HomeMy WebLinkAbout08-21-07
REV-1500 EX + (6-00)
REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
'*
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
I-
Z
W
C
W
(J
W
C
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAl)
Burrell, Carl R.
DATE OF DEATH (MM-DD-Year)
DATE OF BIRTH (MM-DD-Year)
08/17/2006 04/08/1919
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
W
t-
~ ~(/)
o a::~
wo..o
:r: 00
O a::-J
o..m
a..
<
[Z] 1. Original Return
D 4. Limited Estate
[Z] 6. DecedentDied Testate (Attach copy of Will)
D 9. Litigation Proceeds Received
D 2. Supplemental Return
D 4a. Future Interest Compromise (date of death after 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy ofTrus!)
o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
OFFICIAL USE ONLY
FILE NUMBER
~L-1LL J2.a.l.L_
COUNTY COOE YEAR NUMBER
SOCIAL SECURITY NUMBER
1 80- 0 1 - 2 044
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
D 3. Remainder Return (date of death prior to 12-13-82)
D 5. Federal Estate Tax Return Required
.:!... 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Allach Sch 0)
f"iHJslSEGMlaNi'Mlllli[.MaIIlED~~.EIJ!OQtlESRaNDENlerA:Nfji(1PNFjDENmtlllllx;:INEaRMA"laNISIQUIDIBe'lr)tRE.EDlila!l~l[i';i'
NAME COMPLETE MAILING ADDRESS
Lawrence J. Nea I Es uire 108-112 Walnut Street
FIRM NAME (If Applicable)
t-
Z
W
C
Z
o
a..
(/)
w
a::
a::
o
o
TELEPHONE NUMBER
717 238-4798
Harrisburg, PA 17101-1609
z
o
I-
<
-I
~
l-
ii:
<
(J
w
0::
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 Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o 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)
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)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
(1 )
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
z
o
i=
<
I-
~
a.
:e
o
(J
><
<
I-
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
0.00 X _ (15)
21,052.49 X .045 (16)
52,419.13 X .12 (17)
0.00 X .15 (18)
(19)
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
20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
OFFICIAL USE ONLY
13,779.70
C)
(c~; C)
~.":JJ
=~~ ~)
.~... j T 1
:: ~:;~ )~
2jCi~
L,
::0
::~ --1
1'-..)
C'_-:::J
~:'j
~--'
:~
c-
G3
f',)
v
-,.,.,
~
52,419.13
N
W
.&:-
9,030.52
75,229.35
1,627.00
130.73
(11 )
(12)
(13)
1,757.73
73,471.62
(14)
73,471.62
0.00
947.36
6,290.30
0.00
7,237.66
Add
Decedent's Com pi ete ress:
. STREET ADDRESS 4905 E. Trindle Road
CITY . b I STATE PA I ZIP 17055
Mechanics urg
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
7,237.66
Total Credits (A + B + C)
(2)
0.00
3.
Interest/Penalty if applicable
D. Interest
E. Penalty
(3)
0.00
4.
T otallnterest/Penalty ( D + E )
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 (4)
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)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
7,237.66
5.
7,237.66
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes
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. ~~~t~::~e;~~;~i:~I~:~~~;li:~i~~~~~.t. ~~~~~~~'. ~~.~~i.t~,. ~~ .~~~~.r. ~~.~~~~~~~~~ .~~~~.~~:. ~~i.~~........................ bY
No
B'~
G
0"
~
B'
~
o
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
ADDRESS
DATE
ADDRESS
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. 99116 (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. 99116 (a) (1.1) (ii)].
The statute does not exempt a transfer to a surviving spollse 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. ~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 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(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.
"I
REV-1508 EX + (6-98)
'*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Burrell Carl R
FILE 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.
ITEM
NUMBER
1.
DESCRIPTION
M&T Bank - checking account no. 950563173 (statement attached)
VALUE AT DATE
OF DEATH
9,266.61
2.
Metlife - shares - 82 shares @ $54.15 per share
4,440.30
3.
Metlife Dividend
48.38
4.
Mutual of Omaha - premium refund
24.41
o
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
13,779.70
REV-1509 EX + (6-98)
*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
Burrell Carl R
FILE NUMBER
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. Irene E. King
160 Village Drive
Marysville, PA 17053
Sister
B
c
JOINTL Y.OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECO'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1. A. 6/28/96 M& T Bank 87,665.07 50. 43,832.54
CD #031003914523343
2. A. 6/29/96 M& T Bank 17,173.18 50. 8,586.59
CD #031003914523351
TOTAL (Also enter on line 6, Recapitulation) $ 52,419.13
(If more space is needed, insert additional sheets of the same size)
. ';
REV.1510 EX + (6-98)
*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Burrell Carl R
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY
ITEM INClUDE THE NAME OF THE TRANSFEREE. THEIR RElATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION ""..... TAXABLE
NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1. M&T Bank -IRA account no. 035004201738167 9,030.52 100. 9,030.52
(statement attached)
...... .. .
... --.....
TOTAL (Also enter on line 7 Recapitulation) $ 9,030.52
(If more space is needed, insert additional sheets of the same size)
. REV-1S11' EX + (12-99)
*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Burrell Carl R
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
Debts of decedent must be reported on Schedule I.
FILE NUMBER
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
0
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees - Lawrence J. Neary 1,500.00
3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees -Cumberland County Register of Wills 127.00
5. Accountanfs Fees
6. Tax Return Prepare~s Fees
7.
TOTAL (Also enter on line 9, Recapitulation) $ 1,627.00
(If more space IS needed. insert additional sheets of the same size)
REV-1512 EX + (6-98)
*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Burrell. Carl R
FILE NUMBER
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRfPTION
1. Mobile X-ray imaging
VALUE AT DATE
OF DEATH
14.32
2. Lehigh Valley P.T.
1.57
3. West Shore EMS
114.84
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
130.73 ."
REV-'513EX+IW
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
RlJm~1I Carl R " ~.......
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S} RECEIVING PROPERTY Do Not List Trustee(s} OF ESTATE
I. TAXABLE DISTRI BUTIONS pnclude outright spousal distributions. and transfers under
Sec. 9116 (a) (1.2)]
1. Benjamin C. Burrell Lineal
322 N. 2nd Street, Apt 905N 100%
Harrisburg, PA 17101
~ -~... ...
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 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
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
,. --....."
.#,-.... .
lAST Will AND TESTAMENT
ill
CARL R. BURREll
I, CARL R. BURRELL, now of 5022 Ohio Avenue, Harrisburg, Dauphin County,
Pennsylvania, 17109, declare this to be my last Will and revoke an~yWill or Codicil
previously made by me.
ITEM I: I direct that all expenses of my last illness and funeral, including my
gravemarker and perpetual care, shall be paid from my residuary estate as soon as
practicable after my decease as a part of the expense of the administration of my estate.
ITEM II: My executor shall distribute to my son, BENJAMIN C. BURRELL, such
personal property items as my Executor, in. its~ole discretion, shall determine he may_
reasonably use for his personal continuing use at that time. It is my intention that my son,
BENJAMIN C. BURRELL, be given the use of such items as all books, stereo equipment, a
television, or items of furniture which my son, BENJAMIN C. BURRELL, may desire for his
personal use. It is not my desire that items of personal property be distributed to my son,
BENJAMIN C. BURRELL, which he would not use personally but \1vhich would be sold by
him.
ITEM III: I devise and bequeath all of the rest, residue and remainder of my estate,
of every nature and wherever situate to my TRUSTEE, herein after named, in Trust, to be
administered as follows:
(a) The net income therefrom shall be distributed as frequently as my Trustee
determines feasible, but in no event less frequently than annually, for the use of my son,
BENJAMIN C. BURRELL, for and during his lifetime;
(b) As much of the principal of this Trust, as the TRUSTEE, in its sole discretion,
may from time to time think necessary for the reasonable support of my son, BENJAMIN C.
BURRELL, or for his medical needs shall be distributed for the use of my son, BENJAMIN
C. BURRELL, or paid directly on his behalf. My primary concern is for the continuing
income needs which my son, BENJAMIN C. BURRELL, may have during his life,
nonetheless my TRUSTEE, in its sole reasonable discretion, may from time to time make
distributions of principal as are necessary for the purposes of support of my ~o~,
BENJAMIN C. BURRELL;
(c) Upon the death of my son, BENJAMIN C. BURRELL, my TRUSTEE shal! then
distribute the then remaining principal to the Memorial Evangelical Lutheran Church where
it sits now 17th and State Street, City of Harrisburg, Dauphin County, Pennsylvania, or its
successor.
ITEM IV: I direct .that all taxes that may be assessed in consequence of my death,
of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary
estate as a part of the expense of the administration of my estate, without apportionment.
ITEM V: I hereby authorize and empower my Executor, or its successor,
hereinafter named, to sell any of the real or personal property which I may own at the time
of my death, as she shall, in her sole discretion, deems appropriate for the best interests of
my estate and my beneficiaries, upon whatever terms and conditions she deems to be
appropriate, and to execute, acknowledge, and deliver all proper writings, deeds of
conveyance and transfers thereof.
ITEM VI: My corporate fiduciary shall be entitled to compensation based on its
regular schedule of fees for such services in effect at the time of the service rendered.
ITEM VII: Should the principal of any trusLherein provided for, be or become too
small in the Trustee's discretion so as to make establishment or continuance of the trust
inadvisable, my Trustee or my personal representative may make immediate distribution of
the then remaining principal and any accumulated or undistributed income. Upon such
termination, the rights of all persons who might otherwise have an interest as succeeding
income beneficiaries or in remainder shall cease.
ITEM VIII: The principal and income of any trusts created hereunder shall be free
from anticipation, assignment, pledge or obi igation of any beneficiary and shall not be
subject to any execution or attachment or to voluntary or involuntary alienation.
ITEM IX: I appoint Dauphin Deposit Bank & Trust Company; or its successor,
Executor of this, my Last Will.
ITEM X: I appoint Dauphin Deposit Bank & Trust Company, or its successor,
Trustee of any trusts created in this, my Last Wi II.
ITEM XI: I direct that my Executrix, and/or Trustee, or their successors, shall not
be required to give bond for the faithful performance of their duties in any jurisdiction.
ITEM XII: It is my desire that my Executrix shall retain the law firm of Nicholas &
Foreman now of Harrisburg, Pennsylvania, to aid her in the administration of my estate.
IN WITNESS WHEREOF, I have hereunto setmy hand this 1st day of March, 1996.
~n~.eR, !it, ~~()(L(L
CARL R. BURRELL
The preceding instrument, consisting of this and six (6) other typewritten pages,
identified by the signature of the Testator, CARL R: B ORRELL, was on the day and date
thereof signed, published and declared by CARL R. BURRELL, the Testator wherein named,
as and for his Last Will, in the presence of each other, have subscribed our names as
witnesses hereto.
,8f-Q!)LV r;~CLA- of
I Jzu-<-~ hL^J . /t
i fr,n ():P.fa~'Df>.-- UJJ<LJ4~~~ 12
U I Ii c ,-..::;,
, ~-.J
of Lt~- t 3 c-- L '()~l,:.-\","" Av(. \\ \.GC:- ~'Ctl-': (. S \J..~'J \? f\
(/C~3(S-
c~~) C ~/". of
. ^"-" (" '-U-(j
,-. .
Yl-L<Jc>-- t\.... ~:,,,LKy-(.(
;:.. -"",". '- -"~-
..-
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF DAUPHIN
55.
I, CARL R. BURRELL, the Testator .whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law,. qo hereby
acknowledge that I signed and executed the instrument as my Last Will; and that I signed it
willingly and as my free and voluntary act for the purposes therein expressed.
5worn to or affirmed and acknowledged before me by CARL R. BURRELL, Testator,
this 1st day of March, 1996
(0 G.'Le. R: fJ, ( "J) P. rZZ
CARL R. BURRELL
~r;t/.' ~
,
Notary Public
NOTARIAL SEAL
STEVE C: NICHOLAS, Notary Public
City of Harrisburg. Dauphin County
My Commission Expires Sept. 25, 1999
"
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
S5.
We, 6(' \X ~ -1\ -+; fVi/o'lC,- i'~ , l' (' CL.1 eY-. I (. Ii and
L'L~ A. FCt---<.....L\ Kru"/r , witnesses ""hose names are signecrto the attached
or foregoing instrument, being duly qualified according to law, do depose and say that we
were present and saw the Testator, sign and execute the instrument as his free and
voluntary act for the purposes therein expressed; that each subscribing witness in the
hearing and sight of the Testator signed the Will as a witness; and that to the best of our
knowledge, the Testator was at that time 18 or more years of age, of sound mind and under
no constraint or undue influence.
Sworn to or affirmed and subscribed before me by the undersigned witnesses, this
1 st day of March, 1996.
/:v 09-{' JJ .~/~L~
Witness
SSf/
r _-
_ .. -"'C Jo.A.Ui )
Witness
c- f;
c">_ 0 " ~ 'U _
~~~ O.:\. . ~~_>_~___9-{L~~.
}
Witness
W)N(((I/V--
.~
Notary Public
NOTARIAL SEAL
STEVE C:NICHOLAS. Notary Public
City of Harrisburg, Dauphin County
My Commission Expires Sepl25. 1999
~'
rl:1 M&fBank
499 Mitchell Road, MiIIsboro, DE 19966 Mail Code DE-MB-12
Phone (888)502-4349
Fax (302) 934-2955
April 3, 2007
Lawrence J Neary
Attorney At Law
108-112 Walnut Street
Harrisburg, Pennsylvania 17101-1609
Re: Estate of Carl R Burrell
Social Security: 180-01-2044
Date of Death: Au~ust 17. 2006
Dear Sir or Madam:
Per your inquiry dated March 26, 2007, please be advised that at the time of death, the above-named decedent had on
deposit with this bank the following:
1.
Type of Account
Checking Account
Account Number
950563173
Ownership (Names of)
Carl R Burrell *
Opening Date
10131/00 Closed 03130107
Balance on Date of Death
$9,266.61
Accnted Interest
$
0.75
Total
$9,267.36
2.
Type of Account
Certificate of Deposit
Account Number
031003914523343
Ownership (Names of)
Carl R Burrell *
Irene EKing *
Opening Date
06128196 Closed 08121106
Balance on Date of Death
$87,665.07
Total
$ 205.19
--$ 8-f8iii26------ um__u___ u ------oo - - ----- --.- - - u u -- _m___ - - -- -. -. --
Accnted Interest
. .
3.
Type of Account
Certificate of Deposit
Account Number
031003914523351
Ownership (Names oj)
Carl R BUlfell *
Irene EKing *
Opening Date
06/28/96 Closed 08/21/06
Balance on Date of Death
$17,173.18
Accroed Interest
$ 69.79
Total
$17,242.97
4.
Type of Account
IRA
Account Number
035004201738167
Ownership (Names oj)
Carl R Burrell *
Shirley Burrell. Beneficiary *
Opening Date
11/19/82
Balance on Date of Death
$9,030.52
Accroed Interest
$ 21.94
Total
$9,052.46
5.
Type of Account
Certificate of Deposit
Account Number
031003914560022
Ownership (Names oj)
Carl R Burrell *
Irene EKing *
Opening Date
04/07/97 Closed 05/16/06
Balance on Date of Death
$ 0.00 * Closed prior to the date of death
Please be advised, there was no safe deposit box found for the above decedent.
* For further account information, regarding ownership and any changes, closures and/or reimbursement of
funds, please contact our Colonial Park Branch at 4950 Jonestown Road, Harrisburg, PA 17109, or # 717-
255-2233.
Sincerely,
, ;I
~:~~~d-
Nancy Clagett
Records Management