HomeMy WebLinkAbout08-14-15 i
pennsyNania
1505618627 3M464710.000
OEPARI ENT OF REVENUE EX(0314)(TP)
REV-1500 OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Number
PO BOX 280601 INHERITANCE TAX RETURN 21 15 0459
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
02132015 08041929
Decedent's Last Name Suffix Decedent's First Name MI
DIETZ GERALDINE E
(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
0 1.Original Return El 2. Supplemental Return ❑ 3. Remainder Return(date of death
El
prior to 12-13-82)
4.Agriculture 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)
7. Decedent Died Testate E-1 8. Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes
(Attach copy of will.) (Attach copy of trust.)
0 10.Litigation Proceeds Received E] 11. Non-Probate Transferee Return F 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
El13.Business Assets El 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
CRAIG A. HATCH, ESQ• 717-731-9600
First Line of Address
2109 MARKET STREET
Second Line of Address :;iorn
C7 cn rrl C-) .
C> p
City or Post OfficeState ZIP Code m n G-3
CAMP HILL PA 17011 '
Correspondent's email address: C•H A T C H a H H G L L P-C 0 M
.) C
REGISTER OF WILLS USE ONS
REGISTER OF WILLS USE ONLY
DATE FILED MMDDYYYY CJl
DATE FILED STAMP
PLEASE USE ORIGINAL FORM ONLY
Side 1
11111111111111111111 IN IN
1505618627 1505618627
J 1505618635
REV-1500 EX(TP)
Decedent's Social Security Number
Decedent's Name:DIETZ GERALDINE E
RECAPITULATION
1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 100-00
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. *35,085-53
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested. . . . . 6. $0.00
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) ❑ Separate Billing Requested. . . . . 7. $0.1111
8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . 8. $35,085-53
9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9. *3,114 .76
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1) . . . . . . . . . . 10. $151-33
11. Total Deductions(total Lines 9 and 10). . . . . . . . . . . . . . . . . . . . . 11. *3-1266-09
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . 12. $31,819-44
13. Charitable and Governmental Bequests/Sec.9113 Trusts for which
an election to tax has not been made(Schedule J). . . . . . . . . . . . . . . . 13. $0•110
14. Net Value Subject to Tax(Line 12 minus Line 13). . . . . . . . . . . . . . . . 14. $31-,819- 44
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers ur#r Sec.9116
(a)(1.2)X.0_ $0.00 15. $0.00
16. Amount of LineV Pxable
at lineal rate X.044- $31,819.44 16. $11431.87
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 -11 0 18• *11-0 0
19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. $1,431-87
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑
Under penalties of perjury,I declare that I have examined this reA,including acco pa . g schedules and statements,and to the best of my knowledge and belief,
it is true,correct and complete. Declaration of preps oth an the p n Bible or fillip whichprepa
a return is based on all information of rer has
any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR EfUR DATE
LARRY L . DIETZ, EXECUTOR
ADDRESS
1315 CAMPUS COURT WESTMINSTER, MD 21157
SIGNATURE OF PREPARER OTHER THAN PERSO SPO IL G THE RETURN DATE
CRAIG A • HATCH, ESQ• 0�5
ADDRESS
2109 MARKET STREET CAMP HILL, PA 17011
Side 2
1505618635 J
310464810.000
REV-1500 EX(TP) Page 3
File Number
Decedents Complete Address: 21 15 0459
DECEDENTS NAME
DIETZ GERALDINE E
STREETADDRESS
513 BOSTON COURT
CUMBERLAND
CITY STATE ZIP
MECHANICSBU G PA 17050
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) $l1431-87
2. Credits/Payments
A.Prior Payments $0.00
B.Discount $0-CI0
(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) $1,431-87
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 . . . . . . . . . . . . . . ❑ 0
c. retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑❑
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 F-1without 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ 0
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.
3M4671 4.000
REV-1508 EX+(08.12)
pennsylvania SCHEDULE E
DEPAM&WOFREVENUE CASH, BANK DEPOSITS& MISC.
RESSIXWrDDECEDEW R" PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
Geraldine E. Dietz 21 150459
Include the proceeds of litigation and the date the proceeds were received by the estate.
All propeq jointlyowned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Metro Bank
Checking Acct. No. 538242967 $35,085.53
TOTAL(Also enter on line 5,Recapitulation) $ $35,085.53
2W48AD 2.000 If more space is needed,use additional sheets of paper of the same size.
REV-1511 EX+(0&13)
pennsylvania SCHEDULE H
DEPARTNENTOF REVENUE FUNERAL EXPENSES AND
WERIT&NCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Geraldine E. Dietz 21 15 0459
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIP11ON AMOUNT
A. FUNERAL EXPENSES:
1 None
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: $2,500.00
3. Family Exemption:(If decedent's address is not the same as claimant's,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: $205.50
5. Accountant Fees:
6. Tax Return Preparer Fees:
7.
1 Patriot—News
publication fee $208.34
2 Vital Records
death certificates $36.00
Total from continuation schedules . . . . . . . . . $164.92
TOTAL(Also enter on Line 9,Recapitulation) $ $3,114.76
3W46AG 2.000 If more space is needed, use additional sheets of paper of the same size.
Estate of: Geraldine E. Dietz 21 15 0459
Schedule H Part 7 (Page 2)
3 Executor's mileage
(157 miles at $.575/mile) $89.92
4 Cumberland Law Journal
publication fee $75.00
Total (Carry forward to main schedule) $164.92
REV-1512 EX+(12_12)
pennsylvania SCHEDULE I
DEPART ENTOF REVENUE DEBTS OF DECEDENT,
MHERMANCETAX RETURN MORTGAGE LIABILITIES& LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Geraldine E. Dietz 21 15 0459
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
Diamond Pharmacy
pharmacy bill $151.33
TOTAL(Also enter on Line 10,Recapitulation) $ $151.33
2w46AH 2.000 If more space is needed, insert additional sheets of the same size.
REV-1513 EX+(01-10) SCHEDULE J
pennsylvania
DEPARTMEWOF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Geraldine E. Dietz 2115 0459
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under
Sec.9116(a)(1.2).]
1. Larry L. Dietz
1315 Campus Court
Westminster, MD 21157
One Half of Residue:
$15,909.72 Son $15,909.72
2 Jerry L. Dietz
1205 South 28th Street
Harrisburg, PA 17111
50% of Residue: $15,909.72 Daughter $15,909.72
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
[[ NON-TAXABLE DISTRIBUTIONS
A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ $0.00
9W46Ai 2.000 if more space is needed,use additional sheets of paper of the same size.
DEATH CERTIFICATE
-
LAST WILL AND TESTAMENT
LAST WILL OF GERALDINE E. DIETZ
I, GERALDINE E. DIETZ, of 1317 West Fourth Street,
Flemington, Clinton County, Pennsylvania, hereby declare this to
be my Last Will and revoke all my prior Wills.
1. PAYMENT OF DEBTS AND TAXES
I direct that all my just debts and funeral expenses be
paid out of my estate. I direct that all inheritance tax,
estate, transfer and succession taxes assessed against my estate
shall be paid by my Executor as an expense of administration out
of my residuary estate.
2. GIFT TO SPOUSE
I give my entire estate to my husband, W. Kenneth Dietz, if
he survives me by thirty (30) days.
3. GIFT OF FURNITURE & PERSONAL EFFECTS
In the event that my husband, W. Kenneth Dietz, does not so
survive me, then I give all my furniture, household goods,
automobile and other tangible personal effects of like nature
owned by me at my death, in as nearly equal shares as practical
to my children, Jerry Linn Dietz and Larry Lee Dietz, to be
divided between them as they shall agree. Should there be no
agreement, such property shall be divided between them by my
Executor in as nearly equal portions as in his sole discretion,
deems practical, having due regard to the personal preferences
of them; provided that articles which my Executor considers
unsuitable for my children may be sold and the proceeds added to
my residuary estate.
4. GIFT TO ISSUE
In the event that my husband, W. Kenneth Dietz, does not so
survive me, then I give my entire estate to my children, Jerry
Linn Dietz and Larry Lee Dietz, in equal shares. In the event
that my daughter, Jerry Linn Dietz, should predecease me, then
her share shall lapse, and pass to my son, Larry Lee Dietz. In
the event that my son, Larry Lee Dietz, should predecease me,
then his share shall not lapse, but pass to his issue per
stirpes.
5. TRUSTEE FOR MINORS
Should any of my issue entitled to a share of my estate not
have attained the age of twenty-five (25) years at the time of
distribution to him or her, I give the share of each such issue
t to the mother of such issue, IN SEPARATE TRUST, to hold, manage,
invest and reinvest the share so received, and the accumulation
of income thereon, and to use and apply the income and
principal, or. so much thereof as, in Trustee's discretion, may
be necessary or appropriate for such beneficiary's support and
education (including college education, both graduate and.
undergraduate) or to make payment for these purposes, without
further responsibility, to such beneficiary or to any person
taking care of such beneficiary. Any principal or income not so
applied shall be distributed to such beneficiary absolutely when
2 -
he or she attains the age of twenty-five (25) years. If he or
she dies before attaining age twenty-five (25) , the trust shall
terminate and such share shall be distributed to his or her
personal representative.
6. POWERS OF EXECUTOR
I authorize my Executor and his successors to exercise the
following powers, in addition to those given by law, to be
exercised in his sole discretion:
A. To retain any real or personal property which may
at any time form a part of my estate as long- as he deems
advisable.
B. To invest in any real or personal property without
� restriction to legal investments.
C. To repair, alter, improve or lease for any period
of time any real or personal property and to give options for
leases.
D. To sell at public or private sale, for cash or
credit, with or without security, to exchange or to partition
real or personal property and to give options for sales or
exchanges.
E. To compromise claims.
F. To make distribution in kind.
G. To borrow money and to pledge or mortgage any real
or personal property.
3 -
7. . APPOINTMENT OF EXECUTOR
I appoint my husband, W. Kenneth Dietz, Executor under this
Will. ______ he, for any -___-_, -___ to q_____^ or --___ to
act as such during the administration of my estate, I appoint my
son, Larry Lee Dietz, as alternate Executor under this Will,
with the same duties, powers and discretion as if originally
appointed. My Executors shall not be required to enter bond or
furnish sureties in any Jurisdiction.
IN WITNESS WHEREOF, I have ^~=r~°===~ =-° =s ~==~d and seal
this 18th day of September 1991.
'Geraldine E. ;Dietz
� -__—__. _-____ . _ ________ AND DECLARED by
the above namedGeraldine E. Dietz, as and for her Last Will, in the presence of
us, who, at her request, in her presence and in the presence of
each other, have hereunto subscribed our names as witnesses.
residing at
residing at
�
� 4 �
' U '
U
COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF CLINTON )
We, Geraldine E. Dietz, Allan W. Lugg, and Kim M. Walizer,
the testatrix and 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 her Last Will
and 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 witness 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.
GeraldineDietz
W'W' kA -
Witness
th, 444 1E4
ViVhiesr
Subscribed, sworn to and acknowledged before me by
Geraldine E. Dietz, the testatrix, and subscribed and sworn to
before me by Allan W. Lugg and Kim M. Walizer, witnesses, this
- 18th day of September 1991.
blit
- My Commission Expires: NOTARIAL SEAL
BRENDA K. UBU$KA_Notary Public
Lock Haven, Clinton County, Pa.
My Commission Expires May 14, 1994
CERTIFICATE of
GRANT of LETTERS
COMMONWEALTH OF PENNSYLVANIA SHORT CERTIFICATE
COUNTY OF CUMBERLAND
cli
F I, LISA M. GRAYSON, ESQ.
.�� Register for the Probate of Wills and Granting
Letters of Administration in and for
CUMBERLAND County, do hereby certify that on
the 23rd day of April, Two Thousand and Fifteen
Letters TESTAMENTARY
1750
in common form were granted by the Register of
said County, on the
estate of GERALDINE E D1ETZ late of MECHANICSBURG BOROUGH
(First,Middle,Last)
in said county, deceased, to LARRYL D1ETZ
(First,Middle,Lastl
and that same has not since been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the
seal of said office at CARLISLE, PENNSYLVANIA, this 23rd day of April
Two Thousand and Fifteen.
File No. 2015- 00459
PA File No. 21- 15- 0459
Date of Death 211312015
S. S. #
Regi er Of Wills
Depu y
NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL
PA REV-1500
SCHEDULE E
CASH, BANK DEPOSITS &
MISCELLANEOUS PERSONAL
PROPERTY
05/15/2015 10:3e 717-920-4666 DEPOSIT SERVICES PAGE 02/e2
METRO
3801 Paxton Street 888,937.0004
BANK Harrisburg, PA 17111 myrnetrobank.com
May 15, 2015
Traci L. Sepkovic
Halbruner, Hatch & Guise LLP
2109 Market St
Camp Hill PA 17011
RE: Estate of; Geraldine E. Dietz
Tax Identification Number:
Date of Death: February 14, 2015
To Whom It May Concern:
This letter is in reference to decedent account information you requested for the
individual listed above.
We are able to provide the following:
Account Type,Checking
Account Number: 538242967
Date Opened: 3/6/2009
Primary Owner, Geraldine E, Dietz
Date of Death Balance: $35,085.53
YTD Interest: $11.95
Principal Balance: $35,085,53
Accrued Interest: $.00
The customer did not have a safe deposit box at Metro Bank.
Please feel free to contact me at(888) 937-0004 if I may be of further assistance.
Sincerely,
Cindy Sta4nbe
Support Associate/Deposit Services
Metro Bank
PA REV-1500
SCHEDULE H
FUNERAL EXPENSES and
ADMINISTRATIVE COSTS
RECEIPT FOR PAYMENT
LISA M. GRAYSON, ESQ. Receipt Date: 4/232015
Cumberland County - Register Of Wills Receipt Time: 11 :0 :49
One Courthouse Smiare Receipt No. : 1081179
Carlisle, PA 17d1-"3
DIETZ GERALDINE E
Estate File No. : 2015-00459
Paid By Remarks: LARRY L DIETZ
DB1
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 90 . 00 CUMBERLAND COUNTY GENERAL FUN
WILL 15 .00 CUMBERLAND COUNTY GENERAL FUN
JCS FEE 35.50 BUREAU OF RECEIPTS & CNTR M-D
SHORT CERTIFICATE 30. 00 CUMBERLAND COUNTY GENERAL FUN
AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN
INVENTORY 15. 00 CUMBERLAND COUNTY GENERAL FUN
INH TAX RETURN 15. 00 CUMBERLAND COUNTY GENERAL FUN
----------------
Cash 205.50
Total Received. . . . . . . . . H05.50 /
The Patriot-News Co. •
2020 Technology Pkwy the
atr1otwXtws
Suite 300
Mechanicsburg, PA 17050 Now you know
Inquiries - 717-255-8213
HALBRUNER, HATCH &GUISE, LLP
2109 MARKET STREET
CAMP HILL PA 17011
STATEMENT ALL CHARGES ARE NET
ACCT# NAME AD ORDER# DATE EDITION ADDTL. INFO. TYPE OF CHARGE AM NT
245301 HALBRUNER,HATCH&GUISE,LLP 0002336310 05/26/15 XXX Dietz BASIC AD CHARGE $67.78
245301 HALBRUNER,HATCH&GUISE,LLP 0002336310 06/02/15 XXX Dietz BASIC AD CHARGE $67.78
245301 HALBRUNER,HATCH&GUISE,LLP 0002336310 06/09/15 XXX Dietz BASIC AD CHARGE $67.78
AFFIDAVIT CHARGE $5.00
TOTAL: $208.34
This is not an invoice. Please do not remit payment from this Statement.
An invoice will be generated at the end of the month. --Thank you.
NOTE: This Statement replaces the Order Confirmation which we previously sent with Proofs of Publication
VitalChek Order Receipt Pagel of 2
VrtalChek Order Receipt
Purchase Date: Tuesday,April 21, 2015
Payment Method: XXXX XXXX XXXX 4814
Agency: Pennsylvania Vaal Records
Ship to: Larry Dietz
1315 Campus Court
Westminster, MD 21157
Shipping Method: UPS Air
Estimated Processing Time:40-50 business days
Order Number: 48007401 Pin: 325948
Item Record OrderedQ!1$9.00
Price Extra Copies Total
1 Death: Kenneth W. Dietz 2 1$9.00 $18.00
Agency Expedite Fee: $0.00
Processing: $0.00
Shipping: $1800
Tax: $0.00
- - - total: $361ID
Estimated Processing Time:
Estimated processing time may vary according to the resources and workkwds of the agency.
VitalChek has no control over these variations or the amount of time an agency requires to
process an order. For these reasons,we do not guarantee processing times. Shipping is not
included in processing times.
Order Status information:
Check the status of your order at any time by dicldng on the'My Order'tab at
www.vitalchek.com, or by calling 866-203-2777 for automated order status information. Please
be advised that if the order has already been transmitted to the government agency,we will not
be able to cancel or make changes to the order. If you have any additional questions or would
like to e-mail VitalChek about this order, please visit httas://VitalChek-solutions.custhelo.com
Shipping Information:
If your order is being shipped via an express service, you may receive a tracking number by
e-mail once the order is processed and in transit. You may also be required to sign for the
delivery of your certificate.
Now that you've ordered your most important identity document, click here to protect it.
file:///C:/Users/Larry/AppData/LocaVrerapAL,ow/XR5GOMBY.htm 4/21/2015
11:27 AM 132.8 mi Turn LEFT(South-East)onto PA-97[Baltimore Pike]for 9.4 mi
11:40 AM 142.2 mi Entering Maryland
11:40 AM 142.2 mi Road name changes to MD-97[Littlestown Pike]for 10.4 mi
11:53 AM 152.6 mi Take Ramp(RIGHT)onto MD-140[MD-97]for 2.5 mi towards MD-140 E/MD-97 S/Baltimore
11:56 AM 155.1 mi Turn RIGHT(South-West)onto MD-97[Malcolm Dr]for 1.7 mi
11:58 AM 156.8 mi Turn LEFT(South-East)onto Hook Rd for 0.2 mi
11:59 AM 157.0 mi Turn RIGHT(South-West)onto Campus Ct for 0.2 mi
12:00 PM 157.2 mi a Arrive 1315 Campus Ct, Westminster, MD 21157[1315 Campus Ct, Westminster, MD 21157]
Route summary
To journey cost JC M7
Driving distance 157.2 miles X _ ,[ f
Trip duration S C lz
Driving time 3 hours
Crow's fli ht distance between all stops 126.1 miles
Route segment details
From To Method Distance Driving time
1315 Campus Ct, W... 2109 Market St, Cam... Quickest 59.8 miles 1 hour, 9 minutes
2109 Market St, Cam... 1 Court House Sq, C... Quickest 18.8 miles 20 minutes
1 Court House Sq, C... 2109 Market St, Cam... Quickest 18.6 miles 21 minutes
2109 Market St Cam... 1315 Campus Ct W.. Quickest 60.1 miles 1 hour, 9 minutes
Distance by state/province
State/Province Distance Driving time
Maryland 29.8 miles 40 minutes
Pennsylvania 127.5 miles 2 hours 20 minutes
>1In,
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CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
Tele: (717)249-3166 Fax:(717)249-2663
May 29, 2015
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Craig A. Hatch, Esquire
RE: Geraldine E. Dietz Estate
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on following dates:
May 15, May 22, and May 29, 2015
Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment received $ 75.00
-------------
Total Amount Due $ 0.00
Becky H. Morgenthal, Executive Director
PA REV-1500
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES
and LIENS
Statement Date: 04/07/15 Diamond Pharmacy
Customer Number. 115216 645 Kolter Drive
Facility ID: Indiana,PA 15701
Customer Group: p152 (800)882-6337 phone(724)349-1111 toll-free
Balance Forward
$151.33
Payments
Check Date Check Number Amount
03/02/15 673 ($81.36)
03/23/15 674 ($121.33)
New Activity
Date We No Drug Name Qty Price Ins.Pay Amt Pat.Pay Amt.
Payment Receipt-67,1, $81.36
Payment Receipt-67 $121.33
Statement Totals
Total Legend-Statement $0.00 $0.00 $0.00
Total OTC-Statement- -. '$0.00 _$0.00 -$Q-00
Total-Statement $0.00 $0,00 $0.00
1
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Page 1 Balance DuL-0511M
1-30 Days O/Due 31-60 Days O/Due 61-90 Days O/Due Over 90 Days O/Due
$0.00 $69.97 $81.36 $0.00
Payment Due Upon Receipt Please pay Balance Due. To pay using your MasterCard or Visa, please call
(800)882-6337.Pharmacy Hours:Mondav-Friday 9 a.m_-5 p.m.&Saturdav 9 a.m.-2 a.m.
* END OF ATTACHMENTS