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HomeMy WebLinkAbout01-0241 PETITION FOR PROBATE and GRANT OF LETTERS ~/-O J -~c..fJ Estate of Mil dred M. Nace also known as No. To: Register of Wills for the , Deceased. County of Cumberland in the Social Security No. 162-22-5039 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut in the last will of the above decedent, dated M~y 57 2000 and codicil(s) dated named ,19_ (state relevant circnmstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with ~ e~~ last{amilv or Drincinal residence at 1420 Bradley Dr. FIll -NOrLll nldd eton '~~~nstr1p r.::Irlic::lp) PA 17()11 (list street, number and muncipality) Decendent, then at Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: 72 years of age, died July 3, ,k 200ID , Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $ $ $ $ $ 8000.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) prel\ented herewith and the grant of letters Testamentary (testamentary; administration c.La.; administration d.b.n.c.La.) theron. '" lJ u c: ~ ~3 ol.I .... et:~ c: -00 c:'= cU'= -~ ",c.. V'- 50 ~ c: OIl (;i) ~p./j Lori J. Krick 134 C Street Carlisle, PA. 17013 6~,; 9~fVL l(iJt~ OATH OF PERSONAL REPRESENTATIVE COMMONWE.ALTH OF PENNSYLVANIA I ..~ COUNTY OF Cumberland J S~ /{~.0t./ ,9 The petitioner(s) above-named sw~ar(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above d~cedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and suhscribed $ I?CU< ~n"" /(I/Jh '" bef re me this 2nd day. 8f ~. March ~~ I ~ ~ MARY · LEW Register ~ ~ REG 'R OF WILLS ~o. 21-2001-241 Estate of Milred M. Nace , Deceased DECREE OF PROBATE A~D GRANT OF LETTERS AND NOW MARCH 5TH, UJX 200,lin consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated MAY 5TH, 2000 described therein be admitted to probate and filed of record as the last will of MILDRED M. NACE and Letters TESTAMENTARY are hereby granted to LORI JEAN KRICK FEES Probate, Letters, Etc. ......... Short Certificates(2 ) . . . . . . . . . . Renunciation ................ x-Pages (3) JCP $ 40.00 $ 6 . 00 $ $ 5: 8H TOTAL _ $ 60.00 Filed 1'1~~~~. .~~~.,.~q~~.. . . . . . . . . . . . . . . . . . ATTORNEY (Sup. Ct. I.D. No.) 44 South HAnover Street Carlisle, Pa. 17013 ADDRESS 717-243-9190 PHONE PUT LETTERS IN ATI'ORNEYS FILE BOX 11()'; '-Ill;:;; This IS to certify that the information here given is correctly copied from an original certificate of death duly tlled with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. -a..... ~. ~b.>-~~~ Local Registrar Fee for this certiflcate, $2.00 .. p 6714735 JUL I. 5 2000 Dare 21-2001-241 Hl05. ;.3 Rev 2187 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH ~INT .ENT INK NAME Of' DECEDENT (f~St. MoCdIe.lasr) t. AGE (La.. B""'day) SEX MILDRED M. NACE LFemale STKI E FILE NUMBER SOCIAL SECURITY NUMBER 3.162 22 UNDER' YEAR Montha Days BIRTHP~ (Coty orod P~E OF DEATH IC",",. only or>e _ ,n.uUCloOnS on _ ""'" Slale'" fCl""Jt' CounllYl HOSPITAL: yerry C~xnty ::ian' Kl ERIOutpa,ient 0 FACILlN NAME (II"", """M""'. gove '"eeI and number' =oIy,D 72 Y~. S. COUNTY 01' DE-CTH .QI . Ie. RACE' . Amenean Indi8n. 8lac:k. White. .rc. (Sc>ecoIy) White DECEDENT'S USUAL OCCUPIUION (~_~II7'~"::~~:'i' . ,ta. Factor Worker ttb. Shoe DECEDENT'S MAlLING AOOfIESS (SU_ CCyfTown. SIate.l'opCo<leI 1420 Bradley Drive Carlisle, Pa 17013 ,.. FRHER'S NAME (1'".... u-.. LaoI) ~ William Chester Brownawell INFClRMAHT'S NAME (T ypaIPT'w1l) ~ L~~i J. Krick UETHOO OF DISPOSITION _ GO C_ion 0 Removal "om Sta.. 0 01'- (SpecIy\ tlb. Coun Did decade.... .... in a Cumberland -..hip? t7d.O =~~oI MOTHER'S NAUE (F'II. M~. Ma~ Surname) Minnie Mae Sheriff MARITAL STATUS. Ma"~ Ne_ Mamed.~, 0'--' (Speelty) Widowed North SURVIVING SPOuSE 1ft ""a. gNe""-'_1 Middleton 1Wp. cIly/bon>. ORE OF DISPOSITION (M"""". Day. Ybar) o 2tl>. July 6, 2000 PERSON ACTING AS SUCH LICENSE NUMBER Ub. FD-O 1 2909 L To ,"" .. cI my k_dge, .,..m oceurrad all"" lilM. dale and pia.,.. "'Iad. (Signature atld T;ne) fl. INI'ORMANT'S MAIUNG ADDRESS (Sh",. C.ryfTown, Slate.l'IP Code) ~.134 C Street Carlisle Pa 17013 PLACE OF DISPOSITION. Nama of Camele..". C'.lTIa1Ofy LOCATION. CilylTown. Sla,e, XIll Code 0<01"'" Place Westminster Mem. Gdns 2t.. NAME AND ADDRESS 01' FACIUTY 22.~ Funeral Hare, LICENSE NUMBER 2td. Car Ii s Ie, Pal 70 1 3 255 York Rd., Carlisle, Pa 17013 DATE SIGNED (MCnlh.0..,. -, LUNfr CIrNf/c!2- OUE 10 (OR AS" CONSEOUENCE Of): 231>. 230. WAS CASE REFERRED 10 MEDICAL EXAUINEAlCORONER? ')...,/ .... 0 No~ 21. I Appro.imate PART II: OIlier si\)nit\canl- conlrib<JlIng 10 _.Ilul ! =-== 1IOl_1ng in 1Ile.-..ylng_ glvefI in PMT I. I l 0./ I :. .,. WERE AlJTOPSY FINDINGS -.LABlE PRIOR 10 COUP\.ET1ON OF CAUSE OF DE.CTH? DUE 10 lOA AS A CONSEOUENCE Of): DUE 10 (OA AS A CONSEOUE NCE OF): __0 MANNER Of DEATH Nat"".' ~ Hom;cide 0 ~eidef"lt Pending I"""sllgllion 0 SuiOde 0 Could not be determined 0 DATE 01' INJURY (Mon"'. Day. _.) TIME OF INJURY INJURY AT WORK? DESCRIBE HON INJURY OCCURRED. _ 0 NoD 2tb. CEA'TIP'IER ICh<<:ll only onat .CEJlTIP'YING PHYSICIAN (Ph_ car1JIying cav.. d dHlIl _ anoIher !>l\vSC.an has Plonounced de"'" ana Cllmplelad lIem 23) 'To_...ot""~.deatl'tocc",,,"due'ath.e8u.e(').ncf",.nner...r.ted................... ...................... ...... No~ 29. 3Oe. PLACE OF INJURY. Al home. farm. st'H'. laClary. omce btMdIng, .... cSpec.tvl 30.. M. 'MEDICAL EX....MINER/COROHER On the beala 0' examination end/Of Investigation. In "'y opinion, death oc.urred at the time, date, and pla.e, end due to the .cuse(s) and "'ann.. U statH.. .. .. .. .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . . .. .. , .. . . .. .. .. .. . . . . . . . . . .. . . .. . .. . . . . . .. . . . . .. . . . .. . .. . . . 318. REGISTRAR'S SIGNATU ~MBER ~. ~~~~ l~ lld-d I ("~ 5" ~0'S0 'PAONOUNCING AND CERTIFYING PKYSICl....N (Ph'fSlCllln bOIh Plonounc:>ng dealll and cert>fyong 10 cause d deallll To the best of my knowtedge. de8th occurred .t 11\. ttm.~ dab!. and ptac... and due '0 'he c."..(a) and mann.,.. .'.Ied.. . . . . . . . . . . . . . . . . . . I I, 1Enst llIill nub Qftstnttttnl OF MILDRED M. NACE I, MILDRED M. NACE, of 1420 Bradley Drive, Apartment F-111, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all former Wills, Codicils, or writings in the nature thereof, by me at any time heretof~xe made. FIRST: I hereby order and direct my Executrix, hereinafter named, to pay all my just debts, funeral expenses, testamentary expenses and all Inheritance, Estate, Transfer and Succession Taxes, as soon as may be conveniently done after my death, out of my residuary estate. SECOND: I give, devise and bequeath all of the rest, residue and remainder of my estate, be it real, personal or mixed, of whatsoever kind and wheresoever situate, to my daughter, LORI JEAN KRICK. LASTLY: I nominate, constitute and appoint my daughter, LORI JEAN KRICK, to be the Executrix of this my Last Will and Testament. No Executor or Executrix shall be required to file bond in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~~t! day of ~ m:Ldu~ m ~ Mildred M. Nace ,2000. SIGNED, SEALED, PUBLISHED and DECLARED in the presence of: 2 COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND I, MILDRED M. NACE, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Swo~n o~ affirm, ed to and acknqwledjled before me, by MILDRED M. NACE, the Testatrix, this h)t::J'\ day Of'---U'\~l ' 2000. \..., ~d >>l ~ Mildred M. Nace, Testatrix a. , N01"NML IIAL MeRLENe J. MAllIIWA. HarNfV PU8UC , CARI.JSt.E. ~ COUNTY. PA '-v COMMI88ION I!XJIIE8 JUNE 8,100I 3 COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND We, James D. Flower, Jr. and Thomas E. Flower the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testatrix sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me by James D. Flower, Jr. 5- 8) day of ~-rY~ this and Thomas E. Flower 2000. ~0.~~~~ . . "Witness ci ( . ~~~ Witness "-/ 4 E CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Nace,t Mildred M. Date of Death: July 3. 2000 Will No. 21-01-0241 Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on June 25, 2001 Name Address Lori Jean Krick 134 C. Street Carlisle, PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None Date: ~ -::z S- -D I ~%.~/ Name Jacqueline M. Verney, Esquire Address 44 S. Hanover Street Carlisle, PA 17013 Telephone (71 J 243-9190 Capacity: _ Personal Representative -x-Counsel for personal representative \. / 6- (;)/~- 9 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE P,7 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-14-2001 NACE 07-03-2000 21 01-0241 CUMBERLAND 101 JACQUELINE M VERNEY ESQ 44 S HANOVER ST CARLISLE PA 17013 *' REV-l!i47 EX AFP (12-00> MILDRED M Allount Rellitted CHANGED (1) (2) (3) (4) (5) (6) (7) .00 .00 .00 .00 284.44 20,294.65 .00 (8) MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=iSii'-Ex-AFP--fi'2-:oo1--NOTicE--oF-YNHEifiTANci-TAi-APPRAISEifENT-:,--ALI"owANci-cfi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF NACE MILDRED M FILE NO. 21 01-0241 ACN 101 DATE 05-14-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate 16. Allount of line 14 taxable at Lineal/Class A rate 17. Allount of Line 14 at Sibling rate 18. Allount of Line 14 taxable at Collateral/Class B rate 19. PrinCipal Tax Due TAX CREDITS: NOTE: (9) (10) 7,400.10 NOTE: To insure proper credit to your account, subllit the upper portion of this form with your tax paYllent. 20,579.09 37.930 36 17,351.27- .00 17,351.27- 00 = 045 = 12 = 15 = .00 .00 .00 .00 .00 30.530.26 (11) (12) (13) (14) (15) (16) (17) (18) .00 X .00 X .00 X .00 X (19)= PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) CF~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Nace, Mildred M. Date of Death: July 3, 2000 Will No. 21-01-0241 Admin. No. . Pursuant to Rule 6.12 of the Supreme Cou~t Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes y No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No x b. The separate Orphans' Court No. (if any) for the personal representative's account is: N/A c. Did the personal representative state an account informally to the parties in interest? Yes No x d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. ~ k.i 19 ture ~ ~ Date: & -~S- -0 ( Jacqueline M. Verney, Esquire Name (Please type or print) 44 S. Hanover St. Carlisle, PA 17013 Address ( 717 ) 243-9190 Te 1. No. Capacity: Personal Representative x Counsel for personal representative (MAH:rmf/AM3) REV-1500i:X(6-00) W I- ~:!!;Cf.l "",:< w"" ,,00 ,,"'-' ..Ill .. " /b - d. I If -q REV-1500 i_{_ ;....;0 I .:'.. O(:J~ OFF ICAl. USE (lb)t\ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ...2...-L--D-l COUNTYCOOE YEAR -D- -D- ...2... -'*- ~ NUMBER I- Z W C W U W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) NACE, MILDRED M. DATE OF DEATH (MM-DO-YEAR) 07/03/00 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER SOCIAL SECURITY NUMBER 162 - 22 5039 DATE OF BIRTH (MM-DD-YEAR) OS/22/28 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) N/A Qg 1. Original Return D 4. Limited Estate D 6. Decedent Died Testate (Altachoopyo/WiII) D 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (dateoldeall1 after 12-12-82) D 7. Decedent Maintained a Living Trust (Attach copy alTrust) D 10. Spousal Poverty Credit (date o/death between 12-31.91 and H95) 0.3: Remainder Return (dale 01 death prior to 12-13-82) D 5. Federal Estate Tax Return Required D- 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A} (Attach Sch 0) I- Z W C Z o .. Ul W '" '" o " NAME Jac ueline M. Verne FIRM NAME (tIApplicable) Esquire COMPLETE MAILING ADDRESS Jacqueline M. Verney, Esquire 44 S. Hanover Street Carlisle, PA 17013 TELEPHONE NUMBER 717 243-9190 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship OFFICIAL USE ONLY (1) (2) (3) (4) (5) z o ~ ::l l- ii: <t u w 0:: 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 20,579.09 284.44 (6) 2Q294.65 (7) (B) (9) (10) 7,400.10 30,530.26 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) (11) 37,930.36 (12) 0 (13) 0 (14) 0 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o !;i: ~ ::l !I. ::ii: o u ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x.O_ (15) x.O_ (16) x .12 (17) x .15 (18) (19) 0 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: STREET ADDRESS 1420 Bradlev Drive Apt F-111 CITY Carlisle, PA I STATE PA I ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Poor Payments C. Discount (1) o Total Credits (A + B + C ) (2) 3. InteresUPenalty if applicable D.lnterest E. Penalty TotallnteresUPenalty ( D + E ) (3) 4. If Line 2 is greater tflan Line 1 + Line 3, enter tfle difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Ves a. retain the use or income of the property transferred;...... .................................. .............................. ................. D b. retain the ri9ht to designate who shall use the property transferred or its income; ......................... .................. 0 c. retain a reversionary interest; or........ ........................ ................................. .................................... 0 d. receive the promise for life of either payments, benefits or care? .............. ............................ . ........................ 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............. ...................... ................................ ...................... D 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .... . . D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ..................... .............................. ........................ ....................... .... D No [] bJ bJ [J IXJ IXJ Iii] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN, SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Under penalties of pe~ury, I declare thai 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. Declaralion of preparer other Ihan the personal representative is based on all information of which preparer has any knowledge. DATE ADDRESS Jac ueline M. Verne Es uire DATE 4/2/01 44 S. Hanover St., Carlisle, PA 17013 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)l 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% [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemDt 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 twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a slepparent of the child is 0% [72 P.S. 99116(a)(1.2)]. The tax rate imposed on the net vaiue of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(I)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116(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. 11IClst lOU! Club QTtstCluunt OF MILDRED M. NACE 21-2001-241 I, MILDRED M. NACE, of 1420 Bradley Drive, Apartment F-111, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all former Wills, Codicils, or writings in the nature thereof, by me at any time heretofore made. FIRST: I hereby order and direct my Executrix, hereinafter named, to pay all my just debts, funeral expenses, testamentary expenses and all Inheritance, Estate, Transfer and Succession Taxes, as soon as may be conveniently done after my death, out of my residuary estate. SECOND: I give, devise and bequeath all of the rest, residue and remainder of my estate, be it real, personal or mixed, of whatsoever kind and wheresoever situate, to my daughter, LORI JEAN KRICK. LASTLY: I nominate, constitute and appoint my daughter, LORI JEAN KRICK, to be the Executrix of this my Last Will and Testament. No Executor or Executrix shall be required to file bond in this or any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ..~~ day of SIGNED, SEALED, PUBLISHED and DECLARED in the presence of: \. 'J~1~~\ , d~ ,2000. m// du J.)n '-JU, A 0 Mildred M. Nace 2 "V"~8E:'("971. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF NACE. MILDRED M. FILE NUMBER 21-01-00241 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. State Farm Homeonwers Insurance refund $70.08 2. School tax proration sale of real estate $123.73 3. County tax proration sale of real estate $ 90.63 TOTAl (Also enter on line 5, Recapitulation) $ 284.44 (If more space is needee, Insert additional sheets of the same size) REV-ls09 Eh (12-88) .. SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NACE, MILDRED M. FILE NUMBER 21-01-00241 Joint tenant(s): NAME A. Lori Jean Krick ADDRESS 134 C. Street Carlisle, PA 17013 RELATIONSHIP TO DECEDENT Daughter B. C. Jointly-owned property: LETTER DATE ITEM FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBEI JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1. A. 9/15/94 Condominium - 1420 Bradley Dr. $40,000.00 50% ~20,OOO.00 Apt. F-ll1, Carlisle, PA 17013 2. A. 1998 Checking acct # 767573 M&T Ban $ 589.31 50% 294.65 TOTAL IAlso enter on line 6, Recapitulation) S 20,294.65 (If more space is needed insert additional sheets of some size) - dtM/1 ---~ _.--- Parcel No.: 29-17-1583-15B-U5111-F THIS DEED JJ.-.- THIS INDENTURE, made this I$b-.dayof September. 1994, between STEPHEN D. TILEY andHELENE M. TILEY, husband and wife. of 256 South West Street. Carlisle CumberJandCounl)!, Pennsylvania170J3, andROBERT G. FREYandDEBRA 1. FREY, husband and wife, of 1017 Forbes Road, Carlisle, Pennsylvania. party of the first part. hereinafter referred to as the, . Grantors AND MILDRED M. NACE, single woman, andLOIS J. SHERIFF, herdaughterofNorth Middleton Township. Cumberland County, Pennsylvania. parties of the second part. hereinafter referred to as the, Grantees, WITNESSETH: That the said Grantorsfor and in consideration of the sum of THIRTY-NINE THOUSAND SIX HUNDRED FIFTY and 00/100 ($39,650.00) Dollars lawful money of the United States of America. unto them well and truly paid by the said Grantees at and before the sealing and delivery of these presents, the receipt whereof is hereby acknowledged. have granted, bargained, sold, aUened, enfeoffed, released and confirmed, tJ1Id by these presents do grant, bargain, sell, alien, enfeoff, release and confirm and convey unto the said Grantees, their heirs and assigns, as joint tenants with right of survivorship and not as tenants in common, ALL THAT CERTAIN condominium unit in the property known. named and identified in the Declaration of Condominium referred to below as Pheasant Run Condominiums,located in North Middleton Township, Cumberland County, Commonwealth of Pennsylvania and which Declaration of Condominium for Pheasant Run Condominiums dated September 17. 1980 was recorded September 24. 1980 in the hereinafter named Recorder's Office in Miscellaneous Record Book 258. Page 6. et seq., and which Declaration was amended by Amendmentdated November 14. 1985, and recorded December 23. 1985. in the hereinafter mentioned Recorder's Office in Miscellaneous Record Book 312. Page 776 et seq., and was further amended by Amendmentdated November 14, 1985. and recotded December 23, 1985, in the hereinafter mentioned Recorder's Office in Miscellaneous Record Book 312. Page 783 et seq.. together with a Code of Regulations for Pheasant Run Condominium Association dated September 17, 1980. and recorded September 24. 1980. in the hereinafter named Recorder's Office in Miscellaneous Record Book 258. Page 2S et seq., and together with plans recorded in the hereinafter named Recorder's Office in Plan Book 29. P.age 7 and Plan Book 38. Page 112. and being designated as: Unit: Floor: Building: F-III (I Bedroom) First V as more fully described in said Declaration and Plans, together with a proportionate undivided interest in the Common Elements of .0059524 percent as more fully set forth in the aforesaid Declaration and Plans. There are no recorded amendments to the above-mentioned Declaration, Code of Regulations or Plans. except as aforementioned. KNOWN AND NUMBERED as Unit F-lll, 1420 Bradley Drive, Carlisle, Pennsylvania, 17013. THE Grantees, for and on behalf of the Grantees and their heirs, personal representatives, successors and assigns, by tm acceptance of this deed covenants and agrees to pay for such charges for the maintenance oj. repairs to, replacement of and expenses in connection with the common elements as may be assessedfrom time to time by the Council in accordom:e with tm Unit Property Act of Pennsylvania, as amended, and further covenants and agrees that the Unit conveyed by this deed shall be subject to a chargefor all amounts so assessed and that, except insofar as Sections 705 and 706 of said Unit Property Act may relieve a subsequent unit owner of liabWry for prior unpaid assessments, this (.'OVt!fW1It shall run with and bind the land or unit hereby conveyed and all subsequent owners thereof. UNDER AND SUBJECT to all agreements, conditions, easements and restrictions of record and to the provisions, easements, covenants and restrictions as contained in the Declaration of Condominium, Code of Regulations and Declaration Plan, as amended. BEING a portion of the same premises which Pmasant Run Estates Limited Partnership, a Pennsylvania limited Partnership, by Deed in Lieu of Foreclosure dated October 27, 1993 and recorded October 28, 1993 in the Office of the Recorder of Deeds in and for Cumberland BOOK 112 rAGE 868 /;'7- -(li-'1 -.--.--.-"--- County. at Carlisle. Pennsylvania. in Deed Book "P", Volume 36, Page 686. granted and conveyed to Stephen D. Tiley and Raben G. Frey, two of the Grantors herein. THE above described condominium unit is described in said Deed in Lieu of Foreclosure in Part (I), Group One. A CERTIFIED COpy of the Orderof the Superior Court Deparon.ra of the Trial Court in andfor Suffolk County, Commonwealth of Massachusetts,filed to Civil Action No. 91~5193. A. entered on August 5. 1991. anda certified copy of the Amended Order datedAugusf 9, 1991, both appointing Arthur Blasberg. Jr. as Receiver, which Orders were referred to in the aforementioned Deed in Lieu of Foreclosure, were recorded in the aforementioned Recorder's Office in and for Cwnberland County. Pennsylvania, on December 14. 1993. The August 5. 1991 Order is recorded in Miscellaneous Record Book 461, Page 414. The August 9. 1991 Order is recorded in Miscellaneous Record Book 461. Page 417. A CERTIFIED COPY of the Order dated June 16, 1993 approving the sale of assets of Pheasant Run &tates Limited Partnership as part of the approval of the Final Report and Plan oj Distribution of the Receiver dated February ll, 1993, (See paragraphfifteen (IS) of said Order providing general authority to the Receiver to dispose of assets), which Order was mentioned in said Deed in Lieu of Foreclosure, was recorded in the aforementioned Recorder's Office in and for Cumberland County. Pennsylvania, on December 14, 1993, in Miscellaneous Record Book 461, Page 420. TOGETHER with all and singular the Streets. Alleys, Passages, Ways, Waters, Watercourses. Rights, Liberties. Privileges. Hereditaments and Appurtenances whatsoever thereunto belonging or in anywise appertaining, and the Reversions and Remainders. Rents, Issues and Profits thereof,' and all Estate right, title, interest, property. claim and de11UU1d whatsoever of the said Grantors, in law, equity, or otherwise howsoever, of in and to the same and every pan thereof. TO HAVE AND TO HOLD the said Unit above-described and the Hereditamentsand 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, subject as aforesaid. AND the said Stephen D. Tiley and Robert G. Frey, will warrantSPEC1ALLY the property hereby conveyed. The said Helene M. Tiley and Debra L. Frey are the spouses of Stephen D. Tiley and Robert G. Frey, respectively. and join in this conveyance as '" acc011l11UXiation to the Grantees solely to quitclaim whatever interest which they may have as the spouses of the said Stephen D. Tiley and RobertO. Frey and do not join in the warranty o/title contained in this deed nor in any other warranties which may exist or be implied in this transaction. IT WITNESS WHEREOF, the said Grantors have hereunto set their hands and seals the day and year first above wrinen. Signed, Sealed and Delivered in the presence of ~iJ, '7 ~ (Seal) +-~/ ~~ ~ ~ .;;!. - ~ _/?1. / 'lJ/ Helene M. Tiley (Seal) _~.J-~) Robert G. Frey CJ /J..1,<>- -!.. 1- /W.( (Seal) Debra L. Frey 800K 112 fACE 869 COUNTY OF CUMBERLAND On this. the / ~ day of September; 1994. before me, the undersigned officer. personally appeared Stephen D. Tiley and Helene M. Tiley, husband and wife, and Robert G. Frey and Debra L Frey, husband and wife, known 10 me (or satisfactorily pruven) to be the persons whose names are subscribed to lhe within instrument, and acknowledged that they executed the same for the purposes therein contained IN WITNESS WHEREOF, I hereunto set my hand and official seal. .IO';~~~"'~ ~ +4 ~~P;i:;z.~''!.~ .~'\~< .' " - !!!!u,:,~,,~'$ _ ~ ~t-"'-!l".' NOTA_SEAl. "f;-4. iH'::::Ip:c:;'::_ CA~~~~:'tu~~~:~vr:~ '" ~ i\ J>l.~'~~.~~fjl>. hi'!' COMMlt$oON fl"RES JUHE n. IttI Title OfOffi<:e~1ot~'~~~;~f::::o'~\\~ ,~;....~~~ I do hereby cenify that the precise residence and complete post office ~..,~:~~:wHlilti ~},'. ",' '. named Grantee is: UnitF~1l1.1420BradleyDriv Carlisle,PA, 17013. CIU''''''I'l;;~'t, " COMMONWEALTII OF PENNSYLVANIA , / . SS. I COMMONWEALTII OF PENNSYLVANIA : COUNTY OF CUMBERLAND RECO~,pn this ...3 day of d,! e&-; A. D. 19 9 V , in the Recorder's office of thesai~Couoty,inDeedBook 1/:2- Page~9 '__~_,,_,,~~.,; GIVEN uoder my hand and the seal of the -,(if" t~",i;.;ia.'V~ . . ""'{"rf/.,~~"-"'!!~'~'];' scud office, the date above wntten. 'itA_I.."'" ".' "~",,,O-'" 1~. -.' ..:.. \: ~:-.# ,~~. ~h' ..;;t'f~~'-:;'':l.' "-:"lf~ ~.I.~.-Y" ~ ,,-,.,."h..i'<,~N':~;':';\V 1, ""l"'Tv~ "'i':,;..(".''''~;;'\,V/''''''Z~'''' ,:~,.-:c;..,: 1" ~, '~- ';,f _.,~ .{. ~'" "'~.'."i'<"._<,. ..,' (. ',',' ~.i;~ -!I:~~'Iit ',' !",-,;,'.... -.~')<iI:.....i.:K.. ..~." .,~;. :..,<O~':;<.. RecOrder... '. "iJ..".' ,......~. ~./.. ~-to:, . ... r;'''?'''-');'~'~~~~t ,'f;;~. &t:1~..';J:;:.~. '. '1ij' "'~""" "....;.),..;~.,' , .'Ji""~.. ",,".,";~ ",-t~;.' ';-';il.~ ~..". ~~ ~geF"1il i'~!i' ~ e aa ~ ;;: ;". '< l? ~~~~ - ! ~ ':or:. j ii!",=Ii': -~ < "",,...,c,,'ll- . r- , ~ [!. C;P"'i;! ~~ ~ ~ !i"~ ~ M'I :>: ~ ~ ~ e. :rg W~ ~~ "'iii! Z!; Iil:;[ ~ ~~ ~ m ~~ a tll :::.;!i;t - .:; _.~ I ~ ~ m ~ ~~ I ... -_I li' ~QOK 112 PACE 870 ~~l~:i~ ~ !; m sgI1>l1>ligi!:i!: ~ lit . ~ <0 " .... co ;s::;b . ... tu~~ ..-, -; r"1or'J ;e :::0 PI Co> pO;:' z"'~ 0:;0 :~ .." "ON ::a 0,"""-- COrn 1'<: Zl"ll~ -I m ,,, .c ;~:.D U1 -. .. ""'."''''.,,.''. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DE EOENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF NACE, MILDRED M. FILE NUMBER 21-01-00241 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A FUNERAL EXPENSES: 1. Ronan Funeral Home 255 York Road $ 5,997.10 Carlisle, PA 17013 2. Westminster Cemetary - grave opening $ 775.00 3. Dress $ 53.00 B ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (5) Sodal Secunty Numbe~s) I EIN Number of Personal Representative(s) Street Address City State Zip Year{s) Commission Paid: 2 Attorney Fees Jacqueline M. Verney, Esquire 44 S. Hanover St. Carlis e $ 500.00 PA 17013 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Cumberland Cty Register of Wills $ 75.00 5. Accountanfs Fees 6. Tax Return Preparer's Fees 7. TOTAL (Also enter on line 9, Recapitulation) $ 7,400.10 (if more space is needed, insert additional sheets of the same size) :,'-"..}:'. I. :-O,r- ~:t'J ~ruh ~"li&' \ i . II if- _.~. i ~ 8 S.." '.\> OJ:' - . - . i .... m: ~ :-+-- ~l:: :;' ~....;; :~ :t:" ;0 'D" . ~r-~~ ~ : :: ..,.. . .. '" : :: :j:> : :: <lP : :: r\ . .. . . " . . .. . J '" () :< != it ~! HfHHt ~w~>~oi ~ ~ I f ~ a ~ i .f! H ;Jt ~ .".. o\l i _ : ~i:'H~ i a'fi ~s ii~~ ~ i tIU~~ I :", .,; , I l ~ ~ ~ : ~ ~ U z~ i : : : : ~ t : ~ 1 i ~~1!! Q : : : : !' ~I a i ~ . i : ....' ~ i H ~. 1;; ~ ..', ~: ~ ~ ~ ~ ~ .... f:l:;; ~:i! ~ :;~: :,::: ..... i'... ... ... ....... . . . . ~) ~~ (rr~~ ~fH H ~,~~, \"l. " c: c: Ujn~ f~U; E&'~f~2.1 hr.>li "': s- i:'r 31 e ;;l' ~ : 'X e R' 9 8 ",~ ~: ~g~i' ,;..~~ f i! 5f : f1: :; ri: ..' ~s :..:: e. ~:~:l- ;if::l : ~ : ~ f ~ S': : " : : : :? : l: : : ~ : :: : i.: : : : : :: : R: : o~ 1 f j ill,. DE l ~ " . f t' ~ . ! ~" [I ! f .3 o f i' l ~ I ."')(~-8,..H~ ~"~.l ,H:!' '" '" z r 1/ l~~~D'!,~ii'Khtt!:[Jl~lH H ; i. } . f'P'J5!.'i'~~f'ilsl-~'6 t ~ . ~!I,ilrUJ.n8r inj~l .. . ~ 11fi~,l:iiil.;f. t~[J " lr~lltBEJtf,:. lifer ~ ihhl:'~'~P>f i&Jh 1~8J~jlH~iJI ~,H~l "'S!i!.f~Fr] I e:! s ~~ ~ :ll p ~~8'.!'H.ri~ ~il~' 1i Ii ~[>>.~!..ll': U~i. & ~ fl-f III fl.Rd [j.lt~ [ i' f. f~B'~tnll ;"~ It.g. ;r J!l ill hiff HIl; 1 [f.! ja ~ is ;1 JUf~ ~ lJ~ ..h ~! I[ ~~l ['S. ~~l h~ n,! ~lJ r '; t~( !d un} If! : 1- J .. I ~ il' :>. "'t-~ ::s ~;'l.. Q..ii1 .:::!li.;..~ ~ ~~rl " el..~~ >i ;:!:i~ - .. ;:! ~ t: "".0;08<."'''. COMMONWEALTH OF PENNSYLVANIA INHERiTANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS ESTATE OF NACE, MILDRED M. FILE NUMBER 21-01-00241 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. Mortgage - Mildred M. Nace only, M&T Bank Acct 10000188087990001 $ 23,751.56 on 1420 Bradley Dr. Apt F-111, Carlisle, PA 17013 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Sprint- July 2000 $ 24.49 Condo fees - July, 2000-March, 2001 ($79.00 x 9~$630.00) 630.00 P.P.&L. July, 2000 - March 2001 166.07 Mortgage payments July 2000 - Feb 2001 ($246 x 8 2000 Carlisle Suburban Water - July - Feb 2001 $1,968.00) 1968.00 280.65 Homeowner's insurance - State Farm 134.00 School taxes 2000-2001 460.00 County taxes 2001 116.49 R/E Commission on sale of condo: Ebener Associates; Sterling Rea ty 2400.00 1% transfer tax on sale of condo 400.00 Document prep; sale of condo- Jacqueline M. Verney, Esq. 175.00 Notary fees - sale of condo 4.00 DRO search sale of condo 20.00 TOTAL (Also enter on line 10, Recapitulation) $ 30,530.26 (If more space is needed, insert additional sheets of the same size) ~~ 612 ~ MAR 19 'm1 19:21 /<.:. j{ft/" '-, -- tale CU8to~r S.~1c. WQrk~tatiQO Lean layoff/ClaSdOut :OFf DATE REQUESTED IS BEYONO NEXT DUE CATB, FIGURE IS .LY Nl ESTI>lAU, Pt.EASE CAU, SACK Cl.CSEIl TO PAYOfF DATE ~caunt .: 100001880879900Q1 praauct: ILN S~ode: Ml.l" SANK SSN/TIN: !~222$039 PacJc&c;e. Statu. : ~CTlVE 10,1$:1. Ol/Q31l$ 1: "'~ORlO M NACE 2, SIMPLE INTEREST Prinetp.l Balance ~ OUtatandin9 Balance: Il\t.:test Due Int.reat R.bate LAte Cha~qes ou.. Pte-P.~nt P*n.ltVJ I~.~tance Rebate nealer Rebate H1sc charqes Oue $23,593.35 MIA $J.58.21 MIA $.00 TQt.~ Pa~off Due ~Qtal Payoff Dat. Good until 2:00 pm $23,751.56 lI"'IJ,"~u.l .00 Per C1em 5.45$$5 $.00 f2 Options f3 Main Menu ~11 Titl. t12 PreviOus SAlOIS. SHUFF. FIAWEfl: tIl L\NCSAY 13679 Dae., 03/23/01 ~~~ a3,751.5' 'i1. ~.~l ~IaD01.37aC5 dlagJc. <<I. 13'" ,~ tol He ~a21lI: :luyc'. 01.... 11.. <Jat. ..4 ZU'IID x. G&f. ,.11ul LO:d. a. :rriak u.4 ..tat.. of Jl11uH K. lIac. 'P%'ClPI:rty. 1.20 a~a.d.l.-:f >>rh., ca&'lM_. IA 110~3 21,1$1.51 Payoff of 'irst Hgrtv~ Loan -}:,;;ltC03l:1 r,;;: "C f:r' :;:: ' '~'.~" 5,- .J.:!.1.-;ttl" :,~9Pl'!I.1:-::,'.;:';' .j .;E08 ';~~!:O:,,~ ':~'-r::'~T' ,;~~: :~'i';";'it",::::, ~....! vs=oo 10. C:tl ~dt1 20d 8~ lJHlfl5IjW ;l,:lrH5 SI(tI~S '36v9-~ve-!.;tL. ~. Js:tt.lement Statement u.s. Oepart~nl 01 Housing FINAL ",," -", ~M.M" 1. ~:.I~A ~. ~~"llIA, J. Dconv. Unins. I ~'~~:'~~~~N ).7.LaanNUmber Ts. MOrllllllle II1SUrllnCcCll... Nurnbef C.Nole: -=:"::~~!I'~-:~=m~=~::=~~U:~=.="'~~~nll1.";" WARNING; ~ 1$ acorn! \t,-""","ngiy mMol WH I _ntllO ~.lkII1I1dSlllI8l on,,", ()t ::i;~lhat'limlllf form P.n......upcn D. N~~:_~~~ORROWER; James R. Gage and Karen M. Gage E. NAME OF SELLER: Lori 1. Krick and Estate of Mildred M. Nace ,""."." F. NA~.E O~_:.ENDER: Members.F~~.~ederal Cre~iIUnion....., 1'"1/).<;< G. PROPERTY ADDRESS: ~;:~~.ra~ley Drive. Carlisle. PA 11013 It SElTLEMENT AGENT: ~=idis, Sn~ff, Flower ~L~~a:~ ~~~~one: 7l'1-24).6222 Fax: 717-243.6486 ~ ~ = --:;::- 4Q 000.00 ,.,- olD 000.00 ,;;: '0" , , " = --:;::- '0;- 03 , 01 " , 01 90.6] 03 <l3 01 " " 01 90.63 ::::- ni723fOl ~;r::Ol 1 3.73 03 23101 " 30 01 123.73 -:::;: ,-- -:::;: ;;;: '''='OT " 522.95 "00 nDM; 40 214.36 'M -, 1 000.00 '0' " 000.00 , 115.49 -= " 751.56 -;;;;. Bank -::::;: .~ -= -::::;: .~ ,- -::::;: --=- -::::;: ..~-^.._= --;::- -;::- .;;;;- m- o.. -= --=- ;;;: " 000.00 '00 ~nTo' " 867.05 " 522.95 " 214.36 -= --= " 000.00 --= " 867.Q5 --- . 522."'5 _M "" " 347.31 SUBSTlTlfTE FOfWl099SfLLERSTATENENT: Thtlnrormationcolll'll'l8dhatelnl.lll\PClIIIlnllaxlnrormadon.rdill~nglurnll;lIedlOu..lnlel'OII~IWJ'~CI. ~YllU""~lllllolllol'l.ckXII. :.:%r=~~~~t:~n;r::,,:::':"~I1olm/$reQUirec:llellllrtpOllllllolndllllIRSclill"'rlIlltIlhlllthlsOOlbMorijlO/led, ThtConll"olCl Sa'-PrieecluCrlbtdon ~~~I::r~~~i1i~~=~;~~=~b~~::~~M~.SaI&"'ElcCl\IU~olPrlno;ijlllRHDeOCl.Ior.n,gIIn.wlthroo.-l_lPrerurn;roroltletll"lmICDofll. ::"~,="='~':D~=~:1~:l"=~~::::\JI'4M~~~~~~~~~=~i5dDmy~":~O:~~ nH. SEUER(Sj81GNA1l.IAE(SI: SEUEf\(S)NEW MAlUNGADORES8: TillcEllprll5S Scnlcmcm SYlilCm Prime403!221200lalQ9:28 REV. HUD.1 (l/86) .------- .- ,EPARTMENT OF HOUSJNG AND URBAN DEVELOPMENT File Numbcr TI2001-37 ~_TTI TATFMENT ;;;;:;;;- PAID FROM PAID FROM 40 000.00 . 6.000 - 1 .00 00 BORROWER'S SELLER'S I FUNDS AT FUNDS AT 1 115.00 Eben;" & A:.soci:-tes SETTLEMENT SETTLEMENT 1 175.00 Sterltn... a"altv i.M 2.00.00 ,.. Membe s First Faderal Cra i Un on La ... .M Membe s First Federal C;::;-it U';-l~n La 320.00 ,." ,.. Kembe s Firat Federal Credit u.:;-ac. 300.00 Buver .M Kembe s First Pederal C;:ait u~~on La 75.0 MiIIlIbe"s pirst pederal ere it Union La 195.00 'M "'. ,,, 03/23/2001 o. 01 2001 6.9041 9 DavII 62.14 'M 'M 'M' ~ -=- .oM ",,,0.. -'.. 9.71 19.42 ,"M 9.11 --= 1. -. 37.64 -~ 376..0 _ Member_ .irllt . der 1 rei nion 38.87- ".. "M ,,", "M ,- Saidh Shuff Plower , Li dsa 8.00 4.00 .M .~ Jackie Vern . 175.00 ,~. -;- Robert c. aidis ~ 462.50 .". J:Z 000.00 0000.00 462.'-;'-0 Rob c. .i . t 200.00 "00 'M. '""'2<;.50 59.50 85.00 .oM n....'""'.OO.OO 400.00 .00.00 400.00 aecord r of D . 14 00 00", Robin Soll.nber~er 116.49 ..: Home ParalllOunt 30.00 "M ~. ..._. Saidi. Shuff 1~ r . Lindsa 20.00 "M Saidi. Shuff lower . LHs;:- 20.00 ""' ,~ ..M' 2308.<;9 3 111\_49 HUOCEAllfICATIONOF8UVERANOSELLER 1""..car"u1ly"~lIIfIHlJO.1S.1lle_~nllltlc:llOlMbnlormT~lnd~,MiI'_'''''-''''"'''lImInIflAlII,-'plIMCl~II''''''OIlmrlOllQOJtllorbT.... (f:-:ri;;;-'--'-- _~~?J? rd,'9' d..... /7 ,rlM"- J,..... /J."",- f ,~~ ~,_ 7'- ......~:;_~ ... - ""...prtpIr8Clil.VulltKllCUlnlllllCCOUntol.....'IJ\MdlOn. __lnlQCO/dll"",..lhWl_. WARNING: IT IS A CRIME TO KNOWWGL V MAKiii FAl.-SE STATEMeNTS TO THE! UNITEtlSTATESDNTHlS()AANYSlIolILARFORM-PEHA!.T1ESUPOtlCONVICTION CMlIIIICLUOE A FlNeANO IIolPRlSON",.eNT. FOR DETAlUl SEETme 18: U.S.COOESECTlON 1001 ANO SECTION 1010. 3- 73-ifI TilleF.xllressSeulcmefllSVlIlcnl Prinlw03f221200J '109:28 REV.HUD-113/86l fl,Ev.\SnEX+ \2.87) .. COMMONWEALTH OF P~NNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF NACE, MILDRED M. FILE NUMBER 21-01-00241 ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR NUMBER SHARE OF ESTATE A. Taxable Bequests: 1. Lori Jean Krick Daughter 100% 134 C. Street Carlisle, PA 17013 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Governmental Bequests: 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) S (If more space is needed, insert additional sheets of same size)