HomeMy WebLinkAbout06-17-10J 1505607121
REV-1500 Ex (06-05) OFFICUU. USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BQX 280601 2 1 0 9 0 9 9 0
Harrisbu~l, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Soaal Security Number Date of Death Date of Birth
1 9 5 1 6 2 9 6 9 0 9 1 8 2 0 0 9 0 7 1 0 1 9 2 5
Decedent's Last Name Suffix Decedent's First Name MI
MOY E R ~ ~ CHARLES D
(If Applicable) Enter Survivir~ Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
FILL IN APPROPRUTE OVALS BELOW
THIS RETURN MUST BE FILED IN DUPLICATE VIIITH THE
REGISTER OF WILLS
1. Original Retum ~ 2. Supplemental Retum ~ 3. Remainder Retum (date of death
pnorto 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Retum Required
death after 12-12-82)
^X 6. Decedent Died Testate ~ 7. Decadent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephonil Numberry
MARK A MATEYA ESQ 7 1 7# 1 ~5 Q~30
Firm Name (If Applicable) ~
REGIST~ LS U NLY~~-~. ~X7
--! t-='7
MATEYA LAW F I RM 4r>~ ~ ~~~
First line of address ~ ~ _ r;_--,
~~ A ~ t .~
5 5 W CHURCH AVENUE ~~„ s "`"-'
Second line of address 'o ~ '~'~ r~
City or Post Office State ZIP Code I DATE FILED
CARL I SL E PA 1 70 1 3
ComespondenCs e-mail address: MAMr~MATEYALAWFIRM.COM
Under penalties of perjury, I der~e that I have examined ihia retwn, indudklg aooompenyirg sdiedubs and sfeterrlents, and to the beM of my knowledge and belief,
it is true. and oornplele. DeGeretion of preparer other than the pereonal representative b based on aA fnfortnalbn of which preparer has arty knowledge.
SIGNA RE LE FOR FILING RETURN D ~
ADD E
_41.4 CROSSROAD SCHOOL ROAD CARLISLE PA 17013
SIG _ REEF P~tEP Q@R~itIER THAN REPRESENTATNE neTC .
55 W CHURCH AVENUE CARLISLE PA 17013
PLEASE USE ORIt31NAL FORM ONLY
Side 1
L 1505607121 1505607121 J
J
1505607221
REV-1500 EX Decedent's Social Security Number
Deoedenrs Name: CHARLES D. MOYER 1 9 5 1 6 2 9 6 9
RECAPITULATION
1 4 5 0 0 0
0 0
1. Real estate (Schedule A) ........................................ 1. .
2. Stocks and Bonds (Schedule B) .................................. 2.
3. Closet' Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. •
4. Mortgages & Notes Receivable (Schedule D) ........................ 4. •
4 4 3 5.6 2
5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ....... 5.
6. Jointy Owned Property (Schedule F) ^ Separate Billing Requested ....... 6• •
7. Inter-Vivos Transfers & Miscellaneous N -Probate Property
t
d
Billi
R
~ S
t
7
•
......:
eques
e
epara
ng
e
(Schedule G) .
8. Thal Gross Assets (total Lines 1-7) ........................... 8. 1 4 9 4 3 5. 6 2
9 1 9 9 2 7. 4 4
9. Funeral Expenses 8~ Administrative Costs (Schedule H) .. ....... ....... .
7 1 9 7 7 4 3
10. Debts of Decedent, Mo a e Liabilities, 8~ Liens Schedule I
rt9 9 ( ) ..... ....... 10. .
11. Total Deductions (total Lines 9 ~ 10) ............. ....... ....... 11. 9 1 9 0 4. 8 7
12. Net Value of Estate (Line 8 minus Line 11) ........... ....... ....... 12• 5 7 5 3 0. 7 5
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) .... ....... ....... 13. •
5 7 5 3 0 7 5
14. Net Valve Subject to Tax (Line 12 minus Line 13) .................. 14. •
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax ra#e, or
transfers under Sec. 9116
0
0
0
15
0
0
0
(a>(1.2) x .0 . . .
16. Amount of Line 14 taxable 5 7 5 3 7
0 5 2 5 8 8 8 8
at lineal rate X .045 . 16. .
17. Amount of Line 14 taxable ~ 0 0 ~ 0
at sibling rate X .12 17. •
18. Amount of Line 14 taxable
~ 0
~
~
0
0
at collateral rate X .15 18 •
2 5 8 8. 8 8
19. Tax Due .................................. ....... .......
1s.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
1505607221 1505607221
REV-1500 EX Page 3
Decedent's Comole ' Address:
File Number
21 09 0990
DECEDENTS NAME
CHARLES D. MOYER
STREET ADDRESS
104 EARL STREET
CITY
CARLISLE STATE
PA ZIP
17013
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. InterestlPenalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C) (2)
Total Interest/Penalty (D + E } (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
FiM fn oval on Page 2, Line 20 do request a refund.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(1) 2,588.88
0.00
0.00
(4) 0.00
(5) 2,588.88
(5A)
(56) 2,588.88
Make Check Payable to: REGISTER GP ILLS, 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 : ................................................................
i
i ...... ^
^
ncome; .........................
ts
b. retain the right to designate who shall use the property transferred or ......
^ 0
c. retain a reversionary interest; or .......................................................................................... ......
^ 0
d. receive the promise for life of either payments, benefits or c,~re? ................................................. ......
2. If death ocxurred after December 12,1982, did decedent transfer property within one year of death
^
without receiving adequate consideration? .................................................................................
'
" ......
^
or payable upon death bank account or security at his or her death? ...
intrust for
3. Did decedent own an ......
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a benefiaary designation? ............................................................................................ ...... ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1,1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) peroent [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 u$e of the surviving spouse is zero (0) percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disdceure 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 twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent (!2 P.S. §9116(aK1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefiaaries is four and one-half (4.5) percent, except as noted in
72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)J.
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. 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.
-- _.__. __ - _ _. i-__._. __._
•. ~ / t
LAST WILL AND TESTAMENT f f~ .__ } ~`
~~`
I
~
~
d
dle n °'
I, CHARLES D. MOYER, of Boiling Springs, South
Township, Cumberland County, Pennsylvania, being of sound mind,
memory and understanding, do make, publish and declare this as
and for my Last Will and Te~ament, hereby revoking and ma~Cing
' ""'"""''VtSid alfi former -W3~a°-~~° at any time heretofore. made. ',
FIRST. I direct all my just debts and funeral expen~es,
including all inheritance taxes, be fully paid and satisf~ed
out of my estate by my Executor hereinafter named as soon,as
conveniently may be after my decease.
SECOND. I give, devise and bequeath my entire Estate,
whatsoever. and wherever situate, unto my wife, Evelyn G. foyer,
to be hers absolutely.
THIRD. In the event that my said wife should predecease
me or we should both die as the result of a common disaster,
then in either of those events, I direct my successor
hereinafter named to convert my entire Estate, whatsoeverFand
where situate, into cash at either public or private sale or
sales at the best price or prices obtainable in their discretion.
After the same has been converted into cash, I give
bequeath the same to my four children, share and share alike,
in four equal shares, or to their issue, if any of them should
predecease me.
LASTLY, I hereby nominate, constitute and appoint myh wife,
Evelyn G. Moyer, Executor of this my Last Will and Testament,
if living and able to serve; otherw3ee, I hereby nominate,II constitute
and appoint Robert Moyer and Linda Dyer as successor Exelcutors,
or the survivor, successor Executor of this my Last Will a,nd Testament.
~ ,
IN [JITNESS WHEREOF, I have herebnto set my hand and seall
this " ~' day of ` >.~~.z....L 1969.
..
.,
'` •; ,cr ~ ,~:...~. +[i , i / J Q~ % ~ c (SEAL)
5i~ned, sealed, published and declared by the above na ed
Testator, CI~IARLES ll. MOYER, as and for .:is ;.3st '~1i11. and Te tament,
in the presence of us, who, at his request and in his prese ce and
in the presence of each other, have hereunto subscribed nr ames as
witnesses thereto. - ~
` y / `
// ~ C' . ~ s
REV-1502 EX + (6-98)
SCHEDULE- A
COMMONWEALTH OF PENNSYLVANIA REAL ESTATE
INHERrfANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
CHARLES D. MOYER 21 09 0990
Ail real properly owned soleh- or as a tenant in common must be r~orbad at fair market value. Fair market value )s defined as the price at which KY would be
exchanged between a wilfing buyer and a wiAing seller, neiUrer being compelled to buy or sell, both tlavirg reasonable knowledge of the re nt fads.
Real which leowned widr ht of suninrorsh must be dleclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 104 EARL STREET 145,000.00
BOILING SPRINGS, PA 17007 '
SEE ATTACHED HUD-1 SETTLEMENT SHEET
I
I
i
i
~,
i
i
I
it
'I
TOTAL (Also enter on line 1, Recapitulation ; 145 000.00
(If more space is needed, insert additional sheets of the same sip}
~^~ OMB Approval No. 2502-0265
~ ~ A. Settlement Statement (HUD-1)
1. ^ FHA 2. ^ RHS 3. ^Conv. Unins. 6• File Number: 7. Loan Number: 8. Mortgage Insurance Case Number:
PY010-27
4. ^ VA 5. ^Conv. Ins.
C. Note: This form is famished to give you a statement of actual stttement costs. Amounts paid to and by the settlement agents aro shown Items marked
"(p.o.c)" wero paid outside the dosing; they aro shown hero for Informational purposes and aro not Indudad in the tohb.
D. Name 8 Address of Borrower: E. Name 8 Address of Seller: F. Name & Address of Lender.
Mathew A. Kennedy, Naoko Adachi Kennedy Estate of Charles D. Moyer Graystane Mortgage
5115 East Tdndle Road, Ste B, Mechanicsburg
PA 17050
G. Property Location: H. Settlement Agent t. Settlement Date: 08109x2010
104 Ead Street Pyramid Land Transfer, LLC Disbursement Date: 08x0912010
Boiling Springs, PA 17007
40.2&2100-173, South Middleton Township Place of Settlement: TrueE~xxppress
26 West High Street, Carlisle, PA 17013 Printed08109~12010 at 1 t37 am
by BS
are obsolete Page 1 0 4
700. Total Rail Eafabe Broker Fees S 8,700.00 Paid From Paid From
Division of commission Tine 700 as fdbws: Borrower's Seller's
701. 54375.00 to PNdentl~ Hanesale Services Group Funds at Funds at
702. 54 325.00 to Jack Gaughan Realtor ERA Settlement Settlement
703. Commission paid at settlement 8,700.00
704. Broker fee W Prudential Homes~e Services Group 195.
800. tlarts ble M Connsdbn with loan
801. Our originatlon charge (Indudes Origination Pant 96 a .00) 5336.00 (from GFE #1)
802. Your Credit a charge (prints) for the specific interest rate chosen E from GFE #2}
603. Your adjusted origination charges (from G E A) 336.
804. Appraisal fee to 5450.00 P.O.C. B (from GFE #3)
805. Credft report to FIRST AMERICAN CREDCO (from GFE ff3) 17.37
806. Tax service tp ( GFE #3)
807. Food certii'K:ation to from GFE #3
808. to
900. kerns uind Lsrtdarto bs Paid M Adtranu
901. Daily interest charges from from to 7 1 10 ~ day from 1 41 .
902. Mortgage Irts. Premium for months to (~^ )
903. Homeowner's insurance for monde to USAA 5590.25 P.O.C. B 11
904, madhs to from GFE #11
1000. Ressrvss wkh
1001. Initial deposit far your esaaw account (from GFE #9) 1,660.77
1002. Flonreoxrtters insurance 3 months 5 49.191morttlt 1 7.57
1003. Mortgage Insurance months S 64.28hnortth .00
1004. Cfty Property Tax months S O.OQrrtwrtth .00
1005. County Property Tax 6 mortdts S 29.391month 176.
1006. Assessments 13 months 5 121.711manth 1,562•
1007. Aggregate Adjustment 5-245.37
1100. Title Cha ss
1101. Title servwas and lender's lids insurance ( FE 1,270.87
1102. Settlement a dosing fee tp S
1103. Owner's doe insurance (from GFE #5) 31.50
1104. Lender's title insurance t, 3.87
1105. Lerxlers title pocky limit 137,7 .00
11 O6. Owners title pdky lirttit 145,
1107. Agenrs portion of rite total insurax:a premium 79.
1108. Underwriters portion of the tote title insurartoe premirxn 1 . 1
1109. Closing protection latter to rartad Land Transfer, U.C 5•~
1200. Govemmertt Record and Transfer C
1201. Government recording charges (from GFE #7) 134.00
1202. Deed 554.00 580.00 Release 50.00
1203. Transfer taxes (from GFE #8) 1,450.00
1204. Ciry/Counry taxlstamps Deed 51450.00 50.00
1205. State Tax/stamps Deed 51,450.00 50.00 1,450.00
1206. Deed 50.00 50.00
1207. Tax Parcel Certificetiort ~•~
1208. assignment of Mortgage 40.50
1300. Addkional Ssttlsrrtsnt Cha
1301. iced services that you can shop or ( E
1302. Survey to
1303. to
1304. Home/TemitelRadon Inspection to AI a Homer In 5450.00 P.O.C. B
1305. Home Wamanry to AHS W 4•
1306. 2010 County ownship Taxes to Robert Calms tax cdlector
1307. 2009 Scholl Taxes to Twc gain Bweau 1,512.
1 . Quartedy Water Sewer to SMTMA 75.
1309. Chimney repot to Smith Exteriors 1
1310. Repairs to home to Neidl' Fine Hanes 5•
1311. Deed preparation to a l.aw Firm 1
5, . 9 1
'Paid outside of dosing by (B)orrower, (S)efier, (L)ender, (I)mesta, 8ro(t()er•
arc
'Com of Good Fafth Estlmab GF and HUD~1 lea
C That Cannot Increase HUD•1 Llne Number
Our origination charge #801
Your pedlt ar charge (points) for the spedfx: IMerest rate dbsen #802
Your adprsted origination charges # 3
Transfer taxes 1
That Can
Initial deposlt for your espow account # 1001
Dairy Interest charges from # d
Homeowner's insurance # g0
T'41e services and lender's title insurance # 11 1
s title insurarx~ # 11
Loan Terms
Good FaNh Estimate HU61
336. 336.
0
336.00 336.00
1,51 .00 1,450.
Your initial loan amount is 5137,750.00
Your ban term is 30 yeare
Your inidaF interest rate is 4.9500%
Your initial rtwnthly amount owed for pdncipal, interest, and any mortgage 5735,27 indudea
insurance is
^X Prindpal
^X Interest
^ Mortgage Insurance
Can your interest rite rise? ^X No. ^ Yes, lt can dse to a maximum of %. The fast change
will be on ! I and can change again every years after / I . Every dtange
date, your interest rye can inas~e or deaease by %. Over the life of the ban, your
interest rate is guaranteed to never be lower than % a htpher than %.
Even 'd you make payments on time, can your ban balance riae4 ^X No. ^ Yea, lt can dse to a maximum of S
Even 'rf you make payments on tlme, can your monthly amount owed far ^X No. ^ Yes, the first increase can bean ! 1 and the monthly
pdrxipal, interest, and mortgage insurarx:e dse7 amount owed can rise to S
The maximum lt can ever dse ro is S
Does you ban have a prepayment penalty? ^X No. ^ Yes, your maximum prepayment penalty k S
lbes your ban have a baltoon payment? X^ No. ^ Yes, you have a b:rlbon payment of 5 due in
years on / /
7olal monthly mount owed indud'xg es<xaw acxbunt payments ^ You do not have a monthly escrow payment for items, such as properly taxes
and homeoNmers Insurance. You must pay these hems directly yourself.
X^ You have an additlonal monthly escrow payment of 5264.57
that results in a total intial monlhty amount owed of 5999.84. This indudes principal, Interest, any
mortgage Insurance and any items drecked below:
^X Property taxes ^X Homeowner's insurance
^ Flood insurance ^
^ ^
Note: If you have any questions about the Settlerrient Charges and Loan Terms listed on this form, please contact your lender.
Previous editions are obsolete Page o 4 HUD-]
HUD CERTIFICATION OF BUYER AND SELLER
I have earo(uly reviewed the HU61 Settlement Statement and to the best of my knowbdye and belief, R is a true and accurate statement of all roceipts and
dkbunrements made on my axount or by ms in thk transaction t further certify that I have roceived a copy of the HUD1 Sedlement Statement.
-d2~a G
Mathew A. Kennedy
~.~~/~~
Naoko Adachi Kennedy
`i• L~G is d ~ '
e of Charles D.
The HUO.1 Battlement Ststemsnt which 1 have praper~d k a true end accurate acwunt of Mk tronsactlon. I have auaed or wfA eauae the funds to be
disbursed in accardenoe with thk statement
" fw ''
SETTLE GENT DATE
li
~I
WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON''
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 18: U.S. CODE SECTION 1007 AND SECTION 1010.
are
REV-1508 EX + (6-98)
SCHEDULE E
COMAAONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, ~ MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
CHARLES D. MOYER 21 09 0990
Indude the proceeds of litigation and the date the pnxeeds were received by the estate.
AN property jointly-owned with ripM of survivor:hlp must bs diacbsed on Schsduk F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. SOVEREIGN BANK 2,010.62
INTEREST CHECKING ACCOUNT
ACCOUNT NO XXXX)CX4856
2. 1993 CHEVROLET LUMINA AUTOMOBILE 1,425.00
KELLEY BLUE BOOK VALUE
GOOD CONDITION
3. PERSONAUHOUSEHOLD GOODS 1,000.00
TOTAL (Also enter on line 5,
(If more space is Headed, insert additional sheets of the same size}
1993 Chevrolet Lumina -Private Party Pricing Report -Kelley Blue Book Page 1 of 2
L SEARCH
• 11! aaniiiice
Home New Cars Certified Pre-Owned Used Csrs Research Reviews & News Dealers ~ Inventory Cars For Sale Loans &
Insurance
Used Car Values I Search Used Cars for Sale I Certilbd PrrOwned ~ Compare Vehkles I Perfect Car finder I Most Researched Vehldes I CARFAX Vehkk History
Welcome sack I Sign In (O~eate Account ~ MY KBB ZIP Code: 17007
Latest Car News
l1~a > J7sa!1.Gafa > 1S?3 > S~mLt > lu!alon > sedan 40 ~ Save Vehice Print ~ Email
1993 CAetrrolet Lumina Sedan 4D
Trade-in Value -----------
-----..-... ----- _.._..._....---_--
Privata Parly value IUIE fWq(' Fd1iA1E PAtt- f W1E ',RiP#'"
Suggested Retail Value
CPO value Condition r~r~ ~»_. Value
Photo Gallery
Cars For Sale Bawl EXCellent 61,625
Compare vehicles Good ;1,425
Blue Book Review
Fair #925
Consumer Ratings More Photos
Find Your Next Car
SpeciflcatiDns
-
SEARCH LOCAL LISTINGS
H EXT STEP:
pf A YSEB Ut
On aMrs aeok garillada°
Free CARFAX Retard Chedt PoroiO a'
Chevrolet
~
-- -.._ .......-----
- ': VIN:
~~ - -~ No V3N? No Prodem!
75 Mlles . ........... ._ _.....___.~,__......__..__-_ _... _
Near ZIP,37007
'. Average Consumer Retlrtq (IOq Reviews) Read Reviews
To View Ads, OkJr
~~
~~ j ~ 3.9 out of 6 Review this Vehlde
~ Shopping Toole ~W-..__._-------........._.-__.........._._...._.._.__-._______.__-.......__._.._._-------
Vahida Nigidights
Free CARFAX Record Check
Airtn Loan hom 3.85% APR
Get Your Cretlit Score Now Maepe: 360,000
Compare Insurance Pates Elpkts: V6, 3.3 Liter
T
l
l
with Progressive rarmt
w
on: Automatlc
Payment Calculator ' ~: FWD
Exterxled Warranty Quote
PHm For Sik Sign
----~------~--"~--"'-`- -- ;Selected Egtdpment Change lqulpmeM
i
aa~r
NBD A[ liiNi UR i aeandere
lampare llaad va New
Nr CItMItloMng Pbws Door Locks AM/FM Strao
Urxkr f5,000 ~ i Pbwar Stsanng TNt WhsY Caustts
Power kYlndOws 6Uae Control
! '`--.. _-
Both New and lJSed ~
l
Sedan
To view Lkq, LTltit
j slue look Private Party Vallle
h~ ~~it ~~ ~ KeOey Blue Book Private Party Value is ttN! amount a huYer can expect ro
pay when buying a used ar from a pnva[e party. The Private Party Value
SekR Year... ~
' ~~ fhe vNdde is sold "AS Is" arld carries no warranty (other than any
, remafning hGOry warranty). Tne anal sob prke may vary daperxang on the
t rte kc. veMde's aQUal conditbn and local market rnnddlHOns. This value may also be
-'' i used to derlvE Fair Market Yalue for inwrance and vehkle donation
~ •~-trtxie, ?Purposes.
j Vehlda CondlUon Ratlrgs Check Vehicle Title History
Or Search by Category iIi
Or Charge ZIP Code !
I
i~
3
s
i
I
s
r Estlmated Payments
tact as Duce
Get aPre-Owned Loan from
4.24%APR
Get Your trMlt Score Now
Get a Free insurance Quote
- adve~tlsement
http://www.kbb.tom/kbb/UsedCars/PncingReportl1993_Chevrolet Lumen . .
6/9/2010
,_ __.~
1993 Chevrolet Lumina -Private Party Pricing Report -Kelley Blue Book Page 2 of 2
~~~
amm 41x625
• Looks new, is in eKCellent medtankal corldltlon an0 needs no
mcantliROMnq.
• Never had any paint or body work and Is hee of rust.
• peen title history and will pass a smog and safety InspecUOn.
• Engine mmparbnerrt is dean, with no Ruki leaks antl is free of any
wear or visible defects.
• Complete sod venRable service records.
Less than S% of aN uuM vehides fall Into this category.
ra00d
t~'S X1,425
• Free of arty maJor tlefeds.
• peen title history, the paints, hotly, arW interior have only minor (if
any} blemishes, aM there are no maJor rechanical problems.
• LKtle or no rust on Htis vehide.
• Tires match antl have suhs[andal !read Wear left.
• A'gootl' vehide will need some recontlitionmg to be sold at retail.
Most wnsumer owned vehides fall Into this category.
Fair
~:~: ;925
• Some mechanipl or cosmetic defects and neetls servicing bt6 Is still
In reasonable running condNion.
• peen title history, the paint, hotly and/or Interior need work
pertiNmeA by a professional.
• 71res may need to be replaced.
• There may be some repairable rust damage.
Piper
• Seve~e mechanical and/or cosmetic defects and is In poor rwminq
mnditlon.
• May have problems Mx camro[ be readily fixed such as a damaged
frame or crusted-through body.
• Branded titb (salvage, Rood, etc.} or unsubstamiated mileage.
Kelley Blue Rook does not attempt to report a value on a "poor" vehide
because the value of these vehkVes varies greatly. A vehide In poor
wntlltlon may require an Independent appraisal to determine Its value.
• pemsyhranla 6/9!7030
AxtrsM CatdHlon Appraisal Change Condition
Acdaately appraising the contlRkm of a vehicle Is an important aspect m
determining Its Blue Book vxue. Taking our 16 question corMltfon quiz will
ensure you know the correct condtbn ratlrg.
NEXT STEP. SEARCH LOCAL LISTINGS
® zo ro Kelley en,e soar co., rM. A/r ABMs resmvad. alvzao-sif olZOf o eanion.
Tne sperl/k InM1armstbn required m delbrnrrre dre valor Inn ties perdcuNr Vertlfl! was
strpprbd aY the parson ixneratlr0lns report. VanKJe v~lwtiws are opmpns era may
Maly Irom vallida to vMk7e. Acluel valwaoM oral vary NaeO upon market OpMltfpM,
spedlkatbM, vankN coewmon or other partkuNr tlmrmsbnces per[Ment to ms
partfcupr vMArN a [ne tnMacdon a dre arras to dre tnnsaubn, ma report Is
MterMed br tMR rMlvMUal use dens person peMratMq Ns report onN and shsa not
oe sold or beMmltted to snoHMr pny. Kelley Brae Boat assumes ra r•apoMrlNNry br
errors or omlaMns. (v.10067)
On K•O.tom Home New Grs Cemfied Prt-Oxned Useo Cars Research R9view9 & New9 Otslers Call For Sale loans a Inaunncc KBBWGreen KaBSn Madla Motorcydee
raytay tteky Naw York Auto Snaw New Grs For Sale U9M Cars For Sala Nor Ur Prices 5 Gnat Car Deals Car Revlaws Car VWaos Atno Shows
ra0oet IW Aoout Us Contact Us Canars FAQ Matlia PaveHising Linking Privacy Sae Msp rapyd9ht & hademarks Temps of Service
O 1995-1010 KYhy Blrta Book G., Inc. Business Inqulnts ,
III
http://www.kbb.coin/kbb/LJsedCars/PricingReport/1993_Chevrolet Lumina~_... 6/9/2010
REV-1511 EX + (10-06)
CONNNONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE H
FUNERAL EXPENSES ~
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER '
CHARLES D. MOYER 21 09 0990
Debts of decedent must be reported on Schedule I.
ITEM '~
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES: ',
1. HOFFMAN ROTH FUNERAL HOME & CREMATORY 9,274.29
2. GEORGE'S FLOWERS 180.20
3. CUMBERLAND VALLEY MEMORIAL GARDENS -VAULT, OPEN & CLOSE GRAVE- '~, 1,495.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s) '~,
Street Address 'i
City State Zip II
Year(s) Commission Paid:
y, AtbmeyFees MATEYA LAW FIRM
3. FamNy Exemption: (If decedent's address s not the same as deimant's, attach explanafbn)
Claimant
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Street Address
City State _
Relationship of Claimant to Decedent
7,000.00
Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS 319.00
I
Accountant's Fees
Tax Retum Preparer's Fees
CUMBERLAND LAW JOURNAL -LEGAL ADVERTISEMENT ' 75.00
THE SENTINEL -LEGAL ADVERTISEMENT 208.78
CUMBERLAND COUNTY REGISTER OF WILLS -SHORT CERTIFICATE I 4.00
CUMBERLAND COUNTY REGISTER OF WILLS -FILING FEE FOR REV-1500 II 30.00
INTERSTATE WASTE SERVICES - (12/8/09) DISPOSAL OF HOUSEHOLD ITEMS I 382.03
INTERSTATE WAST SERVICES (3/1/10) DISPOSAL OF HOUSEHOLD ITEMS 213.33
OFFICE MAX -FAX SERVICES TO INSURANCE COMPANY 7.95
LOWES -LIGHTING FIXTURES FOR HOME IN PREP FOR SALE ' 90.91
OFFICE MAX -WIRING SUPPLIES FOR ELECTRIC IN PREP FOR SALE 28.79
LOWE'S -PAINT AND SUPPLIES FOR PREP FOR SALE ~ 382.20
U-HAUL RENTAL EQUIPMENT- REMOVAL OF HOUSEHOLD ITEMS ~ 64.36
MATHEW KENNEDY -PLUMBING REPAIR FOR SALE OF HOME 60.00
TOTAL (Also enter on line 9, Recapitulation) I b
Zip
1
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
CHARLES D. MOYER 21 09 0990
Decedent's Name Page 1 File Number
Schedule H -Funeral Expenses ~ Administrative Costs - B7.
ITEM
NUMBER DESCRIPTION AMOUNT
19. STEVE CORNMAN PLUMBING - REPAIR TO KITCHEN SINK FAUCET
20. LOWE'S HOME CENTER -PAINT FOR REPAIR TO HOUSE
21. AHS WARRANTY -HOME WARRANTY ON SALE OF REAL ESTATE
22. STATE TAX/STAMPS FOR SALE OF REAL ESTATE
23. PRUDENTIAL HOMESALE SERVICES GROUP - REALATOR COMMISSION
24. PRUDENTIAL HOMESAL SERVICES GROUP -BROKER FEE
25. NEIDLINGER FINE HOMES -MISC. REPAIRS TO HOME FOR SALE
26. SMITH EXTERIORS -CHIMNEY REPAIRS FOR SALE OF HOME
27. MATEYA LAW FIRM -DEED PREP
28. PYRAMID LAND TRANSFER CO -ORIGINATION CHARGE FOR SALE OF HOME
29. PYRAMID LAND TRANSFER CO -TRANSFER TAX FOR SALE OF HOME
30. CUMBERLAND COUNTY RECORDER -DEED RECORDING FEE
31. APPRAISAL FEE FOR REAL ESTATE
32. CREDIT REPORT FEE FOR SALE OF REAL ESTATE
33. STEVE CORNMAN~- PLUMBING REPAIRS TO KITHEN SINK FOR SALE OF HOME
65.00
46.60
574.00
1,450.00
8,700.00
195.00
275.00
1,100.00
150.00
336.00
1,450.00
134.00
450.00
17.37
85.00
SUBTOTAL SCHEDULE H-67 I 15,027.97
REV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, 8~ LIENS
ESTATE OF FILE NUMBER
CHARLES D. MOYER 21 09 0990'
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unneimb~n><ed medical expenses.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1. FINANCIAL FREEDOM
~ 53,412.00
REVERSE MORTGAGE
,
ACCOUNT NO. 3000046619
2. COMCAST I 177.08
CABLE TELEVISION
ACCOUNT NO., 09547 375896-01-2
3. MEMBERS FIRST FEDERAL CREDIT UNION '~, 644.89
CREDIT CARD ACCOUNT
I
ACCOUNT NO. XXXX XX)CX XXXX 7993
!
4. EMBARQ ' 131.39
TELEPHONE SERVICE ',
ACCOUNT NO. 717-258-6724-268
5. MET-ED ~!, 158.31
ELECTRIC SERVICE FOR RESIDENCE
ACCOUNT NO. 10 00 21 1601 9 5 '~
6. LOWES 118.44
STORAGE CONTAINERS FOR COLLECTIBLES
7. APEX ASSET MANAGMENT (CARLISLE HOSPITAL) 101.14
MEDICAL EXPENSES
ACCOUNT 10697558 ~
8. SANFORD 8 ROUMM RHEUMATOLOGY I~'
~ 11.87
MEDICAL EXPENSES
',
ACCOUNT 5183
9. KINETIC IMAGING I 2.20
MEDICAL EXPENSE ~,
ACCOUNT NO KIN24218
10. MASLAND ASSOCIATES 31.56
MEDICAL EXPENSE
ACCOUNT NO. 2459
11. APRIA PHARMACY NETWORK 5.90
PRESCRIPTION MEDICATIONS
ACCOUNT NO. 679651
12. BRONSTEIN JEFFRIES PA '~
~ 43.06
MEDICAL EXPENSES
~
ACCOUNT NO. 1613
13. LUNG ASTHMA SLEEP ASSOCIATES II 56.49
MEDICAL EXPENSES
ACCOUNT NO. 14770
14. MOFFITT HEART & VASCULAR GROUP 14.03
MEDICAL EXPENSES
ACCOUNT NO. 39605
15. ROBERT C. CAIRNS, TAX COLLECTOR ' 352.63
CUMBERLAND COUNTY REAL ESTATE TAXES
TOTAL (Also enter on line 10,
(If more space is needed, insert additional sheets of the same size)
57.061.06
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
CHARLES D. MOYER 21 09 0990
Decedent's Name Page 2 File Number
Schedule I -Debts of Decedent, Mortgage Liabilities, ~ Liens
ITEM
NUMBER DESCRIPTION AMOUNT
16. CUMBERLAND COUNTY TAX CLAIM BUREAU !i 1,512.49
REAL ESTATE TAXES - 2009
17. SOUTH MIDDLETON TOWNSHIP SEWER AUTHORITY 75.40
OUTSTANDING QUARTERLY WATER AND SEWER CHARGES ',
18. I
EMBARQ
80.62
TELEPHONE SERVICE ',
SEPTEMBER 2009
19. SOUTH MIDDLETON TOWNSHIP MUNICIPAL AUTHORITY ~ 131.56
WATER SERVICE
7/1 /09 - 9/30/09
i
II
II
',
I
~,II
i
I
i
I
I
~!
~I
SUBTOTAL SCHEDULE I 1,800.07
GRAND TOTAL SCHEDULE I S 57,061.06
REV-1513 EX + (9-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
OF
E'
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS [mdude ouftig ~ spousal distributions, and transfers under
Sec. 9116 a] 1.2 ]
1. LINDA D MOYER
104 EARL STREET
BOILING SPRINGS, PA 17007
2. ROBERT G. MOYER
414 CROSSROAD SCHOOL ROAD
CARLISLE, PA 17015
3. BARBARA KUBIK
400 GLENN AVE
BOILING SPRINGS, PA 17007
4. DIANE J. PIKAARD
2123 S BENTREE DRIVE
BLOOMINGTON, IN 47401
FILE NUMBER
21 09 0990 '~
\TIONSHIP TO DECEDENT ~,
Do Not List Trustee(s)
Lineal
Lineal
Lineal
Lineal
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIAI
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
(If more space is needed, insert additional sheets of the same size)
IUNT OR SHARE
OF ESTATE
14,382.71
14,382.68
14,382.68
14,382.68
REV-1500 COVER SHEET