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HomeMy WebLinkAbout06-22-07 (5) , R~';tOO'EX + (8-00) * , OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER W I- ~o(lI) uii2~ wD-g Xi... UD-ID D- o( ~ z w c w o w c DECEDENrs NAME (LAST, FIRST, AND MIDDLE INITIAL) Sheriff, Wilbur DATE OF DEATH (MM-DD-YEAR) !1 06 00956 ~ COUNTY CODE YEAR NUMBER ~i=SOCIAl SECURITY NUMBER 'TH,I}!2 M~S~~I~D ;D~~A~TH THE REGISTER OF WILLS ----..------- --.--- --"--- SOCIAL SECURITY NUMBER i _.1_ [J 3. Remainder Retum (date of death prior to 12-13-82) 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach copy of Trust) 10 SpOusal PovertY Credit (date of death between . 12-31-91 and 1-1-95) Copyright 2002 form software only The Lackner Group, Inc. DATE OF BIRTH (MM-DD-YEAR) 10-18-2006 09-15-1914 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) ~ 1. Original Return [J 4. Limited Estate IiJ 6. Decedent Died Testate (Attach , copy of Will) 09. Litigation Proceeds Received 2. Supplemental Return 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach Sch 0) COMPLETE MAILING ADDRESS 130 W. Church St DiIIsburg, PA 17019 (1) 96,506.76 OFFICIAL USE ONLY (2) None -.. 0 l"::::> ~J r (3) None ~:;o ........ ;-1 ----- \"3:::0 c_ c~) (4) None i'nvo ~~ ;~~~ ::c 5:: r- 'J ..~--_._-_._------- - r-~m 1') (5) 218,294.82 ;~~ -':::0 1"<> "'l :< (.1') ^ ::::; ... ":J (6) None ' 00 ~ C) OO-n - ,'1 c.r- -..t;".. " .)'-- C') (7) None ~ ::0 -n --; r'" fTl )> (/) ,-') (8) ~14,801.5'8 (9) 33,629.63 --~--_._- --- (10) 2,575.51 (11) 36,205.14 278,596.44 0.00 278,596.44 ... z W Q Z o D- III It: It: o U NAME Jan M. Wiley FIRM NAME (If applicable) Wiley, Lenox, Colgan, & Marzzacco, P.C. TELEPHONE NUMBER 717 -432-9666 (12) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (13) (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 0.00 x .00 (15) 0.00 278,596.44 x .045 (16) 12,536.84 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Properly (Schedule E) z 6. Jointly Owned Properly (Schedule F) ~ Separate Billing Requested :5 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property ~ (Schedule G or L) Separate Billing Requested ~ 8. Total Gross Assets (total Lines 1-7) frl 9. Funeral Expenses & Administrative Costs (Schedule H) a: 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) z o i= ~ :J Do :E o o >< ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 0.00 0.00 x .12 (17) 0.00 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 120. D x .15 (18) (19) 0.00 12,536.84 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. "ann REV-'SO' EX (Rev.....: ~ Decedent's Complete Address: STREET ADDRESS 62 FAIRFIELD STREET ISTATE PA I ZIP 1 701 3 CITY Carlisle Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 12,536.84 ---10;687:50 562.50 Total Credits (A + 8 + C) (2) 11,250.00 3. InteresUPenalty if applicable D. Interest E. Penalty TotallnteresUPenalty (0 + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) 8. Enter the total of Line 5 + 5A. This is the 8ALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 1,286.84 1,286.84 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.................................................................................. 0 ~ b. retain the right to designate who shall use the property transferred or its income;.................................... 0 ~ c. retain a reversionary interest; or.................................................................................................................. 0 ~ d. receive the promise for life of either payments, benefits or care?.............................................................. 0 ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?........................................................................................................... ........... 0 ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?........ 0 ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?............ ....... ... ............................................... ......................... ........... ......... ... 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of peljury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, ~ is true, correct and complete. Oeclaralion of preparer other than the personal representative .is based oneil information of which preparer has any knowledge'----__~_ ___ _ _ _ __ _ __________ SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS ALLIE LEE GEHR-MYERS ,.f!!~~;l!!~..,"," ....... DATE 525 HILLTOP ROAD York Springs, PA 17372 --------~ ADDRESS ADDRESS DATE "'- ; W 130 W. Church St DiIIsburg, PA 17019 (J/~Jo? For a s of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the su i ng spouse is 3% [72 P.S. 99116 (a) (1.1) (i)). Fo dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)). The statute does not exemct a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116 1.2) [72 P.S. 99116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. LAST WILL AND TESTAMENT I, WILBUR SHERIFF, of the Township of South Middleton, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my last Will and Testament, hereby revoking and making void any and all Wills by me heretofore made. FIRST: I order and direct my Executrix hereinafter named to pay all of my just debts, funeral expenses, testamentary expenses, and all Inheritance, Estate, Transfer and Succession Taxes, as soon as may be conveniently done after my death, out of my residuary estate. SECOND: All the rest, residue and remainder of my estate, of every type and character whatsoever, I hereby give, devise and bequeath to my wife, BERTIE ELIZABETH SHERIFF, her heirs and assigns forever. THIRD: In the event that my wife should predecease me, or we should die as a result of a common disaster, or under such circumstances as to render if difficult or impossible to definitely determine who predeceased whom, I hereby declare it to be my intention that I shall be considered to have survived my said wife; and in that event, I hereby order and direct my Executor hereinafter named to sell my entire estate, of every type and character whatsoever, and to divide the proceeds from said sale equally between my son, WILBUR SHERIFF, JR., and my daughter, ALLIE LEE GEHR, their heirs and assigns forever_. LASTLY: I hereby nominate, constitute and appoint my wife, BERTIE ELIZABETH SHERIFF, to be the Executrix of this, my Last Will and Testament, she to serve without bond in the State of Pennsylvania, or in any other jurisdiction. If my wife shall have predeceased me, or be unable to serve for any reason whatsoever, I hereby nominate, constitute and appoint my son, WILBUR SHERIFF, JR., to be the Executor hereof, he likewise to serve without bond. I hereby request my Executrix or Executor to employ the firm of Kramer and Kramer, Attorneys-at-law, Carlisle, Pennsylvania, as their attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of July, A.D., 1968. 7</~ ~A~ (SEAL) WITNESSES: iJi: ~. Vj4~ ~~~~ , Rev.1502 EX+ (6.9B) *' SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Sheriff, Wilbur FILE NUMBER 21-06-00956 All real property owned solely or a8 a tenant In common mU8t be reported at fair market value. Fair mar1<et value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which 18 jolntly-owned with right of survivorship must be disclosed on 8chedule F. ITEM NUMBER DESCRIPTION 1 Sale of real estate situate at 62 Fairfield St., Carlisle, PA: VALUE AT DATE OF DEATH 96.000.00 2 Tax proration due estate from sale of real estate: 506.76 TOTAL (Also enter on Line 1, Recapitulation) 96.506.76 (If more space is needed. additional pages of the same size) Copyright (c) 2002 tonn software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 6-98) B. T e of L 1.0FHA 4. OVA 7. Loan Number: UIVlt) 1'10. L:JUL-U~ 8. Mortgage Insurance Case Numbel n 2. 0 FmHA 5. 0 Conv. Ins. 3. 181 Conv. Unins. 6. File Number: RE06-247 C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o. c.)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. D. Name and Address of Borrower(s): Rodney L. Ventzer. II Nancy J. Ventzer E. Name and Address of Seller(s): Estate of Wilbur Sheriff alkla Wilbur Sheriff, Sr. F. Name and Address of Lender: Farmers and Merchants Trust Company of Chambersburg G. Property Location: 62 Fairfield Street, Carlisle, Pennsylvania 17013 South Middleton Township, Cumberland County 40-22-0489-126 Place of Settlement: 1 Irvine Row, Carlisle, PA 17013 H. Name of Settlement Agent: Duncan & Hartman, P.C. I. Settlement Date: 1-18-2007 103. Settlement char es to borrower line 1400 104. 105. to to 1-18-2007 to 6-30-2007 432.00 205. 505. Payoff of second mortgage loan 206. 506. 208. 209. 508. 509. 210. Ci ftown taxes 211. Coun taxes 212. Assessments to 1-1-2007 to to to 1- 1-2007 to to 1-18-2007 1-18-2007 214. 215. r~~:~n~?!'~;~~,;}E~'~ :.- 506. 1078. t~tt.$~}~ft~;;.rt.; 12. 901. Interest from 1-18-2007 to 2- 1-2007 902. Mort a e insurance remium for 903. Hazard insurance remium for 701. 702. to to 704. 'llilil:.ooi-'miri21~'IP'.lBif" e 0 801. Loan Ori ination Fee 803. A raisal Fee 804. Credit Re ort 806. Document Pre aration Fee B07. Flood Certification B08. Tax Service Fee % - Paid From Borrowers Funds at Settlement Paid From Seller's Funds at Settlement $300.00 POC 20.66 POC 100.00 F&M Trust Com an Factual Data Co F&M Trust Com an 250.00 10.60 75.00 ,""'~' i:N.' $327.00 POC 1.',:;,:;-~ ...,...}; 213.57 -t- .~~ " ~~tt 1107. Attorney's fees to includes above item numbers: 1108. Tille insurance to 1112. Closin Protection Letter 1113. er month er month 21.52 er month er month rmonth ~~i Wiley Group POC William A. Duncan, Agent for United General Title 834.75 Premium Premium 834.75 United General Title '-'~;;{-;:f'-;i,\~,\~~.-.~;~..t:;:'i",,"'oi~1';r;;~';~-~ ,~~~ ~ '"., ~ . Release 0.00 1201. Mort a e77.00 1202. 1203. 4 1205. "1306,:AliditiJri~il$'ilttfil'iI'iiihtiCtf~'li~~~1"~ 1302. 1303. .~ .... - ~\ Jiij$['-- :..:..~'. ~~j~j,;1'i~j' 115.50 960.00 . ':!.,-..~ 960.00 , .' -~~.?~:j 1305. 1400. Total Settlement Cha es enter on lines 103 Section J and 502 Section K 3 009.42 1 078.80 CERTIFICATION: I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I received a copy of the HUD-1 Settlement Statement. Signature of Seller which I have prepared is a true and accurate account of the funds disburs nt f this transaction. WARNING: It is a crime to knowin91y make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprisionmenl. For details see: Title 18 U.S. Code Section 1001 and Section 1010. Rev-150B EX+ (6-9B) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH Of PENNSYLVANIA INHeRITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Sheriff, Wilbur FILE NUMBER 21-06-00956 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 Citizens Bank Checking #6100731812: VALUE AT DATE OF DEATH 53.161.42 2 Citizens Bank Checking #6100900789: 52.048.44 3 Citizens Bank Time Deposit #6140698693: 15.049.02 4 Citizens Bank Time Deposit #6140698707: 15.419.38 5 Citizens Bank Time Deposit #6140707676: 14.068.97 6 Citizens Bank Time Deposit #6140723523: 13.238.22 7 Citizens Bank Time Deposit #6140737559: 13.871.06 8 Citizens Bank Time Deposit #6140832349: 11.216.06 9 Citizens Bank Time Deposit #6140875021: 10.018.19 10 Citizens Bank Time Deposit #6240410093: 10.784.75 11 Conseco Insurance Company (Long Term Care Insurance Refund): 702.26 12 Forest Park Health center (refund): 1.029.35 13 Hardy's Auction Service (sale of vehicles, stamps, misc. personal property): 7.542.54 14 IRS (2005 Inc. Tax Refund): 59.00 15 PA Department of Revenue (refund): 86.16 TOTAL (Also enter on Line 5, Recapitulation) 218.294.82 (If more space is needed. additional pages of the same size) Copyright (C) 2002 form software only The Lackner Group. Inc. Form PA-1500 Schedule E (Rev. 6-98) . a Citizens Bank'" 525 William Penn Place Suite 153-2618 Pittsburgh, PA 15219 November 22, 2006 THE WILEY GROUP 130 W CHURCH STREET SUITE 100 DILLSBURG P A 17019 Estate of WILBUR SHERIFF SR. Date of Death: Oct 18,2006 SSN: 189-09-4428 Dear SirIMadam: In accordance with your request, the attached information sheet has been provided in the above decedent's name as ofhis/her date of death. For IL or LC accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please call 1-888-999-6884 Sincerely, U)cfJiL VokLbJUtC/u Carole Valentovich Operations Services K~ Citizens Bank'v Account Number 6100731812 Account Title WILBUR SHERIFF SR Date Opened 6/6/1966 Account Type Checking Principal Balance as of DaD $53161.42 Interest from Last Posting to DaD $.00 Account Balance as of DOD $53161.42 YTD Interest to DaD $93.54 D Citizens Bank- Account Number 6100900789 Account Title WILBUR SHERIFF SR Date Opened 5/31/1995 Account Type Checking Principal Balance as ofDOD $52048.44 Interest from Last Posting to DOD $.00 Account Balance as ofDOD $52048.44 YTD Interest to DOD $583.07 ~:E Citizens Bank'~ Account Number 6140723523 Account Title WILBUR SHERIFF SR Date Opened 2/13/1998 Account Type Time Deposits Principal Balance as of DDD $13229.15 Interest from Last Posting to DOD $9.07 Account Balance as ofDOD $13238.22 YTD Interest to DOD $399.59 ~J Citizens Bank'~ Account Number 6140698693 Account Title WILBUR SHERIFF SR Date Opened 5/31/1995 Account Type Time Deposits Principal Balance as ofDOD $15004.45 Interest from Last Posting to DOD $44.57 Account Balance as of DOD $15049.02 YTD Interest to DOD $415.23 a Citizens Bank- Account Number 6140698707 Account Title WILBUR SHERIFF SR Date Opened 5/31/1995 Account Type Time Deposits Principal Balance as ofDOD $15374.30 Interest from Last Posting to DOD $45.08 Account Balance as of DOD $15419.38 YTD Interest to DOD $382.91 K~ Citizens Bank'v Account Number 6140707676 Account Title WILBUR SHERIFF SR Date Opened 10/1/1996 Account Type Time Deposits Principal Balance as of DOD $14039.43 Interest from Last Posting to DOD $29.54 Account Balance as ofDOD $14068.97 YTD Interest to DOD $265.25 a Citizens Bank- Account Number 6140737559 Account Title WILBUR SHERIFF SR Date Opened 3/1/1999 Account Type Time Deposits Principal Balance as of DOD $13844.22 Interest from Last Posting to DOD $26.84 Account Balance as ofDOD $13871.06 YTD Interest to DOD $347.45 a Citizens Bank- Account Number 6140832349 Account Title WILBUR SHERIFF SR Date Opened 9/13/2001 Account Type Time Deposits Principal Balance as ofDOD $11198.94 Interest from Last Posting to DOD $17.12 Account Balance as of DOD $11216.06 YTD Interest to DOD $246.65 a Citizens Bank' Account Number 6140875021 Account Title WILBUR SHERlFF SR Date Opened 5/1/1990 Account Type Time Deposits Principal Balance as ofDOD $10000.00 Interest from Last Posting to DOD $18.19 Account Balance as of DOD $10018.19 YTD Interest to DOD $288.65 ~~ CitIzens Bank'v Account Number 6240410093 Account Title WILBUR SHERIFF SR Date Opened 12/16/2003 Account Type Time Deposits Principal Balance as ofDOD $10781.48 Interest from Last Posting to DOD $3.27 Account Balance as of DOD $10784.75 YTD Interest to DDD $325.82 i:2 ~0 !~5 {; ~~'.~ V,j ;.:.J:: f..1 .;;1 e~ 1-- ::~" c. 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S 7 ,v~ ~ Date: 12-12-2006 www.haar~s.com Settlement Seller~: f,2 Item HAAR'S AUCTION SERVICE 717-432-824.6 ALLIE L MYERS WILBUR SHERIFF SR ESTATE 525 HILLTOP RD YORK SPRINGS PA 17372 Page: D'?SCr-'iption Pr~ iCE' eny Total --------------------------------------------------------------------------------- Hedge C 1 i pper~S 1 0. ;:::501ZI Hammer~ 1 1. 50 Pipe wr~ench 1 1 ~ 0121 Pipe wr~enches 1 2.00 Leather~ punch 1 2.50 Socket 1 1. 00 l.Jl"ench 1 2.50 Ratchet 1 2.00 T or~ch end-lot 1 0.2500 Bits 1 0.5000 l.jr~ench 1 12.00 SCi'~ew dr~ivet~s 1 1. 50 Clamps 1 1. 00 PI i et~S 1 2.50 l.kenches 1 L~. 00 l.Jr~enches 1 0.500121 l.Jl'~enches 1 2.00 Hatchet 1. 0.5000 Tools 1. 0.2500 F 0 r~d ~oJr~ench 1. Ill. 5000 Ca 1 i per~S 1. 3.50 Tool lot 1 0.5000 l.Jl'~ench e s 1 2.00 Allen wr~enches 1 121. 2500 SqlJar~e s 1. 3.00 Dr~ i 11 bi ts 1. ~,. 7500 Plier~s 1 0. 751110 P 1 i e r~ 5 1 QI. 2500 Inner-' tube 1 1.00 Gy'ease-i nset~t s 1 3. 5111 l.Jl'~ench e s 1 0. ;::~5IZi0 Level 1 0.5000 l.jl'~ench 1 1. 50 Ct'e scent I"wench 1. 5 0 .-, 3.00 Co Pliel'~s 1 0. ;::~500 Tools 1 Ill. ;::~500 \)ise gr~ ips 1 0.5000 Files 1 3.50 Punches 1 0. 51ZJ1Zi 0 Socket set 1 5.00 Taps-lot 1 0.2500 Impact 1 2.00 Clamp 1. 0.2500 Sod<ets 1 1. 00 Hammer~S 1 1. 00 hlt~enches 1 2.50 Date: 12-12-201215 www.haat~s.com Settlement Sellet~: 52 Item HAAR'S AUCTION SERVICE i4LL IE L lT1YE RS WILBUR SHERIFF SR ESTATE 525 HILLTOP RD YORK SPRINGS PA 17372 D'2SCt-'ipt ion 71 7 -L~3c:-8245 Pt'i ce cny Pag E' : -------------.--------------------------------------------------------.---------.-. Total Wj"enche s Mallet-lot l.h'enches Taps N ail p IJ 11 e t' s Tape-lot Pliet~s PI i et~s Tool Extension Hammet~s Ratchets Gr'ease gun l.Jt'enches Pt'lJn et~s Oil, cans Vise Saw set Plane Plane Socl-<et set 5t ap 1 et-. Screw drivers-lot Na i 1 ba t' Bi.ts Chisel-lot Sq lJat'e-ham me'I" Expandet., bit ClJttet~s Extension-lot Ti.n snips Wt~ench Pipe ~'-Jt~ench Plane l.h~ench e s hlt"ench Sq uat~e-l ot Saw Br~ace-oil bottle Tools Dt'i 11 Wt"ench set .lack Box lot Box lot Dr~ ill 1 :L 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 :L 1 1 1 1. 1 1 2.0121 121.7500 9.0121 1. 121121 1. 5121 121.25121121 1. 5121 121.75121121 2.1210 121.25121121 121.7500 121.251210 0. 251210 3.121121 2.5121 2.121121 121.2500 121.251210 3.00 4.121121 5.121121 121.7500 1. 50 0.251210 0.2500 121. 2500 121.2500 1. 00 1. 50 Ill. 750121 121. ;:~500 2.00 121. c~51Zl0 15.1210 121. 251Z10 1. 5121 1. 50 2.00 5. 1Z10 (~'. 0121 121.25121121 121.250121 3.1210 Ill. 512100 0.7500 9.00 \j) Date: 12-12-2006 -~.:.-:...-- www.haar~s.com Settlement Seller': f,2 ~ ~"~,,w. haat's. com Item HAAR'S AUCTION SERVICE f=tLLIE L MYERS WILBUR SHERIFF SR ESTATE 525 HILLTOP RD YORK SPRINGS PA 17372 Desct'ipti'Jn Tool bo}( lot Tool box lot Box lot Tool box Table lot l--Jood tool box Commission at 30.000% It.?ms: 717-432-8246 P t' ice iJty 1 1 1 1 1 1 98 Amount: Sit. 68 Less adjustments: Net due to seller: HAAR'S AUCTION SERVICE 717-lj-3E::-8246 Page: Total L 00 1. 50 0.2500 Ill. 2S00 2. IZl0 8.00 182.25 --5LJ-.68 1c~7. 57 Date: 12-08-2006 WW\-.j. h aa r' s. com Settlement S e 11 e t-. : 6.::: Item HAAR'S AUCTION SERVICE 717-432-8246 f~LL I E L. MYERS ESTATE WILBUR SHERIFF SR 525 HILLTOP RD YORK SPINGS PA 17372 Page: Descr'iption Comm Pl" i ce Qty Total. ------------------------------------------------------------------------------.-- Flat\'IIar'e set "7 1 3.00 ....J Dish lot 3 1 6.00 Glasswat'e "7 1 0.2500 ,J Calumet tin ~- 1 IZI. 5000 ....J Glasswat'e "7 1 1. 00 ....J Glass pi tch et' "7 1 0.501210 oJ Glasswat~e "7 1 121.2500 ,J Box kettles "7 1 1. 00 ....J Lant et'n "7 1 20.00 ....J Candlesticks "7 1 Ill. 2500 ....J C I ocJ.< 3 1. 3.50 Vase 3 1 11.00 Gt'avy boat 3 1. 121.2500 Cer'am i c tt'ee "7 1. 6.00 oJ Tot'que wt'ench 3 1. 0.5000 Teapot lot ~ 1 4-.00 ~ Load binder "7 1. 6.00 ....J 1858 j at'-can 3 1 1. 50 Commode boost el" seat "7 1. 1. 1210 ....J Hat-lot-funnel 3 1 1. 00 Shaket's "7 1. 1. '-.J::" ....J . c.....J Lantet'n ~ 1 7.0121 ~ Rollet' chain "7 1. 121.2500 oJ Ruby shet--bet S lot "7 1 5.50 ....J Timing light-lot ~ 1 121.750121 Recot~ds, 8 tt'acks -;- 1 IZt.2500 oJ Sabt'e saw .~ 1 1..00 ....J Block--fall "7 1 1. 5121 -..J Plate ,J 1. E:.5121 Hooks o..J 1 1.5121 Box lot ca sse t t e ~5 ~ 1. 3.00 l.Ja s h m i tt-j umpet-' -;- 1 0.2500 o..J cables-col"d Divided plate "7 1 12.00 o..J TI"owe 1 ~ 1 1.. 50 ,J Sleeping bag ~- 1 121.25121121 ~. Sa\l4-lot 3 1 0.2500 Tt~act at' - blade -- wheel \'-./t. ~ 1 21 QI. 00 Chain .- 1 L~. 00 ~. ~Ii t' compt'esser' 3 1 5.5121 Level-tr'ap 3 1 IZI. 251210 Yellow cat't 3 1 52. tZlIZl Box cat'd s ~, 1 3.00 Tr~o'-lble light ~ 1 1. 121121 Testet' ,J 1 ILl. c~~500 Box sher'bet s -;- 1 3.5121 ~. Date: 12-08-20/216 www.haat~s.com Settlement Sellet~: 52 Item HAAR'S AUCTION SERVICE t~LLIE L. MYERS ESTATE WILBUR SHERIFF SR 525 HILLTOP RD YORK SPINGS PA 17372 Desct~i pt ion Comm 717-432--8245 Pt-- i ce Qty Page: ---------------------------------------.----------------------------------------. Total Gas pm"Jet~ mot at' Tt~a i 1 et-- COt~d Sleeping bag Bat~t~el - step up Jack Box lot Kero can - kero heater Wedges Radio Sausage stuffet~ Hog sCt~apet~s Gas grill - heater - baskets - saw = grinder Box lot Bench vise Ait~ tank Pt~. step ups Candleholdet~s Canopy Bag cat~t Bucl-<et I at Box lot Double wash tubs ~Idv yd st i cks Cha i n sa~'J Blue peg Fishing t~ods Double wooden ladder Rope Grinder wI electric motor Desl-< light Box lot Spt~ayer-' Step ladder - orchard 1 addet~ Coal bucket Shovels Sawbuck legs - birdhouse - compt~essot~ ~{n i v e s Pid< Axe-lot BOH lot Chain saw bax and lid t'h:!tal eag 1 e Hitch receiver w/balt ~ ,J .:, ...- ,J ...- --/ 3 3 -;. ,J 3 .... '-' 3 3 3 .... -J 3 3 .... -..J ...- '-' .... '-' -;0 '-' ,J .:, ..:, 3 -~ ,J .... -J .... -.J .... '-' .- '-' .... ~. -;. '-' ~ ..:, 3 -. '-' 3 -;0 '-' 3 3 -;. -..J 3 3 3 -;0 '-' 3 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 17.00 2.00 1. 00 E.. 00 1. 50 2.50 0.2500 0.2500 1. 00 51Z1.00 1. 00 0.2500 1. 50 17.00 17.0121 1. 00 0. ~:::500 1. 00 3.00 1. 1Z10 1. 50 15.00 2.0121 7.00 3.0121 1. 00 1. 0121 5.00 Ill. 2500 7.00 Ill. 2500 2.50 3. 0121 2.1Z10 4.00 7.1Z11Z1 {l-0.00 1. 50 0.512100 0.751210 '3.00 121.51211210 IZI. 25121121 Date: 12-08-2006 www.haars.com Settlement Sellet': 62 Item HAAR'S AUCTION SERVICE 717-l.32-8246 i~LLIE L. MYERS ESTATE WILBUR SHERIFF SR 525 HILLTOP RD YORK SPINGS PA 17372 Page: Dl2sct~ipt ion Comm Pt~ ice Qty Total -----------------------.-------------------------------------.------------.---------- Jack-lot 3 1 3.00 Sledge ham m et~ -:1 1 2.50 ..J Basl-<et -:1 1 8.00 ..J Wash boilet~ -:1 1 1. 00 ..J Pipe VIse -:1 1 3.00 ..J Box lot 3 1 QI. i.:::500 Rak e-~JQt--k '2t' -:1 1 2.50 ..J F ot~ k 3 1 10.00 Stamp album -:1 1 12.00 ..J Scythe -:1 1 5.00 ..J Box books -:1 1 1. 00 ..J Bt~ush-ant erma 3 1 0.2500 Box jai-' lids .~ 1 4.00 ..J Hoe-fot-'k 3 1 2.50 Hoe,s .~ 1 3.00 .:., TUt~npike books -:1 22.00 .:., E.b. 00 oJ Stool-shovel -:1 1 0. 501210 >oJ Rakes-net 3 1 2.50 Box lot .~ 1 4.00 .:., Buck saw 3 1 15.00 Box cot'n i ng .-' 1 7.00 Bak i n!;1 dishes -:;- 1 0. ;:::500 >oJ Scoop shovel ,- 1 L.. 00 ,-, Weed eat et~ 3 1 5.00 Box lot ,..I 1 3. 0121 Glue gu.n -:1 1 2.00 >oJ l.Jeed eat 2i-'S-sh 0 '-J e 1 3 1 1. 50 Box light bulbs -:1 1 2.00 >oJ Digging 1 t'on ,-, 1 15.00 Salad set 3 1 1'1-. 00 Goose 3 1 0.2500 Pt'j.' bat~ .:., 1 3.00 Shovel -~ 1 5.00 >oJ Box lot -:1 1 f... 00 >oJ Leaf b 1 O\..,et' -:1 1 6.00 >oJ Box lot 3 1 ;:::.00 ThimblE's -:;. 1 3.50 ,..I Dt~ i 11 f.:.lt'ess -:;. 1 17.0121 ..J Sewing lot -:;- 1 L..50 >oJ Band saw -:1 1 b.00 - Dish lot .~ 1 LI-.50 ,-, Stemwat~e 1 at -:i' 1 5.00 ..J Sewing box , cant ent.:; -:1 1 6.00 ..J Box of oil 3 1 20.0121 Box lot -:i- 1 1.00 ,-, Chain hoist ~ 1 f..0. illiZI .:., Date: 12-08-2006 www.haat~s.com Settlement Sellet~: 62 Item HAAR'S AUCTION SERVICE 717-432-8245 nLLIE L. MYERS ESTATE WILBUR SHERIFF SR 525 HILLTOP RD YORK SPINGS PA 17372 Page: Descr~iption Comm Pr~ i ce Qty Total ---------------------------------------------------------------------------------- Box lot ..... 1 0.2500 ,.J 1'-' qts oil 3 1 15.00 Co B ir~ d books ,:, 1 2.50 8 qt s. oil .:i 1 10.00 Box tools 3 1 7.1210 Milk bottle 3 1 2.00 Set of dishes ..... 1 0.2500 ...J Pipe wr~ench ..... 1 5.00 ...J Bowl,contents '., 1 5.1210 ,.J Box Ig .jar's 3 1 1. 00 Plumb hat chet 3 1 12.00 Animals 3 1 1 ,-,C" . c.~ Pipe wr~ench ..... 1 5.00 ...J Wt~ench 3 1 1. 50 Box lot ..... 1 1. 50 -.J Wt~enches -:;. 1 2.50 ;,.J Time clock ..... 1 13.1210 -.J Wt~enche 5 3 1 3.00 Lights ..... 1 0..5000 ,.J PI i er~S ..... 1. 0.5000 -.J Glass ba!:;ket ..... 1 7.00 -.J Box lot 3 1 3.5121 Indian bike ~""r~ e nch e s ..... 7.00 c_ lI.~. 00 ,.J Head vase 3 1 5.00 Tape--lot ~ 1 1. 1210 ,:, Box fr~am e s .::, 1 1. 50 Hammel-~ -;- 1 1. 50 -.J Testet~ ,oJ 1. 1. 00 Ruler~s .~. 1 5.00 '-' Gt~ea s e guns - 1 Ill. 2500 Box glas5war~e ..... 1 1. 00 -.J Hatchet 3 1 '+. 00 Box lot -;- 1 1. 50 '-' M i tr~ e saw -. 1. 1. 00 -J Saws .3 1 1. 00 Box lot ..... 1 E:.00 ,oJ Ir~ 0 n cat ..... 1 6.00 ,.J Bench ..... 1 5.00 ...J Set of dishes 3 1 0.5000 Scales 3 1. 2.50 Stamps ..... 1 1,525.00 w Nest of PYt~ex b 0 ~'" I s ..... 1 "~)5. 00 -.J Tap and die set 3 1 15. 11I0 Knife ..... 1. 0.2500 -.J tllill-< bottle ..... 1 c::. 00 w Ri vet et~--br~ass b",u--- 5 3 1 "1-. 00 Date: 12-1218-2006 www.haat.s.com Settlement Sellet': 62 Item HAAR'S AUCTION SERVICE 717--432--8246 ALL IE L. MYERS ESTATE WILBUR SHERIFF SR 525 HILLTDP RD YORK SPINGS PA 17372 Page: Desct'iption Comm Pt'i c e Qty Total -------------------------------------------------------------.------------------- Box lot -:;' 1 15.1210 ,oJ Dt'i 11 '-' 1 0.251210 Staplet' ~ 1 0.2500 -=- l.Jedges -=- 1. 3.1210 Pi tchet' 3 1 10.1210 Dt' i 11- san de t' -:;' 1 2.1210 '-' Pt'tmel"s-l at -:;' 1 1.25 '-' St 0 0 1 s 3 1 l~. 00 Hammet'-meat salt.j -:;' 1 4.1210 '-' Bolt cut t et-.s -:;' 1 2.0121 '-' h'oning boal"d -:;' 1. 121.250121 '-' Meas pit ch e t~ s .. 1 2.5121 --' Sq uat~e-pt~un et-.s ~ 1 2.121121 .::, Dt' e m e 1 .. 1 2.121121 ..., Flat~ing tool -:;' 1 4.0121 -..J Oil can -:;' 1 1. 50 --' SCt'ew dt~ivel" -:;-. 1. 0.25121121 -..J Tt'ay of bells -:;' 1 11.121121 -..J Ot'gan i zet~ 3 1 2.121121 Organ i zet~ -:;-. 1 1. 121121 -..J Box lot -:;' 1. 1.5121 ,..J Bat t et~Y chat~g et' .. 1 6.121121 --' Be Its, bucl-< I e-:; .:; 1 l~. 5121 Oil can ." 1. 1.5121 ..., Tubing cutt et' -:;' 1 f~. 0121 -..J Change box -:;' 1 0.251210 ...J Box lot '-' 1. 3.121121 Tools -:;' 1 0.250121 --' SCt'ew dt-'i vel'~S .::, 1 1. 0121 Box 8 t t~ ac k tapes -:;-. 1 1. 0121 ..., Vise . 1 1. 5121 '-' Plattet~ lot -:;' 1 2.121121 -..J Box lot -:;' 1 1.0121 '-' Pipe t ht~ead et~ .::, 1 10. 250121 V is.? "~ 1. 3.00 -...J Hunting coat , hat .. 1. 10. 250121 --' Bucl-<et lot .. 1 121.250121 ".oJ Tub lot 3 1 0. c~500 Umbj"e 11 as .' 1 121.250121 ~. t"lug .:i 1 3.50 Box lot -:;' 1. f~. 0121 ~. Box lot -:;' 1. 0.2500 ..J Canes ..J 1 0.250121 Gas can--l i ght E!t~--l ot ..:, 1. Ill. 2500 Box lot .::, 1 121.250121 Ot~gan i z et~ .:, 1 0.251210 Date: 12-08-2006 www.haal"~s.com Settlement Sellet': 62 Item HAAR'S AUCTION SERVICE 71 7-l~-32-B24E, ALLIE L. MYERS ESTATE WILBUR SHERIFF SR 525 HILLTOP RD YORK SPINGS PA 17-372 Page: Desct~iption Comm Pt' i ce Qt '/ Total -------------------------------------------------------------------------------- Heat et' .:=; 1 4.00 Fans .::, 1 2.00 Fishing tackle "::' 1 3.00 >oJ Tub lot ~ 1 0.2500 .::, Shaker, dish -;- 1 '3.00 ...., Rope "::' 1 0.2500 -..J Ot~gan i z er ...., 1 1. 00 Radio "::' 1 1. 00 ...., Shoe lathe -~ 1 0.2500 ...., Plaques ~ 1 0.2500 .::, Tool ~ 1 0. C:~500 .::, Box lot -;. 1 0.2500 ...., Sh i t~ I e ~J temple pi tchet~ .:=; 1 10.00 Box lot .::, 1 0.250121 l.Jedges -~ 1 121.2500 .::, Tea kettle -;. 1 3.0121 ...., Homelite chain saw "::' 1 i?7. 00 ,oJ Elephant t~ac~( "::' 1 3.0121 ...., Table lot "::' 1 1. 1210 ...., Radios .::, 1 0.2500 Baseball cat'd s -~ 3.5121 4 14.00 ,oJ Oil heat et~ "::' 1 4..00 ...J Vase .::, 1 121. c~500 Oil h eat et~ -;- 1 17.00 -..J Hat'ley desk set "::' 1 5. 0~~ ,oJ Indian bike sign 3 1 -32.1210 Decanter,chopper 3 1 121. 2501Z1 Bucket lot .:=i 1 It.12I121 Vanity seats-'lawn cha i r~~; ...., 1 1. . I2I1Z1 Di -;h lot 3 1 0.2500 Dado blade set "::' 1 E.00 ...., Scales -..J 1 1121.0121 .l. Games -;- 1 0. 251211Z1 ...., Radial at-om 5 a~-J -;0 1 6121.121121 ...., Box lot -;0 1 1ZI.251Z10 ...J Box lot. '-' 1 2.1Z10 Pi ct tu-~e s -;0 1 11'. 1Z10 ,oJ Simplicity mO~-Jel"~ .::, 1 3-'1-0. 1210 Stamp book,contents -;0 1 2.50 -..J Se ed el"~ ~ 1 5.1ZI1Z1 .::, Box ft~am e s .::, 1 IZI. 51ZllZl1Z1 Se ed el"~ -;- 1 3.1210 '-' Stamp bOIJI-<, cant ent s -~ 1 1. IZIIZ1 ,oJ Pi tchel'~ and bm-Jl -;. 1 B.01Z1 ~J Tt~ac-'vac .~ 1 ':35. 1Z10 .oJ Elec fan -;. 1 2.12I1Z1 ...J Date: 12-0B-2006 www.haat~s.cam Settlement Sellet~: 52 Item HAAR'S AUCTION SERVICE 717-'+32-8246 ALLIE L. MYERS ESTATE WILBUR SHERIFF SR 525 HILLTOP FW YORK SPINGS PA 17372 Page: Desct~iption Comm PI'~ i ce Qty Total _____0_____________________________________________________________________.________. Stamp boo!-<, contents ~ 1 4..00 Stamp book,contents .:, 1 5.00 John deet~e genet-'at Ot~ ~ 1 100.00 l..Jeath et~ vane, pictut-'e 3 1 2.50 Stamp bool-<, contents 3 1 ;::~. 00 Shop vac 3 1 12.1210 Stamp bool-<, contents -;- 1 1..00 ~ Rolling pin 3 1 121.25121121 Stamp book, contents 3 1 8.00 Stamp bool-<, cont ent 5 3 1 1. 50 Snow b 1 O\'>Jel"~ -;- 1 '!~25. 00 ~ Scales -;- 1 8.1210 ~ La...m mowet~ - 1 10.00 ,.] Mug ~. 1 0.2500 Glasswat~e 3 1 1..50 Shakers 3 1 0.751210 Spr~ay el"~-huske e 3 1 25.00 Powet~ supply -. 1 1. 121 121 >oJ Cedcw chest ,.] 1 ;:::E~. 00 V-.nife 3 1 0.5000 Tea set 3 1 2.00 Folding table 3 1 12.1210 Rack~<,je 11 mugs 6 1 2.00 Lights -;- 1 1. 00 .~ l.Jal ket~ ":;. 1 1..00 ~ Thimble -. 1 3.50 .:, Chest of dt'a~'1leY'. s ..... 1 10.00 ....} Chest of dt~awet~S .~ 1 15.00 ~\n i f e .' 1 ,!~. 00 ~ Cabinet .:, 1 1. 00 tTJens j ewe 1 t~y .' 1 6.00 ~, Bookends - 1 1. 00 Dt~y sink 0:;. 1 12.00 ,.] Statues 3 1 0.5000 Shaket~s '-' 1 0..2500 Santa -:;- i It. 0121 -' Humidifiel'~ -:;- 1 0. 250121 ....J Rca dog ....J 1. 1. 0121 Se~-,jing machine -:;- 1 1. 00 ~ Hall bowl -:;- 1 2.00 ....J Pattie 3 1 1..00 Gt~indet~ 3 1 2.00 Glass d i !5h -:;- 1 1. 50 ....J Li ght s--'book bucket .:, 1 IZI. c~51Z10 t>1ilk glass bot'-.Jl .' 1 1. 50 ,-' Si ftet." gt~indeY" 3 1 1. 00 Date: 12-1218-21211216 WW4"o1. haat's. co m Settlement Se 11 et~: 62 Item HAAR'S AUCTION SERVICE 717-432'-8245 nLLIE L. MYERS ESTATE WILBUR SHERIFF SR 525 HILLTOP RD YORK SPINGS PA 17372 Page: Descl"ipt ion Comm Pl"' ice Qty Total Tt~ay lot 3 1 1. 121121 File cabinet 3 1 17.121121 Ducl{ lights -:;' 1. 2.5121 ....J Sweeper -:;' 1 0. ~:::5121121 -...J Box lot ~ 1. 1. 50 ..::, Electt~olux swe e pet' ..:, 1 8.121121 Ice ct'eam ft"',?ezet' -:;' 1. 4.1210 ...J Egg plate lot -:;' 1 1. 50 -...J Sewing machine -:;' 1. 8.00 ...J Chicken on nest .' 1 4.121121 -...J Desl{ -:;' 1 3.1210 ,J Tt~ay lot ..::, 1 2.50 Cookie .] at' -:;' 1. 9.00 ,J Washet~ -:;' 1. 1 L~I2I. 1210 -...J Radio, bank bag 3 1. 1. 5121 Box lot 3 1 3.0121 Stand 3 1 5.0121 Glasswat~e lot -:;' 1 Ill. 250121 -...J BooJ{ stand 3 1. 32.0121 Night stand -:;' 1 0.25121121 -...J Night stand 3 ;::: 121. illiZI c. L~I21. 121121 Bookcase ..::, 1. 2121.0121 Bool{case ..::, 1. 1.;::~. 00 t1ict~owave oven .::, 1 IZI. 25121121 Plantel'~ ~ 1. 121. Z~5121121 .::, Chest of dt~aw et-.s .' 1. 17.00 ...J Cupboard ~. 1. 5.00 Set of tab 1 e S .::, 1 7.00 ~<idney table ? 1 0. ;:::500 ...J Ref t~ i 9 e t~ at 0 to. 3 1 5.0121 Chest of dt'a4'oJei'-'s ,J 1. 8.00 Stand 3 1 1. 0121 Lamp table-deacon bench -:;. 1. 1. 6. IZ,IZI ,..1 He ft' i 9 et'at Ot~ ..::, 1 180.0121 Chest af d t' a~'>J e t' S .::, 1. L~0. 1210 Li ft cha i t' ~ 1 20.0121 Reclinet~ ..::, 1 1 . 1210 Gun cabi rJl?t ~. 1 1+0. 1210- Cha i t~ ,J 1 1. 00 Table-4 chai 1"5 -:;' 1 1+5. 00 -...J Table-4 cha i l'-'S -:;' 1. 20.00 ~. Hutch .::, 1 12.00 Sled .::, 1. 7. 01Z1 Sled ..:5 1 5. 1"210 Tt'ash can ..:, 1 121. ;::~512l121 Bed-- ft"am e ..::, 1 10.0121 REV-1151 EX+ (12-991 *' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Sheriff, Wilbur Debts of decedent must be reported on Schedule I. FILE NUMBER 21-06-00956 ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT See continuation schedule(s) attached 6,259.05 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions ALLIE LEE Social Security Number(s) I EIN Number of Personal Representative(s): Street Address 525 HILLTOP ROAD City York Springs Year(s) Commission paid 2007 State P A Zip 17372 7,250.00 2. Attorney's Fees Wiley, Lenox, Colgan, & Marzzacco, P.C. 14,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees Register of Wills: 453.00 5. Accountant's Fees 6. Tax Return Preparer's Fees David J. Lenox: 485.00 7. Other Administrative Costs See continuation schedule(s) attached 4,682.58 TOTAL (Also enter on line 9, Recapitulation) 33,629.63 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1502 EX+ (6-98) *' SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Sheriff, Wilbur FILE NUMBER 21-06-00956 ITEM NUMBER DESCRIPTION AMOUNT 1 Ewing Brothers Funeral Home: 6.259.05 Subtotal 6.259.05 Copyright (c) 2002 form software only The Lackner GrouP. Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev-1502 EX+ (6-98) *' SCHEDULE H-87 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESDENT DECEDENT ESTATE OF Sheriff, Wilbur FILE NUMBER 21-06-00956 ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland Law Journal (advertise estate): 75.00 2 Hardy's Auction Service: 960.00 3 IRS (20061041 Inc. Tax): 117.68 4 PA Department of Revenue (2006 PA Inc. Tax): 43.00 5 Patriot News (advertise estate): 166.07 6 Peter Ambrose (sale help): 200.00 7 Real estate closing costs: 1.090.83 8 Register of Wills (filing fee): 30.00 9 Tammy Myers (sale help): 2.000.00 Subtotal 4.682.58 Copyright (c) 2002 fonn software only The Lackner Group, Inc. Fonn PA.1500 Schedule H-B7 (Rev. 6-98) Rev.1512 EX+ (6.98) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEAl.. TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Sheriff, Wilbur FILE NUMBER 21-06-00956 Include unrelmbursed medical expenses. ITEM NUMBER DESCRIPTION 1 Cingular (phone): VALUE AT DATE OF DEATH 29.75 2 Continuing Care RX: 3 Forest Park Health Center: 4 Harleysville Insurance: 5 PP&L (electric): 6 Suburban Energy Services: 58.37 2.057.59 117.37 52.53 259.90 TOTAL (Also enter on Line 10, Recapitulation) 2,575.51 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) REV.1513 EX+ (9.00) . SCHEDULE .J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Sheriff, Wilbur 21-06-00956 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON{S) RECEIVING PROPERTY DECEDENT (Words) ($$$) Do No! Us! Trustee/sl I. TAXABLE DISTRIBUTIONS [include outright sgousal tlistributions, and ransfers under Sec. 9116{a){1.2)] 1 Allie Lee Gehr-Myers Daughter fifty percent 525 Hilltop Road York Springs, PA 17372 2 Wilbur Sheriff, Jr. Son fifty percent 34908 Cedar Drive Lewes, DE 19958 Total Enter dollar amounts for distributions shown above on lines 5 through 18, as appropriate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) jan M. Wiley David j. Lenox Timothy j. Colgan Christopher j. Marzzacco THE WILEY GROUP Attorneys at La-w- June 21, 2007 Wiley, Lenox, Colgan & Marzzacco, P.c. Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 In Re: Estate of Wilbur Sheriff, deceased File Number 21-06-00956 Dear Register: David E. Hershey Thomas M. Clark Angelica L. Revelant Paul j. Kovatch Enclosed for filing please find an Inventory, the inheritance tax return in duplicate, and the status report with regard to the above captioned estate. Also enclosed is a check in the amount of $1,286.84 representing the tax due, and a check in the amount of $30.00 representing the filing fee. Please return the recording receipts to my attention in the enclosed envelope. Thank you for your cooperation. Sincerely, D~~ /dg encl. ~~ ~i. .~~ cn~ ,R,")O 8~-n ;~ ,?1Z .-..:I ~ c::::> -.I c- ~ N N 2:110 X ::;~~J ::rJ ;j'; r~ t-:, ~~) c> S:1f:g rnm ::n t:;l <:-:>0 .. n ,01 '"1 ('''5 _, rn - .. N <.n 130 W. Church Street, Suite 100 · Oillsburg, PA 17019 · Phone: (717) 432-9666 . (800) 682-4250 . Fax: (717) 432-0426 Offices in Harrisburg · York · Carbondale www.wiley4u.com " ---=-~. ~."'" '--,,,, ~o~:::c ~ g it. f~l:7";- - Cl tD .., tD ... ::L ..... Cl "'d,...... >g"g.~ -~~= ..;!l;IJCl- <:>tD~l;IJ -00= ~.c ~ ~ . ~ ri Cl ~ ,. cr Cl ~ l;IJ tD ... IN o ~ O. =9- !S-c C n Qa:r , V) ~.~ ... ... ....... ., 9~< It 1.0 _. . lOt ."!l:J :: '..h o . o . 'SQ '. . 0 ~ I . -" """ ... .....-"0 Ion IV '0 00 c"" 0 I- ~ ...0 ;, 2J~ 0 "II. III ~ ()\ :; I: 0 C'\ ~ c:;) m 8 c- o C "'Z\:I al NVoI ....U1 -" 00 .....N'O 00'0 -"0'" 'O......c-