HomeMy WebLinkAbout06-30-14 REV-1500 EX(02-11) 1505610143
PA Department of Revenue OFFICIAL USE ONLY
p penmWylvania county code Year File Number
Bureau of Individual Taxes DEPARTMEWOFRoWENUE
PO BOx.250601 INHERITANCE TAX RETURN 21 -10 It
Harrisburg,PA 17126-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
12 24 2010 09 28 1961
Decedent's Last Name Suffix Decedent's First Name MI
KUHN TIMOTHY R
(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
PILL IN APPROPRIATE OVALS BELOW
1. Original Return 2. Supplemental Return Prior to 12-13-82)
3. Remainder Return(Date of Death
4. Limited Estate El 4a.Future Interest compromise 5. Federal Estate Tax Return Required
(dated ofpdeath after 12-12-82}
I—I 6 Decedent Died Testate u 7. �qt echeC Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes
LJ (Attach Copyof Will)
L–} 9. Litigation Proceeds Received t0 Spousai Povert rodit#Da�e 0 Death 11,Election to tax under Sec.9113(A)
C_I Odtwaen 12x1 �an -1- s} (Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
ROGER B IRWIN ESQ 717 249 6333
REGISTER OF WILLS USE Otif 7-3 m
rn
r_> C->
3_ c. b
First Line of Address ' i ) ::0 a 13
354 ALEXANDER SPRING RO ? CID r11
v
Second Line of Address
n �
3 ZE —
DATE�F L c>
City or Post Office State ZIP Code rn
—I r
ED
CARLISLE PA 17015 n tW� r" n
Correspondent's e-mail address: rogerbirwin(ollsalzmannhughes.com
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,
0 is true,correct and complete.Declaration of preparer other than the personal representative Is based on all information of which paperer has any knowledge.
SIGNATUREOFPERSO RESPONSIBLE FOR FILING RETURN AT€
�A.,6 2 /_;, Ronald B. Kuhn Isla j&( 4
ADDRESS
129 Spring Ave., Hanover PA 17331 (Current Address)
SIGNATURE U PREPARER OTHER THAA EPRESENTATIVE DATE
3& VL_ Roger B. Irwin Esq.
ADD S
354 Alexander Spring Road, Suite 1, Carlisle, PA
Side 1
L 1505610143 1505610143 j'Q,
J 1505610243
REV-1500 EX
Decedent's Social Security Number
Decadent a Name. Kuhn, Timothy R.
RECAPITULATION
1. Real Estate(Schedule A)....................................................................................... 1.
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.
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 27 , 468 . 75
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property -
(Schedule G) U Separate Billing Requested............ 7,
8. Total Gross Assets (total Lines 1 through 7)........................................................ 8. 27 , 468 . 75
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 7 , 823 . 75
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10.
11. Total Deductions(total Lines 9 and 10)................................................................ 11. 7 , 823 . 75
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 19, 645 . 00
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J)............................................... 11
14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 19, 645 . 00
TAX COMPUTATION-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 .00 15. 0 . 00
16. Amount of Line 14 taxable 19 645 . 00 i6. 884 . 03
at lineal rate X .045 r
17. Amount of Line 14 taxable
at sibling rate X.12 0 . 00 17. 0 . 00
18. Amount of Line 14 taxable 0 . 00 18. 0 . 00
at collateral rate X.15
19. TAX DUE................................................................................................................ 19. 884 . 03
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
1505610243 1505610243 J
REV-1500 EX Page 3 File Number 21-10
Decedent's Complete Address:
DECEDENT'S NAME
Kuhn, Timothy R.
STREETADDRESS
159 Pine Spring Rd.
CITY STATE ZIP
Gardners PA 17324
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 884.03
2. Credits/Payments
A. Prior Payments
B. Discount 0.00
Total Credits(A +8) (2) 0.00
3. Interest (3) 72.20
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4)
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) 956.23
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;..................................................................... ....... x
b. retain the right to designate who shall use the property transferred or its income;....................... ....... B
c. retain a reversionary interest;or............................................................................................................... 8 x
d. receive the promise for life of either payments,benefits or care?............................................................ x
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.................................................................................................................... ❑
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ ❑x
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.
Fordates of death on or after Jury 1,1994 and before Jan.1,1995,the tax rate imposed on the net value of transfers to orfor the use of the surviving spouse
is 3 percent 172 P.S.§9116(a)(1.1)(1)).
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
172 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 orfor 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 172 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.
Ray-1509 EX-(01-10)
pennsylvania SCHEDULE F
DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN ,
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Kuhn,Timothy R. 21-10
N an asset was mndo Joint within one year of the decedent's date of death,It most be reported on schedule G.
SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Ronald B.Kuhn 159 Pine School Rd. Father
Gardners, PA 17324
B.
C.
JOINTLY OWNED PROPERTY:
DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FORTJOIN MADE NUMBER OR SIMILAR IDENTIFYING NUMiBER.AATTACH EEO ACCOUNT DATE OF DEATH DECD S DECEDENTS INTEREST
NUMBER TENANT JOINT JOINTLY-HELD REAL ESTATE. ALUE OF ASSE -)NTEREST
1 A 06/13/2002 Real Estate situate at 221 Pine School Rd., 54,937,50 60.000% 27,468.75
Gardners,South Middleton Township,
Cumberland County,PA-Parcel No.40-15
-0199-010A-Assessed Value: $43,950 x
Common Level Ratio 1.25=$54,937.50. Copy
of Deed attached.
TOTAL(Also enter on Line 6,Recapitulation) 27,468.75
Of more space is needed,additional pages of the Same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule F(Rev.01-10)
REV-1511 Exi(10-09)
Pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHER)TANCE TAX
RESIDENT DECEDENT RETURN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Kuhn, Timothy R. 21-10
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 2,388.75
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State ZiD
Year(s)Commission Paid
2. Attorney's Fees Salzmann Hughes, P.C. 1,920.00
3, Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) 3,500.00
Claimant Ronald B. Kuhn
Street Address 159 Pine Spring Rd.
City Gardners State PA ZiD 17324
Relationship of Claimant to Decedent Spouse
4. Probate Fees
5. Accountant's Fees
6. Tax Return Preparers Fees
7. Other Administrative Costs 15.00
See continuation schedule(s)attached
TOTAL(Also enter on line 9, Recapitulation) 7,823.75
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Kuhn, Timothy R. 21-10
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses
1 Ewing Brothers Funeral Home,Inc. 2,388.75
H-A 2,388.75
Other Administrative Costs
2 Register of Wills-filing fee 15.00
H-B7 15.00
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
REV-1513 E%.(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERRANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Kuhn,Timothy R. 21-10
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (Words) ($$$)
i TAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.91 16 a 1.2
1 Ronald B. Kuhn Father Schedule F
159 Pine School Rd.
Gardners, PA 17324
Total
Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 1500 cover sheet as app,o 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 II-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-1500 Schedule J(Rev.01-10)
Cumberland County Pennsylvania
TAX COLLECTOR COPY-RETURN WITH PAYMENT FOR PROPER CREDIT Bill No: 3155
KUHN,TIMOTHY R&RONALD B 221 PINE SCHOOL ROAD Bill Date: 3/1/10
221 PINE SCHOOL RD Acres.670 Deed:00252-01212 Control No: 40002172
GARDNERS,PA 17324-9018 LAND LESS THAN 1 ACRE MAP NO:40.15-0199-010A
Mobile Home-With Land
Assessed Value: Land:21,010 Improvement:22,940 Total:43,950
Discount Face Penalty
Payable To: COUNTY R/E 2.39906 $10133 $105.44 $115.98
ROBERT C CAIRNS,TAX COLLECTOR
PO BOX 40 COUNTY LIB .18000 $7.75 $7.91 $8.70
BOILING SPRINGS,PA 17007-0040 MUN FIRE PROTC .22000 $9.48 $9.67
Phone: (717)258-6484 EXT 2010 TAX AMOUNT DUE $120,56----':-;. ,$123.02 $135.32
( (( (( If Date Of Payment Is On , 311/10 thru 4/36110��., 511.11x0 thru6/30/10 Q 1 ter
i r i i + i ` • • + • i i • • f
^^" °^TnQ Office Hours: MON-TUES-WED9:00AM-3:o0PM Bill No: 3155
ani natw. 311110
i
Pa. Common Leval Ratios for Real Property Assessments Page I of 4
HTML Version Coprrit'ht 2013 Daniel B. Evrnr.c All rigtats reserved. -
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Common Level Ratios for Pennsylvania Realty Transfer Tax
(Current Ihrough./une 2014)
When preparing and filing a Pennsylvania realty transfer tax affidavit,it is necessary to report both the assessed value of the
property and the"common level ratio factor,"which is based on the average ratio between the assessed value and fair market value
of real estate in that county.If the transfer is not exempt from fax,the tax is based on the greater of(a)the actual consideration for
the transfer and(b)the product of the assessed value and the common level ratio factor.
The common level ratios are calculated by the State"fax Equalization Board based on sales data,and both the common level ratios
and factors based on the common level ratios are published each year in the Pennsylvania Bulletin.(The common level ratio factors
are the mathematical reciprocals of the common level ratios.)
The table below shows the factors which have been in effect for the last six years.The factor to apply to a particular transfer is based °
on the date the document is"accepted,"which is rebuttably presumed to be the date specified in the body of the document as the
date of the instrument.(See 61 Pa.Code§91.102,relating to acceptance of documents.)When two factors are provided in the table
for a range of dates,the second one is a revised factor reflecting a change in the assessment ratio or assessment base,and is effective
from January 1 of the second year. _
Common Level Ratio Factors
];[6 4 7!1105 7/1/06 7/1107 711/08 7gl09 7/!/10 E4262)to County 30105 6130706 6!30!07 6!30108 6!30/49 6130/10 !3(111 4 Pn.B. (35 Pa.B. (36 (37 (38 PaB. (39 Pa.B. (40 074) x365) Pa.6. Pa.B. 3337) 3245) Pa.B. 5309) Pa.B.
2875} 2778} 4Q41}
F,.03 1.07 1.10 ].10 1.15 1.16 1.14 1.16 ].l7' ].1[ 0100
Armstrong 2.36 2.52 2.56 2.70 2.79 2.87 2.76 2.77 2.65 2.40 2.32
Beaver 2.87 3.11 3.23 3.31 3.41 3.43 3.36 3.35 3.06 293 3.18
Bedford 4.48 5.13 5.00 5.47 5.82 b.45 5.59111.00 LOO 1.28 1:28/100 L00
Berks 1.11 1.16 1.25 1.33 1.47 ],52 . 1.48 1.43 1.37 F 1.28 1.28
Blair 11.91 12.66 ll.9t 1220 12.20 12.05 12.689.50 8,43 6.67 559 6.25
Bradford 2.20 2.31 2.43 2.63 2.68 2.79 2.77 2.94 2.99 3.00 2.98
Bucks 28.57 32.2618.07 F 8.93 jFlo.l4 lo.99 1 IQ3i 9.I7 8 851 9.26 9.09
Butler 8.93 9.62 9.90 20.20 1042 80641 � 6.25161 7.30 5.24 5.88 7.41
Cambria 6.29 6.1413.07 357 3.60 3.22 3.01 3.03 2.82• 2.99 2.91 3.09
Cameron 2.83 2.68 2.81 3.08 2.96 2.85 2.99 3,08 2.44 2.31 2.25
Carbon 2.22 2.32 2.52 2.74 3.12 3.20 3.01 2.72 2.33 2.18 L94
Centre 2.53 2.68 3.04 3.24 3.41 3.62 3.47 3.46 3.56 3.47 3.52
Chester 235 2.47 1.65 2.82 1.93 1.93 1.89 1.8] 1.79 1.7o 1.66
Clarion 4.98 5.26 5.20 5.38 5.65 5.1��'.87 3.70161 3.80 3.3$ 2.89 3.45
Clearfield 4.88 5.24 S.I3 5.47 5.75 5.68 4.74 =F4.95 4.95 .4.67
http://evans-legal.com/dan/comlevel.html 5/28/2014
�,:Common Leval Ratios for Real Property Assessments ., Page 2 of 4
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Clinton 3.55 3.53 3.73 4.24. 4.46 4.5`41.00 L00161 1.03 1.OI 1.03 1.06
Columbia 2.92 F 3.05 3.2G 3.41 3.55 F 3.76 F 3.64 F3.64 3.74 F 3.60 3.55
Crawford 2.83 2.95 2.87 3.02 3.04 2.98 2.85 2.78 2.68 2.43 2.55
.Cumberland_ 1.05 l.11/I.00 ].00 1.14 1.22 1.2G 1.26 X1.25: I.00 1.00 0.97
Dauphin 1.07 1.14 1.24 1.33 1.40 i.Ab I42 1.42 1.36 1.3$ 1.31
Delawaze 1.15 1.26 1.3$ I.55 164 1.72 1.63 1.56 t.48 1.39 1.35
Elk 5.00 5.05 5.26/2.18 2.18 2.65 2.49 2.61 2.52 2.36 2.16 2.06
£rie 1.00• 1.09 F 131 , 18 1.20 }.21 1.26 1.22 I,}g 1.18/6,00 EA0
Fayette L00' 1.03 Li0 1.F4 LI7 1.17 1.22 1.23 I.21 1.25 1.23
Forest 4.72 4.74 4.37 4.83 5.21 4.20 5.10 4.2b 3.73 3.56 3.35
Franklin 6.45 G.90 7.69_ 9.35 10.20 9.62 8.62 8.13 7.63 7.04 6.80
Futton 1.47 1.48 2.20 2.61 2,49 2.49 3.00 3.44 2.85 2.56 2.46
Greene LOOF 1.13 L2l 1.21 1.16 1.24 LAO 1.18 1.20 1.35 1.41
Huntingdon 5.99 6.24 6.80 7.4b 7.$7 8.62 8.27 1,58 7.t9 3.7[/,.46 3.46
Indiana 7.09 7.30 1.6414.35 4.35 6.17 5.95 5.94 5.68 5.21 5.62 5.05
Jefferson 5.08 5.3211.74 1.74 I.85 L87 2.05 1.97 1.86 1.85 1.92 2.08
Juniata 5.69 5.65 6.41 6.21 6.25 6.33 6.40 5.88 4.74 5.43 5.35
Lackawanna 4.70 5.21 5.38 5.95 . 7.09 6.67 6.17 5.88 5.49 5.1$ 5.00
Lancaster t.i6 1.2271.00 1.00 t.22 1.3L 1.36 1.35 1.33 =F 1.27 1.24
Lawrence I.00 1.08 1.10 i.t4 ].tA 1.12 1.19E73 1.18 lA5 1.03 1.03
Lebanon }1.91 12.20/6.25 6.25 6.80 7.35 -- 7.4b 7.04 6.33 6.1[tt6]]00 I.00
Lehigh X2.24 2.45 2.73 3.16 3.58 3.70 3.50 3.11 2.80 2.8(t/61,00 1.00
Luzerne 13.84 14.71 15.39 1724 20 20.8(,1.00 l 00tat 1.00 ].00 O.4I ]Fog,]
Lycoming t.52 }.6011.00 100 ].l0 1.16 1.25 1.14 1.21 1.21 1.25 1.26 '
McKean 4.41 4.44f1.06 1.06 1.09 1.11 1.13 1.31 1 1 1.16 1.11 tA9
Mercer 3.64 3.50 3.SG 3.68 3.66 3.52 3.26 2.92 2.89 2.77 2.78
Mifflin F.4b 2.03 2.09 2.18 2.20 2.29 2.15 2.12 1.91 1.80 1.96
Monroe 4.95 5.59 6.14 7.09 7.81 1.81 7.A1 6.33 5.95 S.IS 4.55
Montgomery 1.30 1.46 1.66 1.87 197 ].97 1.85 F.78 1.72 1.61 1.58
Montour 10.31 11.36/8.82 8.82/100 100 1.14 1.18 1.37 1.23 1.23 l.ld 1.20
Northampton 2.35 2.55 2.75 . 3.18 3.44 3.61 3.37 3.14 2.98 2.67 2.64
Northumberland F-7.197 7.4614.07 4.07 3.64 4.53 4.61 4.43 4.12 3.62 3.58 3.60
Perry F 1.07 1.10 1.16 1.33 1.36 1.44 1.44 144 t.00 F 1.00 1.09
Ph{tadelphia 3.39 3.dbIU 3.37 3.50 3.52 3.55 3A6 3.23 3.97{91 3.27{it] (�3)
Pike
F4 10 4.41 4.76 5.47 6.17 6.I7 5.$5 4.90 4.67 4.05 3.88
Potter 2.35 2.37 2.53 2,72 .2.80 2.86 2.91 2.55 3.21 2.73 2.52
Schuylkill 2.22 2.32 2.42 2.48 2,62 2.68 2.51 2.40 2.11 2.15 2.02
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THIS DEED,
4 . .. N
MADETHIS 13711 day ofiwu ,intheyearofour Lord Tt 7housand 74v(2002)
BETWEEN GARY L. SMITH and CONNIE M. SMITH, his wife, of York Springs,
Adams County,Pennsylvania
Grantors,
And TIMOTHY R. KUHN and RONALD B. KUHN, of Sgpiiddleton
�y Township, Cumberland County, Pennsylvania, as Joint Tenants with the
right of Survivorship
O
Grantees:
WITNESSETH, that in consideration of — Twelve Thousand and 00/100 -------___ ($ 2,000.00)
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 that certain tract of land situate in South Middleton Township, Cumberland County,
Pennsylvania,bounded and described as follows:
BEGINNING at a spike in the center line of Pine School Road (L.R. 21005), at the
Northwestern corner of property now or formerly of John W. Marsh; thence along land now or
formerly of John W. Marsh, South 28 degrees 54 minutes West 304 feet to a stake; thence along
other land now or formerly of Kenneth B. Brandt, et ux, South 82 degrees 25 minutes West 29.24
feet to a stake; thence still by the same, North 7 degrees 35 minutes West 244.43 feet to a spike in Q'
the center line of Pine School Road (L.R. 21005); thence along the latter, North 82 degrees 25 r
minutes East 210 feet to a spike,the Place of BEGINNING.
XJ
1975. CONTAINING .671 acres, according to a survey of Thomas A. Neff,R.S.,dated August 4, '
kP
BEING the same premises which Kenneth B. Brandt and Ruth C. Brant, his wife, by Deed e
dated December 20, 1975 and recorded March 8, 1976 in the Office of the Recorder of Deeds, in b
and for Cumberland County, PA in Deed Book "M", Volume 26, Page 138, granted and conveyed o
unto Gary L. Smith and Connie M. Smith,his wife,Grantors herein.
BON
i
11/15/2012 9:39:33AM CUMBERLAND COUNTY Inst.#200224788-Page 1 of
AND the said grantors do hereby covenant and agree that they will warrant Specially the property hereby
conveyed.
IN WITNESS WHEREOF, said grantors have hereunto set their hands and seal the day and year first
above written.
Signed,Sealed and Delivered
in the Presence of
SEAL
Gazy V. Smith
SEAL
Connie M. Smith
Stateof PENNSYLVANIA )
SS.
County of CUMBERLAND )
On this, the /,3 t4t day of June, 1002,before me, the undersigned officer,personally appeared—
Gary L. Smith and Connie M Smith,his wife,------!mown to me(or satisfactorily proven)to be the persons whose
names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein
contained.
Yf till",,
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
0
NOTARIAL SEAL
MARJORIE A.DeLLICA,No�tettyy Pubic
South Middleton Twp.,Cumherlsnd.Co.
My CgmNssion s Nov.1,20MMS Title ojO Officer
I do hereby certtfy,that the precise residence and complete post o lce address of the within named
grantees is S /0/N a SCfli 0,0 ( �oa d� 6 /�td,'ifitov,�(
,1001
Attorney for Gra t s �/•7
BOOK 2S2 PACEVU
11/1512012 9:39:33 AM CUMBERLAND COUNTY Inst.*200224788-Page 2 of 3
I Certify this to be recorded
In Cumberland County PA
Recorder of Deeds
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11115/2012 9:39:33 AM CUMBERLAND COUNTY Inst.*200224788-Page 3 of 3