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HomeMy WebLinkAbout02-03-06 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 PEASE CLAIRE V 15120 ELMORE ROAD ANCHORAGE/AK 99516 n____n fold ESTATE INFORMATION: SSN: 162-22-4202 FILE NUMBER: 2105-1041 DECEDENT NAME: VOGELSONG MABEL M DATE OF PAYMENT: 02/03/2006 POSTMARK DATE: 02/03/2006 COUNTY: CUMBERLAND DATE OF DEATH: 11/22/2005 NO. CD 006288 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $9/000.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: C PEASE CHECK# 1001 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS $9/000.00 GLENDA FARNER STRASBAUGH REGISTER OF WILLS .. . . _~ t Register of Wills of Cumberland County INVENTORY , Deceased Estate No. D fD h November 2:l., 2005 ate 0 eat Social Security No. 162 -22-4202 21-05-1041 Estate of Mabel M. Vogelsong Also known as Claire V. Pease and Beatrice Bossler , Personal Representlltive(s) of the above Estate, deceased. verify that the items appearing on the following inventory include al1 of the personal assets wherever situate and all of the real estate in Ihe Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date ofthe Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory (PEF S 3301). VWe verify that the stlltements made in this inventory are true and correct. (/We understand that false statements herein made are subject to the penalties of 18 Fa.C.S. Section 4904 relating to unsworn falsification to authorities. Claire V. Pease Beatrice Bossler Name of Attorney: Richard C. Snelbaker PersonaJRepresentative: 15120 Elmore Road 629 East Hummelstown St. l.D. No.: Address: Snelbaker & Brenneman, P.C. A h Al k Address: 44 West Main Street nc orage, as a Elizabethtown, PA 17022 Mechanicsburg, PA 17055 Sign;:~:16 (~..~ V. \~~r"~~_ ~ . '7~~~ Telephone: (717) 697- 8528 Date: ,-~L~;t 0 d-O 0 lo I I PERSONAL TV: Description 1. Household goods, retained by family 2. M&T Bank, checking account #98176641 3. M&T Bank, certificate of deposit #31003914966345 4. M& T Bank, certificate of deposit #31003914966353 5. M&T Bank, certificate of deposit #31003914966361 6. MetLife, final monthly annuity payment 7. Mutual of America, final pension payment 8. PNC Bank, N.A., certificate of deposit #31200237607 9. PNC Bank, N.A., certificate of deposit #31000254699 10. United States Treasury, refund on Final Individual Income Tax Return TOTAL PERSONAL TV: REAL ESTATE: 1. At the time of her death the Decedent did not own any real estate Value $ 850.00 37,515.93 10,157,29 10,191 .00 25,522.86 189.29 109.70 1,595.48 1,137.37 2.00 $ 87,270.92 $ 0.00 TOTAL PERSONAL TV AND REAL ESTATE: $ 87,270.92 (Attach Additional Sheets if necessary) Total NOTE: The ~emorandum ofreal estate outside the Commonwealth of Pennsylvania may. at the e(~b-iion 'oflhe personal repre~en~tii;r~. include the value of each Item, but such figures should not be extended into the total of the Inventory. ' I, ': '. J RW-4 ., -:, 06 " '1 I . . I "/ 1'... ".,.J C>'/ Page 1