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Home My WebLink About81-00229 ~ " ! I ; .' ~:: ~ ' ~ ~ : r::! ,E-4 Ii!. '. Ii< . Ill, '~ '..: I ~: ~ : ~ .; 2 i' a . , ',- - ~ 0 ,- " 'N ... ~ co ... . lit 0 LI.I Z ~O. 21.81;:1 PETITION FOR LETTERS OF ADMINISTRATION IN THE ESTA'm OF JW~,I).!.,p...!'I",..~r::U1r::,R..............,..............,.... IlECEASEIl, rro .......t1R-h.Y...!';.~...~~~.~,~...",... ".,.....,..",., .... ......,...,.... ,....... ,,,,,,.. ,.."..,.."......,. ......." Hegistel' of Wills 1'01' th" Couuly of CUllliJ,,"'alld, ill lhl' ('omlllollw"alth of I'cllllo,'II'allia. The Petition of ...", ...J{,":'.~~~,.,~,:,..~.7.~~~~.. ,.., ,. ,.. ,....".. ,., ,.., ... ..,.. ,..", ,.. ,.... .....,...,..... ..... .,. .,...., ,.. ...,...,....""..", ...................., ,........ ,.. ......................... 1'''Spcct fully showl'l h that ,., .~~.':'.~~~, ..w.:...J{~,~,~::.':..... ......... ....." ................ was a resident of ....t:1~~~.l.~~~~........,.................,....,...'~~~=p ,Cumhel'land County, State of Pennsyl- vania, and a Citizen of United States, and depal.ted this life intc"tate in the County of ............................ ,....,'~,W!!!?~.".!:~~~....... ,... and Stat" of . ...,p.~~~.~.'t.~ ~~.r:.i.~....." '. ,... ... ... ............. ... ..,..,..........",..".",...""".""....",..'", on ..,:;;,\\!lIli1-Y...................... the ........~2..':'.d..........:........... day of .........f:I~.':.'?h.............,................. A. D., 19,~~...." at the age of ....,~~....... .I'eal'''. That the said ........~.'?':\~~~...w..,..J{."',P~,,,................................... dew'ocd, left sUl'viving- the following named widow 01' husband, heil's and next to kin, to wit: Name Relatiollohip Residence Daughter R. D. #1, Carlisle, PA Karen S. Emerick Ronald W. Keller II ...........................................,.................... Son R. D. #1, Carlisle, PA ,........................................... .............................................................,.. Richard L. Keller Brother R. D. #7, Carlisle, PA Kenneth L. Keller ................................................................ Brother R. D. #1, Carlisle, PA Eddie Keller Brother R. D. #1, Boiling springs, PA Jean Peck Sister R. D. #2, Gardners, PA ................................................................ Kay Minnich ................................................................ Sister R. D. #3, Mt. Joy, PA Carol Ann George ................................................................ Sister R. D. #3, Newville, PA Donna Sue Brucker Sister Cropsey, Illinois "'" i:;~~ti~'~" H~'~ki:~y""""""""""""" .", ........ s';.';; t~ -;"...."..,....,.... ." '605" w':" 'pi,,;" 'M t';" 'Ho iTY" '~pr-i'iig s, P A That those above named include all of the next of kin, so far as known, The said decedent was po""essr.d of pel'sonal propcrty to the estimated value of $....~,!.?~~.:,?,?............ and of Real Estate, leso incumhmnee, to the "otimated value of $..},Q,QQ.Q..,QQ............ as near as can he ascertained, That the said Real Estate in so far as is known is located in ....!'."..D,:....#.1.!...~~.':.1.~.~~.7..................... Middlesex Township, Cumberland County, PA ..............................................................................,......................................................................................................... Therefore, your petitioncl'(s) respectfully appl,'(ies) for Lellers of Administration in the above named estate. Dated ................~p.~~.1..~.~...... ...... A. D., 1 !I.~.l... Signature alld Addre"o .~,.f)/a~ Q e~p. nC ... ...~......k..l..,...................~."':'::Tt... of Pctjtiollcl'(~) R. D. #1, Box 97A ........................................................................................ Carlisle, PA 17013 ............,........................................................................... ;)/-:t/ -'~-~7 ~,3i / I - .fl.'1"Y -,,3 "........,........,..",...............,...............,.,,,....,.".."",......".. -<\ ,!j.t?{) / L:.-:~_ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUlIIBF:RLAND 1.s: ........".... ........ ..J{,~.!,:~~".S.:."~.~.!,:~".k....,, ,.. ...".,.. ...... ........""........... ........",.,.,.." ..... ....."...... "'" ,...., "" ......,... named in the above application llCinl( dul)' ".......~,~~~!!......".."..".......".... accol'diul( to la\\', .a,' that the fact. set forth in the ahove application al'" 1.1'11" to thc hcst of ..Il.~.!,:....". kuowledl(e and belief., L 'b"e'f'?o,Y'r'~e.r.m!:"e",""""""""""""'"'' ..... ".... and ""hSCI'iherl.\ ... ..Xa:.u<.Y.\.,~. ,.,.t:o.~u.%.~....",....."""., ....,.......".....""....,........................................."................. April 3 81 '...,>hi'''..''''...J.....'');2......j D., 19.......,,, .....,........."............"................,.............."""".........",,... ...../,L(1.t7....t..'; ,.;fU/.,t;.... ..... ...i~~~.i~~~~.... . ,...... ,....,..,. .......... ........ ....". ..,.., ,.....,..,. ".."....,..""",..."." Filed: ' .......A.~r.~,1..}.(.J.9.~~...................,..........""." AllOl'IIe,': .....I<~~i.n."}\.:...Il~:>:>.!...~:>~,:".."....".",,... COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } ss: n . ,- ce ;:0'" n..., ~ S:lJ ...,'" c5:J;; <.,n "" ._C"l rql. -0 (/,,;0 .L'C:' ':l .....0 '7'.,:0 '1rQ 1 '0 I ;'7' .1:--:1' ,~~; \..oJ I~-j '""'l": '1', c','." -::; : " -" .,,.... OATH OF PERSONAL REPRESENT A TlVE ,,,..... "..,..."" ,~?:~~~" ,?:.. ,~~ ~~~.~''',..,'' ".."...".",....,..""",....""..., "".....,. ".,...""...", "..."""...".....,,,:> petitioner (s) being duly .."..."?,~~.':!:""."".".."......"".."....",,. according to law do ~:>.."".. depose and say that as the administratXJ.':\",...", of the estate of ."~!'?!:,~~~"):I.,..,.l:S~g~I...,,..,",.,......,",.....,,.....,.....,..,..,."...,..."".."".,.",.", ........................................................................................................................................................................................ deceased ."...sll....""..." will well and truly administel' the goods and chattels, rights and credits of said deceased, according to law. And also will diligently comply with the provisions of the law relating to Transfer Inheritances, """~.:-:7:~!:,""',.".,""......."".".,'"....,,' and subscribed before me. "."""'1;1~!:~,~...~!.""."..."""..."".,,,,. A, D" 19.~.~..", ".,tJJi4?tf.,e..:. ~I.~?:.!."........"...," Regls~; rf /.~^ .....1i~..,~"..,t~,~"......."".. ............................................................................................ DECREE Be it remembered that on the ..........",1!:;J:1.""".... day of .."".."..l.I.p.:;,j,l.""....""".."", A. D" 19"....~J Letters of Administration in the estate of ......EP'oll.J.o...l.'l."..Ke.llex"...........""..."""..".."...""""".."..""." ....",....",.".",......,,,,,,..,.,,,,,.............,,....,..,,..,,,,...."".. late of ."..!1;iA9.},~.!'1.~?!;,.1.9,W.J:\~,h,:hp.""""...".."".,,.,...,'"'' Cumberland County, Pennsylvania, deceased, were granted to ..""..~!!:1:,~!:l:".:?~""l!:~~!.~,'?.~""".."...,,"'" ........................................................................................................................................................................................ Witness my hand and official seal the day and year aforesaid ' J .....",..".."'~7''',e,;.~r~t~'~."..." Estate No. ..2J~a...1........... , " "~ .-.:1..4..... BOND KNOW All. MEN BY THESE PRESENTS, That we, .., Karen S. Emerick ,..'..........'............, principa!........, and ...... .... ~.::~.1l"Y. ~ ",~~i.~ ..N~t:~ o.n.".1... M.~.t.~~.l.. c::.~ ".ua Ity, In sur.~~.c:e.. .~()ll\!'.a.ll Y.. ........... ............. ..... ............ ....................................................... surct............l arc held and firmly bound unto the Commonwealth of Pel1l1syh'ul1ia, in the sum of .................................................... .....................................................,......,.............. Dollars (S................. ........), to be paid to the said Commonwealth, her certain attorney or assigns, to which payment, well an d truly 10 he made, we do bind ourselves, jointly and severally, and our and each of our heirs, executor!;, aJmini strators, SUc((:ssors and assigns, firmly, by these: presents, for and in the whole of the said sum. SEALED and dated the .................. 3rd April ...................................................., 81 19.......... ...., ,.dar of WHEREAS, the abo,'e named ...... ......................... ..~".F.~.I1,.!?......E.n.t.e.F.;i.,,~......................................................... has or have made, or is or arc about to make, applic at ion to the Register of Wills of Cumberland County, Pennsylvania, for the graot of letters ......?~...I\~ll\~~.~s.~r.:~~.~().r:,.............................................................................. on the estate of ....R.().n.~.1.c1...W..:...1<~.1.~."r....................... ........................, late of ..........101.i.c1~1.!''.s.,,'''..~.~~.1l,,~i.p...., Cumberland County, Pennsylvania, deceased: THE CONDITION OF THIS OBLIGATION is, that if the said personal representative ............ or any of them shall well and truly administer the said estate accord ing to law, this obligatioo shall be void as to the personal representative or represcntath'cs who shall so administer th e said estate; but otherwise, it shall remain in force. SEALED and delivered in the presence of -.l1Q-~~--~n__~~~EAL) _!J..'Y.tY.!:"Il!J..1~[d -.d:rt.:IL;:'~~(_ (SEAL) _f~",,-ty~o!d_-C~_s. 5--\.0'.(..11"----- ___ (SEAL) . C _dPS~/_-~~~~__~_~d~y_ (SEAL) 0. ().-? /{~-1.A.j.A..j"~-_.~L ~m__ (SEAL) A /'/t' /j(fV', > - ("V- ~,f-. COMMONWEALTH OF PENNSYI.VANIA COUNTY OF CUMBERLAND ss: Personally ,IPPl.';HCJ be(ort' me, ;1. ..,.. in and for the county and stale, afore!iaid ............................... ........,.........................................................................,....... 01'.... .......................................... and... . ................................................................................ .'........................................ ....... ,.....................of." ,.,.,....................................................,................................. surities on the above bond who being duly sworn (affirmed) according to law, depose and say that they each own Real Estate worth the whole of the penal sum named in the above bond, over aod above their debts and the debtor's exemption. Sworn and subscribed before me this ..................................................,......................... (Seal) ........,...............,.............................,................ (Seal) .................................................................... (Seal) .,.,.......................................................................... (Seal) ..................................................... day of ......,.. A,O.19.......... .............................................................................................. .C 0 T "-', ",' I , .< ",,'- '. ~ A (", cxi r,")M ~ ;oR; s~ me") bi::C; "" f:""!o 1"'1 ~ ,'/):t:I ~~rf "C -.0 T.l "lr~ I ;1'.::1 :'-'j" W .,'-' u~:..:: "Tl .'J"" " " 1:; .' , ,.., -" " .. (7, .00 T PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION 1. PERSONS RESPONSIBLE FOR RETURN Section 701 of the inheritance and Estate Tax Act of 1961 provides Ihatthe following persons shall prepare and file a return: a. The personal representative of the estate of the decedent as to property of the decedent administered by him and such additional property which is or may be subject to Inheritance Tax of which he/she shall have or acquire knowledge; b. The transferee of property upon the trnnsfer of which Inheri tance Tax is or may be imposed by the 1961 Statute, including a trustee of property transferred in trust, provided that no separate return need be made by the transferee of property included in the return of a personal representative, 2. PLACE FOR FILING The return is to be filed in duplicate with the Register of Wills of tile county wherein the decedent resided. 3. TIME FOR FILING The return is due nine months after the decedent's death, unless an extension for fil ing has been applied for and granted by the Secretary of Revenue within the nine'monlh period. 4. FAILURE TO FILE RETURN Section 791 of the 1961 Statute provides that" . . .any person who willfully fails to file a return or other report required of him, . .shall be personally liable. . . to a penalty of 25% of the tax ultimately found to be due or $1,000 whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law." 5. TAX RATES Inheritance Tax is payable at the rate of 6% on transfers to lineal descendants, such as father, mother, husband, wife, son, daughter, grandchildren, grandparent, son-in-law and daughter-in-law and at the rate of 15% as to all others. 6, PAYMENT OF TAX The tax assessed on the Iransfer of property reported in the return is due 9 months after the decedent's death. Interest at the rate of 6% per annum accrues thereafter until payment is made, All payments received are first applied to any interest which may be due with any remainder applied to the tax, IF TAX IS PAID WITHIN 3 MONTHS AFTER THE DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED. All checks should be made payable to the Register of Wills of the county wherein the decedent resided and are received subject to the final determination of the Department of Revenue. 7. FAILURE TO PAY The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until the taxes and interest have been paid in full. The taxes may be sued for against any real property in the decedent's estate or againslany property belonging toa transferee liable for the tax. a, FILlNGOF FALSE RETURN Any person who willfully makes a false return or report required of him shall, in accordance with Section 793 of the 1961 Statute, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding $1,000 or undergo imprisonment not exceeding one year or bOU1. NOTE: Compensation paid to an estate representative; namely, an executor or administrator, for services performed in administering an estate is reportable for Pennsylvania Income Tax purposes. This taxable income item should be reported on form PA.40-lndividuallncome Tax Return. lH:....4!l1!:X<t IB.flO) COMMONWEAL TH OF PENNSYLVANIA OEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIOENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY f/IIstmctinns 0/1 Rf.'Vlmw Sidf)) Estate of Ronald \~. Keller ITEM NO. UNIT Y ALU E ESTlMA TED MARK ET VALUE DESCRIPTION 1 Cash $ 500.00 2 Life Insurance Installment Note $ 774.59 3 Balance of Checking Account $ 74.72 4 Refund, Hoffman-Roth Funeral Home, overpayment $ 255.00 5 Refund, Mortgage escrow account $ 329.90 6 Returned escrow real estate sale $ 460.00 7 Tax Proration, real estate sale $ 30.Bl 8 Personal Property $1902.00 TOTAL $4,327.02 If additionol space is necessory, use B!," x 11" sheets. ~-., ~'m', r!M'~,'l , .(~'; .";', "~'. 1" ." I ..:.'.\i' . ,./,.. \~-:'~"(;":i'{-d?ft.,/..r. DEPARTMENT VALUATION {OFFICIAL USE ONL Y/ 4, ff.<7. dol. / '$ t9 REV-4~2 EX+ (8-110) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "C" TRANSFERS Estate of Rooald W. Keller INSTRUCTIONS: 1. Answer tlle Questions on reverse side. 2. If the answer to any of the Questions on the reverse side is "Yes," provide a description of the property transferred per Schedules "A," "8," or "E," its estimated market value at date of death, dates of transfer, to WlOlII transferred and , relationship of transferres to decedent. Attach a copy of any trust, deed, or instrument relating to the transferred property. I ITEM DESCRIPTION ESTIMATED DEPT. VALUATION HO. MARKET VALUE {OFFICIAL USE ONL YJ NONE , TOT AL ~~ ~ ~(7 If additionol space is necessary, use BW' x 11" sheets. QUESTIONS CONCERNING PROPERTY TRANSFERS 1. Did decedent, within two years of death, make any transfer of any material pari of his estate without receiving valuable and adequate consideration? (Answer "Yes" or "No".) No 2. Did decedent, withintllQ years of death, transfer properly from himself/ herself to himself/herself and another party or parties (including a spouse) in joint ownership? (Answer "Yes" or "No".) _ 3. If the answer to one or two above is "Yes" and the transfers are claimed to be nontaxable, provide the following information: a. Age of decedent at time of transfer. b. Copy of death certificate. c. Affidavit by the attending physician indicating the state of decedent's health at time of transfer. d. All other information supporting nontaxabi I i ty of transfer. 4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No".) No a. Was there any possibility that the property transferred might return to transferor or his/her estate or be subject to his/her power of disposition? (Answer "Yes" or "No".) b. What was the transferee's age at time of decedent's death? 5. Dip decedent in his/her lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her death: a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".) ~ b. The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer "Yes" or "No".) 6. If the answer to livo b. above is "Yes," was the right reserved in decedent alone ( ) or decedent and others ( ). 7. Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit or care of transferor? (Answer "Yes" or "No".) No 8. Did decedent, at any time, transfer property, the baleficial enjoyment of which was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer "Yes" or "No".) No 9. If the answer to eight above is "Yes," was the power to alter, amend or revoke the interest of the beneficiary reserved in the decedent alone ( ) or decedent and others ( ). REV0453 EX" (10.801 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "0" BENEFICIARIES ~, ~,I~f r ,.i~ ":<~~.J1'~5>t, J..::;:_' (Instructions Oil Rtlverso Sidr,J Estate of Ronald W. Keller BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED DATE OF INTEREST OF BENEFICIARY DECEDENT BIRTH - Karen S. Emerick Daughter Yes 11/12/58 50% - Ronald W. Keller, II Son Yes 10/13/68 50% , - ------- . - -...- ----------"---- -- The above beneficiaries were living at the time of the decedent's death except for the following: NAME DATE OF DEATH If additJonel spece is necesserv, use 8%" x ".. sheets, INSTRUCTIONS FOR COMPLETING SCHEDULE "E" Schedule "E" must include all property, real and personal, owned by the decedent jointly with another party or parties as joint tenants with right of survivorship, Botll tangible and intangible property are to be included, List real estate first. 1. Describe all real property as indicated in the instructions for Schedule "A," Describe all personal property as indicated in the instructions for Schedule "B," I nclude the name, address and relationship to the decedent of the co.owner[s] and the date the joint ownership was established, 2, Indicate the total market value of the jointly owned property. 3. Indicate the percentage of the decedent's interest, 4. Indicate the market value of the decedent's interest. I"" '" t::I (J E; t'1 )- :E Z )> 0 0 '" t::I - C) (J c: t::I ..., Z '" Z t"" t'1 t'1 )> 9 - 9 t"" :>:: Z :>:l - Z Z t'1 ..., t'1 ..., z 9 9 .., ><: V> t'1 - '" Z 0 V> 0 .., 0 'T1 I 'T1 ~ ~ - 0 r: Z - ,', 0:: ..,",;" c). ~ C" w' l)~ ,:';: 0' c,,;':- """ z 8~: .:._~:~ La.J~ i1:~ ~ ~;j cr: p::l ><: ><: u t'1 t'1 )- )- :;:l :;:l - '~EP~RT~l:.N I 01. tH)U~ING AND URBAN DEVELOPMENT ~, B, I YPE U~ LOAN: . SETTLEMENT STATEMENT -, I. o FHA 2. o FmHA 3.0 CONV. UNINS, 4, OVA 5. o CONV,INS. 6. FILE NUMBER: T' LOAN NUMBER: 6, MORTGAGE INSURANCE CASE NUMBER: C. NOTE: This lorm Is lurnlshed 10 give you a slalemenl 01 acluel sell/emenl coslS. Amouols paid 10 aod by Ihe selllemenl agaol ara shown. IIems marked "(p,o.c.)" were paid oulslde Ihe closing: Ihey are shown here lor inlormallonal purposes and ere nol Included in the tolals. Q. NAME OF BoaROWER: E, NAME OF SELLER: F, NAME OF LENOER: steven W. Barrett ROnllld W. Kellf.'r commonweAlth 'Nationlll Carol A. nrackbill n__" G. PROPERTY LOCATION: H. SETTLEMENT AGENT I, SETTLEMENT OATE: R.D. 1, BOX q, Robert C. S",i"iq, Esq. Claremont ROllL' ",id"lesex 'rownshillp PLACE OF SETTLEMENT June 1'1, Hql cumberland County, PI\. 12~ S. Hanovpr street, Ci\ !'lis 1e J, SUMMARY OF BORROWER'S TRANSACTION K, SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 101. Contract sales price IA ~ .."" 401. Contract salos price tI', '. il" 102. Personal property 402. Personal property 103. Settlement charges to borrower (line 1400) 1 io?~ "7? 403. 104. 404. 105. Adjustment ror Items paid by sefler In advance: Adjustments for /terns paid by sellef In advance: 405. Cllv I town taxes 10 106, City I town taxe_ to 406, CountVI,xe- n-l'l-A1 tof,'=-, 1 _A 1 .,., -~, 107. Countytoxe_ -';_1 tl-1l1 to -,-?.....,-Q -" -~, 407, Assessments 10 106, Assessments to 408, !;chOOl 6-1Q-c\1 fon -r._,n-R' .,-.,n 109. ';_1tl-A1 t-n--;;..:-:>n-D' ., "In ,409. 110. 410. 111. 411. 120, GROSS AMOUNT DUE FROM BORROWER: 420. GROSS AMOUNT DUE TO SELLER: 'I" :;,1,,)1 A' ..:a C;'" 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. Deposit or earnest money 501. Excess deooslt (see Instructions) .."q <II. 202. Principal amount of new 1080(5) --"'A : Ann '1\-" 502, Settlemenl cheroe_ to .ell_' IlIne 14001 " 203. Exl_ting loen(.) teken subject 10 503. Exl_Una lo_n(s) I_ken _ublecl 10 204. 504. p,vol! of fir_I mo'to,oe la_n cm~ It. :".~"12't 205. 505. Payoff at second mortgage tOil" I 206. 506. com. Nat. Bic'"'I4)1At "MvU 7 ~\ pc, 207. 507, JOann,e' l(e,H<!!r .lAIl Ii Civil ql ~, ^^'" 20B. 508. , ...'7 Adjustments for items lJnpald by seifer: 509. -, 210, Cltv I town laxes 10 Adjustments for Items unpaid by seifer: 211, County taxes 10 510. City I town taxes to 212. Assessments ' 10 511. County taxes to ' I I, 213. 512. Assessments 10 214. 513. 215. 514. 216. 515. 220. TOTAL PAID BY/FOR 520. TOTAL REDUCTION AMOUNT DUE SELLER: -'f 'i 1,.cJ.7< BORROWER ;/ i.A')O.Ol) 300. CASH AT SETTLEMENT FROM/ro BORROWER 600, CASH AT SETTLEMENT TO/FROM SELLER 301. Gross amount due from borrower (f,om line 120) 601. Gross amount due to seller (from line 420) 1/5'; JO.8/ 4'" 45'l.<i) 302 less amounts paid byJfor bOrrower (from line 2201 602. Less total reduc.tlons In amount due to seller I'( r, \ '/10 14 .'100 110 (Irom line 5201 303. CASH~ EBDJ>l1 (O)}J BORROWER: 603, )~SH (0 TOllO FROM) SE~LER j 1):Sib./1 ---:;. /u ;-'., h l~ ,O'i9.li1 )( {/'I ii, I\.. J ,.....'/JU' J 11 HUD.' Rev ~'76 HUO.lf\tY.(5I70) t. SETTLEMENT CHj\RGES 700. TOTAL SAL[~ IJIU)KfH'S COMMISSION llilsC'rl ("~j!!,~(:!,:' $~ l"'l ') rl~_~..:...~_ Division of CO/lJ/lIISSH)!1 111I1I~ 7001 ,IS lollows ---.------- 701 !~- .-._-~~_~.T1-- _.___=-==~w'-"~-FpV0';:'-"". H" rt'P t t ~. F. 702 $ In DISCLOSURE I SETTLEMENT STATEMENT , PAllJHtOM oonnOWEn'~ FUNDS Ar tiETIl.EMENT --.---..,.--,--- -- ._----+--_._---~--_._.__._-_.._---_.._~ .. 703 CO!l1t1W,Slllll p.lid .It Sl'IIIt'IIlI'nl 1----- - --- 704 _._...----~--- -.------ I -----mMs I'AYA/IU' IN CONNI,C;,ioNWifHLOAii-.----------., -- . LOiUl OII\li~l~;i;:;~-lh;;-------;;:---c1Tn--.-.------ ..._~ ,..- ..._n_' ..-..-' -- '. -' "--(.-i2~~r) !lOO. 1~11. 802 Loan Oi~;cotln' ".{, HO.1"iiilroii,,,1 F,;;;------,~'1----._--(1'.-; 0.1.-:-\-.'., -- - -----.-.--- .--, ,,------ -- tlO4 Crodil R>'porl .-- (P. n.r':T . - -------- -,.-' -- -- -- ---.-.----'--.---- -.-- -----'- - 605. tender's ,"5')L'Cfj()IlICt~ flOO. Mortaago InstJIance appHcationlC(! tn 807, Assumption lee 808, 009. 810. 811. 900. 901. 902. 903 904. 905, '000, 1001 1002. 1003. 1004, 1005. 1006, '007. '008, '100. 1101. 1102, 1103, 1104. 1105 1106. "07, -------.------...--.... .--_. ---------- Pago 2 PAlO FROM SELLER'S FUNDS ^ T SETTLEMENT 1~''l ----------.. ITEMS RWUmW BY LENDER 10 BE PAID IN ADVANCE -- InleUJst hom " _ 1 "1 -I t 10 r. -1 ~ - q 1 al $ 11 . n ~, I day ( 1 2. ..ili~!l.~_ ___-1..SLi. r. n Mortuago in:nH.~~\Crl premium lor Illonlh!i 10 .----.-. - "-~ Hazard insuHII1CC prmnilJllllor ynar5 to ( P. 0 l' , --.--" -..- years 10 RESERVES DEPOSITED W1TH LENDER FOR: Hazard Insurance 2 mo.@$ " per month )~ "n Mortgage Insurance 1ll0.f!il $ per month City property taxes mo.@$ per month ':1 _t n - County property taxes c, mo.@$ 2.~o per month Annual assessments mo.@$ per month 1',;.;0 ., mo.(lil $ . ,\2 per month .1 1,' ~r~lt)Ol 12 mO,(Ql $ '''.7~ per month mo,@$ per month ? 1'1 1 ') 'loa. TITLE CHARGES: Settlement or closinn lee to Abstract or title search to Title examination to Title insurance bindel 10 Documenl preparation to Notary Ices to AlIornClY's fees 10 (includes above items numbers) Tillo inso,anco 1~'L ",., 10 F ir!1t /I.~l.'r iClln or itle J~". (includes above Items numbers) Lender's coverage $ Owner's coverage $ 1q~] Countv ~ 'rl"1) .~':;r. "\ ~'l r;n 1'09. 1110. 1111. 1112. '1'3, 1200 1201, 1202, '203 1204 1300. 1301. 1302. 1303. 1304, 1305. 1400. GOVERNMENT RECOROING AND TRANSFER CHARGES Recolcling h.'Cs' Deed $ fl. n" : Mortgage $ ,n ~ n ; Release $ City I county tax I stamps: Deed $ 4 1 ~ : Mortgage $ Slate tax I slamps' [k'!e<l $ : Mortgage $ ~ ) ~ . "t') 1 (1. r.:," I' "\ t",. ,'l" In 19 ADDITIONAL SETTLEMENT CHARGES Larrv 'If'idlinqer (P.O.C.\ 1.:,').'1'" Survey Pest inspection , JJ;. ,." ....- -t'- (,,1.1 , TOTAL SF.TTLEMENT CHARGES ientert.>d on lines 103. , .\ 'n 7 ':"" // .. :/ Sertlon J and 502, Section Kl 1. ,/;2:1.72 , .. " ~1r..'lr) , 'J ','" '1/, HUO.llwd/1'6 .._.. ~,I I , ,,' ""' ::J 0 "' ",I ~1; 0 r:l 0 '4 (f) 0 H ~ II; ", " I~. .:; r: I:' l' ~ ." ~: ..... OJ ( 'M 1_., " (jJ U OJ E >-1 ~i >-, I;: n, r. I:: -1--- ~i [. H (0 i;! c u " " n, ,~ II, ,. 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'" OJ .-< I ... .-< .-< '" " '... ~ '" E OJ "'u " '" '" ... u a .D OJ '"' '... a '... a 0 OJ .-< ~. ... ;;..0: z '" z '" U II, -- .-- -.--- --.--- H 0': p, ", ,~: '"' f ~; '", (I. I' H H (~ r:: ~! C- :. :1. '.. ,~ .. "" t.; ~ .-< C '" ,", .... c: ": '" '... f.. 0 :> .~ .... I ~ 81 I III I , '" .., ... f 1 '" OJ OJ n. OJ Ul ... ~ H Ul- OJ a ... fl; " OJ C. U OJ " '0 ,~ "' ~ I'JJ Ill:"'-: .... " .... 0 ~ "' :< U I:" III a - ~ ,.. ~ ,.-<'" '" C. ~ .... I" a .c ~ " .-< :< Ii'! .... III OJ '" I r-. .c ".-< " 0, '" ~ " III U.D .... OJ .-< ro " '" '" '" ~ r- U ("Il-< '" Ul '" , c: OJ .-< I '" OJ - '" '" .-< ~ 1 I c: '" u :>~ "" .... I '" OJ'" ~ III U .D '" .c '" Ul '" OJ " a w ~ I 'J ... r: .-< ... f' ... I " c a '" 1-. ~ 0 (\ I 0 "" OJ~ '" 0 ~ ~ c: I U III ,C: '" '" '" c: IN OJ u.... ... :I: ... Ul 0 ~ '" 0 '" '" a 0 I I OJ .... OJ ;". " ~ I-< H 1 I ... ... ",... " w '" OJ :< u'" "" ...., Ul ~ ~ ... u o. :", I 0 0 '" a '" g u 0 l: ..... ... ., " .. ~ It ~ -, "'0 "1"C ro Ul --.-.- ..". __ _._n.__. . _"'".._ .-_..~_.._._.._... . -.. -..---------------..------.--- -_.~-_.... i I I, ' ~i 'j::: ". H' 11-:'1' .-< .-< .-< .-< .-< .-< .. ~ " I "., I;', L~ 1 ' L -.. ,. ~I n__ . ...______ ..-..,-.._- ._ ._0_'---' ,.-.-.---....-,..- - ,. . - - ~ I I I ,. I I ~_ I \"'1 ,.. .~ 1.1, .. i!.I' -< N '" -, or, '" r-. .. :, I. I I . " 0 k ~ Q) ~ ~ .... ::; .... Q) Z I->.l I->.l ~ 0 ;:.. ;:.. "0 <:: I->.l ::::: <1l rn ..... ;J '0 .... k .... Q) ...l <1l .0 < <: Q S - 0 " U Z 0:: 0:: U - 0 '" '" - 0 ~ c5 ~ ~ '" '" - , !-< 0 rn 0 Z c5 rn rn ;:.. !-< c5 - I->.l '- z B I->.l !-< I->.l Z Z ...l c5 - 0 ~ Z ~ iJl ~ 0 ;:l U I->.l ...l Z Z t.? Z - ~ rn ~ 8 0 < ~ - I->.l 0 '" ....l ; --.-----.---- i : .....~._~ -.... ~~,~~ : , 'R'~:I\~"X""'.'.',,"'.".""".'." :~:~qK,...6'98,3.8" , I" :' ' " ; II = i ~ RECEIVED Jj FROM ~'" ADDRESS f , Carlisle, Pa. 17013 --. -- -- - -- - -~ - COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF,FICIAL RECEIPT. PENNSYLVANIA INHERITANCE ANO ESTATE TAX TAX AT 6% Karan S. Emerick c/o Kevin A. Hess, Atty. TAX AT 15% TAXAT_% 128 south Hanover Street, ESTATE TAX 516.45 TOTAL TAX CREDIT '--ESTATE~FORMAT~N7-11ircl1-22~-lC~Bl-------- DA TE OF DEATH 21-81-229 LESS DISCOUNT PLUS % INTEREST (FROM To__1 FILE NUMBER November 18, 1981 Ronald W. Kellar G m TOTAL AMOUNT PAID DATE OF PAYMENT NAME OF DECEDENT cumb erland 516.45 COUNTY -------------------------------------------- POSTMARK DATE ,REMARKS: PAID ON ACCOUNT ~ , '/ ' , / I"~ 'i- ,/ (/ : / SIGNATURE' (/ / /!I</"{;'[.;z./ / RECEIVED BY SEAL REGISTER OF WILLS ---------- --------------- --.-------- " REV.455 EX+ (3.00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS Estate of Ronald W. Keller Date of Death Mar 22 ,1981File No. ) I. ,I.: .. ',',"/ WHEN CLAIMING THE FAMilY EXEMPTION, COMPLETE THE FOllOWING: Claimant Ronald W. Keller, II Claimant's Address at time of Decedent's Death R. D. I, Carlisle, PA 17013 Relationship to Decndp.nt Son 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 ITEM ~o. 1 2 3 DATE 7/1/81 7/1/81 NAME OF PAYEE Family Exemption Fishman & Hess CUmberland Law Journal PP & L The Evening Sentinel Hoffman Roth Funeral Home Darr Thumma Insurance Gingrich Memorials A. E. Patrick Water Softener Fishman & Hess United Telephone Co. Belvedere Medical Corporation A wa Petroleum James D. McCoy Settlement charges Commonwealth Natiooal Bank Joanne Keller Carlisle Radiology Carlisle Hospital Carlisle Hospital Karen Emer ick Fishman & Hess REMARKS AMOUNT 2,000.00 36.00 18.00 TOTAL 39,219.56 I hereby certify that to the best of my knowledge and belief the fore90ing is a just and true statement of debts. funeral expenses and expenses of administration submitted to t~ vstate as deduc;onsfur Inher~anlJC Tax purposes. (z.,U"'L- CJi!.Ju:tfu SIGNATUHE: OF FIOUCIARV DATE OFFICIAL USE ONLY DEBTSANDDEDUCTIONSAREALLOWEDINTHESUMOF $ .31f, ,2/1.3& AT , 7 1 81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 6/ /81 6/ /81 6/ /81 8/27/81 8/27/81 8/27/81 0/23/81 0/23/81 Reimburse costs, Letters of Admin. Advertising Letters Final electri bi 1 dvertising uneral Expenses 2,309.00 136.00 230.00 78.24 60.00 41. 32 225.00 51.89 48.91 4,560.00 16,975.24 4,263.00 22.00 108.50 3,146.50 2,385.00 2,385.00 uneral Expenses . inal Bill ill due bill inal Bill inal Bill ax bill roperty sale ay off Mortgage ay off Note ill ill inal Bill ee - Administratrix .ee o % TAX RATE :2 (l ~ . ' ~J tUjEGISTE~ ~F l~rXd /,1-2~-.J! DATE GENERAL INHERITANCE TAX INFORMATION Unsatisfied liabilities incurred by the decedent prior to his/her deoth ore deductible ogoinst his/her taxoble estate. In addition to debts incurred by the decedent or estate, other items are claimable including the cost of administration, attorney lees, fiduciory fees, funeral and burial expenses including the cost of a buriollot, tombstone or grave marker ond other related burial expenses. All debts being claimed ogoinst an estate arc subject ta the opproval of the Register of Wills with wham the Inheritance Tox Return is filed. Evidence.to support the decedent's or the estate's liability lor the debts being claimed shauld be ottached to this schedole. A family exemption may be claimed by 0 spouse of 0 decedent wha died domiciled in Pennsylvania. If there is na spouse, or if the spouse has lorleited his/her rights, then any child of the decedent who is a member 01 the same hausehold can claim the exemption. In the event there is no soch spouse or child, the eXllmption can be c10imed by a parent or parents who are members of the some household os the decedent. The fomily exemption is allowoble only against ossets which pass by a will or by the Pennsylvanio Intestate Lows. NOTE: Compensation paid to an estote representative; namely, on executor or administrator, lor services performed in administering an estate is reportoble for Pennsylvania Income Tox purposes. This taxable income item should be reported on lorm PA.40.lndividuallncame Tax Return. t"' "" tl n ~ trl ~ ;S - :> 0 0 Vl Z Cl n c:: tl S; z 3: z t: trl trl ~ Z ;;<l 9 - 9 z Z trl .., trl .., z 9 .., 0<: Vl trl - 9 Vl z 0 Vl 0 .., 9 'Ij 'Ij ~ - 0 Z ~ '" cc ... ., " ,. .. ,. ~~~ l, ,.~. Z c.:: w 0<: 0<: '" 10 '.~:w .J trl trl ''> :> :> ;;<l ;;<l INSTRUCTIONS FOR COMPLETING SCHEDULE "F" 1. If the family exemptian is being c1oimed, indicote the claimant's name, address ond his/her relotionship to the decedent. Enter "lomily exemption" in the remarks column ond the omount claimed in the amounl column. 2. Assign consecutive nombers to each item listed. 3. Enter the date on which each debt wos incurred and/or paid. 4. Enter the names 01 each payee. 5. Provide 0 brief explonation in the remarks column for each debt claimed. 6. Enter the amount of each debt being claimed. 7. The farm must be signed by the person who hos assumed the responsibility for poying the debts. IF ADDITIONAL SPACE IS NECESSARY USE 8Yz" x 11" SHEETS. INFORMATION To insure proper credit to your account, the name of tl10 eSlate and file number should bo clearly print- ed on the check or money order. This assessment is mado in iJccordanco with Seclion 708 of tho Inheritance and Estate Tax Act of 1961 (72 P.S. 9 2485.708). To the exlent that inheritanco tax is paid within three (3) months after the death of tho decedent, a discount of five (5) percent is allowed 172 P.S. 9 2485.716). Inheritance Tax, other than tax on a future interest. is due at the dale of the decedent's death and be conies delinquent at the expiration of nine (9) months ofter the decedent's death (72 P,S. S 2485-7111. Inheritance Tax on a future interest is payable within three (3) months after the transfer takes effect in possession end enjoyment and is delinquent thereafter (72 P.S. S 2485.712). Calculate interest from the delinquent date shown on the face of this form to the date of actual payment using tho following interest table: ------------ --- ------ - _.~------ - -- - ---- ------ --- - - --- - --- --- ----- -- -- -- - -- -- 1 month .005 4 months .020 7 months .035 10 months ,060 2 months .010 5 months .025 8 months .040 1 1 months .055 3 months .016 6 months ,030 9 months .045 12 months .060 1 deys .00017 11 days .00186 21 days .00352 2 days ,00034 12 days .00203 22 days .00369 3 days .00051 13 days ,00220 23 days .00386 4 days ,00068 14 days .00237 24 days .00403 5 days .00085 15 days .00250 25 days ,00420 6 days .00101 16 days .00267 26 days .00437 7 days .00118 17 days .00284 27 days .00454 8 days .00135 18 days .00301 28 days .00471 9 deys ,00152 19 days .00318 29 deys .00488 10 days .00169 20 days .00335 30 days .00600 --------------------- --- -- -- ----- --- - - --- - -- ---.---- - - - - --------- ----... Any party in interest. including the Commonwealth and the personal representative, not satisfied with the assessment may object thereto within sixty (601 days after receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 172 P.S, S 2485.' 001). Make check or money order payable to: "Register of Wills, Agent" Mail to the address listed below: CJ >: ~.,., o:i :-') ~:o -m '''1.''''') ":.)0 :_"11 ;~-) ,,:'1 D I "" ';:; ~ .. = '. - '-':: - 0.. ,,; I Z 1 0 H Ol 0 l'l Z Cl H 0 Ul ~ 5 " .' " ,,; ~ ... r:l 0-1 0: III .. '~ ;; >< r:l H ,8 ,. ~ " :! P< Ul '" :;= ~ " ~ Z 0-1 Eo< 'n ~ ~ " z 2 --J ~ 15 0 Ol Ul " -:1 'S ~ == <( Ol H ~ Cl H ..' " " " ~ " P< Ul Ol Cl or: u " ~ ,-: ell > ~ H Ul on 'r. - ------. ;;: 0 >- 0 :> " 0 0.. is " " - " ~ Z Ul U ~ H P< 0 - ~ --. 0 . Z Cl Cl @ .. -, .- " ~ , Z 0.. Z 0-1 r:l ~ 'n ~ ;; .. , W CJ ,. -~) . '" 0 ::> f;: ,,; P< ~ j~ ~ ~ .J - " "- 0 '" ~ ::> c ,- n V. - " f;: u ::> N Cl 0- ... .." F' a; '" 0 W ;; - "' E I Ii: ~ 0 N Ol C "- .. L:;' - .J ::> Cl U I :c ~ ," CJ '~ . Ul 0 ~ .-< 0.. U ""' ~ b B ~ J u CXl 0 Ul ~ u ." '" \/ '" Ul I 0 " " - ,:: 'f) <( Ol ~ .-< [:l Cl ..- '" ,~j "i' , -" ~. ~ ..- II " u g:; Ol N Ol ,- ",~ ,,' '\ ,., g] 0: ,,; Ul c:; c; '- .-', u - \ ~ Eo< ,,; - ~ - " if. " ;) ;.., Z ::> 0 Ul Ol " i1 ... ~ CJ .' '~ c \, H U 0 Z Ol U ;; 8 0 " OJ ,~ -j 1:: rn - ;; .2 ~ ,,; ,- ... C '" ~ - ~ u ..c :s " s 2 ..~ s ,~ "" .-< 'tJ (:~~ " cD -n'" 'r,' '.) ':'1P1 .n : ..::~ :;. l~ " I , '" , = 1) " .~ ~ I : " , :J. .. '" ~ I F '; 'jI.:; I " f'~l ;.~ .- .' 0 H f'j , , '-' '" z i .; 0 en ~ " c !<:}., " ~ C\! ~ i " ". I '"' ~ .' " () c '... .C ;:: ." l- e eJ (' ,;}~ 5 :- ~! w " eJ ~ w oM '" en c t 0 ~ ~ z 5 ..:l , c. " C:J( u - " "'----. ~ I- Z . Z Z ~ " u " - <( ',.,J 0 '" H .. c.i.: ,I ~ " . - ~ ~ '..~ ",j ;d w w ,,' :;; '" en .. " .. "'-- ~ <<l > c~ 0 H ., r ..:l ,,-. - "- " 0 ,. :> :;; " .. ~ " z z oj) ,'-i u " H ~1 z Co' ,.. 0 . Z Eo< Cl 8 ~: H "'" ...: x z C) '" 5 \)-' 0' :' d '" " r;: 'J) / ~ - : ":S ... x w ....i 0 !2 ~ ~, ';Q " f!. '\~ . I- [l. .J - 0 '" z ' , 0 " " - ... " w !2 u N P @ (5: " .. J " i ~ -- ..' " :< , '" 0 N 0 , _'i - '" ./ i::: . .J c"' " ,oJ p 0 I U 0" , ',. "- m oj) ~ 0 <. .... '" ~. :, ," CJ " '"' 3 ',", N J ::; u ~ OJ . 0 ,..liD ,; 'J iQ . .- ! '" I en ~r~ .- U .. I <( '" .... Z ~ Cl ,1' H ., ,. :I: '" N ~ '" '" .. ] U Eo< [!l 0: ~ en .. -c ~ "' ~ " '" .. " Z p 0 en '" .) " .- ~! ':') 2; '" H U Z 0 '" U " ... U " .~ .- 'J " '" ~ .. :,. '- ... , v, ~ '" .~ 1 '" .'1.: c, ... " -- , :.l ,. " .. " '. .. ," PERSONAL PROPER'ry: Cash Balance Checking Account, Commonwealth National Bank Refund - Life Insurance Installment Note Refund - Hoffman-Roth Funeral Home Overpayment Refund - Mortgage Escrow Account Personal Property Per Appraisal of James A. Bistline 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 7/1/81 8/27/81 8/27/81 8/27/81 9/16/81 9/28/81 10/23/81 12/23/81 12/23/81 12/23/81 12/23/81 12/23/81 $ 500.00 74.72 774.59 255.00 329.90 1,902.00 TOTAL PRINCIPAL DEBITS........$22,028.78 PRINCIPAL CREDITS Letters & short certificates Advertising - Cumberland Law Journal P.P.&L. - Final Electric Bill Evening Sentinel - Advertising Hoffman-Roth Funeral Home Gingrich Memorials - marker Darr-Thumma Administrator's Bond A.E. Patrick Soft Water - Final Bill Fishman & Hess - Bill Legal Services United Telephone Co. - telephone Belvedere Medical Corp. - Bill Agway Petroleum Corp. James D. McCoy - Real Estate Tax Carlisle Radiology Associates, P.C. Carlisle Hospital Carlisle Hospital Trash Hauling Expense Evening Sentinel Advertising Register of wills - Est. Tax Fishman & Hess - Attorney Fees Karen Emerick - Administratrix Fee Ronald Keller Trustee - Family Exemption united Telephone - Final Bill Reserve - filing account TOTAL PRINCIPAL CREDITS PRINCIPAL DISTRIBUTION TO BENEFICIARIES Karen Emerick Ronald Keller TOTAL DISTRIBUTION TO BENEFICIARIES ll~r' 1,"J.1. PA~[ 9'7 36.00 18.00 135.40 4.56 2,309.00 230.00 136.00 78.24 60.00 41.32 225.00 5l.89 48.91 22.00 108.50 3,146.50 150.00 20.00 516.45 2,350.00 2,350.00 2,000.00 7.20 50.00 $14,094.97 2,642.00 210.00 $ 2,852.00