HomeMy WebLinkAbout01-20-10
15056051058
f~EV-1500 ~ (~,
PA Depalbblit Ol RBYatare
~' of ~ Taxes INHERITANCE TAX RETURN
~~,
itarrisDreo. P14171280fi01 RESIDENT DECEDENT
ENTER DECEDENT MIFORMATION BELQYV
Social Sean'ty Number Dale of Death Date of BirM
198-10-1211 12/11/2009 10J28/1920
Dea3dent's Last Name Sulrot Decedent's First Name MI
Tt'irrtrrter Dorothy E
(If Applicable) Erttsr Strvhrtng Spouse's btionrtatlon Below
Spouse's Last Name Sulroc Spouse's Frst Name MI
Spouse's Social Searcy Number
'TINS RETIlIUI MUST t1tE Ft~ N DUPLICATE WITH Tim
REGISTER OF WILLS
RLL w APPROPRU-TE oiwus BElow
• ,. orig:wi Retum 2. Supplenrmttal Rehr,
Stale ZIP Code
Pa 17011
4. Clotted Estate 4a. Fuhrre kHerest Comprortriae (dale of 5. Federal Fatale Tax Rehm Rsgrred
deatlt albr 12-122)
G DaoederR Died Teelale 7. Dsoederit Maintained a Lirirtg Trust 8. Total Number of Sob Depoed Boxes
(/lgach Coq of Mli) (~laach Copy of Trust)
9. LNigation Proceeds Rsoeiirad 1Q Sparsal Powerly Crodt (dale of deaM 11. Section b igtr under Sec. 9113(A)
between 1231-91 and t-1~5) (Attach Sch. O)
- TtiS SEC71011 ~i BE I~LE7®. ALL CO~OIDENCE Atb COIM~ENIIAL TAX Y~ORIIAflfIN f3E ONtECTED TO:
Name Daytime Tetaptarrp Number
Judy A. Wilson (717) 737-56316
Fim Name (If Appicable)
REGISTER OF WILLS USE ONLY
First Gte of address
819 Mandy Lane
Seward line Ot address
City a Post Office
Camp Ht~
CortespondertCs einai address.
urx~sr parraNks a p«>,.x t dadare flak l tress ararrired this rehrrn, iradudlrg a
~ is true. correct and aomplsle. Dsclaralion d praparer Drier then the pareanl
~ _ ~ ~+LIMG RE711RN
OFFICYIL tlSE OIM~Y
Cou!rAr Coda Year Fie Wieber
Z~ ~ ~ / ~ ~~
3. Rerrreinder Rehm (dale of death
prior b 12-X3-82)
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,..~
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dredlaes and atalenwds, and b the ~ d'~Y larorrkdye arditi
is based on all idomrrm d wtQch prs~arar has any laiowbdge.
owT>:
819 Mandy Lane Camp Hill Pa 17011
SIGNI1TUItE OF PREPNRER OTFI9t TFIAN RE~SB~TATNE DA'{E
n.Ewse tuaE o ~ otlw.r
Side 1
15056051058 150560151058
15056052059
RE1~1500 Ex
,$ ramie: Dorothy E Trimmer
RECAPITULATION
1. Real estate (Sdtedule A) ............................................. 1.
2 Blocks and Bands (Sdrerlule B) ....................................... 2.
3. Closely Field Caporalion, Partriership or Sole•Proprieiorslrp (Sche<Nile C) ..... 3.
4. llorlgages a Nolen Raoeivabte (Schedule D) .............. . .............. 4.
5. Cash. Bank Deposits a MisoeManeous Personal P-operly (Schedule E) - • - • • - - - 5.
6 JoiNly Owned Property (Schedule F) ~ Seperale Bitlig Itequagled ....... 6.
7. IrNat:ViMOe Trams a NlfsoeNaneous Non-Robale P-operty
(Sdredule Gj Seperale BiM'rg Requested-....... 7.
8. TcW Gross Asa~ets (trial Lines 1-7j .................................... 8.
9. Funeral Expenses a Admiistrative Costs (Sct~ertule Hj ..................... 9.
10. Debts d Deoederr, lloAgage Liabiities, a liens (S~nedae I) ................ 10.
11. Total DeducBorrs (to1a1 Lines 9 a 10) .. . ................................ 11.
12. Ne! Value of Fatale (Lime 8 rr~iuis lire 11) .. • ... • . • - - ......... • ......... 12.
13. Grarifable and Gowerrrnerrfal Begrrestsl55ec 9113 Tnrsfs for which
an election to tax has not been made (Schedule J) ........................ 13.
14. Nst Value Sudjrret to Taor (Lire 12 minus Lne 13) ........................ 14.
TAX COMPUTATION -SEE NrS7RUCT10NS ffOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate. or
ttarrsiers under Sec. 9116
(ax1.2) X .0_ 15.
16. ArnourY of Lire 14 taxable
at ineai rate x .045 298,481.01 16-
17. Amount of Line 14 taxable
at srl~lirrg rate X .12 17.
18. Amourd of Line 14 taxable
at ooraleralrale X .15 18.
19. TAX DIiE ......................................................... 19.
20. Fr.L IN TtE ONML ~ YOU ARE REQUESTNtG A RERMO OF AN OVERPAYIENT
Decedent's Social Secxrity Number
198-10-1211
0.00
0.00
0.00
0.00
298,089.20
2,584.78
300,673.98
2,106.97
85.99
2,192.97
298,481.01
0.00
298,481.01
13,431.65
13,431.65
15056052059 Side 2
15056052059
RENN500 EX Page 3 fee Menber
Decedent's Compleiaee Address:
oEC®errs ~ DECa~e~ns soc;u~ sECxxanr e~
Dorothy E Trimmer 198-10-1211
srn~r~oor:FSS --
819 Mandy Lane
cxnr sr~~ _---- zp
Camp HiN Pa 17011
Tax Payments and CtnedHs:
t. Tax Due (Page 2 tine 19) (1) 13,431.65
2 QredisrPayrrreMs
A Spousal Poverty Gtied~
B. Prior Paynrerrts
c. t>rscorxrl s71.5a
Tatal l~edls (A+ B + C) (2) 671.58
3. Mr1Ny f appicaBle
D. Yderest
E. Per>aNy
Tdat hdarestlPerraNy { D + E) (3) 0.00
4. 8 tine 2 is greater than tine 1 + Line 3. solar the drlferanoe. This is the O~YERPAYIENT.
tglt in aal on Page 2, line 28 b nqued a ra4rrrrd (4) 0.00
5. N line 1 + Line 3 is greater then tine 2, ender the d~rerroe. Ttrs is the TAX DUE (5) 12,760.06
A Eller the irderest on the tax due. {5A)
B. Ender the total d line 5 + 5A This is the BIII.AIi1CE DUE (56) 12,760.06
!~k@ tv~tt'(.~C ~'dydl~ t0: ~ 7~~R ~ ~.$, /4~~
PLEASE ANSIIYER THE FOLLOWING QIUESTIONS BY PLACING AN "X" IN THE APPROPRUITE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain tre use a irroome d 11reproperly Lransferred :.....................---------------.--..............................................----- ^
b. retain the right b designate who shat use me properly trarrsfemed a is irrconre :............................................. D
r~ retain a reversiarary irrlarest; a........._ ............................_. ^
d. receive the promise for ifs d er'8rer paynrerds, brurefils a care? ....................................................................... ^
2 8 deaM ooarrred alter Deoernber 12,1982, did decedent transfer properly wr~r'none year d dea9r
wilhad receiving adequate carrsideralion~ ........................_...._...............................................................
3. Did decedent awn an 1rn trust for" a payable upon deettn Bank aooarnt a securiy at his a her deetir? ............. ^
4. Did decedent own an tndrvidrral Reirement Acooranl, amnily, a other non-proeale properly which
contains a Beneficiary designation? ...............................................................................•-•-----•-••--•-•-•---.................... ^
.THE ANS~6t TO ANY OF TILE ABOiVE QUESTIONS IS YES, YOU MUST COYPLEIE SpEDULE G AND R.E tf AS PART OF THE RERIRN.
Far dales of deatlr on or aAer Juy 1,1994 and before January 1.1996. the tare rate imposed on the rret value of trarrrsfers b ar 1or the use of the surviving spouse
is three (3) percent [72 P.S. §9116 (a) (1.i) n].
Far dales d death an ar aAar January 1,1996, tare tax rate nrposed on the rret of barrsfers b a for Ure uae d the sr~rrvinrirg spouse is zero (O) peroent
X72 P.S. §9116 (a) (1.1) (71. The stable .ll a transfer b a survivig~ fiom taoc, and the sta4ttory r+equiekrrerds for drsdosure d assets and
tig a tax retrm are st7 appicable even if the surviving spouse is the any beneficiary...
Far dales d d~ih on a aAer Juy 1, 2000:
The tax rate unposed an the oat value d transfers tium a deceased chid irrenly-are years of age or yarger at dea0r to or'for ifrq rae of a naBrral parent, an
adoptive parerd, a a stepparent of the child is Derv (0) percent (72 P.S. ~116(ax1.~j.
The tax rate inposed m the rnat value d transfers b a for the use d the decedend's meal berneticiaries is far and ane-ha0 (4'.5) percent, excerpt as rated 'm
72 P.S. §9116(1-~ (12 P.S. ~'116(ax1)].
The tax race unposed on 8re noel value of transfers b ar for rre use d the decedent's srbirrgs is twelve (12) peroerd [!2 P.S. §9116(a)(1.3)). A sn'bing is deferred, under
Setfian 9102, as an irndwidrral who has at It~st ane parrret in common wdh rte daoederet, whereer by blood or adoption.
REV-1508 EX+(6-g8)
co~o~uni aF PEMISYLVYINIA
ira~RrrnNC:E rnx REruRN
RES~oEHr oEC~Errr
SC~IEp1/LE E
CASH, BAIVlC DEPOSITS, ~ MISC.
PERSONAL PROPERTY
ESTATE OF FILE MIABER
Y E. T 21-09-1154
k~dnde the pioosads aI and i>ro dak ire proceeds were rooeired by rie ests~.
~ ProP~f- l~f--~ rdtl~ ~ ~ aP aaa~ M dbgoaed on SdndaM F.
(II mon: space is needed, insert addiional ahaels of fiK same sine)
Account Summary
Page 1 of 1
. ~- ~ ,. ~ ~,~ iit. ~ Rc SOI-RCFn
Amww seeergr Tramfs: e~i ~. s.~ vl.. ~o.a Appferans Mr Imo. ~s•o•a ~ I
A
AvaAable Raisnoe YTD Dividend e t!(,RE I,YFgtMAi1CN
Prior Yaar
Dividends
721450000
~ 7214
5 REG1ri/~R SAVINGS ;2,024.75 ;2.029.75 ;14.03 528-30
-
0005
t MONEY MANAGElEiIT 546,849.26 ;46,849.26 ;155.72 ;184.39
7214-soon 53,139.80 #3,139.eo ;3.01 ;22.33
7bfa1 ;52,013.81 ;52,018.81 ;172.76 i~35.O2
i
Mrs IYIC YiD Ylrlt QspYyatl a~oro do aol ioWdr elossd sA~es. To ~isar YiD Tads WicA indWe otssad slm~s Mrse [Gdc herz
-
A~OOU11t D -,ir,at gut ... -.•r
esefipfiOn open Date
Available Ralanae Papd~ent Due
Rafe
--- N/A
Tevl 50.00 ;0.00 ;0.00
AOOOYnt Amount Due B agaoe Due Available Q'e6t Ged it Lilwit
46720900002808 83 ;0.0O X5.99 12/11/2009 ;17,914.01 ;i8,O0o.00
Toll SO.OD ;85.99
httpsJ/mlonline.membersls~t.org/OnlineBanking/AccountSummary/AcxountSummary.Px 12/11/2009
Welber Yrisort
Dorothy ETrimmer-Individwi AcoouM
Buv & Sell ~ Transaction History P~ioe ~ ~ 12/102009
Name Fund b Account Shares Price b Change Value
Vanctuard Prime Monev Market Fund ~e.*~rsrrrr 0030-88021370786 161.447.940 ;1.00 $161,447.94
sweep amount-tndWld~w AooouM, 64984866 --
subtotal $161,447.94
Dorothy E Tritm~er Portfolb Total ~ $161,447.94
1
! Asbury. Comnr~unities, Inc.
!
To: Dorothy Trimmer 32116
Invoice Number Date
DEC212009 12/182009
Check Number. 0000176678
Check Date 12222009
Descxiption Amount Discount Paid Amount
Standard Entrance Fee =89.792.00 6.00 689.792.00
689,792.00 S (~0 589,792.00
e
RE1F-1509 IX+ (~98)
coM~roroMEnLn-t of nvr-r~-
9wiettr~wc;E n~c itr=rur:rr
rt~oa~rr oEC~rr
SCMEptILE F
JOINTLY-0WN® PROPERTY
ESTATE OF FEE NUI~R
Dorothy E. Trirm~er 21-09-1154
it an aaet wes merle jok+t riukr one year of tare deadaars ileea of deatar, It most Ye re'orlad ow seA.*It a
suRVnnNC.toiNr~wwr~s~ t~ ~nor:ESS t~EUmotrst~TO oec~Hr
A Judy A. VlRison 819 Mandy Lane Dlaughter
Camp HiN Pa 17011
e.
C.
rtar
earram rFnen
Fon
Taurrr ave
roe
,ior~r oescreariou ~ rTV
raxuoe -wE aF wrenc~ rrsttturrorr wo ewac~oourr -sniear an serve
ioanFrws naeeee. ~raae o®r~on aaemwn3n aFx esrae
oae oc o~
w.uE of wSSEr x aF
o®ms o~ of r~
w.u: of
oec®errs wretFSr
t. A OBAGA7 ~~ 1stSawgsAoooud1R721400
2,Oi29.75
50%
1,014.88
2. A. 08106107 Members 1st Checking Aooantt 18721411
3,139.80
5096
1,569.90
(~ more specs is needed. insert addiaal alenels d be same sae)
TOTAL (Also enter on irre 8, Recapibelatiore) '_
2,584.78
Account Summary
Page 1 of 1
HO?AE .:BGUT US COht rnC7 US NE41~ S EVEFITS PUBLICATIOhlS RESOURCES I
Amnnt Sunmry Tnnafsis
~ Payer Sa11
1i0!{ V W i
Lp~l A~IIt 1~ PION
i
AcCOUntS
Ooen a New Deposit Produc[ on Your Account
f Amount Deevlptloe Available ialanoe YiD DlMdend Prior Year
~ _
~ Dividends
'
7214-50000 $~, ;2,024.75 ;2,029.75 ;14.03 (28.30
~
,~ 7214-50005 MONEY MANR(~IENi 546,849.26 546,849.26 ;155.72 ;184.39
7214-50011 ~E~~t ~ x,139.80 ;3,139.80 ;3.01 ;22.33
~ Tbfat ;52,013.61 ;52,018.81 ;172.76 ;235.02
~ Plee~e nslr YTD 1o1r1s d~IrHd oLoro do nol iriele rJo~o>l alma To viw VTD TaYle vllirL itiid~derArlrJns OMW dick here.
LOaRS ADDIv For a Loan
_. _. -
_
I _
AmOrwK
Dasaiptia- Opare DeEe ___. _. _
Available _..
salanea Payment Due _.
B~Oe
- N/A --
I Tefal 50.00 50.00 ;0.00
Credit Cards Aooly for a Visa Credit Ca_ rd
I Aoodmt Amount Due sa lanoe Due Available Oedit Grad it Limit
4672090000280 883 ;0.00 X5.99 12/11/2009 517,914.01 518,000.00
Taal 50.00 X5.99
'.'?005 ta9E t,1BtiRS Itil FLpL.R AL l.R t:)il UNIG':
iV1ECHANIC SBUR(~. PENfYSY LVFh:iH
1; 1T`r RhtEi tER1,'S r~;-USAGE I PRC:ACV STAl E1fE"1! 1 FRAUi)3 SECVRiTT'CENTER
--.IORE~WIIY~
hops://mlonline.memberslst.org/OnlineBanking/AccountSumn~ary/AcoountSummary.px 12!11!2009
REV-1511 EX+ (10-09)
pelnnsylvania
DEW WTNENT OF REVENUE
11AIERITAI'KE TAX RE11AlN
aE9Derr DECFOe+r
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF - -FILE NUMBER
Dorothy E. Trimmer 21-09-1154
DeoedeNR's debts re repereei an S~cAedrde L
irt~l
Nll1~BHt DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
I~ Myers Ftxteral Flome 1,089.50
2. Interment 9ervlce lunch 124.78
6. ADMINISTRATIVE COSTS:
i. Personal Representative Corronissions: 0.00
name(s) of Personal Representative(s) Judy A. Vlfilson ----------- -
street Address 819 Mandy Lame
~y Camp Hill _ _ _____ ^- stair _ Pa ztP 17011
Year(s) Commissior- Paid: na
2. Attorney fees:
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Clainwnt
Sheet Address
~' - --- --------- - -State - IIP _
Relationship of Chanrant to Decedent __- --------, _----_----
4. Prot~ate fees: 458.50
5. AmorNAarrt Fees: 0.00
6. Tax Return Prrparrr Fees: 0.00
~. Estate Newspaper Notice 204.44
s- Postage 27.80
9. Fee To Print Chedts for opening esate dledtilg acoarlt 14.95
~o Fee Paid To Obtain EIN # 187.00
TOTAL (Also enter on lure 9, RecapButation) # 2.106.97
If more space is needed, use addRional sheets of paper of the scone sme.
Myers Funeral Home, Inc.
Boyd L. Myers Jr., Supervisor
37 East Main Street
Mechanicsburg, Pennsylvania 17055
(717)766-3421
A standard of excellence in Central Pennsylvania since 1910
Wednesday, Decemt~er 23, 2009
Judy Wilson
819 Mandy Lane
Camp Hill, PA 17011
~i ~ ~.( a-Y i ~ ~
v~ ~ ~
Fax (71?) 795-7291
Dear Judy,
Thank you for selecting our funeral home to provide services for your family during your beteavement.
I hope that you found our services to be of the highest standards and that they met your naiads and those
of your family and friends. The following is a summary of the service charges as previously explained and
provided in written form on the services for:
Dorothy E. Trimmer
SUMMARY OF EXPENSES
TOTAL OF SERVICE RENDERED 510,770.00
LESS: Credits granted 1,507.44
LESS: Total Payments 9,262.56
PLUS: Items ordered later 1,089.50
CURRENT BALANCE ;~~089,50
Credits Granted: 577.44 Preneed acfustment 57,430.00 Package Price Discount
PLUS: Items ordered later
Video 195.00
Papers 390.00
Book, Extra Carts 100.00
Flowers ?9.50
Clergy, soloists, organist 325.00
Interest at the rate of 1.5 % per month (1896 per annum) will be added to balance after 30 days.
If there are any questions or concerns that remain unanswered, please call me.
Sincerely,
~' ,~~
TnmsactionDetail
Page 1 of 1
Transaction Detail Account ®®
Cardholder: JUDY A YYN.gOM
Retum to Transaction List
Merchant Information
Merchant Name:
City, State/Provirx:e:
Post Date Trans.
Date Reference # MCC
Code
MCC; Description
Amour
12/20/2009 12!17/2009 241581393523525386.51204 5812 ~~ ~
Restaurarrts
Trar~sadion Type: Purchase
Original Account #: 2~2
Expense Category: Dining Out
Memo:
Change Expense Category: Dining Out
Add/Charge Memo:
$124.7
Memo is lilmited to 64 charade
~l
Dispute this Transaction
MECHANICSBURG GINGERBREAD
MECHANICSBURG, PA
hops://www.ezcardinfo.com/TransactionDetail.aspx?t~ansic>--90Gfi627358creturnurl~tt~... 12/2212009
RECEIPT FOR PAYMENT * DUPLICATE
GLENDA FARNER STRASBAUGH Receipt Date: 12/15/2009
Cumberland County - Register Of Wills Receipt Time: 10:25:23
One Courthouse Square Receipt No.: 1059287
Carlisle, PA 17613
TRIMMER DOROTHY E
Estate File No.: 2009-01154
Paid By Remarks: JUDY A WILSON
WZ
----------------------- - Receipt Distribution ----- -------- ------- ----
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 360.00 CUMBERLAND CO11~~ GENERAL FU
WILL 15.00 CUMBERLAND COL1~~ GENERAL FU
SHORT CERTIFICATE 40.00 CUMBERLAND COfRx Y GENERAL FU
JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.
AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FU
Check# 5618 ----------------
$443.50
Total Received......... $443.50
The Patriot-News Co. ~
812 Market St. a a. 0 ~ e~~
Harrisburg, PA 17101 NOw you know
Inquiries - 717-255-8213
WILSON
819 MANDY LANE
CAMP HILL PA 17011
INVOICE
ALL CHARGES ARE NE'
CCT # NAME AD ORDER # DATE EDITI ADDTL. INFO. TYPE OF CHARGE AMOUNT
31799 WILSON 0002033950 12/23/09 REGULAR BASIC AD CHARGE 566.48
31799 WILSON 0002033950 12J30/09 REGULAR BASIC AD CHARGE 566.48
31799 WILSON 0002033950 01/06!10 REGULAR BASIC AD CHARGE 566.48
AFFIDAVIT CHARGE $5.01
TOTAL:
REMITTANCE ADDRESS
The Patriot-News Co.
23794 Network PL
Chicago, IL 60673-1237
s2oa.a4
Please include the Account # or Ad Order # above) with your remittance--Thank You
NOTE: This Invoice replaces the Order Confirmation which we previously sent with Proofs of Publication
The Patriot-Hews Co.
812 Market St.
Harrisburg, PA 17101
Inquiries - 717-255-8213
WILSON
819 MANDY LANE
CAMP HILL
PA 17011
~11e~laahiot News
NOw you know
THE PATRIOT NEWS
THE SUNDAY PATRIOT NEWS
Proof of Publication
Under Act No. 587, Approved May 16, 1929
Commonwealth of Pennsylvania, County of Dauphin} ss
Leslie Kramer, being duly swum according to law, deposes and says:
That she is a Staff Accountant of The Patriot News Co., a corporation organized and existing under the laws of the
:,ommonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market Street, in the City of
-larrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot-News and The Sunday Patriot-News
iewspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, County and State aforesaid; that
The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September' 18th, 1949, respectively, and
311 have been continuously published ever since;
That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular
icily and/or Sunday/ Metro editions which appeared on the date(s) indicated below. That neither she nor said Company is
nterested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time,
dace and character of publication are true; and
That she has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on
Behalf of The Patriot-News Co. aforesaid t)y virtue and pursuant to a resolution unanimously passed and adopted severally by the
stockholders and board of directors of the said Company and subsequently duly recorded in the offibe for the Recording of Deeds
n and for said County of Dauphin in Miscellaneous Book °M", Volume 14, Page 317.
PUBLICATION COPY This ad # 0002033950 ran on the dates shown below:
-_ __ December 23, 2009
n,. . ~; ~ a Y December 30, 2009
r°"~'i°a'°'H°"'~u,^TM,~
~ntt. Pa o.aaw,
rf1MS TMy on rile aEove
tle hWtnp t-N„ Yrtlnl~d taiM~ _:, .
~s1aMd. Alt I January 06, 2010
n4ebt~u to the
ife dre ravwsted to 1tlClte ~
b 1110ae hovlrlY clolms to gtj1e
. . . . . . . . . .
.
~ wlftwut allay, to:
o-r~ f
Sworn and,s~i scribed before me this~lda~r o~January, 2010 A.D.
Public
t~OMMAONINPAI.TH OF Po~wS ANIA
NotaiY Sed
Sf~reie L 1(iener, Ndry P~b1o
CIYOFIirrnklx~ DaQhb
Ny C,anrr~~lOn D~ieo Nov.
ManDer, Pem Aseod~tlott lot Nolaiies
Federal Tax ID (EII~ Checkout
Federal Tax ID FEIN) Checkout
Choose Your Services
SfrWard Esfabt Tan ID ~1) FWq Satitrin
Our rapresenla8rlas w11 oWdn and anti Your Tact ID, whi3r you may use
Mns6sley upon retxp.
Your Tax ID tiri be anlslled wain 24 hours.
I- taralt ProoaasMq
Ydr Tax ID tlri ba enreisd vri8tir 80 mintaes durite business
hours.
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httpsJ/www.simplefilings.comftaxiditaxid chee~COUt.php 12/14/2009
REV-1512 EX+ (12-OS)
P~~vama SCHEDULE I
reNr of neveuue DEBT'S OF DECEDENT,
~""~T""~ T"X ~"" MORT6A6E LIABILITIES ~ LIENS
nmoerr oc~oerr
ESTATE OF FILE
Dorothy E. Trimmer 21-09-1154
Report rki~s te?anei M the ~eodent prior to reotlr tLat renaNei u~aid at the rase of ~, ~! rweioMrseil erediial .
if more space is needed, insert addRional streets of the same sae.
St
MEMBERS 1~
~FIDERALCREDIT UNION
DOROTHY E TRIMMER
Account Number. 4672 0900 0028 0883
Closing Date: 12/16/09
Credit Limit: $18,000.00
Available Credit: $17,914.01
Account Inquiries
® Customer Service: (800) 283-2328
Lost or Stolen Card: (866) 839-3485
Please Direct Written Inquiries to:
CUSTOMER SERVICE
~"r~~' PO BOX 30495
TAMPA , FL 336-3495
Payment Infornnadon \
-_ S Total Minimum Payment Dui
f"" " Payment Due Date
L
Mail Payments to: VISA
Account Summary
s
Purchases +
Cash +
Special +
Credits
s
Page 1 of 3
/ISA
313.18 %
85.99 ./
0.00 CASHBACK
000 CURRENT
BAL.AMCE:
000 ao.s7
31318-
Payment _ _
~~ -- + CASHBACK
Finance Charges + 0.00 Ol1T ~~'
11 10
NEW BALANCE ~ 85.99
~~- /~. 3 ~
~ .... Minimum Pavrner~t s o.00
01/11/10
PO BOX 4517 CAROL STREAM IL 60197-4517
TO REPORT A LOST OR STOLEN CARD PLEASE CALL A~MBER31ST fCt! AT 717-796-6036 OR dQ0-2rf0~0A03 AFTER
F!OlMiS TO OBTAftV ACCOlNIIT NMFOR1MATf'ON 2~ HOURS A DAY CALL i~0i0.219-9~fI~ OR ACCESS O AT
EICARDiI11FO.COM.
ns Date I Post Date
11m 1 v1a
Ad ams and Others
12A3 12103 746720993370017T0003G10 PAYMENT -THANK YOU 18 -
PAY ONLINE OR VIEW YOUR ACCOUNT AT: WWW.EZCARDNIIFO.COM
ScornCard CashBack Earnings as of 12h5/2009
Begirxung
Balance
CashBack
Earned
~~
~
-
-
CasFtBacit Payout
Date _ _
Ending
B_ alatxx
--
-
50.46 50.21 -- ----SO 00- 11/15J2010 50.67
PLEASE DETACH COUPON AND RETURN PAYrdIT USNIG THE ENCLOSED ENVELOPE _ ALLOMt S DAYS FOR Will. DELIVERY _ -
-- - -...
MEMBERS 1S7 FEDERAL CU ~- -Accounf'11h _---
5000 LOUISE DRIVE ~ 4672 0900 0028 0883
MECHANICSBURG PA 17055.4899
~1~MEMBERS 1~
~ot~-~ca®rruraoN
r P~„~ Due ----- _ --------
Cbsing Date New eafance TOE Payment Due Date
12/16/09 $85.99 $0.00 01/11/10
cheek box to indicate ~ ~
nameraddress elPange _ J
en bade d uws
AMOUNT OF PAYMENT ENCLOSED
DOROTHY E TRIMMER ~ ~ ~ 3` D ~ +~ MAKE CHECK PAYABLE TO: •
819 MANDY LANE I ~1' ~
CAMP HILL PA t7ott-t53s s~,i'`%S ~ ~ I.II..II......111.I..I...I.I..1.I.1...~111~~.1~..111...1..1.11
„~,d,,r :~ S VISA
~~`` !! ~~ ~~ PO BOX 4517
I...III...III..~...II...II...II.I~I...II..Ii.~~..lll.l...l.l.l CAROL sTREAM IL sots?-45t7
„ ~.. -,~ n4nn nnaa naA~ nnnnnnnn nnnnra-599 2
REV-1513 EX+ (i1-08)
pe~nnsylvania SCHEDULE ~
DEPARTMENT OF REVENUE
1,~ TA,~ RET~Rrr BENEFICIARIES
RESmerr oECEOerr
ESTATE OF
~It.E NUMBER
R~.AnorrsHlP To DECEDENT AMOUNT oR SFIARE
NUMBER NAME MID ADDRESS OF PER50N(S) RECEMNG PROPERTY De Not tM Trrdtaa(s) OF STATE
I TAXABLE DISTRIBUTIONS [Iodide outright spousal Astributions and transfers under
Sec 9116 (a) (1.2).]
1. Linda lNtler 2612 Dunrap St Lansing MI 48911 Daughter 27.5%
2. Edward Murla>t 41 Foxpoint West ButFalD NY 14221 Son 27.5%
3. Judy Wison 819 Mandy Lane Camp Fit Pa 17011 Daughter 45.0%
ENTER DOLLAR AMOUNTS FOR DISTRIBURONS SHOWN ABOVE ON LINES 15 THROUgi 18 OF REw1500 COVBt SHEET, A I5 APPROPRIATE.
II NON-TAXABLE DISTRIBUROFLS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
1.
s. CIiARAABtE ANO c~ovEwN~afru DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON WrE 13 OF REV-1500 COYER SHEET. ''¢
If more space ~ needed, insert addxional sheets of the same size.