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HomeMy WebLinkAbout08-03-11 15056051058 REV-1500 Ex (06-05) OFFICIAL USE ONLY PA Deparbnent of Revenue County Code Year Bureau of Individual Taxes INHERITANCE TAX RETURN n ` PO BOX 280601 ~,/ 1 (-~ Harrisburg, PA 17128-0601 RESIDENT DECEDENT _t File Number ~~~ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 206-32-2326 12/07/2009 Decedent's Last Name Richardson (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW • 1. Original Return 4. Limited Estate • 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received Date of Birth 01 /12/1942 Suffix Decedent's First Name MI Betty J Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 0 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number Robert A. Quigley (717) 774-4002 Finn Name (If Applicable) , REGISTER OF ~LS USE ONLI~'';, QUIGLEY LAW OFFICE, P.C r- ~,-~ ---= '~? ---. ; ~ E First Tine of address .,, ~ ? ~ ~ t -~ •;- ,;_ j 1553 Bridge Street t r ' i~~ r [7 c,~ ~ '' t Second line of address " ` ~_ _. --; -i 3 City or Post Office State ZIP Code DAT~ FI~ ; r j ~; sa ~ ~-~ New Cumberland PA 17070 ~„ . - Correspondent's a-mail address: Under penalties of perjury, I declare that I have examined this return, including ac~mpanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer ther t an the personal representative is based on all information of which preparer has any knowledge. o h SIGREI OF PEf S ~ RE3jpN31BL~ F~ ILI ~ ~ ~ / , am, DATE ~ ~ / 1~~T-~J~~ -- ---- -------- - - ~1 l J_s.~rT ----- ....._ _-_. -_- ----- - ADDRESS -- I ~ --~ eL_ _.~.~~a~~~t~.- ~A_--_13~~3- - - -- _ _ - ~ ~ ~~ ~ 1 SIGNATUR PARE OTHE ~ AN PR ENTATIV DATE ADDRESS ~ 1553 ~ I' t c;l ct ~ ~Sfi rem. ~ i,c i u m b c.~~ ~~~G~( ~ta 17 G 7 c, ~ ~ 3 ~ i I Side 1 15056051058 15056051058 15056052059 REV-1500 EX Decedent's Social Security Number Betty J Richardson 206-32-2326 oeoeae~rs Name: RECAPITULATION 1. Real estate (Schedule A) . .......................................... .. 1. 65,000.00 2. Stocks and Bonds (Schedule B) ..................................... .. 2. 0.00 3. C-osely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 0.00 4. Mortgages 8~ Notes Receivable (Schedule D) ........................... .. 4. 0.00 5. Cash, Bank Deposits 8~ Miscellaneous Personal Property (Schedule E) ...... .. 5. 2,449.49 6. Jointly Owned Property (Schedule F) Separate Billing Requested ..... .. 6. 0.00 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested...... .. 7. 0.00 8. Total Gross Assets (total Lines 1-7) .................................. .. 8. 67,449.49 9. Funeral Expenses 8 Administrative Costs (Schedule H) ................... .. 9. 5,033.12 10. Debts of Decedent, Mortgage Liabilities, r3< Liens (Schedule I) .............. .. 10. 16, 567.23 11. Total Deductions (total Lines 9 8~ 10) ................................. .. 11. 21,600.39 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 45,849.10 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ...................... .. 13. 300.00 14. Net Value Subject to Tax (Line 12 minus Line 13) ..................... ... 14. 45,548.10 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 15. 16. Amount of Line 14 taxable at lineal rate X .0 45 2,049.71 16, 2,049.71 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE ....................................................... .. 19. 2,049.71 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 15056052059 REV-1500 EX Page 3 Flle Number Decedent's Complete Address: Betty J Richardson STREET ADDRESS 125 Bosler Avenue --- - - -- CITY New Cumberland DECEDENTS SOCIAL SECURITY NUMBER 206-32-2326 ---- STATE ZIP PA 17070 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount -__ - - -- -- ------- ---_ - Total Credits (A + B + C) (2) 3. InteresUPenalty if applicable 74 40 . D. Interest --_ E. Penalty 512.42 ------ ------------------ Totallnteres enalty + 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 2,049.71 586.82 2,636.53 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transfened :.......................................................................................... ^ ^ b. retain the right to designate who shall use the property transfen'ed or its incorrx; : ............................................ ^ ^ c. retain a reversionary interest; or .......................................................................................................................... ^ ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ ^ 2. If death occurred after December 12,1982, did decedent transfer properly 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? .............. ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designatan? ................................................ ^ Q ........................................................................ 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 January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (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 discbsure 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 twenty-one 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 zero (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 four and one-half (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 twelve (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-1.502 EX+ (11-08) ~ Pennsylvania SCHEDULE A DEPARTMENT OF RFVFNl1F INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF FILE NUMBER Betty Jane Richardson 2009-01209 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 facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if awned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION All that tract of land situate in the Borough of Lemoyne (formerly Lower Allen Township), Cumberland County, Pennsylvania, more particiulariy bounded and described as follows Beginning at a point on the northerly line of Bosler Avenue being 180 feet in an easterly direction by same from Cherry Alley; thence along the northern line of Bosler Ave. North 52 degrees East 25 feet; thence by line at right angles to the northern line of Bosler Ave. North 38 degrees West to the line of land now or late of N.C.R.W. Co.; thence along the line of land now or late of the N.C.R.W. Co., South 77 degrees 48 minutes West 25.98 feet to a point; thence by line at right angles to the northern line of Bosler Ave., South 38 degrees East to a point, the Place of BEGINNING. BEING part of a larger plot of ground in a plan known as Plan Number One of Riverton, PA the said plan being recorded in the Recorder's Office for Cumberland County, PA at Carlisle, in Deed Book 4-J, Page 40 (Property had a lien against it, Executrix satisfied = $15,548.50) (Appraisal attached) 65,000.00 TOTAL (Also enter on Line 1, Recapitulation.) I $ 65,000.00 If more space is needed, insert additional sheets of the same size. FROM: binnici Appraisal Services PO Box &873 Harrisburg, PA 17112 Telephone Number F~c Number: TO: Betty J. Richardson 125 Bosley Avenue Lemoyne, PA t7p43 Tekpfune Number. Fa7t Number. Aflemate N umber. Entail: INVOICE INVOICE NUMBER 1102081 DATE 0202812011 REFER@lCE Interrta[ Order #: 1102081 Lerner Case #: Client Fde #: Main File # on form: 1102081 Other Fla # on form: Fedora[ Tax m. Empbyer t0: THANK YOU FOR USING lAY SERVICES. IF I CAN ASSIST YOU AGAIN, PLEASE CALL. Vincent Me~rwci PLEASE fv1AKE CHECKS PAYABLE TO: Vncent Nlinnici DESCRIPTfON Lender. Betty J. RlrYlaMSbn CI'ient: Betty J. Richardson Purchaser/Bortorrer: Wiliam E. & Betty J. Richardson Property Address: 125 EtoslerAve C'dy: Lemoyne Coutrty: Cumberland State: PA Tup: 17043-1926 Legal DesalpUon: NoE Available FEES - AMOUNT Summary Appraisal RepoA 300.00 SUBTOTAL i 300.00 PAYMENTS AMOUNT Chedt#: Date: Description: 300.00 Chedc#: Date: Desaiptian: Check #: Date: DesalpUon: suerorA~ 300.00 Paid in tvtl. T}1ANK YOU TOTAL DUE $ o Form NNS -'wnTOTAL' appraisal software by a la mode, inc. -1-SOC-ALAMOOE Ulncrn[ Mlnnici P e #3 SUMMARY OF SALIENT FEATURES SUbjeL3 Address 125 Bosley Ave Legal0escdptbn NotAvailabie Gity Lemoyne County Gumberland Staff PA Lp Code 170431926 Census Trad 0106.00 Map Reference 25420 Sale Price S N!A Date of Sale N/A BorrowegOlied W itiam E. 8 Setiy J. Richardson Lentler Betty J. Ftidiardson Size (Square Feet) 1,284 Price per Square Foot S LocaBon Suburban/Avg. Age 79 Years Condition Below Average Total ROOnlS 5 BedrD0rR5 2 Baths t Appraiser Vncent tutinnid Dafe Of Appraised VaWe 02/25/2011 Fimdl Estimate Of Value S 65,000 Fonn SSO - °WinTOTAL" appraisal software by a la made, Inc. -1-800-ALAMOpE ~°" INVOICE -- ,~~~~ _ ~d~~ --~ ~:.>,o. PA,,,,z o,.E ~,~„ ~ - i „o~, ~.. ~a.,.on ~K ro~ F~ ~~, ~ ~~:ES ~ ~ ~ ~s~..a uwu. 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PNrgeo ud eHmNVn d rarlmi n nt d d59o.'nppana me irrepig core2da. ve caplmaepns. Mpdfic~ons, eodtloro d tldelbrti s the mtrneea M Ira em uY.r, emintion of ngN velce.. u umpEau and Nriprq ronoRloris are rot cermltkvl. Tne app e¢pyrq me srope d wok m melee any ae0lnnil ~eSPaFe d aruyels necneary pasea m tM dmgexlty d IAlc~apparisa apwnm~rt. NmmeaEOrs d aelepms m me amrluooro v< aao ~d arm~rtea owewx. aaamppel pprer~pcloas mat ap cot cdrsmm madrw avn~mre m mix aowapal dpdt. s~ as mos. apdrea or aw or coma akea m mE appmaEr: camdulrg eouapan or m¢mo¢rsnD ~n an app~asal uryaniiepon. are p¢rmpte0. SCOPE OF WOflK >ne eroce d wtlM1 fir mtr appNsL is aeEpwe M me mpmny ur essynmenl ana me m~porpN~rEVd~rtmeruz~ corMN~~ are u~iu9annlMlaropprro lelmcetny_Eeti Mtimd nterKt~valu[a sCapen[ of ro amn of m. ~ro~pr ana e.trnd sage er me vnp~ awd7. x . .t - (t wrlppn a comptra v as (J rtspad me nei9lmdnaoa. qJ~ aru'ped each pt ~ mpande col M1om A leas[ the 9~, (al re5 vcMy. one azNMe tleh imm rtlabp V aior prA:eE W l5) repot ¢ or per arvJyxis. opi ,one conciusm i enro agxaiul repoa. II/IFNUfO USE: rrR ,ndNee use d Ns e(yraeal report is for tM kMer teen 1n evauem me pmD[M thA a ete aulyeee d INS epdalvi Ma a aegeq< eparce tnnsaecm IMTEIDEU USED: The pdpaee uaxr of fid appmim repots de ieneer/cFem. DEflaeflONOf YRRNET VAl41E: ha moat pmade DJ['[ wnen IITp pace siuwo prn~ in a tom op ve open mane under 4 cdipM1'ero repumRa m e tw sWeR e'E drys are se d[enp prune n7. U!Dw~eapvaGry era afsumno mE Y~ is ~ tdc hsy lce re spniuLS. Irrplic n t aeflri9m n Ne cavummaidt ar a self: as of a speciXea axle an0 slip Bryn urn Mn rep : (t Mar aria selki are locally mamvee, (2) pem par WS an weY mmrrneo n wII aevnep, aM rata :Wq~w1W K w srre wn rn pe<ra~ cops', (31 a bm time is auawee br esppsue m me u~ map¢E (4) payment Is mane~ens d ctasnn u 5 pnde ~d arayernentr cwr~atapk meMa, l57 tre pa[e mpp6en6 de ndmal cpnse¢rzson mr me p^nIDM yycn:s oy spe[W a paeOre firanunp or sales ,nra:essmis` granka aY anyore aspoc'dttl wEn me sale "ae/+sarerm ee enrtgaraDlq m d e¢ue mr sFn caLN¢ hnarcmq d sales runceaans. N aaMsma eeNry tr U wEh wNDn a comely pda V1 Belle s as asdt of Inabon or law 'in qs an. rsaeay ~eonmale cote tre peuv pore ve« [pate ~< wey ail poke pmsaepda. spv:w orpdeame «mar~u~p ro MiveNeres can ce made m x compeaet Irropvl nvrt[omwnadts m nrdr•.my erns anpr[e py a upm party ~mm~npna~ an ma~sgrp vaaor'~mrorvee In trew~aerd,r mniamon any aolwpreDr stew nd m eapaaat o.. a oemen~; o me n,asan~ p. dp w aae~ zmounl cl vn sawmrea anwa ~prw~mpe me maraera ,paptim°m nrt~ arm~p o~ opro< oro ps<a on ma awP<n>-e wapm[m STATEYEM OF ASSUAPTIUNS ANU t14U WG CONDITIONS: lne apDrarae~s cartRiWam m ms report re slLl¢[l m me ttlbwrp apsumdida ed Nmrenq rnMllwns M aDprpeer will nd ce res9dcmle rot rrWmrs d a Ipgal tepee art artpct eeler me VnOeM odnq aplneee or m<lale exropt mr nbrmeport rya f ar she Oacame awem d Ju tt~ rtaeareh 'mvplea ia~perlvrrtrq m6- apprdxal Tne appeisar a~umes mY pre ptle 'a 9pua aM rtarraaw~ arm win ter er a y ppngi5 IM al¢. bl IS~apOroIDer i ~Paneee a platen in lds appadd repot b scow me apyroxinem a~menvpne or Ne M rw¢vents 6 sae. rcw o'l m avast Vie reaae hi visutla~:.q pc DrapeM ono urcermrwmg m aDOraders d^,mitnaa[on 3. ih dpprdar nu eaamrrea me a~ k rood maps mat ai D oY N[ ieea+d krrergercy Nlanagdnere Apency (KK doer em rd Pl mI s~ d s rode Inatlts l~ prase m o cox a x poem" d !mope ~pka >ae 4 Immo n paa.[`o Egamdq ms rapa[on. ~` awaa<. ,a. ur a aan roe. w gs .~ a rro aror.m ~r ,,,t D~wem a mmy d a inn c~ oe~p as nE f.ero a a~ pl r woo<M ~n a papa. „de spd:Rm i. ;~p<m<ds o u naxe mane d o ~ p, ~asdn¢rwisearepwree er uweB s. IM awae¢~ ~ rpew eppmlaal repot aro aaxw,e romimas a~ as ~P ms rapans_ upammaw~. ma rwaraa,c d n pe ,n eo<D sne arm m d,nnq tn~~®d' ~vosr+eav`~ xndrmi~p ve°aroaa~l: w;ess tpmew~di a n llas wu~awld re rE p e vpp<vaer lea ro ~ ~°ropmmy m d ~~ pnt~m~ t oen<w<eps v aa.erse m orc, d me ~ Dropwn aD[n m. od npl enma m. repvrs. note ~. ,a~n<~~, wa.,.x e,.m x„e~,.ro.. I E4aepns ono ~ ro quvamn ar waaa ~md~a. lea - sat woi rm p¢ reawesidp ro~ am s~,cn [opera mat m wpt or m one en 'pr ~ a Because be n~mN rye d enwmm mints r "~iasu rhi W adsca¢er wh?pr zuc~uMnoiseerep b~ envewmw'.d abXTemnt or me prperty,fre nrt o PI sa epn m ce ron6 6~ire a roe. la pod ~ art ur ner epprasL ~e n :ep va son con ana toot n N AIDS adu deNO~ re otraNe asumpolr' Pa! de carryNepenwepeirs, or aA~rdmot d the eupptt P'apdrylw p[ p[aonnd in~a ddp561vW~I mu it APFTiAI6ER'6 GFATIflCATgN: lrx: app¢ua eertleiaa anP aUlres llrm- K, a a msrimm. rkselopeo aIM reMeG tMS appMa in reprlanx wM rrn npWe pl woo rpy¢emen¢ ebk3 ii mia appauL kPOlt. z I w+«mm a cpmplo ylaw mapecPPn at tro mreml am eaen« area. m Ire wyan Dmpmy. I I m me nrome~ m +xvkt sDxnM klme. I aaeneD ane rePm+es >k plryNCal hnDenc~n ma~~ana imeu ~mmpn I rmilro. ~ . nr r~.c I -In elstr Pf tn< pnperr~. 3. I IrM~ rd MN appraisal In accprtlance wrM au kewrt~tmN d the Unhrarn Skiuarrb U Rafesti~ml Appaiaal .aye u mel mme mrec°aDkD°rema ~ wmr oreo°ewa°°raisal s.nnwa ewro a ma apmhal runwron anD that .ere ~r~ a<ydDxe my Dpmkn d Ina Irwea Ire m ma r®I pnpnY INI s me wgecl pr MN reDrm haa«n n, a.aea or m¢ °:ypaa;w ra~me~rrt. I rly,n~kr ar~ma¢i~cm ~ u~e~v~ one ~n~oere°aupmxcnn m nlua amVr'eae ru oa°~ael~,p m. y less Pmawix McMake r. mia nroPn i 5. e ~ ~ ~vailacpGa. layn~y~,~~rep«¢tl m any cunem apeement for sale fpl me sublecl pv¢rty, arty uttenry inr Dm Wry b d rrtrum m of m Prl« b ine efkcove mh rrt me aPP'ksal~ano me as sales of !ce subKCl rtE Ytare Imor m me eflcopve oal¢ rR be appwm, a ne wise m ~aktl in mis repot wsmea anaMtatl. ~ reppma] pis Me per yeas a me spmwrehle yea br a mn~mum W Ysa «ci m Iw wk or yk of tre c«nwra e, unless aanwee IMicake in me revert 7 I selatao am wetl c«nwred¢ saws mal are ura¢aulry, Dlra'sicallY. an0 Nctpwiy me rtmt simkr tp me wsecr ppmta. 8 I nave no[ uaetl coripaabe axles Oak were M rasun of cpnadnrq'a la~xr sale ram [w ¢uvaci ywelase pnx r.l:l~«rs%va nav peen war Dr mu ye bul¢ m uk lava. I nave reo«tea apawvramm k m¢ p«rgraae smea ma renan rn ~rerves reaaan m Tk nmerences xlwam a wpecc wwmb are nc cPmDaade sore.. 10. I venhstl, ll«n a 9uirhuskO saume, all infpnuti«i m tlpe report Tree was pwiMA q Iwn+es Mu rare a rnarcial inkrem n. me sae pr nancinU m Me wgect DrppeM- tt I nose erewlenge era ww mce i i appramiy pas type ur p-oputy n mrc marrn a ea as. cea. k. ~m. ;;k,n'ap~ar, pruK u~ `w~yenwa aoerys°lia~°aem~m~°~°r«ele~area m~wn'cn me or ~r"I°de Imery serv ass q ry kloca¢a 13. I oMmneo Iry inrprmeppn, ¢aomatas. an9 oplniure IvmNie3 by olrn paNea antl exyreeaeD in mu aWaW ieuprl ham relhNe sourrxs vul I beluse m m vie am wrrect. 14 I Nve Nym mro cenaiheetlon me ~aNS Tut Noe an impxl ar vaWe wM respxt ro He smject wgawrnpw. wejtte Ypme~ mia~°°I.aeelmaeDDn aw~aave°rl~rahc..s larrcn ~ews nd~irr:¢a m~rcmee reraa.s wcekrl e,m, a lot. I presaxe d nuarews wasbs. tmec wmtancez. arNase ermrmrtwmal coMnae~ ooseneo M ^9 Ina M¢pectan m ue wlmaP°f max I became awaa m e«Ira Ire esmrcn rnm ~tlln ce~u~megr rs app. w re aaea rne>r maxamoy m me suwu ~ ry~ma Pmc«n rwe. am m. aw m~ m v,a w.m~ m rn~rallre am krawen4Y wsMea aw sgnukam Irtarmahen from mb aPDrasal eoyrt ono. m Ina MSI m my MIMam9e. U ekoemm¢ as nllornu!an in M¢ ap«aiael Rmrt are true aiW coned 16. I Ndgeo m mis appeuR repM my oml uwal inbesetl. em pNesswn araysas, opnuns ein aaaiusula wra¢n are sutfiet mH tP Ins a%um{aims vN ~mnnp ivnAUau In me aWr'asal reµalal I I. I n no peunl « Pswlrm;hre Irtrresr in Vle prgeM mat is Tre s W lea m mis mpoM1 an0 I Noe no Dresera n pmapes4ae wrePrw amereat « hex wen realatPa m Tk PamdpaM1a In me manycmn. I h~a ism Pve e~Ter Parealy ar cortgkkN~my araNae anNOr odrirm~lot market value in mlt appraisal reppr m me Ixe. wbr MgFan. sae, aqe mariW Dr~eve~inownPm'IS°o~ p~Dwwn~i ma aPwm ;sh°9s ~<~r+n m ma~`p~ o o~ «~ x^r°ny v a~.v~ moielwka~ev lam rn me 18. ~ em Omynrnl anybr cpmpeNamn mr pPfPmerq mNra~reiwl «en~ I au~e or aahcipece apaaiseR was no[ y a~eemeM ar umm"kanNn0. career. a lee, my I re iepral (a Poem analyab slgpUNPU) peptlamreetl a9ecllk Wue, a pWemrmaea mmmmn value, a rallpe pr hi2eean ~n yhe, a value [NI fdvoe bls ceuac cr ~a~9e. ~ me~ao4~lan~m m ¢ axpmc m~e «ICapr,enm a a spe¢na s~mepa Pl ekem Ispcn a, aDpma ~ a rewpl ~a~ m ~sq`"n vm m%'~imlB4p~ a~ro¢ni°'¢wl ~ ~ :nhy`~nan,nwl ar,°~,owla~as~ meDermrerraryn°DOrx¢m m~~`~ap;,a~ re Pmcnahpn m ws epraw~ relnra I nave namm scan IPammarg ea e¢closee nrt wacmc laska Datwrrad in m.; appralsa rephr[ I prlRy m1 aw iMmdwl so rymetl ; qualfieu m wnpnl, me Gales. I nave rn! aumoveo awuw m nplre rqe b m Aem In INS appaisal re~e. rMefprt, arty mange mope m finis algrasel Is pwmdhen am IwIY use mi resp«¢pf oNekaolks¢Ie,T t~Aed Ptaaalmrep«aD°ri. ]¢a Iryyrt wno s tM IraiNwal. ogvtiisTan. or a9sla for Me PganValon cleat km. twr -mmuiw xpawl edam leas nave nc. I mt-M1UKU[ _s J tl. rise lamaicoae mar °Rnwe a malmum m'IS wga¢al repm m. ale porrowr, enwmr roewr. m. r~vm+> me ¢vrPwer' tlce marmlp¢e « file wtteyon an0 apeq rq~ ~s in¢oren 9w¢rnnlant spamyrw entyrpnses liner wcpraa~y nvM1 WrnoWaa: rkh cdlwtmn v rewMp P'oleaabnal aDpakL pgammprna. a GawrlrlleiA a9ermY. o alsharrerOllN of me llnbM SNks; ane arty eek, mk DbOttt m CalumDU, or wkr krns3ia'aaw wllw[ Nnnp to ' PGdn tlee appabera a supawfory appM&'a lit apolwpbl epiYBm Suen ConsCm mrrm m ebkireo h¢1ort flea aDOraoa ' Arofi maY x msclose0 a mWiUUktl m airy mw IrutY (imlmlrq, but nN IYNIetl m. Ire pups tkwpn aRVeMantt Pude pu. rows. watt, or d.Mr creole). !1 I am rem s ekclosuk Dr o~4raon aMU appaiul rreot Dy yw or be kratx'icneN Plry w smml m rsma ws am raUw6N a. fuRls, I am also aiOpva m Te prwisans N IM ~nbm SNneaNs a PrNessma Appreual mxha I NI ~t m b Rscksure a msVlcuvm ny me 93. ine mrmaver m lerpa al vn rerµsi «me mrlowa, m vul9a~e o aza~s mra9ay PlaerryreimrDlUape lilervss00t~anrsach-on Tel nswrarv~ arty m~ «Pmoe pf mue aped°~ trey very anNmla apP-a¢al rtporltaa Part ep Mal kpM wag Tanamitko as an 'dxaprec recare' rnrnelnlry my tlWmna skualue' as lMSe klma ale Miretl In aPDh:ad¢ lao¢N Ylp'« qGb lava (arclWby era. am ndao rave4ge) a kwimib Vmum¢ppn to m~ ~IDa+mlp epOkpeKr ~i ~aa w~ or r!«esenta0on a a"N slpnamre. me aPDwDd1 report srau ce as ertectlye, en a a~.a r appMtl repel was OUNZm wn¢idn9 mY agpT tram mffi sglywe. zs. amt ID¢nnprm o. new4all ml¢reD,e'aPOUpn(s7 =«mnea m m¢ wpaaa nla«t rwr lavu nPrtw ~~ann~ly arlaw Cme. Sec°eWn~°t0o1 cetem~p. Pk drNar slek iawse a irtgnsamRlY w PJII boar Ore phv¢Imx N line 1B. Uim¢e Slams SDFERV60RY ApPRA6ER'6 CERTIEIDAIIDN' Tra 6upenisay Apoaimr r.erDlks and aVmm hw apprasa usignmm[ Ivve rcatl me apywyl repay. Ntl agree calm tte appraise anayuswtlypa~ry~atenmienb, aaryic trams aM tM apDmuds ceOXlcahw. Z i auap 1N~rt~~sNAI~ mr vz wri¢rm'. d Ma alarm sal report iwlwnq, ou pa nmlms m, vn alyrniser's analysro'. upnvns. tkbnW@. a s, s Me appMti9 ttMighon. A M appauer Menerlae in mk anpn®I repel ¢ p~ r a suU~cPwenu rx an emonyea rA me epoernsory apaarter rrt me aplmiyl nrm7, h gpalrka m Pakrm me ~pamal, .a acaedaue w pmfprn Ims apprasa ane. tm ardicade arm raw {. THS ~oraW pin wsM tre Drvknn ~unrhllss m erWpsaaNl Appaisal Praaicc Isar rrerc m~gea im p«nup W meRp°apas Stinavbe Poore pl s ApPmual ammdapm ane Mm were pane. az n+ '¢ apprasa~. eport wax lyeDarep. ~rtt~mq appsual reWrl cam Dvwatte0 es an ~krwarwiw iawo' emNm¢y niy'e'edmn ; sq~reure,' az Irese kima ale appalea rmat <«lalNrer a pc w ra noreeenlmm m mf siuulure, me apP~aeal ~°aaoD ri snauaoe askenecove e~niomue~ia. a~w vale as x a weer ve¢~ a Mts amawl rcpwl were damrah cpreaNP9 rrrv an~pal nom wrath agrume APPRAISER etrwo 6WEFV60PV APP6AISEP (OeLV If RHalAneO) e` 5~9rkbre-.' _ __. mxn """"G. Sglamm __.__ Name pin~Name tMa S«n ammeSUo Comp3nY Na _...---.--- _-.-. ^mrpa aJOress Pa eo.een neormeu vA+Itt2 Teleµ _. ___ mwl ]ti _- _. EIrepM - ~c.. ~_ [anwny _ ___ _... ._- ___. _. _ _--__ ___- _ kpnene Number ____.. __ _ E Uak of SkruWeanE Rryaon `I_. Emcees Dmemroaa~l c"-___ Aeeusa _._. _.. _.__.. Uffi y1519Nmrc .___.. - -... _________.. - sme rzkxaa~reo sme cemnc~Yplx ~,-~_-__ ___ Prsmalxeny> --. - _ or skk tmenae r Prmerlmserea; - __spma~ smk v swM -___ _ _ ~mraobp Dacrrr cmecaFp~aE.~a~ae - - EmanpnDmaremmcanp,wa~w e _ wORE560f EnOPEN IV APPRAISED ~ s~eutc~PRaPe6rv ~ Oitl nre msyecl sukecl omwrrY Da inspeq aGeior W aunlM popmy horn meal nelseDA ~EOf sua~ecranaPr:Rrvs _~-- Av vaE 0°° Dam DI Iwwcmtl ] u9 Mececaem~ar am ekri«Na~l~n ompenv I ErvoEWOUEUr um nmsPe¢wc .... _ _._ ~~ -~_-._.. lµlmanY Rome eerta _ _.-_. gYAPARA6LF SALES __ Izs emwA...,e. r..maw. PA taw 6onoHnv^°a"-'E - -_ s _ [ Da ism lnaPale.~~a,~mrerr~arao9 ae: rmm ae¢ea t ~-Dai ewcaaoess ___ _- __ _ newe Gamlor«rnnr,amua.salaa lmr,l aura .__- Dme onrowcme ~:~ s ~, ~.. - - - ~- _ n ~, ~ _ ,>,zs--- '' APPIWSgL AND NEPDN7 IfN:NI1FCA71ON _- _- -- R - _J~me~Y an .ems. Jsncme~w i ~w~. wm sYmmwY ~- v.x .:u~m .o-Mi l~' j 6'~^RRY obi Mm stegR¢vNm 01 me 9c o.vM. .poll ~ en oRe~ smwanroe f I. ume sc aub, rn.a gwspum~e aei.u~ Compote stl 8tentlalh Nule 2-3 I w1N rm Y h ne a na ~wWe w nM[ xndMRYt reel lommesmw.~l~=mm.ce ~..ml x imp manic Ya lalnmw n av;aai - vs~suorrE~roru meonl>~m -Yrwm~eaem IamLVOm cvmmun nrtmvw ua mdm rYamY wvaoa a:cF amrme axnYY~~ a xcwnmt. rein nRm. ~ a ie o urt pul.mnnway In mm Rab. mY~m~eaol nes rwrn lti~:uesnenam•mn i mmewa, i,apm, ¢Hpnum~w,Y„Rm~ a~~mro+M ne mo arep eaa~w:.r.~ ~.,r mw wre~rc.R.,ls. C p m gtlprefnl setl Repert IIIenNlbat n Roh Lry URPM ren1eJ- reyltirmY msdovxt ellY alv Stlh lmrgy4G leYtilmmvr; _ _. 1. ~ARI~R. SYPERYIRRRI nYWNYER Imlr it ~e~u`ee)_ e~ 5's+YW. i - .ame tune --w~`+-__~___.-_ -_ __.-_.. YY 01~_ - __. ____.-_ Iw. ~vo. _. __ -_- _.. _. m II tta Sm G. milt H~oo~~~~ _._ Re^xnkem r. _._..-__._ _ _. a5miire~Y. _..-_ _-- wSVeLUme,r -..---...-_ n4• PA - _ _. -.-___... _ -._ E4. ~'e'IMSm C - _. YJ4~1~II _.. __. f+D. oe dtenrvmvtum 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 Betty Jane Richardson 2009-01209 Indude 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 M&T Personal Savings Account 374.37 2 Bed, dresser, hutch, table 2-chairs, set of shelves, small TV, 2 living room chairs, sofa (Most personal 400.00 items were discarded for they were very old and dry-rot/damaged. Clothes were donated. Mrs. Richardson was on disability most of her adult life and had very little income.) 3 ~ M&T Classic Checking Account TOTAL (Also enter on line 5, Recapitulation) i (If more space is needed, insert additional sheets of the same size) 1,675.12 2,449.49 Welcome to M&T Online Banking DECEMBER 29. 2009 Accounts Transfers Bill Pay ACCOUNT SUMMARY Welcome, LORIE ANN RICHARDSON • Your last login was December 28, 2009 at 6:26 a.m. • Contact Us HELP CUSTtlMIZE TMfS PAQE 7> De osit Accounts Account# Total Balance Available Balance P (last 4 digits) Checking, Savings, and CDs ;~~ Classic Checking 9822 $1 75. ~~ -~ $1,675.12 M&T Personal Savings 6286 # 1 $ 4. Total Deposits $2,049.49 $2,049.49 Related Links: Transfers & Loan Payments ~ Pay a Bill ~ Statements ~ Cleared Checks To add an account, please contact an M&T Online Customer Service Representative at 1-800-790-9130, (Mon.-Fri. Sam-9pm, Sat.-Sun. gam-5pm EST). Page 1 of 1 Sign Off Customer Service View your checks and statements online... View recent account statements View checks that have cleared your accou_n_t in the last 90 days View che_cks__or statements right from this .page Use M~.T Web gl~~ Pay, ,~ Q MST` Bank © 2009 Manufacturers and Traders Trust Company. Users of this web site agree to be bound by the provisions of the M&T Web Banking Terms and Conditions. View the Terms and..Conditions, Priv~cy_Policy or Security Informatpn. https://onlinebanking.mandtbank.com/summary/AccountSummary.aspx 12,29/2009 EV-1511 EX+ (12-99) SCI~IEpt~LE N COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES 8e INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Betty Jane Richardson 2009-01209 Debts of decedent must be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t ~ Funeral Expenses for Betty Jane Richardson -Auer Cremation Services of Pennsylvania, Inc. 1,713.46 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Lorie Richardson Social Security Number(s)fEIN Number of Personal Representative(s) Street Address 116 Hummel Avenue city Lemoyne state PA Z;p 17043 Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant SVeetAddress City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees ~. Additional Death Certificates Reserve -Accounting Fees for closing estate Appraisal for the Real Estate Property (Minnici Appraisal Services) Advertising the Estate: Cumberland Law Journal ~ The Sentinel 0.00 2,200.00 210.50 150.00 36.00 150.00 300.00 273.16 .TOTAL (Also enter on line 9, Recapitulation) I S 5,033.12 (If more space is needed, insert additional sheets of the same size) AUER GROUP Fax 7175d199id3 Mar 7 ~C" 0;?.OOpm P002/003 ~b~~~ I ION S~Rbfc~s~ A.UER CREMA'FIDN SERVICES ~F PENNS~,VANIA LNC. CSP - ~ • • o~~~~i15YLY~1~3*'~~~. 4]00 Jonestov~n load • Harrisburg, PA 1?103 • 1-800-720-5221 ~~ Fax 717-541-943 • Shawn E. Carpex, Su~ervisar Dec 7, 2009 Loris A. Richardson 11~ Hummell Avenue Lemoyne, PA 17043 Betty Jane Ri,chardsan - Deceased SPECIAL CHARGES X Direct Cremation Natioxiwide Guarantee Program Worldwide Travel Prated ~or~. Pragx'am TOTAL SPECIAL CHARGES PROFESSIONAL SERVICES x Services of Funeral Director & Staff Dressing/Cosmetizing Facilities & Staff for Memorial Service Staff & Equipment for Memorial Service Private ID Family Viewing Witnessin the Cremation Packaging~Forwardin of Cremated Remains Personal Delivery o~ Cremated Remains Scattering of Cremated Remains TOTAL PROFESSIONAL SERVICES ,AUTOMOTIVE EQUIPMENT X Removal Vehicle Lead Car/Clergy Car Family Car Service Vehicle TOTAL AUTOMOTIVE EQUIPMENT $1,495.00 Included 29122Q RDC $1,495.00 $0.00 Included $0.00 AUER GROUP Fax 7'i5[.19943 Nar i 2~i, G2:01pm P00?./002 MERCHANDISE Register Book Memorial Cards Thank You Cards Remembrance PaCka~e Altex'riative Container X Cardboard Container Urn Burial Vault Container veterans Flag Case Grave/Memorial Max'ker TOTAL MERCHANDISE $0.00 CASH ADVANCED ITEMS Grave Openin.~ Cemetery Equipment X Patriot News obituary $133.46 Newspaper Notice Newspaper' Notice Clergy Church/Sexton/Organist/Soloist Flowers X Crematory Charge Included X Cumberland counter coroner' appproval fee $25.00 X 6 Certified Copies of DeatI~. Certificate $36.00 X 4 add't death certificates $24.00 TOTAL CASH ADVANCED ITEMS $218.46 SUNIl~IARY QF CHARGES Special Charges $1,495.00 Professional Sex'vices $0.00 Automotive Equipment $0.00 Merchandise $0.00 Cash Advanced Items $218.46 SUB TOTAL $1,713.46 CREDITS 50.00 AMOUNT PREPAID Date $0.00 TOTAL $1,713.46 AMOUNT PAID Date Jul 9, 2010 -$1,713.46 BALANCE DUE $0,p0 THIS STATEMENT MAY NQT REFLECT ALL NEWSPAPER CHARGES RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 RICHARDSON BETTY J Estate File No.: 2009-01209 Paid By Remarks: LORIE RICHARDSON JN Fee/Tax Description PETITION LTRS TEST WILL SHORT CERTIFICATE JCS FEE AUTOMATION FEE Check# 3679 Total Received......... Receipt Date: 12/30/2009 Receipt Time: 15:17:58 Receipt No.: 1059480 Receipt Distribution ----- -------- -------- --- Payment Amount Payee Name 135.00 CUMBERLAND COUNTY GENERAL FUN 15.00 CUMBERLAND COUNTY GENERAL FUN 32.00 CUMBERLAND COUNTY GENERAL FUN 23.50 BUREAU OF RECEIPTS & CNTR M.D 5.00 CUMBERLAND COUNTY GENERAL FUN ---------------- $210.50 $210.50 Check Image Page 1 of 2 HOME ABOUT US CONTACT US NEWS & EVEN7 Account Summary Transfers eStatements Bill Payer Services Visa Loan Applications My Profile Messagt Check Image close Front of Check: LORIE A RICHAI2DSOlV eo-en+/r~~3 2 513 Pfi.7f7~695~0098 ' 11613UMM6L AVB ~ LEMOYIdB, PA i7643•1~f6 ~ p~~y ~ ~ ~- PAY TO /NC ~-~ I ! /~ r / C $~, OU E OitDFJt OP `, ~ x ' ~ 1ZfD - '~oi.i.nRS ej ~~"- ww s M>3MBBR51° ~~ ~~~~~ MEMO ... K.en ^ Y. L~ P~ ~A~~~ ..t. 23 138 2 Z4 ii: 218 i 145869' 25 13 , • .,.s.~,~ Back of Check: •' .• t r x .1 ~~ ~ _ °m~ ~ .. ~~ l• i •• ,'• • Q G,,C J 4~~ 0 i~i a_.. ,~ a@ ~ ~ ~: .. ~ ~ G - u ~ s m 73>G .~9 ~E=`' ~~a U 4~{ Z .' ~ , _ Yx la{ 1- t . N ~~` ~ ~. ~ ~ ~ 3 c 9 7 ~ '''e ~~ ai: y 13 S ii !: ~:'~ i ' j ~ ~ N ~ ~ u _ ~. ,k . ~ .. __.. _... Close Window Mips://m l online.members l st.org/OnlineBanking/AccountSummaryJCheckimage.px?accounted=S0011 &t... 3/11/2011 PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal. periodical published in the Borough of Catiisie in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, vlz: January 22, January 29, and February 5, 2010 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. r- y isa arie Coyne, Editor SWORN TO AND SUBSCRIBED before me this 5 day of February 2010 Notary Richardsoa, Betty Jane, decd. Late of Cumberland County. Executrix/Administratrix: Lorie A. Richardson, 116 Hummel Avenue, Lemoyne, PA 17043. Attorneys: Robert A. Quigley, Es- quire, Quigley Law Office, P.C., 1553 Bridge Street, New Cumber- land, PA 17070. t p~. .~,... ... . ,, CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Telephone - 717 249-3166 Fax - 717 249-2663 February 5, 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: Robert A. Quigley, Esquire Betty Jane Richardson Estate RE: All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. --------------------------------------------------------------------- --------------------------------------------------------------------- Advertisement publication dates: January 22, January 29, and February 5, 2010 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Tames Kleinklaus, Director of Sales and Marketing, of The Sentinel, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13,1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following day(s): Tanuary 14, 21, and 28, 2010 COPY OF NOTICE OF PUBLICATION N TI NOTICEIS MEREBiF G1VEN that Letters of Testamentary or of Administration in the Estate of BETTY JANE RICHARDSON, late of Cumberland County, PA (died 12/07/09) have been granted to the undersigned. All persons indebted to said Estate are requested to make immediate payment and those.having claims or demands to present same for settlement without delay. Executor: Lorie A. Richardson 116 Hummel Avenue Lemoyne, PA 17043 Attorney: Robert A. Quigley QUIGLEY LAW OFFICE, P.C. 1553 Bridge Street New Cumberland, PA 17070 Affiant further deposes that he/she is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of publication are true. ~~ `/ ~ `~~ Sworn to and subscribed before me this r~-e l> t LIL'.v' lj ' ~ i I ~ J ~~~~ Notary Public My commission expires: COMMONWt.ALTH OP_P.?NNSYLVAN_ IA JVOTARIAL SEAL TAMMY S. tiR;Ci;NER, ('v'otary Fubiic 1 Carlisle J3or;,., Cumberiarai County My Commission Expires May 13, 2rJ1C RETAIN THIS PORTION FOR YOUR RECORDS REMITTANCE ADDRESS BILL TO THE SENTINEL - LEGAL QUIGLEY LAW OFFICE P C P.O. BOX 130, CARLISLE, PA 17013 . . AD NUMBER CLASS SALESPERSON BILLING DATE LINES 379308 10 PUBLIC NOTICES wolfC 01/28/10 36 * 2 AD DESCRIPTION START DATE STOP DATE NOTICE NOTICE IS HEREBY GIVEN THAT 01/14/10 01/28/10 PUBLICATION INSERTIONS RATE NET AMOUNT GROSS AMOUNT 3 THE SENTINEL - LEGAL 3 LGL 191.16 TOTAL AD CHARGE 191.16 3 PROOF OF PUBLICATION OlPRF 7.00 DAYS PURL"ASE ORDER PAY THIS AMOUNT 198.16 EstB.Richardson 237.79* MESSAGE: Thank you for advertising with The Sentinel. Deadlines for in-column legal advertisements: Monday is Thursday at 5 p.m; Tuesday is Friday at 5 p.m.; Wednesday is Monday at 5 p.m; Thursday is Tuesday at 5 p.m; Friday is Wednesday at 5 p.m Saturday is Wednesday at 12 Noon; Sunday is Wednesday at 5 p.m. If you have any questions regarding your Legal bill please call Classified Manager at 717-240-7176 Fax your legals to 717-243-3754 attention Classified Manager You can also EMAIL your legal to Classified ads: classifiedc~cumberlink.com Please send a cover letter including your name and address as an attachment REV-1737-7 EX + (6-08) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN NONRESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, Use Schedule I, Part 2, ONLY for MORT6A6E LIABILITIES, & LIENS proportionate method of tax computation. ESTATE OF Betty J. Richardson FILE NUMBER 2009-01209 Part 1 must include mortgage liabilities, liens and taxes against the Pennsylvania realty that were due and owed as of the date of decedent's death. Complete Part 2 ONLY when the proportionate method of tax computation is elected. . , . ITEM NUMBER DESCRIPTION AMOUNT ~ Final Bills: 1 Redevelopment Authority of Cumberland County 15,548.50 2 Cumberland County -Recorder of Deeds (lien recording) 27.00 3 Real Estate Taxes 396.35 4 5 6 TOTAL ~~ 1 $ 15,971.8; ITEM NUMBER DESCRIPTION AMOUNT ~~ UGI Utilities 117.04 2. Comcast Cable -final bill 232.13 3. Verizon -final bill 112.21 4. PPL Electric -final bill 120.50 5. AARP Health Care Premium 13.50 6. 7. 8. TOTAL fAAf1W.i s $ 595.38 TOTAL (Also enter on Line 10, Recapitulation.) $ 16,567.23 (If more space is needed, use additional sheets of paper of the same size) ~~ <<~ ~~~ TERMINATION Made this ~-~ day of ~~~~~~ , 2010. Name of Grantor: Board of Commissioners of Cumberland County Name of Grantee: William E. Richardson and Betty J. Richardson Date of Loan Agreement: October 8, 1999 Original Debt $15,548.50 Loan Agreement recorded on December 30, 1999 NI~~X~~Np~AN in the Office of the Recorder of Deeds of CUMBERLAND COUNTY, PENNSYLVANIA, IN BOOK 620, PAGE 220, as amended by an Addendum to Deferred Loan Agreement recorded in BOOK 634, PAGE 908. Brief Description or Statement of Location of Premises: 125 Bosier Avenue Lemoyne, PA 17043 The undersigned hereby certifies that the debt secured by the above-mentioned grant has been fully paid or otherwise discharged and that upon the recording hereof, the Grant Agreement shalt be and is hereby fully and forever satisfied and discharged. The undersigned hereby authorizes and empowers the Recorder of said County to enter this termination and to cause said Grant Agreement to be satisfied of record. Witness the due execution hereof with the intent to be legally bound. COUNTY OF CUMBERLAND By REDEVELOPMENT AUTHORITY OF THE COUNTY OF CUMBERLAND, Agent for Boardnnof Commissioners f Cumberland County l' By ~ --- ' Christ pher Gulotta Executive Director COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss On this, the ~.~ day of ~~P2r- 20'10, before me, the undersigned offtcer, personalty appeared Christopher ulotta, who acknowledged himself to be the Executive Director of Redevelopment Authority of the County of Cumberland, Agent for Board of Commissioners of Cumberland County, and that he as such, being authorized to do so, executed the foregoing Instrument for the purpose therein contained by signing the name of the corporation by himself as Executive Director. IN WITNESS WHEREOF, 1 hereunto set my hand and notarial seal. otary Public CO\4~ION\'IEALTH Oi~ PEt~'NSYLVANIA NOTARIAL SEAL Karen F. Byers,lVotary Public Carlisle Borough, Cumberland County tvl~comntissiou expires i•9arch I8, 20 t 1^ i I I MEMBERS 1ST FEDERAL CREDIT UNION . P.O. BOX 40 . MECI~IANICSRURG, PENNSYLVANIA ]7055 No. 0000544442 Acct: XXXXXXX586 Teller: 0285 Date: 09/02/10Time: 6:30pm See receipt for reference Check Number: 00 0000544442 Purpose SHARE WITHDRAWAL Amount $27.00 Pay to RECORDER ON' DEEDS MEMBERS 15T FEDERAL CREDIT UNION • P.O. BOX 40 . ML'.CHANICSIIURG, PENNSYLVANIA 17055 No. 0000544441 Acct: XXXXXXX586 'T'eller: 0285 Date: 09/02/10Time: 6:30pm See receipt for reference Check Number: 00 0000544441 Purpose SHARE WITHDRAWAL Amount $15,548.50 Pay to REDEVELOPMENT AUTHORITY OF CUMBERLAND CO. St 5000 Louise Drive, P,O. Box 40 Mechanicsburg, PA 17055 MEMBERS ]" PQ,aULC116MILNUN CLOSED-END NOTE, D15C LOAN AN^ SFCLIRITY A I 90RtiOV4ER'S NAME ANDAODRE55 LORIE A RlCHARDSON 116 HUMMEL AVE vn,c ~Rr7~71f11n I MATURTY DATE ~ I x l Ftvcn rl vnoieci ~ r'-l '-' ANNUAL PERCENTAGE (=INANCE CHARGE' Amount Financed: The amount of Total of Payments: The amount RATE; The cost of your credit as a The dollar amount the credit will credit provided to you or on your you wilt have paid after you have yearly rata. ` cost you. behalf. made-all payments as sdteduled, 5.99 % e $ 8,883.37 ° $ 20,000.00 e $ 28 418 39 ° , . Vartable Rate: If your ban has a variable rate as ardit~ted above the Annual Percentage Rate may increase during the term of this transaction if the (Index) charges. The cxedtt union will add a margin of to the Index vahte. The rate will change nxxdhly an the flrat da of the rrwnth Th t rill b hi y . e ra e v never e gher than the rnaxkiwm rate allowed by law, and k will never ba leas than . Any Interest rate ncreases u~l reauk in more payments oithe same amount. For Example K your loan was for $5 000 at 16% far 48 , , months and the Annual Percentage Rate increased by 296 agar orre year, the term of your loan would increase by two months `preferred Rate: K checked, the following applies to your loan; - - - - x Automatic Payment plscounted Rate; Because you have agreed to make your required monthly payments through an automatit deduction from your Checking/Savings unt, your ANNUAL PERCI=NTAGE RATE ttas been discounted by 24% The ANNUAL PERCENTAGE RATE dF d d b . , S ose a ove in the ANNUAL PERCENTAGE RATE box is the Automatic Payment Dlacountad ire. Thy rate will Inerea~ by .20% K you cease the automatic paymarrl arrangement or fall to maintain sufficient Nnda h ywr account to cover the automafle paymerrts. In such a case, the offert of the increase will be to extend the term d your loan. For exempts, IFyour Automatic Payment Discounted Rate is 1096 on a 166,000.90 ban far 6D months and you cease the automatic paymerrt arrangement, your rate wYl increase to 10.20%, resuking in 1 additional payment . Variable Rafe Praterrad Loans. If your loan is a variable rate loan and you qualty for a preferred rate, your preferred discount is taken at the thrte you take out your loan. This nittal preferred ANNUAL PERCENTAGE BATE will then vary according tv changes in the Index (as disGosed ab ) F l ' ove . or examp e, K a variable rate loan s lnklal ANNUAL PERCENTAGE RATE Is 1296 et the t(me you take the loan yom InRlal preferred ANNUAL PERGENTAGE RATE ll) b N/A°~ , w e . Your inklal preferred ANNUAL PERCENTAGE RATE tNll then vary axording to the index, as disclosed in the "Variable Rate" provision above. Fixed Rate Prarerred Loans, N your loan is a fixed rate loan and you quality for a preferred rate, your ANNUAL PERCENTAGE RATE wiW be the preferred ANNUAL PERCENTAGE RATE disclosed above for as long as your preferred statue remains In effect. Number of Payments Amount of Payments Payment Frequency When Payments Are Due Property jnsurance: You may obtain property your Payment 259 $113.95 Bi-Weekly -Beginning 09124~01D insurance from an one you want that Is acceptable to ilia credit union. Ifyyou ge# the insurance from the scr~ b -e 1 $112.54 Final Due - On 08/28/2020 credit union you will pay $ N/A Security: Collateral securing other loans wktt the credit union the goods or property Other will also secure this loan. You are giving a aecuriry Interost In being pur~dtased ~ p ib . ( esQ e): your shares andlor depoek in the credR unbn, and: 1 x I --- I-J ~...~ ... _ _r .-- Late Charge: [f a payment Is late by 10 days or more you wHl de charged a late feo of 5% of our scheduled a m L Required Deposit Balance: Tha Annual Percentage Rate does Flling Fees: Non-Filing Insurence: y p y an not take info account your required deposk balance, I(any. $ NIA $ WA ~~ Pay eaty, You w11 rqt t~ve to paY a penaky. ee yar conlrect rya rme a out nonpaKnent, ,any requr ~epaymanl n Tull beto,g the sd•.Iadldad date and pre HCrefunds aW perret9ea. AMOUNT FINANCED $ _ 20,000.00 Amount Pald to others on your behalf (DescTtbe) $ To $ To _. AMOUNT GIVEN TO YOU DIRECTLY $ 20,000.OD 3 $ To To $ To -- $ To $ To $ TO $ To AMOUNT PAID ON YOUR ACCOUNT $ ~ o $ Ta $ To $ To $ 70 $ To ~ To PREPAID FINANCE CHARGE $ 0.00 $ To $ o.oo To l=ees _. y.._ $ TO Abed Sdulpna $ T Alhed Soluhons 0 - _ .._. __ .... ~ : v<:: ~~ MODEL YEAR LD.NUMBER TYPE ::: .: VALUE OTHER (DescNbe): 11s HUMMELAVE LEMOYNE PA 17043 You Pledge Shares AINOUNT ACCOUNT NUMBER AMDUNT ~ ACCOUNT NUMBER and/ar Deposits of s $ You agree that the terms and candkions in the dlactosure statement and gte loan and aearity agreements located on page 2 of this document shall apply to this loan. K there is more rte etved a eo~the logarn~and aecur~ tondb[Ona of tlta loan and security agreements governing mfs loan shoo apply to bath johrtly arM severally. You acknowledge that you have y agreements and disclosure statement. Co-signer. IF you are signing as co-signer, you acknowledge receipt of the nogca tv ce-atgner cordatrad on page 2. BORROWER'S SIGNATURE DATE Q CO-MAKER []'OTHER OWNER ~ "CO-S]GNER DATE X (SEAL) X (SEAL) ^ CO-MAKER ^ 'OTHER OWNER ^ "CO-SIGNER DATE CO-MAKER ~- ~~r ^ n `OTHER OWNER ^ °CO-SIGNER PATE ROBERT P. ZIEGLER RECORDER OF DEEDS CUMBERLAND COUNTY 1 COURTHOUSE SQUARE CARLISLE, PA 17013 717-2~0-6370 Instrument Nninber - 2010261.12 Recorded On 9/I7/2010 At 3:05;13 PM * Instrument 'Type -TERMINATION Invoice Number - 72934 User ID - KW * Grantor - RICHARDSON, WILLIAM E * Grantee - REDF,VCLOPMCNT AUTH OF CLIMB CO * Customer - RF,DF,VELOPMENT RUTH OF CLIMB CO * FEES STATE WRIT TAX $0.50 RECORDING FEES - $11.50 RECORDER OF DEEDS PARCEL CERTIFICATION $10.00 FEES COUNTY ARCHIVES FEE $2.00 ROD ARCHIVES FEE $3.00 TOTAL PAID $27.00 * Total Pages - 3 Certification Page DO NOT DETACH This page is now part of this Iegal document. I Certify this to be recorded in Cumberland County PA a ° RECORDER O Sao * - L-formatian denoted by an asterisk may change during Ure verification process anct may not be re#tected on this page. VIIVIVIIIIINIIVI~IM 1 ! ~ ~ + ~ ~ Payable To: FAITH A NICOLA, TAX COLLECTOR Office Hours: TOES 8 WED 9:OOAM - 11:OOAM Bill No: 1339 510 HERMAN AVENUE CLOSED ALL HOLIDAYS 8 MAY 25-26 Bill Date: 3/1/10 LEMOYNE, PA 17043 SEPT 21-22; DEC 20-JAN 4 Phone: (717) 761-7785 Control No: 12000320 MAP NO: 12-21-0265-191 PHONE (717) 761-7785 Desc: 125 BOSLER AVENUE Acres .090 Deed: 00231-00719 LAND Residential Building IuNI HIII IIIII IIIII III IIIII IIIII IIIII Iill IIII $1.00 FEE FOR ADDITIONAL RECEIPTS Tax Payer: RICHAROSON, WILLIAM E Assessed Value: Land: 18,600 Improvement: 61,030 Total: 79,630 COUNTY R/E 2.39900 Discount $187.21 Face $191.03 Penalty $210.13 COUNTY LIB .18000 $14.04 $14.33 $15.76 MUNIC. R/E 2.50000 $199 08 $21899 TAX AMOUNT DUE If Date Of Payment Is On 3/1/10 $396.35 w..4JS@11'b $gp4,4q 5/1/10 thru 6!30/10 $444 88 7/1/10 or Later & BETTY J RICHARDSON 125 BOSLER AVE LEMOYNE, PA 17043-1926 .~~~ ~~1~i~-. ©~~ ti TAXPAYER'S COPY -KEEP THIS PORTION FOR YOUR RECORDS FAITH A NICOLA, TAX COLLECTOR 510 HERMAN AVENUE LEMOYNE, PA 17043 RETURN SERVICE REQUESTED ADDRESS CHANGES CP,^d BE MADE ON 8.4CK OF BILL OFFICIAL COUNTY MUNICIPAL TAX BILL 87110 - 32002 RICHARDSON, WILLIAM E W 8 BETTY J RICHARDSON 8 125 BOSLER AVE LEMOYNE, PA 17D43-1926 m~'ame~~r~ .,..o.~ TAX INSTRUCTIONS -READ CAREFULLY 1. If serviced by a mortgage company, forward entire bill to company immediately. 2. If you require an official receipt; send your check, both copies and aself-addressed, stamped envelope. 3. If not paid by 12/3_ 1/2p1p this bill will be returned to Tax Claim Bureau for collection and filing of a lien against your pro ert . 4. Failure to receive a bill does not relieve you from liability for prompt payment. p y 5. No partial payments or postdated checks will be accepted and payment must be received or U.S. post marked by the due date /~ ~~ ~ Payable To: FAITH A NICOLA, TAX COL 510 HERMAN AVENUE LEMOYNE, PA 17043 Phone: (717) 761-7785 MAP NO: 12,21-0265-191 Desc: 125 BOSLER AVENUE Acres .090 Deed: 00231-00719 LAND ~~ 'ax Payer: tICHARDSON, WILLIAM E BETTY J RICHARDSON 25 BOSLER AVE EMOYNE, PA 17043-1926 Office Hours; TUES & WED 9:OOAM - 11:OOAM , CLOSED ALL HOLIDAYS 8 MAY 25-26 Bill No: 1339 SEPT 21-22; DEC 20-JAN 4 Bill Date: 3/1/10 PHONE {717) 761-7785 Control No : 12000320 Assessed Value: Land: 18,600 Improvement: 61,030 Total: 79,630 COUNTY R/E Discount 2.39900 $187 21 Face Penalty . COUNTY LIB .18000 $14 04 $191.03 $210.13 . MUNIC. R/E 2.50000 $195 10 $14.33 $15.76 . TAX AMOUNT DUE $199.08 $218.99 If Date Of Payment Is On ~~ 35 $404.44 $444.88 3/1/10 thru 4/30/10 5/1/10 thr u 6/30/10 7/1/ 10 or Later Welcome to M&T Online Nanking (DECEMBER 29, 2009 'J Accounts Transfers Bill Pay ACCOUNT SUMMARY > CHECKING DETAIL Classic Checking QMELP Related Links: Transfers & loan Payments ~ tl~comin~ Transactions. ($0,.00) View Statements ~ Sign u~ for M&T E-Statements Export Data ~ Order New Checks Account Classic Checking 9822 ? Total Balance $1,675.12 Avail~~ Balance $1,675.12 (View Calendar Vi w len ar Show Last 10 Transactions ! _ or _ view From I To ~ GQu Date Transacti~n_pe~~~ip~l9n CreditSLQebits Total Balance 12/21/2009 CHECK NUMBER 3678 Z $1,675.12 12/21/2009 UGI UTILITIES UTIL PMT 000000000003 11794 $1,709.09 12/17/2009 CHECK_NUMBER 3677 -$33.40 $1,826.13 12/08/2009 CHECK NUMBER 3671 1 2.07 ~ $1,859.53 12/07/2009 AARP HEALTH CARE PREMIUM . ~ 1~.~ $1,871.60 12/04/2009 CHECK NUMBER 3674 ~p L/ ~ ~Cih''t ~ ~ ~ `~ -$1~ $1,885.10 12/04/2009 ATM WDL 12/03 H -$300.00 $2,005.60 12/03/2009 US TREASURY 303 SOC SEC $1,038.00 $2,305.60 12/01/2009 MASS MUTUAL PENSION CK $3.17 $1,267.60 11/27/2009 VERIZON ARC CI-IECK PYMT 000000000003 _ !=$112.21 f ~-____ $1,235.43 Depending on when your statement generates, you may not see a full 90 days of history. If your statement has just been generated, you may get a message indicating that no transactions are available from 61 - 90 days. Page 1 of l Sign Off Customer Service Use M8.T Web Bill Pay, ' ©M&T Bulk © 2009 Manufacturers and Traders Trust Company. Users of this web site agree to be bound by the provisions of the M&T Web Banking Terms and Conditions. View the Terms and Conditions, Privac~Policy or Security Information. https://onlinebanking.mandtbank.com/history/HistoryChecking.aspx?Id=1 12/29/2009 ~Comcast. Contact us: www.comcast.com 717-540-8900 Account Number 09547 179149-01-3 Billing Date 12/07/09 Total Amount Due $232.13 ', Payment Due by 01/01/10 Page 1 of 3 W RICHARDSON For service at: 125 BOSLER AVE LEMOYNE PA 17043-1926 News from Comcast Thank you for your prompt payment. For your convenience, we now accept regular and automatic monthly credit card payments and direct debit. Late Fee Change Effective January 10, 2010, the Late Payment Administration charge will be increased from $6.95 to $7.95, excluding applicable taxes and fees. ~~ ~~. `~ ~~\ti~~~ ~, « r. ~~~ ,~ Previous Balance 59.18 Payment- 11!18/09-thank you -59.18 New Charges -see below 232.13 Total Amount Due X232.13 Payment Due by 01/01/10 ___ ,~t-; Comcast Bundled Services 99.99 Additional Cable Television Services 0.00 Aaamonai Hign-speed Internet Services U.Uu ~} Additional Comcast Digital Voice Services 13.66 ``" Partial Month Charges & Credits 32.69 Effective 1 f128109, you made changes to your account. See the following pages for mor®'details. Other Charges & Credits 79.90 Taxes, Surcharges ~ Fees 5.89 Total New Charges $232.13 r,~ , ~ ~~ ,,; i , ,: ., ; ~, s r eF~ r~~- N N O ~comcast. Service Details Account Number Billing Date Total Amount Due Payment Due by 09547 179149-01-3 12/07/09 $232.13 01/01/10 P 2 f3 age o Contacyyt~~l1us: C.~ www.comcast.com , .717-540-8900 ~ 1 l I ~. i, u.~r~? r ~ } ly,..i s , .~ ~rj~~~ti4 ,i., y. ,C ~ ., f j~-"• ~ }u i _ ~ F ~ Value Plus Bundle 12!18 - 01/17 9g.gg Value Plus Triple Play Includes: Digital Starter w/ON DEMAND Performance Intemet Digital Voice Local With More Your promotion ends on 12/17/10 Total Comcast Bundled Services $99.99 ~~ ~, ~ a Add'I Outlet 12/18 - 01/17 0.00 2 @$0.00 each SD Set Top Box ........................ 12/18 - 01/17 ................. 0.00 First SD Set Top box Included .......................................................... ................. 'DIGITAL FREE DEM ..... . ........................... 11/27 05:03 P ................. 0.00 i otal Additional Cable Television Services $0.00 i, ~ ~ ~~ ~ r. :,,. Y' t ., ~ " 3 ~ z ~ r ~;< riro _ ~ . ,: ,_.~ Performance 12118 - 01/17 0.00 Included with Package 6mbps+Powerboost Speeds up to 12mbps Total Additional High-Speed Internet Services $0.00 For Telephone(s): {717)695-0329 Modem Lease Fee 12/18 - 01/17 .............................................. 5.00 ......... ............ .................................... Domestic Toll ....4.95 Regulatory Recovery Fee 11127 ..................................................... 1.50 .......................................... . Regulatory Recovery Fee 12/18 - 01/17 ................................................. 1.24 .............................................. . ............... Regulatory Recovery Fee 11/28 - 12/17 ............... .............. 0.72 ................................................... ..... Regulatory Recovery Fee .............. 0.25 The Regulatory Recovery Fee is not a tax or government-mandated charge. It defrays regulatory costs such as state universal services, relay services, and certain state/local utility fees. View Voice Detail at www.comcast.com/viewbill r otal Additional Comcast Digital Voice Services $13.66 ~ i~ ~_ Y rry q~~ }failx;'- - ~ r~:~ L _ x ~'' Because we had already billed you when you made the latest change(s) to your account, we have adjusted this bill. Listed in this section are credits and/or charges for the change(s) you requested. Effective 11/28/09, you removed Limited Basic at $8.70 per month and Expanded Basic at $47.25 per month. You added Value Plus Bundle at $99.99 per month and Modem Lease Fee at $5.00 per month. ~Comcast. Service Details, cont. Contact us: n www.comcast.com 717-540-8900 Account Number ~' Billing Date Total Amount Due Payment Due by 09547 179149-01-3 12/07/09 $232.13 01 !01 /10 Page3of3 L~ ~.~~ °~~ r ~~w~~~,~~ ~~; r ; T~, _, ensure proper credit to your account, please check the ~ ~ ~_~ ~ r ~~~ ~ ~~ ,~ ~~~~~ ,~"i" due date on your bill and allow 5-7 days for your payment to reach us by mail. If a payment does not appear on Adjustments for previously billed services removed your statement, it may not have been received by the 11/28/09 date your bill was printed. Limited Basic 11/28 - 12!17 -5.80 20 days @ $0.2900/day based on a monthly rate of $8.70 Expanded Basic 11/28 - 12117 -31.50 Hearing/Speech Impaired Call 711 20 days @ $1.5750/day based on a monthly rate of $47.25 Adjustments for services added 11128/09 Value Plus Bundle 11/28 - 12/17 66.66 20 days @ $3.3330/day based on a monthly rate of $99.99 Modem Lease Fee 11/28 - 12/17 3.33 20 days @ $0.1665/day based on a monthly rate of $5.00 Total Partial Month Charges ~ Credits $32.69 ~ ! 5 ', S t~ ` ~ 1 a t1'~i ilk.. F 3 ~9_ ~. Install Charge 11/27 49.95 ..................................................................... Activation Charge ..................................................................... ....................... 11/27 ....................... ................................. 29.95 ................................. Install Charge ..................................................................... 11127 ....................... 0.00 ................................. Installation 11127 0.00 2 @ $0.00 each ..................................................................... ....................... ................................. Installation 11127 0.00 Total Other Charges 8 Credits $79.90 d ~~ "~ iµp. ~ 4 4 ~a v +~ ~ ~t . . , ~ yip ¢ S; Cable Television Franchise Fee 11/28 - 12/17 -0.34 ....................................................................... Franchise Fee .................................... 12/18 - 01/17 .................. 2.66 FCC Regulatory Fee ....................................................................... 12/18 - 01/17 .................................... 0.07 .................. Digital Voice Fed Excise Tax ............................................................ . .. 11/28 - 12/17 . . . 0.45 .... .. .. 911 Fees ... .... ......................... . 12/18 - 01/17 .................. 2.00 Fed Excise Tax . 12/18 - 01/17 0.74 ...................................................................... Sates Tax .................................... .................. 0.31 Total Taxes, Surcharges 8 Fees $5.89 I~B N N m N 0 Late Fees: Accounts that are more than 45 days delinquent will be assessed a late payment fee. To Pennsylvania SCHEDULE ~ DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Thelma Nelson 2208-1152 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Lorie Richardson Daughter 100% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET; A S APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. Clothes, books, couch, chair, loveseat, 2 End tables, coffee table, living room table, pots and pans, 300.00 3 lamps and old albums. The items donated were very old and dated TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~ If more space is needed, insert additional sheets of the same size. DONATION RECEIPT Your onation is important. The money earned from your donation will fund pro ams that promote employment and self-sufficiency for individuals with dis bilities ando/t~her barriers to independence. DATE ~ ~ ~~~`"-' LOCATION ~ ~ ~ REP NAME OF DONOR ADDRESS BAGS PCS. CTNS. DESCRIPTION _ GL~~THING FURf~ITURE H( ~l~)SEHOLU ivUSCE~ tANEOUS The donor is responsible for assigning value to donations. ESTIMATED VALUE OF DONATIONS $ COMMENT CARD Tell us about your experience. At Goodwill eystonE Area, we value and welcome your opinions nd comments. DATE__ LOCATION NAME ADDRESS EMAI Please rate today's donation experience: (1 being poor and 5 being great) 1 2 3 4 5 COMMENTS: Please detach and return by mail. • 11 Lf c~"~j ~' 1 1 ~ l~..J V ~~ Goodwill has not furnished goods or services to the donor in exchange for this contribution.