HomeMy WebLinkAbout01-0528
the identity of all of the articles and the persons to whom they
are to be given.
It is my intent to prepare a list of articles
and to identify, by name, the person or persons to whom such
articles are to be given at the time of my death. It is my
further intention to sign that list when it is completed, place a
date upon it, and cause that list to be placed with this Will, as
a Codicil thereto, and I direct my personal representative to
make and deliver the gifts set forth in that attached listing in
the same fashion as if that listing were set forth at length in
this item of my Will.
ITEM III.
I give, devise and bequeath all of
the rest, residue and remainder of my estate of every nature and
wherever situate to my husband, Samuel L. Cannon, provided he
survives me by thirty (30) days.
ITEM IV.
In the event my husband predeceases
me or dies on or before the thirtieth (30th) day following my
death, I give, devise and bequeath all of the rest, residue and
remainder of my estate of every nature and wherever situate in
equal shares to my children, namely: Lisa Beth Smith, Shawn
Cannon, Lorelei Graham and Samuel Cannon, Jr., or their
respective issue, per stirpes.
ITEM V.
I appoint my husband, Samuel L.
Cannon, to be and act as Executor of this, my Last will and
Testament. In the event my husband predeceases me or otherwise
fails to qualify as Executor, I appoint my daughter, Shawn
Cannon, to be and act as Executrix of this, my Last will and
Testament. No bond shall be required by my Executor/Executrix in
Pennsylvania or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this
" ~ ~J
day of re..\or~ I
, 1998.
Cxo. + ~~
Ruth F. Cannon
The preceding instrument, consisting of this and two (2) other
typewritten pages, was on the date thereof signed, published and
declared by RUTH F. CANNON, the Testatrix therein named, as and
for her Last Will, in the presence of us, who at her request in
her presence and in the presence of each other, have subscribed
our names as witnesses hereto.
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97908-1
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT 280601
HARRISBURG, PA 17128-0001
DECEDENT'S MAME tU\S1. FIRST, AMO MIODlE INITIAL)
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REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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FILE NUMBER
21-010528
""'COUNrvCODE -~ - - iNimR--
SOCIAl- SECURITY NUMBER
Cannon Ruth F. alk/a Ruth S. Cannon
DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year)
1 82- 2 2 - 8 6 6 2
THIS RETURN MUST BE FilED IN DUPUCATE WITH THE
REGISTER OF WILLS
05/27/2001 03/08/1930
(IF APPLlCA8LE) SURVIVING SPOUSE'S NAME (LAST. RRST. ANO MIDDLE INITlAL)
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1Xl1. Original Return
o 4. Limited Estate
[Xl 6. OecedelltDiedTestate tAltacncopyolWill)
o 9. Litigation Proceeds Received
SOCIAL SECURITY NUMBER
o 2. Supplemental Return
o 4a. Future Interest Compromise (date of lIeaIIl afIer 12.12-82)
o 7. Decedent Maintained a living Trust (Attach copy of Trust)
o 10. Spousal Poverty Credit (dale of death between 12.31.91 aOO1-1-95}
o 3. Remainder Retum (dateofdeathpriorto12-13-B2)
o 5. Federal Estate Tax Return Required
1. 8. Total Number of Safe Deposit Boxes
o 11. Election to tax undefSec. 9113(A) (_Scl>0)
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Close~ Held Corporation, Partnership or Sole-Proplietorship
4. Mor1gages & Notes Receivable (Schedule D)
5, Cash, Bank Deposits & MIScellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Asse'.s(total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mor1gage Liabilllies, & Liens (Schedule I) (10)
11. Total Deductions (totaltines"9 &10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Go'lemmen1a\ Beques1slSec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 m,ms Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPlICABLE RATES
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NAME
Carl G. Wass Es uire
FIRM NAME (If Applicable)
CALDWELL & KEARNS
TELEPHONE NUMBER
717 232-7661
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15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Une 14 taxable at sibling rate
18. Amount of line 14 taxable at collateral rate
19. Tax Due
COMPLETE MAILING ADDRESS
3631 North Front Street
Harrisbur
(1) 162,000.00
(2) pC; d
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(4) (..~ L.l
(5) 184,064.61 N
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PA 17110
OFFICIAL USE ONLY
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(8)
346,054.61
22,761.15
74,648.18
(11)
(12)
(13)
97,409.33
248,645.28
(14)
248,645.28
x .0_(15)
248,645.28 x .04.5 (16)
x .12 (17)
X .15 (18)
(19)
11,189.04
11,189.04
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
Decedent's Complete Address:
STREET ADDRESS
72 Old Federal Road
CITY I STATE I ZIP
Camp Hill PA 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
11,189.04
10.000.00
500 00
Total Credits (A +8 +C)
(2)
10,500.00
3. InteresVPenalty if applicable
D. Interest
E. Penalty
T otallnteresVPenalty ( D + E ) (3)
4. It Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Une 20 to request a refund (4)
5. It Une 1 + Line 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5)
A. Enter the interest on the tax due. (SA)
8. Enter the total of Line 5 + SA. This is the BAlANCE DUE. (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
jp;~'%~.llkll~~" r- ;:-~~~" ,: ""1j::ji1"-Jil~it~'~'11
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN ''/: IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Ves No
a. retain the use or income of the property transferred; ........................................................................... 0 [ZJ
b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 [ZJ
c. retain a reversionary interes!; or ...................................................................................................... 0 [ZJ
d. receive the promise for life of either payments, benefits or care? ...........................................:................. 0 [ZJ
2. If death occurred aner December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration?............................................................................................... 0 [ZJ
3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ................. 0 [ZJ
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... 0 [ZJ
0.00
689.04
689.04
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IF lHE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have examined this return, includi~ accompanying schedules and statements, and to the besl of my knowledgeald belief, it is true, correct
and complete.
Decluon of prepcm other than the personal representative is based on alllnformallOn of which preparer has any knowledge.
SIGNATU~SON RESPONSIBLE FOR FILING RETURN DATE
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ADDRESS 234 Harvard Avenue
CollinQswood
SIGNATURE OF PREPARER OTHE~ R
NJ 08108
DATE
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ADDRESS 3631 North Fr I Street
HarrisburQ PA 17110
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For dates of death on or after July 1. 1994 and before January 1, 1995, the tax rale imposed on the nel value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. ~9116 (a) (1.1) (i)l.
For dates of death on or after January 1, 1995. the tax rate impoSed on the net value 01 transfers to or tor the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)).
The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax retum are stili applicable even if
the surviving spouse is the only beneficiary.
=or 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,
"a stepparent of Ihe child is 0% [72 P.S. ~9116(a)(1.2)].
rhe tax rate imposed on the net value ottransfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)].
rhe tax rate imposed on the net value aftransfers to orforthe use ot the decedent's siblings is 12% [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an
ndividual who has at least one parent in common with the decedent, whether by blood or adoption.
'''''''''''''''''*,
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER
Cannon Ruth F.. a/k/a Ruth S Cannon 21 01 0528
AU reat property owned soIety or as a tenant in common must be reported at fair maT\(e1value. Fair market value is defined as the price at which property 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 which is jointly-owned with
right of
survivorship must be disclosed on SChedule F
ITEM
NUMBER
1.
OESCRIPTION
lot and single family dwelling thereon, known as 72 Old Federal Road, Hampden Twp.
(Camp Hill), Cumberland County, Pennsylvania. Acquired by deed dated November 16,
1987, recorded in Cumberland County Deed Book "B", Volume 33, Page 4. Husband and
co-owner, Samuell. Cannon, died on March 6, 2000. Property sold on Sept. 28, 2001,
and value reported at sale price.
(Ex. #1) - New deed
(Ex. #2) - Settlement sheet
VALUE AT OATE
OF DEATH
162,000.00
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
162000.00
R"""''''''''''',*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Cannon Ruth F a/k1a Ruth S Cannon 21 01 0528
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.
2.
DESCRIPTION
1996 Buick Regal sedan, sold July 3D, 2001
Used car value - (Exh. #3)
Reported at sales price - (Exh. #4)
Lady's 14K yellow gold ring set with one .63 ct. diamond
Appraisal value (Exh. #5)
VALUE AT DATE
OF DEATH
7,000.00
ITEM
NUMBER
1.
2,000.00
3.
Miscellaneous furniture and household contents and personal property. Estimate.
5,000.00
5.
Misc. coins recovered from safe deposit box - - no known collector value - -
Reported at face value.
(Exh. #6)
Alltirst Financial Center N.A.:
(Exh. #7)
18.00
4.
A. Checking account No. 0038339846
3,150.84
B. Money Fund All. Account No. 0950262020
39,696.22
6. Morgan Stanley Dean Witter:
(Exh.#8)
A. IRA Rollover Accl. #410-042747-053. Average of 5/25/01 value and 5/29101 value
21,528.85
B. Variable Annuity Investment Accl. No. 410-014111-053. Average of 5/25/01 value
and 5/29/01 value
104,390.13
7.
Refund of real estate taxes and sewer charges, at settlement upon real estate
(Exh. #2)
1,270.57
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
184054.61
REV.'511EX'I1-97)~_
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COMMONWEALTH OF PENNSYLVANIA
INHER\1I\NCE 1 AA RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
FILE NUMBER
Cannon Ruth F a/kla Ruth S Cannon
21
01
0528
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Cremation Society of Penna. 1,240.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Secunty Numbe~s) I EIN Number of Personal Representative!s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees Caldwell & Kearns, P.C. 4,664.06
3. Family Exemption: (If decedenfs address is not the same as c1aimanfs, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees Cumberland County Register of Wills 364.00
5. Accountanfs Fees
6. Tax Return Preparer's Fees
7. Cumberland Law Journal, legal advertising 75.00
8. The Patriot News, legal advertising 96.81
9. Register of Wills - additional short certif., filing fees & receipts & releases 60.00
10. Hampden Township Tax Collector - 2001-02 school taxes 1,526.54
11. Repairs to washing machine 141.17
12. VNB Mortgage Services, Inc. - 2 monthly mortgage payments prior to saie and
settlement of real estate 1,418.22
13. Settlement charges of the Estate associated with sale of real estate (including sales
commission, transfer taxes and misc. settlement costs (Exh. #2, line 502) 11,893.50
14. Hampden Twp. - quarterly sewer bill 98.00
15. Verizon - long distance telephone charges 115.50
16. AI Hykes - grass cutting and lawn services 180.00
TOTAL (Also enter on line 9, Recapitulation) $ 22761.15
(If more space is needed, insert additional sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
Cannon, Ruth F., alkla Ruth S. Cannon
21
01
0528
PaQe 1
Schedule H - Funeral Expenses & Administrative Costs - 87
ITEM
NUMBER
DESCRIPTION
.
AMOUNT
17.
18.
19.
20.
21.
AI Hykes - repairs & painting - prep. house for sale
AT&T - telephone service at house
PP&L - electric service at house
PA American Water Co. - water service at house
UG I - gas service at house
200.00
52.91
464.48
139.75
31.21
.
SUBTOTAL SCHEDULE H-B?
888.35
""""",.,,"'.
COMMONWEALTH OF PENNSYLVANIA
fNHER1TANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
ESTATE OF
Cannon Ruth F. alk/a Ruth S. Cannon
Include unreimbursed medical expenses.
ITEM
NUMBER
FILE NUMBER
21 01
0528
OESCRIPTION
AMOUNT
1.
Moffit, Pease & Um - medical debt
60.00
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Visa card debt
20.23
VNB Mortgage Services, Inc. - mortgage debt - payoff at sale of real estate (with per diem
interest) (Exh. #2) (Exh. #9)
73,986.44
Hampden Township per capita tax
5.00
Healthsouth (medical tests debt)
91.80
Slim Time Spa - cancellation fee
50.00
Truegreen Chemlawn - final service fee bill
122.45
The Patriot News - final bill
4.30
Comcast - cable, final bill
64.94
UGI - gas bill
19.95
Water Company - water bill
35.39
Verizon - telephone long distance bill
14.23
AT&T - telephone service bill
70.45
PP&L - electric service bill
103.00
TOTAL (Also enter on line 10. Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
74648.18
''''''''''''''''.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
<I.th F "/k/,, Rllth ~ ?1 ()1 1l<;?R
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Usl Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1. Lisa Beth Smith Daughter 25%
7730 Nemec Drive S.
Lake Clark Shores, FL 33406
2. Shawn Cannon Daughter 25%
234 Harvard Avenue
Collingswood, NJ 08108
3. Lorelei A. Graham Daughter 25%
34 Oriole Avenue
Media, PA 19063
4. Samuel L. Cannon, Jr. Son 25%
2431 Nottingham Road
Roanoke, VA 24014
ENTER OOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET
TI. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX tS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $
{11 mere space \s needed, insert additional sheets of the same size)
:r..AST WILL AND TESTAMENT
OF
RUTH F. CANNON
I, RUTH F. CANNON, of Camp Hill, Cumberland County,
Pennsylvania, being of sound mind, memory and understanding, do
make and publish this my Last Will and Testament, hereby revoking
and making void all former Wills by me at any time heretofore
made.
ITEM I.
I direct that all my just debts,
funeral expenses and inheritance taxes which may become due as a
result of my death be fully paid and satisfied as soon as
conveniently may be after my decease.
ITEM II.
Within my household are a number of
articles of personal property that I wish to give and bequeath to
certain, designated persons following my death; however, at the
time of my drafting of this Will, I have not finally determined
the identity of all of the articles and the persons to whom they
are to be given.
It is my intent to prepare a list of articles
and to identify, by name, the person or persons to whom such
articles are to be given at the time of my death. It is my
further intention to sign that list when it is completed, place a
date upon it, and cause that list to be placed with this Will, as
a Codicil thereto, and I direct my personal representative to
make and deliver the gifts set forth in that attached listing in
the same fashion as if that listing were set forth at length in
this item of my Will.
ITEM III.
I give, devise and bequeath all of
the rest, residue and remainder of my estate of every nature and
wherever situate to my husband, Samuel L. Cannon, provided he
survives me by thirty (30) days.
ITEM IV.
In the event my husband predeceases
me or dies on or before the thirtieth (30th) day following my
death, I give, devise and bequeath all of the rest, residue and
remainder of my estate of every nature and wherever situate in
equal shares to my children, namely: Lisa Beth Smith, Shawn
Cannon, Lorelei Graham and Samuel Cannon, Jr., or their
respective issue, per stirpes.
ITEM V.
I appoint my husband, Samuel L.
Cannon, to be and act as Executor of this, my Last will and
Testament. In the event my husband predeceases me or otherwise
fails to qualify as Executor, I appoint my daughter, Shawn
Cannon, to be and act as Executrix of this, my Last will and
Testament. No bond shall be required by my Executor/Executrix in
Pennsylvania or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this
" ~ ~J
day of re..\or~ I
, 1998.
Cxo. + ~~
Ruth F. Cannon
The preceding instrument, consisting of this and two (2) other
typewritten pages, was on the date thereof signed, published and
declared by RUTH F. CANNON, the Testatrix therein named, as and
for her Last Will, in the presence of us, who at her request in
her presence and in the presence of each other, have subscribed
our names as witnesses hereto.
Q.~~,~ "~<M--l . . Re~iding "'
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97908-1
COpy
EXECUTOR'S DEED
THIS INDENTURE, made the 'Z..,,":S. day of ~~...l6..u.. 2001,
Between SHAWN CANNON, Executrix of the Estate of Ruth F. Cannon,
Deceased, late of Hampden Township, Cumberland County,
Pennsylvania, Grantor, party of the first part,
AND
LLOYD V. FOWLER and MARY LOU FOWLER, his wife, of Hampden Township,
Cumberland County, Pennsylvania, Grantees, parties of the second
part:
WHEREAS, the said Ruth F. Cannon died testate on May 27,
2001, whereupon Letters Testamentary were issued by the Register of
Wills of Cumberland County, pennsylvania, to the Grantor herein,
and
WHEREAS, there is no specific devise of the real estate
hereunder described contained in the Last Will of Ruth F. Cannon,
Deceased, and
WHEREAS, Section 3351 of the Decedents, Estates and
Fiduciaries Code of the Commonwealth of Pennsylvania, provides,
statutory authority for the personal representative to sell at
public or private sale any real property not specifically devised.
NOW, THEREFORE, by virtue of the authority aforesaid and in
consideration of the sum of One Hundred Sixty-Two Thousand
($162,000.00) Dollars paid by the parties of the second part, to
the party of the first part, the receipt whereof is hereby
acknowledged, the party of the first part has granted and conveyed
and does hereby grant and convey to the parties of the second,
their heirs and assigns forever:
ALL THAT CERTAIN piece or parcel of land, situate in the Township
of Hampden, County of Cumberland, and State of Pennsylvania. more
particularly bounded and described as follows, to wit:
BEGINNING at a point on the northern line of Old Federal Road,
which point is at the dividing line between Lots No. 189 and 190 on
the hereinafter mentioned Plan of Lots; thence North 44 degrees 28
minutes 10 seconds West and along the dividing line between Lots
No. 189 and 190 on said plan a distance of 132 feet to a point at
EXHIBIT 1
rear lot line of Lot No. 225; thence North 65 degrees 58 minutes 12
seconds East and along part of rear lot lines of Lots No. 225 and
224 on said Plan a distance of 127.41 feet 0 a point at the
dividing line between Lots No. 190 and 191; thence South 24 degrees
59 minutes 20 seconds East and along the dividing line between Lots
No. 190 and 191 a distance of 108 feet to a point on the northern
line of Old Federal Road; thence southwesterly along the northerly
line of Old Federal Road and on a curve to the left whose radius is
250, an arc distance of 85 feet to a point, the place of BEGINNING.
Being Lot No. 190 on the Plan of Lots known as Part of Country Club
Park which Plan is recorded in the Office of the Recorder of Deeds
in and for Cumberland County in plan Book 22, Page 196.
HAVING THEREON ERECTED a single family dwelling house known and
numbered as 72 Old Federal Road.
BEING the same premises which James G. Tice and sally J. Tice, his
wife, by their deed dated November 16, 1987, and recorded in the
Cumberland County Recorder of Deeds Office on November 17, 1987, in
Deed Book B, Volume 33, Page 4, granted and conveyed unto Samuel L.
Cannon and Ruth F. Cannon, his wife. The said Samuel L. Cannon
died on March 6, 2000, leaving to survive him his wife, Ruth F.
Cannon, surviving tenant by the entirety, whose estate is the
Grantor herein.
TOGETHER with all and singular the rights, liberties,
privileges, hereditaments and appurtenances whatsoever thereunto
belonging and the reversions, remainders, rents, issues and profits
thereof, and all the estate, right, interest, claim and demand
whatsoever of the said Ruth F. Cannon at and immediately before the
time of her decease, in law or equity.
TO HAVE AND TO HOLD the said granted premises to the said
parties of the second part, their heirs and assigns forever. The
said Executrix aforesaid does covenant, promise, grant, agree to
and with the said parties of the second part, their heirs and
assigns, by these presents that she, the said Executor, has not
done, committed or knowingly or willingly suffered to be done any
act, matter or thing whatsoever, whereby the premises aforesaid, or
any part thereof, is, are, shall or may be charged or incumbered in
title, charge or estate, or otherwise howsoever.
IN WITNESS WHEREOF, the Executrix herein has hereunto set
her hand and seal the day and year first above written.
ATTEST/WITNESS
ESTATE OF RUTH F. CANNON
By
Shawn Cannon, Executrix
ACKNOWLEDGMENT
STATE OF
SS:
COUNTY OF
)
BE IT REMEMBERED, that on 2001, before
the subscriber personally appeared SHAWN CANNON, Executrix of the
Estate of Ruth F. Cannon, known to me (or satisfactorily proven) to
be the person whose name is subscribed to the within deed and
acknowledged that she executed the same for the purposes therein
contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
Notary Public
My Commission Expires:
I hereby certify the precise residence of the Grantee
Name of Attomey
Attorney for
COMMONWEALTH OF PENNSYLVANIA
88.
COUNTY OF
Recorded in the Office for Recording of Deeds in and for
Dauphin County in Deed Book , Volume , Page
Witness my hand and seal of Office this
day of
A.D. 2001.
Recorder
28824
A. u.s. DEPARTMENT OF HOUSING and URBAN DEVELOPMENT OMB No: 2602.0266
SETTLEMENT STATEMENT
TITLEPRO
SECURED LAND LaserpMt
,
TRANSFERS, INC. 8. TYPE OF LOAN
5006 East Trindle Road q jFHA 2. I I FMHA 3. [ I CONV. UNINS.
Suite 203 4. 00 VA 6. I I CONV. INS.
Mechanlcsburg, PA 17055 6. FILE NUMBER: I 7. LOAN NUMBER:
502927 0016145740
Phone: (717) 591-8500 FAX: (717) 591-8506 6. MORT. INS. CASE NO.:
C. NOTE: This form Is furnished to give you a stalement 01 actual setllement costs. Amounts paid 10 and by .the eet~ement agent are shown. Items marked
'(p.o.c.)' were paid outside the closing; they are shown here for informational purposes and ars not included In the totals.
D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER:
Lloyd V. Fowler, Jr. Estate of Ruth F. Cannon Cendant Mortgage Corporat
Mary Lou Fowler ion dba PHH
3000 Leadenhall Road
Mount Laurel NJ.08054
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: I. SETTLEMENT DATE:
Lot 190 Country Club Park
72 Old Federal Road Secured Land Transfers. Inc. 09/28/01
Hampden TOWNSHIP PLACE OF SETTLEMENT:
CUMBERLAND County 101 Old Schoolhouse Ln. Mech. PA 17055
J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLI!R'S TRANSACTION:
100. ClROSS AMOUNT DUE FROM BORROWER 400. ClROSS AMOUNT DUE TO SELLER
101. Contract sales price 162000 :lm 4Q, .Contract sales price 1 .00
102. Personal property 402.Personal property .
'03. Settlement oharges to borrower (line 1400) 9313.34 403.
,.... 404.
10&. . 406. -C'
Adjustments for lIems paid by selier in advance Adjustments for Items paid by selier In edvance
'06. Cllyrrown tax 10 406.City!Town tax to
107, County tax U~/;l!l/u11o 1701 94'.81 0II\01.County tax O~/ 11012/31/0J 94.8~
108, AS8881ments to 011\08. Asses8ments to
109. 8csnool 09/28/0110 06/ 30 102 1173 ~1 011\09. School 09/2!l1 0110 U61 JO/ u:. 1173.61
110.1<&::;: :;;~!l. OO/q eooJ.ng 9/3C 2.15 410.R&S:S98.00/q eOOlnQ 9/JC 2:15
'\11. 411.
112, " 011\12.
120. ClROSS AMOUNT DUE i~ROM BORROWER 172583.91 420. ClROSS AMOUNT DUE TO SELLER 163270.57
200. AMOUNTS PAID BY OR IN SEHALF OF SORROWER '00. REDUCTIONS IN AMOUNT DUE TO SELLER
201. Deposit or earnest money :lJO 'ol.Excess deposit (see instructions)
202. Prlncipel amount of new loan(s) 166!l50.()(f ,o2.S.llIemenl charges to selier (line 1400) 11893.50
203. Existing loan(s) taken subject to .0..Exlstingloan(s) taken SUbject to
2C>4. .0..Payoff of First Mortgage Loan
VNB Mortgage Services 73986.44
205, ,0'.Payoff of Second Mortgage Loan
Lender Contribution 417.13
208. 508,
207, 507.
208, 50a.
209. 509.
Adjustments for Items unpaid by selier Adjustments for items unpaid by selier
210, Cl1ylTown tax 10 510.Clty!Town tax 10
211. County tax to 5l'.County tax to
212. Aaae88ments to 512.AsS9ssments 10
213. Bcshool to 513. School 10
214. 51<4.
215. 515.
216. 51&.
217. . '17
218. 518.
219. 519.
, "
220. TOTAL PAID BY/FOR BORROWER 170267.13 '2o.TOTAL REDUCTION AMOUNT DuaSELLER . ., 8'5879.94
300. CASH AT SETTLEMENT FROM OR TO BORROWER '00. CASH AT SETTLEMENT TO OR FRo,.t,sE'LER . .
301. Gross amount due from borrower (line 120) 1 725lD. 91 ""'.Gross amounl due to seller (11(\e 4201 . 163270.57
302. Less amount paid by/for borrower (line 220) 170267.13 602.Less reduction amount due seller (Une 520)' ,. 8S-879. 94
303. CASH (DO FROM) ([ ] TO) BORROWER 2316.78 ,03.CASH (00 TO) ([ ] FROM) SELLER 77390.63
..
. EXHlBIT 2
Buyec Qr 60HOW4u'a S\gnature
Seller', Signature
HUD-l Rev. 6/66
L. SETTLEMENT CHARGES 502927 PAID FROM
700. TOTAL SALES/BROKER'S COMMISSION b.ud on prlo. $ 162000.00 BORROWER'S SELLER'S
FUNDS AT FUNDS AT
Division of Commission (line 700) as follows: Total: $9,720.00 ~
701. $ 4835.00 to Jack Gauqhen Realtor ERA
702. $ 4885.00 to ReMax Realtv AssocJ.ates
703. Commission paid at Settlement 9720.0
704. TransaFee Jack Gauqhen Real tor ERAr 100.001
800. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Origination Fee .% .
802. Loan Discount %
803. Appraisal Fee to Stars ($250.00 POC) 25.00
804. Credit Report to FJ.rst AmerJ.can/Credco 35.50
806. Lenders Inspection Fee
806. Mortgage Insurance Application Fee to
807. Assumption Fee
808. VAFundJ.na Secretary of VA 4860.00
809. Flood Cert Stars 19.50
810. Doc preo PHH Mortqaqe ServJ.ces 80.00
811. . .
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interestfrom 09/28/01 to09/30/01 @$ 32.44/day 97.32
902. Mortgage Insurance Premium for mo. to
903. Hazard Insurance Premium for 1yrs.to USAA 581.82
904. yrs. to
906.
000. RESERVES DEPOSITED WITH LENDER FOR
001. Hazard Insurance 3 mo.@$ 43.49 /mc. 130.47
002. Mortgage Insurance mo.@$ /mc.
003. Clty/Town tex mo.@$ /mo.
004, County tax 8 mo.@$ 30.07 /mo. 240.56
006. Assessments mo.@$ /mc.
oos. School tax 4 mo.@$ 127.21 /mc. 508.84
007. mo.@$ /mo.
008. Aqqreaate mo.@$ /mo. -478.42
100. TITLE CHARClES .
101. Settlement or closing feeto
102. Abstract or title search to i"
103. Tille examination to Ii
104. Title Insurance binder to
106. Document preparation to
108. Notary fees to Cash 16.00
107. Attorney's fees to Caldwell & Kearns
(Includes above Items No.:) 1105. (POC S)
108. Title Insurance to Secured Land Transfers 1313.75
(includes above items No.:) End.100,300 900.
109. Lender's coverage $ 166,850
110. Owner's coverage $ 162.000
111. MaJ.l Fee Secured Land Transfers 11.00
112. Tax Cert Secured Land Transfers 3.00
113. MtaSat Secured Land Transfers 18.50
200. ClOVERNMENT RECORDINCl AND TRANSFER CHARClES
201. Recording fees: Oeed $ 25.50 Mortgage$ 55.50 Misc. $ 81. 00
202. City/county taX/stamps: Deed $ 1620.00Mortgage$ 1620.00 .
203. State taX/stamps: Deed $ 1620.00Mortgage$ 1620.00
204.
206. processSer ReMax Realtv AssocJ.ates 120.00
300. ADDITIONAL SETTLEMENT CHARClES
301. Survey to
302. Pest Inspection to BJ.echler (POC B)
303.R&S10/11/1 Hamnden Two. MunJ.cinal 98.00
304. HoWarrantv AmerJ.can Home ShJ.eld 385.00
306. Radon/HoIn BJ.echler (POC BJ
400. TOTAL SETTLEMENT CHARGES' (enter on lines 103 and 502, SecUons J and K) 9313.34 11893.50
U.l>. U~~AH'M~NT OF HOUSING AND URBAN.OEVELOPMENT
SETTLEMENT STATEMENT
OMB'No. 250~.0265
Page 2
Psrtles .gre. Ihat no II_bUllY Is ...umed by Settlement Agenllor Ihe seouraey ollnlormaUon lurnlshed by others.s ahown on the HU()..l SelUemanl Statement. SetUemant "ge...1 halaby a.pressly
reserves the rlghllo daposft anv amount. collecled lor dlsbursemenl In 111'1 Inleresl beating account In a Federally Insured Inslnullon ....d to credit any Inlare" 10 .amed to Ita own
account as addlllonal
compensation lor Its servlcat.ln IhlstranMetlon.
, HUD CERTIFICATION OF BUYERS AND SELLERS
1 have carefully revlowod the HUo.1 Sotdemont Statement and to the best of my knowledge and belief, It Is a true and accurate statement of all receipts and dIsbursements
made on my ou by me In thl. notion. Ilurlher oerllfy that I have reoelved a oopy of the HUD.l Settlement Slaleme, .-
.Q "'- ... (), t It!-..ili l "-1'<' ~~"
~",-L ~ D.,~ ~. eo..,.o ~
Buyer or Borrower's Sign re Seller's Signature
Seller'e New Addre.. & Phone:
and ac~urata account or Iht"r8n"cu~:'1'-tJl Will c.u.a Iha lunda to be dltbursad In aocordance wllh this ataleman!.
Selll8menl Agent Dala
WARNING: ilia II crime to knowingly make f.1se ent.lo Ihe United Slate. on Ihls or anvsimlla' lorm. Penallle. upon cOf1vlcllon can Include a line and Imprlsonmeh!. For detaila Me
T11l818: U,S. Code Section 1001 and Seclion 101~. HUD.1 Rev. 5/86
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Zip: 17011
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EXHIBIT 3
http://jbox03.edmunds.eomlproductsltmv/usedlepllstep04.jsp?tmv=99254 7650065
Page 1 ofl
06/14/200 I
BILL OF SALE
.1ft
Shawn Cannon, as administrator of the estate of Ruth cannon, hereby conveys title
to a 1996 Buick Regal to Harrison Lorah on -c \"30 I 0 \ 2001 for the sum of $7,000.
~Lr
Seller,
Shawn cannon,
Administrator of Estate
of Ruth cannon
I~ vtW!lf
Buyer,
Harrison Lorah
fc*II......,,,,.. ~0rIRlIe:............n p.g.; 1
EXHIBI'I' 4
~ttamur
-~ MOUt~Tl ~~~JtwC~~BS "
Gr"duate GemologiSt. Apprai5{!rS
128 Camp Kin Shopping Ma.'
Ct.MP HiLL PENNSYLV/:,NIA. 17Cll
(HI) 763-1199
TO WHOM IT MAY CONCERN
Thl~~ is 10 CerHfy ~hat Vie are ~ngag~~ '.,.., ~::r; jt.:">>,C'hy tw~he?~, ,1pprf\t~lng rllcm~onds, w3tch€S'-, fewelfj.' },!Ild
pred()!1$ .ton'!.' of all oflSCriptions
We herewith certify that we have this day carefully examined the following listed and described
articles. the property of:
NAME
Sai11uel L., CAf.1nOj"'!
l..,j.J
ADDRESS
72 Old Fed~~ra.l Hoed,
t
Camp .Hill.
PA
17011 .
We estimate the value as listed for insurance or other purposes at the current retail value. excluding
Federal and other taxes. In making this Appraisal. we DO NOT agree to purchase or replace the
articles.
COMMOKWUlllt ot PENNSYlVANIA
I)fP","Maff Of REVENUE
utMIIITANCI TAX DMSfON
. DEn. 210601
HAlWSIlIlG.'''' l7J21-0601 PleaSe Print or Type
MUST BE COMPlETED BY REPRESENTATIVE OF FINANCiAl tNsmunoN WHERE SAFE DEPOSIT BOX IS. lOCATED AND RETURNED TO ABOVE ADDRESS
COUNTY CODE FILE NUMBER SOCIAL SECURItY OR DEATH CERTIFICATE NUMBER
21 21-01-0528
REY4M EX. (1-91)
'*
SAFE DEPOSIT BOX
INVENTORY
D '$ AMI (lAST. fiRST, MiDDlE)
Cannon Ruth F.
ADDRESS Of' DECEDENr ISlOEEl) (CITY)
72 old Federal Road Hill
NAME AND ADDRESS Of' PEIlSON REQUESnNG THI OPINING or THI SAFE DEPOSIJ BOX
.(NAMfI
Carl G. Wags. Esq.
ISTREET ADDRESS) !C11'I)
3631 i'klrth Front street Hard
NAME. ADDRESS AND tElAT1ONSIl1P (IF ANY) TO _. OF PEIlSON(SI PRESENr AT THIBOX OPENING
G. (NAME) (RELATIONSHlfl
Shawn Cannon n",v>f-~rll"Y......1f-rix
ISlREET ADDRESS' !C11'I) .
234 Harvard Avenue cnlli~
L. (NAME) (RElATIONSHIp)
(STREET ADDRESS)
!CITY)
c. (NAME)
(RELATIONS"'''
(STREET ADDRESS)
ICITY)
NAME AND ADDRESS Of' FINANCIAL INSTITUTION WHERE THE SAFE _IT BOX IS lOCATED
(NAME'
Allfirst Bank
(STUEl ADDRESS) (CrJY)
3045 Market street
. NAME OF PERSON MAKING LAST ENrRY
Ruth F . Cannon
DATE Of' CONrRACT TO RENr BOX
2 7 8
NAME AND ADDRESS OF PERSON(SI.HAVlNG ACCESS TO BOX
D. (NAME)
Samuel L. earioon (~=-rl\ 3/6/00
(StREET ADDRESS)
..(NAME)
Ruth F _ c.nnnn
ISTREET ADDRESS) .
!CITY)
ISTATE)
fliP CODE) !C11'I)
NAME AND TlTlE OF EMPLOYE TAKING THE INVENrORY
Ifyeo. D. Date ofwlll,
,,_ Name and addr.Sf of penonal ,.....,tatfvet If named .. the will
(NAME)
(STREET AODRESSI
ICITY)
c. Narne aftd o-ddreu of attorney, if any
(NAME'
EXHIBIT 6
(StREet A()[)RESS)
ICITY)
ISTAlE) iZIPCODE) 1.-.'
PA 17011
~I:t;
jSTAlE) fZIPCODE)
PA 17110.
(STATE)
NT
(ZIP CODE)
OR10R
ISlAlE)
(ZIP-CODE)
(STATE) (ZIP CODE)'
-.
-
(STAlE) fZIP CODE}
(SlATE)
(ZIP CODE)
(STATE)
(ZIPCOOE)
ISTATE)
(ZIP CODE)
INSTRUCTIONS
(1) Cosh: Report 10101 only.
(2) Stocks: list in detail every common or preferred certificate, warrant or other rights found in box. Stocks ore
to be designat&d by nome of company, certificate number, dote of certificate, nome in which stock is registered,
and number of shares and class of stock.
(3) Obligations of U. S. Government: Number of items, dale of issue, face value, names in which registered
and type of ownership, i.e., jointly held, payable on dealh, etc.
(4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds)
(5) Bonk and Savings and Loon Passbooks: State name of depositor, number of book, fast dote appearing in
book, name of bank ahd branch, and balance.
(6) Jewelry, Coins, Stomps, Manuscripts, etc: List and describe as fully as possible.
(7) Deeds, Mortgages, Current Insurance Policies or other -evidences of indebtedness: List and describe as
fully as possible.
(8) All other contents.
ITEM ITEM DESCRIPTION
NO.
1. Five b;o dollar bills.
2. Four Kennedy half dollar roins. .
3. ane Eisenhower one dollar roin.
4. M:lI.mtz Jewelers "sa! of 1/14/88 for ladies 14k yellCM qold ring set with 1.63 c
round brilliant cut dianaJd (S2 000 valuation).
5. TIiO 1957 Proof Sets ( one-half dollar. dime nickel and )
6. 1877 Indian 1905 dime. 1827 dime 1861 ooe-half dime.
.
7. Deed for haDe at 72 Old Federal Road, Camp Hill.
8_ ~ " "' Tn". n--. ..<..10 " Fnr 7? n1" ~
.-.
-~--
I CERTIFY UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS PIRSON RKEIViNG COpy OF
CORREel AND COMPLETE TO THE H5T OF MY KNOWlEDGE AND BELIEF SAFl DEPOSIT BOX INVENTORY:
SIGNAluRE SIGNATURE
PRINT NAME PRINT NAME AND CHECK APPROPRIATE BOX BelOW,
earl G. Wass, Esq. Shawn Cannon, Executrix
PRINT TITLe CHECK APPROPltlATE IJQX:
Attorney for the Estate lKIfxecutor{trix) OAdministroforltr;x}
DEstole Representative 0 Joint ownl/lr of sofe deposit box
SAFE DEPOSIT BOX INVENTORY
Page of
Non: A"ach additional 8'1a" x "" sheet (s)lf necessary or use duplicates of this page of form.
-,'---
II allfirst
Allf"ttSt Financial Center N.A.
P.O. Box 900
MiIlsboro, DB 19966
June 25, 2001
Caldwell & Kearns
Attorneys At Law
3631 North Front Street
Harrisburg, PA 17110-1533
RE: Estate of Rllth F. CaDnon
Date of Death: May 27, 2001
Social Security Namber: 182-22-8662
Dear Mr. Wass:
In response to your request, please be advised that at the time of death, the above-
named decedent had on deposit with this bank the {ollowing accounts.
1. Account Type........................... Checking Account
Account Number....................... 0038339846
. '. c,~' .
Qwnership (Names of),............. Ruth F. Cannon
. .
.
Q>ening Date...........................llJ28f87
. ',,:, --~ . -'.'," '. ' .
. ' -. .
Balance on Date of Death. .... .....$3, 150.11
Accrued Interest
$
.73
Total................................... ....$3.150.84
2. Account Type........................... Money Fund Alternative
Account Number.....................,. 0950262020
()wnership(Namesof).............. Ruth F. Cannon
'--
Q>ening Date...........................llf29f99
Balance on Date of Death ... ......$39,621.96
Accrued Interest
$ 74.26
Total............. ................. ........$39,696.22
EXHIBIT 7
. Page 2
JUlie 25, 2001
3.
Aa:ount 'fYpe...............;........... Safe Deposit Box
Account Number....... ...... .... ...... 1000532100011304
Ownership(Nameso.D.............. Ruth F. Cannon
Opening Date........... ..... ... ...... ..11/13/98
1. ..
'~'--"""-"""-""
This_ does not include any accounts in _lhe """"'-.I IDl\Y have been ~ 88 _ of attorney,
custodian ofunililnn tnm....... .............tative _ or tro_ undc< a written trost agreement.
For any additional information on these accounts. please contact our branch at:
3045 Market Street
Camp Hill, PA 17011
Phone: (717) 255-2279
Sincerely, .
~~
Charlene Warrington, Associate I
(302) 934-2722
~
MorganStanley
May 25, 2001
Secu' Name
\4SOW AsseIFund
\4SDW s&P 500 Index Fund a. B
\4SDW Eu G~ Fund a. B
\4SOW TotaI_llndo. Fund a. B
ASDW lliY-.d G~ fund a. B
Estate of Ruth F. Cannon
Date of Death Values
Account Number. 41~747-053
Registered Owner. Ruth F. Cannon
Account Type: IRA Rollover
Dale Established: December 9, 1994
May 29,2001
Shstes
Total Account Yaw
!.fay 25, 2001
16c . Nama
r_OWVa_U
r_owvar1abIeu
_OW Var1abIeUAnn
117535
143007
5709510313
Total Account Va"'"
MSDW Assel Fund
MSDW s&P 500 _. Fund CI. B
MSOW Eu an Growth Fund CI. B
MSDW Total Market Index Fund O. B
MSDW Dlvldand Growth fund CI. B
-
Account Number. 4HK>14111-()53
Registered Owner. Ruth F. Cannon
AccounlType: Single
Date Established: July 28. 2000
May 29, 2001
Seeu' Name
_OWVar1abIeIlAnn .
NorthbrookOWVallal>la II Ann
NorII1brook OW Vallabla U
-
THE PURCHASE OATES. AMOUNTS AND
PRICES PROVIDED ARE FROM SOURCES
CONSIDERED TO BE RELIABLE, BUT ARE
NOT GUARANTEED AS TO ACCURACY.
CHECK YOUR MONTHLY STATEMENT
FOR VERIFICATION OF FIGURES
EXHIBIT 8
4th & Walnut Stre<=ts
P.O. Box 12053
Harrisburg, PA 17108
toll-f,,,, 800 676 0673
phone 717 255 6666
Sharos Price
0.120
404.721
331.854
535.972
105.402
Total Account Value
117535
143037
5709510313
Total Account Va"'"
-
-
-
b,lmtcl Just li1ee its S1If1fOStJ 10 hi"
"~5't1vica:k
^ ~.rv..,.............,.
KEYSTONE lAND TRAHSFER.INC.
. An: JOYCEHOUSTOH
FAX: 111-131-1799
Seplerriler 26. 2001
Re: tc.l Nt<<nber: 17231221
l!omIh"r Name(sl:
SAMUEll CNKlN
Runt F CANNON
Ollar srJMlIclam:
Type:~YRFIX
Plllperty AlIcIrecs:
n 0l.0 FEDEIW. ROAD
CAMP HIll PA 11011
PtnIant ti your I9ClII1lI'11qU11t. the ~ is I sfAllllotlllat lVIec:Is iii laIaIlJ1llIlI'IlllllCi...) ID pay the above
........cI ....."""" 1olI1111 U. If.. do noIl8C111ve lhe pI'JlIIJblds by 9121W1. RwlI be IllICIIUalY ID WIiI8 for oow, updaled
.... . A $10.00_ wi be dwged for '*" IIJld*d pIyOIf.. ;nI a $2O.W fall lliI be II! .-1 if you AlqUIlSt thai M
~11i~1D~ .
PINse ...1hIt this .....11 subject to cbaftg6 or 1inaI.. II VN8 ....... s.mc.s.1nG. . c:anIlnve to fIllY an
taxft,1nwrance orothlr 'lert/..Jd lIIms II hJ heGIM due lIlIIII we_In twe*pt. offull payment In ~
~..1I1t Is subjeI;t to the caIIKIlon of any d1ecb cr.... to this lICCOllllt. . JOU would IiIut I
disbummtnt to remain UIlPIid. we MUST 1.w...........iIItIGn 2__ pdorto 1M cIIsbursent.m dd1.
AMOUNTRECMRED
PmcipaI B;t.n:e lIS ota'2IW1
InIeresI paid IIrough AuQuel31,2oo1. CollacI inIItest ID 9I2Ml1.
$13.101* diem a16.!iOOO'l(,
Legal flies ( ) No ( ) Yes
CuracI our oIIic8 plor ID c:IoIIlng Ibr qpdited amount due:
Escrow 8AI.N<<:E: $541.12
UnappledBall>.~
late CMges:
Fax Fee:
OhrrChqec;
NJOocumentClu: . Ian Fee:
N.J.S.A 46:18-11.2 M........... Fe<<
TOTAl DUE AS OF 9121W1: ~.
S13.547.31
353.$3
20.00
S73~.94
This is a ~.~. F8naIly..1f lI1J Ic~ in !he above ImIUlIt required. Int8re&t Is requin!d b lhe
day we 19C8iv8 your ch8dc In tile oIIc8. In aco....a . thllIomIRI'. IllCIftOavoo not.. Iat8 Clhll~s will .,.
....5Md ai I/IY ~ IKtMcf IIIIrtht paJII1eIItgrlCt ptriod.
Ren.....ce llIJSI be male In the fllnn rA a cet1lied d18ck, *' AIDney TRJSI Acc!:lunI ch8cIc, or a T1lIe ~ d1ett payltie
n
VN8 MaUGAGE SERVICES, INC.
1460 V_Road. Wayne. New.l8t'sly0141O
::
',;
EXHIBIT. 9 .
.~,
"'~--"'<"".~"-~~ -
PETITION FOR GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND COUNTY,PENNSYLVANIA
Petitioner(s)named below,who is/are 18 years of age or older, apply(ies)for Letters as specified below, and in
support thereof aver(s)the following and respectfully request(s)the grant of Letters in the appropriate form:
Decedent's Information y�� � �'} � .� � f� �'
Name: RUTH F. CANNON File No: v
�a. (Assigned by Register)
a/k/a:
�a: Social Security No: 182-22-8662
Date of Death: 05/27/2001 Age at death: 71
Decedent was domiciled at death in Cumberland County, PennsXlvania (State) with his/her last
principal residence at 72 Old Federal Road 17011 Camp Hill Hampden Township Cumberland
Street address,Post Office and Zip Code City,Township or Qorough County
Decedent died at Harrisburg Hospital 17101 Harrisburq Cit�_ Dauphin PA
Street address,Post Oftice ar.d Zip Cad: City,Township or Baroual� County State
Estimate of value of decedent's property at death:
Ifdomici[ed in Pennsylvania................................All personal property $ �.��
Ifnot domici[ed in Pennsy[vania.............................Personal property in Pennsylvania $
If not domiciled in Pennsylvania.............................Personal property in County $
Value of real estate in Pennsylvania.............................................................. $ �.�0
TOTAL ESTIMATF.D VALUE.... $ O.00v
c� �.
Real estate in Pennsylvania situated at: � � t�1 �
(Attach additiona!sheets,ifnecessary.) Street address,Post Office and Zip Code City,Township or Borough -�.- � ��Y �-� �
` 7 -e� —'s�C ,,) ic:1.
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❑ A. Petition for Probate and Grant of Letters Testamentarv ' � "� ~' �� � 'r
Petitioner(s)aver(s)he/she/they is/are the Executor(s)named in the last Will of the Decedent,dated ati d C�il(s)' '' " �
, c^s
thereto dated - �� -"°'"�
---- .T—� _.�
State relevant circumstances(e.g.renunciation,death of execntor,etc.) -.�: C�
C1J ]" fi y7
�.,._
Except as follows:after the execution of the instrument(s)offered for probate Decedent did not marry,�vas not divorced,was not a party'to a pendirn�g� G� �
divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g),and did not have a ch'rld born or �y �7
adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person.
0 NO EXCEPTIONS ❑EXCEPTIONS --
� B. Petition for Grant of Letters of Administration(tfapp�icable)d.b.n.c.t.a. �xec Shawn Cannon died 6-6-14)
c.t.a.,d.b.n.,d.b.n.c.t.u.,pendente lite,durante absentia,durante minorrtate
If Administration,c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and comnlete list of heirs.
Except as follows: Decedent was not a party to a pending divorce proceeding wherein the grounds Y'or divorce had been established as defined
in 23 Pa.C.S.§3323(g)and was neither the victim of a killing nor ever adjudicated an incapacitated person.
� NO EXCEPTIONS ❑EXCEPTIONS ---
Petitioner(s),afrer a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse(if any)and heirs(attach
additional sheets, rfnecessary):
Name Relationship Address
238 West Thatch Palm Circle
Lisa Beth Smith Dau hter Ju iter __ FL 33458
c/o Lorelei Graham, Exec of Estate of Shawn Cannon
Shawn Cannon, Deceased Dau hter 211 Stee lechase Drive, Media PA 19063
211 Steeplechase Drive
Lorelei Graham Dau hter Media _ PA 19063
2401 Nottingham Drive
Samuel Cannon, Jr. Son Roanoke VA 24016
Page 1 of 2
Form RW-01 rev.!0/!1/1011
� �i a;,.�_.�ir nr�mr b
Oath of Personal Representative Official Use Only
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
-ri
Petitioner(s)Printed Name Petitioner(s)Printed kdjre's§,. t--
211 Steeplechase Drive
Lorelei Graham Media
The Petitioner(s)above-named swear(s)or affirm(s)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 Representative(s)of the Decedent,the Petit*oner(s)will w d truly administer the estate according to law.
Sworn to or a rmed and subscribed before
Date*
me t1h i day of 'qory AO) Date
By: Date
or he Register
Date
BOND Required: U YES M NO To the Register of Wills:
FEES:, Please enter my appearance by my signature below:
Letters. . . . . . . . . . . .. . . . . . . . .. . $ 20.00 Attorney Signature:
(1 )Short Certificates(s) . . .. . . 5.00
(2 )Renunciation(s) . . . . .. . . . . 10.00 1
)Codicil(s) . . . . . . .. . . . . . . -
)Affidavit(s). .. .. . . . . . . . .
Bond . . . . . .. . . . . . ... . ..... . ... Printed Name: Elizabeth H. Feather, Esquire
Commission . .. . . . . . . . . . . . . . . . . . Supreme Court
Other . . . . . . . . . ID Number: 92618
. . . . . . . .. Firm Name: Caldwell & Kearns, P.C.
.. . Address: 3631 North Front Street
... . Harrisburg PA 17110
. .. .. . . . . Phone: 717-232-7661
. . . . . .. . . Fax: 717-232-2766
Automation Fee . . . . .. . . .. . . . . .. . Email: efeather(ED-cklegal.net
JCS Fee . . . . . .. . . . . . . . ... . . . . ..
TOTAL . . . . . . . . . . . . . .. . . . . . . .$ 35.00
DECREE OF THE REGISTER
Estate of RUTH E. CANNON File No:
a/k/a:
AND NOW, in consideration of the foregoing Petition,
�i—
satisfactory proof having been presented before me,IT IS DECREED that Letters Administration d.b.n.c.t.a.
are hereby granted to Lorelei Graham
in the above estate and(if applicable)that
the instrument(s)dated C� — 2�20 — i:clq
described in the Petition be admitted to probate and filed of record as the last Will(and Codicil(s))'of Decedent.
Register of Wills
Form RW-02 rev.1011112011
Page 2 of 2
RENUNCIATION
��
REGISTER OF WILLS � � v�, �
CUMBERLAND COUNTY, PENNSYLVAl`�A�a 'n �'
_ � � � �.� �--,
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Estate of RUTH F. CANNON
! �� c.a � ,D�ceased
� �� � �
s
I, SAMUEL CANNON JR , in my capacity/relationship as
(Print NameJ
son of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
LORELEI RAHAM — •
r
�-��-I� ��-
(Date) (Signa ureJ
2401 Nottinqham Drive
(Street Address)
�bl�
Roanoke VA -�946 �
(City,State,Zip)
Executed in Register's Office Exeeuted otst of Register's Off ce
Sworn to or aifirmed and subscribed Before the undersigned personally appeared the
before me this day party executing this renunciation and certified
o f � . that he or she executed the renunciation for the
purposes stated within on this a� day
of !�P/Ll,G ,�D/s'_•
,��'�/,l ��
Deputy for Register of Wills Notary Public
My Commission Expires: 7��/�a0/.�
(Signature and Seal of Notary or other official qualified to
administer oaths.Show date of expiration of Notary's Commission.)
KENNETH H. MABE
Notary Public
Commonwe�ith Of Virginia
291206
Form Rw-06 rev. 10./3.06 My Commission Expires Jut 31, 2016
...�'1111�.1•..1T'111'I'I�.... �
RENUNCIATION
i"�.7
<� �
REGISTER OF WILLS �' � _° �
CUMBERLAND COUNTY PENNSYLVANIA � � � ' �
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Estate of RUTH F. CANNON n3 D��e�ed
s
I, LISA BETH SMITH c��1L�Gt. �i SQ �D�� C Gtl�n 0 h , in my capacity/relationship as
(Print NameJ
i�aughter of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
LORELEI C'RAHAM — •
�� ��,.���I � ^�
� �� '� ..�_���,.�.�,^".� R �-
(Date) (Si ature)
238 West Thatch Palm Circle
(Street AddressJ
1,�.rpiter FL 33458
(City,State,Zrp)
Executed in Register's Office Executed oc�t of Xegister's Office
Sworn to or affirmed a d subscribed Before the undersigned personally appeared the
before m�e this � day party executing tnis renunciation and certified
o f S � �,�5- , that he or she executed the renunci tion for the
purpose�tated within on this � day
of � , � •
n
, • �.
� , i � ��
Deputy for Register of Wills tary Public
M Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths.Show date of expiration of Notary's Commission.)
�NN� Ww�I�LLtiVA'nn�L
� �oan,v�a�c•sa.a Fro►��
. •'s�ly Comm.Expine M�f►11.2017
Form RW-06 rev. 10.13.06 Commieti011 N Ff 008148
, �ondld ThowA NMioaM qohr9 Aun.
REGISTER OF WILLS CERTIFICATE OF
CUMBERLAND COUNTY GRANT OF LETTERS
PENNSYLVANIA
F C 1
No. 2001- 00528 PA No. 21- 01- 0528
Estate of: RUTH F CANNON
ODn (First,Middle,Last)
V J Late Of: HAMPDEN TOWNSHIP
CUMBERLAND COUNTY
M' 1
Deceased
1750 Social Security No:
WHEREAS, on the 3rd day of June 2015 an instrument dated
February 23rd 1998 was admitted to probate as the last will of
RUTH F CANNON
(First,Middle,Lastl
late of HAMPDEN TOWNSHIP, CUMBERLAND County,
who died on the 27th day of May 2001 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, LISA M. GRA YSON, ESQ. , Register of Wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters of ADMINISTRATIOND.B.N.C.T.A, to:
LORELEI GRAHAM
who has duly qualified as ADMINISTRATOR(RIX) D.B.N.C.T.A.
and has agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURTHOUSE,
CARLISLE, PENNSYL VA N/A.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 3rd day of June 2015.
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**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)