HomeMy WebLinkAbout09-21-15 J 1505614139
Ex,o,,<�,F�,
REV-1500 OFFIGIAL USE ONLY
Bureau oflndivitlualTaxes CounfyCotle Year Flle Number
aosozzeosoi INHERITANCETAXRETURN z 1 1 5 0 2 6 9
n - o r PA m28-o6at RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
$ocial SeCuri�y Num�er Oate ot Death MM�DYYYY p3tEOf BiM MMDOVYYY
0 2 2 8 2 0 1 5 0 7 1 9 1 9 3 5
DecetlenCs Lasl Name Sulfix Decetlent§Firsl Name MI
S a g I e F r e d e r i c k E
(If Applicable)Enter Surviving Spouse's Informa[ion Below
Spouse's�ast Name SuKx Spouse's Firs�Name MI
N / A
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
O 1.Onginal ReWrn � 2. Supplemantal ReWrn � 3.Remainder Relum(Cale of tlea�h �
Pnorta 12-13-82)
� 4.AgriculWre Exemp�ion � 5.FUWre Interest Compmmise(date of � fi.federal Esla�e Tax Retum Requiretl
(tlateoltleathomrattarl4�Y�12) tleathakerl2-12-82)
Q �.oecetlent Oietl Testate � 8.�ecetlent Main�ained a Living Tmst � 9.To[al Number of Sa(e Deposit Boxes
(Atlac�mpy olwill.) (Albch copY of Wst)
� 10.Li�iga�ion Pmceeds Received � 71.Non-Probate Transferee ReWrn � 12. DeferraVElection of Spousal Tmsis
(ScheCule f and G Asse�s only)
❑ 13.Business Asse�s ❑ 16.Spouse is Sole BeneFlciary
(No imsl Involvetl)
CORRESPONOENT�THIS SECTION MUST BE COMGLETE�.ALl CORRESPONOENCE AN�CONFIDENiIAL TR%INFORMFTION SHOULD BE OBECTE�T0:
Name Daytime Telephone Number
S c o t t W . M o r r i s o n , E s q 7 1 7 5 8 2 2 3 0 0
Pirst Line of Atltlress
6 We s t M a i n S t r e e t
Secontl Line of Atltlress
P . O . B o x 2 3 2
Ciry or Post Offme Slate ZIP Cotle
N e w B I o o m f i e I d P A 1 7 0 6 8
corresponaenese-mai�amress: smorrisonlaw(dcenturvlink.net
REGI6TEROFWILLSUS�ONIX� � �
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PEGISTEPOFWILLSUSEONLV � ��
OATEFILfDMMO�YYYY �' �i
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�DAIE FILEO STAMP
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PLEASE lISE ORIGINAL FORM ONLV
Side 1
I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII y
L 1505619139 1505614134 J��
J 15�5619234
REV4500 EX(Fp peceDenfs Social Secudry Number
o � Frederick E Saqle
RECAPITULATION
i. aeai es�a�e(scneeme a) . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . i 1 3 2 5 0 0 , 0 0
2 Stocks antl Bontls(Sc�etlule B) . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . 2� '
3. Closely Heltl Corporation,Partnership or Sole-Pmprietorship(Schedule C) . . . . . 3 '
4. Morigages antl Notes ReceivaCle(Sc�edule�) . . . . . .. . . . . . . . . . .. . .. . . . . . a. •
5. Cash,Bank Oeposits antl Mlscellaneaus Personal Propehy(Schedule E). . . . . . . 5. 9 � 4 4 Z , 2 4
6. Jointly Ownetl PropeM1y(Schetlule F) ❑ Separate Billing ReQuestetl . . . . . . . 6 •
]. Inter-Vivos Transfers 8 Mlscellaneous N -0robate Property
(Schedule G) � Separale Billing Requested .. . . . . . ] •
8. TOWI Gross Assets(mtal Lines 7 through]) . . . . . . . _ . ._ . . . 8. z 2 9 9 4 z • 2 4
9. Funeral Expenses an0 Adminisirative Cos�s(Schedule H) . . . . . .. . . . . . . . . . . . 9 6 9 z � . 5 2
io. Deo�s ot Deceaenq Marcgage Liabilities,antl Liens(Schetlule I) . . . . . . . . . . . . . W. a 4 6 9 . 4 9
��. rowioeauoo�o�s(rocaiuoesea�aio) _ _ . .. _ . _ _. _ _ . . _ . . . . . _ . ii. 1 5 3 9 7 . 0 1
12. NetValveofESWle(LineBminusLinell) _. . _ _ . . . . . _ . _ . . . . . ._ . . 12 2 � 4 5 4 5 . 2 3
13. Charitable antl Governmental Beques[slSec 9113 Tmsts for whic�
an elec�ion[o lax�as not�een matle(Schedule J) . . . . . . . . . . . . . .. . . . . . . . �3� •
14. Net Value Subject to Tax(Line 12 minus Line 13� . ... . .. . .. ta. 2 � 4 5 4 5 . 2 3
TAX CALGULATION-SEE INSTRUCTIONS FOR APPLIGABLE RATES
15. Amounl of Gne 14 taxable
al Ihe spousal lax rate,or
transfers under Sec.9116
(a)(1 2)X-0 _ 0 . � � 15. � . Q �
16. Amount of Line 14 taxable
at lineal 2te X � . � � 16. � • � Q
i�. nmouo�oru�eiaca.ame 0 . 0 0 i� 0 . 0 0
atsiblingrate X.12
te. nmo�m ot�ine te taxaeie p � q 5 4 5 . 2 3 ie 3 2 1 8 1 . 7 8
at collateral rale X.15
ie. rnnoue . _ _ . _ . . . _ _ . . . . . . _ _ . .._ _ . . _ . _ . �s. 3 2 1 8 1 . 7 B
20. FILL IN THE OVAL IF YOU ARE REOl1E5TING A REFUND OF AN OVERPAYMENT ❑
UnCer penalties ot pe�fury,I tleGare I M1ave ercaminetl I�Is reNrq Inclu0ing accompanying scM1eEules anE satemen6,antl�o Ue besl ol my knowleJge antl Oellef,
it is W e.w�red antl comple�e.Decla2�ion ol preDarer otM1er Nan�M1e person responsl0le for ftling IM1e reNm is based on a0 mforma�ion o�wt�icp preparer�as
anyknowle0ge.
SIGNAT RE PERSON RESPOp,s IBLE�p F FlLING RETUftN �NTE
�� .�G� �y�. / t ,�CJ,V� 9/17/2015
no a ss
521 Per Ile Road Millerstown PA 17062
SIGNATUR �RjJTHERTHANPER50NRE5PONSIBLEFORFILINGTHERETURN OATE
� ,� 9/17/2015
aoo 5
6 est,�lain Street New Bloomfield PA 17068
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Side2
L 1505619239 1505614234 �
REV4500 EX (Fq Page 3 Flie Num�er
DecedenYs Complete Address: 2i ts ozss
�ECEDENT'SNAME
Frederick E. Sagle -
STREETAD�RESS � �
113 NORh Sth Street __ . .
._.. _.- —.__ . _ _. . _ .
CITY ' STAiE ZIP �
Lemo ne I PA '� 17043
Tax Payments and Credits:
�. TavDue(Pege2,One19) (1) 32J8178
2 CrediLslPayments
A.PriorPaymen�s 30,000.00
B.Oiscaum 1,578.95
(SeelnslmctlonsJ TotalGreeits(A+B) (2) 31,578.95
3. Interest
(3J
4. If Line 2 is grea�er�han Line 1 t Line 3,enter�he Oiflerence.This is Ihe OVERPAYMENT.
Fill in oval on Page 1,Line IO lo request a relund (4) 0.00
5. If�'net*L7ne3isgrea�er�hanLlne2,enler�hedlHerence.ThlsisiheTAXOUE. (5) 60283
Make check payable to: REGISTER OF WILLS, AGENT.
�':awS2�'- . . ,�:��. `=tif�ues:e�$i
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Didtlecedenimakea�ransferantl: Yes No
a. retainlheuseorincomeofihepmpetlytransterretl _..... ..'.' ❑ ❑
b. retain Ihe nqh��o Oesignale wha shall use�he pmpeM1y trensferted or its income ...... ..._ x
c. re�aina�evereionaryinteresl .._.. ........... ..... ..._ ._. ❑ �
d. receire�hepromiseforliteofeitherpayments,benefisorcare'+ ...... ...... .._. ❑ x❑
2, Ifdea�hoccunedaherDec.12,1982,eitldeceden�transferpropertywahinoneyearotdeath
wit�outreceivingadequateconsiaeralion� ......... ..._... ._....__ ..... ❑ �
3. Ditldecedenlownan'inlmslfoforpayableupondealhbankaccounlorsecun�yathuorherOealM ._.. ❑ ❑X
4. �iddecedentownanin4iviGualretirementaccowt,annuityoro�hernon-probatepmpeM�which
conlainsabenefciarydesigna�ion?... ............ .._.._. ......... . ... . ............ ❑ �
� IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUS7 COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Por tla�es of death on or aner July 1, 1994,an0 before Jan.i, 1995,ihe fae ra�e imposetl on ihe netvalue of iranslers to oriorthe use of the surviving spouse
is 3 percent[72 P.S.§9116(a)(1.1)(i)�.
For dates of death on or aker Jan. 1, 1995,the tax rate imposetl on the net value of transfers to or for fhe use of ihe surviving spouse Is 0 percent
[72 P.S.§9116(a)(1.1)(ii)�.The statute tloes no�exemp�a Iransier�o a surviving spouse irom�ac,and ihe s�aWtory requiremenis for disclosure ot assets and
filing a tax reNrn are still applicable even if the surviving spouse is the only benefciary.
For dates of death on or afler July 1,2000:
• The tax rate imposed on lhe net value of iransfers fmm a deceased child 21 years of age or younger at death to or for the use of a naWral parent an
adoptive parent or a step-parent of ihe child is 0 percent[72 P.S§9116(a�(12)�.
• The�ar ra�e imposed on the net value of Vansfers�o orior ihe use of�he tleceOenCs lineal beneficianes is 4.5 percent exce0�as notetl in�72 P.S. 49116(a�(1)�.
• The tax rate imposed on ihe net value oFVansfers to or for the use of the decedenfs siblings Is 12 percent[72 P.S§9116(a)(1.3)�.A sibling is defineQ
untler Sectlon 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
REV4502EXr(0245)
pennsylvania SCHEDULE A
OEPPRTMENT OFREVENUE
REALESTATE
iNHERiiqNCEiAXREiURN
RES�DENiDECEOENT
ESTATE OF: FILE NUMBER:
Frederick E Sagle 21 15 0269
NI real property ovmed solety or as a tenan�in common muet be repotled a�lair madet value.Fair market value is defined as the Orice at which prope�y
woultl ba exchanged behveen a willing buyer and a willing sel ler,neilher being compelled�o buy ar sell,bolh having reasonable knowle0ge of�he relerani facls.
Real property Mat Is Joinlly�ovmed vnth nqht ot furvivonhip must be d'ucloaed on Schedula F.
Altach a copy o(the settlement sheet if Ihe pmpetly has been sold.
ITEM IncludeacopyofiheCeedshowingtlecedenfsinlereslifownedaslenanlincommon. VALUEATOATE
NUMBER OFDEATH
DESCRIPTION
1. Dwelling situate in the Borough of Lemoyne, Cumberland County, PennsyNania, having 132,500A0
an address of 113 Fikh Street, Lemoyne, Pennsylvania. See deed recorded in
Cumbertand County Deed Book"M", Volume 32, Page 958, attached hereto. Sold to
Joel D. Semke, et ux, on Augusl24, 2015. See attached settlement statement
TOTAL(Alsoen�eronLinel,RecaDiiulation) S 132500.00
If more space is neeEeG,use atlGHional sAee6 0l paper olMe samesize.
REV-t500 EX�(0245)
pennsylvania SCHEDULE E
oeenarmerv�ovaevenue CASH� BANK DEPOSITS & MISC.
INHFFIiANCFiAXREiURN
aEsioervroeceoeNr PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
Frederick E Saqle 21 15 0269 _
Inclutle�he proceeEs ot litigation anC t�e date�he pmceetls were receivetl by�he estale.
All properly lointly ownetl with right of sunivorship must be tlisalosed on Schetlule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
i. Real esta[e[ax refund -see attached settlement statement 1,704.37
2. M&T Bank Checking Account#55421512 16,628.15
3. Members 1st Federal Credit Union Savings Account#18444-00 51,990.66
4. Members 1st Federel Credit Union Checking Account#18444- 11 20,277.32
5. Personal property-appraised by P.L Frownfel[er Auctions 970.00
6. Allstate-insurancerefuntl 98.45
7. AAA- refund 4725
8. Deluxe check order 21.00
9. Consumer ReportlTime - refunds 99.30
10. Comcast-refund 574
11. 2008 Mazda 3 -soltl 5,600.00
TOTAL(AlsoenleronLine5,RecapNla�ion) S g7qq2,pq
I(mare space is needed,use aCtli�ional shaels of paper Mihe same size.
REK1511 EX�(OP4S�
pennsylvania SCHEDULE H
oEvnarmEHroraEVEHuc FUNERALEXPENSESAND
wneartnneer�ae�uau ADMINISTR4TIVECOSTS
AEsioENroECEOEhr
ESTATE OF FILE NUMBEk
Frederick E Saale 21 15 0269
OeceEenfa tleMf mu�t Oe repotled on Sc�etlule 1.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERALEXPENSES'.
1.
B. ADMINISTRATIVECOSTS'
1. PersonalRepresenlaliveCommissions:
Name�s�olPersonalkepresenwuve(s�
SlreetAtldress
Cky Sla�a 21P
Year(s)Commissbn Paia�.
p_ anomeyFees�. Seott W. Morrison fi,169.00
3. FemilyEzemp�lortQlaemeenYsetltlresslsno�0esameasclaimanYs,ettachexplenallon.)
Clainan�
S�reelAdtlress
Ciry Sla�e ZIP
Relationship o�Claiman�to Decetlent
o. PmoateFees�, Lisa M. Graysoq Esquire 450.50
5 AarountantFew�.
6. TMftelumPreparerFees'.
7. The Sentinel-estate advertising 233.02
8. Cumberland Law Joumal 75.00
TOTAL(Also en(er on Line 9,RecapiWlalion) S 6 927.52
If more 50ace is neetletl,use adtlitional shee6 0(paper of Ihe same size.
REV4512 EX+(0Y-05)
pennsylvania SCHEDULE I
oevna.menroFaevenuE DEBTSOFDECEDENT�
wneai.nNceraxserufiN MORTGAGE LIABILITIES 8. LIENS
aEsioErvroECEOENT
ESTATE OF FILE NUMBER
Frederick E. Sagle 21 15 0269
RepoM1 debts incurred 6y�he decedent Drior ta death thal remaineC unpaid at the dale of dealh,inclutling unreimbursed medical expenaes.
ITEM VALUE AT DATE
NUMBER OESCRIPTION OF�EATH
1. Costs of sale of real estate -see attached settlement sta[ement 3,164.42
2. Rupperts Lawn Care-snow removal 766.60
3. Holy Spirit EMS-ambulance 141.30
4. Lemoyne Borough-sewer bills 393.41
5. UGI -gas bill 555.67
6. Cremation Society of PA 18380
7. PAAmericanWater-waterbills 130.48
8. PP81 -electric bills 221.46
9. P. L Frownfelter Auctions-auctioneer fee 50.00
10. Hospice of Central PA-medical account 1,500.00
11. Pennsylvania Waste-trash bills 130.50
�2. Pennsylvania Department of Revenue-income tax 2.00
13. Nicula Faith - real estate tazes 783.47
�4. AllstatelnsuranceCo. -insurence 446.38
TOTAL�AIsoenleronLinelO,Recapitulation) S 8469.49
If more space is neetleQ insert atltlilional sheels ot the same size.
REV-1513 E%�(02-15�
pennsylvania SCHEDULE J
oEvnarMEuroFREVENUE BENEFICIARIES
INHEWiANCEiF%REil10.V
RESIDENipECEDEN*
ESTATE OF: FILE NOMBER:
Frederick E. Sa le 21 15 0269
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAMEANOAOORESSOFPERSON(S)RECEIVINGPROPERTY DoNotListTmslee�s) OFESTATE
I TAXABLEDISTRIBUTIONS �Inclutleoutnghispousaldlsin0ulionsanelmretersuneer
Sec 91161a1(12).]
7. Vicki M. Anderson, a/k/a, Vickie M. Anderson Collateral
521 Perry Valley Road one-fourth
Millerstawn, PA 17062
2. Cathy A. Foose Collateral
1378 Perry Valley Road one-fourth
Liverpool, PA 17045
3. Betsy J. Byers, n/k/a, Betsy J. Maurer Collateral
1100 Walker Hill Road one-fourth
Newport, PA 17074
4. Timothy B. Sagle Collateral
1392 Perry Valley Road one-fourth
Liverpool, PA 17045
ENTER DOLIAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LWES 15 THROUGH I B OF REV-1500 COVER SHEET,AS APPROPRIATE.
II. NON-TA%ABLE DISTRIBUTIONS.
A.SPOl1SAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN EIECTION TO TAX IS NOT TAKEN'.
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS.
1.
TOTAL OF PART 11- ENTER TOTAL NON-TA%ABLE DISTRIBUTIONS ON LWE 130F REV-1500 COVER SHEET. f
If mare space is needed,use addilional sheels of paper ol lhe same size.
. .`,wiiisVsas-e.reAii-9s �I
LAST WILL AND TESTAN.ENT �I
OF I
FREDERICK E. SAGL6
'�. I, FREDERICK E. SAGLE, of the Borough of Lemoyne, Cumberlar.d '�,
I County, Pennsylvania, declare this to be my last wi11 and revoke any II
will previously made by m,e. I
ITEM I : I direct that my Executor hereinafter named shall pay
all my just debts and funeral expenses as soon as conveniently may be
done after my decease .
ITEM II : I devise and bequeath all of my estate of every nature
and wherever situate to my brother, GEORGE W. SAGLE, provided he sur
vives me. I
ITEM III : Should my brother, GEORGE W. SAGLE, fail to survive
i me, I devise and bequeath all of my estate, of every nature and li
wherever situate, as follows: I
A. One share to my niece, VICKIE M. ANDERSON, or to her
issue, per stirpes .
B. One share to my niece, CATHY A. FOOSE, or to her issue,
per stirpes.
C. One share to my niece, SETSY J. BYERS, or to her issue, �
per stirpes . �
D. One share to my nephew, TIMOTHY B. SAGLE, or to his
issue, per stirpes.
Page 1 of 5
E. One share to my nephew, MICHAEL T. SAGLE, provided he
survives me . Should my nephew, MICHAEL T. SAGLE, fail to survive me,
his share sha11 be added to the other shares created in this Item III
in the same proportion that they now bear to each other. �
ITEM IV: I appoint my Executor and his successors guardian of
any property which passes, either under this will or otherwise, to a
minor and with respect to which I am authorized to appoint a guardian
and have not otherwise specifically done sc, provided that this ap-
pointment of a guardian shall not supersede the right of any fiduciary
��� in its discretion to distribute a share where possible to the minor or
to another for the minoY s benefit . Such guardian shall have the
power to use principal as well as income from time to time for the
minor' s support and education (including college education, both
graduate and undergraduate) without regard to his or her parent' s
abiliCy to provide for such support and education, or to make payment
�
for these purposes, without further responsibility, to the minor or to I
the minor' s parent or to any person taking care of the minor.
ITEM V: I appoint my brother, GEORGE W. SAGLE, Executor of this
my last will . Should my brother, GE�RGE W. SAGLE, fail to qualify or
cease to act as Executor, I appoint my niece, VICKIE M. ANDEASON,
Executrix of this my last will .
Page 2 of 5
i
ITEM VI : No fiduciary acting hereunder sha11 be required to post I
bond or enter security for the faithful performance of his/her duties I
iin any jurisdiction.
IN WITNESS WHEREOF, I , FREDERICK E . SAGLE, have hereunto set my
' hand and seal this �� day oE ��r--�,..%:.ek<� , 1995 . ,
',/.t i cC.�.t-t„x_. �i. %C� L v
FRECERICK E. S GLE
SIGNED, SEALED, PUBLISHED and DECLARED by FREDERICK E. SAGLE, the �
Testator above named, as and for his Last Will and Testament, and in
the pres=nce of us, who at his request, in his presence and in the
presence of each other, have subscribed our names as witnesses .
� �
� �1
� l� , (�rh�.ta., �a
� ness .. Address
�.---�
_;/�.f-„�� m . ,Cld �c�,., � /7l�/ L°l,t,�-n i ..! �( /�A
Witness Address
Page 3 of 5
�
u I
COMMONWEALTH OF PENNSYLVANIA:
SS :
COUNTY OF CUMBERLAND . .
I , FREDERICK E. SAGLE, the Testator whose ❑ame is signed to the �
attached or foregoing ins[rument, having be_n duly qualified according
to law do hereby acknowledge that I signed and executed this instru-
ment as my last will; that I signed it willingly and that I signed it
as my free and voluntary act for the purpos=_s therein contained.
�- '�.:i"'-cz.�i h_���a'..%C�i..i
FREDERICK E . SAGLE
Sworn to or affirmed to and acknowledged before me by FREDERICK
r
E. SAGLE, the Testator, this � day of ,�oC-ncle-t - , 1995 .
`I�. v r� � c��L
' , `Notary�Pub�—
Notsd;.l Seai
NewCKeye R.WYr4 Nc�ry PWYc
mbe ard Eo�o,CumLG!��my �
MY 4bmm�am E�re34vd�z�.im>
Mxrci+er,F annryNatia Asotla W n oi Nowp9
COMMONWEALTH OF PENNSYLVANIA :
SS :
COUNTY OF CUMBERLAND .
we, <� + H .1{'r�ne and �(L.m�in_ `✓Yl �o�R-�'in �_,
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
Page 4 of 5
I I
we were present and saw Testator sign and ex=cute the instrument as I
his last will ; that Testator signed willinglv and that he executed it
as his free and voluntary act for the purposes therein expressed; that
each of us in the hearing and sight of the Testator signed the will as �I
witnesses; that to the best of our knowledge, the Testator was at that
time eighteen or more years of age, of sound mind and under no con-
IIstraint or undue influencz .
�
.., ',,.,( . �/ /��
T
( = Wit ess .
\ i '
� �'1� /CLO�^^ G-
Witness
Sworn to or affirmed to and acknowledged before me by
1�\�� t� Sll'*��. and �BA � I'�n �alin�i ,
witneeses, thie /�'� day of ��'-�L'°�'TM-t'"� , 1995 . �
L. �f' .�- F1�..P .
� Notary Pub c
�
NolanrJSeal
KzyeR Luticeu.ivc'3ryRhGc
New Cumbvlantl Bao.C•:nll:a^antl Caunly
MY Cmvn[cvlm Entiie=tGarch 2].1931
M ', mnsYNanaa-+:oC;lionol�`bGhc
Page 5 of 5
:�� pennsytvania
oEre.arnErvr oF aue�ic we�Fnae
Marth 17, 2015
SCOTT W MORRISON ESQUIRE
6 W MAIN ST
PO BOX 232
NEW BLOOMFIELD PA 17068
Re: Frederick Sagle
SSN: #'�#-�#�-6535
Dear Attomey Morrison:
Pursuant to your le[ter dated March 16, 2015, the Department's, Estate Recovery
Program, has reviewed the information you provided regarding the above-referenced
individual.
It has been determined that this individual did not receive any type of assistance
during the questioned period.
Therefore, acwrding to the information you provided, the Department's Estate
Recovery Program will not seek any recovery from this estate. If your client applied for
Medical Assistance and had an application and/or hearinq pendinq at the time of death,
please advise us and provide any additional information that may affect a recovery by our
Department.
Thank you for your cooperation in this matter. If you have any questions, please
contact me.
Sincerety
'/ �y
^Y✓riC2_ 0. Yd�M�.
Vince A. Porter
Recovery Section Manager
(717)772-6604
8ureau of Program Inte9�iry I Dlvision of TM1lrtl Varty Llabllity � Pemvery Sectlon
PO Box 8086 � Harn50Urg,PPnnSylvdnid V105-BA66
.� i�
, �
;,
�- � I
, �,,.,�� ,.
-- - , -
cf our iord e. n �„�sand i _ . n_E iuct�:-s -u i19F?� , �
BET4:8cN CATHERiNE F A�l��'i, 1?-.Co�� . ._d EEPDERi"K r, iA�L.E, '�,
ef the Borough of ier.uyne, Coce[c of Cumberiznd �I
�'I and Commonc:zalrh ef Pen�svlvania lI
i Crantors, II .
and CATHh:NINC E. ASK.F.Y, Wi2.ow, miri FhD;�I':RICK F,. SAGLL, �
� as ioiot t. ,��ts �.�irL i ,. _ . -�iti-pin and no[ � �
ae tenants in cc�.cn
Gran[ees, I
�
WITNESSETH, that in consideration of ONE AND NO/100----------------------- I� �
I "_'____'__"__'_"""'_'_'(S1.00)'____"_""_'_____'__'__'__'__"'_Co11ar , ' �..
in hand paid, the receipt whereof is hereby acknowledged� Che said Grantors �'. �
do hereby grant and convey [o the saiL Grantees, their heirs and assigns, �I �.
ALL Ti{AT CERTAIN to[ of land situate in [he Borough of Lemoyne, Count �
of Cumberland� and 5[a[e of Pennsylvania, more pat[icularly 6ounded and .
described as follows, [o wit: .
BEGINNING a[ a s[ake on [he eastern line of Fif[h Stree[ on Che �
dividing line between Lots Nos. 169 and 170 as shown on the hereinaf[er men- �
tiorted Plan of Lo[s, being the m�ne� nf lands now oc la[e of S. J. Quigley;
thence along the eastern line of Fif[h Stree[ North 32 degrees Wes[ 125J6 fee
to a s[ake at [he southern ex[remity of the atc or curve connec[ing Che eas[er
line of Fif[h Street with [he sovtherly line of Washington Terrace; thence a10 g ��
said carve [o [he east wi[h a radi�s of 10.87 feet, a distance of 22.43 feet t � �
a s[ake in ihe sou[herly line of Washington Terrace; [hence along [he sou[herl
line of Washington Terr2ce Nor[h h6 degreees 13 minutes East 42.31 feet Co a
stake; thence con[inuing along the sontherly line of sald Washing[on Terrace o
a curve [o [he lef[ having a radius of 579.92 fee[, a dis[ance of 94.80 fee[ [ �
a s[ake; thence along [he western line of Lots Nos. 160 and 161 Sou[h 32 degre s
�E. s,,,E„ Eas[ 77.54 fee[ [o a stake a[ Lo[ No. ll0 on said Plan; [hence along [he
rEwppr nor[hern lioe of said Lo[ No. 170 South 58 degrees West 140 feet to a stake a[ .
,�„� �.w the place of BEGINNING.
i
;eQe svaa< i
�een.�e. v..
vo�o
.�_. ��� � �� �
_ ' '�-�T-^-,""'�'"--,^T.
i
I
BEING Lots Nos. 168 and 169 as shown on [he Revised Plan No. 3 of For
Washing[on, said Plan being recorded in [he Cu¢berland Coun[y Recorder's Offic
in Plan Book 2, Page 26, excep[ing, however, a per[ion of sald Lo[ No. 168,
which is included wi[hin Che limits of Washington Terrace as presently
� constructed. i
HAVING [hereon erec[ed on Lo[ No. 168 a [wo and one-half s[ory s[one
dwelling houae known as 113 Fif[h S[ree[, Lemoyne, Pennsylvania.
BEING the same premSses whlch Janet E. McSparran, single woman, by he
deed dated May 15, 1979, and recorded in the Office of [he Recorder of Deeds 1
and for the Co�nty of Cumberland and Commonweal[h of Pennsylvania in Deed Book .�
K, Volume 28� Page 605� gran[ed and conveyed un[o Shannon D. Askey and Catheri e �
E. Askey, his wife, and Frederick E. Sagle. The said Shannon D. Askey died
February 22� 1985, [hereby vesting an undivideA one-half interest in [he afore .
said proper[y in Catherine E. Askey, one of the Gran[ors herein.
THIS is a conveyance be[ween mo[her anA son and is exemp[ from all re 1 �
es[ate tiansfer taxes.
Fr .. ' 9. -HE_"_� -
BOR,,��fr� Uf �E�1SOYt�E, Pd �
tC�� � iyR7� �
F��l���r�y �:
S�ChE`>R� �r�
_-_ ____ . _ . ���
ti'1
Y�
9
AND the said Gran[ors hereby covenant and agree [hat they will warrant � '�
t
specially the properCy hereby conveyed. ���-�''#
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Loan Terms
vo�.�„mmi��,mo„mi: s is�<�:�a
�m�,me��a,m„ ao.0000 y�e5
�.ro�.mm.um.nvami: os000 .e
�.YowlnilhlmonlMyamomlowatl�o�p�n<IO�I,IA�nslantl E963YI�ntlu0e5
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i n Mo�9a9� �,�,a�@ I
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erory on��shei Every
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gua2n�5eElone�er�ebwer�hen_ %or�gOerNan I�
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a�e _xan
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ninMam co15LT5.B�. au�en 'I
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❑ ❑
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Pa9e]ol d HVO-1
�15�Ot}0 FFDItS0120/fi�
HUD-1 Attachmen[
Borroweqs�:JoelD.SemkeandJanelleSemke Selle�s�: VickiM_AndersoqExewVix
aoa HummelAvenue it3 NorM Fph SUeet
Lemoyne,PA t�043 Lemoyr.e.PA 190J9
Lender:HomeB�itlge Financial5ervices
SeXlementAgenCAbs[raclAmerica Real @ta�e Satllemen�Soluhons
O1])514-0114
Piace of SettlamenC Homebridge Financial Services
4800 Lingleslown Road.Harnsburg, PA
Sanlement�ale:Hugust 24,20t 5
PropeM Localiom 113 Nor�h FiflM1 Streel
Lemoyne,PA i)043
Cumbetlana Counry,Pennsylvania
Borrewer Loan PayoH Details
303K Total Rehabilibtion P to Homebritlge Financial Services,ir�c.
LoanPayoR 40A21.36 AsofOBlOVtS
TolelAtltlitionalln�e�es! 23tlays@ Perpiem
Total Loan Payof( 40p21.96
Adjusted Origina[Ion Charge Details BORROwER
Origination Charqe
1 592 3fi
to HomeBridge Financial5ervices, Inc.
Total S �,59236
Origination CretlitlCharge�points)!or ihe specific Intarest ratechosen
Total E
AEjustetlOriginationCharges § 1,59Y36
Raserves Oepositedwith Lender BORROWER
Homeowner's Insurance �QZ��
�3000a1 4]S9 permonM
2�16 GoRwp.Real Estale Tax C9.03
L000 at 6529 per monih
201 B-20i 15c�ool Real Esta�e Tax Q�6 y�
3 000 al 13899 per mont�
NggregateAdlusimant -26t �6
Tofai E ]55.61
TitleServicesandLmdersTitlelnsuranceUe[ails BORROWER SELLEft
Lander's tltle insuranoe 1,2i5Ao
m Finan�y rvononei imc ino�ra�.�t co.
Closing Pmteatlon Leller 125-00
10 F�1�2IiIy N3b0021 T�1�IE�p511fdOCC C0.
Ovemlghl Delrvery Fae 50 00
to AOsvac�qmerica Real Estate Seulement SOWtions
YMRNING'. Il ls a c�m��o Fnowinply mab IaW sdt�mpnls lo iM pnibE S�a(es an IM1ia or any slmllarform. Penaltiae upon conviction can
n<I We a fim antl ImvneonmmL For Eelail¢zee:Tlib 18 V.S.CoOe Saction 1001 a�tl$eclon t010.
pS�120 WD(1SO4N6)
—__ HUD-0Atlachment- Continuetl
Total S 1390.00 S 0.00
Owner'sTitlelnsurance BORROWER SELLER
Owner's Policy Premium 125.00
to fidellry National Tllle Insurance Co.
Total E 1Y5.00 g o.00
LendeYSTitlelnsurance BORROWER SELLER
y.ea aiw sno.n aeove m rn.s.nm.z am�ena..'s rine i��,a�ce rouas
Lentler's Policy Premium 1,065D0
�o Fidelity National Tllle�nsurance Co.
Lentleis EntlorsementCharges 150.00
Enaorsament Entlarsemenl CM1ar9e
ALTH Endorsement Fo�m 100 50A0
ALTA Entlorsemen�Porm 300 50 00
ALTA Entlorsemenl Porm B.1 (Environmen�al Pmleclion 50 00
Lienl
Total S 1.215.0o E o.00
wwnixs�. u�..<n„�.iox�o.mmv�x.hi...m.m.m>�on»uon.ev.i.,o�m�:o..�v.�mn..m�. r.�au...w�=o•mma,o,
m�we..a�..m;mnmo�m.�c ro�a.�.�i...r.rn.�e us.coa.s.�uo�iroi re s.mo„mm.
�ismzo rcwsarzois�
p n�s�
099 Mlmhell RoxJ.Mlllsbom,UE 19966 Recoids 3Awagunen�
Phnne868S�2-03Y9
fac(302)934-2955
Memli 2g y015
Law Offices of Scott Morrison
Center Square
P.O. Box 232
New BloomTield,PA 17065
Re: Esta[e ofFrederick F., Saele
Social Security: 19L26-6686
Da[e of Death: February 28 2015
Dear Sir or Madam:
Per your ioquiry on Merch 16, 2015,please be advised[ha[a[the[ime of death,the abov�named decedrnt had
on deposit wid�this bank the fo0owing:
1. Pype ofAcroun( ChecM'ng
AccountNumbv Si41/571
Ownership(Names ofJ Vicki MAndersan(POAJ
Timothy B Sagle(POAJ
Frederick E Sagle
OpeningDafe OS/01/1995
SalanceonDateoJDeath $ 76,6?A.OS
Accruedln(erest $ .!0
Total 8 16.628 IS . ... .............
For any vdditiond informnrion on the above ettou�ls,in�luding ownership and any chmges,closures end/or reimbursemen[ot funds,
plase nll[he W'nl5hore Rve MoncA et]V-]31-1'/30.
This Ictler daes irot indude any attrounb in wpic�Ilie tlmased may heve bnn lis¢d n Power of Attornry.Cus[od'un of Uni(orm l'rv�Rn
Represenmuve Puytt,or Trus[ee u�der e N rimn Agrtemrnl.
Sincerely,
Tomara Williams
Rewrds Managemen[
1�15
MEMBERSI"
FEDFMLCPFDYf ISIOA
REGULAR SAVINGS ACCOUNT:
Accaunt NumbedSuffix 18444-00
Date Account Established 07/13/1976
Principal Balance at Date of Death 551,966.80
Accrued Interest to Date of Death $3.86
Total Principal and Accrued Interest $51,99086
Name of Joint Owner None
CHECKING ACCOUNT:
Account Numbei/Suffix 18444-11
Date Account Established O6/14/1995
Principal Balance at Date of Death $2Q276.64
� Accrued Interest to Date of�eath $0.68
Total Principal and Accrued Interest $2Q277.32
Name of Joint Owner None
VISA CREDIT CARD ACCOUNT
Account Number 4672090000146262
Date Accoun[ Established 10/04/1993
Balance at Date of Death $0.00
Joint Cardholder None
MEMBERS 15i FErrDE--RAL CREDIT UNION
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Lending Insurance Support Specialist
April 2, 2015
Estate o/: FREDERICK E SAGLE
Date of Death: 02I28/2015
Social Security Number: 191-26-6686
5000 Louise Drive • P.O. Nos 40 • Mechanicsburg,Pennsclvania 1'0�5 • (800) 283-2328 • �ca�umembeesls[ocg
P.L. FROWNFELTER AUCTIONS
44 Penn Ave. 717-567-6115
Newport PA. 17074 717-579-4660
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PA. LIC. AU005869
APPRAISAL FOR THE ESTATE OF FREDERICK E. SAGLE- MARCH 23, 2015
113 5�"5T.
LEMOYNE PA. 17043
EXECUTOR: VICKI ANDERSON
CONTENTS: Mr. Sagle resided on the first floor with contents distributed in four(4) rooms only.
KITCHEN: (Major appliances to remain with house.)
POTS, PANS AND UTENSILS ETC. .....................................................................................................50.00
SMALLAPLIANCES..............................................................................................................................30.00
3 PCS. POTTERY..................................................................................................................................40.00
4 PCS. WOOD DINETTE CHAIRS (SHERATON)................................................................................50.00
NOMINALPCS. ..................................................................................................................................40.00
LIVING ROOM:
SOFA/CHAI R....................................................................................................................................125.00
ENDTABLES.......................................................................................................................................50.00
FLATSCREEN TELEVISION (VIZIOI...................................................................................................35.00
BARRELEND TABLE..........................................................................................................................30.00
NOMINALPCS. .................................................................................................................................35.00
BEDROOM:
2PC5. ART& CRAFT STYLE DRESSERS..........................................................................................125.00
NOMINAL PCS. (INCLUDING CLOTHING)......................................................................................50.00
STUDY:
HUTCH (TOP DAMAGED)...............................................................................................................85.00
ACERPC. .........................................................................................................................................50.00
5/1 COPIER......................................................................................................................................25.00
MAPLEDRESSER.............................................................................................................................50.00
WALLMIRROR.................................................................................................................................20.00
NOMINALITEMS.............................................................................................................................50.00
TOTAL 5970.00
APPRAISAL CERTIFICATE
I hereby certlfy that, upon request for valua[ion of the personal property of the ESTATE OF FREDERICK E.
SAGLE, deceased, 113 5�" ST., LEMOYNE, PA 17043 by Vicki Anderson, executor, Millerstown PA. I have
personally and physically inspected the following listed personal property for the purpose of appraising
and reporting the FAIR MARKET VALUE, as of March 23,2015. Date of inspec[ion being March 23, 2015.
The information and values con[ained in this report are based upon my experience as an auctioneer and
appraiser,and other reliable resources.The personal property was found to be in GOOD condition,unless
otherwise noted. Values are reported piece by piece, and as a whole. All values reported have been
determined with consideration to condition of item, market conditions,and stability faciors.
igned March 23,20
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AUCTIONEER AP RA R