HomeMy WebLinkAbout05-05-06
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15056051058
REV-1500 EX (06-05)
PA Department of Revenue '*
Bureau of Individual Taxes ,':.
PO BOX 280601
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Year
File Number
INHERITANCE TAX RETURN
RESIDENT DECEDENT
21 05
0755
Date of Birth
144-09-2387
08/09/2005
11/19/1910
Decedent's Last Name
Suffix
Decedent's First Name
Heider
Paul
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
?P.?lJ~E!:~. F.ir.st~arne..
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
:....: 1. Original Return
2. Supplemental Return
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
.. .. 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
4. Limited Estate
::.::
6. Decedent Died Testate
. (Attach Copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
Kathy A. Johnsen
Firm Name (If Applicable)
(717) 258-3351
................................,~.).......................~..
REGISTER OF ~~USE ONL~
. i)
-,.-
-- 'i."..
First line of address
--"..,~
830 Dunbar Road
'I 1
(Jl
Second line of address
~::'1
or Post Office
State
----1
DATE FILED
ZIP Code
"->
'-.D
Carlisle
17013
Correspondent's e-mail address:johnsen@pa.net
Under penalties of perjury, I declare that I have examined this return, induding 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 preparer has any knowledge.
SIGNATU OF PERSON WSPONSIBlE FOR FILING RETURN DATE
LA, f.-~ 5 - 1-/- - O~
ADDRESS
830 Dunbar Road, Carlisle, PA. 17013
SIGNATURE OF PRE PARER OTHER THAN REPRESENTATIVE
DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
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15056051058
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15056051058
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15056052059
REV-1500 EX
Decedent's Name:
Paul
H Heider
RECAPITULATION
1. Real estate (Schedule A). . _ . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3.
4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5.
6. Jointly Owned Property (Schedule F) Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) <........: Separate Billing Requested.. . . . . .. 7.
8. Total Gross Assets (total Lines 1-7). . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8.
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an eleetion to tax has not been made (Schedule J) .. . . . . . . . . . . . . . . . . . . . . . . 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) ... . . . . . . . . . . . . . . . . . . . . . 14.
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0_
16. Amount of Line 14 taxable
at lineal rate x.045 541,370.93
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
15.
16.
17.
18.
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
L
15056052059
Side 2
144-09-2387
Decedent's Social Security Number
210,000.00
39,698.55
.q''11PD~..
hon~
144,292.85
181,822.43
1'1 ~n e.....
575,813.83
33,387.26
1,055.64
34,442.90
541,370.93
b9)'1.~
541,370.93
24,361.69
24,361.69
::.>
15056052059
-I
REV-1500 EX Page 3
Fill!. Number
Decedent's Complete Address:
0755
DECEDENT'S NAME DECEDENT'S SOCIAL SECURITY NUMBER
Paul H Heider 144-09-2387
~~ .--
STREET ADDRESS
11 Kitszell Drive
--
CITY I STATE I ZIP
Carlisle PA 17013
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
24,361.69
23,700.00
1,218.09
Total Credits ( A + B + C ) (2)
24,918.09
3. Interest/Penalty if applicable
D. Interest
E. Penalty
TotallnteresVPenalty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
556.40
B. Enter the total of Line S + SA. This is the BALANCE DUE.
(5)
(SA)
(58)
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.
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN IIXIIIN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred; .......................................................................................... 0 Ii]
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 [i]
c. retain a reversionary interest; or................................................... ......................... .............................................. 0 [KJ
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [i]
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ................................. ...................... ................................. ......... ............. 0 [i]
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................... ........ ....................... ........... ................... 0 ~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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 three (3) percent [72 P.S. 99116 (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 zero (0) percent
[72 P.S. 99116 (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 zero (0) percent {72 P.S. 99116(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 four and one-half (4.5) percent, except as noted in
72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)].
The tax rate imposed on the net value of transfers to orfor the use of the decedent's siblings is twelve (12) percent [72 P.S. 99116(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.
REV-1502 EX+ (6-9a~~_
~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
Paul H. Heider
FILE NUMBER
21-050755
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 willing 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
1.
DESCRIPTION
11 Kitszell Drive, Carlisle, PA 17013
District #40, Lot #6, Parcel 10 40-09-0533-113 Type R. 0.1722 Acres
Conveyed by Deed
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
VALUE AT DATE
OF DEATH
210,000.00
210,000.00
REV-1503 EX. (6-98*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Paul H. Heider
FILE NUMBER
21-050755
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
Bellsouth COrp., CUSIP #079860102,864 Shares Common Stock, Par $27.17,
Market Value $27.18 per share
VALUE AT DATE
OF DEATH
23,483.52
2 Consolidated Edison Company Of NY Inc., CUSIP #209111103, 302 Shares Common Stock,
Par $47.08, Market Value $46.77 per share
3
Lucent Technologies Inc., CUSIP #549463107, 140 Shares Common Stock, Par $2.95,
408.80
Market Value $2.92 per share
4
Comcast Corp., CUSIP #20030N101, 53 Shares Common Stock, Par $31.80,
1,681.69
Market Value $31.73 per share
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
39,698.55
REV-1508 EX+ (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Paul H. Heider
FILE NUMBER
21-050755
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of slnivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
Commerce Bank, Checking, #536235591
2 Member's 1st FCU, #176158-00
3 Member's 1st FCU, #176158-46
4 Member's 1st FeU, #176158-47
5 1991 Buick Century Limited Sedan, 4 door
6 Cash
7 Clothes
8 Books
9 Jewelry
10 Paintings
11 Household goods and furnishings
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
VALUE AT DATE
OF DEATH
52,473.60
616.29
42,423.95
41,017.79
1,500.00
174.22
200.00
100.00
400.00
2,900.00
2,487.00
144,292.85
REV-1509 EX+ (6-98) .
'-~j~~-
~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINRV-OWNED PROPERTY
ESTATE OF
Paul H. Heider
FilE NUMBER
21-050755
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. Ka1hy A. Johnsen
830 Dunbar Road, Carlisle, PA. 17013
Daughter
B. Laurie B. Vogt
39 Skytop Drive, Mahwah, NJ. 07430
Daughter
C.
JOINTlY.OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY '!bor DATE OF DEAJH
ITEM fOR JOlr-.lT MADE INClUDE NAME Of f1NANCIAlINSTlTUTlor-.l p.,NO SANK ACCOUNT NUMBfri OR SIM:LAR DATE or DEATH DECO'S VALUE OF
NUMBER TE~NT JOINT iDENTiFYiNG NUMBER. IITTACH DEED FOR JOiNTLY-HELD REIIl ESTATE. VALUE OF ASSET iNTERFST DECEDENT'S I~ITEREST
1. A. 09102102 COI1IT)erce Bank, #1100508 17,014.58 50% 8,507.29
2 A 09130102 Commerce Bank, #1100510 18,005.43 50% 9,002.72
3 A 12120102 Commerce Bank, #1100522 25,191.40 50% 12,595.70
4 A 09/25102 M &T Bank, #031003908150847 32,328.15 50% 16,164.08
5 A 02/12/03 M&T Bank, #031003913024574 30,600.80 50% 15,300.40
6 A 03105103 Pennsylvania State Bank, #20002 36,037.02 50% 18,018.51
7 A 05121199 Wachovia Bank, #247412050693194 30,021.21 50% 15,010.61
1. B 03127/03 M&T Bank, #031003913024590 33,027.47 50% 16,513.74
2 B 03105103 Pennsylvania State Bank, #20003 33,277.91 50% 16,638.96
3 B 04101/03 Member's 1st FeU, #176158-48 25,013.53 50% 12,506.77
4 B 03110/03 Sovereign Bank, #3385109818 41,105.38 50% 20,552.69
5 B 08128102 Wachovia Bank, #247412051823266 18,009.87 50% 9,004.94
6 B 04104101 Wachovia Bank, #247412061497049 24,012.03 50% 12,006.02
TOTAL (Also enter on line 6, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
181,822.43
REV-1S11 EX+ (12-99)*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATM COSTS
ESTATE OF
Paul H. Heider
FILE NUMBER
21-050755
ITEM
NUMBER
A.
B.
1.
Debts of decedent must be reported on Schedule I.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
Hoffman Roth Funeral Home, Carlisle, PA.- For embalming, body preparations, transportation, casket,
death certificates.
Vander Plaat Funeral Home, Wyckoff, NJ.- For restoration, visitation, ceremony, vault, prayer and
acknowledgement cards, register book, cemetery fees, clergy, obituary, photo memorial.
George Koch and Sons, Hackensack, NJ.- For grave marker
Meals, lunch and dinner for family
360.00
447.90
3,900.00
2
5,403.00
3
4
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Name of Personal Representative(s) Kathy A. Johnsen
Social Security Numbe~s)/EIN Number of Personal Representative(s)
Street Address 830 Dunbar Road
16,640.00
City Carlisle
Year(s) Commission Paid: 2006
State PA Zip 17013
2.
Attorney Fees
1,065.00
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
520.00
5.
Accountant's Fees
350.00
6.
Tax Return Preparer's Fees
40.00
7.
See Attached Administrative Cost Form
4,661.36
total=
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
33,387.26
Paul H. Heider
Schedule H. Funeral Expenses Administrative Costs
Administrative Cost Description Amount
Clines Appliance, microwave replacement 348.74
Milton Stackfield, bulk trash removal 1 20.00
Merry Maids, house deaning 307.40
C~~Lf:~~_~~_,_~l_~_~~~!~p~_i r , _p~~~~~as b_~1'l9--,_P_Cl.!!'I!i!l_~__ 350.00
------ - - ------...--..-
The Sentinel, legal notices 1 37.03
Cumberland Law Journal, estate notice 75.00
Furniture Removal 50.00
Driveway repairs 50.00
Hilton's Lock Service, frozen front door lock 47.50
Register of Wills, short forms 32.00
Garden Gallery, painting appraisals 68.90
Settlement charges for sale of real estate 2,405.10
Commission and fees for sale of stock 669.69
4,661 .36
----
I---
File # 21 -050755
REV-1512 EX+ (12-<13) ..
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT/
MORTGAGE LlABIUTIES/ & UENS
ESTATE OF
Paul H. Heider
FILE NUMBER
21-050755
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
Met Ed., electricity
2
Lancaster HMA Physicians Mgt., Central PA.
3
UGI, gas
4
All State, car insurance
5
PA. Dept of Revenue, Sept 2005 Est.Tax Pmt.
6
U.S. Treasury, Sept 2005 Est. Tax Pmt.
7
Sprint, telephone
8
Waste Management, trash
9
Dr. William Phelan
10 Joe Metka, lawn mowing
11 South Middleton Twp. Authority, water/sewer
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
118.74
36.46
79.14
323.96
90.00
70.00
80.50
42.39
55.45
1,055.64
REV-1513 EX+ (9-nO) ~J~.'~-
~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Paul H. Heider
NUMBER
I
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS {include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
Kathy A. Johnsen, 830 Dunbar Road, Carlisle, PA. 17013
2
Laurie B. Vog~ 39 Sky top Drive, Mahwah, NJ. 07430
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
Daughter
Daughter
FILE NUMBER
21-050755
AMOUNT OR SHARE
OF ESTATE
0.50
0.50
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
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
0.00
(If more space is needed, insert additional sheets of the same size)
..pAU l Ii. J-h~- " .0 E ~"
-----------
r'd.t... i:I till- ~50 r1 ~ ~
. ,
,.
SETTLEMENT STATEMENT I HICKEY I
18. MORTGAGE INS CASE NUMBER:
C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown.
Items marked "[pOCr were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
1.0 3/98 (HICKEY.PFOIHICKEY/8)
D. NAME AND ADDRESS OF BUYER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER:
John J. Hickey, Jr. and Kathy A. Johnsen Executrix. Est. of
Antoinette A Hickey H & W Paul H. Heider, dee.
~ 245 Kuhn Road 830 Dunbar Road
Boiling Springs, P A 17007 Carlisle, PA 17013
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: I. SETTLEMENT DATE:
11 Kitszell Drive Lindsay Dare Baird, Esq.
Carlisle, P A 17013 November 10, 2005
Cumberland County, Pennsylvania PLACE OF SETTLEMENT
37 South Hanover
Carlisle, PA 17013
J. SUMMARY OF BUYER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
'00. GROSS DUE FROM BUYER~ 400. t:Rnct~ DUE TO ~J:I I J:D.
01. Contract Sales Price 210,000.00 401. Contract Safes Price ! 210,000.00
02. Personal Property 402. Personal ProPerty I
03. Settlement Charges to Buyer (Line 1400) 3,691.83 403. I
04. 404. I
05. 405.
-'N ~""'N ;"" <;:"",TT"",.. ,..... ....rl\,.......""'" ~nr n"",,,,,,,~ ~...,'ri Bv Seffer ,.... "rl\,......^_
06. Cityrrown Taxes to 406. CityfTown Taxes to
07. County Taxes 11/11/05 to 01/01/06 57.08 407. CountvTaxes 11/11/05 to 01/01/06 57.08
08. School 11/11/05 to 07/01/06 1 ,324.41 408. School 11/11/05 to 07/01/06 I 1,324.41
09. 409.
ro. I 410.
11. 411.
12. 412. I
'20. GROSS AMOUNT DUE FROM BUYER 215,073.32 420. GROSS AMOUNT DUE TO SELLER I 211.381.49
~OO. AMOUNTS PAID BY OR IN BEHALF OF BUYER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
~a1. Deposit or earnest money 2,000.00 501. Excess Deposit (See fnstructions) r
~02. Principal Amount of New Loan{s) 502. Settlement Charges to Seller (Line 1400) 2,405.10
~03. Existing loan(s) taken subject to 503. Existina loan(s) taken subject to
~04. 504. Payoff of first Mortgage
~05. I 505. Payoff of second Mortgage I
~O6. 506.
~07. 507. (Deposit disb. as proceeds)
'.08. 508. ~
~09. 509.
Adiustments For Items Unnaid Bv Seller Adiustments For Items Unnaid Bv Seller
~1a. City/Town Taxes to 510. City /Town Taxes to I
~11. County Taxes to 511. County Taxes to I
~ 12. School to 512. School to I
!13. 513. I
~14. 514. I
~15. 515. I'
!16. 516. I
~17_ 517.
~18. 518. I
~19. I 519. I
~20. TOTAL PAID BY/FOR BUYER 2,000.00 520. TOTAL REDUCTION AMOUNT DUE SELLER I 2,405.10
~oo. CASH AT SETTLEMENT FROMITO BUYER: 600. CASH AT SETILEMENT TO/FROM SELLER:
''()1. Gross Amount Due From Buyer (Line 120) 215,073.32 601. Gross Amount Due To Sener (Line 420) 211,3.a1.49
l02. Less Amount Paid BylFor Buyer (Line 220) { 2,000.00 602. Less Reductions Due Seller (Line 520) ~\ ( 2,405.10:
:03. CASH ( X FROM) ( TO) BUYER 213073.32 603. CASH ( X TO) ( FROM) SELLER " 201r.976.39
The underSigned hereby acknowledge receipt of a completed copy of pages 1 &2 of this statement & any attachments referred to herein. -
''LA /7--']-/1 . " ) r- ..) ~"
BuyerJ;;n-......;/ ~2 Seller J\J-C~ (.... : ' 6 L~'V.../
iAobn J. ~ickey, Jr. V . Kathy A. Jo sen
iit,,!i~ i~e~ t (11 xk /~f(y
(' HUD-1 (3-86) RESPA, HB4305.2
'r Au 1 ft, He I b 1:12 ,J r I r L -# ~ 1- 05 ~ '1 13 ~
~~. '
VI. >II tV rUI'IU;) Jo\ I r-U,'1U;) Jo\ I
02.$ to SETTLEMENT SETTLEMENT
03. Commission Paid at Settlement
04. to
:Ofl.ITEMS PAYABLE IN CONNECTION WITH LOAN
01. Loan Oriciination Fee % to
02. Loan Discount % to
03. Appraisal Fee to
04. Credit Report to
05. Lender's Inspection Fee to
06. MortQaQe 'ns. ADD. Fee to
07. Assumption Fee to
08.
09.
10.
" " .
nn~ BY LENDER-tO BE PAID IN ADVANCE
01. Interest From to @ $ Iday ( days %)
02. Mortaaae Insurance Premium for months to
03. Hazard Insurance Premium for 1.0 years to
04.
05.
Iiiiii c...nCD
001. Hazard Insurance ( $ per
002. Mortaaae Insurance ( $ per
003. Citvrrown Taxes ( $ per
004. County Taxes ( $ per
005. School @ $ per
006. @ $ per
007. @ $ per
008. Aaareaate Adiustment ta>. $ per
1 nn TITLE - ---- r ~
101. Preoaration of Sales Aareement to Lindsay Dare Baird, ESQ. \. 150.00
102. Abstract or Title Search to Lindsay Dare Baird, ESQ. 100.00 ~
1,03. Title Examination to
104. Title Insurance Binder to
105. Deed Preparation to Lindsay Dare Baird, ESQ. 100.00
106. Notarv Fees to Niven J. Baird 5.00 10.00
107. Attorney's Fees to
(Includes above item numbers: )
108. Title Insurance to Lindsav Dare Baird Esa. 1 408.75
(includes above item numbers: T
109. Lender's Coverage $
110. Owner's Coverage $
111. Lindsay Dare Baird, Esq.
112. Closing Protection Letter Lindsay Dare Baird, Esq.
113. Wired Funds Fee Lindsay Dare Baird, Esq.
200. A...n T CHARGES
201. Recording Fees: Deed $ 38.5Q; Mortgage $ , Releases $ 38.50
202. CItVJCouriF/TaxJStamps: Deed . Mortgage 2,100.00
203. State Tax/Stamps: Revenue Stamps ; Mortgage 2,100.00
204.
205.
'tnn - ---'-NAL SETTL .........-
301. Survey to
302. Pest Inspection to
303. Water and Sewer to South Mid. TWD Mon. Auth 45.10
304. Homeowner's Association to Kathy A. Johnsen 5 months 39.58
305.
400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502, Section K) 3,691.83 2,405.10
By signing page 1 of this statement, the signatories acknowledge receipt of a completed copy of page 2 of this two page statement.
'r~ ,,(-"'-\1 ,/:J
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Certified to be a true copy. Lind~y Dare Baird, Es
S.ettJement Agent
( HICKEY I HICKEY I 8 )
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Historical Price Lookup
Date requested: 8/9/2005
Security: BLS (Common Stock)
Select Date: Augus t 9
........~.:?.......~~.~.~......_::.!?..m.~.E~,~~~..~j
2005
Closing Price
Day's High
Day's Low
Day's Volume
Actual Price
Split Adjustment Factor
27.17
27.3S.} AV'J.~~:t.I8'
27
3,291,900 shares
27.17
1:1
NOTE: The Closing Price, Day's High, Day's Low, and
Day's Volume have been adjusted to account for any
stock splits and/or dividends which may have occurred
for this security since the date shown above. The Actual
Price is not adjusted for splits or dividends. The Split
Adjustment Factor is a cumulative factor which
encapsulates all splits since the date shown above.
The closing price above is not necessarily indicative of
future price performance.
Copyright @ 1998-2003 MarketWatch.com Inc. User agreement applies. Historical
and current end-of-day data provided by Interactive Data Corp. Intraday data is at
least 20-minutes delayed. All times are EDT. Intraday data provided by S&P
Comstock and subject to terms of use.
This information is believed accurate but not guaranteed.
This site contains forward looking statements and delayed stock quotes. View our
~.~f~..tf.~r.p.qr..N.9.t.i.~~ and $t.9.~.~.Q.~9.t~.PJ.!?~I.~.im.~r for more details.
~.~g.~ !..N9~!~~.$. ~.D.q. .~r~Y.~.~Y.. $t.?t.~ r.D.~.o~ I !;.tD.i.~?,.. ~9.mp!!.~ O.~~ ..~D.g.. ~Y?.i.m~.$?.. .~.9.0.q Y.~t.
Copyright 2005, BellSouth. All Rights Reserved.
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8/24/2005 10: 12 PM
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Date
requested:
8/9/2005
Security: ED (Common Stock)
.. .~~~~~~. ~~~~~.i~!~... \
Select Date: : August
......~9...~.~?.~...~P..~E!E~..J
:'>!:::: 9
2005
Closing Price
Day's High
Day's Low
Day's Volume
Actual Price
Split Adjustment Factor
47.08
47.08
46.45
1,402,400 shares
47.08
1: 1
1-
} /lit! '16,7-1
How much would $10,000 invested in ED on this date be worth today?
NOTE: The Closing Price, Day's High, Day's Low, and Day's Volume have been adjusted to account
for any stock splits and/or dividends which may have occurred for this security since the date shown
above. The Actual Price is not adjusted for splits or dividends. The Split Adjustment Factor is a
cumulative factor which encapsulates all splits since the date shown above.. .
The closing price above is not necessarily indicative of future price performance.
Copyright@ 2005 MarketWatoh, Inc. All rights reserved. Please see our Terms of Use.
MarketWatch. the MarketWatch logo, and BigCharts are registered trademarks of MarketWatch, Inc.
Intraday data provided by ComStock, an Interactive Data Company, and subject to the Terms of Use.
Intraday data is at least 1S-:ffllhutes delayed. All times are ET.
Historical and current end-M-dIt data provided by FT Interactive Data.
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Date requested: Aug. 9, 2005
Securrty: LU (Common Stock)
Select Date: August
.. ..~~.~~?~.~p...~~j.~~..j
9
2005
Closi ng Price
Day's High
Day's Low
Day's Volume
Actual Price
Split Adjustment Factor
2.95
2.97}
2.87
44,189,600 shares
2.95
1:1
tI J~7
~ ~ qz
How much would $10.000 invested in LU on this date be worth today?
NOTE: The Closing Price, Day's High, Day's Low, and Day's Volume
have been adjusted to account for any stock splits and/or dividends
which may have occurred for this security since the date shown above.
The Actual Price is not adjusted for splits or dividends. The Split
Adjustment Factor is a cumulative factor which encapsulates all splits
since the date shown above.
The closing price above is not necessarily indicative of future price
performance.
:.~~)
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Terms of use Privacy statement
Copyright @ 2005 Lucent Technologies. All rights reserved.
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Price Look-up
Comcast Corporation - Class A (CMCSA)
Date Requested 08/09/05
Closing Price $31.80
Volume 7r319r041
Open $31.75
Day's High $31.853t\Vi
Day's Low $31.61 1 ~ I. 13
NASDAQ $31.04
Change (%) y 0.25 (0.800/0)
Volume 6r448r967
Data as of 08/24/054:00 p.m. ET
Minimum 20 minute delay
Refresh Quote
Looku p Date
August
...._..~.~.~.~l!~....:j
Comcast Corporation - Class A Special (CMCSK)
Date Requested 08/09/05 NASDAQ $30.66
Closing Price $31.29 Change (%) .. 0.21 (0.680/0)
Vol ume 3r211r457 Vol ume 4r985r656
Open $31.26 Data as of 08/24/05 4:00 p.m. ET
Day's High $31.39 Minimum 20 minute delay
~efresh Quote
Day's Low $31.15.
NOTE: The Closing Pricer Day's High, Day's Lowr and Day's Volume have been adjusted to
account for any stock splits and/or dividends which may have occurred for this security since the
date shown above. The Actual Price is not adjusted for splits or dividends. The Split Adjustment
Factor is a cumulative factor which encapsulates all splits since the date shown above.
The closing price above is not necessarily indicative of future price performance.
Press Room Privacy Sfutement Visitor Agreement
@ 2004 Comcast Corporation
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BUJE: BOOK:: PRiVATE PARTY REPORT
Pennsylvania · August 20, 2005
1991 Buick Century Limited Sedan 40
BLUt ~om; C.ASSlflfDS....
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Engine: V6 3.3 Liter
Trans: Automatic
Drive: FW D
Mileage: 40,370
Equipment
Air Conditioning
Power Steering
Power Windows
Power Door Locks
Cruise Control
AM/FM Stereo
Cassette
Consumer Rated Condition: Good
"Good" condition means that the vehicle is free of any major defects. This vehicle
has a clean title history, the paint, body and interior have only minor (if any)
blemishes, and there are no major mechanical problems. There should be little or
no rust on this vehicle. The tires match and have substantial tread wear left. A
"good" vehicle will need some reconditioning to be sold at retail. Most consumer
owned vehicles fall into this category.
Private Party Value Search Local Listinqs I List This Car for Sale $1,645
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8/20/2005 8A 1 PM,
.s used tsmck Lentury car appraisal. useo tsUlcK car pnclllg.
PA LJ I
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STEP' 5 Review Edmt&n<ts.con1. Pfidng Re'f)Ort
1991 Buick Century 4 ~~..... T(~e !.tl~rket 'hh.!~@
Dr Limited Sedan ~~ P.~It:Ull.g
Trade-In Private Dealer
Pa rtv Retail
National Base Price $176 $560 $1,201
Optional Equipment $14 $39 $88
Power Door Locks $2 $6 $13
Cruise Control $2 $5 $12
Power Windows $2 $7 $15
3. 3L V6 OHV 12V FI Engine $8 $21 $48
AM/FM/Cassette Audio System $0 $0 $0
Color Adjustment $0 $0 $0
White
Reqional Adiustment $-15 $-47 $-102
for Zip Code 17013
Mileaqe Adiustment $556 $556 $556
40,370 miles
Condition Adjustment $0 $0 $0
Clean
Total $731 $1 ,108 $1 ,743
~
Certified Used Vehicle N/A
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8/20/2005 8:37 PM
'VA0/ H t-lEJI.)E~, I/I<-'fl ~1-0!;)O+'='~
APPRAISAL - February 20~ 2006
the
garden
gallery
10 N. Hanover Street
Carlisle, P A 17013-3013
717-249-1721
APPRAISAL
Estate of Paul Heider
February 20, 2006
This appraisal is for the fair market value of the following:
An oil painting portrait of Paul Heider, 1945. The dimensions of the painting are 20 inches tall by
16 inches wide. Appraised value - 52000.00
An oil painting of a German town scene. The dimensions of the painting are 20 inches tall by 16
inches wide. Appraised value - 5400.00
An oil painting of a German town scene. The dimensions of the painting are 18 inches tall by 14
inches wide. Appraised value - 5300.00
An oil painting of a German town scene w/boats. The dimensions of the painting are 10 inches
tall by 12 inches wide. Appraised value- $200.00
Please feel free to call me at 717-249-1721, if there are any questions. Thank you.
Sincerely,
M
page 1 of 1
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
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
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: PAUL H. HEIDER
Date of Death: August 9, 2005
Social Security Number: 144-09-2387
--
t"PhJ L rt. ~ tl J)E r<... / r" <- "H c.J'"'::l () T -::J ~
MEMBERS 1st
FEDERAL CREDIT UNION
176158 -00
OS/27/1998
$616.15
$.14
$616.29
None
176158 -46
04/25/2002
$42,403.22
$20.73
$42,423.95
None
176158 -47
10/28/2002
$41,000.00
$17.79
$41,017.79
None
176158 -48
04/01/2003
$25,000.00
$13.53
$25,013.53
Laurie Vogt
04/01/2003
4k" BE. RS 1ST FEDERAL CREDIT UNION
- ~ d14
ms:f. W@e b- C .'--
Insurance Services Supervisor
October 11 , 2005
5000 Louise Drive · PO. Box 40 · Mechanicsburg, Pennsylvania 17055 · (717) 697-1161 · www.memberslst.org
f/po 1 H. +JeiDEf2-
f- iI <-.:1:1 d-I- I) 5 () '1 '5 S
I
Commerce
Bank
November 4, 2005
Re: Estate of Paul H. Heider
Formerly of
11 Kitszell Drive
Carlisle, P A 17013
Account Balances as of August 9, 2005
Balance
Interest
'fatal
Checking Account #536235591 $52,473.60 n/a $52,473.60
Date Opened: March 4, 2003 Ownership: Individual
Certificate of Deposit #1100508 $17,000.00 14.58 $17,014.58
Date Opened: September 2,2002 Ownership: Joint with Kathy Johnsen
Certificate of Deposit #1100510 $18,000.00 5.43 $18,005.43
Date Opened: September 30, 2002 Ownership: Joint with Kathy Johnsen
Certificate of Deposit
#1100522
$25,176.91
14.49
$25_191.40
Date Opened: December 10, 2002 Ownership: Jei!lt with Kathy Johnsen
Total Deposit Balances as of August 9, 2005
I$II2,6~5.0 II
Information provided by:
Connie S Dzezinski
Assistant Vice President
Carlisle Manager
(71 7) 240-2665
conn ie .dzezin ski cej)conlmercepc. COOl
Commerce Bank / Harrisburg, N.A.
P.O. Box 8599
100 Senate Avenue
Camp Hill, Pennsylvania 17001-8599
f"ft 11 I H. HE'D e R ~ 1-" <- 44- :L I - ~ S ~ "7 5 ~
-
,...~~
~--- ..
~ACHOVIA
Reference ID: 1393465
Wachovia Bank N.A.
Balance Confirmation Services
POBox 40028
Roanoke, VA 24022-7313
October 21, 2005
KATHY A JOHNSEN
830 DUNBAR ROAD
CARLISLE, PA 17013
SUBJECT: Verification / Confrrmation of Account and Balance Information provided for:
Customer: PAUL HEIDER (SSN# 144-09-2387)
Date of Death: August 9, 2005
Deposit Account Information
Account
Type
Account
Number
Date of Death
Balance
Average
Balance.
Date
Opened
5/21/1999
Maturity Interest Accrued YTD Date
Date Rate Interest Interest Paid Closed
CERTIFICATE OF DEPOSIT 247412050693194
LEGAL TITLE: PAUL H HEIDER
. THY A JOHNSEN
$30,000.00
$21.21
$224.86 9/13/2005
CERTIFICATE OF DEPOSIT 247412051823266
LEGAL TITLE: PAUL H HEIDER
LAURIE B VOGT
$18,000.00
8/28/2002
$9.87
$161.10 9/1312005
CERTIFICATE OF DEPOSIT 247412061497049
LEGAL TITLE: PAUL H HEIDER
LAURIE B VOGT
$24,000.00
4/412001
$12.03
$420.85 9/1312005
· Due to system limitations, we can only provide a twelve month average balance on depository accounts.
· Date of death balance does not include accrued interest.
· If date of death occurrs on a weekend or a holiday, date of death balance does not include any transactions that were
~}ed ring~af\..~~..tyi . .riOOed.
~~~~~
routt \ '-'
Servicenter Associate
Phone: (540)563-7323
11; at
t.iSovereign Bank
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March 17, 2006
Kathy Johnsen
830 Dunbar Road
Carlisle, Pa 17013
To Whom It May Concern:
A certificate of deposit in the name of Paul Heider and Laurie V ogt
Account number 3385109818 was on deposit with Sovereign Bank since 03/10/2003
In the amount of$41,105.38 on the date of Paul Heider's death, August 9,2005,
Sincerely,
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Denise Westover
Community banking Assistant Manager
1160 Walnut Bottom Road
Carlisle, Pa 17013
717-245-2114
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November 3,2005
Kathy Johnsen
830 Dunbar Road
Carlisle PA 17013
To Whom It MayConcem.
At the request of Kathy Johnsen, Paul H Heider had two accounts with our bank. Both of which
were Certificates of Deposit. Account # 20002 and #20003. At the time of his death on August 9th 2005,
Mr. Heider had in his 20002 account $36,037.02. It was opened on March 5th 2003 and the account
was structured as Paul H Heider or Kathy A Johnsen. Mr. Heider's other account
#20003 had $33,277.91 at his time of death and was originally opened on March 5th 2003 and this
account was structured as Paul H Heider or Laurie B Vogt. If there is
anything else that we can be of any assistance of please let us know (717) 243-3189.
Thank you,
~7J;U~~
Lisa M Kramer
Relationship Banking Specialist
Pennsylvania State Bank
1 North Hanover Street Carlisle, PA 17013 717.243.3189 fax 717.243.9649 pastatebank.com
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P A U I H-. )-l e; /) ~ IL
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rm M&rBank
499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12
October 13, 2005
Kathy A Johnsen, Executrix
Estate of: Paul H Heider
830 Dunbar Road
Carlisle, Pennsylvania 17013
Re: Estate of: Paul H .Heider
Account Number: 31003908150847, 31003913024574,
31003913024590
Date of Death: Auaust 09, 2005
Dear Sir or Madam:
Per a memo from Jill Caruso at the Branch, dated October 06,2005, please be advised that at the
time of death, the balance on the above referenced account was:
1.
Type of Account
Certificate of Deposit
Account Number
031003908150847
Ownership (Names oj)
Paul H Heider '"
Kathy A Johnsen '"
Total
09/25/02 Closed 09/12/05
$32,000.00
$ 328.15
.....$32;32Efis..................................................................................................................-.....................
Opening Date
Balance on Date of Death
Accrued Interest
2.
Type of Account
Certificate of Deposit
Account Number
031003913024574
Ownership (Names oj)
Paul H Heider '"
Kathy A Johnsen ·
Opening Date
02/12/03 Closed 09/12/05
$30,574.90
Balance on Date of Death
Accrued Interest
$
25.90
Total
.. ...$30~6iji5.if6........... .
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3.
Type of Account
Certificate of Deposit
Account Number
031003913024590
Ownership (Names oj)
Paul H Heider '"
Laurie B Vogt '"
Opening Date
03/27/03 Closed 09/19/05
$32,945.17
Balance on Date of Death
Accrued Interest
$
82.30
Total
.. '"$33~"02'7. -~1"7-.--- "._...u.. .... -_. ..u._.._
." For further account iiUormation, regarding ownership, closures and/or reimbursement of
funds, etc., please call the North Middleton Branch at # 717-240.4521.
M & T Bank
DOD Unit / Records Management
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August 14, 2005
Laurie V ogt
39 Skytop Drive
Mahwah, NJ 07430
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FUN ERA L H 0 ~'1 E. L 1_ C:
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The Funeral Service for Paul H. Heider'
I. PROFESSIONAL SERVICES
Restoration per hour
150.00
150.00
II. OTHER STAFF AND RELATED FACILITIES
Visitation (viewing)
Funeral Ceremony-At funeral home
900.00
450.00
1350.00
1095.00
Receiving of remains
IV. SELECTED MERCHANDISE:
Vault - Minimum Sealed Vault
Prayer Cards or Memorial Folders per 100
Acknowledgement Cards per 100
Register Book
1200.00
60.00
60.00
30.00
1350.00
V. CASH ADVANCES
George Washington Memorial Park
Rev. George Hanssen
The Bergen Record
2 Photo Memorials
Gratuities cemetery/vault
895.00
200.00
293.00
30.00
40.00
1458.00
5403.00
TOTAL OUTSTANDING BALANCE
August 14, 2005
John Jay Vander Plaat, Mgr. " N.J. Lie. No. 3121
VVilliam Brock. Jr., C.F.S.P, · t'J.J. Lie. [',Jo. 3287
John C. V:mder PIJ.cte, C.F.S.p. I'Lj. Lie. 1"lo, 1899
257 GODVv'IN ,A.vE~'JUE . \NYC<OFF. NEW JERSEY 0748: . (20 I) 891-3400 . F,L,/, (:2CJ;) ()52-'-i::;O
150.00
1350.00
1350.00
1458.00
5403.00
5403.00
YA- tJ I H. l-tei bEe, '}-il.-L * .:l-l - ~;- 0 -:; 5 ~
~ti~k GEORGE Kocu Be SONS "\
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~W M 0 N U MEN T SAN DeE MET E R Y M EM 0 RIA L S SIN eEl 902
76 JOtlNSON AVENUE. HACKENSACK. NEW JERSEY 07601 · TEL (201) 342-2185. fAX (201) 342-0249
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Order #
ORDER NO.
August 29, 2005
DATE
ADDRESS
Mrs. Laurie V ogt
3'9"Skytop Drive
Mahwah, NJ 07430
Geo. Washington Memorial Park Cemetery
201-818-1558
BUYER
PHONE
CEMETERY
PRICE COMPLETE
$275.00 Cast bronze scroll
+85.00 Cemetery permit fee
$360.00 Price complete
.
IT IS AGREED:
BElWEEN GEORGE KOCH & SONS AND THE ABOVE NAMED BUYER, TO ERECT THE FOLLOWING MEMORIAL WORK UNDER THE TERMS AND CONDITIONS HEREIN:
Furnish a bronze ribbon scroll to be like the existing bronze scroll of MARGARETHE G. on the HEIDER
family memorial produced by our firm in 2003; RE:#03232. Letter style to match. Color of ribbon may not
match perfectly due to different color batches and weathering of the existing memorial. Lettering to read as
follows:
PAULH.
1910 - 2005
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Dear Mrs. Vogt:
In response to your request above is our understanding of the inscription you desired. You may confirm this
order by checking the spelling and dates carefully. Sign this white contract sheet and the cemetery
authorization fonn also enclosed. Return the signed documents to our office. We' have enclosed a self-
addressed envelope for your convenience. Please include the following payments:
1.) $200.00 made payable to our firm. Balance due upon approval of bronze.
2.) $85.00 lnade payable to Geo. Washington tvfernorial Park Cemetery for installation fee.
Keep the yellow contract copy for your records. Estimated delivery manufacture time is 6-8 weeks after
receipt of your order. The cemetery will then attach the scroll to the memorial in accordance with their
installation schedule. Please call if you have any questions. Thank you for your cooperation.
-malL/a: #?jh? ~ (#~:7c1oL ?id- A .1Jd; </~
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THIS ORDER OR CONTRACT: . V#~767 % ~S ~~~
() jiS /~ us, SUBJECT TO Pro,DE, NTS. lABOR TRCXJ8LES, ANO AlL oohnNGENC~dNo OUR CONTROl, ANY/, Gt;s 0 RRE, cnONS ARE TO BE AGREED UPON IN WRITING
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ij' ATE I r::7 PURCHASER
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.. (717) 795-6032
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KATHY A JOHNSEN
Account Number:
Closing Date: 09/15/05
Credit" .. -- - ..
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. TO HELP PROTECT AGAINST FRAUD, WE MA Y CONTACT YOU IN THE EVENT OF SUSPICIOUS ACTIVITY ON YOUR
ACCOUNT. TO AID US IN REACHING YOU, IT IS CRITICAL TO HAVE CURRENT CONTACT INFORMA TION IN OUR FILES.
OUR RECORDS SHOW THE FOLLOWING NUMBERS, HOME: (717) 258-3351. BUSINESS: () - . PLEASE NOTIFY YOUR
LOCAL BRANCH OFFICE IF EITHER NUMBER IS INCORRECT.
. INCREASE YOUR SCORE WITH BACK TO SCHOOL SHOPPING! USE YOUR SCORECARD.
. TO REPORT A LOST OR STOLEN CARD PLEASE CALL: 800-325-3678 LST STLN AFTER HRS 717-795-6032 MEMBERS
1ST F.C.U. TO OBTAIN ACCOUNT INFORMATION 24 HOURS A DAY CALL: 800-299-9842
08115
08117
5812
24224435229312005100542
..1~~_J~
S~L~N/.
.. . HV~~~'a~S.
354 Alexander Spring Road, Suite 1
Carlisle, PA 17013
DATE
5/3/2006
INVOICE #
10552
Estate of Paul H. Heider
C/O Kathy Johnsen, Executrix
830 Dunbar Road
Carlisle PA 17013
Hrs/Rate Amount
4/6/2006 JLD Meeting with client to review inheritance tax return 0.75 93.75
125.00/hr
4/10/2006 JLD Review email from client; review file 0.10 12.50
125.00/hr
4/13/2006 JDH Review of inheritance tax return and accompanying supporting 1.00 250.00
documentation/rf/conf w/jld 250.00/hr
JLD Conference with JDH/rev of inher tax return issues/adv/acct 1.00 125.00
125.00/hr
4/17/2006 JLD Review inheritance tax return and documentation 0.25 31.25
125.00/hr
4/21/2006 JLD Telephone call to/from client; 0.10 12.50
125.00/hr
4/23/2006 JDH Review of revised inheritance tax return/accompaning documents/conf w/ 0.60 150.00
J LD; phone calli to client 250.00/hr
4/24/2006 JLD Draft executor fee; email to client 0.10 12.50
125.00/hr
4/27/2006 JLD Review inheritance tax return pages & new information 0.50 62.50
125.00/hr
For professional services rendered 4.40 $750.00
Balance due $750.00
Please include invoice number and remit payment to address listed above. Thank you for your prompt payment. If you
have any questions concerning your invoice please contact Kandy Coyle at 717-249-6333
----
f"Av; H. He: il);Sf?-
J:' i I <- l-l ~) I . D'5 tJ'j '5 ..;
LINDSAY DARE BAIRD, ESQUIRE
37 S. Hanover Street
Carlisle, P A 17013
(717) 243-5732
Fax: (717) 243-8110
STATEMENT FOR LEGAL SERVICES RENDERED
To:
Estate of Paul H. Heider
DATE: April 4, 2006
DATE
SERVICE RENDERED
UNITS
OR
HOURS
RATE
TOTAL
RE:
Legal fees
8/22/05 Meet with client 0.80 150.00 120.00
8/26/05 Research and call with client 0.50 150.00 75.00
---~
9/1/05 Create and file notices for publication 0.50 150.00 1=---m 75.00
---- --
10/05 Research transfer and taxation of stock property I 0.30 150.00 45.00!
I
I ----- ----~ - ~-- --I
I 0.00 I
~ I----------~-------I
i f=-----mO:~~l
. 0.00
I ---------
. 0.00 I
~----f-- -I =t -- mmmm i
~- ______I~m~O(}~
i -i- 0.001
! - ----- -------------- --1
I 0.00
i ------------.--.
I 0.001
TOTAL UNITS OR HOURS
2.10
SUBTOTAL =E ~~j
=
I -,
Less payment 8/22/05 i 25.00J
BALANCE DUE i-$290Ml
L_______ _ _____ __ _ _ __ _ _ __ '
rAu'
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/
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17G13
Rece~pt Date:
Rece:f.pt Time:
Recelpt No. :
8/23/2005
13:33:37
1041686
HEIDER PAUL HENRY
Estate File No. :
Paid By Remarks:
2005-00755
K.A. JOHNSEN
JA
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST
WILL
AUTOMATION FEE
SHORT CERTIFICATE
JCP FEE
Check# 3276
Total Received.........
310.00
15.00
5.00
100.00
10.00
----------------
$440.00
$440.00
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
BUREAU OF RECEIPTS & CNTR M.D
- -
f"' f-l 0 I H 0 .w E , I) E 12- J of i I <- ~ ~ I - /j S /) .1 5 '5
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17G13
Receipt Date:
Rece~pt Time:
Recelpt No.:
12/05/2005
11:50:13
1042677
HEIDER PAUL HENRY
Estate File No. :
Paid By Remarks:
2005-00755
KATHY A JOHNSEN
CMM
------------------------ Receipt Distribution ------------------------
Fee/Tax Description
SHORT CERTIFICATE
Check# 227
Total Received..... . . . .
Payment Amount
24.00
----------------
$24.00
$24.00
Payee Name
CUMBERLAND COUNTY GENERAL FUN
~Aul H HEIDEIC) --r,(-<-~ {)"J-(jS(J.i~~
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17G13
Rece~pt Date:
Recelpt Time:
Receipt No. :
3/07/2006
13:13:09
1043574
HEIDER PAUL HENRY
Estate File No. :
Paid By Remarks:
2005-00755
KATHY JOHNSEN
RSK
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
SHORT CERTIFICATE
Check# 231
Total Received.........
8.00
----------------
$8.00
$8.00
CUMBERLAND COUNTY GENERAL FUN
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17G13
Receipt Date:
Receipt Time:
Receipt No. :
5/05/2006
13:36:26
1044276
HEIDER PAUL HENRY
Estate File No. :
Paid By Remarks:
2005-00755
JOHNSEN KATHY A
MG
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
INH TAX RETURN
INVENTORY
PHOTOCOPIES
ADDiPROBATE FEE
Check# 234
Total Received.........
15.00
15.00
1.50
50.00
----------------
$81.50
$81.50
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
VA () I }-\. ~ E . De fG ~ r i Lz it- ~ 1- ~~ ()'"1 5 ~
MARSTON'S TAX SERVICE
817 FACTORY STREET
CARLISLE, PA 17013
(717) 243-8782
ctmarston03@aol.com
March 3, 2006
PAUL H HEIDER
830 DUNBAR ROAD
CARLISLE, PA 17013
Statement of Charges for Services Rendered:
Per Form Charges:
See forms listed below - Federal
Total fee
Summary of Federal Form Charges:
Description Charge per Form
Form 1040A Individual Income Tax 40.00
Summary of Pennsylvania Form Charges:
Description Charge per Form
r::! ~~/o c:
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40.00
40.00
Charge
40.00
Charge
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W\.CIIOVIL\.. SEC)URITTES
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ESTATE OF PAUL H HEIDER
KATHY A JOHNSEN EXECUTRIX
830 DUNBAR RD
CARLISLE PA 17013-1795
SOLD
BELLSOUTH CORP
SYMBOL
SECURITY NUMBER
CUSIP
UNSOLICITED
BLS
1302-925
079860-10-2
ACCOUNT TYPE
TRADE DATE
SETTLEMENT DATE
MARKET OVER THE COUNTER
QUANTITY
864.00000
CASH
01/11/08
01/17/06
QUANTITY
302.00000
CASH
01/11/06
01/17/06
QUANTITY
140.00000
CASH
01/11/06
01/17/06
44,129
CON FIR M AT ION
DATED 01/11/06
Account Number 5154-7672
DDA Number 2000018110870
YOUR FINANCIAL ADVISOR
W CASHMANlR DURHAM
888-243-1422
800-359-9297
PRICE
27,76000
PRINCIPAL
23,984.64
353 .17
0.74
ED
1601-602
209115-10-4
ACCOUNT TYPE
TRADE DATE
SETTLEMENT DATE
CHARGE/COMMISSION'"
OTHER FEE"''''
NET AMOUNT $23,630.73
.INCLUDES $6.00 TRANSACTION FEE
"SEE ITEM 16 ON PAGE 2
MARKET OVER THE COUNTER
SOLD
LUCENT TECHNOLOGIES INC
LU
2491-000
549463-10-7
ACCOUNT TYPE
TRADE DATE
SETTLEMENT DATE
SOLD
CONSOLIDATED EDISON INC
SYMBOL
SECURITY NUMBER
CUSIP
UNSOLICITED
PRICE
46.41000
PRINCIPAL
14,015.82
248.46
0.44
MARKET OVER THE COUNTER
CHARGE/COMMISSION'"
OTHER FEE"''''
NET AMOUNT $13,766.92
.INCLUDES $600 TRANSACTION FEE
"'.SEE ITEM 16 ON PAGE 2
PRICE
2.65000
CHARGE/COMMISSION*
OTHER FEE*'"
PRINCIPAL
371 .00
43.10
0.02
SYMBOL
SECURITY NUMBER
CUSIP
UNSOLICITED
N~AMOU~ ~~y
*INCLUDES $6.00 TRANSACTION FEE
..SEE ITEM 16 ON PAGE 2
Account earned by First Clearing, LLC, member New York Stock Exchange, Securities and insurance products:
Not Insured by FDIC or Any Federal Government Agency I May Lose Value I Not a Deposit of or Guaranteed by a Bank or Any Bank Affiliate
FOR ADDRESS CORRECTION AND PAYMENT DUE INSTRUCTIONS PLEASE REFER TO CONTACT INFORMATION ON PAGE 2 OF THIS CONFIRMATION
020 L4 L44F
tlt ;(.l 1.>1) II 01415 1 01 I 0 111~021J NNNNN NNNNN NNNNNNNN 000001
Page 1 of 2
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KATHY A JOHNSEN EX EST PAUL H HEIDER
830 DUNBAR RD
CARLISLE PA 17013
1",111111111111111111,111",111, " 11,11111,1".11.11,,".11.1
Computershare Shareholder Services Inc
250 Royall Street
Canton Massachusetts 02021
Within the US. Canada & Puerto Rico 888 883 8903
Outside the US. Canada & Puerto Rico 781 5754730
www.computershare.com/comcast
Holder Account Number
C 3015855974 FID
11111111111111111111111111
SSNITIN Certified
Symbol
Yes
CMCSA
00 1 CSOOO7 .OOMEQSCQ.CIS.5047 _1 1 421000022l0000221i
-,
Comcast Corporation · Sale Advice
I
Trade Date I
. .. \ ShareslUnits I Price Per I Gross Amount I
Transaction DeSCription Sold SharelUnit ($) I of Sales ($)
Deduction I
Amount ($) i
Deduction i
Type!
Net Amount
of Sale ($)
27 Mar 2006
Sale
53.000000
26.550000
1,407.15
23.71
0.05
Transaction Fee
SEe Levy
1.383.39
.
1UDC
CMCS
+
'J01CDlIJ002
PLEASE CASH/DEPOSIT THIS CHECK PROMPTLY.
-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
r f..} U' H H t:; I D t::- Fe--,. , I ,~ -.%:t ~ 1- "6 S D 9- s '5"
REV-1162 EX(11-96)
""'-CEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
JOHNSEN KATHY A
830 DUNBAR ROAD
CARLISLE, PA 17013
__u____ fold
ESTATE INFORMATION: SSN: 144-09-2387
FILE NUMBER: 2105-0755
DECEDENT NAME: HEIDER PAUL HENRY
DATE OF PAYMENT: 11/07/2005
~OSTMARK DATE: 11 /07/2005
COUNTY: CUMBERLAND
DATE OF DEATH: 08/09/2005
NO. CD 005978
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $23,700.00
I
I
I
I
I
I
.'
I
I
TOTAL AMOUNT PAID:
REMARKS: K A JOHNSEN
CHECK# 222
SEAL
INITIALS: VZ
RECEIVED BY:
TAXPAYER
$23,700.00
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
f'ALJl H' He',vE(L1 FiI.t.~ c'J.I-o'5o?55
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I, Paul H. Heider, also known as Paul Heider, of Carlisle, Cumberland County,
Pennsylvania, being of sound and disposing mind, and memory, do hereby make, publish, and
declare this instrument to be my to be my Last Will and Testament, hereby revoking any other
testamentary dispositions by me at anytime heretofore made.
FIR.ST: I direct that all my just debts, liabilities, including funeral expenses, and all
estate, inheritance, succession or similar death taxes imposed on my entire gross taxable estate
shall be charged to and paid from my residuary estate, as soon as practicable after my death.
SECOND: I give and bequeath all of my tangible personal property to my wife,
MARGARETHE G. HEIDER, also known as Margarethe Heider, or should she predecease me,
then this bequest shall lapse into the residue of my estate.
THIRD: All the rest, residue, and remainder of my property, real and personal, of every
kind and description, and wheresoever situate, which I may own or have the right to dispose of at
the time of my death, I give, devise, and bequeath to my beloved wife, MARGARETHE G.
HEIDER, also known as Margarethe Heider, absolutely and in fee simple.
FOURTH: Ifmy said wife does not survive me, or in the event that my death and that of
my wife shall occur simultaneously, then and in that event, I give, devise and bequeath as
follows:
(A) I give and bequeath such of my tangible personal property to those persons
designated in a separate writing in existence at the time of my death which is
signed by me and which describes the items and the devisees with reasonable
certainty. The cost of packing, srJpping, and insuring said tangible personal
property shall be paid as a cost of administration of my estate.
(B) I give, devise, and bequeath all of the rest, residue, and remainder of my
property, real and personal, of every kind and description and wheresoever situate
which I may own or have the right -to dispose of at the time of my death, to be
divided equally between my two daughters:
. (1) KATHY A. JOHNSEN, of Carlisle, Pennsylvania, or should she
predecease me, then to her lineal descendants, per stirpes.
(2) LAURIE B. VOGT, of Mahwah, New Jersey, or should she predecease
me, then to her lineal descendants, per stirpes.
-PAUl I-{, I~Ei Delf) "Ft LL -# ;;tl ~ l'S6'15S
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(3) If either of the above-named residuary beneficiaries should predecease
me, leaving no issue surviving her, such deceased beneficiary's share shall
be divided among the remaining residuary beneficiaries, in equal shares,
per stirpes.
FIFTH: I make, nominate, and appoint my wife, MARGARETHE G. HEIDER, also
known as Margarethe Heider, to be the Personal Representative of this my Last Will and
Testament. In the event that my said wife does not survive me; or for any reason, she does not
qualify, or having qualified, should fail for any reason to act, then and in that event, I hereby
make, nominate, and appoint my daughter, KATHY JOHNSEN, of Carlisle, Pennsylvania, to be
the Personal Representative of this my Last Will and Testament. In the event that KATHY
JOHNSEN does not survive me; or for any reason, she doe~ not qualify, or having qualified,
should fail for any reason to act, then and in that event, I hereby make, nominate, and appoint my
daughter, LAURIE B. VOGT, of Mahwah, New Jersey, to be the Personal Representative ~fthis
my Last Will and Testament. I request that no bond be required of my Personal Representatives.
In addition to the power and authority granted to my Personal Representatives by the laws of the
Commonwealth of Pennsylvania, I expressly give and grant unto my Personal Representatives
full power and authority to sell, mortgage, or lease any real property, or any other property of my
estate, for cash or credit, and with or without security, at public or private sale, without
authorization or confirmation by any court.
IN WIlNESS WHEREOF, I have hereunto set my hand and seal at Carlisle, Pennsylvania, to
this, my Last Will and Testament, consisting of ~ typewritten page(s), bearing my
signature, this ~ day of ~ *~ A.D. 1999.
~-~-~~ k~'k'"
" -....J ~
Paul H. Heider, Testator
-
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ACKNOWLEDGMENT
COMMONWEAL TH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
BOROUGH OF CARLISLE
I, Paul H. Heider, the Testator, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed
and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I
signed it as my free and voluntary act for the purposes therein expressed.
~~~~s--~
Paul H. Heider, estator '
On this, the q day of ~ , 1999",before me,aNotaryPublie, the
undersigned officer, personally appeared Paul H. Heider, Testator, known or proven to me to be
the person whose name is subscribed to the within Last Will and Testament, and' acknowledged
that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set ill d and official seal.
NOTARIAL SEAL
DAWN M. SHUGHARt Notary Publfc (SEAL)
. Carlisle, Cumberland County
My Commission Expires Nov. 28, 2002
,
..,.
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PALl \ H. l-1E?I)e~) FilL #- 05D'15~
AFFIDA VIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
BOROUGH OF CARLISLE
The foregoing will, c<?nsisting of ~ typewritten page(s), was,
on the ~ day of ~' 1999, signed, sealed, published and declared by the said
testator as and for his Last Will and Testament, and it is hereby acknowledged that Testator
appeared to be of lawful age and sound mind and memory and there was no evidence of undue
influence. We, at his request and in his presence, have hereunto subscribed our names as
witnesses:
of \~~~~~~~ t\~&-PAlli6
&/~:t.~ ~
Witness
of
l3D ~~kr- Rd. CQc/~~/~~
Address ( 1':J ) JS 8"'- :ii5-/~ U~
of
Witness
Address
-
Register of Wills of Cumberland County
INVENTORY
Estate of ~ 0.) i
J-J,
HEIj)ER-
, Deceased
Estate No. :2-) - OS 0'155
Date of Death A U9" q J Q..O().5
Social Security No. ) Lf LJ - 6 q - ~ 3 & '1
Also known as
K..AIH y A. J D H 1\15 IS. N , Personal Representative(s) of
the above Estate, deo'eased, verify that the items appearing on the following inventory include all of the personal assets wherever situate and all of the
real estate 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 Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which
appears in a memorandum at the end of this inventory (PEF ~ 3301). I!We verify that the statements made in this inventory are true and correct.
I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to
authorities.
Name of Attorney:
Personal Representative: KATHY A.
~
J~HrJ5f~
Telephone:
Address: 8 3D ])UNBAre- O<-DRI)
~Cl.r I i :s 1-<, fA. , ':j() I~
Signature: ~ a. '9~
Date: 5 - J-j - l> ~
l.D. No.:
Address:
Description
Valuc
,. R-~A' }?SiAIE
:L leI 600. ()d
3'1) l:, q 8. 5" ~
~. 5-t-ocK.5
3~ CA5H-, bi1rJk-)>e.f6SiTS ) 1 Kisc.
t I-fLf, :L ti~. g 5'
en
N
t..1 i
[;'-
UJ
I
t~..J
(Attach Additional Sheets if necessary)
Total 3 '131 CJ q I . 1.{ 6
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative. include the
value of each item, but such figures should not be extended into the total of the Inventory.
RW-4