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HomeMy WebLinkAbout02-06-07 ""..~."."";'".'''''''''''''''':.~''' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 'l: ,-..- 1'. ~"-"''''''' ~"~r""'r'~ 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 I I I I I I I I 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, Q :"'---...) \,;;;:,,-:.} C:,) -J ro () LJ'_ P' ",.(%....L~ _ /J'~. ~~(..--~ ., Earl Richard Etzweiler fT1 c:J ! 0"1 v ERE:klp N Enclosures .C- +" H:IKAREN\2007 .101\02-05-07 .wpd -.-J 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 o o 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) o ~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 -l- ~ Add '/ prob:t/G b-u-t. ~.~ 2.-(P-070 .Invoice. IR17. - ------- -I 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. o L Side 2 15056042148 15056042148 -I 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. o .. 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 / "70 0 ::..1J 'o-:J ~ ~ --:.: ;P.J ---. C?j:'~~ ~ . ; - \., .J --, ~ ., i..::J WITNES ~.u.,,>~ _ _ _ DATE "-Il"p, d71'i'~o'(j,l) SJ 23. ,..:- (j J- /' (-~, ~..::> ADDRESS dl2 J C!unfrw..:J.Jc, rn~Si,dl PHONEq~~7~ ~3~ ~--l ... ~../) I~~ ::> ~ :~~':~~(;:'-T-.' ------ ------~~~.~_.. ----- " - Rev-1502 EX+ (BoSS) . 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 .. 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) I I $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 I I $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) C 3: tD :J - Z ~g~ ;:;.: CD 0" eL_ a. 0 tIlO ->. ::l 0. (ii' -l 3: 0 I 0 - o2to ll) e. "'C s; -;- fii (lI(D 0. 0" -- , 0 0"0"Q)::l 0"0 O::l 0. 0::l:J0.:E ~~~ZQ) (/l(/l0(/l :EQ)Q);O 5lcncnXQ) CDCDO(/l O::J.::J.ai~ Q)CDCD::lo. (/l(/l(/lCO ~--CD- CDOOQ)::l ~-.-.o" ::lmm- mmCDo Q- - O'm ~:E:E"'>< Q)Q)Q), O(/l (/l::l 0" ~ (ii' (ii' :z: 0 ~~~:z:~ CO CD CD O":E CD 0.0.0 Q)' ~:j':j'~(/l 000 m ""...,..., >< ~Q)Q) 00 :z:i\fi\fzai :z:......m::l t..s:'CO g~~ g~ :JC: ::l0' _0. Q) CO 0. ... 0"-< CO -. 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I>> tIl <0 <0 <0 <0 co; 00 00 00 00 <0 <0 01 01 ~ "'CI 01 .01 01 01 0 0 :t, 0 0 0 0 n 9 0 9 9 CD 0 (:) 0 0 0 0 0 0 ~ S" ->. ->. ->. ->. - --J --J ~ ~ CD m m --J --J a ~ ~ N N tIl 0 (:) 0 0 - 0 0 0 0 ~ ->. ->. < ->. ->. m m ~ ~ ~ ~ I>> m m --J --J C ~ ~ N N CD (:) (:) 0 0 0 0 0 0 ~ ~ ~ ~ ::a (:) (:) 0 0 I>> 0 0 0 0 - ~ ?J. ?J. ?J. CD 0 01 01 01 01 -< W W a, m CD' --J --J N N is: ~ ?J. ?J. ?J. 0 z CD 0 0 0 0 >< ->. ->.~ ~ 0= N NN N I>> := 0 00 0 -- ::!1 0 00 0 CD CD --J --J--J --J .. - CD CD tIl "'U - .., ." Q. 5' t5 0 0 00 I>> ->. ->.~ ~ o- N -- N 0 NN I>>~ 00 00 -I>> ll) - ->. ->. ->. ->. CD_ CD <0 <0 01 01 C .. ;::;: '< I z N 0 - CD ::::3 :J>< am -. ::::3 < .. CD 0 ~~ CD :::tJ ;am O-c -< 0 ;:a. "'U .., 5' - o ll) ~ o -" - -" N oeo -- N 00 00 O)~ 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) s:: (jj o )>~;om en"T1 ~3~.~ ~ [ 9 0 !!l. z i:i" ~ 3. a::. !!l m ;SO !;nlJlg <D&' ~&~en ~~ ~ 3: ~~ &' - ~;o ai?~Q ~ ~ f ~ iif 0 ,-.2 " .. ::> en ~ i}!~ o ._. t:: :...: ~: ::: en ~1 .~ : ~:r: "': i-: :-: ta": ... ": r-f ....-&9 ....... ... ........ ~r' ~ ~ r-~ "T1;03"O o g 3C1l ~. i -" s:l. ~ 3' ~ () " co iii iil COO~3 a-em ;0 $I ". g: CIl 3 .. :; ~. ~. j j :J (Ili en (JJ '" CIl CIl [[ <D CIl .9:.9: ~~~~ a 3 3 3 < g, !!!.!!.~~i5' 15" I)" I)" c: " " :J :J ::1 tD ~ ~ ~~.~.ena."T1 J:T:Ttm3 ~ ~ a 1il 1;' ~ <39:Gl~iii ~.~gg" ~ li- iii !!!. "2. [ g' fC<D;pcSCIlGl < S." ~ca -. 1il <D - 1il Gl ii ~ ~. 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CD~"" f i Z enC:3iii", a~ 03=.;c~<D=i 6" ~m~ oCl)m ~ .o:mCi' .g'1V:T~~ 3:r:o~ <D :-o-.GI - ;a. ~.e @ ~ ~~ 69 1vco' lsl.rt :lJ"2. () !;::~. ~: tr : ;) @ : f! o .. ~ )> co <D r ,r' ....~:t'on'~~.f.. f"' ,....-'t"".'iW..".I~..........,-:<"II:"'...,.....W.....r<"' ..' ...... .-"'r-r.....~ _...,-.,..~...,_,.......~,.."~.."'... '-"""'1'~,-,~..............,+.,.,,...,., ROlLING QaEIiN CEMlTCIIY "~fi ....~U iQI. . ~......,.. 110'. l -111 ....,....... 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 ............................................. ........................................................;............................ ~~F.............................................................................................+.......................... 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 ................................................................................................ ; ==~~~.~.;;;~..t~~\....::::~;:q::::bi.::;:;;::1~:::C:~~:b: s - Ij~S.LL ----. --- - "---t- ---+ . ---...... -1- --r- I \qCi.L,G . s<: \ 14' "l!'V , , "' . .' I 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. ~~~. /. (~.{/ . ~(YJ \ - '->' , ~). . r:' ( :~.'" .1O.o.Lz- "I ~ { e..,.. ~led by: --.. -. c~'. 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, 1 h:~. ('-, ~ -..J '1 ;-n co I en 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 $155,000.00 155.000.00 Total Real Estate 155.000.00 2 r- l' i'"", "l:"'- I I C:J C::J i fC"" 'I' U""I'''. ;;~a 'r.''"' r ~J~ ~ r L.". Q, :10 R ~~ ~, . fa , !'<l).... O~ ft,l- "-.... ~\J 1"1 1'<'1 'J (;{] '::\" 1:1'- t..... ~:J~.:: U) Li,' _J Cl rr ~~ ,---- -~ C t c< C: LL' '0' .3 ..::t' (i I- 97 W:.~. ('.- ~i (. GU' ~rJ)::. U_,Z' ---I$! <..)-!:-lJ 8=c;; 0:5 u & x: c.. ~o I CX) l.LJ l.1.. r0- c::::. = C'....: - .- ca == tn tn ca - o ... tn ... .- u. '''''':'''!r''1''''!"'''T'T''I'''~~:'''' "it: 'T' ......t'I~'1 ',", "fIr""'!','"'''''' "i> ' i "f9 , ; \ ' '~~-;:,"~,',n,r'"m".1,. r,f.,"~"'V <'\'\1' .' 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