HomeMy WebLinkAbout11-08-10 (2)
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1505610101
REV-1500 ¢x `°'_'°' ~
enn lvanl8 OFFICIAL USE ONLY
PA Department of Revenue P ,-sY -,,,~ County Code Yeaz File Number
Burew of Indtvldual Taxes INHERITANCE TAX RETURN /,~
PO BOx z8o6ot RESIDENT DECEDENT ~ ~ ~ Q D~"!
_ HaMSbur4 PA 17128-O60t
ENTER DECEDENT INFORMATION BELOW
Sodal Sewrily Number Date of Death MMODYYYY Date of Birth Mh1DDYYYY
177-16-0280 05/05/2010 03/15/1922
Decedent's Last Name Suffix Decedent's First Name MI
f3eaver Clair R
(It AppllcabM) Enter Surviving Spouse's Intormatlon Below
Spouse's last Name Sutrx Spouse's First Name MI
Spouse's Social Security Number THIS RETURN MUST 8E FILED IN DUPLICATE WRH,THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
tsb 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death
prlorto 12-13.82)
p 4. limited Estate O 4a. Future Interest Compromise (date of C 5. Federal Estate Tax Return Required
death after 12.12.82}
O B. Decadent Oiod Testate O 7. Decedent Maintained a living Trust 8. Total Number of Sate Deposit Boxes
(Attach Copy of Will) (Artach Copy o(Ttust)
O 9. litigation Proceeds Received O 10. Spousal Poveny Credit (date of dealt O 11. Election to tax under Sec. 9113(A}
between /2-31.91 and 1.1.95) (Attach Sch. O)
CORRESPONDENT - THIS 8ECTIlN! MUST BE C06tPLETED. ALL CORRESPONDENCE AND CONFlDENTIAt. TAX INFORMAT~l1 SHOULD BE dRECTED TD:
Name Daytime Telephone Number
Peter J. Russo, Esquire (717) 591-1755
First line of address
5006 E. Trindle Road
Second line or address
Suite 100
City or Poat Otbce
Mechancisburg
Correepondent's e•mall address: prussoCd~pjrlaw.COR1
Slate 2tP Code
PA 17050
r•.~
REGISTER OFSjUSE ONllt~
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Under pensNies Ot perjury. l detlsre that 1 have examined this return, including sc~panying selwdules and statements. end to the best of my knowledge and belief.
d q tnle. txxreet and complete peWration of preparer dhsr than the persenN ropresentativs b baaad on all intormatlal d which pteparer has any krwwledge.
SIGNATU O PERSON•RES LE FOR FILING RETURN DATE
ADDRESS
/o~ C.LA'~ekfa~ fit. l~mo~~~ , A~ ~ ? a y3
SIGNATURE OF PREPARER OTHER THAN REPRESENTATNE DATE
ADDRESS
PLEA8E USE ORIGINAL FORM ONLY
1505610101
Side 1
1505610101
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1505610105
REV 1500 EX Decedent's Soclal Security Number
oecedenC:Name: Clair R. Beaver 177-18-0280
RECAPITULATION
1. Rea Estate (schedule A) ............................................. 1. 157,300.00
2. Stocks and Bonds (Schedule 8) ....................................... 2.
3. Closely Fleur Corporalicn, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages and Notes Receivable (Schedule D) ........................... 4.
5. Cash. Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 33,019.21
6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 8. 5,389.72
7. Inter-V'rvos Tnnsfea 3 Miscellsnears Nan•Probate Property
(Schedule G) O Separate Bitting Requested........ 7.
8. Total Gross Assets (brat Lines 1 through T) ............................. 8. 195,708.93
9. Funeral Expenses end Administrative Costs (Schedule H) ................... 9. 9,533.04
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .............. 10. 47,913.35
11. Total Deductions (total Lines 9 and 10) ................................. 11. 57,446.39
12. Net Value of Estate (Line 8 minus Una 11) .............................. 12.
13. Charitable and Governmental Bequesls/Sec 9113 Trusts for which
an eleelion b tax hsa not been made (Schedule J) ........................ 13.
14. Net Value Su~ect to Tax (Line 12 minus Line 13) ........................ 14. 138,262.54
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
al the spousal tax rate, or
transfers under Sec. 9118
(8x1.2) X .0. 15.
18. Amount of line 14 taxable
at lineal rats x .09at` 6,221.81
16.
6,221.81
17. Amount of Line 141axable
al sibling rate X .12 17.
18. Amount of Line 14 taxable
at oolleteral rats X .15 t8.
19.
.............................................
TAX DUE . ........ .. 1s. 6,221.81
20. FILL IN THE OVAL If YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
1505610105 1505610105
REW7500 EX Pape 3 Flle Number
Decedent's Complete Address:
ol:c rs
Clair R. Beaver __
STREETAODRESS
101 Clarkton Ct.
~~m, - --- -- -_ ~._. _- -... -_ -' STATEPA ; 21P17043 -- - --
Lemoyne
Tax Payments and Credits:
t. Tax Due (Pays 2, late 19)
2. CredilslPayments 0.00
A. Prior PaymeMS _.----- -- - ------. --- -- -- .
B. Discount 0•~
3. Interest
4. If line 2 is greater than Late 1 + Line 3, enter Ore diifference. This is the OVERPAYMENT.
FIII in oval on Page 2, line 20 to request a refund.
5. It Line t + line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
- Make check payable to: REGISTER OF WILLS, AGENT.
(3) o.ao
(4)
6,221.81
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a trartster and: Yes No
a. retain the use or income of the property trensferred :.......................................................................................... ^ 0
b. retain the right to designate who shall use the property Uansferred or itss income . ............................................ ^ O
r~ retain a reversiorrery interest: or .......................................................................................................................... ^ ^rc
d. receive Ote promise for life of either payments, benefits or care? ...................................................................... ^ 0
2. If dea0t ouxrrred afMr Dec.12,1982, did decadent transfer property within one year of death
without receiving adequate corrsideratton? .............................................................................................................. ^ 0
3. Did decedent own an in frost for or payable-uporndeath bank aocouM or searity at his or flex death? .............. ^
4. Did decedent own an individual retirement account, annuity or other non-probate property, which
contains a beneficiary designation? ........................................................................................................................ ~ ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1,1994, and before Jan. t, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is
3 percent [!2 P.S. §9116 (a) (t.t) (i)).
For dales of death on or after Jarr. 1, 1995, the tax rate imposed on the net value of transfers to a for the use of the surviving spouse is 0 percent
(72 P.S. §9116 (a) (1.1) (ii)). The statuk does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
fling a tax return are stiO applicable even if the surviving spouse is the only benef~iary.
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 o(the chitd is 0 percent (/2 P.S. §9116(a)(1.2)).
• The tax rate imposed on the net value of Uansfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as Holed in
72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)).
• The lax rate imposed on the nei value of transfers to ar for qte use of the decedent's siblings is 12 percent (72 P.S. §9116(a)(1.3)). Asibling is defined, under
Section 9102. as ret irtdividtral who has at least one parent in common with the decedent, whether by blood or adoption.
(1) 6,221.81
Total Credits (A + 8) (2) 0.00
REV-1502 EX± {11-U8)
Pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Clair R. Beaver 2010-00490
All real property owned solely or as a tenant in common must be reported at fair market value. fair market value is defined as the price at which property
would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant fads.
Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F.
If more space is needed, insert additional sheets of the same size.
~.-,~
~~, %
Cumberland County Board of Assessment Appeals
• As of ~ vZ ~ /~ (date), I/we have requested an appeal of our assessment.
• As of the above date, Uwe have met with an official assessment representative to discuss my/our
property assessment in question.
• The parceUaccount number of the subject property is as follows:
ParceVAccount Number
• The current Market Value of this property is $ ~ ~~ ADO
• The current Clean and Green value (if applicable) of this property is $
Review Appraiser's Recommendation:
,~~.~ ~~ ~s~, j0o
Property Owner's Decision:
O Uwe acxept the recommendation of the review appraiser and understand that ff the Board approves the
recommendation, aformal appeal hearing will not be scheduled and any previous request for a formal
appeal will be considered to be withdrawn. Checking this box constitutes an appeal of my/our
assessment and a withdraw of that appeal by my/our acceptance of the reaommendatlon. Uwe further
understand that if the Board does not approve the recommendation, an appeal hearing will be
scheduled.
O Uwe reject the recommendation of the review appraiser and understand that If Uwe have filed a request
for a fomnal hearing by the appeal deadline, as stated on the notice, an appeal hearing will be
scheduled.
Property Owners) Signature(s): PaA
Review Appraiser's Signature:
~-v~~oas~T - ~-
Certffication fUumber
Uwe acknowledge receipt cf a duplicate signed copy of this~form. - (initials)
FOIm 216 (v.1.2j
REV-1508 EX+ (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Clair R. Beaver 2010-00490
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointty-owned with right of survivorship must be disclosed on Schedule F.
(If more space is needed, insert additional sheets of the same size)
Furntiure Value
Living Room/Dining Room $300.00
Stero, Sofa, Chair, TV, Chest, End Tables
3/Bedrooms/One Used as Office $450.00
1 Queen Bed/1 Dresser and Night Stand
1 Double Bed/2 Chests and Night Stand
1 Desk, 1 File Cabinet and Computer Desk/Computer
Work Room $250.00
Washer/Dryer, Refridgerator and Various Tools
RL-24A (01-00)
U.S. Railroad Retirement Hoard
844 N. Rush Street Chicago, Illinois 60b11-2092 Date: May 18, 2010
Office of Programs
Operations
---- ~nr~,~ur~~~nn~u~n~~ur~r~~~rnru~~rn~~~~nen~~~~~ru) RRB CLAIM NUMBER
PATRICIA L BENDER ~ 17 0280
---- 101 CLARRTON CT ALw~s usH ~E yE~'~BRs
LEIiOYNE PA 17043-ZOll Awn NUMBERS WHEN wRIT1NC us
CLAIR R BEAVER
Your claim for a lump-sum death payment on the account of the above-named
employee has been approved. A payment for $1,155.70 will be sent, as you
requested, to:
MUSSELIiAN FH & CS
FOR ACCT
CLAIR A BEAVER
324 HUMHEL AVE
LEMOYNE PA 17043
YOUR RIGHTS TO RECONSIDERATION AND APPEAL
If you believe that this decision is not correct, you may request that the
decision be reconsidered. Your request must be in writing and you should
explain why you disagree. If you wish this reconsideration, your request must
be received by the Railroad Retirement Board WITHIN 60 DAYS from the date of
this notice. You may send your request to any field office of the Railroad
Retirement Board or you may send it directly to the following address:
Railroad Retirement Board, Reconsideration Section, 844 North Rush Street,
Chicago, Illinois 60611-2092. If you have any additional evidence to be
considered, please include it with your request.
If you disagree with the reconsideration decision, you may then appeal to the
Bureau of Hearings and Appeals within 60 days from the date of the
RECONSIDERATION DECISION.
If you do not request a reconsideration within 60 days from the date of this
notice, you may not file an appeal at a later date.
IF YOU HAVE ANY QUESTIONS
If you have any questions about this notice, you should contact a
representative in our HARRISBURG PA field office, located at
228 WALNUT ST RH 576
P 0 BOR 11697
HARRISBURG PA 17108
You can telephone us at 877-772-5772 to speak to a
representative.
-,- . t
~'
A 177-16-0280 PATRICIA L BENDER May 18, 2010 PAGE- 2
If you write to the Railroad Retirement Board, include a copy of this notice
with your letter. Our offices are generally open from 9:00 AM to 3:30 PM,
Monday through Friday. If you call, please have this letter and your RRB claim
number or Social Security number with you. General information about railroad
retirement benefits is available on our website at www.rrb.gov.
Sincerely,
Robert J. Duda
Director of Operations
ALWAYS NOTIFY THE RAILROAD RETIREMENT BOARD WREN CHANGING YOUR ADDRESS
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REV-i5o9 EX+ (oi-io)
Pennsylvania
DEPARTMENT OFREVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCI~IEDULE F
]OINTLY-OWNED PROPERTY
ESTATE OF: FILE NUMBER:
Clair R. Beaver 2010-00490
If an asset became joinNy owned within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A• Patricia Bender 101 Clarkton Ct, Lemoyne, PA 17043 Daughter
B.
C.
JOINTLY OWNED PROPERTY:
ITEM
NUMBER LETTER
FOR JOINT
TENANT DA7>_
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FTNANCL4L WSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR]OINrLY HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET % OF
DECEDENT'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENTS INTEREST
i. A. 11/04102 New Cumberland Federal Credit Union 62.96 50 31.48
2 A Blue Chip Federal Credit Union 10,716.47 50 5,358.24
TOTAL (Also enter on Line 6, Recapitulation) I $ 5,389.72
If more space is needed, use additional sheets of paper of the same size.
08!12/2010 10:44
r '~-~
Imo` i~~.
BZu~ChipFCU
RE: ESTATE OF GLAIR R. BEAVER, DECEASED
ASHLEY ,
"`"" #2435 P. 002/002
F J
`••••r° SD50 Derry Street
karrisburg, PA 17111
hNOwe:717/Sb4-3081
Fix: 77 7/564-14b4
OUR RECORDS 5HOW AT THE TIME OF MR. GLAIR R, BEAVER'5 DEATH THE BALANCE WAS $10,716.47.
THE ACCOUNT WAS CLOSED MAY 28, 2010 AND THE BALANCE WAS $10,686.57.
MEMBER SERVICE REPRESENTATIVE
SUSAN M DEEMER
Larga enough to me®t your needs...Sma11 enaugh to know your name
~~ NoTlcE: _
BLUE CHIP FEDERAL ~~-~"" . ,~REVOIN(3 YOOUR RRKiHTS TO DISPUTE BIWNON
CREDIT UNION ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC TRANSFERS.
StiFERVISORY dMII'1'ilE _
` P.0. BOl( A903 .'.••~.• ~..'~'•.••..
HARRISBURG. PA !7!I! NCUA
~~~ ~~
5.1.1082 1 AT 0.357 65B93S11.pbr 4 t 150410bSA _a t - 2
'IIIIII~~III~~~I~I~I~II'I~!"~I~IIII~II~I'~III~I~~'li'll~~~~~1~'
CLAIR R BEAVER
PATRICIA L. BENDER 001082
101 CLARKTON CT
LEMOYNE PA 17043.2011
ACCOUNT N0. 368 PAGE 1
STATEMENT PERIOD
FROM 01-01-10 TO 03-31-10
BLUE CHIP NOW HAS A REWARDS PROGRAM FOR OUR VISA CARD!
VISA SCORE CARD REWARDS I5 FUN AND EASY! FOR EVERY 51:00 SPENT
YOU WILL EARN 1 POINT. THE MORE OFTEN YOU USE YOUR CARD THE FASTER
YOUR POINTS WILL ACCUMULATE! CREATE A PROFILE TODAY AT
www.scorecardrewards.com. CONTACT US FOR ADDITIONAL INFORMATION.
ACCOUNT PREVIOUS BALANCE WITHDRAWAL/PAYMENT DEPOSITIADVANCE NEW BALANCE
A REGULAR SHARES 11549.21 933.34 121.08 10 736.95
- SNARE SECURED LOAN CLOS 917.88 100.00• 0.00 •• CL.bSED '•
DATE DESCRIPTION AMOUNT BALANCE DATE DESCRIPTION AMOUNT BALANCE
01-01 PREVIOUS BALANCE 11,549.21 BALANCE: 11,549.21 APYE: .41
01-04 DEPOSIT 109.95+ 11,659.16 02-28 DIVIDEND 3.55+ 11,558.68
01.04 TRANSFER WITHDRAWAL 9.95• 11,649.21 TERM: 28 DAYS AVERAGE DAILY
TO VISA BALANCE: 11,553.13 APYE: .41
01-04 MISC TRN 9.95 NO CHANGE 03-02 MISC TRN 9.95 • NO CHANGE
VISA PAYMENT TRANSFER/FROM A VISA PAYMENT
01-04 TRANSFER WITHDRAWAL 100.00- 11,549.21 03-02 TRANSFER WITHDRAWAL 823.39• 10,733.29
TO LOAN B TO LOAN B
01-28 MISC TRN 9.95 ` NO CHANGE 03-31 DIVIDEND 3.68+ 10,736.95
VISA PAYMENT TERM: 31 DAYS AVERAGE DAILY
01.31 DIVIDEND 3.92+ 11,553.13 BALANCE: 10.788.41 APYE: .41
TERM: 31 DAYS AVERAGE DAILY 03-31 NEW BALANCE 10,736.95
DIVIDEND YTD 11. 13 ~ O v
--~`~
TOTAL FOR T '
- --_ ._ _- .. __ ~.- --THIS:.P.ERIOD - YEAR TO•DATE-
TOTAL OVERDRAFT FEES .............. ............ ...... .............. .00 .00
TOTAL RETURNED ITEM FEES .............. ............. ........ .............. .00 .00
TRANS. PRINC. 'FINANCE' LOAN
DATE ASCRIPTION AMOUNT AlWUNT ''CHARGE' BALANCE
03.01 PREVIOUS BALANCE 917.66
03-02 PAYMENT 100.00- 94.27 5.73 823.39
03-02 PA
A 823.39- 823.39 .00
M
03-31 NEW BALANCE '• CLOSED ••
FINANCE CHARGE YTD' 9.18
''
" ~ ~~~ 3 ~0~~`S
ANNUAL PERCENTAGE RATE 4.000 DAILY PERIODIC RATE: .010959
s'`p d p o
3 6.9
APYE = ANNUAL PERCENTAGE YIELD EARNED
• ALL SUFFIXES REFLECTED IN THE FOWOWING TOTALS •
'TOTAL YTD DIVIDENDS/INTEREST' TAXABLE: 11.13 DEFERRED: { .00 }
••• CONTINUED ON .NEXT PAGE
BLUE CHIP FEDERAL `''
CREDIT UNION
SWFRVI90RY QOIMITi~E
P. R BDX 490.1
HARRIS9URG, PA !Tilt
GLAIR R BEAVER
'TOTAL. YTD FINANCE ClIARGE•
~-~ None: .
`~ REVERSE SIDE FOR IMPORTANT INFORMATION
`"FIEGARDING YOUR RIGHT'S TO DISPUTE BILLING
ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC TRANSFERS
NCUA
....rr.._.......~...
ACCOUNT N0. 3B6 PAGE 2
STATEMENT PERIOD
FROM 01-01-10 TO 03-31-10
v. ...voc .... v.w• wWJa.,.Wpr ~+. I.7lMlVWI~-O L'Z
Your Community Credit Union '-`
P.O. Box 658, New Cumberland, PA 17070-Ob58
Phonc: (717) 774-7706. 1-800-716-2328 • Fax: (717) 774-7996 • Web: www.ncfcuonline.org
July 22, 2010
Law Offices of Peter J. Russo, P.C.
5006 East Trindle Road
Suite 100
Mechanicsburg, PA 17050
RE: Estate of Clair R. Beaver
Date of Death: May 5, 2010
Attn: Ashley R. Sipe
Dear Ms. Sipe,
Pursuant to your letter dated, July 21, 2010, in regards to the Estate of Clair R.
Beaver the information is as follows:
Account Number:
Owner(s) on Account:
Date acct opened:
Date of Death Balances:
80971
Clair R. Beaver
Patricia L. Bender
11/04/2002
S1 {Savings) $62.96
If you need anything additional, pertaining to this matter, please do not hesitate to
contact me directly.
Sincerely
~~
Barbra J. ~ right
Branch Manager
Enclosure
New Cumberland Federal Credit Union
,~_,
,f
4 ,~
~ ~~
NIPW dAMORIAND F1~QAL 4Farf lfNtoN
Your Commu~d ty Crrdit Rlnion
F'O Box 658, New Cumberland, PA 17070-0658
1-800-716-2328 ~ ~vww.ncfcuonline.org
GLAIR R. BEAVER
101 CLARKTON COURT
LEMOYNE PA 17043-2011
~;
STATEMEN'T' OF ACCOUNT
1
FREE STUDENT LOAN SEMINAR
JUNE 23 HOLIDAY INN
NEW CUMBERLAND 6:30-7:30 PM
NCFCUONLINE.OR FOR TOPICS
RSVP 717-774-7706X201
17043-201 0,~~~~MBER
PATRICIA L. BENDER
SOCIAL SECURITY
STATEMENT PERIOD
~~g~1I005311~
T"'" E DESCRiP'lTON AMOUNT ~'~ TFlsr
DATH ~~~ PINRS $
0501 PREVIOUS BALANCE Sl-PRIMARY SHARES
0529 TRANSFER 091969 -6296
0531 NEW BALANCE CLOSED: 052910
OVERDRAFT .AND RETURNED ITEM FEES SLINII~IARY
6296
00
00
TOTAL FOR TOTpJ,
THIS PERIOD YEAR-TO-DATE
-- - ------$------0.00------
TOTAL OVERDRAFT FEES $ 0.00
TOTAL RETURNED ITEM FEES $ 0.00 $ 0.00
---------------------------------------------------------------------------------
0.08 0.00
(l ~~ STATEMENT OF AC,JT P~cte
1
N~.vt- GTn-~~u.Arm FEUE~u[. Cx~.urr ilrROrl ..NEW & USED CARS
~O~IT COfJlTfLtlitl CTP.I~tt `Zlttiotc .-RATE AS LOW AS
3.90X
':WITH MEMBER REWARDS!
P.0. Hon 65Y .New CW.bedeod, PA !7070 . ~.Q
m~ n+a7os . teoo! 7t42i2t . t~ din 77~-7s96 ,:. _ : _
952 1 AT 0.357 JohttOwnere 080971
I,,,III,,,III,,,,I,,1„li,„1,111,,,,,,Il,,,llllt,,,,,llll,,,l ~-'~
CLAIR R. BEAVER
101 CLARK~(TON CDURT PATrezciA ~. aeNO~ sTATerr~rr
LEMOYNE pA 17043-2011 ~ ,o
Fl~
r~aN oESau~ :. ~ AMOUrvr: CIiAROE eH.ANC~
Fns
0401 REVIOUS BALANCE Sl-PRIMARY SHARES 62 4
0430 DIVIDEND 2 62 6
THE ANNUAL PERCENTAGE YIELD EARNED IS 0.3 .
0430 EW BAL.ANCE DIVIDEND IS CALCULATE 62 6
USING A DAILY BALANCE METHOD.
0401 REVIOUS BALANCE S4-SHARE DRAFTS 0
0430 EW BALANCE o
OVERDRAFT AND RETURNED ITEM FE S SUMM R
----- ---- -------------------------------------- ------ - ---
I TOTAL FOR
I THIS PERIOD I YEA
----- ---- ---------------I---------------------- --I--- - ---
TOTAL OVER RAFT FEES I S 0.00 I $
TOTAL RETU NED ITEM FEES I 8 0.00 I S
TOTAL DIVIDEND YEAR-TO-DATE
to. d.~. ~.v, utw
oMdria..Mw~. p aMOr i!0. wu a apatea
to n~ tnoanel fl.ronm Salo b.tN.
m~~~crnra:or-~
AL
-DA E
0.0
0.0
TOTAL FlNMICE CHARGE YEAR-TO-0ATE
0.08 ~M bera 0.0 0
NOTICE: See reverse dde for Important irdorrns#on
0800952
in -
~, ~.~
1vEw Ccn-~Etu.~iw FEUitO:AiL Ciis~rr UMON
Four Comemunity Credit 2lnion
i:U. Itsa 6Stl • Naw t]~mbaiand,l'A 17070 • www.~e&soultaeoeg
nrn ns•nob , caoo~ 716232tl . Fa.: (7t7) 77f.7996
STATEMENT OF ACCO~VT
PAGE
FREE STUDENT LOAN SEMINAR
JUNE 23 HOLIDAY INN
NEW CUMBERLAND 6:30-7:30 PM
NCFCUONLINE.OR FOR TOPICS
RSVP 717-774-7706X201
r1T laurae
l l b 8 1 AT 0.3 5 7 Joint Owners 0 8 0 971
lurlllu1111r,IrlrrlulluilrlllurtuU1r11111uurJlll,,,l saa!-~secuRmr
CLAIR R. BEAVER
101 CLARKTON COURT PATRICIA L. BENDER
LEMOYNE PA ~ 17043-2011 STATEJv1EMPER10D
F„o„ ,o
0501100531
~FECrtvE DESCRIRTION ~~ FlNANCE
CHAR3E FEESI
F'tNES
BALIWCE
0501 PREVIOUS BALANCE S1-PRIMARY SHARES 62 6
0529 TRANSFER 091969 -62 6 0
0531 EW BALANCE CLOSED: 052910 p
------
---- OVERDRAFT AND RETURNED ITEM FE
-------------------------------------- S SUMM R
I TOTAL FOR ------
I - --- --
TO ---
AL - ------ -
------
---- I THIS PERIOD
---------------I-------------- I YEA - -DA E
TOTAL
OVER --------
RAFT FEES ( 8 0.00 --I---
I - ---
8 -- ---
0.0 - ------
TOTAL RETU NED ITEM FEES I ~ 0.00 I S 0.0
TOTAL DIVIDEND YEAR-TO-DATE TOTAL FlNANCE CHARCaE YEAR-TO-SATE
~o a~ r o~ ssa +w . ~oaoROc 0.0 8 for oa m~. 0.0 0
to Ms leq~mtl n.wwe Savioo fa tlm
erMnmu wr.
°~D~~ ~~~ °A~ NOTICE: See reverse side for bnpoRant information
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`:
ASHLER PHILLIPS - Re: prod -Date of Death Request
~,~ -, ~ rte.
From: DATE OF DEATH REQUESTS
To: PHILLIPS, ASHLEY
Date: 7/29/2010 1:52 PM
Subject: Re: prod -Date of Death Request
Per you request, please find below the date of death values for Clair R Beaver, social security#177-16-
0280.
~ 1. Account #14433788, Balance $24664.10 + accrued interest $.OS = $24664.15 Total ~
2. Account #10000147576550001, Balance $46633.64
Let me know if there's anything else you need :-)
Thanks,
Sue Kimble
Records Management /DOD Unit
M&T Bank- "Understanding what's important."
»> On Thursday, July 22, 2010 at 14:02, in message
<29436656.13121279821753667.JavaMail. appowner@comrcu03 cfinprod>,
<ASHLEYPHILLIPS@mtb.com> wrote:
Account Information
Date of death: 05/05/2010
Account Number: 14433788
Product Type: Deposit Account
Request Details
Deliver to: Requestor
file://C:\Documents and Settings\EBRN~~AP\Local Settings\Temp\XPgrpwise\4C51878BR... 8/2/2010
REV-1511 EX= (i0-O~j
Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
` ~' Clair R: Beaver _ ,._,,,--... ~- . s „rf;y ~.~++,: , ~., -;, ~A~~:-~..~~..~.r.~,-.n,.- ~,.._... 2010-00490 , . _.
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A• fUNERALEXPENSES:
I' Musselman Funeral Home
5,321.38
8.
1
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City
Year(s) Commission Paid:
State ZIP
z• Attorney Fees: 3,600.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4• Probate Fees: 631.66
S• Accountant Fees:
6• Tax Return Preparer Fees:
7.
TOTAL (Also enter on Line 9, Recapitulation) I $ 9,553.04
If more space is needed, use additional sheets of paper of the same size.
~.usse~~>m
~uaaera~ dome
~L ~rea~adiom
~er~aces~ ~nc.
Established 1895
Brian C. Musselman, F.O.
Supervisor
William G. Pegan, F.D.
P.O. Box 137
324 Hummel Avenue
Lemoyne, PA 17043-0137
(717) 763-7440
~ ~r~ ~~.
`
To Funeral Expenses of Clair R. Beaver May 21 , 2010
Our Service
(Pre need package price) $3745.00
Casket $1695.00 $5440.00
CASH ADVANCE ITEMS:
Flowers with Tax $ 238.99
Certified Copies (6) $ 36.00
Death Notices .( 2 days) $ 506.39
Military Honors $ 100.00
Minister $ 100.00 $ 981.38
Total ................................. ... $6421.38
Deduct (Pre need Trust Amt. paid) -$1000.00
Deduct (Cumberland Co. V.A. Benefits) -$ 100.00
Fax: 717-730-9798 Sub total ............................... $ 5 3 21 .3 8
www.musselmanfuneral.com ~ t t ~ A q ~~-~ Ree 15 ~~~ .~. ~ 0
its ~'lo~1s'/ol6l ~ ~f 1 !o~ Avg
FOR APPOINTMENT PHONE 717-763-1440
'NEiRO
BANK
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CO~i~01846~: Sl 324630 6r 0344 +'DOOOOO2A0p~'
#344
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#345 20100513
$303.50
0513246308 "'~O'~
Page 5 of 6
Uct, LU. LUIU i I. 14RM Ilit JtNI1NtL
THE SE,~T!'INEL -LEGAL Adt} 389806
Printed on 10120!2010 at 11:15 by woli'.c
(7171 591.1755 Acct# 29309
PETER J. RUS50, ESQUIRE
X006 EAST TRINDLE ROAD
SUITE 100
>1ECHANICSBURG, PA 17050-d3Z7
Subscr~ v
IV O, 41L7 r. I
First taken by wolfc p9/29/2010 15=50
Ldst Changed by wolfs 09/29/2010 16:09
Given by ASHLEY MALCOLM PO# Est.Clairt3eaver
Start 09/30/2010 Stop 10/14/2010
Transient Rill Expir.
Class 10 PUBLIC NOTICE$
Index: EXECUTRIX'S NOTICE LETTERS TESTAME
Cols 2 Lines 18 Inches 1,69 Words 89 Box? N
Ka~.l znt:o: Type Mail Schell Copies Sunday Comment
Affid N L 1 Estate of Clair Seaver
?bt# Code Rate Base-Chnrge Addl-Charge Total-Cost Ins Start Stop SMTWTFS
O1PRF 7.00 Applied 10/ld/2010
3 LGL 191.16 7.00 198.16 3 09/30/2010 10/14!2010 0000100
TOTAL AD t:OSx 198.16
EXECUTRIX'S i~t:
Lenera Teatartrentary on the @stati of GLAIR R. BEAVER, fate of Lemoyne,
Curnbedand County, Pennaylvanla, deceased, having been granted W tt+q
undersigned.
Ali persons having claims ar demands apainat said estate are requested to
make known the came, and all persons indebted to Bald eafate ere
requested to make payment, without delay, to the executors or
administrators or to then nttomey named babes:
Patrkla gender
101 Clerkton Court
Lemoyne, PA 37043
J
Law Ctfices of Peter,!. Russo, P.O.
5006 EastTrlndle Road, 3ulte tt~
Mectutnicsburo, PA 17050
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
Tele: (717) 249166 Fax: (717) 249-2663
October 8, 2010
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Law Offices of Peter J. Russo, PC
Attn: Ashley R. Sipe
RE:
Clair R. Beaver Estate
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on the following dates:
September 24, October 1, and October 8, 2010
Advertising Cost $ 75.00
Proof of Publication $ 0.00
Second Proof Request $ 0.00
Payment received $ 0 .00
Total Amount Due $ 75.00
Payment received by
arrv-ISIZ Ex- tIZ-ash
Pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Clair R. Beaver 2010-00490
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, insert additional sheets of the same size.
From:FAIRV~AY INDEPENDENT MORTGAGE 1920$848887
Prepared By; Manufacturers & Traders Trust Company
Return to: Manufacturers 8c 'T'raders Truce Company
2 Fountain Flaza 4th Floor Buffalo, NY 14203
Attn: Documentation and Collateral
Parcel TD #: 12-22-0820-025.
10/2512010 14:15 #068 P.001/007
Q MOt1 PERSONAL LOAN NOTE AND MORTGAGE OF REAL ESTATE
Manufacturers and Traders Trust Company
ar h 12 2008
Name and address of each person signing this note and mortgage as a borrower, as a guarantor or as an owner who is not
a borrower or guarantor
Borrower 1's Name Clair R Beaver
Borrower 1's Address 101 Clarkson Ct, Lemoyne, PA 170432011
Owner 2's Name Betty L Beaver
Owner 2's Address 101 Clarkton Ct, Lemoyne, PA 170432011
Mortgagee: Manufacturers and Traders Trust Company
Appraisal fee $ ~I,QQ Mortgage recording fee $ 4 .50 Tax Parcel # 12-22-Og2p-02.5.
Meaning of some words, Tn this. note and mort e 1 " ~ "
whether as a borrower, as a ~ ' ()You and 'your mean anyone signing this note and mortgage_
.Manufacturers and Traders T~sat~CompanyOne M&T Pls not a borrower or guarantor, (2) "we," "us" and 'bur" mean
real estate described in the section entitled "Mort ~' Buffalo, New York 14240, (3} "your prop~,~" means the
gage covering your property," (4) "the loan" means credit obtained
from us in the amount shown in the section entitled "Promise to pay," and (S) "prior mortgage" means any presently
existing mortgage covering your property,
What law applies. Any legal. question concerning this note and mortgage .will be decided in accordance with
Pennsylvania law and, to the extent applicable, federal law.
Promise to pay. In return for the loan you have received, you promise to
"principal") plus interest at a yearly rate of(L74%, you will a PaY in U.S. $ SO 0 0.00 (this amount is
the nth day of each mgnth be ' P Y principal and interest by making monthly payments on
gtnnmg on Anril 17-?008. You will make monthly payments of $ 73 9.96, (or, if the
following blanks are completed, each of the first instalments will be $
.) You may make monthly payments at our banking offices, at the address indicated in theeoupon book we will send to
File Ref. No,.20t?80651337530 Page 1
SB280 (12/06)
From:FAIR4~AY INDEPENDENT MORTGAGE 1920$848887 10/25/2010 14:16 #068 P.002/007
you, or at such other place as we may designate from time to time. If you still owe an
mortgage on March__1028 (the ++~turity date„) you agree to pay those amounts in fully amounts under this ttote and
Late charges, If any instalment owing under this note and mortgage is overdue far more than 15 da s ou
a late charge of 10% of the unpaid amount of the instalment or 520.00 whichever is greater. y > Y must pay us
Returned Check Charge. If any check you use to make a payment under this mortgage and note is dishonored because
of insufficient or uncollected funds or because the account has been closed, you agree to pay to us a returned check
charge of 520.00.
Prepayment. You may prepay all amounts owing under this note and mortgage at any time.
Mortgage covering your property. To secure the a
give us a mortgage covering the real estate commonly known las~101 Clarkton Ctbe, Ltemo o e and mortgage' you
170432011 and described more fully as: Yn ,Cumberland, PA
SCHEDULE A TO BE ATTACHED PRIOR TO RECORDING
Other rights in real estate, The mortgage you are giving us in this note and mortgage covers all rights you have now
or acquire in the future in your. property or in other real estate because you own your property, In other words, you give
us a mortgage covering your property together with all of your estate and rights in it and all a
example of a right you may have in other real estate because you awn our ro PP~enances to it. An
land to get to a street. Y p perty is the right to cross a neighbor's
Taping. 'The mortgage you are giving us is this note and mort
future to money payable because of the talon b a gage covers all rights you have now or acquire in the
public use of any right you have now or acquire m~the eantut bogy oroother organization entitled to take property for
Your property, Y P. petty or iA other real estate because you own
Fixtures, To secure the payment of all amounts owing under this note and mort a e ou
all things that are or become fixtures in relation to your property, A person who has a Y ~Ve ~ a security interest in
number of rights-for example, the right to sell the a ~~Y mterest in Property has a
aftached to or installed in or on real estate and thatt~e w regards ads part of the real estate~Ex a ;s ies of ~g that is
furnaces, hot water heaters, bathtubs and sinks that have been installed in a building. ~ fixtures are
Prior mortgage, You assure us that you have notified us in writing of any prior mortgage,
Ownership. You assure us that you own your property. In other words, you warrant title to yow property.
Taxes, assessments, ground rents, sewer rents and water charges. You must pay all taxes, assessments
rents, sewer rents and water charges on your property, and, if you do not pay any of them, we + Found
to, pay it. When we ask you to do so, you must reimburse us for it whether we paid it before o after the foreclosure.
Also, when we ask you to do so, you must pay us interest on its unreimbursed portion at the rate of interest payable in
connection with the loan.
Other taxes and other charges. In addition to the taxes and other charges listed in the preceding section, you must pay
any other tax or other charge that, if unpaid, could become a claim on your property superior to the mortgage you are
grvmg us m this note and mortgage, and, if you do not pay it, we can, but we do not have to, pay it. When we ask you to
da so, you must reimburse us for it whether we paid it before or after the foreclosure. Also, when we ask you to do so,
you must pay us interest on its unreimbursed portion at the rate of interest payable in connection with the loan.
Fire insurance. You must keep any building that is or becomes part of your property insured for our benefit against
loss by fire and other hazards, and you must assign and deliver any policy providing the insurance to us. You must
reimburse us for any premium for the insurance we pay because you do not keep the building covered by the insurance
or because you do not assign and deliver the policy to us. To assign a policy providing insurance means to transfer
rights under it.
Flood insurance, you must keep any building that is or becomes part of your property insured against loss by flood if
File Ref. No. 20080651337530 Page 2
SB280 (12/06)
From:FAIR4~AY INDEPENDENT MORTGAGE 1920$84$$87 10125/2010 14:17 #068 P.003/007
Yom' Pj'oP~'tY is located in an area that has been identified by the Secretary of Housing and Urban Development as an
area having special $ood hazards and for which flood insurance has been
Insurance Act of 1968, and you must assi and deliver an made available under the National Flood
us for an gn Y policy providing the insurance to us. You must reimburse
Y premium for the insurance we pay because you do not keep the building covered by the insurance or because
you do not assign and deliver the policy to us whether we paid it before after the foreclosure.
Money paid under Insurance. To the extent permitted by law, we can use mone
building that is or becomes part of your property to pay amounts owin Y paid under insurance on any
money to you to repair or rebuild the building. !3 ~utder this note and mortgage or we can give the
Same other promises. You must (1) keep Your property in good condition, (2) permit us to '
any time, (3) immediately notify us in writing if any building that' is or becomes part of your root your property at
destroyed, (4) promptly repair or rebuild any building that is or becomes part of your p PAY xs damaged or
~~Y~, (5) not use your property, or permit it to be used, illegally or in any way not permx~tted by all per lie ~ of
insurance on it, (6) not use your property, or permit it to be used, in any way that violates any legal restriction affecting
its use, (7} not transfer ownership of Yom' property or any interest in your property unless
law, (8) not remove, tear down, structurally alter or change the use of any building or other structure that is obbecomes
part of your property without first obtaining our permission in writing, (9) not. transfer any right to receive rent from
y°ur ProF~Y ~ anyone other than us without first obtaining our permission in writing, (10) not place any restriction on
the sale or use of your property based on race, color or creed, (i 1) pay all fees for any title examination or abstract of
title and ail premiums for any title insurance we at any time consider necessary in connection with the mortgage you are.
BYOB us in this note and mortgage, (12} perform all of your obligations under any prior mortgage or any note or other
agreement to which it relates, (13) promptly notify us in writing of any default under any prior mortgage, (14) pay any
amount the payment of which is secured by any prior mortgage no later than 5 days before the date it is to become due if
we ask you to do so, (15}provide to us no later than 3 days before the date any amount the Payment of which is secured
by any prior mortgage is to become due evidence satisfactory to us that the amount has been paid if we ask you to do so,
wl~ ~s ~~ any a8reement changing any prior mortgage, (17} not obtain any additional advance the repayment of
by any prior mortgage, (18) use your best efforts to get the owner of any prior mortgage to send us a
copy of any notice that the owner is required to send you and (19) promptly Bond us a copy of any notice that you
receive from the owner of any prior mortgage.
Lease changes. Without first obtaining our permission in writin
lease covering your property or a tan rental a 8, You must not cancel or change any provision of any
~P Y p yment from your property more than 1 month in advance.
Labor and materials. Before you use any of the money being received b
other purpose, you must use it to pay for any labor or material used for an Y you in connection with the loan for any
the date of this note and mortgage that is not yet paid for. y improvement started on your property before
Correcting default under prior mortgage. After giving such notice of right to cure and of emergency mortgage
assistance as are required by applicable law, we can, but we do not have to, make any payment wo consider necessary to
correct any default under any prior mortgage. Whcsn we ask you to do so, you must reimburse us for the payment. Also,
when we ask you to do so, you must pay us interest on the mtreimbursed portion of the payment at the rate of interest
payable in connection with the loan.
All amounts immediately due. We can. declare all amounts owing under this note and mortgage but not yet paid
immediately due without notifying you if any of the following happens; (1) any amount o
mortgage or any othex indebtedness from you to us existing now or coming into existence in the figture is not pa d by the
day it becomes due-even though a late charge would not be imposed until later; (2) you violate any provision of this note
and mortgage or of any other agreement with us existing now or coming. irrto existence in the future; (3} you die or
become incompetent or insolvent; (4) any Proceeding under any b
debtors is started b or a ~P~Y law or other law concerning the relief of
y gainst you: (5) we discover that in this note and mortgage, any other agreement with us existing
now or coming into exietonco in the future or any application you have made ar make to us for credit you made any false
or misleading statement about an important matter; (~ we reasonably believe that any amount owing under this note and
mortgage or any other indebtedness from you to us existing now or coming into existence in the future will not be paid
by the day it becomes due; or (7) we reasonably believe that something seriously affects the value to us of any property
in which any interest has been or is given to secure the payment of any amount owing under this note and mortgage or
the payment of any other indebtedness from you to"us existing now or coming into existence in the future.
File Ref. No. 2(1084651337530 page 3
SB280 (12/06)
From:FAIR~AY INDEPENDENT MORTGAGE 19208848887 10/2512010 14:19 #068 P.004/007
Rent after all amounts immedfately due. If you continue to occu
under this note and mortgage but not yet paid immediately due, You must pay us~whatever redrtet ~e all amounts owing
Each month's rent will be at Least as much as the sum of 1 req~ You to pay.
Preceding month, (2) 1112 of the estimated taxes, assessments) interest payable in connection w ith the loan for the
your property for the tax year in which the month falls and (3)~Ig/lr2 of the estiuaat~edrents and water charges payable on
Ycer property for the year in which the month falls. If you fail to pay the rent, we canhave y ~ evicted from your
Pl'°P~YJust as though you were an ordinary tenant who failed to payrent.
Transfer of rents. If we declare all amounts owin
can, but we do not have to, mane g under this note and mortgage but not yet paid immediately due, we
applicable law. We will apply the money we eco ei~ve from mana~. rental payments from it to the extent permitted by
it first to attorney's fees and other expenses we pay as a result of doauzgg s and then to amounts obag reams pa~~s from
mortgage but not yet paid in any order we choose. a'~g under this note and
Roreclosure and enforcement. I f we d eclare a 11 a mounts o wing u nder this n ote a nd mort
immediately due, we can foreclose our interest in your property and foreclose or enforce our secunage b ut a of yet p aid
that is or becomes a fixture in relation to your property. To foreclose an interest in real estate or anr~ m anything
fixture in relation to real estate means to have the real estate or thing that is a fixture sold at a public sale. ytluag that is a
Receiver. If w e bring an action to foreclose our interest in our
e~~ ted. A receiver is a person appointed by a court to manage real~eostat~e and ueC~nn~~fi~ tO eve a receiver
P ymeats from the real
Foreclosure, enforcement and collection costs. If we hire an attorney to bring a lawsuit to foreclose our interest in
Y°~ property, foreclose or enforce our security interest in anyd~g mat is or becomes a fixture in relation to your
PfOP~y m' collect in any other way any amount owing under this note and mortgage but not yet paid, you must pay us
the attorney's fee and all court costs we pay in connection with the lawsuit.
Other legs! expenses. If we hire an attorney because someone other than you sues us as the owner of this note and
mortgage or because we have to defend any of your rights in your property or other
our rights in your property, you must pay us the attorney's fee and all other costs we ProP~Y m order to protect any of
pay in connection with the lawsuit.
Notices. If we want to notify you, or you want to notify us, about something relating to this note and mortgage, the
notice can be in writing and can be delivered in person or sent by mail. In other words, notice and demand or request
can be made in writing and can be served in person or by mail to the extent permitted by applicable law.
Guarantee. Anyone signing this note and mortgage as a guarantor, or an one si
provide credit to someono else signing it, unconditionalh Y gnuAg tt as a borrower so we will
be bound by all its provisions, except that he or she wi lgoarbe e~to payaanmyeaxnounlt owing under gt nhd'1 ~e amO~t
becomes overdue
Owner who is not borrower or guarantor. ,Anyone signing this note and mortgage as an owner who is not a borrower
or guarantor gives ua a mortgage covering your property and all rights described in the sections entitled "Other rights in
real estate" and "Taking" and gives us a security interest in all things that are or become fixtures in relation to your
Property. Also, anyone signing this note and mortgage as an owner who is not a borrower or guarantor will be bound by
all its provisions, except that he or she will not Dave to pay any amount owing under it.
Giving up of rights. You give up any right to require that we (1) demand that you pay any amount owing under this
note and mortgage, {2} notify you if any amount owing under this note and mortgage is not paid by the day it becomes
due or (3) obtain a certificate stating that any amount owing under this note and mortgige was not paid by the day it
became due.
No notice or loss of rights. We can de any of the following without nati
property or any other property belon ' to (} P y fYmB y°u or losing any right against You, your
grog you: 1 acce t an check or other order marked "paid in fall" or with
similar language as a payment under this note and mortgage; (2) give additional time fear the payment of any amount
owing under this note and mortgage, regardless of the number of times we previously did so and regardless of the length
Pile Ref. No. 20080651337530 page 4
SB280 (12/06)
From:FAIRWAY INDEPENDENT MORTGAGE 19208848887 10f2512010 14:20 #068 P.005/007
of any additional time we previously gave; {3) exercise, give up, fail to exercise or delay exercising any right against an
P~'son or property; (4} fail to protect any interest in any property, whether by failing to file any document that must be
filed in a public record to give the public notice of the interest, by failing to be named on any certificate of tide issued
for the property or in any other way; or (5) change any provision of this note and mort
and mortgage as a boaower agrees. For example, we can sue You under this note and mogrt if anyone signing this note
sue anyone else, (2) foreclose our interest in your property or foreclose or enforce our securi gage whether or not we (1)
or,•becomes a fixture in relation to your property or (3) use any money deposited with us bty Merest in anything that is
any ~tno~it owing under this note and mortgage but not yet paid. Y You ox ,anyone clap to: pay
Changes and giving up of rights, No change in this note and mortgage can be made except in a writing signed by us.
No right against you or any property belonging to you can be given up by us except in a writing by us
Evidence. In any legal proceeding involving this note and mortgage, any copy of this note and mortgage kept by us in
the regular course of our business is to be admitted in evidence as an original of this note and mortgage.
Conflicts. If any part of this note and mortgage conflicts with any applicable law or regulation, the law ar regulation
will control, and this note and, mortgage will be considered changed to the extent necessary to comply with the law or
regulation.
Continued effectiveness. If any part of this note and mortgage is determined by a court to be invalid, tho rest will
remain in effect.
End of note and mortgage, mortgage and security interest. This note and mortgage and the mortgage and the
security interest you are giving us in this note and mortgage wilt end when alI amounts owing under this note and
mortgage are finally and irrevocably paid.
Responsibility, you and everyone else signing this note and mortgage will be, individually and together, liable under it.
Entire agreement. This note and mortgage is the final and co late a
loan and concerning the mortgage and the securi interest ou ar~ greament between you and us concerning the
concerning the loan, the mortgage or the security Y ~~g ~ m this note and mortgage, Any statement
mortgage ty interest made by any of our employees is not part of this note and
File Ref. No. 20080b51337530 page 5
SB280 (12/06)
From:FAIR~AY INDEPENDENT MORTGAGE 1920884$$87
Agreement. You agrce to be bound by all provisions of this note and mortgage.
owner zBetty L Beaver
10125/2010 14:21 #068 P.006/007
File Ref. No. 20080651337530 Page ~
SB280 (12/06)
From:FAIR4~AY INDEPENDENT MORTGAGE 1920$84$8$7 10/2512010 14:21 #068 P.007/007
SIGNA'T'URE ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
:SS.
COUNTY OF CUMBERLAND )
On this, the day of 2008; before me, a Notary Public, the
undersigned officer, personally appeared Clair R Beaver, Betty L Beaver known to me (or satisfactorily proven} to be
the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged that ha/she/they executed the
same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary Public
My Commission expires: [Notarial Seal]-
I certify that the precise residence of the within named mortgagee, Manufacturers and Traders Trust Company, is One
MBcT Plaza, Buffalo, New York 14240.
Signature
Agent on behalf of mortgagee
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File Ref. No. 20080651337530 page 7
SB280 (12/06)
Page 1 of 2
ASHLEY PHILLIPS - Re: prod -Date of Death Request
From: DATE OF DEATH REQUESTS
To: PHILLIPS, ASHLEY
Date: 7!29/2010 1:52 PM
Subject: Re: prod -Date of Death Request
Per you request, please find below the date of death values for Clair R Beaver, social security#177-16-
0280.
1. Account #14433788, Balance $24664.10 + accrued interest $.OS = $24664.15 Total
~ 2. Account #10000147576550401, Balance $46633.64 ~
Let me know if there's anything else you need :-)
Thanks,
Sue Kimble
Records Management /DOD Unit
M&T Bank- "Understanding what's important."
»> On Thursday, July 22, 2010 at 14:02, in message
<29436656.13121279821753667.JavaMail.appowner@comrcu03cfmprod>,
<ASHLEYPHILLIPS@mtb.com> wrote:
Account Information
Date of death: 05/05/2010
Account Number: 14433788
Product Type: Deposit Account
Request Details
Deliver to: Requestor
file://C:\Documents and Settings\EBRNXAP\Local Settings\Temp\XPgrpwise\4C51878BR... 8/2/2010
SEARCH ONE ABSTRACTING, INC.
5006 E Trindle Road, Ste 100
Mechanicsburg, PA 17050
Ph:866-973-2724 Fax:800-297-4363
TAX CERTIFICATION
Cal aoro +
1_..t bey
n L
Name: ~:~ I` 1
j w~3
Address: I~ I ~~ ~
Coun ~ u~- ~~n~ Municipality: ~/n/~ o-{-~'YIJ~~
Parcel #: 'a _ O('1 _ J1C ^~' ~S
2010 Municipal Taxes: Taxes run from ( ) to ( ) .
AMOUNT FROM TO
DISCOUNT
FACE ()
PENALTY ,3
Cu entl t e are PAI UE) in the !FACE / PENALTY) amount of
S~i ~/ BY )
/s there a duplicate bill jee? Y~E~S~ N~~ If;o, h~o ~uch? S
Tax Collector: ~~~ ! l.~~litr'~.D~ "la{ "' -Phone #: ~I7- 7(..~ I ~ 77~
Address: ~~~ 1Cf-r/~~Y;C/1~; (,W~ ~ c~C..e/!r~ d y~I ~~. ~7J~~3
2010 County Taxes: Taxes from ( ) to ( ) .
AMOUNT FROM TO
DISCOUNT
FACE
PENALTY
Currently taxes are (PAID / DUE) in the (DISCOUNT /FACE / PENALTY) amount of
S (ON/BY)
/s there a duplicate bill feelL? l-~ YES r NO !f so, how much? $
Tax Collector: ~(~.1~~ / / ~.~.8f l~_ Phone #: ~17- 7~ ~' ~ 7~
Address: ~~~Q ~eJ~XJ(///"Ca/l~j (~(~V ~ ~.[p//1/1(~~t'(R- . ~7C~y
2010/11 School Taxes: Taxes run from ( ) to ( ) .
AMOUNT FROM TO
DISCOUNT
FACE
PENALTY // Q
Currently taxes are ~~.t+ DUE) in t e ISCO /FACE ! PENALTY) amount of
S ~ a9. ~ 1 ON BY) 0
Is there a duplicat//e~~bill fee? ~.~JY~ES NO /f so, how much? S
Tax Collecto-r-: 1~~~ / ~-~~~, Phone #: 7l7' 7(n~" ~ 78S^
Address; ~l ~~ ~/L L~~l'Qy r0~~1t~~ (~, ~7~73
Delinquent Taxes are due in the amount of S by for the following years:
Tax Collector: (.~1 L'~JY/Lt ~~/~ (~ ,71~ (~flLlN hone #: ~I 7` ~~O ' c.eJ~r ~-(
Address:
Please Notc. A tax certification Cee of K )has been msessed.
••• Any qusstions please contact Candy at 866-973-2724 ••
09/1512010 07:31 717-783--2 REVENUE CORP TA '""^ PAGE 03!04
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Address ice Requestsrf
~ SERV'1 LOCATION: ACCOUNT NO.
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REFUSE SERVICE Dyl 070 TQ 09130P1010
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Schein Erns# Eye Associates
2509 North 'rant Stree#
Harrisburg, PA 17'i10
(717) 233-3937
REVENUE CORP TAXI'' PAGE 04104
. ;~
Pa#ren# S#a~emen#
Monday, May 24, 204tl
~maunt dr:c Amount paid
. r~
Payment Type:
Check
[Visa ^ Mastercard
^Arnerican Express ^ [?iscaver
[Debit Card ^ Care Credit
Clair R Beaver
~ 01 Clarkton C#
Lemoyne, PA 1x043
Account #
Expiration Date ! 1
Signature __ _
Date 1 /
RefleCR.e trsnaactlons postea tlxougli 5124!2090 far 13788
,, ~, oetecn ana r.m1t wun r+i
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Clair R Beave (25936uJSme5 D Herbst ODJL038389
location: 9chal 9 Ernst Eye Associates •
Referring Physi ;Ian: James E Blaci~mith DO
zlns>?049 Comp Exam ~stabiished Pt ~ X110.00 s,oo si io.oa ~o.ao
2109/2009 Refraction 530.00 1.00 $3D.00 50.40
7J09f2009 Payment from 3oaver, Clair R 50.04 (530.00)
1 /2 112 0 1 0 Gontrectuel Ad ustment from Seniorblue ($10.58) $D.Dfl
1!21!2010 Payment from 3eniorblue ($89.42) $0.00
1121!2014 Transferfrom lisurance ~ ($40.00) $40,00
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~+J.00 $0.00 $0.00 $OAO $0.00 510.00 $94.Qa X0.00 . $90.00
~r...._..... Sri,aln F~mat Ftra AccnniatPC * 951)4 TJnrfh FrnnP ~lrf~at'" Harriat5uro. PA 17110 "(7'171 233-3937
REV-1513 EX+ (O1-10)
iv~~ Pennsylvania
DEPARTMENT Of REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE ~
BENEFICIARIES
ESTATE OF: FILE NUMBER:
Clair R. Beaver 2010-00490
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not List Trustee(s) AMOUNT OR SHARE
OF ESTATE
I TAXABLE DISTRIBUTIONS [Indude outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
1• Micahel A. Beaver son $1000
2 Claire R. Concannon daughter $1000
3 Barry L. Beaver .son $1000
4 Robert E. Beaver son $1000
5 Patricia L. Bender daughter
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
L
8. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed, use additional sheets of paper of the same size.
~'i
t
I I~~S't,,,.{,
. State that I love read the last will and testament of
my father, Claire R Beaver. According to the will I am to receive one thousand dollars. I
have decided to decline the bequest.
'1 ~ O tv lkl..'ro lJ 5`['
J.F~'to~K~ ~ ~~ l'tv ~3
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my rathdr; Claire
On June 4, 2010,
the Estate,
State that I have read the last will and testament of
. Acxording to the will I am to receive one thousand dollars.
a check for $1,000 from Patricia L. Bender, the Executrix of
aa~O u~ sh,~,oy G,~ivE~
uvoc.~- , P~
.-,,
my father, ~ir~
On June 4, 2010,
the Estate.
State that I nave read the last will and testament of
to the will I am to receive. one thousand dollars.
• 51,000 from Patricia L, Bender, the Executrix of
~i JG2.~c-o 4 ~ P~
~?0 3oK
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my ether, Claire R State that I have read the last will and testament of
On June 4 2010 I Beaver According to the will I am to receive one tho
the Estate.
' ~ received a check for $1,000 fmm Patricia L. Bender, th Ex~dutnx~ f
~.~o~y ~mnr~ off'
~~
PETER J. RUSSO, ESC~UIRE
ASHLEY R. SIPS, PARALEGAL
Register of Wills
Cumberland County
1 Courthouse Square
Carlisle, PA 17013
LAW OFFICES OF
PETER J.RUSSOr.c.
ATTORNEYS AT LAW
Friday, November 5, 2010
ELIZABETH J. SAYLOR. ESQUIRE
AMBER L. SOUTHARD, PARALEGAL
RE: Estate of Clair R. Beaver, Deceased
Dear Sir or Madam:
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Enclosed please find the original and two (2) copies of the Revenue 1500
to my filed and forward to the Department of Revenue. The check for filing fees
and inheritance tax are also included. Kindly time stamp and return one copy to
our office in the envelope provided.
Should you have any questions please feel free to contact our office.
Thank you for your assistance in this matter.
Very truly yours,
Ashley Malcolm, Paralegal
Enclosure
5006 EAST TRINDLE ROAD, SUITE 100, MECHANICSBURG, PA 17050
PHONE: (717) 591-1755 FAX: (717) 591-1756
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