HomeMy WebLinkAbout04-0630PETITION FOR PROBATE and GRANT OF LETTERS
Estate of 5. i-'bff'c~, [~. l~e"4~D hCA.~
also known as
· . , Deceased.
Social Security No. I tlc\, ,~ _ ~ ¢l:
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age_or older an the executO
in the last will of the above decedent, dated-_9~| ~ f_,O"~l~ ~'3
and codicil(s) dated
To:
Register of Wills for the ,
County of C-lx~v~ _}2~L..t/'~YV~ in the
Commonwealth of Pennsylvania
named
'Wq°l 5 ,19 C~. ~
(state relevant circnmstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in ~ ~ YY3 ~'O~...f' ] O~%q C-~ County, Pennsylvania, with
h~.f last family or principa~esidence~at ~G"]
(list street, number and muncipality)
De~gn4ent, Cen ~ ¢ year, of a~e, died
Except as follows, decedent d~d not marry, was not d~vorced and d~d not have a child born or adopted
~ncompetent:¢fter execution of t~ill offered for probate; was not the victim of a killing and was never adjudicated
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows: '-0'1
WHEREFORE, petitioner(s) respectfully
presented herewith and the grant of letters
theron.
~ O
request(s) the probate of the last will and codicil(s)
(testamentary; administration c.t..a.; administration d.b.n.c.t.a.)
" c:~
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLYANIA -I
COUNTY OF ~x,~-~-.~::~L,x_~xc-~ . j~ ss
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will estate according to law.
Sworn to or affir~_n~ and subscribed
b{Ifore me this [w_, x~ day of
~zr (~ ~ - Registe~
weltered 7~y
Estate Of ~_~x~.~x~_ ~ '-~. ~, ~o~,~_ , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW
the reverse side hereTf, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated
described therein be admitted to ,pro~ato and filed of record as the last will of
and Letters
are hereby granted to ~ ~ '~~
~__~. ~ ~u~ ~ ~'"C3q 1~_ , in consideration of the petition on
FEES
Probate, Letters, Etc .......... $$~
Short Certificates( ) ..........
$
Filed
Register of Wills
A'I'rORNEY (Sup. Ct. I.D. No.)
ADDRESS
PHONE
his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Local Registrar
: :JUN 1.5
: Dat~/
H105 143 Rev 2~87
INAME OF DECEDENT (First Middle. Lest)
Sara D. Beinhauer
COMMONWEALTH OF PENNSYLVANIA · DEPAR'FMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
eTATE FILE NUMBER
I SEX I SOCIAL SECURITY NUMBER I DATE OF DEATH (Month. Day, Year)
IzFemale 13. 174 -- 20 -- 3664 14. ~'T~-~ I,~,
AGE (Last Bifl~y) ~ UN~R 1 Y~R ~ UNDER I O~Y DATE OF BIRTH I B RTHP~CE (Ci~ and~P~CE ~ DEATH IC~ ~v o~ - s~ {ns[~s ~ o1~ si~} '
I M~S I Deys I ~ I Minutes ] (Mon~, Day, Yea0 IStole or F~ C~) I HO~IT~: I O~ER
COUNTY OF DEATH I CITY, ~RO, t~ OF DEATHI FACILITY ~ME (If ~1 ~stil~i~, gi~ s~eet and numbs) IWAS DECE~NT OF HIS~ANI~ ORIGIN? IRACE - Amefi~n I~ian, Black. ~ite, el
I I ' I
~b. Cumberland ~.East Pennsboro ~. ~O1~ ~,, ,~ ~ oP,~l ..... ,~,~.,,c ~,. ~te
OECEOENT'S USUAL ~CUPATION [ KIND OF BUS,NESS/INDUSTRY ~AS DECEDENT EVER iN, OECE~NT'S E~CATION I MARITAL STATUS' Mama' Il N~ Man., ~. SURVIVING SPOUSE
(G~e ~ of ~ ~e ~g ~ [ U.S. ARMED FORCES? (S~d~ onl~ ~e~t ffa~ ~elee) I Di~d (S~) (If ~le. ~ve ~lden name)
0'--~"' ........ ~ Patriot News Co. / v..~ No~ I ~ ...... , .........
11,. Sheridan Stuffer 111b' i~z D~' ~'~2 (1-4o,~+~]~4. Widowed
DEGEDE~'S MAILING AOORESS {Slre~. Cityff~n. Siat~. Zip C~e) [ DECEDENTS PA
AGYOAL Did 17c. ~p
507 Magaro Rd. iRESiDE~t lin. Stat. a~n, ~Y.,.O,~ntii~ain East Pennsboro
{s~ mst~s Cumberland t~nship? 17d.~ witch ~i limit~ ~ cfly~oro
~s~nola, PA 17025 [~o,~r~.) ~t~.
FATHER'S ~ME (Fiat. M~dl~. L~st)
~ ~ -- I MOTHER'S NAME (Firsl. Mid~e, Mai~n S~e)
~ ~OS ~anam ~e Gertrude ~
· I . ~avey
,.~o.~;I~ F..~_~..... I,.~o..~.,'s MA L ~ ADDRESS (S~ Ctyffown S.. ZipC~e)
· ~'~' . 7 Ma~aro Rd. Eno[a~ PA 17025
METHOD OF DISPOSITION I DATE OF DISPOSITION P~CE OF DIS~SITION- Name of Ce~le~ Cremat~ ILOCAT ON - Ci y~n, S a
~.~ ~.., ~c,..~ ~.,,,o~s~.,. ~ --I~ .......... ~ I°r°th'"'~ I
,,.. O~r~,,,~ _.- UI,,,. Ju~ ~, ~00, I"'..o~.~.~ C~:o~ I,.."~.
SlG~TURE OF FUNE~L S~ICE LICENSEE O~N ACTING AS S~H I LICENSE NUMBER I NAME AND ADDRESS OF FACILITY
~h.~~_~.~// I~- FD 012774-L I~z=.Richardson Y.H. 29 S. E.o[a Dr. Eno[aPA 17025
~ it.s 2~ ~wh~ ~ing /~o ~e ~st ~ my kn~le~e, Oaath ~ed at ~ time, date and pla~ stated LICENSE N~BER IDATE SIGNED
phy~ is not avail~e at ~me of dea~ th ~ I (Sig~t~e ~ Title)
I(Month, Day, Year)
.i~ ~use ~ ~a~.
pe~s~ ~o pmn~s ~ath IME OF DEATH I DATE PRONOUNCED DEAD (Mon~, Day, Year) I WAS CASE REFERRED TO A MESCAL E~MINER/CORONERq
CAUSE (Dmease ~ inju~ ~ c.
resulti~ ~ d~ ) ~ST d.
WAS AN AUTOPSY ~RE AUTOPSY FININGS ~ MANNER OF DEATH DATE OF N JURY TIME OF N~URY INJURY AT ~RK9 DESCR BE HOW N JURY OCCURRED
PERFORMED? AVAI~BLE PRIOR TO~ ~ I (~, ~, Y~ I ' ~
I OF DEATH? I~ I
I ~.,,.~, u Pendinglnveskgationmi I ,.,u .oDI
I I ~ I ~5 .~[,[~V ' A' ho~. ,a~ streel, fact~, office I L~ATION (Siren, C,~own,~te)
~~ ~ ~ I-. . '~"
'aERTlYY[~g ~'[~ p. i ' -- ~"~D TITLE OF CE"TIF ~
~o the best ef mv~e~.[ys~p-~y-I~ 5 ~ ~ R~ -~ath w~n.a~t~r p~ysiO~ has pr~n~ death end ~et~ item 23)
'MEDICAL EXAMINERJCORONER
On the baels of examlnetion and/or Investigation, In my opinion, death occurred at the time, date. end place, end due to the ceusee($) and
31e.
L...I
REGIf~"~*RA~,~i SIGNATURE AND NUMBER
,,. ( I
NAME AND ADDRESS OF PERSON VVHb COMPLETED CAUSE OF DEATH
(Item27)mypeo~Pnnl j~.~,,4..~1~ ~a~. ~;~,-- ~,~
~. ~ ~,~ ~,' ~ ,~ir,
DA/~ILED (M~th, Oay. Year)
LAST WILL AND TESTAN~NT
OF
SARA BEINHAUER
I, SARA BEINHAUER, residing at 507 Magaro Road, Enola,
Cumberland County, Pennsylvania, do hereby make, publish and
declare this to be my Last Will and Testament, and revoke all prior
Wills and Codicils executed by me.
ITEM 1. I give, devise, and bequeath my entire Estate of
every nature and wherever situated to my children, WRAY F.
BEINHAUER, JR. and LORI L. L. RIPPON in equal shares.
ITEM 2. All estate, inheritance, succession and other taxes
imposed or payable by reason of my death, together with interest
and penalties on the taxes, with respect to all property comprising
my gross Estate for such death tax purposes, whether or not the
property passes under this Will, shall be paid out of my residuary
Estate as if such taxes were administration expenses, without
apportionment or right of reimbursement. I authorize these taxes,
interest, and penalties to be paid at such time as my personal
representative deems advisable.
ITEM 3. I authorize and empower my Executor, without license
of Court, to deal with all property comprising my Estate, provided
that such power be used only to satisfy the requirements.of the law
concerning the settlement of my Estate according to this Will.
Page One of Four '
ITEM 4. I appoint my son, WRAY F. BEINHAUER, JR., as
Executor of this Will, without the necessity of entering bond for
the faithful performance of his duties in any jurisdiction in which
he might act. Should my son, WRAY F. BEINHAUER, JR., be unable or
unwilling to act as Executor, I appoint my daughter, LORI L. L.
RIPPON, as Executrix of this Will, without the necessity of
entering bond for the faithful performance of her duties in any
jurisdiction in which she might act.
IN WITNESS WHEREOF, I, SARA BEINHAUER, have hereunto set my
hand to this my Last Will and Testament, typewritten on four (4)
sheets of paper this ~ day of D% r , 1993.
· c~ ~3~_Q~
SARA BEINHAUER
Page Two of Four
Signed and declared by the above-named SARA BEINHAUER, as her
Last Will and Testament, in the presence of us, who subscribe our
names as witnesses thereto, in the presence of the said Testatrix,
and of each other.
COMMONWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF DAUPHIN :
I, SARA BEINHAUER, Testatrix whose name is signed to the
attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will and Testament; that I signed it
willingly; and that I signed it as my free and voluntary act for
the purposes therein expressed.
SARA BEINHAUER
Sworn or affirmed to and acknowledged before me by SARA
BEINHAUER, the Testatrix, this ~ day of S~~~ , 1993.
(SEAL)
Page Three of Four
No~_ry ~ub] ~.
~ Jacq, u~i',~n Ann Dice, No'~lry Public
LMY Commission IcXl3res July ]u, ~,
COMMONWEALTH OF PENNSYLVANIA :
: ss.
COUNTY OF DAUPHIN :
and ~J, ~[ tA~ ,,,~, I~T-.~Wt~tu~.. , the witnesses whose names are
signed to the attached or foregoing instrument, being duly
qualified according to law, do depose and say that we were present
and saw S~ BEI~UER, Testatrix, sign and execute the instrument
as her Last Will and Testament; and that S~ BEI~UER signed
willingly and that she executed it-as her free and volunta~ 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
eighteen (18) or more years of age, of sound mind and under no
constraint or undue influence.
SWORN TO AND SUBSCRIBED before
me this ~ day of
I !
/ Hamstxl .rcj, uauj~nin, ',u?~!~y. ~' ~.. I
M CO ' i ' ~.w, ~/
Page Four of Four
SARA BEINHAUER
Cumberland County - Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Phone: (717)240-6345
Date: 10/05/2004
BEINHAUER WRAY F JR
1371 SYLVAi~ RD
LANCASTER, PA 17601
RE: Estate of BEINHAUER SAP~A D
File Number: 2004-00630
Dear Sir/Madam:
It has come to my attention that you have not filed the
Certification of Notice Under Rule 5 7 (a) in the above captioned
estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS, COURT RULES,
NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on
or after July 1, 1992, the personal representative or his
counsel, within ten (10) days after giving proper notice to the
beneficiaries and intestate heirs as required by subdivision
(a) of Rule 5.7, shall file with the Register of Wills or Clerk
of the Orphans, Court his/her Certification of Notice.
This filing will become delinquent on 10/17/2004
Your prompt attention to this matter will be appreciated.
Thank You.
cc:
File
Counsel
Judge
Sincerely,
Clerk of ER ST.RASBAU~/
the Orphans, Court
Name of Decedent:
CERTIFICATION OF NOTICE UNDER RULE 5.6(#)
w~ No. 2ooq - Oob30
Admin. No.
To the Regisler:
~;~n that no.,fic,c of .,(benoe,fi, ciai interest) ~ required by Rule $.6(a) of t~e 9rphans' Court Rules was
se u on or m~meu to ~e touowing beneficiaries of the above-captioned estate on 7/7//)6/ :
Name Address
i'or~ I.I. I?,?F~ ~ z~, /. i, ~/~
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except ,~/~
Date:
Capacity: ~/~Personal Representative
Counsel for personal representative
REV-1500
INHERITANCE TAX RETURI
RESIDENT DECEDENT
u~ ='~ ~TS NME (LA~, FR~, AND ID~E IMTW.)
06/12/2004 I 08/10/1927
Wray F. Beinhauer, Jr.
174 - 20 - 3664
1HI~ REIIlR~ MU~T BE RLED I~ DU~UCATE wm.i TV~
~OC~ SECUR~ N~
1371 Sylvan Road
Lancaster, PA 17601
OFFICIAL USE ONLY
1. ~mm ~i (smyrnA) (1) $!35,000
~~~~ P) 3,519
4. ~%~--& ~ ~ D) H)
961
Z. ~ T,.~& ~~ ~
~G~
lO. ~d~--~ ~ ~ & ~ ~ Q
I1. T~~9&I~
1~ ~d~8~11)
(~ $] 39.z,s0
14. Ne~ Value Sddect in, Tmc (Une 12 mrdus Lkm 13)
is- amommn~dUmm 14 ~arm~4,mm $132,542
17- Amou~ of L.ble 14 kimal)le M ml~kg ~ak)
18- Aimxalt of Lkte 14 taxable I ctAqMmal tale
19. Tax Due
(lS), 6 q q R
(12) e*~ ~o 549
(13) ....
(") ~
x .o. (15)
x .o a,.5_ (z6) .. $5,95/,
x .12 (17)
x .15 (le) ,.
¢~ .i $5,964
Decedent's Complete Address:
I:'~ 507 Magaro Road
I
STATE
Ennl fl , PA
Tax Payments and Credits:
I, Tax Due (Page 1 Line 19) (1)
2. CreditslPayments
~. spousa Pov~ Cmd~
C. Dtscamt
3. Interant/Panal~if applisabis
D. Interest
E. Penaliy
Total Credits (A + B + C ) (2)
Tolal Intsmst/Panalty ( D + E )
If Une 2 is gom~ thaa Line 1 + l. ine 3, ader Ihe dilfermce. TNS is the OVERPAYMENT.
Check box on Page I Une 28 to request a refund
5. if U~ 1 + Line 3 is gmatsr than Line 2, enter the difference. This is the TAX DUE.
(3)
(4)
(5)
(.SA)
(SS)
B. Enter Ihe ts~al of Une 5 + SA, 'fhis ts the BALAI~E DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
I~ 17025
$5,964
$5,964
$5,964
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedant make atrar, sfer and: Yes No
a. retain the use er income of the property tran. sfermd; .......................................................................................... [] []
b. retain ~e ~ht to designate who shall use the proporty baneferred er its ineome; ............................................ [] []
~..,~, a re~sionmy interest; or .......................................................................................................................... [] []
d. raneiva ~ pm.~e for ~e of ather payme~s, baneas er cere? ...................................................................... [] []
2. if d~a~ occun'ed alter December 12, 1982, did danedant lmnefer properly within one yesr of death
,~hout reneiv~ adegeate coneiderat~? .............................................................................................................. [] []
3. Did denedant ovm an 'in Imst f~3¢' or payable upon death bank account or securily at his or her death? .............. [] []
4. Did decedent own an Indlvidual Retirement Account, annuity, er other non-probats properly which
co.t~ne a baner~cia~y ~].a~on? ....................................................................................................................... : [] []
IF THE ANSWER TO ~ OF THE ABOVE OUESTIOI~ I$ YES, YOU BUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE REI'UI
12/o]/oz~
caster PA 17601
SIGNATURE OF P
12/01/04
PA 17604
For dates of des~ an er altor July 1,1994 am:l before Ja~ 1, 1995, b,m tax rate knpoeed on Om net vah~e ~ ~ ~ er ~ ~ ~ of the ~ ~ is 3%
[72 P.S. ~9116 (a) (1.1) (i)].
Far datss of desth on or oftor Januai7 1, 1995, the tax ra~ imposed on the net va!ua of transfas ~ or ~ ~e u~ ~ ~ ~ ~ ~ 0% ~ p.s. ~116 (a) (1,.
The stsMe ijO~,~,J)gL{]~.~[]ot a f~'a'efor lo a su~iviflg sgeuse from tsx, and ihe ststutory requirements ~. dlsdneum of assets and filing a lax tatum are sal aFplicalY, ee
3~e tax rats impmed on the net va~ue oHransfem from a decessed child b,~nty..ese yems of age er you~gor at death ~ er for ~ ~ of a ~ ~ an ~ ~
or a stsff~..,~ of the dad is O% [72 P.S. ~116(aX1.2)].
The tax rats imposed on the net value of transfem ~o or for the use of the decedent's ~ baner~iaC-'~s Is 4.5%, except as noted in 72 P.S. §9116(1.2) [72 P.S. ~J116(a)(1 )].
The tax rate impmed ne the net vales of transfers to or for the use o~ the decedant, s a. bqage is 12% [72 p.s. §9116(aX1.3)]. ^ sibling is defined, under Sec~ 9102,
SCHEDULE A
~,~v~ REAL ESTATE
E~i'AIE OF RLE IIUIIBER '
Sara D, Beinhauer
507 Margo Road, Enola, PA 17025
VNJJE AT DATE
OF DEATH
$135,000
TOTAL(Also~,,~onrmel,~) $135,000
REV-'~'~"4 ~X+
ESTATE OF
Sara D. Beinhauer
SCHBDULE C
I
FILE NUMBER
Schedule C-1 or C-2 (including all supporting infonnaUon) must be attached for each closely-held coqx~'a~iea/padnership interest of the decedent, other than a
sole-proffintmship. See instmctieas for the suppoding information to be submitted for sole-proprietorships.
ITEM NUMBER VALUE AT DATE
NUMBER [~ESCRIP~ OF DEA'fl-I
1.
100 Units - Penn VA Resource Partners L.P.
Com Unit Reptg Ltd Partnership
$3,519
TOTAL (Also eflter Qn rme 3, RecapituM6o.) S 3,519
E~TATE OF
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUUBER
ITEM VAUJE AT OATE
~ DF_~CRFTIC~ OF DEATH
Cash
Personal Property
$161
800
Total $961
REV-15_11, EX+ (]2-g9)
~. o~ ~..mn_v~ RJNEEAL EII~NSES &
INHER~ANCE TAX RETURN ~ COS'rs
RE~D~NT O~EO~NT
I:$ rATE OF FILE NUMBER
Sara D. Be±nhauer
A.
1.
Debts of dmzedent must be reported on Sched.le
r,k'~.cnJ PTION
FUNERAL EX,, ~,ES:
6.
7.
Richardson Funeral Home, Inc.
2 Caterers
ADMINISTRATIVE COSTS:
C~ Stale__ ~
Yea~s) Commis~ Pa~
Famil~ E~&r Of d~,i's add~s ts m ~e sarae as ~taimangs, a~tada e~ama~n)_ .~ o v ed
Lori L.L. Beinhauer
C~/ Hi ] lshoro
T~( Return Prelnmes Fees
Daughter
S~.D~ ~ 19966
$2,180
701
3,500
257
300
L
o
II.
Sara D. Beinhauer
SCHEDULE J
BENEFICIARIES
NAME ,N~D ~ OF PE3~S(~N(S) RECE3¥1NG PRO~i~i~ i y
Wray F. Beinhauer, Jr.
1371 Sylvan Road
Lancaster, PA 17601
Lori L.L. Beinhauer
35428 West River Drive
Millsboro, DE 19966
Son
Daughter
AMOUNT OR SHAJ~
OF ESTATE
50%
50%
A- SPOUSAL D~STRIiUIX)I~ UI~K)ER SECTION 9113 FOR WHICH AN I~ECTION TO TAX IS NOT BEING MAD~
B. CHARITABLE ANO GOVERNMENTAL ~S
TOTAL OF PART ]][ - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON UNE 13 OF REV 1500 COVER SHEET $
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INOIVIDUAL TAXES
DEPT 280601
H ARF~ISBURG, PA 1 ? 128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV 1162 EX(11 96)
NO. CD 004745
BEINHAUER WRAY F JR
1371 SYLVAN RD
LANCASTER, PA 17601
........ fold
ESTATE INFORMATION: SSN: 174-20-3664
FILE NUMBER: 2104-0630
DECEDENT NAME: BEINHAUER SARA D
DATE OF PAYMENT: 12/16/2004
POSTMARK DATE: 12/15/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 06/12/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $5,964.00
TOTAL AMOUNT PAID:
$5,964.00
REMARKS:
SEAL
CHECK//1901
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 280601
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1 162 EX(1 1-96)
NO. CD 004745
BEINHAUER WRAY F JR
1371 SYLVAN RD
LANCASTER, PA 17601
........ fold
ESTATE INFORMATION: SSN: 174-20-3664
FILE NUMBER: 2104-0630
DECEDENT NAME: BEINHAUER SARA D
DATE OF PAYMENT: 12/16/2004
POSTMARK DATE: 12/15/2004
COUNTY: CUMBERLAND
DATE OF DEATH: 06/12/2004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 $5,964.00
REMARKS:
TOTAL AMOUNT PAID:
$5,964.00
SEAL
CHECK//1901
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
BUREAU OF INDIVIDUAL n~S(~rY':'
INHERITANCE TAX DIVISION ,"-,
PO BOX 280601
HARRISBURG PA 17128-0601
__, '- ;"': NOTICE OF INHERITANCE TAX
u.LA....RAISEHENT. ALLOWANCE OR DISALLOWANCE
, rOF DEDUCTIONS AND ASSESSHENT OF TAX
REV-1S47 EX AFP 112-041
\'"'
o
Il:t\b
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-21-2005
BEINHAVER
06-12-2004
21 04-0630
CUMBERLAND
101
SARA
G.~~nv
L.L,\ L\
np"""u /\f.Y~
WRAY F BEINJ{AliYr=J~,~,
1371 SYLVAN,JlitS'
LANCASTER PA 17601
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV :r!W.EX.AFp..r~r:I5'!1..NOTI.CE.OF.1NHErtifANCE.i'Ai.APPRAisE'h"ENT~..ALl'bwAitcE.OR.............. ...
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BEINHAVER SARA FILE NO. 21 04-0630 ACN 101 DATE 03-21-2005
TAX RETURN WAS: ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(S)
(6)
(7)
135.000.00
.00
3.519.00
.00
961. 00
.00
.00
NOTE: To insure proper
credit to your account.
subllit the upper portion
of this forll with your
tax paYllent.
(8)
139,480.00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governnental Bequestsj Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
(9)
(10)
3,438.00
.00
(11)
(12)
(13)
(14)
3.438 00
136,042.00
.00
136,042.00
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total D~ ALL returns assessed to date.
ASSESSMENT OF TAX:
lS. Allount of Line 14 at Spousal rate (15)
16. Amount of Line 14 taxable at Lineal/Class A rate (16)
17. AMOunt of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX C IT:
NOTE:
(19)=
.00
6,121.89
.00
.00
6,121.89
.00 X
136,042.00 X
.00 X
.00 X
00 =
045 =
12 =
15 =
DATE
12-15-2004
NUHBER
CD004745
+
INTEREST/PEN PAID (-)
.00
AHOUNT PAID
5,964.00
INTEREST IS CHARGED THROUGH 04-05-2005
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
5,964.00
157.89
.52
158.41
~
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
REV,147" EX (&-88)
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO Box 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME
Sara Beinhaver
FILE NUMBER
REVIEWED BY
Sheila Megonnell
ACN
2104-0630
101
ITEM
SCHEDULE NO.
H B-3
EXPLANATION OF CHANGES
The claim for the family exemption has been disallowed. The claimant must be a spouse
or if no spouse, a parent or child living in the same household as the decedent as of the
date of death.
ROW
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EXI11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 005497
BEINHAUER WRA Y F JR
1371 SYLVAN RD
LANCASTER, PA 17601
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
_n_nn fold
101
$160.38
ESTATE INFORMATION: SSN: 174-20-3664
FILE NUMBER: 2104-0630
DECEDENT NAME: BEINHAUER SARA 0
DATE OF PAYMENT: 06/28/2005
POSTMARK DATE: 06/27/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 06/12/2004
TOTAL AMOUNT PAID:
$160.38
REMARKS:
CHECK# 3945
SEAL
INITIALS: JA
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
IUREAlI Of IIIIIVlllUAL ff,WRDED OFFICE OF
JIlIERITAIlCE TAX DIVISIIIl qFr:!~~I'::O 01: '!,{ill "
PO lOX ZlD601 I \_.U"v 1....: I l:J ,_I~!I_ ,~.)
HARRIS1UR8 PA 17121-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*'
REV-16D7 EX AFP (03-05)
Z005 JUL 22 Prl 2: II
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
07-18-2005
BEINHAVER
06-12-2004
21 04-0630
CUMBERLAND
101
AIIount R_ntH
SARA
CLERK OF
ORp'-J!.""" ('("'RT
- I \r'\! \ V \j\..../U .
WRAY F BEWAWR'J,{ PA.
1371 SYLVAN RD
LANCASTER PA 17601
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
RESISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
NOTE: To in..... p.--r orecut to your _t. ....it the .....r portion of this f_ wUh your tax ~t.
CUT ALONS THIS LINE
---------------------------------------------------------------------------
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
REV-1607 EX AFP (03-05)
... INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF BEINHAVER SARA FILE NO.21 04-0630 ACN 101 DATE 07-18-2005
THIS STATIIIEIIT IS I'RDVIDED TO ADVISE OF THE CUIIIIENT STATUS OF TIlE STATED ACN IN TIlE IWlED ESTATE. SHllllN BELOlI
IS A SUlltARY Of THE PRDlCIPAL TAX DUE. APPLICATION OF ALL PAYItENTS. THE CURRENT BALANCE. AND. IF APPLICABLE.
A PRO.IECTED INTEREST FIllURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-21-2005
PRINCIPAL TAX DUE: 6.121.89
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
12-15-2004 CD004745 .00 5.964.00
06-27-2005 CD005497 2.31- 160.38
. TOTAL TAX CREDIT
6.12Z.07
BALANCE OF TAX DUI .18CR
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE. SEE REVERSE T.OTAL DUE . 18CR
smE FOR CALCULATIUII OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN .1.
NO PAYItENT IS REllUlRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR).
YOU MY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
51C
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
LORI L BEINHAUER
35428 W RIVER DR
MILLSBORO DE 19966
DATE 02-28-2006
ESTATE OF BEINHAVER SARA
DATE OF DEATH 06-12-2004
FILE NUMBER 21 04-0630
COUNTY CUMBERLAND
SSN/DC 174-20-3664
ACN 05113364
APPEAL DATE: 04-29-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
~iij:ig~i-ii-~~~-r5~:5gi------------------------------------------------------~-------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANC,E, OF "
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS!
DATE 1)2-28.,.2006
ESTATE OF BEINHAVER
SARA
DATE OF DEATH 06-12-2004
COUNTY,
\- ,:
cUMBERLANl;)
FILE NO. 21 04-0630
TAX RETURN WAS:
S.S/D.C. NO. 174-20-3664
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
::: 05113364
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0174203664-51
TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 05-05-1993
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
20,616.32
0.166
3,436.12
.00
3,436.12
.45
154.63
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 03-08-2006
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAYBE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
.00
154.63
8.22
162.85
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
WRAY F BEINHAUER JR
1371 SYlVAN RD
LANCASTER PA 17601
DATE 02-28-2006
ESTATE OF BEINHAVER SARA
DATE OF DEATH 06-12-2004
FILE NUMBER 21 04- 0630
COUNTY CUMBERLAND
SSN/DC 174-20-3664
ACN 05113365
APPEAL DATE: 04-29-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
,.
>. ...
CUT ALONG lttlS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +-
REV:i548-E~~~FP-(03:05)--------------------------------------------------------------------
NOTICE' OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCT~ONS,AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 02-28-2006
ESTATE OF 8EINHAVER
SARA
DATE OF DEATH 06-12-2004
COUNTY
CUMBERLAND
FILE NO. 21 04-0630
TAX RETURN WAS:
S.S/D.C. NO. 174-20-3664
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05113365
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0174203664-51
TYPE OF ACCOUNT: ~ )SAVINGS () CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 05-05-1993
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
20,616.32
0.166
3,436.12
.00
3,436.12
.45
154.63
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 03-08-2006
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
.00
154.63
8.22
162.85
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (06-05)
LORI L BEINHAUER
35428 W RIVER DR
MILLSBORO DE 19966
DATE 02-28-2006
ESTATE OF BEINHAVER SARA
DATE OF DEATH 06-12-2004
FILE NUMBER 21 04-0630
COUNTY CUMBERLAND
SSN/DC 174-20-3664
ACN 05113362
APPEAL DATE: 04-29-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
,,:)
CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
-------------------------------------------------------------------------------~~----~--~--
REV-1548 EX AFP (03-05) , ~~
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF.
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 02-28-2-~.96
COUNTY CUMSFRLAND
ESTATE OF BEINHAVER
SARA
DATE OF DEATH 06-12-2004
FILE NO. 21 04-0630
TAX RETURN WAS:
S.S/D.C. NO. 174-20-3664
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05113362
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0174203664-54
TYPE OF ACCOUNT: ()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 05-05-1993
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
1,942.62
0.166
323.78
.00
323.78
.45
14.57
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT
DATE
RECEI PT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 03-08-2006
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
.00
14.57
.77
15.34
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIYISION
PO BOX 280601
HARRISBURG PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REY-1548 EX AFP (06-05)
WRAY F BEINHAUER JR
1371 SYlVAN RD
LANCASTER PA 17601
DATE 02-28-2006
ESTATE OF BEINHAVER SARA
DATE OF DEATH 06-12-2004
FILE NUMBER 21 04- 0630
COUNTY CUMBERLAND
SSN/DC 174-20-3664
ACN 05113363
APPEAL DATE: 04-29-2006
(See reverse side under Objections)
Amount Remitted I I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COUR~ HOUSE
CARLISLE, PA 17013 ~
CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- _,.,
REY=is4s-Ex-AFP-lo3=osi-----------------------------------------------------_------~--------
, )
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF -;.
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS"
DATE 02-28-2006
ESTATE OF BEINHAVER
SARA
DATE OF DEATH 06-12-2004
COUNTY
CUMBERLAND
FILE NO. 21 04-0630
TAX RETURN WAS:
S.S/D.C. NO. 174-20-3664
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
05113363
FINANCIAL INSTITUTION: PSECU
ACCOUNT NO.
0174203664-54
TYPE OF ACCOUNT: ()SAVINGS ~) CHECKING ()TRUST ()TIME CERTIFICATE
DATE ESTABLISHED 05-05-1993
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
1,942.62
0.166
323.78
.00
323.78
.45
14.57
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST/PEN PAID (-)
AMOUNT PAID
INTEREST IS CHARGED THROUGH 03-08-2006
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
.00
14.57
.77
15.34
j
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BEINHAUER LORI L
35428 W RIVER DRIVE
MILLSBORO, DE 19966
-------- fold
ESTATE INFORMATION: SSN: 174-20-3664
FILE NUMBER: 2104-0630
DECEDENT NAME: BEINHAUER SARA 0
DATE OF PAYMENT: 04/19/2006
POSTMARK DATE: 04/17/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 06/12/2004
NO. CD 006574
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
05113362 I $14.57
05113364 I $154.63
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$169.20
REMARKS:
LORI BEINHAUER
CHECK# 2256
SEAL
INITIALS: RSK
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
phone: (717) 240-6345
Date: 4/25/2006
BEINHAUER WRAY F JR
1371 SYLVAN RD
LANCASTER, PA 17601
RE: Estate of BEINHAUER SARA D
File Number: 2004-00630
Dear Sir/Madam:
This notice is to serve as a reminder that the Status Report by
Personal Representative under Rule 6.12 is due on the below listed
date.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after
July 1, 1992, the personal representative or his counsel, within two
(2) years of the decedent's death, shall file with the Register of
Wills a Status Report of completed or uncompleted administration.
This filing is due by:
6/12/2006
Please feel free to contact this office with any questions you may
have. If you have already filed your Status Report, please disregard
this notice.
Sincerely,
~~~
Glenda Farner Strasbaugh
Clerk of the Orphans' Court
cc: File
rouDsel
-
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
REV-1607 EX AFP (03-05)
LORI L BEINHAUER
35428 W RIVER DR
MILLSBORO DE 19966
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-15-2006
BEINHAVER
06-12-2004
21 04-0630
CUMBERLAND
05113362
SARA
Allount Reali ti:ed
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, subnit the upper portion of this forll with your tax paYllent.
CUT ALONG THIS LINE
-+
RETAIN LOWER PORTION FOR YOUR RECORDS
+-
REV-1607 EX AFP (03-05)
*** INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF BEINHAVER SARA FILE NO. 21 04-0630 ACN 05113362 DATE 05-15-2006
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-28-2006
PRINCIPAL TAX DUE: 14.57
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-17-2006 CD006574 .00 14.57
. - :<
-
CJ
TOTAL TAX CREDIT 14.57
BALANCE OF TAX DUE .00
INTEREST AND PEN. .89
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .89
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ,
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
f1l
f
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIYISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
REY-1607 EX AFP (03-05)
LORI L BEINHAUER
35428 W RIVER DR
MILLSBORO DE 19966
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-15-2006
BEINHAVER
06-12-2004
21 04-0630
CUMBERLAND
05113364
SARA
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, subllit the upper portion of this form with your tax paYllent.
CUT ALONG THIS LINE
.....
RETAIN LOWER PORTION FOR YOUR RECORDS
4-
---------------------------------------------------------------------------
REV-1607 EX AFP (03-05)
~~~ INHERITANCE TAX STATEMENT OF ACCOUNT KKK
ESTATE OF BEINHAVER SARA FILE NO.21 04-0630 ACN 05113364 DATE 05-15-2006
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-28-2006
PRINCIPAL TAX DUE: 154.63
PAYMENTS (TAX CREDITS):
BAL
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
"--,
04-17-2006 CD006574 .00 154.63 !
1
,
"
C)
ANCE OF UNPAID INTEREST/PENALTY AS OF 04-18-2006 TOTAL TAX CREDIT 154.63
BALANCE OF TAX DUE .00
INTEREST AND PEN. 9.40
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE 9.40
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ,
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J
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COMMONWEALTH OF PENNSYLVANIA
DEPA.RTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT 230601
H,6.RRISBURG. ;:::,,) 1 28-0601
REV-1162 EX(11-96)
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BEINHAUER WRA Y F JR
1371 SYLVANRD
LANCASTER, PA 17601
-- ------ 1c)ld
ESTATE INFORMATION: SSN: 174-20-3664
FILE NUMBER: 2104-0630
DECEDENT NAME: BEINHAUER SARA 0
DA TE OF PAYMENT: 06/08/2006
POSTMARK DATE: 06/06/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 06/12/2004
NO. CD 006809
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
05113363 I $ 90.55
05113365 I $ 90.55
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$181.10
REMARKS:
CHECK# 4140
SEAL
INITIALS: MG
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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c_,--c, r,::r;:\G;;~ \- DEPARTMENT OF REVENUE
,(".I'.i, I',"'" - \,\ \
BUREAU OF INDIVIDUAL TAX~iC'\Y;',,~-~',' INHERITANCE TAX
INHERITANCE TAX DIVISION' STATEMENT OF ACCOUNT
PO BOX 280601 .-
HARRISBURG PA 17128-0601 \ n \ \ : G ':)
\.'.
*
REV-1607 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
07-03-2006
BEINHAVER
06-12-2004
21 04-0630
CUMBERLAND
05113363
AIIount R_i ttacl
SARA
('" .
WRAY F BEINHAUER JR
1371 SYLVAN RD
LANCASTER
PA 17601
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
NOTE: To insure proper credit to your eccount. ~it the upper portion of this fo~ with your tax payment.
CUT ALONG THIS LINE
--+ RETAIN LOWER PORTION FOR YOUR RECORDS +--
---------------------------------------------------------------------------
REV-1607 EX AFP (03-05)
~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ~..
ESTATE OF BEINHAVER SARA FILE NO. 21 04-0630 ACN 05113363 DATE 07-03-2006
THIS STATE"ENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE ~ED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAY"ENTS. THE CURRENT BALANCE. AND. IF APPLICABLE.
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-28-2006
PRINCIPAL TAX DUE: 14.57
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-06-2006 CD006809 1. 03- 90.55
TOTAL TAX CREDIT 89.52
BALANCE OF TAX DUE 74.95CR
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE. SEE REVERSE TOTAL DUE 74.95CR
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1.
NO PAY"ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR).
YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FO," FOR INSTRUCTIONS. )
~1J
........
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO lOX 280601
HARRISBURG PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
0rr\~~N.~~ERITANCE TAX
';;:STATEMENT OF ACCOUNT
.
REV-1607 EX AFP (03-05)
r,e,
1 \: t ''''
~ \ ~
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
07-03-2006
BEINHAVER
06-12-2004
21 04-0630
CUMBERLAND
05113365
AIIount R_I tteel
SARA
WRAY F BEINHAUER JR
1371 SYLVAN RD (>
LANCASTER PA 17601
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE~ PA 17013
NOTE: To Insure proper credit to your 8Ccount~ subIIlt the ....,.r portion of this fo... with your tax PlIYII8nt.
CUT ALONG THIS LINE
REV-1607 EX AFP (03-05)
---------------------------------------------------------------------------
... RETAIN LOWER PORTION FOR YOUR RECORDS +--
--- INHERITANCE TAX STATEMENT OF ACCOUNT ...
ESTATE OF BEINHAVER SARA FILE NO. 21 04-0630 ACN 05113365 DATE 07-03-2006
THIS STATEJlENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A sutltlARY OF THE PRINCIPAL TAX DUE~ APPLICATION OF ALL PAY"ENTS~ THE CURRENT BALANCE~ AND~ IF APPLICABLE~
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-28-2006
PRINCIPAL TAX DUE: 154.63
PAYMENTS (TAX CREDITS):
INT
AT
REV
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
06-06-2006 CD006809 .00 90.55
EREST IS CHARGED THROUGH 07-18-2006 TOTAL TAX CREDIT 90.55
THE RATES APPLICABLE AS OUTLINED ON THE
ERSE SIDE OF THIS FORM._ BALANCE OF TAX DUE 64.08
INTEREST AND PEN. 11.41
. IF PAID AFTER THIS DATE~ SEE REVERSE TOTAL DUE 75.49
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THANtl~
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
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