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Home My WebLink About10-20-06 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 NO. CD 007331 MANUFACTURERS AND TRADERS TRUST COMPANY - - 213 MARI<ET STREET HARRISBURG, PA 17101-2107 ACN ASSESSMENT CONTROL NUMBER AMOUNT nn_n_ fold 101 $173.21 ESTATE INFORMATION: SSN: 191-26-6707 FILE NUMBER: 2105-1005 DECEDENT NAME: FOX JOHN E JR DATE OF PAYMENT: 10/20/2006 POSTMARK DATE: 10/20/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 10/24/2005 TOTAL AMOUNT PAID: $173.21 REMARKS: CHECK# 444665045 SEAL INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS l '.. Register of Wills of CUMBERLAND County, Pennsylvania INVENTORY Estate of John E. Fox, Jr. No. 21-2005-1005 also known as Date of Death 10/24/2005 ,Deceased Social Security No. 191-26-6707 Manufacturers and Traders Trust Company & Ross Miner Chrisman 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 this Inventory. I !We verify that the statements made in this Inventory are true and correct. l!We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of Attorney: Keefer, Wood, Allen & Rahal, LLP Stephanie Kleinfelter Personal Representative Signature: ~~ /) 1 O-'-~.L,--, ~acture.rs a~rad';l;s 'JY/.-.l--...__ ... Ross Miner Chrisman 213 Market Street Trust Co. I.D. No.: 80089 Signature: Address: P. O. Box 11963 Address: Harrisburg, PA 17108-1963 Harrisburg, PA 17105 Telephone: 717/255-8037 Telephone: 717/255 - 2051 Dated: Ie/I.;;.. 16 ~_ , I Description Value (See continuation page(s) attached) c::) -r::l " i":.-) 1'1 ~:~-j -- t'--) i-::;-rl co (Attach additional sheets if necessary) Total: 220,732.44 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. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. v-- Form#RW-7 (1992) . ~ INVENTORY Estate of: Date of Death: County: John E. Fox, Jr. 10/24/2005 Cumberland CASH: M&T Bank Checking Account #950582340 590.08 Internal Revenue Service - 2005 Federal Individual Income Tax Refund 1,299.00 PA Department of Revenue - 2005 State Individual Income Tax Refund 643.00 Peerless Inc. - Refund on Cancellation of Car Insurance Policy #33P M323828 17.25 Peerless Inc. - Refund on Cancellation of Homeowner's Insurance Policy #PLBM413234 79.00 3600 Logan Court, Apt. 5-A, Camp Hill, PA - Reimbursement for putting Service into our Name 99.03 Received from William R. Reed - Pro-rata share of County Taxes (9/15/06 - 12/31/06) on Sale of 3600 Logan Court, Apt. 5-A, Camp Hill, PA 136.60 Received from William R. Reed - Pro-rata share of Assessments (9/15/06 - 6/30/07) on Sale of 3600 Logan Court, Apt. 5-A, Camp Hill, PA 1,365.70 Received from William R. Reed - Pro-rata share of Quarterly Expense Assessments (9/15/06 - 9/30/06) on Sale of 3600 Logan Court, Apt. 5-A, Camp Hill, PA 208.70 . .. Estate of: Date of Death: County: John E. Fox, Jr. 10/24/2005 Cumberland Verizon - Refund on Cancellation of Telephone Service 12.13 PERSONAL PROPERTY: 2002 Buick Century - Sale Price 11,300.00 Household Effects - Sale Price 4,981.95 REAL ESTATE/PA: 3600 Logan Court, Apt. 5-A, Camp Hill, PA - Sale Price 200,000.00 TOTAL RECEIPTS OF PRINCIPAL............... 2 4,450.49 16,281.9') 200,000.00 220,732.44 ---------------- ----------------