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HomeMy WebLinkAbout05-18-15 (3) pennsytvania 1505614105 EX(03-14)(Fl) REV-1500 OFFICIAL USE ONLY Bureau of Individual TaxesCounty Code Year File Number PO Box 280601 INHERITANCE TAX RETURN I ®I Harrisburg, PA 17128-0601 RESIDENT DECEDENT I� I I I I `i, I ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 10182014 12201932 Decedent's Last Name Suffix Decedent's First Name MI Benoist Ray H❑ (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI F] THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW CID 1.Original Return O 2.Supplemental Return O 3. Remainder Return(date of death prior to 12-13-82) O 4.Agriculture Exemption date of C=D 5.Future Interest Compromise(date of C=) 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) C D 7. Decedent Died Testate O 8.Decedent Maintained a Living Trust 9. Total Number of Safe Deposit Boxes (Attach copy of will.) (Attach copy of trust.) O 10.Litigation Proceeds Received O 11.Non-Probate Transferee Return O 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) O 13.Business Assets O 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 Clifford A Benoist Jr (717) 829-5310 First Line of Address 616 Magaro Road Second Line of Address rV cn :Z3 City or Post Office State ZIP Code Enola PA 17025, I f>1 en co Correspondent's email address: ci REGISTER OF;WIQ_jS USE�NLY 5- REGISTER OF WILLS USE ONLY :r7, DATE FILED MMDDYYYY _`I 17- ' C1-i TT DATE FILED STAMP PLEASE USE ORIGINAL FORM ONLY Side 1 �1��l�d��� 4����� ����� 1505614105 J V"b 1505614205 REV-1500 EX(FI) Decedent's Social Security Number Decedent's Name: Ray H Benoist [ RECAPITULATION 1. Real Estate(Schedule A). ............. .. . .................... .. ...... 1. 0.00 2. Stocks and Bonds(Schedule B) .............. . . ....................... 2. 0.00 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. 0.00 4. Mortgages and Notes Receivable Schedule D 4. 0.00 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)... .... 5. 19,487.48 6. Jointly Owned Property(Schedule F) O Separate Billing Requested . ...... 6. 0.00 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 0.00 8. Total Gross Assets(total Lines 1 through 7)............... . .. ..... . . .... 8. 19,487.48 9. Funeral Expenses and Administrative Costs(Schedule H).... . ....... . . ..... 9. 2,590.50 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1). . . . .... . . . .... 10. 0.00 11. Total Deductions(total Lines 9 and 10)............... .............. .. .. 11. 2,590.50 12. Net Value of Estate(Line 8 minus Line 11) ...... . . . . ................ .. .. 12. 16,896.98 13. Charitable and Governmental Bequests/Sec.9113 Trusts for which an election to tax has not been made(Schedule J) ........................ 13. 0.00 14. Net Value Subject to Tax(Line 12 minus Line 13) ................. ....... 14. 16,896.98 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 0.00 (a)(1.2)X.0- 15. 0.00 16. Amount of Line 14 taxable at lineal rate X.0 45 16,896.98 16. 760.36 17. Amount of Line 14 taxable at sibling rate X.12 0.00 17, 0.00 18. Amount of Line 14 taxable at collateral rate X.15 0.00 18 0.00 19. TAX DUE .... . .... . .... . . . . . . . . ............................... .... 19. 76 .36 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O 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 knowledge. SlGt .��RESPONSIBLE FOR FILING RETURN DATE ��ii�i��ss'®® 05/18/2015 AD SS 616 Magaro Road, Enola, PA 17025 SIGNATURE OF PREPARER OTHER THAN PERSON RESPONSIBLE FOR FILING THE RETURN DATE ADDRESS 1111111111111111111111111i111�ib1�11111111111i�iiiiia Side 2 L 6 4 1505614205 REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Ray H Benoist STREET ADDRESS 615 Magaro Road CITY STATE ZIP Enola PA 17025 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 760.36 2. Credits/Payments A.Prior Payments B.Discount (See instructions.) Total Credits(A+B) (2) 0.00 3. Interest (3) 0.00 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 0.00 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 760.36 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.......................................................................................... ❑ 0 b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ 0 c. retain a reversionary interest.............................................................................................................................. ❑ N d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ 2. If death occurred after Dec.12,1982,did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................................. ❑ N 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ 0 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation? ........................................................................................................................ ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(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-1502 EX+ (12-12) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Ray H Benoist 2014-01010 All real property owned solely or as a tenant in common must.be.reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a.willing seller,neither being compelled to buy-or sell,both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. None 0.00 F j F I .m.-sem.. ..a.e-...-,..�.�....�...-,...e.i ! t TOTAL(Also enter on Line 1, Recapitulation.) $ ��0.00 , If more space is needed,use additional sheets of paper of the same size. k, � q,.3r.m. 't a* �`�^:xlr �3 ;�:>Krt„,F .��.., .y,.S.• vy 'r,:.t-,,. - -. _ .•L,,--'w�'� REV-1503 EX+(8-12) SPennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER. Ray H Benoist 2014-01010 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 None 0.00 -. TOTAL(Also enter on Line 2, Recapitulation) $ 0.00 If more space is needed,insert additional sheets of the same size .�r...s 0.f4.��d"2.C' jt�;-,,L;y44.- - S+,c :-kK �.+f: � ..�•.�nJ..:w::-. rid^M=.:,'t R�t-'4 ^i. - ,.k}I�^�.. ...-... .f- .. r ;.3L :::Ti +i:4 't"`' it-�-y.-rv} REV-i5o4 EX+(9-12) SCHEDULE C W'pennsylvania CLOSELY HELD'CORPORATION _DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PARTNERSHIP OR RESIDENT DECEDENT PROPRIETORSHIP,_... ESTATE OF FILE NUMBER' Ray H Benoist 2014-01010 Schedule C-1 or C-2(including all supporting information)must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM NUMBER VALUE AT DATE NUMBER DESCRIPTION OF DEATH t (None 0.00 _=-n— —. ��._.. _—...`.. .-...—.-....._._._.._..—____...._ '^•�+arscnccmt'%ca�aasms.r V r. _ . _ . ..... ..... .... TOTAL(Also enter on line 3, Recapitulation) $ E 0 (If more space is needed,insert additional sheets of the same size) ri: ,, yz E� kr kft*� fM tierE. c dbx ::r .:.1 REV-1507 EX+.(04-13) 2---`DtPARTMENTOF'pennsylvaniaSCHEDULE D REVENUE MORTGAGES,p&.NOTES INHERITANCE TAX RETURN RECEIVABLE RESIDENT DECEDENT ESTATE OF FILE NUMBER Ray H Benoist 2014-01010 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE . NUMBER DESCRIPTION OF DEATH 0.00 .I I* TOTAL(Also enter on Line 4,Recapitulation) $ 0.001 (If more space is needed,insert additional sheets of the same size.) 7i+w37, . . .. .. - REV-i5o8 EX+(o8-12) :. :;pennsylvania SCHEDULE. E DEPARTMENT OF REVENUE CASH;-BANK.DEP.0S.ITS.& MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Ray H Benoist 2014-01010 Include the proceeds-of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 1.i PNC Bank Checking 12,597.42 21 PNC Bank Accrued Interest on Checking 0.06 IIr_---3_1 1985 Terry Camper(NADA based on condition Bad) 2,050.00 y 4 1993 Chevy Van(NADA based on confidition Fair) 1,550.00 5 1973 Appleby Trailer(Best Guess,no pricing available and conition Bad) -- —_ — z150.00 6� 1980 Gruman Boat(NADA based on condition Bad) I 600.00 I 71 1978 Alumiacraft Boa(NADA based on condition Bad) 570.00 81 .1990 Lowe Ind Boat(NADA based on condition Bad) 530.00 9I 1981 Starcraft Boat(NADA based on condition Bad) 740.00 10 Misc Personal Items 1,000.00 1 _-= L� I II w.i.w..�y� saw_..swesa.va«v ..v.aaany.svrrwewrai..n.cs L__j — , TOTAL(Also enter on Line 5, Recapitulation) $ 19,487.48 . If more space is needed, use additional sheets of paper of the same size. REV-15o9 EX+(o1-1o) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Ray H Benoist 2014-01010 If an asset became jointly owned within one year of the decedent's date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A. ( i C. JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. (� None17, 10-1. =___1 Ej, =--3 E__j __1 "-1 ] E] E i I--------I — —_-- EF7 F-7 F_ T F.._7 El I F-7 TOTAL(Also enter on Line 6, Recapitulation) $ . 0.00 If more space is needed, use additional sheets of paper of the same size. REV-1510 EX+(08-09) pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Ray H Benoist 2014-01010 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, ITEMDESCRIPTION OF PROPERTY DATE OF DEATH %OF DECO'S EXCLUSION TAXABLE INCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1' ❑ _ �El L �� ❑ L � IF I F1 E L Ll TOTAL(Also enter on Line 7, Recapitulation) $ 0.00 L If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+ (08-13) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ray H Benoist 2014-01010 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Sullivan Funeral Home&Cremation Services,LLC 1 2,420.00 l—J L awnm�ne�� B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. TOTAL(Also enter on Line 9, Recapitulation) $ 2,590.50 If more space is needed,use additional sheets of paper of the same size. REV-1512 EX+(12-12) pennsylvania SCHEDULE I .DEPARTMENT OFREVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ray H Benoist 2014-01010 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 None 0.00 TOTAL(Also enter on Line 10, Recapitulation) $ 0.00 If more space is needed,insert additional sheets of the same size. REV-1513 EX+ (01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Ray H Benoist 2014-01010 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS(Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] I. Clifford A Benoist Jr-616 Magaro Road,Enola,PA 17025 Grandson o01 Arthur A Benoist-553 Wiconisco St.,Harrisburg,PA 17110 Grandson_ 20% ...nom i _ �..... U El L -� ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH IB OF REV-1500 COVER SHEET,AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1 [None — � 0.00 E-1 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART A— ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $� 0.00 If more space is needed,use additional sheets of paper of the same size. John C.Sullivan,Supervi105 sor SULLIVAN FUNERAL HOME 51 N.EaclaDr. Fzala.PA 17025 ,CRENATION SERVICES, LLC. Phone_C,17)"r32-5401) G Tt.g 1' 0 tt. T ffJ Q y Fax(717)732-2162 mawrunicsafuneralBervicea tram 3 STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED Charges are only for those items that you selected or that are required.If we are required by law or by a cemetery or crematory to use any items,we will explain the reasons in writing below.If you selected a funeral that may require embalming,such as a funeral with viewing,you may have to pay for embalming.You do not have to pay for embalming you did not approve if you selected arrangements such as direct cremation or immediate burial. If we charged you for an embahning,we will explain why below. For Services of Ray H. Benoist Date Of Death October 18,2014 Date of Contract October 20,2014 Charge to Clifford A.Benoist,Jr. 616 Magaro Rd. Enola,PA 17025 Na-me Address City State Zip A.CHARGE FOR SERVICES SELECTED: C.SPECIAL CHARGES 1.PROFESSIONAL SERVICES Forwarding Remains to other Funeral Home $ Services of Funeral Director and Staff $ Receiving Remains from other Funeral Home_$ Embalming $ Immediate Burial $ Casketing,dressing,cosmetology_$ Direct Cremation $ 1945 Other Preparation of body $ $ $ SUB-TOTAL OF SPECIAL CHARGES C $ 1,945.00 $ D.CASH ADVANCED SUB-TOTAL PROFESSIONAL SERVICES Al $ Opening Grave/Crypt $ 2.USE OF FACILITIES AND SERVICES Newspaper $ For visitation/wake service $ Newspaper $ For funeral ceremony $ Clergy/Church Offering $ For memorial service $ Certified Copies of Death Certificate 1 $ 0.00 Equipment&services for graveside service $ Organist and Singer $ SUB-TOTAL FACILITIES AND EQUIPMENT A2 $ $ 3.AUTOMOTIVE EQUIPMENT $ Vehicle to transfer remains to Funeral Home_$ $ Hearse(Casket Coach) $ $ Flower Car/Floral Distribution $ SUB-TOTAL OF CASH ADVANCED St Due Date Calc$ 0.00 Limousine(s) ( ) $ 0.00 We charge you for our services in obtaining the following: Family Car(IT-C_) $ Lead Car/Clergy Car $ Utility Car $ SUMMARY OF CHARGES $ TOTAL ABOVE ITEMS(A,B.C.D) $ 2,420.00 $ Sales Tax(if App) @ 0 % $ 0.00 SUB-TOTAL AUTOMOTIVE EQUIPMENT A3 $ 0.00 TOTAL OF ALL SECTIONS $ 2,420.00 TOTAL SERVICES,FACILITIES,AUTOMOBILE A$ 0.00 LESS:Payment Made $ B.CHARGES FOR MERCHANDISE SELECTED LESS:Credits Pending $ Casket $ Other Receptacle $ LESS:Other Credits/Payments $ Outer Burial Container $ BALANCE DUE Nov 19,2014 $ 2,420.00 Acknowledgment Cards $ TERMS OF PAYMENT-THIS IS A CASH TRANSACTION,DUE IN FULL Register Book $ BY THE DAY OF SERVICE unless other terms are agreed upon,in writing,by our funeral home. Memorial Folders $ Prayer Cards $ REASON FOR RE UIRED SERVICES OR MERCHANDISE Temporary Grave Markers $ Burial Clothing $ Cremation urn $ 400.00 DISCLAIMER OF WARRANTIES The only warranty on the casket or outer Cedar urn keepsake $ 75.00 burial container, or both, sold in conjunction with this service is the express $ written warranty, if any, granted by the manufacturer. This funeral home make $ no warranty, express or implied, with respect to the casket or outer burial container or their suitability for a particular purpose. 'We do not warrant or $ claim that the vault you are purchasing is air and or water tight. Please refer to TOTAL MERCHANDISE SELECTED B $ 475.00 the manufacturer's warranty." I agree that I have examined the items of goods and services seiecteci above and found them to be correct and according to the arrangements I have requested. I acknowledge receipt of a copy of this Statement of Funeral Goods and Services Selected. I represent that I have sufficient funds available for payment of the cash price for the goods and services selected. I also agree to make payment of$ 2420.00 represent day of service. I agree to be jointly and severally liable with anyone else who signs below. If terms are agreed upon,A LATE CHARGE of 1.5%per mon 1 %per annum)will be applied to the unpaid balance beginning 30 days after the date of this contract. I will also pay the Funeral Director all reasonable costs paid by the Funeral Director to collect amounts I owe under this agreement. Those costs may include attorney fees and court costs. Any items requested after the date of this agreement will be considered part of this agreement and will be reflected on the final bill.I acknowledge that a Casket Price List and a Outer Burial Container Price List were made available to me and that a copy of the General Price List was to me prior to my making financial arrangements. (Seal) October 20,2014 Purchaser Contract Date (Seal) Purchaser For Sullivan Funeral Home Licensed Funeral Director RECEIPT FOR PAYMENT ------------------- LISA M. GRAYSON, ESQ. Receipt Date : 10/24/2014 Cumberland County - Register Of Wills Receipt Time : 13 :45 :24 One Courthouse Square Receipt No. : 1079522 Carlisle, PA 17613 BENOIST RAY H Estate File No. : 2014-01010 Paid By Remarks : CLIFFORD A BENOIST WZ ----------------- -- ----- Receipt Distribution ------ ------------------ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 60 . 00 CUMBERLAND COUNTY GENERAL FUN WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 25 . 00 CUMBERLAND COUNTY GENERAL FUN INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 35 . 50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN ---------------- Check# 5572 $170 . 50 Total Received. . . . . . . . . $170 . 50 Oct, 30, 2014 1 30 PM PNC BANK 412-705-0057 No. 5559 P. 2 PNC October 30,2014 Clifford A Benoist If 616 Matgaro Rd. Enola,PA 17025 RE: Name: Ray M Benoist SSN: DOD: 10-18-2014 Dear Mr.Benoist: In response to your request for Date of Death(DOD)balances for the customer noted above, our records show the following., Chech1mg Account Account#5140004049 Established: 12-01-1958 RAY H BENOIST DORIS E BENOIST DOD balance: $ 12,597.42+0.06 accrued interest Please note that this office provides date of death balances for deposit accounts(UW,CDs.Checking and Savings). We do not process any financial transactions or provide statements. If you need assistance with any of these items,please call 1-888-PNC-BANK(1888-762-2265)or stop by your local PNC Bank branch Office. ic-1. Sincerely, National Financial Services Center PNC Bank,N.A. Member FDIC This message is intended fist the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communications is strictly prohibited 1f you have received this communication in error,please note me immediarely by reply or by telephone at 800-762-1775 and immediately destroy this faxed document. Page 1 of 1 Find the Best Deal Aut°tr°der( on Your Next Car law Find the Best Deal Autotr°dere;► on Your Next Car low Change Manufacturer> Change Year&Model> Change Options> Change Add-ons>Values 1978 Alumacraft Boat Co KINGFISHER 14 UTIL Research another boat 111111112 NWR:113511111111111111 Values 0�3 Print Suggested Low Average List Price Retail Retail Base Price $1,149 $570 $640 Options:(om TOTAL PRICE: $1,149 $570 $640 Don't make a$690 mistake,get a Boat HistoryReport before you buvl Boat Insurance Boat History Report See how much money you can save with a Looking to buy... � TNiSTQRY FREE quote on a 1978 Alumacraft Boat Co Check the history first WEnter HIN or press G� Boat Resources Need boat financing?Get approved now Sell your boat at BoatTrader Find boats for sale in your area Need a truck to haul your boat Buy a boat price guide Value -pe Definitions Suggested List–We have included manufacturer's suggested retail pricing(MSRP)to assist in the financing,insuring and appraising of vessels.The MSRP is the manufacturer's and/or distributor's highest suggested retail price in the U.S.A.when the unit was new.The MSRP is furnished by the manufacturer and/or distributor and are assumed to be correct.Unless indicated,the MSRP does not include destination charges,dealer set-up,state or local taxes,license tags or insurance. 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This boat will show moderate wear and tear and will be in sound running condition.The buyer may need to invest in either minor cosmetic or mechanical work. Find the Best Deal _ At,t°tr°der `.' on Your Next Car '� '• Find the 'Best Deal Aut°trader '�1 on Your Next Car � 0 Change Make> Change Year&Model> Change Trim> Change Mileage&Options>Values 2003 Chevrolet Venture- V6 Van 4D 0 Compare to Other Cars QPNC PNC Auto Loans I Apply Online I Great Low Rates I Low Payments I Need Help? PNCPNC Auto Loans I spply Online I Great Low Rates I Low Payments I Need Help? Values Ilii Print Rough Average Clean Clean Trade-In Trade-In Trade-In Retail Base Price $675 $1,250 $1,725 $3,400 Mileage(126,000) $300 $300 $300 $300 Total Base Price $975 $1,550 $2,025 $3,700 Options:.Iadd). Price with Options $975 $1,550 $2,025 $3,700 Search Used Car Listings Vehicle History Report We found©2003 Chevrolet listings Get answers to buy with confidence. within 75 miles of your zip code. Check for accidents Powered by Auto Trader.com • Confirm the reported mileage • Get unlimited reports 888-926-6974 Check to see if your VIN has reported events. �— — Enter VIN(optional) Silver Venture with Gold Venture with Powered by✓AutoCheck 39,992 miles 120,065 miles AWOE pM View All Car Buying &Selling Services Sell your car now on AutoTradercom Find cars for sale in your local area Free new car dealer quote Get pre-approved for an auto loan Get a free insurance quote provided by GEICO Find incentives&rebates in your area 694T—Will and Testament. Rev. 10-76 Henry Hall, Inc., Indiana. Pa. JV H. •'VQ tS?" ' of t q ,yti S ? W esT a l rvl e cJ County of G v-Vn b ea-/.-hj and State of 1 fir: A,-$,Y�116 0 i� being of sound mind, memory and understanding, do make and publish this my last Will and Testament, hereby revoking and making void all. former Wills by me at any time heretofore made. TT" I : Z deV=9e 'aV'A belue- a!-4 alt o f esTaT.-- of eveYy 7,,Ke ensHerg �a rer� .S'lty�aTe- To�errher- w "I r`�rs�ran�� %eee.. 64/ 7-" ✓�"' W ; f' .L>aRls 6, She, SurY 'ves by. Thee- y (30) day efp .may ►��. , �OKls ie E' C Is ", cin a),- b e.f m rer T 7"�►�rfi%e Thi 3r d y d llow i „j /►�3r �eeTh� .l- Je.yr-re. av'.d be-Sue-.9n v-e-r'r rg ru>-e: Ha-,4 w(i �d�e✓Tfier td;?� J'nSuh2nc<e. rAere. ohs Td ?1R� C k,' ld.re-n e,-f n'Y dr a� �sek 5-Y7C1- / FFOPIT> J1, F/V'O tS7", .S k. �. Pe CS-'o N) 7 -,_c) C L.I F f=4 JZ P A. 3C,410 I.S 7)- {�a . c4 n4 'FwcnTy Ae-reexr /9 eTH U K A. 6 EIV 0(-S 7-7 w ;-0i G( ( f-Iuw'rfn? ar,I FI'A � �S�G��tr+tirz„� ' ��unS� 1`i��LnZ7t ad Sr '/V1 aT rs �'f^c�-e-�ase, are. .be re;earl►r-1„ Ta C 11 F F 9jD R. C�EIVo /s7; JR. Mx -eVS-r de-67—,5 G"'j- �he.rail x10e»SP-s' S�tzf( 6"� 1 rd �ra»► 7-ke. SSE' - N`Y ,rel, c'eccc ase., TG-M T L r r c.1' r lit p,, 1 � ca QP-" �4?s ,Dh,n Cc,44M4f , se�C ,;41 n C'a q ,,. ria ,�, rel 2- cs -r C cn c.3 C3 -r -n ' CO I do hereby make, constitute and appoint /ter ls3 i+C. a)o�'1S E, 1�ENe IST o�ys �. BES°i.sfi' to the Executrix of this my last Will and Testaments ^ BiI To St)al; �l o1- Ge�Se. To aC/T as exor-vTria[ r T apfeoi nT GLI FF jep �. 6€/✓/D1S7t j12. 2Ke cuTor e-F Tht� 1ny 2ST- lJi fl. 3n Witnegg Mbereof, I, R A y 0 . OUIVO t ST' the Testator abovr named, have hereunto subscribed my name and affixed my seal, the re ,hTh day of RP.-;j in the of our Lord one thousand nine hundred ' eTr .savren Notarial Seal Dolores M.Oyler,Notary Pubyr- r� ------- ------ - ------- ��- ---------- ---------------- aseL West FalMew P,oro,Cumberland County r My Commission Expires 00t.20,1997 r,PannsyNaniaAssxiaton of t�tariee �{. Signed, sealed, puNished and declared by the above named 1q,41 #- a L::71V ly iS 7— as and for h;s last Will and Testament, in the presence of -us, who have hereunto subscribed our names at )i;_S request as witnesses thereto in the presence of the said. Te.gtat**, and of each other. --- -- ----- ---------------- ------ -e �� -�---- ............... --------------------------------- ........................... ............................................................ ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF bevia-m I 1, fi)9 Y oeC-A/0 1,5 7- testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby ac- knowledge that I signed and executed the instrument as my last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me, by the testator- this pa,.T4 day of 19pel 1 1.9 Notarial Seal ------------------_----- Dolores M.Oyler,Notary Public West Fain4evi Boro,cumberiand county 43V�-1.vr My Commission Expires Oct 2o,1997 --- ....................... ------­--------- ------------------ Member,Pe rinsylvania 7�Matipri of Notaries (SEAL) ------- ............................. Title of Officer AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF C.v be_-r- We, RV714 and D) 6LE /0, hi-SoP, the witnesses whose names are, signed to the attached or foregoing instrument, being duly quali- fied according to law, do depose and say that we were present and saw testatsr- sign and execute the instrument as his Last Will; that P)e- signed willingly and that k e- executed it as a free and voluntary act for the purposes therein expressed; that each of its in the hearing and sign of the testator signed the will as witnesses; and that to the best of our knowledge the testatev- was at that time 18 or more years of age, of sound mind and wntler no constraint or undue in- fluence. Sworn or affirmed to and subscribed to before me by A, zwsop' • and witnesses, this day of ,qp 77 ............... -----CA------�,' -- -------- ---------- Notarial Sea] Witness Dolores M.Oyler,Notary Public 9,1-7 Doo.WestFalrk4evvBoro,CurnbedandCounty b----•--------•_-__••___-----•._----•-r-- ---------------------------------------- "eaMy Commission Expires Oct.20,1997 Witness r,PanwAf ania Association of NolarW ------------------------------------------------- --------_-------------- Witness ----------­------ ---------------- --------- ---------------------------- .......................... (SEA L) X" --- - ------------------------------ it le o Officer i .. ...., v �i � � � _ _ � � ' N � V � ^ ^�T i ^ -zs o �' r =� �. r-1 a �