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HomeMy WebLinkAbout11-14-0815056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes - INHERITANCE TAX RETURN PO BOX 280601 21 08 0661 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth -. - 164-38-5584 06/12/2008 '1 11 /11 /1923 Decedent's Last Name Suffix Decedent's First NamE: MI REAM CLARA g (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW ~~ 1. Original Return THIS RETURN MUST BE FILED IN DUPLII;,ATE WITH THE REGISTER OF WILLS .°~~~°s 2. Supplemental Return 6„_,;;; 3. Remainder Return (date of death prior to 12-13-82) „_~ 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~"~"~ 5. Federal Estate Tax Return Required death after 12-12-82) t.~;;! 6. Decedent Died Testate ~~s 7. Decedent Maintained a Living Trust __,_, 8. 'Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) ""~ 9. Litigation Proceeds Received X;w;~l 10. Spousal Poverty Credit (date of death C;~ 11. aection to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) iAttach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name __ Daytime Telephone Number 'THOMAS E. FLOWER __ _ - _ _ (717) 737-3405 Firm Name (If Applicable) _ _ _. _ _ ---- ------ -- ~, - REGISTER OF~ILLS USE ON(SX? SAIDIS, FLOWER, LINDSAY `: ~~-~ ~a _ _ _ _- _ _ _ __ -- . _,k, - _ First line of address -! ..~ c. 2109 MARKET STREET '~ -- Second line of address r-., 7r1..il ~. t_ -e` - -u City or Post Office State ZIP Code _._.. DAFr~ftL-~D ,. CAMP HILL PA 17011 cJt Correspondent's a-mail address: tflOWer@Sfl-IaW.COm _~ ~~,i:t - _ -'~ _7 --;~ _ : ~ ~., r ~"-'3 - - -i'l . _t `t C--, t ._ t.~_t ,., ~ ,°-; _.r 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. SI ARE OF PERSON RESPONSIBLE OR (LING RE DAT s ,~ -- - ~- RAY O D C. REAM, EXECUTOR, 1716 LOCUST STREET, NEW CUMBERLAND, PA 1707. 0 -- -- - SI NATU E OF PREPARE E AN REPRESENTATIVE DATA - - /~ ~ 5 AD _ ESS - -- --- - SAIDIS, FLOWER & LINDSAY, 2109 MARKET STREET, CAMP HILL, PA 17011 PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 1.5056051058 c~ 15056052059 REV-1500 EX D~:cedent's Social Security Number __._, CLARA B REAM DecedenCs Name: __~._._.....~....._.___.._.._.._.__..._.....__ ~__~,_.__ ._..m..._. __.. . . . . . . 164-38-5584 RE . , , _ _.- _, , _~ ~..,~,,,~,..__._..,..,__._.._~_,..._,,,__~ _._._,._._...._ CAPITULATION ._..._,,..____.~...- __..,._~__.._.-_. .~,_,_..._._._.,_ ....... ......... .__._...,._.,.. 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. 12,055.65 i 6. Jointly Owned Property (Schedule F) Separate Billing Requested .... ... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested..... ... 7. 8. Total Gross Assets (total Lines 1-7) ................................. ... 8. 12,055.65 9. Funeral Expenses & Administrative Costs (Schedule H) ................... .. 9. 4,046.90 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............. .. 10, 8,008.75 ' 11. Total Deductions (total Lines 9 & 10) ................................. .. 11. 12,055.65 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 0.00 '~! 13. Charitable and Governmental Bequests/Sec 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. 0.00 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 _ _ ___ _ _ _ __ 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. 0.00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ,~_,-., 15056052059 Side 2 15056052059 REV-1500 EX Page 3 Decedent's Complete Address: Flle Number ~.._.,_ , 21 08 '0661 CLARA B REAM STREET ADDRESS 100 MT ALLEN DRIVE clrY MECHANICSBURG DECEDENTS SOCIAL SECURITY NUMBER 164-38-5584 -- - - STATE rZIP PA ~ 17055 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 0.00 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments _ _ _ __ _____ C. Discount --- Total Credits (A + B + C I (2) 3. InteresUPenalty if applicable D. Interest __ E. Penalty Total InteresUPenalty (D + E) (3) 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) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00 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 properly transferred :................................................................................ .......... ^ b. retain the right to designate who shall use the property transferred or its income : ................................... ......... ^ ^X c. retain a reversionary interest; or ................................................................................................................. ......... ^ d. receive the promise for life of either payments, benefits or care? ............................................................. ......... ^ 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................................................................................... ......... ^ ^X 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ..... ......... ^ ^X 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 FEND 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 exemot a transfer to a surviving spouse from tax, and the stalulory requirements for disclosure of assets and filing a lax 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 nosed 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 °.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. REV-1508 EX+ (6-98) r COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER CLARA BELLE REAM 21-08-0661 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. (It more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) ~ SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE Nl1MBER CLARA BELLE REAM 21-08-0661 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. 1. FUNERAL EXPENSES: 2. 3. 4. 5. 6. B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 1,000.00 Name of Personal Representative(s) RAYMOND C. REAM Social Security Number(s)IEIN Number of Personal Representative(s) 184-12-2227 Street Address 1716 LOCUST STREET City NEW CUMBERLAND .State PA Zip 17C170 Year(s) Commission Paid: 2008 2. Attorney Fees 2,704.94 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 98.00 5. Accountant's Fees 6. Tax Retum Preparer's Fees 7. PUBLISH EXECUTOR'S NOTICE: CUMBERLAND LAW JOURNAL 75.00 e. PUBLISH EXECUTOR'S NOTICE: PATRIOT NEWS 168.96 TOTAL (Also enter on line 9, Re~;apitulation) I $ 4,046.90 (If more space is needed, insert additional sheets of the same size) REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER CLARA BELLE REAM 21-08-0661 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. tlr more space rs needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER CLARA BELLE REAM 21-08-0661 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE t TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 RAYMOND C. REAM, 1716 LOCUST ST., NEW CUMBERLAND, PA BROTHER 1/3 RESIDUE 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 1 • I Calvary United Methodist Church, 700 Market St., Lemoyne, PA 17043 ~ 1/3 RESIDUE 2~ I Bethesda Mission, 611 Reilly St., Harrisburg, PA 17102 ~ 1/3 RESIDUE 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) LIST Tti'ILL AND TESTAMENT ~~--, OF CLARA BELLE REAM SAIDIS UFF, FLO~~~ER LINDS.~1~' Came Hill, PA j I, Clara Belle Ream, of Camp Hill, Cumberland Coanty, Penr~svlvania., _ being of sound and disposi ng rr;ind, men~io r~~% and _ understanding, do riereby mare, publisr~ and declare this a~ , ~,_,ana i !" ~ - t: for m,.% Last Will and Testament, Hereby i_ > revol_i ng =all c_ ~~rier' i~i lls and Codi ci 1 s heretofo~~e made by me. ~-= ~ - - - ~, - ,r, FIRST -' ' . -- I direct the payment of my just debts _ ~- and e~:p~"rises o~, my last illness a nd funeral from my estate as soon after my death ~ as conveniently may be done. If there be no ~eme~er_>% lot available for my interment ovmed by me at t'_~Ie time of my cea~l_', ~ au~norize my personal represerl~a~~ve tc ~arcl~~se such cemetery lot U-ith a contract for perpetual care, using therefor funds from my estate in such amount as he shall col~si de,~ necessary and desirable, and I autho,-i se my personal ~~ep~^esentative to cause title to or owne,~ship of such. lot so purchased tc be vested in such person as my personal rep=-esenta~ive shall designate. ~urthe~-, I authorize my personal representative to e~~pend mounds prom my es~ate, in such amount as my ;personal represen~ati~Te shall consider necessary alid des--rabic for the _.._ _r,.~.. >: j .: zs ~, _ e~EJc`~or_, and ii~sc,_1pti_on of a suitaLle marker for my ,, _ purchase, C~. 1^~ Ve . SECOND I give, devise and bequeath all the ~~est , ,~esiaue and ,~em_ finder of m~% estate as follows A. One-third to my brother, Raymond C. _ Ream, iT he survives me by thirty (30) days. B Gne-third to the Bethesda Mission of 611 kei ly Street, Harrisburg, Pennsylvania. C. One-third to Calvary United ?sethodist Churcri of 700 T~ar}ret Street , Lemoyne, Pennsylvania . THIRD I direct that any and all inheritance, est~.te, and transfer taxes imposed upon my estate passing under this [~~ill or o~herwise shall be paid out of the p~~i nc'~pal of my residuary estate. FOURTH Ir_ addition to the powers conferred by _!aw, I authorize any personal representative acting under this i?~strument, in his absolute discretion: ~.. To retain in the form rece~~Ted, o=" to sell either at public or private sale any real or personal property; r ions o subsc:~_-be fo?~ stoc}:s, t t B . To exercise and op bonds, o,^ other investments; 2 _.. __ __ _.. ir, ar!v elan of ~ _._-----_.__ C. To loin - _ i _Eas~, mortgage F COT1sG~1Cic"it10n, e?=CIla17C~e, rF'O?~gct?71~ctt,.~Ci~i J1" `_il"e`~CjSU?-e Gf any corporation in which my estate or any trust n~iay hold stoc}-s, bonds or other securities; L~. To Sell, t1"arlSfer, COnVel%, m~i~~tC~c"tGe, 1J -' e'dCJe, ~-eaSe c,r e}_cl~ange any property, real or perso::~al , v,~ni ch at any time may form part of my estate, for tree pa,,Tment of debts or ta~~es, or for any purpose oz adminis~ration or d--stri.bution, for such prices and upon such terms as my personal representative, in his sole discretion, may deem i S wise, and to execute and deliver deeds of conveyance or `~ transfer thereof ; E. To make settlements and compromises on such terms as m~~~ personal represent ative.~n his sole .~iscretion may deem wise without the necessity of obtaining any court approval thereof ; F. To make distribution hereunder either in cash or kind, as my personal representative in hi.s discretion may deem wise. FIFTH I do he,~eby nominate, constitute and appoint my brother, Ra-~rmond C. Ream to act as ~'}~ecutor of ph is my mast Tn'ill and Testament. Provided, however, that if he _s unv,-iiiing or unable to act as Executor, I di ~~ect ti~~e dut ~ e.= of E~~ecutor to >e pe~~-ormed: b~- Thomas E . Flower . ~~.~~ _~: . I direct that no personal represe~~~ative, guardian, trustee or other fiduciary appointed under this instrument s1_iall be ~~eauired to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I, Clara Belle Ream, have hereunto set my hand and seal to triis my Last Will and Testament, consisting of fd6d,~ (~-) typewritten pages, the =first three (~) of which bear my signature in the margin for identification, ~ ~ ~ this {~:~ day of W~C,~ (,~ 2002 . r ~ ~; ,~ ~~ - , ~~ ~,.L Clara Belle Ream Signed, sealed, published and declared by the above-named Clara Belle Ream, Testatrix, as and for hE:r Last Will and Testament in the presence of us, who have hereunto subscribed our names at her request as witnesses thereto, in the presence of said Testatriy and of each other. ' /, .~ -. ' ; _ ~ , ,, ~=- ,' ~"/ ~i J;;' r- / l" /fir i ~ ~- 4 ~.. ,, .. ... _ COP'INiONWEALTH OF PENNSYLVANIA COUIvTTY OF CUMBERLP.I~TD _- __ ___ _ __.._._...._ ...~.m. _.~~..._ ..~..~ _ ~- ~ ~~ '~ -~ - We, Mara Belle Ream, ~'~, :i-' ,~ `~. ~ _ and ~/ ,;-'% '.r i r / 1(~~ the Testatrix and w~tnes=es, <~%s~ecti vely ,: whose ' names are signed to the foregoi:~g or attacJ`ied instrument, being first duly sworn, do hereb:~' declare to the undersigned authority that the Testatri~~ signed and executed the instrument as her Last Ydill and Testament and that she signed willingl~~ and that e}>ecuted as her free and voluntary act for the purposes therein e}pressed, and that eacl-~ of the witnesses, in the presence and hearing of the Testatrix signed the Will as witnesses and that to the best of them- knowledge tree Testatri}_ was at the time eighteen (ls) or more years of age, of sound mind and under no constraint o_r undue -influence. Clara jBelle Ream' ~W~ ~DieS~ ~ `~' ~; ~~,.,~ ~Tll L ~ e S S ~i Subscribed, sworn to and acknowledged before me by Clara Belle Ream, the Testatry~>, and subscribed to and sworn or affirmed to before me by the witnesses, this _y day of July, 2002. ,/ i %` ' % ~ ~~-terry Public Notarial Seal Sallie Allshouse, Notary Public Carlisle Boro, Cumberland County My Commission Expires Mar. 29, 2004 ~~~ N~&T ~~r~~c ACCOUNT N0. ACCOUNT TYPE 70569614 RELATIONSHIP CHECKING WITH INTEREST STATEMENT PERIOD PAGE JUN.07-JUL.03,2008 1 OF 1 00 0 D6123M NM 017 CLARA BELLE REAM 1716 LOCUST ST NEW CUMBERLAND PA 17070 INTEREST EARNED FOR STATEMENT PERIOD 0.42 INTEREST PAID YEAR TO DATE 5.73 64995 ACCOUNT SUMMARY WEST SHORE_ PLAZA BEGINNING BALANCE DEPOSITS 8 -0THER ADDITIONS CHECKS PAID OTHER SUBTRACTIONS CURRENT INTEREST PD ENDING BALANCE N0. AMOUNT N0. AMOUNT N0. AMOUNT 11,608.73 0 0.00 0 0.00 0 O.OD 0.43 11,609.16 ACCOUNT ACTIVITY POSTING DATE TRANSACTIDN DESCRIPTION DEPOSITS,INTEREST & OTHER ADDITIONS CHECKS & OTHER SUBTRACTIONS DAILY BALANCf- D6-07-08 BEGINNING BALANCE 511,608.73 07-D3-08 INTEREST PAYMENT 0,43 11,6D9.16 ENDING BALANCE 511,609.16 ANNUAL PERCENTAGE YIELD EARNED = 0.04 NEW! aCOLLEGE CHECKING - EXCLUSIVELY FOR STUDENTS DO YOU KNOW SOMEONE WHD IS GETTING READY FOR COLLEGE? THE NEW aCOLLEGE CHECKING ACCOUNT WAS DESIGNED ESPECIALLY FOR STUDENTS. aCOLLEGE CHECKING HAS NO MINIMUM BALANCE REQUIREMENT, NO MONTHLY SERVICE CHARGE, enln COuVEkIENT ACCccS ncTIO!dS FOP. STUDENTS . FOR MORE INFORMATIDN VISIT MTB.COM/ATCDLLEGE OR STOP IN TO A BRANCH TODAY! LOOBA (6/071 .~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF FINANCIAL OPERATIONS DIVISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8486 HARRISBURG, PA 17105-8486 October 23, 2008 SAIDIS FLOWER & LINDSAY THOMAS E. FLOWER, ESQUIRE 2109 MARKET ST CAMP HILL PA 17011 Re: CLARA REAM CIS #: 640214184 SSN: 164-38-5584 Date of Death: 06/12/2008 Dear Attorney Flower: ... ~ .p ~R~ p~ Please be advised that the Department of Public WelfarE~ maintains a claim in the amount of $14,313.82 against the above-mentionE=d estate. This claim is for restitution of medical assistance granted on be°half of the decedent for which the Probate Estate is now responsible to reimburse the Department according to Act 49, 62 P.S. 1412, effective Aug>.>st 15, 1994, as amended by Act 20-95, effective June 30, 1995. Enclosed is the Department's itemized statement of claim. A portion of this medical expense, namely $14,313.82, >n~as incurred during the last six months of the decedent's life; thereforE:, it is a Class 3 claim pursuant to Section 3392 of the Decedents, Estates, anal Fiduciaries Code, 20 Pa. C.S.A. 3392(3). The balance of the claim, namely $.00, is to be entered as a priority Class 6 claim against the estate. Please acknowledge receipt of this letter and advise whether the Commonwealth's claim is admitted and when payment may be expected. If the estate accounting is complete, please provide a copy. If the estate contains real estate, please provide copies of the deed, the latest tax assessment, and a current appraisal, if available. Seder ~~` ~ ~._. ~ ~ ~~~ Karen H. Peterson Claims Investigation ~~gent 717-772-6615 717-772-6553 FAX Enclosure Form PB-01 eSSla~i ~~:~' ~ ~.~ 4;~; v~ It-IL_~~ Ire 100 MOUNT ALLEN DRIVE, MECHANICSBURG, PA 17055 THOMAS E FLOWER 2109 MARKET ST. CAMP HILL, PA 17011 QUESTIONS? CALL: 717 697-4666 RESIDENT # UNIT STMT. DATE 50516 268 W 08/31/2008 RESIDENT S Ms. CLARA BELLE REAM TOTAL AMOl1NT DUE $0.00 DATE DUE 09/30/2008 DATE DESCRIPTlGN! RATE Days/ Units GFIARGES CREDITS I:A~ANCE 08/15/08 Balance Forward PAYMENT RECEIVED -THANK YOU!!! 4,573.00 4,573.00 0.00 RESIDENT # 50516 CURRENT 0.00 OVER 30 0.00 OVER 60 0.00 OVER 90 0.00 OVER 120 0.00 TOTAL AMOUNT DUE $0.00 RESIDENT NAME Ms. CLARA BELLE REAM Form PB-Ot A I % finance charge may be assessed on accounts for which payment has not been received by the due date. Thank you! If you have any questions or concerns about your bill, please address them directly to Fiscal Services at 790-8220. Thank You! LAW OFFICES JOHN E. SLIKE ROBERT C. SAIDIS JAMES D. FLOWER, JR CAROL J. LINDSAY JOHN B. LAMPI DANIEL L. SULLIVAN GEORGE F. DOUGLAS, III DEAN E. REYNOSA THOMAS E. FLOWER MARYLOU MATAS SAIDIS, FLOWER & LINDSAX A PROFESSIONAL CORPORATION 2109 MARKET STREET CAMP HILL, PENNSYLVANIA 17011 TELEPHONE: (717) 737-3405 -FACSIMILE: (717) 737-3407 EMAIL: tflower@sfl-law.com www.sfl-law.com November 13, 2008 Office of the Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Re: Estate of Clara B. Ream File No. 21-08-0661 Dear Sir or Madam: CARLISLE OFFICE: 26 WEST HIGH STREET CARLISLE, PA 17013 TELEPHONE: (717)243-6222 FACSIMILE: (717)243-6486 REPLY TO CAMP HILL Enclosed are the original and two copies of the Inheritance Ta.x Return for the above- referenced decedent along with a check in the amount of $15.00 in p<Iyment of the filing fee. Please return. atime-stamped copy in the enclosed self-addressed stamped envelope. Please contact our office if you have any questions regarding this matter. Very truly yours, SAIDIS, FLOWER & LINDSAY ~ ~ ~ti~~a Karen Riccardo, Assistant t~~ Thomas E. Flower, Esq. TE~kar Q ° _. -: Enclosures --- - , - _ ~ ~_ c= _ ~. {~= L-- - q~ 3 C1_ L_. . _ . ~ ~ .,,', CV ~~dlsad sn ~~ OI x rn ~ '~ ~,, _ N ~ LL - ~ ~ ~ a z~3~~~H '.~,M ~ ~.~ Ti r ~r' ~ .1 ~T. ^ z~~ •~ .T 7 ~. . ~, ~ Q =. ~ `~ oU~ ~_. l..~.~ 1., ~ C ~ ~ ~ Lx ... ~ ~- • ~., r' ~, ~ ~ ~ ~. u. ,-- cn a U ~, _ °o N A N cn O z =~ ~~~° ~°~ ~~ U Q F o. a O O y 0 ,~< ~ ~U ~~ w ~ o a~~~ A O L O ~U O ~ o c n ~ ~ U ~ O ~ ~ ~ ~ (0 OUOU O F-