HomeMy WebLinkAbout01-0866
Register of Wills of CUMBERLAND County, Pennsylvania
PETITION FOR GRANT OF LETTERS
No. ~I-QJ- ~lo{P
Estate of MABEL L. GRAHAM
also known as
\N1A ~d b. 6-v?k~
, Deceased
Social Security No. 161-34-0679
Petitioner(s), who is/are 18 years of age or older, apply)ies) for:
(COMPLETE "A" OR "B" BELOW:)
G]
A. Probate and Grant of Letters and aver that Petitioner( s) is/are the execut L?#- named in the Last Will of the
Decedent, dated MARCH 5,1985 and codicil(s) dates NONE
CO-EXECUTORS, KENNETH 1. GRAHAM AND SHIRLEY M. CRAMER HAVE RENOUNCED AS EXECUTORS AND
APPOINTED ERNEST C' GRAHAM.
State relevant circumstances. e.g., renunciation, death of executor, etc
Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered
for probate; was not the victim of a killing and was never adjudicated incapacitated:
o
B. Grant of Letters of Administration
(c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia: durante minoritate)
Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse
(if any) and heirs:
I
Name
Relationship
Residence
I
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his/her last family or principal
residence at 83 SOUTH HIGH STREET, NEWVILLE, P A 17241
(list street, number and municipality)
Decedent. then 93 years of age, died FEBRUARY 25 ,19 ill.-, at CARLISLE HOSPITAL, CARLISLE PA
(Location)
Decedent at death owned property with estimated values as follows:
(if domiciled in PA All personal property ......................................... $ 500.00
(if not domiciled in PA Personal property in Pennsylvania .................... $
(if not domiciled in PA Personal property in County .............................. $
Value of real estate in Pennsylvania ........................................................................................ $ 40 ,000.00
Total.................................. ............. ....... ........ .......... ..... ......... ............................... $ 40,500.00
Real Estate situated as follows: 83 SOUTH HIGH STREET, NEWVILLE, PA 17241
Wherefor, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in
the appropriate form to the undersigned:
J
Typed or printed name and residence
RNEST C. GRAHAM
17 SAN JUAN DRIVE MECHANICSBURG P A 17055-5572
RW-1
, 1-q-1
Oath of Personal Representative
Commonwealth of Pennsylvania
County of CUMBERLAND
The Petitioner( s) above-named swear( s) and affirm( s) that the statements in the foregoing Petition are true
and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the
Decedent, Petitioner(s) will well and truly administe~~~lawL
Sworn to and affirme~ a~~ubscribed .. ~
before me this , q day of
~c~~
DECREE OF REGISTER
Estate of MABEL L. GRAHAM
also known as W1 kl, ~.A l:::>. (Hz/r "'/h-..
,
Deceased
No. JJ.:Qj-- ~ Uu,
Social Security No: 161-34-0679 Date of Death: FEBRUARY 25,2001
AND NOW, ~T. 21 ~2OC?i~ consideration of the Petition on the
reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~ Testamentary Cl of Administration
are hereby granted to ERNEST C. GRAHAM
((c.t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoriate)
in the above estate and that the instrument(s), if any, dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Letters ....................................
Short Certificates( s) .,(.?)....
Renunciation ..,( b!................
Extra Pages ( L ) ...............
I. T. R. ......................................
JCP Fee .................................
Inventory ................................
Other ......................................
$ io.CD
10.00
iO.co
l.o . C()
$
$
$
$
$
$
$
$
5.00
TOTAL .............................$ -1.LLP .00
MLt rJ-
Attorney: HAMILTON C. DAVIS
J.D. No: 10264
Address: P.O. BOX 40
SHIPPENSBURG,
Telephone: 717 532-5713
DATE FILED:~r. ZI J 7JJD I
,
PA 17257
)5.805 REV 9/86
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forWarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No.
21.~~. ~~~~
Local Registrar
Fee for this certificate, $2.00
p
6948451
FEB 2 7 2001
Date
H1OS.143 Rev. 2/87
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEAL TI-I- VITAL RECORDS
CERTIFICATE OF DEATH
fPElPRINT
IN
'RMANENT
...ACKINK
CI
161 _ 34 _ 0679
2001
irIl.
1. Mabel L. Graham
AGE(l.oot -" UNDER' YEAR
I 0)'1
I
UNDER 1 D.\V
D.\T! Of' IlRTH
(Month, De" V...,
Olllor
(Spoclfy) 0
I.
93 VIS.
~\ .... Cumberland
DECEleHT'8l1SU1\l. OCCUPIITION
Ie. Carlisle
KINO Of' _INESSIINOUSTRY
CENnoricon Indian, BlIck, _e, etc.
(8pedIy)
,.. Whi te
SURYMNG llPOUSe
~I_. oNe _ n.me)
01....... lie: do ""UII _.)
.1I"U-Wana-Wash- laborer "..
DE MAIUNG AIlClAEsa (_. Cly/T-., _. Zip COdeI
Widowed
:l
'"
I)
::>
I)
~
~
83 So. High St.
~Newville, PA 17241
A THI!R1I NI\ME CI'hI. _. UlII)
11. Geor e Deshon
1NF0RI0WlT'S _ IT
8LMrs Shirle Cramer
MEn100 Of' DISPOIlITlON
. -IX! 0
~ 0 0IIlet /SllIdfJl
11..
-
DECEDEHT'S
IICTIJAL
RESIDENCE
(SM-
..._-)
na. St...
PA
17"~ VeI,__1n
Newville
HI. CaunIJ
DId
-
...In.
Cumberland ~? Hd.O :':Kt~l'=:oI
MOTHER' NAME (Fill, Mldclll, M_llum_)
II. Rosella oS < \ \~~
MI\IUNO ADDRE8S (-. CIJIT-. SUIle. COde)
~26 Kou h Rd. Newville,
PlACE Of' DISPOSITION. Nome 01 c_.,." CtetnotOl'/
at 0IIler_
elly-'
COde
NoIKI
PART.: OltIer~_-..gto_. but
'n~~.~
\:
e.
_ VFINOINGS
IIVI\ANIU, PRIOR TO
~ Of'c.wsl:
Of' CEII'IM?
MI\NNeR OF CEIl TH
T! Of' INJURY
(MOIWl. 0eJ. Veer)
TIME OF INJURY
INJURY liT WORK? DESC IBE HOW INJURV OCCURRED.
V- 0 No IX!
V-O
No/XI
-.
~
o
o
-
o
o
0'" -
=.c:..~-.1ImI.-.-0I'/.-
...
Vel 0 No 0
NIlunlI
-
PenclIng -.g1l1On
~ noI III deI_
M. -.
I~ \ IdJ \ ,n
M.
m.
.",.
~~E:~::'~::=U::~~:==':t~===~~~~~~~~~I~_It~_2~) _ _ _ __
'PRONOUNClNG AND CERTIFYING PHYSICIAN (PIlys;a., bolh pronouncing d.elh end certifying to C8UII of dNth)
To 1ft. _ of my knowIedgft. deeth occurr.d ellfte lime. del., end plec., end due to the ceu.e(.) end ......n.. ~ !tIIJ~ _ _ _ _ _ _ _ _ 0
n.
'MEDlCAL EXAMINERlCORONER
~~:r ,,::,:~~~~_n~~_~~o~I~\'~~lI~tl_~. ~ ~ ~1~I~n~ d_.~Ift_ ~c~~ ellh~ tl~. ~e~e~ e~d_~e~.~ e~d_~._ ~ ~.C~~)_~d
o
Register of Wills of CUMBERLAND
County, Pennsylvania
Estate of MABEL 1. GRAHAM
RENUNCIATION
No. ~ I '
also known as
I Deceased
The undersigned, KENNETH J. GRAHAM, SON AND SHIRLEY M. CRAMER, DAUGHTER
(Relationship) (Capacity)
of
the above Decendent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters TESTAMENTARY be issued to ERNEST C. GRAHAM
Witness .....1 hand this 1'1 t1.-~~t..,.. ~'" I.
~~-~~~
, (Signature)
KENNETH 1. GRAHAM
14602 BENSON STREET, OVERLAND PARK, KS 66221-2213
(Address)
(Signature)
SHIRLEY M. CRAMER
26 KOUGH ROAD, NEWVILLE
(Address)
PA 17241
(Signature)
(Address)
Sworn to or affirmed and subscribed
before me this
day of
,19_.
Notary Public
My Commission Expires:
(Signature and seal of Notary or other
official qualified to administer oaths. Show
date of expiration of Notary's commission.)
NOTE: Renunciations executed outside the Office of Register of Wills are
required in some counties to be notarized.
RW-3
Register of Wills of CUMBERLAND
County, Pennsylvania
Estate of MABEL 1. GRAHAM
RENUNCIA TION
~(-Ol- ~l1LR
No.
also known as
, Deceased
The undersigned, KENNETH 1. GRAHAM, SON AND SHIRLEY M. CRAMER, DAUGHTER
(Relationship) (Capacity)
of
the above Decendent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters TESTAMENTARY be issued to ERNEST C. GRAHAM
Witness
Mvl
f
hand this
\ T}-\!
day of
~L,MI~A' ~2.U\)'.
\
(Signature)
KENNETH J. GRAHAM
14602 BENSON STREET, OVERLAND PARK,
~ ~ (Address)
~ ~. __~~L
(Signature
SHIRLEY, . CRAMER
26 KOUGH ROAD, NEWVILLE
(Address)
KS 66221-2213
PA 17241
(Signature)
(Address)
Sworn to or affirmed and subscribed
before me this
day of
,19_.
Notary Public
My Commission Expires:
(Signature and seal of Notary or other
official qualified to administer oaths. Show
date of expiration of Notary's commission.)
NOTE: Renunciations executed outside the Office of Register of Wills are
required in some counties to be notarized.
RW-3
~
1
~
~
~
l
~J
HAMILTON C. DAVIS
LAST WILL AND TESTAMENT
I, MABEL L. GRAHAM, (a/k/a MABEL D. GRAHAM), of the Borough of Newville,
Cumberland County, Pennsylvania, declare this to be my Last Will and
Testament and revoke any will or codicil previously made by me.
ITEM I: I direct that all my just debts and funeral expenses, including
my gravemarker and all expenses of my last illness, shall be paid from my
residuary estate as soon as practicable after my decease as a part of the
administration of my estate.
ITEM II: I devise and bequeath all of my estate of every nature and
wherever situate to my three children, ERNEST C. GRAHAM, KENNETH~RAHAM and
[
_1
7.-
SHIRLEY M. CRAMER, in equal shares.
ITEM III: Should any of my said children predecease me or die on or
before the thirtieth day following my death, I devise and bequeath such
predeceased child's share of my estate to his or her issue, per stirpes,
living on the thirty-first day following my death.
ITEM IV: I appoint his or her respective parent, guardian of any
property which passes outright 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 so, provided that this appointment 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 minor'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
ATTORNEY AT LAW secondary, college education, both graduate and undergraduate, professional
NEWVILLE & SHIPPENSBURG
PENNA. and other education) without regard to his or her parent's ability to provide
for such support and education, or to make payment for these purposes,
without further responsibility to the minor or to the minor's parent or to
any person taking care of the minor.
ITEM V: I direct that all taxes that may be assessed in consequence of
my death, of whatever nature and by whatever jurisdiction imposed, shall be
paid from my residuary estate as part of the expenses of the administration of
my estate.
ITEM VI:
I appoint my three children, ERNEST C. GRAHAM, KENNETH~RAHAM
{;
and SHIRLEY M. CRAMER, executors of this my last will.
and Testament, written on three (3) sheets of paper, dated this
M~~
IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will
S ~ day of
, 1985.
hz~ 'I-A~^- (SEAL)
Mabel L. Graham
The preceding instrument, consisting of this and two (2) other
typewritten pages, each identified by the signature of the testatrix, was on
the day and date thereof signed, published and declared by 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.
~fw. ('. V~
J!,Rdtt 'rlr- ~~
residing at
-1Je,...bJ; lit' ) ~~.
s1; ffJe/1shCAr)! ;0".
residing at
HAMILTON C. DAVIS
ATTORNEY AT LAW
NEWVILLE & SHIPPENSBURG
PENNA.
2
COMMONWEALTH OF PENNSYLVANIA
SSe
COUNTY OF CUMBERLAND
I, MABEL L. GRAHAM (a/k/a Mabel D. Graham), the testatrix whose name is
signed to the attached or foregoing instrument, having been duly qualified
according to law, do hereby acknowledge that I signed and executed the
instrument as my Last Will; and that I signed it willingly and as my free and
voluntary act for the purposes therein expressed.
hz. a 1.J t ~J~ (SEAL)
Mabel L. Graham
Sworn to or affirmed and acknowledged
before me by 1l#,.,JG'l L. CK.I9L4M ,
the testatrix, this j~ day of
~/2ttL , 1985.
., "~'.:;{ f".';;zUC
_,;;:;:::'~;;:L!~~D COllinv
>,) o.L .:';rs s(n. 12. 1987
Member, r8n~?;~<;f~~:~!i 1t~~~}~:~.Ji;Jt1~ O.~ ~iot~7jas
COMMONWEALTH OF PENNSYLVANIA :
SSe
COUNTY OF CUMBERLAND
We (or I), yjp~/j7iA) (/ d~;.s and i/E/h /Y! ~~5C- , the
witness(es) whose name(s) are (is) signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and say that we
were (I was) present and saw the testatrix sign and execute the instrument as
her Last Will; that the testatrix signed willingly and executed it as her
free and voluntary act for the purposes therein expressed; that each
subscribing witness in the hearing and sight of the testatrix signed the Will
as a witness; and that to the best of our (my) knowledge the testatrix was at
that time eighteen (18) or more years of age and of sound mind and under no
constraint or undue influence. _~L:~.~~~. ~~
~/)t- ~..
HAMILTON C. DAVIS
tary Public J
WiP;H~J n. vEnT1\!, ~OT:U'~V r!,!~t
WEST Pf~m::;'SDt!) r,w.. C~~BE!1~f~~m COUNTY
t'iiY Ct:iSii\.!tS::W)'j tX?E'\tS StPT. 12. 1~a7
lW~rn~r. r-enr.$;;h'iili~ tiszcci~tion of Not.rk:,;
ATTORNEY AT LAW
NEWVILLE & SHIPPENSBURIi
PENNA.
3
..-'
4-'
~
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: MABEL L. GRAHAM
Date of Death: February 25. 2001
Will No.: 21-01-00866
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a)
of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-
captioned estate on November 12. 2001 :
Name
Address
Ernest C. Graham
17 San Juan Drive. Mechanicsburg. P A 17055-5572
Shirley M. Cramer
26 Kough Road. Newville. P A 17241
Kenneth J. Graham
14602 Benson Street. Ovelrand Park KS 66221-2213
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date:
Ii Ji ~ /0 I
I I
Signature: ~ (1. ",4
~
none.
Name: Hamilton C. Davis
Address: P.O. Box 40. Shippensburg. PA 17257
Telephone: 717-532-5713
Capacity: _ Personal Representative
Capacity: ~ Counsel for Personal Representative
2
;..t
~
~
Q rc, ."
.-\ t\eC'~',.
s 00:.
'"" ,""Y,
cI)
~
"
..
I'"'!!,
~~~~
i~~~
'ci\' Ij~
~~~Q
~$~1\
iPC:II
.. ~ '""'=
-0 ~e
,. ~
~ ~~
~ ~ce
\ 'a~
~ 'jt("
c:. .-\
~
~
~
'"O~~
~Of"'~
~~~~
~, ,c.,~,~
,.. ,tf\
~~,o('\
~ \~)'?
n i6 \I' ~
~t~ '"0
.\)~ ~
~
'"0
?
~
\,"0{i'V',r...\ .:. ~
~ c.\\\'''''''- -l
!O ~
-0 S
~-e. d~
d~... ~~
~~~ ~(t\
~~'6 ~~
~~tn "t!;.
\,;~ ~Q
~ '" 'Co ~ 0'"
~ ~~~ "'~
~ li!\; ~\
d 'AQc~ ~~
tQ d ~ ~ 'C... 'il ~':
~ a ~ ~... '" l,~.... ~..
~ ~ Q (" '" ~ ~~"l< ,
~~'" 0'" 0';- \
~ "'~"'o "'0 .
o it. ..(. e. '" .... \.
.~ ~ \'$, ~~
.~ ~~
~...q, "So ..
1\ ("l <J. ~ \C! .. ~ ~
~ ~~~9:. ('I~~~~
..(. <;. l1l ~ ~ ... e, to 1'! \
o "'<=- '.jO '1 - r. 'eo ~ 'eo ~ os ~
~ .~\~.. ~ - ~ '; ~';. <;.
... O;io(\" ~ ''''''_
~ ... ('I ~ '" ..:::i \ \ ~ ...
~?O~~
~ .-.~~~
'" -l c::. ~
~~ ~
... ul '='- ~
.. 0 ""'
~ -0
t1\ ~
~
~
""'
o
..
,
,
,
,
,
\
.~()./'
.( ....,~
~.s-~
.OZ
FEb 26
f1 '7 ~-:; 3
~ ~'. ---
l-
~
f'"
~\
~
~
-:.
'l:.
...
~
k
e
C:erk-
:'~urnbei
~
,J
o
~
iJ
....
iJ
iJ
tI
f.,)
o
f.,)
~gl-
en~ft
..........t;
..(l) & 0
!'t1 Hl
~ t? ';'
s: ~
--ll::S .....
--..Jrf".....
-=> "< en
~8
~
8=
s:
en
(l)
f'"
...
01
SJ!.:t
Imo :J ~
Z:tJ _
~O::u!:;
m. Zo
;= CD m Z
:00<
G)><~p
'" ~....o
~or->
.... ~S
...... oc;;C/)
I\)
U1
~
A
)'" (:::1 ,....'4 ..
'.1) () "''',.I
''',.,j "",:J, C) ..
..".,1 [::;1
*
{XI
s: Ie::::/! ut-lr~D
l:!:: "......J ~.s-....
~ ,~:......" 1 1,.... ..~
~ 1/:'"111,,,11 , fh)' , ~
o ~".."" g oJ.'y
~ ""':;,;: )"l:;)lli~m -:fY
(') /,"1"1 co m
g /"'1"1'.,1) l
m ",(;:I/~
"..ri. 1'".,] L~."I 1
""..1 1...1'" "I.'"
"',,:1 ",1;.:1
,,,Ii r:::) c~..
"',..11"'..:1 ("...1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX( 11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DAVIS HAMILTON C
POBOX 040
SHIPPENSBURG, PA 17257-0040
-------- fold
ESTATE INFORMATION: SSN: 161-34-0679
FILE NUMBER: 21-2001- 0866
DECEDENT NAME: GRAHAM MABEL L
DA TE OF PAYMENT: 12/05/2001
POSTMARK DATE: 11/29/2001
COUNTY: CUMBERLAND
DATE OF DEATH: 02/25/2001
NO. CD 000601
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1,381.97
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: HAMILTON C DAVIS
CHECK# 0282
SEAL
INITIALS: SK
RECEIVED BY:
REGISTER OF WILLS
$1,381.97
MARY C. LEWIS
REGISTER OF WILLS
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
DAVIS HAMILTON C
POBOX 375
SHIPPENSBURG, PA 17257
-------- fold
ESTATE INFORMATION: SSN: 161-34-0679
FILE NUMBER: 2101-0866
DECEDENT NAME: GRAHAM MABEL L
DA TE OF PAYMENT: 02/26/2002
POSTMARK DATE: 02/25/2002
COUNTY: CUMBERLAND
DATE OF DEATH: 02/25/2001
NO. CD 000891
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1.37
I
I
I
I
I
I
I
I
TOTAL AMOUNT PAID:
REMARKS: HAMILTON C DAVIS ESQUIRE
CHECK# 0297
SEAL
INITIALS: CW
RECEIVED BY:
REGISTER OF WILLS
$1.37
MARY C. LEWIS
REGISTER OF WILLS
i 1- Cj -I
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z8D6Dl
HARRISBURG, PA 171Z8-D6Dl
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISE"ENT1 ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESS"ENT OF TAX
Reco;u?
DATE
ESTATE OF
DATE OF DEATH
(I FILE NUMBER
i\10 :48 COUNTY
ACN
02-04-2002
GRAHAM
02-25-2001
21 01-0866
CUMBERLAND
101
..)
.02
FEB 13
HAMILTON C DAVIS
ZULLINGER DAVIS PROF qlj;erk
PO BOX 40 CWnbE '<
SHIPPENSBURG PA 17257 .
C/
*
REV-1547 EX AFP U2-0D>
MABEL L
AMount R...itted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE1 PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-Y:is4j-ix--AFP--fi'2-:ooi--NO;--icE-OF-.rNHERifANCi-;--Ai-APpiAisEifENT~--ALi-oWANci-oR-------------- ---
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GRAHAM MABEL L FILE NO. 21 01-0866 ACN 101 DATE 02-04-2002
TAX RETURN WAS: (X) ACCEPTED AS FILED
) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Hortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
36,637.72
.00
.00
.00
2,178.84
300.60
.00
(8)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/AdM. Costs/Hisc. Expenses (Schedule H)
10. Debts/Hortgage Liabilities/Liens (Schedule I)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/GovernMental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate Subject to Tex
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will
re~lect ~igures that include the total o~ ALL returns assessed to date.
ASSESSMENT OF TAX:
15. AMount of Line 14 at Spousal rate (15)
16. AMount of Line 14 taxable at Lineal/Class A rate (16)
17. AMount of Line 14 at Sibling rate (17)
18. AMount of Line 14 taxable at Collateral/Class B rate (18)
19. Principal Tax Due
NOTE:
(9)
(10)
81073.00
(19)=
NOTE: To insure proper
credit to your accountl
subMit the upper portion
of this forM with your
tax paYMent.
391117.16
8.406 77
301710.39
.00
301710.39
.00
11381.97
.00
.00
11381.97
TAX CREDITS:
PAYnENT Rt:CEIPT DISCOUNT (+) AHOUNT PAID
DATE NUHBER INTEREST/PEN PAID (-)
11-29-2001 CDOO0601 .00 11381.97
BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-30-2001 TOTAL TAX CREDIT 11381.97
BALANCE OF TAX DUE .00
INTEREST AND PEN. 1.37
TOTAL DUE 1.37
. IF PAID AFTER DATE INDICATED 1 SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
333.77
(11)
(12)
(13)
(14)
.00 X 00 =
301710.39 X 045=
.00 X 12 =
.00 X 15 =
( IF TOTAL DUE IS LESS THAN $11 NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT-- (CR) 1 YOU nAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
\ ,;"/- 9- /
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG I PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*'
REV-l'87 EX AFP Ul-02)
HAMILTON C DAVIS
ZULLINGER DAVIS PROF CR
PO BOX 40
SHIPPENSBURG PA 17257
'02 f\PR-1
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
PI2cliUNTY
ACN
03-25-2002
GRAHAM
02-25-2001
21 01-0866
CUMBERLAND
101
Allount Rellitted
MABEL
L
He\.,
G::.; ,
Gvmtk
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REY=i'6o-j-ixAFP--foi-:ozi-------...--iNifERITANc'E-Tix-Si'jrfEMENT-ifF-iccou'Nf--...---------------------
ESTATE OF GRAHAM MABEL L FILE NO. 21 01-0866 ACN 101 DATE 03-25-2002
THIS STATE"ENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SU""ARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAY"ENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 02-04-2002
PR I NCI PAL TAX DUE: ...........................................................................................................................................................................................................................
1,381.97
PAYMENTS (TAX CREDITS):
PAVMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-29-2001 CDOO0601 .00 1,381.97
02-25-2002 CDOO0891 1.37- 1.37
TOTAL TAX CREDIT 1,381.97
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
. IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1,
NO PAY"ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. )
()0-
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Mabel L. Graham
Date of Death: 02/25/2001
Estate No. 21-01-00866
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following
with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete: Yes X No_
2. If the answer is No, state when the personal representative reasonably
believes that the administration will be complete:
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes No X
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
c. Did the personal representative state an account informally to the
parties in interest? Yes X No_
d. Copies of receipts, releases, joinders and approvals of formal or
informal accounts may be filed with the Clerk of the Orphans' court
and may be attached to this ~ port.
Date:~~ loc
I
~r
-:";".
N
Capacity: _ Personal Representative
XX Counsel for Personal
Representative
.3
._~
'-"J
~
,. ~
",.""I ';,..__
STATUS REPORT UNDER RULE 6.12
~
~.
Name of Decedent.: HELEN L. ROGERS
Date of Death: 9/5/01
Will No. 2001-00886
Admin. No.
Pursuant to Rule 6. 12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate :
1 . State whether administration of the estate is complete:
Yes X No
2 . If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3 . If the answer to No. 1 is Yes, state the following:
a.
account with the Court?
Did the personal representative file a final
Yes No X
b . The separate Orphans' Court No. (if any) for
the personal r~presentative' s account is:
c . Did the personal representative state an
account informally to the parties in interest? Yes X No
d . Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Clerk of the Orphans' Court and may be attached to this report.
Date: 8/13/03
~ ~.~/~
Signature .
"':::J
r'-',
. ,.
GERALD J. BRINSER
Name (Please type or print)
6 E. MAIN STREET, P,O. BOX 323
PALMYRA PA 17078
Address
{J',
C)
,-,-"J
rr:
f:::;l
( 717 ) 838- 6348
Tel. No .
- --
1 ,- -.
..... "'-"'
Capacity :
Personal Representative
X Counsel for personal
representative
...
~
~
~
L' !"!'
_I ,i Il"M
. f'.....
" U.
~ '
", ' .', ~1C1 ~'~';
, ,,"
~;v, ~
r~'.' "''' :(...
, "" ~
~.-' ::::~
'~::J
<~ _~. c""::-'l! Q.
i';t f;tt:1 - "i
~ ~ ;t 1l,,;>~) ~'
i{i \1 J "" ~,;
~.6, ~-.) a~
\5:, tJt. ~ '.;.!
~""","".;
-fIl ~1 (~) ;~
--
~
tIJ
tIJ
~
o
.....
~
--
I.L
~
'~.
~.
. ~
~
.~
~
\
----
Q
\
~
r-
'--
...-
LAW OFFICES OF
ZULLINGER - DAVIS
PROFESSIONAL CORPORATION
JOEL R. ZULLINGER
14 North Main Street
Suite 200
Chambersburg, P A 17201
717-264-6029
Fax: 717-264-1884
zulngrlaw(Q?supemet.com
Dale F. Shughart, Jr.
of counsel
HAMILTON C. DAVIS
20 East Burd Street, Suite 6
P.O. Box 40
Shippensburg, P A 17257
717-532-5713
Fax: 717-530-5222
davislaw(Q?supemet.com
November 28,2001
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, P A 17013
11
{,-)y
;f
Re: Estate of Mabel L. Graham
Estate No. 21-01-00866
Dear Sir or Madam:
Enclosed herewith please find inheritance tax payment in the amount of One Thousand
Three Hundred Eighty-One and 97/100 ($1,381.97) Dollars, as payment on account of the above
estate. Also enclosed is the Inheritance Tax Return, filed in duplicate.
A check for filing fee in the amount of$15.00 is also enclosed.
Sincerely,
A/ ,AI !J Ia-, ·
~n C. VIS
----
00
- -.
=<t'
::1~
0":
q~ '.
d
-
:025'
(PO
coo
"""""""""'-1;
~!~ 9
{1J (g
..""'/ ~~',,,)
for Zullinger - Davis
Professional Corporation
('''':1
~
N
\0
~~,~'
a
--"
HCD/njk
Enclosure
~'fJ
)>
i.J1
~
.
REV -1500 ex .1'~1
~;~
I
.
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
---y~_...."
OFFICIAL U::;t: UNL Y
/7- 9~ /
. FILE NUMBER . .'. .m.
21 01
-.-'
I
i
I
COMMONWEALTH OF PENNSYLV"'N''''
DEP"'RTMENT OF REVENUE
DEPT 280601
H"'RRISBURG. p", 17128-0601
_..._.__m_______.__"_~O~NTY ~O.E.~__Y.l'.A~ .____~B~___
.----- ..... ..-----.SOCIALSECURITYNUMBER- _._. ----
00866
....
z
w
o
w
u
w
o
.-oECEOENT'SNAMETU>.sf'-FIRST:ANO Mi150LE-INITIAlj----
. GRAHAM, MABEL L.
[nATE1JFDEAT~(MMCOO-VEARI-- .-....- DATE OF B1RTR(MM'DD~ARr-.-.----.-
t 02/25/2001 I 08/22/1907
I
w
....
,,:$Ul
00:"
wQ.O
:cOO
00:..J
Q.1Il
Q.
<C
(jFAi'P[lcABIE)SURViViillGSPOUSE;SNAME. (i..AsrFIRS.TANO.MlDDlE INWiA[)'
1
I
161-34-0679
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
. -_.---:----socIAL SECURITY-iIIUMBER.-.-------
o X 4. Limited Estate
o X2:-S-u-pplemeiitalReiu~_m - ----.- - ----EfX3:-ReillainCfer R'elUmTaatBofooatnpilor to 11'13=B2!--
.-lllI X i~6rl9i':;a1ReiUm--.
o x5. Federal Estate Tax Return Required
o X 4a. Future Interest Compromise (dale of death
afte< 12-12-82}
o X 7. Decedent Maintained a Living Trust (Allach
copy of Trust}
o X 10. Spousal Poverty Credit (dale of death between
12-31-91 and 1-1-95)
- .\THi$.sECTiON-MUSTaE.~OMPiliEO'-ALL:COAAE$ti()NDENCE ANt) ~-()NFiDl:NftA4TAX)NFORMAlioijSl_iOUiJjBEp'Re-C_reo_fo:~0~~
NAME I COMPLETE MAILING ADDRESS
I Hamilton C Davis 1
FTRM NAllllinlfapplicat,T"f. ------- n -----. . -----.
I. Zullinger-Davis Professional Corp.
L.~_____.___~__,..,____~._~.____. .--------~--- .--~-----.,-
JElEPHONE NUMBER
717/532-5713
.....
"'z
Ww
0:0
Itz
00
UQ.
lllI x 6. Decedent Died Testate (Attach copy
of Will)
o X 9. Litigation Proceeds Received
~_._~----~-----------_._~-~-----------_._-~_._~-~-~-------
8. Total Number of Safe Deposit Boxes
o X 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
20 East Burd Street, Suite 6
P.O.Box 40
Shippensburg, P A 17257
----------------.---. - ---.-.-----.----- .---.....------.----.-----
36,637.72
.._...>_..._-_._._----~-----~.__.__._.._..__.--~---
-----------.. ~.._-~--~-------_.-
OFFICIAL USE ONLY
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
z
o
>=
:5
:::l
....
ii:
<C
U
W
It
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 Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
(1 )
(2)
(3)
(4)
(5) 2,178.84
(6) 300.60
r
(7) None "1, i.
J;!. ;:,
(9) 8,073.00
-_._--
(10) 333.77
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not
been made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
x .00
15. Amount of Line 14 taxable at the spousal tax rate,
or transfers under Sec. 9116(a)(1.2)
z
o
>=
~
:::l
Q.
~
o
o
><
~
16.Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
30,710.39 x .045
x .12
x .15
20. 0
.CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
c:::3
-
:0
CD
(j
a
(\)
>> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH <<
....,..
I
;,..._r
~
..:::
t?3
a
.-...
'-'l,
.......
6) Q.
iJi
~
(8)
39,117.16
(11 )
8,406.77
30,710.39
(12)
(13)
(14)
30,710.39
(15)
(16) 1,381.97
(17)
(18)
(19)
1,381.97
Copyright 2000 form software only The Lackner Group. Inc.
Form REV-1500 EX (Rev. 6-00)
Decedent's Complete Address:
STREET ADDRESS
83 SOUTH HIGH STREET
crty----. -
NEWVILLE
-------- -:STATE PA~-----;-in)--17241
I
Tax Payments and Credits:
1_ Tax Due (Page 1 Line 19)
2_ Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
(1)
1,381.97
Total Credits (A + 8 + C)
(2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
A. Enter the interest on the tax due.
8. Enter the total of line 5 + SA. This is the BALANCE DUE.
(3)
(4)
(5)
(5A)
(58)
0.00
Total Interest/Penalty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 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.
1,381.97
1,381.97
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;............................................................................. 0 ~
b. retain the right to designate who shall use the property transferred or its income;................................. 0 ~
c. retain a reversionary interest; or............................................................................................................ 0 ~
d. receive the promise for life of either payments, benefits or care?.......................................................... 0 ~
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?................................................................................................................ 0 ~
o ~
o ~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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?..... ........................................................................................... ...............
under penalties Of perlurY,TdeclarethalTha'ole el<aminedlhisrelllrn. including accompanying schedules and statem"nts,-andlothe best of myki'iowledge and belier,llis ~c:orrectand complete:--
Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge
SiGNATURE O-"PERSON RE-SPONSIIlLeFOR-"i-UNG RETURN-- ADDRESS ---------~--------
L~ 17 SAN JUAN DRIVE
MECHANICSBURG, PA 17055
4u~f;; n FlDNGRE~m~V:''' ADDRESS---
DATE
/ J - /~ - Z. Od I
---OAre-------
SrGNlffiJRf OFPREPAREROmERTF1AN"RE?FSENT ATlVe-
/ l r~ ,: -
ADDRESS--;:---~------ . .
20 East Burd Street, SUite 6
P.O.Box 40
Shippensburg, PA 17257
.---~_.~-~----DATr---'
It/zl/o'
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P.S. ~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%
[72 P.S. 99116 (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 twenty-one years of age or younger at death to or for the use of a natural
parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116 (a) (1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116
1.2) [72 P.S. 99116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116 (a) (1.3)]. A sibling is defined,
under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
*'
SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
GRAHAM, MABEL L.
! FILE NUMBER
21 - 01 - 00866
All real property owned solely or as a tenant in common must be reported at fair market value. 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 whicli is jointly-owned with right of survivorship must I)e disclosed on
schedule F.
ITEM
NUMBER
."._-------~_._--
I
VALUE AT DATE
OF DEATH
8-3 SouthHrgh--Street, Newville, P A 1724-r;-Decendant's]lus6arid~--Kenn-ethGrafiam dTe,fonP-ebu-rary- --~-36,6-3-7:J2
21, 1958, thereby vesting full fee ownership in Mabel L. Graham, his wife. The property was sold to an
unrelated third party in order to pay Inheritance Taxes and settle the Estate. (See attached copy of Deed
and HUD-I Settlement Sheet). Net value reported because estate was otherwise insolvent and could not
be settled without sale of real estate. Net from HUD-l plus add back of escrow for inheritance taxes and
attorney fees (deducted elsewhere).
DESCRIPTION
-----~---~-~-----~---_.__.__.._.._--_._-._-- ----_.-._--_._.__._~_.._~--..._~-_._,----~--, -----------------
TOTAL (Also enter on Line 1, Recapitulation)
36,637.72
A. Settlement Statement
U.S. Department of Housing
and Urban Development
~
,r
OMS Approval No. 2502.0265
B. Type of Loan
1. D FHA 2. 0 FmHA 3. 0 Conv. Unins. 6. Fiie Nurr.ber
4. 0 VA 5. 0 Cony. Ins.
"1, loan Number
8. Mongage Insurance Cne N~
C. Note: This form is fumisned to give you a statement of actual settlement costs. Amounts paid to and by tihe settlement agent are
shown. Items marl<ed "(p.o.c.)" were paid outside closing; they are shown here for informational purposes and not
.,-nclud_edln the totals. u ______ ____.u____.___
D ~al'l"!e and A.ddress .,f Borrower
E. Name and A~dfess :If Seller
F, Name and Addre$S of LenlMr
Thomas W _ Seidel
Estate of Mabel L. Graham
NA
G. prccer.y location
H. Setllemerll Agel'll
'Gerald K. Morrison, Esquire
~-,._----_.._-----.-
Place of S~!lIemenl
I. Semernent Oata
Borough of Newville, Cumberland County,
Pennsylvania
New Bloomfield, PA
9/28/01
105
__~ ___~_ ~~__~~umma~.!.-~eller's Tr~!a..:!lon
400. Gross Amount Due To Seller
u--'--46;ooo-:oO'~01,.C;';;~~sales pri~u=-
__ _ _. __ ~9~~~~~1 prop~__ ~__"
958.00 403 _~_____________~
404
405.
J. Summary of Borrower's Tr~nsaction
100. ~ross A,!,ou~~ Due ~~O!T' Bo'!.o!-,er__ ____~
101 _ Contracl sales.pnce
102. Personal proe~~t.
103 _ Settlement chaT~es to 'cxltTower (line 1400)
104
__~.OOo.OQ
Adjustm!ffits_1or _i~~~SJ1~id_b~_s!ne~.i!,~~~n_c.e_____n__~___ ___ __. ___~~just"!enlS f~~ltems pa!~ by s.l~er In ad~__
106. C~/!~~ t~~_es_ _ ._____ __~to_______._>_____~__ 4QL~{town t~!~____~~~
107. Coun.y'_'.' 9/28/01. to 12/31/01 39.61 407. Counly'_'.. 9/28/01 '012/31/01
'\0&,- As~essm~;;;-"-~ --.. --. - - to--- _-~ -~==~-_~~ ~~_ _ _ _49;-~-;~s~nts ----- ~ --to----~-
109 - Schooi u_ 9/28;()1 '0 6/36i02--- 297.25 409. S~o~I___?!2.8/0 I .to 6/3_0/02 _~_n
.---u-3'9-:6 I
297.25
110
111
112
'0
'0
10
410.
411
412.
to
10
10
120. Gross Amount OlJe From Borrower
41,294.86 420. Gross Amoun! Due To Sener
40,336.86
200. _ Amounts ~3!d ~y 9r In ~ehalf.of B~',!~,!,!~r_
201 DepOSll or, ea~est money_
202. Principa~ amount of new \oants)
203 EXisting loan(s) taken subject to
204
2115
206,,__
207
208
209.
500:.~ ~~~uctlons 1~~mQ~_!\~QU~)"o Se~_._.~___.
I ,000.00 SOl".E:~E".~d~sil (see i~,,!,,-b2!'.&.___
59_2.~!tle~enl cha~_~'!p~lle_r (lin~2QL____
5Q.~:~jng loan(s) ~ker't SIJ?j~~t to
_~Q4~yott of firs~~e loan
______ _ __'- __._ _~~ .__< ..?~5 Payoff of second mortgage loan
506 Hamilton C. Davis - Escrow for Inh. Tax
507
.508c_______. .'
509
3;699.14
3,000.00
_ . ___.A~~5~~~~~O!...~~_'!'~ --'!11_j:.lCl,id_ by_ s_~I~~ ~_.
2.19.:-.9~y/_t(3~~~a,-,,~_ ______ lO__ .__.___._
211 Counll'..i<1xes._ 10_._____
212 Assessments to
213. ~
_A~~.st!!!~nts f~!...!~~.!..~~p~ seU.r _____h
5~q._..g,~wn taxes to
511. County taxes to
~'2. Assessmen~_ to
2!~. '0
215,__ _ to
2'5. . to
217. 10
2'8. '0
2'9. to
_ '_U_ 513,_______
5'4
--------
__ .~!L....
518
to
to
10
to
5'7.
10
10
to
_ 518'-_________
519
2.20. Tatal Pilla BylFor Borrower
1,000.00 520. Total ReductJon Amount Due Seller
6.699.14
300. Cash A.t Settlement FromfTo Borrower
- ~ -- ----
301. Gross ArT!ou~t due from borrower (line !..~Ol~.____~ __ _._.___._
302, Les. smounl paId by/for borrower (line 220) :(
600. Cash At Settlement To/From Sener
4I,294:.8? 60;(;;;;~-;;;;-;'d~e-;;;-;'-;r(ij~420)
1,000.00) 602. _Les'redu,,-,i~n!.'!'~,-,-d~~.seller (line 520L-_J.
- -4O,TI6.86
_ ___ _6!~9~,_~ l
33,637.72
303. Cash
00 From
o To Borrower
40,294.86 603. Cash
00 To
o From Sene,
The underSIgned hereby acknowledge toe receipt of a comp~eted copy of pages' &2 of thIS statement & any attachments referred to herein.
I HAVE CAREFULLY REVIEWED THE HUD., SETTLEMENT 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 ACCOUNT OR BY ME IN THIS TRANSACTION. I FURTHER CERTIFY THAT I HAVE
RECEIVED A ~OPY <it THE HUD.' SETTLE NT STATEMENT /) ..IJ. _ . / /.. /..
BORROWER \. X)~~ Ll.l SELLER 'l-C"~~u ex
BORROWER SELLER
TO THE BEST OF MY KNO. W~.6 E~D~' T E HUD." SETT.' LE.MENT S..TATE. MENT WHICH I HAVE PREPARED IS A TRUE AND ACCURATEACCOUNT OF THE FUNDS
WHICH WERE RECEIVE~'l'/ j L {~7~ 'JNDERSIGNED AS A PART OF THE SETTLEMENT OF THIS TRANSACTION.
WARNING. IT IS A CRIME TO KNOWINGLL7MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR PoNY SIMILAR FORM. PENAL TIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT FOR DETAILS SEE TITLE \8 U.S. CODE SECTION 100' & SECTION 1010
Previous Edition Is Obsolete HUD.l (3-86)
RESPA, HB 4305.2
l: _~!..ttlem~n_t ~h.J!.~es
lE~--.!otal SaJe-!!~!.~~~(s f()~'!1_issi~~~.!!!~".~~~~ ~ __
Division or COn1m;ss~on _ {line 700'---~s fOltow~:
70;--$=~~~~~~_=_~. _ _ 2:86.2.:~~_\0
702 $ 10
--~------~.- .---- ~._-----
u__40,OOO.00 @ 7.00._
.-=- .;:~-=~,80~OO---;'a'd ;,;,~.
Borrower's
Funes At
Settlement
Paid From
Seller's
Funds At
Settlement
_ ~.~!i-.:~~~~?~?:' GMAC Re~!__~~ate-~~-~_ __.
703. C.E~miSsio~J?a;d a-.!. ?~l~eml!'~_t. _ _._ ____ _ .
704
~O~~tem5 ~_~y~~~!~_g()!'1!!_c:.ti~_n ~i~h ~~PI~~
8_0_!~~o~n _O~9~~~i9_~ _~_~~
-.--2-:800.00
%
~9~._~~~n _O\~OlJ~'__
~?12PDr~~~~~~_ ____
%
---------- ----~-- '.~~
10
~~~EJ~____ ______~__.1o
605 lender! \nSpectlonY:~ _ __ ______._
~~~onQi3.9_~~~~~_A.EE!~t.i~!1f~~__!~_ ___ ___
~Q.7~__A:~~UrT'_P.tlon F,=~
808
80S
------
810
-.---...-.---.
811
900. Items_.I!!!qYlred~end.r To Be Paid In Advance
~~~from__~__ 10 @S
902 Mortgage Insurance PremIum for
903. Hazard Insurance Premium far
S04
u_.l'pa:i_~___
months to
_....1'~~<rs to
years_t.P _
905
1~_~~_'!.e.~erves Oepo~!t~_~_~~_l_e~~4!!
!9Q!_'_I-f~~.~!P J~~~~~~ ___~____.l!1onth~_@L~__
~~~~~~r:~~~~.!:._____._____~!~S
1003. Ci'1:i'~~a~s____u monl.~~__.___
1004. County propert.Y.!~~__ manths@S
1005. ~n~al assessm~_l'!~____ _ _ mon_~~_.__
'.9~~. _ u ____-"'onlh"~t
1007 _-",onlhs@$...
1008
110~!i!le.f.h!!9!~ ._..
1101. Sertl~~~~~closin~
1 ~02. Abstract or t~~_~arch _____
1103. Title examln~..!!9-~__.____._ .
~04 Title insurance ~~~._
__-.e.~!. month_____
per month
._ _ __per month
-.Ear month
2.e!..!!!~___
~~~_ _month
l?~r ~onlh
75.00
___.__ -,,,--_Qerald -K~MolTis?n"~~uire_
to
.--------;0- Gl:raj(nCMo~!Is~n~E~quire
250.00
~_____~o____
~} 05. Document preparation
"06 Nota~s__._____ .__ _._ 10
1.2.07 Attorney's fees _deed, :.t.c::.
{Includes above Items numbers
'!..~~~_~e__~~~~~.._____~.._.____ _"_,
_(I~_~I.u~~_ a~_~~ Jt~~~_ num~,~s:__ . __~
~~I~'~~~!,de1"'_S_~~!!,~9'e ~ .____
~.:-9.w...!!~E!~_~~ _
1111
--------.- ."--,-
10
. 10 H.a~liion .t:. Davis, Esquir~:}OC'::'===-_
. ;;--~l~ahe!!;. Qu-ig:le}:~E_sq':liI'~-
lS7.s0
~._.._--
111J
~~Q.:...~.~~~'!'!!'t..~!~or~i!!i ~~~_ ~~a_'!.s.!er Charges
1~.1,_~0~n9Ie~s Dee~_ $_ _', 25.50
11.01" f!,ty/~u."!Y ~a~l~mE! geed $
~~~Ie ta~Sta!"E.s De~d_ $
1204
-----.--.-.,
25.50-----.
Mort.g~._S_
400.0~-,-!.\"":ila~ .$
400.00; Monll.age $
. Releases
400.00
400.00'
'205
1300. Additional Settlement CharS!!..-
~1. Survey to
1302_ Pest inspection to
~30J Bel'lLL. Iio~kensmTt~~~~Ol School-Tax. __._
1304. Newville Water & Sewer Authority. water .& sewer -.
;305 Perin Pest~nsect insiJection ..--- .
--~94._s-3
----10,4:61
50.00
1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K) 958.00 3,699. ]4
T~l~~0~~~~~t~~eWE~~~~~~g~t~~6:~'~'Eii.~M~~+e~{~tb~:{~r~N'J'~g'+~~ s:;r;'6'~ ~f~~~~6~~r!~ge~~~I~r~~IS A TRUE AND ACCURATE
STATEMENT O~ ALL RECEIPTS AND DISBURSEMENTS MADE ON MY ACCOUNT OR BY ME IN THIS TRANSACTION 12FURTHE C=zERTlr.v THAT I HAVE
RECEIVED A COpy OF THE HUD-, SETTLEM NT STAT-ME T ...L P r-/
BORROWER ~~ I r SELLER ~ V-- ~
BCRROWER _ _. ._ _____. SELLER. _____
TO THE BEST OF MY KNO~EDGE THE HUD-l SETTLEMENT STATEMENT WHICH I HAVE PREPARED IS A TRUE AND ACCURATE ACCOUNT OF THE FUNDS
WHICH WERE REC~~V~=RWILL BE DISBURSED BY THE UNDERSIGNED AS A PART OF THE SETTLEMENT OF THIS TRANSACTION.
WARN1NG 'T IS A CRIME TO KNCWINGL Y MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM PENAL TIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT FOR DETAILS SEE: TITLE 16 U.S CODE SECTION 1001 & SECTION 1010.
Public Reporting Burden for this collection of information is estimated to average 0.25 hours per response, including the bme for reviewing instructions,
searching exisbng data sources, gathering and maintaining the data needed. and completing and reviewing the collection of informabcn. Send comments
regarding thiS burden estimate or any other aspect of this collection of information. including suggestions for reducing thiS burden. to the Reports
Management Officer. Office of Information Policies and Systems. U.S. Department of Housing and Urban Development, Washington. D.C 20410.3600;
and to the Office of Management and Budget. Paperwork Reduction Project (2502-0265). Washington. D.C. 20503
U.S GQ'JEIl,*UT "'~CH\tE; '..........;:45
.
201-BT - Wa.rranty Deed.
Henry Hall. Inc.. Indian.&. PL
.. ~bi~ 1!leeb,
:.fl'1atJe tue Twenty-sixth day of April in the yea-r
of Ollr Lord one tho7lsand nine hundred & fortY-1'1i1'1e
Jiet\uefll lHlu ~;.Deshone (wirlo'R lar'ly living in He......ville .Pen1'1a.)
County cf ~umberl~.rl-i, Re pRrty of the first part
(hereinRfter c&11e1 the Grantors
l Kenneth GrR.halIl & i.4able Deshong GrR.ham his Wife of Eewville
~~hty of Cumherlan-i,State of PenneylvRnia,party of the 6econ1
pHrt,
(hereinnfter called parties Df
(ee~on1 part)
millI[t ~!(I'th th tin c nsirlp-ration of One (;;Pi, no) Dollar, ?nrJ 0 the r ~!'O or!
a'Y1t1 "h1r~PH.e ~one18eratl one, Dollars,
in ~~nd paid, the receipt whereof is her~by acknowledged, the said llrantor
do hereby grant and convey to the sa~d grantee B the i r he i rs 8nrJ
a8sifTlS,ALL that rlertai1'1 trHrlt of lan-i with the improvements,
sltu!3terJ in the South "ii'1.rrJ of the Ilorouf:h of Ne1TVille,Counto of
Cumherll".n--l fw1 st?te of .f'enneylvRtlia,bounrJe1 a1'1rJ -leseribe"l ".'3
follows,to wit:-
II
bc;UIlDED O!I Tll~ West by South High Street; on the 1'1orth by
property, now or formerly of Annie L. Dougherty; on the ea'3t by q
private alley,qnr'l on the South by property of Martin Uiller.
,glJ1'AIl!Ll<l a. frontap:e on South High Street ot! forty-nine (49)
feet,8,,'rJ extt'r,-lillF; a.t 8,n even wi-lth to trle aforesni4 ~lley on the
eHst. )1
.d~IHG the sawe premises wrlir:h nonal-l Jarloh Hershey, p.n~ Mary
Huth Hershey his wife,by their -iee'" bearing tia.ee the 10th "lay of
l'ebrurary ,1943,:'1.l1rJ 1uly reeor-1e-1 in the office for the rerlor1ing
of 1ee1s in anrJ for Cumberl8.1'11 County,State of .PennaylvPl1ia
in TI"JEn BOOK (Q,) V()L.~12) .t'AGE (5).
COllveye1 to Ceorge C.Deshong (1ecease':l)an1. Ella S.Deshong,hie
wife,t~e herein callerJ Grantor,
'<tub, the srtid grantor ,do e s hereby covenant and apree to anri with the ~l~~d
grantee F' ,that 88.i1. , the grantor her he~rs, e;recutors a,nd ad71unls-
trators. shall and will warrant Generally------------------ and forever defend
the herein abol'e described premises, with the hereditalnents and nppu.rtenances,
unto the said grantee D their heirs anti assigns, aga.inst the said grantor .
and against every other person lnwfully clahning 01' who shall hereafter' claim
the sa.lne 01' any part thereof.
]n il!ilitntS5 illBbereaf. said ffrantor ha 8 hereunto set 11er hand and
seal ~::.:.l~.::~l~::::.:.:t abOl'ell:tr:''1t{l_~0.r:~:!j;'J~!J.:/'''''~'
In tI,. ~....nn 01 ( ./ ~
...-..---......-..-. ---~
..::::..:..::.:.....::::.::::::::.:......:..:...:....::.:.....:'..:'.. \ _....n.............................m.... ~
) .nm........._.nn..................... ~
State of
i' 31ili~ Y L 'fAll I A
}ss.
clayaf April
, 1949 . before me.
County of CliLU:JGHLAlm
0" this, the Twenty-eie;hth
the unci"rsiifned uf/icel', per:;onally nppeul'ed
~lla u. Deshong
known tu J>M (01' satisfnetorily pr01'en) tu be the person who:;e n(trne
sltbscriberl to the within in:;tl'ument, anrl aeknowledg'ed that 8}le e.vecuted
the sllme lor the purposes therein contltinerl.
]\1 faitness mbereaf. I hereunto set my hanrlltlui oificiG;l iettl.!
/ '" . '-. .. I
'/-'-':f:/k."'~?=n.~;Zf'-:.~:v: ~
JustiCe of the ~eao~
............. ....n.Ti..ii~.~.ioii?;~;... ...n. ......
/ do hereby certify that the precise residence of the within narned grantee is
~.tr t;treet lfewville J;'ennaylvalli...,
. J ..;. ~ . .iL
I ~ J" .;.~
1.9 49
..( ).-0:: k~r.-.-!!..<,-a ~_'- ~
"+ ;:.~./C~..;.
I~' ....
-'~ \.
A. ttflrtt'-T.J.lftr.
'I
&:J
~
~
~
g
,C?,
~A
I=;
<lJ
.~
....
't:1 ;::
l::
rr; .;.Q
....
::i! ,.;:::.
~.~ :~
C3 :~
.,~
u
( ~: \
\. ., '... , I ..'
, \ ,- y. !
" ',"---' /
~~Y
..
~
'"
'd
'"
..
..
~
'"
'd
"
f
~
,
,~
,1
~~
o
h
~h
,,~
f'j''1
r.... ~
r7] ~~
~....:i
>-
~
Z
-(
c.::
c.::
-(
~
\OJ ~
'.~-..l
"'
~:::o:~~~~.~~~.~~...... ~ss.
RECORDED on this ............'1......................... day of ............-!:."'/..:.....m.m........
A. D. 19..;;,.i)., in the Recorde,'s offu,e of the said Cou"ty, in Deed Book J
,
Vol. ....It........, Page .........Lol..................
Given under my hand and the seal of the said office, the date above written.
I...,.}~."o,l;.f{;....~, Recorder.
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
--- - --- ------------ ---- ----------------------------- __ _________ __________--1_______________ _ ________________ ___________
- ~---~---------_._.__. ----- ._----------_._----------------~----------~-------- --. -_._---------,'---.,------ ~-- --_._-~---------------- --'" .."-------.- .~_._----
ESTATE OF
GRAHAM, MABEL L.
I FILE NUMBER
21 - 01 - 00866
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
NUMBER
-- -r----- SavlngsAccounifor Funeral
DESCRIPTION
VALUE AT DATE
OF DEATH
--------- -r,67-S.84-
2
Miscellaneous Tangible Personal Property and Furnishings
500.00
--'--'-~_...._----- .._._--~---,---~- -_._~..._---_._----_.-._-_...~_._--~-_.- ..--------
TOTAL (Also enter on Line 5, Recapitulation)
2,178.84
.
SCHEDULE F
JOINTLY-OWNED PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
- ..---------."-.--- --. .- --- -----_.._-_._-----~_._-- _.~--- .__.~--_.._--_._--_.._-----------_.,--_._-~ -_._----_._._----_._---_.~----- ---.. --~--'---'--'--_. '------_._-~---~-
- ..---.......-------.--.. ---------'....._---- - -----~- _._--_._---~---------------,._-~---_._---_._-_._----_.-.----------.--- -.._-----
ESTATE OF
FILE NUMBER
GRAHAM, MABEL L.
_~___________ _n_n_____________ ______ ____ _____L __2~_=_~1_~~~~~____ __ ___
If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G.
-- ----- ----------
- - --~----
SURVIVING JOINT TENANT(S) NAME
A --Shrrleyn~.fCramern---_--- n
ADDRESS
RELATIONSHIP TO DECEDENT
26 Kough Road; Newvlfje-;-PA---~~-- --Daughter--
JOINTLY OWNED PROPERTY:
;---- .---r------lJESCRIPTIOI\rnFPRn~ ' ---------r---
LETTER' DATE I . . . . I I % OF DATE OF DEATH
ITEM FOR JOINT MADE !Includ~ name ~ffinanclal institution and bank.a~count number! DATE OF DEATH DECD'S i VALUE OF
NUMBER TENANT JOINT or similar Identifying number. Attach deed for JOintly-held real iVALUE OF ASSET ,INTEREST DECEDENT'S INTEREST
estate. i ~.
~--- A = I Bank Account - See attachedSiatement. ,--- 601.19' --50%1
i
300.60
i
- TOTAL (Also e~ter on lin~ 6~ Re~apit~l~ti~~)--n--T----~OO:6-0n
CHAMBERSBURG
F8M BOILING SPRINGS 0022 0015 2487 Y
MARION
MONT ALTO
NEWVILLE
SHIPPENSBURG STATEMENT OF ACCOUNTS
TRUST WAYNESBORO 33-17331 X
CARLISLE
STATEMENT PERIOD
FROM THROUGH
2-14-01 3-13-01 0
PAGE 1 OF 1
MABEL L GRAHAM
SHIRLEY M CRAMER
83 S HIGH ST 8 ENCLOSURES
NEWVILLE PA 17241-1405
5
1'111" '111111.1.1..111.1111.11.111111'1111.1111.1.1
REGULAR PERSONAL CHECKING
PREVIOUS DEPOSITS/
STATEMENT BALANCE CREDITS 1
1.933.74 504.00
CHECKS/
DEBITS 8
1.332.55
ACCOUNT: 33-17331
SERVICE
FEES
.00
ENDING
BALANCE
1,105.19
* INDICATES SKIP IN CHECK NUMBERS
DEPOSITS/ CHECKS/
DATE ACTIVITY DESCRIPTION REFERENCE CRED:ITS DEB:ITS
02-14 BEG:INNING BALANCE
03-02 US TREASURY 303 00077900000 504.00
SOC SEC 030201
161340679A SSA
03-07 CHECK 00700702189 504.00
02-16 CHECK 1579 00202305216 15.44
02-14 CHECK 1580 00200100034 163.08
02-16 CHECK 1582* 00201703607 40.25
02-14 CHECK 1583 00101302780 318.45
02-21 CHECK 1584 00100700983 29.00
02-22 CHECK 1587* 00101002226 38.33
02-22 CHECK 1588 00201503461 224.00
03-13 ENDING BALANCE
SERVICE FEE BALANCE INFORMATION FROM 2-14-01 THROUGH 3-13-01
AVERAGE LEDGER BALANCE 1.281.36 AVERAGE COLLECTED BALANCE
MINIMUM LEDGER BALANCE 1,105.19 M:INIMUM COLLECTED BALANCE
BALANCE
1.933.74
1.452.21
1.396.52
1.367.52
1.105.19
1.609.19
1.105.19
DATE
02-14
02-14
02-16
02-21
02-22
03-02
03-07
1.105.19
03-13
1.281.36
1.105.19
WANT TO SAVE ON YOUR TAXES? IT MAY BE A L:ITTLE LATE TO SAVE
ON YOUR 2000 TAXES. BUT :IT'S NOT TOO LATE FOR 2001 ONE WAY
TO SAVE :IS WITH AN F&M TRUST HOME EQU:ITY LOAN OR L:INE OF
CRED:IT. YOU CAN CONSOLIDATE YOUR BILLS. LOWER YOUR :INTEREST
AND GET A TAX DEDUCT:ION. AND ASK ABOUT OUR "NO CLOSING COST"
HOME EQU:ITIES, SO YOU'LL SAVE EVEN MORE CONSULT YOUR TAX
ADV:ISOR REGARDING THE DEDUCT:IBILITY OF :INTEREST.
EQUAL HOUSING LENDER.
DIRECT FARMERS & MERCHANTS TRUST CO
INQUIRIES TO: NEWVILLE OFFICE 9 W BIG SPRING AVE
NEWVILLE PA 17241-1301
TELEPHONE: 717-776-2242
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF GRAHAM, MABEL L.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRA TIVE COSTS
FILE NUMBER
21 - 01 - 00866
Debts of decedent must be reported on Schedule I.
ITEM :
NUMBER.
I
-j..:--- ...---q=UNERACEXPENSES:--
I Egger Funeral Home
2
Eby Granit Works - Letter Stone
B.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
1.
DESCRIPTION
AMOUNT
Social Security Number(s} I EIN Number of Personal Representative(s}:
Street Address
City State Zip
Year(s) Commission paid
Attorney's Fees Zullinger-Davis Professional Corp. -- Hamilton C Davis
2.
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
4.
Probate Fees
5. Accountant's Fees
6. Tax Return Preparer's Fees
State
Zip
7.
1
Other Administrative Costs
Reserve for Closing Costs and Contingencies
TOTAL (Also enter on line 9, Recapitulation)
5,564.00
393.00
1,500.00
116.00
500.00
8,073.00
F CHARLES EGGER, Supervisor
EGGER FUNERAL HOME, INC.
15 Big Spring Avenue
NEWVILLE, PENNSYLVANIA 17241
717-776-3414
FRANK C. EGGER, Funeral Director
April 5, 2001
Funeral Bill for Mabel L. Graham
Date of Death February 25, 2001
Professional Services
$2,650.00
Black 18 Gauge Sterling
$1,845.00
#5 Regular Burial Vault
$769.00
Cemetery Opening
$240.00
5 death certificates
$10.00
Clergy Honorarium
$50.00
Total
$5,564.00
Amount in Savings
$1,678.84
Total Due
$3,885.16
I) AI 0
-
J-/\
ru II
'-"S t'" 0 I
"_ I
3u 'y
'f C~Jr5 ~
Eby Granite Works
P.o. Box 187, Newville, Pa. 17241-0187
Phone: (717) 776-5118
Shirley Cramer
26 Kaugh Rd
Newville, Pa 17241
June 29, 2001
The MABEL LAURA GRAHAM memorial has been installed in NEWVILLE cemetery.
Total Contract 393.00
Payments 200.00
Balance Due 193.00
~ .
L / 1/
{/ a ,j' ,'~" Ij~///.-' (7~~ /(..() I
7-J{1-C/
Thank you for your patronage.
~--
\---/:~ (;,-,{ (;/,< C L-
/ ..-7'
..,-../
TERMS: BALANCE DUE 15 DAYS.
.
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
--
., -~_.._----_...--_.-
. FILE NUMBER
21-01-00866
ESTATE OF
GRAHAM, MABEL L.
Include unreimbursed medical expenses.
m__'_______.__ ___..______ ___ ____.. ______..,. _________.._. _...__..__.___._._~_~______"__ ._________._~_______..____.__,. .____m____...'_________.____m
ITEM
NUMBER
---,.,,-------
I
DESCRIPTION
AMOUNT
~._--- ~---------29.00
Electic
2
Telephone
32.37
3
Fuel Oil
117.13
4
Meals on Wheels
26.25
5
Real Estate Taxes Due
129.02
TOTAL (Also enter on Line 10, Recapitulation)
333.77
~/
DESG;
TAX
PAYER
OFFICE
HOURS;
U~.~~~.t;" . "'l;;.. " , ......
to FORWARD TO MORTGAGE CO.
..JNAL RECEIPTS.
,.
;<
dETTY L. HOCKENSMITH
108 WEST STREET
NEWVILLE PA 17241-1008
MAP NO: 28-20-1756-009
0081 S HIGH STREET
DEED 141 I 101
LAND
HOUSE
RESIDENTIAL
GRAHAM, MABLE
83 S. HIGH STREET
NEWVILLE PA 17241
TUES 9AM-12NOON & 6-8PM
THURSDAY 1-4PM
CLOSED MAY & SEPTEMBER
PHONE (717) 776-5511
TAXPAYER COpy Bill No: 181
Control No: 028 - 0001 06 2000 Statement of Real Estate Taxes Bil/Date: 3/01/2000
Assessed Land Improvement Mineral Total
Values 410 1.920 0 2,330
COUNTY OF CUMBERLAND Discount Face Penalty
Rates .02600 .02600 .02600 2\ 10 \
COUNTY R/E 10.66 49.92 59.37 60.58 66.64
Rates .00150 .00150 .00150 2\ 10 \
COUNTY LIB .62 2.88 3.43 3.50 3.85
BOROUGH OF NEWVILLE
Rates .02900 .02900 .02900 2\ 5'
HUNIC. R/E 11.89 55.68 66.22 67.57 70.95
TAX AMOUNT DUE -> ~ $131.65 $141.44
If Paid On or After 3/01/2000 5/01/2000 7/01/2000
If Paid on or Before 4/30/2000 6/30/2000
IF NOT PAID BY 12/15/2000 THIS BILL WILL B~~~ED TO TAX
~Mp~u;:~roR COL~IO' _ ~~~
Return Bill with Payment. For a Receipt I Enclose Seij.AQGr"~an:lp~~Q\UilOlJ&..~
""'--~...~-~..-~.. ..._-__.~~""":;-.....:,~ ~~~~~ .-.:,~:~,<:,~-,!~~"'- ~'I.~~~ ~~~;,,_'''':'''l:,~' ;H.';:~ ~:.T~ .....,..'""-.. :;;:r......::::.~