HomeMy WebLinkAbout06-15-12,'~ 1505610143
REV-1500 Ex(°'-'°'
PA De artment of Revenue OFFICIAL USE ONLY
P Pennsylvania camry code veer File Number
Bureau of Individual Taxes ~a°na^^°ra~
Po Box.zeoeot INHERITANCE TAX RETURN 21 it 0988
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
03 17 2011 12 27 1936
Decedent's Last Name Suffix Decedent's First Name MI
THOMAS SAUNDRA L
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL INAPPROPRIATE OVALS BELOW
1. Odginal Retum ^ 2. Supplemental Retum
^ 4. Limited Estate ^ qg, Frqure IrM1ereat Compromise
(tlele M deem eher 72-12-82)
^ B Decedent Died Testate
(Attach Copy of Wil9
^ T Deradent Mei~ netl a LihnB Trast
(Attach spy rust)
^ 9. Litigation Proceeds Received ~ 10. y~'0~eanP~~i ~J~andit~dataeser death
3. Remainder Ratum (date of Beam
prior to 12-13-82)
^ 5. Federal Estate Tax Retum Required
9. Total Number of Safe Deposit Boxes
11. Election to fax untler Sec. 9113(A)
(Attach Sch. O)
CORRESPONDENT • THIS SECTON MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
JERRY A WEIGLE ESQUIRE 717 532 7388
First line of address
126 EAST KING STREET
Second line of address
City or Post OfNCe
State ZIP Code
PA 17257
Correspondent's a-mail address
Under penalties of perjury, I tleGere that I
it is true, correct a d complete. Oeclaraat
SIGNATURE O E R P BIBLE FO
ADDRESS
SIGNATURE OF
ADDRESS
PA
REGISTER
_S USE ~f LY
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inducting accompanying schedules end statements,
~. personal representative I6 ba9etl on all information
A. Weigle Esquire
Side 1
1505610143
beliel,
lL ~ _/
DATE_
(p^S^ /Z
]6505610143 ,J
~`
1505610243
REV-1500 EX
Decedent's Social Security Number
oaoeaeors Nam: Thomas, Saundra L.
RECAPITULATION
1. Real Estate (ScheduleA) .................................................................................... ... 1. 113 , 000.00
2. Stocks and Bonds (Schedule B) .......................................................................... ... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)...... ... 3.
4. Mortgages & Notes Receivable (Schedule D) ..................................................... ... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............ ... 5. 7 , 925.48
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested.......... .. 6.
7. Inter-Vivos Transfers & Miscellaneous h{oq Probate Property
(Schedule G) a Separate Billing Requested.......... .. 7,
8. Total Gross Assets (total Lines 1-7) .................................................................. ... 8. 120 , 925.48
9. Funeral Expenses & Administrative Costs (Schedule H) ..................................... .. 9. 21 , 4 85.4 7
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............................ .. 10. 14 , 32 6. 7 0
11. Total Deductions (total Lines 9 & 10) ................................................................. .. 11. 3 S , 812.17
12. Net Value of Estate (Line 8 minus Line 11) ........................................................ .. 12. 85 , 113.31
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. $ $ , 113 .31
TAX COMPUTATION -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 .00 15.
16. Amount of Line 14 taxable
85
113.31
1s
at lineal rate X .045 , .
17. Amount of Line 14 taxable
at sibling rate X .12 0 . 0 0 17.
18. Amount of Line 14 taxable
at collateral rate X .15 0.00 18.
19. Tax Due ................................................... .............................................................. . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
L 1505610243 :6505610243
0.00
3,830.10
0.00
0.00
3,830.10
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-11-0988
DECEDENTS NAME
Thomas, Saundra L.
STREET ADDRESS
19 White House Road
CITY
Shippensburg STATE
PA ZIP
17257
Tax Payments and Credits:
1. lax Due (Page 2, Line 19)
2. Credds/Payments
A. Prior Payments
B. Discount
0.00
(1) 3,830.10
Total Credits (A + B) (2)
0.00
3. Interest
4, If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 2 Llne 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
Check Payable to: REGISTER
(3)
(4)
(5) 3,830.10
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN T'HE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transfened :............................................................................... x
b. retain the right to designate who shall use the property transferred or its income :..................................
c. retain a reversionary interest; or ..........................................................................................................:.... x
d. receive the promise for I'rfe of either payments, benefits or care? ............................................................ x
2. If death occurred after December 12, 1982, did decedent trensfer property within one year of death without
receiving adequate consideration? .................................................................................................................... ^ ^
x
3. Did decedent own an "in tmst foI' or payable upon death bank account or security at his or her death?....... ^ ^x
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 (i AND FILE IT 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)j.
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 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 H 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 beneficiaries is 4.5 percent, except as noted in
72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)].
. The tax rate imposed on fhe net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116 (a) (1.3) . A
sibling is tlefined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by bloo~ or adoption.
Rev-1602 EXi (11-0B)
~~ I SCHEDULE A
REAL ESTATE
COMMONWEALTNOF PENNSYLVANIN
INHE0.ITANCE TA% RETURN
RE610ENi OECEDENL
ESTATE OF FILE NUMBER
21
All real property owned mlely or u a bnant In common moat W roporled at talc merkel value. Pair medcel value is tledned ea Me price at which properly would be
exchanged between a willing buyer end a willing seller, nekxr being compelletl to Duy or sell, both hevingg reasonable MrrowletlBe of Bte relevant feels.
Real propsrry which la jolndy~ownad wllh right of aurvivorohlp must bs tllaelosetl on achrMuls F.
pr more space Is neeDe4 aomdonal pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08)
Rev-1509 FXa (e-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TA%RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Thomas, Saundra L. 21-11-0988
Indutle the ~raceetls o(lilipation entl the data Ne proceeds were receivetl by Itro ealate.
All property to ntlyawnad wiN the Rght of eurWvorship must ba tlieelovetl on echetlule F.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1 Chambersburg Hospital -refund 94.93
2 Lowe's - refund of credit balance 31.88
3 State Farm Insurance -refund of automobile premium 77.24
4 American Community Federal Credit Union Checking Account 624-55-1 416.68
5 American Community Federal Credlt Union Checking Account 624-55-1 -net of 1,857.30
miscellaneous debits and credits to account from date of death to closing on 11-22-11
6 American Community Federal Credit Union Savings Account 624-00-1 177,37
Accrued interest on Item 6 through date of death 0.06
7 1998 Cadillac Eldorado -sold to Kevin Thomas on 4-5-12 for payoff of debt totaling $2,799.13 3,500.00
8 Personal Property - at appraised values
1 a7o.oo
TOTAL (Also enter on Line 5, Recapitulation) I 7,925.48
(If more space is needed addRional pages of the same size)
Copyright (c) 2002 forth software only The Lackner Group, Inc. Form PA-7500 Schedule E (Rev. 6-98)
REV-1151 EX• (10-06)
COM ~NH~~IE_ I, H.D pF~~VANIA
ESTATE OF FILE NUMBER
Thomas, Saundra L. 21-11-0988
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A, FUNERAL EXPENSES:
See continuation schedule(s) attached
B. I ADMINISTRATIVE COSTS:
t. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zio _
Year(s) Commission paid
2. Attorney's Fees Weigle 8 Associates, P.C.
3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Karen J. Thomas
Street Address 19 White House Road
city Shippensburg state PA zio 17257
Relationship of Claimant to Decedent Daughter
4. Probate Fees Register of Wills, Cumberland County
10,841.22
6,587.00
3,500.00
320.50
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 436.75
See continuation schedule(s) attached
TOTAL (Also enter on Ilne 9, Recapitulation) 21,485.47
SCHEDULE H
FUNERAL EXPENSES &
1DMINISTRATIVE COSTS
Copyright (c) 2009 form software only The Lackner Group, Inc. Fonn PA-1500 Schedule H (Rev. 10-06)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Thomas, Saundra L. 21-11-0988
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses
1 Community Center reception 215.00
2 Country Comer -cemetery excavation 585.00
3 Fogelsanger-Bricker Funeral Home - (unpaid balance of $1,810.57) 9,841.22
H-A 10.641.22
4 Other Administrative Costs
Cumberland Law Journal -advertising Letters of Administration
75.00
5 Linda K. Klein -notary fee 24.00
6 News Chronicle -advertising Letters of Administration 104.75
7 Recorder of Deeds, Cumberland County -recording deed to beneficiaries 64.00
8 Register of Wills, Cumbedand County -one Short Certificate 4.00
9 Register of Wills, Cumberland County -filing PA Inheritance Tax Return 15.00
10 Register of Wills, Cumberland County -filing Family Settlement Agreement 100.00
11 Weigle & Associates, P.C. -reimbursement for postage, xerox copies, and long distance 50.00
telephone calls
H-B7 436.75
Copyright (c) 2D02 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98)
Rev-1812 EX~(13-08)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OFPENNSYLVANIR
INHERIThNCE TWI RETURN
RE610ENT DECEDENT
ESTATE OF FILE NUMBER
Thomas, Saundra L. 21-11-0988
Report debts incurrotl by the tlecstlant pdpr to death that ramalnad unpaltl at the date of tleath, Including unrolmburoatl medical expenses.
(If more space is needed, addigonal pages of the same size)
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule 1 (Rev. 12-08)
REV-1513 E%a (N-OSl
SCHEDULE J
COMM'Qr~V~IEAL$yLVANIA BENEFICIARIES
ESTATE OF
Thomas, Saundra L.
FILE NUMBER
71_~~_nORR
NUMBER
NAME AND ADDRESS OF RELATIONSHIP TO
DECEDENT
SHFIRE OF ESTATE
AMOUNT OF ESTATE
pERSON(Sl RECEIVING PROPERTY (Words) ($$$)
I TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116 a 1.2
1 Eric B. Thomas Son 1/5 Share 17,022.66
38 Cumberland Avenue
Shippensburg,PA 17257
2 James Thomas Son 1/5 Share 17,022.66
322 Roxbury Road
Newville, PA 17241
3 Karen J. Thomas Daughter 1/5 Share 17,022.66
19 White House Road
Shippensburg,PA 17257
4 Kevin R. Thomas Son 7/5 Share 17,022.66
179 Longstreet Drive
Gettysburg, PA 17325
5 Scott Thomas Son 1/5 Share 17,022.67
41 Middle Spring Road
Shippensburg,PA 17257
Total 85,113.31
Enter dollar amou is for distributions showh above on lines 1 5 throw h 18 on Rev 150 0 rover sheet as a r o riate.
II NON-TAXABLE DISTRIBUTIONS:
. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO l"AX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTA L OF PART II - EMTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08)
JERRY A
JERRY A. WEIGLE
Associates
JOSEPH P. RtIANE
RICHARD L. WEBBER, JR.
Or Counsel
THOMAS L. RRIGHT
Page 1 of 1
WEIGLE & ASSOCIATES, P.C.
Attorneys-at-Law
126 EAST KING STREET
SHIPPENSBURC. PENNSYLVAN/A 17257-1397
TELEPHONE (717) 532-7388
FAX (717) 532-5289
November 29, 2011
Department of Revenue
Bureau of Individual Taxes
Inheritance Tax Division
Department 280601
Harrisburg, PA 17128-0601
Attention: Extension Request
Deaz Sir or Madam:
In Re: Estate of Saundra L. Thomas
SS # 204-28-0447
Deceased Mazch 17, 2011
Please consider this a formal request fora 6-month extension of time to file a Pennsylvania Inheritance
Tax Return for the above-captioned estate. This firm is representing the estal:e and has encountered
difficulty in verifying all assets and debts of the estate. In addition, the disposition of the real estate
has not yet been determined. As a result of these difficulties, we aze requesting an extension of time to
file the inheritance tax return.
We understand that an extension will not extend the time for the payment of 1:he inheritance tax, but only
the time for the filing of the inheritance tax return.
Sincerely,
JAW:Ik
WEIGLE & ASSOCIATES, P.C.
Jerry A. Weigle
file://C:\Documents and Settings\lklein\Local Settings\Temporary Internet Files\OLKE6\... 11/29/2011
r~
f linda klein
__ _.
From:
."
Sent:
To:
Subject:
linda klein
Tuesday, November 29, 2011 4:47 PM
'RA-I n heritanceTaxExt@state. pa. us'
Estate of Saundra L. Thomas
Attachments: PA Inh Tax extension request 11-29-11.htm
Page 1 of 1
Please see the attached correspondence requesting an extension of time to file a PA
inheritance tax return for the above-captioned estate.
Jerry A. Weigle, Esquire
Weigle & Associates, P.C.
126 East King Street
Shippensburg, PA 17257
717-532-7388
jweigle at7weigleassociates.com
1 I /29/2011
~t~tarket AnaCysis 12eport
19 ~i~VFiite Mouse lead
SFiippens6urg, ~a 17257
Prepazed by: Mike Wonders
Prudential Homesale Services Group
8 Brookwood Avenue
Cazlisle, Pa 17015
717-245-2100 Office
717-226-4141 Cell
-717-245-0683 Fax
~ ~ Prudential.
~ Homesale Services
Group
Dear Sir or Madam:
In regards to the subject property of 19 White House Road, Shippensbug, Pa 17257 under the current
market conditions the fair market value would be at $113,000.00.
Sincerely, /J /
Mike Wonders
Prudential Homesale Services Group
V 717-245-2100 Office
~.
Market Anal sis Re ort
Feature Subject Comparable #1 Comparable #2 Comparable #3
Address: 19 White House Rd
Shippensburg, Pa 17257 4 White House Rd
Shippensburg, Pa 17257 671 Shippensburg Rd
Newville, Pa 17241 2221 Apple Way
Chambersburg, Pa 17201
Distance 0.12 Miles 9.4 Miles 17.3 Miles
sale Price $119,900.00 $107,500.00 $100,000.00
Sgtt Pdce $79.30 $56.46 $66.14
Adjustments Description Adjustment Description Adjustment Description Adjustment
Site 0.76 8cre 1.76 acre -5,000 1.03 Acre -1350 0.46 1500
View Aver ge Average Average Average
Style Double Wide Doubte Wide Double Wide Double Wide
Quality Average Average Average Average
Actual Age 14 yrg 20 yrs 1,000 13 yrs 9 yrs
Condition Average Average Below Average 4000 Average
Bathrooms 2 2 2 2
Bedrooms 4 3 1000 4 3 1000
Living Area 1768 sgfl 1512 sgfl 6400 1904 -3400 1512 sqk 6400
Garage/Caryorl Carport Shed 500 Carport None 1000
PorchlPatio/Deck 2 cow. porch Porch 500 None 1000 Porch 500
Gas Fireplace None 1000 Gas Fireplace Gas Fireplace '
Deck Deck Deck None 500
Ingrd Pool -5000
Net Adjustment
Adjusted Sale Price
Sales Comparison Price: 400 250
120300 107760
$113,000.00 10900
110900
'~ AMERICAN COMMUNITY
FEDERAL CREDIT UNION
F-anF-'1 rr Cbz:rfi~' r. x ~+,un- ~ edit t n~~n
September 22, 2011
Weigle & Associates, PC
126 E King St
Shippensburg 17257
Dear Mr Weigle;
Regarding Saundra Thomas Soc Sec 204-28-0447 I submit the following information:
On March 17, 2011 Ms Thomas had one checking and one savings account, each in her
name only.
Her savings account #624 00-1 was opened January 1, 1980. The balance on her date of
death was $1'77.37. The interest accrued for the quarter ending Ma~•ch 31, 2011 was $.OS
(eight cents.)
Her checking account #624 55-1 was opened December 8, 1997. The balance as of her
date of death was $416.68. No interest is paid on our checking aca~unts.
If you have any questions you may reach me at 717-264-5432.
Sincerely,
Joyce Easter
Member Services
405 Wayne Avenue •Chambersburg, PA 17201
MaIling Address: P.O. Box 23 •Chambersburg, PA 17201
Phone: (717) 264-5432 • To11 Free: 1 (877) 385-1232 • Fax: (717) 264-3742 • Web Site: www.americomfcu.org
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CHAP'S~1ER;iSUI?U, F'R 1:'::49i-002. Posi: li.='2clt=Lhii Er'fecti','e: i'1%'~ci'~':ii.
#~~: Th:is :.cco:.:rtt is now cln_ed =~•->r
Accr~:.t-~i_; :~~-i I?F"tF1i=T ACCDL`N7
L~erli.nning ha.lance: 2,0c~. 13
Tr?nsfer' DU'?' r.~Zi:-'3. ~8
SAUI'-li~Rfi L '1"HDMAS
i'3 6JHITE Hi_IUEE RI}.
SH i PPEfiSL~URf.7, ~'A 17.='~
Ending bal.an•: e: 0.00
Casl-t ~. 047 Ca h °.4< 0. ~~
~, i g n a t tt±^ e : --.--__.~._~.-~._..__~._. Chk 0. 4447 Chk I3 k 0. 1210
AMEFiTCF)hd i:DMt+tUP.IYTY FEDERAL CREDT7 UIVI Dh! Member E,24
-E0.5 WAYI`dE AVEtdtiE 0~~:011F't+l User^ #!4?0+Z:0tc72s TRlYIMY
CI-fAh1ElERSAURV, F'A 17201-•002:. F'osi.: 11!22!.'011 Efr'eetive: li/22r`2111i
Acco:.tni.: 00-1 SI-f1=aRE. AG'CDIJItdT
Begi.nnir:y be.lance;; i77.~,3
Tt^ansfer II`d .=, 41c:, 9LZ
~AUt+IDRA L THOMAS
13 WHITE HCIUSE RL" .
SHIi'i-~EtJ'_-.'kllfFiG, F'A i;`cS7
Ending b<zlancee 2, 201. Si
Ca=_I•I 0.01'.1 Cash 13k 1i1.0~7
Signat:.tre: -_ „_^___._._ Ch4,: 0.04?1 Chk Ak 4?i. fh4'I
AMF_RSCAtd CDC•':I~iiJi'rl'.l'`r f=EI'?ERAi_ i::liE'L~IT I,iilIDF~f P•4embe,,. F~,('tF
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Beni.nninq ba.lan^ae ".c+"llf._SL
bJikhclraw~. S 2, 2.01. =~;
~AU~~Y:iF,A I_ 'f1-fDMAS
1` WH'1l"E HDU`._;E t?P,.
SHI1~I=~EI'•15k~,URC, PA 1"7'257
Il~iv:idend 4'1.0:
Ending b:;?ante: O.Cnk1
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ChF:. ~. ~rlry cr,k ~,i< ,~, 2c~1. -=:7.
USED VEHICLE
Dealer _ T r
Address
City If
Purchaser-
Address
City
FNTFR MV ()BOER Fr1R hNF
St. / 1 Jr•J'
AS FOLLOWS
YEAR
y~ MAKE ~C~Vk~
C' MODEL C' ~i. ~a~
I gppy Cam- LIC. H.P.
OD(~~Q GV
MOTOR NO ~/ w-
,'
'(/~ ~
CSLIR ~
STOCK NO.
.
PRIOR USEbE VEIHICLE ^ U$ED ^ CAR ~ ^ TRUCK ^ OTHER
=x
CAR SALES PRICE TOTAL PURCHASE PRICE
DELIVERY & HANDLING ' EPOSIT
TAx SED CAR
LLOWANCE $
FILING ~ .LESS LIEN
LIC. PLATES BY...
REPAIR e
SERVICE /V2ir0 ~' - rbASH`ON DELIVERY
OPTIONS ~'
MENT § 6
DOC. PREPARATION ,,,,,,,,„_
K/
TOTAL PURCHASE PRICE §
TRADE IN RECORD
of
form
YEAR MAKE MODEL 90DV LIC. H.P.
ODOMETER ~ SERIAL NO.
MOTOR NO. COLOR STOCK NO.
I I SOLD AS I ~ t This motor da is aoltl es is without any werreMy either
LJ expres r implietl. The purchaser will bear the entiro ex-
perlse of repairing or cnr g any defecls~thet presently exists or that occur in fhe vehicle
Customefs Signature
S4.L~TH RR Wa the tlealer ranry this vehicle for aXer tlelivery \
on a retail is of patls and labor used. (Owner pays
antl dealer pays _ of total ail cost of perk entl labor used) All repairs must be made In our service
shop or shops aMhodzetl by tlealer herein n ull copy of the wrbten wartenry may be obtalnetl. '
FROM
(DEALER'S NAME?
AT
(DEALER'6 ADDRESS)
Deeleh SiS~elurc
I have read the face antl ck of this order, pntl agree to this purchase co act. I hereby certHy that I am 18 years of age or older
antl edcnowledfe rec of a copy and odometer statement. The figures thle order ere pmdicetetl upon actual correct
amount of the I eon the trade-In mbbtor vehicle.
I agree to acc tlelivery 20 S.S. NO.
Buyer's 'nature Phon
Atl ss
THIS ORDEq I$ NOT VALID UNLESS SIGNED AND ACCEPTED DEALER
Salesman Acceptatl by
AUTO LINE #4300 REV.10/01 See reverse side far etltlhfonal terms entl conditions. EALER'S SIGNATURE
_,,
ORDER Date ?- Z?- ~/zo
~ G.~.c- r#... V
A°~ P~-~x-~.St. ~?ZJT Phone: .S's7 •'7~2-0
~ MAY-10-12 06:51 PM SHETTER. TERRY 717264'L 445
r
Terry L. Sheffer, LLC
~ uct(aneer/~1 pp racisaL S erv icy.
365 Musser Road, Shippensburg, PA 17257
717-264-3885
Appraisal lix: Saundra Thomas Fstate, 19 White House Road, Shippcnshurg, PA 17257
I )+110: 5-9- 12
I'llM APPRAISAL. VALE
LIVIN<i ROQM #FI:
tio(it and love seat 175.00
Oval a+l'Icc tahle 20.00
Quccn Ann stylctahle 55.00
('orner shelf andlcnnten(s 50.00
Small round tahle 15.00
I)ININ(i ROOM:
Round oak table and 6 Chairs 30U.U0
Serving troy set ~ 20.00
()ak hutch 100.00
C'orncr shcl l' I O.OU
LIVING ROOM f#2:
FcGional sofa 20U.OU
Pine dry ,ink with top 150.00
liuok shell' 15.00
KI"fC'111iN:
(.I? cl~ctric sluvc 75.00
Fide-hy-side rcl'rigerator 100.00
Wooden cupboard 40.00
MOM'S l3C•.1)ROOM:
King sire txd 100.00
2 drawer Bland 25.00
Kitchen items -pots, pans, utensils, etc. SO.UO
Whirlpl+ol washer and dryer 150.00
Black mt+ssagc chair 45.00
Wicker porch set 75.00
TOT L: $1,770.00
P. 01
nt>t>antsnt, r•rt~:: stas.oo
t~C~i
4150 O~soN Mrow:QA1. DlioHaur, Sure 200
MnareAOO~, MInNlSOTA 55422-4811
Ted 763-852-8620 Hours (CT);
FAx 877-326-8784
Tou.-FReE 877-326-6681
March 05,.2012
RE: Estate of: SAtyNDRA THOMAS.
Our pkart: OneMain Finandal
Unoefd Bahxka No
sssess:s :2771. ~j4665.21
7376828
(l ~ ~e~
~~~~~
7:OOam-9:OOpmM-TH
7:00 am-5:00pmF
8:00 am -12:00 pm 5 .
Dear Sir or Madam: ~ 1.
We are tryk:g to resolve tt+e unpaid ~balanoe owed by the estate of the deceased. We w81 aooept $27991/.13 as a resokition
the full amount owed, proyrided payment is r~eived k: our oRica ty 04/04/2012. This is an attempt to collect a debt from
the es~e ~SAUNDRA TN~IOMAS and r>~ from the asset owned by.ya: personaNy, any i otNained wUl be used
for that purpose. You, per~onaily, are :rot requknd to pay any of the debts from the estate of SAUNDRA THOMAS.
Please ®0 one of our account r~reseritatlves. to11 free at 1,877-326-5681• tb conRnm this atTnent or to make paymei
by telephone.
Cordia0y,
OCM Services, LLC
.~
. ~~ ~~Z
This company is a debt cdl{sctor. We are attempting to collect a debt and any infwmatlon abtailed will be used ftir that
purpose.. CaOs may be morr~tor~ air recorded for qua0ty ass:xance p:e~poses.
N : S~ REVERSE.SIDE FOR ID4PORTANT INFORDIATION -Side 1 ofi 2-
®~~"'~~. -. ~ ~ '~odeob tower PaWmeatl Re•unwDh Pynr~t"'
- •-
4150 OLSONi MEMORL4L HWY STE 200 Reh~ce t: 7376828 COerK ID: OFIN31
• MINNEAPOL7I5 MN 55422-4811.. Unpak} Balance; $,8665.21
ADDRESS S CE REQUESTED Cheds Payable to: OneMakt Rnandal
®a~~0~®^®~~~®®~~®M~®®~ Amount Endoseii;: $
~7 ~t~t- L3
March OS, 2012
8$WNJOZF 10„r.~
#i65i7D0421254582# ~ ~ DCM Services .
The Estate pf TAUNDRA THONAS .PO Box 1568
JERRY A YEI LE dinneapolis MN 55440-3568
126 E KING G7 Q ' II I I- N I I II I I I- I I
SHIPPENSBURG PA 17257-1326 IJJuldnlnlrln Innis r r u n n n u u r u r,
31-' 12 9~1: 22 F130M-
r
' ; ! / ~ MLkcT Bank
i
Estate of Saundra L Thomas
C/o Weigle & Associates P.C.
126 East King St.
Shippensburg, PA 17257
Re: Estate of: Saundra L Thomas
n{lte of Death: 3-17-11
Dear: Jerry A Weigle
T-024 YI414b2/bNN'L r-5y5
May 31, 2012
Per your request please be advised that at the time of death the following:
L. Type of Account
Account Number
Ownership
Opening dlate
Balance om Date of Death
Mortgage
10087344690001
David & Saundra Thomas
9-20-97
3-17-11 $10,645.62
(Do not use for pay o~
Tf you have any question please feel free to contact me at 1-800-837-7698 ext 8481
Sincerely, ' /~
Gib
veena A Ward
Estate Specialist
COMMONWEALTH 01- PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDI VIDLIAL TAXES
DEPT. 280601
HARRISBURG, PA 1 ] 1280601
RECEIVED FROM:
THOMAS KEVIN R
179 LONGSTREET DF~IVE
GETTYSBURG,PA 17325
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EXI11-96)
N0. CD 016124
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- role
ESTATE INFORMATION: ssN: zoa-28-oaa~
FILE NUMBER: 211 1 -0988
DECEDENT NAME: Tf•IOMAS SAUNDRA L
DATE OF PAYMENT: 0/15/2012
POSTMARK DATE: 0/14/2012
COUNTY: C~JMBERLAND
DATE OF DEATH: 0~/ 1 7/201 1
101 ~ 53,830.10
TOTAL AMOUNT PAID:
REMARKS: RECEIPT TD ATTY
SEAL
CHECK#109
INITIALS: DMB
RECEIVED BY:
53,830.10
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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