HomeMy WebLinkAbout10-18-2005
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE DEPT.
280601 HARRISBURG, PA 17128-0601
REV-1500 INHERITANCE
TAX RETURN RESIDENT DECEDENT
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DECEDENrs NAME (LAST, FIRST, AND MIDDLE INITIAL)
Sleinour, William A
DATE OF DEATH (MM-DD-YY)
6/212005
(IF APPLICABLE) SURVIVING SPOUSE'S NAME
DATE OF BIRTH (MM-DD-YY)
11/2/1922
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D 3. Remainder Return
o 5. Fed. Est. Tax Return Req'd
0_ 8. Total number of SOB's
11. Election to tax wi Sec. 9113(A)
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COMPLETE MAILING ADDRESS:
1. Original Return
D 2. Supplemental Return
o 4a. Future interest Compromise
o 7. Decedent had Living Trust
4. Limited Estate
6. Decedent Died Testate
OFFICIAL USE ONLY
FILE NUMBER
21-05-0526
COUNTY CODE
YEAR
NUMBER
SOCIAL SECURITY NUMBER
196-14-3139
THIS MUST BE FILED IN DUPLICATE
WITH THE REGISTER OF WILLS
SOCIAL SECURITY NUMBER
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3.Closely Held Corporation, Partnership or Sole-Prop.
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Misc. Personal Prop.(Sch.E)
6. Jointly Owned Properly (Schedule F)
D Separate Billing Requested
7. InterNivos Transfers & Misc. Non-Propate Prop.
8. Total Gross Assets (total lines 1-7)
9. Funeral Expenses & Administration Costs (Sch H)
10. Debts of Decedent, Mortgage liabilities, & Liens
11. Total Deductions (total lines 9&10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental BequestslSec 9113 Trusts
for which an election to tax has not been made (13)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amnt of Line 14 taxable at the spousal rate,
or transfers under Sec.9116(a)(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 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Ji:';;:'iiii8W':~~BE'SuiFfQ1\N~m{QUESTIONS;ON:\RENlERSESltlE;ANIT'RECHECKMATH<<
NAME:
Patricia R. Brown, Esquire
FIRM NAME:
Salzmann Hughes, PC
TELEPHONE NUMBER
717 249-3024
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$26,427
Patricia R. Brown, Esq.
10 W, Pomfret St.
Carlisle, PA 17013
$92,500.00
$0.00
OFFICI~L USE ONl{g
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$9,037.69
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(8) $101,537.69
$21,141.88
$53,969.11
(11) $75,110.99
(12) $26,426.70
$26,426.70
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x.045
x.12
x.15
$0.00
$0.00
$0.00
$3,964.00
$3,964.00
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(19)
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Decedent's Comnlete Address:
STREET ADDRESS
246 Arch Street
CITY STATE ZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due
2. Cred~slPayments
A. Spousal Poverty Credit
B. Prior Payments
C. Discounts
$3,500.00
Total Credits (A+B+Cl
3.
Interest/Penalty if applicable
D. Interest
E. Penalty
$175.00
4.
TotallnterestlPentalty (D+E)
If Una 2 is greater than Una 1 + Una 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5.
If Line 1 + Line 3 is greater than Une 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: yes no
a. retain the use or income of the property transferred:
b. retain the right to designate who shall use the property transerred or its income:
c. retain a reversionary interest: or
d. retain the promise for life of either payments or care?
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?
3. Did decedent own an Min trust for" or payable upon death bank account or security at his or her death?
4. Old decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary disignation?
(1)
(2)
(3)
(4)
(5)
(5A)
(5B)
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$3,964.00
$3,500.00
$175.00
$289.00
$289.00
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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.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statemenls. and to the best of my knowledge and belief, it is true, correct and complete
Declarl!ltion of PfBparer other than the P8fSOl'lsl representative is based on all informatioo of which preparer has any knowledae.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN
ADDRESS
DATE
SIGNf'TU~.PREPARER OTHER THAN ~RESENTATIVE
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ADDRESS
10 W. Pom/ret Street, Carlisle, PA 17013
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DATE 10 /07 Jos
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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 the use of the surviving spouse is 3% I72P.S. Sec 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 10 or for the use of the surviving spouse is 0% [72 P.S. Sec. 9116(a)(1.1)(ii}]
The statute does not exempt a transfer to a surviving spouse from tax, and Ihe statutory requirements for disclosure of assets and filing a lax return are still applicable even jf 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 deseased 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. Sec. 9116(&)(1.2)).
The tax rate imposed on the net value oflransfers to orfor the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. Sec. 9116(1.2) 172 P.S, Sec.9116(a)(1).
The tax rale imposed on the net value of transfers 10 or for the use of the decedent's siblings is 12% [72 P.S, Sec.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.
LAST WILL AND TESTAMENT
OF
WILIAM A. STEINOUR
I, WILLIAM A. STElNOUR, of Claremont Nursing and Rehabilitation Center, Carlisle,
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. I hereby revoke all previous Wills
and Codicils at any time heretofore made by me.
ITEM I
I order and direct my Executor, hereinafter named, to pay my debts, funeral expenses and
expenses involved or connected with the administration of my estate as soon after my death as is
reasonably possible.
ITEM II
I direct my Executor to provide for a funeral service in conformity with my station of life.
ITEM III
I give, devise and bequeath all of the remainder of my property, of every kind and description
(including lapsed legacies and devises) wherever situate and whether acquired before or after the
execution of this Will, as follows:
A. Fifty percent of my property to WILLIAM E. SHEAFFER, and '~o
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B. Fifty percent of my property to my nephew, RONALD L. STElNOUR.'>::g
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ITEM IV
I hereby nominate, constitute and appoint my RONALD 1. STEINOUR, as Executor of this my
last Will and Testament. In the event of his renunciation, death, resignation or inability to act for any
reason whatsoever, I nominate, constitute and appoint, WILLIAM E. SHEAFFER as Alternate Executor
of this my Last Will and Testament.
ITEM V
I hereby direct that no Executor or other Fiduciary named or appointed by this Will shall be
required to post any bond or give any security of any type for any purpose whatsoever, nor be liable for
failure to file any report, accounting or inventory, in any jurisdiction in which he may be called upon to
act, insofar as I am able by law to do.
ITEM VI
I authorize my Executor in his discretion to sell, with or without notice, at either public or
private sale, and to lease any property belonging to my estate, subject only to such confirmation of
Court as may be required by law, for such prices and on such terms and conditions as he deems best, and
to make distribution hereunder either in cash or kind, as he may deem wise.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal this 3D-u..,
day of ~. 7~
,2004.
Witness:
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WILLIAM A. STEINOUR
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7Jb1J.;~~. 'Pt7.{v1 ,~ru;r residing at
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Witness:
COMMONWEALTH OF PENNSYLV ANlA
SS.
COUNTY OF CUMBERLAND
We, WILLIAM A. STEINOUR, tTt'lI'C.4 f /3/low.if and JOJtVle.. {,G'Jf!1i
Testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument,
being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and
executed the instrument as his Last Will and Testament, and he had signed willingly and that he executed
it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the
presence and hearing of the Testator, signed the Will as witness and that to the best of his knowledge, the
Testator was at that time eighteen years of age or older, of sound mind, and under no constraint or undue
influence.
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WILLIAM A. STEIN OUR - TESTATOR
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Witness g
Subscribed, sworn to and acknowledged before me by WILLIAM A. STEINOUR, the Testator,
and subscribed and sworn to before me by dra.'cl" l? .3,'2c>wA/ and _VoJevieJGsetf
witnesses, this <-:?5=-'dayof ~
,2004.
~4 L/Jud
Notary Public /
SCHEDULE A
REAL ESTATE
Estate of Stein our, William A.
FILE NUMBER 21-05-0526
(Property jointly-owned with Right of Survivorship must be disclosed on Schedule F) All rcal estate should be reported at fair
market value with is defined as the price at which property would be exchanged between a willing buyer and a willing
seller, neither being compelled to sell, both having reasonable knowledge of the relevant facts.
ITEM DESCRIPTION
NUMBER
VALUE AT DATE
OF DEATH
246 Arch Street
Carlisle, P A 170 I3
$92,500.00
TOTAL (also on line 1, Recapitulation)
$92,500.00
OMB NO. 2502-0265 W
A. '. B. TYPE OF LOAN:
U.S: DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1-DFHA 2.DFmHA 3.~CONV UNINS. 4.DVA 5. DCONv. INS.
6. ~~~<;!'I!MBER I 7. LOAN NUMBER:
SETTLEMENT STATEMENT
8. MORTGAGE INS CASE NUMBER:
C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown.
Items marked "[POC]" were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
1.0 ;lJ9ll (11612.2.W.OOEN.PFD/11612.2.MADDEN/l1 )
D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER:
Matthew D. Madden Estate of William Steinour American Home Bank, N.A.
9 Erin Place 246 Arch Street 2840 Hempland Road
Carlisle, PA 17013 Carlisle. PA 17013 Mountville, PA 17554
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: I. SETTLEMENT DATE:
246 Arch Street Martson Deardorff Williams & Otto
Carlisle, PA 17013 June 15,2005
Cumberland County, Pennsylvania PLACE OF SETTLEMENT
10 East High Street
Carlisle, PA 17013
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
101. Contract Sales Price 92,500.00 401. Contract Sales Price 92,500.00
102. Personal Prooertv 402. Personal ProDertv
103. Settlement Charnes to Borrower (Line 1400) 5,880.94 403.
104. 404.
105. 405.
106. Courrtvirwp. Taxes 06/16/05 to 01/01106 304.18 406. Countvrrwo. Taxes 06/16/05 to 01/01/06 304.18
107. School Taxes 06/16/05 to 07/01/05 54.46 407. School Taxes 06/16/05 to 07/01/05 54.46
108. Assessments to 408. Assessments to
109. 409.
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 98.739.58 420. GROSS AMOUNT DUE TO SELLER 92.858.64
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Denosit or earnest monev 2,000.00 501. Excess Deoosit (See Instructions)
202. PrinCinaI Amount of New Loan s) 92,500.00 502. Settlement Charaes to Seller Une 1400\ 7,439.98
203. Existinnloan(s\ taken subiect to 503. Existino loan Is) taken sUbiect to
204. 504. Payoff of first Mortgage
205. 505. Pavoff of second Mortoaoe
206. 506.
207. 507. Deoosit disb. as oroceeds)
20B. 508.
209. 509.
Ad'ustments For Items UnDaid Bv Seller Adiustments For Items Un aid 'Seller
210. Countvrrwn. Taxes to 510. CountvlTwn.Taxes to
~11. School Taxes to 511. School Taxes to
212. Assessments to 512. Assessments to
~13. 513.
~14. 514.
~15. 515.
~16. 516.
~17. 517.
~18. 51B.
~19. 519.
?20. TOTAL PAID BY/FOR BORROWER 94,500.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 7.439.98
100. CASH AT SETTLEMENT FROMrrO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
101. Gross Amount Due From Borrower (Une 120 98.739.58 601. Gross Amount Due To Seller (Line 420) I 92.858.64
102. Less Amount Paid By/For Borrower (Line 220) ( 94.500.00) 602. Less Reductions Due Seller (Une 520) Ii 7,439.98
:03. CASH ( X FROM) ( TO) BORROWER 4.239.58 603. CASH ( X TO) ( FROM) SELLER T 85,418.66
The undersigned hereby a ~e re7ip'.1J completed copy of pages 1 &2 of this statement & ~chments referre~i:.:.-.. ~
Borrower //J ''17. Seller ~ Q.J.... 1...
Matti ew D. Madden Es te of William Stein our
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HUD-1 (3-86) RESPA. HB4305.2
L. SETTLEMENT CHARGES
00. =faTAL COMMISSION Based on Price $ Q'J I::.nn nn tRl t=: nnnn 01- PAID FROM PAID FROM
. Division of Commission f/ine 700J as Follows: BORROWER'S SELLER'S
701. $ 2.800.00 to Century 21 Association Coon & Company FUNDS AT FUNDS AT
702. $ 2,750.00 to Hooke, Hooke, & Eckman LLC Realtors SETTLEMENT SEITLEMENT
703. Commission Paid at Settlement 5,550.00
704. to
80 M PAYABL IN CONNF=DN WITH I DAN
801. Loan OriQination Fee 1.0000 % to American Home Bank. N.A. 925.00
1802. Loan Discount 0.7500 % to American Home Bank, N.A. 693.75
i 803. Appraisal Fee to Susan B. Burkholder 275.00
.804. Credit Report to CREDCO 19.21
805. Lender Administration Fee to American Home Bank. N.A. Waived $390.00
806. FHLMC Loan Prosoector Fee to FHLMC 15.00
607. Flood Cart Fee to First American 14.50
808. Tax Service Fee to First American 96.00
809. AHB Application Fee American Home Bank, N.A. Wavied $345.00
810. WebPosting SwiftView POC $5.00
811. Fraud Guard Sysdome POC$11.00
00. ITEMS R BY LENDER Tn RF PAID IN ADVANCE
901. Interest From 06/15/05 to 07/01/05 @ $ 15.420000/day ( 16 days %) 246.72
902. Mortgage Insurance Premium for months to
903. Hazard Insurance Premium for 1.0 years to
904.
905.
100 V EPOSITED W I t FNDER
1001. Hazard Insurance 3.000 months $ 33.83 oer month 101.49
1002. Mortaace Insurance months $ ner month
1003. Countvn-wo. Taxes 5.000 months $ 46.49 per month 232.45
1004. School Taxes 13.000 months <1lI $ 110.44 oer month 1,435.72
1005. Assessments months @ $ per month
1006. months $ er month
1007. months ner month
1008. ~reoate Account Adiustment months $ ner month -253.65
11 0 T
1101. Settlement or Closina Fee to
1102. Abstract or Title Search to
1103. nUe Examination to
1104. Title Insurance Binder to
1105. Document Preparation to Patricia R. Brown, Esauire 175.00
1106. Notarv Fees to
1107. Water & Sewer to Canisle Borough Account 04690A 16.18
(includes above item numbers: )
1108. Title Insurance to LaW\IP.rs TItle Insurance Comoanv 816.75
fincJudes above item numbers: )
1109. Lender's Coverage $ 92,500.00
1110. Owner's Coverage $ 92,500.00
1111. Endorsements 100/300/900 to Lawyers Title Insurance Company 150.00
1112. Closing Service Letter to Lawyers Title Insurance Company 35.00
1113.
1200. GDV ORClNG AND HARG
1201. Reoording Fees: Deed $ 38.50: Mortgage $ 64.50: Releases $ 103.00
1202. City/County Tax/Stamos: Deed 925.00' Mortaaoe 925.00
1203. State Tax/Stamos: Revenue Stamos 925.00; Mortpape 925.00
1204.
1205.
1300. ADDITIONAL SETTLEMENT
1301. Survev to
1302. Pest Insoection to
1303. Termite Service Aareement to Interstate Termite & Pest Control 246 Arch Street 773.80
1304. Over Nicht Fee to Martson, Deardorff, Williams & Otto 15.00
1305. Termite WDr Report to Interstate Termite & Pest Control Invoice 102 35.00
1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502. Section K) 5.880.94 7.439.98
By signing page 1 of this statement. the signatories acknowledge reoeipt of a oomp,ete?i.lZLS tw~a9/L:'
Martson Deardortf Williams & Otto
Settlement Agent
Certified to be a true copy.
(11612.2.MADDENf 11612.2.MAOOEN/11)
SCHEDULEE
CASH, BANK DEPOSITS AND
MISCELLANlOUSPERSONALPROPERTY
ESTATE OF
FILE NUMBER
Steinour, William A.
(All property jointly-owned with Right of Survivorship must be disclosed on Schedule F)
ITEM DESCRIPTION
NUMBER
21-05-0526
VALUE AT DATE
OF DEATH
Cornerstone Federal Credit Union
$261.25
2
Burial Insurance - Ewing Bros. Funeral Home, Inc. (Forethought - Thrivant)
$8,120.42
3
Claremont Nursing & Rehab. Center (Account balance)
$656.02
TOTAL (also on line 5, Recapitulation)
$9,037.69
SCHEDULE H
FUNERAL EXPENSES, ADMINISTRATIVE
COSTS AND MISCELLANEOUS EXPENSES
ESTATE OF Steinour, William A.
FILE NUMBER 21-05-0526
A.
(All prooerty jointly..owned with Right of Survivorship must be disclosed on Schedule F)
ITEM DESCRIPTION AMOUNT
NUMBER
Funeral Expenses:
I Ewing Brothers $6,401.50 $6,401.50
2 Lettering on Marker (Mt. Zion Cementery) $160.00
3 Carlisle Memorial Service (Headstone) $801.00
4
5
Administrative Costs:
I Personal Representive Commissions
Social Security Number of Personal Representative:
2 Attorney fees to Patricia R. Brown Salzmann Hughes, PC $3,500.00
3 Family Exemption
Claimant N/A Relationship:
Address of Claimant at decedent's death:
Street:
City: State & Zip
4 Probate Fees to Register of Wills $248.00
I
5 Accountant's Fee
6 Tax Return Preparer's Fee
7 Misc. Filing Fees $100.00
8 Miscellaneous Expenses: Preparation of real estate (246 Arch St. Carlisle, P A )
$1,500.00
9 Sales Commission - Century 2 I - Hooke, Hooke & Eckman $5,500.00
10 Document Preparation $175.00
II Realty transfer tax $925.00
12 Interstate Termite & Pest Control $773.80
13 Final Water/Sewer $16.18
14 Lloyds Home Inspection - (246 Arch Street, Carlisle, PAl $275.00
15 Dehart's Auction (Trash Removal) $385.00
16 VerI Williams (Trash Removal) $250.00
17 Cumberland County Landfill (Rental truck) $131.40
TOTAL (also on line 9, Recapitulation) $21,141.88
B.
SCHEDULE I
DEBTS OF DECEDENT
MORTGAGE LIABILITIES AND LIENS
ESTATE OF
FILE NUMBER
Steinour, William A.
21-05-0526
ITEM
NUMBER
DESCRIPTION
AMOUNT
PA Dept. of Public Welfare
(Class 3 Claim = $28,107.64)
(Class 6 Claim =$25,827.27)
$53,935.11
2
PPL (3746074003)
$10.85
3
PPL (37260-74007)
$10.42
4
PPL (37060-74001)
$12.73
5
6
7
8
9
10
11
TOTAL (also on line 10, Recapitulation)
$53,969.11
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE
NUMBER OF ESTATE
I William E. ~ heafIer Brother-in-Law 50%
100 Earl Street
Boiling Springs, P A 17007
2 Ronald L. Steinour Nephew 50%
412 Petersburg Road
Carlisle, P A 17013
I
Steinour, William A.
21-05-0526
ITEM NAME AND ADDRESS OF BENEFICIARY
NUMBER
AMOUNT OR SHARE
OF ESTATE
B. Charitable aod Governmental Bequests:
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (also enter on line 13, Recapitulation)
$0
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.2B0601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
STEINOUR RONALD L
412 PETERSBURG RD
CARLISLE, PA 17013
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ESTATE INFORMATION: SSN: 196-14-3139
FILE NUMBER: 2105-0526
DECEDENT NAME: STEINOUR WILLIAM A
DATE OF PAYMENT: 10/18/2005
POSTMARK DATE: 10/18/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 06/02/2005
NO. CD 005910
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $289.00
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TOTAL AMOUNT PAID:
REMARKS: R L STEINOUR
SEAL
INITIALS: VZ
RECEIVED BY:
REGISTER OF WILLS
$289.00
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS