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HomeMy WebLinkAbout11-21-07 ..:.J 15056051047 REV-1500 EX (06-05) PA Department of Revenue '* Bureau of Individual Taxes PO BOX 280601 Harrisbu ,PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Securi Number Date of Death INHERITANCE TAX RETURN RESIDENT DECEDENT Date of Birth Decedent's Last Name Suffix Decedent's First Name MI (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW --.. 1. Original Retum c::) 2. Supplemental Return c:::) 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required c:::::> 4. limited Estate C) t::) c:::J 4a. Future Interest Compromise (date of death after 12-12-82) c::::t 7. Decedent Maintained a living Trust (Attach Copy of Trust) c:::::> 10. Spousal Poverty Credit (date of death t::) 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. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone NumbeN 6. Decedent Died Testate (Attach Copy of Will) 9. litigation Proceeds Received 8. Total Number of Safe Deposit Boxes -... o -I Correspondent's e-mail address: Under penalties of perjury, I declare that I have examined this retum, 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 infonnation of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ~ /N'J);f ,AIR- BARN~..s ~ /V~W"'/(" ~ PLEASE USE ORIGIN Side 1 L 15056051047 <, 15056051047 --.J~ ..-J REV-1500 EX Decedent's Name: !~~ ~ RECAPITULATION 15056052048 -~ ~8C-,q- )?/, 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 li. 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) c:::> Separate Billing Requested.. . . . . .. 7. 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. 8. 9. Funeral Expenses &Administrativ~'C~sts (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 (Line 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 ratel 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 18. Amount of Line 14 taxable at collateral rate X .15 19. TAX DUE..... .. .. .. .. . .. .. ... .. .... .. ...... ..... .... ...... ....... 19. Decedent's Social Security Number 15. 16. 17. 18. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~ ~ L 15056052048 " Side 2 <, - I 15056052048 ..-J REV-1500 EX Page 3 - . , Decedent's Complete Address: DEcEDENr~. AME I'ft( L. ~N.84 C#~~ STREET ADDRESS . I :l 2 ~A.I.: -/2.-.. File Number ~~ B~r' /-r/C~ H. CITY /Jr,(p~ VI L.~e , I STATE j::11f I ZIP ~I ' ;2...27 ;/ /j 7$~.7.~ Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit .L B. Prior Payments -----.,,-- ~ ~?J,' &8 c. Discount _ _ (1) Total Credits ( A + B + C ) (2) #~//jr3. '8 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + line 3, enter the difference. This is the OVERPAYMENT. ~ /.LIt h Fill in oval on Page 2, Line 20 to request a refund. (4) 'Vf' ,,? ,.11 /70 B. Enter the total of line 5 + SA. This is the BALANCE DUE. (5) (5A) (5B) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. Make Check Payable to: REGISTER OF WILLS, AGENT . PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did detedent make a transfer and: Yes No a. retain the use or inco~ of the property transferred;........................f................................................................. D ~ b. retain the right to designate who shall use the property transferred or its income; ............................................ D IQ~ c. retain a reversionary interest; or.....................................:.~.:................................................................................ D 'Rf d. receive the promise for life of either paym~nts.benefits or care? ...................................................................... D .RT 2. If death occurred after December 12, 1~82, did decedent transfer property within one year of death ' without receiving adequate consideration? .............................................................................................................. D 1KI 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. D g! 4. Did decedent own an Individual Retirement Account, ahnuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ D ~ 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 PoSo ~9116 (a) (1.1) (i)]o" . 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)]o 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 Qeneficiary. 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 PoSo ~9116(1.2) [72 PoS. ~9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of1he de<t8dent'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. ~. --- .......... I, HERBERT MARSH AULENBACHER, of West Pennsboro Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. I: I devise my premises situated in West Pennsboro Township, Cumberland County, Pennsylvania, containing 1.675 acres, more or less, with improvements thereon erected and inclUding all household goods and furniture therein, to my daughter, Jo Ann Aulenbacher. Should my daughter, Jo Ann Aulenbacher, predecease me, I direct that the above mentioned real and tangible personal property be added to and distributed as a part of the residue of my estate. II: I devise and bequeath the residue of my estate of every nature and wherever situate to my three children, Herbert Marsh AUlenbacher, Jr., Linda Lee Barnes, and Jo Ann Aulenbacher, in equal shares. Should any of my children predecease me, I devise and bequeath his or her share to their respective issue, per stirpes, who survive me, and in default of any such issue I devise and bequeath the entire residue to my surviving children or their issue as above described. Page 1 of 3 pages ~ !~ ~ ,,,;:-~'~' ".Z.')',," , :,' ,.' ..... t~:'. ' .. . .' " ',' .... ,\, ;. ,/ ~,. .-.~ ;'J,'~' ; J~ ",:,,- " . . .'. ,.' , .. : ~ f ;' I ~. III: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. IV: I appoint my son, Herbert Marsh Aulenbacher, Jr., executor of this my last will. Should my son, Herbert Marsh Aulenbacher, Jr., fail to qualify or cease to act as executor, I appoint my daughter Jo. Ann Aulenbacher, executrix of this my last will. And should my daughter, Jo Ann Aulenbacher, fail to qualify or cease to act as executrix, I appoint my daughter, Linda Lee Barnes, executrix of this my last will. V: I direct that neither my executor nor his successor shall be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand this 4th day of August, 1989. Page 2 of 3 pages REV-1511 EX+ (12-99) . .. ~~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEM FUNERAL EXPENSES & ADMINISTltAtlVE COSTS ESTATE OF /l ?f .t... GN ~/1 c/-lt:/< J /-/~I,,? $I c/< r /1), Debts of decedent must be reported on Schedule I. ITEM NUMBER A. B. 1. 2. 3. 4. 5. 6. 7. d. 9, 16, FILE NUMBER ,,;)/0"7 - 03:j9 DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: / J Ii e:T/ZIC/C :-~\//' (" ~ Y<-.-.J . 3~ '37- C /1' ~ /l),r;'j ,"" /:.:;......) 2, /Y~v//{ /nJ?/"I";';Y";'l C. .syCS 90,2..9 3 39, 00 3. c/c../c- /nJ2. /nor/~ L.. S vc..$ ADMINISTRATIVE COSTS: Personal Representative's Commissions 0/-+ Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address -0- City State _ Zip Year(s) Commission Paid: Attorney Fees /.i'.//?Lyz..... y P#/'r'/CLS /17 ;;"0 r 00 Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant L / /!/.L:>A Lt::-C' j3/;/2/ve5 Street Address :3 / .2 .~- /2 ; 7'-.N C ",-c.. ,.4/,. G /-: C7;,~ ':1 J.. ~o, va City NC?vy;, L~ 6- State ?/f Zip / 7:2-~ / Relationship of Claimant to Decedent P /1 U j .( T..u-- Probate Fees R cc,/$ 7t!" /~ <f!J,L ';:::.../1 /1:> lIr;:ggWflltlll,l'l> IItltl5 - de -. ..c h'~/Z .7.... C C ~.. r;; /" I C -'9 :rc :5 ~8- CO / .2, c;:::; --90/ C)(] ?5,OO / c:, -f; 1'~ -f' s ,:..;;~ ,.2 00,00 Tav f'lAtll'A PFellar9r'~ F~ ~- h.;:.C / /",'C.. / r.... .'.. :J:.': i.l 'LI. ~.1?J~rv4NL L~?./ 7CUO-/l/4/) /Jclrc.r.''//S//'! ,s. T ..... .., / \ /-,.t,.,., '" ..,.-: ;,;.p e ~~ .", ". /~..." C ~ ) //0 'VCI'.~~I~ /;' /.; - '-...... . . /?o/, ,Zl. r;; C:77s"'~i-LI ,9c-tC1'/':"-"",CC.-(, ,~,~/,"Il\~/,-"""'- /1 C '::;'c. ;r.:....ve ~r ~ 6 1'7 ~/,v C; C.;;....., 4? l"~ TOTAL (Also enter on line 9, Recapitulation) $ C I t. 33 '" I {j (If more space IS needed, Insert additional sheets of the same size) REV-1S12EX'(12." .. SCHEDULE I COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE liABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF /J FILE NUMBER /-fU~ e>VL34C/-/C:/?J /-rC/!?$E:Rr /11, ;:</c7";f--O~?3 Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. V/SCOVCR. 8--1///< ~CcCP~/V/ /1/'; 60//C3cJ29?CJ3/S370 ~ C /'/ I ~-L/4/k-vA. Em 84/2;C: -/-~"~ .f? /r.,./.z " ) (F ~ 9Q./ S-~ c:::;..;- (c::lt , c...; 2.., I ...;;( .7/~/./~/s / c~. Jk:--' c-.~ P:J" ft/~Le~m/, /-0'//"':~ t?// .'2 _/ ~ /1 r/ n CO/1rm~N"- /..;;? 41z'"/'v c s- I - ,.. ''( C/O'''' , ( /t., 9t 91;92 / all cg ~8l-f ~( 80, CJQ 3, 4t pp ~L O/! /LL-I 5' ~ s; TOTAL (Also enter on line 10, Recapitulation) $ 1;"7 ? P /3' 0 (If more space IS needed. Insert additional sheets of the same size) --~.,,'" '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY eR8t!S,/<-r /JJ- FILE NUMBER ,J.,Jcr:; -0.3-:;' Indude the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. /l1E/J1SCR.S I sr ~e.f)~4!.,AJL- CRc,l)/r-' ?r,'V/ O~ : c II/~Cl< /;~ c- ;'f' c ~ c>t:.4 1#/ r .# -i gS"t J 38S: /i ~. ,stf9V//vC S' /Pc c etA,..-/ r h' ~ 8~--11 ~ 8~ 3,. '-19 3, C,JJ : I~ ;,.; /C' c (<..L.../-" 20,00 -1, 19 89 eRG V A~ot.t? r .. ' ~ ~ /"!- /.. /A /.' L .. '- Fe.€:l R I r r --, I' ,~. I ...; . >- I//~ I &1,fW B/lfokt.1 31/ s9 ( S e c; /';9/.., Ii ~ / ~ A "- /;1 ,7"j")C""'" c: j;) ) I J:?? dI'J / ---. , $, I c:; yo C/./d?V"~oLS. r ~ t..I n; / N"If .s Jt>.A/ , ~/ "Y ~ G / tv L -.!;;~-? i>( .1.../11 1539 100. 00 s c..:: ,';>/;;7;.::.-.),.,.. _.. .' -'- . ' , \ .-1 /" ,," c ;:;) 6. /}J I ~ C- i r;1'~ C ; IS t..tEl:::;; t:? I'? S". ~/:?/ ir::' C /? 1'"r ( .J' E c /1/ ~J' a.. <9 /.:- A L- /? rr/j Cl/CO ) 7; ,/? ErU'~//)S ; &, 08 OC,. . 8. 9, " '~.l/:/ /~ .J 0# f-:;. ',__ ..;,. ...7"'i,A"; ..... ~o, ~rJ / 9i, o(] / .3 I co ...,. - '''., r- S7-~ TC-- /":/-/; /, '- //" ~; --/:' ,...: ......... ......f "....J .~; TOTAL (Also enter on line 5, Recapitulation) $ / /; 3:3 ~ :J$ (If more space is needed, insert additional sheets of the same size) st ~hN/~~r6s-/ Statement of Accounts Send Inquires to: 5000 Louise Drive PO Box 40 Mechanlcsburg. PA 17055 www.members1st.org Main Switchboard: (717) 697-1161 or (800) 283-2328 EZ Call: (717) 697-4372 or (800) 283-4372 TOO: (717) 697-5312 or (800) 283-2328 ex!. 5312 TeJeBranch: (717) 795-6049 or (800) 237-7288 Jan 25, 2007 thru Feb 24. 2007 Account Number: MEMBERS 1st FEDERAL CREDIT UNION Account Balances at a Checking: Savings: Certificates: Loans: Money Management: HERBERT M AULENBACHER 3125 RITNER HWY NEWVILLE PA 17241-9582 68541 Glance: 318.45 9,843.49 0.00 0.00 0.00 Page: 1 of 2 Your current Member Loyalty Reward level is Silver Are you interested in receiving BONUS certificate rates, REDUCED consumer loan rates, FREE Bill Payer or FREE checks? Read the enclosed Member Loyalty Rewards insert for more details. CHECKING ACCOUNTS 11- CHECKING Date Transaction Description Additions Subtractions Jan 25 Balance Forward Jan 26 Withdrawal Debit Card 62. 59- 01/24 672060667220022 ECKERD DRUG #6672 CARLISLE Jan 26 Deposit Transfer From Share 00 300 . 00 Jan 26 Check 004168 Tracer 0126004426 12.09- Jan 31 Deposit Transfer From Share 00 45,36 Jan 31 Deposit Swipe 5 Rebate 0.05 Feb 02 Deposit Transfer From Share 00 693 . 00 Feb 05 Check 004171 Tracer 9689150453 12.00- Processed Check- SEARS PAYMENT TYPE: CHECK PYMT ID: CITI SEARS Feb 05 Check 004172 Tracer 0035079431 213.21- Processed Check - DISCOVER ARC TYPE: PAYMENTS ID: 1510020270 DATA: DC ARC 1 DCIDOVARC Feb 06 Check 004169 Tracer 0206010976 300 . 00- Feb 07 Check 004170 Tracer 0207003623 66.97- Feb 22 Check 004176 Tracer 0222004892 12.00- V' Feb 22 Check 004174 Tracer 0222005169 36. 98- Feb 23 Check 004173 Tracer 0223000618 66. 71- Feb 24 Ending Balance CHECK SUMMARY Check # Amount Date 004168 12.09 Jan26 004169 300.00 Feb 06 004170 66. 97 Feb 07 004171 12.00 Feb05 · Asterisk next to number indicates skip in number sequence 8 Checks Cleared for 719.96 Check # 004172 004173 004174 004176* Amount 213.21 66.71 36.98 12.00 - - - Continued on following page - - _ Balance 62.59 0.00 300. 00 287 . 91 333 . 27 333 . 32 1,026.32 1,014.32 801 . 11 501 . 11 434.14 422.14 385.16 318.45 318.45 ,/ Date Feb 05 Feb 23 Feb 22 Feb 22 ~1~t ~~~!lll: Send Inquires to: 5000 Louise Drive PO Box 40 Mechanlcsburg, PA 17055 www.members1storg Main Switchboard: (717) 697-1161 or (800) 283-2328 EZ Call: (717) 697-4372 or (800) 283-4372 TOO: (717) 697-5312 or (800) 283-2328 ex!. 5312 TeleBranch: (717) 795-6049 or (800) 237-7288 Jan 25, 2007 thru Feb 24, 2007 Account Number: 68541 Page: 2 of 2 SAVINGS ACCOUNTS 00 - REGULAR SAVINGS Date Transaction Description Additions Subtractions Balance Jan 25 Balance Forward 9,178.33 Jan 26 Withdrawal Transfer To Share 11 300 . 00- 8,878. 33 Jan 31 Deposit ACH PNC ADVISORS 45.36 8,923. 69 TYPE: ACH CREDIT 10: 1251211909 DATA: CUMBERLAND COUNTY EM Jan 31 Withdrawal Transfer To Share 11 45. 36- 8,878. 33 Jan 31 Deposit Dividend 1 . 000% 8.30 8,886 . 63 Annual Percentage Yield Earned 1. 000% from 0110112007 through 01/31/2007 Feb 01 Deposit ACH CIVIL SERV 956.85 9,843. 48 10:3121736156 Feb 02 Deposit ACH SOC SEC 693 . 00 10,536.48 10:3031036030 Feb 02 Withdrawal Transfer To Share 11 693 . 00- 9,843. 48 V-Feb 22 Deposit 0.01 9,843. 49 -- VISA CREDIT Feb 24 Ending Balance 9,843. 49 yro SUMMARIES TOTAL DIVIDENDS PAID 00 REGULAR SAVINGS 11 CHECKING 8.30 0.00 Total Year To Date Dividends Paid NOTE: Total includes closed shares 8.30 Don't forget about our new Member Loyalty Rewards Program. The more products you have with us, the more benefits you'll receive. Ask an associate for details or visit our website at www.members1st.org for details. ~ BUBB'S AUTO SERVICE & SALES 3299 RITNER HIGHWAY NEWVILLE, PA 17241 JOHN AND CHRISTINI!: Bu.. Phone: 717-776-9733 Fax: 717-776-<4707 ~'I fA ~ ..;tq,I, f C/~(.fJ'I S. ~ I/AltJ~ IS/SO. ~ ~~..,~ I~i Aw 8' '~Dk"; 3/loJf "- 90 t<'A~/4,)/cf J.~"'JoI" RJI)~. c:Xol- . t;I... ,'';. ~ ':l ,,--, W'- f'( g L III 7':;-" ? /I ff II.~ I' S c: ~ 25 I ?y1. ~ . , l'\) <..0 C) C) <..0 l'\) CJl r\..) ~,,/ ~~/7 ".... u ~.r~L '>-~.A//'"I /7-e:.---. _ "7./J -F- -~~ -::-~- 3/co?..s- ~/P'7:; C2 d:~Ad~/$ /?c)/..3 .'-~ -' ..I ., cPt ~~ ~~ -. L;'Si?f ~S-(l I I /S' ~ .~ =-< :C F, ~ / a/.:zS:- -42;&e-~;;r: ~~ M- /7"-'(. /7 ~~.~/ . " ~~$d'~ -~~~ ~~~ . ~~~7 ~,~~" ~ .:;;::;:-;ff:~~~)~~,~-~; ~. ~~ 7'"d ?l /-Z ~ CJ~ ~ ~~ / o ,;.' ~~-' ~ /). ~~y l....IS ":':",i /"\',::r~ ~~nE"(etfd II ~..l',. -' -<:.~ ~., ~ tl.. I L .'~'.c"'. 'lr By&~. .:1- A:J -'::'71 ..:r: 399-00+ fl-209~00; 608-* 0-* ~~".,," .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF ;4.t.-( .t- ~"'" S /!:.:. ";,,,1e; /....? , p~/;> ,,-.:;e:,e &':1-;- /n. o '-". _....... l FILE NUMBER ~/,??- CA2~9 . If an asset was made joint within one year of the decedenfs date of death, It must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. ...::TO /! /t';A1 jlLh.( a;,~ - Or: ;;:.~,~ .E' /.2:.... J/ 23 ~/ "L/vC/Z- /..r/C~'C:V,4 (/ ~5wV/LLe J /04 /?~~I P4t(" B. c, JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT deed for jointiy-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST //y;, .5///CLc r4?/7]) L. r ~3 rq 1. A, 352- 50 2C((7C. I :J)tvc L L//'VG 3/2 ~Rt 7,X/ E-/< ) PJ'./(J /'/CI;/l"'-;' L L c) we~~ ?~.N'/I./.s /$O'RO -r~tv//f'/-'IO C C4 .1;73 e/2':::' ,0.,,/ D CC:h..~ /II .7//, PA 1?;2 7' /. 7'4'y /.~,4.?,,'2CeL- " ) ..r" -9, ~? 05/9- /. . -..C)l,. - 0/.3' c....J b'z..- c.];; ReF,,; Boo /<::.. ;:2 -9 91 P4t'G 333 ) df'9r~tI //-,2- ,;2..."''''''-/ · V'..:"...; ...J If S S t!: S...r-:;:'D s; p/17V 4' Boo I / .s(. , r::"C'~rn a--v Le yc L. /21'97'/ " /,/7' =="'5,3 3..5,2 / ) TOTAL (Also enter on line 6. Recapitulation) $ 2 c;;:, ~-=1~, 0 ::;) (If more space is needed, insert additional sheets of the same size) FacetWin Screen Print for pub1ic04, from "CAMA_Login" 5/21/2007 9:59:35 AM DISTRICT: 46 - WEST PENNSBORO TWP CUMBERLAND COUNTY ASSESSMENT OFFICE 2004 BASEYEAR CONTROL # 46001203 NEIGHBORHOOD: 4600 I I IShort Name ILAST NAME IFIRST NAME /C/O NAME I ADDRESS 1 IADDRESS2 /POST OFFICE: ISTATE & ZIP: I AULENBACHER, HERBERT M AULENBACHER HERBERT M & JO ANN AULENBACHER 3125 RITNER HIGHWAY SD: 1 PARCEL: I SPEC ID: ~ Tback: ETAL 46-09-0519-013C LOT: L-0002 46-09-0519-013. I I I I PROPERTY TYPE: RT I I I I ETAL SALES DEED BK/PG.....00249-00333 DATE OF SALE...11/02/2001 SELLING PRICE: 1 NEWVILLE PA 17241 Situs: 3125 RITNER HIGHWAY I CURRENT VALUES I Prop Descrip.: J Assessed Fair Market L, LAND DESC: LOT 2 PB 31 PG 65 FMV - 46800 L - 43840 I LAND USE TYPE: 108 C&G - B - 2960 I DEEDED ACRES: 1.68 approved? -> T - 46800 I Screen 1 Enter Selection > Number -Switch Screens, X -Exit, J -Jump Mode, Down Arrow -Next Entry, Up Arrow -Previous Entry, Record: 13688 F -Forms, I -Image ? -Screens, B -Browse (. ;? ) ':.\- TAX PARCEL NO. 46-09-0519-013C THIS DEED MADE THE d ~ -- day of November, in the year of our Lord two thousand and one(2001) BETWEEN HERBERT M. AULENBACHER of West Pennsboro Township, Cumberland County, Pennsylvania, party of the first part, hereinafter called GRANTOR, AND HERBERT M. AULENBACBER, of 3125 Ritner Highway, Newville, Pennsylvania 17241 and JO ANN AULENBACHER, of 3123 Ritner Highway, Newville, Pennsylvania 17241, both of Cumberland County, Pennsylvania, parties of the second part, hereinafter called GRANTEES: WITNESSETH that in consideration of One and No/lOO ($1. 00) Dollar, in hand paid, the receipt whereof is hereby acknowledged, the said Grantor does hereby grant and convey to the said Grantees, as joint tenants with right of survivorship and not tenants in common, ALL THAT CERTAIN tract of land situate in West Pennsboro Township, Cumberland County, Pennsylvania, bounded and described in accordance with a certain subdivision plan for Lester M. Cassell, prepared by Eugene Albert Hockensmith, Registered Surveyor, dated July 27, 1976, a copy of said plan being recorded in the Office of the Recorder of Deeds of Cumberland Count.y in Plan Book 31, Page 65, is incorporated hereln by reference as follows, to wit: BEGINNING at a railroad spike in the center line of U.S. Rt. 11, known as Governor Ritner Highway, at corner of land now or formerly of Emma M. Fenton; thence from said railroad spike at the Place of Beginning along said line of land now or formerly of Emrrla M. Fenton, North 31 degrees 35 minutes 33~seconds West a distance of one hundred fifty-nine and eight hundredths (159.08) feet to an iron pin at corner common to said land now or formerly of Emma M. fenton, land now or formerly of Melvin G. Hollingshead and wife, and the within conveyed tract of land; thence from said iron pin along line of land now or formerly of said Melvin G. Hollingshead and wife, North 35 degrees 10 minutes 31 seconds West a distance of seventy-six and sixty-seven hundredths (76.67) feet to an iron pin at corner common to land now or formerly of the said Melvin G. Hollingshead and wife, land now or formerly of Larry L. Strawser and wife, and the within conveyed tract of Boc.,k ~ ~~ ?/jc.e :3 ~3 '). land; thence from said last mentioned iron pin along a wire fence and land now or formerly of Larry L. Strawser,. and wife, North 61 degrees 12 minutes 31 seconds East a distance~of three hundred (300) feet to an iron pin at corner of land retained by Lester M. Cassell; thence along the western line of said land retained by Lester M. Cassell, known as Lot No. 1 on the above mentioned subdivision plan, South 32 degrees 16 minutes 51 seconds East a distance of two hundred fifty-six and fourteen hundredths (256.14) feet to a railroad spike in the center line of sixty (60) feet wide U.S. Route 11 known as Governor Ritner Highway; thence along the center line of said sixty (60) feet wide Governor Ritner Highway, South 65 degrees 08 minutes 36 seconds West a distance of three hundred (300) feet to a railroad spike at the Place of BEGINNING. BEING all of Lot No. 2 as shown on the above mentioned subdivision plan recorded as aforesaid, and containing a total of 1.675 acres including the northern one-half of the roadbed of sixty (60) feet wide Governor Ritner Highway.' The southernmost thirty (30) feet of the' above described premises constitutes a portion of the public right-of-way of U.S. Route 11, known as Governor Ritner Highway. AND BEING the same premises which Herbert M. Aulenbacher and Carol Ann Aulenbacher, by their deed dated June 23, 1989 and recorded on July 7, 1989 in Cumberland County Deed Book 34"A" 1067 at Carlisle, Pennsylvania, granted and conveyed to Herbert M. Aulenbacher, Grantor herein. This conveyance is from father to daughter and is thus exempt from Pennsylvania and similar realty transfer taxes. AND the said grantor hereby covenants and agrees that he will warrant generally the property hereby conveyed. IN ~TNESS WHEREOF, said grantor has hereunto set his hand and seal the day and year first above written. Signed, Sealed and Delivered In the Presence of ~C:)C /'~~~ L) 8~~c-k ;Z~9, /;?L:: 3_57 COMMONWEALTH OF PENNSYLVANIA SSe COUNTY OF CUMBERLAND On this, the A d day of November, 200f, before me, the undersigned officer, personally appeared HERBERT M. AULENBACHER, known to me (or satisfactorily proven) to be the person whose ,name is subscribed to the wi thin instrument, a\1d acknowledged that he executed same for the purposes therein contained. ''J'.' IN WITNESS WHEREOF, I seal. hereunto set ffiY;r2hand d official ~.-'/- all ~ ~),~ (SEAL) Notary Public NOTARIAL SEAL William S. Daniels, Notary Public Carlisle Borough, County of Cumberland My Commission Expires Oct. 19, 2004 CERTIFICATE OF RESIDENCE I do hereby certify that the precise residence and complete post office address of the within named Grant~es is 3125 and 3123 Ritner Highway, Newville, Pennsylvania 17241. ///t>v Z-, 2001 ?M~-.~ Attorney for Grantees COMMONWEALTH OF PENNSYLVANIA SSe COUNTY OF CUMBERLAND RECORDED on this day of A.D., 2001, in the Recorder's Office of said County, in Deed Book Vol. , Page Given under my hand and the seal of the said office, the date above written. Recorder bc.'c/::- 27'9/ /~9~ / C~4.'" ..- ?:?'::> ,REV-1513 EX+ (9-00. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER /lULE/f/BAC/:'ER, H~;:?A6:I:?-r 1\1. , RELATIONSHIP TO DECEDENT NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] SCHEDULE J BENEFICIARIES ",(/0-;'..0379 i AMOUNT OR SHARE OF ESTATE 1. ~/i' /I # Y3 .$. L/A'.PA i &:C' B/I ,~/l/~.s 0/ ~~ /?/rN'~/<. /I(,"'/)~ f ",/'I"(C ;::- '/ y/ t.. '-13 I ? /l /?-;2-4 I ". JO A#/I //?1 L 1?#/3I1 C(~ic/2 ..3/i3 RlrAle~ #("y.. /''I'~W y/,,-~ ,;0;9 I r /-1/ I )lG,~B~nr ,11\ At(LCdB/![>-:/S'~~ . ~ "" :J(.( # 1<,lJ,.:? I C:? y" / 89 /j rA-' 0 c.7(7;'< I tv'VI1 ;2 (". O$.j;}- Z/4t1 , Y3 so/v ) I(~ 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 TAX IS 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)