HomeMy WebLinkAbout12-19-13 ` .
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_ � 1505610101 �
REV-�1500 a�o�-�o, :,� g
PA Department of Revenue pennsylvaMa OFFICWL USE ONLY
Bureau of Individuat Taxes ��MTMEMfpfllEyEpy[ County Code Year File N�
Po Box zso6oi INHERITANCE TAX RETURN --
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arrtsbu PA 1 128-p6p1 RESIDENT DECEDENT
ENTER DECEDENTINFORMATION BELOW
Social Security Number
Date of Death MMDDYYYY Date of Birth MMDDYYYY
197-40 6666 10/02/2012 02/02/1951
_ _
'
: Suffix __ ___
Decedent's First Name
BARR _ ��
_ _ _ fi KENNETH ;
_ _ L '
_
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_
pilcable)Enter Sunrivtng Spouse's Informatton Below
__ __.
_..
Spouse's Last Name Su�x
: - _ Spouse's First Name Mi
_
Spouse's Social Security Number _ _ _ _ __
_ _
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
_ _
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
C� 1.Original Retum O 2.Supplemental Retum
* O 3. Remainder Retum(date of death
O 4.Limited�state prior to 12-13-82)
O 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Retum Required
death after 12-12-82)
C 6:Decedent Died Testate O 7.Decedent Maintained a Livin Trust 0
(Attach Copy of Wilij (Attach Copy of Trustj 9 8• Total Number of Safe Deposit Boxes
O 9.Litigation Proceeds Received O 10.Spousal Poverty Credit(date of death
between 12-31-91 and 1-1-95) � ��• Election to tax under Sec,9113(A)
(Attad�Sch.O�
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFO. TION SHOUI.D�IREt�
Name
< ._.
GARY J IMBLUM ESQUIRE _ _ �a , �P�e r � �? .�
�a � . �
_ _ ___ ����j2�-�50 c�'—� t» � ,
__. __ .x _.. _
__ e�
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___ __ ;
____
.. _ � . _.
,�ECw�T OF V�S U�p1�'
First line of address
'*"� • �'� +Q K�
__.
__. __._
__.
� �, � � �
4615 DERRY STREET �
c7 � -� .....
� � "�;:. �, .
• ;� t---+� r�-- �
Second line of address - - " ...{ �--
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__.
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!
City or Post Office 4 State ZIP Code DATE FILED
HARRISBURG , _ _ __ _
_ _ _ _ __ __
PA ! 17111
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__._
___
Corre�pondent's e-mai)addreas: a .imblum imblumiaw.com
� Under pe�t aF perjury,I deGare that I ve examined this r+etum,�ncluding accomPanYi�9 schedules and statements�and to the best of my knowled and I'
it is ttue, and complete.Deci n of Prep r other than the personal representative is based on all Information of wh(ch � ���,
SIG E�F PERS ESP SI FO ,UNG RETURN PrePere�has any krwwledge,
DATE
RE ,r � —
545 .65TH STREET RISBURG, PA 17 11
51GNATURE OF PREPARER O ER THAN NTATIVE
1 DATE� �
ADDRESS ' ^' --
� � � S � �� �
� ��� � i i
PLEA U8E ORIQINAL pORM O
Side 1
� 150561,0101 �
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1505610101 J
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� �..7 ' - �. . . � . .
s
� 1505610105
I
REV-1500 EX
Decedent's Social Security Number
, Decedent'st�ame: KENNETH L. BARR
RECAPITULATION
1. Real Estate(Schedule A�. ............................................ 1. 71,000.00
2. Stocks and Bonds(Schedule Bj .....,...
.... ..... ............ ......... 2. 0.00
3. Closely Held Corporation,Partne�ship or Sole-Proprietorship(Schedule Cj ..... 3.
0.00
_
4. Mortgages and Notes Receivabie(Schedule D)...,.. 0.00
..................... 4.
5. Cash,8ank Deposits and Miscellaneous Personal Pro e
P �Y(Schedule Ej....... 5. 7,327.50
6. Jointl Owned Pro e . :
Y p rty(Schedule F) O Separate Billing Requested ....... 6. 0.00
7. Inter-Vivos.T�ansfe�s&Miscellaneous Non-Probat e P ro p e rt y
(Schedule G) O Separate Billing Requssted....,... 7.
0.00
_ _ . _
8. Totai Gross Assets(total Lines 1 through 7).......
...................... $. 78,327.50
9. Funera!Expenses and Administ�ative Costs(Schedule H)......
............. s. 21,845.42
10. Debts of Dececlent,Mortgage Liabilities,and Liens(Schedule I)........
...... �a 19,608.40
11. Total Deductions(total Lines 9 and 10)......... ��
...................... 41,453.82
12. Net Yalwe of Eatate(Line S minus Line 11) .
............................. �2. 36,873.68
13. Charitable and Go�temrnental Bequests/Sec 9193 Trusts for which �� -°��_
an electiart tQ tax has not been made(Schedule J) ........................ 13. - .
. � , .s. . 0.00
14. Net Value Subject_to Tax(Line 12 minus Line 13) .
� ....................... �a. 36,87�.68
TAX CALCULATION•SEE INSTRUCTIONS FOR APPUCABLE RATES
15. Amount of Line 14 taxable
at the spousai tax rate,or
transfer�under Sec.9116
(a)(1.2)X.0.,, 0.00 15. .
16. Amount of l.ine 14 taxable 0.00
at lineai rate X:0�5 . "
: 36,873.68 �s. 1,659.32
17. Amaunt of line 14 taxable . _ __ .
at sib�ing,cate X.12 0.00 ,
17. �.�0
18. Amount_of�Line 14;taxable __
at.cpllater.al rate,X.15 0.00 ' °
_ 18. 0.00
19. TAX DUE......... 9
................................................ 19. 1,65 .32
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT �
O
_ Side 2 . �
� - 1505610105 15 �
05610105 J
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REV-1500 EX Page 3
File Number
Decedent's Complete Address:
DECEDEN 'S NA E
KENNETH L. BARR
STREE'FADDRESS
46 SOUTH 18TH STREET
_..... ...._......... ._.._..........._
cinr _..__..__...._.._.._............._._...._.
_........_...... ....... .._. .._ _._..... ..
_..�.._�...........__.................
CAMP H I L L STATE PA _.............._.._------._. ...........�._._._......_....._......_...___......___.....__........,..............______
Z�P17011
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 1,659.32
2. CreditslPayments
A.Prior Payments 0.00
B.Discount 0.00
3. Interest
Total Credits(A+B) (2} 0.00
4. If Line 2 is greater than Line 1+Line 3,enter the difference. This is the OVERPAYMENT. �3� 22.31
Fill in oval on Page 2,Line 20 to request a refund. (4) 0.00
5. If line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 1,681.63
Make check payable to: REGISTER OF WILLS, AGENT.
„�� ?� , ,. , ."�� z+..'�.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE B�QCKS
1. Did decedent make a transfer and: Yes No
a. �etain the use or income of the property transferred:........................................................... �
............................... ❑ x
b. retain the right to designate who shall use the property transferred or its income:............................................ ❑ �
c. retain a reversionary interest;or............................................................. ❑ Q
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?..................... �
......................................................................................... ❑ x
3. Did decedent own an"in trust fo�'or payable-upon-death bank account or security at his or her death?.............. ❑ 0 "
4: Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation? ................................................................................................... ................. � Q
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN,
. . . . .. .. . . . . . . &� ��, �a"�r;
a.::
t �.,1�.°:•.
For dates of death on or after July 1, 1994,and befiore 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)j.
For dates of death on or�after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(iij].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 retum 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 impased 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)(1.2j].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in
72 P.S.§9116(1.2)[72 P.S.§9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)).A sibling is defined,under
Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
_ _ .
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I�EV-1S02 EX+(01-10)
°
pennsylvania SCHEDULE A
DEPARTMENT OP REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
KENNETH L. BARR 2012-01110
All real property owned solely or as a tenan#ln 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 seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant fads,
Raal property that is iofntly-owned with rtght of survivorship muat be diaclosed on Scheduie 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
�DESCRIPTION OF DEATH
1� Residence at 46 South 18th Street,Cam Hill,Cumberland Coun Penns Ivania
p �Y� Y 71,000.00
Sold/Settlement Date-June 21,2013(Settlement Sheet Attached)
,
TOTAL(Also enter on Line 1, Recapitulation.) � 71,000.00
If more space is needed,use additional sheets of paper of the same size.
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f�EV 1508 EX+(�98)
SCHEDt�LE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS� 8t MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
. ESTATE OF
FILE NUMBER
KENNETH L. BARR 2012-01110
Include the proceeds of Iftigation and the date the proceeds were received by the estate.
All property Jointly-owned with right of survivonhip must be disclossd on Schedule F.
ITEM
NUMBER DESCRIPTION vAOF DEADHTE
1 Metro Bank,3801 Paxton St.,Harrisburg,PA 17111,Checking Account number 538214875 (Attached) 2 413.75
�
2 Rent Owed By Tenant 500.00
3 Final Paycheck 2,413.75
4 Car-Sold to Non RelativelNon Friend 500.00
5 Van-Soid to Non Relative/Non Friend 500.00
6 Boat-Sold to Non Relative/Non Friend 1,000.00
TOTAL(Also enter on line 5,Recapitulation) : 7,327.50
(If more space is needed,insert additional sheets of the same size)
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REV-1511 EX+(�0-09.} .
pennsylvania SCHEDULE H
DEPARYMENf UF REVENUE FUNERAL EXPENSES AND
INHERIFANCE 17(X RETURN ADMINISTR,ATIVE COSTS
RES1pENT DECEpENT
ESTATE OF
FILE NUMBER
KENNETH L. BpRR 2012-01110
Dec;edent's debts must be reported on Schedule I.
ITEM
NUMBER` " ` '� � DESCRIPTION
A� �.�F[1NERAl..EXPENSES: AMOUNT
1' Auer.Crem�tior►Services of Pennsylvania,Inc. (Receipt Attached)
. 1,656.00
B. ADMINISTRATIVE COSTS:
1. Pe►�ondi Representative Commissions:
� 3,916.38
� ,�_.���ta�(�;ot;Personai Representative(s) Brenda Kleckner PQA for Anna M. Barr
� �� �r S#reet�Address 545 N.65th Street
� : � �;�y. Harrisburg state PA ziP 17111
_ , - .: . _. ,�
� � � � � Year(s)Commission Paid; $3,916.38 (Brenda Kleckner SSN 174-46-5038) '' ��
%�\;, �
2. �►ttomey�ees:. ., 3,916.38
,_. ,� .
3� F�r��ly;Ex�r�pti�m(If decedent's address is not the same as claimanYs,attach explanation.)
, ,.,
�laimant , ..
Street Address
Gty State ZIP
Relationship of Claimant to Decedent
4• Probate Fees: 308.50
5. Accountant Fees:
600.00
6. Tax'Rehim Preparer Fees:
�' �e9���dve�tising 232.68 ,
8 �R�al'Estate�et�ement Costs minus Esrow for Inheritance Tax (HUD 1 Attached) 7 194.06
. �
9 litilitiesiHouse�iold Expenses Paid Unitl Property Sold(Bank Account Statement Attached) 99 5.45
, .. _
�o � Hazzard InsRtrance on Real Estate (Erie Insurance�$347.63 8�Allstate Insurance @$9Q.00)� � 437.63
t
�� Yard:Mairrt�nance&Payment to Haul Away Junk 1,340.00
12 iN�st�Mgmt for Receptacles for Junk/Trash($1226.76)&Home Depot for Dumpster Bags($101.58j 1.,328.34
TOTAL(Also enter on Line 9, Recapitulation) '# 21,$45.42
, _.
If more space is needed,use additional sheets of paper of the same size.
�
REV-1512 EX+(}2-:08);
�H pennsytvania SCH�DULE I
DEPARkhIFN'F(�P REVENUE DEBTS OF DECEDEHT,
INHERI7ANGE TAX RETURN MORTGAGE LIABILITIES&LIENS
RESTbENTE7EGEDENT
ESTATE OF . . .. FILE NUMBER
KENNETH L. BARR 2012-01110
Report de6#�incurred by the decedent prior to death that remsined unpaid at the dste of death,including unroimbu�ed medical expenae:.
�EM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1� Real Estat�Taxes Owed at Date of Death(Copy of Check Attached) 3,763.77
2. PA State Recovery(taxes ow�ed prior to death)(Copy of Check Attached) 41.50
3 2012 Federal income Tax(Copies available,if required) 4,488.00
4 2012 State Income Tax(Copies available,if r�quired) 837.00 '
5 2012 Local Income Tax(Copies available,if required) 415.00
6 2011 Federal lncome Tax(Copies available,if required) 3,324.00
7 2011 State Income Tax(Copies available,if required) 710.00
8 2�1�;,��ca�Ira��ne T�x(Copies available,if r�quired) 312.00
.���t,.. F5. ,
, ,
.. .. . . ,
. . .�
9� � - Sewe�Lien Owed at Date of Death(Copy of Check Att�hed) 3,996.54
,
1.0 Sewer Re�#s(3wed at Date of Death(Copy of Check Attached) - : , .;. °. - 1,72�:�9 .
. , . , . . r....,�,.
. , .. : ..J,;_ ,f: . . • � � � . . '.' � . . .
� - � ' ... � ... . . .. . � I t,�
..�,.` '� � �'�.:i :4:.��. . . . . . . . . . .
. . ��� ,�... . . . �. . . . .� .. . . . �� � � . .
. . ... . . . .. ..ri, .,.
. . . � .. . .. � . . , �i� . .. . . .
.�..J�Ll, �� At�::.. .'l�- �.. .� . � . . . . - '
. 1 .... .. ... i . . . . . .. , � .
. !.'�i� ] 1..t, . . . ' .. � .
. 1 + . . l� . . ., . - . .
.. . i��.� . .,.. .. .,.. , � . ..
. . . . t�t . .,. , � .. .
1 �- ,.
,
{
.. �i .
y,.
,. � . ._ _
�a
TOTAL(Also enter on Line 10, Recapitulation) ; 19,608:40
If more space is needed,insert additional sheets of the same size.
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R'EV-1513 EX+(01-10} �
..,..,......k� . . � . ' .
�a�pennsylvania SCHEDULE �
OEPAIiTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT'
fSTATE OF: FILE NUMBER:
� KENNETH L. BARR 2012-01110
NUMBER � NAME AND ADDRESS OF PERSON(S)RECENING PROPERTY REDoTNO��SList T��stee�s�NT AMOOF ESTATE ARE
I TAXABtE OISTRIBUTIONS[Include outright spousal distributions and t�ansfers unde�
� Sec.9116(a)(1.2),j
1• Charies Robert Stevens-545 N.65th Street,Harrisburg,PA 17111 Grandchiid 100%
,
�� �, ..
� ., ..
� ,�:
� , . , � �. _
ENTER DOLLAR AMOUNTS FQR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 1$OF REV-1500 COVER�SHEET,AS APPRORRIATE,
II NON TAXABLE DISTRIBUTIONS
A. SFOUSAL,DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN EIECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABtE 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.
.
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IMBLUM LAW OFFICES, P.C.
4615 DERRY STREET Gettysbur Tele hone
Gary J.Im�lum HARRISBURG,PA 17111 �7_3����y�j
Jeffrey L.Troutman(of counsel) Telephone:717-238-5250 Lebanon Telephone
Facsimile:717-55&8990 717-270-6989
emaiL•gary.imblum�imblumlaw.com
December 5, 2013
ESTAT� OF: : FILE NO.: 21-12-111Q '
• CUMBERLAND COUNTY,PA
.
KENNETH L. BARR : REGISTER OF WILLS
STATEMENT OF THE ESTATE
Kenneth L.Barr died on October 2,2012. The Estate of Kenneth L.Barr was probated,in the
C?ffice of the Register of Wills,of Cumberland County,Pennsylvania,to the above file number,and
Letters of Administration were granted to Ann\a M. Barr. A copy of the Letters of Administration
are.att�ched=hereto. � . :�;:.-
._ . . � .,� .: .. , ..
Anna M. Barr appointed Brenda Kleckner as her attorney-in-fact, through her power of
attorney. A copy of same is attached hereto.
Brenda Kleckner signs the foregoing tax return as attorney-in-fact for Anna Barr, the
A�dmir�istxatr�z�of the Estate of Kenneth L. Barr.
G J. Imbl
. . Attorney Id. o. 42606
4615 Derry treet �
� �� , � s,�, :: Harrisburg, PA 17111
(717) 238-5250 _ . ..
; : s: ,:;;,�,; : . Fax No. 717 558-8990 -
, , ✓ -
Dated ��
.. .� . . ;.
. . _ ,,�.
: �A. .. �
F:\USER\�ANDYIESTATES & FORMS\OPEN ESTATES\Barr\Deceased 2012 inc tax prep\Statement of the
Estate for attachment to Tax Returns.wpd
a�
, � �
. � .
��
REGISTER OF, WILLS GERTIFICATE �F
CUMBERL.�4ND COUNTY GRANT OF LETTERS
PENN3YLVANIA , , AQMINlSTRATION
' IVo. 2012- 41�10 � PA No. 21- 12- 1110
- � . Es ta te Of: KENNETH L BARR
: lfln4 Mi�ddle,�ast1
-� � La te Of: CAMP H/LL BDROUGH
� � � CUMBERLAND COUNTY
Deceased
Socia3 Securi ty No: �
� WHEREAS, KENNETH L BARR
fFirs4 M/da�Lasq
l a te o� �AMP H'ILL BOROUGH CZ7MBERLAND COU�T'''!'Y
' . e 2nd day of October 2012 and,
di ed on th
WHE�EAS, the grant of Letters of Administration
is 'reqtiir�d for the administration of the estate.
r
Z'IYEREFORE, I, GLENDA FARNER STR,45BAUGH , Register' of Wi�Is in and
foz CUMBERLAND County, in the Comrnonwea.Ith of Pennsylvanfa, have
thi s day gra.n ted Le t ters of Admini s tra ti on to:
ANNA NI BARR
who has du.Iy qualified as AAMI.NISTRATQR{RIX) of the estate
of the above nanred decedent and has agreed to administer the eatate
according to 3aw, aI3 of which fu13y appears of record in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLlSLE, PENNSYL VAN/A.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 12th day of October 2012.
.
�
eg rer o �
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,
- � �y
**f1TOTE** ALL NAMES AB�V� APPEAR (FIRST, MIDDLE, LAST)
, � . �T��
Tu: ANNA BA�RR,PRINCIPAL
THE PURPOSE OF THIS POWER OF ATTURNEY IS TO GYVE THE PERSON YOU
DESIGNATE{YOUR"AGENT")BROAn P4'UV�RS TO HANDLE YQUR PRQP�RTY,
VYHICH MAY�NCLUDE PUWERS TQ SE�L OR OTHERVV�SE DISP�SE OF ANY
R�AL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTYCE TO YOU OR
APPRt)VAL BY YpU.
THIS POWER QF ATTORNEY D{JES NOT IM�'OSE A►DUTY ON'SCOUR AGENT TO
EXERCISE GRANTED POWERS,BUT WHEN POVY�RS ARE EXERCISED,YOUR
AGENT MUST USE DUE CARE TO ACT FOR YOUR BENEFIT AND �N
AC�ORDANC�WITH THIS POWER OF ATTORNEY.
Y4UR AGENT MAY EXERCYSE THE POV�ERS GNEN HERE THRC)UGH�UT
YOUR LIFE'TIME,EVEN AFTER YOU BECOME.INCAPACITATED,UNLESS YOU
EXPRESSLY LIMIT THE DiJItAT�ON OF THESE POWERS OIt YOU REVOKE
THESE POWERS OR A C�URT AC1'IriG UN YOUR B�HALF TERMINATES YOUR
AGEN'I''S AUT'FIO�TY.
YUUR AGENT MUST KEEP YOUR FUNDS SEPARATE FROM YOUR AGENT'S
FiTNDS.
A COURT CAN TAKE A'WA'Y THE PQWERS OF'YOUR AGENT IF IT FINDS YOUR
AG�i�1T IS 1�10T ACTING PROPERLY.
THE POWERS AND DrJT1ES�F AN AGENT UNDER A POWER UF ATTORNEY
ARE,EXT'LAINED MORE FULL'Y IN t0 PA.C.S.CH.56.
IF .THERE [S ANX7'�1NG ABOUT THIS FORM THAT .XOU . DQ NOT
UI�ID�Tt�TAND,YOU SHOULD ASK A LAWYER 4F YOUR UWN CHOOSING TO
EXPLAIN IT TO YUU.
I�AVE READ UR HAD EXPLAIIVED ME TO THIS NOTICE A1�ID x UNDERSTAND
ITS CONTENTS.
. .
� _ , f� • `/rl�
I?atcd• ��'�r. , ,�� ,,�'�%/i,,�, ��=��� 1 /� �.� (S�al)
•_ .�.
� Anna Barr,Princ#pal
, '
POWER OF ATTQRNEY
�
� . B.�►�
KN4W ALL MEN BY TNESE PRESENTS that I, A..nna Barr, of thc County of Dauphin and
Commonwaalth of Pennsylvania,do hereby make,constitute and appoint Brenda Kicckner,of the Courity of
Dauphin and Commonwealth af Pennsylvania,rriy true and lawfut agent and attorney-in-fact to do,perfonn and
carry ouC any and all actions pertaining to any property wluch I own,bo it real,personel or othecw�ise,tha same
as I cvuld do if personally prescni.
Generally without in any way limiting the foregoing,to do,execute aad perform any other act,doed,
matter or thing whaisocver that ought to be done,executed and performed in the opinion of my said attorney
of every nature and kind whatsoever as fully and effectualIy as I could do if personally present,including but
not timited to engaging in tangible p�rsonal properry transactions;arranging for my entxancc to and care at any
hospital,nursing home,heatth center,convalcscent home,retiremcnt home or sunilar institution and to a�n�ange
for,consent�to,�waive and terminate any and all medical and surgical proeedures on my behalf,including thc
administration�of drugs and to pay all bills for my care, including the taking of any actions requir�d by the
Health Insurance Por'tabiliCy and Accountability Act (HtAAA) proteeting privacy of individual health
'tnformation and including the taking of any specific action expressed by my Living Will Dcclaration dated and
cx�cuted hcrein,and incorporated herein by reference;gaining access to safe deposit box or boxes which may
be held in my narr�e alone or jointly with another person; buying or selling stocks,bonds,savings bonds or
certifica`tes�af`�eposit held in my naune alone or together with other persons and engaging in commodity and
�
� Initia ,�
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, . :� . . : .
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option transactions or other sccurities transactions; bvrrowing money; opening or closing bank accounts or
accounts in savings and loan institutivns and other similar accounts including but not limited to crtdit union �
accounts in my name alone�r together with other persons,access any and a!1 bank accounts and/or write checks
drawing on:same; buying, setling or leasing real estate in my name alone or tvgether with�other persons;
engaging i.n insw�anCe txansactions and cetirement plan�ransacnons; handling interests in estates and trusts;
pursuing ciairns and litigation;executing any Federal,State or Local tax returns or tax documents ia the course
of handiing my.at��airs;dealing with insurance matters,including policies of insurance awned by me or in which
1 have �n int�rest,including, specifically, the pow�r to amend,cbange ar add beneficiaty designations;and
generaIly inGluding but not limited to any act or power specified by the Act of FebnYary l 8, 19$2,�ct No,26,
P.I,.45 §9,as amended,20 Pa.C.S.A. §5601-Sb07,the entire provisions of which are incorporated herein by
reference as.if edch and every power specified in said Statute were stated fully,completely,verbatim and at
Iength herein..
, Arid I`do hereby ratify and confirm all that my said attomey shall do or cause to be done in and about
,
the prcmises 6y virtu�oF this Power of/�ttomey.
' � This Powcr of Attornoy shall not be affected by the disabitity of the principal and is intendcd to b�a
"Durable�Power of Attarney" as defined by the Uniform Durable Power af Attorney Act. `
. .. - . . . _ J � �
InrtrrQ%�,_,�
2�Novl2 Z
,
. . _ . , • /�
IN WITNESS WI�iERE�F I have hereunto set m hand and s�at this��� d of �v '
, y �r
zoiz.
� �J���c'i l--'� -��1��/ sEAL,
, - ( )
Witness I i Anna Barr
;. �, ; �
20Nov 12� 3
.
A►G��17"S ACKNOI�EDG_��NT
I,Brenda Kleckner,have read the within Pow�r of Attorncy and am the person idcntified as the Agent
for Anna Bar�,the 3'rincipal herein. I hereby acknowiedge that in the absence of a specific provision to the
contrary in die Pow�r of Attorney or in 20 Pa.CS.when I act as agent: •
I shall excrcise the powers for tl3e benefit of the Principal.
I shall keep the asscts of the Principal separate from my assets.
I shall exercise reasvnable caution and prudence.
i shall keep a ful t and acaurate record of aI1 actians,receipts and disbursements on behalf of tbe
Pr'sncipai. •
� .�
Dated: //r � r'� i �SGiil}
Brenda Kleclaler,Age t
;-. _.._ . .
. . , ... � ,.
,,., .
�., .
20Nov t 2 , �
COMMONW�:ALTH OF�PENNSYLVAN�A .
. :SS.
COUNTY UF DAUPHTN :
On this,the day of I�l�l�h,?�' •20I2,before mc,a Notary Pubiic in and for said
Commonwealfh and County,the undersigned officer,personally�ppeared Anna Ban�,Principat,known to me
(or satisfactoriIy proven) to be the person whose name is subscribed to tb�e within Power of Attorney, a►nd
acknowtedged that she executed the same for the purposes therein contained. �
IN WIT�IESS WHEREOF,I hereunto set my hand and o�ciat seaI.
V .
Notary Public
My Commission Expires:
coMr�w��rn o��c�snvnMA
noteri:�5ea�
C�m�Y.S�aY MntarY PuGik
Clty ot�rrr,'�►�ry,►�uph�n CounLy
My Com�n�at bc 'as i�eb.2b, „�o�ies
Member.Pen�1►lvanl�ll�soclado�
C4MMONVV�ALTH OF PENNSYLVANIA .
. , ;SS.
COUNTY��DAUP�-IIN :
On this:the�.`P•� day of ���1im„��_,2012,bcfore me,a Notary Public ir�aad for said
Cvmmonwealth and County,the undersigned o�cer,personally appeared Brenda Kleckncr,Ageat,known to
me(or satisfactorily provcn}to bc the person whasc name is subscribed to ihe withirt Power of Attomey,and
acknowledged that she execuicd the same for the purposes therein eontained.
1N WITNESS V�✓HEREOF,I hereunto set my hand and oFficial seal. ,
.
Notary Public
My Commissivn Expires:
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BA N K 3801 Paxton Street 888.937.0004
Harrisburg, PA 17111 mymetrobank.com
6/18/13
Gary J. Imblum
Imblum Law Offices, P.C.
4615 Derry St.
Harrisburg, PA 17111
RE: Estate of: Kenneth L. Barr
Tax Identification Number: 197-40-6666
Date of Death: October 2, 2012
To Whom It May Concern:
This letter is in reference to decedent account information you requested for the
individual listed above.
We are able to provide the following:
Account Type:CK
Account Number: 538214875
Date Opened: 11/08/2008
Date Closed: 10/15/2012
Primary Owner: Kenneth L. Barr
Accrued Interest: * $0.08
Date of Death Balance: $2,413.75
** Please note: The accrued interest will not be paid if the account is closed prior to the
date the interest is scheduled to post.
Please feel free to contact us at 1-888-937-0004 if we may be of further assistance.
Sincerely,
Jennifer Jacobs
Research Associate
Metro Bank
� -
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� �� �� �����At�R C��� � � � � �
.� ,� UN SERYICES UF� � ��
PE��v�tv �
. atA, INC.
4100 Jonestown Road•Harrisburg,PA 17109• 1-800-720-8221 •Fax 717-541-9943•Shawn E,Carper�Supervisor
A
121�39 SP-5
aCt 3, 2012
Mrs. A�nna M. Ssrr
4024 C�raen Street �
Harr.t��c+�.! PA 17110
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y, _ _ Kenneth L. Barr - Deceaaed -
. ` .`,�1 ^. . , . , . ���, _
SPECIAL CHARGES
X Df rerct Cr��at i on $1,595.00
Nationwida t3usrantee Proqram
Moridwide Travel Protection Proqram
TOTAL SPECIAL CH{ARC;ES $1,595.00
PROFE,SSIONAL SB�tVICB3 . � - .
X Servlces o! Funeral Df'rector & Statt Inclut�e�d
Dressinq/Cosmetizing
Fa+cllitie� & Stalt tor l�moriai Service
Stalr & Equipment !or Memoriai Servics
Private ID Fa�ily Viewing
Kitne�sin9 the Cremntion
PackaQinQ/Forwardtng o� Cremated Re�►ina
Feraor�a l De l,i vary of Creaa ted Rea�s i na
Scattsring o� Crematad Resains-Suaquehanna
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° T'�J�►�:'P�OF''�SSI4NAL 3ERVICES $0.00
AvTi��OT��E �vIpl�Errr
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MERCHA�DISE
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,N+s�vr i a 1 Cards ,
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R��tei�rar�ce Package
�1��`er'r�i t t.ve Cont a i�nar .
X ���d�roa�rd Conta i ner
.t��r����ri�1 Vauit Contalner
� ;�'����r�ins F i aq Case
�=arav�%l�emor!a i I�arker �
TOTAI: 1KSRC�NANDI SE $0.00
CJ�SH AD�CA�TG� ITEE[S
ar.ave''Opin i nq
+Cemet exy Fqu 1 p�aent
NqMr�paper Not i ca
Newapaper Notics
Newapapsr Notice
C i ergy.;
Ghurcti/Sexton/Organiet/Roloiat
F i oa�ors
8. �Cxs�at+�ry Charge Inc luded
-R -�C���I and County Coroner Fee $2 5.0�b
X �6= .��eirtitied Copiee ot Death Certi=icate $36.80
.�.
TOTA�'CA$H-�ADVANGED TTEMS _ $b1.00
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SU�'Y�'O�'•';CHA�tt�ES
. . '��ia�l ._Charqes $1,595.00 , ,
��m��s�-a i ons i serv i ces $0.00
14�tto�aot i ve Equ i pment $0.00
MerctYarid i se $0.00
- � `'�C��i�#��Advancad I t ems $61.00 .
.$U�=Tt�'�1L ,r. $1,65.6.80
CRED�PB�� � � -$300.00
Al�OUN`�'�`�P�EPAID Date $@�.08
1'OTAL�`` ;��::- . � , $1,35f.00
AMOUN"�'�'��1YD�` Date C?ct 4, 2012 -$1,356.�0 �
HALAN��."�=�tKJF� $0.00
.� .. ,
• �iI3 STATF�1�lSl�iT MAY NOT REFLECT ALL NEWSPAPER CHARCiE8
�� .
. ; .
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BARBUSH AND ,HpFFMAN
CERTIFIED PUBLIC AC�OUNTANTS
1104 FERNWOQD AVfiNLTE
CAMI'HEI.L,PENNSI'LVANIA 17011-6�12 !�!8$RS oF:
. C717)761-2801 �striv,wu�r�rmy�
surNe�M.en�usy.cPn FAX(717)761-2923 �ewC�t�ltvs'rtNre
DA�7D 8.H08RMAN,cpn e-mail;b l�cpas�barbushanclhoffman.com
OA
CERTtFlED PUBLfC ACCOUMfANi'S
s ,
. .
October 11, 2013
Rennth L. Barr Esta�e
c/o Imblum Law pffice PC
4615 Derry Street
� Harri sburg., PA 17111 �
BILLING STAZ�BMENT
�or Profeseional ServiceB I�endexed:
� Accounting and tax seryices which
includes:
Preparation of U.S. Tndividual Incom�
Tax Return (Form 1040j and, related
schedules and aervices for the eiar
2 0 i 1, including Pen.nsylvania ln�i�vidual
Income Ta� Returri {PA-44) and Local
8arned 2ncome Tax Return. .
Preparation of U.S. Indiv�.dual Income �
Tax 'Return tForm 104�j �nd related � '
.� echedules and eervices for �he ye�r .. �
� • 2012, including Pennsylvania lndi�ra.dual
Income T'ax ge�urn (pA_40) and Local �
Barned Income Tax Return.
� Various discus$ion� with Imblum Law
O�f:ice� �PC concerning taxable incon�e
a�c�` exper�ses related to Form 1099
� and =rexttal .property income and
exp�nses for 2011 and 2012.
Tota]. Cur"renC Fees
� ; . .:. , . 640.00
Amount Due This Ir�voice
, $ 600.00
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T'I�t�1"��1At�@�ME�1T ACCOUNT
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FUpp1$BNRQ.PA 17101-1221 � Ie�1t7�111a
117 .
DATE ���+ J�s e��
PRDEROFE �Ol.c�j1,L�^ �..� �.��V�ah � �,� � $ �� °"_,
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, QF�'�iAN
' CERT�FIED PUBI�IC AC�OU�ITANT�
l 104 FEI2NWQOD AVENUE
: C�IP HILL,PENNS3i'L,VANIA 1701 t-69t2 �
��S c�?:
SAMUEL M.BARBUSH.CPA {717j?b�2&Ol I�NNSYLYANiAlIrtS�'13'�E
DAVID B.HpFFMAN,C�� FAX(717)761-Z�3 �AMERIC/�1NIN�TfTt)'J"�
e mait:b h cpas(r�barbushandhaffman.com Qp �
CERTIFIED P�1BL�C AC�4IJNTANI'S
October 11,2013
I
� canay x�tt
Imblum Law O�ces PC
46I5 Deny Street
s Harrisburg,PA 17111
�
Enclos�d is I�anneth Barr's 2012 Form 1Q40 U.S.
reflects a balance due of$4,488. The IIZS wiU �dividual Income Tax Retum. The 2011 f�der � �
The paymerit of$4,48$yy�due April is,2pl�Send a penalty notice to Anna Barr once the return is�prc�c ssed.
�A
Please h$ve Anna Barr sign and:date the ari inal retu
Write Kenrte�h's sociat security n�mber"197-40-6666"d2 01�che.�k payable to"United States Tre�sury"
federal return,paymGnt voucher,Form 1040-V and 2 F°� 1040"on the Gheck. 11�Iai1 the 20 �
: . tt�e check as soon as possible to the follow#ng address:1�
� I�ITERNAL REVENUE SERVICE
� PO BQX 37008 � 3
; HARTF4RD,CT U6176-4409 `
;
�
i Enclosed is K�nneth Barr's 2412 Form PA-44 Pcnn
� sylvania lndividual Income Tax Return. Th�Pennsylvania
r�turn reflects a bs��ce du�of$837. PennsyIWania De t.of Rev
once the return is processed. Th� a P enue�vill send a penalty rtotice to Anna B$rr
p yment was due April 1 S,2013.
Please hava Anna Barr sign and date the ori inal retu
� rn. Make the check payable to`<F�nnsylvania Dept.of
Revenue"ar�d wrifie Kenneth's Social Security number and`�012 F
payment and PA Payrnent voucher Fvrm PA-�as 5�n as ossibl ��PA�Ox'on the check. iVt�il yo�r
, P e to the followin$addross:
; PA I?EFARTMENT QF REVENUE `
' PAYMEATT ENCL�SED
j
: 1 REVENUE PLACE
` hfARRISBURG,pA 17I29-0001
s .
x
Enclosed is Kenneth Barr's 2U 12 Local Earned Inco ;
me Tax Return,The local return reflects a balance due o
$415. Cumberland County Tax gureau will send a enat f
Th�paym6nt was due April I5,2013. P tY notice to Anna Barr one�the rcturn is ro
p cessed.
Please ha�e Anna Barr sign and date the ori inal re
8 ��. Make the check payable to"Cuplberland Coun Ts�c
Bureau"and Write Kennetfi's soeial security number and"201
and check as soan as possible to the followin addre • 2 L°cal Tax"vn the check.Mail your Local
g ss. return
f PAYMEiv'T
� �UMBERLAND CQtJI�1TY TAX B yAU �
: 1 WATERF{�I�D DR. SUITE 2�1
; MECHAI�ICSBU�G,PA 17050
�
. __ _
�
Estate of Kenneth L.Barr
; Page 2
;.. _ � �
1
i
�
. 2� � � . � . � .
; My suggestion is tv mail the 2011 returns and 2012 rehirns separately. Usuail it resonts
agency to process the returns when two returns are in the same envelope, y p p�Ob����or that
F . . . , . . . ...
i I have a separate letter for fhe 2011 income tax re#urns,
;
S
� Thank yau for the oppartunit�,to be of service. F�r further assistanee with our income
hesitaze to contact our office at(717)761-2801. y ���e���l�i���do not
�
Sincerely,
t
� �
•
David B.Ho an
Certified Public Accou t
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BARBUSH AND HOF�M�N
CERTIFIED PUBLIC ACCOUNTANTS
1104 FERNWOOD AVENUE
CAMP HILL,PENNSYI,VANIq 17011-6912 �����'
(7I 7)761-2801 P�NNS�'j-VAMr�I1v3TtTUTE
; SAMUEL M.BARBUSH,CPq &AMERiCA1V INSTITUTE
' DAVID B.HOFFMAN,CPA F``1X��1���6�•2923
e-mail:b_h cp�s@barbusbandhoffman.com �F
CERTIFIED PUHLIC ACC�tJNTANTS
�
# � October 11,2013
' Gandy Hi11 i
� Imblwm Law Office�PC
461 S Deny Street
Harrisburg,PA 17111
i !
Eneloseci�s Kenneth B�.�s 2011 Form 1040,U.S.Individual Income Ta�c�e
reflects a balance due of$3,324. The IRS v�rill send a penalty notice to Anna Barr n�°2011 fec}et:tl return
The paym�nt of$3,324 was due April 15,�012. ����rn is processed.
Please have Anna Barr sign and dat�the original return. Make the ch�ei�
Writ�K�nneth's sc�ial security number"197-40-6666"and"2011 Form pp�&big to"United Sfi.�tes Treasury°,
federal return,payment voucher,Form 1040-V and the check as soo ���on the eheck. IViaii the 2p11
n as possible to the fol�lowing address:
TNTERNAL REVENUE SERVICE
PO BOX 37Up8
H,ARTFORD,CT 06176-U009 �
;
Enclosed is I�enneth Barr's 2011 Fonn PA-40,Pennsylvania individual Inco �
me Tax Return. The Pennsytvania �
� ��rn reflects a balance due of$710. Pennsylvania D�pt.of Revenue will�end a e '
� once the return is processed. The payment was due April 15,2012. P nalty nQtice to Artr�a Barr
� Ptease have Anna Barr sign and date the original return. Make the chec�c
? Revenue"and wri�e I{enneth's Sacial Security number and"2411 Form PA�p i a���Fennsylvania Dept.of
� payment and PA,payrnent voucher Form PA-V as soon as assible to Yhe n�e cheek. Marl3�our
P foIlowing address: ;
PA DEPART'MENT 4F REVENUE
PAYNIENT EN�LOSED
1 REVEI�.TE PLACE �
HARRISBURG,PA 17129-0401
;
Enclosed is Kenneth Barr's 2011 Local Earned Income Tax Return.The locai
The a ment w�d C�Unty Ta�c Bureau will send a penalty nofiice to Anna Banr nc�the re���c�due of
; 312. Curnl�r ���
? P Y as due April 1 S,2012. procos�ed.
Please have Anna Barr sign$nd date the original retum, Make the check a
; Bureau"and write Kennetl�'s social security number and"2011 Local p yable to"Cumberland County Ta�c
' and check as soon as possible to the following address: T�"on the eheck.Mail yaur Loeal return
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PAYMENT
CUMBERI,qND COUNTY TAX BUREAU
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�Y��gestion is to mail the 2011 retu
rns�nd 2012 returns separately. Usually it presents problems fo
agency to pracess the ceturns when two returns are in the samc env
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I have a separate letter for thc 2412 income ta�c returns. �
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1 Courthouse 3quare�Room 106,Garllsle,PA 17013
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C�TICE t�F Li�
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y, ovember 0�,2012
BARR,KENNEI'H L
Map No.#
48 SOUTH 18TH STRE�'T , 01-22-0536-034
GONTROI.Nq. 1 2�gp
CAMP HtLL PA t 7011
� 3 18TH STFtEET
Tt3TAL BA�►I�CE
DU� 11UIMEDIATELY $�,996.54
YC�UR IMM�DIAT� ATfEN`�IpN iS
R�QIJ�REDr
THE 2011 REAL�gTpTE TAXEg ARE A Li�N FILEp WiTH YHE Ct1MBERt,q,ND C4UNTY 7'
���U AND AS OF NOYEiY1BER 1,Z012 REMAIN UNPAID. TO AiIOID HA,V1Wi�YqUR Lt N BE�M
AB80�U'rE,Yt'�U MUST PAY THE TOTAL TAX�3 pUE TO THE TIe1X CLq�M g��p� C���
2012. 14NY IfNPAlD 2011 TAXES yytl.�CAUSE YOUR PRt�PER'!"Y TQ BE p�.qCED t1�t'1'p�C��31,
8TATUS�N 2013. SALE
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�CK,aR CASHIER'g CHECK. PAYMENTS t�lqy q�„g0 BE MAt)E t'�NLINE A���ER�CERTIFIED
INWYV,OFFiCiAl.PqYpAENTg,CpM 4R BY CALUNG 1-500-2TZ-9829,ENTER JURtSD ��
OF�ICIAL PAYMENTS VItILL CHARGE A PROCESSiNG FEE. �C�ON CODE 4885. f/
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PLE/�3'F„$E A"1ili�'.�:�tiAT i�1'fJ�,ln 2aiZ 1�1��,�37�iYE TAeC�$���E�(,�i�p��d ypUR LO�i��.T�1X �
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BUREAU IN JANUARY 2013 CAUSING ANt�THER�I.I N O�E p RN�����TO TNE TAX CLAIM
U4CEi�QN YOUR PR�PERTY. •
IF A RECEIPT IS pESIR�p pLEqgg�NCLUDE A SELF ADpREgg gTAMPED ENVELppE
PAYMENT. WITH YOUR
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THE F�RST DAY aF EACy II�4NTH. s�QED
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CALL TOL1.�R�Es
1-888.697-0377 EXT 638►6 O�t LOCALLY 240-636g
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IMBLUM LAW OFFICES, p,C,
Gary J•Imblum �15 DERRY STREET
Jeffrey L.Troutman(of counsel HARRISBURG,PA 17101 G�'3'sburg Telephone
� Telephone:7'17_238-52a� 717-337-0797
Facsimile:717-55&899p Lebanon Telephone
e��l:ga�v.i_mblum�imblumlaw com n7-270-6989
December 16,2013
OFFICE OF REGISTER OF WILLS
ATTN: HEIDI WARNER
CUMBERLAND COUNTY
�NE COURTHOUSE SQUARE
CARLISLE PA 17p13
Re: Estate of Kenneth L. Barr
No: 2012-0110
Our File No. 7-13-0078
Dear..Heidi:. �
Enclosed please find a check a able to
$15.00 for your fee to process the inheri an the order of your office, in the amount of
in the above referenced matter, ce tax return,received by your office last week,
If there is anything more you require, lease let t '
, , P his office know.
Thank you for your consideration.
Very truly yours,
IMBLUM LAW FFICES,P.C,
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