HomeMy WebLinkAbout01-0677
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Esta.1e of
Edward M.Moul
No.
21-01-677
a1 so known as
, Deceased
Socia.I Security No. 222 -10 - 3856
Larry E. Moul
f'UllC)(\e'tI), who isJaa 18 yun 01 ~ or olOer, a.wlyr-) kr.
(COMPLETE 'A' 00 13' BELOW:)
lZl A. Probate and Grant of letters Testamentary and .ver hI Petitioner(l) \a.larw the ueo.rt~nam&d n \he Ian Wil at
tteDeoedenl.daled January 20, 1999
and codicil(l) da~ N / A
~ ~ ciIc..rnl~.~ ~,dooocIII III NeaAOf, eOl:.
Excepl as fonawl, Decedenl dd not many, wu not di't'Orc:ed, .nd dd not have a chlld born or adopted attar eXeaJtion of the Ox:umentl
oHenld for probate; was not the vic1im of a kllling and wal never adjudca18d incompe>>nt:
o B. Grant of Letters of Administration
(lUL1\..t..U.; pet"deI'lIe t1.; ~vratTl. -....1&; d......... ~
Pe.titioner(l) after. proper uarch halAl.... .~ned that Decedent len no Will and w...Ul"O'ived by the following lpooH (If any) 8nd
hlm..: . . .
I .'
Name
Relationahip
Residence
I
(COMPlETE IN All CASES:) AI\adI addDcnaJ V'oHU if~.
Decedent was domiciled at de.th in Carli s Ie Borough, Cumbe r lan<l::.ounty, Pennsylvania. with hisJher wt family
OI'principa/residence.r Sarah Todd Memorial Home, 1000 w. South st., Carlisle, PA
(Ut 1VMl. numb.t and mt.nicipaJity)
Decedent., then 84 ye81'lohge,ded July 4, 2001.fV-----..IllSarah Todd Memorial Home
(LocaIion)
Decedenl al death owned property with ..timaled valuel U tollowl:
(II clomio1ed n PAl AD peBOnaI property
(II nol domio1ed n PAl P8l'1oMl property in Pennsylvania
(If not domiciled In PAl P8l'1ON11 property In Coonty
Value of real esta18 n Pennsytvania
110,000.00
$
S
S
$
sibJaled u tonows: N / A
Wherefore, Petitioner(s) respec:tfuDy requeat(l) fle probal8 01 the last Will and Cod'iCl1(a) pnnenled whtl thil Petition and Ifle grant of
krnars in Ifle appropria18 form to the undel"signed:
'nled name 8lld resu:lence
Larry E. Moul
Box 100, Plainfield, PA 17081
FcmI.RW., Paoe' 012
Pr~e<l br!he PennlYtvania Bat Auocialion ,0Q1
//.. - ~J.,/4- / ~
Oath of Personal Representative
lAmmonwealth of Penl1~)'lv8nla
lAunty of Cumberland
The Pelitioner(s) above-named S\vear(s) or affirm(s) that the statements In the foregoing Petition are true
and correct to the best of the knowledge and beflef of Petitioner(s) and that, as personalrepresentatiye(s) of
the Decedent, Petitioner(s) ",";11 well and truly admni r the es1ale according to law.
Swom to or affirmed and subscribed X
before me thls 18th day ot
JULY _W_200l
'77n~Y~I~~~
'7 r the .ealsler - _" . (/
No.
21-01-677
Estats of Edward M. Maul
Social Secumy No: 222-10-3856
AND NOW, JULY 20
Deceased
Date of Death: Jul y 4, 2001
, '00 2001 . In consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT 15 DECREED that Letters (2g Testamentary 0 Of Administration
4b.A.cJ...e.: ~ ~: dU'&/116 ~ d........ ~
are hereby granted to Larry E. Maul
in the above es1ate and thaI the Instrument(s) dated J an uary 20, 1999
described in the Petition be admitted to probate and filed of record as the last 'Nil[ of Decedent.
FEES
Letters ..................... $
Short Certificate(s) .... $
Renunciation ............ $
235.00
15.00
~c2 ~~d~""'T
I' ~~a~W~
Attorney: c~~-i~ A. Diehl, Esquire
9.00
52801
3464 Trindle Road
Camp Hill, PA 17011-4436
Tlllephone: (717) 763-7613
Nfidavits ( ) ........-... $
Extra Pages ( ) ......... $
Codidl ...................... $
JCP Fee ................... S
lO. No:
Address:
5.00
Inventory .................. S
()ther ....................... $
~~
TOTAL ._.......... S
264.00
Fonn .RW., Paoe 2 at 2
Pr.pal.cl by 1M PefWUytvania B.w "nod".Don '00'
H105.805 REV 9/86
This is to certifY that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is iIIegarto duplicate this copy by photostat or photograph.
7625209
/kJ~A/
Local Registrar
Fee for this cerrificare, $2.00
p
JUL 092001
No.
Date
21-01-677
H10$.14JR,..,. '1Jff1
COMItIONWEAllH OF PENNSYLVANIA' OfPARTMENT.Of HEALTH' YITAL RECORDS
CERTIFICATE OF DEATH
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21-01-677
]lctst Dill cruo IDp$tttlttpnt
OF
EDWARD M. MOUL
I[ EDWARD M. MOUL[ of the Borough of Spring Grove [ York
County[ Pennsylvania [ being of sound and disposing mind[ memory and
understanding[ do make[ publish and declare this to be my Last Will
and Testament [ hereby revoking and making void all previous Wills
and Codicils heretofore made by me.
FIRST
The expenses of my last illness and funeral shall be paid from
the property of my estate.
SECOND
I give[ devise and bequeath the rest[ residue and remainder of
my estate[ together with all insurance proceeds thereon of
whatsoever nature and wheresoever situate in equal shares to my
sons[ LARRY E. MOUL and MARLIN E. MOUL[ who survive me by thirty
(30) days [ per stirpes.
THIRD
No interest of any beneficiary of my estate[ either in income
or in principal[ shall be subj ect to anticipation or pledge [
assignment [ sale or transfer in any manner [ nor shall any
PAGE 1 OF 2
LAST WILL AND TESTAMENT OF EDWARD M. MOUL
beneficiary have the power in any manner to charge or encumber his
or her interest either in income or principal, nor shall the
interest of any beneficiary be liable or subj ect in any manner
while in the possession of my personal representative for the
liability of such beneficiary.
FOURTH
I nominate, constitute and appoint my son, LARRY E. MOUL, as
personal representative of this my Last Will and Testament. In the
event my son, LARRY E. MOUL, is deceased, unable or unwilling to
serve or shall cease to serve for any reason whatsoever, then I
nominate, constitute and appoint my son, MARLIN E. MOUL, as
personal representative of this my Last will and Testament. I
direct that my personal representative shall not be required to
give or post bond for the faithful performance of his duties in
this or any other jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand to this my Last
Will and Testament this 20th day of January, 1999.
WITNESS:
Salrvtl
~.
E~~OUI#6'~
I
~5cm !}. i?~
PAGE 2 OF 2
LAST WILL AND TESTAMENT OF EDWARD M. MOUL
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
SSe
COUNTY OF YORK
I, EDWARD M. MOUL, the Testator whose name is signed to the
attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will and Testament; that I signed it
willingly, and that I signed it as my free and voluntary act for
the purposes therein expressed.
~ .fll2.~x..
M. MOUL
Sworn or affirmed and acknowledged before me by EDWARD M.
MOUL, the Testator, this 20th day of January, 1999.
. ....(2.
--N~LIC
NOTARIAL SEAL
HELEN E. RASMUSSEN. Notary PubIlo
Camp Hill Borough, Cumberland County
My Comm~s_sion !=xpi.res Aug. 2, 1999
LAST WILL AND TESTAMENT OF EDWARD M. MOUL
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SSe
COUNTY OF YORK
WE,
Cr. ,) A. b I~ ), )
and
i5/A6art E. P(Jmev
I
to the foregoing document I
the witnesses whose names are attached
being duly qualified according to lawl do depose and say that we
were present and saw Testator sign and execute the instrument as
his Last Will and Testament; that he signed willingly and that he
executed it as his free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight
of the Testator signed the Last Will and Testament as witnessed and
that to the best of our knowledge the Testator was at the time 18
or more years of agel of sound mind and under no constraint or
undue influence.
C, alJ:.:l
.--,
C)u'5an- 8. cflamey-,
r)
Sworn or affirmed and subscribed before me by era'-3 A,
nl"~) t-J (
and
S lA Sa v1
e.
<J
Ka..ouy
this 20th day of
JanuarYI 1999.
..~.""..
JL.. <.
NOTAR~LIC
NOTARIAL SEAL
HELEN E. RASMUSSEN, Notary Public
Camp Hill Borough, Cumberland County
My Commissi~n Expi~s Aug. 2, 1999
.--
.\::
-
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Edward M. Moul
Date of Death: Julv 4. 2001
Will No. 2001-00677
Admin. No.
To the Register:
1 certify that notice of estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served
on or mailed to the following beneficiaries of the above-captioned estate on
July 24, 2001
Name
Address
Larrv E. Moul
Box 100. Plainfield. P A 17081
Marlin E. Moul
204 Whickford Road. Havertown. P A 19083
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except N/ A
Date:
J:/j ~'f. ~oOI
y.-md
Signature .
Name Craig A. Diehl. ESQuire
Address 3464 Trindle Road
Camp Hill. PA 17011-4436
Telephone (717) 763-7613
Capacity:
Personal Representative
x
Counsel for Personal Representative
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX( 11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
MOUL LARRY E
BOX 100
PLAINFIELD, PA 17081
-------- fold
ESTATE INFORMATION: SSN: 222-10-3856
FILE NUMBER: 21-2001- 0677
DECEDENT NAME: MOUL EDWARD M
DATE OF PAYMENT: 09/27/2001
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 07/04/2001
NO. CD 000323
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $4,075.00
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$4,075.00
REMARKS: LARRY E MOUL
CHECK# 0097
SEAL
INITIALS: DO
RECEIVED BY:
REGISTER OF WILLS
MARY C. LEWIS
REGISTER OF WILLS
51
t..:....
::).1--0/ - r;; 77
F AMIL Y SETTLEMENT AND FINAL RELEASE
IN THE
ESTATE OF EDWARD M. MOUL
KNOW ALL MEN BY THESE PRESENTS, THAT WHEREAS, Edward M. Moul,
late of Carlisle Borough, Cumberland County, Pennsylvania, deceased, died on July 4, 2001,
having first made his Last Will and Testament, which was duly executed on January 20, 1999,
and is duly recorded in Cumberland County, Pennsylvania, Estate No. 21-01-00677.
WHEREAS, the said Edward M. Moul, by the aforesaid Last Will and Testament, named
Larry E. Moul as personal representative of said Last Will and Testament;
WHEREAS, the said personal representative has gathered the assets of the estate of the
said decedent and the assets consist of personal property to a total value of $124,928.80, as set
forth in Exhibit "A", which is a statement of account of the said personal representative, and
which is attached hereto and made a part hereof, and marked Exhibit "A";
WHEREAS, the debts and deductions, including the payment of inheritance tax in the
said estate, amount to $27,063.85, leaving a balance for distribution of $97,864.95, also as set
forth in the statement of the said personal representative, which is attached hereto and made a
part hereof, and marked Exhibit "B";
NOW THEREFORE, KNOW YE, that we, Larry E. Moul and Marlin E. Moul, being
the heirs under the Last Will and Testament of the said decedent, and being the persons entitled
to inherit under said Last Will and Testament, do hereby acknowledge that we have this day had
and received from the aforesaid personal representative, in full satisfaction and payment of all
sum or sums of money, legacies, bequests, and devises as are given, devised and bequeathed to
us by the said Last Will and Testament, which amount we have received this day, and which is
the amount set opposite our names in the table and schedule of distribution in said statement
attached hereto and marked Exhibit "C";
AND, we do hereby stipulate that in order to avoid the expense and time involved in the
filing of a formal account and schedule of distribution, we agree that no account is necessary and
we hereby agree and consent to distribution being made without the filing of an account and
schedule of distribution, the same to be with the same force and effect as if it had been filed and
confirmed by the Orphans' Court Division of the Court of Common Pleas of Cumberland County.
THEREFORE, we do hereby remise, release, quitclaim and forever discharge the said
personal representative, his heirs, executors, administrators and assigns, of and from the said
estate and from all actions, suits, payments, accounts, reckonings, claims and demands
whatsoever, touching upon the estate of said decedent, and we do further hereby covenant and
agree that we will contribute our share of the estate to satisfy any and all claims, demands, suits,
or causes of action which may be successfully prosecuted against the said estate or the aforesaid
1
personal representative after the signing, sealing and delivery of this family settlement agreement
and final release.
IN WITNESS WHEREOF, we have hereunto set our hands and seals this a ruLe' day
of NOVJlJ~ , 2001.
WITNESS:
~,lJuJ1
L~{kfJ
~~~~ ~- ~
Marlin E. Moul
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF Cv~~8l2.LAND
On this d.~- day of }JoJ~, 2001, before me, the undersigned officer,
.
personally appeared Larry E. MouI, known to me (or satisfactorily proven) to be the individual
whose name is subscribed to the foregoing instrument, and acknowledged that he executed the
same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
NOTARIAL SEAL
HELEN E. RASMUSSEN. NotarY Public
Camp H\\I Borough. Cumberland County
My Commission Expires Aug. 2. 2003
2
COMMONWEALTH OF PENNSYLVANIA
SSe
COUNTY OF eJ M ~8\'l.LA w~
On this a ~. day of tJDv'.t-~, 2001, before me, the undersigned officer,
personally appeared Marlin E. MouI, known to me (or satisfactorily proven) to be the individual
whose name is subscribed to the foregoing instrument, and acknowledged that he executed the
same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
NOTARIAL SEAL
HELEN E. RASMUSSEN, Notary Public
Camp Hill Borough, Cumberland County
My Commission Expires Aug. 2, 2003
3
FIRST AND FINAL ACCOUNT OF THE
ESTATE OF EDWARD M. MOUL
LATE OF CARLISLE BOROUGH,
CUMBERLAND COUNTY, PENNSYL VANIA
DATE OF DEATH: JULY 4, 2001
PRlNCIP AL ACCOUNT
DEBITS:
Your Accountant charges himself with the following:
Personal Property
1. 56 Shares of Codorus Valley Bancorp Stock @ $14.90/Share
2. 100 Shares of P. H. Glatfelter Co. Stock @ $13.40/Share
3. 7551.623 Shares of Franklin Templeton Funds @ $6.77/Share
4. Bank of Hanover Certificate of Deposit Account No. 1321316
5. Farmers First Bank Choice 50 Checking Account No. 4101362906
6. Farmers First Bank Savings Account No. 4101362920
7. Farmers First Bank Certificate of Deposit Account No. 4117362730
8. PeoplesBank Certificate of Deposit Account No. 300080430
9. Legg Mason Money Market Account No. 371-00632
10. Legg Mason Hartford Life CRC Annuity Contract Account No.
127982
11. MONY Life Insurance Company Flexible Payment Variable
Annuity Contract No. B6069475
E X H I BIT "A"
4
Value
$834.40
$1,340.00
$51,124.49
$1,073.87
$9,626.40
$1,667.42
$8,865.91
$1,265.02
$1,761.67
$12,045.39
$21,503.65
12.
13.
DEBITS (continued)
Personal Property (continued)
Value
Sara Todd - Refund from Nursing Home
$4,166.20
Wetzel Funeral Home - Refund from Prepaid Burial Fund
$1,840.38
14.
Salomon Smith Barney Financial Management Account No.
639-00119-11
$814.00
15.
Legg Mason - Certificate of Deposit
$7,000.00
TOTAL PRINCIPAL DEBITS $124.928.80
E X H I BIT "A"
5
CREDITS
Your Accountant asks credit for payments made from Principal Account as follows:
Description
Wetzel Funeral Home, Inc. - Funeral Bill
Wonder Memorials - Tombstone/Inscription
Trinity Lutheran Church - Funeral Luncheon
Larry E. Moul, Executor - Executor Fee
Law Offices of Craig A. Diehl - Attorney Fee (Retainer)
Register of Wills, Cumberland County - Probate Fee
Cumberland Law Journal - Estate Advertisement
The Sentinel - Estate Advertisement
Larry E. Moul - Mileage Reimbursement for Executor Duties
Register of Wills, Cumberland County - Additional Short Certificates
M & T Bank - Estate Checking Account Service Fees
Pharmerica - Pharmacy Bill
Sara Todd - Nursing Home Bill
Register of Wills, Agent - Pennsylvania Inheritance Tax
Law Offices of Craig A. Diehl - Attorney Fee (Balance Due)
Law Offices of Craig A. Diehl - Reimbursement of Certified Mail Costs
for Department of Public Welfare Letter
E X H I BIT "B"
6
Amount
$7,066.00
$875.00
$200.00
$5,500.00
$1,000.00
$264.00
$75.00
$90.59
$113.85
$9.00
$5.00
$486.70
$4,955.75
$4,075.00
$2,000.00
$3.94
CREDITS (continued)
Description
Register of Wills, Cumberland County - Filing Fee for Pennsylvania
Inheritance Tax Return
Orphans' Court, Cumberland County - Filing Fee for Family Settlement
Agreement
Register of Wills, Agent - Additional Pennsylvania Inheritance Tax Liability
TOTAL PRINCIPAL CREDITS
E X H I BIT "B"
7
Amount
$15.00
$17.00
$312.02
$27.063.85
RECAPITULATION
Principal Debits
Principal Credits
$124,928.80
$27,063.85
TOTAL AMOUNT TO BE DISTRIBUTED
$97 .864.95
E X H I BIT "B"
8
PROPOSED DISTRIBUTION
The Personal Representative proposes distribution of the Total Balance for Distribution to the
following heirs as described:
Name/Address
Inheritance
Value/Amount
Larry E. Moul
Box 100
Plainfield, P A 17081
50% of Rest, Residue
and Remainder of Estate
$48,932.48
Marlin E. Moul
204 Whickford Road
Havertown, P A 19083
50% of Rest, Residue
and Remainder of Estate
$48,932.47
TOTAL DISTRIBUTED $97.864.95
E X H I BIT "e"
9
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DIEHL CRAIG A
3464 TRINDLE ROAD
CAMP HILL, PA 17011
____u__ fold
ESTATE INFORMATION: SSN: 222-' 0-3856
FILE NUMBER: 21-2001- 0677
DECEDENT NAME: MOUL EDWARD M
DATE OF PAYMENT: 11/15/2001
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 07/04/2001
NO. CD 000528
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $312.02
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
$312.02
REMARKS: LARRY E MOUL
C/O CRAIG A DIEHL
CHECK# 101
SEAL
INITIALS: SK
RECEIVED BY:
REGISTER OF WILLS
MARY C. LEWIS
REGISTER OF WILLS
RE'J.t500EX(&OOI
#j, /0 ---;)11-13
REV.1500
c
s(
'* COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
OEPT. 280601
. HARRISBURG, PA 17128-0601
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
2 1 -~.L
cOUNTY CODE YEAR
~~.2.....L.L
NUMBER
DECEDENTS NAME (LAST, mST, AND MIDDLE INITIAL)
I-
Z MOUL, EDWARD M.
~ OATE DF DEATH (MM-DD-YEAR) OATE DF BIRTH (MM-DDYEAR)
~ 07-04-2001 10-14-1916
W (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, ARST, AND MIDDLE INITIAL)
Q
SOCIAL SECURITY NUMBER
222 - 10
3856
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
W
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[Xl 1. Original Retum
D 4, Limited Estate
[K] 6. Decedent Died Testate {Attach copy of wun
o 9. litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (datfl at cIealh aI1er 12.12-t2)
o 7. Decedent Maintained a Living Trust (~copy DfTnJst)
o 10. Spousal Poverty CreditCdaleofde8ttlbelMBl12-31.91Indl-1.a5)
o 3. Remainder Retum {daleofll8alh priotlo 12-13-82)
o 5. Federal Estate Tax Return Required
..Q.. 8. Total Number of safe Deposit Boxes
011. Election totaxuooerSec. 9113(A)j~SchO)
...
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THIS SECllON MUST BE COMPLETED. ALL CORRESPONDENCE AND CDNFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
CRAIG A. DIEHL ES UIRE CPA
FIRM NAME I'_~
LAW OF~'ICES OF CRAIG A. DIEHL
TELEPHONE NUMBER
(717) 763-7613
3464 TRINDLE ROAD
CAMP HILL, PA 17011-4436
1. Real Estate (Schedu~ AI (1) $ -0-
2. S10cks end Bonds (Schedule B) (2) $ 53,298.89
3. Closely Held Corporation, Partnership or SoIe-Proprietorship (3) $ -0-
4. Mortgages & Notes Receivable (Schedule D) (4) $ -O-
S. Cash, Bank. Deposits & Miscellaneous Personal Property (5) $ 71,629.91
Z (Selled"e E)
0 6. Joi~ Owned Property (Schedule F) (6) $ -0-
~ o Separate BiU;ng Requested
;:) 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property m $ -0-
I- (Selledule G or L)
0: $ 124,928.80
<( 8. Total Gross Assets (total lines 1-7) (B)
U 9. Funeral Expenses & Administrative Costs (Schedule H) (9) $ 17,234.38
W
It: $ 5,442.45
10. Debts of Deoedenl, Mortgege Liarnlities, & Liens (Selledule I) (10)
11. TolalDeductions (total lines 9 & 10) (11) $ 22,676.83
12. Net Value of Estate (line 8 minus Une 11) (12) $ 102,251.97
13. Charitable and Governmental BequestsfSec 9113 Trusts for which an election to tax has not been (13) -0-
made (Selledu~ J)
14. Net Value Subject to Tax (Woo 12 minus Line 13) (14) $ 102,251.97
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPUCABLE RATES
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15. Amount of Line 14 taxable at the spousal tax -O-
rate, or transfers under Sec. 9116 (a)(1.2) x.O_ (15)
16. Amount of Line 14 taxable at lineal rate $ 102,251. 97 x.O i2. (16)
17. Amount of Line 14 taxable at sibling rate -O- x .12 (17)
18. Amount of Line 14 taxable at collateral rate -O- x .15 (lB)
19. Tax Due (19)
$
-0-
4,601.34
-0-
-0-
4,601.34
$
20.0
CHECK HERE IF YOU ARE REOUESTING A REFUND OF AN OVERPAYMENT
>>BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
Decedent's Complete Address: ESTATE OF EDWARD M MOUL
FILE NO 21-01-00677
. .
STREET ADDRESS SARAH TODD MEMORIAL HOME
1000 W. SOUTH ST.
CITY CARLISLE T STATE PA I ZIP 17013
Tax Payments and Credits:
1. Tax Due (Page Hine 19)
2. CreditslPayments
A. Spousal Poverty Credit
B. Prior Payments $
C. Discount $
3. interesUPenalty if applicable
D.lnlerest
E. Penalty
(I)
4,075.00
214.32
Total Credits (A+ B + C) (2)
TotallnteresUPenally ( 0 + E ) (3)
4. ~ Line 2 is greaterthan Line 1 + Line 3, enler the difference. This is the OVERPAYMENT.
Check box on Page tllne 20 to requeste refund (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(5)
(SA)
A. Enter the interest on the tax due.
$
4,601. 34
$
4,289.32
$
-0-
-0-
312.02
-0-
312.02
8. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58)
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
a. retain the use or mcome of the property transfOlTed;.......................................................................................... 0
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0
c. retain a reversionary interest; or..............................................................,........................................................... 0
d. receive the promise for life of either payments, benefits or care? .................................,.................................... 0
2. ~ death occurred after December 12, 1982, did decedent transfer property ",thin one year of death
",Ihout receMng adequate consideration? ....................... ................................................................................... . 0
3. Did decedent own an "in trust fo~ or payable upon death bank acoount or security at his or her death? .............. 0
4. Did decedent own an individual Retrement Account, annuity, or other non-probate property which
contains a beneficiary designaton? ........................................................................................................................ 0
No
IlQ
IKl
IX]
IlQ
IKl
IZJ
IZJ
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND ALE IT AS PART OF THE RETURN.
Uodar penalties of perjury, I datlal'9 that I have elCarnined this I'BbJm, roudi'll acmmpan)V1g schedules end statements, and to the best of my knowledge and belief, d is true, colTllCt
and complete.
Dedar8tIon of P other than the personal18presentlltive Is based on alllnfonnatlon of which prepslei' has any knowledge.
SIG T F PER SPONSIB FOR FILING RETURN
U f.C-
TRINDLE ROAD, CAMP HILL, PA 17011-4436
DATE
/1 2. . I
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for Ihe use of the surviving spouse is 3%
[72 ~S. 99116 (a) (1.1) (i)].
For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to or for Ihe use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)].
The statute does not exemnt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a lax 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 twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparenl of the child is 0% [72 P.S. ~9116(a)(1.21l.
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiartes is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. 99116(a)(I)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [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.
""'.''''EX.''.''".
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
EDWARD M. MOUL
FILE NUMBER
21-01-00677
ESTATE OF
All property jointty~wned with right of survivorship must be disclosed on- Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
$ 834.40
CODORUS VALLEY BANCORP STOCK
56 SHARES @ $14.90/SHARE
2.
P. H. GLATFELTER CO. STOCK
100 SHARES @ $13.40/SHARE
$ 1,340.00
3.
FRANKLIN TEMPLETON FUNDS
7551.623 SHARES @ $6.77/SHARE
$ 51,124.49
TOTAL (Also enter on line 2, Recapitulation) $
(If more space ~ needed, insert add.ional sheets o!the same size)
53,298.89
R""'''''EX''''"''*
COAflvlONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESlOENi DECEDENT
ESTATE OF
(PAGE 1 OF 2)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FI~E NUMBER
EDWARD M. MOUL
21-01-00677
IIlCIu<l. th. pro<:ee<ls cf liIig.tioo and lhe d8\e th. proteeds..... reteNed by \he .s\8\e. All property jointly-owned wllh the right of suNlvorship must be disclosed on Schedul. F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. BANK OF HANOVER - CERTIFICATE OF DEPOSIT $ 1,073.87
ACCOUNT NO. 1321316
DATE OPENED - 2/28/85
ACCRUED INTEREST- $22.41
PRINCIPAL AMOUNT - $1,051.46
2.
3.
4.
5.
6 .
7.
8.
9.
10.
FARMERS FIRST BANK - CHOICE 50 CHECKING
ACCOUNT NO. 4101362906
DATE OPENED - 9/26/85
$
9,626.40
FARMERS FIRST BANK - SAVINGS ACCOUNT
ACCOUNT NO. 4101362920
DATE OPENED - 8/28/78
ACCRUED INTEREST - $0.13
PRINCIPAL AMOUNT - $1,667.29
FARMERS FIRST BANK - CERTIFICATE OF DEPOSIT
ACCOUNT NO. 4117362730
DATE OPENED - 5/28/99
ACCRUED INTEREST - $45.91
PRINCIPAL AMOUNT - $8,820.00
$
1,667.42
$
8,865.91
PEOPLESBANK - CERTIFICATE OF DEPOSIT
ACCOUNT NO. 300080430
DATE OPENED - 8/5/97
ACCRUED INTEREST - $32.42
PRINCIPAL AMOUNT - $1,232.60
$
1, 265. 02
LEGG MASON MONEY MARKET
ACCOUNT NO. 371-00632
DATE OPENED - 11/10/92
$
1,761.67
LEGG MASON
HARTFORD LIFE CRC ANNUITY CONTRACT
ACCOUNT NO. 127982
$ 12,045.39
MONY LIFE INSURANCE COMPANY
FLEXIBLE PAYMENT VARIABLE ANNUITY
CONTRACT NO. B6069475
$ 21,503.65
SARA TODD - REFUND FROM NURSING HOME
$ 4,166.20
$ 1,840.38
WETZEL FUNERAL HOME - REFUND FROM PREPAID
BURIAL FUND
TOTA~(J'Jsoent.ron line 5, R.caprtulation) $ CONTINUED
(If more space m needed, insert additional sheets of the same size)
SCHEDULE E
CASH, BANK DEPOSITS, & MISe.
PERSONAL PROPERTY
(PAGE 2 OF 2)
ESTATE OF EDWARD M. MOUL
FILE NO. 21-01-00677
I ITEM I I I
NO. DESCRIPTION VALUE
II. SALOMON SMITH BARNEY FINANCIAL $ 814.00
MANAGEMENT ACCOUNT NO. 639-00119-11
12. LEGG MASON CERTIFICATE OF DEPOSIT $ 7,000.00
ACCOUNT NO. 371-00452-1-6
TOTAL SCHEDULE E $ 71,629.91
'EV''''''''''''''''.
COMMONVoJEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(PAGE 1 OF 2)
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
EDW ARD M. MOUL
FILE NUMBER
21-01-00677
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. WETZEL FUNERAL HOME, INC. - FUNERAL BILL $ 7,066.00
2. WONDER MEMORIALS - TOMBSTONE/INSCRIPTION $ 875.00
3 . TRINITY LUTHERAN CHURCH - FUNERAL LUNCHEON $ 200.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative s Commissions
Name of Personal Representative (5) LARRY E. MOUL $ 5,500.00
Social Security Number(s) I EIN Number of Personal Representative{s)
Street Address BOX 100
City PLAINFIELD State PA Zip 17081
Year(s) Commission Paid: 2001
2. Attorney Fees - LAW OFFICES OF CRAIG A. DIEHL $ 3,000.00
3. Famly Exemption: (If decedent s address is not the same as claimant 5, attach explanation)
Claimant
Street Address
City Slale Zip
Relationship of Claimanllo Decedent
4. Probate Fees - REGISTER OF WILLS, CUMBERLAND COUNTY $ 264.00
5. Accountant s Fees
6. Tax Return Preparers Fees
7. LAW OFFICES OF CRAIG A. DIEHL - REIMBURSEMENT OF $ 3.94
CERTIFIED MAIL COSTS FOR DEPT. OF PUBLIC WELFARE
8. CUMBERLAND LAW JOURNAL - ESTATE ADVERTISEMENT $ 75.00
9. THE SENTINEL - ESTATE ADVERTISEMENT $ 90.59
10. LARRY E. MOUL - MILEAGE REIMBURSEMENT FOR $ 113.85
EXECUTOR DUTIES
1l. REGISTER OF WILLS, CU~~~~~~~ COUNTY - $ 9.00
,
TOTAL (Also enter on line 9, Recapitulation) $ CONTINUED
(If more space is needed, insert additional sheets of the same s~e)
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
(PAGE 2 OF 2)
ESTATE OF EDWARD M. MOUL
FILE NO. 21-01-00677
I ITEM I I I
NO. DESCRIPTION AMOUNT
12. M & T BANK - ESTATE CHECKING ACCOUNT $ 5.00
SERVICE FEES
13. REGISTER OF WILLS, CUMBERLAND COUNTY $ 15.00
- FILING FEE FOR PENNSYLVANIA
INHERITANCE TAX RETURN
14. ORPHANS' COURT, CUMBERLAND COUNTY- $ 17.00
FILING FEE FOR F AMIL Y SETTLEMENT
AGREEMENT
I TOTAL SCHEDULE H I $ 17,234.381
"".'''''''.'''".*
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
FILE NUMBER
21-01-00677
EDWARD M. MOUL
Include unreimbul$Od medical expenses.
ITEM
NUMBER
DESCRIPTION
1.
PHARMERICA - PHARMACY BILL
$
$
AMOUNT
486.70
2.
SARAH TODD - NURSING HOME BILL
4,955.75
TOTAL (Also enter on line 10. Recapitulation) S
(If more space ~ needed, insert additional sheets of the same size)
5,442.45
"""""".''''''"1.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
21-01-00677
EDWARD M. MOUL
NUMBER
1.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS (include outnght spousal distributions)
RELATIONSHIP TO DECEDENT
Do Not Ust Trustee(s)
1. LARRY E. MOUL
BOX 100
PLAINFIELD, PA 17081
SON
2. MARLIN E. MOUL
204 WHICKFORD ROAD
HAVERTOWN, PA 19083
SON
AMOUNT OR SHARE
OF ESTATE
50% OF ESTATE
50% OF ESTATE
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARrrABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
1Uttgt !lill ttnb (U,z,gttt1tlznt
OF
EDWARD M. MOUL
I, EDWARD M. MOUL, of the Borough of Spring Grove, York
County, Pennsylvania, being of sound and disposing mind, memory and
understanding, do make, publish and declare this to be my Last Will
and Testament, hereby revoking and making void all previous wills
and Codicils heretofore made by me.
FIRST
The expenses of my last illness and funeral shall be paid from
the property of my estate.
SECOND
I give, devise and bequeath the rest, residue and remainder of
my estate, together with all insurance proceeds thereon of
whatsoever nature and wheresoever situate in equal shares to my
sons, LARRY E. MOUL and MARLIN E. MOUL, who survive me by thirty
(30) days, per stirpes.
THIRD
No interest of any beneficiary of my estate, either in income
or in principal, shall be subj ect to anticipation or pledge,
assignment, sale or transfer in any manner, nor shall any
PAGE 1 OF 2
LAST WILL AND TESTAMENT OF EDWARD M. MOUL
beneficiary have the power in any manner to charge or encumber his
or her interest either in income or principal, nor shall the
interest of any beneficiary be liable or subject in any manner
while in the possession of my personal representative for the
liability of such beneficiary.
FOURTH
I nominate, constitute and appoint my son, LARRY E. MOUL, as
personal representative of this my Last Will and Testament. In the
event my son, LARRY E. MOUL, is deceased, unable or unwilling to
serve or shall cease to serve for any reason whatsoever, then I
nominate, constitute and appoint my son, MARLIN E. MOUL, as
personal representative of this my Last Will and Testament. I
direct that my personal representative shall not be required to
give or post bond for the faithful performance of his duties in
this or any other jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand to this my Last
Will and Testament this 20th day of January, 1999.
WITNESS:
/1. lc '
. n. \ I
\""""fU i '"d!.
(I,
(j~ . L
E6W~ M /~our;.Il-6i.L{!;
(
.-'
';or j<) "r
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r'
1:,)/7 ~,., /
,. 1~,.\'.Pt.- o-i,;>{.1'.--...
,/
PAGE 2 OF 2
LAST WILL AND TESTAMENT OF EDWARD M. MOUL
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF YORK
I, EDWARD M. MOUL, the Testator whose name is signed to the
attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and executed
the instrument as my Last will and Testament; that I signed it
willingly, and that I signed it as my free and voluntary act for
the purposes therein expressed.
1e~ ~l'%'~<'A"t6
iF','t, M. MOUL
Sworn or affirmed and acknowledged before me by EDWARD M.
MOUL, the Testator, this 20th day of January, 1999.
J-ti~~~1Z
--NOTARY--PUBLIC
. ,I
NOTARIAL SEAL
HELEN E. RASMUSSEN. Nol8ly Public
Camp Hill Borough, Cumberland County
My Commi~~!.~~_~xpi.r:'s Aug. 2. 1999
LAST WILL AND TESTAMENT OF EDWARD M. MOUL
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF YORK
WE,
(~.,'j A. bi,t)
and
......,...
"-. "
.1U:)O..l-'1
~
1-
'- .
,r)_~ .
f'\cfJ-11f l!
I
the witnesses whose names are attached to the foregoing document,
being duly qualified according to law, do depose and say that we
were present and saw Testator sign and execute the instrument as
his Last will and Testament; that he signed willingly and that he
executed it as his free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight
of the Testator signed the Last Will and Testament as witnessed and
that to the best of our knowledge the Testator was at the time 18
or more years of age, of sound mind and under no constraint or
undue influence.
C~r (J!J:,1
?/;,(."X})1 .
n
......
I' /)
.,~/}' '-'//1'1 I
(./1.'/-''-' '~"_
- (1 I
Sworn or affirmed
>, - I
, ),,' /'1
and
and subscribed before
" ')
,-) [.( \11/1 r:~,(tfl'u..y
me
by
(11'"(,1,'(.1 .4.
v
this 20th day of
January, 1999.
_.Ji/2?
NOTARY--PUBLIC
NOTARIAL SEAL
HELEN E. RASMUSSEN. Notary Public
Cornp Hill Borough, Cumbe~.nd County
UyCommission Expires Aug. 2, 1999
o
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Edward M. Mou1
Date of Death:
07-04-2001
Will No.
21-01-00677
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes X No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No X
b. The separate Orphans' Court No. (if any) for
the personal representative's account is: N/A
c. Did the personal representative state an
account informally to the parties in interest? Yes X No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
ig~alJ~
Signa re
Date: December 11, 2001
......
()
IV)
q
('oJ
0...
Craig A. Diehl, Esquire
Name (Please type or print)
3464 Trind1e Road
Camp Hill, PA 17011-4436
Address
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Tel. No.
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Capacity:
Personal Representative
X _~ounsel for personal
representative
(l1AH: rmt / AM3)
RW-27
/ & _ J,.'-/ <j-J /3
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z806Dl
HARRISBURG, PA 171Z8-0601
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
Recore:.:.
Registc:
DATE
ESTATE OF
DATE OF DEATH
06 FILE NUMBER
P12 : COUNTY
ACN
'02 JAN -4
CRAIG A DIEHL ESQ
C A DIEHL LAW OFFICES
3464 TRINDLE RD
CAMP HILL
Clerk"
PA 17~mb€rla:';c,
, P/\
12-31-2001
MOUL
07-04-2001
21 01-0677
CUMBERLAND
101
'*
~(
C/
REV-1547 EX AFP 112-DDl
EDWARD
M
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV =is'4-j-EX--AFP-ri'2-:o0Y-NOTicE--OF-YNHER-iTAifcE-TAx-jrppRjrisEMENi':--AL1-owANcE-cfi------------ -----
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MOUL EDWARD M FILE NO. 21 01-0677 ACN 101 DATE 12-31-2001
TAX RETURN WAS: (X) ACCEPTED AS FILED
CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
53,298.89
.00
.00
71.629.91
.00
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tax
17,234.38
5.442.45
(11)
(12)
(3)
(4)
(9)
UO)
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
124,928.80
??676 83
102,251.97
.00
102,251.97
NOTE: If an assessment was issued previoUSly, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate (15)
16. Allount of Line 14 taxable at Lineal/Class A rate (16)
17. Allount of Line 14 at Sibling rate (17)
18. Allount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
TAX CREDITS:
.00 X 00 = .00
102,251.97 X 045 = 4,601.34
.00 X 12 = .00
.00 X 15 = .00
(9)= 4,601.34
PAYHENT Kt.CEIPT DISCOUNT (+) AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
09-27-2001 CDOO0323 214.47 4,075.00
11-15-2001 CDOO0528 .00 312.02
TOTAL TAX CREDIT 4,601.49
BALANCE OF TAX DUE .15CR
INTEREST AND PEN. .00
TOTAL DUE .15CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
... RFFUNn_ SFF RFUFRSF STnF OF THTS FORM FOR TNSTRII~TTONc::. 1