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HomeMy WebLinkAbout97-00798 I'ETITION 1'01( PlwnATE 1I11t! (;ItANT (W LE'I"I'EltS /::1/1/11' (~r AIJ.MF. f/t;:SS N", ~, - '\'1-1(1 e II/SO 1i1/011'1/ (/.\. _ f(l: l(e~lsle, 01 \Vill' 1m thc ..... ' /1".-<'11,1/'''. ('''111111' "I Wttt/3ii!J?J.AND .. ill Ihe Sodll! S.'<'III;II' No. .,1,01- 10 -" 30'1 (."IIII1;"III1'<.'lIllh "I I'l'lIlIsylvllllill . :W,3 I'lIl' IH,'liliplll111Ill' t1l1,rL'I\I)'IIl'd Il"'>11VV1Iully Il'llIl'',l'l1['> Ih,ll: YOIII p"'i~i<lIWIW, II'ho h/ilft' IS years 01 a~.f 01 oldel a"lIlhe exeelltr;JL. ....._.___._......llulI1cd IlIlhe hlS,1 11'111 01 the ahol'e deel'lklll. "'lied ... 1f"!J1ASi.7, 191t1m..... . m..___.___., 19__ und codlcll(s) daled .... ... ....._.. ..........m.m_.......m.._~_.___ . (\lilll' rl'kvlInt l'irl'illmHIIl~i.'~, ~',t:. It'lllIIKjatloll, death of l'\i.'cutm. CIC.) ,Deeelldelll was dlllllkilrd al dealh ill ._Cm'1..IlA.~t.l~niL_T. .. ... ('OOIIl~;~IIL'YIVilIIIU. with h1.5_ .. . last lalllily m prillcipal residelll'l' al ..,}.}L.;1I,... ?;1... JL.w'-'.1H . '1!.l:1-.-..---- (11,1 'dl('l'l, IHlIllhn alld 1Il!lllllp,tli!\ I l>el'Mkj;, I,hell!'.?', yea,s "f aile. died nm_... ........ ..mm.~:'" /L..._. 1912-__. llll;~~"s~~C~. I~~~e~r.~~ IlllI";"lIy,;l'a, 1I0Illivm:':'d,;,lddid ";:'II~ave~~~I;il;i.i~~~ or adoPI-;d after CXCl'lIlioll of Ih" will oller"d for prolHlle; wa, 1I01lhe I'ktimol a killill~ alld WaS nevcr adJudlculcd ineompl.telll: _...._..... ..._mm_m._'... . .......... ..... ................---.---- .-.-.--~ I>cl'emlellllll dl"lIh IlWlIl'd properlY lI'ilh e,timated vallie, a' follows: (If domiciled in Pa.) ^lIpe'''"H1lp,operlY (If not domiciled ill Pa,) I'e"ollal properlY ill Pellll,ylvllllill (111101 dlllnkill'd ill Pa,) Per,olla' properly ill COllllly Vullle of !'l,'ul ,,:slall' III PCIlII<..,ylvallia sitlu\l\,:d lis follows: _...._..___.__~______..n__. ...._.__._______.__~_.__.__..__~~___h._.~.___ $ .JwJ(aIJ..!~. ()O~{) L___ ~ -!eiiffliit~NJ '.- _______..._. _._______.... ...._._.. ....._______........._ n_..._._.____.~________m___.____.____+_~_____._____~ W~IE,REI:l~RE. Pelilio~le.r(.\1 r~\P:"I~uIlY r~gll~st(s) lI~e pro!Jalc of Ihc lust will lInd codlcll(s) pleselllell h<le\\l\h alld Ihe gr,11l1 (1IcIle''-.TJ;,.~mm.@ml?JL.._.____..__._.. I (I l'\lI11Ill'llliHy; adlll~i':ltallolll..I.a.; lIdmllllSUllliOI1 <I,h,lt.cot,II.) tlH.'roll, " " ., Ii ~~' :::: \.J "? :~ ~ ,. -;-i: :1.; " " ~ ;j, iii . Cle~h<b'}7)l~zt/~eXt Ii//ena. rJ/,/3"lIl1e It 8UN.eM 1hAz, I:/'IOIIl,1"1f /7~ 7.S" __.._...__, ....__......._______... .__ 0____..___________ ....n..______.__..._ ..,..__.__.~~---_._-_. _"n.~_____"______ __________._ __ __... - ,-_ ____._. .n.'.~''''_"_" -..--~----.-"_..-..----" OATIl OF PERSONAL ImPlmSENTATIVE COI\1I\1()NWEALTlI OIlI'ENNS\'LV ANIA l ". CUll NT\' 011 <nQ/i,IJII.2E!!::&/I:t:!.!2______. f ,,:-; S\I'orll 10 0.'. .,.'.I..IiI.'."l'!J ".. .'I'd slIhwlihed I herofl' lilt' Ihi, . uu ..161 r d'&Of _--.."~ P f.MBJ~ . \. l~,.. } /~-L<,f(I~Lvr" t!H, (ill/Ole' ht<:-). i/ MAf1Y C LEWIS I<",~'.("rl/l 1:5- '::>Os- L( The pl,.lliliolll'r(,q llhoH"II;II11l..'d \wearhl 01' unirl1l(s) that IIII..' slHll'llll'lIls !ulhe foregoing petition arc trtll'and 1.'(IITl'l'lllllllc hl'.~lllr I Ill' ~lIowkdgl' and hdid of p~litjoncrh) Hnd thut as personal rcpl'cscn~ tUlil'I'(\1 (If lilt. al'"l'," .I l'l'l'dl'lI I Pl'liliolll'rt'" \l'il\ \1'1'11 alld 1IIIIy adlllillisll'llhe estnle ll""nrdin~ to 11IW, ... (2J:~(LXt&..2h. ,~1i3f:2~:M.tr:~_ \::1 ",,' .--"----~-~ .---.--..---- :::. -------- ~ ......."----~-_._--~~..- ~ .. ......._..--_._-_._-----~ ~ , , j' 21 . 97 . 198 ~ ! ~ , ! I: I I. '" I, I , , 1'1 I . I,' ; _ ,,' " ,I! 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" 'i', ' I: I : ' II 'I ; II: I i I i I I I 'I ; I ',I , I, j - I I j II , I ~ , I ' Ii i ,llIl: ~ :,:1.,:1, r ',I d:,), I Ii I I'" :'~I:il I ,: III I':' ~,,' !:__ii,' i '!I:II I i' I II, I I !, I I!! . I' I ),,1 I -,-Ii;' . II ; : I i I I I : ~ : : ;' I I I i I ;;! I ' : I I' ' : I 'I I I . "I i: , , I , ,!' ~ ! ,: ' ,I ,i I I , , . , ,i" :,' I" I Ii 'i', I!: ~I! ~ ~g ~~ (,) () !J-/ 1 / 1 I 9 1 5 IIf IJ'p;J;;"..NG SPOUS' St'"'' IIAS1. fIRST, ,"0 ",OOl' INIT"II. SOC"I SECU'ITYN""" [ THIS RETUR~~~;:;~~E~i; ~~I~~~IE WITH THE 1KI1. anginal R,'um 0 2. SlIpplo"enlal R.lllm 0 3 R.m,'ndor R'lum""."",,,,,o""111 o 4.lImilod E.lalo 0 4a Fulur.lnlor,,1 Compromise ""'.",.,,... 12"821 D 5 Foder.' ESIaI. Tax R.lum R.qulred ~ 6. Decadent Died Testate (A.";t;hC~fOfW.U} 0 7, Decedenl Maintained a Living Trust INUcllcopyoflru$ll ..1. 8, TOlal Number of Sale Deposit Boxes o 9 LlI~"~n Proceed. R.ceived 010 Spousal Poverty Clodlll....'.........., ".J1.11 "'''''''1 011. EI.c1Ion 10 ta, under Sec. 9113(AIi"",,,,01 THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPlEiE MAILING ADDRESS (!II/tl? LES E. .slilc2./)S JZI "Ri''''''' """~"" ;V/A Ilt\i.I'tI.'i"'II'lli j~.t. CO~MONW~SYlVANIA REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT jS- FLE HUMBER ~ I c 1 (. q ,;. (I / - - I 9 7 00798 OEPARIMENl or REVENUE DEPT2SOO01 HARRISSURG PA IIr I DECEDENT'S NMIf (lAST, FIRST, AND MI{JDlE INIYIAI) use" bj.t,\lo; block to ~I(" WQld' " ~ C LOLlSE'/I? R.I>. !V/1fCC'.HAAlIC.s8L1R6-, !71'1 ADDRESS &C 4>lmlJ.- .4~. Ene/OJ fA 'tOOl!> ~ C/Duser RI. M~cJt 4/1;CSJ,Wf, /1/ 17oS~ !z w o w (.) w o Ifl_Ll2N HESS F 170sr 95,5.3'.99 :l.o,~o8 75,33/ 'J (, o ,~ 00 75,331 03 190 If, 5"1 9 8'fc .00 Jf , S/ If. f It, > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Under Pfinallies of perjur" I (jft(;IMo thaI I hSVfl e~amlned Ihis return, Including a:companying schedules and stalement!, anQ 101M best of my knowledge and t:4tlilll, it is IIIJO, corrf'C1 and complaIn Oflclilralion (If pr808fer olller lhan the oersonlll rODfosentali'itllbased on aU In.!2ullil!.iOn 01 which aleDa/or has any knowfeda8 SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS c:u:ttlL '7f;. If!kJtltdt SIGNATURE OF PRE PARER OTHER REPRESENTATIVE ~~.- . Jjj:- SOCiAl SECURlf'l' Nl,t,4BER OATEOfDEAHI C>ATE OF nlnlH 1/ 0'1112.//197 ;;"03-/0-630 1 Real E,tale (Schedul. A) (I) ',;" ) e- O, o CJ O. CD 00 ()O tOO {p, 3'1'1 87 9, / 95". / :2.. 00 (8) /9 , /..j i 'I ;('/ , 7/ 9 72.. (11) 2. Slocksand Bond. (Sch.dul. B) (2) 3 Clos.iy H.,d Corporal~n,Parlne"hip or So~.Propnelo"h'p (3) z o 5 ::l t: ll. ~ W 0:: 4 Mong'g" & Notes Receivahl.(Schedulo D) 5. Cosh, Bank D.po"ts & M,scollaneoun P."onal Property (Sch.dul.E) B. Jolnl~ o..ned Proporty (SctlOdul. F) 7. Inter-Vivos Transfers & Miscellaneous Non.Probate Property (Sch.dul.Gor l) 8 Total Groll A..t" (Iolal Un.. 1.71 (4) (5) (6) (1) 9. Funeral Expenses & Adminislrallve Costs (Schedule H) (9) 10 Debts 01 D.ceden!, Mortgago liabllitie" & lien. (Schedu',') (10) 11. Total DlducUonl (Iolalline. 9 & 10) 12 Ntt Vllut of Eliott (lIn. 8 minus line 11) 13. Charitable and Govemmental8equesls/Sec 9113 Trusts for which an election to lax has not been mad. (Sch.dule J) 14 Ntt Vllut Subjtctto T"(lln.12 minus line 13) (12) (13) (14) 15. Amounl ollln, 14 taxabl. allhe spousal tax rate I I Soo InslructlOlls on ""'" .id, lor applicable percenta9' lB. Amounl of IIn, 14laxab~ al8%,al. 7S, 33 1 17. Amounl 01 line 14 taxabio at 15% ral. ~o x .0 (IS) 03 , .OB (lB) (17) , .15 - 18 Tax OUt 19 (18) DATE /~ -/O-<lS DATE /~'3'~e pecedent~ Complete Addrees: STREtT ADDRESS . CITY WtJ,fAf it: <>'&/lI(G FE~11 -tfl",~~ -r ;?,3 '1 A). .sE~.!&.. {.7: TIX PI)'ment. Ind Credits: 1. Tax Due (Page 1 Line 16) 2. Credlls/Paymenls A. Spousal POVMy Credll 8. Prior Payments C. Dlscounl - (t) ~ SIP, I~ () ()-- --0-.-- 3. InlerBsUPenally If applicable D.lnleresl E. Penally -.! ';;'01. 'S- o ------ TDlal Credlls (A + 8 + C) (2) 0 T olallnlDresUPenally ( 0 + E ) (3) 4. If IIl1e 215 grealer than line t . line 3, enler IhB difference. This Is the OVERPAYMENT, Check bOK on Plgl1 Unl19 to rtqUllt I r,'und (4) 0 5. If line 1 + line 31s grealer Ihan line 2. enler the dlffere~ce. This Is Ihe TAX DUE. (5) ,. ~ . 7 .;! 7, 51 A. EnlBr IhB Interest on Ihe la' due. (5A) () 8. Enler IhB 10lel of Line 5 + 5A. This Is Ihe BALANCE DUE, (58) ; 1(., 7:1. 7. S I Make Check :lable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Old decedent make a transler and: Yes a. retain the usa or Income 01 the property Irsnsferred; ............................................................. 0 b. retain the right to aeslgnete who ShBII uss Ihe property transferred pr ItB Income; ............... 0 c. retain a rBverslonary Interest; or..............., ..,............................,................. .....................0 d. receive the promise lor IIfB 01 ellher payments, benefits or care? ........................,....,..,........0 2. II death occurred on or belore December 12, 1962, did dBcedent wllhln two years preceding death transler property wlthoul recslvlng adequate conslderetlon? If dBath occurred after December 12, 1982, did decedentlransfer prop~rty within one year 01 death without receiving adBquate consideration? .... ......,....... ......,.............. ........... ,..... ....0 3. Old decedent own an "In trust lor' or payable upon death bank account or security Bt his or her dealh? .... .......,....... ............. .................... .....0 4. Old decedent own an individual retlremBnt account, anlllJlly, or Dlher non-probate property? ...0 f! ~o7. ,,5"' No ~ fXl ~ ~ IKJ [g) ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN r . __ 72 P.S. S9118 (B; (1.1) (i) provided lor the reduction 01 the ta, rate Imposed on Ihe net value of transfers to or lor the use of the surviving spouse from 8% to 3% for dates of death on or anDt July 1, 1994 and before January " 1995. 72 P.S. S9118 (a) (1.1) (II) provided for the reduction of the rBle Imposed on the net value of trBnslers to or for the use of the surviving spouse from 3% to 0% for dates of death on or aftar Janual)' " 1995. The statute does not exempt e transfer to a aurvlvlng spouse from tax, and the statutory requlrBments for disclosure 01 assets and filing a tBX return are stili applicable even If the surviving spouse Is the only beneficiary. FOR DATES OF DEATH ON OR AFTER JANUARY 1, 1995. PleasB answer the following question by piecing Bn "x" In thB appropriate space. Old the decedent croate a trult or 11m liar .rrangement which II lolely for tho aurvlvlng Ipouae'l beneflt lor his or her entire lifetime? Yes 0 No ~ If you answered yes to Ihe above question, the tax on the trust or similar arrangement is poslponed unlilthe death of the sBcond spouse, at which time It will be fully ta,able at the rate(s) Bppllcable to the remainder beneficlary(ies). Enler the value of the trust on Schedule J, Part II, In order to remove Itlrom the calculation of the tax due In Ihls estate. You may wish to file Schedule 0 In oruBr to make the election available under Section 9113. If the elBctlDn Is made, the trust or similar arrangementlB laxed In the eBlale of the first decedent spouse, the portion of the trust or slmllBr arrBngement which benefits the surviving spouse Is taxed at the zero tax rate, and the remalndBr Is taxed althe rale(s) applicable to thB remBlnder beneflc/ary(/es). If you choose to make the elactlon, you mUBt allach SchedulB 0 to a limely-filed tax rBturn, along with Schedule(s) K and/or M In order to show the Bppo~ionment of the trust or similar arrangement between the surviving spouse and the remBlnder beneficiaiy(/es). NOV, 1/., '1947 , Wr. ACCtPT THf. WITHIN Dttll Mill Mflr.r. THAT HII Cm,IMUNITY FIIHOU V/!:fIE IIHF.D IN THE PURCHASE OF THIU Pll0l'fllTY Mill THAT THE TIH.f. THEIlf.TO BHALI. lie IIELD liY UU AU TIJIANTO IlY HI!:fN,'IIlf.TIEH ,IND " , NOT Ab cOMIIWIITY Oil AN\' OTHEq KIND Of CONGllfI,OITI.Y IIVlNlD I'R0I'lfITY. V1ITNr.~BtD BY, .lAIn A IILUMr.N~HINt (~EAL) ~IAllCILD 6, IRlIIN U.17AIlI.TlI f: tll.II~IFNUIIINr (UEAL) I DO ,lrfiLBY CtflTlfY THAT TlIf PIIr.CIUE flEUIOUICI. 01' Till. WITHII'I NM~[D OflllNTEE Iu 264 HlflfHln'IIN ,Wl. CAllll"Lf ,PA. 11~14-47 II MWI.D b IIlV1l N I,TTOIlNEY [011 GI1" 1~[Eu ~~~~~.~~.~._~..~........Q.._..i-.----.............-._-.____r._._._.________..__.___.__.-.-__~ II I ' I NO 1>)~6 DU:(' JDHN l EBlflLl ET UK TO I t:1O.4~ dEl-fiNr. ~ i~ t l I 11'.1/.-4'1 t:.ij~,~.. _\'_' f 1,1. TH I U I ~1~ENTUIlE, I,LLrN [H[ UO ET UX CO~IS, ~l,D() LOC. VIOflMLEnBUIIC, PA. DATU' NOVE~lfllIl 14. 1947 ENT. HOVL~I[lf.R 14, 1%'1 I ~IADE THI fOUII1UflTH OAY or N(lVE~Il~:R, IN THE YEI\R OF OUR LOI<<), o o o ONE THOUSAND ~iI Nr IIUNOI/ED Mill ro IITY L~:I'E N. BElVlff.N ,'[)fIN!.. Ulfl/LE AND RUTH N. [DUlLE, bOROUO! C>r V'Of{~IL[Y ,BUIl~, CU~IUUILANO COUNTY , HIS VII n, OF THE PENNUYL VAN I A, ---.-....-~--.-~----.----------( CP.ANT0IW A~IO PARTIIS OF THE 1.1 tiT PIlfIT, AND .\L~EN f IIlSS ANti "[flNICE C. flt.o". Hlb Vllfl, or nle b,I/,IE PLACE HOllf.b.\IO, GRANTEUl AND PARTlfb OF 'I-If Sr.CCNO !'N:T, VII,::,.e":TII, HI/IT THE "AID PMITI[" OF Hie FI..li[ p.\ln, rOil ANO II, cllll"I'XR'\- ii, :.)F THE ,UM or ONE OOLLAR MID OTHEIl VALUI\l'U. CONbIDEIlATIONli, LIWWIIL ~IONE I OF THE UNI TED bTATEH or AMEIIICA, WELL AND TIlIILY PAlO BY THE b,\IO l'AIlTIEH OF Hit. GECOND PART TO THE bAlD PAR1\' 'f.t, OF THE FIR,T PART, AT AND BEr.ORE THE SEALING AND OELivEIlY OF THESE Pllf:,ENTH, THE RECEIPT ~EREOF IS HERlBY ,\CKIJOWLf.OGf.D, I!I,VE GfWITfD, BAIIGAII'ED, SOLO, ALI!:fIED, ENFE0rFED, RELEASED, CONVEYlO, AND CONFlHMEO MID UY TlIEHE PlllHUIT:, DO (,IIANT, I>IIIG,\IN, Ht.LL, ALIEN, ENFEOff., RELEASE CONVEY, !.fID CC1I.IFlI"-'UfITc) TfIf ",\ID I'o\RTIE:; 0,. THl SEcorlO PAIIT. Tllflll HEIHH AND ASSICNS, ALL TIIO,E ClRT.\1I1 TWO lOT' 0, CIWllflli iii TU^Tf. IN TilE f,OflOUGH 01' WOIlMLEY,BllfIG( FORMEI\.Y on PfNNSBORO T('\'~JoIiIP), COIINTY OF CUMIlEfll.V~[J Ai<D JTATE Of. PENN"'YLVANIA, BEING NOb, 94 ANO 95 ON f'LlIN or LOT~ LAID OIIT BY V, HUMMEL OEflGHi\US NID ~:N()WN AU If E.OO(WATER PLAN NO. 211, VtHIO'i PLAN 10 F[COll0ED IN THE OFFICE OF THE IIECOflOER OF DEEOb IN AflD FOfl UAID COUNTY DF CUMBERLAND IN DEED BOOK 0" VOL. 0, PACiE 599, BEING I.IOIIE PARTICULARLY !!lUNDED AND Of.iJCRIBED All FOI_LOWS, 10 VII T i OCGINi<INti AT THE bOIITHE.I,T CORNER OF PINE IIND SECOND :;TREno; THENCE ALONG THE EAST SIDE OF ,ECONO STIIEET FlrTY (50) rEfT TO LINE OF LOT WJ 96 otl bAlD PLAN, TlIENCE BY THE 9A~ EA,T- WARDLY ONE HUNDRED FIFTY (150) Ff.f:T ro III If II ALLEY, THENCE 110RTHIVAHOLY ALONG RIVER ALLEY FIFTY (50) FEET TD TH[ SOUTH\\t:HT COHN[1l OF RIVEfI ALLEY .IND PIN[ bTREtT; AND THENCE WESTWARDLY ALONG THE SOUTH SIDE OF I'I~ STHEET ON[ HUNDHW FlrTY (150) FEn TO A POINT, THE PLACE OF BEGINNING. '. HAVING TIIEfEON EflECTED A nlM1E DWELLING HOU;E KNOWN A' 110. 2~9 tWRTH U[COND STREET, WORMLEYoSIJRG ,PENNoYLVANI A. BEING THE SMlE PIIEMluEb I'/HICH ,IOHN DATED THE 25TH flAY OF SEP IEMilEfI, DUO BOOK "B" 1945, 1'/. TlJRNEH AND (,LADYS I. TUIINEfI, 1I1~ WIFE, BY TH[11l DEED AND RECOflDW IN THE FlECDHOEll'S orFlC[ OF CUMOCIILANO COUNTY. PENNA., IN GRANTOH hERE IN. TOGETHER VIITH ALL A'lD UII,ClIL^fI, THE TENEMENTii, IIEHEOITAMENTtI AND APPUIITENANCES TO THE SMlE Bf.LONGING OR IN ANYlVlbE AI'PEIlT.\ININC" .\ND TIll. !ll.VLIWIDN AND flEVl.RHIDNb, REMAINDER AND Rl~IAI~IOEllU, RENT>, ISSUES MID PlwrlTS TlIEIlf:OF, I\NO IllS" ALL THE [urATE, RICHT, TITLE, INTEllEST, VOL, 1), PAGE 169, GRANTED MID CONVEYfti UNTO ,JOHN E EBERLE. I I :1 , , ! PROPERTY, C~AIM AND Df.MANb WHATSOEVER, BOTH IN LAW AND tQlwrY,or TH[ OAID PARTIES or THE nllST , PART. Of, IN, TO OR OUT or THE SAID PREMt SES, AND EVERY PART AND PARcrL TllfRfOf - .TO HAVE AND TO HOLD THE 8,\10 PRWIHr~, ('11TH ALL N-ID Sl'l<illLAlI TH[ AflPIIIlTUIC[B, II~TO THE ~Aln PIRTIES Of THE SECOND flAHT THrlR HEIIl~ MID AS~lr,N!I, TO AWl [(Ill Tli!: (HILY PWJPEI1IIUE NIIl BEIIOOF or THE SAID PARTIES OF THr SECOND PART, TIIElll HU RJ NICI MIIIIC'IS "OCl:VfR, ^B ',nIANT', IIV nff: ENII flf1 AND NOT IVJ COMMUNITY OR CIIMMMI !'HOprRW. AND THE SAID PARTIE!1 or THE i:l1{JT P!,RT, rOR Tflnl~rLVI I" TI'EIII Hf:IIIt:, Ixr:CIITo'n, AlID NIIIINIS- TRATORS, 00 BY THESE PRESENrs. COVEN^'I T. CHANT NlCl ,~,REE TO ~"Il \'/ITII It,r GAIO PAnTII.'i OF ni!: SECOND PAR!, THEIR HrIR!1 AlIO AUUIC,NU, THAT THf.Y TilE :lAIO flAIlTIU: or TIlE rl'~iT PAHT, "'In TIlE III HEIRS ALL AND SINGULAR TlIC fiE RED I TAMfJlTti AlItl pllU\I!n Hi:llr 1~1'\'lIVE IlEsCIIII\U1 ANIl C:!WIHD OR MOl- TIONED, AND INTENDED SO TO Of., WITH TIlE APPllIlTlIICES, IINTO TilE ;,\10 Pi\llTlfll OF TilL 'Ir:COfIO rMIT, THEIR HE IRS AND ,~;:;Ir.NS. AGAINST Tllf. SAID P,I,<TIf:S OF THf: FiltH I',\fa MID TI'un flfllI:i Mil I,(IAINST ALL AND EVERY OTHf.R 1'!.I1Sml 011 1'f.II;;IINS WIIO~b(lLVEIl. LAI'WIILLY eLi, I~II NC 011 TO CLA 1M TH. :!Mil. Oil /NY PART TFIEREor. ttiALL MID VlILL, BY TH",E pm:liENTi>, WAfllWIT MlfJ FOIlEVf:R [lrIDla, IN WITNESS \\HEREOF TilE ,,!<lD I'!,RTIES or THE rlllilT I'AllT HAVE HI:I1!:UNTO 8ET TlIf.IR 1I'\/'lIl'; MID SEALS THE DAY AND YEAR n RbT Af10vr Will nUl, StONED, SE,\LED AND DEL II,f.Rf.D dOIlN E E.BEIlLE (SEAL) ( SEAL) RUTH N EBrRLE 114 THE PRESENCE or rDRREST MERCER CO~'MDNWEALTH OF fl:NNSYLVAN I A C IIUNTY or CUMBEFlLAND )SS ON THIS, THE 14TH DAY or IIOVEMUER, 1%'1, UI:FOHE .ME RECOHDEfl or DEWS " TilE UNaf:lWI(;Nl'!1 O~'ICEfl, PE.R"ONALLY A~PEA~ JOliN r EBEHLE ANa IlUTH N. EnERLE, IllS win, r:NOWN TO ME ( Oil U,\TISFACTORILY PROVEN) TO OE THE PERSONS WHOsE NAMEU AHE btHiuClllOI:D TO THE WITH I N I NSTllllMEl1 T, ilN 0 ,\CI:NIIIVL .OOW THAT THEY EXECUTED THE SAME fOR THE ['1IRPOSE THEIlE III CONTAI~IEO, IN WIHltSS WHEHEor, I Ftt:REIHHO sET MY HI\NO MID orFICIAL UEAL. C HENorlWOfI IIUHEIIICH Df:I'IIT'1 ,f:COflDER OF IIf.EII;, CIIM!>:IlI.I\IIIJ COIIIITY, PA, MY ()m.lIAIB~ION EXI>l t4::U THE rll~jT /vlC)lnA\' ()F ~INJ. .1fJ~() I HEREBY CERTifY THAT THE PRECISE RE ;IDENCE OF THE GR,VJTEE. IN THl WITHIN IlEI.O, IS 2)9 'I 2ND ST .WORMLf.Y~BlJRO,PA. fORIlE~T MERCf.R A TTOflNEY rOil CoR .\I,m:r ,. NOV. 14TH, 1947 WE, THE WITIIIN (;RANTEES DO HEREBY MREE TH,\T TITLt TO THI: WITHIN DE!iOIlIBf.O PHEMI,E, I S vt~TED I 'I ~I~ AS TENANTH BY THE ENT Ir~E II r B AND IWT AI; OOMMIII.f\TY I' t()!'E RTY . ALLEN f HESH BERNICE C HEBS ----_..--'-....._-~-,.,--- NO 1))~9 DEED ANNABELLE WE I R BAlUlES TO HOWARD 0 rONZ E TUX CONS, ,LOa LOC. CAMP HILL, PA, .1 DATf.D NOVEMBER .\4, 1947 E NT, NOVEMBER 14, 194'/ o o 'I o NOVEMBER 14,194'1 0., --., A H ,\CIlf.IHlAIIGM 01 o $9.)5 AI'IB 11-14-4'1 -....."_....."...-....-.__.~----~ Hill, I ;,CI UITI II It , o MADE THE 14TH D,\Y OF II0Vf.Mflfll, IN THL YE,\ll 0'. OllR LOll> ONE o THOlJ~ANO NINE HUNDIlED N-Ia FOIIIY .if.VtN (1.947) I Ul.lfHI ANNAIIll.lt V/L1H UAIHII.:" WIIJOW, or HAIIIII ""'"1C , OAlflllllJ rllllll'''. 1'1 ~1tl'1\\ '/MII^, 1'^"I\' In 1Ifl' I 1 I~d 1'.11l I, AND A, Settlement Statement U,S. Department of Uous1ng "od Urban Oe~'"lopment OMB No, 2502-0265 B, Type 01 loan 1.0 FMA 2'0 F.IIA 3,0 Conv, unin~. ,fH. HU~b..r -1 ' Loan Nu..r 4'0 VA S'O Conv, In., IA-98-320-C . ------- -----~ ---- C. Thh 10rlll is furnished u a st"temaM of actual "ttlemrwt CO:!ot$. Amount!! !lAid to and by the settlement agent arll' shown. lte"'l marked (p.Q,c) Wert paid outside the cloting; they Itre lihown for informatiar'll PUr-POUI and fire not 1ncLud.d tn totll.. -----.. . Mortgage Ins. CIt'~mll~-r O. Nallle end Addr",,-,-of horrower' l:, N"m,,- and A:iiijres$QT']'e1Tir--~~m r--:-Ni",f:"anlfAdd"re" orTi'n<Tir-- Robert W. Olterling Estate of Allfll\ r, Hess N/A 239 North 2nd Street Worlllleytburg, PA ti':"Property i.OCiilOO- fl, settlemeii'fAge"i-ioNNI ABSTRAC'TCOHPANY --- 239 North 2nd Dtreet Pl8ce O'fSitHement ~"'..., Oate' Borough of Wormleysburg Cumberland County, PA 104 ~alllut Street 10/27/98 tiarrhburg, PA 17101 ._-~- - - J. SUM"ARY OF BORROWER'S TRAtISACTION: K. SUMMARY OF SELLER'S TRAHSACTIOH: - 100, GROSS AMOUNT OUE FROHBORRDWER 400, GROSS AMOUNT OUE TO SEllER 101, Contract sales price BO,ooo.oo 401. Contract IAles price BO,Ooo,oo 102. Personal property 402, Personal property - 103, Settle~ent charges to borrower(line 1/.00) 1,692.00 403. 104. - 404, 10\, 405. Adjustments for items paid by seller in advance Adjustments for items paid by seller in advanl:e 106, -- 406. -, City/tawn taMes to City/town taxe!l to I 107, Caunty taMes 10/27/9B to 12/31/98 37.70 '.07. County ta)(es 10/~7 /98 to 12/31/98 37.70 108. Asutlment!l 408. Auessments to -- to 109, S,hool T., 10/27/9B to 6/30/98 415.74 409. School T8)( 10/27/9B to 6/30/98 41S,74 - 110, 410. 111, 411, 412 - 112 -. - - 120, GROSS AMOUNT DUE FROM BORROWER 82.145.1./. 420. GROSS AHDUNT OUE TO SElLER 80,453,44 200, AMOUNTS PAID BY OR IN BEIIALF OF BORROWER 500. REOUCTlONS IN AMOUNT DUE TO SELLER 201, Deposit or earnest money 10,000.00 501. r:xce" deposit(see Instructions) Principal aMOunt of new loanCs) - Settlement charges to geLlerCline 1400) B02.00 202. 502. 203. E,I.t1n9 lo.n(.) t.k.n ,ubJe,t to S03, Ellisting loanCs) taken 9ubject to 204. S04. Poyol! 01 1 I rot .01.t90ge loan 205. 50S. Payoff of second mortgage loan 206, 506, OOWN PAYMENT 10,000,00 207, 507. 20B, SOB. 509, - 209, Adjustments for Ite.. unpaid by selLer Adjustments 10r items unpaid by seller - 210, CHy/town to,.. to 510. CHy/town t.... to 211. County ~ to 511. County ta)(!! to - 212. Aueument I to 512. AS9f!!1lsments to - 213, 513, 214, 514. 215, 515. - 216. 516. 217. 517. -, - 21B, 518. - 219. 519. 220, TOTAL PAID BY/FOR BORROWER 10,000.00 520, TOTAL REDUCTION AMOUNT DUE SELLER 10,802,00 300, CASH AT SETTLEMENT FROH/TO BORROWER 600. CASH AT SETTLEMENT TO/FROM SELLER 301. Gross ~mount due frolll horrower(lin! 120) 82,145,44 601. Grou "mount r:lle to set leI'( line 420) 80,4S3.44 302, Lell amount patd by/for borrowerCline 220> ( 10,000.00 ) 602. Leu reduction amollnt due !.ellerCl ine S20) ( 10,802,00 ) 303. CASH( IXI FROM)( 0 TO) BORROWER 72,14\,44 603, CAStI( 00 TO) (0 FROM) SElLER 69,6S1,44 SUBSTITUTE FORM 1099 SEllER STATEMENT: Th. Intor.otlon ,ontaln.d In Block. E, G, II and I and on line 401(or, 11 l iM 401 Is ..tfrisked, line. 403 Ind 404)11 important tax information and is being fur'ni:shed to the Internal Revenue Service. If you are required to file I return, I negligence penalty or other SAnction will be imposed on YOll if this item is required to be reported and the IRS deter~tne. that it has not been reported, You are required by law to provide [see box HJ with your cerrect taxpayer identification nUlllber, If you do not provide [see ball HJ with your correct tallpayer identification nUlllber, you may be subject to civil or crl.lnol p.noltl.. I.po..d by low, .nd under p.nolti.. 01 perjury, 1 ,.rtlly that the nu.ber shown on this "ot...nt 1. .y correct taxplyer identification nUMber. Seller's Signature 'U&-l SETTLEMENT STATEMENT @Computer Stevl,.. .nd Con.ultont. (S40166S-0800 WAMNINO: Jt is II Crillll!l to knowingly make htllt! tltlltements to tlUt UniUd Stahl! on thlt or any other ,1,l1lar form. PerHlltiu upon conviction ~II" include a fine and tlllprho"ment. For detail, lee: Tltl'" 18 U,S. Code Section 1001 & 1010, SE'l''l'I,EMIlNT S'l'A'l'EMIW'I' PAGE 2 - -'---~. PAW-FRO"- l, SETTl.EMENT CHARDES PAID FROM 700, TOlAt. SAlES/BRDKlii'$-.COHHlmONb...do'n prIZ;-i--'-@.---i,7,- BORROWER'S SELLER'S . . ..--------.-..--.--.-----------.--- Oivllion of r.ommil.ion (line 700) AS folloWI: FlJHDS AT FUHDS AT 701. I -----_._-~".__.__._...-------~----------,- 10 SETTLEMENT Sf! TT IEMENT 702. I ----_.._---~-----_._._-----_.-"_... 10 --------. .------ ----- ----~-"~._. 703. Commistton f,.ld .t !iettl~m'nt 70~. "--- - - . -------.-- 800, ITEMS PAYABLE IN CONNECTlotl WITII tDAN -- ---- -- - 801, Loan or_1gt""t~on fee r. --.- ---.- ._--.~-. -.. 802, Loin Dhcount r. ------. - .- -. .---- ---- 803, Appra1u\ fe. to -. -.--- - 80~, Credit Report tn ------ 80S. ._~.- ------- lllnder'l In!lp''cti~n fll" -- .. - 806. Mortgage In.urance Appllcat fon ref! 10 807, Auumpt ion , ee "--- -- f--. .. - ~~ ---- ----- 809, " .. 8TO. -- ---- - 811. -- 900, ITEMS REQUIRED 8Y LENDER TO BE PAID IN ADVANCE --- 901. Interelt from to olS /d.y 1--902 , Mortg~ye Insurance Premium for months to -- ----.- Hazard Insurance Premium for ---- -.. 903. year5 to 9D~, 90S, 1000, RESERVES DEPOSITED NITH tENDER - 1001, Hazard insurance ""nlh. @ S per .."onth ~: Mortgage insurance months il $ per month 1()(\J. City property tl~e, months Ii) S per month 100~, County property ta~el months @ S per month - ~OOS. Annuat essessment. months @ S per month months @ S per month - 1006, 1007, months @ S per month . 1008, .-- 1100. TITLE CHARGES 1101. Settlement or closing fee to 10NNI Abstrllct CD. 12;,00 1102, Abstract Dr title search to IDIIHI Abstract CD 99.00 n03, lit le fl)(ftllltnat ton 10 110~. Title insurance binder to -- -- - ____A 1105, Document preparation 10 -- . 1106. Notary fees to Cash 3,00 2.00 1107, Attorney'ft fees to Zeigler & Zimmerman 250,00 - (includes above items Numb!rs: ) -- 1108. Tit le insurance to IaNNI Ab~tract Co (Appr. Ally) 287, SO (include. above items Numbers: ) 1109, lender's coverage $ 1110, OWner', coverage S 80,000,00 1111. -- 1112, 1113, 1200, GOVERNMENT RECORDING AND TRANSFER CHARGES -- 1201. Recording fees: Deed S 28,50 ;Mortgage S i!elelll!ll'lfl $ 28.50 - 1202. C itylcounty ~a)(/ltampt: Deed S 800.00 iMort9ll9ft S 800.00 -- - 1203, State ta)(/stamps: Deed I 800.00 ;Hortgllg8 $ 800.!!O_ - 120~, 1205. 1300. ADDITIONAL SETTLEMENT CHARGES - 1301. Survey to - ~E2. Pest inspect ion to 1303. SEWER/REFUSE (10/01/98 to 12/31/98) 99,00 130~. --- nos, - 1~00, TOTAL SETTLEMENT CHARGES (enter on line 103, S!ction J and lln.502, s.ct 1 on K) 1,692.00 802.00 CERTIFICATION I have carefUlly reviewed the HUD-1 Settlement Statement lInd to the beU of 11I1' knowledg" and belief, it is II true ftnd ftCCLlrftt/! of all receipts and disbursements made on my account or by me in this tranuct1on. 1 further certify that I have receivl!d Ih. UD-~ t l...nl St . Cl. \~? . II/. _ . ~ fh ~l.Yt-1C1t//L C~:U{}.ltl!UI Estate of Allen F. Hen I ' thi. t rAnlllet ton. have cauud or wi II October 27, 1998 Dote ~ 11~ tl-If- TAl< PARCEL /I 47.19-1588-15l! THIS INDENTURI; MADE THe4day of fttiib..., In the year of our Lord one thousand nine hundred and ninety-eight (199Ul, BE'TWEEN ALLENA M. BENNETT, EKeoutrlK of the Estate of Allen F. Hess, late of Wormleysburg Borough, Cumberland County, Pennsylvania, Grantor and ROBERT W. OSTERLING, of Camp HIli, Cumborland County, Pennsylvania, Grantee. WHEREAS, the said Allen F. Hesa was vested In his lifetime with lltle to the premises hereinafter described, In the Borough of Wormleysbllrg, County of Cumborland and Commonwealth of Pennsylvania; and WHEREAS, the said Allan F, Hess died, testate, on the 12th day of September 1997, rond Letters Testamentary were duly Issued to ALl.ENA M, BENNETT; and WHEREAS, the lands herein-mentioned were not specifically devised: NOW, THEREFORE, THIS INDENTURE WITNESSETH, that the said ALLENA M. BENNETT, EKecutrlK, as aforssald, for and In consideration of tho sum of Eighty Thousand and 00/100 ($80,000,00) Dollars and other good and valuable considerations, to her 111 hand paid by the said ROBERT W, OSTERLING, at and before the enseallng and delivery hereof, the receipt whereof Is hereby aCknowledgBd, has granted, bargained, eOld, aliened, released, and conllrmed, and by these presents, by virtue of the power and authority In her vested by the Fiduciaries Act of the Commonwealth 01 Pennsylvania, doas grant, bargain, sell, allan, release, and oonflrm unto the said ROBERT W. OSTERLING, his heirs and assigns, ALL THOSE CERTAIN two lots of ground situate In the Borough of Wormleysburg (formerly East Pennsboro Township), County of Cumberland and State of Pennsylvania, being Nos, 94 and 95 on Plan of Lots laid out by V. Hummel Berghaus and known as "Edge water Plan No.2", which plan Is recorded In the office of the Recorder of Deede In and for County of Cumberland In Deed Book "0", Vol, 6, Page 599, begin more partlcuhuly bounded and described as follows, tc wit; BEGINNING et the southeast corner of Pine and Second Streets; thence along tho east side 01 Second Street fifty (50) feet to line of lot No. 96 on said plan; thence by the same eastwardly one hundred fifty (150) feet to River Alley; thenoe northwardly along River Alley fifty (50) feet to the southwest corner of River Alley and Pine Street; and thence westwardly along the south side of Pine Street one hundrsd fifty (150) foet to a point, the place of BEGINNING, HAVING thsrson erected a frame dwelling house known es No. 239 North Second Street, Wormleysburg, Pennsylvania. BEING the same premises which John E. Eberle and Ruth N. Eberle, his wife, by their deed dated November 14, 1947 and reoorded In the Recorder's Office of Cumberland County, Pennsylvania, In Deed Book "Q", Vol. 13, Page 562, granted and oonveyed unto Allen F. Hess and Bernice C. Hess, his wife. Bernice C. Hess departed this earthly life on July 21, 1981 whereupon full title vested In the said Allen F. Hsss by virtue of the Law of Pennsylvania Incident to tenancies by the entlretlas. TO HAVE AND TO HOLD the said messuage or tenement and tract of land, hereditaments and premises hereby grsnted and released, or mentioned and Intended so to be, with the Tk'tlG I ~1t~G(!1 ~A/Fp!!/lfEt> ~f7Y AEV-t~f.'(ltlf_~ "~ COMMONWEAL Til OF PENNSYLVANI~ INHERITANCE TAX RflURN I T ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC, PERSONAL PROPERTY fie .ss, /JI.I../EN f:. FILE NUMBER :l./~ 91-798 " Includ.lho proceed. ollnlgallon and tho dat.lho proceed. W.,. rocolvod by Ih. o'iat.. All properly jolntly.owned with the right of ,uNIv."hlp mu,t b. dl,clo..d on Schedule F, ITEM . - VALUE AT DATE NUMBER DESCRIPTION OF DEA TH 1 / U 9 (!J,evr.ld C4va/,'t.r 'm/. 1(;' JC III q Ie; 21/(,31 ;. :I., ~()eHIIJ (6." VA/UanOIl Ider f,.,ItC $u.tj;~ C.herl",It.f A Hachtel) :I. 9. 1. IINf/IA,n ./1 1100 - IJDoSS.',,;z e.lA.IT".~" LIPE IfSSfAlf. It",C" SoetlT't ,1= 7~' /IN/rIP oS"" TIS .. C.NT"~cr ",4Y"'.N T I 2., J7S. '" 1 91tL. oF Fl.u'JJS 'DlA.! lie oP 'D/..117 ':tD,U ':t,~,(,.,,, .4eel4"'. IAJ7". .'0. z. (5tt clOelCme."+An'''fII fn,,,,, ~ClIU.IT^,l&t.e Q.*uh"') 'R.ilYl\l\A'UM&l\t u. s, Hco.l#IcD,Vc. ,J; ,. Jolt ~/ f1er$Pno/1y (Yard .fa,/e) , ' (Set. checKs; ra.e,'/fJ I14iI flU!,,,1 I.slt'!! alltlthd) So-Ie ,l I,'v.~ roo"" lurnifurc Salt rl fUJn'R/ty (YA rJ "ale) (su ehttKs) rtu/fJts MUI flArh;'1 l,'sh':J Rllac~td) Pro., ra:/,on o{ loca / n..1 fsta.fe -fa.'f.fS Ih1 .sa.lr:. .r rea. rry pr..- rah'1II If 5chool real e.sfAte -!r...y.t,s 1>;) Sll-!e ofw~./5 ($f!.f:. sdf!(/Hfn f shtd aTfachtd fr, !':cher./, A.) PrpCuJ.s ';"01/1 cS41e of lusPltalf/ 4f Haars .4l1.tf1'o" (fp(' &lillfi.Js,'oY/ al/d ~ts. 6(( .scht!q, H) 1, g, 1. p :1, liD/" .I.t . ~~S"~D 13'10.00 ~ Iso.oo 11 1f/3,S?:> 9"- 37.70 1& 'i1S. 7'/ " !i5',Z.r TOTAL (Also enter on line 5, Recapitulation) S (P1:3 Jf J/. 11 (If more space Is needed, Insert addillDnal shBels of IhB same size) . u,mi1..f~] ..:r ,:If1&.lJl,ll:ISJIIIJ' ..... h/ole (ompl.II"" 'WI 01. A LLCAJ leqiJ." I.. I'n,trvdlanl h.fow F H ESr,~ or,,' lumpl. be"e/I(IOfr 1111II1"oll{)nl on Itf.lI. IH1' ~ICY 1"" NO S .0 5 'j ;), '7 (j,!; ~ ~..UI;.j l'l;,lHHI:J.,l~:I~JIl(r' .... ':I'_In ~1~'U"'1:IJ"'(f.I....'tl"UI. (lh. odd'fll 01 0"1 ~Ho~d btoMlII('ory "01 ,~o..rl '0 I"'~ In\u,.rllN).J1d W lu1n.''',c/ 101 Id,,,I.h(nl>Of\ CHI' po," I ALl..E:~tt I3cfVl\!E:TT D f) U C" H Tf:cf.2 m i l~J , .~ /' "~- I:;, II p , ' ~ If! I I I; ) \\( -'1 Ii' ) ,~' ) I I L ",,~J' ""!' , ;1 , - ATIACH TO ,.1....'1 nI.II.h'IoW ':."'\r--:C.!::L~E~ POl.,'CY ~.J CJ. _.:... ' , , . I , YLMl TL:RM 00 HOT I,M ,h. poIt<)' Wil" ,,",,, 11'(\...,,1 W!\.tI'lI,Il"'Ig 1" Ih. !O"''' Ii II j""porIO"'lto \ ~'(\I. (0"'(1 poJ'{1 "'v"'ta' 1 jI.,l)id 'ICHu'" ~ (11"'0'>0<'\\ ~'O" I.,.,... "" .,,- '"",,Ivd. t.... '...iI 1'111"" (\1" plOpo1.d b.""II(.{Hl', N)I ~""~1 ,..... ,Nt;"" ~t..o... ,.., q"'''' 1'111"'. 01 a "'('I,,,,rl .0"'0" ,1'1 ,.... b...../,(KJry d.~""",- .- ......." .-.gn'^9 ,.., r.q-v.tf. 'q . MAIf f ~TH i" Iltorl 01 M'~ JOH"I ~ C,M/fH I ~ If l~ AG'!fD 1HA' ,,..( "'OVI~" ~ lHt 'h'l'I~ \tN Alf ,,,., Of 'O4l) IfNUICIA''l' Df\<<"'II-J",'1()f.l 0"" "i JiTI 1J ,,,"0'." ,j o....:}. ._jU~~.""'~n ?r.;I:..:~4.: .~~n . '\fA~ C~'NGf """ MA,I\INO .00tf\\ '0 ~l oNt ~..,.._.._'"_~ (,ty.._.... - .-,. No..-Ml...__...._. '. ,.-..-- ------...- ..... ____.___~_._.,_.',.______r___... -- ..,. ."U....., U\f'lNI" 110,. f~it(j~ ~'';11,.. n". (..,~ Mtt ~ f",...d~ r'J~I" I' 'i:j' I I I " , :; I, , " , 'J ., ,,,,, f'" '1,.,..,1. ,.;, I:.,: ' ~. .. .' '\"." . .'! "';, .' : 'I: ','i I '. -: I' a '" , ", ~'_ II", , "'~' ,...."...1:, , ,I' ", ~ "I" . ' HiI [~llJII~Alf 11ft ASSURANCE SOClny Of THE UNITID STAllS 1.I.I("no~ 01. SI:rnnH:NT OIrlHI~ r'\llny No (,1 I:J.. Ii 3 (t Ii L U':' 1<.) F. H E."'~ Iv I flU Ide of III'HI\i,lI1IIIRSI /0 _\/ARt-\ (/n~1\ "Ii'tl"r! ,,,II lrll Ihln " I 1..0 hlJl fl<ll n,II'r n l I,q , ' f( Inlrfr~1 tn h~ polld lllnUJI1, at thc r~lr of Icn f'('r ;ll1nur ,) J [) Inlrrnllll boo(' p.lld lIlunltdy illhr raIl' (If I~]{- f'>('f lIlonth l(fll f...fJJ '\\1/ ~)) lr .J WlltHlrn"JI' ('( nnl hI lh.ll\ 11,(1(10 flUY h(' 11l,llh' hu! wlll he \ubl"'l, 110 . ~n~ll)' (I( ('I !If It!\" &1l1"'I'l! ....llt\\I"II'I11 !lIlt III ~'Hrl'd !ta' ~lJ\1l p( till' Hilnnll'Jkl and IIllrll'\! hl,wrd ""'1111 !l"I"I('( I III till' ~l1i'lI;1i! or rtll' y, I(tldr"......,I AFrn~ Till "HlllO \11.1 <"TIll llll' aml1unt nn drl'o'il .....i11 hr 11l"lfnn'll to Iht' !qlllt.hk', rq,\d.r lkr'n\il Option undr'f ""hi! h lhl' ;1I1l011fl! un dl'f'(l\I\ Will t"I(' l"tt'dllrd .....:1/1 .In\l\l' Inlrtl'il r~l!f 1'111 l!Itdl h~ rldly ..llhdr,).....,jf it'.il ,Wi tlmr "Ilhoul r~,ully l'~TlI('llH"'I~ rI~ (1'Jl1\o4M.T1'fo(i rnr ",,-_,f(,'~lt<~ of '~l"~~t(--""f:W" r.., ,/<" .."". ,"""..101 '.. '....<1, ..., f''''~ I'" I'....,. I 1/,.. .,... ,,, ~,.. I" ,........, ~. .._.,.". ,. ,~, '....-", ,../ ,.. .1'." ..I I.; p".......,,.. rt, , I., ,., .... J' .f ,.". ~"'f '1....1 """ /" '';j~' ""._"1 ~ .,~I"I ./1" "" '._ ,,' ,_, r" - " ~" ,". I., ".. "'4" /,,"" I.".. ... r ..... II '..... I",.., 1/ ,,,, ,.... ., '.... ,,, II." P,.. ." .' ,/ .1,. ", ....., . ".41,.'.'..... , , ." ,,'. .~, ,... ""'" '" "1".' ,....., ,_, r~l.. ....j ...."'...4 ... ... I '.. ...1 I" ,..1 ..." I ,,, .~, .,..,...~. ,,,,'1 . 'i ..,/ 'I "" ,..", ,., ,., .. . ", '''''' ., ,~.II ,.,,, '" I" '~I rio, ""... ,..,.....'.. ""'" _'J~n,,"" ,.. H .,.,.I",~.. .111... ".1,,,.,1 ,".',.., 1'.," 1It.'I<;"IUI()~ Of r~nt:'s SITn."OH 1~\lltflJII'1I1 Ii h~rd'\ 11I,lill' of If,t f()II"....1r1~ 1'~~rl"l SIJ(,'I'\\Oll[) rnrill' in ~ \1f\.~II' \U!l1 thr unp.ld t.<lllrn-t' lfllh\' nl'nl nl lhr f'.I\I'~'1(kIH &:::.Af..)WE ,rllllll,,'if'I' O. H (;..'::;;; CVl Fe. '/1 OJ ,>I 1"11'1 \ ~",""'" t~.) 11)(,. Jfi41..",,~ r II' Ph U I *11h 1111' 11111t In .1,1'10',' 1(lIh ,L\!lfl.lllll!1 rnn'f'r,l tn 01( IIndrr",nrd "4\(l' SII\,"rH-i'( I~ Jt"I.rl.il~\t. ['I'!llenl ,hJII h(' IT\i-lk un!e-\\olh\"'1frIk> dIFI'(,!r<! Ilrh'ln. Wid "ntr'1 ~k~\'H,ll,,\ \lull l'>r 11"11" oil Ih.. doth (I( Ihr "nr.. If no I'J)rr', If lh\-fl' t'i' nll (Ir'l~iql(,! P.~n" -'lhTn'nr \1Ir'1 ''In. jl lhl dr.th o( Ill.. f'a~rr Ihl" ntllf III tht I'HI'" If Jll11fr HI, rl rlf1r "~~rt '. In <,qll~1 \tqFr\ In ('..II of "111,(,,,,'111 t, d<"tlrUlrd 01 r,~fMnl ,tlltl ~ mtd.. In NJI'" 0' P.I It A LLC~ r _ HES.S f .11 "'.""" 1Il..1Il.. I ~<l".j Add'....:<39 AI. .sEDDlJb :;;/ ~ ......, tf't4 1'''1'1'1 UJOf\mU:(f-S f3 vf(,G.., I'" ... I,.. ,"kill '\,,\111.'\ 'oil,mbn ~3 10 - f.t..2.I)(flltt, nr f\1,th ,.. 'f'I (JA j 7Q Y 3 ,. (.... ,') II 10 I~ lll.,. ,_ r.., ~ '.. ~t/I~/~7 ~'t .. 11""., \J If ,,' f 11 ~r 114!11 'ATQ'. 'l!t:ca ~ c;Ollf"tffi TAX 'Rf!AWJ [' . o.w ~ I)" 4)( .d'\~\~ . 'I' ALaI! . '0 Wr.s! flm.., Jo: 'u n.u ~T .. I ./tiLT J990 Jt ""'UA! '1Q1,,- C, 1135 -~(.. - :1 ~ ...7"---- '- l!,(.. ,,1' " ~u!,~~~ U~~. ~ILl~ J1J F", (;L.V&rV,.1. ffi!"""~ s C -. U U U [("'I,.,.,, nn . . ~ ~. ~l ",..( q I,~' . .A" 'lv st.""""" '" "'..".- ~ ....,';' ;, " '/~' - . ".. CUI~~~- i, :>~l t,' I) If-1,H, I .1...""... ..,... '" ''''''''''''''''1 ~J [~J [P ~~7 "- - 1\10 _ II.,. tr.OI 10 .16J, '-d it......, I. "t 1Jo_ '""U.. 14...t~ . ~ .ttloo ,.,. . to ...... Jhlo. '''''''''' .. ttoo .:, ''''11oW t "u" 110 - ""1'- tel -q ""',.-..,'''''. COMMONW~ALTlI OF PENNSVLVANIA """R'!\NCF TAX RflURN R'! : r )' EITATEOF /-leSS 1 A-l..I..eI SCHEDULE F JOINTLY.OWNED PROPERTY r. ""n IlIat WII mid. joint wtlhln nn. YII' olth. d..odlnt'l dot. or dllth, " mUll be llportld on S.hodult 0, SURVIVING JOINT TFNANTISI NAME A AuliNA /1/. ~.l'ItJE TT e, c, JOINTlY.OWNED PROPERTY: ADDRF.SS 81 ~l.IfiE"N AilE. Et.I~I."'" ,4f.. 17i>~S-:tJ37 FilE NUMBER "/ d f7' -t?l- 718 RElATIONSHIP TO OtCEOENI X>A-U(;Hr~~ LETTER DATE DESCRIPTION OF PHOPERTY %OF OATEQFOEATfI ITEM FOflJOINT MADE Include name of flnanclallnstilution and bank account number Of similar klentilylng nllmber. Ahcw;h DATE OF DEAn-! DECO'S VAlUE OF NUMBER TENANT JOINT deefllorjoinUy-heldrealeslale, VALUE OF ASSET ItHEREST D~CEOENT'S INTERES"j 1, A, '.ZD- HAM/S 0$11 VIN65 ~,M/K. eEflTl1"'. ~ f~ 0'-"- UBlza PrtfNCII"Ao" ".".,,,. ti ,. 14 ,fo4U, /N'f: '~3. 3'1 'I, S2/.oJ,. y2. '1,7''1.01 ^. ,,- $'- IhM~/$ JA /lINGS .811/111<, C$I1TIJI; # ~ , '7D,1(3 I, 3J!().1b y~ 92 ()f. " - ~ " B 1'1'1 (J/(INCI,olft '1-31', is ,f~1. INT'. "'~i{,'1 (8ft; L& 1'1'E"A FI2~~ HI#I2~1S A"""CH~/)) fHHLo/J BliNK. J1.ccl, #: 1/,9,-41.'1.- 011>'-1 -;, ~ 032. 1(7 Yz /I If, 1,.,- .2J S'fl. ~'I '" (J.~ Dept, "f Revenue noh'a. tlltHYI,d whiC.h) err.ne.cu~ly rekr~ n, ~ t..~ .......t.. al> IS;:' ,1. I-~S- '5'0 Sh,~.s or &,gItlM SI..!K of Har6$ 91/ :S(),V/'~JS 8.nK, etr!,.I. -I/: 2. Z 7/ ' (!uSIP-If , 1f1'15'70 10 I ~ ~ y~ ~ . d.l)'(1. y,/. hi ~S.lf 10, ~~,1~,ve, . {1.S'~ ~ "",7' 2 ).5 7. ft' I, m. tf" 2- , f./t,'? ~I"'. 7$ ,S-IJ ,+. u,k/IfVI Wrflarris s"v;n1s lJ".1< P,,;dlnd f{e invM fill/Hi SI'PIfS. ~ , Lf,~ ~'1f.,,7S' .J.t'1.3! YL IOIJ.1P9 __ '1I1/6t hgurl5 I-tprfS, dot.. rl: d..,d. ~"\...e ~ '\lfl' si..k spl;f shw ~ 5. 3~. I S,I.+ ov.. po)'G~I. 1l-18'~7 at> oF rl",r~ 1(-y..Q'7 TOTAL (Also enler on line 6, Recapitulation) $ q, 195,/~ (II more scace is needed, Insert additional sheets of the same sizel Ntl~~~~~ OllllntliOlH\ Cllllll~/' li:If. North I~th SIl'l'<'1 I.fllllUYIW, 1'1'IlIlHylvllllia t ';'0,1:' 11117:11.140111 DeoEl~r 9, 1997 Charles E. Shields, III 6 Clouser Road Meohanicsbur.g/ PA 17055 '!'h~ informntion which :,OU l"equoc,tort on the ".coount(D) oS: Allen S. ._Hess Deceased__ (Sodnl S,ncurity Number ~1O-6304 ) is as follo'ln. Harne of ,10i nt Ownc:-,.if nny 09-66-228128 ..Q2.:.96-228l99 --, Certificate Certificate 8-20-92 11-5-92 --- $9,499.68 $1,316.85 28.34 24.01 9/528,02 1,340,86 Joint Joint Allena M, Allena M. Bennett Bennett 8-20-92 11-:;-92 Account Humher(R) Cl~sn of Account Dale O!,cn('~ princiiJol Hnlnnct' Accr~e(l !ntcrcnt Dalnnce at Dale of Death Account Owner:>hip Pnte Ollnnrsh i Tl '.hs I:.stnblir.h~d Additional :nfor- mation l1cqllnr,tc~ Please have the enclosed W-9 form completed and returned to our office. Thank you, s;.vcerely, ,---;I'~ .,{'(J.<-o..-- ~retchen L, Cale Sr. Deposit Documentation Services Rep. , III',(islflllll'04j . 5CHIDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONWUUtlOf PENNSYLVANIA INHERn"NCf TAl( Rtf URN R.ESIP~~T, ~~S~pEN' ESTATE OF .,___~,~c~_ HGSS 1 ~U.liN F. ITEM NUMBER A. 1. Ploa.o P,lnl 0' Typo rlLfDBER ""... U u. _..u u... _ _~;l.!:-. ~t - 7'8 DESCRIPTION Fun....1 IMponlo" m l.\Ue.Il'Vl411 FiA,ne.MI HOMe., ::Z:~c., 1, B, Admlnl.I,all". Co.II, 2, Personal Representative Comml..lons Social Secu,lty Number of Personal Representative, __u_.._....- Year Commllllonl paid, _." ,..,__".,..-.__.,._.__ Altorney Fees en A ..Ies E, 51, ; C!.\~.s :m: 3. Family Exemption Claimant, .IV PM E 4. ~1., C. 1. 2, 3. 4, 5. 6, 7. 8, Relationship Add,e" of Claimant at decedent'. death Street Addre.. City ___. ___ _________uu__5toto _,___,.,.. Zip Code Probate Fees IlMIl oko,..t c.e.rt; h' (..~r I/.U,'f,'#l/a! p,..oloar. fus MI...Uanoou. hp.nl'" I)o.r titlt hA~.rl1:~ tetf -Ill Cc~lA,o, at {1.. III. -Sf.li, ~"'(~I4IM"'s 1;,JU,., HI ~.IIi:,1: Po~+~ ftr lAM. '1W\ QoMe.C.hOI1 "'..~ les."', A./m:", 1.4.1" "t. l.A.tili-t\u ($trvl~ w~rk "Bill) 'iorD~t Df WIfMllY4>hlA'" I StwtlJe I ,ft /use Se/I Ilo;I_nf/'1 I'A Pun.. AIll. lVA....r Co. 'P1' t L.. ..u___L~Il~'tllAed MI .Hf....:.~~u_t) ---- --- TOTAL (AI.o ente, on line 9, Recapitulation) S (If mo,. Ipac. I. n..d.d, In..,I addlllonal Ih..1I of .am. 1111, I AMOUNT 11 5, S'sL/. IJO WIfoI rE.X> ,- 1, '1fJ'1./9 1II&II1I/a " I :l,.DO I' is: (){) JI. ~B. SO '111.DD ,. 'z.~P , ". ,S- ~ ". Db , 11.7' "<<t.n III .7~.83 lIEMlIUM.6EB DESCRIPTIQN AMOUNT 41 Bell Atlantic $ 12.63 42 PP&L 47,38 43 Borough of Wormleysburg .sewage/refuse 99.00 44 UOI 59,50 46 Jason Howell . lawn care services 25,00 46 Jason Howell. lawn carll services 25.00 47 PP&L 22.10 48 Dennis Frelstak . 1998 Real Estate Tax 212,92 49 PA American Water Co, 9,74 50 Bell Atlantic 1:>.53 51 Dave Mongold . Reimbursement for 589.16 materials and supplies for repairs to house (e,g, Home Depot; Builders' Square etc,) 52 Jason Howell. lawn care services 25,00 53 Bell Atlantic 21.37 54 PA American Water Co, 13,24 55 Dave Mongold . 88 hours labor for repair 1,100,00 to house to make saleable 56 Jason Howell . lawn care services 25,00 57 Dave Mongold . Reimbursement for 45.52 materials and supplies for house 58 Dave Mongold . 48 hours labor to repair 600.00 house 59 PP&L 55,e6 60 Borough of Wormleysburg . sewage/refuse 99.00 61 Robert Osterling (trash removal) 50.00 62 Ron Howell. lawn care services 25.00 63 Clean Connection, Inc. Cleaning house 126.14 for sale 64 PA American Water Co. 12.84 65 Bell Atlantic 17.43 66 PP&L 72.62 67 UGI 31.16 68 Dennis Frelstak . School Real Estate Tax 615,65 69 001 11,69 70 PP&L 46,28 71 Bell Atlantic 16,33 72 PA American Water Co. 14,16 73 Haar's Auction. Commission & Costs on 222.50 sale of personalty 74 Janet Brackbill, H&R Block. 1040 285.00 closeout & 1041 return 75 Charles Shields. Relmb. For Certlf. Mail 3,00 76 Bell Atlantic 39,96 77 PP&L 51,22 78 001 126,37 79 001 24,70 80 PA American Water Co. 20.37 I I I 1 I i I , I I I \<<- I I .I J , J I . (IR~I""'I.'"'" f ~O:;Alt"lloI~ IMlP\llAt"....U_ {-~ cRecdv(d f~vm_.dj1tL..6c,~__~_____ d~,,-~Lc;____._______~_._._fJ:)O[r"~1 ---.--U<<u:L__Z___i4-0____ NAMC OF OtCr:ASW 3345 AC()l- No ']" FUNERAL SERVice '::~/ltlJt"I' Q ""h &'Ch:,k' _5.o.'im (.) SoclalSecurilY Q VA Benolll U In urance Mussn~IAN 1I11NI:RAL HOMII, INC. 3:____ 19.21_ 13;1 -!J.H~-Jt~~.~t~t_ f)/'w,j;'ljlHl - [] IASf lIAL 101_S.... ChQ., Lite flaytl14fl! SlIb,lol Cr.dill LQUP'yml NEW "AL [] ......- ., .~..~~:......~...i':.~..*'--~~.....:;:.~_.ii..,;::;~~4:;;i_ ALLEN F. HESS ALLEN A M. BENNETT 239 NORTH SECOND STREET WORMLEYSBURG, PA 11043 ~€J~~DF '-ntu~~~ t~~r-Jx,.. ~~~: --- 5'/ ,11 , --~_._-.--~_..~- -- ----v;{' - cRfl(P. ., ---- --JoI!. s!:ilL~ 4246 r" .. 517 .J ~1l\ DATE-1Ulr. -'4-J11L 313 n_____--.-J $ t/()(),()O @ ~~t~2.~ABank C.--:~;Y'"0ft FOR_~r..~_________.______ 11'000 5 ~ '/11' 1:0:1 ~ :1008 2 ~I: ~ ~ 21111, b 211107 b 1,11' ~.. ,DOLLARS mE$\.-:: l2tt~M.,_9l,i&~ """ .:- m.,J",,!..~""" '-..~ '" _.._.~'f_ A' .. "" COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE ;'(J ,Jil', If IUREAU OF INOIVIDUAL TAKES IHHERIlAMCI: lAIC lllVISIOH DEPT, 160601 ItARMIS.UNO. PA 111la"OMl ( " NOTICE OF INHERITANCE TAK APPRAISEHENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAK 03-08-1999 HESS 09-12-1997 21 97-0798 CUMBERLAND 101 E~-=~-'~~~~~ RHlH-~~-~=l MAKE CHECK PAVABLE AND REMIT PAVMENT TOl REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR VOUR RECORDS ~ iiEY:is47"i:X"AFP"fjiii:j'fj-NOTicEnOp-iNHEiiifANCi-TAX"iipjiRiiisEiiiNf; "ALi."OWANcnili m_m__".__m_ DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ALLEN F FILE NO, 21 97-0798 ACN 1D1 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTV ACN CHARLES E SHIELDS III 6 CLOUSER RD MECHANICSBURG PA 170~~ ESTATE OF HESS TAK RETURN WAS' (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTUR~ INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ON; ORIGINAL RETURN 1. Rool E.toto (Schodulo Al 2. stook. and Bond. (Schedule B) 3. Clo.ely Held stock/Partner.hip Int.r..t (Soh.dule C) 4. Hartgage./Hot.. Reoeivable (Sohedule D) S. Ca.h/Bank Dapo.lts/Hl.o. Parlonal Property (Schedul. E) 6. Jointly Owned Proporty (Schodulo FI 7. Tran.fars (Schedule OJ 8. lotal A81.t, ( I CHANGED 0) (21 (3) (41__ (51 (61 (71 8D,DOO.00 .....Q.!!.. ,00 .00 6.344.87 9.195.12 .00 181 APPROVED DEDUCTIONS AND EXEMPTIONS; 9. Funaral EMpan.../Adn, Co.te/Hi.c. EMpans.. (Schedule H) 10. Debt./Hortgoge Liobilitioo/Lion. (Schodulo I) 11. Total Deduction. 12. Net Value of Tax Return 13. Charitable/GoyernMent.1 Beque.ts; Non~el.cted 9113 Trusts <<Sohedule J) 14. Not Volue of E.toto Subjoct to Tox If .n ......ment w.. i..ued previou.ly, line. 14, 15 and/or 16, 17 and 1B will reflect figure. that include the total of ~ return. a..e..ed to date. ASSESSMENT OF TAX; 16. AMount of Line 14 at Spousal r.te CIS) 16. AMount of Line 14 taxable at Lin.al/Cla,s A rat. (16) 17. A.ount of Line 14 toxoblo st Collotorol/Clo.. B roto 1171 18. Principal Tax Due TAX CREDITS; PAV"ENT DATE 12-11-1998 NOTE; RECEIPT NUNIER AA3243e4 DISCOUNT 1+) INTEREST/PEN PAID (-I 203.19- (9) (10) 19.489,24 719.72 1111 (121 (131 1141 .00 K . DO. 75.331.03 K' 06. ,00K.15. (Ill A"OUNT PAID 4.727,51 TOTAL TAX CREDIT ---. BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE *' UY-I'" n ,,, U.'.'l ALl.EN F DATE 03- 08-1999 HOTEl To inlure proper credit to your account, sub.it the upper portion of thil forM with your tax pay.ent. 95.539.99 ?n.?nA flit 75,331. 03. .00 75,331. 03 ,00 4,519.86 .00 4,519.86 4.524,32 4.46CR .00 4,46CR . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATlON OF ADDITIONAL INTf.REST, IF TOTAL DUE IS LESS THAN '1. NO PAV"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED ~S A "CREDIT" (CRIo YOU "AV IE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS.)