Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
10-26-11 (3)
J 1505610101 REV 1500 °`t°'-'°' ~! PA Department of Revenue pennsylvartia OFFICIAL USE ONLY Bureau of Individual Taxes ~`~""`"`"`~"`~`"°` County Code Year File Number PO BOxz8o6o> INHERITANCE TAX RETURN ~' Harrisburg, PA i7~28-o60i RESIDENT DECEDENT °Z ~ i`~i _~_ _ ~O ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1 ~ 7 6111 ~ 6 ',~ 1 2 8 0! o ! 1 7/ 4/~ Decedent's Last Name Suffix Decedent's First Name MI Q K ~ ~ ~ H Er~~--rrr-~ o ~~, , (If Applicable) Enter Surviving Spouse's IMormation Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number " "' '" II~' I ' " '"'~' " THIS RETURN MUST BE FILED IN DUPLICATE WITH THE ~ T ~ ~ ~~Y ~ ~ ~ ~ REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW i 1. Original Return O 2. Supplemental Return O 3. Remainder Rdum (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Retum Required death after 12-12-82) ~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 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 8E DIRECTED T0: Name.... Daytime Telephone Number First line of address Second line of address ~BK10F WILLS-DSE ONLC7 X77 ~r m - ~ r~-r N ~~,, i ~~. ~ ~ rx, Q -'^ =~: - J ~ ~ - --I .. !J [ *? Illy Or Post Office State ZIP Code I DATE /~ CfF~ /C~ u~G /~ !70 $ 3 Correspondent's e-mail addess: Ce~~~e~ds3 Under penalties of perjury, I dedare 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. Dedaretion of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF,P~gSON RESPONSIBLE FO F ING RETURN DATE ADDRE M I L.L r Cr'1V'r fI~E' St. .Ton Dr; re t!'Qnf Hi// P~ / 7oi/ S'GNATUR~~PR~iOTy~2THAN SE TI ~ DATE 'Q/~/' ~ 7 ~5,~ NAL FORM ONLY Side 1 L 1505610101 1505610101 Comcasf• n~1" J J REV-1500 EX Decedent's Name: K/ RECAPITULATION Decedent's Social Security Number 1. Real Estate (Schedule A) ............................................. L ( ~s .r i®® D- ia~. O op~ D O •D 2. Stocks and Bonds (Schedule B) ....................................... 2. D ~ 3. Closely Held Corporation, Partnership or Sale-Proprietorship (Schedule C) ..... 3. ~ 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. D 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 3 G 7 6. Jointly Owned Property (Schedule F) O Separate BUling Requested ....... 6. 4 ~ 7. Inter-V'rvos Transfers & Miscellaneous Non-Probate Properly (Schedule G) O Separate Billing Requested........ 7. 1 3 ~} 0 S 4 7 8. Total Grose `Aseeta {total Lines 1 through 7) ............................. 8. 3 0 e q is 9 8 8 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. $' 9 ~ 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule 1) .............. 10. 7 02 D g 11. Total Deductions (total Lines 9 and 10) ................................. 11. t} ~ ~ 0 9 7 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. rp ,rj ~ (o d ~ 7 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ........................ 13. 19 D 14. Net Value SubJect to Tax (Line 12 minus Line 13) ........................ 14. b S . ~ b 0 ~ f I TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or .~~ ~. rw transfers under Sec. 9116 (a)(1.2) X .0~ 16. Amount of Line 14 taxable at lineal rate X .0 ~ b S 4 (p D 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 15. 1s. 17. 18. t7 t7 i 1 9 4 S 1 ~ ~ D O 119 4 ? 1 19. TAX DUE ......................................................... 19. 20. FILL IN THE OPAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610105 1505610105 1505610105 O COMMONV/GLTN OF PENNSYLVAMA D®ARTMlNT OF REVENUE BUREAU OF INDIVIDUAL TAXES DBT. 280801 NARRI88U11G, PA 17138-0801 RECEIVED FROM: REV•1182 EX(11-eBl PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 014042 HALL BEATRICE M 6 LANTERN LANE SHIPPENSBURG, PA 17257 ESTATE INFORMATION: ssN: t~~-te•tssa FILE NUMBER: 2110-1256 DECEDENT NAME: KIRKMAN HELEN B GATE OF PAYMENT: 02/22/2011 POSTMARK DATE: 02/19/2011 COUNTY: CUMBERLAND DATE OF DEATH: 12/08/2010 REMARKS: BEATRICE HALL CHECK#1218 sEaL ACN ASSESSMENT CONTROL NUMBER AMOUNT 11500145 ~ S1,715.88 TOTAL AMOUNT PAID: INITIALS: WZ RECEIVED BY: REGISTER OF WILLS S 1, 715.88 GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1500 EX Page 3 Decedent's Complete Address: File Number ~ ~ - /0 '~ ~ ~ S~ DECEDENTS NAME HELEN 6. ~'ia~t'/~~N STREET ADDRESS J ya y F/s,~Ex ,eo, - __ clry /11FL'N~NlCSBy,~G srATE p~ zIP ~ 7o5'.S Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments f / 71 S, 8 $ A. Prior Payments i B. Discount 9D , 3 0 3. Interest 4. ff 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 roquest a refund. (1) 1l~ 9 `fS. 71 Total Credits (A+ B) (2) ~J, 806. /8 (3) ,fz. (4) 5. M Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) ¢ / O~ a S~, 7 7 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRU~TE BLOCKS 1. Did decedent make a transfer and: Yes No 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 : ............................................ ^ c. retain a reversionary interest; or .......................................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 2. If death occurred after Dec. 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? .............. ^ 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 [T2 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 rroted 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-,sozEx+ce-se> SCHEp1~LE A COMMONWEALTH OF PENNS`FLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF flLE NUMBER K/Qk/Y,~n/, frEL~7V 1~, a/-io /~S6 All real property owned solely or as a tenets In common must be roported et falr market value. Fair market value is defined as the pdce at which properly would be exchanged between a willing buyer and a willing seller, neither being compelled to buy a sell, both having reasonable knowledge of the relevant facts. Reel property whkh Is (olndy-owned wHh rlgM of RurvhrorshlD mtut be dlscloeed on Schedule F. ITEM ,. ~}// ,Yca~ Ctrta:n ~ncr~ eF /and siftiall~ l4+ uppu^ i41/cn Tp, G'.r~lbcr~lao+af ~Or~(At.~, ~inrtf~raulit., J'-t.oK ~,nc~u,lar. ~~ dpscribcd w, f~A~-vae u~"arnOdeed ~'o->, 1? .c{~ard H. -,U~ber, Gnlcl pafir,'e;a m • I~ebe.r, hls wr'~e, ~ ~.16«t C. KiI'K/~Ill/? QMCI ~/e~u1 ~ ~'ir•~'/lI~G-'1, ~) r5 ,,//.. 4J/f[~ er!a.~lU ,Tk ly z9, /95 9 ~d rGeprdtul ~ ~eeal ~3oo~t /9- H - r3 i~B ~ ~ o~lict of ~c GQeCo~der b~ lktds /if ~ ~nr burn ~r-land C'oc~.wt~ . '[J~Ib~rt C K%rLMan Prcc~ec.etSed Helu, 1~• kirkirum, INhGS''L~on She b~~me f~ ~l~ a~ abad-e}-t owner 'FRcred in aeeorrl w. ~1~,. ~ Ia.N,s eF manna. ~ nc; dtn,t ~ ~)erta.>ur~a h~ 1& enfi%ref~cs. aSa~ o{~ sa.'od rtia/ esfatt ~ K~r~n L. ~d L~wna -Yl, Davidson on Sept. 2~, 2oil. Sew Copy ~' ~efyi~y`.~t sfxet ~ dcea~ a~i`acbcd. VALUE ~/SD, ooo. °° TOTAL (Also enter on line 1, Recapitulation) I i ~~' Q ODD. 0 0 (If more space is needed, insert addkional sheets of the same size) A. Settlement Statement u s DeparsneM a Housbg and uroen Devebpment B. rvoe a wan l1sIC e.......-...~ u_ K 1. LJFHA 2. ^FmHA 3. pCarv. lJrdrxs. 6. Ftle Number 7. Loan Number - - --- g t4ortya{p Insurance Case Number 4. VA Cary, Ins, 31507WEBER C. Note: xra m•a•O Ypo.aY wna•k aaar••r raklR SrywrbrmLw lar MiomWbn p•paa••1MwnalYWNsdb YN WI•. TitleExpress cJBtllefrlerlt WARNWR xb•uYMbb•wYby •1•M 4ib•rrrnr•s btlr Untlsx BUbsm•Wa atlrr sY~•rbrm. PanWs upm `•)°•°" arNklba a•laaYw•rr rr ~ ~ '~ aar.r..•7w ~s u. s. cos s•wm i or,ro semen ima Pmded 09r26Y1p11 at 0924 C1T D. NAME OF BORROWER: Karen L Weber NMI Dona M. Delrideon ADDRESS: E NAME OF SELLER: Esbte of Hsksn Kkgnen ADDRESS: F. NAME OF LENDER: ADDRESS: G. PROPERTY ADDRESS: 1924 FkItN RoNI, YetdartMxblrg, PA 17055 ANen T H. SETDFMENi AGENT: Ceder C9R AbeVel:t ApN1cy, Ina, Tslephora: 717.7747496 Fee; 717-TT4-3869 PLACE OF SETTLEMENT: 411 New PA 17010 L SETTLEMENT DATE: 09r16R011 ~• M Y A N: K. U A Y SELLER' A 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS NT DUE TO SELLER lot. Centred sales 1 000.00 401. Cawact sales 1 000 00 . 1 PemaxM 402 Pe~rrel P 103. Settlement ro barcower ine 1490 670.75 104. ~. 106. ~. Ad' as imms salbr 1os Jroimtexes b advance Ad uaenents for Hems aetler h advarrca . 406. taxes 107. taxes OW2&11 11/31/11 175.40 407. ~( 09/28f11rot2/31H1 175,10 t08. Sdxwltaxes 0828111bO6130H2 1746.67 taxes 09n8I11b06130112 1746 57 109. ~. . 110. 410. 11 t. 41 i. 112 412 t20. GROSS AMOUNT DIRE FROM BOAROYYER 1 591.72 420. GROSS AMOUNT DUE SELLER 151920.97 200. AMOUNTS PAID BY OR ON BEHALF OF BOR ' ROWER 500. REDUCTIpNg IN AMOUNT DUE TO SELLER 201. a 500.00 1. Exa~se 'see' 202. amarn a new bens 209 502 Seglenlers ro serer ine 1400 1 973.98 • s taken ro 503. s taken ~. 504. d Flrst Lam 205. 505. ~. 506. 207. 208. 50& 208. ~. Ad for itletla Id ee9N 1M6nNdi for Iletne aNkr 210. Aown taxes 510. Mxes 211. Cou taxes 511. 212. Sdad taxes 512 Scholl taxes 213. 519. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519 220. TOTAL PAID BYIFOR BORROWER 00 . 62Q TOTAL REDUCTION AMOUNT DUESELLER / 973 98 300. CASH AT SETTi.EMEM FROM OR TO BORRO WER 600. CASH AT SETTLEMENT TO OR FROM SELLE . R 301. G due hom 120 302 Less ~ 1 591.72 801. amount due ro aetler 420 151 930.97 . borrower 220 602 Less readiest due sutler krte 520 1 979.99 303. CASH FROM BORROWER 1 091.72 603. CASH TO SELLER 736,946.98 Sl1BBTRUIE FORM te•p SELLER S7A7EIIENf:7M••amsYm mrllea•MSbbbgaWSl•s blmn•xal slW bEapxsnWMtl blM bbmr nea•1•N 6aiMa. xp,w wWntl b•b•re•,m, • aeaerx.'• Orlrly a Wl•r srrsbll •AS a bpp•0 an Ra x xis Mln b el• Wa•orrtb•r IN (Las Plaa•6 al tlis b•r•mlm. 1•pIIIMbaRaalld rrtlro N64MNIW•y•11Y Hal Man l•pmY67M Caa•p esl~Rlw ls•rnLWa Yulwle4~•MbrbPaNtl•Ya•srs+nrv p•prrnn(FSa TSx x)n¢~wY~yax cones auqulw bw'•ca•on lssaba.xYau ••nd bsygr~•slr6allan nmar, YOU mry b••agsabaMaalbibr PrrrN Y~gwatlM W.IIMw peQay.laMyMMnmdaahowlan tlA ebYmenbmYampwtwpYa~'l~paa'm Homer. 71N: __ / __ 9ELLEN(S)Sx31NTURE(Bk- . 8ELLEfRe) NEW MMLLN(i AOORE6S BELLERlS) PllOr•: NUMBERS U.S. DEPARTMENTOF HOUSING AND URBAN DEVELOPMENT Flo Number; 31507WEBER ~ _ PAGE 2 SETTLEMENT STATEMENT TiHeExMess Settlerrx3M System Printed o9+2ar~ot t al rxlr~n r•.I T ~ x 1 r LCMCN I CMAFSritJ PAID FROM PAID FROM 700. TOTAL SALES/BROKER'S COMMISSION based on $1 000.00 c BORROWER'S SELLER'S Division M commission tine 700 as foNows: RINDS AT FUNDS AT 701. td SETTLEMENT SETTLEMENT 7~. to 703. Commission 'd at Settlemem 800. BENS PAYABLE IN CONNECTION WITH LOAN 801. Loan Od 'neticrl Fes % 802. Loan Discount % 803. sisal Fee 804. Credit 805. Lenders bps Fee 806. Mod ication Fee 807. Assum Fee 806. 809. 810. 811. 900. BENS REQUIRED BY LENDER TO BE PAID IN ADVANCE 1. krlerast From to ® ~ 802 Morl Premium fa to 903. Hazard hlsurarlce Prernium br to 904. 905. 1000. RESERVES DEPOSITED WITH LENDER FOR 1001. krslxarrce @ ~ 1002. Mart klsurance ~ na. Q /mo 1000. Tax mo. ® /nq 1004. Cdu Tex mo. 0 58.76 !na 1006. Sdwd taxes m0. 6 19290 Ma 1009. 0.00 0.00 1100. TITLE CHARGES 1101. Settlement or fee 1102 Abstract a tPoe search 11 . Title examinadm 1104. Title irlsurarlce binder 1105. Doanlent 1106. Fees 1107. sfees includes above items No: 1106. Title lrlsurarlce to Cede CIHf Abstract Inc. includes above items No: Bask 1108.75 1109. Lenders 1110. Owners Pd 150000.00 -110&75 1111. 1112 1113. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Fees Deed 8200 • Release 1~• ~ Deed 00 • Mat 1203. State Tax/ Deed 1800.00 • Mat 120x. 6200 1500.00 1600.00 120.5. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. 1302. Pest I 1303. 2011 Cou Tax to U Allen T Tarr Co9scloF 130x. 2011 Tax to ANsn T Taft ColNctor 1305. Tax Carl Fee to Stine La6ver 8 ShNdslsld 1308. IMxsritarlce Taz Eerxow to Cede C9M Attatract Inc. 750 311.711 10.00 100.00 1400. TOTAL SETTLEMENT CHARGES order an lines 103 Section J and Secdm 870.75 1973.98 IMw pIMYy ~rbrs Ols NU6 ebMnMN ygbxr Ertdmy I+IaMSOpr. YiO pryer, aglMb trru .14M ~tlW IheN leuNtl •mpyeley NU618edlmwp Sleain ~~ ~ EeMe tl rlelen gAanen e1106ILUfele ehNlllelll tl W AGdpr elYl Tede on my e0.V11N W ~RISAdialETOIa1CIWWMa_YrM10:FMSESTATEIENfSTOTHE 7MINlGtBMxemrA$1YeleellldYdll kauw sew UNRED STATER de 7N60N ANT8IMBM FgIM PENALTIES UPON CONVICTgN wreWm. ~IIM Wedalla nine tlYs CAN e1CWOE AFNE AIO SAPRIBONLBIT. FCn OETAll8 SEE 7IRE to M ~ U.B. CODE SECTgN 1001 AND SECTM7N 70/0. ~// SETTLEMENT AGEM: ~~:~//PL nu.cH AM sEUEN Tax Parcel Number: _ 42-11-0276- 2 k~;~~ att .~ t: MADE THIS o~ B of ,, _ in the year of our Lord two thousand end eleven (2011). ~ BETWEEN MH.LICENT J. STARE, as E:ecutri= of the Estate of HELEN B. KIRKMAN, deceased, late of the Upper Allen Township, Cumberland County, Pennsylvania, Grantor, and KAREN L. WEBER and DONNA M. DAVIDSON, adult individuals, currently of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, as joint tenants with right of survivorship and not as tenants in common, Grantees. WHEREAS, the said Helen B. Kirkman, was vested in her lifetime with title to the premises hereinafter described, in Upper Allen Township, County of Cumberland and Commonwealth of Pennsylvania; and WHEREAS, the said Helen B. Kirkman, departed this earthly life, testate, on the 8th day of December, 2010, and Letters Testamentary were duly issued to the said Millicent J. Stare, by the Register of Wills of said Cumberland County, docketed to No. 21-10-1256; and WHEREAS, the lands herein-mentioned were not specifically devised: NOW, THEREFORE, THIS INDENTURE WITNESSETH, that the said Millicent J. Stare, Executrix, as aforesaid, for and in consideration of the sum of ONE HUNDRED FIFTY THOUSAND and No/100ths (S150,000.00) DOLLARS, and other good and valuable considerations, to her in hand paid by the said Grantees, at and before the ensealing and delivery hereof, the receipt whereof is hereby acknowledged, has granted, bargained, sold, aliened, released, and confirmed, and by these presents, by virtue of the power and authority in her vested by the Fiduciaries Act of the Commonwealth of Pennsylvania, does grant, bargain, sell, alien, release, and confirm unto the said Grantees, as joint tenants with the right of survivorship and not as tenants in common, their heirs and assigns: ALL THAT CERTAIN tract of land situate in the Township of Upper Allen, County of Cumberland, and Commonwealth of Pennsylvania, being bounded and described as follows, to wit: BEGINNING at a point in the center of the public road known as Fisher Road (T-615) (having a legal right-0f--way width ofthirty-three and no hundredths (33.00) feet) at the northwesterly corner of lands of Robert K. Benzhoff, thence along said Banzhoff lands and continuing along lands of J. Paul Struck, South 27 degrees 34 minutes 19 seconds Wes[, a distance of seven hundred seventy-one and eighteen hundredths (771.18) feet to a steel rebar (set); thence continuing further along said lands of said Struck, North 60 degrees 29 minutes 12 seconds West, a distance of one hundred ninety-nine and ninety-nine hundredths (199.99) feet to a steel rebar (set) at the southeasterly comer of lands of Kenneth C. Baer; thence along said Baer Iands and continuing along lands of Elaine Kennedy, Patsie A. Nichols, Michael E. Bookas, William L. Barry, and Larry O. Neidig, North 27 degrees 34 minutes 19 seconds East, a distance of seven hundred sixty- four and forty one-hundredths (764.41) feet to a point in the center of the aforesaid Fisher Road (T-615); thence along the centerline of said Fisher Road, South 62 degrees 25 minutes 41 seconds East, a distance of one hundred ninety- nine and eighty-eight hundredths (199.88) feet to a point in the center of said Fisher Road, the point and place of BEGINNING. CONTAINING approximately three and one-half (3'/:)acres BEING DESCRIBED according to that certain boundary survey for the Estate of Helen B. Kirkman (1924 Fisher Road, Upper Allen Township, Cumberland County, Pennsylvania), performed by Charles W. Junkies, Surveyor, dated August 9, 2011, a reduced size copy of which is attached hereto. BEING UNDER AND SUBJECT TO A RESERVATION IN FAVOR OF THE NEIGHBORING TRACT as follows, to wit: By their deed dated July 29, 1959 and recorded August 6, 1959 in the Office of the Recorder of Deeds in and for Cumberland County in Deed Book "H," Volume 19, Page 348, the preceding owners of the above-described tract, Richard H. Weber and Patricia M. Weber, his wife, upon their conveyance of the above-described tract to Delbert C. Kirkman and Helar B. Kvkman, reserved unto themselves, as then Grantors, and unto their heirs and assigns forever as appurtenant to the adjacent tract of land then of the said Webers both to the East and to the West of the hereinabove described tract, aright-of--way over the rear or southem [warty-five (25) feet of the hereinabove described tract for the purposes of ingress, egress, and regress to and from the said lands then ownod and held by the said Webers. Said right-of--way to be twenty-five (25) fcet in width extending along the southern boundary of tht hereinabove described tract and adjacent to the lands now or formerly of Paul Strock. BEING the same premises which Richard H. Weber and Patricia M. Weber, his wife, by their decd dated July 29'x, 1959, and recorded in the Recorder's office in and for Cumberland County in deed book "H", Volume 19, Page 348, granted and conveyed unto Delbert C. Kirkman and Helar B. Kirlanae, his wife. The said Delbert C. Kirkman departed this earthly life on November 6, 1988, whereupon full and absolute title to the said premises vested in the said Helen B. Kirkman by the laws of the Commonwealth of Pennsylvania incident to tenancies by the entireties. Her said Estate is the Grantor herein. TO HAVE AND TO HOLD the said messuage or tenement and tract of land, hereditamarts and premises hereby granted and released, or mentioned and intended so to be, with the appurtenances, unto the said Grantees, their heirs and assigns, to and for the only proper use and behoof of the said Grantces, their heirs and assigns, forever. AND THE SAID GRANTOR, Executrix, as aforesaid, her successors and assigns does covenant, promise and agree to and with the said Grantces, their heirs and assigns, by these presents, that the Grantor has not done, committed any act, matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged or encumbered in title, or otherwise howsoever. IN WITNESS WHEREOF, the said Executrix of the Estate of Helar B. Kvkman, deceased, Grantor herein, has hereunto set her hand and seal the day and year first above written. Signed, Sealed and Delivered in the Presence of: ®~~~.~,~, ~li~~°"""~O -(SEAL) \.' LICENT J. S ~ ,Executrix of the tale of HELEN B. KIRIQbIAN, Deceased COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND On this, the ~~ day of A.D. 2011, before me a notary public, in and for the Commonwealth of Pennsylvania, personally appeared MILLICENT J. STARE, known to me (or satisfactorily proven) to be the person whose name is subscribed as Executrix of the Last Will and Testament of Helen B. Kirkman, and acknowledged that she executed the same in such capacity. IN WITNESS WHEREOF, I hereunto set my hand an official seal. CONI-AONWEA~TN OF PENNSVlVAp11A 4~0~,M~ota~~y__,,~,~~,~,~ Notary Public ~~ ~ Zj ~2pt3 My commission expires: (SEAL) CERTIFICATE OF FSiDFl1I~i I do hereby certify that the precise and exact post gffice address of the within Grantee ix Attorney or Grantee M .t Pou/ St/Oak ®L G Mst /20701J727 ~ P ~ P.B. 52, Pope 40 (Lot 2) ~ ~ ~ 0 A ~ Tar M4~ ~' 42-1l-O276-Of5 ~ ~ ® ~ ~. R $ ~1 `. 0, `•O At ~t L N6079'12~W _ , ~ ~ ~ ~ o n• 99.99' ~ " ~ " ro - __ ~ ~ ~ ° 25' Rift o/ woY h /owr o/ Q ( R/chard H. Weber ~ ° p~' pp I PotNc/o A/. iNa6sr, theb hsirs I?5 I `~ and osslpna, os documented kr Ksnneth C. Boer Oeed Book N, yo% !9, POge J4d IZ I D.B. ?66• Pops 4849 I V Tmr ~P ~ 4?-?8-24f7-014 ~ ~ I•WA ~ ., c"o PR/VATS R/iY ~ ~ m I ~~ ~i ~~" a r. ( I uNi ~ , ~~g ( I ~~ ~~ ( E/ofns Kennedy °o o V I ~ I D.B. 20-N, Pops 507 °~ b ~ Tox A/qo /O.• 4?-1B-?417-Of3 boo ~ I ~` I ~ ~ S~°., v I~ N~~ M q l Pota/e ~. Rkhds V~ ~. ~ ~ D.B. J4-Z, Page 44 ? E I ~ o'~ ~ ~ I Tax AAgo /Ol• 4?-?8-?417-Of? ti 1 ~ I t6 ~ Q • Mkhos/ E. Boatoa .~~. I _1 .~1 O.B. 247, Pops 2179 I 1 Tar A/ap tD• 4?-28-?417-OOB n ~_~. _~ F I ~ 1 g$ ~ i~, ~ ~iR~ /~SSd ~\~ $ ~ I ~`.cM D.B 2~ LPaga 9J4 r Tox Mqo tD• 42-?24/7-Of0 ~~~ I ~,~ ~~ ~ ~ ° - - v~~ I ~ ~~ v ~ ~ a °~ I J?.5 O .3 o~ Lorry O. Neld/p V• i ~ D.B. ?Sl, Page 1J00 ;'~ I ~ ~ ~ $ Tox Atgo AG! 4F-?B-?417-OtltT `! S. (S ~ r ~ ~ ~ ~ ~ Q ~ n S. Rebor S ~ ~ "~ Lsgd R/W tAe~a I x I ~S~et) a ~-• ~ - •- ~ canes cum f561 - l6 S~ 9S ~ _ f70' to ~ -~-- of South clew ONtit u F/SNE/P ROAD T-B~S v ~= (?4't Mom Pown't JJ' Lego/ R/W) REY-1S0! IX ~ (1i7) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, 8i MISC. INHE~PoTAN~ ~ MuRN PERSONAL PROPERTY ESTATE OF FILE NUMBER K~RK/arM~. HE~E-iV ,~ 2/-io - /2S6 Indude the proceeds of Gtlgation and the date the pmoaede were received by the eslale. All property johrtly-owned rvilh the right of wnrhroiship must be disebsed on Schedule F. ITEM NUMBER VALUE AT DATE DESCRIPTION OF DEATH ~. PNC /~n,f' C~~kln~ Aar No, Sol ©0 8 97 S~ ~F ~. .T~t. accr: fn da:a! aN L~ / r~~ V4lK~lin ~tffi~- affaclacd) .3 cad/e ~ tea%c~(', /99/ S~a~~r~, Div i G ~ HRS~{ c ~f ~Hy3947o ~. (il sLj iq !.!/A//e7 I~M-/-a7~]apS ll9tc~ G'e'.o)~'~5 a.5 S~oWn oh Sc~lemG/It Ste{' l~ ~r-.+~e aid Ital esta,~: ~. G'nG 4~0~ Coun~ ~~s fro- t~a~'ons -- ,6. Li/!B ~f0$ St-hool Taaces /orb- rcif,ons - 6. lPu~u+s/ frcnr ~/oSftfa SrtS U r, o p !-~oMeow Hers ~ol ~ c~, G~tcasf ~~a~a~.4/ ~.~ y. ~~y., Re~w,~d ~ Co~t~~at' ~%~ ~`Sa~ o~ ~oG~sorr4'/ y a„ 8/JS~~~ ~ NtQri ,~rC~ o•, 9• ~'a/c ®~ pus.~ra/ y o~ ~/a6/a ~- ~/~ras~ Audlo., /o• ~t,(e of pu~so~r,~~ on 9/s/~/ a.~ Haan ~~oy //. R~~.,d levy ~:r,E ~Yu.~-,f~/ C'X' No pu-sonal+y was Kept by 74~rr/y. Tlets pot ~t or Sui3ub/e ~f U,u~.oyt U!<xL dunKed QM~ Wer'c QY /!o VA1u~) 19,~3S.d'9 o. bP Sao. o~ Sao, o0 ~Y7S,~fo ~ ~, 7 SAS, S7 '~3G.i~ ~! zo, ~ ~ 73'f. zS ~b l7. oa taste TOTAL (Also enter on line 5, Recapitulation) I S a73, •~ `T, ~~ (If more space is needed, insert additional stems of the same site) Jan. 27. 2011 2:08PM PNC BANK 412-705-2747 QPNC January 27, 2011 Charles E Shields III Esq. 6 Clouser ltd Mechanicsburg, PA 17055 1tE: Helen B Kirlmran SSN: 177-16-1654 DOD: 12-08-2010 Dear Mr. Shields: No. 8294 P, 1/2 In response to your request for Datc of Death (DOD) balances for the customer noted above, our records show the following: Checking Account Account # 5070089744 Established: 06-26-1980 HELEN B IC.IItICMAN DOD balance: S 19,435.89 + 0.68 accrued interest ' Interest paid 01-01-2010 thru 12-08-2010 $ 9.67 YTD Investment Account The decedent maintained Investment Account # 47956429 , For further information, you tray call the Brokerage Department at 1-800-762-6111. Please note that ibis office provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings). R+e do cot process any ttinaacial transactions or provkle statemeab. If you need assistance with any+ of these items, phase call 1-888-PNC-BANK (1-888.762-z263) or stop by you beat PNC Bank b~eb office. sincerely, National Financial Services Center PNC Bank, N.A. Member FDIC Page 1 of 2 Jan. 27. 2011 2:09PM PNC BANK 412-705-2747 No, 8294 P. 2/2 This message is inte~ed for the use of the individual or entity to which it is addressed and may contain information that is privileged cor fidential and exe»~N Prone disclosure under applicable law. If the reader of this message is rat the intended recipient or the employee or agent responsible for delivering this message to the intended recipient, you are hereby rrot 'Fred that arty dissemination, dis7ributio» or copying of this communications is strictly prohibited ,jf'you have received this communication in error, please notify nee immediately by reply or by telephone at 800-762-1775 and immediately destroy this fazed doctrmerrt. Page 2 of 2 .d._r-- 2.uf ~=G ~--- Homeowners policy refund AI(state Insurance Company 70815 Dnvid 7oylor Dr Charlotte. NC 28261-104,5 ~~ A I I state , You're in good hands. It~~U~~~lullh'ill~~l"'~~~il~'I'nin~pt~llllllllll'~Il~li~it HELEN C KIRKMAN C O MILLISON STARE 34 N SAINT JOHNS DR CAMP HILL PA 17011-1929 What you should know A5 ydu requested, we havt: terminated yourpalicy effective October 1, 2011. Attached is your refund check. We thank you for the opportunity to serve you and hope we can provide your insurance protection in the future. If you have any questions, please contact your agent or producer of record Payment history 4/16/11 Previous balance $179.05 4/30/11 Payment received -179.05 9/21/11 Renewal premium 368.20 9/30/11 Policy cancellation adjustment - 36.18 9/30/11 Revise refiewal - 368.20 10/1/11 Refund issued 36.18 Balance 50.00 ~i 2071 MW Allstate Insurance Company ~,~ Check number: 0071040471 66-''s 10815 David Taylor Drive Chzriotte NC 28262 Date of issue: ?0/1/2011 Policy Number: 008 590 085 PaY: Thirty-six and 18/100 dollars To the order 6f: tIELEN G KIRKMAN C O MILLISON STARf 34 5T JOHNS dR CAMP H ILL PA 17011-1929 Information as of October 1, 2011 Policyholder Page 7 of 1 Helen t Kirkman C O Mitlison Stare Polic number 008 490 085 Property 1924 FlSNER RD MECHANICSBURG PA 17055 Your Allstate agency is Stelnerlnsurance 3870 Market Street Camp Hili, PA 17011 (717) 731-5456 Allstate You're ingood hands. Amount:. $36.18 Premium Refund Account c:~..~ o~rtu.,rc_. Wachovia Bank, a division of Wells Fargo Bank, N.A. ®_ ~ 1./ p_'/ J Chapel Hilt, NC 27514. ~,~-Ffir1.~ /t- t Wiy` ~~~~ -~, r "~ Void N not presented-wkhia 186 days d the date d hwe - - Authorized Signatures L~ a t e; ~`:~ ~:t+ i z www. 1-warts, tam HAAR' S AUCT I ORl 717--~+~-~BL:ye, '~iet't I eme37 Seller~a 4 ROY STARE 34 ST JC1HN DR CAh?F' HILL FAA 17a:t i Page: Item Descr,iptior+ F'mice rty Total -- F~LATES AND CANDLE HOLDER - ____.___.__~._.__ ______...-5. ~~___ - CL.;T OL_ASS DI SHE5 # i , am - CAFE COD DISHES i 1. Oa - OLr~55 WARE LOl", FLUE GLASS 1 ~, ~V7 _ KEEBLER COOKIE JAR i 1><~. @a -- uLAS,_t.~ LOT 1 1. 7a - FRIDGE DISHES i 3. aEy - JAR AND VASE i 1, m~~ - 1*1INIATURES 1 7, as - SWANS AND l"EA SET i I , +ta D ~ 1 ~~• :~Sa~C~ - V AfiE LOT 1 a. i''r~~ - RED GLASSES I " ma - t~2OB I1V5ON ROSEV T LLE 1 {~. tZir2+ - i~=IRi= t{INCi DISHE5 1 0. LSaa -- RED CANDLE STICK HOLDERS # ~, a;~-~ - RED u1..ASSES AND BOWL i a.5maa -- CLt~SS BASKET i 2. as -_ RED GLA85 CUFFS AND F~LATES I ~ ma - RL! IE VASES i . =s. ~~ - 1:-I3'dGER LI-1hiP AND NtISC 1 m.L;aa Items ~i Ame+_tnt: :,-:;.~~ C;omm_-sion at 3~.rhQ~Q+~t 1E.iIyS Less a~tj~istmer,te~ -i6.m5 Net ci~_ie to =eller~c 7, 4J www. Naar=. cam HAAR' S AUCTION 717-4:~2--L~4r ~~ Date : 0~--26-~'vti i 1 www. haars. cam hiAAR' S AUCTION 717-~r~ `-f32%+S Settlement Seller: 7105 Item ------------------ ~1ILLIE STARE HELEN KIRKh1AN EST 34 ST. JOHN DR CAh1F' HILL PA 1701 i Page: Description Price G~ty "Cotai Patio table 1 15.00 Patio table 1 10.00 Light-earner shelves 1 0.2500 Picnic table 1 12.00 Sa f a-chair 1 45. 00 Gat is sofa 1 25. ~+~ Cabinet base 1 1.00 Cabinet 1 c3, ~~ Cabinet base 1 3. ~~ Gatio rocker 1 4.00 Marble top table 1 50.00 Chair i 5.00 Dropleaf table 1 17,00 3 drawer Chest 1 7.ttlkl Fan 1 25. 00 Bookcase 1 8.00 Wood bucket 1 ~. ~~ Cedar chest 1 37. ~~ Clock 1 1.00 Pookca=e 1 1.00 2 1 i ght s-ha~_~se i .s. 00 Dresser 1 10.00 Clock 1 14. 00 Washstand 1 45.00 Chest of drawers-dresser fs.00 ~ 12.00 Horse lamps b. 00 c': 1,_.00 Ashtrays 3.00 ~ 2.00 Clock i 22 , 00 Battery clock i 1.50 Utility cart i 55,00 Dresser 1 10.00 Secretary desk 1 75.00 Timer 1 15.00 Table 1 1.00 Lawn chair 1 1.00 Card table 1 7.00 5taal 1 12.00 Cluck i 5.00 Dld picture i 20.00 2 1 i ght s 1 ~s. 00 F'arcelin top table 1 15.00 Coffee-end table-step table 1 1.00 2 chairs 1 1.00 Floor light 1 1.00 Corner stand 1 3.0i[~ Night stand 1 1.00 /\~ ~e : ~8-E6--211 www. haars. com Settlement Seller: 71+Z+E~ Item HAAR'S AUCTION MILLIE STARE HELEN KIRKMAN EST 34 ST. TOHN DR CAMG HILL PA 17Qr11 Description Stand Stand F~icture Flower picture Mitre saw Green table Oak table Commission at 3@.0Qr0X 717-432-824b F'age: F~rice Oty Total 1 8. Oa 1 i:~.00 i 1 ~, +~~ 1 1 ~. ~~ 1 1, 50 1 10. ~0 1 45. ~0 Itebs: 53 Amount: 734 5 r ~~~~yy ~y CC~LJ, LB Less adjustments: -22+x,23 Net d~_ie to seller: 513.'37 www. haars.com HAAR'S AUCTION 717-43u-3246 9/Sf~/ Date : +~}-~-~h~z ~- www. haars. cnm Settlement ROY STARE Seller : 3'i sff ST JOHN DR CAMP HTLL F'A 1'T~:i 1 Item Description - iCE CREAM SCOOF~ - BA5KET5 - GRANITE WARE - SIFTER LOT - GRANITE WARE F~Ahi - GLASS TURKEY - ICE CREAM SCOOP - GLASS LOT - DEF'RE55ION LOT - BAE+Y FTGUF<INE - MEASURER - BLUE GLASS LOT - ICE CREAM SCOOP - TRAY LOT - STDVE - CHERRY BLOSSOM LOT ~- ICE CREAM SCOOP - WATERING CAN - F='UNCH BOWL SET - WAFER SET - BOWL SET -• OIL LIGHTS TRAY - E;LASS LOT - DI;iH LOT - F='ThiK DERRESSION LOT - GI_AS5 LOT - YELLOW DISH - GLASS BASKET LOT - MILK GLASS - IRIS LOT - GLASS LOT - IRIS LOT - IRIS LOT - IRIS F'LATF S - IRIS BOWLS - GLASy LOT - AZELA LOT' - JAt7ITE RITZ;HER Commission at c5.~~~X ~r M ~.- HAAR' S AUCTION 717-43 -c'~c's+6 Pages: Price E~ty Totai 1 17. +TiZi 1 17. ~~ 1 ~Q+, k0 i 7. ~k i O h. 0Q~ 1 15, +Z'0 1 ~5, 2~0 1 7. ~0 17. ~r~ 1 v. ~Q~ 1 ~~. ~~ 1 7. ~~ 1 c2. ~~ i ~~. ~~ 1 ~5. ~'~~ 1 Ems. ~~ 1 ". ~~ i 7. A~ i E. k7~ 1 J. ~~ i ~. ~~ 1 '?. ~~ 1 `-.-,. 0rL1 1 ~?7. ~+Za 1 ~. ~u~ 1 6. ic-10 1 ~7. ~ti 1 1. Q~Q~ 1 ~~5, ~~ 1 8. ~+~ 1 ~7. ~~ 1 iJ. itY~ 1 .3~. k~4~ 1 37. Qi~+ 1 12. +~~ 1 1 Q~. O@ 1 7. ~~~ Items: ~8 Amount: 6i7.Qs~h 154. ES Less ad.j~lstments: -154,5 Net due to seller: 4C2,7~ www, haars, com HAAR' S Al1E_TION 7I7-4a~-8L4S \l ~' f~ ~. 995495 HELEN KIRKMAN 25.00 1 0.00 TOTAL $25.00 MEV•1U1V FJl • I)~) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON•PROBATE PROPERTY It/,pKp1/~N, HE'~Enl B. This schedule must be completed and filed if the answer to any of quesfions 1 thragh 4 on the reverse side of the REV-1500 COVER SHEET Ls yes. ITEM N MBER DESCRIPTION OF PROPERTY IN0.UOETHENNAEOFTHE7R.TIERRHATIONSWPTDOEC®kMNpTHEOATEOFTRINBFER nTr~c"~wvraTHE Oro FORRrxx ESUrE' DATE OF DEATH VAL EOF ASSET % OF DECD'S INTEREST EXCLUSION FMPIICl~BEE TAXABLE VALUE t' SFCftR/'Ty ~-«T A/0. lS~ l~/2 (02 ~ I.2o~ y/3./6 /DOf -D, rr 12.D,'fi3./6 AMER/PR~SF ?N/FS~r~E~VT ~Ol~rso~S, GNsucTil~T .Dr¢4E ~yo~ %2~t~YSFc=~ ot~ !~9-?H .DES/Cvt/~ !/oN ~/3 Tv ~I/GL~CE/V~ 577f/lE (~O,/31.3Z) 7~4!(GNTEa[ ~3 To NlCC1~F/X~ KOiYLE72 ~,~ yp, /37, 32~ ~3 %v t9Ei4Ti~/CC H.FLL ~'$'~j /37.3Z, a~ ucy7 ,If' /NFO ,rb~; /3E.¢rRieE ~,~ P.¢iv iYE,~ li¢d' ON 7NlS ~/.QECTLy, ~'E F//~ /fGl/ //S'o©/~/.3, a~ ~(JV //SGO/ ~lS. d+,/ d~post reeei pt No. CD 0/~{0 ~Z af%xclt6/ S~awi~ ~a~,xe~st ~, ~ l 7lS. 8$'. ~, /1'lef Gf~ ~~aui y C~oah-tct # /70ov /G7 f/3, ?Q1. 3/ /DOP -o-- /3. 291.3/ ~3 Tv /I7i//ice/~t cSfurc a/ar~hi~-•- Son y3 T ,~~,~.;~ ,~~~~ A~~t~CylifZr (K mae space TOTAL (Also enter on line 7, Recapitulation) I i 133, 7 DS. '/ 7 additional sheets of the same size) COMMONWEALTH Of PENNSYWANIA DaMTM[NT OF IIEVEDAIE ltU1KAU OF MiO1NOUAL TAXES DNT. 2S0E01 HAMISSlM16, OA 1)1!S-0E01 RECEIVED FROM: HALL BEATRICE M 6 LANTERN LANE SHIPPENSBURG, PA 17257 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-96) NO. CD 014042 ACN ASSESSMENT AMOUNT CONTROL NUMBER ESTATE INFORMATION: SSN: 177-t 8-1 Bs4 FILE NUMBER: 2110-1256 DECEDENT NAME: KIRKMAN HELEN B DATE OF PAYMENT: 02/22/201 1 POSTMARK DATE: 02/ 19/201 1 couNTY: CUMBERLAND DATE OF DEATH: 12/08/2010 REMARKS: BEATRICE HALL CHECK#1218 SEAL 11500145 ~ 51,715.88 TOTAL AMOUNT PAID: INITIALS: WZ RECEIVED BY: 51,715.88 GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER REV-1511 EX+ (10-06) SCHEDULE N COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE of K~/ pK/11/~/1~~ HFL E71/ ~. FILE NUMBER a/ -/o -/.Z Slv Debts of decedent must be reported on Schedule L ITEM A. I FUNERAL EXPENSES: 1. /hycrs Fu~cnc/ ~lonre of ~leehaiJies6sts~ ~~ 6 83. °O B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions ~L Name of Personal Representative(s) f9~/~C~ilf ~I'L° 9, Z7G4 00 streetAddrnness ~S/ 5f .Ta!»s 17~:ye City (..4M~ r+'i// State ~~ Zip /70SS Year(s) Commission Paid: 2• Altomey Fees C~j4r~CS F. tS~J~~P./GiSS ~ ~ q~ Z70, 00 3. Family bcemption: (If decedent's address is not the same as Gaimant's, attach explanation) Claimant wi~~; Qal H. f(a/i/er ~,3 ,sop, 00 streetAddres5 /9aS/ ,5.."slK~ fjQ! City /~lr°~'htn:cs6~tr~ State ~_Zip /loss Relatbnship of Claimant to Dec/edent ~O/9 4• ' Probate Fees ~1/[/ O/'i glAaf /SSU/G/~ o~ ~prt @e~fi Ijta~//S ~ ~ 53..5f7 5. Accountant's Fees CreGalon I"lo~n , rifGerWWp.l} f Co. 7~t PIrP ~~ 104/ 5~ ~/¢ yls~ Cfic, ~ ~f $D. DO 6. Tax Retum Preparer's Fees ~. ~dvu'/isi~ :n ~um~+-'I~ Lain .Toernal X75,°0 ~dv~;sip %~ ~Irc ~en/;n~/ ~. ~G~/jlOlltSUll!/l~" /o CLl[ti/GS ~, py7iG/4~S ~ 7~Dr ~f/~5co {~ Taso~ ~Sfa~iiick -r6~-- ~.i~/~ /Ebs/Sztc~ ~`/ZSo~ /l. /f ila~.%iaa.r/ Pic bat ~ ~ ~iS,t%r of !/i%/s 7 ~ Conf;iJ~ea~ ~ I o, 00 TOTAL (Also enter on Tine 9, Recapitulation) ; ~~ ~ 78rj, 17. (If more space is needed, insert add'dional sheets of the same size} ~.2 SCKEe~. M. -E5T, aF K/?K~~~/~ NFc~V ~. Fic.E No. a~io -/~S6 -- ------ _ __ _ --- l~_. -- kX~au+ses--~' . ~e~lunenf -- _ m~_ oSa/e _ ~. rta/ __ rs fa~i- !~ Sc~kad ~ ~ - -- -- - L; ~c_!c?o3 -_oSfa~ ~Qea/t Trans~'er- T.~.~--- -- - ~ SDO o0 _- - -~-- ---- _ - - ---- --- ----~t--- - _ - -8 -' L_ihe -- /3ct3, ~~o!/-- ~'akn _ Twx 7y~• z ~_ __-- - _- --- -- -.. ~.~ /5!, 7 _. _~: dine-- -/~v5-_-..~"~" f ~lic,K,C~sk; ~' --- --- -- -- - ------ _ _ __.__ D . oc ~ ~ ~ ~ ~ _L ~_ _ . ~/aa=s ~t4o11eu'S_.---- ~SSio..__on oSalc m~__ P'/zs-l.~ /~ os • r ~ - - --/ - - .1S(~tart /¢ll~7S~~~/'t_ - ~Sio~!- __-`~-_.Ss1t o{ - _~/L -_ __ # 220 . --_ LS .- - ~44_r~ _!3~neers - _C_'1~h~_n ---~---~_p~ .9~~i~------- ~~sS~Z - _ _ 1G.-- - K~?,:f,6Nrs'c!~1e~rt_- 7~ _ _Ls7'arle,~-_E'• --~i!P~4~~-.~r aaa~il_`. ~ ~?'~i~ ------izo~c ., _ _ ~7.---_~e~Mbw-scn~ --- .t __ ht,!/.c__nS'1Q~_.._~S~_Ne.,i A~ fi/#~~~ ___ _ - __ _ - -- -- - r- - - _ -_ , --- i nn n/~,~ I -- -- - _.. - - - ~~• ~ t[ie' ~ u r~ --- ~- -- (-/1tNg5 iE'._ ~i. P,lds ~.-- - ~ eer/. ~ Ana./ p!. y7`~. 0-~1G.ct- ------- - •_ - --- ---__ ;_~d ._ I~k~. - -- -_- ----- --- -_ ~l l o___o_Q_ - l 4. ---Vero"ZOq ¢ -- - ~ _ _. _.. ----- --- - - --- -- -- -- --- -----~• O - - _ __ . ~d- -- PPC -- -- - - - -- - - - _ -- -- '~87. as ----------- -- - - __ al.. _ __ ~orytcas~-- -- r 6.7. Y7 ___ --- ---- ----- - - -- -------~ .ea _- __ __-- - ~ - PPG .------------------_ _ ----- - - ----- - __ __ _ _.--- - - --------~7c.~~ -----_ _- - ._. _----O~r. --~~-r-cf__~f-~- -u-- Rul__Caf. _APL~a~ s•`I --- ~3ao.oa ---- --- __-~T _- ._.J~l~O~'~.----~r--~~h•~ ~~. Dn _L_'[G_ilCel~a~~oif__ ~~3..55 3l. --Cst _ -_-- -_ _ _ 3st-~~~~- ------ _---------- - __ _ _ _ _ a7_ __~~~¢f~- --`----_. __ --- -_ _ _ __- -----_------- ---- --- ~/pZ ~ - ~`/7g o5 - - - - f 70.65 -__._ ------- --- -- ---__--_-_s6~, s~f ~7S.ao _- --- ---- - - ~yf~~z ------ - - - -- f ~S6.do f~ ------- ----- ___ 6~• y~$- __ _ _ ~~ 3~_ yn. ~! ~~ ~i~. `~?= i _, -~ I i. - - --{ -- - i -1 _--- E-s i --- a~ __1SLRK~6-N _,_ NEC ErI _ C3._ _PPt~-- -- - - _ __ - ---_ -- --- C._l~._J~f /J Kins F A;sac~sy - _ oSc~rre~o%~ - - -o~rre~- /~lV~~ ..--- - - p~- ---- ------ ~1, q -- - ---- ---.. cS/sx~ _ /XOw.iLC PPS f ------ filc.E -Na -__ ~/-/o_LZ~ ------------- ~ S3~ as r -- ------------------- -----77.-~----. ---------- --- - -.- . - __. ~.~• DU --._ - __- 30.00 j°6 ~.sz Myers Funeral Home, Inc. Boyd L. Myers Jr., Supervisor 37 East Main Street Mecbanicsburg,Pennsyivania 1705 (717)766-3421 A standard of exczllence in Central Pennsylvania since 1910 Monday, January 10, 2011 Millicent J. Stare 34 St. John's Drive Camp Hill, PA 17011 Fax (717)795-7291 Dear Millicent, Thank you for selecting our funeral home to provide services for your family during your bereavement. I hope that you found our services to be of the highest standards and that they met your needs and those of your family and friends. The following is a summary of the service charges as previously explained and provided in written form on the services for: Helen B. Kirkman SUMMARY OF EXPENSES TOTAL OF SERVICE RENDERED $10,113.00 LESS: Credits granted 1,430.00 LESS: Total Payments CURRENT BALANCE $8,883.00 Credits Granted: $1,430.00 Package Price Discount Interest at the rate of 1.5 °f° per month (18 % per annum) will be added to balance after 30 days. If there are piny questions or concerns that remain unanswered, please call me. /,. / ' '~ _~ ~/'f ~,- ~~~ . ~{ pEs HEI.EM B 1QRKMAN MIWCENT 8T11REEXTR7~ 34 N SAINT Jt~tWS DA (`,AMP MILL. PA 1 701 1-1929 vay to the ~~cle~ loi' 10:11 fi0.1T73~313 1 ((J_ ~/ _ 177 Laos m ~ _____ i $ S 1033 ~" OU a«.,~, fut~N en r!L ~Fl t n ~ ----i~oltars ~~,~ F~'NCBANK ~- PN('B~N_A. 1}10 ~, Cavral PA M For_ t:O3i3L27381: 5D05?542i8a~ OLL W(Yq~31k¢ _... ~.tn.t~vt.nr~r: V.C d'li_~!CdCt~L, tiVVlJ~ niflJ ~LKVlt„LJ JLL>h•G1~:L; Ch.trges are onh~ for thole items that coo =elected or drat are rrquired~ If w'r arr required 6t law ar br a cemetery or crematory• to use anyitems, we will e.xl lain in w nt:ng below. !; you ;netted a funeral tt:at may require embalming, such as a funrrai with clewing, ycu may hate to pa}' for embalming. You do not have to pay for embalming } ou did not approve if ~-ou setected arrangements uc~a: a Irrect c; emativa qr immediate banal. If we charged for embalming; we will expt~in a•hv below For• the Servicr of ~-} =: \_~ ~ _ ~;~~,ti^ t -,_ i {{ Date of Death ~)I ~(~ ~`~-" ~~ t ~. Charge t0• S}.-,- ' ~ <' r?~'__ ~ -- :C..~ r ~ "`-~. ~. ^• ) 2~~ - C.t,•, n.~~'7 t~l I ( ~ i~j :. i C itt' 'tare A. CHARGE FOR SER~'1CES SELECTED: i uRt~FFS51O1'dL SERt'ICF.S ~c ~ ~r, ~;r fanerai ll;recror5tsii _ f `~;;--' x rtF rt ~2 - $' '{-4 ~~+hc p •'~a a'it7n ,7r ood~. SUB-TOTAL OF PROFESSIONAL SERVICES a i ? +. ('~ a , FACILITIES AND SERI'ICF.S Cse of facilities and services for viewing (VisituionlV4'ake). f t ~' L'se of facilities and services for funeral ceremont f~1. i:~e u`, facilities anti ;cn~<e~ f~rr lfemorial Service ...... € ,~ t.'sr of equipment and services fvr graveside service .......... ... E~~. Other use of facilities f SUB-TOTAL OF FAC[LITIESIEQUIPMENT ......... .. A2 E i . C.-~ i. AUTOMOTIVE EQUIPMENT vehicle to transfer remains [o Funeral Home Local ....... ..... ............ f i l1t ~ _ Hearse (Casket Coachj Local .... .... . ..... 8 ~t , Limousine Local .... ... ... _ . _ . f rv ~ ~ Family car Local ..... S _l,.~' Flower car or floral disposition Local . .... .................... f~„`~ ~ Lead cauclergy car Local ... fl ~t ~_ Car for pallbearers LvcaL .. _ E .~`'. Out of [own transportation .... .... 8, --~ - f E SUB-TOTAL OF AUTOMOTIVE EQUIPMENT....... . A3 f~.t~~. TOTAL OF PROFESSIONAL SERVICES,. FACILiTIFS A~~A,LTTOIyO V~. , t4 r ' sV" ~~ t-~ ~ F ~t tIP~EE t. t T V ~C X-.~t-r {Y-~/ Cs s f!_-~'~ B. CHARGE FOR MERCHANDISE SELECTED: Casket .. , , f .~ 'i h ~ ~C (D lion) C „C ~ ~ ~'1 ti ~^ -~ Oth R l er e ac e ... f (Description) Outer burial container ... .....E {~' iDeuriptionl ~t,r'Y ~'Y'-if' ' C-x't° t_r° ~s ~N-~ Register book~si € i ;lL.i bfemon• folders ..... ... ... . . ; ~ `'~' Prayer cards c Temporarg grave marker ...... _ . ... f Burial clothing E Other clothing _ c S ~rematil)n i7M .. f iDescription} OTHER. E T f l ~,~L_ TOTAL MERCHANDISE SELECTED .................. B f ' L.J C. SPECIAL CHARGES: Forwarding pf remains to E (Funeral Home} Receiving of remains from - --- f (Funeral Home] Immediate Burial .. f Dirrct Cremation .......... .. .. S - __ S SUB-TOTAL OF SPECIAL CHARGES . .. ............ C f D. CASH ADVANCED Opening Grave~Y.C~c+"^;1 ~ E,~- Cemetery Equipment ....... .... E Lot and Deed ................... . E Newspaper Notices-Local r +"`~~' Newspaper Notices-Out-of-town ... , f Telephone & Telegrams .......... . f Airfare ...... ............... . f Cle /Mass Offerin rgY g ........ cf• E a Pallbearers ..................... . E Certified Copie v the ath ~ Certificate .. . ~w. ~; : fC? f ~~C-C' Police Escort ... ............... E Flowers ............... f Vault Service Charge ... , . 5.~~_~1 f E f f f SUB-TOTAL OF ADVANCES ......... .............. D f~ ~ ~ ~C~ k"e charge you for our services in.ob[airung: ispeciji' cash advances roar are manted•upJ SL'1tMAR't' Of CHARGES A. Professivnai Sen•ices_ Faciliurs and Equipment, and ~ulomotisr Equipment Lt , ,~- 't~_? ~~' S 7 B . Merchandise ... , f ~~' -tYj C. Special Charges E D. Cash Advances .... <'C~' E .... ..... . TOTAL OF ALL SECTIONS _ ..... . . ........... .. .. E~ PAID. AT TIME OF OR PRIOR TO ARRANGEMENTS....... ._.... BALANCE DUE ..:............ f REAS01 FOR EAiAAL?4CI\G If am taw. cemrte~i, or cremator}' requirements have required thr purchase of any of the items listed aboee the law- or requirement is explained below-. ~~- I b ~-' GLENDA EARNER STRASBAUGH REGISTER OF WILLS AND MARJORIE A. WEVODAU FIRST DEPUTY CLERK OF ORPHANS COURT KIRK 5. SOHONAGE. ESQ SOLICITOR REQIISTER OF WILLS AND CLERK OF THE ORPHANS' COURT COUNTY OF CUMBERLAND ONE COURTHOUSE SQUARE CARLISLE, PA 17013 (717) 2406345 FAX (717)240.7797 II~IVOICE Bill To: InvoiceNo: 3409 CHARLES E SHIELDS III Invoice Date: 4/6/2011 Estate o!= HELEN B. I{IRKMAN 6 CLOUSER RD Estate No: 21-10-1256 wz MECHANICSBURG, PA 17055 Qty Fee Description Fee Total 3 Short Certificates 4.00 $12.00 Total: $12.00 Please return one copy of this invoice with your payment. Thank you. Checks should be made payable to the Register of Wills. Temps: Net 30. i..~ ~'_" ~J vp'r • - ~ r ref/ . f. LOVE'S NONE CENTERS. IMC. ~ r; :_ 5500 CARLISLE PIKE ~ ' NECHIINICSBUINI, PR 17050 (717) 610-9230 C~ A r ~` v f. r - SALE - SALES t: S2223RY2 1465570 03-22-11 ~~.. ~ Z u; ~-+ 191214 GENIE 9/12 SYITCIF REPLACE 27.86 61726 PFOLIO i-LT SILVER MINI C 6.97 51022 PENN 32-OZ INNIBIAD-YLDFLO 9.97 SUEiTOTAL: 14.62 TAX: ~ 2.69 INVOICE 05914 TOTAL: 41.51 DEBIT: 47:51 DEBIT:XXXXXXXXXXXX2569 AMOUNT:/7.51 AUTHCD:337997 SYIPED REFID:603995853 03/22/11 11:01:31 TRACE:00621859 PURCHRSE CRSN BRCK TOTAL DEBIT 47.51 0.00 47.51 STORE: 7123 TERNIIYIL: 05 03/22/11 11:01:31 aF OF ITEMS PURCHASEp: 3 EXCLUDES FEES, SERVICES Mq SPECIRL ORDER ITEMS THRIM( YOU F01~ SHOPPIIIB LOVE'S. SEE REVERSE SIDE FOR IETURN POLICY. STORE NANIIGER: JIM DUNKELBEROER HRUE A COMMENT OR FEEDBACK? LET US KNOY AT: MMI. LOIIES.60lI/fEEOBACK STORE CODE: 71230-32211-05944 YE NAVE THE LOYEST PRICES, BUpRAfITEED!, IF YOU FIND R LOVER PRICE, YE YILL BERT IT BY 10$. SEE STORE FOR DETRILS. #########ii#fi#####;############i###################### # YOUR OPINIONS COUNT! # # REBIiTEit t0 Yn1 R ~,ooo LOOE•s siFr cARO! . # # # * REGISTER BY COMPLETING R GUEST SRTISFRCTION SURVEY # YITNIN ONE PEEK AT: ww.lOYes.trrsurveY.cw # # YOUR I D • 05944 2223 001 # # # # NO PURCHRSE NECESSRRY TO ENTER OR YIN. # # VOID YNERE PROHIBITED. MUST GE 18 OR OLDER TO ENTER. # # OFFICIRL RULES E YIMNERS RT: rrr.lolres.irrsurver.cor # STORE: 2229 iERMINRI: 05 03/7!111 11:01:94 X z~ cn ~O 0D c ~~ 4 '1 . }'A 1 y . I_ `. i„(!!_IP~T ~ ~•TH~*-+,T i.!: (~ EtYL: i~l. { i 17?^:[i`i~+ ~5[r'L2{,.{E~'.`f 1dti:;w ~j;j~! t;}f:; ~..I -~ ;~: ;. i ~EATI~~ l{I{ Lai"TIL~~;T'_ 1~h~C1~~E r:;1F.°kE+"_.TEIi T!~ ~+rt, Cr';= ~~ ~~!~, Ti~LE UELIUE~:IE~ ~sT C~i'IE "ITE :#' CUSTOMER SIGNATURE r }'~~~~' ,,..__, C Y ~l 2= 3 ~ _ ~.,. . t.. N f... ~ ~ ~ 11i ~n r - V= N rl .T1 t.a f ~ ~ •~ € ~- .~ r~ IC ~.. .~` D+ . ~ . C3 ~ -` iL 111 ~ -.'E ~ u r. m ~' LL Q3 N ~' ", CIl Ga ID CT Ip iTi ~ R! i O C -; G .. :. C± 4 CR i 2' A' < ~t 1 ~ :."........ _.. - Cr r~ ~ .. - O -,. ~ , 9f f'; r: 3.1 v [t 1? ~= r ~ ~ s R' ~ U1 r-~ t± -ter i c?' 7? ~ ~T t(i ~ ~ ~- ~ ~* ~' c* [1 cr 1-^ 10 0l ~. e~ r ~ ~ G 1 V_• ~ UJ REV-1512 EX+(12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER 1~ial~ni~N, H~~V Q• ~~- io-i~sb Report debts incurred by the decedent prior to deatll which remained unpaid as of the date of death, including unreimbursed medical expenses. Qf more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER K~~K~1~-N, kFC~~/ D. ~/-io -i~s6 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not LlstTrustw(s) AMOUNT OR SHARE OF ESTATE [ TAXABLE DISTRIBUTIONS [include outright spousal dfstdbutions, and transfers under Sec. 9116 (a) (1.2)J 1' 'f~obu^t Nali ~raMdson ~l, ooo. O° ~a y L<Ke Ner~'~u~e Z~: ~ Ga7/ys6Wr~, ~ i73zs ~, /tJ%//iCe~t ASftt~ dau~k*' yz IQes;due ~y 3'f.1ol/r~s fir., C'a~rp k;~; P.>= /7ce~ 3 !,/i!/:ate k Koti,Fi , , /9~y F.s~e~ Rd., /1'leeitnn~csbu,-~, A4 moss ~mn y~ ~esidu~ ~. 18eaf~ice /y1• f,/a// (° L~tntrra Lane, S/i%pPensbk~, dA i7~s7 daee~ht~- y~ ~les~due ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 TH ROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S (H more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT OF HELEN B. KIRKMAN I, HELEN B. KIRKMAN, of the Township of Upper Allen, County of Cumberland and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declaze this my Last Will and Testament, hereby revoking and making void any and all former Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done, including the payment out of the principal of my general estate, of all inheritance, estate and succession taxes which may be assessed in consequence of my death. 2. I give and bequeath One Thousand ($1,000.00) Dollars to my grandson, ROBERT HALL. 3. I give and bequeath all the rest, residue and remainder of my estate to my three children as follows: a.) 50% to my daughter, MILLICENT STARE. -1- t _ _,_____ _______.___------...._~_. _.._.-_ __..._.. _ ._...._ ..._ .... _ ._ ._ ~ _.__. __ ....__ .. _ .,. _ .... b.) 25% to my son, WILLIAM H. KOHLER c.) 25% to my daughter, BEATRICE M. HALL. 4. In the event MILLICENT STARE, predeceases me, the gift to her shall not lapse, but pass to her heirs per stirpes. In the event WII.LIAM H. KOHLER, predeceases me, the gift to him shall lapse and pass instead to MILLICENT STARE and BEATRICE M. HALL, in equal shares per stirpes. LASTLY, I nominate, constitute and appoint my daughter, MILLICENT STARE, Executrix of this my Last Will and Testament and in the event that my said sister should predecease me, or should she be unable or unwilling to serve in such capacity, then in such event, I nominate, constitute and appoint my grandson, ROBERT HALL, Executor of this my Last Will and Testament in her place and stead, and in either event, I direct that my said personal representative be excused from posting bond or other security for the faithful performance of their duties, in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 10th day of ~~ ; ~~ September 2010. Helen B. Kirkman "" `~ ~~~„ .f Signed, sealed, published and declared by the above-named, HELEN B. KIRICMAN, as and for her Last Will and Testament dated September 10, 2010, in the presence of us who have subscribed our names as witnesses, at her request, in her presence and in the presence of each other. -2- ~~~ iu~a~~~~ ~~~ ~0~'1`l~l