HomeMy WebLinkAbout06-30-06
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15056051058
REV-1500 EX (06-05)
PA Department of Revenue ."
Bureau of Individual Taxes - UIl. -,
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
d dOOS
q1
Date of Birth
192-32-9586
10/22/2005
04/15/1917
Decedent's Last Name
Suffix
Decedent's First Name
MI
REINDOLLAR
MILDRED
M
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FilED IN DUPUCA TE 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
PHILIP E. FAGUE
(717) 530-2605
1",,'
Firm Name (If Applicable)
REGISTER of WILLS USE ONLY'
ORRSTOWN FINANCIAL ADV.
First line of address
P.O. BOX 250
Second line of address
-)
n
City or Post Office
State
ZIP Code
Dil,H: FILED
SHIPPENSBURG,
PA
17257
Correspondent's e-mail address:CFEUCHTENBERGER@ORRSTOWN.COM
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true. correct and complete. Declaration of preparer other than the personal representative is based on all Information of which preparer has any knowledge.
SIGNATUREO~F(tR ON~ES~PON~F)1N~'RN 1
ADDRESS '. . FI ~ dJ&LLI- flv,,1.~~, P a
I{)~I L-^- ' I 1010
SIGNATURE OF rlPfI;f}f}JOTH OtfAMn &.lk Tru. st Dept.
~tJ.l P.O. Box 250
ADDRESS ShippenIblav. P A 17~p 7
PLEASE USE ORIGIN~~
DU/'S/(:J~
Side 1
L
15056051058
15056051058
---1
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--.J
15056052059
REV-1500 EX
Decedent's Name:
MILDRED
M REINDOLLAR
RECAPITULATION
1. Real estate (Schedule A).
2. Stocks and Bonds (Schedule B) . .
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . 3.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E)
4. Mortgages & Notes Receivable (Schedule D). . . . 4.
6. Jointly Owned Property (Schedule F) Separate Billing Requested.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested..
8. Total Gross Assets (total Lines 1-7). .
9. Funeral Expenses & Administrative Costs (Schedule H). . .
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . .
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)
14. Net Value Subject to Tax (Line 12 minus Line 13) .
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.O 45
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
752,954.26
19 TAX DUE.
. . 10.
. . 12
13.
. 14.
.19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059
Side 2
L
192-32-9586
Decedent's Social Security Number
1.
2.
5.
6.
7.
8.
9.
11.
15.
16.
17.
18.
160,000.00
511,710.75
12,744.26
83,249.49
767,704.50
11,597.77
3,152.47
14,750.24
752,954.26
0.00
752,954.26
33,882.94
33,882.94
15056052059
--.J
REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
MILDRED M REINDOLLAR
STREET ADDRESS
4833 TRINDLE ROAD
File Number
DECEDENT'S SOCIAL SECURITY NUMBER
192-32-9586
CITY
MECHANICSBURG
STATE
PA
ZIP
17050
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
33,882.94
31,253.15
1,644.90
Total Credits ( A + B + C ) (2)
32,898.05
3. Interest/Penalty if applicable
D. Interest
E. Penalty
TotallnteresllPenalty ( 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)
0.00
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5A)
(58)
984.89
0.00
984.89
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due.
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... 0 ~
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 ~
c. retain a reversionary interest; or.......................................................................................................................... 0 [i]
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 ~
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ............................................................................................................. 0 ~
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? ........................................................................................................................ 00 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. ~9116 (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 PS. 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 PS. 99116(1.2) [72 P.S. S9116(a}(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 PS. 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+ (6.9.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF
MILDRED M. REINDOLLAR
FILE NUMBER
21-05-0974
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
DESCRIPTION
VALUE AT DATE
OF DEATH
1. 200 FRANKLIN STREET, FAIRFIELD BOROUGH, ADAMS COUNTY, FAIRFIELD, PA
@ APPRAISED VALUE
160,000.00
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
160,000.00
REV-1503 EX+ (6-98) .
. '*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
21-05-0974
ESTATE OF
MILDRED M. REINDOLLAR
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
DESCRIPTION
VALUE AT DATE
OF DEATH
2
23 SHS ACCO BRANDS, CUSIP 00081T108
327 SHS AU OPTRONICS CORP, CUSIP 002255107
400 SHS AM VANGUARD CORP, CUSIP 030371108
200 SHS CHICAGO BRIDGE & IRON, CUSIP 167250109
20,000 PAR CONSECO CD 4.3% DUE 8/7/07, CUSIP 20846XL92
ACCRUED INTEREST ON ITEM #5
100 SHS DEERE & CO, CUSIP 244199105
100 SHS UIT DIAMONDS SRS 1, CUSIP 252787106
1656.96 SHS FORWARD EMERALD GROWTH FUND, CUSIP 29089R103
150 SHS ENGINEERED SUPPORT, CUSIP 292866100
554.19
3
3,778,49
7,779.00
4
6.014.50
5
19,904.20
6
197.17
7
5,778.25
10,280.00
8
9
21,490.73
6,108.00
20,000 PAR FFCB 5.05% DUE 12/27/12, CUSIP 31331QMZ7
19,662.60
322.64
ACCRUED INTEREST ON ITEM #11
10,000 PAR FFCB 5% DUE 9/20/10, CUSIP 31331S6E8
9,868.80
ACCRUED INTEREST ON ITEM #13
44.44
25,000 PAR FFCB 5% DUE 8/25/10, CUSIP 31331TBH3
ACCRUED INTEREST ON ITEM #15
24,773.50
197.92
25,000 PAR FHLB 5% DUE 8/6/13, CUSIP 31339YQA3
24,429.75
ACCRUED INTEREST ON ITEM #17
26389
30,000 PAR FHLB 6.63% DUE 7/2/07, CUSIP 3133MOQ38
30,768.90
ACCRUED INTEREST ON ITEM #19
60775
15,000 PAR FHLB 3% DUE 12/28/07, CUSIP 3133X5AK4
14,493.75
ACCRUED INTEREST ON ITEM #21
142.50
15,000 PAR FHLB 4.25% DUE 5/11/09, CUSIP 3133X6SA5
ACCRUED INTEREST ON ITEM #23
14,70000
285.10
15,000 PAR FHLB 3.65% DUE 12/14/07, CUSIP 3133X9PHY
14,690.70
TOTAL (Also enter on line 2, Recapitulation) $
237,13677
(If more space is needed. insert additional sheets of the same size)
PAGE 1 of 3
REV-1503 EX+ (6-98)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
MILDRED M. REINDOLLAR
FILE NUMBER
21-05-0974
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
26
27
28
29
30
31
32
33
34
35
36
37
38
40
41
DESCRIPTION
VALUE AT DATE
OF DEATH
194.67
14,957.85
72.00
14.770.35
9619
4,894.74
7.62625
25,500.00
538.19
7,595.00
3,84886
8.58
14,692.50
7,00450
2,485.63
21,813.48
8.457.91
24.80
19,143.19
4427
60,463.42
6,320.00
9,129.60
2,630.40
ACCRUED INTEREST ON ITEM #25
15,000 PAR FHLB 3.2% DUE 2/28/06, CUSIP 3133XAPY7
ACCRUED INTEREST ON ITEM #27
15,000 PAR FHLB 4.05% DUE 2/25/08, CUSIP 3133XAUW5
ACCRUED INTEREST ON ITEM #29
2631.58 SHS FEDERATED ULTRASHORT BOND FUND, CUSIP 31428Q879
100 SHS FORTUNE BRANDS, CUSIP 349631101
25,000 PAR HUNTINGTON BANK CD 5% DUE 5/17/07, CUSIP 446438BXO
ACCRUED INTEREST ON ITEM #33
200 SHS MINE SAFETY APPLIANCE, CUSIP 602720104
3848.86 SHS FEDERATED MONEY MARKET FUND, CUSIP 60934N625
39
ACCRUED INTEREST ON ITEM #36
500 SHS RAVEN INDUSTRIES, CUSIP 754212108
200 SHS ROFIN-SINAR, CUSIP 775043102
250 SHS STERLING FINANCIAL CORP, CUSIP 859317109
397.98 SHS VANGUARD WINDSOR II FUND ADM, CUSIP 922018304
863.93 SHS VANGUARD IT INVESTMENT ADM, CUSIP 922031810
ACCRUED INTEREST ON ITEM #42
1819.70 SHS VANGUARD ST INVESTMENT GRADE ADM, CUSIP 922031836
ACCRUED INTEREST ON ITEM #44
546.74 SHS VANGUARD 500 INDEX ADM, CUSIP 922908710
232,31238
42
43
44
45
46
47
5000 PAR US SAVINGS EE BONDS DTD 1988
48
6000 PAR US SAVINGS EE BONDS DTD 1986
49
2000 PAR US SAVINGS EE BONDS DTD 1987
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
Page 2 of 3
,REV-1503 EX+ (6-98)
SCHEDULE 8
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
MILDRED M. REINDOLLAR
FILE NUMBER
21-05-0974
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
2
37,000 PAR US SAVINGS EE BONDS DTD 1993
300 SHS TOP TANKERS F, CUSIP Y8897Y107
38,361.60
3,900.00
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
42,261.60
TOTAL: $
Page 3 of 3
511,710.75
REV-15G8 EX+ (6-98) '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISe.
PERSONAL PROPERTY
ESTATE OF
MILDRED M. REINDOLLAR
FILE NUMBER
21-05-0974
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.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
SOVEREIGN BANK, CHECKING ACCOUNT # 0771045778
12,74426
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
12,744.26
.REV-1510 EX+ (6-98.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
MILDRED M. REINDOLLAR
FILE NUMBER
21-05-0974
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 A COpy OF THE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1. THRIVENT FINANCIAL FOR LUTHERANS ANNUITY #502043966 64,17767 100 64,17767
2 ALLSTATE FINANCIAL ANNUITY # GA 112736 19,07182 100 19,07182
TOTAL (Also enter on line 7 Recapitulation) $ 83,249.49
(If more space is needed, insert additional sheets of the same size)
jiEV-1511 EX+ (12-99)W
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
MILDRED M. REINDOLLAR
FILE NUMBER
21-05-0974
Debts of decedent must be reported on Schedule 1.
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
1.
FUNERAL EXPENSES:
MONAHAN FUNERAL HOME
W.E.l.C.A. OF ST. JOHN, FUNERAL lUNCHEON
CODORI MEMORIALS
8,110.27
100.00
120.00
2
3
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s}IEIN Number of Personal Representative(s)
Street Address
City
State
Zip
Year(s} Commission Paid:
2.
Morney Fees
FOREST N. MYERS
115.00
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
514.00
5.
Accountant's Fees
2,000.00
6.
Tax Return Preparer's Fees
250.00
8
ROGERS APPRAISAL SERVICE, REAL ESTATE APPRAISAL
VITAL STATISTICS, DUPLICATE DEATH CERTIFICATE FOR DECEASED SPOUSE
FILING FEE FOR FILING DEED
325.00
19.50
44.00
7.
9
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
11,597.77
O'EV-1512 EX+ (12-03)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE UABIUTIES, & UENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
MILDRED M. REINDOLLAR
FILE NUMBER
21-05-0974
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
3
UNITED STATES TREASURY, FINAL LIFETIME INCOME TAX RETURN-TAX DUE
PA DEPARTMENT OF REVENUE, FINAL LIFETIME INCOME TAX RETURN-TAX DUE
MOFFITT HEART & VASCULAR GROUP, FINAL BALANCE DUE
RAY C. FITZ, TAX COLLECTOR-REAL ESTATE TAXES DUE AT DATE OF DEATH
2,37800
2
272.00
10.85
4
491.62
TOTAL (Also enter on line 10, Recapitulation) $
3,152.47
(If more space is needed, insert additional sheets of the same size)
.
. .
itEV-1513 EX+ (9-00)
'*
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
MILDRED M. REINDOLLAR
FILE NUMBER
21-05-0974
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
, TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
ELAINE K. WOLF
104 SUNRISE AVENUE
NEW CUMBERLAND, PA 17070
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
AMOUNT OR SHARE
OF ESTATE
Daughter
1/3 share estate
residue-$250,984.75
2 JEANNE L. BUCY
414 GREENFIELD DRIVE
LEBANON, PA 17042
Daughter
1/3 share estate
residue-$250,984.75
3 BARBARA A. KERSTETTER
93 EBONY LANE
MIDDLEBURG, PA 17842
Daughter
1/3 share estate
residue-$250,984.75
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" - 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)
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
WOLF ELAINE K
104 SUNRISE AVE
NEW CUMBERLAND, PA 17070
_u___n fold
ESTATE INFORMATION: SSN: 192-32-9586
FILE NUMBER: 2105-0974
DECEDENT NAME: REIN DOLLAR MILDRED M
DATE OF PAYMENT: 06/30/2006
POSTMARK DATE: 06/29/2006
COUNTY: CUMBERLAND
DA TE OF DEATH: 10/22/2005
NO. CD 006909
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $984.89
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: ORRSTOWN BANK
CHECK# 025732
SEAL
INITIALS: WZ
RECEIVED BY:
REGISTER OF WILLS
$984.89
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17G13
Receipt Date:
Receipt Time:
Receipt No. :
6/30/2006
13:24:09
1044872
SCAFIDI RODNEY J
Estate File No. :
Paid By Remarks:
2006-00377
FIRST NATIONAL BANK
WZ
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
CLAIM AGAINST EST
Check# 473299
Total Received.........
10.00
----------------
$10.00
$10.00
CUMBERLAND COUNTY GENERAL FUN
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Receipt Date:
Receipt Time:
Receipt No. :
6/30/2006
13:26:58
1044873
REINDOLLAR MILDRED M
Estate File No. :
Paid By Remarks:
2005-00974
ORRSTOWN BANK
WZ
Fee/Tax Description
ADD PROBATE FEE
INH TAX RETURN
Check# 025746
Check# 025765
Total Received.........
Receipt Distribution ------------------------
Payment Amount Payee Name
50.00
15.00
----------------
150.00
15.00
65.00
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
---------------/---
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