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HomeMy WebLinkAbout12-16-11'~ RE`s -1500 EX (°'-'°' PA Department of Revenue Bureau ot` Individual Taxes PO BOX 280601 1505610140 OFFICIAL USE ONLY County Code Year File Number INHERITANCE TAX RETURN 2 1 1 1 0 1 8 3 RESIDENT DECEDENT ENTER DECEDENT INFOF~MATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth IMMDDYYYY 181 32 51,681 0 1162011 09081942 Decedent's Last Name I Suffix Decedent's First Name MI VACON DI~'~, OS CHARLOTTE A (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name ', Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ^X 1. Original Return ~ 2. Supplemental Retum ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) QX 6. Decedent Died Te tate ~ 7. Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes (Attach Copy of ill) (Attach Copy of Trust) 9. Litigation Proceed Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number J I L L M', WI NEKA, ESQUI RE 71 7 234 4~~78 First line of address 1 7 1 9 N O R T H Second line of address City or Post Office HARRI SB URG State ZIP Code L. PA 1 7 1 0 2 ~ ~ ~ x, - ~ LLS USE ~SNLY { L ~ T i~ i_ ...) ,, a '~ I Y _ __ +.J ~.. _ .. --? ~ ; --i '*~' iF' y % `.~~ DATE FILED _.._ Correspondent's a-mail a dress: jWlflek8~pkh.C01T1 Under penalties of perjury, I deG re that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belie) it is true, correct and complete. D claration of pn:parer other than the personal representative is based on all information of which preparer has any knowledge. SIGN~TU E OF PERSON RES NSIBL FO FILING RETURN DAT ADDRESS Clarence Nicholso 1600 Chatham Road Cam Hill PA 17011 SI A UR F PAR R O ER T N FtEPRESENTATNE DATE ~ ADD SS Jill . Wineka, 171 N. Front Street Harrisbur PA 17102 ~ PLEASE USE ORIGINAL FORM ONLY ~ Side 1 15056] 0140 1505610140 J FRONT S T R E E T 1505610240 REV-1500 ~X Decedent's Social Security Number Decedent's Name: C~-IARLOTTE A. VACONDIOS 1 8 1 3 2 5 6 8 1 RECAPITULATION 1. Real Estate (Schedul ~ A) ........................................... 1. 1 5 1 8 0 0. 0 0 2. Stocks and Bonds (S hedule B) ...................................... 2. 3. Closely Held Corpora ion, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages and Notes Receivable (Schedule D) .......................... 4. 5. Cash, Bank Deposits l and Miscellaneous Personal Property (Schedule E)....... 5. 7 2 1 4 9 6. Jointly Owned Prope (Schedule F) ^ Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers (Schedule G) & Miscellaneous Ng~Probate Property S ~ u eparate Billing Requested ....... 7. • 8. Total Gross Assets ktotal Lines 1 through 7) ........................... 8. 1 5 2 5 2 1 4 9 9. Funeral Expenses an~l Administrative Costs (Schedule H) .................. 9. 10. Debts of Decedent, I~lortgage Liabilities, and Liens (Schedule I) ............. 10. 11. Total Deductions (total Lines 9 and 10) ............................... 11. 12. Net Value of Estate Line 8 minus Line 11) ............................ 12. 13. Charitable and Gove mental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ...................... 13. 14. Net Value Subject t Tax (Line 12 minus Line 13) ...................... 14. TAX CALCULATION - SE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 t able at the spousal tax rat , or transfers under Sec. 116 (a)(1.2) X .0 _ 16. Amount of Line 14 to able at lineal rate X .0 17. Amount of Line 14 ta~ able at sibling rate X .12 I 18. Amount of Line 14 ta~ able at collateral rate X .1 0.0 0 0.0 0 0.0 0 - 5 2 7 4 7.9 0 15. 16. 17. 18. 19. TAX DUE ........'',,. .............................................19. 20. FILL IN THE OVAL 1~ YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~I L 1505610240 - - - ~_ 1 6 5 2 0. 6 1 1 8 8 7 4 8. 7 8 2 0 5 2 6 9. 3 9 - 5 2 7 4 7. 9 0 - 5 2 7 4 7. 9 0 Side 2 0. 0 0 0. 0 0 0. 0 0 0. 0 0 0. 0 0 1505610240 REV-1500 EX Page 3 Decedent's Complete Address: File Number 2 1 11 0183 DECEDENTS NAME CHARLOTTE A,. VACONDI05 STREET ADDRESS 212 S. LOCUST STREET CITY CAMP HILL STATE PA ZIP 17011 Tax Payments and Credits: t • Tax Due (Page 2, Line 19) ~, 2. Credits/Payments ', A. Prior Payments '~ B. Discount 3. Interest ', 4. If Line 2 is greater than Line 1 + Lin 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Pag~ 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Lin 2, enter the difference. This is the TAX DUE. (1) 0.00 Total Credits (A + B) (2) 0.00 (3) (4) (5) 0.00 0.00 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER tHE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent mak a transfer and: Yes No a. retain the use r income of the property transferred : ...................................................................... ^ Q b. retain the right o designate who shall use the property transferred or its income; ............................... ^ X^ c. retain a reversi nary interest; or ................................................................................................ ^ d. receive the pro ise for life of either payments, benefits or care? ....................................................... ^ X^ 2. If death occurred er December 12,1982, did decedent transfer property within one year of death without receiving a equate consideration? ............................................................................. ^ 0 3. Did decedent own n "in trust for' or payable-upon~eath bank account or security at his or her death? ......... ^ X^ 4. Did decedent own n individual retirement account, annuity or other non-probate property, which contains a benefia ry designation? ................................................................................................... ^ 0 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, 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan.1, [72 P.S. §9116 (a) (1.1) (ii)]. The statt filing a tax return are still applicable e~ For dates of death on or after July 1, ; • The tax rate imposed on the net va adoptive parent or a stepparent of • The tax rate imposed on the net va 72 P.S. §9116(1.2) [72 P.S. §9116 • The tax rate imposed on the net va Section 9102, as an individual who and before Jan.1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse 995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent :e does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and sn if the surviving spouse is the only beneficiary. of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an child is 0 percent [72 P.S. §9116(a)(1.2)]. of transfers to or for the use of the decedent's lineal benefiaaries is 4.5 percent, except as noted in 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, undo at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (01-10) Pennsylvania ~ SCHEDULE A DEPARTINENT OF REVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ', ESTATE OF: FILE NUMBER: CHARLOTTE A. VACONDIO 2.: 11 0183 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 filling buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real roperty 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 In clude a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. 212 S. Locust S reet, Camp Hill, Cumberland County, PA 17011. 151,800.00 Parcel ID# 13-2 -0797-188. (See attached Deed dated December 22, 2005 and recorded Dece ber 28, 2005 in Book 272, Page 2563 showing Decedent was the sole owner of the pr perry. Also see attached Cumberland County Tax Assessment documents sho ing date of death value of real estate). ~~ I I ~~ TOTAL (Also enter on Line 1, Recapitulation.) S 151 800.00 If more space is needed, use additional sheets of paper of the same size. REV-1508 EX + (6-98) COMMONWEALTH OF PENNSYLVAINIA INHERITANCE TAX RETURN it RESIDENT DECEDENT ESTATE OF SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER CHARLOTTE A. VACONDIO~ 2.1 11 0183 '.. muuuc uic Niwccua ~i nuycu~rvmiu me uaic uic piwocua r.cic icw~rcu u, u~c wuuc. All property jointly-owned with right of survivorship must be discbsed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. State Farm Ins rance & Casualty Co. -refund of hazard insurance 121.49 2. Misc. personal i ~i II ~I ~~ I VIII i I i I I II roperty 600.00 I! TOTAL (Also enter on line 5, Recapitulation) S 721.49 ~ ~ (If more space is needed, insert additional sheets of the same size) i - - -- ~ REV-1511 Ex+ (10-09) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDEN"r DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF ' FILE NUMBER CHARLOTTE A. VACONDIO$ 2~ 11 0183 ', Decedents debts must be reported on Schedule I. ITEM 'i NUMBER I DESCRIPTION AMOUNT A. 1. B. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. FUNERALEXPENS~S: Neill Funeral H me -funeral services ADMINISTRATIVE OSTS: Personal Repres ntative Commissions: Name(s) f Personal RepresentatNe(s) SUeet Address City _ State ZIP Year(s) C mmission Paid: Atromey Fees: Purcell, Krug & Haller Family Exemption: (f decedents address is not the same as claimants, attach explanation.) Claimant Street Ad ress City State ZIP 6, 964.62 8, 595.00 Relations ip of Claimant to Decedent Probate Fees: Re ister of Wills of Cumberland County 260.00 Accountant Fees: Samuel Thuma, CPA 100.00 Tax Retum Prepare Fees: Register of ills -JCS fee; automation fee; Will fee; Short Certificate 67.50 Cumberland aw Journal -advertising of Estate 75.00 The Sentinel -advertising of Estate 219.40 Register of ills -fee to file PA Inheritance Tax Return 15.00 Mileage ~~ 155.40 Postage 68.69 I~! TOTAL (Also enter on Line 9, Recapitulation) I S ,, ~ ~,,,, ~,, If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+ (12-08) pennsylvania DEPART~AENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER CHARLOTTE A. VACONDIO 21 11 0183 Report debts incurred by a decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Capital Manage ent Services, LP - CitiFinancial, Acct. No. 5,060.26 xxxxxxxxxxx13 8 -personal loan 2. RBS Citizens - itizens Automobile Finance, Inc. Acct. No. 2725006031 - 3,015.85 balance due on ar loan after car repossessed prior to Decedent's death and sold 3. CCS Financial ~ ystems -West Shore EMS-ALS ambulance bill Acct. No. 1019941A 1,001.62 4. Community Life ~I, Team EMS -ambulance bill Acct. No. 1013995 61.00 5. Eastern Accoun} Systems of Connecticut, Inc. - Comcast Acct. No. -cable 501.96 service 6. PinnacleHealth i Fled Svcs Acct. No. 13042770 -medical services 27.84 7. Physicians of Re habilitation, Industrial & Spine Medicine, PC Acct. No. -medical 27.32 services 8. Holy Spirit Hosp ~tal Acct. No. 38221388 -hospital bill 5,052.00 9. I Cardiology Diag nostic, LLC Chart No. VACCH000 -medical services 5.49 10. Summit Locksm th -locksmith services and NSF fee incurred prior to 99.50 Decedent's deat 11. West Shore EM I -BLS Call No. 210882W -ambulance transport bill 66.93 12. Lower Allen Tov ~ l~ nshi Acct. No. 10 17 - - p 5 70 0 sewer/refuse b111 336.45 13. UGI Acct. No. 2 I 8720628951 20050524 -gas service 1,010.28 14. PPL Acct. No. 8 I I 370-74012 -electric service 340.93 15. Verizon Wireles Acct. No. 319540275-00001 -cell phone service 119.10 I' TOTAL (Also enter on Line 10, Recapitulation) ,~ _ •--- 5 188 748.78 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8~ LIENS u mwc aya~.c is necucu, risen auuiuunai sneeze of uie same size. ___ Continuation of REV-1500 Inheritance Tax Return Resident Decedent CHARLOTTE A. VACONDIOS 2'1 11 0183 Decedent's Name Page 1 File Number Schedule I -Debts of Decedent, Mortgage Liabilities, ~ Liens ITEM NUMBER DESCRIPTION AMOUNT 16. Verizon Acct. N .717-763-4857-831-01Y -land line phone/internet service 692.48 17. Verizon Acct. N~. 717-763-4857-833-66Y -digital TV service 596.99 18, Wells Fargo Cad Services Acct. No. xxxx xxxx xxxx 4898 -Visa credit card 6,329.39 19. Statewide Tax f~ecovery - 2010 West Shore School District Acct. No. 10036456 - 36.00 per capita tax 20. Bonnie K. Miller) Treasurer - 2011 West Shore School District Acct. No. 10036456 - 9.80 per capita tax 21. Pinnacle HealthEmergency Acct. No. 1022068 -medical services 43.98 22. Bonnie K. Mille, Treasurer - 2011 County real estate taxes 645.61 23. State Employee' Retirement System -refund of overpayment 303.67 24. Bonnie K. Miller Treasurer - 2011 School real estate taxes ~, 1,286.39 25. PSECU -Acct. t~lo. 13911 Visa loan 1,601.49 26. DCM Services/~itibank -Mastercard 1,750.24 27. CitiMortgage - d linquent Mortgage on real estate -amount of in rem judgment 158,722.31 entered in Mort age Foreclosure action. See attached Praecipe for in rem judgment and a sessment of damages. 28. M&T Bank Che king Acct. No. 83045449. See letter dated 3/7/11 from M&T Bank 3.90 providing date o death value. ~~i SUBTOTAL SCHEDULE I 172,022.25 GRAND TOTAL SCHEDULE I S 188,748.78 REV-1513 EX+ (01-10) pennsylvania ~ SCHEDULE J DEPARTHIENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT' DECEDENT ESTATE OF: ', FILE NUMBER: CHARLOTTE A. VACONDIO$ 21 11 0183 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADD ESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTION [Indude outr' ht spousal distributions and transfers under - Sec. 911 6 (a) (1.2).] 1. Valerie Nicholson I Collateral 1702 Eland Downe ~ 1/2 of residuary Phoenixville, PA 19 60 2. Clarence Nicholson Collateral 1600 Chatham Roa 1/2 of residuary Camp Hill, PA I i I IC I ~i I I i ENTER DOLLAR AMOUN S FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 HROUGH 18 OF REV-1500 COVER S EET, AS APPROPRIATE. II. NON-TAXABLE DISTRIB TIONS: 1. A. SPOUSAL DISTRIBUTI NS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: I . it I B. CHARITABLE AND GO'~ERNMENTAL DISTRIBUTIONS: ~~ ail I ~I TOTAL OF PART II - E TER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ It more space is needed, use additional sheets of paper of the same size. IN RE: IN THE COURT OF COMMON PLEAS CUMBERLAND CO., PENNSYLVANIA ESTATE OF CHf~RLOTTE A. VACONDIOS, :ORPHANS' COURT DIVISION DECEASED NO. 21 11 0183 TABLE OF CONTENTS 1. Last Will ~nd Testament of Charlotte A. Vacondios dated May 1, 2007. 2. Deed dat d December 22, 2005, recorded December 28, 2005, in Book 272, Page 2563 from Cha lotte A. Vacondios, Executrix for the Estate of Shirley L. Freedman, Deceased to Charlo a A. Vacondios. 3. Cumberland County Tax Assessment documents showing date of death value of real estate. ~~ 4. Letter dat d March 7, 2011 from M&T Bank documenting negative date of death value on Deced nt's Checking Account. 5. Praecipe ~or in rem Judgment and assessment of damages filed by CitiMortgage, Inc. in mortgage oreclosure action against Estate. LAST WILL AND TESTAMENT OF CHARLOTTE A. VACONDIOS I, CHARLOTTE A. VACONDIOS, of Camp Hill, Cumberland County, Pennsylva- nia, decla~`e this to be my Last Will and Testament, and revoke any and all Wills and Codicils previously) made by me. 1: I direct that all my just debts and funeral expenses, including my and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease, as a part of the expense of the administration of my estate. IT M II: All federal, state and other death taxes payable because of my death witf~ respect to the property forming my gross estate for tax purposes, whether or not passing udder this Will, including any interest or penalty imposed in connection with such tax, shall be considered a part of the expense of the administration of my estate and shall be paid out of the residue of my estate, without apportionment or right of reimbursement. I give, devise and bequeath all the rest, residue and remainder of my Estate' of every nature and wheresoever situate to be divided equally between my friends, VALERIE NICHOLSON of Phoenixville, Pennsylvania and CLARENCE NICHOLSON of Camp Hill, Pennsylvania, on the condition that the beneficiary survive me by thirty days. In the event either person named in Item III fails to survive me by thirty day, then I give, devise and bequeath the deceased beneficiary's one-half share to my friend, KAREN WALKER of Etters, Pennsylvania. ITEM V: I appoint my friend, CLARENCE NICHOLSON to serve as Executor ~f this my Last Will and Testament. In the event my friend, CLARENCE NICHOLSON predecea es me or is unable to serve in the capacity as Executor, I then appoint my friend, KAREN ALKER to serve as Executrix. EM VI: I direct that no Executor or Executrix be required to post bond or ~r security in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ sT of ~ /Q=UID , 2007. ~. EAL) CHARLOTTE A. ACONDIOS T e preceding instrument, consisting of this and one other typewritten page, was, on the date ther of signed, published and declared by Charlotte A. Vacondios, the Testatrix therein named, a and for her Last Will, in the presence of us, who, at her request, in her presence, and in the pre ence of each other; have subscribed our names as witnesses hereto. -~C? /~ residing at residing at ~~~2'~~7 ~~ z (COMMONWEALTH OF PENNSYLVANIA COUNTY pF DAUPHIN ss: CHARLOTTE A. VACONDIOS, ~- 1I ~~ WI n~~~ and ~t~`i~l a ~ ~7`/~s'~~~ the Testatrix and the witnesses, respectiveNy, whose names are signed to the attached or foregoing instrument, being first duly sworn, dol,hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will, and that she had signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence ~nd hearing of the Testatrix, signed the Will as witnesses 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. ~~ < . CHARLOTTE A. VACONDIOS Wit ss ' ~~ ~ - fitness Sujbscribed, sworn to and acknowledged before rme by Ch'a/rlJotte A. Vacondios, the Tefstalltrix, ~ nd s/~scrib and sworn to before me by of t` ~ 1 ~- W i n cf'C -` and j/L(G~! L~ f7i ~S~c,~- ,witnesses, this ~ day of , 2007. r' ~ _ `~ Notary Public COMMONWEALTH OF PENNSYLVMNA NOTAR'WL SEAL BARBARA A. SHADEL, Natarl- Public Cf1y of Hsrri~urR, Daupi~ Couahr fir Commission Expires iNeirdi 23, 2Q1 __ ~ -. ~;~~ c~~U ~a ~r~~ ~~ ~s EXECUTRIX DEED N~ THIS INDENTURE, made this ~~ day of f' ~ t'YYI ~ f 1~ , 2005, between CHARLO E A. VACONDIOS, EXECUTRIX FOR THE ESTATE OF SHIRLEY L. FREEDM ,DECEASED, late of Lower Allen Township, Cumberland County, Pennsylvania, party oft e first part, Grantor AND CHARLOTTE A. VACONDIOS, single woman, of Lower Allen Township, Cumberland County, ennsylvania, party of the second part, Grantee VdITNE~SETH: ,the said Shirley L. Freedman, became in her lifetime seized, of and in certain tracts and parcels of land lying and being in Lower Allen Township, Cumberland County, Pennsylvania, which are more particularly descri ed hereafter. Shirley L. Freedman became the sole owner of the property when Zelma M. Freedman, the joi t tenant with right of survivorship died intestate on April 18, 1995. Being so thereof seized, Shirley L. Freed an, died testate on May 13, 2005. Letters Testamentary for the Estate of Shirley L. Freedman were d ly issued to Charlotte A. Vacondios by the Register of Wills of Cumberland County on June 28, 2005 to Estat~ No. 2005-00585. NOW THIS INDENTURE WITNESSETH, that the said Grantor, for and in consideration of the sum of ONE DOLLAR ($1.00) DOLLAR to her in hand paid by the said Grantee at or before the sealing and delivery hereof, receipt whereof is hereby acknowledged, has granted, bargained, sold, aliened, released and confirmed, and by~ these presents does grant, bargain, sell, alien, release and confirm unto the said Grantee, her heirs and ass~gns, LL that certain tract or parcel of land and premises, situate, lying and being in the Township of Lower Allen, in the County of Cumberland and Commonwealth of Pennsylvania, more pa icularly set forth on Plan of "Cumberland Park" recorded in Plan Book 4, Page 86, Cumber) nd County Records, and being Lot No. 64 on said plan, bounded and described as follows, t wit: EGINNING at the intersection of the Southwesterly side of Locust Street (60 feet wide) wit the northwesterly side of Allen Road (formerly Avenue "R") (40 feet wide); thence along th northwesterly side of Allen Road (formerly Avenue "R") South fifty-eight (58) degrees hirty (30) minutes West one hundred thirty-four and eighty-five one-hundredths (134.85) eet to a point; thence along part of Lot No. 63 North thirty-one (31) degrees thirty (30) min tes West ninety-one and twenty-seven one-hundredths (91.27) feet to a point; thence al ng Lot No. 65 North sixty-seven (67) degrees ten (10) minutes East one hundred forty-sev n and six one-hundredths (147.06) feet to a point on the southwe terly side of $OUKF-~'~~ 6~~f~~ Locust Street; thence along the said side of Locust Street South twenty-two (22) degrees fifty (50) minu~es East sixty-nine and sixty-one one-hundredths (69.61) feet to the first mentioned point and place of BEGINNING. BEING house known and numbered as 212 Locust Street. EING the same premises which Joseph W. Sheva and Edith M. Sheva, husband and wife, by their Deed dated April 27, 1990 and recorded May 3, 1990 in Cumberland County D ed Book N 34, Page 949, granted and conveyed title unto Zelma M. Freedman and Shirley L. reedman, Joint Tenants with Right of Survivorship. The said Zelma M. Freedman died inte tate on April 18, 1995, whereby title vested solely in the name of Shirley L. Freedma .The said Shirley L. Freedman died testate on May 13, 2005 and Charlotte A. Vacondio was appointed Executrix for the Estate, docketed to No. 2005-00585 by the Register f Wills of Cumberland County. T IS transfer is one-fifth tax exempt because the transfer is being made in complian a with the Will of Shirley L. Friedman, deceased and the Grantee is one of five living ben ficiaries identified in the Decedent's Will. T IS transfer is also being made to extinguish the life estate previously devised by the Will f Shirley L. Freedman to Charlotte A. Vacondios who, by Family Settlement Agreeme t with the other four living beneficiaries, have decided to transfer fee simple title to Charlo e A. Vacondios. TOGETHER with all and singular, the buildings, improvements, ways, streets, alleys, passages, waters, water-cou~ses, rights, liberties, privileges, hereditaments and appurtenances whatsoever, thereunto belonging or in an~ wise appertaining and the reversions and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, property, claim and demand whatsoever of her, the said Shirley L. Freedman, at and immediately before the time of her decease, in law, equity, or otherwise howsoever, of, in, to or out of the same. TO HAVE AND TO HOLD the said lot or piece of ground above described, with the buildings and improvements the~eon erected, hereditaments and premises hereby granted or mentioned, and intended so to be, with the ap urtenances, unto the said Grantee, her heirs and assigns, to and for the only proper use and behoof of the aid Grantee, her heirs and assigns, forever. AND, the aid Grantor, does covenant, promise and agree to and with the said Grantee, her heirs and assigns, that they, Ithe said Grantor, has not heretofore done, committed or knowingly or willingly suffered to be done or commuted any act, matter or thing whatsoever whereby the premises hereby granted, or any part hereof, is, are, sh~ll or may be impeached, charged, or encumbered in title, charge, estate of otherwise howsoever. 2 ~vo~x ~'~~ ~~~f~.~~-4 IN WITNESS WHEREOF, the said Grantor has hereunto set her hand and seal in her fiduciary capacity as aforesaid, the day and year first above written. WITNESS: / ~ ~~ ~ J .-~ -~ L- -~,.~ Charlotte A. Vacondios, Executrix for the Estate / , ~~ of Shirley L. Freedman .l_~_c~ 4 ,. ... ~.__~ .._.=r. h;,4a ._,~t: `r`ye? :... r'!~^3 . sin 'y.>°: ti.CL` vTri`•~. ~ _~l. r. .fF ~~~i ..=~a_i~ Vaa- _ 3 -~~~~~ ~~ ~~a~ STATE OF PENNSYLVANIA COIUNTY OF ~~UPI-!/l~/ } ss: On this, ~he o~~ =day of _ ~L"-"-Zt.rY-/3L-:2 , 2005, before me, a Notary Public, the undersigned offic r, personally appeared Charlotte A. Vacondios, Executrix for the Estate of Shirley L. Freedman, known to me (or satisfactorily proven) to be the person described in the foregoing instrument, and acknowledged th t she executed the same in the capacity therein stated and for the purposes thereon contained. IN WITN~SS WHEREOF, I hereunto set my hand and official seal (SEAL) ~~ NOTARIAL SE4L BAPE~,ip;~ ;~. SHABEL, Piotery Public City ri' ~ psrrisburg, BaupfEin County ~y C~r~r:.~rti~~sion Expires Priarch i9, 20J7 p My commission expires: • I HEREBI~' CERTIFY the precise residence of the within named Grantee to be: 212 South Locust Street Camp Hill, PA 17011 ~f• ill M. Wineka, Esquire _ _ ~ ~ :; L.:UltiiJt;li~it~l ~,Otli '•J ~''~= r N . .•.. .- ') F.' ~~ --- £~.~c.c~:-der of Deeds BOOK ;~~`~~" ~ HGE;~~ss TaxDB Result Details Detailed Results for Parcel 13-24-0797-188. in the 2010 Tax Assessment Database DistrictNo 13 Parcel ID 13- 4-0797-188. MapSuffix 1 HouseNo 212 !, Direction S 1 Street LO UST STREET Ownerl VA ONDIOS, CHARLOTTE A C/O PropType R PropDesc & LEN ROAD LivArea 147 CurLandVal 334 0 CurImpVal 1.18 00 CurTotVal 151 00 CurPrefVal ~1 Acreage .26 CIGrnStat TaxEx 1 SaleAmt 1 SaleMo 12 SaleDa 28 SaleCe 20 SaleYr OS DeedBkPage 002 2-02563 YearBlt 195 HF File Date 02/0 /2006 HF Approval_Status A http://taxdb.ccpa.net/deta~ls.asp?id=13-24-0797-188.&dbselect=l -_ - _ _ ~ __ Page 1 of 1 12/6/2011 Old Courthouse, First Floor One Cc-urthause Square Carlisle, PA 17013 130028.SO-2A-13552 ~n~~~~nt~~~nnn~~n~~~~~~~~~nt~i~~tu~~~n~i~~n~~~n~~~~ 1932 VACONDIOS, C TTE A T6 P1 212 LOCUST STREE CAMP HILL, PA 1 011-6765 _.. r - _ -- - -- - -- - -- -- _. Deadline for Scheduling an Informal Review Appointment: sane 14, 2010 For details, please see the reverse side. The Cumberland County Board of Assessment Appeals is providing you with notice of the value on this property, determined as a result o the Cumberland County countywide reassessment completed this year. The countywide reassessment values eac property at current Fair Markaf Value, as of January 1, 2010, equalizing and establishing a uniform tax base so that pr perties of like characteristics and the same actual Fair Market Value will be taxed the same. MAILING DATE: May 3, 2 10 Muaic.: 13 - LOWER TOWNSHIP School: 9 -- WEST SHORE SD Location: 212 S LOCIIST STREET Sc ALLEN ROAD CDMBERS AND PARx LOT 64 PR 4 PG 86 Taxable Property Unit/Lot ID: L-0064 ' Land Size: ..26 acres Property Type: R Resideatial('Uader SO Acr~s) I Homestead Approved^ - -" --- FORMAL APPEAL DEADLINE: _ _Jtisie 14 , 2 010 Parcel Identifier: 13-24-0797-188. 2010 Base Year Assessed Value Old Assessed Value Fair Market Value (2010 Market x 100%} (2004 Market} Land 33,400 33,400 29,350 Buildings 118, 400 118, 400 85,110 TOTAL 151,800 151,800 114,460 2010 Clean and Green Values Land NOT NOT NOT Buildings APPLICABLE APPLICABLE APPLICABLE TOTAL Cleart and Green values apply to qualified .farm and forest land and become effective. only :upon application and :approval. Clean and. Green applications must be received ' -by the-fassessment-9~t'rce=nc-tateFtMe~-4:30 p:m:-on-October ~5, 2010. Those_ previously approved for Clean and Green do not need to re-apply. • f • ~ • The ESTIMATED impact s atement printed below is our best estimate of change, based on 2010 COUNTY tax figures. THIS ESTIMATE DOES NC~T INCLUDE ANY BOROUGH, TOWNSHIP, OR SCHOOL DISTRICT IMPACT. ', Current 2010 County mills = 2.579 Adjusted 2010 County mills = 2.074 295 201000UNTY Tax..BEFORE Reassessment. 315 2010 (COUNTY Tax- AFTER Reassessment. ~~ (see reverse side} ~' ~1~uX1' ~~~~A.i1.il 499 N[itchell Road, Millsboro, DE 19966 Adjustment Services Purcell, Krug a>~d Haller 1719 North Froi~lt Street Harrisburg, PA 17102-2392 Estate of Charlotte A Vacondios Social Security: 181-32-5681 Date of Death: January 16 2011 Phone 888-502-4349 F ax (302) 934-2955 March 7, 2011 Dear Sir or Mada Per your inquiry o February 28, 2011, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of ~ Account (Names o, fl Opening Date Balance o I Date of Death Accrued 1 terest Total Checking Account 83045449 Charlotte A Vacondios OS/19~8 $3.90- $ .00 $3.90- For further account information, dosures and/or reimbursement of funds please call the Harrisburg Main Office at #717-255-2070. We were unable to locat~ any safe deposit box for the above-mentioned decedent This letter does not indu~e any amounts in which the deceased may hate been listed as Power of Attorney, Ctirstodian of Uniform Transfers, Represenffitive Payee, or rustee ands a Written Agreement Sincerely, Tammy Spencer ', Adjustment Service PHELAN HALI~INAN & SCHMIEG, LLP BY: SHEETAL IEZ. SHAH-JANI, ESQUIRE Identification Nd. 81760 1617 JFK BouleNard, Suite 1400 One: Penn Cente Plaza Philadelphia, PA~ 19103 215-563-7000 CitiMortgage, c. 5280 Corporat Drive MS1011 Frederick, MD 21703 v. Clarence Nich lson, in his capacity as Executor of the Estate of Charlotte A. Vacondios ' 1600 Chatman oad C~unp Hill, PA 17011 Valerie Nichol on, in her capacity as Devisee of the state of Charlotte A. Vacondios 1702 Eland Do~wne Phoenixville, PIA 19460 Attorney for Plaintiff Court of Common Pleas Civil Division Cumberland County No. 11-4568 Civil ', PRAECIPE FOR IN REM JUDGMENT ' AND ASSESSMENT OF DAMAGES TO THE PROTHONOTARY: Ki;ldly enter an in rem judgment in favor of the Plaintiff and against, Defendant Clarence Nicholson, pur~uant to the attached Consent Judgment, and foreclosure and sale of the mortgaged premises, kindly assess Plaintiff's damages against Clarence Nicholson, as follows: As set f rth in Complaint & order of court $155,362.04 Interest - 03/01/2011 to 07/19/2011 $3,360.27 TOTAL $155,722.31 ' ~ DATE: / ', Sheetal R. Shah- ', E q., Id. No. 81760 ~, Attorney for Plainti 266109 LAW OFFICES Purcell, Krug ~ Haller HOWARD B.KRUG 1719 NORTH FRONT STREET LEON P.HALLER HARRISBURG, PENNSYLVANIA 1 7 1 02-23 92 HERSHEY JOHN W.PURCELLJR. j TELEPHONE (717) 234_4178 (717) 533-3836 JILL M. WINEKA ~, FAx (717) 783-4939 LISA A. RYNARD ~ JOHN W. PURCELL(1924-2009) I I JOSEPH NISSLEY (1910-1962) December 15, 2011 n _ . Register of Wills ' '~R °° Cumberland County ourt House `' One Courthouse Squ re ~ ~~ `x' ~' _ Carlisle, PA 17013 ~ '-~' `~ t 7 ~" -. -~ <~ ~: - .., Re: Estate f Charlotte A. Vacondios ?~ ~.~ ` . ~ No. 2111 0183 ~ Dear Register of Wills: Enclosed for fil ng, please find two originals and two with the Table of Cont nts, m the above-captioned Estate. Also enclosed sea check nxthe amount of $15.00, payable to the Register of Wills, in payment of the filing fee. Please return two date-stamped copies of the Retum to Ime in the enclosed stamped, self-addressed envelope„ Thank you. II, Sincerely, ~+ I M. 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