HomeMy WebLinkAbout09-03-08-~ REV-1500 15056041147
EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue
Bureau of Individual Taxes County Code Year File Number
PO 80X.280601 ~ INHERITANCE TAX RETURN
21 08 -0063
Harrisburg, PA 1712s-D6o1 - RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
198108875 01072008 03141917
Decedent's Last Name Suffix Decedent's First Name MI
ETTER SR. GUY y~
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
Spouse's Social Security Number
FILL IN APPROPRIATE OVALS BELOW
® 1. Original Return
^ 4. Limited Estate
® 8 Decedent Died Testate
(Attach Copy of Will)
^ 9. Litigation Proceeds Received
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
^ 2. Supplemental Return
^ 4a. Future Interest Compromise
(date of death after 12-12-82)
^ ~ Decedent Maintained a Living Trust
(Attach Copy of Trust)
^ 10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
GUKKtSYUNUtN I - I HIS 5tG 1 IUN MUS I tat GUMPLETED. ALL
Name
BRADLEY L. GRIFFIE
Firm Name (If Applicable)
GRIFFIE AND ASSOCIATES
First line of address
200 NORTH HANOVER STREET
Second line of address
E AND
MI
^ 3. Remainder Return (date of death
prior to 12-13-82)
^ 5. Federal Estate Tax Return Required
~ 8. Total Number of Safe Deposit Boxes
^ 11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
NTIAL TAX INFORMATION SHOULD BE~DI'RECTED TO:
Daytime Telepho Number a
7172435~~1. e°ae- _
~.:
REGISTER OF~1 SS
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DATE FILED
City or Post Office State ZIP Code
CARLISLE PA 17013
Correspondent's a-mail address: bQrlffl2@QI'1ff121dW.COIri
Under penalties of perjury, 1 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,R~ OF PERSON RESPONSIBLE F FILI RETURN DATE
~'7~l ~/ ~~~} GUY W. ETTER, JR. ~~ 6 /D ~
ADD_ RES y^~
140 BRIDGE ROAD, NEWVILLE, PA 17241
IG~ARER OTHER THAN REPRESENTATIVE
BRADLEY L. GRIFFIE
DATE
H KCJJ ~ -
NORTH HANOVER STREET, CARLISLE, PA 17013
Side 1
15056041147 15056041147
ADDITIONAL Personal Representatives
Etter, Guy W Sr. SS# 198-10-8875 1/7/2008
Under penalties of perjury, the undersigned declare that they have examined this return,
including accompanying schedules and statements, and to the best of their knowledge and
belief, it is true, correct and complete.
2 signature '~,~+,~,,2~i?~,,Q ~f~'/~/ia~
Name Mildred D. Chestnut
Address 23 Etter Road
city, state, zip Newburg PA 17240
Date ~a.tv ~b~
3 Signature
Name
Address
City, State, Zip
Date
4 Signature
Name
Address:
City, State, Zip
Date
5 Signature
Name
Address:
City, State, Zip
Date
6 Signature
Name
Address:
City, State, Zip
Date
REV-1500 EX
oecedenrs Name: E T T E R, GUY W. S R.
Decedent's Social Security Number
198108875
RECAPITULATION
1.
Real Estate (Schedule A) .......................................................................................
... 1. 2$8,000.00
2. Stocks and Bonds (Schedule B) ............................................................................. .. 2.
145,356.59
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,
g, Total Gross Assets (total Lines 1-7) ..................................................................... .. g, 4 3 3, 3 5 6 5 9
9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... .. 9.
45,801.60
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. .. 10.
1,316.98
11. Total Deductions (total Lines 9 & 10) ................................:................................... ..
11. 4 7 , 1 1 $ 5 8
12. Net Value of Estate (Line 8 minus Line 11) ........................
...................................
.. 12. 3 8 6 , 2 3 8 . 0 1
13. Charitable and Governmental Bequests/Sec 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, 3 $ 6 , 2 3 8 0 1
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 15.
16. Amount of Line 14 taxable
at lineal rate X .045 3 8 6, 2 3 8. 0 1
1B.
1 7, 3 8 0. 7 1
17. Amount of Line 14 taxable
at sibling rate X .12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18.
19. Tax Due .................................................................................................................... . 19. 1 7, 3 8 0 7 1
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
15056042148 15056042148
15056042148
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21 - 08 - -0063
DECEDENT'S NAME
ETTER, GUY W. SR.
STREET ADDRESS
33 ETTER ROAD
CITY
NEWBURG STATE
PA ZIP
17240
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
16,650.00
869.04
Total Credits (A + B + C)
(1) 17,380.71
3. Interest/Penalty if applicable
p. Interest
E. Penalty
Total Interest/Penalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 2 Line 20 to request a refund
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.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
(2) 17,519.04
(3) 0.00
(a) 138.33
(5)
(5A)
(5B> 0.0 0
_, .
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 :.................................................................................. [~ '~
b. retain the right to designate who shall use the property transferred or its income :.................................... ^
c. retain a reversionary interest; or .................................................................................................................. ^ 0
d. receive the promise for life of either payments, benefits or care? .............................................................. ^
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? ....................................................................................................................... ^
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ...................................................................................................................... ^
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 fo
r 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 spous e is zero
(0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exemat 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. §9116 (a) (1.2)j.
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 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.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
FILE NUMBER
ESTATE OF ETTER, GUY W. SR. 21 - 08 - -oos3
All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price
at which property would be exchanged between a willing buyer and a wilting seller, neither being compelled to buy or sell, both having
reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on
schedule F.
ITEM DESCRIPT{ON VALUE AT DATE OF
NUMBER DEATH
33 ETTER ROAD, NEWBURG, PA, 17240, CUMBERLAND COUNTY
(ATTACHED HUD-1 SETTLEMENT SHEET)
288,000.00
TOTAL (Also enter on Line 1, Recapitulation) ~ 288,000.00
.' SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF ETTER, GUY W. SR. 21 - 08 - -0063
All property jointly-owned with right of survivorship must be disclosed on Schedu{e F.
ITEM
NUMBER DESCRIPTION UN{T VALUE VALUE AT DATE OF
DEATH
i PERSONAL PROPERTY (AUCTIONED) 31,672.00
TOBACCO BASEBALL CARDS (APPRAISAL ATTACHED) 1,415.00
M&T BANK -CHECKING ACCOUNT NUMBER 28,719.81
9841942676 (STATEMENT ATTACHED)
M&T BANK -CERTIFICATE OF DEPOSIT NUMBER 71,225.97
031003915002065 (STATEMENT ATTACHED)
M&T BANK -CERTIFICATE OF DEPOSIT NUMBER 6,528.24
031003915002073
HOME OWNERS INSURANCE REFUND (MILLVILLE MUTUAL I 125.00
INSURANCE COMPANY)
DEATH BENEFIT CONTRIBUTION FROM V.F.W. POST 421 100.00
ADAMS ELECTRIC PATRONAGE CAPITAL RETIREMENT 47.82
AUTOMOBILE INSURANCE REFUND (ERIE INSURANCE GROUP) 167.00
DEATH BENEFIT CONTRIBUTION FROM AMERICAN LEGION 100.00
TAX PRORATIONS FROM REAL ESTATE SETTLEMENT 246.92
ADAMS ELECTRIC COOPERATIVE REFUND 180.46
DEATH BENEFIT CONTRIBUTION SHIPPENSBURG V.F.W. 300.00
TRAVEL CAMPER (SOLD}
i
~ 2,700.00
' TOTAL (Also enter on line 2, Recapitulation) _
145,356.59
i
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
continued
FILE NUMBER
ESTATE OF ETTER, GUY W. SR. 21 - 08 - -oos3
AN property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM ~ DESCRIPTION UNIT VALUE VALUE AT DATE OF
NUMBER DEATH
CAMPGROUND DEPOSIT REFUND 420.00
IRS STIMULUS CHECK
ADAMS ELECTRIC COMPENSATION STOCK INVESTMENT
600.00
808.37
Page 2 of Schedule B
CHEDULE H
FUNERAL EXPENSES &
COMMONWEALTH OF PENNSYLVANIA R~ ,C'~''p /~ ~/'~C'}''~
INHERITANCE TAX RETURN ADIYIINh7 1 N'1~E WJ 1 J
RESIDENT DECEDENT
FILE NUMBER
ESTATE OF ETTER, GUY W. SR. 21 - 08 - -0063
Debts of decedent must be reported on Schedule I.
NUM ER FUNERAL EXPENSES: DESCRIPTION i AMOUNT
A. 1 EGGER FUNERAL HOME, INC. 7,560.00
2 EBY GRANITE WORKS (ENGRAVING) 110.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
GUY W. ETTER, JR. MILDRED D. CHESTNUT
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address 140 BRIDGE ROAD
City NEWVILLE State PA Zip 17241
Year(s) Commission paid 2008, 2009
2. Attorney's Fees GRIFFIE AND ASSOCIATES
3. ~ Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees SHORTS 16.00, 314.00 + 30 + FIRST & FINAL ACCOUNTING.
5. i Accountant's Fees
6. ~ Tax Return Preparer's Fees
7. Other Administrative Costs
1 AUCTIONEER'S EXPENSE (PERSONAL PROPERTY AND REAL ESTATE)
10,000.00
6,000.00
840.00
14,566.98
TOTAL (Also enter on line 9, Recapitulation) 45,801.60
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Schedule H
Funeral Expenses &
Adminis6afive Costs continued
ESTATE OF ETTER, GUY W. SR.
2 PRE-SALE REPAIRS TO AUCTIONED PERSONAL PROPERTY
3 LABORERS AT AUCTION
i
4 EXECUTOR'S EXPENSES
5 BASEBALL CARD APPRAISAL
6 RENT, EXPENSES FOR DELAWARE CAMPER SITE
7 ADAMS ELECTRIC COOPERATIVE INC. (ELECTRIC BILL)
8 LEGAL NOTICE TO CUMBERLAND LAW JOURNAL
9 LEGAL NOTICE TO THE SENTINEL
10 ~ REAL ESTATE SETTLEMENT COSTS
11 2008 COUNTY AND TOWNSHIP REAL ESTATE TAXES
12 ~ ORVAL & BETTY HOCKENSMITH (TAX PRORATION CORRECTION)
13 RESERVES
FILE NUMBER
21 - 08 - -0063
603.01
120.00
62.63
60.00
1,245.64
204.47
75.00
158.62
2,880.00
286.44
28.81
1,000.00
Page 2 of Schedule H
SCHEDULEI
DEBTS OF DECEDENT, MORTGAGE
COMMONWEALTH OF PENNSYLVANIA LIABILITIES, & LIENS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF ETTER, GUY W. SR.
FILE NUMBER
21 - 08 - -0063
Include unreimbursed medical expenses.
ITEM pESCRIPTION AMOUNT
NUMBER
1 POST-DEATH CHECK PROCESSED THROUGH M&T CHECKING ACCOUNT NUMBER 248.54
9841942676
2 L KOUGH'S 01L SERVICE (FUEL OIL FOR REAL ESTATE) ~ 305.90
3 I EMBARQ FINAL TELEPHONE BILL ~ 50.13
4 I ADAMS ELECTRIC COOPERATIVE INC. (ELECTRIC BILL) ~ 301.41
5 ~ UNITED STATES TREASURY (2007 INCOME TAXES) I 411.00
TOTAL (Also enter on Line 10, Recapitulation) ~ 1,316.98
REV-1513 EX+ (9-00) .,
' "
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT ~
ESTATE OF ETTER, GUY W. SR. FILE NUMBER
21 - 08 - -0063
NAME AND ADDRESS OF PERSON 5
NUMBER j
O RELATIONSHIP TO
Do C
EDEN e SHARE OF ESTATE ~ AMOUNT OF ESTATE
~ (
(Words) $$$)
RECEIVING PROPERTY DQ
I
t5)
I, TAXABLE DISTRIBUTIONS [include outright spousal
~
distributions, and transfers
under Sec. 9116 {a) (1.2}] ~
1 GUY W. ETTER, JR. SON 1/7 ~
140 BRIDGE ROAD
NEWVILLE, PA 17241
1
2 MILDRED L. (D.) CHESTNUT
DAUGHTER I
1/7
23 ETTER ROAD
NEWBURG, PA 17240
3 ~ BARBARA M. SCHOCK
DAUGHTER i
1/7
150 BRIDGE ROAD I
NEWVILLE, PA 17241 ~
',
~
Enter dollar amounts for distributions shown above on lines 1
5 through 18, as appropriate, on I
~I
Rev 1500 cover sheet
I~ NON-TAXABLE DISTRIBUTIONS:
~ A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS
NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
f~f
I
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ~ 0.00
REV•1513 E%+ (9-OO)
i
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF ETTER, GUY W. SR
SCHEDULE)
BENEFICIARIES continued
NUMBER NAME AND ADDRESS OF PERSON(S)
RECEIVING PROPERTY
I. (TAXABLE DISTRIBUTIONS [include outright spousal
distributions, and transfers
under Sec. 9116 (a) (1.2)j
4 ROBERT L. ETTER
16 PASONAGE STREET
NEWVILLE, PA 17241
5
6
7
RICHARD G. ETTER
17 ETTER ROAD
NEWBURG, PA 17240
MARY D. STETS
15 ETTER ROAD
NEWBURG, PA 17240
TROY MILLER
848 WEST OLD YORK ROAD
CARLISLE, PA 17015
FILE NUMBER
21 - 08 - -0063
RELATIONSHIP TO SHARE OF ESTATE !AMOUNT OF ESTATE
DECEDENT (Words} j ($$$)
Do Not List Trustee(s)
SON 1117
SON 11/7
DAUGHTER 1 117
GRANDSON 11/7
Page 2 of Schedule J
q ... r:
LAST WILL AND TESTAMENT
QF
GUY W. ETTER, SR.
I, GUY W. ETTER, SR., of 33 Etter Road, Newburg, 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 and making void all previous Wills and Codicils
heretofore made by me.
1
I order and direct my personal representative hereinafter named to pay all of my just debts,
funeral expenses and expenses involved or comlected with the administration of my estate as soon
after my death as is reasonably possible. However, my personal representative need not accelerate
and pay those unmatured obligations which, in lus, her or its opiuon, it might be proper and more
advantageous to retain or renew and pay as they become due and payable. If I do not own a burial
plot or a grave marker at the time of my death, I authorize my personal representative, in his, her or
its sole discretion, to purchase a burial plot alid to erect a suitable grave marker at my grave, and to
expend sums from my estate for this purpose.
2
I give, devise and bequeath all of my estate together with all insurance proceeds thereon of
whatsoever nattue and wheresoever situate in equal shares to my children, GUI' W. ETTER, JR.,
of Upper Frankford Township, Newville, Cumberland County,. Pennsylvania, MILDRED D.
CHESTNUT, of Newburg, Cumberland County, Pemisylvaiua, BARBARA M. SCHOCK, of
Upper Frankford Township, Newville, Cumberland County, Pennsylvana, ROBERT L. ETTER,
1
LAST WILL AND TESTAMENT OF GUY W. ETTER, SR.
ofNewburg, Cumberland County, Pennsylvania, RICHARD G. ETTER, ofNewburg, Cumberland
County, Pennsylvania, MARY D. STETS, ofNewburg, Cumberland County, Pennsylvania, and my
grandson, TROY MILLER, ofNewburg, Cumberland County, Pennsylvania, who survive me by
sixty (60) days per stirpes. It is furth.ex my desie drat my personal representative, after consultation
with any heir or heirs of mine who survive me, and in his, her or its own discretion, choose such
articles from my tangible personal property (exclusive of cash, stock certificates, bonds, and all other
tangible evidences of intangible personal property) as he, she or it believes will be useful to such heir
or heirs or desirable for him or her or them to have, either from a sentimental point of view or
otherwise, and to deliver such articles to such heir or heirs or among such heirs in equal or unequal
shares as determined by the further exercise of his, her or its discretion, provided no other heir
objects to the distribution. All tangible personal property not so distributed is to be sold, either
publicly or privately, by my personal representative, adding the proceeds of such sale or sales to my
.residuary estate and to be disposed of in equal shares among my surviving heirs after payment of my
estate debts, taking into account the tangible personal property otherwise provided to theirs.
3
I grant my personal representative the following powers in addition to and not in limitation
of such powers as my personal representative shall hold bylaw:
(a) To retain all property received including the stock of ally corporate fiduciary actiig
hereunder, provided such property remains productive.
(b) To join in any corporation, partnerslup, recapitalization, merger, reorganization or
voting trust plan; to delegate authority with respect thereto; to deposit investments
under agreements and pay assessments; and generally to exercise all rights of
investors, including but not limited to, the voting of shares.
(c) To manage, operate, repair, improve, mortgage or lease on any terms any real estate
held or owned by my estate.
2
LAST WILL AND TESTAMENT OP GUY W. ETTER, SR.
(d) To operate any business that 1 may own at my death.
(e) To invest any funds of my estate in any stoclts, bonds, notes or other securities or
property, real or personal, without regard to the principle of diversification or any
other statute or general rule of law in lus, her or its absolute discretion, it being my
intention to give my personal representative the broadest investment powers possible,
providing such investments do not unnecessarily prevent the prompt settlement of my
estate.
(f) To sell or otherwise dispose of any propery, real or personal, tangible or intangible,
at any time forming a part of my estate in any manner and on such terms and
conditions as my personal representative shall see fit in his, her, or its absolute
discretion.
(g) To borrow money for the payment of taxes or for any other proper purposes in the
administration of my estate, and to mortgage or pledge estate assets as security.
(h) To compromise claims without court approval including, but not limited to, any
controversies with the United States of America or the Commonwealth of
Pennsylvania concezrzirzg estate and inheritance taxes on any interests that may pass
under this my Last Will and Testament.
(i) To distribute in cash or in kind upon any division or distribution of my estate.
(j) To undertake any and all acts deemed necessary and proper by zny personal
representative for the proper, advantageous and prompt management of the
settlement of my estate.
(k) In general, to exercise all powers in the management of my estate which any
individual could exercise in the management of similar property owned in lus own
right, upon such terms and conditions as to lum,-her or it may seem best and to
execute and deliver all instruments and to do all acts which he, she or it deems
necessary or proper to carry out the purposes of tlus, my Last Will and Testament.
3
LAST WILL AND TESTAMENT OF GUY W. ETTER, SR.
4~
No interest of any beneficiary of my estate, either in income or in principal, shall be subject
to anticipation or pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have
the power in any manner to charge or encumber his interest either in income or principal, nor shall
the interest of ally beneficiary be liable or subject in any mariner while in the possession of my
personal representative for the liability of such beneficiary.
5
I nominate, constitute and appoint my son, GUI' W. ETTER, JR., and my daughter,
NHLDRED D. CHESTNUT, as Co-Executors of this my Last Will and Testament. I direct that my
personal representatives shall not be required to give or post bond for the faithful performance oflus,
her or its duties in this or a1ry other jurisdiction.
6
I hereby declare it to be my express delve that my personal representative employ the law
firm of Michael J. Hanft, Esquire, of Cumberland County, Pennsylvania, for legal advice and
assistance regarding this my Last Will and Testament, they having considerable knowledge of my
affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the
administration of my estate, and the execution of the powers herein mentioned. Any mention of
Michael J. Hanft, Esquire in this my Last Will and Testament, is my fi•ee a11d voluntary act and
tlu•ough no influence by ariy person.
4
LAST WILL AND TESTAMENT OF GUY W. ETTER, SR.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament
this ~ day of August, 2000.
WITNESS:
~iJ'
Guy W. tter, S .
l~~-u___~~ I,ch~~._
5
LAST WILL AND TESTAMENT OF GUY W. ETTER, SR.
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
. SS.
COUNTY OF CUMBERLAND
I, Guy W. Etter, Sr., the Testator, whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, do hereby acknowledge that I signed and
executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed
it as my free and voluntary act for the purposes therein expressed.
1NJ''
Guy W. Etter, S .
r Sworn or affirmed and acknowledged before me by Guy W. Etter, Sr., the Testator,this
l7 ~ day of August, 2000.
~~
NotarialNo~ry Public
• Denise L. Nye,
South MiddtetonTwp•. ~ es Febn26~2Qa1
My Commission Exp'
Member, PennsylvaniaAssociation of Notaries
6
LAST WILL AND TESTAMENT OF GUY W. ETTER, SR.
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
~? /'~! ~GrE~'Ct. ~- ~ and ~~ ~ ... ~~~ ~,~~ ,the
witnesses whose names axe attached to the foregoing docwnent, beuig duly qualified according to
law, do depose and say that we were present and saw Guy W. Etter, Sr., the Testator, sign and
execute the instrtunent as his Last Wi11 and Testament; that he signed willingly and that he executed
it as Ius free and voluntary act for the purposes therein expressed; that each subscribing witness in
the hearing and sight of the Testator signed the Last Will and Testament as witnesses and that to the
best of our knowledge the Testator was at the time 18 or more years of age, of sound mind and under
no constraint or undue influence.
-/ ~~ 1~
~~
Sworn or affirmed and subscribed before me by /y ~G ~~L ~' ~'~"~r
/'ta Gam, ~iC.~aj~_ this ~~ ~~ day of August, 2000.
Notarial Seal
Denise L. Nye, Notary Public
South Middleton Twp., Cumberland County
My Commission Expires Feb. 26, 2001
Member, PennsyNanlaAssociationotNotaries
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fJ~ ~E~e1]10I1t StateTrlerit U.S. Depariment of Housing and Urban Development
s. tvoe of Loan OMB Approval No. 25D2-0265 texoires 9I30l20gfil
1. DFHA 2. ^FmHA 3. DConv. Unins.
4.OV 5. OConv.lns. 6. File Number
081970HOCKENSMI 7. Loan Number 8. Mortgage Insurance case Number
s onn rs m s e o give you e a a amen o ec ue se amen cos a. moun s pal o an y e se amen gan ere s own, ff pr~ / t
C. Note: Ite marked "(p.o..)' were paid oWlda he losing; They are shown here for Informellon puryosea and are not included in the totals. TttleExpfess Se~liQitltV,1~ SySt';
WARNING: tl is a crime to knowingly make lalse slafemenls 1o the United Slates on this or arqq other sllDllar corm. Penellle5 Upon
conmclien Can include a fine and Im hsonmenl. For details sea: Tllle 18 LL $. Code Section t0D1 and Section mto. Printed 06116120D8 al 11,22 A.
D. NAME OF BORROWER: Orval W. Hockensmith and Betty L. Hockensmith
ADDRESS: 108 West Street Newvile PA 17241
E. NAME OF SELLER: Guy W. Etter Estate
ADDRESS: cto Bradie L. Griffie Es .200 North Hanover Street Carlisle PA 17013
F. NAME OF LENDER:
ADDRESS:
G. PROPERTY ADDRESS: 33 Etter Road, Newburg, PA 17240
U er Mifflin Townshi
H. SETTLEMENT AGENT: South Central Home Settlements, Inc., Telephone: 717-532-7387 Fax: 717.532.6552
PLACE OF SETTLEMENT. 12fi East Kin Street Sh1 ensbur PA 17257
I. SETTLEMENT DATE; D611612008
J. SUMMARY OF BORROWER'S TRANSACTION; K. SUMMARY OF SELLER'S TRANSACTION:
100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER
101, Contract sales rice 288 000.00 401. Contract sales rice 288 000.0
102. Personal Pro art 402. Personal Pr art
1D3. Settlement char es to borrower tine 14D0 4 395.50 403.
104.. 404.
10
5
. 405.
_ _
.
_
Ad'ustments for Items afd b seller in advance Ad'ustments for items aid b seller I n advance .
107. Count taxes 061161118 to 12(31/08 174.73 407. Count taxes ~ 06116108 to 12(31108 174.7.
es O6l16108to06130108
108. SchoolTax 72.19 408. School Taxes 06116108to0fi130108 72.1!
_
109. 409.
110: 410.
i11. 411.. .
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 292 642.42- 420..GROSS AMOUNT DUE TO SELLER 288 24fi,9:
200. AMOUNTS PAID BY OR ON BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER
_.. ..
201. De sit or eamestmone
15 OOO.DO
501. Excess De osil see Instructio s
15 000.0(
202. Prinei al amount of new loans 5D2. Settlement char es to seller line 1400 2 880A(
203. Existin loan s taken sub'ect to 503. Existin loan s taken sub'ect tc
2Dq, 504. Pa. off fi First Mort a e Loan
205. 505.
206. 506.
207. 507.
208. ' 508.
209. 5D9.
Ad'ustments for items un aid b seller Ad'ustments for items un aid b seller
213. 513.
214.. 514.
215. 515.
216. 516.
217. 517.
218. 518.
219. 519.
' 220.70TAL PA[D BYIFOR BORROWER 15 000.00 520, TOTAL REDUCTION AMOUNT DUE SELLER 17 880.00
300. CASH AT SETTLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM SELL ER
301. Gloss amount due from borrower line 120 292 642.42 _601. Gross amount due to seller line 420 288 246.92
302. Less amounts aid b ffor borrower line 220 15 000.00 602. Less reduction amount due seller line 520 17 860.00
303. CASH FROM_ BORROWER 277 642.42 603. CASH TO SELLER 270 36fi.92
a negslf9an~e peaaRltyMor aher senclRlon will beNlmposed on youm his Ilam{Is requl ed lolbenreportadtend thelRS delennflnes'Nel l has net been reported. The Contraol Sales Pncesd scd0edta~ la a return,
Ilne 401 above consOtules the Gross Proceeds of (his Iransepllon.
You ere regyl(ad by law b pmNde the sedlemant agent (Fed. Tax ID No: with your correct taxpayer Idenllflcetlonmumher: If you do not pmvlde your correct taxpayer IdenOacabon
number, yeu may be subject to eivll or criminal penalties imposed bylaw. ` ntler pens ies o per)ury, I certify that ha number shown on this statement Is my coned taxpayer Idendflcafion number.
TIN: -,,,_,_-T_~~_'T..~~' S~LLER(S)SIGNATURE(5): ,. _ I
SELLER(51 NEW sAAIUNG A4nRESS~. - ~ - ~ ~ '
. _ .
SELLER(S)PH0NE NUM6ER5: (NJ tWl
t4.S„QEPARTMENT OF HOUSING AND URBAN DEVELOPMENT File Number: 081970HOCKENSMI PAGE 2
cGTTI GMFNT STATEMENT TitlRExoress Settlement Svstem Printed O611fi12008 at 11:22 ASF
L. SETTLEMENT CHARGES PAID FROM PAID FROM
700. TOTAL SALES/BROKER'S COMMISSION based on rice $288 000.00 0.000 = BORROWER'S SELLER'S
Division of commission line 7D0 as follows: FUNDS AT FUNDS AT
701. to SETTLEMENT SETTLEMENT
702. to
703. Commission aid at Settlement
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Ori ination Fee °/
802. Loan Discount
803. A sisal Fee
804. Credit Re ort
805, Lender's ins action Fee
806. Mort a e A lication Fee
807. Assum lion Fee
808.
809.
810.
811
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From to Ida
91)2, Mort a e Insurance Premium for to
903. Hazard Insurance Premium for tD
904.
905.
1000. RESERVES DEPOSITED WITH LENDER FOR
1001. Hazard Insurance mo. Imo
1002. Mort a e Insurance mo. Imo
1003. Ci Pro art Tax mo. $ Imo
1004. Count Prc art Tax mo. Imo
10D5. School Taxes mo. Imo
1009. A re ate Anal sis AdLstment
1100. TITLE CHARGES
1101. Settlement or closin fee
1102. Abstractor title search to South Central Home Settlements Inc. 125.00
1103. Title examination
1104. Title insurance binder
1105. Document Pre aration
1106. Nola Fees
11D7. Attorne 's fees to Wei le & Associates P.C. 1 350.D0
includes above Items No:
1108. Title Insurance
includes above items No:
1109. Lender's Covera e
1110. Owner's Covera a 288 000.00
1111.
1112.
1113.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recordin Fees Deed 40.5D • Mort a e Release 40.5D
1202. Cit !Count taxlstam s Deed 2 880.00 • Mort a e 2 880.00
1203. StateTaxlstam s Deed 2880.00 Mort a e 2,880.00
1204.
1205.
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Surve
1302. Pest Ins action
1303.
1304.
1305.
1306.
1307.
1308.
1400. TOTAL SETTLEMENT CHARGES (enter on lines 103, Section J and 502, Section KL___ 4 395.50 2,880.00
HUD CERTIFICATION OF BUYER AND SELLER
1 have carefully reviewed Iha HUD-1 SeWemenl Statement end to the best of my knowledge end ballet, II is a True end accurate statement of ell receipts and tlfsburseme`IS made on my account or by me
m this uansaclion. I further cerOfy That l have received a copy of the HUD-1 SeWamenl Statement. ~ D
L7-rvarW-Frackensmf C. c smf °„-°
Guy W. Eltar Estate
uyw-Elver, o- ecu or i ~-CC~ub
WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE The HUD-1 Settlement Statement which I have prepared is a True and accurate account of Ihls lrensacllon.
UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION I have caused or will cause the funds to be disbursed in accordance with Ibis slalemenl.
CAN INCLUDE A FINE ANO IMPRISONMENT. FOR DETAILS SEE TITLE 18: )
U.S. CODE SECTION 1001 AND SECTION 1010. / U /f ~M / //6 /~
ay ~[~ b I
Alt
TABLE OF CONTENTS
Table of Contents
Appraisal Certificate
Appraisal Summary
Personal Property Listing
APPRAISAL CERTIFICATE
I hereby certify that, upon the request for the estate appraisal of the personal property of
Guy W. Etter, Sr., deceased, I have personally and physically inspected the listed
personal property. The personal property was appraised to determine the FAIR
MARKET VALUE, reported on June 2, 2008.
The information and values contained in this report are based upon my experience as an
appraiser and other reliable sources. The personal property was found to be in
EXCELLENT condition, unless otherwise noted. Values are reported piece-by-piece,
and/or as a whole. All values reported have been determined with consideration to the
condition of the item, market conditions, and salability factors.
APPRAISAL SLTIVTMARY
It is in my opinion, that as of June 2, 200$, the Fair Market Value of the personal
property of Guy W. Etter, Sr., deceased:
(One Thousand Four Hundred Fifteen Dollars and Zero Cents)
($ I,A~ 15.00)
ris A~~raisa~
t~ssg ~,. ~Ldv~.e ~ C.A.
Director
The report must be read in its entirety. The Appraisal Summary ONLY is
not the appraisal report.
4
Personal Property Listing
1 Baseball Card. T206 (1909-1911} tobacco baseball card: Piedmont.
Abbott, Toledo. $2.00
2 Baseball Card. T206 {1909-1911) tobacco baseball card: Piedmont.
Andes°son, Providence. $20.00
3 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Armbruster, St. Paul. $20.00
4 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Barger, Rochester. $20.00
5 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Barry, Milwaukee. $20.00
6 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Barry, Phila. Amer. $20.00
7 Baseball Card. T206 (1909-1911) tobacco baseball card: Polar Bear.
Batch, Rochester. $15.00
8 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Bergen, Brooklyn. $10.00
9 Baseball Card. T206 (1909-1911) tobacco baseball caxd: Piedmont.
Bescher, Cincinnati. $10.00
10 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Blackbu~°ne, Providence. $15.00
I1 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Brain, Buffalo. $15.00
12 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Brashear, Kansas City. $20.00
13 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Bresnahan, St. Louis Nat'l. $75.00
14 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Burchell, Buffalo. $20.00
15 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Bush. Detroit. - $15.00
16 Baseball Card. T206 1909-1911 tobacco baseball card: Piedmont.
( )
Butler, Rochester.
$15.00
17 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Campbell, Cincinnati. $15.00
18 Baseball Card. T206 (1909-1911) tobacco baseball card: Old Mill.
Casey, Montreal. $25.00
19 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Chappelle, Rochester. $20.00
20 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Clancy, Buffalo. $25.00
21 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Clyn2er, Columbus. $25.00
22 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Congalton, Columbus. $20.00
23 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Cross, Indianapolis. $15.00
24 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Davidson, Indianapolis. $25.00
25 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Delehanty, Louisville $25.00
26 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Dessau, Baltimore. $20.00
27 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Dorner, Kansas City. $10.00
28 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Downey, Cincinnati. $15.00
29 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Downs, Minneapolis. $15.00
30 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Dubuc, Cincinnati. $10.00
31 Baseball Card. T206 (1909-1911) tobacco baseball card: Old Mill.
Dunn, Brooklyn. $20.00
32 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Egan, Cincinnati. $15.00
33 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Flanagan, Buffalo. $20.00
34 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Freeman, Toledo. $20.00
35 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Fromme, Cincinnati. $10.00
36 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Ganzel, Rochester. $10.00
37 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Gasper, Cincinnati. $20.00
38 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Grimshaw, Toronto. $20.00
39 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Hall, Baltimore. $15.00
40 Baseball Card. T206 {1909-1911) tobacco baseball card: Piedmont.
Hallman, Kansas City. $20.00
41 Baseball Card. T206 {1909-1911) tobacco baseball card: Piedmont.
Hannifan, Jersey City. $25.00
42 Baseball Card. T206 {1909-1911) tobacco baseball card: Piedmont.
Hoblitzell, Cincinnati. $20.00
43 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Hoffman, Providence. $10.00
44 Baseball Card. T206 {1909-1911) tobacco baseball card: Sweet
Caporal. Hunter, Brooklyn. $15.00
45 Baseball Card. T206 (1909-1911) tobacco baseball card: Old Mill.
Jackson, Baltimore. $25.00
46 Baseball Card. T206 {1909-1911} tobacco baseball card: Piedmont.
Jones, Detroit. $15.00
47 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Kisinger, Buffalo. $20.00
48 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Knight, N.Y. Amer. $20.00
49 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Kruger, Columbus. $15.00
50 Baseball Card. T206 (1909-1911} tobacco baseball card: Piedmont.
Lattimore, Toledo. $25.00
51 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Lavender, Providence. $20.00
52 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Lundgren, Kansas City. $20.00
53 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Marshall, Brooklyn. $10.00
54 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
McClean, Cincinnati. $20.00
SS Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
McGann, Milwaukee. $20.00
56 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
McGlynn, Milwaukee. $20.00
S7 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont,
McIntyre, Detroit. $10.00
58 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Merritt, Jersey City. $25.00
59 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Milan, Washington. $20.00
60 Baseball. Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Milligan, Jersey City. $10.00
61 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Mitchell, Toronto. $25.00
62 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Moeller, Jersey City. $15.00
63 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Moriarty, Detroit. $20.00
64 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Dakes, Cincinnati. $10.00
65 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Oberlin, Minneapolis. $10.00
66 Baseball Card. T206 (1909-1911) tobacco baseball card: Old Mill.
Orth, Lynchburg. $20.00
67 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Paskert, Cincinnati. $10.00
b8 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Phelan, Providence. $25.00
69 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Ritter, Kansas City. $20.00
70 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Rossman, Detroit. $15.00
71 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Schi7^m, Buffalo. $10.00
72 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Schlafly, Newark. $20.00
73 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Schreck, Columbus. $20.00
74 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Shannon, Kansas City. $25.00
75 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
Stanage, Detroit. $15.00
76 Baseball Card. T206 (1909-1911) tobacco baseball card: Sweet
Caporal. Summers, Detroit. $10.00
77 Baseball Card. T206 (1909-1911) tobacco baseball card: Piedmont.
YYillett, Detroit. $10.00
Total X1,415.00
to
p M~s~x
499 Mitchell Road, Millsboro, D~ 19966 Mail Code DE-MB-72 Phone (888) 502-4349 -
Faa (302)934-2955
February l2, 2008
Griffie & Associates
Attorneys and Counselors at Law
200 North Hanover Street
Carlisle, Pennsylvania 17013
Re: Estate o~ Guy W Etter Sr
Social Security: 198-10-8875
Date of Death: January 07, 2008
Dear Sir or Madam:
Per your inquiry dated February 06, 2008, please be advised that at the time of death, the above-named decedent had on
deposit with this bank the following:
1. Type ofAccount Checking Account
Account Number 9841942676
Ownership (Names o~ Guy W Etter Sr, Principal *
Opening Date
Balance on Date of Death
Accrued Interest
Total
2. Type ofAccount
Account Number
Ownership (Names o,~
Opening Date
Balance on Date of Death
Accrued Interest
Total
Mary Dianne Stets, Guardian
12/07/05
$28, 719.81
$ 0.00
$28, 719.81------------------
Certificate of Deposit
031003915002065
Guy W Etter Sr, Principal
Mary Dianne Stets, Guardian
12/07/05
$67, 772.81
$ 3,453.16
$71,225.97
3. Type ofAccount Certificate of Deposit
Account Number 031003915002073
Ownership (Names o. f) Guy l~'Etter Sr, Principal
Mary Dianne Stets, Guardian
Opening Date 12/07/05
Balance on Date of Death $6,211.75
Accrued Interest $ 316.49
----------------------------------------
Total $6,528.24
Please be advised, there was no safe deposit box found for the above decedent.
'* If upon reviewing the information above, you believe there are additional accounts not referenced, please provide
us with an account number and/or name of any possible joint account holder. For any additional information on
the above accounts, including ownership and any changes, closures and/or reimbursement of funds, please call the
Carlisle Pike Office # 717-795-1710.
Sincerely,
~C~~
Nancy Clagett
Records Management
COMMDNWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 28-0601
RECEIVED FROM:
ETTER GUY W JR
140 BRIDGE ROAD
NEWVILLE, PA 17241
told
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
REV-1162 EX(11-96)
N0. CD 009491
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
ESTATE INFORMATION: ssN: Asa-~o-ss~s
FILE NUMBER: 210$-0063
DECEDENT NAME: ETTER GUY W
DATE OF PAYMENT: 04/02/2008
POSTMARK DATE: 04/02/2008
couNTY: CUMBERLAND
DATE OF DEATH: 01 /07/2008
REMARKS: RECEIPT TO ATTY
CHECK# 012
SEAL
101 ~ $16,650.00
TOTAL AMOUNT PAID:
INITIALS: CJ
RECEIVED BY:
$16,650.00
GLENDA EARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER