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HomeMy WebLinkAbout09-24-121505610143 REV-1500 Ex (°1.1°' OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE PO 60X.280601 INHERITANCE TAX RETURN 21 12 0793 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 185 32 9578 07 03 2012 Decedent's Last Name BISHOP (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW Date of Birth 04 04 1942 Suffix Decedent's First Name MI RAYMOND C Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 1. Original Return ^ 2. Supplemental Return ^ 4. Limited Estate ~ 4a. Future Interest Compromise (date of death after 12-12-82) 6 Decedent Died Testate ^ ~~ Atta dh Copy Hof Trust)a Living Trust (Attach Copy of Will) ^ 9. Litigation Proceeds Received ^ 10. between P2V31 ~1 a dit (datge5~f death ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes ^ 11.Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number EARL RICHARD ETZWEILER 717 234 5600 First line of address 105 N FRONT STREET Second line of address City or Post Office HARRISBURG State ZIP Code PA 17101 REGISTER Q,EWILLS USE~ONLY `` JJ "=-~ ~ C7 r~ ~~ ~ ~7~` - "~V r" ~ . tV c;:- ~` ~; ~~1 >~ DAT~ILED _ •• r ~~ ~~ ....~ :a _n .., ~'t7 .,,, --r, Correspondent's a-mail address: retzweller@COmCaSt.net Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE~FOR FILING RETURN DATE Jane Bisho ADDRESS 11 Wild Rose Lane, Mechanicsburg, PA 17050 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ~ DATE ~-^~'' ~~z-~~-:r..~. ~~ ~.~.~.~.~~--^~ Earl Richard Etzweiler ` ~ -~/ /~~ ----~C 4 ~'~-`~ .~' ADDRESS 105 N. Front Street, Harrisburg, PA Side 1 L, 1505610143 1505610143 h~ J 1505610243 REV-1500 EX Decedent's Social Security Number Decedent's Name: BIShOp, Raymond C. 185 32 9578 RECAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 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. 11 , 3 0 9. 9 6 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers 8~ Miscellaneous Iona-Probate Property Re uested ate Billin a S 7 32 7 3 0 8 ............ g q ep r (Schedule G) ^ . , . 8. Total Gross Assets (total Lines 1-7) ..................................................................... g, 19 , 637 .2 6 9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 17 , 6 63.5 7 10. Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) .............................. 10. 2 , 8 4 2 . 2 4 11. Total Deductions (total Lines 9 8~ 10) ................................................................... 11. 2 O , 5 0 5.81 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. - 8 6 8 . 5 5 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. -8 68.55 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 15. O . 0 O (a)(1.2) X .00 16. Amount of Line 14 taxable 0 . 0 0 16. O . 0 O at lineal rate X .045 17. Amount of Line 14 taxable 0 . O 0 17. 0 . 0 O at sibling rate X .12 18. Amount of Line 14 taxable O . O 0 18. 0 . 0 0 at collateral rate X .15 19. Tax Due .................................................................................................................. 19. 0 . 0 O 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^ Side 2 1505610243 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: Fife Number 21-12-0793 DECEDENT'S NAME Bishop, Raymond C. STREET ADDRESS 11 Wild Rose Lane CITY Mechanicsburg STATE PA ZI P 17050 Tax Payments and Credits:. 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest 0.00 4, If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5_ If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) Total Credits (A + B) (2) (3) (4) (5) 0.00 0.00 ~.~~ Make Check Pa able 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 :............................................................................... ^ ^x b. retain the right to designate who shall use the property transferred or its income :.................................. ^ ^x c. retain a reversionary interest; or ............................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ............................................................ ^ ^x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................................................................................................... ^ ^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 which 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 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 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 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 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 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)]. A sibling 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-1508 EX+ (6-98) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Bishop, Raymond C. 21-12-0793 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) (If more space is needed, additional pages of the same size) Rev-1510 EX+ (6-98) SCHEDULE G t , ~~ INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER Bishop, Raymond C. 21-12-0793 This schedule must be completed and filed rf the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY THE DATE OF TRANSFER.SATTACNTA CO Y OF THOE DEED FOOREREAL ESTATE. DATE OF DEATH VALUE OF ASSET °i° OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1 Fidelity Investments Rollover IRA #219-204005 with 8,327.30 8,327.30 the beneficiary being the wife, Jane Bishop TOTAL (Also enter on Line 7, Recapitulation) I 8,327.30 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) REV-1151 EX+ (10-06) i ~ r CnMMnNWFAI TH OF PENNSYLVANIA SCHEDULE H FUNERAL EXPENSES & ESTATE OF FILE NUMBER Bishop, Raymond C. 21-12-0793 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A, FUNERAL EXPENSES: See continuation schedule(s) attached B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(sl Commission raid 2. Attorney's Fees Etzweiler & Associates 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Jane Bishop Street Address 11 Wild Rose Lane city Mechanicsburg state PA zio 17050 Relationshio of Claimant to Decedent SpOUSe 16,896.07 500.00 4. Probate Fees 111.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 156.00 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 17,663.57 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Bishop, Raymond C. 21-12-0793 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Blooms by Vickrey, funeral flowers 869.15 2 Malpezzi Funeral Home, funeral expense 12,161.62 3 Rolling Green Cemetery Company, grave marker 1,445.00 4 Visaggio's, funeral dinner 2,420.30 H-A 16,896.07 Other Administrative Costs 5 Cumberland County Legal Journal, advertise estate 75.00 6 Etzweiter 8< Associates, postage, photocopies, notary fees, etc. 25.00 7 Paxton Herald, advertise estate 48.00 8 Register of Wills of Dauphin County, Executrix Oath 9 Register of Wills, Short Certificate 8.00 H-B7 156.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 EX+ (12-08) SCHEDULE 1 j ~ DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Bishop, Raymond C. 21-12-0793 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) REV-1513 EX+ (11-08) t ~ ~° SCHEDULE J COMMNHERTI ANCEOTAXRETURNANIA BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Bishop. Raymond C. 21-12-0793 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$$) Do Not List Trustee s I TAXABLE DISTRIBUTIONS [include outright spousal • distributions, and transfers under Sec. 9116 a 1.2 Andrea Bishop Daughter Automobile 2201 Laguna Str, Apt. 604 owned at time of San Francisco, CA 94115 Decedent's death Jane Bishop Wife 100% of residue 11 Wild Rose Lane of estate after Mechanicsburg, PA 17050 pecuniary bequest of Tota I Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 15 00 cover sheet, as a r o riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER 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) LAST WILL AND TESTAMENT OF RAYMOND C. BISHOP KNOW ALL PERSONS BY THESE PRESENTS, that I, RAYMOND C. BISHOP, presently of 11 Wild Rose Lane, Mechanicsburg, Cumberland County, Pennsylvania, being in good health and of sound and disposing mind and memory, do hereby make, declare and publish this as my Last Will and Testament hereby revoking all Wills and Codicils previously made by me. I declare that I am a married man and that I presently have one child whose name and date of birth are as follows: ANDREA L. BISHOP Born January 9, 1974 All references in this Will to my wife are references to JANE BISHOP. ARTICLE I FUNERAL EXPENSES I direct that all just expenses of my last illness and funeral be paid by my Executrix from my estate as soon after my death as conveniently may be done. 1 ARTICLE II REAL PROPERTY I give, devise and bequeath any and all real property that I own at the time of my death, together with all insurance on such property, to my wife, JANE BISHOP, provided she survives me by thirty (30) days. Should my wife predecease me or fail to survive me by thirty (30) days, then I direct that any and all real property that I own, together with all insurance on said property, be sold and the proceeds added to the residue of my estate. ARTICLE III PERSONALTY A. I give and bequeath all of the items of my household furnishings and tangible personal property identified in the most recently dated separate writing in existence at my death, which is signed by me and describes the items given with reasonable certainty, to the persons specified in that writing. It is to be conclusively presumed that I have left no separate writing if one has not been found by or delivered to my Executrix within thirty (30) days after my death. B. I give all of my household furnishings and tangible personal property not effectively disposed of by any separate writing referred to above nor elsewhere in this Will (whether by omission or because I have left no valid separate writing), to my wife, JANE BISHOP, provided she survives me by thirty (30) days. Should my wife 2 predecease me or fail to survive me by thirty (30) days, I direct that all of my household fiu7lishings and tangible personal property not effectively disposed of by any separate writing be divided among and between my daughter and stepchildren, CHRISTINE A. CATANIA, presently of Lancaster, Pennsylvania, MICHAEL P. CATALANO, and DAVID J. CATALANO, both presently of Mechanicsburg, Pennsylvania, as they are able to agree. Should my daughter and stepchildren be unable to agree on an equitable division of household furnishings and tangible personal property, I direct that everything be sold and the proceeds added to the residue of my estate. ARTICLE ~V AUTOMODILES I give and bequeath any and all automobiles that I owr~ at the time of my death, together with all insurance on such automobiles, to my daughter, ANAREA L. BISHOP, provided she survives me by thirty (30) days. Should my daughter predecease me or fail to survive me by thirty (30) days, my automobiles shall be sold and the proceeds divided equally among and between my daughter's surviving issue. Should my daughter predecease me without issue, the proceeds from the sale of my auton~ohile shall pass to my wife. ARTICLE V RESIDUE I give, devise and bequeath the rest, residue and remainder of my estate, whether real, personal or mixed, of any nature whatsoever and wherever situated, including any lapsed or void legacy, to my wife, JANE BISHOP, provided she survives me by thirty (30) days. Should my wife predecease me or fail to survive me by thirty (30) days, then I give, devise and bequeath the rest, residue and remainder of my estate, in equal shares, to my daughter and stepchildren. Should my daughter or any of my stepchildren predecease me or fail to survive me by thirty (30) days, that beneficiary's share of my estate shall pass, in equal shares, to his or her surviving children. ARTICLE VI EXECUTRIX A. I appoint my wife, JANE BISHOP, as the Executrix of this Will. In the event of her death, resignation, renunciation or inability to act in that capacity, then I appoint my daughter, ANDREA L. BISHOP, in her place and stead. B. No bond or other security shall be required of any Executrix appointed in this Will. C. My Executrix is authorized to sell real and personal property in order to carry out my wishes as outlined above. 4 ARTICLE VII SURVIVAL If any provision of this Will or of any codicil thereto is held to be inoperative, invalid or illegal, it is my intention that all of the remaining provisions thereof shall continue to be fully operative and effective so far as it is possible and reasonable. ARTICLE VIII REVOCATION My wife and I are executing Wills at approximately the same time in which each of us is the primary beneficiary of the Will of the other. These Wills are not executed because of any agreement between my husband and myself. Either Will may be revoked at any time at the sole discretion of the maker thereof. ARTICLE IX PAYMENT OF TAXES All estate taxes, inheritance taxes, transfer taxes and other taxes of a similar nature, together with any interest and penalties thereon, payable by reason of my death and imposed with respect to any property, whether or not disposed of by this Will, shall be paid as soon as practicable out of the residue of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal and caused this, my Last Will and Testament, consisting of eight (8) typewritten pages, including this attestation clause and notary pages, to be executed, declared and published this ~~-~ day of ~ , 2005. -~ i`J Raymo d C. Bishop WITNESSES: _ A , < ti ~ ' ~ Residing at ~1~LC_- ~ ~ ~ ~ ~ I f e ~ + ~ ~='~ Residin at 1~~., ~ 1 ~ / / ~- 6 COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS. I, RAYMOND C. BISHOP, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. 1. . Raymo d C. Bishop Sworn or affirmed to and acknowledged before me, by RAYMOND C. BISHOP, Testator, this 1 ~ +`~ day of ~~ _~~- , 2005 . ~~~-~~~ - Notary Public My Commission Expires: COMMONWEALTH OF PENNSYLVANIA NOTARfAI SEAL MINDY S. GOOpMAN, Notary Public City of Harrisburg, Dauphin County My Commission Expires May 21, 2009 7 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS We ~ ~' ~`Y? 17 ~ ~ • ~ Cr and '` L . r'-~-r~~ ~ ~ ~~ ,the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw RAYMOND C. BISHOP sign and execute the instrument as his Last Will and Testament; that he signed willingly; that he executed it as his free and voluntary act for the purposes therein expressed; and that each of us in hearing and sight of the Testator signed the Will as witnesses and that to the best of our knowledge, the Testator was at the time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. .~ .~. Sworn or affirmed to and acknowledged before me, by ~ ~~ ~ ~ ~ ~ '~~-~-s ~ c. and L, ~~ L- ~~~~~ ~ ~~ ,this I ~-(~-~- day of ~c~-~-^-~- , ~ 005 . -~'_'~°- Notary Public My Commission Expires: COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL M1NDY S. GOODMAN, Notary Public City of Harrisburg, Dauphin County My Commission Expires May 21, 20(?9 2008 Hyundai Elantra SE Sedan 4D Trade In Values -Kelley Blue Book m ~~:~ Trade Evaluator ~s ': Trade in your old vehicle for a new Volkswagen Jetty S. 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Check a car's history before Know your credit score Get pre-approved instantly you buy - before you buy - for an auto loan. Bad credit ok - ', Trade-up to Highest MPG Sedans 2012 Chevrolet Volt ~y ~. ~ ~ MPG: City 95 / Hwy 93 Engine: AC Electric Motor Consumer Rating: 9.4 view this car Read Expert Review 2012 CODA Sedan 2012 Toyota Prius Plug-in r~~~ .~ ~......~.~~ ,~ MPG: City 77 / Hwy 68 MPG: City 87 / Hwy 49 Engine: DC Electric Motor Engine: 4-Cyl, Hybrid, 1.8 Consumer Rating: N/A L Consumer Rating: 9.2 view this car view this car Read Expert Review Read Expert Review compare these vehicles Recently Viewed Cars ~ My Saved Cars save car Page 2 of 3 why ads? http://www.kbb.com/hyundai/elantra/2008-hyundai-elantra/se-sedan-4d/?vehicleid=19729... 8/28/2012 view OL N Q N ~ o C'7 ~ ~ d ~ N ~ O N T 0 ~® ~ W v W ® , ~Z d 0 Z Q O C/) ~d~ U~< ~ Ep OO~ ~- U ~ a Z ~ w W Q 5Z L N C _ ~ o N -~ °~ o w Q~ d ~, ~a`~ w r N m N 7 Jam" J c 0 ~ 'O ~ r =! 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W ~ ~ N ~ T- = u- `~- ?- } ~ ~~ f ~ ~_ ~ U 1- Q~~ C ~ O 'a ~ J J J ~ y --~ v~~ C U~ O~ o 0 0~ ~. ~ t% ti LL ~!? o 0 U LL- Q CL1 U W Q -~ c~ 0 c~ 0 N O T N tf') t~ c~ 0 0 0 N ca 0 N -a _~ _" =Q _~ ~ry -o _. °_ O 0 .DATE REFERENCE ` fTEM AMOUNT _ DEL/SVC TAX '~~~~? 000069370 Funeral Arrangement, Funeral ArranQ TOTAL TOTAL DUE_ Funeral Arrangement cement, $810.00 $9.95 $49.20 $869.15 $869.15 Occasion: Miscellaneous Raymond Bishop G_ ~~ ~~ ~~ ~ ~ ~~~5.~~ ACCOUNT NUMBER 0000000128 CURRENT 30+ DAYS 60+'DAYS 90+ DAYS 120+ DAYS TOTAL'DUE $869.15 $0.00 $0.00 $0.00 $0.00 $869.15 ~~~ I - ,, - ~O-c2~~?/.l 7 7 7~7 02~~ ~~~7 z~ic~Zrer~ `~ "` / Pe 1 ,~1 ~G.- ~ .~ y ~:~.r..r.. ,.... % Malpezzi FuneYal Home 8 Market Plaza Way Mechanicsburg, PA 17055 Jeremy J. Shartzer, FD Juiy 9, 2012 Jane Bishop 11 Wild Rose Lane Mechanicsburg, PA 17050 Michael J. Malpezzi, Owner, FD Kyle C. Knipe, FD This is the final statement for the funeral services of Raymond Carl Bishop We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way. PROFESSIONAL SER~ZCES: (717) 697-4696 www_Malne~~iF»„P.-atu.,,,,,o ,.,,,.... CASH ADVANCES: At the time funeral arrangements were made, we advanced certain payments to others as an accomodation. The following is an accounting of those charges. Certified Death Certificates Newspaper Notices -Patriot (2 days) $150.00 Newspaper Notices -New Castle $610.92 Clergy/Mass Offering $225.70 $150.00 TOTAL CASH ADVANCES AND SPECIAL CHARGES CONTRACT PRICE 51,136.62 $12,161.62 Viewing (Visitation/Wake) Services of Funeral Director/Staff $275'00 $5,475.00 FUNERAL HOME SERVICE CHARGES SELECTED MERCHANDISE: $5,750.00 Casket -Hardwood 12 ga. Galvanized American Valor $3,125.00 Silk Register Package $1,925.00 THE COST OF OUR SERVICES, EQUII'MENT, AND MERCHANDISE $225.00 THAT YOU HAVE SELECTED $11,025.00 TOTAL AMOUNT DUE BY August 4, 2012 512,161.b2 If you have any questions or concerns regarding this bill, please call our office at (717) 697-4696. ~ ~ ~ ~~ ~ r~, ~~~ 1. C~ ~~.e~~ ~~ ~,. ~ m z v ~ ~ m n -~ ~p ~~ ; -....r, - N ~ ~ ~o O m ~ ~ = n ~ O m ~ m .:,y ~ -~. ,: ~j ~_ = r...... ~ o N m m z c v --- = r :~~ ` -~: m ~ n y ~ _ ~ rn O -~ O ~ r„~ ~~r; .; ~~ r-~ `~ ,_ ~ n 2 1 s'' r"i ,~ ~: o ^ a ~:' . ~. ~, ~ Z .., ° ~~ } y m -< m - m f ~~' z ~ _~ O _~ ~, ~ . ~~' ~ _ -~ _ _~ ~~ m ~~~= z ~I~o•5 ~ ~ ~ fl1 0 ' (717) 697-D882 ~ C - r ~ ~ / ~ F t ~`~= = ~t O Teri ID: ©81 Server ID: 2 ~f p: Bgl ~ ~ ~. C tft p: 2 D n rn ~ ~ ~ S~1 ~' ~ m cn z ~ Z ~ cv ~ -~ o m r' ~~~~f1819 ~ m ~ n . ~ ~ ~ ~ m ~ O ~D ~ Entry ~kthod; ' ~~~ g o 9Ti~i 12 ~ ~` m ~ ~ ~ ~ Inv ~: 14;31: i ~ m , .~ m pp~ ~ ~Ilne ~'. ., t7 ~~' X341 o ~ _ t11 '' A.~.~ mount, 6 ~ m •\ '' _ ~ ~ ~_ ~ r1P: ~ 4~~ ~ '_'r ~ m --~' p n p rr- v R~. ~ ~ m v = ~ z ~ m ~ ~: __ -,_- _____ ~ ~ ~ m t Cl15tO~t'r C UAY j~K YOU! ~ ^ ~ ^ ~ `,, ~~.. ~. PLEASE COi~ EIGAIN! r r ~ ~~~ m m ' ~ ~`T Cam. ~~ ~~ ~_. .. ~ ~--- . :~ ~: ~ -_,~-~ ~ _ ~~ ~~. . ,~~ ~~ c ~-_., _._..~--- . ~ ~ °~ .. _ ~: ~. ~-.~" r ~ : .~-- - ~~- Rewards Plus Gold Card AtVIERICAN ~Ress RAYMOND C BISHOP p• 1l1 `~ Closing Date 06/28/12 -------- Account E n d i n New Balance Membershi Re ~~ $2,566.51 As of o6/2a12 P Wards®Points Minimum Payment Due _° $69.01 40,779 Fordetails, p '~ Payment Due Date ~ Iease`seeyour ,• 07/2312 Membership Rewards page; o Late Payment Warning:Your Payment Due Date is 07/23/ Account Summary ° may have: to pay a {ate fee of up to $35.00 and your Pay Over Time APR may be ou Payln Full Portion - increased to the Penalty APR of 27.24 %, Previous Balance o $254.99 Payments/Credits -$254:99 NeW Charges +$18.01 W Fees +$O.OQ Z New Balance - M - $18.01 ; 0 o Minimum Payment Warnin If ou make only the minimum a ment PaY Over Time Portion ~ you wiii pay more in interest a d it will take you longer to a off o each eriod o example: p y y ur balancepFor ~ Previous Balance $781,93 Payments/Credits -$35.00 ° New. Cha rges c If you make no additional You will pay off the Pa Over Fees +$1,782,31 charges and each month you Time balance shown on this And for the Pay Over Time +$0.00 PaY••• balance you will pay an Interest Charged +$19.26 statement in about... New Balance estimated total of... _ $2,54850 Only the Minimum Due $51.00 Minimum Payment Due 10 years $4,624 Account Total $89 3 years $3,193 Previous Balance $1,036.92 (Savings - $1,431) Payments/Credits New Charges $289'99 If you would like information about credit counseling services, call 1-888- +$1,800.32 733-4139. Fees +$0.00 Interest Charged See page 2 for important information about your account. +$19.26 New Balance Minimum Payment Due $2'566.57 See Page 7 for Important Changes to Your Account Terms $6907 Days in Billing Period: 30 Customer Care Pay by Computer americanexpress.com/pbc Customer Care Payby phone 1-SD0-327-2177. 1-800-472-9297 + Please fold on the perforation below, detach and Conf:1ncaed c+n Pegg 3 ~ See page 2 for additional information. return with your payment + ET~WEILER AND ASSaCIA~ES ATTORNEYS-AT-LAW 105 NORTH FRONT STREET HARRISBURG, PA 17101-1436 Office hours: Mon.-Fri. 8:00 a. nt.-~: 00 p.m. Earl Richard Etzweiler, Esquire (717) 234-5600 Christian S. Daghir, Esquire HALIFAX LINE 225 Market Street (717) 896-3737 Fay; Line: (717) 234-5610 Millersburg, PA 17061 Email Address: retzweilerCcomcast.net (717) 692-2519 2 West Main Street Elizabethville, PA 17023 Office hours: Tues. And Fri. 4:00 p.m.-8: DO p. m. Sad 10:00 a. m.-12:00 noon Office hours (717) 362-8395 : Thurs. 7:00 p.m.-9: DO p. m. September 21; 2012 Register of Wills Office Cumberland County Courthouse 1 Courthouse Square, Room 102 ~ '~=' Carlisle, PA 17013 _ ~ ~`~ "~ ~~~ ~ ' - , rn, ~ ~.~~- i -~ ~ -f ... l i Re: Estate of Ra ymond C. Bishop , `=~' _ ~ --~ ' ~`~' ~~~-~ .~- r-~=, ~~=- ~ , No. 21-12-0793 f ..._ ~~' - :,::, Dear Sir or Madam: v-v ~~ 0 ..,.,, T Please find enclosed three fully executed Pennsylvania Inheritan ce Tax Return d two fully executed Inventories to be filed for the Estate of Raymond C s an . Bishop. Please time stamp all copies and return the extra copies to my off ce in the enclos d self-addressed postage prepaid envelope. e Please contact my office if you need anything further in this matter. Sincerely yours, ~--:,_ ~- <_"' Earl Richard Etzweiler ERE:k1p Enclosures G.'i.S?,s.TF-DIF\EST.4;+~c~3isbo~Falm~~nd\ic~~ w-~+ ~~~ ~ o ~ N. ~• ~ ~ ~ ~ ~ ~ x~ ~ o a ~ c, "' ~ ~ ~ v ~ rt N O W ~C, U1 r~ ~ W ~ O O ~ H N o rt ~ ~ o ~ ~y o~ N m -1 N = o ~ z m ~o - r ~-3Dm ~~o~ o ~ n D~~ Z v O ~ ~ ~ ~ Q W N ~ O o ..~ m ;~ •.~. ~, ~. `~ : F ~~ ~~. •~ s ~~ .¢ ~L ' C ~'r-. ~'_-'1 i! ty Z •• ~r.s ~7~ 4r.~ ~_ i,-~ re,~ ~"'~ ~.._ l~ r s ~~ ~~ ~~ ..~._--' oooooa~~:~~ -~ . -..~ o -~ o ~ ~-,, .~ . ~~