HomeMy WebLinkAbout11-28-06
AEV-I500 EX.. (6-00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-Q601
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL
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HUSLER JEANETTE
DATE OF DEATH (MM-DD-Year)
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REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICIAL USE ONLY
FILE NUMBER
2 1 -0 6 0 8 6 4
""CciUNlYCOOE ---vEAR- - - NUMaER--
SOCIAL SECURITY NUMBER
E.
DATE OF BIRTH (MM-DD-Year)
2 35- 1 8 - 7 047
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
REGISTER OF WILLS
09/22/2006 11/30/1920
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, F RST, AND MIDDLE INITIAL)
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or.Sole- rop!ietorship
4. Mortgages & Notes Receivable (SchedulE! D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D Separate Bimng Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Pro ate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Sche ule 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 Govemmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
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[X] 1. Original Return
D 4. Limited Estate
[X] 6. Decedent Died Testate (AIlach copy 01 w~)
D 9. Litigation Proceeds Received
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NAME
ROGER B. IRWIN ESQUIRE
FIRM NAME (If Applicable)
IRWIN & McKNIGHT
TELEPHONE NUMBER
717 249-2353
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SOCIAL SECURITY NUMBER
D 2. Supplemental Return
D 4a. Future Interest Compromise (date of death after 12-12-82)
D 7. Decedent Maintained a Living Trust (AltachcopyofTrust)
D 10. Spousal Poverty Credit (dale 01 death between 12.31.91 and 1+95)
D 3. Remainder Return (date of death prior to 12-13-82)
D 5. Federal Estate Tax Return Required
_ 8. Total Number of Safe Deposit Boxes
D 11. Ejection to tax under Sec. 9113(A) (Attach Sch 0)
. 'L1;CORBESPoNsEttCeAINatcONFtOe~iiAliIN.al~TtON.s"'o"'fZo'lefjBEml!fde'.;\Wi
COMPLETE MAILING ADDRESS
60 WEST POMFRET STREET
CARLISLE
PA 17013
(1 )
(2)
(3)
(4)
(5)
OFFJ9IAL USE ONLY
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(7)
(8)
129,412.06
(9)
(10)
22,835.72
33.91
(11 )
(12)
(13)
22.869.63
106,542.43
14. Net Value Subject to Tax (Line 12 minus Line 13)
SeE INSTRUCTIONS ON REVERSE SID FOR APPLICABLE RATES
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15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17_ Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
(14)
106,542.43
0.00 X _(15) 0.00
106,542.43 X .045 (16) 4,794.41
0.00 X .12 (17) 0.00
0.00 X .15 (18) 0.00
(19) 4,794.41
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CHECK HERE IF YOU ARE REClUESTlNG A REFUND OF AN OVERPAYMENT
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Add
ece ents amp' ete ress:
STREET ADDRESS 409 MEADOWBROOK ROAD
CITY I STATE I ZIP
CARLISLE PA 17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
4,794.41
Total Credits (A + B + C)
(2)
239.72
3. InteresVPenalty if applicable
D. Interest
E. Penalty
0.00
T otallnteresVPenalty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the diff rence. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to uest a refund (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the diff rence. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (5A)
(58)
to: REGISTER OF AGENT
0.00
4,554.69
4,554.69
PLEASE ANSWER THE FOLLOWI G 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 pro erty transferred; ....................................:...................................... 0 IX]
b. retain the right to designate who s all use the property transferred or its income; ........................................ 0 IX]
c. retain' a reversionary interest; or .. ....................................................................... ............................. 0 IX]
d. receive the promise for life of eithet payments, benefits or care? .............................................................. 0 IX]
2. If death occurred aft~r December 12, 1 ~82, did decedent transfer property within one year of d~ath .
without receiving adequate consideratipn?...... ........ ............... .............................. ..... ...:.............. ....... ...... 0 IX]
3. Did decedent own an 'in trust for" or p~yable upon death bank account or security at his or her death? ................. 0 IX]
4. Did decedent own an Individual Retiretent Account, annuity, or other non-probate property which .
contains a berieficiary designation? ...~........................................................ ................;................. ......... 0 IX]
IF THE ANSWER TO ANY OF THE ABOVE CUES IONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of pe~ury, I declare that I have examined this retum, includ ~ 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 II Information of which preparer has any knowledge. .
SIGNATURE OF PERSO RE NSIBLE FOR FILING ETU N DATE
,- ;J7/-t:J
ADDRESS
PA 17015
ATE
(t !-1,' Ob
ADDRESS
PA 17013
For dates of death on or after July 1, 1994 and before Jan ary 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.s. 99116 (a)(1.1)(i)]. ,
For dates of death on or after January 1, 1995, the tax rat~ imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)).
The statute does not exemot a transfer to a surviving spo~se 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. I
For dates of death on or after July 1, 2000: I
The tax rate imposed on the net value of transfers from a jeceased 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. ~9116(a)(1.2)].
The tax rate-imposed on the net value of transfers to or fo. the use of the decedent's lineal beneficiaries is 4.5%, 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 or for the use of the decedent's siblings is 12% [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-1508 EX + (6-118)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ITEM
NUMBER
1.
2.
3.
4.
5.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
e proceeds of litigation and the date the proceeds were received by the estate.
jointly-owned with right of survivorship must be disclosed on Schedule F.
DESCRIPTION
Personal Property - Appr isal Attached
M& T Bank - Checking Ac~ount #713708
M& T Bank - Savings Account #015004210920086
M&T Bank - Certificate of peposit #031003912277661
Cash on Hand
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
4
VALUE AT DATE
OF DEATH
1,269.00
22,814.37
3,914.60
100,974.16
389.93
129362.06
--- . -,
REV-1509 EX + (6.98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
FILE NUMBER
If an asset was mad~ 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. Clement L. Husler
409 Meadowbrook Road
Carlisle, P A 17015
Son
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JOINTL y-oWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING N1iJMBER. ATTACH DEED FOR JOINTlY-HELD REAL ESTATE. VAlUE OF ASSET INTEREST DECEDENTS INTEREST
t. A. 4/17/06 American Home Bank 100.00 50. . '50.00
I
TOTAL (Also enter on line 6, Recapitulation) $ 50.00
(If more space is needed, insert additional sheets of the same size)
REV-'.11 EX + I'.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
HUSLER
ITEM
NUMBER
A.
1.
2.
3.
4.
5.
B. .
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
FILE NUMBER
JEANETTE
E.
06
21
Oebts of decedent must be reported on Schedule I.
DESCRIPTION
FUNERAL EXPENSES:
Hoffman-Roth Funeral Home
Carlisle Memorials
Reverend Iva L. O'Brien
Sunnyside Restaurant - F~neral Reception
Westminster Cemetery, ULC - Final Interment
ADMINISTRATIVE COSTS:
Personal Representative's Com~issions
Name of Personal Represflntative (s)
Social Security Number(s)YEIN Number of Personal Representative(s)
Street Address
City
State
Zip
Year{s) Commission Paid:
Attorney Fees Irwin & McKnight
Family Exemption: (If decedenfs a~dress is not the same as claimanfs, attach explanation)
Claimant Clement L. Husler
Street Address 409 Meadowbrook Road
City Carlisle State P A
Relationship of Claimant to Decedent Son
Zip 17013
Probate Fees Register of Wills
Accountanfs Fees
Tax Return Preparer's Fees Patricia A. Rosendale, CPA
Register of Wills, Filing Fee
Notary Fees
Cumberland Law Journ~:lI, Estate Notice
The Sentinel- Legal, EMate Notice
Roy D. Gottshall, Apprc: isal on Personal Property
I
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TOTAL (Also enteron line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
0864
AMOUNT
8,684.13
221.00
150.00
1 ,304.56
1,150.00
6,925.00
3,500.00
244.00
350.00
30.00
10.00
75.00
137.03
55.00
22.835.72
.
REV-1512 EX T (6-98)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
HUSLER JEANETTE
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
E.
Include unreimbursed medical expenses.
FILE NUMBER
21 06
0864
ITEM
NUMBER DESCRIPTION
1. AT&T Credit Card
j
I
(If more space is needed, insert additional sheets of the same size)
TOTAL (Also enteron line 10, Recapitulation) $
VALUE AT DATE
OF DEATH
33.91
33.91
REV.1513~+"*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
HlI~1 FR
SCHEDULE J
BENEFICIARIES
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E
NUMBER
I.
NAME AND ADDRESS OF PEF SON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outr ght spousal distributions. and transfers under
Sec. 9116 (1) (1.2)]
1.
Clement L. Husler
409 Meadowbrook Road
Carlisle, PA 17015
.
.
FILE NUMBER
?1 06
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
Lineal
ORAA
AMOUNT OR SHARE
OF ESTATE
100% Remainder
ENT~R DOLLAR AMOUNTS FOR DIS~ RIBUTIONS SHOWN ABOVE ON LINES .15 THROUGH 18, AS APPROPRIATE, ON REV.1500 COVER SHEET
ll. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDEF SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENT~L DISTRIBUTIONS
1.
TOTAL OF PART II - ENTER TOT~L NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV.1500 COVER SHEET $
Of more space is needed, insert additional sheets of the same size)
---r
Last Will and Testament
Of
Jeanette E. Husler
I, JEANETTE E. HUSLER, of Lower Frankford Township, Cumberland County,
Pennsylvania, declare th s instrument to be my Last Will and Testament, hereby expressly
revoking all Wills and Co icils heretofore made by ~e.
I
1. I direct fY personal representative to pay ail of my debts, funeral and
administrative expenses a~ soon. as may be done conveniently after my decease.
2. I authorize and .empower my personal rep~esentative to sell any realty owned by
me at my death, and not pecifically devised herein, at either public or private sale, and to give
good and sufficient deeds therefor, in fee simple, as I coul~ do if living.
3. I give, dev se and bequeath all of my estate of every nature and wherever situate to
my son, CLEMENT L. H SLER, provided he shall survive me by sixty days.
4. Should th gift in paragraph 3 not take effect, I give, devise and bequeath all of
my estate of every nature d wherever situate as follows:
(a) the sum 0 $10,000.00 to the WEST HILL UNITED METHODIST CHURCH,
Newville oad, Carlisle, Pennsylvania;
(b) all the res, residual and remainder to the UNITED METHODIST CHURCH of
Leesburg, umberland County, Pennsylvania and the WEST HILL UNITED
METHO 1ST CHURCH, Newville Road, Carlisle, Pennsylvania, share and
5. I nominat and appoint CLEMENT L. HUSLER to be the Executor of this my
Last Will and Testame t; he is to serve as such without bond. Should he die before my death,
renounce or refuse to sfrve for any reason, or die leaving any of my estate unadministered, I
nominate and appoint ~OGER B. IRWIN, MARCUS A. McKNIGHT, ill and DOUqLAS G.
MILLER, as substitute fxecutors, also to serve as such without bond, with the same powers as
are given herein to my ohginal Executor. I here~y suggest that my personal representative retain
the services of Irwin & rCKnight, as attorneys iri the settlement of my estate.
IN WITNESS WHERE.OF, r have hereunto set my hand and seal this 3/JT day of
March, 2004.
~tl'A(tr;: 1,0 /~~~A_
if . JEANETTE E. HUSLER
(SEAL)
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Signed, sealed, p~blished and declared by the above-named person as and for a Last Will
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and Testament, in our pr~sence, who at said person's request, in said person's presence and in the
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presence of each other h ve hereunto set our names as subscribing witnesses.
2
AC
OWLEDG~IENT AND AFFIDAVIT
WE, JEANETT E. HUSLER, CHERYL L. CLELAND and l\IARTHA L. NOEL,
the testatrix and witness s respectively, whose names are signed to the foregoing instrument.
being first duly sworn, d hereby declare to the undersigned authority that the testatrix signed and
executed the instrument s her Last Will, and that she had signed willingly, and that she executed
it as her free and volunt act for the purpose herein expressed, and that each of the witnesses, in
the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their
knowledge the testatrix as, at that time, eighteen years of age or older, of sound mind and under
no constraint or undue in
COMMONWEAL TH F PENNSYLVANIA
COUNTY OF C~IBE LAND
S8
Subscribed, swo to and acknowledged before me by JEANETTE E. HUSLER the
testatrix herein and sub cribed and sworn to before me by CHERYL L. CLELAND and
MARTHA L. NOEL, w toesses, this Lday of March, 2004.
~.~
ry Public
larial Seal
Roger B. Irwin. Notary Public
Carlisle Born, Cumberland County
My Commission Expires Oct. 3. 2004
Member, PennsylVania AJaociatIon of Notaries
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499 Mitchell Road, Millsboro, DE 1996 Mail Code DE-MB-12
Phone (888)502-4349
Fax (302) 934-2955
October 4, 2006
Law Offices
Irwin & McKnight
West Pomfret Profession
60 West Pomfret Street
Carlisle, Pennsylvania 17 13-3222
Re: Estate
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Dear Sir or Madam:
Per your inquiry dated September 29, 2006, please be advised that at the time of death, the above-named decedent had on
deposit with this bank the followin: '
1.
Type of Account
Checking Account
Account Number
7/3708
Ownership (Names of)
Jeanette Husler *
Opening Date
02/01/71
Balance on Date of De th
$22,8/3.68
Accrued Interest
'$
0.69
Total
$22,8/4.37
2. Type of Account
Account Number
Ownership (Names of)
Opening Date
Balance on Date of De h
Accrued Interest
Total
Savings Account
0/5004210920086
Jeanette Husler ,..
/1//7/04
$3,9/4./1
$ 0.49
$3,9/4.60
3.
Type of Account
Certificate of Deposit
Account Number
031003912277661
Ownership (Names oj)
Jeanette Husler *
Opening Date
07/17/06
Balance on Date of De th
$100,000.00
Accrued Interest
$ 974.16
Total
$100,974.16
Please be advised, there was no sa e deposit box found for the above decedent.
* For further account informa on, regarding ownership, closures and/or reimbursement of funds, etc~ please call
the Stonehedge Office # 717-24 524.
Sincerely,
~~ce7~
Nancy Clagett
Records Management
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Irwin & McKn ght
Law Offices
60 West Pomfr t 8t
Carlisle Penns lvania 17013
IR'rvn'<[ & lVlcKNIGHT
Re: Estate of Janette Edna Husler
Dear Mr. Irwin
iry American Home Bank did have an account for the late Mrs;
Husler. There as a deposit of $1 00 made on April 17, 2006 and there has been.
no activity sinc . Therefore the balance remains at $100.
At the time the ccount was opened, Mr. Clement L. Husler was also named on
the account. T at has not changed. No other deposit accounts, loans, or safe"
deposit boxes e ist in her name.
417 Village Drive / Carlisle, PA 17013-6929 . Phone 717/218-6635 . www.bankahb.com
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850 N Hanover Street
Carlisle, PA 17013
Phone: (717) 243-5712
Fax: (717) 243-8399
YNIW.sunnysiderestaurant.com
CLBND'r BUSLER / lfmmRAL
409 HEODOWBROOlt BD
CARLISLE, PA. 17015
09/27/06
GUEST CHECKS
CHK#
AMOUNT
TOTAL GUEST CHECKS TAX INCLUDED -
PRE-QRDERlOTHER T Y A!I;IILE CHARGES
LUNCHEON I 1 @ $12 95 PO PERSON t.o ~
SALAD - RANCH AND V~NGRETTE
VEGETABLE - MED MIX
CHOICE OF:
CHICKEN ALFREDO, BIj:EF TENDERLOIN MARSALA
BR. CRAB CAKE
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7){P""; ,-,,-
DESSERT - 1/2 CBDi~ECAD 1/2 CHEF CAD @ $2. 75 PER PERSON J ~"',~
TOTAL PRE-ORDERIOTC I ()sb J.. em
SALES TAX 6% l.. )"J I
TOTAL GUEST CHECKS. PRE-ORDER, TAX- J/~;b7
BAR AND NON TAXABI..E ITEMS
TOTAL BAR *
SUBTC TAL GUEST CHECKS, PRE-ORDER, TAX, BAR /,'oJ15,(J I
GRA TU/TV - ~~ ..".,~ ...J,-
OTHER- DESCRIPTION & COST c:k' ,~ lO t ,'i. .., ~
PAID $100.00 DEPOSIT -$100.00 ~ -/001/"4 rJ
TOTAL OTHER *
PREPARED BY: TOTAL* * l~lotr~~~
------.
* /2J7A/ (OST'J30'/S07r
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41 Sou h Bedford St. Carlisle, P A 17013
Ph De: 717-243-5480 Fax: 717-243-5687
DATE:
FOR:
ADDRESS:
CEMETERY:
L.OCATION OF CEME
SECTION: r:- L
LOCATION OF LOT:
CEMETERY LETTERING OR REPAIR WORK
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LETTERING: ;./'" REPAIR:
(,'/1 J;V'~
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NAME OF DECEASE
TYPE OF BURIAL: GULA ~ CREMATION:
LETTERING REQUI D: . '- ):t- eL '~'. ~(;,
LOCATIONOFINSC PTION: ~/<;~Zlo A.fKv..~
STYLE OF LETTERI G: oj? ~~ S~ I
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MATERIAL:
OTHER NAMES ON
DATE COMPLETED:
COST:
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DESCRIPTION OF W RK:
SIGNATURE:
SALESMAN SIGNATURE:
COMMONWEALTH OF PENNSYLVANIA
: SS
COUNTY OF CUMBERLAND
Clement L. Husler
, being duly sworn according to law, deposes and says that he is the Executor of the
Estate of
Jeanette E. Husler
, late of Lower Frankford Townshio
, Cumberland County,
Pennsylvania, deceased and that the within is an inventory made by
Clement L. Husler, the said Executor of the entire estate of
said decedent, consisting of all the personal property and real estate, except real estate outside the Commonwealth of Pennsylvania.
and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death.
Sworn and subscribed before me,
this d.~ay of November , 2006.
~U\~ l
~ }
. COMMONWEALTH OF PENNSYl ~"ANlA
Notarial Seal I
~n S. Noel, Notary Public
Carhile Boro, Cumberland County
My Commission Expires Dec. 8, 2007
22
Day
Date of Death
(ijJ~;;L ~
Clement L. Husler, Executor
409 Meadowbrook Road
. Carlisle. P A 17015
Address
09
Month
2006
Year
INSTRUCTIONS
1. An inventory must be filed within three months after appointment of personal representative.
2. A supplement inventory must be filed within thirty days of discovery of additional assets.
3. Additional sheets may be attached as to personalty or realty.
4. See Article IV, Fiduciaries Act of 1949.
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Inventory of the real and personal estate of
JEANETTE E. BUSLER
. deceased
1. Personal property $1,269.00
2. M&T Bank - Checking Account #713708 $22,814.37
3. M&T Bank - Savings Account #015004210920086 $3,914.60
4. M&T Bank - Certificate of Deposit #031003912277661 $100,974.16
5. Cash on Band $389.93
TOTAL
.. " ,'" i '\" :l:r'lnf'\
" r ...., ! I, ", ""'!.J ,,, v
Vd \JJ \-.:I\(: >~-" "
\ unr\,' C:,' \\'.,Hd'dO
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$129,362.06
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
IRWIN ROGER B ESQ
60 W POMFRET ST
CARLISLE, PA 17013
nn_n_ fold
ESTATE INFORMATION: SSN: 235-18-7047
FILE NUMBER: 2106-0864
DECEDENT NAME: HUSLER JEANETTE E
DATE OF PAYMENT: 11/28/2006
POSTMARK DATE: 11/28/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 09/22/2006
NO. CD 007486
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $4,554.69
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 023647
SEAL
INITIALS: JA
RECEIVED BY:
REGISTER OF WILLS
$4,554.69
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS