HomeMy WebLinkAbout05-01-06
~EV . 1500 EX + (6-00)
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
r;.;-T!CIAL USE O~JLY
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280001
HARRISBURG, PA 17128-0601
! FILE NUMBER
i 2 1 '. 6 , ) ';{ 7 S
________ _.c:QI,JNTY CODE_YEAR ____.i'Jy~J3~_
-~~-~------- -- - -~-------- -~~
SOCIAL SECURITY NUMBER
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----~~-----~-_.__.~. ----
DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL)
i Conrad, Marlin 1.
!DATI::-OF- DEAYfj(MM-D D:-Y EAR)
204-28-1932
DATE OF BIRTH (MM-DD-YEAR)
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
09/20/2005
, 12/17/1914
_ _13!=GISTER_ OF W1L.bL _
SOCIAL SECURITY NUMBER
__ _._ __ ________~_ __________~________________O____
(IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL)
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~ 1. Original Return ------D~~pple;:;;;;,ta:1 Retur~'>.-
D 4. Limited Estate D 4a. Future Inlerest Compromise (date of death
after 12-12-82)
~ 6. Decedent Died Testate (Attach copy D 7. Decedent Maintained a Living Trust (Attach
of Will) copy of Trust)
D 9. Litigation Proceeds Received D 10. Spousal Poverty Credit (date of death between D 11.Election to tax under Sec. 9113(A) (Attach Sch 0)
_on _>.>_._________.________. _______----1.~-31-91 and 1-1-95) _.._.
lTHIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO;~-CC----=--~'~
NAME i COMPLETE MAILING ADDRESS
Terrence 1. Kerwin
~-----_._---~
D 3. Remainder Return (date of death prior t012-13-=82".
D
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
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FIRM NAME (If applicable)
Kerwin & Kerwin
27 North Front Street
Harrisburg, PA 17101
TELEPHONE NUMBER
717/238-4765
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.,
1. Real Estate (Schedule A)
(1) None
---------------
(2) None
(3) None
---~--------
(4) None
._~-------- -----~-_.._--~-
(5) 66,245.95
--~~----------~
(6) None
(7) None L
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
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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)
( -=,
,-
(8) 66,245.95
(9)
11,319.50
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
(11)
11,319.50
12. Net Value of Estate (Line 8 minus Line 11)
(12)
54,926.45
13. Charitable and Governmental Bequests/Sec 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)
5,000.00
(14)
49,926.45
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
I 15. Amount of Line 14 taxable at the spousal tax rate,
or transfers under Sec. 9116(a)(1 .2)
x .00
(15)
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16. Amount of Line 14 taxable at lineal rate
49.926.45 x .045
(16)
2,246.69
17.Amount of Line 14 taxable at sibling rate
x .12
(17)
, 18. Amount of Line 14 taxable at collateral rate
x .15
(18)
19. Tax Due
(19)
2,246.69
20. D
CHECK HE E 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~
\. ~~'/
Decedent's (.;omplete Address:
STREET ADDRESS
1700 Market Street
CITY
STATE PA
ZIP 170 11
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)
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
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(3)
(4)
(5)
A. Enter the interest on the tax due.
(5A)
(5B)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check
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:
a. retain thE) use or income of the property transferred;...................................................... ..................
b. retain thE) right to designate who shall use the property transferred or its income;
c. retain a reversionary interest; or....................................................... .................... ...................
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? .................. ...................
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?................................ ................ ........ ...........
Yes
o
~
2,246.69
0.00
0.00
2,246.69
2,246.69
D
D
D
No
~
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~
~
~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
Under penalties of perjury, 1 declare that I have examined t~is return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete.
q!3~J~r~~~_~!2!~~~_~r ~t.~~_r..~~_~_E!_~~_~e_e_~~~~ reprE~sentatlve is based on all information of which preparer h~~_any kno~edge. ____.. _ _ __...____________..__ _
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS - DATE~ ____
Rev. Brian P. Con. rad /) 2111 Millersville Pike
~OFP~~ON{~:EFb~~~ ADDRESS Lancaster, P A 17603 ________ ____ 51-' <;~E~ 0 -C
SIGNATURE OF PRE PARER OTHER THAN REPRESENTATIVE
Terrence J. Kerwin
ADDRESS
Front Street
PA 17101
DATE
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% [72 PS. S9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%
[72 P.S. S9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure
of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. S9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. S9116
1.2) [72 PS S9116 (a) (1 )].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. S9116 (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.
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX AETur=iN
RESIDENT DECEDENT
ESTATE OF .
Conrad, Marlm J.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
21 - -
Include the proceeds of litigation and the date the proceeds were received by the estate.AII property jointly-owned with the right of
survivorship must be disclosed on schedule F.
ITEM
NUMBER
1
Checking Account #33379815
M&T Bank
2 Account #255
Postmark Credit Union
3 Refund - Patriot News
4 Refund - Manor Care
5 Refund - Verizon
6 Refund - American Express
7 Refund - A.T&T.
8 Personal property
DESCRIPTION
VALUE AT DATE
OF DEATH
----~_._--- -.,-._---~_.__.._._~
61.779.56
1,212.30
59.23
2,175.60
2.56
3.20
13.50
1,000.00
TOTAL (Also enter on Line 5, Recapitulation)
66,245.95
.r;ft~1~.~~~
Harrisburg. PA 171 1 0-3666
Phone: (717) 671-5119
IT'S A NEW YEAR AND
POSTMARK CU HAS A NEW
SAVINGS ACCOUNT FOR YOU
TO EARN HIGHER DIVIDENDS!
SEE OUR NEWSLETTER FOR
ALL THE DETAILS ABOUT OUR
INVESTOR'S CHOICE PLUS
ACCOUNT.
LOOKING FOR A HIGHER RATE
CHECK OUT THE SHARE CER-
TIFICATE BONUS COUPON ON
PG 2 OF THE NEWSLETTER
CLOSED JAN 16TH 2006
MARLIN J CONRAD
CONRAD/MARY A
C/O FATHER BRIAN P CONRAD
211 MILLERSVILLE PIKE
LANCASTER PA 17603-6222
I,ll 11111 ,I IlL 1111111111,,111111111111,11111111111111111,1111
, ., 1 SUt FiX: 00 REGULAR SHARE ACe I
1 1 1
1 100505 SHARE WITHDRAWAL
, 1006'05 US TREAS-VA BENEF IT
: 10~6:O5 SHARE DIVIDEND
1 10,v6.o5 SHARE WITHDRAWAL
: :: Y-T-D DIVIDENDS:
1 "
, " TRUTH IN SAVINGS INFORMATION
, "
1 "ANNUAL PERCENTAGE YIELD 0.0000%
, 1 1 ANNUAL PERCENTAGE YIELD EARNED 0.8194%
1 1 1 FOR THE PERIOD 10/01/05 THROUGH 10/05/05
- _1- _ _ _1_ _1_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1 1 1
1 1 1
I I 1
1 'I
1 I'
1 I'
I I'
I 1 1
1 1 I
I 1 1
I "
, 1 1
I I 1
I I 1
, 1 1
1 1 1
I I I
I 1 I
I 1 I
I 1 1
I I 1
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I 1
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1 ,
1 I
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1 1
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1 1
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1 1
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TRAN EFFECT
MO DAY MO DY YR
I ACCOUNT NUMBER I SOCIAL SECURITY NUMBER I FROM
I
THROUGH I
12-31-05
I AMOUNT
PAGE
1 OF 1
NEW
BALANCE
1405.30
193.00
.00
.13
.00
255
CONFIDENTIAL
10-01-05
TRANSACTION DESCRIPTION
-1212.30
-193.00
.13
-.13
5.81
FOR 20.05
REPORTING
SSN
1I##-#/j'-1932
*
,'c OTHER YTD
DIVIDENDS
* TOTAL YTD * TOTAL ~TD * T01AL YTD *
DIVIDENDS WITHHOLDING FORFEITURES
5.81 .00 .00
IRA YTD
DIVIDENDS
.00
5.81
NOTICE: SEE REVERSE FOR IMPORTANT INFORMATION. SEND ALL INQUIRES TO THE CREDIT UNION AT THE ADDRESS SHOWN ABOVE
RET AIN THIS FOR YOUR FILES
ESTATE OF
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
B.
Conrad, Marlin 1.
FUNERAL EXPENSES:
Parthemore Funeral Home - final bill
2
Country Oven - funeral luncheon
DESCRIPTION
Personal Repmsentative's Commissions
Rev. Brian P. Conrad
Social Security Number(s) I EIN Number of Personal Representative(s):
179-38-0978
Street Address 2111 Millersville Pike,
City Lancas ter State P A
Year(s) Commission paid 2006
FILE NUMBER
21 - -
AMOUNT
Zip 17603
2.
Attorney's Fees
City
Relationship of Claimant to Decedent
Kerwin & Kerwin -- TelTence 1. Kerwin
4.
Probate Fees
Register of Wills
3
Church and booklets for funeral
3. Family Exemption: (If decedent's address is not the same as claimant's, attacll explanation)
Claimant
Street Address
ADMINISTRATIVE COSTS:
1.
State
Zip
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
1
Other Administrative Costs
Cumberland Law Journal - estate notice
2
The Sentinel- estate notice
Total of Continuation Schedule(s)
TOTAL (Also enter on line 9, Recapitulation)
1,079.00
567.67
500.00
3,300.00
1,600.00
185.00
75.00
151.55
3,861.28
11,319.50
~
~
SchedJIe H
F\.J1er3 Expa ISeS &
Acministrative Cosls continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Conrad, Marlin 1.
10
11
12
FILE NUMBER
21 - -
3
Verizon - final bill
13.26
4
East Pennsboro Ambulance Association -
wheelchair van transportation to dialysis
488.68
5
Neighbor Care - drugs at Manor Care
374.86
6
East Pennsboro Ambulance - wheelchair van
transportation to dialysis
205.00
7
CingulaI' Wireless - account payable
39.37
8
M & T Bank.. reimbursement to U. S. Treasury
for October Social Security
1,961.00
9
West Shore EMS - transport to Holy Spirit
598.66
Neighbor Care - drugs at Manor Care
145.45
Register of Wills - filing fee for return and inventory
15.00
Register of Wills - filing releases
20.00
Page 2 of Schedule H
REV-151 J EX+ (9-00)
.
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Conrad, Marlin J.
FILE NUMBER
21 - -
NUMBER
RELATIONSHIP TO
DECEDENT
. .L___Da.NaLUsLTruslee(s)___
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I.
TAXABLE DISTRIBUTIONS (include outright spousal distributions)
Thomas 1. Conrad
.202 Rue Carroll
Slidell, LA 70461
son
2
Rev. Brian P. Conrad
2111 Millersville Pike
,Lancaster, P A 17603
son
3
!Sister Ann Patrick
,(Mary Patricia Conrad)
11405 Encore Drive
Silver Spring, MD 20901
, daughter
i Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate. on Rev 1500 cover shee~
AMOUNT OR SHARE
OF ESTATE
, one-third (1/3)
one-third (1/3)
one- third (1/3)
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
Catholic Diocese of Harrisburg
4800 Union Deposit Road
5,000.00
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEd
I
5,000.00
Ub/25/200~ ~1:35
87~~S[:7
ST PHILIP CHURCH
P~13E OE,
LAST WILL AJrID TKSTAJIIEHT
OF
KARLIN J. CONRAD
I,. KARLIN J. CONRAD, of 2200 North Fifth Street, Harrisburg,
Dauphin Cou~ty, Pennsylvania, being or sound and disposing mind,
memory and understanding, do hereby make, publish and declare this to
_.. -'-Il.. _"",-_-..._,..,. .!,-,,,,",".,~-,,.,,""''- "-~ .. ~ ~ ~ -, ....
be my Last Will and Testament, hereby revoking and making void any
and all Wills by me at any time heretofore made.
\:
ITEM I - I hereby dtrect my Executor to pay my just debt~,
...
"
,>
;:: fune ral expense:'3, es ta te and Inherl ta.nce taxes as S o or.. B.lte r my death
as may he found co~venient.
ITEM II - I give, devise and bequeath my entire estate unto my
wife, MARY ANN CONRAD, if she survives me by sixty (60) days.
ITEM III - If my wife does not so survive me, I give, devise ar..d
bequeath my entire estate as follows:
A. Five Thousand Dollars ($5,000.00) to THE CATHOLIC DIOCESE
OF HARRISBURG, for UB~ in aidlr.g seminarians in the
preparation for ~he priesthood;
B. The balance of my estate in equal shares to THOMAS 3.
CONRAD, of 202 Rue Carroll, Slldell, LA, 70461; REVEREND
BRIAN P. CONRAD, of 3609 Simpson Ferry Road, Camp Hill, PA,
17011; and SISTER ANN PATRICK (Mary Patricia Conrad), of
11405 Encore Drive, Silver Spring, MD, 20901.
~ClUtt. . I'URDf
_"0._1:"11 .I.T UW
05/~6/~OO~ ~1:35
::::7~:::5E',7
ST PHILIP <::HUR''::H
PAI3E 08
ITEM IV - In the event that Thomas J. Conrad ~al1s to su~vlve
me, the share of my estate to ~hich he ~ould be entitled shall ~o to
his issue by representation, and if he dies without lBsue who survive
me, his share of my estate shall be added to the shares of my other
children.
If either the Reverend P. Conrad or Sister Ann Patrick
falls to survive me, ~he share of such deceased child shall be added
,.__ ""o-.'(,.,...,,""uc"""',..i.1....H~..I.n_~~,,"j,..,lt'\'--lt._.
to the shares of my other children hereunder.
lTEX V - I hereby appoint REVEREND BRIAN P. CONRAD as E~ecutor
of my e.3tate, and if he 1s dead or unable to serve, I appoint SISTER
ANN PATRICK a3 Executrix of my estate.
IN WITNESS WHEREOP. I have he~eunto set ~y hand and seal to this
my Last l"/i11 and Testament, this ~...,/.-)'J..-.?-- day uf
.j;. ,,;r;--... J' ("-<.. ,,--, 1 9 8 9 .
/
I /
/;-,>J. .:(;.:)1. _ c..~-?'!/t~1
MiRLIN J ;' CONRAD
(SEAL)
.
.
..
.
..
Signed, seal, published and declared by the above Testator,
MARLIN J. CONRAD, as and for h~s Last Will and Testament 1n our
presense, who, at his request. in his p~esence and 1n the presence of
:C_M"" a F1t..lRE:M
TTO".CWf, .IT .......
~b/2S/~OO~ 21:36
87~~587
ST PHILIP ':HURCH
PAlc;E 07
each other, we believing him to be of sound mind and memory have
hereunto subscribed our names as witnesses.
I:I<CR III fLUlO'
TOIlJolt"" AT lJ,"
of'
~ :. .~~~12 ~"L
--:. _>- . ~ (, .~~ 11.~ _" __,..
85a 0~Jt
~ f++J7JI~
of
Ub/~b/~UO~ 21:35
8722587
ST PHILIP CHURCH
P~lciE 0':
COMMONWEALTH OF PENNSYLVANIA
5S:
COUNTY OF DAUPHIN
We, MARLIN J. CONRAD) Te$tator,
::JZ,4-A.L3- ~).jAR.. /-c..U
f77Q ~j [)
, witne3ses.
/J-rtlnc c
and
respectively,
whose names are signed to the attached or foregoing ln~trument,
being f1rBt duly 3)11or-n, do heI"e~.!_ ~eclarek9__. tl1~""'-!.~,~,.~.~q.c_"..,,,"~.
authority that the Testator signed and executed the instrument as
his Last '.Jill and Testament and that he had s1~ned W'1.11il"1g1y, and
that he executed it as his free and voluntary act for the purposes
therein expressed, aDQ that each of the witnesses, in the presence
and hearing of the Testator, signed the Will as witnesses and that
to the best of their knowledge) the Testator was at that time
eighteen (18) years of age or older, of sound mind and under no
constraint or undue influence.
r
)- :2_';&1 /' oj,> r...d-(:/
MARLIN J", CONRAD - Testator
Subscribed, sworn to
CONRAD, the TestatoL, and
In (} r c.. j) _ F r a {I (' 12'
w1 tnesYes, tll_is J,S c;-
'--
ledged before me by MARLIN J.
subscribed and sworn to before me by
and :) ~A~ -p 2.r)~tW-{(-t+
day of -Sefi~MbcR- , 1989.
:GKtte::.Jll' . Ft:A"'t"t'l
....v 'I G. ,.c....~l-...l,..u
~/)/k-L 7f ~~ //;1 <if
'~ No~ary Pub 1~
,..,..OIUl('i,a ...T u-
>IV ~C:'~iEZ~~:;';~~;:~r;:
M~t:N 1"<J"nS-" - " - . , '. -
, !..ar:", '~:cnc-~~~
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
, Deceased
No. 2l-=-~DS Qt]'6__
Date of Death 9/20/2005
Social Security No. 204-28-1932
Estate of
Conrad, Marlin J.
also known as
Rev. Brian P. Conrad
_________..___n___
_. ___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 date 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
are 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:
Terrence J. Kerwin
Personal Representative
Signature: /.~ D n JA,A,
_ _____u_ '_-e_~'..iL"".!__Ii7:"'",~",
Rev. Brian P. Conrad
tP- (;...~~&
1.0. No.:
29922
Signature:
Signature:
Address:
27 North Front Street
Harrisburg, P A 17101
Address: 2111 Millersville Pike
Lancaster, PA 17603
Telephone: 717/238-4765
Telephone:
Dated:
.~
,
. I
:.-. ,.,,)
Personal Property
Checking Account #33379815
M&T Bank
61,779.56
Account #255
Postmark Credit Union
1,212.30
Refund - Patriot News
59.23
Refund - Manor Care
2,175.60
Refund - Verizon
2.56
Refund - American Express
3.20
Refund - A.T&T.
13.50
Personal property
1,000.00
SU : i I
Total Personal Property
$66,245.95
(Attach additional sheets if necessary)
Total PersonaIP.t~ity,:ano.Real~Estate
$66,245.95
LUIVIIVlUNWtAll H Ur PtNN~YlVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
RECEIVED FROM:
CONRAD BRIAN P REV
2111 MILLERSVILLE PIKE
LANCASTER, PA 17603
nnn_ fold
ESTATE INFORMATION: SSN: 204-28-1932
FILE NUMBER: 2105-0878
DECEDENT NAME: CONRAD MARLIN J
DA TE OF PAYMENT: 05/01/2006
POSTMARK DATE: 04/28/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 09/20/2005
NO. CD 006632
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $2,246.69
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS:
CHECK#1016
SEAL
INITIALS: MG
RECEIVED BY:
REGISTER OF WILLS
$2,246.69
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
KERWlN & KERWlN
ATTORNEYS AT LAW
4245 ROUTE 209
ELlZABETHVIlLE, PA 17023
GOVERNORS' ROW
27 NORTH FRONT STREET
HARRISBURG, PA I7IOl
PATRICK E. KERWIN (1913-1987)
(717) 362-3215
(717) 896-9089
FAX (717) 362-4459
E-mail.kkl@epix.net
(717) 238-4765
FAX (717) 238-8455
GREGORY~I. KERWIN - GI-IK@Kerwinlawfirrn.com
TERRENCE J. KERWIN - KK@Kerwinlawfimuom
JOSEPH D. KERWIN - }DK@Kerwinlawfirrn.com
HOllY McCLURE KE RWIN - KK@Kerwinlawfinn.com
please f(eply J~"
Cl ELlZABETHVILLE OFFICE
Cl HARRISBURG OFFICE
April 24, 2006
Register of Wills Office
Cumberland County
Hanover and High Streets
Carlisle, P A 17013
Re: Estate of Marlin J. Conrad
Estate Proceedings No.: 2005-00878
Dear Register of Wills:
Please find enclosed herewith for filing an original and two (2) copies of a Pennsylvania
Inheritance Tax Return and Cumberland County Inventory. I have also enclosed a check
payable to the "Register of Wills, Agent" in the amount of $2,246.69 for payment of the
inheritance tax due. I have also enclosed a check in the amount of $30.00 for the filing fee for
the return and inventory. I have enclosed a self-addressed, stamped envelope for your
convenience in returning the clocked-in copies and receipts to me.
Thank you for your kind assistance.
Very truly yours,
TE~~~;~~~l~t-;-'-~'~ / (THi;,-
TJK:pjw
Enclosures
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