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06-15-07
r; _ , 15056051058 REV-1500 EX (06-OS) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes Po Box 28oso1 INHERITANCE TAX RETURN ~ / ~ ~~ ~ ~ ~~ Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 235-07-8960 09/15/2006 01 /25/1913 Decedent's Last Name Suffix Decedent's First Name MI FLUHARTY HELEN V (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return 2. Supplemental Return 3. Remainder Retum (date of death prior to 12-13-82) 4. Limited Estate 4a. Future Interest Compromise (date of _ 5. Federal Estate Tax Return Required death after 12-12-82) • 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number GENEVIEVE C WALTER (717) 766-0134 Firm Name (If Applicable) - REGISTER OF 11VIL'LS USE ONLY Spouse's Social Security Number First line of address 108 BRAMBLEWOOD LANE Second line of address City or Post Office LEWISBERRY Corespondent's a-mail address: State ZIP Code PA 17339 DATE FILED 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 complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIG RE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ~. K08 BRAMBLEWOOD LN, LEWISBERRY, PA. 1733 SIGNATU OF PREPARER ~~R THAN PRES~iTPyT~o ~~ DA~ 4100 CROOKED HILL RD, HARRISBURG, PA. 17110 PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 ~ , 15056052059 REV-1500 EX Decedent's Name: HELEN V FLUHARTY __. RECAPITULATION 1. Real estate (Schedule A) ............................................. 1. 2. Stocks and Bonds (Schedule B) ....................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. Decedent's Social Security Number 235-07-8960 154,187.67 4. Mortgages & Notes Receivable (Schedule D) ........................... .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ...... .. 5. 6. Jointly Owned Property (Schedule F) :: Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers 8~ Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested...... .. 7. 8. Total Gross Assets (total Lines 1-7) .................................. .. 8. 9. Funeral Expenses & Administrative Costs (Schedule H) ................... .. 9. 10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule I) .............. .. 10. 11. Total Deductions (total Lines 9 & 10) ................................. .. 11. 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ...................... .. 13. 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, or transfers under Sec. 9116 (a)(1.2) X .0_ 15. 16. Amount of Line 14 taxable at lineal rate x .0 45 414,465.45 16. 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE ......................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 185, 751.43 87,314.53 427,253.63 12, 055.62 722.56 12,778.18 414, 475.45 414,475.45 18,651.40 18,651.40 15056052059 REV-1500 EX Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME DECEDENT'S SOCIAL SECURITY NUMBER HELEN V FLUHARTY 235-07-8960 STREET ADDRESS 108 BRAMBLEWOOD LANE CITY LEWISBERRY STATE PA ZIP 17339 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 18,651.40 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments 18,000.00 C. Discount 932.57 Total Credits (A+ B + C) (2) 18,932.57 3. InterestlPenalty if applicable D. Interest E. Penalty Total InterestlPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 281.17 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (56) 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 :............................................................................. ............. ^ ^x b. retain the right to designate who shall use the property transferred or its income :............................... ............. ^ c. retain a reversionary interest; or ............................................................................................................. ............. ^ d. receive the promise for life of either payments, benefits or care? ......................................................... ............. ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................................. ............. ^ 3. Did decedent own an "intrust for" or payable upon death bank account or security at his or her death? . ............. ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................... ............. ^ ^X 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) (ii)]. The statute does not exempt a 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.S. §9116(1.2) [72 P.S. §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)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. ~ COPi d~10fJWE.=.LTN OF PENNSYLVANIA D EF'AnTMENT OF RE`/ENUE BUFEAU OF iNDI VIDUAL TARES DEFT. 2b'Oo01 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-961 NO. CD 007463 WALTER GENEVIEVE C 108 BRAMBLEWOOD LANE LEWISBERRY, PA 17339 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: ssN: 2s5-o~-as6o FILE NUMBER: 2106-0835 DECEDENT NAME: FLUHARTY HELEN VIRGINIA DATE OF PAYMENT: 1 1 / 21 / 2006 POSTMARK DATE: 1 1 /21 /2006 COUNTY: CUMBERLAND DATE OF DEATH: 09/1 5/2006 101 ~ S 18,000.00 TOTAL AMOUNT PAID: REMARKS: GENEVIEVE C WALTER SEAL CHECI<# 1014 S 18,000.00 INITIALS: WZ RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER ;' • • Register of Wills of Cumberland County o = CERTIFCATION OF NOTICE UNDER RULE 5.6(A) Name of Decedent: ! I ~~ ~~- y'~/~1e7-~ Date of Death: ~- ~~~' ©~ Estate No.: o~~- a6 -o ~3<s'" To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on `1 ~l -06 Name Address Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: l 66 ~~_: _- -~. .:_ ~~ :_ ~;= - - t-_' --. :_ . __ r-- c~ :...:~ r ~~ L- e- ~~ ~~:_ _ L_`_. CV`; v ~!'~4~ S' ature Name - ~®~ ~~~~ao~ fy9x/~ L,~is~r~v ~~ i~33~ Address Telephone Capacity: Personal Representative Counsel for personal representative WILL OF HELEN V. FLUHARTY I, HELEN V. FLUHARTY, of Upper Allen Township, Cumberland County, Pennsylvania, declare this to be my Will and revoke all prior Wills and Codicils. ITEM I: Tangible Personal Pr ~~ I give all tangible personal property owned by me at my death and all insurance policies on such property as follows: (a) To those individuals who survive me by thirty days who are designated on a list or memorandum signed by me which refers to this Will or is found with a copy thereof, the items listed beside their names. If no such list is found within thirty days of my death, it shall be conclusively presumed that no such list exists. (b) The balance (including any item under subparagraph (a) the bequest of which has lapsed) to my daughter, GENE~IEVE C. WALTER, of Lewisberry, Pennsylvania, if she survives me by thirty days; and if not, to my son, VERNON R MIDCAP, of Martins Ferry, Ohio. (c) My Executor shall pay, as an expense of settling my estate, all costs of delivering such tangible personal property, including the costs of packaging, delivery and insurance. ITEM II: Re i e. I give the residue of my estate in eq~aal shares to those of my children who survive me by thirty days. If my daughter, Genevieve C. Walter, does not survive my death by thirty days, I give and bequeath her share to her husband, JAMES B. WALTER, of Lewisberry, Pennsylvania, provided he survives my death by thirty days, and in default thereof, to those of his issue, per stirpes and not per capita, who survive my death by thirty days. If my son, Vernon R. Midcap, does not survive my death by thirty days, I give and bequeath his share to his wife, VERA MIDCAP, of Martins Ferry, Ohio. ITEM III: Spendthrift Provision. Until distributed, no gift or beneficial interest shall be subject to anticipation or to voluntary or involuntary alienation. C:\I. W ORIC\W ILLS\G050699B. WPD !'1'EM N: Death Taxes. (a) All death taxes (and interest and penalties thereon) imposed as a result of my death whether upon property passing under my Will or not, shall be paid out of the principal of my residuary estate. (b) I authorize my Executor, in my Executor's sole discretion, to make an election, in whole or in part, to cause a Pennsylvania inheritance tax to be payable by my estate on property passing to or for the benefit of my husband or to defer the Pennsylvania inheritance tax on such property. My Executor shall be without liability to anyone for making or failing to make such election. ITEM V: Administrative Powers. My Executor shall have the following powers in addition to those conferred by law until all property is distributed: (a) To retain any real or personal property (including stock of the corporate Executor, if any, or of a company controlling it) in the form in which it is received. (b) To sell at public or private salt for cash and/or credit, to exchange, and to lease for any period of time, any real or personal property and to give options for such sales, exchanges, or leases. ~ (c) To purchase all forms of property, including but not limited to stocks, ~~ bonds, notes and other securities (including stock of the corporate Executor, if any, or ~ of a company controlling it), common trust funds and real estate, or any variety of real A~ or personal property, without being confined to so-called legal investments and without regard for the principle of diversification. (d) To purchase securities at a premium or discount and to charge such. premium or credit such discount to principal or income. (e) To exercise any option arising from the ownership of any investment; to join in any recapitalization, merger, reorganization, liquidation, dissolution, consolidation or voting trust plan affecting any investment; to delegate powers with respect thereto; to deposit securities-under agreements and pay assessments; to subscribe for stock and bond privileges; and generally to exercise all rights of security holders. -~,`~ (f) To hold property unregistered or in the name of a nominee. r-~ (g) To mortgage, divide, alter, repair and improve real property and generally to exercise all rights of real estate ownership. G\LWORK\WILLS\G050699B.WPD 2 - (h) To distribute in cash, in kind, or partly in each, and to cause any share to be composed of cash, property, or undivided fractional shares in property different in kind from any other share. (i) To compromise claims by or against my estate or any trust hereunder, including but not limited to tax issues and disputes, without order of court or consent of any party in interest and without regard for the effect of such compromise on any interest hereunder. (j) To borrow money and to pledge any real or personal property as security for the repayment thereof. (k) With respect to a principal share vesting in a beneficiary who, in the opinion of my Executor, is incapacitated by reason of age (other than minority) or illness (mental or physical) when such share vests in him or her: to hold the share during his or her incapacity and to invest the share and all accumulations thereon; to apply so much of the income and principal as my Executor deems advisable for such beneficiary's benefit for any reason after considering other funds available to him or her; to deliver the balance of principal and income to the beneficiary at such time as he or she gains capacity; and at any time, to pay the entire share to the guardian of the estate of the incapacitated beneficiary to hold for his or her benefit. The receipt of a guardian or such other person as may be selected by my Executor to receive a distribution under this subparagraph shall be a full and complete discharge to my Executor. ITEM VI: Power of Ap}~ointment. i' ~°~ I decline to exercise any power of appointment given to me under any will, Codicil or Agreement of Trust or other instrument. ITEM VII: Definitions. (a) The word "Executor," when used in this Will shall include all genders and the singular and plural as the context may require. (b) The words "child," "children, and "issue" when used in this will shall include adopted persons and their descendants. (c) The words "incapacitated" and "incapacity" when used in this Will shall refer to an inability to use funds by reason of age or illness (mental or physical). (d) When a "per stirpes" distribution of income or principal to a person's descendants is provided for under this Will, such income or principal shall be divided into as many equal shares as there are then living children of such individual and then C:\LWORIC\WILLS\G050699B.WPD - 3 - deceased children represented by descendants then living, and each then living child shall receive one share, and the share of each deceased child shall be divided among his or her descendants in the same manner, repeating this pattern with respect to succeeding generations until all shares are determined. (e) Paragraph headings in this Will are for reference only and shall not affect the meaning, construction or effect of this Will. ITEM VIII: E~xcutor. I appoint my children, Genevieve C. Walter and Vernon R. Midcap, Executor. If either of my children is unable to act or ceases to act for any reason, I direct that my remaining child shall serve alone as Executor. My Executor shall not be required to post security in any jurisdiction. My corporate Executor, if any, shall receive compensation for its services hereunder in accordance with its Schedule of Fees in effect from time to time during the period over which its services are performed. IN WITNESS WHEREOF, I have hereunto set my hand this /~ day of ~~},~~_ , 1999. -~ ~' , HELEN V. FLUHARTY The preceding instrument, consisting of this and three other typewritten pages, each identified by the signature of the testatrix was on the date thereof signed, published, and declared by HELEN V. FLUHARTY, the testatrix therein named, as and for her will, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. t::~~~' DIANE B. NKINS G~ ;,~ ~~ ~EORG~ A. VAUGHN, III C:ILWORK\WILLS\G050699B.WPD " 4 " COMMONWEALTH OF PENNSYLVANIA ) (SS.. COUNTY OF CUMBERLAND ) I, HELEN V. FLUHARTY, being the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the foregoing instrument as my will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~~ ~ ~~~ HELEN V. FLUHARTY ~~ Sworn or affirmed to and acknowledged bore me by the testatrix named above this ~ day of - , 1999. NOTARIAL FRANCEStVAUGHN, NOTI~>P~ t) NAMPOEN TWP., CUMBERLAND COUNTY Notary Public MY COMMISSION EXPIRES AUG. 9 1999 COMMONWEALTH OF PENNSYLVANIA ) (SS.. COUNTY OF CUMBERLAND ) WE, DIANE B. JENKINS and GEORGE A. VAUGHN, III, the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her last will; that she signed it willingly; that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the best of our knowledge, the testatrix was at the time eighteen or more years or age, of sound mind, and under no constraint or undue influence. DIANE B. JE INS 1 t GEORGE A. VAUGHN, III Sworn or affir ed to and acknowledged before me~his ~' ~y of `~ , ~ , 1999. Notary Public TARIALSEAL !'1tAtIi~~YAUGHN, NOTARYPU~LIC NAMPDENTWP., CUM9ERLAND CGUNTT IV11! COMMISSION EXPIRES AUG. 9 1999 C:\LWORK~WILLS\G050699B. WPD REV-1502 EX+ (6-98) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER HELEN V FLUHARTY 21-06-0835 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 jointlyowned with right of survivorship must be disclosed on Schedule F. (If more space is needed, insert additional sheets of the same size) nssct un o~no_noGt !~ A. B. - :OF LOAN: - - _ ---- ~--- U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1.OFHA 2.QFmHA 3. ~X CONV. UNINS. 4. QVA 5. []CONY INS. SETTLEMENT STATEMENT 6. FILE NUMBER: 03-562.001 7. LOAN NUMBER: 0204465231 8. MORTGAGE INS CASE NUMBER: OLD MORTGAGE INS CASE NUMBER: 6.875/F/866.63 MMO C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked (POCJ" were paid outside the closing; they are shown here /or informational purposes and are not included in the totals. 1.0 3/B8 eURCH.NOEL.PF0/03-582.001/iB) D. NAME AND ADDRESS OF BORROWER: Noel M. Burch 316 Berkshire Road Mechanicsburg, PA 17055 E. NAME AND ADDRESS OF SELLER: Estate of Helen Virginia and Fluharty F. NAME AND ADDRESS OF LENDER: SUNTRUST MORTGAGE INC. 901 SEMMES AVENUE RICHMOND, VA 23224 G. PROPERTY LOCATION: 316 Berkshire Road Mechanicsburg, PA 17055 H. SETTLEMENT AGENT: 68-0510988 Community Land Transfer, LLC 1. SETTLEMENT DATE: November 30 2006 Cumberland County, Pennsylvania PLACE OF SETTLEMENT 2331 Market Street Camp Hill, PA 17011 , J. SUMMARY OF BORROWER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: K. SUMMARY OF SELLER'S TRANSACTION 400. GROSS AMOUNT DUE TO SELLER: 101. Contract Sales Price 164,900.00 401. Contrail Sales Price 164 900.00 102. Personal Pro art 402. Personal Pro art 103. Settlement Char es to Borrower Line 1400 4,726.61 403. 104. 404. 105. 405. Ad Lstments For !tams Paid B Seller in advance Ad'ustmants For Items Paid 8 Seller in advance 106, Ci !Town Taxes to 406. Cit /Town Taxes to 107. Count Taxes 11/30/06 to 01/01/07 35.99 407. Coun Taxes 11{30/06 to 01/01!07 35.99 108. School Taxes 11/30/06 to 07/01/07 828.90 408. School Taxes 11/30/06 to 07/01/07 828.90 109. Sewer 11/30706 to 01/01/07 34.76 409. Sewer 11/30/06 to D1/01/07 34.78 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM 80RROWER 170,526.28 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 420. GROSS AMOUNT DUE TO SELLER 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 165,799.67 201. De osit or earnest mone 1 000.00 501. Excess De osit See Instructions 202. Princi al Amount of New Loans 131 920.00 502. Settlement Char es to Seller Line 1400 11 612.00 203. Existin loans taken sub'eil to 503. Existin loans taken sub ect to 204. 2nd Mort a e Proceeds 32 771.14 504. Payoff of first Mortgage 205. 505. Pa off of second Mort a e 206. 506. 207. 507. De osit disb. as roceeds 208. 508. 209. 5D9. Ad'ustments For Items Un aid B Seller Ad'ustments For Items Un aid B Seller 210. Cit /Town Taxes to 510. Cit !Town Taxes to 211. Count Taxes to 511. Coun Taxes to 212. School Taxes to 512. School Taxes to i 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218, 518. 219. 519. 220. TOTAL PAID 8Y/FOR BORROWER 300. CASH AT SETTLEMENT FROM/TO BORROWER: 165,691.14 520. TOTAL REDUCTION AMOUNT DUE SELLER 600. CASH AT SETTLEMENT TO/FROM SELLER: 11,612.00 301. Gross Amount Due From Borrower Line 120 170 526.28 601. Gross Amount Due To Seller Line 420 165,799.67 302. Less Amount Paid B /For Borrower line 220) ( 165,691.14) 602. Less Reductions Due Seller (line 520) ( 11.612.00 303. CASH(X FROMJ ( TO) BORROWER 4,835.14 603. CASH(X TOJ ( FROM) SELLER 154,187.67 The undersigned hereby acknowledge receipt of a completed copy of pages 1&2 of This statement 8 any attachments referred to herein. i -- - rl i_, Borrower ~ 1~~J~'~+;-~~ Seller ~~ ~ ~ ~ / Noel M. Burch Estate of Helen Virginia ; ~-:N,J,L;, ,~ 1;r}tst~ ~' , ~~ Fluharty 4'apa 1 L. SETTLEMENT CHARGES _ 700. TGT~L COMMISSION Based on Price $ 164,900.00 5.0000 % 8,245.00 PAID FROM PAin fRUM Civision of Commission line 700 aS FOf10w5: BORROWER'S SELLER'S iP.'i. $ 4,147.50 to E/M REALTY ASSOCIATES FuNOSnr i=uNOSAr 702. $ 4,097.50 to T E HOMES EAD GROUP, INC. sErrLEMENr sErnEMr:Nr 703. Commission Paid at Settlement 8,245.D0 704. Transaction Fee to The Homestead Group, Inc. 100.00 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Ori ination Fee % to 802. Loan Discount % to 803. Appraisal Fee to Central Penn Appraisal POC:8350.00 804. Credit Report to Kroll Factual Data 8.30 805. Lender's Inspection Fee to 806. Mort a e Ins. A .Fee to 807. Assumption Fee to 808. Mortgage Broker Fee to CENTRAL PA MORTGAGE, LLC POC 2209.66 L 809. Processing Fee to SUNTRUST MORTGAGE INC. POC:250.00 CPAM 810. Tax Service Fee to Valufree Real Estate Service 78.00 811. LOL Flood Cert. to FIS Flood Service 1.50 812. UP Flood Cert. to FIS Flood Service 5.50 813. Administration Fee to SUNTRUST MORTGAGE INC. 600.00 814. 815. 816. 817. 818. 819. 820. 900. ITEM5 REQUIRED BY LENDER TO BE PAID tN ADVANCE 901. Interest From 11130!06 to 12/01/06 @ $ 24.850000/day ( 1 days %) 24.85 902. Mori a e Insurance Premium for months to 903. Hazard Insurance Premium for 1.D ears to Erie Ins. POC:B385.00 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance 3.000 months $ 32.08 er month 96.24 , 1002. Mort a e Insurance months $ er month 1003. Ci /Town Taxes months $ er month 1004. Coun Taxes 10.000 months $ 33.52 er month 335.20 1005. School Taxes 6.000 months @ $ 116.00 per month 696.00 t006. months $ er month 1007. months er month 1006. A re ate Ad'ustmenl months $ er month '422.73 1100. TITLE CHARGES 1101. Settlement or Closin Fee to 1102. Abstract or Title Search to 1103. Title Examination to 1104. Tate Insurance Binder to 1105. Electronic Document Pre to Communi Land Transfer, LLC 50.00 1106. Closin Service Letter to Communit Land Transfer, LLC 35.00 1107. Attorney's Fees to includes above item numbers: 1108. Title Insurance to COMMUNITY LAND TRANSFER 1 163.75 includes above item numbers1102, 1103 8 1104 1109. Lender's Coverage $ 131,920.00 1t10.Owner'sCoverage $ 164,900.00 1,183.75 1111. Endorsements 100, 300, 8.1 to Community Land Transfer, LLC 1112. Notary Fee to Community Land Transfer 1113. Notary Fee to Seth Pomeroy 1114. Overnight Fees & Handling to Community Land Transfer, LLC 1115. Wire ee to Community Land Transfer, LLC 150.00 10.00 15.00 10.00 5.00 00 125 1116. Deed Prep. to RElMAX ealty Associates 1117. . 1118. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 38.50; Mortgage $ 62.50; Releases $ 1202. Cit !Coun TaxlStam s: Deed 1,649.00 Mort a e 1203. Slate Tax/Stam s: Deed 1,649.00; Mort a e 101.00 1,649.00 1,649.00 1204. 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Surve to 7302. Pest Ins ection to Penn Pest Treatmen 1303. 4th Otr. Sewer to U er Allen Townshi Authori 527012 1304. Transaction Fee to RE/MAX Real Associates 1305. Radon Mitigation to ARS ~wnn mTer ccrn caaFnr7 CHAR(.FS (Enter on Lines 103. SflGtion J and 502, Section K) t ,726.6 583.00 100.00 195.00 700.00 1 11,612.00 /' `~' . By signing page 7 M Isis statement, me signatories acknowledge recap/ of a compretea Wpy of page 2 0l Utis Mro Dage statement. s"~~ Community Lan ransfer, LLC Settlement Agent Certified to be a true wpy. t 03-5G2.001 / 03-Sfi2.001 119 ) REV-1508 EX+ (6-98) f' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER HELEN V FLUHARTY 21-06-0835 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. M&T BANK CHECKING ACCOUNT # 33505969 31,569.18 ~ 2. M&T BANK CERTIFICATE OF DEPOSIT ACCOUNT # 31003914619233 28,487.18 3. M&T BANK CERTIFICATE OF DEPOSIT ACCOUNT # 31003915189003 119,921.50 4. 1994 HONDA ACCORD LX (PRINTOUT FROM EDMUNDS.COM ATTACHED 3,000.00 5. BRUCE MEDICAL SUPPLIES REFUND ($350.50+$64.17) 414.67 6. HAAR'S AUCTION SERVICE (AUCTION OF HOUSEHOLD GOODS-SEE ATTACHED) 924.76 7. HAAR'S AUCTION SERVICE (AUCTION OF HOUSEHOLD GOODS-SEE ATTACHED) 897.96 8. ERIE INSURANCE- HOMEOWNER'S INSURANCE REFUND 203.00 9. COMCAST CABLE SERVICE REFUND 4.g3 10. GEICO AUTO INSURANCE REFUND 312.02 11. WASTE MANAGEMENT REFUND 16.33 TOTAL (Also enter on line 5, Recapitulation) S 185,751.43 (If more space is needed, insert additional sheets of the same size) BELINDA LAWRENCE.- Re: prod- Date of Death Request Page 1 From: DATE OF DEATH REQUESTS To: LAWRENCE, BELINDA Date: 11 /2/2006 8:37:05 AM Subject: Re: prod -Date of Death Request To: Belinda, 11/02/2006 Please find the date of death balance you had requested on the below account for decedent Name of decedent: Helen Fluharty Social Security # 235-07-8960 For the Date of Death: 09/15/2006 Records Management 1 DOD Unit M8T Bank- "Understanding what's important." »> <BLAWRENCE@mandtbank.com> 10/23!06 12:00 PM »> Account Information :'`~'- Date of death~09/15/2006 Account Number: 33505969 Balance $ 31,566.86 + 2.32 = $ 31,569.18 Total Product Type: Deposit Account Account Number: 31003914619233 Balance $ 28,433.91 + 53.27 = $ 28,487.18 Total Product Type: Deposit Account Account Number: 31003915189003 Balance $ 119,784.90 + 136.60 = $ 119,921.50 Total Product Type: Deposit Account Have a great day! Request Details Deliver to: Requestor Delivery Options: E-mail Delivery Details: ebrnp1e Edmunds used Honda Accord car appraisal. Used Honda car pricing. Page 1 of 2 - -- - „~ ,. ~,~.. 416N I~ !J,OIN ~ ~li,,r,nds.. .~rr~~ i Ir.-i` ~nr ~, i -:., -. ~ ~.~.,,~~ ;. I ..<-.;r . .. MAFiKE7PLACF '.,.~«.+ •,r ~:a+~vw~•. Ks:r' •M~xx.r ~- e{~f11Uri~S r FlndnGing As Low_AS 6.35%Q_APR .+e~ °""^rw'W..~:^ti^'^"'n,~>~"°w~~4"~'~r "~ .~...~.w~. > Get Insurance_Quotes & Compare ,;_,,,~";mot"'"""' °' "" ,,; ..., . .a,,.w,r rr...a.~n. ~ ,;, , • ~ USED CARS ~ ' ' ~' Get a free 4ARFAX record_~heCk, Buy your next used car with confidence. I 1994 Honda Accord 4 Or LX Sedan View 1994 Styles ,' Other years for this style 2007 lGo ~., _`'v View: Pictures I VideP •'`'~' Consumer Rating SJ (RRTi 2T1 99 Reviews Vtew„.ail Ratings I Overview. s ..;drUBcn-?^t PRICING • Search llsesl H9nd.a_LiStng~ • GalcuVate Lqw NdXmenks • $ell Your Car Online. • Get a Bad Credit. 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Retail LX Sedan National Base Price $1,788 $2,404 $3,430 REVIEWS & RATINGS Optional Equipment $59 $80 $127 Awards & Road Tests 4-Speed Automatic Transmission $59 $80 $127 Ratings Color Adjustment $_g $-4 $-6 Gray Model Review Regional Adjustment Consumer Reviews for zip Code 17110 $-85 $-114 $-162 Consumer Discussions Mileage Adjustment $603 $603 $603 65,000 miles Condition Adjustment $0 $0 $0 NEXT STEPS Clean Total $2,362 $2,969 $3,992 Search Used Listings Sel3 Your Car Calculate Monthly Payments Certified Used Vehicle NSA Get a Bad Gredit Car Loan Price Anqther Vehicle Free Insurance Quotes Free Warranty Quote Next Steps CARFAX Record Check Get a Free Price Quote on a New Car ~,~f n I;+ ~~ t e : 1 c'_ -+Z- i. -- ~' i7~ 111 k, www, i-te.~ar,s. cam Hr~~-R' ~r AUCTIi:-N SER4'IC;`E ~'1 ;'-{a.~~:-t:i~'~fr:, ~ctt;:icmcani: Ml~fi ,JAMES WALTER F'~ge ; 1 ':~ e 1 1 e rY ~ 1~ ~f ~~ iQ+t3 BRAMPLE:WgOD LANE L_EW I SL~F~RRY I~'A 1 `Tu•=:,~ I $ c~ rn U e s c r" :i p't i o rt !-'r^ i c:' e~ [>! t ~,~ T ~, {~ ~t 1 _ SweNper t 'a. ~+~+ "fable-4 chairs 1 j. 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'tn't. ._~~ i' ....... ~ . .. _) w 1~ 1 t,'' 'N .. .L ~ .'T~ ~ SI~' h'h .' 1.1_. .... .. s.., i 1. _. ~ ._ _ : ~ _ .... ~.J i .. ~ ~ .. .. ... y yy t :': { ~-~ ~~ 1 + ' _ ~ . ~_ rJ ~ 4 rah . ~ w. r. ~ d .. .~ tT! ~. ~:;'~i,.., ra of ;4b [_~. i"°i .. .. `,: `w . ..._ _. y -~ -> REV-1509 EX+ (6-98) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER HELEN V FLUHARTY 21-06-0835 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A• GENEVIEVE C WALTER 108 BRAMBLEWOOD LANE DAUGHTER LEWISBERRY, PA 17339 B' JAMES B WALTER 108 BRAMBLEWOOD LANE SON-IN-LAW LEWISBERRY, PA 17339 C JOINTLY-OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST ~' A' 07120105 CITIZENS BANK CD, ACCOUNT # 6247351424 104,921.65 50 52,460.83 2 B 07120105 CITIZENS BANK CD, ACCOUNT # 6247351416 69,707.40 50 34,853.70 TOTAL (Also enter on line 6, Recapitulation) 15 87,314-53 (If more space is needed, insert additional sheets of the same size) ~r~~,~ Account Number 62473 5 1 4 16 Account Title HELEN FLUHARTY OR JAMES WALTER Date O ened 7/20/2005 Account T e Time De osits Princi al Balance as of DOD $69401.08 Interest from Last Postin to DOD $306.32 Account Balance as of DOD $69707.40 YTD Interest to DOD $1861.80 ~~ ~~,~ Account Number 6247351424 Account Title HELEN FLUHARTY OR GENEVIEVE WALTER Date O ened 7/20/2005 Account T e Time De osits Princi al Balance as ofDOD $104460.59 Interest from Last Postin to DOD $461.06 Account Balance as of DOD $104921.65 YTD Interest to DOD $2802.33 REV-1511 EX+ (12-99) SCHEDULE H FUNERAL EXPENSES & COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER HELEN V FLUHARTY 21-06-0835 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t' ECKHARDT FUNERAL CHAPEL 6,773.46 2. MANCHESTER BAPTIST CHURCH (LUNCHEON & OPEN GRAVE) 1,575.00 3. FLOWERS 383.25 4. PASTOR & ORGANIST 250.00 s. JOSEPH MATHIAS MONUMENTS (ETCHING DOD ON HEADSTONE) 150.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) _ Street Address City .State Zip Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State .Zip Relationship of Claimant to Decedent 4. Probate Fees 348.00 5. Accountant's Fees 1,250.00 6. Tax Return Preparer's Fees 175.00 7. PUBLICATION OF ESTATE NOTICE IN CUMBERLAND LAW JOURNAL & CARLISLE SENTINEL 190.25 $. MARY HARING, HAULING AWAY TRASH (10109106) 130.00 9. VERIZON (OCTOBER & NOVEMBER, 2006)-TELEPHONE BILL 34.46 1a. PP&L, ELECTRIC BILL (SEPT, OCT & NOV, 2006) 56.08 11. UPPER ALLEN TOWNSHIP-FINAL SEWER BILL THIRD QTR, 2006 100.00 ~2. COMCAST, CABLE BILL (OCTOBER & NOVEMBER, 2006) 71.85 TOTAL (Also enter on line 9, Recapitulation) $ 11,487.35 (It more space is needed, insert additional sheets of the same size) SCHEDULE H FUNERAL EXPENNSES & ADMINISTRATIVE COSTS (Continued) ESTATE OF HELEN V FLUHARTY FILE NUMBER 21-06-0835 ITEM NUMBER DESCRIPTION AMOUNT 13. MONTOUR FUEL OIL, HEATING OIL, 10/13/06 14. UNITED WATER (SEPT, OCT, NOV, 2006) 15. AT&T, PHONE BILL, (7/14/06 - 10/13/06) 16. S & T LAWN MAINTENANCE, LAWNCARE (9/20/06 - 10/24/06) 17. VERIZON, PHONE BILL (10/19/06 -10/24/06) 18. MISCELLANEOUS MAILING COSTS 19. FETROW ELECTRICAL SERVICE, 11/18/06 TOTAL OF 2ND PAGE TOTAL OF FIRST PAGE TOTAL DEDUCTIONS 215.76 28.83 35.79 178.08 20.02 2.79 87.00 $ 568.27 $ 11487.35 $ 12055.62 2 ORIGINAL 4306 B -°~.~ ACCT. NO. F D ,M~J4~' .~ilrvwr~r~ra~`vnrrt.' •~-"~?'Z_r~`lA'_C•_1-,~.~-C_-----L:1~~~~7 _ _. a „~l "f~~~Gtn..l~-.al~ .~~~tl'G..,°-~._ -!' ~~ tJ~^~ ;-4.J.s2t1 """ 'e / ~jav ? ~Wti.. Funeral Services ,~/ ~ f ~' :fir.,./r~,•./ /C'"`-`+'-~. vJ-~'t• _ _ .J Name of Deceased CHECK a 1..__`~,~ _t! ~ARO'T ECKHARDT FUNERAL CHAPEL, P.A. OTHER ~lrr,r~ ~~~r,, ______._ ~ ~ l~ LAST BALANCE ~ ~ ~ ~;' ~ ~~ ~ !INTEREST 4AT~PAYMENT j GHARC;,E SUB TOTAL CREDITS . ~f. LESS PAYMENT ~ !' ~~ NEW BALANCE w ~~ 01 945 ~ ~ p•~ p T ~ ~ d ~ ~ m ~ A r• Q+ n ~ ~ ~ ~ y Q y, H ~ "'1 p ~ ~ - ~~~ ~ C ~ A y a ~ li ~ ~ ~ A ~ J ~ K T• p ~ C Q ~ ~ CrS A ~ G D o ~ ~ t~' 4~ vi . ~ ... N ~ ~ ~ N ~ ' ~ ~ T p, ~ }~.~ N ~ S Y y O „:~~ ~ .~~ ~~ ~ ~ ~ N, °' ~ p '"s eo ~. ~ ~ cp O ~ - ro e r- ~ p ~. '-J ~ ~ *~ e L G F '~~- "r ~~ aC --+ Q ~ ~ A ~ ~ ~ C ~ ~ ~~ C ~ -1 r.~ o a ~ C A A ~"{ .~. Y a ~ ~ ~' ~ a ~. . ~ ~ ~ a a ~ ~, o ~ n. ~ c o n c ~ ~ ~ ~ o a 5 y ~ ~ ao ~ ~ ~ O c~ a ' ~ ~ ~ ' ` ° m ~ ~, °. ~ o ~ ~ - _n. Y ry !), R 1' y'l ,> ~~ 1 C C7 ~ C7 C7 .~ ~ Y ~ ,.~ ~o ,tiy _ .. ~-~ .. .... ,~ ~J' W tit ~ :~ ~ ~ ^~ N Vwi 'Je. vii D ~ l7 ~' A O 7C' f9 ~ ~ ~ ~ N .~ ~i u w ~ ~ O O ~ p { LJ u ,~ c~ ~r ~ ~ ~~ ° ~~: c:, ~-; :;~ . ~ O ~ B ' n c_n •, .~, ~. O. ~, fD ~i Q H ~ ~ A . ~ J* ~.~ ~t ~ N ~ M .~. N . ~ . ~ C b ~ ~"~ o ...j ~ ~~ ~ O c O O ~ b _. a ~ f7 tzf Y. :.yam J ~ \ _~ ~ .~ iJ '~/~ ~.J ,.l t ~ .. . 1 ~ 'l f'A f-~ eJ ~ 1 \~ ~ \.~~ p .. J _ R ~. ~~ P` ~. ~~ V C' NO. . JOSEPH L. MATHIAS MONUMENTS 175 E. Main Street Westminster, Maryland 21157 410-848-4600 or 410-876-7981 October 26, 2006 MONUMENT $ MARKER ______ ~-~-__. VASE __-_ . '. __ . _,-- __ _._- $150.p0 CEM. LET y_ __.____-.-----+-..-___ _ CEM. CH ~ ~_. FND.-INST. __~~~'~~_ ~= - -- _______. r_.____-- STATETAX $1-50_' ~_ TOTAL COST S 1 -_ -- I/We do hereby authorize JOSEPH L. MATHIAS to complete the work as specified below in Manchester Baptiste Cemetery Manchester MD., for the total sum of One Hundred & Fifty Dollars -------------------oonoo Dollars of which I/We hereby agree to pay $ down and the balance of $ on delivery. Firm agrees to complete work by pring 2007 unless unforeseen causes prevent, and then as soon thereafter as practicable. It is hereby agreed that In case IlWe fail to pay for the said work, either In whole or in part according to the terms of this agreement, fuil right is hereby given the Bald JOSEPH L. MATHIAS to enter in and upon said lot and remove said stone or stones. The express condition of said order is such that the life or ownership of work delivered does not pass from said JOSEPH L. MATHIAS until paid in full. Should the account be placed for collection with an attorney or collection agency, the purchaser agrees to pay all collection expenses Including court costs and a reasonable attorney's fee. TERMS: Net cash, 30 days after completion.l2%interest after30 days unless otherwise stated above. This contract cannot be canceled under any circumstances unless approved by the president of the firm and the work specified therein is subiect to acceptance by the Cemetery. Sites listed below are subiect to industry tolerances. JOSEPH L. MATHIAS has the option to reject contracts which are not signed within 30 days of the above date. Firm also reserves the right to use names and/or photographs of the completed work set forth in this contract for advertising purposes. JOSEPH L. MATHIAS is owned and operated by R.G. MERKLE, INC. LOT NO. SEC. MARBLE GRANITE DESIGN DIE BASE MARKER POST VASE OWNER: CEMETERY LETTERING FOR: FLUHARTY HELEN V. PAUL L. JAN. 25, 1913 CUT: SEPT. 15, 2006 DESIGN: One Side U Two Sides L No Design [_~ Lettered: One Side Two Sides Letters: S.B, :, Frst. L V-Sunk Sq. Raised Rd. Raised " Stock T,B.O. Ordered Die: Pol. Axed One Two Ends: Pol. Axed :_; Rock [;: Base or Marker: PT DWA ST Sides: Rock :_ Pol. '-' ,JOSEPH L. MATHIAS BY Top: Pol. Axed Axed :-_ Dura. :_, Roger Lipp F.O. Rock Margin .. SIGNED 108 Bramblewood Lane ADDRESS __ _ Mrs. Genevieve Walter __________-__ PURCHASER ZIP 17339 PHONE 717- 766-0134 ANY CORRECTIONS OR ADDITIONS MUST BE MADE ANO APPROVED IN WRITING.' THIS CONTRACT DOES NOT INCLUDE ANY ADDITIONAL OR FUTURE LETTERING. __ I Lewisberry, Pennsylvania RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 FLUHARTY HELEN VIRGINIA Estate File No.: 2006-00835 Paid By Remarks: JA Fee/Tax Description PETITION LTRS TEST WILL AUTOMATION FEE SHORT CERTIFICATE JCF FEE Check# 2885 Total Received.......... Receipt Date: 9/21/2006 Receipt Time: 11:15:05 Receipt No.: 1045735 Receipt Distribution ----- -------- -------- --- Payment Amount Payee Name 310.00 CUMBERLAND COUNTY GENERAL FUN 15.00 CUMBERLAND COUNTY GENERAL FUN 5.00 CUMBERLAND COUNTY GENERAL FUN 8.00 CUMBERLAND COUNTY GENERAL FUN 10.00 ----- -- BUREAU OF RECEIPTS & CNTR M.D - -------- $348.00 $348.00 ALLEN WEINSTOCK C.P.A. 4100 CROOKED HILL RD HARRISBURG, PA 17110 Bill To ESTATE OF HELEN FLUHARTY 108 BRAMBLEWOOD LANE LEWISBERRY, PA. 17339 Invoice Date Invoice # 6/14/2007 2179 Description Amount PREPARATION OF PA. INHF,RITANCE TAX RETURN & RELATED SERVICES 1,250.00 Tota I $1,250.00 s CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 October 27, 2006 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Genevieve C. Walter Helen Fluharty, ESTATE RE: Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: October 13, 20, 27, 2006 Advertising Cost 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 00.00 Becky H. Morgenthal, Executive Director PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says, that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January. 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has,. since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: October 13, October 20, and October 27, 2006 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. Fluharty, Helen, decd. Late of the Borough of Me- chanicsburg. Executrix: Genevieve C. Walter, 108 Bramblewood Lane, Lewis- berry, PA 17339. Attorney: None. Li a Marie Coyne, E itor SWORN TO AND SUBSCRIBED before me this 27 day of October, 2006 _ RETAIN THIS PORTION FOR YOUR RECORDS T8$ SLNTINBL - LEGAL GENEVIEVE WALTER P.O. BOX 130, CARLISLE, PA 17013 AD NU BER CLA SALESPERS N BILLING DATE LINES 316207 10 PUBLIC NOTICES andej 10/25/06 30 * 2 AD DESCRIPTION TAR DATE ST P DATE ADMINISTRATRIX NOTICE LETTERS OF A 10/06/06 10/20/06 PUBLICATI N IN ERTI N RATE NET AMOUNT GROSS AMOUNT 3 THE SENTINEL - LEGAL 3 LGL 108.90 TOTAL AD CHARGE 108.90 3 PROOF OF PUBLICATION O1PRF 6.35 PREVIOUSLY PAID -115.25 DAYS RUN PURCHASE ORDER PAY THIS AMOUNT . 00 Helen Fluharty MESSAGE: Thank you for advertising with The Sentinel. .oo* Deadlines for in-column legal advertisements: Monday is Friday at 11 a.m.; Tuesday is Friday at 4 p.m.; Wednesday is Monday at 12 Noon; Thursday is Tuesday at 12 Noon; Friday is Wednesday at 12 Noon; Sunday is Thursday at 12 Noon. If you have any questions regarding your Legal bill please call Tammy Shoemaker 243-2611, ext 203. Fax your legals to 243-3754, attention Tammy Shoemaker You can also EMAIL your legal to Classified ads: classified@cumberlink.com Please send a cover letter including your name and address as an attachment DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT p H E SEND INE ~~ LEGAl,1z Helen Fluharty AD N MBER CLA SO ART DATE S P DATE 316207 PUBLIC NOTICES 10/06/06 10/20/06 AD DE RIPTION B LLIN DATE TELEPH NE NUMBER ADMINISTRATRIX NOTICE LETTERS OF A 10/25/06 717-766-0134 GENEVIEVE WALTER 108 BRAMBLEWOOD LANE LEWISBERRY, PA 17339 I~~~III~~~I~~II~~~I1~1~1~~1~~~11 GROSS AMOUNT OF .00 DUE AFTER 11 /24/06 TOTAL AMOUNT DUE .00 ENTER AMOUNT ENCLOSED PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Tanuny Shoemaker, Classified Advertisin Manager , of The Sentinel, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13,1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following day(s) October 06, 13, 20, 2006 COPY OF NOTICE OF PUBLICATION ADMINISTE9A7FlIXNOTKE: ~~~ Letters of Ad~irt~aVatbn pn tha:EataleAtll~L,EN F411r#A:R'G1f,9dte:Si~ik-R:Boruugh of Maohsnloeburp~ Cumberland County, PennA.; deceased, hays been granted to the underslpnad. ' All pesror~.kYlowipp tbemseives'to be indebted to saki ~ Estate will make'Rv ymentimrtl@diatey, and:tho@e havUg rasims wtU~pressnt them to aettlem~t fp! gdmi~lstratrix ,t3eApvleve G:.Wl~tee Lewiat>srq,'~n'A 1')338 .'F . Affiant further deposes that he/she is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of publication are true. n l../ Swom to and subscribed before me this 25th. day of October 2006. Notary lic My commission expires: ~/~ /0~ COMMONWEALTH OF PENNSYLVANIA Notarial Seal Christina L. Woffe, Notary Public Carlisle Born, Cumberland County My Commission Expires Sept 1,2008 Member, Pennsylvania Association Of Notaries THE SENTINEL - LEGAL Printed on 10/03/2006 at 11:45 by andej (717) 766-0134 Acct# 72135 GENEVIEVE WALTER 108 BRAMBLEWOOD LANE LEWISBERRY, PA 17339 Subscr? N Ad# 316207 First taken by andej 10/03/2006 11:40 Last changed by andej 10/03/2006 11:44 Given by GENEVIEVE WALTER PO# Helen Fluharty Start 10/06/2006 Stop 10/20/2006 Transient Bill Expir. Class 10 PUBLIC NOTICES Index: NOTICE LETTERS OF ADMINISTRATION O Cols 2 Lines 15 Inches 1.51 Words 60 Box? N Mail Info: Type Mail Sched Copies Sunday Comment Affid N L 1 Est. Helen Fluharty Pb# Code Rate Base-Charge Addl-Charge Total-Cost Ins Start Stop SMTWTFS O1PRF 6.35 3 LGL 108.90 6.35 115.25 3 10/06/2006 10/20/2006 0000010 TOTAL AD COST 115.25 [~L~IIL~ Letters of Administration on the Estate of HELEN FLUHARTY late of the Borough of Mechanicsburg, Cumberland County, Penna., deceased, have been granted to the undersigned. All persons knowing themselves to be indebted to said Estate will make payment immediately, and those having claims will present them to settlement to: Executrix Genevieve C. Walter 108 Bramblewood Lane Lewisberry, PA 17339 REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER HELEN V FLUHARTY 21-06-0835 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. (If more space is needed, insert additional sheets of the same size) FLU8960 06!14/2007 1:48 PM ~ - `o Label L (See A e instructions E on page 16.) L Use the IRS label. H Otherwise, E please print R or type. E Presidential Election Campaign ~ 1 Filing Status z Check only 3 6a Exemptions b c If more than four dependents, see page 19. Income Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld. If you did not get a W-2, see page 23. Enclose, but do not attach, any payment. Also, please use Form 1040-V. Adjusted Gross Income Department of the Treasury -Internal Revenue Service U.S. Individual Income Tax RE For the year Jan. 1-Dec. 31, 2006, or other tax ear t Your first name and initial Last name HELEN V FLUHA If a joint return, spouse's first name and initial ~ Last name IRS Use Onl - Do not write or sta le in this s ace. 20 OMB No. 1545-0074 Decease Your social security number 9/15/0 235-07-8960 Spouse's social security number Home address (number and street). If you have a P.O. box, see page 16. Apt. no. You must enter 108 BRAMBLEWOOD LANE ~ your SSN(s) above. City, town or post office, state, and ZIP code. If you have a foreign address, see page 16. Checking a box below will not LEWISBERRY PA 17339 change your tax or refund. Check here if you, or your spouse if filing jointly, want $3 to go to this fund (see page 16) _ - I I You I ~ Spouse Single 4 U Head of household (with qualifying person). (See page 17.1 If the qualifying person is a child but not your dependent, enter { Married filing jointly (even if only one had income) this child's name here. - Married filing separately. Enter spouse's SSN above 5 ~ Qualifying widow(er) with dependent child (see page 17) and full name here. X Yourself. If someone can claim you as a dependent, do not check box 6a Z Dependents: (3) Dependent's t4) ~ if (2) Dependent's qua!. child relationship to for child social security number tax cr. see (1) First name Last name ~„~~ ~~„o ~ ~ d Total number of exem lions claimed ............................. .............................. .... . 7 Wages, salaries, tips, etc. Attach Form(s) W-2 .......................... ....................... 7 8a Taxable interest. Attach Schedule B if required ..... . ......... . .. . . ....... . . ............ . ......... . ga b Tax-exempt interest. Do not include on line 8a 8b 9a Ordinary dividends. Attach Schedule B if required .................. ..... ................... ga b Qualified dividends (see page 23) ... gb 10 Taxable refunds, credits, or offsets of state and local income taxes (see page 24) ............. 10 11 Alimony received ............................................... ... ....................... 11 12 Business income or (loss). Attach Schedule C or C-EZ . . . ...... . . . ..... . 12 13 Capital gain or (loss). Attach Schedule D if required. If not required, check heret> ~ 13 14 Other gains or (losses). Attach Form 4797 ......................... ............... .... . .... 14 15a IRA distributions 15a b ( P 9 ) Taxable amount see a e 25 15b 16a Pensions and annuities 16a b Taxable amount (see page 26) 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E ....... 17 18 Farm income or (loss). Attach Schedule F ......................... ... ........................ 98 19 Unemployment compensation ... 19 20a Social security benefits 120a~ 10 , 0221 b Taxable amount (see page 27) 20b 21 Other income. List type and amount (see page 29) ........................ .......................... 21 22 Add the amounts in the far ri ht column for lines 7 throw h 21. This is . our total income - 22 23 Archer MSA deduction. Attach Form 8853 23 24 Certain business expenses of reservists, performing artists, and fee-basis government officials. Attach Form 2106 or 2106-EZ 24 25 Health savings account deduction. Attach Form 8889 25 26 Moving expenses. Attach Form 3903 ........................... 26 27 One-half of self-employment tax. Attach Schedule SE 27 28 Self-employed SEP, SIMPLE, and qualified plans 28 29 Self-employed health insurance deduction (see page 29) 29 30 Penalty on early withdrawal of savings 30 31a Alimon p" y paid b Reci rent's SSN - 31a 32 IRA deduction (see page 31) ................................... 32 33 Student loan interest deduction (see page 33) 33 34 Jury duty pay you gave to your employer 34 35 Domestic production activities deduction. Attach Form 8903 35 36 Add lines 23 through 31a and 32 through 35 ................. ........................... 36 37 Subtract line 36 from line 22. This is our ad'usted ross income ... ....................... - 37 For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 80. DAA Boxes checked 1 on 6a and 6b No. of c~iildren on 6c w o: • lived with you • did not live with you due to divorce or separation (see page 20) Dependents on 6c not en- tered above Add numbers on lines I-~ 905 5,736 0 17,641 17,641 Form 1040 (loos) 'Form61 aa~2oo )ori~L~N V FLUHARTY Tax 38 Amount from line 37 (adjusted gross income) ............................................... and 39a Check X You were born before January 2 1942 Blind Total boxes ;.redits Standard Deduction for- ' People who checked any box on line 39a or 39b or who can be claimed as a dependent, see page 34 if: { 8 Spouse was born before January 2, 1942, 8 Blind. ~ checked - 39a b If your spouse itemizes on a separate return or you were adual-status alien, see page 34 and check here - 39b ........... 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) 41 Subtract line 40 from line 38 ................................................................. 42 If line 38 is over $112,875, or you provided housing to a person displaced by Hurricane Katrina, see page 36. Otherwise, multiply $3,300 by the total number of exemptions claimed on line 6d ............... . 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- ........... 44 Tax (see page 36). Check if any tax is from: a Form(s) 8814 b ~ Form 4972 ......................................................................... 235-07-8960 Paae2 3a 17 , 641 ao 6 400 a1 11 241 az 3 300 43 7.941 811 'All others: 45 Alternative minimum tax (see page 39). Attach Form 6251 45 Single or 46 Add lines 44 and 45 ............................................. - ........................ 46 811 Married filing separately, 47 Forei n tax credit. Attach Form 1116 if re uired 9 q 47 „ $5,150 48 Credit for child and dependent care expenses. Attach Form 2441 48 Married filing i tl 49 Credit for the elderly or the disabled. Attach Schedule R 49 jo n y or Qualifying 50 Education credits. Attach Form 8863 50 widow(er), $10 300 51 Retirement savings contributions credit. Attach Form 8880 51 , 52 Residential energy credits. Attach Form 5695 52 Head of household, 53 Child tax credit see a e 42 Attach Form 8901 if re uired ( P 9 )~ q 53 $7,sso 54 Credits from: a ~ Form 8396 b ~ Form 8839 c ~ Form 8859 54 55 Other credits: a ~ Form 3800 b ~ Form 8801 c ~ Form 55 56 Add lines 47 through 55. These are your total credits .............. ............................ 56 57 Subtract line 56 from line 46. If line 56 is more than line 46, enter -0- ........................ - 57 811 Other 58 Self-employment tax. Attach Schedule SE .......................................................... 58 Taxes 59 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137 59 60 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required 60 61 Advance earned income credit payments from Form(s) W-2, box 9 .............................. 61 62 Household employment taxes. Attach Schedule H ............................................. 62 63 Add lines 57 throw h 62. This is our total tax ...... .. . ........ . . . . .. . . . .. - 63 811 64 Federal income tax withheld from Forms W-2 and 1099 64 18 Pa ments 65 2006 estimated tax payments and amount applied from 2005 return 65 623 If you have a 66a Earned income credit (EIC) 66a qualifying child, attach Schedule EIC. b Nontaxable combat pay election - 66b 67 Excess social security and tier 1 RRTA tax withheld (see page 60) 67 68 Additional child tax credit. Attach Form 8812 .................... 68 69 Amount paid with request for extension to file (see page 60) .. . .. . . .. . .... 69 70 Payments from: a ~ Form 2439 b ~ Form 4136 c ~ Form 8885 70 71 Credit for federal telephone excise tax paid. Attach Form 8913 if required 71 3 0 72 Add In. 64, 65, 66a, & 67 - 71. These are your total payments . . . ... . . . . . .. ....... . ...... . . - 72 6 71 Refund 73 If line 72 is more than line 63, subtract line 63 from line 72. This is the amount you overpaid , . 73 Direct deposit? 74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here .. , .... - ~ 74a See page s1 - b Routing number - c Type: ~ Checking ~ Savings and fill in 74b, I - - 7ac, and lad, - d Account number or Form x868. 75 Amount of line 73 ou want a lied to our 2007 estimated tax - 75 Amount 76 Amount you owe. Subtract line 72 from line 63. For details on how to pay, see page 62 - 76 14 0 You Owe 77 Estimated tax enalt see a e 62 P Y( P 9 ) ............................ 77 Third Party Do you want to allow another person to discuss this return with the IRS (see page 63)? X Yes. Complete the followin . No Designee Designee's Personal identification number (PIN) - 1521 name - Pre arer Phone no - Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and Sign belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Here Your signature Date Your occupation Daytime phone number Joint return? see page 17. DECEASED Keep a copy Spouse's signature. If a joint return, both must sign. for your records. Date Spouse's occupation Preparers ' Paid signature Preparer's pirm's name (or Use Only yours if self-employed),, address, and ZIP code Date Check if Preparer's SSN or PTIN 6/14/07 self-employed ~ 202-46-5887 Allen Weinstock CPA EIN 23-2214878 4100 Crooked Hill Road Phone no. Harrisburg PA 17110 717-238-0044 D'4~' Form ~ O4O (2006) 235078960 FLUHARTY HELEN 0600112098 PA-40 - 2006 Pennsylvania Income Tax Return ENTER ONE LETTER OR NUMBER IN EACH BOX. Do Not Use Your Preprinted Label V Occupation DECEASE D Occupation 108 BRAMBLEWOOD LANE LEWISBERRY PA 17339 717-766-0134 21650 1 a Gross Compensation. Do not include exempt income, such as combat zone pay and qualifying retirement benefits. See the instructions. 1 b Unreimbursed Employee Business Expenses. 1 c Net Compensation. Subtract Line 1 b from Line 1 a. 2 Interest Income. Complete PA Schedule A if required. 3 Dividend and Capital Gains Distributions Income. Complete PA Schedule B if required. 4 Net Income or Loss from the Operation of a Business, Profession, or Farm. 5 Net Gain or Loss from the Sale, Exchange, or Disposition of Property. 6 Net Income or Loss from Rents, Royalties, Patents, or Copyrights. 7 Estate or Trust Income. Complete and submit PA Schedule J. 8 Gambling and Lottery Winnings. Complete and submit PA Schedule T. 9 Total PA Taxable Income. Add only the positive income amounts from Lines 1 c, 2, 3, 4, 5, 6, 7, and 8. DO NOT ADD any losses reported on Lines 4, 5, or 6. 10 Other Deductions. Enter the appropriate code for the type of deduction. N See the instructions for additional information. 11 Adjusted PA Taxable Income. Subtract Line 10 from Line 9. EC Page 1 of 2 FC N Extension. N Amended Return. R Residency Status. PA ResidenUNonresidenUPart-Year Resident from to D Single/Married, Filing Jointly/Married, Filing Separately/Final Return/Deceased Date of death 9 / 15 / 0 6 N Farmers. 1a 0 1b 0 1c 0 2 11905 3 0 4 0 5 0 6 0 7 0 8 0 9 11905 10 0 11 11905 0600112098 ~ m 0600112098 s J PA-40 - 2006 D 6 0 0 21210 4 Social Security Number 235078960 Name(s) HELEN V FLUHARTY 12 PA Tax Liability. Multiply Line 11 by 3.07 percent (0.0307). 13 Total PA Tax Withheld. See the instructions. 14 Credit from your 2005 PA Income Tax return. 15 2006 Estimated Installment Payments. 16 2006 Extension Payment. 17 Nonresident Tax Withheld from your PA Schedule(s) NRK-1. (Nonresidents only) 18 Total Estimated Payments and Credits. Add Lines 14, 15, 16, and 17. Tax Forgiveness Credit. 19a Filing Status: 01 Unmarried or Separated 02 Married 03 Deceased 19b Dependents, Part B, Line 2, PA Schedule SP 20 Total Eligibility Income from Part C, Line 11, PA Schedule SP. 21 Tax Forgiveness Credit from Part D, Line 16, PA Schedule SP. 22 Resident Credit. Submit your PA Schedule(s) G-S/G-L and/or RK-1. 23 Total Other Credits. Submit your PA Schedule OC. 24 TOTAL PAYMENTS and CREDITS. Add Lines 13 and 18, 21, 22, and 23. 25 TAX DUE. If Line 12 is more than Line 24, enter the difference here. 26 Penalties and Interest. See the instructions. If attaching form REV-1630, mark the box. Y 27 TOTAL PAYMENT. Add Lines 25 and 26. 28 OVERPAYMENT. If Line 24 is more than the total of Line 12 and Line 26, enter the difference here. The total of Lines 29 through 35 must equal Line 28. 29 Refund -Amount of Line 28 you want as a check mailed to you. Refund 30 Credit -Amount of Line 28 you want as a credit to your 2007 estimated account. 31 Amount of Line 28 you want to donate to the Wiid Resource Conservation Fund. 32 Amount of Line 28 you want to donate to the Military Family Relief Assistance Program. 33 Amount of Line 28 you want to donate to the Governor Robert P. Casey Memorial Organ and Tissue Donation Awareness Trust Fund. 34 Amount of Line 28 you want to donate to the Juvenile (Type 1) Diabetes Cure Research Fund. 35 Amount of Line 28 you want to donate to the Breast and Cervical Cancer Research Fund. Your Signature I Spouse's Signature, if filing jointly Preparer's Name and Telephone Number Date 717-238-OD44 Page 2 of 2 12 365 13 D 14 D 15 286 16 0 17 0 18 286 19a 00 19b o0 20 0 21 p 22 0 23 D 24 286 25 79 26 0 27 79 28 D 29 0 30 0 31 0 32 0 33 p 34 0 35 0 Firm EIN Preparer's SSN/PTIN 232214878 202465887 0600212104 0600212104 S ` ~ ~ REV-1513 EX+ (g-00) ~ SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER HELEN V FLUHARTY 21-06-0835 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE 1 TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 GENEVIEVE C WALTER,108 BRAMBLEWOOD LN, LEWISBERRY, PA ~ DAUGHTER 50% 2 VERNON R MIDCAP, 22 ORCHARD DR, MARTIN'S FERRY, OH 43935 SON 50% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET 11 NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I E (If more space is needed, insert additional sheets of the same size)