HomeMy WebLinkAbout01-0834
REV-1162 EX(11-96)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 2B0601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 000241
RECEIVED FROM:
IRWIN ROGER B ESQ
60 W POMFRET ST
CARLISLE, PA 17013
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
___nn_ fold
101
$548.40
ESTATE INFORMATION: SSN: 201-1 8-9489
FILE NUMBER: 21-2001- 0834
DECEDENT NAME: STEVENS F ROSALIE
DATE OF PAYMENT: 09/07/2001
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 06/08/2001
TOTAL AMOUNT PAID:
$548.40
REMARKS: ROGER B. IRWIN, ESQ.
CHECK# 145
INITIALS: VZ
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
SEAL
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
\./'7-6- /
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG, PA 171Z8-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
'~cbUNTY
ACN
10-22-2001
STEVENS
06-08-2001
21 01-0834
CUMBERLAND
101
ROGER B IRWIN ESQ
IRWIN HAL
60 W POMFRET ST
CARLISLE PA 1701~
'*'
REV-1547 EX AFP <12-00)
ROSALLE
F
Allount Rellitted
) CHANGED
(1)
(2)
(3)
(4)
(S)
(6)
(7)
.00
.00
.00
.00
3.529.20
29.770.49
.00
(8)
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=iS4'-EX-AFP-fi'2=OOY-NOYiCE--OF-YNHEifiTANCi-YAX-APPRAisEMENi'-,--AL1-oWANci-oi-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF STEVENS ROSALLE F FILE NO. 21 01-0834 ACN 101 DATE 10-22-2001
TAX RETURN WAS: (X) ACCEPTED AS FILED
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. Mortgages/Notes Receivable (Schedule D)
S. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(9)
(10)
20.426.00
45.70
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage 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
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ~ returns assessed to date.
ASSESSMENT OF TAX:
IS. Allount of Line 14 at Spousal rate (lS)
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
NOTE:
.00 X
12,827.99 X
.00 X
.00 X
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
33,299.69
(11)
(12)
(13)
(14)
20.471 70
12,827.99
.00
12,827.99
00 =
045 =
12 =
15 =
.00
577.26
.00
.00
577 .26
(19)=
TAX CRr.DITS:
PAYMENT REa-IPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
09-07-2001 CDOO0241 28.86 548.40
TOTAL TAX CREDIT 577.26
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
e:
OFFICIAL USE ONL Y
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
/1- 0 - ,
~3~
REV-l~OOEX >(6-00)
FILE NUMBER
21-01-
o
E
C
E
o
E
N
T
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG. PA 17128-0601
DECEDENT"S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Stevens F. Rosalie
DATE OF DEATH (104M-DO-YEAR)
SOCIAL SECURITY NUMBER
201-18-9489
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
COUNTY CODE
YEAR
NUMBER
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
X 1. Original Return 2. Supplemental Return 3. Remainder Return p~r~~ to; ?2e_a{~_82)
CAPB 4. Limited Estate 4a. Future Interest Compromise (date of death after 12-12-82) 5. Federal Estate Tax Return Required
HpRL X 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
EplO
CRAC (Attach copy of Will) (Attach copy of Trust)
KOTK o 9. Litigation Proceeds Received 010. 0 11. Election to tax under Sec. 91131A!
ES Spousal Poverty Credit
C P
o 0
R N
R 0
E E
S N
T
(date of death between 12-31-91 and 1-1-95) (Attach Sch 0)
.i.;'tHI$.$EC'11Q1f'MU$'Jt{jlF;l;~MP,l..S'l'EQl'~~jt'COAFEW.~CiF;l'I'~~j~~.!{~..IHFQ8M~'I'It)N.$f(OtJJ,;D.jE.DIRECTE[).TO:
NAME COMPLETE MAILING ADDRESS
Ro er B. Irwin Es .
FIRM NAME (If Applicable)
60 West Pomfret Street
West Pomfret Professional Bldg.
Carlisle, PA 17013
IRWIN McKNIGHT & HUGHES
TELEPHONE NUMBER
R
E
C
A
P
I
T
U
L
A
T
I
o
N
71 249-2353
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or
Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule 0)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or Ll
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(8) 33,299.69
(11 ) 20,471.70
(12) 12,827.99
(13)
(14) 12,827.99
(1)
(2)
(3)
None
None
None
OFFICIAL USE ONLY
(4)
(5)
None
3,529.20
(6)
29,770.49
None
20,426.00
45.70
C
o
M
T P
A U
X I
T
I
o
N
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116(aX 1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
20.
x .0 0 (15)
12,827.99 X .0 45 (16)
X .12 (17)
X .15 (18)
(19)
0.00
577 . 26
0.00
0.00
577.26
"~.PFiu,,(')~"~Av"'~mU':
NflEVal$~SlQEANO.TO'~<:HE~'."'ATH ..~..<
Copyright (c) 2000 form sottwa:e only The Lackner Group, Inc,
Form REV-1500 EX (P.ev. 6-00;
'REV -1508 Ei.X . (1-97)
COMMONWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
F. Rosalie Stevens SS# 201-18-9489 06/08/2001 21-01-
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of
survivorship must be disclosed on Schedule F.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ITEM
NUMBER
1
DESCRIPTION
Church of God Home, refund security deposit
VALUE AT DATE
OF DEATH
3,029.20
2
Personal property
500.00
TOTAL (Also enter on line 5, Recapitulation) $ 3,529.20
(If more space is needed, insert additional sheets of the same size)
Copyright (e) 1996 form software only CPSystems, Inc. Form REV-15G8 EX (Rev. 1-97)
REV-1509 E>l . (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
F. Rosalie Stevens
SCHEDULE F
JOINTL V-OWNED PROPERTY
SS# 201-18-9489
06/08/2001
FILE NUMBER
21-01-
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
A.
SURVIVING JOINT TENANT(S) NAME
Richard A. Twaddle
ADDRESS
710 Hamilton Street
Carlisle, PA 17013
RELATIONSHIP TO DECEDENT
son
B.
c.
JOINTLY -OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH
ITEM FOR JOINT MADE Include name of financial institution and bank DATE OF DEATH DECD'S VALUE OF
account number or similar Identifying number.
NUMBER TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1 A 07/18/96 Cornerstone Federal Credit 1,246.05 50.00% 623.03
Union, savings
2 A 07/18/96 Cornerstone Federal Credit 13,245.44 50.00% 6,622.72
Union, certificate
3 A 07/18/96 Cornerston Federal Credit 2,852.85 50.00% 1,426.43
Union, money market
4 A 07/18/96 Cornerstone Federal Credit 2,708.92 50.00% 1,354.46
Union, certificate
5 A 07/18/96 Cornerstone Federal Credit 2,650.12 50.00% 1,325.06
Union, certificate
6 A 07/18/96 Cornerstone Federal Credit 2,607.26 50.00% 1,303.63
Union, certificate
7 A 07/18/96 Cornerstone Federal Credit 2,664.92 50.00% 1,332.46
Union, certificate
8 A 07/18/96 Cornerstone Federal Credit 2,656.71 50.00% 1,328.36
Union, certificate
9 A 07/18/96 Cornerstone Federal Credit 5,882.86 50.00% 2 , 941. 43
Union, certificate
10 A 07/18/96 Cornerstone Federal Credit 5,984.37 50.00% 2,992.19
Union, certificate
Tota 1 of Contim. ation Schedule(s) 8,520.72
TOTAL (Also enter on line 6, Recapitulation) $ 29,770.49
(If more space is needed insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc.
Form REV-1509 EX (Rev. 1-97)
Estate of: F. Rosalie Stevens
Soc Sec #: 201-18-9489
Date of Death: 06/08/2001
Item Ltr for
# Jt Ten
Date
Joint
Description of property
Continuation of Schedule F
(Jointly Owned Property)
Total Val
of Asset
Decds
% Int
Dollar Val of
Decds Interest
11
A
8,520.72
07/18/96 M&T Bank, checking
17,041.44
50.00%
8,520.72
REV-1511 E)<+(1-97)
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
F. Rosalie Stevens
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) / EIN Number of Personal Representative(s)
Street Address
City State Zip
B.
2.
3.
FILE NUMBER
21-01-
SSiI 201-18-9489
06/08/2001
DESCRIPTION
AMOUNT
1
FUNERAL EXPENSES:
Geisel Funeral Home
10,346.00
2
Lincoln Cemetery
400.00
3
Shull-Koontz, grave monument
4,165.00
Year(s) Commission Paid:
Attorney's Fees IRWIN McKNIGHT & HUGHES
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Richard A. Twaddle
Street Address 710 Ham i 1 ton St.
City Carlisle State PA Zip17013
Relationship of Claimant to Decedent son
2,000.00
3,500.00
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
1
Other Administrative Costs
Register of Wills - filing fee
15.00
TOTAL (Also enter on line 9, Recapitulation) S 20,426.00
(If more space is needed, insert additional sheets of the same size)
CoPyrl9ht (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97)
'REV-1512 El< + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
F. Rosalie Stevens
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, AND LIENS
SSff 201-18 - 9489
06/08/2001
FILE NUMBER
21-01-
Include un reimbursed medical expenses.
ITEM
NUMBER
1 Brockie Pharmatech
DESCRIPTION
AMOUNT
45.70
TOTAL (Also enter on line 10, Recapitulation) S 45.70
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1512 EX (Rev. 1-97)
REV-1SI3 fiX +(9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
F. Rosalie Stevens
SCHEDULE J
BENEFICIAR IES
SSif 201-18 - 9489
06/08/2001
FILE NUMBER
21-01-
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
1
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal distributions, and
transfers under Sec. 9116(aXl.2)]
Richard A. Twaddle
710 Hamilton Street
Carlisle, PA 17013
Son remainder
NUMBER
I.
ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON- TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
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, insert additional sheets of the same size)
CopyrIght (c) 2000 form software only The Lackner Group. Inc.
0.00
Form REV-1513 EX (Rev. 9-00)
la$t 1llitill aM QIt $ lattttltt
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t:~,'l(J (.,
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J.ve, dev~s0 ~~lld ~P'J
:th ~ll of rny estate, o~ ever~; llature
?~Dd ;--:;c'r~I_-"~1
~~~ i t U2 t e t (J E i ~ 1: S~) :~~
~~;i2,jdle .
:1 !v;:ntr~ate .'1[1<:] .'lrr'Dir:.'.' ~~~Cl)al""d /\. .!'i,v8.,jclle, to be the executG!~
of t:l2.::.' n'
st T:.;ill -'1(1,1 t~::)t2:'~'?::. , Il~: j.=:, to serve as such ~;;Tithout
ton~l.
1,-:~ (lie b(--;('.J1"-'
,1,"-,th., 1"?nOUIlC9 or refuse to
serve for
any r0~2crl, nl' die leavin~ any of ~j estate unadministered, I nominate
and a~' it:!.-
,C\er 5. Ir"'.<jn, ~l~~ :-::'.1l'2+:"itu+--,e ~;xecutor, also to se~?pqs
Sl]I'~ll -//JL1'j )U', ~r()nd, "(/lit}l the ~~ar~p fv).::ers a~~ ;1rc ~iven herein to T:-!V
executor.
5. r \1'''',:,by sUGGest that rn-i personal repl'esent~tive retain the
servicps 'If Irwin. Irw1.n & [rw~n as attorneys in the settlement o~
my estat0.
1'1 ',HTIII\:-',~; \^IHEREOF, T iJa'ic: !-,c:reunto set my hand and seal this
q~ d:,/
f' /\ U;~U~-3 t, 1 ~'17 I").
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__---:--.,,-..-1 /( .C:-f -? L (...- /' "'- _It. ',/ L.
. ~.\qOSALIE STEVFNS
/
, ,
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:.:.lr\ncll, ;~{-=>~lled, pullll~~h(>(! 'I.nJ rJeclared h,\T P. Rosali'2 Stevens.. th~
t8stiltr.Lx ai' 'IC: n:llTlecJ, as ,1,nrJ ["ll' hc:r 1;\s1; \'1',11 and test:1fT1ent, In the
presence 01' u:'., who at her reque:;i;, in her nresence and in the presence
of cae}, other Ilave sutJ,.cf'ihed Gur no.meS'lS w'Ltnesses hereto.
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MY COMMI,c;lUt, L\/'IRES O(;r. 3, 1980
r:
CORNERSTONE
Fed e r ,) I c: r (' cl i t U 11 I () 11
Member founded - Service based
August 8, 206tJG 0 S 2001
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Roger B. Irwin
Irwin McKnight & Hughes
60 West Pomfret Street
Carlisle, Pii~ 17013
RE: Rosalie Stevens
S.S.#201-l8-9489
Dear Sir:
Per your request I am providing the following account information on the above referenced member.
The account was opened 7/18/96 as a Joint account in the names of Rosalie F. Stevens and Richard A.
Twaddle. A Power of Attorney naming Richard A. Twaddle was filed 8/29/00.
See attached ledger for account information.
Please call if you require additional information.
Sincerely,
~~~
Operations Representative
MEMBER SAVINGS ACCOUNTS FEDERALLY INSURED TO $100,000 BY THE NATIONAL CREDIT UNION ADMINISTRATION
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rlM&fBank
'ACCOUNT .NO.
ACCOUNT TYPE
STATEMENT PERIOD
PAGE
2676046135
CLASSIC CHECKING
JUN.02-JUL.03,2001
1 OF 1
00 3 04334M M 021
11552
F ROSALIE STEVENS
RICHARD A TWADDLE
710 HAMILTON ST
CARLISLE PA 17013-1520
NOBLE BOULEVARD
BEGINNING DEPOSITS & OTHER CURRENT ENDING
BALANCE OTHER ADDITIONS CHECKS PAID SUBTRACTIONS INTEREST PD BALANCE
NO. I AMOUNT NO. I AMOUNT NO. I AMOUNT
17,041.44 01 0.00 31 10,791.70 o I 0.00 0.00 6,249.74
ACCOUNT SUMMARY
POSTING DEPOSITS, INTEREST CHECKS & OTHER DAILY
DATE TRANSACTION DESCRIPTION & OTHER ADDITIONS SUBTRACTIONS BALANCE
;
06-02-01 BEGINNING BALANCE $17,041.44
, 06-15- 01 CHECK NUMBER 2299 10,346.00 6,695.44
06-21-01 CHECK NUMBER 2300 400.00 6,295.44
07-02-01 CHECK NUMBER 2301 45.70 6 ,249 . 74
ENDING BALANCE $6,249.74
ACCOUNT ACTIVITY
CHECKS PAID SUMMARY
2299 06-15- 01
10,346.00
2300 06-21- 01
400.00
2301 07-02-01
45.70
FULL-TIME AND PART-TIME EMPLOYMENT OPPORTUNITIES ARE AVAILABLE IN CUSTOMER SERVICE, SALES, AND
OPERATIONAL AREAS OF THE BANK. FOR IMMEDIATE CONSIDERATION, PLEASE APPLY ON OUR WEBSITE AT
WWW.MANDTBANK.COM OR PICK-UP AN APPLICATION AT ANY LOCAL BRANCH OFFICE.
Name-!2L~LLR.::iJ---Ll_:Z;(/ /;LJ)LJ 1 ~
Address 7 101m /Y) / L /(LLL~Z_-~ I .t c. E
Phone :JLf~)- &~~________________ fJA
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SHULL-KOONTZ
130 East Queen 8t.
Chambersburg, PA 17201
Phone: 717-264-6916
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Monument ,::) -
Slant
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Grass Marker
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Design f.. ) - (j 9
USE ju./()
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take full responsibility for the
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accuracy of the above spellings and dates.
Check How to Letter
Letter this way - opposite
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Set
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Date JuLY /J_ ;~_b/
Zip ~.i.S____
Contract Work Per Hr.
Corner Post:}. 0
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Kind of Granite '!
Cemetery J-LJ... ( C!!... () L ____
Name on Back
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S- .L.
FOUNDATION
WARRANTY
ORD
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POS
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VAS
POSTS
GARS
COM.
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.unitpriCe$ Lj / ~~ ~lowerVase$ Corner Post $ Total $$0 0
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I agree that said memorial, with title thereto and right of possession thereof, shall remain your personal property until I have paid for it in
full. In default of any payment hereunder, I license you to repossess and remove the said memorial, without guilt or trespass or other wrong,
and authorize and empower you, in my name and on my behalf. to apply to the management of said cemetery or other premises for a permit
for lis removal and to take any other steps you may deem necessary or expedient and further agree to save you harmless from any entry,
repossession and removal; you may then retain said memorial or dispose of it at your own discretion without being answerable to me for it
or for any proceeds therefrom.
Orders not subject to cancellation. All contracts contingent upon strikes, accidents, and other causes beyond our control.
I understand that 60 days after placement of the memorial a FINANCE CHARGE will be entered on the billing date. It is computed by a
periodic rate of 1 Y2% per month which is an annual percentage rate of 18% applied to the previous balance before deducting credits.
payments, or adding purchases appearing on this statement. To avoid FINANCE CHARGE pay the "New Balance" before the billing date
next month.
I AGREE THAT ALL LETTERING AND DATES GIVEN ON ABOVE ORDER ARE CORRECT.
I ALSO .HAVE BEEN INFORMED AND UNDERSTAND THAT THERE WILL BE A CHARGE FOR ANY LETTERING DONE AFTER THE
MEMORIAL IiAS'BEEN ERECTED IN THE CEMETERY.
~ ALSO ACKNOWLEDGE THAT I HAVE BEEN GIVEN MY FOUNDATION GUARANTEE, IF APPLICABLE. ) ;;J./;/
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Thomas L. Geisel Funeral Home, Inc.
333 FALLING SPRING ROAD
CHAMBERSBURG. PENNSYLVANIA 17201
(717) 264-641 6
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Dollars
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For Funeral Expenses Of
Amount of Account
$
'100 (v
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o Cash
o Social Security
o VA Benefit
o Life Insurance
Thank You,
Balance Due
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Amount Paid
$
ORIGINAL 3765
ACCT. NO.
LAST BALANCE ~"fi\.JW.l' dD
o INTEREST
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SUB TOTAL
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Name of Deceased
CREDITS
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LESS PAYMENT /0 'J L1 /
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NEW BALANCE :.~~---=_~~
o CREDIT
CARD
THOMAS L. GIESEL FUNERAL HOME, INC.
o OTHER
No. 004102