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Home My WebLink About08-05-10r 1505610140 ~, , ~ REV-'I 500 ~" (°'-'°' PA Department Of Revenue OFFICIAL USE ONLY Bureau of Individual Takes County Cade Year File Number Po Box 2eo6o1 INHERITANCE TAX RETURN Harrisbum, PA 17128-0601 RESIDENT DECEDENT 2 1 1 0 0 0 8 9 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYW 1 7 4 0 5 0 8 1 5 1 2 2 8 2 0 0 9 0 4 1 5 1 9 1 0 Decedents Last Name Suffix Decedent's First Name MI S N Y D E R L E S T E R D (H Applicable) Errter Surviving Spouse's IMormatlon Below Spouse's Last Name Suffbc Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS ® 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromi38 (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) ® 6. Decedent Died Testate ^ 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Lftigatfon Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 end 1-1-95) (Attach Sch. 0) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX WFORMATION SHOULD BE DStECTED T0: Name Daytime Telephone Number R O G E R B I R W I N E S Q U IRE 7 1 ? 2 4 9~2 3 5 3 n =~;' RE OF NIILL>fi13E ONtiY •- - -t~ ~ r ~ C First line of address ~ ~ . ~1 t~ t r' ' " 6 0 W E S T P O M F R E T S T R E E T ~~j-rn., ~ c-' Second line of address ~p J_ ~ ---t N , . a w . ~~ City or Post Office State ZIP Code DATE FILES C A R L I S L E P A 1 7 0 1 3 Corraspondsrtt's e-mail address: Under penaltles of perjury, I deGare that I have examined this return, Inducting accompanying schedutaa and statements, and to the best of my knowledge and belief, it is hue, oorrsct and complete. Dadaraeon of preparer other than the personal represemedve le based on all information of which preparer has any knaeAedge. SIG RE OF PERSO ES BLE FOR (LING RETURN ,,11 _ ~D~r~U ROAD CARLISLE P SIGNATURE PARER OTHER THA REPRESENTATNE T 60 WEST POMFRET STREET CARLISLE PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 ~~~ r a o •o oh2o~9sOS2 Z aplS oh2o29sos2 1N3WAyd213A0 NV dO 4Nfld3a y'JNIlS3fib3tl 3LIy f10A dl lyAO 3H1 NI llld 'OZ 64 ...................................................... 3f1a Xtll '64 0 0' 0 'g4 0 0 0 SL' X a}ei lera}elloo }e algexe4 44 Bull;o }unourd 'BL 0 0 0 'LL 0 0 0 ZL' X a}ei Bu!Igls 3e now ' y algexe} q} cull;o }u LL 0 0' 0 'g4 0 0' 0 540' X a3w leaull }e ' g} algexe} qL cull;o }unowy 0 0 ~ 0 'S4 0 0 • 0 O'X(Z'4)(e) ' ~aS~epunsJa;sue~i 9446 io 'a}er xxe; lesnods ay; }e alq~4 44 cull ~ }unowy 'Sl S31y3! 3l8yOllddy 2lOd SNOIlO1}211SNI 33S - NOLLylfiOlyO XVl E h ~ 9 6 0 S S 2 - '4L .. .... ................ (E4 cull snulw Z4 eull) ~l 07 3aa(gnS anleA }aN 'bl • '£ 4 ' ' ' ' ' ' ' ' ' ' ' ' ' (f alnpa4oS) spew uaaq }ou sey xe; o} uolpala ue yolynn io; s}srul £ 4 46 oaS/sisanbeg le}uawwanoO pue algel!~eyO '£ 4 E h '9 6 0 S S 2 - ,Z4 .. .... ...................... (4 4 cull snulw 8 awl) eie}s3 !o an1eA }aN 'Z 4 2 E ' E 'C O E '~ E ' L L .. .... ......................... (04 Pue 6 scull le}o}) suoRonpaO le}ol ' 4 4 'U 4 ~ ~ ~ ~ ~ ~ ~ ~ ~ ' ' ' ' (I elnpayog) sued pue 'se!ulige1l e8e8yoyq 'luapaoad;o s}qaa '04 Z L ~ 2 2 h '[ 0 E ' ' .6 .. .... ............ (H alnPa4oS) s}soO anl}w}slulwpy Pus sasuedx3 le~aund 'g S S 0 6 C S ~ ~ .e .. .... ..................... (L 4Bnay3 4 scull le}o}) messy ssa0 Ill '8 6 9 Q 2 6 Z S •L • • • • • • • Papzanbea Bu!11!8 alwedag n (O alnPayoS) ~ d}radad a}egad- snoeuellaoslW g SJe;sueil sonln ~e;ul L • .g .. .... . pe}sanbea Bu!Illg a}s~edeg ~ (d alnPayoS) ~adad Pa~O ~l}ulo f 'g 9 h E S 9 'S ' ' ' ' ' ' '(3 alnPa4oS) ~adad leuosiad snoauelle~!W pue s}lsodaO ~lueg 'yse~ .5 S ~ , ~ ~ ~ ~ •q . .... ..................... (O alnPa4oS) algen!aoeb sa}oN Pue saBe6}aoyy '4 .£ . .... (O alnPayoS) dlysw}alydad-eWS ~o dly~auved'uol}s~odio0 PIBH ~(lasolO '£ ' .Z . .... ................................. (8 alnpayoS) spuo9 Pue s~po}S 'Z Q 9 S h h • , 4 . .... ...................................... (y alnPay~S) a}eis3 lea2! ' 4 0 0 0 0 0 5 S NOllylf}lldyO3a N 3 Q 1~ N S ' Q 213.E S 3l :aweN s,~uep~ep S 2 Q O 5 0 h L 'C iagwnN Ilyunaag lelooS s,}uepaoep X3 0054-A321 Oh2O'[95O5'C 1 ti M Continuation of REV-1500 Inheritance Tax Return Resident Decedent r LESTER D.SNYDER 21 10 0089 r Decedent's Name Page 2 File Number Correspondents Name R O G E R B First Iine of address 6 0 W E S T Second line of address City or Post Office C A R L I S L E I R W I N E S Q U I R E P O M F R E T S T R E E T Daytime Telephone Number 7 1 7 2 4 9 2 3 5 3 State ZIP Code P A 1 7 0 1 3 Correspondent's e-mail address: Under penaltles of pelJury, I declare that I have examkled thl6 rotum, induding aocolnparrying adledulea and statameMa. and to the beat of my kr 8's true. calect and ca~bte. Dederatlorl of preparer odler tlten the personal representathle b based on aN infamatlon of whkAl plepaler has ar SIGNATURE OF PERSOY RESPONSIBLE FOR.FIIJN6 RETURN ADDRESS .REV-1500 EX Pape 3 Decedent's Complete Address: r Flle Number 21 10 ooss DECEDENTS NAME LESTER D.SNYDER STREET ADDRESS 1110 NEVWILLE ROAD CITY CARLISLE STATE PA ZIP 17013 Tax Payments and Credits: t• Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest (1) 0.00 Total Credits (A + g) (2) 0.00 4. If Line 2 is greater than Une 1 +Une 3, enter the difference. This is the OVERPAYMENT. (31 Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 5. If Une 1 +Une 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 Make check payable to: REGISTER OF WILLS, AGENT ~.~ ,. ~.:... ,tit,. &$nl'Y'',t: a ~~#".ed94?fr~~, r T~~`~hr~~t3")f~'~~."~Gk~~ ~ .-~w~~ ?k p~~~pa~~. ~, Ate. .,_ !`}M~'~"E ~s~,.~±j ..~~s: .. ,.t. . e .~ ,. ~, .. 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 incorr~ of the property transferred : ................................................................ ...... ^ b. retain the right to designate who shall use the properly transferred or ifs insane : ......................... ...... ^ c. retain a reversionary Interest; a .......................................................................................... ...... ^ d. receive the promise for life of either payments, benefds or care? ................................................. ...... ^ 2. If death occurred after December 12,1982, did decedant transfer property within one year of death without receiving adequate consideration7 ................................................................................. ...... ^ 3. Did decedent own an 'in trust for a payable-upon~death bank account or severity at his or her death? ... ...... ^ 4. Did decedent own an individual retirement account, annuity anther nan-txobete property, which contains a beneficiary designation? ............................................................................................ ...... ^ IF THE ANSWER TO ANY OF THE Af30VE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. sg- ~¢ -~': . "`1 ..-"~~.t, s€, '° e~"~~ ~ 3~?. x~A~Rr..,: ac~ ."I~~~`."~~ ~` i ~' ~„ ,4._~.,, '.. ~ ,~v I. S•, Ike R ~ ~ ~ ~~ . 45~~~r~~a~3~tR.§~~i~r . +~,. F. 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 3 percent (72 P.S. §9116 (a) (1.1) (i)]. 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)]. 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 benefiaaries 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)]. Asibling isdefined, unde Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (01-10) pennsylvania ~ SCHEDULE A DEPARTMENT OF REVENUE I INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMN3ER: LESTER D. SNYDER 21 10 0089 All rat property owned soky or as a tenarrt in common moat be reported at fair market value Fair market value is defined as the price at which property would be exchanged between a wilting buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that b Jointly~owned with right of survivorship must M disclosed on Schedule F. Attach a copy of the settlement sheet 'd the property has bean sold. ITEM Include a copy of the deed showing decedent's Interest H owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. 1110 NEVWILLE ROAD, CARLISLE, PENNSYLVANIA 55,000.00 SOLD -SETTLEMENT SHEET ATTACHED TOTAL (Also enter on Line 1, Recapitulation.) ~ E If more space ~ needed, use additional sheeb of paper of the same size. REV-1 S03 EX + (6-98) SCHEDULE B COMAAONWEAITH OF PENNSYWANW STOCKS ~ BONDS. ~ - INHERITANCE TAX RETURN RESIDENT DECEDENT ATE OF LESTER D. SNYDER 21 10 0089 All properly joilltlyormed with right of survivorship must be dbcbsed on 13dwdub F. ITEM VALUE AT DATE NUMBER DESCRIPTION _ OF DEATH E SAVINGS BONDS -INVENTORY TOTAL (Also enter on line 2, Recapitulaation) ~ 1; (If more space is needed, insert additional stleela of the same size) REV-1508 EX + (8-98) COMAAONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER LESTER D. SNYDER 21 10 0089 Include the of litlpatlon and Me dale the pro~eda were received hY the semis. All vvgh rlpht of survkorship moat be dbcbasd on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH vFRSnnlal_ PROPERTY -SETTLEMENT SHEET ATTACHED 1,817.75 TOTAL (Also meter on line 5, (If more space is needed, irreert addidonal sheet of the same aim) REV-1509 EX+ (01-10) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF: FILE NUMBER: LESTER D. SNYDER 21 10 0089 ff an asset wu made Jointly owned wkhin one year of the decedent's date of death, k must be reported on Schedule G. SURVNING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A. BARRY L. SNYDER 90 YORWICK ROAD SON CARLISLE, PA 17013 B. c. JOINTLY-OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCPoPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECEDENTS INTEREST DATE OF DEATH VALUE OF DECEDENTS INTEREST 1. A. M&T BANK -CHECKING ACCOUNT #438723 1,306.91 50. 653.46 TOTAL (Also enter on Line 6, Recapitulation) I S 653.46 If more space La needed, use addglonal sheets of paper of the same sae. REV-1511 EX+ (10-09) Pennsylvania DEPARTMENT OF REVENUE ~ INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER LESTER D. SNYDER 21 10 0089 Decedern'a detgs moat be reported on SeMduM L ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)ofPerzaielRepresentatlve(s) BARRY L. SNYDER streetaddreea 90 YORWICK ROAD City CARLISLE slam PA 7~p 17013 Year(s) Commission Pald: 2. AttomeyFees: IRWIN & McKNIGHT, P.C. 3. Family Exemplbn: (If decedents address is not the same as daimanPs, attach expmnatlon.) Claimant Street Address Cily Smm ZIP Relal'anship of Claimant to Decedent 4. ProbamFees: REGISTER OF WILLS 5 Aocoumm~t Fees: 6. Tax Retum PreparerFees: PATRICIA A. ROSENDALE, CPA 7. REGISTER OF WILLS -FILING FEE 8. CLOSING COSTS FROM SALE OF REAL ESTATE 9. CUMBERLAND LAW JOURNAL -ESTATE NOTICE 10. THE SENTINEL -ESTATE NOTICE 11. ROY GOTTSHALL -PUBLIC SALE COSTS 12. B-H AGENCY APPRAISAL SERVICES -APPRAISAL ON REAL ESTATE 13. DUMPSTER/TRASH REMOVAL 1,450.00 3,400.00 257.50 350.00 30.00 2,981.81 75.00 198.16 681.00 325.00 392.08 TOTAL (Also enter on Line 9, Recapitulation) I f If more space's needed, use additlonal sheet of paper of the same sine. 11 Continuation of REV-1500 Inheritance Tax Return Resident Decedent LESTER D. SNYDER 21 10 0089 ~ ~gecedenrs Name Page 1 File Number Schedule H -Funeral Expenses & Administrative Costs - 61 ITEM B. I ADMINISTRATIVE COSTS: Personal Representative Commissions: AMOUNT Name(s)ofPersonalRepreaenfatlve(s) NANCY L. SNYDER 1,450.00 g~eetpddress 90 YORWICK ROAD city CARLISLE State PA zIP 17013 Year(s) Commissar Pald: SUBTOTAL SCHEDULE H-B1 I 1,450.00 - REV-1512 EX+ (12-0e) Pennsylvania DEPARTMENT OF REVENUE ~ - INHERRANCE TAx RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS LESTER D. SNYDER _ ____ 21 10 0089 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. NORTH MIDDLETON AUTHORITY - WATER/SEWER 666.64 2. MILLER'S INSURANCE AGENCY -HOMEOWNERS INSURANCE 447.00 3. PP&L -ELECTRIC 136.20 4. R.T. CAREY TRUCKING LLC -BRUSH REMOVAL 145.08 5. DEPARTMENT OF PUBLIC WELFARE -CLAIM CIS #: 730173652 297,589.78 6. THE DIXIE GROUP, INC. -INSURANCE PREMIUM 242.00 7. M&T BANK -REIMBURSEMENT OF SOCIAL SECURITY BENEFIT 1,132.00 8. NORTH MIDDLETON AUTHORITY -ANNUAL SEWER CONNECTION FEE 1,064.07 TOTAL (Also enter on Line 10, Recapitulation) I S If more space is needed, Insert additlanal atajets of the same sae. REV-1513 EX+ (01-10) pennsylvania ~ SCHEDULE J DEPARTMENT OF REVENUE I BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT LESTER D. SNYDER 21 10 0ot39 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trashe(s) OF ESTATE I TAXABLE DISTRIBUTIONS pnd Spec 91 i8 a (12),dleMbutlonsand tranafeisunder ~~~ 1. BARRY L. SNYDER Lineal 90 YORWICK ROAD 1/2 REMAINDER CARLISLE PA 17013 2. NANCY L. SNYDER Lineal 90 YORWICK ROAD 1!2 REMAINDER CARLISLE, PA 17013 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER S HEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. S If more space is needed, use additional sheets of paper of the same size. t'. LAST WILL AND TESTAMENT' I, LESTIlaR D. SNYD]ER, of North ]tifiddleton Township, Cumberland County, Pennsylvania, declare this instrument to be my Last Will and Testament, hereby expressly revolting all Wills aad Codicils heretofore made by me. 1. I direct my executrix to pay all of my debts, funeral and administrative menses as soon as may be done comenieutly after my decease. 2. I authorize and empower my executrix to sell airy realty owned by me at my death and not specifically devised herein, at either public or private sale, and to give good and suffiaent deeds. therefor, in fee simple, as I could do if living. 3. I devise and bequeath all of my estate of every nature and wherever situate to my wife, Isabel B. Sider, providing she shall survive me by sixty days. 4. Should the gift in Paragraph No. 3 not take effect, I devise and bequeath all of my estate of every nature and wherever situate to my son Barry L. Snyder and my daughter-in-law, Nancy L. Snyder, share and share alike, and if they are not living at the time of my death to my grandsoq Timothy A Sider. 5. I nominate and appoint Isabel B. Srryder to be the executrix of this my Last Will and Testament; she is to serve as such without bond. Should she die before my death, renounce or •• refuse to serve for airy reasoq or die leaving airy of my estate unadministered, Inominate and . s appoirt Barry L. Snyder and Nancy L. Snyder, as substitute executors, also to serve as such without bond, with the same powers as are given herein to my executrix. 6. I hereby suggest that my personal representative retain the services of Irwin, McKnight & Hughes, as attorneys in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and sea17TH day of February, 1997. ~3~SP Df~-(SEAL) LESTE D. ~R Signed, sealed, published and declared by LESTER D. SNYDER, the above named testator, as and for his Last Will and Testament, in the presence of us, who at his request, in his presence and in the presence of each other have subscribed our names as witnesses hereto. 2 I~ ~ ~ L. ACSNOWLEDGMENT AND AFFIDAVIT WE, LESTER D. SNYDER, BETZI A. MORRLSON awnd CHERYL L. CLEI.AND, the testator and vvitn~sea respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his fi~ and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the Will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CIINIBERLAND SS: Subscribed, sworn to and acknowledged before me by LESTER D. SNYDER, the testator herein, and subscribed and sworn to before me by BETZI A. MORRISON >tnd CHERYI. L, C'i.F.i.AND, witnesses, this 7TH day of February, 1997. ~. try Public Notarial Seal R r B. Irwin, Notary Public CaNi~Boro, Cumberland Cou My Commission Expires pct. 3 d~b~4 ~~~"'~ A. Settlement Statement (HUD-1) e ~ Tu.r n^ 1 w~ OOIB Approtl^1 No. 2502-0256 1.~ Ft1A 2~ RF15 3. ®Can. UNns. 4. Q VA 5. ~ COm. Ins. 5. FOs Numb^r. CATT89610 7. La^I Number. 305111-0003 8. Moltp^pe Imlaalw Can Numbsr: C. Nate: 7FYe btm b A^n4lIM b plw you a adNSmrd demw astlNmrt Doan. Amaulh pM b and by SM ssOANFNrM avant ors MoFtrL InrrFa rnalAwd yp.aa)• ware paM aW^kb aNr ab^tr~ IMy an Mown han brlnbrms0al^1pup0us and n not ha0x1^d h 9ra btala D. N^m^ and Addnm d Solloaer. 8TEPHEN W. CATTS and CFMRLElE K HM1EL 414 EAST MAIN STREET MECHANICSSURO, PA 17065 E. Name and Addnw d 8e0sr. ESTATE OF LESTER D. SNYDER 1110 NEWV6IE ROAD CARLISLE, PA 17013 F. Nams and Atldl^w d Undsr: MEMBERS 19T FEDERAL CREINr UNION 5000 LOUIBE DR. MECHIWICSSURG, PA 17055 O. Plopslty Loeabn: t 110 NEWVILLE ROAD CARLISLE, PA 17013 ClA4~RIAND Ca^4y, PsmisyNania H. 8^9nmMa Apwlt 261619511 TRFCOUlRY ABSTRACT SERVICE 101 SOU1H MARIO=T STREET ~, PA 17066 Ph. Q77)761-6670 I. SspNrtlsM Dab: Duns 3, 2010 Platy d 8^t5^IIIMIt 101 80UiH MARKET STREET MECHA16C881IR0 PA 17065 J. harnaellan K. 8u91111^ d trall^ae0on 100. A^m Bonow^r. 400. O ^ Am unl DII^ b 8^0sr: 101. CaMr^d^aW 000.00 401. CaMradsaNs 66000.00 1 . P'^I^an^I 402. Pel^oIW 103. Sa6nnlalit b Bortawr 1400 1 744.26 403. 104. 404. 1 405. 106. awlTaaN O0F06H0 b OV01H1 107. Tawas b 106. SCHOOLT 0 b 07!01/10 109. 65.29 406. awnT^taN 06F07l70 b 01/01M1 407. Talmo b 406. SCFIOOLT 05N3110 b 07N7110 409. BB29 110. Nt. 411. 112 412. 120. Ora^^ Amaak Du^ ttom Bonaai^r 67,012.80 420. Oroas Amaatt Dus m SNler 65,265.65 ar b d Bor-orr^r DM^ Batnr. 201. a 2000. 601. hgnlpbM 202. d II^w s 86000.00 602. 8^glarl^d b 8^Nx 1 2981.61 203. s talon b 503. s hNen b 204. 604. Pkst 205. 205. 207. 606. 507. dNb. a 608. 209. 600. SeNar ~ 10rMMlls S^II^f 210. awn T b 610. !roan Tawe b 211. Taws b 511. Cau Taw^ b 212. SCHOOL TAKES b 81T. SCHOOL TAXES b 213. 613. 214. 614. 215. 616. 215. 516. 217. 517. 216. 618. 219. 619. 220. TaW Pald lorroaNr 57000.00 200. 0^a1F at lorrwarar 301. Oran amarteua flan B^Rawer 1 87 012.BD 620. TOW Ra0uotlaF Dlr BNNr 2961.51 500. 601. ONNw ^maar dlr b 8a0^r 420 86 .56 302 L^N ^mount Baloeier ( 67000. 802 lass tesaldntu dus SsOsr 520 2961.6 703. CaM ~ Fran ~ To Bomow^r 12.80 W3. 1;asb X^ To ~ Fran 5^Mer 52,268.74 TM undersipMd harsby d a campNiW copy d Mb ^tarrrmt 6 any sgad^nenb Maned b Mrsbl Borloaror , sellx~,LwrA~l,,.,Oe~.~L+/T ~(IG.~ .~}~ W. .r ~ D. V TO'1HE SEBT t>F MY IOIOVM.EDOE, THE HUD-t SETTLEMENT BTATEOFM VVFNCH I H11VE PREPARW IS A UE ACC RI1TE OF THE FV1N8 YVFFICH VYERE RECENED AND HAVE SEEN OR VNLL BE 018BUR8ED SY-THE UNDER&ONED A8 PART OF OF ON. YWV WNO: R IS A CRNNE TO KNONMrOI.Y MAID fALBE 8TATt]eENTS TO THE UNRED STATES ON THI80R ANV 8^aSAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FlNE AND N4PRISOIa4ENT. FOIL DETAILS SEE: TITLE 16 U.B. CODE BEC710N 1001 6 SECTION 1010. n.r~ekwAyyWw~eIqpaua.nvw-rue~dl~e.~a.wwraraemb.r.prr..pbr.v.sbmra~.u.wa.aiwws~m.mr.nrwb~wber~s.rawr~~.sn..mrw..rl,.as.ab wnbbw NMYb.mYw NOgwl..dA+/vrA01/igYMINII~OK. lb onaabaaybM.uNk wb a.rJ0wnbmebY0lr.TY 0web0bpwlMNr ybW b.REWAOwbtlbbrraenblb bbinWi edi^ Ilr rlbblbl~ pei~. Page t d 3 FEUD-1 (CATT39610.PFDVCATT39610f>) CERTIFlED, TRUE AND CORRECT P.oe z a s -+~D-+ ~carrsesto.aFOrc~rrsss~arn HUD-7 Attachment Borrower(s): STEPHEN W. CATTS srM CHARLENE K HIMMEL 414 EAST MAIN STREET MECHANICSBURG, PA 17086 Lender: MEMBERS 1ST FEDERAL CREDIT UNION SstlMnmrrt AyerrB TRI-COUNTY ABSTRACT SERVICE (717)781-8870 Plea of Oeplena~ 101 SOUTH MARKET STREET MECHANICSBURG, PA 1706b BetlMnmrR Dab: June 3, 2010 Properly L.aceOon: 1110 NEWVILLE ROAD CARUSI.E, PA 17013 CUMBERLAND Courtly, PenneyNenie SaNaKa): ESTATE OF LETTER D. SNYDER 7110 NEWVILLE ROAD CARLISLE, PA 17013 Title SsrvitNts and Lenders TItN Iruuranca Dstal~ BORROYYER 8ELLER CLOSING PROTECTION LETTER 75.00 to FIRST AMERICAN TITLE INSURANCE COMPANY OVERNIGHT FEES 14.50 to TRI-0OUNTY ABSTRACT SERVICE NOTARY FEES 15.00 to CASH Lenders title Mtsurarx:e END 100 300 8.1 738.75 to FIRST AMERICAN TITLE INSURANCE CO. Total i 949.26 i OAO Landers THN Insurance BORROWER SELLER 'ha aNo sham show M TNM aavkae and LM,da/s 1'pN kawann CahIM Lenders Potlq Premium 588.75 tD FIRST AMERICAN TITLE INSURANCE CO. Lender's Endorsement Cha7gea 150.00 ~ EndoreertreM Charge ALTA Endorasrtrent Form 8.1 (Environmental Protection Lien) 50.00 ALTA Endorsement Form 9 (Reslrktlions, Errcroachmenb, Min.) 50.00 PA ENDORSEMENT 300 MTG. SURVEY EXCEPTION ' 50.00 Total i 739.76 i 0.00 wARwNO: e h • eMm b knowkgly make ldaa akdwnads ro ma Unaw eulra on tlds a any sknigr tam. ParkNs upon aawfoeon aan InCluda ^ tkm and Impdaornm~d. For dalMls ear. 711N 7s Y.e. Coda saatlon 1007 and aaotla~ 1070. (cnnsss7o.PFO~cAnsotr7orn .' a COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF PROGRAM INIEGRT' DMSN7N OF 7tI1RD PARTY LVIBILRY CASUALTY UNR P,O.BOX 8488 HARRISBUR6rPA 17105&186 May 27, 2010 IRWIN & MCKNIGHT PC ROGER B IRWIN ESQ WEST POMFRET PROFESSIONAL BLDG 60 WEST POMF'RET ST CARLISLE PA 17013-3222 Re: Lester Snyder CIS #: 730173652 Incident Date: 12/28/2009 Dear Attorney Irwin: ECE~~ MAY 2 9 201 ~f~~llg~}pp~ McNNCIGH 6tM1f~" Q "~~~4e As per our conversation this afternoon, please be advised that the Department agrees with the sale of the decedent's property located at 1110 Newville Road, Carlisle, PA, 17013 to Stephen W. Catts and Charlene K. Himmel for the amount of $55,000. Please advise when the sale has been finalized. Thank you for your continue assistance and cooperation. Sincerely, ~~~~~,.. Judy E. Deaven Claims Investigation Agent 717-214-1284 717-705-8150 FAX M rn ` T S+~ ~ ~r~ ~ c ~ o ~ c ~' '~a~ a~ LL' e Q 3 rnaioo m ~ ~n r~ <C aD ~ ~' O ~ > M ~ M CMO ~ r IM tq M ~ C ~ ~ CV r ~ N r ~ c- ~ ~ C ~+ ; ' + r ~ Q ~ ~ ~ C ae ao aC •~ A a ~~ ~~o`~i ~~ ~o~ ~www ~ M ~ ~ ~ O ~C N N C7 HddC1 C ~ N N m D 'm www Z I`~INIM N '3 H o~ ~ C M C m 's a v ~o ~~cd m~p~ ~~ ~~ T~ ~ C z$ ~~ ~ X W m CCQ N L{YO 8~~~ c~m~~ $Zc,Qm _ . d ~ ~ c~~ m m ~ c ,o~,:~Em ~ao~~ ~~Exc ~D~mo ~•~q>. ;~~E~ COCC•~ gZ•p ~0a rn~gw x ~~bb~ii~ I.L$~i ra cZ~m.g ~~ G~`2 ~ ~~ c ~~ `~ mo `o 0 3mcva~i c~~c $ E•~ ~•~' ~~~;~ ~ ~ww ~ .o ~OC~ m ~~y~ p ~.c~~ U ~ ~y~ w d 2mw d N N W -~ J ~S `a °' ~ ~ C Q u'i f Te °~ • ~ w c ~' Rsvsl+ rwr Flw~!;r~ NtllRbt!KI~{ ~~[- ' . ISSUE.-DATE ~~ I WNICH IS TXE FIRST OAT OF -r,,laNTlrs _ - IYi~s ~~=,~esr:la ~~a. it R i~3 p~,fN~~ ~~' t1 12,. Y~ y>ca~. Isaba]; B. S~rxlsr . ;:=" a ` ,,.< ; -- ~ .a.w..a.......w~w. - - ~ - ,~q.Y.,n...NlOrt . ~ ~- OWNER Address - Date of Sale Auctioneer _ Sale Locatbn Clerk Cashier Other PROCEEDS OF SALE: Cash --------------------------------------____. $ • . Checks _°------------°----------------------- --i- `-' 7, V" ~( Other Date FINAL SETTLEMENT Miscellaneous (see attached list) ---------------__--------------_-_-----__-- TOTAL PROCEEDS OF SALE ________________.___. $ ev LESS SELLER'S SALE EXPENSE: Auctioneer's Fee--~/_i! ------------------------------------------------- $ - ~ I U . ~O ~~ Other Seller's Expenses Advanced by Auctioneer: .i~1~C,k a~~ ~ ~;~Gpr~ ~~v 3~.oc~ ~ Miscellaneous (see attached list) __---_-------------------------_---____-• • DEDUCT TOTAL SELLER'S SALE EXPENSE _______________________________ $ V ~ ~ Ov TOTAL NET PROCEEDS TO SELLER _______________________________ $ ~ 3 ~~ . I, (or we), the seller of goods, merchandise, arxyor property sold at public auk3ion on above date and krcation, acknowledge and axept this seitlement of proceeds of sale. I (or we) agree to accept all responsibility far providing merchantable title to all goods, merchandise and/or property solo, and for delivery of title to the purchaser. (Date) Auctoneer or Cashier's Signature (Seller's Signature) (Seller's Signature) Form No. FS Reorder from: MISSOURI AUCTION SCHOOL Plfone 1-800.835.1966 i ~y~E~G ~~;C2u,~G y Gottshall, Auctioneer i~~/j ~/v AU-356L Boiling Springs, PA 17007 Phone: 258-6222 ~~ / ~~/ 7-S!` o~ l ~~~ 7~ ~~ i~~ ~~~ ~~ ,~~/~~ p ~ta~rs~ 499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12 Phone (888)502-4349 Fax (302)934-2955 Febrnary 3, 2010 Irwin & McKnight, PC West Pomfret Professional Building 60 West Pomfret Street Carlisle, PA 17013-3222 Dear Sir or Madam: Re: Estate of: Lester D Snvder Social Sectui_,}+: 174-OS-0815 Date of Death: December 28, 2009 per your inquiry, please be advised that at tbe time of death, the above-named decedent had on deposit with this bank the following: Type of Account Checking Account Account Number 438723 Ownership (Names ofl Barry L Snyder, joint-secondary LesterD Snyder, joint primary 0~~8 Die 09rt91/67 Balance on Date of Death $1306.90 Accrued Interest $ 0.01 Total $1306.91 please be advised, there was >m safe deposit box found for the above decedent. * If upon reviewing the information above, you be~eve there an additional acooonts not rdermced, plains provide ns with an account number and/or name of suy possible joint account ~. For orgy additloml ioformalion ~ the above aocou~, ownership and. sny doan~s and/or reimbnt of fonds, etc., please contact our High Street Carlisle braorL,1 West Fligh Sheet, Grllele, PA 17013 ~ #f17-2W~4688. Sit-caely, f,it„1{,QU N rissa Sears Adjustment Services `E~EIiIE~ EEB 0 5 2010 ~RWIN & McKNIGHi LAW OFFICES ~' , COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE BUREAU OF PROGRAM INTEGRITY DNISION OF THIRD PARTY LIABILITY ESTATE RECOVERY PROGRAM PO BOX 8488 HARRISBURG, PA 171058486 February 22, 2010 IRWIN & MCKNIGHT PC ROGER B IRWIN ESQ WEST POMFRET PROFESSIONAL BLDG 60 WEST POMFRET ST CARLISLE PA 17013-3222 Re: Lester Snyder CIS #: 730173652 SSN: ###-##-0815 Date of Death: 12/28/2009 Dear Attorney Irwin: Please be advised that the Department of Public Welfare maintains a claim in the amount of $297,589.78 against the above-mentioned estate. This claim is for restitution of medical assistance granted on behalf of the decedent for which the Probate Estate is now responsible to reimburse the Department according to Act 49, 62 P.S. 1412, effective August 15, 1994, as amended by Act 20-95, effective June 30, 1995. Enclosed is the Department's itemized statement of claim. A portion of this medical expense, namely $30,873.60, was incurred during the last six months of the decedent's life; therefore, it is a Class 3 claim pursuant to Section 3392 of the Decedents, Estates, and Fiduciaries Code, 20 Pa. C.S.A. 3392(3). The balance of the claim, namely $266,716.18, is to be entered as a priority Class 5.1 claim against the estate. Please acknowledge receipt of this letter and advise whether the Commonwealth's claim is admitted and when payment may be expected. If the estate accounting is complete, please provide a copy. If the estate coataias real estate, please provide copies of the deed, the latest tax assesameat, sad a curtest appraisal, if available. Sincerely, ~~-0..~ Judy E. Deaven Claims Investigation Agent 717-214-1284 717 -`f?'^-~~? FAX ~5'~15~ Enclosure