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Home My WebLink About06-25-15 (3) .. . . � luII..II ■II�' I J �� ,�,,�� 1505618288 '�°"�*'-��""�� EX(03-14)(FI) REV-1500 OFFICIAL USE ONLY County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280601 21 15 0 412 HarrisburQ,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 196229422 01 15 201,s 07 1], 1927 DecedenYs Last Name Suffix DecedenYs First Name MI Bowers Ruth q (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M� THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1.Original Return 0 2. Supplemental Return O 3. Remainder Return(date of death prior to 12-13-82) � 4.Agriculture Exemption(date of � 5. Future Interest Compromise(date of 0 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) � 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.) Q 10.Litigation Proceeds Received 0 11. Non-Probate Transferee Return � 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) Q 13.Business Assets Q 14. Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT—THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number Anna Borro Hays , Esquire 717 612 5804 First Line of Address 635 North 12th Street , Suite 400 Second Line of Address City or Post Office State ZIP Code Lemoyne PA 17043 ; -� �:::r> :�� ,_.�, -1 �-i t: > �-�"' i,r7 c> CorrespondenYs emaii adaress: aborrohays@ssr-attorneys.com -; �J r ,;� �� _ f j � ^�"� . _� CzXST�OF WI�LS US��wi�Y � � REGISTER OF W ILLS USE ONLY ..�. � . �f� �� DATE FILED MMDDYYYY • ;, .. _ ' _..-7 �, ti ...;-i , _.-, , :, _._ � .,y _ . ', , _ , (� : ;:.,:1 ' , . ..._: ,., C"> - ....,.;� C s� .;� _.�l " DATE FILED�4MP PLEASE USE ORIGINAL FORM ONLY Side 1 � I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII illll IIII IIII 1505618288 ],505618288 � h� - -- - i i i � ■i� � � 1505618296 REV-1500 EX(FI) DecedenYs Social Security Number DecedenYsName: Ruth A Bowers RECAPITULATION 1. Real Estate(Schedule A) �. � • �� ....... ... . . . . . . . . . . . . . . . . . . .. . . .. .... . . . 2. Stocks and Bonds Schedule B) 2. 2 ,913 • 3 0 ( . . . . . . . . . . . . . ...... .. . . . . . ... . . . . . . 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) . . . . 3. � • �� 4. Mort a es and Notes Receivable Schedule D 4. 0 • �� 9 9 � ) .... . . . . . . . ... . ... ... . . . 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E) . . ... 5. 5 ,0 81 • 4 4 6. Jointly Owned Property(Schedule F) O Separate Billing Requested . . . . . 6. 9 ,3 4 8 • 6 7 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property 12 3 13 6 - �2 (Schedule G) O Separate Biliing Requested . . . . . 7. � 8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . .. . . . . . . . 8. 1 4� ,4 7 9 • 4 3 9. Funeral Expenses and Administrative Costs(Schedule H) . . . .. . . ... ... . . . 9. 9 , 4 0 9 • 2 3 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule I) . . . . . . . . . . . . . 10. 5 ,5 8 8 • 7 6 11. Total Deductions(totai Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . ... . .. . . . 11. 14 ,9 9 7 • 9 9 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . .... . . .. .. . . .. 12. 12 5, 4 81 • 4 4 13. Charitable and Governmental Bequests/Sec.9113 Trusts for which an election to tax has not been made(Schedule J) ... . .... . . . . . . . . . . . . . . 13. � • �0 14. Net Value Subject to Tax(Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . 14. 12 5 ,4 81 - 4 4 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.O� � • �0 15. 0 - �� 16. Amount of Line 14 taxabie atlineairateX.045 125, 481 • 44 �6. 5 ,646 • 66 17. Amount of Line 14 taxable at sibiing rate X.12 0 • 0 0 17. 0 • �0 18. Amount of Line 14 taxable at collateral rate X.15 ❑ • �0 18. � • �0 19. TAX DUE ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . 19. 5 ,6 4 6 • 6 6 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0 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. SIGNATURE OF PERS RESPO IB�E OR F NG RETURN /� ATE lP /(O ADDRESS �� ^/��u iV v`C'�" C f�j SS iv� �/Ll�J�u � l 74�'pZ.ti,, SIGNA RE OF PAR THER THAN PERSON RESP SI LE FOR FILING THE RETURN ATE U Co �`E �,S ADDRESS 635 North 12t Street, Suite 400 Lemoyne, PA 17043 I(��I�I II��I'llll�'I�I�III'�II'I II'll�I�I�II�I�II'll��II I��I Side 2 � 150561,8296 1505618296 J 1 NII II ■II�'I 1 � 1505618296 REV-1500 EX(FI) DecedenYs Social Security Number DecedenYsName: Ruth A Bowers RECAPITULATION 1. Real Estate(Schedule A) 1. � • �0 .. . .... .. . . ... . .. .. .. . . .. . .. .. . . .. ... . ... 2. Stocks and Bonds(Schedule B) .. ..... . . . . . . . .. . . .... ... . ... ... ... 2. 2 ,913 • �� 3. Closely Held Corporation,Partnership or Sol�Proprietorship(Schedule C) . .. . 3. � • �� 4. Mort a es and Notes Receivable Schedule D 4. � • �� 9 9 ( ) .... . . . .. . . .. .. . . . . .. . . . 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E) . . .. . 5. 5 ,0 81 • 4 4 6. Jointly Owned Property(Schedule F) � Separate Billing Requested . . . .. 6. 9 ,3 4 8 • 6 7 7. inter-Uvos Transfers&Miscellaneous Non-Probate Property (Schedule G) 0 Separate Billing Requested . . .. . 7. 12 3 ,13 6 • 0 2 8. Total Gross Assets(total Lines 1 through 7) .. . . . .. .. . . .. . ... .. . ... .. . 8. 1 4� ,4 7 9 • 4 3 9. Funeral Expenses and Administrative Costs(Schedule H) . . . ... . .. . . .. .. . 9. 9 , 4 D 9 • 2 3 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I) .. . . .. . .. .... 10. 5 ,5 8 8 • �6 11. Total Deductions(total Lines 9 and 10) . .. . . .. ... .. . . .. ... . .. . ... .. . 11. L 4 ,9 9 7 • 9 9 12. Net Value of Estate(Line 8 minus Line 11) . . . .. . .. .. .. .. . . . . .. . .. . .. . 12. 12 S ,4 81 • 4 4 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. 12 5 ,4 81 • 4 4 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.0� � • 0� 15. � • �� 16. Amount of Line 14 taxable atlineairatex.o45 125 ,481 • 44 16. 5 ,646 • 66 17. Amount of Line 14 taxable at sibling rate X.12 ❑ • �0 17. � • 0� 18. Amount of Line 14 taxable at coilateral rate X.15 � • �0 18. 0 • �� 19. TAX DUE . . . . .. . . .. . . .. . . . . .. . .. . . . . . . . . . .. .... . .. . ... . .. .. . 19. 5 ,6 4 6 - 6 6 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. SIGNATURE OF P RS RESPON ' LE FO W ET�� ` j DAG/ f� L.D/ 6 ADDRESS SIGNA RE OF PAR THER THAN PERSON RESPONSIBLE FOR FILING THE RETURN DATE U ADDRESS 635 North 12t Street, Suite 400 Lemoyne, PA 17043 I I��I�)Iltll'llll��I�)�III"II�I II'll'I�I'II�I�II�II�'II I'�I Side 2 � ],50561,8296 1505618296 � w � . �. , REV-1500 EX (FI) Page 3 File Number Decedent's Complete Address: 21 15 0412 DECEDENT'S NAME Ruth A. Bowers STREET ADDRESS 19 Natures Crossing CITY STATE ZIP Enola PA 17025 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) �� 5,646.66 2. Credits/Payments A.Prior Payments 5,600.00 B.Discount 0.00 (See instructions.) Total Cretlits(A+g) (2) 5,600.00 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) 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 46.66 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 .... . .. . . .. .. . . . .. . . . . . . . . . . . . . . . . . . . . ❑ � b. retain the right to designate who shall use the property transferred or its income . . . . . . . . . . . . . . . . . . ❑ � c. retain a reversionary interest. . . . . . . .... . . . . . . . . . .. . . . ..... . . . . . . . . . . . . . . . . .... .... ❑ � d. receive the promise for i"rfe of either payments,benefits or care? . . ... . . . . . . . . . . . . . . . . ..... ... ❑ 0 2. If tleath 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?. . . . . . ❑ � 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'rf 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 tleceased child 21 years of age or younger at death to or for the use of a natural parent,an atloptive 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 tlecedenYs lineal beneficiaries is 4.5 percent,except as notetl in(72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decetlenYs siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is definetl, untler Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. . . . � i i � ■im � REV-1503 EX+ (8-12) ��pennsylvania S C H E D U L E B 6EPARTMENT DF REVENUE INHERITANCETAXRETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ruth A. Bowers 21 15 0412 Ali property jointly owned with right of survivorship must be disdosed on Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 60 shs Met Life, Inc. stock 2,913.30 TOTAL (Also enter on Line 2, Recapitulation) 2,913.30 If more space is needed, insert additional sheets of the same size REV-1508 EX+ (08-12) � � `"pennsylvania SCHEDULE E UEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC. INHERITANCETAXRETURN pERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Ruth A. Bowers 21 15 0412 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 disdosed on Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 Cemetery lots -Juniata Memorial Park, Inc. 100.00 2 Celtic Health Care- refund 90.00 3 State Farm --car insurance refund 141.44 4 Proceeds of sale of 1999 Buick Century 2,100.00 5 ROBC Limited Partnership--refund 2,650.00 TOTAL (Also enter on Line 5, Recapitulation) 5,081.44 If more space is needed, use additional sheets of paper of the same size. REV-1509 EX+ (01-10) `•�'i�' pennsylvania 6EPARTMENT DF NEVENUE S C H E D U L E F INHERITANCETAXRETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Ruth A. Bowers 21 15 0412 If an asset became jointly owned within one year of ti�e decedenYs date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT a. William J. Bowers 19 Natures Crossing Son Enola, PA 17025 a. Donald Ray Bowers 226 Elm Street Son Indiana, PA 15701 c. JOINTLY OWNED PROPERTY: ITEM LETTER DATE DECSRIPTION OF PROPERTY DATE OF DEATH �OF DATE OF DEATH NUMBE FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR VALUE OF ASSET DECEDENT'S VALUE OF TENANT JOINT SIMILAR IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE INTEREST DECEDENT'S INTEREST 1 AB Juniata Valley Bank Checking Account# $6,017.80 33.333 ' 2,005.93 0579351016 2 AB Juniata Valley Bank Statement Savings Acct $22,028.24 33.333 7,342.74 #0350214544 TOTAL (Also enter on Line 6, Recapitulation) 9,348.67 If more space is needed, use additional sheets of paper of the same size. REV-1510 EX+ (08-09) c�� „ �. pennsylvania SCHEDULE G �/ 6EPARTMENT OF REVENUE � INTER-VIVOS TRANSFERS AND INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Ruth A. Bowers 21 15 0412 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 NUMBE INCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE AND THE DATE OF TRANSFER.ATTACH COPY OF THE DEED FOR REAL ESATE. 1 Ameriprise Roth Contributory IRA Acct. # 0.00 100% 0.00 35,937.04 0000 1972 7014 3 133 Beneficiaries: William J. Bowers & Donald Ray Bowers 2 Ameriprise- RiverSource Life Insurance 0.00 0.00 2,062.37 Company-- Immediate Annuity Acct. # 0930071773020004 Beneficiaries: William J. Bowers & Donald Ray Bowers 3 Ameriprise Brokerage Account# 0.00 0.00 52,299.13 0011352530056002 TOD -William J. Bowers & Donald Ray Bowers 4 Ameriprise Roth Conversion IRA Acct. # 0.00 0.00 32,837.48 0000187247747133 Beneficiaries: William J. Bowers & Donald Ray Bowers TOTAL (Also enter on Line 7, Recapitulation) 123,136.02 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (08-13) �� ;; � r pennsylvania S C H E D �� OEPARTMENTDFREYENUE FUNERAL EXPENSES AND INHERITANCETAXREfURN ADMINSTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ruth A. Bowers 21 15 0412 DecedenYs debts must be reported on Schedule I. ITEM DESCRIPTION AMOU NT NUMBER A. FUNERALEXPENSES: See schedule attached 6,228.73 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State ZIP _ Year(s) Commission Paid: 3,000.00 2. Attorney Fees: 3. Family Exemption: (If decedent's address is not the same as claimanYs, 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 Saidis Sullivan & Rogers-- reserve for out-of-pocket expenses 100.00 8 Register of Wills of Cumberland County--filing fee re Small Estates 55.50 Petition 9 Lewistown Sentinel -ad for cemetery plot 25.00 TOTAL (Also enter on Line 9, Recapitulation) 9,409.23 If more space is needed, use additional sheets of paper of the same size. Page 2 Estate of: Ruth A. Bowers 21 15 0412 Schedule H, Part A - Funeral Expenses Item Number Description Amount 1 Mt. Zion -funeral reception 47.12 2 Peach Tree--food for funeral reception 823.62 3 Lewistown Sentinel -obituary 172.60 4 Somerset Memorial Park-- inurnment costs 475.00 5 Pamela's Flowers 172.60 6 Sullivan Funeral Home--funeral expense 4,537.79 TOTAL. (Carry forward to main schedule) . . . . . . 6,228.73 REV-1512 EX+ (12-12) . r ;�pennsylvania S C H E D U L E I �� DEPARTMENTOFREVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ruth A. Bowers 21 15 0412 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 Rosa's Team --checks cleared after death 4,032.00 2 Holtgate Podiatry 8.66 3 Alert Rx 20.10 4 Rosa's Team -- private duty care (1/12- 1/15) 576.00 5 PA Dept of Revenue-- balance due 2014 PA40 952.00 TOTAL (Also enter on Line 10, Recapitulation) 5,588.76 If more space is needed, insert additional sheets of the same size REV-1513 EX+ (01-10) �: pennsylvania S C H E D U L E .7 �� OEPARTMENT OF REVENUE INHERITANCE TAX RETURN B E N E FICIARI ES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Ruth A. Bowers 21 15 0412 NUMBER NAME AND ADDRESS OF PERSON S RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE � � Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] 1 William J. Bowers Son 62,740.72 19 Natures Crossing Enola, PA 17025 2 Donald Ray Bowers Son 62,740.72 226 Elm Street Indiana, PA 15701 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 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: B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: TOTAL OF PART II— ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. If more space is needed, use additional sheets of paper of the same size. MET Historical Prices � MetLife, Inc. Common Stock Stock - Yahoo! Finance Page 1 of 2 Home Mail Search News Sports Finance Weather Games Answers Screen Sear Finance Home My Portfolio My Quotes News Market Data Yahoo Originals Business & Finance F : Enter Symbol Look Up T:ie,fJ€ar 24,2015,4 Dow 0.58% Nasdaq 0.32% MetLife, Inc. (MET) - tvvsE *wat�ni�st _..... 5o.V�7 0.52(1.0�%� 4:06PM EDT After Hours : 50.89 0.00 (0.00%) 4:31 PM EDT Historical Prices Get Historical Pi Set Date Range '�Daily Start Date: Jan � 15 2015 Eg.Jan 1,2010 Q Weekly End Date: J8I1 �/ 15 2015 �Monthly Q Dividends Only Get Prices � Prices � Date Open High Low Close ' Jan 15,2015 49.18 49.43 47.68 47.98 10,: � se price adjusted for ' dends and splits. � � �`��E Download to Spreadsheet �-� �� Currency in USD. � _ _ _ _ _ _ � \.-2�� ' `-� Ad Topics That Might Interest You... ' �.__ - ,: . , : _ , .�..------ 1. Top Stocks to Buy 5. Fixed fncome lnvestments �� U __ .. __ _ . _....... _ __. _ ..._.._._._.._... ._. _. _ , � 2. Accredited On(ine Colleges 6. Auto Ensurance Plans 3. Best Roth IRA 7. Onfine Education Courses _._.__... _.___ _._.__ . ..__ ... _..___... .__ __. .. ..._.. .._____.. ._.__ .._. .. ____ __ __ _. 4. Best ETFs To Buy 8. High Yield Investments Feedback ��s htm•//finance.vali�n cnm/n/hn?�=MRT�4ra=(l�Xch=15X�c=2�15Xcd=(l�&e=1.5X�f=2(115�g=d 3/24/2�15 '��,.��:�,��.:��...`��`.,,��`'.��.,`�,�,��.��::��.:��.�,��'�' ,T �` .�..�;,:��u� .�..�,.__,._.,_,_�.v„�.,,_,__,��.o,._,�,___�.��_,_._a,m��o��,d,__„_�,_; � � ;,��___��,_„_,d�„_„m �� y �I INCORPORATED BY THE STATE OF PENNSYLVANIA NOVEMBER 24. 1947 ` �� r � r �(11� � �C j l�l�t��L� ,�Qi�1�L�� L�� 11�C. j� �e{ � ,("� �l.!'O r . 1 Y,� �i �� f� DEEn No. Z ��n,� � �`�! 117ade the .__._`?c............. day of ___.__.__...__.j:,��z.__._____..__..____._.__., in tne 3�ear of our Lord, one thousand nine hmzdred �� ' � and __�_��.�.-.Qr�-....---•-•--••••----------•--------- � �� -•--••-----•--•---------- �i � BET��4'EEN � �� Juniata Memorial Park, Inc., a corporation, incorporated under and pursuant to the].aws of the State of Pennsylvania, � _ -;� �'��"�""R.� party of the first part, and ....�i..-='-..�,r�•��.»-�-.._�.n�?-,r3��...�:.h�-'?---=.-,?.��,�F•�:-.5---••---•-------------•-••------------------•-•---•---..:.. �� F au ! . 3.�?�-'f��--�-.-T.�.-2.----...-�-----------------��--��-----�----�-------------�------------....-�-----------�--�------------------------ � K- -------------------T..---...••--._...-••--••-----•--- � 3� � �.;:, � �.e; -� State of -----•------•---.._.:.�.�----------------- � � � = ef --------•-----.L:...._.�� C'"71----------�---- Count of .---•............... . ` -•--------•� " t. _ > Y _.._f_r•-F--'.�----•-----••-•----�, . �i party of the second part. �� VF'ITATESSETH: ° ��_ . ., . � c� '.,F ( That party of the first part m consiueration of -.-----------------•-•-----.._...-------�---�•-�-•------•----•--------------------�------------•--.......------•-• t� T�,( ~ . ................. Do s, to it aid by the part of the second art, the recei t � -- - ----- ---•-��-----�-�---•-----�-•- -- llar p Y P P �r"m� .��- E ��•hereof is hereby acknowledged, does hereby grant, baroain, sell and convey to the said party of the second part, - ��( ___L}1�.,�.�?:`.__.heirs and assigns the rights of interment in the lot or lots of land to be used solely as a place of burial � '�� for human remains of the Caucasian race, in the cemetery called Juniata Memorial Park situated in the To��nship � �-�� of Granville, in the County of il2ifl3in, and State of Pennsylvania, which lot or lots are described on the map or plan E .?i of Juniata Memorial Park, Inc. and maintained in its office as Lot No.��3t.�..__�..-;=:C�^--�..._r�_��.�.u:t��.-�,-�� a i To have znd to hold the above granted rights of interment in said premises to said party of the second part, �� ' � �y'i .____�,_�_�;__�.�_. heirs and assigns forever; subject, however, to the conditiens and restrictiens contained in the said � rules and regulations nov� in effect, or which inay hereafter be imposed upon the use of rights of interment in said �° � 1"� lot or lcts of land by rules or regulations hereafter to be adopted by the Board of Directors of said party of the � �, � first part. 'i And the eaid party of the first part hereby covenants to and with the said party of the second part, � �� ....�h.e.i�-.- heirs and assigns, that the party of the first part has good right to sell and convey the rights of �--�� interment in the hereinabove described premises for the use and purpose abo��e expressed; that the said premises _� j��, are free and clear of all encumbrances; and that it ��ill• warrant and defend the same for the use and purpose �� u' ly�_�.�_..____ heirs and assigns forever. � aforesaid unto the said part of the secoi;d part, .� , Y F �,�� And the said party of the first part as part of the consideration hereof in continuity shall care for and �� ' � in2intain the lot or lots above mentioned and reserves at aIl time� the exclusive right to grade and improve the said � '` loi or lots and to reinove any trees or shrubbery of any kind therefroin. , And the said party of the first part hereby covenants that for the pm•pose of continually caring for the said �� ; Cemetery in good condition, it has caused to be created a certain Ti-ust Fund with The Russell National Bank of � �G . . � n-> � � � - � �K- Lewistown, Lewistown, Pa., as Tru�tee, and that ---•------------------�t;.;_=--�----------------�----�------------.....------------•• ��----�-=�--�-�•-----� E� "-'E Dollars, paid by the original purchaser of these interment rights, in accordance with �he contract of purchase has � �� been deposited by Juniata Memorial Park, Inc. in said Trust Fund «�ith The Russell National Bank of Lewistown, � as Truatee. The net incon:e arising from the principal of such Trust Fund shall be used to the extent that such �� income is available, for maintenance and cverhead, maintazning and replacing fences, rcadways and �.�alks; drains E� lu' and water systems; trees, shrubs, borders and lots; tools, machinery and equipinent; buildings, statues and � structures; insurance coverage of all kinds; ownership and burial records; administrative services properly applicable �� to the operations of the property, and other necessary appurtenar.ces and services at reasonable intervals_and pro- �� portions, the allocations of which, out of the funds available, shall be in the discretion of the Cemetery. � ( The Care Fund for interment space does not cover care or installation of inemcriais. �� ; And the said party of the second part hereby covenants to and vvith the said party of the first part, its suceessers and assigns, that said rights of interment in said :ot or lots of land shall be held for the use and purpose (� �� aforesaid, under the conditions and restrictions imposed b3� the rules and regulations now in effect or �vhich may �. ! hereafter be adopted by the Board of Directors of the party of the first part, said rules and regulations being main.tained in the office of the party of the first part, and incorporated herein by reference. These rules and �� >�. � regulations shall be considered as a covenant running with this interest in land, and shall be binding upon the heirs, E` �� ( grantees, representatives and assigns of all owners of interment rights. �� IN «'ITNESS WHEREOF, the said party of the first part has caused this Conveyance to be signed by its �� President or Vice President and attested b,y its Secretary or Treasurer and has caused its corporate seal to be >,n'` hereunto affixed the day and year first abo��e written. � �� ATTEST: � � �� JUNIATA D2E'�ZORIAL PARK, INC. �� n,_ �-�v/ , ¢�' -----------�-- ---� , .��1.'�'----•/�'�if--�°'-�f.��'�.-:--�...----- `� � P" . �� _ '� � __. {_ i �.c - --- --�--`-�-�---••---- ----� _ . _ � �! �/ � $J - �, %✓.✓��..-� .-•"` ��✓'«/Y�^'�� F = ' --•---�----�---�--��-�=`�'^�'1,� 5 1�� Piesident ' �� Dated -------� .. - - -- - �' ------��----�-----------`-�-�------•- t ��•� m o_ m_ _,._��, _ �'��__ m} �...� _,.�,�.� .��@��y !�'� �-�,e.,. �� ,r.s�. c,b �� .�' � �R#'�i &k� � �tt� � r^c�� Q�r ��'��Y-��' ��l,--•fi�� r�� `E t..��k.1G."�*Ta.�>.�'`�t'�'.'�Xlc*%.�+�<.1�<'r�`v�x��r,F CJ� �`e7_" ��7_° _C��`.a!'�'.C��S. .C-�'. f�i-J'.' .��. C��c?_� .��. STATE OF PENNSYLVANIA :SS. COUNTY OF MIFFLIN On this A. D. 19 before me, the undersigned officer, personally appeared J. Clyde Wagner who acknowledged himself to be the President of Juniata 112emorial Park, Inc., a corporation, and that he as such President,being authorized to do so, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself as President. IN ��VITNESS WHEREOF, I hereunto set my hand and official seal. [SEALJ � � _ � �� J.► _ - -� f� � � � � � � �-r �p ��..,,�,` n � u � �� er � - ; - . - . �" � , : �. ; � _ - � " : � � �.:�� "� �� F ..;._ _ - - _ _ UH'1'�:U1/N/15 LK8:36U15b7J '1'V'1'AL:�Z�bSU.UUxFx �ANK:nOTObCSll - ROBC Susquehanna Bank . PAYEE:Ruth Bowers(hobowrul) Property Account Invoice Description Amount horobc 20100-000 :Refund Move out refund 2,650.00 2,650.00 �.�� -� f,� �� !,� ��l�S �'o �3 c - �3 s� � � B� �� Y� StatePatm ACKNOWLEDGEMENT OF ooa State Farm� CANCELLATION REQ.UEST �aoas-s-A AhNONPi Providing Irsurance and Financiai Services �s� One State Farm Dr DATE F EB 13 2015 Concordvi0e PA 19339 . POLICY NUMBER 533 0699-A24-38S ooa�s 3670 5 56A AUTO BOWERS, RUTH A MULTICAR POLICY C/0 WILLIAM BOWERS 19 NATURES XING EFFECTIVE DATE OF CANCELLATION ENOLA PA 17025-1043 FE6122015 1201AMSTANDARDTIME "'*'141.�44� AGENT DALE DOBAN ��a�:�6 �� i�l��' � __ __ _ - ��z�� -_- --- --_- - � � �� S o� As requested,this policy has been canceled as of the effective date shown. We thankyou for having given us an opportunityto provide this insurance. 00316 124131.1 Ol-i6-2014(ota017ce) 1�y�2p�5 1999 Buick Century Custom Sedan 4D Trade In Values-Kelley Blue Book c�*1 �ZIP CODE:17050 � Sign in(or Siqn up� -_ ,,- � �.. .�,��_ � __ � _ _� _ � __ _ _ ._. � _ _ _ - __� [ _-= _ ___ _ _ ' Popular at KBB.com i �`� 10 Mos:AfFordable Cars of 2014 d' - �REE . . - - _ •� � F AdverUsertient �Y�5� .._ .----.. __. _ ._. ._. .. .. 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RUTH A BOWERS �� WILLIAM J BOWERS � z z DONALD R BOWFsRS � � 19 NATURES XING ENOLA PA 17025-1043 5 COMBINED-005 *** CHSCFCING *** IDLOCK SENIOR PREVIOUS STATEMENT BALANCE AS OF O1/05/15 . . . . . . . . . . . . . . . . . . . . . . . . 7,560.27 PLUS 3 DSPOSITS AND OTHER CREDITS . . . . . . . . . . . . . . . . . . . 9,450.00 LESS 7 ' CHECRS AND OTHER DEBITS . . . . . . . . . . . . . . . . . . . . . . 10,270.46 LESS MONTHLY FEE . . . . . . . . . . . . . . . . . . . . . 4.00 CURRENT STATEMENT BALANCPs AS OF 02/05/15 . . . . . . . . . . . . . . . . . . . . . . . . . 6,735.81 __NUMBER OF DAYS IN THIS STATEMENT PERIOD 31 --------------------- *** CHECR TRANSACTIONS *** ----------------------------- SERIAL DATE AMOUNT SERIAL DATE AMOUNT 4277 Ol/21 1,344.00 4280 O1/21 1,344.00 4278 O1/12 1,344.00 4281 O1/28 4,537.79 4279 01/16 1,344.00 ----------------------------------------------------------------------------------- *** CHECKING ACCOUNT TRANSACTIONS *** DATE D�SCRIPTION DEBITS C12�DITS O1/15 AC-ALERT PHARMACY S-BILL PAYMT 198.47 O1/16 AC-STATE FARM INSUR-BILL PAYMT 158.20 O1/21 XFER FROM ACCT SV-000350214544 6,000.00 02/02 DEPOSIT 2,650.00 02/05 SCHEDULED TRANSFER 800.00 FROM SV-0000000350214544 02/05 MONTHLY FEFs 4.00 ---------------------------------------------------------- . TOTAL FOR . TOTAL . � . THIS PERIOD : YEAR-TO-DATE : ---------------------------------------------------------- o : TOTAL OVERDRAFT FEES . .00 : .00 : `n ---------------------------------------------------------- o : TOTAL RETURNED ITEM FEES : ___________00_c ___________00_s o' ---------------------------- M M _____�____��_��_��_��_��__��_��__�__��_��_��_��_��_��_� 0 � *** BALANCE BY DATE *** o O1/05 7,560.27 O1/12 6,216.27 O1/15 6,017.80 O1/16 4,515.60 o O1/21 7,827.60 Ol/28 3,289.81 02/02 5,939.81 02/05 6,735.81 � � N *1k***tk********'k****tk****'k*1k1F**ktY*********it***'k**1k*#*tk*****tk*i[k***it**�l'***i['k**itlk*'k**# 0 � *** SAVINGS *** STATEMENT SAVINGS BEGINNING RATE 0.10000 o ACCOUNT Ni7NlBER 0350214544 � ACCOUNT TITLE RUTH A BOWERS � PREVIOUS STATEMENT BALANCE AS OF O1/05/15 . . . . . . . . . . . . 22,028.24 M . . . . . . . . . . . . ``' PLUS 1 DEPOSITS AND OTHER CREDITS . . . . . . . . 1.70 o rn . . . . . . . . . . . o� 6,000.00 �"� LESS 1 WITHDRAWALS AND OTHER DEBITS . . . . . . . . . . . . . . . . o� CURRENT STATEMENT BALANCE AS OF 02/05/15 . . . . . . . . . . . . . . . . . . . . . . . . . 16,029.94 ,_,N NUMBER OF DAYS IN THIS STATEMENT PERIOD 31 z o �� PLEASE EXAMWE AT ONCE; if no error is repo�ed within ten days.th�ar,count^��vill be considered correct. Piease notify bank in writing of change of address. usE aEVEasE sioE FOR RECONCILING YOUR ACCOUNT MEMBERFD.I.C. PAGE 2 RUTH A BOWERS WILLIAM J BOWERS 02/05/15 DONALD R BOWERS 19 NATURES XING ENOLA PA 17025-1043 0579351016 �� COMBINED-005 5 *** SAVINGS ACCOUN'P TRANSACTIONS *** DATE DESCRIPTION DEBITS CREDITS Ol/21 XFER TO ACCT CK-000579351016 6,000.00 O1/31 INTEREST PAYMENT 1.70 ----------------------------------------------------------------------------------- *** BALANCS BY DATE *** Ol/05 22,028.24 Ol/21 16,028.24 O1/31 16,029.94 PAYER FEDER.AL ID NLTMBER. . . . . . . . . . . . . . . . . 23-0741266 INTEREST PAID YEAR TO DATE. . . . . . . . . . . . . . 1.70 ---------------------------------------------------- *** INTEREST EARNED THIS STATEMENT PERIOD *** INTEREST EARNED . . . . . . . . . . . . . . . . . 1 61 . . . . . . . • ANNUAL PERCFsNTAGE YIELD EARNED . . . . . . . . . O.lOgs ---------------------------------------------------- ATM Deposits Without an Envelope! Al1 JVB Branch ATMs now accept deposits! Even better, you can deposit cash and checks with NO ENVELOPE at our Water Street ATM, our Burnham ATM, and our Mt. View Mifflintown ATM at the Juniata Shopping Center. Insert your cash or checks right into the ATM--no envelope or deposit slip is needed. Verify the deposit amount on the ATM screen. Images of your deposited checks appear right on your ATM receipt. FAST. ACCUR.ATE. SECUR.E. Try it today! � 0 N O � M M 0 0 � 0 N O � N N O O � O O O � M M O O M O O Z � 7 RUTHA.BOWERS ��'12 4277 2100BENTCREEKDLVD. MECHAMCSAURG�PA 17050 C� DwT6 � PAYTO �(2�S T�2G I � I�7�� - . . S 11$ORDERO� (� n $ �,o�^,�,-.��-�;.:ug?.u.�t.d-.o.:.�l':4ne�n�i-n„r-�� a _._ � '� �Y__�� ,o �,I lt�'-�1nc�l -i:03L3L02i9�: 57 93Si0i 6u' 42 7 . _ _ _ __._ ___ _. 01/21/2015 #4277 $1,344.00 � AUTHA.BOwERs BD;',�'72 4278 azooaet�n cn�xaLVD. �arncseuac,rn t;roso nA��anT�7� � � 3( PAYTO 1 1�S GL�.S TG2dN � `�'I�'iT`�, . E iHRORDHt1OnF � � � (7 � � ��YN,�ct c -�kz rEe �y.3.�cC�o.e`"'m ` a �:` � -a ��y�.� � S�6esL�SO . a �, 4 &Yg � /7� MFMO UP f .Z L.- .�LJ ,+fl�'Y T//,A�� ) -�:03�3i02i9�: 57 q35i01 6��' 4278 -�-_ - __- 01/12/2015 #4278 $1,344.00 RLJT'HA.BO�hBRS 6031�'12 4279 27pOBFdJSCRbEKDLVD. MECHAt�'ICSBUHG,PA 77056 DnTE LS �' PAYTO QO CG[`C I CGLVN � ��T�� 'RSOW�FROF � .. � I�q't� n`t t'v'l�a°"�"'�70� u6`^'.�0� Lues 8, �""". � c�y �� rav60 � . `��rws.�-arnai� ��,al�� :°(��aD�t � � — ` -i;03i3�02i9�: 57 935i0L 6i�• 4279 `- ._..._ :,_.__ _- __.: .. 01/16/2015 #4279 $1,344.00 RUTHA.BOWERS �—'��72 4280 zioo senm crs�acw. ��a�,P� �� nA,�J�,,ry�Jo�c 3 �AYro �.�ca�c T,ed.� i $�34�F�°o � �o��or / `/� r (lp (� / " -� d Y1'n�tx.�u.�n.d�T�-iasr^^�mw�e'.C.�rn.u,xs � �-:�.' a P"yF rvwt,-cwa�� y�� es6 SO ��Ia� � � hffMo�i7'L�.�"�/{—s`=� //��/{G,{ [.✓ v�i �;03i3i02L9�: 57 935i�L 6�M 42B❑ , _..._.._ -- ... __, _ ._._.._ :__._ � 01/21/2015 #4280 $1,344.00 a' M o -_- -.—_ 0 �-',—ce'12 4281 �o ' Run t a noweRs ,, O 21006ENTCREE[:HLVD. I N �v{ECHAMC56U2C.1'A 190�0 p JqN��S �I C � � � �9 /r 74 N � rnr'ro �� av. �11Af.^ � FFoNP � $yS�7� o " �: n�cortomov ,�I o ` �Lu-��n r .��,� •� -$v srn^'��Okbu.Ans 8 r_. '� I' S ._y �� rsG SO p CIl„8�...,t �C%Y •Hvaa� O _...._..... « � �......,...,......_. �lLOGi.� M ML ��Su (`') � `�:03�3��2i9t: 57 935�0� 6��' 4281 0 `�' --- _ � 01/29/2015 #4281 $4,537.79 z � � -!��'�.,�y;�.��'�%�tu� U.�; �4 �'N FAX I�o, P. '��'� Ameriprise Financial Services, Ina ��'� "�r�� RiverSourca Life InsuranCe Company � e 70100 Ameriprlse Flnancial Center FIIPQ?'NCiQ� Minneapolis, MN 56474 ameriprise.com January 29, 2015 Thomas Benkovich 4661 Trindl� Rd Ste 300 Camp Hill, PA 17011-5603 Dear Thomas Ben(covich, We received your request for the account values of Ruth A �o��h�ers's �c,ounts. 1=�_;Ilhv+�i�tg are the values as of January 15, 2015: Account Type: Accounfi Nurnber: Adr�c��t�t: Mutual Fund 01135253005 002 ��2,299.13 Insurance VATG 90907154407 004 �'I75,OOO.JO Annuity Payout RPS 93007'i77302 004 $2.,0��2.37 Brokerage 00018724774 133 $�2,�37.4� Brokerage 00019727014 133 �;�5,�37.04 Account Type: Account Number. At�'ta�ar�t: Brokerage 00026786899 133 Jria��a,i�ab;e Pfease nate: • Accounts may be subject to market fluctuation de��er�in� nn tf-�e produ��t. • If the insured is deeeased, values indicated for life ihsurance �roduct(s, reffect the grass death benefit at the date of deafh, no#the cash valu., - If the awner of the policy is deceased and the insured is livinc, the��luns in�:iicated for life insurance product(s) reflect the cash value as af th�e ��te c�f de�th. • We provide these values as a service to our cfien�s_,�ct�al v�lues useu in preparatior� of tax returns or for planning purposes should be veri'r"ied by yaur quaiified IEgal and tax professionals. For more information or assistance, please contact an Ameripr';se Fin�ncia! cliert :�ervi_:e representative at 800,862.'1919 and sefect Estate Settlernert�, R�c�rd�iy �tlrc�u�1'i Friaay, `7 �:.m. ta 6 �.�r�. Central time. We appreciate the opportunity to serve you. WILL I, RUTH A. BOWERS, currently of Mifflin County, Pennsylvania, 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. ITEM ONE: I direct all my debts which may be legally C�llc��i�la� �n� f��`r�l e�penSuS� �c Naiu �Y i.iY EXcC��vYj hereinafter named. ITEM TWO: All federal, state and other death taxes payable � because of my death, with respect to the property forming my � gross estate for tax purposes, whether or not passing under this � Will, including any interest or penalty imposed in connection �� with such tax, shall be considered a part of the expense of the � � administration of my estate and shall be paid from my residuary � estate under ITEM THREE without apportionment or right of reimbursement. All such taxes on present or future interests shall be paid at such time or times as my Executors may think proper regardless of whether such taxes are then due. TTEna TIITZ��' ��.1 L:2A ��5+� ��S�C�zl�-.n. :.�nri rnm-�u±:luc� �� :�i�i estate of which I shall die seized and possessed, or to which I shall be entitled at my decease of every nature and wherever �AWOFFICES situate I give, devise and bequeath equally to my sons, WILLIAM HOUCK&GWGRICH 23N.WAYNESI�REET J. BOWERS and DONALD RAY BOWERS. In the event a said son of P.O.BOX 430 LEWiSTOWN,PA.17044 mine is not living on the thirty-f irst day following my death, i said deceased son's share shall go to his issue per stirpes living on the thirty-first day following my death. ITEM FOUR: I nominate, constitute and appoint my sons, WILLIAM J. BOWERS and DONALD RAY BOWERS, as Executors of this my Last Will and Testament. ITEM FIVE: I direct that my Executors, or their successor, shall not be required to give bond for the faithful performance Oi Ui cii C1Zit1cS 1it c.-117Z7 j ili 1SuiC:L1Gi1. ITEM SIX: No interest (including, but not limited to all shares of principal and income) of any beneficiary under this Will or any Codicil hereto or any trust herein created shall be subject to anticipation or voluntary or involuntary alienation. IN WITNESS WHEREOF, I, RUTH A. BOWERS, the Testatrix, have to this my Last Will and Testament, set my hand and seal (to this instrument only) this ��{ day of September, 1992 . /� /�; �,/� / U✓.�c`-l�v ��.. /�_ ti� SEAL Signed, sealed, published and declared by the above-named RUTH A. BOWERS, Testatrix, as and for her Last Will and Testament, in the presence of us who have hereunto subscribed our names at her request thereto in the presence of the said LAW OFFICES Testatrix and of each other. �� HOUCK&GINGRICH � �y� �A 23 N.WAYNE STREET � f '� ' � �� _ / P.O.BOX 430 � �EWISTOWN.PA.17044 -"I � '`� `-�y'%�f�- �. �� /��CL�� v(� �� , - `�,: COMMONWEALTH OF PENNSYLVANIA . REV-1162 EX(11-96) DEPARTMENT Of REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBUfiG,PA 1 7 7 28-0601 � PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT N0. CD 020505 BOWERS RUTH A 2100 BENT CREEK BLVD MECHANICSBURG, PA 17050 ACN ASSESSMENT AMOUNT CONTROL NUMBER '___'_" fold '__""_'_ '_"____ 101 � $5,600.00 ESTATE INFORMATION: sstv: �96-22-9422 � FILE NUMBER: 211 5-0412 � DECEDENT NAME: BOWERS RUTH A � DATE OF PAYMENT: 04/1 4/201 5 � POSTMARK DATE: 04/14/2015 � courvTY: CUMBERLAND � DATE OF DEATH: 01/1 5/201 5 � � TOTAL AMOUNT PAID: 55,600.00 REMARKS: RUTH A BOWERS CHECK#4289 INITIALS: DB1 SEAL RECEIVED BY: LISA M. GRAYSON, ESQ. REGISTER OF WILLS TAXPAYER