HomeMy WebLinkAbout04-05-13 . _,
� 1505610101
REV-150Q �``O1_1O, �''
OFFICIAL USE ONLY
PA Department of Revenue Pennsylvarria
� � DEPARTMENTOFHEVENUE County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN -� r 3
PO BOX 28o6oi
Harrisburg,PA 1�128-o6oi RESIDENT DECEDENT �
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
� � � ' � . � � � ��
DecedenYs Last Name Suffix Decedent's First Name MI
(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
� 1.Original Return p 2.Supplemental Return p 3. Remainder Return(date of death
prior to 12-13-82)
p 4.Limited Estate p 4a.Future Interest Compromise(date of Q 5. Federal Estate Tax Return 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)
Q 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 BE DIRECTED T0:
Name Daytime Telephone Number
�.��.
�1 1 1 �
.
: �
. �� x. �
AREGISTER O�ILLS USF�NLY
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First line of address �' � �`v r--
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Second line of address Z G�? � p O
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City or Post Office State ZIP Code '� � DATE FIL� �
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Correspondent's e-mail address: � -
Under penalties of perjury,I declare 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.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIG�RE F PERSON RESPOfVSIfjLE FOR FILING RETURN D TE� ��,
,J�� �
ADDRESS � L�
c�� �Z'—� Gt-t�v >� �� � y2.��'►l��'71� ��/�-�S�--�%
SI�U�E Fi,�PARER OT H N PRESENTATIV DATE C��
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ADDRESS
,.,,z G✓, / /'��_�S'�' �S"�'� . �.�-' C' ,�u�� �—
PLEASE USE ORIGINAL FOR ONLY
Side 1
� 1505610101 1505610101 J
�
� 1505610105
REV-1500 EX
Decedent's Social Security Number
DecedenYs Name:
RECAPITULATION
1. Reai Estate(Schedule A). .. ... .. .. .. . .. . . .. . . . ... . . .. . . . .. . . .. . . . . . . . 1. ' •
2. Stocks and Bonds(Schedule B) . . . ..... . . .. . . . . . . . .. . . . .. . .. . . .... . ... 2. � •
3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) ... . . 3. •
4. Mortgages and Notes Receivable(Schedule D) . . . . . . .. . . . . . . . . . .. . . .. . . . . 4. ; �`
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . .. 5. •
6. Jointly Owned Property(Schedule F) p Separate Billing Requested . . . . . . . 6. *
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
{Schedule G) p Separate Billing Requested.. . . . . . . 7. .
8. Total Gross Assets(total Lines 1 through 7). . . . . . . . . . . . . . . . . . . . . . . . . . .. . 8. ' .`
9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . . . . . . . 9. .; -
10. Debts of Decedent, Mortgage Liabilities, and Liens(Schedule I) . . . . . . . . . . . . . . 10. ' .'
11. Total Deductions(total Lines 9 and 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. ,
12. Net Vaiue of Estate(Line 8 minus Line 11} . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. .
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(S�hedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. .
14. Net Value Subject to Tax�4�ine 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . . . 14. .
TAX:CALCULATION-SEE INSl`RUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the sp�usal tax rate, or
transfers un�er Sec. 9116 -
!a)�1.�)X .0- � 15. .,
16. P�mount of Line 14 taxabie �
at iineal rate X.0_ , 16. .'
17. Amount of Line 14 taxable
at sibling rate X.12 * 17. �
18. Amount of Line 14 taxable
at collateral rate X.15 • 18. �
19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. +�;
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p
Side 2
� L50561,01,05 150561,01,05 �
!
� 1505610105
REV-1500 EX
Decedent's Social Security Number
DecedenYs Name: (,,..�/� �L, /` � C. G-� , �
RECAPITULATION
1. Real Estate(Schedule A). ............................................ 1. �
2. Stocks and Baids(Schedule B) ....................................... 2.
3. Closely Heid Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3.
4. Mortgages and Notes Receivable(Schedule D)........................... 4.
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)....... 5.
6. Jointly Owned Property(Schedule F) p Separate Billing Requested ....... 6. � ? �
7. Inter-Vivos Transfers 8�Miscellaneous Non-Probate Property
(Schedule G) p Separate Billing Requested.. ...... 7. �,
�
8. Total Gross Assets(totai Lines 1 through 7).... ... ................... ... 8.
9. Funerat Expenses and Administrative Costs(Schedule H)............ ....... 9.
10. Debts of Decedent,Mortgage�iabilities,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 Govemmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) .. ...... ................ 13.
14. Net Value Subject to Tax(Line 12 minus Line 13) ... ..... ...... .... . ..... 14.
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a}(1.2)X.0_ 15.
16. Amount of Line 14 taxable
at lineal rate X A� � 16.
17. Amount of Line 14 taxable
at sibling rate' X.12 �7•
18. Amount of Line 14 taxabte
at collateral rate X.15 1$•
19. TAX DUE .............. ... .. . ........ .............. ... ............ 19.
20. FILL IN THE OVAL tF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1�
Side 2
�
1505610105 1505610105 �
�
J 150561,01,01,
REV-1500 EX�°1_1°, �s.
enns lvania OFFICIAL USE ONLY
PA Department of Revenue P Y County Code Year File Number
DEPARTMENT OFREVENUE
Bureau of Individual Taxes INHERITANCE TAX RETURN � � �� , � '
PO BOX 28o6oi
Harrisburg,PA 1�128 o6oi RESIDENT DECEDENT I f '1 �
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
DecedenYs Last Name Suffix DecedenYs First Name MI
��-��- 1�'�� ��� � ��
(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
p 1. Original Return p 2.Supplemental Return O 3. Remainder Return(date of death
prior to 12-13-82)
p 4. Limited Estate p 4a. Future Interest Compromise(date of Q 5. Federal Estate Tax Return Required
death after 12-12-82)
Q 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)
Q 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 BE DIRECTED T0:
Name Daytime Telephone Number
REGISTER OF WiLLS USE ONLY
First line of address
Second line of address
City or Post Office State ZIP Code DATE FILED
Correspondent's e-mail address:
Under penalties of perjury,I declare 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.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
ADDRESS
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 1,505610101 1,50561,0101 �
REV-1500,EX Page 3 File Number � � �� .,.. ��''��/�
": Decedent's Complete Address: �
DECEDENTS NAME
�, ���/'T 1'G%� _
STREET ADDRESS
� �=—
CITY � /�� C� � STATE �G� Zf���Z�
� � �
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) � � �
2. CreditslPayments � � '
���e �
A.Prior Payments �
B.Discount
,���2� Total Credits(A+B) (2) �_ �—� � ��
3. Interest
�3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. ,
Fitl in oval on Page 2,Line 2Q to request a refund. (4) _ ,?j �
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5)
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACENG 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. 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?.............. ❑ Q
4. Did decedent own an individual retirement account annuity or other non-probate property,which
,
1 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}1.
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[72 P.S.§9116(a)(1.2)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in
72 P.S.§9116(1.2)[72 P.S.§9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§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.
Ct7MMONWEA�TH OF PENNSYlVANIA REV-11$2 EX(1'{-96}
DEPARTMENT OF REVENUE
Bt1REAt1 OF I[VC}IVIDUAl.TAXES
DEPT.2$0601
HARRISBURG,PA 1712$-08p1
PENtVSYLVANIA
RECEIVED FRC�M: INHERITANCE ANQ ESTATE TAX
OFFICIAL RECEIPT
NC}. �D 01 �1 Q5
a U PLI�ATE
DANIEL� WiLLIAM 5
QNE W NIGN STREET �TE 205
CARLISLE, PA 17013
ACRI
ASSES�MENT AMQUNT
CONTROL
NUMBER
- �o�d -----_____ ____----
101 � $5,250.00
ESTATE INFC}RMATI4N: sSN: �7s-�8-�7so �
FILE NUMBER: 21 12-C}34-3 �
DEGEDENT NAME: GRAVER BaYD E �
DATE OF PAYMENT: 06/13/2012 �
POSTMARK DATE: 06/13/2012 �
COUNTY; CUMBERLAND �
DATE QF DEATH: Q3/14f 2012 �
�
TOTAL AMQUNT PAID: �5,25�.00?
REMARKS; RECEIPT TO ATTY
CHECK# 109�
�� INITIALS: HMW
s�a� RECEIVED BY: GLENL7A FARNER STRASBAUGH .
REGI�TER OF WILL�
TAXPAYER
� RE4'-1502 EX+ (11-08)
� pennsylvania SCH E DU LE A
DEPARTMENT OF REVENUE
INHERITANCE TAX REfURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF(� � � FILE NUMBER
j� �1��".�, � � �? .��'/'�
All real property owned solely or as a tenant in common ust be reported at fair market value.Fair market value is defined as the price at wh' roperty
would be exchanged between a wiliing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that is jointly-owned with righ#of survivorship must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
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TOTAL(Also enter on Line 1, Recapitulation.) $ �'� 4-�, �
If more space is needed,insert additional sheets of the same size.
0�J2412@�2 14:1� 7I72495755 �BS
PA�E 02
�,.�vinuu ctul+c+M arc abcalNn n,rm HUO 1 t�/tit:t rK't wnr.nnrHn..,�v..r.�
A. S►G�'�t�C1T��'•21'� �i'��t�TI"1+�:1'tt U.B.D�partment ot!-tou.ang�nd Ur�aan D�+V�r�opm+�n�
D.T'Xpc�af Loan OM8 Approv�t IVC�.2S0�-Q20S - - ,_^,.,
_--- _ , �._...�
'�. ❑FH� 2. [3FmHA 3, C1Costv,Unins. 6.�il�Nurnl�r 7.Lo:�n Nutt1b�� �8.Mort.q•'�ge(nst�r�nca C�SC Numb�r
_�. vA 5. Conv,ins. 2t�12-38tNEFF � _
. s et Q w . n e�t e ma i er u w y u: nn � m� "
C.MCY�; 1lwmw MAlhCA"tp ac.)�w�,r.,r�ia oucae��ne aooi�p:u+e�r nr�+anowr+noro t�.tntorm,,�rA�purcowr,rnc►are n�ar tr,civaco�r+�ra�oto�e. Tit18EXpf'P'�a S6tll�menl SyRt�m
WhRNINC.;(�If p pimw 38 IKMWM'tQty MAK!t.'71wrr�tY1QtT+.�nt�LO RhC S��HAR}$COfn�t a!!t11}g pr ZnY 6thCr g�Flwt(pttf{.Pwn111tl4Q U('�R
_ ,�,�� con �„wcllon oon iRdtxle o tln�wr►t1 lrnpn�nnmcnl,rQr�t�1�ps a�••:Tlqc�L�V.�.C�da:�cUon 144i nnd 84GIn�1010,��
D.NAME Or��RROWER: J��m�s L.N�ff and Gathy J.Noff �
, .`AC�DR�SS: 519 Chesnut Street�Mt,Nall S rin�ga.PA.17t165 ,
E.NAMF_Q�SEi�ER: N,odntiy Gr�var and Ron�ild Gr�v�r�nd Cha�les�Graver
,_,,,�l�t3QRESS: ,,, . .____.
F.NAME O��ENDER:
____At}DR�SS: . .______. --__ ....
G.PR�PER7YADORESS: 4612 Carlisle Rt��d,C$td�tg�,PA 17324
Otckinson Townsf�p -
._.^.. � _
t-1,SE'rTLEME�IT AGENT: 8a�lo Scherer[.LC,TelQphons:7i 7-249-687'3 Fax,71?-249•5755
Pt.,4CE UF SETTLEMENT; i 9 Wtst South Street,Carlisls#PA'!7413 _
�.s�rr�.�MErvr DarE: t�31�5t2o12 _
�,___J.SUMMARY OF BORI�OW�R'�TRANSACTtt3N; Ft.SUMMARY OF SEL��R'�TRANSACTlflP+l:_�._
100.GROSS AMOUNT DUE�RC�M BQRROWER dd0.GR+C?SS AMOUN7 DUE TO SEI.tER
t01. Conir tt s8iea�ncc _ 70.tf00.00 �Q1. Contrad s�l��rriLV - -- - T_0.+)d0.00 �
4�2. �'�csfln8l�rQpettv 402. P8�S4�A��p�_�� _,,,, ,
�03. S��ttsm�nt cha e� s to barrower iine 1d00,�_� _2,206.00 4Q3. . .._,_ .
104. . � dOA. _ _.__._
1 Q�. , dtl5. _,
,�tl}Uetm�n#s far It�ims p�Jd by aelt�r in edvanCe Ad"Luetrnen�s Tor 1tr.rr�s pa(d by Belier in edvance _
SO�i. Cify/t4wn fsxe5 , �OB. �ity}tbwn lax�s
1 Q7. Coun1Y texas 091�5►12 ta 12t3'1112 � 87.B7 4tf7, Cou_, ntv tsx9s- -- 09/25t12 to 12t�'1t12' 87.8T '�
i p8. �choal Ta�c 09/�5t9 2 ta 06130113 'I.38$.30 448. �cho�(Tox 09/25112 tc 06i3tUi� 1.388.30 ,/"r
9 Q$. 409• _.
110. - 4"�t}. - _ . ...�._
� ..� __._ .
t 11. ,� 4 41. ,_,_,� �_.
117. • - 417..
12b.GROSS AMbUNT dUE FRQM BQRROWER T3,8B4.17 d2d,C�ROSS AMOUNT DUE 7C>SELL�R 71 476.17 �.
200..AMt�UN3S PA1D BY OR pN BEHALF O�BQRROWER 500.REOUC7iONS tN AMC3UNT DUE Tt3 SEILER _
241. qepo;tit or Q�me9t rROnl:Y 7.QOtf.04 501. Ex�esa D�ot�sit(so�inatru�tlon�_
�02,,,_,Rrincipal�mount of new lo�ng 502. Settlement char �a to s�{ter lins 1A00,� 1,8'16.24
2d3. Exiati�l Ic�r�n(s t�tken sub eGt to , . 543,�ExieNn laan s tAken sv�ect to __ � - -
Z44� , 504, P�vof�flt First Mart 2� e Lo�t1 . .�,_._.
205. 505. i'ayaff of S�s+c!tritmc�as�e i0an, _.____, .T_,.
206. 506. -
207. '�4?• .�. . .
7.48. . � 5�8. r__._- , _
zos. �o�. ,---_
A�d9ustments for items artpatd b s�tier Adlustr»on�s far it�m�un aid b s�e(!er _
?,10. Cityttown I�xes , 514, Citvltvwn t�xfia . _
21 t. Ceurtly,t��xes _�, - - 511. Coun i�x�4 _ _____,.1_,
Z12. $cho01 T�x .._ _ ._ $17.. Scht�ol7�x .`_ _
213. 513. - -
2i�{. .-..�,� 514. �._.
�'1S• , 51�� _
21�� , - - 51�. . . -,-.�.
297. ,.._,�, - , _ 5��• - - . .
218• , ���• --
219. � __ _ _ .. 519. �
�2t}.TOTAL PA1D 6YII�OR BC?RROWER 7 DOO.dO 520.TC11TAf.f2EQUC'F'IC�N AMCtL�N3 UU�S�LLER ,,,,_1 S4 .�4
� 3�0.CASH AT SETTLEMENT FRtJM t)R TQ BCIRRQW�R 600.CA�SH AT SEYT�EMEN'C T�OR FRaM SE�t�EFt
3U1, GrosR�mounl due from btst�ower(ilne t20��. , T3,684.i 7 601, Grass amount due!o sel4et iline�2�,� . 71�476.'t7
3(�^. t��5s amoun�a p�'d bSrttot borrower 11ne 224 7,DOO.QO 6C►2. �ess t�duct"sott�+maunt dus selfer line 52Q,� 1,616.24
303.GASH�ROM BORRC'�WER _ , G6,684.17 6t}3.Ca►SH TO SEl.�ER f•9.659.93
691241�012 14:14 717�495755 QBS
PAGE 03
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U.S.OEPAF2TMENT OF HOUSlNG ANp URBAN DEWELOPMENY F;i�NvmbBr�'012•38fNEFF PA GE 2
,_S�TTL�MENT STATENtENT �'�tleEn ro49 sQtt�ement Syatem
: _ L. SETTLEMENT CMARGEa ____�„ __ P�ib�Rt�M PAID FF2��M
, �00. rCrTI��SAI.ESiBROKER'S COMM�5510N bas�on�rice STLI,OOO.Dd= ____�___�,. Bt�RRi3WER'S SGLI.�t�'5
: D__i_vtalon ot commisslon_(I�ne 700��s fallow�: ___^r_____,_ -- FUNDS AT FUNDS�,T
741. � [o SETTt_CM�NT SETT�EM�:t�iT
T02. � io
703.�orslmia�ion aeid al SettlBment �
,800.iTEMS PAYABIE!N CCINNECTIQN WITN L.OAN ____�___ _____, , ____�___
809. Loan Qriflil��tlon Fec ",b ____,
,802_,,,Lc�2n DisCAU�I °�b
: 803. A raisai F�e
804. CrEdlt Raaort _ �_ � ._,�,,,, � �
805..____� - -
�• .�
907..�. .___���__- - ---�---
8�8. ..� ____.� _ �
$D9. . ,
890. .
91 i. . -
9t10.17�M5 REQUIRED�Y LENDER TQ BE PAlP IN AdVANCE ,__,
�01. lnter8st Fram to (�� ida�_ ,�,_,_,,,_,
902. Mort���lnsutance Pr�mium for tr� _ _ _„_,_,
9Q3. Nszard Inaut2�nce f'r�mium for tCr , , _ _ , ._._,_
904. � - -- -
,---,--.__.-- .
905, __-_-�______. _ - .,..y.____
100D.RESERY�S DEQQSlTEd W1TH I�NDEti Ft3F� _,__�.__�,_,_
1{yO7�H?.�ZArd It1SU�9ttOC_ mo.d�_1$ ImQ
1L?Q2. MoR�sgA Irsaut�nce mG,_�� _ lm+� ` Y ,y���
__ _.__..
1t�03. Citi+t'�AOttY Tax mo.t�� ____�__r__ �rr►� - - -
1IX}4. County Pti�e,rtv Tax mo.�ba _$ !mo _
i C�S. SCho01 Talt mo.{�$ !ma _ . ____r____, „
1009. A r sta A►nstvsis Ad'�ustment - - - - 0.04 ,,,,, ._,� 0.00
110fl.TiTLE CNARGES _ ._._,
f 101, SetU�ment or Glasing Fe8 __________ �_
11�2. AhSttB�af Tl�t@ SB�rCh �,__,_„_,_ _
���aa, r�c���xem;���MQn ._.______._ .�________
1104, T+tl�InsutOnCe Birlder __,_,_,,_,____ �
i 105. Do�CUment PreD�r$lion _____w, - - _
1#06. Notery Fs�s !o Caah _ 10.00
�10T.attomev�s fees tn Wlifiam Dan��ts POC1 -
{include��ba+,��itema No: W)� -._..
1108. Tiii�e tnsurance ta 8arla Scher�r�LC '��.4� __._
,�(incipdes abcve itoms No; ____w__.�-- ...---.
11 d9. Len�r's Po�lcy
t 114. C7wn�re P4lIc �O.OiJ0.Ot1 •a3S.OQ ^____r___._.-.___r.____. --
y__�.___.�____r___
�i��. .�
fi14?,.
1113. - - - ..-._.____r ��....
12U0.GOVERNMENT R�Ct�R01NG ANd TRANS�ER CNARGES �__.�.____ _ - _ _._,_ ._.____.
1201.R�aDrdino Feee C1�ed',�„B3.at} ;MOrtoegO S- - _ :Rele�sc� &3.OQ
....�- -
t�A2. Gi v�Count,t�ycJs�Amns D�S7QQ.QQ :MoR�aAQ S�.___ 7Q0,00
__________t.
9203. Stet+�Ts�x/etamps Reetl 5700,Od ;Mt�rC98�o� _ 760.00 ..._.._.
12Q�!_ _ De9d$ :MO�tt�e$8$
1�15.
130fl,Ak)DtTEONat,SETTLEMENT CNARG�S /
ia01.2o72-t3 school rtax 81�� to Garot n R.McQulilen.Ta�c Coiiedar 9 8'15.24 '�
td00.Tt?TA�.SETT�EMENT CHARGES tenlerort Ilnee 1Q3,_So�tlon.�and 502.Secticm K) ,__________l,.. Z 208.fl{1 9,61G.�4
--_____....
Mu0 CER7«�cATiON 7F @�K�,�M4 86llFa -"-'-'-""'
�ha�n�rrniullr►artewccf tl,n,NUO•1 BaRiemont at+�mM1t AnG W t'h4 pwr��f my knoWi�;�p•,.nnd ifNtef,Il lo+if�+n�nd n96u►stv wln�nrnent ot 4p rc+pnip�a nnA cl�wbtrrqhM4nt1!R1app q�my nry?n��M
or by ma rn iryir�rwnwr�epon.��urtryo►�,wntt��h�i t n�wc rna!�w.d�eoPY+N Me Wc��-1 8otiicmvnt'a�,r�n.nni.
nrriaw . '
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R�R''L'�'�Ca�v!+t
nn �wm .
� , �r n• ..mrrr ,M.�.„....
wn+�NiN�:tfi t8 A CRiME TQ KNO�uVtnr�_v ru�kP_FALSE 8T`hTEMENT8 TO Tue
�JNIT�G7.t'nT�:i Cni TMt8 QR AAIYBIMIIAR FOFiM.R�Nn�.TiEffi UPBN Ct7M1tVlCTtdN Trw�+�et�ion."i i�vc cauoca ar7�q�„�fi firaea�in.�Mah�!lLNG i4Ad ACCU•A14 A.ceunlesf eh.a
ChN�NCL�.+C+E�4 Frarr-,aNb t��'�ttF4NMEN7'.FQq DET�rl3 3EE T�T��4lt; ++�KQ In acCVn�,,n
U.6.COOE BEGT�QN�441 ANQ�Er,T�pta�otG. w�*r!fi tIN�Mah�n+Ent
EE7TiEMEnn ni:�NT:- _
-- �__ �AT�;_,,.��...
REV-1508 EX+c�-sn
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS� a MISC.
INHRESIDENTD EDENTRN PERSONAL PROPERTY
ESTATE OF .--- FILE NUMBER
����� �� ��' � �; " ���— ��z
Include the proceeds of litigation and the date the proceeds ere received by the estate.All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
'. �.' ��--,�� ���
��' 1��. a�
d2 . ��,��.��— �,���%�'�`,��--- �'������j ���°�, �
� � f
���� �
� �� ���/� �.
� ���' �
��'-� ..�' � �'�-�
�... ,,�.� �r�'-�l, l�
v2 . ���°L �i� �?�' �
y�,�s,
�/
��
_ , �-�,,- G� ,
,�� ���� � ���Ts- r ,�-a�
� � ��
TOTAL Also enter on line 5 Reca itulation (�3 � ' r���` �
( , P ) � �
�,
(If more space is needed,insert additional sheets of the same size)
i����
, REV-t509E�{+{i-97}
SCHEDU�E F
COMMOhlWEAI.TH t}F PENNSYLVANIA JOINTLY-C}WNED PRC)PERTY �
INHERITANCE TAX RETURN
RESlDENT DEGEDENT
ESTATE OF ,.� FILE NUMBER
��� �`�� y`.-.'� �..� .� �.. C�/`i�'—�',
If an asset was made joint writt�in arte year of the decedent's date of death,it must�reported on Schedule G.
SURVIVING JOINT TENANT(S}NAME ADDRESS RElATIONSHIP TO DECEDENT
A.
���.r�t ,�t�+r ������'"'�"�'� ' 1-
��'' � ,��
F � �.�'-� � �'��
c��z�. _
��� � 1 ��
�. ��. �� � ..�
�
�.
JOINTl.Y-OWNED PR4PERTY:
LETTER {}ATE DESCRIPTIQN QF PROPERTY %OF DATE OF flEATH
: ITEM FOR JOIN3 MADE Inciude name af financial insfitution atrd bank account number or similar identifying numbee.Attach DATE OF DEATH DECD'S VALUE OF
NUMBER TENANT JOINT deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST
1, A� .��ir�'�' .���� � �� ,,Z�!,✓ "� 'l �-�
� � ��� 11�� /
� �
� �. �
�
TBTAL(Alsa enter on iine 6,Recapitulation} $ �--�'��x� !./
{If more space is needed,insert additional sheets of the same size}
, RE1/-1511 EX+(10-06)
SCHEDULE i�l
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES &
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF � ! FILE NUMBER
� ����"�-,� � � �r� �.- - � �-.�
Debts of decedent must be reported on Schedule L
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personai Representative(s) �/�
Street Address
City State Zip
Year(s)Commission Paid:
2. Attorney Fees �,�G��-�-�-- oG- ��"��G'�`�:� ('�j
, ` ��.�j � �J�
3. Family Exemption:(If decedenYs address is not the same as claimanYs,attach explanation)
� Claimant � /'Y'"/',� �
Street Address '
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees �,._ �,-,�'�
i ��� �
5. �„����.�,�� �.-���,� �i���-��. '�f, v�
� �
6 , S � ��r�� �,. /� ��'° r�
C'�i,�-� �-/�-� ��✓ � �
�?.�; GG%
�
_ �C .�.,�� {
� f �.�,,,'--- �'�'�'� �v� , , �
�. �� ��,� �-�.-�` /��/ ',�..�`'�
�i
• r / �
�,3 ,��. G�'
�r �'�i-�,�l�•v.�-i-j' �,�•rr,ls�->�,/
/(� ,��.���, �,�. ���� l; �/� � �
t%. �/�� ,�'�
� ����
� CL'_-L-�,f--i,�r ��-� �j 4 G C�
2. --- °�
TOTAL Also enter on line 9,Recapitulation) $ � �j�
( �.
(If more space is needed,insert additional sheets of the same size)
°�� Page 1 of 11
� � s�
� ..���
,,�,,�,�„� �:.,,,_
DeHart\'s Auction&Surplus
.�:. o�
Newvilie,PA 17241
717-713-7062 or ` . �
cowboyauctioneerp935@yahoo.com s'��.-''� .,�"`' �'�.��
�.c� �
#14-ESTATE OF BOYD GRAVER �,tP �� , '"�'�°',�
12 CARLISLE RD ,�.�'''`�...�,,,..^'.-�` ',ut�j;-� ;,.�'�
GARDNERS,PA 17324
NO PHONE
NO EMAIL
C01111Y11SSi011$@tUD
COMMISSION STEPS AUCTION TOTALS COMMISSION TOTALS ITEMS SOLD
$0.00 TO $10000.00 AT 20% _ $4,848.00 5969.60 653
$10001.00 TO $$0000.00 AT 2% _ $7000U $1,400.00 1
$0.00 TO $0.00 AT 096 = $0 $0.00 48
$0.00 TO $0.00 AT 0% _ $0 $0.00 48
$0.00 TO $0.00 AT 0% _ $0 $0.00 48
Fees
TRANSPORTATION ADVERTISING STORAGE
0.00 1036.Q0 0.00 75.00 0.00
NOTES
House deposite payed to Attomey,setdement in 45 days.
Totals ��
TOTAL SALES COMMISSION FEES AMOUNT DUE
$74,848.00 $2,369.6Q,�/� $1111 $71,367.40
Lots Sold
LOT� TITLE PRICE QUANTITY TYPE DATE
1 55 GAL DRUM W/KERO $5.00 1 ONSITE 2012-08-11
2 DOLLY $1.00 1 ONSITE 2012-08-11
3 METAL LOT $2.00 1 ONSITE 2012-08-11
4 BOX LOT $20.00 1 ONSITE 2012-08-11
5 MILITARY BOX $50.00 1 ONSITE 2012-08-11
B GI CANS $3.00 4 ONSITE 2012-08-11
7 METAL SHELFS $8.00 1 ONSITE 2012-08-11
8 CORNER SHELF $1.00 1 ONSITE 2012-08-11
9 ALUMINUM TRAYS $5.00 1 ONSITE 2012-08-11
10 BOX LOT $3.00 1 ONSITE 2012-08-11
11 2 WHEELS $4.00 1 ONSITE 2012-08-11
12 METAL POLE $1.00 1 ONSITE 2012-08-11
13 CHAIN $2.00 1 ONSITE 2012-08-11
14 STEAMER TOP $5.00 1 ONSITE 2012-0&11
13 CHAIR LOT $1.00 1 ONSITE 2012-0&11
16 CHAINS W!SIGN $1.00 1 ONSITE 2012-0&11
17 BEAUTY RINGS $2.00 1 ONSITE 2012-0&11
18 BENCH $3.00 1 ONSITE 2012-08-11
19 SLIDE 55.00 1 ONSITE 2012-0&11
20 SPOKED WHEEL $6.00 1 ONSITE 2012-0&11
21 SHOWER CHAIR $1.00 1 ONSITE 2012-08-11
22 ASSORT TOTE LOT $1.00 1 ONSITE 2012-0&11
23 HUB CAPS $1.00 1 ONSITE 2012-08-11
24 BIKE CHOICE $1.00 2 ONSITE 2012-OS-11
25 RINGS/CRATE LOT $10.00 1 ONStTE 2012-0&11
26 3 WHEELSMOOKS $24.00 1 ONSITE 2012-08-11
27 4 WHEELS $9.00 1 ONSITE 2012-0&11
28 FOLDING RAMP $13.00 1 ONSITE 2012-08-11
29 TRIKE $1.00 1 ONSITE 2012-0&11
30 4 ALUM WHEELS $50.00 1 ONSiTE 2012-0&11
31 CHAIN CHOICE $2.00 8 ONSITE 2012-08-11
32 ROLLING STOOL $2.00 1 ONSITE 2012-08-11
33 TABLE SAW $7.00 1 ONSITE 2012-08-11
34 AC LINE $1.00 1 ONSITE 2012-0&11
https://www.gavelbuddy.com/app/sellerprintout.php 9/4/2012
REV-1512 EX+(12-03)
SCHEDULE 1
COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT�
INHERITANCE TAX RETURN MORTGAGE LIABILITIES� Oc LIENS
RESIDENT DECEDENT
ESTATE OF � ��f� ��� � �' ���� F�N�BER
� J��
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death,including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
'. � —�--.� �����' �,� --'�--�'l� �
.��,�Q e� �'�"� �
�j c�'I�l :2%�
r
�, /`-����,.L �°t-�.�'z`c��' i"'�.�`��--.Z�,,. r�--•'i-��� �����. --�00'
� �
,
�, .�' ���� � �.,.� ~�
� �� �e f�
�. l� �
"�I� � �-�-�-� � �� G°�� .
.�I �
�
� ,��.�'-�� � 2..�. ��
� �z��� � ���';�r ' � ,!
.�. � ��
�� � � 9
.� .. � ��� �
, ��,,�';/� ���-�`�.,,r=�, r�:. '' J�'
� � ; ��
� ���( ��
�
.
--,
TOTAL(Also enter on line 10,Recapitulation) $ � �'
,
(If more space is needed,insert additional sheets of the same size)
` REV-1513 EX+(11-08)
� pennsylvania SCHEDULE �
DEPAfiTMENT OF REVENUE
INHERITANCE TAX REfURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF � FILE NUMBER
��i�l' �� ��' � �=~' � �. r - �`�
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under
Sec. 2116(a)(1.2).]
�. ������� L.. C�/�/�-l/�s� -�''c3�t/ ��
f
� � z z- ��-,��.e-���- ��
� /�,�,t� �'�L"-�' /�'� l���'1
/
z - �a,�J�-L,� �� C�.���Y��""�� .,.�-�/ �
�
� � �.� G��.�2��'��t�-j�
��.rz.v,�C'.—��s!' ,�� i �-3 ���
�
- `�, i�'►�-�- 1�/��'- �' �' . ��/�C-1i'�� �S�'�� J
J
�' � G,�:��.�-- �����-'� � � �
�
�'�%�-��,���.�-�. ��-/,�-��-�
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE,
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 2113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN •
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II— ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed,insert additional sheets of the same size.
�-- -----
.�....�,........ - ------- .
�
�- I 1 r ,` � " p
. . ,
I , BflYD E. GRAVER, of Dickinson Township , Cumberland
County, Pennsylvania, declare this to be my l.ast will and revoke
any will previously made by me.
I . I bequeath all of my estate of every nature and
wherever situate to my wife, ESTHER M. GRAVER, providing she
shall survive me by thirty days . �
II . Should my wife, Esther M. Graver, predecease me or
�
� die on or before the thirtieth day following my death, I bequeath
(
� all of my estate of every nature and wherever situate in equal �
shares to such of my children, CHARLES L. GRAVER, RONALD L.
GRAVER and RODNEY E. GRAVER, as survive me by thirty days .
III . Should any of my chiI.dren, Charles L . Graver,
� i
Ronald L . Graver and Rodney E. Graver, predecease me or die on or �
before the thirtieth day following my death, I give and bequeath (
�
�
the share of such child to his issue per stirpes living on the
thirty-first day following my death; and should any of my said
children leave no such issue living on the thirty-first day ;
I
—' i following my death,` I give and begueath the share of such child ;
� �
; in equal shares to my other children or to their issue per �
i
stirpes living on the thirty-first day following my death. j.
I i .
IV . I direct that all taxes that may be assessed in i
I �
consequence of my death, of whatever nature and by whatever �
I �
\
jurisdiction imposed, shall be paid from my residuary estate as a
part of the expense of the administration of my estate .
V. I appoirit my sons , RONALD L . GRAVER and RODNEY E.
GRAVER, co-executors or the �survivor of them executor of this my .
last will . Should my sons , Ronald L. Graver and Rodney E.
Graver , fail to qualify or cease to act as executors , I appoint
my son, GHARLES L. GRAVER, executor of this my last will .
VI . I direct that my executors shall not be required to
give bond for the faithful performance of their duties in any
jurisdiction.
IN WITNESS WHEREOF� I have hereunto set my hand this
�
�j d a y o f�.�-�-���v', 19 9 3 .
B YD E. GRAVER
The preceding instrument , consisting of this and one other
typewritten page identified by the signature of the testator,
BOYD E. GRAVER, was on the day and date thereof signed, published
and declared by BOYD E. GRAVER, the testator therein named, as
and for his last will , in the presence of us , who , at his
request , in his presence, and in the presence of each other have
subscribed our es as witnesses hereto.
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