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HomeMy WebLinkAbout10-09-07 -I, 15056051058 ()i 'D~ (~ 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 ....:- f- J '","0 ".' - '-1 " 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 ~ ..J 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 --.J 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 ::: ~ fi ~ .,~ ~~:i.:;' ;;.iii~c: lS.!;a! gteu~ EcO=.."E:I - .c: ~ _; ._2 E" 8..., " ~ggJ:: A! .~ .. "0 -g i :!i !j ~ ~ :;3i'-:5 0&._.1:0.0 .0-0 t>> -aU! :1"- 1ii1ll E .....-ltl.c!: ~~~.~i ~:~ i~i ~~ ~_ ~ ;r.:! ~ :O.ci . .-00"- -Eo 5u_" ES:e5 is.!''' ~'i i! ~~ ""2QlCl -.!! ~ E1ii.~:f '-'5 :':11.0" 0" - 0 .: f. ~ :ll " ~.; ~u..- i! 0. .~-:::'" ~ "u E:5 zu:e-e -<>- ....::-~.2 x ~~"i .2=-c:g. ,,:JtIt~.:! "':I-JItE~ o 0 ,2uS ul!::.c'i 5 ..!. ~ 'C 0 '0 !! _.~ VI 1i ..... ~'Q 0.-.. -8 GJ- c~ ~1 i;;l;:l5.-g2:'.s~'-" 0",,:0 ~c.",.s== eSo ut!tV-o :0 .7" ., Qj.. 0. . ~ ::: ~. E " E1ii-..EQl ...... 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"6'" ~ v.&. ~ 672449225 EE $100 12/1997 04/2007 12/2027 $50.00 $22.96 4.39% $72.96 611571916 EE $100 11/1997 04/2007 11/2027 $50.00 $23.20 4.39% $73.20 611552523 EE $100 10/1997 04/2007 10/2027 $50.00 $24.04 4.11% $74.04 611522590 EE $100 0911997 04/2007 09/2027 $50.00 $24.28 4.39% $74.28 607966718 EE $100 08/1997 04/2007 08/2027 $50.00 $24.56 4.39% $74.56 607937604 EE $100 06{1997 04{2007 06{2027 $50.00 $25.08, 4.39% $75.08 6079917177EE $100 05/1997 04/2007 OS/2027 $50.00 $25.36 4.39% $75.36 607886730 EE $100 04/1997 04/2007 04/2027 $50.00 $21.76 3.88% $71.76 607066150 EE $100 03{1997 0912007 03{2027 $50.00 $23.16 4.15% $73.16 593994331 EE $100 02{1997 08{2007 02{2027 $50.00 $23.16 4.15% $73.16 574332929 EE $100 01/1997 07/2007 01/2027 $50.00 $23.16 4.15% $73.16 574300296 EE $100 11/1996 OS/2007 11/2026 $50.00 $23.16 4.15% $73.16 574277284 EE $100 11{1996 05{2007 11/2026 $50.00 $23.16 4.15% $73.16 574243890 EE $100 09{1996 09{2007 09/2026 $50.00 $24.84 4.15% $74.84 559757756 EE $100 08{1996 08/2007 08/2026 $50.00 $24.84 4.15% $74.84 559724466 EE $100 07/1996 07/2007 07/2026 $50.00 $24.84 4.15% $74.84 5~,9691287 EE $100 05{199605{2007 05{2026 $50.00 $24.84 4.15% $74.84 559645424 EE $100 04/1996 04/2007 04/2026 $50.00 $25.12 3.88% $75.12 539969898 EE $100 02/199608/2007 02/2026 $50.00 $26.56 4.15% $76.56 510',89775 EE $100 01/1996 07/2007 01/2026 $50.00 $26.56 4.15% $76.56 637170398 EE $100 07{1998 04{2007 07/2028 $50.00 $20.76 4.39% $70.76 2971557963 EE $50 01/1987 07{2007 01/2017 $25.00 $44.78 4.00% $69.78 284842844 EE $50 12{1986 06{2007 12/2016 $25.00 $44.78 4.00% $69.78 281324164 EE $50 11{1986 OS/2007 11/2016 $25.00 $44.78 4.00% $69.78 2h724572 EE $50 10{1986 04{2007 10{2016 $25.00 $52.60 4.00% $77 .60 27(705295 EE $50 09/1986 09/2007 09/2016 $25.00 $54.16 4.00% $79.16 27(079481 EE $50 0711986 07{2007 07/2016 $25.00 $54.16 4.00% $79.16 2GC335871 EE $50 06/1986 06/2007 06/2016 $25.00 $54.16 4.00% $79.16 26:313612 EE $50 05{1986 05{2007 05{2016 $25.00 $54.16 4.00% $79.16 2C:'313612 EE $50 05{1986 OS/2007 OS/2016 $25.00 $54.16 4.00% $79.16 263783472 EE $50 03{1986 09/2007 03/20Hi $25.00 $55.74 4.00% $80.74 227224100 EE $50 01{1986 07{2007 01{2016 $25.00 $55.74 4.00% $80.74 227200680 EE $50 12{1985 06{2007 12/2015 $25.00 $55.74 4.00% $80.74 228375994 EE $50 10/1985 04/2007 10/2015 $25.00 $55.74 4.00% $80.74 22iJ751506 EE $50 09/1985 09/2007 09/2015 $25.00 $57.36 4.00% $82.36 217647979 EE $50 08{1985 08{2007 08{2015 $25.00 $57.36 4.00% $82.36 214229212 EE $50 06{1985 06{2007 06{2015 $25.00 $57.36 4.00% $82.36 21-1209429 EE $50 04/1985 04/2007 04/2015 $25.00 $57.36 4.00% $82.36 2(J8~)52027 EE $50 03{1985 09{2007 03/2015 $25.00 $59.00 4.00% $84.00 208:'52027 EE $50 03{1985 09/2007 03/2015 $25.00 $59.00 4.00% $84.00 2GGd921S0 EE $50 01/1985 07/2007 01/2015 $25.00 $59.00 4.00% $84.00 195494165 EE $50 12/1984 06/2007 12/2014 $25.00 $59.00 4.00% $84.00 193223464 EE $50 10/1984 04/2007 10/2014 $25.00 $59.00 4.00% $84.00 185574532 EE $50 08/1984 08/2007 08/2014 $25.00 $60.68 4.00% $85.68 181iJ44226 EE $50 07/1984 07/2007 07/2014 $25.00 $60.68 4.00% $85.68 174149843 EE $50 06/1984 06/2007 06/2014 $25.00 $60.68 4.00% $85.68 lEA 377929 EE $50 04/1984 04/2007 04/2014 $25.00 $62.58 3.82% $87.58 164359184 EE $50 03{1984 09/2007 03/2014 $25.00 $64.26 4.20% $89.26 154257878 EE $50 01/1984 07/2007 01/2014 $25.00 $64.26 4.20% $89.26 146::40027 EE $50 11/1983 OS/2007 11/2013 $25.00 $64.26 4.20% $89.26 120' 24144 EE $50 02/1983 08{2007 02/2013 $25.00 $85.52 4.00% $110.52 10;H 87363 EE $50 01{1983 07{2007 01{2013 $25.00 $85.52 4.00% $110.52 http:, ,'www. treasurydirect.gov/BC/SBCPrice 5/16{2007 _....U...n...HL4L........... ., u..I.....V v.... .... v........ ... 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'~'-' ~ "- -, ""'1 ~ - ~~ >" .1':;- '.' <:;:;, "'", -"'" v: '..;: Cf) ~ ~, ~-.., ".:::;' \\ C0080540761 1 $100 08/2004 04/2007 08/2034 $100.00 $10.24 4.12% $110.24 P5 C0080558251 1 $100 09/2004 04/2007 09/2034 $100.00 $10.08 4.12% $110.08 P5 C0037298151 1 $100 10/2004 04/2007 10/2034 $100.00 $9.88 2.01% $109.88 P5 C0037316121 1 $100 11/2004 04/2007 11/2034 $100.00 $9.16 4.12% $109.16P5 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 VU.l\.l...u.u".....u. 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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 Pes -;- Jv- (1 I/!;; :s ()', Dll-f ti IV! ~f (E)t f( fla I, http://www.treasuryWrect.gov/BC/SBCPrice 5/3/2007 ............."'...................... . ......."""" "'... IJ,......~ IJ,. ....Y........ -................6"" ~v......-\...,J PtJ U .& "'6'" ... v.&. .. \ .l (7.) ( ;) ..' ~ 1c I " 10ft JI) ii' , I "; \l:D" 1;11'(( ~ 0',1//)11[(. ot{), -'I . $9,032.48 - $1,7~~.48 $85.00 $7,250.00 '. .~1 ':j oJ ~ -1:, v '" c::;:: ....-:\ ,,::;::, .~ .~. ',," ~ 'I-' '\;; "" ...... ~ ~ :1 "" ) ..>~.. .s:.:. ~ . ~~" ~ "'" $: ~ ....... n .:.:.. ,. \~'\I '" "" '\~ \\ ~. ''':-> ~ '< ~ ") 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 ................................__ ............. v.... .................... -J"'-'" --...........6.... ~v......_\tJ/' ... c.&.6"" ~ V.L ., 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 P5-:; Jv'c1vu.Jt') 3 ('liOn~' 'li1}.el'~'sJ. P.;liO(Lj 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