HomeMy WebLinkAbout06-11-13 _ _ ___ _ _ _ _ _ _ l�lf�
� 1505610105
REV-1500 Ex�°Z_1',��, �
OFFICIAL USE ONLY
PA Department of Revenue P����� County Code Year File Num r
Bureau of Individual Taxes ��"u`
Po Box zso6oi INHERITANCE TAX RETURN �/ � a �
Harrisbur PA i 128-o6oi RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYY`I Date of Birth MMDDYYYY
07/24/2012 07/02/1934
DecedenYs Last Name Suffix DecedenYs First Name MI
Johnson Norman G
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETUitN MUST BE FILED IN DUPLICATE WfTH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1.Original Return p 2.Supplemental Return p 3. Remainder Retum(Date of Death
Prior to 12-13-82)
Q 4. Limited Estate p 4a. Future Interest Compromise(date of p 5. Federal Estate Tax Retum Required
death after 12-12-82)
O 8. Decedent Dfed Testate O 7. Decedent Maintained a Living Trust � 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9. Litigatfon 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 Sche1�B O) �
CORRESPONDENT- THIS SECTION MU8T BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INfORrA N SHOUL DIF�T T0:
Name Dayll�ie�lephone�imbe� �
� -� r� � �, �
Tricia D. Naylor, Esquire (71 87 --� �`
�°7�
r - rn -T c+
zR�1S R OF WILL8�ECONLY
� � � `�� �
C'� G� -i�~. � .�- �?1
Flrst Line of Address � c�. -�= ��
� � C.J �""' 3.�'t
Baric Scherer LLC .ti � �, �, o
a �
Second Line of Address
19 West South Street
City or Post Office State ZIp Code DATE FILED
Carliste PA 17013
Correspondent�s e-mail address:tnaylor@baricscherer.com
Under naklea of perJury,I declare that I have examined thia retum,including accompanying schedules and statements,and to the best of my knowledge and belief,
it Ia rrect and plete. c ratbn of pre re ther than the perso�al representative is based on all infamation of which preparer has any knowledge.
SIG R OF PE R IB F ING R TURN � DATE
AD
19 8 Mills oice Ro , . 5, Montgomery Village, MD 20886
SIG E OF P R O TH SENTATIVE DATE
(o — la - l3
DR SS
19 st South Str , A 17013
PLEASE USE ORIGINAL FORM ONLY
i
Side 1
L 1505610105 150561�105 �
�!`�Gt/
_
_ ��� -
� 1505610205
REV-1500 EX(FI)
DecedenYs Social Security Number
�e�eda�c�s Name: Norman G. Johnson
RECAPITULATION
1. Real Estate(Schedule A). . . .. . .. .. ... . . . .... . .. . .. ... . .... . ... . .. . .. . 1. 42,366.00
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. 21,089.20
6. Jointly Owned Property(Schedule F) C7 Separate Billing Requested . . . . .. . 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested.. . . . . .. 7.
8. Total Gross Assets(total Lines 1 through 7). .. ..... . .... .. .. . . .. ..... .. . 8. 63,455.20
9. Funeral Expenses and Administrative Costs(Schedule H)... .. ... .. . ... . . .. . 9. 3,694.69
10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule I). .. . .... .. . .. . . 10. 10,679.35
11. Total Deductions(total Lines 9 and 10)... . .... . . .... . ... . .. . . . .. . . .... . 11. 14,374.04
12. Net Value of Estate(Line 8 minus Line 11) .... . ..... . ... . .. ... .. . . ... . .. 12. 49,081.16
13. Charitable and Governmental 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. 49,081.16
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.0 45 49,081.16 16. 2,208.65
17. Amount of Line 14 taxable
at sibling rate X.12 17.
18. Amount of Line 14 taxable
at collateral rate X.15 i 8.
19. TAX DUE . . . .. . .. . .... ... . . . . . . . ...... ..... .. . .. . .. . .. .. . . ... .. . . . 19. 2,208.65
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT �
Side 2
� 1505610205 1505610205 �
___
_ _ __
r�w
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
Norman G. Johnson
-. _ _..----—
_— _.___
STREETADDRESS --_ _
712 Stanwix Circle
CITY -- '! STATE ---ZIP ----
Carlisle ! PA 17013
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) ��� 2�2pg�b
2. CreditslPayments '
A.Prior Payments ___ 2,600.00
B.Discount 110.43
Total Credits(A+g� (2� 2,710.443
3. Interest
(3)
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. (4) 501.78
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.
I I.
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. retain a reversionary interest .............................................................................................................................. ❑ �
d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ �
2. If death occurred after Dec.12, 1982,did decedent transfer property within one year of death
without receiving adequate consideration?.............................................................................................................. ❑ �
3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ �
4. Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneflciary designation? ........................................................................................................................ ❑ �
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURW:
� j
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 spou9e
is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the suroiving spouse is 0 perc�nt
[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 arid
filing a tax return are still applicable even if the suroiving 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 decedenYs lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1�].
• The tax rate imposed on the net value of transfers to or for the use of the decedenYs siblings is 12 percent[72 P.S. §9116(a)(1.3)].A sibling is defin@�i,
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+(12-12)
�i�' pennsylvania SCHEDULE A
� DEPARTMENT OFREVENUE
INHERITANCE TAX RETURN REA L ESTATE
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Norman Gardner Johnson a/k/a Norman G. Johnson 21-12-0937
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
woultl be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell,both having reasonabie knowledge of the relevant facts.
Real property 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 Include a copy of the deed showing decedenYs interest if owned as tenant in common. VALUE AT DATE '
NUMBER OF DEATH
DESCRIPTION
1� 1350 Liberty Street,Harrisburg,City of Harrisburg,Dauphin County,Pennsylvania 42,090.00 ''
#08-021-006-000-0000 (See attached legai description).
2. 1352 Liberty Street,Harrisburg,City of Harrisburg, Dauphin County,Pennsylvania 138.00 I, '
#08-021-007-000-0000(See attached legal description).
3. 1354 Liberty Street,Harrisburg,City of Harrisburg,Dauphin County,Pennsylvania 138.00 ''
#OS-021-008-000-0000(See attached legal description).
TOTAL(Also enter on Line 1, Recapitulation.) $ 42,366.00
If more space is needed,use additional sheets of paper of the same size.
_ __ —_ — — _ _ _ __ _ _ _ _ __ �i.
__
_ _
_ _ ■e�.
REV-15o8 EX+(o8-iz)
� pennsylvania SCHEDULE E
`Aa DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Norman Gardner Johnson a/k/a Norman G. Johnson 21-12-0937
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. 2004 Toyota Camry SE Sedan VIN# 10,600.00' �
2, Postmark Credit Union checking account#143623 9 939 2� ;
3, Miscellaneous personai property 300.00' !
4. Retum of Security Deposit 250.00 i
TOTAL(Also enter on Line 5, Recapitulation) $ 21,089.20 ' '
If more space is needed,use additional sheets of paper of the same size.
_ .
_ _ . �i._
_ _
_ ■e a
REV-1511 EX+ (10-09)
� pennsytvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
[NHERITANCE TAX RETURN ADMINISTRATIVE COSTS �
. RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Norman Gardner Johnson a/k/a Norman G. Johnson 21-12-0937
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERALEXPENSES:
1' Carlisle Alliance Church 200.0�'
e. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City__ _. State
_ ------- _...._....._ _........
Year(s)Commission Paid:
2. Attorney Fees: 2,900.OQ I
3. Family Exemption: (If decedent's address is not the same as claimanYs,attach explanation.)
Claimant
Street Address_____
City___ State ZIP
Relationship of Claimant to Decedent
4• Probate Fees: 122.5p
5. Accountant Fees:
6� Tax Return Preparer Fees: 139.9�'
�• Short Certificates-Register of Wills 12.OQ
$. Record Bond-Register of Wills 15.OQ '
9. Bond-Strikler Agency 100.Oa '.
�o. Legal Advertising-Sentinel 115.20
��. Legal Advertising-Cumberland County Law Joumal 75.Oa !
�2. Inheritance tax filing fee-Register of Wills 15.Oa i
TOTAL(Also enter on Line 9, Recapitulation) $ 3,694.�9
If more space is needed,use additional sheets of paper of the same size.
__ _
_ _ _ _
_ e�■
REV-1512 EX+ (12-12)
i'i�pennsylvania SCHEDULE I
� DEPARTMENTOFREVENUE DEBTS OF DECEDENT,
INHERITANCE TAX REfURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Norman Gardner Johnson a/k/a Norman G. Johnson 21-12-0937
Report debts incurred by the 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 Postmark Credit Union Secured Loan 2622-1 8,266.72
2. Forest Park Health Center-nursing care 867.00
3. City of Harrisburg-real estate tax 346.30
4. Hamsburg School District-real estate tax 904.67
5. City Treasurer-utilities 77.56
6. PPL-electric utility 26.10
7. M&Z Carpet-carpet cleaning 139.00 '
8. UGI-utility 52.00
TOTAL(Also enter on Line 10, Recapitulation) y 10,679.35
If more space is needed,insert additional sheets of the same size,
-- -
___ _ _ _ _
__ __
- - — ��._
. _ _ _ � _
REV-1513 EX+ (01-10)
� pennsylvania SCHEDULE )
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Norman Gardner Johnson a/k/a Norman G. Johnson 21-12-0937
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.9116(a)(1.2).]
1• Theresa Mack 19118 Mill Choice Road,Apt.5,Montgomery Village,MD daughter 49081.16 !
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 9113 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,use additional sheets of paper of the same size.
_ __ _ i�
__ __
_ _ _ _—
_■e m� — —
CONTINUATION OF SCI�EDULE A '
, 9G�+,U��162;ACE264 3 6��
RECEIVED"�. 61
, RECORDER•S OFFICE
���� :�►'i�� FY��J i �I$i(1�l6
n� � p
DAUPFitN COUN7Y
Made che . f� dav of ��'w� PENF{Qthe y�ar
� w+c ihousand nine hundred wd seventy-six (1976)
&�«�«� Albert Alexander Chenoweth and Laura May Chenoweth, his
wife, of the City of Flarrisburg. County of Dauphin, State of Peansyl-
vania, Crantors
aad
� Norman G. Johnson and Amanda L. Johnson, his wife, of
the C3ty of Harrisburg, County and State aforesaid, Grantees
__-_\Y�itnesseth,t6at in consideration oi Four Thousand tw0 handred (.S4 2�� 0��
.
i _ �-"--_'_••-_••_'_--"--"__"-_-_-_"_--_'_'-_•.__-'_-'..'.._Dol
in hand paid, the teceipt whcrwf u hereby acicnowkdgcd,t!m��id Grantor3 do
ihereby granc and convey to cke:aid Gtanac S � -
� wLL that certaia lot or piece o� land aituate in the Eighth
Ward of the CiCy of Harrisburg, Dauphin County, Pennsylvania, bounded
and described as follows, to wit:
� BECiNNING at a point oa the north side of Liberty Street,
formerly called North Street, forty-two (42) feet west from the
northwestern corner of Heletta Avenue and Liberty Street, thence weet-
� wardly along said Liberty Street, twenty-one (21) feet to a point,
� the e.asterr. line o£ Lot No. 65 on the hereinafter mentioned plan;
L-h�n�e northwardly. along the eastern line of said lot, nineCy-£ive
(95) feet to Primrose Avenue; thence eastwardly along Primrose Ave-
nue, twenty=one (21) f.eet to a•point on Che Zine of Lot No. 63 on
eaid,plan; thence southwardly along the line of said lot, ninety-
five (95) feet to a point, the place of BEGINNING.
SEINC I.ot No. b4 on the Plan of Lote laid out by Miller and
Long, which plan is recflxded in the 4ffice of the Recorder of Deeds ,
, £or the CounCy•afores8id in Plan book "C", Page 16.
' NAVINC thereon erected a three-story frame dwelling house known
and numbered as No. 1350 Liberty Street, formerly called North Street.
S�ING the seme premises conveyed to Albert Alexander Chenoweth
end Leure May ChetwweCh, by deed of tiarvey M. Kahney deted Jaauary
13, 1947 and recorded ia Dauphia County Deed Book 'K", Volume 29, '
page 353.
�
'^ COhiMONWEAITH•OF PENN51(LyqN�q=
�^ DFPARTMfAtf OF REV (/E _ �'ity of Harrisburg ,
~ �A�� � =4 2 0 0
^' ra�rist�uRi rn
— �� Dauphin County. Pa.
o r.auuo — o
� d Q° � 1 I R201��t3tp T2�efer Ta `!
1� l �'kC ""� o.c� c Ami.��r--�-
�-`
� Coltaeting ARe�t
1
__ —_
_
_-
. _
��__
_ _
_ _ _ __ _
�m��
,
�������t�����
AYD the raid Granlo�s �ViU Wazrant cvK*�Fty�hc p:operty hereGp conreyad• � .
f3�i W11T•IESS WIiEAEQF�tGa said Grsacore bs Y6 he�ennto sec their h.od s and�esie
�6e day and yeu 6rat above weietw. '
��������������� .
s��Ma,SraFed and Detivessd � plbert A2exander Chenoweth
iw �he e ef EAL1
__.............._..........._....._..�.......�_._..._..._...._.__..................,...,...__......�.__ (S
/�'y� tl._.../ tK,�.i�'ha�.._�.... ... � ...................._�........_......._ (SEAL}
- -..'!��.__..___�....... . .._._.. , Laura May C�oweth
. .... ...........__. ...._.. ...__.._ . ..._ (SEAL}
.__...._....�._..._.__. ......_.....__._.....�._ _ . ...
... .......... .. _ . (SEAL)
C06fMf3NR/EftE.TH OF PENNSYINAl�IA
COtlNTY aF DA1fPHIN
��'
pR�n,� �d t`` day of /�-4� A.D.14 7(s.befoce me
t6e uudeeugned oSiat,penonslly
oy�u�d Albert A2exsndez Chenoweth an.d Laura T4ay Chenoweth,
his wife, luiewa w ma. (or rati+fadmily
paovert) to 6e the perron S w6o�e aame 8 8Y@ �a6aas6ed m the w&bin ie�um,ea�aad
uFcno�vledged ihat t ha y exeerted the �ama fer the purpoan theeein eonainai. ' ,
I1V W17'NESS WHEHEOP,I hercuww�er my haed and oKieiat ud. �
. �
.ut.a.�!-.-w�.._..�.............'''v'��'�
.'
�. .
.•
,�'�
:'
:.
. •
.- •-
__.... ....._.........._.._......�..�:.......:......
.s:ri:. �l-r,:�R�t,ns ..
. .. r. .
� !�'iri4,-- ' ..v.r..,,n. 't'"'......._ _-...
• ........_..__.........�.
....-_..."'........i........_.................._......................
� ���.7•Gcr:.. .:.L•. �'-�iiti�i9�ca � . . '
..
Z HERESY CERTfFY.th�t e6�prsdre�nideac+r of�he Grmue ` ✓ 1
"�".�.._. ._...__.... _. Q�
�.�3s�....__._. _-�--� - ' '�
.... .. . . ....._ .
� ���1���'���k��y�a3
� � k
,c w .
a+ � .� �
y
G r a 3 �o�ty y �
� � p� V � � �'f � m$
� Q°: k .°a o � o �,.�ai', E4
`9� �' Y
(�I r-�i p w w a � � t; � . ^� ,O�'j... Q'; a
~ � � M�
�l: � p % � a � u�' � � � •
� °` � � i � `M
a A't
�� u m ro �a° � •a �
a�`i `� C ' � � �` dt
\\ A 'U =� p, �6i . , .
•-� a � � � xi °"
B � � l� c° �
COMMOPiWEALTH QF P YANIA � SSi
CQ(1N7Y OF ��'� c.�s✓ �
ficexded m tlw f�� dry o( �� A.D.14?6s M the
Reaordti a E2/Eict of t6e stid Counq m Derd Hook � Ya3ums ��' PaW�(a� •
Givm ander my Bmd iad ehe u�!a6�wd OBier,tLe dau abeve rrwun.
J��G�.:.....�....IC/�u�r.ti Aseardcr
I
i .
1 ,
i •
t ,
. .. —.... _._ __ —__ . _.. __ __. . —_ _ _—__. _ -____ —. —___. _.__. —.._. _ .. I I...
____ _
_ _ _ _ _
_ _ _ -�e�
www.DauphinCounty.org � Property & Taxes � Information for Property 08-021-006-000-... Page 1 of 1
� llAU1'HINCC�UNTY
P F. N N S Y L V A N 1 A
�� Pi'O�C��a3t�S
I'D LIKE TO...
Information for Property o8-o2i-oo6-000-0000,Tax Year 2oi2
\u��C\\4 a gfc�rmaliui�
Property t of 3 CSec=�Ip Next%>I.,�sl,>.l
Properh�Information
\t4w�vseti 7nent l�if��._
T:u Year Yroperty ID Im es(Sce..e�.l) \t�w[lillinA k C«Ilgcti�n � .
2012 oR-o2i-oo6-000-0000
� \'iew Delinauent 1'anes
.., _,
Tow�nship Property Use ''� ����.. 1�mt Ihis.I'.a.r..�;.el '
CITY OF HARRISIiURG Roq-3 STORY RESIDENCF, "�----""—'—�----'�—�" �
, � $I,�1�I..B.N.e.}��ti.Ear.Cl�
Neighburhood Si[e Address
08003-STA7'E--FOItES'1'liR i35o LIBLRTI'Sf' Gu lu Pr�nerlg�i�'Paxe�
„ .. <o to ll.;�ig>hm County
Oavner Nmne and Address Mailing Name and Address _;..g_y. 5h�
.IOHNSON NORMAN G JOF[NSON NORA4AN G "
..
7t2 STANWI%CIR 7i3 Sl'ANW]%CIR Go tu Dau..�hin Cotint�•.GTS �
AT'T i �P'f i --_.o•' ' Int�2�ti�y�1�� ..
CARLISLE,PA tyoi3- CARI.ISI.F.,PA iyoi3- �
,.Qa.
Atisessinen[r . .
Annual Billing
Land Building Total Yref.Lxnd Yref.Building Yref.'Potal
Non-EYempt G,ioo 2q,400 ;;0,500 0 0 0 �
Exempt o 0 0 0 0 0
Total 6,ioo z4,4oa 30,500 0 0 0
LS�emptiuns �
Type Sta[us IandAmount BuildingAmount FremptionAmount Parmstead? FarmsteadValue
I-lomestead Applicotion Denied o o a No o �
— - - ._ . ... .. _.._. ._._-- _...-�------.._ . .--- ------_ . ._._--._ ---. _�. .
Cop�nghik72UOg-4uio.flCVNGT.IpqAllftighlsRCSi�v�cA. t.oimtyofMuphin.DepaiYmentof'InlanialionTcahuolo•c .
��Snu W.4ec•ond Slre K,Fifth Fbnr
Harrisburg.PA rnoS-r_95
webmuYrrc:.'clauyl�i nc.urg
http://www.dauphinpropertyinfo.org/properryinquiry.pl?rm=view&parce1=08021006000000... 6/4/2013
- _ ,
_ . _ _ __ _ _ �,.
_ _
.�,� _
INST$: 20110006928 Recorded: 03/OS/2011 at 08:15:43 AM 3 PAGES JAMES M. ZUGAY,
RECORDER OF DEEDS, DAUPHIN COUNTY,PA. RECORDED HY DEPUTY CLERK: CMECK
Tax Claim Bureau Deed
This Deed Made this 22nd day of February ,2011, between the TAX CLAIM BUREAU, of
the Counry of Dauphin, Pennsylvania, as Trustee, GRANTOR, and Norman GJohnson Grantee
Witnesseth, that in consideretion of SI.00 in hand paid, receipt whereof is hereby acknowledged,
the said Grantar does hereby grant and convey unto the said Grantee, /�Is heirs and assigns, the certain premises
situate in Clry ojHarrisburg, Dauphin County, Pennsylvania, as follows:
SOLD AS THE PROPERTY OF: Ivan T Holloway '
KNOWN AS: 1352 Liberty Street '
PARCEL NUMBER: 08-021-007
REPOSITORY SALE: This sale was made in accordance with Section 627 af the Act of July 7, 19A7,as
amended(72 P.S.section 5860.627).
ASSESSED VALUE: 5100.00
the same having been sold by the Tax Claim Bureau to the said grantee, on the 1�1G day of December Anno
Domini two thousand and ten, after due advertisement according to law, the period of redemption for the payment
of tax claims having expired without the property having been redeemed, or any tax judgments heretoforo having
been entered against the described property having not been satisfied, or no agreement to stay the sale of the
within described property having been entered into, or the within described real estate no longer remaining in
possession of a sequestrator, by Upset Price Sale, Privat�e Bid S�.lg,or by order of Court for ludicial Sale entered to
No. Tertn, in the Court of Common Pleas in and for the County of Dauphin under and by virtue of
the Act of 1947 PL 1368 (Real Estate Tax Sale Law).
In Witness Whereof, said Grantor has hereunto caused this Deed to be executed by its Director
the day and yeer first above written.
TAX CLAlM BUREAU OF
Signed, Sealed and Delivered DAUPHiN COIJNTY,PENNSYLVANIA,
in the presence of: TRUSTEE
, gy +��`y��v"L���-^� (SEAL)
�
- Director
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHfN }ss:
On this, the 22nd day of February, 2011, before me, the Prothonotary of the Caunty of Dauphin, the
undersigned officer, personally appeared Steven L. Hawe, Director of the Tax Claims Bureau of the County of
Dauphin, Commonwealth of Pennsylvania, known to me to be the penon described in the forogoing instrument and
acknowledged thet he executed the same in the capaciry therein stated and for the purposes therein tained.
In Witness Whereof, I have hereunro set my hand and official seaL
�
:�:a� ' �'
� (�'rw,�•'r
Certificate of Residence
] hereby certify that the precise residence of the grantee herein is as follows:
711 Slanwiz Clrc%Apl l,Car/lsle,PA 17013
, Cau�t nt�ae�hin
� offi�og s4x a�sessment
' i.=_�,e��ations
juai�. �-5�-/�
� Numti�r of tfPi:. /
� lniti�g',,! �
__ __
_
. _ _
_ ___
_
__ __ _
_ _ ___
_ �e� _
INSTR[.T[�NT #: 20110006928 PAGE 2 OF 3
, a...u�r o:-w�
� Recorder's Use Onl
CW.9NON WEALTN OF PENNBYLYANIA
REALTY TRANSFER TAX Stam Tax Peid , p(
OEPMTMEMOF0.EVEMIE STATEMENTOFVALUE AookNumber p ��pp
9UREAU OF INDIVIDUAL TAXL•5
uerr.xweo� Page Number
HA0.RISBURG,PA 17�11AW7 ��Reveroe tor Inatructiona n e eeor _ /I
'� �l\
Complete eech sectian and file in duplicete wi�A Recorder of Deeda when(I)1he full velue/ewuidaation is not aet fonh in the dad,(2)whrn�he dad is wilhout
consideration,or by gift,or(3)a lax exemption is claimed. A Statement of Vaiue is not required if the dansfer is wholly exempl from tex based on:(I)family
rcle�ionship or(2)public utility eesement. If more space is nceded,ettach additional aheel(s).
A CORRESPONDENT-All inquiriea may be directed to the followieg peeaoa:
Name Tdephone Number:
DAUPHIN COIJNTY TAX CLAIM BUREAU Areo Code (7t9)780fit25
Stnef Addrc�e Clty State Zip L'ale
P.O.BOX 1295 HARRISBURG PENNSYLVANfA 17108•1295
B TRANSFER DATA D�te of Aceeptance o�Daument February 11,znr�
Gnnror(a)/I,w�or(�) Cnntee(�yLe�ue��) Norman C Johnson
DAUPHIN COUNTY TAX CLAIM BUREAU
Street Addrc�e Stteet AUUreu �
P.O.BOX 1295 712 Stanwir Circle,A t 1
ciry sc.�e zi�caa� ci�y s�.r� ZIpCoJe
HARRISBURG PENNSYLVANIA 17108-1295 Carlisle PA 17013
C PROPERTY LOCATION
Strcet AJdrcsf Ctty,Townihlp,BorouBh
l352 Liber Stree! Narrisbur Cl
Counry Sc600l Dlstr�ct Txx Psrcd Number
DAUPHiN Harrisbur Ci 08-DI1-007
D VALUATION DATA
1.Actu�l C�ih Coedde��tlon 2.Other Condderatlon 3.Totxl ComWention
S 1.00 + S 0 — S I.00
4.County Mxued Vqlue S.Common Level R�No Foeror 6.Feir Mrrkel V�lue
S 100.00 x 1,42 = S 142.00
E EXEMPTION DATA
la.Amount otE:emptfon C7dmed Ib.Pereenbge af Ialereet Conveyed �
S 0.00 � 100 I
2.Check Appropridc Oox Below for Exemption Cidmed
❑ W ill or intatate succcssion
(N.me ot o¢Wenq (GU.0 File Numbet)
❑ Transkr ro Industrial Development Agency.
Q Tronsfer to agent or slraw party. (Altach wpy of agency/straw patty�greement).
❑ TransRr bciween principal and egent.(Anech copy of egency/sksw Wst egreemenq.Taz paid prior deed$ �
❑ Trenskrs to thc Commonweelth,ihe United S�Mes,and InsUUmentalities by gift,dedication,condcmnetion or in lieu of condemnation.
(Attach copy of rowlu�ion).
❑ Tranakr trom mongagor to a holder of e mortgege in dcfault.Mortgage Book Number ,Page Number
❑ Corrective deed(Anach copy of the prior dad).
❑ Statutory corporate consolidatian,merger or division.(Attach copy of erlicles).
� Other(Pleese explein ezemption claimed,if other than listed above.) PrivR!¢Qld Sc7le
Under pemltin o!law,l deelerc th�t I 6�ve ezomined this Statement,Including aecompanyinQ{nformuion,�nJ to the 6tat ot my knowtedQe�nd 6elfef,it ic
true,correet�nd com lete. .
Signalure of Corrnpondent or Raponilble Parry Dqh �
`����� a�aa� � �
_
_ _ _ �a��
r
James M.Zugay,Esq. Location:
Recorder of Deeds Dauphin County Courthouse
(71')) 780-6560 Room 102
��� Front&Market Streets
Candace E.Meck � Harrisburg,PA 17101
First Deputy �
Recorder of Deeds
Harrisburg,Penns��lvania
CERTIFIED END PAGE
INSTRUMENT #: 20110006928
RECORD DATE: 3/8l2011 8:15:43 AM
RECORDED BY: CMECK
DOC TYPE: DEED HB6
A6ENT: TAX CLAIM BUREAU
DIRECT NAiAE: HOLLOWAY,IVAN T BY T C B
INDIRECT NAME:JOHNSON.NORUTAN G
ACT 8 OF 1998: t5_00
COMMONWEALTH OF PA: t0.01
MUNICIPALITY: t0.01 HARRISBURG CITY
SCHOOL dISTRICT: t0_01 HARRISBURG
AOPC: t23.50
AFFORDABLE HDUSING: 573.00
UPICount: 1
UPIFee: 10
U PlList: 08-021-007-D00-0000
t Ccrtifv TUis Docuinent To Be Recorded
In Dauphin County,Pennsylvania.
d�"�r � �'�� �
�, ,
�,,��,; James M.Zuga}•,Recorder nJ'Deer�s
THIS IS A CERTIFICATION PAGE
PLEASE DO N�T DETACH
THIS PAGE IS NOW PART OF THIS LEGAL DOCUMENT
_ _
_ _ . ��
_ _ _ _
_
��r
www.DauphinCounty.org � Property & Taxes � Information for Property 08-021-007-000-... Page 1 of 1
� UAUPNIN C�UNTY
P E N N S 1' L V A N I A
�� �'ru�i.yR��I�e.S �
I'D LIKE TO...
Information for Piroperty o8-o2i-oo'7-000-0000,Tax Year 20�2
� I'n�t.<.�Yr.ey Property 2 of g(�ce,�ll) \%izw C:\Md intorm�tipii
. . `7��1>:..I�s151.>.�.
Propert��Infor�nation
\i�w�vs�scmcnt I�if��.. .
'Tsix Yesr Property ID Imagec(Sec.�ll) �'ie�v[Siltin��C(;ollecti�n
2012 o8-ozi-oo7-���-0000 �a
+ \'iew Pelinyuent Ta�es
. ,
1'ownship Proper[y Use °�. } � �.,,�� ��
CITY OF HA1tRISBURG Loi-BLDG LO'f-UNllER i ACI2L' ��` :..,'�� Pi mt this 1'.�rc.el �
., _ �_ �. .. __._---- ---__.---._
Neighborhood Site Address ` .� ° °
08003-STATE--FORES7'ER i3gx LIBF.R1'Y ST �'b � .`:�����
�,
;��,�. -_.. - StmllV��v$zarcl�
O�vner Name and Adctress Mailing Nnme and Address "�`dn''�''- � - �.
./0I-INSON NORIvtAN G .IOIINSON NORI�SAN G
C�t�Pmperq•fi Taxe�
7ia STAN WIX Cl R AI'T i 7i2 ST4NWI%C1R AP1'i �
CeUtLISL&,PA iyoi3- CARLISLL',PA i7oi;j- Ci>.lc�D�u}>]iin_Cuunty �
l\'41)�t�
(;otoLlauphmCou.nly.CiS �.
As4essments Ins.Fa•iv�����
Mnual Billing ��
Land 13uilding Total Pref.Land Pref.Building Pref.Total
Non-Exempt ioo o ioo 0 0 0
Exemp[ o v o 0 0 0
, Total ioo o ioo 0 0 0
Hticmptions
Type Status I.andAtnount BuildingAmount ErempNonAmoun[ Farms[ead? FarmsteadValue
— ----�--.._.._..---....._ .---� ------___—.—._...--- ---- --- � -- - -'----
Cn��iiylrtt.._��op_'oii�.Dl.4nii'f Iti15:..UIRieI�t.P.esened Coi�nq'o1D�upl�i��.[le➢;utmentollnEur�ua�ion'I'e��hnnloy��
z5outl�Secoud StrreL Fi(lh Fl�ar
H;�rtisbm�g,PA�;�o9-izy5
��ebma5terit,dau�>hiuc.ui�� �
http://www.dauphinpropertyinfo.org/propertyinquiry.pl?rm=view&parce1=08021007000000... 6/4/2013
_ - ,;
. _ _
_
_ _ . ��►�r _
INST#: 20110006929 Recorded: 03/08/2011 at 08:15:44 AM 3 PAGES JAMES M. ZUGAY,
RECORDER OF DEEDS, DAUPHIN COUNTY,PA, RECORDED BY DEPUTY CLERK: CMECK
Tax Claim Bureau Deed
This Deed Made this 22nd day of February ,101I, between the TAX CLAIM BUREAU, of
the Counry of Dauphin, Pennsylvania, as Trustec, GRANTOR, and NormanGJohnson Grantee
Witnesseth, that in consideration of $/.00 in hand paid, receipt whereof is hereby acknowledged,
the said Grantor does heroby grant and convey unto the said Grantee, kls heirs and assigns, the certain premises
situate in Cfry ajHarrlsburg, Dauphin Counry, Pennsylvania, as follows:
SOLD AS THE PROPERTY OF: Michael A Daniel
KNOWN AS: 1354 Liberty Street
PARCEL NUMBER: OS-021-008
REPOSI7'ORY SALE: 7'his sale wes made in accordance with Section 627 of the Act of July 7,1947,as
amended('72 P.S.section 5860.627).
ASSESSED VALUE: $100.00
the same having been sold by the Tax Claim Bureau to the said grantee, on the l4N� day of December Anno
Domini two thousand and ten, after due advertisement according to law, the period of redemption for the payment
of tax claims having expired without the properiy having been redeemed, or any tax judgments heretofore having
been entered ageinst the described property having not been satisfied, or no agreement to stay the sale of the
within described property having been entered into, or the within described real estate no longer remaining in
possession of a sequestrator, by Upset Price Sale, Private Bid Sale or by order of Court for Judicial Sale entered to
No. Term, in the Court of Common Pleas in and for the County of Dauphin under and by virtue of
tlie Act of 1947 PL 1368 (Real Estate Tax Sale Law).
In Witness Whereof, said Grentor has hereunto caused this Deed to be executed by its Director
the day and year first above written.
TAX CLAIM BUREAU OF
Signed, Sealed and Delivered DAUPHfN CO(JNTY,PENNSYLVANIA,
in the presence of: TRUSTEE
� By ��±�J� (SEAL)
l.�l.
� Director
COMMONWEALTH OF NNSYLVANIA
COUNTY OF DAUPHIN }ss:
On this, the 22nd day of February, 1011, before me, the Prothonotary of the Counry of Dauphin, the
undersigned officer, personally appearcd Sfeven L. Howe, Director of the Tax Claims Bureau of the County of
Dauphin, Commonwealth of Pennsylvania, Imown to me to be the person described in the fongoing instrument and
aclmowledged that he executed the same in the capacity therein stated and for the purposes therei ntained.
In Witness Whereof, I have hereunto set my hand and o�cial seal. �
� � r •
.:?t'J�.:. ��t'��°J
,. .t.,
Certificate of Residence
f hereby certify that the precise residence of the grantee herein is as follows:
711 Stanwix Ctrc%,Apf I,Carlls/e,PA 77013
��
v
CouMy of l�z�,hin
Offr:c of'r2xl�ssessment
�°�Certificationc
Dat��: 3-t�-��
Number of U?wz /
lnitials: �'t3""
_ _ - _
_ _ _ _ _
__ __ -- -- - _
_ �� _—
_ _ _ _ _
.�..
INSTRUMENT #: 20110006929 PAGE 2 OF 3
x�.•io�o:.ro�
� Recorder's Use Onl
COMMONWEAL7NOFPENNSYLVM7A ��TY TRANSFER TAX StueTax Pud , �
uee.�a*n�mmoF�ev�r+� STATEMENT OF VALUE eoak umher O Omb �l o't
BUREAUOP WOIVmUALTq7Q5
cerr.xwao� Page Num6er
HARRISBUNa.PA 1712406W
See Reverse tor Instructions e w _ 0
Complete each section end fik in duplicete with Recorder of Dads when(I)the t�ll vdudwnsideration is not xt fonh in the deed.(2)when the deed is wi�hout
considention,or by gift,or(3)s tax exemption is cleimed. A Stalement of Vdue is not rcquired it thc transfer is wholly exempt from tax baud on:(1)family
rcluionship a(2)public utiliry easement. tf more epace is naded,auech additionel sh«t(e).
A CORRESPONDENT-All inquirfiee may be dirocted to the foUowing person:
Name Telep6one Nuo6er.
DAUPHIN COUNTY TAJC CLA[M BUREAU Am Code (717)750-6125
Strcet Addrcu Clry St�te Zip CoOe
P.O.BOX 1295 HARRISBURG PENNSYLVANIA 17108-1295
B TRANSFER DATA D�te ofAaepaoce of Docunen� Febnrary 12,1011
Gr�n�oH�u��M�) Gnatee(�yl.tate(s) Norman G Johnson
DAUPHIN COUNTY TAX CLAIM HUREAU
Stnet Addrea� Strert Addreu �
P.O.BOX 1295 712 Stamvix Circle,.t t 1
City Shte Zip Code City Sple Zip Code � .
HARRISBURG PENNSYLVANIA 17108-1295 Carlisle PA 11013
C PROPERTY LOCATION
� Strcet Addreu Ciry,Towmhip,Borou46 �
1954 Liber Street Harrisbur Ci
County School DI�McI Taa Pareel Num�er
DAUPHIN Harrisbur Ci 08-OZl-008
D VALUATION DATA
l.AcmU Cnp Con�idenqon 2.Olher Considentioo 3.Tohl Considentlon '.
Sl.00 + SO = 51.00
d.County Muaed Vrlue S.Common Level Rado Fattor 6.Fdr M�rket Vdue '�
s�oo.00 � �.4a = s�4z.00
E EXEMPTION DATA
l�.Amount of Exemption Cl�imed lb.Percent�e ot Inferat Conveyed
S 0.00 I !00 I
2.C4eck Appropri�te Bpc Bclaw for ExempHoo Claimed �
❑ Will or intestete succasion �.
(NUne ofDecedsnQ (Fi�tla File Numberl .
❑ Transfer to Industrial Development Agrnry. - ,
❑ Treasftt ro agent or suaw perty. (Attach copy of agency/straw perty agreement). � �
❑ Transftt betwern principal and agent.(Attach copy of agrncy/slraw vust agreemrnt). Tex peid prior deed$ �
❑ Trensfus to�he Commonwealth,thc United S�ates,and Instrumantelitics by gift,dedication,condemnetion or in lieu of condemnetion.
(Anach wpy of resoWtion). �.
❑ Traiufer fmm mongagor to a holder oF a mongsge in defaull.Mortgage Book Number ,Paga Number �
❑ Coerective dad(Attaeh copy of the prior dad). ��
❑ Ststulory corporem consolidazion,merger or division. (Ansch oopy of artides). �
� O�her(Pleue explain exemption olaimed,if oNer than liskd sbove.) Prlvate Bid Sale
Ilpder pemltiu of law,l declarc th�t t 6�ve exqmined lAb Stotenent,Ineludf�g accompnnying intorm�tlon,and to the bnt of my knowledge�nd belief,it is .
true eorteet�ad�om leta .
SlQeature of Corrapoodeat or Rt�pomlble Porly Date �
�=�.C�, �Jaay <<
- -
_
_ _
- -
_
_ _
_ _.
_ __ ___
__ _ _
. ���.
James M.Zugay,Esq. Location:
Recorder of Deeds Dauphin County Courthouse
(717) 780-6560 Room 102
Front&Market Streets
Candace E.Meck _ • Harrisburg,PA 17101
First Deputy
.
Recorder of Deeds
Harrisburg,Penns��lvania
CERTIFIED END PAGE
INSTRUMENT #: 20110006929 :
RECORD DATE: 3I8l2011 8:15:44 AM
RECORDED BY: CMEpC
DOC TYPE: DEED HBG
A�ENT: TAX CLAIM BUREAU
DiREGT NAME:DANIEL,MICHAEL A BY T C B
INDIRECT NAME:JOHNSON.NORMAN G '
ACT 8 OF 1998: S5_00
COMMONWEALTH OF PA: 30_Ol
MUNICIPALITY_ ;0_Ol HARRISBURG CITY
SCHOOL DISTRICT: t0.01 HARRISBURG
AOPC: S23_50
AFFORDABLE HOUSING: t73.00 '
UPICount: 1
UPIFee: 10
UPILizt_ 08-021-008-000-0000
I Certifv This Docuinent To Be Rccorded
in Dauphin County,Pennsylvania. '
%�!•`��
�i��
`��� James M. Zuga}',Itecorcter oJ'Deecl,s
THIS IS A CERTIFICATI�N PAGE
E D N(�T DE TACH
PLEAS O
THIS PAGE IS NOW PART OF TH:IS LEGAL DOCUMENT '.
__ _ _
- -
�
- - �_
_ _ _
_ _ ���
www.DauphinCounty.org � Property& Taxes � Information for Properiy 08-021-008-000-... Page 1 of 1
� DAUI'HIN CC�UNTY
I' E N N 5 1' L V .1 t� I .9
�.� PI 0��;i���.XQS : ' :
I'D LIKE TO:..
Iuformation for Property o8-o2i-oo8-000-0000,Tax Year 2oi2
\ie�rCAhLllntcirmatiai �
�.Pir;t c:5 Pre� Property 3 of 3(See.rUl)
Pro��crh�Infonnation
�i�w�vs.=stimen[Infu.
'I':uc Year Property IU lmages($ec�,al) <<C�v�ill.ing�5c 4v�1es13nn
2012 o8-ov-oo8-000-000o a �'iew Delinyuent Taxes
Township Proper[y Use �,, _'� -:� �
CI'1'Y OF HARRISBURG Loi-BLllG L01'-LINUER i ACRE �' Prmt this 1?arcel
_. — -------
Neighborhood Site Address `�,;��';
o800g-STATE--FORESTF.R i I.IIiERT'Y ST "
354 r_ St�rl�Vgy Sq,�rrli.
Owner Name and Address Mailing Name and Address "'�°"^`�-
JOIINSON NO1tMAN G JOIINSON NORMAN G Gy_t�Pm erp te fi.Paxe�
7i2 STANWI3 CIR AI''C i 7i2 STANWI%CIR AY'C i Go ta ll�iiphm Count��
CARLISLE,PA i7oi3- CARLISLL',PA i7oi3- 1Ce1»itc• �
Asse.ysments (�o tu.L?�u.phin Cmmty CI.S
- Int�ra�i�•y�1;��
Annual Billing
Land Building Total Pref.L,and Pref.13uilding Pref.Total
Non-Gxempt ioo o ioo 0 0 0
Exempt o q o 0 0 0
Total ioo o ioo 0 0 0
13cemptions
Type Status IandAmount BuildingAmount EeempNonAmoun[ Farmstead? ParmsteadValue
-— --' —� � ----------___--------------- - -------- � — ------
('�p'SLt�i'��oo�l=oui I)I.\P�,'L.hlt'..�11 Rights Rrsei�eA. Gmntyof Daiq�hiu.DeV:���mr.nt nl Infouuntinu'fe�:hnnlo�,�� .
_Snuth S rnud St�rel.Fiftli F'I<ar
HarrisbmX,PA t;itw9-is.)5
��ebm;utNri�Aaiqil�iuc.c�C%
http://www.dauphinpropertyinfo.org/propertyinquiry.pl?rm=view&parce1=08021008000000... 6/4/2013
_ _ __
_
_ -
� - ��;
�� � �d
�J'('�- �
� ��a�
�