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HomeMy WebLinkAbout04-22-13 1505610140 REV-1500 EX (01-10) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 0 1 3 1 2 0 1 2 0 3 1 9 1 9 3 4 Decedent's Last Name Suffix Decedent's First Name MI K A R C Z E W S K I J 0 A N D (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) El 4. Limited Estate 4a.Future Interest Compromise(date of ❑ 5.Federal Estate Tax Return Required death after 12-12-82) ❑ 6. Decedent Died Testate 7.Decedent Maintained a Living Trust 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) ❑ 9. Litigation Proceeds Received 10.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 M A R C U S A M c K N I G H T I I I 7 1 7 2 4 9 2 3 5 3 REGISTER OF WILLS USE ONLY °J rrI First line of address G I R W I N & M c K N I G H T P C Second line of address r +: 6 0 W E S T P 0 M F R E T S T R E E T =y -7 DATE Flt ii, City or Post Office State ZIP Code - -- 1 C A R L I S L E P A 1 7 0 1 3 ,; n Correspondent's e-mail address: 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. S TURE OF PERSON RESP NSIBLE FOR FILING R TURN ATF� m,4&y—& `'� 7Ly�.G�e✓ 21 o►�•l.� i 3 20 i 3 ADDRESS 394 ME US R D McCONNELLSBURG PA 17'233 SIGNATU F P OTH AN REPRESENTATIVE DATE I n/ ?o i ADDRESS 60 WEST POM RE STREET CARLISLE PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 J 1505610240 REV-1500 EX Decedent's Social Security Number Decedent's Name: JOAN D - KARCZEWSKI 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 and Notes Receivable(Schedule D) . . . . . . . . .. . . . . . . . . . _ _ 4. 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . . 5. 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested 61 2 5 8 3 0 0 0 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) ❑ Separate Billing Requested . . . 7. 8. Total Gross Assets(total Lines 1 through 7) . . . . . .. .. . . . .. . . . . . . . .. . .. . 8. 2 5 8 3 0 • 0 0 9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . _ _ 9. 1 1 0 3 1 0 3 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule 1) . . . .. . .. .. . . . 10. 11. Total Deductions(total Lines 9 and 10) , . . . . . . . . . . . 11. 1 1 0 3 1 • 0 3 12, Net Value of Estate(Line 8 minus Line 11) . . . . . . . . _ . . . . . . . . . . . . . . . . . 12. 1 4 ? 9 8 9 7 11 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. 1 4 7 9 8 . 9 7 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.0 0 . 0 0 15. 0 . 0 0 16, Amount of Line 14 taxable at lineal rate X.045 1 4 7 9 8 . 9 7 16- 6 6 5 . 9 5 17, Amount of Line 14 taxable at sibling rate X.12 0 . 0 0 17. 0 . 0 0 18. Amount of Line 14 taxable at collateral rate X.15 0 . 0 0 18. 0 . 0 0 19. TAX DUE . . .. . . . . .. . . . . . . . 19. 6 6 5 . 9 5 20, FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 t 1505610240 1505610240 REV-1500 EX Page 3 File Number Decedent's Complete Address: 0 0 DECEDENT'S NAME JOAN D. KARCZEWSKI _ STREET ADDRESS 394 MELIUS ROAD CITY STATE ZIP MCCONNELLSBURG PA 17233 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 665.95 2. Credits/Payments A.Prior Payments B.Discount Total Credits(A+B) (2) 0.00 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 0.00 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 665.95 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; ...................................................................... ❑ 0 b. retain the right to designate who shall use the property transferred or its income; .........I..................... ❑ 0 c, retain a reversionary interest;or ................................................................................................ ❑ 0 d. receive the promise for life of either payments,benefits or care? ❑ 0 .............................. 2. If death occurred after December 12,1982,did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ❑ Q 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ ❑X 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. ❑ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. i .. �_.� .%. .f jl:: �A1.9±.?.. �uP .�,u,f#pj} 3+Sj VxL� _..�.....'�—•__._.:_.n�._.._. .._.,i_`:. ._s.. :��.f�" .. i: ._. P`..0 For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal 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-1509 EX+(01-10) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: JOAN D. KARCZEWSKI 0 0 If an asset was made jointly owned within one year of the decedent's date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S)NAMES) ADDRESS RELATIONSHIP TO DECEDENT A. LAURA KARCZEWSKI 394 MELIUS ROAD DAUGHTER McCONNELLSBURG, PA 17233 B. C. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 2009 394 MELIUS ROAD 51,660.00 50. 25,830.00 McCONNELLSBUR.G, PA 17233 TOTAL(Also enter on Line 6,Recapitulation) $ 25,830.00 If more space is needed,use additional sheets of paper of the same:size. REV-1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND RESIDENT DE EDEN TURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER JOAN D. KARCZEWSKI 0 0 Decedents debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. M.R. BROWN FUNERAL HOME 9,816.03 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: _ 2. Attorney Fees: IRWIN & MCKNIGHT, P.C. 1,200.00 3. Family Exemption:(If decedents address is not the same as claimants,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 5 Accountant Fees: 6. Tax Return Preparer Fees: 7. REGISTER OF WILLS- FILING FEE 15.00 TOTAL(Also enter or Line 9,Recapitulation) $ _ 11,031.03 If more space is needed,use additional sheets of paper of the same size. cs��i:�Gl�fi Cl�!'LGG f.�i%GW Ved��Z'�il�� / I, ,JOAN D. KARCZEWSKI, of McConnellsburg, Fulton County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revoking all Wills and Codicils heretofore made by me. ONE: I direct my Executrix to pay all of my debts, funeral and administrative expenses as soon as may be done conveniently after my decease. Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether, or not such property passes under this will, shall be paid by the Executrix of my estate. TWO. My Executrix may, at her discretion, compromise claims, borrow money, retain property for such length of time as she may deem proper; lease and sell property for such prices, on such terms,. at public or private sales, as she may deem proper; and invest estate property and income without restriction to legal investments unless otherwise provided hereunder. l authorize and empower my Executrix to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefor, in fee simple, as I could do if living. My Executor is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of tinne after my death as seems expedient to said Executrix THREE: I specifically give, devise, and bequeath my real property located at 394 Melius Road, McConnellsburg, Fulton County, Pennsylvania to my daughter, LAURA A. KARCZEWSKI. FOUR: I give the rest, residue and remainder of my estate of every nature and wherever situate to equally my children, LAURA A. KARCZEWSKI and WALTER J. KARCZEWSKI. FIVE: If any of my above-named children have predeceased me, their share will be equally distributed to their issue then living. If any of my above-named children have predeceased me without living issue, then said share of my deceased child will be equally distributed by my remaining children named above. SIX: I appoint my daughter, LAURA A. KARCZEWSKI, to be the Executrix of this my Last Will. If she has predeceased me, failed to qualify, or ceased to serve as Executrix, I appoint my son, WALTER J. KARCZEWSKI, to serve as the Substitute-Executor of this my Last Will. SEVEN: My Executrix may, at her discretion, compromise claims, borrow money, retain property for such length of time as she may deem proper; lease and sell property for such prices, on such terms, at public or private sales, as she may deem proper; and invest estate property and income without restriction to legal investments. EIGHT: No Executrix or Substitute-Executor acting hereunder shall be required to post bond or enter security in this or any jurisdiction. 2 IN WITNESS WHEREOF, I have hereunto set my hand and seal this Aay of November 2009. (SEAL) 6�OAN D. KAR WSKI Signed, sealed, published and declared by JOAN D. KARCZEWSKI, the above- named Testatrix, as and for 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. 3 ACKNOWLEDGMENT AND AFFIDAVIT WE, JOAN D. KARCZEWSKI, CHERYL L. CLELAND and TRACI D. SMITH, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix: signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. + 'n Di f 7 cam. J N D. KARCZE �KI CHE L. CLELAND CI D. SMI COMMONWEALTH OF PENNSYLVANIA : SS: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before by JOAN D. KARCZEWSKI, the testatrix herein, and subscribed and sworn this 47 _ day of November 2009. C( Not491pubfi COMMONWEALTH OF PENNSY VANIA Notarial Seal Mar.hra L.Noel,Notary Public Carlislw Goro,Cumberland County My Commtssion Expires Sept.18,2011 Member,Pennsylvania Association of Notar?es -P�oi' 9 RECORDED Parcel LAW NOV 25 A051 ' THIS DEED, FATTY SUDERS FIX RECORDER OF DEEDS FULTON COUNTY MADE THE day of November, in the year two thousand nine(2009), BETWEEN JOAN D. KARCZEWSKI, widow, of Dublin Township, Fulton County, Pennsylvania,hereinafter called Grantor; AND JOAN D. KARCZEWSKI and LAURA A. KARC:ZEWSKI, adult individuals, of Dublin Township, Fulton County, Pennsylvania hereinafter called Grantees; WITNESSETH, that in consideration of the sum of One and no/100 ($1.00) Dollar, the receipt whereof is hereby acknowledged, the said Grantors do hereby grant and convey unto the said Grantees, their heirs and assigns, as joint tenants with the right of survivorship and not as tenants in common; ALL those certain tracts or parcels of land, lying and being situate in Dublin Township, Fulton County, Pennsylvania„more particularly described as follows: TRACT NO. 1: BEGINNING at an iron pin in the center of an old road; thence along lands of Edwin E. Bookheimer South 85 degrees 50 minutes East 363 feet to an iron pin; thence along lands of the same South 120 feet to an iron pin; thence along lands of the same North 85 degrees 50 minutes West 363 feet to an iron pin in the center of an old road; thence along the center of the old road North 1200 feet to an iron pin, the place of BEGINNING. CONTAINING 1 acre, net, as surveyed by Ira B. Lake, dated July 27, 1959. TRACT NO. 2: BEGINNING at an iron pin on the West side of U.S. Route 522, at corner of lands now or formerly of Max Snyder, Russell Gordon, Alfred Keebaugh and Norman G. Baker; thence in an easterly direction crossing Route 522 and along the lands now or formerly of Alfred Keebaugh to an iron pin in the old State Highway; thence in a northwesterly direction along the old State Highway to a point where the old Highway intersects U.S. Route 522; thence along Route 522 in a southerly direction and along lands now or formerly of Max Snyder, to the place of BEGINNING. BK0520PG0583 CONTAINING 4 acres,more or less. EXCEPTING AND RESERVING 3 acres, more or less, previously conveyed by Raymond E. Melius, widower, to Willard Ray Black and James Joseph Black, by Deed dated June 5, 1970, and recorded in Deed Book 75, page 65. EXCEPTING AND RESERVING 3/4 acre, more or less, previously conveyed by Raymond E. Melius, widower, to Lloyd H. Covert and Vivian J. Covert, his wife, by Deed dated February 20, 1971, and recorded in Deed Book 77, Page 214, leaving a remaining acreage of approximately % acre,more or less. BEING the same premises which Raymond E. Melius, widower, granted and conveyed to Edward Z. Karczewski and Joan D. Karczewski, his wife, Grantors herein,by Deed dated June 9, 1986 and recorded in the Office of the Recorder of Deeds for :Fulton County in Deed Book 122, Page 142. Edward Z. Karczewski died August 30, 1986 thereby vesting full title in Joan D. Karczewski, grantor herein. AND the said Grantor hereby covenants and agrees that she will warrant specially the property hereby conveyed. This is a non-taxable transfer from self to self and daughter. IN WITNESS WHEREOF, said Grantor has hereunto set her hand and seal the day, month and year first above written. Signed, Sealed and Delivered in the presence of o- 'D. _(SEAL) JOAN D. ZEWSKI BKO52OP60584 2 COMMONWEALTH OF PENNSYLVANIA :SS: COUNTY OF CUMBERLAND On this, the H I day of November, 2009, before me the undersigned officer, personally appeared JOAN D. KARCZEWSKI, widow, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and seal. COMMONWEALTH OF PENNSYLVANIA / Notarial Seal ('SEAL) Martha L.Noel,Notary Public N tabli Carlisle Soro,Cumberland County My Commission Expires Sept.18,2011 ,lilember,Pennsylvarria.Association of Notaries I do hereby certify that the precise residence and complete post office address of the within named Grantees is . 9 4 ff� 0'eC �-y� L*�v�vri �� RA 7 D-0 November 2009 "-A J Att rney for G ante s IRWIN& Mcg1Vl HT, AC. Attorneys At Law 60 West Pomfret Street Carlisle,PA 17013 717-249-2353 6KO520PGO585 3 3 ° N PATTY SUDERS Fix /off� PROTHONOTARY, REGISTER, RECORDER , AND CLERK OF THE COURTS O Fulton County Courthouse, McConnellsburg, PA 17233-1198 O _ N PHONE:(717)485-4212 O -- CO Instrument Number: 2009-002079 Receipt Date: 11/25/2009 Instrument Type: DEED Receipt Time: 11 : 09:16 Receipt No. : 5014229 Receipt Distribution Fee/Tax Description Payment Amount DEED 14.00 Paid By Remarks: IRWIN & MCKNIGHT PC DEED - WRIT .50 JOAN D KARCZEWSKI DEED - RTT STATE .00 FORBES ROAD SD .00 DUBLIN TOWNSHIP .00 J.C.S. / A.T.J. 10.00 CO IMPROVEMENT FND 2.00 REC. IMPRVMT FUND 3.00 --------- -- Check# 6287 $29.00 Check# CASH $.50 Total Received. . . . . . . . . $29.50 ORr; MN.&ivlcKldiGN: _AV-!0 FFIC'': I hweby CERTIFY V*Oft dooum e N recorded in the Reoorderti Ofte of PJLTON COUNTY.PENNSYLVANL% ��g4Eas o�� Certification Page �1► �oarir�fD�i DO NOT DETACH This page is now part of this legal document. NOTE: Some information subject to change during the verification process and may not be reflected on this page. 0"K0520PG0586 OW �OM '1V G �vr w 79 �' r I Hz m ao t+H07 M W x HO OD t to �-r•i maiy hiii �y�O r o�� to t4 � o o� w GIM Nro �C Ln H � ro y i� N ;'3 C r Q1 .6 4 a ?o r n x7 I.r -OV • Wt*qt U o N En ;3 + W I m YYTro' o �" G rC d a o w L d 0 to tl h+ In ~ rP Id O 01 N 01 Q1 N r0 01 N 4-1 T N W O J • O I.r f.l b�t'd bS�95b8LTLT 01 t726SS8t7LTL 1S onNo S.IyI-lHE)nu-iDW:WOdd S4:-':TT 2TO2-6-AlJW in t ✓ �c�i� s_ .� t .�_ t r,.t_nuunt— IN 7 L-Mu"n J I f 1 f 40DZ>7c 14 1 U J.f 1 f -Y `r M.R. Brown.Funeral Home P-O.Box 367 Pitt St,. Hustontown,PA 17229- Phone: (717)987.3936 STATEhff NT Date:April 24,20J2 Services[or: Joan D.Karczawskl • To:Laura Karmewsk:l Service ID:4-12 BR# 2 394 Melius Road Mc Connellsburg,PR i7a33- F.D. Martin R.Brown Contract Amount: Amount Due: $9,816.03 50.00 -Please rerun stub with your remittence to mailing addrees above. Amount S i 1 .. ....� i 1. PROFESSIONAL SERVICES Services of Funeral Director and Staff. , $2,380.00 Embalming. . . . . . .. .. .. . . . . . . . .. .. . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . .. . . . . . $675.00 2. FACXLZTIES AND SERVICES viewing (Visitation/Wake) . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. .. .. . . . . . $250.00 Funeral ,Ceremony. . . . . .. . . . . .. . :. . ... .. . . .. . . . . . . . . . . . . . . .. . . . . . . . .. . . . . . . .. . $3 5.00 3. AUT MO VE EQUIPMENT. _ V©hicle to tsansfor remains to fun6ra;.Homq. . . . .. . .. . .. . . . . . . . . . . . . . .. . . . . . $175.00 i t Hoarse (Casket Coach) . . . . . . . . ,- - $245.00 Lead car/Clergy. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . $125.00 Merchandise Canket. . . . . . . . . .. . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . .. . . . . . ... . . . . . . . . . . . . 93,025.00 Outer.. . . . .. . .. . . . . . . . . . . . . . . $1,275..00 Acknowledgement cards. . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . .. . . . . . I . . . . .. . $2'0.00 RegisterBook(s) . . ... . . .. . . . . . .. . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25.00 Memorial folders. . . . . . . . ... . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . $30.00 Cash Advances OpeningGrave. . . .. .. . . . .. . . . . .. . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . ..I .. . . . . . . .. $550.00 Newspaper Notices - Out-of-town. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ... . .. .. . .. . . $144.13 Newspaper Notices - Local. . .. . . . . . . . . . . . . . . . . . . . . . . 5166.90 Clergy/Maas offering.. . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100.00 t, peath Date 9n. Stone. . . . . .. . . . . , . . . . ., . s •r r, $125.00 CertifioO Cop.,Les of the Death Cortifi care. . . . . . . . . . ... . . . . . . . .. . . . .. .. . . . . . $60.00 Haird resser. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . $25:00 VaultService Charge. . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . $95.00 Total Total Coat. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . $9,816.03