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HomeMy WebLinkAbout09-30-101 1505610101 ~1 REV 1500 °` t01-'°' ~ enn lvaMa OFFICIAL USE ONLY PA Department of Revenue P sY Caunty Code Year File Number Bureau of Individual Taxes o....~..MO,..,~.~. PO Box z8o6o1 INHERITANCE TAX RETURN Harrisbur4. PA 17128-0601 RESIDENT DECEDENT ~ ~ O O O ~] (o Socal Security Number Date of Death MMDDYYYY l63~~aT~97~ ~ 0~Fo1~8 ~o l o Decedents Last Name Suffix O (ff Applicable) Enter Surviving Spouse's Information Below Date of Birth MMDDYYYY oSo~43a Decedent's First Name MI H 4. E~1 ~~ ~ Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number ~ ® THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 4. Limited Estate ~ 8. Decedent Died Testate (Attach Copy of Will) O 9. Litigation Proceeds Received O 2. Supplemental Return O 4a. Future Interest Compromise (date of death after 12-12-82) O 7. Decedent Maintained a Living Trust (Attach Copy of Trust) O 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) O 3. Remainder Return (date of death prior to 12-13-82) O 5. Federal Estate Tax Return Required O 8. Total Number of Safe Deposit Boxes O 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number e ~ c. s w~ LD ~ ~ ~ ? l'7 7~~ aq REGISTER OF WILLS USE ONLY ~ q First line of address Cp c ~'Z3 N R t ~ ~ o u 5 0 ~~~ ~ ~~~ Second line of address ~ ~ N ~ ~ ':] ~~1TEFILEIYZ C~';_~ City or Post Office State ZtP Code -- ~ ._ ==s C7 CHI l CSBu p t7 0 ? .. ~--~,, L ~ `~ Corrospondent's e-mail address: Ce5/' i~lds 3~ eomca~t• h G~ Under penalties of per)ury, I declare that 1 have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. DeGaretion of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE Ji x DATE Side 1 1505610101 1505610101 ~7 J~~ REV-1500 EX Decedent's Name: ~' f ELEN RECAPITULATION Decedent's Social Security Number 1. Real Estate (Schedule A) ............................................. 1. I S L 6 ~ nm q `D in 0 2. Stocks and Bads (Schedule B) ....................................... 2. 6 o t 1 6 3. Glosety Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. CJ 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. O 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 9 ~] O / jp 8. Jointly Owned Property (Scltadtlie F) p Separate Billing Requested ....... 6. ~ ~ 7. Inter-Vtvos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) p Separate Billing Requested........ 7. ~ I 8. Total Gross Assets (total Lines 1 through 7) ............................. 8. A 3 .3 b b 7 9. Funeral Expenses and Administrafive Costs (Schedule H) ................... 9. 3 3 Z 3 .3 10. Debts of Decedent, Mortgage Liabiifties, and Liens (Schedule 1) .............. 10. O 3 11. Total Deductions (total Lines 9 and 10) ................................. 11. 3 y ~} 3 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. ~ Y 13. Charitable and Governmental BequesistSec 9113 Trusts for which an election to tax has not been. made (Schedule J) ........................ 13. ~ ~ O 14. Net Value Subject to Tax (Line 12 minus Line t3) ........................ 14. I R 3 Y ~ 3 ' TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0~ 15. 16. Amount of Line 14 taxable at lineal rate X .0 ~ 16. 17. Amount of L1ne 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE ....................................................! ..... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1505610105 O Side 2 1505610105 1505610105 ,~ 1505610101 ~v-isoo ~I~~~ ~- orfKaAL uars ow.Y PA Daptatmartt a tiawnue a9w~ t~urrau of Irtdividwt raises INHERITANCE TAX RETURN G~de Y•x ~ Nlalrax PO B07(a8o6oi wrrh6um. PA i~>~-oeDi RESIDENT DECEDENT ±%~ ~ , ~ ~_"~ ~ _ soda seuuxW Numtler Date a oesut ~ ,w,toorvrr oats a ein~t+ tl~mmrrYY DaoadaMY last Name 0 ~ '~ Sulk ~ Decedent's First Nana ~~~ ; 1 ~ r MI ` .. n.3.. .rt+^.ai. +rllc. _+~.ca..t~e. yuwc'.. ~fr~ .q.[J i_. ~y~, -.vuf ti.l.-_. -:~..a .~.->L'..~ ^br Ilf Applkable) Enbr 8uMvhro tipowe'a IrUormetbn Eelow Sptwse's Last Name _ Sulkc Spouse's First Name MI Spouse's Sodal Sectrlly Numtlar E•; z.--:;'~-•~-•~-••~•~.µ,M , THIS RETURN MUST BE FILED IN DUPLICATE YYITH THE fl I 6~~ ~ ~ ~ ~ ~ ,~ REGISTER ~F WILLS FILL 1N APPROPtZIATE OVALS BELOW ~ t. Orip4W Realm O 2. Supplemental Return O S. RamairWar Return (dam a death prior to 12-7562) O 4. LJmitad Estate O ~• FuWro Interest Comprortltae (date of O S. Federal Estate Tax Realm Requtraf dsa6r a8er 72-12.82) t~ 6. DacedaM Died 77eatate O 7. Deosdent Malnlained a Livkig Tnut 0 6. Total Number a Sate oepoan Soxes (Atlseh Copy a W11) (Attsch Copy aTnat) O 9. L,tSgatlon Prooeads Reafwd O 10. Spousal Poverty Crodtt (dots a dsa~ O 11. Election to tax under Sec. 9t13(A) between 12~37~51 and 1-t-p6} (Al1edl Sch. O) CO<RREBPOIOBiT - TiS6 8EC110N GI16T l1E COYPLETEO. ALL ~ ANO CDNFIDENiIAI TAX fNR011Wt1ttN titI01N.D ttE INRECTED 7t): Nerve Deytlme Tilaphone Number ~, _ aCtH'~~QrL~E€$; r~ SH~ / ,E=L:DS -- ~I s t' t ~ ~ 7 / ti7~~?cbb ~;o~.'t, piej, RE~iISTEgQF WILLS ItSf~ILY ~2 Q ~. p Fkst Nne a address m h c (Q C L Oi;u15:E"~ ';R-D'A-~ ~vi~ N G aC tpf,~' ~ -~ Sscand Ikte a addrsaa -. .. = ~~ _.J, c, City tx Post OIRce Slate . Z~ Cods ~TE fl ~. - ' -~ "~1j E.~ C H':~I~ t ~L' S 8 ~1 +e;Cs . .. !p,'~f t ,? , D;S. s 9,? 3 s. ~ :; cotrnpendanes e•maN eddnee: CeS~ ialds 3~ t7omCQ~St. n Cf undw pensMes al pe~sy.1 dsdw that I have examYrd ere r.aim. InrJudrp.oooa,paayYp sd,edwss aw sgten,.,Ha. and a ur. beet a aq Iarowled6. sr~d trMr. u is tnr, cones and mnpWe• OeduaYOn of txepaer attar then ttr easonal raorsserratl~,e'r taws an ao tntorrnatlon or whkh oreoasr hw amr krroaAadse. x DATE Side 1 L 1505610101 1505610b01 J 1 1505610101 ..J REV-1500 E""~~' ~ PM O~pwlmwd of R.wiw. orflaK:l~e awtar del 7itws MIFir~i'ANCE T/1X RETURN ~'cbM YYr Fil~qu"~'bw"' w->~ RESIDENT DECEDENT N!~1~ ~ a~ ~ ~"_6_~~! P~ DMA d DtbMt MbDYYYY OMs d Blrih l~b 3 ~~ 4 9 1 ~ ' Fo°~g~~~ ~ ~ ° ~.~ ~q o; o.ae.tKS w~ nw~. ..~lY. r' a- ..+t]R~' ~~~ ~ ~ ~ s t e~7i ~~ ~ ~ o.o«swt~ Fat ~attt. ~'tlu61{'HCN^ ^ -.N`/~~ypy ! .w• ~ilVx... r... ~ t ~ i~~ • ~ ~ ~x ^~w^r(~/•e/ < ~ • K;.r,:. .1 , . 1YWi tiI~ .~. Y> Y3- w' .. '~wa (KAPPA) Bt~sr ~M+O sPouNy Inbintsllon eNow 8pouN's L.Mt Netts Supt SpouM's Filq NMns 1A1 •.w- x• ~ s..y. / s ~..w ~ma..a¢r~ ~ ~ °} a ~ ~ rq ~ ~~7 f r a4d +-..~ : •r - ~:avor•~v .+i ~~ t m. ru i w.<~..AI.~e ..ne Yr~ar~fwe- . ~w =,~°e~~~~ ~--~ TIES RETURN MUST BE FLB! N DUPUCATENfI11 THE ~ c E ~ .~.. l~. REGISTER GF WILLB PILL 1N ~1~oraulTe ovAts sE~ow ~ ~, ~Mtw+ mum o ~. aupplaet~tMai tt~ti.n O 3. RstastrwNP Hsltttn (tlMs a d..9t , piorb 12.19,92) C7 4.';LinttMll~i16 ~ p ~a. FtAun NtlwMt C,aaptaNM (dMS d O 5. ftadrN Ei1Mu 71ut R~lttrn R~gWtrtl . tlwMi MM 12-122) ~^ ~~~ ~@~drM81W ~IMr1e O 7.O~astbrt 1A~pfaltnd t+ lwYtp 7Ytit O 9. ibW NurttOV d S~ 0u{to~N Baas c~ ~ ~+~ i~ copy a rtttaf p 9. LNiQtaAidtt PtiopWr R~ct~iwd O 1Q SpatsN Ptowtty Credit (dNs d eMMh O 11. ENolion b t~tt urtdr- Sic. 9113(AI b~lwMn 12-3191. Mtd 1-1.94) (AputM Sdt. Oj GOltlI~IONSBR- 1gNSC110M M1/14S COIR,l7lD. ALL GOI~Qlt4lIICEAND C01~1ML 7N1f 1w0UL01E D~CilD TQ ~ //~~ //~~ C ~ j P~S~. i rI ~C~e7r~~/~ ~ !L c ^ '•L:DS~- ,`! ~r ~ ~ J;Ha ~ ' OryrntaRNPltar Irtttttbur ~i0i~ `O~9' 7 ~ 9~: '7~~~ . i G ;~ s s . FCIl141is d addtaua 8~ooed Fts d setltwa - - •. Clly or P'aN o4fas • , `~. .. ©o sta zm cods rw.~w.. zi y ~ u K.~ ~.y i-?"1 v ~~~ '_ _> ". T ~.~ r T~ Bm. , 1505410101 1505610101 J . ~' „--, a''o~tE A CO~wO~AVlA~THOrPea~vAepA REV•//02EX111-B6) OMARTMMf OR IINBiUE SUIQAU OP RIONIOUAL TAXES p9-. 250001 YIAMISSING, ~A 17125-0501 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 013001 STONER DONALD W III 601 WILLARO STREET FRONTENAC, KS 66763 ._.._ 1Mi ESTATE INFORMATION: ssN: yea-z4-e~e~ FILE NUMBER: 2110-0396 DECEDENT NAME: STONER HELEN M GATE OF PAYMENT: 06/30/2010 POSTMARK DATE: 08/29/2010 couNTY: CUMBERLAND DATE OF DEATH: 04/08/2010 REMARKS: sEAI CHECKI~ 110 ACN ASSESSMENT AMOUNT CONT OL NUMB R 101 ~ 87,695.00 TOTAL AMOUNT PAID: INITIALS: DM RECEIVED BY: S 7, 695.00 GLENDY4 EARNER STRASBAUGH REGISTER OF WILLS REOISTE'ft OF NflLLS REW1500 EX Page 3 Decedent's Complete Address: File Number ~ ~~-~ ''V 7~ DECEDENTS NAME ft e%~Il . STaflE7 STREETADDRESS --- G+~EE~7/S~~IAl6 ~P1yE _ CITY ' /,/~,,,, mil//~~Bulp~s STATE ~~ ~P ~ 7~~ Tax-Payments and Credits: f. Tax Due (Page 2, Line 19) 2. Crer5lSlPayments f~ 6 9$', o0 A. Prior PaYmerds s. Discount YoS, m 3. Irderest 4. n Line 2 is greater Shan Line 1 + Lure 3, enter the difference. This ~ the OVERPAYMENT. t=q1 in oval on Page 2, Line 20 to request a refund. (1) T~36 ~ eo Total Credits (A+ B) (2) 8 /0~. (3) O (4} ~ 5. ff Line 1 + Line 3 is greater than Line 2, enter the di8ererrce. This is the TAX DUE. (5} r ~a ~'..~j Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOGKS 1. Did decedent make a transfer and: Yes No a. retain the use or income ~ the property transferred :.......................................................................................... ^ b. retain the right to designate who shah use the property transterred or its income : ............................................ ^ ~l c. retain a reversionary interest: or .......................................................................................................................... ^ d. receive the promise for Ale of eitlier payments, benefits or care? ................................. ^ ..................................... 2. N death orxwrred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ^ 3. Did decedent own an 9n trust tor" or payable-upon-death bank account or security at his or her death? .............. ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a herrefiaary designafiwr? ........................................................................................................................ ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE C AND FILE IT AS PART OF THE RETURN. Fa 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 [T2 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) (G)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements fa' discbsure ~ assets and filing a tax return are stiN 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 trer>siers from a deceased child 21 years of age or younger at death to or for the use of a natLrat 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 decedents lineal berlefiparies 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 percerd (72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in c~mnron with the decedent, whether by bbod or adoption. REV-1502 EX+ (6-98) SCFIEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ~ TONER, +YEL E7-/ 91. •~ /- /o - 0 3 96 All real property owned solety or as a Canard fn common must be reported at fair market value. Fair market value is defined as the price at which properly would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Weal property which la )olydty-owned with right of survivorship must be dlsdoeed on Schedule F. ITEM 1. K/I T/ri~T C~tQ//] ~I'CG~ 1l ~Qq~ Ly .SI ~bf'J' JP/)'R~ T"T-~ Cu,r,~.~ Co l~utna., be-nJ improved by a. ~Swn- housr! c/cud!/%•/r~ Oan~'t Jtn.wn a~rul nurnbc,~d Qs ~o C rle;enspr;nq "fir%ve , as )s hurt parhtc~.lar[~, deSerr%bt~ Itt f ~1~~ ear`9,a i n deed Ft" eat /hax D- ~1ar bain a,,,Q( Grt.t~don F. Go na bard , Co -far-fine- t~ is Donald w. Slone ~ anal F-~alcn ~Yl. ~f~ner, dn.ted T+•dy !, 1993. pn~J reeonl~( ir1 ~i~t ~ ~O/~ict/~~OJe ~ ~F ~~Cr s~ aGt~S Ltt /~ 1~e~ U~r1BR1f7t~ ~i Pcnna. •~•~~ wok aK,~ Yo~ 36, pf~i 7~~ a 5q,;d ~eh~,id w. Sf~ner pnedecusc•~ said Holes /11. 5~,-nt.--, (~~°n ~~.ll and abaolu~s ~r'flc Ues{Lq~ L,a har by ~. -~a off' ~;s CmMrnonwealffi ine.do,1.~' -b ~+tuteie ~y '~+t Q-nt1YL~~GS. See. ~ef~5t a'~lteheerf). prop w.~s. sold b~ vir~ke o~ p,,,. Angre,r~,,~,e,t' e~ Sale on ~'kne: 3 0, ,Zo I o fib w ~ 11 ~ tun h-. Parkar- ~ wl~d f{afi4+le.e,. C. ~arJcu-~ his wi {ti ~ ~r ~5/f, ~3 9. ~~ Set Copy of settkirne~# Shce~ Mv1 Prue, amd Correll ~y ~ ~-Exetu~bra died a-H-a~l,erd htr~~ VALUE AT DATE '~J 5 y, G 3 ~. no TOTAL (Also enter on line 1, Recapitulation) I S ~ $4; ~p3q ~ OD (If more space is needed, insert additional stwets of the same sae) :. .: ~ '.ttvj „i, ., ~,.uNT)',-pa '93 JUt 26 R~ g ,`18 ,,<,:.,.. rA ~ :?r Nr vE ,'rJt r ._T.,,. ~ _. ~,i ." y ,.., pa cs _..,_......._. THIS DEED MADE this lst day of in the year of our Lord, One Thousand Nine Hundred Ninety- hree (1993). BETWEEN MAX D. MARBAIN and GRAYDON F. LOMBARD, Co-partners, having their partnership office in the Borough of Mechanicsburg, Cumberland County, Pennsylvania, parties of the first part, hereinafter called the "Grantors", AND DONALD W. STONER AND HELEN M. STONER, HIS WIFE, WITNESSETFI, that in consideration of the sum of Ninety Four Thousand Five Hundred and 00/100--------------(;94,500.00)--------Dollars, in hand paid, the receipt whereof is hereby acknowledged, the said Grantors do hereby grant and convey to the said Grantee, heirs and assigns, ALL that certain piece or parcel of land, together with the improvements erected thereon, situated in the Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania, more particularly bounded and described as follows: BEGINNING at a point on the northern side of Greenspring Drive at the dividing line between Lots Nos. 157 and 156 as shown on the hereinafter mentioned plan of lots; thence along said dividing line between Lots Nos. 157 and 156, North 19 degrees 51 minutes 45 seconds West, a distance of 128 feet to a point at lands of Phase 5 of Westfielda; thence along the latter, South 70 degrees 8 minutes 15 seconds West, a distance of 36 feet to a point at the dividing line between Lots Nos. 157 and 158 as shown on the hereinafter mentioned plan of lots; thence along said dividing line between Lots Noa. 157 and 158, South 19 degrees 51 minutes 45 seconds East, a distance of 128 feet to a point on the northern aide of Greenspring Drive; thence along said northern side of Greenspring Drive, North 70 degrees 8 minutes 15 seconds East, a distance of 36 feet to a point on the same at the dividing line between Lots Nos. 157 and 156 as shown on the hereinafter mentioned plan of lots, the place of BEGINNING. BEING Lot No. 157 as shown on a certain plan of lots entitled "Final Subdivision Plan of Westfielda Phase #6" and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Plan Book 62, Page 115. HAVING erected thereon a townhouse style dwelling unit known ~ and numbered as 80 Greenspring Drive. ,BEING a portion of that certain larger premises which Oscat F. Shafer and Pauline M. Shafer, husband and wife, by their deed dated May 28, 1991, and recorded in the Recorder's Office aforesaid in Deed Book "D", Volume 35, Page 159, granted and conveyed unto Max D. Marbain and Graydon F. Lombard, Co-partners, the Grantors herein. SAID premises are conveyed under and subject, nevertheless, to (1) all those certain covenants, conditions and restrictions as more fully contained in a document entitled "Declarations of Covenants, Conditions and Restrictions Applicable to Phase 6 of 'Westfield in Silver Sp ing Township, Cumb land C r~u'/~n~t~,y~,,~ ~~ Cumb. Co., l4~ -a~~ ~/ SohoW Dht Cumb, Ca. h. e,.,..r~,.__,__ rebut/.a.Yw B001(~ ~ PAGE anne, a. owc ~.~. teens. a. oM. oa.Ne 787 Pennsylvania", as recorded in the Recorder's Office aforesaid in Miscellaneous Record Book Volume 405, Page 268, and incorporated herein by reference thereto; (2) all those certain utility and storm drainage easements as shown on the above mentioned subdivision plan of ,lots and the free, uninterrupted, unobstructed and perpetual rights and rights-of-way to install, construct, maintain, operate, repair and replace the facilities and systems of the utilities and storm water drainage facilities, and reserving unto the Grantors the rights to convey, grant and/or dedicate said easements and rights-of-way unto the appropriate utility companies, governmental agencies or other grantees requiring the same for the future operation of the respective facilities and systems; and (3) further UNDER AND SUBJECT, NEVERTHELESS, to the free and uninterrupted perpetual right, privilege, easement and right-of-way in favor of the owner(s) of the adjoining premises, to wit: Lot No. 156, to use, operate, maintain, repair and replace an existing underground storm water discharge pipe over, in, under, across and through the lands herein conveyed (Lot No. 157) and to discharge storm water in and through said pipe to Greenspring Drive, together with the right and privilege from time to time and at all reasonable times to enter upon said Lot No. 157 for the foregoing purposes, subject to the restoration of all damages caused by the exercise of such rights and privileges; any such replacement shall be in the same location as said pipe presently exists. AND the said Grantors hereby covenant and agree that they will warrant specially the premises hereby conveyed. IN WITNESS WHEREOF, the said Grantors have hereunto set their hands and seals the day and year first above written. //' ~ .(SEAL) Max D. Marbaln Co-partner) 7 c~ ~ ( sEAL > Gray n F. L m ar o- tner) COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) On this, the `~± day of 1993, before me, a Notazy Public in and for the Commonwea h and County aforesaid, personally appeared MAX D. MARBAIN and GRAYDON F. LOMBARD, Co-partners, known to me (or satisfactorily proven) to be the persons whose names are subscribed to the within Deed, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. c gommiasion~~xpyres: {,.ter; i ,~em.,ev ~n~r~ya~eoc E ~a+N3 "" -2- Olt~ ~ PACE '~$8 WITNESSED BY: CERTIFICATE OF RESIDENCE I hereby certify that the precise residence and complete post office address of the within named Grantee s: ~a ~' ~.~p ~~,~ ~~ ?ems M 1993 [~+.~: r.° O~ ~v, M.s7•~~n~ ~ .lam ~,~sunty of Cumberland ~ ~;;,r~~ in tM dfios for ttfo noordiM of Dsods Y;~. in nd form in r1b1.,gLrpo-4ia+ ,~j witr+ass my head an oM M o,~ t'12 Carlisle, fA\ R -3- ~ K ~ FACE ~e`8~ Tax Pazcel Number: 38-23-0571-246 THIS INDENTURE MADE THE ~~ day of ~f,~y/~ , in the year of our Lord two thousand and ten (2010). / I BETWEEN DONALD W. STONER, III and STEPHEN B. STONER, as CaEgecntors of the Estate of HELEN M. STONER, deceased, late of Silver Spring Township, Cumberland County, Pennsylvania, Grantors, and WILLIAM M. PARKER, III and KATHLEEN C. PARKER, husband and wife, of Camp Hill, Cumberland County, Pennsylvania, Grantees. WHEREAS, the said Helen M. Stoner, was vested in her lifetime with title to the premises hereinafter described, in the Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania; and WHEREAS, the said Helen M. Stoner, departed this earthly life, testate, on the 8th day of April, 2010, and Letters Testamentary were duly issued to the said Donald W. Stoner, III and Stephen B. Stoner, by the Register of Wills of Cumberland County, docketed to No. 21-10-0396; and WHEREAS, the lands herein-mentioned were not specifically devised: NOW, THEREFORE, THIS INDENTURE WITNESSETH, that the said Donald W. Stoner, III and Stephen B. Stoner, Co- Executors, as aforesaid, for and in consideration of the sum of ONE HUNDRED FIFTY-FOUR THOUSAND SIX HUNDRED THIRTY-NINE and No/100ths ($154,639.00) DOLLARS, and other good and valuable considerations, to them in hand paid by the said Grantees, at and before the ensealing and delivery hereof, the receipt whereof is hereby acknowledged, have granted, bazgained, sold, aliened, released, and confirmed, and by these presents, by virtue of the power and authority in them vested by the Fiduciaries Act of the Commonwealth of Pennsylvania, do grant, bargain, sell, alien, release, and confirm unto the said Grantees, their heirs and assigns: ALL THAT CERTAIN piece or parcel of land, together with the improvements erected thereon, situated in the Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania, more particularly bounded and described as follows: BEGINNING at a point on the northern side of Greenspring Drive at the dividing line between Lots Nos. 157 and 156 as shown on the hereinafter mentioned Plan of Lots; thence along said dividing line between Lots Nos. 157 and 156, North 19 degrees 51 minutes 45 seconds West, a distance of 128 feet to a point at lands of Phase 5 of Westfields; thence along the latter, South 70 degrees 8 minutes 15 seconds West, a distance of 36 feet to a point at the dividing line between Lots Nos. 157 and 158 as shown on the hereinafter mentioned Plan of Lots; thence along said dividing line between Lots Nos. 157 and 158, South 19 degrees 51 minutes 45 seconds East, a distance of 128 feet to a point on the northern side of Greenspring Drive; thence along said northern side of Greenspring Drive, North 70 degrees 8 minutes 15 seconds East, a distance of 36 feet to a point on the same at the dividing line between Lots Nos. 157 and 156 as shown on the hereinafter mentioned Plan of Lots, the place of BEGINNING. BEING Lot No. 157 as shown on a certain Plan of Lots entitled "Final Subdivision Plan of Westfields Phase #6" and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Plan Book 62, Page 115. HAVING erected thereon a townhouse style dwelling unit known and numbered as 80 Greenspring Drive. BEING THE SAME premises which Max D. Mazbain and Graydon F. Lombazd, co- partners, by their deed dated July 1, 1993, and recorded in the Recorder's Office aforesaid in Deed Book "K", Volume 36, Page 787, granted and conveyed unto Donald W. Stoner and Helen M. Stoner, his wife. The said Donald W. Stoner departed this earthly life on May 24, 2000, whereupon full and absolute title to the said premises vested in the said Helen M. Stoner by the laws of the Commonwealth of Pennsylvania incident to tenancies by the entireties. Her said Estate is the Grantor herein. SAID premises aze conveyed under and subject, nevertheless, to (1) all those certain covenants, conditions and restrictions as more fully contained in a document entitled "Declazations of Covenants, Conditions and Restrictions Applicable to Phase 6 of `Westfields' in Silver Spring Township, Cumberland County, Pennsylvania", as recorded in the Recorder's Office aforesaid in Miscellaneous Record Book, Volume 405, Page 268, and incorporated herein by reference thereto; (2) all those certain utility and storm drainage easements as shown on the above mentioned subdivision plan of lots and the free, uninterrupted, unobstructed and perpetual rights and rights-of--way to install, construct, maintain, operate, repair and replace the facilities, and systems of the utilities and storm water drainage facilities, and reserving unto the Grantors the rights to convey, grant and/or dedicate said easements and rights-of--way unto the appropriate utility companies, governmental agencies or other grantees requiring the same for the future operation of the respective facilities and systems; and (3) further UNDER AND SUBJECT, NEVERTHELESS, to the free and uninterrupted perpetual right, privilege, easement and right- of-way in favor of the owner(s) of the adjoining premises, to wit: LotNo. 156, to use, operate, maintain, repair and replace an existing underground storm water discharge pipe over, in, under, across and through the lands herein conveyed (Lot No. 157) and to discharge storm water in and through said pipe to Greenspring Drive, together with the right and privilege from time to time and at all reasonable times to enter upon said Lot No. 157 for the foregoing purposes, subject to the restoration of all damages caused by the exercise of such rights and privileges; any such replacement shall be in the same location as said pipe presently exists. TO HAVE AND TO HOLD the said messuage or tenement and tract of land, hereditaments and premises hereby granted and released, or mentioned and intended so to be, with the appurtenances, unto the said Grantees; their heirs and assigns, to and for the only proper use and behoof of the said Grantees, their heirs and assigns, forever. AND THE SAID GRANTORS, Co-Executors, as aforesaid, their successors and assigns do covenant, promise and agree to and with the said Grantees, their heirs and assigns, by these presents, that the Grantors have not done, committed any act, matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged or encumbered in title, or otherwise howsoever. IN WITNESS WHEREOF, the said Co-Executors of the Estate of Helen M. Stoner, deceased, Grantors herein, have hereunto set their hands and seals upon sepazate signature pages on the respective days and year set forth thereon, the first of which is used to affix the date of this deed first above written. Signed, Sealed and Delivered ' the Presence of: f (~ fitness Date ss Date /l~C-~ • (SEAL) ONALD W. SZ NER, III, Co-Executor of the Estate of HELEN M. STONER, Deceased IN WITNESS WHEREOF, the said Co-Executors of the Estate of Helen M. Stoner, deceased, Grantors herein, have hereunto set their hands and seals upon separate signature pages on the respective days and year set forth thereon, the first of which is used to affix the date of this deed first above written. Signed, Sealed and Delivered in the Presence of: ©(o • 225 • ~ t O Witness Date ~~~~ 04c~ 2 :~ • 2[l1n Witness Date ,~ (SEAL) STEPHEN B. STONER, Co-Executor of the Estate of HELEN M. STONER, Deceased STATE OF KANSAS ) r ' j SS: COUNTY OF cam. On this, the ~ day of ~~ ,~/h p ~ , A.D. 2010, before me a notary public, in and for the State of Kansas, personally appeazed DONALD W. STONER, III, known to me (or satisfactorily proven) to be the person whose name is subscribed as Co-Executor of the Last Will and Testament of Helen M. Stoner, and acknowledged that he executed the same in such capacity. IN WITNESS WHEREOF, I hereunto set my hand an official seal. ~~ ~yP~ Q JO~~G ;~ ~-l b:a ~:~ No Pu lic My commission expires: (SEAL) STATE OF NORTH CAROLINA COUNTY OF ~~~,~, SS: On this, the 23~ day of ~ ,~,. - , A.D. 2010, before me a notary public, in and for the,State of North Carolina, personally appeared STEPHEN B. STONER, known to me (or satisfactorily proven) to be the person whose name is subscribed as Co- Executor of the Last Will and Testament of Helen M. Stoner, and aclmowledged that he executed the same in such capacity. IN WITNESS WHEREOF, I hereunto set my hand an official seal. Notary blic My commission expires: ~ ~L • 2cr • 20- 2 (SEAL) ~ ~ ~ vVaiae Cax-t% North Cardlns ~ Canes F~pirea [newnwr 26, 2D/2 CERTIFICATE OF RESIDENCE I do hereby certify that the precise and exact post office address of the within Grantee is: Attorney for Grantee 8/30/2010 3:41:05 PM eyr ~4' OMB Approval N0. 2502-0265 ~d~,~ A. Settlement Statement (HUD-1) B. Type of Loan 1.^ FHA 2.^ RHS 3.®ConV. Unins. 8. Fik Number. 7. Loan um r. 8. MORgape Inaurenp SB Number: 4.^VA 5.^(:011V. Ins. ^ONar 20100440 51884 C. Note: This form h famished tog a you a statement of actual settlement mats. Amounts pa to and by the setlkment agent are shown. Ibma marked •(PQC)' ware pekl outNde the dosing; they are shown here for informatbnel purpoeea and arc nN indude0 In the torah. D. Nsme 8 Address WlBiam M. Parker, I II, 501 Kevin Court, Camp Hill, PA 17011 of Borrower: KaMben C. Parker E. Name d Adtlrcsa Estate elan toner, do Donald W. toner, III, 601 WiIhM treat, Frenlenac , K 88783 of SeINr. F. Name b Address PSECU, ISAOA, ATIMA, 1 Credd Unbn Place, Hanisburp, PA 171102890. Loan; 51(784 of L.sndsr. G. Properly Locatlon: Property Address 80 Greenspr9ng Dr. Mechan'Ipburq, Pennsylvania 17050 PIN 3&23-0571-248 H. Settlement Avant: James A. MBhr, Esq., 1-Great oa ment rvkes, LLC, 785 ophr hunch Road, mp HIB, PA 17011, (717)731-1040 Play tN Sstllsmam: 785 Pophr Church Roatl, CampHlB, PA 17011 1. Settlement Dab: 8/302010 Proratlon Dab: 6/302010 D)sbureemlM Dab: 8/302010 101. CortbeG aaNa prke 5754,839.00 401. Contract aahs price 2154,899.00 102. Peraortal property 402. PersOnN propxpr 103. Setlhnx4M rdlaryse to borrower (Ilse 1400) 28.100.12 403. 104. ~ 404, 105. 405. 102. CilyROwn tatoes 406. l:kylbvn taxes 107. County taxes 8/30/2010 to 1/12011 5241.7 407. County taxes 8/30/2070 to 1/12011 E241.70 1(18. AsseawpMS ,~. AewawnsMe 109. SChooi Texts 8130/2010 to 7/12010 23.43 409. Srdtod Texts 8/3022010 b7/72070 53.43 110. ~ 410. 111. 411. 112. ~ 412. 120. Gres Amoum Dw from Borrower 5180,824.28 420. Grow Amount Dw t0 SNhr ' 5154,884.13 201. Deposit or eenwat money 53,000.00 501. Expo dapp8 (sae IrrM1UCtlons) 202. Pdndpel amount M rww baMe) f/48,8m.m 602. SenhrtreM rduryae to cellar (Ilse 14m) 511,285.82 203. F~dsBrq kwn(a) taken wbjad to 503. Fxhti rp ban(e) taken sub)ed to 204. Center Credit for Fees firm PSECU, ISAOA, ATIMA 5333.12 504. PeyoR of oral mortgaps ben 205. 505. Peyclf of aerxtrrd nartgapa ben 208. ~ 506. - 207, r~7 208. 508. 208. SNlera Aaalatenca 54.838.00 508. Sasere Aawfanp 24.838.00 210. Ckyrtavohms 510. CiryRam taxes 211. Courrty lerrea 571. County taxes 272. Aswsanrenta 512. Asseasmards 213. 513. 214. 514. 215. - 515. 218. 516. 217. 517. 278. 518. 219. 519. 220. TrHal PNd bYROr Borrovnr 2124,272.42 520. TNeI Reduetlon Amount Dw SaINr f12,821.82 307. Grose amount due fibrn borrower (line 120) 3180,924.25 BOt. Groan amount dw m aNhr ry'ne 420) 5154,!184.13 302. Lass amounts paid byNa borower (Ap 220) (3754.87242) 202. Less reductlons n amours due seller (2ne 520) (315,92d.82) 303. Csah ®From ^TO BOrrpWf - 58,111.83 807. Cash ®TOOFrom Sallar 5138,829.31 __~... _. _ . _......._. -,...,-., ..,,,, ~,.,~,,, ~ ,,,o,,,,,,,r.w„m wnwnwu m Gocaa e, ti, n am i am On ante 401 (or, If ap 481 h aaterhked, Ilnea d03 and 404), 408, 407 and 408112 (app3cabb part N buyeh rpl state tax rePOrtabh b the IRS) b ImperhM tax krtortnatlon and h being fumhhed b 8re IntemN Rsvenw Servim. If you aro required to Bh a rotum, a nagligenrx peruky or other 4srrttlon witl be knposed on yea N eas Mner h roquhe0 b ba repoMd and the IRS delerrrrlrrea met tt has riot been repcrtetl. BELLER INSTRUCTION - 8 nth foal asrets was your pdndpal reabenee, Me fdm 2t 79, seta a Excherrgs d Pdntlpal Reaberrce, for any gain, v4th your Income tax realm; for nUrer wnaaaeons, compbla the epplkede pero a form x797, Form 8252 amva Schedule D (Form 1040). You aro rcquirod to provide the SetOemeM Agent vdet your rxxract taxpayer iden8fxstbn number. If you oo not prevbe the $sttlsmant Agent wMt your mneC taxpayer itlen58p5on number, you may be su6)ee to civil a diminel penal5aa. EST P HE N ST ~NER The Pudic Reportlre Burden for tda celled Mh infonnatlon, antl you are is mantlatory. Thh is tleslpnW b pr tlion N Mformetlon h aadmated N 36 mbutee per response for collepng, revieMrrq, and repa2ng Oie tlNa. Tttis a9em.Y may not itdrad to complete O4s form, unhsa 8 dlaphya a pmmtly varq OIdB mnbcl number. No pnadenthiky h assured; aris dhcbsure the pertlea b a RESPA rwvered trsnaactbn vdtlr Intonnetlon durkrg the eettlernerrt pnx7na are 8!302010 3:41:05 PM c~ •r.....~.__ nn...~..,. 700. Total Real Estate Broker Fees Paitl From Paid Fmm Divisbn o commissbn (line 700) as 8onowefs Sellefs 701. 54,525. to r WIIliams Central Pennsylvania Funtls at Funtls at 54,475.00 to ReMax Reeky Associates, Ina. Settlement Settlement 703. mmissbn paitl at settlement 59,000.00 39,000.00 7a. 705. Broker Fee to ICe0sr WilAama of Central PannsyMMe ~ 522,5.00 700. Broker Fas m Retaaz Reeky Aasoeiales, Inca 801. Our ori9inatlon rlrarga PSECU, t^.aAOA, ATIMA" ~ 5550.00 (from GFE el) 5296.00 802. Your credtl a cherpe (points) for the speCBC interoat rate Moeen (from OFE 12) 803. Your atllusletl odginstion Merges to PSECU, ISAOA. ATIMA (from OFE A) 804. Apprahal fee to l.enktl Penn Appraisals, Inc. (from OFE a3) 805. Cretltl report to CBC Innovis (from GFE a3) 5550.00 3908.80 .517.82 808. Tex aervios (from GFE 110) 807. Fkrad cenMcation to LPS Natkzul Flootl (from GFE a3) 57.00 808. 801. Datly kttereat Merges h'tlrn 8/30/1010 7/1110 ®521.8325Idey (from GFE a10) 221.83 802. Morgage InaurorxXt prsMum for (hoar GFE aO) 903. Homeowrlefs krettron0e for 1 year(s) to The Herlforo (fiom GFE tt t) POCB 5389. 904. 905. 1001. InMal dep0stl for your esuow account (horn GFE #!9 51,456.93 1002. Hdneowirfs insurance 3 mo. ®531.920D per nw. 595.78 1003. MOrtCNe Insurorza 1004. Cay Properly taxes 1005. County propedy taxes 8 mo. ®540.5500 per mo. 5243.30 1008. Sdgd properly taxes 13 mo. (ty 5708.4900 per mo. 51,384.37 10117. 1008. 1009. Aggregate P4lualrtwnl (5268.50) 1101. Tids serviceb arld IentleM title irourorxxt (from GFE a4) _ 51,893.75 1102. Settlement or dosirrp a,e 1109. Owner's title irnuronoe to Greet Roed Settlenwnl Servl0ss, LLC (hem GFE a5) 340.011 1104. Lendefs lilb Inaurorroe to Groat Road Setllenterlt Services, LLC 31,293.75 1105. Lendafa ti1M pOtcy Iimk 5148,900.00 1106. Ownsfe title pOtky Nma 3154,839.00 1107. !gent's pOrfbn of tM total tltla ineuruxe premium ro Great Roetl Battlement Services, LLC 51,183.69 1108. Urxlerwrilefs portion of the total title Insuronee premium b Stewan Title Guaromy Company 5170,08 1108. ^Irxdudes Ends 100, 300, 900 1110. Cbsirg Protec8on Cellar to Stewart Title Gwromy CompsnY 375.00 1111. lMc Prep Fee to Greet RoaO Settlement Services, LLC E250.00 1112. OvemiOMHWiro Fes to Orest Road Settlement Servkea, LLC 550.00 1113. Notary Fee to Cesh 525.00 510.00 1114. Tax Cenirtra0on to Great Road Settlement Services, LLC 510.00 7115. 1201. GavemmeM reca'dirg [lralpe! - (Nom GFE 57) 5783.00 1202. Deer! 553.50 Mptpage 589.50 Rebaps 1143.00 1203. Transfer fazes (from GFE ee) 51.546.38 120{. CirylCouray fax/suntps Dee051,546.38 51,548.39 1205. State taxhNmps Deed 51,548.39 1208. UPI Cartifir2tti0n Deed 510.00 MMpege 510.00 320.00 1301. Requkstl services tllst you can shop fof ~ (from GFE ae) 51,548.39 1302. Hama Wamny to Ameriesn Home Shield 5395.00 1303. 2010 County7TOVmahip Tax on 3/782010 m Debra Baeehore.Weiel POCS 5476.11 1304. 2009-10 SMOd Tazp on 8/152008 to pabra Basyioro.yyeiq POCS 31.252.41 1305. Final LIWiBes 31211 to 0/9010 SBvx Spdrg TownaNP AuMOrib 599.43 1400. Tofal SNtlemsrrt Cfu (abler on Ilnas 103, Ssetlon J and 502, Saetlon K) .^ InN.uL^ Au _ d, 58,100.12 571,286.82 hems marked ^POC" wero pant arrteWa the dosing by: Borrower (POCB), Lender (POCL), Morpage Broker (POGM), Ooror (POGO), Real Estate Agem (POCR), w Seller (FOGS). Previous editions era obsolete Page T of 3 HV61 8/30!2010 3:41:05 PM Fb Number, 2010&140 CERTIFICATION: I have ®tefuly revierAd 1M HU0.1 Settlement Statement and to Ne hest of my knowledge and belief, a b a true and aauroee ablement rN eq receipt antl dbburoertlerlla made on my arraunt a M ma in this hartsac8on. I further cergry that I have received a mpy of HU0.1 Settlement Sbtemem. The Seltlemerd Apem does rat wertenl a repraaem Na accuracy or infama8on provided hY Nirtf parties, indudirq intormetlon conceminp POC Hems end hrforrrledon supplied by Ne larger in Nb IronaaclWn appeulrp on the HU0.1 penaininp to'C ~ n or Good Faith Eetlrtrate (GFE~ and HU0.1 Charges' antl'Lwn Tartna', and the pereea hold hennbas the Settlement Agent as to arty Inexuracba d ouch metlere. ~;C~i~` ~C~1, 4~f E T TE O HELEN STO 1~ M. ~ II ~~ // NNan C. P ~ ~ 1 To the best cl krrowledpe, the HU0.1 Battlement Statement tvhkh I have prepared la a true aM aecurete axount a tlts funds whitlr ware received end Mve been or wfll be dbbunM q ndarol na a part M the settlement d Nis tronaaabn. ~ 3 0 2o~p amn er, sq. tt la s uk fe N krtcalrtpy make tabs statement b the United Stefan on Nis or arty aher similar folrrl. PenelBes upon mnvkdon can inUuG a fine end !. For tfe~61b see: Tttb 18: U.S. Cede SecBOn 7001 and Sectlon 1010. Previous edt0ons aro obsolete Pape 3 of 3 HUD•1 REV-1503 EX+(6-98) SCNEp1~LE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FlLE NUMBER 2i'`O -0396 5?o NE7Q, HELOI/ /!~, All properly Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH t . -i,4 NGU,~,¢D iNrFsrd,~s A~eatuT Sr~uES; ,¢. S ~/~ Soo, >E /oS. 3'~'f ~iaies ~ /09.3(0 = ill, 3.2D. 9,Z /.~. Europrer, Sfik ~dcK, 6~ 9.07.? ~ilan~s !7 ~~S.6~f '~/L, /z 9. ~~ L', T.!`al ,~.~~/ /hsr~(ef; 3, ~/G. ,?,3/ ~ia~t:s ®%D. ~f/ = ¢32, 439.96 ~. ~orl %rr1r1 T~4S~lry 3.390 S~iairs Q %D•8D = J 36.61 TOTAL (Also enter on line 2, Recapitulation) I S ~o ~~ l elEr. '{D (M more space is needed, insert sddHional sheets of the same size) REV-1508 IX • IK>! SCHEDULE E ('AMMONwEnLrNOFPENNSYLVANU+ CASH, BANK DEPOSITS, & MISC. INHREEPo ~ tiE~D ~uRN PERSONAL PROPERTY ESTATE OF S.TD N /i/FLEy~/ /Ij. FILE NUMBER ~?, a/-io- D396 Inckrde the proceeds of litigation and the date the proceeds were received by the estate. All propsRy joiMlyovmed with the right of survivorship must bs discbsed on Schsduk F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~. rn ~ T Q/>F/-~!t! , C/rtck.:tip ~4eef'. No_ S'~B /`/J S, 9Z/. 70 ?. Snf: /Peer: 7b d.o.d. Owl 1^i'~n+ /1/0. ^~ D 3. 2nvttnfor~ o~ person drrl f y ~ 9~fG, so '~f. P,omCRSf ~ y8.83 Reim6ursemen~s ak+d Pro»ra~ons on So~1e. of re..1 ttrfiw.r ',p'er' S~~trncnf ShaGf Q~}'GLt.I~+t.t~ fie' SChcd• /~ /F. L'nc 401- Cow,nt~ T~ 4~,~.?o f3• Lonc. 4~4- SC.1~-o01 "T:~s { 3.'i3 6, ~aynluf by !vi//%a~f /h. Parker' 7IZ' ~'r ~onall~,6T~• assoe.ah.d w;t~ p~r~hdse o~ real esta~'a 9~ aoo. o0 PIIAf~kr11 ~ f{eMEOl~l111P~S ,Sh3u-:, ~r-a ~nSur. f ?JD8.00 S. Ta.~ Rebate ¢~oo, 00 TOTAL (Also enter on line 5, Recapitulation) I S ~~ 1 7 ~. ~6 (K more space is needed, insert addilional sheets of the same size) L ©irLf~Ll DAlll~ 499 Mitchell Road, Millsboro, DE 19966 Adjustment Services Charles E Shields, III Attorney At Law 6 Clouser Road Mechanicsburg, PA 17055 Re: Estate of Helen M Stoner Social Security: 163-24-9761 ' Date of Death: April 8, 2010 -rt,~.r ~ / ~~i o Hcl~ ~aa ~. Phone 888-502-0349 F ax (302) 934-2955 June 3, 2010 Dear Sir or Madam: Per your inquiry dated May 21, 2010, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: I. Type of Account Checking Account Account Number Ownership (Naves o, fl Opening Date Balmice on Date of Death Accrued Interest Total 548197 Helen MStoner 09101/78 .$5,921.70 $ 0.00 $5,921.70 For further account hNormation, cJosnres and/or reimbmaemmt of funds please nll the Carlisle Pike Office at #717-795-1710. We were uwble to locate sny sate deposit boz for the above-mentioned decedent. Sincerely, Suzanne M Kimble , Adjustmelit Services - A TTA-eHntE~VT' F'o 2 SCHED. 1= L3T oh' S iONF2, HE'«u 9?. 1=tt~ ND. /NvEAlToi2 D~' PE~SDAI~4,LT a/ io-p396 1. u. Siu dl 7b ~ - u~ --o Otd dresxr ta;~i m;rror 'cle boar.nd f/ov.eo ,3 Dld d; natfic .stf' w~~l- u, ! ' c Scr~z.~+eS % o o . o0 ~f. t Lo ' i SfO, n0 ,,5; Dld Cou, c~er-s+du-xhle .~wc~- fS~S.oo 6. Co~ii!cc ~6/e. fls. mo 7. Two ('z 6/4ss e~aa~ ~d/es ~.oo /1 l ttti c (,a.~~ net % po, o 0 4. Old aN.d .S~cnzft/eu/ arf•</c ~ioanc~ a/tsk ts,~ )o, Thre[ ~3 ,tea!/ ~b/e iam s ~.Oo it. ~4ss~~d ~%s~. hand ~~a x; ~,a,~~- ~~r uu,~ '~.eo _ - ~. /~sso~r~e~ is aKU~ s er~l,~~.~i' u~rs sen~~iltis tom. ~/a, vo $ /~ltav: sC/~t cS'f4inea~ rin,t•/' s s uu/C~ ~/o. eo ~+ ~ISLd Q.Kd 6Crn.~T.~ie/~ a~..5li[.S p,N/~ ~/D. eo /v /455eH~'~ ~~4vak ~ ear~i~ rc si/s I~G' Pok ~i %~. v~ 1(t . /4'S So~'rJ! ~OOki S~ IJ `fs'. DO /7, fft.97'i ~r Mo ~Ct Maher Older Mode S~'~t l7S.eo WG'S`W.i" A~ Q~ er OI r /ltoa'el rs ~/ 5.0+0 /~1. O/d !W' ~urn-~ure SC luGl hcsst•~ Cu.S~iiens ~bD.oo d ~il ~~r {eltvis~oh w;tt nr-~..te (20" crt ~Is.eo a-. old ~ hid vC~2 ~i. so ,?~. ~ ~.t~tor -T1/ w~~ rrrno7e ~~7'~ SC.r'cen 3o.oa •~3, ~rnall Wooden ~ Ir ~ ~tO. eo _ ~' 01 d woeal hn 'r j U' ~a,cks ~,~nv ~. w--C w..6 'cturss ear~~6;ti' r;hts ~~;vo - l Sew (1)otK'~-, (!onfin.~ C-ST. of STon/F'R, H~i1l /IL /NVENTbi~y of ~FRSoNR~Ty, •- ~• / ~'~ U wJ dt'IIAA~ ~=AA1dJe~luG? /t7 ~ DO _ -___-. _ U . i ~ 1 M ~eet~¢~r ltii ~i r C~ d ~ fi' opt - -- ~~S..ao _ ~95~6. Sa ~~ i o•* • ------- too • o o +'' ~--- --______._____----_-- _. ___~_ v 100.00+ 4 5 • 0 0 + ~.___._._ 100.00+/ .____ . ____ __....---_--___A_~ 20.00+r 10.00+/ 15.00+/ 7 5. 0 0 + / ._ ----- ---- -___- -------- ----- ---------------__.-- 1 2 5 • 0 0 +v _____ 1 • 50+/ _- - 15.00+/ 946.50* COMCA$T 1555 SU8! $TREBT ATT1Ps I.SSANO~H SUPPORT SERVICES LEBI1100N, PA 17065 ~$gOI.SN S~pN$R 1$93Q 6167-23-35-3D(i I~CSAlPZCa SBUR~PG,~PA ]D.7650-7544 il„iii.,,try,,,,il~,~tl,~~,/1~~/i,,,illi,il~u„i,ti,ll,i,tli ~omcast. PANT sva~rMa:xy BHECKNgc 0004309521 AccouNTNO: 09547-20843801 CHECK:DATE: OS /06 / 1D Dear HSLEN ST©IQBR, The xttachhd check r@presents a subscriber refund for account nueber 09$47-26563$01 in the aaount of $48.83. If you have any questions or 'oonaerna regarding the refund check you can write us at the ae~dress above or call Cameast°s toll .free austoioer eery;ce nurber at 1-888-COHCA9T. 1 COA~~'~CIALAGENCY CORFU T101Y `s g ; ' -~ ~ '; ~ r.. \ r~" x.. ~; ,* s r' $ ° : 4 9542-2 0 5 ,,. a ; ~ ..,x: To ~~ , ~ ~~ PdtIN ~ r_~ wEw <1N ~`1f1iN C $URG, PA'1 95b;;~F944~~ . oF: OETACWANp REfNN THIS $flli.EMENY. T+IE><YTACHED CHECKISIN R4YMENTOF R6JB OE8CRIBEDABOVE: IF NDT CpRRECi; PLEA6E-NOi1FY S1B PROMPfIY. NO REGBPf OE.9RED. :. ~: Y ~ l l l f ' . ~ T9E ~~~~ bl~ StfO1~R ?Q3LLAYJ ~~ ~ ~ PI'1'T3,SURl~; ~'P8Nl~BXI,SEAtiIj1: ERiE l~1SURANCE EXCHANGE PA. BOX 1 B99 ERIE, PA i fi830 ~AIV~~LLATIQN NOT~C ~M l.;rs 180 Efie.MIL. i9 ~ EFiIl: f41 1fi63fi ,. ~r I'iAt#ED IN5'[TRED COPY MAII. Od4TF ©7~23f'lU evANCElA:1-1'IbN ,Ef?FEC'L1A/E anL: $.pfl PO~1GY MllMgER QS5 O9O821b H 07fO9f1Q 12..01 AH POLICY EFFECTIVE. DATE Q7ft19f1O Ht?MEPRQTECT.UR POLICY STAIVDARQ 1'[A~E NAMED iNSIlR THE E3T~-TE` OF HELEN STpNEIt ~Bl fILLATkD ST AA?547 ,F`EONTBNAC ]CS 6b7~3 VItE NLITIFYiI-~ YQU T#AT ~ AiBQ11~' PLH.ICY' IS ~~L~A AS OF Tom' CLLAIIQN [~'fECTiVE k1pCIR AI+~ -DAtE SFbVVl11 AB1IlGE. iF I~YE :HAVE 8ffN ASi4ED T'D P{ft1TECT :OTHF~t. BESTS, YIE A11E REQUIRED YO It~IVISE' 1'INAA EIF 'TINS CANC~.I.AT1ON. _. THE REA90M F~ THIS ACTN]N c REQUEST' Q~ NIWIEO IN~1IREE! - P~VIOUS EALAI~CE ~trs~D ~itE~xra BRE9~NT 'B:A.LAiiGE UC1~~7 s~oa.oo '33f~8 . t~.:. $:OQ N4 Ft~T~R Pl1YIiENT iS DklB AA~5O7 SHIN SH~ITAt INSURANCE AGY PC sa2Exe s[4o. fEV•1510 E%+r1~ CAMMONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN SCHEDULE G INTER•VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE tJF STo~1~R~ HGLEN /19, FILE NUMBER oZ~-/0 - Gt39ro This sdredule must be completed and filedrf the answer to arty of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET b yes. ITEM NUMBER DESCRIPTION OF PROPERTY ~"auoET"E"AME°FTMET"Nre~E.nee'~a""°"at°rT°°ECE°a'r""°T"E°A'E°c'"A"aret ATfACHACOPiOFTXEOEEDFORREKE8TATE. DATE OFDEATN V FA T % OF DECD'S INTE T EXCLUSION TAXABLE VALUE ~. MET Lr~ /~{l/ESTa~PS us/4 /NSuR. ~. g CoNT/IAQT ,,4ao~f3/8(o--,d,VN[(/ry 9,63~•~g Ino'o -o- ,~/,/8 vA11E HALE ~t~ ~~ 8 ~S. Sq To +Doholc) W. $'4vtAt?X ~ ~ l~ 1-p~n~sen ONF ~lA~LF ~4~ ¢y, d'/S. 59 T d~ie,~ E. ~ner'1 ~t'QM,dseit. TOTAL (Also enter an line 7, Recapitulation) I S ~i ~ .3~. ~p Hare space is needed, insert additlonal sheets of the same size) REV-1517 EX+(10-06) SCNEpULE N COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES 8c INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF S7O~~' y~L~ ~. FILE NUMBER Z!_~D -o.~9L Debts of decedent must be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT A. ' FUNERAL EXPENSES: Mctsse;lntan fwner~.l Home, T,-c_~ s~ Lemoyne, PA ~8,z6.?.va .~. J Reintbu,rseroe,llt 'h• V:olef 3~ineder;ck ~vr Mornr,.t GtLl1A~lM~eq ~r Ckurt:Lt IYkatonet~ $erVi6G alb' yoCttmfnwN Chutn.~t o~ 600(, EtILYY. ~l, oao. o0 3. I~'addle#nwn Cur-ek•°y, Cemetery site d~t~P, oppyl%n , P.T. ~`l, ~iS.eo ReN;bKra'unc,~.t' '~ 1~ald S~Irr l~•r' obrt. ru %of-Meters od 33.77 S. ~ddi fi'.nol ba.1a>'+ce r r'~dd le~ak,a Cemetery Rio ,oa B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions ~ ~i V ~,~ Name of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: z• Attorney Fees C~4f`IGS F o~liG/db' ~L ~ q,500• p0 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant A~ Or'F FY/6/BLE /1/DA~fE Street Address City State Zip Relattonship of Claimant to Decedent p P 4. Probate Fees ItA~ OI'sgiA~ ISSUL oT $~e-t CGr~"IT~S Q IS7. SD 5. Accountant's Fees ~JAnaf ~tackltii 11 ~ tltR 81eer ef' Methan.as6u.r, >* JJ -~.r ~lofteu"Si, ID41, PA s}I,~. (G}t'mJ ~7$~•D~ 6• Tax Return Preparer's Fees ~s t 7. /¢I~/frt!'i3iq+ /A t.ttwlalJlaxsal Law Tiurnm~ ~7SD0 a. /4-dr0/'f'isi//i~ ;~ ~'trf;s/e 5ent;ne~ N~s~~p~' ¢ 145. a(o q. Filin~~ ~ ~r ~t.Qis>(EI-" p~ fa/ills rIS, 00 I o. 14e1d ~l+oeal PnbA~ uft~ ~k OQ ~sftr .f w~Ns 'r~ ~, o. 00 U. Reiw-b„ulselre/~s ~ Ch,tr(cs E. ~h;rlds -~ ~r ros},~e, Ccari~.{ Ifhalin~, low d~sf ~a114, et.,~{-al'nEopi6S, ~GSf~'nt.) ~~~.SO Scc G~~ TOTAL (Also enter on line 9, Recapitulation) S 33, ~~ ~~ 33 (If more space is needed, insert additional sheets of the same size) ~.2 i i ~ S'CHED. fi! FAT. 0~ s?OdIE~P~ /IEZFN n'1. Fic No. 2/--/O- O ~96 _ a. e i s SerViGC - _ ~L ~. 00 _ l3. Gtm LL~ ~~ y- • 7~ IdJ~Q.I GY' - lt~~ SGr'V~ GE. _ ~-f~, p~y. 00 _ Si/VG" S rin /~rt}~ir~ - Stwu' Se~rCG r/06. oa __ /~. Ortr~r~ ~fu~en awuf 4SSorft~ se-wr'ce /4cf ~ ESf c~fac.~t:.rl ~` F9y eo __ /b. Pp~ - ~~ric Service fiYdP. ~~ -- ---~ . S• ~ S Xl 3.20 _ 1~ ~4ftNSC! T,~c, ~. --- 7`.32 l9' /oPl - e1 e~'n~ sew:tee ao.2o . ao, Z'frins o~' GJyoense as ~r c~°~iJ1Bdt ~~ieef on sad .~/~~,c/ t a#u~ ~ scud _ ~. L;ne 703 ~fit~~ 4'o~ydiSSisn 0/f s4/G ,8, LilliC OS Bn~kcrs Fre ~ e/' lt~i/ia,~s _ ~~, 000. ~O po? 00 . L: ~ //!3 ~ 'E os */o. 00 p /~ G 7~ LirJ[ !//S~ %iyc ~~frfiG~~f/i~o~ fo GK~ (ICeaa~ n~e~tMt~ic7`' .Srrnit~.llC ~/0.00 F ~%nt /105 c~~e T.y~ ~r Iaceel {/ SS~4.39 /3oa /'{e/lilE lyarran~i fi' ~mcricaH /1oAtt ~5/,~ld {39S.ao T~ _ !. .Lane 13x5 F:n~/ 6lt~/ifies S u rs ~ 30 ~, S;IK;r LRwhs Tn_ c. ~ dawn, ~. r%n % ~9?.`f3 f7~. a z _ 3 inrd~rr'firurc~ ~ ~1.no./.~ Sfone~ o : i ~8'. ~ -------~~f. La.,vns es ~C. _____. ¢74.32. ----_ - PhG--olec/'r~c S~rr,~a _ ^_ f 3-.3~- ---- ab. _ LPG ~ Q~GC~r-~ Service -- -Y~jy. S3 _ ---_-~ ___ ~~~%M ~Ztn hi ~. ,1~r sc~, o/' rev er~ //6.75 TpFuneralFxpensesot Helen M. Stoner ~~(U'IlDII1teEII'~~ ll][IlC. E~tabilshed 1895 Brian C. Musselman; F.t). Supervisor William 6. Pegan, F.D. P.0. Sax 137 324 Hummel Avenue Lemogne, PA 17043-Ot37 {717)763.7440 Our Services $4090.00 Casket $2900.00 Vault $1200.-00 CASH ARVANCE ITEMS: Flowers $ 2A0.00 Certified Copies (12) $ 72.00 Vault Co. grave service chg.$ 150.00 Engrave Marker (death date) $ 150.00 ~- April 27, 2:010 $7690.0.0 $ 572..00 Total ....................... -.... .. $82'62.OU FOR APPOINTMB~tT PfiONE 7tT-763.1446 Kl1HNER ASSOCIATES 'T'urrerai-'DirFCtars, 'hu. xrt L. Kuhner, 1r., Supv. tsb3 South George Street York, PA 17403 717-85d-0053 717-854-0821 ~ornierl~ BAI1tVtEISTER Statement of Expense n QRCCiTT " Funeral Services of Helen M. Stoner C-~ SEE May 26.2010 Rfam~aHu Mr. Donald Stoner, .III 47 King Drive WILLIAM E. LITTLE Carlisle, PA 17015 FUNERAL. HaM~s ?n~gryaratn( William E. Lithe, sopv. Cemetery Grave Opening $ 1115.40 60 scat!, Mc)r. steel Return Check Fee 20.00 Manchester, EA 17345 Received on Account -1115.00 717-.266.1431 Adam F. Kraut, Supv. 2150 Carlisle Road BALANCE ~ 20:00 York, PA 17408 717-.767-5088 please make check a ble to Pdddlefawn Cemet P Y~ ery, and mall to PO Box 366, Manchester, PA 17545. .SAINT ~QHN'5 L.E.1N(SBERRY Sincerely, CEMETERY PADDLETOWN CEMETERY' I~ADDLE`fOWN CEMETERY rAr?lru~~rnjnnm ALKlIkg P0. 8ox 364 Manchester, PA 17345 Z17-266-1451 GRANrrWERxs MEMORIALS s.t~ P.O. Box 366 Manchester, PA 17345 717-?66-}451 E ~`.; t'1': r''ef ~~ .,. r~a.. z . ; z... f-1 I.~Mtti{$~,P~$; f#IG -112~i Esst LisbraCtf Read - M~oha~Uasbl~lk+~; ~'A 1~i8 REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCNEDI~LE 1 DEBTS Of DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF .STON~~ ~EL~+` ~, FILE NUMBER ,Y a~- ~o - 0396 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death. including unreimbursed medical exeenxna REV-1513 FJ(+ (9-00) SCHEpULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF S Togl ER, NEGEIII /II. FILE NUMBER a'_,O ra~~ RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Llat Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under 1. sec. s,1s (a) (tz)) 'aol/l4LD W. STvN~Q, T c~l^a•+dson ~2 bol /,~;IIarQ Sh, Fro~r~tac, ~'ans.es 6763 a, STEP~tlL~N' .F, 57aNE+~', sK~ ~•randson YZ ~TEi~Nt'N B- .S'TLN6~1 3964 F>,r+~otftr~ P.n~f Ih~~- WaKe ~or>e.-st, NC ~7s87 ~ ~A-Fo wow: Dcce.knt aas p~JeeuLsQO) by /~cr husbontd, Denald W• ~v~tr, Sr., rcl~r+e.! ro wt 2-Falltn SEE<'(;gAly off' ~i last ttJrrl! ,1r>fiec111rd hcl~• ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 TH ROUGH 1 B, AS APPROPRIATE, ON REV-1500 COVER SHEET 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 S Qf more space is needed, insert addkronal streets of the same size) '- LAST WILL AND Tl38TAMENT 1 - I, HELEN M_ STONER, of he Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvana,.being o€-_._ .._ sound and disposing ..mind, memory and understanding, $o make, publish and declare this as and for. my bast .Will and Testament,. hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just .,debts and funeral expenses be paid by my Executor or my Co-Executors, as the case may be, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give, devise and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate, unto my husband, DONALD W. STONER, SR., absolutely and in fee simple, if he survives me. THIRD. If, however, my husband, DONALD W. STONER, SR., 4w OFFICES IN R. McC ALEB shall predecease me, then and in that event I give, devise and bequeath all the .rest, residue and remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate, in equal shares unto my grandsons, namely: DONALD W. STONER, III, and STEPHEN E. STONER, share and share alike, absolutely. and in fee simple, if they survive me. Should either of my said grandsons not survive me, :but have lawful issue who survive me, then I order and direct that the share which such deceased grandson would have received had _- he survived me shall. be distributed unto his said lawful issue per strpes,-..said issue to take the ancestor's share by representation and not per capita. LASTLY. I nominate, constitute and appoint my husband,,, DONALD W. STONER, SR., Executor of this., my Last Will ..and Testament, but if for any reason he shall fail to qualify`as such Executor or cease so to .serve, then I nominate.,. constitute and appoint my grandsons, DONALD W. STONER, III, and STEPHEN E: STONER, Co-Executors, to serve in his place-and stead, all to- serve without bond in this or any other jurisdiction. IN WITNESS WHEREOF, I, HELEN M. STONER, have hereunto set my hand and seal to this, my Last Will and Testament which consists of Three (3) typewritten pages to each of which I have affixed my signature .this ~ day of G A. D., One Thousand Nine Hundred Ninety-Four (1994.). ~~~~~D~, Z~j-~ ..,. (SEAL) The preceding instrument, consisting of this and. two (~) other typewritten pages, each identified by the signature of the Testator, was on the date thereof signed, sealed, published and declared by HELEN M. STONER, the Testator therein named, as and for her Last Will and Testament, in the presence W OFFICES v R. McCALEB -2 - of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. .W OFFICES N R. MCCALEB -3- ~aao~ R~b~,~i~~l~r r~1~46° ~