HomeMy WebLinkAbout05-09-11 (2) 1505610140
REV-1500 EX (°'_'°'
PA Department of Revenue
Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number
PO BOX 280601
Harrisbur , PA 17128-0601 RESIDENT DECEDENT 2 1 1 0 0 8 8 8
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date Of Blrth MMDDYYYY
5 2 8 6 4 7 5 9 2 0 8 1 4 2 0 1 0 0 2 2 8 1 9 5 3
Decedent's Last Name Suffix Decedent's First Name
MI
D Y K S T R A A N N M
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
MI
C R I B B I N S P A U L S
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
a 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required
death after 12-12-82)
QX 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name
Daytime Telephone Number
B E N J A M I N J B U T L E R 7 1 7 2 3 6 1 4 8 5
First line of address
5 0 0 N T H I R D
Second line of address
P O B O X 1 0 0 4
City or Post Office
H A R R I S B U R G
State ZIP Code
REGISTER OF WILLS USE ONLY
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Correspondent's a-mail address: LAWYERS(a,BUTLERLAWFIRM COM ~ ~ ~
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIR(~4d Tl tRF nG ococnni
ADDRESS
4110 CARRINGTON COURT WE
ER THAN REPRESENTATIVE
MECHANICSBURG PA 17050
DATE
~,~~
500 N THIRD STREET, PO BOX 1004 HARRISBURG
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 1505610140
RESPONSIBLE FOR FILING RETURN
.~.. ~ ~ DA
S T R E E T
PA 1,7108
1505610140 J `~'
REV-1500 EX
1505610240
Decedent's Social Security Number
Decedent's Name: ANN M• D Y K S T R A 5 2 8 6 4 7 5 9 2
RECAPITULATION
1. Real Estate (Schedule A) ........................................ ... 1.
2. Stocks and Bonds (Schedule B) ................................... ... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. ... 3.
4. Mortgages and Notes Receivable (Schedule D) ....................... ... 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).... ... 5. 2 9 1 5 0 , 3 7
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested .... ... 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ^ Separate Billing Requested .... ... 7. 2 7 5 4 5 0, 0 0
8. Total Gross Assets (total Lines 1 through 7) ........................ ... 8. 3 0 4 6 0 0 ~ 3 7
9. Funeral Expenses and Administrative Costs (Schedule H) ................ .. 9. 6 0 1 7 . 9 0
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ........... .. 10.
11. Total Deductions (total Lines 9 and 10) ............................. .. 11. 6 0 ], 7 9 0
12. Net Value of Estate (Line 8 minus Line 11) .................. ....... ... 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ............ ........ .. 13.
14. Net Value Subject to Taz (Line 12 minus Line 13)
............ ........ .. 14.
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.o - 2 9 8 5 8 2 4 7 15.
16. Amount of Line 14 taxable
at lineal rate X .0 _ 0 0 0 16.
17. Amount of Line 14 taxable
at sibling rate X .12 0 0 0 17.
18. Amount of Line 14 taxable
at collateral rate X .15 0 0 0 18.
19. TAX DUE ...................................................... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Side 2
L 1505610240
2 9 8 5 8 2.4 7
2 9 8 5 8 2.4 7
0. 0 0
0. 0 0
0. 0 0
0. 0 0
o. 0 0
1505610240 J
REV.-1500 EX Page 3
Decedent's Com
lete Add File Number
p
ress: 21 to ossg
DECEDENT'S NAME
ANN M. DYKSTRA
STREET ADDRESS
4110 Carrington Court West
CITY
Mechanicsburg
STATE _
Zlp
PA
17050
Tax Payments and Credits:
~ • Tax Due (Page 2, Line 19)
2. Credits/Payments (1) 0.00
A. Prior Payments
B. Discount
3. Interest
Total Credits (A + g)
(2)
0.00
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (3)
Fill in oval on Page 2, Line 20 to request a refund
. (4)
0.00
5. If Line 1 + Line 3 is greater than Line 2, enter the difference, This is the TAX DUE
. (5)
0.00
Make check payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred;
...................................................................... Yes No
b. retain the right to designate who shall use the property transferred or its income; ............................... o a
c. retain a reversionary interest or .......................................................................................... ^
......
d. receive the promise for life of either payments, benefits or care? ....................................................... ^ X^
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ................ ^
3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ......... ^ Q
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. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is
3 percent [72 P.S. §9116 (a) (1.1) (i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an
adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in
72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1508 EX + (6-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
ANN M. DYKSTRA
21 10 0888
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
1. Citizens Bank -Checking Account No. 6103562787
with accrued interest of $0.00
*net of checks written before death but clearing after death*
2. Dickinson College -Accrued Vacation Pay
3 ~ I Long Term Care Insurance -Refund
4.2006 Acura RSX
5~ ~ 1999 Mazda Miata
TOTAL (Also enter on line 5 Recapitulation) I $
(If more space Is needed, Insert additional sheets of the same size)
VALUE AT DATE
OF DEATH
4,974.15
1,324.81
2,851.41
15, 000.00
5,000.00
29,150.37
REV-1510 EX+ (OS-09)
pennsylvania SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF
ANN M DYKSTRA FILE NUMBER
21 10 0888
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY
NUMBER INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENTAND DATE OF DEATH % OF DECD'S EXCLUSION
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE.
1. Property at 4110 Carrington Ct W, Hampden Twp, Cumberland VALUE OF ASSET INTEREST (IF APPLICABLE)
County, PA transferred to Paul S. Cribbins (spouse) and Ann M. 278,450.00 100.00 3,000.00
Dykstra on August 13, 2010; $222,760.00 x 1.25 = $278,450.00
2. Dickinson College (TIAA-CREF - 403(b))
Non-Taxable: Decedent was working for Dickinson College and
was under 59 1/2 at the time of her death i
TOTAL (Also enter on Line 7 Recapitulation) I $
If more space Is needed, use addltlonal sheets of paper of the same size.
TAXABLE
VALUE
275,450.00
275,450.00
REV-1511 EX+ (10-09)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
ANN M. DYKSTRA
Decedent's debts must be reported on Schedule I.
FILE NUMBER
21 10 0888
ITEM
NUMBER
DESCRIPTION
A• FUNERAL EXPENSES: AMOUNT
1.
B. ADMINISTRATIVE COSTS:
~ ~ Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City State
~_ ZIP
Year(s) Commission Paid:
2. Attorney Fees: Butler Law Firm
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) 2,040.00
Claimant Paul S. Cribbins 3,500.00
Street Address 4110 Carrin ton Court West
City Mechanicsburg State PA ZIP 17050
Relationship of Claimant to Decedent Souse
4. Probate Fees:
153.50
5. Accountant Fees:
6• Tax Return Preparer Fees:
~• Cumberland Law Journal -Estate Advertising
8• The Sentinel -Estate Advertising 75.00
9~ Cumberland County Register of Wills -Filing Fee 219.40
30.00
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
TOTAL (Also enter on Line 9, Recapitulation) I $
It more space is needed use additional sheets of paper of the same size. 6 017
REV-1513 EX+ (01-10)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FSTATC l1C.
SCHEDULE J
BENEFICIARIES
ANN M. DYKSTRA
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).]
1. Paul S. Cribbins
4110 Carrington Court West
Mechanicsburg, PA 17050
FILE NUMBER:
21 10 0888
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
Spousal
AMOUNT OR SHARE
OF ESTATE
298,582.47
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:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
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. $
LAST WILL AND TESTAMENT
OF
ANN M. DYKSTRA
I, ANN iVI. DYKSTR.A, of Hampden Township, Cumberland County,
Peru7sylvania, do make, publish and declare this to be my Last Will and Testament, hereby
revoking all Wills and Codicils by me at any time made.
ITEM 1. I direct that all inheritance and estate taxes becoming due by reason of
my death, whether such taxes may be payable by my estate or by any recipient of any property,
shall be paid by my Executor out of my residuary estate, as an expense and cost of administration
of my estate. My Executor shall have no duty or obligation to obtain reimbursement for any
such tax so paid, even though on proceeds of insurance or other property not passing under this
Will. In the absolute discretion of my Executor, he may pay such taxes immediately or may
postpone the payment of taxes on future or remainder interests until the time possession thereof
accrues to the beneficiaries. I also direct my Executor to pay the expenses of my last illness and
fimeral expenses from the property passing under this Will as an expense and cost of
administration of my estate.
ITEM 2. I am in the process of gifting the sum of Thirty Thousand ($30,000.00)
Dollars to DICKINSON COLLEGE of Carlisle, Pennsylvania. If the funding of this charitable
gift has not been completed as of the date of my death, I instruct my Executor to complete the
funding with assets from my estate.
f'
ITEM 3. I give, devise and bequeath all the rest, residue and remainder of my
estate of any kind whatsoever, real, personal or mixed, and wheresoever situate unto my
husband, PAUL S. CRIBBINS, if he survives me. In the event that my husband, PAUL S.
CRIBBINS, predeceases me, I give, devise and bequeath said rest, residue and remainder to my
brother, DANIEL J. DYKSTR.A, JR.
ITEM 4. In addition to the powers conferred bylaw, my Executor shall have the
following powers:
(a) To retain in his absolute discretion and for such period as to him shall
seem advisable, any and all assets constituting my estate, without liability for any loss inciuYed
by reason of the retention of such assets.
(b) To change investments and properties, and to invest and reinvest all or
any part of the corpus of my estate, in such securities, investments, or other property as to him
seem advisable and proper, irrespective of whether the same are authorized for the investment of
estate funds by the laws of the Commonwealth of Pennsylvania.
(c) To sell all or part of the property which at any time may constitute a
part of my estate, at such time, upon such terms, for cash or on credit, with or without security, in
such manner and at such prices, either at public or private sale, as to him shall seem advisable
and proper, and to execute good and sufficient deeds and bills of sale therefor.
(d) To lease any property held by him and for the duration of the term,
irrespective of the provisions of any statute or of the termination of my estate; and to mortgage,
- ~-
pledge, collect, convert, redeem, exchange, or otherwise dispose of any securities or other
property at any time held by him.
(e) To borrow money, whether to pay taxes, exercise subscriptions, rights,
and options, pay assessments or to accomplish any other purpose of any nature incidental to the
administration of my estate, and to pledge any securities or other property held by him as
security therefor.
(f) To enforce any bonds, mortgage, or other obligations or liens held
hereunder; to enter upon such contracts and agreements and to make such compromises or
settlements of debts, claims, or controversies as he may deem necessary or advisable; to submit
to arbitration any matter or difference; to vote personally or by proxy any shares of stock which
may at any time be held by him hereunder.
(g) To consent to the reorganization, consolidation, merger, liquidation,
readjustment of or other change in any corporation, company or association, or to the sale or
lease of the property thereof or any part thereof, any of the securities or other property of which
may at the time be held by him thereunder, and to do any act or exercise any power with
reference thereto that maybe legally exercised by any person owning similar property in his own
right, including the exercise of conversion, subscription, purchase or other options, the deposit or
exchange of securities, the entrance into voting trusts, and the making of agreements or
subscriptions which he may deem necessary or advisable in connection therewith, all without
applying to any court for permission to do so, and to hold, redeem, sell or otherwise dispose of
-3- - -
any securities or other property which he may so acquire, irrespective of whether the same be
authorized for the investment of estate funds by the laws of the Commonwealth of Pennsylvania.
(h) To cause to be registered in his name as Executor hereunder, or in the
name of his nominee without qualification or description, any securities at any time held in my
estate.
(i) To determine the manner in which the expenses incidental to or
comlected with the administration of my estate hereby established shall be apportioned as
between income and principal.
(j) To carry out agreements made by me during my lifetime, including the
consummatiori of any agreements relating to the capital stock of corporations owned by me at the
time of my death, and including the continuation of any partnership of which I may be a member
at the time of my death whenever the terms of the partnership agreement obligate my estate or
personal representative to continue my interest therein, and to enter into agreements for the
rearrangement or alteration of my interests or rights or obligations under any such agreements in
effect at the time of my death.
(k) To apportion extraordinary and stock dividends received by him
between income and principal in such manner as he may see fit; provided, however, that all
rights to subscribe to new or additional stock or securities, and all liquidating dividends shall be
deemed to be principal.
-4-
My Executor may freely act under all or any of the powers of this Agreement
given to him in all matters concerning my estate hereby established, after forming his judgment
based upon all the circumstances of any particular situation as to the wisest and best course to
pursue, without the necessity of obtaining the consent or approval of any court, and
notwithstanding that he may also be acting as an individual, or as an agent for other persons as
an individual, or as an agent for other persons or corporations interested in the same matters, or
maybe interested in connection with the same matters as stockholders, directors or otherwise.
The powers herein granted to my Executor maybe exercised in whole or in part,
from time to time, and shall be deemed to be supplementary to and not exclusive of the general
powers of executors pursuant to law, and shall include all powers necessary to carry the same
into effect. The enumeration of specific powers herein shall not be constnied in any way to limit
or affect the general powers herein granted.
ITEM 5. I hereby nominate, constitute and appoint my husband, PAUL S.
CRIBBINS, as Executor of my estate. In the event that he is unable or unwilling to serve in this
capacity, I then nominate, constitute and appoint my brother, DANIEL J. DYKSTRA, JR., as
Executor of my estate.
My Executors are specifically relieved from the duty or obligation of filing any
bond or bonds.
My Executors are hereby authorized to disclaim any interest in property in
accordance with Chapter 62 of the Probate, Estates and Fiduciaries Code or Section 6103 thereof
and may do so without court authorization.
~~
-5-
ITEM 6. For the convenience of my Executors, I note that this Will has been
prepared by Ronald D. Butler, Esquire and the Butler Law Firm.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last
Will and Testament, this ~ ~ ~,y day of ~ ,y s ~
T , 2010.
(SEAL)
Ann ykstra
WITNESS:
~cz.~c~' ( °'
residing at ~ 8~ it
~- l7/la
residing at ~`~~ ~~_ ~~_~
-6-
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF DAUPHIN 1 SS.
We, ANN M. DYKSTRA , ~ E_sL~ ~ B _ V o ~ ~
a ~~ A ~ _ v-rc_~1~ ,and
- ,the Testatnx and the witnesses respectively, whose
naives are signed to the attached or foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testatrix signed and executed the instrument as her
Last Will and that she had signed willingly (or willingly directed another to sign for her) and that
she executed it as her free and voluntary act for the purpose therein expressed, and that each of
the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to
the best of their knowledge, the Testatrix was at that time eighteen years of age and older, of
sound mind and under no constraint or undue influence.
Ann M. D stra
Witness
/~~~~ _..
Witness
Subscribed, sworn to and acknowledged before me b ANN M. DYKSTRA, the
Testatrix, and subscribed and sworn to before me by (s e< « ~ C,~~ L
a d o N ~ ~. g"-~,£~ ,the witnesses, this [ ~ da of
~~G-~ , 2010. - y
tart' Public
My Commission Expires:
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
CHERYL L. FERGUSON, Notary Public
City of Harrisburg, Dauphin County
My Commission Expires April 6, 2012
-7-
~~'0000 256995n^
~~'0000 256 14 lu^
~:0 2 1 309 3 79~;
~:0 2 1 309 3 791:
8 i 108 900 2u'
B 1 l OB 900 2n'
._ .
£tzens Bank°
Account Number
Account Title
Date Opened
Account Tvne
Principal Balance as of DOD
Interest from Last Posting to DOD
Account Balance as of DOD
YTD Interest to DOD
6103562787
Ann Marie D k:
- 10/31/1994
$4994.15
00
$49_
$ .00
~~ ~-.J
l~
Parcel I.D. No. 10-16-1058-250
THIS DEED
MADE the (3'~ 001X4 B
day of _ ~ G y ST
in the year two thousand ten (2010).
BETWEEN ANN M. DYKSTRA and PAUL S. CRIBBINS, her husband, of Hampden
Township, Cumberland County, Pennsylvania, GRANTORS, parties of the first part,
AND
ANN M. DYKSTRA and PAUL S. CRIBBINS, her husband, of Hampden Township,
Cumberland County, Pennsylvania, GRANTEES, parties of the second part.
WITNESSETH, That in consideration of ONE ($1.00) DOLLAR in hand paid, the receipt
whereof is hereby acknowledged, the said Grantors do hereby grant and convey to the said
Grantees, their heirs and assigns,
ALL that certain lot or tract of ground situate in Hampden Township, Cumberland County,
Pemisylvania, more particularly bounded and described as follows, to wit:
BEGINNING at a point on the northern right of way line of Carrington Court West at the
southwest corner of Lot #13; thence along said right of way line by a curve to the right, said
curve having a radius of 25.00 feet and an arc distance of 29.91 feet to a point; thence along the
same by a curve to the left, said curve having a radius of 60.00 feet and an arc distance of 86.09
feet to a point being the southeast corner of Lot #15; thence along Lot #15 N16-54-52E 111.06
feet to a point on the western line of Lot #10; thence along Lot #10 and Lot #11 550-20-27E
131.14 feet to a point being the northern comer of Lot #13; thence along Lot #13 S36-44-38W
150.00 feet to a point, being the place of beginning.
CONTAINING 12,864 square feet.
BEING Lot #14 on a Final Subdivision Plan of Governor's Glen, prepared by H. Edward Black
and Associates, dated May 20, 1993, last revised June 14, 1993, and recorded on September 17,
1993, in the Office of the Recorder of Deeds in and for Cumberland County in Plan Book 66 at
Page 127. .
BEING the same premises which Troy L. Boone and Dawn M. Boone, his wife, by their deed
dated Apri126, 2002 and recorded in the Office of the Recorder of Deeds in and for Cumberland
County, Pennsylvania, in Record Book 251, Page 2343, granted and conveyed unto Ann M.
Dykstra, single person. The said Arun M. Dykstra has since intermarried with Paul S. Cribbins,
who joins with her in this deed as Grantors herein.
This is a deed from wife to husband and wife and is therefore exempt from Pennsylvania realty
transfer tax.
.AND the said Grantors will specially WARRANT
conveyed.
Sealed and delivered in the
presence of
~~-
~~~
AND FOREVER DEFEND the property hereby
(SEAL)
. Dykstra
(SEAL)
Paul S. Cribbins
I hereby certify that the correct mailing address of the Grantee herein is as follows:
4110 Carrington Court West
Mechanicsburg, PA 17050
l`~~~`
Attonzey or Agent for Grantees
COMMONWEALTH OF PENNSYLVANIA )
SS.
COUNTY OF DAUPHIN: _ ~
On thisI 3~'` day of ~ .y ~ u ST , 2010, before me, a Notary Public,
the undersigned officer, personally appeared ANN M. DYKSTRA and PAUL S. CRIBBINS, her
husband, known to ine (or satisfactorily proven) to be the persons whose names are subscribed to
the witlun instrument, and acknowledged that they executed the same for the purpose therein
contained.
IN WITNESS WHEREOF, I have heretmto set my hand and notarial seal.
otary Public
My Commission Expires:
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
CHERYL L. FERGUSON, Notary Public
City of Harrisburg, Dauphin County
My Commission Expires April 6, 2012
ROBERT P. ZIEGLER
RECORDER OF DEEDS
CUMBERLAND COUNTY
1 COURTHOUSE SQUARE
CARLISLE, PA 17013
71.7-240-6370
Instrument Number - 201022713
Recorded On 8/18/2010 At 9:16:23 AM
* Instrument Type -DEED
In N
voice umber - 71051 User ID - KW
* Grantor - DYKSTRA
ANN M
,
* Grantee - DYKSTRA, A1~iN ivi .
* Customer -BUTLER LAW FIRM
* FEES
STATE WRIT TAX $0.50
STATE JCS/ACCESS TO $23.50
JUSTICE
RECORDING FEES - $11.50
RECORDER OF DEEDS
PARCEL CERTIFICATION $10.00
FEES
AFFORDABLE HOUSING $11.50
COUNTY ARCHIVES FEE $2.00
ROD ARCHIVES FEE $3.00
CUMBERLAND VALLEY SCHOOL $0.00
DISTRICT
HAMPDEN TOWNSHIP $0.00
TOTAL PAID $62.00
* Total Pages - 4
Certification Page
DO NOT DETACH
This page is now part
of this legal document.
I Certify this to be recorded
in Cumberland County PA
s~~ °~ cuse~
° ~ ~~~/o
RECORDER O
S
+rso
* -Information denoted by an asterisk may change during
the verification process and may not be reflected on this page.
iuiuiniiii~ii~iuiu
TaxDB Result Details
Page 1 of 1
Detailed Results for Parcel 10-16-1058-250. in the 2004 Tax Assessm
t D
DistrictNo en
atabase
10
Parcel_ID 10-16-1058-250.
MapSuffix
HouseNo 4110
Direction
Street CARRINGTON COURT WEST
Ownerl DYKSTRA, ANN M
C/O
PropType R
PropDesc
LivArea 1978
CurLandVal 40000
CurImpVal 182760
CurTotVal 222760
CurPref Val
Acreage .30
CIGrnStat
TaxEx 1
SaleAmt 209500
SaleMo 04
SaleDa 30
SaleCe 20
SaleYr 02
DeedBlcPage 00251-02343
YearBlt 1996
HF File_Date 11/12/2004
HF Approval_Status ~ A
http://taxdb.ccpa.net/details.asp?id=10-16-1058-250.&dbselect=l
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Pa. Common Leval Ratios for Real Property Assessments
Page 2 of 4
Bradford 2.20 2.31 2.43 2.63 2.68
2.79 2.77 2.94
Bucks 28.57 32.26/8.07 8.93 10.10 10.99 10.64 10.31 9.17
~~
Butler 8.93 9.62 9.90 10.20 10.42 10.7[ j8.06 6.2561 7.30
Cambria 6.29 6.14/3.07 3.57 3.60 3.22
3.01 3.03 2.82
Cameron 2.83 2.68 2.81 3.08 2.96
2.85 2.99 3.08
Carbon 2.22 2.32 2.52 2.74 3.12
3.20 3.01 2.72
Centre 2.53 2.68 3.04 3.24 3.41 3.62 3.47 3.46
Chester 1.35 ( 1.47 1.65 ( ~1.82 1 ~~~
I_~C~C] .93 1.93 1.89 1.81
~~
Clarion 4.98 5.26 5.10 5.38 5.65 5.16/j .87 3,7061 3.80
Clearfield 4.88 5.24 5.13 5.47 5.75
5.68 4.74 5.29
Clinton 3.55 3.53 3.73 4.24 4.46 4'S [ ] •00 1.0061 1.03
Columbia 2.92 3.05 3.26 3.47 3.55
3.76 3.69 3.69
Crawford 2.83 2.95 2.87 3.02 3.04 2.98
2.85 2.78
Cumberland 1.05 1.11/1.00 1.00 1.14 1.22 1.26 1.26 1.25
Dauphin 1.07 1.14 ~~~
~~ 1.24 1.33 1.40 1.46 1.42 1.42
Delaware 1.15 1.26 1.38 1.55 1.64
~~~~ 1.72 1.63 1.56
Elk 5.00 5.05 5.26/2.18 2.18 2.65 2.49 2.61 2.52
Ene 1.00* 1.09 1.13 1.18 ~~~~
Fa * ~~ ~ ~~ 1.20 1.21 1.26 1.22
yette 1.00 1.03 1.10 1.14 1.17 ~~
~~~ 1.17 1.22 1.23
Forest 4.72 4.74 4.37 4.83 5.21
4.20 5.10 4.26
Franklin 6.45 6.90 7.69 9.35 10.20 9.62 8.62 8.13
Fulton 1.97 1.98 2.20 2.61 2 ~~~~
~~~~~~ .99 2.99 3.00 3.44
Greene 1.00* 1.13 1.21 1.21 1.16 1
C~ ~ .24 1.40 1.18
Huntingdon 5.99 6.29 6.80 7.46 7.87
8.62 8.27 7.58
Indiana 7.09 7.30 7.69/4.35 4.35 6.17
5.95 5.99 5.68
Jefferson 5.08 5.32/1.74 1.74 1.85 1.87 2.05
1.97 1.86
Juniata 5.69 5.65 6.41 6.21 6.25 6.33 6.90 5.88
Lackawanna 4.70 5.21 5.38 5.95 7 ~~~~
~~C~C~ .09 6.67 6.17 5.88
Lancaster 1.16 1.22/1.00 1.00 1.22 1.31 1.36 1.35 1.33
Lawrence 1.00 1.08 1.10 1.14 1.14
~~~~ 1.12 1.19~~1 1.18
Lebanon 11.91 12.20/6.25 6.25 ~~~
~C~C~ 6.80 7.35 7.41 7.46 7.04
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500 North Third Street
Tel: 717.236.1485
~ ~ ~ ~ Twelfth Floor Fax: 717.236.7777
Hanishurg, PA 17101 lawyersQbutlerlawfirm.com
Ronald D. Butler May 6, 201 1
Jana Butler Toole
Benjamin J. Butler
Suzanne M. Butler Register of Wills
Cumberland County Courthouse
1 Courthouse Square
Room 102
Carlisle, PA 17013
Re: Estate of Ann M. Dykstra a/k/a Ann Marie Dykstra
2010-00888
Dear Sir or Madam:
Mailing Address:
Post Office Box 1004
Harrisburg, PA 17108.1004
I have enclosed two originals and one copy of a Pennsylvania Inheritance Tax return and
one original and one copy of an Inventory for the above referenced estate. Please time
stamp the enclosed copies and return them to me in the enclosed self-addressed stamped
envelope. I have also enclosed a check for $30.00 made payable to Register of Wills for
filing fees and a check for $30.00 made payable to Register of Wills for additional probate.
Your cooperation in this matter is appreciated.
Very truly yours,
Benjamin J. Butler
BJB/mot n ~:.
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