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HomeMy WebLinkAbout12-28-05 (2) COMMONWEAL TII OF PENNSYL VANIA : SS COUNTY OF CUMllERLAND Roger B. Irwin , being duly sworn according to law, deposes and says that he is the Executor of the Estate of Velma M. Starner , late of Carlisle Borough , Cumberland County, Pennsylvania, deceased and that the within is an inventory made by Roger B. Irwin , the said Executor of the entire estate of said decedent, consisting of all the personal property and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. Sworn and subscribed before me, I. /);zE:t f t u~ day 0 December / } } } } } } } } TH OF }PENNS / /?) .cL. 60 West Pomfret Street Carlisle, PA 17013 Address ~ANIA Date of Death Notarial Seal Karen SNeel. Notary Public Carlisle BOO" (.~\rr'bt:rland Coun y 10 Month 2005 Year INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3, Additional sheets may be attached as to personalty or realty. 4. See Article IV, Fiduciaries Act of 1949. "'Ci <I) '" 0::1 <I) U <I) 0 >-< ~ ~ E-< ~ ~ =' '2 II) ~ t- o::: ~ ~ 0 0::1 'S ::c ~ .... > ~ 0 ;;.. II) 0.... rV CO 00 '" 0 0 E-< :;: '" C<:l ~ en ~ c: 0.... >0 ~ 0::: c: ~ ~ ::c ~ too< (/0 II) c: <I) 0.... ...J r..r.. en c:.. c:: u Z E-< -.:: ~ t- ~I ...J <C 0 ~ ce >.. t- 0 I ~I <C - ;:: ~ r..r.. ~ u := ~~ ~I ~ 0 Z <C ::l 0 0 0 ~ 0 t- z ~I Z en U II) ~ 0::: ~ ...J Io-ol ~ ~ "0 V7 0 :::: > c: 0::: 0.... ..:s 0 4- t- o <I) Z .D "0 ~ B a ~ 0 ce ::l 0 ......J U G: i::l:l Inventory of the real an personal estate of VELMA M. STARNER 1. Church of God-Equity Refund TOTAL , deceased $23,600.00 $23,600.00 f....'} C) cn \R COMMONWEALTH OF PENNSYLVANIA .. OEPARTMENT OF REVENUE BUREAU OF INOIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 006151 IRWIN ROGER B 60 WEST POMFRET STEET CARLISLE, PA 17013 ACN ASSESSMENT CONTROL NUMBER AMOUNT _____u_ fold 101 $947.77 ESTATE INFORMATION: SSN: 181-03-9938 FILE NUMBER: 2105-0924 DECEDENT NAME: ST ARNER VELMA M DA TE OF PAYMENT: 12/28/2005 POSTMARK DATE: 12/28/2005 COUNTY: CUMBERLAND DATE OF DEATH: 10/02/2005 TOTAL AMOUNT PAID: $947.77 REMARKS: IRWIN ET AL CHECK# 022548 SEAL INITIALS: VZ RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS