Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
12-24-08 (2)
15056051047 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes ~ County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN ~ / ~ 8, ~ O 7, p Q Harrisburg, PA 17128-0601 ~ RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth /7~, of ~{y3~ D~ 22Zda g 07 /~ 1 9 / 7 Decedent's Last Name H1GG~~vs (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name ~1 Suffix Decedent's First Name MI DQ 12D T~~y .t~ Suffix Spouse's First Name Mt Spouses Social Security Number THIS RETURN MUST BE FILE D IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date ofi O 5. Federal Estate Tax Return Required death after 12-12-82) i 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of WI11) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT- THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number CN~RL ES F Sh'/ E-L~S ~ ~ ~ 7.~? 766 oZo9 r_ Firm Name (If Applicable) REGISTfR,OF WILLS USE, ONLY _ ', ) First line of address _;~ Second line of address ` - City or Post Office State ZIP Code DATE FILED ~Fe ~i¢~1! es Bu2G P~ ~ ~o'S'.S 973 S- Correspondent's a-mail address: C~~)71,~°ilUs 3 ~ Wll'It:ass/ • he~ Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representat a is based on all information of which preparer has any knowledge. SIGNAT E PERSON PON IBf.E FOR FILING RETURN DATE ~ ~ ~ ~ x ~z ~ o~' ADDRESS w(!LL/fFM ~. I(~ S N/'!'AJCS/ ~. Woopwq.~nel~ SChoalsi(fe ~~ ryle~han:csbu /~~ /1oSS oZ0 ~i-/ L '/; rin ~/f /70a7 SIGNATURE OF PL2EPAREF;,QTHERJkJ~N REPRESENTATIVE DATE ADDRESS Ch/ 15056051047 PLEASE Pmt i 7oss-° ORIGINAL FORM ONLY Side 1 15056051047 J ~~ J 15056052048 REV-1500 EX Decedent's Social Security Number Decedents Name: ~O DLO TN y ~, N~ GG ~ N 5 1 7 'Z o / y y' 3 y RECAPITULATION 1. Real estate (Schedule A) . .......................................... .. 1. 4 ~ ~ / aao,o~ 2. 3. 4. ..................................... Stocks and Bonds (Schedule B Closely Held Corporation. Partnership or Sole-Proprietorship (Schedule C) ... Mortgages & Notes Receivable (Schedule D) ........................... .. 2. .. 3. .. 4. o2 p ~ ~"~' b ~ / z • ~ ~ 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ...... .. 5. / 6 / S ~ • 6. 7. 8. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested..... Total Gross Assets (total Lines 1-7) ................................. .. 6. ... 7. ... 8. ~ ~0 ~ ~ ~ ~ ~ / p eL 6 8 7 ~ 7 ~ 0 3 • a ~ ' 9. Funeral Expenses & Administrative Costs (Schedule H) ......... ........ ... 9. o~ .Z / 6 9 7 10. Debts of Decedent. Mortgage Liabilities, & Liens (Schedule I) ............. ... 10. ~ 3 S / off 11. Total Deductions (total Lines 9 & 10) ................................ ... 11. ~ ~ / ~ Z ~ •s T' 12. 13. Net Value of Estate (Line 8 minus Line 11) ........................... Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ..................... ... 12. ... 13. ~ ~p O I S S 3 . / ~ 0 O i4. Ne4 Value Subject to Tax (Line 12 minus Line 13) ..................... ... 14. ~ P ~ ~ S 3 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 O D 15. (a)(1.2) X .0 ~ 16. Amount of Line 14 taxable at lineal rate X .0~ ~ ,~ ~ S S 3 7 0 16. 17. Amount of Line 14 taxable ~ ~ 17. at sibling rate X .12 18. Amount of Line 14 taxable Q ~ 18 at collateral rate X .15 . 19. TAX DUE .................... ..................................... 19. 20. FILL IN THE OVAL iF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052048 Side 2 . p D ~ ~ ~a~•~z . O O . O O //7d`~•9z O 15056052048 REV-1500 EX Page 3 Fife Number. fir- p~_ 700 Decedent's Complete Address: DECEDENT'S NAME ~orzo ~Iy ~. HIG~~nls STREET ADDRESS /ooG ~; ~v~~? s CITY ~~/7'~(j~JNICSQGl/~G STATE /~~ ZiP /7oSS Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit ~ B. Prior Payments 8 9 ?7. SO C. Discount f j [~l ? ~, Jrp 3. Interest/Penaity if aaplicable D. Interest E. Penalty Q Total Credits (A + B + C) (2) ~~ 00 --~=- Total Interest/Penalty (D + E ) 4. If Line 2 is greater than Line 1 + Line 3, enter ±he difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 .s greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. (3) (4) Q (5) o~~ ~7~. 92 (5A1 ~ B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) a, Z 7 y. 9Z 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 transferretl :...................................................................................... -~ .. L~ b. retain the right to designate who shall use the property transferred or its income : .......................................... .. ~J ~~ c retain a reversionary interest; or ........................................................................................................................ .t .. ~ 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 "tr. 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? .................................................................................................................... .. ~i ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the s~.arviving spouse is zero (0) percent [72 P.S. §9116 (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 crafter July 1, 2000: The tax rate impaled an 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(x)(1.2)]. The tax rate impased 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(x)(1)]. The tax rate impased on the net value of transfers to or far the use of the decedents siblings is twelve (12) percent [72 P.S. §9116(x)(1.3)]. Asibling is defined, under Section 9102, as xn individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAC~ OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX(11-961 N0. CD 010269 HIGGINS WILLIAM A 5 SCHOOLSIDE DRIVE MECHANICSBURG, PA 17055 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: ss~v: 172-01-4434 FILE NUMBER: 2108-0700 DECEDENT NAME: HIGGINS DOROTHY B DATE OF PAYMENT: 09/15/2008 POSTMARK DATE: 09/15/2008 COUNTY: CUMBERLAND DATE OF DEATH: 06/22/2008 REMARf<S: RECEIPT TO ATTY SEAL CHECI<# 1 16 101 ~ $8,977.50 TOTAL AMOUNT PAID: INITIALS: WZ RECEIVED BY: 58,977.50 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER CI-TABLES E. SI-IIEI.DS, III ATTORNEY-A7=LAW 6 CLOUSER ROAD Corner of Trindle and Cloesser Roads MECHANICSBURG, PA 1705.5 GEORGE M.HOUCK (141'?-1997) September 12, 2008 Register of Wills Cumberland County Court House 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Dorothy B. Higgins No. 21-08-0700 Dear Register of Wills: TELEPHONE (717) 766-0209 FAQ (777j 795-7473 Please find enclosed Check No. 116 in the amount of $8,977.50 for estimated Inheritance Tax for the Estate of Dorothy B. Higgins. Thank you for your kind attention to this matter. Very truly yours, ~~2.~'~.~l~t ~. ~ Charles E. Shields, III Attorney-At-Law CES/mjj Enclosure EST OF DOROTHYB HIGGINS DECD .NANCY L WOODWARD CO-EXTR WILLIAM A HIGGINS CO-EXTR 5 W SCI-IOOLSIDE DR MECHANICS~URG, PA 17055 116 ''-' 60-t273l313 Date r'ay to the ~ (~j \ ~ ~ ~ ~~ l I f>i ~n Order of ry~ ~ ~~,, (t .~r (~ ~ ~ ~ ~~ ~,~, ~~ /~ ~ 7..3 ,nl, V ' - ~1d~~ `~ +)wi~ 1 r~sL~W`~8': ~ OL1xN:!!' ~ J~ "~Lfilars U ~° .° e~~k ®~ PN CRANK PNC san}:, N.A ono ,z/-O$- O 70 ~ .ti Central PA ) ~ (~~/.) ~c ~ l~ t 'G ~ 1~1i ~ ~v' G'I' '`~~, t ~'~' ~I~'r ~f (' ~ ~; ~_~~~~~"`!{°~ ~ ~ ~ j~:~---"r For '~~'' 1 x:03 L3 L 273B~: 500 48 7 6 78 211' D L L6 'J~ REV-1502 EX+ (6-98) ~~ '~ SCNEDi1LE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ~-I i C l /NS, ~ovzo Truly .,~ eZ/ -o~_ Tod All real property owned solely or as a tenant in common must be reported ai fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH ,. ~// ~lid~ Cer,~Qi~ ~Iar~/ of /a.~~' ie~~e~~ec/ 6y a i~S~~~~id/ a~Grs~'e/%4 ~rol~rse /o~27`cc/ aI` /ooG ,~ . c~DNe~° st~ i ~ Joie ~E7oenuyLi p~ /~IeG',~ilu/Yt ics,(~ ti L'' w m /per/u~t ~ ~u~c~ ' ~enn~GYa~ua ~ !ra ~.i1q a 7~x IOGt ~c~/ ~' ~ /7- ~3- asG / -D~.~ ~~ 6~Unq ~o~e ~arfiGu~a~y c/ESC.hi~x~ i,/I ~[~r.I` ~~rfr/i7 gGdBC~ /-Iowa rd ~. ,/~,-,'~, z , ~ ~,t.x , ~ .~ I`~ic! r C', ~ qy %as am~ porof~~ ~ ~l yyi~s, figs w•,;~, a'~~ ~ ui,, i~ i ~G3 a~ r~ee~,rcled ti-r ~ Gf~iGe o~ ~ /~eeo.rc%r- d~ ~zec~S ~ ~ ~~ ~r CGc ~n her~a~ ~ Gtr ~c/ ~~ok rt ylti ~d~ ZP ~_ S~2 _ ~~ ~Sltrc/ ~~~.~ e, ~r,9y;~s ~,~~ o~ Z~-, ~ ~~~ w~~ ~o~ ~/r ~~~ !/~Sr~1 !tir }Pv sacc/ ~o~o/Y~,• ,~ r~f,'gS;ns, ,~ a'ec~e~le~~ ~" here%~ . /~ehec~a % .6LIcLaccy~~in ~r cc C~ns~'c%~oh d~ ~JSy,dbO.oo. / See ~r~r~ ~~'y ~.~ ~ee~ ~z.~a~ ~ff1e~~~i~~ ~ff~c~ti~~ her~7o . TOTAL (Also enter on line 1, Recapitulation) ~ $ ~~/ did • mU (if more space is needed, insert additional sheets of the same size) ~g~0 S Tax Parcel Number: /7-o~3-a561 -'O~oS' _ HIS INDENTURE MADE THE ~ ~ day of , in the year of our Lord two thousand and eight (2008). BETWEEN WILLIAM A. HIGGINS and NANCY L. WOODWARD, as Co-Executors of the Estate of DOROTHY B. HIGGINS, deceased, late of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, Grantors, and REBECCA T. McLAUGHLIN, married woman, of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, Grantee. WHEREAS, the said Dorothy B. Higgins, was vested in her lifetime with title to the premises hereinafter described, in the Borough of Mechanicsburg, County of Cumberland and Commonwealth of Pennsylvania; and WHEREAS, the said Dorothy B. Higgins, departed this earthly life, testate, on the 22nd day of June, 2008, and Letters Testamentary were duly issued to the said William A. Higgins and Nancy L. Woodward, by the Register of Wills of said Cumberland County, docketed to No. 21- 08-0700;and WHEREAS, the lands herein-mentioned were not specifically devised: NOW, THEREFORE, THIS INDENTURE WITNESSETH, that the said William A. Higgins and Nancy L. Woodward, Co-Executors, as aforesaid, for and in consideration of the sum of ONE HUNllRED F1FTY-NINE THOUSANll and No/100ths ($159,000.00) DOLLARS, and other good and valuable considerations, to them in hand paid by the said Grantee, at and before the ensealing and delivery hereof, the receipt whereof is hereby acknowledged, have granted, bargained, sold, aliened, released, and confirmed, and by these presents, by virtue of the power and authority in them vested by the Fiduciaries Act of the Commonwealth of Pennsylvania, do grant, bargain, sell, alien, release, and confirm unto the said Grantee, her heirs and assigns: ALL THAT CERTAIN piece or parcel of land situate in the Borough of Mechanicsburg, County of Cumberland and State of Pennsylvania, bounded and described as follows, to wit: BEGINNING at a point on the southern line of Coover Street, the dividing line between Lots No. 69 and 70 on the hereinafter mentioned Plan of Lots; thence by the dividing line between Lots No. 69 and 70, South 22 degrees 47 minutes East, one hundred forty-one and four- tenths (141.4) feet to a point; thence by the dividing line between Lots No. 70 and 76 on said Plan, South 66 degrees 43 minutes West, eighty (80) feet to a point; thence by the dividing line between Lots No. 70 and 71 on said Plan, North 22 degrees 47 minutes West, one hundred forty- one and four-tenths (141.4) feet to a point on the southern line of Coover Street; thence by the southern line of Coover Street, North 66 degrees 43 minutes East eighty (80) feet to a point, the place of BEGINNING. BEING Lot No. 70 on the Plan of Lots of "Orchard Crest-Remainder of Section B", which Plan is of record in the Cumberland County Recorder's Office in Plan Book 11, at Page 32. SUBJECT, NEVERTHELESS, to the easements, restrictions and reservations of record. Thereon erected dwelling known as 1006 East Coover Street. BEING the same premises which Howard L. Prinz and Alma H. Prinz, his wife, by their Deed dated July 18, 1963, granted and conveyed unto Arthur C. Higgins and Doroth}~ B. Higgins, his wife, in Deed Book "X", Vol. 20, Page 502, in the records of the Recorder of Deeds in and for Cumberland County. The said Arthr~r C. Higgins departed this earthly life on October 25, 1973, whereupon full and absolute title to the said premises vested in the said Dorothy B. Higgins by the laws of the Commonwealth of Pennsylvania incident to tenancies by the entireties. Her said Bstate is the Grantor herein. TO HAVE AND TO HOLD the said messuage or tenement and tract of land, hereditaments and premises hereby granted and released, or mentioned and intended so to be, with the appurtenances, unto the said Grantee, her heirs and assigns, to and for the only proper use and behoof of the said Grantee, her heirs and assigns, forever. ANll THE SAID GRANTORS, Co-Executors, as aforesaid, dzeir successors and assigns do covenant, promise and agree to and with the said Grantee, her heirs and assigns, by these presents, drat the Grantors have not done, committed any act, matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged or encumbered in title, or otherwise howsoever. IN WITNESS WHEREOF, the said Co-Executors of the Estate of Dorothy B. Higgins, deceased, Grantors herein, have hereunto set their hands and seals the day and year first above written. Sigiaed, Sealed and Delivered in the Presence of: (SEAL) WILLIAM A. HIGGINS, C . ecutor of the Estate of DOROTHY B. HIGGINS, lleceased (SEAL) N CY L. OODWARD, Co-Executor of the Estate of llOROTFIY B. HIGGINS, Deceased ~~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS: On this, the ,~~ day of (~[~LG~~~'~~-~ , A.D. 200$, before me a notary public, in and for the Commonwealth of P~hnsylvania, personally appeared WILLIAM A. HIGGINS end NANCY L. WOODWARD, known to me (or satisfactorily proven) to be the persons whose names are subscribed as Co-Executors of the Last Will and Testament of Dorothy B. 1-{iggins, and acknowledged that they executed the same in such capacity. IN WITNESS WHEREOF, I COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL Lisa S. Dailey, Notary Public Hampden Township, Cumberland County My commission expires December 12, 2011 i set m and an ofticia al. otary 'ublic My commission expires: (SEAL) CERTIFICATE OF RESIDENCE I do hereby certify that the precise and exact address of the within Grantee is: Attorney for Grantee OMB NO. 2502-0265 -fir A B. TYPE OF LOAN: DEPARTMENT OF HOUSING 8 URBAN DEVEL U S OPMENT 1. XQFHA 2.[~FmHA 3.QCONV. UNINS. 4.QVA 5.QCONV. INS. . . SETTLEMENT STATEMENT 6. FILE NUMBER: MCLAUGHLIN.R 7. LOAN NUMBER: 0090543844 8. MORTGAGE INS CASE NUMBER: 441-8476528 C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(POC)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. 1.0 3/98 {MCLAUGHLIN.R.PFp1MCLAUGHLIN.R/20) D. NAME AND ADDRESS OF BORROWER: REBECCA T. MCLAUGHLIN 4902 Carlisle Pike 203 Mechanicsburg, PA 17050 E. NAME AND ADDRESS OF SERER: WILLIAMS A. HIGGINS, co-executor NANCY L. WOODWARD, co-executor of the Estate of Dorothy B. Higgins F. NAME AND ADDRESS OF LENDER: WELLS FARGO BANK, N.A. 2701 WELLS FARGO WAY MINNEAPOLIS, MN 55467 G. PROPERTY LOCATION: 1006 E. COOVER STREET PA 17055 MECHANICSBURG H. SETTLEMENT AGENT: 20-1624913 GUARANTEED ABSTRACT SERVICES, INC. I. SETTLEMENT DATE: August 8 2008 , CUMBERLAND County, Pennsylvania PLACE OF SETTLEMENT PRUDENTIAL THOMPSON WOOD REAL ESTATE 3815 Market St, Camp Hill, PA 17011 , J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SEl1ER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER 101. Contract Sales Price 159,000.00 401. Contract Sales Price 159,000.00 102. Personal Pro ert 402. Personal Pro ert 103. Settlement Char es to Borrower Line 1400 ~ 7,928.49 403. 104. 404. 105. 405. Ad ustments Fcr Items Paid 8 Seller in advance Ad'ustments For Items Paid 8 Seller in advance 106. Coun /Boro Taxes 08/08/08 to 01/01/09 256.41 406. Coun 16oro Taxes 08/08/08 to 01/01/09 256.41 107. Cit Tax to 407. Ci Tax to 108. School Tax 08/08/08 to 07/01!09 1,305.57 408. School Tax 08/08/08 to 07/01/09 1,305.57 109. 3RD QTR SEWER $65 08/08/08 to 10/01/08 38.15 409. 3RD QTR SEWER $65 08/08108 to 10101108 38.15 110. 3RD QTR REFUSE $43.32 08/08/08 to 10/01/08 25.43 410. 3RD QTR REFUSE $43.32 08/08/08 to 10/01/08 25.43 111. 411. 112. ~ 412. 120. GROSS AMOUNT DUE FROM BORROWER 168,554.05 420. GROSS AMOUNT DUE TO SELLER ~ 160,625.56 200. AMOUNTS PAID BY OR tN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. De osit or earnest mone 1,000.00 501. Excess De osit See Instructions 202. Princi al Amount of New Loans 156,157.00 502. Settlement Char es to Seller Line 1400 13,702.29 203. Epstin loans taken sub'ect to 503. Existin loans taken suli'ect to 204. 504. Payoff of first Mortgage 205. 505. Pa off of second Mort a e 206. DIRECT BILL CREDIT 4,356.90 506. 207. 507. De osit disb. as roceeds 208. 508. 209. 509. Ad~ustments For Items Un aid 8 Seller Ad'ustments For Items Un aid 8 Seiler 210. Coun /Boro Taxes to 510. Count /Boro Taxes to 211. Cit Tax to 511. Ci Tax to 212. School Tax to 512. School Tax to 213. 513. 214. 514. 215. ' 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BY/FOR BORROWER 161,513.90 520. TOTAL REDUCTION AMOUNT DUE SELLER 13,702.29 300. CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER 301. Gross Amount Due From Borrower Line 120 168,554.05 601. Gross Amount Due To Seller Line 420 160,625.56 302, Less Amount Paid BylFor Borrower (Line 220) ( 161,513.90) 602. Less Reductions Due Seller (Line 520) ( 13,702.29 303. CASN (X FfX~M) ( TO) BOfd~OWER 7,040.15 603. CASH (X TO) ( FRAM) SELLER ~ 146,923.27 The undersigned Borrows 182 of this statement 8 any attachments referred to herein. Seller ' l~ I~N~~' 1 ~K/ W LIAMS A. HI • GINS co-exe t ~L NANCY OODWA D, co-executor Page 2 L. SETTLEMENT CHARGES 700. TOTAL COMMISSION Based on Price $ 159,000.00 6.0000 % 9,540.00 PAID FROM PAID FROM Division of Commission line 700 aS FOIIOWS: BORROWER'S SELLER'S 701. $ 4,795.00 to REMAX REALTY ASSOCIATES FUNDS AT FUNDS AT 702. $ 3,084.25 to PRUDENTIAL THOMPSON WOOD REAL ESTATE SETTLEMENT SETTLEMENT 703. Commission Paid at Settlement 7,879.25 704. REFERRAL FEE 1o S1RVA 1,660.75 Note: Line 702 Includes Adjustment of -1,660.75 For SIRVA REFERRAL FEE 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Ori ination Fee 0.5000 % to WELLS FARGO BANK, N.A. 771.15 802. Loan Discount % to 803. Appraisal Fee to 804. Credit Report to 805. Lender's Inspection Fee to 806. Flood Life of Loan Fee to 807. Tax Service Fee to 808. Processing Fee 809. FHA UPFRONT MIP to DEPT OF HUD 1,927.00 810. 811. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From 08!08108 to 09/01/08 @ $ 22.460000/day ( 24 days %) 539.04 902. Mort a e Insurance Premium for months to DEPT OF HUD 0.88 903. Hazard Insurance Premium for 1.0 ears to STATE FARM INS $466 POC soa. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance 4.000 months $ 38.83 er month 155.32 1002. Mort a e Insurance 0.000 months $ 70.24 er month 1003. Count /Born Taxes 8.000 months $ 52.49 er month 419.92 1004. Cit Tax months $ er month 1005. School Tax 3.000 months @ $ 131.89 per month 395.67 1006. months $ er month 1007. months er month 1008. AGGREGATE ADJUSTMENT months $ er month -301.24 1100. TITLE CHARGES 1101. Settlement or Closin Fee to 1102. E-Mail Document Retrieval to GUARANTEED ABSTRACT SERVICES, INC. 50.00 1103. Title Examination to 1104. Title Insurance Binder to 1105. Document Pre aration to ATTORNEY CHARLES E. SHIELDS, III DEED/POC 1106. Nota Fees to CASH 20.00 10.00 1107. Attorneys Fees to includes above item numbers: 1108. Title Insurance to GUARANTEED ABSTRACT SERVICES INC. 1 153.75 includes above item numbers1101, 1103 -BASIC RATE 1109. Lender's Coverage $ 156,157.00 1110. Owner's Coverage $ 159,000.00 1111. PA END:100, 300, 900,710 to GUARANTEED ABSTRACT SERVICES, INC. 200.00 1112. PA SHORT FORM POLICY GUARANTEED ABSTRACT SERVICES, INWlA IF NO FEES ENTERED 1113. Insured Closing Letter to LAWYERS TITLE INSURANCE CORPORATION 35.00 1114. Overnight Fee/package to GUARANTEED ABSTRACT SERVICES, INC. 12.00 1115. 1116. 2008/09 SCHOOL TAX to BARRY L. HECKARD SR., TC 1,457.29 1117. 1118. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 38.50; Mortgage $ 56.50; Releases $ 95.00 1202. Cit /Coun Tax/Stam s: Deed 1,590.00• Mort a e 1,590.00 1203. State TaxiStam s: Revenue Stam s 1,590.00; Mort a e 1,590.00 1204. RECORDER OF DEEDS 1205. RECORDER OF DEEDS 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Surve to 1302. Pest Ins ection to AN'S CO, INC. &HI,RADON 430.00 1303. Home Warrant to AMERICAN HOME SHIELD 435.0 0 1304. Transaction Fee to RE/MAX REALTY ASSOCIATES, INC. 295.00 1305. RADON MITIGATION to ENVIROQUEST 810.00 !, 1400. TOTAL SETTLEMENT CHARGES Enter on Lines 103, Section J and 502, Secti 7,928.4 9 13,702.29 By signing page 1 of this statement, the signato~es acknovAedge receipt of a completes copy of page [ of trvs two page aa[ enc GUARANTEED AB RACT SERVICES, Settlement Agent Certified to be a true copy. ( MCLAUGHLIN.R (MCLAUGHLIN.R ! 21 ) REV-1503 EX+ (6-98) _, ~` SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ~ i G ~~Ns, ~o~eo;~yY d_ ~~ - Q~- moo All property jointly-owned with right of survivorship must be disclosed on Schedule F. (If more space is needed, insert additional sheets of the same size) PRU: Historical Prices for PRUDENTIAL FINCL INC -Yahoo! Finance 12!18/08 4:20 PM 1'anoo! My Yahoo! Mail More Make Y! My Homepage New User? Sign Up Sign In Help (~ fw~A C-_ _ _ _ _ ,~+~`w/~, FF!#`[M~~G Search !-WEB SEARCH Dow ~ 2.49% Nasdaq ~- 1.71% Thursday, December 18, 2008, 4:19PM ET - U.S. Markets Closed. iGEi DU07B5 Finance Search Prudential Financial Inc. (PRU) ADNLiitTRADC 3 D~vs ~ cErs oo E'~TRADE ,~ Gp CokTRRDE 3ECVRITIES LLC: Historical Prices SET DATE RANGE Start Date: lun-~ 20' 2008 Eg. )an 1, 2003 End Date: )un ~ 23 2008 Get~Prices (fi`' ! At 4:OOPM ET: .3O.T4 '~' 1.56 (5.35%) Get Historical Prices for:': G j'+ `,`^`.'•~ Daily '-':Weekly Monthly ;"~ Dividends Only First ~ Prev ~ Next ~ Last PRICES Ad Date Open Igh ow `,t Close Volume t Close' 23-Jun-08 67.94 68.36 I 65.95 66.02 3,630,600 63.77 20-Jun-08 69.90 69.96 67. 67.73 4,818,400 65.42 " Close price adjusted for dividends and splits. First ~ Prev ~ Next ~ Last f`' Download To Spreadsheet ADVERTISEMENT More active traders trade WIt~1 Fidelity. ~ ~ >~! tI~F ~6~ +~F1dL/%ty" r w vrerw~rw•~r Tl~r numberpf Flde(rtykdrJr TFeJer iwneeholds who Made S2t7 u' ~, mope tunes aver a rolling 12-rnortt» prriDrl aansstiteir o~igibl° brokerage .rcraunh roc °ve~ '10f.1'lS brt+veen June 2DD5 anti April zOQa. Fidelity 6re~lnerage:5ervices: tAemb~v tdYSE. sa~C s'mvb.z http://finance.yahoo.com/q/hp?s=PRU&a=05&b=20&c=2008&d=05&e=23&f=2008&g=d Page 1 of 2 PRU: Historical Prices for PRUDENTIAL FINCL INC -Yahoo! Finance y; Add to Portfolio '~ Set Alert u Email to a Friend Get Historical Prices for Another Symbol ) GO ? Symbol Lookuo • Stock Screener . Splits Mergers & Acquisitions Copyright ©2008 Yahoo! Inc. All rights reserved. Privacy Policy -Terms of Service - Copyright/IP Policy -Send Feedback Quotes delayed, except where indicated otherwise. Delay times are 15 mins for NASDAQ, NYSE and Amex. See also delay times for other exchanges. Historical chart data and daily updates provided by Commodity Systems, Inc. (CSI). International historical chart data and daily updates provided by Morningstar, Inc.. Fundamental company data provided by Capital Iq. Quotes and other information supplied by independent providers identified on the Yahoo! Finance partner page. All information provided "as is" for informational purposes only, not intended for trading purposes or advice. Neither Yahoo! nor any of independent providers is liable for any informational errors, incompleteness, or delays, or for any actions taken in reliance on information contained herein. By accessing the Yahoo! site, you agree not to redistribute the information found therein. 12/18/08 4:20 PM http://finance.yahoo.com/q/hp?s=PRU&a=05&b=20&c=2008&d=05&e=23&f=2008&g=d Page 2 of REV-1508 EX - (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE OF N I G G- /N S, ~012~ THY /3. FILE NUMBER 21 - c~~- 7~0 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VAOF DEADHTE 1. Re~wtbursemen~s ~~r ~ftlzment Sh~~f ~ - ~,fe a f ~~ ~si-~-f e ~p~r Sehcc/. f~: a bow = ,~-. G° o a ~ ~y u.~icl Coro ugh Ta-x~ss ~ L:,rte ~ ~ ;~ S6.5~1 ,/3. SGhoo/ 7~ac es , G.i-,e ~~8 ~' ~ ~ /, 3as. S7 ~3~. ~S D. 3rd i~l-r. f2c{use, L~~~ ~~ ~~s ~3 ~ 2n~n /Vo?g /¢yt terror ,w[ts n'lcr;t~ in e.,{u~.ry~ny o{{' Sc~ao~ -tzx~~ on ~ 2 ~~' ~ s~the~n t S h~l~~- ~. hu,>n~- ua~~-?--}~,~ n,~-~-~5 0,~ -~G µ~a.r~~ of 5e-tf-~emler~f- sh~~~-. a ~i Ofi R'l~ ~f1I1'i~S ost •SG~~~ .E, ~(~rl.Z ~ s~ r i ~ ~ ~u/a~o~s a~ asscf vs /•a~%l~i/4~e~KGS~.~ ~~~~ hCe~ ~fr~rck °~' Re~u,.,d, Na.~onw%de fYlwfuu,/ Znsur. C~o- 6 9. 9d 3- P/VC ,,Q~/UK Ghec~~~q Ccee~'. Ylo. .5~7 00~ a~{67 ~ 13~ ~rao.70 ~. Znt' • Gtccr.' ~n c!•o• d. ~3. YY ~~c~ l~a~ua/~oh /ever a~itchec/~ Ref; rcment ~oarr~ check - ~a~ m ent ~r June 466.26 ~- ~u,le o~; S~~u, live fat, ~ ~nof Tables , CoFfe~ T6/c, r'hou,nd Table, "Roc.ka.r~Ree,l~ner , 2 LlimpS. ~o Toyce /~:/~ ~d5v,0o 7. ~o/,F~2EiGiV ~3~-n~K ~4. Sav:~ys ~ ~'o. ©S7~//337~ ~/7 Sys 7~ 8. Snf QGG~ : ~7v c~.0• o/. on /¢ ~ a,3.9 Z C • ~ D Na. o ST S/3 S p .50 ~ ~. 9, 7~ s. 3s Con dirt u ead~ TOTAL (Also enter on line 5, Recapitulation) I $~f (p, 7,j /~ 8 S~ SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ~It more space is needed, insert additional sheets of the same si~e~ ~,. 2 5 cH~D. E, ~,,~~iaued ,~ ST of HlGG !NS , ~o~2oTiYy /3. ~'/L~ /vo. ~~-08' - Joo ,~. C.D ,ll~v. O 5 7 $ l 3 to So 2 ~.? 2, 9 `f v . /3 ~ f'. acc,r. ~ d • a • d ~ on E X56. ~7 ~s~e ~a~ua~i'vh afi`ached) ~. ~~ ~ d ~~ Vk72izo~ C ~3a ~i~. 90 ff. ~G~I ~wrry ~~ka~rcl ~~BD~ ru~BS ~Sse ~'/9 ~ S (..eel K• / '~l, y 57, z q ~3. atso~{ I-fyundcti Seolu,n U1N KMi~IDN~C~~~f5~u7~/`1~'0 ~, ~{OQ.dv !y Sa/e o{ broom ~ ~/t s/uiid p.~: a~ IS ~a/~ e~ Sci/aa~ 6iv~v/ SeZ` an.~r' ~{ ~ /iolc%rs ~S. ~o /!o. ~i~V~/7~i~y a~~ersona~J~/ ~-S'~c .Zf~/I>>1G1'1~Di11 a?~~CI~F~/ ~ l~ `~36, ZS ~~ 2 ~ s < o~~ Fll~t/U6, ~7aRr 1~'Y ~ ~~GE .moo. .Z!-Q~'_ Joo l.ct,rn~ ~S ,, as ~1/SC. ~s,~ 1~e~15. o~o.v-c ~, exd~a,~ lz~ ~~~e ~ /JZ~t~i`~ss, ,~x ~S~7r~icys, 07Z2m.G t ~ . DP lv,~.t~ , ~esk ~lo . ~ a ~~S .~ GUa~/ ~~~u~s .!- c~-o ~fOQ !Your G'rvc%k ~l~dl~ l~ior.~l.:~1 %D , a-a ~lasru- ~~lroo~ 5~:ecc ~~i1~>~!! ~~ C~ucGn)~ ~u,/Yd~, ,/~~s5er~/h;rtnn J an,.! 'd ~~Jc/ ~~i.d /es ~o~ . ~ ~.c~Yl~S ~/a .. ~ ~OCK /~~ fa. o~ /~/~~~ione ~, ~ GUo~/1 s~/~~~~ ~e~' 's: ~ ~SSot~r~ C.®~S~ZcO,tt~ cTF.l~'8`~^y %~D-6'D 9. ' ~c~~r~ .. ~ wti,'t ~`~y/ ~~ s ~~cc /ab/e~ c~Eh~ %~6~5 IDy~-~ /a 6/c ~o/a~, /. a ~ I ~~5`~s f~.' ~:~ ~~erPO s ~ 1yl• rSC. ~Ss ~ L,~~s, ~°or~s ~~ : ~ fie. ~3tt~r~aar,~s /ant! Y,~ ~Gon~it~ue~) ~~ ~ ~5-. ~F H~G~~~s, ~©,~ ~,~y ~. T iE.~yj/Z.~ Toil/, Cre nf'4! .S~ioavcr s~~E ~h/and.~o) ~/~ Ss prlvwer ,~mvrs ~a/Idi %.%t ~.Q/~ Gruib ~, r tM ~p rve f yam~oe~r I~. ©r~~s:~e ~~.~~~ ~,~d ~,na~v 17,.r.,r~e~- ~'kr~aGrs Gand~n~~ny %/s ~w~ ~dy~~ . l %~r Nom, ~~:~r ~lcc~r:~ ~3/or,~er ~1 SC, l~o~ ~ /~ox '' ~~ ~reclct~er l~,o~,~ •~is~% ~1a ~u~x~ Cedar C.f~s~ '! ~7e~l~c ya e ~l Cl~ner ~ /~~~ ,~ar.`~~e,r~ l~ -/IGIJI'lia~ der ~5o1~f~ X-/jZQ'S ~~t~mnS /~~ ,~~ . ~ rraKS /~~~s ml'y:Gl.~., /y~/rr ~r ~ J~S~i ~s ~~5 ; oc '~S. o~ f s~ 1. ~~ .sa ¢~i S, o~ '`s ~~ /D _ v~Ii ~/o . ~ ~:~ '~/o . ~o S~ ~s< ~ ~s ~ ~.ar~ fS. ~ ~~ ~, ~ .sty ,~ o0 ~v, ~a .~.~ ~- ~- °D ~~.~~= ~ /,936. ~s i ~i '~ ?august i, 2008 Charles E Shields Attarney at Law 6 Clouser Rd Mecha.~aicsburg, P.4 17055 RE: Dorothy B Higgins SSN: 172-0 I-4434 DOD: 06-22-2008 Dear l1/tr. Shields: Irt response to your request for Date of Death (DOD} balances for the customer gated above, our records show the following: Checking 4cco~nt Account # 507008047 Established: 01-07-195 DOROTHY B I-~IGGINS DOD balance: $ 13,960,7fl = 3.44 accrued interest Interest paid 01-01-2008 thru 05-22-2008 ~ 22.03 YTD Please note that this office provrcles date of death balances for deposi4. accounts IIRAs, CDs, ChecKins,7 and Savi.ngs). We do nat pracess any fnancia) transactions or pros~ide statearnents. If you neeri assistance with any of these items, plEase call 1-888-PNC-BANK ;1-888 '62-2265 j or stop by your local PNC Baal: branch ofJ2ce. Sincerel}~ National Financial Services Center pNC Barg, N..4. Member FDIC Page 1 of Y '~ r s O o ,~ ,,~, ~ e- I <<~, u- 1 r" ~ ,~' ru e ~1 m~~ `. ,. '.;a ~; '-,-~ r+- C~ O ° ,, -~ ~ W N `fi, r ~G, ~ ~ Sit ~;°m ~~;z ~~< c~~~ ~. =yv ~s °n C, 4 t ~ { ~~- G C. T. , 4 ~` ry G~. G t E. l F, ~ k ~ 6 t. f ~ f ~~ l/~' y .J'~~/fl,' ~ 6r :. ±-~* I. '' /jq I t~/~~.r/~.~ ~ fit. t~ ~1 ~i fly- e ~ t. < ~ <: ~~ i4 ~~ a: ~ ~ `~ , ,~ 1ji i ~~'~1 ti ~G~ - ` <,r,~ 1 ,, ~, ~~:~ ~. G ~' ~ N/~v ~~ f f~~L ~~ ', f A ~ ~ ff J ~J ~ ~ ~ E t;' ~ ~~~ r ~ ` ~ i i ~ j ~h{ e ~" % 3 ~ r~ i re t i% ~ ~ '~ V~ ~..,-, i ~;~ =, ?~_, ~~ ~ °~U~ ~, w ~. ~ ~ _ ai fff ,~ l ,~;; e e ~ O '~ ~ i F `~ / ~' ' ~ e. +~ / ~~ t' ,~ =- w ~. q~~ ~ F Q ~ ~ e ~ S G 4: t"~ ~ E ~ ~ ~' s' t, _ .7~f~~P. L ~ ` ~G' 6 Y: t G ,o _~ ,.~iw-~ ~~?: ~ f~`~i ~~+ t't~1 ~~r~Jz'~.`.~~~`~~'~'. '~:' 1~2"~1i °:~. ~~?j ~t~;fii~~ ,~;`~rt Fa~}7"t:': E: - ---- -------- - ----------o - -- -- - --- -- - - P.O. Box 841005 Boston, MA 02284 July 25, 2008 Charles E. Shields, III Attorney at Law 6 Clouser Rd. Mechanicsburg, PA 17055 RE: Estate of: Dorothy B. Higgins Date of Death: June 22, 2008 Dear Mr. Shields: Per your request, enclosed please find the account information as of date of death for the above-named decedent. Please note the balances do not include accrued interest. If you should have any further questions, please do not hesitate to call. Very truly yours, Linda Spavento Team Leader Court Order Processing (617) 533-1789 (617) 533-1931-fax Sovereign Bank ESTATE OF Dorothy B Higgins SOCIAL SECURITY #: 172-01-4434 DATE OF DEATH: June 22, 2008 Account #: 0574113379 Type: Savings Open date: 4/10/1990 In the name of: Dorothy B Higgins, Vhilliam A Higgins or Nancy L Woodward POA Date of Death Balance: $17,585.71 Int.(YTD) from 111/2008 to 3/31/2008 $25.99 Accrued interest to date of death: $23.92 Other info: Account #: 0575135850 Type: CD Open date: 7/9/1997 In the name of: Dorothy B Higgins, William A Higgins or Nancy L Woodward POA Date of Death Balance: $29,785.35 Int.(YTD) from 1/1/2008 to 5/31/2008 $560.85 Accrued interest to date of death: $85.89 Other info: Account #: 0575136502 Type: CD Open date: 5/2/1996 In the name of: Dorothy B Higgins, William A Higgins or Nancy L Woodward POA Date of Death Balance: $22,940.13 Int.(YTD) from 1/1/2008 to 5/31/2008 $384.99 Accrued interest to date of death: $56.87 Otherlnfo: Page 1 of 1 0.EV-1510 EX + (1 ~97) •r. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE G INTER-VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER 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. ITEM DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE.THEfRREtATIONSHIPTODECEDENTANDTHE DATE OF TRANSFER TATE DATE OF DE{{~'I-{ °!° OF DECD~S EXCLUSION TAXABLE VALUE NUMBER . arrncr+ACOProFTHEOEEOFORREAI ES VALUE OF ASSET INTEREST nFAPPUCAe~E C'~ fYf P~Ny C'~NT/Zlr~CT ,~NNU/?y ~.~-Zpy~g24 ~.D.17, Vf~-~UE~- ~ ~~~ Y~ ab loo~D --o -- ~ ab, ~ ~v y~ r2~crP~EN-r ~E~uE~~C'l~~l~s : (~4u~sH~s) , S~ lJl4~~AJY1 -~ll~~~iVS ~ l-fA-N~y Woo~r.~~,[l, r~~LIFNT~p SCE uA~t~7dN ~~ ~ i~ /~Ti~-C~~~ TOTAL (Also enter on line 7, Recapitulation) I $ o` 6 ~ (o ~ y. y {If nlhfA Cr1af'P is naorlori inenri ~~1~~ti~•,~•,l ~~„^•^ ,.c,~.,. __.__ _ __. MetLife Investors USA P.O. Box 14593 Des Moines IA 50306-3593 MetLife July 28, 2008 CHARLES SHIELDS III 6 CLOUSER RD MECHANICSBURG PA 17055 RE: ME7LlFE INVESTORS llSA IP:SURRNCE COMPANY CONTRACT A2048829 OWNER Dorothy Higgins Dear Mr. Shields: Thank you for your recent request regarding the above referenced contract. Our records indicate the account value on the date of death as follows: Date of Death: June 22, 2008 Account Value: $26,684.47 Principal: $17,976.46 Interest: $8,708.01 Taxab{e Amt: $14,005.27 Cost Basis: $12,679.20 If you have any questions, please contact your representative or cal! our Customer Service Center at 1-800-284-4536 Monday through Friday between 8:30 a.m. and 6:30 p.m., ET. Sincerely, Ashlee Reed Sr. Annuity Representative -Post Issue Processing MetLife Annuity Operations and Services REV-15'1 EX+ (12-99) ,~~;y~~ SCHEDULE H ~:_~ ,~. COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FItE Nl7MBER NIGGIIVS, ~r~o-~-~Y !3- Zl-a~-700 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 ' Ho l (irt y~r Funeral HOmG ~ ba~a,nce du.e ~ G Sb, d'9 ~tor;st ~uncral S r aM,rl u,rru.n meet 2 70. ZS 2. .T. C. sn ydcr, ~ `"1c ~ 3. Reimbursement dv Nand Wooolwarr~l ,lvr e,~-pens¢s ol:' ~ ~unera~ tea,(. 2 SY..SD B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions ~/ -/ / Name of Personal Representative(s) G~/yJ s¢- ~/~q~i.a~ /~!~/Lt'~1 ~• ~OOIILtJd1'G W~/~~~ Social Security Number(s)/EfN Number of Personal Representative(s) Street Address City State Zip Year(s) Co/m~mission Paid. G- ~. /~/ ,~- f 2. Attorney Fees (~~4,~-'/es ,~ • ~~1~ ~lv7.S r~r 7J~, D O ~ , o O 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant /VO O,Nf ~~.lGldd GE /i'~4NF' Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees C(MQ~ 01'i ~ , n a.~ t ss ~ U~ S~~'T C'..P~k'7 ~ ~ Gu.~S ¢~~~, QQ 5. Accountant's Fees g~ JE ~FRc-'y CoNicK ~{' Cam.,--1 ~ 5{~ TTY oo. 00 6. Tax Return Preparer's Fees ~ Ch~.,~-qes ~ real e si-a~'c sale seff lam ent p~ ~e~fle IM.evi~" Sl~e~t (see s chef /~-) /,t, ,~Cal~-prs ~onnmiss~oh, L.ne 703 ~-7,Fr79.ZS' ~e~trral ~a ~Sp-~t ~c~f ~^~rn ~rnmissioY} D~'eral~~, Lane boy ~J~ 66D, 75' C. I+Jo~'iiry Fees, Li'.u //0% 'r / o . vo 7~, avo~~o9 Seb. 7^x. , /.3krry iYPeKar~ Lin e /i~6 I, `I 5 7. Z 9 ~Ccrvtit~~ TdTAt (Also enter on line 9, Recapitulation) $ ~ o~, t ~ 9 ~~ - (1f more space is needed, Insert additional sheets of the same size) ~, 2 S~H~1~. l~(, e~ntd ~"~% ~F' N/GGlaU5~ ~,,2v7Ny f. F/LE`ND. Z/-O~-7oo 7. Z~ii 7, C,ont'd fx. lam- 2a fly i ~^A~yts-~e~ T x, L; n c t Zo3 P, S 40, oa F l~^a.nS(tcaiDN ~te~ ~~-/,t'1,I¢)C1 Li~rtG l~~ ~Z.GS OD (~. ~~d~~, ~if~ga.,~`a~~ C'~viro~c~st~ Linc /3oS ~~/o, oD ~crry /~/C ck4~d - Sc ~ ool 7ru~c¢s ~ `see 19 auto ~ ~ ~J ~{ S7. Z `~ Ttr~ri/7%~~ Tu•mitc 7~es7inq Lt~cl l~Qpo.rt ~IDO.~o /b ~ ./~v/~v~tg`i o~ ,~lO~l~2~C 54~%tr~r, ~C"G~,~cr, 1~`'~ILi J ~/0 ~ 3Z /j. ~ ,/~if/Cr, ~jQ~,'r /o a 14.1,~1i ~/~t./,N C~~~ r ~ ~j'~~, ('ter Sa~¢ ~1~0 . D O J`,o,7, ~UP•t~~'iSi~ ly ~tiNl,~/~l'!~ ~l~rJ ~ GCS-/t~tl ~7~ .l~D 13, ~dv'er~iS-it~~ .X ~u~f%sl ~i~iac~ ¢/~6.7~ !~ . ,~d~~ ~o~tal ~no h~ ~ Fce ~,~ Z 17. Q d /7_ Dan~'~l' S~Y~ev , ./11D~.'~t~ %sa,oo /~ G(n r'a~e~ oaf ~ ~ ~~r~/ %-%1„~~ ~g, 70 (~. ~ ~ rry ~'lP.fil~rd GvQtS ~r a.'a~ ~~Le ~~ /,I1..S~zrkt. b/1cc di y ch~-ck by ~~rs on ~%/y;~©~ Gins f1 y 4~e~u~~a~ hem n~f" ~rnce~s c~' ~~. S~~ ~~er,-,s ~. D. ~d ~ C~i~e~E~ ./~r~ ,~~,sh ~l~..s ~eer~ f1'lar~e a.~ shb~.rn ao. u GZ u,~~ 1~ ~ e s ~ ~,'~,l ~,~ 11, ~ ~ S~ 3D ~C, . ~e;.~dk r~ ~~~ ,o~~c~.~s ~~~e ~ ~~~ n~uu~, ~ . 1~ ~• 5n aa. r~~~.~ ~~ ~~- ~-r-a,,,, ~~ ~- ~~ ~; ~~ f as, s~ BEN MIELER'S AL~l~V6i~1l~M P~iQ~©~1C~'S 33 Clouser Road MECHANfCSBURG, PENNSYLVANIA 17055 (717) 766-5647 SOLD BY I DATE ~, ~ > 1 h I NAME ~ ~_ ~ ~ ~ ~ ~~ ~~~~ ADDRESS J ~ s}~ v ~ P ONE CITY ~''~ ~ f,~,.3 CASH i ^ CHARGE C.O.D. i ~ PAID OUT ~ MDSE.RETD. {~ PD. ON ACCT. ~ PREVIOUS ' BALANCE ~~' j ~ ~s ~(} ~`'L~ ~~ f I ~ / 4-j ~-' ~~ I ~j- i --1--~ -~ 1 _~ _ -- ~ -- - I RECEIVC-D BY x iaccaE~a ~v/sa• ~ PN6WC1 690.1 ~ Inc_ Giolon. Mass 01477. la Ordcr PHONi IOLL FREE I ~- 896$25L380 REV-1512 EX+ (12-03) SCNEDIJLE 1 COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT] INHERITANCE TAX RETURN MORTGAGE LIABILITIES, & LIENS RESIDENT DECEDENT ESTATE OF l,,,IIGGIn1S, DD~ZoTMy ~, 2lLEO~BE7oO Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. ~t° r / Z D/!, ~ILID/JC 6 i /~ ~ a 3.01 2 . U r; Z , C~.u S ~ /G . 83 ~f. VeriZon ~ ptionc b:!l 26.03 S M~sSia~ ~i ~ia~e ~~0( S 6. Sta~c ~rr~plnyce Q2fir>oryJent S+/s~m , F';na/ /~-il~sfiKChf' D o. ~/zy.3q 7 i u G1, ~a s ~Zo. S9 ~ /l/li~ lit/~Cr ~/ 3.95 Yeri ZOH ~ plio/lt ~i.%/ 3 3, ~ S /O. /~/~G ~~~, o ~ //, Qu,ar~Eu,n~ •Zmc~; nq l ~3c.oo ~2. ~ Checl< cleared air r~.o•d• tM ~/1/C B~+k ~-e~ luri~lzh ~ Glni fc d W d.~'Cr ~` g. 6 $ -3. Cc~~~'a.l /},tea N2al{-~, SeXr~r.~.s ~I ?Z.ao 8'0 TOTAL (Also enter on line 10, Recapitulation) 5 ~~ ,3S (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER H I~(rINS, L~o~2oTNy B, ~l-08 -700 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS (include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. tvrccr~m ~ HIGG/NS 5 S~l,cols~i,>rc fir. son L~2 Me~hanicsbar~, pa /7oSS a. ,/IfffNC Y 1. WOOdJU,~¢-R,j~ cl akc,~~-ter )(~- ao Shy rlGy Gn. U 3oaI~nCJ slprinys, ~A l~007 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 II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $ (If more soace is needed. insert addirinnal SF1PP}C of tho ~amo ~~~~~ LAST WILL AND TESTAMENT OF DOROTHY B. HIGGINS I, DOROTHY B. HIGGINS, unremarried widow, of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any rime heretofore made. 1. I direct the payment of all my just debts and fiineral expenses as soon after my decease as the same can conveniently be done. ~, All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath in equal shares unto my two (2) children, William A. Higgins and Nancy L. Woodward. Should my said son, William, predecease me or die at about the same rime as I do such as in a common disaster or accident, and should he be survived by issue, then to them, ~ stirpes. Should he not be survived by issue, then to my said daughter, Nancy. Should my said daughter, Nancy, predecease me or die at about the same time as I do such as in a common disaster or accident, then to my said son, William, ,per stirpes. 3. I nominate, constitute and appoint my son, William, and my daughter, Nancy, to be the Co- Executors of this my Last Will and Testament. I further direct that they shall not be required to file bond or other security in the Office of the Register of Wills for the purpose of administering my Estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this `~~~ day of r~~~t ~~~-~ , A.D. 1993. ,,/ ~J ,~~ ; ~i' ~2~-~C.~, ,~!?' ~!"~~~,~ .r~ , >,:~.~ (SEAL) ,, - ,~ ~,;,. ii` ai' Signed, sealed, published and declared by the above-named DOROTHY B. HIGGINS as and for her Last Will and Testament, in the presence of us, who at her request and in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses.