Loading...
HomeMy WebLinkAbout02-10-15 J 1505611185 REV-1500 E"°' ""`° OFFlLIAL IISE ONLY PF Oepart en�IX Revenue CounlyLotle Year F�le Number a��ea�mma���a�aiTa.es INHERITANCETAXRETURN 21 13 1272 ro eox zaosoi Ha«isewg,an mie-osm RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW SOCIdISeCu((yN�Rlb¢� Det2D��ed�h MMD�YYYY �d120(Bihh MMD�YYYY 159-03-2499 11232013 �1021919 Oecedenfs Last Name Suffix Decetlenfs First Name MI MANEVAL , JR � CHARLES H (It Applicable) Enter Surviving Spouse's Informafion Below Spouse'sLas�Name Sul(ix SpousesFrts�Name MI Spouse's Social Secunry Nur�ber TMIS RETURN MUST BE FILED IN DUPLICATE W ITH THE - - REGISTER OF WILLS FILL IN APPROPRIATE BO%ES BELOW � t. OrlglnalReWrn � 2. Supplemen�alReWm � 3. RemalntlerReWm(�eleofDea�h Prlorro 12-13-82) ❑ 4. Limltetl Estete ❑ 4e. W Wre Interesl Compmmise(tlate ot ❑ 5. Fedoral Es�ate Tex ReWm Reqwretl tleath aiter 12-12-82) � 6. �ecetlenl Dietl Tesiate � �� Decetlen�Maintainetl a Living Tms� 0 8. Total Number o(Sale Deposil Boxes (Attach Copy of WJl) (/+��acM1 Copy ot Tmst) ❑ 9_Lltlgetlon Pmceetls Receivetl ❑ 10. SOousal Poverly Cratlil(Oate of Dea�h ❑ 1 t Hection lo Tax unaer Sec.9�13(A) Between 12-31-Bi antl 1-1-95) (/+�lach SCM1etlula O) LORRESPONDENT- iHI55ECTICN MUST BE COMPLETEO.ALL LOFFESPONDENCE ANO CONFlOENTIAL TR%INiOFMATION SHOIILD BE DIRELTED TO: Name Daylime Telephone Numbe� KEITH 0 • BRENNEMAN 717-697-85215 .p �� AEG�EROF WIL��56 C3N� � > � ] Firsl Line ofAaaress �� O 44 WEST MAIN STREET - , ' o i Secontll_ineotAtldress � , � � - �� ' c� _C RI f- ClryorPostOffine Stale ZIPCotle onieFK � � N MECHANICSBLIRG PA 17055 co..osuo�ee�rs e-manaaa�es:: u�ae�pe�awes or pe,i�n, i aeciare mai i na�e e.ammeo in�s�ewm.���ci�a�ny acmmpa�y��g s=nea�ies a�a siaiemems.a�a m ine oes�rn my x��n aye ana eern, n��s we,=o�e=�a�a�ompieie.oeciararon or o�epa�e�ome�ma�me cersonai�epresemae�e��s oasea on au�mrormanon orwn�rn prepare�nas a�y knwneaqe. SIGNANREOPPERSONRESP/ EFORFlLI GRETiIR /,� - n� �ATE � 2 —(�1 —ZU/S n'lE' nn�REss — DOLIGLAS E• MANEVAL, EXENTOR 449 BARBARA DRIVE, MECHANICSBIJRG, PA ll050 SIGNATU�t�PREPARER OTHERTHAN REPRES[NTATNE �ATE /� �l ��9/� � Af]DRE55 KEITH 0 • BRENNEMAN, ESQIJIRE 44 WEST MAIN STREET, f1ECHANICSBURG,PA PLEASE USE ORIGINAL FORM ONLY 17055 Sitle 1 � L 1505611185 omas<�a000 1505611185 � � LsossLl�as aEv-�sao[x�Fp oeceoe�rs so��ai securny N�moer 159-03-2499 oe�eoe�':Name MANEVAI , JR • . . . ..- ��_S . . _ . ..J� RECAPITIILATION i. aeaies�a�e(scneaWen) . . . . . . . . . . . . . . . . . . . . . . . . . . . . i 131,470 . 2� 2 S�ocks antl eonds(Scnetluie e). . . . . . . . . . . . . . . . . . . . . . . . . p. 101 • B 1 3. Closely Heltl Corpo alion,Parfnership orSolaProprietorship(Schedule C). . . . . 3. � •�� 4. Mor�gages and Notes Receiva�le(SCM1etlule D) . . . . . . . . . . . . . . . . . 4. ❑-�0 5. Cash.Bank Deposi�s antl Miscellaneous Personal Properly(Schedule E) , . . . . 5. 116,281 • 82 6_ Jolntly Owned Pmpatly(Schetlule F) C 1 Separate�illing ReQuestetl , _ , , g. � ' �� ]. Inler-Vlws Transfers S Mlscellaneous Nw-0ro�ale Pmperry (Scneauie G) � Sepera�e eNing Requestea . - . - �. 2 07.5 11•0 6 e. TotalGrossAssebpotalLinesl ��mugM1l) . . . . . . . . . . . . . . . . . . g. 4SS+364 •89 � 9. Funerai Expenses zntl naministra�ive Costs(Schetluie H). . . . . . . . . . 9. 2 4�6 17 � 83 1�_ Debis ol DecetlenL Moriqege Liabill�les,antl 61ens(Sc�etlule 1) . , , . . . . . . 10. 3'3 47 •65 t i. lotai oeauctions(m�ai �ines 9 antl to). . . . . . . . . . . . . . . . . . . . . t t 2 7+9 6 5 � 4 B iz Necv.meoresr��ee���eami�usuneii) . . . . . . . . . . . . . . . . . . . i2. 427,399 • 41 13. CM1arita�le antl Govemmental BequeslslSec 9113 Tmsts for vfiich an eleaion m�ax nas not been matle(Scneawe J). . . . . . . . . . . . . . . . t 3. 0 � 00 tq. r+etvamesutiectrorav(Linei2minus�inei3) . . . . . . . . . . . . . . . ta. 427.399 � 41 TAX CALCULATION�SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amoun�ot Line 14�axable 81�I1P 6p005H1�BXl3�2,O( Vansiars unper Sec.91�e O •o0 (e)(12)X.Ou_ 0 •0� 15. 16. Amoun�o!�ine 1a t �ble atiineaira�ex.o4� 427�399 � 41 te. 19 .232 • 97 1]. Amounl of Llne 14 taxable a�sronoqra�ex .ie 0 . 00 n. 0 . 0� 1a. Amoun�of Line 14 taxable a�coua�e�aire�oxis 0 • �� �e_ 0 � 00 is. rnxoue . . . . . . . . . i9. 19,232 . 97 . . . . . . . . . . . . . . . . . . . . . . . . . . 20. FlLL IN THE BOX IF VOO NRE REpUESTING A REFUNO OF AN OVERPAYMEM L-1 Side 2 L 1505611285 1505611285 J CNJ6E8 J OCO REW WO E%(Fp Page] Flle Numbe� DecedenPs Complete Atltlress: 21 13 1272 DECE�ENTSNAME MANEVAL, JR • ._ . CHARLES _ _ .. .. H — — SiREETAODRE55 S.�b�ENTWATEI�ROAD,. �ST PENNSRORO TOWNSHIY _ —. - - C�MBE_R_LAND_ COUNTY . _ . . � - srH�E � � ziP � cirv CAMP HILL PA � 17�11— 7ax Payments and Credits: t laxoue�Page2,unet9) (i� _ . 19+232 � 97 2 Credi�s/Paymenis APo,PaYm���� . _—Lv,000•oo a p;����, �oo . 00 � ro�aicrednsin*e� (z7 _, 14 +��0 � 00 3 Interesl „� o . 00 a R Line 2 Is grealer Nan Llne 1 �Line 3,enle�I�e tlif�erence.Th'S15 tM1e OVERPFYMENT. Fill in�os on Page 2 Line 30 ro repuesl a refun0. (4) _ -- O � Oa s. u����ei + r,,,ea��sq�eaee��naoo�ez.a��a�mea�ne�e�w.rn�s��smotnxoue. ts� _ __ 4+532 • 97 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "%" IN THE APPROPRIATE BLOCKS YES NO 1. Ditl dBceden�mdke a tten6ler antl� X re�ain t0e use o�'mcome o�IM1e pmperty Vanslerzetl . . . . . . . . . . . . . . . . . . . . . . . X b. retalniherigM1llotlesigna�ewhosnalluselM1apmpertyVanslerre�orltsinrvme . . . . . . . . . . O � c. retain a reversionary In�eresl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � � d_ lPLBIVB�h2 pl001ISB 10I IIfB Of BIIh2l P8Yll12ll16�OG12R6 Dl W!E? . . . . . . . . . . . . . . . . . . 2. ❑tlea��occurredafter0ec. �2, 1982.01tltlecetlentUansferpmO�YwitM1inoneyearNtlea�M1 ❑ ❑ without receiving atlequa�e mnsi0eration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � ❑ 3- Dltltlecetlen[rnvnan"inVuslfor"orpayable-uporvtleet�bankaccountasecudtyathisor�ertleetM1? X a. Ditl tleceden�own an Indlvltlual reLrament eccount,annulry, or otner noo-pmbate pmpefty,wM1icn � ❑ containsabeneficiarytlesignation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IF iHE ANSWER TO ANY OF THE ABOVE OUESTIONS IS YES, YOU MUST COMPLETE SCHEDIILE G ANO FILE IT AS PARi OF THE RETURN. Fw dates of tlea[M1 on or aftor July 1, t 994, antl betom Jan. t, iB95. tha tax rete Imposetl on�he net velue of Vansiers lo or for the use ot iha survlving sp�use Is 3 Percenl��2 P.S�9118 lal(t i)(1]� Fw �ales ot deet� on o after Jan. 1, 1895. �he �ax re�e Imposed on IM1e net value of Vanslers �o or tor Ne use o� t�e survWing spouse Is 0 percen� ��2 P.S§91�8 (e) (tt)(II)�. The s1aW le tloes not exempl a Iransfu to a surviving spouse Imm tax,antl ine s�aWtory requlrements for dsclosure of azsets antl tlling e taxrewm ere slill appllcabie even If��e survivirg spouse Is iM1e onry beneilclary- For tlatu o!tlea�h an or atter July 1.2a00�. • The �ax rete Imposetl on t�e net value of hans(ers �mm a decaasetl cM1ild 21 years of age or poungar a� tleetn ta or for �he usa of a oaWrel parent, an aaoptive Oaren�or a sleppe�ent o��e cM1lltl is 0 pement�)2 P S§9t�B�a��127�. • TM1e lax rate ImDosed on t0a net value ol Iransfers to or br tM1e uso of tbe tlacetlenPs Ilneel Denetician 5 isa.5 pe�r.ent e�cepl as rotetl In I��P�S.�9118(a�(1¶ • 1be tax rate Imposetl on ihe ne[value of hansfers to or for IM1e use of tM1a �ecedenfs sl�lings is 12 percent�92 P S¢Ht i6(a)(1.3)�_H sibling Is defined, un0er Saction 9102,as an Intlividual who has at least one parenl In common wIN t�e tlecetlenL whether by blood or adoplion_ omasn z000 " """��"" ''� � SCHEDULE A pennsylvania � I E"-' �"`"° REAL ESTATE ���EA�a��.x aEr�A� �— FEsicevrcECEo=_Nr .. - --� - . — - - _ _ ."_ —_ . —_ — - - � � FILE NUMBER: ESTATE OF: neval Jr. __ _ _ . 21131292 . . .__ Charles H. Ma_ _. _—. . _ -- All real propeM owneE solery or as a Unant in mmmon must te repoM1etl at talr marhel ralue Fau marke:value Is tlefin V as��e pnre al whicM1 pmpe�y woultl be excFanged�e�ween a w�llin9 ouye�an0 e willing seller. nei�M1er oeing compell N�o�uy or sell EN��anqq reasonahla knw,Aed9e o�Ne relevantlacls. qeal pmOeM1Y�at Is join[Iyowne0 wIN rigM of survlwrsM1ip mus�be JlscloseE on Sc�eaTule F. PtlacM1ampyolt�esevlemen�s�eelill�epmpenY�asbrensdE. � I ITEM incluEeamvvo���etleeesM1aringaeceaentslmeresiilwmetlasimaminrvmmon. VAWEAT�ATE NUMBER CJESCRIPTION —� — OF�EATH � Property known and rmmbered as 596 Brentwater Road, East ' Pennsboro Township, Cumberland County, Camp Hill, PA 17011 131,C70.20 sale value (see attached settlement sheet) I � � TOTaL (Also enter on Line 1.RereO�Wlatloa) S 131,490.20 r.vassszwo � Ifmorespacelsnee0equseaatlitionalsheetsofpapero(t�esamesize. � ee�-umex ,niz�. pennsy�vania SCHEDULE B DEPARTMEMOFREVENl1E STOCKS & BONDS '� INHERfTANCETAXRETURN �. RESIDENT DECEDENT � FILE NUMBER ESTATE OF Charles N. Maneval Jn _ . ._ .. . 21_13 1272 All property Io�^�ly awnetl wi[M1 rigM of survivorship mus�be tllscloseE on Schetlule F. __-- _ — � � � VqLOEATDATE IiEM pF�EATH YUMBER OESLRIPOON _ _ 7.46 1 Hershey Company .0"/"/971 shares o£ common stock valued at $95. 68 per share 2 0.5. Savings Bond 94 .35 ISeries E Bond, $25.00 face valve � TOTAL (Hlso enter on Gne 2.Hecapilulation) 5 101.81 m�<ces v o0o Ii more space Is neede�,insetl atltlitional sheets of iM1e same sire �������pennsylvania � SCHEDULE E iaimr.�ror.aE���,e CASH, BANK DEPOSITS 8 MIS0. . -^°�F'°"A"°'" PERSONAL PROPERTY FlLENOMBER. ESTATE OF. Charles H. Maneval Sr. __ . _ 21 13 12]2 . . ... " cima�neoro�eea:onwqeno�a�ameaeie:nep�o�e:,.�rert.,e�weoymaas�ie. All property jointly ownetl wiU right ot survivors�ip mus[be tlisclosetl on ScM1cdule� . __ IiEM ��� � VAWEATDHTE NUMBEf3. __._ - ._ ��RIPTION _ __ . OFDEAIH _ �. Cash £ound in the Decedent's residence 3.21 2 Erie Insurance 211.50 insurance presium re£und due the decedent 3 Highmark Blue Shield Insurance 256.53 premium re£und due the decedent 9 Insunance proceeds received £rom homeowners insunance 525.00 £or claim £or tree removal 5 Members lst Federal Credit Onion 80,243.2'/ savings, account $6559-00 6 Members lst Federal Cnedit Union 31�666.11 checking, account N6554-11 '1 Miscellaneous personal pzoperty 1,4'l7.00 8 'U.S. Tneasury 166.20 refund due the decedent on 2012 Individual Zncome Tax Return 9 U.S. Treasury 1,933.00 refund due the decedent on 2013 Final Individual Taxes TOTAL(Aiso enter on Ime 5,Recapilulation) S 116,281.82 r.•:acno z oco u more spa�e��s neeoee.�se aaaiib�ai sneeis m paps d ine ume sae. aev-�sm ex,msasi SCHEDULE G pennsylvania oevnarn�er,�r�aevEuve INTER-VIVOS TRANSFERS AND � �"x-�soFrAi�"oECEOErniO�" '� MISC. NON-PROBATE PROPERTY 'I . ESTATE OF � � � FILE NUMBER Charles H. Maneval Sr . 21 13 12']2 ?M1ls scM1e4We must be comple�etl antl�iletl 1(the answer lo any of ques�ions 1 NrougM1 4 on page�M1ree o�the REV-t5001s yes. OESCRIP➢ON OF PROPERTY iTem .i s DATF OF DEATH %OF OECO'S EXCLUSION �AXABLE NUMBE <srEa or� . VAWEOFASSET INIERFST �iaGAo¢ VAWE �� �Amerip se Fanancial �20,95222 100.0000 0.00 120,952.22 ��. deferred annuity, account � N93006951921009. Designated �' � beneficiaries were decedent's sons in equal shares. . 2 Ameriprise Financial 86,558.89 100.0000 0.00 86,SSB.B4 payout annui[y, account k9300807302500G. Designated beneficiaries ace decedent's sons in equal shares. 3 Members lst Federal Credit Onion 4�000.36 100.0000 G,000.36 � 0.00 life savings, account k6554-04. '. , This account was a life ' '�. insurance progx'am offered by Ithe credit union and is listed £or in£ormaGional purposes q Ionly. Veterans A££aizs 5�09'].42 100.0000 5,097.42 0.00 �� life insurance policy paid to the estate. This is non- taxable and is listed £or in£ormational purposes only __�_ _ �_ _ —._I _-_ TOTAL(Also enter on line].RecaD��ule0on)$ ppq 511.06 Ilmoraspeceisn HPtl.use3]tlllionalsM1eNSOfpaperolNesemesR. 9`i4a6AG]OOJ p�° 5°` °°�, SCHEDULE H ' �PBIlI15YIV3018 . FUNERALEXPENSESAND �� „�,F,,,,,,�,.uF,,,,a„ '� ADMINISTRATNECOSTS s�N��aoEH- _ _ . _ _ . — _._. —___ __ _ .— -_ ESTATE OF FILE NIIMBER Charles H. Maneval Jr _ , __ ._ _. 21 13 12]2 _ _ 0¢CeEenCs tleb[s mus�be rcport¢G on SCM1etlule I. TEM .__ . .. . _ _. � �. _ �ESCRIPrION AMOUNT NUMBEH _ .. _ —. . .. A. , FUNERPLEXPENLSES. � ' Funeral luzcheon and £uneral clothes 335.63 Total £rom continuation schedules . . . . . . . . . 7']1.52 B. ADMINISTRATNE GOSTS-. 1. Personal Represenlalive Commissions: Nnme(s)oi Parsonel Representa0ve(s) _ _ _— -I StreetAtltlress __ __ ._ _ - ', � CiIY __ . � .___._ Sta�e ZIP veaqs)Commission Paitl�. ___ 2. nuorneyFees: Snelbaker & Brenneman, P.0. (Estimated) 1,OOD.00 J. Family Exemplio¢Qf tlecetlent's adtlress is no11M1e same as claimanfs,atlacM1 eyolanation.) Ciaimam StreetNatlress _ _ .— , Ciry . . Slate ZIP _. Rela�ionSM1lp ofClalman��o Dece�enl _ a. ProbateFees: 363.50 5. AccountamFees�. 40.00 5. Tax Relurn Preparer Fees: ] 1 Srian Hoedemaker lawn care services 900.00 2 Huchanan 6 Ecb air conditioning service 277.00 � Total from continuation schedules . . . . . . . . . 20,930.18 .._ I __ . �-- -— ioTn�(Also emer on une 9.RecapltWa�lon) 5 2G 617 .83 sna�.w z uoo I(more space is needetl. use atltlitional sheets o1 paper oi iM1e same sire. Estate o£: Charles H. Maneval, Jr. 21 13 1292 Schedule H Part 1 (Page 2) Item No. Description Amount 2 Ronald C.L. Smith Funeral Hose inscription o� grave sarker 150.00 3 Ronald C.L. Smith Funeral Home £unemal services 621.52 Total (Canry £orward to main schedule) 771.52 Estate of: Charles H. Maneval, Sr. 21 13 12�2 Schedule H Part � (Page 2) 3 C.M. High 2,500.00 upgrade electic panel, etc. 4 Cumberland Law Journal advertising Executor's Notice �5.00 5 Debbie Lubold, Tax Colletor real estate taxes 2,528.23 6 Deluxe estate check printing fee 16.25 � East Pennsboro Township sewer/ttash services G14.00 8 Ecie Insurance homeowners insurance premiums 195.50 9 Miscellaneous repairs/expenses required to prepare the property for sale 199.80 10 PA American Waten water service 199.57 11 PPL Electric eletric service 333.68 12 Sadler Oil Co. heating oil 916.9� 13 Settlement changes associated with 5�6 Brentwater Road, Cmap Hill, PA a. Aealtor's Commission - $�,]88.00 b. Hroker Fee - $175.00 c. Notary fee - $10.00 d. Tranfer taxes - $1,300.00 e. Tax Certification - $10.00 f. Sellers Credit - $200.00 9,A83.00 14 Snelbaker S Brermeman, P.C. attorney secvices £rom 12/3/2013 to 1/27/2015 2,270.00 15 The Sentinel advertising Executor's Notice �10.78 16 Tom Hackenberg tree removal service 595.00 Total (Carry £orward to main schedule) 19�895.�8 Estate of: Charles H. Maneval, Jr. 21 13 1272 Schedule H Part � (Page 3) 19 U.S. Postal Service postage stamps 3a'4Q 18 Reserve £or filing £ees, accountant £ees and other miscellaneous costs associated with the administration o£ the Decedent's estate 1,000.00 Total (Carry forward to main schedule) 1,034.90 ��°'"'� ,'�,� � SCHEDULE I pennsylvania _r.,s��.e,�roc a��uu= I DEBTS OF DECEDENT, w�Ea�*h�ce.�aE.�H� I MORTGAGE LIABILITIES 8 LIENS azscervi ceeeuE�� _ . . .-.,_. __ -... . .._. ESTATE OF FILE NUMBER Charles H. Maneval� Jr. 21 13 12"]2 _ _ Fepoh tlebls 'mcurzetl by�he tlecedent prior to tlea��tM1at remainetl unpaid at�M1e tlate o�tlea[M1,inclutling unreimbursetl metlical expenses � �� � — iiEM ' � VHWEATDATE Nl1NBER _ �ESCRIPTION _ OFDEATH �' COmcast cable TV service 9�29 2 Debbie Lubold, Tax Colletor real estate taxes 668.53 3 East Pennsboro Township sewen service 138.00 4 � Holy Spirit Hospital �'�medical services 127.50 5 Home Instead Senior Care in home nursing care 62.85 6 Meals on Wheels balance due for home delivery oE meals 122.00 7 PA American Water water service 55.12 B PA Depavtment of Revenue �� 2013 incose tax due ' 13.00 9 PPL Electric electric service 100.34 10 Sadler Oil Co. heating oil 540.87 11 West Shore EMS ambulance service 1,510.15 I TOTAL(Also enter on L'me t0.RecaplWlaOon)IE 3 347.65 �rvas,a�o 00o I!more space Is naetled, Insert atldltlonel sheats oi tho same srze aev-�siaEx.�m-m) � SI.iH�lJU�E J pennsylvania x'-°'"`�n°� �°`"°` BENEFICIARIES IN4EHIlnNCh Iq%RENRN �SI�6N I UtCEUEM . .�_ - ____ _ _ . . ._ . ESTRTE OF � FI�E NUMBER: Charles H Maneval S . 21 13 1292 I RFIATIOM1SHII TODFCEDcM AMOUNTORSHARE NUMpF,R W+MFANDADDRESSOF f FRSON(S7 REGPbIN�{ROPERTV Do N t L'<Trusice�s) _OF ESTATE � 1..%ABLE01 TRIBUTONS�Indutl 9M1 spousal0�� �losantllran9ersuntler Se Htt61A)(��)�I �. �ouglas E. Maneval I 449 Barbara Drive Mechanicsburg, PA :L7050 One Half of Residue Son �, 213,699.71 2 Charles H. Maneval, IIS I �'' 1575 Abbas Avan�e Lancaster, PA 1"/60J I One Half o£ Residue Son �'� 213,699. 70 EMEft WLLAR PMOUM$FOR�ISiRIBUIl01J5 SHOWN AAOVE ON LIYE515 iliROUGH 18 OF REV4 WO W YER SREET,AS APFROPNIATE. ."_ —_..__._ — _—— _ _...__ — . _.-- '_ — --__ "__� _.._.. .— � II NJµrAw�o�[oismiauliorvs A SPOUSAL DIStRlt3lfpONSIINOER SKTOIU 9H�FOR WHICH AN ELCLTIOIV TD iA%I$NOT TAKEN�. 1 �N QURIiPBIL AIJ�GOVERNMLNTAL�ISTFlI�VTIONS�. 1 II . _._ _ . . _ __ _ .__ _. . _ . � _ _ TOTAL OF PqRT II�ENTERTOTAL NON4AXAflL[DISTRIBUTIONS ON IINE t9 OF REV-1500 CCNER SH[ET. I§ 0.00 owneni x o0o If morg�pace Is nee0etl,use atlditional sheels o�paper of IYie same s�.e_ OMI3N0. 25C2-0265 =i�' -- ❑. ivaFOFiqna, us.o�annrmeN-roF�+ousir�eauaennoeve�ovmer+r ❑'�"" zf� »ian � �c.unv :iNi�s �.(]vn [�n_Nvins. f IIFM1IINIiIH �IO�V�JIMEER�. SETTLEMEIViSTATEMENi �F�`^��f���viwm�_ __ __.--_ - ------ �H bA EI�S �.LNUMbL�I GNOIf I � �� l I r �be �l I �.n A , tl YI' - il a9_ l' I na� vrYrt �7..���E�cuetl � ti le "Ieelos � ! e/ aen�p, o (".d�.owesr[� h .JdERd C 'I'vSBfll � . D_ N1MLINPADJRCSSOF1301tR0ANER I . N�NL N�fDIlRF5S7P5[LLtR F N�M-A�OAD�R 55'1FI�VIJL�',�. i�moy �L� d( .rp..lnc. rslal[, 1 I .: II.Ma +I Cc.�trir 6 � P�O_Hox3 �,'kviCl rI .,�LMa-`ill Ir. 4"�01. �I .¢rv+iHoaA Lemigie�. Pkl]0.3 fJy.l) GManwnl,Fxec�lor 4a� 5b�'9.'AI]'1[ ._.- ._-__ ______ ._- ___--__ __-_ . G. PHOVISRiYLOGATION�. H. SCII f-MC-NTAGI6'VT'. �I SETTILI1.�iNTORE. 5'6� I ��.'H tl Kerv/ 6K II_f p' _ b�. 320i�. C�npI111.1A1 011 - - -" - G �l I 1C nry,Prnisylvaia PLHCt( FSCIIIFMFIJi Tm Pa�.el N 0919-159F0�4 q2qpL� I I ke Juile 151 CarGHll PA11CI1 J.SUMMARYOPtlOFiROWEaSTHAN,AGfION K.SUIIMAPVOFSFLIFIi'STHAM1SnclioN__ Q�GH45S�MOUNTDU�EI4M94HH91NEft- -_- ._ GII45&AMOLPLLDSIE.TOCELL�_ i10000:10 IOtGonlw�. lesP(ce 130.00�D[1 ti0L (.�nlrec�Sol�'Pce _ _ - _ - mz. v_. ai�. iv _.._ _ Qnz i �s�e�� _ i09. ..elll�n_IGYi�9e. t 9 m er�. I J�1 __ 0.1.9.00 403 ____._ _ w IJ4 404 - 105. ._ . . _ _ M1OS. . . . . . �J�.Lr.ls�us�a"�¢ +.1Mi �v�'.i�� . - 't�.�ar t�sPa��r �� °n Lcc-_ _. __ 106: ewqr?ris� 11,03/14 �0 1291II4 A]96 40G Sewer'insl __ 1109/11 I 1 '3t M _ N� 3t� - - -_ _ IOZ Co nlyi;��s II/03114 lo IP 114 _ . _ 9�J.E9 44]. GoonlYln as_ 110914 l0 12'3bd� 99d`i IOP_ S�bool T�xes 11/03/14 I OF JO l5__ � �02:15 M108- Suhool TaHes _ 11.0994 �0 05'3N15 1 PB135 _ -"".---- 409. II19. ._ "____-_".. _ _ _'.-- -"'-- ._ '_. _____--_'__ . 4�0. i10. - - "- --._.. - .___ ___.- _____-_._-__� 111 011. " _____ 112 41{ _ 120 GROSSMAOUNT�LE,-ROM�ORROWH� 1 5,629.10 420. fHOSSAMOUNIOUEIOSFLL[H __ 191,41f120 400. PMOUNfSPAIDBVORIIV6EHALFOFBOHROWER SOOFfDUCTIONSINAM0UNT0UETO5ELLER' _ 2�1. D�'� esl cy � I�00�00 SOL E �ess� � II' InsVu.i ns�_ JU2. P .pal AmOunl o�N Lodp 5 10<,OOC.00 502 S f11Bma �('M1 g¢�b Sell - (I InB 1�001 .3.2HJ.00 20.9. F �stn9loan(s�ldk .;�blEc.�c 503. E �Slin91 �s)I ' .nsubl ���o _ 20M1. ___ 50<_ PSyoIlMiusiMor19a9a __ �5 - __ 505- Payo��o�sacond Morlyaoe _ ._ - ""- __-_- 506. ?06. __. _ ____'"_ . ___-- .__ _ ___.__- - - ��� sm. .__ - . _- - - - 200. .. . 500 _ _ . _ _ . _ . - . ._ _. _ 10y. S li C It 'O�,�C 09 SJIarG Mt 1����� �s� TasUiPatlTl�Cll � . __ ..�`�illn U �. d9�er - __ - vo. sewt.�rasn io �o. ,ewerrt .n io - . _- _" _- _.__. '-_ _ --__- 2n. C tyT, .. � . Sll. CaunryT .s �o , _'_ .- -_- . _- _ _._ ' . -.. -____- .-_ _. 212 SChool Taxes lo SIL SCFoo11 C. lo -____- _._-_ _ _._. _. . _ . -____- __-._ ___.._ 213. 51J. _- __ -. ___ . - _ -- . . 214. � 516. . _ __ _ _____ . ..___ __ _ _ ____ . . __ ' .. 91`i. 515. ' _____. ._ ._. _. _ _.. . __ _....._ _ . ZI6. 516. __ ____ .... .-_ _ .__-_-___ _ -_._ _- . .--_ - . 111_ ._ 51]. _.- - .... ____ .._._- .i8. � 2i8. _ _"__- _ _ _- . .. - -. _'. . .- 4i9 . _ ._. 5t9. _ �ZO. �OT�LvqIORY/FORBORROWEIt 10?2�t1A0 520. iO1nLHE0UCTiON/iMOUNTOUFSELLER _ 9<13D0 300. CASHti�SETTLEMFNTFROM?OBORROWfFR: 600. CASHATSETTLEMEMTTO/FPOMSELLER_ ,___ _._ 3p1 C ssA.o �1��aFmrif�armwe�ei� 15.629.LJ 601_ GrossA � ) eTo.elle �LineC207 _ 11ta1�0 3:12La.:sAroun�Poitl9y'FcrOo«owcr(Lna220' I IO�,L00.0�I 602LessRetic1a50-�c..eller(Lne520) 91tl3.DP 503C�SH( XFROId)( lC�)BOHROW'EH 3�A2320 603. C4SH( XTO)l FHOM)SCLI_ER _ 1Y1�9P]2[� TM1n undorsi�netl M1eleby BCIm��wle0ge rocclpl o!e compl.=�etl copY ol p3gps 1 R2 0l Ihis�:al�enl&any.��tachmenLs m�orretl lo M1emin Horrowei SNler n veLandGoq..lnc. . _- - _ - - �o glas E M1 a, Fveninnr, in [s'�am ol G�ades H_'�enuwl,a/Kla Chatles I I.M&�eval,lr_ iu_ i u.yri n�nw.-�nvo�: ]00TOTpLGOMMISSIONBasitl nP �ca � _�2.Lf1�14.IlL' ���`�y- - ��'�--�� , � , �p�s p s �- I ]001 s� I s _ . . . _ . ._ � 1i-51B94pC , KII WII s C I IPA .�� . � .- . _ .— -" s � � rn'— 02$ 9IS9C00 I H i 9 A._=1 i C P,LL(._ _ - � ] YAJC [13 C v� P. 1RIS 111 ��I — . ._ _- - - ��OC ?9i��-u4er Fcc :o Knller 4 I _i I I F BOO ITEMS PAYABLE IN CONN TION NI IH t 0\N _ - - - 20 lf r Oi L O� F 0 O(� '� t I _F _ . - -� f _ - _ __ n�r i �i � _. . .- _ a n . - - U09_ !tP if .. - — I (' i .[3 . . - - 200, - _ i�A L P P 10 L I C�1A _ . _ ._ BOS. bJuePco m GPn� rlianx _ � �� -_ '— - � _ _- _— .__- ___ . K'16 M 1��21 A��_� . _ . -' ._ _ -_— - _ C'1]. P [I� FCO � 1901 � 1 _ _ B A Fl iC tl �e - - � G ticB __ -- - _ _ _- _. 0f3.- � . _._ _. . -- -. _- __ -- .. _ __ _ - .. ._ __ -._. 610- —_ _ -. - ' — _ - - . �lt � � � — 900.ITEMS RE OUIREO BY LhPI�EF TO BF VAI�IN AOVANCf ' � —_ 301.1 le II o00000 1 [ $ _ '�ay c �' _ _ )02. M019 '�C16 � LBP ��. .� M51( __ _� 90(1_H tll anccP mlo� 10 � - I _ . _ __ . _ 9�4 ______ — .. . . _ __ L.... .-.. . JOS _- IOOD flE ER\E OEPOSITED WITH LEN�Efl ��oi H cl . m. c n � b pe tt __ _ — 10ofl M 1�S I - re ce m th > $ _ Q ih o —_ — �009 S /1 .M1 . � - . Irs � F _E o IM1 _ _ _ _ . __--- . iooa o�inxPs __ _ ___�is p :. � . ..in _ —_— -- --_ �005. SCM1�oITaxes monrl � F�� ! .ar�h _ ___ _ - -- —'" "mon•,ns �? R- —pei ramh 1006. ___ _. - _.— __- - _ _- _' �on]_ monlR- a F per monih _ � .___ — -__ '___ ..._—.. .-- _'-- '_'—_ IOOB '�� iwnlhs iil £ per monlM1 __ -_ 110 .TITLECHAFG -- - -- I101. SeVI_manl O�CIO51�]FBB ___ _��_ __ _,___ - -- " --- 1102 �b I acl 111P$ 'cM1 lo _. _._ -- - -- ---- 1ia3. �ee0 P.e ara� i'�" __"_"_ �o Kei�M1� c �n,f_s�. . _ FOG-50A� - -_. -- '-- - —_-._ _ -- non_ ntiel��uranneentler �a _ .__-.___------ _ — _ __ 1i0.5 D iPreaal ..__ � -... __- .. ._ — -- I IOF� N 1 I �: � � Nerwin&I( nv n LLP I5.00 10.00 ._ __ . -_... . ._.__ -. _ .._ _... � _ _ - _ 11UJ. Allomep'S Fecs �� -�-r- _-. .__ _ ._ . __ __.. _. (: de bc e'te i nbors. . __ . — - -- I1�111 IfVpl�10E I SICWdlITIICCiLtlIP1�O �p 1 _ __ _ �050-�� __ �iI1C�OdP3tlbOv011CO /PIhB�S: ._ � -- i109.Lentle�:Ooveraga $ Ip4,Gp0.D0 _ 920.00 _ _ _ iYio o - s co .�@e —s iaqcodo� - _ _ iadoo _ nn in edCl '.n�le�ler t. fe arlll G � a iyC pa y � � 'Soo - -_—_ - - _ ._ -_—— - ._ ui2 Ctl �n�s�00,f00]10.500 �� =i�rw*I71 .6��,anIYQ P - . 2��.�� —- "-- _. __ __ - - - - - _.. 1113. - -������ — 1200 GOVEPNMENTflE(ORfIWGANOTRANSFERCHARCES — 120 Fl t gFp ' D f 9� % 00 M t� �- 109C0' H .� :es $ �H� T _ IJ02 C C U� p D.. I - I i00LTM I��j 190000_ ._ 12Qi i tei �a n�v D ed 1 d00 PS Mor�aago __ __._ _ _ i 30G.uo i204�_iro�tolri i _ � R,�o�a cio= . _ __ a.Co � _ �205 _ I O . ADOITIDNALSETTLEMENTCHARGES __ -- -- i'f�i S y � _"_—� 1d09 P �I �..fo I( _- -� I;iW I ( � 'I i I DNti I t I,] l G�II� 1 �� � � � C[IO _ ' __ 1306 305 Ga�s��rFec-Sevier rast I F'is�l r .00iov.n.Yp ���� 14�0.TOT/+L SETTLEMEIJT CHAFQES (Enter on Lines 1 W.Soction J ontl 5a2,SecUon K) ' a,�59(10 9,1ri3 00 �S .�J JP;lle ` :.II�. >�alencIl.ihe�yralor .s3ckno� l�dg..� �iplola�_o fleleccoPY�ipgn2olNislwopaqesta�emaoL Getldie0lo bo a Ime wpy KurN+n 8 Hcnvin,I I P SeitlxmAm Aqant �ier.c�n_er,,.i�W[nn�����einorti�ne-en[ne��mr�zz LCII.11LLESH \t1,VECA1_o(�LeE,1STPEN�A'SHOR0701V]SHIPintlicCnunguf CCAiBEkL;ASD au� Smtc oVPENVSPLVASI_1.do hereby mekc.publlrh end ded¢m this m bc mV I as� qill and Te�tanicn[, hereb�'rewkln3 uny ynd all RSlls by me at anplmv hereiof irc niade. ITRI I. I dimet the pacment out nf my u�ate ot�he c�penee of mc lazt illnens aod f�ncral I'CE\1 I I Should she sun�ivc mv b}a period of Oiirtv days then�nd in [hu[eccnt, I ulcc denx a��d hequeeth all uf mv ea,pe, rcal.Pen�onai and mfscd w mv belovcd�u9h CHRISllN9 G. 1fANGVAL �TF.17 1❑. ShoWd my¢i&no[sururve me by a period of tliirty days tlicn,and In tlut evcn�I��fva dccisc nnd bequeatn nll of my es'tate, re:Q perxonal�nd mi�ed unro my children. DOl-GLAS l. iA4.1�GVAL'and CIL\RLF.S H. A41NEyqL, pl in cyuxl sbarce,µ-��h thc cecaptions us Giliaws: To CflAltl_ES, I bcquv7,th nry diamond nng. 'Co DOUCLAS. I beyuunth tliv Orlemal Living Rooin Ruu,the einply Chinn Closet,and ffie 6faifelA Pansh Picmre. To CHRIS'fIVAAUSSELl., inygrnnddau�Iner, IlenvemyRlydseyeVlaple6edmomSuiie_ Inthe cvent any of my children ehoWd preduwve me,theq en[ire sham[o m}'survn�im�child,e�cept theiremsbec�ueztlicd W CHItIST1NARf:SSELL. Il'GM N_ I heroby nomina[e,cons[im[e und nppofnt niy SpN. IJOU(H,AS 6_ .��.NVEb"AL Crecumr ol�Ms mc Will,ehoWd he wrvlve me by a period of thirty dnys,shoWd he not rur ive me for a pcnod oCthiny daqs,theq I mminnte, consfi[ute and xppoin[CHARLN.S H. YlAN8V.4L llI as Executor l direc[Ilin[no 6ond or secunry be rcyuircd ofiny hercinbefore nnmed Ezecmor,fn anvjuris'Aic�Ion fn whlch he or i[nu}'act. 1.�Al'I9'FCSS WHERP:OF,1 have set mo hand and seal[his Fifteen[L dac oFAuvus4 '1Aco-thouvund Ihree�o this mY�as� WiII nnd l'esWment.consis[in_�oCone pane. �.t�i.�l. -1__ _. _ . Chndesfl. Mancvel� (SLAL) Slgned_sealcA enA published, dedared by thc restaror abw�e named, as anA Cor hls Laq LVill und ���csmmcnl,in the pasence ul oz whq In his presencc,�i his ru�uest,and in the prescnec nf eaeh olber hnrc Imrcunm sct our uxmcs as wlwcsse� Y 7� � --"�/r �'iK 1C�:-><t�._ ar J72NorthMxrl�ctSneec — — R�lidinn - _ .—. __.—.... LuuitiDePelma ,}Imhav_abur P,1 1�03� - 4�-- - _. . — .w.: . ,:� ." � '—F- —__ _ Residineal. Jl^_NarihM1larl�etStrcet �7uflnnc DePiJine �1c hanicsho�� -_� -�I'a 190s5