HomeMy WebLinkAbout08-23-13 - �
� 15056101�5
RfV-1500°"�"'�"'1�1
PA Oepartment of Revenue P��sYWanla oFFICIAI USE ONLv
9t're"'°f Indwui"atTa"`�s INHERITANCE TAX RETttRN ��� v�r Fue NwM�
���� � ra, �a�r
Hamsbum,pA a7u8-o6oy. RESIDENT DECEDENT
ENTER DECEDENT INFORMAflON BELOW �
Social Secwity NUmber Date W Death MMDDYYYY Dete of 8iAh MMDDYYYY
9'111fi/2012 11/2111$35
DecedenPs Last Name Suffix DecedenPa First Name MI
tiake Barbare E
(ttAppllceble)EMa$urviviny 8pouse's Infortnallon Balow
Spouse's last Nsme SufAx Spouse's Firat Name MI
Spouse'e Sodei Securiry Number THIS RETURN MU$T BE FILED IN DUPUCATE WIT'H THE
RECISTER OF WI��S
FILL iN APPROPRWTE OVALS BELOW
� 1.Onginel ReWrn p 2.SupRlemental Retum O 3. Remainder ReWm(Dste of Death
Prior to?2•13�82}
O 4.timited EBtete y= da.Future Interest Compromise(date ot p 5. Federai Estate Tax ReWrtr Required
death atter 72-12-82)
m 6.Llecedent Died Tesfete p 7.Deoedent Main4alned a Living Trust 0 g, Totel Number o(Safe Deposit Boxes
{A4tach Copp M WHI} (Attech Copy of Trust}
O 9.Utigetlw�Prorseds iteceived O 10.SpWSai Foverty Credit{Date af DeaM O N. Ebction fo Tesc under Sec.9113(Aj
Belween 12•31•91 and 1•1-Bb) (Attach Schedule O)
CORRE8PONDENT- THIS SECTqN MUBT BE CpMPLETED.ALL CORRESPQNpENCE ANO CONflDENTUU.TA7(INFORMA710N SHOULp BE DIRECTED T0:
Nar� Oaytir�T Nurnbec-.� �
�
Cindy Make (717) i5�ir�7 �, �,,+, �
m _ c-
RE41��4u.t.8 ONC:-
r � � W ;' r+
Firet Line of Addrese Z �: �; c� c
$5 Bt08dW@11 LD � �' r: � �� =
C? G -xi �
Second Line ofAddress � � � i����� ��
� � �,..
n �,,� tr'�
W
City a'posf Qiflce Stete ZIP Cod6 6AT€flLEo
Mech�nicsburg PA 17055
corrosPonasnes rms��aaaross:c1hake�$verizon.net
Under pgnettles of perjury,l dedare th0l I heve exeminetl this reWm,Indudinp�sctpmpenylnp aqMdules and BtatemeMS,entl b the best of my knowMldpe and Delief,
� k ia Wa.tnrtacl and oomplete.DedNraUon o/prepprer oNer than Vro pereonel reproeeMetivb in basetl on ell InPoimetbn N which PrePeret has eny krivwle0ge.
5 TURE Of PE RE LE f�i FI�ING FiENRN DATE
�
E83
E anJ c.� ,. Pfi t v�s
SIGNAtURE OF PREPARER O7HER 771AF7 REPRE3ENTATIYE Da7E
ADDRESS
PLEASE U�E 6R14tffAL FCiRM OkLY
Side 1
L 15056101D5 15D561a105 J
�
� 15Q56��205
�v-t5��c t��i
oe�:edern's sac�a�secuaty rturr�r
n�aem's niame: Barbare E Hake
i2ECAPiTULATlON
7. Real Estate(3chedule A}. . ..... .. . . . . ... .... . ..... .... . .... . . .. .. ... . 1. 152,200.Od
2. Stocks and Bonds{Sdtedule B) ...... ........._..._..._........._. 2. 6B,673.68
3. Qbsely HeW Caporetion,Partnership or Sole-Propnetwship(Schedule C} . . ... 3.
4. Mqrt{3ages and NoEes Receivabie(Schedule D)................... . ....... d.
5. Cash,Bank peposits and Miscellar�wus Peraonal Property iSchedule E)... , .. . 5. 71,567.18
fi. Jokatly Ow�ed Pmperty{Schadule F} O Separete Bi��g fYeque�ed ....... 8. 62.260.32
?. inter-Viws Transfars R Mis�ilaneous Non-Probate ProyeMy
($cheduie G) O Sapsrete BIIIMg Requested.... .... 7, 1$,�65.04
a. ro��rou�{cot��vres�tnro�,sn�}........_................... a. 374,770.20
9. Funeral Expensea andAdministretive Coats(Schedule H)... ..... ..... . .. ._ 9. 15,247.81
to. Usbts ot Decc+derrc.M«tgage�iaCNtties and E�errs{scheduie i)............... to. 111,041.$0
11. Tpfal Deductions(total Unes 9 and 10)... . .. .. ... . .... . . ... . .... . ... . .. N. 126,289.40
12, ket Yapte ot Eatals ILine 8 mirws Une PI}.............................. 12. 244,488.$Q
13. Charitabie and Govammantei BequeetWSec 8173 Trusts for whicb
an eledion to tax has nat been mada(Schedula J) . . .. . . . ... .. . .. . .... .... t3.
14. Ti�t Yaiva Sub�ci Ea Tarz{L'a4e#2 minus li�13} ........................ i4. Z44,480.8�
TiUf CALCUTATIQN-SEE IN$TRUCT1dNS FOR APPLICA8L8 RATES
15. Amount of Line 14 taxa6le
et the spousel tax rate,or
transfers urMer Sac.9118
(a)(12}X.0_.... 1S.
16. Amount of Line 141axable
at linea�rate X.0 45 24d,480.$q 16. 11,001.64
� 17. Ama�nt of t.�e 14 taxabie
at siDling rata X.12 17.
18. Amount of Line 14 taxable
at collatersi rata X.15 18.
1S. TAIC DUE... .... .... . . . ...... _........... 19. 11�001.64
__......
20. PIIL IN TME OYAI IF YtSt!Atif REGUE8TMIQ A REFUND OF AN OV�kPAYMENT p
Slde 2
L 15C15610205 1505610205 J
REV•1500 EX(FI) Page 3 Fik Number
tiece�rrt's complete Address:
DE DEM' NAME
Barbare E Hake
sTREEraooRess -
2289 MiII Rd
CtTV sTah z�, ' "_
Mechanicsburg PA 17055
Ta�c Payments and Gredits:
t. ra,c oue(Page 2�line ts) tt} 71,001.64
2. Credits/Payments
A Prior Payttrenis _
8.Dismum
_ Tolal Credits(A*B) (2)
3. Interest
(3}
4. If i.vie 2 is�reater ihan Line t+U�3,eMer fhe difierence. This is the O�RPAYMENT.
Fill in mal on Page 2,41na 20 to request a refund (q)
5. If tlne t+lir�e 3 is greater tha�Lrc�2,�ter it�difier�.TMs Is the 7AX DUE. {5} 1'l,009.64
Make check payable #a: REGIS7ER OF WI�LS,AGENT.
. ���.x.���.�,�.�F ��;�� .
FLEASE ANSWER THE FO�lBWIPlG QUESTIQNS BY PEACING AN°X"fN THE APFR4PRIATE BtOCKS
1. Did decedent make a transfer and: Yes No
a. refain the use or income of the property hansferred........................................
.................................................. �
b. r�n ihe rghY ro ' wlw�!�se tt�property tr�sferrad a its Irtco�....,......__............................. ❑ �
a. rNein a reversionary imerest.............................................._.............._........................,....................,................ ❑ �
d. receive the promiae for life of eRher paymente�benefits or care?...................................................................... ❑ �
2. If death occwred after Dec 12,1992,did decedent Uansfer Propedy within one year of deatlr
without teceiv�g adequate cansideration?................................... ❑ ❑
.......................................................................
3. Did decedem own an"in W st for"or payeble-opon-death bank account or security al his or her death?.............. ❑ �
4. Did dec�dent own an individual retirement account,annuity or Mher non�probate properry,which
' cantainsaDersficierydes�nstian? ,.._................._...........,................................._..............................,........._....... � ❑
I IF THE ANSWER TO ANY Of THE ABpVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND flLE IT AS PART Of THE RETURN.
! � � ��,�z��? . �. �as°
Fa dat�of deadt on or aft�Juty 1,1994,and before Jan.1,1995,the tax rate impased an the ne#value of trensfers to or for ths use of tlie surviving spouse
is 3 peroent p2 P.S.§9116(a)(1.1)(i11.
For dates of death on w afler Jan. t, 1995, ttse t� rate imposed on the net value of Ga�sfers�or for ihe use of ihe surviving spouse is p parcent
[72 P.S.§9118{a){1.1}{ii}].Tlte stapate tl�g not e�yt a ita�fer b a survivir�g s�muse fran tax,a�d the statu�ry r�uiremeMS for disdosure of assets and
filing a tasc retum are still appiicabie even if�he surviving spouse is Me only beneficiary.
For dates of death on a aner July 1,200p:
• The�c rate�ed on tk�net vatue o#tra�fers from a deceased dv�f 21 years of age ar yam�r af death ta a for tt�use of a netural psre�t,an
adoptive parent or a stepparerd af the child is 0 percent(/2 P.S.§9116(a)(12)].
• The tax rate imposed on the net value of tronsfers W or for the use of Ne decedent's lineal beneficiaries is 4.5 percent,except as noted in(72 P,S.§9116(a)(1)J.
. The t�ra�imposred on ttre�t vakte of#ransfers to w fa the use of the decedenYs sib�ngs is i2 percent[72 P.S.§9t1&(a}(1.3)j.A s�Iing is defined,
under Section 8102,as an individuai who has at ieast one pareM in common with the der,edent,whether by blood or adoption.
REV-1502 EX+(12-12)
�pennsylvania SCI�QULE A
DEPAPTMENTOFREVENUE
INNERITANCETA%RETURN REA� ESTATE
RESIDENf DECEDEM
ESTATE OP: FILE lqNNER:
Barbare E Hake
All roal proparty owmd tolNy or as a N�unt in wnr�on mw!M npo�hd at hir mvlM valw.Fair market value is defined as the price at which property
would be exchanged between a wiNing Wye�a�a vAlling selier,nqther being compeil�ro buy or sell,both having reasonaWe knowledge of the relevant facts.
Ra�l proparty tlwt k�aiMlyown�d wkh ri0ht of wrvWOnhiY m�M be dhclaad on Scheduk F.
Attach a copy of Me settlement sheet if Me properry 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
DESCRIP170N
1 5 South Rd,Mechanicsburg,PA 152,200.00
TOTAL(Also enter on Line 1, Recapitulation.) # 152,200.00
If more space is needed,use additbnal sheets of paper of the same size.
a�vaso3 ex.(e-�z>
�pennsylvania SCN�I�tULId B
����M��� 5TOCKS � BONDS
INH@RITANCE TAX RETUpN
RESIDENfDECE�ENT
ESTATE OF FtLE NUMBER
Barbara E Hake
AI!PropeKY 1�tiy ownad with NyM M wrvivorshlp murt be diselosed on Schadule F.
� VALUE AT DATE
NUMBER pESCRIPI'fON pF DEATH
1. EXJC011 f�ab11C
Corporatias,{XOM}264 Shaees,Cammon.COfl4220Q988 22,873.64
Z The PNC Finanaal Services Grap,Inc(PNC)Commpn,760 shares,693475105 41,013.40
3 Tyco intem�nai,36 shares,comman H89128144 7�.��
q TE Cnnnectivity Ltd.37 Shares,common,H84989104 1,261.70
� P�t�rLfd.7st�eres,c�nmar,F�16941QB 319.iS
g ADT Corporation, 15 Shares,Camrtwn,p0101J106
619.35
�
I
tpTAL(Also enter on Line 2, Recapitulation) $ 86,673.6$
]f more space is needed,insert additional sheetr of the same size
HEV-i5o8IX+(tl8-u)
�pEl'4C1S}►�Y81118 ���e���y�,,�
DEPARTMENTOFREVENUE �'H� �[���eyy�,�a�M'ISC,
INHERITANCE TRX q8'lIIRN PERSENlAI.PROP�RTY
nesioe�aECeocNr
�S7ATf OF: fSIE FNlt�ER:
Barbare E. Hake
Inciude ihe pmceeds nf ktigation and the dste Ure proceeds wa�e rec�ved by the e�ate.
AII propely joMMly�d wRh tipM a! � qM�be dkf�iGMd.at Bd�N F,
REM VALUE AT DATE
NUMBER DESCRIPTION QP DEATH
1. Valvo�7C1.SUY 9,353.04
2. 24 Month CD,Citizene Bank,xx�c9327 32,852.68
3. Citizens Barrk,Savings Aa�.#62338554� 19,809.34
4. Citlzens Bank,Checking,p6206800982 7,085.16
5. Cash 42.04
g, Clothing,shoes 250.00
7. Fumiture 750.Od
g Jewelry,watches 1,200.q0
g Nousefiok!Caoads 425.06
10
TQTAL(AIw enker on Line 5, Recapitulation) Q 71�587.18
If more space Is rreeded,use atldkional shee[s M paper of the same size.
— i
pEV-L509 EX+(w-io)
�(}8C1115�t�Y�1118 �'.H�p�/(� F
6EPANTMENT Of NEVENVE
INr�,ur�,�ET�ca�,,,w, 70INTLY-OWNED PROPER7Y
itESIDEM DECEpENT
�A��: fltE NUMBER:
Barbara E Hake
N sn anat treicame�Wntly ownad wkhin ona year of the decadent's dah ot�,R mutt ba raported on Schadule 6.
SURVIVING 76INT 7ENAHT(S}NAME{5) A6DRESS REtAT26N5HIP TO DEC�EM
A�Wendy A. Hake 2289 Mill Rd, Mechanicsburg, PA 17055 Daughter
B.
C.
�OINTLY OWNED PRpPERTY:
LET1ER D�t� DESCRIP17pN OF PROPEITfY %oF wTE Or DFA'M
[tEM ID0.]OMf MSOE ING.UC7E NM1E Oi FINPNQK Q!$TIIUfION AND A4NK ACCOUN!NWABEF OR SIM[UR CATE OF pERTt4 OE�OEMS VA41E OF
NUF�ER TEtiMN[ 707M f�Hii7FitN6NfXA86;.ATTAOi fi]R7t%NRYNH➢NFALESTATE. YKt�Oi IHiFRF57 DECEPRti'SWTEREST
� A' O6/20/11 2289 Mili Rd,Mechanicsburg,PA 17055,Morlyage wl$12A79d.91 252,200.00 50 61,202.55
t�are:Mor�age of$129,794.91 wtCitizens Bank
2. A 04I20/11 Jdnt Checkirg,Citizens Bank,q$232868637 2,115.53 50 1,057.77
I
70TAL(Also enter on Line 6, Recapituiation) ; fi2,z80.32
[f more space is needed,use addik�anal sheets oF paper of the ume sire.
REV-1510 EX+(OB-09)
�pennsylvarria �`'��/ �'f �'
DEPAFTMENTOFPEVENOE INTER�ii�.7� F �ND
INHERITMICE7AX REfURN MISC. NON'RRQSA7'E PROPERTY
RESIDEN(DECEDEM
ESTATE OF FILE NUNlER
This schedule must be completed and filed if Me answer to any of quesdons 1[hraugh 4 on page three of Me REV-1500 is yes.
�M DESLRiP1I0N OF DROPERTY DATE OF DEATH %OF DELD5 EXCLUSION TAXABLE
mauoE ne xnrE ainE ni+are�.n�Emre,�nors�roottme+r u�o
NUMBER n�wteartru�r�.mr�a�mwornEO�wxw�tem�. VALUEOFASSE? IN7EREST vn»uv� VALUE
1• Wendy A Hake,daughter,$13,000,10/29113 13,000.00 100 3,000.00 10,000.00
2 Wendy A Hake,daughter,IRA g,pG9.04 20 1,613.81
3 Cindy J Hake,daughter,IRA g,p89.04 20 1,613.81
4 Barty R Hake,son,IRA g,p69.04 20 1,613.8�
5 David A Hake,son,IRA g,p89.04 20 1,613.81
6 Timothy S.Hake,son,IRA disburs�nent 8,069.04 20 1,613.81
TOTAL(Alsa enter an Line 7,Recapitulation) ; 18,069.05
If more space is needed,use additional sheMS of paper of the same size.
- ���II
REV-1511 Ex+(10-09)
��„�,sy��„i�, SCHEDULE H
DEPpNTMENTtlFNEVENUE FUNERAL EXPENSES AND
INHHtITMIC£TAl(RENRN ApMINISTRATIVE COSTS
RESIOENTDECEDEN!
fStATE 4F FILE NUM6ER
Barbare E Hake
Dacadent's�6ts mvot be raported on ScAadala I.
REF9
NUMBER DESCRI7TION AMOUNT
A. FUNERAL EXPENSES:
1. hlaipez�Fur�erai Nome 18,695.82
Funerel Refreshments 1,15$.49
B. AQMINISTRATiVE COSTS:
i. Personai kepreseM2tive Cammi55ions:
NBme(s)of PerSOnal RepreSenWtive(s)�. . .
Street A�ress-- --- -- -
City --- --- --,,.^SWte_2IP
Y83r{s}Commis5ion Paid:-- --- -- --- --
2. Attomey Fees:
3. Family Euemption:(If decedent`5 8ddress is ttOt tha same a5 daimaM's,aitach axplanation.)
Claimant� ___ _ ,
Str2Ct Addr�s
City _State�,__ZIP____ _
' ReWtlanship of Claimant to Decedert-- --- ---
a. arobate Fees: 393.50
5. tu,�amnnt r-ees:
6. Tax Retum Preparer fees:
7. M�Iing 3Q.75
TOTAL(Aiw erder on Line 9,Reppitulation) # 15,247.$1
If more space is needed,use addftinnal sheets of paper of the same size.
REV-1512 EX+(12-12J
�pennsytvartia '�G1��LE 2
OEPARTMENTOFHEVENIIE D@S'J'S QF DECEDEN'f�
INXERITANCE TAX RENRN MpRF1�AGE LIA6I1.11'I���LIENS
RES[�M 6ECEbEA'T
ESTATE OF PILE NIN�ER
Barbare E. Hake
Report�Ifb inamd by tlw 6sad�nt prbr to�dntlf tlaN nm�iMd�tA at tl�a dNe at d`etA,h�dudMy uarelm�nad m�dfai a�anws.
STEM VAtUE AT DATE
NUMBER pESCRIPTION OF DEATH
1. li(estar Response of Maryland,inc 212.48
2. Hanger Prosthetics 718.44
3. Mas�nic Viilag� 7.69
a. CiGzens 9ank,Equity une of Credit, 110,105.00
TMAL(Afso enter on Line 10, Recapikulation) ; 111,041.61
If mnre space is needed,insert a0ditlo�al shects of the same size.
REV-1513 E%+(O1d0)
�pennsytvar»a SCHEDU�E �
DEPAHiMENT OF NEVENUE gENEFICIARIES
INHEFRRNCE TA%RETURN
R�IDENf QECEOENf
ES7ATE 8F: FILE NUMBER:
Barbara E Hake
REtATtONSHlP TO DfCEDENT AMOUNT OR SNARE
NUMBER NAME PtlD ADORESS OF PERSQN{S)RECEMN6 PROpER7Y D4 t7�li�T�n(s) OF E57ATE
I TAXABIE DSSTRtBUftONS[Indude outdght spousai distHbutions and transfers under
Sec.9116(a)(1.2).]
i� Wendy A.Hake,2289 Mili Rd,Mech�icsburg,PA D�tght� 23512T.8
2. Cindy J Hake,85 Broadwell Ln,Mechanasburg,PA Daughter 9353
ENTER DOLIAR AMOUNTS FOR DISTRIBUTIONS SNOWN ABQVE ON LINES IS TNROUGH!B Of REV-150�CAVER SHEET,AS APPROPRIATE.
n NINi TA3SABtE DSSTR28tlTIONS
A, SPOUSAL DISTRiBUTI0N5 UNDER SECTION 9113 Fpk WHICN AN ELECTION Tp TAX IS NOT 7AKEN:
1.
' 8. CHARITA9LE AND GOVERNMENTAL pISTRIBUTtONS:
i.
TOTAL 4F PART II—ENiER TOTAL NON TAXABLE DISTRIBltTtONS ON l[NE 13 OF REV-1586 CQVER SHEET. S
If more apace is needed,use additional sheMS nf paper of the same size.
LAST WILL AND TESTA.��I''���,M - _ " ` "_
QF Ei�v�� . _ , .. - - �
BARBARA HAKE�-;{� C;� � r;, _ -�
C1.ERn G=
I, Barbara Hake, of Mechanicsburg, Pennsylvania,revoke my fo��{�f!(;�15'a�Q�"n3icils and
declaze this to be my Last Will and Testament. GUMgERLAFI D C w„ °�
ARTICLE I
IDE�TIFIC�TIO'ti OF FA'.4IILY
I am not currenti}�married to any-one.
The names of my children are Wendy A. Hake and Cindy 3 Hake. Aif references in this Will to
"my children" aze references to the above-narned children.
The fai3ure of this Will to provide for any distribution to my child(ren), Bazry Tt Hake, David A
Hake and Timothy S Hake,is intentional.
Al2TICLE II
PAYMENT OF DEBTS AND EXl'ENSES
I direct that my just debts, funeral expenses and expenses of last illness be first paid frorn my
estate.
ARTICLE III
DISP4SITiON OF PROPERTX
A. S ific uests. I direct ihat the follawing specifia bequests be made from my estate.
1. Jewelry, Clothing&personal effects shall be distributed to Wendy A Hake. If this
benefieiary does not survive ma,this bequest shall be distributed to Cindy J Hake. If this
beneficiary does not survive me,this bequest shal: be distributed with my residuary estate.
2. Valvo vehicle shall be distributed to Cindy J�Iake. If this beneficiary daes not survive me,
this bequest shall be distributed with my residuary estate.
3. My remaining tangible persanal property shall be distributed ta Wendy A. Hake. If this
beneficiary does not survive me,this bequest shail be distributed with my residuary estate.
; s � � ° �
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B. Residuarv Estate. I direct that my residuary estate be distributed to Wendy A Hake,
Mechanicsburg, Pennsylvania. If such beneficiary does not survive me, ray residuary estate shall
be distributed to the following beneficiazies in the percentages as shown:
f 40%-Cindy 3 Hake, Mechanicsburg,Pennsyivania.If this persan does not survive me,this
share shall be distributed proportianatety ta the othex distributee(s}listod under this
provisian.
I00-Percent Tatal
ARTICLE IV
NOMINATION OF EJCECUTOR
t nominate Cindy J Hake,of Mechanicsburg, Pennsylvania,as the Executor,without bond or
seourity.
ARTYCLE V
EXECUTC)R PU'WERS
My Executor,in addition to other powers and authority granted by law or necessary or
appropriate for praper administration, shai2 have the right and gower to lease, sell,martgage,or
othenvise encumber any rea1 ar personat property that may be ineluded in my estate, without
order of court and without natice to anyone.
My Executor shall have the right to admiaister rny estate using"informal", "unsupervised",or
"independent" probate or equivalent legislatian designed to operate withaut unnecessary
intervention by the probate caurt.
ARTICLE VI
MISCELLANEOUS P3tOVf3It3N8
A.g�g TiU��Crendsr.Th�tities given to the psrsgraphs of this Will are inserted far
refereace purposes onty and are not to be considered as forming a part of this Witl in interpreting
its provisions. All words used in this Will in any gender shall extend to and include all genders,
and any singular wprds shall inciude the giural expression,and vice versa,s�cificalfy inclading
"child"attd"chitdren", when#he context or facts so require,and any pronouns shall be taken to
refer to the person or persons intended regardless of gander or number.
B. �iabiti of Fiduciaxv.Na fiduciary who is a natural person shalT,in the absence of frauduient
canduct or bad faith, be liable individually to any beneficiary of rny estate,and my estate sha11
indemnify such naturai person fram any and�Il elaims ar expenses in connection with ar arising
out of th'st$duciary's good faith actians or nonactions of the fiduciary,exeept for swch actions or
nonactiona which canstitute frauduleat conduct or bad faith.No successor trustee shall be
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ai�v§ t a�*`�6� .a i e, .' : . � .
i 'z
,; �„ fi.�'ti-s'�`�N�s? ,�y'��t3"�' ;4 .r° �i�„ .,.(: .. 4Y:S' .S.':" �.
��.,,tt"ffi `C
�
_
obliged to inquire into or be in any way accountable for the previous administration of the trust
ProPertY•
C. Beneficiarv Disputes. If any bequest requires that the bequest be distributed between or
among two or more beneficiazies, the specific items of property comprising the respective shazes
shall be determined by such beneficiaries if they can agree, and if not, by my Executor.
IN WITNESS WHEREOF, I have subscribed my name below, this -;�i ''` day of
'1c t��:r , . c: a
� � ' '�.l -- '�'�.�t �Z�
Testator Signature: '-' ��``�"
Barbara Hake
We,the undersigned, hereby certify that the above instrument, which consists of � pages,
including the page(s) which contain the witness signatures,was signed in our sight and presence
by Barbara Hake (the "Testator"), who declared this instrument to be his/her Last Will and '
Testament and we,at the Testator's request and in the Testator's sight and presence, and in the
sight and presence of each other,do hereby subscribe our names as wimesses on the date shown
above.
Witness Signatu,re:
n
Name: 17P�
City: �I �G1t1
State:
Witness Signature:; �
Name:
City:
State:
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UPI No.
THtS INDENTUi2E,
MADE THE 20�' day of June, in the year of our Lord two#housand eieven (2011) betwean
BUIU}BLE BEE HOLLOW LIMtT�D, a Pennsyivania limited partnership, GranEor,
AND
BARBARA E. HAKE, an aduit individual and WENDY A. HAKE, an aduit individual, es Joint
Tenants with the Right of Survivorship, Grantees,
WITNESSE7H, that Bumble Bee Hollow Limited, for end in consideration of the sum of TWO
HUNDRED FlFTY-TWC? THbUSAND EIGHT HUNDRED SIXTY-THREE ($252,863A0} Dotlars
Iawfui money of fhe Unfted Sta#es o€America, unto i# weli and truly paid by tfie said Grantee, at
and before the sealing and delivery of these presents, the receipt whereof is hereby
acknowledged, granted, bargained and sold, aliened, enfenffed, released and confirmed, and by
these presents grart#, bargain and sell, alien, errfeaff, relaese and canflrm unto the said
Grantee(s), their Heirs and Assigns,
ALL THAT CERTAIN singie family Lot Na. 31 (#he "�of"), of Bumble Bee Hollow, a Planned
Community, located in Upper Ailen Township, Cumberiand County, Pennsyivania, as
designated in the Declaration Covenants, Condition, Restrictions and Easements for Bumble
Bee Haiiow, a Pianned Communi#y {hereinafter ttre "Declaration"} dated November 4, 200$ and
recorded tdovember 10, 20Q$ in tfie Gffice of the Recarder o# Deeds of Cumberiand County,
Pennsylvania to Instrument No. 200836626 and as shown on a Declaratian Plan recorded in the
O�ce of the Recorder of Deeds of Cumberland County, Pennsyivania to instrument Na.
200836626; as arrtended by a First Amendment to Declaration dated July 22, 2009 and
recorded July 23, 2009 to Instrument Number 200925720 and as shown on a Declaration Plan
recorded to Instrument Number 200925720; and further amended by a 8econd Ame�dment to
dedaratian dated March 31, 2Q10, and recorded on Aprif 27, 2090 to !ns#rument No.
201010583, the Lot is more particularly bound and described as Pallows:
BEGiNNING at the southwest corner of Lat 31 on the eastern Dedicafed Right-of-Way �ine of
South Wooley Fiollow Way, thence by the same North 36 degrees 16 minutes 21 seconds East
92.00 feet; thence by Lot 32, South 53 degrees 43 minutes 39 seconds East 170.OQ feet; thence
by Lot 37, South 36 degrees 36 minutes 21 secands West 32Qd feet; thenoe by Lot 34, North
b3 degrees 43 minutas 39 seconds Wes# 170.00 fee#; To the said eastem Dedicated Right-of-
Way Line of South Wooley Holiow Way, to the PC71NT OF BEGINNING.
GONTAlNING 15,644 Square feet or Q.3590 acre, mare or Iess.
BEING known as 2289 Mill Road, Mechanicsburg, Pennsylvania 17055.
I
UNDER AND SUBJECT to any and ali reservations, restrictions, rights-of-way, easements and
conditions of record.
BEING PART C7F THE SANIE Pf2EMISES whieh Bumbie Bee Hallow Golf, inc., a Pennsylvsnia
corporation {successor by merger to Klipsen Enterprises, Inc. and Bumble Bee Hollow 8ports,
inc.) and West Shore Golf, Inc., a Pennsylvania corporation, by their deed da#ed March 7, 2408
and reco�ded March 11, 2048 in the OHice af the Recorder af Deeds of Cumberland County to
Instrument No. 2008p7213, granted and conveyed unto Bumble Bee Hollow Limiked, a
Pennsylvania limited partnership, Grantar herein.
AND the said Grantor hereby cpvenants and agrees that it will warrant Specially the praperty
hereby conveyed.
IN WITNESS WHERE4F, the said Bumbie Bee Nollow Limited has caused this Indenture to be
signed in its name by its General Partner, the day and year first ebave written.
BUMBLE BEE HOLLOW LIMITED,
a Pennsylvania limited partnership
by its Generai Partner,
BUMBLE BEE HOLLOW GENERAL, LLG,
a Pennsylvania limited liability campany
$��°'���'A��.a ..—
Marc DeSouza, Manar�ber
COMMpNWEALTH OF PENNSYLVANIA :
: SS.
COUNTY OF DAUPHIN :
�n this the 20th day of June , 2011 , before me, the undersigned
officer, persanally appesred MRRC DES4UZA, wha acknowl�dged himself ta be Managing
Member of BUMBLE BEE HOLLOW GENERA�., LLC, a Pennsyivania iirnited iiability company,
the general partner OF BUMBLE BEE HOLLOW LIMIT�L7, a Pennsylvania limited partnership,
and #hat he, being authorized fo do sa, executed the within insttument fo�the purposes therein
contained.
IN WITNESS WHEftEC}F, I hereunto set my hand and oificia! seai.
��N�TARY PUBLI� {��L}
nvnr�u�
�
P�mY M•81w0Y�ibLry F1+EWe
Lower Paxbn T�,�p�yplyh CpntY
M CammY�M9n. . . .1. �II018
RAernber,
� Citizens Bank
��^'214 1-800-708-6680 EC�UITY LINE OF
PO B0170°° � CREDIT STATEMENT
P�OWdBr1cB RI 02940 Call enplma/a accaunt iMwmeuon,
currant ntaa aM anawen to your pusatlone.
Page 1
Closing Date
SUMMARY NOVEMBER 10,2012
Account Number 00006017544644
Credit Limit 120,000.00
BARBARA E HAKE Available Credit 10,098.71
WENDY A HAKE Days in Billing Cycle 30
2289 MILL RD Averege Daily Balance 109,904.80
MECHANICSBURG, PA 17055-6069 Daily Periodic Rate ,
.01158469/o
ANNUAL PERCENTAGE RATE a.2a^r>
INTEREST CHARGE asi.9�
New Principal Balance 109,901.29
Current Payment 381 y�
Past Due Amount o.00
Total Late Fees Due 0.00
Minimum Payment 381 97
Payment Due Date �Z�O���z
BALANCE SUMMARY
Previous - Payments/ + Advances + Interast + Insurance +
Total Balance Credits Charge Fees = New Totai
110,301.29 400.00 Balance
0.00 381.97 0.00 0.00 110,283.26
TRANSACTION DETAIL
Date Description Check No.
11�01/72 PAYMENT-THANK YOU Amount Principal Balance
400.00 109,901.29
FEES
TOTAL FEES FOR THIS PERIOD 0.00
IF YOU HAVE ANY QUESTIONS ABOUT YOUR STATEMENT OR HAV B�EEN REC NTLY CALLED FOR
ACTIVE MILITARY DUTY, PLEASE CALL OUR 24HOUR CONTACT CENTER AT 1-800.70&6680.
THANK YOU FOR BANKING WITH CITIZENS WHERE GOOD BANKING IS GOOD CITIZENSHIP.
ON THE DUE DATE YOUR PAYMENT W ILL BE DEDUCTED FROM ACCOUNT# 6232868637
Please aee rmen¢side br imporlan�f�(ormatlan,tMn detach here arM relurn the botWm poNon with yo�r check payble W Citlzens Bank.
BnRBnRA E HAKe EQUITY LINE OF CREDIT
WENDY A HAKE Account Number 00006017544644
2289 MILL RD Payment Due Date �yp��12
MECHANICSBURG, PA 77055-6069 Minimum Payment
381.97
Amount Enclosed = —,
p c�w w.m,�n n�r,a...o�P«,ww��ro�.uo� --. ''.
hn chanpsE uM eampb4 Me 1am on ths nwrsa al0s.
,� Citizens Bank Citizens Bank
P.o. eoX a2ooa
Providence, R102940-2008
MemberFD�C� Equ�HousingLender 01 060 0000601754y6/.4 000000000038197
Malpezzi Funeral Home
��
8 Market Plaza GVay �' °�,`�
Mechan€csburg,PA 27055 (717}C�g��(46
www.Mal ezziFuneralHome.com
Jeremy J.Shartzer,FA Miahael J.Malpezzi,dwner,FD Kyle C.Rnipe,FD
Becembar 4, 2p 12
Cindy Hake
85 Broadweli Lane
Mechanicsburg, PA 17055
The Funeral Service for Bazbaza E. Hake
We sincereiy appreciate the confidanca you have plaoed in us and will continue to assist yqu in every
way we can. Please feel free to contact us ifyou have any quest'rons in regard to this statement.
THE F6LLOW2NCs IS AN ITEMSZED STATEMEN2'OF THE SERVICES.FACILITIES,AI7TOMOTIVE EQtJIPMEN7',
AhD MERCHANLltSE THAT YOU SELECTEB WHEN MAKING THE FllNERAL ARRANGEMENTS_
1. pROFESSIONAL SERVICES:
Services of Funenl IIirectortStaff �$¢�$��
FUNERAL HOME 3ERVICE CHARGES $5,475.OQ
SELECTED MERCHANDISE:
Stainless Steel Casket $3,650.00
I2 ga Gaivanized Steei $1,925.00
Beaches Register Package $195.00
THE Ct?ST OF{}UR SERYtCES,E(7UIpMENT,AND MERCHANDISE
THAT YOU HAVE SELECTED 511,245.00
AT THE TIME FUNERAL ARRpNGEMENTS WERE MADE.WE ADVANCED CERTAIN pAYMF,NTS TO
OTI3ERS RS AN ACCOMMQDATION. THE FOLLQWING SS AN ACCOt1NTING FQR THOSE CI{ARGES.
CASH ADVANCES:
Opening Grave $950.00
Ceroetery Equipmant ��90 Qp
Certified Death Certificates $I20.00
Newspaper Notices-Patriot $342.64
Newspaper Notices-Sentine! $z�$g$
� ClergylMass Offering $206A0
Flowers
$392�0
TOTAL CASH ADVANCES AND SPECIAL CHARGES $2,A34.82
SUB-TOTAL $13,695.82
INITIAL PAYMENT/DISCOUNT/CREDITS $0.00
TOTAL AMOUNT DUE � $13,695,82
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— ----- _ — — -- --__— -----— _-�-_ __'�__ 4�_liai�
RECEIPT FOR PAYMENT
-------------------
-------------------
GLENDA FARNER STRASBAUGH Receipt Date : 8/23/2013
Cumberland County - Register Of Wills Receipt Time : 12 : 37 :23
One Courthouse Square Receipt No . : 1075335
Carlisle, PA 17613
HAKE BARBARA E
Estate File No. : 2012-01261
Paid By Remarks : CINDY HAKE
DB1
--- --------------------- Receipt Distribution --- ---------------------
Fee/Tax Description Payment Amount Payee Name
INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN
----------------
Check# 1038 $15 . 00
Total Received. . . . . . . . . $15 . 00