HomeMy WebLinkAbout97-00141
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PETITION .'OR PRonATE and GRANT (W U~ITERS
._._.Q?.L-:4'J.::..l.':ffL........
Estate oj ._~t..ty_J:LJ'iliQXIl\illl__.-.- No. .'
also know" os _..__.___.......__ ....._ ......_....... To:
__.._.__...___~..___..__... _... Register of Wills for the
---.------------.--.,.-1 Deceo.led. County of _!,';.lJmillu:.tilnd In the
Social Security No, -1-~!1::-_fi=-J.lll._.,.._.__. Commonw~alth of Pennsylvania
The petition of the under~igned respectfully reprcsents lha'.:
Your petltloner(s), who is/arc 18 years of age or older an the execut.o.):'s_
in lhe last will of lhe above decedent, dated _,.l1J.lgust ~ .....-----
lIlKctxlfdlol~ x1lICtIt __..__.______
named
, 19..3L..
--"-_..__.~._.~_._~------_._---
(Ul\IC relevant circumstances, e,g, renundatlon, death or eKCl:utof, etc,)
Decendent was domiciled at death in _.S::umber land .___ County, Pennsylvania. with
h er last family or principal residence at 64 West Bia Sprinr,; Avenue.
..B.o..r.ou\jh nf NewviJJ.e, PP~lVllnill
(lIsl meet, number and muncipallty)
Decendent, then __~ 6 years of age, died February 8 / , 1997 ,
at Green Rid~-Yillage. Newville. Cumberland County, PennRy]vania
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
Incompetent: no elU;..eptions
Decendent at death owned property with estimated values as follows:
(If domiciled In Pa.) All personal property S 10 / 000 . 00
(If not domiciled in Pa,) Personal property in Pennsylvania $~
(If not domiciled in Pa.) Personal property in County S
Value of real estate in Pennsylvania $
situated as follows: . none
WHEREFORE, petitioner(s) respectfully requestOO the probate of the last will :lIIlklClldt~
pr"ented herewith and the grant of letters testamentAry
(telitamenlary; administration C,La,; administration d.b,R,c.t.a.)
theron.
t f).JJN.ft- ~ ~ "'~qV1
~i ria North lilqh Street
)1 .Arendtsville, PA 17303
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~arwood l.ane
CarliRle, PA 1701,
OATH 0.' PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF Cumberland ______
The petitioner(s) above.named swear(n or affil'ln(s) that the statements in the foregoing petition are
true and correct to the be"t of the knowledge and belief of petitloner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
Sworn to or affirmed ffd subscribed ~ -..i!L~ ^, QA/}~?).l c"
. before me this 1 H... d'lY of _8.<w~.rt7.~ohnson ~'
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l':.:.!4.U.J...!UL..fWI., y !JJLJ:tD~inda L __.Eai lor. ___ ~
MA CLEWIS Registe, Tf..---- ~
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WARNING: Ills IlIegsllo duplicate this copy by pholoslat or photograph.
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COMMONweALTH OF PIHN8VLVANIA. OI'AATMINT OFHIAL.TH' VITAL RICORDI
CERTIFICATE OF DEATH
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~TIFIC^TION OF NOTICE UNDER R~~~5~1~.
Name of Decedentl
Betty C. Sherman
February 8/ 1997
Date of Death:
Will No,
1997-00141
Admin, No, PA 2197-0141
'1'0 the l\egisLerl
I certify that notice ot beneficial interest r'~quired by
Hule 5.6(a) of the Orphans' COllrt Hules was served on or maUed to
the following beneficiaries of Lhe above-captioned esLate on
March 7/ 1997 I
Nam~
Addres~
Michael Terry Johnson, P. O. Box 509L-41 West Main Street, New-Kingstown,
PA 17071
Robert A. Johnson/58 North High Street, Ardentsville, P~ 173~.
Charles E. Johnson, 640 Mickeys Inn Roa~Chamber.sb~~~ FA 17291-_
Notice has now been given to ail persons entitled ther.eto under
Ruie 5.6(a) except 'no exceptions
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Na e Jan G. Sulcove
Date: March 7, 1997
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Address 82 West Queen Street
Chambersburg, PA 17201
Telephone (717) 264-5194
Capacity:_____ Personal Representative
X Counsel for personal
representative
---
20, II Une 1918 groatOl than Uno 10, o"lor tho dllleronco on Une 20, Thls's the OVERPAYMENT,
~ 0 ~k hare II ~.re requesting a relund 01 yeur overpaymentl
21, II Un010ls groalOl than Une 19, enter the dlllereoce on Une 21, This Is Ihe TAX OUE,
A. Enler the Inl&r991 on tho balanco duo 011 Uno 21A,
B, Enter the total 01 Ulle 21 and 21A on Une 21B, Thl'" the BALANCE OUE,
Make Check Payablete: Reglste, 01 Wills, Agent
~ ~ BE SURE TO ANSWER All QUESTIONS ON PAGE 2 AND TO RECHECK MATH . .
tTiiiJlr plnalll.. of plfJury, t dlclArl that I hAVI lKAml/lld this return, Including ACcomp.nylng ,ohldul.. ..nd .t.lement., .nd 10 thl b..t 01 my knowledgl And belllf, it l.trUI,
COflletand complilltll, I dllclAfelhat 1.11 r",I"t.t, hu ~lIn f'pllftld ftt trutI mftrktt valu., neOlAfllHln of prllpallr DIlle/than the pOrlonal reprl..ntatlVII, blllld on ..lIlnlorf"atlon 01
whlohprlparlf h..anyknowl.dgtl,
---,.-'-'
SIQNATURE Of PERSO RESf'ONSIRlE ron FlUNG R[1 URN Rober t A. Johnson
~~. .~'?!.t:l:.[I.j).\~. .S. ~...................... ...........
}.-. Ardentsvllle...l PA 17303
Black and DavIson
~.2..I!:. .Q,!~!,.l]. ~.t.r:~~.t...............................
Chal1lber!!burg, PA 17201
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1.1," II: I '- ,:1
REV ~ 1100 EK . ('-'''1
fOR O,lt.TU Of DrATH ArTEA 12/31/8' CliEi';KtlERE
If A 8"OUlJAL _ __ r..,
.f.Q."li.fljYCR[DlTIaCLAIM.~~_
FILE NUMBER
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILtS COUNTY COOE
OECEDENT'6NAME (LAST, FIRST, ANOMIOOlr INITIAL) Df:CEOr:NT'8 COMPLETE ADDRESS
Sherman Bett C, 6/, lUg Spring A~'Hlue
80CIALaECURITYNUMBER DATE OF DEATH DATE OF (HRTH Nowvi 11(~ I PA 1.7241
168.24.3343 02/08/1997 05/30/1930
Nl'MBErI
cOM~P~.n~fu1~'lft:.ffJWbr'NIA
HARRltlB~~t,~~ ~~t"-OIOt
2197.0141
YI:AA
County
Cumbor1and
SOCIAL S[CURITYNLMOER
AMOUNT AECEIVtO(SEF.IN8TRUCTIO~15)
0,00
(IF APPLlCABLE)8URVIVING SPOUSE'S N"ME(LAST,FIAST AND Mf[}DLE INITIAl.)
x I, Original ReMn
4, IJmlted Estato
AemaJndOl Return
(10' dates el doath prior te 12-13-02)
FeU",al Estete TOJ( Roturn Roqulred
Total Number 01 Safe Ooposlt Boxe,
2. Supplemontel Roturn
40, Futule InlOroot Compromlso
(for detes 01 deeth ""0112-12-"2)
lJTI 6, Oecodent Oled Tootale 0 7, Oocodent Malntelned a Uvlng Trust
Mach oopy of \\~II) (Maoh a oopy 01 T!U6!L
C P All CORRESPpNOENCE AND CONFIOENTIAL TAX INF_ORMATIO~ GHOULD BE OIRECTEO TO:
R 2 NAME COMPLETE MAILING ADDRESS
R 0 Jan G, Su1cove Black and Davison
~ ~ TELEPHONE NUMBER 82 W. Queen Street
T 717 264.5194 Chambersbur PA 17201
1, Roal Estate (Schedule A) (1) None
2. Stocks and Bonds (Schedule B) (~) None
3. Closely Hold Stock/Par1""",hlp IntOlost (Schedule C) (3) None
4, Merlgagos and Notos Rocelveble (Schedule 0) (4) None
5, Cash, Bank Dopeslts & Mlscellaneou, Porsonal Propeny (Sch, E) ($) 103,500,90
6, Jolnlly Owned Properly (Schedule F) (0) None
7, Translaro (Scheduia G) (Schedule L) (7) None
8, Total Gros. As..ts (Iotal Unos 1-7)
8, Funeral Expen..., Admlnl'trallve eoots, Mlscellonoous
Expon,os (Schedule H)
10. Oobt', Mengege Uablllllos, Uens (Schedulo I)
11. Total Ooductlons (total UI1OlI9 &10)
12. Nel Value 01 Estele (UIlO 0 mlnu, Uno 11)
13. Charllable and Govornmental Bequests (Schedule J)
14. Net Value SubJ~~BJ( (Uno 12 minus Une 13) ,
15, Spousal Translora (for dates of cIoalh eNOl 0-30-94)
SOO In,truotlons for Applicable percentago on page 2,
(Include values lrom Schedule K or Schedulo M,)
16, Amount of Une 14 tOJ(able et 6% rale
(Include vBlues from Schodule K or Schedule M,)
17, Amount 01 Uno 14 taxablo at 15% rate
(Includo values Irom Schodulo K or Schedule M,)
18, Principal tOJ( due (Add tOJ( Irom Uno 15, 16 end 17,)
19, C,edltslSp povony Prlo, Payments 01900"nt
05.
o 8,
R
E
C
A
P
I
T
U
L
A
T
o
N
(9)
(8)
13,853,55
5,222,43
(11)
(12)_
(13)
(14)
0,00 X .
103,500,90
(10)__
(15)
(10)
84,424,92 X ,08'
5,065,50
T
A
X
C
o
M
P
U
T
~
I
o
N
o,oq X ,15.
0,00
(17)
5,065,50
(18)
Interest
+
+
(19)
(20)
0,00
0,00
(21)
(21A)
(21B)
5,065.50
0,00
5,065,50
DATE
Iil',) /'2?
OAH
DI . ,;,! 'I']
Form 1500 (Rev, Ht4)
BLACK AND DAVISON
Attorneys-at-Law
82 West Queen Street
P. O. Box 513
Chambersburg, PA 17201-0513
Robert C. Sohollaert (717) 264-5194
Jan G. Suloove
Betty C. Sherman Estate
BILLING DATE 10-16-97
ACC'T NO.
JGS15557.01
Attn: Robert A. Johnson
RE: General
DATE EXPENSES
02-.10-97 Long distanoe call ' $1.25
02-10-97 Lorlg distance call $8.75
02-10-97 copying charges $0.50
02-11-97 Register of Wills - probate fee $6:1.00
02-11-97 Travel expenses $23.56
02-12-97 Travel expenses $17.98
03-10-97 Copying charges $3.00
03-13-97 Long distance call $1.25
04-08-97 Notary Fee $2.00
04-08-97 Notary Fee $2.00
04-08-97 Notary Fee $2.00
10-15-97 John F. Kohler - appraisal fee $55.00
TOTAL FOR CURRENT PERIOD
$180.29
$180.29
$0.00
TOTAL FOR THE ABOVE EXPENSES
PREVIOUS BALANCE
TOTAL $180.29
TOTAL PAYMENTS $0.00
AMOUNT DUE $180.29
Please write the above account Ilunlber on your oheck and
make your check payable to Black and Davison
... *THANK YOU**
,/~~).,- /{I/ '/
,"'i
COMMONWEALTH OF PENNSVLVANIA
DErARTM~NT OF REVENUE
BUREAU OF INDIVIDUAL TAMES
INHERITA"'Cl TAM DIYISION
DfPT, 110401
tlAAlnSIURG, PA HU,"060l
NOTlCE OF INIlERITANCf TAM
APPRAISENENT, ALLOWANCE OR OISALLOWANCf
Df DEDUCTIONS AND ASSESSNENT OF TAM
DAT!
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
01- 2'1' 98
SHERMAN
02-08-97
21 97-01(,1
CUMBERLAND
101
JAN G SULCOVE
BLACK & DAVISON
82 W QUEEN ST
CHAMBERSBURG PA 17201
*'
IIY.II41 U II~ In,HI
BETTV
C
I: ---AMO~nr'iiO-;;itt.d-l
="","=,=>0'-- _.=::'M
-----~._-_..__._-
) CIlANGED
MAKE CHECK PAVABLE AND REMIT PAVMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ... RETAIN LOWER PORTION !'OR YOUR RECORDS ..
iiEV: i 54-j - EiC AFP ,. fii9" :97 yo NOi''i cE- -0 ji - i:"NHEii if A lici 0 "fAx - A P PriA i SEMENr. - -Ai. i:OWANCE - cili - - - 0 0 - -- 0 - - - 0 - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT' OF "AX
ESTATE OF SHERMAN BETTY C FILE NO. 21 97-01(,1 ACN 101 DATE 01-27-98
ll)_
(2)_
m
I~)
(5)
(6)
17)
.00
,00
,DO
,00
103.500,90
,00
,QO
IU --103,500,90
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.r'd Explnu./Adln. COltl/Hi.c. Expan... (Schedule H)
10. Oebt./Hortglgl Liabl11ti../L1.na (Schedule X)
11, Tob! Deduotions
'12. Nat Valua of Tax R.turn
13. CharUabb/Govlrnttenhl Blqu..ts; Non~.hClt.d 9113 T..ulh (Schedul. J)
14. Net Vlllu. of Elt.t. Subject to T.)(
If an eS....ment was is.ued previou.1Y, lino. 14, 15 and/or 16, 17 and 11 will
rllflect figure. thBt include tt.e total of ill return. aue.sed to dati.
ASSESSMENT OF TAXI
1S. A~Dunt of Lin. 14 .t Spoulal
~,. AMount ~f Lin. 14 1.x.bl. .i
17. AMount of Lin. 14 taxable .t
la. Princip.l TIM Due
TAX CREDITS:
PAYNE NT
DATE
10-23-97
NOTE:
...t.
Lin..l/Cl... A ...t.
Col1.t....l/Cl..' 8 r.t.
RECEIPT
HUNBER
AA2~2375
DISCOUNT (+)
INTEREST/PEN PAID (-)
,00
TAM RETURN WAS I I X) ACCEPTED AS FILED
RF.SERVATION CONCERtUNG ~UTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l e.t.t. ISCihtldu1. A)
2. Stock. and Bon~1 (Schedul. B)
3. Clo.ely H.ld Stock/p...tn.r.hip Int.....t (Sch.dul. C)
4. Ho..te.e'I/Not.. R.c.iv.bl. (Schedul. D)
S. C.ah/Bank D.pOlltI/HiRC. Paraonal Propa..ty (Sr.hedul. E)
6, Jointly Own.d Prope..ty (Schadule F)
7. Transfara (Schldul. OJ
e. Tohl Au.h
19)_ 13.853,55
110) 5,222,43
(11)
1121
(15)
11~)
liS)
(6)
(17)
,00
84.424,92
,00
M ,00.
M ,06.-
M ,15.
11.)
NOTE I To ineure proper
c...dit to you.. account,
lubMit tha upper portion
of tntl forll w1 th you..
taM plIYMant.
19.0759A
B4,424,92
,00
,
84,42~,92
,00
5.065,50
,00
5,065,50
5,065,50
,00
,00
.00
. IF PAID AfTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS TIlAN tl/ NO PAYNE NT IS REQUIR~D,
If TOTAL DUE IS REFLECTED AS A "CREnIT" ICRI/ YOU NAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FDRN FOR INSTRUCTIONS,I
ANOUNT PAID
T;lJ6's:50
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
REl2:tNATlONI IIt.t.. of d"ecMnt. d"lnt on or ~for. tlMHblr 12, 1912 ~- if anv futurl lnt.r...'" thl ..tat. 10 tr.,.flrrM
in pO....llon ~r onJav..-nt to ClI.. I (coUltoroll beneflelarl.. of tho decll.nt aftlr the IMplr.tlon 'Of '"~ ...tat. fgr
11ft or for )It.r., tho COtIIlClnwol1th h.rtb)l IMpr...ly ro.III'VII th.. rilM to appro'... tnd ...... tron..'" Inh.rltMCt TIM"
at thlil la",ful Cl... . (oolht.r.1) rat. on any .uch future Int.r..t.
PURI'OSf. OF
NOTIC!!I
PAYMENT I
REfl*D (eA) I
OaJECTIONS I
A""I"
ISTRATIYE
CORRECTIONSl
DlSCDUtfT I
PENAL TV ,
INTERUT I
To fl,llflll th8 requlrlMlntl of Section 2140 of thl Inhorltanclt .nd btah hx A(it, Act 21 of 1"5. (72 P,S.
S.~Uon 9140),
DotlOh ttla top portion of thh HoUC'lo end sub. it with yovr pay..nt to thl Roghtlr of Wlll1 prlntld on thl "llIor.. I1dt.
~ -"~kl ohock or lIIon.y ordor pe)'ttbll to I REGISTER OF KIt,LS 1 AGENT
A r,funa 'lJf . tine crCtdIt, whl.oh w.. not rSlquutld on tho TaM Return, lay h. r.quo.t" by ooltPl.t1ng an "Appllc.tion
for Rafund of PtM.yl\,lenia Inherltanco ~ E.t.tl raM" (REV-illS), Application. .r. ~\I'.ll8bl. .t tho Offlcti
o~ the Rlgl.t.r of Will', any of the 2] Rlv.nu. Dl.trict Offlc.., or by calling thl .p~t.l l4~hour
.n.warJno I.rvlc. nuablr. far for" ordlrlnll' In Plnnlylvani. l~eOO~!62-2050, ou(.lda p~,YIYanJ. end
within 10<;81 Hllrrhburg ar.. (717) 181-8094, TDDI (711) 172.2252 (HI.rlna IlIPolrllld OnlY),
Any Plrty in Intlrllt not .atl.fled lilth th~ epprai.IMent, ellowanel or dl.ollowanel of dlckloti~., or .......-nt
of taM (including dheount or inter..t) II .hown on thh Notlcl lIullt Object wlth!n ditty (60) days of rlcllpt of
thh HotlOI bYI
nwrlttan protut to thl PA Dlpart..nt of IIlvenua, Soard of "-PPltth, Dilpt. 2alOll, Hllrrhbura, PA
fi-Ilactlon to hey. the ..ttar doterllined .t eud!t of thl acoount af thl Plr.onll rlprl.lnt.tlvl,
uappI.I to thl Orphan,' Court,
11128-1021,
OR
OR
Fltotu.1 Irr'or. dhcovlrld un thil .u....ant .hould bl addr...ed In writing tal I'A Olperhlnt of RIVInlJt,
&urlau of Individual TaMIN, ATTNI POlt A."II..nt Rlvlew Unit, nept. Z&0601, HarriSburg, PA 1112e-0601
Phone (111) 1l7-6511S. S.. pllgtl Ii of the bookllt "In.truoUon. for Inhorltllno. T'M R.turn for a Rllldimt
D~ltdont" (REV"lS01) for an aMphnatlon of .dMlni.tr.tlvaly (lOrrlctabll Irror..
If InY tax dUa h p.dc1 within thr.. (]) cs.llllnd'H' lIonth, .ft.r thl alcldlntt, dl.th, . five percent (5iD dhcount of
the tlK paid it ellowad,
n.... ISle bit MOI.ty non-p.rUelp!llt:1on plnlity 11 cOlIPutld on the totll of the ta:w: and Inter..t "......d, aMi not
plld before January 16, 1996, tha flr.t dllY .fhll' the end of the tIIM """sty p.r1od. Thll rmn~parUdp.t1on
penalt~ 11 appI.lab18 In thl .... .ann.r Ilnd 11'1 the the I'" U... p.r Jod .. YUU would aPP.Il the tltN end Intll...t
thet h., b.an .......d .. Indicbt~d Qn thl. ~otlc.,
Interut b Clhar,ld b.glnnlng with Hr.t day of dllInquanc~. or nln. (9) IIOnth. and one CD da" frail tM data of
dtI.th, to tho data of p.y..nt, TaMI. wtllch b.e... d_l1nquent b.forl January 1, 1962 bAa,. tnt.,...t at the rlta of
.Ix (6;() perClant par tnnlJll (l.lcul"tld .t .. dlUy rate of .000164. All hMII' which btcl'" dllinfll,Jlnt on and .fter
Janulry 1, 1912 wUI bl.r Int.re.t at . rat. which will ".ry fro. tl.l.rKl.r Ylar to cIl.ndar ~"r with that rlt.
.nnounold by the PA o.p.rtllent of R.vt~, Th. appllcabll Intlr..t r~t.. for 1982 through 1~98 Ir.1
U!t InUr..t Rllt. D.lh Int.,...t Fsctor X!!r [nt.ro"t Rata DailY Int.rllt Factot
198Z '" ,000541 1987 OX ,00021\1
190\ ax ,ooou8 1968.1991 11;( ,oonOI
1~6" Hie . QO!)SOl 1992 .:< ,D0021t7
191i ISX .00nS6 19n.1994 n ,000191.':
1986 lOX .000274 I"S~1990 .X ,000Z47
~-Intar..t II ollC'lul.t.d II ~Dllow.,
INTEREST . BALANCE OF TAX UNPAID X NUNIER OF DAYS OELINQOENT X DAILY INTEREST FACTOR
HAny NoUce IUuM aftar tM tlX bOOfHM' delinquent will rafllct an Intlr.at calcul.tion to flft.." Oli) dI.,.
"yond tM d.t. of tho ......Mnt. If P.y.."t II .aM aftar tho Int.rut CGllpUt.Uon d,t. ahown 00 the
NaUe., HdIUonal Intlr..t MI.t be eelculltt.d,
10/15/97 Masland Associates - medical 66.9~
expenlle
10/15/97 Newville community Ambulance . 164.88
- medical expense
10/15/97 Penn state Geisinger Health 2,908.90
Group - medical expen~e
10/15/97 RWC Emergency Physicians - 57.70
medical expense
10/15/97 university Hospital - medical 36.60
expense
02/23/98 Carlisle Advanced Life 857.15
Support - medical expense
02/23/98 Carlisle Cardiology - medical 150.00
expense
02/23/98 RWC Emergency Physicians - 221. 00
medical expense
TOTAL DEBTS OF DECEDENT.".,.. ,t , . . . . . . . . . . , . . . It . . . .
SCHEDULE C-2
FUNERAL EXPENSES
03/19/97
Myers Funeral Home, Inc. -
funeral bill
1,793.00
OS/29/97
Tri County Memorial Gardens -
grave marker
1,555.00
TOTAL I"UNERAL EXPENSES.......,.,.",..."...,. t . , . . . . .. .
-4-
6,450.58
3,348.00
SCHEDULE G
RECEIPTS OF 'INCOME
SCHEDULEG-2
INTEREST
Farmers and Merohants Trust Company
Certificate of Deposit #015-2954603
02/28/97 43.32
03/28/97 39.12
04/28/97 43.30
OS/28/97 41.92
06/28/97 43.32
07/28/97 41.92
06/28/97 43.32
09/28/97 43.32
10/27/97 40.50
12/04/97 43.32
12/29/97 41.92
01/29/98 43.32
03/11/98 43.32
551. 92
Farmers and Merchants Truat Company
Certificate of Deposit #015~2954648
03/13/97 38.26
04/11/97 42.36
05/11/97 40.9.9
06/11/97 42.36
07/11/97 39.82
08/11/97 41.15
09/11/97 41.15
10/11/97 39.82
11/11/97 41.15
12/12/97 38.50
01/20/98 41. ],5
02/18/98 41.15
03/11/98 37.17
525.03
Farmers and Merchants Trust compan~
certificate of Deposit #015-295463
02/14/97 58.68
03/13/97 273 . 8,6
04/04/97 205.40
537.94
~,B-;