HomeMy WebLinkAbout05-0718
CHARLES E. SHIELDS, III
ATTORNEY-AT-LAW
6 CLOUSER ROAD
Corner ofTrindle and Clouser Roads
MECHANICSBURG. PA 17055
GEORGE M. HOUCK
(1912-1991)
TELEPHONE (717) 766-0209
FAX (717) 795-7473
August 9, 2005
Register of Wills
Cumberland County Court House
1 Court Square
Carlisle, PAl 70 13
Q2/-tJ5-7/g
Re: Estate of Jannette L. Zehring
SSN: 210-26-6181
I
Dear Register of Wills:
~
Please find enclosed for filing 2 copies of the Inheritance Tax Return for the Jannette L.
Zehring Estate as well as Check No. 128 in the amount of$15.00 for the filing fee. Additionally,
I am enclosing a death certificate so you may open a file for this Estate. Should you have any
questions, please call my office.
Thank you for your kind attention to this matter.
Very truly yours,
~t~~
Charles E. Shields, III
Attorney-At-Law
CES/mjj
Enclosures
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REV.1500 EX (6-00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
OFFICIAL USE ONLY
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
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COUNTY CODE YEAR
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NUMBER
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DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL)
ZEH;e/NG~ TANN G TTG' L.
DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
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(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
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THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
SOCIAL SECURITY NUMBER
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!Zl1. Original Return
o 4. LImited Estate
C8l 6. Decedent Died Testate (AlIach "'PyofWlII)
o 9. Litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (date 01 dealh afler 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach_ofTrust)
o 10. Spousal Poverty Credit (date ofdeaih ba_n 12-JI-91 and t-I-95)
o 3. Remainder Return (date 01 daalh prior to 12-1J-82)
o 5. Federal Estate Tax Return Required
..!.... 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) {AtIachSch0)
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NAME {!1//fI(!LE3 E'. f5H1e:--z.DS 1iL
FIRM NAME (If AppI-) A// /t
TELEPHONE NUMBER 71'/ _ 7~~ - CJ 2"'1
COMPLETE MAILING ADDRESS
4 CLousac O.
/JJEtJ.H-+"'W~.sJlf!u/f6,;,II7/f 170SS
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1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
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'-"OFFICI'" USE-'
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(1)
(2)
(3)
(4)
(5)
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3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
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
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Scheduie H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
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)
(11) ~ 3~3SK, go
(12) - 0
(13) -6>
(14) -0-
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(7)
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(9)
(10)
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1'6/'f,58
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15. Amount of Line 14 taxable at the spousal tax 0 0
rate. or transfers under Sec. 9116 (a)(1.2) x .0 <2-- (15)
t) x.O~ 0
16. Amount of Line 14 taxable at lineal rate (16)
0 x .12 (17) 0
17. Amount of Line 14 taxable at sibling rate
0 x .15 (18) ()
18. Amount of Line 14 taxable at collateral rate
19. Tax Due (19) 0
20.0
:HECK ,1ERE F 'r;u \RE ,EQUESTING '" '~EF'jND . JF .N -:VERPAYMENT
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Decedent's Complete Address:
STREET ADDRESS /P77 IV At#' Rt1C.. DKII'E
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CITY /J1&rCIT-MJ/CSL!~~G . ild /UL E /lA-. I ZIP /7oSS
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
fJMJcdL
/J//l!fJ (1)
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Total CreallS { A + B + C } (2)
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3. Interest/Penalty if applicable
D. Interest
E. Penalty
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Total Interest/Penalty ( 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)
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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
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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 income of the property transferred;.......................................................................................... 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. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0
3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? .............. 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? . .................................................................................. ........... ..................... ..... 0
No
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
/7/10
17osS-
DATE
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. 39116 (a) (1.1) (ii)].
The statute does not exemot 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 chiid is 0% [72 P.S. 39116(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. 39116(1.2) [72 P.S. 39116(a)(1)].
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. 39116(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.
*
-_.."~ '* SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY.
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
ZEII,e/A/6.- ,J".t/-A/N€ TT€ L.
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivol'llhip must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 8 ED ,..
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2. 7S"
s: W/I //11 1tI-fL.Ui'i i"
.2.3~
J. &lS7P4'/E o/G"JV~Y l'
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TOTAL (Also enter on line 5, Recapitulation) $ .3 '1, :30
(If more space is needed, insert additional sheets of the same size)
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
Ze/l~/NC.,1 J.4/V/V€T'Ti!: L.
FILE NUMBER
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
A. R-ESEcc4 /3Loo//1
J~<f };.Ili€/( HD.
NEW (!tUJt.8E'.(i~Nb. 1''''' /71fJ7D
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JOINTLY.OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY . %OF DATE OF DEATH
ITEM FOR JOINT MADE Include name of finoociaJ institution and bank account number or simila- identifying number. Attach DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT deed for joinUy-held IllaJ estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
(!PQ/ /lIE/( ~G" 6tWK ~(!r.#O.3z/!)'I6'f;n ~ S2l~ .,. 5NJ.2F
1. A. 'f /Z/'1<1 1,1/'0, So
(~ "'It It/llhiM lei:' oAbcAu/)
TOTAL (Also enter on line 6, Recapitulation) $ 5flJ. 28
-
(If more space is needed, insert additional sheets of the same size)
Commerce
_Bank
December 27, 2004
Charles E Shields, III
Attorney At Law
6 Clouser Rd
Mechanicsburg, PA 17055
RE: Estate of: Jannette L Zehring
Social Security #: 210-26-6181
Date of Death: November 25, 2004
Dear Sirs:
In reference to the letter regarding the above mentioned
Estate, we would like to inform you of the information that
we have researched and found.
Type: Checking
Account #: 032046427
Date Opened: 9/2/94
Primary Owner: Jannette L Zehring
Secondary Owner: Rebecca M Bloom
Date of Death Balance: $1,160.56
Accrued Interest: $.08
Principal Balance: $1,160.48
If there are any questions or additional information that
is needed, please feel free to contact me at (717) 795-7118
ext. 3151.
Sincerely,
L,JCv"c\o ~ '-rr)(h/\-1v ')
Wanda J Morris
CIF Team Leader
Commerce Bank I Harrisburg, NA
P.O. Box 8599
100 Senate Avenue
Camp Hill, Pennsylvania 17001-8599
_"B"~ '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Z €/{~/N(; ~ J,4"f/A/E rrG'
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
L.
FILE NUMBER
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
1.
B.
1.
2.
3.
4.
5.
6.
7.
DESCRIPTION
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FUNERAL EXPENSES:
811l.-INCI: :/)u€" PH MG"I'A-/C> FttA/~ "+~.lN6t.dfENTf 7b
;:;"'(!KL.E'1e- /lI/iFbE'iI/MI PiuvE7t!.Ik. NMlE of HA-RA./Sdlf/J6-
1?~/N,dli,.er;E)( n1~mpR//H..S OF ~E'MV4,&/)K
E /l-S, /I A-/i!1lI S ,8 t( /It; GEm E -rsey (!p .
KGY/III C'/JGNo / jJ,ec~ tJF ~jUEJf' ,Dr. L/F4: /'/l'ES8/7/f77tMI
lJl1N I<ELL ~ ;/-SSI.s'T/N'6 IN L/.Ke ~A?Essvr/f-ni9A1
3.
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5:
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative (s) DA-JeYL '"D. Z lFNAYNG
Social Security Number(s) I EIN Number of Personal Representative(s)
StrlletAddress =l:tc '1 H/~NtAN~ OPI(AtT
City #A-/l.I2I~.Bt(~6- State /'A- Zip /7/10
Year(s) Commission Paid:
AttomeyFees (!#/fRL.E5 ~ SNI€ZDS :or
Family Exemption: (If decedenfs address is not the same as c1aimanfs, attach explanation)
Claimant J/~L9U€ Z4iWbN6-
Street Address I/O 7 AfM"~ 'l>.e.
City /J'JEt!II/!-J!Y/e$l!3Q/l(;- State /11'1 Zip /70SS
Relationship of Claimant to Decedent })/fH t{N72!5f
Probate Fees
Accountanfs Fees
Tax Retum Preparer's Fees
F/LllVti rE~ 7; ~EC;I.sT~ IJr W/~~
AMOUNT
~2Lf.Q7
~
1/ ;U;s: "0
~71!)e>.&1a
,
/t9~'D-o
,
/&>e> . de>
W~/Vta:>.
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:2 7";: 00
~~~
~
IS. 00
TOTAL (Also enter on line 9, Recapitulation) $ ~ tiSi, 80
(If more space is needed, insert additional sheets of the same size)
,:' ..j'ackler-Wiedeman
V FUNERAL HOME
Dennis L. Wiedeman, F.D. - President
James W. Tagan. F,D. - Supervisor
Robert 8. Fackler. F.D.
William A. Sibert. F.D.
December 13, 2004
Mr. Daryl D. Zehring
2209 Highland Court
Harrisburg, PA 17110
~
23rd and Derry Streets
Harrisburg. PA ,17104
Phone: 717.564.1434
Fax: 717.564.7274
email: wledemanfh@comcast.net
www.wiedemanfuneralhome.com
STATEMENT
OF
ACCOUNT
The Funeral Service of:
Mrs. Jannette L. Zehring
,.,_co -;'>. _ '_;"";<~"~-'\'__;-':~~';:'~_~'-_;;<'~-'T'P:~~'~);';;"+~;"T'i;-'>X/:~>\i\?"'''';;I,::>,_<.t-<-.'-\'
A. €H!\;R6E:.>>0.1UE.. .':, ';.e~JZ.pt\;l~~
, '; "'0',; _,.. "", ....x". ," ,...' ,<- :,'..' _,.', ""'~"TJ"/ _""'''.:':",., ....c;. ".,"'" ... ,~._,.,",_.,_""",,,''':'._. . ..'"
1. PROFESSIONAL SERVICES
2. FACILlTIES/SERVICES/EQUIPMENT:$
3. AUTOMOTIVE EQUIPMENT: $
$
0.00
Forwarding ot remains to
$ -0-
-0-
(A) TOTAL OF PROFESSIONAL SERVICES, $ -0-
FACILITIES AND AUTOMOTIVE
(Funeral Home)
Receiving ot remains from
-0-
$
$
$
$
SUB-TOTAL OF SPECIAL CHARGES. . . . . . . . . .
(Funeral Home)
Immediate Burial
Direct Cremation
*.:--c~1!i~~~~~m._
Casket. . . . . . . . .. . . . . . . . . . . . . . . . . . . .. $
(Description)
-0-
~~~~~~~~~~~~~.'),.~:"
..~~~"-~,~~;~ .,~'"~~
Outer Receptacle . . . . . . . . . . . . . . . . . . . . . . $
(Description)
Outer burial container. . . . . . . . . . . . . . . . . .. $
(Description)
Acknowledgement Cards ................ $
Register Book(s). . . . . . . . . . . . . . . . . . . . . .. $
Memory Folders. . . . . . . . . . . . . . . . . . . . . .. $
Prayer Cards. . . . . . . . . . . . . . . . . . . . . . . .. $
Temporary grave marker. . . . . . . . . . . . . . .. $
Burial Clothing. . . .. . . . . . . . . . . . . .. .. . .. $
Other Clothing. . . . . . . . . . . . . . . . . . . . . . . . . $
Custom Graphic Design & Printing ........ $
Flowers . ~~~:I.c.o.s! !'f ~~r .up9r~~l? . . . . .. $
$
$
Cremation Um . . . . . . . . . . . . . . . . . . . . . . . . . $
Interior & Exterior Crucifixes. . . . . .. ...... $
Refrigeration .. .. .. .. .. .. . . .. .. .. .. .... $
(B) TOTAL MERCHANDISE SELECTED
-0-
Opening Grave. . . . . . .. . . . . . . . . . . . . . $
Cemetery Equipment. . . . .. . . . . . . . . . . $'
Newspaper Notices - Local. . . . . . . . ." $
Newspaper Notices - Out-ot-town . . . .. $
Telephone & Telegrams. . . . . . . . . . . .. $
Airfare. . .. .. .. .. . .. .. .. .. . . .. ... $
Clergy Honorarium. . . . . . . . . . . . . . . .. $
Pallbearers. . . . . . . . . . . . . . . . . . . . . . . $
Certified Copies ot Death Certificate. .. $
Crematory Charges.. . . . . . . . . . . . . . .. $
Organist. . . . . . . . . . . . . . . . . . . . . . . . . S
5oloibi.......................... .
-0-
-0-
-0-
-0-
-0-
-0-
-0-
-0-
-0-
-0-
132.50
Other
Other
Other
$
$
$
$
........P$
-0-
-0-
-0-
-0-
SUB-TOTAL OF CASH ADVANCES
$
132.50
*Credit-No Charge by Registrar for
certified copies of Death Certificate
Fa mil y 0 w n e d and 0 per ate d . . . . We Car e
700.00
FOR OFFICE USE ONLY
ROMBERGER MEMORIALS
GRANITE - MARBLE - BRONZE
Mfgr. ...........
Date Boughl
Mfgr. No. ......,..................... E.I.B
...................................
Memorials Since 1929
Design No...............,............ Found. ...;............................
PLANT AND DISPLAY - 2395 STATE STREET
HARRISBURG, PENBROOK, PA 17103 PHONE 232.1147
800-340-6744
Code Mont. ..........................
Code Mkr.............................
Sect. No. .............................
Terms ............. Down payment
Balance within 30 days after completion.
1 % per month charge will be made nn all
P"''IOt due accoun(s.
/)+_'1 y/ Z'" U4J..,/<~' 5'1/. 9:17 '1 d :7i!., ?Lj 20()5
TO..~ ..~~.~~. .:;;..... .:-/.:.:)c:::.....~ ..... ..)...:... 'C~"" "-;'/''': /}.~...:...;...: ...::::......... ".::~')''' DA T/:~' .:.;.:~.... ......,'........................ ........
RESS ~i~'U' / ..11.,11(,.*-1lil:. 'I, F..~r~'<l;jrf'5i...~y. ,.i"" '/.-w
ADD ...... ........................ ..... ....~......... ........ ........ ................. .....;/;j:.:4;;~............. ................. .~f..D~ ~~~':,"""""""'"''
ORDER No......................... .DESIGN No....,................... . MATERIAL............... ........................... TERMS ............,..........................
DIE.................................................................................................... PRICE OF MONUMENT .............
t~~ Vt.,-
BASE................ ....:.................... c......... ............. c...,.... .:....... ....'.. .;.... .,;... PRICE OF MARKER.. .:.... ...... .....
MKR'S .. .19.....:. :'t.... (..? ..~.:. X. ../..;;~...<.~?":... .?'!:'. 1.':...... ./!~<.. ...... CEMETERY FOUNDATION........
......... ;?~.:4..,.7! :~..
"'r"2.
. ...... .f'!.... ~., .~.'?...
POSTS................................... .......... ...................................................
,.
ifYPE OF LETTERS
,Sj'i1/?) ;~'. rl \" r
................................................
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I LEAVE SPACE FOR..i~/!.I..MORE INSCRIPTIONS TOTAL COST............................
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(I L'I' vF 11(1;:.
ALL FUTURE LETTERING TO BE EXTRA
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i f ,'-',
T b d. E~,s T r/,1r;('tliiJ.,QL,(,.. c.' i I,L.\/", i S!)i,.iL(, jA/ d .
o e er~':~~ In.....:........., ......:.............................. emetery m..... ,. :~. ;~. .'........ ..... .....J:~.,.............. unng
the month o~r.~~!!':-~~... .:?:':,!:. 5:........ unless unavoidably delayed by labor troubles and other contingencies beyond our
control and then as soon as practicable thereafter.
Material fa be of the best selected monumental grade and to be free from imperfections and first class in every wall- Work to be finished in a workmanlike manner.
1----'0< ,oJ
.___~,;mdersigned (h~reinafter known as the P'W'chaser) agrees to pay ~m~rger Memorials ....................................~?:'.......'~..:..:-!..................................... Dollars
. ../.~.t~\:~!..~~_.....t~J.~..N.~)~...~?........ .:h..~!~\;.:.......................:.j>...r..Ltt;..r~.~~. ................... .................................... .... from date of acceptance of this order.
It is further understood that upon acceptance of this order the contract so made cannot be cancelled, altered or modified. by the purchaser or by an agent of
Romberger Memorials or in any manner except by agreement in writing between the purchaser and Romberger Memorials, and the above monument and appurte-
nances are to remain .the property of Romberger Memorials, until fully paid for with right of removal.
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Accepted a1-,..,-...... .':.., .c:............. ..'....:............. ...... ...... ........ D.X.". ..t.e. ..........~...........,:.......,:. ,',.........,..:... '.........:....:.,.f..'. ,,~,.... ii.:......). _....... .~.:. .~~.,.\.........................................................................
Sold By. ..~;\....,.....,._):;J:,:::~::.,.:;.\./(.~:.:...............L(o~tZ- CDP,' v '-'J' . ..<:~.y..v..<._; Purchaser
EAST HARRISBURG CEMETERY COMPANY
2260 HERR STREET
HARRISBURG, PA 17109-6009
Phone 233-6789
INVOICE
Date
November 30, 2004
Purchaser's
Name
Daryl Zehring
2209 Highland Court
Telephone
541-9379
Address
Harrisburg, PA 17110
Section 1')
Block
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Lot Owner's Name
ZEHRING
Item
One Grave
Remarks
Charges
$700.00
Date
Billed
Pa. Sales Tax
Date
Completed
Total
$700.00
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LAST WILL AND TEST AMENT OF JANNETTE L. ZEHRING
I, JANNETTE L. ZEHRING, of Silver Spring Township, Cumberland 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 former Wills by me at any
time heretofore made.
1.
I direct the payment of all my just debts and funeral expenses as soon as conveniently may
be after my decease.
2.
All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and
wheresoever situate, I give, devise and bequeath unto ~y children, to wit:
WANDA MANNING
FREDERICK ZEHRING
DARYL ZEHRING
VALERIE ZEHRING
DONNA FUNK
DENISE HOUSEMAN
RODNEY ZEHRING; and,
REBECCA BLOOM,
in equal shares, per stit:pes.
3.
I nominate, constitute and appoint my son, DARYL ZEHRING, and my daughter,
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CHARLES E. SHIELDS, III
ATTORNEY-AT-LAW
6 CLOUSER ROAD
Corner ofTrindk and Clouser Roads
MECHANICSBURG. PA 17055
GEORGE M. HOUCK
(1912-1991)
TELEPHONE (717) 766-0209
FAX (717) 795-7473
October 20, 2005
Register of Wills Office
Cumberland County Court House
1 Courthouse Square
Carlisle, Pennsylvania 17013
Re: Estate of Jannette L. Zehring
Admin. No. 21-05-0718
Dear Register of Wills:
Please find enclosed two copies of the Status Report for the above referenced Estate.
Please clock-in both copies and place one in my mailbox for me to pick up at a later date.
Thank you for your kind attention to this matter.
Very truly yours,
~f;~9
Charles E. Shields, III
Attorney-At-Law
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STATUS REPORT UNDER RULE 6.12
Name of Decedent: Jannette L. Zehring
Date of Death: November 25,2004
Will No.
Admin. No.
21-05-0718
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)( 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:
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.
Da te : If) lu'jor
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Signature
('.J
Charles E. Shields, III, Esquire
Name (Please type or print)
6 Clouser Road, Mechanicsburg, PA 17055
Address
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(717 )766-0209
Te l. No.
Capacity: Personal Representative
X Counsel for personal
representative
(MAH:rmf/AM3)
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