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HomeMy WebLinkAbout07-30-1015D561D143 REV-1500 Ex (01-10, OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE PO 60X.280601 INHERITANCE TAX RETURN 21 10 00284 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 188 38 6469 02 15 2010 12 Ol 1946 Decedent's Last Name Suffix Decedent's First Name MI HOWE SR. GEORGE W (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE 11NITH THE REGISTER OF' WILLS FILL IN APPROPRIATE OVALS BELOW rX ~ 1. Original Return n 2. Supplemental Return h 4, Limited Estate ~JI 4a. Future Interest Compromise ~_J (date of death after 12-12-82) I X~, 6. Decedent Died Testate ~ Decedent Maintained a Living Trust - (Attach Copy of Will) ~ (Attach Copy of Trust) (~ g Litigation Proceeds Received ~] 10. betweeriP2v31 ~1 a dt1(datges~f death ~_ L ~ g Remainder Return (date of death prior to 12-13-82) r- 5. Federal Estate Tax Return Required __._ ~___ g, Total Number of Safe Deposit Boxes f ~ 11 Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATIOPJ SHOULD BE DIRECTED TO: Name Daytime Telephone Number KURT A GARDNER 717 733 3330 First line of address 109 WEST MAIN STREET Second line of address City or Post Office ~r`ii~iiiy State ZIP Code rya ~752~ REGISTER OLS USE Qf~LY ,.,t ~, f ~:.. i ` ~ .~ t - ., ~ :,a ,, J _ ' -.._.~ ~ . ~ .:. ---: DqT~ FILED ~ ` ;4 cY". _. _,y ~ .' ,_ __. -~ ~J __.,_ i ti~ -_~ Correspondent's a-mail address: gardnerstevens@dejazzd.com Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative rs based on all information of which preparer has any knowledge. SIGNATURE F PERSON RESPONSIBLE FOR FILING RETURN DATE ~~°1,' ~ '~ George W. Howe Jr. s~.~~G°_~ ADDRESS 921 Miller S Lebanon PA 17046 SIGNATURE OF P R TH r~EPRESENTATIVE ATE ~d~G-cam-... (~w !Kurt A. Gardner ~ ~~ ADDREB'S - 109 est Main Street, Ephrata, PA 17522 Side 1 1505610143 1505610143 J V J 1505610243 REV-1500 EX Decedent's Name' HOWe, George W. Sr. RECAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 2. Stocks and Bonds (Schedule B) ............................................................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................................................ 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... 5. 6. Jointly Owned Property (Schedule F) ~] Separate Billing Requested............ 6. 7. Inter-Vivos Transfers & Miscellaneous -Probate Property (Schedule G) ~ Separate Billing Requested............ 7. g. ......... Total Gross Assets (total fines - ........................................................... . 8. 9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 10. Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) .............................. 10. 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............................................... 13. 14. Net Value 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 rate, or transfers under Sec. 9116 15. (a)(1.2) X .00 16. Amount of Line 14 taxable '~ 4 , 197.37 16. at lineal rate X .045 17. Amount of Line 14 taxable 0 0 0 17 . at sibling rate X .12 . 18. Amount of Line 14 taxable 0 • 0 0 18 at collateral rate X .15 . 19. Tax Due ................................................................................................................ .. 19 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Decedent's Social Security Number 188 38 6469 83,455.05 893.73 84,348.78 10,089.04 62.37 10,151.41 74,197.37 74,197.37 0.00 3,338.88 0.00 0.00 3,338.88 Side 2 15056],0243 1525610243 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-10-00284 DECEDENT'S NAME Howe, George W. Sr. STREET ADDRESS Camp Hill State Prison 2500 Lisburn Road i CITY Camp Hill STATE PA IMP 1011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments 3,200.00 B. Discount 166.94 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. Total Credits (A + B) Make Check Payable to: REGISTER OF WILLS, AGENT. 3,338.88 (:?) 3,366.94 (:i ) (4) 28.06 (`~) 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 incomnatetwho halrtuse thee ro ert transferred or its income :................................. ~_~ ~, x ~ b. retain the right to d Y 9 p...P....Y ............................................................................ [_, ~ x d. rece ve the promise for I fe of a ther payments, benefits or care? ........................................................... ~_i 2. If death9 ccurgred after December 12, 1982, did decedent transfer property within one year of death without iL=, receivin ade uate consideration? ................. ~ t ~J --, , 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ~ _i x 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which ~~ contains a beneficiary designation? .................................................................................................................. ~I ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT A:i PART OF THE RETURN. 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.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 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on 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 (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 percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1 )]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1508 EX+ (6-98~ SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY GOMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Howe, George W. Sr. 21-10-00284 Include the proceeds of litigation and the date the proceeds were received by the estate. AIt property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 PNC Checking Account - No. 5110682834 5,612.38 2 PNC Savings Account - No. 5112514535 45,258.88 Accrued interest on Item 2 through date of death 14.85 3 2003 Ford F150 Harley Davidson SuperCrew -VIN - 1 FTRW07323KC90322 12,375.00 Kelley Blue Book Valuation Attached 4 2003 Harley-Davidson FLHRI Road King -VIN - 1 HD1 PGE163Y953004 9,760.00 Kelley Blue Book Valuation Attached 5 2009 Harley-Davidson FXD Dyna Super Glide -VIN - 1 HD1 GM4179K331636 8,400.00 Kelley Blue Book Valuation Attached 6 Pennsylvania Department of Revenue - 2009 State Refund 9.00 7 United States Treasury - 2009 Federal Tax Refun 1,528.00 8 Fidelity Investments 401(k) -Plan No. 12223 496.94 TOTAL (Also enter on Line 5, Recapitulation) I 83,455.05 (If more space is needed, additional pages of the same size} Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1510 EX+ (6-98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF IF1LE NUMBER Howe, George W. Sr. 21-10-00284 This schedule must be completed and filed if the answer ko any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET Is yes. ITEM NUMBER DESCRIPTION OF PROPERTY THE D TE OFnTR~ NSFERSATTACFi A CIOPY OF T~E DEIED ~OR REAL ESTA D . DATE OF DEATH VALUE OF ASSET °r° OF DECD'S INTEREST ExcLUSION (IF APPLICABLE) TAXABLE VALUE 1 B. J. Baldwin Electric, Inc. -Act No. 6460-1-1 893.73 893.73 Designated Beneficiary -George W. Howe, Jr. TOTAL (Also enter on Line 7, Recapitulation) I 893.73 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) REV-1151 EX+(10-06) 1 I SCHEDULE H FUNERAL EXPENSES & COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Howe, George W. Sr. 21-10-00284 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT A. FUNERAL EXPENSES: See continuation schedule(s) attached B. 1 ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) 7,326.81 Street Address City State Zia Year(sl Commission paid 2. Attorney's Fees 2,168.30 See continuation schedule(s) attached 3, Family Exemption: (if decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zio Relationship of Claimant to Decedent 4. Probate Fees 338.50 See continuation schedule(s) attached 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 255.43 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 10,089.04 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Howe, George W. Sr. 21-10-00284 ITEM NUMBER DESCRIPTION AMOUNT Funeral Ex ep nses 1 Groff-High Eckenroth Funeral Home, Inc. -Funeral -Final Payment 1,248.44 2 Groff-High Eckenroth Funeral Home, Inc. -Funeral -Partial Payment 5,000.00 3 Heavenly Hashers -Funeral Luncheon 1,078.37 H-A 7,326.81 Attorney Fees 4 Gardner and Stevens, P.C. -Partial Attorney's Fee 1,994.80 5 Gardner and Stevens, P.C. -Partial Attorney's Fee 75.00 6 Gardner and Stevens, P.C. -Partial Attorney's Fee 9$.50 H-B2 2,168.30 7 Cumberland County Register of Wills -Probate 308.50 8 Lebanon County Register of Wills -Probate Oath 30.00 H-B4 338.50 Other Administrative Costs 9 Cumberland County Register of Wills - ITR and Inventory filing fee 30.00 10 Cumberland Law Journal -Additional Advertising Fee 5.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-15A0 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Howe, George W. Sr. _ 21-10-00284 ITEM NUMBER DESCRIPTION AMOUNT 11 Gardner and Stevens, P.C. -Reimburse Postage 5.54 12 Gardner and Stevens, P.C. -Reimburse Estate Notice -Patriot News 139.89 13 Gardner and Stevens, P.C. -Reimburse Estate Notice -Cumberland County Bar Assn. 75.00 H-B7 255.43 Copyright (c) 2002 form software on{y The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 EX+ (12-08) SCHEDULE f • ~ DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUINIBER Howe, George W. Sr. 21-10-00284 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) REV-1513 EX+ (11-08) f . COMMNHERITANCE TAX RETSl,1rYRN ANIA RESIDENT DECEDEN SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Howe, Geor a W. Sr. ~ 21-10-00 284 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$) o N i t Trus s I TAXABLE DISTRIBUTIONS [include outright spousal • distributions, and transfers under Sec. 9116 a 1.2 George W. Howe Jr. Son 1/3 of Residue 921 Miller Street Lebanon, PA 17046 Sheldon M. Howe Son 1l3 of Residue 910 Miller Street Lebanon, PA 17046 Stacey M. Howe Daughter 1/3 of Residue 919 Miller Street Lebanon, PA 17046 Tota I Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 15 00 cover sheet, as a r o riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-150(1 Schedule J (Rev. 11-08) Apr, 20, 2010 11:1 i AM PNC BANK 412-705-2747 ^,ro, ; ~G ~. ' %~2 (~P1VC u~,w~o~ew~r Apri120,2010 Kurt A Gardner Gardner & Stevens P. C. 109 W Main St Ephrata, PA 17522 RE: George W Bowe SSN: 188-38-6469 DOD: 02-1 ~-2010 Dear Mr, Gardner: In response to your request for Date of Death (DOD} balances for the customer noted above, our records show the following: Checking Account Accouxit # 5110682834 ~ Established.: 0~ 1-31-2000 GEORGE W HOWE DOD balance: $ 5,612.38 non interest bearing Savings Account Account # 5 i 12514535 Established: 08-27-2009 GEORGE w ~OwE DOD balance: $ 45,258.88 + 14,85 accrued interest Interest pa~rd 01-01-2010 thru 02-15-2010 $ 20.13 ~'TD Loan Account The decedent maintained Loan Account 4003007020028870 & 4003048113182238. For further information and assistance, please contact 1-888-762-226. Select option 1, then option 3 and then 0 (zero). After pressing zero, please remain on the line to speak with s Loan Finaacia,! Service Consultant. Page 1 of 2 Apr.20. 2010 11:11AM PNC BANK 412-705-2747 No.09~~~ P. 2/2 Please note that this office provides date of death balances for deposit accounts {IRAs, CDs, Checking and Savings). We do nat process any financial transgctions or provide statements. If you mead assistance with any of these items, please call 1-888-P'NC-~ANT~ (1-888-762-2265) or stop by your ]ocal PNC Bank branch office. Sincerely, National Financial Services Center PNC Bank, N.A. Men~.bex FDIC Page 2 of 2 2003 Ford F 150 -Trade In Value, blue book value -Kelley Blue Book ... ~. ~~'` Keller ~~e ~~ok SEAl2CFt ~_,#~ Tiff TRU5TE[) RfSOURCf i-ionte t~>i.r° L-~e:s Ceriaiiec ~sr-t;,~!nec Used Cars Research Rerrie+nFS & News Dea3ers ~ Inventory ::ins<'ifieds !_~ans ,~ I~si;tisxc~: l~=Pd ':i. JafueS ! Search Used i:l:r _ „„- i ;--e;ti:i('C Pre-(iwned ~ CompareVehicles ~ PerF'ect Cbr F:nder ~ 1+insc P.esearc had Vehicles ~ ~NF-FAX V .icicle His tr, ry Welcome Back 1 ~~c;, it 1 .:e :~r ~ . .: I ~' ,; ZIP Code: 17C46 latest Car News Home > Used Cars > 2003 > ~ > F15o > Harley Davidson SuperCrew 2003 Ford F150 Harley Davidson SuperCrew Trade-In Value P.-i•/ctEi ~a..t> `daiU°_ ~' .. .. -.. k >:;• ~(';h 'i ~t - .,. . -= L " e~ _ -.~ ~ Condition rno ~, ,,aiiery --r !~?a Co~.par2 Vehicles ~ L ExGSIlent ~i~!~ GGvk F:eview GOOd Fair ri~'u' Y'CUf f4ext Cdr .. ,.c -.,.,..:_ On Blue Book Classifieds"' -_ - Ford Local Listings: F150 ~ +~ Search Ford F150 ( 75 Miles ~ i" Search Certified Pre-Owned Ford F150 ~ Search all Classifieds near 17040 46 Near ZIP I170 To View Ads, Click r~ S.,r' v;tl•,ic~;._ Rr;nt Ee•i6:~V ~. &CAF:1.4ilii: ~° ~`, Finance & Insurance Value X14,375 ~ ~~ aP uet a Pre-evened l.e::r from $13r62S ~... _ cN X12,375 - <, ~_. Y"L'U l__rGtt .GrE' 110'.': ,__~ i1 ~rP.f ;t'.Sli„i~~:C L1UOir ~4verage Consumer Rating (879 Reviews) i:ead i?eci,=',•:~_: ..,,;. ShoppingToofs R~•;~<.v'.^.u Vei-~,:9., ~.7 out of 5 FrF.e '~:AF: r"A;, }2eC01':~ lt; E•~•' i ~~ompare _ncurance Hates ,~~t:i ;r,rressi~~e Vehicle Highfighis Pa~~rnenl ~aicuiatnr Mileage: 31,000 I=,;~~; „ i,eale; Engine: VS 5.4L Supercharged Transmission: Automatit Drivetrain: 2WD Compare Used vs. New . 310.000 to S15,OD0 ~ Selected Equipment Chance Equipment j Both New and Used ~ Standard Pickup ~ Air Condi[ioning AM/FM Stereo Leather Power Steering Multi Compact Disc Power Seat Power Windows Duai Front Air Hags Premium Wheels To View List, Click power Door Locks ABS (4-Wheel) Optional Select Year... ~ Power Sliding Window r.~,_,....... .o.] 81u° Book Trade-In Value ' -~" ' ' ~ _.a `e car'.,,. Kellev Blue Book Trade-In Value is the amount consumers can expect to _ - , - ~.? :_ nd~- receive from a dealer for atrade-in vehicle, assuming an accurate appraisal of the vehicle's condition, mileage and features. lfiis value will likely be less than the Private Party Value because the reselling dealer incurs the cost of safety inspections, reconditioning and other costs of doing business. Page 1 of 2 http://www.kbb.com/kbb/LTsedCars/PricingReport.aspx?Yearld-2003&Mileage=31000&... ail6/2010 - - - - CERT[F[CATE OF T{TLE FOR A VEH{CLE ~`~~ ~.` s r~ ,~ ~~~~ ~, ~ ~~b432~t~0~~~~Qb~i.~~~=~#~ : _ _... .. ,_... , _ _ ; ~+~"TR~137~23~~9~132~.: , :.~0~3.. I . ~~~t~~ ~ ~ I ~'~b~~~19~~~~~il~ ~fl VEHICLE IDENTIFICATION NUMBER 1 YEAR MAKE OF VEHICLE _ TITLE NUMBER ' ~ ~ ~ 4 ~ I BOGY TYPE DUP SEAT CAP PRIOR TITLE STATE ODOM. MILES ODOM. PROCD. DATE ODOM: STATUS j,~ ~! I fir{ ~•'~ ( ^~ `~ t y~ p DATE PA TITLED I DATE OF ISSUE I UNLADEN WEIGHT GVWR ` GCWR TITLE BFiANDS ~tg,~,p.~,~t~t; l~~~'E'~jy~.t~ REGISTERED OWNER(S) {~ GEpRGE ~ ~V~~ li` 1, rst'liarr,t,a/~t-i'( f•a>~a;~c,rrtftiirt;~ ~p nn~Q y~~++!~ .. N~ir~ NOCt>~Nfl °~'A ~?557 FIRST LSEN FAVOR OF: FIRST LIEN RELEASED DATE BY AUTHORIZED REPRESENTATIVE MAILING ADDRESS SECOND LIEN FAVOR OF: ODOMETER STATUS p = ACTWALMILEAGE 1 '='MILEAGE EXCEEDS TNE~MECHANIOAL "' LIMITS 2 =NOT Tfi£ ACTUAL MILEAGE 3 =NOT T}•tE ACTtiA1 MILE/1GE•ODOMETER TAMPERING VERIFIED' 4 =EXEMPT FROM ODOMETER DISCLOSURE TITLE BRANDS A =ANTIQUE VEHICLE C =CLASSIC VEHICLE D = COLLECTI&.E VEHICLE 'F =OUT OFCOWNTgY """"'G ~~,17RIGiF(A'CL~Y"~F130:'F27R'NON-U S^' DISTRIBUTION H =AGRICULTURAL VEHICLE L =LOGGING VEHICLE P = IS/WAS A POLICE VEHICLE R =RECONSTRUCTED S = STREET ROD T ~ RECOVERED THEFT VEHICLE V . VEHICLE COtVTAINS'IREI:iSUED VIN W = FL000 VEHICLE X ~ ISANAS A TAXI If a second lienholder is listed upon setisfachon of the first lien, :the 'first lienholder must forward this Title-to the 'Bureau of Motor :Vi~hiGes With the ' appropriate form and fee. SECOND LIEN RELEASED DATE BY AUTHORIZED REPRESENTATIVE . NEWRHi3LLAPI05PA 17557 ~ I • I~ ~' ~ I certify as of the date of issue, the official records of the Pennsylvani ~ a Department A ~ ~ ~>~ ~ 8 ,L ~ ~ i. ~E R ~ ~ ~ ~ of Tra~iol,vrielion reflect that the person(s) or company named herein is G~~a lawful owner -- ~ - - ~ - - ~- ~ ~--- -• I; ~ • of the said vehicle. Secretary of Transportation ;, ;: :f ~ .~. ' = u SUBSCRIBED AND SwOR If a co-purchaser other than your spouse is listed and you want the title to ,; ,.. To BEFORE ME: ~ 3 be listed as "Joint Tenants Wlth Right of Survivorship" (On death of one • • ~ M © DA YEAR owner title goes to surviving owner.j"EHECK .MERE O. Ohenvit,®, the 3it1~ ~ ~,;t• , will be issued as "Tenants in Common'' (On death'of one owner, lnterosY of 0 ~ ~ deceased owner goes to his/her heirs or estate). . ••~N i~ SIGN U RIN 1ST UEN DATE: --~ 1F NO LIEN, CHEGK " COMMONWEAL.TN OF PENNSYLVANIA 1ST LIENHOLDER -'`` NOraflai SL°a) _~ STREET Joan C 7i o . ~ r>aas, Notary Public Cit;r Of Lebanon, Lebanon County CITY STATE 21P J My Carnrnission Expires Jan. 24, 2014 IF THIS 1S AN ELT, CHECK HERE D FINANCIAL P'lembef, Pennswtvania Association of Notaries NOTE: FIN REQUIRED INSTITUTION NO. . The underaipneo hereby makes ePplicaCOn for CeNficele of T~Ue ro the ehicle tl nb d 2ND LIEN DATE: -~ 1F NO LIEN, CHECK ~--- ' -~~ ^ v esc e above, wgett to vie ealcumbrsruea and otnsrdegal.clalms ael loon Here. . - '--- 2ND LIENHOLDER ^^ J 1, /~ ~ pE OF A LPA It:AM~'OR AlJT11 D ~t~ STREET p . J I CITY STATE ZIP IF THIS IS AN ELT, CHECK HERE FINANCIAL ~ SIGNATURE OF CO•APPLtCANTlYITLE OF AUTHOFIZED SIGNER NOTE: FIN REQUIRED INSTITUTION NO. 2003 Harley-Davidson FLHRI Road King Motorcycle Trade-In Value & Price -Kelley B... Page 1 of 1 ... _ ~~s~. ;;. : - !~el~e~ ~lUe Oak SEARCH 7Nf TRUSTfU RESOURCE E~rstne tv?w Cars ~ertifieti Pr•e-Uwrtecs E}sed Cars E~eBearci, E~r"vit'asrs ~ €iiCV.Fc f'iealers ~ s~vaF.>ntc=ry Ciarszsfi~r,~-; ~.c.;.aris ~ ~s :~r ice r: Welcome Basic 1 _ .~ j ~.re= _ ?~c.un! j r,y.:5c ZIP Code: ~?04i P_~_ .i_, r _. - __ ;;~;.._ ~RflGf)ESJIG'f 3 1n5~re y~c~r ~ass~~~~ ~~ .-.,, .. `~' Home > Motorcycle Values > Motorcycle > 2003 > Hariev-Davidson > FLHRI Road King 2003 Harley-Davidson FLHRI Road King Value t~;a~rct~ ss, zc>lo 2-Cylinders 4-Stroke 1450cc Trade-In Value (Good Condition) X9760 Trade-in Value is what consumers can expect to receive from a dealer for a trade-in unit assuming an accurate appraisal of condition. This value will likely be less than you would receive from a private party sale because the reselling dealer incurs the cost of safety inspections, reconditioning and other costs of doing business. Trade-in values are based on clean units in good condition, with all original standard equipment. Miieage!candition and additianal eau~ment may have a substantial impact on the value shown above. Copyright ®2010 by KeNey Blue Book Co., Atl Rights Reserved. 111/2070- 4/30/201D Eddion, The information in this report is intended for the personal use of the customer only and may not be sold or transmitted to another party. We assume no responsibility for errors or omissions. Latest Car News ._ _ : r Shopping Tools Featuring _~'ic; go H,ae ~r.o.. r. ..:a• :For Saie U>ed tears rr"or Sat.= _ , _:.. as, _ S ~r ..,. ~:ar yea,, 5 .,._. s _~. : i!ieC_ F.d; _,'-~. About KBB ..:: o; ._c ita....,, ~:,rF.e <. r"/~.,? i°e~:a Ate: er-.s ^c L~i k;~.. c; r. ;~: acj, ~. °1aF~ _ :;~irl~t ~, ~; a•~~~n.a ~;; ~ •: ~~s cf _:i ice ® 1995-2010 Kelley Blue Book Co., Inc. f;uc;nE:,s ;nGurieS ~~~ s~~• http://www.kbb.com/motorcycle/trade-in/2003/harley_davidson/flhri-road-king/68829 3/16/2010 CERTIFICATE OF TITLE I=4R A VEHIt":LE ~~.---~ _i ~i 1 ~ ...., ~ .....o .~...; .i..~. 1~ e;~~o ~:~. t~ '' ~ ~ +ic ..: o:~. ,!~,,~~y . ~--,'~~~jjtt,,+~!jj 'yyrr!~~!~~tt11,11~~~'' ~~'~( RQ .~~f!~! }rr}te~ 5~~:y( }~y ~,~}^i~~ eo~oo , ~~.,..o -~... ~ c.~ .~ ae .~.. .:,' ,.~..oa,. .. , ue ~~:~.~ ..~elef.. ,e`11ReMrr•`e<,.~.. i. r.?71f~.lTr~;IR...,. .a~~ ..~~.f,'1,:~(:... .i~~..oe~.~ .o ~~ ~ ~T:~. .~!f .~.^.':!!~~~~:.... VEHI.CLE`fDENTiFICATION NUMBER YEAR MAKE OF~VEHICLE TITLE NUMBER- o .. L4':lA;; Y:. ` 80DY TYPE ~ ~ "OUP ~,' SEAT CAP ~ ~~~~~pPR10RnTITLE STATE ~ ,~~~~ ~ , ~~~~,~~~ ~~~~~ ~~ ~ ~~~"~ ~ ~~ ODOM. PROCD. DATE ~ ODOM. MI ES ~ ODO~A. STATUS _ ,.. .. ,. DATE PA TITLED DATE OF ISSUE ~ ~~ UNLADEN WEIGHT ~ ~ GVWR I GCWR ~ ~ ,TITLE BRANDS, - 0 ,W W TW V J N 1 ~ t, ,,_ ff ~~~ REGISTERED OWNER(S);, ~~ ~~ ., " .fi I~„_~ ~ ~ it ~ ~ r r ~~~ "~ 11~ ~,*'t11~'~~ ~ ~~~~E ' 4~ara~t~~#X,jEetaor;t+~t~ri{r (f' ~ 4 ~l Ir, ~. t ~ ~ie^ I~a; .~.. t, ,. FIFiST'CIEN FAVOR pF. FIRST.LIEN RELEASED ' DATE BY AUTHORIZED REPRESENTATIVE MAILING ADDRESS 5~~~~2 ~Et7RG~E N HOME 9~~} W ~AI~ ST NEB ~lOI_LAND PA 1'>?SS? SECOND:LIEN FAVOR OF: If a second ilenholder is listed.'upon sF iienhotder: must forward this Title to thg appropriate form and fee. SECOND LIEN RELEASED BY ODOMETER STATUS 0=TACTUAL MILEAGE t =MILEAGE EXCEEDS THf;: MECHANICAL ~LIMIT$ 2=NOT THE ACTUAL MILEJIGE 3 =NOT THE ACTUAL MiLFJtGE•ODOM~TER TAMPERING VERIFIED 4 =EXEMPT FROM ODOMETER DISCLOSURE TITLE BRANDS . =ANTIQUE VEHICLE ' C = cLASSic vt-+aICLE ~ =COLLECTIBLE VEHIt::IE F =OUT OF.COUNTRY ' i~ v dRIGINALLY'MhQO. FOr~ NOfJ-U.S. DISTRIBUTION H = AGRICWI:TURAL VEHICLE - L =LOGGING VEHICLE p = IS/WAS A POLICE VEHICLE R =RECONSTRUCTED & =STREET ROD r =RECOVERED THEFT VEHICLE V =VEHICLE CONTAINS REISSUED V!N W =FLOOD VEHICLE X = tSANAS A TAXI isf~ction of the. first lien; the tirsl 3u au "of Motoc :Vehicles ,with the DATE REPRESENTATIVE I certify as of the date of issue, the official records of thfl Pennsylvania DepaRment of Transportation reflect that the person(s) or company named hurelr~ is use iaw~;t cNnbr ~ • of the said vehicle. BSCRIBED AND SWORN 4@EFORE-ME: ~ ~~ _ _ ~ _ :YA //L.. J _ .: v _` Notarial Seat )oan, C. Thor>aas, Notary Public City o€ Lebanon,, Lebanon County My Cwnmisaton:Eicpire& Jan. 24, 2014 Member, Pennsvtvania Association of Notaries The untlersipnetl hereby n+akes applieaibn for CartfGcale of Tme to the vehicle tlescribetl above, wbjwi to e4 MrGUmbranCet end OtMr lapel deims bet lorth here. ALt~N D_ I3IENIL.E~ Secretary of Transportation If a co-purchaser other than your spotfse is listed and you want the title to be fisted as "Joint Tenants With Right of Survivorship" (On death of one owner, itle goes to surviving awner.) CHECK HERE O. CKhelwise, the ,title will be issued as "Tenants in Common] (On death of one owner, intereSl of deceased owner goes to his/her heirs Ar estlate). 1ST LIEN DATE: • '{F NO LIEN, CHECK 1ST LIENHOLDER STREET CITY ~ STATE ZIP FINANCIAL INSTiTUT10N NUMBER 2ND UEN DATE: ~--. IF NO LIEN, CFIECK 2ND LIENHOLDER ~/~ ~ STREET E NT ORA9TMORfLED Sl ~ ~ ~.- ..% CITY SIGNATURE OF C.O•APPLICANT?ITLE OF AUTHORIZED SIGNER I FINANCIAL INSTITUTION NUMBER STATE Z1P 2009 Harley-Davidson FXU Dyna Super Glide Motorcycle Trade-In Value & Price -Kell... Page 1 of 1 +' .. E;S,`~ K~II~y ~~u~ ~~l/R SEARCH THE TRI,I~TfD RESLIURLE i-t;=roc iVFw C«r:~ C~f`iiett Pr•?-:3vr,fed lased Cars F~esearci3 IC~evievti~s ~ lacy/s ~enSers 3e In~lerFeur~ : 1-.ss:f;e,.l, ? :r;:^s.'.: ~.rssuranti+~ VYelcome Back I S~~cr; i~~ ! Cre~cs Acccu~i? i Fly k:65 ZiP Code: ?'(Jar: rF_e^t!~,~ Viorved rt _ "-n`- ~ c_.~._ F _~., ~~ r~:ce "uot~ a A Bad credit Score : ~ ~ ~~~~~ ~ t~~,r~`~;~, . ~.1,3t~am a ~ ~, . ~:,~~ .. ~ ~ Is f 00 or Below ~.iaska ;;Ifl~t'~ly-fee ~i~1`~~ ~~'1` . A.nznna '~~:'~ #;r}r i ~`t ..,~, w~•r, ~ , y:, A.rk.ansas ~~ ~ .:xa Home > Motorcycle Values > Motorcycle > 2009 > Harley-Davidson > FXD Dyna Super Glide 2009 Harley-Davidson FXD Dyna Super Glide Value f~43t-ct~ 16, 2f33U 2-Cylinders 4-Stroke 1584cc Trade-In Value (Good Condition) x8400 Trade-in Value is what consumers can expel to receive from a dealer for a trade-in unit assuming an accurate appraisal of condition. This value will likely be less than you would receive from a private party sale because the reselling dealer incurs the cost of safely inspections, reconditioning and other costs of doing business. Trade-in values are based on Gean units in good condition, with all original standard equipment. Mileage/condition and additional eaulr,rr;eni may have a substantial impact on the value shown above. Optional Equipment: ASS (VRSC Models) $440 f l~ ~ 1 ~ i + l°G T '~Qi~.S'c. ~RCcdrT c4C?.~{.i~- t1~t''v Copyright ®2010 by Kelley Biue Book Go., All Rights Reserved. 1f12D10- 4/30201 DEdition. The information in this report is intended for the personal use of the customer only and may not be sold or transmitted to another party. vVe assume no responsibility for errors or omissions. Latest Car News _ _ ~ .. I, ~..~ hlevrc Er.i:~~~ 6tlOkM1~'K f ~_ Shopping Tools Ge: a Tree P:oy;~e_sive !~otcr^~de i;te Get ~. Fre_ `^ot~rcycie Fr.__ tiuct~_ dell U1. ~ ~..::r_~rclF WHILE li~llf'F~E HERE... Chick ~il~ r~~ue ~o~i~< C~ass~fied~"'' ~~.. ~~ Ne~v and improved Used Car listings. You just might find a deal thaYs too good to pass up. .. ~~. ~ ~, ._r..o, -. ~ -- ., - min KBH.coni r-:- ':Y";: ".~ ',;;e.. _.,.:. F.._~e ~ - ~ _. „_ .. .. - .__ ... _ _ __, ._ _. ...:., ~. .. .... __ Featuring ~-! ~c<:,_ Auto 3Co„ ~~e„ :_~rs Fo; Sa!e trs~a .~,s F^,: S~ie fie• ~ar c .~_~ ~ ~o~e~dt ~ar GeaP; ..~. Re.•iF;,_ 'a~ Vi .. _... d^^, ;i-„ AboutKBB Hoo,~,.~ ~..:act~J_ ~aio..rs FAQ i,todi,: A~r_tYi> .~[i ' ~kn-, ?i~3Cy ~,~e<<ai. 'nS,~_;~ri'F. pia .:.i~a,4.s ir.-_~,r, er:,,~., ~ 1995-2010 Kelley Blue Book Co., lnc. 5+,s~ness ?n;{ui: ies e~`+t "r http://www.kbb. com/motorcycle/trade-in/2009/harley_davidson/fxd-lynx-super-glide/250... 3J1612010 ,. ~''~~.~ CERTIFICATE OF TITLE FOR AVEHICLE - '~. r .. ~..... _:___-_ _.._._. .w..~.~___-___.__.___--.~.~..___ ----------~---.-- . 1.2 9 .. Ir~~~~~1~.~?9~,~'~:~r~.~~ ~ ~~~`~ ~ ~~~E,~Y ~A~f~~ l ;~~.~;~~5`~~~~~ .kid VEHICLE IDENTIFICATION NUMBER' YEAR MAKE OF VEHICLE TITLE NUMBER , ..., 'BODY TYPE ~ DUP ( SEAT CAP ~' PRIOA TITLE STATE ~ , ODOM. PROCD. DATE ~ OOOM. MILES ~ ODOM. STATUS, .. .. ., ,. .,., GHT ,~ GVWR . .-r, 1. , • GCWR ~ ~:. TITLE BRANDS, ..., DATE PA TITLED DATE OF ISSUE UNLADEN WEI 3 ~~ ~~4 h ..t \~, `~ ,y ~ a R7w41STERED OWNER(S) t~}' ~ , ~t' „~rkti ~ ~. i +~ ~~1~.4 W MAIN ~T ,~'~ ~'; ~° ~': _` N,~t;~~ HOLk~~AND PA 1,~~7~~55~`'~.,_r. ~~ _ ~ ._ FIRST'L}EN FAVOR OF: SECOND LIEN FAVOR OF: FfRST LIEN"RELEASED DATE. BY AUTHORIZED REPRESENTATIVE MAILING ADDRESS GEORGE W N©WE 964 W MAIN ST NEW HOLLAND PA 1755? -- ~ ODOMETER STATUS 0 ~ ACTUAL MILEAGE 1 =MILEAGE EXCEEDS THE'MECHANICAL `- LIMITS 2 = N07 THE ACTUAL MILEAGE 9 =NOT THE ACTUAL MILEAGE-ODOAAI;'rER ~ TAMPERING VERIFIED 4 =EXEMPT FROM ODOMETER DISCLOSURE TITLE BRANDS A =ANTIQUE VEHICLE C = CLASSIC VEHICLE D = COi.LECTiaLE VEHICLE F :OUT OF COUNTRI G = ORtGINACLY MFGD F+jR NON-Li.S. DISTRIBUTION H .AGRICULTURAL VI_HICLE L =LOGGING VEHICLE P ISANAS A POLICE `JEHICLE R =RECONSTRUCTED S =STREET ROD T =RECOVERED THEFT VEHICLE V =VEHICLE CONTAINS REISSUED VIN W =FLOOD VEHICLE X = ISNJAS A TAXI Ii a second lienholder Is listed upon satisfaction of the first lieh, the ,rirsT" IienhoWer must forward this Title to the Bureau Of .Motor Vehicles with the appropriate form and tee. SECOND LIEN RELEASED DATE 8Y AUTHORIZED REPRESENTATIVE I certify as of the date of issue, the official records of the Pennsylvania Department of Transportation reflect that the person(s) or company named herein is the lawful owner ~ • Of the said vehicle. i ''~ SUBSCRIBED ANO SWORN TO raEFORE,ME: ~ .... M AY ~ YEAR .~~~ -l~ 7 A ~` ~" ~ ={ w OMNlONWEALTN bF PENiVSYLVANIA : ~ Notarial Seal ~ Jean C. Ttagmas,:Notary Public i • , ~ty,of~lebanon; leizancift Counfy t ,- <My ComtTmissidn ~xptres Jan 24 2014 ~ Q . , Member, Pennsylvania Association of Notaries N ~ W The urtWplpnetl nar~Dy n+akea aGptlC>+fian tat Certitfosts - of Tllle b fns vehicle descrfbe0 above, auDlael t0 Ne ertoumai,rrkq and otrrer fepal dalmS DN fanh here. T V ~ TV f'Pt:1 D SIGNER M W SIGNATURE OF CO-APPLICANTlrRLE OF AUTHORIZED SIGNER ALLEN D BI EfiLER Secretary of Transportation If a co-purchaser other than your spouse is listed and you want the title to be listed as `Joint Tenants With Right of Survivorship" (Oil death of one owner., title goes to surviving owner.) CHECK HERE ^. Otherwise, ttte'tltle will be issued as "Tenants in Common° (On death of one owner; fnteresfof deceased owner goes to his/her heirs or estate}. IF NO l1EN, CHEC~ IS THIS AN ELTT (IF YES, FIN REQUIRED) YE$ L~ . NO'Ci 1ST LIENHOLDER FINANCIAL INSTITUTION NUMBER: 1ST LIENHOLDER NAME STREET CITY STATE ZIP. IF NO 2ND LIEN, CHEC IS THIS AN ELT9 (IF YES, FIN REQUIRED) YES. ~ NO ^ 2ND LIENHOLDER FINANCIAL INSTITUTION NUMBER: 2ND LIENHOLDER NAME STREET CITY STATE ZIP Page 1 of 4 " f~l~'!'I%L~l' ` ' rwvrrrr+rervrr R-V INDUSTRIES, INC. 401~K) ~ PROFIT SHARING PLAN GEORGE W HOWE 964 WEST MAIN STREET NEW HOLLAND, PA 17557- Print This l'acte Retirement Savings Statement '$ Customer Service: (840) 835-5497 fidelity Investments Institutional Operations Company, Inc. 82 Devonshire Street Boston, MA 02109 Your Account Summary Beginning Balance Ending Balance Additional Information Statement Period: 02ii5i2010 to 02/15/2010 X496.94 X496.'94 Your vested account balance is unavailable. Please contact your Plan Sponsor for more Information. Your Personal Rate of Return Thts Period 0.0% Your Personal Rate of Return Is calculated with atime-weighted formula, widely used by financial analysts to calculate Investment earnings. It reflects the results of your investment selections as well as any activity in the plan account(s) shown. There are other Personal Rate of Return formulas used that may yield different results. Remember that past performance Is no guarantee of future results. Your Asset Allocation Statement Period: 02/15/2030 to 02/15J2Li10 https:/Iplansponsorservices400.fidelifiy.com/piansponsot/sponsor/online statement detail.do 4/14/2010 `~ 1~~1~~s~~~1~~tt~~i~ George W. Howe B.J. Baldwin Electric, Inc. 401(k) Profit Sharing Plan Subscription: B. J. Baldwin Electric, Inc. Subset: B.J. Baldwin Electric, Inc. A statement of account is available for any period up to one year in length. The statement period must fall within the two year period ending 3/26/2010. a ~ Transaction Detail Available to Participants: No f-` Statement of Account for the period 01/0112010 to 02115/2010 This statement displays the activity on your account for the business days during the period you select. Activity posted after the close of business will be reflected in the statement for the following business day. Balances are subject to your plan's vesting requirements. Your current vested balance is displayed on the i',:~;~ ~t i3<ai:~;~;~es page. Please refer to the statement of account for each plan in which you participate for information that may be applicable to your benefit such as the plan's investment direction provisions, asset diversification, and Social Security integration. GARDNER AND STEVENS, P.C. ATTORNEYS AT I.A~~i% 109 Vest Main Street Ephrata, P.1 17522 KURT ~~. G.~RDNER JOIIN C. S"I'EVI??~S www.gardnerstevens.com July 22, 2010 Cumberland County Register of Wills Office 1 Courthouse Square, Room 102 Carlisle, PA 17013 RE: Estate of George W. Howe, Sr. Dear Sir/Madam: (717)733-3330 (717)626-7728 fi.1h (717)733-0434 Enclosed for filing please find an Inheritance "hax Return and Inventory for the above- referenced Estate. Kindly return the time-stamped copies to us in the enclosed envelope. Thank you for your attention to this matter. Should you have any questions, please feel free to contact our office at 717-733-3330. Very truly yours, GARDNER AND STEVENS, P.C. Kurt A. Gardner :dlm Encl. pc: George W. Howe, Jr., Adm. ~~~ ., ., __ .0.~ ' _.y c~ ; ,-~ ~_ _ _ t`° ., " .Y_j ~i _..._ . ..,:~ ~y µ .. ..~ ~.. , • • - i y~ ~ ~J ~ ~dner ~t Stevens, P.C. D9 VNest N1ai n Street :phrata, PA 17522 _ _ -- ind County Register of Wills Office ~urthouse Square, Room 102 Carlisle, PA 17013 ., ~, ~, ,, ~~ ?; _ , q '~< ~. S `~ ~, ~1• ,~~ ~f w