HomeMy WebLinkAbout05-30-14 -J
REV-1500 EX(02-11) 1505610143
:x
PA Department of Revenue ,� OFFICIAL USE ONLY
P Pennsylvania County Code year File Number
Bureau of Individual Taxes oee.a,Mem OF aevenUa
PO BOX.280601 INHERITANCE TAX RETURN 2 1 13 0965
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
09 02 2013 09 03 1926
Decedent's Last Name Suffix Decedent's First Name MI
MUMMA ROBERT L
(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 ❑ S. Federal Estate Tax Return Required
(date of death after 12-12-82)
® 8 Decedent Died Testate ❑ 7 Decedent Maintained a Living Trust O 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 717 838 6348
REGISTER OF W14S USE ONLY
70 rril
First Line of Address :;� .:1 c> p
v
6 E MAIN STREET "J c �?
_ r- w m m
zM o
Second Line of Address rig "�
PO BOX 323
'13 DATE 14p_ n
City or Past Office State ZIP Code - » r-r r— C5
PALMYRA PA 17078 s N o
CY) -n
Correspondent's e-mail address: glbrin @aol.com
Under penalties of perjury,I declare that 1 have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct and complete.Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN n DATE
Joanne Molz Y2LG� M S� -) P=�S�
ADDRESS
5212 Even Star Place, Columbia, MD 21044-1832
SIGNATUR PREPARER OTHER T N REPRESENTATIVE DATE
NZ Gerald J Brinser
ADDRESS 11 f ,
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. MUMMA, ROBERT L.
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. 417 , 661 . 25
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............. 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) ❑ Separate Billing Requested............. 7_
8. Total Gross Assets(total Lines 1 through 7).......................................................... g. 417 , 661 . 25
9. Funeral Expenses and Administrative Costs(Schedule H)..................................... 9. 38 , 222 . 70
10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1)............................. 10. 1 1 , 909 . 85
11. Total Deductions(total Lines 9 and 10).................................................................. 11, 50 , 132 . 55
12 Net Value of Estate(Line 6 minus Line 11)............................................................. 12. 367 , 528 . 70
13. Charitable and Governmental Bequests/Sec 9113 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. 367 , 528 . 70
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 16.
17. Amount of Line 14 taxable
at sibling rate x 12 183 , 764 . 35 17. 22 , 051 . 72
16. Amount of Line 14 taxable
at collateral rate X .15 183 , 764 . 3 5 18. 27 , 564 . 6 5
i
19. TAX DUE.................................................................... .............................................. 19. 49 , 616 . 37
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ❑
Side 2
1505610243 1505610243
REV-1500 EX Page 3 File Number 21 - 13 - 0965
Decedent's Complete Address:
DECEDENT'S NAME
Mumma, Robert L.
STREETADDRESS
320 Messiah Circle
CITY STATE ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 49,616.37
2. Credits/Payments .
A. Prior Payments 46,500.00
B. Discount 2,447.37
Total Credits(A +B) (2) 48,947.37
3. Interest
(3) 0.00
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) 669.00
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?_.................... .....................................................-.................. ........ ❑
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 A)(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 reiturn 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 oryounger 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
[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.69116(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 y blood or adoption.
Aa, pennsylvania SCHEDULE E
►` DEPARTMENT OF REVENUE CASH
_e INHERITANCE TAX RETURN , BANK DEPOSITS AND MISC.
RESIDENT DECEDENT PERSONAL PROPERTY
ESTATE OF Mumma, Robert L. FILE NUMBER 21 - 13-0965
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 PNC Bank - Interest Checking Account#50-0505-9549 29,475.77
(Includes accrued interest of$0.07)
2 PNC Bank - Premium Money Market Account#50-0488-4328 381,618.14
(Includes accrued interest of$16.93)
3 Genworth - Long-Term Care Insurance 2,255.00
4 Dr. Seaglebaum -Overpayment 10.00
5 Social Security Check 1,313.00
6 U.S. Treasury-2013 Income Tax Refund 2,731.00
7 PSERS - Final Check 258.34
TOTAL(Also enter on Line 5, Recapitulation) 417,661.25
REV-1511 Ex-(10-09)
j_A,aaa pennsylvania p 1 pS/CH�EDpU�LrE�HC�+ w,1
r� DEPARTMENT OF REVENUE FUNERALEXPENSESAND
�e INHERITANCE TAX RETURN
RESID ENT DECEDENT �NIS1TRW TIVE COSTS
ESTATE OF Mumma, Robert L. FILE NUMBER 21 - 13 - 0965
Decedent's debts must be reported on Schedule 1.
ITEM
NUMBER FUNERAL EXPENSES: DESCRIPTION AMOUNT
A. 1 Hoover Funeral Home 4,534.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Joanne Molz 16,500.00
Street Address 5212 Even Star Place
City Columbia State MD zip 21044-183
Year(s)Commission Paid 2013/2014
2. Attorney's Fees Brinser, Wagner&Zimmerman --Gerald J. Brinser 16,500.00
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. $210.00=$75,001 -$100,000) 298.50
5. Accountant's Fees
6. Tax Return Preparers Fees
7, Other Administrative Costs
1 Register of Wills-Additional Cost of Letters 200.00
TOTAL(Also enter on line 9, Recapitulation) 38,222.70
Schedule H
COMMONWEALTH OF PENNSYLVANIA Funeral EVenses&
INHERITANCE TAX RETURN Administrafive Costs confinued
RESIDENT DECEDENT
ESTATE OF Mumma, Robert L. FILE NUMBER
21 - 13
-0965
2 The Sentinel - Legal Advertising 115.20
3 Cumberland Law Journal - Legal Advertising 75.00
Page 2 of Schedule H
0, pennsylvania SCHEDULE
DEPARTMENT TA RETURN DEBTS OF DECEDENT
INHERITANCE TAX RETURN , MORTGAGE
RESIDENT DECEDENT LIABILITIES & LIENS
FILE NUMBER
ESTATE OF Mumma, Robert L. 21 - 13- 0965
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION AMOUNT
1 Alert Pharmacy 381.75
2 Messiah Van Service 125.75
3 Messiah Village- Room & Board 11,272.10
4 Capital Area Health Assoc. (76.92 + 38.33) 115.25
5 PA Department of Revenue-2013 Income Tax Due 15.00
TOTAL(Also enter on Line 10, Recapitulation) 11,909.85
REV-1513 EX-(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mumma, Robert L. 21 - 13-0965
NAME AND ADDRESS OF PERSON RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER (S) DECEDENT (Words) ($$$)
RECEIVING PROPERTY Do Not List Truetee(s)
I, TAXABLE DISTRIBUTIONS(include outright spousal
distributions,and transfers
under Sec.9116(a)(1.2)1
1 Joanne Molz Sister 1/2 Residue 183,764.35
5212 Even Star Place
Columbia, MD 21044
2 David Lyter Nephew 1/6 Residue 61,254.79
3037 NE 4th Avenue
Wilton Manor, FL 33334
3 Lisa Neely Niece 116 Residue 61,254.79
236 Riverview Terrace
Dauphin, PA 17018
Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate.
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00
REV-1513 EX*(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES continued
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Mumma, Robert L. 21 - 13-0965
NAME AND ADDRESS OF PERSON(S) ELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER RECEIVING PROPERTY ) DECEDENT (Words) ($$$)
Do Not List TrOstee(s)
I, TAXABLE DISTRIBUTIONS[include outright spousal
distributions,and transfers
under Sec.9116(a)(1.2)]
4 Mark Lyter Nephew 1/6 Residue 61,254.79
P.O. Box 448
Wheatland, IA 52777
Page 2 of Schedule J
r CO _r ,
WILL
OF
ROBERT L. MUMMA
I, ROBERT L. MUMMA, currently of Upper Allen Township, Cumberland
County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking
any and all prior Wills and Codicils made by me.
1. I direct that all my just debts and funeral expenses be paid from the assets of my
estate as soon as practicable after my demise.
1I. 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.
11I. 1 bequeath equally unto my sisters, Janet Lyter and Joanne Molz, or the survivor
of them, all tangible personal property which I own at my death.
IV. 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 sisters, Janet and Joanne, or their issue per stirpes.
V. I appoint my sister, Janet Lyter, Executrix of this my Will. In the event that she
fails to qualify or ceases to act as Executrix, I appoint my sister, Joanne Molz, Executrix
of this my Will.
VI. I direct that no bond be required of my fiduciaries for the faithful performance of
their duties in any jurisdiction.
IN WITNESS WHEREOF, 1, ROBERT L. MUMMA, 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 Z�day of 2011.
77(1,,c, (SEAL)
ROBERT L. MUMMA
1
Signed by ROBERT L. MUMMA, by him declared to be his Will in our presence,
who have 1 ereunto subscribed our names as witnesses in his presence and at his request,
this Ka-day of'Ytb-ULA/'t 2011.
residing at
residing at��; _!
-2-
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF LEBANON
WE, ROBERT L. MUMMA, GERALD J. BRINSER and lX•�.17cII A. 70,6,,-,C ,
the testator and the witnesses, respectively, whose names are signed-th the attached or
foregoing instrument, being first duly affirmed, do hereby declare to the undersigned
authority that the testator signed and executed the instrument as his Last Will and that he
signed willingly (or willingly directed another to sign for him), and that he executed it as
his free and voluntary act for the purposes therein expressed, and that each of the
witnesses, in the presence and hearing of the testator, signed the Will as witnesses and
that to the best of our knowledge the testator was at that time eighteen .years of age or
older, of sound mind and under no constraint or undue influence. -
ROBERT L. MUMMA
WITNESS
WYTNESS
Subscribed, sworn or affirmed and acknowledged before�me by ROBERT L.
MUMMA, the testator, GERALD J. BRINSER and /�� C1 c-/, ;E Fps ;Witnesses,
this 2r�1O�day of e(l'�u a ice, 2011.
SEAL)
Notary Public
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL S L
WENDY L.CRAWFORD,Notary Public
Palmyra Boro..Lebanon County
y
Corn i ion Ex ires Se tember 10 2018
-3-
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX01-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
3ECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 018467
MOLZ JOANNE
5212 EVEN STAR PLACE
COLUMBIA, MD 21044-1832
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
101 $46,500.00
ESTATE INFORMATION: SSN: 162-22-3206
FILE NUMBER: 2113-0965
DECEDENT NAME: MUMMA ROBERT L
DATE OF PAYMENT: 12/02/2013
I
POSTMARK DATE: 11/26/2013
COUNTY: CUMBERLAND
DATE OF DEATH: 09/02/2013
TOTAL AMOUNT PAID: $46,50o.00
REMARKS:
CHECK# 1007
INITIALS: DB1
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
Nov. 21. 2013 2: l7PM PNC Bank No. 7494 P. 2
:PNC
November 21, 2013
Brinser, Wagner& Zimmerman
Attorneys at Law
C/O Gerald J Brinser
6 East Main St tad Floor
PO Box 323
Palmyra PA 17078
RE: Robert L Mumma
SSN: 162-22-3206
DOD: 09/02/2013
Dear Sir/Madam-
In response to your request for Date of Death (DOD) balances for the customer noted above, our
records show the following:
Checking Account
Account# 5005059549 Established. 09/01/2009
ROBERT L MUMMA
DOD balance: $29,475,70 + 0.07 accrued interest
Savings Account
Account# 5004884328 Established: 08/31/2009
ROBERT L MT MMA
DOD balance: $381,601.21 + 16.93 accrued interest
owe
Please note that this office provides date of death balances for deposit accounts (IRAs, CDs, Checking and
Savings). We do not process any financial transactions or provide statements. If you need assistance with
any of these items,please call 1-888-PNC-13ANK(1-888-762-2265)or stop by your local PNC Bank branch
office.
Sincerely,
National Financial Services Center
PNC Bank,N.A.
Member FDIC
Page 1 of 2
Nov. 21. 2013 2: 17PM PNC Bank No. 7494 P. 3
This message is intended for the use of lite individual or entity to which it is addressed and stay
contain confidential information that is privileged, confidential and exemptfrom disclosure under
applicable law. If the reader of this message is not the intended recipient or the employee or agent
responsible for delivering this message to the intended recipient,you are hereby notified that any
dissemination, distribution or copying of this communications is strictly prohibited. 1f you have
received this communication in error,please notify me immediately by reply or by telephone at
800 762-1775 and immediately destroy this faxed docurnent.
Page 2 of 2
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RECEIPT FOR PAYMENT
GLENDA FARNER STRASBAUGH Receipt Date : 9/10/2013
Cumberland County - Register Of Wills Receipt Time : 12 :45 :48
One Courthouse Square Receipt No. : 1075515
Carlisle, PA 17613
MUMMA ROBERT L
Estate File No. : 2013-00965
Paid By Remarks : BRINSER WAGNER & ZIMMERMAN
DB1
----------------------- - Receipt Distribution -- - ------- --------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 210 : 00 CUMBERLAND COUNTY GENERAL FUN
WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 15 . 00 CUMBERLAND COUNTY GENERAL FUN
JCS FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D
AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN
INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN
INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN
Check# 4253 $298 . 50
Total Received. . . . . . . . . $298 . 50
The Sentinel ZIMMERMAN BRINSER,WAGNER& AD NUMBER PAGE NO.
w w w.c u m be r l i n k.c.. 6 E. MAIN STREET,2ND FL. 425874 1 of 1
OX B
P.O. , P
P.O. BOX 3 17078 BILL DATE SALESPERSON
cneus!e swrac•ueuec PE.ery couNrY 717-838-6348 11101/13 wolfs
START DATE STOP DATE
10118113 11101/13
AD NUMBER AD DESCRIPTION CLASS LINES
425874 NOTICE NOTICE IS HEREBY GIVEN THAT 10 PUBLIC NOTICES 20 ` 2 cols
Publication Insertions Rate Net Amount Gross Amount
3 THE SENTINEL-LEGAL 3 LGL $106.20
TOTAL AD CHARGE $106.20
3 PROOF OF PUBLICATION 01PRF $7.00
3 MOBILE SITE MOB2 $2.00
Purchase Order ESt.RObertMUmma PAY THIS AMOUNT $115.20 $138.24*
'AFTER 11126113
Lee Enterprises no longer accepts credit card payments sent via a-mail.
Emails containing credit card numbers will be blocked. Please use the coupon
below to send credit card payment to our lockbox. E SENTINEL
You may also send the coupon to a secure fax at 319-291-4014. THE
LEE NEWSPAPERS
Thank you for advertising with The Sentinel! Deadline for PO BOX 540
in-column legal ads is 4:00 p.m. two business days prior to WATERLOO IA 50704-0540
date of insertion. For questions, call (717)240-7130.
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Jackie Cox, Director of Sales,of The Sentinel, of the County and State aforesaid,being
duly sworn, deposes and says that THE SENTINEL,a newspaper of general circulation
in the Borough of Carlisle,County and State aforesaid,was established December 131b,
1881,since which date THE SENTINEL has been regularly issued in said County, and
that the printed notice or publication attached hereto is exactly the same as was printed
and published in the regular editions and issues of
THE SENTINEL on the following day(s):
October 18, 25,November 1,2013
COPY OF NOTICE OF PUBLICATION
Affiant further deposes that he/she is not
NOTICE interested in the subject matter of the
Notice is hereby given that Letters Testamentary on the Estate of ROBERT L. aforesaid notice or advertisement and that
MUMMA,Deceased,late of Upper Allen Township,Cumberland County, r
Pennsylvania,have been granted to the undersigned Executrix. all allegations.in the foregoing statement as
All persons therefore Indebted to said estate are requested to make Immediate to time lace and character of publication
payment,and those having just claims will please present the same,duty ,p P
authenticated,for settlement,without delay.Joanne Matz,5212 Even Star are trite,
Place,Columbia,MD 21044-1832,Executrix;Gerald J.Brinser,Attorney.
J
Sworn to and subscribed before me this
Jim Cl_ NOV ii m 6e•I- X013 .
Th) III
'i Notary Public
My commission expires:
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Bethany M.Holtry,Notary Public
Carlisle Born,Cumberland County
MY Commission Expires Seel 26,2015
MEMBER,PENNSYLVANIA ASSOCIATION OF NOfARIEi,
i
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
Tale: (717)249-3166 Fax:(717)249-2663
November 8, 2013
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Gerald J. Brinser, Esquire
RE: Robert L. Mumma Estate
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
------------------------------------------------------------------
------------------------------------------------------------------
Advertisement inserted on the following dates:
October 25, November 1, and November 8, 2013
Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment received $ 0 .00
Total Amount Due $ 75.00
Payment received by J
7d' /�
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYLVANIA :
ss.
COUNTY OF CUMBERLAND
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid,being duly swom, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
viz:
October 25,November 1, and November 8, 2013
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
.vim
sa Mane Coyne, Vditor
SWORN TO AND SUBSCRIBED before me this
8 day of November, 2013
Notary
Mumma,Robert L.,dec'd.
Late of Upper Allen Township.
Executrix: Joanne Molz, 5212 NOTARIAL SEAL
Even Star Place, Columbia, MD DEBORAH A COLLINS
21044-1832. Notary Public
Attorney: Gerald J. Brinser, Es- VARLISLE BOROUGH. CUMIBEALAND COUNTY
quire' __'_1,_Commission Emirees Apr 29,2014