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Home My WebLink About05-02-08 (2) 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 0977 Date of Birth 0,36 20 6582 10 01 2007 02 28 1920 DeCEldent's Last Name Suffix Decedent's First Name LAVENDER IRENE MI P (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI SpolJse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL. IN APPROPRIATE OVALS BELOW [!J 1. Original Return D 2. Supplemental Return U 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate D 4a. Future Interest Compromise D 5. Federal Estate Tax Return Required (date of death after 12-12-82) [!] 6. Decedent Died Testate 0 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 0 9. Litigation Proceeds Received 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) CORRESPONDENT. THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number DIANE G RADCLIFF (717) 737 0100 Firm Name (If Applicable) DIANE G. RADCLIFF, City or Post Office CAMP HILL State PA ZIP Code 17011 REGISTER OF WILLS US~NL Y o .:::> ~O ; -- ::0 :P' rR:Eo -< _:o~~ , ~ ~'jj N .<<<,.. <J">?, CJO~ DA~D ~ ." :::c c.,.,) ''0 f~~ ~3 () (.) c':"; :XJ - ..i (""..:J In j'T\ '.DC) ,"") C::> 'n-" -n C) _"rn '/}O -n ESQUIRE First line of address 3448 TRINDLE ROAD Sec:ond line of address .. Correspondent's e-mail address: Uncler penalties of perjury, I declare that. I have examined this return, including accompanying ~chedules and .statements, and ~o the best of my knowledge and belief, it IS true, correct and complete. Declaration of preparer other than the personal representative IS based on all Information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE Susan P Mason , PA 17055 DATE Diane G Radcliff m(lle Road, Camp Hill, PA 17011 Side 1 L 15[]5b[]41147 15[]56[]41147 ---I J 15056042148 REV-1500 EX Decedent's Name Irene P Lavender Decedent's Social Security Number _._~-~~--~_...._-~--~-~..~----- 036 20 6582 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. 15. 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. a. Total Gross Assets (total Lines 1-7)....................................................................... 8. 6,720.96 302,661.76 16,429.39 59,056.49 384,868.60 -_._._----~-~ ---~ 14,151.78 9. Funeral Expenses & Administrative Costs (Schedule H)......................................... 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)................................ 10. 1'1. Total Deductions (total Lines 9 & 10)......................................................................11. 1:2. Net Value of Estate (Line 8 minus Line 11).............................................................12. 1 :3. 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 1 !;. Amount of Line 14 taxable at the spousal tax rate, of transfers under Sec. 9116 (a)(1.2) X ~ 0 . 0 0 H5. Amount of Line 14 taxable at lineal rate X .045 3 7 0 , 7 1 6 . 8 2 H. Amount of Line 14 taxable at sibling rate X .12 0 . 00 111. Amount of Line 14 taxable at collateral rate X .15 0 . 0 0 15. 16. 17. 18. 1 !l. Tax Due................................................................................................................... ).9. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 15056042148 14,151.78 370,716.82 370,716.82 0.00 16,682.26 0.00 0.00 16,682.26 o 15056042148 ---I REV 1500 EX Page 3 Dee edent's Complete Address: DEe EDENT'S NAME Irene P Lavender STR ET ADDRESS 20 N. 12th Street File Number 21-07 -0977 .~.- ~- Apartment 322 CIT' Lemoyne I STATE PA IZIP 17043 Tax Pay'ments and Credits: 1. ax Due (Page 1 Line 19) 2. red its/Payments A. Spousal Poverty Credit 13. Prior Payments G. Discount (1) 16,682.26 18,144.33 834.11 3. I terestlPenalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) 18,978.44 TotallnterestlPenalty (0 + E) 4. I 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. I 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. 13. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) (5A) (5B) 2,296.18 Make Check Payable to: REGISTER OF WILLS, AGENT PL.EASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No LJ D-- a. retain the use or income of the property transferred;.................................................................................: b. retain the right to designate who shall use the property transferred or its income;.................................... D D c. retain a reversionary interest; or............................................................................................................... 0 D d. receive the promise for life of either payments, benefits or care?............................................................. 0 D 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.................................................................................................................. ..[J [J 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... D D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?..................................................................................................................O D IF HE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For c tes 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 survi ing spouse is three (3) percent [72 P.S. 99116 (a) (1.1) (i)]. For c tes 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) p rcent [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemPB transfer to a surviving spouse from tax, and the statutory requirements for di closure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For c tes of death on or after July 1, 2000: The x 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 natu I palrent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. 99116 (a) (1.2)). The x 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, exce t as noted in 72 P.S. 99116 1.2) [72 P.S. 99116 (a) (1)]. The x 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. 99116 (a) (1.3)]. A siblin is dlefined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1 03 EX+ (6-98) ES" ATE OF I EM NU \/IBEH 1 *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS FILE NUMBER 21-07 -0977 Lavender, Irene P CUSIP NUMBER All property jointly-owned with right of survivorship must be disclosed on Schedule F. DESCRIPTION 96 shares of Met-Life Insurance Stock - 96 Shares UNIT VALUE 70.01 VALUE AT DATE OF DEATH 6,720.96 TOTAL (Also enter on Line 2, Recapitulation) 6,720.96 (If more space is needed, additional pages of the same size) Copy ight {c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1 08 EX+ (6-98) . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ES' ATE OF FILE NUMBER Lavender, Irene P 21-07 -0977 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. I EM VALUE AT DATE NU iIlBER DESCRIPTION OF DEATH 1 Ameriprise 299.238.58 2 Banc of America - Investment Account 3.423.18 TOTAL (Also enter on Line 5, Recapitulation) 302.661.76 (If more space is needed, additional pages of the same size) Copy ight (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-' 09 ElC.+ (6-98) .. COMMON~L TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ES ATE OF Lavender, Irene P SCHEDULE F JOINTLY-OWNED PROPERTY If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. FILE NUMBER 21-07 -0977 SURVIVING JOINT TENANT(S) NAME A. Susan P Mason B. C. JC INTL Y OWNED PROPERTY: I EM LETTER NU \/IBEIR FOR JOINT TENANT DATE MADE JOINT 1 A 10/26/2006 Bank of America - Interest Checking Account No. 0000 0002 3945 2 A 10/26/2006 Bank of America - Savings Account No. 000575948715 ADDRESS 811 Allen View Drive Mechanicsburg, PA 17055 DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. TOTAL (Also enter on Line 6, Recapitulation) (If more space is needed, additional pages of the same size) Cop' right (c) 2002 form software only The Lackner Group, Inc. RELATIONSHIP TO DECEDENT Daughter %OF DATE OF DEATH DECO'S VALUE OF ASSET INTEREST 1.671.77 100.000% 14.757.62 100.000% DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1.671.77 14.757.62 16.429.39 Form PA-1500 Schedule F (Rev. 6-98) Rev-1 10 EX+ (6-98) *' SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ES ATE OF Lavender, Irene P FILE NUMBER 21-07 -0977 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. I EM NLMBER 1 DESc-RIPTION OFPR\:)PERTY DATE OF DEATH % OF DECO'S EXCLUSION i~~~fr~ ~~MTEJ~;~~srifigH ~~~p~EO~~~~~~~DT~O~E~~flE~M..~~ VALUE OF ASSET INTEREST (IF APPLICABLE) Bankers Life and Casualty Company - Annuity Policy No. 7703655 59.056.49 TOTAL (Also enter on Line 7, Recapitulation) (If more space is needed, additional pages of the same size) Cop right (c) 2002 form software only The Lackner Group, Inc. TAXABLE VALUE 59.056.49 59.056.49 Form PA-1500 Schedule G (Rev. 6-98) REV- 151 ElC+ (12-99) ES1/\ TE OF *' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Lavender, Irene P FILE NUMBER 21-07 -0977 Debts of decedent must be reported on Schedule I. EM NlMBER A. B. DESCRIPTION AMOUNT FUNERAL EXPENSES: See continuation schedule(s) attached 7,680.78 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City Year(s) Commission paid State Zip 2. Attorney's Fees Diane G Radcliff 6,035.00 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 406.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs See continuation schedule(s) attached 30.00 TOTAL (Also enter on line 9, Recapitulation) 14,151.78 Cop righll (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1 02 EX+ (6-98) *' SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ES. ATE OF FILE NUMBER Lavender, Irene P 21-07 -0977 EM Nl MBER DESCRIPTION AMOUNT 1 Funeral Expenses 7.680.78 Subtotal 7.680.78 Co~ right (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev-1 02 EX+ (6-98) *' SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS COMMON~LTH OF PENNSYLVANIA continued INHERITANCE TAX RETURN RESIDENT DECEDENT ES ATE OF FILE NUMBER Lavender, Irene P 21-07 -0977 EM Nl MBER DESCRIPTION AMOUNT 1 Register of Wills - Filing Fee - Inventory and Inheritance Tax Return 30.00 Subtotal 30.00 Co yright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) REV- 513 EX+ (9-00) *' SCHEDULE .. BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT E~ TATE OF UMBER Lavender, Irene P NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] RELATIONSHIP TO DECEDENT Do Not List Trustee(s) FILE NUMBER 21-07 -0977 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) I. 1 Susan P Mason 811 Allenview Drive Mechanicsburg, PA 17055 Daughter Residuary Estate Total 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 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE 0.00 Co yright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) .-] -,'" ~'--::C~~)t3 1C'~,9 J\:1 E;~mK. of /1,~0r'CJ 954-4 7:,~ 770:; Bank of America .~ ~..> .;/~/ LCgB.l Ordor l'rccMslng April 17 , 2008 Diane G. Radctlff, Esquim 3448 Trindls Road Camp HII!, Pt, 17011 UUAmandl'ld". R8f8r8nCG: #F12040700D432-Estate or Irene p, L<.Ivcnder [Date of Death October 1, 7.007] Desr Ms. Radcliff: Below plea::.e find tlnanclallnforiTIaiiorl C.HI i:!Gcuunb held in thE.) name of the above-captloned decedent as of da',e of death: I I Account Number LJate at Death Ba:ance: St!:itu:r,; ! .........--394b MYACCESS Checklnq _________---j __w____ I S1,671.7l I I $0.04 I .--.-..--.--. I Closed Noy~mber 23, ~Q9!1__.__ Irene P. L::Jvonder or Sus",n P. Mason Accrued Intl::!ll::!tit. Tit!e: QS of 1 og~1C&\ Account Number__________I........87i5 Re~r~?lIingsn Date of LJeath Balanc~: ~ $14,75/.62 ___ Accrued Interest: $1.9"1 StatuS: Closed (November 23. ~OO?L._ Irens P. LdVt=IIU~[ (Sole Owner) 'nUe: (as oL1.01~7106) Sus3n P Mason lTF Enclosed find copy of slgna:ure Card for chQcking account ......."'39'15. Enclosed find Statement balances as ot date of death frorn Bane of America Investment Services, Inc, for ~~l:(Junt number J93-11 047/. Please note additional requests tor Informallo:l not related to dale of death values or to close accounts should be directed to Bank of Nnerici..l Tampa Sarvies Request Unit, FL 1.002-01-31. PO BOl( 25118, Tampa, FL, 33633-0900 or you may le9ve a mes'3age at 1.813.882.1381. Your call w:i1 be reUrned within 21. hours. If you hHve any questions, plea?e contact the pmty listed belew Should you !leed to forwZlrd t:lny additional corrCGpondcncc to U3 I'cgmdlng this malter, ple(jse direct it to the tlddrcS3 noted below. When contacting the Gank regarding this request pI8CJSE.) us'..; the refersnce 1t F120407000432. t~~ ~~8r Legal Order Procu:;sing 954.473.7733 llll,nk (Of Ar.wrtr.J,. I'L~ 01"+02; 1 P. 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(.. \0 Cf ...... ...... o -l>o -..j -..j - CJ OJ :::s n o ~ )> 3 (1) ..., -. n OJ :::s < (I) (J') ,..... 3 (I) :::s ,..... - :::s n . ~ I.....................................~..................................1 :::{{:JM[f.::::::{) 12/06 2007 VENDOR#: POL/AGT#: 3ANKERS LIFE AND CASUALTY COMPANY 11825 N PENNSYLVANIA ST., CARMEL, IN 46032 PAYEE: SUSAN MASON D ATH BENEF IT CLAIM INTEREST @ 9% AXABLE AMOUNT IRENE LAVENDER, DECEASED $58,096.67 $959.82 $59,056.49 7703655 TOT AL59 ,056.49 BlC /010PA/ 7003/ - ~--~~~ -- -- _""_~}.t:Jr~i:::~ Start your free trial today _~TF Trailer .v''':''~''h: h"G,,"<,."'_'~n'n-::'='~~~~":~::::;:'k ''Y ......~~~~ ~ ~~_~____~_~_~ _~_~ 4";...h"'.w\k0..;1 _'H.' f0tlJ~'t..(nH'*tY.,j',rlfp;::(y,.dku.>t<Jt"'<-w"'Jf~~J<Mf..r'<tt;-.j Hi'&totkal QUMft . - ~ - --,-~ ~-~-~~~~ I fNlfJMCmf CHARr This His orical Quotes tool allows you to look up a security's exact closing price. Simply t pe in the symbol and a historical date to view a quote and mini chart for that security. nte'r Symbol: IMET Enter Date: 110/1 /?907 Met! fe Inc Mond y, October 01 2007 Ciosir 9 Price: 70.65 68.94 71.09 68.94 3,252,900 Go To Charting '81:1\11 ~ ,q eRA6E~ $70.01 Open High: Low: Hot S ck Alert - GFET Ethan l, Biofuels, Green Energy. Alternative Energy Growth Stock. www.ulfEthanolCorp.com Easy orexlM Currency Trading Dnlin 24x7 Trade. 5 Min, $50 Start, Free e-Book, Tips & Tech Analysis W,!!W. a~:Jorex._com Fore com - Free Practice Account Try fo ex trading risk-free for 30 days. Real time charts, research. W,!!W. rex.,com Penn Stock Report (GXPI) GXPI ece';ves $1.23 Price Target Major bull Market for Gold, Get In! WallS eetStockReview.com Pract ce Forex Trading Trad Forex directly online. Free practice account. Start Forex now! WWY1. c-rT}'lJkets.col1l il,l No Splits 2-Month Daily Chart of Metlife Ine Learn more about the next step beyond mutual funds MetLife 41150100001090000217 The MetLife Policyholder Trust ("Trust") Transfer Transaction Advice Mellon Investor Services P.O. Box 4420 South Hackensack, NJ 07606 RETAIN THIS DOCUMENT FOR YOUR RECORDS ~ccount Registration: 0000109 02 SP 0.580 HSNGLP T1 0 4165 17055-619011 C01 BlMAI - 23 - Date: 11/22/2007 1,.,111.,.111",.1.1"1,1"11..."111,1,,11,,,,,,11,,,11.1,,11 SUSAN P MASON 811 ALLENVIEW DRIVE MECHANICSBURG PA 17055 For information concerning this advice, please call Mellon Investor Services, MetLife, Inc.'s Transfer Agent, toll free at 1-800-649-3593 Trust Interests (Shares) 96.0000 Transaction Date 11/21/2007 CUSIP Number 59156R10 Transaction Advice Number 0001987941 Investor ID 1248 6539 8757 This Transaction Advice is your record of the indicated Trust Interests being credited to an account on the books of the referenced transfer agent. The Transaction Advice should be kept with your important documents as a record of your ownership of these securities. These Trust Interests are transferable only as permitted under The MetUfe Policyholder Trust. Please read the important information on the back of this form and in the Purchase and Sale Brochure. If you wish to request a purchase or sale transaction, detach coupon at the perforation and complete the applicable side of the form. -------~---------~- ._-----------------------~ -~-------- ------ -. -. ----------------------------------~ PLEASE BE SURE THIS ADDRESS APPEARS IN THE ENVELOPE WINDOW FOR PURCHASES ONLY Purchase Instructions 1248 6539 8757 Change of Address: (See reverse side to SELL) SUSAN P MASON Mellon Investor Services P.O. Box 382200 Pittsburgh, PA 15250-8200 111,11.1,111,1,1,1,1.1111,1..1,111.11111111.1.111111111,1,1111 Siqnature (if address is being changed) Make check in U.S. dollars, payable to: MetLife Purchase Program Amount Enclosed Minimum investment $250 (except as described in the Purchase and Sale Brochure) 0000101 102 124865398757 5 We s ncerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please feel ee to contact us if you have any questions in regard to this statement. THE OLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND ERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. 1. Pro essional Services Servic s of Funeral Director and Staff. Other reparation. . . . . . . 2. Fa iliti~~s, Services and Equipment Use 0 Facilities for Visitation. . . Use 0 Facilities and Staff for Funeral. 3. A omCitive Equipment Local emoval. Hears . . . . Limo sine. . . Flow r/Lead/Clergy }cUNERAL HOME SERVICE CHARGES er 14, 2007 P. Mason 811 lIen View Dr. Mech nicsburg, PA 17055- ROBBINS SINCE 1948 The uneral Service for Irene P. Lavender SEL CTED MERCHANDISE: Solid ak Rental. . . . . . . . . . . . . . . . , . . . . . THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THA T YOU HAVE SELECTED . . . , . . . . . . . . , Cash Advances Clerg . Orga ist. . . Deac n. . . Certi led Copies of Death New paper Notices . . Cre tion. . . , . Med' al Examiner-Pennsylvania Hair resse:r. . . . . . Shipping Worldwife. . eight, . , . . . . TOT AL CASH ADVANCES AND SPECIAL CHARGES. Tota Tota Cost. . . . . . . . . . . . . . . . . . . . . SUB- TOTAL INITIAL PAYMENT I DISCOUNT I CREDITS TOTAL AMOUNT DUE Elliott M. Robbins Funeral Home 2395.00 250.00 150.00 600.00 200.00 260.00 260.00 150.00 4265.00 1050.00 5315.00 150.00 125.00 20.00 72.00 454.78 305.00 25.00 35.00 873.00 306.00 2365.78 7680.78 7680.78 0.00 7680.78 2251 Mineral Spring Avenue, North Providence, RI 02911-1743 401-231-9307 DIANE G. RADCLIFF, ESQUIRE 3448 Trindle Road, Camp Hill, PA 17011 Phone: 717-737-0100 Fax: 717-975-0697 E-mail: dianeradcliff@comcast.net April 29, 2008 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 RE: Estate of Irene P. Lavender No. 21-07-0977 Enclosed please find: DESCRIPTION OF ORIGINAL DOCUMENT NOS. Inheritance Tax Return and Inventory Original + 3 copies Filing Fee - $30.00 -- Return Envelope -- I would appreciate it if you would file and docket the original(s) of the above referenced document(s), and time stamp and return the copies to this office in the envelope provided. Very truly yours, G- ~J~ UF~QUIRE ~ I DGR Enclosure(s) cc: Susan P. Mason File Transmitted by Mail .. .. ...... ~ ("'I1JJrf\ ~~" ~~.." :c-\~ t=C!.o r-zp ~ 0_ .,,~~ ):l- ~ -- .,:sO rn ...a V'\ Ol::'..Q ---C -- ~ tT\ .. () c o%- :J (t) ()(t)::!..:;o D> () ~ (t) ::!.. 0 0. <9. <no c () ~ roa:O~ - .J c -og:J9.. )> (/) .:t ~ ~ (t) ()_" -'(/)0::: 0..0 C (/) ~c,"", u.>D>:f '"'" 0 (t) C (/) (t) -n -. ... ~ o -- = CI) c e. - ~ ~ ~ ~ I~"'v.,; ..~ tf'- - . :cO '>0 ."' 0 \"N ~~ 1"1: \.." :Xl ..c a"