HomeMy WebLinkAbout06-12-13 __ _ ___ _ . �A 1� __
� 150561�105
REVi EX�oz-������'�:,.
�i SOO �f OFFICIAL USE ONLY
PR Department of Revenue pennsylvarria
Bureau of Individual Taxes °"""`�E"��`�`�F�uE County Code Year File Number
PO Box zso6oi INHERITANCE TAX RETURN �r
Harrisbur9,PA i�i28-o6oi RESIDENT DECEDENT �I I a `"I�
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
�,�-�- g f 25���Z _ ���i��igzZ _
DecedenYs Last Name Suffix DecedenYs First Name MI
�� ' f�+�/�E9��� �
(If Appiicable)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
p 1.Original Return O 2. Supplemental Return O 3. Remainder Return(Date of Death
Prior to 12-13-82)
p 4. �imited Estate O 4a.Future Interest Compromise(date of p 5. Federal Estate Tax Return Required
death after 12-12-82J
� 6. Decedent Died Testate O 7.Decedent Maintained a Living Trust _ 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
_ _ _ _ _ _
C�N�� k��. _ __ _ (5�6���{,-5--��g4 '
. �.
RE 6��OF WILLS U'SE OjIR�Y�
,,. �,� C, �:� �
f::'� _:7 C- _...
7"�3 -'- C7 �- v.,7 w 7
First Line of Address '"`' : t-• " ' r-z
� ;: f—a r :..
.
. �..D V ....l.�i/�r.r.1i i _ ' .`!. �' ...._ _... ...... .. . .. ....... .. •.w ,.� � �v � r.� '
` ,.:'.� (', �4.�
C .E ,..,1 -..h 4- 'i"y
Second Line of Address _, _ c.:� � ` « _ri
:� :.: ` ,—' . t:3
`y .,.w
..,;J �...
City or Post Office State ZIP Code � ��ATE FILED �" �
..:* _ � �
W'��o� _ N� �8iog
Correspondent's e-mail address:
Under penalties of perjury,I declare that I have examined this return,inGuding accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF SON R PONSIBLE G RETURN DATE
---/O— �
ADDRESS IO8 Li�K/GTT?���. , G�V'ria`�vt-(/�. N�I Dd �Yp
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 1505610105 1505610105 �
,��
__._ __ �e� _
� 1505610205
REV-150d EX(FI)
DecedenYs Social Security Number
DecedenYs Name: ��L-rISJ�"f tT- �'�^�^ � �"
RECAPITULATION
1. Real Estate(Schedule A). . .. . . . .. .. . . .. .. .. . .. .. . . . . ... . . . . . .. . .. . . . . 1. � 2(�' l��.�
E _. .
2. Stocks and Bonds(Schedule B) . . . .. . . . ... . .. . .. .. . .. . .. . .. . .. .. . .. . .. 2. �/ �,�c.� , ,g 6 7..A�
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. ��7�� QQ� ,>("Q
� __._
6. Jointiy Owned Property(Schedule F) O Separate Billing Requested . . . . . . . 6. ',
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property ', '
(Schedule G) O Separate Billing Requested.. .. . . . . 7. '
8. Total Gross Assets(total Lines 1 through 7). ... . .. . .. .. . .. . . .. .. . . . .. . .. 8. y f�QT p�� 3O
! O
9. Funeral Expenses and Administrative Costs(Schedule H). . . . .. . .. .. . . .. .. . . 9. ' C�I �$y ��
J
10. Debts of Decedent, Mortgage Liabiiities and Liens(Schedule I}. . . .. .. . . . .. . . . 10. '
11. Total Deductions(total Lines 9 and 10). ... .. . .. .. . .. . . . . .. . . . .. . .. . . . .. 11. ��r ��2, O r
b _ ..
12. Net Value of Estate(Line 8 minus Line 11) .. .. . .. . . ... . ... . . . .. .. . .. . . . . 12. ZI ,f�-,�g Z�?� � 3 D . . .
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. I Z� CjJg 2�3 �i0 '
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- ', 15.
16. Amount of Line 14 taxable °
at lineai rate X .0 t�.2� �g, �'
17. Amount of Line 14 taxable � ��/ �l� ` ��
at sibling rate X.12 17,
18. Amount of Line 14 taxable _
at collateral rate X .15 �g,
' .
19. TAXDUE . . . . . . .. . . . .. . ... . . . ... . . .. .. . .. .. . . . . ... . . . . . . . . . . . . .. 19. � ��0� Sf Z, Q�
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p
Side 2
L 1505610205 15D5610205 �
_ __ �ll�
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address: zl- r2 - o g�b
DECEDENT'S NAME
--__- i'�r�cT�,,lO_�T �- ��,�._...
STREETADDRESS -- __ _ _...._...._ _._ __-
!��--��_�eN��_��v�� __ __ ___ - __- -- __
_ - -_ __ -- - -_.... _ _ - _ l._ _. .._ _ ---.. _ -
CITY _ _ _ ... _ STATE ! ZIP
Cl�,c�l!��a�c/`�G s� ; l�OS'O
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (�) � �Qg ��y� 0�2
2. CreditslPayments �
A.Prior Payments _��� �C1 P._O�?
r. _...... - _....
B.Discount
Total Credits(A+B) (2) �D.�7 Q�D. ��
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)
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) � /, �/2. O 3
Make check payable to: REGISTER OF WILLS, AGENT.
. _ . �,. „ . . . . .. , . _ . . . . ,.. ___., , � . . . ��.8 --
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 .............................................................................................................................. ❑ �
d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ �
2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death
without receiving adequate consideration?.............................................................................................................. ❑ �
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 RETIJFtN.
. . .__<<�. _ , �o.. _. .� , � ,�����..°P�I����
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 5pouse
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 p�rcent
[72 P.S.§9116(a)(1.1){ii)j.The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of asse�s 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 decedenYs lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(aj(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. §9115(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 PENNSYLVANIA REV-1162 EX�11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280801
WARRISBUAG,PA 17126-OBOi
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 016832
KERR CYNTHIA SUSAN
108 CARLTON AVENUE
WESTMONT, NJ 08108-3501
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- �o�d
--------" """"
101 � $53,500.00
ESTATE INFORMATION: ssN: �
FILE NUMBER: 2112-0986 �
DECEDENT NAME: KERR MARGARET H �
DATE OF PAYMENT: 1 1/27/2012 I
POSTMARK DATE: 1 1/27/2012 I
courvTY: � �CUMBERLAND �
DATE OF DEATH: 08/28/2012 �
�
TOTAL AMOUNT PAID: $53,500.00
REMARKS: RECEIPT TO ATTY
CHECK# 5536
INITIALS: HMW
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
__ __ _ __
__ _ _
r�r a�r
COMMONWEALTH OF PENNSYI.VANIA REV-1162 EX�11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
OEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 016833
KERR VIRGINIA M
165 N CANAL ST APT 1316
CHICAGO, IL 60606
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER ,
-------- �o� ---------- --------
101 � $53,500.00
ESTATE INFORMATION: SSN: I
FILE NUMBER: 2112-0986 I
DECEDENT NAME: KERR MARGARET H �
DATE OF PAYMENT: 1 1/27/2012 I
POSTMARK DATE: 1 1/27/2012 I
couNTY: CUMBERLAND �
DATE OF DEATH: 08/28/201 2 I
�
TOTAL AMOUNT PAID: $53,500.00
REMARKS: RECEIPT TO ATTY
CHECK# 747
INITIALS: HMW
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGW
REGISTER OF WILLS
TAXPAYER
_ _ _ _ ___ _ �ll�
IMPORTANT NOTICE
NOTICE OF ESTATE ADMINISTRATION
PURSUANT TO Pa. O.C. Rule 5.6
THIS NC�}T[CE DOES NOT MEAN THAT YOU W'1LL RECEIVE
ANY MdNEY OR PROPERTY FROM THfS EST.ATE OR OTHERWISE
Whether yc�ar iti�ill recei�xe ctr�v money or properh�►ti'III hE' deterrr�ined whollv or xacn�tfv by
the decedent's H-ill. If the clecec�ent diec��+�rthor�t a tirrll, �v�iether i�ou tit•ill recelre any
mar�ey or propert�'�►^ill he determi��ec�hti�the intes�ucy/u���s c�/�Penrrsi�lvania.
BEFORE THE REGISTER OF W1LLS,CC)UNTY OF Cl�MF3ERl.AND , ��a��;�g}�j,��,��;fp
IN RE: ESTATE OF Mar�zaret H. Ken . Deceased
h'ite Number ?I-12-(}98ti
TO: Cvnthia Susan Kerr (Beneticiary)
108 Carlton Avenue,Westmont.NiJ OS l08 (,�ddress)
Please take notice of the death of the Decedent and the grant af Letters ro the perso�ial representativ�et s)named
below.The Decedent died on the day of�uuust 28 , 2012 ,a resident of
Cumberland Countv, p.�.
The Decedent died: Q testate(with a w�il!)or ❑ intestate(w�it}iout a�vill)
You may have a beneficial interest in the estate as follo�►�s:
As a narned Bene�ciarv
([f additional space is needed, use separate sheet}
The name{s),address(es)and telephone number(s)of all personat representatives appointed are:
NAME ADDRESS 'TELEPHOtiE
Cvnthia Susan Kerr 108 Car{ton Avenue.1��'cstmont.NJ 081Ul3 (KS(�1425-3899
If the Decedent died testate, the will has been filed with Oftice of the Register of��'ills nf
Cumberland Counri.
If the Decedent died intestate,a Petition far the Grant of Letters of Administratian was filed with the(�ftice of the
Register of W'iils of' Cc�untv.
The Register's address is 1 Caurthouse SUUare.Carlisle, PA 17013
,and telephone number is (717)240-6100
p P y - � .......___ _ � ay'� ar�;es fo .
A co p ofthe W'ill or Petition ma be obtained bv contactin the Register f'4�iils a
du lication.
,,'
[�rR 9/19/2012 .`
-�
Srgnuture�l 1 �rson F'ihnk�this F'cy�rn
hn R. onarich
�`u , ersnn F"iling rhrs Fornr
l7 South Second Strect, Ffoor 6
Capacity: ❑Personal Representative ,r��d,�z:�
�Counse� for Personal Representati��e yarrisbur�,PA 1710]
(7171233-1U0U
T�tephc�,re
Form Rt{'-07 rer. 10(3.Ob
_ __ 1�1�
REV-1502 EX+ (12-12)
� pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
/v��<�� �- 6�'�� 2�— l2—0���
All real property owned solely or as a tenant in common must be reported at fair market value.fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seiler,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
1. �K Ic-�"S�N��/� �DQI���
-�z�� go0.�
���f�s�v�, p.�. -
!�-a�-�
TOTAL(Also enter on Line 1, Recapitulation.) $ yl�- �. ��
If more space is needed,use additional sheets of paper of the same size.
_ ---- _ �;.;,
__ _ __ ___
��a�
� . .
From: terry gaillardet-fabiano<tgaillardet@prudentialthompsonwood.com>
Subject: Settlement Sheets
Date: February 26,2013 2:10:30 PM EST
To: "kerrbiooms�verizon.net"<kerrblooms@verizon.neb,"kerrvm@gmail.com"<kerrvm@gmail.com>
Cc: Settlement<settlementC�lprudentialthompsonwood.corrv
► 1 Attachment,467 KB
HI Cindy and Spicey,
Attached are coples of the settlement sheets. You will notice that we ony charged 6°k commission based on#217,900.and not;224,900.as you are giving the buyer
$7,000.for closing costs(actually repairs). Also,our;200.transaction fee for handling the cbsing was added to the commission owed by you.
If you have any questions,please don't hesiWte to call or email me. I haven't as yet gotten the mail box key from Spicey and assume it is on it's way.
We are almost there. It was really a pleasure worlcing with you and Spicey and I'm glad you are now completey moved out.
Best,
Terry
Terry Galllardet-Fabiano
REALTOR-GRI,CRS
PrudeMial Thompson Wood Real Estate
3815 Market St.,Camp Hill,PA 17011
�17-761-8353 ext.129
717-919-4993-Mobile
717-761-2563-Fa�c
toaill�rdetCa�orudentialthomosonwood. om
www.orudentialthomosonwood.com
;�
SKMBT C35..wo i�f(467 KB)
_ _
rlf�l
. � � -- -..", "'-...�.��.......s..�.....�.,o.��wu.��amo nimnw
"(p.o.c)"wers p�id ouWds the dofinp;thty are shown here tor ioformatlonN purpoee�and aro not induded in the t�als.
D.Name 8 Addresa oi BoROwer. E.Name 8 Address of Satler. F.Name 8 Address of l.ender:
Cynthia L.Kubals Cynthfa Susan Ken,Execuh6c ot the Estate of Mar�a►et Fulton Bank N.A.
H.Kerr 1 Penn Square,Lanc�ter,PA 17602
G.Property Locadon: H.SettlsmentAgsnt I.Settlerr�nt Date:03/01/2013
44 Kensington Squaro Hershey Ab�fract,LLC Disbwsement Date:03/01/2013
Mechanicsburg,PA 17050 P:717-566-4800 F:717-568�4A00,218 Eest Main Sfroet,
liampden ToHmahip Hunrnebtown,PA 17036
Place of Settlemsnt TitbExprea
P:717-568r1800 F:717-568�1600,218 East Main Sbeet, Printed 02/25/2013 at 11:57 am
PA 17036 bY�
100. Oivp Miow�t Ou�ira�Borrowrr I0� Gto�t Mie�u�Ow to 8�INr
101. Contr�d t�prica 22A,900.00 101, Conbd sde�price j9UQ.00
102. Pehorql �62. Pereornl
103. SeltlemeM dw�to ba�owt(liie 1400) 5�8Q7.07 403.
104. 4d1.
105. �
Ad u�nb ta IMn� �N�dwna Ad /or Ibmt Id t�ila in�r�ne�
10B. CR�rAown hxN to �06. CMpJbwn f�es b
107. Counh taze� to 407. Cour�r faxer to
105. Aaaarnenb to 40d. Aa�nenb to
109. Schod Taxe� 031D7/2a13 Do 06I30J2013 617.2� �0➢. Sdaol Te�aet 0310112013!0 08130I2013 �17.29
110. Sewedl'ttth 311M3-3131113 52.39 410. SewedTra�h 3d'I113,�13U13 '32.39
111. 41L
112. i12
1Zl. Gro�s M+ou�t Dw tro�a BenowK 231�13i.iS 42l. Groa A�eodM Dw m SWMr .6t
�Q. An�i�it PNd a�8�f d 8ortawa :�� R�:in Anio�ntDw to B�INr ,;
20t. OepoN a anwt moner 3,OOO.QO 501. Exoeu depo�(set knhudfora)
102, Prindp�l�o�rrow lar�(s} 102,410.00 501. Saltleeienl d�rge�!o aelMr(line 1400) 1 ,5'�.31
203. • blan b 503. : t�dcm �
204. 504. d Mt loan
205. 506. Payqlf ot�econd rtialpxpe ban
208. SeNer Aabt 7,000.00 508, Seller Ani�t 7; .00
247. 507.
208. 501.
209. 509.
tor Ib�un NINr Ad for N�na un id HIIK
210. Cf�rAam t�oua 01101I2013 to 031011�13 76.22 510. CflyylEow�feooea 01101/2013 to 03�112013 �8,22
211. Counry texea to 511. Courdr taxea to
212. As�rbnta 10 512. Aasesunerds to
213. 513.
214. 51�.
215. 515.
218. 518.
217. 517.
218. 518.
219. 519.
' �• Tobl Pald Bortorwr Zl2,1l6.ZZ 521. ToW R�duWon Amow�t Dw 8NNr 23�1 .S3
F 300. W�b N E�n�et honrb 9anowa� l01. CuA�t�maM toltno�a�fNr
301. ��������►(fina 120) 231,436.75 g01. Gross�nounf due lo seller(Ifne 420) 225, .8'�8
302. Less amounb petd bylfor bonower(Iina 220) 212,488.22 802. Len red�x:tlons 1n amoat dus selbr(line 520) 23.1 .53
303. Ca�h �X From � To Bortorwr 1a,�.� 603. Caad � To � Fro�SNN� 102.4�1�.15
n� �eMn �w� .t uw w iwoaw ew� rie pwq'�nw • frou w na� b eempW �.
w.am�.�.+.w x ap.r.•�.�r we ow�o.ra n�me.r NO caMfL�MltlM M�wvK;tlM�Cbur�N nrMMtly.TW 4 MJp�d b Mwl!M�OwYw fo�NEVMawMW tfaAMfOn MNh InM�M10�dulinYtlM��I11
wm...
_,�-�
' 801, Oworiginatlon cherye (Indudes Origination Point 96 arS0.00) S (irom GFE�t1)
802. Your credk or iMs tor the iMereat rate chosen (from�FE A)
803. Your adJusted originadon c�angea ((rom(3FE A)
804. A �fee to from GFE�f3
805. Cred� to ��E g3
808, Tax servix to imm GFE#�3
807. Flood cerdflcaGon ta irom GFE N3
808. to
9G0. lamt R ufnd L�ndH to b�Paid in Advinc�
901. Daiy interest cAaige�from trom 03l01l2013 to 04l0112013�s0.00Jday (from GFE#10)
901. Mortyepa insurance promium for rrwrdPa to (from GFE#3)
903. HameoMrt�s irNUancs for �to (irom GFE i111)
�� ►��� from GfE#11
1000. Rqavp wMh Lmd�r
1001, ini�a!depo�l br yout extaw acoouM (fiom GFE 119} 78.59
1002. Homecwnera i�urence 2 mor�hs S 0.00/month S
1003. Marlgape kaurance 2 rtamhs S O.00hnonM i
��• P►aP�Y�� 2 montha 39.19Irtamh 578.59
1005. 2� S O.00hnonth S
1006. Aaaesamerib 2 mot�tha S O.00Jmordh $
1007. repete AdJuebnent s
1100. TNN
1101. Titl�savk�and lerdeh dtle kau�ance (��E� 451.00
1102. SettlemeM a dos�rg tee � _
1103. Own�'�Gtl.ira�u�nc�-FideGtq N�tlorW Tlle Murance Campeny trom GFE N5 1,BT1.50
1104. Lend�a title ir�urer�ce-Fide�y N�tlorrl TAIe Irouanoe CompanY 5275.00
1105. Lendera title palwjr tlmmk�202,410.00 LeMers Pnicy
1106. ONmei's tlfb poqGp INnM l�2��900.00 Ownefs Palicy
1 t07. AgeM's patbn of fhe bW t�e Naua�xx promium E1.595.87
ro H lLC
1108. Undenwrkera patlon olthe 1oW dtle Muranoe promium 5358.83
to Natloml TBN I�urence Cam
1109. Notary to Prudentlal 7 Wood 2C1�
1106. GovKnm�nt and Tansl�r Cb�
1201. Govemment rocadNp ctargea i (irom GFE#� U1,00
1202. Deed 540.50 e 580.50 Releeee S
1103. Tiansfer laxea s (irom GFE�8) 2,249.00
1204. CilylCoudy tao�emp� Deed 249.00 M t
t205. State Taulatamps Deed=2,249.00 s 2.2491.
1208• Deed i M e i
1207. Asaesert�t fee $20.0p
1300. AddRion�l S�n!Ch� n
1301. Requlned aervioea Uret ya can ahop tor (hom GFE N8)
1302. SurveY to S
1303. to
1304. Tax Ced Fee to Heis Abatrsct LLC S 10.
1305. Ma�ch Aseociation Fees to Kensi wre Condamintumµs�oc. 213.47
1308. Inidatlon Fee to K n ro Condaninium As9oc 300.00
130I, 2103 CouMy/Twp Tanes M Michael an,Treasu�er 471.51
1308. Suppllea to T Fabfano 19.3h '
1308. Home Wartenty to AH5 S q�, ,'',
1310. to S
• � • � • • • 5,867.07 16,052.31''
'Paid outside of closfng by(B)orrower,(SJelier,(L)ender,Q)nvestor,Bro(K�er."Cred�by lender ahown on page t."'C►edfl by seller ahown on page 1.
FiEV-i503 EX+(8-12)
. pennsylvania SCNEDULE B
DEPAFTMENT OFREVENUE
INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
,l�r��A�'� /� � Z�-I z -048"�6
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
�. /�����L G`I�/� �'�4 �'-��8�z—�6 yD�- -�l,g�z 3��;�
C�� ��� ��r� D��� v�,�n��l � 7
� �� ���
z� ��� ,�,��,�� ��� � ��� (��� � Z,����-�
�it��:i�i�l s-r�G�rL - �� .�-��
TOTAL(Also enter on Line 2, Recapitulation) $ � g� �
If more space is needed, insert additional sheets of the same size
. _,��,
� < p W � ,
O � � F
.A G� N � (D o
` �' (roA �. O n � �
� cn o 0 � a kd �'
n � �
� � O S p ��{ �`,
.. t� '? Fwr
p 61
�
� � � V �. �. �,.
�1 N . . . . . . � � �,.
� � 0 d � � ' 3 ���,
� -' O O � tl1 O� O O O �
oZnD oZC� D 3 oOZ �� � � opZ � 2 p O o0 00 � �+
°° -� 0O °° � OG) ,.. °° -ID -lom . . OD --� D -Ip e� eov w i3 rv
� (/� � r" � �n � � o � OCaoNZ o � C7cno � � � o 0o ar
,- m , m m rn � vao z cr o �, � = = N N rv
o � o s o 0 � 3> o j � o o ° y � 2 � .: o 0 0
� � -'I � -► 0�� � = � � .� � �J � D �'! � N N N
N o N m Q N j � A � o N � o � _
0o n ►v � �vZ N o � �
X z S °° c" y o �, c,, _
cv°„ � °' D °o '� °° � � Z
Q Iv -1 o fv D � -<
� p� � pp -i o �
N -� �j � N O � D
(� � N O n � � � (�
N � � � tV � � (7
Z N N � N N =
� Q N 'S � � �
O W W Z � � �
A CJ� � G'� �
� O r � � �
� o O p�j �
v �
� � ��
p �
�
-- o
�
� � � �
?
-� °v rn �n N O
0 0 � � -++
°o °o � ��
� V�
�
� � z � m < �
c m v� n� <
w rn °o � r � o a; �
CT C� N � � � �, (D N S�
LJ� O OD 00 �
O O O p W � � O � �
O O p p
_ _ � � G C � fD '� O
�
r r= �
,•�. � a p Q �
C
� � �
a 3�' v �
-' ,� C (n �
Wy p ,�p C� 0>n .. . . .. C
� � jpVp � N► � _ �
O O .A W � � � "' � T� j.
O O O p � � � 1T1
O O p p y Q�N fD '� �
� � 2
G�0 � � f�D
� �7 N
v ? D �
D <' �
� � � � m
-�
o i c p.
d
W O y ,�.►
. - . . . . . . . . . . . _ . . _ . . .n'T
_� � •
�._., � � � �
� (,j1
�
n 1
n
0
W C
v �
co
tn �
�
Ut -�, O V
CJ7 � � � O pO O w t�� �V
� � � O -� W Q1
� ZC� C� � ZC� (� � ZC? �o � ZnaOJ oZnL� oZt�^ D oZ (� D O o
� rn � m � m �o � m �� �N �� Z � � � � � tDn � w -�i a vcDi� � � y 'V
rv -n N N D iv m o � rv � m � � ° � � 00 � m �
° C ° D ° � ° � � �p Z oQ � D o oQ Z �
N O N r N p N .�p D ►V Q N � --I W N Z O
= G� -- � m � n °' c� �
z m m m n m
O � -n � Z D o 0
�7 = Z D f� D oo �
� � � � A N
z 0 � � '� N O
> �
v � C � N O O O
-��{ A � � x fn :Cl
O �7 0
Z v cn m
° � Cn -D-I Z �
O�o Z Z � �
.� Z -�
� n rn
-' N
�j O
G') N
�
� �
O N
W `�C
� O
�
� �
� 'fG'�D W �
OD v p�D N ,�p =
N W p � � .
O O ON O ?','
O O O p p p p �
D'
N ',
7e' '
� � N
w � ,o�o r
�D N �
O � J
� Q .�f
O O O O O� O A � '
_ _ _ _
a ,
� � � � � _
r �
>
a3
iv w N a
rn co w oo CJD
� .O�o �.i L Ot
� N O� W O�D (W N .► at
�
O W N O CJ� Cn p � � i
0 0 0 ° ° ° o � alc� ;
0 0 0 0° o° °o ° � ay i
O ry! �
Oq '
v
a <
� � d
o c a
o �
O ff� ,�,r
�
� � 00 O A O�0 N
O A p� � � �p
OD N v N n
O� CO � � O C�f C
� � 0�o C�J� (NJ� O O � �
�.,, ,
�a �\ �\ �l �w �� �1 ,
� " � � v W �/
�
� 1
�
0
C
7
�
-� O �
� .� V
� � p �J ...� � p ,D OO IV
0 A O
O O W O O � O�7
oznm � ozC� rn ozC) m � oznp � ozt'�fl � ozC� C� oz (�n v o
� o0 00
� � � � � pNp N � � � � 'S � � N � � � 0 NN3' T� � N � OZ �V�� Cl� y V
ND m < Nm O � m c� < °° m � °' m m � o, m � D a, p � n �
Z N n� �
N p � �.�" n� O �i � W N rn O N .� m � N D N Q � �
°° �' — m � m cn �
T1 ?5 � y� ?< pX 'nX O Z
� o n Do mo � o O t�
-I �° O !� oo Z oo n ` � =,
tn � � � � m �
2 'U N ��"' � v' � \' � ►v
� � w � o � o Z o n �
C,� N I�v p �j ,ZCj N Rl �j Iv 7�3
nm -' � � �' � � � �„ v
� �? � N (? � n N n O�o
W p O v
n � v
N � � Om O � � p �
v o
.� --� � N j � �V N
� N N W N O N
'"' A O
O
O��D N O A O ...•
N � N N
� � � � �
N
� � .. ..
� O
O p
j � � �
N N O�D � N (�O � U�i � CJ� (D
W N � p � N
O N O p � (D ..�a � O N (,O
N � IV O �V O O ?'
O O O O O O O D ,
N '
�
� � N
�
� � � � �
W ja .... � � � � ',
O N N N
O O p � � � � '
a O O O p � p W '
a
� � � � � � �
rn o� � � rn N � a 3�
'' cn cn cD c
O) c0 �,,� pp M �
� � � w N �"� d �
O p p � 0 O O � Q!D
O O O O O O O Vf �Nr
�
�
v
a <
w � .� �
W � O N � 3
�
� o c a
°� o 0 o y �
� N � � � �
tD N �p
N
C.7� A w �
N O CV)� W � (�?t � � �
Cn jV CT �t �
O� Oo O O v O O c=D �G
__ _ _ ,.�.,, _
CT A W N � N -' ^
O tp
�
n �
A
O
C
�
r►
'"' --' W N � 00
O ,�
W W N f j � � � Ct N
� � O O � O W � � d�9
� oZC� O� j oZC7 � OZC� � � � Zn ^I � ZC�'i'{ � Z (�?1 � Z (� T 0 -�
� O0 -< O � °D -< Om °' -< OD c °' � Om ,. DO � , DOcn � -< O < ec
o °' m � n o °N`°rn � � � m � m o � m � -�v aN`o � � -ri � �� m w^' v' � m �
N � o o � o rr_- o o r- r`' y O ^'' � < ^' m cn �' �!
0 0 � m o p z o p o -I .�,
� � � _
O N � 0 N � N � � N O N ,T� N � N � �
X � X � � m Z Z p
� �• s� -1 " G) w c
o°o C o°o � � ° � p � �
� m m � O � v
w � o°o � p U, D -p � �
rv m rv n D iv � "o o C�
o r0 0 �p � o Z D oo D
N N .-O N � W TJ
�
lD p f�D V Z '� � � ITl
n � n p� � n fll -N�I n
� T � � m � T �
0 �
N � C� O GJ
-�-� � (O � � � W
C\7i p p � �p � �p W
O N p � p N O N
� � � � � � �
N .p ►v � N (D --`
� m � � � °'
`.� W� K �
�� • • �
� O
O
� � �
O �
A � � N W
i
rv �' N v+ � � ca cD o cn
A O N O N W =
N O N O p o � � � O
O O p N O � O O ? '',
O O O O �
a
�
�
�' � � ca co c�o A r
� � � ir in io tn �
0 o c�'''i, o �
o °o °o o° °o o° °o �
_ _ _ _ _ _ = a
� r r r � � �.
r r pr,
�
n c�i� v v a 3��
? _.. � � � �' N 7 �,
W lh � W �1 .► C
.A IV W � O (D �l � �!� !
O d O O O UVi O � Q�vI f
O O O O O O O V1 ��''
�I
�,
v
D <'
_' .� �
� w � � �
0 0
� c a
O y �
N W N 'r
� W tr Oo p y
� � >
J � � � �
A � � W A O�o A 6<i C
� p � p � W W = �
w ID �
_ _ . m.,-,
W W "
N � O � � J N
�
�
n �
C)
O
C
�
r►
O CWli � W � W w ,9 O) N
O p � O �
O N O O � �
� �Om � Z = L� � ZC�� �Z (7G� � ZC � � � ZC�pW j � Z (7W � O
D �
-� om � -<
°' m� � °° m� m °°rn � m °° m � rn � p "'i � o � rn � cn�nn p ��� � � ci�
N N r ►.> rv m . . <� .� m C� � �
m � � n� D cn ►� u' 7� rv 7�
o � o r o y o D oQm� o o � �7 0 0 �p �
N 'O N r N ,� N m N �= CJ� N � � � N � �
r � � m �" T. t�y �
tD7 i � m �.� x n X
C� f� � o C
� � n � fJ °,° � �' Z
�
C� Q° v � p N � �j �
C� � w° O � ° _ ° m
N r A W C N G� N Cn
0o r' -' � � � 2 �
N Z A � � n � n �
m
o � _' � o' 0 a° Z
ca o c,a -� �t .� C�
� � � cn cn p c`n o
D iv
,Np A N � (N�
� N .1a
� "� '17 �
o � � p
N
�
O p
00 (p
� �
11 Op GJ N � � A ..a
CO O pD N -•� N w =
0� N �
U'i 0�0 � CTi O � � N � ..�.. �Q '
O p N p N � ? '
O
O O O O O p p �
n ,
N
7�'
� 00 (Wp pN � �
o� v c,,� �
o °o � rn � `� � �
a o° °o ° � ° ° �
o °o °o o � '
_ _ _ _ _ _ = a
r- r r r � r=- i-
Oi
i o� W N � � a 3�
co 0 00 -.i a.> c d �
O '�J Ui p� W �p � 3 C
A A N A ,p p 'A "� p> �I
O p p � � � � � a`�I '
O O O O O O p y ��I '
�I
OD'
v
a <
� N � d
� W � 3
c a
w :� d �
o cp r� ,�
� w c� � �
N p�p y
O O � W OD O CO 61 C
O tJ� O�D W O O W �D �
- . _ . . . . _ _ _ . . . . An T
cWD OWD � v � A W
W
�
n �
n
O
C
�
�
N � � �
� Oo Ui �O O (1i O � V
--` � OD CJ� p � �
� � � O O V O � �
oZCI1CA oZC� 17 oZC� Q oZC�3 oZC� � � o2C� �- oZC� �- p �
N � = Z N � O RI N � 0 .�0 N �O Rl N � O I'1'1 C� N �Q O N � O � N AI�
^' mZ � ^' m � � ^' y' � n Nm � �3 Nm � n v r.� m � (n Nm � � � �'�;
o = o Z oQ m o O o � o � � o � �' �.»k'
N � � N � N (� N Z N � N Z N D O
G� Z � C� n S?� Z �
D � � x �- C)
� "i � � Z O � D
� � � n w
� � w � � � � m
� � � � � �
� C� x u' w ° Z C�
OD O � -< N � �
� �1 Ut � -� � � �
� �
1 i � � � �
� pp p O N
� � 0� O �
� .p =
C7� OND O
�" �j O
O
�
N
'�
N
K
O
CO
�
N �
N ..W.� � A ..a � W
O W N �1 �1
O) tND .A O O � O t�p �
N O 1 �
O O N O O O O �
a
�
�
nNi � � o N
O N c.n
� � o
O O O p� � N �
O O �
O O O O O O O � y
_ = z = _ _ = a
� �i
r r= � i- � r �
cx';
ea,
-.
a 3°�`
N w w A A rn <,, n: e� �;
N ra s O IV v v C y n� l
cr "� 0� CJ� A � (O " d �j'
O O O C1i Cn O � 3 � .���
O O O p � fJ CI> > a�! ';
O O O O O O O f% ��' ':
�
W
v
a <
�
� � �
c a
'v w �
V d� ,�
N �p
� -� N N � pp �
W tp
� c� O O � 0 (O � n
Cn v p� C
c�1i � � UNi O N CVJ1 � �G
� Cn � W N � S� ,
v O
D
� �
�
0
c
�
..
�
� � N � v
N O O p � Oo A .� � N
CJ� O O O N � p �
oZC) -_{ OZC� --I OZC� �-I OZC7Cn oZC> (n oZC7`� (n - oZC7 (/J (7 �p
��n �m � c�i� � D n��'iN � mX n � � ci r�1v � � � n� cDi� � c°'ocCi� p r"'.�i�� m a`Di �
� m ` m z � p D a° m c� � p � D � p � op � a� m � c� � c ',
o � o N oD � o O oD 2 ND � C ►� --�
r�v � n� D � � Z � n � fJ --I ° p � m o o � '� �c
z Z N fn N Q N � N � _ � N O
�I � � � � Z X Z
D � � O Z m
C) � � D o �7
oDo O n � � D o �
m � � � °v n N O
Z oo � o � � ° �
n � o � ° _ ►� 'U
� � � p � � o0
W � � � � � Cvli
O
N O Z � p�
� O
N � (7 ...� ...�
O � O O
D o �
�
N
�D
II�
�
O
cp
�
� N �'
<O O V O N �
�I A � Cn t0 O� p ip =
0 O O O O N O �'
O � O O O O p �
a
N '
�
C�O U�i � O V '' N
0 0o r
N N -� C� O> � � �
O O O O O O O �
O O O O O O p � �
2 2 2 = 2 = _ °'
r r r r � `
r r- r
D 3�';
� CT tD O �J O N C d �I'
00 � W A �I (r � .y.► � ^i'
O CNfl O C�n C�Jt O � 3 � _ '
O O O p � O O � ��;
O O O O O p p y O Nj!
�
v
a <'
� n �1
� 1 �
r.� c a
0
m �
O N ,.'
N A '� W (T �
� � O O (p � �
N � � A O� O � lD
� (Nj1 w W �l � � n
(11 �l 1� .ta, y ^
O O O (NJi � A O A �K
-_ _,,.�_
cn
J, W N � A A .
� Oo � '
� �
� W � �
v
� � � vWi a> '�
v, o � ,,, W '�
N
(p p� p) v � O
O V � � �.. OJ A � W
0 0 0 _ � � w ,
� �Z � � � �000 o � ncn o _ � _� ° oo �
� � � � N � DN � NCO � NC �D c," � LL aoCD �° ° -< �m e�
NTrT� � �1C W � � � � r � � � C7 Y� N --i —I � N (/) O� N
° Cn � oCZD � oC 1— N �7 �� ��' ^ OD .nrC� aom � — �
n� p � 0 NZpp � p � Z D ° Z � " _ ;� oC3 � o O '�s'
W �Z O � Nv � N � O s;i C'; N ��Z� N n � �
D � _. ;' � O
cn O L� �
(/) -i � � r r�; :�� T� � �
n _-I r po �� �7 C �
� D <..? �:!; 7C Z C
� � � r Z7 � Z
D � r - , 0 n
C � Z � ��� �' �1 �
-n Z n -Di `'�� � O
� (n W � cs' i" � Z
O � � Z _::: (n
N ap C' "' � (O
�1
—� � 0 r� C�: N N
� � r�, C,:• GJ
� O O .:. �, W J�.
� � �p C:^ W
CJ1 � N i3? � � �.
p � c::.,
A
� —' �,� A �
—i �-- �
cJi
O
tD
A
00 N =, i
N (C '' i
O ?I �
� �I I
O D �
N ' I
� i
^' -' c� �
rn � � � �
0 0 ►� � o � o , j
0
°o o° o oo° o o � ',, �
3 � � � ° o° �
r. � � � � = a
r. ,Y � �
-� r
N � D
rn � 3
rn � � _' �, a e�
_, W �I jV —� N C 01
O p N (p O � � � C
O O � O O � 3 Ci �
O p 0 O O p lD � �p
� O p �'�" O y
. i
ODI
�
v �
D <' '
� °� ' '
c a
a� i
H � �
� � N � � ;
W � A � c� � —' � ,
v � � � -- � � � i �.
N � � � ,: � � [Ji !D
OD � c.` _ � W � A �
� � N � ,-, — V Oo 6� C
� W L �. V � C �
<D �
_
_
_
_��
_. _ _ _ __ _
_,, ,,_
° ' D � D D n o ^i � y �7 � � � o m �
� �. = l�D N c- �' � � C� = ro '�� n tD � � •
�, c° � a, � it s ? n; R � � p m 3 3 ';--I -I -i --I -I -I O�o . p�j � .
o m � r, .a � � c ,< � ,-. N m o �- � �
n o ip � N v. w � � C m � 'O O O O O O
a� � n� - "^ n`i c � � � � n� in � �LU v � 1� N N �
� � fD �' � � � � f� � �c ` N 30o inDCn D < �i '
�o °6' � .o a 3 � 3 N � ., � ' °' s �� � n � c V � �
N�' a o ° � (� io � m '' �' � � !Q � � � (D y 1 .*
O m �, � a � o m � p� " n� �� !� fn`� . 00 N 00
N a
� m` c�Di � a s c� a �u�i m a ro <° � �a • � �' � � � V
o � � c p^ <p � � Q y s� N jC � � � � ,ti.N
c � -�. cp ? � �a c: vi �. � � a iN C _ O W � Ip tp
�� y a W �. o � � � � m g � C tD _ O O � tlN Q)
�� � �. � � � Q a Q � � 9'� o �� y � y � p � � OJ � � (AtTJ O O
� < � o a � m a � m � v ' . n �' � --1 N ,.,i � D N
ao ^ _ � � � � NC � � � C f" ID �V
�� � � � a � � � � � � �a ,' � DC C:) t� C � 7nC tODVTC � �
m , � , a n � � -., w � � �. o � oCZ �7 '� .�?
�p N' � � � m n ='' m � no :00 •" "'' zCQ '' Z �
� � a � m m v � �D a a3 ; ' � ;p � � NC7Z N � — O
�� � N m 3 m m a N � � N � O {O-' Z T` � T� �
0
o-� = m � � o o f o D (!y� r' S'
o� 2 r c' � �n 3 � �n A � �C C
� g ° � � � � tD c , � � � � Z Z
�R' a, � `� a y c °.' o� 'i � � = OJ W
n. _ � � �
m a��i � �, o m � m°� ; -C�, :U
° ° � 3 v, g ' a c � ' � V 'T'� T
_ = N m � °' t '^ < ', p D
� �, �, m a � � � m � ro ; n. cfl
� m m a n t� Z Z
- o`� a � c j �' � p^ ! ', , � � .
>j. � c � u; p 3 � Q ; y O n C7
� O
m °� o � � n �* ° i : m � II � -' CO (fl
�o m d 5' � °i � 3 ? � m 1 I � O� N N
�.y C � � �^p w �� r:>� Q c , . �. J�-- Cfl V1 ..
� I � �
m y � n O O a 7 ` _� caD v j �: ��� . 07
7 � d C C O _ �� � �' �
y K � ' � 41 � 41 I . ��. . A � �
('1 C � y � � C) "' fl CD I . . . � � vD
n�
G1 � � .-C. y Q O � � O � f � v
� �
m �. � � � � � a � �o � I n'l
C CT � N 7' n Cl . [:; �� I I ' �-
W N O. !D � � @ _ C C , . � �
m c> D � v� ,��, 3 ,' � °i i; (D
��- � v a � n V; o �, ; �
n F c � � o g '� m i^p I ' , � _
cO y � �-p. � c rp m c', oM m I ' �
m � � � ?. a y s o � i I 3 ?
�� � o a o � �, a ' D
� � II � y
wC � m � � � � v � � 00
cp m m c
m 0 � � � N �[; C� � � � �
c ' - = :: �O '
a Q m � �u � �:, � i ; tD --• -�
� �' o =s m o j -' o r
�° °' m � � o ��� m� I � ' � � O�o 00 � �
c��' � � m s 3 mm ; i � O o `
�i � � ° d � �� ' � O O W
O �' V ry � � y � � r+
_ � y � v m }; o �' ! : a 3 � °'
d �
N c � ° °- ° �'. o`m ! � �
v m � oi o � � � _ I ;
u> > � � -- � I
n�.� � � `Q c�p n�,� !
� o. � , x = i � � 3�'�`
� = a ;
,�^ � o � . � � � � �, e�
s
o � m < 3 �p I j p N �
�� o �,' �� m�m I � � po 3 a� •`i
� o m � � �o i ' O p �D O. 'i
o i O p �
w� 3 'o ' m� O p '~ � y �
�� � �' j � o y � ..
o d � a j �
N N ,G �C 7 � �j � ; ' ���.
�� � C C x �. . .. .
� m a a �d i
d � �
�m `Da N c o I; ts� � C
o, a a <'
n'o � a� ; o0 ou n d
W �/.7 1 �
O tD O p ; v �. �I C a �.
o O O
al
m � y � I � � y �
� � �
°: � �°—' 4c� � ic� c�
- � j d F� �. I�..� .J
� � `G a I� � �� ��.
H T � � IGn A Cn A p� �
� a x m N tD �N cp � N �
c `� �i� IN O�D �N � N N C l�'>
^ p o �cn Oo; jcn oo i_: � Q� �
� �X 'W N �W N r-; � � � "y
N � ��A � I? Q� �. A � �
� S'
� �
_
_„,,,
REV-i5o8 EX+(o8-i2)
�pennsylvania SCNEDI�LE E
DEPARTMENTOFREVENUE CASH, BANK DEPOSITS &MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
/l���'T �. k�. 2-r -iz o9�'�6
Include the proceeds of litigation and the date the proceeds were received by the estate.
All properly jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
�. �i11 C ��llllL_. �A�t/�A�f.S 1�GG��1Jn� �/ 28'3, 02�'
2. t-�z� ��.��-r/�-�-g�z-gg2�g (�t�+�,��1-� �i✓� --- ���; o��, ����
�-� �� � v� ,��� �v��.J
�i L,�l� E-r�>
3� �'v�l .��t�G�,4 �n/��rrz/ 6 g�-g� ��`
� ��nl� t� Q�rz�� �l�''�a,� Z sop_ �,
�. �' ���� �I�,�i�nl -P��G�.S l, 3 zz, 6�
TOTAL(Also enter on Line 5, Recapitulation) $ ��3 ��S
If more space is needed, use additional sheets of paper of the same size.
_ . _ . _ _ _ ;i ,
- _ _ _ - �....,, _
Savings Account Statement
PNC Bank BPNCBANK
Primary account number:50-0438-4016
Page 1 of 3
Forth+p�riod 12/21/2012 to 01/Z2/2013 Numberofenclosures:0
000117 For 24hour banking,and transadion or
MARGARET H KERR
� . �interest rate information,sign on to
108 CARLTON AVE PNC BankOnline Banking at pnaCom,
HADDON TOWNSHIP NJ 08108-3501 'a Forcustomerservicecalll-888-PNC-�ANK
Monday-Friday: 7 AM-10 PM ET
Saturday&Sunday: 8 AM-5 PM ET
Para servicio en espar'�ol,1-866-HOLA:F'NC
Morinp? Please contact us at 1-888-PNC-BANK
�Write to:Customer Service
Po sox sos
Pittsburgh PA 15230-9738
�Visit us at pnc.com
� TDDterminal: l-800-531-1648 �
For hearing impaired clirnts only
Savings Account Su�nmary Margaret H Kerr
A000unt numbsr. 50-043&4016
Balanc� Summary
Befllnniny paposits and Checks and other Endiny
balance other additfons deductions balance
1,283.00 .00 t,2s3.00 .00
Average monthly Charyes
balance andfaes
888.78 .pp
A�edvtly D�tail
��� �u��� There were 2 Other Deductions totaling
�t� Amount Dascription $1,2i3.00.
12/91 .00 Outstanding Item Close
12/31 1,288.00 Debit Memo Reference No. 5Z2427755
Dail�► Balanc� D�tail
Date Balance Date Balance
12/21 1,283.00 12/31 .pp
....__..__� •_----_- •.._ .._..--�---� -- - � -- -- ��Kl74
y . _ �..�,
B PNCBANK
Cashier's Check PNC Bank,National Association
NO. 09866631
� Date December 3
�
�
�,
� Pay to the Order of CYjv'j'HIA S KERR $ 1 2$3.��
¢ '
W One Thousand Two Hundred Ei ht -three Dollars And Zero Cents
Non-Negotiable Customer Copy
5004384016
Remitter
_ __ __ __
_ _
_ . a��r
� < � � �iVG
o � � � n
CIi A W N -+ C) C (D o
� � N � O a
� � � � �
n �' � � `� 0� !8 '
�
� � C � � � ° � �
n°'i A "• O � � 0 3
cn rn p oo � °: �i ��,'
� � �
A W c.Wn N � � d N . . . . . . ' �
'9 1 1
O A v O � � tll t0 O O O �
j � ZC7 — � ZC70 � ZC7 � j � ZC� � j � ZC7 � G � 00 OD 00 "*
� °DyO � eJ -� 00 0° -< OD � °D -< Om � OD o°o w N N
-< Q C eD eD
� � p � � o�NOrn � � o m � m � aN�om � -�v � wm � rn � � N N iv
O O D C� O O p r N I— N Z m .�• ,:* O O O
� Q � � O O �11 O O mC ,.r �G N N N
W N � N � N m � N � � N C m �
X � m O X Z X �
� � � �
o �' C � � r0 0�o n
�
°w ;' � � ' oo � O
o c�n D c�n �
rv o p Z N � N �
� o < n ° Z ° Z
N N C) rv m
� � w � 3 � N
o � m °�
� � � � � A
O � O � 0 � _' _ .
N C�Ti `J �j � fj O eyrt
� N O � O A 0
� �
N O N � N �
�G v •G � � �• .
O p v �
o � � v
W �
�j GT W Cn N CO N C�Ti V�
O O OD = O
W �j � � � � � N
� N O O O N O N O ? � "�
° °o ° o o D Op
� �N�
rr
z � m < �
N � C (D � N
A W CT tp U�i r' � p d C G
0�0 A W � O � � � fD y S�
� � W Oo � � O
O O p � "'� --�, � C
O O O p p W � '�O � �
_ _ _ _ = ac � c� � O
� � �
� i— � � o a �
c
� � �
°, � m
a3 N a�i
n� � � �. e��y
� w cn ca cr, c �� . . . . . . c
pp v � f/f 7 = �
� 0� -J � � � Cl �, •—''
O C�T p � � �D �p' � � m �
�
O O O O O Vl � � � f�D
.. � _ �
� 0 � n
D �
� � N
� � D �
a <" �
� � �, m
o cn n� � � —I
� rn c a
o � � d
° o � v► �
co _cNn cw.� -' �
N � �
� � � � � d C
O CWIi � ' 1
O A � �
A�.
� �
v � '
� � w
� � �
r
N � �
W
V W �l 1:
. � � �
_, N
� ' W � N _.
W O
N (Ji �
� � O � � O � �
= ��ZOO O � = W OZC� G o V � � � ''
�„ � ��n a`�o � r- n ���� ^' c�Zn �m n�oi � �Z � D�D °�° �=z �
�, � � ,; ,io � � m N oom � � � � c� ^� cn � � n> � � G� u,
� °Zrn-- � ° Zpo � o � o O om ��j �" D 2 rvm � ��e i
�'A � G O O � V
, �,f- N 0 � fJ � Z � N � N � N � N c� X �j � � � '��,
r�- -� � � D (� C� r � i �
� � � � � � D
n r = Z y G� o Z I ''
,
O t�O n � A � � �
r (n � w
`r D N � Z � o �
C� -,
� O Z v �
,�` z � � o � A 1 -
�
�. v � w � w � I '���
1� � A ''
O W O v O i
� � � � �
N � � �
CJ� p � �
l ,I'
-�-I � v ; i'
� �
0
co
...
N � N W i
A
� A
N N � W � � i
O
O p 0 O � �I I'
O p � �'' ,
y I'i
�',
�
t� A � '�
� N � � ; '�!
(D � CTi jV � � I"' i
I
O p O pJ � �.a O II I II,
O
O
O p CJ�
O � � �p � W � � �� i��,
� � _ _ � w O � I
-- � ;- � ? _ = a I'
�" r � � I
� � D �i
N OD � � N G`) � C 3 I
<O .v � A 0 � A � � �`; III;
O
� � 0 O � � OD O1
O p � p � � p ID 3 Ip ' I
O �
O p 0 o O y O N `
.
�
I'
i
D < ;
� � I
d °' , �
y � i ''i i
i ',',
� ( '�
A N
L� ap � N A �p G'� IV � ',,
A V W CVp � � _a V � j'
-- V � O � � CT �p d C I II''
W � p � � �
� � � � � �
_ , i.,
__ _ _ _ - - - - _ _ _-...,, _ _ _
� ' O t/i -{
0 0 °c ^ D '� D D C� o T � D :0 • � n� � �
� m v, = �, � o o = ro m^ m
3 � N S (D (n tn 3 !n a n cn fD 1 y �
co m 3 � m � ?� m m o o m 3 � -i -i -i -1 -I -I cVn .A
°' °.' o � � �, .o � � � � r. � H � � o O O O O O O ;
� � �o � c r�i, N oi c� � = � '' n> in � N N N N N N n
ac � m � K m �9 � — — (
N j F .-�. � N O� � � (%+ f/� � K � � y � O 0� ��C7 D � : D G! O
t� -.c � a' �n co f N c�i „ m > > O C� (D (� Lll ! �
c� � �p d ro � Q 3 3 ;,; � .. �;' � c� 7 � � c� � C ' pp �
o' fD (n w a o <° u> > n � N � � Q� 'g � � � N ', � � ^'
a ,< ,� i
Q� �< � � � Q � �- � � n .. �m� Q � G i p O � v
� � c� w � � a � �p _. n� N n� f+i N
rn o � � c g co � ir Q N ��.vi � N � do � ti i
� m �� m ro W 3 � a � v+ � _ m f m � � O O � N t�0
�-o y �n °- n� co' o o w Q � `' � m � C N
� y n� � � ° a d Q ° ? � �' o � � C' NCND NCr � v �
n�
� c �'O � D D � Q =' p n� o � , � OD � � n � � n �
a �
a� � '� � � m a � m � m v, m a N T T IV T T` '
� m °i m m o � � a a y � ., a� � Z r � �Z � �
� Q � � o. � � � m v m m �a �x a � ' Iv Q � N� � _
m�c � c� � m � � x. � °' m , . o n� T� T�
m m �� � m m m ' y �, i
m c�i n� m = m F � o o ' _ � °c � �J W
� � _ , 3 < -- , D �.�..
�' � r°n^ o � c�i m � m �, ., _ j� (n
v ^' ma � - .� v c .. _ D
o' ,. � �
� °' . � n Z
o � �� 3 � n � v-�' c � , vQ ' � < C7
� , � o o � . o � � � D m
c� z o o �. � w � °� , � r
� �. � � N � � o � 7 � � � � �
F�. �' � �- w w a a� m C7
' � -�. � � °' � � 3 a � � T 'bD
m " om m v, N � ° d nm : I p
� i �
a m ip nr o m � � � o �- n�i m � i O ❑
d � c p c� m c � v ` N
m m �'
� �N C ? y CD .n+ � ft ,. O N I . Ul (O
O. fD 5 � � .-. O � `G :�? Q' �. '. : i � �
a � � 3 ni ° c � o t'. .., � c : � i +n �
`�° �� �' � � � � � � a m � o (7
� c c - � � � � i � cS'
� 67 n � .C-. y 0. O � p O ' � �
� �� � � m °1 c a L' N° �� '� �� I
N k �
in' w m a �° �' w 3 m s, � n�i j !
� � � D � N N � . � : I
p ��c � p� 0 ry a � p m � ��. - �
N a�� � N � O �� � � � � I �{�.
N
w � w � �' < c � �y �t o m , � �
d C� � � T p !D ' � y , I .
�. N v ' � ° a ^ `r' p m �. ,. . i '�
� '0� y O Q � n i;;- Q f�'1 ' ' , y,.
� fD � �C y N � C> � C . , .
S N C � fD fD N C r?`. � ' .' �"
N � Q C C � y �� (�� �. � , �
:} O
- � � N � �'p � " � „ i , N N
r � � � v� ° a o � � W r
� v�i °' �D 3 � o �a � � --� �
� m � m c° � � - m m � p O �
d n 3 � 0
7 C � N 7 � 7 , � i O O �,.
�. O .-�-: 'D tD � ���' N �� � S > a�
� 7 fD !�p y N 7 > p V1 I . � x
� �. . �. .�+ � �
=, y � � j� Q' � �C.i O!D � . i �
� m � � f � 3 °-' _ � �
� � � a ,� � y^ r I D
� x ! 3
� �� ' o ` � � � , � N ►V °: e�
� � ; c �
o �� � � � m � � � � � �
� � � � � � � i � � 3 d
a mc�i m a � yo , O O � G. �
m m �,.
� m c° 3 v Q m'o � � O O w O
y »� y .:. y o � O O y �
� °,o m �O m `a �� -•►
� m j d>
O ?N �< (p 3 .. .
� � �
� o � a m �x i
� � �, Q ,� v I v
,� �, � � o �
s �� a y ; o y �•
� ° � a �
d n o .c a=. N N ` C> >
> > � N'a A � i C a
�
m ° ° � Cn U' '' � �
fD � � N�
CD (O I y r►
j y � 0 � �
y y I
m �' m � o, � Ef� �69 EA;
a � ^ `< c :.CI� CT �CT� CT I ra
� � t� �
� y T x � � p � p N �
� a �
c6p � � � Cn V' 'C�J� v� W W G n
'O Ui IO C1i IC� N t0 61 C
�
c
< ^ N � x IU1 CO; IU1 CO i:: q� � C �
� v� m �--� N _. N Ii.': Oo -+ {D '�G
� � �
N
. _ _ m...� _ _
SunAmerica� ��"1� ,: .
the retirement specialiat <��;:v� ,
SUNAMERICA ANNUITY AND LIFE ASSURANCE COMPANY jb��**� 2000465294
1 SUNAMERiCA CENTER, CENTURY CITY � Octob�r 22, 2012
LOS ANGELES, CA 9006 7-6 1 2 1 R•/����+�'•� VANT
�i x..�. P3799505476
r.rrr�o+�r KERR MARGARET
A...a�r KERR MARGARfT
CYNTHIA KERR �++N r.o 153SY
108 CARLTON AVENUE
WESTMONT N.1 08108
Int�mal Doc. D�scription Amount i
2200504728 �EATH BENEFIT 3,424.74 ' '
Amount Peyeble 3,424.74
�
�-°.
`� SunAmerica' �P�'�O�g°^ Chese Benk, N.A. Check Number 43680771
� the relirement speclstist Chicego, Itlinois �o-1a22/719
��-
K=
� SUNAMERICA ANNUITY AND LIfE ASSURANCE COMPANY �0093S�A7
�-""' 1 SUNAMERICA CENTER, CENTURY CITY
G��° LOS A NGELES, CA 9006 7-6 1 2 1 Date OCiobe/ 22, 2012 $*******+►+►3,4 a�.7 4*I
�r,
�'•. Nof vMiA�h�r 100 d�y��rom d�t�
Two �iprrturu rpuir�d k ovrr IJOO.00p,pp
�ar
+
�!
•'THREE TNOUSAIVD FOIiR HU!KDRED TWF1�Tl'y}ipUR and 74/100 DOI,LARS ••
PAY To Th� Ord�r Of
;b° CYNTHIA ICfiItR AU7HOM2E0 SK1kATUlIE
°� I08 CARLTON AVENUE '
WESTMONT NJ 08108
"' AUTM 2Ep gpNATUI� '
:�,
��'4368077Ln' i:07L923226�: 0009 3 5 24 7ii•
_ . . _ . . . . . . . _ . . . . . ._ . . . . . �„�..,T - .
�I •J V �J V, W L�J
00 � � O H roH � � � �
N Zx y t��i � � Li � rr
� � � � � � � � � � � �
U► � o � � � � �°n ow � � Nn � µ �y
�1 �-3 r � cnao � � t�io � H z
t�ri � tyn , � Z � W x �y�i � ��yx � � ti
H O y No'�T1trJ .�7a �7 ,'C' � � 'T]
H z � x a� o y yr nz �
z � t��i t� N ~ � � � z .��d yZc�i�
z z� c� H ;� �
� dz y � `� ° � �
v �u- � V' o a°o u~i ' t y
tri � �-3 H :� N a�
x x ro o � �
n � r� r� o � w o
� x � z � � �
H ro t�' '�TJ Z �
� H H
H � � v�i
� � � � � �
� � � �
H C� H F-' F�'
(!� l�] [�J N lI1 }'d
t�i ?d cn o 0
�7 H • • H
C � H o o x
H H � O O L�
Cnr] LC-' H G]
H �7
C� '�i O O
� oz �
z r � ro
� o o ro o cn
'X� �' 'rb � N �.._a
� H H �P (—� Z
y � n ` k-' �
� � �
N � m
� �
Q
b
-----._,.__�____.__ ____
.^. _ .�.._.__
_ . .
�,
. _ _ _ ,.�„�
REV-1511 EX+ (10-09)
� pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIYE COSTS
RESIOENT DECEDENT
ESTATE OF FILE NUMBER
� - �� Z[— !Z— 0 f g6
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A• FUNERAL EXPENSES
1.
C��-���v� r�C'�zr���� � .���-�� �9 �s�. B ''
1 i �
B. ADMINISTRATIVE COSTS;
1. Personal Representative Commissions:
Name(s}of Personaf Representative(s)
Street Address_ i_,_
City_-------- --- _State-----ZIP_.___.--------
Year(s)Commission Paid:
Z• Attorney fees:
�12,�gs:mD
3� Famify Exemption: (If decedenYs address is not the same as claimant's,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4� Probate fees:
�2�.3Z,
5• Accountant Fees:
l,43�ao
6• Tax Return Preparer Fees:
�. �l1N�o�YI<N t1Jry� �� 9�� htd��i�� �G�-.�Ss�. ,�'6,z2o 3,1�
T
g- �Al.dOlJ�t<A1lUM T���Z��/vl.A-�nt��A1� � f�p� $i1�
�i , ���.g0
9� G�O�t/AO�,��t1 fUM S/kG� G}DiLlhtt��'69�1 CriO.S'��j� ��s'�"'
� �6� l2g.�5
�'�?�iJS��-r-,� � 3
TOTAL(Also enter on Line 9, Recapitulation) $ L' . $�, Q
If more space is needed, use additional sheets of paper of the same size.
. _ . . . . ._ .. _ . _ .. _ .. .. . . . . . . . .. _ _ . . .. a,�.;_ . .
REV-1513 EX+ (01-10)
i`? � pennsylvania SCHEDULE ]
DEPARTMENT OFREVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ES7ATE OF: FILE NUMBER:
/���� �- ��_ ZI- /2- fl
RELATIONSHIP 70 DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECENING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec.9116(a)(1.2},]
1.
�l� �, ��`w�TL- 1��0{�� �jD �r�
l�8 �����J Arv� �
V��r�anfr N�
,
DS"��g
2. U1��ln�lA� 1�'��- t�A��- �o '�
1 b� N�i `T�-� C�IA� UN�T c��6
� �i���, 1 L, 606�,�
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF 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:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed,use additional sheets of paper of the same size.
mA.�
, w ,
_��
LAST WILL.AND TESTAMENT
OF
MARGARET H. KERR
I,MARGARET H. KERR, of Cumberland County, Pennsylvania, declare this to be my
Last Will and Testament, hereby revoking all Wills and Codicils at any ti.me heretofore made by
me. �
FIRST: I give and bequeath my entire estate of whatever nature and wherever
situate at the time of my death,to my daughters,VIRGINIA MARGARET KERR, of Wilmette, �
Illinois, and CYNTI-�A SUSAN KERR, of Westmont,New Jersey,per stirpes. �
,
SECOND: All estate,inheritance, succession and other taxes, imposed or payable by
reason of my death, and interest and penalties thereon,with respect to all property owned by me
at the time of my death and passing under this Will or under any Codicil hereto, shall be paid out
of the principal of my general estate, as if such taxes were administration expenses, without
apportionment or right af rei.mbursement. Such taxes shall be paid at such time or times as may
by my personal representative to be deemed advisable.
THIRD: All principal and income shall, until actual distribution to the beneficiary,
be free o�the debts,contracts, alienations and anticipations of any beneficiary, and shall not be
liable to any levy, attachment, execution or sequestration while in the hands of my Executor.
FOURTH: If any beneficiary shall, in the sole opinion of the Executor,be mentally or
physically incapacitated, the Executor may apply the shaze to which such beneficiary is
otherwise entitled hereunder for such beneficiary's support, health and welfare, directly, or to his
or her duly appointed guardian of the estate or person, or any person who has care or control of
such beneficiary, as the Executor selects. �
11983 t.I
. . _ . . . . . . . . _ . . . . . . . . . .. . . . . . .. .. . _ . . . _ . ,. �,
-� �,
• �
� �
//�
1
�
i
/
FIFTH: In addition to the powers given by law,my Executor and any successor,
without atty order of court and in the sole discretion of the Executor, may:
.
a. Retain any real or personal property, as long as deemed advisable.
b. Invest in any real or personal property without restriction to legal
investments.
c. Subscribe for stocks,bonds or other investments;join in any plan of lease,
mortgage,merger, consolida.tion, exchange,reorganization, foreclosure or voting hust and
deposit securities thereunder; and generally exercise all the rights of security holders or
employees of any corporation.
d. Register securities in the name of a nomi.nee or in such manner that title
will pass by delivery.
e. Vote securities in person or by proxy, and in such connection delegate
discretionary powers.
f. Repair, alter, improve or lease, for any period of time, any real or personal
property, and give options for leases.
g. Sell at public or private sale, for cash or credit, with or without security,
exchange or partition any real or personal property, and give opdons for sales or exchanges.
h. Borrow money from any person, includi.ng any fiduciary, and mortgage or
pledge any real or personal properiy.
i. Disclaim any interest or power granted to me under any instrument or by
operation of law.
j. Employ custodians, accountants, investment advisors and other agents (far
non-discretionary matters) and pay their proper charges in addition to fiduciary commissions.
k. Use administration expenses as deductions for federal estate tax purposes
or fiduciary income tax purposes or partly for each, without making adjustments between
pri.ncipal and income in consequence of the exercise of such discretionary power.
1. Compromise claims.
m. Add to the principal any property received from any person by Deed, Will
or in any other manner.
n. Do all acts regarding checking, savings, transaction, deposit, loan or other
bank accounts, savings certificates, certificates of deposits or similar instruments. Sign any tax
119831.1
-2-
_„.,�
. � �
. •
�
information or reporting form required by federal, state or local taxing authorities, including,but
not limited to, any Form W-9 or similar form. In general,transact any business with a banking
or financial institution that I could.
o. Make distributiofl in cash or in kind or partiy in each.
SIXTH: I appaint my daughters, VIRGINIA MAR.GARET KERR attd CYNTHIA
SUSAN KERR, collectively, or the survivor of them,Executor of this my last Will and
Testament. No personal representative appointed herein shall be required to give bond or fumish
sureties in any jurisdiction.
`,�
lN VvfiTNESS W�REOF, I have hereunto set my hand and seal this `�'c�ay of
December, 2005.
.__ f
,�G� " - � k' � (SEAL)
G T . KEIZR
SIGNED, SEALED,PUBLISHED and DECLARED by the above named MA.RGARET
H.KERR, 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 hereunto subscribed our names as witnesses.
_ �'
�� 0�
SS ADDRESS
,
, ,
- ,
SS SS
I 19631.1 ��'
_ . . . _. . _ . _ _ _ . . . . _ . . . . . . _ _ .. . . . . .
_ _ _ _ _. _�. _
•�
,, r
:a
(}
/
COMMONWEALTH OF PENNSYLVANTA � .
: ss
COUNTY OF DAUPHIN
! �
We, MARGARET H. KERR, the testator, and �.�1/i n1 M. S e oTT and ; '�
��a� �- ��u-�"� , the witnesses,whose names are signed to the foregoing �' �
'��; ��i
instrument,being first duly sworn, do hereby declare to the undersigned authority that the
testator signed and executed the instru.ment as her last Will and that she signed willingly, and
j
that she executed it as her free and voluntary act for the purposes therein expressed, znd that each ' '{
of the witnesses, in the presence and hearin of the testator si � 1
g , gned the Will a.� a witness and that �' �
to the best of the witnesses'knowledge the testator was at that time over eighteen years of age, of '!,
; �
sound mind and under no conshaint or undue influence. '; �
I
' �(
I
, ,
�� ' �• ; � 'j
MAR H. KE , ,'�
/ : � �i
-�Z�- � ,
� ti
ihless '',, �,
�
� , �
_... �
�
f
Wi ess j '�1
�� I
Subscribed, swom to and acknowledged before me by MARGARET H. KERR.,the j ''�
testator,and subscribed and swom to before me by_K�V►rJ M, S�-rT �d
��I ����
'. �
����� �" M�L� the witnesses,this ��I day of December,2005.
;
r
• ,
Notary Public ; �
; ±cii.'t.B.�ar:'��: I
: .. i�,uw.r,,�
� .li H2-ri51�rJ,L:BU�i,�C� `,,
itse3i.i ��_:''m,'s6'on�:c�:ra�.i�'r ..��,:. 'i,
,.._.. ._. -_�ns;�'��.^i? _'-r- .._ .._ i
�s��t#`�' ' CINDY KERR Fuel Sawy,LI,�
; �� ;�,t�'a�.;.'. Principal B078 Central Highwa�y.
° ,�"� � pennsauken,NJ 08109
��'���'x r'��*�,`;��:. T(888)428-3899
����� ��� F C888)317-0409
�=}����,� "iz ., , kerrbloomsoverizon.nef
May 22, 2013
PA Department of Revenue
Bureau of Individuai Taxes
Inheritance Tax Division
To whom it may concern:
I am the executrix of my Mother's will, and am writing to request a slight extension for the
final filing of Form 1500 Pennsylvania fnheritance Tax Return Resident Decedent.
Margaret H. Kerr is the deceased, and her estate file number is 21-12-0986, as assigned
by the Cumberland County Register of Wills in September of 2012. Her date of death
was August 28, 2012. Her social security number was
I own my own business, and am not a resident of the state of Pennsylvania. Juggling the
estate; the clean up of back taxes for the deceased for 2011 and 2012; my own business
and other personal matters this Spring has taken more time than originally anticipated.
Arranging to physically get back over to the Cumberland County Register of Wills to file
duplicate copies of the tax return has been difficult this month. All anticipated taxes due
for this estate were prepaid on November 27, 2012. In fact, with the recent completion of
2012 individual income taxes for the decedent, the estate is anticipating a slight refund.
We will be determining that final figure next week with the assistance of Margaret's CPA.
As a result, I respectFully request an extension to June 14th for the physical filing of Form
1500 paperwork with the Register of Wlls at the Courthouse in Carlisle. No additional
tax payments are anticipated to be required at the time of that extended filing.
Thank you, in advance, for your assistance in this matter.
Regards,
Cindy Kerr
Fuel Savvy, LLC
kerrblooms c�Dverizon.net
(856) 425-3899