HomeMy WebLinkAbout07-24-08 (2) 15056051058
REV-1500 EX (06-05}
OFFICIAL USE ONLY
-
PA Department of Revenue
Bureau of Individual Taxes m County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN ~ ~ ~ ,~
- ~ ~ , .
~{
Harrisburg, PA 17128-0601
~ RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
456-92-6357 0$/24/2007 05/19/1958
Decedent's Last Name Suffix Decedent's First Name MI
Maroney Andrew ~
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Names MI
N/A
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WNLLS
FILL IN APPROPRIATE OVALS BELOW
~: 1. Original Return 2. Supplemental Return
4. Limited Estate
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
:3. Remainder Retum (date of death
prior to 12-13-82)
!i. Federal Estate Tax Return Required
0 E3. Total Number of Safe Deposit Boxes
1`. Election to tax under Sec. 9113(A}
(Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
William R. Tyrell (71'7) 691-1157
Firm Name (If Applicable) REGISTER OF WILLS USE ONLY
First line of address
45 King Drive
Second line of address
City or Post Office
Cariisfe,
Correspondent's a-mail address:
State ZIP Code
PA 17015
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Under penalties of perjury, 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, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNAT RSON RESPONSIBLE FOR FILING RETURN ~ ~ DATE
.~
-.
)DRESS
G ATURE OF REP ER OTHER THAN REPRESENTATIVE
IVf LC
.RES. ~ _ ~ __
s• ~A-ivGV ~.c. S ~ ~4-~c~ Lf - ~a l70 r 3
PLEASE USE
15056051058
Side 1
DATE
?-Zy-a~
15056051058
l~
15056052059
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Andrew J Maroney .456-92-6357
.... _..
RECAPITULATION
1. Real estate (Schedule A) . ......................................... ... 1. 140,600.00
2. Stocks and Bonds (Schedule B) .................................... ... 2. 76.00
3. Closely Held Corporation, Partnership or Sote-Proprietorship (Schedule C) .. ... 3. 0.00
4. Mortgages & Notes Receivable (Schedule D) .......................... ... 4. 0.00
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ..... ... 5. 5,910.00
6. Jointly Owned Property (Schedule F) Separate Billing Requested .... ... 6. 0.00
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested..... ... 7. 3,400.00
8. Total Gross Assets (total Lines 1-7) ................................. ... 8. 149,986.00
9. Funeral Expenses & Administrative Costs (Schedule H) .................. ... 9. 17,519.00
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............. .. 10. 123,289.00
11. Total Deductions (total Lines 9 & 10) ................................ ... 11. 140,808.00
12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 9,178.00
13. Charitable and Governmental BequestslSec 9113 Trusts for which
an election to tax has not been made (Schedule J) ...................... .. 13. 0.00
14. Net Value Subject to Tax (Line 12 minus Line 13) ...................... .. 14. 9,178.00
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) x .0 45 9,178.00 15. 413.01
16. Amount of Line 14 taxable
at lineal rate X .0 - 16.
17. Amount of Line 14 taxable
at sibling rate X .12 17,
18. Amount of Line 14 taxable
at collateral rate X .15 18.
19. TAX DUE ......................................................... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
413.01
15056052059 Side 2
.15056052059
REV-1500 EX Page 3
Flle Number
vca.cuv~~a a vvu~N~cw r~uu~ca~.
Il C/~CI1C\IT~[. \IA\IC
Andrew J Maroney
STREET ADDRESS
76 Pleasant View Drive
..CITY
Mechanicsburg
DECEDENT'S SOCIAL SECURITY NUMBER
456-92-6357
_ _ _
STATE ZIP
PA 17050
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19} (1) 413.01
2. Credits/Payments
A. Spousal Poverty Credit
_ -
B. Prior Payments
C. Discount _ _
Total Credits { A+ B + C) (2) 0.00
3. InteresUPenalty if applicable
D. Interest 0.01
E. Penalty
Total InteresUPenalty (D + E) (3) 0.01
4. If line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 413.02
A. Enter the interest on the tax due. (5A) 0.00
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 413.02
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THIE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred :.......................................................................................... ^ ^x
b. retain the right to designate who shall use the property transferred or its income : ............................................ ^
c. retain a reversionary interest; or .......................................................................................................................... ^
d. receive the promise for life of either payments, benefits or care? ...................................................................... ^
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. ^
3. Did decedent own an "in trust for' or payable upon death bank account or security at his or her death'? .............. ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ ^ ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G ~4ND 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.S. §9116 (a) (1.1) (ii)]. The statute does not exempt 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 Juty 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 decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Z,,
REV-1502 EX< (6-98j
SCHEDULE A
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ANDREW J MARONEY 21-07-0848
All real property owned salely or as a tenant in common must be reported et fair market value. Fair market vaiue is defined as the price at vv'r;cn property
wcuso be exchanged between a willing buyer and a willing seller, neither being co-npelled to buy or sell. both having reasonable xnowledge cf t'ne re!evan+'~cts
It mare space is needed insert additional meets of the same s ze?
all: ~. 25ta2-azs5 ~r
- B. TYPE OF LOAN:
~ t.^FFiA 2.[~FmNA 3.QCONV. UN1NS. 4.GVA 5.OX CONY. fN3. ~
~-
U.S. DEPARTMENT OF NOUSNNC i URSAN DEVELOPMENT
ENT 6. FILE NUMBER:
o75os ). LOAN NUMBER:
z12a2r5 ~
,~
SETTLEMENT STATEM 8. MORTGAGE INS CASE NLSMBER:
_
J
!
C. NOTE: 7hJs Thrrrt k A/mlahad ro adw you a atrtamer+t of aeOwJ asONment toad. Amounts paid to end by the aetWmeM agent an anown.
Hama mrked 7POCf torn patd outside t1N closl+'r9; they N ahrAYn hero br Inrorm+Wonst purposes end are not indurNJ in thv (oteJs.
10 7Na tOTfpag7apyf0 ~
0. NAME ANO ADDRESS OP BORROWER:
Ousko Torolu and
SS Rsd7Barbarty ROW
ElMrs, Pe. 17319 E. NAME AND ADDRE33 OF SELLER:
Eslefe oP AndrnY J MaroneY F. NAME AND ADORES3 Of LENDER:
Tayior, Bean 6 Whitaker
•
t1NOM Magnolia Ave.
Ogle, FL 34473 ~''
G. PROPERTY LOCATION:
78 Pleasant Vlew Drfw
PA 17065
Medtankabtxg H. SETTLEMENT AGENT; 23.1878915
lteysbne Land Trrnsfer, Ltd. i. SETTLEMENT DATE:
Oebber 30, 2007
.
Cumbartand County, Pennaylvanla PLACE Of SETTLEMENT
1421 Market Street
Camp MMU, PA 1)011
~ ~
Y OF OWER' TRANSA TION K. SUMMARY OF LLER'S TRANSACTION
100. CRO AMOU T DUE P M 60RR0'WER: 100. CROSS AMOUNT DUE YO SELLER:
tOt, Can Sakq Prbe 140 800.00 401. Contnsei SaNa Prlcs ,~ 140 Cx7C.06
102. 402. Paraanad Property
103. Seplerrwtt b Borrower Line 1100 2998.71 403.
104. 404.
f OS. 406. I
asrtsrrta For Noma Paid Seger ht advance A uatrnents For Items PsM ~ SeNer N advance
106. G awn 7toue b 408. Cl own Taxw ro
107. Coon Taxw tOf10t07 b 01/01!08 88,96 407, Coun Texw 10/301Dr b D7/01t(18 66.x8
108. Scttodl Tex 10~0t0T b O7d01l08 613.71 408. Sohooi 1'ex 10f30107_b 07lOtN78 ~_ 13.7 ;
8
109. 409. _
110.
111. 411,
112. 12.
120. GROSSMIOtlNTD'JEFROM80RROWER 144,477.38 420. GROSS:AMOUN70UE7t7SELLER t4'.d30.67
200. AMOUNTS P 6Y OR IN NALf OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201, a eatneat more 500.00 501. Exaesa Depoett (See Inetuetlonsf
202. I Artptmt of New LOM s 140 800.00 302. $eftMntent Charges b Sstler (Un• 1400)
~ 2980.00
203. E:datl foen s taken sub ct q _
503. Exlrtl be s taken b _
I
204. 504. P cfSratMargage b Coon ~s Horror loans '
~ _
105,978.15'
-
205. L16t
a se Mortwpe ~fte Departrnen~a(A 731.04
208• 506. sitretelnWO wtlsr SOO.DO
20r. 507.
206, 608.
209. SeINr Awisalos • 150.00 509. Setler Atraialrncs I < r 56.00
A "uatrnanta For llama U 8 Selby Adjusbnants Far Nsma Unpefd eY $auar
21 own Tezw b 510. G ovm Taxes b
211. Taorw b 511. Corm 'Taxes _ m
212. Schad Tax m 512, 8choW 'fax b
213. 613.
211, 511,
215.
515. i
216. 518.
217. 517.
218. 518.
219. 519.
220. TUTAt. PAtD BY/FOR 80RROWER
300. AT T fROMVT R 145,250.00 820, TOTAL REDUCT70N AMOUNT DUE SELLER
600. CA3N AT SETTLEMENT TOIPROItl19ELLER: ~ 122,749, to
301. Gross Anqunt Due From BorratNar Lkte 120
302. Less Amount Pald B Bortanwr 1Jne 220
303. CASH { FROM) { X TO) BORROWER 144 477,38
143.250.00
772.82 601. Grow /ut10UM Oue To 9sMr Line 420'
80Z. Lew RtWuctldna Des Seller !l,L7e 520) I(
803. CASH { X TO J { FROM) SELLER ~ +[S aa0.87
122 T49.1
16,731
The unden{gned handy acknowledge recNpt of a campleNd copy of papas 162 of thh shlarrxtnt 6 any atbchmenb raterrad m nanin.
8ortower 1 \ ~ s--'~_ Bartley
Eabt~ of M J. Maroney /''
o w
'~ ~ ~ ~ 6Y: ~ ~'~'1 i c. ' ~ X~, i_ ~'~ ~ r~ t'~_
J
' t~"~! a ccTTf caS CA1T rWAR6~S
71q. TOTAL COMMIaaAON BaeO on Prlu
_ _- -_
, %
__ ~ Puo irVDM
eU11nt7w8N'S PNa F~ON
eEil'v'S ~
We:
fabn 16N aS
61 b -- } firND9 AT
Nr CJ^fD5 ~.'.
EM
SETTIEr
SETREwtE .
3. t
b --
800. REMa PAYABLE W CONNECTION t9Y17N LOAN
801. loan FN 0.0000 % b
_,_
.-
802. loan Diecotatt % b
« ~ raup
t b _
L N b
BrOk~ Fae b Bent: Grou akt b TBW 52744.91 POC
7. Tax a b ¢ ouD 95.
1.
t ax ee b Ta or, San taxer
81 to w w aybr, can h ar
ry,
orD.
73.00
-51
~.~.~
814. e b a diksr
_
_ 2.30
81 Cart ee b a or, an ar qe o ~ 18 .~
81
en.
e1 ,
1.
900. REM9 RE D BV LENDER TO 8E PAID 1N ADVANCE
901. Interest From 10/3M07 b 11101lD7 S 27.930060/0ay ( 2 da % SS.88
nos r rran b
903. Msard IrNUrartce um fa 1.0 an! b Onera Insurance POC:9333.00 „_
904.
905.
1000. RESERVES DEPOSITED VN1Ti (ENDER
1001. Ftarar0 MNwarioa 3.000 monNs 5 2T.7S r month 83.25
1002. Insurance mortis 3 148.80 r month ~
1003. C own Taxes months
r month _ _
__ ^~~
1004. C Taws 9.000 montlts 5 32.33 er month 290.97 ~
1066. StlwolTaz 5.000 montlls 5 161.30 monN SUB.SC
1 ~mon a rnonln
1 7. r
1008, 1e months E r month •398.82
,106. TITLE CNAROEa
1101. Ssttlanlertt or Fae b
1102. AbstaU or Searrh b _
9109, b
7 101. TIC Insurance stoat b
t 105. Oowrrtent tlon b
1105. N Feae b CASH 25.00 13.CG
1167, s Fees b J silos M. Vamey ~=1=~ ~ 1
a ve n V t
Ti nd T ! r _
9 8 .7 -----
MoMidas ebow darn number; )
11 s 40A AL 1 139
a 14 -~'A 7
1111. arnenta 1 b e bns Lana ranaTa, L 95C.00 ___..
111. to a b K Dona rons r, l K.U
191 ax b raps _ 0•I
1714, em t b e tone rang r, Lu,.
111 . Retaw curttanb • bne tans er,
t to N b sribne Lan nos ,Ltd. 2p,OC
25.00
T~
_
-'-`
1
1200. GOVERNMENT RECOROttlt3 AND TRANSFER CNAROES
1201. RecorNn Feaa: Osad S 38.50; S BO.SO;
1 1,4 a RNeases 5 99.00
1~16n.
1203. State Tax/S s: Rsvanw Sts 1,408.00; M a e 1,405,D0
1204.
1205.
I
1300. ADOfTIONAL SETTLEMENT CHARGES
1901, b f
1302. Pest b •-
1309.
1304.
1305.
1100. TOTAL SETTLEMENT CNARtifES nter On Lines 163, Section .t and 582 Section K
2,996.7
1 2,966.CU
,,•,.~v, a. w~owuo wv a wa• z o~ un }re ow• rwn.
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REV-1503 EXy (6-98~
COMMONWEALTH OF PENNSYLVANIA
INHERI'ANGE TAX RETURN
ESTATE OF
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
ANDREW J MARONEY 21-07-0848
All property jointly-awned wlth right of survivorship must be disclosed on Schedule F. ______
- -- ---
ITEM VALUE AT GATE
NUMBER DESCRIPTION __ OF DEATH
15 SHARES RITE AID I~ (,~, 5 J P rr6 7.7~-y(~O~ _ ~~~
(If more space is needed, insert additional sheets of the same size)
76
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Simply type in the symbol and a historical date to view a quote and mini chart for that security.
. < RAD ~ ~w ~ .~ ~~°c.a3. 08/24/2007..... ~ ~ ,
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217
FiEV•1508EX+{6.98) SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
COMMONWEAITNOFPENNSVLVANIA PERSONAL PROPERTY
INMERfTANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ANDREW J MARONEY 21-07-0848 _
Include the proceeds of litigation and the date the proceeds were received by the estate.
All orooerty lolntly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DI~SGRIPTION VALUE AT DATE
OF DEATH
? 000 ~a~u SSE ~1v~ ti/~~~f~~11 i~S~,B~e~!r 1~ f
MEM6ERS FIRST ACCT NO 0000212520 C
'fe~
e
'
'
' s~
2pa
r
l
/I!y ~
~ pf
DE~~
j tr
2 ERIE INSURANCE REUND 152
3 COUNTRYWIDE ESCROW BALANCE 682
4 COLONIAL INSURANCE RETURN OF PRIMIUM 47
5 SALEOF 91 CHEVY 600
6 SALE OF 93 FORD 1 50p
7 GUN COLLECTION
1 PARKER 16 GUAGE SHOT GUN 10
2 LEFEVER 28 INCH BARREL 1p
3 W ANQ C SCOTT AND 50N SER NO 19441 10
4 REPAINGTON MODEL 700 SER NO C6406874 385
5 SMITH AND WESSON SER NO 417590 150
6 RUGER SINGLE SIX SER NO 432295 100
7 REMINGTON 760 GAMEMASTER SER NO 67233947 350
8 ITHICA LSA fi5 DELUX SER NO 65024955 415
9 ITHICA LSA 65 SER NO 65035771 , 415
8 I FEDERAL TAX REFUND
Lass
TOTAL (Also enter on line 5, Recapitulation) 3 ~ 5,910
(If mare space Is needed, insert additional sheets of the same size)
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REV-1510 EX+ (8-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCNEDt~LE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
Andrew J. Maroney 21-07-0848
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.
ITEM
NUMBER DESCRIPTION OF PROPERTY
INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND
THE DATE OF TRANSFER. ATTACH ACOPY OF THE DEED FOR REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET
% OF DECD'S
INTEREST
EXCLUSION
(IF APPLICABLE)
TAXABLE
VALUE
~ • Reliance Company 401 K 3,400.00 100 3,400.00
TOTAL (Also enter on line 7 Recapitulation} $ I 3,400.00
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+ (12-99)
SCNEDI~LE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Andrew J. Maroney 21-07-0848
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' Myers Funeral Home P.O. Box 2838 Georgetown, SC 29442 11, 973.00
e. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions 600.00
Name of Personal Representative(s) Vlrlllam R. Tyrell
Social Security Number(s)IEIN Number of Personal Representative(s) 201-48-3745
Street Address 45 King Drive
city Carlisle, .State PA Z;p 17015
Year(s) Commission Paid:
2. AttomeyFees 1,500.00
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 300.00
5. Accountant's Fees
6. Tax Return Preparer's Fees 186.00
7. Real Estate Settlement costs 2,960.00
TOTAL (Also enter on line 9, Recapitulation) I $ 17,519.00
(If more space is needed, insert additional sheets of the same size)
~cr-..>-cweil 1141CH rKtJl'f:rM-IYti1 FUIVtkHI,.. i~t CB43) S27-t3747 1'0:17179011236 P.2~3
Mayer Funeral Dome
P. O. Box 2838
Georgetown, SC 29442-
($43}546-4184
September 13, 20{}7
Billie Jane Maroney
4474 N. Fraser Si,
Georgetown, SC 29440-
The Funeral Service for Andrew John Maroney
/moo/,
~ ,,
We sinccrety appreciate the confidence you have placed in els and will continuo to assist you In every way we <;an. Irlease
feel free to contact us if you have any questions in regard to this statertsent.
7't1E FOl.LOWtiVd IS A!Y iTEMtZBD STA'tEMSNT OFTHE SERVICES, FACIL(TIL3, AU'COMOTIVE EQUIPMENT,
AND MERCHANDtSETHAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGSMF"sNTS.
(A) OUR SERVICE:
BASIC SERVICES OF FUNERAL DIRECTOR & STAFF , 52250.00
EMl3ALMilVG, 5695.00
t~THBR t'REYARATtOiV OF THE BO>]Y 5295.00
Use of Factlftlea, Stag and ttigriptna~t
Visitation /Viewing (conducted at Funert! Homej , $390,Off
Funeral Ceremony (conducted at another tacNtty) 5390.00
Opening & Closing Cfrava , 5545.00
USE Otw 5TAtnt!' AND EQUIPMENT:
Ttnnsfer of Remains at Funeral Hoiru:. , , 5295,00
Casket Coecl- (H~arce) , 5320.00
Family Car , , 5:115.00
Plower/Scrvicc Yehicfc , St00.00
FUNERAL HOME SfRVICB CHARGES 55443,00
SELECTTD MERCHANDISE:
A 17.325 52951.00
CunUnental,
. . . . . . . . . . . . . . . . . . . . . . . 51254,00
Acknowledgement Card, , ~ 536.00
Visilur RcpislCr , $25,00
Memorial >;oltlcnyPrayer Carla (f{n ~ 545,00
Temporary breve Marker , 530.00
THE OUST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE
THAT VQ[7 RAVE STsxiM.CI'ED 19786.00
Caa~F+ AitIVAACItB
Obituary Charges Sun News ~ ~ x2$2.00
CertificdCertificates(Na 30 1, ~ , ~ ~ 5180.0(?
't'ransportotion U5Airways , , ~ , ~ ~ ~ ~ 5393.13
The Pa4riot News . . $326.29
Tt1TAL CASH ADVANCES AND SPECTAL CHARGES . 51181.4a
Total
Total Cost , ,
. . . . . . . . . . . . . . . . . .
511227.$$
Andrew John Maroney
Page Z
Sampit Monument/Perry Stafford
495 Powell Road
~' eorgetown, SC 29440
a43-527-2588
BILL TO
Maroney Family
ITEM
l~~~nument
DESCRIPTION
Monument /Rise and level Double Flat Marker
~QS ~.
{rj~
Y
`Invoice
DATE INVOICE #
10/2/2007 1059
SIGNATURE
QTY AMOUNT
1 75.00
Jr(~ C,~.
Total ~ ~
Sampit Monument/Perry Stafford
495 Powell Road
~orgetown, SC 29440
ts43-527-2588
BILL TO
Maroney Family
ITEM ~ DESCRIPTION
~"~nument ~ Monument !Single Flat set-up w/base
~'(
l
~~
J
'Invoice
DATE INVOICE #
10/2/2007 l OS $
SIGNATURE
(QTY ' AMOUNT
1 ~ 62a.oo
'Total ~6ao.oo
_ .,1 ~S" ~t.~
7~~y~f
~. ~ -,
~. ...~~
REV•t512 EX. ('2•G3) ( SCHEDULE
COMMONWEALTH OF PENNSYLVA#IIA 4 DEBTS OF DECEDENT,
INHERITANCE TAX RETURN I MORTGAGE LIABILITIES, & LIENS
ESTATE Of FILE NUMBER
ANDREW J MA?~ONEY 21.07-0848
Revert debts Incurred by the decedent erior to death whkh remained unpaid as of the date of death, Incluiilrtg unreimbursed medical expenses.
2s.'
REV-1513 EXi f9.00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICi!A-RIE$
iNHER{TANCE TAX RETiJRN
ESTATE OF
A1JI7RFW .I iuIARC~NFY
FEI.E NUMBER
21-07-0848
F RE1A710NS~1iP T~ DECF7ENT AMOUNT OR SHARs
Nl1MBER NAME AN{7 ADDRESS OF PERS~JN(3) RECEiV1NG PROPERTY Qo Nat list Trustee{s} - OF ESTATE
Y {. TAXABLE DISTRIBUTIONS [inclwle outriytst si'cusal distributions, and transfers under
Sec. 'i916 () {1.2)
glLll~.tAl~~ ~~kR~( r}y74 ~V{kT' r=~AiiE~c 5T'RcEr
GEORGETOWN S C 19440
I MOTHER
I
I
I "f)0
NTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THR i
I
1
OUGH t $. AS APi~ROPRIATE, ON
E"/-1540 COVER SHEET
'
!! NNON-TAXAHL@ DISTRIBUTIONS:
~
~+
I A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX 15 NOT gElNCr MADE
8. CHAR".TABLE AND GOVERNMENTAL Di3TRIBUTiONS
I ~
I
I
TOTAL OF ?ART II - ENTER TflTfiL NON-TAXA84E bPS7RIBU710N5 ON LINE 13 OF REV•1500 COVER SHEET S C3
{It more sFace s nestled. insert additional sheets of the same size}