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Home My WebLink About12-21-07 .-..J 15056041125 REV -1500 EX (06-05) PA Department of Revenue '* Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280601 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY County Code Year 2 1 0 7 File Number 092 3 Date of Birth 209289022 09302 0 0 7 07021937 Decedent's Last Name Suffix Decedent's First Name COO K GEORGE MI W (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI COO K B R END A A Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW [ZI 1. Original Return D 4. Limited Estate [ZI D D 2. Supplemental Return D 4a. Future Interest Compromise (date of death after 12-12-82) D 7. Decedent Maintained a Living Trust (Attach Copy of Trust) D 10. Spousal Poverty Credit (date of death D 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 Numberr---> R. MARK THOMAS, ESQUIRE 7170196 ~10f ;-ccC) ... . ....u CJ REGISTER. MlLS U ONLY... r- N D D 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 8. Total Number of Safe Deposit Boxes -0 Firm Name (If Applicable) First line of address 1 0 1 SOUTH MARKET STREET Second line of address 1"',,) w City or Post Office State ZIP Code DATE FILED MECHANICSBURG P A 17055 Correspondent's e-mail address:rmtesQ@deiazzd.com Under penalties of pe~ury. 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. SIGNATU E OF PERSON RESPONSIBLE FOR Fl N ATE /;2 Drive ER THAN REPRESENTATIVE Mechanicsbur PA 17050 Market Street Mechanicsburg PLEASE USE ORIGINAL FORM ONLY PA 17055 Side 1 L 15056041125 15056041125 --' ~ 15056042126 REV-1500 EX Decedent's Name: GEORGE W. COOK RECAPITULATION 1. Real estate (Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 2. Stocks and Bonds (Schedule B) .................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................ 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. 6. Jointly Owned Property (Schedule F) D Separate Billing Requested. . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) D 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 (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. 264617.93 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.00_ 2 6 6 1 3 2. 9 3 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 15. 16. 17. 18. 19. Tax Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 L 15056042126 Decedent's Social Security Number 209289022 O. 0 0 1 8 7 0 O. 2 4 2 5 0 9 8 5. 5 7 O. 0 0 2 6 9 6 8 5. 8 1 4 7 5 2. 4 0 3 1 5 . 4 8 5 0 6 7 . 8 8 2 6 4 6 1 7 . 9 3 O. 0 0 O. 0 0 D 15056042126 ~ REV-1500 EX l>age 3 Decedent's Complete Address: File Number 21 07 0923 DECEDENTS NAME GEORGE W. COOK STREET ADDRESS 13 Raspberry Drive CITY I STATE I ZIP Mechanicsburg PA 17050 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount 0.00 Total Credits (A + 8 + C) (2) 0.00 3. InteresUPenalty if applicable D. Interest E. Penalty TotallnteresUPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 0.00 S. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (S) 0.00 8. Enter the total of Line S + SA. This is the BALANCE DUE. (SA) (S8) A. Enter the interest on the tax due. 0.00 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 00 b. retain the right to designate who shall use the property transferred or its income; ............................... 0 00 c. retain a reversionary interest; or ................................................................................................ 0 00 d. receive the promise for life of either payments, benefits or care? ....................................................... 0 00 2: If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... 0 00 3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ......... 0 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................. 0 00 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 exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. ~9116(a)(1.2)). The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.S) 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-1508 EX + (6-98) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF GEORGE W. COOK SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21 07 0923 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 VALUE AT DATE OF DEATH 5,965.00 003 Kia Spectra Sedan 40 2. Personal Property 500.00 3. M & T Bank, Checking Account No. 23895136 ~99 Mitchell Road Millsboro, DE 19966 12,235.24 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 18 700.24 REV-1509 EX + (6-98) *' SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF GEORGE W. COOK FILE NUMBER 21 07 0923 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINTTENANT(S) NAME ADDRESS ~ELATIONSHIP TO DECEDENT A. Brenda A. Cook 3 Raspberry Drive iIIechanicsburg, PA 17050 pouse B C JOINTL Y.OWNED PROPERTY: 4 LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF UMBER TENANT JOINT IDENTIFYING NUMBER ATTACH DEED FOR JOINTLY.HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST 1. '\. 7/23/93 )NC Bank, Checking Account No. 5070117768 1,637.81 50. 818.91 East Main Street iIIechanicsburg, PA 17055 2. 11,. 7/26/06 iIIembers 1 st, Savings Account No. 289719-00 2,303.89 50. 1,151.95 000 Louise Drive, P. O. Box 40 iIIechanicsburg, PA 17055 3. 11,. 7/26/06 iIIembers 1st, Checking Account No. 289719-11 7,703.22 50. 3,851.61 000 Louise Drive, P. O. Box 40 iIIechanicsburg, PA 17055 11,. 11/30/06 iIIembers 1st, Certificate of Deposit #289719-40 104,248.89 50. 52,124.45 000 Louise Drive, P. O. Box 40 Mechanicsburg, PA 17055 5. ~. 120/07 Members 1st, Certificate of Deposit #289719-43 103,089.27 50. 51,544.64 5000 Louise Drive, P. O. Box 40 Mechanicsburg, PA 17055 6. ~. 120/07 \i1embers 1 st, Certificate of Deposit #289719-44 10,218.95 50. 5,109.48 5000 Louise Drive, P. O. Box 40 Mechanicsburg, PA 17055 7. f\. 125/07 Members 1 st, Certificate of Deposit #289719-45 101,384.05 50. 50,692.03 5000 Louise Drive, P. O. Box 40 lI1echanicsburg, PA 17055 8. ~. 0/1/01 '001 Mercury Sable GS Sedan 4d 5,385.00 50. 2,692.50 9. '\. 116/07 3 Raspberry Drive 166,000.00 50. 83,000.00 lI1echanicsburg, PA 17050 TOTAL (Also enter on line 6, Recapitulation) $ 250 985.57 (If more space is needed, insert additional sheets of the same size) N REV-1511 EX'+ (12-99) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF GEORGE W. COOK SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21 07 0923 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Myers Funeral Home 3,129.50 2. Mechanicsburg Club (funeral dinner) 774.90 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees R. Mark Thomas, Esquire 750.00 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address City Stale Zip Relationship of Claimant to Decedent 4. Probate Fees 98.00 5. Accountanfs Fees 6. Tax Return Preparer's Fees 7. TOTAL (Also enter on line 9, Recapitulation) $ 4 752.40 (If more space is needed, insert additional sheets of the same size) REV-1512 EX + (12-03) '* SCHEDULE. DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF GEORGE W. COOK FILE NUMBER 21 07 0923 Report debts Incurred by the decedent prior to death which remained unpaid as of the date of death, including unrelmbursed medical expenses. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH :::apital One Bank :>. O. Box 70884 :::harlotte. NC 28272 315.48 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 315.48 LAST WILL AND TESTAMENT I, GEORGE WESLEY COOK, a resident of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I am married to BRENDA ANN COOK, and that I have one (1) son, WESLEY LEE COOK, born December 29, 1971. At the time of the writing of this Will, I realize that I have other children from a former marriage, however, I have not had contact with my other children for several years and it is my intention that if any property passes under this Will to any of my children, then all that property will pass to my son, WESLEY LEE COOK. II I direct that my debts and funeral expenses be paid as soon after my death as is practicable by my Executrix out of my residuary estate, but not from any assets, funds, death benefits or insurance proceeds which are otherwise excludable or exempt from my gross estate for federal estate valuation or tax purposes. III I direc t that all esta te, succession, legacy, inheri tance or other transfer taxes, however designated that shall become payable by reason of my death in respect of all property comprising my gross estate for death tax purposes, whether or not such property passes under this LAST WILL, shall be paid by my Executrix out of my residuary estate, but not from any assets, funds, death benefits or insurance proceeds which are otherwise excludable or exempt from my gross estate for federal estate valuation or tax purposes. t.,,:'. .... ., ',.! -(,;,', \: Li:.: : l j , L " _.- ~~' IV I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my wife, BRENDA, provided that she survives me by thirty (30) days. V If my wife, BRENDA, shall predecease or fail to survive me by thirty (30) days, I give, devise and bequeath all of my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment, to my son, WESLEY LEE COOK, per stirpes. VI I nominate, constitute and appoint my wife, BRENDA ANN COOK, as Executrix of this LAST WILL, to serve without bond. If my wife is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my son, WESLEY LEE COOK, as Executor of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, GEORGE WESLEY COOK, have set my hand to this LAST WILL this /2 YA day of .::- . L)-Qp/:~ n>{J.o-, 1991. , F 2 " "--- ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, GEORGE WESLEY COOK, 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 instrument as my LAST WILL; that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by GEORGE WESLEY COOK, Testator, this !()Y---J-, day of &pf-.1!./n6-er ,1991. "- ~ \ a j ,/ (LlA'UL }J7. --47~ Notary Public Notmial Seal Diane M. Smith, Notary Public Mechanicsburg 8oro, Cumberland Count My Commission Expires June 22,1992 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, I~. 11Jclr!c 711eJiVIC(S and /YJu/,r-P I If. {uG',,-/l-frsijl/ , the witnesses whose names are signed to the attached or foregoing instrument being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as his LAST WILL; that GEORGE WESLEY COOK signed willingly and that he executed it as his free ann 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 18 years of age or more, of sound mind and under no constraint or undue influence. , it({;/ Sworn or affirmed to and acknowledged before me t his I ;J V-f.... day 0 f -Si /:J f --e. n) 6e r- , 1 99 1 . JJ Ul~ )r) /~/l-L7~ Notary Public I"~:)!a! ~~.:: ;;~~ ~,~al [)i,mG M. :3111iih, (-"olary Publio -; .:.:-_~:;L1IJr~J 8lXO, Cumberland Count _ ":~;-;:~_'::.~....:_~~L:":; June 22, 1992 .. L Kelley Blue Book - Private Party Pricing Report - Kia, Spectra Page I of2 _IL~ . Send to Printer advertisement 2003 Kia Spectra Sedan 40 BLUE 8001(3 PRIVATE .PARTY VALUE advertisement Condition Value Excellent $6,455 ../ Good $5,965 (Selected) Fair $5,360 Average Consumer Rating (32 Reviews) Read Reviews ~~~~)~ 3.7 out of 5 Review This Vehicle Vehicle Highlights Mileage: Engine: Transmission: Drivetrain: 43,777 4-Cyl. 1.8 Liter Automatic FWD Selected Equipment Standard Power Steering AM/FM Stereo Single Compact Disc Dual Front Air Bags . ,..-. Blue Book Private Party Value Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. Close Window Vehicle Condition Ratings Excellent ~ $6,455 "Excellent" condition means that the vehicle looks new, is in excellent mechanical condition and needs no reconditioning. This vehicle has never had any paint or body work and is free of rust. The vehicle has a clean title history and will pass a smog and safety inspection. The engine compartment is clean, http://www.kbb.com/KBBIU sedCars/PricingReport.aspx?ManufacturerId=25& Y earld=20... 11/6/2007 Kelley Blue Book - Private Party Pricing Report - Mercury, Sable Kelle, IllIeBook THETRU51tORESOURCE ....- advertisement Page 1 of2 .. Send to Printer 2001 Mercury Sable GS Sedan 40 BLUE BOOKs PRIVATE PARTY VALUE Condition Value Excellent $5,845 '" Good $5,385 (Selected) Fair $4,825 Average Consumer Rating (81 Reviews) Read Reviews ....t; 4.4 out of 5 Review This Vehicle Vehicle Highlights Mileage: Engine: Transmission: Drivetrain: 48,000 V6 3.0 Liter Automatic FWD Selected Equipment Standard Air Conditioning Power Steering Power Windows Power Door Locks Tilt Wheel Cruise Control AM/FM Stereo Ca ssette Dual Front Air Bags Optional Sun Roof Blue Book Private Party Value Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. Vehicle Condition Ratings Excellent - advertisement - Close Window http://www.kbb.comlKBBlUsedCars/PricingReport.aspx?ManufacturerId=32&Yearld=20...11/612007 rI M&fBank 499 Mitchell Road, MiIIsboro, DE 19966 Mail Code DE-MB-12 Phone (888) 502-4349 Fax (302) 934-2955 October 26, 2007 R Mark Thomas Attorney At Law 101 South Market Street Mechanicsburg, Pennsylvania 17055-3851 Re: Estate of: George W Cook Social Securitv: 209-28-9022 Date of Death: September 30,2007 Dear Sir or Madam: Per your inquiry received October 24, 2007, please be advised that at the time of death, the above-named decedent bad on deposit with this bank the following: 1. Type of Account Checking Account Account Number 23895136 Ownership (Names oj) George W Cook ... Opening Date 08/28/72 Closed 10/12/07 Balance on Date of Death $12,235.24 Accrued Interest $ 0.00 Total $12,235.24 Please be advised, there was no safe deposit box found for the above decedent * If upon reviewing the information above, you believe there are additional accounts not referenced, please provide us with an account number and/or the name of any possible joint account holder. For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, please call the Mechanicsburg Office # 717- 255-2031. Sincerely, ~.;;~~///-" ~-" z: ~~ /J-~~r:/ 1"/ // "//_ v/.'c.,/ v Nancy Clagett Records Management "' "" 5-7 ~ c! R .-rA () 01[() ?,OBERT P. ZIEGLER :1[CCiRDER OF DEEDS C,.t'RU~LMW COUt!T-r . . ~)[" " . 2007 FEB 20 Prl 2 30 Tax Parcel No. 38-21-0289-020F THIS DEED, MADE THIS (2007). fl- /6 day of February, in the year of our Lord two thousand seven BETWEEN ANTONIO ANDREOLI and GIOVANNA ANDREOLI, his wife, a/k1a GIOV ANNINA ANDREOLI Grantors, and GEORGE W. COOK and BRENDA A. COOK, his wife, Grantees: WITNESSETH, that in consideration of ONE HUNDRED SIXTY-SIX THOUSAND DOLLARS ($166,000.00), in hand paid, the receipt whereof is hereby acknowledged, the said grantors do hereby grant and convey to the said grantees, their heirs or assigns, ALL THAT CERTAIN piece, parcel or plot of ground with buildings and improvements thereon erected, situated in the Silver Spring Township, County of Cumberland and Commonwealth of Pennsylvania, bounded and described according to the Subdivision Plan for Holly Estates prepared by Walker Associates, dated January 2, 1986, and thereafter revised and recorded in Cumberland County Plan Book 53 at Page 67, as follows, to wit: BEGINNING at a point on the fifty foot right-of-way of Raspberry Drive, which point is at the corner of Lot No.6 of the above-referred-to Plan of Lots; thence along Raspberry Drive North 35 degrees 45 minutes 00 seconds East 112.0 feet to a point; thence along Lot No.8 of the above-referred-to Plan of Lots South 54 degrees 15 minutes 00 seconds East 108.14 feet to a point; thence along Lots Nos. 8A and 9A of the Revised Plan of Raymond W. Rife, et ux., as recorded in Cumberland County Plan Book 18, Page 28, South 35 degrees 45 minutes 00 seconds West 112.0 feet to a point; thence along Lot No.6 of the above-referred-to Plan of Lots North 54 degrees 15 minutes 00 seconds West 108.14 feet to a point, the Point and Place of BEGINNING. ?[HJI, i:'7b ur ,11' i8 ,." BEING Lot 7 of the above-referred-to Plan of Lots and containing 12,111.68 square feet, more or less. BEING the same premises which Douglas Wisehaupt and Wendy Wisehaupt, his wife, granted and conveyed unto Antonio Andreoli and Giovanna Andreoli, his wife, of Mechanicsburg, Cumberland County, Pennsylvania, by Deed dated May 9, 2003, and recorded in the Office of the Recorder of Deeds in and for Cumberland County in Deed Book 257 Page 996, the grantors herein. AND the said grantors hereby covenant and agree that it will warrant specially the property hereby conveyed. IN WITNESS WHEREOF, said grantors have hereunto set their hands and seals the day and year first above written. Signed, Sealed and Delivered in the Presence of ) ) ) ) ) ) ) ) ) ) ~L.~ ~"t. . ANTONIO ANDREOLI LO! / (U Q' cii~~~~~:'AfND~EOL~~~ I ~ - ~ -~ ^vAfJI1/C /W'IAA.,O ~ {t,I/I (1f L- a'O NNINAANDREOLI COMMONWEALTH OF PENNSYLVANIA ) ss. COUNTY OF CUMBERLAND ) On this, the /~ ~ay of February, 2007, before me, the undersigned officer, personally appeared ANTONIO ANDREOLI and GIOV ANNA ANDREOLI, AlKJA GIOV ANNINA ANDREOLI, known to me (or satisfactorily proven) to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. . 1 rJr-1:?t ll! iCfil /t!L~ 1>4/ tary Public :; n ."}'l o. r.~ .,.j {"19 BOOK t,' i (, I II,,: l-f-A. J .- ,-- I do hereby certify that the precise residence and complete post office address of the within named grantees is 13 Raspberry Drive, Mechanicsburg, P A 17050. February /6 , 2007 ~~ Attorney for Grantees ! ",':ry Ihis fn, he recorded LunberIand County PA COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) ss. . '-"~-":;-,.., _~o)_.,< \ ) i ./ -..d ~: .I. II" .; (J?f:'.<-- . n .' ('('/' ,,1 ("1- of 'Dcc.d s ,} .;., ....' ....... \ . . ' ~ <<oJ _ . ,.I RECORDED on this day of the Recorder's Office of the said County, Deed Book , A.D. 20_, in , Vol. , Page Given under my hand and the seal of the said office, the date above written. , Recorder. ._, n r.':I n ;::.:t ("'") f_, I::=' 1;.1') n '=' I=, '=' Q :::r::,""::r...., a::.""). r" _-.. ,,= ,...., rr, ,...., ::J::!1 ~~ ~ ;) t-f f) g~ !~ ~ gI ~ ~ .- ::r.:- ;:-::'" ~ ::a:: (1':1 1"T1 fT1 ;::.:t ;:po ;:po ..., 5: ;g . 1:::0 f2 I I .~ r--~ r..:. !::j ;g ~ ....... ~: !:g ~ ~ ~ :-0 cj ~ CJI .c r" ;%:. :2= :::0 "=" -I I-f ...... ....,) .... c> :x ::a:: . ,....... --t ;''5 -l 52 ;-. ~ :l5 ~ a::L ..,.., ....... ':""01 .- ::I> . C=:.'--I I --t . = '"T'1 :IIC r" rT'! . t.::t;:;z:'''''O ~ . '=' M= = 0% .... ::roo :::0 ::00: -l ::r.: -= :x :t>- o" .......... - r....J r-- ~ ~ ~ ~ (..... 0-. 0"". co 0",) l::t-. CJJ 1:7". -..0 r--'- f-l. I:...., (...,l v'. ,...... ...0 .0 ...... CCI c..... r'..:J Qt ..-- <:> Or tOt 1'..1 ........."..u. -0 C> CJl Co." <::> <::> <::> ':.J1 = 0:::> <::> t.." '::::- '0 Or to c> <=r to .0 <:::It c> oCt ..-:::- <0 .;:::t ;::.:t :iI .:LI .... ~ If. 1-< "'" L"'" U'1 t::: "1- .. .... 0- - rtI ..... ..... ..- 0 .... <::> :::I -.3 c.. I ~r.':I <:::I .::a """ ::::I 0 f_" f1) U1 c: .....;I ,., '""" ::2 r.." '1:> .... rl" -..0 ..... .:: '< "Tt 3 ,..i- .1:1 """ ;:00 :::I "D ....... 1-' r....> 0::1 -.. r:r- ...., .... :"0_1 .C- 1-- r:::r.. <:> -.1 ..... .n ~" .- ...... -.: ...." - :;::r 0:::> .- ...~ 0 .0 -+. -J '=' rtl I'D .- 0.. Ft,Gr- 4j.iO ...,.. COOK <'1"(P .. r.., {1., J co .. r-.J co Myers Funeral Home, Inc. Boyd L. Myers Jr., Supervisor 37 East Main Street Mechanicsburg, Pennsylvania 17055 Fax (717) 795-7291 (717) 766-3421 A standard of excellence in Central Pennsylvania since 1910 Thursday, October 25, 2007 Brenda Cook 13 Raspberry Drive Mechanicsburg, PA 17050 Dear Cook, Thank you for selecting our funeral home to provide services for your family during your bereavement. I hope that you found our services to be of the highest standards and that they met your needs and those of your family and friends. The following is a summary of the service charges as previously explained and provided in written form and herein indicated as PAID-IN-FULL. Georae W. Cook SUMMARY OF EXPENSES TOTAL OF SERVICE RENDERED LESS: Credits granted LESS: Total Payments CURRENT BALANCE $4,204.50 1,075.00 3,129.50 $0.00 Credits Granted: $1,075.00 Package Price Discount If there are any questions or concerns that remain unanswered, please call me. ;;~ CHARTERED SEPT. 10th., 1894 Q[h:e J1Ilt:erlnt:ttirsltu:r~ C!lluh 333 HEINZ STREET MECHANICSBURG, PENNSYLVANIA 17055 ~ tV\'-'-~ILI(kJ.M.,- f(,.l..o~ 313 tkwL fr ~~~.Jit&:- fir J1~ DATE NAME ADDRESS SOLD BY o C.O.D. 0 PAID OUT o MERCHANDISE RETURNED {, 30. - 37. 1}C1 107.10 71tf: 9 D a" adams NC2581 SIGNATURE ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL GENERAL PURPOSE c5 DlU.. (.Q 0 ' (,\U PC\ J-{ 5 . O\~ f\PP IS-. GU Tl- rei <.90. 00 !'LAPD