HomeMy WebLinkAbout01-1036
~_7.-~r)_~7
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of: Marguerite Bowers No. ~J- 01- JOa<o
Also known as: To: Register of Wills for the
Deceased County of Cumberland in the
Social Security Number: 1214-24-8795 Commonwealth of Pennsylvania
The Petition of the undersigned respectfully represent that:
1.
Your Petitioner(s), who is/are 18 years or older app.lies for Letters of Administration
I-d-. b:n:-
(d.b.n.: pendente lite; durante absentia; durante minoriate)
on the Estate of the above decedent.
2.
Decedent at death was domiciled in Cumberland County, Pennsylvania, with her last family or principal
address at:
Street address City Municipality State Zip code
120 Ewe Road Mechanicsburg Lower Allen Township PA 17055
3.
Decedent, then 72 years of age, died on October 27, 2001
4.
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property $34,000.00
(If not domiciled in P A) Personal Property in Pennsylvania
(lfnot domiciled in PA) Personal property in County
Value of real estate in Pennsylvania $0.00
situated as follows:
5.
Petitioner after a proper search has ascertained that decedent left no will and was survived by the
following spouse (if any) and heirs:
Name Relationship Residence
Patricia G. Marshall Daughter 120 Ewe Road, Mechanicsburg, P A 17055
Louis G. Bowers, Jr. Son 3704 N.Charles Street, Baltimore, MD 21218
Robert J. Bowers Son 5318 E Street, Sacramento,CA 95819
WHEREFORE, Petitioner(s) respectfully request(s) the grant of Letters of Administration in the appropriate
form to the undersigned.
signatures
and
residences
of
petitioner(s)
120 Ewe Road, Mechanicsburg, P A 17055
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYL VANIA : SS
COUNTY OF CUMBERLAND : ~S
The Petitioner(s) above named swear(s) or affirm(s) that the statements in the foregoing petition
are true and correct to the best of the knowledge and belief of the petitioner (s) and that as personal
representative(s) of the above decedent, petitioner(s) will well and truly administer the estate according
to law.
'OM/LV. no. <t.:1 ~ CAr.. r-D. - 0 Q
No. 21-20u1-1036
Estate of
MARGUEFlTE BONERS
, Deceased
GRANT OF LETTERS OF ADMINISTRATION
AND NOW, November 13th ,2001, in consideration of the petition on the reverse side
hereof, satisfactory proof having been presented before me,
IT IS DECREED that II is entitled to Letters of Administration, and in accord with such fmding, Letters
of Administration are hereby granted to Patricia G. Marshall in the Estate of Marguerite Bowers.
Mary c.
~'~~)
~,
FEES
Probate, Letters, etc. $ 70.00
Short Certificate( s) 4 $ 12.00
Renunciation( s) 2 $ 10.00
Miscellaneous JCP $ 5.00
TOTAL $ 97.00
DIANE G. RADCLIFF, ESQUIRE
Supreme Court LD. # 32112
3448 Trindle Road, Camp Hill, PA 17011
Phone: (717) 737-0100
Fax: (717) 975-0697
Filed ~RY~~};.. .l.~.th. .20U 1............................
RENUNCIATION
21-2001-1036
In Re Estate of Marguerite Bowers
deceased.
To the Register of Wills of Cumberland:ounty, Pennsylvania.
The undersigned Louis Garfield Bowers, Son of
the above decedent, hereby renounce(s) ~e right to administer the estate and respectfully ask(s) that
dIn... \\ /.,
Letters of A lnlstratl~4 f --
be issued to Patricia G-..e Marshall
WITNESS
~..f.
'(
,
hand this 2~ day of ~ 0 l}.Q.. rv-.. ~
t ti 2001
~~?J~
3 ?6'f N.CHAR/e5 ~-f. . 6a 11e>. fJD. 'Z./GI8
(Addrnsl
(Sian.lurel
(AddrnSI
Subscribed and sworn to before me
this ~/1.c;( day of ~
AJ 2001.
(Siana.urel
(Addrnsl
(Si,nalurel
~P"':1 ~~
(Addressl
(Slanl, urel
NotJr;",! (~""'~:':
Debor~h L. D~nl~y,0Notary Public ,i
Camp HIli Bora. Cumberland County I
My Commission Expires Sept. 23, 2~
Member, PennsliivanlA ,I\',',c,;;,," ,'I' ,',: ;\;ctaiies
(Addrnsl
RENUNCIATION
21-2001-1036
In Re Estate of
Marquerite Bowers
deceased.
To the Register of Wills of Cumberland County, Pennsylvania.
The undersigned Robert John Bowers, son of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that
"'" ./"" I t I b
Letters of Amni ni ~rr~i-iou:g/'A..\"'- I
be issued to Patricia G-.e Marshall
handthis 2"~dayof_~~ ~.i'
WITNESS
"es
, 3 2001
- 96e,q
(5ilnllur~)
(Addrn~)
Subscribed and sworn to before me
this d2l1d-dayof~
Xi 2001
(5i,nltUff)
(Addrns)
(51,nllure)
~,,~ L1~./.Ly
(Address)
(SI,n.turd
N013iial Sea;
Deborah L. Donley, Notary PUbl~.C
Camp Hill Bora, Cumberland County
My Commission Expires Sept. 23, 2003
Member, Pennsylvania Associati,J, ct Notaries
(Addrnst
ThIS is to certify that the information here given is correctly copied fro~ an o~iginal certificate of death dul~ filed with me as
Loca I Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filmg,
WARNING: It is illegal to duplicate this copy by photostat or photograph,
7744933
/1 ~ #-:-,i
(.~k-""./ /-? </4 t: ;'..4: 'lfi!=-
Local Registrar /'
L
Fee for this certificate, $2.00
p
OCT 2 9 Z001
No.
Date
21-2001-1036
.143 R.... 2117
COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
IJNDER , Y!AR
MonItIa Deya
SWI 'lI.E NUMBER
SOCIAl SECURITY NUMBER
NAME Of' DECEDENT IFni. MIdclIe. Las)
,.
AGE (lall YI
- 24
8795
72 Y...
. COUNTY Of' OEArH
UNOEA , DAY
Hours ~ .........
IIIRTHPLACE (Cly """
SlaM 01 Fcr"9' Counlry,
Mary land
::"v10
RACE - A__1nclien. 1IlKk. WIIiIe. ell:.
(SpeclIy)
.. Clmt>er land
DECEDENT'S USUAl OCC\JPllQ'JON
(~"=:~~'::::2=r
11.. Hanernaker 11..
DECEDENTS IoWUNG ADOAESS (SIr...~. SlMe. ZopCodeI
120 Ewe Road
Mechanicsburg, Pa 17085
,..
White
SUAVMNG SPOuSE
In..... "..--1
CoIIoe
(1-4 or!l+ 1
lotAAITAl. STAtUS - ........
Never ......... WiIIINlM.
OiooocedtsPecllYl
'c. Widowed
17c.o _.........iIt
,o.
RlfHEA'S NAaolE (F... ModdIe. LasI)
11, John Dimartino
IIiIFOAMAHT'SNAME (T~
lDuis G. Bowers
METHOD OF Dl$POSlTlON
.....1X1 CteIMIion 0 "--.... Slat. IX!
DDMliaftD 0.. (SpeclIy\
,
DECEDENT'S
ACTUAl
RESIDENCE
--
on CllIlef Sldel
'7a. SIMe
Old
dIcedenI
.... in a
Ctnlberland -.? 17ltJ ~-:::':::of
MOTHER'S NAME IF... MoclaIe. ~Sur"""",
,I. Grace Lanza
INFOAUAHT'S MAIUNG ADOAESS (SIr.... ~ s... Zip Cod.,
3704 North Charles Street Baltimore Md 21218
PLACE Of' DISPOSITION. ~ of CemeleIy. Cr..-y LOCRION. CiIy/boft. sr-. Zip Code
or OIlIer "'-
Mechanicsburg
c:il)o':~
'711.
. Uc.
Wi'$ CASE REFERRED TO MEDICAl ElCAMlNEAICORONER'1 ..!"if'
...0 "9l"I
:II.
!==- PART I: ~.:'==::m~
._..... dMIII
· · L.
l ~Ul\~{
_....2...21_ beawnpleled by
--...-......---.
3
OF):
DUE 10 (OR AS A CONSEQUENCE Of):
MANNER Of' DEATH
.........
AccidenI
~
o
o
DATE Of' INJURY
(Monln. Day. _I
TIME OF INJURY
INJURY AT WORK? DESCAI8E HOW IH.JUAY OCCUAIlED.
_0
NoD
&licide
tforn;c:;de
Pending ~ion
CouId_ beclet_
o
o
o PlACE Of' INJURY _ AI_. ....... _.laclacy, 0Illce M.
buiIdIne. e1C. 1Spec.lv1
He.
... 0 NoD
~
~ 'I'RONOIINCING AND CERTIFYING PttYSICIAN (Ph\lllC*' bolh P'C>nOuIlCong <lea1ll _ """lIyong 10 cause 01 <lealhl
3 To......... ot.-y knowtedo.. .......oceurrM.. ........... dat.. -plec., _clue to ....C.UM(.)."".........r .....ted............ . .. '" ........
.= .MEDlCAL EXAMlNERlCOAONEA
~ On tile baeIa oI..amlnatlon andIOI in...s'lgatlon.ln my opinion, deatll oc:curreela' llIeltrne. dala. and plac.. Md du.lo III. csu..Cs).....
:Ua. --.. ....eel.. . . . . . .";;'.' ..... - - . . . . . . . . - . . . . . . . . . .;. :;.;,. . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . _ . . . . . . . . . _ . . . _ . . . .. ... _ . . . .
~l REGISTRAA.SSIGN~ne:ra~
1?,/~ i/ / I
33.
o
:u.
d~~9J .;;l~~/
... 2....
CERT..... Iet.:k only one)
'CERTIf'YIiIG I'HYStClAN (Ph~ c8IlIIyIng cause d Cll!alh wh.... anoIIIer IJhvsoc.... Res prOt>ClUf1Ced Cll!alll &nO completed "em 231
...........O,...,knowIetIge. ....._.....Io...catIM(.'.""_....._.....................................................
a.
CERTIFICATE OF SERVICE OF
NOTICE OF ESTATE ADMINISTRATION UNDER RULE 5.6(a}
NAME OF DECEDENT: MARGUERITE BOWERS
DATE OF DEATH: October 27, 2001
WILL/ADMIN NO. : 2001-01036
TO THE REGISTER:
I certify that Notice of Estate Administration required by Rule 5.6{a)
of the Orphan's Court Rules was served on or mailed to the following
beneficiaries of the above-captioned estate on: December 13, 2001
NAME AND ADDRESS STATUS
1. patricia G. Marshall Daughter
2 . Louis G. Bowers, Jr. Son
3 . Robert J. Bowers Son
Notice
5.6(a)
I None
has now been given to all persons entitled thereto under Rule
except:
NAME
I N/A
ADDRESS
Date: ]... /'l.~()7..---
Signature:
Name:
Address:
D' dcliff, Esquire
3 Road
Camp Hill, PA 17011
(717) 737-0100
32112
Counsel for Personal Representative
cO
~
.-
2.
Telephone:
I . D. No.:
Capacity:
1...0
(--...1
ffi
\..J-
....,f"
(..., (..~
'J) ct.
n:
~
.;.)
'Xi ~
(jC
.j
t
'. .....
....
0/
Register of Wills of
CUMBERLAND
County, Pennsylvania
INVENTORY
Estate of Marguerite Bowers
No. 2001-01036
Date of Death 10/27/2001
also known as
,Deceased Social Security No. 214 - 24 - 8795
Patricia G Marshall,
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned
no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this
Inventory. I !We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein
are'made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities.
Personal Representative
Signature: 'P~~ ~ I yy?~dQ
Patricia G Marshall
Name of DIANE G. RADCLIFF
Attorney:
1.0. No.: 32112
Address: 3448 Trindle Road
Camp Hill, PA 17011
Telephone: 717/737-0100
Signature:
Address: 120 Ewe Road
Mechanicsburg, PA 17055
Telephone:
7/22/2002
C
I' "~'
Dated:
Description
Value
l_N
:..
(See continuation page(s) attached)
(Attach additional sheets if necessary)
Total:
12,250.27
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative,
include the value of each item, but such figures should not be extended into the total of the Inventory.
Prepared by the Pennsylvania Bar Association
Copyright (c) 1996 form software only CPSystems. Inc. Form 'RW-7 (1992)
.. '. , ..
. . ..
V'
4.
INVENTORY
Estate of:
Date of Death:
County:
Marguerite Bowers
10/27/2001
Cumberland
CASH:
AT&T - Residence service
refund
4.73
M&T Bank - Checking Account
No. 1088963
522.03
M&T Bank - Savings Account No.
150042000927620
2,522.95
PNC BANK - No. 5002173063
569.56
Senior Blue - Premium refund
51.00
3,670.27
PERSONAL PROPERTY:
2001 Chevrolet Malibu
8,580.00
8,580.00
TOTAL RECEIPTS OF PRINCIPAL...............
12,250.27
===-----=====
-1-
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
RADCLIFF DIANE GILBERT
3446-3448 TRINDLE ROAD
CAMP HILL, PA 17011
-------- fold
EST A TE INFORMATION: SSN: 214-24-8795
FILE NUMBER: 2101-1036
DECEDENT NAME: BOWERS MARGUERITE
DA TE OF PAYMENT: 01/29/2002
POSTMARK DATE: 01/28/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 10/27/2001
NO. CD 000813
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $845.24
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: PATRICIA G MARSHALL
C/O DIANE G RADCLIFF ESQ.
CHECK# ?
SEAL
INITIALS: DO
RECEIVED BY:
REGISTER OF WILLS
$845.24
MARY C. LEWIS
REGISTER OF WILLS
~ /?-dC-7
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG1 PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
DIANE G RADCLIFF
3448 TRINDLE RD
CAMP HILL
""7
f
RA 17011
. ,\ \ '
09-02-2002
BOWERS
10-27-2001
21 01-1036
CUMBERLAND
101
.
REY-1547 EX AFP (81-02)
MARGUERIT
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 ~
REY=is4-j-ix--AFP--fol-':o2i--Noy-ici-oF-'rtiliiifiTAifcE-Y-A)rAPPRAisiiiENT~--AL1-owAifcE-oR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BOWERS MARGUERIT FILE NO. 21 01-1036 ACN 101 DATE 09-02-2002
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. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. 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
.00
.00
.00
121250.27
41419.13
191807.17
(8)
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
NOTE: If an assessment was issued previously, lines
reflect figures that include the total of Abb
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
11,371.28
7.893.58
(11)
(12)
(13)
(14)
(9)
(10)
NOTE: To insure proper
credit to your account,
subllit the upper portion
of this forll with your
tax paYllent.
36,476.57
]9.264 86
17,211.71
.00
17,211.71
14, 15 and/or 16, 17, 18 and 19 will
returns assessed to date.
.00 X 00 =
17,211.71 X 045=
.00 X 12 =
.00 X 15 =
(19)=
.00
774.53
.00
.00
774.53
TAX CREDITS:
. n. ,-...... . n____. . II (+ J AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-28-2002 CDOO0813 .00 845.24
08-26-2002 REFUND .00 70.71-
TOTAL TAX CREDIT 774.53
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.)
/7-020-7
~ BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG~ PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
lNHERITANCE TAX
STATEMENT OF ACCOUNT
*
REY-1U7 EX AFP [01-02)
DIANE G RADCLIFF
3448 TRINDLE RD
CAMP HILL
"II~
1 (J
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
09-09-2002
BOWERS
10-27-2001
21 01-1036
CUMBERLAND
101
MARGUERIT
/1
~I'
Allount Rellitted
PA 1,7011
f ~,
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-y-:i6rfj-ix--AFP--fol-:02i-------...-iNifERii'-ANc'E-;:AX--STA-fEME-N';:-ifF'-AC-cou'Nf--.-..------------------ ---
ESTATE OF BOWERS MARGUERIT FILE NO.21 01-1036 ACN 101 DATE 09-09-2002
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PRO~ECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-02-2002
P R I NCI PAL TAX DU E : ...........................................................................................................................................................................................................................
774.53
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-28-2002 CDOO0813 .00 845.24
08-26-2002 REFUND .00 70.71-
TOTAL TAX CREDIT 774.53
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
SIDE 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 A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
C:I
~
STATUS REPORT UNDER RULE 6.12
NAME OF DECEDENT:
Marguerite Bowers
DATE OF DEATH:
October 27, 2001
WILL NO.:
ADMIN. NO. 2001-01036
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:
I. State whether administration of the estate is complete:
Yes No X
2. If the Answer is No, state when the personal representative reasonably believes that the
administration will be complete: October 2002
3. If the Answer to No.1 is Yes, state the following:
a. Did the personal representative file a fmal account with the court?
Yes No
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties in
interest? Yes No
d. Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be
attached to this report.
Date:
7 !2.-.,.!OL---
I I
~0i
3448 Trindle Road. Camp Hill. P A 17011
Address
.~
(717) 737-0100
Telephone number
--'
? '.
Capacity: _ Personal Representative
~ Counsel for personal representative
I
(}
(j~
STATUS REPORT UNDER RULE 6.12
NAME OF DECEDENT:
Marguerite Bowers
DATE OF DEATH:
October 27, 2001
WILL NO.:
ADMIN. NO. 2001-01036
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
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
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 Clerk of the Orphans' Court and may be attached
to this report.
G. RADCLIFF. ESQUIRE
Name (please type or print)
Date: 4/15/2003
3448 Trindle Road. Camp Hill. P A 17011
Address
(717) 737-0100
Telephone number
Capacity: _ Personal Representative
~ Counsel for personal representative
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
< REV -15riO EX . (6-00)
FILE NUMBER
7-;lo~ 7
~
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)
Bowers Mar uerite
ATE OF DEATH (MM-DD-YEAR)
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
214-24-8795
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
OFFICIAL USE ONLY
2001-01036
NUMBER
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
Supplemental Return
Future Interest Compromise (date of death after 12-12-82)
Decedent Maintained a Living Trust
(Attach copy of Trust)
Spousal Poverty Credit 0
(date of death between 12-31-91 and 1-1-95)
3. date of death
. Remainder Return prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
11. Election to tax under Sec. 9113(A)
(Attach Sch 0)
1. Original Return 2.
CAPB 4. Limited Estate 4a.
HpRL 6. Decedent Died Testate 7.
EplO
CRAC (Attach copy of Will)
KOTK o 9. Litigation Proceeds Received 010.
ES
P NAME
C
0 0 DIANE G. RADCLIFF
R N FIRM NAME (If Applicable)
R 0
E E
S N
T TELEPHONE NUMBER
C
o
M
P
T U
A T
X A
T
I
o
N
COMPLETE MAILING ADDRESS
3448 Trind1e Road
Camp Hill, PA 17011
3 -0100
Real Estate (Schedule A) (1) None
Stocks and Bonds (Schedule B) (2) None
Closely Held Corporation, Partnership or (3) None
Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D) (4) None
5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 12,250.27
(Schedule E)
6. Jointly Owned Property (Schedule F) (6) 4,419.13
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) 19,807.17
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7) (8)
9. Funeral Expenses & Administrative Costs (Schedule H) (9) 11,371.28
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 7,893.58
11. Total Deductions (total Lines 9 & 10) (11)
12. Net Value of Estate (Line 8 minus Line 11) (12)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13)
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14)
R
E
C
A
P
I
T
U
L
A
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(aX1.2)
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
17,211.71
x
X
X
X
.0 0
.0 45
.12
.15
::-: OFFICIAL USE ONLY
36,476.57
19,264.86
17,211.71
17,211.71
(15)
(16)
(17)
(18)
(19)
0.00
774.53
0.00
0.00
774.53
Copyright (c) 2000 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
STREET ADDRESS
120 Ewe Road
CITY I STATE I ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
( 1)
774.53
845.24
38.73
Total Credits ( A + B + C) (2)
883.97
3. InterestlPenalty if applicable
D. Interest
E. Penalty
TotallnterestlPenalty ( D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5B)
Make Check Payable to: REGISTER OF WILLS, AGENT
0.00
109.44
0.00
0.00
0.00
Wflllllil
. . ..........:.:.:::::: :::::::::nn:nnn~nn~n~H~~@: i i i ijnj~j~jjjj~j~n[[: [[ [jU~): [: Uy~U:: iH ". ".":.; :;:;~:;:: :;~;~~~~~j~~~;: ~~~~~~~m~~~~:::: :::~:;::::;: jjmmi!i
',....pLEASe'ANS'WER'YHE"F'ottOWING.QUESfioNS..BYPLici"N'G'AN "X"
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred; . . . . . . . . . . . . .
b. retain the right to designate who shall use the property transferred or its income; .
c. retain a reversionary interest; or. . . . . . . . . . . . . . . . . . . . . . . . . .
d. receive the promise for life of either payments, benefits or care? . . . . . . . . .
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D
3. Did decedent own an "in trust for" or payable upon death bank account or security at his
or her death? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ...... D
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property
which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
. .'.' .";. :.::: :::;:;:;;;; ;:~:j:Hnn~Hinu i iH~:nn;;:
D
D
D
Under penalties of perj ury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,
correct and complete. Declaration of pre parer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSiBLE FOR FILING RETURN ~iC ia G Marshall
--------~-~-~~~~~----------------
DIANE G RADCLIFF
3448 Trind1e Road
-------------------------------------
Carn Hill PA 17011
DATE
f)-/Cc,-()~
( DATE
-\- I Iq / '2--
i.':":::'Wii:mmm~
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net va ue of transfers to or for the use of the
surviving spouse is 3% [72 P.S. 9116 (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 the use of the surviving spouse is 0%
[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 twenty-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a stepparent of the child is 0% [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%, except as noted in 72 P.S. 9116( 1.2)
[72 P.S. 9116(aX1)].
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(aX1.3)]. 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.
Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00)
REV-1508 EX +(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Marguerite Bowers SS# 214-24-8795 10/27/2001 2001-01036
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.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 AT&T - Residence service refund 4.73
2 M&T Bank - Checking Account No. 1088963 522.03
3 M&T Bank - Savings Account No. 150042000927620 2,522.95
4 PNC BANK - No. 5002173063 569.56
5 Senior Blue - Premium refund 51.00
6 2001 Chevrolet Malibu 8,580.00
TOTAL (Also enter on line 5, Recapitulation) S 12,250.27
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1508 EX (Rev. 1-97)
REV-1509 EX + (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Marguerite Bowers
SCHEDULE F
JOINTLY-OWNED PROPERTY
SSff 214-24-8795
10/27/2001
FILE NUMBER
2001-01036
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
Patricia G Marshall
ADDRESS
120 Ewe Road
Mechanicsburg, PA 17055
RELATIONSHIP TO DECEDENT
Daughter
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 INTERES
1 A 08/04/00 PNC Bank Certificate of 1,163.40 50.00% 581.70
Deposit - No. 21000193620
A 11/20/00 PNC Bank Certificate of 1,053.32 50.00% 526.66
Deposit - No. 31500202948
2 A 01/11/01 PNC Bank Certificate of 1,039.90 50.00% 519.95
Deposit - No. 31500205584
3 A 08/21/00 PNC Bank Certificate of 5 ,581. 64 50.00% 2,790.82
Deposit - 31500211516
TOTAL (Also enter on line 6, Recapitulation) $ 4,419.13
T
(If more space is needed insert additional sheets of the same size)
CoPyrl9ht (c) 1996 form software only CPSystems, Inc.
Form REV-1509 EX (Rev. 1-97)
REV-1510EX +(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Marguerite Bowers
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
SSfF 214-24-8795
10/27/2001
FILE NUMBER
2001-01036
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes.
DESCRIPTION OF PROPERTY %OF
ITEM RELAWg~Mr:lI~ t~b~~~5~Ml'riJ~~~1fIl~:EJF t~~~RSFER. DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE
NUMBER ATTACH ACOPYOF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE)
1 M&T Bank - Western-Southern 19,807.17 19,807.17
Life Single Premium
Deferred Annuity
TOTAL (Also enter on line 7, Recapitulation) $ 19,807.17
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc.
Form REV-1510 EX (Rev. 1-97)
REV-1511 EX +(1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Marguerite Bowers
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
B.
SS# 214-24-8795
10/27/2001
FILE NUMBER
2001-01036
DESCRIPTION
AMOUNT
1
FUNERAL EXPENSES:
Johnson Funeral Home, PIA. - Funeral Bill
3,987.28
2
Moreland Memorial Park Cemetery, Inc. - Bronze Memorial
1,387.00
3
Moreland Memorial Park Cemetery, Inc. - Grave opening and liner
1,250.00
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s) / EIN Number of Personal Representative(s)
Street Address
City
State
Zip
Year(s) Commission Paid:
2.
3.
Attorney's Fees DIANE G. RADCLIFF
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
1,625.00
3,000.00
City
Relationship of Claimant to Decedent
State
Zip
4.
Register of Wills
97.00
Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
1
Other Administrative Costs
Register of Wills - Filing Fee - Inventory and Inheritance Tax
Return
25.00
TOTAL (Also enter on line 9, Recapitulation) S 11,371.28
(If more space is needed, insert additional sheets of the same size)
Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1511 EX (Rev. 1-97)
Estate of: Marguerite Bowers
Soc Sec #: 214-24-8795
Date of Death: 10/27/2001
Continuation of Schedule H-B2
(Attorney's Fees)
Item
#
Description
Amount
1
Diane G. Radcliff, Esquire - Attorneys Fees
1,125.00
2
Diane G. Radcliff, Esquire - Reserve for additional atty's fees
and costs
500.00
1,625.00
REV -1512 EX . (1-97)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Marguerite Bowers
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, AND LIENS
SS1! 214 - 24 - 8795
10/27/2001
FILE NUMBER
2001-01036
Include un reimbursed medical expenses.
ITEM
NUMBER
1 AT&T - Final Bill
DESCRIPTION
AMOUNT
15.54
2 Boscov's - Final Bill
3 GMAC - Automobile Loan Payoff
4 GMAC - Loan payment
5 Holy Spirit Hospital - Final Bill
6 J.C. Penneys - Final Bill
7 Sears - Final Bill
8 State Farm - Car Insurance
9 The Bon Ton - Final Bill
10 Verizon - Final Bill
11 Visa - Final Bill
16.88
7,416.91
154.21
25.00
12.99
12.59
142.05
25.49
8.90
63.02
TOTAL (Also enter on line 10, Recapitulation) S 7,893.58
(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-1513 EX + (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Marguerite Bowers
SCHEDULE J
BENEFICIAR IES
SS1f 214-24-8795
10/27/2001
FILE NUMBER
2001-01036
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and
transfers under Sec. 9116(a)(1.2)]
1 Louis G. Bowers, Jr.
3704 N. Charles Street
Baltimore, MD 21218
Son 1/3 of residue
2
Robert J Bowers
5318 E Street
Sacramento, CA 95819
Son
1/3 of residue
3
Patricia G. Marshall
120 Ewe Road
Mechanicsburg, PA 17055
Daughter
1/3 of residue
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 S
(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)
JAN-07-2002 13:49
412 705 0057
P~~CBA~iK elF DEPARTMEt~T
412 705 0057 P.01/02
o PNCBAl\K
January 7, 2002
/SGP
Diane G Radcliff, Esquire
Attorneys At Law
3448 Trindle Road
Camp Hill P A 17011
RE: Estate of Marguierite Bowers, Deceased
SSN: 214-24-8795
DaD: 10/27/2001
Dear: Ms. Radcliff:
In response to your request for Date of Death balances for the customer noted above, OUT
records show the following.
CERTIFICATES OF DEPOSIT
#31000193620
Established 08/04/2000
MARGUERITE BOWERS
PATRICIA MARSHALL
DaD Balance $1,161.66 + $1.74 accrued interest
#31500202948 Established 11/20/2000
MARGUERlTE BOWERS
PATRICIA MARSHALL
DaD Balance: $1,052.81 + $0.51 accrued interest
#31500205584 Established 01/11/2001
PATRICIA G MARSHALL
MARGUERITE BOWERS
DaD Balance: $1,037.54 + $2.36 accrued interest
#31500211516 Established 08/2112000
PATRICIA G MARSHALL
MARGUERITE BOWERS
DOD Balance: $5,500.00 + $81.G4 .:.....,~~ued intere'it
Page 1 of2
A member of The PNC Financial Services Group
Om' PNC Pla,a 249 Fifth Avenue Pittsburgh Pennsylvania 15222 2707
rl:1. M&rBank
December 17,2001
RE:
Estate Search
The Estate of:
Date of Death (D.a.D.)
Marguerite Bowers
10-27-01
To Whom It May Concern:
Identified below is the account information requested.
1. M&T Bank accounts in which the decedent's name appears:
Account
Type
Account Number
Account Title
Opening Branch
D.O.D. Accrued Interest
Balances
(Includes Accf.
Int. )
$19807.17
IRA
35004200225488
Int. Rate 4.55%
1088963
lnt. Rate 0%
15004200927620
Int. Rate .06%
Marguerite Bowers
4350
chk
Louis G Bowers SR
Marguerite Bowers
Louis G Bowers Sf.
Marguerite Bowers
4350
$522.03
sav
4350
2522.12 .83
2. Loans, MOligages, or other obligations titled in the decedent's name
Account Number
Amount Owed
Account Description
No Safe Deposit Box titled in the Decedent's name existed.
If you have any questions about the information provided, please contact our Records Department at (716) 635-40 10 or 1-800-724-
2440 outside of the Buffalo, NY calling area. Thank you.
Sincerely,
M&T BANK CORPORATION
c-' ') '-~? '
BY: ~c-l Vcz C)c<?-?-, 6...?-??<"
Authorized Signature /
DATE:
I ~ - / 7 -cJ L
Manufacturers and Traders Trust Company · 1100 Wehrle Drive, PO. Box 767, Buffalo, NY 14240-0767
JAN-07-2002 13:50
PNCBANK CIF DEPARTMENT
412 705 0057 P.02/02
0. PNCBAN<
SA VINGS ACCOUNT
#5002173063
Established 12/27/1999
MARGUERlTE BOWERS
DOD Balance: $569.06 + $0.21 accrued interest
Please note that this office only provides date of death balances for deposit accounts
(lRAs, CDs, Checking and Savings accounts). We do not process any financial
transactions or provide statements. If you need assistance with any of these items,
please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank
branch office.
Sincerely,
fr\~1 .~
Manan Donne Iy . 0-
1-800-762-1775
P7-PFSC-04-F
500 First Avenue
Pittsburgh, P A 15219
Page2of2
A member of The PNC Finan<:ial Sel'llil'eS Group
One PNC PiaL" 249 Fifth Avenue Pittsburgh Pt:nnsvlv"n;" , 5222 2707
TOTAL P.02
~C1vlng.s account ~tatenlent
PNC nallk
o PNCBAN<
Primary account number: 50-0217 -3063
Page 1 of 1
For the period 10/01/2001 to 12/31/2001
Number of enclosures: 0
MARGUERITE BOWERS DECD
120 EWE RD
MECHANICS BURG PA 17055-4881
tr For 24-l1our customer service or
current rales: Call1-888-PNC-BANK
[8J Write 10: Customer Service
PO Box 609
Pittsburgh PA 15230-9738
Ie Visit liS at www.pncbank.colTl
~
I ~DD terminal: 1-800-531-1648
"01 hf'~-Irlll~ IInp~ut"11 dlcnl,,<; only
:iavings Account Summary
,uGulinl nwuuer: 50-0217-3063 Acculllll link 0 1l11llluer: 02 i4248795
Marguerite Bowers Deed
Jalance Summary
50.50
Checks and other
deductions
569.56
Endi ng
balance
Beginning
balance
519.06
Deposits and
other addition s
.00
As of 12/31, a total of $4.60 in interest was
earned this year.
nterest Summary
Annual Percent3ge
Yield Earned (APYE)
rE,]%
Number of days
in interest period
Average collected
balance for APYE
I nterest Earned
this period
G!:.
555.35
.50
Jeposits and Other Additions
ate
0/]9
:l/31
1/30
.!/'O!'.
Amount Description
;,0.00 Dcposil Refcl'cncc No.
.23 Interest P:1)'lllcnl
.2.1 Intercsl Payment
JXl Interest Payment
There were 4 Deposits and Other Additions
totaling $50.50.
0250t",979
,Ie Amount Description
U05 .on OtHst:1nding llem Close
~/05 5G~I.5G WitlKh;1wal Tel 0.1000112 J.l 0056
Ither Deductions
'aily Balance Detail
.te Balance Date Balance Date Balance
)/01 519.0G 10/31 ~lG9.2D J2/05 .00
>/1 ~. 5G9.()(i 11/30 569.53
FOR M953R
Keystone Health Plan Central, Inc.
P.O. Box 898812
Camp Hill, PA 17089-8812
MARGUERITE BOWERS ESTATE
120 EWE ROAD
Mechanicsburg PA 17055
1I~1!2~
lepcndenf Licensee ollhe Blue Crors and Blue ShieJd Aisociation
egi$lered MIUb of \he Bl~e Cross Ittld Blue Shield ~ociatian.
Associ.lion of Independent Blue Cmu and Blue Shield P1lU1S
CHECK NO.
013271
'LEASE CASH OR DEPOSIT CHECK PROMPTLY
DATE OF CHECK
12/05/01
VENDOR NO.
03-0657338
IOUCHER DATE DESCRIPTION VOUCHER NO. INVOICE AMOUNT DISCOUNT PAYMENT AMOUNT
11/29/01 SENOIRBLUE PREMIUM REFUND 113001 51. 00 .00 51.00
C HK TOTAL: 51. 00
-=---..
~ .
ms-r{'" carpolnt
Your complete source for car buying information
Kelley Blue Book
Trade-In* Report
Saturday, January 05, 2002
2001 Chevrolet Malibu Sedan 40
V6 3.1 Liter Engine
Automatic Transmission
29,000 Miles
Pennsylvania
Selected Equipment
Front Wheel Drive
Cruise Control
AM/FM Stereo
Air Conditioning
Power Door Locks
Compact Disc
Power Steering
Power Windows
Steel Wheels
ASS (4-Wheel)
Tilt Wheel
Vehicle in "Excellent" condition
An excellent vehicle rating means that the vehicle looks great. is in excellent mechanical condition and
needs no reconditioning. It should pass a smog inspection. The engine compartment should be clean. with
no fluid leaks. The paint is glossy and the paint, body and interior are free of any wear or visible defects.
There is no rust. Tires are the proper size and match and are new or nearly new. A clean title history is
assumed.
*Trade-In Value
Trade-in Value represents what you might expect to receive from a dealer for a
consumer-owned vehicle. Keep in mind that the dealer must then absorb the cost of
making the vehicle ready for sale, advertising, sales commissions, arranging
financing and insurance and standing behind the vehicle for any mechanical or
safety problems.
11$8,580*11
Back to Kelley Blue Book
Go to CarPoint Used Car I\!iarketplace
Copyright @ 2002 by Kelley Blue Book Co., All Rights Reserved. Jan.Feb 2002 Edition. The information in this report is intended for the
personal use of the customer only and may not be sold or transmitted to another party. We assume no responsibility for errors or omissions.
http://carpoint.msn.com/kbb/printpage.asp?type=tradein&ti?7'18577&c=id18577c2extxm2 9C.. 1/5/2002