HomeMy WebLinkAbout02-09-15 J 1505610143
REV-7500 "`°�,,, �
OFFIGIAL USE ONLV
PA�epaRmentofRevenue pennsylvania co�nqcoee v.ar wiarv�m�a,
Bureau of Intlivitlual Taxes °�•'^*"°^°`^^""
PoeoX28o6a1 INHERITANCETAXRETURN 21 14 00758
Harnsburg,PA 1�128-o601 RESIDENT DECEDENT
ENTEft DECEDENT INFORMATION BELOW
Social Secunty Number Date of Dea�h Date o(Birth
05 21 2014 03 18 1943
DecetlenPs Last Name Suffix Decedenfs First Name MI
PRESSLEY JR WILLIAM R
(If Applicable)EnterSurviving Spouse's Infortnation Below
Spouse's Last Name Suffix Spouse's Flrs�Name MI
Spouse's Social5ecurity Number
THIS RETURN MUST BE FILEO IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS 6ELOW
O 1. OriginalReWm � 4 Supplemen�alReNm � 3. RemalnOerReWm(�aleot0eal�
Pna�W 12-13-8P)
n 4. LimiteJ Eslate � da. Fuwre NterestComv�mise I 5. Fetle21 Estate Tax ReWm Require0
�De�eolDee�M1aXe�121202)
❑ g �eceGenl�leEies�aie C �� �q°qecnCoam��ne1aLmyims� 1 B. TotalNumberot5afe�epositBoxes
� (AI�eUPoOYalWill� GYa )
� B_ WlgaGonProoeetlsReoelveJ � 10. ��e�Pz��'j�a�d��Da95�IDea1M1 � ��,ElediOntoWuntl2�50C9113(Fl)
(Atlac�Sc�eOule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETEO.ALL CORRESPONDENCE AND GONFIDENTIAL TA%INFORMATION SHOUL�BE OIFECTEO TO:
Name Daylime Telephone Number
MARK A MP.TEYA 717 241 6500
REG(9}ER OF WILI.b�.USEDNpA`(
: o _ri :-j C>
�
FirslLineotAtltlress �' c:� � _�
r�
55 W CHURCH AVEN[JE ���
c� .
Secontl Line otAtlCress . , �
� ri
�
__3 't
QATE FILEC � ��
CityorPos[Office SG[e ZIPCotle -
CARLISLE PA 17013 . . �'-_�' " �
CorrespontlenPse-mailatltlress: mam�matevalaw.com
0 g��penaltle�gf per�um�le�ec�erecleration ofe eramineeM1efs�eW��incWdingl�re se tative Is bz eE on e�In�o�rma��onblwh���e bes�of my knowleUge antl oelie[
p preparero persona pre n preparerM1asanyknwvletlge.
$IG UFEOFyPE $ONRESPCNS�BLEPoRFlLINGRENRN pAT
f��., .;liu� Bryan Pressley G�����20 ��
n'ooaess
39N Gettysburg Road, Camp Hill, PA 170N
SIGNATIIRE PHEPPF OTXEQT EPRESENTATNE DP}� �
•���,�� _�y�,.� Mark A. Mateya Z/ K % j
nooaese � �
55 W. Church Avenue, Carlisle, PA
Side 1
L 1505610143 15�5610143 J �
J 15�5610243
REV-1500 EX
Decedenfs Social SecurRy Number
o�e��'•�eme. pressley, William RoyJr
RECAPITULATION �
t rteaiestate(scneauien).. ...._._ .._..... ........._ t 276, 700 . 00
2 Stocksanaeonas(ScheOWee) .......... ...._... ._____. 2. 2 , 729. 30
3. Closety Held Carporalioq PaM1nership or Sole-Proprietorship(Schetlule C).___.. 3.
4. MortgagesBNolesReceivable(Schetlule0) .._._.. ....____ 4.
5. Cash,Bank�eposits&MiscellaneousPersonalPmperty(ScheduleE)............._ 5. 82,069. 94
6. Jointly Ownetl Property(Schedule F) ❑ Separate Billing Requestetl......_.... 6. 22 . 70
]. InterViws Transfers&Miscellaneous I�m,-Probate Pmperty
(ScM1eduleG) U SepareteBillingReQuestetl......__.. �_
e, m�icrossnsser�(m�aiu�es� mro�qn�� .__.._ ..._........ s. 361,541 . 94
9. FuneralExpensesanOAtlminislrativeCosls(SchetluleH)_... .___..... 9. $7r55�. �$
10. DebtsofDecetlen�,MohgageLiabililiesandGens(Schetlulel).__..._.________. 10. 131, 921.49
ii. rowioea�oe�o�s(ro�aiu�essa�aio).._. ......_._ _..._.._ ��. 189, 472 . 24
12. NetValueofESGte(LineBminusLinell) ..._.._. _____. �p, 1�]'2 , 069. 70
�3. CharitableantlGovemmen�alBequestslSec9113Trustsforwhich
anelectiontotax�asno�beenmatle(SchetluleJ)_._._._..__................_______ 13.
14. NetValueSubjactloTax(Linel2minusLinel3).._......................___._____._ ib. 172,069. 70
TAX COMPIITATION-SEE INSTRIICTIONS FOR APPLICABLE RATES
15. Amount of Line 14laxable
atthe spousal tax rele,or
trans(ers undar Sen 9116 �5 0 . ��
(a)(1 2)x.00
�s. Amountotune�4taxab�e 172 � 069 . 70 t5. 7 �743 . 14
at lineal rate X .045
11. AmountofLinel4taxable
at sibling rate X.12 O . 00 1]. � • ��
iB. Amoun[ofLinel4�axable
atwllateralraleX.15 � . 0� 18. � • 00
19. TAX OUE .____._..... ..__... .____ ............ 19. 7 � 743. 14
20. FILL IN THE OVAL IF VOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. � �
Side 2
L 1505610243 1505610243 J
REV-1500 Ex Page 3 File Numbe� 21-'14-00758
Decedent's Complete Address:
DEGE�ENT'S NAME
Pressley,William Roy Jr _ _
STREETAO�RESS �
279 Ridge Hill Road, Mechanicsburg
CITV � STATE ZIP
Mechanicsburg PA 17050
Tax Payments and Credits:
1. Tax oue(Page 2,Line 19) (�) __ �•�43'�4
2. Cretli�s/Paymenzs
A. PriorPaymen45
B. Diswunt 0.00
Total Cretlits(A t B) (2) 0.00
3. In[eres� (3) —.
q_ If Line 2 is greater than Line 1 a Line 3,en�er��e tliHerence. This is lhe OVERPAYMENT. (4)
Check boz on Page 2,Line 10/o requesla refund
5_ IfLineltLine315greaterihanLine2,enlerthetlifference. ThisistheTA%�OE. (5) 7�743.14
Make Check Payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Ditl tlecetlen�make a[rznster and: �es No
a. relaintneuseorincomeof[hepropetlytrans(erretl ........_. ..._ _. ❑ ❑x,
�. relaintM1enghttotlesignalewhoshalluselhepropeM1ytranstenedon�smcome ... __ O ��
c. relain a reversionary interesl;or ............_ _.. .__ _.. x
E. receivetM1epmmiseforlifeofei��erpayments,beneftsorwre'+_. . ..... . n U
2. If tlea�M1 occurtetl after Dec. 12, 1982 tlitl tlecedent lansfer property w�h n one year of deaM wNoul
re�ivingatlequa�econs0eretion?...._ ._.._.. .._._. ._..._. _.... U �]
3. Dld decetlent own an"in�ms�fo�' or payable upon tleath bank account or security at his or her dealhP...._. ❑ 0
4. Ditl tlecetlent own an indivitlual ret;rement accounq annwty or o��er non proba�e property wNch C I u
containsa0eneflciarytlesignation__. ____. ............ ....._.. ___._
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF TME RETURN.
For da�es oi death on or afler July 1,1994 and bekre Jan. 1,1995,�he tax rdte impoud on�he nel value of transkrs lo or tor�he use aiNe sumving spause
is 3 percent P�P.S.§91761a)(1.1)(i)l.
For dates of death on or after January 1,7995,ihe tax 2te impose0 on t�e net value of tanskrs to or br the use oithe surviving spouse Is 0 percent
p2 Pb.§911s(a)(t.i)(ii)�. The slalule does not exempt a t2nsferto a surviving spouse Imm tax,and Ihe staNtory reQuiremenislor aisdosure otassets ana
filing a tav retum are sfill applioble even if ihe surviving sDouu is the onty bene(ciary.
For dates of tleatb on or afier July 1,2D0��.
. The lax rzte imposed on ihe nel value ottransfers from a deceased child 21 yeare of age or younger at tleath ro or forihe uu o!a naNal parent,an
atloptive parent,or a s[epparent of the child is 0 perceN[12 P 5.§9116(a)(12)�.
• The lax rale imposed on t�e nel value oflanskrs to or tor the use oi the EecedenYs lineal benefivanes is 4.5 percen(except as notetl in p2 P.S.§9116(a)p)�.
. The lax 21e imposed on the nel value of ironsfers to or ror the use ot ihe tlecetlenCs siblings is 12 percent[�2 PS.§9116(a)(1.3)I� A sibling is Oefined
under Section 9102,as an individual who has al least one paren�in wmmon with�he deceden�,whether by blood or adoplion.
e..nsoa ex.�o�tol
SCNEDULE A
pennsylvania REAL ESTATE
�EPARiMENTOF REVENOE
INHERITPNCETMRETIIRN
RESIOENT pFCEOENi
ESTATE OF FILE NUMBER
Pressley William RoyJr 21-14-00758
ai�a.i prop.m ow�.a wiaiy or.�.i.�.m���=a�.�wo m�.i o.nn�nee a r.i.m.m.e..we.ren�nn.awe���aan�ea a:ma on�a�onim p�pmv.owa oa
e. na�aea oaeroa�.w�n��e e�ye�a�a a an��e=auer,�e��neroa��c=ompauee io o�yor aen,eom nem�e ream�aeia e�owiaaoe m�nareia.emra��..
a.n prop.m�n.<�.iomnyo�.aw�mnqmo�s�m.o�.n'�vm�.�wai.oio..aoo.�nea�i.r.
nn.=n.copv mtn.wni.m.m an..�nin.a�oP�M nn e..n.o�e
IncluEe acopy ol�he tlaeE e�owlnq EeceEenfe In�e�n�i�owneE�e lemnt in common.
ITEM VA W E AT DATE
NUMBER DESCRIPTION OF DEATH
1 Real Estate-1218 Market Street, Harrisburg, Dauphin Counly; Pin No. 09-012-056-000-0000- 33,600.00
AssesseC Value
2 RealEsfate-SLockwillowAve., Harrisburg, DauphinCounry-PInNo. 35-044-077-000-0000- 23,100.00
Assessed Value
3 Sale of Real EsWte-279 Ridge Hill Road -Sale to Creig Kern-See attached Settlement 220,000.00
SWtement
TOTAL(Also enter on Line'1, Recapitulation� 27fi,700.00
Qt more speca Is neetletl,atltlitionel peges oi tM1e same s¢e)
Copyright(c)2010�orm software only T�e Lackner Group,Inn Fortn PA-0500 Schetlule A(Rev. 0140)
Nev-1501 E%�(6-98)
� SCHEDULE B
STOCKS 8 BONDS
ESTATE OF FILE NUMBER
Pressley William Roy Jr 21-14-00758
a�oropeM lo�m�yown.a wm ngnt a.urvi�orenlp rrvn be msmosea on sm.aub F.
ITEM CUSIP VAWEATDATE
NUMBER NUMBER DESCRIPTION UNITVALUE OFDEATH
1 E'Trede Securities-Investment Account No.nux-1433 2,729.30
TOTAL(Also enter on Line 2.Recapitulation) 2.729.30
Q(more space Is ne NeQ aEtlitional pages ol I�e same s¢e)
Copyrigh[(c)20W fortn sofhvare only The Lackner Graup,Inc. Portn PA4500 SCM1edule B(Rev.&98)
as.nsoa�.�n.�o�
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, 8 MISC.
oEvnarmeHr or aEveHue
,�„ER„�„�E,a.RE,�a� PERSONAL PROPERTY
aesioervr oeceoeHr
ESTATE OF FILE NUMBER
Pressley William RoyJr 21-14-00758
Intlutle tM1e O��s ollili8etion entl Ne 6sle t�e prrceeGavnra rewlveG Oy��e eala�a.
NI propellyfolntlyawneE wl��Me tlgM al furvlvon�ip mual be OivclouE on ec�etlWe F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Cash �o.00
2 MetroBank-SavingsAccountNa. 410158452 4.953.77
3 MetroBank-CheckingAccountNo. 540003811 P72.11
4 MetroBank-CheckingaccountNo. 54008471 5.50
5 Matro Bank-Checking Account No. 540008489 7,100.00
6 Automobile-1977 Chevrolet Corvette-not in good contlition 1,000.00
7 Bentlinsky&Co Acution Services-Gross proceeds from sale of personal/household items 27,5fi2.70
B Bristol Wes[-Insurence Commission on policies written prior to date of death 156.57
9 Commissionearnetlonpreviousinsurancepolicies-Commissionsearnedakerdateof 7,938.97
death from insurance business of tlecedent
7U Commission earned on previous insurance policies-Commissions earnetl aker tlate of 2,239.02
death from insurance business of decedent
17 Foremost Insuronce Company-Commission earned on insuance policies prior to tlate of 100.46
death
72 Foremost Insurence Company-Commission eamed on insurance policies prior[o date of 72.95
tl¢ath
13 Lititz Mutual Insurence Company-Refund of Homeowners lnsurance on residence 647.00
14 Metro Bank-Refund for overpaymenl on Loan No. 930030945 19.53
Tofal of Continuation Schedule See attncnea page
TOTAL(Also enter on Line 5, Re<apitulationl 82,089.94
pr more sparc�is neeeee,aeeu�onai paqes or me same size)
Copyright(c)2010 form software only The Lackner Gmup,Inc Foim PA-0500 Schedule E(Rev. 114�)
0.ev-0509 El��11A0�
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, 8 MISC.
OEPARIMEM OF RF/ENVE
���Ea�,��E,�AE.�a�+ PERSONAL PROPERTY
aesioenr osceoeur eontinued
ESTATE OF FILE NUMBER
Pressley William Roy Jr 21-14-00758
ITEM VALUE AT�ATE
NUMBER DESCRIPTION OF DEATH
15 Highmark Blue Shieltl-Proceeds Fram retirement accountfrom Sanda Pressley Estate 36,011.96
TOTAL(Also enter on Line 5, Recapitulation� 82,089.94
Copynght(c)2010 form software only The Lackner Gmup,Ina Fortn PA-0500 Schetlule E(Rev. 1140)
0.e�A60B E%��01-10�
pennsylvania $CHEDULE F
oeaaarmeHraraeveHoe JOINTLYAWNED PROPERTY
INHERITPNLE ipX RETURN
i E�ENT
ESTATE OF FILE NUMBER
Pressley William RoyJr 21-14-00758
n.�...ai..a�a.ioim w�mm o,�.ya.r oi ua a«.a.or.ae�e m ee.m,n m�.o na�epo,ue o�.�n.am.a.
Sl1RVIVINGJOINTTENANT(S)NAME ADDRE55 RELATIONSHIPTODECEOENT
A. Bryan Pressley 3911 Gettysburg Road Chiltl
Camp Hill, PA 17071
B.
C.
JOINTLV OWNE�PROPERTV:
DESCRIPTION OF PROPERTY oale oF oearH
ITEM �ETTER DATE iHcwoervuneoFFi�+aucwuesrrtunoHnrvoenr+Knccoovr OATEOFDEATH DECDS �^�ueor
NUMBER FORJOINT MADE HumeeaaAsiMivaioeenFrirvcrvumeeannncNoeeovoA VAWEOFASSE IMEREST oeceoeHi'si�+reaesr
TENANT JOINT �ownv-ne�oaen�esinie
1 A 09/79/799fi MetroBank-CustodianSavingsAccountNo. 45.40 50.000% 22.70
410158443-Jointly owned with Bryan
Pressley
TOTAL(Also enter on Line 6, Recapitulation) 22.70
(If more space is neeeen,atltlitional pages o�tne same size)
Copyright(c)2010 form software only The Lackner Gmup, Ina Fonn PA-0500 Schetlule F(Rev.01-10)
p�,"�Ex.,,��, SCHEDULE H
pennsylvania
oePnr+rmEHroFaev�rvue FUNERAL EXPENSES AND
'""`R'T""°E'""R"�°" pDMINISTRATIVE COSTS
,
ESTATE OF FILE NUMBER
Pressley William RoyJr 21-14-00758 _
Decedent's debts must be reported on Schetlule I.
ITEM DESCRIPTION AMOUNT
N MBER
p, FUNERALEXPENSES:
See continuation schedule�s�attached 10,515.00
B. ADMINISTRATIVE COSTS:
1. PersonalRepresenta�ive'sCommissions
Name of Personal Represenla�ive(s)
Bryan Pressley
StreetAtltlress 3911 Gettysburg Road
ciW Camp Hill State PA zio 17011
Year(s)CommissionPaid 201582076 16,243.00
p, Attomey's Fees Mateya Law Firm 12,500.00
3_ Famity Exemption' Qf tlecetlenPs atldress is no��he same as claimanCs,attach explanation)
Claimant
SlreetAdtlress
City State Zio
Relationshio of Claimant to Decedent
4. Pmbate Fees 610.50
5. AccountanfsFees
6. Tax ReNrn Preparer's Fees
]. Other Administrative Costs 77.68225
See continuation schedule(s)attached
TOTAL(Also enter on line 9,Recapitulation) 57,550.75
Capyright(c)2009 fortn software onty T�e Lackner Group,Inn Fortn PA-0500 Schedule H(Rev. 10-09)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Pressley William RoyJr 21-14-00758
ITEM DESCRIPTION AMOUNT
NUMBER
Funeral Exoenses
1 Musselman Funerol Home-Funeal Expense 9.020.00
2 Rolling Green Cemetery-Cemetery Expenses 1.495.00
H-A 10,515.00
Other Administrative GosL
3 Andrew Shaw-Deed preparation fee antl represenfation al real estate clasing 350.00
4 Bentlinsky 8 Co Auction Services-Expenses relatetl to auction of personal/household items 6.77fi.50
5 Cumberlantl County Register of Wills -Short CertiFcates for EsGte of Sandre Pressley for 75.00
use to lransfer tiHes to automobiles
6 Deboroh K. Bocian-Notary Fee for real estate documents 20.00
7 Etluartlo Landscaping-Lawn Maitenance at resitlence 7fi5.00
8 Eduardo Lantlscaping -Lawn Mailenance at residence 165.00
9 Eduardo Lantlscaping-Lawn Maitenance at residence 55.00
10 FirstlnsuranceFunding-WintrustCompany-Liabilirylnsurance-AccountNo. 563.61
7270500t71898176
71 Foremost Insurance Company-Homeownera Insurance premium on residence-Policy No. 526.26
36'I-0090670404-01
12 Goodwill-Shreddingexpensestoroutdatedbusinessrecords 78.00
13 MetroBank-Feeforreturningunearneticommission 15.00
Capyright(c)20�2 form software only The LacknerGroup,Inc. Fortn PA4500 Schedule H(Rev 6-98)
SCREDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Pressley William RoyJr 21-14-00758
ITEM
NUMBER DESCRIPTION AMOUNT
14 NorthMounWinSettlementServices-TaxCertificationFee 20.00
15 North MounWin Settlement Services-Overnight delivery fees associatetl with real es}ate 40.00
closing
16 PA American Water-Water service at resitlence �<9.4�
17 PAAmericanWater-Waterserviceatresitlence 712.53
18 PADepartmentofRevenue-Seller's'I%ofrealtytransfertax 2,200.00
79 Penn Waste-Trash service at residence-Invoice No. 0002946357 38.77
20 PennWaste-Trashserviceatresitlence-InvoiceNo. 0002946357 38.77
27 PennsylvaniaAmericanWater-Waterserviceatresidence-AccounlNo. 1024 5'1.45
-210035380P57
22 PPBL-Payment of eleclrical service at residence Account No.85740-70007 256.95
21 PP&L-Payment of electrical service at residence Account No.85740-70007 260.21
24 Scott eentlinsky-Auctioneefs commission on sale of real estate 3,300.00
25 Scott Bentlinsky-AdveRising,disposal fees and labor fees associated with auction of real 1,377.00
esfate
26 SilverSpringtownshipAuthority-FinalSewerbillforresidence 177.53
27 Suburban Propane-Tank rental 10.76
28 SuburbanPropane-Homeheatingfuel -TicketNo. 2113-175712 69.06
Copyrigh[(c)2002 fortn software only The Lackner Gmup,Inc. Fortn PA-1500 Schedule H(Rev.6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Pressley William RoyJr 21-14-00758
ITEM AMOUNT
r+UMBER DESCRIPTION
29 The Patriot News-Expense for Ohituary 32�.64
30 Tri-SGte Shredding Corp-Shredding expense for business records 270.00
31 U.S. PosGl Service-Certified mail for Renunciations �9�4�
32 Vital Rewrtls-Fee foretltlitional Death Certi(cates 54.00
33 Walgreens5pecialtyPhartnacy-Prescriptionmetlication-AccountNo. 10997526389 246.53
H-B7 17.68225
Copyrighl(c)2002 form soflware only The Lackner Gmup,Ina Foim PA4500 SCM1edule H(Rev.6-98)
Rev�15II FX��11M)
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
oEaaarmENroF aEVEHUE
�„„Ea�,a,�E,�aE,�a„ MORTGAGE LIABILITIES AND LIENS
aEsioEHr oECEOErvr
ESTATE OF FILE NUMBER
Pressley,William Roy Jr 21-14-00758
e.�n awm'����n.a ew ma m�.a.m v�o,�o e..m m.�nm.m.a��ove.un.a.a oi a,m,�nawmy�nn�me�naa meamai e.�,.n..e.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OFDEATH
1 Berks Credit&Collections,Inc. -Payment of Quantum Imaging outsGntling invoices 15.33
Z Berks Cretlit&Collections,Inc.-Payment of Quantum Imaging oufstantling invoices 72.04
3 BureauofAccountManagement-C011ectionforoutSWndingmetlicalbilltoPinnacleHealth 52.69
EmergencY'Acct.#29197838
4 CapiGl Region Water-Water service tor 1218 Market Streeq Harrisburg,PA Account No. 5,199.42
09072056-0000(7)
5 CapiGl Region Water-Outsfanding water bill for rental property-Account No. 09012056 1,881.38
-0000���
6 Chase-Mortgage Accounl No. 1914513250 32,483.00
7 Cily af Harrishurg -Treasurers Office-Fee for respontling to false burglar alartns-Account 245.00
No. 027943-001
B City of Harrisburg -Liens on property located at 1218 Market Street 3,377.88
9 Cumberlantl County Register of Wills-Real estate Wxes!or 20'12-Parcel No. 64-027-778 for 860.00
Brown Street., Harrisburg, PA
70 DauphinCountyTazClaimBureau-RealESWteTaxes-2012-ParcelNo.09-048-007for700 3,300.00
5. 13th Street,Harrisburg, PA
71 Oauphin County Tax Claim Bureau-Real esfate taxes for 2072-Parcel No. 35-040-077 for S. 8�0.00
LockwillowAve.,Harrisburg, PA
�2 Dauphin Counly Tax Claim Bureau-Outstanding real estate taxes on Lockwillow real estate; 832.63
Parcel No. 35-044-077-000-0000
13 IC System -Collection Agency for Spnnt Account No.800234086 438.29
14 MelroBank-MortgageAccountNo. 930030945forresidence )3,159.65
ToGI of Continuation Schetlules See anached
pa9es
TOTAL(Also enter on Line 10, Recapitulation) 131,921.69
pf more soace�is neeeee,aeeinonai paqes or me same s�re7
Copynght(c)2008 form soffware only The Lackner Group,Inc Fortn PA-1500 Schedule I(Rev. 12-08)
qev-06IIES��4-09)
SCNEDULE 1
. pennsylvania DEBTS OF DECEDENT,
oernarmenl oF aEveHue
,N„Ea�,ax�E,�RE,�R„ MORTGAGE LIABILITIES AND LIENS
aesioervr oECEocrvr continued
ESTATE OF FILE NUMBER
Pressley William RoyJr 21-14-00756
REM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
15 Metro Bank-Delinquent paymen}s an loan No. 930030945 7.P48.46
i6 PAAmericanWaterCompany-Waterserviceatresitlence 195.15
17 PadgaH Business Services-Services for prep of tax and financial reporting for insurance 3,240.00
business ownetl by decedent
18 PatientFirsl-OutstandingMedicalBillfordecedent-Acct00087675'I6 208.29
19 Penn Credil-Outstanding metlical bills for Pinnacle Heallh System 873.79
20 Pennsylvania Amencan Water-Outstantling unpaid utiliry bill 333.05
21 Pinnacle Health Medical Group-Outstanding metlical hill fordecedent 5.00
22 Pinnaclehealth Cardiovascular Inst.-Medical Services tor decedent-AwL 405452 9.32
23 PP&L-Payment of electrical service at residence Account No.85740-70007 256.97
24 PPBLUtilities-OufsWndingutililybill-AcctNo. 85740-70007 800.90
25 Quantum Imaging 8 Theapeutic Assoc-Account No. 556682-Metlical services 81.06
26 Quest Oiagnostics-Metlical Services-Account No. 2375575895 z.61
27 QuestDiagnostics-Medicalservices �0�a�
28 Safeco Liberty Mutual Group-Liability Insurance for decetlent's business Y63.31
29 SilverSpringTownshipAuthority-SewerServicesatresidence-AccountNo. 30163796 63'1.91
30 Sollenberger Colon/Rectal Surgical-Outsfanding medical services-Account No. 3867'I 3529
31 Suburban Propane-Outstantling utility bill of decedent;Account No. 2113-305989 134.37
Copyrigh�(c)2008�ortn sokware onty The LacknerGroup,Ina Foim PA-0500 Schedule I(Rev. 72-OB)
Per-054 E[��II-08�
SCHEDULE I
pennsylvania DEBTS OF DECEDENT,
OEPARIMENT OF F WENOE
,H„Ea„A„oE„xRE,�aH MORTGAGE LIABILITIES AND LIENS
aesioer�r oECEoerv�
continued
ESTATE OF FILE NUMBER
Pressley William RoyJr 21-74-00758
REM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
32 USTreasury-2011PersonallncomeTaxes �Z��»
33 Verizon -OutsGntling telephone bill of decedent;Account No. 799U00 8531013471 70 305.50
34 Verizon -Oufsfanding telephone bill of decetlent,Account No. 7506163670007 407.96
TOTAL(Also enter on Line 10,RecaDitulation) 131,9P1.49
Copynght(c)2008 fortn software onty The Lackner Gmup, Ina Foim PA-0500 Schedule I(Rev. 1208)
aev isv ez.lm�o�
pennsylvania SCHEDULE J
oEaaalrnErvr oF aEVErvuE
���Ea�ra��E_�*aE*�A� BENEFICIARIES
qesioeuroeceoervr
ESTATE OF FILE NUMBER
Pressle ,William Ro Jr 21-7 4-007 5 8
NAME AND ADDRESS OF RELATIONSHIPTO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(SIRECENINGPROPERTY DECEDENT (Wortls) ($$$)
I TAXABLEDISTRIBUTIONS [includeoutrigh�spousal
dis�ribu�ions,antl�rensfers
untlerSec9116a 12
See attached schetlule
Total
Enler tlollar amoun4s fortlisiributians shown above on lines 15 thmu h 19 on Rev 1500 caver shee� as a ro nate.
NON-TAXABLE DISTRIBIITIONS.
II. q.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOTTAKEN
B.CHARITABLE ANp GOV ERNMENTAL OISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LME 13 OF REV4500 COVER SHEET
Copyright(c)20f 0 form software only The Lackner Group,Inc. Portn PA-0500 Schadule J(Rev.0140)
SCHEDULE J
BENEFICIARIES
(Part I,Taxable Distributions)
ESTATE OF:
William Roy Pressley Jr 0512112014 206-32-0232
Item Name and Address of Person�s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($SS)
1 YveHe Bailey Child One-ninth(7/9)of
624 South 20th Street residual esfate
Harrisbur9, PA 17704
2 Tracy Carter Child One-ninth(1/9)of
3�5 Buckley Onve residualestate
Harrisburg, PA 77112
3 Lori Mitchell Child One-ninth (1/9)of
9632 Lucerne Ave#37 residual esfate
Culver City,CA 90232
4 Brianna Pressley Child One-ninth(7/9)of
39N Gettysburg Road residual estate
Camp Hill, PA 77071
5 Bryan Pressley Child One-ninth (1/9)of
3911 Getrysburg Road residual esWte
Camp Hill, PA 17017
6 David Pressley Child One-Ninth(1/9)of
5'104 Griffendale Lane residual esfate
Upper Marlboro, MD 20772
7 Heather Pressley Chiltl One-ninth(1/9)of
9'103 Joyce Lane resitlualestate
Hummelstown,PA 77036
8 William Pressley Chiltl One-ninth (1/9)of
1040 Biscayne Blvtl N3105 residual esW[e
Miami, FL 33132
9 Shelli Scott Chiltl One-ninlh(7/9)of
1718 Berryhill Street residual eslate
Hartisburg, PA 17104
1
.��' "-`�� OMB ApP�OVBI N¢250?0265
`�,�� A. Settlement Statement (HUD-1)
�,QFHq2,0RX5 3.X❑Conv.11nins fi'.FIIeNumEe[ ].LoanNumEn'. B.Motlgegeln5wanwCaseNumEer:
' t0.32]]NM HA1412WOOOOfiO3
4.QVA S.QConv.lns.
R No1e:IDic loim u IwrnsMtl IogWepu a¢�aM1mm�M sWelSMlenenl ms�c.Amwnls peitl�o adGy�M se�lkmen��an�c ua vlwn.I�ems merk]
"(poq"w �epaa Istle� minBl��Here¢hw:nlw'e� wnYpmpmeSarAareMlnqWetlln�Mloleli.
O.NemeBAGtlreseof8omowec^e EName6Htltlessat5elle[ ENemeBAJtlressolLenEe[
CT95.Rem,$antlRA.YY�n Es�a�eo�Willlal'iF.PR661Ey.Jf. MoiI�3�2Am¢IiWIW.
11]Mountalnqoed5�ermen5�ale,GP 1)090 Zl9RNgeHJlftoea,MecM1anlcstr�g,PA 1]O50 1425Gape5�real,WM1i�e�dII.PN1B052
G.PmpeM�ocalion: H.SeHlemenlNpml: I.Sel�lemen�0e�e.0Y1F3015
2]9RItlB�H�IIRoatl No�M1Moun�einSe�Ibmen�5erv1[eSLP.
Mac�eniccEu�p.PN P050 1PW No�A MounUin Roal,NamsLuq.PP PH2
]61416210t(Sllrer Spnng TawmM1ip
re���ne:rn-wo-nao Fu.�vaeaaiw
cia�eo�s>niemenr T�nee.o�e�:
issauonnuovmamnoae,eamseuy,vntnia vnmaeovianoisenoozem
ey oa
�/ 100. Gr«�MwuMOuehom9arrux� � � ' 400.�GrwcAmmMUwto9eller �
taf. cono-xiseies�re sz0000.00 am. cono-xisaesy�;ce � n0000.w
iaz aeao�ai m n aoz Pe�ronzi m
ID9. senkmemmziqes�oromower�Pz�eoo7 r,eos.ss aoa.
1�. 9W.
�p5, A05.
AdusMmkkrilem� aiEO ulbrin�Wm[e AOuvlmw�[loribm� tltlE ulbrin�Ennu
106. Cltytlwrnlmes �o <06. Glyllo-rmlves N
1�]. COun�y�B[PS �0 4��. COYOIy�MPS W
100. Fuessmen6 �0 408. Fsseszmenk N
103. 6clioollaes 01116/H]15�o06�90IP➢15 1,411A1 409. Scl�mllues %11812%SbC613M015 1,9]1C1
110. 410.
111. m1.
iis. ns
110. GruaPmount�uelromBorrowar Y�9R1L� @9. GracsAmaunt0ueN5Nlx u1,]I1.Od
A0. Amau�NP�itl aInBM�IlotBaewx 500. 0.Mustlon�InAmwA��u�b8�q�r
. oepo-sno�eemes�money s+. essae�os�i�sx'�nswnonz�
mz. rnncioeiamo��mire.mz�(sl ns,00000 soz. semememcnerse:m.mkrP��e�arol �me.$)
2113. Ev¢li b [1a4nsuE'dW 503. E�isAn ba [ IakenauE'ttl�o
919. OverOaymeolfarRpO�lsal P5D0 SM. PryoXolArsimo�pa�benp1910.5194WtoCM1ase 39,6W91
205. 505. peYOXotSttoMmo�prdebenM990030935b ]5,461.9f
MelmBank
Pp5 6W
40]. 50I
zoe. sw
409 503
AE�YMIBORMf1�Pi116Y011db Bl�IP1 AEY6bliBOd�NIbI06Y� lIEb 6BIIBf
P10. Clrytlownls�es b 510. CiyXownlvec lo
411. County�vec 01�01I4015bO1I1N3015 43]5 5fl. Countylaxes 01I01Q0151o01dN4015 ES�S
2I2. AS60561nE�N �a 9}. ASSGSSmQ�15 W
413. 51].
P14 SID.
9S 515.
116. 516.
31L SP
E19. 51fl
41A 51fl
uo. ialtlV�itl XorBortarn 1]b,OfiO]5 SID. iq�IRatluNonAmaunt0uo5tlbr 19,601.5]
1W. G��tlBptlxn�nt/roMbBarwx bW. C���HBNWmmtlohwn4Nl�r � �
901. GmssemowtAueimm0aimuerpinetPO) 1S9,P9.59 fi0t GmssamounlEueroselb��line<e]) 141,9I1.W
,9pp, lessamoun6paiCbyXo:bormwer�linelYO� 1]6,OfiBiS fiOY. �ssretluc�lonsinamounlUu¢seller�Ilne520� 11),fiBt9
30J. USM1 Q% From � ioBwrvxer 53,118.06 60]. L�vM1 %Q To ❑ FrmmSNler 103,6B95f
PreWousel6oniareosoe[e 4a9elofl HVO-0
iql. ToblReelE�MN&OFRFN� ai Fmm Pai Fmm
oMsbnoimmmbson4re�ooss�olbn: 0orrowefs Seller's
- 53.3W00 to col�Ben�insky Fu0d5dt FOOtlSdt
, �- soao m � Settlement Settlement ✓
I rm. commms�cnoeaa�senemeni a,ano.o
. eoo. mm.r..ei.��c��.�u�.nnw�
� 8 . wonAlntlpn[a�q �n[vest�qnelbnoNt0. eorODO) 6100 �ImmOPEp1�
. Pouecretlllorv�el9e(poln�s)�o���espwHlcln�ereslR�ecM6en (Ipm p
0tr3. YouraElusNtloAQmrtionv�aryec prom p 1 .
_ Ppprakal�ee bUmcre�Mlanlcl S<15WPi0S,�B]��romGFEN9�
0.5. GrtdAre� �oqCPAmOFlnazlel'Simansloitslna ��mmGFEN9) W85
006. imseMce bMo� Pmen[alz. ��mm FEN9) 3. 0
. Floodce�ili[efun bCore:nlc ��mmGFEN9) 19.00
A08. b
W0. IbmaRayul�eE lantlxrobePtltl�nREv�nu
9p1. Oallylnleresl[Aanps�mm Imm0111 /101510 Z01/2J15� 163300May (ImmGFE#10�
. Mo�AM Inc.PremWm lo� manUs�o ��mmGFEN3)
3. Momeownelsincursn[e lo� monNs�oMMGlncu2n[e $91E➢OPOC.�B�I�romGFEN11�
9W. monNsto �immGFEp11f
100LInifelaepasitloryourescmws:ount I��mGFEp9) ?<�0.9]
1ppl.Homeowne�s�incurence 3 nontAs 5 10.6]/monln 3P36.�1
ima.Monqaqems�a�ce mo�ms 5 uommonin 3
iow.c�ya��n�r�. momns S o.wmwnm s
1oos.co�myvmoaM�aa +z monmc s ee)amomn itaar6
100fi.5c�oolPmpe�yiai B monNs 5 451.}Ymon�� R.W916
10W.AggreyeR Atlluslmen� 5�905.61
t�oo.mi.cn. .. � �
o . enmesanetmersoiems�ranoe immcvean aesoo
1IDR.Seplememorcbsin9fee p S
1103.Owneh�itbinwrzrce�ObRepuEl�¢NalanaliAklnsuranceCo. ImmGFEbS 440.00
110A_LentlaR�lte lnsuren�e-Otl RepuWc Nallonel TN4lnsurenca Cu. 11p30.W
1105. Ieneers�6epolicylimilfPfi,WG.W lenae/sPollcy
110fi.Ownert f�b poRy UmA SR10,OOO.W Orae�s Poley
11W.Fgenfxp�pqnolNe�o�dlli�lelnsumncepremium 51451.N
�o Norl�Mounlan Sel�kmenl S¢n6es,LP.
t10flOntlemnlefs0otlom�l�e�o�elllllelnsuancepremlum 6198.00
lo Oltl Rs uW�m Na�ional iiik Insurena Lo.
11p9.NolaryFee Io�eWreAK.9acien 4000 �
1110. LIo51nA8v[LNC� IONaMMounleinSelllemen15145W
iMA 6mmmMRwaEln mtlinn�hrCM �c �
tRU1. GovemmenlrevoNinA��aqas 8 � I��mGFEM]� 145.W
�p1, �eee583`.0 Mo $11150 Releaze5
1Plll. iransle��a*as 4 (immGFEpB� 2,2COW
404.LiylLounrytav/sYm�s peetl5?�0000 MotlAage$ /
4CS. Sla�eiar/slamps aetl53,2000� Mo�ga9e$ 130CA0 ✓
1206. peetl 5 Morl e e$
191] $
1W6AtldltlmtlStltl�n�nlCM1� r� � �
1301.R¢pul�ed[ervlcu��a�youwns p�o� (ImmGFEp ) �65.�0
130 .Te�mAe IOPennvesl 500 /
. CxeE Pre0 lo i�e Law OMce ol AntlrewH SAa+,P,C, �/
13p4.TBCCBtli�kdlio0 MNOtl�M00��81�$PMIPIiIl�I$lIVIEGS � �/
1305.O�emqMFee- IONotl�MounlalnSeVRmenlServlce;LP. iC. ✓/
G Smsr1N d61o011fi115 IOSIIverS mi TownsM1l ANM1odly 1].5 �
139i.Ativ¢pising WScol�Bentllrek «- �
130& �laposal W6colt9enElnsky 44 0 �%
1 9. labor IoScolt9entllr.cky 0 ✓
ii . i l,BC6.55 ]p18.53
•PaiG ouhde olcbslnp Ey(B)armwe5(S�eller,R�erAer,(I)nveffi[Bm(N)er."GndA Oy kotle�s�own on pape 1.^'Lretlll by sellersAown on pege i.
Grevmus e410ons are o05o ete Page 2 of 3 H00-1
FINAL
SETTLEMENT
- �� �� DATEOPSALE `�'=
SELLER NM1E = -- - �— -
ADDRE55 .. PHONE _
__ -- ZIP
LOCATION OF SALE __ - - —�
AUCTIONEER�.-_-�J.� ' - '.. •�_�_. ...— PHONE �, � '-y— ' '::.:
. . .. . SEUER'SIXPENSES . � �.RECEIPfS . . . .
PROFESSIONAI FEES �
AUQIONEER $ � ��� _ .— CASH $ _--.-�----
� CtERK $_� ' - �. CHEIX$ $�. . �
•,;
� CASHIER $.__�!__.t__. OTH�R RKEIPT
� OTHER EXPENSES �-- --�-- �-u--�� $ . ---
���: � . � ,. .. . ��6��= $.- ��'
,:
` � �;� . - � $_� = - �`r.1 - -- '`- �--
.._ ' ,-..__.___-_
..::.
�_ � . _ $'L��'--- � ._ _ _—._ $.--.
3. -'_ �
�� ���
:; � �.� - ...� F�.r:.,^$. o� $
. n . . . . .. � .. . '::,, :� 9..__-'— __
..� �.. . :�_ _.,—� �i_"�_.. $._-. ' . - u..:^T-+- ._��'_—._ .
. i $ t � _ -�' S
� ' � ='' �� � . -- -
_,
,,:
� ` 7 'F�, $-
_- _ -_
, � _�i� r ;� .. �..$__ .._
F 7 Hl'..;----�—� .. ... �
/ "
. .'1.. '��_.. ' ,. � ti Jt.Vtr,._:$__ �_� � _ . - _ _ _"_"-_.____ $
$- $
H. ✓
- g__ TOTALRECEIPTS $ `��� � `'" �
__—____— _ ,
.,W,. . . . . : ... . 1E55 TO7ALE%PPPJSES' $ '. ?.,; S>,..
-- _._— �" — . .
� � � TO7ALIXGFNSES S , � N�����PAYABLEIOSEUfR S�D ��6` ' � -�
�- � ���.
I (or we�, the seller, ac<ept this seMement and acknowledge receipt of the above specified net prxeeds
from If�e au<fion of my goods and properly sold on Ihe above date. I accept all responsibi6ty For providing
merchanfable fide to all goods, ond property sold, and kr deliyery oF title fo ihe purchaser.
' n ' � '_
.y:( { .Yl. 't y....r: � ��i''"."" —Dak ___� i.."�
�`��� Aodioneer or Cashiels Signature — �� (�I(er's SignaNre�
, ; :... .._.__—_—Da1e— '
�_.: �. .,< Date
, � �. � (Seller's $ignaNre)
AUCTIONGFWS CUaY