HomeMy WebLinkAbout02-0478
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of EJ../2.AP,\'FH'Il-/t/llf/.;"/V No. P- R ,5 7 Ie (..3 ~"'"
also known as B {rry L A III 1- -,:, ,0/- f71r\. To: "Z., - O~ - 4' 8
Register of Wills for the
, Deceased. County of (l u tvl IS i'R I,A AI /) in the
Social Security No. () ,'-57. I () - I. ~ r" .C: Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of~a e or older an the execut r~) X
in the last will of the above decedent, dated _ i (,' c G J c; q ?
and codicil(s) dated ' ' , ,
named
, 19_
(state relevant circumstances, e.g. renunciation. death of executor, etc.)
Decendent was domiciled at death in C (, IV) R l' R Lit Jv f)
h 13 rz last family or principal residence at 107 () (. Tc;; i'i\ /) I":>.
C' A I'A D t1 Ii.. L
,
(list street, number and muncipality)
County, Pennsylvania" with
CA"', n /-I,LL ~/() II
I
/1 A Y 'I) ,) 0(, <::>
,~ 0)
years of age, died
.., l'
Except as follows, ecedent did not ma ry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent: III II
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
3(l 1'1.' Co, r', (1
.J
$
$
$
$
WHEREFORE, petitioner(s) respectfully ~ues~ the probate of the last will and codicil(s)
presented herewith and the grant of letters ,-t'S /Y) -e' At IA Po i
(testamentary; administrat on c.La.; administratIOn d.h.D.c,La.)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA l- ss
COUNTY OF CillID~ J
Swam to or affirmed, and SUbS, cribed {
before me this 15th day of
MAY 2002 ~
~d~~t~.t1, :Jff~,. -a
Reg/Sf
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law.
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II - ~LI-3
No. 2J - 07 - 1../18
Estate of
ELIZABETH V LANGTON
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW MAY 16, 2002 ~ . in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated ,JUNE 6. 1997
described therein be admitted to probate and filed of record as the last will of ELI ZABETH V LANGTON
and Letters TESTAMENTARY
are hereby granted to VERONICA. THOMPSON
Yr';;J// '/;" x1n ,In @"{J..J1f:.-:i;JafJ Gu n4
, / V
C LEWISegister of Wills
FEES
Probate, Letters, Etc. ......... $ 60.00
Short Certificates( ).......... $ 36.00
Xfi~ .ertrA .pag,"s.. $ 21.00
lCP $ 5.00
TOTAL _ $ 122.00
Filed .. ,?:-.H~-:?9P.~ . . . . . . . . . . . . . . . . . . . . . .
mailed to exec on 5-16-02
AITORNEY (Sup. Ct. 1.0. No.)
ADDRESS
PHONE
K
-'
".J
funs! mill nnn QIcsmmr>nt
of
ELIZABETH V. LANGTON
2.1- 02. - '"', 8
BE IT REMEMBERED, that I, ELIZABETH V. LANGTON, of 107
October Dri ve, Camp Hill, Pennsyl vania
Pennsylvania,
being of sound mind, memory and understanding, do make,
publish and declare this as and for my Last will and
Testament, hereby revoking and making null and void any and
all Wills and Testaments and writings in the nature thereof
by me, at anytime heretofore made.
ITEM 1:
I direct that all my just debts and funeral
expenses be paid as soon after my demise as may be
convenient.
The foregoing notwithstanding, I hereby
acknowledge that I previously designated my sister,
VERONICA THOMPSON as beneficiary of a Certificate of
Deposit pursuant to and under the agreement with my said
sister that she would pay for my funeral expenses from the
funds received from that Certificate. I, therefore, direct
that this agreement be complied with.
ITEM 2:
I give and bequeath all tangible personal
property owned by me at my death and all insurance policies
on such property as follows:
a. To those individuals who survive me by thirty
(30) days who are designated on a list or memorandum
signed by me which refers to this Will or is found with
a copy thereof, I give and bequeath the items listed
beside their names.
(
~V~(SEAL)
EL ABETH V. LANGT
1
b.
The
balance
(including
any
items
under
subparagraph (a) above the bequest of which has lapsed)
shall be included in my residuary estate, and shall be
distributed by my hereafter named Personal Representative
to the beneficiaries thereof as herein provided. My
Personal Representative shall have the right to dispose
of the remaining items of personalty that are to become
part of my residuary estate, either in kind or in cash as
a result of liquidation thereof,
as my Personal
Representative, in her sole discretion, deems appropriate
under the circumstances. It is my intent, however, that
should any beneficiary of my residuary estate desire to
receive a particular item in kind which was not
specifically bequeathed to that beneficiary, to the
extent reasonably possible, my Personal Representative
shall attempt but not be obligated, to follow that
beneficiary's request.
c. If any beneficiary of any item of tangible
personal property aforesaid has not yet attained the age
of 18 at the time of my death, I order and direct that my
Personal Representative to hold the items in safekeeping
for that beneficiary and to deliver the same to the that
beneficiary upon he or she reaching age 18.
For said
purposes my Personal Representative shall be entitled to
use or set aside from my estate sufficient funds to
provide for said safekeeping.
artr'l;~~
gLrzABETH V. GTON
(SEAL)
2
ITEM 3:
All the rest, residue and remainder of my
Estate, of whatsoever nature and wheresoever situate,
whether it be real, personal or mixed, including any
insurance policies therefor, property over which I have
power of appointment, and proceeds from any insurance
policies payable to my estate, I give, devise and bequeath
to my nieces, BETTY NEUMEISTER of RD 2, Box 95A, Higgins,
PA 17938 and BARBARA MCDONALD of 23 Frayley Drive,
Somerset, NJ 08813, or the survivor of them, in equal
shares per capita.
ITEM 5:
I appoint my sister, VERONICA THOMPSON, as my
Personal Representative of this my Last will and Testament,
and direct that my Personal Representative shall administer
my estate and make the distributions herein provided.
Should VERONICA THOMPSON, predecease me, fail to qualify,
cease to act or renounce probate, I then appoint my nieces,
BETTY NEUMEISTER AND BARBARA MCDONALD, or the survivor of
them, as the Alternate Co-Personal Representatives of this
my Last Will and Testament.
ITEM 6:
I direct my Personal Representative to pay all
inheritance,
estate,
succession and legacy taxes of
whatsoever nature and kind, to which my Estate or any
person receiving the transfer of any property passing
hereunder or otherwise passing by reason of my demise, may
be subject and to charge such taxes against my residuary
estate, it being my intention that none of the aforesaid
~(
('4r-,Lti 2J c1~~ (SEAL)
E ZABETH V. LANG N
3
taxes, either federal or state, or any property required to
be included in my gross estate, under the provisions of any
state or federal law now in force or hereafter enacted,
shall be prorated among the persons interested in my Estate
to whom such property is or may be transferred or to whom
any benefit accrues.
ITEM 7:
In addition to the powers conferred by law, I
authorize my Personal Representative in her absolute
discretion:
a. To retain in the form received, and to sell
either at public or private sale any real or personal
property;
b. To manage real estate;
c. To invest and reinvest in all forms of property
without being confined to legal investments, and
without regard to the principle of diversification;
d. To exercise any option or rights arising from
ownership of investments;
e. To compromise claims without court approval and
without the consent of any beneficiary;
f. To disclaim any interest in property;
g. To claim an elective share of the estate of any
deceased spouse;
h. To join with any spouse I may have upon my death
in the filing of any federal income tax return for any
year for which I have not filed such return prior to
(
?eOiJl/t 2I.y ~~ (SEAL 1
~ E Z BETH V. LANGT
4
my death, and to consent to the treatment of any gifts
made by my spouse as being made one-half by me for
gift tax purposes notwithstanding the fact that such
action may result in additional liabilities for my
estate. Any income or gift taxes due on such returns
and any deficiencies, interest, penalties, or refunds
thereon, shall be allocated between my estate and my
spouse and my spouse's estate, or all to any of them,
in such manner as my Personal Representative and my
said spouse may agree.
i. To disburse my estate in kind or by way of
liquidation thereof, in whole or in part, as my
Personal Representative in her sole discretion may
deem appropriate under the circumstances.
ITEM 8:
I direct that my Personal Representative or her
successors shall not be required to give bond for the
faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this 6th day of
June
, 1997.
WITNESS:
C~~d!~ ~~~~SEAL)
ELIZ BETH V. LANGT N
5
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
We, ELIZABETH V. LANGTON, Diane G. Radcliff and
Harold M. Donley
the TESTATRIX and the witnesses
respectively, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the TESTATRIX
signed and executed the instrument as the TESTATRIX's Last
Will and that TESTATRIX had signed willingly (or willingly
directed another to sign for ), and that TESTATRIX executed
it as TESTATRIX 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 their knowledge the
TESTATRIX was at that time eighteen years of age or older,
of sound mind and under no constraint or undue influence.
WITNESS
Sworn to and subscribed to
before me this u..t:L day
of ~~_I ./ , 1997.
~UB~cAUK{~
Notarial Seal
Deborah L. Donley, Notary pubnc
Camp Hill Bora, Cumoerland County
My Commission Expires Sept. 23, 1999
Member. Pennsylvlol. AMOGlatioo of Notaries
My Commission Expires:
6
Notanal Seal
Deborah L. Donley, Notary pubnc
Camp Hill Boro, Cumberland Couoh
My Commission Expires Sept ?"
Membar Pennsylvania Assnrh' ..
(
BEQUEST OF PERSONALTY
Pursuant to the terms of Item 2 of my Last Will and Testament
dated
June 6
, 1997, I, ELIZABETH V. LANGTON, hereby
give and bequeath the following items of personal property to the
person or persons whose names appear next to each said item of
personalty, to the extent that I own said items as of the date of
my death:
1. All of my jewelry to my step sister, IRENE BARRATT, of 29
Ashley Court, Marlton, NJ., my niece, BETTY NEUMEISTER, of RD
2 Box 95A, Higgins, PA and my niece, BARBARA MCDONALD, of 23
Frayley Drive, Somerset, NJ, in equal shares per capita.
These bequests are made on
June 6
1r:fJ7
and
supersedes, replaces and revokes all prior bequests of personalty.
IN WITNESS WHEREOF, I have set my hand and seal this 6th
day of
June
, 1997.
\ ~~~J~~
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
SS. :
COUNTY OF CUMBERLAND
We, ELIZABETH V. LANGTON,
Diane G. Radcliff
, and
Harold M. Donley
__, the Testatrix and the witnesses
respectfully, whose names are signed to the attached or foregoing
instrument, do hereby declare to the undersigned authority that the
Testatrix signed and executed the instrument as her Bequest of
Personalty and that she had 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 their knowledge the
Testatrix was at that time eighteen years of age or older, of sound
mind and under no constraint or undue influence.
~
Sworn to and subscribed to
before me this ~ day of
rJ~AI .J , 1997.
rJ.Qw.1JJtL ff'. ~
Notary Public
My Commission Expires:
Notarial Seal
Deborah L. Donley, Notary pubnc
Camp Hill Bora, Cumberland County
My Commission Expires Sept. 23, 1999
em er ennsylvanla Association 01 Notaries
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT DF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z60bOl
HARRISBURG, PA 11128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO.21 02-0478
02133108
07-18-2002
REV-l!;:~J Ell iFP (09-00)
TYPE OF
ACCOUNT
[i] SAVINGS
D CHECKING
D TRUST
D CERTIF.
TO:
"
EST. OF ELIZABETH LANGTON
S.S. NO. 089-10-6368
DATE OF DEATH ~5-09-2002)
COUNTY CUMBERLAND
BARBARA
APT S
1 n7 ~lg\:[r1B[R
C'.MP IIIll
MCDONALD
REHIT PAYHENT AND FORHS
REGISTER OF WILLS
Z ~ N.12 L.. l:::tt.l ~ CUMBERLAND CO COURT HOUSE
~ ~ CARLISLE, PA 17013
HOll ~~ J,J"J r5 8&73-ICff:JS""
PNC BANK has provided the Depertment with the infor.aUon listDd b"llow which has been used in
calculating the potential tax due. Their racords indicate that et the death of the above decedent~ you were a joint owner/beneficiary of
this account. If you feal this information is incorrect, please obtain writtan correction from tha financial institution~ attach a copy
to this form and return it to the above address. This account is taxablB in accordance with the Inheritance Tax Laws of the Commonwualth
of Pennsylvania. Questions may be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5001943986 Date 12-16-1998
Established
Account Balance
Percent Taxable
Amount Subject to Tax
Tax Rat.
Potential Tax Due 80
PART TAXPAYER RESPONSE
[!J1::i:::~'~~.I:i!imi:i~~~~iiii~~~~i",:~g~iiiiii~l:iii.':i!~~~~~i~~~i.i!~~~i!i!il~~g~.~':i!~~g.:,~~::,~~~~!iii!~~~~~i!!,i!1
x
32,056.73
16.667
5,342.90
.15
To insure proper credit to your account, two
(2) copies of this notice must accompany your
payment to the Register of Wills. HakR chDck
payable to: "Register of Wills~ Agent".
NOTE: If tax payments are made within three
(3) months of the decedent"s date of death,
YOU may deduct a 5Z discount of the tex dUD.
Any inheritance tex due will become delinquent
nine (9) months after the date of death.
[CHECK ]
ONE
BLOCK
ONLY
A. D ThB above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a dIscount or aVOId IntBrest~ Dr you may check box "An and return thiS notlcQ to the Registgr of
"IllS anO an official assessment will be issued by the PA Depart.ent of Revenue.
8. c=J The above asset has been or will be reported and tax paid with thD Pennsylvania Inheritance Tax rsturn
to be filed by the decedent's representative.
C. [] The above Information is incorrect and/or debts and deductions were paid by you.
You must complate PART ~ and/or PART ~ below.
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicate a different tax rate~ please state your
relationship to decedent:
PART
[!]
TAX RETURN - COM~UTAT!ON
LINE 1. Date Established
Z. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
S. O.bts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
Z
3
4
I;
6
7
B
x
x
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL CEnter on Line 5 of Tax Computation)
I
$
perjury, I declare that the facts
"ledge and belief.
I have reported above are true, correct and
HOME (7'B2..) ~/f! - / /7g ,
WORK (___) ~~/ZtJ7JZ-
TELEPHON NUMBER ATE
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 260601
HARRISBURG I PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 02-0478
02133106
07-18-2002
REV-l!'iIiJI':l.FPC09-00)
TYPE OF
ACCOUNT
D SAVINGS
D CHECKING
D TRUST
00 CERTIF.
'\1
EST. OF ELIZABETH LANGTON
S.S. NO. 089-10-6368
DATE OF DEATH G5-09-2002::)
COpNTY CUMBERLAND
BARBARA MCDONALD
APT 5
102 NOVEMBER DR
CAMP HILL PA 17011
REMIT PAYMENT AND FDRMS TD:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
PNC BANK has providad tha Dapartllant with tha inforllation listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of tha above dacedentl you were a joint owner/beneficiary of
this account. If you feel this information is incorrect I please obtain written correction fro. the financial institutionl attach a copy
to this form and return it to the above address. This account is taxable in accordance with the Inhsritance Tax Laws of the Commonwealth
of Pennsylvania. Questions may be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 31500200362 Date 10-06-2000
Established
Account Balance
P.rc.nt Taxable
Amount Subject to Tax
Tax Rate
Potential Tex Due 37
~~ TAXPAYER RESPONSE
[!] li,!!~~~~.i!l!tt!!i!~~.!!!il~~~'i'.~~~li,!,,~I!i'i~liii!~~~~i~~~ii!ii~~i"i'~~I"'!f:'ji'~~~~~i'~~'j!~I~li,i!M1!f:~~liijii~
x
15,066.13
16.667
2,511.07
.15
To in sura proper credit to your accountl two
(2) copies of this notice must acco.pany your
payment to the Register of Wills. Make chsck
payable to: "Register of Willsl Agent".
NOTE: If tax pay.ents are made within three
(3) months of the decedent.s date of deathl
you may daduct a 5% discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
[CHECK ]
ONE
BLOCK
ONLY
A. [] The above information and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obt8in
a discount Dr aVOId Interest, Dr YOU may check box "A" and return this notics to the Register of
WIlls and an offici81 assessment will be issued by the PA Dapartment of Revenue.
B. [] The abova asset has bean or will be reported and tax paid with the Pennsylvania Inhsritance Tax rsturn
to bo filed by the decedent's representative.
C. [] The above information is incorrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicate a different tax rate, please state your
relationship to decedent:
PART
~
TAX P.~TUP.N - COMPUTATION
LINE 1. Dat. Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
S. Debts and Deductions
6. Amount Taxable
7. Tax Rate
a. Tax Due
OF
1
2
3
4
5
6
7
8
x
TAX ON ~OINT/TRUST ACCOUNTS
x
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line S of Tax Co.put.tion)
i
$
declare that the facts I
e and belief.
have reported above are true, c~r~~ct
~~=~ ~~ ~cf-117o
TELEPH NE N MB
and
, r
JZ.'r{2tllJ z..
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
REV-1162 EX(11-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BARBARA MCDONALD
23 FRALEY DRIVE
SOMERSET, NJ 08873
_uun_ fold
ESTATE INFORMATION: SSN: 089-10-6368
FILE NUMBER: 2102-0478
DECEDENT NAME: LANGTON ELIZABETH V
DATE OF PAYMENT: 08/08/2002
POSTMARK DATE: 08/07/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 05/09/2002
NO. CD 001493
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
02133108 I $761.37
02133106 I $357.83
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: BARBARA MCDONALD
CHECK#1953
SEAL
INITIALS: AC
RECEIVED BY:
REGISTER OF WILLS
$1,119.20
MARY C. LEWIS
REGISTER OF WillS
I
Barbara K. McDonald
23 Fraley Dr
SomelSe~ NJ 08873
--~-~-'---- '--"'-'-'.~"--,-
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lEAL TH OF PENNSYlVANIA
{"ENT OF REVENUE
.AU OF INDIVIDUAL TAXES
.~T. Z80601
.ARRISBURG, PA 171Z8-06Dl
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
(7-(,<;-3
FILE NO. 21 02-0478
ACN 02133107
DATE 07-18-2002
REY-1543EKAFPlD9-DD)
TYPE OF
ACCOUNT
D SAVINGS
D CHECKING
D TRUST
lXI CERTIf.
I;.
EST. OF ELIZABETH LANGTON
5.5. NO. 089-1-
DATE OF DEATH 5-09-2005~
COUNTY CU BERLAND
I'
ELIZABETH NEUMEISTER
~! ~CTOBER ST
C~ HILL PA lio11
." "'I R..l..
".->11,; ,-.-1 \ . . ... .
\'-".0.,,(\:'. i'f' il<J3 '"
REHIT PAYHENT AND FDRHS TO:
R GISTER OF WILLS
UMBER LAND CO COURT HOUSE
ARLISLE, PA 17013
PNC BANK has providCld thD DGlpartllClnt with the inforllat on listDd below which has beDn USDd in
calculating the potential tax due. Their records indicate that at the death of the ab e decedentl you were a joint owner/beneficiary of
this account. If you feel this information is incorrect I please obtain written correc ion frail the finBnciBl institution} BttBch B copy
to this forll and return it to the above address. This account is taxablA in accordan e with the Inheritance Tax laws of the Commonwealth
of Pennsylvania. Questions may be answered by calling (717) 787-83Z7.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FIL NG AND PAYMENT INSTRUCTIONS
Account No. 31500200362 D..b 10-06-2000
Established
Account Balance
To insure proper credit to your account I two
(2) copies of this notice must acco.pany your
pay_ent to the Register of Wills. Make check
payable t~~_~_~Agi~~~~_Qf_~ilJ~~.~gent".
15,066.13
16.667
2,511.07
.15
3l6-<61i ~ -S 7,"t-
"
PART TAXPAYER RESPONSE
[!]11:1:1:!'~~1,1:1:~1:':1~~~1I1:1:'1~~~'::"~!;~:::1:~~1ili~~~IIf!~~~~~:l:I:I~II:I:~I.~~I!~~'I!M~.'I'I~'!'I'I!~~l'I~~~!]l::il
A. 8'!he above information and tax due is correct.
1. Vou may choose to remit paYllent to the Register of Wills with two copies of this notice to obtBin
ill discount or avoid interest.. or you may check box "A" and return this noticB to the Register of
Wills and an official assessllent will be issued by the PA Department of Revenue.
Percent Taxable
Amount Subject to
Ta" Rate
Potenti..l T.." Due
x
NOTE: If tax payments are made within three
(3) months of the decedent"s date of death I
you may dBduct a 5Z discount of the tax due.
Any inheritance tax due WIll become aeunquent
nine (9) months after thA date of death.
T.."
x
[CHECK ]
ONE
BLOCK
ONLY
B. [] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent"s representative.
C. [] The above information is incQrrect and/or debts and deductions were paid by you.
You must complete PART ~ and/or PART ~ below.
PART
~
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicate a different tax rate, please state your
relationship to decedent:
PAI!T
~
TAX
LINE
RETURN - COMPUTATION
1. Date Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. T.." R..te
8. Tax Due
OF TAX ON JOINT/TRUST ACCOUNTS
1
2
3 X
...
5
6
7 X
8
PAYEE
DESCRIPTION
AMOUNT PAID
I
$
TOTAL (Enter on Line 5 of Tax Computation)
declare that the f..cts I
belief.
hays reported above are true,
(\F70) fa 3-d-
( )
PHONE NUMBER
HOME
WORK
L
correct and
'K) o::z.,
1(0 ,S -t):::L.
DATE
CllHMONWEAL TH OF PENNSVLVANIA
~ARTI1ENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z80601
HARRISBURG.. PA 171Z8-0601
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 02-0478
02133109
07-18-2002
REW-l.5li3EXAFPI09_0D)
TYPE OF
ACCOUNT
!Xl SAVINGS
D CHECKING
D TRUST
D CERTIF.
ELIZABETH NEUMEISTER
~~~CTOBER ST
CAMP~ILL PA 17011
.314: ~.\--\ \ \ .~~ .' ",.,
ic.l.l:''j G'n':, \> ~ \ ,", 3. ~
EST. OF ELIZABETH LANGTON
5.5. NO. 089-10-6368
~~~:T~F DEAT~~{~~:~
,
! REHIT PAYHENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Departllent with thA inforllatiora listed below which has been uSlBd in
calculating the potential tax due. Their records indicate that at the death of ths abov~ decedent, you were a joint owner/bsneficiary of
this account. If you feAI this information is incorrect.. please obtain written correcti+n frail thR financial institution.. attach a copy
to this forll and return it to the above addrRSS. This account is taxable in accordanca with the Inharitance Tax Laws of the CommonwRalth
of Pennsylvania. QURstions may bR answerRd by calling (717) 787-8327. I
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FIL~~G AND PAYMENT INSTRUCTIONS
Account No. 5001943986 Date 12-16-1998 I To insure proper credit to your account.. two
Established i (2) copies of this notice Must accompany your
32 056 73 \ paymRnt to the Register of Wills. Haka chsck
~. I. payable to; "Rsgister o~ ..~.i.~!s".uA~ent".
5 ~ 3~~: :~7 k' ....~~~~i~:i~s~i~~=::~:=d:~:':.::t:i~~~~~~.
. 15 , you .!'.8V d8duct a 5% discount of the tax dU~
80' ,-,---" V '"Ji.ny. InherItance tax due W.i.ll be. came deli"."."....nt.
~ _,........., "7/0 I,.. (1 ~..n~nlEl (9) months after thElda~~..J1f,.daath..,....._.<
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
Tax
x
PART TAXPAYER RESPONSE
[!] ~~~~~li"![I'i"~IIII1"'!~!~~~!!!i!~~!i!!!!~I'i,,m'i".~~~~~'iii'~.!,!!!~~!..I~!!!!~i~~I"im!ii~~~i,ii,.~I'!!!jil
A. ~he above information and tax due is correct.
1. You .ay choose to r",.it paymBnt to the Register of Wills with two copies of this notice to obtain
a dIscount Dr avoid interest.. or YOU may check box bA" and rRturn this notice to ths RRgister of
Wills and an official 8ssessment will be issued by the PA Dspartllent of Revenus.
[CHECK ]
ONE
BLOCK
ONLY
B. [J The sbova asset has been Dr wIll be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent"s represRntative.
c. [] The above inforllation is incorrect andlor debts and deductions wers paid by you.
Vou must complete PART ~ andlor PART ~ bRlow.
PART
[!]
DATE PAID
DEBTS AND DEDUCTIONS CLAIMED
If you indicate a different tax rate, please state your
relationship to decedent:
PART
~
TAX R5TU~N - COMPUTATION
LINE 1. Oat. Established
2. Account Balance
3. Percent Taxable
4. Amount Subject to Tax
5. Debts and Deductions
6. Amount Taxable
7. Tax Rate
8. Tax Due
0""
1
2
3
4
5
6
7
8
x
TAX ON JOINT/TRUST ACCOUNTS
x
PAYEE
DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on Line 5 of Tax ConputetionJ
I
$
perjury, I declare that the facts I
my knowledge a~d belief.
have reported above are true~
HOME (.s-70) /; 'is'' &. -
WO RK ( )
TELEPHONE NUMB
correct and
y / c> '-~
R'::.0-- O~
DATE
E-143 EX (3-99)
~ EliZJJNtlt R. N_iMr
316 HiU RDtMJ
Hetfw PA. 17938
Attention: TIC 340
.
..
'.,:)
Zip Code
0</
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I
PA DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG PA 17128-0601
1",111",1",11"1,11"1,11",,11,,11,,,,,,11,1,,11
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1 162 EXI1 1-961
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ELIZABETH R NEUMEISTER
316 Hill ROAD
HEGINS, PA 17938
__nnu lold
ESTATE INFORMATION: SSN: 089-10-6368
FILE NUMBER: 2102-0478
DECEDENT NAME: lANGTON ELIZABETH V
DATE OF PAYMENT: 08/13/2002
POSTMARK DATE: 08/05/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 05/09/2002
NO. CD 001518
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
02133107 I $357.83
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: ELIZABETH R NEUMEISTER
CHECK# 857
SEAL
INITIALS: CW
RECEIVED BY:
REGISTER OF WILLS
$357.83
MARY C. lEWIS
REGISTER OF WillS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT,280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ELIZABETH R NEUMEISTER
316 Hill ROAD
HEGIN S, PA 17938
nn_n. fold
ESTATE INFORMATION: SSN: 089-10-6368
FILE NUMBER: 2102-0478
DECEDENT NAME: lANGTON ELIZABETH V
DATE OF PAYMENT: 08/13/2002
POSTMARK DATE: 08/05/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 05/09/2002
NO. CD 001517
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
02133109 I $761.38
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: ELIZABETH R NEUMEISTER
CHECK# 856
SEAL
INITIALS: CW
RECEIVED BY:
REGISTER OF WILLS
$761.38
MARY C. lEWIS
REGISTER OF WillS
Commonwealth of Pennsylvania
Department of Revenue
Bureau ofIndividua1 Taxes
Dept 280601 _
Harrisburg P A 17128-060t<
MS MARY CLEWIS
REGISTER OF WILLS
CUMBERLAND CO COURTHOUSE
1 COURTHOUSE SQ
CARLISLE PA 17013
- -" . - " - - -i"--lii"i -
"\ l ~ ~ ,. -+ .-: .~. ""1 ."
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1...11t1.1t11,".11..1I.1..1.1
\!\\ iI \, II H ,H", \\ ,I. I.", \, I" \, Ii" h\, \! ,\
E.143 EX (3-991
~ EUr.abetIt R. N~_i8ter
- -'10 nlll lUJtI4
H~gi1u Pit. 17918
Attention: TIC 340
Zip Code
dJ
p-'''f''''~''''''''''''""""
e,' ""<""""""'_~~""
._ r~."'''''''~~__
.,.....""'.-'.~"--..;'"-......-
PA DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG PA 17128-0601
1",111",1",11,.1.11"1.11""11,.11,,,,,,11,1.,11
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DlV[SION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEKENT ALLONANCE OR DISALLONANCE
OF DEDUCTION~, AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
R~-1.!;48 E:X AFP (01-02)
BARBARA MCDONALD
APT 5
102 NOVEMBER DR
CAMP HILL PA 17011
DATE
ESTATE OF
DATE OF DEATH
FILE., NUMBER
COUNty
SSN/DC
ACN
10-07-2002
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
089-10-6368
02133106
ELIZABETH V
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
R-EY=is4-i-Ej(-AFP--coi-:02j---------------------------.--------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-07-2002
ESTATE OF LANGTON
ELIZABETH V DATE OF DEATH 05-09-2002
COUNTY
CUMBERLAND
FILE NO. 21 02-0478
TAX RETURN WAS:
S.S/D.C. NO. 089-10-6368
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
02133106
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
31500200362
TYPE OF ACCOUNT:
DATE ESTABLISHED
( ) SAVINGS ( ) CHECKING ( ) TRUST (lO TIME CERTIFICATE
10-06-2000
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
15,066.13
0.166
2,511.07
.00
2,511.07
.15
376.66
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-08-2002 CDOO1493 18.83 357.83
TOTAL TAX CREDIT 376.66
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER THIS DATE. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL OUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU MAY BE DUE A REF"UND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. l
~ BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTION~, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-I54B EXAFP (OI-02l
ELIZABETH
316 HILL RD
HEGINS
NEUMEISTER
DATE
ESTATE OF
DATE OF DEATH
FILE, ,NUI:IBER
COUNTY
SSN/DC
ACN
10-07-2002
LANGTON
05-09-2002
21 02-0478
CUMBERLANO
089-10-6368
02133107
ELIZABETH V
Amount Remitted
PA 17938
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
----------------------------------------------------------------------------------------------------------------
REV-1548 EX AFP (01-02)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-07-2002
ESTATE OF LANGTON
ELIZABETH V DATE OF DEATH 05-09-2002
COUNTY
CUMBERLAND
FILE NO. 21 02-0478
TAX RETURN WAS:
S.S/D.C. NO. 089-10-6368
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
02133107
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
31500200362
TYPE OF ACCOUNT:
DATE ESTABLISHED
( ) SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE
10-06-2000
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
15.066.13
0.166
2,511.07
.00
2,511.07
.15
376.66
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-13-2002 CDOO1518 .00 357.83
PAYMENT MUST BE MADE BY 02-10-2003'. TOTAL TAX CREDIT 357.83
BALANCE OF TAX DUE 18.83
INTEREST AND PEN. .00
TOTAL DUE 18.83
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU MAY BE ,DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
\.
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
NOTICE OF INHERITANCE TAX
APPRAISEHENT~ ALLONANCE OR DISALLONANCE
OF DEDUCTION~, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-I548 D:AFP (OI-02l
BARBARA MCDONALD
APT 5
102 NOVEMBER DR
CAMP HILL PA 17011
DATE
ESTATE OF
DATE OF DEATH
FILii (NUMBER
COUNTY
SSN/DC
ACN
10-07-2002
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
089-10-6368
02133108
ELIZABETH V
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE __ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-Y=is4-i-Eif-AFP--coi-=02)------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-07-2002
ESTATE OF LANGTON
ELIZABETH V DATE OF DEATH 05-09-2002
COUNTY
CUMBERLAND
FILE NO. 21 02-0478 S.S/D.C. NO. 089-10-6368
TAX RETURN WAS: (X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
02133108
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
5001943986
TYPE OF ACCOUNT:
DATE ESTABLISHED
(Xl SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
12-16-1998
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
32,056.73
0.166
5,342.90
.00
5,342.90
.15
801. 44
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS. AGENT."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAlO
DATE NUMBER INTEREST/PEN PAID (- )
08-08-2002 CDOO1493 40.07 761.37
TOTAL TAX CREDIT 801.44
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. *
( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU HAY BE DUE A REFUND.
SEe REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
/'/-b7"-y'
~ BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTION5, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1S~8 EX AFP (01-02)
ELIZABETH
316 HILL RD
HEGINS
NEUMEISTER
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
10-07-2002
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
089-10-6368
02133109
ELIZABETH V
Amount Remitted
PA 17938
MAKE CHECK PAYABLE AND REMIT PAYMENT TO.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
----------------------------------------------------------------------------------------------------------------
REV-1548 EX AFP (01-02)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-07-2002
ESTATE OF LANGTON
ELIZABETH V DATE OF DEATH 05-09-2002
COUNTY
CUMBERLAND
FILE NO. 21 02-0478
TAX RETURN WAS.
S.S/D.C. NO. 089-10-6368
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
02133109
FINANCIAL INSTITUTION. PNC BANK
ACCOUNT NO.
5001943986
TYPE OF ACCOUNT:
DATE ESTABLISHED
(Xl SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
12-16-1998
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
32,056.73
0.166
5,342.90
.00
5,342.90
.15
801. 44
NOTE. TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO.
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (- )
08-13-2002 COOOI517 .00 761. 38
PAYMENT MUST BE MADE BY 02-10-2003<. TOTAL TAX CREDIT 761.38
BALANCE OF TAX DUE 40.06
INTEREST AND PEN. .00
TOTAL DUE 40.06
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1712B-0601
REV-l 162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ELIZABETH R NEUMEISTER
316 Hill ROAD
HEGINS, PA 17938
_n_nn fold
ESTATE INFORMATION: SSN, 089-10-6368
FILE NUMBER: 2102-0478
DECEDENT NAME: lANGTON ELIZABETH V
DATE OF PAYMENT: 10/16/2002
POSTMARK DATE: 10/1 5/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 05/09/2002
NO. CD 001732
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
02133107 I $18.83
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: ELIZABETH R NEUMEISTER
CHECK# 903
SEAL
INITIALS: CW
RECEIVED BY:
REGISTER OF WILLS
$18.83
MARY C. lEWIS
REGISTER OF WillS
------
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT. ALLOMANCE OR DISALLOMANCE
OF DEDUCTION", AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
ELIZABETH NEUMEISTER
316 HILL RD
HEGINS PA 1793B
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
,SSN/DC
ACN
10-07-2002
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
089-10-636B
02133107
*'
REV-1546 EX-.FP (01_02)
ELI ZABElH V
Amount Remitted
Ii !?:; !~
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE
___ RETAIN LOWER PORTION FOR YOUR RECORDS ~
-------------------------------------------------------------~
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
ELIZABETH
316 HILL RO
HEGINS
NEUMEISTER
CUT ALONG THIS LINE
PA 17938
~
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INNERITANCE TAX
APPRAISEKENT, ALLOWANCE OR OISALLOWANCE
OF OEDUCTION~, AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
~)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
10-07-2002
LANGTON
05-09-2002
21 02-0478
CUMBERLANO
089-10-6368
02133109
Amount Remitted
.
REV-15~e EX AFP {OI-02}
ELIZABETH V
MAKE CHECK PAYABLE ANO REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
RETAIN LOWER PORTION FOR YOUR RECORDS
......
~ --...o..--__----y,;:
~ ,. Eli~I" R. N~_is~r
~ 316 BiD Road
Begins PA 1793g
,--,,",,""
fir lJV~
C~ C~(]~)1~
n IL (7 01",,' 7
'-.':- ~~/ ----- i. 0 /3
"0.''''_'-""
----_...---"-- -
-
i 70 i ::;:./::;:::;:2::;: I" ,1/111111/,"111/1"/1111/1,,,/1,,,/,/,,/1.1';,,/,1"1,/11/
.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
--
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 001733
ELIZABETH R NEUMEISTER
316 HILL ROAD
HEGINS, PA 17938
__n_n_ fold
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
ESTATE INFORMATION: SSN: 089-10-6368
FilE NUMBER: 2102-0478
DECEDENT NAME: LANGTON ELIZABETH V
DATE OF PAYMENT: 10/16/2002
POSTMARK DATE: 10/15/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 05/09/2002
02133109 I $40.06
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$40.06
REMARKS: ELIZABETH R NEUMEISTER
CHECK# 902
SEAL
INITIALS: CW
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
-
o
NAME OF DECEDENT: ELIZABETH V. LANGTON
DATE OF DEATH: MAY 9, 2002
WILL/ADMIN NO.: 21-2002-478
CERTIFICATE OF SERVICE OF
NOTICE OF ESTATE ADMINISTRATION UNDER RULE 5.6(a)
TO THE REGISTER:
I certify that Notice of Estate Administration required by Rule 5.6(a)
of the Orphan's Court Rules was served on or mailed to the following
beneficiaries of the above-captioned estate on May 12, 2002:
NAME AND ADDRESS
1. Irene Barratt
29 Ashley Court
Marlton, NJ 08053-2069
2. Barbara McDonald
23 Fraley Drive
Somerset, NJ 08873
3. Elizabeth Neumeister
316 Hill Road
Hegins, PA 17938
4. Veronica V. Thompson
102 November Drive, Apartment 5
Camp Hill, PA 17011
Notice has now been given to all persons entitled thereto under Rule
5.6 (a) except:
I None NAME I N/A ADDRESS I
Date: /cI10/0'-
Signature:
Name:
~c;ldress:. .
,
YJ/. . 7 .~
/~!/ -'-/~/~
Veronica V. Thompson
102 November Drive
Apartment 5
Camp Hill, PA 17011
(717) 731-9005
Personal Representative
Telephone:
Capacity:
-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
NO. 21 02-0478
02133110
07-18-2002
REV-1545 EX AFP [n9-00l
EST. OF ELIZABETH LANGTON
S.S. NO. 089-10-6368
DATE OF DEATH 05-09-2002
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
IX] CHECKING
o TRUST
o CERTIF.
VERONICA THOMPSON
APT 5
102 NOVEMBER DR
CAMP HILL PA 17011
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PNC BANK has provided the Department with the inforllation listed below which has been used in
calculating the potential tax dUB. Thair records indicate that at the death of the above decBdsnt~ you were a joint owner/beneficiary of
this account. If yoU feel this information is incorrect, please obtain written correction from the financial institution, attach a copy
to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co.~onwealth
of Pennsylvania. Questions may be answered by calling (717) 787-832/.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5140173352 Date 02-12-1990
Established
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
9,999.52
50.000
4,999.76
.15
749.96
TAXPAYER RESPONSE
To insure proper credit to your account~ two
(2) copies of this notice must acco~pany your
payment to the Register of Wills. Make check
payable to: nRegister of Wills~ Agentn.
Tax
x
NOTE: If tax payments are .ade within three
(3) months of the decedent's date of death~
YOU may deduct a 5% diScount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) months after the date of death.
PART
[!j
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
c=J The above infor.ation and tax due is correct.
1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest~ or yoU .ay check box nAil and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
If you indicate a different taxrat~~~ease state your
relationship to decedent: C I ~
c=J The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
~ The above infor.ation is incorrect and/or debts and deductions were paid by you.
You .ust co.plete PART ~ and/or PART ~ below.
PART
@]
TAX RETURN - COMPUTATION
LINE 1. Date Established
2. Account Balance
3. Percent Taxable
4. AMount Subject to Tax
5. Debts and Deductions
6. AMount Taxable
7. Tax Rate
8. Tax Due + 'Alf
TAX ON JOINT/TRUST ACCOUNTS
OF
1
2
3
4
5
6
7
x
'-f'9'19~7/-'
I
PART
@]
DATE PAID
';)
S-q~ ;<fX' .j.u.l~o..t (&,d'f.n)
DEBTS AND DEDUCTIONS CLAIMED
PAYEE DESCRIPTION
I
TOTAL (Enter on Line 5 of Tax Computation)
AMOUNT PAID
Under penalties of perjury} I declare that the facts I
COMPlete to the best of MY knowledge and belief.
:~ , ./7--1
'vL&'14<'l~ .1--4~
TAXPAYER SIGNATURE J'
I
$
have reported above are
HOME (7/7)73/-
WORK ( )
TELEPHONE NUMBER
true} correct and
9oo~~
_~-I- ()3
ATE
I!- . ~
V Lc tZ ONI elt I H 0111(5 0,,)
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etA. h-1d)t::/CLI1AdJ CO~NTY (!ou--fLT Hou-~e
l fJ P.. II ) I G I f;9 /7 () /3
1111',lllrllflllf\111111I,.IIIIIIIIII,,;t.:,I.l,1111.1111,1,11
1. b7i:', 1. =3.....::::::::.?':',3
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
REV-1162 EX( 11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
THOMPSON VERONICA
102 NOVEMBER DRIVE
CAMP Hill, PA 17011
___.nn fold
ESTATE INFORMATION: SSN: 089-10-6368
FILE NUMBER: 2102-0478
DECEDENT NAME: lANGTON ELIZABETH V
DATE OF PAYMENT: 04/02/2003
POSTMARK DATE: 04/01/2003
COUNTY: CUMBERLAND
DATE OF DEATH: 05/09/2002
NO. CD 002374
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
02133110 I $604.17
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: VERONICA THOMPSON
CHECK# 2041
SEAL
INITIALS: AC
RECEIVED BY:
REGISTER OF WILLS
$604.17
DONNA M. OTTO
DEPUTY REGISTER OF WillS
/~)-
~ BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG~ PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF OEOUCTION~, AND ASSESSMENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
-
Hoc,,,,
R,,' ,."
VERONICA
APT 5
102 NOVEMBER DR
CAMP HILL
'03
,JUN -6 All:S 1
THOMPSON
CU
PA 1 nU,l,,' ,c.
REV-1548EXAFPIOI_DSl
I
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
06-09-2003
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
089-10-6368
0213311 0
ELIZABETH V
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-v=is4-i-Ex--AFP--fol-=o3i----------------------------------------------------------__________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 06-09-2003
ESTATE OF LANGTON
CUMBERLAND
ELIZABETH V DATE OF DEATH 05-09-2002
FILE NO. 21 02-0478
TAX RETURN WAS,
COUNTY
S.S/D.C. NO. 089-10-6368
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION, PNC BANK
TYPE OF ACCOUNT,
DATE ESTABLISHED
ACN
02133110
ACCOUNT NO.
5140173352
( ) SAVINGS (Xl CHECKING ( ) TRUST ( ) TIME CERTIFICATE
02-12-1990
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
9,999.52
0.500
4,999.76
.00
4,999.76
.12
599.97
X
TAX CREDITS:
NOTE, TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO,
"REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
04-01-2003 CD002374 4.19- 604.17
TOTAL TAX CREDIT 599.98
BALANCE OF TAX DUE .01CR
INTEREST AND PEN. .00
TOTAL DUE .01CR
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
[ IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" [ CRI, YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I
'l-\.olt- 3
REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
llih'.,&'O.1Ial J
.
COhLfONWEA( TH OF PENNS'l'L VA,N~
DEPARTMENT OF REVENue
DEPT. 28O&J 1
HARRISBURG. PA 17128-<1601
...
z
:!J
w
()
w
"
I OECE:OENT'S NAME (LAST, FIRST, ....ND MIDDLE INITIAL)
: LANGTON, ELIZABETH V.
DATE OF DEATH (MM.-DD-YEAR)
I DATE OF BIRTH (PwtvH:JO:YEAR)
05/09/2002
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDOtE INitIAL)
C ~--'-'_'_'_.m..
ALE NUMBER
21 02
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
089-10-6368
0478
NUMBER
THIS AET1.IRN MUST BE FILED IN DUPLICATE 'Mlli THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
. ~ 1 OfiginalRetum 0 2. SupplememalRe'um 0 3. Rem:ilinderRelum/dale 01 death priOf!O TZ.13..fJ2)
'" ~ .. 0 4. Urnited Estate 0 4a. Fulure Inl...." Compromise (dale of death aft", 0 5. Federal Estate Tax Return Required
o ~ ~ 12.12-82)
5 IE ~ 0 6. Decedent Died Testate (A"'''' copy 0 7. DeCedent Maintained a Uving Trust(Altach 8. Total Number of Safe Deposit Boxes
of V\oWI) CClQy rJ Trt.l~I)
:l: 0 9. liti9ation Proceeds Received 0 10. Spousal Poverty Creditld'" ofdealh between 0 11.Election to lax under Sec. 9113(A) tArtaen Sch 0)
t 12-3.1-91.lIld 1-1-95)
LTliIS~c.T1().!'l MlJST BI!(;O..Pl,~n;:D. ~c.O~RESPOH_D.fNc.g~HD c."NFlD~N1lAl.TAX ItIFgRMAOON SH~LD BE OIRECTED TO:
NA~ COMPlfTE MAilING ADDRESS
..... Diane G. Radcliff
WZ
~ ~ FIRM NAt.I: (II applicable)
O:z
:3 i( Diane G. Radcliff, Attorney at Law
TELEPHONE NUMBER
717/737-0100
1. Real Estate (Schedule A)
2 Slacks and 80nds (Schedule B)
3. Closely Held Corporation, Partnership or SOle-Proprietorship
z
g
5
"
~
tt.
4. Mortgages & Notes Receivable (Schedule D)
5. Cash. 8ank Deposits & Miscellaneous Personal Properly
(Schedule E)
6. Jointly Owned Properly (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or l)
8. Total Gross Assets (tolal Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (tolallines 9 & 10)
12. Net Value of Estate (Line 8 minus line 11)
3448 Trindle Road
Camp Hill, PA 17001 ~_.-. -~
,..'
-- f.'
(1) None r
(2) None c.;
N
(3) None 0
(4) None n
-.
(5) 1,347.76 G
(6) 4,748.53
(7) -0-
(8)
(9) 4,463.50
(10) 1,402.3 7
(11)
(12)
13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(13)
seE INSTRUCTIONS ON REVERSE SIDE FOR APPUCABLE RATES
(14)
15.Amount of line 14 taxable at !he spousal tax rate, x .00 (15)
or transfers under Sec. 9116(a}(1.2}
z .045 (16)
0 16.Amount of line 14 taxable at lineal rate .
"
:!
"
.. 17. Amount of Line 14laxable at siblin9 rate 230.42 . .12 (17)
.
0
()
:l , 8. Amount of Line 14 taxable at collateral rate . .15 (18)
...
19. Tax Due (19)
20 0
Copyright 2000 form software only The Lackner Group, Inc.
..__.__.__..~-.~._-, --..
u~>B.E _SURE T~AII~\!~ AU QUeSTlO~ C)N R~~SE~lDE AND ~ECHECI( MATH ~~
--~-"--i
,
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6,096.29
5,865.87
230.4 2
230.42
28.00
28.00
Form REV-1500 EX (Rev. 6-00)
I
.-1
Decedent's Complete Address:
STREET ADDRESS
107 October Drive
CITY
STATE PA
Camp Hill
ZIP 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
28.00
3. InteresVPenalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
0.00
Total Interest/Penalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is theOVERPAYMENT.
Check box on Page 1 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
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(3) 000
(4)
(5) 28.00
(5A)
(58) 28.00
Make Check Payable to: REGISTER OF WILLS, AGENT
~Jr:.:i,- ~< .':~'1~-,:.;~2~*,4,~~~[f;:~1Hri;Wfi~1J1f~:~rf't&t~~~~mji~,,'%.~:~1lir.~t~~~i;mt~~Jm~!iirt~;mt8~11~Hlli1t~:1f:~;j\:
PLEASE ANSWER TtIE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred~................................... 'n... ...................................
b. retain the right to designate who shall use the property transferred or its income;..................................
c. retain a reversionary Interest; Or......m......................................................................................................
d. receive the promise for life of either payments, benefits or care?........................ .......m.........................
2. If death occurred after December 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?.... .....
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a benefciary designation? ....................... .......... ......... ........... .............................. .......... .....................
Yes No
~ I
o ~
o ~
o ~
Under penaQies of perjury. I declare that I have examined this return, indudiog aco:mPilnying Sd'leclules and slatements. and 10 the *t of my knowledge and belief. il is true. correct and c:omDlele. Dedaralioo 0
pMpater 01 her than the personal representalive IS based OIl all jnfon.nallon of wtudl preparel has ~ny kn~~e: _
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
SIGNA lURE OF PERSON RESPONSIBLE FOR FILING RETURN
Veronica V. Thompson
. . V~ ~,~4.J>. ~
RE OF PERSO~'B(OR F~~G R~R
RER OTHER THANREPRESENTAT I
ADDRESS
102 November Drive
Apartment 5
(;arnp!fill,PA 17011
DATE
f/1/6l.
8~"i/03
AOORESS
ADORESS
3448 Trindle Road
Camp Hill, PA 17001
-'
"""'-;
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
.ulYiving spouse is 3% [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 sUlYiving spouse is 0%
[72 P.S. 39116 (a) (1.1) (Ii)]. The staMedoes not exemot 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 sUlYiving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The lax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural
parent. an adoptive parent, or a .tepparent of the child is 0% [72 P,S. ~9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedenfs lineal beneficiaries is 4.5%. except as noted in 72 P.S. 39116
1.2) [72 P.S. 59116 (a) (1 )].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [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.
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
CO~NWEALll-t Of PENNSYLVANIA
INHERfTANCE TAX RETURN
Re~oeNT DECEDENT
ESTATE OF
LANGTON, ELIZABETH V.
FILE NUMBER
21-02-0478
Include the proceeds of litigation and Ihe date the proceeds were received by the estateAII property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM
NUMBER
I
DESCRIPTION
Miscellaneous Personal Property to be billed separately as follows:
Barbara McDonald (Niece)
23 Fraley Drive
Somerset, NJ 08873-1965
$900.00
Elizabeth R. Neumeister (Niece)
316 Hill Road
Hegins, PA 17938-9382
$380 00
Coins
Van Kampen Dividends
Cordier Antiques & Fine Art - Proceeds from sale of furniture
TOTAL (Also enter on Line 5, Recapitulation)
VALUE AT DATE OF
DEATH
109.00
239.00
1,000.00
1,348.00
.
COMMON'NEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DF:CEDENT
ESTATE OF
SCHEDULE F
JOINTLY-OWNED PROPERTY
LANGTON, ELIZABETH V.
FILE NUMBER
21 - 02 - 0478
If an assel 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
A Veronica Thompson
B James Kelly
JOINTL Y OWNED PROPERTY:
ITEM ,LETTER
NUMBER FOR JOINT
TENANT
DATE
MADE
JOINT
A
2
B
ADDRESS
RELATIONSHIP TO DECEDENT
102 November Drive
CampHill,PA 17011
Sister
9 North Street
~onrrose,}<Y 10548
Nephcw
DESCRIPTION OF PROPERTY
Include name of financial institution and bank account number
'or similar identifying number. Aliach deed for jointly-held real
eslale.
PNC Bank - checking account no.51-4017-3352
DATE OF DEATH %OF DATE OF DEATH
DECO'S VALUE OF
VALUE OF ASSET INTEREST DECEDENT'S INTEREST
i r
9,497.06
50%
4,748.53
U.S. Savings Bond:
Date of Death Value: $2,000.00
% ofDec'ds interest .50
NEPHEW TO BE BILLED SEPARA TEL Y
TOTAL (Also enter on line 6, Recapitulation)
4,748.53
*'
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COM~NWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
LANGTON, ELIZABETH V.
FILE NUMBER
21 - 02 - 0478
ITEM
NUMBER
This schedule must bll completed and filed Iftheanswer~. any of quesllclOs 1 throul1h 4 on.page 2 is yes.
DESCRIPTION OF PROPERTY 'DATE OF DEATH' % OF
lodude'". oama of lI1"aosf",.., their .aallon""p 10 decodenl anill,,"Oal. oftronsf"'VALUE OF ASSET DECO'S EXCLUSION TAXABLE VALUE
AII8IW a COPY of the deed for real eslate. : INTEREST (IF APPLICABLE)
Van Kampen Investments $29,429.22
Account Number 40-61336785
Payable to the following beneficiaries equally on death:
,TO BE BILLED SEPARATELY AS FOLLOWS:
Barbara K. McDonald (Niece)
23 Fraley Drive
Somerset, NJ 08873-1965 $14,714.11
Elizabeth R. Neumeister (Niece)
316 Hill Road
Hegins, PA 17938-9382 $14,714.11
TOTAL (Also enter on line 7, Recapitulation)
'*
SOEU..E H
FlN:RJt..EXPENSES&
PDMtISTRRJVE COSTS
COt.t.4ON'IrEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT OECf.DENT
ESTATE OF
LANGTON, ELIZABETH V.
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
. FUNERAL EXPENSES:
Funeral Expense - Good Shephard Church
2
Neill Funeral Home - Funeral Bill
B. : ADMINISTRATIVE COSTS:
, . Personal Representative's Commissions
SOCial Security Number(s) I EIN Number of Personal Representative(s):
2.
Street Address
City State _ Zip
Year(s) Commission paid
Attomey"s Fees Diane G. RadclitT, Esquire
3, Family Exemption: (If decedent's address is not Ihe same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
lip
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer'. Fees
7.
t
Other Administrative Cosls
Filing Fee - Inheritance Tax Return and Inventory
TOTAL (Also enteron line 9, Recapitulation)
FILE NUMBER
2] -02-0478
AMOUNT
100.00
3,588.50
750.00
25.00
4,463.50
'*'
COI4.-t:ltM"EAl.THOF PENNSnVANlA
INHERITANCE fAA RETURN
RESIDENT OECEOENT
ESTATE OF
LANGTON, ELIZABETH V.
Include unreimbursed medical expenses.
ITEM
NUMBER
I AT&T Final Bill
2
Com Cast Cable - Final Bill
3
Rent - Camp Hill Apartments
4
Merckj-Medco - Prescriptions
5
Verizon - final bill
6
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
DESCRIPTION
Pennsyvlania Neuroology Associates - final bill
FILE NUMBER
2]-02-0478
TOTAL (Also enter on Line 10, Recapitulation)
AMOUNT
13.00
37.00
795.00
10.00
8.00
539.00
1,402.00
REV.1513 EX. (140)
'*
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX ReTURN
RESIDENT DECEDENT
ESTATE OF
LANGTON. ELIZABETH V.
FILE NUMBER
21 - 02 - 0478
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
RELATIONSHIP TO
DECEDENT
Do.Not Ll..t Trustee(a)
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
Barbara McDonald
23 Fraley Drive
Somerset, NJ 08873-1965
Niece
2
Elizabeth Neumeister
316 Hill Road
Hegins, PA 17938
Niece
Enter dollar amounts for distributions shown above on lines 15 through 18. as appropriate, on Rev 1500 cover sheel
II. NON.TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
AMOUNT OR SHARE
OF ESTATE
1/2 of residue
1/2 of residue
~ -~
'renUUll1 Plan Account'\tatemellt
,C J:l;.nk
~AA-<<<J.1-
i 1 fl 70 PNCBAl\K
For the period 03/12/2002 t
ELIZABETH lANGTON
VERONICA THOMPSON
107 OCTOBER DR APT 4
CAMP HILL PA 17011-5053
remium Plan
terest Checking Account Summary
:ounl number: 51-4017-3352 Accounl Link I!l number: 0089106368
'ance Summary
Beginning
bal~nce
9,1:16.73
IDsaction Summary
Checks paid!
withdrawals
Total ATM
transaclions
o
.rest Summary
Annual Percentage
Yield E.arlled {APYE)
0.25%
tivity Detail
posits and Other Additions
Deposit5 and Checks and other
other addilions deduclJons
1 ,3l4. 7.1 954.-11
Average monthly
b.dancl!!
9,2.13.73
Bank card/Pes Accour,t InfotmafioF'! Tiller
transactlons assistanc:e call!; transactions
0 0 0
PNC Bank MAC OIM., MAC A TM otber ATM
A TM tran $action $: transactions tran~ctiolls
0 0 0
Number of days: Average collected fnten!!sf E:uned
in interest perIod balance for APYE this period
29 9,243.73 1.82
7
Amount D@scripfion
~1 838~9 J Direc/ Deposit - Civil Se,v
US Tre"ury 312 F 1171156 W CSF
:n 474.00 Direct Depo:sit - Soc See
US TI~C"U1Y 303 0891OG368A
)~J 1.83 Interest P<l)'llIenl
~cks
Date ReferenclI
er AmOIJn1 paid number
4~9{) 03j19 0242~97] 0
H.Of) 03/13 027~G6430
3380 03/20 027270757
18.28 03/[9 024n4olOS
p in check sequence
Check
number
1553
1554
1560 .
Primary account number: 51-4017-3352
Page 1 of 2
Numbe, of enclosures: 7
'It For 24-hour customer service or
currenl rales: Call l-B88-PNC-BANK
/;S3 Write to: Customer Service
PO Box 609
Pittsburgh PA 15230-9738
~ Visit us al www~pncbank.com
~
11
TOO term;nal: 1-800-531-1648
FOI hearing impaired chents onJy
Elizabeth Langlon
Veronica Thoinpson
Please see Ihe Aclivily Oelail section for
addilional information.
As of 04109, a lolal of $7A6 in interest was
earned Ihls year.
A lolal of $1.83 in inlerest Was earned Ihls
slalemenl period.
There Were 3 Deposits and Olher Additions
tolaling $1.314.74.
Date Reference
Amount paid number
]2.72 03/27 02758~H91
795.00 04/03 021815934
59.00 04/05 O~'181!)''l'2
There were 7 checks lisled lotaling
$937 .70.
~.
VAN KAMP~ No
f.I4-V f S TM-~N-"f S
2800 PllSl Oak Boulevard /111 1713) 438-4000
Houston, Texas www.vankampen.com
nasa
June 21, 2002
YERDNICA R. THOMPSON
lfi1 NOVEMBER DR APT 5
CAMP HILL P A 170Il
Rcf.:::)nce: :)(lZgS969
Re:40 /61336785
Elizabeth V. Langton
Dear Ms. Thompson:
l.banLyou.-fQ~~~nt-~ {~ yoouister~$ Van Kampen account.
Due t6 the natm" ufyuu.c ldlOl, irwas fOtwatdecrio mew.response. We appreciate
YOu plvviding us wiffi t.Iie necessa.cy infonnatioa.tG-reiease the.nJlME:s oftIie Transfer on
Death 6en~iaries. far tl:Us accouut.
Thi'lllt"rnt7llf "- twQ primary bereficimles. EhubaLu ~aId and Elizabeth
N8-wmeisrer. 1ft orde. to 1.,J~U1 this::account, we will need:
· A!ligrortlve ~Jetter of instruction
· AcPl'fifi('d copy of~ \kith ecrtificatefor.Elizabetb Langton
It- A W~9 fonn fOr each beneficiary
TIle 1etter (][instroctfllll mll.'It oontain a State.ncllL from eaclr ~~'"Y that there are no
Jmewn.di3v~ 213 to the f"Vl:SUu{S) entttteafo.a.diStn"5utiOnuuderthe.nonprobate transfer
orttre 'llllOunts to be distnouteato each. ~ lIDd 00. imewn ~stba.t would affect the
distriOution as requested.. .
Each b<-neflciary. will- need to bfwt her 3ignatwc gUlWlIltl::ed'; .A.si&nature guarantee is
simply the Mmcss eyf a ~;~uat~ amtcan be per{Orme<f-tiy-a-GODlmerciaJ bank or trust
Cvmpi1IlY; 11 savings analoan associatian,.a-cn=dit~a-member firm of a national
securities exdiaf\gf>, an:gjste"(hecUfifu:t~~ or~g.agency, or a federal
savings bank. It c-- hP.- ~- I~" ~by a notary public.
VA N K AMP E N
IN YES T lit 1M r SO
Pfr-__ Hi'lS6 K.....eirr,MO tl4, ll".!56
-..r:._.l.u.opeu.<.'OI1r(8OOj3'tF29Tl
TeJeph""", [)"yjce for-theDeaf(800H21-2811
~rmatfon Statement
July 31, 2002
Page 2 of 3
R........nted by;
~AL SEClJRIDES INe
ATrnMUI'UAL FUND DEPT
2'15 GATEWAY RD W
NAPA CA 94558-6277
Rep--N2me;- HOUSE RFJ>
Ref> Number: 692HSE
BABBAJtA ~MCDONALD.
TODDID 712912002
SUBJECT TO VKIS TOD RULES
23 ~l rnr
SOMERSn NI 08S?3-~5
Iff", r.. r.r.. 1:1. .,1, Jjll"IIl.I".II" JJ..JJ.JI.I ttM
Thank YOll..for. ,.-r... t'''g Van V'2....pcn Ia,.estmeats.lfyou'd like t&-viewyour account
I.. r_ no -1i0R oAI=~e, visif VBn 1(11 "\pcn..COJtl <lad sdcd Au..-c",. 'laurMutuaJ. Fund ACcounts.
!'JE~~I PURCHASE sUrv,r-'ARY I
"-tnt Numlter 00672076629
Jt ;: t fuRV
~ T"'ft."dh...
f ~;:::= f
$(1.00--
f
Sho... Thi$
Ironsodion
J
SIto.e
"fiat
O?f:H12002- thgt /{
rraMfW 1'"...... 6T3mB3:.
$0.0000
995 .003
Your New ~unt Featu....lnclude:
· YG...............t Is'escl~ 1n tbe: followingll2l1le(s):
BARBARA K MCDONAID
TOO DID 7/2912002
SUBjECl' TO VKIS TOD RUlJ!S
23 FRAIEY DR
SOMERSEr NJ 08873-1965
· YoarS9claJ Security Number is:
185-36-8761
Foe JC..w.jty '----', tlmrnumber wIItllOf appeu on mJ: fiiture ..... -... -<<: nrc.l~ us immediately jf a correaion
Is needed.
· Your d1vJdcud and ap.ltal s;aias "~..a....cloa$ him: been ...."hlim(od with the following information;
DivirI.....d, md r~F~1 ~...JaE 1\iIl Be rc:iI.\lc.Jt"d.
e 1'be Van Kampco l'\JftdTnf'n 24 finn.r- ."'..m..._f '''-.'OB.. 9fIlieu hlI9 8e"fl ~ to the above acrount.
Yo.. may atUS6lhi&faelIifyby-ealling-HlOO-M7-2424.
Total
Shore.
99~ .003
1
'"
VA. N K AMP E N
INV~STMEHTS
Conflrrr .'on Stotement
July 31,2, _
Page 2 of 3
EO Dox:!11l256 J(;\nS<l~('jly.M064r2I_X2;l6
wwwvankampen.com (BOO) 341-2911
Telephone DevIce for the Deaf (800) 421-2833
ELIZABETH R NEU1Y1EISTER
316 HILL RD
HE GINS PA 17938-9382
Represenred by:
ESSEX NATIONAl SECURTI1ES INC
A'ITN MUTUAl FUND DEPT
215 GATEWAYRD W
NAPA CA 94558-6277
Rep Name: HOUSE REP
Rep Number: 592HSE
'",111",11,1""11,'"1,1,1,,,,11,1,,1,,,1,1,,,11,1111,,11,1
Thank you for selecting Van Kampen Investments. If you'd like to view your account
information online, visit vankampen.com and select Access Your Mutual Fund ACcounts.
Accounr Number 00672076630
Dollar AmovnJ
of T ronsoe/ion
T rcnsOdjon
Shor., Thi.
Transaction
Totol
Shore.
07/3112002
07/3 )12002
07/37/2002
lIsgf A
lIsgl A
lI.gf A
Transl.r From 61336785
SharQ) Redeemed
Income Diy CC$h
so.oo
S14,596.68
S117.43
so.oooo
$14.6700
So. 0000
995.002
995.002
0.000
995.002
0.000
0.000
Your New Account Feature$ Include:
· Your account is established in the folloWing n.me(s):
EUZABETIi R NEUMEISTER
316 Hill RD
HEGlNS PA 17938-9382
. Your Social Security Nunlber is:
101-30-9342
For security reasons, this number Will nOt appear on any future statement. Please notify us immectiately if a correa ion
is needed.
. Your dividend and capital gains distributions have been established with the follOWing information:
Dividends and Capital Gains Will be reinvested.
· The Van Kampen FundInfo 24 hour automated infonnation line option has been added to the above account.
You may access this facility by calling 1-800-847-2424.
~i~f~'
>d. '~_.n.. _____... _~u.. __ U"__~'h
01
CONFIRMATION OF REDEMPTION
ELIZABETH R NEUMEISTER
316 HILL RD
HEGINS PA 17938-9382
ESSEX NATIONAL SECURITIES INC
ATTN MUTUAL FUND DEPT
215 GATEWAY RD W
NAPA CA 94558-6277
592HSE HOUSE REP
SHAJ~IA6wNE
BEGINNING BALANCE
31 7/31 TRANSFER FROM 61336785
31 7/31 SHARES REDEEMED
31 7/31 INCOME DIV CASH
14.67
995.002
995.002
.00
995.00
.00
.00
14,596.68
117.43
DETACH THIS CONFIRMATION AND RETAIN FOR YOUR RECORDS BEFORE CASHING OR DEPOSITING CHECK.
REDEMPTION CHECK
5-2
110
I US GOVERNMENT FUND - A
PAYABLE AT
STATE STREET BANK
and TRUST COMPANY
BOSTON,MA
CHECK
NUMBER
l850976
ACCOUNT
NUMBER
672076630
DEALER
NUM8ER
2508
DATE
OF CHECK
7/31/2002
DOLLARS CENTS
*****14,714.11
Pay To The Order Of
I
I ~II~ 1I1~ Ill~ III~ Illl! 11111111 ;
ELIZABETH R NEUMEISTER
316 HILL RD
HEGINS PA 17938-9382
"
~/~~~O:
' ~ - " ,,-,~ ,
II' I.A<;.nq?hll' l~nl.l.nnnn;JAI: qttn~ 1:.1.<; [,11"
PERSONAL PROPERTY RETAINED BY BARBARA MCDONALD
Dinette Table and four chairs
Small Chest of Drawers
Recliner Chair
little Tea Set (I-Pot, 6-saucer & cups)
$ 100.00
50.00
50.00
50.00
Diamond Ring
Gold chain
Blue stone ring
300.00
100.00
100.00
Custom Jewlery (5 pieces)
100.00
Misc items - pictures, a frame, bedroom
Slippers, 2 bath robes, etc
50.00
Estimated Value
$ 900.00
CBaJ'<1#.... k )""Dih"U
Barbara K. McDonald 8-6-2002
\'1 \1. VI - 00:..-/
r:v ~ <0 0, 0':---
0) lO./'"
TY - (po./;'tP
.3 f,~ CJ)..J _10,9
f.fl>~- IOO'~
C~J~- II!D'~
( ~(lt f!1;]'-'~ 30. ~
-
- OJ.! t
i )1 ~~,~ ,,'L..---
3 liP 1-1 ~ )'Z~
I-{~ ?- 1'T?3t'
(~ l) 'T 0 .- c,YJ.-YJ c.3
-
. .
~ill Ftiperat Home, In(~
", , ... 340 1 Market Street
Camp Hill, PA 17011
(717) 737.8726
Robert J, Pramik, ED., SupelVisor
f>'~' . ,. (~
CONTRACT
STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED CASE t
hII,.. .... only lor those lteme Ihld you IeIecl Dr that .... requIred. It we are requll'lld by law Dr by a _Ny or crematory
· .. 8ny 118m, we will explain the r--. In WlltIng below.
lIlIIlllemenls tor:
<-j ,-. C;;,. "-
/ .."
.,; " " ~ .....~ "--
Date 01 Arrangement , 20
Dete 01 Death: , 20
MERCHANDISE:
Casket c" r . ,_ _ $ ,
ERVlCES, FACILmES, AUTOMOBilE, OTHER EQUIPMENT
NO OTHER SEJMCES:
....1Dd~Prk:aUIll:..
_Ie ProI.eIonal ServIcee 01
F_ DIrector end Staff: $
IIIw Cwe of the Deceaeed:
~~ $
SenIlary Care of the
Unembalmed Remains
O_ng. Caekellng and Coemetology
P<JSI Autopsy Cara/Poot Organ Donallon
Reslooillon Cha/gB
Relrlgeralloo
Care and Custody WhUe Sheltertng Remains
Other Care of the Oec:eased:
Outer Burial Containers:
Cremallon Urn:
Cremation Container:
Clothing as Sal8Cllld:
Grave Marker:
Acknowledgment Certfs 8S SeIec:Illd
Memorial Register ,L . " ',_
Memorial FQiderslPrayer CaIda
ComllInallon Shipping UnlVAir Trey
o )._ ri,~~ OW .
{",-.!,'\," J-.fJ,~
Total MtlfChandlse $ "
CASH ADVANCES:
Selaa Tax: $
Cametery:
Death Ca<llllcatae (No.-'..- 0 $-X::cj . ;.
Pennll OIspoo1tlon/BUflal Pennlt
Medlc:al Examlner'e Charge
Honorarkrn:
MuslclanslVooaIIst
AIr Dr OtherTl1lIlSIXlrt
OUl 01 Town Funeral Homes:
TOtal Care of IIlB Deceased
lttwc:tIng of ServIcee end Use
01 FKllltlee:
VIeItaUon
Funeral Ceremony
Memorial Ceremony
Gr&YeSide
SpeclaJ Hili. Charge
$
$
Total Directlng 01 Se_ and
U... 01 Facilities $
AutomotIve, Other equip., Other Servlces
and Other Cbergee:
Transfer of Remalne to Funeral Home $
HeerMICoec:h end Driver
I..inoualneIOtI Pasoenger Vehicle end DrIver
Sallllyllead Vehicle and Olfver
FkM&r Van and Orlwt
UtIlity Vehicle and Driver
Cemetery lent end grave equipment
Ad<IlIonaI Transpoflallon Charges:
Newspaper No1loes:
, TelBphonefTeleglllphlFax:
Motor Escort:
Total Cash Advances $)
We ~ you lor our services In oIllalnIng:
TOtal Auto, Other Eq\lipment end SaMces $
SUMMARY:
Baalc ProIesslonel Services of
Funetal DInlctor and StaB
0tIler Care ollila Oeceesed
Dlrecllng SaMc:ee end U... 01 Faclllies
AulomolIve, Other Equip. and Services
and/or
P8t'8Ol'laIIzed Sarvk:e Program Package
Other SeMces
To'" ServIce Chargee with
~I%ed__
Men:hancllse
Cash Advanoes
Totel Chargee
(Credlta) to Account
Payments (cash, check, or credK card)
(
(
(
(
$ >:,.,
AndIor
$
"--Ia.d SenrIcoI.Progrem Package
(II complete description of the p,;cl<al1lllf1ar you .
uIe<:Ied Is In the Genetsl PrIca u..t protrlde<1 you):
$
118r Senricn;
lI1ladlate Burial $ 'J, '\
'oct Cremallon WIthout a Service $
WIng Romaine lo Anclher Funeral Home $
'00 Remains from Another FWl8I3I Homa $
\ $
I vice Chargee wtth
\ ..Ized Pacl<ages $ )."
\
I
i
$
S '1.',' ....~ -:..
Balance d.. after cr.dlla
3. ~%<(. ~o AlDIA," ~
DIANE G. RADCLIFF, ESQUIRE
Attorney at Law
3448 Trindle Road
Camp Hill, Pennsylvania 17011
Phone: (717) 737-0100
Facsimile: (717) 975-0697
August 19, 2003
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: Estate ox E~izabeth V. Langton
No. 21 02 0478
Enclosed for filing please find:
DESCRIPTION OF ORIGINAL DOCUMENT
Inheritance Tax Return and tax payment
Check in amount of $15.00 for filing fee
Addressed and Stamped Return Envelope
I would appreciate it if you would file the enclosed
Inheritance Tax Return. I am also enclosing herewith a check
payable to the Register of Wills in the amount of $28.00 to cover
the tax due and owing on this estate. Please return a clocked in
copy of the Inheritance Tax Return together with the receipt for
payment of the tax in the envelope provided.
Very truly yours,
\
D
,~(
DGR/dr
Enclosure
cc: File
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG. PA 17128-0601
REV-1 162 EX(1 1-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
RADCLIFF DIANE G ESQUIRE
3448 TRINDLE ROAD
CAMP HILL, PA 17011
_n___n fold
ESTATE INFORMATION: SSN: 089-10-6368
FILE NUMBER: 2102-0478
DECEDENT NAME: lANGTON ELIZABETH V
DATE OF PAYMENT: 08/20/2003
POSTMARK DATE: 08/19/2003
COUNTY: CUMBERLAND
DATE OF DEATH: 05/09/2002
NO. CD 002920
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $28.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: VERONICA THOMPSON C/O
DIANE G RADCLIFF ESQUIRE
CHECK# 2091
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
$28.00
DONNA M. OTTO
DEPUTY REGISTER OF WillS
......11..J:.1I<<l..
*'
n-vA- J
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
0478
NUMBER
ALE NUMBER
2\ 02
COUNTY CODE YEAR
SOCIAL SECURITY NUMBE~
COMl.fONWEAt TH Of PENNS\'L VANIA
DEPARTMENT OF REVENue
CEPT.280601
HARRISBURG, PA 171211-0601
~
z
~
~
i DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAl)
! LANGTON, ELIZABETH V.
-DATE OF-DEATH (M~DD-YEARj
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
089-10-6368
I DATE. OF BIRTH (t.fvI--bD~YEAR)
05/0912002
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MiDDlE INITIAL)
REGISTER Of WILLS
SOCiAl SECURITY NUMBE~
w
"~I"
u "
w l!
5f~
~
-181 1. Original Retum 0 2. Supplemental Return
o 4. Limited Estate 0 48. Future Interest Compromise (date of death after
12.12-82)
o 6. Decedent Died Testate(Attach copy 0 7. Decedent Maintained a Living Trust(Attach
d_ ~d~)
: 0 9. Litigation Proceeds Received 0 10. Spousal Poverty Credit(dateofdeath between 0 11.Etection to tax under Sec. 9113(A) (Attach Sct1 0)
~ _ _ _ __ _ _ _ 12 -3_' --91 and' - , - 95)
-LTiUSSeC.no.N M.UST Bic.OM.Pl.En;D. ,ALl.C.~RE8P()N.D~Cg ~ND CONFlD~NTIAlTAX INF.ORMA TION SHDOLDBE DIRECTED TO:
NAt.JE COMPLETE MAILING ADDRESS
Diane G. Radcliff
o 3. Remainder Retum (date of death prior to 12-13..s2)
o
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
..~
~~
8~
FIRM NAME (II applicable)
Diane G. Radcliff, Attorney at Law
TELEPHONE NUMBER
717/737-0100
3448 Trindle Road
Camp Hill, PA 17001
~._-, --.
,..'
E
z
S
~
a
'"
1. Real Estate (ScI1edule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash. Bank Deposits & Miscellaneous Personal Property
(ScI1edule E)
6. Jointly Owned Property (ScI1edule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(ScI1edule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
None
None
None
N
o
,.
None
1,347.76
4,748.53
-0-
G
(8)
6,096.29
(9)
(10)
4,463.50
1,402.37
10. Debts of Decedent, Mortgage liabilities, & liens (Schedule I)
11. Total Deductions (total lines 9 & 10)
(11)
(12)
(13)
(14)
5,865.87
230.4 2
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
230.42
SEE tNSTRUCTlONS ON REVERSE SIDE FOR APPUCABLE RATES
15.Amount of line 14 taxable at the spousal tax rate, x .00 (15)
or transfers under Sec. 9116(a)(1.2)
z x .045 (16)
0 16.Amount of line 14 taxable at lineal rate
~
~ (17)
.. 17.Amount of line 14 taxable at sibling rate 230.42 x .12
'"
0
u
~ 18. Amount of Line 14 taxable at collateral rate x ,15 (18)
19. Tax Due (19)
28.00
28.00
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
-------_..~- -- -- -
>> BE SURE TO ANSWER AlL QUESTIONS ON REVERSE SIDE AND RECHECK MATH <<
--------- ---- - ---,,--~ -- --~--~ -
Copyright 2000 form software only The Lackner Group, Inc,
Form REV-1500 EX (Rev. 6.00)
Decedent's Complete Address:
STREET ADDRESS
107 October Drive
CITY
Camp Hill
STATE PA
ZIP 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
28.00
Total Credits (A + 8 + C)
(2)
0.00
3. InleresUPenally if applicable
D. Interest
E. Penally
TotallnteresUPenally (D + E)
4. If Line 2 is greater than Line 1 + Line 3. enler the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE
A. Enter the interest on the tax due.
8. Enter the total of Line 5 + SA. This is the BALANCE DUE.
(3) 0.00
(4)
(5) 28.00
(5A)
(58) 28.00
Make Check
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~....................................m...... ~ I
b. retain the right to designate who shall use the property transferred or its income:.......... . ....................
c. retain a reversionary interest; or............... ...................................... ...............,.. ...................
d. receive the promise for life of either payments, benefits or care?............ ................_.......
2. If death occurred after December 12, 1 982, did decedenl transfer property within one year of death without
receiving adequate consideration?..................... ......................................... .........n..... ................................... D
o
o
~
~
~
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?................. .................................... ......... ... ...... .......... ...... ................. ....n.
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penanies of perjury, 1 declare that 1 have examined this return, induding accompanying schedules and statemen1s. and to the best of my knowledge and belief. i! is !rue, correcI
and complete. Dedaration 0
preparer other I_han the personal representative IS based on all information of whlCtl preparer has ~ny kn~~e: _
SIGNATURE OF PERSON RESPONSIBLE FOR FlUNG RETURN ADDRESS
Veronica V. Thompson
. . . v.~ ,...;~ . -
RE OF PERSO~'B(OR FIL~G RETUR
- RER OTHER THAtfREPRESENTA:Y-- -
102 November Drive
Apartment 5
HCatIl!'ifill, PA 17011
DATE
fhlDl
8~~/03
AOORESS
I
ADDRESS
3448 Trind!e Road
Camp Hill, PA 17001
For dates of death on or after July 1,1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [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%
[72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemota 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 twenty-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a stepparenl of the child is 0% [72 P.S. ~9116 (al (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedenfs lineal beneficiaries is 4.5%, except as noted in 72 P .5. ~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% [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.
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
CO~NWEAL TH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
LANGTON, ELIZABETH V.
FILE NUMBER
21-02-0478
Include the proceeds of Ittigation and the date the proceeds were received by the estateAII property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM
NUMBER
I
DESCRIPTION
VALUE AT DATE OF
DEATH
Miscellaneous Personal Property to be billed separately as follows:
Barbara McDonald (Niece)
23 Fraley Drive
Somerset, NJ 08873-1965
$900.00
Elizabeth R. Neumeister (Niece)
316 Hill Road
Hegins, PA 17938-9382
$380.00
Coins
109.00
Van Kampen Dividends
239.00
Cordier Antiques & Fine Art - Proceeds from sale of furniture
1,000.00
TOTAL (Also enter on Line 5, Recapitulation)
1,348.00
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE F
JOINTLY-OWNED PROPERTY
LANGTON, ELIZABETH V.
FILE NUMBER
21 - 02 - 0478
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
A Veronica Thompson
B James Kelly
JOINTLY OWNED PROPERTY:
ITEM
NUMBER
i LETTER
FOR JOINT
TENANT
DATE
MADE
JOINT
A
2
B
102 November Drive
CampHilI,PA 17011
9 North Street
Montrose, NY 10548
Sister
Nephew
DESCRIPTION OF PROPERTY 0/. OF DATE OF
Incl~d~ n~me ':tf~nancial institution and bank .a?COuntnumber . DATE OF DEATH. DECO'S, VALUEO;TH
'or Similar Idenlifylng number. Attach deed for JOln~y-held real . VALUE OF ASSET 'INTEREST DECEDENT'S INTEREST
estate. i!
PNC Bank - checking account no.51-4017-3352
9,497.06
50%
4,748.53
U.S. Savings Bond:
Date of Death Value: $2,000.00
% ofDec'ds interest .50
NEPHEW TO BE BILLED SEP ARA TEL Y
TOTAL (Also enter on line 6, Recapitulation)
4,748.53
*'
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COM~NWEALTH OF PENNSYLVANIA
INHERITANCE T AA RETURN
RESIDENT DECEDENT
LANGTON, ELIZABETH V.
FILE NUMBER
21 - 02 - 0478
ESTATE OF
ITEM
NUMBER
..This schedule must b" comple_ted and filed if the answer !<>, any of questl~ns 1 through 4 on .page 2 Is yes.
DESCRIPTION OF PROPERTY 'DATE OF DEATH' % OF
Indude the name of the transferee, their relationShip 10 decedent and the dais of transfer.;V E OF S T DECO'S EXCLUSION TAXABLE VALUE
Allam a copy of the deed for real estate. : ALU AS E INTEREST (IF APPLICABLE)
I
, Van Kampen Investments $29,429.22
Account Number 40-61336785
Payable to the following beneficiaries equally on death:
! TO BE BILLED SEP ARA TEL Y AS FOLLOWS:
Barbara K. McDonald (Niece)
23 Fraley Drive
Somerset, NJ 08873-1965 $14,714.11
Elizabeth R. Neumeister (Niece)
316 Hill Road
Hegins, PA 17938-9382 $14,714.11
TOTAL (Also enter on line 7, Recapitulation)
.
SOEDlI.E H
FlN:RA.EXPENSES&
AIJMNS1R.lQ1VE OOSTS
COt.t.4ONWEALTH OFPENNSYLVANlA
INHERITANCE TAX RETURN
RESIDENT OECEDENT
ESTATE OF LANGTON, ELIZABETH V.
FILE NUMBER
2] -02-0478
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER'
--
A. : FUNERAL EXPENSES:
Funeral Expense - Good Shephard Church
DESCRIPTION
AMOUNT
2
Neill Funeral Home - Funeral Bill
B. : ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Social Security Number(s) I EIN Number of Personal Represenlative(s):
2.
Street Address
City Slate
Year( s) Commission paid
Attorney's Fees Diane G. Radcliff, Esquire
Zip
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
4. Probate Fees
State
Zip
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
I
Other Administrative Costs
Filing Fee - Inheritance Tax Return and Inventory
TOTAL (Also enteron line 9, Recapitulation)
100.00
3,588.50
750.00
25.00
4,463.50
'*
COt.lf.t:lNWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
LANGTON, ELIZABETH V.
Include un reimbursed medical expenses.
ITEM
NUMBER
I AT&T Final Bill
2
ComCast Cable - Final Bill
3
Rent - Camp Hill Apartments
4
Merckj-Medco - Prescriptions
5
Verizon - final bill
6
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
DESCRIPTION
Pennsyvlania Neuroology Associates - final bill
FILE NUMBER
21-02-0478
TOTAL (Also enter on Line 10, Recapitulation)
AMOUNT
13.00
37.00
795.00
10.00
8.00
539.00
1,402.00
REV-1513 EX+ (1:00)
'*
SCHEDULE J
BENEFICIARIES
COMMQNVoIEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
LANGTON, ELIZABETH V.
FILE NUMBER
21-02-0478
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
RELATIONSHIP TO
DECEDENT
Do.Not UstIrustee(a)
AMOUNT OR SHARE
OF ESTATE
I TAXABLE DISTRIBUTIONS (include outright spousal distributions)
.
Barbara McDonald
23 Fraley Drive
Somerset, NJ 08873-1965
Niece
1/2 of residue
2 Elizabeth Neumeister
316 Hill Road
Hegins, PA 17938
Niece
1/2ofresidue
; Enter dollar amounts for distributions shown above an lines 15 through 18. as appropriate. on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
PreI):rium Plan Account~tatemellt
I'NC nank
~~~l
i 1! 7 ~ PNCBAN<
y
For the period 03/12/2002 t
y
ELIZABETH LANGTON
VERONICA THOMPSON
107 OCTOBER DR APT 4
CAMP HILL PA 17011-5053
Prlmaly accollnt nllmber: 51-4017-3352
Page 1 01 2
Number of enclosures: 7
11' For 24-hour customer service or
ClIrrent rates; Call l-BBB-PNC-BANK
I;5:J Write (0: Customer Service
PO Box 609
Pittsburgh PA 15230-973B
C Visit us at www.pncbank.com
=
IIJ TOO term;nal; 1-800-531-1648
For hearing impaired clients only
Premium Plan
I Interest Checking Account Summary
I l\ccount number: 51-4017-3352 Account Link ~ number: 0089106368
Balance Summary
Beginning
balance
9,136.73
rransaction Summary
Checks paid!
withdrawals
Total ATM
IransacHons
Interest Summary
Annual Percentage
Yield Earned (APYE)
0.25%
Ilctivity Detail
Jeposits and Other Additions
7
Deposits and Checks and other
other addiUons de"uclJons
1,3l4.7-I 954.41
Average monthly
balance
9,2.13.73
Bank card/POS Account lnformatiofl Teller
transactlons assistance calls transactions
0 0 0
Pf\lC Bank. MAC Other MAC A TM other ATM
ATM transactions transactions transactions
0 0 0
Number of days Average collected Interest Earned
in interest period balance for APVE thIs period
29 9,243.73 1.82
o
late Amount Description
IY01 838.91 Direct Deposit. Civil SCIV
US Tre"m}' 312 F 1171156 W CSF
I H/03 '174.00 Direcl Deposit - Soc Sec
US Trc'SlllT 303 089106368A
H/OO 1.83 Interest P<l}'mcnt
I :hecks
:heck Dale Referencl!
umber Amount paid number
5'''9 4.00 03/10 02<12397]0
550 HOO 03/13 02'7366430
5!,Q 33.80 03/20 027270757
552 18.28 03/19 024:234465
Elizabeth Langton
Veronica ThOinpson
Please see the Activity Detail section for
additional information.
As of 04/09, a total of $7 AS in interest was
earned this year.
A total of $1.83 in interest was earned this
statement period.
There were 3 Deposits and Other Additions
totaling $1.314.74.
Gap in check sequence
Check
number
1553
1554
1560 *
Date Reference
Amount paid number
]2.72 03/27 027589491
795.00 04/03 021815934
59.00 04/05 024819872
There were 7 checks listed totaling
$937.70.
FOAM953R
VAN KAMPEN:
~ IltV E S 1" M- ~H-'f S
2800 Post Oak _rd tit [713J 438.4000
Houston. Texas www.vankampen.com
77056
June 21, 2002
VIDWNlCA R. THOMPSON
WlNOVEMBER DR APT 5
CAMPillLLPA 17011
-~~::00285969
Re:40 161336785
Elimbeth V. Langton
Dear Ms. Thompson:
Thank.-yw-fWcyow. ~ ean""t^'..aw- ~ yoorsistu'$ Van Kampen account.
Due to the IIAtm\, ufyuw Idtto., itwasfoJwaNecfto me-fota-response. We appreciate
'UU jJluviding us willi tlie necessary informatioR~release tbe.names of the Transfer on
DeatIi 6en~furies. for this aCCOUDt.
Tlri~ "",_...nunf "= twa Jlrim8fy henefic:ia1 ie~. &. b.u... !I1fclb>a1d and Elizabeth
NevlHlei9ter. l!I &14... to .~...lhi:s:llCalunt, we will need:
. A ~igJ'''''"," gIllIlllAt~Jetter of instruction
. A...Prfifif'rl copy oftIio gellth eertificate f9r.Elizabeth Langton
... A W 9 foon tor each beneficiary
The !eUel:()[iilstr-oc:tiElIl mll.'lt oomain A ~u"dl fi"... eaclr.........~"Y that there are no
Jmewn.dispute5 as to th" pg.~<i(b') entttteato.a.di$tnOutiOnunderthe.nonprobate transfer
ortIre lIIIIOWlts to be distnoutelfto each {lef!'01l1Iftd JlO.~~sthat would affect the
distriDutlon as requested.. -
Each bPPt>ficiary will need to hIt"1e her .!i~" guarlUltc.ld: .A.si8nature guarantee is
sHBply the witn~ lYf Q. ~~l5'...lw" amtcan be .perfOrmed".fjy.a-oommercial bank or trust
"""WI'=y, a: savings anaIoan ~lu:zWit~>a-member firm of a national
securities excli,,,,&,\ a.registeI:eG se"Utiti=-~ or~g.agency, or a federal
sa.vlngsbank. It e-J1At.1- ~'<:l"" .....J. by a notary public.
VA N K AMP E N
f'HVE~T.~Mrs
BARB'U KMCDON.\ID-
TODDID 7129/2002
SUBJECT TO VKIS TOD RULES.
23 FaAUl I rnr
SE>MERSIIT NI tl8873c- 1965
Con,ffrmatlon Statement
July 31, 2002
Page 2 of 3
Repre..nted by.
ESSEX NA'lIDNAL SECURITIES INe
ATI'NMUroAL FUND DEPT
2J5 GATEWAY RD W
NAPA CA 94558-6277
Re!, Name. HOUSE REP
Rep Number: 692HSE
P:O:-Bmt-:2iti56 Kansas-Ory:-.<<> ct4ill.n~
www,...J....."eo.oom-(8OO)'"5'lrc~n
Telephone Device for. Deaf ~42)-Z833.
nr",r..r.r.. [,1.. .1.Jj""III,I",II",I,I" d,I,dl,l.J.I
Thank you. for .....-......m.g VlIIl .......p_lavesm.eats. If,ou'd like-te-viewyour account
I.. r..... ,tWIt onliae, visif"....rr,,"'pcn..COoil.....d..ck...l Au.~l!O'li 'YourMBtual Fund Accounts.
NE~A/ PURCHASE SUry1rv'ARY
Auount Numbe. 00672076629
it ;: t FuR
f
TransfW F""" 6T~
f~= f
~aJ.-
Slum,
I'fiCe
Sha"", This I
ImnSDdion h
ToIol
Shores
t T. ~ns..d;v..
llffl"H2002- lIsgt /Ii
SO.QQflQ
995.003
995 .003
Your New -'"ount Featu... Include.
· y"'...............t ls'esrabllf"'d In the following oame(s):
BARBARA K M(J)()NAID
TOD DID 7/29/2002
SUBJECT TO VKIS roD RUlJ!S
23 FRAIEY DR
SOMI!RSET NJ 08873-1965
. Yours,.clal Security Number is:
185-36-8761
Foe 5eu.Dity .~,.this"mnnber wm--not- appear on a:IlJ fiiIwI:...f.
Is needed.
, -- nrrify, us immediately If a correctioo
1
. Your dbideod and cap.ItaJ j;llins .U,.......otloas have hcc:n est:>hlWuorl with the following information;
I)ivId_AI:! and r,,~ ".......J-5 wiD" Be .~.bt...~.
l
~
. 1he v... K:Isnpeft pu...m.&. n - _........_._4 1Afn--"'- liRe 01'119& .....I;'''!' added to the above account.
y.,.. may aoaes& 1hi&.faeIIky br~HIIlO-8t7-2421.
VA. N K AMP E N
INVESTMEWTS
Confirm "on Statement
July 31. 2, .
Page 2 of 3
P.O. Do); ::!llllS6 Kam;(1S CiIY. MO 64121-X2;6
www.vankampen.com (800) 341-:2911
Telephone DeviCe for the Deaf (BOO) 421 ~2833
ELIZABETI-I R NEUMEISTER
316 HILL RD
HEGINS PA 17938-9382
Represented by:
ESSEX NATIONAl SECURlTIES INC
AITN MUTUAl FUND DEPT
215GATEWAYRDW
NAPA CA 94558-6277
Rep Name: HOUSE REP
Rep Number: 592HSE
I".III",II.I.."II,I"I,I,I""II,I"J,,,J,I.,,II,II,,,,II,I
Thank you for selecting Van Kampen Investments. If you'd like to view your account
information online, visit vankampen. com and select Access Your Mutual Fund Accounts.
NEW PURCHASE SUMMARY
Account Number 00672076630
Fund
T ronsodion
Do/Jor Amount Share Shares This
of T ransocfjon Price Transaction
50.00 SO.OOOO 995.002
S14,596.68 S 14. 6700 995.002
S117.43 SO.OOOO 0.000
Total
Shares
07/31/2002
07131/2002
07/31/2002
U.gf A
U.gf A
Usgf A
Transfer From 61336785
Shores Redeemed
Income Div Cash
995.002
0.000
0.000
Your New Account Features Include:
. Your account is established in the folJovving n<ime(s):
EUZABElli R NEUMEISTER
316 HILL RD
HEGINS PA 17938-9382
. Your Sodal Security NUfllber is:
101-30-9342
For .securiry reasons, this number will not appear on any future statement. PJe.ase notify us immediately if a correction
is needed.
. Your dividend and capital gains distributions have been established with the foHawing information:
Dividends and Capital Gains will be reinvested.
. The Van Kampen Fundlnfo 24 hour automated infonnation line option has been added to the above account.
You may access this facility by calling 1-800-847-2424.
lUOl..o142Ho .not~.~1n.ll!o'l".COlnMOI.5H1l06n0166JO
2001
CONFIRMATION OF REDEMPTION
ELIZABETH R NEUMEISTER
316 HILL RD
HEGINS PA 17938-9382
ESSEX NATIONAL SECURITIES INC
ATTN MUTUAL FUND DEPT
215 GATEWAY RD W
NAPA CA 94558-6277
1",111",11,1",,11,1 "I,I,I""IlJ"I",I,I",II,II""II,'
>ENT. OR SOC.SEC.NO. ON FILE 59 2HSE HOUSE REP
CCOUNT NO. 672076630 NEUMEISTER
.EASE REFER TO ABOVE ACCOUNT NUMBER IN ALL CORRESPONDENCE AND MAil TO: TRANSFER AGENT,P.D.BOX 256, KANSAS CITY,MO 64141
lNFIRM . TRAOE.OO~LAR AMOlJNT . . SHARE . SHARES THIS TOTAL
. T F.TRAN ACTI . .'PRICE TRANSACTI N SHARE'S OWNEC
'/31
'/31
'/31
BEGINNING BALANCE
7/31 TRANSFER FROM 61336785
7/31 SHARES REDEEMED
7/31 INCOME DIV CASH
14,596.68
117.43
14.67
995.002
995.002
.OOC
995.00.
.OOC
.OOC
DETACH THIS CONFIRMATION AND RETAIN FOR YOUR RECORDS BEFORE CASHING OR DEPOSITING CHECK.
""
REDEMPTION CHECK
5-2
TIO
I US GOVERNMENT FUND - A
PAYABLE AT
STATE STREET BANK
and TRUST COMPANY
BOSTON.MA
CHECK
NUMBER
850976
ACCOUNT
NUMBER
672076630
DEALER
NUMBER
2508
DATE
OF CHECK
7/31/2002
DOLLARS CENTS
*****14,714.11
Pay To The Order Of
ELIZABETH R NEUMEISTER
316 HILL RD
HEGINS PA 17938-9382
I ~II~ IIIIIIII~ III~ I~~ 111III11
~/~-~
UT EO S I DNA TURE
II' 1.850Cj7bll' ':010100000281: CjCjO~ bl.5 1,11'
PERSONAL PROPERTY RETAINED BY BARBARA MCDONALD
Dinette Table and four chairs
Small Chest of Drawers
Recliner Chair
Little Tea Set (I-Pot, 6-saucer & cups)
$ 100.00
50.00
50.00
50.00
Diamond Ring
Gold chain
mue stone ring
300.00
100.00
100.00
Custom Jewlery (5 pieces)
100.00
Misc items - pictures, a frame, bedroom
Slippers, 2 bath robes, etc
50.00
Estimated Value
$ 900.00
Q3rJ<76"~ k "h1,D......,U
Barbara K. McDonald 8-6-2002
-
JJ'J .;./
I '-t!(- oo~
'-J 0,.'::'--
OJ c 0:-/
I Y --- (p 0, .::-: tP
J t~0).J-10,9
f ..P~- /OO.~
(l~,,~~" /o,.~
I ~'C;'" T/1 ;'u~ 30. q:9.--
1.1 t
i)1.....v-vH~ u\--'
3 Il" 1-1 JL )1.~
H~ ? fr-" / 193 S/
I'" ~ c'J 1 6,O,j';>-& Ie 3
-
-
~ill F~er.u Home, In''''''''
. . - ~ 340 1 Market Street
Camp Hill, PA 17011
(717) 737-8726
Robert J. Pramik, RD., Supervisor
CONTRACT
STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED CASE .
Chi..... IN only lor _ 118m. IhIt you _ or Ibot IN required. II we are requiNd by law or by a cemeIefy or crematory
ID ... any 118m, we will explain Iha reason In wrIlIng below.
~ements for: /,::; ,-. c:. '...... L,;" ~ ";'". "--
.... I.
Date of Arrangement
Date of Daath:
MERCHANDISE:
Casket:
SERVICES, FACILITIES, AUTOMOBILE, OTHER EQUIPMENT
lUID OTHER SERVICES:
ltamlxad _ PrIce UoI:
Ilalc -._ ServIce8 ""I
F_ DIrector and Stall:
:lII.- CWtt of Iha Daceued:
EmtiUnIng
SanIlary Care of the
Unembalmed Remains
Dressing, CoskeUng and Coemetology
Pool Autopsy Care/Poet Organ Donation
Restoration Charge
RelrtgereUon
Care and Custody WhUa Sheltering Remains
Othar Care of the Deoeased:
Total Care of the Deceesed
_ngof_ond U..
of F"'lltlos:
VI8IIaIfon
Funeral Caremony
Memorial Caremony
GrovesIde
~ Hili. Cherge
Total Directing of Servtces and
Use of Facl1lt1os
AulontolIve, 0Ihar equip., 01.... ServIces
ond Other Chlrgoo:
Transfer of Remains to Funeral Home
HeaneICoech and Driver
UmousinoIOIher Passenger Vehicle and Ortver
SeleIyJLoad Vohlcle and Dr1ver
Flower Van and Driver
UtIU1y Vehicle and Driver
Cemetery tent and greve equipment
Ad<IlIonsI Transportation Chorges:
Total Auto, Other Equipment and Servtces
And/or
...........11xad ServIce.Program Package
(e complete description of the package ftlat you "
_'s In the GoneIlII Price US! prollfded you):
$
11or_:
1I1ledleteBurial
"1cI CremeUon WiIhoula Service
WIng Remolns kl AnoIher Funeral Home
'09 Romains 110m Another Funeral Home
\ vice Chergos with
\ ..Ized Packages
\
I
i
\
$
c h r
~ '---.-
Outer Burial Containers:
Cremetion Urn:
Cremation Container:
Clothing os Selected:
Grave Marker:
Acknowledgment Cards os SeIecled
Memorial Register .: n '_"
Memorial FoIdersIPrayer Cards
CombInation Shipping UnlVAIr Troy
0-.). _ i'~:,~-- ~ .
.' " ~ ..At," j'_IV. ~ ! ,.
Total Merchandise
CASH ADVANCES:
Sales Tax:
Cametery:
Death Carllflcateo (No.-C-. $--'i!=J
Ponnlt DlspoeItIonlBurfal Pennlt
Medical Exemlne~s Chorge
Honorerkm:
MuslclanslVoceIIst
Air or Other Tl'IlRSflOrt
Out 01 Town Funeral Homes:
N_ Noticos:
" TelephonelTeiegraph/Fax:
Motor Escort
r.'"
n
$
Total Cash Advanc:OS
We cherge you for our servtces In obtaining:
.20
,20
$'
'"
$
. .,'.
$
$
.. ;.J..
$
,
$
SUIlMARY:
Beslc profosslonal Servtces of
Funerel DIrecfor and Stall
Other Care of the Dec:eased
DIrecting Servtces and Use of Facll1Ies
AutomotIve, Othar EquIp. end Servtces
and/or
PorsonsIlzed _ Program Packege
Other Servtces
To'" ~ Charges with
_Ixad _goo
Merchandise
Cash Advanoes
Total ChIrgoo
(Credits) to Account:
Poyments (cash, check, or crodK card)
Bofa.- duo after credits
$
$
$
$
$ .~I ,'"-j: ':.
(
(
(
(
$ ,."...
" " 3 5"~<(. -S"O ALOIA"
. I .
....k.AA,(X),OT.gc,A...~Hl.IA,ID.1l.1N, KS. KY. MA. ME. MD. NI.WO,MS. ND. NE. Mi, MJ,NM,NY,CM.OK.PA.PR.Rl.9C,SD.1N,.VA.WA. Wl.WY.WYl Page,'
$
$ J, .,
$
$
$
$
$ J, /,
c p /"/-byJ
\- BUREAU Of INOIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 7,80601
H~RRIS~RG, PA 17128-0601
-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
NOTICE Of INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSHENT Of TAX
REV-lS47 EXAFP (Ol-U)
DIANE G RADCLIFF
3448 TRINDLE RD
CAMP HILL
ATTY
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
09-29-2003
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
101
ELIZABETH V
PA 170Ql
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV=is47-ix--AFP--foFii3Y-NOYici--OF-YNHiifiTAN-Cn'iiic-ifpjiRXisi~fENT~--AL.iOWA~jCE-[fR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF LANGTON ELIZABETH V FILE NO. 21 02-0478 ACN 101 DATE 09-29-2003
TAX RETURN WAS: I ) ACCEPTED AS fILED
I X) CHANGED
SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Re.l Estate (Schedule A)
2. stocks and Bonds (Schedule B)
3. Closely Held stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule OJ
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. ~ointly Owned Property (Schedule f)
7. Transfers (Schedule G)
8. Total Assets
Il)
(2)
(3)
(4)
(5)
(6)
(7)
.00
.00
.00
.00
1.347.76
4.748.53
.00
(8)
NOTE: To insure proper
credit to your account~
submit the upper portion
of this for.. with your
tax paYllent.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
6,096.29
(9)
IlO)
4,463.50
1.402.37
I1lJ
(12)
(13)
(14)
~.86~ 87
230.42
.00
230.42
NOTE: I~ an assessment was issued previoUSly, lines
re~lect ~igures that include the total o~ ALL
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate (15)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. Allount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B ret. (18)
19. Principal Tax Due
TAX CREDITS.
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
.00 X 00 =
.00 X 045 =
230.42 X 12 =
.00 X 15 =
(19)=
.00
.00
28.00
.00
28.00
.
'J AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID 1-)
08-19-2003 CD002920 .00 28.00
TOTAL TAX CREDIT 28.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .73
TOTAL DUE .73
. If PAID AfTER DATE INDICATED, SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST.
I If TDTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
If TOTAL DUE IS REfLECTED AS A "CREDIT" ICR), YOU HAY BE DUE
A REfUND. SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIONS.)
jJ'" "...
-
REV-1470EX (8-Ba)
'. . INHERITANCE TAX
.
EXPLANATION
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE OF CHANGES
BUREAU OF INDIVIDUAL TAXES
DEPT_ 280601
HARRISBURG PA 17128-0601
DECEDENTS NAME FILE NUMBER
Elizabeth V Langton 2102-0478
REVIEWED BY Deborah Washington ACN
101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
F&G Forwarded to be billed separately
ROW
Page 1
/'/-6Y-~3
.
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 2806Dl
HARRISBURG7 PA 17126-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOHANCE OR DISALLONANCE
OF DEDUCTION~, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV.1548 EX AFP (Ol~U)
JAMES KELLY
9 NORTH STREET
MONTROSE NY 10548
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSNI'DC
ACN
10-13-2003
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
089-10-6368
03003065
Allount Rellitted
ELIZABETH V
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
RE-v=is4-i-EiC-AFP--foi-=031------------------------------______________________________________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-13-2003
ESTATE OF LANGTON
ELIZABETH V DATE OF DEATH 05-09-2002
COUNTY
CUMBERLAND
FILE NO. 21 02-0478
TAX RETURN WAS:
S.S/D.C. NO. 089-10-6368
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
03003065
FINANCIAL INSTITUTION: ESTATE ATTORNEY
ACCOUNT NO.
l-U.S.SAV-BOND
TYPE OF ACCOUNT:
DATE ESTABLISHED
( ) SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
05-09-2001
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
2,000.00
0.500
1,000.00
.00
1,000.00
.15
150.00
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 10-21-2003 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 150.00
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 5.22
TOTAL DUE 155.22
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRI, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
--
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLONANCE OR DISALLONANCE
OF DEDUCTION~, AND ASSESSHENT OF TAX ON
JOINTL~ HELD OR TRUST ASSETS
REV~154B EX 'FP (01-05)
BARBARA
23 FRALEY
SOMERSET
K MCDONALD
DRIVE
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
10-13-2003
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
089-10-6368
03003066
Allount Rellitted
ElIZABETH V
NJ 08873-1965
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-v=is4-a-Ex--AFP--fol-=o3,--------------------------__________________________________________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-13-2003
ESTATE OF LANGTON
ELIZABETH V DATE OF DEATH 05-09-2002
COUNTY
CUMBERLAND
FILE NO. 21 02-0478
TAX RETURN WAS:
S.S/D.C. NO. 089-10-6368
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
03003066
FINANCIAL INSTITUTION: VAN KAMPEN INVESTMENTS
ACCOUNT NO.
40-61336785
TYPE OF ACCOUNT:
DATE ESTABLISHED
( ) SAVINGS ( ) CHECKING (Xl TRUST ( ) TIME CERTIFICATE
05-09-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
x
29,429.22
0.500
14,714.61
.00
14,714.61
.15
2,207.19
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 10-21-2003 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 2,207.19
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 76.81
TOTAL DUE 2,284.00
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. )
~
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOHANCE OR DISALLOHANCE
OF DEDUCTION~, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548EXAFPCOI_O!l
ELIZABETH R NEUMEISTER
316 HILL ROAD
HEGINS PA 17938-9382
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
10-13-2003
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
089-10-6368
03003067
Allaunt Remitted
ELIZABETH V
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REii:i54ii-EX--AFP--foi~D3)--------------------------__________________________________________________________
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 10-13-2003
ESTATE OF LANGTON
ELIZABETH V DATE OF DEATH 05-09-2002
COUNTY
CUMBERLAND
FILE NO. 21 02-0478
TAX RETURN WAS:
S.S/D.C. NO. 089-10-6368
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
03003067
FINANCIAL INSTITUTION: VAN KAMPEN INVESTMENTS
ACCOUNT NO.
40-61336785
TYPE OF ACCOUNT:
DATE ESTABLISHED
( ) SAVINGS ( ) CHECKING (lO TRUST ( ) TIME CERTIFICATE
05-09-2002
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
X
29,429.22
0.500
14,714.61
.00
14,714.61
.15
2,207.19
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
X
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
INTEREST IS CHARGED THROUGH 10-21-2003 TOTAL TAX CREDIT .00
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 2,207.19
REVERSE SIDE OF THIS FORM INTEREST AND PEN. 76.81
TOTAL DUE 2,284.00
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
.
Bar bar a K. M cOo n a I d
23 Fraley Drive
Somerset, N.J. 08873 - 1965
Phone: (732) 418 -1178 U/L
Fax: (732) 247 - 5951
Email: Hamcd@Worldnet.att.net
October 18,2003
Register of Wills
Cumberland Co Court House
Carlisle, Pa. 17013
Re: File No. 2102-0478 SSN/DC 089-10-6368 CAN 03003066
Enclosed herewith is check number 2372 in the amount of $2,284.00 which
is the full amount on the above referenced notice dated 10/13/2003.
This is the first notice of tax due received in this matter and it is my intention
to file a notice of objection to interest and penalty charge of $76.81 with the
Board of Appeals and seek its repayment to me.
Thank you,
tBo.:L /<, ML D ~
Barbara K. McDonald
cc: file
--..
~ k. /UcDouA-uD _
'DL~U[:::
~3 Ft2.A~1-.{ {)gf/t3-I~t?5
~eJ(.Sbt- IJ 1
,~
- -.. "'-~.-
-
~mlu
9?oJ 17013
I ;-Wt~6
1'70/3
I' II II 'j, 11.1).Jol..I,i..U..,1
J I.L~."." /} ~ .:.'!. .''',1.' ..... . I.. .
u.s. pnSTfiGr
PHIC
SOMtl~SE T . NJ
U~l:': (,~
OCT i8.' 03
HMOUNT
$2.67 ~
OOQ25J30-0t
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG~ PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTION~, AND ASSESSHENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
BARBARA
23 FRALEY
SOMERSET
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
K MCDONALD
DRIVE
NJ 08873-1965
10-13-2003
LANSTON
05-09-2002
21 02-0478
CUMBERLAND
089-10-6368
03003066
Allount Rellitted
.
*'
REV-I5"48 fXAFP UI-05l
ELIZABETH V
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
RESISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
---
~IOLI Vd '31SI1~VJ
3SnOH l~nOJ OJ aNV1~3&WnJ
SllIM ~O ~31S193~
:01 1N3WAVd 1IW3~ aNY 31SVAVd ~03HO 3~VW
NOV
oa/NSS
A1Nnoo
H3swnN 311:1
H1V3a :10 uva
:10 UVlS3
uva
ZB~6-B~6L I Vd SNI93H
avo~ llIH 9I~
~31S13wn3N ~ H13&VZI13
n H13&VZIl3
pe:n. 'J1I8H :t-unollY
L90~00~0
B9~9-0I-6BO
aNV1~3&WnJ
BL'.>O-ZO IZ
ZOOZ-60-50
N019NVl
~ooz-n-OI
(S'D-Ul d"W Xi '~Sl-HlI
'*
t
Sl3SSY IsnBI BO 013H X1lNIor
NO XYI dO IN3HSS3SSY ONY '~NOIIJn030 dO
3JNYM011YSIO BO 3JNYM011Y IN3H3SIYBddY
XYI 3JNYlIB3HNI dO 3JIlON
I090-9ZILI Wd 'SHn9SIHHYH
109092 . .ld3a
NOISIAIO XVI 3JNYIIH3HNI
S3XVi lVnOInIONI dO nV3BnS
3nN3n3H :10 1N3W1HVd3a
VINVn1ASNN3d :10 H11V3MNOWWOO
E. R. Neumeister
316 Hm Rd.
Hegins. PA 17938-9382
,
-''';;;0r:,:~:?);,
i:t i- /:
cQ \ _ ad _L\-1 ~ , 1.
f' y~ c>j, \\1 -<.e(;v
\: '. (
o ~/V>LW % C~ f(.~
~l I), () .~
('--.... /cV~ I )./Y'-
.--,.,~-,,",,",'--
l\'
/'7 0 13
.j, "?e:,.i .:~.i":~.:::::.:2.:-.:: iH' ii\", in, "'" ii" iI.!, \i,. ,ii" ,\ ,\, ,i \, i, i" i ,i .,\ ,i, ,I
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
MCDONALD BARBARA K
23 FRALEY DRIVE
SOMERSET, NJ 08873-1965
_nn_n lold
ESTATE INFORMATION: SSN: 089~ 1 O~6368
FILE NUMBER: 2102-0478
DECEDENT NAME: lANGTON ELIZABETH V
DATE OF PAYMENT: 10/20/2003
POSTMARK DATE: 10/18/2003
COUNTY: CUMBERLAND
DATE OF DEATH: 05/09/2002
NO. CD 003145
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
03303066 I $2,284.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: BARBARA K MCDONALD
CHECK# 2372
SEAL
INITIALS: DO
RECEIVED BY:
REGISTER OF WILLS
-
$2,284.00
DONNA M. OTTO
DEPUTY REGISTER OF WillS
COMMONWEALTH OF PENNSYLVANIA
DFPARTMENT OF REVENUE
-
B:':AEAU OF INDIVIDUAL TAXES
PEPT.280~1
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NEUMEISTER ELIZABETH R
316 Hill ROAD
HEGINS, PA 17938
-------- fold
ESTATE INFORMATION: SSN: 089-10-6368
FILE NUMBER: 2102-0478
DECEDENT NAME: lANGTON ELIZABETH V
DATE OF PAYMENT: 10/20/2003
POSTMARK DATE: 10/18/2003
COUNTY: CUMBERLAND
DATE OF DEATH: 05/09/2002
NO. CD 003149
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
03003067 I $2,284.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: ELIZABETH R NEUMEISTER
CHECK# 1131
SEAL
INITIALS: DO
RECEIVED BY:
REGISTER OF WILLS
-
$2,284.00
DONNA M. OTTO
DEPUTY REGISTER OF WillS
COMMONWEALTH OF PENNSYLVANIA
D~PARTMENT OF REVENUE
BI';:-iEAU OF INDIVIDUAL TAXES
j)EPT,280i!bl
HARRISBURG, PA 17128-0601
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
NO. CD 003144
NEUMEISTER ELIZABETH R
316 HILL ROAD
HEGINS, PA 17938
---told
ESTATE INFORMATION: SSN: 089-10-6368
FILE NUMBER: 2102-0478
DECEDENT NAME: LANGTON ELIZABETH V
DATE OF PAYMENT: 10/20/2003
POSTMARK DATE: 10/18/2003
COUNTY: CUMBERLAND
DATE OF DEATH: 05/09/2002
REMARKS: ELIZABETH R NEUMEISTER
CHECK# 1131
SEAL
DO
CEIVED BY:
AMOUNT
$22.84
$22.84
DONNA M. OTTO
DEPUTY REGISTER OF WILLS
GISTER OF WILLS
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REGISTER OF WILLS
CUMBERLAND COUNTY
1 COURTHOUSE SQUARE
CARLISLE FA 17013
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STATUS REPORT UNDER RULE 6.12
NAME OF DECEDENT:
ELIZABETH V. LANGTON
DATE OF DEATH:
MAY 9, 2002
WILL NO.: 21-2002-478
ADMIN. NO.
Pursuant to Rule 6..12 of the Supreme Court Orphans' Court Rules, 1 report the following with
respect to completion of the administration of the above-captioned estate:
I. State whether administration of the estate is complete:
Yes X No
2. If the Answer is No, state when the personal representative reasonably believes that the
administration will be complete:
3. If the Answer to No. I is Yes, state the following:
a. Did the personal representative file a final account with the court?
Yes No x
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? Yes x No
d. Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be attached
to this report.
Date: November 5. 2003
I
D DCLIFF. ESOUIRE
Name (please type or print)
3448 Trindle Road. CamD Hill. PAl 7011
Address
(717) 737-0100
Telephone number
Capacity: _ Personal Representative
~ Counsel for personal representative
/7-6-;/3
\. BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG1 PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*'
IlEV-1601EXAFPtDI_05l
ELIZABETH R NEUMEISTER
316 HILL ROAD
HEGINS PA 17938-9382
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-27-2003
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
03003067
ELIZABETH V
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account~ submit the upper portion of this for.. with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiE-lj=i6oTEx--AFP--fiiFo:3Y------....--INiiERi'i:ANc"E--fiiiniTAyE~iE-N.nrF-AC-Coui,rf--..-..---------------------
ESTATE OF LANGTON ELIZABETH V FILE NO.21 02-0478 ACN 03003067 DATE 10-27-2003
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELDW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-13-2003
PRINCIPAL TAX DUE:~ 2,207.19
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-18-2003 CD003149 75.90- 2,284.00
TOTAL TAX CREDIT 2,208.10
BALANCE OF TAX DUE .91CR
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .91CR
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" [CRJ,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J
~
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
OEPT. 280601
HARRISBURG~ PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
'*
IEV~li07 EX AFP 101-OS)
BARBARA
23 FRALEY
SOMERSET
K MCDONALD
DRIVE
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-10-2003
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
03003066
ELIZABETH V
NJ 08873-1965
Amount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
NOTE: To insure proper credit to your account~ subllit the upper portion of this forI! with your tax paYllent.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
Rifv=i 6ij'j-Ex--AFP--foY=o3y-n---ii;...--iNifERI'1'ANcE--TAx--sTAYEHE-liT-ifF"-AC-Coui.i'f--..ilii---------n----- ___ n
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
ESTATE OF LANGTON
ELIZABETH V FILE NO.21 02-0478
ACN 03003066 DATE 11-10-2003
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 10-13-2003
PRINCIPAL TAX DUE,.. 2,207.19
PAYMENTS (TAX CREDITS),
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-18-2003 CD003145 75.90- 2,284.00
TOTAL TAX CREDIT 2,208.10
BALANCE OF TAX DUE .91CR
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .91CR
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT'" (CRJ..
YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ]
/"'/-6,,/<3
"-
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG~ PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*'
REV-IUl EXAFI' UI-02l
ELIZABETH
316 HILL RD
HEGINS
NEUMEISTER
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-12-2002
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
02133107
ELIZABETH V
PA 17938
Allaunt Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV=i61WEiCAF;.--coFiizY------ii;..--fNifERI1:ANCE--TAX--STA-iEME-NT-oTAC-coiii.fr--..ii--------n------n---
ESTATE OF LANGTON ELIZABETH V FILE NO.21 02-0478 ACN 02133107 DATE 11-12-2002
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-07-2002
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-13-2002 CDOO1518 .00 357.83
10-15-2002 CDOO1732 .00 18.83
TOTAL TAX CREDIT 376.66
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN $1,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J
-...
/'/-65/-0
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*'
REV-!i07ElrAFP UI-02)
ELIZABETH
316 HILL RD
HEGINS
NEUMEISTER
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-12-2002
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
02133109
ELIZABETH V
PA 17938
Allount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
NOTE: To insure proper credit to your account} submit the upper portion of this form with your tax payment.
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiEV: i6oTEx--AFP--iiiFii2y-----j(io..--iNHERii:ANci:--fAiCsTAYE~iE-Nf-O-F-Aifciiui.fi--....---------------- __m
ESTATE OF LANGTON ELIZABETH V FILE NO.21 02-0478 ACN 02133109 DATE 11-12-2002
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 10-07-2002
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-13-2002 CDOO1517 .00 761. 38
10-15-2002 CDOO1733 .00 40.06
TOTAL TAX CREDIT 801. 44
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE} SEE REVERSE TOTAL DUE .00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS TWAN $1,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR),
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
,. ,-, ~:,\'":r'
BUREAU OF INDIVIDUAL TAXE$'C. ;:,!: c-J~';
INHERITANCE TAX DIVISION "
PO BOX Z80601
HARRISBURG PA 171Z8-0601
COMMONWEALTH OF PENNSYLVANIA
(<DEPARTMENT OF REVENUE
\ '
INHERITANCE TAX
STATEMENT OF ACCOUNT
'*
REV-1607 EX AFP (03-05)
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
06-28-2006
LANGTON
05-09-2002
21 02-0478
CUMBERLAND
101
AlIOunt R_l tted
ELIZABETH V
DIANE G RADCLIFF~ATTY
3448 TRINDLE RD
CAMP HILL PA 17001
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, su~it the upper portion of this form with your tax payment.
CUT ALONG THIS LINE
... RETAIN LOWER PORTION FOR YOUR RECORDS +--
REV-1607 EX AFP (03-05)
... INHERITANCE TAX STATEMENT OF ACCOUNT KKK
ESTATE OF LANGTON ELIZABETH V FILE NO.21 02-0478 ACN 101 DATE 06-28-2006
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-29-2003
PRINCIPAL TAX DUE: 28.00
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
08-19-2003 CD002920 .00 28.00
06-27-2006 WRITEOFF .00 .73
TOTAL TAX CREDIT 28.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. )
I