HomeMy WebLinkAbout12-20-06
REV-346 EX (8-92)
PA DEPARTMENT OF REVENUE
ESTATE INFORMATION SHEET
FOR REGISTER'S OFFICE USE ONLY
County Code
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Year
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File Number
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DECEDENT INFORMATION: Enter data as it will appear on all documents submitted to the department.
Name (Last, First, Middle)
Peterson, Dwight R.
Decedent's Social Security Number I Date of Death I Date of Birth
188-36-6716 09/28/2006 10/16/1945
TYPE FILING: Enter mark (x) to indicate the nature of the return to be filed with the department.
o Litigation Purposes
(No Other Assets)
LETTERS GRANTED: Enter mark (x) to indicate the nature of the proceedings at the register of wills office. ,/\ttach additional
sheets if explanation is necessary.)
o Probate Return
o Joint Assets Only
00 Estate Tax Only
o Testamentary
o Administration
00 No Letters
o Other (Please Explain)
A TTORNEYfCORRESPONDENT
INFORMA TION
Enter all data concerning the attorney or other individual to receive all tax information and
corresDondence.
Name (Last, First, Middle), Street Address, City, State, and Zip Code Supreme Court 1.0.#
Seeber, Edward P. 76084
1205 Manor Drive, Ste 200 Telephone Number
Mechanicsburg, PA 17055 717 -766-9431
PERSONAL REPRESENT A liVE
INFORMATION:
Executor/Administrator
Enter all data concerning the personal representative(s) of the estate authorized by thlRegister
of Wills.
Name (Last, First, Middle), Street Address, City, State, and Zip Code Social Security Number
Peterson, Christine /1B-40-jl.IO
Telephone Number
815 Wellington Drive 717 -243-8560
Carlisle, PA 17013
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Co-Executor/Admm Istrator
Name (Last, First, Middle), Street Address, City, State, and Zip Code
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Co-Executor/Administrator
Name (Last, First, Middle), Street Address, City, State, and Zip Code
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Social SecuritfftUmber
Telephone Number
Prepared By
Edward P. Seeber
Date
I r;;) I k~ ic{si
Copyright (c) 2000 form software only The Lackner Group, Inc.
Form 346 (Rev 8-92)
Dwight R. Peterson Living Trust
Christine Peterson, Trustee
815 Wellington Drive
Carlisle, PA 17013
(717) 243-8560
Glenda Farner Strasbaugh, Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Carlisle, P A 17103
Re: Dwight R. Peterson, deceased
Dear Ms. Farner Strasbaugh:
I serve as Trustee of my husband Living Trust. Enclosed is a check for Five Hundred and
28/100 Dollars ($500.28) representing prepayment ofthe Pennsylvania Inheritance Tax due
during the discount period and an Estate Information Sheet.
Please forward a receipt for this payment to the following address:
Cheryl L. Baker, CP
Pecht & Associates, PC
Suite 200
1205 Manor Drive
Mechanicsburg, P A 17055
If you have any questions, please contact Ms. Baker at (717) 766-9431.
Date: /.2.-/1' /Dt.-
Christine Peterson
Trustee
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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
PETERSON CHRISTINE
815 WELLINGTON DRIVE
CARLISLE, PA 17013
-------- fold
ESTATE INFORMATION: SSN: 188-36-6716
FILE NUMBER: 2106-1128
DECEDENT NAME: PETERSON DWIGHT R
DA TE OF PAYMENT: 12/20/2006
POSTMARK DATE: 12/19/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: 09/28/2006
NO. CD 007589
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $500.28
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TOTAL AMOUNT PAID:
REMARI(S: PETERSON DWIGHT R
CHECI(# 833
SEAL
INITIALS: AJW
RECEIVED BY:
REGISTER OF WILLS
$500.28
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS