HomeMy WebLinkAbout10-08-14 (2) 1505610140
REV-1500 EX (02-11)(FI)
OFFICIAL USE ONLY
PA Department of Revenue CountyCode Year File Number
Bureau of Individual Taxes
PO BOX 280601 INHERITANCE TAX RETURN 2 1 1 4 0 2 1 6
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
1 2 2 0 2 0 1 3 1 0 2 2 1 9 3 1
Decedent's Last Name Suffix Decedent's First Name MI
KIMBALL DORATHY G
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
N O N E
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
❑X 1.Original Return 2.Supplemental Return 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)
QX 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 SHOULUE DIRECTED TO:
Name Daytime Telephone Numta
ELI Z A B E T H H FEATHER 71 7 32766'1
F7 I
REGIST .OF"WILLS USE 01[1,IY r y I
a C� _z C7
First Line of Address �' C
`T)
C A L D WE L L & K E A R N S , C7.
Second Line of Addressr—
CI1 C/)
3631 N FRONT ST Iv
City or Post Office State ZIP Code DATE FILED
H A R R I S B U R G P A 1 7 1 1 0
Correspondent's e-mail address: EFEATHEROCKLEGAL.NET
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.
SIGNA RE OF PERS N RESPONSIBLE FOR ING N DAT �,
�(L -
ADDR
44 LOGANS RUN ENOLA PA 17025
SIGN URE OF PREP A.ER 01THER THAN REPRESENTATIVE D TE
DDRESSO
3631 NFRONT ST HARRISBURG PA 17110
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610140 1505610140 J
1505610240
REV-1500 EX(FI)
Decedent's Social Security Number
Decedent's Name: DORATHY G. KIMBALL
RECAPITULATION
1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 3 5 0 0 . 0 0
2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.
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. 8 1 4 . 5 9
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6.
7. Inter-Vivos Transfers&Miscellaneous Nn-Probate Property
(Schedule G) b Separate Billing Requested . . . . . . . 7.
8. Total Gross Assets total Lines 1 through 7 8. 4 3 1 4 , 5 9
9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9. 2 9 0 6 . 3 5
10. Debts of Decedent,Mortgage Liabilities,and Liens Schedule I 10. 3 1 5 . 7 9
11. Total Deductions(total Lines 9 and 10) . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . 11. 3 2 2 2 • 1 4
12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 1 0 9 2 . 4 5
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. 1 0 9 2 . 4 5
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 1 0 9 2 . 4 5 16. 4 9 . 1 6
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. 4 9 . 1 6
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑
Side 2
1505610240 1505610240
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address: 21 -14 0216
DECEDENT'S NAME
DORATHY G. KIMBALL
STREET ADDRESS
770 POPLAR CHURCH RD
CITY STATE ZIP
CAMP HILL PA 17011
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 49.16
2. Credits/Payments
A.Prior Payments
B.Discount
Total Credits(A+B) (2) 0.00
3. Interest
(3)
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) 0.00
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 49.16
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 ...I........................... ❑ 0
c. retain a reversionary interest ..................................................................................................... ❑ ❑X
d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ N
2. If death occurred after December 12,1982,did decedent transfer property within one year of death
without receiving adequate consideration? ....................................................................................... ❑ 0
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?.................................................................................................. ❑
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[72 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 p2 P.S.§9116(x)(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)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
REAL ESTATE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
DORATHY G. KIMBALL 21 14 0216
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
1. 4.9 acres of landlocked, vacant land in Cambria County, Pennsylvania 3,500.00
sold to a third party on August 8, 2014.
A copy of the deed and settlement sheet are attached as Exhibit 1.
TOTAL(Also enter on Line 1,Recapitulation.) $ 3,500.00
If more space is needed,use additional sheets of paper 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,
DORATHY G. KIMBALL 21 14 0216
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. Metro Bank checking account#537870347 814.59
A copy of the date of death valuation is attached as Exhibit 2.
TOTAL(Also enter on Line 5,Recapitulation) $ 814.59
If more space is needed, use additional sheets of paper of the same size.
REV-1511 EX+(08-13)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERRESIDENT
EDENAX TURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
DORATHY G. KIMBALL 21 14 0216
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1.
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
City State ZIP
Year(s)Commission Paid:
Z, Attorney Fees: CALDWELL& KEARNS 2,500.00
3, Family Exemption:(If decedents address is not the same as claimant's,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: Cumberland County Register of Wills 213.50
5 Accountant Fees:
6, Tax Return Preparer Fees:
7. Settlement costs for sale of Cambria County real estate 192.85
TOTAL(Also enter on Line 9,Recapitulation) $ 2,906.35
If more space is needed,use additional sheets of paper of the same size.
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
DORATHY G. KIMBALL 21 14 0216
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
2013 Cambria County real estate taxes 315.79
TOTAL(Also enter on Line 10,Recapitulation) 315.79
If more space is needed,insert additional sheets of the same size.
REV-1513 EX+(01.10)
pennsylvania SCHEDULE
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
DORATHY G. KIMBALL -21 14 0216
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
TAXABLE DISTRIBUTIONS [include outright spousal distributions and transfers under
Sec.9116(a)(1.2)]
1 Kathryn Coleman Lineal
1022 Poplar Drive 1/6 of residue
Falls Church, VA 22046
2. Karen Hogan Lineal
948 Persimmon Point NE 1/6 of residue
Atlanta, GA 30328
3. John W. Kimball Lineal
1063 Petersburg Trace 1/6 of residue
Lincolnton, GA 30817
4. Sarah Berg Lineal
3993 Flagg Court 1/6 of residue
Chantilly,VA 22021
5. Rebecca Kimball Lineal
44 Logans Run 1/6 of residue
Enola, PA 17025
6. Jennifer Collier Lineal
44 Logans Run 1/6 of residue
Enola, PA 17025
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE,
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 11-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.
Last Will and Te stamentt-, -��
rn -,�o
OF
DORATHY G. KIMBALL C-
1, DORATHY G. KIMBALL, of Mechanicsburg, Cumberland Count�n
Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby
revoking all Wills and Codicils by me at any time made.
ITEM 1: 1 direct that all inheritance and estate taxes'
becoming due by reason of my death, whether such taxes may be payable by my estate or by any
recipient of any property, shall be paid by the Executor out of the property passing out of the
residue of this Will, as an expense and cost of administration of my estate. The Executor shall
have no duty or obligation to obtain reimbursement for any such tax so paid, even though on
proceeds of insurance or other property not passing under this Will.
ITEM II: I direct the Executor to pay the expenses of my
last illness and funeral expenses from the property passing under this Will as an expense and cost
of administration of my estate.
ITEM III: If I predecease my husband, JOHN W.
KIMBALLJf, I give and bequeath to my said husband, absolutely and in fee simple, all of my
household furniture and furnishings, books, pictures, silverware, wearing apparel and all other
articles of household or personal use or adornment and all policies of insurance thereon. Should
I survive my husband, JOHN W. KIMBALL,,X, I direct that all such property be distributed to
my children.
ITEM IV: I give, devise and bequeath all the rest, residue
and remainder of my estate, not disposed of in the preceding portions of this Will,to my
Page 1
husband, JOHN W. KIMBALL, 11, if he survives me. If he does not survive me, I make said
bequest and devise to my children in equal shares per stirpes.
ITEM V: My children are KATHRYN COLEMAN,
KAREN HOGAN, JOHN W. KIMBALL, 111, SARAH BERG,REBECCA KIMBALL, and
JENNIFER COLLIER.
ITEM VI: In the settlement of my estate,the Executor
shall possess, among others, the following powers:
(a) To retain any investments I may have at my death, including
specifically those consisting of stock of any bank even if I have named such bank
as the Executor herein, as long as the Executor may deem it advisable to my estate
so to do.
(b) To vary investments,when deemed desirable by the Executor, and
to invest in such bonds, stocks, notes,real estate mortgages or other securities or
in such other property, real or personal, as the Executor shall deem wise, without
being restricted to so-called "legal investments", and without being limited by any
statute or rule of law regarding investments by fiduciaries.
(c) In order to effect a division of the principal of my estate or for any
other purpose, including any final distribution, the Executor is authorized to make
said divisions or distributions of the personalty and realty partly or wholly in kind,
and to allocate specific assets among beneficiaries hereunder so long as the total
market value of any share is not affected by such division, distribution or
allocation in kind. Should it appear desirable to partition any real estate, the
Executor is authorized to make,join in and consummate partitions of lands,
voluntarily or involuntarily, including giving of mutual deeds, recognizances or
other obligations, with as wide powers as an individual owner in fee simple.
Page 2
(d) To sell either at public or private sale and upon such terms and
conditions as the Executor may deem advantageous to the estate, any or all real or
personal estate or interest therein owned by the estate severally or in conjunction
with other persons or acquired after my death by the Executor, and to
consummate said sale or sales by sufficient deeds or other instruments to the
purchaser or purchasers, conveying a fee simple title, free and clear of all trust
and without obligation or liability of the purchaser or purchasers to see to the
application of the purchase money or to snake inquiry into the validity of said sale
or sales; also,to make, execute, acknowledge and deliver any and all deeds,
assignments, options or other writings which may be necessary or desirable in
carrying out any of the powers conferred upon the Executor in this paragraph or
elsewhere in my Will.
(e) To mortgage real estate, and to make leases of real estate.
(f) To borrow money from any party, including the Executor, to pay
indebtedness of mine or of my estate, expenses of administration or inheritance,
legacy, estate and other taxes, and to assign and pledge assets of my estate
therefor.
(g) To pay all costs, taxes, expenses and charges in coiuiection with
the administration of my estate.
(h) To make distributions of income and of principal to the proper
beneficiaries thereof, during the administration of my estate, with or without court
order, in such mamler and in such amounts as my Executor deems prudent and
appropriate.
(i) To vote any shares of stock which form a part of the estate, and
otherwise to exercise all the powers incident to the ownership of such stock..
Page 3
In the discretion of the Executor, to unite with other owners of
similar property in carrying out any plans for the reorganization of any
corporation or company whose securities form a part of the estate.
(k) To disclaim any interest in property which would devolve to me or
my estate by whatever means, including but not limited to the following means:
as beneficiary under a will, as an appointee under the exercise of a power of
appointment, as a person entitled to take by intestacy, as a donee of an inter vivos
transfer, and as a donee under a third-party beneficiary contract.
(1) To do all other acts in the Executor's judgment deemed necessary
or desirable for the proper and advantageous management, investment and
distribution of the estate..
ITEM VII: Any person who shall have died at the same
time as I shall have, or in a common-disaster with me, or under such circumstances that the order
of our deaths cannot be established by proof, or within thirty(30) days of my death, shall be
deemed to have predeceased me.
ITEM VIII: If at any time any beneficiary under the age of
twenty-one (21) years shall be entitled to receive any assets hereunder, the Executor of this Will
shall receive such assets as Custodian under the Pennsylvania Uniform Transfers to Minors Act
for that beneficiary. Such Custodian may receive and administer all assets authorized by law,
and shall have full authority as provided in the Pennsylvania Uniform Transfers to Minors Act to
use such funds in the manner it deems advisable for the best interests of such beneficiary. In
addition, said Custodian shall have all the rights and privileges as to the Custodianship and its
assets as are herein granted to the Executor as to my estate and the assets therein. I also
designate said Custodian as successor Custodian of any property for which I am custodian under
any Uniform Gifts to Minors Act, or Uniform Transfers to Minors Act.
Page 4
ITEM IX: I hereby nominate, constitute and appoint my
daughter, JENNIFER COLLIER, to be the Executrix, herein referred to as"Executor". In the
event of her death or her inability or refusal to serve, I nominate, constitute and appoint my
daughter, KAREN HOGAN, as Alternate Executrix. The Executor is specifically relieved from
the duty or obligation of filing any bond or other security.
IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and
Testament, consisting of this and the preceding four (4)pages, at the end of each page rf which I
have also set my initials for greater security and better identification this (�7) day of
, 2008.
DORATHY d"KIMBALL
Page 5
We,the undersigned, hereby certify that the foregoing Will was signed, sealed,
published and declared by the above-named her as and for Last Will and Testament,in the
presence of us, who, at request and in presence and in the presence of each other,have hereunto
set our hands and seals the day and year first above written, and we certify that at the time of the
execution thereof, the said her was of sound and disposing mind and memory.
7(SEAL) Residingat c.
A\
UVI.. (SEAL) Residing at
(
SEAL) Residing at I
'a If"Ill
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
SS.:
COUNTY OF DAUPHIN )
I, DORATHY G. KIMBALL, her, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and
that I signed it as my free and voluntary act for the purposes therein expressed.
(SEAL)
DORATHY Q KIMBALL
Sworn to and subscribed before
me this 6A day of FARC EI ,
2008.
Notary Pu c
My Commission Expires: u
(SEAL)
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF DAO)OR��J )
We, � �' tt� kS",4 k----1zeJx4A and_
the Witnesses whose names are signed to the attached or
foregoing instrument, being duly qualified according to law, do depose and say that we were
present and saw DORATHY G. KIMBALL sign and execute the instrument as Last Will and
Testament; that her signed willingly and that she executed the Will as free and voluntary act for
the purposes therein expressed; that each of us in the hearing and sight of her signed the Will as
Witnesses; and that to the best of our knowledge her was at that time eighteen (18) or more years
of age, of sound mind and under no constraint or undue influence.
ithess
Witness
Witness
Sworn to and subscribed before
me this 6+4 day of
�A2c4-/ , 2008.
o�/.
N ry Public
My Commission Expires:
(SEAL)
4 4 y
I,iede the ;
day of��°"'4'•%>:..l..�t ,in the year nineteen hundred - F-••.:.•�...
BET'NVEENT BEN A. D.. GETTY and. SARA SKILE S GET-TY, husband and w i f e,f
of the Township of East Carroll, County of Cambria and
State of. Pennsylvania,
and
JOHN W. KIMBALL and DORATHY A. KIMBALL, husband and wife,
of Vienna, Virginia,
G:anfec S `
M71TNTESSET11, that in consideration of --------------------------------------------
One and -----------------•— ---($1.00}--=---------------00/100 Dollars
in hand paid, the receipt whereof is hereby acknowledged, the said grantors do hereby grant and
convey to the said grantee S
ALL that certain lot or piece of ground situate, lying and being in
Cambria Township, Cambria County, Pennsylvania, bounded and described
as follows:
BEGIbTNING at a point, corner of Tract No. 1 on*the hereinafter men-
tioned survey map and land now or formerly of Herbert C. Terndrup;
thence along line of .land now or formerly of the said Herbert C.
Terndrup, North 67° 26' 57" West, a distance of 263.84 feet to a
point; thence North 36° 13' 57" West, a distance of 363.28 feet to
a point, corner of land now or formerly of R. Skiles; thence along
line of land now or formerly of the .said R. Skiles, North 6° 00' 03"
East, a distance of 284.94 feet to a point; thence South 830 59' 57"
East, a ,distance of 241.32 feet to a point, corner of lands now or
formerly of the present grantors; thence along line of land now or `
formerly of the present grantors, South 36° 2.5' 27" East, a distance
of .397..84 feet to a point, corner of the. aforementioned Tract No. I
thence along line of said Tract No. 1, North 5° 51' 56" East, a dis-
tance o.mE. 350.21 feet to a point, corner of land now or formerly of
Herrbert C. Terndrup, and the place of beginning. Being marked and
known as Tract No: 2 on the survey map prepared for Ben A. D. Getty
by L. Robert Kimball, Consulting Engineers, in November, 1974, and
revised in July, 1975., a copy .of which is attached hereto. Containing
4.9 acres.
BEING .the :same lot or piece of land which John L. Hershberger, widower,
by his deed dated the 30th day, of August:, 1946, and recorded in the
office for the Recording of Deeds in and for Cambria County, Penn-
sylvariia, in Deed Book Volume 566, at page 198, conveyed to Ben A. D.
Getty and Sara Skiles Getty, husband and wife, present grantors.
This is a conveyance between parents to their daughter.
662k ._..._ ._."._NOTICE . ..
The.unde.rsi.gned ora'niee (grantees) hereby certifies thaf he/they know and undersfanc that
he/i'r,ey may not 6e o6fainina the right of protection against subsiderce resulting from coal
mining opira-lions, and that the purchased property may be proieciec from darnaee clue to
mine subsidence' by a private contracf with the owners of the economic interests in the coal.
Witness signatures of or6niee-(grt/ptees) this .. .. . .. . . day of-
. . . .... ... .. . .... . ..
f. r (SEAL).
(SF
Ll
THIS DOCUMENT MAY NOT SELL, CONVEY, TRANSFER, INCLUDE OR INSURE THE TITLE TO THE COAL
AND RIGHT OF SUPPORT UNDERNEATH THE SURFACE LAND DESCRIBED OR REFERRED TO HEREIN,
AND THE OWNEP. OR OWNERS OF '^' ^^'' "" !LETE LEGAL RIGHT TO RE-
MOVE ALL OF SUCH COAL AND, N RESULT TO THE SURFACE
OF THE.-LAND AND ANY HOUSE, BL �R IN -SUCH LAND. THE
INCLUSION OF THIS.NOTICE DOES ANY LEGAL RIGHTS OR
ESTATES OTHERVJISE CREATED, TR; Y THIS dNSTRUMENT.
And the grantor s do hereby covenant and agreo that they will warrant
generally the promises hereby conveyed.
01 WITNESS WEEREOF, said grantor S ha Ve hareunto sal the i r hand s and zeal s
the day and your firs; above written.
Signed, sealed and delivered in the -7
presence of X-7-
G'4tt
........... (SEAL)
Sara Skiles Getty
.......................... ........... ........
...............
. .......... ........................ .........................................................ISEAL)
.............. ..........
(SEAL)
.......- ........... .......... (SEAL)
S231e of SS:
County or
Cin this, the day of 19 i S before
me, ihu undersigned officer, personally appeared Ben A. D. Getty and Sara Skiles
Gett.kr, Husband and wife,
kii-�wn to rae (or salisfarlorily proven) to be the person s whose name s are subscrilbad to. the
within insirun-tent, and -acknowledged that the y.. executed the SaMis for the purpcses iharpin-con.
lained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
.......... ................
70 a /Tifla of Officer
Notery Fu�:Ic, s
.?tz of FforjjCj ,t f:a. -g
'4Y CL"rf
E\P-re!,s Aug. 21, 1 7,,,
g�
1 horebi certify theaprecise residence of the within named Grantee.
V-iizc-
C-
.......... .................
eor Grentee
Coizzirnor.wealth of Pennsylvania
Eoulli:ymblia
--;2 0
day of D.19
j 'In 1,0! lei' Office of. the said County, in Doad.,33o9"Orol.
ai ori: U;idz,�,-my hand and the seal of said Office, the date above written,
...................
Recorder
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A HUD-1 Settlement Statement -
B.Type of Loan 6.File Number 7.LoanNumber8.Mortgage Ins.Case No.
. . 7•>ar.�aYrx s �a7Y' } ..b ct,,. .fir .sy x:ro;s,�
r'y. :a"' s�.� 7'I rv+y k `'-xF .- 't`,I Y w s+ .:f + r',.'^'. 4K;• r3ui" t ;3
1 Conv.Ins. 2 VA 3 FmHA rx z 1217 1" s f SFs k "5 r ` z
4 Conv.Unins fix; 5 FHA `,= 3i r, x r;.. 15fa
C.Note:This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent
are shown. items marked"(p.o.c.)"were paid outside the closing;they are shown where for informational purposes and are not
included in the totals.
D.Name and Address of Borrower E.Name and Address of Setter F Name and Address of Lender_
a ''", Dora'tta Gzmbat(rl stat*: u ' A � 5
')Viarj/._E:Nef{ x r ;yF ,ti?' tTT r r 3n sa kz :. 1 i 7i3:
R''�°rr .� ..rhiie
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il'ennifeq.tR flr¢ xecutr.ix
;:a: `'�.'..-?t Y' 5�..�7 .rky.+'�:..,f.r � 2 f'�%�t�iiwf;,,?�fsr 'Cr„��i�T 37�i, :3`../,�x�,'3"-x.�. F '..rftiv+�.kdt3 r,�fs.j JkF-z+' .�i�"H�zr"„h i,'�•aA.�.r.,lit
pK
q', c
57'Maple L
ane
"!itestover PA#i 6692 `:2'�r���.� � �.�noia PA�+ir702 �, �;�t��,t;,hu���xr�"k,c-p r`#?>�.��5,�,�.�,�r�r'..,• �r �.
Z trJ3 yx .rte". �'^E '��zE�°`.''Y.."�`°Htri,'r ' `r� 'moi a� r �`st r7 � '✓x q .�,{tu .tx: 1.��y ay:�" GiA.�Kv:.J,'�'!'s¢,.S..F r P�,
G Property Location H.Settlement A ent Geor e P Elias Esq.
PlacCaagow�nshrisiosgPA2 `� r George a P.Eof lias,Esq. 'SETTLEMENT
f SN20�1Dd E
K
MapfPa#cel No 08 014 1 1650027 4 ryr �s 9
3502 Bigler Avenue Olsbursemenf Dafej
�`-t«r.,F Yom' x'35 4'f `"y ' rh lin, 'lr'� t ,++4�a•1,,,t n su'YS r'y;�,1 .�yf s •s
" rr� �`"� �,�'� -s' * Northern Cambria PA 15714
Fe;�i ''th.Y.� ": ., a�.?�C ., r n .,.eo.r�
J.Summary of Borrower's Transaction K.Summary of Seller's Transaction
10o Gross Amount Due From Borrower 400 Gross Amount Due To Seller
101 Contract Sales Price ;3;500.0"401 Contract Sales Price 3,500.00
102 Personal Property r_ 402 Personal Property
to Borrower line 1400) 102.00 403nu:"' �T:
103 Settlement Charges
104>.�'�"� " 4 zrl
" " s 404�r�arb�a`71tiGT� + Ns r4r 3 � u .
'+49' *xFyx-'f -YbtH y
105 a,; .' ,tr ,�s._:f e. 'a�vre. Kr ^}'F5 ;tsx3 4(754 v.r^ �.fii_i�A:'�..,.ia ^r^'+.'3' .?5X*r .Y`,x'r.`'3i.}.u:'..w
Adjustments for items paid by seller in advance 3r Adjustment for Items paid by seller in advance
" " 9.55 406 City/Town awn Taxes 8)081;14,to x:1`213_1449 9.55
106'Cit fTbwn Taxes u,0,$J48t14,l to t f 2341W,
107 County TaxesOSi08/1r4q,to(412t31/d4, 29.65 407 County Taxes rAyp81 tf7 to1213i/ 29.65
106 School Taxes f oeiol�;a to r'dfi3gi15i 120.03 408 School Taxes lto8loet�d to 0 06I3Q(Sa 120.03
109 i' - `r..'. .sk�.-,t x 409v 'x -,�,'
110 410t n"`'' �i�'✓ '`a- 'iZ' .3"i� `r't, '' svt`8,r 9"4 `'uit' .
411 E-�5..r,fir-?4h3' 'tx� f+ .e' n J � '',"`'�<"�- .E,'1�r..'
111 I 1 � rx4xSHER,dz _
5f2. r1 .r. 2. i.. Wars Y
120 Gross Amount Due From Borrower 3,761.23 420 Gross Amount Due To Seiler 3,659.23.
200 Amounts Paid By Or In Behalf Of Borrower Soo Reductions In Amount Due To Seller
201 Deposit or earnest money r l p
501 Excess deposit see instructions}
202 Principal amount of new loan s) "r rNS 502 Settlement charges to seller(line 1400) 3,527.08
203 Existing loan(s)taken subject to L ;c <i 503 Existings)taken subject to
loan f::�•:a:_•.
��� •xPa off of first mort a e Loan
.4.> -
205 v�`'�-i�=i���`ti -r�� � .r�`� � a�x'"t=��4'"" ��}" 505 Payoff of second mortgage loan
a� ^£•ta. ,n ""r r,"�, ,a. +r.>„ir-4.n�"' s ' 5o6`Iriherllance Tax`-Esscrow' ' 'i`r1'�""4 i€o:.i�t';",�.g'2,'t•` G 2�Q DO -
-+W 1 a�r pc
206 7 m c a u x 3
207
Hr x'�+ Cs,^s. +".�xF r"3'£�ro "��. r �r r �'�`'na���r-a+.s„n �;,k"'t',�"��n"��`"��.•� "t'r r Ar.``A+t-'c'"qk y;i
206
209<'Y:4!7t'•"•^".2^r S°,�,."'�.
-,T s. n't,�°... >.,$,"'hs�...a-„S.F....
Adjustments for items unpaid b seller Adjustments for items unpaid by seller
210 Cit /Town Taxes ” to t';.`si r:7 510 Cit /Town Taxes jrti�?,n-5Z �3 to E IY
211 County Taxes s: ni.toad%. 511 Count Taxesw;` t tow Ta
212 School Taxes ton 512 School Taxes to
xt r'>fin r.' Y.�k `£, 4z4,9`^ r .. j�rs^.' �' ?'�' 513 E dz^"1 rn :si,'F',>,€t:;45'ir .s, 7". o-`.1xnfr ' ',;r° '�. vrr ✓r`
�.a-sia;?'�.,�-w' u�` �'4... � �`..s .r+k '�sr. k..�-sa:.»
213
214514E
d_r ,3 yv.3" R `F F# Ws 3 T"t^^'x? t'4 ';,�*k3•y �4 515
'
216 t. ..i-1 <t .°`4'� z`ts'�TM�av%a F+.-� ri ti' 3'�ih s r�' .N4-^c'x - 516zi4=23�as"4y; s�„ k�z' '1 ,,�,,,+x°c; -�eks.•'T'a,.l 'c-J�-&ti,r. 'u<`'. .
.� # '� a-4y r -x +"S.,"'"aytia^'+ !F-b R �s�dy 517 a'�zY'".x t.'u•.S' ""s=' ^r`+'r',� `'{."�k'nxv. �` ��E rg
217 rz; 3 rr rL all ter a sn �u
21$sS�"`a.
219 r _: � ✓ �r, ' r....F ,it 't t:,,e 5197 �is"Sv :use �, . . � {.�.r v u t
220 Total Paid BylFor porrower - 520 Total Reduction Amount Due Seller 552.084
300 Cash At Settlement FromfTo Borrower 60D Cash At Settlement To/From Seller
301 Gross Amount due from borrower(line 120 3,761.23 601 Gross Amount due to seller(line 420) 3,659.23'
302 Less amounts paid by/for borrower(line 220) 602 Less reductions in amt.Due seller(line 520) 552.08
303 Cash X From To Borrower 3,763.23 6o3.Cash X To From Seller 3.907.15
�.aeuieureur�.uaryes `
700 Total Sales/Broker's Comm.based on price _
Division of Commission line 700 as follows: Paid From Paid From
701 gu „,,;
MAR 2 2 2014
ETER OF&
BANK 3801 Paxton Street 888.937.0004
Harrisburg, PA 17111 mymetrobank.com
3/21/14
Elizabeth H. Feather
Caldwell & Kearns Attorneys at Law
3631 North Front Street
Harrisburg, PA 17110
RE: Estate of: Dorathy G. Kimball
Tax Identification Number:
Date of Death: December 20, 2013
To Whom It May Concern:
This letter is in reference to decedent account information you requested for the
individual listed above.
We are able to provide the following:
Account Type:CK
Account Number: 537870347
Date Opened: 11/27/2007
Primary Owner: Dorathy G. Kimball
Date of Death Balance: $814.59
Please feel free to contact us at 1-888-937-0004 if we may be of further assistance.
Sincerely,
Jennifer Jacobs
Research Associate i
Metro Bank
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