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HomeMy WebLinkAbout05-19-15 i pennsylvanla 1505618627 3M464710.000 DEPARTMENT OF REVENUE EX(03-14)(TP) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Harrisburg,PA 17126-0601 RESIDENT DECEDENT a ENTER DECEDENT INFORMATION BELOW 02222015 10131945 Decedent's Last Name Suffix Decedent's First Name MI YOHE REGINA A (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 0 1. Original Return E] 2. Supplemental Return E-1 3. Remainder Return(date of death E-14. to 12-13-82) 4. Agriculture Exemption(date of 5. Future Interest Compromise(date of 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) EJ7. Decedent Died Testate 8. Decedent Maintained a Living Trust 0 9. Total Number of Safe Deposit Boxes (Attach copy of will.) (Attach copy of trust.) ❑ 10. Litigation Proceeds Received 7 11. Non-Probate Transferee Return ❑ 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) El 13. Business Assets F7 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 CRAIG A • HATCH , ESQ - 717-731-9600 First Line of Address . 2109 MARKET STREET Second Line of Address City or Post Office State ZIP Code CAMP HILL PA 17011 Correspondent's email address: C -H A T C H a9 H H G L L P • C 0 M REGISTER OF WILLS USE ONLY REGISTER OF WILLS USE ONLY DATE FILED MMDDYYYY .v 0 n fM DATEXILEPSTAMP --i C_-) i C.0 T rJ PLEASE USE ORIGINAL FORM ONLY '_> -TJ ::3 Side 1 CO M C:> I IIIIII VIII(IIII VIII VIII VIII VIII VIII VIII ILII IIII IIII air 1505618627 1505618627 �. 1505618635 REV-1500 EX(TP) Decedent's Social Security Number Decedent's Name:Y0HE REGINA A RECAPITULATION 1• Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. $0 . 00 2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . 2. $0 . 00 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C). , , , . 3. $0 - 00 4. Mortgages and Notes Receivable(Schedule D). . . . , . , . . . 4. $0 - 00 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E), , , , , , 5. $0 - 00 6. Jointly Owned Property(Schedule F) F-1 Separate Billing Requested. . . . . 6. $0 - 00 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) 7 Separate Billing Requested. . . . . 7. *1941517 - 00 8. Total Gross Assets(total Lines 1 through 7) , , , , , , , , , , , , , , , , , , 8, *194 -1517 - 00 9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9. $4 -1015 - 00 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1). . . . . . . , . . 10. $0 - 00 11. Total Deductions(total Lines 9 and 10). . . . . . . . . . . . . . . . . . . . . 11. $41015 - 00 12. Net Value of Estate(Line 8 minus Line 11) , , , , , , , , , , , , , , , , , , , 12. *1901502 - 00 13. Charitable and Governmental Bequests/Sec.9113 Trusts for which an election to tax has not been made(Schedule J), , , , , , , , , , , , , , , , 13, $0 - 00 14. Net Value Subject to Tax(Line 12 minus Line 13), , , , , , , , , , , , , , , , 14. *190-1502 - 00 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers uer Sec.9116 (a)(1.2)X.01V- *0 . 00 15. $0 . 00 16. Amount of Line 144laxable at lineal rate x.o- $190 ,502 . 00 16. $8,572 . 59 17. Amount of Line 14 taxable at sibling rate X.12 $0 . 00 17. $0 . 00 18. Amount of Line 14 taxable at collateral rate X.15 $0 . 00 18. $0 . 00 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. $81572 - 59 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Under penalties of perjury, I declare that 1 have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the person responsible for filling the return is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DAT TAWNIA L . JONES S ADDRESS 762 VALLEY ROAD E OLA , P 17025 SIGNATURE OF PREPARER OTHER THAN PERSON RESP IBLE F _.HE_R&TURN- DATE CRAIG A - HATCH , ESQ . ADDRESS 2109 MARKET STREET CAMP HILL , PA 17011 I'll�l II��I�IIII 1I i III� 111 II I III�I II Side 2 �50�61863 1505618635 3M464810.000 REV-1500 EX(TP) Page 3 File Number Decedent's Complete Address: DECEDENTS NAME YORE REGINA A STREET ADDRESS 762 VALLEY ROAD CUMBERLAND CITY STATE ZIP ENOLA PA 17025 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) $8,572 - 59 2. Credits/Payments A. Prior Payments $8 ,16 4 • 3 7 B.Discount *408 - 2 2 (See instructions.) Total Credits(A+B) (2) *81572 - 59 3. Interest (3) $0 . 00 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) $0 . 00 5. If Line 1 + Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) $0 . 00 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "V IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ 11 b. retain the right to designate who shall use the property transferred or its income . . . . . . . . . . . . . . ❑ 0 c. retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . El 0 d. receive the promise for life of either payments,benefits or care? . . . . . . . . . . . . . . . . . . . . . . ❑ 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? . . . . . ❑ 4. Did decedent own an individual retirement account,annuity,or other non-probate property,which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . El0 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 Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116 (a) (1.1) (ii)].The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a 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 decedent's 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 decedent's siblings is 12 percent [72 P.S.§9116(a)(1.3)]. A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. 3M4671 4.000 s REV-1514 EX+(OS-09) SCHEDULE G pennsylvania DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Regina A. Yohe This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCUAETHENAMEOFTFETRANSFEREE,THEIR RELATIONSHIP TODECEDENT AND DATE OF DEATH %OFDECD'S EXCLUSION TAXABLE NUMBE THE DATE OF TRANSFER,ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST IF APPLICABLE VALUE 1. Real estate located at 762 Valley Road, Enola, East Pennsboro Township, Cumberland County, Pennsylvania; $130,284.00 100.0000 $3,000.00 $127,284.00 being Tax Parcel No. 09 -12-2992-007C; transferred by decedent to her daughter, Tawnia L. Jones, on November 12, 2014, by Deed recorded in the Recorder of Deeds Office in and for Cumberland County on November 18, 2014, at Instrument No. 201426602. The value reported is the county assessed value of $131,600.00 multiplied by the common level ratio factor of . 99 less a $3,000.00 exclusion for transfer within one year of the date of death. 2 Ameriprise Financial Individual Retirement Account Beneficiary: daughter, Tawnia L. Jones $67,233.00 100.0000 $0.00 $67,233.00 TOTAL(Also enter on line 7,Recapitulation)$ $194,517.00 If more space is needed,use additional sheets of paper of the same size. 9W46AF 2.000 S REV-1511 EX+(06.13) pennsylvania SCHEDULE H DEPARTMENTOF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Regina A. Yohe Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. None B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: $500.00 3. Family Exemption:(If decedent's address is not the same as claimant's,attach explanation.) $3,500.00 Claimant Tawnia L. Jones Street Address 762 Valley Road City Enola State PA ZIP 17025 Relationship of Claimant to Decedent DAUGHTER 4. Probate Fees: 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. 1 Register of Wills filing fees $15.00 TOTAL(Also enter on Line 9,Recapitulation) $ $4,015.00 3W46AG 2.000 If more space is needed, use additional sheets of paper of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Recrina A. Yohe RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] 1. Tawnia L. Jones 762 Valley Road Enola, PA 17025 All of Residue: $190,502.00 Daughter $190,502.00 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. [[ NON-TAXABLE DISTRIBUTIONS A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ $0.00 9W46Al 2.000 If more space is needed, use additional sheets of paper of the same size. LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: it is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 This is to certify that the information here givi correctly copied from an original Certificate of F duly filed with me as Local Registrar, The ori; certificate will be forwarded to the State Records Office or permanent filing. C= 4�M FV 2 5�1 P 21355854 Certification Number Local Registrar Date Issued Type/print In COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS P­.rent CERTIFICATE OF DEATH Mack Ink State File Number J.Decadent'.Legal Nam,(First,Middle,Lost,Suffix) ..'I Number (Mo/Day/Y,)(Spell Me) Social Security R la a A- Y o h ta N'Selmlale 13 162 36 - 7557 2015 So,Age-Last Birthday(Yrs) Isti.Under X Year 15c.Under a DIy_I G.Data of Birth(Mo/Day/Year)(Spell Month) -­Birthplace(City Xate 11 Foreign Call")Month, I Day. I Hours In.tas Hax-17 Z�g F 69 1 Clr_robtar 13, 1945 17b'Birthplace(County) I)aLiptili-n So.Rc.id.l..(State or Foreign Country) b.Postal....(S taroNumba­I,cI.dOAPtN..) Be.Old.-OdOnt U_In.Township? Penns lvania - 762 Valley Retail f Yes..---d--r 11-d In East: Perlx�sboro a.b.:l-lancy Zd'v' ia.Residence(ZIP Code) 1702-5 .No,decedent lived within ilmlts of 9."a,In US Armed Forces? 110.M-1-1 Ste E:]at Time of Death Married E3 Widowed J11.Surviving SPovse*s Nam,(if wtf,,give name pHo­ofl,stm­Oga) H Yes M No M Unknown jf,,j Divorced C3 N-O,Married M Unknown 12.Father'.Name(First,Middle,Lost,Suffix) Ia.Mother's Nam,Prior to First Marriage(First,Middle,Last) samxel 211inEthel Llbba-rt 14­ Name 11411-R,1,11--hp,to Decedent To.,tnla­nt`.Mailing Address(Street and Number,City,State,Zip Code) DaUI -Tenvincia L. .SonesM T .17025 41PIY_P�AE2- - -- - - - er Or Th...H li-DWal7h C5_.c_.n�acRJn_.P*.;P11P.I� elf Death Occurred Somewhere 0 M o [3 Emergency A­/Outp.tI..t, C3 Dead A,rIY.l 0 13 Nursing Home/Long-Term Car.Fisclll�.Pllal:r3 Other(Specify) 1Sb.Facility No-.(If nat lostAtAl­,91-a­1 and number) 15c.City or Town,State,and Zip Code 15d,County of Do.' 762 Valley Road Enols, 31b PA 17025 0-. erland 268,Method of Disposition LJ Burial EX [:3 Cr.-.tl.n 16b_ Place o"Dispositlon(Name f,emeterycr ­cr­y,­.ha,pI..e) C3 Rarn. 'I from State U Oon,tl East Ha=iSbuirg Cemetery & CremationCremation�th­(Specify) Services 16d.Location of Disposition(City or Town,State,and Zip) 17­Sifin.t.-of F.l.-I SO-1c.Ll..­­or F­­In Change of Interment 17b.License Number Harrisburg, PA 17103FD 012774-1- 17c.Nam,and Complete Address of Funeral Facility Richardson lkmeral 11date'29 South Enala Drive Ertiola, PA 17025 Ia,Decedant's Education-Check the box that best describes the 29.Decedent of Hispanic C,lgIn-Check the 20.Decedent's Race-Check ONE OR MORE races to Indicate what highest degree or level of school completed at the time of death. b.x that best de...lb ._nether the decedent the decedent considered himself or herself to be. E3 ath grads or less I.Sp.rJ.,hU /HI.p.n.c/Lano. Check the"No" [X White 0 Korean 0 No d'Plo ,9th-12th grade b..Ifde , 0 Black or African American E-3 Vial:...... I=High school graduate or GED..-pl.tad X3 No,not SP-Ish/HispIlIC/Lattra, 0 American Indian or Alaska NOV- C3 Othe,A,I,, 0 So_.college credit,but no degree r3 Yes,McXiean,M-1-r,American,Chicoru, 0 Asian Indian E3 Native Hawaiian 0 Associate degree(e.g.AA.AS) E3 Yea,Puerto Rican 0 Chinese C3 0-olini..or Chamorro C3 Bachelor's degree(e-g.BA,AB,BS) 0 Yes,Cuban 0 Filipino 0 Samoan C3 Mast-'s degree(e.g-MA,MIS,Mialls,MEd,MSW,MBA) C3 Yes,other Sp.nish/Hi.P.M./Latin. E3 Japanese 0 MhO,Pacific Islander C3 D­t-11t,11 hl' Ed,111­Professional degree (specify) Other(Specify) � S, LLB JD 21.Decedent's Single Race Self-Deslglatloo-Check ONLY ONE to Indicate what the decedent considered hi-..If.r herself to be. 22..D­dO.t'.Usual Occupation-indicate type of RED,Whit. CJ J.P. ... C3 Samoan dome during most of working life. 00 NOT USE RET ED. Black or African Ann.,I... C3 Korean EJ Other P..Ifl.Islander C3 A­I­tndi.o or Alaska Hatt- 0 Vl.trarne.. [3 Don't Know/Not Sure Xjxchen Wtzrrklne'r C3 Asian Ind).. Cl Other Asian E3 Refused 226-Kind of E3 Chinese C3 Native Howell- El other(Specify) 0 Filipino E3 Guamanian or Chamorro Holy Spirit Hospital ITEMS 23.-2S MUST BE COMPLETED 238.Date Pr d J23b,SAMfP.r.s­P, a. I Death(Only when pot(..bl.) 3 �4;� r By PERSON PRONOUNCES OR 'T D f=_� -A--> CERTIFIES DEATH ��vu 23d.M=.0:7 124.Tim tyr):3 1 &.1 E..-I..r or C.-nor Conte etl7 1-3 Yes CAUSE OF DEATH Approxi-.1. 26.Pan 1. Enter the c� at_­dlselses,Injuries,or comptications-thtti,directly caused the death, 00 NOT enter terminal­nts such as cardiac ares t, love- I- resp-rat.rY arrest,or #ibHiiBoo ithoSlt showing the.00logy. 00NOT ABBREVIATE. Elt-ontyallcaw-onallre. Add additional lines if necessary. i Onset to Death IMMEDIATE CAUSE -- -­ 0. -A-3. (Final disease ar..ndill.o Due to in,as.consequence of); resulting In death) b. Sequentially flat Conditions, Due to(or as.consequence of): : f any,leading to the cause fisted on line a. Enter the C. UNDERLYING CAUSE Due to(or as a­­q­..of): (disease or injury that Initiated the events la-Iting d, In death)LAST. Due to .c....o-rca of): 26.Pon 41. Enter other significant conditions ca-ributine to death but not resulting In the underlying cause given In Part 1. 127-Was an autopsy CI Yes -Aa N. 28.wary autopsy findings -liable to complete the cis of death? 0 .. - _W N. 30.Old Tobacco Use Contribute to Deoth7 31.Manner at Death lot pregnant wfthtm past year ED Probably Natural 0 Homicide 0 Pregnant at time of death C3 unknown1� nYO.t,iiI 0 No _Rz-1 Accident M Pending J% t pregnant,but Pregnant within 42 day,of death E3 Suicide E:3 Could at be determined C3 Not pregnant butInjurypregnant 43 days to I year before death 32.Data of Injury(M./O.y/Yr)(Spell Month) ED Unknown If pregnant with(,the past year 33.Time of Injury 34.Place of Injury(e.g.home;construction site,form;school) 55.L.. 11.l of Ill.-(St-.t.nd Number,City,County,St.-,Zip code) 36.Injury at Walk 37.If Transpo'cation Injury,Specify: 38.Describe How Injury 0...­d: C3 Yes C7 Driver/Operator C3 Pedestrian M No C3 Passenger ED Other(Specify) k .��If`-Z,-physician,certified lu-a PractItIc,nal mdi=.MIner/c�ordnec.(Cha, only one): Corti '" "Y-To the best of my knowledge,death ad du. u.t he use(,)and man-,stated. occurred at the time,dote,and place,=due to the cause(.)and manner-.too. 0 Pronouncing"Cen't In.-To the best of my knowledge,death ilaq - In"stig-ion,In-,opinion,death red at In.time,data,and place and due to the­-1s1 and manna'stated. M Medical Examiner/Coroner On the bests of .,Ia, > Title of certifle, U­-Nurnba, KAA.C> it I 2" 3911.No-.,Address and ZIP Code of Person Completing Cause Of Death(It.n39, 1Date Signed(M./Day/Yr) 40.Registrar.District Number I.I.R.gistrar'S 5 tura 142.Registrar Pole Date Mo 43.Amendments PA REV-1500 SCHEDULE G INTER-VIVOS TRANSFERS and MISCELLANEOUS NON-PROBATE PROPERTY OOGPAT Prepared by and Return to: Craig A. Hatch,Esq. Halbruner,Hatch&Guise,LLP 2109 Market Street Camp Hill,PA 17011 TAX PARCEL NO.09-12-2992-007C EAST PENNSBORO TOWNSHIP DEED THIS DEED is made the 17)day of November,in the year two thousand fourteen(2014). BETWEEN REGINA A. YORE, single woman, now of 762 Valley Road, Enola, Cumberland County, Pennsylvania, 17025,party of the first part, GRANTOR, AND TAWNIA L.JONES,married woman,now of 762 Valley Road,Enola,Cumberland County,Pennsylvania, 17025,party of the second part, GRANTEE. WITNESSETH,that said party of the first part,for and in consideration of the sum of One($1.00)Dollar, lawful money of the United States of America,well and truly paid by the said party of the second part to the said party of the first part, at or before the sealing and delivery of these presents, the receipt whereof is hereby acknowledged, has hereby granted, bargained, sold, aliened, enfeoffed, released, conveyed and confirmed,and by these presents does grant,bargain,sell, alien,enfeoff,release,convey and confirm unto the said party of the second part,her heirs, successors and assigns, ALL THAT CERTAIN piece or parcel of land situate in East Pennsboro Township, Cumberland County, Pennsylvania,more particularly bounded and described as follows, to wit: BEGINNING at a point on the southern side of Valley Street(50 feet wide)at corner of Lot No. 2 on the hereinafter-mentioned Plan of Lots; thence by Valley Street,North 68 degrees 01 minutes 00 seconds East, a distance of seventy-five(75)feet to a point at Lot No. 4 on said Plan; thence by Lot No. 4 South 21 degrees 59 minutes East, a distance of one hundred forty-two and fifteen hundredths(142.15)feet to a point on the northern side of Lot No. 360 on the Plan of Louis Park;thence by Lot No. 360 and Lot No. 359 on the Plan of Louis Park,South 58 degrees 04 minutes 00 seconds West,a distance of seventy-six and fourteen hundredths(76.14)feet to a point at Lot No. 2 on the hereinafter-mentioned Plan; thence by same North 21 degrees 59 minutes West, a distance of one hundred fifty-five and thirty-one hundredths (155.31)feet to a point,the place of BEGINNING. BEING the same premises which James D.Yohe and Regina A. Yohe,by deed dated October 28,2009, and recorded in the Recorder of Deeds Office in and for Cumberland County, Pennsylvania, as Instrument Number 200941876, granted and conveyed unto Regina A.Yohe,Grantor herein. THIS IS A TRANSFER FOR NOMINAL CONSIDERATION FROM MOTHER TO DAUGHTER AND IS THEREFORE EXEMPT FROM THE PAYMENT OF REALTY TRANSFER TAX. TOGETHER with all and singular the buildings and improvements,ways,streets,alleys,driveways, passages, waters,watercourses,rights,liberties,privileges,hereditaments and appurtenances,whatsoever unto the hereby granted premises belonging,or in any wise appertaining,and the reversions and remainders,rents, issues, and profits thereof; and all the estate,right, title,interest,property,claim, and demand whatsoever of the said Grantor, as well at law as in equity,of, in, and to the same. TO HAVE AND TO HOLD,the said lot or piece of ground above-described, with all and singular the buildings and improvements thereon erected,hereditaments and premises hereby granted,or mentioned and intended so to be,with the appurtenances,unto the said Grantee,her heirs and assigns,to and for the only proper use and behoof of the said Grantee,her heirs and assigns forever. AND the said Grantor, for herself,her heirs,executors and administrators, does covenant, promise and agree,to and with the said Grantee,her heirs and assigns,by these presents,that she,the said Grantor, and her heirs,all and singular the hereditaments and premises hereby granted or mentioned and intended so to be,with the appurtenances,unto the said Grantee,her heirs and assigns,against her,the said Grantor and her heirs, and against all and every person and persons whomsoever lawfully claiming or to claim the same or any part thereof, by, from or under him,her,them or any of them,shall and will, subject as aforesaid, SPECIALLY WARRANT AND FOREVER DEFEND, IN WITNESS WHEREOF, the said party of the first part has hereunto set her hand and seal, the day and year first above-written. SIGNED,SEALED AND DELIVERED IN THE PRESENCE OF r 12 REGINA A.YOHt COMMONWEALTH OF PENNSYLVANIA. SS: COUNTY OF CUMBERLAND On this,the IJ-6hday of November,2014, before me,a Notary Public for the Commonwealth of Pennsylvania, the undersigned officer,personally appeared REGINA A.YORE, known to me(or satisfactorily proven)to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purpose therein contained. IN WITNESS WHEREOF, I hereunto set my han Wficial seal. COMMONWEALTH OF P Notarial Seat 0 Public Teri L.Walker,Notary Public Commission Expires: "; ''rq ' Lemoyne Bono,Cumberland County My Commisslon Expires Jan.20,2015 MEMBER,PENNSYLVANIA ASSOCIATION OF NOTARIES a•i i j. . CERTIFICATE OF RESIDENCE I hereby certify that the present residence of the Grantee herein is as follows: Tawnia L. Jones 762 Valley Road Enola,PA 17025 Atto y for Grantee TAMMY SHEARER RECORDER OF DEEDS CUMBERLAND COUNTY 1 COURTHOUSE SQUARE 7 CARLISLE, PA 17013 717-240-6370 Instrument Number-201426602 Recorded On 11/18/2014 At 11:41:56 AM Total Pages-4 •Instrument Type-DEED Invoice Number- 172518 User ID-KW •Grantor-YORE,REGINA A •Grantee-JONES,TAWNIA L •Customer-HAHBRUNER HATCH& GUISE LLP FEES STATE WRIT TAX $0.50 Certification Page STATE JCS/ACCESS TO $35.50 JUSTICE DO NOT DETACH RECORDING FEES — $11.50 RECORDER OF DEEDS This page is now part PARCEL CERTIFICATION $15.00 FEES of this legal document. AFFORDABLE HOUSING $11.50 COUNTY ARCHIVES FEE $2.00 ROD ARCHIVES FEE $3.00 EAST PENNSBORO SCHOOL $0.00 DISTRICT EAST PENNSBORO TOWNSHIP $0.00 TOTAL PAID $79.00 I Certify this to be recorded in Cumberland County PA I q O RECORDER OF DEEDS 1160 Information denoted by an asterisk may change during the verification process and may not be reflected on this page. OOG PAT Property Mapper Cumberland County, PA pr,' 0.15Ac, 762 VALLEY ROAD 95 6 PIN 09 12-2992-1301C. IPA Deeclbool.20142602 \186 On,,, 30NFq,TAwNIAL 0.1 7Ac. Propull,Twe P I Acmage 0 k6 Sq.am Feet 10-$220 22AC' % Ta�able T % CIEan 9,rjm�n L,nd A,�e��ed Valu� 0.17Ac, 0 20AC. 7.0 Totalbssesseaval,,P$ 1�1600oK sa:"pr.ce,$ 1 19 $a c UatorMor No,171 2U24 v. 7-8 Ypar Puft-197 , ", t F -- -- . NI) 0.15Ac. 1b 7-C k)t 6'26Ac. 7-A 0.1 5Ac. kc 17 8 0.30Ac. 02BAc. 16 O.1 BAc. sso 1540 to 0,1 gAc. 14 rz,i 0.21 Ac. It 0,24Ac. R, (80) Copyright 2011 Esti.All tights reserved.TUP Apr 28 21)15 10:59:39 AM. 762 VALLEY ROAD PIN:09-12-2992-007C Deedbook:201426602 Owner:]ONES,TAWNIA L Land Use Code: 101 Property Type:R Acreage: 0.26 Square Feet: 1032 Taxable Status: :T Clean&Green Status: Land Assessed Value$:40000 Building Assessed Value$:91600 Total Assessed Value$: 1 31600rA 0(3 Sale Pi Ke S: I Sale Date: Mon Nov 17 2014 07:00:00 PM Year Bulk: 1973 Munlcipality:EAST PENNSBORO TWP Height In Stories: 1 Type of Dwelling:DETACH Primary Exterior:Aluminum Basement Percentage: 100 Air Conditioning: AC Total Rooms: 6 Bedrooms:3 Full Bath: 1 Half Bath: 1 05/11/15 11:53 HPFAXAMERIPRISE 7175259484 Page 2 pennsytvania DEPARTWN'T OP REVENUE SWIM Of INOMOUAVIAIAES May 5, 2015 Ameriprise Financial 25 South 35th Street Camp Hill, Pa 17011-4409 Re: Estate of: Regina A Yohe Social Security Number* 162-36-7557 File Number: N/A Dear Sirs: The Department issues this waiver for the following security held in beneficiary format by the decedent. The security will be subject to Pennsylvania inheritance tax. The Department will issue an information notice to the transferee of the potential Pennsylvania inheritance tax due for this asset. A copy of this waiver is to be used by you to notify the transfer agent that the reporting requirements of Section 6411 of the Probate Estates and Fiduciaries Code (Title 20, Chapter 64, Pennsylvania Consolidated Statutes), have been satisfied. Name of Company: Ameriprise Financial Type of Account(s), Security Account ID Number(s) Account Balance(s): $67,233.00 pay 0� '&Ue- Sincerely, Amber Heimbach Inheritance Tax Division Department'J Revenue 1 PO Box 28-06101.1 Harrishitr(j, PA 71,28 1 717.'1R7.6677 I www rpvpniun :tpllrr-?)n *** END OF ATTACHMENTS