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Home My WebLink About03-31-14 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY � ORPHANS' COURT DIVISION � � � � n � � � c�� Estate of Tami N. Lytle, Deceased �.-.�'v- ��„- �' �' _"_; '-�.�-, r— _�, i._r,7 C.J ��-i � FILE No. 2011-00919 �- - - ►—� � -, t:� cn. �.. PA NO. 21-11-00919 ' ='`� > �=� :� c� �,� -D .,, _,.� c� � -�x � _;� o c — PETITION FOR SETTLEMENT OF SMALL ��- `�' � y c.�, ;._ rn ESTATE IN ACCOURDANCE WITH 20 Pa.C.S. §3531 � � �r, a -�a � The petition of Elisa S. Cohen, Administrator, filed by her counsel, Ball, Murren& Connell,respectfully states: 1. Tami N. Lytle died on May 31, 2011, having resided at 3122 Yale Avenue, Camp Hill, PA 17011. 2. Petitioner, Elisa S. Cohen, is Administrator of the decedent's estate pursuant to an Application for Grant of Letters of Administration filed with the Honorable Glenda Farner Strasbaugh, Register of Wills of Cumberland County on June 12, 2012, and Letters of Administration C.T.A. were granted to Petitioner on June 12, 2012. A copy of the Petition and Letters are attached hereto as Exhibits A and B. 3. The first complete advertisement of the grant of letters was on August 31, 2012. Copies of the Proofs of Publication are attached as Exhibits C and D. 4. Petitioner's First and Final Account of the Estate of Tami N. Lytle, dated March 5, 2014, is attached hereto as Exhibit E. 5. The decedent was not married on the date of death. 6. The gross personal estate of the decedent totals less than$25,000.00, as shown on page 2 of the account. The decedent owned real estate but owned that real estate as joint tenant 1 with right-of-survivorship with Petitioner evidenced by a copy of the deed dated June 5, 203, conveying the property to them attached hereto as Exhibit F. 7. The remaining unpaid creditors of the estate are shown on pages 3 and 4 of the account. All of the claims are admitted. There are no other unpaid claimants of whom petitioner has notice ar knowledge. 8. The Pennsylvania lnheritance Tax Return has been filed with the Register of Wills and there was no inheritance tax owed by Petitioner. The inheritance tax Notice of Appraisement, Allowance or Disallowance of Deductions and Assessment of T� from the Pennsylvania Department of Revenue is attached as F,xhibit G. 9. The decedent was not a fiduciary in any other estate and was not a surety on the bond of a fiduciary. 10. The unpaid creditors listed in the account have been served with a copy of this petition and the attached account. 11. The following individuals with a beneficial interest in the decedent's estate have also been served with a copy of this petition and a copy of the attached account: Jennifer Adams, Elaine Johnson, Harold E. Lytle, Jr., Preston Lytle, Thomas Lytle, Samuel Mogerman, Shirley Mogerman, and Cynthis Orris. 12. The distributable balance, as reflected in the attached account on page 5, should be awarded to the creditors listed on page 3 as Class 3 Claims and prorated among the Class 6 Claims listed on page 4. 2 WHEREFORE,petitioner respectfully requests the Court to order that the distributions previously made be approved as reflected in the attached account, that the entire distributable balance of the decedent's estate be distributed as proposed on pages 3 and 4 of the account and that Elisa S. Cohen be discharged from the duties as Administrator of the Estate of Tami N. Lytle, Deceased. Respectfully submitted, BALL, MURREN & CONNELL � Richard E. Connell PA I.D. No. 21542 2303 Market Street Camp Hill, PA 17011 (717) 232-8731 Attorney for Administrator, Elisa S. Cohen Dated: ��A� �O , ��I7 3 VERIFICATION I, Elisa S. Cohen, verify that the statements in the foregoing document are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. §4904, relating to unsworn falsification to authorities. �D . ��-� Elisa S. Cohen Dated: 3"a 7'a 4�� 4 _ PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA Petitioner(s)named below,who is/are 18 years of age or older,apply(ies)for Letters as specified below,and in support thereof aver(s)the following and respectfully requests the grant of Letters in the appropriate form: DecedenYs Information Name: Tami N.Lytle File No: 21 a/k/a: (Assigned by Register) a/k/a: a/k/a: Soclal Security No: Date of Death: 05/31/2011 Age at Death: 40 Decedent was domiciled at death in Cumberland Counry, pp (State)with his/her last principal residence at 3122 Yale Avenue,Camp Hill 17011 Camp Hill Cumberland SVeet address,Post Offica and ZIp Code Ciry,Township or Borough County Decedent died at Abington Memorial Hospital Montgomery PA Street address,Post Ofice and Zip Code City,Township or Borough County State Estimate of value of decedenYs property at death: If domicfled in Pennsylvanfa........................ All personal property $ 2,248.36 If not domiciled ln Pennsylvania................. Personal property in Pennsylvania $ If not domfciled in Pennsylvanfa................. Personal property in County � Value of real esfate in Pennsylvania........... $ TOTAL ESTIMATED VALUE$ 2,248.36 Real estate in Pennsylvanie siWated at (Attach addidonal sheets,ff necesseryJ Street address,Post Otfice and Z1p Code City,Township or Borough County ❑A. Petition for Probate and Grant of Letters Testamentarv , Petldoner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will of the Decedent,dated and Codicil(s) thereto dated (State ielevant chcumstaxes,e.g.,renunaation,death o/e�recutw,eta) Except as follows:after the execution of the instrument(s)offerad for probate,Decedent did not ma ,was not divorced,was not a party to a pending divorce proceeding wherein Uie grounds for divorce had been established as defined in 23 Pa.C.S.�g 3323(g),and did not have a child bom or adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapaciTated person. QX NO EXCEPTIONS�EXCEPTIONS ❑X B. Petition for Grant of Letters of Administration (Itappiicable) c..a.; . .n.; . .n.c..a.;pe en e�e; urdn e a n a; uran e m�no e If Administration,c.ta or d.b.n.c.t.a.,enter date of Will in Section A above and complete list of heirs. Except as foliows:Decedent was not a party to pending diyorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g)and was neither the victim of a kiliing nor ever adjudicated an incapacitated person. QX NO EXCEPTIONS Q EXCEPTIONS Petitbner(s),after a proper search has/have ascertalned that DearJerd left no Will and was survived by the foliowing spouse(if any)and heirs(attach additional sheets,if necessary): � Name Relationship Address Thomas Lytle Brother 15 Scott Drive Shippensburg,PA 17257 Samuel Mogerman Brother 1606 Orrstown Road S�ippensburg,PA 17257 Shirley Mogerman Mother 1606 Orrstown Road Shippensburg,PA 17257 Form RW-02�ev.�a��-zo�� Copydght(c)2011 form software onty The Lackner Group,Inc. Page 1 of 2 Oath of Personal Representative o�Ge�u58 o�ty COMMONWEALTH OF PENNSYLVANIA } } SS: couNN oF Cumberland } Petitioner(s)Printed Name Petitioner(s)Printed Address Elisa S.Cohen 3122 Yale Avenue Camp Hill,PA 17011 The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s)and that,as Personal Representative(s)of the Decedent,Petitioner(s)will well and truly administer the estate according to law. Swom to or affirmed and subscribed before �ate me this day of , oace By: oace For the Regisfer Date BOND Required? � Yes � No To the Register of�lls: FEES Please enter my appearance by my signature below: _ Letters............................................ $ Attorney Signature: c )Short Certificate(s).......... � ( )Renunciation(s)............... ( )Codicil(s)......................... ( )A�davit(s)....................... Printed Name: Thomas A Capper Bond.............................................. Supreme Court Commission................................... ID Number: 75020 Other Firm Name: Ball,Murren&Connell Address: 2303 Market Street Camp Hill,PA 17011 Phone: 717/232-8731 Automation Fee............................. JCS Fee.......:................................. Fax: 717/232-2142 TOTAL........................................... $ E-mail: capper�bmc-law.net DECREE OF THE REGISTER Date of Death: 05/31/2071 Social Security No: Estate of Tami N.Lytle File No: 21 a/k/a: AND NOW, ,in consideration of the foregoing Petition, satisfactory proof having been presented before me,iT IS DECREED that Letters of Administration are hereby granted to Elisa S.Cohen in the above estate and(if applicable)that the instrument(s)dated described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))of Decedent. Register of Wilis Form RW-02�e�.ra��-2o�� Copyright(c)2011 form soflware onty The Lackner Group,ina aa e z or z 9 EXHIBIT B � COMMONWEALTH OF PENNSYLVANIA SHORT CERTIFICATE COUNTY OF CUMBERLAND .n;��_,� �� i r J 7j.�1 4.yy . � I � ♦G. k G--yA.i F�Sf�F N ; �� . • ��`�``��,��j:�"��+ �;�� Y"�, I, GLENDA FARNER STRASBAUGH 'r�'y;`�� i � S u r¢ `,kF`�?r ',`;�; t''�2`�T,�t�,��`�rf�a Register for the Probate of Wills and Granting ..�Y rC� 3 � ..;��„� k �; '"`Y } ,� a p+� �`�7 r+ `, i li+ t y�� f,+'t, � , -� � �t� ` �;;' .� ;�� Letters of Administration in and for i�?�.7�r ' i�h�p : <�� F'.G� ;'` '� ' r4 s, <` �A� � '� � �r; CUMBERLAND County, do hereby certi fy tha t on ��''�+ � , � ' ��'�C�, ��«� �k�`��;' ' the 12th day of June Two Thousand and Twelve, t .� r✓ , ,s i , c . ;'^,s�.�S :' r a r e i''r��.�Yr . ^� ;��4�'�,'r��",i�� Letters of ADM/N/STRATION ' -r in common form were granted by the Register of sai d Coun ty, on the es ta te of TAM/N L YTLE , la te of CAMP H/LL BOROUGH IFirst,Middle,LastJ in said county, deceased, to ELISA S COHEN lFirst,Middle,Lastl and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand a.nd affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 12th day of June Two Thousand and Twelve. . Fi 1 e No. 2011- 00919 PA File No. 21- 11- 0919 Date of Death 5/31/2091 S.S. # l ,� � , � ' �,' ' � � (.�.t '�'� R isYer Wil ✓ I � l \ l '� �.t,,1 �.\ \ '1 � �\ � ` � Deputy NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL EXHIBIT C PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (LJnder Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA : . ss. COUNTY OF CUMBERLAND , Lisa Marie Coyne,Esquire, Editor of the Cumberland Law Journal,of the County and . State aforesaid, being duly swom, accarding to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was esta.blished January 2, 1952, and designated by the local courts as the officiallegal periodical for the publication of a11 legal notices, and has, since January 2, 1952,been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: � Au�,ust 17,August 24, and Au st 31. 2012 �ant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement,and that all allegations in the foregoing statements as to time,place and character of publication are true. �� i Marie Coyne, E ' or � SWORN TO AND SUBSCRIBED before me this 31 dav of Au�ust.2012 , Lytle,Tami N.,dec'd. NOt� Late of Camp Hill. Administratrix: Elisa Cohen c/o ' Thomas A.Cappex,Esquire,Ball, Murren&Connell,P.O.Box 1108, Harrisburg,PA 17108-1108. NOTARIAL SEAL Attorneys: Thomas A. Capper, DEBORAH A COLLINS Esquire,Ball,Murreu 8s Connell, P.O. Box 1108, Harrisburg, PA Notary Pubiic 17108-1108,(717)232-8731. CARLISLE BOROUGH,CUMBERLAND COUNTY My Commission Expires Apr 28,2014 PROOF OF PUBLICATION State of Pennsylvania,County of Cumberland Tackie Cox,Sales Director, of The Sentinel,of the County and State aforesaid,being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid,was established December 13�,1881, since which date THE SENTINEL has been regularly issued in said County,and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following day(s): August 3,10&17, 2012 COPY OF NOTICE OF PUBLICATION .:Lc�i•,:cf ry, � ai`dt .�< €n. ss-r.� a'i,C aa�G?s`t �,d�m,i � fY�,' � � � �`�T .S. .. s.. 1� �*' F'j��.� ��a ', �' e i:;�.�: Affiant further deposes that he/she is not ; � z, 4 `,' `A��: interested in the subject matter of the ��' aforesaid notice or advertisement,and that z�'ti '� ��''�: all allegations in the foregoing statement as �- o e "` ��:- a�`"��;; to time,place and character of publication # � � true. . � a ;.f� _,r� . f..� T ::J �J 5S'a�,. l.'��fr�' . . ., � .S {1 ,ri3<,`4r�*Y.�:�.::^�.wY�>=sr:r°1�.,,y`h;#,mkl.+�t . �F+�''�#' l."a'4T�<'�`e'r�d;q'�'r�¢i'a'F^*''"Z��I Sworn to and subscr' ed before me this � ZZ�� "Z�1z Notary Public My commission expires: � NOTARIAL SE4L BAMBIANN HECKENDORN CARLISLE BOROUGN,CUI!�BERLAND CNTY ��ly Commission Expires Jan 27, 2p�4 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION FILE No. 2111-00919 PA NO. 21-11-00919 FIRST AND FINAL ACCOUNT OF Elisa S. Cohen,Administrator For ESTATE OF TAMI N. LYTLE, DECEASED Date of Death: OS/31/2011 Date of Incapacity, if any: None Date of Administrator's Appointment: 06/12/2012 Date of First Complete Advertisement: 08/31/2012 Accounting for the Period: 06/12/2012 to 03/OS/2014 Richard E. Connell . Ba11, Murren& Connell 2303 Market Street Camp Hill,PA 17011 (717)232-8731 Supreme Court I.D.No. 21542 1 PRINCIPAL RECEIPTS Personal Effects(Valued as of Date of Death OS/31/2011 Orrstown Financial Services, Inc. 325.61 PSECU S4—Money Handler 593.13 PSECU S7—Money Market 603.85 PSECU Sl —Savings 99.02 Members First Savings Account 5838 Prudential Retirement—Pinnacle Health System 403(b)TSAT Plan 9,667.98 Susquehanna Va11ey Pain Mgmt.,PC 401(k)Profit Sharing 778.40 TOTAL PRINCIPAL RECEIPTS $ 12,126.37 INCOME Estate Account—Interest Earned 8.71 TOTAL PRINCIPAL AND INCOME $12,135.08 2 DISBURSEMENTS OF PRINCIPAL ADMINISTRATION EXPENSES (Class 1 Claims—20 Pa.C.S. §3392) 08/31/2012 Ball,Murren& Connell Cumberland Law Journal—Legal Advertising 75.00 08/16/2013 Ball,Murren& Connell The Sentinel—Legal, Cumberland Cou.nty Register of Wills,Postage, Reproduction and Telecopier Expenses 283.95 09/04/2012 Register of Wills, Cumberland County,Probate 98.50 ADMINISTRATION EXPENSES—FEES (Class 1 Claims—20 Pa.C.S. §3392) 07/30/2013 Ball,Murren& Connell Attorneys' Fees 1,788.50 TOTAL DISBURSEMENTS OF PRINCIPAL 2 245.95 LTNPAID CREDITORS' CLAIMS (Class 3 Claims—20 Pa.C.S. §3392) Amount Claimed Proposed Distribution Pinnacle Health 125.00 125.00 (Computer Credit,Inc.) 640 W. 4th St. P.O. Box 5238 Winston-Salem,NC 27113-5238 Acct. #110315780 (Date of Service—5/21/2011) Abington Neurological Assoc.,Ltd. 793.81 793.81 (NCO Financial Systems, Inc.) 3005 Grape Rd., Ste. A Mishawaka,IN 46545 Account#55778 (Date of Service—5/31/2011) 3 UNPAID CREDITORS' CLAIMS (Class 6 Claims—20 Pa.C.S. §3392) Amount Claimed Proposed Distribution Pinnacle Health 378.72 158.41 (Accounts Recovery Bureau, Inc.) P.O. Box 6788 Wyomissing,PA 19610-0768 Acct.#116087964 ARB Acct. #01112490289-3L (Date of Service— 10/03/2010 to 10/06/2010) PSECU 9,753.87 3,08892 1 Credit Union Pl. P.O. Box 67013 Harrisburg,PA 17106-7013 Members ls� 8,322.92 2,613.71 5000 Louise Dr. Mechanicsburg,PA 17055-4899 Acct.#4672 0090 0026 2022 PSECU(VISA) 5,107.85 1,663.27 P.O.Box 67013 Harrisburg,P)A 17106-7013 HSBC Bank 1,090.67 316.81 Phillips& Cohen Assoc., Ltd. P.O. Box 5790 Hauppauge,NY 11788-0164 Ref. #18105357 HSBC Bank 298.34 79.20 Phillips& Cohen Assoc., Ltd. P.O. Box 5790 Hauppauge,NY 11788-0164 Ref. #18105357 4 ' NET AVAILABLE FOR DISTRIBUTION TOTAL PRINCIl'AL RECEIPTS AND INCOME $ 12,135.08 TOTAL DISBURSEMENTS OF PRINCIPAL 2.245.95 FOR ACCOUNT PERIOD RESERVE FOR FILING FEES, ATTORNEY FEES AND FINAL COSTS (Photocopying and postage) 1,050.00 NET AVAILABLE FOR DISTRIBUTION TO UNPAID CREDITORS $ 8,839.13 LESS CLASS 3 CLAIMS - 918.81 NET AVAILABLE FOR DISTRIBUTION TO CLASS 6 CLAIMS $ 7,920.32 5 VERIFICATION ELISA S. COHEN, Administrator of the Estate of Tami N. Lytle, Deceased,hereby declares under oath that she has fully and faithfully discharged the duties of her office;that the foregoing First and Fina1 Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the Estate have either been paid in full or that all known unpaid cred.itors have been identified as set forth in the Account;that all taxes presently due from the Estate have been paid; and that the grant of L�tters of Administration and the first complete advertisement thereof occurred more than one year before the filing of the foregoing First and Fina1 Account. This statement is made subject to penalties of 18 Pa.C.S.§4904,relating to unsworn falsification to authorities. . ��C�.�-iJ ELISA S. OHEN Dated: .3 'a 7—a0/( 6 EXHIBIT F .� _ ' �7C�C�� 5��, ��YS ��CJW� � : :_.-.��.;' :°. MIEG;..�F . _ ..,;;:iit::i;.:��:;{?E�D� �:?,�.r�L.4H� CDUNTY= ��,`, 03 JUN 1Z R�l 8 00 � � J TAX PARCEL NO. 01-22-0533-017 � �C.�N MADE THE day of � uz the year two thousand three (2003) BETWEEN TIMOTHY E. CARPENTER and OLIVIA S. CARPENTER, husband and wife, of Mechanicsburg, Pennsylvania, Grantors, AND ELISA S. COHEN, single woman, and TAMI N. LYTLE, single woman, as Joint Tenants with the Right of Survivorship, Grantees, WITNESSETH, that in consideration of ONE HUNDRED THIRTY-SEVEN THOUSAND----------- _ _ __ _ _ _. . . .___.. . ------------------------------------------- ----($137,000.00)------------------------------------------Dollars, in hand paid, the receipt whereof is hereby acknowledged, the said grantors do hereby grant and convey to the said grantees, their heirs and assigns, ALL THOSE CERTAIN pieces or parcels of land situate in the Borough of Camp Hill, County of Cumberland, and State of Pennsylvania, more particularly bounded and described as follows, to wit: BEGINNING at a point on the north side of Yale Avenue, 50 feet wide, at the dividing line between Lots,Nos. 139 and 140 on the hereinafter mentioned Plan of Lots, said point also being 300 feet measured westwardly from 31St Street; thence South 78 degrees 30 minutes West along the north side of Yale Avenue, a distance of 53.7 feet to a 10 foot alley; thence North 11 degrees 11 minutes West along said 10 foot alley, a distance of 120 feet to the southerly line of a 5 foot alley; thence 1Vorth 78 degrees 30 minutes East along said 5 foot alley, a distance of 53.04 feet to Lot.No. 140 on said Plan; thence South 11 degrees 30 minutes East along said Lot No. 140, a distance of 120 feet to Yale Avenue, the place of BEGINNING. Bt)0;{ �?��",� PI�,GE��'�iati BEING Lots Nos. 138 and 139 in the Plan of Earlington, as recorded in the Cumberland County Recorder's Office in Deed Book "U", Volume 6, Page 600. HAVING THEREON ERECTED a single dwelling house known as 3122 Yale Avenue, Camp Hill, Pennsylvania. BEING THE SAME PREMISES which John R. Jones, Trustee, under the Will of Reagle O. Parsons, by Deed dated June 8, 2002 and recorded June 11, 2002 in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book 252, Page 589, granted and conveyed unto Timothy E. Carpenter and Olivia S. Carpenter, husband and wife, Grantors herein. _ .. _. . . _. _ . _... __..... .. ..__ . .. .._ __ _. _ —1{-]C"1 77 C7 �-+�C7 C J l:r c_�.. l� �7 r--t o a�� n�o « mzrv�r*imr m � c-a -r�v �v ra 4-�m� � r-r�rn � uti � iv r� n • �-, � c�-o -o ry a a, -r � .-�x� �A:n -5 =, r_-r �„�a�� ^a� 1 � � 1 t �• a* m �r, .—.-. =,� -�,.i+r r-�� r.a ��-- r� ;�ca �a c -..r r---i�.+ c� .0 ra ,-..,..��^m v x --�•--� � 3 �•.L�.t 7i l�rt—1 � r�7 � � W � �a. -��•v o a r� w � �o c- ---� r ca m u� - � c7 z Y x � =�-I ° iu -��"i r�i- P ITI U:T „��• ;� 'C � r�t- � .'�? r K'A �tt � �'o Kt� fel' �=i-�l 97 � ..� "'+'!O �a F-+� t.tl M'��y' a � �--� � --� �-.. r.3 �...-, 1'+.T -L 'S •^J rJ ��7 4 •"J -�ft Gi � dy7 4da'•hIi tU y_3��• rR +7 fsl..C+ �+. G'��:.J � ULU� �� + �-+ •� � �- ,.:.:, �...�.,_.,.�� _, ws � ,, �.,,.; PAG� ..a�Ci •-C� 4n1 1'�.] a:+r..KJI tJl•C`r P..} G�^,1• -67. t�1 U r�'1 C:+C7�'J S.�f G C7�:.i G!7 C.J{ c'n C':r r..=a .^,C:r.:"�c��.^? �c7 r�� .r� n i AND the said grantors do hereby Warrant Specially the property hereby conveyed. IN WITNESS WHEREOF, said grantors have hereunto set their hands and seals the day � and year first above written. � Signed, Sealed and Delivered TIMOTHY E. CARPEN R in the Presence of /�G� � (� �- OLIVIA S. CARPENT STATE OF�e�SLI I�� covlv�oF Y�r1� On this, the S day of ��1 � , 2003, before me, a Notary PLiblic, the undersigned officer, personally appeared TIMOTHY E. CARPENTER and OLIVIA S. CARPENTER, his wife, l�own to me (or satisfactorily proven) to be the persons whose names are subscribed to the within instrument, and acknowledged that they e�ecuted same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my han d official seal. r .1 r�„vt� ...�;;� .r ��^;�'��'� (SEAL) �. �,>�,. �� m ky o-��r '� -�,�' '��`��V,�;Y; N ary Public .. :��` v* h�� ';�:` ,, �:�� -,��:f��,�;;,�. Yh a. d t � Y ` . ."��,'+i-•r�- '°� � �i�a..� �� "��7'" +`s � .��"'�f�., X� .y:,�'�'r y � t.,�-.s._ �' ' p,�y � -� ,,.£��' � 'z,� 0 �s :°z"�l,t,�.'' 'y��r�+�r'" '�..-�,`�c:'�:. � P� �""�-f "ki �.E�1��.*� �*'�'��'�;;;�"'.: Notadal Seai � ��A, �. � ,�c Tamie R.Hershey, Notary Public ',�.�'��'s�: ;,� Dilisburg Boro,York County �`4:�,'��:b.�. �;;.;�'� My Commiss .:�'r�•:., , ra• .y�,,,��:.� ion Expfres Jan.20,2004 °� �'�,��, �"rr:�:: �'-_,�; ,,;.s Member,Pennsvl�aniaAssocfaiionotNotaries cF�'(.'r:k,' .: Y' < ::> '{ $1�0i( ��a�� P?'ui�',�� CERTIFICATE OF RESIDENCE I do hereby certify that the precise residence and complete post office address of the within grantees is: � 1 Z Z L(o�L- ��..� �,.`.�, �J. 1,l ('�4 l 101 1 � Attorney/Agent for COMMONWEALTH OF PENNSYLVAMA : � SS County of . RECO.RDED on this day of A. D. 2003, _ . . . . . .. . . . _.. .. . ...,. . ......_ ....i...... __. . . .. . ...__ . ... . .................. . in fhe Recorder s office of the said County, in Deed Book , Vol. , Page Given under my hand and the seal of the said office, the date above written. Recorder. I Certify this to be recorded In Cumberland County PA . o� �; � � ��:_.,, � � .; '��r, .�1 � ,,�, �; a ,� . _ ��: � �vA�o '"' Recorder �f I�eeds Bt�UF ��'� P�f�C��a� E�HIBIT G ' NOTICE OF INHERITANCE TAX � pennsylvani� BUREAU OF INDIVIDUAL TAXES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENTOF REVENUE INHERITANCE TAX DIVISION OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 IX AFP C09-12) � PO BOX 280601 HARRISBURG PA 17128-0601 DATE 11-26-2012 ESTATE OF LYTLE TAMI N DATE OF DEATH 05-31-2011 FILE NUMBER 21 11-0919 COUNTY CUMBERLAND THOMAS A CAPPER ACN 101 2303 MARKET ST APPEAL DATE: 01-25-2013 CAMP HILL PA 17011-4627 (SeereversesideunderObjections) Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 CUT ALON6 THIS LINE -� RETAIN LOWER PORTION FOR YDUR RECORDS E-- REV-1547 EX AFP C12-11� NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: LYTLE TAMI NFILE N0. :21 11-0919 ACN: 101 DATE: 11-26-2012 TAX RETURN WAS: C X� ACCEPTED AS FILED C � CHANGED APPRAISED VALUE OF RETURN BASED ON: ORI6INAL RETURN 1. Real Estate CSchedule A) C1� .0 0 NOTE: To ensure proper 2. Stocks and Bonds (Schedule B) �p� 3 25.61 credit to your account. .0 0 submit the upper portio 3. Closely Held Stock/Partnership Interest CSchedule C) C3� of this form with your 4. Mortgages/Notes Receivable CSchedule D) �y� .0 0 tax payment. 5. Cash/Bank Deposits/Misc. Personal Property CSchedule E) C5) 1,3 54.38 6. Jointly Owned Property CSchedule F) C6� .0 0 7. Transfers (Schedule G) ' �� .00 8. Total Assets (8) 1.679.99 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses CSchedule H) �q� 3.0 00.00 10. Debts/Mort9age Liabilities/Liens CSchedule I) �lp� 2 6,0 76.5 6 11. Total Deductions �11� 29,076.56 12. Net Value of Tax Return C12� 27,396.57- 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts CSchedule J) C13� .0 0 14. Net Value of Estate Subject to Tax C14� 27,396.57- NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will reflect figures that include the total•�of all returns assesseci to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at spousal rate C15) .0 0 X 00 - .0 0 16. Amount of Line 14 taxable at lineal rate C16) �� x 045 = .DO 17. Amount of Line 14 at sibling rate {17� _0 0 X 1 2 = .00 18. Amount of Line 14 taxable at collateral rate C18) .0 D X 15 = .00 19. Principal Tax Due - • .� C19)= .0 0 TAX CREDITS: PAYMENT RECEIPT DISCOUNT C+) AMOUNT P/1ID DATE NUMBER INTEREST/PEN PAID C-) TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT CCR�, YOU MAY BE DUE FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS.