HomeMy WebLinkAbout07-21-06
217 OFFICIAL USE ONLY
REV-1500 EX (6-00) COMMONWEALTH OF REV-1 500
PENNSYLVANIA
DEPARTMENT OF REVENUE INHERITANCE TAX RETURN
DEPT. 280601 FILE NUMBER 21-06-0007
HARRISBURG. PA 17128-0601 RESIDENT DECEDENT -
COUNTY CODE YEAR NUMBER
D~r;EDENT'S NAME (LAST. FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
I- Heller, Rav A. 188-12-4552
z DATE OF DEATH (MM-DD-YEAR) IDATE OF BIRTH (MM-DD-YEAR)
w THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
C
W 1/1/2006 REGISTER OF WILLS
u
w (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER
C
w 0 1. Original Return 0 2. Supplemental Return 03 Remainder Return (date of death prior to 12.13.82)
....
0:( III 0 04a. 05
" ii2 " 4. Limited Estate Future Interest Compromise (date of death after 12-12-82)
0 l>. U Federal Estate Tax Return Required
w 0 0 0
:l: a:: oJ 0 0
U l>. Dl 6. Decedent Died Testate (Attach copy of Will) 7. Decedent Maintained a Living Trust (Attach copy of Trust) 8. Total Number of Safe Deposit Boxes
l>. -
0:( 0 010. 011. Election to tax under Sec. 9113(A) (Attach Sch 0)
g. Litigation Proceeds Received Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
I- Jijj$$g&tiQNMv$:,l'ijgqQMpgi!;t\tpiA@.PQRRi!;$PQNPit.ii.qijAt.ii.PPPNFlP\tftt!liikt.~iNfQRMAtiQij$B9QgpijtQlR~pt~pt9V)
z NAME
w COMPLETE MAILING ADDRESS
c
z Robert G. Frev 5 South Hanover Street
0 NAME (If Applicable)
D. FIRM Carlisle, PA 17013
f/)
w
a:: Frev & Tilev
a:: TELEPHONE NUMBER
0
U
717-243-5838
OFFICIAL USE ONLY
1. Real Estate (Schedule A) (1) 139,900
2. Stocks and Bonds (Schedule B) (2) NONE
'0. ,
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) NONE -
.
4. Mortgages & Notes Receivable (Schedule D) (4) NONE
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E) (5) 210,213
--
6. Jointly Owned Property (Schedule F) (6) NONE '-
z Dseparate Billing Requested
0
~ 7. Inter-Vivos Transfer & Miscellaneous Non-Probate Property .' .,
...I NONE
:) (Schedule G or L) (7) , .
l- e:'
D:
<I: 8. TOTAL GROSS ASSETS (total Lines 1-7) (8) 350,113
U
w
a:: 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 16,063
10. Debts of Decedent. Mortgage Liabilities, & Liens (Schedule I) (10) 7,660
11. TOTAL DEDUCTIONS (total Lines 9 & 10) (11) 23,723
12. NET VALUE OF ESTATE (Line 8 minus Line 11) (12) 326,390
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not
been made (Schedule J) (13)
14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 326,390
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate ,or transfers under Sec.9116 (a)(1.2) 326,390 X .0 45 (15) 14,688
Z
0
i= 16. Amount of Line 14 taxable at lineal rate x .0 (16)
<I: -
I-
:)
D. .12
::E 17. Amount of Line 14 taxable at sibling rate x (17)
0
U
X x .15 (18)
<I: 18. Amount of Line 14 taxable at collateral rate
I-
19. Tax Due (19) 14,688
200 li~~I~~iil;~jl~liip.I~~~I~~;p.~$li~;iiIB~;~~I~~:.I~;~nj~Ilflll
..............................................>>>.....**ae$URe.J'Q:AN$WeR:AtI,;QQe$TtQN$QNReYeR$e~{peANPReQHeQKMAm~.~>..............,..
ece en s omple e ress:
STREET ADDRESS
598 South 18th Street
CITY I STATE IZIP
Carno Hill Pennsvlvania 17013
217
Heller, Ray A.
o
t' C
I t Add
d
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
15,000
750
Total Credits ( A + B + C ) (2)
3. InteresVPenalty if applicable
D. Interest
E. Penalty
4.
TotallnteresVPenalty ( 0 + E )
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
(3)
1,062
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.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(4)
(5)
(5A)
(5B)
AGENT
188-12-4552
14,688
15,750
Make Check
to: REGISTER OF
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?
If death occurred after December 12, 1982,did decedent transfer property within one year of death
without receiving adequate consideration?
Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?
Yes
D
D
D
D
D
D
2.
3.
4.
Did decedent own an Individual Retirement Account, annuity or other non-probate property which
contains a beneficiary designation?
~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
D
No
~
~
~
~
~
~
DATE
DATE
ADDRESS (---
5 South Hanover Street, Carlisle, Pennsylv'
4/20/2006
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 Section 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 0% [72 PS. Section 9116 (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. Section 9116(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. Section 9116(1.2) [72 P.S. Section 9116(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 PS. Section 9116(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.
217
REV-1502 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
Heller, Ray A. 21-06-0007
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
598 South 18th Street, Camp Hill, Pennsylvania (see HUD-1 statement attached)
VALUE AT DATE
OF DEATH
139,900
TOTAL (Also enter on line 1, Recaoitulation)
(If more space is needed, insert additional sheets of the same size)
$
139,900
217
REV-1508 EX+ (6-98)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Heller, Ray A.
Include the proceeds of litigation and the date the proceeds were received by the estate.
All prooertv iointlv-owned with right of survivorshio must be disclosed on Schedule F.
FILE NUMBER
21-06-0007
ITEM
NUMBER DESCRIPTION
1 PNC Bank Certificate of Deposit number 31500233414
2 Accrued interest on above account
3 PNC Bank Certificate of Deposit number 31600234704
4 Accrued interest on above account
5 PNC Bank Account number 5140027988
6 Accrued interest on above account
7 Miscellaneous personal property (see auctioneer's invoice
8 Refund of taxes and municipal bills from proration at settlement
9 Refund of service contract
VALUE AT DATE
OF DEATH
10,620
6
118,641
99
73,807
10
6,123
713
194
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
210,213
217
REV-1511 EX+(12-99)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Heller, Ray A.
FILE NUMBER
21-06-0007
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees 750
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 314
5. Accountant's Fees
6. Tax Return Preparer's Fees 140
7. Expenses of sale of real estate from HUD-1 settlement statement 10,955
8. Auctioneer fee (see invoice attached) 1,623
9. Repairs to automobile sold at public sale 287
10. Utility expenses for real estate sold 869
11. Final medical expenses 1,110
12. Inheritance tax return filing fee 15
TOTAL (Also enter on line 9 Recapitulation) $ 16 063
Debts of decedent must be reported on Schedule I.
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX+ (12-03) 217
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Heller, Ray A.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
FILE NUMBER
21-06-0007
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM
NUMBER
1.
2.
DESCRIPTION
VALUE AT DATE
OF DEATH
2005 federal income tax due
2005 Pennsylvania income tax due
7,534
126
TOTAL (Also enter on line 10, Recaoitulation) $
(If more space is needed, insert additional sheets of the same size)
7,660
217
REV-1513 EX+ (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
R A H II
ay e er 21-06-0007
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1 Terry L. Heller son 25%
2 Richard D. Heller son 25%
3 Barbara A. Wildon daughter 25%
4 Jeffrey L. Heller son 25%
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
(If more space is needed, insert additional sheets of the same size)
IA
, U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT
UMI:S NU. :i:iUL-ULb:i .,r
B. TYPE OF LOAN:
3.~CONV. UNINS. 4.DvA
17. LOAN NUMBER:
SETTLEMENT STATEMENT
1.DFHA 2.DFmHA
6. FILE NUMBER:
!i!i7q STnl T7 r.nnK O?
8. MORTGAGE INS CASE NUMBER:
5. DCONv. INS.
C. NOTE: This form is fUTished. to give you a statement of actual settlement costs. Amounts pa!d to and by the settlement agent are shown.
Items marked '[POC] were paid outside the closing; they are shown here for Informat/onal purposes and are not included in the totals.
'.0 3/98 (5579 STOLTZ COOK .020.PFD/5579 STOLTZ COOK .02121
D. NAME AND ADDRESS OF BORROWER:
E. NAME AND ADDRESS OF SELLER:
F. NAME AND ADDRESS OF LENDER:
Jeffrey C. Stoltz and
Amy J. Cook single individuals
36 Meadowbrook Court
~k'... Cumberland, PA 17070
Terry Heller as Executor for
Estate of Ray A. Heller
598 South 18th Street
Camp Hill, PA 17011
I G. PROPERTY LOCATION:
, 598 South 18th Street
Camp Hill, PA 17018
Cumberland County, Pennsylvania
H. SETTLEMENT AGENT:
Robert G. Radebach, Esquire
PLACE OF SETTLEMENT
3425 Market Street
Camp Hill, PA 1.7.011
J. SUMMARY OF BORROWER'S TRANSACTION
11 nn r.Rn<:<: 11=
101. Contract Sales Price 139.900.00
i IGZ. Personal Property
103. Settlement Charqes to Borrower (Line 1400) 6,226.37
104.
105.
Arlillstment.~ Fnr ItAms I-'a/rf I:3v :ieller In advance
106. Citv/Town Taxes 04/14/06 to 01/01/07
107. School Taxes 04/14/06 to 07/01/06
11 o~. Municipal Charoes 04/14/06 to 07/01/06
I I v ~ ~
389.68
249.60
73.29
110.
111.
112.
120. GROSS AMOUNT DUE FROM BORROWER
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER:
i~iJeposit or earnest monev
202. Principal Amount of New Loan(s)
203. Existinq loan(s) taken subiect to
204.
205
:-2..t
146,83894
2,00000
111,92000
207.
'208.
'209.
Sovereign Bank Federal Savings
601 Penn Street
Reading, PA 19601
25-1833632
I. SETTLEMENT DATE:
April 13, 2006
K. SUMMARY OF SELLER'S TRANSACTION
400. GROSS DUE <:1=1 I R.
401. Contract Sales Price
402. Personal Property
403.
404.
405.
139.900.00
Arfwstments ror Items I-'am
406. Citv/Town Taxes 04/14/06
407. School Taxes 04/14/06
408. Municipal Charges 04/14/06
409.
410.
411.
412.
420. GROSS AMOUNT DUE TO SELLER
500. REDUCTIONS IN AMOUNT DUE TO SELLER:
501. Excess Deposit (See Instructions)
502. Settlement Charqes to Seller (Line 1400)
503. Existinq loan(s) taken subject to
504. Payoff of first Mortgage
505. Payoff of second Mortqaqe
506.
507. (Deposit disb. as proceeds)
508.
509.
r In arlvanr.p
to 01/01/07
to 07/01/06
to 07/01/06
38968
249.60
7329
140,612.57
10.95537
Adiustments For Items UnDalrf Bv :ieller Ad/ustments ror Items UnDa/d Bv Seller
~Citv/Town Taxes to 510. City/Town Taxes to
211. School Taxes to 511. School Taxes to
212. Municipal Charoes to 512. Municipal Charqes to
~1'~ 513.
. - -
214. 514.
'"")' 5 515.
-_.----
_ ,t 516.
217. 517.
.:18 518.
".
..: 10. 519.
~::" TOTAL PAID BY/FOR BORROWER 113.92000 520. TOTAL REDUCTION AMOUNT DUE SELLER
:)uo. CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TOIFROM SELLER:
1301 Gross Amount Due From Borrower (Line 120) 146.838 94 601. Gress Amount Due To Seller (Line 420)
'::-:J2.'~ess Amount Paid By/For Borrower (Line 220) (113,920.00) 602. Less Reductions Due Seller (Line 520)
303. CASH ( X FROM)( TO) BORROWER 32.91894 603. CASH ( X TO)( FROM) ~LLERi
Tre undersigned hereby aCkn~~;;dge receipt of a completed copy of pages 1 &2 of this statement & an~achmentireferJel to !Jey/in.!
Borrower .~ (.1$ Seller .r1l1&J X . .-/-t1) JI.h1 j
J.eff. r~. StOltz. /1/. 7 / Terry ~,xec\!o
j/-/; ?VJ ~i L:-~t" rf<0 /I ~/ l
~Amy J. cor / ." Estate of Ray A. Heller
10,955.37
140.612.57
1 0 95537,
129,657.20
HUD-1 (3.86) RESPA. HB4305.2
L. SETTLEMENT CHARGES
700. TOTAL COMMISSION Based on Price '!; 1 fi'i) F; nnnn % A ~aA nn PAID FROM PAID FROM
Division of Commissionfline 700) as Follows: BORROWER'S SEllER'S
I; , ) 4.22200 to Jack Gaughen ERA
FUNDS AT FUNDS AT
702. $ 4,172.00 to Remax Realty Associates SEffiEMENT SEffiEMENT
"03 Commission Paid at Settlement 8,394.00
A i'ransaction Fee to ERA-NRT & Remax Realtv Assoc. 125.00 12500
Note: Line 701 Includes Adjustment of -4,172.00 For
hote: Line 702 Includes Adjustment of 4,172.00 For
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Oriaination Fee 0,0000 % to
802 L.oan Discount % to
.
2~3 Appraisal Fee to Capital Property Appraisers 300.00
804. Processing Fee to Loan Processing Center 430.00
805. Commitment Fee to Sovereign Bank Federal Savings 650.00
31: : '::;redit Report to Havens MortQaQe Services, Inc. 55.00
a07 Origination Fee to Havens Mortgage Services. Inc. 500.00
'8~6
809.
810.
811. YSP Paid to Broker from Lender to Havens Mortgage Services, Inc. POC $1,259.10b
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From 04/13/06 to 05/01/06 @ $ 24.09388Wday ( 18 days %) 433.69
902, Mortgage Insurance Premium for months to
S03. Hazard Insurance Premium for 1.0 years to State Farm Insurance Companies POC $429.00b
dU4
905
~OQO. RESERVES DEPOSITED WITH LENDER
1001. Hazard Insurance 3.000 months $ 35.75 Der month 107,25
1002. MortaaQe Insurance months $ Der month
1003. City/Town Taxes 3.000 months ) $ 45.24 oer month . 135 72
< G04. School Taxes 11 .000 months I $ 97.33 per month 1,07063
. 'J05. Municipal Charges 0.000 months @ $ per month
'1.>)6. months $ per month
1007 months $ ner month
08. Aaareaate Adiustment months $ per month -32392
1100. TITLE CHARGES
1101. Settlement or ClosinQ Fee to Robert G. Radebach. Esauire 100.00
t : 02. Abstract or Title Search to
1103. Title Examination to
1104. Courier Fee to Robert G. Radebach, Esauire 18.00
11CtJ. Document Preoaration to Robert G. Radebach, Esauire 50.00
1106. Notary Fees to Robert G. Radebach, Esauire 40.00
1107. Attorney's Fees to
(includes above item numbers: )
1 . 'J8. Title Insurance to Lawvers Title Insurance Corn. 84700
(includes above item numbers: )
1109. Lender's Coverage $
1110. Owner's Coverage $
1111. Endorsements 100, 300, 8.1 to Lawyers Title Insurance Corp. 150.00
1112. Closing Service Letter to Lawyers Title Insurance Corp. 35.00
1113.
J1Q2 GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording Fees: Deed $ 39.50; Mortgage $ 64.50 ; Releases $ 104,00
1202 Cltv/Countv Tax/Stamos: Deed . M 0 ifc:iaQe 1.39900
1203. State Tax/Stamps: Revenue Stamos ; Mortaaae 1.39900
~c~~
1300. ADDITIONAL SETTLEMENT CHARGES /' - J
1<-. Survev to .L": //
1",~, Pest Inspection to ,~ .' ) ../
--
-:. 2006 CountvfTownship Taxes to Barbara I-:amilton, Tax Collector ,/' 54287
130.1 2nd Quarter Sewer & Trash to Lower Allen Township / / 85.50
/
--'--- - to AON Home Warranty Services / //
, :;'::. AON Home Warranty , ./ 40900
1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502, Section K) / // /' 6,226.37 10,955.37
3y signing page 1 of this statement, the signatories acknolNledge receipt of a completed cOp~e2'i:if this two page statement.
crp;
Ce:~ified to be a true copy. Robe~ :;'l~ach, Esquire
( 5579 STOLTZ COOK ,02/5579 STOLTZ COOK .02 /21 )
/F'./
:r'--
/
BRICKERS AUCTI9N
Complete Auction Servlce /i CLC- 6 It
Auction - Wednesday Evenings
766-5785
Chuck Bricker, Auctioneer
TOT AL SALE
~ ;Z 3/ 60
/ b 23~ DO
SDD,DO
COMM.
CLEAR.
11
III ~~~ ~2l~ ]
Dl C/) dj-;; rn
,ou u;. ~
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() ~ <l; """"'"" IO..U rn
I' ~ e ~ ~~ " .. ~
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I~~~=c'~='~~-r_~~~-~" ,~,,.--=___~
,CT
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DATE-J - .3\ - 0 0
PHONE
l-:aS
ISSION
; HEREIN CONTAINED, IT IS AGREED BY
o the best and highest bidder to the public sale
Jerty offered for sale.
hat they may make with respect to said
made on the part of the Owner.
J the sale or discontinue the same during its
,d as necessary to obtain bids.
agreement.
~
ickers Auction
---
... $_ Erica L
,... SchlegellConsumer/PGH/PN
C
02/14/200610:34 AM
Estate of Ray A Heller (Deceased)
SS# 188-12-4552
DOD 01-01-2006
To Matthew Stine/Consumer/SCP/PNC@PNC
cc
bcc
Subject Date of death balances
ACCOUNT NUMBER * DATE OF DEATH BALANCE + ACCRUED INTEREST
CDS #31500233414
CDS #31600234704
DDA #5140027988
$10,619.51
+
$6.04
$118,640.80
+
$99.46
$73,806.88
+
$10.44
If you selected the balances to be sent to the "Branch" they will only be sent to
The requestor by Lotus Notes.
Have a great Day!!! :-)
1It, ~ ~ eM/i4e<<ee 4114 de fII1I/l{"9"e4~ ~ kits ~.
Glenda Farner Strasbaugh
Register of Wills
and
Clerk of Orphans' Court
Marjorie A. Wevodau
First Deputy
Kirk S. Sohonage, Esq
Solicitor
Register of Wills and Clerk of the Orphans' Court
County of Cumberland
One Courthouse Square
Carlisle, PA 17013
(717) 240-6345
FAX (717)240-7797
INVOICE
Bill To:
FREY & TILEY
5 SOUffi HANOVER ST
CARLISLE, PA 17013
Qty
1
Fee Description
Additional Probate
InvoiceNo:
Invoice Date:
Estate of:
Estate No:
Fee
Total
$100.00
100.00
Total:
$100.00
Checks should be made payable to the Register of Wills. Terms: Net 30.
Please return one copy of this invoice with your payment. Thank you.
964
7/21/2006
HELLER RAY A
21-06-0007
aJw