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07-31-15 (3)
i � � i � �� 1505618403 +� ' pennsylvania OEPARTMENT OF REVEN X(03-14) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Harrisburq, PA 17128-0601 RESIDENT DECEDENT 21 15 0 4 2 0 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDWW Date of Birth MMDDYYYY 188 32 5141 11 01 2014 07 ❑8 1918 DecedenYs Last Name Suffix DecedenYs First Name M� JONES ENID G (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M� THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1. Original Return � 2. Supplemental Return � 3. Remainder Return(date of death ❑ prior to 12-13-82) 4. Agricultural 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) � 7. 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 � 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 T0: Name Daytime Telephone Number DAVID D NESBIT ESQ 7176973223 First Line of Address 555 GETTYSBURG PIKE Second Line of Address STE C100 City or Post Office State ZIP Code MECHANICSBURG PA 17055 �., c� � DaveC�kevstoneelderlaw.com --c— Q "�' n rn CorrespondenYs email address: �� - ��� REGISTERlQ�V111�LS'D1SE NLY Gh %J -•� '^. t— _...� C7 REGISTER OF WILLS USE ONLY � ""' f'"1 � t d 7 �1 DATE FILED MMDDYYYY - . Jn� � - C,:> O . ,-i F,7 -.� '� �"1 t._'� ' � : I � � , _. .,� 1 W � rn ._� � DAFEFILED STAMP� V7 O Side 1 I II'lll II"I'IIII'IIII IIIII'IIII IIIII I'II)�IIII'll'�IIII II'I \\�\ � 15U5618403 1505618403 � \\� 1r II II.II. II 1111 I � 15U5618411 REV-1500 EX DecedenYs Social Security Number oecedenrsName: JoneS, Erlid G. 188 32 5141 RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2 4 0 ,0 0 0 • 0 0 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. 2 ,114 • 19 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 2,7 5 7 - 0 7 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) � Separate Billing Requested............ 7. 8,2 8 9 • 16 8. Total Gross Assets(total Lines 1 through 7)........................................................ 8. 2 5 3,16 U • 4 2 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 8 ,8 8 2 • 4 9 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 2 0 ,2 4 5 • 21 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 2 9 ,12 7 • 7 0 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 2 2 4 ,0 3 2 • 7 2 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. 2 2 4 ,0 3 2 • 7 2 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 • U 0 16. Amount of Line 14 taxable at linea�rate X .045 2 2 4 ,0 3 2 - 7 2 16. 10 ,0 81 • 4 7 17. Amount of Line 14 taxable at sibling rate X.12 0 - 0 0 �7. 0 - 0 0 18. Amount of Line 14 taxable at collateral rate X.15 0 • 0 0 18 � • �� 19. TAXDUE................................................................................................................ 19. 10,�81 • 47 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT � Under penalties of perjury,I declare I have examined this return,inciuding 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 filing the return is�ased on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN eri k T.JQ ,� DA7E ,� i L � ��"� '�� �� � ADDRESS " 307 S.Sporting Hill Road, Mechanicsburg, PA 17050 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE David D. Nesbit Es " °ArE7 ��i l>� . �' � ADDRESS 555 Gettysburg Pike, Mechanicsburg, PA I II�III II'II IIIII'llll IIIII IIIII II"I IIIII II�II II�I IIII IIII Side 2 L15�5618411 1505618411 � I! III II 1IIl I REV-1500 EX Page 3 File Number 21-15-0420 Decedent's Complete Address: DECEDENT'S NAME Jones, Enid G. STREET ADDRESS 450 Woodcrest Drive CITY STATE ZIP Mechanicsburg PA 17050 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 10,081.47 2. Credits/Payments A. Prior Payments B. Discount 0.00 Total Credits(A +g) (2) 0.00 3. Interest �3) q. 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) �0,0$�.47 Make Check Pa able to: REGISTER OF WILLS, AGENT. I`:� �� PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred:............................................................................... ❑❑ � b. retain the right to designate who shall use the property transferred or its income:.................................. c. retain a reversionary interest;or............................................................................................................... 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?.................................................................................................................... 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?.................................................................................................................. IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. i i 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 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 [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 decedenYs 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 decedenYs 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. i � �i■ i Rev-1502 EX+(�Z-12) SCHEDULE A pennsylvania REAL ESTATE DEPARTMENT OFREVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Jones, Enid G. 21-15-0420 All real property owned solely or as a tenant in common must be reported at feir market value.Fair market value is defined as the price at which propeAy would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on schedule F. Attach a copy of the settlement sheet if the property has been sold Include a copy of the deed showing decedenYs interest if owned as tenant in common. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Real Estate at 450 Woodcrest Drive,Mechanicsburg, PA,Appraised Value as of Date of 240,000.00 Death TOTAL(Also enter on Line 1, Recapitulationl 240.000.00 (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 A(Rev. 12-12) I .II.II II ■II.■ 1 Rev-1508 EX+(08-12) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE pERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Jones, Enid G. 21-15-0420 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 American Water refund 22.73 2 Claremont Nursing&Rehabilitation Center Refund 1,903.21 3 United Healthcare Insurance Company Refund 188.25 TOTAL(Also enter on Line 5, Recapitulation) 2,114.19 (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) . . . .. . . . f II.I' II �II■. 1 . SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Jones, Enid G. 21-15-0420 ITEM NUMBER DESCRIPTION AMOUNT Other Administrative Costs 1 Central Penn Appraisals, Inc.Cost for Appraisal of House 400.00 2 Cumberland Law Journal-Legal Notice 75.00 3 Pennsylvania-AME payment 31.02 4 PPL-Electric Bill for Estate Real Estate 146.93 5 The Sentinel -Legal Notice 179.92 6 Verizon 38.31 7 Verizon(Final bill) 38.31 H-B7 909.49 Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98) Rev-1512 EX+�72-12) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENTOFREVENUE MORTGAGE LIABILITIES AND LIENS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Jones, Enid G. 21-15-0420 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Claremont Nursing&Rehabilation Center Final Bill 2.624.47 2 Department of Human Services Estate Recovery for Medical Assistance 13,579.62 3 Hampden Township-estate real estate county taxes 190.00 4 Michael Langan,Treasurer, Real Estate Taxes 2.233.31 5 Penn National Insurance(Homeowners Insurance) 1,005.00 6 Pennsylvania AME(American Water) 31.02 7 PPL Electric bill for estate real estate 166.94 8 United Healthcare Premium 188.25 9 United Healthcare Premium 188.25 10 Verizon 38.35 TOTAL(Also enter on Line 10, Recapitulation) 20,245.21 (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 $CHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Jones, Enid G. 21-15-0420 RELATIONSHIP TO NUMBER NAME AND ADDRESS OF DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE PERSON(Sl RECEIVING PROPERTY (Words) ($$$) I� TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116 a 1.2 Frederick T.Jones,Jr. Child 224,032.72 307 S.Sporting Hill Rd. Mechanicsburg, PA 17050 7otal 224,032.72 Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate. 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 SHEET Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10) . .. .. . .. . . . . . .. . . I .III. II ■A■. 1 . . '�e� CeMrai Persn RRp�talsafs Inc, 24 W Ma1n a^Neet Shlremanslown,PA 1701 t t7t7J737-�360q asrzsno�s . Fr6dsr(ck T,Jar�es JR , SU7 3 3porong I�p Ra Mecha�cabutg,PA 170BU Ro:Property: 450 Woodcrest pr Mechertksburg,PA 17050 8orrower. la;+A FIla No» WOOD�10R�t50 Opinlpn of Vehse:3 240,U�76 Effectiva Date: OS�D8VPD15 tn accandar�ca w�ihh Yau tequ�l,+He haw appreised tF►e above referen�ed property.Tha report ot Ihat apptaisal�a atittC4led. Tha purpose ot Uae aPA�Wat(s to dewelo�r eh opinton ot market vatue far tho Dropnrty desczEtwd€n ik�s appraisal ropo�t, as Imp►4Yed.in+u�encwmbered tee simpte tkle of ownetshfp. TNs repnR 1s 3iased on a physical anafyg�oi Iha sEte and irr�rovemer�s.a locatlonal arwtysis af u�s netgl�orhood and �R and an eao�wmEc ar�eysEa dlhe rnarket for pmpoRbs such as the sub}ett '1'he epprsEeal was devetoPed arsd Ehe report was prepeied fn acoordanca wtth the um'fom►Slandards cf Profeeasional ApFratse9 Practk�e. 71�opfiton af+��e rspor6ed abqve is as of lho steisd eElacihte dele�nd is caMingen!upon the cerEKlca6on and limtlh� Cond!ltons�tacFe�d. it fias bean a pteesure to saslat yau. Piaeae do nok heaitats 6o conlaot ms or a�of my statt 6w�e r;an be of a�CGtor�al servPCtt bo you. 5Er�cereiy. i L��•'�"� �. Jot�S.6oswell L�Ce�sa or CeATc�sllon#:RtGE114Q5l. &tBM:PA Exptres 06/30J2Dib John�PaaAp►aEears.cam ,��� �t � MEMBERS ls' �EDERAL CREDIT 1J1r'ION REGULAR SAVINGS AGCOUNTt Account IVumber/Suffix Date Accounf Established '11/15/�f'995 Principal Balance at Date of Death: $0:00 Accrued lnterest to Date of Deatti` ��<fla Total-Principal and Accruetl lnterest $0.00 Name of JQint Owner Frederick T Jones Jr. Date Joint Added 11114f'{998 iVIEMBERS 1 sr FEDERAI.CREDJT UNIUhJ �..�,t�W!����,�t------�' 7essa L Klugh l,ending Insui�ance Suppart Speciatist ApriC2Q, 2��5 Estate af.�NID G JONES Date of Oeath: 11lQ11Z014 Social Security Number: 5000 Lauise Drive • P0;13ox 40 • ltitechanicsburg,I'ennsyrlvania 17055 • ($0�)2�3-232$ • wwwmembezslsc.ar� III.I 11 ■.II�l. 1 ,�. � �Y���� . v ...... . . .. ir,:..�. . .. �... . :.. y �K s�r: ':�_��� . .. � � � � _- _�-. . .�. ,. .�� „,.. > _-<.., _„,_...w. ..,., .,,.. ..,,., , ....,, , ..... . . .. , ...,,...� . < . . .. -- � .:,_., $���.,�A.�Q��cu� � ..: �ICtDlftl�.��i. . �ii�El.ERICK;:T IQ4IES�!(t- B�I�ttC�S;. 9,-.�ttits""6alance• ° '. � _ _ _ : . . _ _..., 2;�74.88 ; _ ..�t7s�7:,47�., Ciiir,ent8aiante,:. ; •- � De o�isfCr� ,+�3:U78:46 Av e€Jail.Balanse ;5;7t17.86,:; YVithdtdtiRlB e€1Iis�.:; .: . ...• �:� � .- 'S7iflS4:05�: '. . , , . . r: . , Iti#er�t P.sid,#his�'eriod* .,. 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I ,II.II II ■.11■ 1 Post U�ce Boac 105133 UnifiedHea��hcare Ir�sura.nce �ompany A#lauta,GA303Q4 3anu�ry?,2Q1� Membershig#: co��nxnox�saoi T�IB E5��U�EifIL�JOA6S 4S0�ood�s+�st Dr A+iechan�csbur�,PA 170506814 I1�ar M�m�rer(s): I'm w�riting to you i'mm UnitedHealth�re L�surance Campat�y,the ins�u+er f8r your AARP� • -� ��PPl�ntal�Perso�He��r-P�Unit�edHesiihca�a refiu��d a paym�nt'that was rece�ity applied tu your acfldwnt THIS REF`C�ND IS FOR MONTHLY PRBA+�UM PAY!MEN'I'�AFTER HEALTH PLAN C4VERA(�E�IAS ENDED.FUR QUSSTIONS,PLEASE CALL CIJSTOR+�ER 3ERVICE AT I-$0�-523-5800,A refimd irr tt�amomrt of�1$8.25 was issued#o you tlnx�ugh�n eiectronic f�utds�er to yo�a b�nlc accxiunt. If th�s transfer is not accepted 6y your b�nk,t�n a refiand cbeck will be sent to you �f yon hsve ques�Ons or a�d mox+e iEnt�'orma#an: • Pl�ase ca11 Cust�m�r 3ervic�at 1-800-5�3-58Q0(para Espa�c�I: 1-88Q-822-02�6�. Far hearittg impaired members('I`TYj,ca11711. • Repmesent�ves will�e happy fia help.Xou caa call. D Weekdays from 7�.m.to 11 p.m.,F..ast�rn T'�ne,c�r ➢ Satunia3►from 9 atn.tr�S p.m..,Eastern Time. Thank you far allo�in�Uni#edHeal�I�stuance Company to provide yvu wrth quality heaith . utsurance coverage. Sin�erely, �9?71�6G ���2�� Donna I�ier�ag B. . 1?epartmeirt Manager Uaited�iealth�1nsu�ance ConipanY _ 1�'� 8ttpg��taf er�d F�r�nal N�atth a�'�� P18riB�ntaed brtTa[t+CdH�e� BU.tr�RFlYU � Winnerofthe�albar �' �,�p� . ServiceAwar�dfrarn . 2000-2f�i4 X 6 Jufy 6,zo�s . Keystane Elder Law P,C. � Attn:Becki Star�,LegaE Assistant 555 Gettysburg Pike.Suite C-1Q0 Mechanicsburg,PA 17055 Palicy Number. . . . Palicy Date: Ju4y 2i.2005 Primary Owner/Annuitantt Enid G Jones,De�eased-11f01I24�.4 � . Tax Ctassification: Non"Qua1���d Product: - New York Life Lifetime tt�come Annuity Settlement Optian: Single Life w{Periad•Certain Dear Becki Starr, We have received y�ur r�questfar infarmation on the policy referenced above. Please find the requested infarmatlon belov�►• � initial Premtum: $98,019.70 . . Primary Beneficiary: Frederick T Jnnes,Jr. iQ0% Son . • Value as of 11/01l2014: $8,289.16 Ifyou should have any questions or need asslstance,plsase feel free to contactthe New York Life Annuity Senrice Center and speak with one ofour customer seniice represen�tives Manday thrnugh Fr[day frnrn 8:30 a.m.to 5:30 p.m.�astem 5tandard Tim�at 800-762�6212. On If o York I.ife, ene Na �er � � Repres�ntative t��w llork L�fe Annuity Sennc�Centar• l�.O.Box 9859' Pravidenv�n CNYUAC�U1 Ge�e6Carpatt�tian} Anr►u'�s are issued by NewYork Lif�lnsuranca and Artnu'ity Corporati V�riabl�a annuitias are distr'sbuted by.NYLIFE Disitibutors LLC,Memb�r FINRPJ5IPC NYL4AC and NYL[FE[}istribuWrs LL.0 ere whoity o�rmed subsidsaries of New Yorkl.iEe lnsuranc�CpmRa�Y 5�Madison Ave.New Yarlc.fN'V"10�31t3 ., � �.i.■. � � � r •� � r�• �h 5..=.a���R»7�,,r�i'�;s�.�� ,� F�DER�.t1.W PwC: �+►.ke�staaeeld��aw,cam . pAYM�'i'R�tP7'�K?lIR K�1lS'�'+ONE L!lD�R l.AW �� C�ee�d�,,,,,,,,,,�,�, r_,=,_t�v�lit�t1 tn the amawrt vf$��...fro�r l�i'P� � ��`l�� �: W�rr� ��fi@� �OfiS81U1�9 �1�1�d�l�f�tt1��{'!O'�Y�ItI'�1�tQ1"�[pf'+�fi�d�1"�8d. ...:.�r•i�e.�'�i�1�t 1�'�t�t��8!'i�ii�@. ��er�e�r�t�ertt�br��n�y�'�1oud ��r�qa� � . � . ��►�..'�- �'�t►+n.t:v�t5h^�.'�it(Y► `�Y �hi t� c''�s`r�eS Th�S paymettt ts , . . , , . ,,,_)nitisl ina�lruent pa�m�nt c►f�ed fes „_,_�ai Payma�E of 8�sd'�tce l�ue . ✓�TH�!x+�tatner peyrreent . PRBDP�tTC�CT JONES.JR. �°"� 1b 93 smssPOKntv��u.xo. �t ,PA 1�l0 1D�1x��i�/� AY � ��/�r�� • DOLt.AAs 8 � H a $t � ' � ��,������Lr�2 � . � ��..�� X�!(�YST+C �N.daac . , °�� �'i G��'1�e,S�iae C-100 • ]�[ec�nx�PA 1�035 • Pha�e:7��.�,97:��3 � �: fi17.�i.8�17lF �,' '�� .� ,.:�, ..� � ,..,, � 3 � a �f �W� �i�Ld��� ���t;�r L�.��a. x�rcv I��ystcr�+eElderLaw,coxla Juty '?7, ��l� �nid G. Jon�s Fstate etQ�'rederi�l:T. Jones,Jr. 307 Soutl� Sportzng HiII R�ad 1'vt�cl�anicsk�urg,PA 1705Q ��VC���� F��s,�'ar Estnte Arlmini�t�a�zvr��S'�r����es.�e�r�e�r�±�: S'TAFF "�'TIV�� I�RLI' ��'��� R.�T'� '�'C}"l["�►1.;� Davi�i D.I�Tesliit,�sq. .......�.............................,.,.,.. 7.�t� �27�,(lU �1,�}�i).C)C� J�ssicaF. Greez��,Esq. .,.... . - .,..,..... 7,�{} $27;�.OtR ��,1''�.�(.l ...... .. . Rebecca L. Starr, L,eg�t l�sst;...�...... ................ ..... ��:7t� �1�{?.tlt� �3.�tl�.C��l S�btotal �7»��7.:�t? I��t�it�t>r -�I,�iJ(}.Ut� B.�.L.�:t+tC�:�►�1�: �6,0�7>�U Pay�n�Yit ctu�:�.��c�r�r��~ci{�t � �,1�;�:,rd:�d���k� . '..... . _.. ...... 55.�i Gettys�ur��i�ce,S�it+�C-104} $ �eel��nicsl�ur�;,7PA 1'�05�i • �'I�€�r�eh: 7 C 7,fi97<�2�� • �'�; 71'�.691.�f�7(!' A�ditian�il C��1"are ixx Cax-�i��r . . � I �I.II 11 ■II• 1 RECETPT FOR PAYMENT _�����=s��_�:�===�� LISA M. GRAYSON ESQ. Receipt Date: 4/Z6/2�15 Cumberland Coun�y - Register Of Wills Rece}pt T�.ine: 08 : 19 :27 One Courthouse Square Recezpt No. : 1081fl87 Carlisle, PA 1"76].3 J4NES ENID G ^Y Estate File No. : 2015-00420 ^ Paid Sy Remarks: �F$DERICE� T JONES JR -------------------„____ Receip� Distribu�ion --------------------____ Fee/Tax Descrip�ion Paymen� Amoun� Payee Name PFTTTION LTRS TEST 250 . On CtJMSERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORTECERTIFTGATE 20.�0 C MBE�RL�NDRCOUNTYSGENERAL Fi.IN AUTOMATION FEF 5.Q 0 CUMBER.LA.N13 CUUNTY GFsNBRAL FUN INV�,''NTORY 15.{?0 C��RLAND COUNTY GTsNERA.L FUN INH TA� RE�."U�2N 3.5.0� CUMBEhL.�ND C4UNTY GBNERAL FUN _____-----...._.�-- Chec�# 1&04 $36�.50 Tota Received. . . . . . . . � $365.50 � � a � . c��e�a��,i��.�r���r�r�asaa Faor�, . _ ��v���iE 8onnie Myers,Of1irR Manager � ;� i� � CenEral penn Appra[ssls,l fnc W pppGRESTDR450 24 Wesi hlaln Sireet Shiremanstawn.PA 17D11 �' Invoteeaate; 05123/2075; 1'eleptwneNumWer:7t7-737-4800 FaxNumber. 717-737-9�23 Duepete TOi IMem�l Gtder#, LandarCaee�t Fredericic T.Jones JR Clfentfilu At: 3f37 S Sporting Hp[.Rd FNA/VllCaae�: Mechanicsburg,PA 17050 MalnFl�e;{onfam:' WOd�CRESTDft450 E-Mai[;streetfred06�yahoo.com. 'Olher�iiellanivrm; _ TetephpneNumber:717-743-50U6 FazNumbar. Federal7axlQt 2S-i733269 Akeinate Humtier. 'Employer 1 D; Rastncted Appralsal Repott _: Lender. �rededck:7.JonesJR d(eat: FrededckT<JanesJR FuicnaseNBorrower. WA PropatiyAddr6s9; 450 Woodaest Dr L'ity: Mechenfcshurg �nty: Cumbertand Sfpte; PA gp: 97050 LegalD�ctipflot�:.'E}eed 800k�D27A,"Page 46253;L07S 258 42,PL 6,,PB 21.PG 95 ' .. ,. ; ; Resfrloted Apptaisal ftepoii'' AOo.aD � SUBTOTAI. � aao.00 Cheals�Y:18i2 Da�e�05109l201 . _ , , , 5 u�rfptlan: personal Check-Membets 1st F,C.U. 400:00 Gheck#: tia�: _ Desc�ipifon: Cfieck#: Uaie: nescriptfon:: SUBT4TpG i aoo.ao ' Thank;Yau. TOT�4L DU� S 0 Fam HNBA—WinTOTAI'apyraisai soRwara tiy a la ma1e,�nc:—t-aoaa�at�oo� O� �� : Gti v �e qc,�,�°`� CUMBERLAND L/�►W JOURIVAL 32 aOUTH BEdFQRD STREET CARLISLE, PA 17013 �reie: (717)249-3'1B8 Faxs(717j 249-2663 ' June 5,;20'l5 Gum�erl�nd Law Jv�urnal is �ublished every Friday by the Cumberland Caunty Bar Association and i� designafed by the Gourt of Common Pleas as #he official 1ega1 publicafion for Cumberland Gounty and the lega( newspaper for publication of[egal notices: fi�: David D. Nesbit, Esqulre RE: Enid G. Jones Estate �.egal advertisements must be received by Friday hloon. All legal advertising must;be paid in a�vance. Make all checl�s payable to: Cumberlar�d Law Journal; Adverkisement inserted on follawing.dates; May'22, May 29, and June'5, 2Q15 AdWerEising Cvst $ 75.00 Proof of Publication $ 0.04 Second Proof Reques� $ 0.00 Payment rece�ved $ 75.00 Totat'Amount Due $ 0.00 Beeky H. Morgenthal, Executive Qirectar . o.. ..i ua � � � � � ��p � Q tO!? !'W� �L9 UJ� O �7 �l ��'1 z r�„ W lr! d � � w � � � � � C7 b a � O 'r ar W �` � "� � � � � � � wa � + W V1 d � . � �-W �iC F �i' � $ g � Z�x � � H � � � � � � � � ��� � ~ � � a � � �' c.-v, � � p � � � x �0a Z M N � � 1- t�g. '� Q � � � � Q � Z O � � Cy � r � `' s � � o a ,� _ � `� ' 3 U � � t0 Q"' h- � W � g `o „� �a y � '� S � p� � c;, w `h o' S 3 ''" ��a � � � O t\1 C CZ.� � � ' O � �OY� � �o W a � ��o p�et M � � � w� �F-�a �.�oo' � mmr t!J L��' c�s.�p� �7� ��� L1'a m � � p G�i � � m �yt�11�{ � Yr n �� � � c �G�� �'y� t� � E° � Q. � �� � �' eao 30 � �� �� � � �cycr m��ti � � � V � tl11L �., � G} tp � N��{ �� c N af ~ � 'O �fl G C O� tl1 � �ttf N z -�i� p't7 .,Q., � 'Q d� e � o �—;r t7 a � �► ,P,�� o o � ��� Y � a� � W a;c'R m� � � F .: N ,� � � � Ql o t�3 w C � o � °�' � , � � �' v �- '�c � �� � � � � � � � �� �E � �� � � � � � � � �' � � � M,�3 � � � V c? 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R = F , „ �.,: .,. , ""--T—!�a � � ,�.ut�a� ..�a7'��.�..� , �/'�'��L�, _._. .,�D��ak�cuoiacmu. �;iC��� � R � �f, �.��: . . .. __. , __. , _ . _ . � �1Z32"�nt45fi`4��3.{1Q9f:f�i � � �1�.�d' 1_9Jt35i14. 82;62+#,47��� - Ita9e:5 ot�` � . �- pennsylvania I�PARTME'IdT OF HUNIAN 5ERVICES 7uiy 5, 20i5 KEYSTONE ELDER tAW PC DAVID D NESBIT � 555 GETTYSBURG PIKE ST�C-1�0 ' MECHANICSBURG PA 17455 Re: Enid Jones CIS #: 23U375658 5SN: ###-##-5141 Date of Death: 11/41/2Q�,4 Dear At[orney Nesblt: This is Co acknowledge receip�of�aymenfi ln fihe arnnunt af$�.3.579.G� re9arding the abave-referenced esfiate. The Estate Recavery Program's�laim is satisfied. Your cooperatian ln resolving this matter �s appreciated. Since�ely, . � �' � � � Kelfy Y. 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W hat ace the stanclard averr3caft practtces tiiae rnm��vitt�xny accaunc? . ��niander s�menily,autkw,�es an�pays.overc#rahs forrihe#alluwing typ�sbf t€�nsar.�inr±s. • [hecks and;a�Eier.tran;at�ttons rrrade usirig;��hecisjng acaat�nt numhar • AutomdlEc;b�fl payrr�ei�ts � Qn�[re Hasi�td9 Pa�'r�ien�saiid,ltansfers; : Recurri�ig it¢�blt card L'ansacit.4'i�s : Saniander w11f nok aut[ia�e ani�j�y�versl'rafts o��th�'tolivw+ny:�j+pes vf tradsact�ons,uNLES�yo�aufhotfze us ta do s`oi , ATMw,th►drdNr�a�d,f,t���s. . .• Csne-liitieiiebif r�rd.transat�w►s.: W2 t?aY:a'v�rdrafls at aundlscre![an;u�t�ich ritean,s.�e t�o�oi 'araniee.thal.ws+tiltl'a(ways aulhot'iie 3nt!paY any type-of.f�'ansaNan;[f+He da„ �nat aui�wiae and Payan averdr�ft;,yaur transacfian;w�l t�'dei�nei�. 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