HomeMy WebLinkAbout05-14-08
REV-1500 EX + (6-00)
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICiAl USE ONLY
FILE NUMBER
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SOCIAL SECURITY NUMBER
DATE OF BIRTH (MM-DD-Year)
1 95- 0 7 - 7 969
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
09/13/2007 06/21/1916
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
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00 1. Original Retum
o 4. Limited Estate
00 6. Decedent Died Testate (Attach copy of W1K)
o 9. Litigation Proceeds Received
SOCIAL SECURITY NUMBER
o 2. Supplemental Retum
o 4a. Future Interest Compromise (date of death after 12-12-82)
o 7. Decedent Maintained a Living Trust (AttachcopyofTrusl)
o 10. Spousal Poverty Credit (dale of death be\ween 12-31-91 and 1-1-95)
o 3. Remainder Retum (date of dealh prior to 12-13-82)
o 5. Federal Estate Tax Retum Required
Q.. 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
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TH1$SISCTIONi",,:OS"I'$E:CaMPI,.IS"I'ISDliAl,.l,.iCQRRIS$PONI:>6NGi:.ANI:>iCQNFII:>ISN;J"lAl...TAx..lNFORMAi'IQN)$H()UI,.O.iIi$6iiOIREGTEO..,.O:
NAME COMPLETE MAILING ADDRESS
James H. Turner Es uire 4415 N. Front Street
FIRM NAME (If Applicable)
Turner & O'Connell
TELEPHONE NUMBER
717-232-4551 Harrisbur PA 17110
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1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. JoinUy Owned Property (Schedule F) (6)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non.Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
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)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
OFFICIAL USE ONLY
3,005.31
23,076.57'
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(8)
26,081.88
4,389.58
10,365.88
(11)
(12)
(13)
14,755.46
11 ,326.42
14. Net Value SUbject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
(14)
11 ,326.42
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
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
0.00 X _(15) 0.00
11 ,326.42 X .045 (16) 509.69
0.00 X .12 (17) 0.00
0.00 X .15 (18) 0.00
(19) 509.69
20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
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Add
ece en s omplete ress:
STREET ADDRESS
244 Ewe Road
CITY r STATE I ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due (Page 1 Une 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1 )
509.69
3. InteresUPenalty if applicable
D. Interest
E. Penalty
Total Credits (A + 8 + C)
(2)
0.00
T otallnterestlPenalty ( 0 + E )
4. If Une 2 is greater than Une 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 line 20 to request a refund
(3)
(4)
0.00
5. If Line 1 + U!'e 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. (58)
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 IKI
b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 IKI
c. retain a reversionary interest; or ...................................................................................................... 0 00
d. receive the promise for life of either payments, benefits or care? ............................................................. 0 00
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?........ .......................................... ...... ......... .... " .......... ............. 0 IKI
3. Did decedent own an 'in trustfor" or payable upon death bank account or security at his or her death? ................. 0 IKI
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... 0 IKI
0.00
509.69
509.69
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
InQer penalties of pe~ury, I declare that I have examined this relum, including accompanying schedules and statements, and to the besl of my knowledge and belief, it is true, correct and complete.
1Claration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
3NATURE OF P-ERSON RESPON IBL FOR FILING RETURN DATE
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lDRESS
PA
PA 17110
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 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 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. s9116(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. s9116(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-1503 EX + (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Rosenberry. Josephine S.
FILE NUMBER
ITEM
NUMBER
1.
All property jointly-owned with right of sUNivorship must be disclosed on Schedule F.
.
DESCRIPTION
VALUE AT DATE
OF DEATH
3,005.31
Prudential
33 shares at $91.07/share
TOT At (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
3.005.31
REV-15GB EX + (6-98)
.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Rosenberry. Joseohine S.
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.
2.
3.
4.
5.
DESCRIPTION
Pennsylvania State Employees Credit Union - 18 Month Certificate
1 Credit Union Place, Harrisburg, PA 17110-2990
P.O. Box 67013, Harrisburg, PA 17106-7013
Pennsylvania State Employees Credit Union - 18 Month Certificate
1 Credit Union Place, Harrisburg, PA 17110-2990
P.O. Box 67013, Harrisburg, PA 17106-7013
Pennsylvania State Employees Credit Union - 24 Month Certificate
1 Credit Union Place, Harrisburg, PA 17110-2990
P.O. Box 67013, Harrisburg, PA 17106-7013
Pennsylvania State Employees Credit Union - regular shares
1 Credit Union Place, Harrisburg, PA 17110-2990
P.O. Box 67013, Harrisburg, PA 17106-7013
Wachovia Bank - Checking account
1525 West W.T. Harris Blvd., Charlotte, NC 28288-0376
VALUE AT DATE
OF DEATH
2,615.44
2,588.85
2,380.72
1,739.62
13,751.94
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
23.076.57
REV-1511 EX + (12-99)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Rosenberry. Joseohine S.
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.
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representa!!ve (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees Turner & O'Connell 500.00
3. Family Exemption: (If decedenfs address is not the same as c1aimanfs, attach explanation) 3,500.00
Claimant Betsv J. BinQaman
Street Address 244 Ewe Road
City Mechanicsburg State P A Zip 17055
Relationship of Claimant to Decedent dauQhter
4. Probate Fees Cumberland County - Register of Wills 140.00
5. Accountanfs Fees
6. Tax Return Preparer's Fees
7. The Sentinel Publication Costs 174.58
8. Cumberland law Journal Publication Costs 75.00
TOTAL (Also enter on fine 9, Recapitulation) $ 4 389.58
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (6-98)
.
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Rosenberry. Joseohine S.
FILE NUMBER
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1. Thornwald Home
442 Walnut Bottom Road, Carlisle, PA 17013
nursing home expenses - account number: 1070
2. Holy Spirit Hospital
503 N. 21st Street, Camp Hill, PA 17011
hospital expenses - account number: 1409747
3. The State Employees' Retirement System
30 N. 3rd Street, Room 319, Harrisburg, PA 17101
reimbursement from 9/14/07 - 9/30/07
4. MiIlenium Pharmacy Systems, Inc.
12450 Perry Highway, Suite 200, Wexford, PA 15090
prescriptions
5. Philhaven
P.O. Box 550, Mt. Gretna, PA 17064
consult - older adult - account number: 246992
VALUE AT DATE
OF DEATH
9,855.08
82.77
288.65
114.85
24.53
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
10365.88
REV-"" ",. ",*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
rrv .Im:p.nhinp.~.
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions. and transfers under
Sec. 9116 (a) (1.2)]
1. Betsy J. Bingaman Lineal
244 Ewe Road
Mechanicsburg, PA 17055
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)
~____c-=,,"
LAST WILL AND TESTAMENT
OF
JOSEPHINE S. ROSENBERRY
I, JOSEPHINE S. ROSENBERRY, of Newberry Township, York County,
Pennsylvania, being of sound mind, memory and understanding, do
make and publish this, my Last Will and Testament, hereby revok-
ing all former wills by me at any time heretofore made.
ITEM I.
I direct that all inheritance and estate taxes
. .
becoming due by reason of my death, whether such taxes may be
payable by my estate or by any recipient of any property shall be
paid by my Executrix out of the property passing under ITEM II of
this Will, as an expense and cost of administration of my estate.
My Executrix shall have no duty or obligation to obtain reimburse-
ment of any such tax so paid, even though on proceeds of insurance
or other property not passing under this Will.
In the absolute
discretion of my Executrix, such taxes may be paid immediately, or
the Executrix may postpone the payment of taxes on future or
remainder interests until the time possession thereof accrues to
the beneficiaries.
Page 1 of 2 pages
ITEM II. I give, devise and bequeath all the rest,
residue and remainder of my estate to my husband, Clarence C.
Rosenberry, provided that he survives me by thirty (30) days. In
the event my husband should predecease me or not survive me by
thirty (30) days, then I give, devise and bequeath my entire estate
to my daughter, Betsy J. Bingaman, of Mechanicsburg, Pennsylvania.
In the event Betsy J. Bingaman should predecease me, I give, devise
and bequeath my estate to my son-in-law, George C. Bingaman. In
the event both Betsy J. Bingaman and George C. Bingaman should
predecease me, I direct that my estate be distributed in equal
shares among my grandchildren, Matthew Bingaman, stephen Bingaman,
Daniel Bingaman and Mark Bingaman, or the survivors of them.
ITEM III. I, nominate, constitute and appoint my
daughter, Betsy J. Bingaman, as Executrix of this, my Last Will
and testament. In the event she is unable to act, I appoint George
C. Bingaman to so serve. It is my desire that my Executrix serve
without bond.
IN WITNESS WHEREOF, I have set my hand and seal to this, my
Last Will and Testament, typewritten on one (1) other page, this
13th day of October, 1998.
2
COMMONWEALTH OF PENNSYLVANIA
.
.
SS
COUNTY OF DAUPHIN
I, JOSEPHINE S. ROSENBERRY, testatrix whose name is signed to
the attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will and Testament; that I signed it
willingly; and that I signed it as my free and voluntary act for
the purposes therein contained.
Sworn or affirmed to and acknowledged before me, by JOSEPHINE
S. ROSENBERRY, the testatrix, is 13th day of 0 to er, 1998.
: SS
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
.
.
We, James H. Turner and stacy A. Bolonski, the Witnesses,
respectively, whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and
say that we were present and saw the testatrix sign and execute the
instrument as her Last will and Testament; that JOSEPHINE S.
ROSENBERRY signed willingly and that she executed it as her free
and voluntary act for the purposes therein expressed; that each of
us in the hearing and sight of the testatrix was at that time
eighteen or more years of age, of sound mind and under no con-
straint or undue influence.
Sworn or affirmed to and subscribed to before me by
James H. Turner and Stacy A. Bolonski, the witnesses, this 13th day
of October, 1998.
3
Statement
United Church of Christ Homes
Thornwald Home
442 Walnut Bottom Road
Carlisle, PA 17013
Statement Date: 01/01/2008
Betsy Bingaman
244 Ewe Road
Mechanicsburg, PA 17055
Due Date: 01/25/2008
Re: Josephine S Rosenberry
Account Nr: 1070
--------------------------------------------------------------------------------
Date
Description
Days
Quant
Rate
Charges
PaYments
Balance
---------------------------~----------------------------------------------------
BALANCE FORWARD
11/27/07 PAYMENT
12/12/07 PAYMENT
11/30/07 Medical Supplies
10,020.08
142.02
9,855.08
10,020.08
9,878.06
22.98
.00
-1.00
22.98
-22.98
It's a new year. If you have new insurance information on a
resident, please bring it in. THANK YOU
STATEMENT OF PHYSICIAN SERVICES
SPIRIT PHYSICIAN SERVICES JOSEPHINE ROSENBERRY 1 of 2
205 GRANDVIEW AVE STE 210 244 EWE ROAD
CAMP HILL PA 17011 MECHANICSBURG PA 17055-4872 STATEMENT
DATE: 11110107
lAST STATEMENT
ACCOUNT # 1409747 DATE: 10/06107
IF ANY QUESTIONS, PLEASE CONTACT: SPIRIT PHYSICIAN
....i.J;,iP
PERFORMED BY: AIIITI DESAI MD
PLACE DF SVC: 21
PERFDIItED AT: lIS
05125107 99232 575.0 SlBSEQUENT taSP, LEVEL II 73.00
06/28107 ~ARE ERA PMT 49..55-
06/28107 ~ARE ERA CONrRIAOJ 11.06-
08131/07 BLUE CROSS MAtlJAL TRANSF 12.39
PERFORMED AT: lIS
05126/07 99231 575.0 SlBSEQUENT IOSP, LEVEL I 49.00
06/28107 II:ARE ERA PMT 27.64-
06128107 ~ARE ERA CONrRI ADJ 14.45-
08131/07 BlUE CROSS MAtlJAL TRANSF 6.91
PERFDRttED AT: lIS
05127/07 99232 575.0 SlBSEQUENT IOSP, LEVEL II 73.00
06128107 II:ARE ERA PMT 49..55-
06128107 II:ARE ERA CONrRI AOJ 11.06-
08131/07 BLUE CROSS MAtlJAL TRANSF 12.39
PERFQ.RMED AT: lIS
05128107 99231 578.0 Sl8SEQUENT IIJSP, LEVEL I 49.00
06128107 II:ARE ERA PMT 27.64-
06/28107 ~ARE ERA CONrRIADJ 14.45-
08131/07 aLUE CROSS MAtlJAL TRANSF 6.91
PERFDRtIEO BV: FARSHAD SEPAHPANAH MD MD
PERFDAHED AT: lIS
05129/07 99231 578.0 Sl8SEQUENT IOSP, LEVEL I 49.00
08/16/07 ~ARE ERA PMT 27.64-
08116/07 II:ARE ERA CONrRI AOJ 14.45-
118131/07 BLUE CROSS MAtlJAL TRANSF 6.91
PERFDRI1ED AT: lIS
0SI30I07 99231 578.0 Sl8SEQUENT IOSP, LEVEL I 49.00
08116/07 !CARE ERA PMT 27.64-
08116/07 II:ARE ERA CDNTRI ADJ 14.45-
08131/07 BLUE CROSS MAtlJAL TRANSF 6.91
PERFOIItED AT: f6
05131/07 99233 276.8 Sl8SEQUENT ImP, LEVEL II 102.00
08116/07 ICARE ERA PMT 70.82-
08116/07 tl:ARE ERA CCJmVADJ 13.48-
118131/07 BLUE CROSS MAtlJAL TRANSF 17.70
PERFDRMED AT: f6
06101/07 9CJZ38 276.8 IIJSPITAL DISCHARGE <30 HI 100.00
08116/07 ICARE ERA PMT 50.59-
08116/07 ~ARE ERA almVADJ 36.76-
08131/07 BLUE CROSS MAtlJAL TRANSF 12.65
BALKE: JOSEPHINE RDSYERRY ta2.77
THIS ACClIM' IS SERIULY PAST 1lJE. IF PAYMENT IS ' ReCEI.gD
YCIJR BALANCE MILL 8E REFERRED FOR COLLECTION ACTION AND
DISCHARSE FRIll PRACTICE MAV OCCUR. PLEASE RaIIT IlltEDIATELV.
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PSE(~
November 28, 2007
Account # 0195XXXXXX
JAMES H. TURNER
4415 NORTH FRONT ST
HARRISBURG,PA 17110
Dear MR. TURNER:
The following is the status of JOSEPHINE S. ROSENBERRY's account with PSECU as of the date of death.
Joint Owner's Name
Date of Death
Date of Birth
NONE
09.13.2007
06.16.1916
Share
SOl
S 04
C 50
C 50
C 50
Description
Regular Shares
MoneyHandler
18 Month Certificate
18 Month Certificate
24 Month Certificate
Open date
10.16.1963
10.16.1963
08.28.2000
06.27.2000
04.11.2002
Balance
$1,739.62
0.00
2,615.44
2,588.85
2,380.72
Accrued Dividend
$0.71
0.00
4.36
4.51
3.37
The dividend earned from January 1,2007 through the date of death was $249.36. The decedent had no loans with
us. We do not have safe deposit boxes for our members.
Betsy Bingamin was removed February 22, 2007as joint tenant with right of survivorship; she had been added as
joint owner on Febraury 27, 1995.
If you have any questions, please call 234-8484 in Harrisburg or our toll-free number, (800) 237-7328. At the menu
prompt, enter 6 and then extension 2227.
Pennsylvania State Employees Credit Union
Main Address: 1 Credit Union Place, Harrisburg, PA 17110-2990 . 717.234.8484 . 800.237.7328
. Moiling Address: P.O. Box 67013, Harrisburg, PA 17106-7013 . 717.777.2100 (TO D) . 800.472.1967 (TOD)
This credit union is federally insured by the Notional Credit Union Administration. Equal Opportunity Lender www.psecu.com
~ax Transmittal
11/20/2007 12:50 PM PAGE
1/002
Fax Server
=:~~
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"'WAcHOVl'A
Reference ID: 2242526
Wachovia Bank N.A.
Balance Confirmation Services
POBox 40028
Roanoke, VA 24022-7313
November 20,2007
TURNER & OCONNELL
ATTN: JAMES TURNER
ATTORNEYS AT LAW
4415 NORm FRONT STREET
HARRISBlJRG, P A 17110
SUBJECT: Verification / Confirmation of Account and Balance Information provided for:
Customer: JOSEPHINE S ROSENBERRY (SSN# XXX-XX-7969)
Date of Death: September 13,2007
DeDosit Account Information
Account
Type
Account.
Number
Date of Dead I
Balance
Average
Balance"
Date
Opened
Maturity Int.erest. Accrued YTD Date
Date Rate Interest Interest Paid Closed
CHECKING XXXXXXXXX3083
LEGAL TITLE: JOSEPHINE S ROSENBERRY
CLOSING BALANCE: S13751.94
$13,751.94
1/211950
9/18/2007
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Receipt Date:
Rece~pt Time:
Recelpt No. :
9/18/2007
12:32:24
1049918
ROSENBERRY JOSEPHINE S
Estate File No. :
Paid By Remarks:
2007-00851
BETSY BINGAMAN
JA
------------------------- Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST
WILL
AUTOMATION FEE
SHORT CERTIFICATE
JCP FEE
Check# 2946
Total Received.........
90.00
15.00
5.00
20.00
10.00
----------------
$140.00
$140.00
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
BUREAU OF RECEIPTS & CNTR M.D
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
December 7, 2007
Cumberland Law Journal is published every Friday by the Cumberland County Bar
Association and is designated by the Court of Common Pleas as the official legal publication for
Cumberland County and the legal newspaper for publication of legal notices.
TO:
James H. Turner, Esquire
Josephine S. Rosenberry Estate
RE:
Legal advertisements must be received by Friday Noon. All legal advertising must be
paid in advance. Make all checks payable to: Cumberland Law Journal.
==============================================
Advertisement inserted on following dates:
November 23, November 30, and December 7, 2007
Advertising Cost
75.00
Proof of Publication
$ 0.00
Second Proof Request
$ 0.00
Payment received
$ 75.00
Total Amount Due
$
0.00
-------
-----
Becky H. Morgenthal, Executive Director
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TURNER AND O'CONNELL
Attorneys at Law
4415 NORTH FRONT STREET
HARRISBURG, PA 17110
Telephone 717/232-4551
800/870-3859
Facsimile 717/232-2115
The enclosed documents are submitted for filing with your office.
check(s) for the required feels are enclosed
please return time-stamped copies in the envelope provided
please certify _ copy(ies) and forward to the Sheriff for service
Turner & O'Connell
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