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Home My WebLink About97-00220 " ell - I flll'!- 0 lZO I.nw Offices SAIDIS, GUIDO, SHUFF & MASLAND ^ l'IHlI'E.~.~l()N,\I. {'IJfll'(H~^'[r(JN lohn B, SlIke Robert C. Snldls Bdwurd B. Guido Geoffrey S. Shuff Albert H, Masland lohuna I. Deily Richard p, Mlslltsky Scott D, Mooro David J. Freed 2109 Market SlIcet . Post Office Box 737 ClImp Hili, ('ennsylvlInlll 17(X11,0737 Telepholle: (717) 73"i.J405 . Fne"lmlle: (717) 737.3407 rebruary 24, 1997 CArlisle Omee, 26 w. fIIgh Street Cllrllnl., PA 170 t J Telephon.: (717) 24J.6222 Flle,lmll.: (717) 24J-64H6 Reply To CAmp '!!!!. Vicki Zuna Cumberland County Register of Wills Office Cumberland County Courthouse South Hanover Street Carlisle, PA 17013 RE: Estate of Dale R. Lohman Dear Vicki: As you know, this firm represent.s the above-referenced estate. You have requested information regarding our efforts to locate James Lohman in order to obtain his consent to the issuance of letters of administration to his brother, Frank Lohman, Frank Lohman informed us in October that his brother James was living in the area of Tacoma, Washingt.on. He provided us with a phone number which, when called, was found to be no longer in service. We then contacted telephone information for several areas in Washington to ascertain whether James Lohman was list.ed in any phone directories. We were unable to locate James Lohman in that manner. Incidentally I in the time that. we have been involved in t.his matter, James Lohman has not contacted Frank Lohman. Frank Lohman further informed UB that his brother Jamec served in the United States Army from 1959 until 1981, retiring as a non- commissioned officer. Therefore, I endeavored to located James Lohman through the United States Army. In that regard, I contacted the Judge Advocate General' 8 Office at the United States Army War College, Carlisle Barracks, Carlisle, Pennsylvania. A representative of that office suggested that I contact the United States Army Reserve Personnel Center in St. Louis, Missouri. r contacted that office, and was told to send a letter detailing who I was looking for and why, as well as a letter to that person. A Personnel Center representativf; told me that if they located an address for James Lohman, they would forward the letter to him but that in no event could they reveal James Lohman's addreBB to me. r sent a packet of information containing a letter t.o James Lohman to the Personnel Center on December 6, 1996. To date, we have not heard anything from James Lohman. '5 If). II) .- 'Ea lile ~,,"'. , ~< '0'" 'Ie: ~~. \Cl ~-,,-- ""0 +- ~ \i! ,C (.. (' ;\\ " f: '0',:;', \U~ ~ 0: -- - - {~' .- , " -L -, I ' ~ > Lu~' Offkes SAIDIS, GUIDO, SHUFF & MASLAND ^ l'II01'I;SSION^L rnRI'fJRA'TlnN John E, SlIke Rohen C, Saldi, Edward E Guido Geoffrey S. Shuff Alhen Ii Masland lohnna I. Deily Richard 1', MI.Jl15ky Seoll D. Moore David J, Freed 2109 Market Street. Post Office n"x 737 Camp Hili. Pcnnsylvllllln 17001,0737 Telephone: (717) 13".3405' Facsimile,: (717) 737.3407 February 24, 1997 CArlisle omc., 26 w. HiSh Street C"II,le,PA 11013 Telephone: (717) 243.6222 I'.ellmlle: (111) 24).6486 Reply To Comp HII~ Vicki Zuna Cumberland County Register of wills Office Cumberland County Courthouse South Hanover Street Carlisle, PA 17013 RE: Estate of Dale R. Lohman Dear Vicki: As you know, this firm represents the above-referenced estate. You have requested information regarding our efforts to locate James Lohman in order to obtain his consent to the issuance of letters of administration to his brother, Frank Lohman. Frank Lohman informed us in October that his brother James was living in the area of Tacoma, Washington. He provided us with a phone number which, when called, was found to be no longer in service. We then contacted telephone information for several areas in Washington to ascertain whether James Lohman was listed in any phone directories, We were unable to locate James Lohman in that manner, Incidentally, in the time that we have been J.nvolved in this matter, James Lohman has not contacted Frank Lohman. Frank Lohman further informed us that his brother James served in the United States Army from 1959 until 1981, retiring as a non- commissioned officer. 'rherefore, I endeavored to located James Lohman through the United States Army. In that regard, I contacted the Judge Advocate General's Office at the United States Army War College, Carlisle Barracks, Carlisle, Pennsylvania. A representative of that office suggested that I contact the United States Army Reserve Personnel Center in St. Louis, Missouri. I contacted that office, and was told to send a letter detailing who I was looking for and why, as well as a letter to that person. A Personnel Center representative told me that if they located an address for James Lohman, they would forward the letter to him but that in no event could they reveal James Lohman's address to me. I sent a packet of information containing a letter to James Lohman to the Personnel Center on December 6, 1996. To date, we have not heard anything from James Lohman. . I C!'_ COM~~~~~W\t~ P.t\!'J1iilWNIA HARRISR5~~:j:~m" .060' INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS r,pA.H~~~w~^~r DEATH AFTER lZ131/91 CHECK HEAl: Q.YJiB.lX..Qllli.QIT IS CLAIMF.O 0 FILE NUMBER REV. 1500 EX . ("1.9<41 II E C E D ~ T C A B n L 0 C n C K 0 K P S C P 0 0 R N ~ D E S ~ ~ C o M C T A T I o N GOUNTYr.ODE DECE:DENT'S COMPl.ETE ADDAESS 307 N. 21st Street Camp Hlll, PA 17011. DECEDENT'S NAME (LAST. FIRST, A,ND MIOOL E INITIAL) Lohman, Dale P. SOCIAL SECURITY NUMBEn tU;; DEATH DATE OF BlRrH .. 189-09-0270 01/01/1996 11/02/1917 _ _ Counl (IF APflllCABU!) SURVIVINO SPOUSE'S NAME (LAST,PIRST AND MIDDLE INItiAL) SOCIAL SECURITY NUMBIHt Cumberland X. 1. Original Relurn 4. Limited Estllte 2. Supplemental Return -----~. 4.. Future Inlefasl Compromise (for dalOS 01 dlalh aher 12-12-82l 0 S. []J 6. Decodent Died T&sl~t. 0 7. Cecedent Maintained 8. Living Trust 8. (Anach copy of Will) (Attach a copy of T,usll ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO, Fl E C A P I T U L A T I o N NA~E John E. Sl1ka TELEPHONF. tlUMBEA 717 737.3405 1. Raai Estate (Sehadule A) 2. Stock. end Sonds (Schedule B) 3. Closely Held SlocklPortnership Inle,est (Schadule C) 4. Mortgagas and Notes Receivable (Schedule 0) 5. Cash, Sank Dlposits & Miscellanaous Pe,sonal P,operty (Seh, E) 6. Jointly OwneJ Proplrty (Schedule F) 7. T,ansfers (Sehaduia 0) (Schedul. L) 6. Total GlOSS AsselS (Iolal Llnas 1-7) 9. Funeral EICpens8s, Administrative Costs, Miscellaneous E'penses (Schedule H) 10. Dobts, Mortgage Liabilities, Llans (Schedul. I) 11. TOlai Doduetlons (Iolal Lines 9 & 10) 12. Nel Vaiue 01 eslate (Line 8 minus Line 11) 13, Cha,llabla and Govammental Baquests (Sehedula J) 14. Nal Value Subjecllo Tax (Lina 12 minus Line 13) 15. Spousal Transfers (fo, dala. of dealh ahe, 8-30-94) See Ins!ructlons for Applicable Percentage on page 2, (Include valuas from Sehadulo K or Schedule M,) 16. Amount 0' Line 14 taxable at 6% rale (Include vaiues f,om Schedule K 0' Sehadule M, I 17. Amount of Une 14 taxable at 15% rate (Include values I,om Sehedula K 0' Schedule M.) 18. P,lnclpalla, due (Add tax from Line 15. 16 and 17,) 19. Credlls/Sp Poverty Prior Payments Dlseounl 1 (2) None (3) None (I) NOi1e (5) -0- (6) 43,012.50 (7) None (9) 4,252.00 (10) - 62,782.87 2197.0220 YEAH NUMBER AMOUNT AECf:IVeO (SEe INSTRUCTIONS) 0.00 Remainder R;~------- (for dat.. of doalh prlo, 1012-13-52) Federal Estato IBK Return At'tquired Total Number 01 SafA' Depo!ill BOX8S COMPLETE MArLlNO ADDRESS Saidls, Shuff & Masland 2109 Market Street Cam Hill PA 17011 , (8) , , , 43,01~ (11) 67 ,03~ (12) (24,022.37) (13) (141 (2'tJ.QS2. 37) (15) 0.00 X : 0.00 .- ---- (16) 0.00 X ,06 : 0.00 (17) 0.00 X .15 : 0.00 (18) 0.00 Interest + + - --- 20. II Line 19 is greate, than Line 18, entor Ihe dilleranee on Line 20, This is Ihe OVERPAYMENT. ~ 0 ~~,~ if ~o" ao:!. ,equaltlng a refund of your ove..aymenl.1 21. If Line 1815 greater Ihan Uno 19, enler lh& difference on Line 21 This is the TAX CUp, A, Emer In. Inlerest on tho balance duo em Line 21 A. S. Enta, tho total of Line 21 and 21A on Line 21B. This Is tho BALANCe DUE. Makl Check Pa able to: Re lale, ur Willi, AgeL · · SE SURE TO ANSWER ALL QUeSTIONS ON PAGE 2 AND TO RECHECK MATH ~ ~ Under panllil., of perjury, I declare lhall h..... 8I1:amlnidifi'l'Sreturn, IncludIng Iccomplnylng achedul., Ind ,talementa, and to the be,t of my knowledgo Ind beUef, Ills tru., corr~t Ind completG.1 decl.re Ihlt III tell elllltll hu bean taportad altrue marleel v_tUft. Oeclarllllon 01 preplrer other Ih .lhe personll reprttl.ntltlvelt baled on.lIln!o'mlllon of whIch preplrer hit Dny kno.....!lIdg$. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Francis P. Lohma". Admin. 11,6. ~?,'~~, ?3r~_. ~~!,~~l', ,Ael':_)" ~'1d -L !H, ~ Camp HIll, PA 17011 ~-r" Saidls, Shuff & Masland 2109 Market Street i.;;.m' - i-iiii',- 'Pi.." T7Cfii -.,"','" "" -", - -', "'''' (19) (20) 0.00 0.00 (21) ( 21A) ( 218) 0.00 0.00 0.00- DATE DATE SI)I./Cfi Form150~(R'N, 1-94) ~EV - lS111X . (7.81) SCHEDULE! H FUNERAl. EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMI.Iim4\,'gJVhl'ANIA ISTATIOl' Dale P. rlllM NUMBIR A. I. ohman ?.Si! 189.09'9270 01/01/1.996 DESCRIPTION Pi.... Print or T . PILI UMBIA 2197-0220 AMOUNT 1 Pun...llxp.n..., Geigle Funeral Home 1,198,00 B. Admlnl-'rellv. Con.. 1. Plreon.1 R.pr...nlltiv. Commllliol'l 1,500,00 Soclli St<luril)' Number 01 P.rloN' R.pr.llntati..., 208-38-7005 YIII Commls.lonl p.id 1998 2. Anorney Foe. Said is , Shuff & Masland 1,500.00 3. F.mlly EXlmptlon Cllimant Ral.lion.hlp Addrlu of Claimant II daeadlnt'l dllth Slrlll Addre.. City SlIta Zip Cod. 4. Pro bite Fill Register of Wills 54.00 C, Mllo.lI.nlOul Ixp.n.... TOTAL (Also Inta, on IInl g, ~aeap"ulltlon) _ (II more "1'"0' II n....M, In..'' .ddltlonlllh..t. 01 ..m. III',) Cop)'rl~ht (e) lV94 'orm loftw.rl only CPSYlllms, Ill<:, . 4,252,00 Form 1800 Seh.aul. H (RflV. 7-88) o AND FORMING A PART OF RECORD OWNER AND UEN CERTIFICATE ber: All927 limber: LOHMAN RECORD OWNER n:n..E TO SAID PREMISJ;S IS VESTED IN Dale R. Lohman and Francis p, Lohman by Deed from NOrman T. Bryan and Lillian M. Bryan, his wife dated 1/6/87 recorded 1/26/87 In Deed Book L-32 Page 732. .j 1'-\'2.0' Subject to the encumbrances and claims as follows: TAXES: Receipts for Township. County and School Taxes for the years 1993 to 1995, inclusIve. Township. County and School Taxes for current year 1996. "\. (Payment should be verified) ,,? :"\ ~Assessment $6,020.00 Tax Parcel #01-210-271-132 ! 1':'2- 9 l ~ ,(' ( ,If,,) WATER AND SEWER RENTS: Receipts for Water and Sewer Rents for the years 1993 to 1995. Water and Sewer Rents for current year 1996, (payment should be verified) MECHANICS AND MUNICIPAL C~(S: None ~QRTGAGES: 1. $48,837.00 - Dale R. Lohman and Francis P. Lohman To: Meritor Mortgage Corporation East Dated: 1/21/87 Recorded: 1/26/87 Mortgage Book 850 Page 82 ASSIGNED TO: Mellon Mortgage Company, dated 2/23/94 and recorded 317194 in Miscellaneous Book 467 Page 815. Assignee's Addr: 3100 Travis St" Houston, 1X 77006 .2 . . ;1.//// STATEMEN"""'OF FUNERAL GOODS AND SER' ~ES SELECTED .....chatgea aut only lor Ihose lIoms that a(o ..~d. II wo i.1(A requirod by law \0 uSa any IIams, wo , HI o,;plSin In wrillng below. /'/ II you selecled a luneral which required ombalming. such as a luneral with. "iawlng, you may havo to pay for omblllmlng. You dO not hav8 10 . for ombalmmg you did not approve II you 9t1lectod arrangements such as a direct crama!lon or Irnmodlalo buriaL II we chargdd for ombalrrung ~: Will 'Ilplaln why below, ' For Ihe Service 01 P.kb- If -I.o~ ""'....'v _ Dale 01 Death 9-/5 -?<; Charge 10:_~ ~v- ,--:,j-_., 707..<1. }N7 5'7, /"4'-._..4'.# d." 7o?.LL_ Namt Addr... ~ CIIV ~ tUlle A. CHARGE FOR SERVICES SELECTED: " PROFESSIONAL SERViCeS Sarvleo. 01 Funorol Dlreelor/SlolI , , , $_ EmDolmlng.."" ,.. ,$__ Halrdro88ing & CoamOlology . ,$__ Olher proporalion 01 body ,..,.",..., .$_ SUB.TOTAL OF PROFESSIONAL SeRVICES", ,Al $__ 2, FACILITIES AND eOUlPMENT Use ollacililios lor viewing (VioilalionlWakol . , . . , , , ,. ,...... $ Uaa 01 loCIIIUo. 10' luneral coromonv . $ Use 01 admlnlSlratlve ar'as, feeepllon area. and arrang.ment rooms,. .. $_ Use 01 Properallon ,oom . , . , , , , ,$ Other Ult 01 laolllll08 . .,,, " , ".. '" . . .. . . ,. .. ,,$ SUB-TOTAL OF FACILITlES/EaUIPMENT , , 3, AUTOMOTIVE EOUIPMENT Vehicle 10 Irans'e, ,emains 10 Funeral Home, Local.". ",.".,..",., ..$ Hea"o (Ca.kOl CO'Ch) Local" " "",," , . .. , " . . Limousine Local....",.,."..."."."", ,$ Family car Locai ".".",."... " . .. . Flower car or 1I0ral disposition Local" , " """" .. " . Load car'clergy car Looal .",..". Car lor pallbearers Looal ",...". . . .. . QUI allown uansponallon . . .,....2$_ . .$ ,$ ,,,$ . . " ,$ ......,$__ . , ,$ $ $ SUB.TOTAL OF AUTOMOTIVE EaUIPMENT ,., .A3 $_ TOTAL OF PROFESSIONAL SERVICES, FACILITIES Atlll AUTOMOTIVE EQUIPMENT, , . . , , . . . . . , . B. CHARGE FOR MERCH...NOISE SELECTED: Ca,k.,. .."".... ,$ (Oo.erlpllon) __ ,...,A$_ Other Receptacle (Oo,ctipllonl OUler burial contalne, . . . (Oe,erlpllon, Acknowfedgemenl cards. . . RogiSler book(a) ,.. , , . . , . Momory foldo" " .. , . ,. ,., Prayer cards .", . . . . , . . . Temporary grave marker BUrlal clolhlng . . . . .$ . . . ,$ .,,$ . . . ..$ ,$ . . ,$ . . ,,$ " . " ,,$ Olher elolhlng Cramallon urn (Doac'lptlon) $_ $__ . . $2O:..at.; OTHER s.:=. $ $_ ...""S$'ilo.OC TOTAL MERCHANDISE SELEC~ C. SPECI...L CHARGES: Forwarding 01 ,omaln, 10 (FunerAl Homo, Receiving of remains Irom (Funeral Home, Immodla" Burial. , , . Direct Cremalion , . 5_- $__ .$-~ ,$~O $_ . . , . C $,!lZ12..C 0 SUB. TOT AL OF SPECIAL CHARGeS. D. CASH ADVANCED Oponlng a"va ... .5~O Cemotory Equlpmant . .$__. LOI and Oood ,..,. .."" ,$___ Newspaper Notioes.looell . , ,S_ New,paper Notlce..Oul,of.Town .,., ,$_ TelOphOno & Telag,am, , , , . . , . , , , . .$___ Alrlara . . , , . , . , , , . , , , , , . . ,$__ Clergy/Mo88 Oflerlng .". ,$_ Pallbearor",.". ".,.., ,,,. .,$_ CerUllo. Cep". 011110 Death Canllicalo $_ Pollea Escon , . . . . $_ Flowers ...,. ".,.,$_ Vault Servieo Cha,go . . , . $__ MonEenl Zello'lng . . . . $ "....-f<'7~~ $~ $_ 5_ $__ $_ ..0 $2.!t::Loc SUB.TOTAL OF AOVANCES . SUMMARY OF CHARGES A. ProfeSSional Services, Facaliliea and Equipment, and ,'ulomotive Equipment S, Merchandise C, Spacial Chargo, . 0, Caoh Advancos TOTAL OF ALL SELECTIONS. P...ID ... T TIME OF OR PRIOR TO ARRANGEMENTS BALANCE DUE REASON FOR EMBALMING "-i'ONti<. If any law, cemelary, or crematory requirements have requited Ihe pur. chase of any ollhe Ilems listed aboVBlhe law Of requlremlnt IS eMplamed belOW. .:~ ..~ .. ..~, .$1..I:1Z(J() ~- ., , , , , . . . ,$ ~" ",,,,.. 0 I hereby agret lhall haye ftll8mined lhe ~OOVII' slaled .tems and found them 10 I), cotract and according to Ihe arrano.menls (~ulr'd and I h.rebV .Ck~ IK..pl 01 " COpy 0.' thll memorandum and aore,menl J h.rll'~p(es.nl thai I hav. sullielen! au.ls I"gally "ya.lable lor payment 01 TtI. ell" Prlc' anu h!!.!VI ngr.. and Coyenilnl [Olnlly and SlV8fkllV 10 make p.ymerU 01 slLu.: () tJ wuhm z.5 dly,. A late chI/g. 01 ...L%... p'~ month ",mounhng 10 ..L2.zil- ~ .,..., II appllAd \0 the unpaid oalance be01nniflg --3...'1- clay. from lhe dale 01 thiS aoreemlnl Anv addlhonal ,.rviC" Of Ill'fen.nai" ord.ftd or f,qUM'1'd ...... Uw daCI 01 thll aor.~lIr~S1d....rlJd pan 01 II "greem I and lhl cosl lhereo! on the 'inal !ilallrllenl (Se.')O/"JA P hu/r>-./..~ /5...L22.." (5001) IPu,eha,e, - r-:-/ LalO" (PurChaSer) (LicOn sed F: .ral Oir .-HI Sliti'Ll - l'lNNA. 0110 n.. ri&n........ ('..., WIW.......... Pa, t(l. is )nbcutnre, MADE tho t dny uf ~tl)'U.,U(A"1 (l987).!l J In tbo year IIlnoleon bUlldrod lWd eighty-six BETWEEN NOR.IAN T. BRYAN /lnd LILUAN H. BRY/.N, hi. wife, of Dillehurg, Cumberland County, Pennsylvnnia, Grantors, partiel of the Hut part I II /, AND DALIl R. LOIlMAN AND FRAlllJiO P. LOIIMAN, his sOn, of Camp Dill, Cumberland County, Pennsylvania, as joint tenants with right of survivonhip and not 88. tenanU in common, Grantees, parties II II of the IIOOOnd pllrt, WlTNESSETII, That .ald plllt ies of the first part, for ud In COIIIideratlOll of tho lUUl of FORTY-SIX TIlOUSAND NINE IIUNDRED and NO/lOO ---------------------- -------------------------------------------------($46,900.00)---- DoUan, lawful money of the UlIltoo Stallll of Amerioa, wellnnd lruly paid by the said part i e s of the locond part to Ihe laid part lea of the first pal'l, al and before thllleallng and drJJvlll)' of thOle prNllDu, tho r~celpl whoruof II horeby acknowledged, have grllDtoo, blU'galncd, .old, aUelled, en/wifed, rdellled, conveyed lWd cooflnned, and by these present. do grant, bargain, leU, alleo, enfeoff, release, oonver and oouflrm Wllo Ihe said part ies of thlllllOOJld part, their helrl ADd wigru. I II !I ALL TllAT CERTAIN lot of land situate in t.he Borough of Camp lIill, County of Cumberlnnd, Commonwealth of Pennsylvania, bounded and deacriLed as follow., I II BECINNING at II point at the southeast corner of Twenty-First Str~et, formerly Church Street, and Arlillgton Street, thence eastwardly along the southerly line of Arlington Street 130.2 feet to a pointl thence southwardly nlong the westerly line of Lot No. 173 011 the Plall of Lota heroinnftlll' mentionod 100 feet to a point on the northerly line of Lot No. 165 on aaid Plan, thence along said Lot No. 165 and ti,e Ilonhlldy line of l.ot No. 168 eastwardly 130.35 feet ta a point on the easterly line of North Twenty-First Street I thence along tho latter line northwardly 100 feet to Ih. place of 8EGINNING. BEING l.ota Nos. 169, 170, 171 and 172 on the 1'1011 of Camp 1Ii11 Eatatea, said ii' Plan being recorded in Plall Dook I, Page 90, Cumberland County Recorda. Ii I IIAVINO TIIEREON orected premlaes No, 307 North Twenty-First Street, Camp lilli, Pennsylvania. BEING the same promises which becamo vested in Michael Erk snd Phillipina Erk. his wife, by deed of Harie Alico FlenKle and Verne Fleagle, her husband, dated Apr II 25, 1951, and recorded In noed book R, VA 1. 14, Page 370, and by need of Minnie K. Strine, widow, doted HJrch 27, 1953. and rocorded in need Book J, Vol. 15, Page 479, Cumberlnnd County Recorda. Hlchael Erk died on Hay 12, 1959, thereby veallng aole "wnership of the promises In l'hlllipina Erl, 08 surviving tenant by tho entlrotloR. Phlllipina Erk died all April 29, 1967, A Docree Awnrding Ronl Eutnt" WIIS Rlglled on Harch 19, 1%8 IJY Jlldge Clinton It. Weidner, and sold nCC'"" AwardillB Heal Elltatc waa then recorded 011 Horch 20, 1968 In Deed Book R, Vol. 22, I'uge 93 III the Ofri(:e of the Reconlcr of needs of ClIL~berland County, I'ennuylvallia, Iwreby the l'1'cmi800 Were awarded to Norman T. Bryon and Lillian H. lIryan, hi. wife, GralltorR herein. II I I JO-26-1998 LOHMAN 09-15-1995 21 91-0220 CUMBERLAND 101 f=-:~~=~:~~tGd---J MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUM8ERLAND CO COIlRT HOUSE CARLISLE, PA 11013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTlON FOR YOUR RECORDS .... ii"EIi:is4-i-Ejf"AFP-r0"9=Q:rnlOYicniF-YNHEififANCE-YAin-ppiirisEii"EN'i'-;-liLi-oWANCE-OR"m--nn----- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DALE R FILE NO. 21 97-0220 ACN 101 APPROVED DEDUCTIONS AND EXEMPTIONS: 4,252.00 9. Funeral Exp.n..s/A~. Costs/Hi.c. Expenses (Schedule H) (9) 10. Dobh/Hortgogo Uobllltlos/Uons (Schedule Xl (10)- 62.182.81 11. Total Doduct ions (11) 12. Net Value of Tax R.turn (12) 13. Charitable/Govern..nt.l Bequests,; Non~.l.ct.d 9113 Trusts (Sch.dula J) (13) 14. Not Volu. of Est-t. Subj.ct tc T.. ll4) NOTE: If an assess.ent was issued previDusly, lines 14, 15 and/or 16, 17 end 18 reflect figures that include the total of ~ returns asses.ed to date. ASSESSMENT OF TAX: IS. AltOUnt of Line 14 .t Spousal r-et. US) 16. A~unt of Line 14 t.x.bl. at Line.I/Cla's A ret. (16) 17. Aaount of line 14 taxable .t Coll.t.raI/CI... Brat. (17) 18. Principal Tax Ou. ;'5-/~~ I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE IUREAU Df INDIVI~AL TAMES U'tEAITAHCI: lAl< blVlSJOfoI OI:l'T. l1lO601 liARfnSBURG, Pol 11U~.'0601 NOTICE Of IN~ERITANCt TAM APPRAlSEHENT, ALl.OWANCE OW DISAl.LOWANCE Of DEIMJCTIONS AND ASSESSltENT Of TA~ JOHN E SlIKE SAIDIS ETAL 2109 MARKET ST CAMP HILL DATE ESTATE OF DATE OF DEATH FILE NUMBIlR COUNTY ACN PA 11011 ESTATE OF LOHMAN TAX RETURN WAS: (X I ACCEPTED AS fiLED RESERVATlON CONCERNING FUTURE INTEREST .' SEll REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN I. R..I [st~ta (Schedule A) 2, Stocks and Bonds (Soh.dule 8) 3. Clo..ly Held Stock/Pertner'ship Interest (Sch.dule C) 4. Hortg.ge~/Not.s Receivable (Sohedulft OJ ~. C.sh/Bank Deposits/Hisc. P_rsonal Property (Sohedule E) 6. Jointl~ Own.d Property (Seh.dul. f) 7. Transfer. (Schedule GJ 8. Total A$~.ts ( I CHAllGED ll) (21 (31 (41 (51 (61_ (7) .00 .00 .00 .00 .00 43,012.50 .00 (81 .00 X .00. .00.X.06. .00 X .15. 118) TAX CREDITS: PAVHENT DATE RECEIPT NUH8ER DISCDIlNT (. I INTEREST/PEN PAID (-I AHOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. r.:: - In. I'" III" n',"1 DALE R DATE 10"26"1996 NOTE: To insure proper credit to your account, aubtli t the upper portion of this for. with your tax pay...nt. 43,012.50 67.0~4 87 24,022.37- .00 24,022.31- will .00 .00 .00 .00 .00 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN .1, NO PAVHENT IS REQUIRED. IF TOTAL DUE IS REfLECTED AS A "CREDIT" (CRI, YOU HAV IE DUE A REFUND. SEE REVERSE SIDE Of TtiIS FOIlH FOR INSTRUCTIONS. I RESERVATlDfh _Of NOTICE 1 ~AYtENl 1 REfltm (CR) I OBJECTIONS 1 ADHIN I!HlfATlVE CORRECTlnNSI DISCOUHT I pF.HAln~ INTEREST I Ii, /' 'Yll ',JV ' '? " IJ Glu 8L'Ili! /t E.t.t.. of dtoedent, dving on or before OIoeIber 12, 1912 -- If ,"y fut~1 lnt.r..t In the Itt.t. I. tren,f_rrld In po.....ion or ~jo~t to Clal. . (ooll.tlral) benefiolerl.. of tht deo~t Ift,r the 'Mplr.tlon of InY .It_t. for 11fl or for yur., the co.onwlllth hereby .KPrl..b r.nrvI. ,the right to ...ral.. IInd ...... tr"'lf.r Inherltlnoe TIK.. .t the l.wful CIM" . (ooll.tlr.l) rite on InY .uch future Inter..t. To fulfill the requlr--.nt. nf Slot Ion 2140 of the Inhtrltlno. end E.t.t. TeK Aot, Act 21 of 1995. (7Z P.$. S4Iotlon 91..0). Dlteoh t~ top portion of thle Notlo_ and .ubllt _Ith your ply..nt to t~ R.gl.tlr of NIll. prlntld on the r.vlr,1 .Ide. -.twtl oheok or aoney order payabll tOI REGISTER OF HILLS, AGENT A r.fund of I teK oredlt, Nhlchwl' not rlque.t~d on thl TaK Return, lay be rlqua.t~ by o~lltlng In ~Appllc.tlon for Alfund of Pennlylvenla Inhlrltance and E.tat. TaK" (R(V~1513). ~ppl;o.tlonl Irl Ivalltbll It thn Offlol of the Rqhter of W11l1, enyof tho 23 RevlOUI Ohtrlct Offlc.., 0" by (lllllng the .pCl<l111 ?4~hour an'Nlrlng ..rvlol ~r. for for.' ord8rl~1 In Penn.ylvanl. 1-800-362.Z050, out.lde P.nn.ylvenl. 8nd within 10cIl H~rrl'burg Ir.. (717) 787-8094, TOOl (717l 772-2252 (H8.r!ng lap.lred Only), Any pith In Interl.t not ..tlsfl.d Nlth thl appraisl.lnt, klloWln<le or dlsaUONlIl'101 of dtduoth:nl, or ........,t of tlM (Including dl.count or intere.tl a. .hown on thl. Hotloe .ult objlct within I!Mty (60l d.y. of rscllpt of thlt NoUc. bYI --written prot..t to the PA DIp.rtltnt of Re..,lnue, Board of App.als, Dlpt. Z81021, H.rr-hburg, PA -~.llotlon to have thl Iltt.r ~tarllnad at lud!t ~f thl .coount of the plr.onll r.pr..ent.tl..,., --IIPPIII to thl Orphans' Court. 17lZ8r1021, OR OR Flotull IIrrors diloovared on this .UClu..nt .hould be eddr....d In NrlUng tal PA Depart.tnt of A.v.flUe, Bur.lu of Indl..,idual TaKe., AlT"1 Post A.......nt Ravlaw Unit, Dapt. 280601, Harrllburg, PA 17128~0601 Phone (717) 787-6505. SICI pagCl 5 of thl bDoklClt "Instru~tJon' for InhClrltanol TIK Rlturn for a R..ldant Deotdlnt~ (REV-IS01) for an .xplanltlon of 8d.lnl.tratJv.ly corract.bl_ .rror.. If .my tax due II paid IIlJthln three (3) cal_ndar lonthl aftll' the decedent', dllth, I fivI p.rcent (5Xl dhcount of the tal( paid Is el1ot.lld. The ax tll( .nt.tv non-partlcJpatlon panalty II coeputld on thl total of the tax ltnd Inter..t .......d, and not paid blforl JlMlIlary 18, 1996, the first d"y aftllr thll end of the taK une.ty period. Thll non-pal'UolplIUon ponalty Is app_.lablll In th. ~... lanner and In th. the .a.e tl.1 period as YOU would app.al the tlK and Intlr..t that h.. b~ I~.....d &S Indloat.d an this notlc., Inter..t II charged b.glnnlng with flr.t daY of dellnquency, or nl~ (9l _ooth. and one (1) doy frOll thl date of de.th, to the dltl of pey..nt. TaK" which btc.-o delInquent blfor. January I, 1982 blar lnt.r..t et thl rate of .iM (6%) p.rcent per ~ calculated It u dGlly rftta of .000l64. All texe. Whloh ble... dlllnquent on end Ift.r J~ry I, 1982 will btar Inter.st at a ratu whloh will vary frOM callndar y.ar to calendar y.ar with that rlt~ announold by the PA Dapart..nt of RevenuI. Tha 1IfIP1Icable Int_rllt rat.. 10r 1982 throuDh 1998 .....1 '!.!!r Inter..t Mate D~I1Y Intara.t Factor Y!!r Interfl.t Rate Dilly Inter.lt factor 1982 1,0): .000548 1987 OX .000Z...7 1985 16:< .000458 1988-1991 11% .000301 1984 11:< .000301 1992 'X .000247 1985 13:< .0005!i6 1993-191)4 " ,000192 1986 lOX .000274 1995RIC;98 9% .000247 --lnhrllt II caloulahtd .. follow'l INTEREST. BALANCE OF TAK UNPAID K NUNBER OF DAYS DELINqUENT K DAILY INTEREST FACTOR --AnY Hotlc. I..u.ct aft.r the tal( b.oo.e. dalJnquent will raUoot an Int8r..t calculaUon to fHt.-n (15) days beyond the data of the .~'a'''lnt. If pay.ant Is ..de ~ftAr thu int.re.t co~utation data shown on the Notlo., addlUonal Intfl,.lt .u.t be calculated. -<'" --. ... c'#..' ~" ..... " , ~. /1 (/ V STATUS REPORT UNDER RULE 6.12 --- Nllme of Decedent I 'Jl. J.../ f K. in It /11 Ill:) Date of Death I 9/1$'/f.r Will No, Admin. No. <RI. Q1-aut) Pursuant to Rule 6,12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate I State whether\~dministration of the estate is complete I Yes___ No ~ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete I 3 fo" M,8)1.HJ~ 1. 3. If the answer to No.1 is Yes, state the followingl a. Did the personal representative file II 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 Cerk of the Orphans' Court and may be attached to this report. Date: 4d- tf'1f J IF.. , E. \/11<<:' l !1 N (Please type6P~ print) dlo'l /I1Altl<tr r~"j,r (, ,,/lA() Address . 100ItL /1/ .I 17/J II ~.I i.~ \) (l J:a. t'L) p, ',..) ;.: dl1 f...)U ( 117) 1'37. 1 ,/Il !: Te 1. No. Capac it y: Personal Representative ~_Counsel for personal representative (HAH Hmf/ AM3) amount of $19,258.43. A copy of thc rcccipt for paymcnt of funcral costs and II copy of thc statcmcnt of claim Irom thc Pennsylvania Department of Wclfllre lU"e attached hcreto and marked UlI Exhibit "A", 8. Anlnsolvcnt Pennsylvania Inheritancc tax rcturn wa~ IiIcd on or about Septcmber I. 1998. An appraisement was issued on October 26, 1998, accepting the return a~ filed. 9. Section 3392 of the Probate. Estates and Fiduciaries Code, sets forth the order of payment of claims against a decedent's estate and states as follows: ".. .if the applicable assets of the estate lU"e insufliclent to pay all proper claims in full, the personal representative, subject to IlllY prcfcrence givcn by law to claims of the United States, shall pay them in the following mder, without priority as between claims of the same class: 1, The eosts of administration; 2, The fwnily exemption; 3. The costs of thc decedent's funeral and burial. and the costs of medicines furnished to him within six months of his death. of medical or nursing services perfonned for him within that time, of hospital serviccs including maintenance provided him within that time, and of services perfornled for him by IlllY of his cmployees within that time; 4. The eost of a gravemarker; 5. Rents for the occupancy of the decedent's residence for six months immediately prior to his death; 6. All other claims. including claims by the Commonwealth. II 10. Your Petitioner and the offiees of Saidis, Shuff. Flower & Lindsay have devoted 24,8 hours to this matter at a cost of $2,259.50. Of these, .2 hours were hilled at $150/hr. ($30); .2 hours at $1 25/hr. ($25); 2 hours at $11 O/hr. ($220); 2, I hours at $75/hr. ($157.50); and 20.3 hours at $90/hr. ($1827); amounting to the stated total of $2,259.50. II . In addition to the nonnal administrative work, considerable time was spent attempting to locate James C. Lohman and corresponding with Mellon Mortgage Company regarding the foreclosure proceedings on a plU"cel of rcal estate known as 307 North 21 ,( Street. which Decedent owned as joint tenants with right of survivorship with Francis P. Lohman, Illld which passed to Francis P. Lohman by operation of law at Decedent's death. 12. A judgment was entered on JWle 5, 1997, by Mellon Mortgage Corporation in the amount of $56,662.88 in regard to the property located at 307 North 21 st Street, Camp Hill, Pennsylvania. The property was subsequently sold at Sheriffs sale with no funds available for distribution to the estate or to Decedent's son. 13. Notice to heirs of Petitioner's intention to file this Petition cannot be provided by mail, as the only surviving heir cannot be located. 14. Notice by publication, in accordance with Pa. Orphans Court Rule 5.1, has been given by advertising the intention to present this Petition once a week for three successive weeks in 2 O~TE: 05/30/97 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE STATEMENT Of r.lAIM NAME lOHMAN, DALE J 10 950127123 FAIRVIEW RETIREMENT COMM 780 IIOOOlAND AVE lEWISBERRY , PA 17339 ,--..-.. ~ _.-...-+-..~..__..,~.~.'-~'- .-~._-~.~,--+-......,+--~- ~"--- DME,OF PAYMENT ORIOINAl ADJUSTED USUAL AMalNT SERVICE OATE CRN CRN CHAROes APPROVED -,.....~_.....- u___~,__"..-_ 10/01/94 ' 10/12/94 0',/10/95 5094893393/01 0000000000/00 6,08 6,08 DIAGNOSIS II PROCEDURE , 10/13/94 . 10/31/94 04/10/95 5094893394/01 0000000000/00 , ,880.43 1,880.43 DIAGNOSIS" PROCEOURE : 11/01/94 . '1/30/94 04/10/95 5094893395/01 0000000000/00 1,606.10 1,606.10 OIAGNOSIS 1, PROCEDURE , 12101194 . 12131/94 06/05/95 5152883533/01 0000000000/00 1,705.07 1,705.07 DIAGNOSIS 1: PROCEDURE , 01/01/95 . 01/31/95 04/10/95 5094893397/01 0000000000/00 1,821.43 1,821.43 OIAGNOSIS I I PROCEOU8E : 02/01/95 . 02/28/95 04/10/95 5094893398/01 0000000000/00 1,510,84 1,510.84 OIAGNOSIS I I PROCEDURE : ,Ii , 03/01/95 . 03/31/95 06/05/95 5152883532101 0000000000/00 1,821.43 1,821.43 11 :1 DIAGNOSIS " P80CEDURE I 04/01/95 . 04/30/95 06/05/95 5152883531101 0000000000/00 1,717.90 1,717.90 OIAGNOSIS 1: PROCEDURE : 05/01/95 . 05/02/95 06126195 5173979926/01 0000000000/00 78.88 78.88 DIAGNOSIS 1: PROCEDURE : 05/03/95 . 05/31/95 "/20/95 5297640025/01 5177867543/01 , ,614.37 1,614.37 OIAGNOSIS I: P80CEOU8E I I 10~TEI 05/30197 COMMONWEALTH Of PENNSYLVANIA OEPARTMEHT Of PUBLIC ~lFARE STATEMENT Of CLAIM NAME lONMAN, DALE 10 950127123 MEDICAL CUSS 3 etAs" INPATIENT 0.00 0.00 OUTPATIENT 0.00 0.00 I.DNG TERM CARE lQ,728.48 8,529.95 DRUG 0.00 0.00 10,728.48 8,529.95 I I T,OTAL ~E 1 M8UASEMENT TO ,OPW 19,258.43 I . .//./ STATE.MEN~'OF FUNERAL GOODS AND SEA' ";ES SELECTED .,/ ch':flJ'lS 81'0 only lor IholHl itorns fhlll fUtI ~Jd II Wtl aro fllquirmj by law \0 U5/J IHIV ihlll1~, wo .,011 (llI'plam in Wf!1fng below. II you 5oloclod p lunO/ill which roqulftld mnhalrnlng, flUC" OS H funoral with '(lowIIIg. vou may hnvo to pay lor Olnbl1lmlng You do not ha\lo to pay for omtH\lming you dId nolllpprovo jf you sotoclod lIf111l\gomonls such 115 II dilllel crornilhon O( IftlnlCdlillo tJlff!.1L If wo chargod lor ombalmlng, W() Will olCplaln why below. For the Service 01 Charge to: LA-.L>.:. Nallle d ])Ak: /",LAw",,_ K !..(J/.,;.,IJN... ....... .... ... Date 01 Dealh...9-:::./5...=.."'..5.._.. /. //, /7 .3f?Z. .~. 2./$,7:l:zL.L~)J../::rI,d/.~.,..L]P//__. AddriJliB , C11V Slale A, CHARGE FOR SERVICES SELECTEO: 1. PROFESSIONAL SERVICES Services 01 Funoral Director/Stall , ,$_________ Embalming . . . . . . . L.._.._. HRlrdrosslng & Cosmotology ." ,$.___.....,,, Olher preporation 01 body ___'~~' $...- SUB- TOTAL OF PROFESSIONAL SERVICES A 1 $...__...-.. 2. FACILITIES AND EQUIPMENT Use 01 laclllll~s lor viewing (VlsltalionlWako) $ >.. Uso of facUlties lor lurieral ceremony ,$____~ Use 01 admlnislralive aroas, roceptlon ,HAas Ann arranoemenl rooms . ,$_~_~._... Uso 01 Preparation room.. , , , , , . . . .$____~~ Other U-58 of faclhlies . . . . ,$-- SUO.TOTAL OF FACILITIES/EQUIPMENT""., .A2 $~ 3, AUTOMOTIVE EQUIPMENT Vehicle to Hansler remains to Funeral Homl;!. Local . .$ H.arse (Cask.1 Coach) Local LImousine Local Family car Local ...",., .$___ Flower car or floral disposition Local L.ad car/clergy car Local Cai for pallbearers Local Qlll 01 town transpoflation . . . . . .$ .. .$ .,$.-. ,$ .$--- ..........L__ $._- -.-._,- -.---.----- $__. SUB.TOTAL OF AUTOMOTIVE EQUIPMENTA3 $__ TOTAL OF PROFESSIONAL SERVICES, FACILITIES AND AUTOMOTIVE EQUIPMENT. ..A$__ B, CHARGE FOR MERCHANDISE SELECTEO: Caskat . . , ,$___ (Description) ___.__. Othar Raeaptaela ,. (Oaserlpllon) ,,$--- OUler burial container. . , , , , , . . . . . . .$ (oascrlplion) ______.___ Aeknowledgoment cards. . , ,$___.." R.glst.r bOo,,(,) ............,.... .$_._ M.mory lold.rs , . . , ,$._ Prayer cards . . ,$_...__,_. Temporary grave marker ,$...____... Surlal clothing. . . . . . . . . . . . . . . . . . . . $ Other elolhlng --.--...-.....- -....-..-..... $...-.-..... -....-.. -..-- .........--_.... $... ..... ,- Cr.mallon urll . . $:[.'11~ (Dosorlpllon) .. ...___.__.__.__.___ OTHER___,___.... ....._.____.__ L_._ ..----........---....-.-..--- $-- ToTAL'MERCHANoISE SELEC1'E6-'" . L..:.~~.._ B $~e.,Q.9 C, SPF.CIAL CHARGES: Forwarding 01 romBins 10 .'-m.....-.(~uniii.m6m.j--.-- L_ Raceivinu 01 remains from -----.(~un.iarRome)~-- $- Immediate Buria! . . . $_ _n__ Olr.cl Cr.mation . . . . . . . . . . , , . $r.za..oO __..___..._m....u _.__._,.._._ $__ SUB.TOTAL OF SPECIAL CHARGES. '" ,0 $;3212...00 0, CASH ADVANCED Oponing Oravo . . . . $/SP ,00 Comelory Equiprnonl . _ , . . , . , , ,$~~_ Lot and D..d . ,'-_ Newspaper Notices.l.ocal . . , . $___ Newspaper NOlices.O~lt.ol.Town . $___ Talophon. & T.I.grams . .. .L,__ Alrlare ....."....,....,. ,...$_ Ct.rgy'Mass Ollorlng . . . . $_._ Pallbearers,. ..,.,."..,.,....... $__ Certified Copies of the Death Certificate $__ Police Escor!, . .$___ Flow.rs . . . $_ Vault S.rvle. Charg. . . $_.__ Monu ant ell. ring . .. . . . . . , . . . . $$-""". AD. ~______ ...L.Jl~WJ -_._-- ...-..-.---- $-_.. --------~_._. '--.-.> ___._____m___._...>__ $__ -.-.----...--..-..---- $-- SUB.TOTAL OF ADVANCES ..........D $....6~;~ SUMMARY OF CHARGES A. Prolesslonal Sorvicos, Facilities and Equipment, and Automotive Equlpmenl B. Merchandise C. Sp.elal Charges. D. Caoh Advances TOTAL OF ALL SELECTIONS. PAID AT TIME OF OR PRIOR TO ARRANGEMENTS . BALANCE DUE . REASON FOR EMBALMING _..___._.___-----L'if'..fY."-.___._____.. II any law, cemetery, or crematory requlremenls have required Ihe pur. chase 01 any 01 the itoms hslod above the law or roquiremenlls explained blillow. . Lm_ . . ~8.~~Q(! ......,. .OQ'ZP.OO ..... .$M.~.o .$L.I!J:Lao . . . . . . . . . . . . . . . $- -" -=- .............. .$ZZ1..6:"'O I horeby agreo lhall havo 9Kuminod tho abovll slaled ilams and lound lhom to bo corroel and according to Ihe arrangomonts ,squirod and I hereby aCKnowled~e racilllpt 01 a copy ollhls memorandum and agloement I h6re~presenl_ tho I I tl<lVU \lufhl;'lont assets legally 8v811ablll 101 paymfJnt of H1e cash pllce IInd 1.1!!!f!!lY agree IInd covenant Jointly and soveraUy 10 make paymenl of $1/r1!~(l~_ wlthm .J..'i'.,. dll\l9. A lale charge 0' /% per month amounting 10._/2&". pl:lr yea' 18 applied to lho unpaid balance beginning __..3S.___ days from lho dale 0' this agleemenl Any additional fIOrvices or merchandise orderod or foquosted atw lhO date ;~:::) .g~:~~;':'::~:~r ".g,.em r .n~': eO.SI~I:':::OI on 'hu 1i~".:~Io::nl_...2~~~'.f;I.-j~-~?S--.. (S.ol) - - -...-....-..-~(L-,.c'"""ens.L.c:d F....: ..../....r:.':I...--:-::;OICr.~./! .) > L__ (Pl;fct;a-ser)....-".."'_._....u..._..__..._~--- -- ~i.ai( :;t) Jesse H. Geigle Funeral Home, Inc. 2100 LIIIoltatown Road, ~arrlaburo, PA 11110. (7171652,7701 STATEMENT OF FUNERAL GOODS AND SERVICES SELI:CTED . CHar&r.s or,; .only those items lI)Al YOIl selected or lhlll arc rC(lulrcd, If we Itrc rC4ulrcd hy IlIw In hy II (clllclcr)' nr " (tcmotor)' 10 use 11II)' Itellls, we WIll ex 1191n tllC rCll~orls In \Wlllng, below , , ' If you sele~tcd 1\ funeral that mlly' require embalming s.uch us II I'ullcrul with vlcwlu!l, you 1l111)' IlIl\'e lo pa)' lor embalming. '1111 dlJ lint hove 10 I1ft'r' lur emballlllng you dlt'l nol approve if YOIl seleclco IIrrRllgcrntnts such' us u direct nclillllltlll tlf lllllllclllfllc hurln1, JI we (; lIugell fm l.'mhlllmlng, we will cXJllaln wll)' hclow, For Ih. Service 01: Oala R. Lohmon SllYI" 10: 95.C.09.OO9 Oat. 01 Death S.ptamber 15, 1905 Charge 10: Doroth~a J. Andaroon 804 Erford Road _ Cam.~ HIli -- Name - Addr... ---cny Charl.a L. G.lgla Suporvl.or A. CHAFlGE FOR SERVICES SELECTED, " PROFESSIONAL SERVICES Sarvice. 01 Funaral Dlractor/Staff . . , .$ , .l Olhar praporollon 01 body " " ,,$. SUB.TOTAL OF PROFESSIONAL SERVICES, 2. FACILITIES AND SERVICES U.a of laelllUa. and .arvlce. lor U.a ollocillly lor memorial aftrvlce ' Us. 01 faelilllas and sarvlce. for ...,L ,B -'-'--__:2: .0. $ OOD Usa 01 foolllUea and .arvlce. lor . " "B" U.a olaquipmanl and sarvlce. lor . , , , , , ,8,. Othar u.a 01 faclllll.. . , . . . . " " "B. SUB-TOTAL OF FACILITIES/EQUIPMENT, 3. AUTOMOTIVE EQUIPMENT Vahlcla to Iransfar ramalns to Funaral local. Haarsa (Caskat Coach) Local. Limouslna Local. . Fam.lly Cor Local. , , , . , , , , , , . , , , , . , . , , , , , , , , ,$ Flower car or floral di.po.llloa Local. . , . , ' , , , , , , . . , , , .$ Laad eor/Clargy Local, . , , , . . . . . , . , . , , , , . . ,. ., $ Cor for pallbeorara Local.. . .. . . . . .. . , , .. , , ,." , Out of lown Iransportallon, , , .$ . . . . , . " . $ Vaughn C, Millar President PA Stala Q.lJ1..er Clothing S -O- S .0, S ,0, ,0, .0, Olhar" . (OescriptionL '-;0. "'" A1 S S ,0. ---- ,------;0, S -;0. .BS 80.00 .0. .0. TOTAL MERCHANDISE SELF-CTEO . C. SPECIAL CHARGES Forwarding 01 remain. 10 Immadlala Cramatlon ,,"unaf.1 HOme) Raceiving of romalns from 870,00 S (,"uners! HOme) -0. , , , . , . , , , . .$ .0, ., $--:0, $ -0. cS 870.00 .0- "'" A2 S SUB-TOTAL OF SPECIAL CHARGES. , D. CASH ADVANCEO: Opening Grova, , , , , , , . . . . .$ 150.00 Cam.ataryEquipmanl"...."".....$ ,0, Lot and Oead . ,....$ .0. Naw.p.par Notices. Local, " .,.... $----:-6. New.poper Nollces - Oul.of.!own , . . . , . $ .0. Talaphona & Talegrams . $ ,0, Airfare,...""".,. .....s-~, ClargylMa.. Offarlng , , . . . . . $_-.:E' Pallbaarara. , , , , . , , , , , . , , $ .0- Cartlfiad Copla. of tha Oaath Certificata. S 2.00 Police Escort, , . , . , . . . , , , , . .$. ,0. Flowa..,.."""" .",S ,0. Vault Sarvlce Charga . . . . . . . . S .0, ~nt Engrovlng $_~ S .0- S .0. S ,0. S -(). S_~. .,.,0 S 280.00 .0. .0- , . . . . , , , ' . , "". , , , , . , , , , ,$ .0- -.- .0- ...,.., S -0- .",..$ .(). S .0, $----:0. Aeknowladgament card.. , , . , . , , ,$ -0, Raglster Book(e), . . . . , ,$--:0: Mam.orlol foldar. . . . . . S. -0, Prayar card. . , . . . , . . . . . . ,,$, .0- ram.porory grova markar, , , . $~- .0. Burial clolhlng . , ,S. .0. I agree that I hawl oxamlned the terms of goods and servIces selectfld above and fauna mem to De correcl ana accorcmg 10 me arrangemems I nave requSEIl oeknowladga receipt 01 a copy 01 thl. Slalement of Fun.ral Goods and Sarvl~. Salar.tad. I rapr..antlhol I hrv. sufflr.l.nl lund. avollobla for psymant of th price lor Ih~ good. and sarvicea salactad. I al.o agraalo moke paymant of L 000 Wllhln 35 days. agraa to be joinlly ond savaral y i1abla with an who sign. balow. A lale eharga 01 amounting to par yaar will ba sppilad 10 tho unpoid balance baginnlng 35 days Irom tha dota of this agrftamant I Wllralso poYTo111a Funarol OiraeTOfall raoson.ble cost. paid by tha Funaral Director to eollactomountsI owa under Ihl. eore Those co.ts may Ineluda ottornay'. faao, ceurt cosio and othar co.t.. Any oddltlonol.arvlces or marehondise ordarod or raquastad afier Iha data of thl. ogrea will ba eonsldarad port of this ograamanland tha eostthareof will bo raflectad on lI,allnal bill or statemant (Saai) Monday, August 21, 2000 (purchaserr---.- (Uate) Charles L. Geigle (LiCenSed ~uneral cwecrOr}---- SUB.TOTAL OF AUTOMOTIVE EQUIPMENT, TOTAL OF PROFESSIONAL SERVICES, FACILITIES AND AUTOMOTIVE EQUIPMENT. , . . . . , . . . . , , B. CHARGES FOR MERCHANDISE Cosket (Oascrlption) ,$ Outor Burial Container. . , , . (Oaserlption) . . .$ Allamallve Contalnar. , , , , , . . . , , , , , . . , , , ,$ (Oascription) (Saal) (purchaser) -0- .(). ,0- ., .A3 S SUB-TOTAL OF ADVANCES, , Wa chorga you for our .arvICO. in obtaining: (.pac/fy cash advanca. that a18 marked-up) -0- ..,A$_~- SUMMARY OF CHARGES: A. Prola..lonol Sarvlces. Facllllla. ond Equlpmant and Automotlva Equipmant. ,.........' ........ $, .g. B. Marehendl.a" , . , . . . . . . . . . . . . . . . .$ 80,00 C, Spaclol Charges. , . . . . . . . . , . , , , . . . .$ 870.00 O. Cash Advances. . , . . .$_ 260,00 -0- ,0. 80,00 TOTAL OF ALL SELECTIONS, . PAID A TTIME OF OR PRIOR TO ARRANGEMENTS.N..liY. I)Qr.q~J. BALANCE DUE. ~~. . .7/2P/~. . REASON FOR EMBALMING Embnlming not r""uIred 1 ~OO.OO 0,00 .........S_~o~ . . . . . $ $- ,. REef: I HO :'U' 2 6 2000 CUMBERLANll LAW .100JRNAL 2 LJnERTY AVENUE CARLISLE, PA 17013 SEPTEMBER 15,2000 Cumberland Law Journal is published every Friday by the Cumband COlutty Bar Association and is designated by the Comt of Com mOil Pleas as the official legal pubUcatioll for , Cumberland County and the legal newspaper for publication of legal notices. TO: Thomas E. Flower, ESQUIRE RE: Dale R. Lohman, ESTATE Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Joumal. ===c================~~====~============~~========;===~==========;--==~~ Advertisement inserted on following dates: SEPTEMBER 1, 8, 2000 Second Proof Request $ 75,00 $ 0,00 $ 0.00 $ 75,00 ..................... Advertising Cost Proof of publication Payment received Total Amount Due ,$ 0,00 ==:l:i-....--= Payment received ~GUST 29. 2000 by Becky H. Morgentl~Qg,Y.1iY.e Director _A.~J PATRIOT NEWS THE SUNDAY PATRIOT NE'WS Proof of Publication Under Hel ~o. 587. Aooroued Mau 16. 1929 Commonweelth or Pennsylvania, County 01 Deuphln} e. Michael Morrow being duly sworn according to low, deposes and says: That he Is Ihe Assistant Controller of THE PATRIOT.NEWS CO., a corporation organized and existing under the laws of the Commonwealth of Pennsyivania, with Ita principal office and place (,f business at 812 to 818 Market Street, In the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of THE PATRIOT.NEWS and THE SUNDAY PATRIOT.NEWS newspapers of generai circulation, printed and publlshad at 812 to 818 Market Street, In tho City, County and State aforesaid; that THE PATRIOT.NEWS and THE SUNDAY PATRIOT.NEWS were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publloatlon which 10 securely attached hereto Is exactly ae printed and puhllshed In their reguiar dally and/or Sunday and Metro edltionsllasues which appeared on the 29th day of August and the 5th and 12th day(s) of September 2000. That neither he nor said Company Is Interested In the subject matter of said printed notice or advertising, and that all of the allegations of this stalement as to the time, place and character of publication are true; and That he has personal knowledge of the facts aforesaid and Is duly authorized and empowered to verify this statemont on behalf of The Patriot-News Co, aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequentiy duly recorded In the office for the Recording of Deede In and for said County of D uphin I" Miscellaneous Book "M', Volume 14, Page 317. I .!--r"\ PUBLICATION ___.________ ii:,::-: I ~_~~~__________.____ COpy NOIlrIIl Sill rellY L. RUIIIII, N.,elY Pub<. Hln1sburg, DauphIn Counry . My Comml..len expire. June 6,1002 NARY PUBLIC M8I11011, Pennaylvonla AssoctatlOn 01 Notl,lo. My commission expires June 6, 2002 &"01' of 001. R. LonmG", dK~Md Halle. 0' I"'.ntlon 10 PIa,l'lon 10r dlllrlbu. lion 01 lilt obova "'Olt II Mrtbv ,Ivtn to JOFM' C. L.Ohman Of htl IMlr.. tht hllrt 01 Francie P. L.onmon, ond hltn 0' Dolt R. l.on. man. All thUM havl", claIms wetln.' tOld... lole or. ,toQUllttd 10 Dl'u.n' IOnw to: TMfMlI. lIlOWl1n, 1""lre IAIDIS. IHU...., PLOW'" ~ L.IHO'AV 11" Merlt" IttHt ,-",. Hili. 'A 11011 11l7173'l.S6H SAIDIS, SHUFF & MASLAND ATTN: THOMAS E. FLOWER, ESQ, P.O. BOX 737 CAMP Hill, PA, 17001 illt!lJ1!D.t of Adver!lslng Costl To THE PATRIOT. NEWS CO" Dr. For publishing the notice or publication ettached hereto on the above stated dates $ Probating same Notary Fee(s) $ Total $ 62,58 1.50 64.08 Publisher's Receipt for Advertising Cost THE PATRIOT.NEWS CO" publisher of THE PATRIOT.NEWS and THE SUNDAY PATRIOT. NEWS, newspapers of general circulation, hereby aoknowledge reoelpt of the aforeSaid notice and publication costs and certifies that the same have been duly paid. THE PATRIOT-NEWS CO, By".,,,,,,,,,,,,.,,,,,,,,...,,,,,,..,,,,,,,..,,,,,,,,,,,,,,,,..,,,,,,