HomeMy WebLinkAbout10-09-07
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15056051058
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REV-1500 EX (06-05)
PA Department of Revenue '*
Bureau of Individual Taxes
PO BOX 280601
Harrisburg, PA 17128-0601 ~
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Year
INHERITANCE TAX RETURN
RESIDENT DECEDENT
File Number
21
01
0330
Date of Birth
184-38-1951
03/30/2007
02/04/1948
Decedent's Last Name
Suffix
Decedent's First Name
MI
Tyler
Judith
A
(If Applicable) Enter Surviving Spouse's Infonnation Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPUCATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
~ 1. Original Return
2. Supplemental Return
4. Limited Estate
r-
\...,"-~}
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
'aY
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
c:::J 10. Spousal Poverty Credit (date of death c:::J 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. AL.L CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
8. Total Number of Safe Deposit Boxes
John M. Eakin
Firm Name (If Applicable)
(717) 766-3172
REGISTE~~F WILLS US~~L Y
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'","0 ".'
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" I,
,
;
t.,C)
First line of address
Market Square Building
Second line of address
,-'-)
I I
City or Post Office
Mechanicsburg
State
ZIP Code
DATEiFILED c."
PA
17055
c")
, i
Correspondent's e-mail address:
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.
SI AT OF RS RESP SIBLE FOR FILING RETURN DATE
- 0 ~q-O
tv r; /07
e Building, Mechanicsburg, PA 17055
PLEASE USE ORIGINAL FORM ONLY
Side 1
L
15056051058
15056051058
---I
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15056052059
REV-1500 EX
Decedent's Name:
RECAPITULATION
Judith
A Tyler
1. Real estate (Schedule A). ............................................ 1.
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3.
4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5.
6. Jointly Owned Property (Schedule F) c::::> Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & 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, & Liens (Schedule I). . . . . . . . . . . . . . . . 10.
11. Total Deductions (total Lines 9 & 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Net Value of Estate (Une 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13.
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_
16. Amount of Line 14 taxable
at lineal rate X.O_
17. Amount of Line 14 taxable
at sibling rate X .12 443,623.84
18. Amount of Line 14 taxable
at collateral rate X .15
15.
16.
17.
18.
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
L
15056052059
Side 2
Decedent's Social Security Number
184-38-1951
185,000.00
144,794.00
196,788.72
526,582.72
16,703.55
66,255.33
82,958.88
443,623.84
443,623.84
53,234.86
15056052059
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REV-1500 EX Page 3
Decedent's Complete Address:
File Number
0330
DECEDENTS NAME' DECEDENTS SOCIAL SECURITY NUfl.eER
,
Judith A Tyler 184-38-1951
STREET ADDRESS
30 Westwood Court
CITY I STATE I ZIP
Enola PA 17025
Tax Payments and Credits:
1. Tax Due (Page 2 Une 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
53,234.86
45,000.00
2,368.35
Total Credits ( A + B + C ) (2)
47,368.35
3. InterestIPenalty if applicable
D. Interest
E. Penalty
TotallnterestIPenalty ( D + E ) (3)
4. If Une 2 is greater than Une 1 + Une 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
5. If Une 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE.
5,866.51
B. Enter the total of Une 5 + 5A. This is the BALANCE DUE.
(5)
(5A)
(5B)
A. Enter the interest on the tax due.
5,866.51
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... 0 [i]
b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 [i]
c. retain a reversionary interest; or.......................................................................................................................... 0 [iJ
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [i]
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0 [i]
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 [i]
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0 [i]
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 exemDt 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 paren~ an
adoptive paren~ 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 decedenfs 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)). A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1502 EX + (6-98)
.
SCHEDULE A
REAL ESTATE
C~NWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Tyler. Judith. Ann 21 07 0330
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 seD, both having reasonable knowledge of the relevant facts.
Real property which is iointlv-owned with rioht of survivorshin must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
House and Lot of ground 30 Westwood Court, Enola, PA. Sold 6/14/07, Sale price
reported. See attached settlement sheet
VALUE AT DATE
OF DEATH
185,000.00
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed. insert additional sheets of the same size)
185000.00
- .
A. B. TYPE OF LOAN:
, 1-.l ]FHA 2.DFmHA 3.rXlcONV. UNINS. 4. [lVA 5. lCONV.INS.
U.S. DEPARTMENT OF HOUSING & URB,.~\DEVELOPMENT 6. ~~:~~~MBER: I 7. ~?AN NUMBER:
SE:TTLEMENT STATEMENT 8. MORTGAGE INS CASE NUMBER:
C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amo.untspa~ to and by the settlement ,!gent are .shown.
Items marked "[POC)" were paid outside the dosing; they are shown here for informatIOnal purposes and are not Included In the totals.
1.0 31118 (07.0787.~G'07.0787/15)
D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER:
Harry R. Feltenberger Estate of Judith S. Tyler
5 Lincoln Woods Way Apt. 1A Sovereign Bank
Perry Hall, MD 21128 1130 Berkshire Blvd
Wyomissing, PA 19610
ParceI0~12-2992-109
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 23-2850082 I. SETTLEMENT DATE:
30 Westoood Court White Rose Settlement Services, Inc.l07-0787
Enola, PA 17025 September 14, 2007
Cumberland County, Pennsylvania PLACE OF SETTI.EMENT
1441 East Market Street
York, Pennsylvania 17403
J. ~UMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLFR'S TRANSA~TION
linn ~Dnc;:c;: ./Iunl FRrlM 400. C;:CI CD.
101. ContractSalesPrice . 185,000.00 401. Contract Sales Price 185,000.00
102. Personal Prooertv 402. Personal Prooertv
103. Settlement Charaes to Borrooor lLine 1400) 5,715.93 403.
104. 404.
105. 405.
. 1/"", ~ --,::iiiJrIHII .<';"I/<>r In 'IfAm.<: PRirl Rv .<';A/lArln
106. CitvfTown Taxes to 406. CitvfTown Taxes to
107. Countv Taxes 09/14/07 to 01/01/08 155.95 407. County Taxes 09/14/07 to 01/01/08 155.95
108. School Taxes 09/14/07 to 07/01/08 1,459.99 408. School Taxes 09/14/07 to 07/01/08 1,459.99
109. Sewer/Refuse 09/14/07 to 10/01/07 21.25 409. Sewer/Refuse 09/14/07 to 10/01/07 21.25
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 192,353.12 420. GROSS AMOUNT DUE TO SELLER 186,637.19
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Deoosit oreamest monev 501. Excess Deoosit (See Instructions\
202. Prinooal Amount of New Loan(s) 144,000.00 502. Settlement Charges to Seller (Line 1400) 1,855.00
203. Existing loan(s\ taken subiect to 503. Existina loan(s) taken subiect to
204. 504. Payoff of first Mortgage
205. 505. Pavoff of second Mortaaae
206. 506.
207. 507.
208. 508.
209. 509.
Adiustments For ItemslJiWald Bv Seller Adiustments For Items UilDaTifBV .<\AllAr
210. CitvfTown Taxes to 510. CitvfTown Taxes to
211. Countv Taxes to 511. County Taxes to
212: School Taxes to 512. School Taxes to
213. 513.
214. 514.
215. 515.
216. 516.
217. 517. 2007-2008 School Taxes to Debbie Luoold 1,836.28
218. 518.
219. 519.
220. TOTAL PAID BY/FOR BORROWER 144,000.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 3,691.28
300. CASH AT SETTLEMENT FROMfTO BORROWER: 600. CASH AT SETTLEMENT TOIFROM.sELLER:
301. Gross Amount Due From Borrower (Line 120) 192,353.12 601. Gross Amount Due To Seller (Line 420\ 186637.19
302. Less Amount Paid By/For Borrower (Line 220) ( 144,000.00 602. Less Reductions Due Seller (Line 520) ( 3,691.28
303. CASH ( X FROM) ( TO) BORROWER 48.353.12 603. CASH ( X TO J ( FROM) SELLER 182,945.91
The undersigned hereby acknowledge receipt of,. completed copy of pages 1&2 of this statement & ~;L,chments referr~ to herein.
Borrower ~. ..... A3..$. __ Seller -"'#);A.~ _I" -)
rry . elten ber.g€"r ---'" Estate of Judith S. Tyle? II
~
HU0-1 (3-86) RESPA. HB4305.2
L. SETTLEMENT CHARGES - - -- ---
700. TOTAL COMMISSION Based on Price $ @ % PAID FROM PAID FROM
Division of Comnission (line 700) as Follows: -'-- BORROWERS SELlER'S
701.$ to FUt-DS AT FUt-DS AT
702.$ to SETTLEMENT SETTLEMENT
703. Commission Paid at Settlement I I
704. to --r I
1800. ITEMS PAYABLE IN CONNECTION W1TJ-I..l.O...AN
801. Loan Oriaination I.ee % to I I
802. Loan Discount % to I I
803. Appraisal Fee to Robert Banzoff 350.00 -
804. Credit Report to CBC Companies I 19.001
805. Document Prepa~a tion Fee to Sovereign Bank - I -200.00 --
806. Tax Service Fee to LSI Tax Services 1 69.001
807. Docuemnt Delivery Fee to Sovereign Bank I 3.501 ---
808. Flood Certificatim to FIS Flood Services .- I 7.501
809. Application Fee to Sovereign Bank POCB29900 I I
810.
811.
900. ITEMS RE OUIRE D BYLENDER TO BE PAID IN ADVANCE
901. Interest From 09/14/07 to 10/01/07 @ $ 25.643840/day ( 17 days 6.5000%) 442.00
902. Mortaaae Insurance Premium for month S to --
903. Hazard Insurance Premium for 1.0 years to Doneaal Mutual Insurance Comoanv 349.00 ---
904.
905.
1000. RESERVES DEPOSITED WITH LENDER
1001. Hazard Insurance 4.000 months $ 29.08 oar month 116.32
1002, Mortgage I:lSUriHlce months $ oer month
1003. CityfTown Taxe" months $ oar month
1004. County Taxes 8.000 months $ 43.52 oar month 348.16
1005. School Taxes 4.000 months @ $ 153.02 per month 612.08
1006. months $ oar month
1007. months $ oer month
1008. Aaa rea ate Acccll ntina Adi ustmt months $ oer month -174.01
1100. TITLE CHARGES
1101. Settlement or Closinq Fee to 1
1102. Abstract or Title Sea rch to
1103. Title Examinatic'l to
110,1. Title Insurance ;',inder to
1105. Document Prep;iration to
1106. Notary Fees to Notarv Public 30.00 5.00
1107. Attorney's Fees to
{includes above item numbers: T
1108. Title Insurance to White Rose Settlement Services Inc. re-issu e 1 305.38
(includes above item numbersj 102. 1103, 1104, 1111 )
1109. Lender's COVer2]e $ 144,000.00
1110. Owne r's Covera;e $ 185,000.00
1111. Ends 100/300/8,1 to White Rose Settlement Services Inclw/1108 $150
1112, Closing Service '.etter to Old Republic National Title Insurance Company Ins. Letter 35.00
1113. Electronic Doc retrieval Fee to White Rose Settlement Services 15.00
12GJ. GOVERNMENT RECORDING AND TRANSFER CHARGFS
1201. Recording Fees Deed $ 38.50; Mortgage $ 64.50; Releases $ 103.00
1202. City/Countv Tax Stamps: Deed 1,850.00' Mortaaae 1,850.00
1:'J3. State Tax/Starn: s: Transfer Tax ; Mortaaae 1,850.00 1,850.00
1204.
1205.
1300. ADDITIONAL SfTTLEMENT CHARGES
J1~ 1. Survey _ to
EQ2. Pest Inspection to
130 J. Tax Certification to WRSS/Debbie Lupoid Reimbursement 5.00
1304. Overnight/Deliv'y Fee to White Rose Settlement ServlDHL Pka 20.00
13(6, Wire Fee to White Rose SSlCommerce Bank Incg 10.00
1400. TOTAL SETTLE:v1ENT CHARGES (Enter on Lines 103, Section J and 502, Section K) 5,715.93 1,855.00
'---. "
By ,",oieg P'9' 1 or ',i,,""m,el, ~,,",o.l<"'" ."'''''''edge ''''010'. """",,,led ~~ ,-...t
Certified to be a true {) Whi~ Rose Settlement Services, lne;
py
Settlement Agent
(fJ7.fJ7f51/fJ7.fJ7f51/15 )
REV-1503 EX + (6-98)
*'
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
. INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Tyler Judith Ann
FILE NUMBER
21 07
All property jointly-owned with right of sUNivorship must be disclosed on Schedule F.
0330
ITEM
NUMBER
1.
DESCRIPTION
Money Market Prime Fund-Capital Reserves 76.87 shares @ $1.00, see attached
2.
First Energy Corp 741.436 shares @ $66.24, see attached
3.
Soverign Bancorp Inc. 1041.048 shares @$25.44, see attached
4.
American Balanced Class A 620.383 shares @ $19.04, see attached
5.
American Income Fund of American Class A 649.586 shares @ $20.60, see attached
6.
American New Perspective Class A 89.856 shares @$32.29, see attached
7.
American Washington Mutual Investors 181.681 shares @ $35.02, see attached
8.
U.S. Series EE Bonds, Judith Tyler POD James L. Tyler, Jr., see attached
9.
U. S. Series EE and Series I Bonds, Judith Tyler POD Elizabeth Hanar, see attached
10.
U.S. Series EE and Series I Bonds, Judith Tyler POD Thomas Hanar, see attached
11.
U.S. Series EE Bonds, Judith Tyler POD Eugene W. Smith, see attached
12.
150 Shares First Perry Bancorp @ 35.00
VALUE AT DATE
OF DEATH
76.87
49,112.72
26,484.26
11,812.09
13,381.47
2,901.45
6,362.47
8,553.64
9,226.08
9,032.48
2,600.47
5,250.00
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
144.794.00
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C0037333641 1 $100 12/2004 04/2007 12/2034 $100.00 $8.80 4.12% $108.80 P5
C0037351331 1 $100 12/2004 04/2007 12/2034 $100.00 $8.80 4.12% $108.80 P5
C0030589651 1 $100 07/200304/2007 07/2033 $100.00 $14.52 4.22% $114.52 P5
C0030610221 1 $100 08/2003 04/2007 08/2033 $100.00 $14.32 4.22% $114.32 P5
C0030630501 1 $100 09/2003 04/2007 09/2033 $100.00 $14.12 4.22% $114.12P5
C0030650781 1 $100 10/2003 04/2007 10/2033 $100.00 $13.92 2.11% $113.92P5
C0030670571 1 $100 11/2003 04/2007 11/2033 $100.00 $12.48 4.22% $112.48 P5
C0030690451 1 $100 12/2003 04/2007 12/2033 $100.00 $12.08 4.22% $112.08 P5
C0030709451 1 $100 01/2004 04/2007 01/2034 $100.00 $11.88 4.22% $111.88 P5
C645305686EEEE $100 11/199804/2007 11/2028 $50.00 $19.44 4.39% $69.44
C645 243835EE EE $100 08/199804/2007 08/2028 $50.00 $20.48 4.39% $70.48
C645261709EEEE $100 09/199804/2007 09/2028 $50.00 $20.24 4.39% $70.24
C654288099EE EE $100 10/199804/2007 10/2028 $50.00 $20.00 4.11% $70.00
C654150661EEEE $100 04/1999 04/2007 04/2029 $50.00 $18.24 4.11% $68.24
C654092048EE EE $100 01/199904/2007 01/2029 $50.00 $18.92 4.39% $68.92
C654108859EE EE $100 02/199904/2007 02/2029 $50.00 $18.68 4.39% $68.68
C654134223EEEE $100 03/1999 04/2007 03/2029 $50.00 $18.44 4.39% $68.44
C671167298EEEE $100 05/199904/2007 OS/2029 $50.00 $17.96 4.39% $67.96
C67l183467EEEE $100 06/199904/2007 06/2029 $50.00 $17.72 4.39% $67.72
C671206346EE EE $100 08/199904/2007 08/2029 $50.00 $17.24 4.39% $67.24
C6 71221300EE EE $100 09/199904/2007 09/2029 $50.00 $17.00 4.39% $67.00
C679187988EEEE $100 10/1999 04/2007 10/2029 $50.00 $16.76 4.11% $66.76
C679202864EEEE $100 10/199904/2007 10/2029 $50.00 $16.76 4.11% $66.76
C679217360EEEE $100 11/1999 04/2007 11/2029 $50.00 $16.48 4.39% $66.48
C679231800EEEE $100 12/199904/2007 12/2029 $50.00 $16.24 4.39% $66.24
C679245987EEEE $100 01/2000 04/2007 01/2030 $50.00 $16.00 4.39% $66.00
C679260279EE EE $100 02/2000 04/2007 02/2030 $50.00 $15.76 4.39% $65.76
C698729986EE EE $100 03/2000 04/2007 03/2030 $50.00 $15.52 4.39% $65.52
C698744041EEEE $100 04/2000 04/2007 04/2030 $50.00 $15.28 4.11% $65.28
C698757632EEEE $100 OS/2000 04/2007 OS/2030 $50.00 $14.88 4.39% $64.88
C698771075EE EE $100 06/2000 04/2007 06/2030 $50.00 $14.64 4.39% $64.64
C698784410EEEE $100 07/200004/2007 07/2030 $50.00 $14.44 4.39% $64.44
C709157249EE EE $100 08/2000 04/2007 08/2030 $50.00 $14.20 4.39% $64.20
COO 15116681 1 $100 08/2000 04/2007 08/2030 $100.00 $50.92 6.76% $150.92
C0015128471 1 $100 09/2000 04/2007 09/2030 $100.00 $50.08 6.76% $150.08
C0015141081 1 $100 10/2000 04/2007 10/2030 $100.00 $49.48 4.62% $149.48
C0015153751 1 $100 11/2000 04/2007 11/2030 $100.00 $46.08 6.55% $146.08
C0015166751 1 $100 12/2000 04/2007 12/2030 $100.00 $45.28 6.55% $145.28
C0015179501 1 $100 01/2001 04/2007 01/2031 $100.00 $44.52 6.55% $144.52
C0015192111 1 $100 02/2001 04/2007 02/2031 $100.00 $43.72 6.55% $143.72
C0017525201 1 $100 03/2001 04/2007 03/2031 $100.00 $42.96 6.55% $142.96
C0017537821 1 $100 03/2001 04/2007 03/2031 $100.00 $42.96 6.55% $142.96
C0017550751 1 $100 04/200104/2007 04/2031 $100.00 $42.44 4.42% $142.44
C0017553971 1 $100 OS/2001 04/2007 OS/2031 $100.00 $38.28 6.15% $138.28
C0017576721 1 $100 06/2001 04/2007 06/2031 $100.00 $37.60 6.15% $137.60
C0017589961 1 $100 07/2001 04/2007 07/2031 $100.00 $36.88 6.15% $136.88
C0017445291 1 $100 08/2001 04/2007 08/2031 $100.00 $36.20 6.15% $136.20
C0017463241 1 $100 09/2001 04/2007 09/2031 $100.00 $35.52 6.15% $135.52
C0017482371 1 $100 10/2001 04/2007 10/2031 $100.00$35.08 4.02% $135.08
COO1750101I 1 $100 11/2001 04/2007 11/2031 $100.00 $27.36 5.13% $127.36
C0017600181 1 $100 12/2001 04/2007 12/2031 $100.00 $26.84 5.13% $126.84
C0017618771 1 $100 01/2002 04/2007 01/2032 $100.00 $26.32 5.13% $126.32
C0017637831 1 $100 02/2002 04/2007 02/2032 $100.00 $25.76 5.13% $125.76
C001765631I 1 $100 03/2002 04/2007 03/2032 $100.00 $25.24 5.13% $125.24
C0017674571 1 $100 03/2002 04/2007 03/2032 $100.00 $25.24 5.13% $125.24
C0017693481 1 $100 04/2002 04/2007 04/2032 $100.00 $24.00 3.01% $124.00P5
http://www.treasurydirect.govIBC/SBCPrice
5/3/2007
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COOl7712441 I $100 OS/2002 04/2007 OS/2032 $100.00 $23.04 5.13% $123.04 P5
C001773120I I $100 06/2002 04/2007 06/2032 $100.00 $22.52 5.13% $122.52P5
C0017749851 I $100 07/2002 04/2007 07/2032 $100.00 $22.24 5.13% $122.24 P5
COO17769571 I $100 08/2002 04/2007 08/2032 $100.00 $21.92 5.13% $121.92P5
COO17791831 I $100 09/2002 04/2007 09/2032 $100.00 $21.64 5.13% $121.64 P5
COO1781351I I $100 10/2002 04/2007 10/2032 $100.00 $21.32 3.01% $121.32 P5
COO17835451 I $100 11/2002 04/2007 11/2032 $100.00 $19.56 4.72% $119.56 P5
C0017857491 I $100 12/2002 04/2007 12/2032 $100.00 $19.08 4.72% $119.08 P5
C0017879721 I $100 01/2003 04/2007 01/2033 $100.00 $18.84 4.72% $118.84 P5
C0017901501 I $100 01/2003 04/2007 01/2033 $100.00 $18.84 4.72% $118.84 P5
COO30483101 I $100 02/2003 04/2007 02/2033 $100.00 $18.60 4.72% $118.60 P5
C0030504691 I $100 03/2003 04/2007 03/2033 $100.00 $18.32 4.72% $118.32 P5
C0030526301 I $100 04/2003 04/2007 04/2033 $100.00 $18.08 2.61% $118.08 P5
C0030547621 I $100 OS/2003 04/2007 OS/2033 $100.00 $15.12 4.22% $115.12P5
COO3056893I I $100 06/2003 04/2007 06/2033 $100.00 $14.72 4.22% $114.72P5
C0080408891 I $100 01/2004 04/2007 01/2034 $100.00 $11.88 4.22% $111.88 P5
C0080427641 I $100 02/2004 04/2007 02/2034 $100.00 $11.68 4.22% $111.68P5
COO8044733I I $100 03/2004 04/2007 03/2034 $100.00 $11.52 4.22% $111.52 P5
C008046613I I $100 04/2004 04/2007 04/2034 $100.00 $11.32 2.11% $111.32P5
COO80484881 I $100 OS/2004 04/2007 OS/2034 $100.00 $11.00 4.12% $111.00P5
COO8052201I I $100 07/2004 04/2007 07/2034 $100.00 $10.44 4.12% $110.44 P5
COO80503991 I $100 06/2004 04/2007 06/2034 $100.00 $10.64 4.12% $110.64P5
COO37368471 I $100 01/2005 04/2007 01/2035 $100.00 $8.64 4.12% $108.64 P5
COO3738582I I $100 02/2005 04/2007 02/2035 $100.00 $8.44 4.12% $108.44 P5
COO37402781 I $100 03/2005 04/2007 03/2035 $100.00 $8.24 4.12% $108.24P5
C003741938I I $100 04/2005 04/2007 04/2035 $100.00 $8.08 2.01% $108.08 P5
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5/3/2007
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C0080531481 I $100 07/2004 04/2007 07/2034 $100.00 $10.44 4.12% $110.44 P5
C0080549491 I $100 08/2004 04/2007 08/2034 $100.00 $10.24 4.12% $110.24 P5
C0037289441 I $100 09/2004 04/2007 09/2034 $100.00 $10.08 4.12% $110.08 P5
C003730697I I $100 10/2004 04/2007 10/2034 $100.00 $9.88 2.01% $109.88 P5
C0037324701 I $100 11/2004 04/2007 11/2034 $100.00 $9.16 4.12% $109.16 P5
C0037342321 I $100 12/2004 04/2007 12/2034 $100.00 $8.80 4.12% $108.80 P5
C0037359901 I $100 01/2005 04/2007 01/2035 $100.00 $8.64 4.12% $108.64 PS
C0030599791 I $100 08/2003 04/2007 08/2033 $100.00 $14.32 4.22% $114.32 P5
C0030620481 I $100 08/2003 04/2007 08/2033 $100.00 $14.32 4.22% $114.32 P5
C00306407I I $100 09/2003 04/2007 09/2033 $100.00 $14.12 4.22% $114.12P5
C0030660551 I $100 10/2003 04/2007 10/2033 $100.00 $13.92 2.11% $113.92PS
C003068041I I $100 11/2003 04/2007 11/2033 $100.00 $12.48 4.22% $112.48 P5
C0030699891 I $100 12/2003 04/2007 12/2033 $100.00 $12.08 4.22% $112.08 P5
C0030719091 I $100 01/2004 04/2007 01/2034 $100.00 $11.88 4.22% $111.88PS
C645296933EE EE $100 11/199804/2007 11/2028 $50.00 $19.44 4.39% $69.44
C645279280EE EE $100 10/1998 04/2007 10/2028 $50.00 $20.00 4.11% $70.00
C645252621EE EE $100 09/199804/2007 09/2028 $50.00 $20.24 4.39% $70.24
C654083143EE EE $100 12/1998 04/2007 12/2028 $50.00 $19.20 4.39% $69.20
C0037376751 I $100 02/2005 04/2007 02/2035 $100.00 $8.44 4.12% $108.44 P5
C0037394191 I $100 03/2005 04/2007 03/2035 $100.00 $8.24 4.12% $108.24 P5
C003741091I I $100 04/2005 04/2007 04/2035 $100.00 $8.08 2.01% $108.08 P5
C654100525EE EE $100 01/199904/2007 01/2029 $50.00 $18.92 4.39% $68.92
C654126227EE EE $100 03/199904/2007 03/2029 $50.00 $18.44 4.39% $68.44
C654142412EE EE $100 04/199904/2007 04/2029 $50.00 $18.24 4.11% $68.24
C671159312EEEE $100 05/1999 04/2007 OS/2029 $50.00 $17.96 4.39% $67.96
C671175337EE EE $100 06/199904/2007 06/2029 $50.00 $17.72 4.39% $67.72
C671198983EEEE $100 07/199904/2007 07/2029 $50.00 $17.48 4.39% $67.48
C671214102EEEE $100 08/199904/2007 08/2029 $50.00 $17.24 4.39% $67.24
C671228447EE EE $100 09/199904/2007 09/2029 $50.00 $17.00 4.39% $67.00
C679195621EEEE $100 10/1999 04/2007 10/2029 $50.00 $16.76 4.11% $66.76
C6 79209954EE EE $100 11/199904/2007 11/2029 $50.00 $16.48 4.39% $66.48
C679224906EEEE $100 12/1999 04/2007 12/2029 $50.00 $16.24 4.39% $66.24
C679238901EEEE $100 01/200004/2007 01/2030 $50.00 $16.00 4.39% $66.00
C679253232EE EE $100 02/2000 04/2007 02/2030 $50.00 $15.76 4.39% $65.76
C698723186EE EE $100 03/2000 04/2007 03/2030 $50.00 $15.52 4.39% $65.52
C698767287EE EE $100 03/2000 04/2007 03/2030 $50.00 $15.52 4.39% $65.52
C698750882EEEE $100 04/2000 04/2007 04/2030 $50.00 $15.28 4.11% $65.28
C698764408EEEE $100 OS/2000 04/2007 OS/2030 $50.00 $14.88 4.39% $64.88
C698777774EE EE $100 06/2000 04/2007 06/2030 $50.00 $14.64 4.39% $64.64
C698791152EEEE $100 07/200004/2007 07/2030 $50.00 $14.44 4.39% $64.44
C0015122221 I $100 09/2000 04/2007 09/2030 $100.00 $50.08 6.76% $150.08
C001514721I I $100 10/2000 04/2007 10/2030 $100.00 $49.48 4.62% $149.48
COO15134901 I $100 09/2000 04/2007 09/2030 $100.00 $50.08 6.76% $150.08
COO151602OI I $100 11/2000 04/2007 11/2030 $100.00 $46.08 6.55% $146.08
C0015173051 I $100 12/2000 04/2007 12/2030 $100.00 $45.28 6.55% $145.28
COO15185681 I $100 01/2001 04/2007 01/2031 $100.00 $44.52 6.55% $144.52
C0015198651 I $100 02/2001 04/2007 02/2031 $100.00 $43.72 6.55% $143.72
COO1753141I I $100 03/200104/2007 03/2031 $100.00 $42.96 6.55% $142.96
COO1754401I I $100 04/2001 04/2007 04/2031 $100.00 $42.44 4.42% $142.44
COO17557521 I $100 OS/2001 04/2007 OS/2031 $100.00 $38.28 6.15% $138.28
COO17570091 I $100 06/2001 04/2007 06/2031 $100.00 $37.60 6.15% $137.60
COO17583251 I $100 07/200104/2007 07/2031 $100.00 $36.88 6.15% $136.88
C0017453891 I $100 08/2001 04/2007 08/2031 $100.00 $36.20 6.15% $136.20
COO17472721 I $100 09/2001 04/2007 09/2031 $100.00 $35.52 6.15% $135.52
C0017491381 I $100 10/2001 04/2007 10/2031 $100.00 $35.08 4.02% $135.08
COO1751061I I $100 11/2001 04/2007 11/2031 $100.00 $27.36 5.13% $127.36
C0017609451 I $100 12/2001 04/2007 12/2031 $100.00 $26.84 5.13% $126.84
C0017627941 I $100 01/2002 04j2007 01/2032 $100.00 $26.32 5.13% $126.32
COO176469OI I $100 02/2002 04/2007 02/2032 $100.00 $25.76 5.13% $125.76
COO17665331 I $100 03/2002 04/2007 03/2032 $100.00 $25.24 5.13% $125.24
http://www .treasurydirect.govIBC/SBCPrice
5/4/2007
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C0017684001 1 $100 04/2002 04/2007 04/2032 $100.00 $24.00 3.01% $124.00 P5
C0017702951 1 $100 OS/2002 04/2007 OS/2032 $100.00 $23.04 5.13% $123.04P5
C0017721671 1 $100 06/2002 04/2007 06/2032 $100.00 $22.52 5.13% $122.52 P5
C0017740311 1 $100 07/2002 04/2007 07/2032 $100.00 $22.24 5.13% $122.24P5
C0017597191 1 $100 08/200104/2007 08/2031 $100.00 $36.20 6.15% $136.20
C0017759041 1 $100 08/2002 04/2007 08/2032 $100.00 $21.92 5.13% $121.92 P5
C0017780741 1 $100 08/2002 04/2007 08/2032 $100.00 $21.92 5.13% $121.92 P5
C0017802571 1 $100 09/2002 04/2007 09/2032 $100.00 $21.64 5.13% $121.64 P5
C0017824311 1 $100 10/2002 04/2007 10/2032 $100.00 $21.32 3.01% $121.32P5
C0017846251 1 $100 11/2002 04/2007 11/2032 $100.00 $19.56 4.72% $119.56 P5
C0017868341 1 $100 12/2002 04/2007 12/2032 $100.00 $19.08 4.72% $119.08 P5
C0017890321 1 $100 01/2003 04/2007 01/2033 $100.00 $18.84 4.72% $118.84P5
C0017912361 1 $100 02/2003 04/2007 02/2033 $100.00 $18.60 4.72% $118.60 P5
C0030493941 1 $100 03/2003 04/2007 03/2033 $100.00 $18.32 4.72% $118.32 P5
C0030515381 1 $100 04/2003 04/2007 04/2033 $100.00 $18.08 2.61% $118.08 P5
C0030536831 1 $100 OS/2003 04/2007 OS/2033 $100.00 $15.12 4.22% $115.12 P5
C0030558161 1 $100 06/2003 04/2007 06/2033 $100.00 $14.72 4.22% $114.72P5
C0030579201 1 $100 07/2003 04/2007 07/2033 $100.00 $14.52 4.22% $114.52 P5
C0080513271 1 $100 07/2004 04/2007 07/2034 $100.00 $10.44 4.12% $110.44 P5
C0080418351 1 $100 02/2004 04/2007 02/2034 $100.00 $11.68 4.22% $111.68 P5
C0080437501 1 $100 03/2004 04/2007 03/2034 $100.00 $11.52 4.22% $111.52P5
C0080456671 1 $100 04/2004 04/2007 04/2034 $100.00 $11.32 2.11% $111.32P5
C0080475501 1 $100 OS/2004 04/2007 OS/2034 $100.00 $11.00 4.12% $111.00 P5
C0080494551 1 $100 06/200404/200706/2034 $100.00 $10.64 4.12% $110.64 P5
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http://www.treasurydirect.govIBC/SBCPrice
5/4/2007
REV-1508 EX + (6-98)
*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMoNWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Tyler. Judith. Ann
FILE NUMBER
21 07
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
NUMBER
1.
DESCRIPTION
Household Furnishings, See attached
2.
Piano, See attached
3.
1st National Bank of Marysville, CD 64021, see attached
4.
2002 Honda CRV Ex , see attached appraisal
5.
1 st National Bank of Marysville, Checking Acct #401919, see attached
6
1st National Bank of Marysville, Money Market Acct. #908347, see attached
7.
1 st National Bank of Marysville, CD #62348, see attached
8
PSECU Account # 767719
9.
Patriot News, Refund
10.
Chemlawn , Refund
11.
Capital Blue Cross, Refund
12.
Commonwealth of Pennsylvania
13.
Donegal Insurance, Home insurance Refund
14.
Bank Shares Dividends
15.
County tax, school tax and sewer/refuse - refund 30 Westwood Court, Enola
16.
2006 Taxes - Refund
Federal $1411.00 + State $29.00
0330
VALUE AT DATE
OF DEATH
1,585.00
8,442.00
112,294.55
15,860.00
701.88
3,762.10
12,538.45
4,594.03
20.85
432.62
648.82
32,505.23
297.50
28.50
1,637.19
1,440.00
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
196 788.72
r.c;,4
Frank Potteiger
269 N Middle~ex Rd
Carlisle, Pa 170 14
243..1388
June 5, 2007
Mr. Eakin
Market Square Building
Mech.. Pa ) 7055
Appraisal tor Judith Tyler Estate, 30 Westwood Court, Eoola, Pa.
Linda Hajjar, ext.
living room:
multi colored chair
pink chair & stool
bookcase
white sofa
3pc stand set
glass cabinet
fam By room:
green recliner
sofa
\g chair & stool
sofa table
coffee tabJe & 2 stands
cabinet
)/alllalla Bab)' Gr-ana Piano __
hutch
table & 2 chait's
tv
tv cabinet
computer desk
wardrobe
2 dressers & bed
$ , 5.00
35.00
10.00
35.00
25.00
95.00
100.00
125.00
75.00
45.00
150.00
15.00
].5;00(},{)0
45.00
60.00
45.00
60.00
40.00
85.00
75.00
JUN-5-2007 TUE 04:03PM 1D:
POr.;!=". 1
.. -.. -- - -. --- -- - . --' ... .. .... .. .. .... -. . - - - - . ...
4pc bedroom set
lamps,picturcs &, mise smalls
~ ~g.:5' -
'fotal appraisal: $16,585.00
Total Due: ~ ')'0.0: /R-.
300.00
150.00
JUN-5-2007 TUE 04:04PM 10:
PQr.;i=.~
.
MENCHEY MUSIC SERVICE, Inc.
PURCHASE AGREEMENT
~~~ S.
Purchased By: NAME
w~ H"\,'\A::)o~
T~ kIZ
.<L-: Co~-(.
12r- Y5 ~K'
Home Phone
Cj'gb-Y7 U>
Work Phone
30
.f:./VQ {A-
City
f~
Address
State
I 70 '2..S-
Zip
Delivered to: NAME
Home Phone
Work Phone
A d dress
City
State
Zip
(See attached)
Del ivery Instructions
COD
Steps
Floor
Delivery Date
Qty
Manufacturer
Model #
Serial #
Finish
Bench
Amount
-L
LtA^-\~M-
~~....Qp..J'
~(e...
~~) ~I ;,,-~
Is Jr- LN~
jOJ;ZL..~ j)v
~~
s8'zr?oo
$
$
Other Charges -----------------------------------
s
UWe have read, understand and agree that Menchey
Music Service, Inc. reserves the right to authorize
outside parties for the purpose of inspection and appraisal
regarding the condition of any trade-in offered by the
customer and may refuse <:r.y trade-in listed in this
Agreement in the evenl they find serious undisclosed
defects, naws or inaccurate infom1ation.
Please Initial here
Trade-in Credit (excluding tax) ---------------
$
Su b Total ----------------------------------------
Delivery Charge ______________________________n_
$(
$ Lf CJ? -7'1
$ I,!S-~o
Tax -- ------- ---- --- -- -- -- ---------- -- ----- ----- ----
Total ------------------:;;l--::.------------------i if! IS
TRADE-IN APPRAISAL, INFORMA TON AND AUTHORIZA nON (il apPlicai~tll 'tJcf tIrd r1 "11.. 7 '1
~o ~;r- ...-,')" ,,:;)
&-1;' ~ v""'..
Manufacturer Model Finish Serial Number Age
Manufacturer
Model
Finish
Serial Number
Age
tf
J)r-~j~ ~ 'iYl_'J
Co.t> :.
1/ We _ agree to sell to Menchey Music Service,lnc. and hereby warrant and represent thallI We am I are the sole and exclusive owner of
the instrument(s) listed above and that my / our title and ownership thereto is neither encumbered by nor SIIbjectto any outstanding or unpaid conditional sales contract, creditor's lien or other unpaid
debts, and thaI this slatement is made for lhe express purpose of holding Menchey Music S~.rvice, Inc. harmless from any claims rising from undisclosed debts on said instrument. I allthorize that I
have free and clear litle 10 said instrument and agree to sell/trade-in this instrument 10 Menchey Music Service, Inc. for the sum of $ dollars, pending approval from Menche
Music Service. Inc. upon receipt and inspection of said instrument in good working condition.
IN WITNESS WHEREOF, l/WE hereunto selmy/our hand and seal: Dale:
Signature:
TERMS AND CONDITIONS
Alllenns and conditions of this agreemen' are cont.,ned herein and are not .ubjectto allY oral modificalioll, representation or warranty. Buyer hereby sells and coveys any trade-in to Seller and
wamnls and agrees to defend lille 10 the same. Merchandise may not be returned for credit or refund. C.O.D. payments musl be made by either certified or bank calbier's check. In lhe event of a
buyer's claim under any warranty. Buyer In LiSt sLlbmil a claim in writing and pennil inspection and resolution by Seller, as provided by the terms of the warranty. Instrumenlluning, regulation and I
I or vOlcmg do not conslHute manufaclLl"n g defeclS No claim III lhese cases, therefore, will be accepled.
plJrLfc ~a( 0 ~ 811: Salesperson
Remarks
Customer's signature
Date
Bobby 1
Ra a
HOND~.
6696 Carlisle Pi
Mechanicsburg, Pennsylvania 170:
(717) 766-431
www.bobbyrahal.co
April 16, 2007
To whom it may concern:
The approximate retail value of a 2002 HONDA CRY EX
is estimated at $15,860.00. This has been determined
under the assumption that the 48,000 stated miles are
true miles and that the vehicle is in "good" mechanical
condition and appearance. This would be the retail
price if Bobby Rahal Honda would be retailing the vehicle.
Th.ank YO.)U, ;;~#~
~-~
Ben Shipp
Pre-owned Sales Manager
BOBBY RAHAL HONDA
MAIN OFFICE
One Centre Square. P.O. Box B. Marysvllle, PA 17053. Phone: 717-957-2196. Fax: 717-957-4578
l6.2007
John M Eakiri-'
Market Square BuilCllns.
Mechanicsburg P A 1705S--~~
RE: Date of Death Balances & Interest
Judith S Tyler
Here is the information you requested:
Checking 401919
Judith S Tyler
Open: 4-3-97
Int Rate: .60% \,
DaD Bal: $701.88(
DaD Int: .05
Money Market 908347
Judith S Tyler
Open: '5-10-01 ~
Int Rate: 1.25%
DOD Bal: $3,762.10,
Intereat PQsted,3-30-07
),
CD 3064021
Open: 1-17-05
Int Rate: 3.70%
DOD Bal: $112,294.55
DOD Int: 159.37
If you require any further information, please feel free to contact us.
~~
-'OIS 1.1 rmation
. Judith S Tyler Tax ID 164-36-1951
39 Westwood ct Branch nUlIlber 1
11925-1599 HOllle phone 111-128..,.-4536
Business phone 111-986-4129
Deposits Loans Other
6 111,168.11 1 51,963.66 1
Indirect 9 .99 9 .99 B
CS859B
SFLHC
._0"
REV-1511 EX + (12-99)
.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Tyler. Judith Ann
FILE NUMBER
21
07
0330
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Michael Shalonis Funeral Home 4,981.79
2. Susie Long- Funeral Lunch 220.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)JEIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attomey Fees John M. Eakin 7,000.00
3. Family Exemption: (If decedents address is not the same as claimants, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Letters Testamentary 430.00
5. Accountants Fees
6. Tax Retum Preparer's Fees
7. Cost of Selling Real Estate, see attached 1,855.00
8. Cumberland Law Journal, estate notice 75.00
9 The Sentinel, estate notice 144.29
10. Thomas Hoffmaster, real estate appraisal 325.00
11. Crystal Hackett, CPA, Income Tax Preparation 235.00
12. PA Auto License Transfer 118.50
13. East Pennsboro Ambulance 526.00
14. West Shore EMS Ambulance 575.47
15. Donegal Insurance, Home Insurance 217.50
TOTAL (Also enter on line 9, Recapitulation) $ 16703.55
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (6-98)
.
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
CO~NWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Tvler. Judith Ann
FILE NUMBER
21 07
0330
Include unrelmbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1. Sunoco, Book Account
VALUE AT DATE
OF DEATH
20.59
2 PP&L Electric Utilities
503.54
3 Bank of America, Visa Card
2,049.55
4 Debbie Lupold- tax collector
532.03
5 Andrews & Patel, Medical
25.00
6 East Pennsboro Township, sewer and trash
226.50
7 Lehman & Rashbaugh Landscaping, lawn care
1,574.80
8 Verizon, telephone
103.88
9 PA Water Company, water
123.07
10 Comcast Cable, television
109.23
11 Boscovs, book account
21.60
12 Hospice of Central Pennsylvania, Medical
2,000.00
13 Jan Treece, House cleaning
120.00
14 Capital Area Cleaners, Rug Cleaning
180.25
15. 1st National Bank of Marysville, Mortgage 30 Westwood Court, Enola
58,665.29
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional shee1s of the same size)
66255.33
""-",, '" >'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
Tvler .JUt lith Ann ?1 n7 0330
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s} OF ESTATE
I. TAXABLE DISTRIBUTIONS [mclude OU~ht spousal distributions, and transfers under
Sec. 9116 (a (1.2)]
1. Linda M. Hajjar Sister Entire Estate
756 Arlington Road
Camp Hill, PA 17011
ENTER DOLlAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
LAST WILL AND TESTAMENT
OF
JUDITH ANN SMITH TYLER
I, JUDITH ANN SMITH TYLER, of the Township of East
Pennsboro, County of Cumberland, Commonwealth of Pennsylvania,
being of sound and disposing mind, memory and understanding, do
hereby make, publish and declare this my Last Will and Testament,
hereby revoking and making void any and all prior Wills by me at
any time heretofore made.
1.
I direct the payment of all my just debts and any funeral expenses
due as soon after my decease as the same can conveniently be done.
2.
I give, devise and bequeath my entire estate, real, personal and
mixed, of whatsoever nature and wheresoever situate, to my sister,
LINDA M. HAJJAR, absolutely and in fee simple. In the event that
Linda may pre-decease me, I then give, devise and bequeath my
entire estate, real, personal and mixed, of whatsoever nature and
wheresoever situate, to my niece and nephew, ELISABETH JO
HAJJAR and THOMAS WESLEY HAJJAR, in equal shares,
absolutely and in fee simple.
3.
Lastly, I nominate, constitute and appoint my sister, LINDA M.
HAJJAR, to be the Executrix of this my Last Will and Testament, and
in the event she is unable or unwilling to act as such, I nominate,
constitute and appoint my nephew, THOMAS WESLEY HAJJAR, to
serve as Executor. I further direct that no bond or other security be
required of my personal representative to guarantee faithful
performance of her I his duties.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
5th day of November, 1999.
(SEAL)
Signed, sealed, published and declared by the above named JUDITH
ANN SMITH TYLER as and for her Last Will and Testament, in the
presence of us who have subscribed our names hereto as witnesses,
at her request, in her presCc and in the presence of each other.
. n L, ~(Lw! JAIt/~
d /lY-'f',,? ---11e<y,yt~
COMMONWEALTH OF PENNSYL VANIA)
:SS
COUNTY OF CUMBERLAND)
I, JUDIlli AN SMIlli TYLER, the testator, whose name is signed to the attached
or foregoing instrument, having been duly qualified according to law, do hereby
acknowledge that I signed and executed the same instrument as my Last Will
and Testament; that I signed it willingly, and that I signed it as my free and
voluntary act and deed, for the purposes therein expressed.
~;it
Ju
Sworn and subscribed to bef
mCfZ7:Zr 1999
Notary Public
COMMONWEALTH OF PENNSYLVANIA)
:SS
f (SEAL)
COUNTY OF CUMBERLAND)
We, the undersigned, CHERYN LAWRENCE and TYRONE BEASLEY, the
witnesses whose names are signed to the attached or foregoing instrument, being
duly qualified according to law depose and say that we were present and saw
the testator, JUDIlli ANN SMIlli TYLER, sign and execute the instrument as
her Last Will and Testament; that the said testator executed it as her free and
voluntary act for the purposes therein expressed; that each of us, in the hearing
and sight of the testator, signed the Will as witnesses; and that, to the best of our
knowledge, the testator was, at the time, eighteen (18) or more years of age, of
so mind, and der no constraint, duress or undue influence.
L. (
~~)1/
Sworn and subscribed to before
me this~ay of NOVEMBER, 1999.
(!~ e/4
Notary Public. ....
NOTARIAL SEAL
CONSTANCE E. KING, Notary Public
Camp Hill Boro, Cumberland County
M Commission E rea Jut 7, 2001