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COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 1712B-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 006001
RESSLER PETER J
3401 NORTH FRONT STREET
HARRISBURG, PA 17110
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
__nn__ fold ---------- --------
101 I $3,437.96
ESTATE INFORMATION: SSN: 202-01-4943 I
FILE NUMBER: 2105-0187 I
DECEDENT NAME: DIXON ELEANOR F I
DATE OF PAYMENT: 11/15/2005 I
POSTMARK DATE: 11/15/2005 I
COUNTY: CUMBERLAND I
DATE OF DEATH: 02/16/2005 I
I
TOTAL AMOUNT PAID: $3,437.96
REMARKS: P J RESSLER ESQ
SEAL
CHECK# 3673
INITIALS: VZ
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
Estate of ELEANOR F. DIXON
No. 21-05-0187
also known as
Date of Death February 16, 2005
, Deceased
Social Security No. 202-01-4943
Personal Representative(s) of the above Estate, deceased, verify 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 ttTtS inventory. INlJe verify that the statements made in this Inventory are true and correct. INlJe understand that false
~tateme~ herein a~e made subject to the penalties of 18 Pa, C.S. Section 4904 relating to unsworn falsification to authorities.
Name of~"
Attorney:
Peter J. Ressler, Esquire
Personal Representative:
Susan Kemble & Melvin R.
Chandler
I.D. No.:'
6844
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Si~ Wjp
Address
3401 N. Front Street, PO Box 5950
Dated:
It;:; /,.., J---
I '
Telephone:
Harrisburg, PA 17110-0950
DESCRIPTION
VALUE
1. Merrill Lynch Account #838-10L72
2. Pennsylvana State Bank Checking Account #10011815
7. Camp Hill Distributors Note Receivable
8. Messiah Village - refund for value of occupancy right for residence
$ 336,449.45
97,201.78
12,527.14
4,937.00
3,000.00
3,687.88
15,645.58
34,510.00
3. Pennsylvania State Bank Checking Acount #26018188
4. Household items & personal property
5. Toyota Camry
6. Various refunds
TOT AL:
$ 507.958.83
(Attach Additional Sheets If Necessary)
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.