HomeMy WebLinkAbout01-04-11J 1505610140
R~~ ~O t7( {01-10)
C7FriCiAL USE rJN Y
PA ~~ of Raverlrre Cour~r Code Yber Fie Number
POBW(250601 T~ MII~RITANCE TAX RETURN
~_PA 17126-0601 DECEDENT 2 1 1, 0 0 9 2 9
ENTER DEC~tT MiFORM#TION BELOW '~
Social Security Number Date of Death MMDDYnrY Date of Birth MMODYYYY
1~6 24 9822 D902201D ],21219 32!
Dscadsrlt's Last Name SuBbc DeoedsrlYs First Name '~ ~
BUT L E R J O A N C
(N Applicable) EnRsr SunMMl8pouae's IMormaUon Below ~
Spouse's Last Name SufRx Spouse's First Name it MI
Spouse's Social Security Number
TENS RETURN MIDST BE FlLED tN_ c~uPLIf:A~E THE
REGIS~R Of 1NILL5
~ w AIrPROPRIATE OVAL8 BELOW
® 1.Oripinai Retum ^ 2. Supplemental Retum ^ 3. Remainder
prior to 2- m (dabs of deaU~
)
^ 4. Limited Estate ^ 4a. Future Interest Compromise (date of ^ 5. Federal Tax Retum Required
depth after 12-12-82)
® 8. Dsosderlt Died Testate ^ T. DecOderlt Maintained d Living Trust 8. Total Nt~m of Safe Deposit Bozos
(A~ Copy ~ y~ (Attach Copy of Tnrst)
^ 9, Litipstion Proceeds Receive d ^ 10. Spousal Poverty Credit (dabs of death ^ 11. Ebdio to urMsr Sec. 9113(A)
between 12-31-91 and 1-1-95) (Atahch )
- TiN6 SECTION MUST BE CO~I.ETED. ALL CORRESPONDENCE AND COMFDENTNL TAX BE DKtECTED TO
Nar rre Daytime Te o Number
W IL L I AM A D UN CAN 717 '2 49 7780
r`>
otlLY~y
First line of address
I'.
~ ~` ~ -w
.
~ ;~. 1 w.7
1 I R V I N E R 0 W ~~~-
LL ~
,:
Second ins of addre~ ,
~ ~ - - ~
-_-
I~ r
_~ ,.~~ stet. 7~ [`srfw
C A R L I S L E
ConrspondarK's e~ addnas: B I L L D U N C A N a1 P A•
P A 1 7 0 1 3 ~ ~.
ET
under penaitles a perj~ny, ~ dedare that I hwa exa~nN'ISd this rearm, incN+dNw socompanykp schedules and stalemerrss, and b my icnowMdpe and heliM,
it a tue, cohere ~~a Room~plMR.~.~o.a~snlfor- a~pepFsNra~r oGtl~er uan ass persorW repn.en{ruw it e..ed on au infonnenon a which na any knarlsd0./.
SKi~ ., IM .. IL ~F1~ ~1/.l /~=,CRERiRN I DATA' ~ / 1
13 DANDELION DRIVE BOILING SPGS• ' 17007
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE ,DATE
ADDRESS
1505610140
P'LEA8E USE ORKitNAL FORM ONLY
Side 1
150561~p 4~0
r
s
a
J ~
J
REV 150o Ex
DeoedeM's Soci~l Security Number
1 8 6, ~ 4 9 8 2 2
RECAPITULATION
1. RBI Estate (Schedub A) ........................................... 1.
2. Stocks and Bonds(Schedub B) ...................................... 2.
3. Closely Held Corporation, Partnership or Sale-Propri~orship (Schedule C) ..... 3.
4. MoRgages and Notes Receivabb (Sc~edub D) .......................... 4.
5. Cash, Bank Deposits and Misoelbneous Personal Properly (Sdiedub E)....... 5.
6. Jointy Owned Property (Sc~edub F) ^ Separate BilNng Requested ....... 6.
7. inter-lrivos Transfers 8 Misoelbneous Property
(Sd~edub G) Separate BilNng Requested ....... 7.
8. Total Gross Assets (total Lines 1 through 7) ........................... 8.
9. Funeral Expenses and Administrative Coats (Schedub H) .................. 9.
10. Debts of Dsoedent, Mortgage Liabilities, and Lfens (Schedule 1) ............. 10.
11. Total Deductions (total Lines 9 and 10) ............................... 11.
12. Nst Value of Edats (Line 8 minus Line 11) ............................ 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts Tor which
an ebd'an to tax has not been made (Sdredub J) ...................... 13.
14. Nat Value Sub)sct to Tax (Line 12 minus Lino 13) ...................... 14.
•
', ~ 1 3 8. 8 8
3 ? 0. 6 8
i
1 2! '1 0 6. 6 7
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATF~ '
15. Amount of Line 14 taxabb
at the spousal tax rate, or
transfers under Sec. 9116
16. Amount of Line 14 taxable
at lineal rate x .045 7 4 4 1 9. 8 0 1 s. .
17. Amount of Line 14 taxabb
at sibM~g rate X .12 0 . 0 0 17.
18. Amount of Line 14 taxabb ''
at collateral rate X .15 D . D 0 18.
19. TAX DUE .................... ........................... ....... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L 1505610240 15D561[~2~
1505610240
11597.11
i
I I
.
6 6 2. ? 0
0 2 4. 1 7
6 8 6. 8 7
''4 1 9. 8 0
4 1 9. 8 0
0. D 0
'3 4 8. 8 9
0. 0 0
0. D 0
3 4 8. 8 9
I C]
REY 1500 EX Pays 3 Faa Nianbar
Decedent's Comoleha Addlress: 21 10 0 9 2
DEC;EDENrs NAME
JOAN C• BUTLER
STREET ADDRESS ~,
601 MILL RACE ROAD
CIiY
CARLISLE STATE
PA Z~
1?013
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2 ~~ 4,000.00
~~~ 210.40
B. Discount
3. Interest
4. ff Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
FM M oval on Page 2, Ltns 20 to request a rotund.
5. H Line 1 + Line 3 is greater than Line 2, enter the d'rfference. This is the TAX DUE.
(5)
•89
•40
•51
.oa
Make check payable to: REGISTER OF WILLS, AGENT 'I i
~1
PLEASE ANSMYER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE TE BLOCKS
1. Did decedent make a transfer and: Y ~
a retain the use or irroarre of the property ......................................................................
b. retain the right b designate who shall use the property trarrsierred or its irroonre; .............................
c. retain a rewersiorrary irderesx or ................................................................................................I,
d. receive the promise for Nie of eitrrer peyrtteMs, trenefits or cane? ......................................................!
2. ff death ooamed after Decerrrber 12,1982, did deoederrt transfer property wiUdn one year of death
wrthart tecerrtrg adequate c;onsideraafaon? .......................................................................................
3. Did deoedert awn an'in tnrst for or payable~rpon+deafh txanlc account or seanity at his or her death? ......... ^
4. Did decedent own an itr~vidual retirement account, annuity or other non-probate property, which
contains a beneficiary designation? .................................................................................................. ^
IF THE ANSWER TO ANY OF THE A~VE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE ~ PART OF THE .
For dales of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to the use of tl~e surviving spouse
3 peroent p2 P.S. §9116 (a) (1.1) (~]. '~
For dales of death on or after Jan.1,1995, the fax rate imposed on the net value of transfers b ar for the use of the survi ' is 0 peroent
[12 P.S. §9116 (a) (1.1) ('s)]. The staWle does not exempt a transfer b a surviving spouse from tax, and the statutory njqu is for disclosure of assets and
tfiing a tax retain are st3 a~ppNcable even if the surviving spouse is the only benefiaary. ~
For dales of death on or sitar July 1, 2000: ~~
• The tax tale imposed on the net vaHie of translers from a deoe~ed ctuld 21 years of age or younger at dead b or for {he ~ ~ a natural parent, an
adoptive parent a' a stepparent of the child is 0 percent (72 P.S. §9116(a)(1.2)]. I
• The tax rate +mposed on the net value of transfers b a far the use of the decedents Feat beneficiaries is 4.5 percent, ale as noted in
72 P.S. §9116(1.2) [/2 P.S. §9116(ax1)].
• The taut tale imposed on the net value of traces to a for the use ~ the decedent's sibNngs is 12 percent [72 P.S. §9'~1 a)(1.3)]. A sibling ~ defxred, untie
Section 9102, as an indrviduai who has at least one parent in common witl~ the decedent, wt-ether by blood or adoptia~,.
(1)
Total Credits (A + B) (2) ',
(3)
(4) ''
REl/-1502 IX+ (01-10)
Pennsylvania SCHEDULE A
~~
REAL ESTATE
~ Tex ~~
ars~oatr oc-(SKr
ESTATE pF: FILE M1tM8E
JOAN C• BUTLER 2 10 ~ 0929
AN real property owrrsd solely or as a taunt in common must be roported at fair rrrariret value. Fair market value is defined 'price at which property
would be eou,hanged between a wlMing buyer and a wiwng seNer, rieitlrer being oornpelled b buy a seY, both having of the relevant fads.
tisal properly tthat k joi+tlh~awnsd wiSr ~ of wrvlvorslrtp rrrwt btdNctossd on F
A1bch a copy of the selfiemaM sheet if the property has been solo.
REM hxkrde a copy d the deed showing deceder>Cs interest if awned as tenant in conrnon. VALUE AT DATE
NICER OF DEATH
DESCRIPTION
1- 601 MILL RACE ROAD ' 110,597.11
CARLISLE, PA 27013
[SEE HUD SHEET ATTACHED] I ',
i
I
'~
~I
l
~,
~~ ~,
I
',
'I
TOT11L (ANo eater on line ~ , R~scapitula 6on~) ( i 110 , 5 9 7.11
'll
REV 1506 IX + (~96)
c~ortt~ot~twEALTrt of PENNSrLVANtA
tNF1ER(TANCE TAX RETURN
ESTATE OF
JOAN C• BUTLER
scN~v~ E
CASH, BANK POSITS, ~ DISC.
PERSONAL PROPERTY
Include tl~e of wipaUon and the date tl~e poceeda wane received ey the estate. - -
AN t~PMtf~ wllh dpM of survhronldp moat be dNdoad oa ScMduN F.
ITEM
~ VALUE AT DATE
PKHY~ER DESCRIPTION OF DEATH
~. REFUND CHECK THOMAS S• FILIP 1,352.00
2• PROCEEDS FROM SALE OF 2D01 FORD TAURUS ' 4,DD0.00
3- CENTURYLINK REFUND II 13.87
4• COMCAST REFUND II 34.01
5• '~
U•S• TREASURY PAYMENT ' II
I
739.00
TOTAL (Also err an Ike 5, Recapidi~Uo~j '', ( ; 6 ,13 8 .
REV-1508 EX+ (01-10)
Pennsylvania SCMEDtlLE F
°~~~ °F R JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETUfUI
RESIDENT DECEDENT
E8TATE OF: FLE NU
~ ~
JOAN C • BUTLER 21 1~]
I D929 _
Nan asaat was node jointly owned wMhin one year ~ the decedenC'a dale of death. it nwst be rapol~ ol~ $cheduk G.
SURVIVING JOINT TENANT(S~ NAIrE(S) ADDRESS RELATIONSNB~ TO DECEDENT
~ DEBORAH L- BRICKER 13 DANDELION DRIVE DAUGHTER
BOILING SPRINGS, PA 17007 ', I
~. ~ II
'~
c.
I
ner LETTER
FOR JOM DATE
MI1DE DESCR~TIDN aF PROPERTY
arauDE NA1iE aF FN1diCIA1. eISiITUiION ND BANK ACCOIlf1T NUMBER aR SIMIAR ~
DATE OF DEATH ' %OF
IpECEDBfTS DATE of DEATH
VALUE of
IMlw6ER TENANT JOBfr NUM~i. ATTACH GEED FORJOR(RY-HELD RFJ1L ESTATE. VALUE OF ASSET ~ NJTEREST DEtJ:DEOITS NQTpiESI
~. A. 4/05 MEMBERS FIRST SAVINGS ACCOUNT 10,525. 9 S0• 5,262.75
~ 43106-DD ',
[SEE DOD LETTERI
2• A• 4/05 MEMBERS FIRST CHECKING ACCOUNT 2,215•!6 50• 1,107.93
~ 431D6-11
[SEE DOD LETTER]
TOTAL {Also enbr on Lillie 6, Recapih~ionj~ ~ i 6, 3 7 D• 6 8
''
..~.-~..,. ~..- ~,,.-..o,
pe-nnsyhrania SCHEDULE H
o~~xr of FUNERAL EXPENSES AND
^"~ T"'~ "~"
l~s~oerr o~oFxr AD~NiSTRATiYE COSTS
E8TATE taF FN.E NINE
JOAN C• BUTLER 21 1~ 'x ;0929
DaCadNrts debts swat ba nporMd on SchadnN L
ITEM
NUMBER
DESCRiPT10N I~
AMOUNT
A.
~.
2• FtiP1ERAl. EXPEAISES:
ITEMS FOR FUNERAL LUNCHEON - COMMISSARY ',
ITEMS FOR FUNERAL LUNCHEON - DUNKIN' DONUTS '
S?•20
44.49
3• EYING BROTHERS FUNERAL HOME, INC• ' 2,347.93
B. I
ADMINISTRATIVE COSTS:
1. Personal Represetrtadve Gorrrhs&arrs:
Neme(s)dPeraonelRepmeeni~e(a) DEBORAH L- BRICKER 6,155.33
sreetAddra~a 13 DANDELION DRIVE '
qty BOILING SPGS• ;~ PA ~ 17007
Year(a) Cartrrbeion Palrk 2 011
,~,
~, AgornayFeex DUNCAN >i HARTMAN, PC ' '~ ' 6,155.33
3. Partly Exemp~orr: tlf deoedenra addreea is not the name as deMr>erMb, alfech explane/on.)
Claimant
StroetAddieea
Cth Stsb ZIP
~
ReleMaehip d Cleinsrt b Deoederrt li
'
~. ~
PmbateFeea: REGISTER OF WILLS ',
'~ '
335.50
5. Aoca"kantFeex
6. Tax ttehrm Preperer Fees:
it
z.
8• CUMBERLAND LAY JOURNAL -LEGAL NOTICE ',
THE SENTINEL -LEGAL AD ~' 75.00
176.92
9• REGISTER OF WILLS -FILING FEE 15.00
10• HELD IN RESERVE 300.00
Tn7Al Also order an tine 9, ~ ) : 15 , 6 6 2 • ? 0
REV 1512 p(+ (12-OB)
Pennsylvania SCHEDULE
°~"'~"~ of DEBTS OF DECEDENT,
naiEwr~cE ux MORTGAGE LIABILITIES, S LIENS
r~ES~rr oECE~Hr i
ESTATE OF ftLE
JOAN C• BUTLER 21 1 0929
Report dla0b Nkurred ty Nis decedent prior y death that remaNied unpaid at the dab of death, includirq unreN~libu ntadk~l expanses.
ITEM VALUE AT DATE
~~ DESCRIPTION OF DEATH
t VNB MORTGAGE SERVICES, INC• ' 157.66
2• SOCIAL SECURITY PENSION REFUND TO US TREASURY 734.00
3• PPL - ELECTRIC BILL 175.21
4• CENTURYLINK ~ i 38.07
5• VNB MORTGAGE SERVICES, INC. I~~, 165.54
6• WILLOW CROSSING CONDO ASSOCIATION - HOMEOWNERrS FEE', ~I 130.00
7• ALLSTATE
~I 4.74
8- PPL - ELECTRIC BILL ~, 61.37
9.
EXXON MOBIL I
'
124.3b
10- DISCOVER CARD
'~ 1,2b9.32
11• WALMART CREDIT CARD ~,
i 65.40
12• CITI CARDS - EXXON MOBIL BILL ~~ 1.91
13• DELUXE CHECK CHARGE
i 21.75
14. CUMBERLAND GOODWILL EMS I 1,369.50
15• VALLEY NATIONAL BANK MORTGAGE PAYOFF 19,282.56
[SEE HUD SHEET ATTACHED]
TOTAL (Also enter on Line 10, ~ ~' ~ 3 3 , 0 2 4.1?
M moos space is needed. ir~t addftlonal sheela of the same alas.
__ _._.. _ _.. _ - _ _ - _. _. _. _ ._.. _- _ r-_. i__~. _ _
Continuation of REV-15001nheritance Tax Return Resident Decedent
JOAN C. BUTLER 21 10 0929
DeoedsM's Name Page 1 File Number
Schedule I - Dsbts of Dscsd~nt, Morlpage Liabilitlss, b Liens
REM
NUR DESCRIPTION ' ~ AMOUNT
16• SETTLEMENT CHARGES ' 7,960.08
[SEE HUD SHEET ATTACHED] II
l7• SETTLEMENT CHARGES FRBM ADDENDUM ~ 1,462.70
[SEE HUD SHEET ATTACHED]
i
',
' I
i
~ I ~ 9,422.78
~~~ ~ I '', ', : 33,024.17
REV-1513 EX+ (07-10)
Pennsylvania
DEPARTMENT of REVENI~
Il~fRfUNCE TAX RETURN
SCHEDULE J
JOAN C• BUTLER 21 1 0929
RELATIONSHIP TO DEC AMOUNT OR SNARE
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Lbt Tros9sas) ~ OF ESTATE
I TAXABLE DISTRIBUTIONS (Mdude ou spaeal di~u~ons and transieis under
12
9
6 '
1
(a (
).]
Sec. i ji ~,
1. DEBORAH L• BRICKER Lineal
13 DANDELION DRIVE ~ 1
~ 20%NON REAL EST
BOILING SPRINGS, PA 17007 ,
I 12.5 REAL ESTAT
2- BENJAMIN C• HOLMES Lineal I '~
1449 FINCASTLE LOOP ', ~~ 20%NON REAL EST
COLLEGE STATION, TX 77845 ''~, 'i 12.5 REAL ESTAT
3. KATHY J- br1AGNER Lineal
570 GRAINS GAP ROAD '~ 20%NON REAL EST
CARLISLE, PA 17013 ~ ~~ 12.5 REAL ESTAT
4• YVONNE M• GATES Lineal
IC
20 BIG SPRING TERRACE I
' 20%NON REAL EST
NEWVILLE, PA 17241 ! 12.5 REAL ESTAT
5. BILLIE JO BUTLER Lineal
~
13646 CEDAR CREEK LANE !,
'~, 20%NON REAL EST
SILVER SPRING, MD 20904 ~i 50% REAL ESTATE
ENTER DOLJJIR A#IOUMTS FOR DIST1~81If10NS SHOViM ABOVE ON LINES 15 TIiROIK~li 18 OF REV-1500 CO ~ AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHK~t AN ELECTION TO TAX IS NOT TAKEN: '
1.
i
I~
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
I I
TOTAL OF PAttT II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET ~ ' i
..,..... __...... ~...,.~,,., ..~ .,a,~:...,~ e~ .,~ ~~ .,~ x,e Q~ m~
LAST WILL
TESTAMENT OF
I, JOAN C. BUTLER, of 601 Mill Race Court, Box 1, Cazlisle, South 1d1i dleton
Township, Cumberland County, Commonwealth of Pennsylvania, being of soon and disposing
mind, memory and understanding, do hereby make, publish and declare this asl d'', for my Last
Will and Testament, hereby revoking any and all other wills and codicils heretc~f red made by me.
FIRST. I direct that all my just debts and funeral expenses be paid from r~ny estate as
soon after my death as practically and conveniently may be done.
SECOND. I direct that my remains be interred at Indiantown Gap Cerr~et ry beside my
husband, WILLIAM R. BUTLER III, in accord with my expressed wishes. ',
THIRD. I authorize my personal representative to expend funds from y estate, in such
amounts as my personal representative shall consider necessary and desirable f~r t ~ purchase,
erection and inscription of a suitable marker for my grave.
FOURTH. I give, devise and bequeath any and all real estate owned b~ e' at the time
of my death, unto my children as follows: to my daughter, BILLIE JO BUTLER'p I ive fifty
percent (50%), per stirpes; unto my daughter, KATHY 3. WAGNER, my daughter DEBORAH
L. BRICKER, my daughter, YVONNE M. GATE5, and my son, BENJAMIN CI OLMES, I
give twelve and one-half percent (12 '/Z%), in equal shares, per stirpes. '~
FIFTH. I give, devise and bequeath all the rest, residue and remainder o 1' other
property unto my children, BILLIE JO BUTLER, KATHY J. WAGNER, DEBO )I L.
BRICKER, YVONNE M. GATES and BENJAMIN C. HOLMES, in equal shams f twenty
percent (20%), per stirpes. ~~,
SIXTH. I direct that any and all Inheritance, Estate and Transfer taxes ii'pz sed upon my
estate passing under my will or otherwise, shall be paid out of the principal of my r siduary
estate. ~~
SEVENTH. I hereby nominate, constitute and appoint my daughter, DE$O H L.
BRICKER, as Executrix of this my Last Will and Testament. In the event of ren cialtion, death,
resignation or inability to act for any reason whatsoever of DEBORAH L. BRIC , I
nominate, constitute and appoint my daughter, KATHY J. WAGNER, as Executrix o~ this my
Last Will and Testament. I hereby relieve my Executrix from the necessity of pos~i security in
connection with her duties, as such, in any jurisdiction in which she may be calle~ u n to act
insofar as I am able by law to do so. In addition to the powers conferred by law, I lau ~orize my
Executrix, in her absolute discretion, to retain in the form received, and to sell either at public or
private sale any real or personal property owned by me at the time of my death. ~, i,
EIGHTH. I have made, or may from time to time make, a written memoran~lu~n,expressing
my desire to give certain items of personal property to specific persons. I urge ~y Executor and
beneficiaries to respect these wishes. Such a memorandum, if made, shall be star din conjunction
with this Will. ~
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this ~y Last Will
and Testament, consisting of two typewritten pages this C C day of , T~0
2005. ~~
C. BUTLER
Signed, sealed, published and declared by the above named Testatrix JOAN'. BUTLER as
and for her Last Will and Testament, in the presence of us, who, at her request, ~n ~r sight and
presence and in the sight and presence of each other, have hereun~to^s~u~bscrlibed ¢ names as
witnesses. ~ ~ ~ /' /I V! ( ~ ~
D.
COMMONWEALTH OF PENNSYL i~ANIA
. SS.
COUNTY OF CUMBERLAND .
I, JOAN C. BUTLER, Testatrix whose name is signed to the attached or fore of g instrument,
having been duly qualified according to law, do hereby acknowledge that I signed d executed
the instrument as my Last Will; that I signed it willingly; and that I signed it as m~y to and
voluntary act for the purposes therein expressed. _ ~ ~,
Sworn or affirmed to and
acknowledged before me, by
JOAN C. BUTLER this ~~
of QC~
NOTARIAL SEAL
Kathy L. Mummert, Notary Public
Borough of Carlisle, Cumberland Co., PA
Rrly Commission Expires Aug.11, 2Q0T
' TO,AN C. BUTLER
day
2005.
_,
,- :.
COMMONWEALTH OFPENNSYLVANL4 .
SS.
COUNTY OF CUMBERLAND _
We, w iI~~QVh a n and ~~-~ ~ I~~
the witnesses whose names are signed to the attached or foregoing instrument,
qualified according to law, do depose and say that we were present and saw JO
sign and execute the instrument as her Last Will; that she signed willingly and
as her free and voluntary act for the purposes therein expressed; that each of us
sight of the Testatrix signed the will as witnesses; and that to the best of our kn
Testatrix was at that time eighteen (18) or more yeazs of age, of sound mind an
constraint or undue influence.
Sworn or affirmed to and
subscribed before me by
1,U- ~ liav~r~ ~ scan
~~ n D -~a wts
this 1 I day of ~ b eat
and
witnesses,
2005.
of b is
NOTARIAL SEAL
Kathy L Mummert, Notary Public
Borough of Carlisle, Cumberland Co., PA
Wly Commission Expires Aug. 11, 2007
duly
.BUTLER
ie executed
hearing and
age, the
~r no
_~I~
MEMBERS i~
FEDERALCREDiT UNION
SAVIN~i8 ~CiCCUNT:
Account Number/Suilbc
Da#e Account EstabNshed
Prinapal Balance at Date of Death
Accrued Interest to Dab of Death
Total Principal and Accrued Interest
Name of Joint Owner
Date Joint Ownership Established
43106-00
06/19/1984
$10,525.40
$.09
$10,525.49
Deborah L. Bricker
04/15/2005
CHECKNNt3 ACCOUNT•
• '
Acoount Number/Suffix 43106-11
Date Acxount Established O6h 9/1984
Principal Balance at Date of Death $2,215.86
Accrued Interest to Date of Death $0.00
Total Principal and Accrued Interest $2,215.86
Name of Joint Owner Deborah L. Bricker
Date Joint Ownership Established 04/15/2005
MEMBERS 1~ FEDERAL ~
'C~~~
Leig - ne StaNings
Lending Insurance Support
September 24, 2010
Esbb of: Joan C. Butler
Dab ofi Death: 09J1?J2010
Social Security Number. 186-24-9822
UNION
51N111 Louise Drive P.O. I3ox ~I) Mechanicsburg, Pennsylvania 17055 (8(N)) 2233-23281, • Iwww.memberslst.urg
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o. 11w.rAM...d~.....r. cM.~..wwr.wwsww: r.urMw~~rw+ws
SLAM! C. MItTZ lsTATE Or JOAN C. M!lTLiR M1rC Of AYBtl~'.A, N.A.
72N f. W1dO'VER iTREET DEBORAH L. fit, EXECtJTItU( I~AOA ATMMA
CA!lUBLl, M 17011 P.O. Bt'~lf 11!001 '
DALLM, TX 7q/t•Nfi ',
N11BLL RAC! COURT. CMLNLE, PA t701i F i OR1cN
BOUTHB~OLETONTOYYNBFI! rr..ra.ws
gJ1~BI1LAlO ODUIRY f BOn11t Hprowrlln~t
~ i
tM~10r.0d 1
4,i47.N I~
~~
261.00
q.62 M
_
647.26 i
047J
2M
7
60.420.00
~~„
r... ~.r•
`a
wwr
,..
I artat aN www Pi~- ~ TMr-ri at~ltt ~ iil ~ r-~ - `. Nwn~.r, .ppoN,q in. ~.c ~
and utdaatoM tint Pw~M w" OaM an 4~ kr t#a yaar, ar aatnrwa for t#a awtaat fir, ntd Yt ~li'rwie a any olwga Iitr t
aa~wtww neat a nrMa eataann salMr and saiowar de~at ~ apy Q~;tT ~ at~tttiw~aw~ au ~rnarNa +o Fray a Ttry ey tlal
eha Ml~t Sattmwnt st~nMnt and to dw eat a my a~oa/adte Mt e.~, t M a ew ~i taasrt~M s at of naipa and dMeiaw~rada
1fNa tra~irya)~aa I AwNr °''~ ntoawad a tns FNA~1 s~tNntwnt ~tMlnwk
noiaauy
~ nwliw~a
rM ar by ma h
rw ~nz - -- _ - -.~.~-~
To ria eat my ~ F~JD•1 alatamd rddeh I Iwo ~
pntpnod Y a Yw and aoarats aoaeud aMa 11nda vtdoh wan ntaMd aad ~ bnn a wf df
demu.w atlwarana.wan.
Oelobar4l.IflfOI ',
F i TMh-. ~Itletttdttt A~ttt - r.a. ~ as pay
ADDENDUM
PROPERTY gi3PlCTION PEE TO A'NS gr3PECl
NOVEMSS9t AStOCIATION DUES es MRS~wr ~S
CPL PEE TO CLTIC
Ef.ECTR01rC DELNERY I~ TO PREY a TLEY
OvERNwMT oEUVder P0M To PREY a Ti1.EY
pae. GARAGE DOOR RlPApt
130.00 OCTOelR A>1tOC1AT10N DUE TO VNLLOW CIN
CONDO AEEOC. • nMLUDEt A LATt P!!
TaAO
IINlRRANCE TAX PAYMENT ElCROW
X0.00
~aoo OVERJNGMT PEE TO PREY a TILEY
REiA4E CiRTMpCI-TION ~ TO WR.I.OMf ~
P.0.C. Ao~1 N NMi1011
Mq.TON'f WCK .. CMIi11lOR
CNAIME TMIrt iy
ATTY PEE= TO DUNCAN a MARTMAN, P.C.
RIT Tiy ~ wlltiR
R 1'O YYOIM M. GATM
TObd eD N1N 145 ?S5 Tdal b Lint 1f06
1l~ORMATION REPORT1N~i ON REAL EsTATE TRANSACTIONS ' ~
TNEi IMJD EETTLSMENf STATEMENT CONTASM tE'ORTANT TAX INFORMATION (SOKEE E 0.N, 1, M AND UN! X0'1) AND IS EEEIt REINISIE~D 7O
THE S1TEttlUU. RlVENISS IBtVICE M=YOU 111M:IIEDU111~ Ta IgLE A RETURN, A NtOUGL~l1L`E p$NALTY OIt OT-i®t SAlICTIDN wILL EE
ON YOU If TNIt ITB1 a REOUOlED TO SE RlPOR~ ANO THE INTERNAL REVENUE SERVICEDlTERMIN~ TWIT R IIAB NOT E!E!1 REFOkTED.
a
C
TAX PROalAT101/ ADD1
o~r.rrwwrr~r
SCNDOL, REAL EETATE TAX
ow.t+.sw r..,y/1.ana r.-r[11;7n1
aMd R[[1 AIM[ Tr FM[
aMwIR[/Eril[Tr-~Owr
Af0Ea1~R:
![riu/Y 1. Ala r0[wir H, X10
ew a ud[. Rw Srr1[ Ts Fir
CaaYrlaRdEwrTrt-sDM
a[.awr..uw
~ Yw
usa«a,+waaa, ar..Ir..-.oe..~an.a.+rsr.: [
~a~rwawa, srwr[r-.oc.rar*+rM^wr
1/1>IM r[ G. alr[Ia -.O.C.f~r4Nf: [
a...r.enrAarrr.a G.aN[ia-.o.a.ar«rS.n.n
-.o.~x~
alaaal-
CballNllllk~id)IatblOnbM FMJD~ft:~elNrahir _- ___
OuraMr~l~~a ~~- <;, t1~ ~ ~! - ~ ~`' ~; ~ ult'~fl' d'~ 610.00 660.00
Your ~I~~,~i-~ (pY W filer klt 1ipeR~e 1Mieilt nM <iloM ~ ~ ~ ` ~ ~i ~ ~ 0.00
Y,~o~r.~z'!.'~.~~!!~ '~~' ~w _ Yt~,~~~ rye: 6G0.00 6f0.00~
16.00 16.00
66.00 61.00
26.00 46.00
300.00
1010.00
M9 f/\ Wl 702.601
~~.
101.34 10i.S~
~.
1961.76 166.76
0•W 1fi.
W
y~
426.00 /y
~
O.OO
~_
bibraM ~ '~
baura~a
Wo _ Yas, k ran rNa b a me~Yman of _!~. 'Iha 6tat ahania ~ ba ',
an and an ~ pMn awry alNr ',
. Every drgn daM, !lour YMMNt lab aan Ywtaoa ar daeaaN '
ti _%. Orar 9N tbt d ~ ban, flour IrMorwt nt~ N ~artnd b nave ba
than % ar %.
hb Y R rNa a of
x,, h1o _ Yas, 9M 1ht NRwo con ba an a9dsn eionRMr
f,.
the IIIa~blcan R oan aar rNa b N i
Y N ~
,~ hb _ aa, you haw a yalrrwMt of dw b
Yau do not haw a maiMMr aaaaw pa~M br NINb, aue 1 N prapNty
1110/ and (IOlrl~own~~ bNiaana. You mwl ~ i~ Mwna dbac6p yaunwlf.
Yau hrw an addNlOrW madhy uarow poynMnt a( a~+a_+Z '
nnlA~ ~ s 11111 bUkd maiR~y amount owed of i63i.72. ThN babaNs
I+M11M1, any malpa~a biwranoa and any Mcnr eh~do.d bMow.
P~gNrgi IaaD _ Monwow,.r• YoOMranoa
t9ood lnwra+e. _
NoM: N you Iwo any elualiln~ abort 61a ~a1611eanl GwgN and Lo~O TwOtM IMCa cn 91N RanO, pNaOr aardaat you Nold~t.
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