
of the entire estate of said decedent, consistin9 of all the personal proparty and ni.al estate, except real estate outsid~ .
'he Commonwealth of Pennsylvania, and that the fi9ures opposite each item of the Inventory repre.e"t it's lair value
as of the date of decedent's death.
Sworn
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Euc.utor ~ Ad'mlnhtra-tor
and subscribed belore me,
It,
560 Criswell Extended
Boiling Springs, PA 17007
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Jate 01 Deat
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2005
February
Month
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INSTRUCTIONS
!. An inventory must be liled within three months alter appointment 01 personal representative.
2. A supplement inventory must be filed within thirty days of discovery of edditionel.assets.
3. Additional ,heets may b. attached as to personalty or realty
4. See Artiele IV, Fiduciaries Act of 1949.
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lnventory of the real and personal estate of.
v. . I'
Calvin G. Grim
deceased
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One Half interest as joint tenant in Real Estate situated
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at 560 Criswell Drive, Boiling Springs,PA 17007.
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Fourteen (14] Series HH U.S. Savings Bonds
M&T Select with interest checking account at )'1&T Bank
Money Market account at F&M Trust
47,570 00'"
66; 000 o:ff....
27,194 ~.'"
46 186 19
86,950 23
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV.1162 EX(11-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DE LUCA ANTHONY L
POBOX 358
113 FRONT ST
BOILING SPRINGS, PA 17007
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ESTATE INFORMATION: SSN: 205-16-4011
FILE NUMBER: 2105-0201
DECEDENT NAME: GRIM CALVIN G
DATE OF PAYMENT: 05/18/2005
POSTMARK DATE: 05/18/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 02/20/2005
NO. CD 005342
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $17,661.30
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TOTAL AMOUNT PAID:
$17,661.30
REMARKS: ANTHONY DELUCA
CHECK#107
SEAL
INITIALS: RSK
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS