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HomeMy WebLinkAbout09-13-111505610143 ~ REV-1500 Ex(°'-'°' _ OFFICIAL USE ONLY County Code Year File I lumbe PA Department of Revenue pennsylvania oEPFR1MF~ToFRE~E~~, 0 e: 0 4 Bureau of Individual Taxes Po Box.2soso~ INHERITANCE TAX RETURN 21 11 -_ tJorrichnrn PA 17128-0601 RESIDENT DECEDENT ENTER DECEUtrv ~ irvrvr~r Social Security Number 211 10 3802 Decedent's Last Name HONEYWELL Date of Death 03 24 2011 (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Date of Birth 01 09 1916 MI Suffix Decedent's First Name ELEANOR B MI Suffix Spouse's First Name T BE FILED IN DUPLICATE WITH THE Spouse's Social Security Number THIS RETURN MUS REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ^ 3. Remainder Return (date of ieath ^ 2. Supplemental Return prior to 12-13-82) ® 1. Original Return 5 Federal Estate Tax Return Required ^ 4. Limped Estate ^ 4a. Fuwre Interest Compromise ^ (date of death after 12-12-82) 0 B oxes ~~~n9 Trust B. Total Number of Safe DeF sit d a 6 Decedent Died Testate ll W ® ^ ~ Decedent Mamtame ~ (Attach Copy of Trust) A 3 ) i (Attach Copy of ) ( of seam ^ 11.Election to tax under Sec. 911 t Litigation Proceeds Received 9 ^ e spousal Poverty Credit (da 10. Attach Sch. O) between t2-sf-gf and ~-~-ea) ^ . BE DIRECTED TO: D ONDENCE AND CONFIDENTIA T F r CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESP l~Ope Numb Telep Dayt me Name ~~ 717 83~~:~34'3 -_ _ GERALD J BRINSER ;_:~;,_ ~ ~IV.IL4~S U SE QNLY REGISTER O _ ~~~ _ ' <.~ . , -. . :.- ~ : ~ =~~ First line of address _ - - 6 E MAIN STREET -a I'= '~ _ ; t Second line of address P O BOX 3 2 3 DATE FILED State ZIP Code City or Post Office PA 1 7 0 7 8 PALMYRA Correspondent's a-mail address: Jerry pe b W Z I a W. C O m knowled e. Under penalties of perjury, I declare that.l have examined this return, including accompanying schedules and statements, and to the best of my k nowledge and belie , it is true, correct and complete. Declaration of preparer other than the personal representative Is based on all ~nformatlon of which preparer hDAT ~y g SIGNET~RE OF PERSON R SI FOR FILING RETURN //~~'' i -_ ._ z..~--F.._C`-~~~, ~. Charles C. Honeywell, Jr. ~'/ ~' ~ .,~~~ Qe~rnn rirr_Ie- Mechanicsburg, PA 17055 r. ~vv ... --- SIGNATURE ~EPARER OTHEF~Tf)IAN$EPRESENTATIVE Gerald J Brinser ~:. ~ _ _,_ DA E ~ ~ 1< 6 E. Main Street, Palmyra, PA 17078 Side 1 1505610143 1505610143 , °. J 150:5610243 REV-1500 EX Decedent's Name: HONEYWELL , ELEANOR B Decedent's Social Security Number . RECAPITULATION ___ 2 1 1 1 0 3 8 0 2 1. Real Estate (Schedule A) ................................. ................................. .............. 1. 2. Stocks and Bonds (Schedule B) ................ ........ ................................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Scherdule C) .......... 3. 4. Mortgages & Notes Receivable (Schedule D) ................ .................. . ..... 4. 5 Cash, Bank Deposits & Miscellaneous Personal Property (Scheduler E) ................ 5. 1 5 6 5 0 6 1 6. Jointly Owned Property (Schedule F ^ Separate Billing Request d 7 , . 8 e ............. g. . Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) [~ Separate Billing Requersted ............. 7. 8. Total Gross Assets (total Lines 1-7) ........................... ...................... . .................... $. 9. Funeral Expenses & Administrative Costs (Schedule H) 156, 506.18 ..................... ~~ ~~ s. 16, 835.55 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10. 11. Total Deductions (total Lines 9 & 10) ........................... 6 , 7 2 9 5 7 ........................................... 11. 12. Net Value of Estate (Line 8 minus Line 11) ......... 23,565.12 .................................................... 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not b 13 2 , 9 41 0 6 een made (Schedule J) ...... .......................................... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ............ 6, 647.06 . 14 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABL 12 6 , 2 9 4 . 0 0 E RATES 15. Amount of Line 14 taxable at the spousal tax rate or , transfers under Sec. 9116 (a)(1.2) X .00 16. Amount of Line 14 taxable 15. at lineal rate X .045 12 6, 2 9 4 17. Amount of Line 14 taxable ~ 0 0 16. 5, 6 8 3 2 3 at sibling rate X 12 18. Amount of Line 14 taxable 17. at collateral rate X .15 18. 19. Tax Due ............................. ........................................................................................ 19. 5,683.23 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERP AYMENT. 1505610243 Side 2 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: Fite Number 21 _ 11 - 0404 DECEDENT'S NAME Honeywell, Eleanor B . STREET ADDRESS ~__ Messiah Village ---- 100 Mt. Allen Drive --- - CITY ~---- ~ -- Mechanicsburg ------ STATE ZIP - PA Tax Payments and C 17055 redits: 1. Tax Due (Page 2, Line 19) 2 Credits/Payments A. Prior Payments (1) 5,445 00 5,683.23 - . B. Discount 284.16 3. Interest Total Credits (A + g) (2) 5,729.16 (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the differenc 0.00 e. This is the OVERPAYMENT. Check box on Page 2 Line 20 to re quest a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the differenc 45.93 e. This is the TAX DUE. (5) Make Check Payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN TH 1. Did decedent make a transfer and: E APPROPRIATE BLOCKS a. retain the use or income of the property transferred :...................... . b. retain the right to designate who shall use the property transferred or its income :................. Yes No c. retain a reversionary interest; or ................................................................................................................. [xJl d. receive the promise for life of either payments, benefits or care?.........,.. ^ ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death witho ^ ^ receiving adequate consideration? .............................................. ^ ^ .... ut x ............................... . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property wnich u contains a beneficiary designation?............ ^ IF THE ANSWER TO ANY OF THE ABOVE ____ QUESTIONS IS YES, YOU MUST COMPLETE: SCHEDULE G AND FILE IT AS PART ^ For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on tt OF THE RETURN. spouse is 3 percent (72 P.S. - - _____ §9116 (a) (1.1) (i)]. ;e net value of transfers to or for the use of the surviving For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviviny spouse from tax, and the statu assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. of the surviving spouse is 0 percent For dates of death on or after July 1, 2000: tory requirements for disclosure of • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to adoptive parent, or a stepparent of the child is 0 percent [72 P.S. §9116 (a) (1.2)]. • The tax rate imposed on the net value of transfers t or for the use of a natural parent, an 72 P.S. §9116 1 2 [72 P.S. §9116 (a) (1)]. o or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in • The tax rate imposed on the net value of transfers to or for the use of fhe decedent's siblin s i;; sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent 9 12 percent [72 P.S. 9116 (a) (1.3) . A w~ether by bloo~ or adoption I I SCHEDULE E i COMMONWEALTH OF PENNSYLVANIA I ~~~~~ BANK DEPOSITS INHERITANCE TAX RETURN PERSONe ~o& MASC. I RESIDENT DECEDENT ~ •~AL PROPERTY I ESTATE OF NOne -_-_ _____ ywell, Eleanor B. -,-- _ FILE NUMBER Include the proceeds of litigation and the date the proceeds we __ 21 - 11 - survivorship must be disclosed on schedule F. -~ 0404 re received by the estate. All property jointly-owned with the right of ITEM -------- NUMBER -- -- DESCRIPTION 1 PNC Bank - Ch ce kin ------- - gAccount 2 PNC Bank -Money Market Account #5004884272 VALUE AT DATE OF DEATH 3, 095.18 153,411.00 TOTAL (Also enter on Line 5 Recapitulation) 156,506.18 COMMONWEALTH OF PENNSYLVANIA I INHERITANCE TAX RETURN I RESIDENT DECEDENT H DES ~ ESTATE OF ~~ __ Honeywell, Eleanor B. -- ITEM - -~ ~ebts of decedent must be reported on Sche_ dule I. NUMBER FUNERAL EXPENSES: DESCRIPTION _~ A' 1 Cocklin Funeral Home ~_-_-- 2 (Frank Grontkowski Monuments -Marker I B. ADMINISTRATIVE COSTS: ~ Personal Representative's Commissions Name of Personal Representative(s) FILE NUMBER 21-11-0404 I Street Address City I Years State Zip ()Commission paid -- __ 2 Attorney's Fees I Brinser, Wagner & Zimmerman -- 3. I Family Exemption: (If decedent's address is not the same as claimantsl~ ttacBhrex Na r Claimant F nation) I Street Address City Relationship of Claimant to Decedent State _-- Zip - 4. Probate Fees Register of Wills (Ctrs. pd. $260.00 = $100, 000 - $200, 000) 5. I Accountant's Fees 6. 7 1 Tax Return Preparer's Fees Other Administrative Costs Register of Wills -Inventory Filing Fee AMOUNT 9, 990.05 2, 500.00 4, 000.00 315.50 15.00 TOTAL (Also enter on I 9ne~ Recapitulation) 16,835.55 COMMONWEALTH OF PENNSYLVANIA C u~ 1..1 INHERITANCE 7AX RETURN ru~f ~ I ___ RESIDENT DECEDENT Adminis6afiv~ Cosh continued ESTATE OF Hone Ywell, Eleanor B. _--~ 2 Register of Wills - FILE NUMBER REV-1500 Filing Fee - 21 - 11 - 0404 15.00 Page 2 of Schedule H COMMONWEALTH OF PENNSYLVANIA INHERITANCE TA)( RETURN RESIDENT DECEDENT ESTATE OF Honeywell, Eleanor B. __ DEBTS OF DE E ENT, MO LIABILITIES, & LIENS TGAGE --- FILE NUMBER 0404 Report debts incurred by the decedent prior to death that remai den den un ~ 21 11 - _ paid at the date of death, including unreimbursed medical expenses. I ET M NUMBER __ DESCRIPTION 1 Outstanding Check at Time of Death ---~ 2 PA Department of Revenue - 2010 Income Tax 3 Alert Pharmac y (43.50 + 78.18) 4 Philhaven 5 I Smith Radiology, Inc. 6 I Messiah Village 7 I Capital Area Health Assoc. TOTAL (glso enter on Line 10 -- Recapitulation) AMOUNT ~-- 45.00 10.81 119.68 56.88 7.03 6,247.31 242.86 6, 729.57 COM NO ERITAN E T,qX RETUR ANIA SCHEDULE ' N RESIDENT DECEDENT ESTATE OF ~ BENEFICIARIES Honeywell El , eanor B. ~_ - - NUMBER NAME AND ADDRESS OF P I FILE NUMBER RECEIVING PROPERTY ON(S) RELATIONSHIP TO 21 - 11 - 0404 j• TAXABLE DISTRIBUTIONS[include outri ht s DECEDENT SHARE OF ESTATE Do Not List Trustee(s) AMOUNT 9 pousal (Words) OF ESTATE distributions and ttransfers ($$$) 1 under Sec. 9116 (a) (1 2)j Charles C. Honeywell, Jr. 2105 Beacon Circle Mechanicsbur , Son g PA 17055 47.5% Residue 2 63,147.00 Ronald A. Honeywell Apt. A, 124 W. Main Street Son Leola, PA 17540-1749 47.5% Residue 63,147.00 Enter dollar amounts for distributions shown above on lines 15 tl rou h 1 jl. NON-TgXggLE DISTRIBUTIONS: 9 $ on Rev 1500 cover sheet, q. SPOUSAL DISTRIBUTIONS UNDER S as appropriate. ECTION 9113 FOR WHICH AN ELECTIOpJ TO TAX IS NOT TAKEN ~. CHARITggLE AND GOVERNMENTAL DISTRIBUTIONS 1 Messiah Villa e, Mechanicsbug 100 Mt. Allen Drive g, PA 17055 5% Residue TOTgI OF PgRT II -ENTER TOTAL NON-T ARABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE REV-1513 EX+ (11,pg1 6,647.06 6,647,06 COO pN; WILL OF ~To - ~~- ,-,_+ `TI ~ .! TI i* ;~, ELEANOR B. HONEYWELL `' `-`' ~~' ,:~ ~,-- I, ELEANOR B. HONEYWELL, currently of Upper -~1~n Townsh~j~;~-, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, ' hereby revoking any and all prior Wills and Codicils made by me. I. I direct that all my just debts and funeral expenses be paid from the assets of my estate as soon as practicable after my demise. II. I direct that all estate and inheritance taxes that may be assessed in consequence of my death, shall be paid out of the principal of~ my general estate to the same effect as if said taxes were expenses of administration and all property includable in my taxable estate whether or not passing under this Will shall be free and clear thereof. III. All the rest, residue and remainder of my estate, of whatever nature and wherever situate, including property over which I hold a power of appointment, I devise and bequeath as follows: A. Five percent (5%) unto Messiah Village, Mechanicsburg, Pennsylvania, to be used in its Endowment Fund. B. Ninety-five percent (95%) to be divided equally between my sons, Charles and Ronald. Provided, however, the portion of my estate passing unto my son, Ronald, shall be held, IN TRUST, by my hereinafter- named Trustee pursuant to the terms and conditions set forth below. In the event that my son, Charles predeceases me, his share shall pass unto his wife, Anne. In the event that both Charles and Anne have predeceased me, this share shall pass unto my son, Ronald. In the event that my son, Ronald, predeceases me, his share shall lapse and be added to the share passing to my son, Charles, or his surviving wife, Anne. In the event that all of the named individuals predecease me, my entire estate shall pass unto Messiah Village, Mechanicsburg, Pennsylvania, to be used in its Endowment Fund. -1- 4 IV. In the. event that any portion of my estate passes into a trust fund for the benefit of my son, Ronald, it shall be held pursuant to the following specific terms and conditions: A. To pay to or for his benefit such portion or portions of the income and/or principal up to the whole thereof as my Trustee may, in his sole discretion, determine necessary and. proper for his maintenance and support. In exercising this discretion, my Trustee shall take into consideration as a guideline the gifts that I was making to Ronald during my lifetime. B. If, at any time, my Trustee determines the value of the trust does riot warrant cortinuir~g it to be held in tryst, or that its administration would be impractical or uneconomical, my Trustee may, without further responsibility, distribute said fund, both principal and undistributed income, unto my son, Ronald. C. Upon Ronald's death, any remaining principal and undistributed income shall be distributed unto my son, Charles, or, if he is not living at that time, unto his wife, Anne. If both Charles and Anne predecease Ronald, the entire fund then remaining shall pass unto Messiah Village, Mechanicsburg, Pennsylvania, to be used in its Endowment Fund. V. In addition to such other powers and duties as may have been granted elsewhere herein, my fiduciaries hereunder shall have the following powers and duties: A. To invest any funds at any time held in trust, in any stocks, bonds, notes, mutual fund shares, or other securities or properties, real or personal, or in one or more common trust funds, or collective trust funds established by the Trustee, or in securities issued by the Trustee, notwithstanding that such investments may not be of the character allowed to fiduciaries by statute or general rules of law, it being my intention to give him the broadest investment powers possible, including the power to retain any property which is placed in trust hereunder. B. To retain or to lease, sell, exchange or otherwise dispose of any property, real or personal, at any time held by him, for cash or upon credit, in such manner and on such terms and conditions as he may deem -2- best, and no application ofaPerson dealing with Y moneys paid him shah be bound to see to C• the the ad TO bOrr°W or to ministration of the an money for an such security as he prOpenY held b y pure°Se in co may Bete Y him upon such te~eCtion with rniine necessary, rnis and D with in cash and To make any distribution hereon • partly in kind. der in cash in kind or partly E: In property hereundgeneral, to exercise of similar. which an individual lcop a eXS In the property owned in ercise in the nagement of as he may deem . his ow mana all acts °eS` and to ,,xecute right up°n such to gement which he ~ ~ rnis and conditions the trust, maY deem and deliver all instru necessary or proper to c menu and to do arry out the purposes of ~• No interest of be subject to an3' benefici shall an anticipation or to pled of my estate, either in income or in inco eborneficiary have ge, assignment princi a power in any manner to Ch~• le °r transfer in anyrmanner shall manner while in p 1, nor shall the interest of ge °r encu tuber his interest 'nor beneficiary, Whether possession of my fiduciar e beneficiary be liable or su ~ either engagements of an such [lability arises hereunder for the liabilbty o fn any Y type. from his debts, contracts such VII, torts or other discretion ~y amounts which of my fiduciaries are payable to a beneficia property of such hereunder, be r3` under this direct] beneficiary, to the paid to the Will ma y to such- beneficia person guardian of the y' at the The receipt of such ~'~ or may be a who has custod person and/or such guardians PPlied for the use or b nefit of suchneficia amounts, shall be ~ custodian, or beneficia rY, or extent °f such a full and com ry or evidence of the beneficiary. income as Payment or plete discharge of m application of well as application. This paragraph shall b~ duciaries hereunder to th principal, applicable to e VIII, I appoint m payments of event that he fails toy son' Charles quail C' Hone `fie M• Hone ~' °r ceases to Ywell, Jr., Executor of this ceases to act asYwell, Executrix in act as Executor, I a mY Will. In the Executrix, I a his place. In the event that~~ he mY dau Will. ppoint ghter-in-law, my son, Ronald A• H°ne fails to qualify or Ywell, Executor of this rrsy -3- Ix' I appoint this my Will. In the ev n~tCharles C. Honeywe PNC Bank, N. A, that he fails to ll, Jr., as Trustee of (or its successors), Hershe Quali fY or ceases to act any trusts created by x• I direct t Y, Pennsylvania as Trustee their duties in ~ hat no bond be re , as Trustee in ' I appoint Y.lurisdiction, quired of his place. m3' fiduciaries for the faithful IN Perfo~anCe of hand to thi WITNESS WHEREOF, I clause my Last Will ' ELEANpR B. and signatures o fwi nessesltten on four ~4) sheetsHCNEY this/Y~ day of ofPaper r~ udi herewith set my Tv,,, F , 2005, ng the attestation Signed b Y ELE ELEgN4R B. HONE (~E 4L) presence, who FOR B. HO YwE her re have hereunto 1VEY~LL est, thisis~,~, day of Tbyc£ibed our narneb as er declared tO be her 2005, witnesses ' WiII in our ~c_ In her presence and at residing at ~Ca residing at ~~ -4- Cp~pN~AI'~ pF P CpU1VTy pF E~S~'LV~A ~~~'~~oV ~, LEANpR B. °vlco c~ ~ HpNEY the attached e testatrix WELL, GERALD J B undersigned °r fore and the witnesses au going instrument b , respective~SER and Sh ~r ~ ' Will and that she °nty that the ~ e1ng first dul Y, whose testat ' Y affirmed names are she executed ' signed willin nx signed and , do hereb signed to each It as her free glY ~°r will' executed the ' Y declare to the of the witnesses and volunt InglY directed mstrument witnesses and ~ in the ,. ary act for the another to sign for hers her Last Years °f that to the best of SenCe and he purposes therein ~' and that age or older °~' know]ed ~`ng of the expressed of sound mind and ge the testatrix statrix ,and that under no c ,signed the WiII as onstraint or u as at that ti ndUe ' me elghteen Influence. Subscribed sworn or affirmed p~Y~LL, the testatrix and ac , W1tnesses l~GE~'D J. BRINSER a ged before me this by ELE day of nd ~he ~"~ ~pR B ~'~ , 2005. ~ r, Wpd ~Cp~ I~ C~.u, Notary pub is SEAL) WENDY NOTARIAL SEAL Palm L. CRAWPDRD, Notary pu6gc CommlSSroBo~ro(., Ce6anon Coun~ plres Sept i0, 2dpg -S- Cu~DAl EARNER S RECEIPT- FOR- pAYMENT Carp ~le the°UOe S ~arR 9 ster A 1713 e O f Wl l l s HONEYWELL, ELE~OR B Receipt Recei Date: Receipt Nome: 3109/2011 36.34 1064972 Estate File No . Paid BY Remarks• 2011-00404 -----_-__ xMWNSER WAGNER & ZI _ MNI ETITax DesCr~ption Receipt D1s ERMAN WILL TLON LTRS paYme trlbution __ SHORT CE TEST nt AmoUnt --- ___ AUTO~TI N FECATE 265:00 CUYeE' Name ---------- Check E 12.00 C'LTnBERLAND C # 2 ERL OUIVT Total ReceiVed• ------___ 25.00 BU EALTL~D C~LNTy G N ~L FUN • 315 50 _ UMBERLANDRCD~TYSGENENTR ~ D 315.50 RAL FUN KEIT yLp ~,~rACNERR KATY M' ZIMMERMAN G. WINGERT Register of Wills Cumberland 1 COUrthousecoun~ COUrthouse Carlisle, pA 1 ~~13re BRINSER, Lq ~' OFFICES Wq (EA T MAINq& SO TEER &ECpNDI R o`qN H RAC ROgp ST OR ) P• O• BO RESTS PgLMy~1, Pq 17p78 PHONE: (717) 838_ FAX: (717) 838-691248 June 22, 2011 In Re: Eleanor g, File No, Honeywell Estate Re 21 `11-0 q Dear gister o f Wills 40 MECH,gNICSBURG OFFICE MESSIAH VILLAGE 100 IIgT. pHOHANICSRURG, pq IV7 NE/F~ X717)697-4666 Enclosed the inheritance taxes duelonnd a check in the am If you have a the above-captioned esta e$5,445.00 inpaymen « ny Questions t ofa deposit" toW please feel ands Thank you free to call. Very truly yO~s, TATS OF -W ARLES C HONE OR B HO HAMCS URG, Pq r~p~ELL dR ~RLL DECD ' the of GG{~ ~NcBAN ~~r~ pq. N.q. -04~ K ,~ / K 3 j 2 ? 3///~'; .~~_ 035~~345n• B~NSER, WAGNER & ZIMMERI-7AN 512 ~ z ~ ~ 60.127~i3 ~ Da(t~e' t t2 Dollars ~ .~,,,~ P.ckulx~on ~~~~ 05j2 REGI ST ER pF wIL LS pF CpMM~Nw CpVNTY oFECUN CF PENNSI'LV Chart mberland ANIq ~ es C. } ss Persona! Repres~OneYwell, Jr Jr. ntativ deceased de a{s) °f the Estate of File Number nventol of the eat es a end SaY(sJ that Honeywell 21 - 1 C°mm° wealthsents its fa ~ t al Cornet°nweems appearin Eleanor g. ~=04 of Pennsylvaniae as °f the d th of pennsgV the foil°win l verify that the except that a of the dec ania of said 9 inventory incl ~ tort are true state which a edent's de decedent, ude al! of ~ ments and corr ments rn Ppears in ath, an ghat th the 18 pa ~ erein are ma ect. I understa d~ tln this Inven_ a memorandumthat pecedenf aluati°n placed al assets wh authorities ~ § 49p4 re1atin ublecf to the at false state- } at the end of th snnd no real eS a osite each Meer situate 9 to unsw°r penalties of entory. e outside ° f the°f said n fa/sifrcation to Charles C• Attorney ,- } ^^- (Name~ (Firm) (Address) (7'e/ePhon PATE OF PEAT el 3~~2011 H Gerald J Brinser Bri user, yya 6 E• Main S finer ~ Z~rnmerman p, o Box 3 treet Palmyra pA317078 717/838 ~~ 's348 ~~_ I LAST RESIp- personal pro e PNC Bank - Checking Ac PNC Bank _ Money Mar count ket Account #50p488427 2 (SpPrerne Coed / p No.) __ 09655 ~-- CpUNT Y, PENNS 1'L VANIq pECEpENTS SOC 2== 3go2 SEC. NO. 3, Og5.1g Total Personal Propert Y itipnal sheets if necessary) Total Pe Bona/ PropenY and Real Estate 153,411.00 15g,5p6.1g c`~ r~ ;~) ~ --- _ :,.~ t l~ . (.!J r J~ ~ ` ~ l ;, ~. _ 7 `~ y :~~ r $15g,50s 18 Messiah- Mecha~:,._ . 9e -„~,urg P FIGURES A 17p55 MUST B E T pTA~ED ~N~E~T CRY CV_=A-~D t GERALD J. BRINSER KEITH D. WAGNER JOHN M. ZIMMERMAN KATHY G. WINGE:RT LA W U-'E1CES BRINSER, WAGNER & ZII•'1MERMAN 6 EAST MAIN STREET -SECOND FLOOR (EAST MAIN & SOUTH RA[LROAp STREETS) P. O. BOX 323 PALMYRA, PA 17078 PHONE: (717) 838-6348 FAX: (717) 838-6912 MECHANICSBURG OFFICE MESSIAH VILLAGE 100 MT. ALLEN DRIVE MECHANICSBURG,PA 17055 PHONE/FAX (717) 697-4666 September 12, 2011 Register of Wills c~ Cumberland Count ~~ -°- ~--' 1 Courthouse S y C°urth°use _: ; -' ~ ,T Carlisle p Quare ~,.=~~ ;; A 17013 -~,~ ~ ,, .._ '-~.ri-~ C.7 In Re: ~ z, } Eleanor B. Hone File No. 21 _11 _04p4 ell Estate ~ --~ ~, :' _ - - ,~~ ~ Dear Register of Wills, ~~ Enclosed you will find an Invento Tax Return for the above-ca tioned estate. and two 2 Payment of the filing fees. P Also en losedlis a heckupplemental PA I the amount olnheritance $30.00 in If you have any questions, please feel free to contac Thank t ~me. you. Very truly yours„ BRINSER, WAGNER &ZIMMERMAN Fr I rte, Gerald J. Brinser GJB/wlc Enclosures c. file '' r ~ ~, (~li- i~ ., /~// L~ `iii ~,1 h~ ~'.~~ ~~l J~ ~ .~ ~_ ,i ~~~ .. 1, ~~:~i 'REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE (CARLISLE PA 17013 l1~Jil~ ~~ , ,~