HomeMy WebLinkAbout07-08-13 � REV-150Q�x`°,.,°> "�505610143
PA Department of Revenue pannsyNania OFFICIAL USE ONLY
Bureau of Individual Taxes �+��*�AE�S °u�ur cade rear Fde Numoaz
PO BOX.280801 INHERI7ANCE TAX RETURN 21 13 0 0 3 8 9
Harrisbarg,PA 17128-OBOi RESIDENT DECEDENT
ENTER DECEDENT MFdRMATION SELOW
Sosia!Security Number � Date ot Death Date of BIAh
10 08 2012 09 09 1930
DecedanYs lest Name S�ffix DecedenCs First Name MI
MILLER 3EA27
(If Applicabie)E�rter Surviving Spouse"s intomfatlon 8efew
5pouse's Last Name Su$ix Spausa's First Name MI
Spouse's Sacial Securily Number
THiS RETURN MUST SE FtLE41N DUPLIGATE WITH THE
REGiSTER OF WI4LS
FIIL�N APPROPRIA7E OVACS BELOW
� 1. Originel Retum ❑ 2. Supp�amentzl Retum d 8.Remaintler ReNm(dete of death
pnor N 12-1&82)
� 4. Limited Estete � +�.Funue Intereet Compiwnfae � 5. Federai Estate Tax Retum Reqvired
(tlele af tleeth eiler 12-02A2}
� g Oecetlent Dletl Teatale � 7. Qe�nt�MY�T`m�ed a lrving TruN � S. T�fdl NUffibLY�}SBfe D@�Sit BO%CS
{AfleCp Copy M Wilp ( )
❑ 9. LltigatianProceedsReceived � 1P.be�ahP��81���.�_���d�� ❑ ti,ElectlontotazunderSec,8113i�)
(Atkach Sch.0) :� �
CORRESPONDENT-TH13 SEC'fiON MU$T BE COMPIETED.ALL CORRESPONDENCE AND CONFIDENTIAI.TAX ORMATION�ULptE ECTED TO:
Name payti�T�9phwre�mbe� �
DEBRA K qPALLEfi 71�'Z�� 1'300�+', �
� y, r- rn 3s
REG'�T'E!'�t�cWlLLS USE@NE�
� c7 « � � `z
FitaY t{�o!address v� �' -`` .:-"- �
e� � r-, r- rn
24 NORTH 32ND STREET � --i �, � o
> c�
Second iina of adtlress
DATE FiLE6
C3ty or Pos#t7ftice State ZIp Code
CAMP HILL PA 17011
CorreapandBM�se-ma;�addreas: wailetdebQeoi.com �
Ub h e c�o�a�nd�mpleteDeGp�ration ot p��parer oMerihan Ure pa�o�n�taepresenta�Nve�bas�etl wi��a�ll inf��maUoffir+�otwhch p�p�ere�r has sn�no�wled9e beuet,
51 URE OF PEftSON RF,SPONSI6LE F ILINCa RETURN OATE
/
��,,�,r�j,�'�,� f��.�,,,�,,, George W. M!Iler,Jr. �'S_f �i
�ADORESS
482 Lancaster Avenue, Enola,PA 17425
SIGNATURE OF PREPARER OTHER 7HAN REPftE9ENTqTNE DATE
� {� W�y„r. Debra K Wallet �'�i"�t,3
.
AflDRE55
24 North 32nd Street, Camp Hili, PA 17011
Side 1
� 15Q5610143 15d561Q143 �
��
� 1505670243
REV-1500 EX
DecedenCs Social Secudry Number
��n�:�,�: MI�LER, JEAN
��_--__--.._--� _--...�-- ----. ,_-- - -- -
RECAPI7ULATION
i. Reai Estate(Schedule A}.......................................................................................... 1. 8$ , 0$7 . 6 4
2. Stocks and Bonds(Schedule B)............................................................................... 2.
3. Cbsety Held Corporation,Partnership or Sole-Propristorship(Schedule C).......... 3.
4. Mortgages 8 Notes Receivable(SchedulG D)................_........................................ A.
5. Gash,Bank Deposifs&Miscellaneaus Persanai Properiy(Sahedule E)._............. 6. 3 r 7 0� ' �1
6. Joinlly Owned Proparty(Schetlule F) ❑ Separate Billing Requesled............. 8. 1 , 8 a,8 . 0�
7. IntervVivfls Transfers&A4isceBaneoue Non-Probate Properky
(Schedule G} ❑ Separate Biliin9 Requested............. 7,
8. Total Gross Aesets(total Lines 1-7)....................................................................... 8. 9 3 , 6 0 2 . 3 6
---� - -._....-� __ _. . - .v-
9. Funerai Expenaes&Administrative Costs iSchedufe H)................__..................... 9. 2 1 , 19 2 . 3 4
70. Debts ot DecedenC Mortgsge Liabilitisa,&Liens(Schedule q..........................._._ 10.
1 t. Totai Dedactions(totai Lines 9&16}..............................................._..................... 11. 2 1 , S 9 2 . 3 4
72. Net Value of Estaie(Line 8 miaus Line 11)............................................................. 12. 7 2 , 4 1 0 . 0 4
13. Cbarilable and GovemmeMai BequestslSec 9153 7rusfs far whlch
an election to tax has not been made(Schedule J)................................................. 13.
� 14. Net Yalue SubJec2 to Tax(Lina i 2 mfnus liae 13).........._........................._.......... 14. 7 2 , 4 10 . 0 4
TAX COMPUTATION-SEE INSTRUCTIONS FOR APPIiCABIE RATES
15. Amount of Line 14 taxable
at tbe spousal tax rate,or .
trans£ers under Sec.911$
(a){12)X .00 15.
16. Amount of Line 14 taxable �s. 3 , 2 5 8 . 4 5
at lineal rate X o45 7 2 , 410 . 0 4
57. Amount of line 14 taxabie
at aibiing rata X .i2 i?'
18. Amount of Line 14 taxable
at collateral rate X .15 1&,
19. Tax Due..............................................................._.................................................... 19. 3 , 2 5 8 . 4 5
2Q. FILL IN THE OYAL tF Y4U Afif REQUESTING A REFUND OF AN OVERPAYA4EN7. �
s3ae z
� 1545610243 15d5610243 J
I�I��I
REV-1500 EX Page 3 File Number 21 - 13 - p0389
Deceden#'s Compiete Address:
Miller, Jean
-------- —_ -- ---_.._---- - - ------ -__---_----
STREETA4DRE85 � ���
267 Carlisle Avenue
� CITY i-i�^--T�—� -�-� STATE� Z�P
Enola PA 17Q25
Tax Payments and Cre�dits:
t. raxoue(Paga2,�inet9} (t) 3,258.45
2 GreditslPaymeots �� -��
A. Prior Payments
8. Discaont . --�
Total Credits(A +S) (2) 0.O O
3. Interest � �
{3) 0.00
4, tf Line 2 is greatec than 4ine t +Line 3,enter the diffarence. This is the OYERPAYMENT. �y} _
Check box on Page 2 Line 20 to request a refund -----
5. If Line 1 +�ine 3 is grealer than Line 2,enter lhe tliHerance. 7his is the TAX DUE. (5) �,�3$.a$
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 transter and: Yes No
a. retaln tha usa or Income of the property transferred:.................................................................................. � .
, b. retafn the dght to designate who sball use the property Uansferred or its income:.................................... x
� c. retain a reversionary interest�oc................................................................................................................. x
- d_ receive the Promise for life of eilhet payments�benefits or care4...._....................._._.........._._............... �
� 2. If death oeCUrmd after December 12, 1982,did decedent tranafer property within one year of death without
recelviregaCe9uatecansideration?............_..............._......__.....................................---...................................... I� �!.
3. Did decedent own an"in trust for" or payable upon death bank scwunt or securRy at his or her death7...,..... [J � �
4. Did decedent own an Individuat�Retirement Acxaunt,annuity,or ather norr-probate property which
contains a beneTiciary tlesignation9.................................................._.................................................................. � ��
IF THE ANSWER TO ANY 4F THE ABOVE C}UES7iON9 IS YES,YC4U MUST COMPLETE SCHEDULE G ANO FtI.E!T AS PART OF THE RET't}RN.
For detes of death on or aRar July 1, 1994 and before Jan. 1, 1995,lhe tax rate imposed on the nef value of transfers to or for the use of fhe surviving
spouse+s 3 percent{72 P.S.§9t 78(a){i.t)(q}.
For dates af tleath on or after January 1, 1998,the tax rale imposed on the net value oi trans4ers to pr for the use of the surviving spouse is p percent
{72 P.S.§9116{a)(1.1){i!)j. 7he sWfute dces not exempt a transfer ta a surviviog spause from tax,and!he stafutory requirements tor disclosure pf
assets arxl fiiling a tax return are stlli appiicable even if tfie surviving spouse is the onty beneficiary.
For dates of death on or after J�ly 9,2400:
•The tax rate imposed on the net value of trensfers from a deceased child 21 years of age or younger at death to or tor the use of a natural parent,en
adoptive parent,or a stepparent of the chiid la 0 percent{I2 P.S.§9116{a}{t.2}�,
•The tax rate imposed on the net value of transtere to or fpr the use at the decedenYs lineal beneticlaries is 4S percent,except as noted in
72 P.S.§$1 i6 t.2j(72 P.S.§9116(a)(�)}.
�The tax rate imposed an fhe net vaiue of transfers to or tor ihe use of the decedenYs siblings is 42 percent j72 P.S.S9a�&{aj(1.3)3. A
sibling is defined under Section 9102,as an individuai who has at ieasf ona parent in common with ihe decadent,wfiefhar by biood or adoption.
�
SCHEDULE A i
���w�TM�p��gn�µ�p I REAL ESTATE
INXEPITpNCETA%PENqN
PEBIOENTDECEOENT �
. ._.___ .�-.-�._. � . . "_ _�....-_
,�
FILE NUMBER
ESTATE OF Miller, .16�II1 21 - 13 -00389
AO real property owned soie{Y or as a tenant in camman must be nportad a#fair market vst�.Fair markat value is dsfined as the p�ice
at which property would be exchanged between a wilfing buyer and a wiifing seilqr, neither being compe�led to buy or sei{,both having
reasonable knowledge of the relevant facts. Real property which is Jaintly-owned with right of survivorship muat be dlaclosed on
schedule F.
Atiach a copy of the setfiement sheet if the propeRy has been soid.
incNde a copy of tho deed showtng decedenPs iMerest if owned as tertant in oommon.
ITEM � pESCRIPTION � VALUE AT DATE OF
NUMBER DERTH
----_ ---- - - _--------- ___.—_ ---
1 267 Carlisle Rvenue, Enola, PA 17025 88,087.fi4
(Based on actual proceeds from sale-see attached HUD-1)
- --_...-- --__— — .. _—__......__-- ------- --
TOTAL(Alao enter on I.Ine'I,Recapitu{ation� 88,8$7.64
� SCHEOULE E I
CASH, BANIC DEPOSITS, & tNISC.
��M"°""�TM�F�""s`wpAF°^ PERSONAL PROPERTY
INHERITPAlGE TN(PETURN
RESIDFNTflECEDENT
__-�--- — — - =— FILE NUMBER
ESTATE OF Miller, Jean 21 - 13-p0389
include the procaeds of iitigation anB the date the proceeds were received by the estate.Aii property)oirttly-owrud with the right of
survivorship must be disclosed on schedule F.
—___ _—._�— - ---------._�,.. _. .. �__.
ITEM DESCRIPTION VALUE AT DATE OF
NUMBER DEATH
_---_ _ --- - -- ---
1 Rolling Green Cemetery piot and vault 3,2Q�.00
2 Teamsters survi�or annuity payment 486.00
3 Stete Farm re4und 20.72
�
_ ____..._._._.� —
—_�
� � TOTAL(Atsa enter on Llne 5,Re¢apitulation} 3,706.72
i�
SCHEDULE F
COMMONW£ALTHOFPENNSVi.VANiA ,Jp�N��y.pyyNED PROPERTY I
INHERItANCE TAX RE7URN �
RESIpENT DECEDEN7
ES7ATE 6F Mlller, Jean -_ --- --�_- j FILE NUMBER -.
� 21 - 18-d0388
If an asset was made joint wkhin one year of the decedenYs date af death, it must be reported on schedule G.
SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHtP T{7 DECE6HNT
_�._�—. ' -'.._.. ...._ _
Sharon L. Ensor 488 LancasterAvenue Daughter
q Enala, PA 17425
JOINTLY OWNED PROPERTY:
fTEM '; �E7TER DATE Indude aame a mancial ins'tu on an bank acco�nt numbe DATE OF DEATH %OF onre oF aenTr+
NllM&Eft;FOR JOINT MADE r simiiar identifying numGsr.Attach deed far{o+ntiy-heid reai VALUE OF ASSET dE���s�, v"�-U�oF
� TENANT J6iNT estate. iNTERE9 . �cfoertrs irareaesT
1 , q 7/7/10 * PNC Bank Checking Account 3,sis.oa 50% 1,808.02
#5140043435
2 'i � * Richard Miller was added to this accaunt on
' 5/15/12, less than ane year before date of
� death.
i ( �
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1
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1
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�,_ � ...�_. _ . . .�.. ' __'
TOTAI.(Afso enter on Iine 6,Recepltulationj ��$08.02
� ��H I
coMn�a�w�,u.m or v�r+wsvtvnr+ia �'����}*/��/�•�'$�+�c
iNHERRrWCE ThC FETURN �I IYG Vi.N 1 J
RE91pENi oECmENT
_..--...____'___�__—_'_ —___._..__"_ ._'""__—.—",.........._. .__ �..
ES7ATE OF Milier, Jean �FILE NUMBER
� 21 - 13-003$9
---_._--_-- - _____ _._..----------__._.._—�.. _ _—_—
Debts oi decedent must be reportetl on Schedule I.
; --T ---_—�_,—i. � _.._ ---- _ ---
' iTEM i - --- ___.
NUMBER;FUNERAL EXPENSES: DESCRIPTICEN AM{7UNT
-- . --- — -- _ ---- f ----
n. 1 �'I John C. Sullivan Funeral Home 6,985.00
2 ( Pameia's Flawers 225.87
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B. I ADMIN►STRATIYE COSTS:
i. i Peraonal Represeotafive's Cammissbns �I
�. Name of Personal Representative(s)
I George W. Miller, Jr. '� 9,000.00
i
street nadress 492 Lancaster Avenue
� city Enola s�aie PA zip 17025
' Year(s)Gommission paid 2013 ! '
z. ', Attorney's Feea Debra K. Wallet, Esq. ! 3,500.00
3, i Family Exemption: (If decedenPs address is not the same as claimanYs,aftach explenation) �I
i
� ClaimaM
', Streel Address I
�
City SWte Zip
� Relationship of Clsimant to DeCadent �
I
4. Probate Fees 363.50
i ;
5. ����. AccpuntanPs Fees i
i
� �
6. i 7ax Retum Preparer's Fees I
7� � QkherAdmioteVa6vaCosts
1 Postage, photocopies, etc. 40.00
i
I
i
__ — —_...__—_. __
____......._—.__�___._ _.—__
TOTAL(Aiso enter on line 9, Recapitulatton) 21,192.34
1 ��+�� � 1
COMMONWEALTHOFPENNSYLVANIA � " �
INHEFITANGE TAX RETURN �C�' �
i�SIbENT�GEOENT
.._.— "'—_— .....__—' ._ __.__ . . __"'__ ___..
-- __—_....__—.._'___ _._ _.._. . _._., . .___. _.. .. _ '
ESTATE OF Miller, Jean FILE NUMBER
21 - 13 -00389
--- ,__ _---—--- - --- -
2 Pennsyivania American Water i 72.49
� �
3 � PP&L Electric 150.77
i
4 East Pennsbaro Tawnship{sewer} ` 138.Q0
5 ' State Farm Insurance{homeownePs insurance) 53.91
I
6 ', Estate checks I 18.00
I
7 �I George Milier(reimbursemerrf for praperty maintenance} i 645.00
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Page 2 of Schedule H
ftEV451]E%�(ii-W) �
SCHEDULEJ
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
.,..__ _-__- _- _._ .
... ._" -'---- -_ ...__. .._.- --_"__.
ESTATE OF Miller, Jean FILE NUMBER
21 - 13 -00389
� -� �' RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER '��: NAME AND ADDRESS OF PERSON(S) '� DECEDENT (WOrds) ($$$)
. RECENING PROPERTY �oo Not u�t Tmseeyy __
---- I -- .__
I. TAXABLE DISTRIBUTIONS[inWude ouMght spousal
distributions and transfers
� under Sec.�116(a)(12)] ,
1 % George W. Miller, Jc 'I Son 1l3 of residuary
i 492 Lancaster Avenue Estate
I Enola, PA 17025
2 Richard Miller !i Son 1l3 of residuary
clo Mark Silliker, Esq. � Estate
Silliker& Reinhold
� 5922 Lingtestown Road
' Harrisburg, PA 17112
,
3 �I Sharon L. Ensor � Daughter 1/3 of residuary
488 Lancaster Avenue Estate
' Enola, PA 17025 �
IIII ' I
II Enter dollar amounls for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropnate.
II� NON-TAXABLE DISTRIBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN .
i
�B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00
� ?rewvswucnrmonaaete exmHUO.i{ues}mxmwhoakaw5a '
A. Settlfit]]ellt St$t�.'(]]eIlt U.S.Departmenf of Housinp and Urban Development .
6.T of Loan OMB A roval No.2502•0285
i, pFHA 2. OFmH0. 3. {lCanv.Unins. 6.File Numder 7.t,oa�Num6er 8.MMgage insurance Case Numbar .
d. VA 5. Canv.im. CHi300399 -
C.Na�e: ipmam.n,y��p.e.nrw«.wewm.w�o�q���...na.,,n`..rorwxam.aanpurvaw��nar.�imaewmin.rowa. TtIBExpressSeltlementSystem
w�immenGanindwein�iwm�i �ierv�it�pny'np:xi�r'm:ieubsconis.�w'u�n�oia�°.esm�.o�'•�u••uPp° Pnnled05129I2013a�1023KAC
b.NnrotE Of 80RROwER: JEFFREY JAXHElMER and CARQL JAXHEIMER -
n�RE53: 3512&ia»Iand Mechardcs6ur PA tt055
E.NAME OF SELLER: THE ESTATE OF JEAN L.MILLER
ADDRESS: clo Debra K.Wallet Es . 24 N.72nd St. Cam Hill PA 17011
F.NAME OF LENDER:
AG�RESS:
G.PR6PE�2TY A06RES5: 287 CARUSIE AVENUf,EAST PENNSBORO TOWNSNiP,ENOLA,PA 77625 -
East Pennsboro Townshl
H,SE7TLEMENT AGEN7: Homesale Bektlement Servlces,717•fi71A876 Fax 717�671•9616
PLACE OF tEMENT� 3435 Market St Cam Hill pA 77411 �
;.SE7TlEA1ENT DATE: DSt29t2011
J. MARY BORR 'S TRp ACFION: .SUMM Y OF S R' T SA TId :
100.GROS$AMOUNT DUE FROM BORROWER 400.GROSS AMOUN7 DUE TO SELLER �
1D1. ConVaclsales nce 920tlQ.00 407. Conractsalea rice 92000.00
f02 Pe dp2.
76]. Sett�mamch eaiohamower lineia d703.60 403.
104. q04.
i05. 605.
Ad ustmenta!ar items Itl xlkr ln ativar�w AC�gtments Mr kems aid b aaNmr in advanee
td7. Gou tax�s OSt29t43ta12YS1113 516.04 A07. C taz� 05t7�13 12t3{t13 318.44
tq8. SchoolTexes pbR9N3to081301i3 145.60 408. School7axes 05128N3M08190f73 145.60
109. Sewerll'rashProation 05@9N3to06130113 5p,04 409. SewerRrashProrallnn OS@9N3to06130N3 50.04
fl0. 410.
1fl. � t51.
N2. 472.
120.GR03S AMOUNT DUE FROM BORROWER 97 278.28 420.GROSS AMOUNT DUE TO SELLER 92 SN.88
200.AMOUN75 PAIO BY OR ON BEHALF OF BORROWER 500.REDUCTIONS IN AMOUNT DUE TO SELLER �
291. mest 1006.�� 5�t. cesa6e ' inaWCti�a
202. Prin6 amwniaf!rewioans Sa2. Se tch �se�r ' 14� d42d.Od
2G3. Exislin losn s taken sub ect to 503. xl tin loan s k n su6'ect lo
204. 504. Pa oH M First Mort e Loan
�. 505. Pg olfatseconEnwrt efa n .'
�.
267. 507.
208. 508.
209. 509. � .
Ad"ashnants far itemx un aid 6 satler Ad ustmmts f4r ltams un id 6 s�ier
13. $13.
214. 514.
215. 515.
2�s. s�s.
z�r. s�7.
i8. 518.
19. 519.
220,TO7AL PAID BYIFOR BORROWER 1 p00.00 520.707AL REDUCTION AMOUNT DUE SELLER 4 424.04 "
3Q0.GASH AT SEfTLE[ABNT FRINd OR TO BORRQWER b9�.CASH A7 S£TTCEMENT T6 q8 FROM SE�I�R
361. Grass artrount due ftam 6 rrower ma 520 $7 215.28 Edt. Gr amaaM du to seller li {pp 92 5it.58
302. Less amounls aid b ttor Borrower line 22q 1 W0.00 602. Leas reduction unt due seller Ilne 520 4 424.04
343.CAStt KROM 9QRR4WER 96 2f$2& 6U3,CASH TO SEIIER &8 087.&4
ine��wwM���aE..LL�monT�e:im�ow'.aeayn�iiw.uemmnqwiwieeerc�a.�tl`iwx��1.'�imu�::u�i.Innn�blblP���pNeEpTh CPnb 154tP�nn�aeaw�.eee�a°`��•
rn.�o a�ew�wmnwie.m.rvo�raran.yeiw.wu�aan.
3[t�ErswEmUCTKWS:Itw�W�W�.uY+' nan�ew.ftlacamsttz.skemEUTmsomWMtlD�Nrfwvice.ma'aWM.HU�ruqM�mmemnwGroranamnewlvn�, �
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tdmplMMppkµNlpYGtlFWerl4Mt�Fdm p1Q/MgC.�N9�0(FOnflt6Wj. .
YOVVt�pulrytlbylwbpoW�W1pNNT�nt I`R�tl.T�aIDNe:_ IWMM1Yeu RMNMp�y�fNeMiI1C�Ibh�ulTb�f.tlywEenqp2NL!'/OIYSOIIW1f1Y0M�������'
�wmear.ye�maybewW�atoUwarclmFaw+�s�hnpoweey�aw.11rcierp�iAm i�oT-w�/ry,I�N��a�m�nwnbuxwimonwee�n«nmi�smywmd�erpryarbmunauon��mesr.
TIN; / 6ELLER�S�SIGNATlRE151: I '
S£AEF{6jNEW MbRIFlGAOORE3S
FW aWttVmsxeahOWHe 1mt�HU9.5{3R8}M}{YkbWka3G5.1
11.5.QEPARTMENT Of HWSING ANO URBAN OEVElOPMENT File Number.CH13-00399 PAGE 2
SETTLEMENT S7ATEMENT TilleEx ress Sedlement S stem Pnnled05129f2013 at 10:23 KAC
L. SETTLEMENT CHARGES � PAID FROM PAID FROM
700. TOTAI.SALESlBRQKER'SCOMMtSSiONbasedon rice542QOD.64=2764A0 80RROWER'S SELI.ER'S ,
�visionoicommissian Ii 7W as{oAows: FVN4SAT FUNpSAT
7Qt. $ lo SETTLEMEN7 SETTLEMENT .
702. S � 2 76p.00 m Prudentlal Homesalg Services 6rou _ �
7P3. Cam ' ion aid al S ment 2 780.00 _
8U0.tTEtAS PAYA8lE IN C4NNEGTION WtTH�OAH
801. Loan On'n fion Fea %
p2. Loan Discpunt N
803. A raisW Fee
960. Crectt Re
805.
806.
8W.
$Oe.
�.
810.
811.
900.ITEMS REQUIREO 9Y IENDER TO 6E PAID 1N ADVANCE
�i. IMBte9k From fa id2 -
902. Mort e e insurance Premium far 6 mont fo
903. HazaN insurance Premium for 0 mant ta
904.
965.
1000.RESERVES QEFOSRE�WITN LEN[}ER F6R
1001.Hazard inaura�e mo. $ Irtw
1002.Mort a e Insurance mo. Imo
iW3.Cit F Tax mo. S /mo
i�b. Pm 7sx mo. fiw
1005.SchooiTaxes mo. !ma
1009. Mal 's Ad u tment 0.00 0.00
1700.TITLE CHARGES -
t19i.5et8mrsnt " Fea -
5102.AIS9tra wTNie$aerch �
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RECEIVED FROM: INHERITANCE AND ESTATE 7AX
OFFICIAL RECEIPT
NQ. CD 01 ?849
MI�LER GEORGE W JR
492LANCASTER AVENUE
EIVOLA, PA 17425
ACN
ASSESSMENT AIVIOUNT
CONTROL
NUMBER
------- a«� ---------- ------..
101 � 53,258.45
ESTATE IPIFORMATION: SSN: ,
FILE NUMBER: 2113-0389 �
DECEDENT NAME: MILI.ER J�ARI �
DATEOFPAYMENT: 07/OS/2013 �
POSTMARK pATE: 07/05/2013 (
CouNTV: CUMBERLAND �
DATE OF DEATH: 1 O/Cl$/2012 I
(
T4TAL AMl7UNT PRID: $3,258.45
REMARKS: RCPT TO ATTY
CHECK# 10?
INITIALS: DB7
SEAt RECEIVED BY: GLENC7A FARNER STRASBAUGH
REGISTER QF WILLS
REGISTER OF WILLS
�.._ �, ._ . .�,� ___ . T� _ _.._ ,_ :..
�'aw O/��e,o�
DEBRA K.WALLET
24 N. 32nd STREET
CAMP HILL,PA 17011-2917
PHONE: (717)737-1300 E maii:Walletdee@aoLcom FAX: (717)761-5319
July 5, 2013
Glenda F. Strasbaugh, Register of Wills
Cumberland Counry Courthouse
1 Courthouse Square
Carlisle, PA 17013
RE: Estate of Jean Miller
Will No. 2013-00389
Dear Ms. Strasbaugh:
Enclosed are an original and one copy of the Pennsylvania lnheritance Tax Retum, a
check in the amount of$3,258.45 representing the inheritance tax due, one copy of an
Inventory of the Estate, and one copy of a Status Report Under Rule 6.12 for filing in the
above-captioned estate.
I have enclosed a copy of the first page of each to be stamped in and retumed to me in
the pre-addressed envelope provided. Thank you.
Sincerely yours, _ !,
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