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HomeMy WebLinkAbout96-00823 I:J~'I)TION ...O~~ PIWnATE and GI{ANT OJ. I.ETTEI{S 1'\1111" or & 1 t C: I/'c' n/., ( NIl.,::( /-- 9'>[, " J'Ol3 . a/so kll(}H'tS1~ 10: Ih'gi,lel Ill' Wil" 1'" 1111' , f)c'('('tlSN/, COlllllV of ~f_~l~1_~--L___ ill till' .I'ol'iIl(.I'\,,'II1'ily No, Ja -1 '.J') _./jO 7 ('OI11Il;nllwl'ullh of 1'1.'llllsylvHlliH . '")'hl' IWlilioll of Ill\.' lI11dl'l'...iglll'd n",,,,pl'L'lfull~J I'l'prl'~l'rlls Ihal: Your pl'litiolll'I'("'j. who h IUl'l' 11'< )'l'ar... or agl' o,jyl~:l: illlll1l' l'\('t.'ul.l~l X. ___ ill 1111' la;1 ,will of I lie abolT deCl'*'JlI. daled '1 '1( f,~ ....__ Hlld lodllll('1 dnlld , 4/,1' '. .. . .oj , 7), }~ic/[;e c";.!.c ;;'" . /-/'7)'/.'"..--/,------.-.' (0<1;;'1(, <""/C "'.. /1 <<....f'L c--uz~-=7~~~~.--==: .__,...,. nHl111'd ._..__,' 19_._. hUl!{' Il'll'lalll .:iITIIl11'i!,lIICl''', l',~! r"Ill111d<lli(lIL dl'~jlll nl\"\'\'lIlm, ell',j ,'/ D. ".'lClllklt I. was. .dnl11kikd "I..dealh III L'" _.'" 1... ....m... '. ..__.'. 'c;. (."H~' I'cnnS.Ylvania, wilh 1If.,=:,._ lasllalHily 01 prilllipal le,idellee aIT;-fA/1J;:!;J/i"a..":~i;--::2!,?t ;:-c,Tth,! /, J ,1: (11\1 '-Ill'l't, 1l1l1111H'1 alld llllllll-ip;llil,vl Deli'nd9nl.lhell Jt..T .. Y2'/'s 01 age. \!Lcd j"/7 . mJ..L.c' l'-:-r-.. 19n_.__, alm...L (,<.(/(..,j,..., '" I)' 1..'/ ';;;1<-_'>1[, YO!.n 'f'='L4Jp';li':t. _ r, f.mC'.d.:ktl.1, If._._. F'li,'l'PI a\ follows, d~'cL'd('llt did lIollllany, was nol c,livo1'L'ed Hnd did flot have n child born or adopted uflcl' l'\l\.'IHioll of lht' will Oft'C'll'd for prnbilll'; was 1101 lhl' vklirn of II killing and wus never ndjudicutcd illl'OlllPl'll'lll; __.._. .._.____.n_~___.__..__ J)Cl'I'l1tll'lll al deHlh o\\I1I:d properly Willi l'slimatcd valuc"i HI, 1'0110\\,1,; (If d'''l,kikd in l'a,1 All plT'"m,1 ploperly (If IlOI dnlllk'i1l'd in I'a,) Pcr!-.onal property ill PClln...yl\'ania (II 1101 domkikd ill Pa,) Pcr"'lllHllpropcl'lY ill COUlllY Vnllll' ilf real L'stall' ill Pl'llll'iyl\'ania Silllilll'd a... follows: 1//1.. $_/<14,&_____ L $--,--,-_. $ --.._._-~_._._... _._....--/_.iLn.:.r:l. , ._h_,,"..,_'_._._._,_._~__~__~~._____ \\ HI'.RI:,I:ORI':. I'e",i"nel(" ""Sl"'lll'ully prCSl'llll't! hl'fl'willi and thl' wanl or lelll'!'s_ '"lIuesl(\) Ihc plnhale of Ihc lust will und codicil(s) -ti:. r; r .....,)" rlm.ZAJId-/~_ _ m__ ___~ (ll'\I.tllll'IlI,III, dllil'tt:,fi\lrlllllllll (,ll: !HlmlllparUllon d,h,lll',( n) ';'''''r LL-.'~ 1 ~ ..;2c;;j...;c Cill:..; '~;~f ~..~~I 1/'l1li.!i""II..iJr?/;:;? ._/ ;~ .u(IX.h/f"JICJ ,CtvtG' 1/ It, 17'0 J 1 r ;?~:- '7 i.~.4.114--<:'. ,v~F"'t"?"'l',..yI - ~ - --~ . ~------ .---- I(!-'r~_~, (,.- _ fS."" _(..€..~m c'iZ.. ___ ,;>....,yy-. B..21~;,;rf"'~(>I(1~~ . -. -- --'-:7---- /J 7_0 (11'I....1'4-/...(~S dfd'~~'-4_./,.,~..:-_--.!..'!(.t~J ,", ;~ ,....~- .__.__.,."-~~..~~ -. .--- ..~-,...._._--,~--- OATIl OF 1'E1{SONAL REPIU<:SENTATlVE ('OMMONWI-:AI.T11 <II- I'ENNSYI.V ANIA ('Ot i\TY OF (,ltI'i1l1':ln,^NI1 I , HK r" 1111.: IWtililll1t'rhl ,dHI\\'-nit:lIl'd '0\\ l'ttl (,,) tll atlirlll{>"l Ihalllll' ....lall'llll'I1!... in I Ill' foregoing petition aTe (rill' .tllll ,'l.llrl'l'l III 1I1vllL"d Ii! '111.' ~1l11\\ (nll,lt' lIlHI hL'lh'f Llr 1ll'lilinnl'r(") llnd thai !I"i pCI'!.onlll rcprcscn- lali\'L'(~l ullllL' ;dllHl' dl'l't'dL'll1 !"l'lillllIlL'J(s) will wrll unci Indy adllliJli"'I.'I'~lh(' ("dllll' Hl'l'ording 10 law, '/'" " II.' I I '1 I rtc"..., c... L.'b'''", . ..,.. :"\\()I fl III III :1 1111H\1 ;llli 'Il".,'t 1lL'(. I '. ., ' . '" hrlll!L' llh' 1111, 9t:r dd~ ul :,;J. ~..f f'" .~. Ortobor IlJ96 ."(L-.1ol.,/,(,_ ,(,,"",'~.vtJ ~ I, i'l 'j.1 f,; ':,1..\'" I 1 ~ ,. . ! I I, '. '~ ' ).) /;', J I,'('j:/\{(/ -S' hi, 1<1 I I 1111\ 111.11 ill! IIIII!IIII.III'III litll "1\ II! I', 'III ( I" "( II 1\(;'1'11,11 I I If' I ill!:,IfI,d '1,'11111\ ,11(' \',dlll( I, 'I '.'. \1, il I I" rilL "I'I( ! II "111111 ,'111'11 oj '( IIIi I' ,III loj ,111111 Ild\ Ided \,,'1111 III( ,1\ \ II'! H, ,"I ( lit 10( 1"1 1"'1111.1111(11 'dill!: ',If, WARNING: Ills IIlogal to duplicate Ihls copy by pholostl1t N photograph. 21-9f;-U23 J.{'(, II II I I Ii" n'll diLl!!. 'i.' 00 f I , 1 ,<',;1(1'<(/\'-0:. 4~'c,~c,1. &MI<I~l.. LIll'id Ht',L:istfjll' V () 3870141 ,) (<'/' It. ,,'\'1A'()'~'L..: r; /.U" DlI'c No, Li'~' ,Il (/ ,q h "-'he'c> id blc, (\ 1.2 7 .5 $- J.- L i !TYPlJPflIHl I . 1"!lUloUO'HT !IIlACIIIHj( ~ ~ , . ~ ~ ~ I ,(',< 111O~ ItHI'. 1,.' COMMONWeAltH OF PENNSYlVANIA' DI!P~ATMENT OF HEALH1' VITAL RSCORPS CERTIFICATE OF DEATH ~!"l( "if ~u"'ff\ ~iOfotClOONTt". iift.~]~E.-::: f; L -~qLi<--~-~ --==.._. ~~~ c-J~~9~~iU:~~ .-- -'3 C:.iiC.rC~f.~~:f 7:.L'l2L - """,~."." ] .""""... v..,,,,,, [p~lr~tl;TlMTfjpl.ACI!I"'",~1 PIACIIl"l;lI;fo1~tlnO(.,,"'V_ ...."."<eld"'on..."',..lil ., 1..!~_Y~ ~-I p.~~ _~~J""" tr;~tto~~;l::;t:~:~l 1::r~::~~~J-"'--:{-J--p~V-:=~l-- =',10 cov'nyOf Of:AI'll -~ .- Crt'l'C&OACl.'WPOf6{A111-- ]fACI~~~~(I~~~CW;~ ~~~N 77~~---- :~'~~S:~~':Nl =,r":7- IIwa -. ~ ~'U"'16'-'~U'JNO __.:-~~~~~~:.~~ I!. <..-:~~~t1 _~ )<'I('~ ..~~._ .........P....lClfloWlIIIO wrhf'(::- _~Cfiif:.J!li!.!ll'''''!2!<f~_ KItIOOflWt~U$/INO..jSi1i~ j......S~lUlEIiTE'o'EnIN OfCEOfNljFOOCAlIOH 5VAvNf<<lSKlUi<<~- I;;:"'"fi.t.;":"%'"''::r~:r:' ---- -- ____.h_ us .lJlt,lWFUACU/ ~~fl~J\tI!H"'t~ __ ".. ~__I IlL__ S/l~.(S Al:'f~,I..) .~~ 11L~;J~:~~~.~:~~ It :I~__~~ _ ~~= _~'_~l l)(CrC€NTll~AAIIKl...tl()fll;llSlSilNlCtyl"-'SlAIt("~"''''1 (')l;'C[OEIfTB ~ . /).0/ MI1GIlt:LL l).e.N~- ~~~~'IC{ ,'.foI..,_ L!. _~ _ ~_,~ IIcU.......-...""""'.~~~__~u____~..~_____~___"'" I.~~~ru'~ '..~~_~ ~~__~:~~ ~~... __ I~~~!~~n~' r;:llf"!~~!JV:'!~ =- =~I _. H~[\1 :""-':;:''=or.. C,..l,.i ( IS 1... c:' .< ~ '''''l€fl'SN.u..E(f", 1,1.>." Inl J" , t,4Ofll[II'Stu.~LI"~ '-'...... G,S.""""'dl IL_.__-----,.~___ ~ ,~____un...L.SL ,1:1/L.i ~____-_______ t.L-._.._~6.Q,$C:.~ i. '''r..eIOC/~__.__ l/IifOfU.......<lSWOI,Ii(1n-..1.'..' \ ~. lHfOlIlolAN..Slo<<U.oj(IAlXiAIESSi...... Cf)olbof\,fWI ("C<:tIol1 121 ~OI}N C~/"'N-II^15, 1301 "11rc.II~LL DI2I";~~ 1'-!((IJ..V..JIr:S,t!J.;L'i rA .//g~s- ..-JliO(TCi>tiii;:j,,')sifl6N- . ----------~--{AfE6f~iPoSlllCiN- A ~(JfCJjsro$rIl.)t!,~...,.orc.._"Y,C,~ tOC'1J~,CC,I'-',$O..lllpCOOl U"'Wll'f l:,.,ntl"'"'( I R"""'IIIIr"n:k<l'[ J 11.IMI,llol,_l oll 0,.,., I'If;:I 1'.1 ..0. 1~"",1 J ......I';I....'L.."".. ...._.__...~nIJ. /0',4- 7' ,1 Clh>'JIVJl ifiLL Ct-'/'1l"ltln . i13G/1-'fAt, ~'J1\ti:l-'iJN~'- ",AviC~~Hii9oH/oC';t<<l"'SSuCti- -----p:iiis"i'NUi.i8Efi---.-- ~-AHO~aaOf{M:iLjrr~- Ua. _."...____.. ..~~E~~__.c:C_ (r.: ._"S]> ____._.__..__J....JLIIlt,J.L3_L"l.3!....J"""N<. '" re)), "./0/1'1"-",,,. r ~7E"~~~'~' n ')/ ~j""'U.<"""''''<''I''''''I ......_oI"'y....,..~,.....lhlXc..rl<l.rjhll.,..,<lII.""'p1""II'11<l llCfHSEUlolGffl f&lON'O ~:'~"::::n~IlI....Q/<J"'II'h _ :~'~.~t'~__. -u. _ ~4~~;.,J~ R_rJf1e..l.~' 7 "L_~',0l1~1beV'1 I" ,;;;;-........,............- ,.."''''." Uf',.J.",."",,,,,.. 0."., """""""oro.""G",'~'''""",,,", '~~:~~:~':~~:=--.__._._.._~_ iL___10:t'.!L _~J~[.Lilf!:_._~__________ .__ ___~~ ~l~. " """'11: t....lI..........".,""....."""'l""'I......~""',~..'_.It..III.lnr>JrI04.'..'lhI""""'~t,Iy.'II""~,,<""'I<.."'P.II.,..,.'''...,'Io><:...I>d..II'...... ~''"'"'' "'A1~: OU""~WlIO<lfl<llloanI_-.gIO<lIt.If\,bul '''I'''''''''''"'.,.....''''''.... I"d__ 1lOI,......"'IIiI."....-.,"'lI__..~, 1.....III..-ddHln '=::(~1,~,~~~~1,'". !J5CAD j/{I./""",t..., Au..:! 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".>!, ""f.,,.,,,,."/l, 1 a t1.i ttY) 111.~,',"t>lliiiiQitijWp'ii~,;r~'f~'~~'--;-"' 1"'I"..'~,.".'"t'~2.\Di_'/~1"_'.' .Pil(.oMOOlK.INll....'I'Uf\llfyllt<lfUUK"U.,I"r""''''<hol".,.,....,.j,.'''',''''I,..I,',"'''",",'""./,10'".,; 11 7 I:T L"... 7 llI' lq....._ "''''1 ~"'''''''''',lIt....,......,,,,,,, II lhI Iloo.., .... INI>I"', ''''''.1 lol II.. """I'l I"""'.""", Ult.I'" _ ANO...Dl.1flh6tSPUli<!HWflQ( O.......lj(Ol;AUSfOf CltlQit 111""",1""11I1'''''' f."'" A tNV 'MlUlCAll.U'iIlJfI!UlfWNlfl .J ~~. &.(;,.....~P. A.... Z;,'~~~f~:I:,:t:.;.mln.fl<ln .ndlOf IIIY"lI~'I,IU'L In"'r U""'""": d"I~"'~"t1'" 'I lhl IItI>I, ,"", fNl pIIH, ,lid .~' III u" O""~!'I ~(... .. I 11. '" ". !~"u_ ~~f t&.~~,..S/~~:!.)ll' _:2.._~?~_~~~,~.. (lAl"IIII1,"','.,I..,_1 .. C~'J;)6f~' 'I,Int. r:' '~'Wj ~ ~~",.lUllI, ....WIJllII/1 !l ifAiU.,,,...a4~L' 1,l(AeL) )JJIJ.Ll~~.-, I..~I (,.:;, (c../I -"I ..- -f::; l!' ('f'\;l ;-{''f\ --.. .~~t ,Il Cl~ (t_ :~ . ") -_c' ]~ - 'r, gu.> ,,",0: ~ .' n c(:_ ;" :ql~ U~ . · \1\ f.l ~tl 1 ~! Q) ~ 'il p:lP-o I !~ e ~ ~, ti!~ ..:t ~ . .~~rj (y.. f:j !lit ~ ~ . "'lll! l) -. .... )11\ \(\ ~ .;, . . ~ .;'Iw." .' ...~ " ;i .Il <(J Ir' rT1 c'l . 0' <(J rLl :r a.. , o ~ .... N , ,':l ~ ~, N ~ '-' '-' "t:: " ~ ~ 0,;, '-' ~ .N ..::: -c ~ ~ -- , ~ c, ,;:: '" :::;, '2 ~ ~ --:; :- ~ " '-' , " s: .- - .... V'; V! ,... 00 ,..., ,..., I ,..., .-< '0 0",... 'tfll-! M' "" .'" :;: lH QJ<t: OQJ~A; !-tV! 0 , Q! ;:J .c QI .j.J II .j.J "" V!+> !-t V! 'rl!-t g;:: t;n;:J U !-t QlO I'l::U,-q~ :-:t. 'r ~.::; ,,.' p ~ ~ as f: .~ -g: ..;i ~ ','j " " t.\ . .' \{ , , 'f! .,1 . .....-- 1 __''C.~..;J COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE I , / ',,; . / BUREAU OF INOIVIDUAL TAXES INHUlIIANCL 'AX IJ!VlStON nff'll, 760601 HflRIHSfHJRG. fill I11Z8-0601 NOTICE OF INf'ERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF rlEATH FILE NUMBER COUNTY ACN 03-24-97 REEVER 10--01-96 21 96-0823 CUMBERLAND 101 STF.VEN M ZEIGLER !.TE 104 4909 LOUISE DR MECHANICSBURG PA 17055-1324 (', ~.~."" ;~ .'..' ~,. . UV.jG41!:X lFr lDJ-HI RUTH E F.,- Amount Ramltta.c=j L, __~ MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ iIEV: iscjj" Eif "A F p" - i 0 j-: 97T" NoYi C E""O Ii - -fNHE if i;: AN"CE - YA X" 'ifP' fiR A-is E;';ENT ~ -"A L l"owAN"C E - b-li".."" - - -".." - - - -" -" DISALLOWANCE OF DEDLlCTIONS AND ASSESSMENT OF TAX ESTATE OF REEVER RUTH E FILE NO. 21 96-0823 ACN 101 DATE 03-24-97 TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. Reul Estate ISchedYle A) 2. Stocks and Bonds (Sohedule 8) 3. Closely Held stock/Partnersh.lp tnt.rut (Schedule C) 4. Hortgegos/Not8' Receivable (Schedule D) S. Cash/Bank Deposits/Misc, Personal Property (Schedule E) 6. .Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Hiso. Exp.n$es (Schedule Hl 10. Debt$/Hortgage Liabilities/Liens (Sohedule I) 11. Total Deduot ions 12. Nat ValuG of Tax Return 13. Chlu"Uable/Govarnmenhl Bequests (Schedule J) 14. Nat Value of Emtat. Subject to Tex (9) (10) I CHANGEO (1) (2) (3) (4: (5) (oj (7) ,00 17,699.00 .00 .00 .00 117,740.00 -:..9.Q. (8) NOTEI To insure proper credit to your aocount, submit the upper portion of this form with your tax payment, 135,439.00 ".45~ no 128,986.00 .00 128,986.00 If an assessment was issued previously, lines 14, lS and/or 1&, 17 and 18 will reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 16. Amount of Line 14 at Spousal rete liS) 16. Amount of Lina 14 taxable .t lineal/Class A rat. (16) 17. Amount of line 14 taxable ~t Coll.t.ral/Class B rate (17) 18. Principal Tax Due NOTE I TAX CREDITS: ~_~~EENT L:'-" RECEIPT NUMBER AA184912 DISCDU~IT (+) INTEREST/PEN PAID (-) 386.95 6,453,00 .00 (11) (12) (13) (14) .00 128,986.00 .00 X ,00, X .06, K .15, lle) .00 7.739.00 .,!!L 7.739.00 TOTAL TAX_:~EDIi _____ 7.738. ~1 :t~~AEN~C~E~:O::;~~:~:U~. _,=~___,:j~ j ( IF TOTAL DUE IS LESS THAN $1, 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.) . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. AMOUNT PAID 7.352,00 ~ . \ o,J C"' \ '0 ..... ~ G) . i 0 z {U Tlte pel It 1"11 "I lite Illldl'I"iglled I'''SllCL'lltrll\' I'l'p1',.,,'1tI s Iltal: y"ul' pelili"ltel'{'). wit" i'/illl',IH years of Hgc ll1J!'t Il~<J Ulllhc l'\t'i..'lIL/,,_LI X- lit lite lasl will "III". ah"ve del'l'dl'ltl. daiL'd -'/, 'if (,.2., _____,___, und l'odicillS) dall'd 1//11 ' ,~-; (01JI'/ (. C. /UTC/t Ie j~~PC'{ /7><C\.. -C'~LL~=_~!2?~,:==~_~,~ __ __ _'__un. Itamed ___~_, 19,_~ ___ {~t;ll(' Il'kVi!llt dj~'lIll1"(ilt1~'i''', l',g, '1.'lIl1lll'ialjoll, dl';llll pi l'\rrlll(lr, l'le} , , /-( Del'eltdl'ltI WI!' d~tlltkikd al deal It '~l f.__C''''''',' _ i----,,',---/",(,\Jllt~' PonuSYlvani,a, \,"itlt IL=-/Z..m Itl\!. laltllly '" plll'llpal Il'"delte" a,1 f~tAtj7::~,,':;;t;,rj:=L':4~~=~n::lt,t /J;t {lhl ..lilT!, ll11mhl'l Hili! 1ll1lfldPH!iq-, Dt!celtdt)nl, Iltl'n ,ff, 'Yilt.s (ll age. sJ.i.ed" "':r-/C; J___,,,_. 19,'i""~_, ai, ,::j,<.(,(.d,-" i' ,C:; ,./ dC.ml,J'dl;( 'yrl..h/tl1.. ','_' r. r--d;a:z.:.L1c__....,___... F,Cl'111 a\Jolhl\\"\1 t1('I:,.'l'dUlIl dId lIo[ ll1arry, \Vus not SliVllfCL'd and did llOt have a child born or adopted I\IIL'I eW,'Ulion 01 lit\' \\ill olkred 1m I'l'ohltle; wa' IwIIItL' viclim "I a killiltg und WlI' IlOVOI' adJudiclIlOd llh'nl11j)l'ICI,II: _ _~________~,_._'"."..~".""~ Dl'l'\'lHkllt Ht d\.'<lIH I,l\\llt:d property willi' esti1llated Vnltll'''' a~ rnllows: (I r di,'lttll'lbl in 1'1t,) 1\11 p<,I'''ltal propel'll' (111101 dnl1,iL'ilcd ilt li".1 l'et.son"ll'ropcrlY ilt I'l.ltltsY!\Hltllt (/ I !lot d()lIlh:iled in /la,) Pcr....ollHl propt.'rly ill County Vnlw.' or n.'ull'SI<l!l,' ill Pl'l1ll~yl\'Hlliu situalud .1'1 full,,,,,,,: u 1(11 $ --,''a,(,Ira::d...-_ L,.~.._ ,_.. $,-~~---,---~ $~-,~--_...._._..~..~--- .... _,~-/.!.@....,J'X!2..__~__ , \\,IIICRIXOIU',. pClilloltcr(s) 1'l'.\'pel'II'rilly prl'seltled here\\ill, "l1d I lie gralll or kIIL'I'.\' l~tL'I'Olcr', ._~ 'J " :J -;- .-_ ~ t __-_~~c:Cti~,lry'n; /rt...4- t~ ~(i( /?)u,/'...II..})/? 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I~EPRESENTATlVE COMMONWEAI.TH OF !'ENNS\'I.VANIA COl NT\' OF (,ltt'rlJIo:I{[,^Nll 1- HH l'lH.' pl'lilintH't{q ,lhO\'C-llilllll'd \\~l',ll(\llll dllinll{.\) Ihal lilL' ...lall'lllcllt... in lIlt' foregoing pctition ure lrllL' tllllll'l)ITl'l'[ to Ill\' hl"',( (iI iilt' "IH1',',kd!'l' <llld 11vlid or Pl'lilinl)l'l'(\' and IhatHs 11t'I',~()nnl rcprcscn- ~~:~:',l:~',j I':: 11,1,': ,d~:::,LII:::,::l'i1':II','rI' "'~::::':':'I'I:::I \I 'III 'd\;j;;l'" ":h~~~: "~~:~~~L': ,I:l~ ~S:[~I~,.nCC(:dil1g t:111\\" lwltll~' Illl 1111~ 9t:h dd\ 1,11 ,d ., ./,. '~ Oc;tob!;!r 1'.)96, .1"rl~~...{( ~ [J~,("!'L-) ~ //)(lll'.1 (, {("I ',.'1 I ~ r " ,I ! I I' " ) \ \tOl;/\/I" ... ' ./ 1:0 , 'r" '\ ~ l'lli', I', 1'1 \('1 rl!\ Ilidl Illl 1111'1111\,[(1<111 IWI! 1'.1'.1'1' h ",I It (I h i.'lt,d 1{l)~i\IL!1 Tlll'l!fi,l',II!,d 1.('1"1111(,11[' wdl hI l(lI\\ II,lt,IIEJ III, "I'll d II < 'ill ,III i 1111.'lIi ,1 (( II III' ;il( (It ik.11 h did\' 111(",] willi Ill' "I,ll. \'11.1 j{!",,,,L, {JIII<I' 111111('llllJJH'Il! lilillJ', WARNING: It Is Illegal to duplicate this copy by photostatl'r photograph. 21-%-823 No, .___iii'-'-;iki;/,.~;,; ,l~(~W\Q[fil<'~ /~.rr"<;,,,,~~~\ ~ ~.,', ,-'c ~ ~ -" \"~~ 'if .# ..,'.; G;,] (,.1, - :;; * '"- ' , - . , <,\ * ~ ~~.-_~-~,~-/)'\~-\>~~l) "I;frj;<'/W~"" - "'ENT ~\:"r... '-F~,,_~U lfJJiJPY ?4Li;'(i .v(.~.,'c,~.el<. /,1.; Uk(f,) I.q~'al HC'gJstrar V 0'\ !'t'(' I'm Ihis cHtificillC, $}()O 3870141 (9/ " .,-; \1~-:(.11,-t..C,'l...< ','0 -X;L},;., Date It<' In .(i .~,.~ J) '')hc'~\ id 0.1:2 7.55- "l he ,(k, II\O~ lUll.. 2/11 COMMONwe~lTH QF peNNSYLVANIA. OIif'~RTMENT OF HEALTH. 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'-(, , 'to -- ~.,' I', /'<; / BUREAU OF INDIVIDUAL TAXES IWIUHlANCl TAX D!VHItON O[PI, i'80601 IIAfUUS8UfW, flA 17128'0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NonCE OF INHFRITANCF TAX APPRAISE HE NT " AllOtlANCE OR D!SALLOWANCF OF DEDUCTIONS ANO ASSESSHFNT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-24-97 REEVER 10-01-96 21 96-0823 CUMBERLAND 101 [~~~f~~~t~l;~l ~~:- j MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ... il i;:V: i 54"7 - EX" -A FP" - [03-:9 '7 r - No'fi C E "oF" YN"H Eii'i i' A N-c E - i''A X' A-P PRA"i S Ei,iiNT ~.. Ai:. DiiiA NO E" ifR' - - - -" -". - - - -" - - __ DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX RUTH E FILE NO. 21 96-0823 ACN 101 STF.VEN M ZEIGLER tTE 104 4909 LOUISE DR MECHANICSBURG PA 17055-1324 ESTATE OF REEVER -- TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE ---- APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Re.l Estate (Sehodule A) 2. Stocks and aonds (Schedule 8) 3. Closely Held stock/Partnership Interest (Schedule CJ 4. Mortgages/Notes Receivable (Schedule 0) 5. Cash/Bank Deposits/Misc. Personal Property (Schedul~ E) 6. Jointly Owned Property tSchedu18 f) 7. Transfers (Schodule G) 8. Tolal Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. fun_ral Expenses/Adm. Costs/MisG. Expenses (Schedule HJ 10. Debts/Mortgago Liabilitios/liens (Schodule I) 11. Total Deductions 12. Hat Value of Tlix Retur-n 15. ChRrihble/GO\l8t'nnlental Bequests (Sched~jle J) 14. Net V.lue of Estate Subject to Tax NOTE: If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: IS. Amount of line 14 16, A~ount of line 14 17. Amount of Line 14 18. Principal Tax Due at Spousal taxAble at hxabla at rate lineal/Class A rate Collateral/Class 8 rate TAX CREDITS: ---~--'-~'-'~--~ PAYMENT RECEIPT DATE NUMBER 12-02-96 AAI04912 .._-_.~--~---~._.. DISCOUNT 1 + I INTEREST/PEN PAID (-I ----386.95 CHANGED III 121 (31 141 (5) (6) (7) .00 17,699.00 .00 .00 .00 117,740.00 _--:..Y..!!. IB) c_ b' r~ ~,,-~ 191 1101 6,453.00 .00 Illl (12) 1131 1141 U~'lhl EK HP c~l.tll RUTH E DATE 03-24-97 NOTE: To insure proper credit to your account} submit the Upper portion of this form with your tax pay",ent, 135,439.00 ~.4~~ DO 128,986.00 ---:00 128,986.00 14, 15 and/or 16, 17 and 18 will returns assessed to date. .DO '1,739.00 .00 7,739.00 TOTAL TAX CREDIT l~, 7,738.95 BALA~~.o~TAX D~E_ .05 INTEREST AND PEN. .00 --'.~-"-~- ._-~--_.~._-~ TOTAL DUE .05 ~_N__~_____.___.. _~"._~~_ IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU MAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.l 1151 (16) (17) 'E! X .00, 128,986.00 X ,06= .00 X .15=- (18) · IF PAID AFTER DATE INDICATED, SEE REVERSE FDR CALCULATION OF ADDITIONAL ISTEREST. -~---~~_..~-,. AMOUNT PAID 7,352.00 I,--'! ;~ ,_. 0_ a (" r;r-; c{' 1-" P\ (ij ~ -.-, =' DO RESERVAT~ONI Ettatos ~f docodont~ dyIng on or bofor~ DecG~ber 121 1982 -- If any futuro lntorelt In the 'Itato Is transferrod In POlloD~Jcn or onjoYmont to Class B (oollatQral) benefIciaries of tho dscsdont aftor the expiration cf anY 81t8tO for lifs cr for YiI.!U'S, thllt CCllllllonwealth hortlby Qxpro181y re!u,rVGI tho f"lght to appraho find alllll& transfer Inherltanco Taxes 0\ the lawful ClaliB 8 (colhtarl'lU rate on Any such futuro Interut, PURPOSE OF NOTICE I To fulf1l1 the roquireMents of Sectlon 2140 uf the InherIhnco and Estate Tax Act, Act 21 of 199ft, (72 PIS, Soctlon 9140). PAYMENT I Dotach tho top portIon of this Notlco and SUbMit with your paYll!ont to the Register of Wills printed on the roverse side. --Mftk. check or money order peyeblo tOI RE:GISTER Of' HILLS, AGENT REFUND (Cln I A refund of a ta)( oredJt, which was not requestod on the Ta)( Returnl m8Y blol requllStCld by cOlllplettng an "Appl1oatton for Rofund of PonnsylVllnh Inherltnn<lo and Estato Tn)(" (REV-1313), App!JcaHons 8re eV81leble at the Office of the Reglstor of Hll1s1 any of the 23 Revenue District Offlces, or by c811ing thil spocla! 24-hour answering sorvlce numbers for forllls orderlngl In Penn~ylv&nlm 1~600-362~20S0, outside Penntylvanla and withIn local HarrIsburg aree (717) 787~80941 TDDM (717) 712-2252 (HeRrIng Impaired Only), 08JECTIONSl Any party In Intorest not tstlsfiod with the appraIsement, aliowGnce or di$ellownnce of deduotlonsl or as&ess~ont of tax (lnoludlng dIscount or intorest) as shown on this Notloe muftt object within sIxty (60) days of rocolpt of this Notice by, ~ 'wrItton protest to the PA Depnrtm&nt of Revenue, 1I08rd of AppeAls, Dopt. 281021, tblrrlsburg, PA 171l!1\-1021, OR "-election to heve the lllatter C!.torwdned 8t 8udlt of the 8Ct:ount of tho porsonal reprosentntlvo, OR --eppe81 to the Orphans' Court, ADMIN ISTRATIVE CDRRECTIONSl F~ctu&l errors discovered on this useument should be addressed I" writing tOI PA Depnrtlilent of Rovenue, 8ureau of Individual Tn)(OS, ATTNI Post AS&lIl1lment Ravlew Unit, Dept. 280601, H8rrhburgl PA 17128-0601 Phone (717) 787-650!;' Soe P8QO S of tho bClOklet "Instructions for Inherltanoe TIIx Returr, for 8 R8uldent Oec.dent" (REV-15011 ft'r an explanation of ndmln!strflt1velY correotnble errort;. DISCOUNT, If sny tax due is pnlcl within three (3) calendar llIon'ths after the deoedent's deathl a five percont (S%J dhcount of tho tax paid Is allowod, PENALTY: Tho IS% tex aMnesty non~P8rtloIpation penalty Is oOMputed on thu total of the tax and intorest n.tessed, and not peld' beforo January 16, }l196 I the first day aftor thll end of thlil tax lllllnosty porlod. This non.partIcipat1on ponu!ty 11 !Ippealeb1e In the S8mo Mannor and In the the &allle t11ll0 per lod nil you ~Iotlld appoal the tax end Interest that hal bun Duelled as Jndicated on this naUco. INTEREST: Interolt h chewllod beginning wIth first day of delInquenoy, or nIne (9'J months find one (1) dtly froll! the date of death, to the dete of PUYM~nt, luxe. whloh beODme dollnquent bofore J8nUary ).1 1982 boar Intorelt at the rute of lix (6%) por(llimt per annum celclIll!lhJd !It a dally rate of ,000164. ^11 taxu which becne delInquent on and after January 1, 1982 will bClBr Interost at a r8te which wIll ~ary frOM c~lendar year to calendar year with that rate "nnounced by the rA Department of Revonue. The appl!cabl. Intorest r8tus for 1982 through 1997 ar_1 '!.2!: lntorut Rate Dlllly tnterut fnotor ~ Intorut Rate DallY Int.rOlt factor 1982 20% .000548 1981 9% .000247 1983 16% .000(.38 1986~1991 Ill': ,000301 1984 11% .00030\ 1992 9% .000l41 1":'85 13% ,000356 1993-1994 7X .000192 1986 10% .000274 199,.1997 9% ,000247 ~~Interllt Is cl!llculated .. followsl INTEREST = BALANCE Of TAX UNPAID X NUKBER OF DAVS DELINQUENT X DAILV INTEREST FACTOR ~.Any ~otlo. Is.ued after the tox bROO"'.' dol1nquont will rofloct !In interest calculation to fl~teen (IS) daYI beYond the date of the at......nt. If pay~ent I, Made aftor the Interest cOMputation dut, .hown on the NotIno, additional Inhr..t Illust bu cl!llculat.d, REV.1500("(-t (7.94) J ~"..rtb" f.C INHERITANCE TAX RETURN ~ RESIDENT DECEDENT COMMONWEA1THOFPENNS'flVANIA. (TO BE FILED IN DUPLICATE OEPARTM'NT OF ",V'NU' 2 I - 9 6 - 082 3 HA9R1SfJ,f!;,~~O~:"060' WITH REGISTER OF WILLS) COUNTVCODE OEC![)ENT'$ NAME (LAST, FIRSt AND MIDDLE INITIAL) - .. - ------ --.- Y-iCErJENI'$ CO~~lE!E "PORtS!. \OOi~~'~U~'~~UM'&l.Ltb E. -!DA"O..D,..-i'I--]DAi,-O..Biiiiii-----~-.-1 A~~I;a~J~~~~;g, D~ive17055 1.ll2:E - 1 309 -..lJ...Q=-Q.l.=.~r6.- Q_?:::.2.n(~ :::_O_L_ C~9-,CJ.unb.!;lIl.and.._-- ._______ ":::~"'" lU~2~ '~I::~=:::~~:'~_ SOC"t~:C.U"TV N~~=--n_._,J.A::U~:':'O I'" INS1RUCll~=-__.______ f.X) 1. Original Return [J 2, Supplemental Relurn D 3. Remainder Relurn lfor dallll of death prior 10 12.13.82j o 4. lImiled Ellola 0 40. Future lnlerul Compromls, 05. Federal Euote Tax Relurn Required (for dotes of death of18r 12.12.82) !Xl 6, O"edont Died Testate II 7, Decedenl Maintained a living Tru't (Attach copy of W,II) (Attach copy 011 ,ulIl ALLCORRISl'ONDP.NCE AND CONPIDINTlAL TAX INfORMATION SHOULD8E DIRECTED TO,) NAME ~OMPlTifMAIlINO .ADDRESS Steven M. Zeiqler, P.C. 4909 Louise Dr., Suite 104 TElEPHONE NUMBUI: (717 J 697-7333 . Mechani:_sburg, PA 17055 w .... ",:!!.. ",..", U.1a.U 5~~ , (") .... ili iii III co ...... wili "co "z Sf z co ~ E :l! '" w .. 1. R.al E,la'. (Sch.dol. AI 2. Sloc~' and Bonds (Schedule B) 3, Closely Held Stock/Partnership Intere.H (Schedule q A, Mortgage, and Notes Receivable lSchedule 01 5. Ca,h, Bonk Deposih & Miscellaneous Personal Property (Sch.dul. E) 6, Jain'ly Own.d P,apor'y (Sch.dul. FI 7, Transl." (Sch.dul. G) (Sch.dulo II 8. Tolal Gross Assets (tala I lines 1.7) Q, Funeral Expenses, Administrative Cosls, Miscellaneous Exp.n..' (Sch.dul. H) 10. Debh. Ma"gog. lIabillll... lI.n, (Sch.dul. I) II. Total Deduetions (Iolalllnes Q & 10) 12. Net Value of Estate ILlne 8 minus line 11) 13. Ctwrltable and Governmenlal 8equests (Schedule J) lA. Ne' Value Sublecllo TClX (line 12 rTlinus line 131 15. 5poutal Tronsfers (for dotes of death after 6.30.9AI See Intlruetiont for Ar,pllcable Percentage on Reverse Side: (Indude values rom Schedule K or Schedule M.) 16. Amount of line 14 taxable at 6% role (Include values from Schedule K or Schedlile M.l 17. Amount (\, Line 14 taxable 01 15% rote 1lnclude values from Schedule K or Schf1dule M.I 18, P,lnclpallox du. IAdd 10' f,am lin., 15. 16 and 17,1 IQ, Credits Spousal Poverly Credil Prior Poyments / -' I (- z co ~ :0 ... :E co '" S FOR pATlS OF DEATH A"EA 1213 t /91 CHICK HEAl IF A SPOUSAL POVEATY~~EDIT-'S CLAI",ED [I ..., ____._ Fill NUMBER YEAR "U",BE,R, -0- 8. Tolal Number of Sole Deposil 601(e\ (II ____,...___ ( 21 ______l}-LliL (31 141 (51 . ()( 161.117.740 171____, (91 _ (101 6.453 181w.iL15.439 (Iii 6,453 112) (13) .-.-- (14) 128,986 (IS) _______ )(._= (16) _12 8 ~.L___~ .06.. _-..1.-,- 739_._________ (l71_.__.__._____.__._~ ,15. (18) Discount Interesl _____'__n_.._ ., ___._'.,.____._.____ +------38.7--- -..._____,__ 20. If line 19 is grealer than line 18, enler the differenco on Une 20. This is the OVERPAYMENT. 130 (19) 120) ,___},E_~.__.._.._.. Chec.lt here if you oro roquestlng Ci refund of your overpnymc"'. 21. If Uno Ie is greater thon line 19, enter thll diHen,nco on lintl 21, This i, the TAX DUE. A. Enter the interesl on the babnce dlJe on Line 21 A. 8. F.nter Ihe 10101 of line 21 and 21A on tine 218. This is the BALANCE DUF., Mak. Check Payable tOI Reghte, of Will., Ag.nl ..; ,',;1' ....L II SIIRE-TO AN5wERAi.L QUESTIONS ON REVERSE SIDE AN-D TO RECHECK MATH ,-0( -0( .. ":;Ji~~)~~;" Under penalties of perlury, I declare Ihol I havo examined this relurn, including tlccomponying ,chedulel and stalement" and 10 Ihe bell of my Itnowledg. and belief, It Is Irue, correcl and complete. I declare Ihat 011 real flllale has bun reported at true market "olue, Declaration 01 preporfH other Inon tho personal repr...l1lalivtl i$ based on all information of which pr'parer hOl any knowledge SiGNATRfofliTR$ON ~E$P9~~i'iIT6ri1IuNG~i\J~~---.-.-,.:D6~(:-sr---.-.------- ...------... .., ...-....----.--.-..--..---.~------~.------.---- OAT'. f., __._0____._ C_L:-::!~"'--\'::"lo'.~ ~ ;.I__,'.~__.~~-.L....J J.~'.( _h\.;. tl !\.~.I1 p, ,-), ~ _\~ !~~: ,.. '_I__~J~~~."...r!l.--.uJ.'Z~~-~~~:.-~----.-- ~LUJ__]-.::..._.~_._~.__ :~~~;:,'~~~~~~A~~':,,":T'T'V~__4 T) 0 ;oo'/'~lJi,; (' Dr., S \l i t (' 1 0 4c,M,c:_,:h IX~__~22.? 5 oJ!..bi).~ (21) _.,.....1.,.3.5.2_...._..... .,...,. . (21 A) ...___.___._____. 12181 _7..,..3.5.2..___..__..._,.__..._,_ '(V.L\OJ ", (','61 -t~ J SCHEDULE B 1 CO,MMONWIAlTHOfPfNNSY,lVANIA. . STOCKS AND BONDS INHERIT"NCE TAX RETURN _.___._~.~IDENT.PJ!.~g.~!iI._~__._ ___0___ _.___n.__..___ ~____~._ ...~ i5TATEor---~--'-~----~----------.----~---- ..,.".,.,.-~~--- -- -.- .----jij[ENUM8ER=='==~~ Ruth E. Heeder 21-96-0823 (All prop.rty lolntly~~wlth R'!Iht 0/ Survlvorthlp mu..~ b. dltclo..d on Sch.dul. F.) ITEM DESCRIPTION VALUE AT DAle NUMBER OF DEATH 1. 38.88/Sh 661 A'f & 'f 17 Shares @ 2. S.W. Bell 141 Shares @ 48.25/Sh 6,803 3. AIRTOUCH 282 Shares @ 27.75/Sh 7,826 4. Lucent 5 Shares @ 43.88/Sh 219 5. Putnam .209 Shares @ 10.48/Sh 2,190 6. Bus. Men's 87 Shares/No Value 0 TOTAL (AI,o ,"tor on IIn. 2, Rocopltulatlan) (I' more space ,'s needed, insert addif;onal sheets o( sam. SilS,) S 17,699 ~f ~..lJ(N fl. II' 8~1 Q~",~ It. .' .., COMMON~1_'EAlTH Of F'ENN$YlVANIA INtiF. R1TANCe TAX RE TUR.N RESIDENT DECEDENT _Ru_~__E. Heeder .....__.____.____________m_.__.__.__._______ __21-96-087.3 Joint lenanl(.): NAME - ADDRESS 534 Brighton place Mechanicsburg, PA 17055 . ._..___. H_U._"_~_'~_____'O.. RELATIONSHIP TO DECEDENT Daughter A. Hosalie Lehmer B. Joan E. Crimmins 1201 Mitchell Drive Mechaniesburg, PA 17055 Daughter C. Jolntlv.owned property' ITEM LEnER DATE FOR TOTAL VALUE DECO'S DOLLAR VALUE OF NUMBE JOINT MADE DESCRIPTION OF PROPERTY TENANT JOINT OF ASSET 0/0 INT. DECEDENT'S INTEREST 1. A&B 1-2-85 Hard sburd Beleo Federal 402 N. 2n Street P.O. Box 82 Harrisburg, PA 17108 Savings Accour,t #136520 24 33% 8 2 . MB 1-2-85 Harrisburg Belco Federal Credit Union (Address/Same) Checking Account #136520 1,632 33% 544 3 . MB 1-2-8 Harrisburg Belco Federal Credit Union (Address/Same) Money /llanagement Savings # 136520 16,044 33% 5,348 Notel 1ncl ud" attached List: 111,840 TOTAL IAl,o onler on IIno 6. R.,opllulollonl - .. S 117 740 ~-_.~-,._---~-.- (II more space I. needed ,'"serf additional.heels 01 some size) Estate of Ruth E, Reedor Fila Number 21-96-0823 SCHEDULE F -----.---. Letter for Date Per sh, Ruth's Ruth's Joint Tenant Stocks: Joint # Shares Value FMV Ownership % Portion ***'IHr*,*"'*,*'k'Il *********..*'" *... ***1rIr*"'***, ***.* ... ****.11.***.... ***'Ilr*1rIr****** A&B AT&T .- 3 names 2/26/91 700 $38.88 $27,216 33% $9,072 MB AT&T - 3 names 2/26/91 6 $38.88 $233 33% $78 A&B Nynex - 3 names 2/26/91 141 $43.75 $6,159 33% $2,056 A&B Nynex - 3 names 9/5/93 141 $43.75 $6,'169 33% $2.056 A&B SW Bell - 3 names 2/26/91 71 $48,25 $3,426 33% $1,142 A&B SW Bell - 3 names 5/5/93 71 $48,25 $3,426 33% $1,142 A&B Bell South - 3 names 2/26/91 106 $37.63 $3,989 33% $1,330 A&B Bell South - 3 names 11/8/95 106 $37.63 $3,989 33% $1,330 A&B Lucent - 3 names 9/30/96 228 $43.88 $10,005 33% $3,335 A&B Ill' - 3 names 517196 100 $23.25 $2,325 33% $775 A&B Ill' - 3 names 517196 100 $60,00 $6,000 33% $2,000 A&B Ill' - 3 names 517196 100 $43.00 $4,300 33% $1,433 A&B Rayonler - 3 names 3/1/94 25 $39,88 $997 33% $332 A&B Dauphin Dep - 3 names 12/4/92 218 $31.25 $6,813 33% $2,271 A&B Dauphin Dep - 3 names 2/21/91 218 $31,25 $6,813 33% $2,271 A&B PP&L - 3 names 4/4/92 339 $22.25 $7,543 33% $2,514 A&B PP&L - 3 names 2/11/91 339 $22.25 $7,543 33% $2,514 A&B N. Eng. Elec.- 3 names 3/4/91 50 $31.63 $1,582 33% $527 A&B N. Eng. Eleo.- 3 names 3/4/91 50 $31.63 $1,582 33% $527 A&B Delaware Qroup 1/20/95 32599 $6,29 $205,049 33% $68,350 - Delohester Fund A&B Nallonwlde Bond Fund 2/8/95 2224 $9.15 $20,356 33% $6,785 -----....--. --------. $335,520 $111,840 reederst.wk1 ~':~:r\\ ....'~Jh' COMMONWEALTH OF PENN5nVAi'lIA INHERITANCE lAX RETURN RESIDENT DECEDENT ESTATE 0;:-=--- ,.., .. Heeder, Ruth E. ITEM NUMBER A. Funeral Expense'l IlfV-I~ll [~. (1681 B. 4, C. 1. 2. 3. 4. 5. 6. 7. 8. 1. 1. 2. 3, l SCHEDULE H FUNERAL EXPENSES, __, __~~I~~~~~~R~J~JsC&SpT~N~~f_L.._ Plea... Print or Ty:~e FILE NUMBeR J 21-96-.0823 -.--.-----.--..----.---.--,---- ' DESCRIPTION AMOUNT Neill Funeral Home Camp Hill, PA 270 Administrative Colllt Pe"on~1 Representative Commissions Social Security Number of Pe"onol Repre'entotlve: Yeor Commissions paid Attorney Fees Fomlly Exemption Clolmant _ Reldfionshlp Address of Claimont al decedant', deoth Street Addr.ss City Stdte __ Zip Code, Probata Fee, 283 Mlsc.llaneous Expenses: Accounting Fee, Steven M. Zei~ler, R.C., CPA 5,900 TOTAL (Also entar on IIna C/, Recapltulallon) (If more spoce I. needed, In...t oddltlonal sheets of lome .1...) S 6,453 "" L~~ '5 R -, ,..) (/) ... , r, '-n' 0... l,.\~~ ',) " co ":'1 .. ..... , ';; .-" U i! lJ.' c;:J lrl 1:\ "( .~-; "Q 10: ',th ~a M& ~ . J"L.,.t._j I.~i L') " .;c.. t ' r~! \~1 '~;~ ~~_ ~: r::. H U) tl) "". ~... I'\f~~ \~ Ij1 ;~;~ ill~1 tl, VI;-'~"-'lr~J ~! ;~:: ~ i-~ r~j H lel <// ~-.;'. .; r_II:_1 U/ V\"""'_,I _ t-.~ 'I' ,I, ~.-. ~-. 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