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Home My WebLink About04-05-12 (3)1505610105 REV-1500 °` t~-11' «' PA Department of Revenue pennsylvaMa Bureau of Individual Taxes °~n„xrxEx, DE xEVExuE PO BOX28o6o>. INHERITANCE TAX RETURN Harrisburg, PA i~iz8-0601. RESIDENT DECEDENT OFFICIAL USE ONLY Code Year File Number ~ ~~ n ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY ..134-03-8467 01/13/2011 ' 08/07/1919 _. _._ Decedent's Last Name Suffix Decedent's First Name __ _ _ __ 'MacKay ! Adele __ __ __ (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 4. Limited Estate tID 6. Decedent Died Testate (Attach Copy of Will) O 9. Litigation Proceeds Received O 2. Supplemental Return O 4a. Future Interest Compromise (date of death after 12-12-82) O 7. Decedent Maintained a Living Trust (Attach Copy of Trust.) O 10. Spousal Poverty Credit (Date of Death BeNveen 12-31-91 and 1-1-95) MI MI O 3. Remainder Return (Date of Death Prior to 12-13-82) O 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes O 11. Election to Tax under Sec. 9113(A) (Attach Schedule O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Robert S MacKay (717) 979-8507 First Line of Address 456 Woodcrest Dr Second Line of Address City or Post Office Mechanicsburg correspondent's e-mail address: DODrr}aca~iLcomcast.net REGISTER OF ~LS USE ONLY'~,~ ,._ c5 2a. ~~ ~ S,i i ~^ _..~ c~ ~ ~ -r1 3 , ~n • ti= . i"\? r.. t ~ Under penalties of declare that I hav xam' ed is return, inGuding accompanying schedules and statements, and to the best of my knowledge arM belief, it is true, correct ration o pre rer ther than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE O PONSIBL FIL RETURN DATE 04!05/2012 ADDRESS j/ 456 Woodcrest Dr, Mechanicsburg, PA 17050 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE U8E ORIGINAL FORM ONLY L 1505610105 Side 1 1505610105 ~J ., .J 1505610205 REV-1500 EX (FI) Decedent's Social Security Number Decaeanrs Name: Adele MacKay 134-03-8467 RECAPITULATION 1. Real Estate (Schedule A) ........................................... .. L 2. Stocks and Bonds (Schedule B) ..................................... .. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 4. Mortgages and Notes Receivable (Schedule D) ......................... .. 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. 28,792.58 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested...... .. 7. 8. Total Gross Assets (total Lines 1 through 7) ........................... .. 8. 28,792.58 9. Funeral Expenses and Administrative Costs (Schedule H)........ _ ... ...... 9. 13,303.67 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ......... ...... 10. 242.06 11. Total Deductions (total Lines 9 and 10) ........................... ...... 11. 13,545.73 12. Net Value of Estate (Line 8 minus Line 11) ........................ ...... 12. 15,246.85 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) .................. ...... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) .................. ...... 14. 15,246.85 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 15. 16. Amount of Line 14 tazable at lineal rate x .0 45 15,246.85 ig. 17. Amount of Line 14 taxable at sibling rate X .12 17_ 18. Amount of Line 14 taxable at collateral rate X .15 18 19. TAX DUE .................................. .. ... .. ..... ..... .... .. 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 686.11 686.11 O Side 2 L 1505610205 15105610225 J REV-1500 EX (FI) Page 3 Decedent's Comalete Address: FIk Number ECEDENTS NAME Adele MacKay STREET ADDRESS 5225 Wilson Lane CITY Mechanicsburg STATE PA ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the d'Ifference. This is the TAX DUE. (1) 686.11 Total Credits (A + g) (2) 0.00 (3) 9.78 (4) (5) 695.89 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No 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 ............................................ ^ c. retain a reversbnary interest .............................................................................................................................. ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ..................................................................................:........................... ^ 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, which contains a beneficiary designation? ........................................................................................................................ ^ ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R AS PART OF THE RETURN. For dates of death on or after July 1,1994, and before Jan. 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefiaaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-15D$ EX+ (31-io) Pennsylvania SCNEpULE E DEPARTMENT OF REVENUE CASH SANK DEPOSES 811 MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Adele MacKay 2012-00039 Include the proceeds of litigation and the date the proceeds were received by the estate. All property iointly owned with right of survivorship must be disclosed on Schedule F. If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS EStATE OF FILE NUMBER Adele MacKay 2012-00039 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: I' Rolling Green Cemetery- opening Blooms By Vickrey-casket spray Ester's Country Kitchen-refreshments Pathemore Funeral Home 8, 1, ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City Year(s) Commission Paid: 2. Attorney Fees: 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant Street Address a. 5, 6. 7. City State Relationship of Claimant to Decedent Probate Fees: Accountant Fees: Tax Retum Preparer Fees: State ZIP TOTAL (Also enter on Line 9, Recapitulation) ( $ If more space is needed, use additional sheets of paper of the same size. ZIP 1,395.00 445.20 669.60 10,704.37 89.50 13, 303.67 REV-1512 EX+ (12-OS} Pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBtS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES ~1 LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Adele MacKay 2012-00039 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medkal expenaa, If more space is needed, insert additional sheets of the same size, LAST ~!l~ILL AND T~ST~IVIKNT J ~ 0~ ~ ~DKLK 1VI~CK~Y ` V i, AI'3ELE MACKASi , of Camp HiL', Cumberland County , Pz~sylva::ia, l;e:ng of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this to be my Last V~ill and Testament and hereby revoke all other. Wills and Codicils, that I have made, including the will dated February 18, 1985. FIRST: All of my Estate, of whatever nature and wherever situate, I give, devise, ami bequeath, in equal shares, to those of my children who survive me by thirty (30) days: my son, EDWARD R. MACKAY, of Durham, New Hampshire; my son, ROBERT S. MACKAY, of Mechanicsburg, Pennsylvania; and my daughter, JANET E. MACKAY, of Tunkhannock, Pennsylvania. Should any of my children fail to survive me by thirty (30) days, but be represented by children then living, these children shall take, Seri s ' s, the share to which my child would have been entitled if then living. SECOND: If any portion of my Estate shall be payable to a beneficiary who is less than eighteen (18) years of age, my Executor may pay such share to the beneficiary's parent or guardian, as custodian for said minor, who shall deposit such share in the minor's name in a Uniform Gift to Minors' Act account in a savings institution of the Executor's choosing, payable to the minor at majority. Tom: All interests of any beneficiary in the income or principal of this Estate, while undistributed and in the possession of my Executor, even though vested and distributable, shall not be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of any beneficiary and, furthermore, shall not be subject to pledge, assignment, conveyance, or anticipation. FOURTH: All inheritance, estate, and succession taxes (including interest and any penalties thereon) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursemern from any person. H: I nominate, constitute, and appoint my son, ROBERT S. MACKAY, as Executor of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability of ROBERT S. MACKAY to act for whatever reason in this capacity, then I nominate, constitute, and appoint my son, EDWARD R. MACKAY, as Executor of this, my Last Will and Testament. I direct that no representative named above shall be required to post security for the faithful performance of his duties in any jurisdiction insofar as I am able by law to relieve him of such obligation. Any of my representatives shall be entitled to reasonable compensation for the performance of the duties set forth here. IN WITNESS WHEREOF, I have hereunto set my hand and seal this icr day of ~~ , 1998, on this, the second of two typewritten pages. I have also signed the left-hand margin of the first page for purposes of identification only. ~ Q!~., ~. ADELE MACKAY AFFIDAVIT Commonwealth of Pennsylvania County of Cumberland We, Debra K. Wallet and _,,.r~ ~ ~ , ~ ,~ the witnesses whose names are signed to the attached instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that, to the best of our knowledge, the Testatrix was at that time 18 years of age or older, of sound mind, and user no constraint or undue infhience. uP~c,u.~Ic ~Jac~.,r Sworn or affirmed to and subscribed to before me by tiL),r;~(,~~!~]~`1 ~ /~ witnesses, this ` day of ~, 1998. Notarial Seal Jennifer L. Gamer, Notary Public Camp Hill Boro, Cumberland CountMyy My Commission Expires Aug. 27 20bt PNC Bank For tlsr, p.rio~ •lnsnoil 1bo OZ/o7no11 000499 ADELE M MACKAY 456 NODDCREST DR MECHANICSBURO PA 17050-6810 ~ve~~v~c Primary acoouMnumber. 51-4007-4733 Page 1 of 2 Number of enclosures: 0 ® For 24-hour banking, and transadbn or interest refs infomiatbn, sign on to PNC Bank Online Bankirp at pnccom. 'a For customer service call 1-888-PNC-BANK Monday - Friday: 7 AM -10 PM ET Saturday & Sunday: 8 AM - 5 PM ET Para servicio an espafiol, 1-B66-HOLA PNC Montp2 Pleas contact ~ at 1-888-PNC-BANK ® write to: customer service PO Box 609 Pittsburgh PA 15230-9738 V isk us at pnccom TDD~erminal:1-800-531-1648 For lra~hg impaired climes Doty R C~ Aunt Suww~s~l Account number: 51.4007-4733 Overdraft Protisdion Provided By: CNMast ANC m estabMw OtnNra/t Pro~otlew Bepinning Deposits atld Checks and other Endlrq balance other addNlons deductions balance 4.167.87 654.77 2.00 4,820.64 Adele M Macdray Average monthly charges balance and fees 4,336.77 .00 abil p tad ~~ ~ Thsre was 1 Deposk or Other Addkbn ~ ,~~ D~riptim totaling ~ii4J7. 01/31 654.7'1 Direct Deposit - Pn Pmts/CR E I Du Pont De N G525680,jm/11031 Op~~ ipd p ~ Dodnptlions There was 1 Onikts or Ekdronic Banking Dah Amount Description Dsdudbn totaling s~2:oo. 0/07 2.00 Direct Payment - XXXXXX2311 Priority 50 Plu 8519813 ~~ Debt 8alsnce Dste E3alance Date Bslance Ol/OS 4,167.87 01/81 4,822.64 02/07 4.820.64 Forthe loth consecutive year, PNC presents the Philadelphia International Flower Show, March 6-13, at the Pennsylvania Convention Center. Tickets for the show can be purchased at select PNC branches. For more information, vi~t theflowershow.com. ~~ PREPAID FUNERAL CONTRACT Contract No. PA STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED Funeral Service Arrangements For: 1~N~~1 Our Service: Arrangement and Professional Staff Services $ Embalming $ Other Preparation of the Body $ Other $ If you have selected a funeral that may require embalming, such as a funeral with viewing, you may have to pay for embalming. You do not have to pay for embalming you did not approve if you selected ar- rangements such as direct cremation or immediate burial. If we charge for embalming, we will explain why as below: Use of Facilities/Staff/Equipment for: ,~. Visitation f Days Q $ /day $ Funeral/Memorial Service $ Graveside Service $ ,a -" Transfer of Deceased ( .; miJ $ "`r Family Car(s) # Q $ each $ Funeral Coach $ ~.~•'"' Funeral SedanslLimousines $ :~ '' Utility/Service Vehicles $ Forwarding/Receiving Remains $ Other Services/Facilities/Equipment $ (Specify) ~? ` $ Total Services $ .~ Acknowledgement Cards Obituary Notices Certified Copies of Death Certificates Flowers Clergy Honorarium Organist/Pianist Vocalist Police Escort Grave Opening and Closing Disposition (~-Burial ~ Cremation ^ Other Casket ~ None $ ,_ . Manufacturer Model # and Name Exterior Material & Color - -° Interior Material & Color Outer Burial Container $ Manufacturer Model # and Name Material ,- ~ ~: •~ Other Merchandise (specify) Register Book $ Service Folders $ Required Purchases Charges are only for those items that you selected or that are re- quired. If we are required by law or by a cemetery or crematory to use any items, we will explain the reasons in writing below. Any legal, cemetery or crematory requirement that we represented to you as compelling the purchase of any goods and services called for by this Agreement is identified and described below: Total Cost of Selected Items $ ~_ , This Cost is: O+~uaranteed O Not Guaranteed Non-Guaranteed Cash Advance Items $ - $ kL. $ € ~ _ : Estimated Sales Tax Luncheon Other (Specify): Total Cash Advance Items TOTAL FUNERAL PRICE $ • ~' ~ C_ ...~ J. IRREVOCABLE ASSIGNMENT- By initialing here (~, you irrevocably assign ownership of the life insurance policy or annuity funding this contract to a trustee as owner. See terms of Assignment and Prepaid Funeral Agreement on reverse. This Statement of Funeral Goods and Servkes Selected and the above Irrevocable Assignment together with the terms on the reverse side shall constitute the entire prepaid funeral rnntracK. FOR HOME SALES ONLY You, the buyer, may eancel this transaction at any time prior to midnight on the third business day after the date of this traasaction. See the included °`Notice of Cancellation", form for sn explanation of this right. AC~REEMF&1VT ANp ACCEPTANCE BY: .. . AGREEMENT ANAASSIGNMENT BY: + ~ ,~ - (Funeral Provider's Authorized Representative) (Date) ._ Signature of Proposed Insured/Annuitant or Purchaser, (Social Security Number) _ if other than Proposed Insured/Annuitant (Funeral Provider's Name) (Address) (Phone) (Funeral Provider's Address) (Phone) - (City/State, Zip) (Date) (City/State) (Zip) • f- ', (Contras Beneficiary's Name) (Social Security Number) (Contract Beneficiary's Address) (Phone) • `, Contract ~ 11.1- . ~V w File Folder Name/Number CEMETERY INTERMENT RIGHTS, MERCHANDISE; AND SERVICES FURCHASE/SECURITY AGREEMENT TAiC A(~RF.F.MFNT Pit(1ViilF.C Flit PFiiTPFTiTA i ./FNiN1W1VfTi NT !'' A DTs` - _ - - --- The undersigned, rehrred tom 'Atrchas4r', hefeliy agrcaf to pur~haae the Interment Rights, Merchandise and Services described herein, subJect to acceptance and approval of the above named cetaatary, hereafter referred to as'Seller'. Purchaser: Lead Name: ~ Itxt1C I YV QI V I 1 1 1 1 1 1 I I I I I First: I~ dl~ tT l C' I~ I 1 1 1 1 1 1 1 Middle: I SI I I I I I Telephone: ~*{4;"ti" ~"j,1~,"~ _,~~a" SS - - ~~+ ~- DOB: J~ Email: Address: _ City: State: Zip: t'"'~ U• Co-Putxhaser: Last Name: I I I I I I' I 1 1 1 1 1 1 1' '1 ~ I I T°ir~• ~1 I I I I I I I I I I I ` ; I I Middle: I I I I I I I Telephone: ~~ - SSN: - ~c~ DOB: ~,' /_/ Email Address: I I I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Cay: I I I I I I I I State: 1J..1 Zip: I I I I I Deceased: Last Name: Q (( ~~ t F:rst: L!'ll~ I Ql l I CI 1 1 1 1 1 1 1 1 Middle: ~ .a.t DOB: ~~ `~} ~ Q DOD: ~ ~ p~ 1 ti s. .=., ~t l- l Burial Date: ~~. / ~ `j ~ ) ~ Veteran: _J ' _ t _ .i - ~ J~ used: ~ ` , ~ Descriptbn of Interment Rights to ba ~ '~ ~ Me mo ri al i aa lion Rights: Issue Certificate of Interment Rights to: Address: City: State: Zip:. INTERMENT MERCHANDISE & SERVICES • Interment Rights $ Urn """"" (Includes Perpetual/Endowment Care of $ ) Supplier ~ • Interment and Recording Fees Type/Color • Ouil~r Burial Container "~ " Design/Size Supplier: ~' Admin/ProcessingFee "'"" Model/Design Other -"""'~'" Material/Color Other ~-""""" • O~dter Burial Container Installation -~"" " Other ,..•~-_- ME1tIORIALIZA'~ION ~ Other ,„ • Memorial Other --~ Supplier Other ----~'"'"' Type/Color TOTALS, ALLOWANCES & TAXES Design/Size Interment Rights ......................................... ...................... ( """"' ) • Memorial Baas Reason Supplier Merchandise/Service .................... """" ~ Blooms By Vickrey 2125 Market Street Camp Hill PA 17011 (717)737-0212 Barbara Mackay 4S6 Mechanicsburg PA .17050 Deliver To; Adell Mackay Service Parthemore Funeral Home 1303 Bridge Street New Cumberland PA 17070 (717)774-7721 INVOICE Invoice Number: 40000S869S Invoice Date; 1/1412011 Customer ID: Deliver on : Sunday 1 11 6120 1 1 AdeEl Mackay Service Occasion: Miscellaneous Card: Description Qty Amount Sub Total casket spray lavendar, .white, ~ 1 $270.00 $270.00 green hinge spray to match 1 $85.00 $85.00 pillow with 10 lavendar 1 $65.00 ~ $d5.00 rvscs hTethod Of Pgyment Amount Check Outgoing S44S.20 Merchandise Del ivery• Service Tax Total Amount $420.00 $0.00 $0.00 $25.20 $445.20 L'd 9t-9LL£LL 6L L ~(e~~oln ~(g swool8 d6 L ~£0 Z L 60 ady Esther`s Country Kitchen 3~1b E: lvlarble St. icsburg,.:PA T7(?33 - ~#8-'8661 Fax: 717/766-7341 E-mail: ecraw70209@aol.com t31tE ~ ~~fi. € c~~e 1/17/2011 2109 Contact Person Parthemore Funeral Home & Cremation Services, Inc. P.O. Box 431 1303 Bridge Street New t~nnberland, PA 17070-0431 (717) 7747721 Mr. Robert S. MacKay 456 Woodcrest Drive Mechanicsburg, PA 17050 For the Service of Adele M. MacKay Statement DATE 5/2/2011 AMOUNT DUE AMOUNT ENC. 528437 DATE TRANSACTION AMOUNT BALANCE 12/312009 Ealance forward 0.00 Ol/26/Z011 irly #2292. 10,062.78 10,062.78 Ol/26J2011 INV #2293. 1,174.37 11,237.1 S 02/15/2011 PMT #166793. FDLIC -10,952.78 28437 CURRENT 1-30 DAYS PAST 31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS AMOUNT DUE DUE DUE DUE PAST DUE 0.00 , 0.00 0.00 284.37 0.00 528437 .Please don't hesitate to call our office if we may be of assistance. Thank you. ~ ~ ~ < a b: m a ~ ~ ~ ~ ~ J J ~ ~ H y a ~ z ~ N o 0 0 0_ 13 W a 1Q~~D a O O O O J J J J J J ~i J J J O O O O O O O a O O 13 13 t3 13 13 O O O O O J ~ ~ J J 1 t I 1 1 O O O O O J J J J J J J ~~aaa ~ ~ ~ ~ ~ 0 0 0 0 0 ~ J J J ~ J J J J J W ~ m '~ 1~ ~ _ A V V A V V A A V A ~~~~~ m~~m~ ~~~~ ~~~~ ~~~~ ~~ ~ ~_ ~ N o g 3 S le a m Yp • 01 a' a J ~ ~ J pp ~p ~p p WQpj N ,pp N ~ ~ N ~ N O O O W r O Q G W ~ ~ V . . ~ W O V O ~+ C ~ ~ ~ ~ aD Q- 3 S ~ ~ ~ 3 a o ~ N N ~ ~_ _ ~ ~ . c ~ a 3 D 3 ~if N O O O S S 8 0D ~ ~ ~ D~ ~ ~ ~ ~ ~ o ~ S 8 ~ m ~ z C 0 0 gs ao s s ~~~~~ z 11 11 H 11 N ~ ~~~~~ ~ ~ ~~~~ O Of 0 0 °o g V ~ r ~ O O O S ~ RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA EARNER STRASBAUGH Receipt Date: 1/10/2012 Cumberland County - Register Of Wills Receipt Time:. 14:46:56 One Courthouse Sqquuare Receipt No.: 1068341 Carlisle, PA 17Q13 MACKAY ADELE Estate File No.: 2012-00039 Paid By Remarks: HOEBAERT MACKAY ------------------------ Receipt Distribution ----- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 30.00 CUMBERLAND COUNTY GFtJF.RAT, F'~ WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 16.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN ---- Check# 7768. ------------ $89.50 Total Received......... $89.50