HomeMy WebLinkAbout05-02-14 (2) 1505610143
REV-1500 EX(02-11) CSJ�_
Pennsylvania
PA Department of Revenue OFFICIAL USE ONLY
Code Year File Number
Bureau of Individual Taxes ee vr
=.a*.eorasver+oe County
PO BOx.280601 INHERITANCE TAX RETURN
Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 13 13a3
ENTER DECEDENT INFORMATION BELOW
11 29 2013 03 22 1921
Decedent's Last Name Suffix Decedent's First Name
BOYER MI
MAUDE R
(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
a1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return(Date of Death
Prior to 1243-82)
❑ 4. Limited Estate I—I 4a Future Interest Compromise El LI (date of death after 12-12-82) 5. Federal Estate Tax Return Required
LJ 6. Decedent Died Testate 7 Decedent MaintainetlaLiving Trust
(Attach Copy or wup ❑ (Attach Copy of Trusty -- 8. Total Number of Safe Deposit Boxes
❑ 9. Litigation Proceeds Received ❑ 1o. Spousal Povertyv Credit(Date of Death
between 12-31-91 and 1-1-95) ❑ 11.Election to lax under Sec.9113(A)
(Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name
Daytime Telephone Number
F CHRISTOPHER SPINA ESQ 412 281 3550
N
O
REGIS' R@F WILLS SE ONL`j
03 a O
First Line of Address !'n
�J
1002 FIFTH AVENUE r
— rn tv nM
i>- GO 77 7J O
Second Line of Address ' ;' C> O
O G7 CD L 7T
n C>
O C � � n
City or Post Office SKE FILE"? M
State ZIP Code
PITTSBURGH PA 15219
Correspondent's e-mail address: fCSeinaespinalawpc 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 tru co ct and complete.Declaration of preparer other than the personal representative rs based on all infor�dh preparer has any knowledge.
SIGN OF PERSON RESPONSIBLE FOR FILING RETURN
DATE
�XT2 Karen L Boyer A-/
ADDRESS
1001 Connor Road
SIGNJyRE EPA ER OTHER REPRESENTATIVE
DATE
F. Christopher Spina Esq. a2 /
ADDRESS
1002 Fifth Avenue, itt burgh, PA
1505610143 Side 1
1505610143
1505610243
REV-1500 EX
peceacm's Name: Boyer, Maude R
RECAPITULATION -
1. Real Estate(Schedule A).
.................... 1.
2. Stocks and Bonds(Schedule 6).
.. ........� 2. 235, 447 . 49
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. 45 , 868 . 60
6. Jointly Owned Property(Schedule F) ❑ Separate Billinq Requested............ 6.
T Inter-Vivos Transfers&Miscellaneous on-Probate Property
(Schedule G) Separate Billinq Requested......:..... 7,
8, Total Gross Assets (total Lines 1 through 7)............_..........._..__................_..... 8.
281 , 316. 09
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 29 , 466. 88
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)........ ................... 10. 530 . 02
11. Total Deductions(total Lines 9 and 10)...............................................................
17. 29, 996 . 90
12. Net Value of Estate(Line 8 minus Line 11)... .
12. 251 , 319. 19
13. Charitable and Governmental Bequests/Sec 9713 Trusts for which
an election to tax has not been made(Schedule J)........................................,...... 13.
14. Net Value Subject to Tax(Line 12 minus Line 13).................... ..................._..._ 14.
251 , 319. 19
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.
0 . 00
16. Amount of Line 14 taxable
atlinealrateX .045 251 , 319 . 19 16. 11 , 309 . 36
17. Amount of Line 14 taxable
at sibling rate X .12 0 . 00 17. 0 . 00
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 00 18. 0 . 00
19. TAX DUE..........
.....................................................................................I................ 19. 11 , 309. 36
20, FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ❑
Side 2
1505610243 1505610243
REV-1500 EX Page 3 Fite Plumber 21-13
Decedent's Complete Address:
DECEDENT'S NAME
Boyer, Maude R
STREETADDRESS
770 South Hanover Street
CITY STATE ZIP
Carlisle PA 17013
Tax Payments and Credits;
I. Tax Due(Page 2,Line 19) (1) 19,309.36
2. Credits/Payments
A. Prior Payments 10,000.00
B. Discount 526.32
Total Credits(A +B) (2) 10,526.32
3. Interest (3)
4, If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
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) 783,04
Make_Check PaVabie to: REGISTER QF 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;..... ........... .................... ❑
It. retain the right to designate who shat(use the property transferred or its income;.............. ............ ...... xi
c. retain a reversionary interest;or......................................................._...................................................... .�
d. receive the promise for life of either payments,benefits or care?...... .............. x
2. If death occurred after Dec. 12, 1962, did decedent transfer property within one year of death without
receiving adequate consideration?........................................................L,...........................................I............. ❑t- FXJ
3. Did decedent own an"in trust for" 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 nori-probate property which �
contains a beneficiary designation?..........._....._..._.........._................_...._.......__......................................... ❑ Lzl
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)(1)).
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
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 return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent,or a stepparent of the child is 0 percent 172 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 172 P.S.§9116(a)(1)J.
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent 17 P.S.§9116(a)(1,3)J. 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.
Rev-1503 EXt(6-98)
SCHEDULEB
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF (FILE NUMBER.
Boyer, Maude R 21-13
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP
NUMBER NUMBER DESCRIPTION VALUE AT DATE
UNIT VALUE OF DEATH
1 Edward Jones Mutual Fund Account#XXXX0113
60,799.52
2 591568108 35 shares of Metlife Inc -Com
52.42 1,834.70
3 744320102 37 shares of Prudential Financial Inc -Cohn 89.3 3.304.10
3.304.10
4 186 shares of The Frog, Switch &Manufacturing Company- 845
Common Stock Certificate No. 1110 157,170.00
5 Anchor Financial Group -Bonds Acct. No.XXXX8476
12,339.17
TOTAL(Also enter on Line 2, Recapitulation) 235,447.49
(If more space is needed adtlitional pages of the same size)
Copyright(c)2002 form software only The Lackner Group, Inc.
- Form PA-1500 Schedule B(Rev.6-98)
a��-1508 EX,(11-1o)
SCHEDULE E
DEPARTMENT OF REVENUE pennsyNani CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF
Boyer, Maude R (FILE NUMBER
21-13
Indude the proceetls of litigation and the date the proceetls were received by the estate.
All Property jointly-owned with the right of survivorship must be disclosed th schedule F.
ITEM
NUMBER DESCRIPTION VALUE AT DATE
1 Edward Jones Account No. XXXX0113 OF DEATH
9.981.20
2 Anchor Financial Group-Brokerage Money Market Acct. No.XXXX8476
21,514.33
3 Cetera Advisors, LLC -Balance on account
89.75
4 M&T Bank-Cash in bank
3.000.00
5 M&T Bank
31.17
6 Coins Inc. d.b.a. Treasure Hunt-Value of Coins
495.46
.7 Household Furniture and Furnishings and personal effects
2,500.00
8 AARP -Refund of Premium
236.25
9 Aflac- Refund
47.54
10 State Farm Fire and Casualty Company-Refund
52.90
11 Westminister Cemetery-Prepaid funeral
7,920.00
TOTAL(Also enter on Line 5, Recapitulation) 45,868.60
(if more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E(Rev. 11-10)
RSV-1511 EXe(40-09)
Pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN FUNERAL EXPENSES AND
RESIDENT DECEDENT ADMINISTRATIVE COSTS
ESTATE OF
Boyer, Maude R FILE NUMBER
21-13
ITEM Decedent's debts must be reported on Schedule 1.
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
See continuation schedule(s)attached
4,386.08
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions -
Name of Personal Representative(s)
Karen L Boyer
street Address 1001 Connor Road
City Pittsburgh State PA Zio 15234
Year(s)Commission Paid
7,000.00
2. Attorneys Fees Spina Law Associates, P.C.
17,000.00
1 Family Exemption: (If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State
Zio
Relationshio of Claimant to Decedent
4. Probate Fees
See continuation schedule(s) attached 438.50
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
See continuation schedules) attached 642.30
TOTAL(Also enter on line 9, Recapitulation) 29,466.88
Copyright(C)2009 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H(Rev. 10-09)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF
Boyer, Maude R FILE NUMBER
21-13
ITEM
NUMBER DESCRIPTION
AMOUNT
Funeral�m
1 Hoffman-Roth -Funeral
1.691.08
2 Mark D. Heintzelman Funeral &Cremation Services-Balance due
370.00
3 Mark D. Heintzelman Funeral Home-Funeral and cremation services
2,325.00
H-A
4,386.08
Probate Fees
4 Department of Court Records-Transfer fees to Cumberland County
25.00
5 Register of Wills Cumberland County-Probate
123.50
6 Register of Wills Cumberland County -Additional Probate Fee
290.00
H-B4
438.50
Administrative Costs
7 Cumberland Law Journal--Advertising
75.00
8 Karen L. Boyer-Reimbursement of coin appraisal
75.00
9 Register of Wills Cumberland County-Filing Receipt
5.00
10 Spina Law Associates, P.C.-Costs
424.20
11 The Sentinel -Advertising
63.10
H-67 642.30
Copyright(c)2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H(Rev.6-98)
Rev-1512 EX«(12-08)
SCHEDULE I
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
ESTATE OF
Boyer, Maude R (FILE NUMBER
21-13
Report debts incorred by the decedent prior to death that remained unpa cl
id at the date of death,inudin
ITEM 9 nnreimbursed medical expenses.
NUMBER DESCRIPTION VALUE AT DATE
1 Alert Pharmacy-Medical expense not covered by decedent's health insurance OF DEATH
21.39
2 Chapel Pointe at Carlisle-Ambulance Membership
231.88
3 Cumberland Goodwill Fire Rescue EMS-Ambulance
83.85
4 First Church of the Brethren -Pledge made by decedent
192.90
TOTAL(Also enter on Line 10, Recapitulation) 530.02
Copyright(c)2008 form software only The(if more j,Gre is
Group, Inced,additional pages of the same size)
Form PA-1500 Schedule I(Rev. 12-08)
TIFY 1513 EX.(07-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT BENEFICIARIES
ESTATE OF _L_�
Bo er, Maude R FILE NUMBER
21-13
NUMBER NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
PERSON(S)RECEIVING PROPERTY DECEDENT
J TAXABLE DISTRIBUTIONS [include outright spousal Do of L'M (Words) ($$$)
distributions,and transfers
under Sec.9116 a 1.2
1 Evelyn R Boyer
48 Summerfield Drive Daughter-in-Law Frog Swith Mfg.
Carlisle, PA 17015 shares of stock
itemized in Will,
2 26%of residue
Karen L Boyer
1001 Connor Road Granddau
9 hter
8%share of
Pittsburgh, PA 15234 residue
3 Madison E George
666 Monmouth Road Great- 2%of residue
Wrightstown, NJ 08562 granddaughter
4 Amanda M George
666 Monmouth Road Great- 2% of residue
Wrightstown, NJ 08562 granddaughter
5 Casie L Bruin
652 Jones Lane Great- 2%of residue
Cynthiana, KY 41031 granddaughter
See continuation schedule attached
Continuation
Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 1500 cover sheet,as a no Fate.Total
II. NON-TAXABLE DISTRIBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AWELECTION TO TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010 form software only The Lackner Group, Inc.
Form PA-1500 Schedule J(Rev. 01-10)
SCHEDULE J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Maude R Boyer 11/29/2013 203-10-7275
Item Name and Address of Person(s)
Number Receiving Property Share of Estate Amount of Estate
Relationship (Words) ($$$)
6 Kimberly J George Granddau hter
666 Manmouth Road g 8%of residue
Wrightstown, NJ 08562
7 Andrew W Mason
1426 E. Queen Street Great-grandson 2%of residue
Annville, PA 17003 ,
8 Benjamin D Mason
1426 E. Queen Street Great-grandson 2%of residue
Annville, PA 17003
9 Kelly A Mason
1426 E. Queen Street Granddaughter 8%of residue
Annville, PA 17003
10 Ryan K Mason
1426 E. Queen Street Great-grandson 2%of residue
Annville, PA 17003
11 Stephen A Zavislak
7448 Palermo Avenue Great-grandson 2%of residue
Las Vegas, NV 89147
12 Joyce A Zavislak
7448 Palermo Avenue Daughter Frog Swith Mfg. shares
Las Vegas, NV 89147 of stock itemized in
will, 26%of residue
13 Steffi A Zavislak
7448 Palermo Avenue Great-granddaughter , 2%of residue
Las Vegas, NV 89147
14 Thomas A Zavislak
7448 Palermo Avenue Grandson 8%of residue
Las Vegas, NV 89147
1
Informational Dopy SCHEDULE Y_19/A
Do Not File' Inheritance Tax
Paid @ 5% Discount
ESTATE OF
Bo er, Maude R (FILE NUMBER
21-13
ITEM
NUMBER DESCRIPTION VALUE AT DATE
1 Register of Wills,Agent-Prepayment of inheritance tax OF DEATH
10,000.00
TOTAL(Also enter on Line 10, Recapitulation)
10,000.00
Copyright(c)2002 form software only The ILackner pGroup Group, additional pages o!the same size))
i
LAST WILL AND TESTAMENT
OF
M. RUTH BOYER
I , M. RUTH BOYER, of One Alliance Drive, Chapel Pointe,
Apartment 302 , Carlisle, Cumberland County, Pennsylvania 17013 ,
o make, publish and declare this to be my Last Will and
Testament , hereby revoking any and all Wills and Codicils at any
time heretofore matte by me .
FIRST: I direct that my just debts, funeral expenses and
all estate and inheritance taxes imposed upon my gross estate,
including any property not forming a part of my testamentary
estate, be paid from my estate as soon as may be convenient after
y death.
SECOND: I direct that specified items of my tangible
personal property be distributed in accordance with the
provisions of a signed'memorandum which may be found with my Will
or other valuable papers . In the event the memorandum is not
found and in the absence of an agreement by my heirs for
distribution of my personal tangible property in accordance with
the terms of this Will , I direct my Executrix, herein named, to
sell such property and add the proceeds to my general estate .
THIRD: I give and bequeath all of my shares of stock in
the Frog Switch Manufacturing Company, in equal shares, to my
daughter, JOYCE A. ZAVISLAK, currently residing at 7448 Palermo
Avenue, Las Vegas, Nevada 89147, and my daughter--in-law,
EVELYN R. BOYER, currently residing at 48 Summer Field Drive,
Carlisle, Cumberland County, Pennsylvania 17015, or, in the event
of either of their deaths, to the survivor of them. If both my
daughter, JOYCE A. ZAVISLAK, and my daughter-in-law, EVELYN R.
BOYER, predecease me, then this gift shall lapse and become part
Of my residuary estate.
FOURTH: All the residue of my estate, real and personal ,
and wherever situate, I give, devise and bequeath as follows :
A. Twenty-six percent (26%) share to my daughter,
JOYCE A. ZAVISLAK, or, in the event of her death,
in equal shares to her issue surviving;
B. Twenty-six percent (260) share to my daughter-in-
laces, EVELYN R. BOYER, or, in the event: of her
death, in equal shares to her issue surviving;
C. Eight percent (8°s) share to my granddaughter,
KAREN L. BOYER, currently residing at 1001 Connor
Road, Pittsburgh, Allegheny County, Pennsylvania
15234 , or, in the event of her death, in equal
shares to my grandchildren, KIMBERLY J. GEORGE
and KELLY ANNE MASON;
D. Eight percent (80) share to my granddaughter,
KIMBERLY J. GEORGE, currently residing at
666 Monmouth Road, Wrightstown, New Jersey 08562 ,
-2-
or, in the event of her death, in equal shares to
her issue surviving;
E. Eight percent (8%) share to my granddaughter,
KELLY ANNE MASON, currently residing at 1426 East
Queen Street, Annville, Pennsylvania 17003 , or,
in the event of her death, in equal shares to her
issue surviving;
F. Eight percent (8%) share to my grandson,
THOMAS A. ZAVISLAK, II, currently residing at
7448 Palermo Avenue, Las Vegas, Nevada 89147, or,
in the event of his death, in equal shares to his
issue surviving;
G. Two percent (2%) share to my great granddaughter,
CASIE L. GEORGE, currently residing at
666 Monmouth Road, Wrightstown, New Jersey 08562,
or, in the event of her death, to my
granddaughter, KIMBERLY J. GEORGE;
H. Two percent (2%) share to my great granddaughter,
AMANDA MARIE GEORGE, currently residing at
666 Monmouth Road, Wrightstown, New Jersey 08562 ,
or, in the event of her death, to my
granddaughter, KIMBERLY J. GEORGE;
1 • Two percent (2%) share to my great granddaughter,
MADISON E. GEORGE, currently residing at
666 Monmouth Road, Wrightstown, New Jersey 08562 ,
-3-
or, in the event of her death, to my
granddaughter, KIMBERLY J. GEORGE;
J Two percent (2°s) share to my great grandson,
RYAN K. MASON, currently residing at 7.426 East
Queen Street, Annville, Pennsylvania 17003 , or,
in the event of his death, to my granddaughter,
KELLY ANNE MASON;
K. Two percent (2a) share to my great grandson,
BENJAMIN D. MASON currently residing at 1426 East
Queen Street, Annville, Pennsylvania 17003 , or,
in the event of his death, to my granddaughter,
KELLY ANNE MASON;
L. Two percent (20) share to my great grandson,
ANDREW W. MASON currently residing at 147.6 East
Queen Street, Annville, Pennsylvania 17003 , or,
in the event of his death, to my granddaughter,
KELLY ANNE MASON;
M. Two percent (2s) share to my great granddaughter,
STEFFI A. ZAVISLAK, currently residing at
7448 Palermo Avenue, Las Vegas, Nevada 89147, or,
in the event of her death, to my grandson,
THOMAS A. ZAVISLAK, II; and
N. Two percent (2%) share to my great grandson,
STEPHEN ANTHONY ZAVISLAK, currently residing at
-4-
/448 Palermo Avenue, Las Vegas, Nevada 841.47, or,
in the event of his death, to my grandson,
THOMAS A. ZAVISLAK, II .
FIFTH: I nominate, constitute and appoint my
granddaughter, KAREN L. BOYER, Trustee for any beneficiary under
the age of twenty-one (21) years receiving any sums of money by
reason of my death. In the event my granddaughter, KAREN L.
DYER, is unable to serve for any reason, then I appoint my
granddaughter, KELLY ANNE MASON, Trustee in her stead. I give
to said Trustee the power to sell any and all my property, real
or personal , at public or private sale, and to distribute my
estate in cash or in kind or partly in cash or partly in kind.
Further, my Trustee shall have the power to invest and reinvest
the trust corpus and income . Further, my Trustee shall have the
power to distribute the trust corpus and income for the
maintenance, support and education of any minor beneficiary.
When each beneficiary reaches the age of twenty-one (23.) years,
his or her share shall be determined and distributed to him or
her free and clear of any trust .
SIXTH: I nominate, constitute and appoint my
granddaughter, KAREN L. BOYER, Executrix of this, my Last Will
and Testament . In the event my granddaughter, KAREN L. BOYER,
is unable to serve for any reason, then I appoint my
granddaughter, KELLY ANNE MASON, Executrix in her stead.
-5-
SEVENTH: I direct that no fiduciary appointed hereunder
shall be required to post any bond or surety thereon in any
jurisdiction by reason of their appointment .
EIGHTH: I direct my Executrix, herein named, to appoint
F. CHRISTOPHER SPINA, ESQUIRE, Attorney for my Estate .
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this day of —' 2008 .
(SEAL)
M. RUTH BOYER �`�
SIGNED, SEALED, PUBLISHED AND DECLARED by M. RUTH BOYER, the
Testatrix above named, as and for her Will in the presence of us,
who, at her request, in her presence and in the presence of each
other, have hereunto subscribed our names as witnesses hereto.
residing at
A i or
Lk - �� .Jesiding at
ACKNOWLEDGMENT OF TESTATRIX
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF
I, M. RUTH BOYER, Testatrix, whose name is
attached or foregoing signed to the
according instrument, having been duly qualified
to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will and Testament; that I signed it
willingly; and that I signed it as my free and voluntary act for the
Purposes therein expressed.
M.
RUTH BOYER
Sworn or affirmed to and acknowledged before me, by M. RUTH
BOYER, the Testatrix, this
_Z _ day of 2008 .
'Notary/ Pu is
Amy AFFIDAVIT OF WITNESSES
We, /- my J 13
witnesses whose names are signed d L'�theJ atta hed� or
instrument, being duly -rc-' the
y q alified according to law, foregoing
that we were present and saw the Testatrix sign Band execute the
instrument as her Last Will and Testament; that she signed willingly
it
and that she executed as her free and voluntary act for the
Purposes therein expressed; that each of us in the hearing and sight
of the Testatrix signed the Last Will and Testament as witnesses; and
that to the best of our knowledge the Testatrix was at that time 18
or more years of age, of sound mind and
influence . under no constraint. or undue
-
Subscribed and sworn to before this me b (� )
-P f:ar�: �h�l l � I:�n . 4. ��� of , Y i—Yy�ln ` I- ....
I' day v (.>Y I � a cam_ and
zoos .
OtaT`�` Pu is �l /
COMMON WEALTH OF PENNSYLVANIA
NO'(ARIAL SEAL
SUZANNE M. BELDEN, NOTARY PUBLIC
-7- CARLISLE BOROUGH, CUMBERLAND COUNTY
MY COMMISSION EXPIRES MAY 10, 2008
Coins Inc d.b,a.Treasure Hunt
1680 Washington Road
Pittsburgh, PA 15241 invoice
Jeannette Dodd
Date: 12/06/2013
Invoice No.: 11007
Due Date- 01/05/2014
Salesperson: SOUTH HILLS
Bill To:
KAREN BOYER
412-835-1359
qty Ds,,ip
Unit Price Total
1 1 1914$5 BLUE SEAL C5752734 1A - ----- --- --
1 1935C$1 SILVER CERT M44304845E $35.00 $35.00
1 1928G$2 RED SEAL D9259421 1A $1.15 $1.15
1 1928G$2 RED SEAL E05580584A $2,25 $2.25
1 1953C$2 RED SEAL A78960268A $2.95 $2.95
1 1963$2 RED SEAL AM 72152A $2.10 $2.10
1 1 1963$2 RED SEAL A02438123A $2-50 $2-50
1 1963$2 RED SEAL A02101638A $2. ,5 $2.25
1 1953A$2 RED SEAL A59390081A $3.0R $3.00
1 1953A$2 RED SEACA47330477A $2-50 $2.50
I 1963A$2 RED SEALA17545715A $2.75 $2:I.l
I 1963A$2 RED SEALA1 59886 $2.5
J1
�M $2,
1 1953$5 RED SEAL 619203818 $3.60
1 $3,00
1 1963$5 RED SEAL A27159569 $5.50
1 1963$5 RED SEALA34625291A $5.50 $5.50
1 1963$5 RED SEAL A47314622A $s�� $5-50
I ()ORIGAMI SWAN $5.5d $5.50
1 1904 LIBERTY NICKEL $1.00 $1.00
1 1912 LIBERTY NICKEL s0.2q $025
1 1903 LIBERTY NICKEL $0.25 $0.25
3 1937 BUFFALO NICKEL $0.25'
$0.25
3 1935 BUFFALO NICKEL $0.15 $0A5
1 1936 BUFFALO NICKEL $0.t5 $0.45
1 1926 BUFFALO NICKEL PARTIAL DATF $0.15 $0.15
1 11923 BUFFALO NICKEL PARTIAL DATE $0.07t $0-07
1929 BUFFALO NICKEL PARTIAL DATE $0.07
1927 BUFFALO NICKEL PARTIAL DATE $0.07 $007
1925 BUFFALO NICKEL PARTIAL DATE $0.67 $0.07
25 BUFFALO NICKEL.NO DATE $ao f $0.07
1 1942 JEFFERSON NICKEL $0.05, $1.25
:!
1 1956 JEFFERSON NICKEL $Q'05,1 $0.05
1 1859 INDIAN CENT s0.45 $0.05
8 1905,1889,1907.1905,1890,2-DATELCSS,1902 $6.00 $6.00
$2-00
Invoice#11007,Page 1
I. . . .. .. _.P
Qty Descri tion
._ .._. _ ice __._. Total
1 1901 INDIAN CENT CLIPPED PLEDCHET n'$0.2
1 1858 FLYING EAGLE CENT HO 0 $2.00
8 WHEAT CENTS (1943X4, 1956,'1943-DX2,DAMAGED) , I - $0.25
8 BARBER DIME ALL WORN - $0.03 $0.16
(1901,1914-D,1913,1911,1910,1911,1910,1901) $1.20 $9.60
5 BARBER QUARTERS ALL WORN(1912,NO
DATE,1912,1915-DX2) $3.(d $15.00
1 WASHINGTON QUARTER 1954-D
7 KENNEDY HALVES FACE VALUE 1974 AND UP THEY $3.00 $3.00
CONTAIN NO SILVER $0.50 $3.50
1 1954-D FRANKLIN HALF
4 BARBER HALVES(1915-D,1902,1899,1915-S) $6'0 I $6.00
2 1952 WASH-CARVER COMMEMORATIVE HALF $6.40 $24.00
DOLLARS $9 do$ 18.00
1 1833 BUST HALF DOLLAR
1 1925 10C EAST AFRICA $43"04 $43.00
1 WORN BELGIUM SILVER COIN $0.6 $0.50
1 MGM GAMING TOKEN $6.0u0 $6.00
3 1963 CARLISLE CIVIL WAR CENTENNIAL TOKENS
ill
BRONZE
1 1882-0 1S MORGAN DOLLAR
1 1921 MORGAN DOLLAR $40.00 $40.00
1 1921-S MORGAN DOLLAR $19"O��J{{ $19.00
1 1886 MORGAN DOLLAR $19.0 $19.00
1 1885 MORGAN DOLLAR $23'00 $23.00
1 1885 MORGAN DOLLAR $20.00 $20.00
1 1885 MORGAN DOLLAR/AU/TONED $200 $20.00
1 1891 MORGAN DOLLAR $23.00 $23.00
1 1889 MORGAN DOLLAR $20"00 $20.00
1 1879-S MORGAN DOLLAR $23.00 $23.00
1 1924 PEACE DOLLAR $20.0,0 1 $20.00
1 1922-D PEACE DOLLAR $19'00 $19.00
1 1976 IKE DOLLAR $20.00 $20.00
1 1972 IKE DOLLAR $1.00I $1.00
$1.0;i $1.00
Total Am .. .._-_..
/�/6 113 -- --� - Subtot I $495.46
II
t $495.46
Balance Due $495.46
Please contact us for more information about payment options.
Thank you for your business.
!' Invoice#11007, Page 2