HomeMy WebLinkAbout01-24-14 1505610140
REV-'1 500 EX (42-11)(FI)
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number
PO BOX 280601 2 1 1 3 0 5 9 3
Harrisburg,PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
0 4 2 6 2 0 1 3 0 6 1 4 1 9 2 1 {
Decedent's Last Name Suffix Decedent's First Name Ml
L E E J A M E S E
(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
0 1.Original Return 2.Supplemental Return LJ 3.Remainder Return(Date of Death
Prior to 12-13-82)
4. Limited Estate 4a.Future Interest Compromise(date of 5.Federal Estate Tax Return Required
death after 12-12-82)
0 6. Decedent Died Testate 7.Decedent Maintained a Living Trust 0 8.Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
❑ 9. Litigation Proceeds Received 10.Spousal Poverty Credit(Date of Death 11.Election to Tax under Sec.9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
D A V I D H S T O N E E S Q U I R E ? 1 ? ? ? 4 ' 4 ,35
m n
REGiPE&bF WILLSS�E Oft°
First Line of Address M �
I
4 1 4 B R I D G E S T R E E T U'- ;r, =D -
Second Line of Address n CD
C t--'
City or Post Office State ZIP Code -ODATE FILED C�J YI
N E W C U M B E R L A N D P A 1 7 0 7 0
Correspondent's e-mail address: D S T O N E o9 S T O N E L A W.N E T
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 P RS RFSPO IB O iLING RETURN DATE
ADDRESS
341 AC`K H R ADI CAMP HILL PA 17011
SIGN URE OF PREP ER THE REPRESENTATIVE DATE
i
ADDR
414 BR j GE STR NEW CUMBERLAND PA 1?0 70
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610140 1505610140 \
1505610240
REV-1500 EX(Fl)
Decedent's Social Security Number
Decedent's Name: J A M E S E - L E E
RECAPITULATION
1. Real Estate(Schedule A) 1 2 3 8 7 0 0 . 0 0
2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 9 . 6 0
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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. 1 3 5 2 3 4 . 9 6
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) ❑ Separate Billing Requested . . . . . . . 7.
8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 3 7 3 9 6 4 , 5 6
9, Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9. 2 9 8 6 6 . 2 6
10. Debts of Decedent, Mortgage Liabilities, and Liens(Schedule I) . . . . . . . . . . . . . 10. 1 1 8 . 5 3
11, Total Deductions(total Lines 9 and 10) . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . 11. 2 9 9 8 4 . 7 9
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 3 4 3 9 7 9 . 7 7
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. 3 4 3 9 7 9 . 7 7
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 _ 0 . 0 0 15. 0 . 0 0
16. Amount of Line 14 taxable
at lineal rate X .045 3 4 3 9 7 9 . 7 7 16. 1 5 4 7 9 . 0 9
17. Amount of Line 14 taxable
at sibling rate X.12 0 0 0 17. 0 . 0 0
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 0 0 18. 0 . 0 0
19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 1 5 4 7 9 . 0 9
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT a
Side 2
1505610240 1505610240
REV-1500 EX(FI) Page File Number
Decedent's Complete Address: 21 13 0593
DECEDENT'S NAME
JAMES E . LEE
STREET ADDRESS
341 BLACKSMITH ROAD
CITY STATE ZIP
CAMP HILL IPA 17011-
Tax Payments and Credits:
1- Tax Due(Page 2,Line 19) (1) 15,479 - 09
2. Credits/Payments
A.Prior Payments 14,750-00
B,Discount 773 - 95
Total Credits(A B) (2) 15,523- 95
3. Interest
(3) 0 .00
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) 44 - 86
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0 .00
it
II
Make check payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred ....................... ........._....... .......................... F-1 1K
b, retain the right to designate who shall use the property transferred or its income ....... ......... ... ❑ rx-1
c. retain a reversionary interest ................................................................................. ................... F-71 1K
d. receive the promise for life of either payments,benefits or care? .......................................................
2. If death occurred after December 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? ......... ❑ RX
4, Did decedent own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary designation?............ ........ .............. ................ ............._........... ❑ RX
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
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 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 172 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 172 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.
REV-1502 EX+(12-12)
I
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
REAL ESTATE
RESIDENT DECEDENT
ESTATE OF; FILE NUMBER:
JAMES E . LEE 21 13 0593
All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property
would be exchanged between a willing 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 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 decedent's interest if owned as tenant in common. VALUE AT DATE
NUMBER OF DEATH
DESCRIPTION
f i Property located at 341 Blacksmith Road Camp Hill 238,1700 - 00
Lower Allen Twp • , Cumberland County at assessed
value $238,700 times CLR (1. 0)
i
i
i
TOTAL(Also enter on Line 1,Recapitulation.) $ 2 3 8,7 0 0 • 0 0
If more space is needed,use additional sheets of paper of the same size.
REV-1503 EX+(8-12)
pennsylvania SCHEDULE B
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
JAMES E . LEE 21 13 0593
All property jointly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 4 shares Spectrum Pharmaceuticals Inc a@ $7. 400 each 29 . 60
I
i
i
I
1
I
TOTAL(Also enter on tine 2,Recapitulation) $ 29 - 60
If more space is needed,insert additional sheets of the same size >-
REV-1508 EX+(08-12)
pennsylvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN
RESIDENT DECEDENT PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
JAMES E . LEE 21 13 0593
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 • 1986 Honda Civic sold to Bobby Rahal Dealership 250 . 00
2 Civil Service checks received 51956 . 82
3 DFAS-retirement checks received 41471 . 28
4 Monumental Life-premium refund 21 . 00
5 PNC Bank-Checking Acct #5140037254 1211800 .11
Princ $121,800 .11, Int $ • 77
6 PNC Bank-Checking Acct #5140037254 - Accrued Inter 0 .77
7 Shipley Oil-refund 1,378 . 06
8 USAA benefit received 1,356 . 92
TOTAL(Also enter on Line 5,Recapitulation) $ 135,234 - 96
If more space is needed, use additional sheets of paper of the same size.
REV-1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN
RESIDENT DECEDENT ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
JAMES E . LEE 21 13 0593
Decedent's debts must be reported on Schedule 1.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Auer Cremation Sery of America- funeral expenses 21163 - 22
B. ADMINISTRATIVE COSTS:
1 Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City State ZIP
Year(s)Commission Paid:
2, AftomeyFees: David H Stone., Esquire 91,500. 00
3, Family Exemption:(If decedents address is not the same as claimants,attach explanation.) 31500 - 00
Claimant Charles J Lee
Street Address 341 Blacksmith Road
city Camp Hill- State P A ZIP 17011
Relationship of Claimant to Decedent . Son
4, Probate Fees: Cumberland County Reg of Wills 423 - 50
5. Accountant Fees:
6. Tax Return Preparer Fees:
7. Shipley Oil-services at property 391 . 00
2 Shipley Pil-services at property S27 . 90
3 DFAS-Reclaim of May and June checks 414?1. 28
4 Civil Service Retit-Reclaim of April and May check S1956 . 82
S Bonnie K Miller-real estate taxes for property 2,119• ?8
6 Verizon-services at property 62 . 22
7 PPL Corp-electric services at property 116 .99
8 PWAC-water service at property 52 . 07
9 Lower Allen Twp-trash and sewer at property 65.00
10 Lower Allen Twp-trash and sewer at property 52 -70
11 PWAC-water service at property 49 - 24
12 Cumberland Law Journal-adv grant of letters 75.00
TOTAL(Also enter on Line 9,Recapitulation) $ 29,866 -26
If more space is needed,use additional sheets of paper of the same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
JAMES E. LEE 21 13 0593
Decedent's Name Page 1 File Number
Schedule H - Funeral Expenses &Administrative Costs - B7.
ITEM
NUMBER DESCRIPTION AMOUNT
13 The Sentinel-adv grant of letters 189 .54
14 Register of Wills-add ' 1 probate fees 50 . 00
15 Reserve for closing expenses 100 . 00
SUBTOTAL SCHEDULE H-1137 339 - 54
REV-1512 EX+(12-12)
pennsylvania SCHEDULE
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
JAMES E . LEE 21 13 0593
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
t Spirit Physicians-debt of decedent 22 . 38
2 Heartland-Hospice services 96 . 15
TOTAL(Also enter on Line 10,Recapitulation) $ 118 - 53
If more space is needed, insert additional sheets of the same size.
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
JAMES E - LEE 21 13 0593
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 CHARLES J LEE Lineal 343,979 . 77
341 BLACKSMITH ROAD
CAMP HILL PA 17011-
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
[I. 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.
-S•rca 1,;, LAFAvER -&: STo;.x
ATTORNEYS AT LAW
414 BRIDGE STREET `"`
NEW CUMBERLAND. PA 170:0
s
I
j LAST WILL AND TESTAMENT
OF
JAMES E. LEE
I, JAMES E. LEE, of Lower Allen Township, Cumberland County,
Pennsylvania, declare this to be my last will and revoke any will
previously made by me. t
ITEM I: I devise and bequeath all of my estate of every nature
and wherever situate to my son, Charles James Lee, if he survives me
1
and if not, to his issue, per stirpes.
ITEM II: I appoint m Executor and his successors guardian of any
PP Y g
i
property which passes, either under this will or otherwise, to a minor
and with respect to which I am authorized to appoint a guardian and
have not otherwise specifically done so, provided that this appoint-
ment of a guardian shall not supersede the right of any fiduciary in
its discretion to distribute a share where possible to the minor or to
another for the minor's benefit. Such guardian shall have the power
to use principal as well as income from time to time for the minor's
support and education (including college education, both graduate and
undergraduate) without regard to his or her parent's ability to
provide for such support and education, or to make payment for these
purposes, without further responsibility, to the minor or to the
i
minor's parent or to any person taking care of the minor. r
1
ITEM IV: I appoint my son, CHARLES JAMES LEE, Executor of this
my last will.
Page 1 of 4
1
ITEM III: No fiduciary acting hereunder shall be required to post
bond or enter security for the faithful performance of the fiduciary's
duties in any jurisdiction.
IN WITNESS WHEREOF, I, JAMES E. LEE, have hereunto set my hand
and seal this day of , 1994 .
JAMES V. LEE
SIGNED, SEALED, PUBLISHED and DECLARED by JAMES E. LEE, the
Testator above named, as and for his Last Will and Testament, and in
the presence of us, who at his request, in his presence and in the
er:c�of each other, have subscr'bed our names as witnesses.
i ess Address
Witnes Ad ress
Page 2 of 4
COMMONWEALTH OF PENNSYLVANIA:
:SS:
COUNTY OF CUMBERLAND
I, JAMES E. LEE, the Testator whose name is signed to the
attached or foregoing instrument, having been duly qualified according
to law do hereby acknowledgb that I signed and executed this instru-
ment as my last will; that I signed it willingly and that I signed it
as my free and voluntary act for the purposes therein contained.
JAMES LEE
Sworn to or affirmed to and acknowledged before me by JAMES E.
LEE, the Testator, this �,�_ day of
1994 .
Notary Public
co
Page 3 of 4
COMMONWEALTH OF PENNSYLVANIA
:SS:
COUNTY OF MBERLAND .
W and La
the witnesses whose names are signed to the attached or foregoing
1
instrument, being duly qualified according to law, depose and say that
we were present and saw Testator sign and execute the instrument as
his last will; that Testator signed willingly and that he executed it
as his free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the Testator signed the will as
witnesses; that to the best of our knowledge, the Testator was at that
time eighteen or more years of age, of sound mind and under no con-
straint or undue influence.
Wi n s
Wi s
Sworn to or affirmed to and acknowledged before me by
and 6 ,u�� /� •
witnesses, this ola day of , 1994 .
Notary Public
I,OTARI".I..SEAL
ie:: r � cUSLI!;
13, 19:,5
Page 4 of 4
•
Property Mapper ` 1 :.p ) AbontlHo
Cumberland County,PA
' Imagery 2008 Imagery Off,
Parcel Search It IE o
Features selected:i
341 BLACKSMITH ROAD
PIN:13-25-0010-047 1
Deedbook;0020Z-00176
Owner:LEE,JAMES E&WIFE
Land Use Code:101
Property Type:R
Acreage:0.26
e rY
Square Feet:2286 81
Taxable Status:T
Clean&Green Status:
Land Assessed Value$:55600
341 BLACKSMITH ROAD
PIN:13-25-0010-047
Deedbook:00202-00176
Owner:LEE,JAMES E&WIFE
Land Use Code;101
Property Type;R
P Acreage:0.26
Square Feet:2286
Taxable Status:T
�. Clean&Green Status:
Land Assessed Value$:55600
Building Assessed Value$;183100
Total Assessed Value S:238700
et
Sale Price$:
sale Date:
# Year Built;1959
` Municipality:LOWER ALLEN
06/11/2013 13:16 7172362995 CENTRAL PA ABSTRACT PAGE 03/04
0 PAC
eoo�'� E V6
pis flub
Mende oh. 2 do►of i�f f o Ye in$%a rear
ore t"m.d mine hundred aryl Gl ity—Three (190)
be"to JOEL T. MYLI.ER and EDWARD R. ADAFORD, i Partnership, trading and
doing business as MY.LLER d NORFOND, and having their principal place of
business in Fairriev Township, Yark County, Pennsylvania, Grantor, party
of the Brat part, ANb j{
JAMES E. 4EE End ALICE E. LEE, Rio We, of 507 Fifth Street, Bev Cumb-
erland, Pannsylveniat Orantess, parties of the Second part.
Witne.meth,slut a,.oe.lden"n of Twenty-Rine Thousand, !Pine Hundred e9,goo.00)
La land paid.d,e reeelpt.ho&ot im her6y odenowiedWed,Ate uld t3taneoe de
f hmity leant and emmy to the.udd Grantee a i
ALL that certain piece or parcel of land, situate in Lower Allen
Township, Ctmmberlanc, County, Pennsylvania, mors particularly bounded
sad described as fellows, to wits
BEGINNING at a point on the Southeasterly aide of Slackamith Road
which point is Three HandlPed Twenty-three and Ninety-Three One-Hundredths
(323.93) feet.from the 6outhvesterly eorner of Allendale Way and Hlack-
'•smith Road at the dAvlding line between Lots No. 2,43 and 246 on the
,hereinafter mentioned.Plan,, thence South Sixty-four (64) degrees Forty-
five (45) minutes rest One Rumdred Twenty-nine end Forty-Seven One
hundredths (129.4.7) feet to apoint] thence Booth Twenty-two (22) degrees
Tvent -tve 22 aiatitea Twenty-five (23) seconds West Eighty and Ten
One-hundredths (80.10) feet to a point at the dividing line between
Lots No. 244 and 245 of the Plan; thence Worth Sixty-four (64) degrees
Forty-five•(45) minutes Went One Htn'►drod Thirty-three and Forty-nine ,
one-bundredths (133.49) feet to a point oh the Southeasterly aide of
Blacksmith Road; thence by same North Twenty-Five (25) degrees Fifteen
(15) minutes last b1ght9 t40) feet to a point, the Place of BEOINNING.
DEMO all of Loo Ho. 2¢5, of Plan of Bection S of Allendale, zeower
Allen Township dated March 19, 1962 and recorded in the office of the
Recorder of Deeds of Cumberland County in Plan Book 12, Page 59, an
May 2, 1962, also a roved by the Planning Commission of Lower Allow
Township, March 24, 1962,, and the Board of Commissioners of Lover A11an
To mehip, April 2; 1962.
BEING part of the same premise$ which National Laud At Investment
C,ampany, A Pennsylvania Corporation, by their deed dated July 10, 1962,
and recorded in the Offioe of the Recorder of Deeds in Cusbariand
Count In Dead Book PP*, Tel. 20, Page 9 granted' end eoaveyed unto
Joel ?. !filler AM Edward 8. Norford, a Partnership, t/a/dfb/a !filler
M Morford, Grantors herein.
HAY100 !barter erected a two ■spry brick and aLvalawn siding
drallieg knevn and numbered 741 92a.0staith lead.
MMoN plat.Cllmp,C� t•
e�
11L 1161 11100 tan mt.T t, JlR�
t
06/11/2013 13:16 7172362995 CENTRAL PA ABSTRACT PAGE 04/04
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1 .
CERTIFICATE OF TITLE FOR A VEHICLE
k..
-544
032200020001756-pill...: Yw.
-
JNMAGV3l+4GS[1tiS76� ' �6_�: HlaNDA ... 8374 79��7dCl t
VEH�IDENnhCATION NUMBER -
.. MAKE OF VEHICLE ..
r BODY TYPE DU�-•• "SEAT CAP PRIOR TITLE STATE DOOM,PRDCD DATE »-ODOM.MILES ODOM..STATUS _
10/17!3 '1]1 8/ 3%03
DATE PA TITLED I DATE OF ISSUE 1.. ..UNLADEN WEKiHT '• i6yWR`'... DCyyR ...-°" ..TITLE BRANDS-..
f - - ODOMETER STATUS
I 0.ACTUAL MILEAGE
• _ 1.MILEAGE EXCEEDS THE IkCHANK)AL
LIMITS
2 NOT THE f E 7.NOT THE ACTUAL MRfAG"DOME TER
TAMPEIaN6 VERIFED
a
._r A.EXEMPT FROM ODOMETER OISCLOSURE
REOIST_FRED OWNERS) TITLE BAAlOB
�. I �tr_•. ... � A.ANTIOUE VEHICLE I
JAMES -E LEE ` �, �'HM"+ n:COLLECTIBLE EVVEHICLE
341 •BLACKSMITH RU (I: ALIVMAOROV.rorl:+oNtN.a:
CAMP HILL PA 17011 u'" y` H-AG `ORCE I
f L -LOGGING VEHICLE
P.I WAS A POLICE VEHICLE
A-RECONSTIUCTLD I
a STREET Roo
• T•RECOVERED THEFT VEHICLE
V.VEHICLE CONTAINS 11EISSVED VW
- W.FLOOD VEHICLE
FIRST LIEN FAVOR OF: SECOND LIEN FAVOR OF: X'ISWAS A TAXI
M• w II.#wkWr N N.IW upon owwmck6n of ow rk.t 4n, the am
UN)~,nwwt brwald 0* TIN to the Bwosu d MDbr VShWu wkh nw
"T LIEN RELEASED -' •PPMprWb krm ww N..
DATE
Sy A BECOrq UEN RELEASED _
UTHORIZED REPRESENTATIVE DATE
IMAKItJO ADDRESS
• � AlJTF10FtIZEp REPRESENTATIVE
JAMES E LEE f
341 BLACKSMITH RD
: CARP HILL PA 17011 r
YI
J . I corny..of Iw wo oT I..C..rw DlleWl r.corD.a Ih.P.nlwrwr"D.prvy" ALLEN D B I EH L E R
• d T,.n.porWIon bcl VNI Iw P.r.orr(.)or oonpny mm.o Mr..t N Yw H.wfIA Owner -
• .Secret.ry of TIae.POnm.i,. .y I
TO BE COMPLETED BY PURCHA En WHEN VEHICLE IS
1 I ' 1 INFORMATION
t. :.I
•' '= SU68CRIBED AND SWORN M a
oo4purchaaer other than your epouae N Ysted arNl you Want the Utb to _
TO BEFORE ME: be heated as'Jofrd Tenant With Right of SLevMnhlp'(On death of one r i Mo. DAY owner,_title goes to survMng owner.)CHECK HERE O.Otherwise,the 09
will bs UWJsd as'Tenants In Common"(On death of one owner.Weraet of
deceased owner goes to hIs/her heirs or estate).
I 9 0NATURC OF RRSON ADMINISTERING OATH
i ST LIEN DATE: ♦ IF NO LIEN,CHECK I
f
1ST LIENFiOIDER
_ -STREET -t•
CITY • STATE ZIP
FINANCIAL INSTITUTION NUMBER
J 2ND LIEN DATE: ♦ IF NO LIEN,CHECK
I
�D�'-.•.�C,b M.�W�iXU�iC I. CMiRUM d TN. tl M vNYM tlwpfyp
Iona 2ND UENHOLDER
I
STREET
SIGNATURE OF APPLICANT OR AIn"MZED SIGNER
CITY STATE ZIPr.
SIGNATURE OF MAPPuCANirtriLE Or AUTHORIZED SIGNER FINANCIAL INSTITUTION NUMBER
AF
Jun, 14, 2013 10:46AM PNC Bank No, 7006 P. 1/1
June 14,2013
David H Stone Esq.
Stone Lafaver& Shekletski
414 Bridge St
PO Box E
New Cumberland,PA 17070
RE: James E Lee
SSN:
DOD: 04-26-2013
Dear Mr. Stone:
In response to your request for Date of Death(DOD)balances for the customer noted above,our
records show the following:
Checking Account
Account# 5140037254 Established: 12-01-1962
JAMES E LEE
DOD balance: $ 121,800.11 +0.77 accrued interest
Interest paid 01-01-2013 thru 04-26-2013 S 4.10 YTD
Please note that this office provides date of death balances for deposit accounts(IRAs, CDs,Checking and
Savings). We do not process any financial transactions or provide statements. If you need assistance with
.any of these items, please call 1-888-PNC-13ANK(1-888-762-2265)or stop by your local PNC Bank branch
office.
Sincerely,
National Financial Services Center
PNC Bank,N.A.
Member FDIC
This message is intended for the use of the individual or entity to which it is addressed and may
contain information that is privileged, confidential and exempt from disclosure under applicable law.
If the reader of this message is not the intended recipient or the employee or agent responsible for
delivering this message to the intended recipient,you are hereby notified that any dissemination,
distribution or copying of this communications is strictly prohibited. If you have received this
communication in error,please notes me immediately by reply or by telephone at 800-762-1775 and
immediately destroy this faxed document.
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