HomeMy WebLinkAbout94-00700
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(OMMONWfAIIIl 01 rr'IH$'IVAt~IA
DHA'IMIHI Of '(VfHUf
orp' 1A0601
tlA~II~$I~IlG. ~:Vl:~~:~~'nN MI" I I
Shover, ^lice I.ouise
lomnfWi,lV NUMili-d IDAIf of Ilum-Ioltroniil"
176-07-9878 11/22/93 04/24/10
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O,iginal Relurn rJ 2. Supplemental Relu,n
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
'OR DAIUOfDEAIHAnlR 12/31/91 CHECKH~~E
If A SPOUSAL
POVERTY CREDIT IS CLAIMED 0
fiii NUMOiR
."'J.J
COUNIY CODE
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1'1
YEAR
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NUMIHR
504 lIun li nglon ^venue
Bnola, I'^ 17025
Cumberland
(O\Inl
20. If line 17 il 918010' Ihan line 18, en lei the difference on line 20. This II .he TAX DUE. (20)
A. Enler .he Inleresl on the balance due on line 20A. (20AI
B. Enler ,he 10101 of line 20 and 20A on line 20B. Thl. II ,he BALANCE DUE. (20BI
M~lce Check Payable tOI Reglsle, of Wills, Agen'
.. .. BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH........
Under penaltlel o. perjury. I d;c1are Ihall have ellomlned Ihl, ,olu,n. Including accompanyIng sche'dulel and Ilalemenll. and 10 Ihe bill 0' my knowledge and beli~'.
It Is hue, co".cl and complele. I declare Ihal all reol .,Iole has been ,eported 01 true marbt value. Declarallon 0' p,epo,er othe, Ihan the peflonal ,epresentatlve II
baled on allln'o,mallon o. which prepore, has any ~nowledoe.
S1GN^,jJi~lIlONi!.I"fl'l..~ inpl'rnlNo ilflliN ADtiiflrrO.$ Lancaster live. DA" 8/9/94
tv/~ ",,'''/:-,",,:{,wt!'.-.! 1 P^ 17025
W - 'Yerne "Shover Eno a,
mh.I ,,"m.~?~ttn.'i1IAlfmi!!IIH'liVf AOOm, ~ W. r-l~ln I;;t. DA" 8/9/94
-.._-4-'-"V()IJS;{~'<',---,,_-__,_ Shirel11anslown, P^ 17011
Jamqs D. Bp~r, Esqulre
l!91.
04.
I] "a. fulure Inlere,t Compromise
(for dole' 01 death oher 12.12.021
[KJ 6, Decedent Died hltate IJ 7. Deceden. Maintained a living T,ull
IAlI~!~~~L~! W;~)..________~~.c~~P1 0' T,ul'l _
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOI
M 'lfiE MAILING AOOIUI
limited Estate
-.2,:0.
James D.
TllI'RoilrNUMi!
717 )
Esquire
5 W. Main Sl.
Shiremanslown,
Bogal',
737-8761
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1. Real E,'o'e (Schedule AI ( I)
2. S'oc\' and Bond. (Schedule B) ( 2)
3. ClolOly Held Slock/Porlne"hlp Inle,..' (Schedule q (3)
d. Mortgages ond Nolel Receivable (Schedule D) I ..)
5. Co,h\ Bon~ Depasl" & Mhcellaneoul Personal P,ape,lyl 5)
(Scnedule EI
6. Jointly Owned P'operlY (Schedule FI ( 6) ~.J.4_:L_ 2 6
7. T,onll... ISchedule GllSchedule LI ( 71
B. Total Gron Auels (tolallinel 1.71
9. Funeral hpenlel, Admlnislrallve COI", Mllcelloneous I 9)
Expen.e. (Schedule HI
10. Deb... Mor'ooge lIoblli'le.. lien. (Schedule I)
11. Tolol Dedudlon. ('0101 line. 9 & 10)
12. N.. Value of EIlate (line 8 minus line 11)
13. Charitable and Governmenlal Bequel" (Schedule J)
U. Net Value Sublecl to Tall (line 12 mlnuI line 13)
259.60
4,724.00
(10)
448,07
(151
65,430.79
)( .06 =
15. Amoun. o. line U talloble 01 6% ,ale
(Indude values 'rom Schodule K or Schedule M.)
16. Amount of line 1A 1011 able al 15% ,ale
(Includo volues hom Schedule K or Schedulo M.)
17. P,lnclpol.all due (Add talllrom line 15 and from line 16.)
18. Credits Spoulal Pove,ly C,edil Prior Paymonts
-------- + -- +
19. If lille 18 is Oroalor Ihan Iino 17, enlor tho difference on line 19. Thll h the OVERPAYMENT.
gO
(161
)( .15 =
Dllcaunt
Interest
Cock hero If you are ,equeltlng a ,efund o' you, overpayment.
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D 5.
Remalnde, Relurn
1'0' dole. of deo,h prior 'a 12,13.07)
Fedelal Eltate TaK
Return Requl,.d
Total Numbe, 01 Safe Depolit BOllel
P^
17011
( B)
70,602.86
(Ill
(121
(131
(14)
5,172.07
65,430.79
65,430.79
3,925.85
(17)
3,925.85
(IBI
(19)
3,925.85
3,925.85
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PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....) IN THE
APPROPRIATE BLOCKS.
1. Did decedent make a tronsFer ond:
a. retain the use or income of the property transFerred, .......................................
b. retain the right to designate who shall use the property transFerred or its income,
c. retain a reversionary interest or ....................................................................
d. receive the promise For liFe of either payments, benefits or care? .......................
2. IF death occurred on or beFore December 12, 1982, did decedent within two years
preceding death transfer property without receiving odequate consideration? IF death
occurred after December 12, 1982, did decedent transFer property within one year of
death without receiving adequate consideration? .......... ........ .......................... .....
3. Did decedent own an 'in trust For' bonk account ot his or her death?.....................
YES NO"
X
X
X
X
X
X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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COMMONWunll 0' "NN'UVANIA
INHUIIANCI 'AX "'UIN
IIIIOIN' DICIDIN'
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Ploalo P,lnl ar l' e
FilE NUMBER
ESTATE OF
^lice Louise Shover
IAlI p,op"'" 1.lntl.,.ownod with tho Right .f Su,vl'IG,.hlp mu.t bo dlnlo.od on Schodul. '1
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
1.
Patriot News Co. - Refund
$
6.00
169.00
2.
Erie Insurance - Payment
3.
PA Blue Shield - Refund
84.60
TOTAL AlIa enle, on line 5, Roca lIulollon S
259.60
tAllach addillonal BV." )t 11" .hll'l I' mor. tpac. Is nlldd,1
.
SCHEDULE F
JOINTLY-OWNED PROPERTY
(Continued)
ESTATE OF
ALICE LOUISE SHOVER
IlEH
NUHBER
4.
5.
6.
7.
8.
9.
LElIER
rOR
JOINI
!ENANI
A
A
A
A
A
A
DAlE
HADE
JDINI
9/15/86
10116/85
2/11191
2111191
4/18189
4/27/BB
FILE NUMBER
OESCRIPIIDN Of PROPERlY
IDIAL OOLLAR
VALUE DECO'S VALUE Dr
or x INI. OECEDENI'S
ASSEl INIERESl
6,718.77 50X 3,359.39
8.132.56 50X 4,066.28
Teamster. & Chauffeur. federal Credit
Union ACCCU'lt, date of death balanc.
56,718.77
Horrl, Savings Bonk Certificate
A<<_t No. 09-16,076458, dete or
death balance 18,000.00, ICtrued
InterOlt 5132.56
Hlrrfs Savings Bonk tertlt'cete
A<<_t No. 09-56- 187952, dote or
death balance $1,000.61, Iccrued
InterOlt 115.00
Herrle SeYlnsa Benk Certlfl<ete
A<<_t No_ D9-56-187951, date of
death balance S1,OOO.61, accrued
InterOlt 515.00
1,015.61
50X
507.81
1,015.61
50X
507.81
Harris Savings Bonk Certificate
A<<_t No. D9-31-138875, dete of
death balence $6.703.54, accrued
Interest 592.56
6,796.10
50X
3,398.05
Prudent lei Hlsh Yfeld fund. Cleaa B,
fund No. D95, A<<ount No. 4500301372,
1,241.682 ahnres, date of death
estl~ted value per ahare $8.675.
Note: Per share yolue 88 of dote of
death not avalloble. Per share value
of 58.675 determined by eyeraslns
Yetue of 58.65 .a of 10121193 end
58.70 .a of 12/21/93 (aee at.tementa
which Dr. Bttached hereto and
Incorporated herein),
10,771.59
50X
5,385.BD
NorEI The laid At fee Louise Shover
was also known 85 A. Louis. Shover,
Alice l. Shover and Louise H. Shover.
TOTAL
$ 70,343.26
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cm''rIlIC\lU IOl(lCllyAll ~'^'[ lEOAl SurPlYCORP
1.116 A'ch SI PhII.dellltJ1e. Pe 19101
ffilpiu IDCCll, "'lIIif' /II<'
lllrlwun
,./.1, I I
~ ,1111/ III /'1'"
19'~ 7;
A. LOlllfm SIIOVlm, COIIIIl.y 01 Clllllh" I' 1 1111,1 , Sl.nl" 01 1'''''"RylvnIlJo,
III'ff'W ""Nillll"h'rl WI 1I1f' (ill","",',
i\nll
A. Will SI'; SIIOVEIl 111111 II. LEVEIlNI'; SIIOVEll. h",' 111111. .10 \ III. l.ellnlll.R wilh
till! I'IRhlR 01" ,,"rVIVOl'lIh\l'. COIIIII y o( CIIIIII,,'I"IIIIIII 111111 Sl.llle 01" l'ellllRylvollln.
111'1'1'''' d".'fill""It',1 Wi tllf' (inwt('c.'f;
tIlllnrnrll" /1111/1111' a","/""" JiI,. ",,,I," ,'II11Ii1/,"III'"11 "l 0110 001101' ($1.00) nlld nDLul'Dl
love 01111 IIrrecl.lo"
/",,'./',,1 III'HI"1I of till' ""iI,-'/ St",.'1t "l It """""", I" /III' (bullion. ;" ,,,,,,,/ ".,,11 fllllt ,,.,1111 IlfIirllJIJ IIII' (il'lwt(.'{'H.
fit III' III')iln' IIII' .IlI'''''''1I 111111 "f'li,'""" III OWN., "n'lU'IIIH, 111,1 11"'I';IIt 11'11"1.",'.1' ili 111',.1'1," fIf'k""",/nl,,,,d fUII11I1('
Gl'llll/""R IlI'illll 111'-1'1'11';111 Ji,lI1/ RIII'~/iI'''. "" "/1 /Ill'''' 1""'11'11/' (11'1"". IHlI'fIII;II. ...11 11",1 t'rIII""1/ 1111/" /I".
a,.UIl"'('RJi,,.,'I'I'I',
All Ihlll "erllllll
-:ow""h II'
c",",,,,\'JII,,,1
I!'11,fUl:
/"',., ",. 1""1'1'1 ,t/""",I "'"11".""';...... ..illlll/('. 11/;111/ IIl1lllll'illll ill IIII'
"l ElIlll 1"'IIII"h"l'o ill IIII' (.'''''''/1/ III
111111 ('","",""",,-"1111 "l/"'/II'RI/I,',,,,in, IIWI''' J",,./iclllnrlll d"RClib,'d II.' JillIlI",R:
IImIINNINI: III II pili "II Ih" 1111111111'1'11 nlll" or 1I11llt.lllgllOIl Ronll, whIch point is
01'" IU;llllrml (1ft v (I ',II) 1'''''1 '11'111 IIf 1.111' ",,"t.hwIlHlel'lI COI'II"r o(Lnllc'lsl.er Rond nnd
1I,,"t~,lIg{lon RUlnl, llllll lit II'I,llltJlH IllIn IlptHl!p" lnt Imrnin cOllvc~,p.11 onc' lot No.5 on
the h..rellllll"I,'" "'..11111111...1 1'11111 III 1111111 'I'III\NCI\. nlollll :'10'" IlIvlllJllr. line III n south-
erly IIlrecl.lolI 1"1' '"'""...." "'Iv (1'10) 1"..1 '.0 n plllot I.he IIIl"I.he",' 1.1111' o( 0
(1fteen (I';) 1"..1 wl,I,. 1I11,'Y1 TIIEUCI':, IIll1ng slime In II weRterl1' IIire"l.Iol1 f1ftl' (50)
r~P.t 1:0 n pili nt fll\'ltIIIlH 1 111ft hfll."-'r.'PII Iflt h~rr.dll r.0I1veycd ntH1 lot No.3 on sald
I'lnn; TIIENCE, 111..111\ .".\,1 ,lIvl,lllIl\ 11'11' \11 II lIortherly dlrectlo" nne hllllllrell rifl.y
(150) (e,'1. III" pili IIn 'III' """lh....1I Iln" III' Ihml.l"H"on Rnml; '('liENeE. nJoIIR some In
Oil clIst"..ly 111"",'1 Ion filly ('ill) 1",,1: III II plllllll Ihe Ploce nr IIEGINN1NG.
111-:1//1; 1..1 till. I, ,ll'll'k 1'1111 1'1.'11 III' Lol:R knowlI oS W.'st Enoln JolII Illlt hy
G. !:(!Htl, Cf'lll 1';IIHI'Il't'..-, '~t'rl)'-Ikd In the ClII11H1iJUI1d Coullty :~ecllnlurls Offic:l' in
I'lun n~'(,h 1-0. .. I'IIgP 1.1),
SIJ::.II':r~'I', IIlIW'YVflr, 1.0 th" n~Rlt'I,", 1011 th1.lI: 110 hllllcllllg, hllJldlngSt or ports
of hutllllllgH nltnll 1.Ill '.',.,~cl"ll on !-tu'" IOlq or nrnlllld wIthin 1.\"'I.'J1ty flve (25) feet of
Ih', ;,;o\,lh"I'" I '''I' Id II'J',Ungolu', Ill)",J rJllIl w.l.thil1 twellty (20) I pel: of the western
I i 1m of I..nflr~IlHl ''-'' I~IJJ!II.
H.~:I..~(; 1111 ;ollllll! t.-rct ',',deh \':. l.e'Jern~ Sh("'~r IInd Ut)rl.~ S:iO"~::-, his wife,
f;rnuI.f1fl nlld PIli.. if'I' lInt_f) I,:. 1.'I\I't'I!f1CI1 !:!Hl'J(~r and A. _'-,ouIR"! Shf'v....r, his wlfet by deed
III1I."tI tiny :1, I'lllll, 1I11l1 I'<'cnl',kll In the I"rlce of the !lecol'(br "I' Deeol" i.,. nl1o1 for
CIIIIIIII'I'IIII1,1 C"""I\,, C"""",,"w,,nllh "I' l'elllllll'lvnl1i.n, tloy 5. 1960, "ecoI Book "U", Vol.
I 'J, :'UI:" :J1J I. 5111,1 E. LIIWl'ell"" Shover 011 ed tlay 21, 1981, whereby tItle vested
Rolcly III A. LOIIlsI' St",V"I', l:rll"tul' herell1.
iibi;K'e32 m[ 174
Trnct #2:
ImGlNNIN(: III II pili 011 Ihe southern side o( lIunl.luRoIlln Ronol, which
poiut is one hundre.1 fl(IY (ISO) feet wesl of the soulhweslern corller of
Lnncnster ROOlI "'111 Ih,ullnRdou ROII.I, nnolllt 0 dlvldlnR 1101' III,twl"'n Lot.
No.4 01111 Lul No.5 on the herelllofter melltlolled Pion of Lots; TIIENCI~
/l10llg snld dlvldlllll IJlle in 0 sOllthernly direction one hundred fifty (ISO)
feet to n pio 01 the northern I fue o( 0 rlfteen (IS) (eel wide olley,
TIIENCE olong Sllllle III Oil eosternly direI'I Ion Revenly (lve (75) Il'et to 0
slnke; TIIENCI\ norlh olong sold 1111111 o( IlONhLII E. rlnERR ond W. LEVERNE SIIOVlm
one hnnolreol flfty (1"0) feel lo n pin In the sOllthern side of Ihllltlngdon
Rood; TIIENCE west IIlonll lhe sOlltherll side of lIulllfllRoIon Roo~ seventy rive (75)
(eet Lo /I polnl, 1111' I'llIce o( IIEt:tNN1NG.
IIE1 NG, lol " and port of I at fI, 1I1ock I' on Plan o( I.ot s known os
Ilesl E.wlo lold "lit hy C. lIeRs, Clvll Elllllneer, recorded io the Cumberlalld
COllllly R"rnrolC',"" Orrlce in 1'1011 lIook No. I, pOlle 29.
SUBJECT, however, lo lhe reatrlclloll thot 110 building, huildings,
or pnrts of hlllld InllS shol.1 be erected 011 soid 10ts of grollnol within
twenty five (2S) reel of the sOllthern line of Huntingdon Rand 01101 wilhln
twenty (20) feel or the western line of Loncaster Rood.
IlIUNG pnrl of the some trocl which Roy E. Rilts, slnllle man, by deed
dOled June 9. 1'1.,2. nllll recorole,l III the Cllmherland COllnty Reroroler's Office
in lIeed lIook "Z", V"I. 14. I"llle SOfl, Rmnleol ond conveyed unto E. I.awrence
Shover. who ,lied Hill' 21, 1981, whereby tltle vested soleII' In h. Loulse
Shover. grantor hpI'I:! Ill.
TillS cooveyonce i~ exempt fro:n the payment of tronsfer tax because it ia a transfer
between parent alld child.
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MiI(' r :32 rhCE 175
M.G'WALKEIl REALTY
tXt-------
14 NDrlh Walnut Slreel
Mechanlcsburg, Pennsylvania 17055
Telephone (717) 697.9487
March 11, 1994
gs ta tp of ^ I i Ct. I.ou i lIP Shov(>r
c/o ,lamps lIogar, I~Elq.
5 W. Main Strppt
Shlrpmanstown, PA 17011
Rp: gEl ta 1.(> of A Ii CP I.ou I Sl' Shovl'r
Datl' of death Novpmber 22, 1993
Dl'ar Mr. Bogar:
I, Mark Wa1kpr, do hl'rpby statl' lhat upon your rl'quesl, I have
made an invl'st igaUon and analysis of thl' fallowing described
propprty:
504 Itun U ng ton Avpnue, gno I a, PA
and that I am of lhp opinion lhal as of November 22, 1993, lhe
value of the land and Improvpm(>nls thereon was:
$92,000.00
I further state thal, to lh(> bpst of my knowledge and bellef, the
evaluation contained in this appraisal is correct. I have no
prespnt or cont(>mplalpd fulure interesl in the propl'rty appraised
and compensallon for making this appraisal is in no mannpr conlingent
upon thp val UP r(>porl.pd. 1'he phys i cal cond I I. i on of '-II(> i mprovemenls
dl'scribpd h(>r(>ln was ba!1pd on visual insppcl.ion. No liability is
assumpd for thp soundnl'ss of sl.ruclura1 ml'mbprs sinc(> no (>nginl'ering
tl'sls wpre madp of saml'.
Ilesp(>cl f~ II Y sUbm/7l(>d,
'}l1l.j! V,:..(/i:~_.-
MW:ch
Mark Walkpr, Appraiser
IIrokpr
MEMOEn.CENTRAL PENN MUL TI.LlST. INC.
.
I-IAI~I~I S
SAVIN<;S BANK
11.1111... Sa\ill,!" f.jll'lillillllS l""1I1I'j
n:lrl r\lIl1h 1:?lh SIII'I't
1"11111\111'. PI'll1b\-h'alllil 1;111:'
,'1';,:11 11111
i"t j'.',:1I lIH;I!1 Fa\
JUne 6, 1994
Jsmes D. Bognr
5 West Msin Street
Shiremsnstown, Ph 17011
The inforrlotion which :.'ou reqlleoteri on the nccount(n) of
Shover Decessed (Zednl S,neurity Ilumber 176-06-9878
Louise II.
) is tis follo~lII.
Account !lumber(s) 09 -16-076458 09-56-187952 09-56-187951
Clnss of Account 21s Yr. Cert 1 Yr. Cert. 1 Yr. Cert.
Dnte Openec! 10-16-85 2-11-91 2-11-91
Principal Dolnnee $8,000.00 $1,000.61 $1,000.61
Accrued !ntcrcot 132.56 15.00 15.00
Dslonce nt
Dste of Desth 8,132.56 1,015.61 1,015.61
Account Joint Joint Joint
Ownership
lIome of Joint W. Leverne
Owner, if ony Shover Same Some
Dnte Ownorshin 10-16-85 2-11-91 2-11-91
W~S Eslnblinh-;'d
Additionol Infor-
",stien Ileqllonterl
. .
.
~.
",ne
in~o~~ti~.. ~hic:. J~U
-,........~.a.a ,.... ~'-.. a~c,........~(3)
- ..,... .......... -.. ..-.. .. ...-...
Louise 1/.
0:"
Shover peceased
('0...: .
."__8_
s~:'.::~~~. .f.
176-06-9878
)
is 4.1 !'Qllo:.'~:
I'C-~"-, 'II\-"e-(s)
,......-.... ........
09-31-138875
Cl~ss c~ A=:=~~
1 Yr. Cert.
Dc.~l.! C~!:e:!
4-18-89
P:L~=ip~: 3~~a:~e
$6,703.54
Ac::ucd !~:~~ea~
92.56
S.a.la::ca :1~
D.3.te of Def1~h
6,796.10
Accocnt:
l>'.r.1er::hi?
Joint
lial:l. of Joint
Owner. it" an:,"
W. Leverne
Shover
,
!lat. C...n.rshi'l
"as !stablish~d
4-18-89
Additional I~!or-
Qstion re~uestod
Sincerely,
~ ?' ' "
G:f:)-L(. t,4.,,--~ {.~X..
Gretchen L. Cole
Customer Service Technician
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out III hl-'
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... I <>~sm8m~ 8 ...
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~ ~ ilii:i ili 888
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... c. CIa oOioOioOiOi ... 00
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nl(llltl~"tC
"., I" Imtlti$I\tC'A. NJO'9CIf $roD
PRUOEIITlAL IIIGII YIELD rUllo: CLASS 0
ACCOUNI SMIIHINI AS or: 10/21/1993
RII'. n1906~
SIOIIIUWIR
,..., II'
rRUCD l'tCURITlES CORr iii SIl
'13U (ElllORY DRIVE
NtCIlANI(SUURG PA 17055-11351
1",111",111"",1,1,1,1,.,1,1,11",.1,1,11"11,,,,1,,1,1,1,1
LOUISE II SIIDVER II
iii LEVERNE SIIOVER JT TEN
50'1 IIUIITlNGTON AVE
ENOLA rA 17025-2626
CO'llm." WMIE' ...--" --OOliAiAi!ooNr
{'AIf DAlE JnANSACllON or /RANS'CJION
..'-"---'~ .----. - ---- -~..
01'1 N 11m SIIAltl IIAI ANCt
1/21 1/21 INCOHf" illY CIISI1 51.26
2/19 Z/19 IHCUHI illY CASII 00.13
3/19 3/19 I HCUHI. illY CASII 00.16
~/21 ~/21 IHCllHI illY Cl\SII 00.1~
5/20 5/20 IHCOHf" illY CIISI1 00.1~
6/21 6/21 INCOHf" illY CASII 00.61
1/~1 /121 IHCOH!: DIY Cl\SII 00.10
~/19 0/19 IHCOHI: OIY CIISI1 00.13
9/21 9/21 I HCOHf: OIY CASII BO.69
10/21 10/21 IHCOH!: OIY Cl\SII 00.10
IHII'f"''',Ofll',flf/
!;nl, "ClI#i'lIMI{III/I1 201-10-7305
-. ,uiio Niiiitifij-'- Acciiiii,i NlliioiR"---- cllcei iiiOff-
095 ~500301372 9
,,;A;ji----.---siiAii,-n ii,iS--'- '-;OiAriiiAijU--
rRlCl rnAt,SIlCllON OWNeD
1,2~J.602
1,2~1.602
1,2~1.602
I ,2~1 .602
1,2~1.602
1,2~ J. 602
1,2~J.602
1,2~J.60~
1,2~1.602
1,2~1 .602
1,241.602
~~~EC~~~~"!_h~~rfsfO~g ~~~~~~'Afi~L\0~GV~V~O~tC~~II~OH~~O~RO~~AllAR~~:22~oft?7yOU~L~~~~
H' .1 S,T11L LASLFOUILOJ GIILOLY.O.UILSOC.LAL_Ht.UR.lI1...N.U/lOER.
ACCOUNT SUMMARY
Fund IdenlUICltlon Your Distribution OrUon Check Number Tot.1 Sh.rlll Owned:
Number Dlyldendl C.pll. Oelns 209~ 130 In Certlllnl. Form
13-297~999 CASH CASH Non-Certlllcet. Form
YTO TIIJl -exemp.t Dividendi .00 Tot.1 Sh.utl Owned
no Incom. Dlyfdends 783.72 ClosinG Price Per Shore
YTO Long Tetm Clip O.lns Dllt. .00 Closing Account V.lue
no Dlyldends .nd DIller Dlsl. 783.72
.000
I, 2~ 1.6 2
1,2~~.6 2
SID,7fo:~~
UYISIIUt"UI
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
.c@~
COMMONWEAltH or P(HNSYLVANIA
IHIUII1ANCE tAX "UUUI
RUIDENI DECEDENt
ITEM
NUMBER
A.
1.
2.
B.
\,
2.
3.
4,
C.
1.
2.
3.
4.
5.
6.
7.
O.
Ploa.. Prlnl or T~
IIER
Louise Shover
DESCRIPTION
AMOUNT
Funoral Exponloll
Sullivan Funeral 1I0me - Funeral bill
$ 3,374.00
200.00
Mogeo I S Markel - (o'ullol'ol meol
Admlnlllratlvo Callll
None claimed or paid
Personal Reprelen'all.e Camml..lanl
Social Securlly Numbe, of Penonal Rep,elenlall.e:
Yea, Camml..lonl paId
Allo'ney Feel _ James D. Bogar, Esquire as per agreement
750.00
Family Exempllan
Claimant
None claimed or paid
Relallonlhlp
Add,e.. of Clalmanl a' deceden"l dealh
51,..1 Add,...
City
510'.
Zip Cod.
Probal. F..I
Mllcollanoaul Exponle..
M. c. Walker Realty - Real estate appraisal
Reserves to conclude administration of estate
including filing of PA Inheritance Tax Return
and Invenlory
200.00
200.00
TOTAL (AlIa .nle, on IIn. 9, R.copllulollon)
(If mo,o Ipaco I. nooded, Inlorl addll1anal Ihee" 01 lame II.o.l
s
4,724.00
I'" ItlU" U"I __L
..
,,~~~'\'911
..../Ww
rOl,lo,lOUWIAl1ll 01 ,ltlllhlVANlA
IHHUIIAHtI 'AI .nUI"
___ '''lOIHI O'~~DIHl
ESTATE OF
/\llce 1,001iso Shover
SCHEDULE J
BENEFICIARIES
FILE NUMBER
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESl AlE
<-,--_.._----~_.-----
-,----~'-- --~..-
I.
A, To~oble BeqUOShl
W. t.everne Shover
103 t.oncDsler ^venue
Enola, P/\ 17025
Son
Hest. residue
and remainder
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental Bequestsl
1,
TOTAL CHARITABLE AND GOVERNMENIAL BEQUESTS IAho enl.r on line 13. Recopllulollon) 5
(If more space 11 nnd.d, Ins.rt addltlonalsh..1I of same Ille)
(AI '111 II;ty till' 1111'11"'" and III mUt.h III Ih" Iltlllelp301 a. IIIIV, In Ihr
I'
enl. dleRtl'..I"" "' Inv Irll.lrl"'. h" tlre"...tV 'II' tlu' tu.ltltc.n.nrt., .uPlItI,I,
and m..dh ,I r.I'l'n.... n' mv 11ll.lllUI,I, 1.:111. I., Rhuvr"
lnt Th.. amlltln' In h.. 1..1,1 fur Ih.. h..nrflllll IIlV uhl ht'nrllela,.'
.ha1l II.. ,1..lr,mlurtl hUIn 11mI' III 11m.. IIV ilia n..r,ta Alltlllll' IIllIlItllIll IIwl
Hnt.. II' .ahlll.ymrllla .hall hI' rt"t..,mlnrd by .udl n""d.. 1h" IIltl
~
pavml'nl. ah.n hI' mad.. hV my II hi 1'11111'1' dlrrdlv Iflmy e.ld hrnl'flrlary,
"' mal' hI' madl' hy mv ",lit Itllllln .HuellV III III.. p",.nn havlntt Ih" clI.hlllV
or ca,,, nf my ut" h..nrllelaty, ft' mal' IIr mall.. hy .ahll,uII"" tll,l" l1y III
any Inelltullun ..nllnt'd In lIH"h pAym"nl. hy ,..""nn "' el'rvlrrt r"nll..r"d or In
hI' ,..nd,.,,,d In my ..Id hrn"f1dary.
fel Tn ray Ih.. aecumulall'd Incumr. and p,lnclralthl'n ,rmalnlnll
In my uid Iruelpl"e handa unlo mv Ih..n Ilvlnll hrolhrn an,l .hlpre upnn my
huehand'. d..mhl'.
ITI-:M VII I dlr"ctlhal no Trualr.., l':xreulor, Guardian, or ulhn
fiduciary nam"d. lIumlnal"d, n, appolnlt'd In Ihl., mv 1..1 Will and Tr.lamrl
.h.n hll! rrfJlll,rd In pu.1 any hnnll nr 5l1v" any ...clIrlly 0' any tYpr! lor any
(
f.:
t.
pllrpnu~ \\'halenrvrr, any law fir rulf- 0' Cnu,' fl' Ihr Cnmmllnwralth 0'
Pt!nneylvAllln or anv nthllt Jurl.tUetlnn to Ihr rUlllrary nlllwlth.hn,lInlh
ITF.M Vlh MV E)Cl'culflU and Truelrr eh_1I havlI! Iht! InllowlnlZ
>\
pnwt'n In addition In thn'l! Vl!ltrd In Ih"m hy lAW IInd Ity nlhr.r p,"Virllnn. fll
"
Ihle Will, appllcablr. In an p,npnly. rral, prreonal, and mlxrd and whrrran..
rvror .lIuall', IneludlnM prnflrorlv hl'lll for mlnore, whl"hrr prlnclplll or Incnmr
..)Crrd.ah)r! wllhn"I Courl approval, and rrrr.dlvr, with r".prd In rlleh Urlll
of ..hi pruprrly, unlll actual dlalrlbutlon thurnr,
,
,
fA) To rrtaln,
"' Invl'almrnle fir mv ".tall' or t,u.I, ai'll' or nil
/7t;.l~L<I.':"'& _U~~~A'/ ISl-:AI
AI,ICI-: "OUISF. SIIOVF.1l
~
l'
"
PaMf! 2 nf 'i pARI'..
.'
.'
..,
~r~.
,
.
.' ,
"
I
I
I
\/
~
thr uhl brnrrldarlre, or any of tllt'tn, .hall hI' mad,. upnn Ih" Inle rr"..lllt
of tllf! rrefll'cllvl! tndlvldunlln whll'" thl' I.a"m"nt Ie ",nell', and lul' Itnm
antldpallun, allen_Unn, ...lltlUlu'nl, alladunrnl. and plf'dR'" an,I ".."
hf'," cunlroll,y Ih" cr..dltore or any luch ",,"C"lld")', Allah.r,.. nf
principal_nil locumI' hrtf'ln Rlvrn .h.1I hI' It.... Iruln Alltld,...tIf1n, RII,dl!11II1l'1l1
plrdRfl, Dr "blllt_lInn. IIf any lumrflcla,y. anll IIh.n not hft anhJt'et In any
exrcutlon lit atlru:hmrnt,
ITF:M IX, Finally, I nnmtnatr", conlttlute, and appulnt my eon,
W, LeV."n.. Shoyrr, Ellrcutnr of Ihle, my IAIl Will and Tne._,"rnl, hut
eh"utd my uld Inn, W. l..""rotor Shov.,r, prl!df'cr.'1! me or (or any r....nn
I
f.U to qualify al .ueh Executor, or hayloft: qualHIt.d, '.th to IUYO .. euch
executor, thcn I nnmlnatr, conaUtllt", and appoint my dallihtrr..ln..taw,
DOI'Ie E. Shovel', of ClImbrrland COllnty, And Richard A, Jamrenn, F.aqulrl",
of Dauphin County, Pennaylvanla, Co..Executon 01 lhl., my .....1 Wllla11l1
~
r:
,
Toetament.
IN WITNESS WHEREOF, 1 hne nt my hand and ual to Ihh my
LllIt Witt and Tnt.ment, conehnna of thle and lour othel' P"I'" at the end
of which t have aleo eet my hand and aUhCl~d my el'al for anatel' ae('ul'Uy and
better IdentUlcatlon, thl. I~ day of 5'".T ~ ' A. D., 1913.
l.
}
l::
to:
~'
~
11:/-:.. ,f'.......:....~V......h... (SEAl.
ALICE LOUISE SIIOVER
We, thft IInden'lned, hnehy certHy that the fOI'''RotnR wnl waa
e1aned, eelllrll, puhlhht!,I and declared by thl' ahove..namrd Trelall'lx n. Anll
fnl' her uel WI11 and Teetament,
In the pl'rlence of lie, who, at her I'rqurat
/JJlU.. .f:1~u~~. 4(J~_..u.J ISF.^J.
AI.ICE LOUISE SIlOVER
:::
PaRIll .. 01 5 pAgel.
,
;t
.
ll.'
[:
I~'" ,. '. ,."'.' ~'. .,..,..'!."..'.....
,'.1..,;'; _. \~l,.;(;~l.'" i~ :.+t 1-' ,. ,11 ::o..."s.,.> ~,I) r'~', ~-,~: I;"_~' ,'~"ir.Mo
'; '!.;.....J,'. :~\;, ~'l\I.(l~j f~~;~~+_.._;:_.l~-,..i'.:'.,./:~:;..J-J!j~;.r . I':'_';"-":~l'i 1l~";J'~
......',,:Lt;llf..:.flm. i,'('lr.'1J .K~':,'..Jf1'It'~").~:1. ":r'.'.....:y~~~\l::;;J',,';.t~I.,.,:;: ,,'Jl'r ,;:::.l.":!~
'4." ,...t_"'~I",-~"II 1. ,.:;.y....._T,'Llfit: l.J ,'~" ... ;ps"'lO ..' i', ~,,,,...
'4'~",i ';' J!4..-. .i(~ff1...f~'\.! ' '>;,;:-':':......1->. 'J::.t!"}, .'" J..1O ~:. t "';';~' ,j ~~'!
:..;J;~ "'.! :<:~1}1'1\1'1'''.'''1\:~~i f"t' ."d2QNl. . tfr:r;-.fl 1, .;;f,..';~ ~~'.ifi~! r~ i!;.J;:':'
tlf~d:";j~"~;lr,:. ,';,:/... _"IJ) .;!1': \,',-.Li:n' '''''';'1,~~"ftUih'''-'I~; ~,', ~~-'-'_;L.
._. " ''--o<i(''-''-''''''-'', '_...-,..,. __ _' ',' " ,- 'l,p .,,1'-:-", .,;: ~-,/:""'1'_ "el" ".', ,.,.,
-
...,
\ \
~:
\
REV-1547 EX AFP (OB.941~
COHHOHWUlTtt or PENNSYlVANIA
DEPARtHI"' or R[V[NUE
BURL AU or INDiViDUal TAllIS .. .
DlPI. ;BObOI
IlARRlSftURG, PA 1111S-01>01 ..
/1/, ,/1\ ,,)
NOIlCE Of INHERIlANCE TAM \
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
Of DEDUCIIDNS AND ASSESSMENT Of lAM
ACN
ESTA FILE NO.
DATE 11-22-93 COUNTY CUMBERLAND
NOIE. TO IHSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT IHE UPPER PDRIIDN Of THIS rDRM WITH YOUR TAM
PAVMENT 10 THE REOISTER Of WILLS. MAKE CIIECK PAVABLE TO "REGISTER Of WILLS. AGEHI"
REMIT PAYMENT TO:
,j
../
101
JAMES D BOGAR ESQ
5 W MAIN ST
SHIREMANSTOWN PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AMount ReMitted
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
iiEv:isiij-EX-Ai=PTilii:94Y-NoYiCE--OF-YNHEiiiTANCE-YAX-APPRAisEHENT-;-,UXowANcE-oli....-----..------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ALlCE L FILE NO. 21 94-0700 ACN 01
ESTATE OF SHOVER
'g
P. ~J,? 0
{.:' M
~ .~OO ~
,'. :00
c.; ..i!0 ~
2.~~~ ~
70.343.26
,00
IBI
TAM RETURN WAS. I X) ACCEPTED AS rILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL
1, R..l Eat.t. (Schedul. Al (1)
Z. stockl and Bonda (Schaduh OJ t2J
S. CloselY Hald stock/Partnership tnt.,...t (Schedule C) 15)
4. "or-tuag../Not.. Receivable (Schedule OJ (41
S. Ca.h/Bank Oapollta/Hllc, h..sonal Property (Schedule EJ IS)
&. JointlY Owned Property (Schedule F) (6)
7. Transfa,.s (Schedule OJ 17)
8. Tot.l A...t.
4,724.00
448.07
Ill)
1121
113)
114)
APPROVED DEDUCTIONS AND EXEHPTIONS:
9. funeral Expans../Ada. COlta/Hisc. Expanse. (Schedule H) (91
10, Dabta/Hortgage Liabiliti../Llana (Schedule I) (10)
11. Tot.l Deductions
12. H.t V.lue of Tax Return
13. Charitable/Gov.rnnent.l aequ..t. (Schedule J)
14. H.t Value of elt.t. Subject to Tax
DATE 12-19-94
il?~
,_. -.
.' ~:l
f" p'
..:~ \)..
c..' .
- .
or'-.
.,
='::;,;.;
(i;g.
70.602.86
I; .17? n7
65.430.79
,00
65.430.79
NOTE:
14. 15 and~Dr 16. 17 and IB will
returns assessed to date.
If an assessment was issued prBviouslY. lines
reflect figures that include the total Df ALL
ASSESSMENT OF TAX:
15. Aaount of Llna 14 .t Spou..l rat. t1S)
16. Amount of Llna 14 taxable .t Lln..I/CI... A rat. (16)
17. Aaount of Lina 14 taxable .t Collat.ral/CI..' Brat. (17)
18, Principal Tax Due
TAX CREDITS:
PAVMENT
DATE
OB-12-94
.00 M .00.
65,430.79 M ,06.
.00 M .15.
UB)
AMOUNT PAID
3,925.85
RECEIPT
NUMBER
MM912801
DISCOUNT
INTEREST
I.)
1-)
.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
.00
3,925.85
.00
3.925,B5
3.925.85
.00
.00
.00
. If PAID AFTER DATE INDICATED, SEE REVERSE
fOR CALCULATIDH OF ADOITIDNAL IHTEREST.
If TOTAL DUE IS LESS THAH fl. HD PAVMENT IS REQUIRED.
If TOTAL DUE IS REflECTED AS A "CREDIT" ICR), VDU MAV BE DUE
A REf UNO. SEE REVERSE SIDE OF THIS fORM fOR INSTRUCTIONS.)
RESERVATIONI E.tata. of decadent. dying on o~ befo~. Daca~~ 11. 1911 .. l' any fut~ra Int.r..t In the .st.t. 1. tr~.fa~~ed
In po.....lon Dr enJow""t to Cl... . (collat.r.U b.n.flcladll of the d.cedent .fter the uplratlan of ."y a.hta for
llf. or for v..re, the Co..onwealth h.r.bv a.pra.sly ra.arv.. tha ~Ight to .ppral.a and ...es. tran.f.r tnha~ltenca T....
.t the ....ful CIa.. I Icall.tar.ll r.ta on .nv such futura lnter..t.
PURPOSE OF
HOnCEI To fulfill tha raqylre.antl of Sactlon 21"0 of tha Inharltanu and Estat. Tax Act, Act Z2 of 1991. 72 P,5.
Sactlon llllt..
PAMNT, Dat.ch the top pertlon of this Hatlc. and .utI.1t ..lth Vau~ p.y..nt to the RIglstlr of Willi prlntad an tha rav.r.. .Idl.
uHa'" chick o~ IlonIY ardlr Plw.bla to, REGISTER OF MILLS, AOENT
All p.w..nt. r.calvld sh.ll flret ba appll.d to anv lnt.r..t which "W b. due ..Ith anw ra..lndlr .ppll.d to tha tlX,
REFUND (tA)1 A rafund of . tlX cr.dlt. which .... not r.qul.t'd on thl 1ax Return. "v ba rlqu..ted bV co.pl.tlng an "Application
for Rlfund of Plnn.vlv."l. Inherltanc. and E.t.ta '.x" IREV.IS1S). Appllc.tlon. .re .vallebla .t the Offlca
of the Ra.l.tar 0' Will., any of the IS Rlvlnu. Ol.trlct Office.. or bV c.lllng thl .pacl.l Z4-hour
en....rln. 'Irvlc. nuab.r. for for.. ord.rlngl In Plnn.vlvanl. l-IOO.S6Z-Z050, aut.lde Plnnsvlv.nl. and
..lthln loc.1 Hlrrl.burg .rl' (717) 717-109,.. 100' (717) 77Z.ll51 CH..rlng 1.,.lr.d OnlYl.
OBJECTIONS I Any p.rtv In Inter..t not .etl.flad with the .ppr.I....nt, .lla..~a or dl..llo..anc. of d.dUctlan., o~ .......ant
of t'll I Including discount er Int.rut) .. .hown on this Notlca au.t abJlct within .btv (60) dll'tl of r.calpt of
thll HaUca bw'
....rltten prah.t 10 the PA D.part..nt of Revlnutl. la.rd of App..". DEPT. 281021. H.rd.burg. PA l?ln.lOU. OR
...I.ctlan to h.ve tha ..ttar d.t.r.lnld at .udlt of the account of the p.r.on.1 r.pr...ntatlv.. OR
..appa.l to the Orphan.. Court.
AD"IN
ISTRA TlVE
CORRECTIONS I
IHTERESTt
r.ctuel .rror. dl.cov.r.d on 'hi. ........nt .hould b. addr..sad In ..rltlng tal PA aapert..nt 0' R.vanu.,
lura.u of Indlvldu.l Tall", AnH, Pas' A..au.ant R.vl... Unit, DEPT. ra0601, Itarrhburg. PA 17UI-0601
Phona (717) 787-6S05. Sae paga 5 of the book la' "In.tructlon. for Inharltanc. TaM Return for. R..ld.nt
Daeedent" lAEY.1S0l) for an a.planatlon of edalnl.tr.tlvalv cerractebl. Irror..
If any tax due I. peld ..Ithln thra. IS) c.lender aonth. ofter the dacedent.' death, . five percant 15~) discount of
tha tn paid II allowad.
Intar.et I. charaad beginning with flret dav of dallnquencv, or nine C') aanthe and ana (1) dey fro. the data of
death, to thl data of p'vaent. T...e which bae... d.llnquent bafara Jenu.~v 1. 1'.2 ba.r Intar..t at thl rata 0'
.1. C6~) p.rc.nt p.r annua c.lculat.d at . dellv r.t. of .00016". All t.... which b.ca.. delinquent on and af'er
January 1, 1911 will baar Intar..t at a ra'a which will vary fro. cal.nd.r yaer to caland.r yaer with that rata
announc.d by the PA Depart.ent of Aavenu., Tha appllcabl. Intera.t ra'a. for 19.2 through 1'94 ar'l
DISCOUNT I
~ Inter..t R.'a Dalh Intara.t Factor !!!r Intar..t Ret. Dally Intar..t Factor
19az ZD~ .000548 1916 lOll! ,OOOl14
19U 16~ .000411 1987 .. ,000247
I'." 1I~ ,000501 1'81.1991 1I~ ,000501
1915 U~ ,000556 1992 .~ ,000247
1995-1994 '" ,000192
1995 .~ ,OOOZ47
.~tnt.ra.t I. calculat.d a. folio...'
INTEREST a BALANCE OF TAX UNPAID X NUNBER OF DAYB DELINQUENT X DAILY INTEREST FACTOR
~.Any Notlc. I..ued aftar 'ha t'll baco.a. d'llnqu.nt will raflact an Int.r.et eale~l.tlon 10 flftaan 1151 day.
bayond the dele of thl ........nt. If pew..nt I. .ada after tha Intar..t co.putatlon data .hawn on tha
Hotlca, additional Int.ra.t .....t ba calcul.ted,
r
\
s'rA'rus REPORT UNDER RULE G. 12
Name of Decedent: ^lice Louise Shover
Date of Death: 11/22/93
W ill No. , :: l J, L/ .. 7 C'3 C:l
Admin. No.
Pursuant to Hllle G. 12 0 f the Supreme Court Orphans'
Court Hules, 1 report tl~ fol1owlng with respect to completion of
the aumillistration of the above-captioned estate:
1. State whether administration of the estate iB complete:
Yes X No
:1. T f t:Ilr.! anAwer I s No, Atilte when the persona 1
representative rn.llsonably believes that the administrat.ion will be
complete:_______
J. If Lhe answer to No. 1 is Ves, state the following I
a. Did the personal representative file a final
account with the Court7 Ves No ~
b. The separate Orphans' Cuurt No. (if any) for
lhe personal rapresentalive's account is:
c. Did the personal representative state an
account informally to the parties in interest7 Ves ~ No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the orphans' Court and may be attached to this report.
Date: 0(<(V/'f ,"-Zll.L..JJ,~<9j'/,u
Signature (J
James D. BOQar
Name (Please type or print)
5 W. Main st.
Shiremanstown, P^ 17011
Address
(717) 737-8761
Tel. No.
Capacity: Personal Representative
X Counsel for personal
representative
(MAli: rmf/ AM3)