HomeMy WebLinkAbout08-18-15 pennsylvania 1 50 56 1 4 1 0 5
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REV-1500 OFFILIAL USE ONLY
Bureau oflnOiviGual Taxes CounryCotle vear File Number
vo eoX 28o6oi INHERITANCE TAX RETURN 21 17 ��L
n � b g an vize-o6oi RESIDEN7 DECEDENT
ENiER DECEDENT INFORMATION BELOW
Social$ecunty Number Oate o�Dea�h MMDDYVYY Date of Birth MM�DYVYY
D5232015 04071927
DecetlenPs Last Name SuRx Decedenfs Fire[Name MI
CLINE MORRIS M
(If Appllcable)En[er Surviving Spouse's Info�matlon 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
� 1.Onginal ReWrn p 2.Supplemantal Return O 3. Remaintler ReWm(Cate of tleath
pnorta 12-13-ffi)
p 4.Agricutture Exempibn(date ot p 5. FUWre Inlerest Gompmmlu(dale o( p 6. FeEeral Estate Tax ReWm Required
tleat�on or afler]-0-2012) CeatM1 afler 12-12-82)
m ]. DeceCent Dietl Teslate O B. Oeceden�Mainlainetl a Living Tmst 1 9. Total Number oBafe Oeposit Boxes
(AVach copy of will.) (Altac�copy of W st)
p ID. LttigationProceeOSReceivetl O 11.Non-PmbateTransfereeReWrn O 12. DefertaVElecvonofSpousalTmsis
(Sc�etlule F and G Asse4 Only)
O 13. Business Asse�s O 10. Spouse Is Sole Beneficiary
(Nolms�lnvolvetl)
CORRESPoNOENT- THIS SECTION MUST BE GOMVLETED.ALl CORRESFONUENLE RND LONiIDENTIAL TR%INFORMRTION SHOULO BE UIRELTEU T0:
Name �aylime Telephone Number
Jutly A. Nawa, exec (717) 532-6302
First Line of Atltlress
222 Stony Point Avenue
Secontl Line of Address
Giry or Post�ce State ZIP Cotle
Shippensburg PA ��25�
ConesponCenPs email address: ��aWa@Pa.�et
_ �
REGISTER@FWI�LSUSE6WZY ;n
J � �D
flEGISiEROFWILLSWEONLV - �- -
OATEFREUMMOOWVY � n `�
1-' -a �-
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DATEFILEDSTR/dP - C
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PLEASE USE ORIGINAL FORM ONLY
Side 7
L ���11������������ 1T�OII561I41�5������11���������� y505614105 � J
� 15�56142�5
REV4500 EX(Fl) Decedenfs Social Secunry Number
oaae�rsrvama: MORRISM. CLWE ��
RECAPITULATION
1. Real Es�ate(Schetlule A). ...... ... ..... .. . . 1. 152,800.00
.. .... . _ .. .. . ._ ._ .._ ..
z. Stocks ana eonas(Scneaule B) ... ... ... . ... .. .. z. 59,258.38
. _ . . ... . ._ . _. . ... ..
3. Closely Heltl Corpore�ion, Partnership or Sole-Pmpnetorship(Sclietlule C) ... .. 3. 0.��
4. Morigages antl Noles Receivable(Schedule D) ... ........ .. . .... .... ... .. 4. 0.00
5. Cash,Bank Deposits and Miscellaneous Personal Property(ScM1etlule E). .. .... 5. 349,407.62
6. JoinOy Ownetl Property(Schetlule F) O Separa�e Billing Reques�etl .. . ... . 6. 0.00
]. Inter-Uws Transfers 8 Miscella�ous NonProbate Property O.oO
(Schedule G) O Separate Billiig Requested... .... . �.
8. Total Gross Assets(to[al Lines 1 �hrough]). .. . .... ... . ... .. . ... . .... ... 8. 561,466.00
9. Funeral Expenses antlAtlministra�ive Cosis(Sc�etlule H). ... . ... . ... ... ... . 9. 11,74$$3
10. Oebts of Decedenl,Mohgage Liabilities antl Liens(Schedule Ij.... ... ....... . 10. �.��
11. Total DeducHons(total Lines 9 and 101.. .... .... . ... ... ... . .. . .... ... .. 11. 11�745.33
12. Ne[Value of Ectate(Lina 8 minus Line 11) ... .... .... ...... ... . .... .... . 12. 549,720.67
13. Chanfable and Govemmental Beque544Seu 9113 Trus�s for wfiich
an election to Gx has not been made(Schetlule J) . ... .... .. . ... .... .... .. 13. �.�0
14. Net Value Subfect to Taz(Line 12 minus Line 13) ... .... ... . . . .... .... ... 14. $4J�720.67
TA%CALCUlAT10N-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxa�le
a[Ihe spousal tax rete,or
hansfers under 5ec.9116
(a)(12)%.0- 15.
i6. Amount of Line 14laxable
atlinealra�e x o45 549,720.67 16. 24,737.43
1]. Amoun�of Line 141anable
at sibling rate X.12 »-
18. Amounl ot Line 14 tazable
a[colla[eralra�e %.15 �8�
19. TaX DUE . .... ._. .... .... ... ... ... .... .... ... . _ .... .... ... ...... 19. 24�737.43
20. FILL IN THE OVAL IF YOU ARE REOUESTING A REFUND OF AN OVERPAVMENT O
Under penalties of perjury,I tlecWre I M1ave examined tM1is reWrn,Including accomDanying scM1etlules a�M slalemen�s,antl lo�he best M my knowletlge anG balle[
i�is We, mrrec�end wmplele. Daclaration o�preparer o�M1er Nan iM1e person re%Ponsible ior filing t�e reWm Is basetl on all InNrmetion of wM1icM1 preparer�as
ga.
aIGNATUR OF PERSON RESP,ONSI E FOR FlLING RETURN PAT� / _
4. G.a�-_ (f �} �!;
ADD 5
a.a� c� Po, f/�v4 S� n „ c�, .r. �F+ � Ia f � k�lr b'�,s-
SIGNATUFE OF PREPAR R OTHERTHAN PERSON RESP NSIBLE FOF F I THE RETURN � TE
�'�W1 O
ADORESS
L iiiiiiiiiiiuiiii��4���L����i�iiiiiiiiiiiiiiiiii Side2 J
1505614205
REV-1500 E% (Fp Page 3 Flle Number
DecedenYs Complete Address:
�ECEDENT'SNAME
MORRIS M. CIWE
_— .. .. _ __—_. _ _..
STREETA�ORE55
410 South Fayette Street . .
CITY... . __ .. _ . _ . . _. ... . . .. _ _. — STATE___.. ._ ., ZIP — .
Shippensburg PA ��z5�
Tax Payments and Credits:
1. rax oue(Paqe 2,�ine 1s) (�) 2a,73Z43
2. Credi�slPaymenLs
A.PnorPaymen�s _ .__. . -_
B.oismunl 1,236.87
(See insimctions.) Total Credits(A�B) (2) 1,236.87
3. Interest
(3) 0.00
4. If Line 2 is greater Ihan Line 1 *Line 3,en�er�he diRerence. This is�he OVERPAYMENT.
Fill In oval on Page 1,Line 20 to request a refuntl. (4)
i If Line 7 *Line 3 is grea�er Nan Line 2.en�er�he Difference.This is ihe TA%DUE. (5) 23,500.56
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING �UESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
i. �id deceden�make a trans�er anA: Yes No
a. re�ain ihe use or income of the P�Perty transferred ......... ,........_.... .............. ........_.... ❑ �
b. retain�he nght to designa�e who shall use�he property iransferred or i�s income ................_.......................... ❑ �
c. reWinareversionaryinleres� .....,_.,..... ...._........... . . ................ .................. . ................ ❑ �
d, receivethepromisebrllFeofeitherPaYments.benefikorcare?..........._.._...._,_.._....................................... ❑ �
2. If death occurteC afler Dec.12,1982,did decedent transter properry within one year of death
vnihoutreceivi�ade9ua�econstleation? ............... .................. ................. ....._.._. ❑ �
3. Did deceden�own an'in tmst fof or payable-upon-0eaU bank acmunt or security al his or her Oeath?....._....... ❑ �
4. Did tlecedent awn an individual retiremen�aaounl,annuity or o�her noo-probate property,which
mntains a berieficiary desi9nation4 ......... _.......... ........ ..............._. ................ ❑ �
IF THE ANSWER TO ANY OF THE ABOVE�UESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates ot death on or after July 1,1994,and before Jan. 1,1995,�he�ax rate imposed on the net value o�Vansfers to or for�he use o(Ihe surviving spouse
�s a�amem p2 Ps,§s�is(el p.i)(ip.
For dates of death on or afler Jan. 1, 1995, �he tax 2te imposed on the net value of transfers to or for ihe use o(ihe surviving spouse is 0 percent
�72 P.S.§9116(a)(1.1)(li�].The slatute dces not exempt a transfer to a surviving spouse from tax,and[he statutory requiremenls for disclosure of assets and
fling a�ax reWm are sfill applirable even d Ihe surviving spouse is�he only beneficiary.
For dales of death on or afler July 1,2000�,
• The tax ia�e imposed on Ihe net value of Vansfers fmm a deceased child 21 years of age or younger at dea�h to or for the use of a naNrdl parent, an
adoptive parent or a step-parent of ihe child is 0 percent[72 PS.§9116�a)�1.2)].
• The tax 2te imposed on the net value of transfers to orfa tl�e use Mihe decedenfs lineal6enefiqanes is 4.5 pe�cent,excepl as noted in(72 P.S.§9116(a)(1)J.
. The�ax re�e imposed on�he ne�value of transfers to or fm�he use of�he decedenCs siblings is 12 percent[72 P.S. §9116(a)(1.3)].A sibling is defned,
under SecYon 9102,as an individual who has at least one paren�in common wi�h ihe decedent,whether by blootl or adop�ion.
RiV-1502 E%i 1 C2-15�
� pennsylvania SCHEDULE A
�EPAPTMENTOFPEVENUE
�rvnearzaucer��ruax REAL ESTATE
aesmexr oecEOEin
ESTATE OF: FILE NUMBER:
MORRIS M. CLINE 2015-00682
RII ral praperty owneE solelY or as a tenan[in common mu#4 reparleE a[fair madet value.Fair maMe[value is define0 az IM1e price at which Oroperty
would be exchangetl be[ween a wllling buyer ana a wllling selleq neftAer being compelletl[o buy or sell,both M1aving reasonable knowleEge of Me releven[taRs.
0.ea1 property that is jointly-owned with riqht of auMwrship must be discloud on Schedub F.
Atta[M1 a mpy a(Me settlement sheet if Ihe pro0erty has been sold.
ITEM InduCe a wpY of roe dee0 sM1owing DecetlenCs in[eres[il owneE as tenan[in rommon. VALUE Ai�ATE
NUMBER OF�EATH
DESCAIPTION
�' 410 South Fayetle Street,Shippensburg,Pennsylvania 17257 152,800.00
Shippensburg Township,Cum6erland Counry
parcel:36-35-2388-01 BA
TOTAL(Also enter on Line 1, RecaDitula[ion.) S 152,800.00
If more space Is neeaea,use adtlitional sheets of paper of Ihe same slze.
___ _
I�II9I�!IINIIIIIrI�IIIN�INIIA Oistricf36-TOWNSHIPOFSHIPPENSBURG
ra=.,payaem ro: i i Shippensburg Area School Dist 2015-2016 Real Estate Taxes
BARRY NEGLEY, TAX COLLECTOR Control Number 38�38U00681 eill Numbe.: 1fl Mailing Date:0'/101@015
2 PARTRIDGE TRAIL parce�# Land Value' 40,80C
SHIPPENSBURG, PA 17257 3&35-2388-018A impro�erriemvawe: I ii2,00[
HS Exciusion: 44,234
Temp ReWm Service RequesleE Lantl Use: 101
ORlce Xours: 610 S FayeHe SVeet Total AssessmenL 138.S6E
MAR-APR-JULKAUGTUES&THURS6-BPM ShlppenaburgAreaSchoolUlsL 2%Discoum FaceValue 10%Penalry
ALL OTHER MONTHS THURS 6-8PM�T4VP BLDG Twrnqhl0 Of Shlppencburg
PH:]i]-532-9131 F:]t]-532-]415 REAL ESTATE TAX
CASH OR MONEY ORDERAFTER 12/20/15 =�Rate:0.01094]5 $i,fil2]]
For a recaipf,enclose a sel/-addnssetl stampetl envelope
TexPaye= � HS/FS CREDIT S�ss.az
CLINE, MORRIS M &MARGARET \��
410 SOUTH FAYETTE STREET TAX DUE -> $1.48661 $1,516.95 5�,668.65
SHIPPENSBURG PA 17257 � mloil2ois o9lov2o�5 ivov2ois
Pl'2y � Unpald lax bllls are retumetl ro �o l0 10
,�� �y theGounryaf�er�ec 31 OB/31@015 10I31I2015 12/31I2015
�Q Retum fop part oI tax blll Hpaying in/ull.l/paying lnsta/Imenfs,
use fhe coupons below w/th paymanf.Missing the flrst
Tax Collector SignaWre(for sing/epayment oNy� Date installmentlntllcates yoa will be making a single/ull payment.
aev�iso3 Ex.�oz-�s�
� penn�sylvania SCNEDULE B
INHEPRNNCETA%PETOflN STOCKS 8 BONDS
RESIOElJ�OECEDENT
ESfATE OF FILE NUMBER
MORftIS M. CLINE 2015-00682
•II propertr jolntlY ownetl wiM riqht af wrvivarship mus[be Alulozed on Schedule F.
REM VAWE AT DATE
NOMBER pE5C0.1PilON OF�EAT1
1' SavingsBonds-seeattxhed 59,258.38
TOTAL(Also en[er on Line 2, Recapitulation) ; 59,258.38
I!more space is neeGtd,insert aEGNonal sheMs of Ihe same slze
�.MORRISMCLINE 174-20-4484
____-�- - - _- ._ - __... _.. _;... .. .. . . . ._ .
senes .senal number _ date issued face value. � cas� �
EE K10400371 EE DEC 1980 575.00, 5251.00
EE K10399443EE OCT 1980 575.00 $251.00
EE ��.K10399049EE SEPT1980 575.00 5251.00
EE K9865812EE AUG 1980 $75.00� $251.00
EE K9865502EE JUL1980 $75.00 $251.00
.. _ . . . .. . . . . . . . . .
EE K9865253EE lUN 1980 $75.00 $251.00
EE �.R10400130EE NOV 1980 $75.00� $251.00
. . . .. ..__ _ -
EE K10400666EE DEC1980 $75.00� $251.00
. . . . . . . _._..___ _ _ _ -
EE K12335174EE JAN 1982 � $75.00 $220.35
EE K1234S344EE JAN 1982 $75.00� 5220.35
EE K1234871SEE FE81982 $75.00� $220.35
EE K24453721EE MAR 1982 I 575.00 5218.00
EE K24979530EE APR1982 $75.00 $218.00
EE K24979698EE MAY 1982 $75.00 $215.60
EE K25028889EE lUN 1982 $75.00 $215.60
EE K25040773EE 1UL1982 575.00 5212.50
EE K26055652EE AUG 1982 $75.00 $212.50
EE K25040971EE ,AUG 1982 $J5.00 $210.01 � ..
EE ,K26055956EE ISEPT 1982 575.00 5210.01 �_
EE �IK26150407DD 'OCT1982 $75.00 $210.24
EE IK26137620EE NOV1982 $75.00 $21014
EE �K26137923EE �.DEC 1982 575.00 5210.24
EE .K26150449EE JAN 1983 $75.00�� $21014 �
EE �!K26792S11EE � FEB 1983 $�5.00. $210.24
EE K26792659EE �MAR1983 $75.00I $220.00 �.
EE IK26792660EE MAR1983 $75.00I $ZZ0.00
EE K26812164EE �APR 1983 $75.00'� $1R.98
EE ,K26812436EE MAV1983 575.00i $ll2.98
EE K26831831EE 7UN 1983 $75.001 $172.98
EE K26832001EE JUL 1983 $75.00 $172.98
EE K12937721EE AUG 1983 $75.00 $172.98
EE K29777365EE SEPT1983 575.00 $172.98 �.
EE K29784338EE OCT1983 575.00 5172.98 '
EE _K29784337EE �OCT1983 . $75.00 5172.95 I
EE ��K33922010EE NOV1983 $75.00 $172.98
EE K33922168EE DEC 1983� � $75.00 $172.98
EE K44115055EE � JAN 1985 575.00 $172.98
EE K44088120EE � FEB 1985 � � � 575.00 Sll2.98
EE K44088255EE MAR 1985 $75.00. $172.98
EE IK44088254EE �MAR1985 $75.001 Sll2.98 �.
EE �K44088535EE APR1985 $75.00I� $172.95
EE K4fi398435EE MAV 1985 $75.00 $172.98
EE K49329099EE JUN 1985 $75.00 $172.98
EE K49329287EE 1UL1985 $75.00 $1R.98
EE K54197229EE AUG 1985 $75.00 $169.59
EE K54197228EE AU6 1985 � 575.00 $169.59 �� �� ��
EE K51839927EE .00T 1985 I $75.00_ $169.59 . �
EE K51839928EE OCT1985 �I. $75.00 $169.59
EE KS1S40244EE NOV 1985 575.00 $169.59
EE KS1S40474EE DEC 1985 I $75.00 $169.59
.____-_ ____._..__ .. . . .
EE K58591163EE JAN 1987 $75.00 $146.55
EE K58591162EE JAN 1987 575.00 5146.55
EE K56894025EE MAR 1987 � 575.00 $143.67
EE K50329295EE IAPR 1987 $75.00� � $143.67
EE �K50329294EE IAPR 1987 $75.00 $143.67 � ��
EE K58672531EE MAY 1987 _ _ $75.00 5143.67
EE K58696058EE JUN 1987 $75.00 $143.67
EE KSS625400EE �JUL1987 575.00 5143.67 '
EE �K81078231EE NOV1987 $75.00�, $143.67
EE KS1111070EE _DEC 1957 S75.00I 5140.85
EE 'IK55361781EE lAN 1986 $75.00I 5169.59
EE iK55523181EE fE61986 $75.00��� _5167.00
EE �'�K060266779EE MAR1986 $75.00�' $166.26
. . . .. . .. .. . . ___-_
EE K060280923EE APR 1986 $75.00 $166.26
EE K62824031EE JUN 1986 $75.00 $166.26
EE K62S24432EE UUL1986 $75.00 5162.99
EE K060267133EE AUG 1956 $75.00 $162.99 '.
EE IK62823106EE SEP 1986 $75.00 $162.99 .
EE K62823588EE -0CT 1986 $75.00I 5162.99
EE K62823893EE NOV 1956 $75.00' $146.55
EE .K69240014EE DEC1986 $75.00 $146.55
EE K69240013EE DEC 1986 $75.00 5146.55
EE K33942184EE lAN 1984 $75.00 $172.98
EE K33962434EE FEB1984 � � �I �$75.00� $172.95
EE K37314377EE MAR 1984 ' �� 575.00 $172.98
EE K37314701EE APR1984 $75.00 $172.98 �
. . . . .___- .__. . .
EE K37314700EE APR19S4 �. $75.00 $172.98
EE K37314896EE MAV1984 575.00 $ll2.98 �
EE K33962560EE 'JUN 1954 $75.00 $172.98 i
EE _K33962751EE IJUL1984 _ $75.00 5172.98
EE �K44061S69EE AUG 1954 575.00 $172.98
EE IK44062115EE � �SEPT1984� � � $75.00i $172.98
. ..._- -.. .
EE �K44062116EE SEPT1984 $75.00I $172.95
EE K41197215EE OQ 1984 $75.00I $172.95
___ . . . i . ._ _ ..
EE K41197485EE NOV 1984 $75.00 $172.98
EE K41197701EE DEC 1984 $75.00 5172.98 � �
EE K10400973EE JAN 1981 I $75.00 $230.16 �
EE �� K10501142EE FEB 1951 575.00 $230.16
EE K10501368EE MAR 1951 $75.00 $230.16
EE K10639401EE �APR1981 � � 575.00 $230.16
EE K10659796EE ,,MAY1981 $75.00 $22035 I � � � �
_.__- ___ . .
EE K1087132SEE . IIUN 1981 _.. $75.00 $22035
EE K10871647EE �JUL1981 $75.00 $22035 '
EE K10871537EE JUL19S1 � � $75.00'I � $22035
EE �,K1ll38558EE AUG1981 ��� �$75.00 $220.35
EE �K11763754EE . SEPT 1951 � $75.00�i $220.35
EE �K11763986EE OCT1981 $75.00� $220.35
EE K11814058EE NOV 1981 $75.00 $220.35
EE K11814358EE DEC 1981 ' $75.00 $22035 �
EE K81111071EE DEC 1987 $75.00 $140.85
EE K86738818EE 7AN 1969 � $75.00 $13539
EE K86834529EE IFEB19S9 _ 575.00 $132J5 I
EE �KS6855164EE � �MAR19S9 575.00 $132J5
EE IK86904129EE � APR1989 $75.00 $132.75
EE K88972869EE � MAY 1959 $75.00 $132.75
EE K8113961SEE � JAN 1985 575.00 $140.85
EE K81172238EE �FEB1988 � $75.00'� $138.09
EE K82794788EE MAR 1988 �� $75.00 $135.09
EE K82824437EE APR1988 � � $75.00 $138.09
EE K83427162EE MAY 1988 � $75.00 $138.09
. : . . .. .- __ .
EE K83463243EE JUN 1958 $75.00 $138.09
EE K83504881EE JULI9SS $75.00 � $138.09
EE K83504880EE 1UL1988 $75.00 $138.09 �
EE K85360161EE ��fSEP 1988 $75.00 $135.39 ��
EE iK85330123EE AUG 1988 $75.00i $13539
EE KS5394483EE OCT 1988 � �� $75.00, $13539
EE K85432662EE NOV 1988 �� $75.00 $135.39
EE K86693SS7EE DEC1988 � � $75.00 $13539
EE K86693886EE DEC 1988 $75.00 $135.39
EE 027624883EE SEP 2001 I $100.00 $1,671.68
EE C727624S82EE SEP2001 $100.00 $1,671.68
EE 027624887EE � SEP2001 $100.00 $1,671.68 ' �
EE 0276248S6EE ISEP2001 5100.00 51,671.68 I�
EE �Q27624884EE ISEP2001 � � 5100.00 51,671.68 !
EE �� Q27624SSSEE SEP 2001 5100.00 51,671.68 ��
EE �IL495953440EE APR1992 $SO.00i $78.58 ��
EE ��D59163709EE SEP2002 $500.00 $343.50
EE -05916370SEE SEP2002 � $500.00 $343.40
EE D59163707EE SEP2002 ' $500.00 $343.40
EE D5916371�EE SEP2002 $500.00 $343.40
EE D59163711EE SEP 2002 I 5500.00 5343.40
EE D59163713EE SEP2002 $500.00 $343.40
EE D59163712EE SEP2002 $500.00 5343.40
EE D59163714EE SEP2002 �. $SOO.OD $343.40
. . . .. . _ . ____- _ -_ .._..
EE D59163715EE �SEP2002 � 5500.00 5343.40
EE _D59163716EE SEP2002 5500.00, 5343.40 �I
EE ,D591637llEE SEP2002 $500.00 $343.40 �
EE D59163718EE SEP2002 5500.00 $343.40
EE D59163720EE SEP2002 $500.00� $343.40 �
EE D59163719EE SEP2002 $500.00 $343.40
. . . .. . . . . _. ___-
EE �D59163722EE SEP2002 5500.00�� $343.40
. . . . . . . _.___
EE D59163721EE SEP2002 $SOO.00I $343.40
E D101S03565E OCT1973 5500.00� $2,63510
E ��-01018035fi6E OQ 1973 5500.00 $2,63510
__._. . . . . .
E Q5228211961E MAR 1975 �i $25.00 $131.57
_-__.._._ . . . ..
E Q5241850727E APR1975 $25.00 $131.57
E Q525297S546E MAY 1975 � $25.00 $132.83
E Q5252978812E JUN 1975 I
$25.00 5132.83
. . . _ ____..
E Q5252666694E 1UL1975 $25.00 5133.25
E Q60268671fi2E SEP1975 $25.00 $133.25
E Q6026867393E �,OCT 1975 $25.00 $133.25 �
. . . . . . .. __ _ . �;.
E Q6031520564E NOV 1975 � $25.00 $134.46
. . . . . . . .._.._
E Q6031520790E 'IDEC 1975 $25.00 5134.46 '
E Q5228211695E JAN 1975 $25.00 $137.36 ��
E � �Q2477609530E MAV1970 $25.00 $137.36
.._ ___ - .__. . . .
E Q2477609774E JUN 1970 $25.00j $13939
E q2510278925E AUG 1970 $25.00 5139.69
E IQ2510278671E �3EP1970 � $25.00 � $139.69 '�
E ��q2516802516E OQ 1970 $25.00 $139.69
E Q2516S02831E DEC1970 $25.00 $140.01
E 'Q2543673086E 1AN 1971 ���, $25.00� $12630
E Q2543673316E FE81971 $25.00 $126.30
__ __
E Q2556309541E MAR 1971 '� $25.00 $12630
. . . . . . .. .._.- -_ _ _ . .
E Q2556309836E APR1971 525.00 $12630
. .. _____ __.I . . . .
E Q2567703583E MAY 1971 ' $25.00 5126.60
E Q2567703777E JUN 1971 $25.00 $126.60
E Q2574803558E ,AUG 1971 � $25.00 $126.60 �
E �Q2574803794E_ SEP1971 i $25.00��. $12636
E Q2574803949E OCT 1971 I� $25.00 $12636
. .. . . i .__ __ .. .
E Q2618915039E DEC1971 '�� $25.00. $12636
E Q2601033270E DEC1971 $25.00. $126.66
E Q2618915254E FE81972 $25.00 $126.71
E Q2618915491E MAR 1972 $25.00 $126.17
E '45007173731E APR1972 $25.00 $12fi.17
E � q5007173962E MAY 1972 $25.00 5126.19 � �
E Q5008269736E lUN 1972 525.00 $126.17
E '.Q5008269964E 1UL1972 $25.00 $127.77
E '�.Q5024190216E SEP1972 $25.00 512777
E �Q502419048SE OCT1972 $25.00 $128.05
. _ ._- _._.. .. .
E Q5039877272E NOV 1972 $25.00 5128.50
E � 45059095124E DEC1972 525.00 $12833 �
- - -_. . .... . . . .
E 45059095357E JAN 1973 525.00 $129.56
_ __ . . .. . . . .
E 45066373673E FEB 1973 525.00 $129.56
E Q5066373942E MAR 1973 $25.00 $129.56�
E 45086708151E APR1973 $25.00 $129.89
E �'�,45093280490E �JUN 1973 $25.00i 5129.89 � �.
E ����,Q5093280110E � JUL1973 525.001 � $129.89 �
E Q5107303141E �� AUG 1973 $25.00' $130.00
E _ Q5121313017E �SEP 1973 525.00I $131J6 �
E Q5121313304E �OCT 1973 $25.00I, $131J6
E IQ5134932619E NOV 1973 525.Wi._ $131J6 � ��
E 45134932979E 7AN 1974 � � $25.00 $128.48
E 45145114790E FEB 1974 $25.00 $128.48
E 45163460086E MAR 1974 $25.00 $128.48 �
E � IQ5163460395E APR1974 $25.00 $128.48 �
E 45170457686E MAY 1974 $25.00 $130.00
E Q5185925539E JUL1974 525.00 $130.00
- _._ . . . .. . . . . _ ____
E 45185925706E IIUL 1974 $25.00 $130.00
E Q5207573555E �I.SEP 1974 $25.00 $130.00�
E 45207573831E �IOCT 1974 $25.00 $130.00
E Q5213906051E � NOV 1974 $25.00 $130.00
E ',Q5213906312E �-0EC1974 $25.00 $131.59
E �IIQ6044451949E JAN 1976 $25.00 $134J6 '�,.
E �'Q6044451584E fEB1976 525.00 $134J6
E I46044451699E � �� MAR 1976 � $25.00 $134Jfi �
_ . __ .. . . . . ._ -__ __ . .
E ��Q6071606181E MAY1976 $25.00. $134J6
E Q6071606431E lUN 1976 � �$25.00� $13634
. . . . . . _._ __I . .
E Q6071605882E JUL1976 525.00' $136.34
E Q6071605665E AUG 1976 $25.00 � $136.32 �
. . . . . . . .. .. _.
E Q6087318J38E SEP 1976 i $25.00. $13632 _ .
E Q6101245062E OCT197fi �' S25.00 $13632
E Q6101245347E � DEC1976 $25.00 513632
E Q6115767236E fE81977 � $25.00 $138.04
E Q6ll5767437E � � MAR 1977 $25.00 $138.04
. _.... .. . . . . ._.__ _ . . .
E Q6146792119E APR1977 $25.00 $139.40 .
E Q6146792329E �IMAY1977 $25.00 $139.40
. . .. . . ___ ._. . .
E .Q6165710569E JUL1977 $25.00 $139.40
E IQ6165730713E 1UL1977 $25.00 $139.40
E Q6165710901E ��SEP1977 $25.00� $139.50 ��
E � Q6173761812E OCT1977
. .. . $25.00'� $139.67- . � �
E Q6173761800E NOV 1977 525.00 $128.45 �
E Q6229984116E DEC1977 $25.00' S128.45
E Q6289817922E lAN 1979 525.00 $lOS.28
_
E Q6315281068E FEB1979 $25.00 $108.29
_ . � �-__._ . .
E Q6315281207E MAR 1979 '� $25.00 $108.25
. ... . . ___. -_- _._...
E Qfi315281359E MAY 1979 525.00 5109.33
. . __ _____. . .
E q6315281604E lUN 1979 � $25.00 $10933
E Q6346455267E JUL1979 $25.00 $109.33
E �Q6346455428E IAUG 1979 $25.00. $109.59 ..
E Q6346455562E ISEP1979 525.00 $109.59 �' ._
E Q6346455ROE '�ACT 1979 $25.00 $109.59
E Q6361529475E INOV1979 $25.00 $110.62
E Q6229984267E FEB1978 � 525.00 $125.45
E iQ6229984447E... . . .MAR1978 ... �. .$25.00; $128.45
E Q6235S16020E � APR1978 � $25.00I $125.00 �
E Q6235816363E JUL1978 $25.00i $106.97
E �Q6272400602E � AUG 1978� $25.00'� $106.97
. . ...__ -__
E ,Q6272400694E AUG1978 $25.00 5106.97
E _Q6272400822E � _._OCT 1978 li $25.00 $106.97 .
E Q6289817612E NOV 1978 $25.00 5108.27
E � Q6289817754E DEC197S $25.00 $108.27
E q6361529673E lAN 1980 $25.00 $110.62
E q63615297S3E FE61980 � � � $25.00 5110.62
. . . . . _ _.__. . .
E �Q6361529181E 'IMAR1980 �� � $25.00 5110.65
E Q6385087103E '��APR1980 525.00 � $110.67 I
E � Q63S5087318E MAY1980 $25.00 Si11J5 � �
i __ __. . . .__ �I . _-
HH D5239190HH APR2000 $500.00! 5500.00
HH D5239189HH APR2000 $500.00 $500.00
HH D5239188HH � APR2000 � � SS00.00 5500.00
.... . . . . _ __ . .
HH D5239187HH APR 2000 � 5500.00 $500.00
HH � M7464566HH APR2000 $1,000.00 $1,000.00
HH M7464565HH APR2000 51,000.00 51,000.00
� I 525,125.00 $59,25538 �� �
PFV-300 E%-('J2-t'_)
'" i"' pennsylvania SCMEDULE E
�' oeaanrmervroFnevervue CASH� BANK DEPOSITS & MISC.
�xxexrtexceux�vnn PERSONALPROPERTY
aes�oenr oeceoenr
ESTRTE OF: FILE NUMBER:
MORRIS M. CLINE 2015-00682
Indutle Ne pmceeEs of li[igatlon an0[he date the Omceeds were receiveE by Ihe es[a[e.
RII properry jointly owned with right of curvivorship murt be Eisclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESLRIPTION pF DEAtH
�- 1999BuickLaSabreVIN:iG4HP52KKXH495549 2,000.00
2 1960s Cub Cadet 7raclor 300.00
3 Cub Cadet trector atlachments: cultivamrs,snow blade,plow,disc 250.00
4 FumiNre-table chairs,betlroom fumiture,sofa,chaire 300.00
5 Costumejewelry,pocketknives 50.00
6 1980s Mantel clock,coocoo clocks(2 in need o/repair) 100.00
7 Pols,Pans,Dishes,Flahxear 100.00
8 1960s Metal lalhe,dnll press,table saw,band saw 200.00
9 Clolhing 50.00
10 197ps Cub Cadet Snow blower 50.00
11 Tray Bill rotatiller 100.00
12 Cra%sman�ool chest w/misn taols 150.00
13 misc.household goods 300.00
14 Ci�izens Bank checking 610064429�5 78,417.37
75 CitizensBanksavings610W9-252-B 29,923.47
i6 CifizensBankW 6140-692849 42,074.67
17 Citizens Bank CD 6740-698189 34,539.34
ib CitizensBankCD6140-7605fi9 23,012.87
19 Citizens Bank CD 6140-877539 37,572.11
20 Ci�izensBankCD6140-898099 22,000.00
21 Citizens Bank CD 6250-391291 50,000.00
22 Citizens Bank CD 6140$91613 9,879.06
23 Cilirens Bank W 6140-691648 9,738.94
23 Citizens8ank IRA6140-898382 6,446.00
z4 Ci�izenseanklRA6140-769388 1,913J9
TOTAL(Also enter on Line 5, RewpitulationJ S �49�407.62
If more spare is nre0e0,use adEitional shee6 of paper of[he wme size.
A24-ist� ex—(oxas7
�- pennsylvania SCHEDULE H
oeanArnerurornevErvuE FUNERAL EXPENSES AND
,xnea�rnrvce.axaE*uxn ADMINISTRATIVE COSTS
aesmerv.oECEOEr�r
ESTATE OF FILE NUMBE0.
MORRIS M. CLINE 2015-00682
UeceAenPs Eebts must be reparted on ScheEule I.
ITEM
NUMBER DESCRIPTION AMOIIM
A. FUNERAL EXPENSES:
1� Dugan Funeral Home,51 Asper Dnve, Shippensburg,PA 17257 11,745.33
e. ADMINISTRATNE CO5T5:
1. 7ersonal Representative Commissions: 0.00
rvame(s)of Personal Representative(s)
Stree[Adtlress
City____ . ._._ . State ZIP_
Vear(s)Cammission Paid: .
o.00
2 Attomey Fees:
3, Family Exemption�, Qf Eecedent's address is not the ume as daimanPs,attach ezplanation.) 0.00
Claimant.__
Street AOOress
[iry __ _ . ._ State._ . 2[P
Rela[ionship ofClaimantto DeceOent
4. Pmbare Fees: 0.00
5. qcmuntantFees�. 0.00
6. iax ReNm Preparer Fees: 0.00
].
TOTAL(Also en[er on Line 9, RecapiNla[ion) ; 11,745.33
If more space is neeGeO,use aGOitlonal s�eets of paper of the same slze.
y Dugan Funeral Home and Crematory, Inc.
51 Asper Drive
Shippensbucg, PA 1�257
(7l7)532-4100 \
Jane15,20L5 �� $1�� Q�� ���
`J� I \ D
ludy Newa �
222 Stony Point Ave. (p
Shippensbu�g, PA 17259 I��i
\1
The Funeral Service for Morris M.Cliue
We sincerely appreciate the wnfidence you have placed in us and will continue to assist you in every way we can. Please
fee]free to contac[us if you have any ques[ions in regard to this statement.
TFIEFOLLOWINO IS AN IT8Mi7.HD S'fA"CeMEM'OF THF SERVICES,FACILITIES,A070MOTIVF.EQUIPMENT,
AND MERCHANDISE THAT Y00 SELECTED WHGN MAKING THE�UNERAL ARRANGCMENTS.
ProRssiooal Servitts
Services of FLncral Director/Slaff 2,100.00
Embalmivg 900.00
Other prepa[iov of body 200.00
Tolal Professiaoal Services 3,200.00
Equipmeot
Viewing(V isitetion/Wake) 500.00
Funcral Ccremony 500.00
Total Equipment 1,000.00
Automotive Equipmen[
Vehicle[a transfer remains m Funeial Home 300.00
Hearse(Casket Coach) 30Q00
Plower car m flaral disposiliou ��4���
Lead cer/Clergy 100.00
_— _ _
To�el Aufomotive Equipmmt 800.00
MertM1andise
Cuke[ 3,700.00
Outu Coutaiuer 1,200.00
Aegiste�Book(s) 80.00
Memorial foiders 95.00
Flowers �25-�
TotalMerchandise 5,300.00
A7 THti TIME FUNERAI.ARRANGEMFN'CS WERE:NADE,WE ADVANCED CERTA[N PAYMENTS TO
OTHEILS AS AN ACCOMMODA I'ION.THE FOLLOWA7G IS AN ACWUNT7NC FOR THOSE CHARGES.
Geh Advaoms
(�ening Grave 650.00
Clergy/Mass Offering 125.00
Cemetery Cherge lOp.00
Public opinion 17750
Sentinel 317.83
News Clvonicle 75.00
________............___'_____—..._...
Total Cesh Advanees 1,A4533
ioml Sales Tu 0.00
Toml Cootrect 11 745.33
TOTALAMOONTDOE ��,7q5,3 !
� ��0991
My uvpaid bWeuce ovu 30 deys is svbjea��o a fnenw cherge of 18 o per muom- 1,5%O�T monih.
e� ��1 �
���
I �� �