HomeMy WebLinkAbout11-15-13 (02-11> 1505610143
Ex
REV-1500 --
PA Department of Revenue OFFICIAL USE ONLY
p pennsylvania County Code Year File Number
Bureau of Individual Taxes DEPARTMENT OF REVENUE
PO BOX.280601 INHERITANCE TAX RETURN 21 13 0235
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
02 14 2013 01 06 1913
Decedent's Last Name Suffix Decedent's First Name MI
TEUNON ESTHER M
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
® 1. Original Return ❑ 2. Supplemental Return ❑ 3,Remainder Return(Date of Death
Prior to 12-13-82)
❑ 4. Limited Estate ❑ 4a. Future Interest Compromise
(date of death after 12-12-82) 1:1 5. Federal Estate Tax Return Required
® g Decedent Died Testate ❑ 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
❑ 9. Litigation Proceeds Received ❑ 10.Spousal Poverty Credit(Date of Death ❑ 11_Election to tax under Sec.9113(A)
between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
GERALD J BRINSER 717838 6:�8
REG EWOF WILIi�E JSE Olc1�5
First Line of Address r' F—► m
6 E MAIN STREET '
C> �
Second Line of Address c> _n -n
PO BOX 323 I—` rM
City or Post Office State ZIP Code , DATE FILIEEl3
PALMYRA PA 17078
Correspondent's e-mail address: gjbrin@aol.com
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,co and 99mplety.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATU OF ER RE B FOR FILING RETURN DATE
Robert T. Mann
ADDRESS
723 Sinclair Road, Mechanicsburg, PA 17055
SIGNA=OF RER OTHER THAN REPRESENTATIVE DATE
Gerald J Brinser 11112-1117
ADD ESS
Brinser,Wagner&Zimmerman
6 E. Main Street, Palmyra, PA 17078
Side 1
1505610143 1505610143
J 1505610243
REV-1500 EX
Decedent's Social Security Number
Decedent a Name. TEUNON, ESTHER MANN
RECAPITULATION
1. Real Estate(Schedule A).......................................................................................... 1.
2. Stocks and Bonds(Schedule B)............................................................................... 2.
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C).......... 3.
4. Mortgages&Notes Receivable(Schedule D).. ............. 4.
5. Cash, Bank Deposits&Miscellaneous Personal Property(Schedule E)................ 5. 448 , 201 . 4 6
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 70 , 257 . 70
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) ❑ Separate Billing Requested............. 7.
8. Total Gross Assets(total Lines 1 through 7).......................................................... 8. 518 , 459 . 16
9. Funeral Expenses and Administrative Costs(Schedule H)..................................... 9. 8 , 331 . 31
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................. 10. 2 6 , 838 . 11
11. Total Deductions(total Lines 9 and 10).................................................................. 11. 35 , 169 . 42
12. Net Value of Estate(Line 8 minus Line 11)............................................................. 12. 483 , 289 . 74
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J)................................................. 11
14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 483 , 289 . 74
TAX COMPUTATION-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 .00 15.
16. Amount of Line 14 taxable
at lineal rate X .045 483 , 289 . 74 16. 21 , 748 . 04
17. Amount of Line 14 taxable
at sibling rate ,12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18.
19. TAX DUE................................................................................................................... 19. 21 , 748 . 0 4
20. ,FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 1
Side 2
L 1505610243 1505610243
REV-1500 EX Page 3 File Number 21 - 13 - 0235
Decedent's Complete Address:
DECEDENT'S NAME
Teunon, Esther Mann
STREET ADDRESS
Messiah Village, 100 Mt. Allen Drive
CITY STATE ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 21,748.04
2. Credits/Payments
A. Prior Payments 20,900.00
B. Discount 1,087.40
Total Credits(A +B) (2) 21,987.40
3. Interest
(3) 0.00
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) 239.36
Check box on Page 2,Line 20 to request a refund
5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5)
Make Check Payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.................................................................................. ❑ ❑x
b. retain the right to designate who shall use the property transferred or its income;.................................... ❑ ❑x
c. retain a reversionary interest;or.................................................................................................................. ❑ ❑x
d. receive the promise for life of either payments,benefits or care?.............................................................. ❑ ❑x
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?....................................................................................................................... ❑ 0
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?......... ❑ ❑x
4. Did decedent own an individual retirement account,annuity,or other non-probate property which
contains a beneficiary designation?...................................................................................................................... ❑ ❑
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving
spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of
assets and filing a tax retturn are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
•The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent,or a stepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
•The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in
[72 P.S.§9116(a)(1)].
•The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)1. A
sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,wfiether by blood or adoption.
pennsylvania SCHEDULE E
DEPARTMENT OF RETURN CASH BANK DEPOSITS AND MISC.
INHERITANCE TAX RETURN f
RESIDENT DECEDENT PERSONAL PROPERTY
FILE NUMBER
ESTATE OF Teunon, Esther Mann
21 - 13-0235
Include the proceeds of litigation and the date the proceeds were received by the estate.All property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE OF
NUMBER DESCRIPTION DEATH
1 Citizen's Bank-Checking Account#6100786412 19,995.75
(Includes accrued interest of$.05)
2 Citizen's Bank-Checking Account#6100703282 609.32
3 Brethren In Christ Foundation -Thrift Accumulation Plan (TAP)Account#1745 426,863.06
(Includes accrued interest of$254.22)
4 Everence- Refund of Insurance Premium 286.63
5 Cocklin Funeral Home- Refund of Funeral Prepayment 446.70
TOTAL(Also enter on Line 5, Recapitulation) 448,201.46
REV-1509 EX+(01-10)
~, pennsylvania
DEPARTMENT OF REVENUE SCHEDULE F
RESIDENT DECEDENT JOINTLY-OWNED PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Teunon, Esther Mann 1 21 - 13-0235
If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G.
SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT
Robert T. Mann 723 Sinclair Road Son
A Mechanicsburg, PA 17055-4053
JOINTLY OWNED PROPERTY:
DESCRIPTION OF PROPERTY o
ITEM LETTER DATE DATE OF DEATH OF DATE OF DEATH
NUMBER FOR JOINT MADE Include name of financial institution and bank account number(VALUE OF ASSET DECD'S VALUE OF
TENANT JOINT similar identifying number.Attach deed for jointly-held real estat . INTEREST DECEDENTS INTEREST
1 A 12/11/2004 Members 1st Federal Credit Union-Savings 48,923.43 50% 24,461.72
Account#255761-00
(Includes accrued interest of$2.90)
2 A 11/1/2010 Members 1st Federal Credit Union-Certificate 6,922.52 50% 3,461.26
of Deposit#255761-42
(Includes accrued interest of$2.83)
3 A 11/12/2010 Members 1st Federal Credit Union-Certificate 6,049.15 50% 3,024.58
of Deposit#255761-47
(Includes accrued interest of$2.48)
4 A 11/12/2010 Members 1st Federal Credit Union -Certificate 5,872.51 50% 2,936.26
of Deposit#255761-53
(Includes accrued interest of$2.40)
5 A 8/20/2010 Members 1st Federal Credit Union-Certificate 12,926.13 50% 6,463.07
of Deposit#255761-54
(Includes accrued interest of$5.29)
6 A 8/20/2010 Members 1st Federal Credit Union-Certificate 6,347.96 50% 3,173.98
of Deposit#255761-60
(Includes accrued interest of$2.60)
TOTAL(Also enter on line 6, Recapitulation) 70,257.70
REV-1509 EX+(01-10)
pennsylvania
DEPARTMENT OF REVENUE SCHEDULE F
INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY
RESIDENT DECEDENT
continued
ESTATE OF FILE NUMBER
Teunon, Esther Mann
21 - 13 -0235
If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G.
JOINTLY OWNED PROPERTY
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE In Jude name of financial institution and bank account number or DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT similar identifying number.Attach deed forjointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
7 A 9/13/2010 Members 1 st Federal Credit Union -Certificate 9,630.30 50% 4,815.15
of Deposit#255761-61
(Includes accrued interest of$3.94)
8 A 10/15/2010 Members 1st Federal Credit Union -Certificate 12,763.14 50% 6,381.57
of Deposit#255761-62
(Includes accrued interest of$5.23)
9 A 3/25/2011 Members 1st Federal Credit Union -Certificate 12,492.35 50% 6,246.18
of Deposit#255761-63
(Includes accrued interest of$4.89)
10 A 11/27/2010 Members 1st Federal Credit Union -Certificate 18,587.85 50% 9,293.93
of Deposit#255761-64
(Includes accrued interest of$7.28)
Page 2 of Schedule F
REV-1511 EX+(10-09)
-�: pennsylvania SCHEDULEH
DEPARTMENT OF REVENUE
FUNERAL�EXPENSES�AND
INHERITANCE TAX RETURN ADMINISTRATIVE I IVE VVJTS
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF Teunon, Esther Mann 21 - 13 -0235
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER FUNERAL EXPENSES: DESCRIPTION AMOUNT
A. 1 Royers Flowers 434.59
2 Weaver Memorials-Grave Marker& Lettering 1,370.00
3 Messiah Lifeways- Funeral Meal 766.65
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Robert T. Mann 2,500.00
Street Address 723 Sinclair Road
City Mechanicsburg State PA Zip 17055
Year(s)Commission Paid 2013
2. Attorney's Fees Brinser, Wagner&Zimmerman --Gerald J. Brinser 2,500.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Register of Wills (Ltrs. Pd. $310.00 = $200,000-$300,000) 413.50
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
1 Register of Wills-Additional Cost of Letters 100.00
TOTAL(Also enter on line 9, Recapitulation) 8,331.31
Schedule H
COMMONWEALTH OF PENNSYLVANIA Funeral BWses&
INHERITANCE TAX RETURN Administrative Costs continued
RESIDENT DECEDENT
ESTATE OF Teunon, Esther Mann FILE NUMBER
21 - 13 -0235
2 Computer ink, funeral DVD, etc. 197.77
3 USPS - Postage Stamps 36.80
4 Bank Service Charge 12.00
Page 2 of Schedule H
pennsylvania SCHEDULE
DEPARTMENT NCETA RETURN DEBTS OF DECEDENT MORTGAGE
INHERITANCE TAX RETURN f
RESIDENT DECEDENT LIABILITIES & LIENS
FILE NUMBER
ESTATE OF Teunon, Esther Mann
21 - 13 -0235
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM DESCRIPTION AMOUNT
NUMBER
1 Citizen's Bank-Outstanding Checks at Time of Death (Messiah Lifeways$9,938.35/Alert 10,057.40
Pharmacy$236.52)
2 Members 1 st Federal Credit Union -Outstanding Check at Time of Death 12,000.00
3 Alert Pharmacy 133.78
4 PA Department of Revenue-2012 PA 40 Tax 260.00
5 Messiah Lifeways- Final Bill 4,303.59
6 Capital Area Health Assocs. 83.34
TOTAL(Also enter on Line 10, Recapitulation) 26,838.11
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Teunon, Esther Mann
21 - 13-0235
RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) DECEDENT (Words) ($$$)
RECEIVING PROPERTY Do Not List Trustee(s)
I� TAXABLE DISTRIBUTIONS[include outright spousal
distributions,and transfers
under Sec.9116(a)(1.2)]
1 Robert T. Mann Son Joint Accts; 1/2 276,773.72
723 Sinclair Road Residue
Mechanicsburg, PA 17055-4053
2 Ruth T.Zook Daughter 1/2 Residue 206,516.02
1128-B Gettysburg Pike
Mechanicsburg, PA 17055
Enter dollar amounts for distributions shown above on fines 15 through 18 on Rev 1500 cover sheet,as appropriate.
III NON-TAXABLE DISTRIBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00
WILL
OF
ESTHER MANN TEUNON
I, ESTHER MANN TEUNON, currently of Upper Allen Township, Cumberland
County, Pennsylvania, realizing the uncertainty of this life, but with confidence in God
and trust in His Son, my Lord and Savior, Jesus Christ, who died for my sins upon the
cross and rose again to redeem me and give me eternal life, do hereby make, publish and
declare this to be my Last Will and Testament, hereby revoking any and all prior Wills
and Codicils made by me.
1. 1 direct that all my just debts and funeral expenses be paid from the assets of my
estate as soon as practicable after my demise.
II. I direct that all estate and inheritance taxes that may be assessed in consequence
of my death, shall be paid out of the principal of my general estate to the same effect as if
said taxes were expenses of administration and all property includable in my taxable
estate whether or not passing under this Will shall be free and clear thereof.
III. All the rest, residue and remainder of my estate, of whatever nature and
wherever situate, including property over which I hold a power of appointment, I devise
and bequeath equally unto my two (2) children, Ruth T.Zook and Robert T. Mann. If
either of them predeceases me, his or her share shall pass unto his or her issue per stirpes.
IV. I appoint my son, Robert T. Mann, Executor, of this my Will. In the event that
he fails to qualify or ceases to act as Executor, I appoint my daughter, Ruth T. Zook,
Executrix, of this my Will.
V. I direct that no bond be required of my fiduciaries for the faithful performance
of their duties in any jurisdiction.
IN WITNESS WHEREOF, I,ESTHER MANN TEUNON, herewith set my hand
to this my Last Will, typewritten on two (2) sheets of paper including the attestation
clause and signatures of witnesses, this lq day of , 2008.
(SEAL)
ESTHER MANN TEUNON
-1- - ,
Signed by ESTHER MANN TEUNON, by her declared to be her Will in our
presence, who have hereunto subscribed our names as witnesses in her presence and at
her requ st, this (q" day of �"Q,1�1 , 2008.
residing at ti�,L4y
residing at Mj'C'k6--,Lcj
-2-
r
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
WE, ESTHER MANN TEUNON, GERALD J. BRINSER and Ico J, -f T, ma-1 V\-
the testatrix and the witnesses, respectively, whose names are
signed to the attached or foregoing instrument, being first duly affirmed, do hereby
declare to the undersigned authority that the testatrix signed and executed the instrument
as her Last Will and that she signed willingly (or willingly directed another to sign for
her), and that she executed it as her free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and hearing of the testatrix,
signed the Will as witnesses and that to the best of our knowledge the testatrix was at that
time eighteen years of age or older, of sound mind and. under no constraint or undue -
influence.
ESTHER MANN TEUNON
Q
ITNE S
WITNESS
Subscribed, sworn or affirmed and acknowledged before me by ESTHER MANN
TEUNON, the testatrix, GERALD J. BRINSER and ° a-�-v�-
witnesses, this19" ay of`�-� , 2008.
COMMONWEAL'T'H OV f1ENNSYLVANiA I')
NOTARIAL SEAL otary Public
WENDY L.CRAWFORD,Notary Public
Palmyra Boro.,Lebanon County
My Commission Ex ires Se tember 10,2009
-3 -
LAW OFFICES ' ` L
BRINSER,WAGNER&ZIMMERMAN
6 EAST MAIN STREET-SECOND FLOOR
(EAST MAIN&SOUTH RAILROAD STREETS)
P.O.BOX 323
PALMYRA,PA 17078
PHONE:(717)838-6348
FAX:(717)838-6912 MECHANICSBURG OFFICE
MESSIAH VILLAGE
GERALD J.BRINSER 100 MT.ALLEN DRIVE
KEITH D.WAGNER MECHAMCSBURG,PA17055
JOHN M.ZIMMERMAN PHONE/FAX(717)697-4666
CALEB J.ZIMMERMAN
May 7, 2013
Glenda Farner Strasbaugh,Register of Wills
Cumberland County Courthouse.
1 Courthouse Square
Carlisle, PA 17013
In Re: Esther Mann Teunon Estate
File No. 21-13-0235
Dear Register of Wills,
Enclosed you will find a check in the amount of $20,900.00 in payment of a "deposit"
towards the inheritance taxes due on the above-captioned estate.
If you have any questions,please feel free to call.
Thank you.
Very truly yours,
THE ESTATE OF ESTHER MANN TEUNON 3-7615/360 10 2
ROBERT T MANN EXEC
723 SINCLAIR RD. 7
MECHANICSBURG PA 17055-4053 DATE
r o
PAY TO THE
ORDER OF n p�
G.
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Ex
c: XX Citizens Bank®
1 T� NP
MEMO Z�� c�Z3J- f/V^,
1:0 360 76 1 501: 623433175411' OL02
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a One Citizens Drive
itiziens ROP112
Riverside, RI 02915
March 12, 2013
Law Offices Brinser, Wagner&Zimmerman
6 East Main Street
PO Box 323
Palmyra PA 17078
Estate of ESTHER TEUNON
Date of Death: Feb 14,2013
SSN: 198-30-5887
Dear Sir/Madam:
In accordance with your request,the attached information sheet has been provided in the above decedent's
name as of his/her date of death.
For Installment Loans or Line of Credit accounts,contact our Loan Department at 1-800-708-6680. For
all other inquiries, please call 1-877-579-2667
Sincerely, .-------- .-
Kristen L. Petrucci
Decedent Account Processing
REF#: 584540
Cl t � Ba n k,
Account Number 6100786412
Account Title ESTHER TEUNON
Date Opened 1/20/1983
Account Type Checking
Principal Balance as of DOD $19995.70
Interest from Last Posting to DOD $ .05
Account Balance as of DOD $19995.75
YTD Interest to DOD $ .82
izens Bank' ',
Account Number 6100703282
Account Title ESTHER TEUNON
Date Opened 1/20/1983
Account Type. Checking
Principal Balance as of DOD $609:32
Interest from Last Posting to DOD $ .00
Account Balance as of DOD $609.32
YTD Interest to DOD $ .02
"BICF
Brethren in Christ.
FOUNDATION irrarrcr:�ZSer sic,_-s fir I rrl ful tec.�t °mss
POST OFFICE BOX 290
431 GRANTHAM ROAD March 12, 2013
GRANTHAM. PA 17027
Mr. Gerald J. Brinser
Brinser, Wagner&Zimmerman
P.O. Box 323
Palmyra, PA 17078
RE: Esther Mann Teunon
SS#: 198-30-5887
Dear Mr. Brinser:
At the time of her death,Esther Mann Teunon had a Thrift Accumulation Plan(TAP)Account,#1745,
with the Brethren in Christ Foundation. The balance of the account as of Mrs. Teunon's date of death,
February 14; 2013, was$426,608.84. The accrued interest was $$25422 with a total date of death
value of$426,863.06.
There are no joint owners or beneficiaries on the account.
If I can be of further assistance, please do not hesitate to contact me at 800-726-1448,Extension
#5420, or at klehman(7r.bicfoundation.org.
Sincerely,
Kimberly J. Lehman
Account Officer
KJL/lcj l
Phone: (717) 796.4788 Fax: (717) 697-7714 E-mail: info@bkfoundacion.org
LAW OFFICES
BRINSER,WAGNER&ZIMMERMAN
6 EAST MAIN STREET-SECOND FLOOR
(EAST MAIN&SOUTH RAILROAD STREETS)
P.O.BOX 323
PALMYRA,PA 17078
PHONE:(717)838-6348
FAX:(717)838-6912 MECHANICSBURG OFFICE
MESSIAH VILLAGE
GERALD J.BRINSER 100 MT.ALLEN DRIVE
KEITH D.WAGNER MECHANICSBURG,PA 17055
JOHN M.ZIMMERMAN PHONE/FAX(717)697-4666
CALEB J.ZIMMERMAN
November 14, 2013
C O {try n
Glenda Farner Strasbaugh, Register of Wills CCao u'—,
Cumberland County Courthouse y�c rr'- Pl rirr
1 Courthouse Square n = cri
Carlisle, PA 17013 c7 �, --rs -°�r ;
C)
In Re: Esther M. Teunon Estate
File No. 21-13-0235 ,�' N r" °
Dear Register of Wills,
Enclosed you will find two (2) copies of the PA Inheritance Tax Return for the above-
captioned estate. Also enclosed is a check in the amount of$100.00 in payment of the additional
cost of letters.
If you have any questions,please feel free to contact me.
Thank you.
Very truly yours,
B INSER, WAGNER.& ZIMMERMAN
Gerald J. Brinser
GJB/wlc
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RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH Receipt Date : 11/18/2013
Cumberland County - Register Of Wills Receipt Time : 08 : 55 : 52
One Courthouse Square Receipt No. : 1076236
Carlisle, PA 17613
TEUNON ESTHER MANN
Estate File No. : 2013-00235
Paid By Remarks : ROBERT T MANN
DB1
------------------------ Receipt Distribution ---------=--------------
Fee/Tax Description Payment Amount Payee Name
ADD PROBATE FEE 100 . 00 CUMBERLAND COUNTY GENERAL FUN
----------------
Check# 109 $100 .00
Total Received. . . . . . . . . $100 . 00