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HomeMy WebLinkAbout06-08-10 (3)15056071120 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes PO 80X.280601 ~ ~ INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 10 0335 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 223 32 3729 03 20 2010 Decedent's Last Name HAUSER (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Spouse's Social Security Number Date of Birth 03 30 1930 Suffix Decedent's First Name MI ELIZABETH A Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return ~ 2. Supplemental Return 4. Limited Estate ~ 4a. Future Interest Compromise /ri~tc of rtn~th nftur 1 7_1 7_R71 g Decedent Died Testate ~ ~ Decedent Maintained a Living Trust (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death between 12-3191 and T-1-95) 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 0 8. Total Number of :safe Deposit Boxes 11. 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 TO: Name Daytime Telephone Number JOHN E. SLIKE ESQ. 717 737 3405 Firm Name (If Applicable) SAIDIS, FLOWER & LINDSAY First line of address 210 9 rti~RKE T S TREE T Second line of address City or Post Office State ZIP Code CAMP HILL PA .",~ r :.,1 W~ '` _::_` t`T`1 REGISTER OP~I~.S USE (~tiLY ` ~ ~ ~ ~~ ~ ...~ , , ~-,~ < . ~ ~ _,.. .. • DA'F~'FILED ty +3 Correspondent's a-mail address: 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. SIGNATUFF PERSON RESPONSIBLE FOR F ING RETURN DATE ' -~' John E. Slike ~ ~ 7 ~/~ ADDRESS - `'' ~'~. 2109 arket Street Cam Hill PA 17011 SIGNATI~RE ,F~PREPARER OTHE~HAN REPRE NTATIVE DATE John E. Slike Esq. ~, ~) ~i~ ADDRES 2 0~ Market Street, Camp Hill, PA Side 1 15056071],20 7,5056071120 J 15056072120 REV-1500 EX Decedent's Social Security Number Decedent's Name: Elizabeth A. Hauser 223 32 3729 RE CAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 2. Stocks and Bonds (Schedule B) ............................................................................. 2. 4 2, 5 0 0. 0 0 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. 5 0 , 2 81.0 4 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers & Miscellaneous -Probate Property (Schedule G) ~ Separate Billing Requested............ 7. 8. Total Gross Assets (total Lines 1-7) ..................................................................... 8. 92 , 7 81.0 4 9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 10 , 223.32 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 17 5 . 0 0 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 1 O , 3 98.32 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 8 2 , 3 8 2 . 7 2 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............................................... 13. 12 , 3 5 7.41 14. Net Value Subject to Tax (Line 12 minus Line 13) ............................................... 14. 7 0 , 0 2 5.31 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 .00 15. O . 0 0 16. Amount of Line 14 taxable at lineal rate X .045 0. 0 0 16. 0. 0 0 17. Amount of Line 14 taxable at sibling rate X .12 2 8, 8 3 3. 9 5 17. 3, 4 6 0. 0 7 18. Amount of Line 14 taxable at collateral rate X .15 41,191.3 6 18. 6 , 17 8 . 7 0 19. Tax Due .................................................................................................................. 19. 9, 6 3 8. 7 7 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^ Side 2 L 15056072120 15056072120 REV-1500 EX Page 3 n Aw Ae'~Lf M4~e~ f`.,tY.!',tnfo A/'I I"1 r'pCC• File Number 21-10-0335 DECEDENT'S NAME Elizabeth A. Hauser STREET ADDRESS Messiah Village 100 Mt. Allen Drive CITY STATE 1_IP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. Interest/Penalty if applicable p. Interest E. Penalty 8,900.00 468.42 Total Credits (A + B + C) (1) (2) 9,638.77 9,368.42 270.35 270.35 Total Interest/Penalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box 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. g. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) (5A) (5E3) Make check Payable to: REGISTER OF W/LLS, AGENT << ~~ :.H~. , 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 :.................................. x • ~ x c. retain a reversionary interest; or ............................................................................................................... . ^ 0 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? .................................................................................................................... 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? .................................................................................................................. ^ 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) 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 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)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1503 EX+ ~6-98) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Hauser, Elizabeth A. All property jointly-owned with right of survivorship must bedisclosed on Schedule F. FILE NUMBER 21-10-0335 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) (If more space is needed, additional pages of the same size) Rev-1508 EX+ t6-98) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Hauser, Elizabeth A. FILE NUMBER 21-10-0335 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) (If more space is needed, additional pages of the same size) REV-1151 EX+ (10-06) p y~ ~ , COMINHE ITAN~EOFgP~FkNETURNANIA RE~IDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Hauser, Elizabeth A. 21-10-0335 ----- -- -----__.._ ...___ _.....r......~ .... ~.,...,.....,... ITEM DESCRIPTION AMOUNT NUMBER A, FUNERAL EXPENSES: See continuation schedule(s) attached B. 1 ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Street Address City Year(sl Commission paid State Zlp 2. Attorney's Fees Saidis, Flower & Lindsay 9,000.00 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 278.50 See continuation schedule(s) attached 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 256.02 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 10,223.32 688.80 Copyright (c) 2009 form software only The Lackner Group, tnc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Hauser, Elizabeth A. 21-10-0335 ITEM NUMBER DESCRIPTION AMOUNT Funeral Ex enses 1 Musselman Funeral Home, Inc. -Funeral Costs: Death Certificates $24.00; Organist $100.00; 407.72 Minister $100.00; Death Notice $183.72 2 Trinity Evangelical Lutheran Church -Funeral Luncheon 281.08 H-A 688.80 Probate Fees 3 Register of Wills -Probate costs: Letters Testamentary $210.00; Short Certificates $20.00; 278.50 Renunciation $5.00; Automation Fee $5.00; JCS Fee $23.50; Will $15.00 H-B4 278.50 Other Administrative Costs 4 Continuing Care RX -Account #100043793 24.78 5 Cumberland Law Journal -Advertise Estate notice 75.00 6 Register of Wills -File Inheritance Tax Return 15.00 7 The Patriot News -Advertise Estate Notice 141.24 H-B7 256.02 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 EX+ (12-OS) SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Hauser, Elizabeth A. 21-10-0335 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) (If more space is needed, additional pages of the same size) REV-1513 EX+ (11-OS) SCHEDULE J COMIC RESIIDEN~ DECEDENTRNANIA BENEFICIARIES ESTATE OF FILE NUMBER Hauser. Elizabeth A. 21-10-0335 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$) ° I TAXABLE DISTRIBUTIONS [include outright spousal • distributions, and transfers under Sec. 9116 a 1.2 1 David T. Hauser Brother Thirty-five 28,833.95 22 Barker Avenue percent (35%) of Hawthorne, NJ 07506 the residue 2 David W. Hauser Nephew Fifteen percent 12,357.41 10 Devoe Place (15%) of the Hawthorne, NJ 07506 residue. 3 Douglas J. Hauser Nephew Fifteen percent 12,357.41 17 Short Street (15%) of the Hawthorne, NJ 07506 residue. 4 Richard J. Hauser Nephew Fifteen percent 12,357.41 22 Alberta Drive (15°I°) of the Saddle Brook, NJ 07663 residue. 5 Arlene L. Machemer Friend Five percent (5%) 4,119.14 545 York Road of the residue. York Haven, PA 17370 Total 70,025.32 Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 150 0 cover sheet, as a r o riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WH{CH AN ELECTION TO TAX tS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 Trinity Evangelical Lutheran Church 12,357.41 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETS '11,3b/.4'I Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule .1 (Rev. 11-08) LAST WILL AND TESTAMENT OF ELIZABETH A. HAUSER SAIDIS HI1FF, FLOWER ~, ...,T~ .., Al"1'OIiNf:1'S•A'f•L.A11' c,~m~~ ~ti-~, -~n I, ELIZABETH A. HAUSER, of Hampden Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any Will previously made by me. I. I direct the payment of all my just debts and funeral expenses out of my estate as soon as may be practical after my death. II. I bequeath certain articles of my tangible personal property in accordance with a written list made by me during my lifetime. In the absence of a list or designation on the list, I direct my Executors to dispose of my tangible personal property at public or private sale and the proceeds be added to the residue of my estate. III. I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate as follows: A. Thirty-five percent (35%) of said residue shall be paid to my brother, DAVID T. HAUSER, or if he is deceased, to his spouse, CAROL HAUSER. Should they both be deceased, said share shall be paid to their- issue, per• stirpes. B. I bequeath fifteen percent (1 S%) of said residue to my nephew, DAVID W. HAUSER, or his issue, per- stirpes. Initials C. I bequeath fifteen percent (15%) of said residue to my nephew, DOUGLAS J. HAUSER, 01- his issue, pei• stirpes. D. I bequeath fifteen percent (15%) of said residue to my nephew, RICHARD J. HAUSER, or his issue, per stirpes. E. I bequeath five percent (5%) of said residue to my friend, ARLENE MACHEMER, of York Haven, Pennsylvania. If she is deceased, this bequest shall lapse. F. I bequeath fifteen percent (15%) of said residue to my church, TRINITY EVANGELICAL LUTHERAN CHURCH, of Camp Hill, Pennsylvania. IV. I nominate, constitute and appoint JOHN E. SLIKE, ESQUIRE;, of Camp Hill, Pennsylvania, and my brother, DAVID T. HAUSER, as Co-Executors of my estate. Neither of my Executors shall be required to post bond in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my Hand and seal on this, the ~,~ r ~~' J day of November, 2005. ` , ~ ,:~: - /'~ (SEAL) ELIZABETH A. HAUSER SAIDIS ~t1FF, FLOWER ~: LINDSAY 1"I'I"OKNE1'ti•n"f•LA11' :109 n~iarke! Street Can,, Ilan, tin Signed, sealed, published and declared by ELIZABETH A. HAUSER, the Testatrix herein named, on this and two (2) other sheets of paper, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. {" ~ < t f ~ ~ ~. .,. i ..~ ~~ ~'~~. Name ~ (• , ~, ?~ ame r ~~` Address ~ ~P -~~~lrr/~ ~ ~ 'l ~ ~ t ^ ~~ Address 2 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. d the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as het- Last Will and Testament and that she signed willingly (or willingly directed another to sign for her), and that she executed it as her free will and voluntary act for the purposes thereiri expressed, and that each of the witnesses, in the presence and hearing of the Testatrix signed the will as witnesses and that to the best of their knowledge the Testatrix was at that time eighteen years of age or older, of sound mind, and under no constraint or undue influence. WE, the undersigned, the Testatrix an ELIZABETH A. HAUSER, Testatrix r. i i /r/ f ,~ ~ / / ~ fj ` Witness ~, r, r f; ,, Wi Hess ,~ .~ ~~,. SAIDIS -TUFF, FLOWER LINDSAI' ~•rrnr:Nrv~.n•r.i nu~ :109 A9arket SU~eet Camp liill, PA Subscribed, sworn to and acknowledged before Ine by the Testatrix, ELIZABETH A. HAUSER, and subscribed and sworn to before me by both witnesses, this ~i ~~ day of November, 2005. otaly P bh COMMONWEALTH OF PENNSYLVANIA Notarial Seal Sara J. Ensinger, Notary Public Carlisle Boro, Cumberland County My Commission Expires Oct. 17, 2009 Member, Pennsylvania Association of tJotaries 3 'hETRO BANK 3801 Paxton Street Harrisburg • PA • 17111 mymetrobank.com 888.937.0004 May 30, 2010 Saidis, Flower & Lindsay Attn: Jo Ann Seker 26 West High St Carlisle PA 17013 RE: Estaie of: Eiizabeth A. Hauser Tax Identification Number: 223-32-3729 Date of Death: March 20, 2010 To Whom It May Concern: This letter is in reference to decedent account information you requested for the individual listed above. We are able to provide the following: Account Type: Checking Account Number: 32086324 Date Opened: 10/21/1998 Primary Owner: Elizabeth A. Hauser Date of Death Balance: $45668.34 Please feel free to contact me at (717) 412-6127 if I may be of further assistance. Sincerely, ~~~ `., !" ', Diana Reynolds Metro Bank Research Associate/Deposit Services P_~.._. J ~~ ~.l~~ll~.~l `~•~r~...'~~aF'~y~~..'1SAS'~~S'~F"rk `v%'~~Iv~~:S~~ j R°l ~i~~,.. WICC •AV A A 1• TIMC 5 NONT 1 " A 'CN O !t Of 139UE 223-32-.3729 DEFERRED INTEREST` $ -~ n n ~ Q.~_ 004 4i042620Q2 ~~ Y L Z r z Qm } J > a .3 ON W uJ m ¢ ,~~~, Q ~ ~V aW O W W i ~~E~~~~ I!: "''EKES T.CEASES :'_O YEARS FROM ISSUE Di\"fE OF 08 2ao4 ---01342378 sT,.~.,,,.~r,~, n,,..N,y ;oooo i 3 ~ i 3 ~a,~~ to N ~ ~ ~ ; '~ (n O .~ ~ v N >' to ~ •`~ -p ~' al ~ ~- in m O C ~ ~ ~ a t~: ~ ~ ~ .~ -O ~ ~- ~. O a.r O Z ~ L: ~ a ~~~ ~ .,-.. o - ~ ' a~ U N °~O ~ C O Q ; ~`' 4.., c~ c ~ = ca'cn. '°~' ~-t.. v O "a C6 ~ N E~ a~" Ems ~ p O~. 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C C > (Lf ,1O. ~ _C3 '~ '~ = ` `n - o = ~ C ~ . ~ ' a c0 ~ •C fn "_ ~ ~ C ~ ..4- ~ ~ C x E ° „1 V ~ N ~ -Ct to A f''"' '`~, ~ a ~. i ~~ a ~"~f~. .°Q~'3°k ~ ;. _~ Q :.. . a~ ~ ! c C a io `,' G m _ ~v~ N to O ~ o o c° E ° ~ ~ o ~ a~ ~ o « ~Q r _. ° ' ,~ ! _ k P m ` .~ cu o cn ~ >, m-~:;~ ~-~,j~~ ~r~ ~ c a .~o a'a iE~- "r ' ` o` . ur U ~ ~ ~OC cn cry, 'c ~ rn ~ o ~ ~ ~ o ~ ~ ~ ~ ~ m ~ I U ~ 0 ~ /~i C ~." ' ~'. ~ ~ ~ ~ . ~ C . % C O ~ CAS 0 ~ F.. tp ~ ~ r- j' 1 (~ >' ~ ~ T = ~ ... _ O i O + • r '+a l' - I O Z N ~~ ~ . s-. ~ . b - y N [n C~ C fn Q] O ~`.1 = ~ C/ 'v' 0 E U O ~ Q O-C O " ~ ~ ~ Cn O ._~ i ~ m O 'C r _ U + O U - N ~ C .'_ O V 0 ~ ~ ~ ~ a ":°: ~~„ ., `- U Eil C O -p O-~ Ll) ~ N >E•+ - ~ 'D ~ ~~~ ° ' .. ~ O .~ ~' 1 ti ' . I ~ Q. \ ..a,• CG ° = Q ~ Q ° ~ .N N s ~ N V ( II ~ .° >~, E ~~~ ~~ ~~~~~. r ~~~ INTEREST CEASES 20 YEARS FROM ISSUE CIATEOF 08 2004 . ,: _ _ ____ ... LL A~tA~~/AHV TIYME !IA CHON T119~AfirE N/O' TL OyI 15•9YyE ~+ •lty ~i_r~ f![1'1~~l~~il~~Til l~l,~.)~l~T}il~itl`l ~:;l~ 223-32-3729 ~. T ELi2ABETH A HAUS'EER' ~ -- -- 5.225 'WILSON L'N ` APT 2:I 0 6 M E:C.H ANN I C SIB U'R G =P A `17 } 5 5 -~0-0 -0-0 . DEFERRED INTEREST ~ ~,~,8 ~T0 8 ~ N. ~~ 0:0414104262002 i? `~ 9 0 0 0 3,4 L 3? 6 t~' WILL PAY~AT ANY YtNE 91R NON1N9 APYER OAT£ O! /S9UE ,_ r DE~'Eft!RED INTEREST $_~~~ ~~ .L N. ,,/, 00414.1.04262002 _ _ _ _ ~ ? :1000 ~ 3 4 l 3 ? ?t~' 01341376 X134~3~bHH -INTEREST-CEASES-.20~-YEARS FROM.:ISSUE DATE OF - 08 2004 01341377 k13`~~.~~1~HH i 1~~~.{w._<.~''IEI~ tl. E.t~~~~111+)f.l ~~tH-j~~~t~l~a~~e 223-32-3729 l !„ ELIZ'A'BETH A HA~USE'R ~ -'" 5225 WLLSDN LN APT 2106 ._ MECHANICSBURG-PA 1705"5:00:00 £ . ,: . ~ F . r k f .. .. 0 98`58433 - t- DEFERRED ~rY -~i~EST 7n o_ ~D ,~,~ -- OF M 9 S S 8 4.3.3 H H 5 00414104262002 ~ 5 _~ .-w~*a~ 6000 98 584 3 3~i' . . 4.Ya`: S ... r. (;~rrlrlllrV(i.'iJn .py 'r ,... IN `iX .3ut1~ ~.. ~ y li•v ... ..-..- Y ~~ _ • ~uv:~~ - u~ - i c_ f_oi - -- - , - - ; FFes'''[] T ~~`f1, ~j~_~,~ri~? ^~~~-~~_I!,_ -~gY- - '.:~.i~-t-1131 ~--- ~~~IE~:I.~~r~~.{:./~..5'~:~~~~nS~~..i PAT Ai - W I L L A w r ;. wC SI.X wOltTn', AFT Eh OA; F O F ~SSYE - - ~ ~ ,' ~Y ` r T = y+ ~ I ~ .. _ -'?l~~i.:~... ~.l~l~~l~ }~T~.~~~~3 tfi _- .~ I IhFTI;REST CEASE5.2O .Y=_ARS ~. ~ - .. . --.-.._ - .... _ i - .. ...PROM ISSUE DATE OF - -- _: 22..3-32-3;29 -.; 08 2004 _.. __ _ _ .. ._ - /~: .. _ " - - - EL_I`~~AB:ETH ~'_A~ °HA'US~E~' ° ' - - 52.25 =WILSDN :. L`N~ ;" _ " -APT 2.1:=06 .. ,: ,, ; ,., _ _ .. . MECH.AN'TCS'B'UR=G- -PA 170=55--:0~~0_fl°0 -- . _ f ' - . ~, ,~ t 09858432 BE~~--R~~a ~~T~~~~- ~ ~ 0 0.3 n ~u~~_ -;l. M 9 8 5:8.4 3:2 H N µ .. r..~ ~ 4. 00414104262002 ' ' -' c i 5 -~ ,r5000 98.58 4 3 2i~' .:..i .'1. "'.ti.NNnNM~-~wMhL.. Y ••,, •~ ~ .v:~~~ , h'J:.J "•.+A.y k -w /.Y.'~Y.iV.: MYi.L'1.M1SM.N.Vi'N:Pil.W-.W.ltWJ7Ml.V:,MALVIfhS L _ - h 'r:.tir~';y']:uY.t J.t W lhiu S:1 •~ L i 51~.~t 1..~ -J S.. h _ ~ ~ _ P . s.----- _~___ ... _.__ ___. __ __.` _ __.__.__ .__._._ WILL PAY AT TIw C'-SIX wOwTMS A/TEII O ATC O l tS f Y C ' ~. ~ "~~ y y ~ ~ y d~i~~~~~~~aflr~l~ %~ ~~\~~ ~~1y~Y\ ~J ` // IhTEREST`GEASEwS 20 YEARS FROM ISSUE GATE OF 223-32-3729 08 2004- .-_ T:l E L I Z-A`B E T H A H -A~ U'S E:R 5.225 WI`L-SON LN APT ,2;i 0~6 `hi E C H A N I C S=B`U`R G- P A` 17 0'5 ~- 0 0 0'0 069484'83 DEFcRRED tNTEREST ~ ~~n _ 15 u~~ ;~~x ~U ti.. ., ~„s ; D b 9 4 8 x+.81 H H ~ , ,, , , . ,....,,,,~ 00414104262002 ~ ~''' °` L4 '~--~t`40006948481i~' ..... '-...~ .Yff.Y.V Vr~J.Y.I hhY ..l.V. iJ.VNA" :hVf~hYl.:iN.rJ.NN4r c.~1~~ .. .. ~.~ f)1.. r ... ~ .. _. _ -.. . : - . ... .. ...... ..v ` ~ P .' iN TEREST Cc.A5E5 20 YEARS %~ROAt ISSUE PATE OF 08 2004 ~k~'7YatigB~ afkkl~t{OL'~'ti%-~l`F-','-sSfsT'±M1•A';'~. ~~~~:~ _ LAW OFFICES JOHN E. SLIKE ROBERT C. SAIDIS JAMES D. FLOWER, JR CAROL J. LINDSAY JOHN B. LAMPI DANIEL L. SULLIVAN DEAN E. REYNOSA THOMAS E. FLOWER MARYLOU MATAS JASON E. KELSO SAIDIS, FLOWER & LINDSAY A PROFESSIONAL CORPORATION 26 WEST HIGH STREET CARLISLE, PENNSYLVANIA 17013 TELEPHONE: (717) 243-6222 -FACSIMILE: (717) 243-6486 EMAIL: attorney~sfl-law.com www.sfl-law.com June 7, 2010 CAMP HILL OFFICE: 2109 MARKET STREET CAMP HILL, PA 17011 TELEPHONE: (717)737-3405 FACSIMILE: (717)737-3407 REPLY TO CARLISLE Cumberland County Register of Wills ~a Cumberland County Courthouse -`~' One Courthouse Square, Room 102 ~ ~ c Carlisle, PA 17013-3387 r~~ ~ .~` «~=" CIa ~ ~ Re: The Estate of Elizabeth A. Hauser; File No. 21-10-0335 ~~r~~ .,o ~~ 3 Dear Ms. Strasbaugh: ~ il~t- Enclosed are two original copies of the Inheritance Tax Return and an original copy of the Inventory for the Estate of Elizabeth A. Hauser, who passed from this life on Mary 20, 2010, to be filed in your office. Included with the original copies of the Inheritance Tax Return and the Inventory are copies of both documents to be time-stamped and returned to me in the envelope provided. Two checks are also enclosed to cover the filing fee and the amount due and owing on the Inheritance Tax Return. One check is in the amount of $270.35 payable to the Register of Wills, Agent as payment for the inheritance taxes that were not previously paid and a check in the amount of $30.00 is included for the filing fees to file the Inheritance Tax Return and Inventory. Please send me a receipt for the inheritance tax payment along with the time-stamped copies of the document. If you have any questions or comments, please call. Sincerely, SAIDIS, FLOWER & LINDSAY ~< J~ Ann Seker Pa. C.P. ~~} .~ti. J ~.} r~.~ G ~ €~' ~'~ r r.. •~ ~.r~ ~~ T"... i~ 4 r7, Js Enclosures isod ~~ ,r C7 t~ ~~ `~ ~- ~""" N E © ~ b p .u ~ ~ ~ ~. ... O ~ t a~ o ~ o 0 ~ cn ~ r- N ;o N ~ ~ M ~ ~ M c~j~~ n ~ GN 'r ,d ~ N ~a ~~ ~ ~ ~~ V O Q. w i!( ~ ~ w 1.17 '" ~ ~{~ C~ .. ~ ¢ N ~~ ~ `~ A ~ ~~°`' 0 ...~~-