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Home My WebLink About09-16-111505610143 REV-1500 ex(o,_,D, PA Department of Revenue pennsylvania Bureau of Individual Taxes DEVARTGENTOFREVENUE OFFICIAL USE ONLY PO 60X.280601 Counfy Code Year Harrisburg, PA 17128-0601 INHERITANCE TAX RETURN File Number ENTER DECEDENT INFORMATION BELOW RESIDENT DECEDENT 21 ~- ~- 0 0182 Social Security Number 213 24 0845 Date of Death 12 05 201C Decedent's Last Name PARSONS (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name PARSONS Spouse's Social Security Number Date of Birth 07 25 1929 Suffix Decedent's First Name ELAINE Suffix Spouse's First Name H. THIS RETURN MUST BE FILED IN DUPLICATE WITH THE FILL INAPPROPRIATE OVALS BELOW REGISTER OF WILLS XC~ 1. Ortgtnal Return ^ 2 S . upplemental Return 4. Limited Estate ^ Future Int 4a . erest Compromise (date of death after 12-12-82 6. Decedent Died Testate ) (Attach Copy of will) ~ 7, Decedent Maintained a Living Trust ((Attach Copy of Trust) 9. Litigation Proceeds Received 1 p. Spousal Povert redit d t REGISTEIX~F WILLS USE ONLY ::~ ~., -=' C. _ ~ ~ ~ °~.~ _^ . , State ZIP Code ~TEi FILED :: .~ -i PA 170191268 ~ - MI C MI F between 12-31 ~1 and T-~ gs~tdeath ^ 11. Election to tax under Sec. 9113(A) Name CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX( NFORMAT O)N SHOU WM D SCHRACK III ESQ Daytime Telephone Numbe BE DIRECTED TO: 717 432 9733 First line of address 124 W HARRISBURG STREET Second line of address City or Post Office DILLSBURG Correspondent's a-mail address: SChracklaW @comcast.net d sdtru@ecorrteet andeeo pleteeCDeeleration of preparer othter than thetpersonal represent SIGNA E OF PERSON R numo~ ~,... ~..._. _ ADDRESS 'V~~` 226 Unlon Ch rch Roi SIGNATURE OF P AR O ADDRESS 124 W. Harrisburg Stre REPRESENTATIVE Dills L 1505610143 James A. schedules and statements, and to the best of my knowledge and belief, is based on all information of which preparer has any knowledge. Wm. D. Schrack Esq. PA 17019-1268 Side 1 3. Remainder Return (date of death prior to 12-13-62) 5. Federal Estate Tax Return Required ~ 8, Total Number of Safe Deposit Boxes DATE 1505610143 W~'~--. J REV-1500 EX Decsdent'sName'. ParSOnS, Elaine C• RECAPITUI-ATION 1. Real Estate (Schedule A) ..................................................... .. 2. .......................................... . 2. Stocks and Bonds (Schedule B)••••~••••~ 3 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 4. . ............................... .... 4 Mortgages & Notes Receivable (Schedule D)~•••••••••~•••" ~' S ert Schedule E) ............... 5. Cash, Bank Deposits & Miscellaneous Personal Prof Y ( 6. ert Schedule F) ^ Separate Billing Requested............ g. Jointly Owned Prop Y ( _probate Property Separate Billing Requested.... ~••~~•• ~~ ~ (Schedlu~e G)ansfers & Miscellaneous tom, U s. g. Total Gross Assets (total Lines 1-7).....••••~••••~•••~~ 9 d inistrative Costs (Schedule H) ....................................... Decedent's Social Security Number 213 2 4 0 8 4__ 5 ____ g. Funeral Expenses & A m 10. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 11. .............. ....... 11. Total Deductions (total Lines 9 & 10) ................................. .•• ••..•.•'...••..•. 12. ... .. .. . 12. Net Value of Estate (Line 8 minus Line 11)...•~~••••••• • •~ " ~ • ~~•~~• ............................... 13. 13. Charitable and G hasnnot bee Bmade (Schedule J~ rusts for whit an election to to 14, ............. ..-_ 14. Net Value Subject to Tax (Line 12 ONS FOR APPLICABLE RATES TAX COMPUTATION -SEE INSTRUCT 15. Amount of Line 14 taxable 0 . 0 0 15. at the spousal tax rate, or transfers under Sec. 9116 16. (a)(1.2) x .o0 97 , 7 62 .71 16. Amount of Line 14 taxable at lineal rate X .045 0 . 0 0 17. 17• Amount of Line 14 taxable 18 at sibling rate X •12 0 , Q 0 18• Amount of Line 14 taxable 1~ at collateral rate X .15 19. Tax Due ................................................ N THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 20. FILL I Side 2 y5p5610243 115,000.00 6991.55 121,991.55 19,764.67 4,464.17 24,228.84 97,762.71 97,762.71 0.00 4,399.32 0.00 0.00 4,399.32 1505610243 1505610243 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-11-00182 DECEDENT'S NAME Parsons, Elaine C. - STREETADDRESS _ 815 N. Walnut Street ----- CITY Mechanicsburg STATE ZIP PA 17055 Tax Payments and Credits: 1 ~ Tax Due (Page 2, Line 19) 2. Credits/Payments (1) A. Prior Payments 4,399.32 B. Discount 0.00 Total Credits (A + g) (2) 3. Interest 0.00 4. If Line 2 is greater than Line 1 + (3) Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (4) (5) _ 4,399.32 Make Check Payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A N "X" IN THE AppROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred :............. b. retain the right to designate who shall use the property transferred or its income;...........••• Yes No c. retain a reversionary interest; or.... d. receive the promise for life of either payments, benefits or care?........ ~~~~~~•~•~•~•••~"~'~"'~""~'~'~••••• a 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without D a receiving adequate consideration ............... •~•~~•~~~~~•~~ ~ ^ • ... x 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 ro ^ ^ contains a beneficiary designation?......,..,., IF THE ANSWER TO ANY OF THE ABOVE p party which ................................................................................................... -~.-______._ _____~~_____ _ QUESTIONSIS YES~YOU MUST COMPLETE SCHEDULE G AND FILE IT AS P~ OF~E RETURN. For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the nT^ spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. et value of transfers to or for the use of the surviving' For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the us [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statuto re ui assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. a of the surviving spouse is 0 percent For dates of death on or after July 1, 2000: rY q rements for disclosure of • 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 th 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 ee use of a natural parent, an 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. 911 xcept as noted in sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether b y blood or adoption. SCHEDULE A REAL ESTATE Rev-1502 EXF (11-08) COMMONWEALTH OFPENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Parsons, Elaine C. FILE NUMBER All real property owned solely or as a tenant in common must be reported at fa(r market value. Fair market value is defined as the pri~ at 11 0082 oul 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 which is jointly-owned with right of survivorship must be disclosed on schedule F. Y d be Attach a copy of the settlement sheet if the grope Include a copy of the deed showing decedent's interest if owned as to ant in common. ITEM NUMBER DESCRIPTION VALUE AT DATE Single-family home located at 815 N. Walnut Street, Mechanicsburg (Borough), Cumberland OF DEATH County, Pennsylvania (Tax Parcel 18-22.0519-341) (Premises has been "on the market" since January 2011; it, and three other homes of similar value remain "on the market" ___ all 115,000.00 unsold.) TOTAL (Also enter on Line 1, Recapitulation) (If more space is needed, additional pages of the same size) 115,000.00 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08) Rev-isos EX+ (6-98) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INNERI7gNCE TA;{ RETURN RESIDENT DECEDENT ESTATE OF 21-11-00182 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G Y16GK SURVIVING JOINT TENANT(S) NAME A. Susan P. Walbert B C. ADDRESS RELATIONSHIP TO DECEDENT 20 Monarch Lane Mechanicsburg, Pq 17055 Daughter JOINTLY OWNED PROPERTY: LETTER INCLUDE NAME OFDENANRAPTNON OFONRODPBERKA000UNT NUM ER FOR JOINT MADE ~- TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE, DATE OF DEATH 1 VALUE OFASSEI A 01/25/2008 #514 048498 A -checking account 7,676.57 2 1 A 108/01/19691 PNC Bank N.A. _ savings account #5005190109 TOTAL (Also enter on Line 6, Recapitulation) copyright (c) 2002 form software only The ILackne rGroupn Inced, additional pages of the same size) OF DATE OF DEATH DECD'S INTEREST DECEDENT'S INTEREST 50.000% 3,838.29 6,306.51 I 50.000%I 3,153.26 6,991.55 Form PA-1500 Schedule F (Rev. 6-98) REV-1151 EX+(10-06) COMMONWEAENH p DED~N~R~VANIA IN ER TAN TgCj~ ESTATE OF EESS Parcn..~ r~_°- SCFIED ULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Debts of decedent must be reported on Schedule I. ITEM N M DESCRIPTION A• FUNERAL EXPENSES: See continuation schedule(s) attached FILE NUMBER 21-11-00182 AMOUNT 7,405.00 B• ADMINISTRATIVE COSTS: 1 • Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Yearls) Commission oaid 2. Attorney's Fees Wrn, p, Schrack III Esq. 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationshio of Claimant to Decedent State Zio 3, 750.00 4. Probate Fees 307.50 5• Accountant's Fees 6. Tax Return Preparer's Fees ~• Other Administrative Costs See continuation schedule(s) attached 8,302.17 TOTAL (Also enter on line 9, Recapitulation) Copyright (c) 2009 form software only The Lackner Group, Inc. 19,764.67 Form PA-1500 Schedule H (Rev. 10-06) FUNERAL EXPENS SFgNDULE H ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER .,. . Elai-~_ ITEM NUMBER DESCRIPTION Fslnera_ 14gn ~ AMOUNT 1 Myers-Harper Funeral Home 7,405.00 H-A Qther Adminictrativ ~~~+~ 7,405.00 2 Barry L. Heckard, Tax Collector -Mechanicsburg Area Sch l oo District r eal estate taxes 3 Barry L. Heckard, Tax Collector -Mecha i 1'440.92 n csburg/Cumberland County real estate taxes 4 Borough of Mechanicsbur g (sewer and trash 503.84 administration) service to property during period of 354.96 5 Clerk of Orphans' Court -Fiduciary Release filing fee fi Cumberland Law Journal -estate advertisement 20.00 7 Dillsburg Glass -replace patio door at prope rty prior to sale 75.00 8 Home Depot -purchase of items to make miscellaneous sale 387.00 small repairs at roe p p rty prior to 37.28 9 J L Shull -installation of new flooring at pro rt pe y in preparation for sale 10 Miscellaneous expense Burin g period of administration 2.905.00 11 Nick Perkins -removal of fence at property 30.00 12 PP&L -electric service to roe P p rty during period of administration 50.00 13 Register of Wills -Inheritance Tax Return filing fee 792 27 15.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA_1500 Schedule H (Rev. 6-98) FUNERAL EXPENS SFgND VLE H ADMINISTRATIVE COSTS continued ESTATE OF Parsons, Elaine C. FILE NUMBER 21-11-00182 ITEM NUMBER DESCRIPTION 14 Smith 8~ Co. -Repair garage door at prope AMOUNT rtY prior to sale 15 The Patriot News -estate advertisement 100.00 16 Tim Harle -painting at prope 141.24 rty in preparation for sale 17 United Water Com an 1,000.00 p y -service to property during period of administration 18 Wynnewood Homeowners Association -homeowner maintenance fees due durin 89.66 administration g period of 360.00 H-B7 8,302.17 Copyright (c) 2002 form software only The Lackner Group, Inc. Form pA-1500 Schedule H (Rev. 6-98) Rev-1512 FJ(+ (12-08) ESTATE OF COMMONWEALTH OFPENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE ~ DEBTS OF DECEDENT, MORTGAGE LIABILITIES, ~ LIENS Elaine C. FILE NUMBER 21-11-00182 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, Including unreimbursedmedical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE 1 Dan Rogers -reimbursement for pay off on credit card debt OF DEATH 4,464.17 TOTAL (Also enter on Line 10, Recapitulation) (If more space is needed, additional pages of the same size) 4,464.17 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) REV-1513 EX+ (11-08) COM INO ER~ANCCEOF,qq~~PEERRNNSUYLVANIA RER IDENT DECEDENTRN SCHEDULE J BENEFICIARIES esTATE OF Parsons, Elaine C. NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I~ TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 a 1.2 Daniel B. Rogers P. O. Box 494 Mount Joy, PA 17552 James A. Rogers 228 Union Church Road Dillsburg, Pq 17019 Susan P. Walbert 20 Monarch Lane Mechanicsburg, Pq 17055 FILE NUMBER RELATIONSHIP TO 21-11-00182 DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE M/ords) ($$$) Son Son Daughter ~~~«~ collar amounts for distributions shown above on lines 15 throw h 18 on Rev 1500 ov~easheet, as a I II• NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 32,587.57 32,587.57 32,587.57 97,762.71 ~.+~ yr rqK I II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) -LAST WILL AND TESTAMENT OF ELAINE C. PARSONS I, ELAINE C. PARSONS, of Camp Hill Borough, Cumberland County, Pennsylvania, bein of sound mind memor and understandin g y g, do hereby make, publish and declare this as and for my Last Will and Testament, hereb rev and making void any and all other Wills by me at any time heretofore m oking ade. I. I direct that my Executor, hereinafter named, shall pay all my just debts and funeral expenses as soon as conveniently may be done after m y decease. All the rest, residue and remainder of my estate, whether real, persona or mixed and wheresoever situate I 1 hereby give, devise anal bequeath unto my husband, H. FRANCIS PARSONS, if he survives me b y thirty (30) days. If he does not survive me by thin y (30) days, then this gift to him ;shall be divested and I then give, devise and be ueath m entire estate whether real q y ' ~ personal or mixed and wheresoever situate as follows: A• I give and bequeath unto my son, DANIEL B. ROGERS, of Mifflintown Pennsylvania m ' y living room TV stand, two hunting rifles, the library table in my right back bedroom, one 10-drawer chest, the desk in 'the left back the front bedroom chair bedroom, one of my two pocket watches, the motor boat, motors and trailer, all of the fishing gear, and the black tool box in the basement. B• I give and bequeath unto my son, JAMES A. ROGERS, of Dillsburg, Pennsylvania, his choice of my vehicles, two hunting rifles, two kerosene one pocket watch, the lamps, picture of grandmother and grandfather Culver, the five piece blue pitcher set, r_he siV piece mirror brush set, two four jackets and the picture in the dining room of a child and dog. C• I give and bequeath unto my daughter, SUSAN P. WALBERT, of Mechanics- burg, Pennsylvania, the dining room set, the clock on the living room mantle mY jewelry, the wash stand in the front bedroom, the cane bottom chair in the back bedroom, the cedar chest in the attic, pistol, my quilt and my white d comforter, the sewing machine in the back bedroom and they desk in the dinino~ room. g D• If my children, above named, are all in agreement, I give and bequeath to them, and to my grandchildren, their individual selections of i of personalt terns y, household goods and furnishings, excluding my investments and savings. E• I direct that my Executor, hereinafter named, shall redeem my investments, cash in my savings and checking accounts and sell all the rest residue and remainder of my estate, whether real ' personal or mixed, and wheresoever situate, at public or private sale and I give and bequeath the n proceeds derived therefrom, and from my investments saving et accounts, to my children, DANIEL B. ~ ~~s and checking ROGERS, JAMES A. ROGERS and SUSAN P. WALBERT, in equal shares, per stirpes. III. I hereby appoint m husband H. F y ~ RANCIS PARSONS, as Executor of this my Last Will and Testament. If my said husband should predE~cease me, not qualify, or not accept the position of Executor, then I hereby nominate, constitute and appoint my son, JAMES A. ROGERS, as Executor. IV. I direct that my fiduciaries, herein named, shall not have to post bond Page Two of Four Pages for the faithful performance of their duties. IN WITNESS WHEREOF, I, ELAINE C. PARSONS, the Testatrix, have unto this my Last Will and Testament, set my hand and seal this G.-'~ day of,~~,l, t 1997. ~~~ ~ ~ =-+ ~' -~~ ( SEAL ) SIGNED, SEALED, PUBLISHED and DECLARED by ELAINE C. PARSONS, the above named Testatrix, as and for her Last Will and Testament in the presence of us, who have hereunto subscribed our names as witnesses at her request, in the presence of the said Testatrix and of each other. ~ J , /,~ ~ .,~1 r,' ? ~ ~ +~.~' i' v' ACKNOWLEDGMENT AND AFFIDAVIT ~ We, ELAINE C. PARSONS,/y/~~/~J~z, ~>. /~~,c-,~E~ ~~, 5 ~ anti ,~,~,~~.~ !~ f'l ~r,s ~~~. the Testatrix and the witnesses, respectivel ' y, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the under- signed authority that the Testatrix signed and executed it as her free and voluntary act for the purposes 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 or older, of sound mind and under no constraint or undue influence. ~ ~~ i Testatrix (SEAL) ~ ~ i ~~~ ~ (SEAL) Witness - '~` ~~ ' , . <-~ Witness "'; (SEAL) ~J `% Page Three of Four Pages Subscribed, sworn to and acknowledged before me by ELAINE C. PARSONS, the Testatrix, and subscribed and sworn to before me by ,~v''~~1i ~t~ L /~,~ yC ,y / P'~ and ~--~/ph ~~J'c=t' ~h S ;;,e~'~- ,-/ ,e ,5 % witnesses, this ~ day of ~~,,. ~~,~. 1997. j ~ i;' ',' Notary Public ~---~- NOTARIAL SEAL WILLIAM A. YOCUM, Notary Public Camp Hill Boro, Cumberland County v Commission Expires June 2.7, 2070 Page Four of Four Pages ~' J ~ (D `f ,h,~ . !~ t.-~-cl~,~-z- J!!~a weed TAX PARCEL NO. 18-22-0519-341 MADE THE - ,, L~ day of ( ~;C~~~~ ~=' ci in the year two thousand seven (2007) BETWEEN NICHOLAS S. WAy and KELLEY A. WAY, husband and wife Mechanicsburg, Pennsylvania, Grantors, , of AND ELAINE C. PARSONS, single woman, of Camp Hill, Pennsylvania, Grantee WIT'NESSETH, that in consideration of ONE HUNDRED THIRTY-}~ OUR THOUS HUNDRED FIFTY-FIVE____________________ AND THREE ($134,355.00)-----_______ ----------------------- in hand paid, the receipt whereof is hereby acknowledged, the said ranto -Dollars, and convey to the said grantee, her heirs and assigns, g rs do hereb y grant ALL THAT CERTAIN tract or parcel of land situate in the Borough of Mech land County, Pennsylvania, bounded and described as follows, to ~vit: anicsburg, Cumber- BEGINNING at the point of intersection of the eastern line of Walnut Street adjoiner between Lots Nos. 33 and 34, on the hereinafter mentioned Plan of Lo • South 77 degrees 08 minutes 35 seconds West by said line of ad'oiner and the line of feet to a point; thence North 10 degrees 12 minutes West, a distance of 3 ts, thence thence North 77 degrees 08 minutes 35 seconds East alon the J ~ a distance of 142.28 Nos. 32 and 33 on said Plan, a distance of 140.22 feet to a oint• 2.56 feet to a point; line of Walnut Street measured in a northerly directio g line of adjoiner between Lots P ,thence along said eastern of 2,904.93 feet, an arc distance of 32.55 feet to a n on a curve i.o the left, having a radius point, the place of BEGINNING. BEING Lot No. 33, Block "E", on the Final Subdivision Plan of Wynnewood P E , as recorded in the Cumberland County Recorder of Deeds Office in Plan Bk, part of Block 106. ook 45, Page UNDER AND SUBJECT to setback lines, easements and conditions .as set forth said Plan and of prior record. on the afore- HAVING THEREON ERECTED a dwelling known and numbered as 815 N. Walnut Mechanicsburg, Pennsylvania. Street, BEING THE SAME PREMISES which Jonathan M. Buser and Lori A. Buser, husban wife, by Deed dated February 23, 2006, and recorded March 2, 2006, in. the Office of and Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book 273 the 1916, granted and conveyed unto Nicholas S. Way and Kelley A. Way, husband and Pane Grantors herein. wife, AND the said grantors do hereby Warrant Specially the grope here IN WITNESS m' by conveyed. WHEREOF, said grantors have hereunto set their hand year first above written. and seal the day and Signed, Sealed and Delivered in the Presence of ~ ~, STATE OF ~ ,~ /~ ~~ ~~f' /1 / NICH LAS S. W~~y /~~ 1 ~~~~ ~ ~~ ~~ ~~~ ~~r/' KELLEY ~y/ ~~ . AY COUNTY OF~L ~2~~~.Z-CIS-;;~_ On this, the ~ ~j •• Notary Public the undersigned o ficer, pe ~onall / ~~ =--- , 2007, before me, a A• WAY, his wife, known to me (or satisfactoril y appeared NICHOLAS S. W y proven) to be the persons whose n subscribed to the within instrument, and acknowledged that the AY and KELLEY Purposes therein contained. ames are y executed same for the IN WI?'NESS HEREOF, I hereunto set my hand and official seal. '-~ L ~ ~--_ (SEAL _ .. _ Notary Pub3ic ~ ~~ ~..- I do hereb CERTIFICATE OF RESIDENCE y certify that the precise residence of the within Harried grantees is: s _~ . - ~~ s -~ ~ - _ ~.. ~ . e~y'/~gent r Gfan (s) ROBERT P. ZIEGLER RECORDER OF DEEDS CUMBERLAND COUNTY 1 COURTHOUSE SQUARE CARLISLE, PA 17013 717-240-6370 Instrument Number - 200739697 Recorded On 10/16/2007 At 2:10:52 PM * Instrument Type -DEED * Total Pages - 4 Invoice Number - 6843 User ID - MBL * Grantor - µ'A~',1~1:CIIOLAS S * Grantee -PARSONS, ELAINE C * Customer -PINNACLE LAND TRANSFER LLC - SAIDIS * FEES STATE TRANSFER TAX $1,343.55 STATE WRIT TAX STATE JCS/ACCESS TO $0.50 JUSTICE $10.00 RECORDING FEES - $11.50 RECORDER OF DEEDS AFFORDABLE HOUSING $11.50 COUNTY ARCHIVES FEE ROD ARCHIVES FEE $2.00 MECHANICSBURG SCHOOL $3.00 DISTRICT $671.7$ MECHANICSBURG BOROUGH $671.77 TOTAL PAID $2,725.60 Certification Page DO :TOT DETACH This page is now part of this legal document. I Certify this to be recorded in Cumberland County PA ~ °f etj'~e ~ ~ _ v e ti RECORDER O D EDS ~V 1750 * -Information denoted by an asterisk may change during the verification process and may not be reflected on this page. AINIIIIi~NIIIV~ M~.r, ,F. 20'-'_-'2_;FF~~~ P~ti'C 3A~ti'~ 412-7C~-2747 ~~ ~fhEllhlt; T1~lE1h-4Y Mazch 15, 2011 William D Schrack III Esq. 124 W Harrisburg Sr Dillsburg, pA 17019 ~: Elaizae C Parsons SSN: 213-24-0845 DOD: 12-OS-2010 Dear Mr. Schrack: ~ti'o. ~ 496 P. 1/2 In response to your request for Date of Death (DOD) balances for the customer noted ab records show the following: ove, our Checlciag Account Account # 5140048498 ELAINE C PARSONS Established: OS-O1-1969 DOD balance: $ 7,576.27 + 0.30 accrued irate esP W~BERT Savings Account Account # 5005190109 Established: O 1-25-2 008 ELAINE C PARS ONS DOD balance: $ 6,306.26 + 0.25 accru dUinte es W~'BERT PIease note that this office provides date of death balances for deposit accounts (IItAs, CDs, Checking and Savings). We do not process any financial transactions or provide statements. If you need as ' any of these items, please call 1-SS8-PNC-BANK (I_888_76Z-2265) or sto szstance with olllce. _ p by your local PNC Bank branch Sincerely, National Financial Services Center PNC Bank, N.A. Member FDIC Pave 1 of ~.