HomeMy WebLinkAbout08-05-10J 1505610140
REV-1500 EX (01-10)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN
Harrisbu PA 17128-0601 RESIDENT DECEDENT 2 1 0 7 0 4 4 7
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
2 0 4 0 3 3 2 6 3 0 4 1 8 2 0 0 7 1 0 2 1 1 9 2 1
Decedent's Last Name Suffix Decedent's First Name
MI
D U D I C K R U T H E
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
MI
Spouse's Socal Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITF~ THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
0 1. Original Return ~ 2. Supplemental Retum ~ 3. Remainder Retu (date of death
prior to 12-13-82
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate'T x Retum Required
death after 12-12-82)
QX 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 0 8. Total Number of $afe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax un er 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 SHO LD BE DIRECTED T0:
Name
Daytime Telephone Nu ber
D A R Y L J G E R B E R E S Q U I R 7 1 7 8 3 8 5 4 1 1
REGISTER OF WIL S USE ONLY
C ~~ .~~
First line of address . o
G E R B E ~R & A S S O C I A T E S .k~~ ~ '°~-~
~' ~
Second tine of address ~.; ; ~ t r= ~ ~-.~
4 6 E M A I N S T R -~~a ~' ~ -~ :: -~,
City or Post Office State ZIP Code IL D - M
., ~-,~,
P A L M Y R A P A 1 7 0 7 8 ~ ~ ,
Correspondent's e-mail address: d erber erberlawoffice.com
Under penalties of perjury, I declare that I have examined this return, including axompanying schedules and statements, and to the best of my owledge and belief,
~t ~ fie. correct and cornple~. Declaration of preparer other than the personal representative is based on all information of which
SIG E(~ON preparer has ny knowledge.
jw~ ON FILING RETURN T
ADDRESS ~ ~ 3I IO
DAVID E• DUDICK, 40 KENSINGTON DR CAMP HILL PA 1 011
U E OF P E 0 THA REPRESENTATIVE DAT
4DDRESS ~ '~
DARYL J RBE ESQ 46 E MAIN ST PALMYRA PA 1 078
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 15D5610140 1505610140 ''
~ ~~
J 1505610240
REV-1500 EX
Decedent's Social Security Number
~e~eaer-rs Name: RUTH E• D U D I C K 2 0 4 0 3'', 3 2 6 3
RECAPITULATION
1. Real Estate (Schedule A) ........................................... 1.
2. Stocks and Bonds (Schedule B) ...................................... 2.
3. Closel Held Co ' •
y rporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages and Notes Receivable (Schedule D) .......................... 4,
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 1 2 8 7 2 , 8 2
6. Jointly Owned Properly (Schedule F) ^ Separate Billing Requested . , ..... 6.
7. Inter-Vrvos Transfers & Miscellaneous N~ Probate Property
(Schedule G) o Separate Billing Requested ....... 7.
8. Total Gross Assets (total Lines 1 through 7) ........................... 8. 1 2 8 ~ 7 2 , 8 2
9. Funeral Expenses and Administrative Costs (Schedule H) .................. 9. 6 4 ! 9 7 . 8 6
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ............. 10.
11. Total Deductions (total Lines 9 and 10) ............................... 11.
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 Valw Subject to Tax (Line 12 minus Line 13) ................ .
..... 14.
TAX CALCULATION • SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(ax1.2)X.0 _ D . 0 0 15.
16. Amount of Line 14 taxable
at lineal rate X .045 2 4 5 1. 7 7
17.
Amount of Line 14 taxable 1s
at sibAng rate X .12 0 . 0 0 17
18.
Amount of Line 14 taxable .
at collateral rate X .15 0 0 0
18.
19. TAX DUE ..:............................................. ...... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
sia. s
L 1505610240
1505610240
3 9 12 3. 1 9
1 0 4 '', 2 1. 0 5
2 4~,5 1. 7 7
2 ',
45
1.
7
7
', 0. 0 0
1 ~ 0. 3 3
0. 0 0
', 0. 0 0
1 ~, 0. 3 3
a
I~
REV-1500 EX Page 3
Decedent's Complete Address:
RUTH E. DUDICK
STREET ADDRESS
1900 MARKET Sr
File Number
21 07 0447
ciTY
CAMP HILL STATE zIP
PA ' 17011
Tax Payments and Credits:
~ • Tax Due (Page 2, Line 19)
2. Credits/Payments (1) 110 33
A. Prior Payments 576.56 ~
B. Discount
3. Interest Total Credits (A + B) (2) 576 56
4. If Line 2 is greater than Line 1 +Line 3, enter the difference. This is the OVERPAYMENT. (3)
Flil in oval on Pape 2, Line 20 to request a refund. (4)
466.23
5. ff Line 1 +Line 3 is greater than Line 2, enter the difference, This is the TAX DUE.
(5) 0.00
Make check payable to: REGISTER OF WILLS, AGENT
................
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRI/~TE BLOCKS
1 !~
d decedent make a transfer and:
Yes
No
a. retain the use or income of the property transferred•
b. main the right to designate who shall use the property transferred or its income; ........................... ^
....
c. retain a reversionary interest; or .. p. y ........................................................................................
d. receive the promise for fife of either a meets, benefits or care? ....... ^
^
................................................
2. If death oaxrrred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate considexation? ...............
..........................................................
3
"
. Did decedent own. an
in trust for' orpayable-upon-death bank acxount or security at his or her death? ^ 0
4. Did decedent own an individual retirement account, annuity or other non-probate
property, which
contains a benefa
ary designation? ..............................................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R AS PANT OF THE RETURN.
For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after Jan.1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
p2 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements fbr 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 21 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 0 percent p2 P.S. §9116(a)(1.2)j.
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficlaries is 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 12 percent p2 P.S. §9116(a)(1.3)~. A sifting is defined, uncle
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1508 EX + (8-98)
SCHEDULE E
COMMONWEALTH of PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
IN RESIDENTDECEDE T~ PERSONAL PRdPERTY
:STATE OF
RUTH E. DUDICK FILE NUMBER
21 07 0447
Include the proceeds of litigation and the date the proceeds were received by the estate.
AU property join -0wned vrith right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
~ • CASH OF DEATH
60.42
2• WACHOVIA
CHECKING ACCOUNT ', 2,263.76
3• CONSECO SENIOR HEALTH INSURANCE COMPANY
LIFE INSURANCE PROCEEDS MADE PAYABLE TO THE ESTATE AS BENEFICIARY 10,548.64
TOTAL (Also enter on line 5, Recapitulation) I ;
(If more space is needed, s>sert additional sheets of the same sae)
REV-1511 E'X+ (10-09)
Pennsylvania
DEPARTMENT OF REVENUE
INHEWTANCE TAX RETURN
RESIDENT DECEDENT
~@T~Tr A~
SCHEDULE H
FUNERAL EXPENSES AND
ADMINIS'TIZATIVE COSTS
71
Decedent's debts must be reported on Schedule [.
ITEM
NUMBER DESCRIPTION
A• FUNERAL EXPENSES:
1• FRANK E. MATINCHECK & DAUGHTER FUNERAL HOME
B• ADMINISTRATIVE COSTS:
1 • Personal Representative Commissions:
Name(s)ofPersonalRepresentative(s) DAVID E. DUDICK
Street Address 40 KENSINGTON DRIVE
City CAMP HILL State PA _ Z1P 17011
Year(s) Commission Paid: 2007
2. AttomeyFees: LAW OFFICE OF GERBER & ASSOCIATES
3. Famigr Exemption: (If derx3denPs address is not the sacra; as claimants, attach explanatan.)
Claimant
Street Address
Cdy State
ZIP
Relalanship of Claimant to Decedent
4• Probate Fees: CUMBERLAND COUNTY REGISTER OF WILLS
5• Accountant Fees:
s• Tax Relum Preparer Fees:
7• I ADVERTISING FEE -CUMBERLAND LAW JOURNAL
8• ADVERTISING FEE -PATRIOT NEWS
AMOUNT
4,395.00
643.64
1,000.00
91.00
75.00
293.22
TOTAL (Also enter on Line 9, Recapitulation) ~ S
it more space is needed, use additional sheets of paper of the same size.
REV-1512 EX+ (12-08)
Pennsylvania
DEPARI'AAENT OF REVENUE
INHEWTANCETN(RETURN
RESIOENr oECEDENr
OF
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, ~ LIENS
Report debt Mcurred by the dacadont prior to death that remained unpaid at the date of death, Including unreimbureed
ITEM
NUMBER DESCRIPTION
1• MANORCARE
NURSING CARE AND MEDICAL EXPENSES
2• HEARTLAND PHARMACY OF PENNSYLVANIA
PHARMACY EXPENSES
TOTAL (Also enter on Line 10, Recapitulation) (, s
ff moos apace a needed, insert additbnal sheets of the same eiae.
t expen=se.
VALUE AT DATE
OF DEATH
3,038.00
885.19
3,923.19
~~~t 3~i~1 ttrc~ (7~ Pstttrr~nt
I, RIITH E. DUDICR of the Borough of Middletown,) County
of Dauphin and Commonwealth of Pennsylvania, being of sound mind,
do hereby make this to be my Last Will and Testament, herby
revoking all Wills or Codicils by me at any time heretofore made.
ARTICLE I
I order and direct the payment of all my just d~bts and
funeral expenses as soon as may be convenient after my decease.
ARTICLE II
I give, devise and bequeath all the rest, residue and
remainder of my estate, real, personal or mixed, and wherelsoever
situate, unto my beloved husband, NICHOLAS DIIDICR, to be hlis
absolutely.
ARTICLE III
In the event my beloved husband predeceases me, or in
the event that he and I die in a common disaster, then I give,
devise and bequeath all the rest, residue and remainder of my
estate unto my son, DAVID E. DIIDICR. In the event that my said
son predeceases me,: that share shall be received by his sorb, ERIC
ARTICLE IV
I direct that my Executor shall not be required to
enter security in any jurisdiction in which he may act.
ARTICLE V
I nominate, constitute and appoint ~TIC80LAA DtTD~ to
be Executor of this, my Last Will and Testament. In the event
that he is unable or unwilling to serve in that capacity, then I
nominate, constitute and appoint DAVID E. DUDICR as Alter~-ate
Executor of this, my Last Will and Testament. In the eve~ht that
he is unable or unwilling to serve in that capacity, then ',I
nominate, constitute and appoint ERIC D. DIIDiCR as Alternate
Executor of this, my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand 'and
seal this 2 day of , A.D. , 19'91.
Ru h E. Dudick
SIrNED, SEALED, PUALISHED AND DECLARED by Ruth E.
Dudick the above named Testatrix, as and for her Last Will and
Testament, in the presence of us, who, at his request and in her
presence and in the presence of each other, all being present at
the same time, have subscribed our names as witnesses.
~~'` ~ ~- Address : {`' ~,.~r~r
~"
~~''~i7~~,~~~ ~ ~~%,~- Address: ~ ,~~-: ~-.~ Dc
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF LEBANON ) SS:
RUTH E. DUDICK whose name is signed to the attached or
foregoing instrument, having been duly qualified according to
law, do hereby acknowledge that I signed the instrument a~ my
.Last Will; that I signed it willingly, and that I signed ~t as my
free and voluntary act for the purposes therein expressed:
Sworn and acknowledged before me by Ruth E. Dudick, the
Testatrix on this, the ~~~~ day of
1991.
Ruth E. Dudick
NOTARIAL SEAL
Rhoda J. Long
Notary.Public, Palmyra, Leb. Co., PA No ar P ~ 11c
Commission gyres Uec. 3, 7 991 y
~ ~ My Comm. Expires:
------------------------------------ ~~ ;3- 9~
----------------------------
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF LEBANON )
We, Daryl J. Gerber and Charlene R. Hurst, the witness-
es whose names are signed. to the attached instrument, beincg duly
qualified according to law, do depose and say that we were.
present and saw Ruth E. Dudick sign and execute the instru~hent as
her Last will..; that she signed it as her free and voluntar~r act
for the purposes therein expressed; that each of us in the''
hearing and sight of the Testatrix signed the Will as witnesses
and that to the best of our knowledge, the Testatrix was at that
time 18 or more years of age, of sound mind and under no con-
straint or undue influence.
Sworn and subscribed before me by Daryl J. Gerber and
Charlene R. Hurst, witnesses, this,day of 1991.
~v~
l ~ W1
~~` es
No ary P lic /I ^
My Comm. Ex ~~r'h ~~~ ~ ~ ~/? ~-
p' ' ~~~~' -~~ witness
4 t~QT~'.REfiiL SEAL
Fho;ia J. tong
ho~Gry Pu9!i~, ('~: <<s~r&, E_as. Ca., Pr,
E tE4y Comrrdssia~ Expires Cf~. 3, 199 i
Practitioner Portal
Page 1 of 1
Penalty and Interest Calculations
CALCULATION DATES-
1/18/2008 TO 8/5/2010
TAX DEFICIENCY $ 110.33
CALCULATED INTEREST $ 15.52
BALANCE AS OF 8/5/2010 $ 125.85
Start Over
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' .. Frank E. Matinc~# and Daughter Funeral Home
rrn~`'.'remation S1ervices
260 East Main,Street, Middletown, PA 17057
[ TO: d u ~1
fir. DSVi L) disk O V~
44 Kensington Dr., Camp Hill, Pa.
For tl~ Funeral Expenses of
Mrs. Rush E. Dudick
April. 18, 2007
...__~
CASKET AS.SELECTED ,:
_ ~..:..
PROFESSIONAL SERVICES INCLUDING EMBALMING AND ..
PREPARATION, REMOVAL, USE OF EQUIPMENT, ASSISTANTS
AND ALL SERVICES IN THE ARRANGING, CARE AND DIREC-
TION OF FUNERAL.
VAULT
i
~. TOTAL $3695.0 3695.00
(;
CASH DISBURSEMENTS
~~ For your convenience we have advanced cash for the foUowsng:
~~ GRAVE OPENING
~ FLOWERS -
i
NEWSPAPERS 10 00
PAT. $153 P&J. $57 $ 210 00
~ CLOTHING
CLERGYMAN
100 00
HEARSE --
- ~ =r+A~p~ -., ~, , ~.~ ,~,,~, ,x_ _ ...
TENT, LOWERING DEVICE AND GREENS ~ - -
COPIES OF DEATH CERTIFICATE -
MEMORIAL FOLDERS, REGISTER BOOKLET, ACK. CARDS
$ 90 00
ORGANIST -
F
HAIRDRESSER
30 00
4 -
TOTAL CASH DISt3IJRSEp
_• : 0.. 700.00
TOTAL, 4395.00
Less Burial Trust ~ 673.61
All Cash Disbursement items NET 30 days 3721.39
An annual interest rate of 12 percent per an-
num on any part of the account after 90 days.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE REV-116? EX(11-96)
~at~acni i ns INDIVIDUAL TAXES
DEPT. 280607
HARRISBURG, PA 17128-0601
RECEIVED FROM: PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 008395
GERBER DARYL J
46 E MAIN STREET
PALMYRA, PA 17078
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ida
TOTAL AMOUNT PAID:
5576.56
REMARKS: GERBER FERRY & TANNER
CHECK# 003762
INITIALS: WZ
sEAL RECEIVED BY:
GLENDA EARNER STRASI3AUGH
REGISTER OF WILLS
TAXPAYER
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 1.7013
September 7, 2007
Cumberland Law Journal is published every Friday by the Cumberland Countyy Bar
Association and is designated by the Court of Common Pleas as the official legal publication for
Cumberland County and the legal newspaper for publication of legal notices.
TO: Daryl J. Gerber, Esquire
Ruth E. Dudick Estate
RE:
Legal advertisements must be received by Friday Noon. All legal advertising r~hust be
paid in advance. Make all checks payable to: Cumberland Law Journal.
Adverti
cement inserted on the following dates:
August 24, August 31, aid September 7, 2007 '
Advertising Cost $ 75.00 ~!
Proof of Publication $ 0.00
Second Proof Request $ .0.00
Payment received $ 0.00
Total Amount Due $ 75.00
Payment received by
Zlle ~Jahiot News
NOw you know
Order Confirmation
Customer Orderer Account Number
GERBER,FERRY & TANNER LAW OFFICE 167698
Paler, Paver Account Number
167698
GERBER,FERRY & TANNER LAW OFFICE
46 EAST MAIN STREET
Palmyra PA 17078 USA
For Any Questions, Please Call 717-255-8459
Ad Order Number 0001733205
Sales Rep.
Order Taker
Order Source
Special Pricing
PO Number
Ordered By
Customer Fax
Customer Entail
Customer Phone
jnorth
jnorth .
Phone
None
Jennie smith
jsmith@gerberlawoffice. cc
717-838-5411
Paver Phone 717-838-5411
rear Sheets Proofs Affidavits Blind Box
0 0 1
Invoice Text
Materials
Total Ad Cost $293 22
Payment Amount $0.00 Payment Method
Promo Tvpe
Amo=nt Due $293.22
Ad Number Ad Tvpe Ad Size Color
0001733205-0' Legal Liners : 1.0 X 21 Li <NONE>
Production Method Production Notes
Ad Booker
Product Information Classification # Inserts
Run Dates
PNCO::Full Run 806-Estate Notices 3 8/16/2007, 8/23/2007, 8/30/2007
Run Schedule Invoice Text
EXECUTOR'S NOTICE Notice is hereby given that Letters of Testam/
~G'~ ~ ~u~7C/~
8/30/2007 8:05:09AM 1
MCHS Camp Hill
1700 Market Street
Camp Hill, PA 17011
(717) 737-8551
David Dudick
40 Kensington Dr
Camp Hill, PA 17011
STATEMENT
Patient: Dudick, Ruth (2101)
Location: -
Statement Date: 3/1/2008
Amount Due $3,038.00
PLEASE DETACH AND RETURN WITH YOUR PAYMENT Amount Enclosed $
MCHS Camp Hill Patient: Dudick, Ruth (2101)
1700 Market Street Location: -
Camp Hill, PA 17011 Statement Date: 3/1!2008
(717) 737-8551
~~ Descri ion
BALANCE FORWARD
BALANCE DUE
Units
$3,038.00
$3,038.00
Payment due by the 10th of the month.
Thank You.
02/29/2008 11:35 4197245586 COLLECTIONS
~~~ MAKE CH@CKS PAYABLE TO:~s>•~
Heartland
M{ARMACY O'FP6NN3YLVANIA, LLC
nueNroaNO1NDwN. Pa ~e1oe
eoazTasis, sxT eoso
RETURN SERVICE RERUESTED
o+o+
FACiLI'fY: 55830 CAMP HILL
PAY PLAN:
'er1"~leel'~11r1pp11'frrl"1'III~11'11111f~111"'111'IIrlllrrr~
1700 MARKET STREET
CAMP MILL, PA 17011.4817
PINCe ehsdc box If above address is incorrect
^ or hasunmco information has changed, and
~ indicate change(s) on raveras aide.
33978
MAIL
FinanOa Charges an aNeulatad ~ monthly perlodlc rate of 1.596 (Or a minimum
of 51.00 per month) for a total onnud rate o118'K. The charyes Dated
II enaa
'1'Ir'r~rllUt'~'1'prrlr"~Ill~~lrr~~rrrl'1I111"Ir'~Itltr"
HEARTLAND PHARMACY F PENNSYLVANIA
PO BOX 72413
CLEVELAND, OM 44192-OOa2
a~e're-reetNNRNVOO1e+e
PlEl18E DETACH ANp RETURN TpP ~'ORr10N VNTM YOUR PAYMENT
872.70 - 0.00 O.DO 0.00 ' 12.48 ` 0.00 " 0.00 ~ 885.18
DAYS OUTSTANDING DUE OATS: 9J30/2007
1- 30 31- 80 61.90 91.120 121
ACED BALANCE AMOUNT DUE: :885.15
3~,9y 816..0.3
AMOUNT ENCt.oS~D:
7010 SNOWDRIFT RD ALLENTOWN, PA 18106 800-270-6351 EXT 6050
PAGE 02/R2
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STATEMENT DATE PAY THIS AM CUSTOMER ID
8131/2007 $ a 85.19 ~ 16116
SNOW A OUNT
PAGE No. 1 DI 1 PAID H E
SETTLEMENT STATEMENT
Dudick, Ruth E. Estate
RECEIPTS
Source
Wachovia Bank
Closed Account
Conseco Senior Health Ins Co
EXPENSES
Amount Source ~
$ 2,263.76 Register of Wills $ 91.00
Probate Fee
$ 10,548.64 Gerber, Tanner & Associates
Attorney Fees
Matinchek Funeral Home $ 3;721.39
Funeral Expense
Patriot News Reimbursement $ 293.22
Advertising Fee
Advertising Fee
Register of Wills, Agent $ 576.56
Pre-Pay Inher Tax
HCR ManorCare
Medical Expenses
Postage $ 5.33
Gerber, Tanner & Assoc
(up to 8/13/07)
Postage $ 0.41
Gerber, Tanner & Assoc 542.5
Attorney Fees
Postage (running total s/6/08) $ 0,82
Gerber, Tanner & Assoc
TOTAL
$ 12,812.40 TOTAL
$ 5,231.23
ACCOUNT BALANCE $ 7,581.17