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Home My WebLink About04-0566 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Anna Belie Ramsey No. ,~}- 04-~'~,~ also known as To: Register of Wills for the Social Security No. 207-44-5306 ~ Deceased. County of ~land in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner~), who is/~18 years of ~ge o[ol~r an the execut nv in the last will of the above decedent, dated ~pri~ z~ 19~ed and codicil(s) dated ' (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at 1R?q H'igh Strut.. Camo Hill, PA 17011 (list street, number and muncipality) Decendent, then - 89 l~y 29. - ~ years of age, died ,~ 2004 , at Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was noi the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 23,000.00 (If not domiciled in Pa.) Personal property in Pennsylvania $ (}f not domiciled in Pa.) Personal property in County $. Value of real estate in Pennsylvania ,,..~ $ 712,000.00 situated as follows: 1825 High Street, Camp Hill, PA 17011 WHEREEORE, petitioner(s) respectfully_req.uest(s).the probate of the last will and codicil(s) presented h~ewith and the grant of letters '.t'estament:ary theroi]. :::75 ' (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) ZD ~'._-Z ? -~ 345 Equus Drive ~ ~- ~' t 2 C~mD ~ ] 1. PA 17011 ._~ OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ COUNTY OF _ L_~_~w~xc:z~~ ~o._~,~_ ~ ss The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will W~ister the estate according to law. ,S~rn to .gr affi~e~and subscribed c ~ ~ ~ ~ oe~ore me tins ~ ~ day of ~ ~ r- O~sterL i Estate of ~ Belle Ramse¥ , Deceased DECREE OF PROBATE AND GRANT OF LETTERS XND NOW ~ \(o ohc, c>~ la) , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT is DECREED that the instrument(s) dated Apr±l 29m 1999 described therein be admitted to probate and filed of record as the last will of Anna B~lle Ramse¥ and Letters Testamentary are hereby granted to Ray R. Ram~y Register of Wills~~''~ %' (~ FEES Probate, Letters, Etc .......... $~'-lO .Cy, D Short Certificates(~) .......... $ ~,.C~ ATTORNEY (Sup. Ct. I.D. No.) 32317 · . ~ a S o-S llivan, Esquire ll~ah~al~i~n~-~t~ ~ · $ [5.00 ~b~rid~eUm~e~ $ (C~, ~ ADDRESS TOTAL __ $'~:~C5--I .O_O New Cumberland, PA ~7070 Filed (0 ' ~ ~ - O~ (717) 774-1445 PHONE his is to certify that the information here given is correctly copied from an original certificate of death duly filed v,'itb me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. ~ Local Registrar No. ~ Date Rev 2,~? COMMONWEALTH OF PENNSYLVANIA · DEPARIMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH ~E ~CE~ (F~. ~. ~. ~ I SEX [ S~ SEC~iW NUMAR I ~TE OF ~TH (M~m. ~. Yeer) ~L~g ~UAL ~PA~N KIND ~ ~5'NES5 / INDUSTRY ~ ~CE~NT EVER IN ~=~'* E~T ~ MARITAL STATUS- M~, SURVIVING S~USE OECEDENT'S MNLt~ ~E~ (~, ~, S~, Zip ~e)I~CEDE~'S li~ - Da I ' I : I ...... I INFORM~ME gy~l) ~ I INFORM~S M~LI~ ~ESS JSE~ 0W~n, S,~ ~ ~ ~ I DATE OF ~S~SITION [ P~CE ~ ~S~SIT~- N~ ~ ~. ~ ~L~AT~N - Ci~"~n. Stste Z,p C~J ~... _- o.(~, Ul.~. ~-o ~ i~,~o.,W~w~r~ ~=,. ~ Sia~FUNE~L~,~EUC~N~ACTI~ASS~H J LICENS~NU~.ER I~EANO~OFF~[I~ -- -- ,, t'~t ~ .... n ~ ~ !l~ 2~5~ ~ ~PSi~ / ~o ~ ~ ~ my m~. ~ ~. a ~e time, ~te and ~ ita~ '' L~ENSE NUMOER DATE SIGNED-- ~B-~=-.~ ,o ~ ~ I I ~ ~W~:~ ~" I~:~ ~ ~TH DATE ~OUNCED DEAD M~., ~, Yea0 I WAS C~E REEERRED TO A MEDAL E~INER ~u....~ j C/.,~- ~ ~. I ~RE AUT~Y FIN.NGS I M~ER OF ~ATH DATE OF INJURY TIME ~ I~URY I I ,..o .oD o o .... . ...... ~"' I ~. I ~- I ~'. I~'. b"to~y)n~oZ~at~dd.~.cauWilan~ ..... Wg~ ............................................................ ~ 31" - ~, Q* 'MESCAL E~MINE~CORONER (.~ 27) Ty~ ~ P~ ~0~ manner as ita ~ ........................................................................................................................................................... U ~,~ LAST WILL AND TESTAMENT OF ANNA BELLE RAMSEY '~" I, ANNA BELLE RAMSEY, of Camp Hill, Cumberland pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing under ITEM III of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. ITEM II: I direct the Executor to pay my just debts and the expenses of my last illness and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate. ITEM III: I devise and bequeath all the rest, residue and remainder of my estate as follows: (a) One-half (1/2) to my daughter, Patricia M. Tomalin. In the event she predeceases me, I devise and bequeath her share to her issue, per stirpes; and (b) One-half (1/2) to my son, Ray R. Ramsey. In the event he predeceases me, I devise and bequeath his share to his issue, per stirpes. In the event any beneficiary above predeceases me and has no surviving issue, his or her share shall be paid to the other named beneficiary. ITEM IV: In the settlement of my estate, my Executor shall possess, among others, the following powers: (a) To retain any investments I may have at my death, as long as the Executor may deem it advisable to my estate to do so; (b) To sell either at private or public sale and upon such terms and conditions as the Executor may deem advantageous to the estate, any or all real or personal property or interest therein owned by the estate; (c) To pay all costs, taxes, expenses and charges in connection with the administration of my estate; (d) To compromise controversies; and (e) To do all other acts in the Executor's judgment deemed necessary or desirable for the proper and advantageous management, investment and distribution of the estate. ITEM I/.· Any person who shall have died at the same time as I shall have, or in a common disaster with me, or under circumstance that the order of deaths cannot be established by proof, or within thirty (30) days of my death, shall be deemed to have predeceased me. ITEM FI: I appoint my son, Ray R. Ramsey, to be the Executor of my Estate. In the event my husband cannot act or refuses to act as Executor for any reason, I nominate, constitute and appoint my daughter, Patricia M. Tomalin, as alternate Executrix. Any Executor/rix is specifically relieved from the duty or obligation of filing any bond or other security. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of this and the preceding two pages, at the end of each page of which I have also set my initials for greater security and better identification this ~e7¢7~_.. day of ~~ ,1999. ANNA BELLE RA~EY We, the undersigned hereby certify that the foregoing Will was signed sealed published and declared by the above-named Testatrix as and for her Last Will and Testament, in the presence of each other, have hereunto set our hands and seals the day and year first above written, and we certify that at the time of the execution thereof, the said Testatrix was of sound mind and memory. ~~ ~-~~ Residing at: 325 Third Street Lisa Wasserloos New Cumberland PA 17070 ,~ Residing at: 1013 South Waterford Way Sti~ng Linda Mechanicsburg, PA 17055 4 A CKNO WLEDGEMENT COMMONWEALTH OF PENNSYLVANIA 'SS. COUNTY OF CUMBERLAND I, ANNA BELLE RAMSEE Testatrix, 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. &yom to and subscribed beforf~jme thiso~Sl~day of My Commission Expires: (SEAO A FFIDA FIT COMMONWEALTH OF PENNSYLVANIA : :SS. COUNTY OF CUMBERLAND : We, Lisa Wasserloos, and Linda Stirling, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix, ANNA BELLE RAMSEK sign and execute the instrument as her Last Will and Testament; that Testatrix signed willingly and she executed said Will as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Lisa Wasserloos '~ Lind~ Sworn to and subscribed before ~j~fl~is~ ~day of~~,1999. {NO¥ RY P u £iC My Commission Expi~s: [~OY~ ~. ' "~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) BEFORE TI-~ REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYLVANIA Name of decedent: Anna Belle Ramsey Date of death: May 29, 2004 No. 21-04 - 0566 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphan's Court Rules was selwed on or mailed to the following beneficiaries of the above-captioned estate as follows: Name: Address: Dated Mailed Ms. Patricia M. Tomalin 9433 East Rocky Lake Drive July 21, 2004 Sun Lakes, AZ 85248 Mr. Ray R. Ramsey 345 Equus Drive July 21, 2004 Camp Hill, PA 17011 Notice has now been given to all persons entitled cept: N/A Date: July 21, 2004 ( Barbara Sumple-Sullivan, Esquire 549 Bridge Street New Cumberland, PA 17070 (717) 774-1445 c,a Supreme CT. ID # 32317 ~ ] Capacity: __ Personal Representative o r~ ~: X Counsel for Personal ~ ,~ , -o Representative COMMONWEALTH OF ?ENNSYLVANIA REV 1 162 EX(1 1-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128 060~ PENNSYLVANIA RECEIVED FROM: INHERITANCE AND EDTATE TAX OFFICIAL RECEIPT NO. CD 004302 RAMSEY RAY R 345 EQUUS DRIVE CAMP HILL, PA 17011 ACN ASSESSMENT AMOUNT CONTROL NUMBER fold 101 ¢9,500.00 ESTATE INFORMATION: SSN: 207 44 5306 FILE NUMBER: 2104 0566 DECEDENT NAME: RAMSEY ANNA BELLE DATE OF PAYMENT: 08/24/2004 POSTMARK DATE: 08/24/2004 COUNTY: CUMBERLAND DATE OF DEATH: 05/29/2004 TOTAL AMOUNT PAID: $9,500.00 REMARKS: R RAMSEY CHECK# 109 INITIALS: VZ SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BARBAl~A SUMPLE-SULLIVAN August 23, 2004 Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Anna Belle Ramsey No. 2004-00566 / Cumberland County Dear Sir/Madam: Enclosed please find a check in the amount of NINE THOUSAND FIVE HUNDRED DOLLARS ($9,500.00) for pre-payment of the Inheritance Tax in the above-captioned Estate. Should you have any questions please contact my office. Thank you. Very truly y)~/~' / Barbara Sumple-Sullivan BSS/ld Enclosure cc: Ray R. Rmnsey, Executor LAW OFFICES BARBARA SUMPLE-SULLIVAN 549 BRIDGE STREET NEW CUMBERLAND, PENNSYLVANIA 17070.1931 PHONE (717) 774-1445 FAX (717) 774-7059 February 25, 2005 ',) Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 C} . ",", c " Re: Estate of Anna Belle Ramsey No. 2004-00566/ Cumberland County Dear Sir/Madam: Enclosed for filing are two (2) Original Pa. Inheritance Tax Returns in the above- captioned matter together with a check in the amount of $5,379.11 which represents the balance due on the above referenced Estate. I have also enclosed a check in the amount of$15.00 to cover the filing fee. Should you have any questions please contact my office. Thank you. i I Barbara Sumple-Sullivan v BSS/lh Enclosures cc: Ray R. Ramsey, Executor 'Y"f1,-EX.POD) REV-1500 OFFICIAL USE ONLY COMMONWEALTH OF Z-jam . PENNSLYVANIA _. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN FILE NUMBER DEPT. 280601 RESIDENT DECEDENT 21 _ 04 0566 HARRISBURG, PA 17128-0601 COUNTY CODE YEAR NUMBER DECEDENT'S NAME(LAST,FIRST,AND MIDDLE INITIAL) DATE OF DEATH(MM-DD-YEAR) DATE OF BIRTH(MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE May 29,2004 September 30, 1914 REGISTER OF WILLS (IF APPLICABLE)SURVIVING SPOUSE'S NAME(LAST,FIRST,AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER X 1.Original Return 2.Supplemental Return 3.Remainder Retum(Dateofdembprior to 12.1382) 4.Limited Estate 4a.Future Interest Comprise(date of death after 12.12.82) 5.Federal Estate Tax Return Required 6.Decedent Died Testate(Attach copy of Will) 7.Decedent Maintained a Living Trust(Attach a copy of Trust) 8.Total Number of Safe Deposit Boxes 9.Litigation Proceeds Received 10.Spousal Poverty Credit(dale of death between 12-31-91 and 1-1-95)❑11.Election to tax under Sec.9113(A) (Attach Sch O) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS Barbara Sumple-Sullivan,Esquire 549 Bridge Street FIRM NAME(If Applicable) New Cumberland,PA 17070 TELEPHONE NUMBER (717)774-1445 ra' 1.Real Estate(Schedule A) (1) $225,000DO OFFICIAL.U$E ONLY 2.Stocks and Bonds(Schedule B) (2) $ 0.00;- y,1 3.Closely Held Corporation,Partnership or Sole-Proprietorship (3) $ 0.00 Q J I 4.Mortgages&Notes Receivable(Schedule D) (4) $ 0.00 - 1 5.Cash,Bank Deposits&Misc.Personal Property(Schedule E) (5) $30,062.83, [ND f-7-1 6.Jointly Owned Property(Schedule F) (6) $49,443::13 --- 1 Separate Billing Requested c'~f i i I 7.Inter-Vivos Transfers&Misc.Non-Probate Property (7) $ 0.00 (Schedule G or L) 8.Total Gross Assets(total Lines 1-7) (8) $304,505.96 9.Funeral Expenses&Administrative Costs(Schedule H) (9) $34,069.03 10.Debts of Decedent,Mortgage Liabilities&Liens(Schedule 1) (10) $3,869.83 11.Total Deductions(total Lines 9&10) (11) $37,938.86 12.Net Value of Estate(Line 8 minus Line 11) (12) $266,567.10 13.Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) $ 0.00 made(Schedule J) 14.Net Value Subject to Tax(Line 12 minus Line 13) (14) $266,567.10 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116(a)(1.2) x (15) $ 0.00 16.Amount of Line 14 taxable at lineal rate $221,785.85 x .045 (16) $9,980.36 17.Amount of Line 14 taxable at sibling rate $44,781.25 x .12 (17) $5,373.75 18.Amount of Line 14 taxable at collateral rate x .15 (18) $ 0.00 19.Tax Due (19) $15,354.11 20• CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT >>BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH<< Decedent's Complete Address STREET ADDRES 1825 High Street CITY STATE ZIP Camp Hill I PA 117011 Tax Payments and Credits: 1. Tax Due(Page 1 Line 19) (1) $15,354.11 2. Credits/Payments A.Spousal Poverty Credit B.Prior Payments $9,500.00 C.Discount $475.00 Total Credits(A+B+C) (2) $9,975.00 3. Interest/Penalty if applicable D.Interest E.Penalty Total Interest/Penalty(D+E) (3) $ 0.00 4. If line 2 is greater than line 1 +line 3,enter the difference.This is the OVERPAYMENT Check box on Page 1 Line 20 to request a refund (4) $ 0.00 5. If line 1 +line 3 is greater than line 2,enter the difference. This is the TAX DUE. (5) $5,379.11 A.Enter the interest on the tax due. (5A) B.Enter the total of Line 5+5A.This is the BALANCE DUE (56) $5,379.11 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a.retain the use or income of the property transferred; X b.retain the right to designate who shall use the property transferred or its income; X c.retain a revisionary interest;or X d.receive the promise for life of either payments,benefits or care? X 2. If death occurred after December 12,1982,did decedent transfer property within on year of death without receiving adequate consideration? X 3. Did decedent own an"in trust for'or payable upon death bank account or security at his or her death? F1 Fx 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 R AS PART OF THE RETURN. Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knovdedge and belief,it is true,correct,and complete. Declaration of preparer other than the personal representative is based on all the information of which preparer has any knowledge. IRSON-RESPQNSIBLE FOR FILING RETURN ATE Ray R.Ramsey,Executor — A 345 Eq ri ,C 'II,PA j;01 1 S R -RESENTATIVE /�AT Barbara Sumple-Sullivan,Esquire ADDRESS 549 Bridge Street,New Cumberland,PA 17070 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 3%[72 P.S.9116(a)(1.1)(i)]. For dates of death on or after January 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0%[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 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 0%[72 P.S.9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%,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 12%[72 P.S.9116(a)(1.3)]. A sibling is defined,under Section 9102, as an individual who has at least one parent in common with the decedent,whether by blood or adoption. ,- REV-1502EX t(1-97)111 SCHEDULE A COMMONWEALTH OF PENNSYLVANIA. - REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Anna Belle Ramsey FILE NUMBER 21-040566 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 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 1. 1825 High Street,Camp Hill, Pennsylvania $225,000.00 TOTAL(Also enter on line 1,Recapitulation) $225,000.00 (If more space is needed,insert additional sheets of the same size) . T .(` ,(� ��;��`' '„ !"115r,,��" �-'�'r of -�`�'� `�a.,. �Xy. ,�5',, -z.�: �k' r '�;;�:�•rs �r.'' -� v, � ' _ I �.k?til �1, ,:wn7 Y;t're � .SY ,'s�'�,y�� ^. 2+r•tia&°•` {, ,, , JUN-II-JUL+09,2004 2 OF 3 ANNE B RAMSEY OR PATRICIAR TOMALIN ACCOUNT ACTIVITY POSTING ITS',INTEREST; •CHECKS::&;OTHER,. : : DATLY DATE TRANSACTION DESCRIPTION 9 OTHER ADDITIONS SUBTRACTIONS BALANCE 07-02-04 CHECK NUMBER 6674 25.00 3,263.84 07-06-04 CHECK NUMBER 6651 25.00 07-06-04 PP ELEC BILL 43.70 3,195.14 07-07-04 COMCAST CENTRAL CENTRAL PA 42.24 3,152.90 07-09-04 INTEREST PAYMENT 0.29 3,153.19 ENDING BALANCE $3,153.19 CHECKS::PAIb SUMMARY.- 6651 07-06-04 25.00 6658* 06-14-04 100.00 6669* 06-24-04 _ 130.00 6670 06-25-04 30.52 6671 06-28-04 87.35 6672 06-25-04 49.52 6673 06-25-04 24.33 6674 07-02-.04 25.00 6675 06-29-04 225.00 ANNUAL PERCENTAGE YIELD.EARNED = 0.10 ACCOUNT;;:: ATF ANNE B..RAMSEY' STEP UP CD L TITLE ACCOUNT NO. 31003913823091 ,CURRENT INTEREST RATE 1.1907 MATURITY DATE 11-14-04 WEST'SHORE PLAZA ACCOUNT ACTIVITY POSTING' DEPOSITS;INTEREST WIDRAWA:L$ & OTHER DATE .. . ... RANSACTION DESCRIPTION 8 OTHER:ADD1fI0N5 SUBTRACTIDNS BALANCE ` 06-11-04 BEGINNING BALANCE $22,984.70 06-14-04 INTEREST PAYMENT GENERATED ' : • 68.95 23,053.65 07-07-04 INTEREST PAYMENT GENERATED 17.28 07-07-04 PAYOFF ACCOUNT - WITHOUT PENALTY 23,070.9.3 0.00 ENDING BALANCE $0.00 1 --r' r w h � -:(. - s .r i.; a i 3 �.: „ ,.•f 7 '1{ sz --. h�r� :.t�-.,�x� fi lr..-;'yam• �1a t st 4 tt x,f+ .� -'�tt4 h trF,`'^':vIL�•f t .�� •v.u+}��ryn..t�a ,,�t, ::�� S,�t , E .. i ..t,«:µ i..,,3=t'v f°._ '' �L nT�� S ui��'e"�� `1T rt ��r 1.�ty,c��r�4,r�Mr#•'�x� s- ^�,.c �'_'��'ry�,�.�,'�+�''•�� . :. - .�.. Y ': '. � .. a ,N. �Y r.1 t„. 5:.o _, __T,.. �,si.+`.pix•%s ...a max'u v.,.r+.�-�W+, 3+ ivirri i ur muUZ31NU ano,.,i0AN DEVELOPMENT OMB No. 2602-0265 SETTLEMENT ST/"rEMENT TITLEPRO ENT Laserprint CHARTER SE'-k-CLEM 1 SERVICES, LLC B.TYPE OF LOAN 4705 East Trindle Road 1. 1 FHA 2. FMHA 3. CONV.LININS. Mechanicsburg, PA 170504. IVA 5. CONV.INS. 6.FILE NUMBER: 7.LOAN NUMBER: Phone: (717) 975-2117 FAX: (717) 730-9665 995038 8.MORT,INS,CASE NO.: 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 *(p.o,c.)*were paid outside the closing;they are shown here for informational purposes and are not included in the totals. D.NAME AND ADDRESS OF BORROWER: E.NAME AND ADDRESS OF SELLER: F.NAME AND ADDRESS OF LENDER: Jayne Shinko Estate of Homecomings Financial Anna Belle Ramsey 9 Sylvan Way Parsippany, NJ 07054 G.PROPERTY LOCATION: H.SETTLEMENT AGENT: 1.SETTLEMENT DATE: Camp Hill, PA 17011 1825 High Street CHARTER SETTLEMENT SERVICES, LLC 07/29/04 Camp Hill Borough PLACE OF SETTLEMENT: Cumberland County 4705 E. Trindle Road, Mechanicsburg, PA J.SUMMARY OF BORROWER'S TRANSACTION: K.SUMMARY OF SELLER'S TRANSACTION: loo,GROSS AMOUNT DUE FROM BORROWER 400.GROSS AMOUNT DUE TO SELLER lot.Contract sales price 225000 . 00 401.Contract sales price 225000 . 00 102.Personal property 402.Personal property 103.Settlement charges to borrower(line 1400) 5304 .22 401 104. 404. 105. 405. Adjustments for items paid by sell I er in advance. Adjustments for items paid by seller in advance los.CilytTown tax to 406.Cityrrown tax to 107.County tax 07/29/0 4 t o 12-/-31-f 0-4 291 .26 407.County tax 07/29/04to12/31/04 291 .26 los.Assessments to 408.Assessmenls to 109. SCHOOL 07/29/04to 06/30 05 1799.87 409. SCHOOL 07/2 9/04to 06/3 0/05 1799 . 87 ,to, Sewer 7/29/04-ltR/31 04 51 .48 410. Sewer 7/29/04-lt2/31,/04 51.48_ 111. 01. IiZ 412. t2o,GROSS AMOUNT DUE FROM BORROWER 232446 . 83 42o,GROSS AMOUNT DUE TO SELLER 227142 . 61 Zoo.AMOUNTS PAID BY OR IN BEHALF OF BORROWER Soo.REDUCTIONS IN AMOUNT DUE TO SELLER 2oi.Deposit or earnest,money ------ 6000 . 00 soi.Excess deposit(see instructions) 202.Principal ammint of nAw InnnIcl � s f rr.naa.`r�•ry .-�14 ... M ...may .. _ !• �•....�rra...rarieatii t�lta r y.i ri�:stt7a� ni�.'1i•�¢q!� f7t eJq,3d3._i3fitl 1drA�atYdtl i� CHARTER SETTLEMENT SERVICES, LLC Dllnl[�AFnerftasMgstCortve»ts»fBanke : 4 � as'� i%aeD N�S20if0 4�da E W fiRIiVDACCOtflVT� LE-ROAd 60 184/313 rsti.: NIECtiANiCSBC1RG, PA"17050 CiiECK' £ eaY '�'WO_ HUNDh'Ef).; SIX THC.L9SA1V17 r5 T , HTD�LI3 :FT: 'TY and 25/10.0 .DOLLARS ATE TOT E /04 D 11tT� ORDER OF 0 6 650 7/29 $2 EBtate .of VOID A 0 DAYS },. AFTER 9 ' x AxnA B T# 995OPROPER ZY 1825 .High Street 6am6 Hsl4F t OWN Jaye Shinko SELLS Estate.``af; Of • • f' ! ! 00 1 2L, 2011, CO 3 130 LEI 4 94 03 00 170 5 ?�I+. CHARTER SETTLEMENT SERVICES,LLC Chk# 12 4 2 0 T#995038 - 12420 Date Payee Item Description Amount 7/29/04 Estate of TOTAL $206, 650 .25 Anna Belle Ramsey 603 Net to Seller $206, 650 .25 CHECK ,REV-1508 EX*(1-97)(1) SCHEDULE E COMMONWEALTH OFPENNSYLVANIA T INHERITANCE TAX RETURN CASH, 7 BANK DEPOSITS & MISC. RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF Anna Belle Ramsey FILE NUMBER 21-04-0566 Include the proceeds of litigation and the date the proceeds were received by the estate.All property joinUyowned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. M&T Bank CD Account No. 031003913823091 $22,984.70 2. House Insurance Refund—Byerly Insurance $520.91 3. Comcast Cable Refund $21.82 4. Refund of Property Tax prorate from real estate sale(from Settlement Sheet—Lines 407/409) $2,091.13 5. Refund of Sewer(from Settlement Sheet—Line 410) $51.48 6. Sale of Chair $40.00 7. Blue Cross Refund $97.50 8. Personal Property (eBay Consignments sold$968.46-$242.12(25%commission) =$726.34) $726.34 (Class Edge Auctions$4,489.00-$1,163.02(18%commission) =$3,325.98) $3,325.98 9. Verizon Refund $2.97 10. Individual Pennsylvania Income Tax Return Refund for years 2003, 2002 and 2001 (approximately) $200.00 TOTAL(Also enter online 5, Recapitulation) $30,062.83 (If more space is needed,insert additional sheets of the same size) ATE(MWDDnrY) CANCELLATION REQUEST 1 POLICY RELEAS 007/26/04 PRODUCER CSR PS AIC,No,Ext: 717—7 61—4 01.0 COMPANY NAME AND ADDRESS NAIL CODE: 10 8 0 6 717-761-4320 Farmers Insurance Group Byerly Insurance Agents P 0 Box 4838 PO Box 525, 525 N. 12th St. Timonium MD 21094 Lemoyne PA 17043 CODE:2 6 4 310 2 SUB CODE: POLICY CUSTOMER ID. RAMSANl TYPE Homeowners INSURED NAME AND ADDRESS CANCELLED POLICY INFORMATION Anne B Ramsey POLICY %Ray Ramsey NUMBER 919234426 345 EQuus Dr EFFECTIVE DATE AND CANCELLATION DATE TIME X AM Camp Hill PA 17011 HOUR OF CANCELLATION 07/29/04 12:01 PM EFFECTIVE DATE EXPIRATION DATE I POLICY TERM 06/12/04_ 06/12/05 CANCELLATION REQUEST(Policy attached) X POLICY RELEASE(Complete Statement Section Below) POLICY RELEASE STATEMENT The undersigned agrees that: The above referenced policy is lost,destroyed or being retained. No claims of any type will be made against the Insurance Company,its agents or its representatives, under this policy for losses which occur after the date of cancellation shown above. Any premiu 'ustment will be made in accordance with the terms and conditions of the policy. 7/x'D/' yW E Df(TE SIG TU F NAMED INSURED DAVE WITNESS DATE SIGNATURE OF NAMED INSURED DATE LIEN HOLDER MORTGAGEE LOSS PAYEE AUTHORIZED SIGNATURE TITLE DATE LIEN HOLDER MORTGAGEE LOSS PAYEE AUTHORIZED SIGNATURE TITLE DATE FOR AGENCY/COMPANY USE REASON FOR CANCELLATION METHOD OF CANCELLATION NOT TAKEN X1 OTHER(Identify) "Insd Deceased Pro ert Sold REQUESTED BY INSURED P. Y FLAT FULLTERM REWRITTEN - PREMIUM S 598.06 (Complete below) SHORT RATE COMPANY PRO RATA UNEARNED FACTOR EFFECTIVE DATE POLICY RETURN $ NUMBER PREMIUM CALCULATION PREMIUM SUBJECT TO AUDIT REMARKS New York Only:If you do not keep your auto insurance in force during the entire registration period,your motor vehicle registration will be suspended.If your vehicle is still uninsured after 90 days,your driver's license will be suspended. To avoid these penalties,you must surrender your registration certificate and plates before your insurance expires.By law, we must report the termination of auto insurance coverage to the Department of Motor Vehicles. l NAME AND ADDRESS REQUEST/RELEASE DISTRIBUTION X INSURED LOSS PAYEE Anne B Ramsey MORTGAGEE LIEN HOLDER %Ray Ramsey COMPANY FINANCE COMPANY 345 Equus Dr Camp Hill PA 17011 PRODUCER'S SIGNATURE DATE Susan D Koellner ACORD 35(1/97) ©ACORD CORPORATION 1988 ........;... Ccomcast® ACCOUNT DATE TOTAL NUMBER DUE AMOUNT DUE Visit us on the web at www.comcast;com 09547 183076-01-2 See Note None R13 RAATISEY How to reach us... ' br S9NICB$1a ',. { How to reach us: 3800 Trinclle Rd,Suite B �1825FNIG�I STtLty rti: Camp Hill,IPA 17011 ,d GAvlf?WILL°l A 17041 3954 (717)540-8900 b. Tele hone Customer Service r P 24'h0 a day,seven days a week is G'./.4(4 '.. Summary of�Charges B elled from07/23/04 w FPreVICus Balance 4 {t =t42r�Sr �'zt t s t rPauments (includes payments received by 07/14/045 42 24 cr , v Monthly Services -- Taxes,Surcharges & Fees a 1y`LQ cr s v u n is r i � £., Total Due $2182�cr ` g You have a credit balance of$21 82LMak&No Paymentrz v F Detarl of Charges on,back Ei M - News from Comcast i' *^ If your bill reflects a credit balance of$1 00 or over,ra refund will be sent�i o;you�.,,'., automatically. If the credit is uhc!4$f.00,please return the notice to us orsc Ukthe s$x ,h Customer Service Telephone number rn the upper right corner of your bell r K F w 1w . t? , COPlease detach and enclose this coupon with yourpayment. C m ca st� Do not send cash.Make checks payable to: COMCAST CABLEVISION MCAST CABLEVISION 4009 N DUPONT HWY Date Due Total Amount Due AMOUNT NEWCASTLE DE 19720.6328 ENCLOSED ADDRESS SERVICE REQUESTED See Note None $ 000-07-04-D-D Account Number 09547 183076-01-2 Credit Balance, Do Not Pay. AC 01 021385 66714B118 B**C008 RR RAMSEY 11825 HIGH ST CAMP HILL PA 17011-3954 COMCAST CABLE P 0 BOX 3005 SOUTHEASTERN PA 19398-3005 09547 183076 01 2 4 002182 COMCAST CABLE COM.MUNICATIONS 040CBDT-000001082393 CQmcast. 4008 N. DUPONT HIGHWAY ATTN: SUPPORT SERVICES NEWCASTLE, DE 19720 RR RAMSEY 24,068 1825 HIGH ST CAMP HILL, PA 17011 ;van- Dear Rr Ramsey, The attached check represents a subscriber refund for account number 09547-183076 in the amount of$21.82. If you have any questions or concerns regarding the refund check you can write us at the address above. Check Date: 08/04/04 Check Number: 156247090 DETACH AND RETAIN THIS SMILTENUNT THE.-%TTACIII-'.DCfIECK IS IN PAYMENT Of ITEMS DESCRIBED At30\ IF NOT CORRECT?LEASE NOTIFY US PROMPTLY. NO RECEIPT DFSIR 040803 CHN7663 COMCST USPS $638 1 OF I ABC90SCR 00024068 - ----------- Capital SlueCross CHECK NUMBER: ® Capital Advantage Insurance m any® Independent Licensees of the Blue Cross and Blue leld sociation 30003091 GROUP/SUBGROUP ID: 00900001 - 07/08/04 ANNERAMSEY C/OTHE ESTATEOFANNE RAMSEY 1825 H IG H ST' CAMP HILL,PA 17011-3954 ***Explanation Of Refund*** Refund Reason: Subscriber Deceased-A Ramsey-207445306 Total Refund Amount: $97.50 f Y , Policy or Internal Rules: If a message/reason above indicates payment was denied based on internal policy, guidelines or rules,copies of those are available,free of charge, upon request. Year-to-Date Benefit Summary Information (Keep for Your Records) NotApplicable Annual Deductible o` o0 0 00 Family Deductible Annual Deductible For Anne Paid To Date o 00 0 00 !' Family Deductible Contribution Paid To Date o 0o p ;oo Annual Out-of-Pocket Paid To Date o 00 Family Out-of-Pocket Paid To Date 0 00 0 op To reach Capital BlueCross Customer Service you may write to: CUSTOMER SERVICE. P.O. BOX 779519, HARRISBURG, PA 17177-9519 OR CALL 1-800-962-2242 Anne Ramsey Estate eBay Consignments Sold by Classic Edge Auctions INV# DESCRIPTION SELLING PRICE 2459 Vtg. 60's Brown Purse 4.99 0255 Child's Majorette Uniform 3.99 8719 60's Wool Coat with Mink Trim 31.88 3978 60's Gray Dress with Faux Trim 7.50 0456 Green Organza Party Dress 98.59 2407 Child's Blue Coat&Pink Dress 5.99 6471 70's Peasant/Hippie Paisley Dress 25.00 0565 30's Muslin White Dress 54.00 4124 40's Beige Open-toed Shoes 9.95 9608 20's Pink Silk Party Dress 89:00 9779 60's Peach Day Dress 9.50 0282 60's Beige Satin Evening Dress 6.99 --—— 6332 (2)Vtg. Pillbox Hats 13.05 7172 (3)Vtg. Pillbox Hats 8.50 2971 (7) Prs. Vtg. Gloves 26.55 _ 1027 50's Jeweled Purse 26.00 7721 Vtg.Peach Night Gown 5.99 7732 Black Open-toed Shoes 9.99 4741 Leopard Fur Coat 531.00 $968.46 Less 25% Commission ($242.12 Due to Seller pgi.TxT' 24-Aug-2004 19:42 Page 1(4) Date: 08-24-2004 Classic Edge Auctions & Appraisal Services 527 West Chocolate Ave. Hershey, PA 17033 717.534.9000 www.ClassicEdgeAuction.com Settlement Ray Ramsey 717-648-4804 Page: 1 Seller: 14 Estate of Anne Ramsey 345 Equus Drive Camp Hill PA 17011 Item Description Price Qty Total -------------------------------------------------------------------------------- - RCA VICTOR DELUXE 1 525.00 - BRASS F/P SCREEN 1 5.00 ' - WALL MIRROR 1 1.00 - MAHOG B/R SUITE 1 450.00 - ENAMEL TOP TABLE 1 1.00 - MAHOG. B/R SUITE 1 400.00 - LAMP 1 1.00 - DESK-MAPLE 1 20.00 - VINTAGE DESK 1 30.00 - MAPLE BOOKCASE 1 15.00 - MAPLE POSTER BED 1 5.00 - WURLITZER PIANO 1 90.00 - CUTTING BOARD 1 4.00 - BLACK PLANK BOTTOM CHAIR 1 1.00 - PR BLUE VELVET CHAIRS 1 5.00 - LEATHER TOP TABLE 1 55.00 - 2 TIER STAND 1 13.00 - MARBLE TOP PLANT STAND 1 20.00 - LEATHER TOP DRUM TABLE 1 20.00 - LEATHER TOP SIDE TABLE 1 5.00 LEATHER TOP COFFEE TABLE 1 70.00 MAHOGANY SIDE TABLE 1 30.00 CHRYSLER NEW YORKER 1 925.00 MAHOGANY MAG STAND 1 10.00 TRAY LOT CUPS/SAUCERS 1 52.00 TRAY LOT 1 60.00 SILVER BOWL 1 5.00 TRAY LOT CUPS 1 35.00 MILK GLASS 1 1.00 LENNOX PLATE 1 30.00 CASSEROLE/GRAVY BOAT 1 5.00 TRAY LOT SILV.PLATE 1 5.00 - TRAY SILVERPLATE 1 11.00 - MILK GLASS CORDIALS 1 12.00 - SET DISHES 1 5.00 SPOONS/FORKS 1 1.00 SILVER CANDLESTICKS 1 25.00 QUEEN ANNE TABLE 1 10.00 STERLING FLATWARE 1 225.00 STERLING CHOICE 25.00 2 50.00 SALTS-CHOICE 1 6.00 IPFi.'T$4t - 24-Aug-2004 19:42 Page 2(4) Date: 08-24-2004 Classic Edge Auctions & Appraisal Services 527 West Chocolate Ave. Hershey, PA 17033 717.534.9000 www.ClassicEdgeAuction.com Settlement Ray Ramsey 717--648-4804 Page: 2 Seller: 14 Estate of Anne Ramsey 345 Eguus Drive Camp Hill PA 17011 Item Description Price Qty Total --------------------------------------------------------------------------------- - STERLING PCS 1 25.00 - STERLING SPOONS 1 12.00 - SALTS 1 16.00 - SILVER SALT & PEPPER 1 20.00 - KNIFE IN SHEATHE 1 35.00 CLOISONNE TEA SET 1 17.00 TEA SET 1 17.00 PLAQUES 1 2.00 STEMWARE 1 25.00 OAK D/R TABLE 1 20.00 FOSTORIA GLASSWARE 1 55.00 MISC. TRAY LOT 1 1.00 FOSTORIA GLASSWARE 1 50.00 DOLL 1 55.00 DECANTERS 1 9.00 BIG SCREEN TV 1 30.00 PAPERWEIGHT 1 25.00 - GLASS FORK/SPOON 1 12.00 DOLL 1 25.00 - _SMALL DOLL 1 30.00 - DOLLS (3) 1 20.00 - HUFFY MT BIKE 1 22.00 - PLATES 1 1.00 - JEWELRY BOX 1 3.00 - VASE 1 13.00. - TRAY OF FLATWARE 1 4.00 - TWO PRINTS 1 5.00 - SILVER PLATE FLATWARE 1 1.00 - WASHER/DRYER 1 1.00 - KNIVES 1 6.00 - GLASSWARE 1 37.00 - VIOLIN/CASE 1 80.00 - TEASET/NIPPON 1 20.00 - SILVER DISH WITH LINER 1 15.00 - ANTIQUE IRON MACHINE 1 1.00 - BRASS CANDLES 1 1.00 - 8 DESSERTS 1 1.00 - HALL PITCHER 1 27.00 - OPALESCENT DESSERTS 1 15.00 - TRAY OPALESENT HOBNAIL 1 10.00 - GLASSWARE 1 4.00 lin.i1kr 244ug-2004 19:42 Page 3(4) c Date: 08-24-2004 Classic Edge Auctions & Appraisal Services 527 West Chocolate Ave. Hershey, PA 17,033 717.534.9000 www.ClassicEdgeAuction.com Settlement Ray Ramsey 717-648-4804 Page: 3 Seller: 14 Estate of Anne Ramsey 345 Equus Drive Camp Hill PA 17011 Item Description Price Qty Total -------------------------------------------------------------------------------- - FOSTORIA DESSERTS 1 35.00 - MISC. SILVER PLATE FLATWARE 1 22.00 WITH WOODEN BOX ART DECO BOWL 1 17.00 - TRAY OF SILVER PLATE 1 24.00 - MOWER 1 40.00 - ENGLISH STONEWARE BOWL 1 7.00 - GAS CAN 1 1.00 - PLASTIC GAS CAN 1 1.00 - WESTWOOD GILT MANTLE CLOCK 1 100.00 - TWO PIECES CUT GLASS 1 65.00 - BOBSEY TWINS 1 20.00 - WAGER FRY PANS 1 1.00 - TRAY BOOKS 1 10.00 - ENGLISH TOFFEE TINS 1 1.00 - MORAVIAN POTTERY 1 1.00 - CUT GLASS BOWL 1 50.00 - 2 GLASS BOWLS 1 35.00 - CHILDREN'S BOOKS 1 1.00 - GLASSWARE TRAY LOT *** Not Sold *** RICER/TEAPOT 1 1.00 IRON 1 2.00 SET BLOCKS 1 8.00 - TRAY GLASSWARE 1 1.00 WHITE LAMP 1 1.00 - LAMP 1 5.00 LAMP 1 1.00 PAIR LAMPS W/LEAVES 1 1.00 - SMALL DRESSER LAMPS 1 1.00 LAMP SHADE 1 1.00 BRASS LAMP 1 1.00 FLOOR LAMPS 1 1.00 - BOX LOT-CHOICE 1 14.00 - BOX LOT-CHOICE 6.00 2 12.00 - BOX LOT-CHOICE 1 3.00 - BOX LOT-CHOICE 1 1.00 - BOX LOT-CHOICE 1 1.00 - BOX LOT 1.00 2 2.00 - BOX LOT 1 1.00 - BOX LOT-CHOICE 1 1.00 - BOX LOT-CHOICE 1 1.00 ppm.ftT 24-Aug-2004 19:42 Page 4(4) •Date: 08-24-2004 Classic Edge Auctions & Appraisal Services 527 West Chocolate Ave. Hershey, PA 17033 717.534.9000 www.ClassicEdgeAuction.com Settlement Ray Ramsey 717-648-4804 Page: 4 Seller: 14 Estate of Anne Ramsey 345 Equus Drive Camp Hill PA 17011 Item Description Price Qty Total --------------------- ---------------------------------------------------------- - BOX LOT-CHOICE 1 1.00 - Plank Bottom Chair *** Not sold *** - Set 4 Vinyl Chairs *** Not sold *** - Mahog Bench *** Not sold *** - Side Chair *** Not sold *** Yellow Damask Sofa/Chair *** Not sold *** Items: 128 Amount: 4,489.00 Commission at 18.000% 808.02 Hauling and Pick-up 180.00 Automobile Transport 100.00 Disposal 75.00 355.00 Less adjustments: -1,163.02 ----------- Net due to seller: Thank you for your business. If you refer anyone to our company and they use our services We will send you a check for $25.00 Thank You M 1 i i CREDIT M DATE TELEPHONE • • 08/10/04 PA i ,,FbL'D"b�ONG}P E R�ORlaTED��D�JT�€TE.ty�TLIN�;�'Bc�RE M(51/E�'�H��K.�t ��„,��.�t¢'i�§�• r-��.� � ��. R �, * ttt ' �}'� .�,- �,�"� a 'M�i 4' ;a."'•. �' Yfp._ „� �^ ? •7�'-+C�h#�, NE�^,R�� t- �� 1; �ap�,�l-,.�'^;.. ta��'3 �;��,;.c' p .�." ,z`• ��ss�'� '^"'V- 'S� �' + ari w. 2 3''�� •,sa��i`��i.�'y�� Nr,,+�r `-:.�•�.�.!'�bF' �".l'v�iy�, N r� �y �;a � � rC '' ,; � , .� r' `� ,�+��.:'�� 4.. a QTS 'k �i ,q. x t .�2. T+ t a�. a• t A. �, �_ � � +�' �, hyf•^�' i� a "�,. w �„ t � cwS'' s '� .�• Y "' `v,�•'.�F.jr�j:�,�� .�X`�T�'1fi� ,yf '� "��Vii' �`�-�i�`jA'^.•? �, iad�, �. -� a"c„ - .1 .,.�. ' �n'1Y'hJ 541 u ?�i•k J�$ �h�t �,' �, y.3fi'i�r .s � , pa - n. P h�'t J�,y,,, �� :.aY{:�. mgr �• t �. �u � r� REV-1509 EX-(1-87)(1) COMMONWEALTH OF PENNSYLVANIA SCHEDULE INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF Anna Belle Ramsey FILE NUMBER 21-04-0566 If an asset was made joint within one year of the decedent's date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT A. Patricia M.Tornalin 9433 East Rocky Lake Drive, Sun Lakes, AZ 85248 Daughter B. Ray R. Ramsey 345 Equus Drive, Camp Hill, PA 17011 Son C. Marie S. Townsend 1919 N. 2nd Street, Harrisburg, PA 17102 Sister JOINTLY-OWNED PROPERTY: ITEM LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH NUMBER FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number, DATE OF DEATH DECUS VALUE OF TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENTS INTEREST 1 A.,B. 1999 M&T Bank,Account No.70281629(Checking) $13,985.65 33% $4,661.88 2. C. 1999 M&T Bank,Account No.31003914375570 $3,273.14 50% $1,636.57 3, C. 1999 M&T Bank,Account No.31003914375603 $86,289.37 50% $43,144.68 TOTAL(Also enter on line 6,Recapitulation) $49,443.13 (If more space is needed,insert additional.sheets of the same size) .4.Y�'i�.�. Bank `o F`tt a °m4 z .'rS'n*•3s sz c .• STATEMENT PE.RIaD PAGE. MAY.11-JUN.10,20d4 1 OF 3 00 0 06123" NM 017 127 q :s w- s44 ANNE B RAMSEY �� { OR PATRICIA R TOMALIN OR RAY R RAMSEY JR 1825 HIGH ST CAMP HILL PA 17011-39547-1 SELE:CTE.D :ACCp:UN7 :S1IMMARY ACCOUNT ACCOUNT INTEREST EARNED ' MATURI ENDING TYPE NUMBER YEAR-TO-DATE DATE BALANCE RELATIONSHIP CHECKING WITH INTEREST 000000070281629 6.79 5,498.54 STEP UP CD 031003913823091 120.48 11-14-04 22,984.7'* REGULAR TIME DEPOSIT 031003414375570 8.87 07-25-04 3,273.1+* REGULAR TIME DEPOSIT 031003914375603 246.56 09-18-04 86,289.37* TOTAL DEPOSITS - 118,045.75 * INTEREST EARNED IS INCLUDED IN YOUR TIME DEPOSIT ENDING BALANCE ONLY IF IT HAS BEEN PAID TO YOUR ACCOUNT. r AMOUNT:: ANNE',,,p=RAMSEYt RELATIONSHIP CHECKING WITH INTEREST TITLE OR..PATRICA''R TOMALIN ACCOUNT NO. 70281624 -. __. . WEST SHORE PLAZA ACCOUNT SUMMARY B�GTNNTNG L+EPOSIrS:,8s QTHER filIRREAIT c ENDIPIc BALANCE. OTHER.ADDITIONS CHECKS .PAID..:. SU9TRACTIONS INTEREST PD. BALANCE NO. AMOUNT NO. AMOUNT I NO. AMOUNT 14,296.87 21 2,446.00 121 10,979.37 • 2 1 266.15 1 1.19 5,498.54 ACCOUNT ACTIVITY POSTING; DEPOSItS,INTEREST CHECKS 8 OTHER-i: PAILY 05-11-04 BEGINNING BALANCE $14,296.87 05-12-04 UGI UTILITIES UGI BILL 243.64 14,053.23 05-24-04 CHECK NUMBER 6657 42.58 05-24-04 CHECK NUMBER 6656 25.00 13,985.65 06-01-04 CHECK NUMBER 6662 24.33 13,961.32 06-02-04 DEPOSIT 1,000.00 14,961.32 06-03-04 US TREASURY 303 SOC SEC 1,446.00 06-03-04 CHECK NUMBER 6659 59 .06 06-0304 CHECK NUMBER 6660 53.64 06-03-04 PP ELEC BILL 2 .51 15,733.11 06-04-04 CHECK NUMBER 666121.31 15,711.80 wi4 € �� IN � x....,,..., ' MINE, W. .� L008A t1/031 asp 1 xN 'rTXi f.F.xrX "R '}3%.r i3' 5 F 'tl x T s M&T Bankt r -1-11 STATEMENT PERIOD. PAGE. MAY-11-JUN-10,2004 2 OF 3 ANNE B RAMSEY OR PATRICIA R TOMALIN ACCOUNT ACTIVITY POSTING; .. DEPOSIT S,WEREST ::CHECKS' & OT:HER 1TA;It. : , DATE TRANSACTION:DESCRI . :. B:DTHER.;ADDI'fZONS P.TIONSUBT:RACTIUNS. BALANCE 06-08-04 CHECK NUMBER 6666 40.74 06-08-04 CHECK NUMBER 6667 18.02 15,653.04 06-09-04 CHECK NUMBER 6668 42.19 15,610.85 06-10-04 INTEREST PAYMENT 1.19 06-10-04 CHECK NUMBER 6664 9,027.00 06-10-04 CHECK NUMBER 6663 1,000.00 06-10-04 CHECK NUMBER 6665 86.50 5,498.54 ENDING BALANCE $5,498.54 CHECKS:PAID .SUMMA:R:Y . 6656 05-24-04 25.00 6657 05-24-04 42.58 6659* 06-03-04 598.06 6660 06-03-04 53.64 6661 06-04-04 21.31 6662 06-01-04 24.33 6663 06-10-04 1,000.00 6664 06-10-04 9,027.00 6665 06-10-04 86.50 6666 06-08-04 40.74 6667 06-08-04 18.02 6668. 06-09-04 42.19 ANNUAL PERCENTAGE YIELD EARNED = 0.09 A:CCO.UN,T:.:_ ATF ANNE B RAMSEY STEP UP CD ACCOUNT NO. 31003913823091 CURRENT INTEREST RATE 1.190% MATURITY DATE 11-14-04 NEST SHORE PLAZA ACCOUNT ACTIVITY P.OSTING.::, I. DEPOSITS;INTEREST WJ:DRAWALS 8 OTHER AA:ILY DATE TRANSACTION`.DESCRIPTION & OTHER)ADDI7IUNS SUBTRALTIflNS. BALANCE 05-11-04 BEGINNING BALANCE $22,984.70 ENDING BALANCE $22,984.70 i�.,o n,.,..�. ,. .'`. k+.,:�`i>M. a,.x,h t 4 ,�::,. .'.?".•_ S�+,.G 5 "v;a�;:;x.*r�'.;,ak�` sK rhe�4 x. �' 'l it a�A r r- M •�� !i `s iCg4Ak+ P i cn: 4 � a �"' �, '�'tTS' 5 ��i it ��' .- i C? a S�rc 4,u��. �i= � iinF�' `S'a��.-�r� ✓?$t� STATEMENT -PERIOD, pAGE... .. .. . . MAY.11-JUN.10,2004 3 OF 3 ANNE B RAMSEY OR PATRICIA R TOMALIN ACCOVKT:: MARIE S TOWNSEND REGULAR TIME DEPOSIT 2:ITLE _.: OR ANNA BELLE RAMSEY ACCOUNT NO. 31003914375570 CURRENT INTEREST RATE 0.600% MATURITY DATE 07-25-04 MACLAY ACCOUNT ACTIVITY FOSTZNG: POSITStNiEREST: .Yt1DRA4t:AES.A: .T:HER DAISY .::.. DALE .:: : :: TRA'NSACTION;.:DESCRIPtION.... ;.& O.TNER:ADDITIONS ;: SUB7:RACTIaNS $ALANCE...:: 05-11-04 BEGINNING BALANCE $3,273.14 ENDING BALANCE $3,273.14 ACCOUNT::_ NNA_B. RAMSEY REGULAR TIME DEPOSIT -TITLE,:-_:I OR MARIE S TOWNSEND ACCOUNT NO. 31003914375603 CURRENT INTEREST RATE 0.6007 MATURITY DATE 09-18-04 WEST SNORE PLAZA ... . . ACCOUNT ACTIVITY PosTxNG:: ; : DEROSITS.,:TNTERES7 :H>DRAWA!LS &.D.T:NER 1)AIL •,;: DEAfi'EADDITIONS SUBTRACTIdkS ... : ...: .:.BALANCE 05-11-04 BEGINNING BALANCE $86,289.37 ENDING BALANCE $86,289.37 ** END OF STATEMENT ** 02, tl w 731Kr�9 3 dk�$ -y3z � z ,- .'+�'Ell IAOSA fi103i ° .. . .., na r n�.-��-r --a..' .. .''; ,r. 7'i�.:'=�,#ti,�t�� .�. a' =�E .:.�.-�.'.,��r,�t":-. 1 M jlv IN '+Sh � _.rY F ..4.. .& .EC . ST:ATEM.EN..T':'PE:RIOD.:: :! PAGE:':i:.;i`:::: JUN.11-JUL.09,2004 I OF 3 00 0 0612311 NM 017 425 ANNE B RAMSEY OR PATRICIA R TOMALIN OR RAY' R RAMSEY JR. 1825 HIGH ST CAMP HILL PA 17011-3954 _. SELE'C:TED..ACCOUNT: SUMMARY ACCOUNT ACCOUNT INTEREST EARNED MATURITY ENDING TYPE NUMBER YEAR-TO-DATE DATE BALANCE RELATIONSHIP CHECKING WITH INTEREST 000000070281629, 7.05 3,153.19 STEP UP CD 031003913823091, 140.76 11-14-04 0.00* REGULAR TIME DEPOSIT 031003914375570 10.43 07-25-04 3,273.14* REGULAR TIME DEPOSIT 031003914375603 287.76 09-18-04 86,419.97* TOTAL DEPOSITS 92,846.30 * INTEREST EARNED IS INCLUDED IN YOUR TIME DEPOSIT ENDING BALANCE ONLY IF IT HAS BEEN PAID TO YOUR ACCOUNT. ACCOUNT ANNE B RAMSEY RELATIONSHIP CHECKING WITH INTEREST TITLE. OR PATRICIA R TOMALIN ACCOUNT NO. 10281629 —�-_ WEST SHORE PLAZA INTEREST EARNED FOR STATEMENT PERIOD 0.29 ACCOUNT SUMMARY .:.BEGINNING EPOSITS;:&. .. ....., _ ... .. .... . ... OTHER::.. CURRENT - ENDING:::-i:: BAf;ANCE: . OTHER :ADDITIONS:: . . CHEGKS:.PAID :SUBTRACTIONS .. INTEREST.:PD BALANCE .: . : NO. AMOUNT N0, AMOUNT NO. AMOUNT 5,498.54 01 0.00 91 696.72 4 1 1,648.89 0.26 3,153.19 ACCOUNT ACTIVITY POSTING : :: DEPOSITS:;INTEREST .:::;CHECKS &.OTHER. 'DAILY DATE TRANSACTZON:.DESCRZPTZON B :dTHER ADdZTIONSi SUBTRACTldNS BALANCE 06-11-04 BEGINNING BALANCE $5,498.54 06-11-04 UGI UTILITIES UGI BILL 116.95 5,381.59 06-14-04 CHECK NUMBER 6658 100.00 5,281.59 06-16-04 INTEREST ADJUSTMENT=DEBIT (INT BEARING) 0.03 06-16-04 REVERSE DIRECT DEPOSIT 1,446.00 3,835.56 06-2404 CHECK NUMBER 6669 130.00 3,705.56 06-25-04 CHECK NUMBER 6672 49.52 06-25-04 CHECK NUMBER 6670 30.52 06-25-04 CHECK NUMBER 6673 24.33 3,601.19 06-28-04 CHECK NUMBER 6671 87.35 3,513.84 06-29-04 CHECK NUMBER 6675 225.00 3,288.84 '!{4 `t xx'�``x' x 125� e ''' � . p 5 a,-tf,d , LOflBA tt103i o ?� .. _;3x .. r�.._,..dev..TM RI;,�:w"ts.-' JUN.11-JUL.09,2004 2 OF 3 ANNE B RAMSEY OR PATRICIA R TOMALIN ACCOUNT ACTIVITY ':POSTING, DEPOSITS,INTEREST: CHECKS:: OTHER :DAILY : DATE TRANSACTION DESCRIPTION. OTHER AbbZT30NS SUBTRACTIONS BALANCE 07-02-04 CHECK NUMBER 6674 25.00 3,263.84 07-06-04 CHECK NUMBER 6651 25.00 07-06-04 PP ELEC BILL 43.70 3,195.14 07-07-04 COMCAST CENTRAL CENTRAL PA 42.24 3,152.90 07-09-04 INTEREST PAYMENT 0.29 3,153.19 i ENDING BALANCE $3,153.19 _. CHECKS:PA1D SUMMARY... . 6651 07-06-04 25.00 6658* 06-14-04 100.00 6669* 06-24-04 _ 130.00 6670 06-25-04 30.52 6671 D6-28-04 87.35 6672 06-25-04 49.52 6673 06-25-04 24.33 6674 07-02-04 25.00 6675 06-29-04 . 225.00 ANNUAL PERCENTAGE YIELD EARNED = 0.10 ACCOUNT' :: ATF ANNE B RAMSEY STEP UP CD TITLE ACCOUNT NO, 31003913823091 CURRENT INTEREST RATE 1.190% MATURITY DATE 11-14-04 WEST SHORE PLAZA ACCOUNT ACTIVITY POSTING p DEPOSITS:;INTEREST: W/DRAWALS 1:OTHER i DAILY: ..:DATE TRANSACTION DESCRIPTION B OTHER AbbITZONS SUBTRACTIONS:: BALANCE ::: 06-11-04 BEGINNING,BALANCE $22,984:70 06-14-04 INTEREST PAYMENT GENERATED 68.95 23,053.65 07-07-04 INTEREST PAYMENT GENERATED 17.28 07-07-04 PAYOFF ACCOUNT - WITHOUT PENALTY 23,070,,93 0.00 ENDING BALANCE $0.00 t,ti p Ora ty`. .ci k*ik- r ,,1 s--t t 3, ,%'if fg3n'��f4 s`N� 1T..,w'M ` L008A(1/03) ! #is x ix?� F§ a a d d _""�, .t.�;Y.�'#,P,z�4.W,' ,.,., _..� - .a..,.'�.,�`-ti°`.,�r.... ,fie e�'�i.. 'xi ,t,'S �Y17 w. y5.xk'3 ysw'.. tF t")r? ys-� j�k-i ysY�ray :7 jwivwbaiaKi t..y+ !`.t yah. 1x�'o?.etdiAit�.x�, w '�, J "'-' ^S; �ry3ri; i + £ - 3 s "7' �d w. {s�' 4" ORSTAT-EMENT.PERIOD•: PAGE: .: ..: JUN.11-JUL.09,2004 3 OF 3 ANNE B RAMSEY OR PATRICIA R TOMALIN ACCOUNT MARIE S TOWNSEND REGULAR TIME DEPOSIT TITLE OR ANNA BELLE RAMSEY ACCOUNT NO. 31003914375570 CURRENT INTEREST RATE 0.600'/. MATURITY DATE 07-25-04 MACLAY ACCOUNT ACTIVITY POSTING: __.. . _. DEPOSITSiINTEREST. W/DRAWALS :9 OTHER DAILY: DATE TRANSACTION"DESCRIPTION• & OTHER ADDITIONS SUBTRACTIONS BALANCE 06-11-04 BEGINNING BALANCE 53,273:14 .. ENDING BALANCE $3,273.14 ACCOUNT ANNA B RAMSEY.____... REGULAR TIME DEPOSIT TITLE OR MARIE S TOWNSEND ACCOUNT NO. 31003914375603 CURRENT INTEREST RATE 0.600"/. MATURITY",DATE=:•-_ .OR=18-04 WEST SHORE PLAZA ACCOUNT ACTIVITY POSTING:: _:. : :::: .: DEPOSNTEREST: .W DRAWA.LS :$ OTHER, :DAILY: :: TRANSACTIOtCbESCRIPT10N $ OTHER ADDITIONS SUBTtiACTIONS BAiANCE 06-11-04 BEGINNING;BALANCE $86;289:37 06-18-64 INTEREST PAYMENT GENERATED 130.60 86,419.97 ENDING BALANCE $86,419.97 * END OF STATEMENT ** x t00$A{4/09} REV-151 i EX s(1-97)(1); SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN RESIDENT DECEDENT ADMINISTRATIVE COSTS ESTATE OF Anna Belle Ramsey FILE NUMBER 21-04- 0566 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Neill Funeral Home $9,027.00 Neill Funeral Home $86.50 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s)Commission Paid: 2. Attorney Fees $3,000.00 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 Register of Wills $307.00 5. Accountant's Fees (Estimated) $700.00 6. Tax Return Preparer's Fees 7. Patriot News $236.17 8. Cumberland County Register of Wills $75.00 9. Pastor(Check No.6669) $130.00 10. Filing Fee to Close Estate $15.00 11. Settlement charges for sale of real estate(See Settlement Statement,Lines 703 through 1400) $17,867.36 12. Reimbursement of Buyer,Jayne Shinko,costs per Real Estate Settlement $2,625.00 TOTAL(Also enter on line 9,Recapitulation) $34,069.03 (If more space is needed,insert additional sheets of the same size) XWEMUNERAL HOME, INC. 301 MARKET STREET;CAMP HILL, PA, 17011 L 750 .L:(717)737-8726 FAX:(717)737-1859 4 CEIVED from ..PC.�.Cf...T0 ...C4.......n... -7 9 sum ..... ...............................�� $ ........... �. 7C� C'.!1 ....... ��lt DOLLARS ['.. (�� 100 r .�n.s. ...y .............................. L FUNERAL ;ount No. �-," ILHOME,INC. ..... �!... ❑ CHECK ance Due 5aC3 CASH _ ❑ M.ORDER er.. CREDIT CARD "' """........• THANK YOU June 2, 2004 Ref No.:1002527/1002527 Mr. Ray Ramsey 345 Equus Drive Camp Hill, PA 170.11 Services For: Anna Belle Ramsey Visitation Concluding at Graveside . . . . . . . . . . . . . . . . . . . . $ 3,395.00 - Seville . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,445.00 JF9 625 DH GOLDEN PEARL . . . . . . . . . . . . . . . . . . . . . . . . 3,295.00 Cemetery/ Rolling Green . . . . . . . . . . . . . . . . . . . . . . . . . . . . 870.00 Death Certificates 6 @ $2.00 . . . . . . . . . . . . . . . . . . . . . . . . 12.00 Patriot News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96.50 Total Funeral Charges $ $9,1.13.50 Adjustments (Payments) $ (9,027.00) Balance Due on Account (Due date: 06/03/2004) $ L 3401 Market Street 3501 Derry Street Camp Hill,PA- 17011-4428 Harrisburg, PA- 17111-1817 tel 717 737-8726 tel 717 564-2633 Member of fax 717 737-1859 fax 717 561-9918 ALDERWoODS Robert J. Pramik, Supervisor Stephen J.Wilsback, Supervisor - GROUP i RECEIPT FOR PAYMENT Cumberland County - Re ister Of Wills Receipt Date : 6/16/2004 Hanover and High Stree Receipt Time : 09 : 08 : 07 Carlisle, PA I7013 Receipt No. : 1036909 RAMSEY ANNA BELLE Estate File No. : 2004-00566 Paid By Remarks : BARBARA SUMPLE-SULLIVAN, ESQ. JA ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PETITION FOR PROBA 270 . 0.0 CUMBERLAND COUNTY GENERAL FUN EXTRA PAGES 15 . 00 CUMBERLAND, COUNTY GENERAL FUN SHORT CERTIFICATE 12 . 00 CUMBERLAND COUNTY GENERAL FUN JCP FEE 10 . 00 BUREAU OF RECEIPTS & CNTR M.D ---------------- Check# 1640 $307 . 00 Total Received. . . . . . . . . $307 . 00 Order Confirmation Ad Order Number Customer Customer Account Ordered By PO.Number 0001 37372 BARBARA SUMPLE-SULLIVAN 13197 BARBARA Sales Rep. Customer Address Customer Phone#1 Customer Phone#2 rholton 549 BRIDGE STREET 717-774-1445 Order Taker New Cumberland, PA, USA 17070-1931 Customer Fax Customer Wall rh olton Order Source Payor Customer Payor Account Special Pricing Fax BARBARA SUMPLE-SULLIVAN 13197 None Tear Sheets Proofs Affidavits Blind Box Promo Type Materials 0 0 1 <NONE> Invoice Text Ad Order Notes Net Amount Tax Amount Total Amount Payment Method Payment Amount Amount Due $236.17 $0.00 $236.17 $0.00 $236.17 Ad Number Ad Type Ad size Color Production Production Notes 0001137372-01 Legal Liners 1.0 X 19 U <NONE> Ad Booker Ad Attributes Ad Released Pick Up No Product Information Placement/Classification Run Dates #Inserts Cost PNCO::Full Run 800P-Main Legals 6/23/2004,6/30/2004,7/7/2004 3 $234.42 Run Schedule Invoice Text Sort Text ESTATE NOTICENOTICE IS HEREBY ESTATENOTICENOTICEISHEREBYGIVENTHATLETTE Product Information Placement/Classification Run Dates #Inserts Cost Online::Full Run 800P-Main Legals 6/23/2004,6/30/2004,7/7/2004 3 $0.00 Run Schedule Invoice Text Sort Text ESTATE NOTICENOTICE IS HEREBY ESTATENOTICENOTICEISHEREBYGIVENTHATLETTE. 7/7/2004 1:59:04 PM Pagel THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania,County of Dauphin) ss Joseph A.Dennison,being duly sworn according to law,deposes and says: That he is the Assistant Controller of The Patriot News Co.,a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,with its principal office and place of business at 812 to 818 Market Street,in the City of Harrisburg,County of Dauphin,State of Pennsylvania,owner and publisher of The Patriot- News and The Sunday Patriot-News newspapers of general circulation,printed and published at 812 to 818 Market Street,in the City, County and State aforesaid;that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854,and September 18th, 1949,respectively,and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/Metro editions which appeared on the 23rd and 30th day(s)of June and the 7th day(s) of July 2004. That neither he nor said Company is interested in the subject matter of said printed notice or advertising,and that all of the allegations of this statement as to the time,place and character of publication are true; and That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co.aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book"M", Volume 14,Page 317. PUBLICATION .......................... .! COPY Sworn to and subsc before me this 7th day of July 004 NOTARIAL. SEAL Terry L. Russell, Notary f Gty of}{orrisburg,Dauphin OT PUBLIC EST TE NOTICE omm 1VIy Cission Expires June 6,200 'NOTICE IS.;HEft�BwMvEN t�ict he�teracssion expires June 6 2006- Testamdnfary"have`been granted5 in the r Member,pennsylvaniaAseociaUo blfe�Pi ots1823 Hlbh St NNefitA�amp HIIRhbehland County Fenhsvivania yVho dl�d on nnaydY9i.' BARBARA SUMPLE-SULLIVAN �2004tp(2aYxRt'ffaMsey,of 343 Equul;brlve ,; P nft++srlvahlfa 7011 CUtnabW O ti { counr�f: 549 BRIDGE STREET A11 person$=lfidebted":iq ttie es'tat ark:: NEW CUMBERLAND, PA. 17070-1931 regyiPed�16 r;inake t ptl�Ment{ c�d' those' havJ�gti clHlhas�bre tle hnds�td;pF'Senr,,the Sage wlthaut•:del�i so the ExecotdrS,ar ms Statement of Advertising Costs tlttorrtey ndMed be oJv pRuyR RamadyrExocuwbF`,'��.1}�'�r Fry r��$` k BgrbtiraFSumple SuIllvan,EsgUINS ,max 399 BridpefFeetY4 a �y +s t> r17) 4,q glanii PSA 170701 , �f ' ,r; To THE PATRIOT-NEWS CO. For publishing the notice or publication attached hereto on the above stated dates 236.17 Publisher's Receipt for Advertising Cost The Patriot News Co.,publisher of The Patriot-News and The Sunday Patriot-News,newspapers of general circulation,hereby acknowledge receipt of the aforesaid notice and publication costs and certifies that the same have been duly paid. By.................................................................... 1 7 PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929),P. L.1784 STATE OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND : Lisa Marie Coyne, Esquire,Editor of the Cumberland Law Journal, of the County and State aforesaid,being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952,been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: JULY 2, 9, 16, 2004 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time,place and character of publication are true. Ramsey, Anna Belle, decd. i a Marie Coyne, ditor Late of 1825 High Street, Camp Hill. SWO O AND SUBSCRIBED before me this Executor: Ray R. Ramsey, 345 16 day of JULY 2004 Equus Drive, Camp Hill, Penn- sylvania 17011. Attorney: Barbara Sumple-Sul- livan,Esquire,549 Bridge Street, New Cumberland, PA 17070, (717) 774-1445. XT NOTAR AL SEAL LOIS E.SNYDER,Notary Public Carlisle Boro,Cumberland County My Commission Expires March 5,2005 t CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 JULY- 16,2004 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas as the official legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Barbara Sumple Sullivan, ESQUIRE RE: Anna Belle Ramsey, ESTATE Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: JULY 2, 9, 16, 2004 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment Received $ 75.00 Total Amount..D.ue Payment received JUNE 28, 2004 by Becky H. Morgenthal/Executive Director q' CHAR,TER»SETTLEMENT SERVIi.�o, LLC1 G 4 G g,;j ;4inerlca 5 Mn t Cdrwerilerst Bank c ; , ,ESCROW ACCOUNT` r s' it �' ;'t ab0-YES-2Qd0 / r 3 47052E TRINDLE ROAD v! +< N W 841313: MEC6ANICS6bRG, PA 17050 Y .: •' r PAY TCO' 'THOt1ANII 3zThEL7 TVNTYVanl rl )' DQLASL " 4 ; 5;; - �' 1AfE y r AMOUNTS ,,, Tortle y 7/29 $2,6:25 i,,, ORDER OF' -- , n o y. .r :. ..c,..... ,•....�__.�.......... ...qn..X,, o-.!4/.0 - '.i'^':,F _ .._.... .a. ,. .. ' ... _,._... ... ... ......:... . . ... .,,..,:.,;.._..,�'..-.. - .^`;fie. ;, ::¢=^':i.:.'�s,":riiv G� ..ir. .�ftp T :9:9:;5'0=3-5�?ROP:DR' Y: :1825y, '1 ' :Stxee $fCm '` I: ,,:sv� u ',r -f` •OWNS - _:�:..,, - _,.�,.,... �....-,..- ,.:- •rr,-.; «;:i �`=t, c,-:fi?`)'`F' i saws',::u`r^ 1�r�!f3 .a •^ 1120L2432112 1:03130La461: 03 001705 7112 ............. ..... .........................................................................._............................,............... .. ........... .................. CHARTER SETTLEMENT SERVICES,LLC Chk# 12432 - - T#995038 12432 Date Payee Item Description Amount 7/29/04 Jayne Shinko TOTAL $2, 625 . 00 . repaira'. .::: . .... : $21625 . 00 . r , - r '��•�� .�� ,__.. .......»......................L.......c.,:..w...a*w•�.n �.v.+..w••.•..,��...uu,...M..w . - w+w.w...... .,c.....r.....—,,,,Mr... ._ r HECK 'I REV-1512 EX+(1-97)(1) SCHEDULE1 COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT, INHERITANCE TAX RETURN RESIDENT DECEDENT IMORTGAGE LIABILITIES,& LIENSI ESTATE OF Anna Belle Ramsey FILE NUMBER 21-04-0566 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 AT&T($97.77,$166.87 and$87.35) $351.99 2. Holy Spirit $3.18 3. Verizon($24.82 and$24.33) $49.15 4. PP&L($53.61 and$20.83) $74.44 5. Chas Furrier(Storage) $125.00 6. Pennsylvania Water Company($36.88,$9.80 and$30.52) $77.20 7, Bowers Pest Control(Termites). $980.50 8. Schein Eye $20.00 9. UGI($78.38 and$8.28) $86.66 10. Ruells Lawn Care $659.00 it. Health South $18.02 12. West Shore EMS $42.19 13. West Shore Anesthesia $49.52 14. Comcast $42.24 15. Tornalin Trip Deposit(Decedent owed reimbursement of deposit on trip to Tomalin) $1,000.00 16. Penn Waste $40.74 17. Paul Garrett(grass)(Check No.6674) $25.00 18. Mr.Diavito(Hauler)(Check No.6675) $225.00 TOTAL(Also enter on line 10,Recapitulation), $3,869.83 (if more space is needed,insert additional sheets of the same size) UA Your AT&T Statement � X11 ay 26 June 25, 2004 AT&T ..V.S.O�°2 IYMPIC TE4� #BWNCJFM #09040142058012#D 0005950AV20.503B34A58596"5DGT Customer ID: 717 737-3883 Page 1 of 7 MR RAY R RAMSEY 1825 HIGH ST Customer Service: 1 800 222-0300 CAMP HILL PA 17011-3954 Text Phone(TTY): 1 800 833-3232 Internet Address: www.att.com Extra.! Extra! GET LOCAL SERVICE YOUR Previous balance ..............................................................."....87.35 WAY- ALONG WITH A$25 BILL Payments...................................................................................0.00 CREDIT!With AT&T you'll find the l UNPAID BALANCE DUE UPON RECEIPT......................$87.3 right local plan for you.Call AT&T Value!Rate Plan...............................:..........p 4 ..........44.96 1-866-802-2646" AT&T direct dialed calls........................................p 5 ..........30.99 c Other charges and credits....................................p 5 ............9.48 / Taxes and surcharges..........................................p 5 ..........12.34 ' Current charges due Jul 20,2004...................................$97.7 Total amount due $185.12 - -— Continues on back µ i 'i i _ Yoir-AT8--,.-,T. Statement USA June 26—july 25, 2004 #09040142058012#D 0009824AV10.278B61A61709**5DGT Customer ID: 717 737-3883 MR RAY R RAMSEY 345 EQULIS DR Customer Service:1 800 222-0300 CAMP HILL PA 17011-8354 Text Phone(TTY): 1 800 833-3232 Internet Address: www.att.com Summary of charges Extra! Extxal �raveding8hk�summer?Jm�d)m� Previous balance 18512 ---------------------' � dn�n\hooenk�vvhh puymwnka-------------------------''1851� 1'8O0�}ALL-ATT�orooUe��db� AT&T Value R�ePlan 44 ——'1O3�7 -------------' � Dial 1-800-CALL-ATT from AT&T dhe�d��dooUn-------------�p5 ----27�3 o��h�o�dmU�'� Other and un*dhs-----------..p5 ---]4JO i Taxes and surcharges .... .................................pG ..... ....21.07 Total amount due *166.87 Date due August 19,2UO4 - ' - Continues on backp ' � ` Continues on back F | - - - Your AT&T Statement Apn 13L.May 25, 2004 AT&T #09040142058012#D 0006064AV20.503B41A Customer ID: 717 737-3883 Page 1 of 7 MR RAY R RAMSEY 1825 HIGH ST Customer Service:1 800 222-0300 CAMP HILL PA 17011-3954 Text Phone(TTY): 1 800 833-3232 Internet Address: www,att-com Suintnary of charges WAY-ALONG WITH A$25 BILL Payment received May 21 -Thankyou..... ...................42.58 CREDIT!With AT&T you'll find the Total amount due Date due Jun 19,2004 C�/�/ 014 ouu�m�cD�AN -- --__---� ---'._'-~-�^-^----- - ` ' - - ----- � � ` A .ftHbb1C-'?'T�?i�S:S'�7�f 6"7n":..:*fr5'::c��lCru`.7� "�rlfit;.y'&:?°"•�iTi"e71:V9'.E6c€e`+.!?..�'•.42fi?f85'��*:''nF.:`wii"m`�"L+C_'c.SEw�£Fu"&_'lot§ `S'Jf. l*x' ' LY Holy Spirit Hospital Rf'�;:€l:'�.�.�.3�.T'�..A4,aEt'�%'?„•^'"3f..Y.b!p."_�J..'3F�,"?�?'t°^:E' F3ffi`��3 ':Yrw_.,—.�L"'+�.R$'9h��'uTSA'+�dA ➢1�i:2'.�393�3"i`:C.+�.-`�TSE2Y^"'^ �°.'+'fFSd PJ-l. l 503 N 21ST STREET 11?I1' A III'�I �:...::::.:..:.:.....:.:::.:.:.:........... tlC SPITAL CAMP HILL PA 17011 The Spirit n Caring 5. $ Th S m C Srvaatt ' zz '> >«<' .......... z............... h f i; # 0>: ::29 f0. rte': ................ %< .... ... �. �t ... 717-763-2141 5 :':::ace..EMd::::.::::::.::::::::....::....:.:...... ....... D fti -'D.s>>: asfi: : #a m n 1? fie......::. .::.::: .:•::: For Account Information, Please Call 717-763-2141 Eli E `ttti e � Transaction Date Description Amount PREVIOUS BALANCE 4,126.34 05/28/04 DISC ELECT AD 4 5.00 05/28/04 IV CATH 14.00 05/28/04 TRANSPARENT DRESSING 1 .00 05/28/04 ED LEVEL V PC 344.00 05/28/04 LEVEL V 1-4 HRS COMP 933.00 05/28/04 NON-EVA EAR/PUL OX FOR 02SATUR 35.00 05/28/04 RHYTHM ECG 1-3 LEADS INTER&REP 79.00 06/03/04 MED C/A HOSP=IP M90 MEDICARE I/P 940.11 06/04/04 OTHER PATIENT NON CO M90 MEDICARE I/P 9.60- 06/04/04 OTHER PATIENT NON CO M90 MEDICARE I/P 9.60- 06/04/04 OTHER PATIENT NON CO M90 MEDICARE I/P 9.60 06/21/04 MEDI PYMT-HOSP IP M90 MEDICARE I/P 5,068.60- 06/21/04 MEDI C/A HOSP-IP M90 MEDICARE I/P 955.04 06/21/04 MED C/A HOSP-IP M90 MEDICARE I/P 940.11- 06/25/04 MEDI PYMT-HOSP IP M90 MEDICARE I/P 5,068.60 06/25/04 MEDI PYMT-HOSP IP M90 MEDICARE I/P 5,067.14- 06/25/04 MEDI C/A HOSP-IP M90 MEDICARE I/P 955.04- 06/25/04 - MEDI C/A HOSP-IP M90 .MEDICARE I/P 113.42- 06/30/04 MEDI PART B PYMT-IP M90 MEDICARE I/P 116.81- 06/30/04 MEDI PART B C/A-IP M90 MEDICARE I/P 197.991- Estimated Insurance Due: .00 . Total Patient Credits: Account Balance: 3.18 M90 MEDICARE I/P 00 B99 BLUE CROSS 36 .00 PLEASE DISREGARD THIS STATEMENT IF YOU HAVE PAID. p ------------------------------------------------------------------ Please detach and return wlthyourpaYmerrt---- ----------------------------------'-----=--r-------- Billing Date 07/01104 Page 1 of 5 Telephone Number:717 737 3883 veri on Account 717 737 3883 982 41 Y Make progress every day How to Reach Us:See page 2 MR RAY R RAMSEY Account Summary Previous Charges $24.33 Payments Received thru Jul 6 -24.33 Manage Your Verizon Account Online! Past Due Charges $.00 View&pay bills,request repairs,place orders. It's quick and easy: New Charges Go to venzon.com Verizon (page 3) $24.82 Click"Sign in"under"Manage My Account". First time user?Get started with... Total New Charges due Jul 29 $24.82 User1D:7177373883$. Total Due (Past Due+New) $24.82 Password:3JM5Z6 ...and customize your ID as you register. Then follow the step-by-step instructions. To enroll in the Verizon Direct Payment Option please read and sign the agreement on the reverse side of the payment form below. i i Mail payments to: Verizon, PO Box 28000, Lehigh Vly PA 18002-8000 Change of billing address? Go to verizon.com/billingaddress or see page 2. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _V_D_eta_ch_&return payment slip with your_check,payable_to_Verizo_n._ _ _ 5 Jun 9 9:05PM Flat To CHAMBERSBG PA 717-263-2733 1. 0 to . 08 A T=Tax and or surcharge rate applied: A=9.00% Continued Billing Date 06/01/04 Page 1 of 4 �n Telephone Number:717 737 3883 Account 717 737 3883 982 41 Y Make progress every day How to Reach Us:See page 2 j MR RAY R RAMSEY Account Summary Previous Charges $24.33 Payments Received thru Jun 3 -24.33 Manage Your Verizon Account Online! Past Dtie Charges $.00 View&pay bills,request repairs,place orders. It's quick and easy: New-Charges Go to verizon.com Verizon (page 3) $24.33 Click Sign in"under Manage My Account". Total New Charges due Jun 28 $24.33 First time user?Get started with... UserlD:7177373883$ Total Due (Past Due+New) $24.33 Password:W34QW8 ...and customize your ID as you register. ® Then follow the step-by-step instructions. (P To enroll in the Verizon Direct Payment } Option please read and sign the agreement on r the reverse side of the payment form below. Mail payments to: Verizon, PO Box 28000, Lehigh Vly PA 18002-8000 Change of billing address? Go to verizon.com/billingaddress or see page 2., — - - = — - — — — — — _ — — — — — — — —.�D.etach 8 return payment slip with your check,payable to Verizon. 1 , Page '1 p� 'foils 13rJi:t1¢��i at;tviuiiUer : .; `: PPL Electric16510 67007 P, Utilities ` Electric Summary Page Service Balance as of Jul 1.41 2004 $0.00 Char*es: For: Total PL ELECTRIC UTILITIES Charges $53.61 RAY R RAMSEY-ESTATE 18251-Ilcti ST 'Total Charges $ 53.61 CAMP HILL PA 17011 >pay"Phis Atnukt1 Account Balance ,,4 X53.61 Questions about ` this bill? Please c ., contact us U Au,, 4 at 1-800-34--5715 or 484-634-4000 or write to: Customer Service 827 Hausman Rd. Allentown,PA 181.04-9392 vAtivw.pplw.eb.com Electric - _ KW1I-Average Per Day Meter Reading Information 24 Use Meter#44921456 20 ,--—_ __ Jul 14 Actual 3379 This graph shows — Jun 14 Actual 2796 your electric use 16 30 Das KWH Billed 583 over the last 1.3 ------ nionths• Average-,Jul 2003 2004 12 Tempera tue 74F 73F Types of KWH Per Day 6 19 R 'ter Readings. 8 ® Yearly Use: Total Average Actual 4 - - - - _ Use Mouthl Estimated Aug 2002-Jul 1003 3181 2N 0 Aug 2003-Jul_004 3266 272 Customer JASUNI:) J F.MAM.i .! 2003 Months 2004 Other important information on back 4 ------------------------------=---------------------------------- ------------------ --- -- -------- - to recover a portion of IT 1,Llectric tJtiIities' stranded costs. ine gross receipts tax,which is collected for the Commonwealth of Pennsylvania, is equat to 4.4,e of the ITC. For your conveaiience, you can now pav your bill using your Visa 1 MasterCard, Discover,or ATM Card. Call BiRMatrix at 1-800-d72-2413- BillMatrix will charge your credit and ATM card a service fee for tnakmg this payment. Now you can receive and pay;your PPL Electric Utilities'bill online. Check our web site for more inforniation and to sign up -- www.pplweb.coni No charge Convenient Secure. SAVE MONEY <z Save postage and late.charges -sign up for Automated Bill Payment' 1' 6 tiF Page 1 ,t „r s PPL Electric P PI ..,fir. 16510-67007 Utilities rM :::. ::: . .... ._..... .. . Electric Summary Page Service Balance as of Jul 29,2004 $0,00 Char yes: For: Tota�PPL ELE(7rRiC UTILITIES Charges $ 20.83 RAY It RAMSEY-ES'I'A'I'E 1825 HIGH ST 'Total Charges $ 20.83 CAMP HILL PA .17U11 Final Bill Account Balance Questions about this bill? Please contact us by Aue .l9 , 1-800-342-5715 or 484-634-4900 or write to: Customer Service 827 Hausman Rd. Allentown,13A 18104-9392 www.pplweh.con, Electric KWH-Average Per Day Meter Reading Information 24 Use Meter#44921456 ?0 _ _ Jul 29 Actual 3593 This graph shows Jul 14 Actual 3379 your electric use 16 15 Das KWH Billed 214 over the last 13 —� — -- months. Average-jilt 2003- 2004 12 — "Tempperature 75F 72F 'f pes of -- — IiWII Per Dap 10 14 Meier Readings: 8 -_ _— ___ _ _ _ Yearly Use: Total Average Actual 4 Use Monthyy - — Aug 2002-Jul 2003 2844 237 Pstimated 0 Aug 2003-Jul 2004 3216 268 Customer 0 A y p ND J FMAM J J A 2003 Months 2004 Other important information on back 4 -7.777- - ------------------------------------------------------------------------------------------------------------------------ to rec;ovei a portion of I'r'L Electric l Ttililies'`straiided costs. rlhe gross receipts tax,which Is collected for the Commonwealth of Pennsylvania, is equal to 4.4%of the ITC. For your convenience, you can noway your bill using your Visa MasterCard, Discover,or ATM Card. Call BillMatt-ix at 1-800-X7222413. BillMatrix will charge your credit and ATM card a service fee for malting this payment. Nowyou can receive and pay your PPI.Electric Utilities' bill online. Check our web site for more Information and to sign up -- www.pplweb.com No charge Convenient Secure SAVE MONEY 7 U No. 100 4- 1atfed 322 S. FRONT STREET �C � �� TELEPHONE _ 783-7023 1 VALUATION I EXCLUSIVE ' FU— R—RrER WORMLEYSBURG, PA. 17043 > DATE IN NAMEe57 t�7 �n CHG ❑CREDIT PAID IN DATE OUT STREET T r. '-1 ACCT. ACCT. ElPAI 5 Amt. ^A MONTHS IN RAT,-PER Mo. CITY STC STORAGE 8 INSURANCE - Tnx ARTICLE REF REPAIR-REMODEL _ less FU. FUR CLEAN-DRY CLEAN � ,f..: De ELE ELECTRIFY-R 9 R IpW i a Fq- Net RECD ABOVE ' Bal. ARTICLE IN Layaway ❑ GOOD ORDER Ck # Cash❑ Authorized i E1. late �y t Z1 F h -j �.....y �+• • amu- -� VVQ[CI VVIUIIIC(.J1.VVOf,70 i 1+-+VVI GJ { Billing Period: Jun 11 to Jul 14(33 days) STAS PAWL Water 0.04% O 1 Next reading on/about: Aug 12,2004 DSI-PAWC Charge 0.37% 1)+ Rate Type: Residential Total water charges,Jul 16,2004 g 36 .88 - � s Meter readings in current billing period: ----------AMOUNT DUE- -------------------- ( $3 6.88 . Meter Number N042642151 is a 5/8-inch meter. ,. Present-actual 286900 Last-actual 282500 1 ti Gallons used 4400 Y x SQ Water Usage Comparison Monthly usage in hundred gallons. -45 ' 3b IN 00 110 27 e 2 S N F A M 2 u u c e a a u u � o u u e c o e a e a p a u u o a :,r o I g p t v c n b r t y n I 0 3 4 Messages to you from Pennsylvania American ` Any portion of the water charges which is not paid as of 8/10/04 will be subject to a 1.50%penalty. * Customers may use their credit card,debit card or pay by electronic check only by calling toll free:1-866-271-5522. Customers may also pay on-fine at www.waterpaymybill.com.Aservice fee will apply. *Approximately 4.72 percent or$1.74,of State taxes are included in your current bill. * Effective April 1,2004, the State.Tax Adjustment Surcharge(STAS)is now.04%. = * When paying your bill in person,be aware that American Payment Systems(APS)is Pennsylvania American's only authorized collection agency. APS ensures your payment is credited to your account. 'r Call 1-800-565-7292 for a list of payment centers. * Arrangements to disconnect your service just got easier. Log on to pawc.com and follow the Turn-Off Program link. *Effective July 1,2004, the Distribution System Improvement Charge(DSIC)increases from.25% 'o.37%. This charge funds the replacement of water distribution facilities. _Z +v: Customer Service &Emergencies 1-800-565-7292 (24 Hours) "€ -6202 (24 Hours) For Hearing Impaired Customers TDD 1-800-300 Customer Account Information Billing Summary For Service To: R R Ramsey -----Prior Balance---------- 1825 High St Balance from last bill $36.88 Account Number:24-0634341-4 Payments prior to Aug 11,2004. Thanks! -36.88 Premise Number:24-0374951 Total prior balance,Aug 11,2004 .00 ---.-Current Water Charges-- Billing Period& Meter Information Service Charge 5.75 Billing Date: Aug 11,2004 Water Volume($.005735 x 700) 4.01 Billing Period: Jul 14 to Jul 29 (15 days) DSI-PA WC Charge 0.37% .04 Next reading on/about: Aug 12,2004 Total water charges,Aug 11,2004 9.80 Rate Type:,Residential ----------AMOUNT DUE $9-.8011 Meter readings in current billing period: Meter Number N042642151 is a 5/8-inch meter. Present-actual 287600 Last-actual 286900 Gallons used 41700 sF Water Usage Comparison 45 Monthly usage in hundred gallons. 3b -21 Im 18 ffil 9 2 A S 0 N 0 J F M A M J J A 2 0U 9 C 0 0 a e a F a U U U 0 o 9 p i v 6 n r y n I g o 3 4 Messages to you from Pennsylvania American This is your Final Bill for service. It as been a pleasure serving you and we hope we may again have the opportunity in the future. * Customers may use their credit card,debit card or pay by electronic check only by calling toll free:1-866-271-552; Customers may also pay on-line at www.water.paymybill.com.A service fee will apply. *Approximately 4.72 percent or$.46,of State taxes are included in your current bill. * Effective April 1,2004,the State Tax Adjustment Surcharge(STAS)is now.04%. * Arrangements to disconnect your service just got easier. Log on to pawc.com and follow the Tum-Off Program lin *Effective July 1,2004, the Distribution System Improvement Charge(DSIC)increases from.25% to.37%. This charge funds the replacement of water distribution facilities. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202(24 Hours) Visit us on the INTERNET:www.pawc.com AIM 222' '§ Customer Account information Billing Summary For Service To: R R Ramsey ----------Prior Balance------------------------ 1825 High St Balance from last bill $21.31 Account Number:24-0634341-4 Payments prior to Jun 15,2004. Thanks! -21.31 Premise Number: 24-0374951 Total prior balance,Jun 15,2004 .00 Billing Period& Meter Information -------Current Water Charges-..----___ Service Charge 11.50 Billing Date: Jun 15,2004 Water Volume($.005735 x 3,300) 18.93 Billing Period: May 13 to Jun 11 (29 days) STAS PAWC Water 0.04% .01 Next reading on/about: Jul 14,2004 DSI-PAWC Charge 0.25% .08 Rate Type: Residential Total water charges,Jun 15,2004 30.52 Meter readings in current billing period: ----------AMOUNT DUE--------=------------ L $30.521 Meter Number N042642151 is a 5/8-inch meter. Present-actual 282500 Last-actual 279200 Gallons used 3300 Water Usage Comparison 49 Monthly usage in hundred gallons. 32 IPA r 24 1b 8 - 2 J J A S 0 N D J F M A M J 2 0 Ll U U 9 C o e a e a a U 0 o n I g p t v c n b r F y n o 3 4 Messages to you from Pennsylvania American Any portion of the water charges which is not paid as of 7112104 will be subject to a 1.50%penalty. * Customers may use their credit card,debit card or pay by electronic check only by calling toll free:1-866-271-5522 Customers may also pay on-line at www.water.paymybilLcom.A service fee will apply. •Approximately 4.72 percent or$1.44,of State taxes are included in your current bill. •Effective April 1,2004,the Distribution System Improvement Charge(DSIC)is now.25%. This charge funds the replacement of water distribution facilities, * Effective April 1.,2004,the State Tax Adjustment Surcharge(STAS)is now.04%. * When paying your bill in person,be aware that American Payment Systems(APS)is Pennsylvania American's only authorized collection agency. APS ensures your payment is credited to your account Call 1-800-565-7292 for a list of payment centers. Arrangements to disconnect your service just got easier. Log on to pawc.corn and follow the Tum-Off Program link Customer Service & Emergencies 1-800=565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us on the INTERNET-www.pawc.com AIM 57494 y BOWERS PEST CONTROL' _ .25.Railroad Avenue- YORK HAVEN; PENNSYLVANIA 17370 j (717) 761-5727 (717) 266-5691 f DATE TIME IN OUT ❑REG. [D 1-TIME []RES. O COMM. ❑INDOOR O OUTDOOR NAME ) , f, ADp S � CITY,STATE tom" - PHONE ixitaESwmgY S1 G/ 0 0 i ❑ INSPECTION REATMENT i 14 ./• v i ! . I Y' LIC.Ng.7 TOTAL G b i CUSTOMERSIGNA /} j V . I SERVICE R, ORT Ff /2004 14.56 717-761-1495 JACK GAUGHEN ERA PAGE 99109 -"4 2004 1 , 1 HPM FROM BOWERS PEST COMIRUL 266'5691 P.2 V118pbw �` 9T'HERMSERVICES NR OVEER, Pod Wood Dah yleg ltt Not Cout:ol, CO M 1Vood D�trayL�erect Yw�adoetr fair2 RRAILRQAYOLK HAVEN,PA.IM0 ]I"Canto Tt'wt Nkn,PASWketlai l� Phone.,(7'17)266.889"$yard or 1-800-2$74Coffin*CtB0�Pat Caetprnl, Control FAX(717)258.0723 Matt mx@buwMp*stcontro1.com Aeoonat Number- Down Pa�'mrontRaotivai w Received at Canpktion- . Tyw of Foment ' -(rhexis 'Pq in fag at Completion ❑ Chane C2 rd we take mosit m*r cards ❑ 5ettiemeW i r wiffiot 30 nays �C�ira T6LEl?FtOf+tE RIf.L94CADDRgSS im HIGH ST CITY CAM101L STATS PA np CODS 19011. y DISCRI MON OP PROI►MY SIMS RCSIDENCZ SERV=ADDR1 0 tint horn sbm) CI x` STATE ZlP CODE WAr'renty tmetive fiC M treetmer#L 3 WAR for the stun of 5925.D0 plus 6%Sales Ttta,of SSS.50 Toter Contract Antoaat S981ti,5b Dowattt Pest control will scsvics the i4cotitfied prvgerty aaast the art wk of subleaum sn tctatites(RevOculitctmes,ap,,Hdauteons.sp).A lane£ea of l Y2 percent per month,amd attorney teas z£'applicable wM be incurred if pnymcats are not made as per aSmtocut.This ca otmd will be tervibmied if psyments am not n ade as per agreement if 66 Plan is renewedbeyond the imititrul eontraac tam,Bonsr.►Pest contrut Will Periodically rc- the idt nffw l Ix pasty;and gqy fittme tremunents found nbccssmr will be peribmed 14WL ane to the nature of the eftstruatiott and/or the extra of evidenco to the identified Property,this gent does am gaasantue far the control of pxeseat or fbtuze damage to property,cvvt=ts vfptoparty or.provide for Nairn or compo esatxonttiereot 3oW4fs Pest.t'l0U*wiv eaawd&wally for 112100. plt►a 436 S1d%Tax of 5'tS4 TOW Renewal Atnoomt 5132.51# m year paYsWe on or before the end of iha pwiooa service pedod.8otvers Peat Control rens the right to' tevisatlbe srdaual c>et�ioe.ehaxge. ' In&c cveat of additions or all a idow to Am idtrn#ified paapaty,?=haw=wA arr uge wird Bowers Pant Cons=)for additional service,wMah will require and aft oherge and a*etrnertt.to the==f awskion cteMe. Upon tram&r of owmindup of the ids property,=vkA for the conhol of xubte: ime tainitaa may be cootiarued upon request of the new avamr.In w4tion,Howaert Peat Control mmuna rive night to revue it maid exb===cbwp upon tretmtfer of ovvorship.Iu the uvoat tht new owner fails to regu t coutinew coverage or does not pry the teviaod*404W extenSiott charge,the tebcrsccacrtt Plan with Bowers Pest Control will attietttatic.4y termimbe as cfBte daft of ft dour of owaerstilp Any tdditiWW X612 gybed ItetCmo,inchO tg thv general cordidons on the saverse Side mil the inRnottou rrcprott A i dated .mus prat of this pian. NOTICE YOU,THE PURCHASER,MAY V NCEL,THIS TRANSACTION AT ANY T11WE PRIOR TO It+MNIGHT OF THE THIRD BUSEUP-99 DAY AF?l?Pk.TM DATE OF TMS TRMSACTION. Parchmer or Agent or(buyer of home) ;' �� Pate Bowam Pest Coniml Rgmw3tad"M A BOWERS Date d 4I f�P.11�1^�f f, � 71 Place Codes: IH=2n Patient OH=Out Patient ER=Emergency Room DATE ICD9 CD PL* DESCRIPTION AMOUNT I II Balance forward last statement 0. 00 04/23/04 374 . 87 10,1' 92015 REFRACTION 20. 00 �I 07/20/04MCDN MEDICARE DENIED ( 0. 00 �{ II I } I I I II i I II it II II s 1 I II I _ t I I I 1 II I I I II Provider: SCHEIN, ALAN L MD I( I Ref. Phy: MILLER, JEFFREY OD CURRENT AMOUNT PAST DUE AMOUNT PLEASE PAY ---- $ 20. 00 $ 0. 00 THIS AMOUNT 0. 00 i f J A Q _ Past Bill Information-UGI Utility The account balance on your last ill was................. $57.44 Payments.. 0.00 SER ..V/CE ........................ ................................................. LaeCharge ........................................................................ 217 563 44. 4 09 Billing Summary for Service to: Your balance as of 07/21/2004now due RAY RRAMSEY ( )•••••.••.•.•.•.• 58.16 C/0 RAY R RAMSEY JR 1625 HIGH ST CAMP HILL PA 17011 Rate Classification: Current Bill Information-UGI Utility Residential Heating Customer Charge............................................................... 8.55 Billing Period: Commodity Charge(9 CCF at$0.88222).................. 7.94 '7 06/17/2004 to 07/19/2004(32 days) Distribution Charges(First 9 CCF at$0.36444)....... 3.28 Company Read PA State Tax Surcharge................................................ -0.02 '/ - � Questions? PA Sales Tax....................................................................... 1.19 Call 717-232-1811 or write to UGI at Total Current Charges-UGI Utility................................ 20.94 PO BOX 13009 UGI Utility charges owed this bill .................................................................................. $79.10 Reading,PA 19612-3009 Total Amount Due,Please Pay by Due Date(08/11/2004)..................................... $79.10 'Your current UGI charges include State taxes totaling$1.83. CPT 217 563 4404 09 1 Meter Information-Next Read Date September 16,2004 17.0 Average CCF Per Day Meter Number Previous Reading Present Reading CCF Used 15.3 1066393 4401 (estimated) 4410(company) 9 13.6 11,9 Messages from UGI 10.2 ■Your current price to compare is$0.88179/CCF. 8.5 ■Your total annual usage is 1,945 CCF. Your average monthly usage is 162 CCF. 6.8 _ 5,1 ■Help prevent pipeline damage,accidents and service disruptions. If you see someone 3.4 digging near your home please call UGI. 1.7 0.0 JASONDJFMAMJJ 2003 Months 2004 • =Estimated Usage Last This Average Year Year CCF/day 1.3 0.3 Daily temperature 74°F 71°F If you pay at a payment agent please take your entire bill. Make check payable to UGI. Keep this part for your records. Important information is on the back of this bill. Past Bill Information-UGI Utility The account balance on your last bill was................ $79.10U&t�ltE �'UtliEf �a: sea vice Thank you for your payment of..................................... -78.38 Billing Summary for Service to: Late Charge ....................................................................... -0.72 217 563 4404 09 RAY RRAMSEY Your balance as of 08/02/2004................................... 0.00 C/0 RAY R.RAMSEY JR 1825 HIGH ST CAMP HILL PA 17011 Rate Classification: Current Bill Information-UGI Utility Residential Heating Customer Charge.............................................................. 2.85 Billing Period: Commodity Charge(4 CCF at$0.88250)................. 3.53 07/19/2004 to 07/29/2004(10 days) Distribution Charges........................................................ 1.44 Final Read PA State Tax Surcharge.................................................. -0.01 Questions? PA Sales Tax................. 0.47 Call 717-232-1811 or write to UGI at Total Current Charges-UGI Utility........:...................... 8.28 PO BOX 13009 UGI Utility charges owed this bill .................................................................................. $8.28 Reading,PA 19612-3009 Total Amount Due,Please Pay by Due Date(08/23/2004)..................................... $8.28 Your current UGI charges include State taxes totaling$0.72. CPT 217 563 4404 09 1 Meter Reading Information 17.0 Average CCF Per Day Meter Number Previous Reading Present Reading CCF Used 15.3 1066393 4410(company) 4414(final) 4 13.6 11,9 Messages from UGI 10,2 'Your current price to compare is$0.88179/CCF. .5 •Your total annual usage is 1,923 CCF. Your average monthly usage is 160 CCF. 6 _ 5.1 'Thank you for your business. You have maintained an excellent payment history with UGI. 3.4 This bill may be used as a credit reference for obtaining future utility service. 1.7 •Help prevent pipeline damage,accidents and service disruptions. If you see someone 0.0 digging near your home please call UGI. 6.8 JASONDJFMAMJJ 2003 Months 2004 • =Estimated Usage Last This Average Year Year CCF/day 1.3 0.3 Daily temperature 74°F 71°F If you pay at a payment agent please take your entire bill. Make check payable to UGI. Keep this part for your records. Important information is on the back of this bill. ITEM DESCRIPTION QTY RATE AMOUNT Lawn 3 30.00 90.00 Mowing Mulching 569.00 Please remit to above address. Make checks payable to Mike Subtotal 659.00 Rueil. Thank you for your business i! 6%Tax Total 659.00 HFALTHSQUM. One HealthSouth Parkway Birmingham,AL 35243 BILLING DATE: May 31 , 2004 BILL TO: Anne Ramsey 1825 High Street - -Camp Hill, PA 17011 DESCRIPTION AMOUNT TELEVISION: ($1.00 PER DAY) $17.00 DATE: 05/11/04 through 05/27/04 TAX ON TELEVISION: (PA SALES TAX 6%) $ 1 .02 PAST DUE AMOUNTS: $ $ DATE: DATE: PREVIOUS PAYMENTS RECEIVED: ITOTAL00,11JINSIT) $12.a C© � 206 G` DVIE' 14 AVE SUITE 211 rA4 CAMP HILL, PAV7111-1 7111 Phone#; ( 0) 367-0512 iNvcVtdpal Tax flP= 23-2Afi-3002WEff SHORE .. EMERGENCY MEDICAL,SERVICES t PATIENT NAME: ANNE FRANiSL'' PATIENT NUMBER: 25242' ?. CALL NUMBER: I1i,418'833 in ftI!='f'••iE INSURANCE: MEDICARE 9 1!�== �ztt`I E' DATE OF CALL: 0$1.1 U2004 CAPITAL AL BLUE CROSS' �00—�1'vll2i�530500 TIME OF CALL: rj'1:15 P<`uI CALLER: HOL`,SF'IRITHO=PIT,yL E:a 34as a FROM: Hi--'LY=PIPIT HOSPI,AL TO: ACUTE REHAB H1 SPf i:`'..L AIME RA M SE`s X1225 HIGH 5 T REASON(S) FP �:T URE-HIP CAPD;;'HILL,PA 17011 FOR TRANSPORT DESCRIPTION OF CHARGE QUANTITY UNIT PRICE AMOUNT Way- V.t}icPIC}i'atr!_'f1= AbWj-f',rlGtiiC"_r 1'.r+1:_iJ 1.0 36.44 36.44 Tran !ran i+lileagex.0-99 : - 1.?� 5.-5 Total Chap es X2.15 DESCRIPTION OF PAYMENT RECEIPT PAYMENT DATE AMOUNT Tntal Crpdifq PLEASE PAY THIS AMOUNT� :$:47219 .P, CHARGES APPEARING ON THIS STATEMENT ARE NOT INCLUDED ON ANY HOSPITAL BILL OR STATEMENT 042904 BENEDICT SERVICES RENDERED ANNE 689.00 050704 BILLED:HGS ADMINISTRATORS 050704 BILLED:CAPITAL BLUE CROSS 060104 MEDICARE PAYMENT 32.63- 060104 MEDICARE ADJUSTMENT 598.69- 060104 COINSURANCE $8.16 0.00 060104 DED APPLIED $49.52 0.00 061104 CAPITAL BLUE CROSS 8.16- . 061104 DEDUCTIBLE $49.52 0.00 YOUR INSURANCE CARRIER HAS APPLIED ALL OR A PORTION OF THIS BALANCE TOWARDS YOUR DEDUCTIBLE. IF YOU NEED TO MAKE * _ PAYMENT ARRANGEMENTS, PLEASE CALL THIS OFFICE. PAYMENT DUE WITHIN 30 DAYS. STATEMENT PLEASE INDICATE YOUR ACCOUNT NUMBER WHEN CALLING OUR OFFICE CLOSING DATE:06/11/04 56103 BALANCE PAYMENTS NEW BALANCE OVER BALANCE OVER BALANCE OVER BALANCE OVERN@' „ rE FORWARD &CREDITS CHARGES 30 DAYS 60 DAYS 90 DAYS 120 DAYS PA'i IS A100 0.00 639.48- 689.00 0.00 0.00 0.00 0.00 49.52 SEND INQUIRIES TO: (800)287-5735 WEST SHORE ANESTHESIA 2025 TECHNOLOGY PARKWAY SUITE GOB MECHANICSBURG PA 17050 Comcast® ACCOUNT DATE TOTAL NUMBER DUE AMOUNT DUE Visit us on the web at www.comcast.com 09547 183076-01-2 None Due $42.24 RR RAMSEY How to reach us... How to reach us: For service at: 3800 Trindle Rd,Suite B 1825 HIGH ST Camp Hill,PA 17011 CAMP HILL PA 17011-3954 (717)540-8900 Telephone Customer Service 24 hours a day,seven days a week Summary of Charges Billed from 06/24/04 to 07/23/04 Previous Balance 0.00 Payments (includes payments received by 06/09/04) 0.00 Lo Monthly Services 39.95 Taxes,Surcharges,& Fees 2.29 Total Due 2.24 �., Detail Charges on back L ilA f - I l Y�/ News from Comcast Thank you for choosing to be a Comcast PayDirect customer. Pleas note:The amount shown in"Total Due"will be drafted on the 7th of the month If you have questions or concerns about your billing,please call the number in th How to reach us..."portion of your bill. Thank you for your prompt payment. For your convenience,we now provide you with more quick and easy payment options,including one-time payme ecurring credit card payments or direct debit payments.Please call your Comca u omer Account Executive and find out how you can sign up for Comca a r ct to a Perth Waste, Inc. 01750800002456750000004074 . � P.O. Box 3066 ' _ York, PA 17402 Invoice Number: 245675 www.pennwaste.com Page Number. 1 Phone (717)767-4456 Date: Sep-01-04 Fax (717)767-4285 Customer Number: 017508 Site Number: 0000 PLEASE DO NOT ENCLOSE ANY WRITTEN COMMUNICATION WITH YOUR BILL. PLEASE CONTACT CUSTOMER SERVICE AT(717)767-4456 RAY R RAMSEY SR Remittance Amount: 40.74 1825 HIGH ST CAMP HILL, PA 17011 Check Number: Make Checks Payable to Penn Waste, Inc. PLEASE DETACH AND RETURN WITH PAYMENT Code Description Date Reference Quantity Amount (0001) RAY R RAMSEY SR - -- 1825 HIGH ST, CAMP HILL, PA 17 15 32.00 Curbside Trash &Recycling 31 Dec 1.00 40.74 01 OctO4-31 Dec04 1low ' 4 Qom. i ` PAYMENT iS D UE B 0913012004 AFTER THIS DATE A LTE CHARGE WILL E ASSESS D Current 30 -60 Das 60 -90 Das Over 90 Das Invoice Total: 40.74 40.74 0.00 0.00 0.00 Total Due: 40.741 Invoice Number: 245675 Notes: Page Number. 1 CHECK YOUR LOCAL NEWSPAPER OR VISIT OUR WEBSITE AT Date: Sep-01-04 Cusennwaste.com FOR HOLIDAY SCHEDULES. Site Num Number: 017508 www.pennwaste.com Site Number: 0000 Reference: Penn Waste, Inc. * P.O. Box 3066 * York, PA 17402 -� F'► Penn Waste, Inc.Telephone: (717) 767-4456 * EIN#: 23-3030774 A REV-1513 EX+(9-00)) SCHEDULEJ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT I ESTATE OF Anna Belle Ramsey FILE NUMBER 21-04-0566 AMOUNT NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List TrRELATIONSHIP TOustee(s)DECEDENT S-WECR OFESATE TAXABLE DISTRIBUTIONS[include outright spousal distributions,and I transfers under Sec.9116(a)(1.2)] 1. Patricia M.Tomatin,9433 East Rocky Lake Drive,Sun Lakes,AZ 85248 Daughter 50% 2. Ray R.Ramsey,345 Equus Drive,Camp Hill,PA 17011 Son 50% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18,AS APPROPRIATE,ON REV-15ODCOVER SHEET NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE i. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL. OF PART H-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REVI 1500 COVER SHEET $ 0.00 (if more space is needed,insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV- 1162 EX(1 1-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SULLIVAN BARBARA SUMPLE 549 BRIDGE STREET NEW CUMBERLAND, PA 17070 _noun fold EST A TE INFORMATION: SSN: 207-44-5306 FILE NUMBER: 2104-0566 DECEDENT NAME: RAMSEY ANNA BELLE DATE OF PAYMENT: 02/28/2005 POSTMARK DATE: 02/28/2005 COUNTY: CUMBERLAND DATE OF DEATH: OS/29/2004 NO. CD 004999 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $5,379.11 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 118 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $5,379.11 GLENDA FARNER STRASBAUGH REGISTER OF WILLS STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: File No.: Anna Belle Ramsey May 29, 2004 2004-00566 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether the administration is complete: Yes~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: Not applicable. 3. If the answer to NO.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No-.X b. The separate Orphan's Court No. (If any) for the personal representative's account is: Not applicable. c. Did the personal representative state an account informally to the parties in interest? Yes ~ No Date: May/6 , 2005 /" d. Copies of receipts, releases, joinders and approy accounts may be filed with the Clerk of the Orplrans' this report. r.. L Signature Barbara Sumple-Sullivan. Esquire Name 549 Bridge Street Address New Cumberland. P A 17070 (717) 774-1445. Supreme Ct #32317 Telephone No. Capacity: Personal Representative x Counsel for Personal Representative ~ MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 RETAIN LOWER PORTION FOR YOUR RECORDS 4t .W.!rMtArflM!'t.m.1Wl1ATlftMM1'~.'ll'Ct!lII'lM!'t.llW'.............. ... LLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ANNA B FILE NO. 21 04-0566 ACN 101 DATE 05-09-2005 I~ an assessment as issued previously, lines 14, 15 and/or 16, 17, 18 and r~lect ~igures t at include the total ~ Abb returns assessed to date. ASSESSMENT OF TAX: 15. Atrowlt of Line 14 at .sal rat. (15) 16. ~unt of Line 14 taxa . at Lineal/Class A rat. (16) 17. Aaount of Line 14 at 51 ling rete U7} 18. Amount of Line 14 tax . at Collateral/Class Brat. (18) 19. Principal Tax Due CIS: ~,. ..._('/-.,.:'-:;......'-,-., BUREAU OF INDIVIDUALc.TAllE$:U INtERITANCE TAX DIVISIOH,- PO BOX ZS060l HARRISBURQ PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX r 2nns MAY 15 Prl Z: 44 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-09-2005 RAMSEY 05-29-2004 21 04-0566 CUMBERLAND 101 Allount R..li ttlld CLECV nr l,l\ VI ORPHAN'S CO! RT BARBARA~t~+$~l ,~ 549 BRIDGE ST NEW CUMBERLAND PA 17070 CUT ALONG THIS LINE J1fV-"M~,."ft.m.m~'. DI ESTATE OF RAMSEY (11 (2J (31 (41 (51 (61 (71 225,000.00 .00 .00 .00 30.062.83 49,443.13 .00 (81 TAX RETURN liAS: (X I ACCEPTED AS FILED ( I CHANGED RESERVATION CONCERNING FU RE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN ASED ON: ORIGINAL RETURN 1. Real Est.t. (Schedule A 2. Stocks and Bonds (Sche Ie BJ 3. Closely Held stock/Part rship Interest (Schedule C) 4. Kortgages/Notes Receiv 1. (Schedule Dl 5. Cash/Bank Deposits/Mise Personal Property (Schedule El 6. Jointly Owned Property Schedule FI 7. Trensfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND E EMPTIONS: ,. Funeral Expenses/Ad.. C sts/Hise. Expenses (Schedule H) 10. Debts/Hortg898 Liabl1it e$/Liens (Schedule Il 11. Totel Deductions 12. Net Value of Tex Ret rn 13. Cheritab18/Governnen a1 Bequestsi Non-elected 9113 Trusts (Schedule ~) 14. Net V.1ue of Estate ubject to Tax (91 1101 34,069.03 3.869.83 1111 1121 113J 1141 NOTE: .00 X 221,785.85 X 44,781.25 X .00 X T INTEREST/PEN PAID (-I 500.00 .00 AHDUNT PAID 9,500.00 5,379.11 DATE 08-24-2004 02-28-2005 NUI1BER CD004302 CD004999 ~ TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATE , SEE REVERSE FOR CALCULATION OF ADDITI INTEREST. 00 = 045 = 12 = 15 = 119J= *' REY-lS47 EX AFP (03-05) ANNA B NOTE: To insure proper credit to your eccountJ sub.it the upper portion of this for. with YOUr tax pa.v-nt. 304,505.96 3;7.93R RIi 266,567.10 .00 266,567.10 19 will .00 9,980.36 5,373.75 .00 15,354.11 15,379.11 25.00CR .00 25.00CR ( IF TOTAL DUE IS LESS THAN $1, NO PAYIlENT IS REI/UIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.I BUREAU OF INDIVIOUAL tAXES INHERITANCE TAX DIYISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE :INHER:ITANCE TAX STATEMENT OF ACCOUNT *' REY-1607 EX AFP (03-05) ,~, , I DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 06-06-2005 RAMSEY 05-29-2004 21 04-0566 CUMBERLAND 101 Amount R..ltted ANNA B BARBARA $UMPLE-SULLIYAN' 549 BRIDGE ST NEW CUMBERLAND PA 17070 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subnit the upper portion of this for. with your tax paynent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ................................................................................................................ REY-1607 EX AFP (03-05) ~~~ INHERITANCE TAX STATEMENT OF ACCOUNT KKK ESTATE OF RAMSEY ANNA B FILE NO.21 04-0566 ACN 101 DATE 06-06-2005 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW IS A S~ARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 05-09-2005 PRINCIPAL TAX DUE, 15,354.11 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 08-24-2004 CD004302 500.00 9,500.00 02-28-2005 CD004999 .00 5,379.11 05-23-2005 REFUND .00 25.00- TOTAL TAX CREDIT 15,354.11 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 . , SIDE FDR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDI.T" (eRl, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 260601 HARRISBURG, PA 17128-0601 RECEIVED FROM: RAMSEY RAY R 345 EQUUS DRIVE CAMP HILL, PA 17011 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EXI11-961 NO. CD 013468 ACN ASSESSMENT AMOUNT CONTROL NUMBER folE ESTATE INFORMATION: ssN: 2o~-aa-5306 FILE NUMBER: 2104-0566 DECEDENT NAME: RAMSEY ANNA BELLE DATE OF PAYMENT: 10/08/2010 POSTMARK DATE: 10/07/2010 COUNTY: CUMBERLAND DATE OF DEATH: 05/29/2004 101 ~ 55,215.44 TOTAL AMOUNT PAID: REMARKS: RECEIPT TO ATTY SEAL CHECK#135 INITIALS: WZ RECEIVED BY: 55,215.44 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS LAW OFFICES BARBARA 5UMPLE-SULLIVAN 549 BRIDGE STREET NEW CUMBERL NE•P717) 7 4-14~IA 17070-1931 PHO FA7'L: (717) 774-7059 October 7, 2010 Register Of Wills of Cumberland County Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 RE: Estate of Annabelle Ramsey FILE No. 21-04-0566 Dear Sirs: lemental return. At the time of her death, Decedent had Please accept for filing this supp been added to her sister's deed for the property located at 1919 North Second Street, Harris urg, oint tenants with rights of survivorship. Decedent's sister, Marie Pa. The property was held as j Saver Townsend ,died on September 12, 2009. In selling her real estate, it was noted e inheritance tax was due to be paid. This supplemental return is to address the deficiency in the original filing. lease find a check in the amount of ($5,215.42), payable from the estate of Enclosed p Marie Sarver Townsend which f es n the amount of ($15 00)a Please timessam~and return~a including a check for the filing ed envelope provided. Thank your o o _ .:~ '. copy to our office in the self-addressed stamp `~i ~ ~ ~ r Pr- ~ ` , uestions, please contact the undersigned. ~__ L ~, ~ } Should you have any 4 ~ ~,; ~ cv =:: <-? C.~C~L-~ < , • ~ ~} ~ -- C-) Sincere ours, ~ - , ,_~, Barbara Sumple-Sullivan BSS/tlk Enclosure cc: Mr. Ray Ramsey, Executor ' C{'~i~.~..••~~ r -:-gin:- r,~- . l'., / - [ '~ ~' ~-'~ttl. U~ 1010 OCT -8 AM I I ~ 48 C~ GRK nc ~J~. i CUPS=~"'?^~:_~ ~:''' ~ PA. Z T J ~ ~ ~ 0 ti oN ~o mama o a~~ ~' m ~ 3 ~ ~Na,m $a~~ Q U ,~ J ~ ~ 7 N ~ ~ N ~ ~ ~ ~'~ o m Z ~~ ~~ PA Department of Revenue Bureau ofIndfvidualTaxes PO BOX 280601 pennsylvanla oeM~„~,.~r~INHERITANCE TAX RETURN OFFICUIL USE ONLY County Code Year File Number Date of Birth MMDDYYYY 09/30/1914 Decedents First•Name ~ ~ MI _ _ _, Anna Belle (N Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI 3 E __ _ Spouse's Social Security Number _ i _ _ k..~..a. THIS RETURN MUST BE FILED IN DUPLICATE WITH THE _ REGISTER OF WILLS FILL INAPPROPRIATE OVALS BELOW O 1. Original Retum ~ 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) O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe 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 8E COMPLETED. ALL CORRESPONDENCE AND CONFIDENTUIL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number _ . __ ,._-_ ..~-.., w .-__ _-. ~_ .__----,__., __ W W _ _ .._-_ - Barbara Sumple-Sullivan First line of address ', 549 Bridge Street Second line of address _.. _ City or Post Office _ _ State __ New Cumberland PA ~.~__-_.. _~ _~ w r W _ .... _ ...___~ Correspondent's e-mail address: REGISTER OF~LLS USE ONr~ ~~ y J ~~ © " `i J l7 t ri C, --1 -; r-• ~ ~ /yI ~ r , ~=~ _ __ ~ ,. ~ - '~C~ _ _ , ZIP Code DATE D - ~ __ `•~'i .... ~ ~.~_... __ ._._ ..~ ~ 17070 ~ Under penaltbs of pery'ury I declare that I have examined this return, including accomperrylrtg schedules entl statements, and to the best of kn my owledge and belief, It is and complete. Declaretlon of preperer other then the personal representative is based on all iMormation of which preparer has any krwwledge. S NA PONSIaLE FOR FILING R DATE ~' ~ 10/06/10 PA 170T1 4N REPRESENTATIVE GATE 10!06/10 - 549 Bridge Street, New Cumberland, PA 17070 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505610101 1505610101 J i~ 1505610101 REV-1500 ~t°'-'°' REV-1500 EX Decedents Name: Decedent's Social Security Number 207-44-5306 RECAPITULATION 1. Real Estate (ScheduleA) ............................................. 1. 2. Stocks and Bonds (Schedule B) ....................................... 2. 3. Closely Held Corporation, PaMership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Properly (Schedule E)....... 5. '' 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. 8. Total Gross Aaseta (total Lines 1 through 7) ............................. 8. 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. 10, Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .............. 10. 11. Total Deductions (total Lines 9 and 10) ................................. 11. 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tex has not been made (Schedule J) ........................ 13. 32,367.50 14. Net Value Subject to Taz (Line 12 minus Line 13) ................... ..... 14. ! , TAX CALCULATION - 5EE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9118 _ " _ ~. ~._ _.... ~ ~ _. ... .... ~ _ (a)(1.2) X .0_ 15. 18. Amount of Line 14 taxable "`" " "°°"""""""""""""""°"~"""""'~-'°`"""°"°°~ at lineal rate X .0 _ 16. 17. Amount of Line 14 taxable ~"_.~"..." .. °"""'" """_"""' """~ "" ""° at sibling rate X .12 17. 3,884.10 ':. 18. Amount of Line 14 taxable m" `"'" ~"'p"~""" ~"_._... ~,., ..w,..~.. at collateral rate X .15 18. I 19. TAX DUE .................................................... .....19.1 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O 15D5610105 aide 2 1505610105 15056101D5 J REV-1500 EX Page 3 Decedent's Complete Address: File Number DECEDENTS NAME Anna Belle Ramsey STREET ADDRESS 1825 High Street CITY Camp Hill STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments B. Discount 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Une 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the dirffference. This is the TAX DUE. (5) Make check payable to: REGISTER OF WILLS, AGENT. (11 (3) 1,331.34 (4) 5,215.44 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 trensfened or its income :................................ ............ ^ [~' c. retain a reversionary interest; or .............................................................................................................. ............ ^ Q d. receive the promise for IIfe of either payments, benefits or care? .......................................................... ....:....... ^ [-]~ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................................................... ............... ^ ............ ~- 3. Did decedent own an "intrust for" or payable-upon~leath bank account or security at his or her death? .. ............ ^ 4. Did decedent own an individual retirement account, annuity orother nan-probate property, whk~r contains a beneficiary designation? ............................................................................................................ ............ ^ ,~/ L'7 For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.5. §9116 (a) (1.1) (i)j. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)j. 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 benefiaary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 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 0 percent [72 P.S. §9116(x)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(x)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(x)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Total Credits (A + B) (2) REV-1,509 EX+ (0>-10) Pennsylvania ~7 DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCNipYLE F 70INTLY-OWNED PROPERTY ESTATE OF: FILE NUMBER: Anna Belle Ramsey 21-040566 if an aasat hecame,1Mntly owned widdn one year of the decedents data of death, K musrt be -ePorOed on Schedub G. SURVNING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT 70INTLY OWNED PROPERTY: I.EITER DATE DESC.RIPRON OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FlNANCIAL INSTITUTION AND BANK ACCOUNr NUMBER OR SIMILAR DATE OF DEATH DECEDENT'S VALUE OF NUMBER TENANT ]DINT IDENTIFYING NUMBER. ATTACH DEED FOR XIINTLY HELD REAL ESTATE. VAL E OF ASSET INTEREST DE~DefrS INTEREST 1. A. 4. C !04109/01 Real F_state located at 1919 N. 2nd Street, Hanistwrg, PA 17102 64,735.00 50 32,367.50 TThis asset was omitted from the Inheritance Tax Retum previously filed. Marie Sarver Townsend died September 12, 2009 and it was discovered __ r ~. ~~i that no tax was paid by her on this one half share of the property. Value is based on the Tax Assessment adjusted by the Common Level ',Ratio as of the Decedenfs death. A sale in 2010 of the property was at a value $80,000.00. TOTAL (Also enter on Line 6, Recapitulation) $ 32,367.50 if more space is needed, use additional sheets of paper of the same size. I~ 1 DEED Made this e~L_. day ofd, 2001; BETWEEN RAY R RAMSEY, JR., Executor of the Estate of RAY R RAMSEY and MARIE J. SARVER now known as MARIE SARVER TOWNSEND, herein designated as "Grantors", AND MARIE SARVER TOWNSEND and ANNA BELLE RAMSEY, wi8t rights of survivorship, herein designated as "Grantees' ; WTTNESSETH, that the Grantors, for and in consideration of the sum of ONE DOLLAR ($1.00) money of the United States of America, to the Grantors in hand well and tnrly paid by the Grantees, at or Ixfore the sealing and delivery of these presents, rho roeeipt whereof is hereby acknowledged and the Grantors being ttterewifh fully satisfied, do by these present grant, bargain, sell and convey unto the Grantees forever, all rights, title and interest Grantors may have in: ALL THAT CERTAIN tract or piece of land situate in the Ciry of Harrisburg, Dauphin County, Pennsylvania, more particularly bounded and described as follows, W-wit: BEGINNING at the southeast corner of North 2'~ Street and Delaware Avenue; tbence eastwardly along the southern side line of Delaware Avenue, eighty-five (85) fcet to a three (3) fcet wide private alley; thence souffiwardly along the western side line of said throe (3) fcet wide private alley, twenty-one (21) feet, more or less, to the line of property now or late of Sarah G. Delvey; thence westwardly along the line of said last mentioned property and through the center of a brick partition wall, ei~hty-Sue (85) fcet to the eastern side line of 2"a Street; thence northwardly along the eastern side line of 2' Street, twenty-one (21) font, more or less, to the place of BEGIlVNING. Having thereon erected a three story brick dwelling house known ea No. 1919 North 2i° Sneer, Harrisburg, Pennsylvania, together with the right to use the three (3) feet wide private alley in the rear of said lot in common with the other owners and occupiers abutting thereon. . BEING,. the same premises which Ama M. Sarver, widow, by her deed dated October 6, 1948 and reweded thlobcr 7, k948 m the-Office ofYha Retbrder ofDeeds in artd lbr -aupbin County in Deed Book 31, Page 339, granted end conveyed to Ray R. Ramsey and Marie J. Sarver, Grantors herein. THI5 TRANSFER IS EXEMPT FROM TRANSFER TAX AS THIS TRANSFER IS FROM THE ESTATE OF HUSBAND TO SURVIVING SPOUSE AND ffie said Grantors will W ammk Specially the properly hereby conveyed. UNDER AND SUBJECT, NEVERTHELESS, to easements, restrictions, reservations, conditions and rights of way of record. 1 BK39261'~ 323 TOGETHER with all and singular the buildings, improvements, ways, woods, waters, watercourses, rights, liberties, privileges, hereditament and appurtenances to the same belongs or in anywise appertaining; and the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and of every part and parcel thereof; AND ALSO all the estate, right, title, interest, use, possession, property, claim and demand whatsoever of the Grantors both in law and in equity, of, in and to the premises herein described and every part and parcel thereof with the appurtenances. TO HA VE AND TO HOLD ail and singular the premises herein described together with the hereditament and appurtenances unto the Grantees and to Grantees' proper use and benefit forever. In all references herein to any parties, persons, entities or corporations, the use of any particular gender or the plural or sirrgrdar number is intended to include tbe appropriate gender or number as the text of the within instrument may require Wherever in this instrument any party shall be designated or referred to by name or general reference, such designation is intended'to and shall have the same effect as if the words "heirs, executors, administrators, personal or legal representatives, successors and assigns" had been insertedafter each and every such designation. IN WITNESS WHEREOF, the Grantors has hereunto set her hand and seal the day and year first abovewritten. 'SIGNED, SEALED and DELIVERED in the p ce of or A y WITNESS W ss W SS SEY:.TIZ_, . the Estate o Ray R Ramsey ~~~ Y ~t ~--{n . ~ MARIE J. SAItVER ,,.~,.. _ ~-7 MARIE SARVER TOWNSEND 1 '~ _ ? 8~392b~'G 324. COMMONWEALTH OF PENNSYLVAN ) COUNTY OF GlL~~1~/~~-~~~y ) On this °~(i' day of /~(~~~~ , 2001, before me, a Notary Public, the undersigued officer, personally appeared RAY R. RAMSEY, JR., Executor of the Estate of Ray R Ramsey, known to me or satisfactorily proven to be the person whose name is subscribed to the within inswmutt, and ackmwledged that he executed the foregoing DEED in the capacity therein sorted and for the purposes therein contained. IN EREOF, I hereunto set my hand and official seal. No Public My coaunission expires: -krisUt Beal (SEAL) c~aMa..y~q~ Com"°Mbn F~Iw Nwabr tam COMMONWEA~LT"H"OF PE/NN~S_YLV. ) COUNTY OF ~~/-1r~L%)SS. ) Oa this~~ day of _~~/~~~ 2001, before me, a Notary Public, the undersigned officer, personally appeazed MARIE J. SARVER now known as MARIE SARVER TO WNSEND> known to me or satisfactorily. proven to be the person whose-name is subscribed to dte within insaument, and acknowledged that she executed the foregoing DEED in the capacity thetein stated and for the purposes therein contained IN S OF, I hereunto set my hand and official seal s Nota 61ic My commission expires: eabwa tom, p,~, (SEAL) p Gl~ BaFaat Cwry I HEREBY CERTIFY that the precise address of th an ~ is: 1825 EIigh Street Ca~tp Hill PA 17_ 011-~9~ 3 px3926PG 325 _.. C06fMONWEALT$OFPENNS'YLVANIA ) )~ COUNTY OF DAUPHIN ) Recorded in the Office for Recording of Deeds in and for Dauphin County in Deed Book _, Page Recorder of Deeda ~~~ wt ~ ,s Vn`_' u ~~W~'~^p.'1~0"•~M~~~ a ~,,, A A gr' __ ~o1D~ .....sue ~~ c]_~' Jv (~ o ~ r.:.~ ~ +-,~ " ~[ ~ rj, ~ r; -' n ~-,,~ ... C] "~' . „:. -~ D rnlvq^\ ~~- rn a v ~, a ti s sK392G~'G 326 __ _ _ -- w~Vw.DauphinCounty.org ~ Property & Taxes ~ Information for Propert... hup://www.dauplrillpropertyinfo.orgJpropertyinquiry.pl`hm=view&p... .~ - P 6 ~I tf S Y L- Y' R N.... T A Information for Property ii-oo~-084-000-00oo,1'ax Year 2004 ~ < Fist « Prec~ Properly 8 of ><6 See All Property Information -_~--~. ear Property ID 2004; 11-00~-084-000-0000 ip Property Use - CITY OF HARRISBURG Rtt - APTS-4 OR LESS UNrtS Nei~-borbood Site Address Hoot - 2nd --BEHIND 3rd. 19tg N 2ND ST Owner Name and Address Mailing Name and Address TOWNSEND MARIE SARVER TOWNSEND MARIE SARVER 1919 N 2ND ST 19t9 N 2ND ST HARRISBURG, PA t~toz HARRISBURG, PA ino2 Assessments Annual BiDntg Land Building Total Pref. Land Non-Exempt u,3oo 49,200 60,500 0 Exempt o 0 0 0 Total u,3oo 49,200 (60,500 j o Exemptions Pref. Bn>flding 0 0 0 1`9pe Status Land Amount Building Amount Exemption Amount Farmstead? ?Qext » Last Pre$ Tol Farmstead Vale Copyright p 20o9-2oio, DEVNET. Inc. All Rights Reserved ~n~, ~ .~. +.. - ~ 1 7 y.. ' f _ ~ 10/5/2010 2:14 PM Ra. Common Leval Ratios for Real Property Assessments http://evans-legal.com/dan/comlevel.html ~.-~ .-_.-_, HTML Ijersion Copyright ZOIO Daniel B. Evans Al/ rights reserved Common Level Ratios for Pennsylvania Realty Transfer Tax (Current through June 2011) When preparing and filing a Pennsylvania reahy transfer tax affidavit, assessed value of the property and the "common level ratio factor," which is based on the average ratio between the assessed value and' fair market value of real estate in that county. If the trarsfer is not exempt .from tax, the tax is based on the greater of (a) the actual consideration for the transfer and (b) the product of the assessed value and the common level ratio factor. The common level ratios are calculated by the State Tax Equalization Board based on sales data, and botfi the common level ratios and factors based on the common level ratios are published each year in the Pennsylvania Bulletin. (The common level ratio factors are the mathematical reciprocals of the common level ratios.) The table below shows the factors which have been in effect for the last six years. The factor to apply to a particular transfer is based on the date the document is "accepted," which is rebuttably presumed to be the date specified in the body of the document as the date of the instrument. (See 61 Pa. Code § 91.102, relating to acceptance of documents.) When two factors are provided in the table for a range of dates, the second one is a revised factor reflecting a change in the assessment ratio or assessment base, and is effective from January t of the second year. Common Level Ratio Factors ..... 7/1/03 7/1/04 7/1/05 __ 7/1/06 17/1/07 ' ! 7/ ~ 1/10.' Coun t to to , to to ~ 6/30/08 '`6/30/OT 7/1/08 to 7/1/09 to to 6/30/11' ty 104 6/30/05 6/30/06 ~ ; (34 Pa B (35 Pa B i (36 (37 ~ 6/30/09 ~ 6/30/10. ~ (40 2560) 3074) 3365) Pa.B. Pa.B. ,i( 38 Pa.B. 3337) x(39 Pa.B.3245 ) i Pa.B. _ _ 2875) i 2778) 4041) 'Adams r 2.65 -- 2.89 ~ 3 28 3.98 ~ 4.53 4.55 j 4.51 ~ 4.22 Allegheny .___.. ~. ._._ ---- 1.03 _ _ ___ ._ 1.07 _ ..~ 1 10 ':. ] . ] 0 ....... 1.15 .. ~. 1.16 ; . .. j 1.14 . 1.16 I _, :Armstrong r .___.__ 2.36. ._ 2.52 2 56 _ r .__._..__ ~ 2.70 __.-_ __ 2.79 ~ . -_ 2.87 ' .. i 6 - 2.77 I ~ Beaver 2.87 ~ 3.11 ~ 3.23 3 31 ~ 3.41 ~ 3.43 ! 3.36 .. ~ j 3.35 Bedford 4.48 5.13 5.00 ~ 5 47 ' 5.81 '' 6.45 ' 5.59/ p [8] ; 1.00 ~Berks 1.11- -- 1.16 ; .1.25 'I 1.33 ~ 1.47 1.52 ~~.48- 41 3 'j !Blair 11.91 '' 12.66 11 91 12 20 12 20 12.05 - 50181 ,12 66/9 •; - -----. i 8.43 'a - - . . f ; ;Clinton ~ 3.55 3.53 i - 3.73 - - 4 24 ~ - ^ r----- . 4 46 ~ 4.51/1.00141 ~ 1.0016 ~ i 1. 3 Columbia _ _ ~ 9 _ .- .05 ; .26 j 47 ,' ~, 3.55 ', ~ ' 6 -; ~,. 3.69 ~ ._ ~ 3.69 Crawford -- 2.83 ~ --.. _ 2.95 _ 2.87 3.02 " 3 04 ~ , 2.98 2.85 ~ 2. 1 'Cumberland __ ~ i I.OS ~ 1 11/1.00 , _ 1.00 1.14 1 22 ~ :._~, 126 r 1 26 ~ , 1 25 :' P 1.07 \ ; ~ k 1.24 j ~ 1.33 ~ -_ 1.40 ~ _ _ ~__ 1.46 (- 1.42 ~ i . 1 42 ;Delaware 1 1.15 ! ~~11 L 1./(i i t 2Q 1 GG ! 1 LA r ~ nn ~ -. ~~ ~ . is necessary to report both the Practitioner Portal https://www.doreservices.state.pa.us/pitservices/Default.aspx Penalty and Interest Calculations CALCULATION DATES- 3/1/05 TO 10/6/2010 TAX DEFICIENCY $ 3,884.10 CALCULATED INTEREST $ 1,331.34 BALANCE AS OF 10/6/2010 $ 5,Z1S.44 Mart over 1 of 1 10/5/2010 2:27 PM p, , , ~ ir-- r ,; . y,~ fi,;-. BUREAU OF INDIVIDUAL TAXES - ~INH,~~`ITANCE TAX INHERITANCE TAX DIVISION ~ ,~ '~ ~ a~`l'`•I~T~E'I~~NT OF ACCOUNT PO BOX 280601 HARRISBURG PA 17128-0601 ~U~tT ~~{ +V i ~' ~~ C~.E~K CAF BARBARA SUMPLE-SUL ~~~ ,~t`"~`~1 ~ ~~' ~~' 549 BRIDGE ST NEW CUMBERLAND PA 17070 Pennsylvania ~ DEPARTMENT OF REVENUE <~ REV-1607 EX AFP C12-09) ~ ~~~~~~~ DATE 11-01-2010 ESTATE OF RAMSEY ANNA B DATE OF DEATH 05-29-2004 FILE NUMBER 21 04-0566 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr~rrrrrrrrrrrrrrrrrrrrrrrr~rrrrrrrrrr REV-1607 EX AFP t12-09~ *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF:RAMSEY ANNA B FILE NO.: 21 04-0566 ACN: 101 DATE: 11-01-2010 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 05-02-2005 PRINCIPAL TAX DUE: 15,354.11 PAYMENTS CTAX CREDITS: PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID (-~ AMOUNT PAID 08-24-2004 CD004302 500.00 9,500.00 02-28-2005 CD004999 .00 5,379.11 05-23-2005 REFUND .00 25.00- 10-07-2010 CD013468 .00 5,215.44 TOTAL TAX PAYMENT 20,569.55 BALANCE OF TAX DUE 5,215.44CR INTEREST AND PEN. .00 TOTAL DUE 5,215.44CR * IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~ NOTICE OF INHERITANCE TAX pe1111~JJ/~Vanla •u ~ APPO~ I~$ ~,~~~~ ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE i~, BUREAU OF INDIVIDUAL TAXES •i • 3 ~, '~F-^ INHERITANCE TAX DIYISION ~D'U-t"T.~,Q 6:-~ QfiSESSMENT OF TAX REV-1547 EX AFP (12-04) PO BOX 280601 ~ •~ ' HARRISBURG PA 17128-0601 ~~~'~~~ + ~~ ~ Vi ~ ~, ti''t' _. DATE 12-06-2010 210 DEC ~ ~ Hy ~ ~ ; ~ STATE OF RAMSEY ANNA B DATE OF DEATH 05-29-2004 ~~~~~ QC FILE NUMBER 21 04-05b6 OR~~~~'~ ~a~~~ COUNTY CUMBERLAND BARBARA SUMPLE SULIVAN C~1~,~!~~~z 1'sf,~r~ ~,~E.~ ~A. ACN APPEAL DATE: 02-04-2011 549 BRIDGE ST NEW C U M B E R L A N D P A 17 0 7 0 (See reverse side under Objections ) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALONG THIS LINE -i --RETAIN-LOWER-PORTION FOR YOUR RECORDS 4~-- ------------------------ ------------------------------------------ - REV-1547 EX AFP (12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: RAMSEY ANNA BFILE N0.:21 04-0566 ACN: 101 DATE: 12-06-2010 7AX RETURN WAS: CX) ACCEPTED AS FILED C ) CHANGED APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN N0. O1 1. Real Estate (Schedule A) C1) .0 0 NOTE: To ensure proper 2. Stocks and Bonds (Schedule B) C2) ,0 0 credit to your account, .0 0 submit the upper portion 3. Closely Held Stock/Partnership Interest (Schedule C) C3) of this form with your 4. Mortgages/Notes Receivable (Schedule D) (4) .0 0 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) .0 0 6. Jointly Owned Property (Schedule F) C6) 32, 367.50 7. Transfers (Schedule G) C7) .0 0 c8) 32,3b7.50 8. Total Assets APPROV ED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) C9) .0 0 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) .0 0 11. Total Deductions (11) .0 0 C12) 32,367.50 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0 14. Net Value of Estate Subject to Tax (14) 298,934.60 NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date . ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate C15) .0 D X 0 0 = .0 0 16. Amount of Line 14 taxable at Lineal/Class A rate C16) ?1. 785 _ 85 x 045 = 9, 980 .36 17. Amount of Line 14 at Sibling rate C17) 77 . l 48 _ 75 X 12 9, 257.85 18. Amount of Line 14 taxable at Collateral/Class B rate C18) .0 0 X 15 = .0 0 19. Principal Tax Due C19)= 19,238.21 rex rQ~nTSC. PAYMENT DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID **~ SUMMARY 0 ALL 05 PAYMENTS ~** 11-27-2010 500.00 .00 1,331.34- 20,070.22 TOTAL TAX PAYMENT 19,238.21 BALANCE OF TAX DUE .00 .INTEREST AND PEN. .00 TOTAL DUE .00 ~ IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~.~ ._ ..... _..._ _ _ _ Pennsylvania ~ BUREAU OF INDIVIDUAL TAXES f,~ ~n:'~p.,, ~' INHERITANCE TAX DIVISION F~i_L,~`~`,~;~~':.`~~+~+~~ANCE TAX DEPARTMENT OF REVENUE PO BOX 280601 ~r~.'$~T'ATE1'! u~ OF ACCOUNT REV-1607 Ex AFP Q2-10) HARRISBURG PA 1 7128-0601 in ~" ` - ' ' `~n'J v~s~ i ~UV ~ ~ /d!. ~ ~ ~ G J CLERK OF BARBARA SUMPLE SULI~1~1/'~}~,P,S'~ ~~~ P~ 549 BRIDGE ST NEW CUMBERLAND PA 17070 DATE OS-08-2011 ESTATE OF RAMSEY ANNA B DATE OF DEATH 05-29-2004 FILE NUMBER 21 04-0566 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALON6_ THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS REV 1~0:/~ EX AF~~ C12 10~ ~~~~~ **° INHERITANCE TAX STA1*EME~FIT~OF ACCOUNT ~~*~ ~~~~~~~~~"""""" ESTATE OF:RAMSEY ANNA B FILE NO.: 21 04-0566 ACN: 101 THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMM DATO 0 E PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-14-2011 PRINCIPAL TAX DUE: 19,238.21 PAYMENTS CTAX CREDITS): PAYMENT RECEIPT DISCOUNT C+) DATE NUMBER INTEREST/PEN PAID C-) *** SUMMARY OF ALL 005 PAYMENTS *** 11-27-2010 500.00 11-27-2010 1,331.34- TOTAL DUE ~ IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. AMOUNT PAID .00 20,070.22 TOTAL TAX PAYMENT 19,238.21 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 .00