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HomeMy WebLinkAbout03-29-12- ~ 2505611,188 REV-1500 EX (02-11)(FI) °`" pennsytvania OFFICIAL USE ONLY PA Department of Revenue °C'"'"r9t "`"""~^ County Code Year File Number Bureau of lndividual7axes INHERITANCE TAX RETURN Po sox zaoeol Harrisburg, PA 17128-0807 RESIDENT DECEDENT 2 ], 11 ^ 0 8 6 ENTER DECEDENT INFORMATION BELOW '~ Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY ~' 170 26 9345 01 08 2011 03 18 1931 Decedent's Last Name Suffix Decedent's First Name MI i Lahnstein Mildred L ~ (If Applicable} Enter Surviving Spouse's Information Below i Spouse's Last Name Suffix Spouse's Frst Name MI I ~ , 'I spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE ,~ REGISTER OF WILLS FILL !N APPROPRIATE OVALS BELOW ~ 7. Original Retum O 2. Supplemental Retum Q 3. Remainder Retum (Date of Death ~ Prior to 72-73-82) C7 4. Limited Estate O 4a Future Interest Compromise (date of i~ 5. Federal Estate Tax Retum Required death afteri2-12-82) ~ 6. Decedent Died Testate Q 7. Decedent Maintained a Livirtg Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) { Q 9. Litigation Proceeds Received D 10. Spousal Poverty Credit (Date of Death p ~~. Election to Tax under Sec. 9713(A) Between 72-31-97 and 7-7-85} (Attach Schedule O} CORRESPONDENT -This section must be completed. All Correspondence and Confidential Tax Information Should be Directed to: Name Daytime Telephone Number Robert C• Saidis, Esquire 717 243 6222 _ Frst Line of Address ~ Saidis, Sullivan & Rogers Second Line of Address 26 W• High Street City or Post Office State ZIP Code Carlisle PA 1701,3 REGISTE'$IS~LLSUSE@NJtY _1 ~ ~J t 'J 7'~-~t1 r`~~>> Gri ~ l.~J -y f~~ ~.I X74_. r ... . A~~ --t -- ~lriTE FILED r. ~~ `7 f, . Correspondents e-mail address: rSaldlS ,ssr-attorneys.com Und®r penaltiesot rjury,Idec{arathatlhaveaxaminedthisreturn,includingaccompanyingschedulasandstatamcnts,andtothebestofmyknowledgeandbelief, i it is true, carrect~complete. Declaration of the praparer otharthan personal representative is based on all information of which preparer has any knowledge. KiFO FA. N RESPONSI wFOR FILING RETURN DATE Dillsburg, PA 1 Carli , PA 1505611188 d PLEASE USE ORIGINAL FORM ONLY Side 1 "1505611188 ~l7 -r. r-T-~ C _) . -: A 1505611288 Rev-1500 EX (FI) Decedent's Social Security Number Decedent's Name: Mildred L Lahnstein 170 26 9345 RECAPITULATION 12 4 , 9 O O • 0 0 1. Real Estate (Schedule A) .. • • • • • • • • ............................... 1. 2. Stocks and Bonds (Schedule B) .................................... 2. 0 • 0 0 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) • . • .. • 3. 0 • O 0 4. Mortgages and Notes Receivable (Schedule D) .. • • • • • • • • • • • • • • • • • • • • • • • 4. O ' O 0 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) • • • . • • • 5. 7 6 , 8 7 2 • 0 8 6. Jointly Owned Property (Schedule F) D Separate Billing Requested • • • • • • 6. 0 ' O 0 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property 1 O O • 7 2 (Schedule G) O Separate Billing Requested .. • • • • 7. 8. Total Gross Assets (total Lines 1 through 7) ............................ 8. 2 O 1, 8 7 2 • 8 0 41,17 3 • 8 9 9. .................. Funeral Expenses and Administrative Costs (Schedule H) 9. 1, O O 3 • 21 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 10. 11. Total Deductions (total Lines 9 and 10) • ............................. 11. 4 2 , 17 7 • 10 159,695.70 12. Net Value of Estate(LineBminusLinell)..••••••••••••••••••••••••••• 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 0 ' 0 0 an election to tax has not been made (Schedule J) . • • • • • • • • • • • • • • • • • • • • ~ • 13. 15 9 , 6 9 5 • 7 0 14. ....................... Net Value Subject to Tax (Line 12 minus Line 13) 1 a. TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 0 •00 0 • 00 (a)(1.2)x.oo 15. 16. Amount of Line 14 taxable 15 9 , 6 9 5 • 7 0 at lineal rate X .045 16, 7 ,18 6 • 31 17. Amount of Line 14 taxable 0• D O 0 •O O at sibling rate X .12 17. 18. Amount of Line 14 taxable 0 •0 0 0. 0 0 at collateral rate X .15 18 7 ,18 6 • 31 19. .................................................... TAX DUE 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~ Side 2 1505611288 1505611288 J Rev-1500 EX (FI) Page 3 Decedent's Complete Address: File Number 21 11 0086 DECEDENTS NAME Mildred L. Lahnstein STREET ADDRESS 654 Colonial View Road CITY Mechanicsbur STATE PA ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Prior Payments B. Discount (1) 7.186.31 7,400.00 342.10 Total Credits (A + B) (2) (3) 7, 742.10 0.00 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (4) 555.79 (5) Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: 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. retainareversionaryinterest ....................•••••••••••~•••••••••••••••••.• ^ 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 "intrust 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 containsabeneficiarydesignation? .•.••••••••••••••••••••••••••••••••••••~••~•~ ^ 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. Sect. 9116(a)(1.1)(i)J. 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. Sect. 9116(a)(1.1)(ii)]. The statue does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. Sect. 9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in [72 P.S. Sect. 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. Sect. 9116(a)(1.3)]. A sibling 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-1502 EX+(01-10) ~i`, Pennsylvania SCHEDULE A nE.VAk7M4; N'r 0f~ RfVi;.N1,1£- INHERITANCE TAX RETURN REAL ESTATE RESIDENTDECEDENT ESTATE OF: FILE NUMBER: Mildred L. Lahnstein 21 11 0086 All real property owned solely or as a tenant in common must be reported affair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyerand a willingseller,neither being compelled to buy or sell, both having reasonable knowledge of the relevanttacts. If more space is needed, insert additional sheets of the same size. REV-1508 EX+(~~-10) 5 i~ Pennsylvania SCHEDULE E Ot.NnPrra~;~r Or uE~i:n 4,E~. CASH, BANK DEPOSITS, & MISC. INHERITANCETAXRETURN PERSONAL PROPERTY RESIDENTDECEDENT ESTATE OF: FILE NUMBER: Mildred L. Lahnstein 21 11 0086 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Citizens Bank Checking Account 61007888407 33,917.58 Per 2/22/11 letter Interest on above item accrued as of decedent's death 2.45 2 Citizens Bank Checking Acct 6223713928 10,045.67 Per 2/22/11 Interest on above item accrued as of decedent's death 0.74 3 AmeriChoice Savings Account 13866 -0001 5,663.83 Per 02/15/2011 letter 4 AmeriChoice CD 13866-0063 5,482.39 Per 02/15/11 letter 5 Citizens Bank CD 6243927453 6,023.66 Per 2/22/11 Interest on above item accrued as of decedent's death 9.08 6 Citizens Bank CD 6249817250 5,127.62 Per 2/22/11 letter Interest on above item accrued as of decedent's death 2.83 7 Citizens Bank CD 6254631033 5,150.75 Per 2/22/11 letter Interest on above item accrued as of decedent's death 7.83 8 Misc. Household Items/Furniture 779.50 9 2001 Buick Sedan Century 3,980.00 Per kbb.com 10 AT&T Refund 33.65 11 The Patriot News Refund 107.00 12 AAA Central Penn Refund 37.50 Total from continuation Schedule(s) 500.00 TOTAL (Also enter on line 5, Recapitulation) I 76,872.08 If more space is needed, insert additional sheets of the same size Page 2 Estate of: Mildred L. Lahnstein 21 11 0086 Schedule E -Cash, Bank Deposits, and Misc. Personal Property Item Value at Date Number Description of Death 13 Property Tax/Rent Rebate 500.00 TOTAL. (Carry forward to main schedule) ...... 500.00 REV-1510 EX+(OB-09) Pennsylvania INHERITANCETAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Mildred L. Lahnstein 21 11 0086 r~._ __~_.,..~.. _..~, c.,,....M.,iosa ~n~ ff~ad ff the answertoanv of questions t through 4on page three of the REV-1500 is yes. If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+(10-09) Pennsylvania I)V:PAplnsE N'7 bf FE:V?N1.;4:. INH ERITANCE TAX RETURN RESIDENTDECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Mildred L. Lahnstein 21 11 0086 Decedent's debts must be reported on Schedule I. I ~E~M o I~FSCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 Malpezzi Funeral Home 2 Vivian Books, reimbursement for payment to Gateway of Heaven for grave opening B. ADMINISTRATIVE COSTS: ~. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address 2. 3. City State Zip Year(s) Commission Paid: Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant Street Address 4. 5. 6. City State Zip Relationship of Claimant to Decedent Probate Fees: Accountant Fees: Tax Return Preparer Fees: See schedule attached 9, 580.82 975.00 9,000.00 327.50 50.00 21,240.57 TOTAL (Also enter on Line 9, Recapitulation) I 41,173.89 If more space is needed, use additional sheets of paper of the same size. Page 2 Estate of: Mildred L. Lahnstein 21 11 0086 Schedule H, Part B -Administrative Costs Miscellaneous Expenses Item Number Description Amount 7 Saidis, Sullivan & Rogers, reserve for misc. out of pocket expenses 100.00 8 Cumberland County Register of Wills, filing fees 30.00 9 Cumberland County Register of Wills, additional probate fee 50.00 10 PPL 112.74 11 Colonial View Condo Association 288.00 12 Comcast ($113.99 - $89.48) 24.51 13 Saidis, Sullivan & Rogers, reimbursement for payment to Cumberland Law 75.00 Journal for legal advertising 14 United Water 10.86 15 PPL 103.00 16 York Waste Disposal 44.82 17 Colonial View Condo Association, May/June/July 2011 dues 288.00 18 Saidis, Sullivan & Rogers, out of pocket expenses 166.30 19 United Water PA 16.18 20 Upper Allen Township 112.00 21 Liberty Mutual 85.58 22 PPL Electric Utilities 103.00 23 United Water 10.49 24 Liberty Mutual 85.58 25 PPL 90.00 26 Comcast 61.99 27 United Water 10.49 28 Dennis Zerbe, Tax Collector, 2011 Per Capita Tax 5.00 TOTAL. (Carry forward to main schedule) ...... 1,873.54 Estate of: Mildred L. Lahnstein Schedule H, Part B -Administrative Costs Miscellaneous Expenses Item Number Description 29 Liberty Mutual 30 PPL 31 Comcast 32 United Water 33 York Waste Disposal 34 Upper Allen Township, sewer 35 Colonial View Condo Association 36 Liberty Mutual 37 PPL 38 Comcast 39 United Water 40 Haars Auction, commission for sale of household items 41 Liberty Mutual 42 PPL 43 United Water 44 Liberty Mutual 45 PPL 46 Carpet and installation 47 York Waste Disposal 48 United Water 49 Upper Allen Township Sewer 50 Liberty Mutual 51 Mt. Royal Furniture and Auction, Inc., commission TOTAL. (Carry forward to main schedule) ..... . Amount Page 3 21 11 0086 85.58 90.00 66.86 10.49 44.82 112.00 288.00 85.58 90.00 70.05 10.51 42.68 85.58 62.00 10.51 85.62 62.00 450.00 44.82 16.27 112.00 94.58 103.79 2,123.74 Estate of: Mildred L. Lahnstein Schedule H, Part B -Administrative Costs Miscellaneous Expenses Page 4 21 11 0086 Item Number Description Amount 52 PPL 13.34 53 United Water 10.28 54 Liberty Mutual 25.25 55 Haar's Auction, commission for sale of misc. household items 65.85 56 PPL 89.00 57 United Water 11.00 58 Liberty Mutual 25.25 59 PPL 89.00 60 York Waste Disposal 36.85 61 United Water 11.00 62 Colonial View Condo Association, Nov-Jan 288.00 63 Upper Allen Township 112.00 64 PPL 89.00 65 Liberty Mutual 25.25 66 United Water 11.00 67 PPL 11.00 68 Colonial View Condo Association 96.00 69 Haar's Auction, commission re: sale of household items 36.68 70 Expenses associated with sale of real estate 16,186.54 71 United Water 11.00 TOTAL. (Carry forward to main schedule) ...... 17,243.29 REV-1512 EX+(12-OS) Pennsylvania ~... i Of.PRF~I•~K'N~x 0#' WFV%. NU 3~.~. INHERITANCETAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF FILE NUMBER Mildred L. Lahnstein 21 11 0086 Report debts incurred by decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. If more space is needed, insert additional sheets of the same size. LAST WILL AND TESTAMENT OF MILDRED L. LAHNSTEIN S~,,J,DIS, ~VVER ~ LIl~~ S-~, 26 Wesr High 5treei Carlisle, PA I, Mildred L. Lahnstein, of Upper Allen Township, I Cumberland County, Pennsylvan,a, being of sound and dispos-1~g mind, memory and understanding, do hereby mate, publish and ~I declare this as and for my Last Will and 'l'est ament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST I direct the payment of my just debts and e}>penses of my las ss and funeral from my estate as soon of per my c`~`r_ a~ il~_ne conveniently may be done. I direct my body be interred in to Lahnstein family plot next to my husband, Francis R. Lahnstein, a the Cate of Heaven Cemetery, Mechanicsburg, penr~sylvania. Further, I authorize my personal representative to expen funds from my estate, in such amount as my personal representativ shall consider necessary and desirable for the purchase, erectio and inscription of a suitable mar}cer for my grave. ~ SECOrm I give, devise and bequeath all the rest, residue and remainder of my estate in equal shares unto my children, Vivian ~. Books, Marie L. Bumpass and Francis R. Lahnstein, II, pe=~ the event any bEneficiary of my estate is ~,~no.e, r'"~= st-rpes~ In 1 Initia aoe of eighteen (18) years, then said bequest shall be yield b-~~ J in the absence thereof, my his or her surviving parent or, }>ecutor, as Custodian pursuant to the Uniform Transfers to Minors Act. THIRD I direct treat any and all inheritance, estate, and tran:~fEr ~a~;_Ps ;mposed upon my estate passing under th;ls dill or otherwise shall be paid out of the principal cf my residua~~y estate. FOURTH SAIDIS, ~`~pWER ~ ~.,INDSAY A-RpRNEYS•AT•L1\V 2( Wese High S~reei Carlisle. PA In addition to the powers conferred by law, I authorize anyl personal representative, trustee or guardian acting under tries instrument, in their absolute discretion: A. To retain in the form received, or to sell either at public or private sale any real or personal property; fC,i ~r~ „^ ,r ,; , g Tc exercise any options to s~abscri e -- bonds, or other investments; C . To ~ oin in any p1.an of ~ ease, mortgage , i consolidation, exchange, reorganization or foreclosure of any corpoy~ation in which my estate or any trust may hold stocks, bonds or Other securities; ~ D. To sell, transfer, convey, mortgage, pledge, lease or exchange any property, real or personal, which at any time may form part of my estate, for the payment of debts 2 ~(iltla it I it I or ta,>es, or for any purpose of adm_n--istrat=on or ~ d-scribution, for such prices and upon sucr~ germs a~ rm.~ personal representative, in their sole discretion, may deem! ~ - and to e~>ecute and deliver deeds of conveyance or ~ w_se, I transfer thereof; I E. To make settlements and compromises on such terms as my personal representative in their sole discretion may ~ i I ,' he necessit of obtaining any court deem wise tilthout t y , I approval thereof; F. To make distribution hereunder either in cas:r, or kind, as my personal representative in their di Sc~""~~ °% ~`a`'' deem wise. FIFTH I do hereby nominate, constitute and appoint my daughter, Vivian Books, to act as Executrix of this my Last Will and Testament. Provided, however, that if Vivian Books is unwilling or unable to act as Executrix, I direct the duties of Executor to be performed by Francis R. Lahnstein, II. SIXTH SAID~IS, +~ ~- I direct that no personal representative, guar.ian, r'-~s'~e~ ~LpV~ER & LjNDSAY A77pRNElS•A7•IAH' 26 West High Street ca,i;SiE,t~A or other fiduciary appointed under this ~nstrament shall be required to give bond for the faithful performance of the=~ r duties in any jurisdiction. i 3 111111 IN WITNESS WHEREOF, I, Mildred L. Lahnstein, have hereunto set my hand and seal to this my Last hill and Testament, consisting of four typewritten pages, the first three of wh_~ch bear my initials in the margin for identification, this :~'~.. day'' of /J/~~,~, 2010. ~~ Mildred L. Lahnstein Signed, sealed, published and declared by the above-named SAIDIS, EWER ~: LINDSAY ATiDRA'EYS•AT•IAN' 2G Wesi High S~reec Carlisle, P;4 Mildred L. Lahnstein, Testatrix, as and for her Last Will and Testament in the presence of us, who have hereunto subscribed our names at her request as witnesses thereto, in the presence of said Testatrix and of each other. a \~~~~ ~~~ ~~ C~ ADDRESS 210 Market Street Camp~3 Hill, FA 17G~i ADDRESS 210 Market. Street Camp Hi11, PA 17011 4 COMMONWEALTH OF PENNSYLVANIA S~~ZS ~ ~'jAW~R Sz ~.~~5 A'f'I'p(tNF, YS.AT• IAN 26 Wesc High 5rree~ Carlis{e, PA COUNTY OF CUMBERLAND We, Mildred L. Lahnstein, ~~t~(e1 ~--Sul~wu/~ and ~,,~ ~n S~`~~ the Testatrix and witnesses, respectively whose names are signed to the foregoing or attached instrument, being first duly sworn, do hereby declare to the undersigned au~hority that the Testatrix signed and executed the instz~umen~- as her Last T~~ill and Testament and that she signed willingly acid that executed as her free and voluntary act fcr the purposes therein e~:pressed, and that each of the witnesses , i n the presence and hearing of the Testatrix signed the Will as witnesses and that to the best of their k_nowle:~ae the Testa`~~_>. was at the time eighteen (1~) or more years of age, cf so~~lnd mind and under no constraint or undue influence. /n , Mildred L. Lahnstein ~.~ ~ sv~ ~un~e~ ~. $~1~~d c~ ~jM'ltnesS ,!/~ Subscribed, sworn to and acknowledged before me by Mildred L. Lahnstein, the Testatrix, and subscribed to and sworn or affirmed to before me by ~~c~i.e\ L< ~'-~~~~ vain and ~~ ~~,~ 5.~~.-~ witnesses, this ~~{~lay of b`~o, %G1r; CAMMpNWEA1.TH~ Y~-VANIA Notarial Seal Yvonne Sersch, Notary Public Camp HIII Boro, Cumberland County My Commission Expires Feb.1 ~ 2012 IAernber, PennsyiveMa gssociatlon t~1o -~.~ `{b N to y Public `~~ COMRAJNW~AI.TH OF PEMt~lSYLVfWW Notarial Seal Yvonne Sersch, Notary Pubilc Camp Hill Boro, Cumberland Courtly -'^m*~ission Explrea Fah. 1, 2012 ,,,~^ 4csodetlon Notaries 5 COMMONWEALTH OP PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEFT. 280601 HARRISBURG, PA 1?128-0601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BOOKS VIVIAN -------- fora ESTATE INFORMATION: ssN: ~~0-26-9345 FILE NUMBER: 21 1 1-0086 DECEDENT NAME: LAHNSTEIN MILDRED L DATE OF PAYMENT: 04/06/201 1 POSTMARK DATE: 04/05/201 1 COUNTY: CUMBERLAND DATE OF DEATH: 01 /08/201 1 REMARKS: RECEIPT TO ATTY CHECK# 1010 SEAL ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~ 56,500.00 TOTAL AMOUNT PAID: INITIALS: WZ $6,500.00 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1162 EX(11-961 N0. CD 014246 TAXPAYER COMMONWEALTH OF PENNSYLVANIA DEPARTMENT O'r REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 015051 BOOKS VIVIAN 250 WILLOW GLEN RD DILLSBURG, PA 17019 told ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 5 900.00 ESTATE INFORMATION: SSN: ~~0-26-9345 FILE NUMBER: 21 1 1-0086 DECEDENT NAME: LAHNSTEIN MILDRED L DATE OF PAYMENT: 1 0/ 1 2/201 1 POSTMARK DATE: 10/07/201 1 co~NTY: CUMBERLAND DATE OF DEATH: 01 /08/201 1 REMARKS: RECEIPT TO ATTY CHECI<# 1041 SEAL TOTAL AMOUNT PAID: INITIALS: HMW FEV-1162 EX111-961 5900.00 RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER Page 1 of 1 Gayle Swindler From: "Gayle Swindler" <cswindler@ssr-attorneys.com> To: <RA-InheritanceTaxExt@state.pa.us> Sent: Wednesday, October 05, 2011 8:50 AM Subject: Estate of Mildred Lahnstein Re: Estate of Mildred Lahnstein File Number: 21-11-0086 Date of death: 01 /08/2011 Dear Sir/Madam: Please accept this correspondence as our request for an extension of time for filing the PA inheritance tax return for the above-referenced Estate. If you have any questions, please do not hesitate to contact me. Sincerely yours, Robert C. Saidis, Esquire Saidis, Sullivan & Rogers 635 North 12th Street, Suite 400 Lemoyne, PA 17043 rsaidist7a.ssr-attorneys.com 717-243-6222 10/5/201 l -I rA E ni 7 ao Q' ~G ~ i~Ililli z~"'~ A• Settlement Statement (HUD-1} Ne4N OEV~~'a~ OMB Approval No. 2502-0265 HUD-1 Page 1 of 3 n. rype or Loan 1. ~ FHA 2: ^ RHS 3. ~ Conv. Unins. 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number: 4. ^ VA 5. ^ Conv. Ins. 401200133-SK 27001434 446-1114897-734 . NOTE: This Fonn is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown " " . Items marked (p.o.c.) were paid outside the closing; they are shown here for informa[ional purposes and are not included in the totals. D. Name and Address of Borrower E. Name and Address of Seller F. Name and Address of Lender DAVID M. LiDDICK VIVIAN A. BOOKS, EXECUTRIX OF ESTATE GMH MORTGAGE SERVICES LLC 5809 N. HIDDEN LAKE DRIV£ OF MILDRED L. LAHNSTEIN SO CAMPUS BOULEVARD HARRISBURG, PA 17111 250 WILLOW GLEN ROAD , NEWTOWN SQUARE, PA 19073 DILLSBURG,PA 17019 G. Property Location H. Settlement Agent 654 COLONIAL VIEW ROAD, SECURED LAND TRANSFERS, LLC 485 ST. JOHNS CHURCH ROAD MECHANICSBURG, PA 17055 , SHIREMANSTOWN , PA 17011 COUNTY: CUMBERLAND Phone : (717) 901-8342 PARCEL ID: 42-30-2110-046-U55 Place of Settlement I. Settlement Date 03/02/2012 TOWNSHIP: UPPER ALLEN TOWNSHIP 3915 MARKET STREET Disbursement Date 03/02/2012 CAMP HILL, PA 17011 ]. Summar of Borrower's Transaction K. Summa of Seller's Transacti 100. Gross Amount Due from Borrower on 400. Gross Amount Due to Seller 101. Contract Sales Price $124 900.00 401. Contract Sales Price 102. Personal Pro a 402. Personal Pro e $124,900.00 103. Settlement cha es to borrower line 1400 8 156.18 463. 104. 404. 105. 405. Ad'ustmarrt for items aid b seller in advance Ad ustment for items aid b sell i 106. Ci /Town Taxes er n advance 406. Cit own Taxes 107. Coun Taxes 479.01/ r 3!2 2012 to 1/1/2013 399.18 407. Coun Taxes 479 01/ r 3 2 2012 t 108. Assessments . o 1 1 2013 408. Assessments 399.16 109. School Taxes 1592.0100/ r03/02/12 to 07/01 12 $526.32 409. SchooiTaxes 1592 0100/ r03/02/12 t 07 0 110. Sewer 1st Qt 112.0000/qtr for 03/02/12 to 36 92 . o / 1/12 Sewer 1st Qt 112.0000/qtr for 03/02/12 to 526.32 04/01/12 . $ 410. 04/01/12 $36.92 111. Dues 96.00/mo for 3/Zl2012 to 4/1!2012 92.90 411. Dues 96.00/mo for 3 2/2012 to 4!1/201 112. 2 412. $92,gD 120. Gross Amount Due from Borrower $134 113.50 420. Gross Amount Due tc Seller 200. Amounts paid by or in Bahalf of Borrower 500. Reductions In Amount Due to Seiler $125,955.32 201. De oslt or earnest mone 1 000.00 SDi. Excess De oosts 202. LLCcipal Loan Amount from GMH Mortgage Services $121,733.00 502. Settlement Cho es to Seller 9 522.36 203 Existin loans tak b' t 503. Existin loans taken sub ect to . en su ec to 204 504 . 205 505. . 206 506. . 207 507. . 208 508. 209 509. ' Ad~ustments for items u aid b ll Ad'ustments for items un aid b seller n se er 210 Ci /Town Taxes 510. Ci /Town Taxes . 211 Count Taxes 511. Coun Taxes . 212 Assessments 512, Assessments , 213. Setter Paid Closin Costs 7 494.00 513. Seller Paid Closin Costs 514 $7 494.00 214. . 515 21~ . 516 216. . 517 217 . . 218 518. . 219 519. ' 220. Total Paid b for Borrower 130 227 00 520. Total Reduction Amount Due Seller $17,016.36 . 300. Cash at Battlement from/to Borrower 600. Cash at Settlement to/from Setter 301. Gross amount due from borrower line 120 134 113.50 601. Gross amount due to seller line 4Z0 302. Less amounts aid b /for borrower line 220 130 227.00 602. Less reductions in amount d ll 125,955.32 30 h X ue se er line 520 $17 016.36 3. Cas From To Borrower $3,886.50 603. Cash X To From Seller $ 108 938 96 The Public Reporting Burden for this collection of inforrnarinn Ic o~r~~ ,~ron ~~ ~s .,.~...,.e ... .,....______ .__ __,._ _.,_ . , . , collect this information, and you are not required to complete this torn, unless it displays a currently valid OMB crontrol number. ENO confidrentiality is assured; 9h s disdosure is mandatory. This is designed to provide the padies to a RESPA covered transaction with information tluring the settlement process. /~/~/~/,,~, ~p Initials o' " " `-- 101200133-SK HUD-1 Page 2 of 3 t. Settlement Charges 700. Total Real Estate Broker Fees $7239.36 Division of Commission line 700 as follows: Paid From Paid From 701, 3717.16 to MC Walker Real 3,522.16 + 195.00 eotrower's Funds At S Seller's Funds 702. 3522.18 to ERA-NRT LLC ettlement At Settlement 703. Commission aid at settlement $7 239.36 704. 800. Items Payable in Connection with Loan 801. Our on ina[ion cha a 995.00 from GF_° #i 602. Your credit or cha a oints for the s eciflc interest rate chosen 659.79 from GFE #2 603. Your ad'usted on ination char es (from GFE A $1 654.79 804. A sisal Fee to GMH Mort a e Services LLC from GFE #3 575.00 805. Credit re ort to GMH Mort a e Services LLC from GFE #3 $22.17 806. Tax Service from GFE #3 807. Flood Cert. Fee from GFE #3 808. 900. Items Required by Lender to Be Paid in Advance 901. Daily interest charges from 03/02/12 to 04/01/12 @ 12.5068/day GMH (from GFE #10) Mort a e Services LLC $375.20 902. Mort a e Insurance Premium HUD from GFE #3 1 205.26 903. Homeowner's Insu2nce Erie Insurance C/0 Shiner Insurance Agency POC (from GFE #S1) 299.00 904. LOOO.Reserves Deposited with Lender 1001.1nitial de osit for our escrow account from GFE #9 $1,128.99 SOD2. Hazard Ins. Reserve 4.0000 month(s) @ 24.92 /month(s) to GMH g99 66 Mort a e Services LLC 1003. Mortgage Ins. Reserve 0.0000 month(s) @ 114.54 /month(s) to GMH Mort a e Services LLC 1004. County Property Taxes 2.0000 month(s) @ 39.92 /month(s) to GMH $79 84 Mort a e Services LLC 1005. Schoo! Taxes 8.0000 month(s) @ 166.67 /month(s) to GMH Mortgage $1,333.36 Services LLC 1006.'0'ggregate Accounting Adjustment to GMH Mortgage Services LLC - 383.84 1007. 11OO.Title Charges 1101. Title services and lender's title insu2nce to Secured Land Transfers LLC from GFE z4 $1 488.75 1102. Settlement or closin fee to Secured Land Transfers LLC 225.00 S1D3.Owner's title insurance to Secured Land Transfers LLC from GFE #5 15.00 1104. Lender's title insurance to Secured Land Transfers LLC 1 168.75 1105. Lender's title olic limit 121 733.00 i1D6.Owner's title ollc limit $124 900.00 1107. Agent's portion of the total title insurance premium to Secured Land $1,183.75 Transfers LLC 1108. Underwriter's ortion of the toWi title insurance remium to TRGC 1104. Note fee to Shirle Ke s Nota Public $20.00 1110. Insured Closin Protection Letter to TRGC 75.00 12OO.Government Recording and Transfer Charges 1201. Government recordin charges (from GFE #7 $144.00 1202. Deed $62.00 Mort a e $82.00 Releases 1203.Transfertazes from GFE #6 $1,249.00 1204. CitylCounty tax/stamps Deed $1249.00 Mortgage s 1205. State tax/stem s Deed 1249.00 Mort a e 1 249.00 1206. 1300-Additional Settlement Charges 1301. Re wired services that ou can sho for from GFt #6 ) 1302. Pest ins ec[ion to Ins ection Center b Mike Biechler POC B 45.00 1303. Note Fee to Shirle Ke s Nota Public SSD.DO 1304. Tax Cert Processin Fee to Secured Land Transfers - Mechanirsbu 20.00 1305. Home inspection to Ins edion Center b Mike Biechler POC B 5275.00 1306. Sewer 1st t. 1/2/3-2012 to U er Allen Townshi Authari 112.00 1307. HOA Feb Dues to Colonial View Condominium Association $96.00 1308. HOA March Dues to Colonial View Condominium Association 96.00 1304. HOA Initiation Fee to Colonial View Condominium Association 5300.00 1310. Escrow 2012 County/Twonship Taxes to Secured Land Transfers - Mechanicsbur $700.00 14O0.TOtal Settlement Charges (enter on lines 103, section ]and 502, Section K) $B,158.I8 $9,522.36 if you have any questions about the setdement charges and loan terms listed on this form, please contact your lender. Senlement agent is not responsible for content of lenders assessments on HUD. The sellers and borrowers signatures hereon acknowletlge their approval and signify their understanding that lax and insurance prorations and reserves are based on figures for the preceding year or supplied by others or esfimatetl for the current year, and in the event of any change for the current year, all necessary adjustments will be made between bonower and seller directly. Any dafidt delinquent taxes or mortgage payoffs wilt be promptly reimbursed to the settlement agent by the seller. I have carefuly reviewed the HU(}t Seatement Statement and to the bast of my knowledge and belief, it is true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I iurther certify that !have received a copy of the HUD-1 Settlement Statement. BUYERi`~,~j~C'~`Lij ~f David . Liddick SELLERS / F to of iltlreQL. Lahnsiein By: Vivian A. Books, Executrix j The HUD-1 Settlement Statement which I have prepared is a We and accurete account of this transaction. I have caused or will cause Ne funds to be tlisbursed in accordance with/)this statement. II Settfemgnt n~ Date / J ~ 03!02!2012 ' ~ Account Number 6100788407 Account Title MILDRED L LAHNSTEIN Date O ened 11/16/1.988 Account Type _ Checking Principal Balance as of DOD $33917.58 Interest from Last Posting to DOD $2.45 Account Balance as of DOD $33920.03 YTD Interest to DOD $ .00 Safety De osit Box N/A Account Number 6223713928 Account Title MILDRED L LAHNSTEIl~T Date O ened 11/21/2008 Account Type Checking Principal Balance as of DOD $10045.67 Interest from Last Postin to DOD $ .74 Account Balance as of DOD $10046.41 YTD Interest to DOD $ .00 ~ AmeriChoice FEDERAL CREDIT U N I O N Building Relationships For Life February 15, 2011 SAIDIS, SULLIVAN & ROGERS 635 North 12`I' Street, Suite 400 Lemoyne, Pa 17043 ATTN: Cayle D Swindler Re: The Estate of Mildred L Lahnstein Ms. Swindler, The decedent had one member number 13866 titled Mildred L Lahnstein. This account included a regular savings, (suffix O1) opened February 24, 1986, and a 60 month share certificate (suffix 62) opened June 13, 2008. This is an individual account. Mrs. Lahnstein also has a VISA Credit Card with AmeriChoice. Date of death balances are as follows: Savings - $5,663.83 Dividend posted 1/31 /20l 1 of $1.21 (not included in the above amount) Share Certificate - $5,482.39 VISA balance owed is $388.37. Per your request I am including the death certificate and a copy of Patricia's most recent account statement for your reference. Should you need any further assistance, please feel free to contact me directly with any concerns you may have. Sincerely, 1 Bonnie R. Seagn•aves Operations Specialist Phone (717) 591-1282 Fax (717) 697-37] 3 Email bseagraves~d;americhoiee.or~ Main Office: 2175 tumble Bee I-lollo~r Road • Mechanicsburg, PA 1 7055 • Phone: (71 7) 697-34; 4 • Fax: !71 7) 697-3,13 ___ ___ Website: ww~~.americhoice.org A~ ~e NC4!!'- Opportunity t ~FrJOEr~ __ LENDER C;ripa~i"f UN76NS ~~ Cif6zens dank Account Number 6243927453 Account Title MILDRED L LAHNSTEIN Date Opened 7/29/2003 Account Type Time Deposits Principal Balance as of DOD $6023.66 Interest from Last Posting to DOD $9.08 Account Balance as of DOD $6032.74 YTD Interest to DOD $ .00 ~~~ ~ ,~~ Account Number 6249817250 Account Title MILDRED L LAHNSTEIN Date Opened 10/30/2006 Account T e Principal Balance as of DOD Time Deposits $5127.62 Interest from Last Postin to DOD $2 83 Account Balance as of DOD $5130.45 YTD Interest to DOD $ .00 Account Number 6254631033 Account Title MILDRED L LAHNSTEIN Date O ened 9/13/2008 Account Type _ Time De osits Principal Balance as of DOD $5150.75 Interest from Last Posting to DOD $7.83 Account Balance as of DOD $5158.58 YTD Interest to DOD $ .00 ~, .~-~. J ._. _ _ _, ,.. _~ L • , .~. ._____ . . ... _~ __.. __.~__... ..... MT. ROYAL FURNITURE AND AUCTION, INC. 6421 CARLISLE ROAD DOVER PA 17315 717-292-1554 WWW.MTROYALAUCTION.COM 10/21/11 - - CONSIGNOR STATEMENT - - PAGE 1 CONSIGNOR NUMBER 2 AUCTION NUMBER 102111 NAME ESTATE OF MILDRED LAHNSTEIN VIVIAN BOOKS 250 WILLOW GLEN RD DILLSBURG, PA 17019 (717) 432-4703 PROD ITM INV UNIT TOTAL COMMISSION SELLER'S RESERVE CODE N0. ------ ITEM DESCRIPTION ---- --- NO. QTY PRICE PRICE AMOUNT NET AMOUNT AMOUNT 505 SNOWBABIES CHOICE 1 6.00 6.00 35% 2.10 3.90 .00 506 SNOWBABIES CHOICE 2 6.00 12.00 35% 4.20 7.80 .00 SD7 SNOWBABIES CHOICE 2 8.50 17.00 350 5.95 11.05 .00 508 SNOWBABIES CHOICE 2 6.00 12.00 35'= 4.20 7.80 .00 509 SNOWBABIES CHOICE 1 5.00 5.00 35% 1.75 3.25 .00 510 SNOWBABIES CHOICE 2 5.00 10.00 35'= 3.5C 6.50 .00 511 SNOWBAHIES (2) CHOICE 3 5.50 16.50 35'= 5.78 10.72 .00 512 GLASS BEAR 1 2.00 2.00 35'> .70 1.30 .00 513 SELLS 1 2.00 2.00 350 .70 1.30 .00 514 KENTUCKY DERBY GLASSES 1 5.00 5.00 35'= 1.75 3.25 .00 515 MZKASA DISH 1 3.00 3.00 35e 1.05 1.95 .00 8154 COSMETICS 1 37.50 37.50 35°s 13.13 24.37 .00 8155 HOLIDAY LOS 1 5.00 5.00 350 1.75 3.25 .00 8156 MASSAGER 1 5.00 5.00 35'= 1.75 3.25 .00 8157 DOLLS 1 5.00 5.00 350 1.75 3.25 .00 8158 CANDLES 1 4.00 4.00 35% 1.40 2.60 .00 8159 HEATING PAD 1 1.00 1.00 35% .35 .65 .00 8160 BOX LOT OR CHOICE 1 1.OD 1.00 35% .35 .65 .00 8161 BOX LOT OR CHOICE 1 1.00 1.00 35% .35 .65 .DO 8162 END OF LOT 1 1.00 1.00 35% .35 .65 .00 8163 COMFORTER 1 22.50 22.50 35= 7.88 14.62 .00 8164 PLUSH TOYS 1 5.00 5.00 35% 1.75 3.25 .00 8165 RED GLASSWARE 1 4.00 4.00 350 1.40 2.60 .DO 8166 GLASSWARE 2 4.00 8.00 35% 2.80 5.20 .00 8167 BOX LOT OR CHOICE 1 1.00 1.00 350 .35 .65 .00 8168 BOX LOT OR CHOICE 1 1.00 1.00 35% .35 .65 .00 8169 BOX LOT OR CHOICE 1 1.00 1.00 35e .35 .65 .00 6170 BOX LOT OR CHOICE 1 1.00 1.00 35% .35 .65 .00 8171 BOX LOT OR CHOICE 1 1.00 1.00 35% .35 .65 .00 8172 BOX LOT OR CHOICE 1 1.00 1.00 35'= .35 .65 .00 8173 END OF LOT 1 1.00 1.00 35% .35 .65 .00 8174 DISHES 1 10.00 10.00 350 3.50 6.50 .00 Bi75 CHRISTMAS 4 13.00 52.00 35% 18.20 33.80 .00 8176 MASSGER 1 6.00 6.00 35% 2.10 3.90 .00 8177 WREATHS 1 5.00 5.00 350 1.75 3.25 .00 C O N T I N U E D MT. ROYAL FURNITURE AND AUCTION, INC. 6421 CARLISLE ROAD DOVER PA 17315 717-292-1554 WWW.MTROYALAUCTION.COM 10/2'i/il - - CONSIGNOR STATEMENT - - PAGE 2 CONSIGNOR NUMBER 2 AUCTION NUMBER 102111 NAME ESTATE OF MILDRED LAHNSTEIN VIVIAN BOOKS 250 WILLOW GLEN RD DILLSBURG, PA 17019 (717) 432-4703 PROD ITM CODE N0. --- --- ITEM DESCRIPTION - INV ------ NO. QTY UNIT PRICE TOTAL PRICE COMMISSION AMOUNT SELLER'S NET AMOUNT RESERVE AMOUNT 8178 8179 6180 8181 8182 8183 8184 B1B5 8166 8187 6188 8189 BOX LOT MISC SOFT GOODS BOX LOT MISC BOX LOT OR CHOICE BOX LOT OR CHOICE BOX LOT OR CHOICE BOX LOT OR CHOICE BOX LOT OR CHOICE BOX LOT OR CHOICE BOX LOT OR CHOICE BOX LOT OR CHOICE END OF LOT 1 1 1 3 1 1 1 1 1 1 1 1 4 4 3 2 2 1. 1. 1. 1. 1. 1. 1. .00 .00 .00 .00 .00 00 00 00 00 00 00 00 ---------- 4.00 4.00 3.00 6.00 2.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 ------ 35% 35e 35% 35'= 35% 35'= 35'= 35% 350 35= 350 350 -------------- 1.40 1.40 1.05 2.10 .70 .35 .35 .35 .35 .35 .35 .35 ----------- 2.60 2.60 1.95 3.90 1.30 .65 .65 .65 .65 .65 .65 .65 ------------------ .00 .00 .00 ,Op .00 .00 .00 .00 .00 .00 .00 .00 TOTAL GROSS SALE AMOUNT 296.50 ACTUAL SALES TOTAL 296.50 LESS COMMISSION 103.79 COMPLETED YES NO TOTAL NET PROCEEDS 192.71 TOTAL ITEMS: 47 TCTAL DUD TO SELLEP. 192.71 NOTE > = BIDDER OF THIS ITEM IS ON ACCOUNT. /` / ~\ i 1._7 .~ ....... ... . ..._ .. ._ ~.. .. ... .. ~-Y ., 7 ii ~. ... ..t _._. ~.... ~....t 2 `.. - ~ .._ -, -,- .. ~ .._..... • il:. r .. ~~ :........_..I +^ ~' ,'~ w ~,;,.t' , ; °, a, ~ .r_. ~, a _.: rim c - =' !~' '4 ~: 1 t= f!i E' T' ~ i? ~ ii ~ 1-1 t~ ~S ~_i :_:+t ':G.:i i. ~ ~. ; +~:+~+_'' L=.;l' I"y11:;._I.JKEFzi _~a~..l~~l'=~-;-i.._..i r.;~ _: _" ~ l.t it ~ {'? ct t __. tj {t ~ .i C'r '~ _ .- r: t_l C: Ev' F '~'; i C3 ~_: G ,. i~l IL i .1~ .._. 1...f ~" tN. l~ ~' 'r'. ~ 4'.it raw+k.l i[,) 1 .1. ~ Ji ! tt i ~ _ . ,i ,; 1~1 i~. ._ ~~~r•, ~i ~~ ~ x ,._. ~. ~. ~ I~ .._ i~qr-.~t,m...-ii~t a _. 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((1 i~~a .-1 i'.i 1-~'.~ ,~. i . - - ~ i, , ?001 Buick Century -Private Party Pricing Report -Kelley Bhie Book • : ~ ~~~1~~ B~u~e ~+~~~ TH:ETRUSTED ~tESQi.ItiCE ~..~,._ --Ehh~,eam advertisenicni: ~~' Pr~~~ ..-, tc~ shut the price that ~~ts your bL:d~~t. ~' . 2001 Buick Century Custom Sedan 4D BLUE BOOK® PRIVATE PARTY VALUE Condition Excellent Good Fair Value $4,930 $4,555 -------- $3,980 Vehicle Highlights Mileage: 30,000 Engine: V6, 3.1 Li ter Transmission: Automatic Drivetrain; FWU Selected Equipment Standard l"racoon Control Power Door Locks AB5 (4-YVheel) Power Steering Air Conditioning Milt Wheel Power Windows AM/FM. Stereo Slue Book Private Party Value Uual Air Bags Stec' Wheels Kelley Blue Book Private Party Value is the amount a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than any remaining factory warranty). The Final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. Vehicle Condition Ratings Excellent .._:_ ~;_~~_~x_f ~4, 930 • Looks nrtw, i~ ir. ex;:elient rnectlar~lcal condition and needs no reconctrtioning. • Never had any paint or body work and is free of rust. • wean title history and vrll! pass a smog anti safety inspection. • Engine comparti7rent is c;ean, with nc; fluid leaks and is free of any wear or vl=;ihle defects. • o?replete and verifiai3le service records. Page 1 of r'~F,. Send [o Printer ~~~1#TIi~~J7 ff>~ Enter -- ---i IF r:Gdeg ' ,,I ~d C~s ~~6 ~12~~c ~"~~ advertisement --••- advertisement CERTIFICl4TE OF TITLE FOR A ~/EI-EICLE ~~: ~ , 619 Q9Q97QQ15QQ2436-QQL ~~ ~r±" ~ V t~J I ~ CG4IdSN52~ N1121774.~ i 2CIQlt i : BUI>rK MAKE OF VE HICLE ; 6?Q728159Q1 LA ~ TITLE PiUA9HEF Tw' jy'~ ~y,yODY TVPE I UUP I SEA' CAF I ~~ (y" PRIOF. TITLE STATE ryy I ODOt~ RO~CG pq~~ (~ ~ ~~ ~E77I (~Of.'. SI FT U, 5/Q1/09 ~ 5/Q1/Q9 I I ' i DATE PA TITLECI DATE OF ISSUE I UNLADEN WEIGH T I GVWF I oCWFl. INL_ HHANL; REGISTERED OWNERS, "r i` ~ ~ ~ ~ ~< '~17 ;. ! t5I LI~REI~ L LAHNST ~N f L, r,ncio. , ,,..r;>;1 t~,r,nli ~~~, 6 54 C~?LONI AL V I Eft RD MEtHANItsBURG PA 17Q55 FIRST LIEN FAVOR OF. FIRST LIEN RELEASED DATE BY AUTHORIZED REPRESENTATIVE MAILING ADDRESS 24 3Q© 3 MILURED L LAHNSTEItd 6 54 E4Li?NI AL ~ I Etd Rl? C4ECHANIC~BURG PA 17Q55 SECOND LIEN FAVOR OF. ODOM ETEFl SI AI J; ~=ACTUA. MILEAG: . = MILEAGE c%G EEC l H'_ ML::HAla I;; LIMIT . = IJOT TH_ ACT UA_ h!I~E l.u .+ =NOT THE nC7 UA:. MILEAGf.:JD CIMc fEF 7AMPERIN~; VERIFIEC' = EXEI:APT FROF:I ODOME TEP U.,t, =OSl1R~ TnLE of ArJDe < - ANTIOJ~ Vt HICL'_ C - CLASSI VEHI L- l; COLL r.,Tle r VEHICLE F -OUT O=COUfJTR` G =ORIGINALLY MFGL 'pFt NOIJ 'J.L DISTRIdUTIOr! H = AGRICU~Tl1HA_ VEHICL!_ = LOGGING. VErI1CLi P ISMlAS A POtIG~ 4EHICLf HECOtJST HU: TErr = STREET HOf = RECOVERED THEET \'t111CL. ~' = VEHICLE CONTAINS REISSUED VII: w =FLOOD VEHICLE i. = ISMlAS i~. TA?:- II s secontl -henholoer is IISIeC uooe sallsleclion o~ tnr lur Ilea, u,c- hrs' Jlenholder must tonvare this Tille to InE Bureau of IJlolol Veh;cle~ wltr. the appropriate lorm and lee. SECOND LIEN RELEASED DATE R1' AUTHORIZED REPRESENTATIVE. I certily as o! tha dare of issue. the olhclal records c' the Pennsylvarna Depanmen! ALl..EN l3 BI EHLER of 7rar15purtallon rellecl that Ihr, parson(s) or Company named herein Is the IovAul owner • of the said vehicle. Sccretan of 'Iranspnrhdion SUBSCRIBED AND SWORN TO BEFORE ME. u. ~~noe~sg~o~ enlee, m,au dool~m~ m. cnml~wlr uu; ~, m. son,c_ na.n,~oe_ ..Iw~~ sonw~l to m. ~nc~mnl~n<.es anu omc~ r.l.om, sr.l Ion, nb~,. SIGtlATURE O~ A.nRLIGAni On AUTHOIiIZEC 51'~NE4 slrsrln~~lr,~ -~. r,,-J,oo, MaraTnn~r ~,: nuT~uRlzEn slrnEr I If a co-purchaser other than your spouse is listed and you want Uie title to be listed as "Joint Tenants With Right o1 Survivorship' (On death: of one _~ owner, title goes to surviving owner.) CHECI! HERE ^- Othenvlse. the iitie I will be Issued as "TenanU rn Common" (On dealt: o. une owner, interest D+ 1 deceased owner goes to his/he: hevs or estate)- 1 IF NO LIEN, CHECK^ f5 THIS AN E; T % pF YES. FIIJ gE0'JIHED) YES ~_ NO ~] '~ 1S7 LIE NHOLUER FINANCIAL INSTifUTION IJUMBER 15T LIENHOLDER NAME I STREET CIT`/ STATE ZIP IF NO 2ND LIEN. CHECK _! IS THIC HI, -LT'' fIF Y S. FIN REOUIR E[J. YES ~ NCJ` ' 2ND LIENHOLDER FINANCIH. INSTITJiIOIJ NUMHEP. 2ND LIENHOLDER fJAME STREET CITY STATE Zlr Tft,f!T'.~'.'~TS~.RI• ~: ~~~ti~irT^1,,, TlA'.'.~: ~~~=~ n~,r~"~~~_.~~.~«~i~wr.~nrr.-nom=..: i J) u n J C ~ ~ L L J L L d 'a M 3 ~ 2 ~ Y ~ v N Ci O~ L p U v O a~ N A O ~7 N 0 0 E m ~ ~ ~ ~ M ~ M a yr M ~ * to o 0 ~ ~ o .ti Z ~ ~ ~--~ W Q ~ W H a, I- ) q (~ (~ Z Z J ~ c =Q~ W Q ~"~ Cq W O J Z (n ~ H L ~ OU O J t-i L W O Z > o ~ v Q } ~ = o = J ~ U a ti ~ ~° E~f . a~ R ~~ L Y v m E 0 N a R 0 m 6 m° rnLpm (~9' L ^ C~- A C~- CI' 0 _• ^^ W RI ~lJ m ti Q- .... N O m ..T L!1 J ('I.J O s "I'HE NATRIOT-NCH's 2020 Technology Parkway. Ste. 300 Mechanicsburg, PA 1700 Check llate: Ol/2U/20] ] Vendor Number: 9999999999 THNPATRIOT=NE11'S Attn.: Controller 2020 Technology Parkway, Ste 300 Mechanicsburg. YA 170`,0 dPMORGAN CIIASE BANK, N.A Syracuse, Nl' so-~i3~ .0900053040 ~~~ llete 01/20/2011 ***QN-F_ HUNDR)/D Sl;l~)/N AND XX / 1-00 DOLLARS**** PAY ~FZANK LANHSTEIN TO THE 654 COLONIAL VIEW RD ORDER OF MhCHAN1CSBURG, I'A ]7055-5.869 Pa. .4mvunt $**r]pi.pp*** ~~ ~~ Au rued SignAture Authorized Signature 11'D9000530~,Ou~ ~:D213093291: ~,n:R7gi~n~,. c:t~J~~d.tl N-„~ G _~~_T,~ ~ ~ ' ~~ ~~ ' ~~r€,~ ~ ~T~`f•' i:,t ~' . ~. ~.. F a ~ 't~'c• ~, .._ ?t7~ bti ', riE:i~i~:iE:Ftt;hllf~' R~:F"U`dT~ __ ~3c't.,?c.'.irG~~ !, =, 7:T> TQ~A ! ~i 1LI}fn;El~ LFiI-i~dSiTE: 7:i•1. TCI~'~tL. Zi 7: 5;"t'E~ t~ N A r HE D l tv HA c A U ~ Af i ~ v v~~s-`~~ ,n ~ arc ~ I . V FJ DI~ h v, ~. By ~ ~ M P O. $OX 3201 ~ `lACH~~'L4 °3 5/310' r,,, ~ t~ N~;2RlSBURO, PA 17105 ~ ~ ~ ~ 'C~1'itE'1f P~~h DATE OUR REF. NO. CHECK NO. AMOUNT OF CHECK ' t~ c? ~/ 1 ? ! :t l ~'i'T ~ C y i"S k: i"i a«? :f. ~s ~ ~ ~; ~ ~::~. ri..;;.:~: ~r .~. 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Z Calculated Value of Your Paper Savings Bond(s) Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 01/2011 Page 1 of 1 Total Price Total Value Total Interest yTD Interest $100.00 $100.72 $0.72 $0.08 Bonds: 1-1 of 1 Serial # R200104928EE Issue Next Final Issue Interest Series Denorn Date Accrual Maturity Price Interest Rate Value Note EE $200 09/2009 02/2011 09/2039 $100.00 $0.72 0.70% $100.72 P5 Totals for 1 Bonds $100.00. $0.72 $100.72 Notes NI Not Issued NE .Not eligible for payment P5 Includes 3 month interest penalty MA Matured and not earnin interest httn•//~,,,ww trPaciirvriirent_s~nv/RC~;/~RCPrice 1/28/2011 ( +.v ~ ~ '~:s!'~~1 l >t r, -. "v ; (f~'~ {1.5 5~ Y ,~)~. C~rti~i, / l~~r'~(~~~1~~~ ~~~C f~ ~.l "I-d J ]N7ERE57 CEASES 30"=YE ARS. 9' - `FffPMdSSLiE DATE *~~ ** 9345 PATRIOT BOND ~D9 2:0;09 ', ~"~~ T:~"MILDRED LAHNSTEIN ,FRB PITT, ~~'~~°'~'~Ge"~9 ~" `s - 6r54 COLONIAL VIEW R~D , '_~`` ' _ , 1~t~'~HANICSBURaG PA 17055-5869 ~ ' DATING STO P ~ ~' ,h _ ~~ur~~~~n.~~~~nn~~~u~~~~n~~.~a~:~r~ii~~u~~~ni~~~nr~~a~i-~~~~~ M ~ r, ~. £. S ~ r POD ViVIAN BRO 'Oif~ w .. >' a - 1~:ScC~.~050~}00328A,D3100"0.0'530000 093-0D~9 ,2;71 E : - D20.0104928 _ _ ~ ~ . - t '; ~j'/ p f: r ur r .5..-,.a..y.iu. t,.o. ~ ~' _ ,1~~.~'+1 1 4 'f-"it 1'X1 fF -J_\.~,0~~ ,1 ~O. t 1 ~ :U L •' y ~:D00090007e:05 ~~ 60 20'0 1049 28 ~.:~.: ~~' ~ ~~e~-i~~i~~ FEDERAL CREDIT U N I O N Building Relationships For Life Februar>~ ] ~, 201 SAIDIS, SULLIVA>\ & ROGERS 63~ North I2`° Street.. Suite 400 Lemoyne, Pa ] 7043 ATTN: Cayle D Swindler Re: The Estate of Mildred L Lahnstein Ms. Swindler. The decedent had one member number 13866 titled Mildred L Lahnstein. This account included a regular savings; (suffix Ol) opened February 24, 1986., and a 60 month share certilicate (suffix 62) opened June l 3.200$. This is an individual account. Mrs. Lalulstein also has a VISA Credit Card with AmeriChoice. Date of death balances are as follows: Savings - ~>,663.$3 Dividend posted 1 /31 /20l l of ~ 1 ? 1 (not included in the above amount) Share Certificate - $5,482.39 VISA balance owed is X38$.37. Per your request I am including the death cei-tifieate and a copy of Patricia` s most recent account statement for your reference. Should you need any further assistance, please feel free to contact me directly with any concezz7s you n~av have. Sin eerel y, ~ ,~1 ~~-~~" i', ~~ . tJ Bonnie R. Seagraves Operations Specialist Phone (77 7) 59I -7 2 $2 Fax (7l 7) 697-3713 Email bseagraves(cr-americhoice,or~ Main Office: ? ~-~ ~ Bumble Bee Hc~llov~~ P.oad • l~1er_hanicsi~urg, PH 1 7(158 • Phone: i'1 ; 69i-a4'4 ~ Fax: i?1 i Ly ~-3%1 Website: ~n~w~n~.anierichoi<_e.urg - Gpponunlry',., ~` ~_ ~~~ ~tp e LENDEP "-_ __ L E N D L R ~~~ (,I<L UI'! UNiun