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HomeMy WebLinkAbout07-02-07 -' , ."'~ ~ .~. -.~.. " I .....J 15056051058 REV-1500 EX (06-05) PA Department of Revenue *' Bureau of lndMdual Taxet PO BOX 280601 Ha . PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Socia' Security Number Date of Death OFFICIAL USE ONLY County Code Year INHERITANCE TAX RETURN RESIDENT DECEDENT 21 06 Date of Birth 195-16-4904 12/0112005 07/14/1923 Decedent's Last Name Sulflx Decedent's First Name Mundis Evelyn (If Applicable) Enter Surviving Spou.e'. InfonnaUon Below Spouse's Last Name Suffix Spouse's First Name . . Spouse's SocIal SecurIty Number FILL IN APPROPRIATE OVALS BELOW .: ,. Original Retum c.:::> THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 2. Supplemental Retum FUe Number 0037 C~, 3. Remainder Retum (date of death prior to 12-13-82) 5. Federal Eatate Tu Return Required <::::) 48, Future In!arelt Compromlae (date of . death after 12-12-82) c:::::l 7. Decedent MaIntained a Living Truat (AttIIch Copy of Trult) c:::> 10. SpouaaI Poverty Cnldlt (date of death '. _ __, 11. Election 10 tax under Sec. 9t13(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTIOH MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number 4. Um/ted Eltate 6. OececIent Died Taalate (Attach CopyofWW) 9. Utlgatlon ProCeedl ReceIved o 8. Total Number of Safe Deposit Boxes REGISTER OF WILLS USE ONLY ......, <::::) = -....l '- C r- I N Evelyn G. Wilson Firm Name (If Applicable) (717) 732-7823 FIrst line of address "'D C:O ?,,,;;g ._'~~p s..rn '_A :rJ "uA _.qo ( ;c." 'DAa::FILED , :n ::D-i .,.> 4 West Locust Street Second Une of addre.. City or Post Olflce Enola State ZIP Code 17025 PA -0 :x ~ C) ,z;:- SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE 7 ADDRESS PLEASE USE ORIGINAL FORM ONLY L 15056051058 Side 1 15056051058 --1 MI G MI :.0 :--Cll-n ,nO ~~1i~ rTirn --oCJ o :i:R C) rn C,) -1'1 -.J 15056052059 REV-1500 EX Decedent's Name: Evelyn G Mundis RECAPITULATION 1. Real estate (Schedule A). . . . . .. . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . .. 1. 2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3. 4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5. 6. Jointly Owned Property (Schedule F) Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested.. .. . ... 7. 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8. 9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . . . . . . . . . . . . . . . 10. 11. Total Deductions (total Lines 9 & 10)................................... 11. 12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ..... . . . . . . . . . . . . . . . . . . . 14. TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2)X .0_ 16. Amount of Line 14 taxable at lineal rate X.O 45 69,088.46 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 15. 16. 17. 18. 19. TAX DUE. . . .. . . . . .. . . .. .. . . .. . . . . . .. . ... . . . . . . .. . . . ... . . . " . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L 15056052059 Side 2 195-16-4904 Decedent's Social Security Number 15056052059 4,000.00 8,936.41 0,00 0.00 69,335.28 0.00 0.00 82,271.69 5,009.55 8,173.68 13,183.23 69,088.46 3,108.98 3,108.98 ...J REV-1500 EX Page 3 Decedent's Complete Address: File Number DECEDENfS NAME DECEDENfS SOCIAL SECURITY NUMBER Evelyn G Mundis 195-16-4904 STREET ADDRESS --- 4 West Locust Street CITY I STATE I ZIP Enola PA 17025 21 06 0037 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3,108.98 Total Credits (A + B + C )(2) 3. InteresVPenalty if applicable D. Interest E. Penalty 2,800.00 TotallnteresVPenalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 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. (5) (SA) (5B) 308.98 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: Yes No a. retain the use or income of the property transferred;.......................................................................................... 0 iii b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 liI c. retain a reversionary interest; or.......................................................................................................................... 0 [iI d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 iii 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 iii 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 liI 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 iii IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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 three (3) percent 172 P.S. ~9116 (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 zero (0) percent [72 P.S. ~9116 (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 zero (0) percent [72 P.S. ~9116{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 four and one-half (4.5) percent, except as noted in 72 P.S. ~9116(1.2) [72 PS. ~9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent 172 P.S. ~9116(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. REV.1502 EX+ (6-* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Evelyn G. Mundis 2106-0037 All real property ownecllO/ely or II I tenant In common mllat be reportld It fllr marklt vllul. Fair market value is defined as thl price at which property would be exchanged between a wUling buyer and a willing HIler, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Rill property which II jolntly-owned with right of Iurvlvorshlp mUlt be dlscloled on Schedule F. ITEM NUMBER 1. DESCRIPTION ,25 acres undeveloped land East Pennsboro Township, Cumberland County, PA VALUE AT DATE OF DEATH 4,000.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 4,000.00 REV-1503 EX+ (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER ITEM NUMBER 1. All property jointly-owned with right of survivorship must be disclosed on Schedule F. DESCRIPTION VALUE AT DATE OF DEATH Met Life Stock 8,936.41 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 8,936.41 . . .. COMMONWEALTH OF SCHEDULE C PENNSYLVANIA CLOSEL Y HELD STOCK INHERITANCE TAX RETURN PARTNERSmp AND PROPRIETORSHIP RESIDENT DECEDENT ESTATE OF: EVELYN G. MUNDIS FILE NUMBER: 2006- -0037 Schedule C-l or C-2 must e attached for each business interest of the decedent, other than a proprietorship. ITEM NUMBER DESCRIPTION V ALUE AT DATE OF DEATH None 0 . . . . TOTAL (Also enter on line 3, Recapitulation) 0 (If more space is needed, insert additional sheets of same size.) , . COMMONWEALTH OF SCHEDULE D PENNSYLVANIA MORTGAGES AND NOTES INHERITANCE TAX RETURN RESIDENT DECEDENT RECEIVABLE . ESTATE OF: EVELYN G. MUNDIS FILE NUMBER: 2006- J037 (All property jointly-owned with Right of Survivorship must be disclosed on Schedule F.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH None 0 ' , TOTAL (Also enter on line 4, Recapitulation) 0 (Ifmore space is needed, insert additional sheets of same size.) REV-1508 EX+ (6-98) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER ITEM NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. DESCRIPTION VALUE AT DATE OF DEATH Members First Credit Union Checking Account 66,980.19 189.28 Cash Management Fund Sale of Personalty - Wayne Meyers Auction Service 2,165.81 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 69,335.28 REV-1509 EX+ (6098. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINnY-OWNED PROPERTY ESTATE OF Evelyn G. Mundis FILE NUMBER 2006-0037 SURVIVING JOINT TENANT(S) NAME If .n ....t w.s m.d. joint within one y.ar of the dec.dtnfs d.te of d..th, It must b. reported on Sch.dul. G. A. ADDRESS RELATIONSHIP TO DECEDENT B. C. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY "OF OATE OF OEATH ITEM FOR JOINT IolAOE INCLUDE NAME OF FINANCIAl INSTITUTION AND BANK ACCOUNT NUMBER OR SIMIlAR DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT IDENTiFYtHG NUMBER. ATTACH DEED FOR JOINTl Y.HELD REAl ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. NONE 0.00 - TOTAL (Also enter on line 6, Recapitulation) S 0.00 (If mort IPICt i. needed, insert additional .heets of the same .ize) REV-1510 EX+ (6-98) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Evelyn G. Mundis This schedule must be completed 100 filed If the Inswer to any of questJons 1lhrough 4 on the reverse aldl of the REV.1500 COVER SHEET is yes. FILE NUMBER 2006-0037 ITEM DESCRIPTION OF PROPERTY INClUDE THE NAME Of THE 'IMHSfEREE, THEIR RElATIOHSHlP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBE~ THE DATE Of TlWlSFER. ATTACIf A COPY Of THE llE!D FOR REAl. ESTATE. VALUE OF ASSET INTEREST l1F AFPlICAIIlEl VALUE 1. NONE 0.00 . - TOTAL (Also enter on line 7 Recapitulation) $ 0.00 (If more space Is needed, insert additional sheels of the same size) ,...... . REV-1511 EX+ (12-99* COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAl EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Evelyn G. Mundis FILE NUMBER 2006-0037 ITEM NUMBER A. Dtbtl of decedent mutt be reported on Schedule I. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Pre Paid B. 1. ADMINISTRATIVE COSTS: Personal Representative', Commissions Name of Personal Representative(s) Evelyn Wilson Soclal Security Number(s)/EIN Number of Personal Representative(s) Street Address 4 West Locust Street City Enola . State PA Zip 17025 Year(s) Commission Paid: 2007 3,558.00 2. Attorney Fees 1,000.00 3. Family Exemption: (If decedenfs address is notlhe same as claimanfs, attach explanation) Claimant N/ A Street Address City State . Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Retum Preparer', Fees 7. Canisle Sentinel Cumbenand Law Journal 225.00 151.55 75.00 TOTAL (Also enter on line 9, Recapitulation) $ (If more space Is needed, insert additional sheets of the same size) 5,009.55 i' J" . REV.1512 EX+ (12~3) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE UABIUTlES, & UENS COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT oeCEDENT ESTATE OF Evelyn G. Mundis Report debts Incurred by the dtctdent prior to duth which remained unpaid as of the date of death, Including unrelmburaed medical expenses. ITEM VAlUE AT DATE NUMBER DESCRIPTION OF DEATH FILE NUMBER 2006-0037 1. Masonic Homes PA Department of Revenue. 2005 Taxes 3,840.83 238.00 Earl K. Wood, Tax Collector 1,554.22 George Albright, Tax Collector John l. Richards, Esquire. Ancillary Estate. State of Florida 622.13 1,918.50 TOTAL (Also enter on line 10, Recapitulation) $ (If more space Is needed, Insert additional sheets of the same size) 8,173.68 f. ", .,... .. REV-1513 EX+ (9-00) . SCHEDULE J BENEFICIARIES COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Evelyn G. Mundis FILE NUMBER 2006-0037 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Ult Trultlt(l) OF ESTATE I TAXABLE DISTRIBUTIONS Pnclude oulrightlpousal distributions, and transfers under Sec. 9118 (a) (1.2)) Norman J. Mundis, 679 Potts Hill Rd., Lewisberry, PA 17339 Son 1/3 Karl J. Mundis, P.O. Box 1834, Bunnell, FL. 32110 Son . 1/3 Evelyn G. Mundis, 4 West Locust Street, Enola, PA 17025 Daughter 1/3 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV.1500 COVER SHEET /I NON. TAXABLE DISTRIBUTIONS: A. SPOUSAl DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE NONE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS NONE TOTAL OF PART 11- ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON LINE 13 OF REY.1500 COYER SHEET $ (If more space Is needed. Insert additional sheets of the same size) ~ LAST WILL AND TESTAMENt QE lEVEL '(N G. MUNDI$ I, Evelyn G. Mundll, widow woman of East Pennaboro Township, Cumberland County, Pennsylvania, being of sound and disposing mind. memory and understanding. do hereby make. publish and declare this to be my last Wi" and Testament. hereby revoking any and all Wills and Codicils previously made by me at any time heretofore. , ',-' FI"SI: I hereby direct that my personal representatives. hereinafter named. to pay all t1 my just deb.. not barred by any statute of limitations. as weD as my funeral and testamentary expenses. including Pennsylvania Inheritance Taxes, as soon after my demise as may be practicable. BCQND: I hereby give. devise and bequeath all the rest, residue ar:J~ remainder of my estate. equally and per capita, as follows: A. One third to my SOOt Karl J. Mundis; ) '. i\~ ' B. One'third to my son. Norman J. Mundis; 1 c. One third to my daughter, Evelyn G. Wilson. . \-,A .. __..,,"ct....1"'. ~ ~.'-'" .~ - '--~"","-,- uu u _______~ I.I:llBD& I hereby nominate my daughter. Evelyn G. Wilson. as executrix ....- of my estate. In the event that my daughter predeceases me. fails to qualify or ceases to act as executrix, I hereby nominate and appoint my son. Norman J. Mundis. as executor of my estate. BlUB.t.I:t The abOve named persons shall not be required to post bond or surety in this. or any other jlWisdlction. for faithful complianCe of the duties as executrix Qr executor of my estate. IN WITNESS WHEREOF. I hereby set my hand and seal and declare this to be my LAST WILL AND TEST AMENT. consiSting of this and one o~r~tten page. identified by my signature, dated on this, the -.t1:::-day of~ .1999. Be it known that at the request of the testatrix. we have witnessed the signing of tt1is document. in her presence. and in the presence of each other. ~/ ff d/~ Residing At ~'-IJ ~lI$kIing At COMMONWEALTH OF PENNSYLVANIA) ) COUNTY OF CUMBERLAND ) /' / l l '50-' ,WE, EVEL,XN G. MUNDIS, 6.k!h. \:J' and -~?-~ 3S .~ ,the Testatrix and t witnesses, respectively, whose names are signed to the attached and foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament. Furthermore, she signed and executed it wimngly, as a free and voluntary act, for the purposes therein expressed. Each of us, as witnesses, in the presence and hearing of the Testatrix and each other, signed the Will as witnesses, and that to the best of our knowledge and sight, the Testatrix, was at the time eighteen (18) or more years of age, of sound and disposing mind, memory and understanding and under no constraint, duress or undue influence. J~~rJ~G~~is (Testatrix) ( l .to ~ d . ~_tf 19' / _ - /J.-&~/}'-/ ITNE'SS /~~ 6'-~ '--/l /1La.L-:'f~ WITNSSS Subscribed, sworn to and acknowledged before me by: EVELYN G. MUNDIS, the Testatrix, and by P4~ c;. VJd.soJ , and d(/z::~~.6.~ the witness~, all of whom personally appeared before me, the undersigned officer I on this,the I J--t' day of , 1999. · . NOTARY PUBLIC My Com .... Noiarlai Seal Donald 8. owen. Notary Public East Peonsboro Twp.. Cumberland County My Commission Expires Nov. 24, 2000 Member, PennsylYania ASIOClation ot Notaries =>HONE ZIP CODE ., 'h// / I} j' , ./ I .J,.' f/) 'J'i"ll,~ / /'1 In/,J"J "U';'''' y.',...r, u .' j ./ A;,i Y L~"'/ - v I\:J-I' I' l.r \. "\ j 30/ W JJ~j,'" 1 /7 ' ("~}I ~ ?~~J /a. ./:t // ~ QUANTITY DESCRIPTION OF CONSIGNED ITEMS GCkln DESCRIPTION OF CONSIGNED ITEMS ,y ..0.. _ SHEETS \ 873- 75 + 451-00 + 709-50 + 1,053-50 + 3,087-75 * 3ms listed above & on o auction. I certify that good tilie and the right rom all incumbrances. xl title and for delivery nee is not responsible etc. I understand that lrom the gross sales t the discretion 01 the o the consignor within ~ )t(1 t 1rRr--' "",~ffi n . ~ t . / I~ Dat~ I c; h Auctioneer/Auction Stall Signature / CONSIGNOR'S SETTLEMENT COpy ..0.. 6.00 + g.oo + 0.50 + 1.00 + 1.00 + 2.00 + 2.00 + 0.50 + 1.00 + 5.00 + 8.00 + 11 .00 + 4.00 + 3.00 + 2.00 + 32.00 + 2.00 + 0.50 + 15.00 + 8.00 + 4.00 + 60.00 + 3.00 + 3.00 + 1.00 + 5.00 + 1.00 + 5.00 + 5.00 + 45. 00 + 3.00 + 1.00 + 7 · 00 + 32. 50 + 7.00 + 0.50 + 7.00 + 6.00 + C~~* 0.00 * /") oS- i 7 ~ Ii ~\ Bll;YER i[ ~ i l ! \ 0'0 ! · _J 1-'" - 1 9 10, "-- BUYER ....---.,. ' --- ....r:. n D+- :$o~~5 ITEM ' \... \ .~ C~T#) _@ $ 12 BUYER :;2.,03 L-f 5" K~c..~ a..DS ITEM . CO;*) _@ \ 00 . $ 14 BUYER ' i HEM ''\A.. 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IT ""EM' .. .~ v. \ 0'"',- I' L.l br+f;" ~ Ct/j ----@ $ 60 . 10 BUYER r) ITEM ~b' \.cJ\. ~/'\ \ t .-' '" -, ~l-. Ct#) $ 2r ----@ . 12 BUYER I 8 -g ITEM ~ \D-q- &\4 S ': e:.. ~ C~] -@ $ 2..r . 14 BUYER ITEM ~il \~ EEJ ----@ t^.\ Sc , /<) ~i\~J ~ S. "7';:- . I .. = $ .. - --- 2 'BLWER '. ... ,.J . ~Y-.. \~ !'i(....f:>....~r- I ITEM 'e~] -@ 4 BUYER '?,~ ~Cl""'- - ~ ~.r ~'lf...~ ITEM e~#) -@ 6 BUYER ?-~ b- ITEM e~#) -@ 8 BUYER "S li::J.{ l.U ...J..2 ITEM eo~) -@ 10 BUYER '~\ ITEM C~] -@ 12 BUYER ~~. Ie' ~v.1E.\S ITEM C.~..#) <E.. _@ 14 BUYER 6. , C. --J \, "tl) ,..... ITEM . ~ ~ @ ?-.B 1 B~SR ~ .... . <:. ~~4. \.2-. "if;; ~ $ '3 ~ . ITEM ~ eou) " t::. -@ .-"j DS- c:^.J 3( BUYER $ ~s ~.~ -r I }'\.\(<..' , $ I ~ . co ITEM e~#) -@ 3\ 5 BUYER '1J ' t::o)(.. \ or:{' $ ITEM eaT]. 6 " 1m -@ " il 7 II BUYER I) >J Ii ITEM \<-^ \ (..JL. !...G..A.~~ ~ .00 Ii e~) ~ 7If__~ .. . Ltc Ii 9 I i BUYER II I ITEM 4.00 I e~#)-@ .-li 1,- -- l-ft:.:> 'I 11 j i BUYER Ii . ~ 'I ex. ' I,...... -(,- r~ t...:J I' ITEM .,., Ii COT#) · I' e:: @ --I . - .. , 1---'.' 371 13 1 BUYER I ~I i I ~ CO . $ @ $ 20 2S- . I ~ , . 2,,) 'l..... / S'r'e"'1 ~ - , $ 50 . '8 ~~ t 5' $ oC> . /8 ~"" \ C 1 I~~ ,,~ $ le $ $ Y'. ITEM "3c. 'f... \ -o-t'" ( L9T#) ~ -@ c, "'-' .....s $ ~ . = $ $ r/ Zj . 1.01...: AS- . BJ,WER .-~ -7. '<'1 . A ,- ITEM ~ C~ #j '} ,-- ^":> "D~ ~ ....;) """' s;. ~"''f St'"('" \ ~ 5 1 -@ ~ BUYER c ~A..J"~Lr ) ITEM (.LO~ #j -@ BUYER ITEM C,.,. N t .oS ~OT# L, -@ BUYER ITEM:!(:'~~~\".$ C~ #) -@ = $ o BUYER $ '7-- a~ . 23 $ 3 6~ . 23 $ '-f~ . Z07 5- cF> . .....--- \J^I~ L-~ 0\)* ITEM \ '1 '-\ .1.... ~LOT # . E- i -@ 2 BUYER ITEM S~~\~~( C~#) -@ 4 BUYER (L:~vlL "- ITEM CL~#) @ $ . l~ $ '/~ c . so 1 BIWER ~__4 d . .-.. ~w\ ITEM . tLO~) _@ ?... c 7 ~. $ \ , 00 . 3 BUYER Ac3 -- ITEM .::.J A. A.. ~ COT #) E- -@ }-I\. A.L~ I. L.5 $ 9 o~ . 5 BUYER 3 '\x'\.-..) ~ t c... \ D u "::. "r- C. <::> q E.C...'t-o ,... ..s ITEM COT#). ~ \ -@ "3. De "3 oe $ . 7 BUYER 3~ ~~ S, (..1'. ( ~<,,) S"\ <:'0 (f ~c. "T;,O.J" J ITEM (~#) :2- -@ "3 O~ " C"- $ . 9 BUYER ITEM c... ~<':) t:.. ~ {.: C~#) -@ 11 BUYER ITEM ~J. l::..~~~' COZ) _@ $ w .......(":) ,-.,~ ! 13 BUYER ) \ ITEM ~-...J ( L~T # ) -@ ...-.. 3,; ~r (~~S-S\\'-V5) I ';7, \ 00 $ . 28 = $ C:;-oo 1 'f .1 .1 1 I ";..1 ," >I I ."'1 '~ii1 .',1 '''1 I I I I / J I , . $ . Z · IN'ER .-"'" .;.~) ,'" ~ EM ~\\:::.f~lb DeS <. eOT#) z.. _@ ;Lo~ ~~. - $ . JYER -. ':> E """ , Jo.) ~ ~c~ ~~,~Z_~- EM C~) -@ JYER C~\<.. /~ . . \..-~ ,I- EM C~T#) -@ JYER =:M C\-\....., lL COT #) ~. -@ $ 15""'~ tp $ . )-.A",,~ JYER ::M C. \.\:A. \ l-. ~ ~-@ JYER :M ~\~~ C~) -@ \.~1'.......& IYER :M ~~. C,.., SJE. ~ ~-@ $ \ c~ . c4 $ 2. . 211 $ L <::00 . ~\ \. $ OCJ . z $ \ 00 . :2. 0 S- ~,J-\.L '"'""\)t Iq6<-r $ \ ~ . , 1 BlNER .-., ;;;,.-> .. ~-.. 71..\L"'f.r ITEM ~ e..OT.#.) '. cz. -@ 3 BUYER ITEM \.,....) 0.... \ ~ S COH).'. ~-... -@ 5 BUYER ITEM ~\1L. 'C~ e~#) -@ l . ,<0 G~ s..s W,<<;.~~.j5 = $ Ca !SO . 7 BUYER ....... 0(\0 t ~\"\LS . ITEM ~o \.\ crJOT # E. -@ ~Il~ 15".e::.. -~ $ .. 9 BUYER Co ITEM '})\ S~ - S Le~~'~ "b a\).~s C~T#) _@ $ ..sa . ~ 11 BUYER ITEM y\~* ~/ N.E.a<.A<...L C~) -@ $ ~ . 13 BUYER ~ ITEM ~~\L ~~1'\~r ~ ~-@ Ie $ !;- co . ,f .J .L I / /'-,.-., l"~ I - ~ONSIGNOR'S NAME 'J' ~".;,/t</VI...5Z ;,:;->7' ~":,j // ~DDRESS/ J ~ /!, .C.{: k i.'~, / L./ I ! ." l. / ! tA/.f.,,/:p!./ """'il/ A' r-'~ " '..;; ~,) I j>PJ ./1' I' " I I / !';) i . ,1'-:; . (.r ,"''''i / / / /,.{ ,. -~r'1> :.ok:-- j' ~ ~..,. ..... / .' //~, if'/ /' //- ~j''\...L...,,#t,... }/l"-'-'-~ :lHONE ZIP CODE CJA'j--, DESCRIPTION OF CONSIGNED ITEMS .JJ DESCRIPTION OF CONSIGNED ITEMS j f SHEET # OF_TOTAL SHEETS I (consignor) hereby commission you to sell the items listed above & on the attached sheets to the highest bidder by pubIlc auction. I certify that I am the owner of the above lISted items and have good title and the right to sell them. I certify that the items Hated are free from all incumbrances. I a!!re8 to accept all responsiblllty for providing good title and for delivery of title to the purchaser. It is agreed that the consignee is not responsible for the loss of any item due to fire, theil, damage, etc. I understand that a % commission win be deducted from the gross sales of my items. "No Bid" items will be disposed of at the discretion of the Auctioneer/Auction House. Payment will be made to the consignor within ---,.-'--- days from date of sale. i _- t I -;,' ,iLl;;:.r, Date /i/~ 7/~!h ,,:;;;Consignor Signature / / ' __', '//../ // -' /' '7,/ : .~~ I f v Date" . -;" c/ Auctioneer/Auction Staff Signature ! / ._~;..~.~. /' .... "~;,.'. if! \ .' i ), ....e> CONSIGNOR'S CHECK IN COPY --"-'~ ----------------~ ~._~~._.--..;----~-~-.- -" ------- ---- -- ~.__..~------ --.- ~--_._-_._--_.~ '- _.... ---~-"- ---- -~---- ----~- -.---- rI. ....~.-...----.. - -----...- \f ... .-..- . . n.......-::: 1 " BU'riER_" ~ \~-;-. - ITEM - ~ l.::J -@ ('0 ~ 7?t<s.~. .iF ~ " $ ~ ~ b M i1-- . ITE - ,: C!JOT #: " L -@ ,'0' M..... ~ c, $ ~{~, ~\jc:.. , -@ $ K I\L~Cd.1 ~o-."... (C.... -@ $ -=t> 0 ~ \~~.- X\ ",'c."W -@ $ (00 . I I I 1 I I t I I I -.~ I ;20'2- : t 1 I I I I I I ~ I I I 1 I I I t I I t I I I I I . I I I I ! I . 1 t I I . 7.co / J 00 . 1-t> 'L '2 . 2.a~ f>o--~ 6,," -@ = $ \4,..\ :Eo-;. = $ ~. .___ _~_.. $ J q -) r 00 . .~ o-r 3 .DO (9 Dc ;: 2 ;, BUYER i , I I , fl I ti I I . " \~ ~ \~ ITEM..o~ ~ ""' ~ ~-@ k..A.. \. S c::.. \ \ E:)~ . $ ! I I I : 4 I l BUYER I I ! '2aS- )TEM ~ \,~~ CO~j -@ "". \. s~ \ 6~ . $ 6 BUYER ITEM .q \~ ~s ~ (Sf'( I ~' ~._@ .3 0/- ~~~.C~"l- 5t> $ . 8 BUYER 2oS- ITEM {...i\'> ~, '" "5. S ~ ~ \.0"7"'"" ~ ~ ~ -@ $ . 10 BUYER .2 ~2... ITEM V 6. ~I:.. 7So'7L \oc:;,- €-- f2. \ ~ u.... CO..T. #J ~. ~ -@ $ . ~ 1 I J I I I ! I I I . I I .1 '1' - 12 BUYER ITEM ~4J.\.~ (G~u.n~ C:#J ~@ 1...oS- c~ $ . 14 BUYER ITEM- ~ ~"".5 \(- c... ,,-\J 1M t j c.. , ~-@ ,~ S-~ $ . . ( i I I I I I I I ( ( C 6 : . I I ,'I .\ '2 0 ",,~;l 4 :: BUYER I / I j I I I I I I / I I .. '1 ~ 6 .,/ : BUYER I I . : ITEM I / / I ( O~ / . : I t I : 8 / t BUYER j . i I I I I I I 2J : I 1 1 I ;2.0,,"- l 10 / .1 I ./ I 1 I I 1 / I I / :.1 ...31 ~~: - --12 l ~ ,,\;I .. ffi BUYER ':;t .~ ITEM I ;J .\ I / :j "1 '.1 '.~ .--- -"'.'-' J....O ] 14 -~ BUYER II :/ I . , . , ., . ". t / !: . BlJ",,=$!(' --'*", ~O~. . ~ \'t)~ r ~'SL. _ ITEM (. -L.OHj .t -@ $ 3 BUYER 6~~s COT #j E _@ ITEM $ 9 ex':) . 5 BUYER t> ~c;, \La..T" I k \ f(,. c. ITEM COHJ ~ -@ $ 7 BUYER ITEM ,.-\ ~'~--r. C;#j -@ (l) ! $ . 9 BUYER ITEM (f;HJ 6..~ ...^-~ S $ 2. 00 . -@ 11 BUYER ~ /_~ ITEM f-( (& { GLOT.#J 6. _@ '2.. = $ . \>1. 00 = $ . SHEET TOTAL $ 3 7. 1 S- -@ SHEET # BUYER ~\'" -'.L '.' ( - .,,;..., c -, ,. ~ . t_. '-- '\.. '. ___~ '" - .. ITEM ~ ~ -. t,.. -@ C ITEM :::x:.4 \t\L I COHj E, -@ ~ t b-, \ "-'."".... C~#J -@ ITEM ~ Ct\... JA. c:;. r- E ~ ~-@ '" .~ -~~. $ B ~~ . '$ $ 2 . (j5' V A LL~A.. 7 -~ $ . ;2. C( ~ f..t.. 9('~ = $ / q . DO BUYER ITEM_t\~\ (~#J AO L._A~ ~ ~~.\ O~ C%#J -@ ITEM -:s 01., \ t:>7' (L~J -@ @ 1\' .' $ rf k- \ T (;,.\'\ "7--..J e/v.-I ~ ( . $ z~) . = $ 2S" . I BUYER j I I : ITEM t I I C1 ~ : I I ,'1.'", , I : 4 I : BUYER I I : ITEM I I I I \' ~ : . I I I - , : 6 I I I I I I I I I I I I I i I I --1--, i : 8 I I BUYER I I I I I I t i I I I t 1 I -1-- : 10 1 : BUYER 'I I I 1 j I 1 I I I I I "I -~'l: - ;'.1 12 ?-.D7 '..: ~] ,.1 ',',>1 ';~ 1 ;1 1 I '"\"') ~ i ;- '- 'I I i I , _" __ _ __ _ ___ ___ ~A ______ ____ ,I -. 'I <I '::'f~ -I ~ I I l b~ : I 1 I SHEET TOTAL $ q f, 7S : 'I .. . BU'l'ER-- ... . .-.., .-+-'. ~~- .. .. D'S~ ITEM (, L"OT#j C '1.':":" t ,i- $ -@ . 3 BUYER ITEM -=?v1..._c;f:- ~ ~-@ 3~ $ 5 BUYER \0 ~, v.:., ~ ~" ~t~- ITEM l00T # ~ -@ ~ 00 $ . 7 BUYER .... ( ~) ~-4.t:' ~ ITEM '-.: C~#) -@ '2D, S ~f:L) '100 . $ 9 BUYER s ITEM I. \ \ ~~~ ~,~~ , . COT#j E ?- c~ . -@ $ 11 _, BUYER ~TE.) du-r.~~ ITEM COT, ,#, ) ,6 2..@ I 00 \ \ - $ . 13 BUYER ITEM ~C\ \ \~~ ( lOe# ) -@ :Zo ",?tU = $ . SHEET # / G L~€J...! ':b,-\ '~~- r...:J.. i" - ...... ... (~T#J \0 Co . -@ $ 26( ~C^~.I-\.j " CoP C~~) "20 CP -@ $ . "7 BUYER Wre ~'f"" ~,O~ k. "'.....,~ ITEM (~T#) \0 I\. ~ 3 Dc . @ $ ~ " r (4" M ~-...... 1/ .::::..~...... \ Q~- ITEM "l I~-Q, , I<;.;;:t'-J,- COT#j 6 '_@ $ zs- . 2oS- , ~""""" C-D~\(" C.-' \~,~, ITEM COT #) ~ 2.. Do -@ $ . A,CS- _ BUYER ~if:A \\J~ ,~ 4- ITEM . l, LOT #j E -. ,-@ 6..l.? 2- so $ . 14 BUYER ',~.\ ,d ~\~"-.5 ITEM .' '''-! 1C'- ( lOT # J t:: _@ \~ $ q , . f.)o I I I I I I I I I I 1 I I 1 I r I 3.3: 4 I I I I I I ( ( I i I ( I I I I I I ~llS- : 6 I I ( I 1 I I I I I I I I 1 - I I I ::2.t)~ : I J I I I I i I I I 1 I I I I .-.. - -- -, ~ I I I I I I I I I I I I I ~l -JU I -, ... ..1 .;.~~;f . ".1 ,:~;'-~I lo ';'1 a '--'1 "~f~ ."., t ~ .1 '1 -'I .1 .. I ., .." 1 '1 .... --- m_ _no. ---- .--- -- --- - - --- n. -- n_. -- - ... - .'- -. - . -- - --"',.f :<7 if ~- I I 'I I 1 I I I 1 I I I SHEET TOTAL $ 4/:1:J,.5 :. .. .- /$ . BU't'ER. II ~ .. ~\~...-r-' ~ ..-- _..,.. '" \ J ITEM rOJ;J <~ if- -@ $ . 3 BUYER {'f 3 So ITEM ~~, ~ ~-@ = $ . so 5 BUYER ITEM (\'"'C"C-~E~ \..)~E:~S.\ (.S ~ ~ -@ $ ?- . ~"") 7 BUYER L~ '-l <ii'''('' > "~'~'~~:imtili~'j ;,/:~; ;.. ""~,;'r" ITEM Cl#) -@ $ . Sb 9 BUYER b u.. \~ ~ s ~(,c.""r\~ r ITEM COT #) t -@ $ . 11 BUYER ~ 6:~ SSL )' -......--. ITEM ( ~\ e-.LOT #J ~ - -@ = ,$ . 9 06 13 BUYER ITEM \-/,,~~c::,~\ ~ ( LOT # ) tf- _@ SHEET # I &A.~~_ .... = $ / ( 00 . BUYER ~ \...Ll .. \,"1;;)~ ~ ~ ~";;,'~ -." f:\,~:SS ITEM ~ ~-@ 2.S $ . BUYER \9 ITEM ~\..)~ \ ~,~f;:-t.s C~#J \ o~ . -@ $ BUYER \~ ITEM C,^-- c.. 0\ ^-- L~~5 C~#J \ O~ -@ $ . 8 ~ BUYER ~c 'i-- ~~ L.\S" ITEM ~. LOT # ~-@ ~ Ce'- ~_S 4' 00 . $ 10 "1 BUYER ITEM ~u\., - ~~... 'S.\&.'=-~.",\S (~T#) z 'Co . -@ $ 12 l ITEM \cT ~\~c.. - LA.2. '\ l...,;).rA.......:l COT #.J ~ $ 3D . t 9 \ \ C~ . ----'- @ 14 BUYER I ITEM Sk;ttt "5 111 \( (JW Ce{'~J ~ ' ~ -@ $ . BU"ER. . ... G?r \to. S S '" ~. .~.....'-- ITEM C~#) ~~ G 00 . -@ $ 3 BUYER 9 , ITEM Sik~ E:"t S ~~c:.~ ~-..)~, (f) $ ').... t)-c . -@ 5 BUYER .8 ITEM \ it'f ~ 0' ~~t:w.~ S C~#) 2 co -@ $ . 7 t~ BUYER . \ -; . ITEM S\\.~€'~ ;i:1((a\.YC.~5 I l~#) \ 00 -@ $ . 9 BUYER \9 /l3S- ITEM C;;#) l::> I ^-.O L-....:>\ M-S -@ 3 00 $ . 11 BUYER ITEM S~tn (!?{\\OWCA~S l~#) _@ $ 3 2/.- s~ . 13 BUYER ITEM 'f:;o'f- C L~#) 2-~ :z v-::. , u b \.!\. , "- . \....-c' :-c:s\. w- I ~ . -@ = $ SHEET # SHEET TOTAL $ :5 0.00 l' BUYER i <,; . . .. I C :-c5 I ~~1. I ITEM I I I ~ I I E. i a~ I @ I $ . I I f' i 4 I '< I \...... I I BUYER I a;- ~4.M* I ()\.l.A... \ I I ITEM I I CEJ I , I I~ I O~ I @ $ I - . i . I I 6 19 I I I BUYER I I I 'S~E.-~5 I ITEM I I (~#) I I I ?.. I DC I @ $ I - . I I f 8 '57 BUYER 1~1> ~"S~ 'C), \, C~~~ ITEM I ~ I ~ "2- oc - @ $ . 10 3t BUYER ITEM S~'E-~~ S (~#) -@ $ I ~ . I I 12 209 I I I BUYER I I ~v..) I I ITEM I I (~#) I I I I 't- 0<::> I I @ = $ . I - I "t--- ---- ~--- -- - -~ -- -~., -.--- --- I I 14 ~ I BUYER I ~~~5 I I ITEM I I ( L~# ) I I 2-- nu I @ $ . - . I ./ I I I, " ... ,~"""'.. , BU'\€ER . ,'* If ~ -?~ \ ~ ~ f~#J -@ ITEM .4:'i:'. ..~,': $ 3 BUYER v "'~~ \0 , . -.::}I,.) \, c..'E ,(L S 37 ITEM COT.#J f: -@ = $ y <::x) . oC 5 BUYER 2~ C ITEM ~\"\E.:I:"rS C~#J t:: _@ $ ?- so . t I I _n 1 ...- -- n__.. ~ 10 I : BUYER I I I I ITEM I I t I I I i I ,,'I .,,;..'~ :i'.I' 'I 12 :: .'.'1 ;;;'1 . ;',t I .. i i '1 'I 3 00 :~ = $ . ,.. il '. U' -. --, ,- -- - - .----- ----. -" ,oo'. -t nn ,__ __ .____ ..on --. f t t':f:l ,,:I 1 . I I I I I I . I .. 7 BUYER ITEM e:#J ~'".\.'-- ,.., "::::. ~~- -@ $ 9 BUYER 20 'Bee . 3\ ITEM s~~~ ~LOT. #J ~ -@ $ ?- oc . \ DC = $ . SHEET TOTAL $ 7:;: 5 V 11 BUYER \ t,}~ ITEM ~"f--. C~#J -@ YER ITEM ~--e-rS ( L~#) -@ SHEET # i I I I I I I I I 1 I I I I t r.c I : 4 1 I 1 I I I 1 I I I I I I I I I T : 6 I I I I I I I I I I I I J I I I l I I I I I I BUYER 2f={ .... -r \ ~3:>-.,) ITEM e~#) -@ ~ ~ "" .. Lt \ SZ> $ . ;(.f, BUYER ~~~ 'SA.~ ~ ITEM \ eOT #J cD lS 1- ~.-' -@ $ I 2- . ~ \8 BUYER t::~b \ ~-ON r ITEM C~#J $ 7 ClC . -@ 8 :2.03 BUYER ITEM \ \)..41 oy.~ '" '\"L~ E S- (E #J _@ , o~ $ . :2.S- v...J oe~ ~o 'f... e~#J $ .3 n. . -@ BUYER ITEM ---ciC\ '\ c ~ c~#) -@ 2lL s\~ S~"~-s- S I ~ 0<:) $ . 14 BUYER ' "^-, \ K- ~ \~ os. c; ITEM I " ( LOT # J 2_ _@ lAM.f>5 :20 :2 O~ . $ I I , : 12 I : BUYER I I I I I , 1 I = $ 1,3 .00 1 --I- ------'.--- - ~'-.--------- -- ---------t ----- " , I I 1 I r I I 1 I I I I SHEET TOTAL $ ;J., ~ 7, SO :. .. ... . -;;J' i' . BU)tER' . · I dlss 1f=OI ~w\ 4'"u..^'~'J I~ k~ : I C~l ~ i _@ $. I I ,I I I I 1 I I I I I I I I I , I I I I I 1- -- I I i -..... ITEM cC;:) 3 \8 BUYER ---c~~ ",-' -t?>~....., (.. "-- ~"-^ '- t::J ITEM '- "---i 0-" C~#J -@ $ 3 ~ . 5 7- c> '-f BUYER .-,. ',L~ +^..-.....~ ITEM C~#) -@ <;,,,'-Al $ e'f' \(:t:) . I 1 I I I I I I I I I , I I I , I I E I I "', .-. ..-- _ ' h I I I I 7 BUYER ?-,07 <;''ET & ~~~~ ~\~~5 ITEM ~ ~-@ {1..S- 00 $ . 9 BUYER 2. 0:;-- ~1.J.,)\...s. ~ ( ~ ~ ~.5 ITEM ,- e~ #J -@ \ \ O~ = $ . 11 BUYER 207 ~~ e"c;.S ~ ITEM ,\l;.,\ O~ f~-] -@ 13 BUYER ITEM ~....~ ~ ~ 6-\\S;5 ~~ Lf S-' D(:) = $ . @ SHEET # -- BUYER <::..:..-.. ...~ \" 0, \<..\ .~ ~~IY- ITEM COHJ ~ -@ '1."-1 . ~ .. <..~. 00 $ . 4 BUYER ( '30'k (~~ ITEM ~ ~-@ ~",\ . ~"\. '<.z ' $ ~ . 6 BUYER 20 - ..... \..,~(t: CJe~ ITEM C~#J ~ -@ = $ . 8 BUYER :L -:r v' c.,i: t- ITEM ~ ~-@ = $ s- __ c:JO .' 10 BUYER ~or ~ "~'~\:L ITEM COT #,J, z.. so -@ $ . \C \,--:- L\-\..Ce.-~ ~(...tS ITEM CO;#J _@ $ l l)C . .. -. -~.- . ~ ~C~ C> ~ $ 0 . -- --------- 14 BUYER ~ ITEM L A...t-.\ \'tl...i",) _ ~ . ~-@ [ 1 I 1 .." -:Sej l 6 , : BUYER I 1 I I 1 I I 1 I I I I I -I I : 8 I I 1 1 I 1 I I 1 I I I I I f 1 - -' 'J - i I I 1 , I 1 1 I I 1 I i 1 I I 1 1 - '::"1 'Y"1 ", I ,"ie .,;-, ..c- ';1 . ;;" ';}I , f 'I I "I I 'I ",I 3~: 4 ,<I .1 " ---'j- -- :Zo~ ': .1 >1 I I I I I I I 1 I SHEET TOTAL $." t/oo : .. ~ -~ . BU~~R' . ... Sf'.. Ou.) E<:\~ ~ ~ /Ii .., zu ,j ITEM CO, if" #J t: 'Z. d;) -@ $ . 3 BUYER ITEM '3 \~..)~~ C~#J -@ 40 <::'"'""' ...... i'~ .J '-'" '-..J $ . 5 BUYER \J ~ S' ITEM e!jOif # 'Z.. -@ \.?- . oC $ 7 BUYER ~ 6-\.a~5 -:-- ~~~ ITEM ~ ~ -:z ' 5?J ~@ s- 00 = $ . 9 BUYER t3 L \:. <.i-a::. ITEM COT] e -@ C\. <x:..'L.. 2.\ = $ ~ . 11 BUYER ~O\:> ~ ~,~ ) ITEM ( eOT#J ~. -@ = $ . 13 BUYER ITEM '":f>4 ~'f.., ~L ~.'-@ SHEET # sf If ~C_ \ \ dO = $ . j I h .. I I I I I ! I I I I I I I :+- I : 4 I I BUYER I I I 1 1 i I I I BUYER ! I GL"...h r-:> ~ \.A.)4..J2:... L - . ~- ~ ITEM ~ ~-@ llf oe $ . ;(.s- ~\~ ~'C ITEM C~#J -@ T~~- sa . $ \9 ITEM bO,"" COT#J 2,.. -@ o~ G"-~)..)S Co 100 $ . BUYER ITEM ~ f::, ~~\L C~#J -@ "2.o~ 7 00 . = $ 10 BUYEjR \ ~'f-' ! ~~ ~,\C\.., <; <.. " ITEM, CEJ _@ ~ I 0'0 . = $ 12 BUYER "& U ~<E---C- ITEM C~,T~J, ,Z-_@ 7 s~~ b O't) = $ . 2o~ 14 BUYER ITEM ~, \ 6\"' - ~,~"'.. ~ ~-@ $ 58 . . Bl.lXeH -.... \ ( c \ I I S \ a....) \}...\ AP- ~ ITEM V... C~~*' -@ IL-( \ 00 $ . 3 BUYER ?..<Y- %\~ ITEM ~OT# 2:-. -@ ~\~ --." ~~~~ "3 a~ . ITEM --c- " "'\ ()~, 4:.\4.5.$ 'E. . .s CO~) _@ , I I I ..J..-.. I 2lo ! I I I I I I I I I I \ l 00 : . I I I i I I I I I I I I I I I , I I I I I , .... -.. -.. ..- .-.+ .. I \;l ! I I I I I I I I I I I I , I , , I I~ I I I I I ./ I I I r.c oe : I I I ... _.hu__ t_' I .;z '7---. : I I I I I , I I ! I I I I. I, $ 5 BUYER = $ 7 BUYER 7 ~~~.<;~ ITEM COT *) € -@ ~\.a \5 d) = $ . 9 BUYER ,- \ "- a+' \.~ I{.C. S~~\.'r....~ ITEM C~] $ 500 '- . -@ 11 BUYER 1-. ~ r.-E.5 ITEM C~ *) -@ :i;2. c, A\,j ~.e...CS = $ . 13 BUYER ~ ITEM ~. o~ C,J.....<...-.,S C LOr) _@ = $ \ .a~ SHEET # j SHEET TOTAL $ /7~. C () I' I I I I I I , I , I I , I , - -r- BUYER ITEM <:'~ S ,) ';'- "'\. I.JA \~~ d ~-~ .." ..- . COH) z: -@ $ If, . oe 4 BUYER tf, LAMP ....... L ITEM "'-_>, C~*j -@ $ ~ oe . 6 BUYER \9 ITEM 1;oK o,~ L.' ~c ^-s c~*) -@ $ \ eO . 8 BUYER \8 ITEM Y..~ ~ '}).ECot' ^'Dc U S ~ ~-@ $ \l..\ . o~ 10 BUYER ITEM }.A... ~o\ ~~ \ C~*j -@ ITEM COT *) f../ _@ 14 BUYER ITEM .2f, J.. ~ V~-... \...~ ~ \ 5. ~ ~-@ :2-0 7 = $ la co . ^-i __ 7 <;""" c:>C = $ . ~8 $ :2-. Co . ~ i I I I I I 1 .l I I I I I .[ .~~. . i '7 ~ : 4 ,h...U ~ t ~ BUYER I : -:l-..)~ I I t I ( I I I 1 I .[. . ~. ~1 6 I I 1 I I 1 I I I I I I I I .1.. I : 8 I I I I 1 1 I I 1 I 1-.\' O~ : I 1 1 '--'r : 10 I I I I I I ( I I I I I I I 1 . .1 '~;l ;ZJ a... <.1 12 ;If! I I ." 1 ~ .1 ~ I ~ '1 ..,.;)"-J J 1 . ;1' .,... ... . -.. '''7,.-' .". .' -4 I 'l .4 .1 .l 1 I I 1 I I 1 I 1 " ;II> or, ITEM C..OH) .:z.- \ <)AJc- E.; S 9 ~ ~-=".: -@ = $ . 3 BUYER ~~fJ...""'_\. t 1> "~ 'C-~.2- \". ITEM C~) ~ -@ $ . $ 1 o~ . 7 BUYER ITEM ~)<- l ~ eOH) 7.. -@ ~'O , I~Cv....--T\--{(j,j -f.-\.\ <)c.. ~dl \c..M. ~ I = $ . 9 BUYER '3 'V\. \.J 5.t Co. f ITEM ' " \ C~*J -@ /f L\...~VJ ,.J ~ O~ . $ 11 BUYER - ITEM :D t S t* (WH. j 'Z-. -@ $ 13 BUYER 3-0 G "-LA.S = $ l.oc:::J SHEET TOTAL $ -' II '2 S-' -@ SHEET # \c .... BUYER ......,.. ITEM ~~~t;, <;S' ,e~ ~ ~-@ )... 0 "-. ..~ --' - ~-.0 ! ---.:r \ $ \ ')... c:, ~ . \~ ITEM eOT .#j ~- I, \ DC --:--@ $ . :2-r::,~ BUYER ':? . \ <:::\"r _ c.~~r-<-~ ~,...,~ ~ ITEM ~. , ,~ L, (e'~ l!J (~ ~~ -@ $ . BUYER ITEM C lX.....\( co ~OT# 'z... -@ /. -:> ,..J C\o<:- "-- /7 . ~ = $ ? --> $ 6 I .06 .... BUYER ~K' ITEM "'\C f e.. ~. l0-@ 1 ~tr- $ zr" . 14 BUYER ITEM ~l>J "- CD 2-Cl t;j~ ~\l ~\S* .. ~ .} ~~'--1 t {o t:,O . @ $ . BU:;fER --.. --;:-, ( ITEM ~o'Y.., \ ~ ~ ~~ "', to.) ~.l'-,.} ~ ~?\_ \ 5<_ e~J -@ .:1.\" = $ / ~ e<:> " BUYER I I -- : ~'- JI...J.., "'X- I ITEM I t I I I I I I . j : 4 I : BUYER i I I I I I I 1 I I I I I I I : 6 I I BUYER , I I : ITEM I I I I I I I I I i : 8 I : BUYER I I I I I I I I I I I 1 I -+_ 0' \r- =-.~ J...."-.-...J ~ e~j ~ DC -@ $ . . 3 BUYER ---J?~.f1~A...\.l ITEM l00T # Z_ -@ (~ -, '"'S:.e~{ L Co ~~ $ 3 /"J ( " ITEM <--.6 \ 0 ~ E:. 0 ~OT# Z-" -@ ~ ' }. ~~ $ :z. O~ . . 5 BUYER 1-0.s /6 ITEM \) \,~- ~)(.. (~ ~~)~'~\<;c. C~J -@ $ 1-, CQ ~r""""""( eOHJ Z -@ 3 ;A.. Th $ . . 7 BUYER ITEM ~~~....{ ~\5 ~ ~ ~-@ .""""1 ~ $ s ~~ . I b ~\~+\ u..>/ ~"'l>.)b\.'-J ITEM r eo, Hj z '_@ '-I oc $ . 9 BUYER ITEM ~'1~' ~ C~#J · -@ 3'i_, 11 BUYER G r'~, \J-4. ~ ITEM C~J -@ &w -@ SHEET (~(<i.r S $ 3 o~ . 3 ~-.\\ S = $ 10 00 . = $ ,$ a!) . SHEET TOTAL $ 9'1, So 10 BUYER ;c <-( 'STEcW WAIL~ ITEM C~#J 3 eo . -@ $ I j I : 12 I I I I I , I I I I I I I I I I '1_ -,- h_ I I 1 I 1 . I I I I I I . I I I, 10 2\ a BUYER ITEM ~.S.\~M."'Jo-..) ~.OT# ..~-@ ~ \ Ii. \+-- $ \ DC . 14 BUYE~ I~EM ~~~ ~ \, 5 ~ ~-@ \ \<6 CIa . $ W' i BUYER / I 1 I I 1 / I I I I ! ,Ct,- I '1,...."1 .: 4 /"\... \oJ ...<...... . 1 .: BUYER t 1 : ITEM I 1 1 I 00 : I , ! -- . - .. - .. -r- - -. : 6 / : BUYER I I I : ITEM I 1 I I 1)'1 . : I .-1 I : 8 I I BUYER I I t : ITEM I I I SD: . I I I .... --. '-". '-1' -.. 2uZ-: 10 : BUYER I I I I ITEM I I I I 50 : I ,I .d ~ ~,--'f- \~'I' 2- ^ -r-- ::"1 12 u ~ ;.'1 'H )~: BUYER ',,'I >1 ~ ITEM 1 I 1 1 1 I .1 i ./ -- '.t' .- .- " 'I 14 .;: BUYER 1 I 1 '2-{ : 1 I I SHEET TOTAL $ O)~l 7 S- : eM ....-. ~'-.. ~ . BUYER .--"t- it" . ", Z 0 >I.- \0-;:-..- C \Oc. ~ ...1.4 U\ C) _.,;;. .. ITEM CO. Uj t, 'jj,' ~ / <--- -@ $ . 3 BUYER ~~ \e> ") - !'I\., ~. 'ZJ..... ITEM ~ ~ -@ $ . 5 BUYER ITEM y \ \1.-'\ DE::'i t \ COU) E -@ $ 7 BUYER 2~ ~...;. 'G~ ''> \Jet- ~-? cE:.. % t~-R._ ITEM ~ ~-@ $ 9 BUYER ITEM <; -riCM.. \.J-' A.. J.. L.. ~LOT..#) €. '2 -@ $ . 11 BUYER ITEM L... k..J f.~ .5 C; #j -@ 2 Dc = $ . 13 BUYER ITEM ?5c~ \ "0(-- (L~#) _@ l--o~ f:-, 'T<:..- ~e,.- U ~'\.. I S G. = $ . SHEET # rP /"~., "'-- .",--.. ~..., ,......, I ITEM ~Ci-- \l)'(~ eOT #j" e -@ / V~<;\l~' $ zr' . \~ !S.O~ fv'", \ SL , \~.. .........t. ~ ~ 2~ -@ $ . 1__DS- L.,....... C"'-~ (~T#) 7 ~ . -@ $ ~Dt{ I €>D'f... \ O~ --Po N..L~ C~#) ~ ~c -@ = $ . /..... 0 '-r---:" \. \ \ ~. \--( ..J' S \ D \...l (~T#) $ --. I .]V -@ 'J..-o~ ~K l o~l'-l\.\ S>c. , e~#) -@ '2) $ . ITEM t5b.Jl.. \~. ( L~T # J -@ 6)4..~5tr. f..A..\ Sc , $ .7-~ t) f V ~ 8 ~ ~ ..-. r. c: r--- c_j,~; i ~~__....... f! .- t l-< ~ Q 0 0 ~ o'dZ..9.-5 I ~ 00 00 0 ..... .- :;::0 00 e ,..... ~.= ro ~..-.~::r:: I-ct: 0:: . u...=:)c 00(.) (.). :::,;::: c ffi ~:1E -1~rr:: OX'L', 0..- a:u, 02 ::> (.) " .. " c.,..,.". ....~ -..~ ..' c.... <l) o Ul I-< ;::3 <l) 0 1;'; ...c: '5/.) 1:: ~ 5 <l) U ~ .0 ;>. ;::3 ::: ..... 0" M 5 51/)...... U 8~i2 "'d _5- ~ l:: ...c: <t:: "i:: ~1::p.. <l) 1-<;::3 ~ ..0 <l) 0 <l) E..$..oUrii ~:-;:::::ao:'= u~888 ~-- ~ JI 'rj ~l; ; ~~. ",@",>,,,,; . ("\ Cl; ".';":= fi~i"'" "i,,,, 8) II//!/ ;,~ , , ~ v V 'f .b ('1 ' r:/'J 0 ........ ] r--- ,t ~ g ~ t r:/'J ~ o...r! ~....c: ..... "" Q~gg' ~, OdZEi:~ rzl 0 ~ 'C ........Orzl..... .- ...... ..... ro O.:'..i:Z~ " " -, ct I- ~d LLOC: O<...)C ':::1C.cn-p a: ~ ;";~ :::l S, ;=;Co r ":r:~ '-' 0... w", ,..,...0, .........~ o ..c: B " .- " ~::-,. .... ~ ~ o Ul I-; ;:j ~ 0 ..... ,.J:::l Ul 1:: '50 ;:j ~ 0 e ~ U ro .0 .o&rr'l c CCZl...... ;:j ;:j ~ 0 o OUll'- U U;:j- "0 "00< ~ ~'E~ ;:: ~ ~ r, ~ ~ 0 ~ ..0 Ul..oUUl E:::: E ~:.= ;:j'- ;:j C ~ U~UOU 0~&0~ ATTORNEYS AT LAW 1400 NORTH SECOND STREET (FIRST FLOOR FRONT) HARRISBURG, PENNSYLVANIA 17102 ARTHUR K. OILS DIANE M. OILS June 28, 2007 Cumberland County Register of Wills A TTN: Kris Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 2 <,,"0 IUa ::D ..,-00 i ':::,1 :r: r- .n..,J>m ::2:;:0 Cf)"?'. no ~-) o-n oc : :::0 ::u-t J> RE: Estate of Evelyn G. Mundis Dear Kris: PHONE: (717) 233-8743 FAX: (717) 233-2567 f"'o-) c;::) c;::) -..I C- c: I 1 N '::0 :::D ^TI n. \..") C;)o ~~-1 ~ :no -0 :x ~ o .&'" Enclosed is an original and two copies of an Inheritance Tax Return to be filed in your office. Also enclosed are two checks: One in the amount of$15.00 to cover the cost of the filing of the Inheritance Tax Return and the other in the amount of $308.98 to cover the amount owed on the tax. Thank you for your assistance in this matter. DMD/dmh Enclosures