HomeMy WebLinkAbout06-25-07
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REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
21 06
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
NUMBER
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Nailor, Arlene J.
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DATE OF DEATH (MM-DD-YEAR)
DATE OF BIRTH (MM-DD-YEAR)
06/27/2006
05/12/1932
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL)
Nailor, Paul E.
~ 1. Original Return
D 4. Limited Estate
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00640
210-26-6935
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
D 2. Supplemental Return
D
D
D
D 3. Remainder Retum (date of death prior to 12-13-82)
D 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
4a. Future Interest Compromise (date 01 death after
12-12-82)
7, Decedent Maintained a Living Trust (Attach
copy of Trust)
10. Spousal Poverty Credit (date of death between
6. Decedent Died Testate (Attach copy
01 Will)
9, Litigation Proceeds Received
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AX INFORMATION SHOULD BE DIRECTED TO:
,COMPLETE MAILING ADDRESS
I 2100 Longs Gap Road
I Carlisle, PA 17013
AME
Stephen L. Bloom
IRM NAME (If applicable)
Stephen L. Bloom, Esquire
ELEPHONE NUMBER
717/249-7717
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
(1 )
(2)
(3)
(4)
(5)
(6)
(7)
27,290.14
None
None
3. Closely Held Corporation, Partnership or Sole-Proprietorship
None
None
None
None
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4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
(9)
1,659.54
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
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)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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(11 )
1,659.54
25,630.60
(12)
(13)
(14)
25,630.60
15.Amount of Line 14 taxable at the spousal tax rate, 25,630.60 x .00 (15) 0.00
or transfers under Sec. 9116(a)(1.2) -------~---
z 16.Amount of Line 14 taxable at lineal rate x .045 (16)
0
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II. 17.Amount of Line 14 taxable at sibling rate x
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~ 18. Amount of Line 14 taxable at collateral rate x .15 (18)
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19. Tax Due (19) 0.00
------~._--._~ -------------
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
RECHECK MATH <<
Copyright 2000 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00)
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Decedent's Complete Address:
STREET ADDRESS
121 Hickory town Road
i STATE PA
iZIP 17015
CITY
Carlisle
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
0.00
Total Credits (A + B + C)
(2)
0.00
3. InterestlPenalty if applicable
D. Interest
E. Penalty
(3) 0.00
(4)
(5) 0.00
(SA)
(5B) 0.00
TotallnterestlPenalty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
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.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + SA. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred;..................................................................................
b. retain the right to designate who shall use the property transferred or its income;....................................
c. retain a reversionary interest; or..................................................................................................................
d. receive the promise for life of either payments, benefits or care?..............................................................
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.................. .......................... ..................... .......................... ............................
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?........
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?............. .......................... ....................... ........................... ............................
Yes No
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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 perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of
preparer other than the p~rsonal representative is based on all information of which preparer h~S any knowledg~.______~___
E OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
. Na' r
e. 1~_____
ESPONSIBLE FOR FILING RETURN
DATE
121 Hickorvtown Road
Carlisle, pA 17015
------- ---
6!2~/CT7
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ADDRESS
ADDRESS
DATE
2100 Longs Gal' Road
Carlisle, PA 17013
For dates 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
surviving spouse is 3% [72 P.S. 39116 (a) (1.1) (i)].
For 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. 39116 (a) (1.1) (Ii)]. The statute does not exempt 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. 39116 (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. 39116
1.2) [72 P.S. 39116 (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. 39116 (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.
.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Nailor, Arlene J.
. FILE NUMBER
· 21 - 06 - 00640
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE OF
DEATH
27,290.14
M& T Bank Account Number 191007787
TOTAL (Also enter on Line 5, Recapitulation)
27,290.14
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SCHEDULE H
FUNERAL EXPENSES &
ADNINlS1RA11VE COSlS
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Nailor, Arlene J.
FILE NUMBER
21 - 06 - 00640
Debts of decedent must be reported on Schedule I.
--ITEM-r
NUMBER i FUNERAL EXPENSES:
-------- - -1-------- -.
A.
DESCRIPTION
AMOUNT
B.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
1.
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City
State
Zip
2.
Year(s) Commission paid
Attorney's Fees Stephen L. Bloom, Attorney and Counsellor at Law,
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
Cumberland County Register of Wills
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
M&T Bank Account Number 191007787
TOTAL (Also enter on line 9, Recapitulation)
1,553.54
106.00
27,290.14
1,659.54
FILE NUMBER
21 - 06 - 00640
RELATIONSHIP TO
DECEDENT
Do NotList,.r~S!eeJS)
REV-1513 EX+ (9-00)
.
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Nailor, Arlene J.
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
Paul E. Nailor
121 Hickory town Road
Carlisle, PA 17015
Husband
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
AMOUNT OR SHARE
OF ESTATE
Entire Estate
II. NON-TAXABLE DISTRIBUTIONS:
IA. 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
LAST WILL AND TESTAMENT
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I, ARLENE J. NAILOR, of Middlesex Township, Cumberland County, Pennsylvania,
being of sound and disposing mind and memory, do hereby make, publish and declare this to
be my Last Will and Testament, hereby revoking any and all former Wills or Codicils by me
made.
1.
I direct that all my just debts, funeral expenses, testamentary expenses and all inheritance
taxes (whether such taxes may be payable by my estate or by any recipient of any property) shall
be paid from my residuary estate as soon as practicable after my decease and as part of the
administration of my estate. My Executor shall have no duty or obligation to obtain
reimbursement for any such tax so paid, even though on proceeds of insurance or other property
not passing under this Will.
2.
If my spouse shall survive me by thirty (30) days, then I give, devise and bequeath all
of my estate, both real and personal property, unto my husband, PAUL E. NAILOR, absolutely.
3.
In the event my said husband, PAUL E. NAILOR, shall predecease or fail to survive me
by thirty (30) days, then I give, devise and bequeath all of my estate, both real and personal
property, in equal shares, unto my sons, ROBERT E. NAILOR and RODNEY L. NAILOR,
absolutely, with substitution of issue, per stirpes. In the event that any of the beneficiaries
herein shall be minors at the time of distribution of his or her share, then his or her share shall
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Page I of 4 Pages
be held by my Trustee and the net income therefrom shall be used for the support, maintenance
and education of said minor beneficiary. My Trustee shall use as much of the principal as it
shall deem desirable for said purposes. My Trustee shall distribute absolutely the principal and
any accumulated income of such share as each beneficiary attains the age of twenty-one (21)
years. To the extent that the same is permitted by law, none of the beneficiaries hereunder shall
have any power to dispose of or to charge by way of anticipation any interest given to such
beneficiary; and all sums payable to such beneficiaries hereunder shall be free and clear of the
debts, contracts, alienations and anticipations of the beneficiaries, and all liabilities for levies and
attachments and proceedings of whatsoever kind, at law or in equity.
4.
I nominate, constitute and appoint my said husband, PAUL E. NAILOR, as Executor of
my estate. In the event he shall be unable or unwilling to serve in such capacity, then I appoint
my said sons, ROBERT E. NAILOR and RODNEY L. NAILOR, to act in such capacity.
5.
I nominate, constitute and appoint FARMERs TRUST COMPANY, Carlisle,
Pennsylvania, as Trustee under the terms of this Last Will and Testament.
6.
I direct that neither my Executor(s) nor my Trustee shall be required to file a bond to
secure the faithful performance of their duties in any jurisdiction.
7.
I authorize and empower my personal representative(s) and Trustee, in their sole and
Page 2 of 4 Pages
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absolute discretion, to purchase or otheIWise acquire and retain any investments of which I die
seized or any real or personal property of any nature; to sell, lease, pledge, mortgage, transfer,
exchange, dispose of or grant options in regard to any or all property of any kind forming a part
of my estate for such terms and such prices as they may deem advisable; to borrow money for
any purposes connected with the protection and preservation of my estate; to mortgage or pledge
any real or personal property forming a part of my estate or to join in or secure the partition of
same; to compromise any claims or demands of my estate against others or of others against my
estate; to make distribution in kind and to cause any share to be composed of cash, property or
undivided fractional shares in property different in kind from any other share; and to execute
and deliver such instruments as may be necessary to carry out any of these powers.
/0<< day of
IN WITNESS WHEREOF I have hereunto set my hand and seal this
/(/;ir~
, 1993.
n r \\ if'..~
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Arlene J. Nailo
(SEAL)
SIGNED, SEALED, PUBUSHED AND DECLARED by the above-named Testatrix,
as and for her Last Will and Testament, in the presence of us, who at her request, have hereunto
subscribed our names as witnesses thereto, in the presence of the said Testatrix and of each
other.
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Page 3 of 4 Pages
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND
)
I, Arlene J. Nailor, Testatrix, whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and
voluntary act for the pUIposes therein expressed.
C~'l0>- ~ ~ ~, "
Arlene J. Nailor
Sworn or affirmed to and acknowledged before me by Arlene J. Nailor, the Testatrix,
this I (If'-- day of t1or~~ ' 1993.
~~ a U.L
o Public .
Notar'.aJ Seal
Jacqueline A. Docker, Notary Public
COMMONWEALTH OF PENNSYLVANIA) Car:tS!aBorc,Cumber1andCounty
: SS. My Comm:ss:on EJpiresJan. 13, 1996
COUNTY OF CUMBERLAND )
We, gf~phC{ll L. ~/(H''7 aA.i7C C6hu..ley w. IlfJ/er.s
the witnesses whose names are signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we were present and saw Arlene J. Nailor,
the Testatrix, sign and execute the instrument as her Last Will; that the Testatrix signed
willingly and that the Testatrix executed it as her free and voluntary act for the purposes therein
expressed; that each of us, in the hearing and sight of the Testatrix, signed the Will as witnesses;
and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of
sound mind and under no constraint or undue influence.
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Sworn or affmned to and subscribed before me this /rJl-( day of f1OJc.(
1993.
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.1"""," _c__ Notarial Seal
~ II:! A [lecker Notary
Ccif:rs!3 ~, Curnt:.erland c:;::
My Comm:~..on E;(pires Jan. 13, 1996
Page 4 of 4 Pages
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DATE:
FAX TO:
FAX NUMBER:
PHONE NUMBER:
FROM;
M&T BANK
1958 Spring Road
Carlisle, PA 17013
PH. 717-2404521
FAX 717-241-7754
FAX COVER SHEET
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AKumng Reports
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On Demand Reports
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Account RegIStration
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AllocatIonlPoslUons
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Perfonnance
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Average Cost
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RealiXed Gain/Loss
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TraaAOlIon History
I
~t Purchase
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Requect Redemption
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Conbll;ls II Qlents fReP~ Propor;aI$; R8eearch Cenler Admin Center Ch8nge Password Log OUt
Performance
: J Active Client Name Acc:ourd NumberPortfollo strategy
I NALOR, ARLENE 191007787 close
Time Weighted Rate of Return
Per10rJlUlnce (Gross of prognllll tlMl) YTO
Inception Date: 10-17.2003
Inct:pf1oo IS deliood as 0 tJrJ112OO5 f;x sccounls opened prlDr
to D1f0112OO5
Dollar Weighted Rate of Return
Prop.
...... Value ($)
0.00
OTD
12 Mo
3 "tIlIr Slnee Incept
!JaI1J as of 5/3112OD7
To:
June
ll~. 27 ;_~rJ 2006 t~ OTrade Date
,,1;;, 27, J 2OO6:~ @ Post Date
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-
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From:
June
$27 .340.31
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0,00
$0.00
($50.17)
$27,290.14
-0.18%
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by the prcMsions of the M&T websi1e T III'IftS and COnditions and PrIvacy Policy.
https:/lwww.assetdirections.comlweblFrontlmandtlacctview/ AccountPerformance.mfos ?TradePostDate=P... 6/612007
All
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OR
Seleel Cal.~
Beginning Market Value
Purchases
Redemptions
AdvIsory Fees
Dividends and ST Cap Gains Distr
L T Cap Gains Distr
Cash Distributions
Rebalance Purchases
Rebalance Redemptions
Change in Market Value
Ending Market VakJe
Inlern81 Rate of Return
Contact Us
STEPHEN L. BLOO~1
.\'1 1'<11{:\I.Y ,\:\ll C(ll':\~I':I.I.()R .\1' L.\\'\'
WWW I'RAl'TIl'Al.l'OIINSl'l. COM
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Invoice submitted to:
Nailor, Arlene J. Estate
c/o 121 Hickory town Road
Carlisle, PA 17015
Paul E. Nailor, Executor
July 18, 2006
In Reference To: Estate Administration - Initial Invoice & Estimated Reserve
Invoice # 1 764
Professional Services
7/18/2006 Preliminary Preparations for Probate; Petition for Grant of Letters
Testamentary; Oath of Personal Representative; Proposed Decree of
Probate; Assemble Required Exhibits; Estate Information Document;
Appearance at Register of Will re Presentation of Petition and
Associated Documents; Review Grant of Letters Testamentary and
Short Certificates; Administrative and Estate Matters; Required Notices
to Beneficiaries; Required Certification of Notice and Filing of Same;
Correspondence with Financial Institution re Documentation of Account
Values; Correspondence with Department of Public Welfare Estate
Recovery Program; Preparation, Review, Execution and Filing of PA
Inheritance Tax Return; Correspondence with Department of Revenue
re Same; Preparation, Review, Execution and Filing of Estate Inventory;
Final Report of Status of Administration and Filing of Same;
Miscellaneous Correspondence
For professional services rendered
Balance due
PAYABLE UPON RECEIPT - THANK YOU
I'I.I.I.I'II"C: I - I - ~ -l ') - - I -
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1"'1.1. l'lt I I x-- ~.1 X I) (I () ~
Hrs/Rate
Amount
6.21 1,55354
25000/hr
6.21
$1,553.54
$1,55354
PRA<.TII.-\1. C()I:\~I:.1. + CIIRISTI,\N PERSPECTIVE
RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17G13
Rece:!-pt Date:
Rece~pt Time:
Recelpt No.:
7/18/2006
11:18:32
1045060
NAILOR ARLENE J
Estate File No. :
Paid By Remarks:
2006-00640
NAILOR P
CMM
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST
WILL
SHORT CERTIFICATE
JCP FEE
AUTOMATION FEE
Check# 9045
Total Received.........
60.00
15.00
16.00
10.00
5.00
----------------
$106.00
$106.00
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
BUREAU OF RECEIPTS & CNTR M.D
CUMBERLAND COUNTY GENERAL FUN