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Home My WebLink About06-02-14 � 1505610143 REV-1500 Ex`°2_,,, �' OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Cade Year File Number Bureau of Individual Taxes �P��EM�� Po sox.28oso1 INHERITANCE TAX RETURN 21 13 0816 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 05 11 2013 07 10 1922 Decedent's Last Name Su�x DecedenYs First Name MI WERTZ EUGENE T (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Securiry Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1. Original Retum � 2. Supplemental Retum ❑ 3' prio tp d2r 3e Z�m(Date of Death � 4. Limited Estate � 4a.Future Interest Campromise � 5. Federal Estate Tax Retum Required (date of death after 12-12-82) � 6 Decedent Died Testate � �• (Attach Copy of$frust a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of W ill) ) � 9. Litigation Proceeds Received � ��•beM�eenP2 31 SCanat�(Da95�f Death � 11.Election to tax under Sec.9113(A) (Attach Schedule O) CORRESPONDENT•THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAI TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number KRISTEN LIEB ESQ 717 237 4800 � REGISTEI;�QF WILLS U�ONLY c --� =� _� � ��y First Line of Address �� G '=''. � r7� -_ � � c:> � 409 NORTH SECOND STREET ='� :�: +-- �••+ ' r__ ,. �"p'- i°i r 1 Second Line of Address _ � ` � "� fJ , . <: � �::. SUITE 500 ��1 `�' �= � ``� '' ��F�LED� City or Poat Office State ZIP Code - N r" R� gp,Rgl gg�G PA 1710113 5 7 � � `�^ ..' N � .�,i CorrespondenYs e-mail address: kristen lieb(Dbipc com Under penaltfes of perjury,I declare that I have examined this retum,induding accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.DeGaration of preparer other than the personal representative is based on all infortnation of which preparer has any knowledge. SIG ATURE OF PERSON RESPONSI E FOR fILING RETURN DATE � Ruth M Wertz �''v� " j� ADDRE S 3412 Lisburn Road, Mechanicsburq, PA 17055 SIGNATURE PREPARER OT R THAN PRESENTATIVE DATE ---_ Aaron C.Jackson Esq. �.x,—� ADDRESS 409 N. Second Street, Suite 500, Hamsburg, PA 17101 � Side 1 � 1505610143 1505610143 ..... ., .. .. .. : �:.. ......, , , ...... , .. .,�,.-�...,..=�,��.:,,.,.. ,�,...�... =-µ ., , - ,. ' _ I .,. J 150567,0243 REV-1500 EX Decedent's Social Security Number Deceden�'sName: Wer�Z, Eugene Theodore RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 913 � 643 . 00 2. Stocks and Bonds(Schedule B)............................................................................. 2. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 23 . 81 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers&Miscellaneous f�nn;Probate Property (Schedule G) U Separate Billing Requested............ 7, 8. Total Gross Assets(total Lines 1 through 7)........................................................ g. 913, 666. 81 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 2 � 7�.9.Z 8 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule I)............................ 10. 11. Total Deductions(total Lines 9 and 10)................................................................ �1. 2 , 71.9 . 2 8 12. Net Value of Estate(Line 8 minus Line 11).......................................................... �2, 91 O , 947 . 53 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)............................................... �4, JIO , 947 . rJ3 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or ta n��rXun�erSec.9116 Q10 , 947 . 53 15. � . 00 � )� ) 16. Amount of Line 14 taxable at lineal rate X .045 0 . 00 16. � . 0� 17. Amount of Line 14 taxable at sibling rate X.12 0 . 00 17. 0 . 00 18. Amount of Line 14 taxable at collateral rate X.15 0 . 0 0 18. 0 . 0 0 19. TAX DUE................................................................................................................ 19. 0 . 00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. � Side 2 � 1505610243 15D5610243 � ,...:. � :��„ s,� _�� _ __ REV-1500 EX Page 3 File Number 21-13-0816 Decedent's Complete Address: DECEDENT'S NAME Wertz, Eugene Theodore STREET ADDRESS — — --- 3412 Lisburn Road CITY STATE ZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 0.00 2. Credits/Payments A. Prior Payments B. Discount 0.00 Total Credits(A +B) (2) 0.00 3. Interest �3� 4. If l.ine 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. �q� Check box on Page 2,Line 20 to request a refund --- 5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) �.QQ 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:............................................................................... � � b. retain the right to designate who shall use the property transferred or its income:.................................. ❑ � c. retain a reversionary interest;or............................................................................................................... ❑ � d. receive the promise for life of either payments,benefits or care?............................................................ � � 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without ❑ � receiving adequate consideration?.................................................................................................................... x 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?..,.... ❑ 0 4. Did decedent own an individual retirement account,annuity,or other non-probate property which contains a beneficiary designation?.................................................................................................................. ❑ ❑X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. _., . _ . , v _ _. . For dates of death on or after July 1, 1994 and before Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)�. For dates of death on or after January 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 asseis 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 deaih to or for the use of a natural parent,an adoptive parent,or a siepparent of the child is 0 percent[72 P.S.§9116(a)(1.2)). • The tax rate imposed on the net value of transfers io or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noied 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 defined, under Section 9102,as an individual who has at least one parent in common with the decedent,vehether by biood or adoption. Rev-1502 EX+(01-10) SCHEDULE A pennsylvania REAL ESTATE DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Wertz, Eugene Theodore 21-13-0816 All real property awned soleiy or as a tenant in common must 6e reported at fair market value.Fair market value is defined as the price at which proper�y vrould be exchan�ed between a willing buyer and a willin�seller,neither bein�compelled to buy or sell,both having reasonable knowiedge of the relevant facis. Real property that is jointly-owned with nght of survivorship must ba disclosed on schedula F. Attach a copy of the settlement sheet if the property has been sold Include a copy of the deed showing decedent's interest if owned as tenant in common. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Real Estate-Parcel 10-21-0279-041 -Located at 4700 Carlisle Pike, Mechanicsburg, 230,472.00 Cumberland County, PA; Assessed value($475,200.00)x CLR; husband and wife (Ruth M. Wertz),as tenants in common and not as tenants by entireties(50%interest) 2 Real Estate-Parcel 10-21-0279-042-Located at 4702 Carlisle Pike, Mechanicsburg, 232,945.50 Cumberland County, PA;Assessed value($480,300.00)x CLR; husband and wife (Ruth M. Wertz),as tenants in common and not as tenants by entireties(50%interest) 3 Real Estate-Parcel 10-21-0279-043-Located at 4702 Carlisie Pike, Mechanicsburg, 450,225.50 Cumberland County, PA; Assessed value($928,300.00)x CLR; husband and wife (Ruth M. Wertz),as tenants in common and not as tenants by entireties(50%interest) TOTAL(Also enter on Line 1, Recapitulation) 913,643.00 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule A(Rev.01-10) ,. _ .._., , ._ .-: .w.. , ..:_ .�.-.:v .�.,b,..�.:m .�...s- ..�s..��.,.�„� .. , .,, . _, ,R.. -�., , ... . . F _ _. Rev-1508 EX+(��-�0) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCETAXRETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Wertz, Eugene Theodore 21-13-0816 Include lhe proceeds oi liti�ation and the date the proceeds were received by the estate. All property jointlyrowned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Commonwealth of Pennsylvania -PA Unclaimed Property 23.81 TOTAL(Also enter on Line 5, Recapitulation) 23.81 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software oniy The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10) . . ._, ,��.:,. ..�,�„ .�-�-:=-..w�.-.,:��.:«.,;,�-��. �... ��:-� .� .. . .��.« , .. .� ... . . . . REV-1511 EX+(�0-09) pennsylvania SCHEDULE H DEPARTMENTOFREVENUE FUNERAL EXPENSES AND INHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Wertz, Eugene Theodore 21-13-0816 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(s)Commission Paid 2. Attorney's Fees Buchanan Ingersoll &Rooney PC 2,000.00 3. Family Exemption: (If decedenYs address is not the same as claimanYs,attach expianation) Claimant Street Address Ciry State Zip Relationship of Claimant to Decedent 4. Probate Fees 79 9,28 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs TOTAL(Also enter on line 9, Recapitulation) 2,719.28 Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09) M . . : . r ��. ,.. .�N..�,:�. ��,,u � n-� , , . . REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN B EN EFICIARI ES RESIDENT DECEDENT ESTATE OF FILE NUMBER Wertz, Eugene Theodore 21-13-0816 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT (�/ords) ($$$) Do Not List Trustae s I� TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116 a 1.2 The Eugene T.Wertz T/UIIN dated June 1,2001 Trust 910,947.53 c/o Robert E.Wertz,Trustee 3412 Lisburn Road Mechanicsburg, PA 17055 Julia K.Sandnes Daughter 113 Third St. New Cumberland, PA 17070 Robert E.Wertz Son 3412 Lisburn Rd. Mechanicsburg, PA Ruth M.Wertz Spouse 3412 Lisburn Rd. Mechanicsburg, PA 17055 William H. Wertz Son 5903 Chinquapin Pike Baltimore, MD 21239 Tota I 910,947.53 Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate. NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-150U Schedule J(Rev.01-10) � �. � ,� � .� � �� :��,�� — -------- �--- –� __�------ MICHAELLANGAN,TREASURER ,��.�� ("�� 230 SOU7Fi SPORTING HILL ROAU �� MECHARlIr.seu�c,�a �;o�o KCEP 'Tkil a PC3�TlQiV �QR Y(�j(JR �iEGORa�) — ----------------------------------.� TF�1nP - �tC7'U}�fV SF_RVIC� R�QUES�'ED , E1 � N , � �,�.�i:��„�,0��,,,li�lfi,�iiii�.�,��f�i�i��i,i„��eli�ll�ifli U49E19""""""*""'`AU70*'5-UIGIT 1T050 . L^JERT=,EUGENE T&RUTh!M ��I��I�I�II 47d2 CARLiSLE PIFCE 3TE� II��I�IIIiII��III�III��IIII�IIIi I I I N1�CHANICSBURG PA 17050�099 I To �•Rview the as>easment data for rhis property, go to: �vww.cc�urthousennlin�.•+r�isi�>,4�.:sessmenti�f�ice.Cuntbei9and>f�ruJ�ertyR�:cords. i hen enter controt� i0UQ�76II anr!password CUPZAnC1�•� r � • � � a� - . � , , � -. e » • � r o o . � y. , `�.�i� Payahle To: M(CtiAFL la1NGAN,TREASUREF OfFice 1lours: MAR-OCT: M,T', 7H 9-1F:30PM 230 SOL�I'H SPORTI(vG HILL RUAD MAfl-APR:THURS G-EPM NIECHANICSBURG,PA .17050 CLOSED WED,FRI�HQLIDAYS PHONE(i 17)737-4821. EXC[PT FRI.IUNE 28 OPEN 9-4:30PM Bill No: 10986 Bill Date: 311/13 Control No: �I0007768 MAP NU: 10-21-0279-041. — — ---- ---- Desc: 4700 CARLIuI_E PI�<E Assessed Value: Land: 1AII,OUO Improverrient:327.200 Total:4%5,200 --- ------ LAND LESS'fHAN 1 ACRE __ ___ Discount__ Face enalty - Acres 0.42 Deed 002G904681 Countv RE _ 2.131 $992.40___ $�p•2.fi5 _��.113.�J2. Co�nty Lib 0.�43 $66.59 $67,95 $74.76 _1�l 'I'1��1� III�' i, � " - Mianic.R!E -- _--O.i56--y72-65=— ---$74.13_-----_$�1.54 _ I �$1.00 FEE FOR ADDITIO�IAL RECEIP"("S ---1 ------------- ------- --- —---- —---- Tax P�ver. INEkTZ,[IiGENE T 8:RUTH M TAX AMOUNT DUE 4702 CdRLISLE P{KE 5l'E D $1,'131.64 �..�...�,_�_ ��r,q,7, $�,27p,2q MECHANlCSBURG PA 17050-3099 If Date Of Pa ment is on __3/1J13 thru 4 0��3 5/1/13 tiiru 6/30/13 7/ / 3�r_L�#cr__ 1 ' :J.:1�1 �1 .,1�� :� ul_'f:' + !1' �� {' • 1 j �� :i .. . .. . .. .. . ..... .. . . . .. . ..... ....... ...... .....: - . .. . . .... . . .... .. .. . . .. . . .. . . . ....... .. ...... ... ... .... . .... .... . . ._. Cumberlanci County Pennsyiva�nia r e � �a -� .�:- � - • o � � i TA;C CULL'F_CTnP� C�JPY - RF'TURN INiTH PAYM�f�lT FOF2 PROPER Ci��DIT Bill tJo: 10J36 WERTZ,EUG[NE 7&RlJTN M 47d0 CARLISLE PIKE Bill Date: 3i1/13 4702 CARLISLE PIKE:STE D LAIvD LESS TI1AN 1 At:RE Control�u:1000776II F Acres 0.42 Deed OU2590463'I (�1AP NO: 10-21-0'179-011. MECHAIVICSBUFG PA 170..0-3093 F'a�ab!e�To: Assessed Value �_and: 14G,1JOO im rovement:327,200 TotaL�175,200--------------- � --------- --�—-----------�-----------I IVIICHAEL LANGAN,TRLASl1(�ER Di�count Face ?enaity � 230 SOUTH SFQ�iTING HILL ROA� ------------ ----- ---- ------------------ — ---- ----- MECHANICSP3URG,PA 1iU50 _Coun�f2� __-- 2-131 ---._-_ °�98'1..d0 --- —�9.Q12��__._�1�1t'f,�2_._ CUUnty Lib_ __ 0.143 _�66.59 367.'�5 _�L4,Z�___ PHONE(71;)737-4E22 I_��ll�ni�..13!�. --.---.� '�6----..�,G�------------$?4�:1-3-------�£t.1.5_4__.� I��!��;I!�I��li��I�li�,� �� ---- ---------- ------ TA:Y AMOUNT DUF $1,131.6R $1,15d.73 � $'1,270.2 i If f�ato nf Pa:�me,i�I,nn ^l111.',thn�dl:t0ll:i ?+/1l13 thrn R1'2l1ii3 7f1/13�r t :,��. I A.,...� ,.__ .:.. P: �,. ,.._.3,—. ��.� e� M.,T:..� <.,.�b� �.�=v�- .��::p^�,�a,+.�..w� � t.. H .., ..«�- .,_ ... _.. _ . r . , . _ .. MICHAELL_ANGAN,TREASURER �A�I�AY�L�� CQ�� 230 SOUTH SPORTING HILL ROAD • MECHANICSBURG,PA 17050 KEEP THIS PORTION FOR Y011R REC(�RDS TEMP - RETURN SERVICE REQUESTED � � • , . �ill�li�l�l��l�f�l��l��ll��l��l��l��lll�ll�lll'��I�III 055761"*'*""*"*`*"AUTO"`5-DIGIT 17055 WE�1'Z,EUGFNE T&RUTH M IIIII�IIISIIIiIIIIiIIIiIIi!IiIII fI!III !IIIIlII 3412 LISF3URN RD MECHANICSBURG PA 17055-6714 To review the a�sessment data for this proper�y, go to: www.courthouseonline.com>Ass�ssmQntOffice>Cumt�erland>propertyl�ecords. Then enter control# 10007769 and password CUMNLC,�PV �e c o . , a - • - , r � � � , . � Payable To: MICHAEL LANGAN,TREASURER Office Hours: MAR-OCT: M,T,'I'FI 9-4:30PM 230 SOUTH SPORTING HILL ROAU MAR-APR:THURS 6-8PM MECHANICSBURG,PA 17050 CLOSED WED, FRI&HOLIUAYS � FXCEPT FRI JUNE 28 OPEN 9-d:EOPM Bill No: 109II7 PHONE(717)737-4822 Bill Date: 3/1/�13 Control No: 10007769 MAP NO: 10-21-0279-042. ---- Desc: 4702 CARLISLE PIKE Assessed Value: Land:73,200 Improvement:407,100 Total:450,300______ LAND LESS THAN 1 ACRE _ Discount Face _Frn�y Acres 0.21 Deed 0036Q00933 ___Cou�RE __ 2.131 $1,003.05 �1,023.52 $1,12�sII� County Lib 0.143 $67.31 $GII.G8 �75.55 ---- ----_ ------- _. I�1llL1�ll�llILllW1I11LW1��I�11 Munic.R/E 0.�15G ----- $73.43 -------$74.93 �82.42— $1.00 FEE FOR ADDITIONAL RECEIPTS 7ax Payer: WERTZ,EUGENE T&RUTH M TAX AMOUNT DUE 3412 LISBURN RD $1,143.79 ,,.,;,,, 1 167.13 $1,283.II4 MECHANICSEiURG PA 17055-6714 If Date Of Payment is on __ 3/1/13 thru 4/30/13 _�5/1/1�3 thru 6l3 /'!3 7/�3 or��t�� ►- c • �- o � ...........................................................................................................................:.�.........:........................................................................_...............,..... _. __. . __.._ Cumberland County Pennsylvania i e � • - � � • � • � TAX COLLECTOR COPY-RETURN WITH PAYMENT FOR PROPER CREdIT Bill No: 10987 4702 CARLISLE PIKE Bill Date:� 3/1/13 WERTZ,EUGENE T&RUTH M LAND LESS THAN 1 ACRE Control No:10007769 3412 LISBURN RD Acres 0.21 Deed 0036Q00933 MAP NO: 10-21-0279-042. MECHANICSBURG PA 17055-6714 Payable To: _Assessed Value: Land:T3,200 Improvement;407,100 Totai:480,300 _ __ MICHAEL LANGAN,TREASURFR � Discount Face Per,alty 230 SOUTH SPORTING HILL ROAD ---- --- -- MECHANICSBURG,PA 17050 ___Countv RE _ 2.131 $1,003.05 $�(,Q�,�.____$1 126•� Count Lib 0.143 $67.31 $6�6II "�7�,5 z PHONE(717)737-4822 —L�t1.S�111��RLE_----9�ifi_ $73.43 ___$Z4_9�_ $42.42 I Ililll Ilill illll IIIII II II IIIII IIIII IIIII IIII IIII ---- -- - TAX AMOUNT DUE $1,143.79 $1,167.13 $1,2II3.II4 If Date of Pay_ment Is On ______3/1JLtb1'u�/30(13 5/1/13 thru 6/30/13 711/13 or L�ter �. t�� , � � � �:��-,� ��.��:,�.:�-.�.�� ,�.�� _- �, � __ ,� MICHAELLANGAN,TREASURER �/'-p/\PAYG.,�yS ��J� I 230 SOUTH 3PORTING HILL ROAD MECHANIGSBURG,PA 17060 KEEP THlS PORTION FUR YOUI� RECORLIS TEMP - RETURN SERVICE REQUESTED � . � . . � iIII�II�I�lti�il�lil��ll�ll�i�l�il�nil�il��lllill��ll�l��l�lll 055762"""""*""'AUTO"5-DIGIT 17055 412LSBURNRnT&RUTHM II{II�IIII{I�IIIIIIIIIIIIII6IIIl�IIII�'II��IIII MECHANICSBURG PA 17055-6714 l�o review the assessment data for this property, go to: www.courtl�ouseonline.com>AssessmentOfifice>Cumberlanci>Propertyt2ecords. Then enter control�t 10007770 and password CUDUO[KF 1 a o � � • ` ► � � • � � • � Payable To: MICHAEL LANGAN,TREASURER Office Hours: MAR-OCT: M,T,TM 9-�3:30PM 230 SOUTH SPORTING HILL ROAD MAR-APR:ThIURS 6-8PM MECHANICSBURG,PA 17050 CLOSEI7 WED,FRI&HOLIDAYS EXCEPT FRI JUNE 2II OPEN 9-4:30PM Bill No: 109IIII PHONE(717)737-4822 Bill Date: 3/1/13 Control No: 10007770 MAP NO: 10-21-0279-Od3. - ----- Desc: 4704 CARLISLE PIKE Assessed Value: Land: 146,400 Improvement:7R1,900 Tota�l:92II,300 LAND LESS TNAN 1 ACRE _—._ Discount Pace en� y Acres 0.42 Deed 0036Q00933 Countv RE ______.. 2.131 $1,938.65 $1.9Z8•21 �,17G.03 County Lib 0.143 $130.09 $132.75 $14u.03 ��f��frl —Munic.R/E__ 0.156 $141.91 -- - $144.II1 ____.$159.29 1Llll !� r$1.00 FEE FOR ADDITIONAL RECEIPTS _ ____ _ ________ Tax Payer: WERTZ,EUGENE T&RUTH M TAX AMOUNT DUE 3Al2 LISBURN RD $2,210.65 2 255.77 $2,AII1.35 MECHANICSBURG PF�17055-6714 If Date Of Pa ment is on 3l1/13 t�ru�/30 3 5/1/13 thru 6/30113 !1/13 or Later : � �� : � r � �:� �i• � �1• � � � • Cumberland County Rennsylvania � , � � . � e - � � • � � � • � TAX COLLECTOR COPY- RE7URN WITH PAYMENT FOR PROPER CREDIT Bill No: 1o9as WERTZ,EUGENE T&RUTH M 4704 CARLISLE PIKE Qill Date: 3/1/13 3412 LISBURN RD I_AND LESS THAN 1 ACRE Control No:10007770 PJIEChIANICSBURG PA 97055-6714 Acres 0.42 Deed 0036Q00933 MAP NO: 10-21-0279-OA3. Payable T0: Assessed Value: Land: 146,400 Improvement:781,�J00 Total:�J28,300 MICHAEL LANGAN,TREASURER Discount Face Penalty 230 SOUTH SPORTING HI�.L ROAD Gount RE 2.131______$1.938.65 $�,��8,21 $2 17G.03 MECHANICSBURG,PA 1T05d Count Lib 0.143 130.09 $132.75 ^�14_fi�Q;!_ PHONE(717)737�i822 _J�.l�pic R/E 0.156 � �941 91 $14r!_81 _�_1.51_2 IIIIIIIIIIIIIIIIIIIIII 1111111�11j1��11�llll - TAX AMOUNT DUE $2,210.65 $2,255.77 $2,481.35 If Date of Pavment Is On 3/1/13 thru 4/30/13 5/1/13 thru 6/30/13 7/1/13 or L�ter ..,z. .7 . , ..w- -,5�- �<t..�rx ts 'a� . n+ .� �:z-.>'v-�* n>ea�rw <., . . . . n _ . ... �. ,.. . . �• • • . �: . Y .r :.ir�:.` .�ir �i � � • ' ' 11 • � • • C ... ...., ..'.:..�., ...`i. . .. . . . •� .. ':...�.; , i . . ...�.. . -. . .:::`. ..:.- . ..:.:.i,, .. �.�... . . �;� 00000 003 123113 02578828 33617II�� 00095G ��t � 1�? �2��22� �� ' *�� CDC FUND �EPT PREP DATE VOLICHER WARRANT Ip �ij'�� .� ��•��07�� ..��,. � :' �IVELLS FAR�b 6�N1�" � :t r ' t;,� � CHECK NO. cn =�" �'F�IL.ADELPHIA PA � ' �'� ' �� , o __', VERIFiCATION AVAILABLE '`FOSITIUE PAY' PROTEGT�D a � 01/os/�01� 0 ,.,��,' /�ari PW^wnall�i.o� u ��e: �Q� 4J t S��J.:,, .y.7�.�,,,r,..�11' � ° PAY LT_1+.41Tt�FJCT5CT5 ` 'a' ,�,' '' DATE 0 � i, `��a - � �� VOID AFTFR if10 DAY o --�TO THE ORDER OF ° -- : ; $*************23:81 o WERTZ RUTH M ,. ,. N 2 l:EMOYNE bR STE 200 ,-, . _ , .: "�' LEMOYNE � PA 17043-PAUS � - � � � M _ _� '� �� , . .. . ,.:. .., � .: , .. ..,:+ . , .. , ,. 1 : :: ,. i ° ' ' . T,R;E A$.UM�MC�GoCCL B..[ N'N'S Y L V A N I A ----_. . / �i' L7655207ii' �:031 �00225�: � 20 799 5000860 2n' " ' � • �. . . . ' . r . .