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HomeMy WebLinkAbout01-24-06 6EV'1500EX+I~1 w .... ,,~'" 00::" WQ.O J:OO 00::-' ,,-Ill "- ..: '.... "'Z Ww 0::0 O::z 00 0,,- z o j:: ..: .... ::> "- ::I! o o ~ .... IN~EE~~:N~~}~~~~~~~. _ r~~~~Q'-'~~~~~~~ ~- --_._-----_..~--_. ---~~.._-~~---- ----._--.~-.-.- SOCIAL SECURITY NUMBER COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG. PA 17128-0601 .... Z W o W o W o DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL) Devers, Dorothy A --~~--~--~---- I DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) I 04/1 ~/2005 08/14/1 9] 5 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL) REGISTER OF WILLS .._-~-~..,--.. SOCIAL SECURITY NUMBER ] 86-05-4922 --~._'~._~-._--------------- THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 181 1. Original Return o 181 o o 2. Supplemental Return o 4a. Future Interest Compromise (date of death after 12-12-B2) o 7. Decedent Maintained a Living Trust (Attach copy of Trust) o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: AME COMPLETE MAILING ADDRESS Gregory M Kerwin o 3. Remainder Return (date of death pnor to 12-13-B2) o o 4. Limited Estate 5. Federal Estate Tax Return Required 6. Decedent Died Testate (Attach ccpy of Will) 9. Litigation Proceeds Received 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) IRM NAME (If applicable) Kerwin & Kerwin 4245 RT 209 Elizabethville, P A ] 7023-9765 ELEPHONE NUMBER 7]7/362-32]5 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) ] 05,261.00 r- I I I :.~__L+~~::"-=-___,:=.. _=, (,) , (1 ) (2) (3) ..) None )1 r .-,~' ,I I :1 i 3. Closely Held Corporation, Partnership or Sole-Proprietorship None z o j:: S ::> .... n: ..: 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) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) ] 0,895 .93 ._--~--~ (10) 2,2]8.]0 (4) None -""''''j (5) 2,800.00 - .------- -- .--- ------...- ----_.-------- (6) ] 7,097.55 ] 1 . ~ I ) 1'; I. " ~ ---- --- ---- -___ ___~~ ____J (7) None (8) 125,]58.55 10. Debts of Decedent. Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) (11) ]3,] 14.03 (12) 112,044.52 12. Net Value of Estate (Line 8 minus Line 11) 113. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) - 1'~ Not V'Iu' SUbj:;E~N:~~::'~N:i:: ~:~:SE SIDE -;;0. AP~~'CABLE RATES I 15. Amount of Line 14 taxable at the spousal tax rate, x .00 ! or transfers under Sec. 9116(a)(1 .2) -----.--,,-~-- .,-- (13) (14) ] ] 2,044.52 (15) 16.Amount of Line 14 taxable at lineal rate x .045 (16) 17.Amount of Line 14 taxable at sibling rate (17) x .12 18. Amount of Line 14 taxable at collateral rate ] 12,044.52 x .15 (18) 16,806.68 19. Tax Due (19) 16,806.68 20. 181 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. >> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH << Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) pt. . Decedent's Complete Address: STREET ADDRESS 1301 Warwick Road CITY I STATE PA TZlP 17011 Camp Hill Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) J 6,806.68 17,400.00 840.33 Total Credits (A + B + C) (2) 18,240.33 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 5. 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. (3) (4) 0.00 --_._---",""- 1,433.65 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5) (5A) (5B) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "XU IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;..................................................................... 0 IZI ~.' ~::::~ :h~e~;~~i~~:~s:~;:~es;~~. .s.h.a.I~. ~~~.t~~. ~~op.~~~ t.~~~~f~rr.e~o.r .i.ts. .i~~~~~.;.........: :.'. 8 ~ d. receive the promise for life of either payments, benefits or care? .................. ................ 0 IZI 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without 0 IV'! receiving adequate consideration?.. ............... ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?...... 0 IZI 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?................................ ....................................... ........................ ................ 0 IZI 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 statements. and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which p~eparer has any knowledge ADDRESS 2\ J West Street Williamstown, PA --~----~-~-~-r~.1 17098 J I' t1'l - -- ".J DATE db ADDRESS DATE ADDRESS /-/'1 ~.~~Q( DATE For dates of death on or after July 1, 1994 and before January 1, 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 imposE [72 P.S. 99116 (a) (1.1) (ii)). The statute does not exempt a transf, of assets and tiling a tax return are still applicable even if the survil For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceasec parent, an adoptive parent, or a stepparent of the child is 0% [72 P The tax rate imposed on the net value of transfers to or for the use 1.2) [72 P.S. 99116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use ( Yo [72 P.S. 99116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in wlI1rnon Wltn the decedent, whether by blood or adoption. 4245 RT 209 Elizabethville, PA i>~~~ ~~ \~.~.';{ ~ 17023-9765 he net value of transfers to or for the use of the ~\( ~ "<-Iv\ to or for the use of the surviving spouse is 0% IX, and the statutory requirements for disclosure ary. or younger at death to or for the use of a natural iaries is 4.5%, except as noted in 72 P.S. 99116 . > *' SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER 22 - 05 - Devers, Dorothy A All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a wimng seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER I VALUE AT DATE OF DEATH --1-.._-- ___ Premises situate at 130 I Warwick Road, Camp Hill, P A. Lower Allen Township, cumberland County, 105,261.00 PA. Deed Book L, Volume IS, Page 199. Tax Parcel 12-23-0545-312. Value based on assessed value times the common level ratio of$94,830.00 times I. I I DESCRIPTION TOTAL (Also enter on Line 1, Recapitulation) ..-e-------_. ._ J 05,261.00 . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT I FILE NUMBER 22 - 05 - Devers, Dorothy A 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 NUMBER I DESCRIPTION VALUE AT DATE OF DEATH --_.~._---.._--- 2,800.00 Household goods and personal property. Value based on appraisal attached hereto -------------~._._--,-~--~.__.- ---- TOTAL (Also enter on Line 5, Recapitulation) 2,800.00 ESTATE OF Devers, Dorothy A SCHEDULE F I JOINTLY-OWNED PROPERT~ I FILE NUMBER 22 - 05 - ._"~~~~~-_...- COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT 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 Lois S. Butler 211 West Street Williamstown, PA 17098 Sister-in-Law JOINTLY OWNED PROPERTY: -~- ------ --_...~ .---- --------------- DESCRIPTION OF PROPERTY "10 OF DATE OF DEATH ITEM LETTER DATE Include name of financial institution and bank account number DATE OF DEATH FOR JOINT MADE DECD'S VALUE OF NUMBER TENANT JOINT or similar identifying number. Attach deed for jointly-held real VALUE OF ASSET INTEREST DECEDENT'S INTEREST estate. ~.__..__._----_.- A 01101/1989 Checking Account #5140104912 at PNC Bank 2,358.78 50% 1,179.39 2 A 02/01/1980 Savings Account #5130147601 at PNC Bank 31,836.32 50% 15,918.16 TOTAL (Also enter on line 6, Recapitulation) 17,097.55 ESTATE OF ITEM NUMBER A. B. -----~.~ . *' SCHEDULE H 1 FUNERAL EXPENSES & ADMINlSTRATlVE COSTS -~~--~-~.~~ ~~~--~--_.~--- COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Devers, Dorothy A I FILE NUMBER 22 - 05 - . -------~---_.~------ ----------,--- ------- Debts of decedent must be reported on Schedule I. DESCRIPTION AMOUNT FUNERAL EXPENSES: John Shultx Funeral Home, Lykens, PA, funeral 5,523.50 2 Maple Grove Cemetery Association, grave opening 550.00 3 Funeral Lunch 80.14 ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Lois S. Butler Social Security Number(s) I EIN Number of Personal Representative(s): 201-16-2779 Street Address 211 West Street City Williamstown Year(s) Commission paid 2,000.00 State PA Zip 17098 2 Attorney's Fees Kerwin & Kerwin -- Gregory M Kerwin 2,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address 4. City Relationship of Claimant to Decedent Probate Fees Register of Wills 298.00 State Zip 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. I Other Administrative Costs The Sentinel-Legal, estate advertisement 144.29 2 Cumberland Law Journal, estate advertisement 75.00 Total of Continuation Schedule(s) 225.00 '-~--~-,-_.._-.._----- -'. TOTAL (Also enter on line 9, Recapitulation) 10,895.93 . Schedule H Funeral Expenses & Adminis1rative Cos1s continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER 22 - 05 - Devers, Dorothy A 3 Notary fee on Deed 5.00 4 Robert Ensminger Appraisers, personal property appraisal ]20.00 5 Reserved for closing costs 100.00 -----___1__ _____ Page 2 of Schedule H *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT --_.,-~----" ESTATE OF I FILE NUMBER 22 - 05 - _.~"-~_._-~~-~---_._._--"~--------."_. Devers, Dorothy A Include unreimbursed medical expenses. ~ - ~-~- - --- - - -. - ----...----------.--------.---- ITEM NUMBER I DESCRIPTION AMOUNT PPL Electric Utilities Corporation, account payable 156.65 2 UGI Natural Gas, account payable 242.59 3 Sewer and Refuse removal 106.35 4 Water bill 89.51 5 Homeowners insurance 71.00 6 Real Estate Taxes 446.03 7 HCR Manor Care, account payable I, ]05.97 ----------------------..----------. "--'--'~---- .----.---------------- TOTAL (Also enter on Line 10, Recapitulation) 2,2J8.1O SCHEDULE J BENEFICIARIES . _1- .. .. __ ... ESTATE OF I FILE NUMBER 22 - 05 - --~----~_._-~._.____. ____n___ _____._______ ____"______ RELATIONSHIP TO I. AMOUNT OR SHARE DECEDENT OF ESTATE F'i,::""".'~..'l Ipremi~:s~~te at]~OI Warwick Road, Camp Hill, PA Devers, Dorothy A NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Blair Preston Roberts c/o Richard L. Placey, Esquire 3631 North Front Street Harrisburg, PA 17110-1533 2 Lois S. Butler 211 West Street , Williamstown, P A ] 7098 Sister-in-Law Remainder of Estate 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS ----._------- ----_._-----'~--~--~_.~-------_._-~--_..._-----~---------- c") ct) 1liU5t ~ill unh 'me5tument of .::~,: DOROTHY A. DEVERS ( '~,j .,--..;-'. tiJ :-:~":. ~ C';;1:[_.:. .> ~;~..:DOROTHY A. DEVERS, Widow, of 1301 Warwick Road, Camp Hill, .:.;:, () ttrmberland County, Pennsylvania, being of sound mind, memory and un- derstanding, do make and publish this, my Last Will and Testament, hereby revoking and making void all former Wills by me at any time heretofore made. FIRST: I direct my hereinafter named Executrix to pay all my legally enforceable debts, funeral expenses or excise taxes, which I owe or may become due on account of my death, as soon as may be con- venient after my decease. SECOND: I give and devise my home situate at 1301 Warwick Road, Camp Hill, Cumberland County, Pennsylvania to BLAIR PRESTON ROBERTS. In the event BLAIR PRESTON ROBERTS should during his life- time receive an offer to purchase said property and he desires to ac- cept said offer or should he at any time offer to sell the same premises, he shall give to my sister-in-law, LOIS S. BUTLER, thirty (30) days notice, in writing, of such offer setting forth the name and address of the proposed purchaser, the amount of the proposed price and all other terms and conditions of such offer and the said LOIS S. BUTLER shall have, during her lifetime, first option to purchase the premises which are the subject of the offer by giving written notice to BLAIR PRESTON ROBERTS of her intention to purchase within thirty (30) days at the same price and on the same terms as any such offer, it being understood that in the event LOIS S. BUTLER does not give BLAIR PRESTON ROBERTS notice of her intention to exercise said option to purchase within said thirty (30) day period and in the event said premises set forth are not sold for any reason, the said LOIS S. BUTLER shall have the continuing first option to purchase said ./.J-~-7_"'--Z:~ O' .fuu-L i--z.-/ DOROTHY 1'1. DEVERS (SEAL) Page 1 of 2 Pages premises upon the terms of any subsequent offer or offers to purchase. In the event of the death of LOIS S. BUTLER, this right of first refusal shall terminate and shall not inure to the benefit of her heirs, successors and assigns. THIRD: All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever or wheresoever the same may be situate at the time of my death, I give, devise and bequeath to my sister-in-law, LOIS S. BUTLER. In the event my sister-in-law, LOIS S. BUTLER, should predecease me, I direct that her share of my Estate shall pass to her issue per stirpes. FOURTH: I nominate, constitute and appoint my sister-in-law, LOIS S. BUTLER, as Executrix of this, my Last Will and Testament. In the event my sister-in-law, LOIS S. BUTLER, is unable or unwilling to serve as Executrix of this, my Last Will and Testament, I nominate, constitute and appoint my nephew, EDWARD N. BUTLER, as Executor of this, my Last Will and Testament. I further direct that my within named Executrix or personal representative shall not be required to post bond to act in said capacity. IN WITNESS WHEREOF, I, DOROTHY A. DEVERS, have hereunto set my hand and seal to this, my Last Will and Testament, this Sf.?tt() day of rLjYvu-c~ ' A.D., SIGNED, SEALED, PUBLISHED and DECLARED by the above- named Testatrix, DOROTHY A. DEVERS, as and for her Last Will and Testament, in the presence of us, who at her request and in the presence of each other, have hereunto sour m s witnesses: 1989. ~'va-~~ Q DOROTHY A. DEV RS . LC<-S~~;l Page 2 of 2 Pages COMMONWEAL TH OF PENNSYLVANIA C/EPARTMENT OF REVENUE . Bu'REAU OF INDIVIDUAL TAXES DEPT.2B0601 HARRISBURG. PA 17128-0601 REV-1162 EXll1-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT I<ERWIN GREGORY M 4245 ROUTE 209 ELlZABETHVlllE, PA 17023 h__~___ fOld ESTATE INFORMATION: SSN: 186-05-4922 FILE NUMBER: 2105-0439 DECEDENT NAME: DEVERS DOROTHY A DATE OF PAYMENT: 07/07/2005 POSTMARK DATE: 07/06/2005 COUNTY: CUMBERLAND DATE OF DEATH: 04/15/2005 NO. CD 005535 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $15,000.00 I I I I I I I I TOTAL AMOUNT PAID: REMARI<S: CHECI<# 1199 SEAL INITIALS: JA RECEIVED BY: TAXPAYER $15,000.00 GLENDA FARNER STRASBAUGH REGISTER OF WillS COMMONWEALTH CF PENNSYLVANIA DEPARTMENT OF REVENUE B~\lEAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17 I 28-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT KERWIN GREGORY M 4245 ROUTE 209 ELlZABETHVlllE, PA 17023 hh_h_ folr! ESTATE INFORMATION: SSN: 186-05-4922 FILE NUMBER: 2105-0439 DECEDENT NAME: DEVERS DOROTHY A DATE OF PAYMENT: 07/12/2005 POSTMARK DATE: 07/11/2005 COUNTY: CUMBERLAND DATE OF DEATH: 04/15/2005 NO. CD 005548 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,400.00 I , I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 9241 SEAL INITIALS: JA RECEIVED BY: T AXPA YER $2,400.00 GLENDA FARNER STRASBAUGH REGISTER OF WIllS VI/VI/':':"..)v.J VO I V r fl ^ . . t I I 0 I'::: v 10 V A,CUA If!j U II L' III LJ 4 ROBERT ENSMINGER APPRAISERS RL'f [, ES!>t Ir (lnd PEN.SO,!\/,,1IJ PRO/JEN!) ,~ ':; -;: I ill)" 1lf'i' J\ \ , ",l<,; 11.(l'1'hl:\lr~. r/\ ':,~ ~i;',:_ i ; :~ ')!7~f1(]..)1'1 \'.1"...: i Ii> ~'Il 'Ud t I j, '. />,<;'l~'_ ~5'.} I, ~'J; 1b.r!;~nH''))i\(.(\\nc~~,1 \\\v",\'.I'n.\l1JJ/\~L'r," 'Jc.:1 I I ) I I \Juty 5,2005 I I Deborah Butler 11720 Penn St. ,Harrisburg, pp., 17102 I ) I I ,Deaf Ms Butlei I II n accordance With your request. I have appraised the personal property of Dorothy I Devers, Deceased The property is located at 1301 Waf\N\ck Rd. Camp HilI. PA 117011 I ~ [The values shown have been arrived at after a careful study of the property! , !believe It to reflect a true measure of Its market value 2S of June 23,2005 ' I I Market value is defined as being the most reasonable or probab~e price in terms of money that real or personal property will bring In an open and competitive market . under all conditions requisite to a fair sale, the buyer and seHer each acting prudently and Knowledgeably, and assuming the price is not affected by undue stimulus 1 I [ I I I I I I I I , I I I I I I I I I I j I 1 I I 'T a~ing mto account a/I of the factors set forth in the pages that foilow, tt is the I opinion of the underSIgned that the fair mari<et value of the personal property IS Two I ! Thousand Eight Hundred Dollars ($2,800,00,) I Employment in and compensation for making thiS appraisal are In no manner I ! contingent upon the value reported and j certify that I have no financial interest In I I the property appraised. present or contemplated. 1 (very truiy yours, I I r?UJ!~ I I ~obert A Ensminger I I I I i I I I RE btats of Dorothy Devers II ~. UI/UJ/iUU) U~ IV ~A^ r I I b I c: J I~;j xnux . . ' Idj OOJ/OUq Estate of Dorothy Devers ~ __ _ __ -.!!em Descriptio"_ _ _ _ _ ~__ yahJ~ -.-J So(~ __.____ __._ _'_'_ __~---50.001 ~nd Table~ _ _ _ ___ _ __ _ _ _~! _ _ _ --25..00 Lamps __ __ __ _ _ __ 1$ 20.00 Picture -rs- --- 500- (Green Ch8lf == ==- == .-=---=- ~---=- -=-lJ. =- =- 10.00- ~R~~~lr~_table _~-_~.=-=- ---=----=- =-=--=.J. ~= ..~~.~~ vVlIlfj chatrs i $ 1000 Cl.!:J~~n Ann round tabie_ -=- -=--- ~-=- -=- -=--=-- --=-- -~ $ -=- - 6000 Larnp__ _ _ ____ __ __ _'_. _i~ _ 15.00 Convexmlr~ __. ______ __ _~'_= 15.00 Pictu!e~_ __ __ __ __ __ _ll '___. ~OO Slantlr~de5k __ __ __. __ '_ _ -l~ _ _150.00 Needlepoin~ilir_ _ _ _ _ _ _ _ __ _~. _ _, 2..9.:00 Chair ; $ 2000 OueenAnntable-- -- .--- -- -- '!$ ---85.00 Marble fro stand ___- - -- - '- - -- -- - '-+$- --- 5-6-00 Mise. In livlnqroom-- - - -- - -- - '- - .1$ ---40.00 Dry sink-~-= -_~ -~ -=-~~ =, --=- -=-~ - I $ -=--=- -7500 Ma~ drop leaf table. 4 chaire.. hutch --r.$ 350.00 ~und'tab~ - - -- - - -- - - - -- ! $- - - 40.0'0 ~amp -- -- -_. --- -- :$-- --'-000 418mps - --. - - - -- - -1'$- '- - 40.00 Mise: in dining room-=- _~ _== -=--=-- ---=- -=- =11 -=-~ 20:0-0 ~ef~gerat~.r ___ _ _ _ __ __ '_.' ~ --.J L ___'5~OO 1~lerowave oven 1$ lJ.OO )~ail appliances - - - - -- - - - i $ -- - 30.00 ~ts,- oa;'5. bakeware -=---=- = = ==-- = -=-- ~ i S ~--=-'5.00 j~:;h~g~asses,ut@nsi~_ __, __. __ ___.1.$__ _15.00 ~~b!e_bi(1S_ __ __ __ _'_ _-1S __ -.l..0.00 ~:~:n&c~a~~airs__- ---- -- -l~ '-- ~~.~~ 1~~~d;a~I::lr ~'-=- --=- -- ~=-~~-=----=--i ~ -=- -=-. ;~:~~ _._-----------~--_. Round table j $ 5.00 ~~r~:2:oc:~n ~ -= =- = ~ = = -=- --=-~ f ~ --=- 20~~ 8ookcase-- - -. -- --- -- -i-$ - - 20,00 ._- -.- --.. -- --. -- --t-.::. .-- - lamp I $ 10,00 Lamp- -- - - -- -- -- -n--- -5,00 ~halr- '--' "-- -- '-- "--- '-r-s- -- Mise. Jnd~n--=--=-- -=- ~-=---=- -=~ ---=-=-=- ~-:s-.~-=-- 15.00 ~edroom SUite - db, bed, chest ofdrawer~~w/ mjrr~ _. _ -=t1 __ _ 250.00 ~s;o~~~ble _ ~~-=-~ -=-- _ ~ =- = ~ ~.~ --=-- 3~~~ Lan-,ps _ _ _ _ _ _ _ _ _ _ _l..!.. _. _. 25.00 Mahoqany bedroom suite - pineapple poster bcd, chest of drawers, dresser w/l _ mlrrO! j :b 350.00 ~~:~:nt:~~:'e ~~ -=- -=- .-=--=- -= -= -~ i ~---=- ~~.~~. Page 1 of 2 l)~r(\)(!.:.u\):" t)tj ii) ~(l.,X (if bl:::,j j~:3 ----- - -. )O-'t UX It[] lJ li q / 1l1.J q Estate of Doroltly O@vers _ ~~ _ _ _ It~m Descriptio'L- _ _ _ _ L_ Value _ J Lamps_ ___ __ _________~_- _ ,20.0~ Misc. in bedrooms I $ 15.00 < -- -_. ---. -.-. -_. -- ---4.---.- Wash~dryer_ ___ _ __ '__ __ __ ~_ _--,:50.00 Shelves . $ 20.00 '--,--- --- '-- -- -- --- --- '~- ---- ~::~~;~est = == _~._-=--.~~-= ;~_=-=3~~~~ ~Iu~i~i~e~ontents _ -=--=-=-- -=-- -=-~ -=- -=- --=-- ~ -I ;-=-=- - -S~~6 -Lawn choirs I $ 2000 - -- -------- --- -- -+----,-- Shop v"r. I S 15.00 MISC. lawn &garden tools - - -. -- -- - -;-$-- .- -. 2000 AlumInum ladder - -- -- - -- - - - - \ $ - -~OM' Misc. in ba~ement= __ _-=-- ~_~ - ~ =- -=-=-. I $ -=- - fo.oO TOTAL' 2 800.00 Page 2 of 2 o PNCBAN< June 21,2005 Gregory M. Kerwin 4245 Route 209 Elizabethville, P A 17023 RE: Estate of Dorothy A. Devers, (Deceased) SSN: 208-24-1032 DOD: 04/15/2005 Dear: Mr. Kerwin In response to your request for Date of Death balances for the customer noted above, our records show the following: Checking Account Account # 5140104912 Established xx/xx/xx DOROTHY A DEVERS OR LOIS S BUTLER DOD balance: $2,358.76 + $0.02 accrued interest Savings Account Account # 5130147601 Established 02/0111980 DOROTHY A DEVERS LOIS S BUTLER DOD balance: $31,835.66 + $0.66 accrued interest Please note that this office only provides date of death balances for deposit accounts (!RAs, 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, C().~ Jessica Scheller 1-800-762-1775 P7 -PFSC-04-F 500 first Ave. Pittsburgh P A 15219 Member FDIC KERWIN & KERWIN ATTORNEYS AT LAW 4245 ROUTE 209 ELIZABETHVIllE, PA 17023 GOVERNORS' ROW 27 NORTH FRONT STREET HARRISBURG, PA 17101 (717) 238-4765 FJlX (717) 238-8455 PATRICK E. KERWIN (1913-1987) (717) 362-32 I 5 (717) 896-9089 FJlX (717) 362-4459 E-maiLkkl@cpix.net GREGORY M. KERWIN - Gl'1K@Kcrwinlawfinn.com TERRENCE J. KERWIN - KK@Kerwinlawfirm.com JOSEPH D. KERWIN - JDK@Kcrwinlawfirm.com HOllY l'1cClURE KERWIN - KK@Kerwinlawfiml.com please I?cply 7,,, * ELIZABETHVILLE OFFICE ~ HARRISBURG OFFICE January 19, 2006 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013-3387 Re: The Estate of Dorothy A. Devers Date of Death - April 15, 2005 Estate #2005-00439 PA #21-05-0439 Dear Sir or Madam: Please find enclosed herewith an Inheritance Tax Return and Inventory with respect to the above-captioned estate for filing in your office. Also enclosed is a check in the amount of $25 .00 for the filing fee. Would you kindly time stamp the enclosed file copies and return them to me in the enclosed stamped, self-addressed envelope? As always, thank you for your help. Very truly yours, ~~.~ . GRfcbRY M. KERWIN GMK:bmk Enclosures cc: Richard L. Placey, Esquire (w/encl.)