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Home My WebLink About12-15-09 (3)15056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Coun Code Year File Number Bureau of Individual Taxes ~' PoBOx26oso1 INHERITANCE TAX RETURN Harrisburg, PA n12s-osol RESIDENT DECEDENT 21 09 0326 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 179-12-3492 11/20/2008 ' 01/21/1923 Decedent's Last Name Suffix Decedent's First Name MI _. _ __.. Keim ', ' Retha M (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI _ _ _ Spouse's Social Security Number FILL INAPPROPRIATE OVALS BELOW ~ ; 1. Original Retum 4. Limited Estate 1: 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS ~,,::; 2. Supplemental Retum 3. Remainder Return (date of death prior to 12-13-82) 4a. Future Interest Compromise (date of _ 5. Federal Estate Tax Return Required death after 12-12-82) 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death ~ ,.., 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number Elizabeth J. Saylor Esq ' ', (717) 591-1755 Firm Name (If Applicable) es - Law Ofcs of Peter Russo - - REGISTER QF~IVILLS USE O~ PLEASE NOTT: DUE TO AN ~. ~ ti+:~ -n ELECTRONIC MALFUNCTION WITH - ~ ~ - ' - First line of address ~ TIMECLOCK-'THE CLOCK DATE ON . ~ ~ r C'7 c'7 , ~.•~ ' 5006 E Trindle Road THIS DOCUMENT IS 12 I IOURS BEHIND i ~ ~ ~ s'ri -- t ~ ~ r' ~~i . THE ACTUAL TIME. ; ~ ~" =- -~ ~ - Second line of address r ~~:. , ,,,~ ~ _. _ .:~. r --RF_CGISTER OF \LTIJS/CLERK OF ORPHANS' CRT ~ J ~`I - „-^ ' 1 Suite 100 ~ ~ ~' ^'- ~~ City or Post Office _ DATE r-FtED , ~ State ZIP Code ~.~.3 l_t ~,~ : _ ~ _ <.h _:; i Mechanicsburg PA ' 17050 N Correspondent's a-mail address: Lsaylor@pjrlaw.COm Under penalties of perjury, I declare that 1 have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, corcect and complete. DeGaratfon of preparer other than the personal representative is based on all information of which preparer has any knowledge. ADDR SS~O~E,SPO~JSIB~FILING RF,} R,~N~ ~ ~pgTE , -~ 122 Virginia Beach Avenue, Carlisler,'-P~A'r17015 Q-`T SIGNATU F PREPARER OTHER THAN REPRESENTATIVE DAT ADDRESS 5006 E. Trindle Road, Suite 100, Mechanicsburg, PA 17050 PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 15056052059 REV-1500 EX Decedent's Social Security Number R2tha M Kelm ' 179-12-3492 s Name Decedent RECAPITULATION 1. Real estate (Schedule A) . .......................................... .. 1. 2. Stocks and Bonds (Schedule B) ..................................... .. 2. 288.33 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 4. Mortgages 8~ Notes Receivable (Schedule D) ........................... .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ...... .. 5. ' 500.00 6. Jointly Owned Property (Schedule F) C~;;:= Separate Billing Requested ..... .. 6. 41,050.30 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) ':="'"'`= Separate Billing Requested...... .. 7. 8. Total Gross Assets (total Lines 1-7) .................................. .. 8. 41,838.63 9. Funeral Expenses & Administrative Costs (Schedule H) ................... .. 9. ' 12,539.44 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............. .. 10. 11. Total Deductions (total Lines 9 & 10) ................................. .. 11. 12,539.44 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 13. Charitable and Governmental Bequests/Sec 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. 29,299.19 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 45 29,299.19 16. 1, 318.46 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. 1,318.46 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: Retha M Keim STREET ADDRESS 122 Virginia Beach Avenue clrr Carlisle Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. InteresdPenalty if applicable D. Interest E. Penalty 21.67 Ffle Number 21 09 0326 DECEDENTS SOCIAL SECURITY NUMBER 179-12-3492 --__- STATE ZIP PA ~I 17015 1,318.46 Total Credits (A + B + C) (2) Total InterestlPenalty (D + E ) 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. 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. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) (5A) (56) Make Check Payable to: REGISTER OF WILLS, AGENT 0.00 21.67 21.67 1,340.13 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 :.......................................................................................... ^ 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? ........................................................................................................................ 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. §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) percenl [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 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 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. REV-1503 EX+ (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Retha M. Keim 21-09-0326 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH t ~ Computershare, Acct No. 00001444361, 21 shares @ 13.73 per share 288.33 TOTAL (Also enter on line 2, Recapitulation) I $ 288.33 (If more space is needed, insert additional sheets of the same size) - ~omputershar Computershare Investor Services 250 Royall Street Canton Massachusetts 02021 www.computershare.com LAW OFFICES OF PETER J RUSSO PC ATTORNEYS AT LAW ATTN: AMBER L SOUTHARD 5006 EAST TRINDLE ROAD SUITE 100 MECHANICSBURG PA 17050 July 31, 2009 Company: Registration: Holder Account Number: Our Reference: Dear Ms. Southard: PRUDENTIAL FINANCIAL INC RETHA M KEIM 00001444361 PRU/0002821679/2/ Thank you for contacting Computershare, Prudential's transfer agent. We appreciate the opportunity to be of service to you. On November 20, 2008, account number 00001444361 held 21 shares. On that date, the closing price was $13.73 per share. Information regarding the other account will be mailed under separate cover. Should you have other account related questions, please call us at 1-800-305-9404 between the hours of 8:30 AM and 6:00 PM Eastern US time, Monday through Friday. A to%ommunications device for the hearing impaired (T7Y/TDD) is also available at i-800-619 2837. Sincerely, Service Representative Enclosure: None REV-1508 EX+ (6-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Retha M. Keim 21-09-0326 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Clothing, costume jewelry 500.00 TOTAL (Also enter on line 5, Recapitulation) S 500.00 (If more space is needed, insert additional sheets of the same size) REV-1509 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY OWNED PROPERTY ESTATE OF FILE NUMBER Retha M.Keim 21-09-0326 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A• Betty J. Keim 122 Virginia Beach Avenue Carlisle, PA 17015 Daughter B. C JOINTLY-OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST ~~ A' 07122196 1995 Skyline Mobile Home -VIN 2G111125H6 44,600.00 50% 22,300.00 2 A. 01101106 Citizens Bank Checking -Account No. 6100767418 6,171.83 50% 3,085.92 3. A. 01101106 Citizens Bank Time Deposits - Account No. 6140876508 31,328.75 50% 15,664.38 TOTAL (Also enter on line 6, Recapitulation) 13 41,050.30 (If more space is needed, insert additional sheets of the same size) I~Tew Mobile Homes For Sale permsylvania Used Mobile Homes For Sale pennsylvania Page 1 of 4 Comparable MHBay.com Phone: 800-950-1364 Ttte Ultimate Place to Buy or Sell a New or Used Manufactured Home or Mobile Home! 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Pay $1 to get listings in your Search Complete Area MLSI Manufactured and modular homes area w,vv.kwiliiamshomesearch com bonnieheieMshomes.com Manufactured w~wiHUOrorecloseawm ~~~ ~ Mobile Home 'oOS Homes For Sale Financin~q Quote Land and Home For Sale Mobile Home Financing - ~« Lots For Sale Sell a New or Used Mobile note vwu~ie ~.,., RADA "" `~""'°., Home-FREE FOr Rent Update vour Listing Mobile Home Insurance Quote Mobile Homes For Rent Lots For Rent Directories Mobile Home Parks Dealers/Retailers Movers/Transporters Services Financing for Mobile Homes Insurance for Mobile Homes Real Estate Brokers Inspections Appraisals Books 8 Resources Parts & Repair Mobile Home Skirting Parts, Supply, Repair, and Service Companies Wanted To Buy Mobile Homes Mobile Home Notes Used Skyline Manufactured Home For Sale In Pennsylvania Mobile Home Make & Model Skyline Year of Home: 1990 Width: 28 Length: 56 Number of Bedrooms: 3 Number of Bathrooms: 1 Upon sale, does mobile home nee moved? No Is home setup and ready to be occupied? Yes Asking Price: $48,700.00 Financing and Terms Cash, New Loan Roof Shingle Siding Vinyl Fireplace No Garage or Carport None Heating Propane Cooling None Overall Condition of Mobile Home: Average Appliances Refrigerator, Dishwaser, Washer, Dryer Other Features or Comments About this Used Mobile Home For Sale: This 3 bedroom 2 bathroom home is located in a nice quiet park outside of Abbottstown. The home has a nice kitchen with lots of cabinets. The stove, refrigerator and washer/ dryer come with the sale of this home. Located off the kitchen is a separate dining room with Pergo flooring and a built in glass faced buffet. There is lots of space in this home because you can use the living room or the separate family room. This home has 2x6 construction for better insulation, new carpeting bedrooms in 2007 and a new roof 2005. You can go outside to enjoy the covered porch on one side or the built in porch on the other. Also inGuded in the sale is a one year limited warranty. Give us a call to take a look. This home is located in a land lease community. CALL PARAMOUNT HOME SALES AT 1-888-747- 9484 FOR ADDITIONAL INFORMATION AND UPDATED PRICING. www.ohshomes.net INFORMATION HEREIN BELIEVED TO BE ACCURATE BUT NOT GUARANTEED. When responding by email, please include a phone #. /_..~! Find New or Used Manu/actured Homes For Sale Mobile Home Park Investor's Boot cams October 23-25, 2009 Looking for a Mobile Home Park? See our National List of over 40.000 Communities How to make money buvina mobile home as rksl View comments and testimonials from our customers 1^~~..//.~,.<..., ..r.L.l..,~, .....~.~, /4...mn f r o.~to/r.nnr~o<>~<>nr<io/ro t ~ A_~ti<1<n+*atn«m_r<an<-~a<>ll<>nr~io ~+m i n/~/~nno ,~, July 20, 2009 AMBER L SOUTHA~D 5006 EAST TRINDLE ROAD SUITE 100 MECHANICSBURG PA 17050 Estate of RETHA M KEIM Date of Death: Nov 20, 2008 SSN: 179-12-3492 Dear Sir/Madam: ~-~.. 525 William Penn Place Suite 153-2618 Pittsburgh, PA 15219 In accordance with your request, the attached information sheet has been provided in the above decedent's name as of his/her date of death. For IL or LC accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please call 888-999-6884 Sincerely, Pfeil, Mamie Operations Services ~ Citizens Bank Account Number 6100767418 Account Title RETHA M KEIM BETTY J KEIM Date O ened 8/20/1990 Account T e Checkin Princi al Balance as of DOD $6171.83 Interest from Last Postin to DOD $ .00 Account Balance as of DOD $6171.83 YTD Interest to DOD $ .00 Citizens Bank Account Number 6140876508 Account Title RETHA M KEIM BETTY J KEIM Date O ened 10/15/1990 Account T e Time De osits Principal Balance as of DOD $31260.24 Interest from Last Postin to DOD $68.51 Account Balance as of DOD $31328.75 YTD Interest to DOD $1033.65 DC T, 30. 2009 3: O1 PM ND. 617 P. 2 HOL-ll~Cs CO 01 D81011ID DEPDSYM AGCa~6 ~~641P1 * PNa7+ NO 3313 CI3'IZSNS SANK OF YI+VANi71 PAOCSSB LATE 07/l7/O4 nafaa oso !~ un,~,h_rr.~afxe±e PROCESS xBRA 07/17/06 NAB ANd ADDRESS CAANGSS p,C~r ••--E~ 2m11~/ADDRESS X!~'OP~1L0ls--- ---OLD 1~/ADDRESS WTSON NOl~IIi TYPE SY~Q LATA TY PE SEQ LATA *rrrrtrrrtrr t t •**rarrrrrr rri~ri~rt rrrrrstrR7ewRrkrerrrr#r1e # r rNl~*•rtrrrrrN•Mrrrrrrrrrrr~MNrrttrrrrrtr 610076-jai-e 1 i RETHA DQ ~~ i 1 ~~' m ~~ 1 2 9RTTY S BB~6' ~ 2 8C17:X S EEIli 2 1 7078 CARLISLE P~ LOT 67 2 1 7073 CARLISLE PAO: APT 67 9 1 G1AS.ISLE PA 17D15 3 1 CAICLISLB FA 17019-9759 ,~ RATS Q! LAST ~Cfi: 03/07/05 SOORCT: COX 07/17/06 10.55 REV-1510 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Retha M. Keim 21-09-0326 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 OFTHETRANSFEREE,THEIRRELATIONSHIPTODECEDENTAND THE DATE OF TRANSFER.ATTACHACOPYDFTHEDEEDFORREALESTATE. DATE OF DEATH VALUE OF ASSET %OFDECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE ~ ~ Betty J. Keim, daughter - 12/18/08 2,513.53 0 0.00 Stonebridge Life Insurance Policy No. 74L3770308 p 2. Betty J. Keim, daughter -11/26108 1,793.14 0 0.00 Prudential Life Insurance Policy No. D50257021 p 3. Donna K, Seeger, daughter -11/26108 1,793.14 0 0.00 Prudential Life Insurance Policy No. D50257021 p 4. Connie L. Greegor, daughter -12110/08 1,795.34 0 0.00 Prudential Life Insurance Policy No. D50257021 p 5. Betty J. Keim, daughter -11126/08 703.36 0 0.00 Prudential Life Insurance Policy No. 75698624 p 6. Donna K. Seeger, daughter -11/26/08 703.36 0 0.00 Prudential Life Insurance Policy No. 75698624 p 7. Connie L. Greegor, daughter -12/10108 704.16 0 0.00 Prudential Life Insurance Policy No. 75698624 p TOTAL (Also enter on line 7 Recapitulation) 3 I 0.00 (If 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 NUMBER Retha M. Keim 21-09-0326 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 ~ Myers Funeral Home -Viewing 5,044.00 2. Woodlawn Memorial Park & Funeral Home -Burial 3,990.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Retum Preparer's Fees ~. Preperation and Filing of Rev-1500 Zip Zip 2,760.32 595.12 150.00 TOTAL (Also enter on line 9, Recapitulation) I $ 12,539.44 (If more space is needed, insert additional sheets of the same size) Pour (ieneralrars... Celehrvting Lije; Xonoriir~ TrvA/tion:~' RS BOYD L.IVIYERS, JR., Supervisor 37 E. MAIN STREET MECHANICSBURG, PENNSYLVANIA 17055 `funeral C~°ame, inc. ~77"~-~21 STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED Charges are only for those items that you selected or that are required. If we are required by law or by a cemetery or crematory to use any Items, we will explain in writing below. if you selected a funeral that may require embalming, such as a funeral with v'ewing, you may have to pay for embalming. You do not have to pay for embalming you did not approve if yo ected arrasg,e ments su a direct cre on / ate burial. if we charged for embalming, we will ezpl wh below. For the Service of ~r~lt'~fi ~' ~ Date of Death ZO 2,.v v ~ Charge to: Name Address A. CHARGE FOR SERVICES SELECTED: 1. PROFESSIONAL SERVICES Services of Funeral DirectorlStaff .... i ~~' Embalming ...................... S ~ Other preparation of body ............................... i SUB-TOTAL OF PROFESSIONAL SERVICES......... AI E~r~.G FACILITIES AND SERVICES Use cilities and services for iewin VisitationlWake)...... ... 5 ~~' Use of facilities and services for funeral ceremony ......... ... $~~~' Use of facilities and services for Memorial Service ............ ... $ ''"' Use of equipment and services for graveside service ......... .... i Other use of facilities SUB-TOTAL OF FACILITIESIEQUIPMENT ........... A2 5 AUTOMOTIVE EQUIPMENT Vehicle to transfer remains to Funeral Ho,Q~e.. tGl. Local .......................... Hearse (Casket C ach) Local ..~...~. P °`~`'~'.... S~ Limousine Local ........................... S ^ Family car Local ........................... 8 ,.- Flower car or floral disposition _ Local ........................... E Lead carlc $car ' Local ... CVL7:^.'~~~:`Ffi i... Other clothing Cremation urn .................. . (Description) OTHER s S TOTAL MERCHANDISE SELECTED .... ~ ............. B f t~~ C. SPECL0.L CHARGES: Forwarding of remains to E (Funeral Home) Receiving of remains from _ i (Funeral Home) Immediate Burial ................. 8 E~ SUB-TOTAL OF SPECIAL CHARGES ................ C i D. CASH ADVANCED Opening Grave .................. 8 Cemetery Equipment .............. S Lot and Deed .................... Newspaper Notices-Local ......... E 8.%1` S`~ "~ Newspaper Notices-Out-of--town .... i Telephone & Telegrams ........... f Airfare ......................... i Clergy/Mass Offering .............. 8~~~--- Pallbearers ...................... S Certified Copies of the D ath ~ ' ~ ~ ~ ?~ ~~ P....... Certificate ..... /. r. .. E Police Escort .................... ~ " Flowers ........................ ~ S l2_ ~ V~a~}tI~t Serviceyr~, arge .............. ~ ~ ~ZZ 8 ~~ I ' ,e- $ ~ s State S f i •-= --- VtfOODLAVI(N FUNERAL HOME X200 No.001811.~ po Box 585627 ORLANDO, FL 32858-5627 INDIVIDUAL CASH RECEIPT d07-293-1361 DATE i l ~ 2l ~ ~ ACCOUNT NO. / ~O ,~ yl. q s ~ 4 ~'S ACCT/CONTR. NAME ~+L~~}/A Kf l M ACCT/CONTR. NO. ~ l4 Y ~ RECEIVED FROM ~7Fi7ti( SCE i A. C% ~ / C.C. APPROVAL ~ DESCRIPTION C.C. TYPE TRUST NO. GJL ACCT. ~J ci~cg (YS3 BY _ ~i „r ~--. ^ CREDT cARn GEN 8001(3/08) Whitt - Customer Copy Yellow - Contract Fik ~ i1 ~ S CASH .• ~ TOTAL 3 q 9c `' n~srr i~ _ ~~ ~, THANE YOU x~~?r, \+b cy~dlawn Memorial Park dt Funeral Horne 4~Woodlaw{t Caaetery Road Contru~. W - 420001002429 ~iorb:,, Ft. 34734 Cato.11-2t13T30648 (407) 293-1961 Kepi Smitb Meek F034002 9usirtmnc Lionise Number F1ii034 Ststcmclnt of Y~'oncral Goods and Services Selert sac °ac °f T~f° ~+ d/p Dare of Death 1 I /20/2008 e >~re$~ m eat Date o erviae 11/29/2008 name of theonsed >;ethts'(Geim DstcoYBieth O1rZ1/2923 Docemed's Last Addtcas 122 Vit'Siriia 13eaeb Avenue City Carlisle State pA 'Lip Gode 1702 5 PurchoaeYs NanuA J Keim t'hoae Nnmber (717) 766-65?I Parahascr'a dome Addrcar I22 yi~~ia gdBOJt Avenue Ci:r C9rlisle state PA Zip Cade 27025 Co-PnrohwseYs Name Phorw Numbee ~•Pwohwsora ~~ Addro~ City In this Agroement o words you wad yowr Tafer fD the Purohwaer wDd 3tatc Zip Codo a Co= urohwaor, il'wny, sisalna this Agrccmeat Tho word Sellrr whose aware wad sddrosw rpperr above. Fer good wad valnablm b l Y l i . s we, rs an our ee r to unrrd rvvider or wnwideration, which eaah pray aeknawladgea roestving you sgrac to b h , ay t e ow. ou aut tor e aeoda and sarvieos dorenbad :o ua to propua aed eaew [or tho body of tbo deeadort gamed ie this Atmmom and to conduct tna funeral and z rvi tigraeataat. W w hrva rho rtph! b solltet Lbw Lout Emountr due nodes a oea and ineur the vhsrgea listed in acid this Aliroament from way pmraon wh i h ~ o s Qaa t is Agresmeat as Pnrahaser or Co-Pnrebaser. (N/A tnrttovtee arses are ibr t8ose items at yotl sslestod or t2wt are reayitrod. If ~ are regairod by late or by a teteetery or ere s t t a ory to ase gay Itratr. we 11 atptala the troasom is wrtsiaS bt:)oet: I[yt+° aetetwod a tsnet'al t2tat grey repairs csbalmiatl. sudt rr a lYraeral wit4 t~Y for eaWrl~ina you did oot atrpreVe if you adeeted rta'wrSnyenls web ra a direet a ~~~~ Y~ do set 11wve tD tl w ~ ~ below. rema oa Or imwate bviwL I[ e abrree if for p ~s we wilt ei[ptaip..ny FUNERAL DIRECTOR AND 8TAPF 81IRVICH8 M R HANDI E Bwsio Profcssionwi Svrvioo Fee ._._._....... s ..... IDd Cmket m' Altotrtatiwe Coattonerc ........... 'ACKAt3! Ol•PERINGl1 ~ Ntartt~etu-ed5uppller Dlreet Cromwtion ___-.___.-._-_•------•----•--•--------------- S ModN Nauta/Ntortbor Mt tmmedinte Burin) ................................:............ 3 Na Mnterid FurwrrdinyRrmainr -----•-------.- °-°-------- S Na SpccioaofWood Raceirin Remains s ........... .... . ..... . 2 !6 .... _........ 693.00 T:'pe of Merest t .. - Weighdr J~e~ N° »...... .......................................................... : iraanor Na ........ Exterior CDI~~~,.--,__~ S Na ...~..~.... :ARE AND PREPARATION OF REMAINS' ... OuterBttttialContaiarr: Embatmine..----------------.._•--.-.--....---•--..------•------ S n/a Manufieturet/Snppilot Other Prapnratinn (apeuify) Model NwmvMnmbcr _S Na Muuxia! __ ~ ~~ ~ s .. .•-----•-• ---• -•---•-- ~ Mnnufaaturari3applivr _ ; : .------,._ S ....................... . nh ~ Mode! kVa+ne/Numbe* ..............••°•-•-.._.............._...--•-----...-----• S Na Material •----._ b n/n JSE OF FACILITIES ANQ RELATED SERVICES --------------- Yiattahon ..... .. .---~ S .. .. ; Na tt/a Funeral Cesctnony ...................°--•-•.....;..-•--•------ S ---•---•°--- ---... ................._. S ah- Na Memorial Service. .._..... -----------•-•-°---•--------•---- = TOTAL SECTION f Na .... ........_....... f 2.tS9S.00 Graveside Scrvioc ------°----------------------------•--_-•--- Na SECTtON It -CNARGES TO ~ INCURRED Olt US ON t?ther (~cpecitY). YOUR BEHALF f~CMla/a t:bar~a ttrsy bs awfmarod : ~ ^ 5 o trtynrse Na +) LRfO thsr~ roes [pr Otrr serviws i t t •----•--------------------------------------•-•~.•------ - _ •-- - n v r sinirrp prose Itetrts tt/u trtarkod rrlth tat'!C: . S u/a Cary .-...-----°-------•-----•-- ` Na TRANSPORTATION -ate'- -•-•----------•--•------•-•- i Na ~ . S TranaibMnE Itetrralns to Fnnoral Horne-.------;•------- ......................••---..._..--•--•.._..._._... Na nh ... Nlusidatts or 3ingen. Fttrwral Vefiivlt/lipprye.,. - • •,. ,,, S "" .......... . . Inq Cortltied Copiq a!a Newapapnr Notiaas TfASlsiCi~Jlsl!toll!AJiS>S~Ci...._.....---•-__............ s .... ~ Ind _ .... .. .. _ _ Ns ..... _..... ............... ......................._ .__...... S .... _________________________ ......._................_..._....._-•............... Nw .................... Ala ................................•___........_.. ._..._._. S __°--_- Na Na --- .............................__._..........._...... ny- )TFIER GOODS AND SERVICES ~ •-- °-°--••-°-.. Memoritd BooMn »°-°--__...•----•• .............°--•----• S n/a ...°•---...................----••-...°_...... Sorvieo Foldors S Na ----•- Ptaycr Carda.._...----°•-- i Na --°- ......................... --- nhr AeBowwladgomomCa:+do .... s _.. Na -------------^•--....._ _.. ------ ; rater Memaiai 2'aoiwga--------------- - - --------------------------------------- L -----•-------- ------------- ---------------- -------------------- 5 ------------------ -------------------------- : N rya ._ .. .- S Na ---------------------••- - ................._. Na : -•-----°•°-----...--° ... - Na .......................... ...»_...... f s ff~n TOTAL SECTION b .... .. ' s nh TOTAL SECTION I CNAR'GES ML 3 -------- -- .... ...._.__--__-- „--_ nM ---•---- ~ .. -_...°----.° ..............................................°--_--3 L sEC'iloti le ctu-RtiiES - .----.-•---_-__- ~ a.oo Na S TOTAL SECTION 1 ANO SECTION h CNAR6ES . Na =-- _ ?.t6V3 OQ -------•-------•-----•-------••-----•---°-----------------... ... S ~~ Nn •------------------------------•--••-•----.-...-- •---.. S N _________________________________________________________.. S MNaCf1A%KR% IN I.1t AND DATE w~TNE55' INIT1ALa AND DATE Na Ct-arSee are only for t[wae ltenta that are tsaed. U the type of Ihueral selcted regWrea extra lmtna, as aspbrarba +.ia be given. ~,.xaio. x,:r.~~. NMt1C Or a.Ne .sasca R^r~ Yurt'I~~vci ..f"1'hrq; P~r[5 Contract. N - d_„QQQ t 00?229 Statctesaeat of Funeral Goads and Services SeloetadlYnrchnse Agrcemcat TOTAL 8Et:Ttt]N 1 ANO 8Et+TtON U CNAR6t;r8 ------------------------------------- - 3lrCl'iONlII-ALLOWANtl:B ~ _ . ......_..-•---•---_.,,,„~~~0~ ~.~.~ ... ...........s Nn ._.....-------------------•--•--.._.._..__...--- -----•---•--.._....-•- -.. ------------- .......5 Na .~._ ..._...._.°....... Na TOTAL AI-LOANANCES-•------~---.... .. .. ..........._.........-•-°•-- --•--._. S 0.00 SEC'tiIONN-TAXreS --^•_°° .•^----..._.._ .............._ TstcatNalterttsSeetloni+or-Secdonilt:--°------•-------._._. ...~ Na Lars Deductibles.-----•----..._ ........ .......................°------------ ............... ----------°~ nra TOTAL TAXES °+s -- .__----•--- TOTAL CitAItO~S: Saetlen 1 + 1 + er ~ ---- -------------- ----------~- 0. . --••--- 2.495.00 Lpe1s K.luch Keoai,.e.d --•-'°---°---•-----•-----'-------'-'-•--'__.."'-----'----°------•--------------•----- S Ne Lrsa Itarierteneerts OC.... ......... ..............,_.._._...... . __..............._._.._........_... _...__.-•--•--•- nh Urtpmld bal~net ditr UY~ ~~c~r~?QQ~.......: .....................--••----•-•----•--..._._.._..._......._._.._....._... 2.685 nr. PAYMeNT THRg114: Yon undarxtancl shot reo a0ctoet:ion of coedit by teti txdrjewt b federal or state credit diaotosarc. installment aafear, or Debar etarseenet credit suaams, is :wtDOmpiatcd by thin Agreoroi.KK. You have rw right to dolor pscyenutt of my eertotml deaf under iliac AlpepttaR. You agree titst you aro pt:rsoetdly liable for payeernt al the :plrtiaabE bdartre due slrevrn on flee Staeaareent of Yerrmra! t3oods oed Smvtoas Saleemd !ry tlx doe dux indlerxd on the 9latrosrnt Such prymcmt wi11 b* erwtb b ua a4 the ~ h Agrewncna Wha~e the R:li arm dne will cot ba paid prior b the yarltunic:e of the xervioa, oglted ~ py g,k q~ y~ ~ ~ b inpuire DENTIFICATION AND 03iCRIPTlON OF N41Nl3ATOErY fl'~ AND EXVLANATION OF EMBALMgrlfi C}IARBi: We liatre idgtt!lird and drtcribrd brow any gwee baimueg aaa!/or I.uparatipe eoC 1ha .e~+nins ~hete oParty ifaaw liafcd ire Pae4 Oex aed vre heva explained w1+Y wro ahseEed ibt anbalenine. You admewlas~, r.,d may ~ performed at die teeoility oYtho abovo-erYctaAxd rittterai home or at swthar froiNty that is duty t taensed and ~9uiPPed m provide each service. i feu oonftmt shu you have exmnitxd the aexrieeiantl ernerehattesfac {tans Ilstcd in Part Ono and found diem m be coAnat recd aoeordirgt b ~ ar<m+~omenta solec0od and that prior o signing this Smlement, you tarxsvad and apprewrd a oompirmd copy of tills 5taterrecre. Yon also oon8lrm tMt you have barn informal nl yogis sight eo aebot only such seevices rtrd ettcrvharedise as you desire, end that you htrve the logtd eta6t b arrmpa the flaeeral aerviom !br the dc~wesed Hamad nbave, Acl~owledgement of Disclosares/Diltclaitmer 'lee F000rat Trade totremissioo Trade Regtgetioe Rub on "FtaeotN ind9stry Praetioea' tognitaa aerteie disclarura sed prohiMts mireeepeereeetations. 7!ro ibltoaving is a aheekliat vo ask there vre scree b read mid sign to tgriCy that rho lunevral arreagor~et eoetarpue was oeetduetetd m aort>plisstee whh die Rule. Yeet, who nmdc rice arrare8amertts far t9tr unerei cad Beal dispoattiae otthr abovaeamrdidewrdrnt, do iwrrby altwt to the tWbrrietg: . You were given a t3cetertel PMae Lot a>lbabveisn _t11t~35r200t prior m discumleeg faprat arrrn~ntB ur the saieetiwr of eery fweenel goods or serviocs. :. You weer.shown a arackt+l Price List e;!'feetives'ontlSiT35J2W>tt prior b dlaoeessing otesieets. :.You were shown as Outer Burin Cenimraer Prier Lie eftbeeivr ou Q~S~~ ~~ prior to diaeseasfng outer burial eonealncrs. ~. You war advised that rice law does cot ruquieb renbriraing eaevpl m eesriaen e+aees. . You weYe Act adriMd that adsbdreiet$ it ggeeirad for duem eaanmiem, irten:eiliate beaid or a closed uestcet iieurrat without viewing or visitation if rrSrigeration is available. vhexr staae or lord taw does reel reye.ire aebahedrey In seteh omnec ~. Ynu were not adviaad that arty law trgtthra a caxkel for diem cremation or thrt a ettatrot, other than an ahesnative eantsincr, is rogttited ibr direct trrntatiun. '. You vrere advised tMet allele lanv doss sew regtdrv tiro peerohaae of an eerier bnriM ooretainer oe eery of dee 1laeorai goods oe seyrvices you srleeoed, ezecept as set tbreb on ~tretcmant of Fnasrrat Goode and Savioea Ilekatod. your . lVo etairos vrrn Aeada io you m m the mrrehsndia ar eaavie5sa (ambulroir,g, ciaalct, ocAer btfriai oontaieeer) b py ~}~ that etnbetenirt~ or lice t»o oTany merchaadisr evailablc corn ux would dshcy the deoweq,ertition of the rrmaierec for a ton6,term or indefinks time. or that airy sttote etsrvhaadire woWd proloet the body [fotngr tr avberla+era. Ate :yreaamdotu or wrenaauies reset; tttadr m you about the proxenve ~erratres of easbca or onmr enrlat eoandttua otbrr Bern those mode by the mo,u. You warn advissd that rite fltreseai itrenb coat for the ixtna listed to Part Orte, Seaton II. may be d1iYOrora based on volume eu omzh tlisppWetr ar ~, WofrssionaUtrade oustoerfs nc~rc pwmitsod by elate or loed law. NOTICE8 TO PtJRCIiA8ER/CO.P1,tRCHAgER 'HE PART TNRie !OR TQRM$ AND COHDITgMB TMAT ARE PART Of TN13 AGR~MlNT. DO Nt7Y SKiN TFINi AliallBEIIMNT BTsFQRE YO(/ READ C OR IF IT CONTAINS ANY BLANK SPACES. YOU ACKNOWLTtDGG ReCBIPT qp AN EXACT ppi:Y OF TI{IE ApR~7. tY S16NNy6 THIS AtiRiiiMGNT, YOU ARE A@ THAT ANY ClA1M YOU MAY FIAIIE At~,itINBT THE SELLHi tilNAti. B@ RE'BOLVLD sY .IRdITRATION ANC YOU AR! GlYINQ UP'YOUR RIGHT TO A COIiRT OR JURY TRIAL AS Yl1BLL Ali YOUR 1!lANT OR APPBA4. F.xecnted chic ,~,~ day of l~tovem6er 2t)US Au+dema's Hama Purchraer's Sigrstura ~~ V '~ Social Seewtgr N - - y. Co-Pevclettaar's Name 7ypr in Nane Licarsr Numhcr ~ Co•Ptaehasce's Si=esmsx Cu-Pmcteosar'- Soaid Y # _ S / eshsr! tiro! l Irnw ~vlewrrl iyNS eioaasrrorrt as ngtr/nrd by 8re e;Anntl~ariyStt $Q,1(l4er Cvle~r+u/ Ctes¢ldist: rle# Name: Tltls: Ignaduro: p~_ et/24/p$ 16:36:04 CFIH~TERY € .A..o~ ~ . ~ $1143a 1 ~~~ ~~ File E'older Nittte/iVttentlcr ~G~T~D ~ ~ ACNESr PURCl3A8E/S~,C'>[,'RITY AGI~tEEM~, ne aadeai~eed. eailesed to .. 'pa*ae..ee•. Lrer.hd ~ ~ pone~e tAe weeeuwee !R ttec abve arced careiert•. tiea.eftar eefieeeed ter ri'Sellor•. MAn+• ~'~"' ud If~'e'rteey deaerJlbed beeHa. m aceeptaeeta aad apMe-rt of Pee.eJenar_ ~ rw.ew: Y ~-...trl. ... - ~ - -- ,.•~ ~ . Addeat: f b~l tI A fr1~11 t ILA 1 1341'- (J~VId 1, ~ 1 ~ i I ~Y~ ~-Pu>~wer' I.ote Nleme° i I I I 1 I~ 1 I I 1 1 t I 1 1 1 1 1 'ttil.phona: ~.._.._.~ ...........~ ~_ SttM:~_.....~ •~~_.. DOB: '~ii1° 1 1 1 1 1 l 1 1~~~ ~~ 1 i< t t l Li__ ( I I I i l ~-+rY• I r geapeaed: 1.a>'e HTaeee: ~ 1 ~ 1 1 ~ I nos: ~. J ~ ~~ DoD: D..e:etptl.a ~ I.e.eaeae tnalra m>>c aeca, e~ certlttc+t. of treann.eee RtghlR to: dddoas: • ttLit,.eewe JttpLbr ' (leeestudea Care erui Mainteneenoe of 3 1 ~,,,~• j • Iatermeat >ied Raeordiag Fecal • OLetaa• Burial Gbutairter ~ $aPplier lVledel/17euiga ARaterlal/Coior t Outer BeeaSYt Ceettaiser IaWa11aL'oet lY>$AtORIALfiZATiOTT • Mamoriat 1 Supplior 1Y>~lor 17eaiSa/Siye • Memotloi Dare i Supplier 1ypa/Co-or Dsaiga!$isa : tNeotariat iiarlaltetNow Kee ' -yaeacp>,.te/Sctat , • Fbwer ~'Iose 1 Supplier ; lype/colur 17exign/staa • vaere: B.wc Slra/Adaterla! i hmail: Staoe: MiAdlr. [ 1 1 t I t pit'a° 1 1 1 1 I 1 1 I I 1 I I I 1 M'~ ] I t I l t i i~ / Smeil: . t 1 1 i 1 1 1 t~I ~ I 1 I 17spc ~e 1 1 1 1 1 1 ~~ i`i t~l-fiht ~- ] I l l r l l l M~ l~ Sadal bare: l! /~~ t 1 I__ i~, , .~, Wleran: 1 ''1 ~? ir.+e.rwiLe„eba klalea: city: n,,,~ s r--S ntlsltzcltt.,,iv>oas;~ ~ _ ~..~ '[ySupe~/ aiorC nettiga/Slrx ~'~eawietSlAraAiviaD Pkr .. ~~ • Owar ..- per, -~....~.,-........., per. ~ - • t>har oteer -_.. !^ 1YY1'ALA, AI,LAWA1VCgR &'PAXRS -- ---- "~ 6teaxon ~.. Apply to apply w TOTAL PUBCSAFE PRICE s f~'q~ Oflscr f rte..:~ a-'-- _ - e .., ibtat DuwLt leaYootept ( ) A~ p~pLd~U~ ~ ~ ~ eis~edac and payable ax ot'ttx dau oAtrceme+Le. A dctingpenry ehaegc of AMe po:eonc will bo raCCiVtd, and er¢dk !414 rCLtff-tt-dee ~TAe psnt to ehe lJapfid ifBa3snre. Ma fall Pa}'eer~nt Ls ^oaeiMOd. SC11er shall dCdaCt fife accwC~d dClingpCPC]' chax~e~g~e from tbC AnlOVnt paidpald by PuralLrmr to~~ wilt retain title to e.tid Lretsnnenl 1ZiL,.ble: aad McACh.eadiae anti! the 7uuLal Pnmhrse Price, toaethar with arty ddtaqueaoy atearnas thaeewe !love been Certetaty >Zaeias and ~: patc3Waar~hell comply at al] tunas with all Rotas aad lirtl<alatioas aant• or hhalait+er adopwd by thr SWw and app,~owd i-Y the E'lOrida Hoosd.o[ FuLasa4 Canetery. and t~preapmcr Srr~icc~.. for the earc• cpntepl, ma++ag:em,~et and p-oep~e~e of std iqr elf DI+~P~ca decntod o¢aeaaosy by Sc11er 1be the pnopce coLtdtlct of the twxinwc al the een• ~~ and ~Lt~ M' ffia peL»tLixex, p~tn~~rylp na and idCalx upon which ttec wax Mislead. Pnrehaxer eaederataredc tlad cede lteetea and wEaeot to imcpe~ptgre by Yntohwr at the ot93os ef:iellar_ ~~ry T'lY ~11rCh9>iEr fhf~l haute thfrty dsp~s $^Oni tho date ~ e>otxntion Oe this Amt W ~ the and rect•.iMe a foie! reliund Of aU rsttuiies pldd fOr Itld!!L riot utled. AnY~9uestiais or ooitrcetaing this treasat:tiore ~ be directed w the Slorida Board o[ F Sezrrioes st (S00) ~~ ~ . C.e~tery, and Catrsumtrr h~O~G$: 13y sisalLD q:ix Aseaetnea; t'oerlLaser 1x teeing that any elsim PtLtcttat~ msy have again!!! the Salter shall tvo raoohaot{ _ bidet to a court er trial me wsL ac taier/her of eppeuL by atbittation and PurchaRL:r ]a giviag up sl~a thin ~ say of ~~tf , zoo sc,~wr~t.,,, s~v,~ u~ o a t~tt ~ a.laiLR Pa~.sa~ ~LtrL~as.~: ~ 1~: e Co•Panehasor. 1 Rclatianahip: goccpced i e 1 cleat ttel L he.e n+iv+++al d~eeeia firr actti~aca and ivmelelcatea. Counselor: ~ ~ ~ ., Uwte: _,_,J NOTICE. 7aee UELer Sldr for Additional 'ihrma and Candititwts whidt ssre P"sct +~' This Al~reetnent j t~rrr.: 2n3.i=r_ rnzm~ 1 - nviraeetion SWwlate: Whim.l:r+ainMrv L'.a.nr: vallnw. t~aMem.rc t'.nnv Tf~TAT. P nnR Pennsylvania SCHEDULE ] DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Retha M. Kelm NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [IncluSec. 9116t(a) (15z) jistributions and transfers under 1. Betty J. Keim, 122 Virginia Beach Ave., Carlisle, PA 17015 2. Donna K. Seeger, 120 Virginia Beach Ave., Carlisle, PA 17015 3. Connie L. Greegor, 1606 Trindle Road, Carlisle, PA 17015 FILE NUMBER 21-09-0326 RELATIONSHIP TO DECEDENT AMOOF ESTATE ARE Do Not List Trustee(s) Daughter Daughter .Daughter $9,318.68 $9,318.69 $9,318.69 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 TOTAL OF PART II ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVERTOTAL OF PART II ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET~$ If more space is needed, insert additional sheets of the same size. ~`~