HomeMy WebLinkAbout04-18-08
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15056051058
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 Number Date of Death
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Date of Birth
01/16/2007
05/13/1926
Decedent's Last Name
Suffix
OFFICIAL USE ONLY
County Code Year
File Number
21 07
0921
St. Cyr
Robert
Decedent's First Name
E
(If Applicable) Enter Surviving Spouse's Infonnation Below
Last Name Suffix
Spouse's Social Security Number
MI
First Name
MI
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
c:::::::;; 4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death c:::::::;; 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 Number
FILL IN APPROPRIATE OVALS BELOW
cas 1. Original Return
2. Supplemental Return
4. Limited Estate
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
Nathan C. Wolf, Esquire
Firm Name
Wolf & Wolf
First line of address
10 West High Street
Second line of address
City or Post Office
Carlisle
State
ZIP Code
PA
17013-2922
Correspondent's e-mail address:nathancwolf@embarqmail.com
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
(717) 241-4436 p-..;l
Q~:3
REGISTE~LLS USE oNLY
N'!~p ;.;
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-riATE FILED
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isle, PA 17013-2922
PLEASE USE ORIGINAL FORM ONLY
Side 1
L
15056051058
DATE
04/18/08
15056051058
-.J
....-J
15056052059
REV-1500 EX
Decedent's Name:
Robert
E St.Cyr
0.00
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) 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.
Decedent's Social Security Number
0.00
0.00
0.00
15,630.07
0.00
154,650.00
170,280.07
14,279.22
44,165.61
58,444.83
111,835.24
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.
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 45 111,835.24
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.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
L
15056052059
Side 2
111,835.24
15.
16.
5,032.58
17.
18.
5,032.58
.
15056052059
....-J
REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
Robert E St.Cyr
STREET ADDRESS
1915 Douglas Drive
DECEDENT'S SOCIAL SECURITY NUMBER
CITY
Carlisle
STATE
PA
ZIP
17013
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
5,032.58
5,200.00
Total Credits (A + B + C ) (2)
-167.42
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.
Fill in oval on Page 2, Line 20 to request a refund. (4)
0.00
167.42
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5)
(5A)
(5B)
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 decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... [iJ D
b. retain the right to designate who shall use the property transferred or its income; ............................................ [iJ D
c. retain a reversionary interest; or.......................................................................................................................... [iJ D
d. receive the promise for life of either payments, benefits or care? ...................................................................... D [i]
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. [iJ D
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. D [iJ
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ D [iJ
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. 39116 (a) (1.1) (i)l.
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. 39116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. 39116(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 PS. 3911fi(1.2) [72 PS. 39116{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. 39116(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+ (6-96) '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Robert E. St.Cyr
FILE NUMBER
21-07-0921
ITEM
NUMBER
Include the proceeds of Inigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
DESCRIPTION
VALUE AT DATE
OF DEATH
M & T Bank Account Number 760012
13,161.57
1,048.50
1,155.00
265.00
2 Various Personal Property sold at Auction (Less Auctioneer's expenses) - See attached
3 1989 Cadillac Eldorado - Fair condition - Kelley Blue Book value attached
4 State Auto - Insurance premium refund
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
15,630.07
REV-1510 EX+ (6-96)
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Robert E. St.Cyr
FILE NUMBER
21-07-0921
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY
ITEM INCLUDE THE NAME OF THE "TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT mD DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE
NUMBER THE DATE OF "TRANSFER. ATTACH A copy OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE' VALUE
1. 1915 Douglas Drive, Carlisle, PA 17013 157,650.00 50 3,000.00 75,825.00
Jeffrey E. St.Cyr (Son) transferred on Feb 17,2006
2 1915 Douglas Drive, Carlisle PA 17013 157,650.00 50 78,825.00
Jeffrey E. St.Cyr (Son) transfer upon death January 16, 2007
TOTAL (Also enter on line 7 Recapitulation) $ 154,650.00
(If more space is needed, insert additional sheets of the same size)
REV-1511 EX+ (12-99.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21-07-0921
ESTATE OF
Robert E. St.Cyr
Debts of decedent must be reported on Schedule L
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
I
1.
FUNERAL EXPENSES:
Hoffman Roth Funeral Home
4,665.30
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
6,000.00
3.
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Jeffrey E. St. Cyr
SlreetAddress 1915 Douglas Drive
City Carlisle
3,000.00
State PA _Zip 17013
Relationship of Claimant to Decedent Son
4.
Probate Fees
290.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Cumberland Law Journal- Legal Advertising
The Sentinel - Legal Advertising
Court Costs - Petition for Citation/Short Certificates
75.00
166.60
63.00
5.55
13.77
8
9
10
Certified mail expenses
Estate checking expenses
11
14,279.22
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
REV-11m EX+ (1HIS)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & UENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Robert E. St.Cyr
FILE NUMBER
21-07-0921
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
Lancaster HMA - Central Penn Management Account No, 513662
12.39
2
Household Retail Services (ERI Financial) Credit Account 2116041004647138)
316.87
3
Citibank (Balogh Becker) Credit Card Account No. 4616570261460513
9,845.61
5,102.86
101.47
4
:5
Military Star Credit Card Account No. 6019440600032308
FIA Card Services - Credit Card Account 4264296024016062
13
FIA Card Services - Credit Card Account 4888930081658046
9,313.65
17,949.76
1,513.00
~r
A TT (Balogh Becker) Credit Card Account 5491130008139495
8
2006 Federal Income tax due (1040)
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
44,155.61
REV-l513 EX+ (9-00) *'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Robert E. St.Cyr
FILE NUMBER
21-07-0921
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
][ TAXABLE DISTRIBUTIONS ~nclude outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1 Jeffrey E. St.Cyr 1915 Douglas Drive, Carlisle, PA 17013 Son 111835.24
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
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 111835.24
(If more space is needed, insert additional sheets of the same size)
~ M&TBanl<
One West High Street, Carlisle, PA 17013
Please find below the date of death balance for
Robert E Stcyr SSN 003-12-9850
Records Management / DOD Unit
M&T Bank- "Understanding what's important."
>>> <yshughart@mtb.com> 11/27/2007 1:42 PM >>>
Account Information
Date of death: 01/1612007
Account Number: 760013 Balance $13,161.43 + accrued interest $ 0.14 == $ 13,161.57
Total
Product Type: Deposit Account
Additional Information ROBERT EST eYR 003129850
If you have further questions you may reach a Banking Associate for the High Street
Office at 717-240-4536.
J~~ ~~~+
Date: 03-04-2008 14:09:01
Settlement
S E' 1 1 (:' l'~ : L:::
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Rowe's Auction Service
2:~:;1{)~5 F< i. t n f.n~ Hv-.JY
Carlisle, PA 17015
717-249-2677,249-1978,697-4794
www.rowesauctionservice.com
f1obe),'t St. CY1"
1915 Dou~llas Dy'
Carlisle PA 17013
De sc'I" i pt ion
717-'i::~l+'3....l1.71 9
P\'-'.i.cc~
Qty
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Item
Rowe's Auction Service
i.::::505 R i. t: n e 1" j-lirJ yo
Carlisle, PA 17015
717-249-2677,249-1978,697-4794
www.row0SBuctionservice.com
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Date: 03-04-201218 14:09:1212
Settlement
SelIE'Y-': l,:::
Rowe's Auction Service
c~505 fi i t n e l' Hv.1 Y
Cad. i s J e ~ PA :l71tH ~j
717-249-2677, 249-197B, 697-4794
www.rowesauctionservice:com
R 0 l::l ar-' t St. C yr'"
7 1. 7,., i::: LI' ':3,- ,:~ 7 1. '3
19:1.~5 DOI..!!;llas
Ca 1" 1 i s 1 e PA
(h-.
1717.113
Commission at 40.000~
7 :I 9.. rZlIZI
Less adjustments:
Net due to seller:
Thank you fer your business Rowes Auction!
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advertisement
~ Send to Printer
1989 Cadillac Eldorado Biarritz Coupe 20
BLUE BOOK@ PRIVATE PARTY VALUE
Condition
Value
Excellent
$1,790
Good
$1,485
..; Fair
$1,155
(Selected)
Average Consumer Rating (2 Reviews)
Read Reviews
4 out of 5
Review This Vehicle
Vehicle Highlights
Mileage:
Engine:
Transmission:
Drivetrain:
200,000
V8 4.5 Liter
Automatic
FWD
Selected Equipment
Standard
Air Conditioning
Power Steering
Power Windows
Power Door Locks
Cruise Control
AM/FM Stereo
Cassette
Optional
Leather
Alloy Wheels
Blue Book Private Party Value
Private Palty Value is what a buyer can expect to pay when buying a used car from a
private palty. 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
- advertisement _
Close Window
E:xcellent
$1,790
"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,
with no fluid leaks and is free of any wear or visible defects. The vehicle also
has complete and verifiable service records. Less than 5% of all used vehicles
fall into this category.
Good
$1,485
""iood" condition means that the vehicle is free of any major defects. This
vehicle has a clean title history, the paint, body and interior have only minor (if
any) blemishes, and there are no major mechanical problems. There should be
little or no rust on this vehicle. The tires match and have substantial tread wear
left. A "good" vehicle will need some reconditioning to be sold at retail. Most
consumer owned vehicles fall into this category.
..t Fair (Selected)
$1,155
"Fclir" condition means that the vehicle has some mechanical or cosmetic
defects and needs servicing but is still in reasonable running condition. This
vehicle has a clean title history, the paint, body and/or interior need work
performed by a professional. The tires may need to be replaced. There may be
some repairable rust damage.
Poor
NfA
"Poor" condition means that the vehicle has severe mechanical and/or cosmetic
defects and is in poor running condition. The vehicle may have problems that
cannot be readily fixed such as a damaged frame or a rusted-through body. A
vehilcle with a branded title (salvage, flood, etc.) or unsubstantiated mileage is
considered "poor." A vehicle in poor condition may require an independent
appraisal to determine its value. Kelley Blue Book does not attempt to report a
value on a "poor" vehicle because the value of cars in this category varies
greatly.
* Pennsylvania 10/11/2007
"" STATE AUTO@
.If{llral~~
ROBERT ST CYR
1915 DOUGLAS DR
CARLISLE, PA 17013
Check Number: 0000227269
Check Date: 02/27/07
ROBERT ST CYR
Check Amount:
265.00
BCWS APA0004653 AGT 0006812 CANCELLATION CREDIT
AU16 (5/06)
(PAYMENT ADVICE: REMOVE BEFORE CASHING CHECK)
Detailed Results for Parcel 29-16-1094-122. in the 2004 Tax Assessment Database
DistrictN (]I 29
Parcel_ill 29-16-1094-122.
MapSuffix
HouseNo 1915
Direction
Street DOUGLAS DRIVE
Ownerl ST CYR, ROBERT E & JEFFREY E
C/O
PropType R
PropDesc
Liv Area 2022
CurLandV III 32550
CurlmpVal 125100
CurTotVal 157650
CurPrefV al
Acreage .34
CIGrnStat
TaxEx 1
SaleAmt 1
SaleMo 02
SaleDa 17
SaleCe 20
SaleYr 06
DeedBkPage 00273-01110
YearBlt 1961
HF_File_Date 02/28/2005
HF _Approval_Status A
) ~ -(.J
'-"1
> 0/1\1 nej t. /"
J
I" tJ i'r
r. f (i.
,,'I J '10
Parcel No.:
THIS DEED
MADE THE I ~daY of fiblUOllJ- in the year two thousand six (2006).
BETWEEN ROBERT E. ST CYR, widower, of Cumberland, Pennsylvania, hereinafter referred
to as:
Grantor,
AND ROBERT E. ST CYR, widower and JEFFREY E. ST CYR, married man, father
and son, both of Carlisle, Cumberland County, Pennsylvania, as joint tenants but not
as tenants in common with the rights of survivorship, hereinafter referred to as:
Grnntees,
WITNESSETH, that in consideration of ONE AND NOll 00 ($1.00) Dollars in hand paid, the
re:ceipt whereof is hereby acknowledged, the said Grantor does hereby grant and convey to the said
Grantees, its successor and assigns:
ALL that certain tract ofland with the improvements thereon erected, situate in North
Middleton Township, Cumberland County, Pennsylvania, bounded and described as
follows:
BEGINNING at a point on the Eastern line of Douglas Drive and at corner of Lot
No. 22, Block B on the hereinafter mentioned plan oflots; thence by the latter, North
85 degrees East 150 feet to a point at line of Lot No. 10, Block B, on said plan;
thence by said Lot No. 10, Block B and Lot No. 11, Block B, North 5 degrees West
100 feet to a point at line of Lot No. 19, Block B; thence by the same South 85
degrees West 150 feet to a point on the Eastern line of Douglas Drive; thence by the
same, South 5 degrees East 100 feet to the corner of Lot No. 22, Block B, on said
plan, the Place of BEGINNING.
BEING Lots No. 20 and Lot No. 21 on Plan No.1 Block B, of Noll Manor, as
recorded in the Office of the Recorder of Deeds in Plan Book 11, page 51,
Cumberland County Records.
HAVING thereon erected a one story brick and frame dwelling known as No. 1915
Douglas Drive.
BOOK 273 PAGE1116
BEING the same premises which was deeded and conveyed to Paul L. Etter,
widower, by his Deed dated November 25, 1980, in Deed Book F Volume 29, Page
384 in the Office of the Recorder of Deeds of Cumberland County, Pennsylvania,
granted and conveyed unto Robert E. St Cyr and Violet R. St Cyr, husband and wife.
The said Violet R. St Cyr died on March 20, 1995, wherein by operation oflaw title
vested solely in Robert E. St Cyr her widower, Grantor herein.
THIS CONVEYANCE IS A TRANSFER BElWEEN FATHER AND SON
AND IS THEREFORE EXEMPT FROM REALTY TRANSFER TAX.
SUBJECT, HOWEVER, to such recorded easements, restrictions and conditions that
may apply to the afore-described tract of land.
AND the said Grantor hereby covenants and agrees that he will warrant specially the property
hereby conveyed.
IN WITNESS 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
~/\ Y !VvJ-
/-;J t --/
/,~ ? r-t/~ dSEAL)
Robert E. St Cyr V
COMMONWEALTH OF PENNSYL VANIA )
): 55.
COUNTY OF CUMBERLAND )
On this, the ~ day of fi htua frJ. ,2006, before me, the undersigned
officer, personally appeared Robert E. St Cyr, known t~~e or satisfactorily proven to be the person
whose name is subscribed to the within instrument, and acknowledged that he executed the same for
the purposes therein contained and with the intent to legally bind.
IN WITNESS WHEREOF, I hereunto set m hand and official seal.
\;,.:.~b'~
L TH OF PENNSYLVANIA
Notarial Seal
Tammie L Peters. Notary Public
South MddIeton Twp., Cumbertand County
My CommIssIon ExpIres Sept 9, 2007
Member, Pennsylvania Aa$ClClatlon Of Notaries
BOO'- 273 PAGf1111
_.~ _... r'
CERTIFICATE OF RESIDENCE
1'; ....~.... 1112
uOOI' ,,-:'/.5 P~CE '
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, P A 17013
December 28, 2007
Cumberland Law Journal is published every Friday by the Cumberland County Bar
Association and is designated by thre Court of Common Pleas as the official legal publication for
Cumberland County and the legal newspaper for publication of legal notices.
TO:
Nathan C. Wolf, Esquire
Robert E. St.Cyr Estate
RE:
Legal advertisements must be received by Friday Noon. All legal advertising must be
paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on the following dates:
December 14, December 21 and December 28, 2007
Advertising Cost
$ 75.00
$ 0.00
Proof of Publication
Second Proof Request
$ 0.00
Payment received
$ 0.00
.,,~ j...<m\. ~ "'U='.N'U~="
ESTATE OF ROBERT E. ST. CYR
JEFFREY E. ST. CVR, ADMINISTRATOR
10 WEST HIGH STREET
CARLISLE, PA 17013
:;~~~~ 6~E ~cPJ.1~ LJ'Jw' 1t1fr1IL
c<;e~f(jlYl ~1I1f5 If" --
overe~~
FOR 5",. [1/.. h,i/1l.<- I~
11100 ~ 0 0 2111 I: 2 ~ ~ ~ 7 2 b 11 ~ I:
1002
DATE
( IiI ~ffJY
II; $ 75JX.J
1~L/ DOLLARS t?i
60-7269-2313
~:::-
~~~
~ b 7 ~ 0 7 ~ 7' ~ ~ III
..... ,. __,., .m.. _',~......~~ ,_
, DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT
THE SENTINEL - LEGAL b t
POBOX 130 CARLISLE PA 17013 Ro er E. St. Cyr
. . ..
AD NUMBER CLASSO START DATE STOP DATE
340945 PUBLIC NOTICES 12/12/07 12/26/07
AD DESCRIPTION BILLING DATE TELEPHONE NUMBER
ADMINISTRATOR'S NOTICE LETTERS OF 12/26/07 717-241-4436
GROSS AMOUNT OF
199.92
DUE AFTER 01/25/08
TOTAL AMOUNT DUE
166.60
ENTER AMOUNT ENCLOSED
WOLF & WOLF ATTORNEYS
10 WEST HIGH STREET
CARLISLE, PA
'11I11I11.11I......111111.1..1.1
17013
I~~, &0
20200000003409450000000000000001999200000166601
ESTATE OF ROBERT E. ST. CYR
JEFFREY E. ST. CYR, ADMINISTRATOR
10 WEST HIGH STREET
CARLISLE. PA 17013
1001
I
I
60-7269-2313
~~~J~ 6~E 1/)8- S ~ II '1) J
a~ h.Z;z::i 1 ~~
FOR-.4JJ jP r5'fJ'lYS
II- 0 0 . 0 0 .11- , I: 2 ~ J. ~ ? 2 b q J. I:
-'~
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......~.....
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"
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYL VANIA
ss.
COUNTY OF CUMBERLAND
Lisa Marie Coyne, Esquire, Editor ofthe Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
V1Z:
December 14, December 21, and December 28, 2007
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
(~
. It~
SWORN TO AND SUBSCRIBED before me this
~day of December, 2007
St.Cyr, Robert E., dec'd.
Late of North Middleton Town-
ship.
Administrator: Jeffrey E. St.Cyr
c/o Nathan C. Wolf, Esquire, At-
torney-at-Law, Wolf & Wolf Law
Office, 10 West High Street, Car-
lisle, PA 17013.
Attorneys: Nathan C. Wolf, Es-
quire, Attorney-at-Law, Wolf &
Wolf Law Office, 10 West High
Street, Carlisle, PA 17013, (717)
241-4436.
NOTARIAL SEAl
DEBORAH A COLLINS
Notary Public
CARLISLE BORO, CUMBERLAND COUNTY
My Commission Expires Apr 28, 2010
RECEIVED DEe 2 ~ 7007
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Tammy Shoemaker, Classified Advertising Manager, of The Sentinel, of the
County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL,
a newspaper of general circulation in the Borough of Carlisle, County and State
aforesaid, was established December 13th, 1881, since which date THE SENTINEL
has been regularly issued in said County, and that the printed notice or publication
attached hereto is exactly the same as was printed and published in the regular
editions and issues of THE SENTINEL on the following day(s)
December 12,19, 26,2007
COpy OF NOTICE OF PUBLICATION
ADMINISTRATOR'S NOTICE
Affiant further deposes that he/she is not
interested in the subject matter of the
aforesaid notice or advertisement, and that
all allegations in the foregoing statement
as to time, place and character of
~~~!-
----
letters 011 Administration in the Estate of ROBERT E.
. ST.CYR, deceased, late of North Middleton
. Township, Cumberland County, Pennsylvania,
have been grante~to the undersigned.
'All' persons having claims against the estate of the
. decedent shall makll known thll same to thll
_ undllrsigned or thllir attorney and all persons
_ indebted to the decedent shall make payment to
the undersigned without delay.
'Jeffrey E. St.Cyr
c/o NATHl\N 'C. WOLF, ESQUIRE
Attorney-at-Law
WOLF ane! WOLF LAW OFFICE
'10 West High Street
.Carlisle; PA 17013
,717-241-4436
Sworn to and subscribed before me this
27th. day of December,2007.
CltAA/J;lJW &~
Notary Publi
My commission expires: q I' /Og-
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Chnstina L. Wd.fe, Nolafy Public
Carlisle Bora, Cumberland County
My Commission Expires Sepl1, 2008
Member. Pennsylvania Association Of Notaries
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cumberland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17~13
Receipt Date:
Receipt Time:
Receipt No. :
11/20/2007
16:15:39
1050672
ST CYR ROBERT E
Estate File No.:
Paid By Remarks:
2007-00921
WOLF AND WOLF
AJW
------------------------ Receipt Distribution --------------__________
Fee/Tax Description PaYment Amount Payee Name
SHORT CERTIFICATE
Check# 2084
Total Received.........
28.00
----------------
$28.00
$28.00
CUMBERLAND COUNTY GENERAL FUN
RECEIPT FOR PAYMENT
RECEIVED OCT 24 i007
-------------------
-------------------
GLENDA FARNER STRASBAUGH
Cu~)erland County - Register Of Wills
One Courthouse Square
Carlisle, PA 17U13
Receipt Date:
Receipt Time:
Receipt No.:
10/11/2007
16:04:12
1050186
ST CYR ROBERT E
Estate File No. :
Paid By Remarks:
2007-00921
WOLF AND WOLF
AJW
------------------------ Receipt Distribution ----------------________
Fee/Tax Description PaYment Amount Payee Name
PETITIONS
CITATION
Check# 2053
Total Received.........
15.00
20.00
----------------
$35.00
$35.00
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
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009629 513662
IRe 1M!. FHYS MMI' CENr FfiN
EO EOX 619
EASr 1:'1!1~, PA 175ZXJ619
STATEMENT
PAYMENT OPTIONS
Check # Amt .$
IElUfN SERlICE fB;J..1ESIED
V1201C 0413
B5392M
SA12
BNP 002
2068 L
Please Include SecurltV Code From Back Of Card
CHECK CARD USINC FOR PAYMENT
l1li SlSTERCARD I VISA 1 Si'SA
CARD NUMBER EXP.DATE
CARDHOLDER NAME SECURITY CODE
SIGNATURE AMOUNT
ROBERT STCYR
1915 DOUGLAS DR
CARLISLE, PA 17013-1020
111.11111.111.11111111111.1111111.11111.111.1111111.1.1.1.1111
REMIT TO:
LANC HMA PHYS MGMT CENT PEN
PO BOX 619
EAST PETERSBUR, PA 17520-0619
111111111.1.1.1'111.111'1111'11.1111111111.111111111.1111.1111
717 519-.0753
513662
PLEASE RETURf'J THIS PORTiON WITH !='AYMENl
Patient Balance SHOW AMOUNT
12.39 PAID HERE $
Office Phone Number
Statement Date
05/11/07
Your Account Number
-------------------------------~---------------------------------------------------------------------------------------
CHARGES APPEARING ON THIS STATEMENT ARE NOT INCLUDED ON ANY HOSPITAL BILL OR STATEMENT
-
PROVIDER
NAME
EXPLANATION OF ACTIVITY
PATIENT NAME
CHARGES
AND DEBITS
PAYMENTS
AND CREDITS
--
032607
032607
0402107
051007
INPATIENT SUBSEQ LEV 2 INV#:4 STCYR, ROBERT
AMOUNT TO BE PAID BY CO INS $12.39
MEDICARE PAYMENT
MEDICARE ADJUSTMENT
65 SPEC MEDGAP PAYMENT
65 SPEC MEDGAP PAYMENT
Insurance Balance: 0.00
122.00
011407 RAJAGOPAL
-49.55
- 60 . 06
0.00
0.00
Patient Balance:
12.39
;tatement
late:
05/11/07
PLEASE INDICATE YOUR ACCOUNT NUMBER WHEN CALLING OUR OFFICE:
513662
12;39
31-60 Days
0.00
61-90 Days
0.00
>90 Days
0.00
Total
Ins Pending
12.39
0.00
PATIENT BALANCE
PAY THIS AMOUNT
12.39
Current
END INQUIRIES I PAYMENTS TO:
LANC HMA PHYS MGMT CENT PEN
PO BOX 619
EAST PETERSBURG, PA 175200619
717 519-0753
03/14/2007
HSBC RETAIL SERVICES
P.O. BOX 5244
CAROL STREAM, IL 60197-5244
HSBC ID
ROBERT E STCYR
1915 DOUGLAS DR
CARLSILE, PA 17013
RE:BON TON
Account Number: 0002116041004647138
Current Balance: $316.87
Amount Due: $86.00
Dear ROBERT E STCYR:
We are concerned when we fail to receive prompt payment from
a reliable and regular cardholder such as yourself. Perhaps
a busy schedule or a simple oversight is the reason why we have
not received your payment. If yOU have recently mailed your
payment, please accept our thanks and disregard this letter.
However, if yOU have not, it is very important that yoU do
so immediately. Otherwise your credit privileges may be
suspended. You can take advantage of our check-by-phone program
by calling our toll-free number 800-927-5322. Thank yOU for your
prompt attention.
Collections Department
This is an attempt to collect a debt, and any information
obtained will be used for that purpose.
-------------------------------------------------------------~
Please include this portion of the letter with your payment or
correspondence to ensure prompt attention.
ROBERT E STCYR
Account Number: 0002116041004647138
Amount Enclosed: $
Send To: HSBC Retail Services
P.O. Box 4144
Carol Stream, IL 60197-4144
L903
MINNESOTA OffiCE:
JAMES A. BALOGH - MN
GARY W. BECKER - DC. fL. IL, MN, WI'
'CREDITOR'S RIGHTS SPECIALIST
AMERICAN BOARD OF CERTIFICATION
BALOGH BECKER, LTD,
ATTORNEYS AT LAW
MICHIGAN OffiCe:
24300 KARIM BLVD.
Nov!. MI 48375
CHElSEAA. WHITLEY- AZ, KY, MI. MN, WI
ANGELA M. HORN - MN, NY
MARY ELLEN WEEMAN - KS, MN, MO
STEVENM. TOMS-MN
MI:AGAN M. PROBST - MN
MICHAEl. J. DOUGHERTY-IN, MN
JilL M. GEMlO- MN
MATTHEW R. EICHENLAUB - MN
JENIFI:R C. MelBY - NJ, TX
ROBIN R. LEDONNE - CA, MN
JACK ATNIP III - CA, MN
JASON R. ASTRUP - MN, ND
Ty RIHA - MN
MARTHA J. BALDWIN- MN
..
OF COUNSEL:
LlTow LAw OFfICES, P.e.
(IOWA)
SEND All WRITTEN REPLIES TO:
4150 OLSON MEMORIAL HIGHWAY, SUI1E 200
MINNEAPOLIS, MINNESOTA 55422-4811
TELEPHONE 763-852-8440
FAX 866-234-0503
TOll-FREE 866-234-0513
Hours (CST): 7:00 am - 9:00 pm M - TH
7:00 am - 5:00 pm F
8:00 am - 12:00 pm S
April 13, 2007
LUSTIG, GLASER & WILSON, P.e.
(MASSAGIUSETTSj
Account No
******.....*0513
Unpaid Balance
$9845.61
Reference No
3735793
Dear Sir or Madam:
Our law firm represents Citibank (South Dakota) N.,A... We have learned that ROBERT i: STCYR, who '-NOS a val'-1sd
customer, has passed away. Please accept condolences from our client and our law firm.
As indicated above, there is an unpaid balance on this account. Please accept this letter as a Notice of Claim on
behalf of our client.
This letter is sent to you solely in your capacity as personal representative of the Estate of ROBERT E STCYR. Please
call our office toll free at 1-866-234-0513 to discuss resolution of this matter and payment on this account. If you are
not the personal representative, please contact us with the name and address of the personal representative or
attorney who is handling the estate.
Cordially,
Balogh Becker Ltd.
Attorneys at Law
IMPORTANT NOTICE
Unless you notify this office within thirty (30) days after receiving this nonce tl1at you dispute the validity of the debt
or any portion thereof, this office will assume the debt is valid. If you notify this oftice in writing within ihirty days after
receiving this notice, this office will obtain verification of the debt or a copy of a judgment against you, if any, and a
copy of such verification or judgment will be mailed to you by this office. Upon your written request within the same
thirty-doy period, this office will provide you with the name and address of the original creditor, if different from the
current creditor. This firm is a debt collector. We are attempting to collect a debt and any information obtained
will be used for that purpose.
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION -Side 1 of 2-
IONBALOOI7001
I limn I~ Inumu m~ lua IIID mlllll~ m~ Iml ~II ~IIIIIUIII.IIIIUI mallllllmlllMlllnlllU
LAW FIRM OF BALOGH BECKER, LTD
4150 Olson Memorial Highway, Suite 200
Minneapolis, MN 55422-4811
ADDRESS SERVICE REQUESTED
Reference #: 3735793 Client ID: CITI3l
Balance: $9845.61
April 13, 2007
111l11I11I~ 1111111111111111111111111 mlllllll lUll 11111 11111 1111 1111111 lIal 111111 !11111111116 11111111
BALOGH BECKER, LTD
4150 Olson Memorial Higtlway Suite 200
Minneapolis MN 55422-481 1
1.1,1,,1,1,.1111,,1.1.,1,1,1..11111111,11..,11,1,1,1111...11,1
#BWNHRMD 356906 25847
#0413043000258476# 3735793-7001
1,11111...111.....,11,,11,..,1111..,..1.111,.,.,,11,1.1,1.1111
Personal Representative lor the Estate
ROBERT E STCYR
1915 Dou91as Dr
Carlisle P A 17013-1020
. SfAK
Military Star Customer Contact Center, P.O. Box 650410, Dallas TX 75265-0410, Toll Free: 1-877-891-STAR (in CONUS only), Fax: 1-214-312-3040
APR 11 2007
Account Number: 6019 4406 0003 2308
Account Balance: $5,102.86
EST A TE OF ROBERT E STCYR
1915 DOUGLAS DR
CARLISLE P A 17013 1020
To The Estate of Robert E StCyr:
On behalf of the associates of the Army and Air Force Exchange Service, I wish to extend our
most sincere condolences for your recent loss.
We honor the contributions and sacrifices of our service members to our great country and
deeply mourn their passing.
Please feel free to contact our office at any time to discuss questions you may have about this
account. If there is a personal representative, executor or attorney involved in handling the
estate, please pass this information to that person and ask that he or she contact us in writing if
necessary. We can be reached from 0730 to 1600 Central Standard Time, Monday through
Friday, at 1-877-891-7827, extension 65017. Correspondence should be mailed or faxed to the
address on this letter.
Sincerely,
~~
Sandra Bedison
Chief, Exchange Credit Operations
FIA CARD SERVICES™
ESTATE OF ROBERT E STCYR
1915 DOUGLAS DR
CARLISLE, PAl 7013-1020
April 2, 2007
Account No.: 4264296024016062
Dear Estate of Robert E Stcyr,
Please accept our condolences on the death of Robert E Stcyr. We understand that this is a difficult time for
you. We are writing you to obtain necessary information regarding the affairs of the deceased.
The above-referenced account is closed and the balance as of today is $101.47. If there is an estate or if you
plan to open an estate, please complete the enclosed fornl and return it to us in the postpaid envelope
provided. If you prefer, you may fax it to (302) 458-0644. If there is no estate, please call one of our
knowledgeable associates at the number listed below to discuss the options available to satisfY this account
balance.
To make payment arrangements, please call 1-877-767-9383 Monday through Thursday from 8 a.m. to 8
p.m., or Friday 8 a.m. to 5 p.m. For your convenience this account is eligible for free check-by-phone service.
In addition, our knowledgeable associates are ready to assist you and can answer any questions you may have
regarding the account.
If you wish to send payment via express mail service, please mail to FlA Card Services, N .A., 1000 Samoset
Drive, Wilmington, DE 19884, Attn.: Estate department. Or you can send a payment via regular mail to FlA
Card Services, N.A., P.O. Box 15409, Wilmington, DE 19850. Kindly include the account number on the
payment.
~'i!IC~rc:y',
Nancy Criss
Vic~: President
Enclosure
FIA CARD SERVICES™
ESTATE OF ROBERT STCYR
1915 DOUGLAS DR
CARLISLE, PAl 70 13-1 020
April 2, 2007
Account No.: 488893008 I 658046
Dear Estate of Robert Stcyr,
Please accept our condolences on the death of Robert Stcyr. We understand that this is a difficult time for
you. We are writing you to obtain necessary infonllation regarding the affairs of the-deceased.
The above-referenced account is closed and the balance as of today is $9,313.65. If there is an estate or if you
plan to open an estate, please complete the enclosed form and return it to us in the postpaid envelope
provided. If you prefer, you may fax it to (302) 458-0644. If there is no estate, please call one of our
knowledgeable associates at the number listed below to discuss the options available to satisfY this account
balance.
To make payment arrangements, please call 1-877-767-9383 Monday through Thursday from 8 a.m. to 8
p.m., or Friday 8 a.m. to 5 p.m. For your convenience this account is eligible for free check-by-phone service.
In addition, our knowledgeable associates are ready to assist you and can answer any questions you may have
regarding the account.
If you wish to send payment via express mail service, please mail to FIA Card Services, N .A., 1000 Samoset
Drive, Wilmington, DE 19884, Attn.: Estate department. Or you can send a payment via regular mail to FIA
Card Services, N.A., P.O. Box 15409, Wilmington, DE 19850. Kindly include the account number on the
payment.
S';\ce~.~!y,
Nancy Criss
Vice President
Enclosure
~ at&t
AT&T Universal Platinum Card
Charter Member
FmBERT E 5T CYR
Account 5491 1300 0813 9495
Calling Card + PIN
February 1 - March 2, 2007
Quick Reference
Minimum Payment Due......................................... $973.50
Due Date".................................................. March 27, 2007
""'Payment must be received by 5:00 pm local time on the payment due date.
Amount Past Due.................................................. $468.90
Credit Line.. ...... ............ ... ......... .... ...... ...... .......... $23,200.00
Available Credit.. ...... ... .... ......... .... ...... ...... ............ $5,250.00
Cash Advance Limit........................................... $17,400.00
Available Cash Advance Limit............................. $5,250.00
Account Summary
flrevious Balance
fl~ a~d Adjustments
MasterCard Activity
Iotal AT& T Services
New Balance
Note: Detailed activity starts on page 3.
17.~
000
325 60
000
$17,949.79
~..
Cltl
AT&T Universal Card
Page 1 of 3
How To Reach Us
Visit: www.universalcard.com
Customer Service: 1-800-423-4343 or write
Cardmember Services, PO Box 44167
Jacksonville, FL 32231-4167
Your late fee was based on your account
balance as of the payment due date
(02/26/07), which was $17,624.19.
The Annual Percentage Rate on your
account may increase due to one of the
following reasons stated in your Card
Agreement with us: if you fail to make a
payment to us when due, you exceed your
credit line or you make a payment to us
that is not honored by your bank.
Pay your credit card bill online
anytime.
It's easy, secure and free. Plus, you can
schedule payments in advance or pay by
5pm ET on a weekday to post the same
day! Sign in at universalcard.com and
select Make a Payment.
Increased Online Security.
Going online to manage your credit card
just got even more secure. A new layer of
online protection called Security Questions
is coming to Account Online.
date paid amount paid cheCk #
AT&T and the AT&T globe desiI;Jn are trademarks ot
AT&T Knowledge Ventures, licensed to Cltll;Jroup Ine.
PI~as~ follow p,lymenl instrucllons outlined In Ih~ "Important Instructions for Makln9 payments.. section of the statem~nt.
05491130008139495999999973505906
Pa_t Due Date
MAR 27 2007
$973.50
Vour Total ......nc. -. Amount Due
$17949.79
67S Me 00 A 1 AR7270403
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ROBERT E ST CYR
1915 DOUGLAS DR
CARLISLE PA
17013
Yo... Account_r
5491 1300 0813 9495
....... E_ A_ of Paym.m t:nclose4
$
1.1..1..11 ...1.1...111..1... 11.11... .1.1... .11. .11.1
AT&T UNIVERSAL CARD
PO BOX 183051
COLUMBUS, OH 43218-3051
11.1.1..111111111.1.11.111111.1.11.111.1.1.1.111.1111111..11II