HomeMy WebLinkAbout02-21-06
REV.l500 EX + (6.00)
'*
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
R'EV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
2 1 -0 5 0 8 7 4
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
FULMER STEVEN
DATE OF DEATH (MM-DD-Year)
SOCIAL SECURITY NUMBER
S.
DATE OF BIRTH (MM-DD-Year)
1 72- 3 6 - 1 534
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
09/24/2005 02/09/1946
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
W
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[XJ 1. Original Return
D 4. Limited Estate
[XJ 6. Decedent Died Testate (Attach copy of Will)
D 9. Litigation Proceeds Received
D 2. Supplemental Return
D 4a. Future Interest Compromise (date of death aher 12.12.82)
D 7. Decedent Maintained a Living Trust (Attach copy of Trust)
D 10. Spousal Poverty Credit (date of death between 12.31.91 and 1.1.95)
D 3. Remainder Return (date of death prior to 12-13-82)
D 5. Federal Estate Tax Return Required
_ 8. Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
THIS SECTIONiM ustieE'eoMPtlelfep*utlcoRRESPONPENceANPieONFIPEN'tla,'tUiJNFoRMA'11oN.SHOULPi..ai:!PIFIJ:CTEP'tCl:
NAME COMPLETE MAILING ADDRESS
ROBER G. IRWIN 60 WEST POMFRET STREET
FIRM NAME (If Applicable)
IRWIN & McKNIGHT
TELEPHONE NUMBER
717 249-2353 CARLISLE PA 17013
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1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
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)
OFFIC1:t/l;l USE ONLY
5,810.11
73,026.17
(8)
78,836.28
5,320.51
34,372.82
(11)
(12)
(13)
39,693.33
39,142.95
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
(14)
39,142.95
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(I.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
0.00 X _(15) 0.00
34,117.96 X .045 (16) 1 ,535.31
0.00 X .12 (17) 0.00
0.00 X .15 (18) 0.00
(19) 1 ,535.31
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
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REV-1508 EX + (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
FULMER
FILE NUMBER
STEVEN S. 21 05
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
0874
ITEM
NUMBER
1.
DESCRIPTION
M&T BANK - Checking Account 10550836
VALUE AT DATE
OF DEATH
5,810.11
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
5,810.11
REV-1510 EX + (6-98)
'.
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FULMER
S.
FILE NUMBER
21 05
0874
STEVEN
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY
ITEM INCLUDE THE NAME OF THE TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFER. ATTACH ACOPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1. Fort Dearborn Life - Annuity #POOOOO019742 30,398.75 100. 30,398.75
Beneficiaries - Yuri S. Fulmer and Nicole R. Clanton
2. Lincoln Benefit Life - Annuity #LBF1 096872 21,210.52 100. 21,210.52
Beneficiaries - Yuri S. Fulmer & Nicole R. Clanton
3. Fidelity & Guaranty Life - Annuity #01716956 21,416.90 100. 21,416.90
Beneficiaries - Yuri S. Fulmer & Nicole R. Clanton
TOTAL (Also enter on line 7 Recapitulation) $ 73026.17
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX + (12-99)
'.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
ESTATE OF
FULMER
STEVEN
S.
Debts of decedent must be reported on Schedule I.
21
05
0874
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Hollinger Funeral Home 1,646.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees Irwin & McKnight 1,150.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Register of Wills 69.00
5. Accountant's Fees
6. Tax Return Preparer's Fees Patricia A. Rosendale, CPA 350.00
7. Overnight Mail 82.00
8. Cumberland Law Journal - Estate Notice 75.00
9. The Sentinel-Legal - Estate Noticde 129.77
10. Register of Wills - Filing Fee 30.00
11. Notary Fees 15.00
12. Travel Expenses - Nicole R. Clanton 1,548.74
13. Prior Legal Fees 225.00
TOTAL (Also enter on line 9, Recapitulation) $ 5320.51
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (6-98)
'*
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES. & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FULMER
FILE NUMBER
STEVEN
S.
21
05
0874
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1. Troy Landis - September and October Rent
VALUE AT DATE
OF DEATH
350.00
2. Spring Road Family Practice, Medical
3. West Shore EMS - BLS, Ambulance
4. Andorra Radiology, Medical
5. Moffitt Heart & Vascular Group, Medical
6. Carlisle Regional Medical Center, Medical
7. Cumberland Pathology Assoc, Medical
8. Lane HMA Phys Mgmt Cent Pen, Medical
9. Vascular Associates, Medical
10. Carlisle Digestive Disease Associates, Ltd.
11. J. Edward Dagen, MD, Medical
12. Sprint, Telephone
13. Verizon Wireless, Telephone
14. PP&L. Electric
15. Borough of Carlisle, Water/Sewer
964.00
304.73
623.00
230.00
29,907.92
325.00
82.00
43.00
1,060.00
100.00
45.05
240.00
68.96
29.16
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
34 372.82
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FULMER
STEVEN
s.
FILE NUMBER
::>1 O~
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
0874
AMOUNT OR SHARE
OF ESTATE
NUMBER
1.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTF:IBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1.
Nicole R. Clanton
106 Idle Acres Drive
Shelbyville, TN 37160
Yuri S. Fulmer
729B McPhearson Drive
Nashville, TN 37221
Lineal
1/2 Remainder
2.
Lineal
1/2 Remainder
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
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
LAST ~VILL AND TESTAMENT
I, STEVEN S. FULJ\tlER, of the Borough of Carlisle, Cumberland County,
Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Codicils heretofore made by me.
1. I direct my executors to pay all of my debts, funeral and administrative expenses as
soon as may be done conveniently after my decease.
2. I authorize and empower my executors to sell any realty owned by me at my death,
and not specifically devised herein, at either public or private sale, and to give good and
sufficient deeds therefor, in fee simple, as I could do if living.
3. I devise and bequeath all of my estate of every nature and wherever situate to my two
children, share and share alike, the child or children of any deceased child taking the share their
parent would have taken if living.
4. I nominate and appoint Yuri Shane Fulmer and Nicole Rae Fulmer to be the executors
ofthis my Last vVill and Testament; they are to serve as such without bond.
5. I hereby suggest that my personal representative retain the servIces of Irwin,
McKnight & Hughes, as attorneys in the settlement of my estate.
IN \VITNESS WHEREOF, I have hereunto set my hand and seal this 18TH day of
February, 1998.
""SEAL)
Signed, sealed, published and declared by STEVEN S. FULMER, the above named
testator, as and for his Last Will and Testament, in the presence of us, who at his request, in his
presence and in the presence of each other have subscribed our names as witnesses hereto.
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ACKNO"VLEDGIVIENT AND AFFIDAVIT
\VE, STEVEN S FULMER, CHERYL L. CLELAND and SHARON L.
SCHWALM, the testator and witnesses respectively, whose names are signed to the 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 that he had signed willingly,
and that he executed it as his free and voluntary act for the purpose herein expressed, and that
each of the witnesses, in the presence fu~d hearing of the testator, signed the Will as a witness and
that to the best of their 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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. RYL L. CLELAN
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J SHARON L. SCH\V ALM
COl\'Th'ION'VEAL TH OF PENNSYLVANIA
ss:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by STEVEN S. FULMER, the
testator herein, and subscribed and sworn to before me by CHERYL L. CLELAND and
SHARON L. SCH\VALM, witnesses, this 18TH day of February, 1998.
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, Roqer B, Irwin. Notary Public
I CarlisTe Bora. Cumberland County
My Commission ExplP3$Oct 3. 2000
-Member Pelll1sylvani,1 As~,'1W1tiol1 ill Notaries
m1 M&TBank
499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12
Phone (888) 502-4349
Fax (302) 934-2955
October 4, 2005
Law Offices
Irwin & McKnight
'Vest Porn fret Professional Building
60 'Vest Pornfret Street
Carlisle, Pennsylvania 17013-3222
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Re: Estate or Steven S Fulmer
Social Securitv: 172-36-1534
Date of Death: September 24, 2005
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Dear Sir or Madam:
Per your inquiry dated September 28,2005, please be advised that at the time of death, the above-named decedent had on
deposit with this bank the following:
1. Type of Account Checking Account
Account Number 10550836
Ownership (Names oj) Steven S Fulmer *
Nicole R Clanton, POA
Opening Date 02/08/94
Balance on Date of Death $5,810.11
Accrued Interest $ 0.00
Total $5,810.11
Please be advised, there was no safe deposit box found for the above decedent.
*For further account information, regarding ownership and any changes, closures and/or reimbursement of funds,
etc., please call the Spring Garden Office # 717-240-4525.
Sincerely,
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Nancy Clagett
Records Management
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F!DEUTY 3 GU~F'Atlr( liFE
FiDEUT(' :.: GjJ~R,~I'lT':' lifE ,OF rJE'/'I'{oJPf".
AMEPICCrA liFE .3 iltJI"J!..!rrl
Irwin & McKnight
West Pomfret Professional Building
60 \Vest Pomfret Street
Carlisle, PAl 7013-3222
October 5, 2005
Policy:
Owner:
Annuitant:
01716956
Steven Fulmer
Steven Fulmer
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Dear Mr. Irwin:
This letter is in response to your recent letter dated September 29, 2005. Following are
responses to your questions:
1. The owner of policy 01716956 is Steven Fulmer,
2. The account was issued on October 10, 2001.
3. There \Vere no ownership changes within one year prior to the date of
death.
4, Policy 0176956 is the only policy owned by Steven Fulmer.
5. Policy Value on January 1,2005 was $20,668.77
6. Policy Value on September 24,2005 was $21,416.90
If you should have any questions, feel free to contact our office at 1-866-702-21 94,
extension 13304.
Sincerely,
..&:.. ~~
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Ashley Denman
Claims Examiner
Fidelity & Guaranty Life Insurance Company
www.omfn.com
Lincoln Benefit Life Company
5<~4 Lakeview Parkway
. Vemon Hills, IL 60061
Telephone: (877) 499-6418
Facsimile: (866) 635-4523
LINCOLN BENEFIT LIFE
AN ALLSTATE COMPANY
October 14, 2005
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Irwin & McKnight Roger B. Irwin
West Pomfret Professional Bldg.
60 West Pomfret St.
Carlisle, PAL 7013
2 ~2
Re: Steven S Fulmer
Contract No: LBF1096872
Dear Roger B. Irwin:
We have been requested to complete IRS Form 712 with regard to the above referenced contract. The
purpose of Form 712 is to provide an estate or donor with the value of a life insurance Contract or its
proceeds as of a certain date (usually the owner's date of death or date of transfer of the contract).
This contract is an annuity contract, which is not reportable on IRS Form 712. The following information is
provided for estate purposes only as of the date specified:
Date of Death:
Armuity Value 9/24/05:
Cost Basis:
Named Beneticiary:
September 24, 2005
$21,210.52
$ 19,900.94
Yuri S. Fulmer & Nicole R. Clanton
*The actual amount paid may differ due to Market Value Adjustments and/or any applicable Surrender
Charges.
If you have any questions, please contact our Customer Care Unit at 1-877-499-6418.
Sincerely, < 4
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,,-::i:ene Ramos \ ( \
Sr. Claim Examiner
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Administrative Office · P.O. Box 655403 · Dallas, Texas 75265 . Phone (800) 538-0379 . Fax (972) 996-9368
FORT DEARBORN LIFE
lnsurmrce Compnny
October 21,2005
Roger B. Irwin
Law Offices of Irwin & McKnight
60 West Pomfret Street
Carlisle, PA 17013-3222
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RE: Contract #P00000019742
Annuitant - STEVEN S FULMER
Dear Mr. Irwin:
This letter is in response to the recent correspondence received from you regarding the
above-referenced annuitant.
Our records indicate this annuity was purchased on November 13, 2002. The registered
owner is Steven S. Fulmer. There has been no change of ownership on this contract. The
date of death value, September 24, 2005 was $30,398.75. The interest accrued in year 2005
through September 24, 2005 was $890.89.
Our records indicate that the proceeds will be payable to: Yuri Fulmer and Nicole Clanton,
beneficiaries. The death claim paperwork and instructions have been mailed out to Mr.
Landis.
Please feel free to contact our office if you have any questions or need additional assistance.
Troy H Landis
74 W Pomfret St
Carlisle, Pa 17013
Hollinger Funeral Home & Crematory, Inc.
Eric L. HoIIins,;er, Supervisor
December 28. 2005
Estate of Steven S. Fulmer
Irwin & McKnight
60 West Pomfret Street
Carlisle, PA 170! 3-
The Funeral Service for Steven S. Fulmer
We sincerely appreciate the confidence you have placed in us and will continue to assist you in every way 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. AUTOMOnVE EQUIP!'vlENT,
AND MERCHANDISE THAT YlJli SELECTED WHEN MAKING THE FUNERAL ARRAN(iEl\fENTS.
I. PROFESSIONAL SERVICES
Cren1ation P~-lCkage .:'\. .. . . ..
! 095.00
HTNERAL HOME SERVICE CHARGES
SELECTED MERCHANDISE:
Gray Combination Urn. . . . . . . . . . . . . . . . . . . .
THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE
THATYOLJHAVESELECTED. . . . . . . . . . . . .
1095.00
225.00
1320.00
Cash Ad\-'ances
Upening: Grave. . . . . .
Newspaper Notices - Local. . . . .
Certified Copies of the Death Certificate.
180.00
49.00
Cowm:r's Fcc
. .. .. .. .. .. . .. ..
72.00
25.00
326.00
TOTAL CASH ADVANCES AND SPECIAL CHARGES.
Total
lotal Cost
TOTAL AMOUNT DtJE
1646.00
1646.00
/1 r
. ~b\'/'~V
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v
501 NORTH BALTIMORE AVENUE. MOllNT HOLLY SPRINGS. PENNSYLVANIA] 7065. (717) 486-3433. fAX (717) 486-3215
www.hallins;?erfuneralhome.com
~K.Ll.)Lt
RECIONAL P.O Box 4100
..M E Die ,\ LeE N T E R Carlisle, PA 17013-4100
~RESS SERVICE REQUESTED
IF PAYING BY CREDIT CARD, FILL OUT BELOW AND SEE REVERSE SIDE
CHECK CARD USING FOR PAYMENT
o .0 .....0
MASTERCARD . DISCOVER :r,~~~.,1f VISA
o
AMERICAN EXPRESS
AC":OUNT NO.
STATEMENT DATE
BALANCE DUE
-
~
09/26/2005
9318867
09/12/2005 $ 2 9 , 907 . 92
MAKE CHECKS PAYABLE TO:
FULMER, STEVE S
29 E STREET
~ CARLISLE
N
PA 17013
CARLISLE REGIONAL MEDICAL CENTER
246 PARKER ST.
P.O. BOX 4100
CARLISLE PA 17013-4100
11111111111111111111111111111111111111111111111111111111111III
111111111111111111111111111111111111111111111111111111111111I1
- 0 Please check IT Ebov,3 ad(Jrsss i':; incnm::'ct e,nd indic~l.1e change on reverse side.
TO iNSUi4E PRCPEn CREDiT, DETACH i\ND RE-;-URN THIS r-;CRTI<:3'~ iN Ti-iE ENC:"'OSEO ENVELOPE
PATIENT NAME
FULMER, STEVE S
DATE
PATIENT ACCOUNT NO. DATE OF SERVICE
TYPE OF SERVICE
TOTAL CHARGES
291907.92
9318867
DESCRIPTION
08/22/2005 INPATIENT
PAYMENT/ADJUSTMENTS
MESSAGES
The. amount shown on this statement Is outstanding at
this time. Your prompt payment will be greatly
appreciated.
ACCOUNT BALANCE DUE
$29,907.92
PAYMENTS AND CHARGES RECEIVED AFTER THE STATEMENT DATE WILL BE REFLECTED DN THE NEXT STATEMENT.
FOR BILLING QUESTIONS, PLEASE CALL:
(717) 218-8852
-
~ 09/26/2005 I
STA TE OF
: SS
COUNTY OF
Nicole Rae Clanton
, being duly sworn according to law, deposes and says that she is the Executrix of
the Estate of
Steven S, Fulmer
, late of Carlisle Borough
, Cumberland County.
Pennsylvania. deceased and that the within is an inventory made by
Nicole Rae Clanton
. the said Executrix of the
entire estate of said decedent, consisting of all the personal property and real estate. except real estate outside the Commonwealth
of Pennsylvania. and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death.
Sworn and subscribed before me,
this (~~~'d~ '#/~, 2006.
'~&Z2l~
I-=J}.tt~. NOTARY :' :::
-:;;..6l}.....PUBLlC .~./ ~.;
-' \'A '. .' ...
-'/,;/:'/''J~O'" "c' '00 <"",
/, . \ \ \
"'11111111\\\
Date of Death 24
Day
0~~ ~(U 0 ~OM~
Nicole Rae Clanton
106 Idle Acres Drive
Shelbyville. TN 37160
Address
09
Month
2005
Year
INSTRUCTIONS
I. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty.
4. See Article IV, Fiduciaries Act of 1949.
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 006350
IRWIN ROGER B ESQ
60 W POMFRET ST
CARLISLE, PA 17013
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
_n__n_ fold
101
$1,535.31
ESTATE INFORMATION: SSN: 172-36-1534
FILE NUMBER: 2105-0874
DECEDENT NAME: FULMER STEVEN S
DATE OF PAYMENT: 02/21/2006
POSTMARK DATE: 02/21/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 09/24/2005
TOTAL AMOUNT PAID:
$1,535.31
REMARKS:
IRWIN & MCKNIGHT
CHECK# 022739
SEAL
INITIALS: RSK
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
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