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HomeMy WebLinkAbout11-07-07 --.J 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 County Code Year INHERITANCE TAX RETURN RESIDENT DECEDENT 2 1 0 7 File Number 0083 Date of Birth 194160727 01182007 01071922 Decedent's Last Name Suffix Decedent's First Name LITWIN JOSEPH MI T (If Applicable) Enter Surviving Spouse's Infonnation Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW [!] 1. Original Return D 2. Supplemental Return D 3. Remainder Return (date of death prior to 12-13-82) D 4. Limited Estate D 4a. Future Interest Compromise D 5. Federal Estate Tax Return Required (date of death after 12-12-82) [K] 6. Decedent Died Testate 00 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) D 9. Litigation Proceeds Received D 10 Spousal Poverty Credit (date of death D 11. Election to tax under Sec. 9113(A) . between 12-31-91 and 1-1-95) (Attach Sch. 0) iORRESPONDENT. THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: ame Daytime Telephone Number EDWARD P. SEEBER 7175333280 Finn Name (If Applicable) JAMES, SMITH, DIETTERICK & REGISTER'OF WILLS USE ONLY First line of address SUITE 204, 5020 RITTER ROAD I ~J Second line of address City or Post OffIce MECHANICSBURG State PA ZIP Code 17055 . ,.J DATE FILED .. C;-''l Correspondent's 8-mall address: eps@Jsdc.com Under penalties of pe~ury, 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, rrect and complete. ration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGN E OF PERSlJ~Ef. PON E FOR FILING RETU N , r Z DATE " 'W. George W. Shlngara ADDRESS ,PA 17043 DATE dward P Seeber /<.:> )1 07 Suite 204, 5020 Ritter Road, Mechanlcsburg, PA 17055 Side 1 L 15[]5b[]41147 15[]5b[]41147 --.J --l 15056042148 REV-1500 EX Decedent'. Name: Joseph T. Litwin 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) D Separate Billing Requested............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) D 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 See, 9116 (a)(1.2)X .00 0 . 00 15. 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 0.00 157,540.16 19. Tax Due.... ................. ........................................................................ ...... .................. 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 L 15056042148 Decedent's Social Security Number 194160727 15,145.45 463,694.50 478,839.95 43,168.21 2,108.05 45,276.26 433,563.69 276,023.53 157,540.16 16. 0.00 0.00 0.00 23,631.02 23,631.02 17. 18. [!] 15056042148 --l REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-07-0083 DECEDENT'S NAME Joseph T. Litwin STREET ADDRESS 666 N. 2nd Street CITY I STATE IZIP Wormleysburg PA 17043 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 23,631.02 23,000.00 1,181.55 3. InteresUPenalty if applicable D. Interest E. Penalty Total Credits (A + 8 + C) (2) 24,181.55 TotallnteresUPenalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. 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 the TAX DUE. A. Enter the interest on the tax due. 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) (5A) (58) 550.53 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;.................................................................................. [!J 0 b. retain the right to designate who shall use the property transferred or its income;.................................... [!J 0 c. retain a reversionary interest; or.................................................................................................................. [!J 0 d. receive the promise for life of either payments, benefits or care?.............................................................. [!J 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.................................................................................................................... .. 0 [!J 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... 0 [!J 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?................................................................................................................. .... [!J 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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. g9116 (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. g9116 (a) (1.1) (Ii)]. The statute does not exemDt 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. g9116 (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. g9116 1.2) [72 P.S. g9116 (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 [72 P.S. g9116 (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-1108 EX+ (....) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Litwin, Joseph T. FILE NUMBER 21-07-0083 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 survtvorshlp must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Erie Insurance Company - homeowners Insurance premium refund 37.00 2 HB McClure Co - refund of prepaid fuel account 1.308.40 3 United American Insurance Company - health Insurance premium 354.05 4 2004 Ford Ranger - valued per sales price 12.000.00 5 U.S. Treasury - 2006 personal Income tax refund 1.446.00 TOTAL (Also enter on Line 5, Recapitulation) 15,145.45 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) . Rev-1510 EX+ (....) *' SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Litwin, Joseph T. FILE NUMBER 21-07-0083 This schedule must be completed and filed Wthe answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM I IluNOF .~ _,. T DATE OF DEATH 'A> OF DECO'S EXCLUSION TAXABLE NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. 1 Alllanz Life Insurance Company of North 71,151.25 100.000 0.00 71,151.25 America Annuity Polley No. 70446671 - beneficiaries are 63% to J. Floyd Kline (friend) & 37% to the All Saints Lutheran Church valued (charity) valued per letter dated 4112/07 2 Lincoln Benefit Life Company Non Qualified 42,714.88 100.000 0.00 42,714.88 Fixed Annuity Contract No. LBF1181955- beneficiary Is J. Floyd Kline (friend) valued per letter dated 5/22/07 3 Thrlvent Financial for Lutherans Non Qualified 97,483.41 100.000 0.00 97,483.41 Annuity Contract No. B2819997 - beneficiary Is All Saints Evangelical Lutheran Church (charity) valued per letter dated 5/6/07 Accrued Income on Item 3 through date of death 177.70 100.000 0.00 177.70 4 Thrlvent Financial for Lutherans Settlement 8,486.82 100.000 0.00 8,486.82 Option IRA Contract No. B2828442 - beneficiary Is All Saints Evangelical Lutheran Church (charity) valued per letter dated 3/6/07 5 Thrlvent Financial for Lutherans Settlement 10,609.37 100.000 0.00 10,609.37 Option IRA Contract No. B2834089 - beneficiary Is All Saints Evangelical Lutheran Church (charity) valued per letter dated 3/6/07 6 Forethought Life Insurance Company - prepaid 4,764.90 100.000 0.00 4,764.90 funeral account Total of Continuation Schedules See attached paae. TOTAL (Also enter on Line 7, Recapitulation) 463,694.50 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1S00 Schedule G (Rev. 6-98) . Rev-ili0 EX+ (5-88) *' SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Litwin, Joseph T. IFILE NUMBER 21-47-4083 ESTATE OF ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECO'S TAXABLE EXCLUSION NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. 7 BELCO Community Credit Union Checking 3,525.58 100.000 0.00 3,525.58 Account No. 119730 - titled In the Joseph T. Litwin Living Trust dated April 29, 1998 valued per letter dated 3/22/07 8 BELCO Community Credit Union Checking 0.09 100.000 0.00 0.09 Account No. 119730, accrued Interest - titled In the Joseph T. Litwin Living Trust dated April 29, 1998 valued per letter dated 3/22/07 9 BELCO Community Credit Union Savings 79,309.97 100.000 0.00 79,309.97 Account No. 119730 - titled In the Joseph T. Litwin Living Trust dated April 29, 1998 valued per letter dated 3/22/07 10 BELCO Community Credit Union Savings 56.40 100.000 0.00 56.40 Account No. 119730, accrued Interest - titled In the Joseph T. Litwin Living Trust dated April 29, 1998 valued per statement 11 7 shares of Ideare, Inc. - titled In the Joseph T. 215.01 100.000 0.00 215.01 Litwin Living Trust dated April 29, 1998 valued per public listing 12 107 shares of Metlifelnc - titled In the Joseph T. 6,555.36 100.000 0.00 6,555.36 Litwin Living Trust dated April 29, 1998 valued per public listing 13 Real estate located at 666 North Second Street, 133,000.00 100.000 0.00 133,000.00 Wormleysburg Borough, Cumberland County, PA - titled In the Joseph T. Litwin Living Trust dated April 29, 1998 valued per sales price Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule G (Rev, 6-98) . Rev-1110 'Ex+ (1-18) *' SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Litwin, Joseph T. FILE NUMBER 2104704083 ESTATE OF ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECO'S TAXABLE EXCLUSION NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. 14 152 shares ofVerlzon Communications Inc. 5,643.76 100.000 0.00 5,643.76 titled In the Joseph T. Litwin Living Trust dated April 29, 1998 valued per public listing TOTAL (Also enter on Line 7, Recapitulation) 463,694.50 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) . REV-1111'EX+ (12....' *' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Litwin, Joseph T. Debts of decedent must be reported on Schedule I. FILE NUMBER 21-07 -0083 ESTATE OF ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT See continuation 8chedule(8) attached 4,255.52 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. George W. Shlngara Social Security Number(s) I EIN Number of Personal Representative(s): Street Address 700 North Second Street City Wormleysburg State Year(s) Commission paid 2007 & 2008 PA Zip 17043 9,600.00 2. Attorney's Fees Jame8, Smith, Dletlerlck & Connelly, LLP 10,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees 249.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 19,063.69 TOTAL (Also enter on line 9, Recapitulation) 43,168.21 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule H (Rev. 6-98) . Rev-1102 EX+ (1-18' *' SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Litwin, Joseph T. IFILE NUMBER 21-47-4083 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Zimmerman Auer Funeral Home - funeral service 4.255.52 Subtotal 4.255.52 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) " Rev-1H2 EX+ (1"1) *' SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF IFILE NUMBER 21-07-0083 Litwin, Joseph T. ITEM NUMBER DESCRIPTION AMOUNT 1 1-800-GOT -JUNK - hauling services 540.00 2 Annette C. Myers - notary fee on real estate settlement 10.00 3 Borough of Wormleysburg - sewer and refuse for residence (less reimbursements) 25.00 4 Borough of Wormleysburg - sewer and refuse for residence 126.50 5 Craig Roland - home repairs 219.21 6 Cumberland Law Journal - estate notice advertisement fee 75.00 7 CW Fritz Co - plumbing services 129.68 8 ERA-NRT.lnc - commission on sale of real estate 3.965.00 9 Erie Insurance Company - automobile Insurance 381.00 10 George W. Shlngara - reimbursement for travel expenses & postage 962.54 11 George W. Shlngara - reimbursement for travel expenses & postage 119.54 12 George W. Shlngara - reimbursement for travel expenses 36.25 13 Holly D. Geesey - sellers assistance per HUD 1 settlement sheet 3.000.00 14 Janet Shlngara - cleaning services 1.080.00 15 LPL - stop payment feet 10.00 16 Old Maids - cleaning service 315.88 17 Old Maids - cleaning service 95.40 Form PA-1500 Schedule H-B7 (Rev. 6-98) Copyright (c) 2002 form software only The Lackner Group, Inc. . Rev.1102 Ex+ (1.'1) *' SCHEDULE H-87 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER 21-47-4083 Litwin. Joseph T. ITEM NUMBER AMOUNT 18 19 20 21 22 23 24 25 DESCRIPTION Patriot News - advertisement for vehicle 58.50 PAWC - water service for residence 67.44 PAWC - water service for residence 34.42 PAWC - water service for residence 34.42 PAWC - water service for residence 35.02 PAWC - water service for residence 39.55 PAWC - water service for residence (less reimbursement) 11.60 PPL - electric service for residence 43.14 26 PPL - electric service for residence 35.24 27 PPL - electric service for residence 28.58 28 PPL - electric service for residence 38.13 29 PPL - electric service for residence 20.49 30 Prudential Thompson Wood - commission on sale of real estate 4.015.00 31 Prudential Thompson Wood - tamsactlon fee on real estate settlement 200.00 32 Recorder of Deeds. Cumberland County - transfer tax on real estate settlement 1.330.00 33 Register of Wills. Cumberland County - short certificates 4.00 34 Register of Wills. Cumberland County - reservation for filing fee for accounting 280.00 Form PA-1500 Schedule H-B7 (Rev. 6-98) Copyright (c) 2002 form software only The Lackner Group, Inc. . Rev.1H2 EX+ (....) . SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Litwin, Joseph T. IFILE NUMBER 21-07 -0083 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 35 Register of Wills, Cumberland County - filing fee for Return & Inventory 30.00 36 Shull's landscaping - landscaping service 250.00 37 The Sentinel - estate notice advertisement fee 190.57 38 Wade Shlngara - snow removal 455.00 39 Wade Shlngara - mowing service 726.59 40 Wade Shlngara - mowing service 45.00 Subtotal 19,063.69 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) . Rev.1lI12 EX+ (....) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Litwin, Joseph T. FILE NUMBER 21-07-0083 Includtl unrelmbul'HCl medIcal ."pe_. ITEM NUMBER DESCRIPTION 1 BELCO Community Credit Union - VISA Gold VALUE AT DATE OF DEATH 405.14 2 Boscovs - credit card account 262.03 3 Holy Spirit Hospital - unrelmbursed medical bill 992.00 4 PAWC - water service for residence 44.02 5 PPL - electric service for residence 99.82 6 Salexlan Mission - check written before death & cashed In after death 25.00 7 Verlzon - telephone service for residence (less reimbursement) 16.69 8 WIlliam O'Donnell, Tax Collector - 2007 county/borough real estate taxes (less reimbursement) 263.35 TOTAL (Also enter on Line 10, Recapitulation) 2,108.05 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) . . REV.111S EX+ (8-<<1) ESTATE OF NUMBER I. 1 2 3 *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Litwin, Joseph T. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal oistributions, and transfers under Sec. 9116(a)(1.2)] FILE NUMBER 21.07.0083 RELATIONSHIP TO DECEDENT Do Not Uat Trueteela' SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) J. Floyd Kline 334 Walnut Street Lemoyne, PA 17043 J. Floyd and Arlene Kline 334 Walnut Street Lemoyne, PA 17043 Tom and Rosetta Reed 700 Hilltop Drive New Cumberland, PA 17070 Friend Annuities 87,540.17 Friend $50,000.00 bequest 50,000.00 Friend $20,000.00 bequest 20,000.00 Total 157,540.17 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS See continuation schedule(s) attached 276,023.53 TOTAL OF PART 11_ ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 276,023.53 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) . - It.v.1102 EX+ (8-H) *' SCHEDULE J.IIB CHA~TABLEANDGOVERNMENTAL DISTRIBUTIONS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Litwin, Joseph T. FILE NUMBER 21.{j7.{j083 ITEM NUMBER DESCRIPTION All Saints Lutheran Church. annuities and residuary bequest AMOUNT 276.023.53 1 Subtotal 276.023.53 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J-IIB (Rev. 6-98) ,..--- ~._._- 01 uJ 0 t.:) <I: ~~ <I: a. l"'- f- 0 U1 %1"'-' f- 00::1:111'% .01 o.._OO(O::l Nc; <I:f-I"'-OO .a.uJ- 2: -E;A-g U1 ..J ><I: .00 ::l 0 % - 2: ~ -= ~ M = 0 I"'- \ I ,~\ 0 <:) 0 0 I 0 - ~ -7 C',', I r I : 11) '" :::l o '€ :::l t"- o 00 U ~ .c ~ I .... ~ r<) .:!l S &0 :-;::::: UO CI) t"- ~ 11)- ......"Cl"'<: o a 5 ~ ~]'€ 0- t;..c:;j"t;; "50 so;'::: I1)::U .... ~u-13 -, .: ~-,,' !,_.i ~fl "-'11 !-:"3I .';;'J/.,'lII ~ -. - - -' -' -, - -' -' -. -' -. - - -, === -. -. -, -. -. - -' - -. ~ on on o t"- - ~ Co .... l:lC ~n t:: g:J~ 0...J ::I:...J <: ~ ~ ~CQ } \\11"" "-,\11111 ()lllllhl(l,l..\.:. (1'""III't liP 1 II t)I/I(I'.. J.S.).( November 6,2007 Glenda Farner Strasbaugh, Register of Wills Cumberland County Courthouse I Courthouse Square Carlisle, PA 17013-3387 THE ESTATE SECURITY FORMlJLA" Re: Joseph T. Litwin, deeeased File No. 21-07-0083 Cheryl L. Baker, CP Certified Paralegal 717-298-2094 clb@jsdc.com Dear Ms. Strasbaugh: Enclosed are an original and two (2) copies of the Pennsylvania Inheritance Tax Return and Inventory to be filed in the above-referenced Estate, along with a check for Thirty Dollars ($30.00) representing the filing fee. Please time-stamp the extra copies and return them to me in the enclosed self-addressed, stamped envelope. If you have any questions, please feel free to contact me. Sincerely, JAMES, SMITH, DIETTERICK & CONNELLY, LLP .-) f': ~~-~) .~_: e L. Baker, CP ertified Paralegal I --.1 ---I Enclosures en C~.) cc: George W. Shingara, Executor Reply to: Suite 204 5020 Ritter Road Mechanicsburg, P A 17055 Direct Dial: 717-298-2094 134 SIPE AVENUE HUMMELSTOWN, PA 17036 MAILING ADDRESS PO. BOX 650 HERSHEY, PA 17033 TOLL FREE 1.800.942.3660 TEL 717.533.3280 FAX 717.533.7771 www.jsdc.com