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HomeMy WebLinkAbout08-25-09~ REV-1500 EX (05-04) PA Depadment of Revenue Bumau of Individual Taxes Dept. 280601 Harrisbum. PA 17128-0601 15056041046 OFFICIAL USE ONLY County Code Year File Number INHERITANCE TAX RETURN RESIDENT DECEDENT Date of Birth Decedent's First Nama MI 3a~~ ~ r+ ohxn~ ~ a Spouse's Last Name Suffix Spouse s First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE ,~ sm ~, REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Retum O 3. Remainder Retum (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Retum Required death after 12-12-82) ~ 6. Decedent Diad Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Sale Deposit Boxes (Attach Copy of Will) (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 TAIL INFORMATION SHOULD BE DIRECTED TO Name Daytime Tel~rhone Numb Firm Name First line of address line of address L.7 (7 ~~ 4-'; T g ~ ~1~ ' ~ D O r '~."~ N N City or Post Office State ZIP Code a x+xn a.e as . . a . - may amp a *~a. i Correspondent's a-mail address: 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 belie(, it is Vue, correct and canplele. Dedamtlon of preparer other Man the personal representative is basetl on all information of which preparer has any knowledge. OF PREPARER OTHER THAN ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 15056041046 15056041046 J REV-1500 EX SS 15056042047 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) O Separate Billing Requested ....... 6..*'pg ,<,,.~ 7. inter-Vivos Transfers & Miscellaneous Non-Probate Property , (Schedule G) C Separate Billing Requested...... , . Z '. _. 8. Total Gross Assets (total Lines 1-7) .................................. . . 8. ; ; s". 9. Funeral Expenses 8 Administrative Costs (Schedule H) ................ _ ... 9. '~ y 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ........... ..... 10. ~ ;. _;. _ ; ; 11. Total Detludlons (total Lines 9 8 10) ................................... 11. ' ; 12. Net Value.of Estate (Line 8 minus Line 11) .............................. 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ........................ 13. 14. NetValue Subjeet 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_ 15. i6. Amount of Line 14 taxable at lineal rate X .0 _ 16. 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. 20. FILL INTHE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 L 15056042047 15056042047 REV-'1500 EX Page 3 Fila Number floradant's Cnmolete Address: ~J IVHMt f ^~ DR.E_! - -. _ _. ~s~ B~_ ~~~a~ ZIP Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + B + C ) 3. InteresUPenalty if applicable D. Interest _ E. Penalty -- - -- _- Total lnteresVPenalty(D+E) 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. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (2) D (3) D (4) (5) I ~; q~3, ~S A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 13 r 1 / "! ~S Make Check Payable to: REGISTER OF WILLS, AGENT tf#tt E 1 # Itittltlttt~~3~~~t~t~~~~3~~~4fftt~~t~4Ettttti~ttlt9 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS i. Did decedent make a transfer and: Yes No a. retain the use or income of the properly transferced~ ..................................................................................... ...... ^ b. retain the right to designate who shall use the property transferred or its income : ...................................... ...... ^ c. retain a reversionary interest; or .................................................................................................................... ...... ^ ^ d. receive the promise for life of either payments, benefits or care? ................................................................ ...... 2. If death occurted after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................................... ? " " ....... ^ ^ ....... or payable upon death bank account or security at his or her death in trust for 3. Did decedent own an ....... 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which ^ contains a beneficiary designation? ................................................................................................................. ....... REV-1502 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCNEp11LE A REAL ESTATE OF ~QY Er KUsS All real properly owned solely or as a tenant In common moat be reportr exchanged between a willing buyer and a willing seller, neither being Real property whlch is IolntN-owned wlth ./1M -' sir market value. Fair market value is defined as the price at which property would be palled to buy or sell, both having reasonable knowledge of the relevant facts. of survivorehlp muri be dledoead on Schedule F. noon UtJGHIY I ION OF DEATH ' 3501I1 Reelcl~ ~unp I.anf ~ g~~ 6 q 0, OD ~EGi1WIIL$UUfq1 ~ PA ~~ D,JrO C~~3 Inle(QS~) Deed A~}a~edr `~o~ul Yale ~Z60~0'70 fax f}ssn.~smerrf Af~acj,ed. TOTAL (Also enter on line 1 Recapitulation) S 0 (p~ 6 9 O r QD (If more space is needed, insert additional sheets of the same size) REV-1509E%•IISn SCHEDULE E p /~ COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS Et MISC. INHERITANCE TAX RETURN DGDCA\IAI DDADCOTV __~•~,-lr1RQY EI ~2U~S' ZI-09-030 Indude the proceeds of litigation and the date the proceeds were receWed by the estate. All property jointyowned with tha dpM of survivorship must 6e disclosed on Schedule F. NUMBER DESCRIPTION m~-r e~,~ Cer-h~wf~ ~ paPas~' ~31oo3q}5823700 see a~ac~ted) 21 Personal Pr°P~ty Va I~~~~S of f hr-eri w doc~me~l-s a~achea. bec~d~n+ l~~~d f`J1 ~ f0om o~ a {,nvse~ all her belon~~~ys Wert. dorrp~eal ~ c~~-fy OF DEATH 5~~v-s,5q D TOTAL (Also enter on line 5, Recapitulation) I $ 5!? ~Si -S / more space is needed, insert additional sheets of the same size) REV~t5~9IX.ItE11 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TA% RETURN SCHEDULE F JOINTLY-OWNED PROPERTY Han asset was made Joint whhin one year of Ne decedent's date of deatll, M must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME A. ~P/lnrrer ~.. ~~ASCp B. C. JOINTLY-OWNED PROPERTY: ADDRESS 350,11 Be~c1, ~~- Ln' m'CN'Ir/ PA I7~S0 RELATIONSHIP TO DECEDENT Gr~al- ~l ~e~e ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY Include name offinancial inetitutgn end Cask aa,ounlnumber or similar identifying numoer Attach deed (a jdntly-fn3M real eetate. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST A 2003 In~rBa-k Che,rkiny ucc~u~rl'~ 'J 3255661 ~ ~-~ 213, µ0 50 ~]~ 10 6.70 ~ ~doG~men ~a~u1P,d) 2r ~ L1~~3 I mV~ L~rl/~ Savi~y9SQCCcvn~"~150Dy'24~`3/4`IS'~ 1 t~ d ~~~D62r~9 50 ~5r53/,S'D c -e ~ ~doY~menf a (If more space is TOTAL (Also enter on line 6, Recapitulation) I S I ZI b3~t ~ Q al sheets of the same size) RN-0AOIX+(tE]I CQMMONWEALTH GF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF~ ~ ~ ~ ~ n 1 /~ rae numa~ f ~ O ~^ O ~ ®~ This schedule must be completed and filetl K the answer to any of questions i through 4 on the reverse side of the REV-1500 COVER SNEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY ~"~i"~THE"^"~°%iHETw`"sFEREE,T"EmAa^n°"s"irTOOECEOeniAxoiHE wTE OE iru"sreH. ATTACH ACOPYOF THE DEED fCR PE4 ESTATE. DATE OF DEATH VALU OFA SET %OF DECD'S INTEREST EXCLUSION iv MPL~CPBLE TAXABLE VALUE Tfunsamu~~u L+~ lnsurunlP ~ 35~}92E'74- ADD D 35~492,~4 C~aPy o-F P~a~eas c~~,k ~~u~~) more space TOTAL IAlso enter on line 7, Recapitulation) insert additional sheets of the same size) s J~1~12r /~ REV-1511 EX+(12-99) SCNEDIILE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES 8r INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER ~~~~ 1Et Rugs ~ ~-o~ 030~- Debts of decedent must be reported on Schedule I. A. FUN CAI€,IA/1SruIIciA' 110yrrC, 1.~~~)aUA, //OO~rDO 1. •JV'I ~eSUltecha~ Ceme~ C~-ull~d ~~ °~ qDo, oD B~chenolo~F (rle~gls 1,1 ~7• Dv ~ Z s~tee~s q ul ' No7~- is a davb~c ~md o~rly ore-lal~o~ die pike .s e~~ cl~i qs an ex~Dense~r B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions n q Noma of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representadve(s) Street Address City State Zip Year(s) Commi1ssion Paid: 2. Attorney Fees , /)p 3. Family Exemption: (If decedent's addres is not the same as claimant's, attach explanation) ~/~DDr Q ,rr Claimant //ft (~ Street Address 35o B v~ Dity ~ stela Zip I oSD ~r . Relationship of Claimant to Decedent / I S LW r 4. Probate Fees SF~~ le(.e~~ D t ~i lin~ fee of ~mc o f(,~s ~2efu~n 33D, 00 5. Accountant's Fees 6. Tax Retum Preparer's Fees ~. f bl ~er~is;n9 Es~+~e Lsec 11JJA~~ In4 ~; i I a~rcli~il~ 3 / ~ , l g TOTAL (Also enter on line 9, Recapitulation) ~ $ (If more space is needed, insen additional sheets of the same size) REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE O(F n ~J r n C FILE NUMBER A 7}~ mT7K.1 Cr K~Js Zl~o~'~/JV~ NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not Liat hostes(s) AMOUM OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS (include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 3oa~, glas~o piece BODY ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 TH ROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: 1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ~ $ (If more space is needed, insert additional sheets of the same size) LAST i+IILL AND TESTAMENT OF MARY E. RUBS I, h1r,AY E. AUSS, of the Borough of Mechanicsburg, County of Cumberla ad, Commors:ealth o£ Pennsylvania, being of sound __5 mind, memory and understanding, do make, publish and declare this as ;,;y Last Will and Testament, hereby revoking and r..ak ing void all wills ar,d testaments in writing, in the nature thereof, by me at ary time hereto made. ;;FaD FIRST, I direct that my funeral be conducted in a mare er corresponding 'with my estate and situation in life and that all my just debts and funeral expenses and costs of placing a gravemark er and the sum. necessary to arrange for the perretual care of my grave be Fully paid and satisfied as seo;: __= co;-veniera ly ..-, be after 'r.':y decease. As to such estate as it has pleased God to entrust me with, Z ..i spose of the same as follows, viz: ITEM. I - I hereby Give, bequeath and devise my entire estate both real and personal or mixed wheresoever situate to my :iece, NiAS. JOACd C. 3L ASC0, 301 Beech Run Lance, Mecha-icscvrg, Pennsylva -,ia, 1?^v SS. ZTEN! II - Zn the event that I am not survived by Mrs. Jeac C. Blasco, I ther. give, bequeath and devise my entire estate to r.,y great-nieces, JE;7N IFER BLASCO and JO ELLEN BLHSCD, aad they _ar_e to share equally between themselves my entire estate. IT Eh: III- I hereby ::ominate and appoint my niece, MRS. JOAN C. BLASCO, as Executrix o£ this my Last Will and Testa,,^.e r,t. IN WITNESS WHEREO°; I, 2*<1RY E. RUS S, the Testatrix, have this day, my will set my hand and seal this ~~ day of ,~~G-z-•- one thousand nine hundred and eighty-three (1983). _ ~ ~~J _ ._. _... _._. _.~_ "[~"X ( _..~ __ (SEAL) .., R E. USS SIGi3D, SE:iLD, PUBLISHED and DECLARED by the above- named P4kRY ?.. BUSS, as and for her Last Will and Testament ir. t'r.e rresence of us, ~.dho have hereunto subscribed our names at Mechanicsburg, Pern Sylvania, reguest as witness thereto, :.:. the presence of the said Testatrix and of each other. ~ ' / /G J ~ /yg i ~ / / - `~ ~ ~ ~ ~/r ,. ~ JL % /oil WARRAN'Pf DEED - From a Cocpmpdaa Pva,ed m Plml®bom's laD%Linm Rarotd Pap¢ ~h~ ~~b, MADE tbs 2Ath day of October ut ebe yea nineteen hundred and sk*ll~tlty-nine (1479) liE7WF.F.N DONALD E. MBSKE and HAZEL G. MBBRE, hie wife, and DELURE DEVElAPNSNT CORP., a Pennsylvania Corporation, of the Borough of Berwick, Columbia County, Pennsylvania, parties of the firer part, hereinafter referred to ae GRANTORS, --- Ef~T~ J. 11IASOD arc] JQAN C. BIABCD, his wife. ag D~hin Ootatty, Pernmylva[tia, parties of the second pert, ea tenants by the snSSretla~, and MARY E. flLSS, Party cf '__ ascend nor+., hereinafter referred to ae Grantees, WITNESSETH, TSut in canaidendam of NINETY-ONE THOUSAND -------^-------°-^° ----'---------°°-^--'------- (591.000.00) -'--------'--'---- ~ N hand paid, the tempt wlteteof v hereby aclmw,ledged, the aai8 gmmc a do had,y gnat and cenvey m the add grantees ALL THAT CERTAIN lot or tract of ground with the improvements thereon erected, s itua[e in the Township of Eaet Penneborc, County of Cumberland and Cotmonwealth of Pennsylvania, bounded and described in accordance with a Subdivia ion Plan of Laurel Rills, Section 2, made by Buchan Horn, Consulting Engineers b planners, dated 4 December 1974, Job No. 203020, end recorded in the Office of the Recorder of Deeds, in and for Cumberland County, Pennsq loania, in Plan Book 31, Page 27, as follows, to wit: BEGINNING at a stake set on the South side of Beech Run Lane, a corner of Lot No. 159; thence extending from said beginning stake and measured along the South aide of Beech Run Lane the two (2) following courses and diataneee: (1) on a line curving to the left having a radius of one hundred eighty (180) feet, Cite arc length of one hundred twenty-five and thirty-six one-hu~redthe (125.3b) feet to a point of curve, and (2) on a line curving to Che right having a radius of twenty- five and no one-hundredths (25.00) feet, the arc Length of thirty-seven and ninety- eight one-hundredths (37.98) feet to a point of tangent set oa the West side of Acri Road; thence extending along same, South thirty-nice (39) degrees twenty (20 b. mina tee forty-five (45) seconds East, seventy-five and twenty-seven one-hundredths (75.27) feet to a stake in line of Section 3; thence extending along same, South fifty (50) degrees thirty-nine (39) minutes fifteen (15) seconds Weat, one hundred seventeen and forty-two one-hundredths (117.42) feet to a stake in line of Lot No. 169; thence extending along same, South eighty-five (85) degrees twenty-five (25) minaret forty-four (44) seconds We6C, sixty-four and seventy-five one- hundredtha (b4.75) feet to a stake in line of Section 4, a corner o£ Lot No, 1b8; thence extending along eeate, North thirty-five (35) degrees twenty (20) minutes forty-five (45) secoada West, fifty mad fifty one-hundredths (50.50) feet to a stake, a corner of Lot No. 159; thence extending along same, North three (03) degrees thirty-one (31) minutes twenty-one (21) aeconda East, one hundred and BEING pare of the same premieea which Theresa AYler, widow, and surviving apouae of the late Charles Amsler, by Indenture bearing date the 12th day of November, A.D., 1914, and recorded in the Office of the Recorder of Deeds, in mad for the County of Cumberland, in Deed Book W-25, Page 14, granted mad conveyed unto Donald E. Menke and Hazel G. Menke, hie wife. AND by Agreement dated the 25th day of October, A. D., 1977, between Donald E. Menke and Hazel G. Meeks, hie wife, (sellers), and Deluxe Development Corp., a Pennsylvania Corporation, (buyer), sellers and buyer entered into an Agreement for sale and purchase of a certain piece or parcel of land aitue to partly in Hampden Township and pertly is Eaet Pennaboro Township, Cumberland County, Pennsylvania, of ~+'% ~ PMY SfiC which the above described lot is a part; and, whereas, cal ler• and buyer have recorded a Memorandum of Agreement, said Memorandum of Agreement ie recorded is the Cumberland County reeorda in the Office of the Recorder of Deeds, in and for Cumberland County, Pennsylvania, an the 27th day of December, A. D., 1977, in Miac. Book 232, Page 860, The said Donald E. Meska and Maael G. Meeks, hie wife, and Deluxe Development Corp., a Pennsylvania Corporation are the Grantors herein. UNDER AND SUBSECT TO restrictions and conditioae ae now appear of zeFOrd. "Grantors reserve a ten (10) foot wide eaasmen[ over and under that part of the premia es conveyed herein that is along a property line cocoon to another -.lPt or lots on the subdivia ion £or the purpose of constructing and maintaining each storm drainage as grantor may be ordered to construct and maintain by any appropriate governmental authority." '7 t ~Y ~4 ~1- ~" 3.~~ /-/nr.S d- ~- p .. bwn,Mp e/ .............. R ^ :: ~.~ i_ La Rol Ede _ ..._>.a. .. , } ~ - - r L :umb. Cn. D..1. Ci. Aa. _ ~ t _ cc ¢001I.S ,`~$ PAGE $$'$ ANb the said gonmr a rvIDl generally hereby conveyed ~SII7CaSE of AL~aI76 IN WITNESS WHEREOF, the said Gtsator hu nosed thin Deed m ba sigsud by its Yrnidmt a a Vloe I'resident, and alw by in Secretary. a by m Adsunt Scaetay. or by its Timwrer. ere by m Asosesnt Tser wmr, end its Corporate Sal m he hemmm sBsed, the day acrd yeas Got above written Attest: ti • : c -.. 0 N : :. ~. 6 C.........:..~.... }F`I .... .. .......:~............... ..' .~ . ' e dil^~ >. I hereby certify, that the precise residence d the goatee hereto b ufpllows: rr' ') / ~. asrm s. a..r i Comnmwedth d Pesmtylvasda Cotmly ~ .Cumberland On this, the <.?--/ ~ day of a notary public PenOPBEy ^ppeared Donald E orbs the President WARRANT AND FOREVER DEFEND the property SSs <<-c.c-. 19 may, before sae, the undadgaed e6scrz, Menke ,who aekaowledged hfmalf ~ Deluxe Development Corp. the foregoing corporation, and that as mch, he. being authorized by such oorporarisn m do so. eacuted the foregoing deed fa the purpox therein snntaitss;d by rigoing his name ebecton as nosh. IN WITNESS WHEREOF. I have hemmm ser my hand sod official seal - '•~t`i1a ~.~,.~•,, COMMONWEALTH OF PENNSYLVANIA; sa. ~~ "' ~ _~s~•"~"'d ' cX - '. dn.~Q.i .' cammoa..ealth d Pmnsylvanda Cwmty oE .................................................. I HEREBY CERTIFY that on thh ~~ AD. 19 ,iodate ttr, the sahats'6ac, a Notary Public in and Eor said Commonwealth and County, peaooally append , the attatney uanrd m the Eomdaius Iadeaim_s. and by virate and sp panvancc of the authority therein tautened upon hmt, ackmwkslged the said INDENTURE m be the act and deed of the said to the intent that the same may be duly recorded. WITNESS mp hand and Notarid Seel the day utd year aiataaid. My ('.amroitiw Etpicn sg, LVaay Pa6ie I HEREBY CERTIFY, abut the ptociae addteas of the gtaatee 6ae® 6 di m[ « { ~8 ~ a s ~ ` $ c9 : ^~. : O ~ 6: F : : a ., ~ ~ y•~ ~aF ~ Ni H: i ~ ~ - gFy rn ~ a: ,~; o: of i a: . 0 o$~ o = m, mi a. i}i 9 d; a: ++: a N' ~1 c~.~~~ COYnty ~ .............................................................. ///\\\ REGARDED in t>x Office Far Recording of Deeds, em, in and For said County, in - Iked Book Na ~ Vd. .Z~ , Pages ~S ,,C'; WITNESS my Hand and 06etlal Seal this o29~/f day of ~'.~`t'--`"9-"~, 19 ~9 .. Rewsda d Dsads Bw No: sro nna~e ~o. DEBBIE LUPOLD, TREASURER 98 S. ENOIA DRIVE, ROOM 101 ENOLA PA 17025-0789 sc; ASSESS.NO -09005440 MAP NO: 09.15-1310-015 3501 BEECH RUN LANE ACRES 380 DEED 0025W LAUREL HILLS ~°A1°4., LOT 160 SEC 2 PB 31 PG 27 Residential Building RESIDENTIAL +~ ~ ~ 1 - Assessed L d ~ rr..o.nwm ar nw , canoe razes tllll Date: 7/0,12008 an improvement R neral 1bta1 values 57,750 202,320 0 260,070 Hgonetead 8xclueioa 9 957- Rates .01289900 .01299900 2 t 30 t SCHOOL R 8 709.92 2 609.73 3 297.56 3 359.65 3 690.12 HOmeetead Credit 129.94- TAX AMWNT WE --> ~ ``' $9,181.69 $~,riB.z1 $B~B4B-M a ~ c °-u% I! said On or altar 7 01 x009 OS 2009 n Ol 2008 I! ?aid tJn or Baloza 10 31 2006 la s 2ooa nMYi J~ ~ LVVv ,YEn 3,5l~SFA I SB RG PAE O50R }gflEASBREP ~r nice MONDAY-THURSDAY 9:OOAM - 4:OOPM wns: CLOSED FRIDAYS & HOLIDAYS CLOSED SEPT 15-19 8 DEC 22.26 PHONE (717)901-9392 1 V aa~nrrawYa c.TJ~" else iris FOR El1{,71 AOO'L COW OR RECBPT 'F NOT PD sr t2nsro6 THIS eBt trBl ![ RE111RlIEO TO TAx CLN BUREAU FOR COLLEC11pN 6 PB.61B OF A LBI AONBT YOUR PROPERTY ~illt;~ NOTICE OF PROPERTY TAX RELIEF Your encbsed fax bill includes a tax redugbrl for your homestead aMlor farmstead ~pe~. man eUglble homestead arM/or fartnetesdpropsrty owner, you have receNed under iha Pen~nsyNanla Taxpayer Reftet~AcL~a 0w~~ed by the PennsyNa a General Assemby designed to reduce your property taxes. -J._.J_ $ Retum Biil wUh Payment. For a Receipt, Tax Collector Signature Date Paid Amounf Paid Encbae a salt-addressed stamped envelope IF TA%ES ARE IN ESCROW, FORWARD THIS 8111 TO YOUR MORTGAGE CO. $1.00 FEE EACH ADD1 COPY OR iiECEIPi r~Y~BI£ ro: DEBBIE LUPOLD,TREASURER 96 S. Ef~l-A DR. RM 101 ENOIA, PA 17025 oesc: ASSESS.NO-08005440 MAP NO: 09.18-1310.015 3501 BEECH RUN LANE ACRES 380 DEED 0025W00014 LAURELHUIS LOT 160 SEC 2 PB 31 PG 27 ~~~~ ing ~ ~ REN TIA L Wit i 2 2~ TAXPAYER COPY #~ wn001 IY0: uVd-1T1099V iw: Assessed Idnd iep easel Val ~ 7 750 102 320 0 _ Bates .oonesoo .oo2aesoo rx :; w,. COtIBTY B 8 13 .99 951.30 5 .3 - •' .......,. j Bates .oooleooo .ooolaoDO- 2i_ . ., to LI8 1 0 36.42 4 .88` - 48'..~' ~ ;:5 Rites .00109000 .00109000 2t- ' e ~ ~ NORIC. R B 62.95 220,53 1 -. '- :.a. ~., .. .« '' TAX AMpt1NT D~ --'s i6Bf~M # ,; tt Chid Be ostler s i 7 r~ BLASCO. EDWARD J ET AL '-~"' - - CLAD:BIIA~MClO~tsmEl~1~IBIC~'R~IO# n~v6r 8 JOAN C BLASCO YOIBI RNiI®p1f. 3501 BEECH RUN UWE pE~{E LUPOIO MECHANI(:SBURGPA17050 FJt$T~P•~~MEiME>tI~OF~lR1PGRAl1lR'I~L#MIMOF ' orrice MONDAY THRU THURSDAY 9:00.4:00 Nouns: CLOSED FRIDAYS AND HOLIDAYS CLSD &9.13; 9N5-18; 1?122-26 PHONE (717) 901-9392 ' Retum BiU wUh Payment. For a Receipt . Encbea Self Addteased:SEamped-•. ~~~ ~~~ gp'wy & ~m' ~'.o m F N ~ i ~` m o ti ~ y V ~ n C fp y C 3 m ~ ' O (M~7J y_ m DI Z G R ` ~o ~~Z r. t~j~y D~ ~' ~ m O •- TAn n y ,~ 5 m ~e. Coo~ Y ~S ~\ 2 1 ~_ O Z D m ® J Boiling Bprirps Office If you have any questions, Please call our Teieptgne 8enklnp Center at t-800-724-2440 Today's Data: o4/OB12009 '. Tryi~ee~i~ 10(iJ~L ~tRl Chet:king Deposit a~s1022 Totai Balance: .Business Date: 04/08/2008 15,745.59 15.145.59 4303 ~08 18 M Thanks for visiting us todaY~ Me are happy to aeslst you! Ce~~~~~~e o~ ~¢Po~;~- ~~ i~ ati~r,~men~ ~ Schcd~le E A Community Service ofVolunteers of America 675 Silver Spring Rd • Mechanicsburg, PA 17050 PHONE 717-766-2999 • FAX 717-766-7505 W W W.VOAPA.ORG Name: Joan Blasco Addressl: 3501 Beechrun Lane Addressl: City: MECHANICSBURG State: PA Postal Code: 17050 No: Donation Date: Pickup Date: Pickup Phone: Picked Up By Delivery of Items: Special Instructions (ff applicable): Needs Receipt Category Description of Items Donate Clothing 14 Bags 6782 1 /2412009 2/3/2009 (717)732-3314 Pickup FOR INCOME TAX PURPOSES. This slip will serve as your receipt, incase you wish to use your contribution for purposes of income tax deductions. The Internal Revenue Department advises us that it is up to the contributor to estimate the fair market value of his contribution. Volunteers of America has provided no goods or services in consideration of this donation. I Estimated Value of Donation I $ I NO ONE AT HOME _ ~ A.M. ~~ P.M. Thank You! A Community Service of Volunteers of America Name: Joan Blasco Address1: 3501 Beechrun Lane Address2: City: MECHANICSBURG State: PA Postal Code: 17050 Special Instructions (ff applicable): Category Clothing 675 Silver Spring Rd • Mechanicsburg, PA 17050 PHONE 717-766-2999 • FAX 717-766-7505 W W W.VOAPA.ORG No: Donation Date: Pickup Date: Pickup Phone: Picked Up By Delivery of Items: 7320 4120/2009 4/22/2008 (717)732-3314 Pickup Description of Items Donate 12 Bags FOR INCOME TAX PURPOSES. This slip will serve as your receipt, incase you wish to use your contribution for purposes of income tax deductions. The Internal Revenue Department advises us that it is up to the contributor to estimate the fair market value of his contribution. Volunteers of America has provided no goods or services in consideration of this donation. Estimated Vaiue of Donation ~ $ I NO ONE AT HOME _ _ h A.M. ~~ J P.M. TI•IanK YOU! A Community Service ofVolunteers of America 675 Silver Spring Rd • Mechanicsburg, PA 17050 PHONE 717-766-2999 • FAX 717-766-7505 W W W.VOAPA.ORG i - Name: Joan Blasco No: Address1: 3501 Beechrun Lane Donation Date: Address2: Pickup Date: City: MECHANICSBURG Pickup Phone: State: PA Picked Up ey Postal Code: 17050 - - - ~ Delivery of Items: Special Instructions (if applicable): Category Description of Items Donate Clothing 3 bags Furniture 2 commode chairs 6631 11212009 1/7/2009 (717)732-3314 Pickup FOR INCOME TAX PURPOSES. This slip will serve as your receipt, in case you wish to use your contribution for purposes of income tax deductions. The Internal Revenue Department advises us that it is up to the contributor to estimate the fair market value of his contribution. Volunteers of America has provided no goods or services in consideration of this donation. ! Estimated Value of Donation ! $ I C~ NO ONE AT HOME ~J A.M. L ~ P.M. Thank You! ©M&TBat]k acepuNT<ero, AcsoDrrr HYPE 15004205314797 M6T MARKET ADVANTAGE 00 0 06123M NM 017 -~ ~ 24098 MARY E RUSS JENNIFER L HLASCO 3501 BESCH RUN LN MECHANICSBURG PA 17050-2207 INTEREST EARNED POR STATEMENT PERIOD 20.03 INTEREST PAID YEAR TO DATE 10.93 Df'f'f1TTATT CTTMMD4V P.T'&T&M&RT PERIOD PAVE NOV.13-PSH.12,2009 1 OF 1 NEST SHORE PLAZA B E ERABIT & N THA 91AL 6. P TNG NO. AMOUNT NO. AMOUNT 11 062.99 0 0.00 0 0.00 20.02 11 083.01 ACCOUNT ACTIVITY ;:POSTING : .. .. '" ,"'-, PS3 ET , N F7AL & THHR I1 IL 8: bA I R 11-13-OS BEGINNING BALANCE $11,062.99 12-12-OB INTEREST PAYMENT 9.09 11,072.08 01-12-09 INTEREST PAYMENT 6.95 11,078.53 02-12-09 INTEREST PAYMENT 4.48 11,083.01 ENDING BALANCE 11,083.01 ANNUAL PERCENTAGE YIELD EARNED 0.71 t LOOK FORNARD KITH MST. HELPING YOU FACE TODAY'S PLNANCIAL CHALLENGES BY PUTTING A PLAN IN PLACB FOR TOMORRON. JUST VISIT ANY MST BRANCH, OA CALL 1-500-729-3222. NB'RE HERS TO HELP. SO LET'S TALK. MSMBER FDIC. ~~ac~menf ~ Sched~~e ~~Fa ©M&TBal7k RCCOUNT?N0. RCCOFINT TYE&> 73255661 MST SELECT WITH INTEREST 00 0 06123M NM 017 ~- 66746 MARY E RUES JENNIFER L SLASCO 3501 BEECH RUN LN MECHANICSBURG PA 17050-2207 INTEREST EARNED POR STATEMENT PERIOD 0.38 INTEREST PAID YEAR TO DATE 5.86 ArrnTTMT RTiMMAFV ST'RREMENT PERIOD ~: PAGE NOV.20-DBC.19,2008 1 OF 1 WEST SHORE PLAZA B INNING ,. ... CE :< D .~...::.5 &. ;! : ;7. is _.:.. ~ :,:. a'. I . N0. AMOUNT NO. AMOUNT NO. AMOUNT 14 213.40 1 1 140.69 4 9,065.57 0 0.00 0.39 6,286.91 ACCniTATT ACTTVTTV IP TF .. ._. ~. .. iT a D_... TE, SET CN,C & . _._ I:pA LY .. 11-20-OB BEGINNING BALANCE $14,213.90 12-01-08 CHECK NUMBER 9479 7,BB9.00 6,324.40 12-04-OB DEPOSIT 1,140.69 7,965.09 12-OB-OB CHECK NUMBER 9478 162.50 7,302.59 12-11-OB CHECK NUMBER 9480 900.00 6,902.59 12-18-OB CHECK NUMBER 9983 114.07 6,288.62 12-19-08 INTEREST PAYMENT 0.39 6,288.91 ENDING BALANCE 6 288.91 'ClIECkB BAED 347k1NARY 9978 12-OB-OB 162. 50 9479 12-O1-08 7,889.00 9480 12-11-OB 900.00 9483+ 12-18-OB 114. 07 ANNUAL PERCENTAGE YIELD BARNED 0.04 # f lifacJ~menf ~ .~hed~le "F~' ~}}ac~m~~~ Sc~e~u~~`~~" ~ ~ a ~ ; ~, ti `~ o ~ _._.` o 0 ,~ .. ~ :. r ~ m ~ ~ ~n N O ,~ ~ ~ o ,, ~? ~ `~ a ~ N », m ~ w ~: a ~a~ -.A ~~ ~~ ti ~~ ~ ~H ~m , ~ ~ ~ ~ ~IOQ ~ ~ cA Nd'MU ~~ '~ >W z °~oa RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse S are Carlisle, PA 17013 RUSS MARY E Estate File No.: Paid By Remarks: 2009-00304 JOAN BLASCO CJ ------------------- Fee/Tax Description PETITION LTRS TEST WILL SHORT CERTIFICATE JCP FEE AUTOMATION FEE Check# 1220 Total Received......... Receipt Date: 4/01/2009 Receipt Time: 09:46:56 Receipt No.: 1056304 Receipt Distribution ------ ------- ------- ---- Payment Amount Payee Name 260.00 CUMBERLAND COUNTY GENERAL FUN 15.00 CUMBERLAND COUNTY GENERAL FUN 12.00 CUMBERLAND COUNTY GENERAL FUN 10.00 BUREAU OF RECEIPTS & CNTR M.D 5.00 CUMBERLAND COUNTY GENERAL FUN ---------------- 302.00 302.00 (610)254-9980 Fax: (610)254-9982 Kenneth F. Lewis, Esquire 1101 North Front Street Harrirburg, PA 17102 wJM William J. Mansfield, Inc. Legal Advertising Suite 1209 998 Old Eagle School Road Wayne, Pr1 19087-1805 Your choice for legal advertising Since 1935 In Re: Estate Notice MARY E. RUSS Service Charge: 10.00 Publications: The Carlisle Sentinel; Carlisle, PA 17013 200.18 Published: 4242009, 51012009, 5/082009 Cumberland Law 3ournal; Carlisle, PA 17013 100.00 Published: 5/012004, 51082009, 5/152009 Totsl Due: 5310.18 INVOICE PAYMENT NOT CONTINGENT ON CLIENT REIMBURSEMENT. ALL INVOICES ARE NET 30 DAYS LEWISK Invoice#:2009040011 Date: 5(212004 Note: Customer copy This copy is for your records. ~.,a~..y.~_li `!'~i.~J i'%k~.~1t'~,YRR~r'._"'.::a C^Vr~,w 4J t ~ i~~V.~4 vi• ..'Gi:y :"3iF'tiE'ji>+8:^..t$ ~~lEv "7} t'3co "~," n ~' No. OA'R OR DEATH 'LACE OF DEATH OaTE of arareNENr A. CHARGE FOR SERVICES ELECTED T. Protassbrntl Sarv/ar. , ., Baalc Brtrvicp of M«nt gnaror Z Sqb .... , `f ~ .l ~ Embatmtnp .......... ,....... ""• .j Otnerpnparatlonabod,,-j r'~~x.:.r~~„-.?.,,s ' .} ~ 2. F~cllitles, Equlpmant R Stall: LI«d FaeNtles 69Mffar'Aawinp/viNtatlon ... u« a Faotro« ~ 8tafl ra wnaW Caremoery .. . V« W FaoNRNe 48taM for N4morlai 6erviae.... UM d Egalpmant 6 9tartta Ctrawa(a Sarvke ... V« d Equlpnrm a $faRfor Church $ervioa, ... 3. Tnnsporlaelon: 1, ,,,J Tranehr d Ramalne M Funeral Memo ........ Heaae............ _ .:: UlNOllalne .... ......:....~............ Batlan .................:.............: Banta/Ublfryvahiele .................... C, ~ r 1` s 4.Oltyar Saf~lc~s ! Facllttias 1 Equlpmant goo ~a us~y acs c~~ re~_ SIA7EMEN'C OF FCNBRAI, GOODS AND SERVICES SELECTED Cltary« an anry Nr haaa hems tut yov aekonu a »at an nquked. n we to ngtdne by taw a by a erm~,y orarsrt+anuy ro uaa a+y MtmA w wp nrd~ aiN~m.~J«rns~Mn+yM~,~p.esbw. n ya, aareaW • Ames( Mat meT •01,.^p~t-y"^~"'^.i, fueA at tf AnNn1r Narl Vfawdlp, y0(IM~bN/AMQ yW d10 rWr If plWfa n ~ iJo nor Aaw m WY ror You MtfeMd ananpwnanra aMn «a QNact arernason a Immb ~N M wa Nmpd ibr amaaintrp, we rvty agplMr,.~hy Oeros: CASH ADYAt/C!S GAEMp CepNa d Gant rlMeau ^ PYd N~wnabvf~laa _ t- y~- CrnaMrv ..;r 1'Gw~_ r Other stir;` ft r ~.~:~ ~) TOTAL CASH ADVANCE$ f (GT-.... we cnarpe you for our «rvb« in cbWnlnp: (ap«Xy tent adwna I4ma). 6UMMApY i ~, i :.J 'Mal 1Unam Nome Chupn , ........ ... S _, . ... ~- LoalSaksAx{MtPM«de!"i-'~'~.C'~ic)':..~'... i._,~ S _ - Shu BYaa'Tlut (Y ao7poabq) ............ . .... f -7- ~ -~ lDn1 Cun AWanoH ................. . ..... 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