Loading...
HomeMy WebLinkAbout04-14-15 L•7 pe�n�ns taniaX 1505618403 �`�� REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes Courtly Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Harrisburg,PA 17128-0601 RESIDENT DECEDENT 21 14 0746 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 07 19 2014 01 17 1939 Decedents Last Name Suffix Decedent's First Name MI VARNER DONALD M (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return 2. Supplemental Return 1:13. Remainder Return(date of death 1:1 prior to 12-13-82) E] 4. Agricultural Exemption(date of 5. Future Interest Compromise(date of E] 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) El 7. Decedent Died Testate ❑ 8. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach copy of will) (Attach copy of trust.) El10. Litigation Proceeds Received ❑ 11. Non-Probate Transferee Return ❑ 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) 13. Business Assets 14.Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number JERRY A WEIGLE ESQUIRE 717 532 7388 First Line of Address 126 EAST KING STREET Second Line of Address City or Post Office State ZIP Code SHIPPENSBURG PA 17257 Correspondent's email address: iweictle(cii)-e►einleassociates.com REGISTER OF WILLS USE ONLY REGISTER OF WILLS USE ONLY DATE FILED MMDDYYYY fTt C> "[? M C'7 Cn "I7 DA FIQED�rAMP C7 70 CD O <� :3 ►-+ c5 Side 1 ; � ►�-► r'— m cr t (n CD 1111111 II[II[1111[1111 Illll IIIII IIIII IIIII VIII[II[I IIII ill! 1505618403 1505618403 1505618411 REV-1500 EX Decedent's Social Security Number DecedenfsName: Varner, Donald M. 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 and Notes Receivable(Schedule D).................................................... 4. 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).......... 5. 35,543-03 6. Jointly Owned Property(Schedule F) ® Separate Billing Requested............ 6. 7. Inter-V vos Transfers&Miscellaneous Non-Probate Property (Schedule G) ® Separate Billing Requested............ 7. 345,880-04 8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 381,423-07 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 29,250-75 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 783-02 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 311,033-77 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 351-,389-30 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. 351-.389-3a 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.00 15. 0•0 0 16. Amount of Line 14 taxable at lineal rate X .045 3 51,3 8 9.3 0 16. 15,812- 52 17. Amount of Line 14 taxable at sibling rate X.12 0.00 17. Q•Q O 18. Amount of Line 14 taxable at collateral rate X.15 11- 110 18. 19. TAX DUE................................................................................................................ 19. 15,812 -52 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Under penatties of perjury,I declare 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.Declan preparerA pe responsible for filing the return is based on all information of i has any knowledge. Ke-11 , SIGNATURE OF PERSON RESPONSIBLE FOR FILING R Donald M.Varner,Jr. DATE ADDRESS 31 Chevy Gr ove Road,Shippensbur ,FIA,1 57 SIGNATURE P OTHER T REP S T A.Weigle Esquire D ADDRESS 126 East King Street,Shippensburg,PA 1/257 I��III II��I��IIII��I�I fllli III�I IIT������ II��I III I��I Side 2 1505618411 1505618411 REV-1500 EX Page 3 File Number 21-14-0746 Decedent's Complete Address: DECEDENT'S NAME Vamer,Donald M. STREETADDRESS 1300 Center Road CITY STATE ZIP Newville PA 17241 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 15,812.52 2. Credits/Payments A. Prior Payments 15,000.00 B. Discount 789.47 Total Credits(A +B) (2) 15,789.47 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) 23.05 Make Check Payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN"VIN 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?.................................................................................................................... ❑ 0 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ' ❑ ❑x 4. Did decedent own an individual retirement account,annuity,or other non-probate property which contains a beneficiary designation?.................................................................................................................. 0 ❑ 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)(1)]• For dates of death on or after January 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent p2 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 step-parent 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 decedents lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)]. . The tax rate imposed on the net value of transfers to or for the use of the decedents siblings is 12 percent p2 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-1508 EX+(M12) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Vamer,Donald M. 21-14-0746 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointtyowned with the right of survivorship must be disclosed on schedule F. (TEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Aetna-Refund 323.17 2 American Legion-Death benefit 100.00 3 Ameriprise OneFinancial Account#8024 8642 3 133-Interest in transit at date of death 1,598.18 4 Erie Insurance Company-Refund 40.00 5 F&M Checking Account 0003306712 6,969.02 6 F&M Checking Account 0003306712-loan from Donald Varner,Jr.to Estate 10,500.00 Accrued interest on Item 6 through date of death 0.06 7 Humana-Refund 12.60 8 2007 Kymco Motorcycle 1,500.00 9 2009 Lincoln -Proceeds from sale of automobile 14,500.00 TOTAL(Also enter on Line 5,Recapitulation) 35.543.03 (If more space is needed,additional pages of the same size) Copyright(c)2012 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev.08-12) Rev4510 EXs(08-09) SCHEDULE G Pennsylvania INTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Varner, Donald M. 21-14-0746 This schedule must be completed and filed E the answer to any of questions 1 through 4 aro page three of the REVA Soo is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DEWS EXCLUSION TAXABLE NUMBER THE INCLUDE OF TTRME OANF SF�ER.SATYT%&THEIR OPYY OF THE DEED FOR DECEDENT STAATE. VALUE OF ASSET AND INTEREST (IF APPLICABLE) VALUE 1 Ameriprise Brokerage IRA#5889 6160 7133- 13,395.51 13.395.51 Beneficiary Donald M.Varner,Jr.,son of decedent 2 Ameriprise OneFinancial Account#8024 8642 3133- 272,582.15 272,582.15 TOD to Donald M.Vamer,Jr.,son of decedent 3 MetLife Investors-variable annuity -Contract No. 59,902.38 59,902.38 3205591165;Beneficiary Donald M.Vamer,Jr,son of decedent TOTAL(Al'so enter on Line 7,Recapitulation) 345,880.04 (If more space is needed,additional pages of the same size) Copyright(c)2009 form software only The Ldbkner Group,"Inc.".:- Form PAA 500 Schedule G(Rev.08-09) REV-1511 EX+(08-13) pennsylvanla SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN RESIDENT DECEDENT ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Vamer, Donald M. 21-14-0746 Decedent's debts must be reported on Schedule 1. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s)attached 8,900.25 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zia Year(s)Commission Paid 2. Attorney's Fees Weigle&Associates,P.C. 9,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation) Claimant Street Address City State Zia Relationshio of Claimant to Decedent 4. Probate Fees 145.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 10,705.00 See continuation schedule(s)attached TOTAL(Also enter on line 9,Recapitulation) 29,250.75 Copyright(c)2013 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.08-13) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF a FILE NUMBER Varner, Donald M. 21-14-0746 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Fogelsanger Bricker Funeral Home 8,900.25 H-A 8,900.25 Other Administrative Costs 2 Cumberland County Law Journal-Advertising 75.00 3 Cumberland County Register of Wills-Short Certificates 20.00 4 Cumberland County Register of Wills-Filing fee for Release 5.00 5 Donald M.Varner,Jr.-Payback of loan made to estate 10,500.00 6 The Valley Times-Star Go The News Chronicle Company-Advertising 80.00 7 Weigle&Associates,'P.C. -Postage,copies,etc. 25.00 H-B7 10,705.00 Copyright(c)2002 form software only The Lackner.Group,Inc. Form PA-1500 Schedule H(Rev.6-98) Rev-1512 EX.(12-12) SCHEDULE 1 pennsylvanla DEBTS OF DECEDENT, DEPARTMENT OF REVENUE INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Vamer, Donald M. 21-14-0746 Report debts incurred by the decedent prior to death that remained unpaid at the date of dealt,including unrelmbursed medical expenses ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 F&M Checking Account 0003306712-Checks clearing after date of death 783.02 TOTAL(Also enter on Line 10,Recapitulation) 783.02 (If more space is needed,additional pages of the same size) Copyright(c)2012 form software only The Lackner Group,Inc. Form PA-1500 Schedule I(Rev.12-12) REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Varner,Donald M. 21-140746 " NAME AND ADDRESS OF RELATIONSHIP TOSHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT (Words) (S5S) Do Not List Tnut s I. TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116 a 1.2 Donald M.Varner,Jr. Son One Hundred 351,389.30 31 Cherry Grove Road Percent Shippensburg,PA 17257 Tata[ 351,389.30 Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,as appropriate. NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETI Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10) F&M TRUST Date of Death Valuations Customer Name: DONALD M.VARNER Date of Death: July 19,2014 Total Accrued Balance as of Account Acct Type Account Number Open Date Close Date Balance Int Date of Death Owners/Title Joint Established Checking 3306712 10/30/1996 8/11/2014 $ 6,969.02 $ 0.06 $ 6,969.08 Donald M Varner Kelley Blue Book Page 1 of 2 ti Kelley Blue Book The Trusted Resource" HAS YOUR CAR'S WARRANTY UPIRED? - _ px`►y°T' OR IS IT ABOUT TO EXPIRE? Advertisement Why ads? Sell To Private Party 2009 Lincoln Town Car Pricing Report Good OM condraCandititrn v . $12,437 c«riti n $11.590 . W $13,232 Style:Signature L Sedan 4D �., Condition Mileage:ioo,000 *x$13`950 e ya Vehicle Highlights Fuel Economy: Max Seating:6 Private Party Values valid for your area through 3/26/2015 City 16/Hwy 24/Comb 19 MPG Doors:4 Engine:V8,Flex Fuel,4.6 Liter Drivetrain:RW D Transmission:Automatic,4-Spd w/Overdrive EPA Class:Large Cars Body Style:Sedan Country of Origin:United States Country of Assembly:United States Your Configured Options Our pre-selected options,based on typical equipment for this car. Options that you added while configuring this car. Engine Comfort and Convenience seats V8,Flex Fuel,4.6 Liter Air Conditioning Dual Power Seats Transmission Power Windows Leather Automatic,4-Spd w/Overdrive Power Door Locks Wheels and Tires Drivetrain Cruise Control Alloy Wheels RWD steering Braking and Traction Power Steering Traction Control Tilt Wheel ABS(4-Wheel) Entertainment and Instrumentation AM/FM Stereo CD(Multi Disc) Audiophile Sound Safety and security Parking Sensors Dual Air Bags Side Air Bags Glossary of Terms Tip: Kelley Blue Book(D Trade-in Value-This Is the amount you can expect to receive when you trade In your car to a dealer.This value Is determined based on the style,condition,mileage and options it's crucial to know your car's Indicated• true condition when you sell it, so that you can price it appropriately.Consider having http://www.kbb.com/lincoln/town-car/2009-lincoln-town-car/signature-l-sedan-4d/?conditi... 3/20/2015 J L ''yIFICATE•OF TITLE,FOR .A VEHLCLE CERA" '627 10EEE340001©655-001 == _7 3LNHR28T79R61G04' 2009 LINCOLN . 66417142302 VA S �1d d �,'.'�. •.• VEHICLE IDENTIFICATION NUMBER I•�� 1" >•-.-af1 IIhAKE CFV-v:iilCt:E•! - TITLE NVIvffiER - - �: :��vlv : .•� o � ,I Pa °� 8l1CJ�1CI� : �v411�e�. AT CAPPRtOF?`RTLEr$TATE r-'r rDOA'1.PR'OCD,•t�A,'fE ODOM MILES 000M.STATUS BODY TYPE DUP SEO - L CWLEI[T t DATE PA TITLED DATE OF ISSUE UNLADEN WEIGHT GYWR GCL•�R TITIN BRANDS FE-=- . +ODOfs TER STATUS �11ACTUAL MILEAGE 1�`'y k5.MAGE EXCEt�JS THE,AI:CJ)�f.�iGAL'�;� Nor�k+'EpcjuAC M,4FlcEt�i*; 1 f yi. /.... 'FL`•wti TAhi OPiCVERIFiED a:EXEMPT FROM ODCMSTER DISCLOSURE. - f)EGISTERED OWNER(S) ".i' _.' rl,:.' ,�,•. ;,-, _ TfrE BRANDS. i. 'y- •A.ANTIQUE VEHICLE _ y C v CLASSIC VEHICLE � DONALD. M -V,ARNER i� I�r,4"v4� Hwhf �, ' F C rV�EYGIE 331E ROXBURY_ RD D v ORYn:NALLY MFGD.FOR:IO IGS. ( •• , NEW V I LL E- .PA 1724.1 .. .'tsy. p.' - - - H v AGRICULTURAL VEHICLE LEFACIE' r. `-.Ta` L .ISWAS 0 VEHICLE . � P�ISY/AS A POLICE VEHX;LE R.RECONSTRUCTED S.STREET ROD . T=RECOVERED THEFT VEHICLE V v VEHCLE CON'ADLS REISSUED VIN 1 i3'• �h W-FLOOD VEHCLE X vISWAS ATAXI FIRST LIEN FAVOR OF: y>r-.rf -, J''.. SECO'NO:LlE If a secondfenhoUer is listed sa*LFtac la�`d tlFe"Ws1 tt1As,'^4�.xs -�sr,a7'"�LL*-� kntnlder-must forward this tLh o, Titl tfr;eureob' TM19okai�"��!ehit''Sy1wl • • FIRST LIEN RELEASED appmpviate loam and tee. s""• '�+, , :,,� w.`` � *. ,� A�w DATE BY SECOND LIEN RELEASED AUTHORIZED REPRESENTATIVE DATE _ MAILING ADDRESS r ey s AUTHORIZED REPRESENTATIVEtiy DONALD M VARNER ' 330 ROXBURY RDS NEWVILLE PA 17241 pennsylvania DEPARTMENT OF TRANSPORTATION msµ•^� �v z s w/ 7� p�•C �•� v ! I pertly as of the date of issue,the o(Eclal records of the PenrnyNar>!a Depanrnant ALLEN D B I E HLL R •` _ of Transportation ra9ect that the person(s)or company nerved herein is ft lawful owner _ _- of the said vehicle. .. Secretary of Transportation .'�`'`- � LA171:7L7j;j{MM1:,�7�rJJJ.r.7 4S�iJ�.ZL'iV � . r 1 ':hw2' -r ♦; • _v.a:- i .�- , i "v-i . n .a• ;;.)-,' - It a co-purchaser other than your spouse Is listed and you want the li,le to ' SUBSCRIBED AND SWORN =''= ._•=�' be listed as'Joint Tenants With Right of Survivorship'(On death of one TO BEFORE ME: _ '. -.. - Mo ,.-,_ AY 1, v, owner-tl le goes to survlvfng a ner)CHECK-HERE O.O.horwiso the sale %..,. `w will be issued as'Tenants(rl CoITITI. (On death of one owner,interest of , s I deceased owner goes to hLltl ser heirs or estate) ` • -�$ IF NO LIEN CH'EKCJ- 1S THIS AN ELT?(1F YES,FIN REOLIIRED)• YES P(Olr, £- � - -- 1ST UENHOLDER FINANCIAL INSTITUTION NUMBER: t , } ,� -. i'.� �.., tS F-;ENHOC,DER NAS O „ l, STrd CITI K STATE Zip I IF NO 2VD LIEN,CHECK❑IS T,IS AN(:LT7(IF YES F!N REOUIRED)YES.4]000 W The tr MmVW 1-4 amkstcr,la Ce*&o M Ta u ww Mik dasae•e d Y h' .ram•. aL•a e.swlsu>D Ke Mltu'�barlroa axf orw bpsr rltn aM ra:c.f+Ma. "..'.�-y�` y N 12ND 11ENHOLDER FINANCIAL'(T'1ST[TIPWN N41(ytBtR � •.,,�i }�• xx.�`" _ __ 2ND UENHOLDER NAME -•'Ahs �y .} }t. :� yry,� -�Y`Ti'r}, SWUNWRE OF APMJCMIT OR AVOOR2ED SIG-ISR i STREET E:S cn SIWee TORE GF CaAPPUCAI...CE OF Al/THORZEO S'GNEF. CITY STATE ZIP %a• 2007 Kymco Grand Vista 250 Motorcycle Suggested Retail Value - Kelley Blue Book Page 1 of 2 g*I ZIP CODE:17257 I Sign in(or Sign up) Home I Car Values Cars for Sale Car Reviews Awards&Top 10s I Research Tools Popular at KBB.com CHOOSE Kelley Blue Book Best Buy Awards of 2015 Advertisement Why ads? Home>Motorcycles>Scooter> Kymco Grand Vista 250> 2007>Trade-In or Buy?> Motorcycle Details Your Scooter Value C " 2007 Kymco Grand Vista 250 01 .r Trade-In Value Suggested Retail Value a�trttortabte, prohssional air medical << $�.r88� transport. Excellent Condition Optional Equipment when purchasing from a dealer Mileage&Condition Information Search 1000s of motorcycles Know your credit score AAngofM.014hl Find yours now Check your credit Advertisement Why ads? Value Another Motorcycle I Shop for Your Next Car or Truck Shopping Tools Equipment Check Used Motorcyde History Standard:1-Cylinders,4-Stroke,250cc Included See If You Can Save on a New Motorcycle Shop Motorcycle Parts and Accessories Next Steps To Buying Smart Get a Free Progressive Motorcycle Quote Get Low, Established Pricing See Your Credit Score 'Buy Uke a Pro'on your next new motorcycle, ��O ERS rOtTlS a ATV,side-by-side,PWC or snowmobile. 'v""�-c�" Go Find Motorcycles for Sale Sell Your Motorcycle Need a Motorcycle Part? Shop the biggest selection of motorcyde parts, $ik gear and accessories on the web. """ Buy now Check Used Motorcycle History Get the information you need on the 2007 VIN: jEnterVIN(optional) Kymco Grand Vista 250 before you spend $tart search $1,880 Search: Find car values or features Popular Topics Car Reviews®News Help Recenf�r Cars My Saved s http://www.kbb.com/motorcycles/kymco/grand-vista-250/2007-kymco-grand-vista-25 0/su... 3/20/2015 11 L11,11114.11 all • 1N M WIN I r CERTIFICATE OF TITLE FOR A VEHICLE 141323427006927-0(11 t RFBS4K193713201320 2007t KYMCO 64874226004., VA HI "•.. VECLE IDENTIFICATION NUMBER 1 -YEAR - MAKE OF VEHICLE, I - TITLE NUMOER -- _ • ��,3.a.•� C . © � PA 5/3,2/141 6i M.� 097EI� BODY TYPE DUP SEPRIOR TITLE AT CAP STATE COOM PROW.DATE ODOMILES ODOM.STATUS S 7/17/ DATE PA-rr L6C37�_1 4 5f12/14. 1DATE OF tSSUE UNLADEN VrEIGHT ( GWIR GCWR TITLE BRANDS 4 /f•.._. ODOMETER STATUS �'•, CB D-ACTUAL MILEAGE '1 1 MILEAGE EXCEEDS THE htECHANICAL.'+y si FFF444ynnn . LIMITS A`•�' 2.=NOT TFfE ACTUAL MY.EAGE � - �. 3=NOT THE ACTUAL A91F_A6ODOrVc`)Erl - -' 4,• t/ ' F TAMPERING VERIFIED t d-EXEMPT FROM ODOMETER DISCLOSURETITLE r-.r R'cGISTJNDS ERED OWNERS) l� : , ' A_A VEHICLE ,+ 'f DONALD M �FARNER �; 41� tr,"�,�glrf�s,lgel�or�I.wti 'g o��,DVEHICLE � 13[3[1 CENTER RD ,.# w ` ,R �' ,AOUT OF�'�o.FORNON-US. x. DISTRtBUnON ,• - .T : •} ;�-.t< ' H AGRICULTURAL VEHICLE VEHICLE NEW V I LLE PA 17241 L =LOGC•INVEHICLE a ' P=iSiwAs a POLICE VEHICLE !-••;• . R•:RECONSTRUCTED _ _ S-STREET ROD ±-- T=RECOVERED THEFT VEHICLE V-VEHICLE CONTAIMS REISSUED VIN W a FLOOD VEHWOLE x=iShYAS A TAXI FIRST LIEN FAVOR OF: SECOND LIEU FAVOR OF: _ 1: a second ienholder is Itr,ed Lpon sa`asfactlon of the fns; Farr. Gla bTt'4 � FIRST UQ!RELEA Fenhdder rnust toward this Title to the Bureau,of Motor Vetdcfes Orth thi?k �*'*,,'� aropdate Sorin and tee. SED Olt ppDATE BY SECOND LIEN RELEASED ,`�.-�•- AUTHORIZED REPRESENTATIVE DATE _ Y MAILING ADDRESS - BY • ' - AUTHOP.RED REPRESENTATIVE •-;"y DONALD M VARNER k` 1300 CENTER RD NEUVILLE PA 17241 € - pennsylvania OEPART61ENT OF TRANSPORTATION j -- • I cenuy as of the daze of Issm,the offkiei records of tho Pennsylvania Oepanment BARRY tJ SCHOCH, P• E• ,: of Transportation rinect that the remcrl(sl or ccmpeny named herein Is Die laMul owner of the said vehicle - Secrctnry of Transportation co-purchaser other than your spouse is listed and you want the title to 'SUBSCRIBED AND SWORN '? listed as'Joint Tenants With Right of Survivorship'(On death of one 3 .70 BEFORE ME: ,`yTl uo- DAY rEAA oYmer,title goes to surviving owner)CHECK HERE CL Otherwise,thetiile w R be issued as'Tenants in Common"(On death of one owner,interest of deceased owner goes to hisfier hews or esate). steNAIUR-- A OATR ttI IF NO LIEN,CHEgC❑ lS THIS AN FIT?(LF YES,FTN RC-0IIIRED) YES❑'NOG ,: �',j.'• --- LU 1 IST LIENHOLDER FINANCIAL R STITUTION NUMBER: (n 1111 !` IST UENHOL13ER IVIAE ,t O d 'STREET � T- < - - CITY STATE ZIP a M C 1 IF NO 2NO LIEN CHECK❑is TMS AN ELT?(IF YES,FIN REQUIRED)YEg& ,NOCI ' 3 /!7 TN W,W- [ by-kn ppk.- fn CWYi of 7J. b IM -Wk% tlA Ib d �/F 10.1.a•4+r.b Iae« eucn re om bcal an�u as fcn Bare .,vh1+ �'+,• T 2N0 LIENHOLDER FINANCIAL,NS7TTUTTON NUMBEr1� -'•'1 �� d _ 2ND LIENHOLDER NAME SeNArVRE OF AFP:ICANT OR AUTHCFaW StONFA M ( STREET w CITY STATE ZIP ry s'3t,AR.Ye OF CO-AprUCAWITME OF AWHOIFEO S u.z4 I f'•h v