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HomeMy WebLinkAbout01-0058 . R~V.1iiOO ell. 1&D'll *' COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE . DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1500 ;?cJ;:L-t( c /~ INHERITANCE TAX RETURN RESIDENT DECEDENT I- Z UJ Cl UJ <.J UJ Cl DECEDENrs NAME (LAST, FIRST AND MIDDLE INITIAL) BIERER, MARGARET J. DATE OF DEATH MM-OD-YEAR) FILE NUMBER 21 - 01 00 58 COUNTYCOOf DATE OF BIRTH (MM-DD-YEAR) YEAR NUr.lBER SOCIAL SECURITY NUMBER 201 16 - 6745 12/192000 09/0111992 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITlAlJ THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER UJ .... 1:1'"'- - w$o z'60 u." . . ~ t8J 1. Original Return D4.LimiledEslale ~6.0ecedentDiedTeslate'AltachCOPVQfWlII) o 9. Litigatioro Proceeds Received o 2. Supplemental Return D4a, Fulure Interesl Compromise (dill ofdUlh Iflar 12.12-821 07. Decedent Maintained a Living Trusl attach a collYo(TIllSll o 1 O,SpousaJ PovertyCredi! (dallofdlllhbllwllnt2_J1_91 and 1_1_ 95) 03. Remainder Retum (da18ofdlalhpriocto12-1J-82) o 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. Election to t3x under Sec. 9113(A) attach 5eh 00 >- z w o Z Q " . w " " Q o THIS SECTION MUST BE COMPLETED ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO NAME COMPLETE MAILING ADDRESS James D. Flower, Jr., Es . s~fJ1::~~~tF,'fj6wer & Lindsay TELEPHONE NUMBER 717-243-6222 26 West Hi h Street, Car1jsb>; l'A 17013 (1) 0.00 (2) 0.00 - (3) 0.00 (I) 0,00 (5) 128,143.19 (6) 0.00 (7) 0.00 (8) 128,143.19 (9) 20,316.48 (\OJ 11,734.82 0.00 96,0~1.89 0.00 0.00 (11) 32,051.30 (12) 96,091.89 (13) 0.00 (14) 96,091.89 x.o_ (15) 0 x.o~ (16) 4,324.14 x .12 (1~ 0 x .15 (18) 0 (19) 4,324.14 1. Real Estate (Schedule A) 2. Slacks and Sands (Schedule B) 3. Closely Heid Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) z o ~ ~ :J l- e.. -< () w a: 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 12. Net Value of Estate (line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (SChedule J) 6. Jointly Owned Property (Schedule F) Dseparsle Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property ($thedu!e G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule 1) 11, Total Deductions (total Lines 9 & 10) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RA TeS z o f- -< f- :J Cl :! o II X <{ f- 15. Amount of line 14 taxable at \he spousal tax rate,ortransfersunderSec.9116(aJ(1.2) 16. Amount of Line 14 taxable at lineal rate 17. AmolJntottine 14 taxable at sibling rate 18. Amount of line 14 taxable at collateral rate 19. Tax Due 200 CHECK HERE IF YOU ARE REOUESTING A REFUND OF AN OVERPAYMENT > > B SUR TO ANSW R AL au STIONS ON REV RSE SIDE AND ECHECK MATH < < , Decedent's Complete Address: STROETA~R~~~d fW ne on s or ay CITYCrl TSTATE PA I ZIP 17013 at IS e, Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credil B. Prior Payments C. Discount (1) 4,324.14 0.00 4,096.56 227.58 Total Credils 1M B + C ) (2) 4,324.14 3. Interest/Penalty jf applicable D.lnterest E. Penally TolallnleresUPenal1y (D + E ) (3) 0.00 4. If Une 2 is greater than line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 0.00 5. If Line J ... Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A Enter the interest on the tax due, (SA) 0.00 B. Enler the lolal of Line 5 + 5A. This is Ihe BALANCE DUE. (513) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS . Did decedent make a transfer and; Yes a. retain the use or income of the property transferred; - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - B b. retain the right to designate who shall use the property transferred or its income; _ ~ _ . _ ~ _ _ _ _ _ _ _ _ _ _ c. retain a reversionary interest; or_ - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8 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? - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - ~ - - 8 3. Did decedent own an "in trust for"cI1ayabfe 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? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . 0 No 181 ~ 181 181 181 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. SIBLE FOR FILING R RN Undlr plnlltlll of plrjury, I declare tl\l.t lltavl e'umlned tl\is IWlln, inchld\ng accompanying scnedulls and statements, ,nd to till bllt of my knowledgl and belief, i~ is truI, corrie! and eQmpl.te. Oecl."tion of prepartr otllt( tllan tll, p.rS(lnal r.prll.ntativ.ls build on all inlormallon olwhlah preparer has any knowladg.. DATE March 16, 2001 DATE March 16, 2001 For dates of death on or after July 1, 1994 and Before JanU81'f 1, 1995, the tax rate imposed on the net value of transfers to or to the use of the surviving spouse is 3% [72 P.S. S91 I 6 (a) (I. I) (I)J. For dates of death on or atler January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii}J. The statute does not exemot 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 twenty-one 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% [72 RS. ~9116(a)(1.2)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's tineal beneficiaries is 4.5%, except as noted in 72 RS, 99116(1.2) [72 RS. 99116(a)(1)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [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. ""''''';''''''"''* COMMONWEALTH OF PENN5YlVP.NIA INHERITANCE TAX RETURN RESIDENT DECEDENT . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF BIERER, MARGARET J. FilE NUMBER 21-01-0058 Include the proceeds of litigation and the date the proceeds wete received by the estate. All property jointly-owned with the right of survivorship must be disclosed en Schedule F. ITEM NUMBER I. VALUE AT DATE OESCRIPTION OF DEATH Jackson National Life Insurance Company, Beneficiary Access Account No. 935-001856-Z See attached statement $ 45,192.70 2. Inheritance as a beneficiary of the Estate ofJoseph C. Stover 82,950.49 TOTAL (Also enteron line 5. Recapitulation) $ 128,143.19 (If more space IS needed, Insert addItional sheets of the same sIze) "II Jackson National Life Insurance Company~ 1-800-836-6761 BENEFICIARY ACCESS ACCOUNT STATEMENT MARGARET J BIERER 1 LDNGSDORF ~AY RM 114B CARLISLE, PA 17013 PAGE 1 DECEMBER 30, 2000 935 001B56 2 177 74B5 935 001856 2 CHECKING SUMMARy............................ 12-01-00 THROUGH DAILY BALANCE SUMMARY J2lli ~ 12-30 INTEREST PA ENDING BALAN LO~ BALANCE (12-01-2000 INTEREST PAID THIS YEAR ECKS----- ---WITHDRAWALS-- ~, ~~T, HlL AgQUNT , ,,0 (J . 00 12-30-00 ENDING 45~~~~~~A PREVIOUS ----DEPOSITS---- !AL~~~ ND" A~~UN~ HlL 5, .70 -,- 2 .8 ---0 ":/'iF<' CURRENT INTEREST RATE WITHDRAWALS BALANCE 45,192.70 .88 45,395.58 45,395.58 45,199.46 PERCENTAGE YIELD EARNED 5.60 I.JMSER'?DF DAYS IN INTEREST PERIOD 30 THIS 202.88 Insuring your financial future. FPS - 8177 'EV~""''''''I\''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF BIERER, MARGARET J. FilE NUMBER 21-01-0058 Debts of decedent must be reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: I. Gibson-Hollinger Funeral Home, Funeral $ 7,242.00 B. ADMINISTRATIVE COSTS: I. Personal Representative s Commissions Name of Personal Representative (s) Beverly C. Greenwa]d 6,407.]6 Social Security Number(s) I EIN Number of Personal Representative(s) Street Address 506 Dar]a Road CHy Mechanicsburg Slale PA Zip 17055 Year(s) Commission Paid: Z. Attomey Fees !Saidis, Shuff, Flower & Lindsay I 6,]25.73 3. Family Exemption: (if decedents address is not the same as claimant 5, attach explanalion) Claimant nla SlreetAddress City Slate Zip Relationship afClaimant to Decedelll 4. Probate Fees 5. Accountant s Fees 6. Tax Return Preparers Fees Register of Wills, Letters Testamentary 261.00 7. Cumberland Law Journa~ advertising Estate Notice 75.00 The Sentine~ advertising Estate Norice 90.59 Inheritance Tax Return Filing Fee 15.00 Allowance for closing costs ]00.00 TOTAL (Also enter on line 9, Recapitulation) I 20,3 ]6.48 (If more space IS needed, insert additional sheets of the same size) "..""".,,.,,"". COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF BIERER, MARGARET J. FilE NUMBER 21-01-0058 Include unreimbursed medical expenses. ITEM NUMBER I. DESCRIPTION Cumberland Crossings Retirement Community, Account AMOUNT $ 4,867.98 6,057.97 2. Cumberland Crossings Retirement Community, Account 3. Carlisle Hospital, Account 808.87 TOTAL (Also enter on line 10, Recapitulation) s 11,734.82 (If more space is needed, insert additional sheets of the same size) ",."",,.,...,""*' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESlOENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF BIERER, MARGARET J. FILE NUMBER 21-01-0058 RELATIONSHIP TO DECEDENT AMDUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS (include oulrt9M spousal distrtbutions) I Theodore E. LaDane Son 1/2 of residuary estate 506 DarIa Road Mechanicsburg, P A 17055 Paulette K. Martin Daughter V2 of residuary estate 2245 South East l75th Terrace Road Silver Springs, Florida 34488 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABDVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON- TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE I. Ilia B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. Ilia TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET I (if more space is needed, insert additional sheets of the same size) REV.l5<JO E~ 1&DO) '* COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 J {p -ol.O~ '-f c .- REV-1500 SUPPLEMENTAL INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 - 01 00 58 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST AND MIDDLE INITIAL) I- Z W o W () W o BIERER, MARGARET J. DATE OF DEATH MM--DD--YEAR) SOCIAL SECURITY NUM8ER 201 16 - 6745 DATE OF 81RTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 12/192000 09/01/1992 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER W I- (f~- w-u I~O e>"" .0 . < ~1.0riginaIRetum D4.LimitedEstate I:8J 6, Decedent Died Testate IAllath copy ofWillj D9,LitigationproceedsReceived 02. Supplemental Return 04a.FuturelnterestComprOmiSe(d3Ieofdeafh3ner12.12.82l 07,DecedentMaintainedaLiVingTrustattach.cDPyofTru,t) 010.SpousaIPovertYCredil(dateofde3Ihbelween12.31.91and1.1.951 o 3. Remainder Return Idate of death prior to 12.13.821 o S. Federal Estate Tax Return Required 8. Total Number 01 Sale Deposit Boxes o 11,ElecliontotaxunderSec.9113(A)attachs'hoO " z w o z o . w w " " o u THIS SECTION MUST BE COMPLETED ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO NAME COMPLETE MAILING ADDRESS James D. Flower, Jr., Esq. F1~M NAME '" ",,,,-,,,.J Saldis, Shun, 1'lower & Lindsay TELEPHONE NUMBER 717-243-6222 26 West High Street, Carlisle, PA 17013 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (I) 0.00 (2) 0.00 (3) 0.00 (') 0.00 (5) 5,157.77 (6) 0.00 (7) 0.00 (8) 5,157.77 (9) 15.00 (10) 0.00 4. Mortgages & Notes Receivable (Schedule D) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 5, Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) z o f= ~ :J l- e.. <( () w !l: 6. Jointly Owned Property (Schedule F) o Separate Billing Requested Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G orL) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10, Debts of Decedent, Mortgage Liabilities, & Liens (Schedule 1) 11. Total Deductions (total Lines 9 & 10) 12, Net Value of Estate (Line 8 minus Line 11) 0.00 5,142.77 0.00 0.00 (11) 15.00 (12) 5,142.77 (13) 0.00 (14) 5,142.77 x.o_ (IS) 0.00 X.o 45 (16) 231.42 x 12 (17) 0.00 x,15 (18) 0.00 (19) 231.42 13. Charitable and Governmental Bequests/Sec 9113 Trusts lor which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLiCA.BLE RATES z o f- <( f- :J e.. ::; o () >< <( f- 15,AmountofLine 14 taxable allhe spousal tax rate, ortranslers underSec, 9116 (a)(1,2) 16. Amount 01 line 14 taxable at lineal rate 17. Amount 01 Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 200 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: STROETA~RESS d fW ne ongs or ay CITY . I STATE PA I ZIP 17013 CarlIsle, Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit S, Prior Payments C, Discount (1) 231.42 Tolal Credits (A' B , C ) (Z) 3. Interest/Penalty if applicable D.lnlerest E. Penalty TotallnlerestlPenalty (D' E) (3) 0.00 4 If Line 2 is greater Ihan Line 1 + Line 3, enter the difference, This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 0.00 5. If Line I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 231.42 A. Enter the interest on the tax due, (SA) 0.00 B. Enter the total of Line S' SA. This is the BALANCE DUE. (513) 231.42 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS . Old decedent make a transfer and: a. retain the use or income of the properly transferred; ~ _ _ _ _ _ _ _ b. retain the right to designate who shall use the property transferred or its income; _ _ _ c. retain a reversionary interest; or_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 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 3. D:t::~~;:~;V~:;na~~~~~t:r~~tnf~~~;;:nb;; ~p~; d;ath- ba;k ;c~~un; ~rs;~u;it;'a; hi; ~rh;~ de;tj,? = 8 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ . 0 Yes ----------------------- 0 -------- 0 B No ~ ~ ~ ~ ~ ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Und.r p.nalties of p.rjllry, I declar.thatl have .xamin.d this r.tllrn, inC:!lldingllc:c:ompllnying Sc:hedllles and statements, end to the b.st 01 my knowl.dg' and belief, it is trll', c:orrect and complete. Dec:larationolp"pllr.roth.rthanth.personlllr.presentatlveisbas.don all Information of which prepllr.r has any knowl.dll', ,2001 DATE Au ust;?g' ,2001 DRESS 6 West Hi h Street, Carlisle, P A 1701 For dales of death on or after July 1, 1994 and Before January 1, 1995, the tax rate imposed on the net value of transfers to orto the use of the surviving spouse is 3% [7Z P.S. 19116 (a) (1.1) (III. 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% [72 P.S. 99116 (a) (1.1) (ii)l. The statute does not exemot 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 twenty-one 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% [72 RS. 99116(a)(1.2)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 RS. 99116(1.2) [72 RS. 99116(a)(1)J. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(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''''''''''''''''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF BIERER, MARGARET J. FILE NUMBER 21-01-0058 Include the proceeds of litigation and the dale the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F ITEM NUMBER I DESCRIPTION Under estimated Inheritance as a beneficiary of the Estate of Joseph C. Stover, now received VALUE AT DATE OF DEATH $ 5,157.77 TOTAL (Also enter on line 5, Recapitulation) $ 5,157.77 (If more space is needed, insert additional sheets of the same size) e,,,,,,,,.,,.,,,,,,. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF BIERER, MARGARET J. FILE NUMBER 21-01-0058 Debts of decedent must be reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 $ B ADMINISTRATIVE COSTS I Personal Representative s Commissions Name of Personal Representative (5) Social Security Number(s) I EIN Number of Personal Representalive(s) Street Address City Slale Zip Year(s) Commission Paid 2. Attorney Fees I I 3. Family Exemption: (if decedents address is not the same as claimanls, attach explanation) Claimant n/a SlreelAddress City Slale Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant s Fees 6. Tax Return Preparers Fees Supplemental Inheritance Tax Return Filing Fee 15.00 7 TOTAL (Also enler on line 9, Recapitulation) $ 15.00 (If more space is needed, insert additional sheets of the same size) ""''''''''''''"''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 Theodore E. LaDane Son 1/2 of residuary estate 506 Daria Road ~echanicsburg,PJ\ 17055 Paulette K. Martin Daughter 1/2 of residuary estate 2245 South East 175th Terrace Road Silver Springs, Florida 34488 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET 11. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1 n/a B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS I n/a TOTAL OF PART 11 - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ BIERER, MARGARET J. FILE NUMBER 21-01-0058 (if more space is needed, insert additional sheets of the same size) Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/10/2004 FLOWER JAMES D JR 26 WEST HIGH STREET CARLISLE, PA 17013 RE: Estate of BIERER MARGARET J File Number: 2001-00058 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6 12) in the above captioned estate. ' As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 12/19/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRAS~UGH REGISTER OF WILLS cc: File Personal Representative(s) Judge Date of Death: Will No.: Admin. No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: I. State whether administration of the estate is complete: SoE] 2. If the answer is No, state when the personal representative reasonably believes that the administration will be comPlete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes _ No [] b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal r_~presentative state an account informally to the parties in interest? Yes ~ No ['-I c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. CD cz> ~ ~.-J I U,J '=, Address Telephone No. Capacity: [-'] Personal Representative [~6-unsel for personal representative #. Estate of Margaret J. Bierer also kno wn as PETITION FOR PROBATE and GRANT OF LETTERS al-Ol-. 005~ No. To: Register of Wills for the I Deceased. County of Cumberland in the Social Security No. 201-16-6745 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executrix in the last will of the above decedent, dated July 31, 2000 and codicil(s) dated named , 19_ (state relevant circumstances, e.g. renunciation, death of executor, etc.) . Decendent was domiciled at death in Carlisle, Cumberland County, Pennsylvania, with her last family or principal residence at Cumberland Crossmgs, One LongsdorlWay, Carlisle, Pennsylvania 17013 (list street, number and muncipality) Decendent then 76 years of ~~e died December 19,2000 , 19 at Cumberland Crossings, One Longsdorf W ay, Carlisle, PennsylvanIa 17013 Except as follows, decedent did not marry, was not <;livorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Oecendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (I f not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ $ $ $ IJ...J.O.>C>DO WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary I (testamentary; administration c.La.; administration d.b.n.c.t.a.) theron. V'. (.) 'J s::: 'U ~2 CJ ~ c:::~ -g.g (OJ';:: <:.> ~c.. E~ :3 ...., ~ OJ) (;) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF Cum~erland J The petitioner(s) above-narned swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the est ccording to law. c" ~. ::s t;) ~ ~ ~ No. ~I ~ D I ~ 07J5 ,~. Estate of Margaret J. Bierer , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW January 12- 192001 ,in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) datedJuly 31, 2000 described therein be admitted to probate and filed of record as the last will of Margaret 1. Bierer and Letters Testamentary are hereby granted to Beverly C. Greenwald ~~C,~(~{jJ Register of Wills ~ FEES $ '~35tOU Probate, Letters, Etc. ......... Sho~t~~,cates( 3) . . .. . .. ... $ q CD ~nuli'c'iat1on ................ $ I d. .00 JCP $ 6 - 00 TOTAL _ $ ;{LYl.CO Filed ...l:-. 1 J .~ ~C;..:~?.l. . . . . . . . . . . . . . . . . ~f\ LL ATT'-f . James D. Flower, Jr., Esquire #27742 ATIORNEY (Sup. Ct. LD. No.) 26 West High Street, Carlisle, FA 17013 ADDRESS 717 -243-6222 PHONE H10'5.80'5 REV 9/86 This is to .certify that t~e. inform~tion he~e given is correctly copied from an original certificate of death duly filed with lne as Local RegIstrar. The ongInal certificate wtll be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. Date Li- t:\. ~tu-~~ Local Registrar Fee for this certificate, $2.00 p 6960256 DEe 1 9 2000 Hl0S. ;~R"" 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH 'It " AGE (Las! Blflh<lav) SE~- STAlE ~'\.E NUMlIER SOCIAL SECURITY NUMBER DATE OF DEATH ,Me""'. o..~. ''eo'" I /lfT 'I( NA....E OF DECEDENT IFtrSl. MIddle. '-HI B-i.elLelL UNDER I 0/11( HoIn Minot.. 2. Fema-fe :I. 207 -76 -6745 ~E OF DEATH ICl>eck Of'IV ON! -- __ ,nsl,ucloOflS on OIN!' _t HOSPllAL: - 1~lient 0 ER/OuIpa".nt 0 ... (II 1\01 InS1'lull()(1. O'lie SIIeeI and nomllell .. 1- - l C) - 0 0 S. COUNTY OF DER"H 76 Yrs ~::"vIO ~l ..... CumbelL-fand DECEDENT'S USUAL OCCUMION \G....1urId 01 *O(k dOne during most of work'ng Nle; dO noc use /eI1red ) . "a. C-felLk. "b. Caf.l-i.Vlo DECEDENT'S MAILING AOORESS (Sf,..., C"VrlOwn. SIale. ZII) Code' DECEDENT'S ACTUAL RESIDENCE (See InSl/ucllons on OIt\e/ SIde) Ie. 17b. Coon CumbelL-fand Did dacedenl tiYe on a loownahip? 17d.o ::=~Ol !.lOTHER'S NA....E IF. 51. Middle. Malden $u/name) MARITAL STATUS. .....,.,.., Na_ Man"",, W~, Dr.orced (Specify) ,.. V-i.voJc.c.ed 15. 17C.~ ...... CItC_Md in South M-i.dd.f.eton ~. 12. , 7a. Slala 7 Long.6dolLn Way 1~ CaJc.-f-i..6-fe, PA 77073 cltVlbon>. FIil'HER'S NAME (FI/SI. M><ldIe. laSl) 1.. INFOR.......NT"S NA~E (Type/P""'l 2011. Ted LeVane IloI€THOO OF DISPOSITION Syrial ~ C,emallOn 0 fIetnc7qj "om $tala 0 OIMf (Spec"V\ a.~!!''-H LtA of e.Soe7 },7/", If )l<..~ OllE 10 lOA AS A CONSEOUENCE OF): DESIGN 23b. t.. 1\( 3 t./ r..( } [PO ::. Da/;~ I ~ -0 (7 WAS CASE REFERRED TO ::OOL EXAMINERlCOAONER? No ~ 21. ,ApptOximate PART II: 0I11e/ signilic:ant c:ondiIions concributing 10 deelh. bill : inreNal belween nocfHulIin9 in the ~ _ gN<<I in p,.Af , : 0_ and deatfl : I : WERE AUTOPSY FINDINGS A\lAILA8l.E PRIOR 10 COMPl.ETION OF CAUSE OF OEJiI"H1 DUE 10 (OA AS A CONSEOUENCE OF): DUE 1U\OA AS A CONSEOUENCE OF): Suicide 0" o o DATE OF INJURY (Man"'. o..v. Yelt) TIME OF INJURY INJURY AT WOf\K? DESCRIBE HOW INJURY OCCURREO. "'MillER OF DEATH Ac:Ctlle " Pend'ngln""s'i9ation o o o ~CE OF INJURY. AI home. ta'~~;e.1. 'aClO<y, ollica 1.1, building, e,c. ISpec~vl :lOll, v. 0 NoD Nal"'~. Hom'<:ide Yes 0 NoD Could nor be delorm.ned :lIb. LICENSE NUMBER DATE SIGNED IMonlf'. Day. Vea') 31c. ~34gStE :lId. Dz<.. /1 ZgVt) ~~~E2~~~Y~~~~~~IOF O~s~~do A~POr;~ 7A~~EATH 3C 3AJ, &/hn;.~/-L. .A-v~ . . o 32. r"J"; '. J.-l,,/ I 't' ~/,r':n 77 p /~ ./ 7"?' &<- 5 DATE FILED (Month Day Yea" 3OC. 2te. 21b. CERTII'IER [C~eck orny one. 'CERTIFYING PHYSICIAN IPhYSlCoan c....,,'V'''9 cause ot death wnlll' anoll'e, Dh~s>c,an has plonovncea deall' ana comlJlelea Item 23) To _ beal 0' my know_ge. de.'" OCCUlTed due 10 th. cau.e(ll""d manner.. .Ia'ed. 29. 'P~OUNC1NG ANO CER11FY1NG PHYSICIAN (F'hvsoc",n tlol~ ;>.::>n,Junc,"9 oealtl and Cer1lfy'ng.o cause of deatl'\ To 1M be-ol 01 my kl'Ow''''Il'', d....III OCC'utred aIIMII",e. dale, and place. and dU.IO Ihe cause(lland mann./.. Ilaled. 'MEDIC...L EX.....IHER/COAONEFI On Ihe baai. of a.amin.llon and/or inveslIg..'ion, in mv op,nion, dealh occurred at the lime. dale, and place, and due 10 the cause(s) and "'ann., a. slaleel.. , , . . . . . . . . . . . , . . . . . . . . . . . . . . . .. .. ...,........,.,.".... . . . . . . . . .. .............,... '......, "a. REGISTRARS SIGN"TURE AND NU ~. ~~~~~ ~ I Id.!. \ ,0 I 3". -])ec~ (~ dOaD , ~ ~ t WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 '. . . .- LAST WILL AND TESTAMENT I, MARGARET J. BIERER, of the Borough of Mount Holly Springs, County of Cumberland, Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at anytime heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my personal representative or representatives, hereinafte;r na~ed, as soon as conveniently may be done after my decease. I further authorize my personal representative to expend funds from my Estate in such amounts as my personal representative shall consider appropriate, for the disposition and memorial of my remains. - SECOND. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath unto my children, THEODORE E. LeDANE and PAULETTE K. MARTIN, in equal shares. If either of them should fail to survive me, I give, devise and bequeath the entire said residue of my Estate unto the one of them who shall survive me. Ifboth of them should fail to survive me, I give, devise and bequeath the said residue of my Estate unto my niece, BEVERLY C. GREENWALD, if she survives me. ~ 1 ~ ~ '. .. .' , THIRD. For the purposes of this my Last Will and Testament, a person shall not be deemed to have survived me unless he or she shall have survived me by more than ninety (90) days. FO UR TH. I order and direct that any estate, inheritance or similar tax due as a result of my death with respect to any property passing as a result of my death, shall be paid from the residue of my Estate before its division into shares and prior to distribution as an expense of administration and that no part of the taxes should be prorated or apportioned among the persons or beneficiaries receiving the taxable property. It is my express intention that all inheritance taxes imposed as a result of my death be paid from the residue of my Estate whether or not the property passes under my Last Will and Testament. My personal representative shall have full power and authority to pay, compromise or settle any such taxes at anytime whether with respect to present or future interests. FIFTH. Any and all decisions, determinations or actions made or taken by a personal representative hereunder, ifmade in good faith, shall be final and conclusive on all p_ersons who are or may become interested in my Estate. No fiduciary acting under this my Last Will and Testament shall be liable for any error in judgment or for any depreciation or reduction in value of any Estate or Trust assets at anytime, in the absence of willful default. LASTLY. I nominate, constitute and appoint my niece, BEVERLY C. WAYNE F. SHADE Attorney at Law GREENWALD, to be the Executrix of this my Last Will, and Testament, but if, for any 53 West Pomfret Street Carlisle, Pennsylvania 1 70 13 -2- WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 '. .( " reason, she should fail to qualify as such Executrix or decline or cease so to serve, I nominate, constitute and appoint my son, THEODORE E. LeDANE, and my daughter, PAULETTE K. MARTIN, to be the successive alternate personal representatives hereof, all to serve without bond. I further specifically authorize a fee for my personal representative in the amount of five (5%) percent of the probate assets of my Estate or Five-Thousand and No/IOO ($5,000.00) Dollars whichever is greater. IN WITNESS WHEREOF, I, MARGARET J. BIERER, have hereunto set my hand and seal to this my Last Will and Testament which consists of five (5) typewritten pages to each of which I have affixed my signature, this 31 s t day of July , A.D. Two Thousand (2000). ~~~~~) Margar . Bierer The preceding instrument, consisting of this and four (4) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by MARGARET J. BIERER, the Testatrix therein named, as her Last Will and Testament, in the presence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. t!/~ ~ ~#~ -3- WAYNEF. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 "0 .: Acknowledgment COMMONWEAL TH OF PENNSYL VANIA ) ) SS: COUNTY OF CUMBERLAND ) I, MARGARET J. BIERER, the person whose name is signed to the 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 and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by MARGARET J. BIERER, this 318 t day of July , 2000. 7JJ~~ g~JLJ Margar . Bierer (/ ~ ~'?~ Notary Pub c Notarial Seal Connie J. Tritt, Notary Public Carlisle, Cumberland County ! My Commission Expires Oct. 5. 2000 Affidavit COMMONWEAL TH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) We, Wayne F. Shade and Helen H. Shade , the witnesses whose names are signed hereto, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; and that, to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. -4- ~ ~ ~ ~ ~ WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania I 70 13 ~.. Sworn to or affirmed and subscribed to before me by Wayne F. Shade and Helen H. Shade 31st day of July , 2000. , witnesses, this ~~~ ~ I!-~~~ ~ ~~ Notary PU~ Notarial Seal Connie J. Tritt. Notary Public Carlisle, Cumberland County My Commission Expires Oct. 5, 2000, -5- .- 0~ ~ __ ~ 1- STATUS REPORT UNDER RULE 6.12 Name of Decedent: !!1a-;:,~. . _. ,j Date of Death: I ol.-.:..J~ 6J .{./ U-'L, Will No. Admin. No .J()-tJ I-I) O~~-'?r Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes No K 2. If the answer is No, state when the personal representative reasonab y believes that the administration will be complete: --. '0 3 . r to No. 1 is Yes, state the following: If a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: 1- t- [)? .. M ~ ~ ~ l c, .\ \ to C~{ r;17)~ el. No. )~Vl. type or print) ~61-~~{c jI 'If - 6 ~-~;). \ . \.1' d6 ~) ) Address Capacity: Personal Representative L- Counsel for personal representative (MAH:rmf/AM3) Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 .. Date: 11/05/2002 BEVERLY C GREENWALD 506 DARLA ROAD MECHANICSBURG, PA 17055 RE: Estate of BIERER MARGARET J File Number: 2001-00058 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 12/19/2002 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, D~ In tJtb--1 d MARY C. LEWIS REGISTER OF WILLS cc: JFile Counsel Judge ,~ ~I ~\J- ~O~ f'" ~ ~ 01 i ^\\{ . ~1 N"'; Ul .... "'- \~, \/ \) JRD/June 30, 1992/17858 ,.JAN 0 7 2Q03~ Estate No.: 21-2001-0058 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA In Re: Estate of Margaret J. Bierer Late of South Middleton Township NO. 21-2001-0058 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Counsel for Personal Representative: James D. Flower, Jr., Esquire Date of Decedent's Death: 12-19-2000 Date of Delinquency Notice: 11-05-2002 The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Register of Wills on 11-05, 2002, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be inlposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 01-07-2003 Distribution: Personal Representative Counsel for Personal Representative Estate File 31'( ~" ) 9, \ 3 (/ /J..H1., A hearing is scheduled for at in Courtroom No.3. If the Status Report is filed prior to the hearing date, the hearing will automatically be cance e:- CERTIFICATION OF NOTICE UNDER RULE 5.6@l Name of Decedent: MARGARET J. BIERER Date of Death: December 19, 2000 Estate No.: 21-01 - 0058 To the Register: I certify that notice of the beneficial interest estate administration required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on February 1,2001. Name Address Paulette K. Martin 506 Daria Road Mechanicsburg, PA 17013 2245 South East 175th Terrace Road Silver Springs, Florida 34488 Theodore E. LaDane Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: February , 2001 Name Address James D. Flower, Jr. 26 West High Street Carlisle, PA 17013 -.. i Telephone (717) 243-6222 Capacity: _ Personal Representative ~ Counsel for Personal Representative 04-23-2001 BIERER 12-19-2000 21 01-0058 CUMBERLAND 101 ~T9 jiHad MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-v=i547-ixAFP--fi'2-':ool--NOy-iCi--oF-i:1iHEifiTAifcE-TAi-]rpPR]rfsEiiENT~--Ai.ioWAifcE-irR----------------- DISALLO~ANCE O~ DEDUCTIONS ANn ASSESSMENT OF TAX MARGARET J FILE NO. 21 01-0058 ACN 101 ""I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JAMES D FLOWER SAIDIS ETAL 26 W HIGH ST CARLISLE DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN PA 17013 ESTATE OF BIERER , ~' * REV-1S'7 EX AFP (12-DO> MARGARET J CHANGED DATE 04-23-2001 IT an assessment was issued previOUSly, lines 14, 15 and/or 16, 17, 18 and lQ will reTlect Tigures that include the total oT ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: TAX RETURN WAS: (X) ACCEPTED AS FILED ,( RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedul~ B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule f) 7. Transfers (Schedule G) 8. Total Assets .00 .00 .00 .00 128,143.19 .00 .00 (8) (1) (2) (3) (4) (5) (6) (7) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule Il 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected- 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 20,316.48 11,734.82 (11) (12) -dU-U3)- (14) NOTE: NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax paYllent. 128,143.19 32.051 30 96,091.89 .00 96,091.89 (15) (16) (17) (18) .00 X 00 = .00 96,091.89 X 045 = 4,324.14 .00 X 12 = .00 .00 X 15 = .00 (19)= 4,324.14 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-16-2001 AA478165 215.61 4,096.56 PAYMENT MUST BE MADE BY 09-19-2001*. TOTAL TAX CREDIT 4,312.17 BALANCE OF TAX DUE 11.97 -- INTEREST AND PEN. .00 TOTAL DUE 11.97 * If PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT'. (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) 16'--,dtJd ~ 1 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JAMES D FLOWER JR ESQ SAIDIS ETAL 26 W HIGH ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 10-08-2001 BIERER 12-19-2000 21 01-0058 CUMBERLAND 101 <.;1- oM. /0~ REV-1547 EX AFP (lZ~OO) MARGARET J Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-Y =iS4j-iif-AFP-fi'2-:offi-Noi"-ici-OF-'rtiHiifiTANci-i"-AX-A-PPRA-isiMENY-,--ALi-oWANCi-oi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BIERER MARGARET J FILE NO. 21 01-0058 ACN 101 DATE 10-08-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (IS) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 101,234.66 X 045 = 4,555.56 .00 X 12 = .00 .00 X 15 = .00 (19)= 4,555.56 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) s. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets NO. 01 RETURN (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 5,157.77 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 15.00 .00 (11) (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 5,157.77 15 00 5,142.77 .00 101,234.66 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-16-2001 AA478165 215.61 4,096.56 05-02-2001 AA496543 .00 11.97 INTEREST IS CHARGED THROUGH 10-23-2001 TOTAL TAX CREDIT 4,324.14 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 231.42 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1.94 TOTAL DUE 233.36 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE '* ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1547 EX AFP Cl2-0') JAMES D FLOWER JR ESQ SAIDIS ETAL 26 W HIGH ST CARLISLE PA 17013 DATE ESTATE OF DA TE OF DEATH FILE NUMBER COUNTY ACN 10-08-2001 BIERER 12-19-2000 21 01-0058 CUMBERLAND 101 MARGARET J Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-y=is"4-j-e:X--AFP--fi"2-':ooi--NoTIce:--OF-.rNHEifiTAifcE-TAX-A-PPRA-isEiiENT-:--AL'rOWAifci-cfR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BIERER MARGARET J FILE NO. 21 01-0058 ACN 101 DATE 10-08-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED ESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE PPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN 1. Real Estate (Schedule A) (1) 2. stocks and Bonds (Schedule B) (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. Mortgages/Notes Receivable (Schedule D) (4) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfers (Schedule G) (7) 8. Total Assets NO. 01 .00 .00 .00 .00 5,157.77 .00 .00 (8) NOTE: To insure proper credit to your account, subllit the upper portion of this form with your tax payment. 5,157.77 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ad... Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage liabilities/liens (Schedule Il (10) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 15.00 .00 (11) (12) (13) (14) Iii 00 5,142.77 .00 101,234.66 NOTE: IT an assessment was issued previously, lines reTlect Tigures that include the total aT ALL ASSESSMENT OF TAX: 15. Allount of line 14 at Spousal rate (15) 16. Allount of line 14 taxable at lineal/Class A rate (16) 17. Amount of line 14 at Sibling rate (17) 18. Amount of line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: 14, lS and/or 1&, 17, 18 anc 19 will returns assessed to date. .00 x 00 = 101" 234.66 x 045 = .00 x 12 = .00 x 15 = (19)= .00 4,555.56 .00 .00 4,555.56 ~ PAYHENT RECEIPl DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-16-2001 AA478165 215.61 4,,096.56 3 05-02-2001 AA496543 .00 11.97 I INTEREST IS CHARGED THROUGH 10-23-2001 TOTAL TAX CREDIT 4,324.14 I AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 231.42/ REVERSE SIDE OF THIS FORM INTEREST AND PEN. 1.94 TOTAL DUE 233.36 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS lESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) , QQMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV~ 1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT FLOWER JAMES 0 JR 26 WEST HIGH STREET CARLISLE, PA 17013 ~------- fold ESTATE INFORMATION: SSN: 201-16-6745 FILE NUMBER: 21-2001- 0058 DECEDENT NAME: BIERER MARGARET J DATE OF PAYMENT: 08/29/2001 POSTMARK DATE: 0010010000 COUNTY: CUMBERLAND DATE OF DEATH: 12/19/2000 NO. CD 000211 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $231 .42 I I I I I I I I TOTAL AMOUNT PAID: $231.42 REMARKS: BEVERLY GREENWELD CIO JAMES 0 FLOWER JR CHECK#10 SEAL INITIALS: PB RECEIVED BY: TAXPAYER MARY C. LEWIS REGISTER OF WILLS 4-02002-Y BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT '* REV-16D7 EX AFP Cl2-00) JAMES D FLOWER JR ESQ SAIDIS ETAL 26 W HIGH ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 10-15-2001 BIERER 12-19-2000 21 01-0058 CUMBERLAND 101 MARGARET J Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLEI PA 17013 NOTE: To insure proper credit to your accountl subllit the upper portion of this form with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-V =i6o-,-ix--AFP-fi'2-:oiff------...--iNHERITANc'E-YAX--s;-jrfEMENY-O,:-ACCouirf--...------------------ --- ESTATE OF BIERER MARGARET J FILE NO.21 01-0058 ACN 101 DATE 10-15-2001 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUEl APPLICATION OF ALL PAYMENTSI THE CURRENT BALANCEI AND~ IF APPLICABLE~ A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-08-2001 P R I NC I PAL TAX DU E : ........................................................................................................................................................................................................................... 41555.56 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-16-2001 AA478165 215.61 4~096.56 05-02-2001 AA496543 .00 11.97 08-29-2001 CDOO0211 .00 231.42 TOTAL TAX CREDIT 4~555.56 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IF PAID AFTER THIS DATEI SEE REVERSE TOTAL DUE .00 . SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $l~ NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~ YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) '\, /~-~~--Y BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG I PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT 9/ c-' 7 '* REV-IU7 EX AFP 02-00) JAMES D FLOWER SAIDIS ETAL 26 W HIGH ST CARLISLE DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-21-2001 BIERER 12-19-2000 21 01-0058 CUMBERLAND 101 MARGARET J Allount Rellitted f-. PA 1701i MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REv=i6'ifj-Ex-AFP-fi'2.:0tff------...-iNHiRITANCE-YAX-STiffEMENY-ifF'-ACCOUiiy--.-..--------------------- ESTATE OF BIERER MARGARET J FILE NO. 21 01-0058 ACN 101 DATE 05-21-2001 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-16-2001 P R I N C I PAL TAX DUE: ..........................................m...............................m............................................................................................................................................ 4,324.14 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-16-2001 AA478165 215.61 4,096.56 05-02-2001 AA496543 .00 11.97 TOTAL TAX CREDIT 4,324.14 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 * IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) \//6' -- -:JG'J':J/ ~- r:; COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-23-2001 BIERER 12-19-2000 21 01-0058 CUMBERLAND 101 JAMES D FLOWER SAIDIS ETAL 26 W HIGH ST CARLISLE PA 17013 s( ~ c/ REY-1547 EX AFP (12-00) MARGARET J Amount Remitted CHANGED (1) (2) (3) (4) (S) (6) (7) .00 .00 .00 .00 128,143.19 .00 .00 (8) MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REv=i54j-E)f-AFP--(i2-':O(ff-NO~ficE--oF-i-tiHEifi;:ANCE-T-Ai-APPRAisEi'-ENT~--Aii-oWAiicE-OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BIERER MARGARET J FILE NO. 21 01-0058 ACN 101 DATE 04-23-2001 T AX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts 14. Net Value of Estate Subject to Tax (9) (10) 20,316.48 11,734.82 (11) (12) (13) (14) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 128,143.19 32.051 30 96,091.89 .00 96,091.89 NOTE: I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: IS. Amount of Line 14 at Spousal rate (IS) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 96,091.89 X 045 = 4,324.14 .00 X 12 = .00 .00 X 15 = .00 (19)= 4,324.14 (Schedule J) PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-16-2001 AA478165 215.61 4,096.56 PAYMENT MUST BE MADE BY 09-19-2001~. TOTAL TAX CREDIT 4,312.17 BALANCE OF TAX DUE 11.97 INTEREST AND PEN. .00 TOTAL DUE 11.97 ~ IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT FLOWER JAMES D JR 26 WEST HIGH STREET CARLISLE, PA 17013 __n____ fold ESTATE INFORMATION: SSN: 201-16-6745 FILE NUMBER: 21-2001- 0058 DECEDENT NAME: BIERER MARGARET J DATE OF PAYMENT: 08/29/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 12/19/2000 NO. CD 000211 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $231.42 I I I I I I I I TOTAL AMOUNT PAID: $231.42 REMARKS: BEVERLY GREENWELD C/O JAMES D FLOWER JR CHECK#10 SEAL INITIALS: PB RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT FLOWER JAMES 0 JR 26 WEST HIGH STREET CARLISLE, PA 17013 -------- fold ESTATE INFORMATION: SSN: 201-16-6745 FILE NUMBER: 21-2001- 0058 DECEDENT NAME: BIERER MARGARET J DATE OF PAYMENT: 10/12/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 12/19/2000 NO. CD 000379 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1 .94 I I I I I I I I TOTAL AMOUNT PAID: $ 1 .94 REMARKS: JAMES FLOWER JR ESQUIRE CHECK# 2063 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (71 7) 240 - 6345 Date: 11/10/2004 BEVERLY C GREENWALD 506 DARLA ROAD MECHANICSBURG, PA 17055 RE: Estate of BIERER MARGARET J File Number: 2001-00058 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 12/19/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~.~I~ GLENDA FARNER'STRAS6lUGH REGISTER OF WILLS cc: File Counsel Judge ii ('t) ..,. 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