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HomeMy WebLinkAbout99-0298Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 1/16/2007 JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 RE: Estate of MATHEWS OPAL M File Number: 1999-00298 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 1/16/2007 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, .. ~.~~ :~ Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-060 1 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 00771 1 JAMES MATHEW COSTiLOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 ---- --- load ESTATE INFORMATION: ssN: 23z-2z-~4~~ FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 01 / 1 7/2007 POSTMARK DATE: 01 /1 6/2007 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ $250.00 TOTAL AMOUNT PAID: REMARKS: JAMES M COSTILOW CHECK#240 SEAL INITIALS: AJW REV-1162 EX(11-96) $250.00 GLENDA EARNER STRASBAUGH RECEIVED BY REGISTER OF WILLS REGISTER OF WILLS ~, E" ~r•,Y •. ... ~' ~: ~~ t~~€ r s~ ~; ~,: ~ ~; ~: Y v ^~^ ~~ /r ``_ ~: ~, ~ .~~ ~ ~_ ~~~ ~ !~ v ~ r r ~ 1 i ~~ .,.;;~ 17 P~~ !~~ ~~ r ~ ~ i.. i `~ n/1 ~. ~ ~ V .+ y ~ ~ \ :: ~ ~ y ~ ~n V ~ ... ~~ ~ ~ s `` ! '•~ :'t1 1'~s (~ ~ 1 V ~ €o•• ^~~ ; :F ..} "Y ~~~ ;•A r .~~~~~ - M 0 J; Q 17 ~'r~ ~%~ 4~ X w J ~P~t~'~, ,z ~~, ,. Z H NW a V Z ~ ~"~ U W~ W a LL~ a O 0 H '1C = N Z ,Y W~ = W OW H Q A f.. 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F^ a~ _~ 4 Z N ~ A }- Z ~ O U ,,., - ~ lr ~ ~0 ~ 1..11 W ~~ ~ Z ., ''2~ a N ~ w' e A Z , (fit 3 ''~ ~ pC ~ ~ Q W ~D O~ W ~0 .-+ Y -~ C` aL1 ~ f c W ~ J ~ r,a-~-~ ~° E ~ a o S o N 4 ~ a x 0 a W W LL A ~ O Li. W D Z r ~ ~ ~ J p Z Q W p LL U 4 w a J x .+ 40 ~ ~ '~ o K] y H j pp t+ C7 "" Z x r1 ~ ~ O d O aN~ R1 a~"~~^ H W W iG ~zog W N 0. J~ U W x U W a Z N r Q ne e. W 3 ~- O J ~ H Z }., ~" ~ N ~ O a- U N W J ~ H J N ~ > Z ~ W ~ rl Z Y L E T 6 X m J-~ 7 w a o T.. s F.. M E ~~ ~ f!1 ~ ~ ° Jor "- J U +~ h H "'~ L 3oa LL o- V.. p ~ o a' Q W o Ew..yN r V1 W ~"~ o H W J a (~ L Z w~a pG U U a a d t ,+ a ~~ o ~ n a c 0 m 0 T 0 Y v v t a a 0 a m 4 7 VI C •'I 0 H COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE EUFEAU OF INDIVICUAL TAXES DEPT. 280601 tiAFFIS6URG, PA X7128-0601 RECEIVED FROM: JAMES MATHEW COSTILOW 1 71 BIG SPRINGS TERRACE NEWVILLE, PA 17241 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-96) N0. CD 007817 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: ssN: 2sz-22-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 02/ 20/ 2007 POSTMARK DATE: 02/1 6/2007 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 101 ~ S 200.00 TOTAL AMOUNT PAID: REMARKS: COSTILOW JAMES M SEAL CHECI<# 185 S 200.00 INITIALS: AJW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS S ^ Complete items 1, 2, and 3. Also complete A. S' ature item 4 if Restricted Delivery is desired. 5 Agent ^ Print your name and address on the reverse ~z'~" ' ^ Addressee so that we can return the card to you. ^ Attach this card to the back of the mail lace, p 'by (P a '" h5~ ~ ~'` G.~D~te of Delivery ' or on the front if space pemtits. ~ gp -S 7 a7 -off ~ - c 1. Article Addressed to: ,, D. Is delivery adgiffere~f=#rom item 12 1] Yes -- - - if YES, enter-tle~ivery add~eas below: ~ No JAMES Mi~THEW ~: OS'i I i~7W ` '' `"~- ~ 171 BIG SPRINGS TERRACE _~-± ~` ~ NEWV IDLE PA 1'7 2 41 s. ~s~rype- ed Maii ^ Expr s Maii ^ Registered ^ Retum Receipt for Merchandise ^ Insured Mail ^ C.O.D. 4. Restricted Delivery? (Extra Fee) ^ Y~ 2. Article Number (transfer from service labeq 7 ~ ~ 6 2 7 6 ~ [] a 2 7 4 0 7 5 6 3 8 PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540 UNITED STATER PoSTAh SERVICE i iiii i • Sender. Please print your name, address, and ZiP+4 i this box • q ~ ` ~ ~' Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 First-Class Mai! Postage & Fees Paid LISPS Permit No. 41~ u liiSfiiSSi~IiFiF:4i'.fiiiiliiiil!!Si~3S..it£iSS~Si~iii}~iii3~3)Si~ Pa. O.C. Rule 6.12 STA/TUS REPORT REGISTER OF WILLS OF ~ `~'~ ~~'~'~~'` COUNTY, PENNSYLVANIA Name of Decedent: ~ /-~~ ~ ~~ ~~L''`~S Date of Death: ~ ~~ ~ l~ y~/ File Number: ~ ~~~ ~ ~ z Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete :.................... ~ Yes o 2, If the answer°is No, state when the personal representative reasonably believes that the administration will be complete: z~/oy 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... Yes ~No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account infornlally to the parties in interest? ........................... . .... ~I'es 0 No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Clerk of the Orphans' Court and maybe attached to this report. Dnre Signatur of Person Filing this Form Capacity: Personal Representative ~ Counsel ACS ~. Cc~S ~~ ~~~ ~\f~ J S ' If'~ ~:.?....G.. Name of Person Filing this Farm Address ~ ` ~ ~ ~ 1 .~ t~ / / v~.G/ Cj~ ~ L° ~ l Telephone Form R N'-! 0 rev. ! 0.13.06 ~" -_ __ _ - .--- - -. , _, -. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL raxes ~ , .- INHERITANCE TAX INHERITANCE TAX DIVISION --, r ;~°~``~ ~?!"E ~ ~~ . ~ STATEMENT OF ACCOUNT PO BOX 280601 _.. _ _` " HARRISBURG PA 17126-0601 ~"'~~~~' ~~ ~~ 200? .I~~ 26 Pi~~ 4' 3 ~ JAMES M COSTIL~~r i `=., ~,+~, 171 BIG SPRIN~y~~R NEWVILLE PA 17241 REV-1607 EX AFP C03-05) DATE 01-16-2007 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 01-16-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SNOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): 6,355.92 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID *** SUMMARY OF LL 010 PAYMENTS *** 12-17-2006 .00 2,050.00 INTEREST IS CHARGED THROUGH 01-31-2007 TOTAL TAX CREDIT AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE. SEE REVERSE ~ TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 2,050.00 4,305.92 2,841.23 7,147.15 ~b ' EA~Tr CF PENNSI'LVANIA -~_~. FTP.IENT ~F fiE~/ENUE ~~.:hE .F INDIbiCi~AL TAnES zFT -c0601 7 .=AI Sc OF G, PA 171;'8-Oo~~l iitCtIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 007898 JAMES MATHEW COSTILOW 1 71 BIG SPRINGS TERRACE NEWVILLE, PA 17241 ACN ASSESSMENT AMOUNT CONTROL NUMBER ---------- -------- FcTATE INFORMATION: ssN: 232-22-7a7~ FILE NUMBER: 2199-0298 ' uECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 03/14/2007 °OSTMARK DATE: 03/1 2/2007 C,~uNr~': CUMBERLAND u,~. rE of DEATH: 01 / 1 6/ 1 999 RFMARI<S: CHECI<# 1 670 si=h~ 101 ~ $ 200.00 TOTAL AMOUNT PAID: REV-1162 EX171-96) S 200.OC) INITIALS: CJ RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~, ~`~ ~ ~, v •• ~ ~.~ o d d ~ E LL T a F- n w J W x o a ~ a o a 7 a W O N ~ Q i~ v W S •.~ I~ O~ 00 q y ~ a' F,_, M 3 O 0~ O~ Z N N~ o J aEi Z J O r O ~ 3 ~ ~ ~ a w o W ~O 0~ W ~ J U '~ w H N ~~ O~ ~ .-~ c J 3 O r N Q •--~ r+ O o ~ PO U a " o f o N U~ e~ a W a w a } ~ C] O a = a oeaw Z F a OC a w J J „O,i aw Z w w Y H~~ ,~ N W H ~ J Z ~~ O q~ U ~--~ CO J O ~W a ~ LL ~ = CDFQ' a Z W ~ U ~~ Z~ U ~ U U a ZpC a W a W W Z W a W W aw c~LL aa,a~'o~ a LLo zo g w q w U a ~ r Y 0 f vi H Z Q~ W ~ ~ W~ = W h 3 a Z ~ +~ Zw H a c fq H ~ Z y u u O m L 7 ~ O a N O r .~ y ~ti a C ~ N L w ~ 3 H O t' ~^ J U' a X ~ Z o Q H r~ ~ ~ N ~ a O a ~z U N ~ j ~ ,°e W ;. ,. ~ A N ° ~ S C9 ' J~,.. ,~ ~ > r~-i N -. ~ -~ .J ti zx g ~ 3 ~ .. ~ ,., as QQ I~ W QN~ ~v '~"~ ~ Z Q ~ K y ~ W m R' 2 1QQ~ PA ~ 2 ~;, .. %~ e n ~' 'i t-) C )11~..s ~~~ Iii ,, ~'l~ ~ 1 € ° ~ ~' Y ka k .5 N ~ . j~'_ a s 7 5\ ~' ~~ 't~ _~~ i. r, ~ `~~ z3,3 s ., \~ 3 ~ Y ~`"~.. 1., ;~ -~ .~ ~\ q~ 4 ,.~ ~ . ` 1 C .~~,~ \' "~` ~~, +~,~ W ~~~~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD 008034 JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 (old ESTATE INFORMATION: ssrv: 2s2-22-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 04/ 1 6/2007 POSTMARK DATE: 04/14/2007 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 REMARKS: CHECK#192 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ S 200.00 TOTAL AMOUNT PAID: INITIALS: JA $200.00 SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS f ~~;. ~';. ~,. ~.; ``,; r, °`i CCJ ~f ~~r r? ~, :Za ~` ~~ N '^` 1 ~ n (~~ ~ V , V G v ~ c v ~ ~M ~ ~ ~ ~ ~ ~~ ~~ ~ 1~,`t` ,~ ...~~ ,~'~0~ -r _. ._I i~rA .J w" ~~++ ~ {{ rt L lu ~ : Yom, ~ ~ (~ I ~~ ~:c .t ~. e M R v t W J .,_, e a :°. a o W ..,:, ~ aaZ N N O J ~ W ~D O+ W = N O~ Rq ,~, ~ ~ ~ o .r f O N V .-~ :.~ ~ _ ~ "= a W ~' a ~ ~Z XO O A~ W Q ...,: Z~ HV FOZ~ "'~' W W Q W Q W W Z ., ~~ ap AWQlLC14 J ~ ~ W C~.! O W N a ~..a." Z Q ~-~ 0 N `~~ _rp~ ~ fem. ~ ~'' ~ ~', O ., N _ .. ~ ;.~:{ ~ •~_ a ~...~ ~ ~ ~~'"' 3 H .p.} X p ~ H Z ~ F- M V1 ~ O ~ Rzp ~ V N ~ w ~p N~ ~ E(~J MG ~ H J N pq N Zx ~ W > ~"~ ~ ., a E ~"+ 3 ~W~a Q 1~ W 7 r-1 Z Q N ~ ~Wa~O~ m~zia°s 0 ~"' Z W a d H W 9 Z A~ Q Q W J a d Y V W V W Y F W V1 0 F- M OL ~-1 t/1 ~ o J O f~ J (,~ ei H ova oa oc¢u N W f ~C.1( COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ~;~, r -- ,~,.- INHERITANCE TAX INHERITANCE TAX DIVISION -'- 'STIITEME N T O F AC C O U N T PO 60X 280601 _ ~ IMRRISBUR6 PA 17128-0601 - .. ZGQ7 BAR -5 P I : 22 C~~ iii {~ OR~f' ^,i~1 C rte,({fir JAMES M COSTILOW C~~+ti,,~. 171 BIG SPRING TER ~~ ~'{ NEWVILLE PA 17241 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ^** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 02-20-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): DATE 02-20-2007 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Rewitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REV-1607 EX AFP C03-05) 6,355.92 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID *** SUMMARY OF LL 011 PAYMENTS *** 01-16-2007 .00 2,300.00 INTEREST IS CHARGED THROUGH 03-07-2007 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* TOTAL TAX CREDIT 2,300.00 4,055.92 2,871.49 6,927.41 BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN I1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~b BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 ._~ ~-- ga.3 C JAM M COLDW 171 $fG S~P~`IiVC~ TER NEWVIk?LE ~'l'`_'.'-- PA 17241 ~J (_:~_ `. L~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP C03-05) DATE 04-09-2007 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 CDUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: ` REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. REV-1162 EX(11-96) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0 60 1 RECEIVED FROM: JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER told TOTAL AMOUNT PAID: REMARKS: SEAL CHECK# 247 INITIALS: DM RECEIVED BY: AMOUNT $ 200.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS NO. CD 008165 REGISTER OF WILLS ,~ ~~• ~~ ~ ~_ ~ , . ~, '~ f 1' i ~ l~~l.~r'1 1 }r~IC ~ 1 -. n C\ I< < 1. ~~' ~c~ - ~ ~ ~ N ~~ ~ -~ ~~~ J o ~G`' ~ N V" rt T S < W V. 1.: ._, v \ V V I . V r ,` a ti." a ^a ~,~ -a :-j ~ T - ,t~. .,, , ~_ ~~~ '~~~ ~~~ ~~~ ~A ,, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER fold ESTATE INFORMATION: ssly: 2sz-22-74~i FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 06/14/2007 POSTMARK DATE: 06/12/2007 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 AMOUNT 101 ~ $ 200.00 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK# 254 S 200.00 INITIALS: AJW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1162 EX(11-96) NO. CD 008290 REGISTER OF WILLS ~"? ., ° ~. ~~ 11~ ~f i~^! w -_ 1 ~ , `~, .~ ~ ~ '~ • O ` ~~ ~" 1 ~ -` Na [\p , V N ~~ ~ ~ [-~ , ~ ~ ~. ~~~~ 4M' ~ J ~J t• ~` ~~ .,..! .,..} i...it/ i:i.i i't't ~'il sd} ..} ~...~ i'' .j..y ., e M d LL Q W r 0 oe a Z ~- ~ W Q V Z ~ ~ („~ WZ W Q LL ~ Q O O ~ ~W ~Z WZ = W Z oQ ~ Q H Z N O U 4 O I ~ r ~ Q`.. ~. C£ ! # ra a tt~~ ~ ~ ; C'\ ~t~ I `~,; v W O vk.'~L T Z r 0 0~ N Q ,+ A N V! ,..~ o f E Z m 3 ~ ~ OC ~0 O~ W ~ Q oe .-i W .a o~ ~ N c J ~ ,~ to Q .a •~ ~ ° ' 0 oai o Z o N U "~ Q ~ > N a a W W ~ LL A 00 U W S U W O Z ~ W a W W Z W ~ V J y Q i O Q - Q p W A Li V Q S N W J Q O C ~ y o A N p'~ ~ m ~.1 ~ N Q ~ ~~..a o d r N 7 W~o~ ~ W o0 0C Z RQQ' {gHdS N rl a ~ a W 3 F- O ~Jr 2 F- ~+ N ~ U V1 W E O J H J V! OA H W -~ rl Z r C • E T m a x A r L W A N O r 3 I-' M1 E ~ „'~ L y ~ 0 0 J O -~ '~ J U r+ h r+ .N 3V< +' w a w O Z o oe a w `o W JJ „a f- OC N r Vl W ~-+ ~ HpAJ a CD Z fY W ~ Q ~ OC U U n a m r M E a H r c 0 v U N 7 O a O r r 9 m u m a O L a m N C M O ~"' W F O Z _ _ _ _ _ _ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHE. R~TANCE TAX INHERITANCE TAX DIVISION '' S TAIL MEN T O F ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 REV-1607 EX AFP C03-05) DATE 05-21-2007 =~?9~ ~~~'~ e ~~ F~~" ~ ~ MATE OF MATHEWS OPAL M DATE OF DEATH O1-1b-1999 i - FILE NUMBER 21 99-0298 .r. ~F~' ~'_~ ~' ~~ .~Y COUNTY CUMBERLAND JAMES M COSTILOW ~,~ ~ - ,,;,ACN 101 171 BIG SPRING TER ~''' Amount Remitted NEWVILLE PA 17241 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper eradit to Your account, submit the upper portion of this form with Your tax payment. CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 05-21-2007 THIS STATEMENT IS PROVIDED TO ADYISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAME11 ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID *** SUMMARY OF LL 014 PAYMENTS *** 04-14-2007 .00 2,900.00 6,355.92 INTEREST IS CHARGED THROUGH 06-05-2007 70TAL TAX CREDIT 2,900.00 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE 3,455.92 INTEREST AND PEN. 2,940.67 TOTAL DUE 6,396.59 ~ IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN 31, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 2 8-0601 i RECEIVED FROM: JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ss-v: 2s2-22-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 07/20/2007 POSTMARK DATE: 07/19/2007 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 ACN ASSESSMENT CONTROL NUMBER REV-1162 EX(11-96~ NO. CD 008436 AMOUNT 101 ~ $ 200.00 f TOTAL AMOUNT PAID: REMARKS: CHECK# 203 SEAL 5200.00 INITIALS: CJ RECEIVED BY: GLENDA 1=ARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS 101 I 5200.00 ESTATE INFORMATION: ssN: 2s2-22-~a~i FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 06/ 14/ 2007 POSTMARK DATE: 06/12/2007 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 16/ 1999 1` lA ~1 2Q07 JUG 201 PM I ~ 40 CLERKS OF ~~,! L, TOTAL AMOUNT PAfD: ~ ` 5200.00 ^11~1r- ~ '~~ MI~M .. ''~ 'W ~~ ~ c~J ~~ •r9 ~' fi~+i, ~ ~` N ~ ~ ~- C ~ N v~ ,,lS~ . ` ~~~~ LU~~ JUL ZO (~ ~' ~U ~.... CLARK QF "~' ~UP:~; ~ ~'. a ~ •~ ~~ .~,~; , Fri ,. r..: ~, :., cn `.. M ~ .~. ~ ~ r ,Q v .~. -~ Y ~ ~~ O "~ \- ~ ` {./~ ` ~~ ` ,~ ~ ` ~ f ~a~ ~r~ ~ \ ` V i '~ Z. ~b.. .~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES - ~ ~ ~,P ~ ~ y--~,- - .INHERITANCE TAX INHERITANCE TAX DIVISION '._~~ ! -' S'Tp%TEMENT OF ACCOUNT PO BOX 280601 - -- FWRRISBURG PA 17128-0601 2C~~? Jt1L i 3 Pik I ~ ~5 i^ ~' f''~ L,l F~ft~ ~Jf JAMES M COSTILOW ~iORF~; ' ~\~~~'FT~ ~, 171 BIG SPRING TE'R~ NEWVILLE PA 17241 REV-1607 EX AFP (03-05) DATE 07-02-2007 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE -~ RETAIN LOWER PORTION FOR YOUR RECORDS ~- --------------------------------------------------------------------------- REV-1607 EX AFP C03-05) *** INHERITANCE 7AX STATEMENT OF ACCOUNT ~~~ ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 07-02-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): 6,355.92 PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID *** SUMMARY OF LL 016 PAYMENTS *** 06-12-2007 .00 3,300.00 INTEREST IS CHARGED THROUGH 07-17-2007 TOTAL TAX CREDIT AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ^CREDIT" CCR), YOU MAY BE DUE A REFUND. 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K `+. ~ a ~ m m m A V. 7 m 3 7 < m < m~ rt o o ~ ~G w~ w e ~ c x ~ ? S a v o ~* m m ~ m .] ~ 3 ~ ~ y, d d M `+•A3 ~ 9 O' 6 o w m a W < N m m ~ rt < ~ rt N• .• Q ~ ~¢ d ~ o 9 K m n w m '~ y X rt .- ? c v ` ~ ~ °. n a rt o m ~na~ N. o E `~ a' m m ~ rt z "' a .+ o n O m s~ ~~ ~ ~ a ~ ~ w. O ~ O (] ~ 3 N ID 0 7 0 A 3 VI 3 G y w v ~ ~ i m ~ n ~ n m m rt m em ~ y °- od rt a m m< m ~ o a s ~ m w d N. y m ~ ~ ~ r ~ m .* a '^ 3 D- d m r > > m n rt o ~ C CPAMONI"/EALTH OF PENNSVL'/ANIA DEPARTMENT OF REVENUE ~ "oUR EAG OF INDIVIDUAL TAXES DEPT. 280601 H ARR~~SBURG, PA 17128-0601 RECEIVED FROM: JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: 232-22-7471 r FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 08/14/2007 POSTMARK DATE: 08/1 3/2007 I couNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 REV-1162 EX(11-96) NO. CD 008543 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 5 200.00 TOTAL AMOUNT PAID: REMARKS: 5200.00 CHECK# 258 INITIALS: JA SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~ S 200.00 ESTATE INFORMATION: Ssty: 232-22-7477 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 09/ 1 2/2007 POSTMARK DATE: 09/1 1 /2007 couNTY: CUMBERLAND DATE OF DEATH: 01 / 16/ 1 999 REMARKS: CHECK# 213 SEAL TOTAL AMOUNT PAID: $200.00 INITIALS: JA RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1162 EX(11-96) NO. CD 008666 REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ~~~ ,G -''r'F =!("` ~ !~`,'~INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES - INHERITANCE TAX DIVISION ;..'.; ~„, ., STATEMENT O F AC C O U N T PD Box zaosol HARRISBURG PA 17128-0601 (~~ ~^'/ (1= C4r1 ~ 'iii ;DT n~ ~~, ,- U. r JAMES M COSTILOW 171 BIG SPRING TER NEWVILLE PA 17241 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF MATHEWS OPAL M FILE NO. 21 99-0298 ACN 101 DATE 08-27-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): DATE 08-27-2007 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REV-1607 EX AFP (03-05) 6,355.92 PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID *** SUMMARY OF LL 017 PAYMENTS *** 07-19-2007 .00 3,500.00 INTEREST IS CHARGED THROUGH 09-11-2007 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* TOTAL TAX CREDIT 3,500.00 2,855.92 3,003.23 5,859.15 BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN 61, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-96) NO. CD. 0.08838 JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 --'--~-' fold ESTATE INFORMATION: SSN: 232-22-7471 FILE NUMBER: 2199-0298 cirCEDENT NAME: MATHEWS OPAL M i~,?TE OF PAYMENT: 10/22/2007 LGSTMARK DATE: 10/20/2007 couNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ S 400.00 .. TOTAL AMOUNT PAID: 5400.00 INITIALS: DM _ _ ._-. RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS ~ - - REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISIDN PO BDX 280601 (~ ~ HARRISBURG PA 17128-` 4,81 } ~'~ DER ENT OF REVENUE I itITANCE TAX " STATE ENT OF ACCOUNT REV-1607 EX AFP (03-Q5: ESTATE OF ~~RT/~W~~ OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 GOUNTY CUMBERLAND JAMES M C05TILOW ACN 101 17,~j BIG SPRING TER Amount Remitted NE~IYILLE ,_ ;`,;' PA 17241 - ~- `'~-' MAKE CHECK PAYABLE AND REMIT PAYMENT 70: . _ _ ' ~. ~ - - -. REGISTER OF WILLS ,_ `-' - ~._:_ `' GUMBERLAND CO COURT HOUSE -~ :._:; ~~: CARLISLE, PA 17013 N07E ~o insu ® ~^oper credit to your account, submit the upper portion of this form with your tax payment. r_ .. _.., ~~°~,12~ 54 ~~ ~ ~ `r~~ u~ ~~,~: ~ ~~~ ~ ~~ ~- ° ~' ~s s j -~', ~~ ~ S N~c. ~ -_ fi ti •,;~ ..ri ~~, (,`a ,,i' u yam, +.. ~• (~'`~ \.1 ~~..~ VVV i s .. r .+ r ./' .t ,. r •~,,,• 1 ~ ~~0. ?1 1 3. t ~~ "~° ~`? ~~ P`` k y. s ~, ~y 'r*y ~ E"'~ •,~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT JAMES M COSTILOW 171 BIG SPRING TER NEWVILLE PA 17241 ,• REY-1607 EX AFP (03-05) DATE 10-09-2007 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to Your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~-~/ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 10-09-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID *** SUMMARY OF LL 019 PAYMENTS *** _ 09-11-2007 .00 3,900.00 INTEREST IS CHARGED THROUGH 10-24-2007 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* 6,355.92 ~--., '~: ,_~ _.,, . .___~ _, .i - ~:: . ~ ~_ -, ..~ ~- ~ - '- -, .. t~ ~~ TOTAL TAX CREDIT 3,900.00 BALANCE OF TAX DUE 2,455.92 INTEREST AND PEN. 3,025.10 * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 5,481.02 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN 61, NO PAYMENT IS REpUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR). YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) n 0 M v a 4 0 b J 4 O O~ 00 A Y ~ O+ Z ++ s+ G a` N a J ~ i N 3 ~ ~ W a O ~ ~ O N v s r Z ~ W W J Z ` C ~ O O YW ~ a V W W O Z h. Zy~j ~~ ~ V s~ W 4 W W Z --F'4~o~ au. W VLL pWAwe~4 ss. ° ~ ~ O r f' F- N Wa ~~ 3 ~ ~~ L7 ~ t.>a A !~ yam( 4 r 4 =o ,°o ~ H C Oy H~~, ~ N H O ti i ~~tt ~~aa O~a°p~ ~ N O ~ W x s~aHn°.$ O r Z W Z 4 d r }+ s W OC i Z 4 W J~ Ja t~ W Z V W 4 z l33 N h- .+ 4 Z 0. W r O Z H O N W J ~ H J ~ ~ 7 ~ .-~ 3 ,~ ~.. W .-~ ~ Z Y C 0 E N 6 x A r ~ ~ ~ e W c 1 ~ ~ o t ~ s ~ s 1^ M E ~ ~ ~ ~ L { } JOY ~ ~ J t] .Ei Q ~ ; H t 3vQ y a0 ~ ocaa o w' _ C a W ~ J J ,~i oC r ows L ~ H W W ~ 4 ~ Z ~ V V p Il. a ~ Z m Q t ~. ~ p g a ~ oc a o Z V Y A ~ 7 F o ~ T ~ 0 v a, _ ~a m m a 0 a 0 a c ~ O H w 0 Y '~{ q Cdr 12`. t~~! ~. ~'t. ~,"' ~~ n~ W ~`~ ~ `. ~, V V ~~ N ~, `~ h~ i». ~ '~~ ~~~" (' .~. ~- ~ € C Z00~ NAY 14 PM ~= 49 ~.l1.tw~Q ~~,V ~~~RU4PtD ~~'}' f \~ `... r"'f \. . O ~~..._ ~ ,~ ~ ... "~... f ~s ~ 4 •r~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 008973 JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 fold ESTATE INFORMATION: ssN: 232-22-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 1 1 / 14/2007 POSTMARK DATE: 1 1 / 1 312007 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 REMARKS: CHECK# 282 ACN ASSESSMENT CONTROL NUMBER REV-1162 EX(11-96) AMOUNT 101 ~ 5 200.00 TOTAL AMOUNT PAID: $200.00 INITIALS: JA SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TANCE TAX BUREAU OF INDIVIDUAL TAXES per{'.-{,~~~ ~~~yt~t' INHERITANCE TAX DIVISION _ ~~~~ 1~ O F AC C O U N T ""~ F, , PO BOX 260601 -~ t , I t HARRISBURG PA 17128-0601 ~~--~-`" - ' '"' "" REY-1607 EX AFP C03-05) ATE 11-26-2007 Z~0? DEC .-"~ RM I1' 4~STATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 ~~[(~E{ l;;`- FILE NUMBER 21 99-0298 ~j,~~;'~'>>~"`, ["~^_J,~~T COUNTY CUMBERLAND JAMES M COSTILOW ~ +F '~=,~\ ACN 101 „~ . 171 BIG SPRING TER Amount Remitted NEWVILLE PA 17241 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 11-26-2007 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): 6,355.92 PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID *** SUMMARY OF LL 020 PAYMENTS *** 10-20-2007 .00 4,300.00 INTEREST IS CHARGED THROUGH 12-11-2007 TOTAL TAX CREDIT AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE LS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 4,300.00 2,055.92 3,046.36 5,102.28 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT" OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 009074 JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 fold ESTATE INFORMATION: ssN: 23z-22-~4~i FILE NUMBER: 2199-0298 DECEDENT" NAME: MATHEWS OPAL M DATE OF PAYMENT: 1 2/ 1 3/2007 POSTMARK DATE: 12/12/2007 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 REMARKS: (:HECK# 286 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 5200.00 TOTAL AMOUNT PAID: INITIALS: AJW REV-1162EX(11-961 5200.00 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS USA FIRST-CL Fd;~gEVER a~~`• ~~ ~u~ r ~x4 ,fit ~; _,! ~"~~ ~.,~ ~, ~' ~=~~ .. 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CD 009179 $ 200.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ACN ASSESSMENT AMOUNT CONTROL NUMBER .. COMMO ~' DFPENNSYLVANIA DEP "NT~OF REVENUE ~~s ,; BUREAU OF INDIVIDUAL TAXES I ITANCE TAX INHERITANCE TAX DIVISION ° S TAT Po Box zso6ol ~ EMENT OF ACCOUNT HARRISBURG PA 17128-0l~1 ~~ ;:~, Fx ` l ~~ REV-1607 EX AFP (03-OS) DATE ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 JAMES M COSTILOW COUNTY CUMBERLAND 171 BIG SPRING TER ACN 101 NEWVILLE PA 17241 Amount Remitted ~OU, d a MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form, with your `tax payorent. ,.,.T ......,. .... ~.... - --~- -- - ----- Ccy~~ lam: ~~~~.~:~~~..;~~. ~~ ~. ~ ~. ..~'"°`~~ //f~. /,r ~:~.~ ~-Ly%5~ of" ~~ lls ~' ,- l,~s ~-e , ~i9 i~b ~ 3 i ;•,,,;~,:~-~-.~.•~•' 1.,.Iii,~,IIL„,„II,,II,,,tl„~11J,1„„I,II,1„I,t,,,,li~l COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: 232-22-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 02/ 1 2/ 2008 POSTMARK DATE: 02/ 1 1 /2008 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 16/ 1999 REV-1162 EX(11-96) NO. CD 009296 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ S 200.00 TOTAL AMOUNT PAID: REMARKS: JAMES M COSTILOW CHECK# 195 SEAL INITIALS: DM RECEIVED BY: $200.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS -CO t BUREAU OF INDIVIDUAL TAXES ItpfRITANCE TAX DIVISION PO BOX 280601 ~ HARRISBlJR6 PA 17128 `~ ~~ I sTAT (~~ l 'k' ~t5 n ~ ~` ~' JAMES M COSTILOW " '' ~R~'~' R ~ ~ ~ , ~-f,- 171 BIG SPRING TER ,.-;-~ ,_ , ~, = nx. NEWVILLE P~~3~~'241 ~ ~~ ~' ,~,OF <~PENNSYLVANIA NT OF REVENUE s,. [~TANCE TAX T OF ACCOUNT REV-1607 EX AFp (03-05) DATE ESTATE OF DATE OF DEA' FILE NUMBER COUNTY ACN ~- MATHEWS OPAL M TH 01-16-1999 21 99-0298 CUMBERLAND 101 Amount Remitted z-~ ~, ~c~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ~ NOTE: To insure proper credit to your account, submit the upper portion of this form, with your tax payment. -- _ . ... ' .... ~~~` F~~t~; ~`~'f'° FHB (2 ~. Qri,~'''~% __ ~~ aF ,BUR. ~~ ~~ +M ~~ r... ,. 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L a W O ~ N T ~ O +• W ; ~ F- M ~ ~ E Z y ~ o c a J O n J U ~ W ~ ' J 3 U Q ~ tL a ,. ~ O A a Z ~ a oc Q w W J J U w W J ' W = w~a U OG V U W a s COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-961 NO. CD 009401 JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 fold ESTATE INFORMATION: sSN: 232-2z-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 03/ 1 2/2008 POSTMARK DATE: 03/1 1 /2008 couNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 REMARKS: CHECK# 207 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 5200.00 TOTAL AMOUNT PAID: 5200.00 INITIALS: AJW SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE -_~ - INHERITANCE TAX - STATEMENT OF ACCOUNT REV-1607 EX AFP (03-05) [- r" C~ `~, 'J ~-, -•- JAMES M COSTILOW ^i' 171 BIG SPRING TER NEWVILLE PA 17241 DATE 01-22-2008 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE --~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 01-22-2008 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): 6,355.92 PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID *** SUMMARY OF LL 022 PAYMENTS *** 12-12-2007 .00 4,700.00 INTEREST IS CHARGED THROUGH 02-06-2008 TOTAL TAX CREDIT AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN 61, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 4,700.00 1,655.92 3,064.20 4,720.12 ~, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX INHERITANCE TAX DIVISION S TA T E M E N T O F A C C O U N T PO BOX 280601 HARRISBURG PA 17128-0601 1 ~ ,,; _: - ,~- -- --, t'- .,i'-~ _ JAMES M COSTILOW 171 BIG SPRING TER NEWVILLE PA 17241 DATE ESTATE OF DATE OF DEA FILE NUMBER COUNTY ACN C REV-1607 EX AFP (03-05) 03-03-2008 MATHEWS OPAL M TH 01-16-1999 21 99-0298 CUMBERLAND 101 -Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~--- RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *~* ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATETESHOWN BELOW008 IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID *** SUMMARY OF LL 024 PAYMENTS *** 02-11-2008 .00 5,100.00 6,355.92 INTEREST IS CHARGED THROUGH 03-18-2008 AT THE RATES APPLICABLE AS OUTLINED ON THE TDTAL TAX CREDIT REVERSE SIDE OF THIS FORM.* 5,100.00 BALANCE OF TAX DUE 1,255.92 INTEREST AND PEN. 3,073.40 * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. 4,329.32 C IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), '~ YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ACN ASSESSMENT CONTROL NUMBER -------- told ESTATE INFORMATION: SSN: 232-22-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 04/ 1 4/2008 POSTMARK DATE: 04/1 1 /2008 couNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 REV-1162 EX~11-96) NO. CD 009548 AMOUNT 101 ~ 5330.32 TOTAL AMOUNT PAID: REMARKS: SEAL CHECK# 218 INITIALS: AJW RECEIVED BY: 5330.32 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS Qyc ~` ~ ~ ~ N ~ ayG N p ~ 'aft O 9 ~ i~ p ~ G N N ~ G` o .+ ~ r Ya -/ ~ ~ 9 ~ ~ ~ } .. w G1 ~ ~ G -~ ,, " ~ ` r ~, 4 ~ ~ _ ~w~ ~'. ..; ~ s fi .. C. ~ ~ ~ ~ } ~~{ I- ~ -~ Z sp ~ ~ p a .. ''' ~3 R~ 3r ~. a Z ~ s~ ~ ~ °. ~~ x.~.. -~ .~ ..- 0 9Zpe~ -0 d ~~ ~ Z ~ t1 7 c+ ~ ., ~ N _' "'~ ~ ~ y Z Z ~ G ~ ~ ~z ~ O Y- `' ' ~-~ ~ ~ ~ ~ c- ~'~+ s ~ ~ ' ~ ~a s `~; " y0 ~ ~ ` ~ o W ~ h~ 1T ~+ 9y o y v d O ~ ~ ~ ~ ~ £ - ~ C..,J ~ `~ t 1`s T < '9 O £ ~ ~« to ~ N o W ~ ~ N ~ ~ , ~ j3:, ~ n ~ y ~ ~, ~ as ~ ~ w ~y ~ ~ d V'~ ,.,,, ~ t, ~ ~ i ,~ i.:~ c G N ,~ 70 ~ o. A~ A r. ~ ~'~~ to 3 '"' •r~ G y d o r Q ~ •p i ~~ ~ 91 yro 3 R- w Z ~ o i J _- O ~ '~\ TJ ~ 'i"" S ~. r~ ~ °~ ~~ ~3 s `; ~~ ~~~~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 009715 JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 fold ESTATE INFORMATION: ssrv: 232-22-747 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 05/13/2008 POSTMARK DATE: 05/12/2008 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 REMARKS: CHECK#107 SEAL ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ $350.00 TOTAL AMOUNT PAID: INITIALS: CJ REV-1162 EX111-961 5350.00 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS L 'D H p0 A ~ S C mx~m D C N D C c~iono Z r L amt <~m ~ ~e r r-i Qo ~ H rc'~a o yo m o. .+ C fn (7 ~ _ ~ ~ O ~ ~ a Z ~ m c~ r ti p ~ f m -o ~o ,~, ~' c`7 , ~ _~ N ~~ Cam.? ^a. - ; l r '""~ .:~ i~ ~ ~ ---,, °`? - ;%~ _ C7 ~I ~' ° s ~ ~ a cn m m -~ r ~ 3 -~ .i 0 a ~o~°sti°a -°~z o-n ~c z c r -~ -i -i n ~ m zmm3+m am ~m z Dcm ~ < z o m n-I <y ~~M m s T o p~ Z~ c~ to d T C c r' n~ -~-~ ~ m m Z m a -rm ~ a -1 2 ~ " 1 p D, d O ~ T D G p r (7 N 0 3 0 D (~ ~ ~ c o C r r D .C~ ' p ~ r ~ r 3 ~ --~ ~ H m (~ '* po ~O r 2 N rc~r V A m~oo.m~- .i O r a (~ m ~ ~ ~ ~ o C fn d ~ r o r (q N r 7p D N ~O o W -1 ~ `* Z ~O ~D O m d OD ~O OD = 3 a p ri C ~ N m ~ ~ . 3 ~ ~ m A ~ = r m ~ X D ~ ~ - O •• o 3 'o a~3 ~, ,r~; '~" ~ ~~` r: ~~ ~~~ F ~~ 6 ~~ t'' ;xaS ,rY ~. :~+ `-,~'~ ~ ~,` Fr ~: x,4 ~-rt ~ , ~ 0 L ~ ~~. ~ , {~ . V \ ~ ~, a ~ ~ ~~ \ \~ - ~ .. ., 1 _ n [[''}}~~ ~~ K /of 1 "~ r" ~\ i ~, 'c7 3 ~ ~ ~ `~. ~ A~ ' ~. ~lI ~ i'{ ~~$ l~~t ~;s .~ USA roc. ~..__ ' BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISIDN PD BDX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX $r~TEMENT OF ACCOUNT '* REV-1607 EX AFP (03-05) 10U~ ~PR 28 PM \: \ 3 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-21-2008 MATHEWS 01-16-1999 21 99-0298 CUMBERLAND 101 OPAL M ('Lb:-~;\ OF v _,,\ ("',,'"\1, \OT ODOl~tJ< "', \, :.j'.)i 1 1\1_ \_,_"", "1(':- Ol'~ JAMES M COSTILOW '"'I \' 'C. . , IV\..)' 171 BIG SPRING TER NEWVILLE PA 17241 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF MATHEWS OPAL M FILE NO. 21 99-0298 ACN 101 DATE 04 - 21 - 2008 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION DF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE. A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: 6,355.92 PAYMENTS (TAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 03-11-2008 *** SUMMARY OF ~LL 025 PAYMENTS *** .00 5,300.00 INTEREST IS CHARGED THROUGH 05-06-2008 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* TOTAL TAX CREDIT 5,300.00 BALANCE OF TAX DUE 1,055.92 INTEREST AND PEN. 3,083.06 * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL DUE 4,138.98 ( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YDU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENU:~=-~~ BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 71 2 8-0601 RECEIVED FROM: JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EXI11-96) NO. CD 009871 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: SSN: 232-22-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 06/ 1 1 /2008 POSTMARK DATE: 06/ 10/2008 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 101 ~ 5200.00 TOTAL AMOUNT PAID: REMARKS: JAMES M COSTILOW CHECK#117 SEAL INITIALS: WZ 5200.00 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~t~ ~ '.1111 4 ~ .. r. :,- = (`'ri .^l ,~1 -~ _. .. ..,lW t ~ ~ c.~y.~ 1r~..• ~ ~~o~ ~u~ ~ r„ O ~ 7 3 `J 'l)I ~ (~ -,.~, ~1 ...r F~ ~ X44 w r ~~ ~ ~...r ~~ t„ (~ ~:~- ~'+~+" r ;~: --~~. ~~ „1~.. E 0 0 a 4 W 0 :° Q a 0 ~ p a+ t ~+ 4 ~ ~" ..- m ~~~ 3 ~p~W ..+ W ~ T Cn ~ G 1 O aoNVr+ 4 4 ~ ~ z' Z ,~- ~ W ~ ~ a zw ~ u-ot ut 4 dw ~ ~-. °. ;.; Q l f% '"~. ~~; ~ ~.^i, ~4 ,~.d v .,.., E S is! ~ ` ` -_~. trti n`J} t~t;~ ~.r-1 ~__._ `+ ~~ ~' -~` i ..,..., ~ ~~ ~ ,~ ~` ~~ ~.. . ~~ x W ~ ~' A O ~~ o z ''' r W AWR ti,' :mo; .._ aR~'H~ W Q A ~. to T a ~. Y 4 ZO d H 0 / H ~ 7 N pA ~ x '' a a Hr ~y w C Z m ~ G N m 7 HXy ~ ~ ~°'» a O < m H d x O Y y 1t 'S 1 Q a ~ ~ a ~ ~ o~ \ `~, 4 ~1 d a V a ~% C ID 6 ~. . a.. . ~ ~ :. L 7 N T o s 'a ~M-' o N~~ y- ~~` 3~ Q ~ v a. o ~/ Q J ~ YaN t H~~ a W~a m aVC~ a a a .~ N .~ X 7 O V V l 6 ~ V o ` 1 T o ~ ~ ~ . ~ ~~ ~ ~, ~ ~. ` ~ c~ ~' ~,d t=~ a r' ~ O -.. ~ ~ '~" - ~ ~ ~ J __ H y--' .--- p, -~ o ~"`' C7 ~ -~ ? ' . `~ ~, ~,'~ ~ } :~ 4 t y .y r"" a Z F COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES t~~R2~Td,NCE TAX INHERITANCE TAX DIVISION ; STATE ME NT ,O F AC C O U N T PO BOX 280b01 ._ ., HARRISBUIRG PA 17128-0601 REV-1607 EX AFP (03-05) ~€~ra (l iii l&} /~~',; !'~ ~. n+IE •rE 06-09-2008 / ! ESTATE OF MATHEWS OPAL M ~, _,_,~ -. ,_ DATE OF DEATH O 1-16 -1999 ~~, ~ ,~,~. FILE NUMBER 21 99-0298 JAMES M COSTILOW - -,p,000NTY CUMBERLAND `~ ACN 101 171 BIG SPRING TER Amount Remitted NEWVILLE PA 17241 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE --~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 06-09-2008 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELDW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJE(:TED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIIPAL TAX DUE: PAYMENTS (TAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID *** SUMMARY OF LL 027 PAYMENTS *** 05-12••2008 .00 5,980.32 INTEREST IS CHARGED THROUGH 06-24-2008 TOTAL TAX CREDIT AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE INTEREST AND PEN. ~ IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS RECUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 6,355.92 5,980.32 375.60 3,085.41 3,461.01 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ssN: za2-22-747 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT; 07/ 15/2008 POSTMARK DATE: 07/14/2008 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 ACN ASSESSMENT CONTROL NUMBER REV-1162 EX(11-96) N0. CD 010018 AMOUNT 101 ~ $ 200.00 TOTAL AMOUNT PAID: REMARKS: JAMES M COSTILOW CHECK#124 SEAL INITIALS: AKK RECEIVED BY: 5200.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS ~ ~ ~~ ~-~ ~,~~ Q ~, :~ ~ ~ ~~ -~.. 1 `~~ ~a~ ~,: t ~ ~: •~~ ~~~ ~ , V ~ f ~ `tF S ~ ~ ~ ,, ~ ~~. ;.a ~. ~ ~-~,` `... ~ c ~ r *; rw+ ~ Y ~-~ 'xy'.. ~"~ ~\ ~ ~ \ ~~~ ~~~ rw'w r_~• ~ _ y r~"~ `^ a$ ~" =--" ~ ~ ~ , ...~ ;¢ ~. :-. ~; 6 ~E~ -~i }a t ss`vi~isal~? vsn ;ti ,~ ~ . Z O i m 1 O 7 N c m z 0 ~o m n m a ~, k .+ 0 0 n 0 7 .+ N C P 3 N~ rF k S m c 9 v m nn~ t ~ 3 G~ o r w --a ~ ~-+ m cn v: ~ --t o rrm ~ maw ~ t~ o ~ T a o ~ N ~ ~-+ f~ r -~, v o r o d C N ~ N ~ W ~ t ~: _ ~ O C ~ N c m m x .~ m 3 lQ • ~. rb Z r L m ~ a E ~ 3 m r r-~ rG73 m V1 (~ '0 O ~ N ~-+ -~ z ~-, G7 r 0 -1 £ m ~ ~ n r~ ~ ~ c~ co O ~ .. ~ c~. ~ ~ im rr T ~:i "'e7 -il ~, i ~ --1 .. l~i ~ . (~ 3 a m S Cl a ~` N r ITI Q a Zc b r~ m 3 N -i a -c 3 1'n Z --1 --1 O aozC ~o ~~io~m ~x~D crow cAionO , ~om~1 D f+ ~ ~„~ v xd 1~+ O --1 a% c ~ N ~O ~c _~ ~ a d x / y ~~ ,_~ 7 ~~=~I,...2b O Z .OI ~ ~ ~' a m ~o m O A m C X C Z m -~ ao~dmey l7 O H a N a zcr-a-~-~ ~mrn~m -<zom b0 t7 ~ m to ~o a -I x ~-+nNO3~J oc~-+Na~ r 3 i -i ~ b0 ~O ~ 2 m~ov~m ~ ~ ~ ~ z~. r O i-+ N G D IV ~D Z ~O ~O b 07 ~O M ' a COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TaxES __ _.,IN,HERITANCE TAX INHERITANCE TAX DIVISION !,S TAY E M E N T O F A C C O U N T PO BOX 280601 ~ ~ - - ' HARRISBURG PA 17128-0601 - _ ,~ ?~~~ ,lUL I ~ ~ l0~ I $ ~i~..~~lt ~~~ JAMES M COSTILOW 4~~~~~~;`-~~`~j 1.71 BIG SPRING TER NEWVILLE PA 17241 REV-1607 EX AFP (03-05) DATE 07-07-2008 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 07-07-2008 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID *** SUMMARY OF LL 028 PAYMENTS *** 06-10-2008 .00 6,180.32 INTEREST IS CHARGED THROUGH 07-22-2008 TOTAL TAX CREDIT AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YoU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 6,355.92 6,180.32 175.60 3,085.82 3,261.42 COMMONWEALTH OF PENNSYi.VANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-96) NO. CD 010157 JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 -- ,o~~ ESTATE INFORMATION: ssrv: 232-22-~47i FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 08/ 1 8/2008 POSTMARK DATE: 08/16/2008 couNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 REMARKS: ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 5 200.00 TOTAL AMOUNT PAID: 5200.00 CHECK#133 INITIALS: CJ SEAL RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ~E: INHERITANCE TAX STATEMENT OF ACCOUNT ?nnA pt JAMES M COSTILOW 171 BIG SPRING TER NEWVILLE PA 17241 REV-1607 EX AFP (03-05) •'`~ DATE ~~I~"~~0~ ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 "i FILE NUMBER 21 99-0298 ~~'.'~, COUNTY CUMBERLAND ACN 101 Amount Remitted ~vU. v v MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NDTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. ~Cy i S -~-tr v t~ W ~ ~ ~S c~ti~~~~~ ~~ ~-~,t r~ s~ C'~1~~~.~ ~~~~0~-3 ,, ~- r; . )-~ ` •4. -~ ~' i,,,f il,,,ifi,,,,,,fi„fi,,,ii,„fi,i,f,,,,f,fi,i„i,i,,,,fi,i BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 V~~~~ LC ,, ,.. ~ ~, -, ~A JAMES M COSTILOW C~"`' 171 BIG SPRING TER NEWVILLE PA 17241 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ''.' ~ `~I~FI~RITANCE TAX „:_: , ._ -S'~AX~_MENT OF ACCOUNT REV-1607 EX AFP C03-05) DATE 08-11-2008 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Remitted 2006 AUK 15 I'M I.34 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *~* ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 08-11-2008 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS (TAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-) AMOUNT PAID *** SUMMARY OF LL 029 PAYMENTS *** 07-14-2008 24.40- 6,380.32 BALANCE OF UNPAID INTEREST/PENALTY AS OF 07-15-2008 I TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ~ IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN 61, NO PAYMENT IS REpUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 6,355.92 6,355.92 .00 3,061.15 3,061.15 ~j 0 M a LL xQ W 0 W a z ~ ~W Z Hw av W GC W Q d W C.1 LL wo Z O O~ Q H x Z H F' JZ ~ W a~ W ~ oG = W =a H H W ~ Q ~' S N O U O H Z J W a E a ~ o ~ a a H . Z .~ O~ OD A o W ~ O~ O~ Z +' 6 O~ N Q N r1 C] (n .-i O J ~ i ~ E N V Z W ~° O~ W ~ O Q `2 .--~ O~ C1 W H ~ E .-+ # c ~ ~ J Q .r .-a O o e ~ V ~f o N U .-i Q ^ } ~/ x ~ Q W W ~ w q a0 U O ~ W LL ~ x W O Z ~ U W Q W W Z W H F- F- J O Z ~ Q W g LL U Q f -v c~ ~=~ ~-, __ ~) c~ i'; VJ 'y ~ -i. C. r - _ _ ~° l i~ t'V } .~ w . 1 _, ~ 'i=) .a -- -u --i ~ ~' ~ CIl .~ a a w 3 F- O J C7 H Z H fr N ~ o a U fn W F U' J N J (n W N W ~ E .a 3 Q f~ W ~ 'r Z y W X Q F J Z Q O ~ r V L] y o ~"~ j m ~ ~+ N N O .y 'q n z a •• ..~~Q o a °i°m~ Q N ~ Q ~ X y ~wmOC 2 R' a=a~°a~ Y C E 6 X ,~ L W o N T L O ~, 2 •N 3 I- M E ~ .a ~ (n ~ O o J O f~ '~ J U .--~ ~ ~ N ~ 3 V Q t o u_ a r ~ o z ~ c u a ¢ w c ° W JJ ,~~y ° F- C~ fn y Vl W H ~ ~-+ PO J o C C7 ~ ~ °~ > W ~ Q ~ ° d'UU a C a ~ a ~ _ d ~ r F a+ F a+ Q E ~ a ° w o c C 7 O U u ~ m ~ - ~ ~ e ~ H o u a e 0 a+ a+ a 0 a O. o U ~ `s a ~ L 7 (~ h H ~ _ H 0 r ~~ i w C o ~ Z f COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 010299 JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 ACN ASSESSMENT AMOUNT CONTROL NUMBER ------- Told ESTATE INFORMATION: SSN: 232-22-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 09/23/2008 POSTMARK DATE: 09/22/2008 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 REMARKS: JAMES COSTILOW SEAL CHECK# 141 101 ~ S 200.00 TOTAL AMOUNT PAID: REV-1162 EX(11-96) $200.00 INITIALS: WZ RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS USAF FI uY T ~'LA~,S Y~~I+'t ~ ?~ -~~~~- ~~~~~: d- T ~ b f ~~ f ~~ y~ 3 ` y~ it £~ ;E. f,ti _ ~~ ~.K! wr ,... `~ ~} ...,,, v _.: ~, ~ 1 1 ~ ~J ~. ~ ~ ~: ~ ~ 6. ~ __ ~~ ~ ~ ~~ ~~ -. ;.., a }~ s:= ;;, f'.i ~ J '::'t 3 ~. E..f f'•.. \~ .` ~ ~\ V l\V ry ~. ` . ~,n ~•~ `~ ~, ~~~ ~~ ~ ~ ~ ~ 5~~; ~ y ~Jetic~( ~v+i~l~l ~~ ~ ~ ~ ~ Z`C l _: - - -~- ., _.., vim: .. ., c~~ r~ ~~ ~..a. -, rs;~,t pis ~ ~-,~=*,. a..,<...~ . ..r- ALL , , , ~? ..L~} ~~ CR ~^, J ~~~~` ~~ ~~ i ~ ~7v ~ ~~ r„~~rt,~,art„..F~~t,~rt~„t~~E,rr~t~r,,,~r~~r~t:l~,~~f~,tr,r COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX INHERITANCE TAX DIVISION ;!! ,,, S TAT E M E N T O F AC C O U N T PO BOX 280601 HARRISBURG PA 17128-0601 ZOO$ Ofr t G i CI_EF'~; ~~!= ;~, , JAMES M COS7YLOW `' Irl ~~. PA 171 BIG SPRING TER NEWVILLE PA 17241 /'C~ Zy REV-1607 EX AFP (03-05) DATE 7 2008 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Remitted ~ ~ sv, vv MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96) DEPARTMENT OF REVENUE ~1REAU GAF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 010454 JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 ACN ASSESSMENT AMOUNT CONTROL NUMBER ________ fold __________ ESTATE INFORMATION: SSN: 232-22-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 10/27/2008 POSTMARK DATE: 10/25/2008 couNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 REMARKS: JAMES COSTILOW CHECK# 168 SEAL 101 ~ S 150.00 TOTAL AMOUNT PAID: INITIALS: WZ S 150.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS RECEIVED BY: REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 230601 HARRISBURG, PA 171 ZS-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 010508 JAMES MATHEW COSTILOW 171 BIC~ SPRINGS TERRACE NEWVII_LE, PA 17241 -------- fold ESTATE INI=ORMATION: Ssly: 232-22-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 1 1 / 1 0/2008 POSTMARK DATE: 1 1 /03/2008 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 REMARh:S: SEAL CHECK# 171 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ $200.00 TOTAL AMOUNT PAID: REV-1162 EX(11-96) 5200.00 INITIALS: AJW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS u ~ ~ ~ ~ py N H ~ - r ~ ~ r m ~ o ~ ~ m H '~ H 9 ~ r 1 ~ ,j ~ fi ~ '0 ~ n y N _'7~ 0. .++1 n' yN O ~y K 0 G o G ~ ~:: N ':~ L v,J Q 3 Y` fi W c '~ yC ~ ~ ~ H o r 'R, N r m ~,y~ ~ ,. Z b O ~ ~ ~ y ~ r+ p '~ ~ H N Y n ~ -n "'~ C V1 O o r ~ a u+ -a £ ~ ~ O ? N ~, K C K 3 7 n '~o=c xm"'m NXHC ~ N ~ 6'1~~ T P M 'b ~ yH a z ~ d .. N ~ < ~ H H P H G oa Zr x m N h ". ~) ~..-' t - ~ ~--' -' ~~~ ~~~_ ~~'-'- L.}-- ~Y_i ~~> O 3 ~' H ~ ~ --ti z, a m m ~ ~~+ x _y -rl a C y O -rt O Z -n .a h ^rl ~ N ~ ~_ ~ X m <x fig' 'max cc x ~ d °n Z ~ fiZ n 7~ ~ H ~ ~ x "fl ~ r m ~, ~ ~ ~o ~` N ~ r~ 2 m r O ~ O ~' w y ~ ~ ~ b {„~ ~ ~ O ~D q..:. i ,~; ~..z. ( ~l is i {,~ i }. /~ t, /~, V ' ' ~ v ,-.._. ~ \I S.7 ..- (~ ~ ~' v .... ~~ ~ . ~ .____ ~~ V ~~ ~ ,q , , }~'~ri~ ~;~ >~~~ ~'~ ~ZE ~Id 0 ! ~1Qi ~~0~ I'1 ~ -r I;t_~, ~; `~-~ "'1 ?~ C `~ r`'• /~ ~` ~ .~ ,,;° ~ ~ ~,~ ~ ~. -:.~ ~^ F -~.. [. i P~; , ...~ ; ~v. t; J $~ ~,., "~ w ~. a. °~ ~ >a , A ~p ~ ~ ' J ,~ (~ E a' d j~$~{ ~~ ~t F j ! ~ ; ~ Ia .g rh ~~* ry „13,~3t1 4Sd ~ iS'u~e dsn COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ' I'ZNM'IEI~ITANCE TAX BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION S TAT EM E N T O F A C C O U N T PO BOX 280601 HARRISBURG PA 17128-0601 REV-1607 EX AFP (03-05) ~'.:i `!"~?~ ~E~ ~ ~;~ !bJ DATE 09-15-2008 ESTATE OF M~ITHEWS OPAL M "!'~."' ~ " DATE OF DEATH 0].-16-1999 ... _. \l ,~,~'_'- _ ~ "~'~~ 1 ~ FILE NUMBER 2l. 99-0298 ~`~.~~' - - ~:` COUNTY CUMBERLAND JAMES M COSTILOW `" ACN 1(I1 171 BIG SPRING TER Amount Remitted NEWVILLE PA 17241 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND (:0 COURT HOUSE CARLISLE, P~~ 17013 NOTE: To insure proper credit to your account, submit the upper portion of I:his form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT ~** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 09-15-2008 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: 6,355.92 PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT (PAID *~* SUMMARY OF LL 030 PAYMENTS *** 08-16-2008 224.40- 6,580.32 BALANCE OF UNPAID INTEREST/PENALTY AS OF 08-17-2008 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST ANI) PEN ~ IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 6,355.92 .00 2,861.15 2,861.15 _~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE -, ..rte- ,,.., ~ •_ _ .': INHERITANCE TAX -` ',~ .STATEMENT OF ACCOUNT REV-1607 EX AFP (03-05) 1l)JU LPa ~ `# Fi~ 1 ~ ` 2Z oil: I,~ ~.,' ~J ~-~,,.)~ INT. rte, „ l.., i I JAMES M COSTILOW~'` 171 BIG SPRING TER NEWVILLE PA 17241 DATE 11-03-2008 ESTATE OF MATHEWS OPAL M DATE OF DEATH O:L-16-1999 FILE NUMBER 2:l 99-0298 COUNTY CIMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~--~ --------------------------------------------------------------------------- REV-1607 EX AFP C03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 11-03-2008 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): 6,355.92 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID *~* SUMMARY OF LL 031 PAYMENTS *** 09-22-2008 424.40- 6,780.32 BALANCE OF UNPAID INTEREST/PENALTY AS OF 09-23-2008 I TOTAL TAX CREDIT BALANCE OF 'TAX DUE INTEREST AND PEN. ~ IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN 81, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 6,355.92 .00 2,661.15 2,661.15 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: JAMES MATHE~N COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 ---- fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ssN: 232-22-~4~i FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 12/16/2008 POSTMARK DATE: 12/15/2008 couNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~ 5200.00 TOTAL AMOUNT PAID: REMARKS: CHECK#175 SEAL INITIALS: CJ 5200.00 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1162 EX~11-961 N0. CD 010649 REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX ~~1 INHERITANCE TAX DIVISION STATEMENT O F A C C O U N T PO BOX 280601 ~? HARRISBURG PA 17128-0601 REV-t~7 EX AFP (03-05) JAMES M COSTILOW 171 BIG SPRING TER NEWVILLE PA 17241 c°c7 DATE 11-03-20~0~ ESTATE OF MATHEWS _ ` ~ L , ~•, DATE OF DEATH O 1-16 -1999:`= ',-}-; - r ' FILE NUMBER 21 99-0298 -:, s3 ~ ,.,, COUNTY CUMBERLAND'~_ ACN 101 - - , ~. -, i,_...J 4..... .; Amount Remitt. ~ 1'i ~W - ~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS • CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. r,~r ni n-i r_ Turc i rr,~r ~- RFTATN ~ C1WFp 'TTY RECORDS t~ ~05 F: C~~-r/ ~ % M p ~ ~ /~~ ////~~~~ f R ~ III ..i ~,Y;,E•t..„.. ^~ ~ ~ ~ G~l'l ~ ~~v[ G~ {~»ii ~ ~3 G~ ' L ~ . , r 4 ,. t - 4~i £_. e ia. t z #E~, ~ s{-~a ~ ~t~(S ~ r,~ ~ ~~~~~ ~ ~~ t" ~ ~ i r' N ~7 ~ ~ ' - ~ -I : <~ ;:r'r -- _~ ~ ~•5 -w- .. ~. n ~ :~ f}i7~~iiFili~i3}}iii}}}!3}9i~=iiiliili~~i2E.i~ili}~ii~i7li}}~t}S Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone:(717) 240-6345 Date: 1/06/2009 JAMES M~.~THEW COSTILOW 171 BIG SFRID;GS TERRACE ivEWVILLE, PA 17241 ~~ ..Q T ~ .'w -.tJ~ ~ ~'1" ~~ r { \ S~ •~ ~ RE : Estate of MATHEWS OPAL M ~~ ~n .=" _= File Number: 1999-00298 N ... V1 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on tre below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET N0. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 1/16/2009 Flease feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Counsel COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE w;-~IrNH~~`TANCE TAX { BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION i ' ;,,STA~EM~N~ OF ACCOUNT PO BOX 280601 - ' HARRISBURG PA 17128-0601 `~~ _~ `"~ REY-1607 EX AFP (12-OB) ~~`~ ~'~,~ _~ ~~~~~: ~CDATE v 12-29-2008 ' ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 ~,~ ri~:~'~ ~~-~ FILE NUMBER 21 99-0298 D!- I ~~ - ~~~I COUNTY CUMBERLAND JAMES M COSTILOW C~ 16 - F,~` ACN 101 171 BIG SPRING TER A mount Remitted NEWVILLE PA 17241 MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS E-- --------------------------------------------------------------------------- REV-1607 EX AFP C12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT *~* ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 12-29-2008 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID *** SUMMARY OF LL 033 PAYMENTS *** 11-03-2008 774.40- 7,130.32 BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-04-2008 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN ~ IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. C IF TOTAL DUE IS LESS THAN 51, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), V nll MAV RF n11F O RFFIINn_ SFF REVERSE STTIF AF TNTS Fl1RM FOR iNSTRL1CTiONS_ 6,355.92 6,355.92 .00 2,311.15 2,311.15 b l./ 0 E N .r Y O N a ` Q f' f 0 x w Z a o Q W ~ a } ~, ° a L ~' ~ w o F. N a ~ ~ O r OD O~ 00 A v y W ~ _ ti ; O O~ O~ Z ~' F- M 0 0+ N ~ E L N (n N O J i 3 ~ i ~ E O Z (n ~ p O O~ W ~0 O~ W ~ a J O f~ J U 'r `~- N 2 rr O~ pq N N '~ Z "-' N Q 'r .~ 0 0 ~ (('''~~ ~ lJ ~ 3 0 U Q t „ C] 0' .-+ f o N U .~ Q ~ d O Q _\ ~ O A c U W ~ N a WaJ a ~ w Z as W W ~ I- ~ cn ~,, ~ ~ ~ JZ K Q U N W t-a L O ~ W Q V O g LL O W N CA J C9 S~ o a > Z> W H V W O Z ~' = U W~ Q L ~ Z W~ W Q F" F- W a W W Z W ~UU a a ~ F- H F- J ~ Z ~C 0 LLO q w q~ ~ a E r o 0 y Z `` r L ~"~ F- W 1-i Z ~ ti ~ ~ E Q ~ LL! ~ E ~ a Z - N ~ z a ,F- ~ w 0 U ,', _ _; t.~__'' ~ Lam. ~~ ._ v m Z H . ~ r ~- Q _. L - - _• « ,~ o W ~ N o ~z; . ~-_. ~ ,- _ ~ _ ~. ~ a a ~ 1 ~ ~ N 3 ~ ~ ~ V1 O L f W J (,~ d ~ ~ ~ a, a Z ~ a o O G. U V1 a ~"~ J ~ H b O~ ° E U' W J L m N > m >„ ~ a o H N M J r-i c •~ H ~ r ZQ .. W > ~a ~ o a E ~ Q I~ 3 W ~ V' o~e~ ~ .y Z w O ~~Nm O J atiX~l Z Q W KO~-+ a. W m 1' a=a~° ~ a U COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 -------- fold REV-1162 EX111-961 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: sSN: 232-22-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 01 / 21 / 2009 POSTMARK DATE: 01 /20/2009 couNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~ 5200.00 TOTAL AMOUNT PAID: REMARKS: CHECK#179 SEAL 5200.00 INITIALS: JN RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS NO. CD 010792 REGISTER OF WILLS USA FIRST-CLASS ". ,.~ ea ~.. ie 3 ..,z s.7 Ss~ .~. *t' `~ s .~ . ~ '. "s ' 3 1 L \. ~ ~ ~ "jA V ~ _ \~ `_ \~ v ` zoag~~~~ Zi ~~~~~ i~ r ORf"-~, ~s ~ r~~~i ±f~T - i . ~~ ~ 4.~ O ~.. i ` ~~ c '~ '~. mil/ ~ ~~ 0 ~ ~ ~.. ~ ~ ~ s`s.~ ~ ~ {~ E ,.,:~ W .r.} ~ ~~~\~' ~ ~! !„ ~ €t.. .,..F i ' ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF In Re: Estate of CUivIBERLAND COUNTY i~IATHEWS OP AL M PENNSYLVANIA C7 `=~_ NO. 1999-00298 t ~ ~. ~ c_.,~ ,~ ~:,, `= T f -~7 ! V _ J-} ......~ ~~ i. ` ~'_~ S.aa NOTICE OF FAILURE TO FILE STATUS REPORT -' ~' .._,~ __- ~ ~~ _ _ Personal Representative: JAMES AIATHE~' COSTILO`V ~ c_~ ` cz Counsel for Personal Representative: Date of Decedent's Death: 1/16/1999 The Orphans' Court record indicates that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, is hereby given by that the you have ten (10) day to file the Status Report. If the required 6.12 form is not filed in accordance with Rule 6.12 the Court will be notified of such delinquency and the undersigned will requests that a Court conduct a hearing to deternline whether sanctions should be imposed upon the delinquent personal representative or counsel for fl1e delinquent personal representative. _~- _- ~_ - Date: 1/29/2009 Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 RECEIVED FROM: JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 fold PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: ssrv: 232-22-7471 FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 02/02/2009 POSTMARK DATE: 01 /31 /2009 COUNTY: CUMBERLAND DATE OF DEATH: 01 / 1 6/ 1 999 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~ 5 200.00 TOTAL AMOUNT PAID: REMARKS: CHECK#182 SEAL INITIALS: AJW 5200.00 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1162 EX111-96) NO. CD 010849 REGISTER OF WILLS M o C ~ m a LL ~.., T ~C Z d i. J Q W ~ a } ,~ ° a ~ d W o ~ ~ a M = L v W O = N 0~ N Q .'.~ V ~ .-i E (A .a O J E ~ Z U! ~ O o 3 W ~ ~ ~ ~ ~O O+ W Q Jon J U •--~ w S .-i O~ P[f N W N H ~ ~ E r-1 C ~ J 3 0 ~ Q .-~ .a O o ~ Q E o N U~ a o Q W d ~ ~ a ~ oa o Z F.. = Q ~ ~Qw W QW J Z Q d' W W Y J J HEN ++ > > LL ~ A 00 U HOCJ ~ V1 W ZW Q U F-V ~ LL ~ oz~ = U W~ Q ~ WO' W Q W Q W W Z W ~UU m v F- F- F- J ~ Z ~C J ~y G Z O Q W O IL C.1 Q F o~ a =Z ~ ~ ~ JZ F- W W ~ Wa xw a z s ~ ~ w ~Q ~ ~ Z ~ o O ~ U m ~ ~ N ~``` o . ~'7 "~; .. ~~~ ~ _. w ~ CJv X n= - ~ ~ ax ~ , l7 _.. ~ ~ ,yF ~~, ~j-v r~7 2 ~ .~ ` O. J = .w ,• ~ ~ .p -•~ W ~~ t_ - . t -.L'i L L-1 ~ N A ~ N m N W > v ~.i ~~„a oa E ~ 3 Q n W ~ °z° ~ ' •~ Z w mo e Q N ~ ~ W m Z ~ ~ 2 K m~a~ \, ,~ !~ r ~ V ,~ ~ ~ ~ ^ ..\? ,^\ I1~~\' ~ ` • / 'r~i awn: €,;. 'a=~3 `raf rj rre. ,~:-: fi ,,~, ~.~. ~M:A ~1 r- ss Ma ^:x ~'` ~~' r.~ ,„~ *,~ .~., -=x ~_.~J~~_.. .r ~4ii~ __. FEB -2 PM I ~ 17 CLEhK ~r ~RPH~'S COURT ~~ ice` O ,~ 4 ~, K~r;:i ,~~ ~ ~J ~~ 4~ ~ v ~~ ~~'•i 6'f't F'~Y ..~:. i~~ i::~ ;,..i Pa. ®.C, l~Ie 6.1 ~/~T~ TJ~ P®~~ REGISTER OF WILLS OF `~~ C LINTY, PENNSYLV NIA Name of Decedent: (~~C^ ( ~~ ~ ~~ S r_ ~~--""1 Date of Death:_ ~ ~ ~ ~/ ~ ~ +l File Number: ~ ~ / ~ ~ ~ ~ ~~ 1 LILJUCI~lI LV 1 U. V.\..~. 1\Ull. V.1-, 1 lvt,JVil. ~aav D"'-^"^' * *^ D^ n ~` I~„lo ~ 1 ~ T ,-o,.,!„-t t1,A f~ll~~ziin~a ~z~it}i ,-PCrnert to hnmY1lP.Yi(lll Qf the adllllnlStratiOn Of the above-captioned estate: r 1. State whether administration of the estate is complete :.................... ~ yeS o 2. If the answei is No, state when the personal representative `,°`~ reasonably believes th the a~dAministration will be complete: 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... Yes ~ No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ~~ .............................. Yes ~No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. r {Q~~ ~~~~~~~ ~~~~ t ~ :'~ ~~, ,,, .~:__, ~t~~ , .. ,. ~' Filing this Fornx Cap city: Personal Representative 0 Counsel Nmne afPerson Fikng thu Form Address ! ~ r ~~ 7z~ ~ Telepha:e Fo;~rn R61'-l0 rev. 10.13.06 CO~Qp6flaIJEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU Of INDIVIDUAL TAXES DEPT. 260fi01 HARRISBURG, PA 1 ~ 128-080 t RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 010927 JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 ACN ASSESSMENT AMOUNT CONTROL NUMBER - - ,old ESTATE INFORMATION: ssN: 232-22-7a7i FILE NUMBER: 2199-0298 DECEDENT NAME: MATHEWS OPAL M DATE OF PAYMENT: 02/20/2009 POSTMARK DATE: 02/19/2009 COUNTY: CUMBERLAND DATE OF DEATH: 01/16/1999 REMARKS: JAMES COSTILOW SEAL CHECK#312 101 ~ $ 600.00 REV-1162 EXI11-961 TOTAL AMOUNT PAID: INITIALS: WZ RECEIVED BY: REGISTER OF WILLS S 600.00 GLENDA EARNER STRASBAUGH REGISTER OF WILLS t! BUREAU DF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 1]128-0601 COMMONWEALTH OF PENNSYLVANIA ,.,.-'RkPAR TMENT OF REVENUE .`:,~IMHERITANCE TAX =r.,"~,,;•,'~,;STATEMENT OF ACCOUNT DATE ~/I ! /U~ ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Remitted vv MAKE CHECK PAYABLE AND REMIT PAYMENT T0: 2a+J9 FEB 20 AM I 1155 C~~_~h.~~~~Q rT P'~~~'~'~~~ v `~~~ JAMES M COSTILOW 171 BIG SPRING TER NEWVILLE PA 17241 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To Insure proper credit to your account, submit ,~o~er rnrtlpn of this form with your tax payment. w'7 4. h L~ L ~.. ~~. :a ~~ -ui iG at a, r} ~~ }~ q.i ~~ ~ ~ C~ h ~' ti "~ ~ ~. ~ ~v ~ J y,~~'a ~~ -' , , .. ~, .~ / ^ C~9 FE9 20 P,`i I I ~ 55 pR .,:° ~'', COURT - l^ + ;dD CO. ~- , _ l~ _ ~ M =_ v ~. ~~ a (\~~\ \' A '\\ .-~ vc` ~ `~ ~~ ~~ 7~ .7 } ~~ ~, ~, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAxES ' ~.IN.HfRITANCE TAX INHERITANCE TAX DIVISION I S TAT E:M E N T O F A C C O U N T PO BOX 280601 ~-. ~• `'' HARRISBURG PA 17128-0601 REV-1607 EX AFP (12-OB) 2~~9 I•cB 27 ~~1 I I ~ 20 Oft H1~N'S ~Ol)RT JAMES M COSTILOW t~U~91?'.'~ ~'-%'•+'ti<-' '~~`~•- 171 BIG SPRING TER NEWVILLE PA 17241 DATE 02-17-2009 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~- RETAIN LOWER PORTION FOR YOUR RECORDS ~- --------------------------------------------------------------------------- REV-1607 EX AFP C12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 02-17-2009 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID *** SUMMARY OF LL 035 PAYMENTS *** 01-20-2009 1,174.40- 7,530.32 BALANCE OF UNPAID INTEREST/PENALTY AS OF 01-21-2009 I TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ^ IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 6,355.92 6,355.92 .00 1,911.15 1,911.15 i BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX ~"~"~~~'"-~3TA7~1~IENT OF ACCOUNT ~ ~- r ~ ,,,.. JAMES M COSTILOW QP~f~,",''`.I'~ r;(if JR~ 171 BIG SPRING TER ~r~)be~ ~ _ ~~~'~~ ~A NEWVILLE PA 17241 REV-1607 EX AFP (12-08) DATE 03-23-2009 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP (12-08) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 03-23-2009 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-2006 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): 6,355.92 PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID *** SUMMARY OF LL 037 PAYMENTS *** 02-19-2009 1,974.40- 8,330.32 BALANCE OF UNPAID INTEREST/PENALTY AS OF 02-20-2009 I TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. L ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 6,355.92 .00 1,111.15 1,111.15 ~, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 INHERITANCE TAX RECORD ADJUSTMENT J ~ ~~9 ~i f ~ J 3"~ t`~ ~ .~ ~ ~ 7 'J~~ JAMES M COSTILON(~ ~`' 171 BIG SPRING TER NEWVILLE PA ~-„~ - ~. _,~I-~i', l~'- ~,,, ,r 17241 REV-1593 EX AFP CO1-09) DATE 05-05-2009 ESTATE OF MATHEWS OPAL M DATE OF DEATH 01-16-1999 FILE NUMBER 21 99-0298 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CCI COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS E-- REV-1593 EX AFP CO1-09) ** INHERITANCE TAX RECORD ADJUSTMENT ** ESTATE OF MATHEWS OPAL M FILE N0. 21 99-0298 ACN 101 DATE 05-05-2009 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION VALUE OF ESTATE: 1. Real Estate (Schedule A) C1) .0 0 2. Stocks and Bonds (Schedule B) (2) .00 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00 4. Mortgages/Notes Receivable (Schedule D) (4) .00 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 4,000.00 6. Jointly Owned Property (Schedule F) C6) .00 7. Transfers (Schedule G) C7) 115, 348.66 8. Total Assets c8) 119, 348.66 DEDUCT IONS AND EXEMPTIONS: 9. Funeral Expenses/Administrative Costs/ Miscellaneous Expenses (Schedule H) (9) 8, 047.72 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 5,369.00 11. Total Deductions X11) 13,416.72 12. Net Value of Tax Return (12) 105,931.94 13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (S chedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 105,931.94 TAX: 15. Amount of Line 14 at Spousal rate C15) .00 X 00 = .00 16. Amount of Line 14 taxable at Lineal/Class A rate C16) 105,931.94X 06 = 6,355.92 17. Amount of Line 14 at Sibling rate (17) . 00 X 00 = . 00 18. Amount of Line 14 taxable at Collateral/Class B rate C18) .00 X 15 = .00 19. Principal Tax Due (19) 6,355.92 rwv ro cnrrc. -- - DATE NUMBER + INTEREST/PEN PAID C-) AMOUNT PAID ** * SUMMARY OF ALL 38 PAYMENTS *** 02-19-2009 1,974.40- 9,441.47 -__ TOTAL TAX CREDIT 6,355.92 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 ~`~ ^ IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. \ FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE U A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) RB_V-1470 EX (6-88) n COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG. PA 17128-0601 INHERITANCE TAX EXPLANATION OF CHANGES DECEDENT'S NAME FILE NUMBER Opal M. Matthews 21 99-0298 REVIEWED BY ACN Steven James 101 ITEM SCHEDULE NO, EXPLANATION OF CHANGES Per the compromise negotiated with the Office of Chief Counsel, the remaining interest due has been waived. rzow Page 1 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/09/2009 JAMES MATHEW COSTILOW 171 BIG SPRINGS TERRACE NEWVILLE, PA 17241 ~ ^' ~ O ~?v O ~itii ~° ~ c:~b ~~ ~ RE: Estate of MATHEWS OPAL M ~c~ „ ~ File Number: 1999-00298 n ~ - ,~-, o ~"~~ ao Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below l isted date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET N0. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 1/16/2010 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh /~ Clerk of the Orphans' Cou cc: File Counsel ~~. O.C. ~~ ~~ 6.1? ~~~. ~ ~JS 11R~~®~Z~ REGIST;/R 0 ~ WILLS OF ~~ ~ ~(~~UCOUZvTY, PENNS~'LV~~NI~ Name of Decedent: ~i Date of Death: File 1Qumber: ~ ~ D••.-~••~„++„ D., r'1 (~ D„lo ~ i ~ T ,-A,.,,,-t t1,A fi,llntx,;nv tz;~iti; t-P~nPr.t t~n rmm~~etin~l of the adl~liniStl'ation of 1 ULJU4111 LV 1 :a. ......~. 1\1,t1V V. i:.., t 1v~./vi~ ~.i„ .,, ..... ...b _ _~ t"- r- the above-captioned estate: l . State whether administration of the estate is complete :.................... Yes [] No 2. If the answei is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final~account with the Court? ....... ~ Yes ~J No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account (J~l informally to the parties in interest? ...................:........... ~ Yes [~ No d. Copies of receipts, releases, joinders and approvals of foi-rnal or informal accounts nlay be filed with the Clerk of the Orphans' Court and may be attached to this report. ZC~ ~ ~1 Dn to - Si~rzature o r z Filing this Form . Capac' Personal Representative Q Counsel ~:~~ -- ;- +_•.,~ ~ ~.- Nnme of Person Filing this Form ~/~ P `_ _ ! ~~ 6 ~- mG 'r _~ ~ Address _ , __ ~ - ~~~ ~ ` ~ l 1 - , _ j ~ ;..5 r ~y~ - - ~. - ~ C"..J ~ ..::: ' :.~ Telephaae ~~~: ,..,. cr ~ . C..~_ c~ Form R6i~_10 rev. 1U.13.0G