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HomeMy WebLinkAbout08-30-07 REV-1313 EX (3-04) . APPLICATION FOR REFUND Official Use Only OF PENNSYLVANIA INHERITANCE/ESTATE TAX COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 TO: PA Department of Revenue Bureau of Individual Taxes Dept. 280601 Harrisburg, PA 17128-0601 FROM: Official Representative Decedent Data Name Robert (;.Saidis,.!:squire Address SAlOIS, FLOWER & LINDSAY 2109 Market Street Camp Hill, PA 17011 NCim?Qf Qecedent Audrey M. Lofblad File.Number 21-06-0707 Date of Death 07/22/2006 $Q9ial$~9LJrity Number , 199-30-8726 ~~s ,,''''0 1-;-0 ..~ :.;;:: h:; ::::0 ':--.(j),.A r--) c..;:'.:., =, --.I ;:po. c: G) <...) <::) phQneNumber (717) 737-3405 e-:rl1CiHAddress -"~-,~j'~ '-- -AJ' -::]----1 -0 ~~ --'- N .. ,....~._~ . , :- U1 The undersigned requests a refund in the amount of $ referenced decedent's estate. 649.96 for the above REFUND REQUESTED ON: iJ Original or Supplemental 0 Jointrrrust Assets 0 Remainder Return 0 Estate Tax Probate Return EXPLANATION OF OVERPAYMENT The residence at 1826 Ridgeview Drive was sold for $5,000 more than reported on the inheritance tax return after the inheritance tax return was filed. Although the sale price was higher than originally reported on the inheritance taxe return, the closing costs exceeded the additional amount received on the sale of the property thus causing a refund due to the Estate in the amount of $649.96. g;c17--~cti1 Date Please allow four to six weeks for the processing of your refund request. J --I 15[)5b[)41147 REV-1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes PO BOX.280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY File Number County Code Year INHERITANCE TAX RETURN RESIDENT DECEDENT 2 1 0 6 Date of Birth 199308726 07222006 12211923 Decedent's Last Name Suffix Decedent's First Name LOFBLAD AUDREY (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW o 1. Original Return o 4. Limited Estate [!] 2. Supplemental Retum 0 3. Remainder Return (date of death prior to 12-13-82) 0 4a, Future Interest Compromise 0 5. Federal Estate Tax Return Required (date of death after 12-12-82) 0 7, Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes (Attach Copy oITrust) 0 10 Spousal Poverty Credit ~date of death 0 11.Election to tax under Sec. 9113(A) . between 12-31-91 and -1-95) (Attach Sch. 0) [KJ o 6. Decedent Died Testate (Attach Copy of Will) 9. LitigationProceeds Received 0707 MI M MI CORRESPONDENT. THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number ROBERT C. SAIDIS ESQ. 7177373405 Firm Name (If Applicable) SAIDIS, FLOWER & LINDSAY REGISTER:a= WILLS U~NL Y ,':", Q --.J ::J~. ;:0.. =i2 () c:: r-:: CJ m c..) ;:;:! D -'"'"~...... First line of address 2109 MARKET STREET Second line of address - :~~~2 ~~ City or Post Office CAMP HILL =D ~'TE-IFILED ~ State PA ZIP Code 17011 Correspondent's e-mail address: <:J :J:r: c..n Gretchen G Lofblad 17013 2109 Market Street, Camp Hill, PA 17011 ()1 01 Side 1 L 15[)5b[)41147 15[)Sb041147 --I ~ ~ 15[]5b[]42148 REV-1500 EX Decedent's Name: Aud rey M. Lofb lad 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) 0 Separate Billing Requested............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) 0 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, of transfers under Sec. 9116 (a)(1.2) X ~ 16. Amount of Line 14 taxable at lineal rate X .045 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 0.00 15. -14,443.53 16. 0.00 17. 0.00 18. 19. Tax Due............................................................................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 L 15[]5b[]42148 Decedent's Social Security Number 199308726 5,000.00 2,077.23 7,077.23 16,520.76 16,520.76 -9,443.53 -9,443.53 0.00 -649.96 o .00 o .00 -649.96 o 15[]5b[]42148 --.J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-06-0707 DECEDENT'S NAME Audrey M. Lofblad STREET ADDRESS 1826 Ridgeview Drive CITY I STATE IZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) -649.96 Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPA YMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is theBALANCE DUE. (3) (4) (5) (5A) (5B) 649.96 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;............................._.............................---............... D [!] b. retain the right to designate who shall use the property transferred or its income;................................ D [!] c. retain a reversionary interest; or............................._............................................................................ D [!] d. receive the promise for life of either payments, benefits or care?........................................................... D [!] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.. ..... ........... ...... ............................................................. ........................... D [!] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?........ D [!] 4. Did decedent own an Individual Retirement Account, annuity, or other non.probate property which contains a beneficiary designation?............................................................................................................... D [!] 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 [72 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 .5. ~9116 (a) (1.1) (ii)]. The statuta:loes not exemot 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 P.S. ~9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedenfs siblings is twelve (12) percent [72 P.S. ~9116 (a) (1.3)]. A siblinQ 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+ (6-98) *' SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Lofblad, Audrey M. FILE NUMBER 21-06-0707 ESTATE OF All real property owned solely or as a tenant In common must be reported at fair market value. Fair market 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 Is jolntly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Residence - 1826 Ridgeview Drive Carlisle, Pennsylvania 5.000.00 TOTAL (Also enter on Line 1, Recapitulation) 5.000.00 (If more space is needed, additional pages of the same size) CopvriQht (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 6-98) Rev-1508 EX+ (6-98) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Lofblad, Audrey M. FILE NUMBER 21-06-0707 ESTATE OF 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 Pro-rated real estate taxes - returned at settlement, sale of 1826 Ridgeview Drive VALUE AT DATE OF DEATH 2.077.23 TOTAL (Also enter on Line 5, Recapitulation) 2.077 .23 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 ScheduleE (Rev. 6-98) REV-1151 EX+ (12-99) * SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Lofblad, Audrey M. Debts of decedent must be reported on Schedule I. FILE NUMBER 21-06-0707 ESTATE OF ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State Zip - Year(s) Commission paid 2. Attomey's Fees Said is, Flower & Lindsay 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Retum Preparer's Fees 7. Other Administrative Costs 16,520.76 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 16,520.76 CODvrioht (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1502 EX+ (6-98) . SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Lofblad, Audrey M. FILE NUMBER 21-06-0707 ITEM NUMBER DESCRIPTION AMOUNT 1 Affiliated Settlement Services Group, LLC - Notary fees-$15.00; Tax Certification $5.00 20.00 2 Biechler & Tillery. Radon Remediation 455.00 3 North Middleton Authority - Sewer-Final Bill 50.61 4 Real Estate Commission - Paid on settlement of 1826 Ridgeview Drive 12.000.00 5 Realty Transfer Taxes - Paid on sale of 1826 Ridgeview Drive 2.000.00 6 Robin K. Sollenberger, Tax Collector - Payment of 2007 School Taxes 1.995.15 Subtotal 16.520.76 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) A u.s. OIiPARTMENT OF HOUSING ANO URBAN DEVELOPMENT -, SETTLEMENT STATEMENT Affiliated Settlement Services Group, LLC 3912 Market Street Form Approved ClVI B No 2502-0265 B. TYPE OF LOAN 1. 0 FHA 2.0 FMHA 3.IXICONV. UNINS. 4. 0 VA 5. 0 CONV. INS. 6. ESCROW FILE NUMBER: 7. LOAN NUMBER: 00073329-001 RRH 0061389185 Camp Hill, PA 17011 (717) 975-7839 FINAL C. NOTE: This fofTTl is furnished to give )IOu a statement of aelua/ settlement costs. Amounts paid to and by the settlement agent are shown. Items marked '(Po a.c.)" were paid outside the closing; they are shown here for infofTTlational purposes and are not included In the totals. D. NAME OF BORROWER: Charles T. Sponar and Mary Ann Sponar . ADDRESS OF BORROWER: 7 Surrey Lane Mechanicsbur~, PA 17050 E. NAME OF SELLER: Estate of Audrey M. Lofblad B. MORTGAGE INSURANCE CASE NUMBER: ADDRESS OF SELLER: ADDRESS OF LENDER: First Horizon Home Loans 4000 Horizon Way Irving, TX 75063 1826 Ridgeview Drive Carlisle, PA 17013 Cumberland County 29-17-1585-179 Parcel #29-17-1585-179 Affiliated Settlement Services Group, LLC 3912 Market Street, Camp Hill, PA 17011 7/27/2007 PRORAl'lON DATE: 7/27/2007 DISBURSEMENT DATE: F. NAME OF LENDER: G. PROPERTY LOCATION: H. SETTLEMENT AGENT: PLACE OF SETTLEMENT: SETTLEMENT DATE: J. SUMMARY OF BORROWER'S TRANSACTION IK. SUMMARY OF SELLER'S TRANSACTION Wo'O)!\ijR(,j~S1".(Mfi'oot~jljE:Frt"~~ "".. ,,',: ."b~Gif€i$'~A'MQllt:l'RTllt:l~~O'fSE~.. ;~ . - 101. Contract Sales Price 200,000.00 401. Contract Sales Price 200,000.00 102. Personat Property 402. Personal Property 103. Settlement charges to Borrower (line 1400) 6,096.29 403. 104. 404. 105. 405. ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: 106 CltyfTown Taxes 406. CitvfTown Taxes 107. County Taxes 07/27/07 to 12/31/07 224.20 407. County Taxes 07/27/07 to 12/31/07 224.20 108. Assessments 408 Assessments 109. School Tax 07/27/07 to 06/30/08 1,853.03 409. School Tax 07/27/07 to 06/30/08 1,853.03 110 410. 111. 411. 112. 412. 113. 413. 114. 414. 115. 415. 120. GROSS AMOUNT DUE FROM BORROWER: 208,173.52 420. GROSS AMOUNT DUE TO SELLER: 202,0n.23 ~~Qf'#.~!:!tf:m1!.<<i~r:.. ,.'_ ~~f['''';'' .. ",... . :~J1~qN~~if{~Mf;iJJJ1'flllq~tg';~g~~ii,,,,. ~- '" , y.,','~rl_ "".. ",'$f"ii!f::t 201. Deposit or earnest money 3,500.00 501. Excess deposit (see instructions) 202. Prtncipal amount of new loan(s) 160,000.00 502. Selllement charges to Seller (line 1400) 16,520.76 203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to 204. 504. Payoff of first mortgage loan 205. 505. Payoff of second mortgage ioan 206. 506. 207. 507. 208. 508. 209. 509. ADJUSTMENTS FOR ITEMS UNPAID BY SELLER' ADJUSTMENTS FOR ITEMS UNPAID BY SELLER' 210. CityfT own Taxes 510. CitvfTown Taxes 211. County Taxes 511. County Taxes 212. Assessments 512. Assessments 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BY/FOR BORROWER: 163,500.00 520. TOTAL REDUCTIONS IN AMOUNT DUE SELLER: 16,520.76 ~gb!(q~H~mS;' ..,...,... ',E@'.pr~~~r~ ,,;,~@I'~~j;lf~T~~W;Wl;~fill~ifQ~~f~Ei7f ~#f-,~I 301. Gross amount due from Borrower ( line 120) 208,173.52 601. Gross amount due to Seller (line 420) 202,077.23 302. Less amount paid by/for Borrower ( line 220) 163,500.00 602. Less reduction in amount due Seller (line 520\ 16,520.76 303. CASH (IKIFROM) ( 0 TO ) BORROWER: 44,673.52 603. CASH ( 0 FROM) ( !XI TO ) SELLER: 185,556.47 L SETTLEMENT CHARGES ESCROW FILE NUMBER: 0007 t;7li(m;rQ'I'A!;!:SAff$1m!~~$I;q~WM$:ll19tif: " ~, )'}. ..~.9,~:::"",,,~-, . ...~"' -ii';:~;";.",~,; .' BASEO ON PRICES 200,000.00 @ 6.000%; $12,000.00 PAID FROM PAID FROM BORROWER'S FUNDS SELLER'S DIVISION OF COMMISSION (LINE 700) AS FOLLOWS: AT SETTLEMENT FUNDS AT 701. $ 6,025.00 to Georoe L Ebener & Associates SETTLE MENT 702. $ 5,975.00 to John Glise, Inc. Realtor 703. Commission paid at settlement 12,000.00 704. Transaction Fee to John Glise Realtor 125.00 801. Loan Origination Fee 802. Loan Discount Fee 803. Appraisal Fee 804. Credit Report 805. Lenders Inspection Fee B06. Mortgage Insurance Application Fee 807. Assumption Fee 808 Courier Fee to First Horizon Home Loans 25.00 809. Underwriting Fee to First Horizon Home Loans 300,00 810. Tax SelVice Fee to Total Mortgage Solutions 90.00 811. Application Fee to First Horizon Home loans 400.00 'i'.!!Clqf!il~~JBf9);11~~~~tlg~.6lmO'~!;\R~!!l~J1!!~PN~~~~..... ., _.,.".:fC.- ".:..,J...~~~l'\r(jfllf.'lW"'. . ~ .. 901 Interest From 07/27/07 to 08/01/07 @ $30.0000/day % ( 5 days) 150.00 902. Mortgage Insurance Premium for Month( s) to 903. Hazard Insurance Premium for 1 YearsCs) to Nationwide (614.00) 904. Fiood Determination to Federal Flood 26.00 905. Commitment Fee to First Horizon Home Loans 250.00 ~~'Q/lqlijlE~~RIiES[)EP~i~_tf:ffl~~~tl~Ri'l~ " ".- "'f:.',#?!..J,""";' 1001. Hazard Insurance 3 months @ $ 51.17 per month 153.51 1002. Mortgage Insurance months@$ per month 1003. City Property Taxes months @ $ per month 1004. County Property Taxes 6 months @ $ 43.44 per month 260.64 1005. Annual Assessments months@$ per month 1006. School Taxes 2 months@$ 169.66 per month 339.32 1007. months@$ per month 1008. Aggregate AccL Adj. months@$ per month -224.93 '''''-.''1.' 1101. Selllement or closing fee 1102. Abstract or title search 1103 Title examination 1104. Tille insurance binder 1105. Document preparation 1106. Notary fees to SettlemenVClericallNotary Fees 30.00 15.00 1107. Attorney's Fees (includes above items numbers: ) 1108. Title Insurance to Affiliated Settlement SelVices Group,LLP 1,358.75 (includes above items numbers; ) 1109. Lenders coverage $ 160,000.00 1110 Owne~s coverage $ 200,000.00 1111. Endorsements 100, 300, 8.1 to Affiliated Settiement SelVices Group,LLP 150.00 1112. Insured Closino Letter to Guarantee Title & Trust Co. 35.00 \;~O;~V:~;~!c;i~~qI'~lP}~iiM.t SelVices Group LLP 30.00 ..':;:k~i~~~ 1201. Recording Fees: Deed $ 38.50 Mortgage $ 64.50 Release $ 103.00 1202. CitvlCounty tax/stamps Deed $ 2,000.00 Mortgage $ 2,000.00 1203. State tax/stamps Deed $ 2,000.00 Mortgage $ 2,000.00 1204. 1205. l1~tIP"1i'f&: '...-,~~ L. .R:("i~~ ..,. ;., 1301. SUlVey 1302. Pest Inspection 1303. Doc TransIWire Fees to Affiliated Settlement Services Group,LLP 40.00 1304. Tax Cert Fee Reimbursement to Affiliated Settlement SelVices Group,LLP 5.00 1305. 2007 School Taxes to Robin K. SOllenberger 1,995.15 1306. Radon Remediation to Biechler & Tillery 455.00 455.00 1307. Sewer 6/18 to 7/27 to North Middleton Authority 50.61 1400. TOTAL SETTLEMENT CHARGES (Enter on line 103,Section J, and -line 502, Section K) 6,096.29 16,520.76 !kltLu cu> a if Borrowers idll have prepared is a tue and accurate account of this transaction. Sellers I have caused or will cause the funds to be disbursed in accordance with this 7/~7101 Date Settlement Agent NARNING: It is a crime to knowingly make false statements to the United States on this orany similarform. Penalties upon conviction can include a tine and imprisonment For details ,ee: '!itle 18 U.S. Code Section 1001 and Section 1010. JOHN E. SUKE ROBERT C. SAlOIS JAMES D. FLOWER, JR CAROLJ. UNDSAY JOHN B. LAMPI MIOiAEL L. SOLOMON GEORGE F. DOUGLAS, III DEAN E. REYNOSA THOMAS E. FLOWER MARYLOU MATAS SUZANNE C. HIXENBAUGH LAW OFFICES SAIDIS, FLOWER & LINDSAY A PROFESSIONAL CORPORATION 2109 MARKET STREET CAMP HILL, PENNSYLVANIA 17011 TELEPHONE: (717) 737-3405 - FACSIMILE: (717) 737-3407 EMAIL: attorney@sfl-Iaw.com www.sfl-Iaw.com August 28, 2007 o (,~~ l'ro ; ~::::M C:.,:S ~.~ ';)CJ '('-)11 55 '--1 Cumberland County Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013-3387 Re: The Estate of Audrey M. Lofblad (File #21-06-0707) Dear Ms. Strasbaugh: CARLISLE OFFICE: 26 WEST HIGH STREET CARLISLE, PA 17013 TELEPHONE: (717)243-6222 FACSIMILE: (717)243-6486 REPLY TO CAMP HILL ~.....:> = <--:::; --.J J> c: G'") G.) a -0 ::It: l)J .r::- 0"'1 Enclosed are two original copies of the REV-1500 Supplemental Inheritance Tax Return for the Estate of Audrey M. Lofblad that needs to be filed in your office. In additional to the two originals there is a copy to be time-stamped and returned to me in the enclosed self-addressed stamped envelope. If you have any questions or comments, please call. Sincerely, SAIDIS, FLOWER & LINDSAY 0~ptu/ ad Ann Seker Paralegal for Robert C. Saidis Enclosures JS .t y 1j- ~ ,~ ~ iL f I', r ,; ,I , ~ , . ; , .' , , lit: . ,- '" V: ,~--, 1 ~~" 1'" t ~ rJ) o z .... I-l t: :::: ~~j~ ~~ ...~ ~ ~ ~...., ~~ ~i 0""0\0.. 1-l~8S ~ NU 00 .... o .... < rJ) !!2 ~ -Q) o (/') L- ::J Q) 0 _..s:: . ~ 1::: O>::JQ)I'- Q)OL-CO ll::()ctl('l') >.>.::J('I') _ _ C" I ccCl)('I') ::J::JQ)T""" 00(/')0 ()()::JI'- OT""" "C"C..s::~ ~~1:::o.... "t: "t:::J ~ Q)Q)OQ) ..c..c()(i.j E E Q)';: ::J ::J C ctl ()()O() o I- ...J - <( ~ en en :3 U t- en CC - U. C) s=o ::c-. :XJ t.!J -\,J --0 ~:;':l 7lTl <~~,~ Q :.0 .0-4 '> 1-":> = C:.':) ....... );0> r- a=5 (...) c:::> - -.. - - - - = - - - - - - - - - - . - -0 ~. -, N +- U1