Loading...
HomeMy WebLinkAbout11-21-14 � 150561�143 REV-1500 �``°Z-"' �� OFFICIAL USE ONLY PA Department of Revenue pennsylvania Counly Code Year File Number Bureau of individual Taxes �^�TMQ^��� Po Box.2soso� INHERITANCE TAX RETURN 21 13 00709 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 05 18 2013 02 17 1937 DecedenYs Last Name Suffix DecedenYs First Name MI CROFT CAROLYN V (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW Q 1. Original Retum � 2. Supplemental Return � 3. Remainder Retum(Date of Death Prior to 12-13-82) � 4. Limiied Estate � 4a.Future Intarest Compromise � 5. Federal Estate Tax Retum Required (date of death after 12-12-82J � s. Decedent Died Testate �. pAencee��onPlYai���d�a Living Trus� 8. Total Number of SaFe Deposit Boxes (Attach Copy of Wilq ( � 9. Litigation Proceeds Received � 10.�°�88��9����j���.�Da95�f Death � 11,Election to tax under Sec.9113(A) (Attach Schedule O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number �-., R.ACHEL C SCHRECK ESQ 717 ?E§3 921�� � � � rn F' REGIS7��2 eF WILLS�ON�:;'1� - �'T --:- C'> _..i =;. - �� � �: First l.ine of Address . - F—• , = 1� � 80 NORTH SECOND STREET ` � ` �' ( ....: ,...., ..t� _ i . �.. .: _._.,. _-. Second Line of Address �'� –� " ~ - - � c. rv _ � DATE FILEDF--� u� City or Post O�ce State 21P Code CHAI�IDERSBURG PA 17201 CorrespondenYs e-mail address: res[�mooney4law.com Under pe ' of u I d that i ha mi d this retum,including accompanying schedules and statements,and to the best of my knowledge and belief, it is , rt p .De araU p a r other than the personai representaGve is based on all information of which preparer has any knowl dge. SI ATURE F E ESPONS QR FI ETURN DATE �j� Caivin Croft � G���� DRESS 328 Duncan Avenue, Front Roval,VA 22630 SIGNATURE OF PREPARER OTH THAN REPRESENTATIVE DATE �����' � �r��,y���, Rachel C Schreck Esq. �� - /�_/� ADDRESS 80 North Second Street, Chambersburg, PA 17201 Side 1 � 1505610143 1505610143 � 1 1505610243 �J REV 1500 EX Decedent's Social Security Number o�eBm'sName: C�oft, Carolyn Virginia 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 Receivabie(Schedule D)........................................................ 4. 5. Cash,Bank Deposits&Miscellaneous Personai Property(Schedule E)............... 5. 37 ,588 . 00 6. Jointly Owned Property(Schedule F) ❑ Separate Biliing Requested............ 6. 7. inter-Vivos Transfers&Miscellaneous t�nq Probate Property (Schedule G) LJ Separate Biiling Requested............ 7, g. Total Gross Assets(totai Lines 1 through 7)........................................................ 8. 37�588.00 9. Funerai Expenses and Adm(nistrative Costs(Schedule H).................................... 9. 14, 684.8 6 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 32,315.83 11. Total Deductions(totai Lines 9 and 10)................................................................ ��, 4 7,0 0 0 . 6 9 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. -9,412 . 6� �3. 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. -9,412 . 6 9 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxabie at the spousal tax rate,or transfers under Sec.9116 �5 0 .0 0 (a)(1,2)X.00 16. Amount of line 14 taxable 0. 0 0 16. 0 . 0 0 at lineal rate X .045 17. Amount of Line 14 taxable Q . 0 0 17. �.0� at sibling rate X.12 18. Amount of Line 74 taxable 0. 0 0 18. 0 . 0 0 at collateral rate X.15 19. TAX DUE............................................. 0 . 00 ................................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. � Side 2 � 1505610243 150561�243 � REV-1500 EX Page 3 File Number 21-13-00709 Decedent's Complete Address: DECEDENT'S NAME Croft, Carolyn Virginia STREETADDRESS 35 Thompson Creek Drive CITY STATE ZIP Shippensburg PA 17257 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 +g) (2) 0.00 3. Interest (3) 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) Q.00 �.. Make Check Pa able 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:.................................. ❑ ❑x c. retain a reversionary interest;or............................................................................................................... ❑ ❑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?.................................................................................................................... ❑ ❑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 ❑ ❑ containsa 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. 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 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 stepparc ;c;f the child is 0 percent[72 P.S.§9116(a)(1.2)j. • The tax rate imposed on the net value of transfers to or for the use of the decedenYs lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)J. . 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,whether by blood or adoption. Rav-ib08 FJ(+(11-10) SCHEDULE E pennsy[vania CASH, BANK DEPOSITS, & MISC. DEPAR7MENT OF REVENUE INHERITANCETAXRETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Croft,Carol n Vir inia 29-13-00709 InGude the proceeds of IiGgalion and lha date the proceeds were received by lhe estate. All property jointly-owned with the right of survivorship must be disctosed on achedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 1st ED Credit Union-Checking Account#85510-15 2,125.59 2 1st ED Credit Union-Savings Account#85510-99 5•92 3 M8�T Bank-Checking Account#97184187 294.66 4 Nationwide Insurance Company-Survival claim.See attached Pennsylvania Department of 25,000.00 Revenue Letter 5 2008 Kia Spectra 8,000.00 6 Bankers Life and Casualty Company-Flexibie Premium Deferred Annuity 2,161.83 TOTAL�Aiso enter on Line 5,Recapitulation) 37,588.00 (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 E(Rev.11-10) REV-1b71EX+(70-09) SC H E D U LE H pennsylvania DEPARTMENTOFREVENUE FUNERAL EXPENSES AND RESIDENTDEC ENTNRN ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Croft,Carolyn Virginia 21-13-00709 Decedent's debts must be reported on Schedule i. lTEM DESCRIPTION AMOUNT N ER q, FUNERAL EXPENSES: See continuation schedule(s)attached 3,842.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(s)Commission Paid z, Attorney's Fees Mooney and Associates 2,000.00 3, Family Exemption: (If decedent's address is not the same as claimanYs,attach explanation) Claimant Street Address City State Zio Relationshio of Claimant to Decedent 4. Probate Fees 193.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 8,649.36 See continuation schedule(s)attached TOTAL(Also enter on line 9,Recapitulation) 14,684.86 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 Croft,Carolyn Virginia 21-13-00709 ITEM NUMBER DESCRIPTION AMOUNT �'uneral Ex e�nses 1 Fogelsanger Bricker Funeral Home,Inc. 3,842.00 H-A 3,842.00 Other Administrative Costs 2 Cumberland Law Journal-advertising fee 75.00 3 Mooney&Associates-Fees and Costs associated with wrongful death action 8,374.20 4 The Sentinei -advertising fee 200.16 H-B7 8,649.36 Copyright(c)2002 form software only The Lackner Group,inc. FoRn PA-1500 Schedule H(Rev.6-98) Rev-1512 EX+(72-OB) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENT OF REVENUE INHERITANCETAXRETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEUENT ESTATE OF FILE NUMBER Croft,Carol n Vir inia 21-13-00709 Report debta fncurted by tha decadant prior to death that remalned unpaid at the date of death,including unreimbursed medicat expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 AT&T Universal Card-Account No.ending in 7412 16,431.94 2 Calvin D.Croft-Reimbursement for lot rent 580.00 3 Citi Card-Account No.ending in 4815 3,434.17 4 Kohl's -Account No.:047-6187-760 2,254.05 5 Wells Fargo Dealer Services-vehicle loan,Account No.:7750164055 9,615.67 TOTAL(Also enter on Line 10,Recapitulation) 32,315.83 (If more space is needed,additional pages of the same size) Copyright(c)2008 form sokware only The Lackner Group,inc. Form PA-1500 Schedule I(Rev.12-08) REV-1513 EX+�01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BEN E F IC IARI ES RESIDENT DECEDENT ESTATE OF FILE NUMBER Croft,Carol n Vir inia 21-13-00709 RELATIONSHIP TO NAME AND ADDRESS OF SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT ords) ($$$) 0 o t � I� TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116 a 1.2 1 Kayla Croft Granddaughter 1/7 of resldue 19 Lenwood Park Shippensburg,PA 17257 2 Lyle Croft Grandson 1/7 of residue 21849 Wilson Way Eagie River,AK 99577 3 Samantha Croft Granddaughter 1/7 of residue 19 Lenwood Park Shippensburg,PA 17257 4 Joe Durrer Grandson 1/7 of residue 19920 N.23 Avenue Apt.2093 Phoenix,AZ 85027 _ 5 Joshua Durrer Grandson 1/7 of residue 15189 West Alexandria Way Surprise,AZ 85379 See continuation schedule attached Continuation Total Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate. NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN EIECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 1I-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10) SCHEDULE J BENEFICIARIES (Part I,Taxable Distributions) ESTATE OF: Carolyn Virginia Croft 05l18/2013 204-28-1850 item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 6 Joe Fleagle Grandson 1/7 of residue 269 Simon Ricker Road Shapleigh,ME 04076 7 Ralph Michae(Fleagle Grandson 1!T of residue 104 Beverly Blvd Fayettevilie,PA 17222 Total 1 ffi' stEd Creclit �.lnio.n www.1 ed�u.org � Working Togefher to Make fhe Grade! July 5, 2013 Mooney&Associates, Attorneys at Law Rachel C Schreck, Esquire �_ .�N-ftJlain.Street--- ._ - ------------ __ Chambersburg PA 17201 Subject: Estate of Carolyn V. Croft Dear Rachel, In reply to your letter dated June 28, 2013,the following is information regarding accounts held by Carolyn V. Croft. Primary name on account: Carolyn V. Croft(No joint owners) Account number 85510-15 (checking account) Balance as of May 18, 2013: $2,125.41. Accrued dividends:$0.18. This account was opened May 6, 2005 in her name only. The balance in this account as of May 31, 2000 (3 years prior) was: $2,011.17. ----.__-------AsEo�r�t n�+mbe�-���0-��-(��uings-account)—. Balance as of May 18, 2013: $5.92. Accrued dividends: $0.00. This account was opened May 6, 2005 in her name only. The balance in this account as of May 31, 2000 (3 years prior) was: $5.89. If any other information is needed, please feel free to contact me. Sir�cere�„..�l"y, � {/ �;+'�'v`� 4..�� �!� �+.,! `,�{�j�V��,'�ft?'V��/ , Tr�cy;Burger,,� ��� ,:°� - Memkaer Services R�p. � 7156 Kennebec Drive• Chambersburg, PA 17201 717-264-6506 • 888-968-7828 Toll Free• 717-264-1441 Fax � �.1�������� 449 Mitcheli Raad,Millshat�o.DE 19966 Ac�juatmant Scrvicca �hane$$3-502�43�49 ` F ax (3ff,t227i 93A-2F55 � Ctecembcs•24,2t}13 ' �o�aney&Aasoca�tes 6��Toz't�,,��ai�a S�.r�ct Chambersburg, FA 17201 � �t,e: ��tate.4�'��zR�,Y�•-_�� �ocAal S t��itv: 244-2$-l.$SQ �7ate o�I7e�tt�:�v1av 1 S.�013 I��ac�ir vr Madaxrt: �'er your inquuy on Decernber 13,2Q13,plea�s�be advis�cl that at th�firn�Qf d�ath,t�e�bave-zaa�m�od dec�de�k harl an deposit wifih th�s bat3.�the�ot�Qwi.�g: �, �',�af�4ccounc �'h¢ckr�gAccounx ���,��v����� ��r�4rs� O►v+r�rslri�a(.�lam�s n,� Car,vlyn V, �roft . O�eni►�g F?a�e a1�2811980 I�'alar�e aK Datc�of Death $ 294.6t4 , �ccruedlrrter�a�t ,� ,D� 7btal ��,�25i�9.i5�6_._.._.,_..................,.............._____ ' Ror ai�}�additional inEarrastio��o�tha above accoants,inrtudit��a�vi�crsl�3p and any ctrange�,�ta�uxe�a��dlar r�eS+rnbs�r�cn�ent of fund�, plcase call thc Itin�Strext at 7x7-53'1r4132. Wc svcre uttabla to lacatc�ny aa3e dcposit box Car thc abovc-maiit'roned d�ecedent, Tlus lettier ttaas nnt include any aaceunf6 in wliieh the dacssacad may Gave b�li�fed as Powej'of A1ltarn,ey�Custodian of Unifo�m TranBfCt's, R�pr�sl�fiv�a P�,yac,orTrnsEee uiuler a Wfitten A�repmertt � Sincerely, �la�atie Mea-ce�- . . Adjustrnent Seruices ssz-� z�c����aaad �G�-�. �z�s-z��-��� }��a�� �u�� -wc��� o�=�G s��-oz-�� � � �� � �1�������11� r� r"" DEPARTM�NT OF REVEfVUE Octoher 24,20i3 Jason Imler,�squire Mooney&Associates 230 York Street Hanover,PA 1733I Re: Estate of Carolyn Croft File Number 2 i 23-0709 Court of Common Pleas Cumberland County De�r Mr.Imier: "I'he Department of Revenue has received your conespondence. Attached tvas the petition to approve a compromise setilement to be filed on bchalf of the above-re£erenced estate in regard to a wrongful death and survival action. It was sent to this o�ce for the Commonwealih's approval of the altocation to the proceeds paid to settle the actians. According to the Petition,the 76 year old decedent died as a result of being struck by a motor vehicle. Decedent is survived by her five adt�lt c}aildren. Pursuant to ihe Supreme Court of Pennsy[vania,before there can be any recovery in damages by one in family retation for negligent death of anothec in the same relation,#here ra�ust be a pecuniary loss.Manning v.Ca eII3,411 A,2d 252,270 Pa.Super.2Q7,Super.1979.Famiiy relation required to maintain action under Wrongful Death Act is defined ta require showirtg oFpecuniary[oss by relatives seeking datnages as result of wrongfui deatM af decedenf;there must be pecuniary loss by one in family relation before there is any reeavery in damages.Hodee v.Lovetand,590 A.2d 243,456 Pa.Super. 188,Super.I991,reargument denied,appeal denied 723 A.2d 672,SSS Pa.70i. Occasionai gifts and services are nat sufficient on which to ground a pecuniary loss. Ga,X,dgs,Supra,341 PA at 530,152 A,and 552. However as the proceeds in 4his matter are a minimal gross af$I25,000.00,this Office has no nbjection to the atlocation#hat ynu have requested. Please be advised that,based upon these facts and for inheritance tax purpases only,this Department has no objecfion to the proposed allocaiion of the�oss proceeds of this action,$100,000.OQ to d�e wran�ful death claim and $25,000.00 to the survi�al claim. Proceeds of a survival action are an asset incl�eded in the decedenYs estate and are subject;o the imposition of Penasylvania int�eritance tax. 42 Pa.C.S.A. §8302;72 P.S.§91Q6,9107. Costs and fees must be deducted in the sa�ne percentages as the proceeds are allocated. In re Estate of Merrymin,669 A.2d 1 Q59(Pa.Cmwlth. 194�). I trust that tl�is letter is a sufficient representation of the Department's position on this matter. As the Depattment has no objections to the Petition,an attomey from the Depark�netti of Revenue will not be atiending any hearing regarding it. Please contact me if you or the Court has any questions or requires anytl�ing ad��tionat from this Bureau. Sia�c��1y, ,, � ���� / �,;� ���,���?:� '�{� +r �,,•�..-'Ti",.:1.`� �i�.. ,�G�-'" ..... . � �...__.�fiannon E.Baker Trust Valuation Specialist Inheritance Tax Division Bureau of TndEvidual Taxes � PO Box 280601 � Harrisburg, PA 17I28 [ 717.783.5824 � shabaker@pa.gov 5 CALVIN CROFT, . Individually,on behalf of his siblings, . IN THE COURT OF COMMON PLEAS and as Administrator of.the . CUMBERLAND COUNTY, ESTATE OF CAROLYN V. CROFT, . PENNSYLVANIA Petitioner . CTVIL ACTION-LAW v. . /y_ a..9�Yq �l���� . ��''1 GEORGIA J. DAVIS, STATE FARM . MUTUAL AUTOMOBILE . INSURANCE COMPANY, and . NATIONWIDE MUTUAL . INSURANCE COMPANY . Respondent . ORDER OF COURT AND NOW, this ���'�^day of �� 2014, upon consideration of the foregoing Petition, IT IS HEREBY ORDERED that: l. The above Petitioners may compromise the wrongful death and survival action claims set forth in the within Petition to Approve Settlement of Wrongful Death and Survival Actions,for the principal total sum of$125,000.00. 2. The payment of counsel fees is approved, in the amount of$41,666.66, and costs, in the amount of $204.32, to Mooney & Associates, from the funds due zor a total of $$41,870.98. 3. Direct distribution of the net proceeds ($83,129.02) of the settlement as follows: I. To the Petitioner, Caivin Croft and his siblings, for the Wrongful Death action, in the amount of$66,503.22 representing 80% of the net proceeds which will be distributed equally to Calvin Croft, Cathy Durrer, Karen Byrd, Tim Croft, and Karl Croft; and II. To the Estate of Carolyn V. Croft for the Survival Action, in the amount of$16,625.80 representing 20% of the net proceeds. SY THE COURT: � � �/ �� J. TE�U� G�F'Y �F:�'✓Pi� F�'c�,�i� in Testimony wh2reof,i here unto set my hand and the seal f said Court at Carlisie, Pa. This����of + ,20' ���Protfio tary 'C�"C._. 0 lJ<,� � ^, �,� � � �. � ' ) C� � � �� � �� , � � � I ��� \- � � MOONEY & Rachel C. Schreck, Esquire � res@mooney4law.com ASSOCIATES � �'�'�'•�?�ney4l�w.com ATTORNEYS AT LAW � � � � c� ;� � .-=-. �-, c� -r� .Y' c� �n � ("�"I �- G'7 ,....� t'J November 20, 2014 � �� �,� �' � � r`� � �.,_, . �..�� �,.; ; �- . � , : 3 <:� _.� _. --�; ,,, ,, ' � -•r: .. - G� ' � �.:,�' �l Cumberland County Register of Wills �-, �W� `�� �, • � � 1 Courthouse Square, Room 102 ' rv �' Carlisle, PA 17013 Re: Estate of Carolyn Croft No.: 21-13-00709 Dear Sir or Madam: Enclosccl please find an original and two (2) copies of an Inheritance Tax Return for the above-reference�l estate. Kindly return one (1) time-stamped copy to our office in the enclosed envelope. Should �ou have any questions, please do not hesitate to contact our office. Best regards, MOONEY& ASSOCIATES %'.�c�CV�t,I. C- � �►c Rachel C. Schreck, Esquire RCS/blc Enclosures ❑ 230 Yark Street ❑ 18 E.Middle Street ❑ 2 South Hanover Street �0 N.2nd Street ❑ 40 E.Philadelphia Street ❑ 105 N.Front St.,Suite 210 Hanover,PA 17331 Getrysburg,PA 17325 Carllsle,PA 17013 Chambersburg,PA 17201 York,PA 17401 Harrisburg,PA 17110 (717)632-4656 (717)398-2205 (717)243-4770 (717)263-9215 (717)846-4722 (717)773-4935 1515 State Road 3703 Peters Mtn.Rd. 15 N.Main St.,Suite]02 115 Carlisle Street 34 W.King Street 17 N.Main Street Duncannon,PA 17020 Halifax,PA 17032 Mercersburg,PA 17236 New Oxford,PA 17350 Shippensburg,PA 17257 Stewarutown,PA 17363 (717)609-4677 (717)827-6566 (717)32&5217 (717)624-7054 (717)530 0126 (717)316-ll59 877-632-4656(toll free) www.Mooney4Lawcom www.Mooney4Injured.com � �„�� � �E,,at� rr. � b a� � � s r � � *. Y� ���; a� �" �' � �.� y ,+'� �$�r . .�,� . �„ �t; � - .a `� . r� "§ �a� � � �. , � .��,#��� �,3�} x �i 5 � `fz.� �y� � ��"` ' � t 3;«�,a,�' �S �;'�.A a� ^��`�`�'r£ s�kyv���a � �.� 5 � �y��y��8�,��„3��� i 3�'�.; '°� ,�s'a��.4dR�� "��y„`�-m'S`��'?'�',.��,+�`�*� y�e� _K: e , y �. L.� 4�; y � ..� � � ;2� ��Ct�� �r�;�.4�., $� pza�?��� a�� d� 'k�r �s'`,dr��' ,�.� ��zr,�c��g�r fc��.v� "'��c��' �� ' i, � R ' i� 9CY' "F Y k uu i '''� .,7�,4�S�.P+�. �q �#+'�'a' f .�'�� : i+.�- ) W�4� `� "} ��� �",-'� w,� x y, S°d n z 1 yxMS 4h FeS� � � i x�� `�, � ' 4 ` � r� r 'ar 6�. � av, �3 `c ,c'a' a i�`,z... :+�}^ ` _ ' � ��� �� � �'�""5������ ����"��� '��' ��'�.r s��,�� �'��`;�E�����•*�,���� � �a �r :a�� �' �'� ..� z v+ '�zu s � +� �+r� c'�sa:�E� � �, � 4 .� o- �� ��� �,, sr��,*�, �= ��� � ���r t�s" �,����g,� P� ���� �r� + ����,�° y ��k�h���u��4'2��'��,���;.s� . y*k "`f_#��i�,�fi z��'+S',�,��r�x"3��� +��u�� � � �"`¢ ,�i 4 t y 'Yfr � �ypYa_:n� C �� t .��. � �1t4 "VUY°' �i�„,�, �� .}.i A< . 3�3 � `�3 �i;��x� ��� d $'r4# 3kt �a t#,�'Rr f°'b.�l 4h� �3,- F.zie�`t �. . ' � �� � } i« � acy.�3 �# `�� � x. �� ,h� �# t�� -��� a '4 � . �i'`� �'a$"?,;�+,'�, t� �t. . ;� �* . x"?f a�5- � � � °'�T',�` '�' y�vs 3 5 ��`'� �.« � '+¢ �"' �` '�-ra £�,. tv y x .�° .� �� _�i�'f ,�� � 'a�.'�*'a5a�� �, � � �?'r �.,�. t t �, �,� +..a .. ,.iF s' 'a � �'� m� "����� ., �� ,s��k�.�6a 9 r 7�. „f�. � 5�4 �* t a ,r� n sw k's��'s�`r�a n� � 3 �.`�>W*i"�d ,��x � t s, g t t§ �.;u'�`� � �„; 2t� T. } �yy F�� 3 �,�. ".�`,"��. e �'� �.a'z� �'q"����q+�y"x6����',�k F �2' p�3�� ��,�N�.�'. t 'f".' � ^k �`�"t�a}��-^�^��^,g„ �: ,:� : f a,. ,� ,� : u �^� � ��+ � A s ;s'� � �' �tt � : � � � �'g � � �� `�2��� � � � ,,,� �`�3 ax�L * ��a� � ����* �" ,9 �r c:'�, �....s.� * � ��,.r� ��-�"� ,�} � ,a � '°, s r,=�.�,. ���+ �' r� ��g, ,� � � 'v� , ;r y{ ,��� � � r: ;�'. h ry+ i;�"� ��f'��r'�ahTM�a+�'�r�s�' �"`xb" '%.,,�X' �i".�r`,�a, �3: a ' a �.�`����+ "�`� .��x � � ��r . � s�` ��.F�'x � " i � ��� '� a�-0"' �S�.�a't��b.�Ei.�."'3 '�� ,��°, ��z }.t �'��2�-� � ��^��� �' '� � # . �^ �� S� � ' ,�����.�w ��� � -��� n .;�'��'� f�d� ` ' ��,"` t+ t� yx � ��-A � `,- .a�a.T d i �- � 1 j.. R R A : `-Y, �. "`��'��'��'�3 _ +"�."` fi��_ 3 £ . n y:� _ . . r> ,�`� � �` ���»,": 3-�'x.'�'`�'�^w.� '4 �� . sl� �, �#i .� � ��� - �y�. w�:�e t�d� .+r S,h§+�'z � � �, �: .ss,�°`�t �:w� t "' . '. ��R ; 3 �,,g�:�"��. �' ���'b"�'�q;�,> �.t! x � , � �� � � � � _ q��': �' F '+��4 r+ '{ �` � u` a'n� � ''�a`�".���d'�+�� 1-�Cx ',.�`:.� �� � � �s '.�' � � �������� - �,. �{ - �`7' ik'Z��^ 1�Y . ;z . .q F t '' 4 � �, ^�n�°�"�� ��'' ��. �+?�e�.z�,y�,��,��`' a ,�:: . r^,� '��.,� ,��. � g�3. "�, i . � .. . ��k ., �u� �'� f � ��..b.M,� $ #� �'4 .t .^'-. .r '�1� � � � a��k � � ���. ��.: a �� � ��g�'&�. "'++ t�- , � ,.: s:� � .z � ��. � ��.�, y �,,+� � ,;�$�'� �.�r� x .. � ,=F*. �'$ s.a �,: � � Q � i Y t t h`" ,� , � r ` s +� �,�.�-,� �. �a . Rs ��� : f "`..�� "�$�- � � ' t� �.� � w �� e�af�;.�az � .r, < ,� , ,#��'�� `"' �r �;' - � • x �s�"�> ��� �� sa a,� �+ ���', � � �; � � % '� y�� t � v�c�� � k k^' P` h ".J� �� � � - � fi� �� � � { F �F} ,3 }� � tt M1��k r ��� ;. � v �. �� I • — ,,�.*'..��i�'�l� , {t� " �'s � .. �� �.�i#��i `"`' �'%�� t 9�1,� '� t : � . s `�i,� �� • � '��'� F w v 4`��.', '� v a'� ��� 1 r * t ! • �� t��+'3r��, �t��'}° ,. ,+�� �'� ��" x?.�* n.. � ►. � ����g� .����.F ��7` ,, + S"w r �t^�r '�§�, ��`�.. �,# �_ � � t,' A `i . ���,�s Yr'. :�, P � � `���".:- ' ����� �' � ''� '� �.�fr r V � � � �� � ,a�r ,�y s � �� � 4� s ... �..��' �� - • ���.��'����,��P�'x,��} {"�" �,� � %;� � �. T 4 e ,� "� w � 5� �� �e^ �a�� a :� '�? '�°��• � a ,, �y,y,, ,,�, �„.. . � � �.-���.;x P � �,� ,3„� � r ��,e . 4 r �..g � � � na��8i � "�'��,i�. x �� � s «� ` '�'�r ��r"� x � �` . � ��s � �r � �� � � ��� _�� � �, ��� � x.'� `� � ' `�"`� �`, jt ;��'�� �� k# q 3 �t d�.q'�' Ta' �� �1"t$Y.:.. - 5 '� f�' fi - �.. hf J` ,.k �4 0.�j � C � q $ � � q 4 ifi ' �E � £,�� c "' � �� � t g�` � 94 .s� i. F fi. �lf�� 4 `��� $ �+U 1 � {° � � � ;� �, �. � �,� �ti�'� �„��"°"��, �:z -s ,° x . '.a � � r t- � �.. �. t `' ��' �a� � ���� � � � '���.a� 1;.` # � �� � "� � � �� ,�� � ���x�� �k�t���a ��6 �, �E t � �'"� � � ,�: ,� � s � � � �"�`�'��s#'����s$'���"s � v� ���' � r �����' �. >�� Eg ,;+ �'� a � i . 3 taa��a kt�,p,���3��' ��,�,r F,y`-z"4 '� Y ' i .z � 3'� 3� � � '�#,yk'+p��g�`�� +�'C y'��^$�.�� �r $f 4 „ �4, � r � �s � � + -�.a � . � ��-��� � h� - ,� � ��t�� f e`a��� : '3 � R� � stv�� s5q�' �`3� �*� E �r f E �.. s�r''��'N�.s �.i' �t,�� M�, r a # �� "k�"���i t ��,� a�6,'`�} i . �6.��� i ��+��.,p"� �d' , t f - �,``�'����� �� ,�'�.�.',;.r,.,,A�.s '�': a "¢ �S� �x �2 � 'a� ✓ �a',�.. ��'"� a���,��!���`��������vT�„� � , '� _ , ��. �+� ��3 s��� �,�,�'��.��',"� '.� �� ' '"^c ;�. ��- Y � �zs„ t �r t�.�p r���`''`� '� -y���'.x"�, ��, .� �`r�� � � ; � . �' _ �, r�)a a w�.��.r��`� .act"s, � ��� �t '� & .�' *`�`ra^r_a-� >�e �- � � *� 1 �,�.s�� a• s ' 'M `s� sY�yy d� �.�..a`�na. �,,... a rr. ; z �,x'?� �� k ,, S .a �_�.� ah . `. p�, * � � i� '„"! �„�t� � 3 �T, ��`�'���sf����'i � � ¥� �t ��. � .� "4Y$ .,��" "r � Y �� * ��.'�.t' r � � v.� �c a& � � e:, ,� '�- <. � �e-tt� :�.G� '�`` a y�. {� t g+. c�':��y vti;���2`�'���;'�'�l'��`�r �se k, er`i� a t�",� � L �Cd5 � {Y�x ��'S�a,�+�"�. ;. � � {'� �'�`fi 4� G¢�4 + ;,. � ��;�r�����,� � �` r 5 �"ar7�� �w` ��s��}����`��� .4 � � a � � � �������' � ; �`' `Y�` q� ar �<e �� �f.� �y�`}�vx � ��� � ������ .:;'�� r �������� �� �+ � r 3, �. kA � }+� 6 *,�'. 7b �. 4" �-� � k�+ .� 3 � $ � � '�� �_ �� � �s r�� ��. t��..� + � ��.. k��y;��n� _ �� ��.,�` ��'�;h� ��",�°' „t.�r�'�+�k � y„� � � f�..r'� - G• � �`� � ' r � ' .,�y { �� r� > � i �� '� F ' '-s ��' '� � K �?; ,� �� � c� x� ��� � ;.� y � ` ' �+ 1 y.�p � , i � � � f�� � �, a� �, s �' � � � � - #�f���'a�.�� � , �r �,'' ' . k ' �� �. s t �y . �� � , , „� "�.�, #y'i j Ly ' u' ' ���•'_ � � x9�.. �^ � 2 s'.?� >� . i � 5 . ,,,.,� a � a:d "1 '� £ � `}f : �'�.i � 'Y��,�y f, �,-. '�. . 'f : � ;F ;����t.� � � f� '. *`� #�',�� �v��� �.�st��..�3�` �� �r".� r-� ,� ,�` �� �^�� �� '� 'a '#'� �''�a.�1�r F �� � ��� � � a�o ��'..*�"� �'s�4 4 E. r �' d-'� � ��; � � ��' ��, '� �,�� �`�e��� "� � � ���,�,��s do�s�'��'�� u' a � '- ��st�-� c �d�,#�z '�y�, �' � �� ��u�,��������"'��a,� a � . �,a� ��� ��� r eF *�" �`�; ' 6Y ¢; �;..ltl x #� ' �, a- �� "+�� � S,. v l �Tr .�„.i-.. � �x,�: ^r, ,.Nn,.w�"`x'��, �R ?�` �'�t+ �b:d.s� ..�., �,.. .. . . . .�. ��:� fi� ,, �-:..�` _ t , . _ , , ,. � f � ,.�,.< �._ _ , .. , �.. �� � � � � �� � n� , , , � , y . � , �� �, � � �� � � , . .. , �._ �....�a_. , .�____,...,_ „;w,._.�:_�, : �,,. _ __ .7, ���,ro��,_ _�: -�_��� ,� .� .,�� _ � , . - � , ��� .. . _.. .�.�-�..�