HomeMy WebLinkAbout01-10-07 (2)
. .
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15056051058
REV-1500 EX (m>-05)
PA Department r:i Revenue ~
BUleau d Individual Taxes
PO BOX 200601
Harrisbufg, PA 17128-0601
ENTER OECEDENT INFORMATION BELOW
Social Security Numbef Date of Death
OFACIAL USE ONLY
County Code Year
FDe Number
INHERiTANCE TAX RETURN
RESIDENT DECEDENT
21 06
0401
Date of Birth
179-12-3963
0411112006
11/17/1923
Decedent's Last Name
Suffix
Decedent's First Name
Feeser
Glenn
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Not Applicable
Spouse's First Name
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
.. 1. 0JiginaI Return
MI
B
MI
2. Suppkmlental Ret1lm
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
4a. Future /nter8St Compromise (date of
death after 12-12-82)
7. Decedent MaiJtained a Uving Trust
(Attach Copy of Trust)
10. Spousal poverty Credit (date of death 11. Election to tax under Sec. 9113(A)
betWeen 12~1.91 and t-1-95} (Attach Sch. O)
CORRESPONDENT - THIS SECTION MUST BE COMPlETED. AU. CORRESPONDENCE AND CONADENTIAL TAX INFORIIAT1ON SHOlJU) BE DIRECTED TO:
Name Daytime Telephone Number
4. Limited Estate
6. Decedent Died Testate
(Attach Copy of Wil)
9. litigation Proceeds Reoeived
8. Total Number of Safe Deposit Boxes
Richard P. Mislitsky
Firm Name (If Applicable)
Office of RP Mislitsky
First line of address
REGiSTER OF WilLS US!.;: ONI. Y
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1 West High St, Ste 208
Second line of address
PO Box 1290
City or Post Office
Carlisle
State
ZIP Code
17013
PA
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Correspondent's e-mail address:rpmlaw1@earthlink.net
lJndef d peljlB')l, I declare that I this ret\.m, IncIulIng accompanyi~ schedules and statements, and to the beSt of my knowledge and belief,
it is and complete. 0ecI . other than the ~ represenlatjve is based on all informaIIon of which preparer has artj knowledge.
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SlGNAnJRE OF PREPARER OlliER THAN REPRESENTATIVE DAlE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
L
15056051058
15056051058
...J
-I
15056052059
REV-1500 EX
Oecedenl's Name:
RECAPrrULATION
Glenn
B Feeser
1. Real estate (Schedule A). .. .. . . .. .. . . ... .. . . ... . .. .... .... .. .... . .. .. 1.
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - -. 2.
3. Closely Held Corporation, PartnelShip or Sole-Proprietorship (Schedule C) . . . . _ 3.
4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank Deposits & Miscellaneous PelSOOBl Property (Schedule E) .. . . . . . - 5.
6. Jointly Owned Property (Schedule F) Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested.. . . . . .. 7.
8. Total Gro$s Assets (total Lines 1-7). .. .. . . . . .. . _ . . . . . . . . . . . . . . .. . . . . . .. 8.
9. Funesl Expenses & Administrative Costs (Schedule H). . . . . . . . _ . . . . .. . . . . .. 9.
10. Debts of Decedent, Mortgage Liabilities. & Liens (Schedule I) . . . . . _ . . . . . . . . . . 10.
11. Total Deductions (total Unes 9 & 10). _ . . . . . . . . . . . . . .. .. . . . . .. . . . . . . .. .. 11.
12. Net Value of Estate (Une 8 minus line 11) . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Govemmental8equestslSec 9113 Trusts for which
an election to lax has not been made (Schedule J) . _ . _ . . . . - - - . - . . . - . . . - . . - 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) _. . . . . . . . . . . . . . . . . . . . . . . 14.
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2.) X .0_
16. Amount of line 14 taxable
at lineal rate X .045 113,530.28
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
15.
16.
17.
18.
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. ALL IN mE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
L
15056052059
Side 2
179-12-3963
Decedent's Social Security Number
120,000.00
14,464.73
134,464.73
20,599.01
335.44
20,934.45
113,530.28
113,530.28
5,108.86
5,108.86
15056052059
....J
REV-1500 EX Page 3 ~. Nu~
Decedenfs Complete Address: 21 06 0401
DECEDENTS NAME DECEDENrS SOCIAl SECURITY NUMBER
Glenn B Feeser 179-12-3963
sTReET ADDRESS.._..-_...._~.~-~-- -.-.---~-"'.--..------..-.-.-.-....---..,-..-----.--.-.-..__.....n._...__....__..-._..._.. ..-..------~---'-....' ..,-..' ..m. - ..--------------
210 Pine Road
-.
"_r~___._~__~________.."""'".___________.____~_~_~~__~.......__~-..~~..-.-.-------_.------------,---~--~~~~-~~--~-----
_. ___ _.____..___-----.--...--.-------.---.--.m--~--..----~..'.___~_...________._.._.___
CflY --~--- -. I STATE ! ZIP
Mount Holly Springs ! P A ! 17065
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. CIeditslPayments
A Spousal Poverty Credit
B. Prior Paymems
C. Oisrount
(1)
5,108.86
Total Credits ( A + B + C ) (2)
0.00
3. InterestlPenalty if applicable
D. Interest
E.Penalty
--.--.--.--.-------.- Total h1lerestlPenally ( 0 + E ) (3)
4. If line 2 is gnlater Ulan Line 1 + Line 3, enter the difference. This is filEt OVERPAYMENT.
An in oval on Page 2, Line 20 to request a refund. (4)
B. Enter the total of line 5 + SA. This is the BALANCE DUE. (58)
0.00
0.00
5,108.86
0.00
5,108.86
5. If line 1 + line 3 is greater than line 2. enter the difference. This is !he TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
Make Check Payable to: REGISTER OF WILLS, AGENT
PlEASE ANSWER THE FOLLOWING QUESnONS BY PLACING AN .X'. IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain lhe use or income of the property transferred; ....................... ................................................................... 0 [iJ
b. relain the right to designate who shall use the property transferred or its income; ............................................ 0 Iii
c. retain a reversionary interest; or....~.................................................................................................................... 0 [iJ
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [if
2. If death occurred after December 12. 1982, did decedent transfer property within one year of death
wiIhout receiving adequate consideration? .............................................................................................................. 0 [iJ
3. Did decedent own an -in trust for" or payable upon death bank account or security at his or her death? .............. 0 Iii
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property wllicll
contains a beneficiaty designation? ........................................................................................................................ 0 [iJ
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COIPLElE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates ofdealh 00 or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 P.S. ~9116 (a) (1.1} (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
(72 P.S. ~116 (a) (1.1) (rin The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for discfosute of assets and
I&1g a lax re1um are sIiII applicable even if Ihe suMving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers tom a deceased child twenty-one yealS of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (O) percent {72 P.S. i9116(a)(12}].
The tax rate imposed on the net value of tJansfelS to or for the use of the decedent's lneal beneficiaries is four and one--half (4.5) percent, except as noted in
72 P.S. 99116(1.2) [72 P.S. 95}116(a)(1)).
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) parrent [72 P.S. ~9116(aX1.3}]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
09/25/2006 09:54
5406317546
STONEWALL CYCLE
PAGE 131/132
I
A. u.s. DEPARTMENT OF HOUSING and URBAN DEVELOPMENT OMB No. 2502,0265
SETTLEMENT 51 A TEMENT llTLEPI\O
CORNERSTONE L asell)linl
LAND TRANSFER, INC. B. TYPE OF LOAN ~
i
4705 East Trlndle Road ,. t J ~HA 2. ( ) FMHA 3.~) CON\!. UNINS. i
;
Mechanlcsburg, PA 17050 4. ( ) VA 5 [ ) CONV.INS. ,
S FILe NUMBER: I 7. LOAN NlJM8ER:
Phone: (717) 730-9664 Fax: (717) 730-9665 60158 6561181900
e. MORT. INS. CASE NO.:
:
C. NOTE: This lorm IS furnished to give you a slatement of actual setU.ment costs. Amounts paid to and by the settlement llgeot are shown. Its'''$ marl<ed :
'(P.oc.)' wert paid outside the cloSing; they are shown her, for informational purposes and are not included In the totals, I
D. NAME AND ADDRESS 01= BO~ROWE~: E. NAME AND ADDRESS OJ: SELLER: F. NAME AND ADOR~SS OF lENDER: !
James A. Knepper 2~tate of Glenn B. Fee.ser GMAC Mortgage Corp. DBA !
;
William D. Feeser D1tech.com i
G. PAC~{;RiY LOCAT1ON: H SETTLEMENT AGENT: I. seffiEM!:NT DATE: i
I
Mt Holly springs
210 pine Road Cornerstone Land Transfer, Inc. 09/22/06
South Middletown Township I)L,ACE 01= SE"'LE~eNT;
Cumberland County 4705 E. Trindle Rd. , Mechanicsburg, PA
J. SUMMARV OF 80RROWIiR'S TRANSACTION: Ie. SUMMARY OIR ALL."'S TRANIAC'tION:
:00. QROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT ova fO SILL!!"
101 Contr~c:t sales price ! 120000.00 401.Contracl sElies price ! 120000.00
!
102. Personal prooertv : 402.Persof1al DroD,rtv i
'03 Settlement eneraes to borrower (line 1400) 5746.97 403. !
104 404. I
lOb 40~.
Adlustments for a.ms paid by seller in adv.nce Adiustments for items paid by lIeller in advance
'oe. CHvf1'own lall 10 406.CitvlTown ~lC to !
lOT. County tall o 9/22 10610 12 13 II 0 6 7G.27 407. County WI 09/22/061012/31/06 7(:..27 1
108. A.,.ssm.nts to 408. AtfQ911m'mlll 10 i
'0$ .celloo:" 09/22/06to 06/3 0/07 941.92 .&00 tC;MOOt. 09/22/o6~06/30/07 941.921
t 110 10 I 4'0 to
...-.. I
! 1 1 ~ .e".
i i'i 4'2.
i 126765.16 ! 121018.19 I
1'0. GROSS AMOUNt DUe FAOM BORROWER I 4~O GROSS AMOUNT DU! TO RLL!PI
I
?OO AMOUNTS PAID 8V OR IN eEHALF 0' BORA OWER 500. REDUOTIONS IN AMOUNT DUll TO SlLLlR !
1.0' O.POSlt or earnest mOl'\ev 100.00 $O,.E~cocc dopo~lt (coo in"ructtonCl 100.00 ;
?iJ2 Principal amount 01 maw loan(s) 96000.00 s02.Selllemenl charges 10 seller (line 1400) I 2499.81
I
?03 Existinc loan(s) taken subiectlo ~()3.Ex;sting loan(s) taken subiect to
?O4 I s04.Payoff of FirSI Mor\gage Loan l
I !
:
:10b I aoa.Payoff of Second Mor\gage Loan
I
705 SOO. !
I 201 so;. :
I 206. ..-..-......-
lIOI.
i.0' 509. I I
Adjustrngnt~ for ill'lmllunpllld bv se er Adjustments for items unoaic:l bv uller i
"'0 CllvlTQwn I." I 610.CilVfTown "all I
(0 I to
11 \ County I." to I 5 II. County 1IIl( 10 I
I :'"7 ^non~.nll 10 ; ~U.A..o..m."t. 10 I I
; ,
"3 .::HCOi. 10 i 5'3. SOfOOL to !
\?l. 6'4.
:1 Iii t 'IS. ;
I
:11& i S16.
2'7 61T. ;
2'8 I 51'. I
~III ! S'V.
,
2~O. TOTAL PAID BYIFOR BOAROWl!:R . i ~6100.00 520. TOTAL REDUCTION AMOUNT DUE 8it..l.iR I 2599.81
300. CASH AT SETTL.EMENT FROM OR TO BORROWER 000 OASH AT Sm1.IiM&NT TO OR FROM $!;I.l.I:iR
301. Gross emount due from borrower (line 1201 126765.16 601.Gross amount due to seller (line 420) 121018.19
:;0' less amount paid bv/for borrewer (line 220) 96100.00 sozLes$ reduction amount due seller Cline 5ZQ> 2599.81
30~lll'rOM~. (( ] JDJ'ORROWER 30665.16 603.CASH HXTO) (( ) F~S~ 118418.38
I
,~f - It.-, ~ ./1'7 .,,-- <r11 J flt.~ ~V Lk.~ A~i-i ~J.A .....'7l!)17
..,
( I 7 I
~....yt" or !errowcr'& Slgroelv'o
Salle,'. SiDl'latu,e
'-KiD. 1 Rev. 6'86
~~/~~/~~tlb ~9:54
5486317546
STONEWALL CYClE
PAGE 02/02
L.. Sr:TTLEMENT CHAftOes 6 0 15
7'00. TOTAL SAI.U/8ROKER'S COf,lMl&SlON ba-.d on pl1ce I
Divi$ion of Commission line 700 as follows;
70'. S to
1 $. 10
. Commission paid at SQrtloment
704.
800 ITEMS ~AYABLE IN COHNI!CTION WI1li LOAN
80 t. L03n OriQmation Fee ,.
802. Loan DiscOU"1, ... ,..
803. Appraisal Fee to
804. Credit RepOrl to
905. L..ndQr~ Inspection Fe.
eo€- Mortga e In~urahCe Application Fee to
807. Assump!ion I=ee
eoe Serv i ceFec
eOl~. C O'U.:t' i e r
810. Flood Cert
e1'.
900. lTiM~ RI:QUIRED BY LENDER TO BE PAID IN JlDVANCE
90'. lntQ(Qst from 0 9 22 06 to 0 9 3 0 0 6
902 Mon a e Insurance Premium for
~Q:J H!Slard In::Jvran~. PrefTIlvm for
120000.00
Total:
0.00
OMS No. 2502.0Ze5
Page 2
PAID FROM
Sl!LLI"'S
FUNDS AT
SeTTL.EMENT
U.S. OEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
SETTLEMENT STATEMENT
~~~~?i~~{~~>j~~:~X~\~~~~5~~:~~~~~~~~
GMAC Mt
GMAC Mt
GMAC Mt
DBA O;1.tec
DBA Ditec
DBA Ditec
480.00
300.00
4.08
os
I
1050.00
4.;1.1
17.00'
233.40
GMAC
GMAC
GMAC
Ida.
'ilQ4
905.
000. RESIRY~S DEPOSITED WITH LENDER FOR
1001. Hl1zard Insurance 3 mo. Q $
002. Mort a e InsuranCi mo. 0 S
1003 Cily,rTown tQ" me 0 $
004. Count tax. 9 mo. . $
1005. Assfissments mo. 0 $
1006. School Tax 3 mo 10 $
007. mo. @$
t006. A Ad' ust mo." $
100. TITLE Ct1ARQES
1101. Selllement or closin tee 10
\ 102. Abstract or title search to
110:3. Titlo examination to
1104. Tille insurance bindQr to
t 10S. DocumMt ra aralion to
'08. Nota fass to
101. Attorne 's fees to
(ir'lclucles ebovQ items No..
rille Insuranco to
include. .bolle items No.~)
~9.! lendet'S covera e S
t 10 Owner's covora e $
Ill. Em::1ors .
\tI2. C.S.Lette
1\3. a-doc fee
~Oo. GOVERNM!NT A!CORDINQ ANO TRANSFER CHARGIS
201. Recording feol; D..d S 3 8 . 5 0 Mort a e $
',02 Cii /counry lax/$Iam s Deed S 1200 . 00 Mort
.203 Slale tax/slamps Deed $ 1200 . 00 Mort a t $
~lC:4 Tax Cert Jud' earn
lZO. Fin Wtr Mt Holl
300. AOOlTlON.lL SI!1TLEMENT CHAROU
30 t. :Su rvey to
:;0. Pest Inspeotion to
1303. Courier
;)04.06 Sch Tax
306. Fin Swr South Middleton To
400. TOTAL $IiilTL'M!NT CHARGeS (ent~ on I/nes 103 and 802. Sections J atld K)
Ins,
653.64
23.20
Imo.
fmo.
Imo.
Imo
Imo.
Imo,
Imo.
/mo
16
54.47
101.96
Nota
Public
25.00
10.00
Cornerstone Land Transfe
1102 1103 1104
96 000
120,000
Corne.~tone Land Transfe
Fidelit National Title
Cornerstone Land Transfe
Mise.S
113.00
1200.00
1200.00
5.00
s Boro
10.00
5746.97
1223.49
61.32
2499.81
""\in .g'oo that no IiabH"y ;""""',a Ill' S."..",t"' Age"' 'ot '!'I'IOCUttoy 01 illlormalion I",ni.".d by oth,r." ,hown on the HUO.' S.UIem.n\ StAtemllnt. Sollltm."t AOtnllleretly '"pIIlSS!
'..~o...r;lll"C 'ignllo a.llo.il '''y ,"'ollnll (lQllletlalo, disb..'....",,,, ;.. .... ...Ie',,' b..,ing .<:<:Olln' in . ".de,ally In....'.d '"SlilUlicn ."d 10 cmtdil .ny Inte,.' 50 earned 10 II. own eeeoun. 's I<lO;lic"
eO~ClonUllOn lor IlS strvieClllrl '''i, "'"lI8CIIOII.
..'
.... I he Ii....l). ,
\
nt of all r.Cltlpl. and diSbur.omonl'
__.~_t'-'---
.,
S,n,,'s SIOlle,u,o
6vlI,,', Nil., A~Cl"" 6 PlIo...:
.."
ilel!lcm~nl AQO I Dllt,
IVAI1",,iNlJ. II" . er It' knOWingly ~~" J"lS" 100IClIl'lOnt.IO lilt VII"'O :51"', on '''IS or ."y :SlI11I1a,lu"". fOenan'lIe "po" ~0"Y1G'i<l" ~... .~~I"tle . Ilnt AnCl itnp,ilJOnl"lenl ~o, ClC!I'~. .""
I 1i110/'1I US Coda Seehon 1001 end colion 10'0.
.... ill ,." ~~ teCII"" 'ecollnl Clllkilll'llnlllCliOlt J IlIYe CIUNO 01 WIll c.".. Ihe ."nCl' \0 ~. C1'"""'d 11'1 'cClcmllnce willllhio$ SllIh:",I:II'
I 9 - :). 2--'~ .
tIUD.lno- Sl86
REV-1508 EX+ (6-98)
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Glenn D. Feeser
FILE NUMBER
21-06-0401
Include the proceedS of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
DESCRIPTION
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
14,464.73
REV-1S11 EX+ 112....
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Glenn D. Feeser
FILE NUMBER
21-06-0401
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
Services of Funeral Director
2. Attorney Fees
O~~i~g G~y~".~~~~e,ry ~~uipme,nt,
Newspaper Notices - Sentinel, Patriot
.._"_' ".,-_"..'"v"_
... ,.~ 4-", N,y
ClergylMass Offering, Certified of the Death Certificate,Flowers
',"- -, -'.-..", .........
7. Funeral Reception
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City
Year(s) Commission Paid:
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Relationship of Claimant to Decedent
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Real Estate Selling Costs- Notarr~~O:OO; Tax Cert$5.00; School Tax $1,223.49;
State Tax $1,200; Sewer Fee $61.32
8.
9.
10.
164.18'
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
20,599.01
ll/~~/L~~b 14:~1
:..4~b317546
STONEWALL CYCLE
PAGE 02/02
.,
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",..,~" " '''''. '.
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, - ...~------_.--_.._~~~.':':'.~.
Ho1Ii~ Funeral Home & Crematory. Inc."
", I:rtc L. HoUinqer~ Supervisor
April 14, 2006
'William Dennis Feeser
123 Valley Road
Fr6iifR.oyll~VA. '2i63u::.
"";.~,.,.~~,,,~""""""\"'"
.......'l...._".............__...~
~"..,),...., ......,.. -......,.. ....
The Funeral Service for Glenn "Bill" Feeser
We sincerely appreciate the confidence you have placed in us end" will continue to assist you in every way we can. Please
feel tree to contact us if you have any questions in regard to this statement '
lHE FOlLOWING IS AN ITEMIZED STATEMENT OF mE SERVICES. FAC1U11BS, AUTOMOTIVE EQUIPMENT.
AND MERCHANDISE mAT YOU SELECTED waEN MAKING THE FUNERAL ARRANGEMENTS.
1. raOnssIONAL SERVICES
Services ofFuoenI DircctorIStaft'. . _ _ _ '. .
FUNERAL HOMlt SERVICE auac.u . . . ,
SELECTED MERCllAMDISE:
38'0.09
3e50~OO"
Casket..........<<...... .
.. . . . . ill
4100.00
lSOO.OO
~.oo
Galvanized. Vault. . . . . . . . . . . . . . . . . . .
THE COST OF OUR SDVlCJ:S, EQUIPMENT. AN:D MEIlCHA.ND1SE
11IATYOURAWSELEC1'ED ' ....
Cas' AclvaDCtS
Opening Grave. . . . . _ . . . . .
Cemetery Equipment. . . _ ,,' . .
,~QC5,,-~, . __~,..."""""..,.....f,.r,rl",,, ..,,_'.'.
Newspaper NotiCes '.. Patriot. . a + .
Cleq;y1Mass 0tTeri.ng. . . .........
Certified Copies of the Deadl. Certificate. .". . . . .
. ,...., .... .,~.. ~:..~ _ r_............,'T. ,'. .....
, 6OO.()O
)2j.OO
,}~~:~. ..~-,
16S.00
100,00
72.00
37.50
l.tKOO
~ . . .
floWet$. . . . . . . . . . .
TOTAL CASH ADV ~NCES AND SPECIAL CHARGES .
Total
To1Bl Cost. . . . . . . . .
TOTALAMOUNTDlIJ.. .
10886.00
10186.00
SOx NORTH hM.TJMORE AVBNUE. MOUNT HQLLY-SPRJNGS. PENNSYLVANIA 17065. (7171456-3433. l"AX.(717) 486,..3215
, 'WWI17.hoUi~f'U.neralhome.com " .
Law Office of
Richard P. Mislitsky
One West High Street
P.O. Box 1290
Carlisle, Pennsylvania 17013
*Richard P. Mislitsky
Telephone (717) 241-6363 Fax (717) 249-7073
Offices in:
Carlisle
Chambersburg
York
December 20, 2006
Dennis Feeser
123 Valley Road
Front Royal, VA 22630
Re: Estate of Glenn Boyd Feeser
No.2006-00401 PA No. 21-06-0401
INVOICE
Attorney Fee
Paid
$5,000.00
(1,875.00)
Please Pay
$3,125.00
.Certified as a Civil Trial Advocate by the National Board of Trial Advocacy
A Pennsylvania Supreme Court Accredited Agency
Law Office of
Richard P. Mislitsky
One West High Street
P.O. Box 1290
Carlisle, Pennsylvania 17013
*Richard P. Mislitsky
Telephone (717) 241-6363 Fax (717) 249-7073
Offices in:
Carlisle
Chambersburg
York
December 20, 2006
Dennis Feeser
123 Valley Road
Front Royal, VA 22630
Re: Estate of Glenn Boyd Feeser
No. 2006-00401 PA No. 21-06-0401
INVOICE
Preparation of Tax Returns
$300.00
Please Pay
$300.00
.Certified as a Civil Trial Advocate by the National Board of Trial Advocacy
A Pennsylvania Supreme Court Accredited Agency
... 4.
REV-1512 EX+ (12-03)
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE UABILmES, & UENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Glenn D. Feeser
FILE NUMBER
21-06-0401
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimburs~ medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
2.
3.
TOTAL (Also enter on line 10, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
335.44
.... .. .
REV-1513 EX+ (9-00)
.
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Glenn D. Feeser
FILE NUMBER
21-06-0401
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS pndude outright spousal disbibutions, and transfers under
,See, 9116 Ja)(1.21J "
1. William Dennis Feeser, 123 Valley Rd., Front Royal, VA 22630
Sandra F. Ryan, 37 Hamilton Rd., Boiling Springs, PA 17007
John D. Feeser, 409 Pine Rd., Mt. Holly Springs, PA 17065
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE. ON REV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAl DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
(If more space is needed, insert additional sheets of the same size)