HomeMy WebLinkAbout02-01-07
REV-l500 EX + (6-00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG. PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENTS NAME (LAST. FIRST. AND MIDDLE INITIAL)
FRANKLIN
DATE OF DEATH (MM-DD-Year)
JEFFREY
DATE OF BIRTH (MM-DD-Year)
P.
OFFICIAL USE ONLY
FILE NUMBER
2 1 -0 6 0 9 5 0
"'COuNTY"CoiiE ---vEA~ - - NuMsER- -
SOCIAL SECURITY NUMBER
1 84- 4 8 - 8 8 4 3
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
o 3. Remainder Return (dateotdeath prKlrto 12-13-821
o 5. Federal Estate Tax Return Required
_ 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Mach Sch 0)
THIS SECTION MUST BE. COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
ROGER B. IRWIN ESQUIRE 60 WEST POMFRET STREET
FIRM NAME (If Applicable)
IRWIN & McKNIGHT
TELEPHONE NUMBER
717 249-2353 CARLISLE PA 17013
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0.00 X _(15) 0.00
0.00 X .045 (16) 0.00
0.00 X .12 (17) 0.00
0.00 X .15 (18) 0.00
(19) 0.00
10/16/2006 09/14/1959
(IF APPLiCABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST. AND MIDDLE INITIAL)
[X] 1. Original Return
D 4. Limited Estate
D 6. Decedent Died Testate (Attach copy 01 Will)
D 9. Litigation Proceeds Received
o 2. Supplemental Return
D 4a. Future Interest Compromise (dale 01 death aner 12.12-82)
D 7. Decedent Maintained a Living Trust (Attach copy 01 Trust)
D 10. Spousal Poverty Credit (date 01 death between 12.31-91 and '.1.95)
.....
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1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation. Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash. Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent. Mortgage Liabilities. & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate. or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
>>I3ESLJRETOANSWERALLQUESTIONSON REVERSE SIDE AND RECHECK MATH < <
OFFICIAL USE ONLY
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8,871.36
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(8)
8,871.36
10,732.76
265.98
(11)
(12)
(13)
10,998.74
-2,127.38
(14)
-2,127.38
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ece en s ample e ress:
STREET ADDRESS
133 S. EAST STREET
CITY I STATE I ZIP
CARLISLE PA 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
0.00
Total Credits (A + B + C)
(2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58)
Make Check AGENT
0.00
0.00
0.00
0.00
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; ........................................................................... 0 [XJ
b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 [XJ
c. retain a reversionary interest; or ...................................................................................................... 0 [XJ
d. receive the promise for life of either payments, benefits or care? ............................................................. 0 [XJ
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?........................................... ............................. ............... ....... 0 00
3. Did decedent own an 'in trust for" or payable upon death bank account or security at his or her death? ................. 0 [XJ
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... 0 00
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
ADDRESS 270 S. PI
CARLISLE
SIGNATURE OF PREPARER OTHE~THAN REPRESENTATIV:;J, ,
(t '3. ~
ADDRESS 60 WEST POMFRET JREET
CARLISLE
P A 1703
DATE
(.... I () 7
PA 17013
For dates of death on 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 3%
[72 P.S. S9116 (a) (1.1) (i)l.
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 0% [72 P .S. S9116 (a) (1.1) (ii)].
The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving 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 from a deceased child twenty-one years 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 0% [72 P.S. s9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. s9116(1.2) [72 P.S. s9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P .S. s9116(a)(1.3)]. 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.
REV-l50B EX + (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
FRANKLIN
FILE NUMBER
JEFFREY P. 21 06
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.
0950
ITEM
NUMBER
1.
DESCRIPTION
PERSONAL PROPERTY - APPRAISAL ATTACHED
VALUE AT DATE
OF DEATH
1,235.50
2.
M&T BANK - CHECKING ACCOUNT #3740564111
6,685.86
3.
1987 FORD ESCORT - 147,000 MILES
SOLD
500.00
4.
1972 HONDA 350 MOTORCYCLE
SOLD
300.00
5.
15 FT. RELIANCE CANOE
150.00
TOTAL (Also enter on line 5, Recapitulation) $
8 871 .36
(!f more space is needed. insert additional sheets of the same size)
REV-1511 EX+(12-99)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FRANKLIN
ITEM
NUMBER
A.
1.
2.
B.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
JEFFREY
P.
Debts of decedent must be reported on Schedule I.
DESCRIPTION
FUNERAL EXPENSES:
Ewing Brothers Funeral Home
First Church of God
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City
State
Year(s) Commission Paid:
Attorney Fees IRWIN & McKNIGHT
Family Exemption: (If decedenfs address is not the same as c1aimanfs, attach explanation)
Claimant
Street Address
City
State
Relationship of Claimant to Decedent
Probate Fees Register of Wills
Accountant's Fees
Tax Return Preparer's Fees Patricia A. Rosendale, CPA
Register of Wills, Filing Fee
Notary Fees
Roy D. Gottshall, Auctioneer, Appraisal on Personal Property
The Sentinel, Estate Notice
Cumberland Law Journal, Estate Notice
Dan Hershey Auction Service, LLC
Dan Hershey Auction Service, LLC - Trash Clean-up/Hauling
Sollenbergers Messenger Service
Carol Franklin **
Steve Franklin **
Cindy Thomas **
Richard Thomas **
FILE NUMBER
21
06
0950
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
Zip
Zip
AMOUNT
5,637.00
50.00
750.00
85.00
350.00
30.00
30.00
55.00
164.44
75.00
800.32
200.00
6.00
500.00
500.00
500.00
500.00
10732.76
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
FRANKLIN
Decedent's Name
JEFFREY
P.
Page 1
21 06 0950
File Number
Schedule H - Funeral Expenses & Administrative Costs - 87.
ITEM
NUMBER
DESCRIPTION
AMOUNT
19.
David K. Franklin **
Given for help in removing items and cleaning apartment and yard, removing shed and
kennel fence.
500.00
**
SUBTOTAL SCHEDULE H-B7
500.00
REV-1512 EX + (6-98)
*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FRANKLIN
FILE NUMBER
JEFFREY
P.
21
06
0950
Include unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
PP&L - Electric
85.73
2.
UGI - Gas
24.90
3.
VA - RX Meds
32.00
4.
Embarq - Telephone
33.35
5.
Dennis Burkett, D.D.S. - Dental Bill
90.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
265.98
"~.""~.'".
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
-- A "11'1 N
NUMBER
1.
1.
2.
3.
4.
5.
6.
.II=FI=~I=Y
P
FILE NUMBER
?1 11~
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
Lineal
Lineal
Lineal
Lineal
Lineal
Lineal
O~!)O
AMOUNT OR SHARE
OFESTATE
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
n. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
Isabell. Franklin
270 S. Pitt Street
Carlisle, PA 17013
Robert E. Franklin
270 S. Pitt Street
Carlisle, PA 17013
Stephen Franklin
42 Argali Lane
Mechanicsburg, PA 17055
David Franklin
400 E. 7th Street
Lansdale, PA 19446
Carol Franklin
Box 192 I 90 Shagbark Lane
Plainfield, PA 17081
Cindy L. Thomas
56 Strayer Drive
Carlisle, PA 17013
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II. 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)
DAN HERSHEY AUCTION SERVICE, LLC
ba{L-
,~(~cS
15
I Commission the Auctioneers to sell the merchandise to the highest bidder by Public Auction. Merchandise
to be sold as is & grouped as necessary to obtain bids. I certify that I am the owner or authorized represen-
tative of the merchandise, goods and or property and have good title and the right to sell and that they are free
from all incumbrances. I agree to accept all responsibility for providing merchantable title and for delivery of
title to the purchaser. I agree to hold harmless the Auctioneers against any claims of the nat referred to in
this agreement. /~
~~~ I )/,
AUCTION SIG ~TORE SELLE
Total Sales (Clerking Tickets Attached) $
I z :.3:;, )0
.
Less Sale Expense:
Ie; % Commission Auctioneer $ ! g)' '3 "Z-
% l~J~'iJw&~tkL $ ~ ~, vO
OTHER: L fA b () ( Z tt () I (JO If J rj I G (), (/0 Ira ~ h I 5'0 I 0.::.
;.... TOTAL SALE EXPENSE DEDUCTED $
SELLERS NET $
ROD,~L
43 S, (8
j.{
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AU TION SIGNATURE
SELLERS SIGNATURE
~ M&fBank ,;- ..~ !&t.~1t\t\
499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-Mt ~ .... . . ~
~,'\f\',
'\ ,. :'\ '\,.\\)
;":' \;).,"
Law Offices ;- -,
Irwin & McKnight .' ..r'N,lGrrr
West Pomfret Professional Building '''\\/IN & t\;\I.:~:' ~ .
60 West Pomfret Street \1'., '
Carlisle, Pennsylvania 17013-3222
Phone (888)502-4349
Fax (302) 934-2955
12/13/2006
Re: Estate of Je((rev P Franklin
Social Securitv: 184-48-8843
Date of Death: October 16, 2006
Dear Sir or Madam:
Per your inquiry dated December 04, 2006, please be advised that at the time of death, the above-named decedent had on
deposit with this bank the following:
1. Type of Account Checking Account
Account Number 3740564111
Ownership (Names oj) Jeffrey P Franklin *
Opening Date 04/02/99 Closed 10/30/06
Balance on Date of Death $ 6,685,86
Accrued Interest $ 0,00
Total $ 6,685,86
Please be advised, there was no safe deposit box found for the above decedent.
* For further account information, regarding ownership, closures and/or reimbursement of funds, etc., please call
the High Street Carlisle Office # 717-240-4536.
Sincerely,
~~oa{~t/
Nancy Clagett
Records Management
THE ESTATE OF JEFFREY P. FRANKLIN
ITEMS SOLD DECEMBER 22, 2006:
1987 FO RD ESCO R T.. ................................. .......................................................... .....$500. 00
1972 HONDA MOD EL 350 MOTORCYCLE...........................................................$300.00
EXPENSES:
SOLLENBERGER MESSENGER SERVICE-
RETU~OF)LICENSrS PLATES TO PENNDOT.............................................$6.00
,'y ,A- / f IL
~~4~JL-
SELLER: ROBERT FkANKLIN
12/18/06
Num
Expense Categories
Date
Miscellaneous
Jeff
9633
9634
9635
9639
9642
9643
9644
9649
9654
9655
9663
9665
9666
9667
9668
9669
10/29/06
10/29/06
10/29/06
11/2/06
11/4/06
11/4/06
11/4/06
11/13/06
11/20/06
11/20/06
12/1/06
12/1/06
12/1/06
12/1/06
12/1/06
12/1/06
Total Miscellaneous
Payee
PP&L
UGI
VA - ~ M~~
Embarq
First Church of God >-
Dennis Burkett, D.D.S.
Ewing Brothers Funeral Home,Inc
PP&L
UGI
PP&L
Embarq
Carol Franklin
Steve Fran:~.im
Cindy Thor; ,as
Richard Thomas
David K. Franklin
Grand Total
Total Expense Categories
Category
Miscellaneous: Jeff
Miscellaneous: Jeff
Miscellaneous: Jeff
Miscellaneous: Jeff
Miscellaneous: Jeff
Miscellaneous: Jeff
Miscellaneous: Jeff
Miscellaneous: Jeff
Miscellaneous: Jeff
Miscellaneous: Jeff
Miscellaneous: Jeff
Miscellaneous: Jeff
Miscellaneous : Jeff
Miscellaneous: Jeff
Miscellaneous: Jeff
Miscellaneous: Jeff
Page 1
Amount
(56.91)V
(17.92)"
(32.00)\1>
(25.41) .I'
(50.00)V
(90.00)We-1I \c \ ~. \
(5,138.00)\;j.
(27.63) v
(6.98)""/
(1.19)
(7.94) ./
(500.00) },..- _" \ ~n... -.' "" _ d;:;~?
(500.00) '<:],,,.. N y~ ~_...., "'- '"'
(500.00) l~ ~~I,^O~ I ~". i ,:erV\ S.
(500.00) ~ 0 C....C:.A..J \..0 <1 A ~\:""'"
(500.00) ~.,J "" 'tAl2..Io>. ~~ N..f:J'i IN ~
(7,953.98) '"5\-1..';;;'0 a l.::t:.N~e,,- Gst-.k.~
(7,953.98)
(7,953.98)
At 7,6-\ I;)
Fe=-u
ST\ L-~
eN '~->-p.l....f= ~ ~ I\EI2 '-J','e\l-i
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~-r
Au~ C'f'\9flJ\
~ n IV fl~. .11 f\ .
, JIUULV(J~
(7,953.98)
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Ewing Brothers Funeral Home, Inc.
630 South Hanover 5t, Carlisle, PA 17013 Since 1853
Phone (717)243-2421 Fax (717)243-7553 E-Mail EwingBrothers@aolcom
STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED
Ch:uges ilrc onl.... li)r those, ItCI11S1h,H you selcclc.tl or that ;ue r.eqUlred If we (lTC rcqlllTcll by l<l\\' Of hy Jl cemetery or II crcm:uory to tm: any Item",
we \\'111 ~Xrlal~ the reasons IJ1 writing hclow ,II )'011 sdccltd a funeral thalll1ilY require emhalmlng. such as ;J funeral With vlewmg, YOll may have to pay for
~'~~~~~W,~~ "~(~~~IIlOc~~~dl'~~~I~~ b~k,~~.r clnnalmlng you (lid not npprove If you ~c!cl.;tcd arrangements. slt~h uS cH:mallun \)1 immediate bUTlal lfwc cl1nrgcd ror
For the Service of: Jeffrey P FranKlin Date of Death October 15, 2006
Charge to: Robert P FranKlin 270 S Pitt Sf Carlisle
Name Address
A, CHARGE FOR SERVICES SELECTED'
1 PROFESSIONAL SERVICES
Services of Funeral Director/Staff
Embalming
Other preparation or body
~'tional P~g~
$ 3,69500
$ -0-
Itemized Services
,$
SUB-TOTAL OF PROFESSIONAL SERVICES
-0-
A1
-0-
-0-
-0-
-0-
-0-
A2 $
3,69500
2 FACILITIES AND SERVICES
Use of facilities and services for
Viewing (VisitationlWake)
Use of facilities and services for
Funeral Ceremony
Use of facilities and services for
Memorial ServIce
Use of eqUipment and services for
Graveside Service .
Olher use of facilities
$
. $ ,
$.
.$
SUB.TOTAL OF FACILITIES/EQUIPMENT
AUTOMOTtVE EQUIPMENT
Vehicle 10 transfer remains to Funeral
Local $
Hearse (CasKet Coach)
Local
limousine
Local ,.$
Family Car
Local . $
Flower car or floral dispOSition
Local , .$
Lead car/Clergy
Local , $
Car for pallbearers
Local $
Oul of town transportation $
$
$
-0-
-0-
-0-
-0-
-0-
-0-
-0-
-0-
-0-
-0-
A3 $
SUB.TOTAL OF AUTOMOTIVE EQUIPMENT,
TOTAL OF PROFESSIONAL SERVICES,
FACILITIES AND AUTOMOTIVE
EQUIPMENT
A $
3,69500
B. CHARGES FOR MERCHANDISE
Casket $
(Descriplion) 20G Silver Batesvllle Gask. Casket
1,620.00
Ouler Receptacle
(Description) Supolied by IGNC
-0-
,$
.0.
(Seal)
(Seal)
(Purchaser)
Steven A. Ewing, Supervisor
Seymour A EWing, FO
William M. Ewing, F.O
City
PA
Slale
Other Clothina
Cremation Urn.
(Description)
TOTAL MERCHANDISE SELECTED
C, SPECIAL CHARGES
Forwarding of remains to
(Funeral Home)
. Receiving af remains from
(Funeral Home)
Immediate Burial $
Direct Cremalion $
$
SUB.TOTAL OF SPECIAL CHARGES
D, CASH ADVANCED:
000
Opening Grave,
Cemetery Equipment
Lot and Deed
Newspaper Notices. Out-of-town
Telephone & Telegrams
Airfare,
ClergylMass Offering
Pallbearers
Certified Copies of the Death Certificate. $
Police Escort, $
Flowers (FAmily). , . S
Vault Service Charge, .$
Sentinel obit with photo (Estimate) , $
$
$
$
$
,$
$
$
$
0.00
SUB-TOTAL OF ADVANCES,
We charge you for our services in obtaining'
(speCify Cash advance Items).
$
$
$
-0-
-0-
-0-
-0-
-0-
-D-
B $
1,6200
-0-
.0-
-0-
-0-
-0-
C $
-0
$
$
$
$
$
$
-0-
-0-
-0-,
-0-
-0-
-0-
10000
-0-
nOD
-0-
-0-
.0-
15000
-0-
-0-
-0-
-0-
-0-
-0-
0$
377 ('10
SUMMARY OF CHARGES:
A. Professional Services, Facilities and
Equipment and Automotive
Equipment. '
B. Merchandise.
C Special Charges
O. Cash Advances,
, $
$
S
$
Outer burial container
(Description) Alternate Container
Acknowledgement cards s. -0-
Register BOOK(S) , . ,$ -0-
Memorial folders , $ -0-
Prayer cards ' $. -0-
Temporary grave marker , .$. -0-
Burial clothing $ -0-
I agree that I have examined the terms 01 goods and services selected above and found them to be correct and according to the arrangements I have
requested and I acknowledge a copy of thiS Statement of Funeral Goods and Services selected I represent that I have sufficient funds available for
payment of total price for goods and services selected. I also agree to make payment of $ 5,637,00 within~days, I agree to be jointly and
severally liable with anyone who signs below. A lale charge of 1 % per month amounting to 12% per year will be applied 10 the unpaid balance
beginning~days from the date or this agreement I will also pay to the Funeral Director all reasonable costs paid by the Funeral Director to collect amount5
I owe under this agreement Those costs may include attorney's fees, court costs and other costs, Any additional services or merchandise ordered or
requested aller the d 0 i agreement will be sidered p of this agreement and the cost thereol will be rell cted on the final bill or statement.
?:-
TOT AL OF ALL SELECTIONS
PAID AT TIME OF OR PRIOR TO
ARRANGEMENTS. , ,
BALANCE DUE
REASON FOR EMBALMING
None
3,69500
1,620.00
-0-
322.00
5637 DQ
S
$
0.00
56370lL
If,my lil\\', cemeterY or crenlatory rcqujremerls hnvercquircd the rurcl1n)l.: of
;11\)' oflhc Items lIsted ahove thc"law or reqUlrernelllls explamed tlclow
None
INVENTORY
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
} SS
File Number 21-06-0950
Personal Representative(s) of the Estate of Jeffrey P. Franklin
deceased, depose(s) and say(s) 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 Penn,ylvmlia exc'!'t that which appe"" in a ~ at the end of !hi, Ary.
I verify that the statements made in this Inven- } ::AJ C- ~
tory are true and correct. I understand that false state-
ments herein are made subject to the penalties of
18 Pa.C.S. ~ 4904 relating to unsworn falsification to
authorities.
Attorney __ (Name) Roger B. Irwin, Esquire
(Address) 60 West Pomfret Street, Carlisle, PA 17013
(Telephone) (717) 249-2353
(Supreme Court J.D. No.) 6282
DATE OF DEATH
LAST RESIDENCE
DECEDENT'S SOC. SEC. NO.
10/16/2006
133 S. East Street, Carlisle, PA 17013
184-48-8843
FIGURES MUST BE TOTALED
Personal Property
M&T Bank - Checking Account #3740564111
1987 Ford Escort
1972 Honda 350 Motorcycle
15 Ft. Reliance Canoe
1.235.50
6,685.86
500.00
300.00
150.00
f_)
-0
, ~
\",..t.-..,j
(Attach additional sheets as needed)
TOTAL:
8,871.36
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. (See 20 Po. c.s. S 3301(b))
Form RW-09 rev. 10.13.06