HomeMy WebLinkAbout02-06-07
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
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REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
EARL R ETZWEILER
274 CREEK VIEW DR
MILLERSBURG, PA 17061
-------- fold
ESTATE INFORMATION: SSN: 204-01-2818
FILE NUMBER: 2106-0943
DECEDENT NAME: DRABENST ADT IRENE E
DA TE OF PAYMENT: 02/06/2007
POSTMARK DATE: 02/05/2007
COUNTY: CUMBERLAND
DA TE OF DEATH: 10/03/2006
NO. CD 007778
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $6.72
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 9283
SEAL
INITIALS: CJ
RECEIVED BY:
REGISTER OF WILLS
$6.72
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
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:
InvoiceNo:
Invoice Date:
Estate of:
Estate No:
1277
2/6/2007
IRENE E DRABENSTADT
21-06-0943
EARL E1ZWEILER, ESQ
105 NORTH FRONT STREET
HARRISBURG, P A 17101
CJ
Qty
1
Fee Description
Additional Probate
Fee Total
50.00 $50.00
Total:
$50.00
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.
Earl Richard Etzweiler, Esquire
Christian S. Daghir, Esquire
ETZWEILER AND ASSOCIATES
ATTORNEYS-AT-LAW
105 NORTH FRONT STREET
HARRISBURG, PA 17101-1436
Office hours: Mon.-Fri. 8:00 a.m.-5:00 p.m.
(717) 234-5600
225 Market Street
Millersburg, P A 17061
(717) 692-2519
Office hours: Tues. and Fri. 4:00 p.m.-8:00 p.m.
Sat. 10:00 a.m.-12:00 noon
HALIFAX LINE
(717) 896-3737
Fax Line: (717) 234-5610
Email Address:retzweiler(a).comcast.net
2 West Main Street
Elizabethville, P A 17023
(717) 362-8395
Office hours: Thurs. 7:00 p.m.-9:00 p.m.
February 5,2007
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: Estate of Irene E. Drabenstadt
Dear Sir or Madam:
Please find enclosed the original and two copies of the Inheritance Tax Return and
Inventory for the Estate of Irene E. Drabenstadt together with a check in the amount of
$30.00 to file the same. Please time-stamp the extra copy of the Inheritance Tax Return and
Inventory and return them to my office together with the receipt in the enclosed self-
addressed envelope. I am also enclosing a check in the amount of$6.72 in payment of the
balance of inheritance tax due.
Sincerely yours,
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Enclosures
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15056041147
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
2 1 'X.P
oqLj3
Date of Birth
204012818
10032006
10231913
Decedent's Last Name
Suffix
Decedent's First Name
DRABENSTADT
IRENE
MI
E
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name
Suffix
Spouse's First Name
MI
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
~ 1. Original Return
2. Supplemental Return
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
f',.,)
REGISTER OF WILL~ 5";
c= --.I
.0 ."
"'...U DJ.
3. RemaindeI!~date oeeeath
prior to 12"~:4i.; I
5. Federal Est~f~T~ ReturPRequire~ "
;,; -0
8. Total Num~:~Sare Depaiit Boxes
..~~ N
11.Election t();tjlxuhder Sec. :EJ3(A)
(Attach Sctr: 0) Ul
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4. Limited Estate
o
o
o
o
4a. Future Interest Compromise
(date of death after 12-12-82)
o
[K]
o
6. Decedent Died Testate
(Attach Copy of Will)
7 Decedent Maintained a Living Trust
. (Attach Copy of Trust)
9. L~igation Proceeds Received
10 Spousal Poverty Credit (date of death
. between 12-31-91 and f.1-95)
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~ORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
ame Daytime Telephone Number
EARL RICHARD ETZWEILER 7172345600
Firm Name (If Applicable)
ETZWEILER AND ASSOCIATES
City or Post Office
HARRISBURG
State
PA
ZIP Code
17101
First line of address
105 NORTH FRONT STREET
Second line of address
Correspondent's e-mail address:REtzweiler@Comcast.net
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 cOl1'plete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. '
SIGNAT F PERSO ESp ISLE F R FILING RET N D TE
17032
ne C. Bahner, Executrix
Earl Richard Etzweiler, Esquire
105 North Front Street, Harrisburg, PA 17101
L
Side 1
15056041147
15056041147
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Add '/ prob:t/G
b-u-t. ~.~
2.-(P-070
.Invoice. IR17.
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15056042148
REV-1500 EX
Decedent's Name:
IRENE E. DRABENSTADT
Decedenfs Social Security Number
204012818
RECAPITULATION
1. Real Estate (Schedule A}..................................................................................... 1.
155,000.00
32,944.00
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) 0 Separate Billing Requested............ 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) 0 Separate Billing Requested............ 7.
17,239.79
8. Total Gross Assets (total Lines 1-7~..........................................................._..... 8.
2,528.00
207,711.79
26,585.35
27,535.81
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.
54,121.16
12. Net Value of Estate (Line 8 minus Line 11~.......................................................... 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J).............................................. 13.
153,590.63
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, of
transfers under Sec. 9116
(a)(1.2)X~
16. Amount of Line 14 taxable
at lineal rate X .045
17. Amount of Line 14'taXable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
153,590.63
0.00
15. o .00
16. 4,637.72
17. o .00
18. 7,579.53
19. 12,217.25
103,060.42
0.00
50,530.21
19. Tax Due................................................................................ ................. ........... ...
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
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Side 2
15056042148
15056042148
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REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21 -_
DECEDENT'S NAME
Irene E. Drabenstadt
STREET ADDRESS
24 Country Club Place
CITY I STATE !ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1 )
12,217.25
11,600.00
610.53
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + 8 + C)
(2)
12,210.53
Total Interest/Penalty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is thEOVERPA YMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE.
A. Enter the interest on the tax due.
8. Enter the total of Line 5 + 5A. This is theBALANCE DUE.
(3)
(4)
(5) 6.72
(5A)
(58) 6.72
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; Ot........................................................................................................... 0 ~
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?................................... .............................................................................. [J [!J
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death.?...... [!J 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which c--,
contains a beneficiary designation?..........................................................._.................................................. 0 l.!..;
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 P.S. ~9116 (a) (1.1) (i1)]. The statutedoes not exemDta 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. ~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 four and one-half (4.5) percent,
except as noted in 72 P .5. ~9116 1.2) [72 P .5. ~9116 (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 P.S. ~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.
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LAST WILL AND TESTAMENT OF
IRENE E. DRABENSTADT
I, Irene E. Drabenstadt, do make this my last will as follows: I hereby expressly
revoke all wills and codicils made by me heretofore. I direct my executors herein
named to pay all my honest debts. I devise my dwelling house located at 24 Country
Club West, East Pennsboro Township, Cumberland County and Commonwealth of
Pennsylvania to be sold at fair market price. My choice of persons to receive my
estate is as follows:
Irene C. Bahner, my niece
Douglas Drabenstadt, my grandson, son of my late son, Fred Drabenstadt
Scott Drabenstadt, my grandson, son of my late son, Fred Drabenstadt
I nominate, constitute and appoint Irene C. Bahner as sole executor and trustee of
this my last will and testament. I hereby relieve my executor from the necessity of
posting security in connection with her duties such in any jurisdiction to insofar as I
am able by law to do so.
SIG~ P J.9-'~,rt{ DA.;)n,uJ,.. /~2 00 i
(Testatrix)
Proceeds of real estate, real or personal residue, insurance or mixed, I give and
bequeath in equal shares to my niece, Irene C. Bahner, to my grandson, Douglas
Drabenstadt, and to my grandson, Scott Drabenstadt.
SIG~.Ilrwt..", f ~L' DATE~ W2o(J7"
(Testatrix)
In witness where of I have here unto set my seal published and acknowledged and
declared by the above named testatrix, her last will and testament in the presence of
each other have here unto written our names as witnesses there to the day and year
aforesaid. ./
WITNEssk-i-0!odl/ DATE~~/, Zo-i
ADDRESS .L-2/ CJeJ ~v! g. ,;!JAr.",,,,, /k-- PHONE 1/7 - ~J,;g
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Rev-1502 EX+ (BoSS)
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SCHEDULE A
REAL ESTATE
COMMONWEAlTH OF PEN-ISYLVANIA
INHERITANCE TAX REruRN
RESIDENT DECEDENT
ESTATE OF
Orabenstadt, Irene E.
FILE NUMBER
21-
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 Jolntly-owned with right of survivorship must be disclosed on schedule F.
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1
Real estate known as 24 Country Club Place, Camp Hill, Cumberland County,
Pennsylvania, sold at private sale for $155,000.00
155,000.00
TOTAL (Also enter on Line 1, Recapitulation)
155,000.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software onl.y The Lackner Group, Inc.
Form PA-1500 Schedule A (Rev. 6-98)
A. Settlement'Statement
U.S. Department of Housing
and Urban Development
OMB Approval No. 2502-026t
B. Type of Loan
1. ( J FHA 2. [ :I FmHA 3. [X] Conv. Unins. 6. File Number: 7. Loan Number: /8. Mortgage Insurance Case Number:
4. [ ] VA 5. [ :I Conv. Ins. 400700011-CB
C. NOTE: This form is furnished to give you a statement of actual selllement costs. Amounts paid to and by the settlement agent are shown. Items
marked "(p.o.c.)" were paId outside of the closing: they are shown here for informational purposes and are not included in the totals.
D. Name and Address of Borrower E. Name and Address of Seller F. Name and Address of Lender
MICHAEL J. FORTE IRENE C. BAHNER, EXECUTRIX OF WELLS FARGO BANK, N.A.
IRENE E. DRABENSTADT ESTATE 1017 NINTH AVENUE.. UNIT D,
KING OF PRUSSIA.. PA 19406
7 COUNTRY CLUB PLACE EAST
CAMP HilL, PA 1;'011
24 WEST COUNTRY CLUB PLACE
CAMP HILL, PA 17011.
G. Property Location
24 COUNTRY ClLB PLACE
H. Setttement Agent
SECURED lAND TRANSFERS MECHANICSBURG
-
CAMP HILL, PA 17011 Place of Settlement I. Settlement Date 01/31/2007
COUNTY: CUMBERLAND 101 OLD SCHOOLHOUSE LANE Disbursement Dato 01/3112007
PARCELID: 09-20-1850-132 MECHANICSBURG, PA
TOWNSHIP: EAST PENNSBORO TOWNSHIP
J. SUMMARY OF BORROWER'S TRANSACTIONS K. SUMMARY OF SELLER'S TRANSACTIONS
100. Gross Amount Due From Borrower 400. Gross Amount Due To Seller
101. Contract Sales Price $155,000.00 401. Contract Sales Price $155,00000
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102. Personal Property 402. Personal Property
103. Settlement Charges to Borrower $5.403.55 403.
- Adjustments For Items Paid By Seller In Advance Adjustments For Items Paid By Seller In Advance
113. CitylTown Ta:<es 413. CitylTown Taxes
114. County Taxe!> 414. County Taxes
115. SchoolTaxes l,356.23/yr 1/31/2007 to 711/2007 $561.07 415. School Taxes 1.356.23/yr 1/31/2007 to 7/112007 5561.07
118. Assessments 418. Assessments
119. 419.
121. Sewer 115.00/qtr for 1/31/2007 to 4/1/2007 $76.67 421. Sewer 115.00/qtrfor 1/31/2007 to 41112007 $76.67
120. Gross Amount Due From Borrower I $161,041.29 420. Gross Amount Due To Seller I $155,637.74
200. Amounts Paid By Or In Behalf Of Borrower 500. Reductions In Amount Due To Seller
201. Deposit or Earnest Money $1,500.00 501. Excess Deposits
202. Principal Loan Amount from Wells Fargo Bank, NA $116,250.00 502. Settlement Charges to Seller $13,099.00
203. Existing Loan(s) Taken Subject to 503. Existing loan(s) Taken Subject to
204. Proceeds from 2nd from Wells Fargo Bank. NA 538,553.50 504.
Adjustments For Items Unpaid By Seller Adjustments For Items Unpaid By Seller
210. 510.
211. 511.
212. 512.
213. CitylTown Taxes 513. CitylTown Taxes
214. County Taxe!> 364.62/yr 1/1/2007 to 1/:31/2007 $29.97 514. County Taxes 364.62/yr 1/1/2007 to 1/31/2007 $29.97
218. Assessments 518 Assessments
219. 519.
221. Seller Concelision $4,650.00 521. Seller Concession 54,65000
220. Buyer's Total Credits
300. Cash At Settlement From/To Borrower
301. Gross Amour,t Due From Borrower (line 120)
302. Less Amount:3 Paid By/For Borrower (line 220)
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$160,983.47 520. Seller's Total Charges
600. Cash At Settlement To/From Seller
$161.041.29 601 Gross Amount Due To Seller (line 420)
$160.983.47 602. less Deductions In AmI. Due To Seller (line 520)
I
$17,77897
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$155,63774
$17,77897
303. Cash [ X I From [ I To Borrower
$57.82 603. Cash [X] To [ ] From Seller
$137,858.7i'
400700011 - CB
L SeUlement Statement
Page 2
700. Total Sale Commission 165000.00 @l7 % = 10860.00
Division of Commission (line 700) As Follows: Paid From Borrower's Paid From Seller'S
701. $5425.00 10 Howard Hanna Real Estate Services Funds At Selllement Funds At Settlemenl
702. 55425.00 10 ERA-NRT, Inc.
703. Commission paid al seltlement 510.850.00
708. A,jmlnistrative Fee to Howard Hanna Real Estate Services 5175.00
709. Broker Administrative Fee to ERA-NRT, Inc. $165.00
800 ItArns Payable In Connection With Loan
.
801. Lllan Origination Fee
802. Lllan Discount
803. Appraisal Fee to Capital Mortgage Funding, Inc. 5125.00
804. Credit Report
805. Lender Inspecllon Fee
811. Processing Fee to Capital Mortgege Funding, Inc. 5400.00
812. Flood Cert. Fee to WFFS 519.00
813. Tax Service 10 WFRETS 5100.00
816. Funding Fee 10 Wells Fargo Bank, N.A. 5500.00
819. Mortgage Broker Compensalion to Capital Mortgage Funding, Inc. (POC 52,329.65 by Wells Fargo Bank. N,A.)
900. Ilerns Required By Lender To Be Paid In Advance
901 . Interest from 1/3112007 to 2/112007 @19.9100/day 519.91
902 . Mortgage Insurance Premium
903 . Hazard Ins. Premium (pOC by Buyer)
904 . Flood Ins. Premium
1000. Reserves DeposIted WIth Lender
1001. Hazard Ins. Reserve 3 mo @ 44.58 I mo Wells Fargo Bank, NA 5133.74
1002. Mortgage Ins. Reserve
1003. City Property Taxes
1004. County Property Taxes 12 mo <m 30.391 mo Wells Fargo Bank, NA 5364.68
1005. School Taxes 8 mo @ 113.02 I mo Wells Fargo Bank, N.A. $904.16
1010. Aggregate Accounting Adjustment from Wells Fargo Bank. N.A. -$433.69
1100. Title Charges
1101. SelllemenVClosing Fee
1 t02. Abstract or Title Saarch
1103. Tille examination
1104. Title Insurance Binder
1105. Document preparalion
1 t 06. Notary fee to Cash 520.00 510.00
1107. Attorney Fee
1108. Title Ins. Total 10 Secured Land Transfers _ Mechanicsburg $1.133.75
1109. Lender's Coverage 5116250.00 (5)
1 t 10. Owner's Coverage 5155000.00 (51133.75)
1111. Endorsemenls-l00,300.900 ($150.00) 10 Secured Land Transfers _ Mechanlcsburg 5150.00
11 t6. Insured Closlllg Proteclion Leller to Censtar Title Insurance Company 535.00
11 t 9. 'Mre Transfer Fee 10 Secured Land Transfers _ Mechanicsburg 535.00
1127. Electronic Delivery & Handling Fee 10 Secured Land Transfers _ Mechanicsburg 550.00
1140. Overnight Mail 10 Secured Land Transfers _ Mechanicsburg 525.00
1200. Government Recording And Transfer Charges
120 I. Recording Fees for Deed 38.50; Recording Fees for Mortgage 68.50 510700
1202. City/County TaxlStamps 1550.00 51.550.00
1203. Slate Deed Tax 1550.00 51.550.00
1300. Additional Settlement Charges
1302. Pest inspection from Inspection Center (POC 35.0000 by Buyer)
1303. Home Warranty to H.S.A. 5399.00
1305. Horne Inspection to Inspection Center (POC 275,00 by Buyer)
1306. Sewer /Refuse 1/2/3 to East Pennsboro Township 5115.00
1400. Tolal Sellleme"t Charges 55,40355 $13,099.00
I have carefully reVIewed Ihe HUD-l Selllement Statement and to Ihe best of my knowledge and betief it is true and accurate slalement of all receipls and disbursements
made on my account or by me in this transaction. I further certify that I have received a copy of the HUD-l Selllemenl Statement.
~ k- SELLERS
MichaE~'J. Forl:4t. .
Tim HUD-l seltnl Stalement which I have prepared Is a lrue and accurate a
accordance with this slatement.
(I Af~".PO" (j;/~ p
SECUHED LAND TRANSFERS - MECHANICSBURG
Settlement Agent
D81e
01/31/2007
Rev-1503 EX+ (6-98)
.
SCHEDULE B
STOCKS & BONDS
COMMONWEALTIl OF PENNSYLVANIA
IMiERITANCE TAX RE11JRN
RESIDENT DECEDENT
ESTATE OF
Drabenstadt, Irene E.
FILE NUMBER
21-
All property jolntly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 1 Series EE $10,000 Savings Bond -Serial #X179184EE 16,472.00
- value at death $16,472
2 1 Series EE $10,000 Savings Bond - Serial #X179185EE 16,472.00
- value at death $16,472
..
TOTAL (Also enter on Line 2, Recapitulation) 32.944.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule B (Rev. 6-98)
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Rev-15G8 EX+ (8-98)
.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Drabenstadt, Irene E.
FILE NUMBER
21-.
Indude the proceeds of UUgation and the dale the proceeds were received by the estate.
All property JOlntJy-owned with the rlght of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
1 Capital Blue Cross. refund of medical insurance premium
VALUE AT DATE
OF DEATH
229.94
2 Cash found in residence
2.050.00
3 Food Smart Products. Reimbursement for returned shoes
49.80
4 Michael J. Forte. reimbursement for 2006-07 School taxes
561.07
5 Michael J. Forte. reimbursement for portion of final sewer bill
76.67
6 Register of Wills. refund on probate fees
10.00
7 PNC Bank Checking Account #5140017077. Date of Death value $6,723.81
6.723.81
8 Deibler & Shoop, Auctioneers gross proceeds from sale of personal property at
public sale on November 11, 2006
7.538.50
TOTAL (Also enter on Line 5, Recapitulation)
17.239.79
(If more space is needed. additional pages of the same size)
Copyright (e) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E (Rev. 6-98)
QEC-12~2006 20:25
PNC8ANK
412 768 3458
P.01/01
o PNCBAN<
December 13,2006
Earl Richard Etzweiler
105 North Front Street
Harrisburg, PA 17101-1436
RE: Estate of Irene E. Drabenstadt, deceased
SSN: 204-01-2818
DOD: 10/3/2006
Dear Mr. Etzweiler:
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
Checkiag Account
Account #5140017077
Established 03/13/1987
IRENE E DRABENSTADT
DOD balance: $6,723-.81 + $.41 accrued interest
Please note that this office only provides date of death balances for deposit accounts
(!RAs, CDs, Checking and Savings accounts). We do not process any financial
transactioas or provide statements. If you need assistance with any ofthese items,
please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch
office.
&?~~
Rachellc Wells
1-800-762-1775
P7 -PFSC-04-F
500 tirst A vr;.
Pittsburgh PA 15219
Member FDIC
TOTAL P.01
,.
--, - ,._..~~- .._.....,~---.-- ~ .---- -~..-- .._.+-_....~--.__. ''--~ --_.
.,--~.._.------~-- -- - ---~~:--.--.---:-~..... _.-.
FINAL SETTLEMENT SHEET
Deibler & Shoop
Auctioneers
C~":-' :\ (~--J (-2)~
~ ," (""\ \- . .
/ _.\- \..~.:...:,-J-.;:: ur\c).... \:).._~.\ ~\ G..(>-Y
'\\'-.Y'J. \ \~ () G \L;
Date
RECEIPTS FROM SAJ~R;
'S Sf.)
Household Goods & Antiques "\ 5 ~ q ,
Farm Equipment
Real Estate
, ~ .
TOTAL RECErP-rs ..................................................................... $ \ '::> ~<6;S 6
EXPENSES FROM SALE:
COMMISSIONS:
~ % Household Goods & Antiques '\ ~ ~ . c '"
_% F~ Equipment
-\'~ ~
'-:.. ,-...' \".
_% Re' Estate
'"' c,,,
0\.Y,j.
-; \ ~c...-:.. vI>
TOTAL COMMISSIONS ................................................ '..J J,
\ \ ~ ~.v '"
ADVERrISING ....... .............. ......... ..... ... .... '" ...... ..... .....
\ \C,'~""
CLER1\S .. '" ...... '" ....... .................... ... ............ ..... .........
... \ \ , [') ~\~Cc-
MISCElLANEOUS ->.,.,,,;~ C?^\.:'- t'\-~.i ..1'\'..~..'x..........
\. (0
MISCELLANEOUS \)",_\ "'~\ '" \_" _\ \j , .
\- ,- ~ "' ..............
" ~ ,
TOTAL EXPENSES..................................................................
--.'
L' ,
$'~\~') .
NET PROCEEDS OF SALE
S \.,
S '-\ ~';'Cj.
~~ JJLJ~
Auctioneer's Slgna:tw-e
~.-~?
.-' /
/'-;., '.:::</ /i'
....,/ ;/ ~.~~/." // /
i:1 / ",,,- _ ,,--("/ .. // ..&/
~4'.-.._.r-_..-.:-..r .~.... _"'~~. '
;' "'Sellers Signature
/
Rev-1510 EX+ (6-98)
.
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Drabenstadt, Irene E.
FILE NUMBER
21--
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.
ITEM ut:S\;KII-' liON OJ- I-'ROI-'t:K I Y DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST IF APPLICABLE) VALUE
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE.
1 1 Series EE $1,000.00 Savings Bond - Serial 1.264.00 1,264.00
#M28306620EE, POD Doug Drabenstadt - value at
death $1,264.00
2 1 Series EE $1,000.00 Savings Bond - Serial 1.264.00 1.264.00
#M28306621 EE, POD Scott Drabenstadt - value at
death $1,264.00
TOTAL {Also enter on Line 7, Recapitulation} 2.528.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule G (Rev. 6-98)
REV-1151 EX+ (12-99)
.~
~
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRA TIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Drabenstadt, Irene E.
Debts of decedent must be reported on Schedule I.
FILE NUMBER
21--
ITEM
NUMBER
A. FUNERAL EXPENSES:
DESCRIPTION
AMOUNT
See continuation schedule(s) attached
7,598.80
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
Irene C. Bahner
Social Security Number(s) I EIN Number of Personal Representative(s):
City
Year(s) Commission paid
Halifax
29 South Second Street, P.O. Box 356
State PA Zip 17032
Street Address
9,147.00
2.
Attorney's Fees
Earl Richard Etzweiler
9,147.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
4.
Probate Fees
692.55
5. Accountant's Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
TOTAL (Also enter on line 9, Recapitulation)
26,585.35
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev.1~2 EX+ (6-98)
.
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEALTh OF PENNSYLVANIA
INHERITANCE TAX REnJRN
RESIDENT DECEDENT
ESTATE OF
Drabenstadt, Irene E.
FILE NUMBER
21--
ITEM
NUMBER
DESCRIPTION
AMOUNT
1
Parthemore F H & C Services, Inc. - funeral expense
5,927.80
2
Parthemore F H & C Services, Inc. - partial funeral expense
476.00
3
Rolling Green Cemetery - interment fee
1,195.00
Subtotal
7,598.80
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
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THIS AGREEMENT PROVIDES FORENDOWMBNT CARE
CEMETERY INTERMENT RIGHTS, MERCHAm>ISE AND SERVICES ~CJlASElSE~URlTY AG~
o.le: ll'l 1..\ O~ ~~No.
ID&umeat JUpu <iDl:lucIha& EIIdowaMIIC Can 01 $ - ) ......................................v...........................
Inlel'aMllt F_ .............................................................................................................................................................
~-Type ........_..............
SUe . D.lp i ..........................
~a--Type ...........................
Sla CllIIII' . ..........................
MlIIII8riaI i:adoWDMAt C.. 01 ............................................. ........................................................;............................
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0uMr a.riIIl CeIItaiaer - MaleriaI . ...........................
Model SupplIer . ..........................
c-tIoaCbaqe....................................,......................................................................................~...........................
Ura _ Type SIae ...........................
Ji'Iow..V__Type . ...........................
~........................................,:...............................................................................................,...........................
LetlerIua ..........................................:............................................;..................................................,............................
Otber . 1"'........................
OCber ............................
SaleaTlUl ...~;;~~;;;~.:::::::...........:~::..:::::::........:........:.....~............~........~~.....~::::::::::::::::::::::::::::::~:::::::::::::::::::::::::
LESS:
Down Payment Cull ...........,........................................................................ $
OCber Cred.lt ................................................................................................ ;
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TERMS- CASH SALE
The Totld Cub Price Ia due aDd payable II of the dace of tIUI Aartealllllt. A deUaqpenC)'.cha,.e of ~'. percw will be
IllllleCilllODthJy OD any balance not paid within 30 day.ofthe1lace ottlala A~ U_tliaalulJ PaJlDlllltil..Yld, Seller
lhaU.dedvct the acuuecl dellnqueaey dlarae from the lIII1ouot received, andcncUt ~ ~oI tM'palma&~.ed &0 the
Unpaid BaJanee. I;.
SECURITY INTEREST: ~ller (or ItsllSSIIlDl) will have a security Interest In the; Intenoent Riptlllnd Merchandise belnll
purclwecl II described above. Seller will retain title to Wd ~rmMt ~ahtlllJ1d MII~~ IlAdI the TQ~ Cub Price,
taaether with any delinquency dlara" thereon have ~Il ~. by Pur~.. ta SeJter. .
Pur~er allre.. that all rights coDveyed under this AlIreemeDt ar. .ubJect to, and.Purdluer lIare.. to at all timea comply with,
the preseat (and II may be beredter adoptedllDlended (lot at&e*)KuJ.., Reau.IJtiolU lIJ1clJSylaw. at s.Der; whidJ are available
for examination In Seller's ornce. ;.
NOTICE; BY SIGNING THIS AGREEMENT, P~CHASEQ. IS AG~G 1'IL\'J!ANY CLAIM PUQ.CHASER MAY HAVE
AGAINST THE SELLER SIWL BE ~LVED BYAIUU'I'RATIONANDI'tffl.~IS G,IVING VPIUSIHEII RIGHT TO A
COURT OR JURY TIUAL AS WELL AS HISIBEll RIGHT OF ~PEA4 SCJ ~$ytV~ PUNO~ SClYJCII. __
<#10 aou.tNG GIIQN C!MJTQV ..,,..
.... ~.. . ~..........
Slped IlIla ~ day 01 0,", ()\ ,,..- (
t. _Pu. ~~~. /. (~.{/
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--..
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NOTICE: SEE OTHEIt SIDE FOil. ADDITIONAL TERMS .um CONDITIONS WHIf; .
-. 'PO~ l20PA asv (04104)
WHrrB - CBMBTEaY COPY YIlU.Qw - APPaOV8D C\JI'J'OWBR cory PINt( _ CUnoMSa cory
:::.
Rev-1512 EX+ (8-98)
*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Drabenstadt, Irene E.
FILE NUMBER
21--
Include unrelmbureed medical expen....
ITEM
NUMBER DESCRIPTION
1 AT&T - final telephone bill
VALUE AT DATE
OF DEATH
9.41
2 AT&T - telephone bill
28.51
3 Capital Mortgage Funding - Notary fee for deed
10.00
4 Carl Bahner - replace roof on house and garage
3.779.11
5 Deibler & Shoop, Auctioneers - commission and expenses of public sale
3.155.00
6 East Pennsboro Township - building permit to replace roof
67.00
7 East Pennsboro Township - final bill for sewer and sanitation
115.00
8 East Pennsboro Township - sewer and sanitation
115.00
9 H.S.A. - home warranty
399.00
10 Holy Spirit Hospital - medical bill
124.00
11 Howard Hanna Company - administrative fee for settlement
175.00
12 Howard Hanna Company - real estate commission
10.850.00
13 Jeff Noblit Plumbing - heating repairs to house
100.00
14 Jeff Noblit Plumbing - plumbing repairs
235.00
15 Jeff Noblit Plumbing - repairs to plumbing in house
256.00
16 Keystone 011 Company - final oil bill
249.90
17 M & D Decorating - repairs to house
370.20
Total of Continuation Schedule(s)
See attached
page(s)
TOTAL (Also enter on Line 10, Recapitulation)
27,535.81
(If more space is needed. additional pages of the same size)
Copyright (e) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule I (Rev. 6-98)
ReY-1512 EX+ (8-98)
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Drabenstadt, Irene E.
FILE NUMBER
21--
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
27
28
29
30
31
32
18
Michael J. Forte - Portion of 2007 CountylTownship taxes - payable within one year
of death
29.97
19
Michael J. Forte - reimbursement for closing costs
4.650.00
20
Pa. American Water - bank service fee
15.24
21
Pa. American Water - final water bill
15.03
22
Pa. American Water - water bill
28.67
23
Pa. American Water - water bill
33.40
24
PNC Bank - charge for check images
2.00
25
PNC Bank - new checks
16.99
26
PPL Electric Utilities - electric bill
34.30
PPL Electric Utilities - electric bill
31.57
PPL Electric Utilities - electric bill
37.89
PPL Electric Utilities - electric bill
26.72
Recorder of Deeds - 1 % realty transfer tax for sale of 24 Country Club Place, Camp
Hill, Cumberland County, Pennsylvania
1.550.00
Scott Archibald - appraisal fee for house
300.00
Verizon - local telephone bill
5.40
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule I (Rev. 6-98)
ReY-1512 EX+ (8-98)
.
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Drabenstadt, Irene E.
FILE NUMBER
21--
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
33
Wirrick Associates - electric work to house
250.50
34
Wirrick Associates - Electrical work to house
470.00
TOTAL (Also enter on Line 10, Recapitulation)
27.535.81
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA.1500 Schedule I (Rev. 6-98)
~
.
CARL BAHNER
CUSTOMER: Estate of Irene E. Drabenstadt
24 Country Club Place West
Camp Hill, Pa 17011
DESCRIPTION OF SERVICE: Replacement of House and Garage Roof
Materials:
Golden's Roofing Supplies ...Shingles etc. (Via Howard)
Klinger Lumber ...Eveguard, Drip Edge etc.
Klinger Lumber ...Plywood, roofing cement
Boyd Diller ... 2 dump loads
Matt Kerstetter ...Hauling (Gas, trailor, tire plug)
1353.49
465.94
33.47
323.21
154.00
Labor:
Carl Bahner
Ken Corsnitz
Matt Kerstetter
Tom Blose
30 hrs X $14.00
30 hrs. X $14.00
26 hrs. X $14.00
17 Y2 hrs. X $14.00
420.00
420.00
364.00
245.00
TOTAL CHARGE:
$ 3779.11
~ll- . .
~ -it /Q.,2o
~ .5' 777, ..f.L
y6~7
REV 1513 EX+ (~O)
*'
SCHEDULE ..
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
NUMBER
Drabenstadt, Irene E.
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
aistribution5..t and transfers
under Sec. l:I116(a)(1.2)]
Irene C. Bahner
29 S. 2nd Str, P.O. Box 356
Halifax, PA 17032
FILE NUMBER
21-
I.
RELATIONSHIP TO
DECEDENT
Do Not List Tru-..tsl
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) (m)
Niece
1/3 of Residue
Douglas Drabenstadt
9716 Highway 19
Mazomanie, WI 53560
Grandson
1/3 of Residue
Scott Drabenstadt
2500 Bradley Avenue
Louisville, KY 40217
Grandson
1/3 of Residue
Total
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
Copyright (c) 2002 form software only The Lackner Group, Inc.
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Form PA-1500 Schedule J (Rev. 6-98)
Rev-1512 EX+ (6-98)
.
SCHEDULE Y-19A
Inheritance Tax
Paid @ 5% Discount
COMMONWEAL 1H OF PENNSYLVANIA
IM-iERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Drabenstadt, Irene E.
FILE NUMBER
21-
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
11,600.00
1
Register of Wills, Agent
TOTAL (Also enter on Line 10, Recapitulation)
11.600.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Register of Wills, Cumberland County, Pennsylvania
INVENTORY
Estate of
Irene E. Drabenstadt
No.
Date of Death
:At - 0(0 - oq~3
also known as
10/03/2006
. Deceased
Social Security No. 204-01-2818
Irene C. Bahner
The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory
include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania
of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of
the Decedent's death. and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except
that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory
are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S.
Section 4904 relating to unsworn falsification to authorities.
Attorney:
Earl Richard Etzweiler
f"--...."
1.0. No.:
06398
Signature:
~=o
i ;ZJ,
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Etzweiler and Associates
Signature:
:-i-)
Firm:
-0
Address: 105 North Front Street
Harrisburg, PA 17101
Telephone: (717) 234-5600
Address: 29 South Second Street, p:o::aox 356'~
Halifax, PA 17032".: ..r.;-
Telephone:
(..11
(eb.d I CJO 0 1
Dated:
Personal Property
Cash.............................................................................................. .
Personal Property.........................................................................
Stocks/Listed.............................................................................. ...
Stocks/Closely Held....... ............... ................................................
Bonds.............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable...............................................
All Other Property.........................................................................
9,701.29
7,538.50
32,944.00
Total Personal Property......................... ........ ........
50,183.79
Total Real Property............ ...................... ..............
155,000.00
Total Personal and Real Property.........................
~
Total Out-of-State Real Property..........................
< '
Register of Wills, Cumberland County, Pennsylvania
INVENTORY
Estate of
Irene E. Drabenstadt
No.
21-
also known as
, Deceased
Date of Death 10/03/2006
Social Security No. 204-01-2818
Cash
Capital Blue Cross - refund of medical insurance premium
229.94
Cash found in residence
2.050.00
Food Smart Products - Reimbursement for returned shoes
49.80
Michael J. Forte - reimbursement for 2006-07 School taxes
561.07
Michael J. Forte - reimbursement for portion of final sewer bill
76.67
PNC Bank Checking Account #5140017077. Date of Death value $6,723.81
6.723.81
Register of Wills - refund on probate fees
10.00
Total Cash
9.701.29
Personal PrODertv
Deibler & Shoop, Auctioneers gross proceeds from sale of personal property
at public sale on November 11, 2006
7.538.50
Total Personal Property
7.538.50
Bond
1 Series EE $10,000 Savings Bond - Serial #X179184EE - value at death $16,472
16.472.00
1 Series EE $10,000 Savings Bond - Serial #X179185EE - value at death $16,472
16.472.00
Total Bond
32.944.00
(Attach additional sheets if necessary)
Total Personal Property and Real Estate
205.183.79
, .
Register of Wills, Cumberland County, Pennsylvania
INVENTORY
Estate of
Irene E. Drabenstadt
No.
21-
10/03/2006
also known as
Date of Death
, Deceased
Social Security No. 204-01-2818
Real Estate
Real estate known as 24 Country Club Place, Camp Hill, Cumberland County,
Pennsylvania, sold at private sale for $155,000.00
155.000.00
Total Real Estate
155.000.00
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