HomeMy WebLinkAbout04-22-15 J Pennsylvania 1505618403
DEPARTMENT OF REVEN
`�X(03-14)
REV-1500 OFFICIAL USE ONLY
County Code Year File Number
Bureau of Individual Taxes
PO BOX 280601 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 14 1059
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
10 13 2014 02 04 1951
Decedent's Last Name Suffix Decedent's First Name MI
LANSHE MARGARET M
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
R1. Original Return 2. Supplemental Return 3. Remainder Return(date of death
prior to 12-13-82)
El4. Agricultural Exemption(date of 5. Future Interest Compromise(date of 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
❑X 7. Decedent Died Testate ❑R 8. Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes
(Attach copy of will) (Attach copy of trust.)
10. Litigation Proceeds Received 11. Non-Probate Transferee Return 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
❑ 13. Business Assets 14. Spouse is Sole Beneficiary
(No trust involved)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
GARY L JAMES ESQ 717 533 3280
First Line of Address
134 SIPE AVENUE
Second Line of Address
City or Post Office State ZIP Code
HUMMELSTOWN PA 17036
Correspondent's email address: gliPisdc.com En u rM
REGISTff1110" ILLS USnNLYW-
fTl co ;10
REGISTER OF WILLS USE ONLY r' rv "
DATE FILED MMDDYYYY ' y (V ) C:3
:3 1
rV r"'" tT1
DATE FILED STAMP r 0
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Side 1
I IIIIII ILII VIII IIII IIID VIII VIII VIII VIII����II I III
1505618403 1505618403
1505618411
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Lanshe, Margaret M.
RECAPITULATION
1. Real Estate(Schedule A)....................................................................................... 1.
2. Stocks and Bonds(Schedule B)............................................................................. 2.
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3.
4. Mortgages and Notes Receivable(Schedule D).................................................... 4.
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).......... 5. 8 -,846 - 60
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 71343 - 67
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) ❑ Separate Billing Requested............ 7. 9181560 . 61
8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 9341750 . 88
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 43,191 • 87
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 21,4 2 7 • 71
11. Total Deductions(total Lines 9 and 10)................................................................ 11. 641619 • 58
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 870 ,131 • 30
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J)............................................... 13.
14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 8711-,131 . 30
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(1.2)X.00 15. 0 . 00
16. Amount of Line 14 taxable
at lineal rate X .045 870,131 - 30 16. 391l55 - 91
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 0 0 17. 0 . 1111
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 00 18. 11 - 00
19. TAX DUE................................................................................................................ 19. 39-,155 - 91
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Under penalties of perjury,I declare I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct and complete.Declaration of preparer other than the person responsible for filing the return is based on all information of which preparer has
any knowliadge.
SIGN F P SPONSIBLE FOR FILING RETURN Gary L.James Esq. DATE
ADDRESS
134 Sill4e A nue, ummelstown, PA 17036
SIGN PR THAN VE Gary L.James Esq. c
- QATE`
ADDRESS
134 Sipe I vdueLHu elstown, PA 17036
Side 2
1505618411 1505618411
REV-1500 EX Page 3 File Number 21-14-1059
Decedent's Complete Address:
DECEDENT'S NAME
Lanshe, Margaret M.
STREET ADDRESS
421 Cherokee Drive
CITY STATE ZIP
Mechanicsburg PA 17050
Tax Payments and Credits:
1. Tax Due(Page 2, Line 19) (1) 39,155.91
2. Credits/Payments
A. Prior Payments 37,000.00
B. Discount 1,947.37
Total Credits(A +B) (2) 38,947.37
3. Interest (3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
Check box on Page 2,Line 20 to request a refund
5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 208,554
Make Check Payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;............................................................................... ❑x ❑
b. retain the right to designate who shall use the property transferred or its income;.................................. ❑x ❑
c. retain a reversionary interest;or............................................................................................................... ❑x ❑
d. receive the promise for life of either payments,benefits or care?............................................................ ❑x ❑
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.................................................................................................................... ❑
3. Did decedent own an"in trust for' or payable upon death bank account or security at his or her death?....... ❑ ❑x
4. Did decedent own an individual retirement account,annuity,or other non-probate property which ❑ ❑
contains a beneficiary designation?.................................................................................................................. x
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1,1994 and before Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after January 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S.§9116(a)(1.1)(ii)]. The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adoptive parent,or a step-parent of the child is 0 percent[72 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A sibling is defined,
under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
Rev-1508 EX+(08-12)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF REVENUE PERSONAL PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Lanshe, Margaret M. 21-14-1059
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Members 1st Checking Account#421335-11 -valued per letter dated November 21,2014 100.00
2 Members 1st Regular Savings Account#421335-00-valued per letter dated November 21, 298.14
2014
Accrued interest on Item 2 through date of death 0.01
3 Metro Bank Checking Account#2844130209-valued per letter dated November 24,2014 1,950.03
Accrued interest on Item 3 through date of death 0.03
4 Metro Bank Checking Account#833435522-valued per letter dated November 24,2014 1,408.14
Accrued interest on Item 4 through date of death 0.25
5 2003 Chrysler Town and Country-valued per Kelly Blue Book 1.960.00
6 Personal Property 2,500.00
7 Highmark Health Insurance-refund 630.00
TOTAL(Also enter on Line 5, Recapitulation) 8,846.60
(If more space is needed,additional pages of the same size)
Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev.08-12)
Rev-1509 EX+(01-10)
pennsylvania SCHEDULE F
DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Lanshe, Margaret M. 21-14-1059
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. Julian D. Roth 421 Cherokee Drive Son
Mechanicsburg, PA 17050
B.
C.
JOINTLY OWNED PROPERTY:
DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECD'S DECEDVALUE OF
ENT'S INTEREST
NUMBER FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER.ATTACH DEED FOR VALUEOFASSE1 INTEREST
TENANT JOINT JOINTLY-HELD REAL ESTATE.
1 A 08/19/2013 2012 Subaru Imprezza-valued per Kelley 14,525.00 50.000% 7,262.50
blue book
2 A 01/24/2014 Metro Bank Checking Account#2833069040- 162.34 50.000% 81.17
valued per letter dated November 24,2014
TOTAL(Also enter on Line 6, Recapitulation) 7,343.67
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule F(Rev.01-10)
Rev-1510 EX+(08-09)
SCHEDULE G
pennsylvania INTER-VIVOS TRANSFERS AND
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Lanshe, Margaret M. 21-14-1059
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFERS ATTACH A COE THEIRPY OF THE DEED OR REAL ESTATE. VALUE OF ASSET ELATIONSHIP TO DECEDENT AND INTEREST (IF APPLICABLE) VALUE
1 John Hancock Life Insurance Company Individual 274,732.82 274,732.82
Retirement Account#00002746633-valued per letter
dated November 12,2014; beneficiary is Margaret M.
Lanshe Living Trust dated March 7,2003
2 204.205 units of American Funds Growth Fund Class 8,684.84 8,684.84
F-1 -titled in the Margaret M. Lanshe Living Trust
dated March 7,2003; held in the NPC brokerage
account#4NR-035169;valued per letter dated
November 12,2014 and public listing
3 3,500 units of Blackrock Muniyield PA Insd Com - 49,525.00 49,525.00
titled in the Margaret M. Lanshe Living Trust dated
March 7,2003; held in the NPC brokerage account#
4NR-035169;valued per letter dated November 12,
2014 and public listing
4 4,660.73 units of Brokerage Money Market-titled in 4,660.73 4,660.73
the Margaret M. Lanshe Living Trust dated March 7,
2003; held in the NPC brokerage account#4NR
-035169;valued per letter dated November 12,2014
5 436.919 units of Dodge&Cox Balanced Fund-titled 43,158.86 43,158.86
in the Margaret M. Lanshe Living Trust dated March 7,
2003; held in the NPC brokerage account#4NR
-035169;valued per letter dated November 12,2014
and public listing
6 4,457.781 units of Eaton Vance Floating Rate 48,768.12 48,768.12
Advantage Fund Class I -titled in the Margaret M.
Lanshe Living Trust dated March 7,2003; held in the
NPC brokerage account#4NR-035169;valued per
letter dated November 12,2014 and public listing
Total of Continuation Schedules See attached
pages
TOTAL(Also enter on Line 7,Recapitulation) 918,560.61
(If more space is needed,additional pages of the same size)
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev.08-09)
Rev-1510 EX+(08-09)
SCHEDULE G
pennsylvania INTER-VIVOS TRANSFERS AND
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
continued
ESTATE OF FILE NUMBER
Lanshe, Margaret M. 21-14-1059
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
NUMBER THE DA E ODE F EROANSFERSAlTACH THEIR COPY THE RELATIONSHIP
FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
7 3,933.989 units of Fidelity PA Municipal Income Fund- 44,808.13 44,808.13
titled in the Margaret M. Lanshe Living Trust dated
March 7,2003; held in the NPC brokerage account#
4NR-035169;valued per letter dated November 12,
2014 and public listing
8 742.244 units of First Eagle Global Fund Class A- 39,257.29 39,257.29
titled in the Margaret M. Lanshe Living Trust dated
March 7,2003; held in the NPC brokerage account#
4NR-035169;valued per letter dated November 12,
2014 and public listing
9 4,030.059 units of Harbor Fund Institutional Class- 49,529.43 49,529.43
titled in the Margaret M. Lanshe Living Trust dated
March 7, 2003; held in the NPC brokerage account#
4NR-035169;valued per letter dated November 12,
2014 and public listing
10 630 units of Ishares Tr MSCI Eafe Min Volitility ETF- 38.367.00 38,367.00
titled in the Margaret M. Lanshe Living Trust dated
March 7, 2003; held in the NPC brokerage account#
4NR-035169;valued per letter dated November 12,
2014 and public listing
11 1,637.839 units of Oakmark Equity and Income Fund 53,229.77 53,229.77
Class I-titled in the Margaret M. Lanshe Living Trust
dated March 7,2003; held in the NPC brokerage
account#4NR-035169;valued per letter dated
November 12,2014 and public listing
12 902.408 units of Permanent Portfolio Fund-titled in 38,677.21 38,677.21
the Margaret M. Lanshe Living Trust dated March 7,
2003; held in the NPC brokerage account#4NR
-035169;valued per letter dated November 12,2014
and public listing
Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule G(Rev.08-09)
Rev-1510 EX+(08-09)
SCHEDULE G
pennsylvania INTER-VIVOS TRANSFERS AND
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
continued
ESTATE OF FILE NUMBER
Lanshe, Margaret M. 1 21-14-1059
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
INCNUMBER THELDA E OF DE TRANSOF FER.SFEREE THEIR ATTACH A COPY OF THE DEED HIP FOR REAL ESTATDENT E. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
13 600 units of Realty Income Corp Com -titled in the 25,578.00 25,578.00
Margaret M. Lanshe Living Trust dated March 7,2003;
held in the NPC brokerage account#4NR-035169;
valued per letter dated November 12,2014 and public
listing
14 860 units of Tortoise Energy Infrastr Corp Com -titled 36,919.80 36,919.80
in the Margaret M. Lanshe Living Trust dated March 7,
2003; held in the NPC brokerage account#4NR
-035169;valued per letter dated November 12,2014
and public listing
15 550 units of Vanguard Index FDS Growth ETF-titled 52,332.50 52,332.50
in the Margaret M. Lanshe Living Trust dated March 7,
2003; held in the NPC brokerage account#4NR
-035169;valued per letter dated November 12,2014
and public listing
16 700 units of Vanguard Specialized Portfolios Div App 52,234.00 52,234.00
Index ETF-titled in the Margaret M. Lanshe Living
Trust dated March 7, 2003; held in the NPC brokerage
account#4NR-035169;valued per letter dated
November 12,2014 and public listing
17 1,504.327 units of Vanguard Wellington Inv Fund- 58,097.11 58,097.11
titled in the Margaret M. Lanshe Living Trust dated
March 7,2003; held in the NPC brokerage account#
4NR-035169;valued per letter dated November 12,
2014 and public listing
TOTAL(Also enter on Line 7, Recapitulation) 918,560.61
Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule G(Rev.08-09)
REV-1511 EX+(08-13)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX
RESIDENT DECEDENT RETURN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Lanshe, Margaret M. 21-14-1059
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s)attached 5,007.58
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zio
Year(s)Commission Paid
2. Attorney's Fees James, Smith, Dietterick&Connelly, LLP 31,500.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) 3,500.00
Claimant Annie Roth
Street Address 421 Cherokee Drive
City Mechanicsburg State PA Zio 17050
Relationship of Claimant to Decedent Spouse
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs 3,184.29
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 43,191.87
Copyright(c)2013 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.08-13)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Lanshe, Margaret M. 21-14-1059
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Ex ep nses
1 Gilbert L. Dailey Funeral Home-funeral 3,830.00
2 Gilbert L. Dailey Funeral Home-urn 744.00
3 Patriot News-obituary 433.58
H-A 5,007.58
Other Administrative Costs
4 Cumberland Law Journal-estate/trust advertisement 150.00
5 Metro Bank Estate Account-cycle service charge 18.00
6 MicroBilt Equifax Credit Profile-credit report 13.17
7 Nationwide Insurance-car insurance Margaret 57.10
8 NPC-management fees 1,008.87
9 NPC-check order fee 12.50
10 NPC-management fees 1,536.13
11 Register of Wills Cumberland County-probate fees 90.00
12 Register of Wills Cumberland County-filing fee for Petition to probate copy of will 55.50
13 Register of Wills Cumberland County-short certificate 10.00
14 The Sentinel -estate/trust advertisement 233.02
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Lanshe, Margaret M. 21-14-1059
ITEM
NUMBER DESCRIPTION AMOUNT
H-B7 3,184.29
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
Rev-1512 EX+(12-12)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OFMORTGAGE LIABILITIES AND LIENS
RET
INHERITANCE TAXAXRETURRNN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Lanshe, Margaret M. 21-14-1059
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Andrews and Patel Associates PC-medical 2.11
2 CarMax Auto Finance-one half debt;valued per amortization schedule 6,597.54
3 Citibank Credit Card Account#3504 2,638.50
4 FISERV-bill paying service 28.06
5 Holy Spirit EMS ALS 46.35
6 Marriott Rewards Chase Credit Card Account#0113 6,768.97
7 Marriott Rewards Chase Credit Card Account#0782 1,245.11
8 Marriott Rewards Chase Credit Card Account#2433 2,132.50
9 Palm Beach Shores-time share 1,690.00
10 Pinnacle Health Cardiovascular Inst-medical 7.20
11 Pinnacle Health Emergency-medical 51.81
12 Pinnacle Health Hospitals-medical 36.56
13 RCI-time share 183.00
TOTAL(Also enter on Line 10, Recapitulation) 21,427.71
(If more space is needed,additional pages of the same size)
Copyright(c)2012 form software only The Lackner Group,Inc. Form PA-1500 Schedule I(Rev. 12-12)
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Lanshe, Margaret M. 21-14-1059
RELATIONSHIP TO
NUMBER NAME AND ADDRESS OF DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE
PERSON(S)RECEIVING PROPERTY
o Not is Trustee(s) (Words) ($$$)
I� TAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.9116(a)(1.2)]
1 Annie P. Roth Daughter 50%of residue 431,393.82
421 Cherokee Drive
Mechanicsburg, PA 17050
2 Julian D. Roth Son 50%of residue; 438,737.48
421 Cherokee Drive joint account,car
Mechanicsburg, PA 17050
Total 870,131.30
Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate.
NON-TAXABLE DISTRIBUTIONS:
II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11 -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10)