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I 1505610140
REV-1500 �` "'-'°'
PA D�pMUna�t a wvanus oF�u�e aar
euwu of hidvidud T� INHERITANCE TAX RETURN �0�Code re�r Flb Nunber
���� 2 1 1 3 0 8 6 0
PA 17128�801 RESIDENT DECEDffNT
DECEOBfr INF'OItlMl171oN BELOw
ssamy Nwnber wte ot oe.m �oovrrr oaro a eam �w�oom�v
0 7 1 4 2 0 1 3 0 3 1 8 1 9 2 1
Lest Name SuIPoc DecedenCs FGSt Nrme MI
S H E N K D 0 R 0 T H Y E
�H 1 EM�r SurvlNnp 8paNS's InfonnWon BNow
S ae'a Last Neme SuIMx Spowe's Flrst Nartro MI
S 's SodN Sscurity Numbsr
TFIIS RETURtI MUBT BE FlLED IN DllPLICATE WITH THE
RE(313TER OF WILLS�
a��rraoPwer�ov�s e�ow
� 1.Oripkw�Retum � 2.Suppkmenfal Ratum � 3.RartwkMsr Retum(dKe ot dmMh
prbrto 12-13-82)
� 4.LJmfted Eshte � 4a.Futuro IMa�sst Comprombe(daM of � 5.FsdNal EkaM Tax Relum ReQuired
ds�th dter 12-12-82)
� 8.Dsosdmt DMtl Ts�hte ❑ 7.DecsdsM MaNqaNed a LNing Truet — B.Tdal Nurr�er M S�fe Daposft Bwroa
(��PY ot NINI) (Atlach Copy of Trwt)
� 9.Litlpatlon Proeesds Received � 10.Spouwl PorsAy CndR(dNe of tbaM � 17.Ekcibn M hz undsr Sac.9113(A)
bMxissn 12-31-91 and i-1-96) (AWch ScA.O)
NT-7H�BECTpN MU8T BE COIPLETED.ALL CORRESPONDENCE AND CONFDENiNL TAX NPoNNIITION lNOIKD BE DRECTED T0:
Daytlme Tekphons Nimiber
R 0 G E R B • I R W I N , E S Q U I R E 7 1 7 2 4 9 2 3 5 3
isreR aF w�}uag�q�
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Iine of addrees t� �-, 'r, -r; '��7
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C a Post ORics St�M ZIP Code : �r� DATE9qQlD r..._ i'n
C A R L I S L E P A 1 7 0 1 3 1' w � '"
s�mYl�dd�MS:
PwMIW�Of pNp+Y�I A�Wa tl�I Mv1 sornNNA tliN iahrn�Nidu�q aooampwykq�dwdAN�nd MM�menb,�nd b tlw Wlt d my Ww�Metlpe e�M bNNf,
H b .consotand aa�pUM.D�drMbn d pnp�wr oMer tlw�IM P�nmN npMr�Ytlrs b h�eW on tl kibrrtatlan af w1YCh papsmr hes sry knnwlatlpa.
OF E FI TE
(O3 /3
43 MOUNTAIN ROAD NEWVILLE PA 17241
orH Errrnm� re
13
ESS
60 IiEST PO F T STREET CARLISLE PA 17013
PLEA8E USE ORIOINAL FORM ONLY
Side 1
1505610140 1505610140 ����;� _
�,�
� . _ ._ _
I
. I 1505610240
����IX DsosdeM's Sahl Sxurfly Numbsr
wo.a.�r.�.: DOROTHY E• SHENK
c�Prruuna►
1. RsrlEstste(Sd�edub A) .. .. ......... . .. . .. . .. . . ... ... . ... . . . .. .... 1. •
2. Sbdu and BotMs(Schedub B) .. .. ....... ... . .. . .... ... . .. . . ... . .. .. 2. •
3. Cbssly Fbld Coryoratlon,PerNership or SolbPmprieWrohip(SchsduN C) ..... 3. •
4. Mwfpagss aM No[as Raosiwbb(Schsduk D) . . . .. . .. . . .. . . .. . . .. . ... .. 4. •
5. Cash,Benk DsposUa eM MlsceNeneous Peraanal Property(Sdiadub E). . .... . 5. 4 7 4 4 1 . 4 8
6. Jointly Owned Prtqerty(Schedub F) ❑ Ssperate&Ilkq Requesled . . .. .. . 6. •
7. IMSr-Vivos Transkrs d Miscellarbws rob�Ea Pmparty
(sd,edute G) �separne a��nn9 Requested . . .. .. . �. 5 3 9 8 2 . 5 4
8. Tofal f�ws�...0�eow unas i mro�n» ..... . .. . . ... ... . ... . ... .. . e. 1 0 1 4 2 4 . 0 2
8. Funeral Expe�es arW AdminlstretWe Costs(ScMdub H) ... . . .. . . ... ... .. . 9. 5 2 1 8 . 4 4
o. oe�xs a oeaeaeni,Morm.oe u.winbs,end Lbm(Schedub I) .. . ... . . .. .. . 10. 4 0 0 5 . 1 0
1. Tohl DWucHaw(total Linea 9 and 70) .. . ... ... ... . . . .. .. . . . .. . ... .. . 11. 9 2 2 3 . 5 4
2. N�t Velw of Eqab(Lina 8 minw Line 11) .. . ... . .. . . .. . ... . . . . . .. .... 12. 9 2 2 0 0 . 4 8
3. CharMable and GowmmsMal Bsqussb/Sec 9113 Tnrsb tor which
an ebctlon to tax has not besn mads(9chedub J) .. . . . .. . ... . ... . .. . ... 13. .
a. Nu Va�w Suq�et ro Tax(une t2 m�nus uns�3) .. . . ... . ... ... . ... .... ta. 9 2 2 � 0 . 4 8
�uc c�cuuno�-s��arnucnoNS FoR��vuc�e�e rurEs
5. ArtauM oi Line 14lmbls
rt Nm epoueal tax re0s�w
MnHen under Sec.9718
(a)(7.2)X.0_ 0 . 0 U 75. 0 . 0 0
8. AmouM of LMe 14 Wcebb
atnnsai,ate x.as 9 2 2 0 0 . 4 8 �e. 4 1 4 9 . 0 2
7. anowx a une u eaxwk
et sibNrp rata X.12 0 . � � 17. 0 . � 0
8. Amour�t ot Lkia 14 twabb
a�ca�arair.�e x.�e 0 . 0 0 �e. 0 . 0 0
9. TAX DUE . ..... . .. ..... ... .. .. .. ... . . . . ... .. . . . .. . .. . .. . . .. .... 19. 4 1 4 9 . 0 2
0. flLL IN THE OVAL IF YOU ARE REQUESTINO A REFUND OF AN OVERPAYMENT �
Sld�2
1505610240 1505630240 J
_ . __ _
REV-7500 EX ?ege 3 Plle Numbar
Decede Ys Complela Addras: 2� �3 oeso
DECEDEN NAh£ .
� DOROTH E. SHENK
STREETAD RESS
770 S. H NOVER STREET
CI1Y STATE 21P
CARLISL PA
Tax Pa eM,s and Cr�dit�:
1. Tax Due Page 2,We 19) (1) 4,149.02
2. C men(s
A.Prior ayments
B.Dis nt 207.45
Tatal Ciedits(A+B) (2) 207.45
3. Interest
(3)
4. If Line 21 greatx Man 11ne 1+��3,enter the�.Thie is the OYEFPAYMENT.
FII M ovtl on P�pe 2,lkM 20 Eo nquMt a�nd. (4) 0.00
5. If Line 1 Line 3 is g�aeter than Llrre 2,eMer the dflereiae.Thia la the TAX DUE. (5) 3,941.57
Make check payable to: REGISTER OF WILLS, AGENT
LEASE AN�YYER THE FOLLOYVING QUE$TIONS BY PLACING AN"X" IN THE APPROPRUITE BLOCKS
1. Did decedent meke a Uanafer end: Yes No
a. relain tlie uae or Incart�e d tlre piope�ly tranaferred� ...................................................................... ❑ �
b. refa�die tipM b deeignate who ahaM use the poperty trenatened a ita income: ............................... ❑ �
c, rt�n a ieverdm�y IMerest or ................................................................................................ ❑
d. receMe tlro pranise ta Nfe af dther peyments�beneAts or cere4 ....................................................... ❑
2. If da�h ocarred afber Dece�riber 12�1982�dM deoedent tranater property w�lMn one y�r d de�h
wNlaut iecelvkip adequa6e mnMeiatlan7 ...........................................
............................................
3. Did deoedant am�'in truat for'a peyedaupdn�eatli benk aocouM a secuAty at Me a her dealh? .........
4. Did decedent awn�hMividual redrement account�annuity a otlrer rron-P�P�P�Y�which
Od1�1188�f�8f�1dB81Q118d011�.................................................................................................. � ❑
IF THE TO ANY OF TF�ABOVE QUE8TION8 IS YES,YOU MUST COMPLETE BCNEDULE G AND FlLE R AS PART OF THE RETURN.
for dabs of on or�her July 7,1994,arM befae Jan. 1, 1995,the tex rate hnpoaed on the net value of trans�ra to or for Ihe use of tl�e survNing epouse is
3 percxnt[/2 .S.§9716(a)(1.1)(i)1•
For d�e of on or a�ler Jan. 1, 1995,tlie tax rele imposed on Ihe net v�ue of transfera to or for the uae of the aurviving apaiae is 0 percent
[72 P.S.§8N (a)(1.1)(�)1.The aCaWte does not emmpt a tranafer to a wrviNng apouse from tax,�d the atatutay requiremenfa br dadosure of aeaeb and
tqtng a tax m are stlN epp&xble even if tlre aurvivMg apouae is Ure ony benefidary.
For daba of on or a(i�July 1,2000:
• ihe tax Ynpoeed on Ihe net velue of transfers from a dec�ed child 21 y�rs of age or ycwnger at d�th to ar far the use of a naWral perent,an
adopUve t or e abppeient of Ihe chiM is 0 percent�72 P.S.§9116(a)(1.2)].
• The tex imposed an tlie net v�ue of tranafers to or for the uae of the deoedents line�benefxiariee is 4.5 percent,except as noted in
72 P.S.§9118(12)[!2 P.S.§9118(a)(1)1•
• The lex impoaed on tlre iret value of trensfere to or for fhe uae of the decedenPs siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibqng is deflned,under
Sectlon 91 2,as�indvidu�who has at I�at one parent in canmon with the decedent,whether by Wood or adoptlon.
_ _ _ ____ _ _
REV-750B EX (0&12) '
pennsylvania SCI�IEDULE E
� DEPM7MENTOFREVENUE CASH, BANK DEP081T8 8 MISC.
�si�oEwr�c�r�rt�" PER80NAL PROPERTY
ESTATE� FlLE NIIMlOC
DOROT E. SHENK 21 13 0880
Induds ths proceede oi Ndp�Nai and ths d�ts the prooesds was reosMd by the utrM.
All ProP�1Y IaM1Y ownW wMh rlpM d wMwnMp muN M dMcla�M on adrduM P.
ITEM VALUE AT DATE
NUMBER DESCWPTION OF DEATH
1. SOVEREIGN BANK-CHECKING ACCOUNT#1671007042 47,441.48
TOTAL(Aleo eMer on ik�e 5�Receqhtletlon) S 47 441.48
H moro apwe b rbsdsd,uee adNtlonal ahssb of prpsr of ths sams s�e.
_ ___
REV-1510 EX!{OB-04)
� pennsylvania SCHEDULE G
��,DEPRftTMENfOFREVENUE INTER•�I�W IIW��RV MD
INHERITANCETAXFETURN MISC. NOW-PROBATE PROPERTY
RESIUENTOEC�EM
ESTATE OF , ��
DOROTH�!E. SHENK 21 13 0880
rnr edbmAa muet ee oomqeba ena sed xme amwar ro am ayuaeaae�mrwAn 4 on pepe miee ann riEV-tsoo r yes.
ITEM ��������
iNaanEnerwEaFnEtn�,nen�ip�arrooce�artiuio DATEOFDEATH 'bOF0EC0'S EXCLUSION TAXABLE
NUMBER nEO�hamNere+.�irwx��cawaFnee�wa��r�h. VALUEOFASSET INTERE3T ecwnr�ao VALI�
1. T RIVENT FINANCIAL FOR LUTHERANS 9,982.01 100.00 9,982.01
A NUITY CONTRACT#9157272
2. THRIVENT FINANCIAL FOR LUTHERANS 6,7B3.87 100.00 6,763.87
A NUITY CONTRACT�9176476
3. TH IVENT FINANCIAL FOR LUTHERANS 28,354.95 100.00 28,354.95
N N-QUALIFIED HOLDINGS
AC OUNT#�15-0990132498
4. TH IVENT FINANCIAL FOR LUTHERANS 8,881.71 100.00 8,881.71
N N-�UALIFIED HOLDINGS
AC OUNT#76-0990132498
BE EFICIARIES:
EA L E. SHENK
SA UEL D. SHENK
RO ALD L. SHENK
RO ERT C. SHENK
TOTAL Aleo enNr m LNre 7, i 53 982.54
rc mae apace b neeeed,We aMWOnaI aheea a peper of ine aeme al�.
_ _
REV,7571 EX ��o-oe>
. pennsylvania SCHEDULE H
OEPAft7AENf OF REVENUE FUNERAL EXPENSES AND
INHEPofANCETAXFiETURN ADMINISTRATIVE COSTS
f�S��t7f OEC�EM
ESTATE OF FRE MI�ER
DOROTH E. SHENK 21 13 0860
Mad�d�d�bb mwt M nporYd on SdiedWs L
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. HOFFMAN-ROTH FUNERAL HOME 785.40
B. ADMIPNSTRATIVE COSTS:
1. Persand Representadve Carimbelons:
Nmne(a)of Pe�aonel Repree�tlue(e)
S6eetAdd�
Ciry SIMa ZIP
Yeu(a)Conxn6don Paid:
y, a�omeyFeee: IRWIN 8 McKNIGHT, P.C. 3,500.00
3. FemMy Exanptlon:(H decedenCs edd�ess la nd Ihe aeme ea cYYrenta�ech�lenelbn.)
ClYment
SbeM Add�s
City SWe �P
Rdetlomhip d Claiment b Decedanl
4. pmbeepeee: REGISTER OF WILLS 148.50
5. AaouMaM Fees:
6. Tu Repun rnprxFaee: PATRICIA A ROSENDALE, CPA 475.00
INCOME TAX RETURN AND FINAL FIDUCIARY TAX RETURN
7. SOVEREIGN BANK-DATE OF DEATH VALUATION 20.00
8. CUMBERLAND LAW JOURNAL-ESTATE NOTICE 75.00
9. THE SENTINEL-ESTATE NOTICE 189.54
10. NOTARY FEES 25.00
TOTAL(Aleo eMer on L�e 9�ReapMulalim) S 5 218.44
H mae apaoe k needed,we addlbnd eheMe d p�dMe aame dae.
_ _ .
� REV-0512 ElC i(12-12)
� pennsylvanla SCHEDULE 1
, UEPART/AEM OF QEVENUE DEBTS OF DECEDENT,
a�rnx�aN MORTGAQiE LWBILITIES 8 LIEN8
sioeM oEC�Hr
ESTATE OF , FlL,E MI�R
DOROTH E. SHENK 21 13 0880
R ds6b Niam�d by IM d�adxit prlor b dalh tl�ron�d unpYd�t IM d�M of d�atli�Ineludinp umhnanNd�dkr�.
ITEM VAWEAT DATE
NUMBER DESCRIPTION OF DEATH
1. CHAPEL POINTE AT CARLISLE-NURSING 3,910.03
2. MILLENNIUM PHARMACY SYS-MEDICAL 95.07
TOTAL(Abo eMer an Lir�e 10,Recapihila�ion) f 4 005.10
H more spacs ia needed,inasrt edditlonal shssts of lhe wme size.
__ _ _ _ . _ _
REV-7573 EX+(�11-00)
pennsylvania SCHEDULE J
OEPARTMENT�REVENUE BENEFICIARIES
INHEAf fMICE TAX RETURN
RESIDENT�CEDENT
ESTA7E OF RLE MIMBER
DOROTH E. SHENK 21 13 0880
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not Lht Tru�h�p) OF ESTATE
I TAXABLE DISTRIBUTIONS pndudeq�pq� �and trarokis urder
Sec.91f6(a (12).]
1. EARL E. SHENK Lineal 23,050.12
1820 MOUNTAIN ROAD 1/4TH REMAINDER
NEWBURG, PA 17240
2. SAMUEL D. SHENK Lineal 23,050.12
432 MOUNTAIN ROAD 1/4TH REMAINDER
NEVWILLE, PA 17241
3. RONALD L. SHENK Lineal 23,050.12
320 McAIISTER CHURCH ROAD 1/4TH REMAINDER
CARLISLE, PA 17015
4. ROBERT C. SHENK Lineal 23,050.12
450 IMPERIAL WAY 1/4TH REMAINDER
FALLING WATERS, WV 25419
ENTFR DOLIAR MMOUNTS FOR DISTRIBUTIONS SFIOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SFIEET,AS APPROPRL4TE.
II. NON-TAXABLE DISTPoBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B.CHAPoTABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II-ENTER tOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF f�V-1500 COVER SHEET. S
n�e���a,�.a�no���m or�an���.
�
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LAST WILL AND TESTAMEII� '� � �' �
� . . �. :,
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c� �:_ ::� _J ...,i
p i_: �.�
. ''7 N - .. j..�9
I, DOROTHY E. SHE i '
NK, of the Bomugh of Carlisle,r�umberla� CFiu�y,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoldng all Wills and Codicils heretofore made by me.
1. I direct my Ezecutor to pay all of my debts, funeral and administrative expenses as
soon as may be done convenienfly aftec my decease.
2. I suthorize and empower my Executor to sell any realty owned by me at my death, and
not specifically devised herein, at either public or private sale, and to give good and suf6cient
deeds therefor, in fee sunple, as I could do if living.
3. I devise and bequeath all of my estate of every nature and wherever situate to my
husband, CLAYD A. SHENK; providing he shall survive me by sixty(60)days.
4. Should the gift in Paragraph No. 3 not take effect, I devise and bequeath all of my
estate of every nature and wherever situate to my four(4) sons, share and share alike, the child or
children of any deceased cluld taking the share their parent would have taken if living.
5. I nominate and appoint CLOYD A. SHENK to be the Executor of this my Last Will
and Testament; he is to serve as such without bond. Should he die before my death, renounce or
refuse to serve for any reason, or die leaving any of my estate unadministered, I nominate and
appoint SAMUEL D. SHENK and EARL E. SHENK as substitute Co-Executors, also to serve as
such without bond, with the same powers as are given herein to my Executor.
_ _
. � � � . . , .
ACKNOWLEDGMENT AND AFFIDAVIT
WE, DOROTIiY E. SHENK, MARTHA L. NOEL and SHARON L. SCHWALM,
the Testatrix and witnesses respectively, whose names are signed to the foregoing instrument,
being first duly swom, do hereby declare to the undersig►ed authority that the Testatrix signed
and executed the instnunent as her Last Will and Testament, that she had signed willingly, that
she executed it as her free and voluntary act for the purpose herein ezpressed, and that each of
the wimesses, in the presence and hearing of the Testatrix, signed the Will as a wimess 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.
�....��L � ��.�.
DOROT�Y E.SHENK
��Y.��._y_°�P
MARTHA L.NOEL
�a'�i�c��.�d���."� _
SHARON L. SCHWALM
COMMONWEALTH OF PENNSYLVANL�i :
. SS:
COUNTY OF CUMBERLAND .
Subscribed, sworn to and acknowledged before me by DOROTHY E. SHENK, the
Testauix herein, and subscribed and sworn to before me by MARTHA L. NOEL and
SHARON L.SCHWALM, witnesses, this +�' day of May, 2005.
. �� 3 �
�1vo ary rabtk
COMMONW OF PENNSYLVANIA
Se�l
Roper B.hwki,Ndery Pud�
Ce�lisle Bao,CutnhaAand Canty
MY Cui�bn E�Nes Oct 3.2008
AAemher,Pen�sylvania Aasociation 01 Notaries
3
__ _ _ _ .
� over.eigri
9 Court Ordered Processing\Decedents- MAl-MB3-02-10 - P.O.Box 841005 - Boston,MA 02284
1
�
a RECEIVED
August 19, 2013
� AUG 2 3 2013
� Roger B. Invin IRWq�1iMd(NIGHi
� Irwin & McKnight LAWOFFiCES
60 West Pemfret St
� Carlisle, PA 17013-3222
�
� RE: Estate of Dorothy E. Shenk
Date of Death: 07/14/2013
'
i
� Dear Roger B. Irwin:
� Per your request, enclosed please find the account information as of the date of death
; for the above-named decedent. For your information, accrued interest is not included in
� the date of death balance.
� Please feel free to contact me if I can be of any further assistance.
r
!
; Very truly yours,
� �
� Ashley Nobr
� [COP Speci ist III]
� 617-514-5189
�
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_ __ _ ___ _ _
d Sovereign Bank
E TATE OF Dorothy E Shenk
S CIAL SECURITY#: 200-09-2291
D TE OF DEATIi: July 14, 2013
A couut#: 1671007042 Type: Checking Open date: 6/6/1996
In t6e name of: Dorothy E Shenk(Samuel D Shenk POA or Earl E Shenk POA)
Date of Death Balance: $47,441.48
Int(YTD) from 1/1/2013 to 7/14/2013 $0.57
Accrued interest to date of death: $0.14
Otherinfo:
Page 1 of 1
_ _ _ _ -
L1LlVOl14 filldtllildl tl/16/LVl.] J:11 :V0 Yl9 YNLiL L/VVL I'dE 401V01
� �Thr/ventFinoncialforLutherans•
r 4321 N.Bf118M NNE,ApFtk[at,WI 54919�001
"' ThrNMt.[om•800-THWVBJ��807-847-4836)
I
September 18,207 3
Attorney Roger Irwin
Fax 717-249-6354
Dear Athmney Rnyer frwin:
This]etter is in response to your request for informatlon dated September 16,2013 for porothy
Sheok,deceased.On the dnte of pnss[ng �uly 14,2013,Dorothy wus the owner of the following
contrucls:
Tvne of Contract Accnunt ti Doce nf Deqth Value fssue Date
Settlement Option 9157272 59,982.01 March 8,2006
Settlement Optlon 9176476 56,763.87 �une 7,2007
If you havc any qucsttons or concems,plcasc contact our customcr scrvlcc arca at 800 8474836.
Sincerely,
�f�//� � /fbIRIN�tGNI—
J— r
�enntfcr V111anucva
Seivice Repreaentarive
Death Claims und Servtce
Gaim Operations
�v
cc:M P Smtth MBA CFP0165 24784
Durulhy E Shenk, deceueecl;507354949
_ . _ __._
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' 219 NoAh Hanover Sheet
, Cailsle.PennsyNarwa 17073
�_ 717.243.4511
, toli hee 1.866.451.4511
..
fax 717.243.3723
wwwhottrnarroth.corri
FUNERAL HOME 6Y CREMATORY, INC. ;,�R„K,,,,�,.�,,,
August 7, 2013
Ronald Shenk
320 McAllister Churoh Rd.
Carlis�e, PA 17013
Statement of Funeral Expenses for. Dorothy E. Shenk
Date of D�th: July 14, 2013 Account Id: 18939-177
PACKAGE:
Tradidonal Funeral Service
TRADITIONAL FUNERAL SERVICE PACKAGE $ 5,050.00
Sub Total: i 5,060.00
TOTAL FUNERAL HOME CHARGE3: S 5,050.00
CA8H ADVANCE8:
St. Peters Lutheran Church Cemetery $ 800.00
4 Certified Death Certificates at$8.00 each $ 24.00
Newspeper Not�e-Sentlnel $ 250.00
Newspaper NotiCe-Valley Time Star $ 50.00
C�9Y S 100.00
Fiowers $ 201.40
Hairdresser $ 40.00
Organist $ 75.00
Sub Totalt i 7.�40.�0
Toql Funsrsl ExpsnN: S a,�@.�
Total PaymarHs Made: i 5,805.00
Paymenta Made:
PreNesd Dlsc Discount PreN/Co�tract Aug 7,2013 424.63
Alllanz Check 556165 Aug 7,2015 5,180.37
�alancs: S�
SERVING OUR COMMUNITY SINCE 1 9O7
Au . '3. 2!1'3 3:h3NM No. '152 °. '/�
� so��re� I
Court 0�Processmg\Decedmta- MAl-MB3-02=10 - P.O.Box 841005 - Bosma,MA OZ284
� AuBust 13, 2013
�
� Roger B. Irwin
�� Irwin � McKnight
' 60 West Pemfret St
� Carlisle, PA 17013-3222
1
� VIA FACSIMILE 717-249-6354
� I Re� Estate of Dorothy E. Shenk
� Date of Death: 07/14/13
� Dear Roger B. Irvvin:
�
i We have received your request for date of death balances on the accourrts of the
? ebove-named decedeM. Please refer to the addltional Itam(s) indicated below that are
� raquired to complete your request; some of which are required in order to comply with
# privacy laws affec�ng bank accounts_ We need to ensure that we provide ac�ount
� information only to those indiv�luals author)zed to receive it.
r
i
� Please send the documer�tation checked oif below to my attention a#the address listed
� above.
j _x $20.00 Date of Death Balance Fee payable to: Sovereign Bank (effective 6/1/09)
� Death Certificate
� Court AppoiMment of 6cecutor(trix) o�Administrator(trix) ("Certficate of.
i AppointrnenY7
� Authorization from EXecutodAdministrator/JoiM OwneNBeneflciary to ralease
information
� Other:
� —
s
� If you would Ilke to Ifquidate the accour�ts, please retum a notarized letter of instruction
p from the executor, oo-holder, or ben�aary, as appropriate.
a
�
3S very���u� ��,�
A ; J
. �,�C ��
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� Ashley Nobr a
[COP Spedalfst ilI]
� Phone: 617-514-5189
? F'ax: 617-287-0828
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ENfAIL: billin��mosnc.cnm
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