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HomeMy WebLinkAbout10-17-12 (3)---~ REV-1500 EX (01-10) ~ 1505610143 OFFICIAL USE ONLY PA Department of Revenue pennsylvania Bureau of Individual Taxes DEPARTMENT OF REVENUE County Code Year File Number PO 60X.280601 INHERITANCE TAX RETURN 2 1 12 0 0 4 8 8 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 142 16 5159 04 07 2012 04 17 1921 Decedent's Last Name Suffix Decedent's First Name MI SHOEMAKER LAURA p~ (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 IN APPROPRIATE OVALS BELOW ® 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ qa Future Interest Compromise 5. Federal Estate Tax Return Re uired (date of death after 12-12-82) ^ Q ® g Decedent Died Testate ^ ~ Decedent Maintained a Living Trust (Attach Copy of Will) (Attach Copy of Trust) 8. Total Number of Safe Deposit Boxes ^ 9. Litigation Proceeds Received ^ 1 p Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113 A between 12-31-91 and 1-1-95) ^ ( ) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number RICHARD E CONNELL ESQ 717 232 8731 First line of address 2303 MARKET STREET Second line of address City or Post Office State ZIP Code CAMP HILL PA 17011 Correspondent's a-mail address: C o n n e l l @ b m C- I a W. n e t REGISTER OF WILLS USE ONLY n ~~~'~ C.~ ~ '`''' :.~ : j ~ ~ ~ ~ C. ~~ ~ ~ ~ ~ ~ - ~ ~ ; ,_ C7 C:: _ "!'s ~ - ~~ ILED - "~ - ,1 ;~-• r~-`..' 1 '~ I, ~.' --- `r .. _ , `, r~ ~ ~ ~ c^7 V114CI NCllaiue5 or penury, I aeclare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is tr ,correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SI RE OF PERSO RESPONSIBLE FO FLING RETURN ~ti~ DATE ~~-~i~„ ~~'~Lisbeth Mary Shoemaker ~~ ~ I ~I ` ~~ ~-- RESS 43~8'Allen Ka~Cam~ Hill, PA 170_11 SIGf~ATURE OF PREPA,~ER O,~HER ~CHAN RF. TaTi DATE Richard E Connell Esq Q al,~ ADDRESS 2303 Market Street, Camp Hill, PA 17011 Side 1 1505610143 1505610143 J 1505610243 REV-1500 EX Decedent's Name: SHOEMAKER , LAURA A . Decedent's Social Security Number 14 2 1 6 515 9 RE CAPITULATION 1. Real Estate (Schedule A) .......................................................................................... 1. 2. Stocks and Bonds (Schedule B) ............................................................................... 2. 1 6 1, 8 7 0 8 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. 51 1 , 9 0 5.31 6. Jointly Owned Property (Schedule F} ^ Separate Billing Requested ............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ............. 7, 2 3, 9 4 7 6 4 8. Total Gross Assets (total Lines 1-7) ....................................................................... 8. 6 9 7, 7 2 3. 7 7 9. Funeral Expenses & Administrative Costs (Schedule H) ......................................... 9. 1 8, 3 6 8 5 0 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10. 1 , 9 1 0 0 0 11. Total Deductions (total Lines 9& 10) ...................................................................... 11 2 0, 2 7 8 5 0 12. Net Value of Estate (Line 8 minus Line 11) ............................................................. 12, 6 7 7 , 4 4 5 2 7 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. 6 7 7 , 4 4 5 2 7 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 at lineal rate x .045 6 7 7, 4 4 5. 2 7 16. 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 1 g. 19. Tax Due ......................................................................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505610243 30,485.04 30,485.04 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 - 12 - 00488 Shoemaker, Laura A. STREET ADDRESS 4308 Allen Road CITY STATE ZIP Camp Hill PA 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 30,485.04 2. Credits/Payments A. Prior Payments 24, 0 0 0.0 0 B. Discount 1, 2 6 3.16 Total Credits (A + B) (2) 2 5, 2 6 3.16 3. Interest (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2 Line 20 to request arefund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) rj ~ 2 2 ~ . $ $ 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 reversionary interest; or ...................... ^ ^ . .......................................................................................... x 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 without receiving adequate consideration? ....................................................................................................................... ^ 0 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)]. • sibengXS definedounder Sectiont9102, as annndiv dual whothasuatleast onde patient n c~olmmon withphe dece7dent whether ba)ki ood oAado tion. Y p SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Shoemaker, Laura A. All property jointly-owned with right of survivorship must be disclosed on Schedule F. FILE NUMBER 21 - 12 - 00488 ITEM NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 Exxon - 120 shares common stock CUSIP 302316102 ($84.02 on 04/05/2012; $84.86 on 04/09/2012); $84.44 84.44 10,132.80 on 04/07/2012 2 Exelon - 3629.78 shares (68 Certificated; 3629.78 Div. Reinvest) $38.40 on 04/07/2012; ($38.54 on 04/05/2012; $38.26 on 04/09/2012) 38.40 139,383.55 3 PSFS CUSIP 718002 10 8 892.34 892.34 4 E-Bonds (Inventory Attached) 8,522.13 5 Hanover Insurance Group Value: 04/05/2012 High $40.8182 Low $40.41 39.20 2,940.00 Average $40.62 Value: 04/07/2012 High $39.959 Low $39.59 Average $39.78 TOTAL (Also enter on line 2, Recapitulation) 161,870.82 SCHEDULE E ' CASH, BANK DEPOSITS, & MISC. COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Shoemaker, Laura A. FILE NUMBER 21 - 12 - 00488 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. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Federated Acct #2125 -Federated Fund U.S. Government Securities, 725.0030 shares @ $7.84/share 5,684.02 ($7.83 on 04/05/2012; $7.85 on 04/09!2012) 2 I Federated Acct #2125 -Federated Municial Securities, 719.1840 shares @ $10.45/share 7,515.47 ($10.42 on 04/05/2012; $10.48 on 04/09/2012) 3 Federated Acct #2125 -Federated Clover Value Fund, 884.7260 shares @ $15.53/share 13,739.79 ($15.64 on 04/05/2012; $15.41 on 04/09/2012) 4 Citizens Bank -Acct #6143274967 8 678 72 5 PNC Laura A. Shoemaker Revocable Trust Agreement 437,093.83 Acct #16-35-035-1007231 (Payable to Estate) 6 I PNC Checking Account #8565094872 I 39,193.48 TOTAL (Also enter on Line 5, Recapitulation) I 511,905.31 COMMONWEALTH OF PENNSYLVANIA SCHEDULE G INHERITANCE TAX RETURN INTER-VIVOS TRANSFERS & RESIDENT DECEDENT MISC. NON-PROBATE PROPERTY ESTATE OF Shoemaker, Laura A. FILE NUMBER 21 - 12 - 00488 ITEM NUMBER 1 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. DESCRIPTION OF PROPERTY % OF Include the name of the transferee, their relationship to decedent DATE OF DEATH EXCLUSION VALUE OF ASSET DECD's TAXABLE VALUE and the date of tr f A ans er. ttach a copy of the deed for real estate. INTEREST (IF APPLICABLE) Sovereign Bank IRA -Acct #5358014941 3,338.93 100% Beneficiaries: Michael Shoemaker, son; Lisbeth Shoemaker, daughter; Laurie Shoemaker, daughter 2 Wells Fargo Acct #7247 Beneficiaries: Michael Shoemaker, son; John Shoemaker, son; Laurie Shoemaker, daughter; Lisbeth Shoemaker, daughter 2,144.19 ~ 100% 3 Beneficial Acct #0501046792, In Trust For: Samantha Shoemaker, granddaughter; Danielle Shoemaker, granddaughter; Ryan Kelly Shoemaker, grandson 4 Beneficial IRA Acct #0910016866 Beneficiaries: Michael Shoemaker, son; John Shoemaker, son; Laurie Shoemaker, daughter; Lisbeth Shoemaker, daughter 5 Alliance Bank IRA Acct #11199019905 Beneficiaries: Laurie Shoemaker, daughter; Lisbeth Shoemaker, daughter 15,374.06 ~ 100% 1,354.95 ~ 100% 1,735.51 ~ 100% 3,338.93 2,144.19 15,374.06 1,354.95 1,735.51 TOTAL (Also enter on line 7, Recapitulation) ~ 23,947.64 S~ SCHEDULE H COMMONWEALTH OF PENNSYLVANfA ~~~ ~"'" ~" ~+~+ INHERITANCE TAX RETURN /~r~Alw'~~~ ~~ RESIDENT DECEDENT /`1LJIr~ 1r ESTATE OF Shoemaker, Laura A. FILE NUMBER 21 - 12 - 00488 Debts of decedent must be reported on Schedule I. ITEM NUMBER FUNERAL EXPENSES: DESCRIPTION AMOUNT A• 1 Funeral Luncheon 500.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Lisbeth Mary Shoemaker Street Address 4308 Allen Road 13, 880.00 City Camp Hill State PA Zip 17011 Year(s) Commission paid 2012 2. Attorney's Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Lisbeth M. Shoemaker 3,500.00 Street Address 4308 Allen Road City Camp Hill State PA zip 17011 Relationship of Claimant to Decedent Daughter 4. Probate Fees Cumberland County Register of Wills 463.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Miscellaneous Costs -postage, stationery 25.00 TOTAL (Also enter on line 9, Recapitulation) 18,368.50 SCHEDULEI ' DEBTS OF DECEDENT, MORTGAGE COMMONWEALTH OF PENNSYLVANIA LIABILITIES, & LIENS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Shoemaker, Laura A. FILE NUMBER 21 - 12 - 00488 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 I Links 2 Care -nursing agency 1,910.00 TOTAL (Also enter on Line 10, Recapitulation) I 1,910.00 REV-1513 EX+(11-08) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Shoemaker, Laura A. NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS[include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2}] 1 Michael Raymond Shoemaker 4915 Azalea Avenue Cleveland, TN 37312 FILE NUMBER 21 - 12 - 00488 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE DECEDENT (Words) (~$$) Do Not List Trustee(s) Son ~ One-Fourth 2 John Charles Shoemaker Son One-Fourth 259 Evergreen Drive Boise, ID 83716 3 Laurie Ann Shoemaker Daughter One-Fourth 124 Park Avenue Phillipsburg, NJ 08865 Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet, as appropriate. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN BENEFICIARIES continued RESIDENT DECEDENT ESTATE OF Shoemaker, Laura A. FILE NUMBER 21 - 12 - 00488 NAME AND ADDRESS OF PERSONS NUMBER () RELATIONSHIP TO DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE RECEIVING PROPERTY Do Not List Trustee(s) (Words) (~$$) I, TAXABLE DISTRIBUTIONS[include outright spousal dlstnbutlons, and transfers under Sec. 9116 (a) (1.2)] 4 Lisbeth Mary Shoemaker Daughter One-Fourth 4308 Allen Road Camp Hill, PA 17011 Page 2 of Schedule J Calculated Value of Your Paper Savings Bond(s) Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 05/2012 Total Price Total Value Total Interest 1 331.25 8 522.13 $7,190.88 Bonds: 1-48 of 48 Page 1 of 2 YTD Interest $0.00 Seriat # 02101902898E 02101810516 E 02085161756E 02072896708E 02080973920E 02080940986E 02072973091E K221057355E Q6259913510E Q6259929951E Q6259897850E Q6259882717E Q6251298744E 'Q6251282642E Q6251267957E Q6242573310E Q6242558587E Q6221593582E Q6220508684E Q6220493811E Q6214594024E Q6214608988E Q6214578777E Q6207853540E Q6207838311E Q6207823172E Q6200617963E Q6200600846E Q6200586903E Q6189102856E Q6189086047E Q6189054609E Q6189070481E Q6174668155E Q6174683221E Q6174698829E Q6159518084E Q6174653271E Q6159488244E 6159503103E Q614833557E 6148418943E 6148402448E Series Denom Issue Next Final Issue Date Accrual Maturity Price E $100 12/1979 12/2009 $75.00 E $10011/1979 E $100 03/1979. E $100.01/1979 E $10012/1978 E $100 10/1978. E $100 08/1978. E $75 02/1980 E $25 07/1978 E $25 07/1978 E $25 .07/1978. E $25 :06/1978 E $25 :05/1978. E $25 05/1978 E $25 04/1978 E $25 04/1978.. E $25 03/1978 E $25 03/1978 E $25 02/1978 E $25 02/1978 E $25 :01/1978 E $25 01/1978: E $25 12/1977 E $25: 12/1977 E $25 12/1977 E $25 11/1977 E $25 11/1977 E $25 10/1977 E $25 10/1977 E $25 09/1977 E $25 09/1977 E $25 08/1977 E $25 08/1977 E $25 07/1977 E $25 07/1977. E $25 07/1977 E $25 06/1977. E $25 06/1977 E $25 05/1977 E $25 05/1977 E $25 04/1977 E $25 04/1977 E $25 04/1977 11/2009 $75.00 03/2009 01/2009.. 12/2008 10/2008 08/2008. 02/2010 07/2008 07/2008 07/2008 06/2008- 05/2008 05/2008 04/2008 04/2008 03/2008 03/2008 02/2008. 02/2008 01/2008 01/2008 12/2007 12/2007 12/2007 11/2007 11/2007 10/2007 10/2007 09/2007 09/2007 08/2007 08/2007 07/2007 07/2007 07/2007 06/2007 06/2007 05/2007 05/2007 04/2007 04/2007 04/2007 Interest Interest Rate $367.48 $367.48 $75.00. $358_.12 $75.00 $358.12 $75.00. $358.08: .$75.00 $352 88 $75.00. $352.88 $56.25 $275.61 $18.75. $88.22 $18.75 $88.22 $18.75 $88.22 $18.75 $88.19 $18.75 $87.92 $18.75 $87.92 $18.75 $89.79 $18.75 $89.79. $18.75 $89.79 $18.75 $89.79 $18.75 $109.70 $18.75 $109.70 $18.75 $109.70 $18.75 $109.70. $18.75 $109.70 $18.75 $109.70 $18.75 $109.70 $18.75 $109.34 $18.75 $109.34. $18.75 $120.92 $18.75 $120.92 $18.75 $120.92 $18.75 $120.92 $18.75 $120.92 $18.75 $120.92 $18.75 $120.92 $18.75 $120.92. $18.75.. $120.92 $18.75 $120.95 $18.75 $120.95 $18.75 $120.65 $18.75 $120.65 $18.75 $119.29 $18.75 $119.29 $18.75 $119.29 Value Notf $442.48 MA $442.48 MA $433.12 MA $433.12 MA $433.08 MA $427.88 MA $427.88 MA $331.86 . MA $106.97 .. MA $106.97 , MA $106.97 MA $106.94 ' MA $10.6.67 MA ~ $106.67 . MA $108.54 MA $108.54. MA $108.54 MA $108.54. MA $128.45 MA $128.45 MA $128.45. MA $128.45 MA $128.45 MA $128.45 MA $128.45. MA $128.09 MA I $128.09. MA $139.67_ MA $139.67. MA $139.67 MA $139.67 MA $139.67 MA I $139.67 MA $139.67 MA $139.67 MA $139.67 MA $139.70 MA $139.70 MA $139.40 MA $139.40 MA $138.04 MA $138.04 MA $138.04 MA http://www.treasurydirect.gov/BC/SBCPrice 5/8/2012 Calculated Value of Your Paper Savings Bond(s) Q6147859133E E $25 03/1977 03/2007 Q6130969302E E $25 02/1977 02/2007 Q6147844133E E $25 02/1977. 02/2007 Q6130952898E E $25 01/1977 01/2007 Q6130939938 E E $25 01/1977 01/2007 Totals for 48 Bonds Notes NI Not Issued NE Not eligible for payment P5 Includes 3 month interest penalty MA Matured and not earnin interest http://www.treasurydirect.gov/BC/SB CPrice Page 2 of 2 $18.75 $119.29 $138.04 MA $18.75 $119.29 $138.04 MA I $18.75 $119.29 $138.04 MA $18.75 $119.29 $138.04 MA $18.75 $119.29 $138.04 MA 1 331.25 $7,190.88 _ $8,522.13 5/8/2012 Laura A. Shoemaker: 142-16-5159 Series E bonds Address on bonds: 11 Fairhaven Rd. Havertown, PA 19083 Or Mr. Raymond Shoemaker 413 -3 0-1950 Value Issue Date Number $25 Jan. 1977 Q613 093 993 8 E Jan. 1977 Q6130952898 E Feb. 1977 Q6147844133 E Feb. 1977 Q613 09693 02 E Mar. 1977 Q6147859133 E Apr. 1977 Q6148402448 E Apr. 1977 Q6148418943 E Apr. 1977 Q6148433557 E May 1977 Q6159503103 E May 1977 Q6159488244 E June 1977 Q6174653271 E Junel977 Q6159518084 E July 1977 Q6174698829 E July 1977 Q6174683221 E July 1977 Q6174668155 E Aug. 1977 Q6189070481 E Aug. 1977 Q6189054609 E Sept. 1977 Q6189086047 E Sept. 1977 Q6189102856 E Oct. 1977 Q6200586903 E Oct. 1977 Q6200600846 E Nov. 1977 Q6200617963 E Nov. 1977 Q6207823172 E Dec. 1977 Q620783 8311 E Dec. 1977 Q6207853540 E Dec. 1977 Q6214578777 E Value Issue Date $25 Number Jan. 1978 621460898 Q 8E Jan. 1978 Q6214594024 E Feb. 1978 Q6220493811 E Feb. 1978 Q6220508684 E Mar. 1978 Q6221593582 E Mar. 1978 Q6242558587 E Apr. 1978 Q6242573310 E Apr. 1978 Q6251267957 E May 1978 Q6251282642 E May 1978 Q625129$744 E Junel978 Q6259882717 E July 1978 Q6259897850 E July 1978 Q6259929951 E July 1978 Q6259913510 E $75 Feb. 1980 K 221057355 E $100 Aug. 1978 C 2072973 091 E Oct. 1978 C 2480940986 E Dec. 1978 C 2080973920 E Jan. 1979 C 2072896708 E March 1979 C 2085161756 E Nov. 1979 C 2101810516 E Dec. 1979 C 2101902898 E