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HomeMy WebLinkAbout06-20-11 (2)Penalty and Interest Calculations Calculation Dates 5!911.0 To G/1G111 TAX DUE ~4?15.00 CALCULATED INTEREST ~ 186.00 LATE PENALTY ~ $1000.00 BALANCE AS OF 6/1G/11 $5901..00 REV-{737•llfJ(~5A8j ==- pennsytvania INHERITANCE TAX RETURN DEPARTMENT QF REVENUE - PQBt77(z8o6oi NONRESIDENT DECEDENT HAFiRIS9URG, PA i~~&0601 DECEDENTS NAME (LAST, FIRSTAND MIDDLE INITIAL} Z Carestia, Laura M W DATE OF DEATH {MM-DD-YEAR} DATE OF BIRTH {MM-DD-YEAR} W 08119!2009 10!2811919 W {1F APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL} FILE NUMBER - - 9 9 - .~, _ ~. ~~ ~ COUNTY CODE Y NUI.IBER SOCIAL SECURITY NUMBER 420-24-1301 SOCIAL SECURITY NUMBER ~ ^X 1.Original Retum ^ 2. Supplemenkal Retum ^ 3. Remainder Reium {~ of death prior to ~z-s~-BZi a ~ ^ 4. Limited Estate ^ 4a. Future Interest Compromise (date otdealh otter 12-12•a2i ^ 5. Federal Estate Tax Return Required ~ a m ^ 6. Decedent Died Testate fauar~ copy ar wiNi ^ 7. Decedent Maintained a Living Trust {Attach mpy ar Trusti ~ 8. Total Number of Safe Deposit Boxes n. a ^ 9. Litigation Proceeds Received ^ 10. Spousal Poverty Credit {a~~ ai daarh Getween tz-31-9t and t•s•45) 71. Election to tax under Sec. 9113{A) tAreach sa, O) r w 0 a N a 0 U 0 a F•- a v Er W ~ Z W O _ ~ to F- W~ =a v0 =v U Q Q ~ NAME COMPLETE MAILIN F. Gerard Hogan 7fi West Ave FIRM NAME grappiicawei Lockport, NY 14094 Seaman, Jones, Ho an & Brooks LLP TELEPHONE NUMBER - (716) 433-59D7 REFER TO METHOD OF COMPUTATION IN THE NONRESIDENT DECEDENT INSTRUCTION BOOKLET {REV-7736} Check One: ^ Flat Rate © Prapottionate (Complete Worksheet on Reverse Side) 1. Real Estate (Schedule A) (''~._°- ~''; .-: _. .., _ :=~~ ~ ~ `:: . -~ ~'- 2. Stocks and Bonds {Schedule B) {2} D.DD C ~ O ~. ~, 3. Closely Held Corporation, Partnership ar Sale-Proprietorship {3J 0.00 ~ ~ ~ - ~ r~ jr~ j (Schedule C) 0.04 r~~ ~ " ~~ ~ ~ ~~, tV ._ ~ _~ . ~~~ ' : 4. Mart a es & Notes Receivable Schedule D 9 9 ( ) {4) .~ Uj ~_:j ~ t `. i , -~ © -~ !~.'i 5. Cash, Bank Deposits & Miscellaneous Persona! Property (5) 23,957.00 ~> ~ ~ ~ { ~ ~ ,, ~.~ {Schedule E} ~ 00 ' 287 40 ~ .. _ ~ `~ i :W - fi. Jointly Owned Property {Schedule F} {fi) . , ~ -~ ~"`} ~-= i n ', ^ Separate Billing Requested ~ ~~ ~ 7. Inter-VivosTransfers & Miscellaneous Non-Probate Property {7} ... ........................_.._,.~_... __,.._._._....._._.-.--.~-.................... {Schedule G or L) 53s,1a4.oa 8. Total Gross Assets (total Lines 1-7) {g) 9. Funeral Expenses ~, Administrative Costs {Schedule H) {9) 89'625'00 10. Debts of Decedent, Mortgage Liabilities and Liens {Schedule I) (10} 84,217.00 {71) '173,842.00 i1. Total Deductions {iota! Lines 9 & f0) (72) 361.302.00 12. Net Value of Estate {tine 8 minus Line 11) 73. Charitable and t3ovemmental BequesislSec $113 Trusts for which an election to tax has not been {13} O.DD made (Schedule J} 361,302.00 14. Net Value Subject to Tax {Line 12 nunus Line 13) (74} • 1./• • ~ •• • • •• • • 1 •• ~ • • L 1 • SEE INSTRUCTIONS ON REVERSE SLOE FOR APP LICABLE RATES 15. Anwun# of Line 14 taxable at the spousal lax x .0 {1S) rate, ar transfers under Sec. 2176 {a}(1.2) 7fi. Amount of Line 14 taxable at lineal rate x .0 {1fi) 17. Amount of tine 74 taxable at sib~ng rate x .12 (77) 18. Amount of Line 14 taxable at collateral rate x .15 {78) 4,715.00 19. 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W m ~. co m 'C a ~ m c •C y c o a !~ n m 5 .N d m N 0 o! N O O N Cd ri av ~ . fl 'd v c*~ c ~ m a tCV }Cyr' •Y Q ~ ~ ~ C m '~ c ~° .a ' a N N a •~ ~ rn N ~ C? a N O m r-- CD t+7 ~_ [O .~ N tO of .= m ~. Q Q ~ c ~ ~ II i a c a ~ x N C O 0 Cp l9 ~ y a X ~ o r/ a O ` ~ O ."°.. N ~ .~.~ c ~X m t\I [n l!] m 0 O u•i r r` ..~ r~ eo rn w !1 !I 11 O I I x x x d !.C'] tD r X ~m L '~ 07 m cri N C N J ("' C 0 7 0 a`. X C m r~ W ~ a~ ° 0 3C ~ (7 O Q ~ a~ V U f0 ['r! _d C ~L ~_ a O ~ Q >i N M <!' tl'1 CO 1~ CO ~ REV-1737-2 EX + {6-08) BFI) ~_ ~~~~_ pennsylvania DEFARTNiENT OF REVENUE INHERITANCE TAX RETURN NflfJRFCICIFNT RFf Ff1FNT SCHEDULE A. PART 1 REAL ESTATE IN PENNSYLVANIA ESTATE OF - FILE NUMBER Laura Mae Carestia Part ~ must include all real property awned by the decedent individually or as a tenant in common with another party{ies}, having its sites 'rn Pennsylvania. Property iolntly-owned with right of survivorship should be disclosed on Schedule F. AU real estate must be {lf more space is needed, use additional sheets of paper of the same size} REV-1737-2 EX + (fraSj (FI) REVERSE ~ :~T~~~ Pennsylvania _ _ DEPARTMENT OF REVENUE INHERITANCE TAX RETURN NONRESIDENT DECEDENT SCHEDULE A, PART Z REAL ESTATE QUTSIDE PENNSYLVANIA Use Schedule A, Part 2, ONLY for propor#ionate method of tax computation. ESTATE OF FILE NUMBER Laura Mae Carestia Part 2 must include all real property owned by the decedent individually or as a tenant in common with another party~ies), having its situs autsfde Pennsylvania Property jointly-owned with right of survivorship should be disclosed on Schedute F. All real estate must be reported at fair market value, which is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell and bo#h having reasonable knowledge of the relevant facts. ITEM NUMBER DESCRIPTION - VALUE AT QATE OF OEATI•t f • 6987 Chestnut Ridge Rd. t.aekpart, NY -Niagara County -lot and black no. 110.1-1-25 919,900.00 2 600 Kaywaod Dr. Salisbury MD Liber 1899 Folio 811 rnap reference 39-19-347 195,000.00 3 1 Acre Lot Boligee, Alabama Greene County Lots 4,5,6,7,8,13,14 Deed hook 122 pg 606-132 pg 385 1,D00.00 • PART 2 TOTAL 395,900.00 (Enter on Une 2, Part 1.) $ elf more space Is needed, use additional sheets of paper of the same size) RE1~1737-3 EX + {&-09} `~ ~r pennsytvan~a - ~~ pEPARTMENi' OF REVENUE INHERITANCE TAX RETURN NDNRESIDENT QECEDENT ESTATE OF Laura Mae Carestia SCHEDULE B, use Schedule B {3NLY for proportionate method of tax computation. 51'OCKS & B®NDS FILE NUMBER Att property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM QESCRIPTlQN VALUE AT PATE QF DEATH NUI4f6ER _. 0.00 ~ . None T~TAi. ~Alsa enter an Line 2, Recapitulation.) I ~ 0.00 off more space is needed, use additional sheets of paper of the same size) REV-1737.3 EX + (6-08) REVERSE .::.f - ~~ z~w~ -_ Pennsylvania ' DEPAflTMENT OF REVENUE INF~RITANCE TAX AETUAN scHEOU~E v, M®RTGAGES & NOTES RECEIVABLE Use Schedule D ONLY for proportionate method of tax computation. ESTATE OF. FILE NUMBER Laura Mae Carestia All property jointlyowned with the right of surVi~orship must be disclosed on Schedule !+. fTEM DESCRIPTION VALUE A7 DATE OE DEATH NUMBER ,. None O.Oo o.oo TaTAL {AEso enter on Line 4, Recapituiation.) $ (If more space is needed, use additional sheets of paper of the same size) R~r-~~-a ~x + i~aa} _ r--~ ~ennsylvarna pEPARTMENT QF REVENUE INHERRANCE 'tAX RETURN NONRESIDENT DECEDENT SCHEHVLE E,, PART '~ M15CELLANECiUS PERSaNAL PROPERTY ESTATE OF FILE NUMBER Laura Mae Carestia Part 1 must inciude all tangibie personal property having its situs in Pennsylvania. Exampies of tangible personal property are jewelry, furniture, paintings, etc. Affil property jointly-owned with the right of survivorship must be disclosed on Scheduie F. Complete Part 2 on reverse side ONLY when the proportionate method of tax computation is elected. (lf more space is needed, use additional sheets of paper of the same size) REV•1737.4 EX + (fi-OB} REVERSE ~~~_ SCHEDULE E, PART 2 • -y~-~~-~ pennsyLvan~a Use Schedule E, Part 2, ~NtY for DEPARTMENT OF REVENUE lVIISCELLANEaUS proportionate method of tax computation. tNHERrrANCETAxRETUM) PERSONAL PROPERTY NDNRE5IDENT DECEDENT ESTATE OF FILE NUMBER Laura Mae Carestia Part 2 must include all tangible personal property located outside Pennsylvania and all intangible personal property wherever located. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. n-EM NUMBER DESCRIPTION VALUE AT QATE DE DEATH ~. AARP Health PO Box 1817 Montgomeryville, PA 18936- account no. 008066143-1 ~ 37.00 2 Farmers Bank Maryland-account no. 32.279-2 1,194.00 3 Geico account no. 4006353421 250.00 4 HSBC Lockport, NY 14494- account no. 848914953 301.00 5 HSBC Lockport,NY 14094 -account no.848483260 51.00 6 Cash 119.00 7 Sun Trust Escrow account -account no. 0134182757 347.00 8 United States Treasury Tax Refund 1,368.00 9 United States Treasury SS 400.00 10 Verizon refund x•00 11 Wilmington Trust- Delaware - account no. 32-279-2 _ 241.00 12 Personal Property (household furnishings) 10,032.00 13 Buria! Plats (The Garden of the Last Supper, Lots 1,2,3,4,) Salisbury, MD 7,908.00 14 Olds Mobile Cutlas (Vehicle fD no.1GVUH55M3RD391351j 1,fi00.00 . PART 2 TOTA! 23951.00 (Enter on Line 2, Part 1.) $ (If more space is needed, use additional sheets of paper of the same size) REV-1737-8 EX + (5-l}8) T-~~-T pennSyl~an~a SCHEDULE F, PART 1 flERARTME"~°FR~~E"~E -JOINTLY-OWNED PROPERTY [NHERRANCE TAX RETl1RN NONRESIDENT DECEDENT ESTATE OF t=1LE NUMBER Laura Mae Carestia Part t must include jointly-awned real estate and tangible personal property located in Pennsylvania. Complete Part 2. on reverse side to include all other jointly held property whenever located ONLY when the proportionate method of tax computation is elected. If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DEGEDENT A. B. C. • , e f ~ .. ~. ~ ~ - a a o~ OF DATE OF DEATH L K OtNT MADE DESCFI}PTION OF PROPERN DATE OF DEATH DECD'S VALUE OF ITEM FO NUMBER TENANT JOINT AStach deed for lanily-held real eskate. - VALUE OF ASSET INTEREST DECEDENT'S INTERI:5T 1. A. PART 'I TOTAL 50.11 PART 2 TOTAL X40'287'0 Proportionate Method ~niy (From reverse side.) TOTAL (Also eater an Line 6, Recapitulation.) ~ 5Q'l)t) (If more space is needed, use additional sheets of paper of the same size) REV-i 737-5 EX + (6-06y REVERSE =~~~~ =~ pennsyl~ania DEpARTMEHT DF REVENUE INI~IERITANCE TAX RETURN n~nt~R~c:nFnEr rs~rFt~~-~~ SCHE©uLE F, PART Z ~ use Schedule F, Part 2, ONLY for JO[NTLYwOWN ED PROPERTY Proportionate method of iax computation. ESTATE OF Laura Mae Carestia FIL1E NUMBER Part 2 must include iointly-awned real estate and intangible personal property wherever located. ITEiN NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY Include name of financial insiilution and bank account number or similar ideni'rfying number. Attach deed for jointly-held real estate. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S II~fTEREST t' A' HSBC Premier -Lockport, f~lY -account no. 840-84515-8 40,287.00 100 40,Z$7.00 08li112(}09 PART Z TOTAL X40,287.1}0 (En#er an Line 2, Part 1.~ (lf more space is needed, use additional sheets of paper of the same size) REV-irar-s Ex + ~s~ae~ ~.,. --- SCHEDULE G =~ ~ =:` pennsylvanla INTER-VIVOS TRANSFERS & DEPARTMENT DF REVENUE -- - MISC. NON-PROBATE PROPERTY INHERITANCE TAX RETURN NONRESIDENT DECEDENT Use Schedule G, Aart 2, ONLY for proportionate method of iax computation. ESTATE OF Laura Mae Carestia FILE NUMBER Part 1 must include all transfers of real estate and tangible personal property located in Pennsylvania. Complete Part 2 ONLY when the proportionate method of tax computation is elected. Include in the description of property the date the transfer was made and the name and relationship of the transferee. This schedule must be completed and Pied. if the answer to questions 1 through 4 on the reverse side of the REV 1737 cover sheet is yes. ITEM DE5CRIPTION OF PROPERTY Indude the name of the transferee, the relationship to Decedent and the date of transfer. DATE OF DEATH °~ OF t?ECD'S EXCLUSION NUMBER Attads a copy of the deed far teal estate. VALUE OF ASSET INTEREST (IF APPLICABLE) TAXABLE VALUE 1. 0.01 PART 1 TOTAL $ $ $ • ~ .+ DESCRIPTION OF PROPERTY ITEM Indude the name of the iransteree, the relationship to Decedent and the date of transfer. DATE OF DEATH ~ OF DECD'S EXCLUSION NUMBER Attach a copy of the deed for real estate. VALUE OF ASSET INTEREST (IF APPLICABLE) TAXABLE VALUE 1. ~~~ PART 2 TOTAL $ $ $ -- - TOTAL {Also enter an Line 7, Recapitulation.} $ ~'~~ (If mare space is needed, use additional sheets of paper of the same size) REV-1737.8 EX t (fi-OS} REVEiRSE -Tirt=~ pennsylvania QEFARTMENT QF REVENEiE rnfucarze~lr`F TAX RFTI IRN SCHEDULE H F!lNER,AL EXPENSES & ADMINISTRATIVE COSTS Use Schedule H ONLY for proportionate method of tax computation. ESTATE OF FILE NUMBER Laura Mae Carestia Def~ts of decedent must fae reported on Schedule I. ITEM NUMBER DESCRIPTIQN AMOUNT q• FUNERAL EXPENSES: ~ • Ann Stivender Flowers for Funeral 56.00 2 Clark Memorial Headstone ~ 850.00 3 Clark Memorial Funeral Expense 750.00 4 Funeral Expenses {t;lothes,clergyman, burial cermony, food and refreshments) 2,000.00 5 Magnolia Funeral Home 6,424.00 6 Rutland -Corwin Funeral Home 1,718.00 B. ADMINISTRATIVE COSTS: o.0a ~. Personal Representative's Commission{s} Name(s) of Personal Representatives} {Submit requested information for additional personal representative's on additional sheets} Social Security Number(s) or EIN Numbers} of Personal Representative(s) Street Address(es) t;ity(ies} State(s) ZIP(s} Years} Commission Paid 2. Attorney Fees 21,409.00 3. Probate Fees fi25.00 45.00 4. Accountant's Fees 5. Tax Return Preparer's Fees 6. MisceElaneous Expenses Federal Express 142.00 Appraisal for Chsstnut Ridge Rd -Beatrice Cacioppo 202 East Aye. Lockport,NY 275.00 Appraisal for fi00 Kaywood Dr. -The Trice Group 1 p03 Hermon Rd. Salisbury MD 350.00 Appraisal for 131 Holly Dr. PA -Mark Heckman 1309 Bridge St. PA 400.00 Appraisal for personal property -Carol Alabiso 6155 Lake Rd. Burt, NY ( See attached Scheldule H) 125.00 TOTAL {Also enter on Line 9, Recapitulation.) $ 69'625•x0 (If more space is needed, use additional sheets of paper of the same size) Expenses for maintaining property G00 Kaywood Dr. Maryland- County Tax 710.00 Cato Oil 874.00 Taylor Oil 419.00 Dellmarva Power -Salisbury MD $39.00 Farmers Bank of Willards -safe deposit box drilling 339.00 Sun Trust Mortgage PO Box 79041 Baltimore MD Interest payments 3236.00 Wicomico County Maryland PO Box 4036 Salisbury, MD Property Taxes 1715.00 Patuxent Homeowners Ins. 300 Arboretum Place Richmond VA 84G.00 The Daily Times 61 S Beam St. Salisbury MD -Notice of Probate SOG.00 Expenses for maintaining property 131 Holly Dr, PA Horneman 128 Nittany Dr. Mechanccsburg PA -property maintenance 745.00 PPL Electric Utilities Z North 9th St. Allentown PA 1359.00 The Cincinnati Insurance Co PO Box 740099 Cincinnati OH Homeowner's G04.00 Insurance Thomas Carestia 8999 Lower Labe Rd Barker, NY -Travel expenses 500.00 Jonathan Mai-re -sand floors and coat floors 131 Holly Dr. PA 1930.00 United Water PA PO Box 371804 Pittsburgh PA 114.00 Upper Allen Township 100 Gettsburg Pike Mechanicsburg, PA Sewer bill 4G5.00 Upper Allen Township Dennis Zerbe, Treasurer 275 Cumberland Parkway 2347.00 325 Mechanicsburg, PA Real Property Tax Upper Allen Town 100 Gettsburg Pike Mechanicsburg PA Property Tax 6?0.00 Yorlt Waste Disposa13730 Sat~llurst Dr. Yoilc Pa- waste disposal 179.00 Closing Costs for Sale of 131 Holly Dr. PA 11455.00 Expenses for Lot in Alabama Brenda Jackson Gore Greene County Revenue -Property taxes 103.00 State of Alabama -Death Certificate 65.00 Yoek Waste Disposal PO Box 9001099 Louisville KY- waste disposal 22.00. Brett Robinson Hotel- Eutlaw ,Alabama 1033.00 Baclc Real Estate Taxes paid (Alabama Property) 1 G4.00 6 SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COST Miscellaneous Expenses Travel and Milage-Expenses for visits to properties in PA. MA & ALA 9447.00 Short Certificates 36.00 Niagara County Treasurer Tax Search - ?5.04 Niaga3•a County Clerk Recording Fee 560.00 Niagara County Surrogate Ct. Certified Copies of Petition l 00.00 Town of Lockport Death Ce~•tificates 30.00 Wicomico County Register of Wills Filing Fee 100.D4 Judge of Probate Alaban~a 3.00 Register of Wills Recarding Fee 24.00 Green County Probate Filing Fee 50.00 Register of Wills Filing Fees ~ 64,00 Appraisal of personal property -Carol Alabiso 61 SS Lake Rd Burt NY 125.40 Expenses for maintaining property and sale of C1~estnut Ridge Home in Lockport, NY- City Treasurer One Loclcs Plaza Lockport NY Real Property tax 1264.00 Carpet Cleaner 110.00 Federspiel Electrical -electrical maintenance 245.00 Hoene Depot --paint 225.00 Mike Flipowitcll-painting 1074.D0 Drum Oil Rochester Rd. Lockport, NY repair oil drum 4S6.D0 Traveler's Home Owner's Insurance - 1 Geico Blvd. FredericllsburgVA 279.00 NYSEG- utility bill 732.00 Repair of Fireplace insert 340.00 City of Lockport Water Bili 163.00 City of Lockport Water Bill 54.00 Zambito Realtors 5995.40 Ticor Title Ins., 200.00 Mc Il~tosll & Mc Intosll PC 450.00 County Treasurer 20.00 County Clerk Recording Fee 560.40 Federal Express ~ 50.00 •~ REV-3737 7 EX + (6-08) ~~ ~.-~' • =- ®~~_=~ pennsylvan~a ~" DEPARTMENT DF REVENUE INHERrrANCE TAX RENRN NONRESIDENT DECEDENT ~~HE®VLE 1 Use Schedule l;-Part 2, ONLY tar DEBTS OI+ DECEDENT, proportionate method of tax computation. MORTGAGE LfABILITIES, & LfENS FILE NUMBER ESTATE OF Laura Mae Carestia Part 1 must include mortgage liabilities, liens and taxes against the Pennsylvania realty that were due and owed as of the date of decedent's death. Gomplete Part 2 ONLY when the proportionate method of tax computation is elected. ITEM DESCRIPTION NUMBER 1. TOTAL PART 1 ~ $ ITEM DESCRIPTION NUMBER ~• SunTrust Mortgage PO Box 79041 Baltimore MD 2 Ada Smider Home care aide Lockport, NY 3 Barbara Craft Home care aide Lockport, NY 4 Bonnie Weseman Home care aide Lockport, NY 5 AARP Health Care Premium 6 H SBC Platinum Master Card- Baltimore MD 7 Kris Barraclough Hame care aide TOTAL. PART 2 $ TOTAL (Also enter on Line 10, Recapitulation.) $ (If more space is needed, use additional sheets of paper of the same size) ' . AMOUNT o.oo AMOUNT s7,561.oa 2,810.00 737.00 491.00 57.00 1.2,333.00 228.00 84,2'17.00 84,21?.d0 REV 1737-7 F.X + (G-O81 . REVEf2SE ._ ___ __ ~.-~' ~~~`-~ pennsylvania ~~~E®UILE J DEPARTrtENT aF REVENUE ~EAIEFICIARIES . _ J INHERITANCE TAX RkTt1RN - _- NDNRESIOI:Ni'DECEDENT' FILE NUMBER ESTATE OF Laura Mae Carestia When flat rate method is elected, list the beneficiaries of the Pennsylvania property. When proportionate method is elected, list at( bensficiaries_ RELATIONSHIP TO DECEDENT AMOUNT OR SHARE ITEM NAME ANR ADDRESS OF PERSON(S) RECEIVING PROPERTY Da Not list Trustee(s) OF ESTATE NuMSER F, TAXABLE DISTRIBUTIONS (include outright spousal dlsin'butions and lransiers under Sec. 2418 (a)(1.2)J _ . 1. T~4fCTi35 CarBStla SOn 2 Joseph Carestia son ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON REV-1737 GOVER SHEET OR THE PROt'ORTIONATE METHOD WORKSHEET ON THE REVERSE SIDE OF REV-1737 COVER SHEET, AS APPROPRIATE. _ II, NONTAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 2113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE ~. B. CHARITABLE ANA GOVERNMENTAL DISTRIBt.ITIONS 1. Yor~L o~ ~~>~Y a ~aoa (Enter total non-taxable distributions an Line 13 of REV-1737 cover sT~set.) (lf more space is needed, use additional sheets of paper of the same size) GLENDA EARNER STRASBAUGH REGISTER OF WILLS AND CLERK OF ORPHANS' COURT MARJORIE A. WEVODAU FIRST DEPUTY KIRK S. SOHONAGE, ESQ SOLICITOR REC ISTER OF WILLS AND CLERK OF THE ORPHANS' COURT" COUN7"Y OF CUMBERLAND ONE COURTHOUSE SQUARE CARLISLE, PA 17013 c~ 17) 24as345 FAx c~ 17)24a7~97 IItiIVOIGE Bill To: InvoiceNo: 3512 Invoice Date: 6/20/2011 JAMES SMITH DIETTERICK & CONNELLY Estate of LAURA M CARESTIA PO BOX 650 Estate Nn: 21-11-0622 CJ HERSHEY, PA 17033 Qty Fee Description Fee Total 1 Additional Probate 390.00 $390.00 Total: $390.00 Checks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you.