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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 $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) REV,147" EX (&-88) INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO Box 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME Sara Beinhaver FILE NUMBER REVIEWED BY Sheila Megonnell ACN 2104-0630 101 ITEM SCHEDULE NO. H B-3 EXPLANATION OF CHANGES The claim for the family exemption has been disallowed. The claimant must be a spouse or if no spouse, a parent or child living in the same household as the decedent as of the date of death. ROW Page 1 2( ~ ( /,1 ~ .~.~ <.v ~ -::::t: c<\ .- 'i.c ~~c: 3-3c;:. C-...4- (J ~ ~ ~ c::S_ ~~~ J\ .% J., '<J c 6 . ~.- ~ ~ c:;:;L '-.J ./ (".... .... ." ..- u \ r\ : I . ! , / - Q ~ t:: ~~~ ~ ~ ~ cB~ J) ~ ~,- ::... Z~~ ~:..- - - -: - - ~ - - - - - - ::.: - - .J) .... o o .r \') .... o r- .... ul (/) ~ o ~ \--tI) ct.,..-I (/)~o ..lOt- ..l(,.),..-I ~ 3'-B4. 'U-- n- oP -z. .. ct. 4. ul u.1..l..l \-- ct. (/) (/) ul ~ ~~.,.1 c.!)$ct. ul~c:t ct.<.)~ o t-' \ 4. ~ ~~ o 'r~ B~' '?~ '3~ ~ t-'~ ~~ ~'? ~ ~o ~~ ~~ ~~ rA~ ~t-' ~ ~ ,s ..o,so\t\ ..0 Otl) 0 tl)O..oO \ NO (\I o \ \ \ N(\I,s,..-l 4.\,..-ION,..-I ct.,s \ \ 4.t-..o,..-ltl) 0 (/),..-IONO,..-l ~ % . . '" IV ~..'S ~ ~'Q'" .,~ D~~ '-.... '-~'- O~ O>-?O.. O)-z... ,......O)~ ~~~~ e,)~U ~u.1ifl~";;'~ .... ~~t/1p.i;J;..p....... 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 <C .... Z <CLLI >~ ...z >-LL1 00> ZLLI :i~ Q.IL 11.0 Ot- xZ t-LL1 ...~ <ct- LL1~ ::a:<C ZD. 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E'l ("'b~, -< .:-:; 3 ?:-"\ ~ 0- Sf-, ~~S :t> J::;:::..... - ___ QV ~ ~ --- ~ \.Y:;f c- ~ '" ", I) 1'.,,\ "'\ ~:.~. ::;- ::- -- -- .- s= - - .. -- :::.- ~ -- -::.- ::- -- :::::. ';"" - -- ';"" - ::- -;..... .- -. - -- :::.-.. ~ ',.J. ~ .~. '''l "" ~ ~ "'(l .t,... 1'J G'i t, =--\ ~. 9 'rr: ..: t.,l ~ ;1 ""I.""': '-., .J i -:;. , ;::;.. t...j ~ '\\' '/ (\1 \" "~ 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. 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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 ,... '" co \ '" e ., o l- \ ~ 0. u! "" __ (/"I ~~ ';. ~ oS ~.~ ~ ~ "" oS 0 P "" ~'Z c:t. I- rn oo::~~~~rn' 0 e (/"I~~ ou! NO...l 1 ""oS - 0 I'- ~ ~, ' 0:: 0 rnO ~ 4. oj (.) ,..t eo~NoSu!Nrn ~ 1-1 N~,..tO~I,..t ~ '13-Rct 1 1-1' $ -;:. ~ ., ~ ~ ..... 0- ~~-g'NE,..tO~~~ ~ ~~ _ Oct...+'Octo::ctu! _ ~IIl+'o.u!...l...l l- ~ .", .v (/"I 4.c:t. ...J~e~I-"'" ulUl 4....0) o (/"Iu!I-I. u. ~ CQ ul ~ ...; ul 1-1 ~ - S o:...-;:.t!l$~ Ou.:) 0....+,0u!:;:)(.) ul 0 '%. ,.. ~ 4. ~ C. 0:: (.) l- 'i,.... :s ul ul4.ul'1':)~~ 0 ~ ~~~...oeno ~ $ ~ul~U.oen4. 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'. . ~.--: ~ --'- ~ "-:.', -"': /,' ",<__.,~J \\\\\\ \ '. , \. \ \ ., 1 \ \ l hi ~ \ }' 'I \ ,\ ~ ~OMMONWEALTH OF PENNSYLVANIA 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. ) y