HomeMy WebLinkAbout10-28-05
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REV-1500
COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN FILE NUMBER ,
_____;:::E~~~~];;:,_ _= J~~~E~IDENT D~CEDEN!~_ . COUN~; CODE_ ~~~Y~;R _~J-~~~;~.c
- - [DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) T SOCIAL SECURITY NUMBER "
Ream, Lillian E, ~ 199-07-4204
~~:_~~~~A~~;M-6~YEAR~-"'~:~;~~I~~H ;~M-DD-YEA~---~ I THIS RETU:~~~:~~~~~N D~~~~~EwrrHTHE .
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE IN~.~~__ I SOCIAL SECURITY NUMBER ._ ___
--n-l' ~ --i~ ()ri9irnliReiur~ 2. Supplemental Return D 3, Remainder Return (date of deat prior to 12-13.82)
D 5. Federal Estate Tax Return
o 8. Total Number of Safe Dep it Boxes
REV. 1500 ex + 18~OI
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D 4. Limited Estate
~ 6. Decedent Died Testate (Attach copy
of Will)
D 9. Litigation Proceeds Received
COMPLETE MAILING ADDRESS
4a. Future Interest Compromise (date of death after
12-12-82)
7, Decedent Maintained a Living Trust (Attach
copy of Trust)
10. Spousal
12-
Credit (date of death between
D 11. Election to tax under Sec. 113(A) (Attach Sch 0)
'....
Ul%
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0::0
0%
o~
THIS SECTION MUST BE COMPLETED. ALL C
AME
~. Stephen ~loom.__..
IRM NAME (It applicable)
Stephen L. Bloom, Esquire
._--"~--~_._-,-,--..---------'- ---.-.--.-'--
ELEPHONE NUMBER
717/249-7717
2100 Longs Gap Road
Carlisle, PA 17013
1, Real Estate (Schedule A)
(1 )
(2)
(3)
,()f\F!G!A.. :~ SSQNl.Y
None
2, Stocks and Bonds (Schedule B)
None
3, Closely Held Corporation, Partnership or Sole-Proprietorship
None
%
o
~
:5
::l
....
0::
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o
w
0::
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)
g, Funeral Expenses & Administrative Costs (Schedule H)
(4) None
(5) 16,516.61
---~_.__..-
(6) 75,450.00
(7) 62,442,57
(8)
10, Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
(9) 15,250.03
(10) 1,141.00
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
made (Schedule J)
14, Net Value Subject to Tax (Line 12 minus Line 13)
(13)
(14)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15,Amount of Line 14 taxable at the spousal tax rate,
or transfers under Sec, 9116(a)(1 ,2)
x .00
(15)
%
o
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....
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138,018. 15 x .045
(16)
16. Amount of Line 14 taxable at lineal rate
, 17. Amount of Line 14 taxable at sibling rate
x .12
(17)
18. Amount of Line 14 taxable at collateral rate
)( .15
(18)
19. Tax Due
(19)
20, 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT,
Copyright 2000 form software only The Lackner Group, Inc.
>> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECt-lECK MATH <<
Form REV-1500 EX (Rev. 6-00)
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154,409,18
16,391.03
138,018,15
138,018.15
6,210.82
6,210,82
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, ~ is true, correct a d complete. Declaration of
preparer other th,m the personal repr.esentativ".is based on all information of which preparer has any knowledge. . _~_ ____._'
SIGNATURE OF PERSON RESPONSIBLE FOR FI G RETURN ADDRESS
Kennet E. Ream
e of the surviving spousis 0%
utory requirements for di closure
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death to or for the use 0' a natural
I
I
The tax rate imposed on the net value of transfers to or for the use of It ' except as noted in 721'S' 99116
1.2) [72 P.S. 99116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of t~ 116 (a) (1.3)]. A sibling i defined,
under Section 9102, as an individual who has at least one parent in COIoIIIIUII wlln Ine cececent, wnether by blood or adoption.
"
Decedent's Complete Address:
STREET ADDRESS
1162 Myerstown Road
CITY
STATE PA
ZIP 17324
Gardners
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
310.54
Total Credits (A + B + C)
(2)
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (0 + E)
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
S. If Line 1 + Line 3 is greater than Line 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.
(3)
(4)
(5)
(SA)
(58)
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes N
a. retain the use or income of the property transferred;.................................................................................. ~
~: ~:~::~ ~;e~;~~i:on~~:~~:r:s~~~. ~~~~~.~~~.~~~, :.~~:.~.~~, ~~~.~.~.~~.~~~~, ~~. .i~~. ~~~~~~~::::::::::::::::::::::::::::::::::::
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?.............. ............................ .............................. .............................. ................ ~
o
o
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?.........
4, Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?................... ......................................... .................. .......................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART 0
932 Myerstown Road
Gardners, P A 17324
ADDRESS
------.-ADDRES~.'--------_.-----
21 00 Lon,gs Ga'p Road
Carlisle, ITA 17013
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 us
surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed or
[72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exempt a transfer to
of assets and filing a tax return are still applicable even if the surviving
}ll\?D
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased chi
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~
~~
6,210,82
310.54
0.00
5,900.28
,900.28
;,
~ II SCHEDULE E .
~ CASH, BANK DEPOSITS, & MISC. I
COMMONWEALTH OF PENNSYLVANIA , PERSONAL PROPERTY .
INHERITANCE TAX RETURN L ~
RESIDENT DECEDENT
_._____ __nn.'_____'_._____ _ ____ ~- - ---------- --------\~- --------._-
ESTATEOF ~~a:~llia~~.---~--- -------- - ----1 FILE-~~~~5E~00799i -----
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.
ALUE AT DATE OF
DEATH
500.00
ITEM
NUMBER
1
DESCRIPTION
Miscellaneous Household Goods/Personal Effects
2
Members 1st Federal Credit Union - Savings Account #227385-00
13,372.45
3
Members 1st Federal Credit Union - Checking Account #227385-11
2,644.16
TOTAL (Also enter on Line 5, Recapitulation)
16,516.61
SCHEDULE F I
JOINTL Y -OWNED~R~PERTY_J_________~__
----,---------1-- --
I FILE NUMBER i!
21 - 05 - 0079
~~--- ---.-"---, -----.-.'-.--
I
If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Ream, Lillian E.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP 0 DECEDENT
A Wendell R. Ream
1162 Myerstown Road
Gardners, PA 17324
Son
B
JOINTLY OWNED PROPERTY:
ITEM f' F 6~TJgl~) ~~b~l:cl:~ename o~in:~~~;~~t~u~~Pa~~;~::cco~n-t~u-~ber
NUMBER TENANT 1 JOINT [or similar identifying number. Attach deed for jointly-held real
estate.
____..__n_____... ____ ____.___ ___ __.__._______...______._._____________.~_
A 107/15/1999 Residence - 1162 Myerstown Road, Gardners, PA-
held as JTWROS with Sharon A. Ream (deceased
. 2/8/2003) and Wendell R. Ream - Cumberland County
\ Deed Book 203, Page 1047 - Assessed Value as of I
Decedent's Date of Death $150,900.00 multiplied by I
Common Level Ratio of 1.00 then in effect for
Cumberland County = $150,900.00 .
I
----------T ------
I. %OF
DATE OF DEATH DECO'S I
VALUE OF ASSET INTEREST
---.- -----.--
150,900.001 50%
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I
I
I
DATE OF DEATH
VALUE OF
ECEDENT'S INTEREST
75,450.00
I
________________1_
I
____L
TOTAL (Also enter on line 6, Recapitulation)
75,450.00
SCHEDULE G I
INTER-VIVOS TRANSFERS & L'
MISC. NON-PROBATE PROPERTY
___.,_._...__._.^.__..._..._~__.._...__.._____.,____ __ ______n_ ____
------ ~- ----- ~~-~~----!FIU~NUMBER m__
21 - 05 - 007~9
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ITEM
NUMBER
Ream, Lillian E.
DESCRIPTION OF PROPERTY
I Include the name of the transferee, their relationship to decedent and the date of transfer.
I Attach a copy of the deed for real estate_
!
2
Members 1st Federal Credit Union - Certificate of Deposit
#227385-43 opened 5/14/2005 as JTWROS with son
, (Kenneth E. Ream)
I
, Members 1st Federal Credit Union - Certificate of Deposit
#227385-44 opened 5/14/2005 as JTWROS with son
(Kenneth E. Ream)
I
, Members 1st Federal Credit Union - Certificate of Deposit
#227385-45 opened 5/14/2005 as JTWROS with son
(Kenneth E. Ream)
3
20,149.87
I
30,215.431
I
I
I
I
I
100%
100%
____L__ __ _ _ J__
TOTAL (Also enter on line 7, Recapitulation)
XABLE VALUE
12,077 .27
20,149.87
30,215.43
62,442.57
ESTATE OF
ITEM
NUMBER
A.
B.
I
\
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SCHEDULE H
FUNERAL EXPENSES &
ADNINlSTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Ream, Lillian E.
Debts of decedent must be reported on Schedule I.
"I FII:.E NUMBER . -. -~-
21~5___~079~___
--- -' ---'.,--.- .----~------~--.'I-.i"---.-.-.---. --- --
FUNERAL EXPENSES:--- DESCRIPTION +.,- . ~~INT_7'8-6-1"0--0--
Hollinger Funeral Home & Crematory, Inc. I
I \
\
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Social Security Number(s) / EIN Number of Personal Representative(s):
2.
Street Address
City State _ Zip
Year(s) Commission paid
Attorney's Fees Stephen L. Bloom, Attorney & Counsellor at Law
3.
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Wendell R. Ream
Street Address 1162 Myerstown Road
City Gardners State PA Zip 17324
Relationship of Claimant to Decedent Son
4.
Probate Fees
Cumberland County Register of Wills
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
I
i Other Administrative Costs
Publication of Legal Notice - Cumberland Law Journal
2
Publication of Legal Notice - The Sentinel
TOTAL (Also enter on line 9, Recapitulation)
3,500.00
3,500.00
177 . 00
I
I
I
J--
75.00
137.03
15,250.03
.
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
Include unreimbursed medical expenses.
ITEM
NUMBER
1
DESCRIPTION
AMOUNT
2003 Income Taxes Due - United States Internal Revenue Service
1,141.00
TOTAL (Also enter on Line 10, Recapitulation)
1,141.00
I
REV-~513 EX+ (9~O)
*'
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
I
1________
I.
I FILE NUMBER
Ream, Lillian E.
21 - 05 - 00799
T AXABLEN:':::(.{T~:::::":: :::h~~=~:;:~~:o::OPERTY-_~ R:cg~1;~:O ~ ^jog?~,"A~~ARE
Lorrie L. Henneman I Daughter I 1/5 of Estate
156 Creek Road I
Newville, PA 17241
ESTATE OF
NUMBER
2
Kenneth E. Ream
932 Myerstown Road
Gardners, PAl 7324
Son
1/5 of Estate
3
Ronald K. Ream
1145 N. Pheasant Drive
Carlisle, P A 17013
4
Wendell R. Ream
1162 Myerstown Road
Gardners, P A 17324
Son
1/5 GfEstate
See Continuation Schedule(s) attached
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
lB. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
I
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TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
,
---'---- -,,-<-_."--_.._--,--, --.~ ._---_.._~.__.__._---._,_._--_.._._------.-,._.._-
SCHEDULE J
I RELATIONSHIP TO I ---
NUMBER I NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I DECEDENT A OUNT OR SHARE
I. 5 h-~:~: ~'S~::T'ONS - ~~;~1:1~r,,"j di'triMoo'. 'od lo"f,. ""dO< - f So~ ,. Um ,._" - --11/5 O::::ATE
114 Kelso Street I
Harrisburg, PAl 7111
Page 2 of Sc edule J
LAST WILL AND TESTAMENT
I, LILLIAN E. REAM, of Dickinson Township, Cumberland County. Pennsylvania. being
of sound and disposing mind and memory. do hereby make. publish and declare this to be y Last
Will and Testament, hereby revoking any and all former Wills or Codicils by me made.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expense and all
inheritance taxes (whether such taxes may be payable by my estate or by any recipien of any
property) shall be paid from my residuary estate as soon as practicable after my decease an as part
of the administration of my estate. My personal representative shall have no duty or obIi ation to
obtain reimbursement for any such tax so paid, even though on proceeds of insurance r other
property not passing under this Will.
2.
I give, devise and bequeath all of my estate, both real and personal property, in equa shares,
unto my children, LORRIE L. HENNEMAN, KENNETH E. REAM, RONALD K. EAM,
WENDELL R. REAM and VERNON J. REAM. with substitution of issue, per stirpes.
3.
I nominate, constitute and appoint my son, KENNETH E. REAM, as Executor of m estate.
In the event he shall be unable or unwilling to serve in such capacity. then I appoint y son.
RONALD K. REAM. to act in such capacity.
4.
I direct that my personal representative shall not be required to file a bond to se ure the
faithful performance of his duties in any jurisdiction.
Page 1 of 3 Pages
- t"}
,/'\'--- .j..
L.E.R.
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I authorize and empower my personal representative, in his sole and absolute disctetion. to
purchase or otherwise acquire and retain any investments of which I die seized or an real or
5.
personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, disp se of or
grant options in regard to any or all property of any kind forming a part of my estate for su h terms
and such prices as he may deem advisable; to borrow money for any purposes connected with the
protection and preservation of my estate; to mortgage or pledge any real or personal property forming
a part of my estate or to join in or secure the partition of same; to compromise any c aims or
demands of my estate against others or of others against my estate; to make distribution in ind and
to cause any share to be composed of cash, property or undivided fractional shares in roperty
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my personal representative considers desirable and to pay re sonablc
compensation for sllch services as may be rendered by sllch agents, attorneys and proxie ; and to
execute and deliver such instruments as may be necessary to carry out any of these po
addition, I direct that my personal representative shall have the power to conduct an invento of any
safe deposit box necessary to the administration of my estate.
IN WITNESS WHEREOF [ have hereunto set my hand and seal this ih day of Marc 1, 2003.
l~,-l&t~c! O<.J!~.~~
Lillian E. Ream
SEAL)
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatri , as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto su~scribed
our names as wit~~sses thereto, in the presence of the said Testatrix and of each other. I
//K~ gg(}~ E ~ea*/!
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Page 2 of 3 Pages
COMMONWEAL T/-I OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLAND
L LILLIAN E. REAM, Testatrix, whose name is signed to the attached or f regoing
instrument. having been duly qualified according to law, do hereby acknowledge that I si ned and
executed the instrument as my Last Will; that I signed it willingly; and that I signed it as m free and
voluntary act for the purposes therein expressed.
........' f'
^ 1../--( ~_(t:L~C..
Lillian E. Ream
,.J.-" 4,-,,,,
Sworn or affirmed to and acknowledged before me by LILLIAN E. REAM, the Test trix, this
ih day of March, 2003.
COMMONWEALTH OF PENNSYLV ANIA
)
: SS.
)
r N'
I otanal Seal
I Lori A. SuI/ivan, Notary Pub! c
I Carlisle Boro. Cumberland Co ntv
I My Commission Expires Feb. 16.2004
Membor. PennS\,IV.1r1iHAS$OCld!lOll 01 DIaries
COUNTY OF CUMBERLAND
We. 6\e{)yY'1'\ l. \~!D()(YI and ,1 - - ~
the witnesses whose names are signed to the attached or foregoing instrument, being duly qualitied
according to law, do depose and say that we were present and saw LILLIAN E. REAM, the T statrix.
sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the
Testatrix executed it as her free and voluntary act for the purposes therein expressed; that ea h or us.
in the hearing and sight of the Testatrix. signed the Will as witnesses; and that to the bes of our
knowledge the Testatrix was at that time 18 or more years of age, of sound mind and u del' no
constraint or undue influence.
s
PA I
Address ge7f:ff~~1f)7~<:
Sworn or affirmed to and subscribed before e this 7th day of March, 2003.
h'-' Ju~
'Public
(' \L^S\E~:'iAI'I:I'L^NNIN(i\1(J403-1 willi
Page 3 of 3 Pages
Notarial Seal
Lori A. Sullivan, Notary Public
Carlisle Boro, Cumberland COLI tv
My Commission Expires Feb. 16. ~004
REGULAR SAVINGS ACCOUNT:
Account Number/ Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
CHECKING ACCOUNT:
Account Number/ Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
CERTIFICATES OF DEPOSIT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Date Joint Ownership Established
CERTIFICATES OF DEPOSIT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Date Joint Ownership Established
Estate of: LILLIAN E. REAM
Date of Death: July 29,2005
Social Security Number: 1199-07-4204
~lm
MEMBERS 1st
FEDERAL CREDIT UNION
227385 -00
02/28/2003
$13,362.20
$10.25
$13,372.45
None
227385 -11
02/28/2003
$2,643.58
$.58
$2,644.16
None
227385 -43
05/14/2005
$15,048.76
$28.51
$15,077.27
Kenneth E. Ream
05/14/2005
227385 -45
05/14/2005
$30,134.52
$80.91
$30,215.43
Kenneth E. Ream
05/14/2005
227385 -44
05/14/2005
$20,094.53
$55.34
$20,149.87
Kenneth E. Rea
05/14/2005
Mf't"BE,RS 1ST ~DE~L CREDIT UNION
W~<0( // /u"g
Denise A. Wolfe ;I .
Insurance Services Supervisor
October 7, 2005
5000 Louise Drive · Po. Box 40 · Mechanicsburg, Pennsylvania 17055 · (717) 697-1161 · www.memberslst.org
fage 1 of 1
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Detailed Results for Parcel 08-15-0199-047. in the 2004 Tax Assessment Database I
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DistrictNo 8
Parcel ID 08-15-0199-047.
MapSuffix
HouseNo 1162
Direction
Street MYERS TOWN ROAD
Owner1 REAM, LILLIAN E & WENDELL R
Owner2 & SHARON A REAM
PropType R
PropDesc
Liv Area 1684
CurLandVal 29120
CurImpVal 121780
CurTotVal 150900
CurPretVal
Acreage 1.19
CIGrnStat
TaxEx 1
SaleAmt 1
SaleMo 7
SaleDa 16
SaleCe 19
Sale Y r 99
DeedBkPage 00203-01047
YearBlt 1997
OF_File_Date 11/15/2004
OF _Approval_Status A
http://taxdb.ccpa.net/details.asp?id=08-15-0 199-04 7.&dbse1ect= 1
727/2005
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Parcel No.: e-IS-Dt~~-Dl..f1-
CORRECTIVE DEED
MADE THE IS/J,day of cTJr ,1999.
BETWEEN KEITH L. LEHMAN, and TAMMY L. LEHMAN, and d/b/a K & R LEHMAN
CONTRACTING, of Carlisle, Cumberland County, Pennsylvania. hereinafter referred t as:
Gra tors,
and LILLIAN E. REAM, WENDELL R. REAM and SHARON A. REAM, as joint t nants with
the right of survivorship, of Gardners, Cumberland County, Pennsylvania, hereinafter refi rred to as:
Gra tees,
WITNESSE:nf, that in consideration of ONE AND XXII 00 ($1.00) DoUar in ha d paid, the
receipt whereof is hereby acknowledged. the said Grantors do hereby grant and convey to the said
Grantees. their heirs and assigns:
ALL THAT CERTAIN lot of land, situate in Dickinson Township, in the Count of
Cumberland. Commonwealth of Pennsylvania. bounded and described as follow
BEGINNING at a point in the centerline of Myerstown Road, T-524 on the divid ng
between Lots Nos. 26 and 31 on the hereinafter mentioned Final Subdivision PI
thence by the centerline of said road South 05 degrees 00 minutes 00 seconds st
235.00 feet to a point; thence by the dividing line between Lots Nos. 2S and 26 on
said Plan North 85 degrees 00 minutes 00 seconds East 220.00 feet to a point; the ce
by the same North 05 degrees 00 minutes 00 seconds East 235.00 feet to a po t;
thence by the dividing line between Lots Nos. 26 and 31 on said Plan South 85
degrees 00 minutes 00 seconds East 220.00 feet to a point, the Place of
BEGINNING.
CONT AINTNG a total lot area of I. I 87 acres including the portion of said premi es
under and subject to the dedicated right-of-way line of Myerstown Road and BEl G
Lot No. 26 on a Final Subdivision Plan for Michaux Meadows, Re-Subdivision of
Lots 21 through 29 and 32, as recorded in Cumberland County, Pennsylvania in he
Recorder of Deeds Offke in Plan Book 72, Page 5.
ii"OOK 203 P,\Gc.10 47
",
~
BEING the same propeny which Karl E. Sowers and Glora M. Sowers, husband and
wife; Lynn E. Sowers and Martha G. Sowers, husband and wife; Leona S. Chronister
and Chester Chronister, wife and husband; and Roger E. Sowers and Lois Sowers,
husband and wife; acting through their Attorney-in-Fact, Karl E. Sowers, by their
Corrective Deed dated April 13, 1998 and recorded May 8, 1998, in Cumberland
County, Pennsylvania, in the Recorder of Deeds Office in Deed Book 176. Page
1073, granted and conveyed unto Keith L. Lehman and Tammy L. Lehman, d/b/a K
& R Lehman Contracting, and Lillian E. Ream, WendeD R. Ream and Sharon A.
Ream, Grantors herein.
ALSO BEING the same property which Keith L. Lehman and Tammy Lehman, d/b/a
K & R Lehman Contracting, by their Deed dated October 15, 1997, and recorded in
Cumberland County, Pennsylvania in the Recorder of Deeds in Deed Book 166, Page
72, granted and conveyed unto Ullian E. Ream, Wendell R. Ream and Sharon A.
Ream.
THIS IS A CORRECTIVE DEED TO AMEND AND CORRECT THE
ERRONEOUS DESCRIPTION OF LOT NO. 26 CONTAINED IN A DEED
RECORDED IN THE OFFICE AFORESAID, IN DEED BOOK 166, PAGE 72,
SAID DESCRIPTION IN THE PREVIOUS DEED HAVING BEEN
PREPARED IN ACCORDANCE WITH A PRIOR SUBDIVISION PLAN
AMENDED BY THE RE-SUUDlVISION PLAN HEREINAnOVE REFERRED
TO.
.~
AND the said Grantors hereby covenant and agree that it will warrant specially the property
hereby conveyed.
IN WITNESS WHEREOF, said Grantors have hereunto set their hands and seals the day and
year first above written.
SIGNED, SEALED AND DELIVERED
IN THE PRESENCE OF
~~
Keith L. .
(SEAL)
~~~
Tanvny hman
~~.
(SEAL) .
(SEAL)
800K 20J PACf1048
.~
COMMONWEALTH OF PENNSYLVANIA )
): 55.
COUNTY OF CUMBERLAND )
On this, the IS~ay of J~ ' 1999, before me, the undersigned officer, rsonltUy
appeared. KEITH L. LEHMAN and TAMMY L. LEHMAN, and d/b/a K & R L HMAN
CONTRACTINO. known to me or satisfactorily proven to be the persons whose n are
subscribed to the within instrument, and acknowledged that belshe/they executed the sa for the
purposes therein contained.
.....~
IN WITNESS WHEREOF, 1 hereunto set my hand and official seal.
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I hereby certify that the precise residenc and c
Grantees is 8"i '!i -(c)'" &A,)a.o- floe,..tJ I ~Q;
lete post office address of th within
I 'P~ ,.,. 32. 'I
ran tees
BOOK 203 PACE:1049
,-
(!4"(' i~ ?A
PROPERTY LOCATION
IV'\
C,,-~'oU (..n.J.
D VALUATION DATA
RIALTY TRANSFER TAX
STATEMENT O' VALUE
-
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ftol _
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1. Ch.cIa App.......... ... Bel.w ,.. I....ptlo" CI.".....
T.....II.. '0 Indv..tJol D............_ AII.""Y.
Tron.lo, t. . 'tv.l. ("HodI compl... copy 01 'rult og,._.n. Id....lfylnll all b....,ld...Ia.1
T,OMI., b.tw_ princfpe! and ogen!. (Attach CO"'pIOlo copy of alloncy/llraw po..., "._.1
T,_.... t. .100 c-onw.alth, .he Unl.ed $'0'.' and Inll.-n'aU,I.. by 111ft, dodlcoHon, ~Ia" 0< III IIou 0' condomna.ion
(II __~ .. III 'Iou 01 _d..-ton, 'anach copy 01 ...01""-.1
o Tron.1or from -lOll" 'co . ......... 01 0 morlllcogo In dofouh. Mortllage look Numb.. , 1'.110 N.....b..
'KI Corrocllvo or c"""__tory dood. (Anach <_pi... copy 01 tho prior doed belnll corr.ctocI 0' COtlHrmed.)
o $'.M.." COtporOl. conoo/fdOllon, "'lOrlJOr Dr dlvl.I.... (Attach c....y 01 orMcIoI.)
o Other ("_" ..ploln ...",p.lon clolm.d, II 0.10., .han lllled abav..1
o
o
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W,II .r Irtfe"at. .""-.....
10 THIS IOllM paOplRLY oa ATTACH APPUCAaLE DOCUMINTATION MAY anULT IN
ED. nooK 203 PAGr1050
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U". -"'-0 01 low, I ..__.. tho. I ...... .._...... ..... S'._",. ........... __~ ....__. .... to tho ......f...y
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-- - -liliiii- ......
-..--
..
HoIIinqer Funeral Home & Crematory. Inc.
Eric L. HoIlinqer. Supervisor
August 10, 2005
Kenneth E. Ream
932 Myerstown Road
Gardners, PA 17324-
The Funeral Service for Lillian E. Ream
We sincerely appreciate the confidence you have placed in us and will continue to assist you in every ay we can. Please
feel free to contact us if you have any questions in regard to this statement.
THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES. FACILITIES. AUTOMOTIVE EQUIPMENT.
AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS.
1. PROFESSIONAL SERVICES
Services of Funeral Director/Staff. . . . . . .
3620.00
3620.00
FUNERAL HOME SERVICE CHARGES
SELECTED MERCHANDISE:
Caskcl. . . . . . . . . . . . . . . . . . . . . . . . .
Outer Container . . . . . . . . . . . . . . . . . . . . . .
THE COST OF OUR SERVICES. EQUIPMENT, AND MERCHANDISE
THATYOUHAVESELECTED . . . . . . . . . . . . .
Cash Advances
Opening Grave. . . . .
Cemetery Equipment. . .
Newspaper Notices - Patriot.
Newspaper Notices - Sentinel
C1ergyIMass Offering" ,--,
Certified Copies or the Death Certificate.
Flowers
Organist, . . . . . . . . . .
Roses . . . . . . . . . . .
2495.00
875.00
6990.00
.-;".
175.00
25.00
152.00
126.00
100.00
72.00
143.00
50.00
28.00
871.00
TOTAL CASH ADVANCES AND SPECIAL CHARGES.
Total
Total Cost. . . . . . . .
TOTAL AMOUNT DUE
7861.00
7861.00
I
I
i
i
501 NOI>TH IW. TIMOI>E AVENUE · MOUNT HOLLY SPI> INGS. PENNSYL" ANIA 17065 · (717) 486-""" · f 1 (717)486-32"
www.ho\1lnlilerfuneralhome.com
STEPHEN L. BLOOM
ATTORNEY AND COUNSELLOR AT LAW
\V W W I'!{'\ (' l [ (' i\ I. (' () II N S I. I. (' () M
2 1 co L (IN (, S G :\ I' R l) .\ n
c: ,\ 1\ I. 1 S I. 1-, PI-"" S Y I V..\ " 1:\ 1 7 C I .1
S Ill. (l (l \<1 @ I' 1\ .\ ( II ( .\ I ( () [ "S I- I. . C (l ~I
Invoice submitted to:
Ream, Lillian E. Estate
932 Myerstown Road
Gardners, PA 17324
Kenneth E. Ream, Executor
October 27, 2005
In Reference To: Estate Administration - Final Statement
Invoice #1656
Professional Services
10/5/2005 Correspondence
Review and file correspondence from Knouse Foods re pension matters
10/10/2005 Correspondence; Administrative matters
10/12/2005 Administrative matters and correspondence
10/25/2005 Review correspondence from Department of Public Welfare, Estate
Recovery Program; Inheritance Tax Matters
10/26/2005 Administrative and estate matters; Real Estate Valuation Calculations
Applying Assessed Valuation and Applicable Common Level Ratio as of
Date of Death; Preliminary preparation of Inheritance Tax Return,
Schedules and Tax Calculation; Preparation of Inventory; Prepare and
assemble required information for Real Estate transfer
10/27/2005 Reserve for final administrative and estate matters, including: Finalize
and Assemble Inheritance Tax Return, Schedules and Exhibits for
Filing; Finalize Inventory for Filing; Conference with Executor for
Review and Execution of Inventory and Inheritance Tax Return;
Appearance at Register of Wills for Presentation of same; Official
Reciept; Review and Filing of Notice of Appraisement from Department
of Revenue; Preparation and Execution of Release, Receipt and
Refunding Agreements; Preparation of Notice of Status of
Administration; Appearance at Register of Wills for Presentation of
PRACTICAL COCNSEL + CHRISTIAN PERSPECTIVE
Tl-l.l-l'llll,1- 717-249-7717
FAt SI~lll.l- 717-249-77::;7
Ttlll FI\I-I X77-::;4H-')(,C2
H rs/Rat Amount
0.25 50.56
200.00 hr
0.11 2100
200.00 hr
0.19 38.28
200.00 hr
0.10 20.00
200.00 hr
0.63 125.39
200.00 hr
2.00 39928
200.00 hr
6.75 1,350.00
200.00 hr
Ream, Lillian E. Estate
same; Preparation of Real Property Deed and Realty Transfer Tax
Statement of Value; Appearance at Recorder of Deeds for Recordation
of same; related Correspondence
For professional services rendered
Previous balance
9/20/2005 Payment - thank you
Total payments and adjustments
Balance due
PAYABLE UPON RECEIPT - THANK YOU
Hrs/Rat
10.03
PRACTICAL COUNSEL '*' CHRISTIAN PERSPECTIVE
--
Page
2
Amount
$2,004.51
$1,570.49
($1,570.49)
($1,570.49)
$2,00451
STEPHENL. BLOOM
ATTORNEY i\i':D CO('NSELLOR AT LAW
II II' II' I' I~ ..\ ( II (\ 1(' ( I I :\ S!:I (' (1 ~I
.2 I ::; C L ( , " ( " (; .\ I' I, < , ,.\ II
C .\ I~ I I S I I, I' l' " " S Y I \.\ " I ..\ 1 7 C 1 -'
S B I (1(' \. I (i~ I' 1(,\ (I I ( . \ 1 < (1 I 'i <; I. [ ( (1 \I
Invoice submitted to
Ream, Lillian E. Estate
932 Myerstown Road
Gardners, PA 17324
Kenneth E. Ream, Executor
September 08, 2005
In Reference To: Estate Administration - Initial Interim Statement
Invoice # 1630
Professional Services
9/6/2005 Preliminary administrative and estate matters; Preparation of Petition
for Grant of Letters Testamentary, Oath of Personal Representative,
Exhibits and proposed Decree of Probate; Preparation of Estate
Information Document; Preparation and filing of IRS Form SS-4;
Correspondence with IRS re same
9/7/2005 Administrative and estate matters; Appearance at Register of Wills to
present Petition and related matters; Correspondence with Department
of Public Welfare re Estate Recovery matters; Correspondence with
Members 1 st FCU re date of death account balance information;
Correspondence with Knouse Foods Cooperative re pension/benefit
matters
9/8/2005 Administrative and estate matters; Preparation of required Notices of
Beneficial Interest in Estate and Certification of Notice; Preparation of
required Legal Notices for publication in Sentinel and Cumberland Law
Journal; Correspondence re same; Reserve for review and filing of
Proofs of Publication re same, and for appearance at Register of Wills
for filing of Certification of Notice
For professional services rendered
Additional Charges
9/8/2005 Publishing Fee - Legal Notice - Cumberland Law Journal
Total costs
PRACTICAL COUNSEL + CHRISTIAN PERSPECTIVE
T I.: I. L [' II ( , 'i I.. 7 I 7 2" <) . 7 7 I 7
F ,,( S I \.1 I J I. 7 1 7 .' 2 " <) .' 7 7 'i 7
T ( ) I. I F I( L 1 H 7 7 .' 'i " H .' <) (, C .2
Hrs/Rat
Amount
411.33
650.22
2.1 433.94
200.0 /hr
741 $1.495.49
I
7500
$7500
Ream, Lillian E Estate
Page
2
Amount
Total amount of this bill
Balance due
$1,57049
$1,57049
PAYABLE UPON RECEIPT - THANK YOU
PR/\CTIC;\l. COUNSEL + CHRISTI;\N PERSPECTIVE
. " .
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17G13
Rece~pt Date:
Rece~pt Time:
Recelpt No. :
$/07/2005
'13:11:52
I 1041824
REAM LILLIAN E
Estate File No. :
Paid By Remarks:
2005-00799
KENNETH REAM
JA
------------------------ Receipt Distribution --------------- --------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST
WILL
AUTOMATION FEE
SHORT CERTIFICATE
JCP FEE
Check# 9065
Total Received.........
135.00
15.00
5.00
12.00
10.00
----------------
$177.00
$177.00
CUMBERLAND COUNTY GE ERAL FUN
CUMBERLAND COUNTY GE ERAL FUN
CUMBERLAND COUNTY GE ERAL FUN
CUMBERLAND COUNTY GE ERAL FUN
BUREAU OF RECEIPTS & CNTR M.D
, ." .
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, P A 17013
October 7, 2005
Cumberland Law Journal is published every Friday by the Cumberland County B
Association and is designated by the Court of Common Pleas as the official legal publicat' on for
Cumberland County and the legal newspaper for publication of legal notices.
TO:
Stephen L. Bloom, ESQUIRE
RE:
Lillian E. Ream, ESTATE
Legal advertisements must be received by Friday Noon. All legal advertising mus be
paid in advance. Make all checks payable to: Cumberland Law Journal.
----------------------------------------------------------------
---------------------------------------------------------------- ----
Advertisement inserted on following dates:
September 23,30, October 7, 2005
Advertising Cost
$ 75.00
Proof of Publication
$ 0.00
Second Proof Request
$ 0.00
Payment Received
$ 75.00
Total Amount Due
$
0.00
Payment received September 19, 2005
by Becky H. MorgenthallExecutive Director
RETAIN THIS PORTION FOR YOUR RECO OS
REMITTANCE ADDRESS
THE SENTINEL - LEGAL
P.O. BOX 130, CARLISLE, PA 17013
AD NUMBER CLASS
293487 10
AD DE CRIPTION
NOTICE LETTERS TESTAMENTARY
PUBLICA TION
3 THE SENTINEL - LEGAL
TOTAL AD CHARGE
BILL TO
ATTORNEY AT LAW STEPHEN L.
PUBLIC NOTICES
SALESPERSON
wolfe
BilLING DATE
09/28/05
START DATE
09/10/05
NET AMOUNT
130.68
130.68
LINES
36 *
STOP DATE
09/24/0
GROSS AMOU
ON THE
INSERTIONS RA TE
3 LGL
3 PROOF OF PUBLICATION
OlPRF
6.35
DAYS RUN
PURCHASE ORDER
Est.LillianReam
PAY THIS AMOUNT
137.03
164.44*
· AFTER 10/28/05
MESSAGE:
Thank you for advertising with The Sentinel.
Deadlines for in-column legal advertisements: Monday is Friday at
11 a.m.; Tuesday is Friday at 4 p.m.; Wednesday is Monday at 12 Noon;
Thursday is Tuesday at 12 Noonj Friday is Wednesday at 12 Noon; Sunday
is Thursday at 12 Noon.
If you have any questions regarding your Legal bill please call
Tammy Shoemaker 243-2611, ext 203.
Fax your legals to 243-3754, attention Tammy Shoemaker
You can also EMAIL your legal to Classified ads: classified@cumberlink. m
Please send a cover letter including your name and address as an attac nt
'FI~ NO. 540 10/28 ' 05 06: 15 ID : C(]\IEWAGO ENTERPR I SES
FAX:?l? 632 8665
PAGE 1/ 3
ATLANTA IRS CENTI!!It
REAM AD1Z 09/06/2D05
199-07-4204
500'9-7101
UF02)
:. I r I ( II ;.J_ ' I . ,I f I~ 1 Ll ~ ,0 j
,. Please verify your address ....d note any correc:Dans below. (Prit'tr "ny.) i
Make ccmeotiana below, I
LILLIAN E REAM i
ll62 ~ERSTOWN aD "'J)&Ca......D Ai.J -~S~..IL I
&ARDMERS PA 17324-9040622 )(;sAltIJ""" .. ,. ..
7/7- 4IY--78J7
2. Please list yaur phone numbers 8nCI the best time to call below.
Hame aest Time to Call
Work Best Time to Call
3. If vou would like 10 a~horlze someone. in addllion 10 you · .
10 c:onlact IAS conc&f'ning INs notice. p\8au include the person's c;art.cl inlD""alion and sign beIo\I
Name Phone
A~ress
I authorize the pell5Cln listed above 10 cPc:uss i",ormalion lNMh and provldelOlormalion 10 tRS aboullhif
no lice. ..
. '. " .
Signature Oate
The ./Iuthp,jty er-n- in SttIp C Is limned ". indi=-e.d by Itl. .,..mont.bcwe th. .ignat.....,.,.. Tn. CClnracr INIY
nor $l9n rerums. $lItfi' jnPC agMtlnwnlS, Cf ctn.rw.. ~""t yOIl tlelont th61F1S. "yrilU Willlt to Nfv. . .S/9""
wIth flXpandftd aulhoriznrJOo. __IRS Publir:.lrioll JU7. F'fGttir:;w iJetrw m.IRS aM Pr:wrw cI Attorr.y.
-
fit.:___ r' i ;.1 I 1.1 f' l.~~~__,-i I I JI--, t , .. '1.'
,(COmpleted SIeps A, B. and C (bQlh sides of this form).
pflnc:ludad ttt. 'orm ....d yo.. paymerw (it appliQble) in lhe envelope provided.
C1lndudad lhe In.aRment Agree",.,,' Req...., (it .Qpp1lcaPle) In the 80\1" prouided.
tI~. de a copy lor your rec:ordl of lhe Response Form and lhe ,,,.i.llme1'1r Agteement R.,UN'
. Jf you uaed It,
"Cheeked that the IRS addr... showa Ihrough me envelope window.
Pl.... Fold Here. Do not detac:h. Please be sure oLlr ada'" shaws through the envelo window.
-
AUF! Control NLlmber: 500'9-7801
Notica Number: P2QOO
Notice Date: 091 6/2005
199-07-4204
INTERNAL REVENUE SERVICE
ATLANTA IRS CENTER
,.800 BUFORD HIllY
CHAM'LEE. 8A 39901-D021
I, ,11,1, I., I ,1,.11".. ..1111" .11.. ,. .1.1. ,,11.1.1,1
LILLIAN E REAM
1162 ~RSTDWN RD t
GARDNERS PA 11324-9040T2Z
I
1~~07~204 NT REA" 30 0 200312 b~O 0000011~100
Pall.
4 CP200D CREV. 1112004)
FII!!.E"No.540 10/28 '05 06:15 ID:CIl\lEWAGO ENTERPRISES
FAX:717 632 8665
PAGE 2/ 3
AT~AHTA IRS CENTER
....-..
199-07-,.20...
5"0'9-7101
.~~ AQll '9/0'/2DO~
Rt"~pon~(:: rorm
1. Ani_.... ~ ...... 10 ...,.... wh....... you ..,.. or do not .........,.
IRS". prop.... ...... i.
2. 001ft~1a 11ft" ~ the~RnPo'" Form by Dctob.,. D6, 2005.
...::..~: ' ...... -..:~ ...~'.~. .. L", .
3. If you n.... ..diaiona..tl..... 'caliii. at 1-800-&l'-1009.
. -', ~. , . ,
iI....
'.
.-
..:
UJIl
")'011 .... ."" 1M elM,...,. ,. ",.".,. ,.rum IItifIIbIm llIIiIIt yPW "."""', fN ...-rIl ". $",.,.a
'n"',.."r~ Rolf....
. OPTION 111 Agree with All Changes
, .~.....Ihe ch~ to ~ 20.S tax ,...~m.
I undetatand Ihait I owe .1,141 in adclllonal tax. pendies. and interI!I8t.
I undefstand that the law requires IRS 10 c:hargle int.... on lues I..t 10 not paid in full t.PI
AP,.U 15, ZUOIi. In addldan. I ""dint.net that the IRS WflI c:harge Inferest unllll halle paid
the tax in ful. certain penalles mavaJso appty.
I undensl8tld thai I can c:hat.nge these ~ In the u.s. Tu COW1 only it IRS del ermines aftef !he
eta>> I. t" form thai I owe addition.' WI_ for 2013.
I undemand mid I can file tor _ refund at . later date.
" ,., . ".,,,,,,..1If1irh ",. "".,."..IRS ie ",."..". ,.rwm Ihia /onn.. WhM you trJtuf" rI'/i$ foml. iIIt:Mie a
slr/Md .....MMt Ihar ..",... ., 1fIlI1Io 110'1", wlIIL Ahro indude ~. of allY doc:utrttIrIts. audl .. .
~ WLoI. 101M. or m/aItw.",.., 'MtUlflIPGIf1D"__rnenf.
C OPTION al I Do Not Agree with S.ome of the Changes
I've enciond dacurnantdan to cupport h entI1ea an my ariQinal' ,.tum.
c OPTION 31 I Do Not Agree with Any of the Changes
I've endosed dacumantatian to support the entries em my original return.
ctll'('~ IIII::' applll able paYlnenl opllons Then qo In St.-I' r
r." Pq.. m..:h "lOCI CallIIClW fIcl knp ptmaJry and In,.""" r:II1Jrga bw.
u.yrM'dwoIror""",.",.,~ liD "UNaIdSlaIlM TtNlSUI)'_. wn. "Tu v...,. 2DDS CP2DtID.. tJW
SocIal Security N""".r 1.... 0 7 .. 4 204 and 1011f phone f1umltler 011 yow check or money otrltll.
_OPTION11l'mpayingthefullamountot tl.141
C OPTION 21 I'm making a payment of $
Q I'm paying the .mount I 8QIH with or
o I'm meIdng . partial payment at this time
o OPTION 31 I'd Iu 1D r.quast a payment plan to pay the fa)C f owe.
Complete ,he 1,.,aI/"." ...",." ReqIMlSt (Form HtJ5) IIJ'Id mail It .""", _If this fDrm..
becau.. either:
1111111111111111I
. 1 , . 0 7 420 420 031 .
(IF02)
P_ 5
C~2DQO (REV. 11/l014)
-F4-~ ~.540 10/28 '05 06:16 ID:~ ENTERPRISES
FAX:?l? 632 8665
~ 3/ 3
~ """
esTATE OF UWAN! REAM
96
Date ~e.T:' .of If<<) S
frrTlC~~ -/sJ s:N$S' -rNi4Su "y I $ I, I ~ I, dO
~1.6v-"""';-~ -&Ie I~ - mll!lllor.
_~M'- ~ . LfJ
Ml!MO DDJ ~ C~ '"
.:f r~r~(fl:~lae?~O~ ~ O~qG --~~,.... ....-
OWlfR'l\'
-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
II
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
BLOOM STEPHEN L
2100 LONGS GAP RD
CARLISLE, PA 17013
nu_n_ fold
ESTATE INFORMATION: SSN: 199-07-4204
FILE NUMBER: 2105-0799
DECEDENT NAME: REAM LILLIAN E
DA TE OF PAYMENT: 10/28/2005
POSTMARK DATE: 10/28/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 07/29/2005
NO. CD 005939
ACN
ASSESSMENT
CONTROL
NUMBER
AMOU~T
101 I $5,900.g8
I
I
I
I
I
I l
I i
I
TOTAL AMOUNT PAID:
$5,900.~8
I
REMARKS:
CHECK# 99
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
GLENDA FARNER STRASBAU?H
REGISTER OF WILLS
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
, Deceased
No. 21 - 05 - 00799
Date of Death 7/2912005
Social Security No. 199-07-4204
Estate of
Ream, Lillian E.
also known as
Kenneth E. Ream
__.._.._~_._'___ ____._ - .-t--------..--n-
The 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 located 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 da~e of the
Decedent's death, and that the 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 ~re 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.
Attorney:
~epheIIL. Bloom
Personal Representative
Signature:~--+1/H E ~~
enneth E. Ream
Signature:
I.D. No.:
49811
Signature:
Address:
2100 Longs Gap Road
Carlisle, P A 17013
Address: 932 Myerstown Road
Gardners, P A 17324
Telephone: 717/249-7717
Telephone: 717-448-3767
Dated:
Oak bE/Z- 27. 2.005
.
Personal Property
Miscellaneous Household GoodslPersonal Effects
500.00
Members 1st Federal Credit Union - Savings Account #227385-00
13,372.45
Members 1st Federal Credit Union - Checking Account #227385-11
2,644.16
Total Personal Property
$16,516.61
;..~C~
.~J
~.. ~-'
1"0
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
$16,516.61