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HomeMy WebLinkAbout09-06-05 Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: 527 9/6/2005 Sarah E. Hunt 21-05-0049 W S DANIELS ESQ ONE WEST HIGH ST SUITE 205 CARLISLE, PA 17013 on Qty 1 Fee Description Additional Probate Fee Total 10.00 $10.00 Total: $10.00 O1ecks should be made payable to the Register of Wills. Tenns: Net 30. Please return one copy of this invoice with your payment. Thank you. RE"J.1!OJEX[6-lXIi REV-1500 OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RETURN FILE NUMBER DEPT. 280601 ~L - -9 --':?- CJ ~ O.ij 5l HARRISBURG, PA 17128-0601 RESIDENT DECEDENT COUNTY CODE YEAR ~UM8ER DECEDEN/~(LAST, /YrEINITI~~~ # SOCIAL SECURITY NUMBER l- E, Ir9 .:..)2- - $6-1' 1 z W DATE DF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD- YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE C /C} r::7Cj w / 2- - 2. -;2=.ao Lf /2-(,.- REGISTER OF WILLS U W (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER C - - w ~ 1. Original Return o 2. Supplemental Return . . '. 0 .~~,~~rtlainder Return (date 01 death prior \0 12-13.82) .. ",:$ en o 4. Limited Estate o 4a. Future Interest Compromise (dall of detlh alter 12-12.82) o 5. Federal Estate Tax Return Required 0"'''' w"o ,,00 ~ 6. Decedent Died Testate (AItach copy of Will) o 7. Decedent Maintained a Living Trust (Al1achcopyofTrusl) 8. Total Number of Safe Deposit Boxes 0"''''' .... - .. o 9. Litigation Proceeds Received o 10. Spousal Poverty Credit (date of dtalh blItween 12-31-IU and 1-1-95) o ~1. Election to tax under Sec. 9113(A) (AItadl Sch 0) "' .. z W,~ "l ,,1// et:-S COMPLETE MAILING ADDRESS & U'?:: '2P::'- w NAME 0 z C:;;>,.... 6' Aarr /"Y- ",{ ;:r,./ -<- . 0 FIRM NAME 1"_'1 /~/??.t..,.... ~ 1tIT.N ./ e ,cJ .. en 09/l.L.4 f '-t3~ p~ I :ro- G w '" '" TELEPHONE NUMBER 0 ~,j -,38.3/ 0 / 1. Real Estate (Schedule A) (1) OFFICIAL USE ONLY 2. Stocks and Bonds (Schedule B) (2) ,.., ,.=;:) <~.) CD 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) LfJ ;'-11 ~") CJ (4) -'-1 c.-=> 4. Mortgages & Notes Receivable (Schedule D) --:; -T) 2, ;;l.-CI?'-, 00 I ! ~:::J 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (]) C i : -." , C:J (Schedule E) . Z 4.$) eB8, ge) -', ~, CJ 0 ;.' " ~- ., 5. Joinly Owned Property (Schedule F) (6) -".~ ~q ~ o ~eparate Billing Requested - ~ (.-,~ .. f" ,. ~ ,'J "::--) (7) ..:."':- ;:) 7. Inter-VIVos Transfers & Miscellaneous Non.Probate Property -Tl I- (Schedul. G Of L) ii: 8. Total Groll Assets (total Lines 1-7) (6) -<l~ ;Z 9<5'; 9:S- <( u 8, r18,18 , w 9. Funeral Expenses & AdministraUve Costs (Schedule H) (9) IX 10. Debts of Decedent, Mortgage Liabllffies, & Liens (Schedule I) (10) ?-, .2- Z; +, ~~ //, tJ ~<S"J 83 11. Total Deduc1Jon. (total Lines 9 & 10) (11) 12. Net Value of Estate (line 8 minus line 11) (12) ~-rJ :2- 30, ,2. . 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been (13) -0_ made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 3~1.;2-'30, )2- , SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Z 15. Amount of Line 14 taxable at the spousal tax 0 x.O_ (15) !;;: rale, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 3~1 .2....bO. J 2- X.0~(16) /,5'7-'01 ~C '"'" ;:) a.. 17. Amount of line 14 taxable at sibling rate x .12 (17) :E 0 18. Amount of Line 14 taxable at collateral rate x .15 (18) U I" 6~OI 3( g 19. Tax Due (19) 20.0 CHECK HERE If YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: STREET ADDRESS -'Vb- Cn::t:Jve CITY C? STATE ZIP I ~a Tax Payments and Credits: /...!>-.",yGJ, So' 1. Tax Due (Page 1 Une 19) (1) 2. Credits/Payments A. Spousal Poverty Credit /..3>~O. =0 B. Prior Payments C. Discount Total Credits (A+ B + C) (2) /5....0.0"0 3 InleresVPenalty if applicable ,.. D. Interest .. ';,"'" E. Penalty TotallnteresVPenalty (D + E) (3) 4. If Line 2 is greater than Une 1 + Une 3, enter the difference. This is the OVERPAYMENT. Check box on Plge 1 Line 20 to request I refund (4) ,.,5{;, 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enier the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This Is the BALANCE DUE, , (5B) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of tho property transfened;.......................................................................................... 0 121 b. retain the right to designate who shall use the property transfened or its income; ............................................ 0 12 c. retain 8 reversionary interest; or ..,...............................................................................,....................... ............. ... 0 I2'J d. receive the promise for life of either peyments, benefits or care? ........:............................................................. 0 L'8l 2. If death occuned after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................................. 0 " 0 3 Did decedent own an 'in trust for" or payable upon death bank account or security at his or her death? .............. 0 ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non.probate property which contains a beneficiary designation? ........................................................................................................................ 0 IgJ IF THE 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 "r}llve examined this return, including accompanying schedules and statements, and to the besl of my knowledge and belief, it is true, cotreclsnd complete. Declaration of preparer other than !he personal representative is based on aU information of which prepat&T hes any knowledge. SIGNATURE Of ERSON RESPONSIBLE f R fill G RETURN DATE ADDRE ;;2 3VO Ped f/I'J- / rJY OLf t://Z..K.. SIGNATURE ~ER OTHER T DATE ~oS- ADDRESS ?...<-4'?- /,L, 7 r;( <S';>'; J S'.A- . ;;':;;S-,1 ~l'2.-uJ4 / ~7}- ~/3 O;vE- - For dates o!'death art or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)l. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (al (1.11 (lill. The statllte does not exemDl a transfer \0 a surviving spouse 1rom tax, and the statutory requirements for disclosure of assets and filing a tax retum are still applicabie even if the surviving spouse is !he 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 naturai parent, an adoptive parent, or a stepparenl of the child is 0% [72 P.S. 99116(0)(1.2)J. The tax rate imposad on the net value of transfers to or for the use oftha decedents lineal bene1iciaries 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 transfars to or for the use of the decedents 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 parenl in common with the decedent, whether by blood or adoption. \ ,'.'" ,. .j','- ",.,_,,'.L.;<:(". I.a~ Bill anb ~t~tattttttt I, SARAH I. HUNT, ot North Middleton :rollnsh1p, Oumberland 'County, Pennsylvania, deolare this instrument to be my last will and testament, hereby expreaaly revok1ng all wills and ood101l. hereto- totore made by me: .' ,---.. . ~ ........[., 1. I authorize and empower my exeoutor to Bell any realty owned by me at my' death, at either publ~o or private aale, and to . give'good and auttio1ent deeda the~for, in fee aimple. aa Ioould . do if liv1ng. My exeoutor ia. 'authorized and empowered to oontinue to engage in any buB1IB" in wh1oh.. I may be engaged at my death, tor a period of one year atter my death. 2. . I deviae and bequeath all. of my eatateof every nature and wherever 'aituate to my oh1ldren, ahare and ahare alllce, the 'oh1ld 'or oh1ldren of any deoeaaed oh1ld tak1ng the ahare their parent would .' have taken 11' liVing. 3. I nominate and appoint Robert W. Jenk1na to be the exeoutor of th1a my laat will and teatament, h~ ia ~o aerve aa auoh without bond. Should he d1abetore my death, renounoe or reruae to aerv, for any ~~aaon, or die leav1ng any ot my e.tate unadminiatered, I nominate and appoint Ronald Pr Jenkina aa aubat1tute exeoutor, alao to aerve as auoh without bond, with t he aame powera aa are given , herein to my exeoutor. 4. I hereby direot my ~xeoutor to retain the aervioea ot Irwin, Irwin 51' Irwin aa attorney. in the aettlement ot my eatate. D{ WITNlSS WHERIOP, I have llereul1to aetmy hand and aeal thia 'le~ day ot Auguat, 1963. \':~:~:.')--.,.l...".,,__ ~ 8 A ~ f'. tJ t":-:);- (SBAL) ar IS. 11.un ... . Signed, aealed, pubUahed and deolared by Snail B. Hunt, the testat~1x above named, aa and tor her laat w111'and teatament,' in , . the presenoe of U', who at her requeat, in her preaenoe and in the presenoe of eaoh other have aubsoribed our name. as w1tne..es hereto r?1~~. ~ 4a/d$# -..-'... ..--- ;"i~4t . "'''OI'''D~n .~tseHE;DULE E '*' CASH, BANK DEPOSITS AND COMMONWEALTH 0' 'ENN,Y<VANIA MISCELLANEOUS INHIlIT....CI TAX IITUIH PERSO N L II$IDINT DICIDINT A PROPERTY PI P . I T EST TE' OF 00.0 nn or 0 ~/ / .1\ / r r LJ.-:n b/ / r= FILE NUMBER . C/f I r I I 0 "/1"'''/1( ~, ;? /CJ'.!>- - c:?&4''1 (All property joinlly-ow"ld wllh the Righi of Su-rvlvonhlp In"at b, dladoNd on Sch,dul, F) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH /, ~.s''''' /H "P&;,s-.> CS'cJ"i'cW."" 1I.:;<s; 0-0 2, 1?;)"ye;1L Vell'c./..t. ./'79r ~~ 9~cJl 00 ./ 3, S-c~~/ S'~1z.+17i '?"7im~ R..~v~ 9,;"1-.00 -1, ~N91),J r~p:,,#"r! t?~~7) ?,k-,OO '-.. ,. TOTAL (AI.o onlor on lino 5, Rocooitulotionl S L,' 7--17 7-, (?() (Anoch o.ddltionol IV,"" x 11" shutl if more spac.II n..d.d.1 ;, :.:-,:;:,;'~"~~.~~,'.~{j'~fli;.~:,;;" ;;~~;":~: ';;~:;'~cOMMdNW!~irH -o'~~e~t;j$YLv~NIA;. ioio.;r:.:i:: ~,~:i" ~:~~~~~/, ,""^_ ,",,, ",.SE~T!I~~ TE,~,9.~,~!IT~~79L~;~i~~~x~~~~~~9RT~~,.~~i;&Ni~1~ .. .IlIlU,..,.;jr.!...!::::.;, ~.l',l,".:-""1.';~ ,d' f,',,,,,;', -:.' '~.~',,'~..\l'-l1'\l,. j..i ,~',"'" '., ':"1;.' ". I. the Secretary of Tranlportatlon 'certlfy that an application has been made to me,' purruant to the Act of April 29, J 959. P.L..58 as amended, for,a Certificate of Title to the m.otor ..hlele or trailer described hereon, . __, ._ . .... u._ ,_ . - .-" ',' ..." ,w r ..' . _ ._._..~,.,._!,,:,: '."" ,,;;":;"! -:0.1. ::' .,-:.,~C . .. -'-' ".., .~.. . CODE LEGEND SARAHf tiUNL.,. ' . R 0 2 ,"'.--,...., " A-ANTIQUE MOTOR VEHICLE GARDNERS PA'17324 F.-VEHICLE .BROUGHT INT.~, PENN!>.. ~ROM ANOTHER STATE OR ".. FOhlilGN.ttoUNTRY X-VEHICLE WAS FORMERLY A TAXI .... R-RECONSTRUCTEO VEHiCLE VAl1D-'IH-lH SPECIAL-PERM11' ,ONLY '--- .._,----,-- ------- '- nnO~47161'._"GR"AT I AKFC; MH 41556' "'Tfn.€" NV..rB"~ '. .' . h'rAKE' 0"" IjEHY~LE TYPE MANUF~ TURERS SERIAL NUMBER .,.....',- ---- .,,,....,,... ..' - -. ." - ,,'..., .. '-, ..... --'... 10-21-70.. ,..$~2.00 ZERQ. DATE ',OF.'lssue' REG'ISTRATION FE'E GROSS WE.IGHT AXLES EATlNGCAP"CI UPI,.ICAT OATE ORIG. TITLEO CODES And that the mot~r vehicle or trailer ducrlbed.hereon I. .ubject to the following encumbranctl- FIRST ENCUMBRANCE FAVOR OF: AMOUNT ENCUMBRANCE RELEASED DATE ENCUMBRANCE'HOLDER ".' BY AUTHORtZED REPRESENTATIVE SECON. n. E. NCITUDDHU''',_._,. __, _ ,...." '''_~~''_''_'' .~~'___,__ _. ~ .... . , V,f':"'i~:#1t~,... .,' r ~, ' -'MOl.,lNT - '.-. FAVOR OF: .."'. ..... '''..."...... .. ENCUMBRANCE RELEASED DATE , ,. .., ," .', ENCUMBRANCE HOLDER . "1 BY " ---- .- - . .'.... AUTHORIZED It.EPlt.ESENTATlVE J d~ furthe~wllfJ:l~alJ.hay,used ~,a'o.nable diligence In a.certai~i;'g ;'hether or not the famllated In .ald application for ,,,.,, thts Certi!leat'e"of Title are frue. and t~at Jam .ati.fied that the tippllcant i. thi lawful owner of ~ the motor vehicle or trailer de$crlbed hereon. or I. otherwise entitled to have the .ame reglllered . In hi. name. . ..... . "~'.:.~ ,':,whi,i/ore."jcertiiY' that the a/lov, ,jiiriitdapplicant ha. /leenduly reiMered in the office ..of..tMPenn.ylvania Department of Transportallon a. the lawful owner of the. motor vehicle or trailer ducrlbed he"on. ....-, J :__ Witn... my hand and ..al of office. .' //Jt1!11~' .... V.W.,lN-::WTll> . ~ Sec~~tary of Transportation 4370 NORTH GEORGE STREET EXTENDED MANCHESTER. PA 17345 (717) 266.3651 SALES end SERVICE www.Be.horeKoUerFord.com JANUARY 27,' 2005 .,. ,~~ '-,," '~~\"'" THE CURRENT MARKEl' VALUE ON 1995 FORD 1FASP15J3SW102281 WOUlD BE $950.00. nus IS BASED ON VEHICLE SHAPE AND PRESENT MARKEr , , CONDINl'IONS. " .. .. . ~. ::::::-~ ~'t1/~ TODD AHRENS USED CAR MANAGEI:' '. . "",,,,,.,,,,, '* SCHEDULE F. COUUONWfAlTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERlTANCE TAX RETURN NT NT ESTATE OF ./ r->.LJ. n ..0/;' 1 J::" FILE NUMBER /. <.",) '7 ''-1'7 T ~, c:/2/~-cJfY04/'7 Wan a_.... mada joint within on. yea, of tilt doctdtnr. dato of d.ath, . muot be ..ported on Sc:hodult G. SURVIVING J~NT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. ~ t7PC-n...-r-t:W, V-eNIC/NS ;2..s-00 RI-1'"7'&/}',1,-,- ~ , .go-,v 7 o~K I Pilj /""T#dt'.';.::- B. c JOINTLY -OWNED PROPERTY: lETTER DATE DESCRIPTION OF PROPERTY % OF DATE OF DEATH rral FORJOINT MADE Include name offtl\MClallnstitutlOtl iI1d briax:ountnumberOfsimila-ldentlfying number. Attach DATE OF DEATH DECD'S VAlUE OF Nl./MBCR TENANT JOINT deed for joinUy-held real esUie. VAlUE OF ASSET INTEREST DECeOENfS INTEREST 1. A. '3/~jsv CMr8.sr-o~ ;Va-ry~C-..P '7? "'ID/~ ~ >I ,*"h?G- . AnrJ; o-""e-S'7'C/='7?-ct.t.~ "'7-41 2j~CJ <50 2.2., 2..2-0 "9 BO P"Na- CIeo..e- ~c:(, 'C"aI)N&e.- ) J . ,l)/~:Vr".", J'c.I-VHS~'i'/ Cf/n,A-,...i,.....ct.. (]f?V-.)1') p~ I ~o 2.J..I) ::<, ,I) 19C/"-<-6") ~.:x p"Ja..C-t=f- /r':' 0 9 -'-IC>-;2'3'1-~/" .2. 17 ~ (l:""~e>/J 'r';?;t;L6/c>O?3-);.a-(. 2.,3/-9,?-& 00 /,/o?-.3~ 3 /f #1 Od'?-YvJ n;Z. Jj...(...2.~O.2.(/~BO :29, 'j~o,q/ lZJ ILl/ (,-:;O,:A( 1 1 '% 1lJ~1' ~ /VL-W 76'M<<.. 1/,'1 uw.,;rs "Ti/?", ~ .se::. Tit. I, 2 &/.?O <-QJ t ZO, f3.5 $~'J"3 ?/}~/O' ~,-J(;,,,T&...v!' /()~"'oCJ3 .s- -1 ~ S....,'tJ"~_B'9I'UV'1. PYl<<.J;~'9c.4: 9,8-'2/,0:;) 05d ~1/0.50 if t9~-<:;'1'~~-/3::U9 TOTAL(Alsoenteronline6,RecapIlulation) $ -"13)088, CJf;J- (If more space Is nEieded, insert additional sheets of the same size) -/ ,... COMMONWEALTH OF PF.NNSYlVN"IA == . 0;(3/<:("'1/'" 1 toWQhlp of ....................... CR/"lvl'C.- - DEPARTM'NT Of ~'~._... ~ '" Cumbo Co., P.. .... 'jol Di~t. Cumbo Co., Pe REALTY G ';!' \ _ = J.:" 1..1 E.rt.~. Trtlt1f.r Tv <n j~NSFER APRI2'84 p.a.~;'16Z ::: !._.~~.~.~.J ~~; ... f. ~/~ . :JS ~ I" 1t..I' Est.t, Trllltf.r T.x ' 0 0... . ...... ..... Anlt...... ,.'- ..-:: . fJ~rGIC. fT"Vo~",,- ...... "t. l2-ftl- ,3 5. ~ ,.t')?;C;;"~~::' ~.;:;....., \:':UM>>. Co. Db;. Col. 1\",4. "'mb. Co. Ot". Col. ...... ... WARRANTY.DEED' THIS, INDENTURE, made this 6th day March, 1984, b~.tween DICKINSON TOWNSHIP JOINT VENTUR)1:,. a Pennsyll-l!lllj..~.,.l.\nincorporated association, whose address is c/o Stephen P. Li'neba:ugh, Esquire, Agent, 42 North Duke Street, York, Pennsylvania, 17401, Party of the First Part, GRANTOR, and SARAH E. HUNT and/or ROBERT W. JENKINS, her son, R. D. 2, Box 303-16, Gardners, PA 17324, Parties of the Second Part, GRANTEES, , WITNESS THAT, the said Grantor, for and in consideration of the sum of Seven Thousand DollarS'($},OOO.OOl, lawful money of the United States of America, well \and. truly "paid by the said Grantees, receipt of which is hereby acknowledged, has granted, bargained, sold, aliened, enfeoffed, released, conveyed, and confirmed" and by these presents does grant, bargain, sell alien, enfeoff, release, convey and confirm unto the said Grantees, their heirs and assigns, ALL that certain lot of land situate in the Township of Dickinson, Coun.ty of .Cumberland,. and Commonwealth.of Pennsylvania, being more. ,par.ticularly described . as. Lot No..' 65 on a final subdivision plan for Dickinson Township Joint Venture dated November 4, 1983, revised February 18, 1984,. and approvE!'d by the supervisors of Dickinson Township on February 20, 1984, which said plan was duly .entered of record on March 1, 1984, and appearing of record in th.e Office of . the Recorder of Deeds in and for Cumberland County in Plan Book 45, Page 32, under and subject to all legal highways, easements, rights-of-way, and restrictions of record. IT BEING part of the same premises which Medusa Corporation, an . Ohio corporation, successor to Medusa Portland Cement Company, by its Deed dated the 28th day of April, 1981, and recorded on April 29, 1981 in the Office of:. the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book . J-29, Page 728, et seq, granted and conveyed unto Dickinson Township Joint Venture, a Pennsylvania unincorporated association, Grantor herein. '. TO HAVE AND TO HOLD the said hereditaments and premises hereby granted .and conveyed, and intended so to be, with the appurtenances, unto the' Grantees,. their.heirs and assigns, to and for the only. proper use and behoof of ' the. said Grantees, their heirs and assigns forever. ., THE WITHIN DEED is . executed. by Stephen P. Linebaugh, Attorney-in-Fact, for the individual joint venturers of Dickinson Township Joint Venture, which said joint venturers have each J.PijK~30 fAM 161 / / executed ,a Power of Attorney granting authority to. the said Stephen'p. Linebaugh to execute the within Deed, which said Power of Attorney was recorded on March 1, 1984 in the Office of the Recorder of Deeds in and for"Cumberland County in Miscellaneous Book 293, Page 407. IN; 'WITNESS' WHEREOF, the Grantor has hereunto set,.,. its hand and seaI,.rtne "date' 'and year'tirstabove; w~HYm,:;~by the said Stephen P. Linebaugh, Attorney-in-Fact. ......,.' "'" " _i 1.,\, WITNESS: VENTUR ::-: .'... -~ " " , l'.:.'j r::;'- t;A;./ldt2,/X.J),,~ By:' (SEA _ r: . 'IP'" ,~ . :0- COMMONWEALTH OF PENNSYLVANIA : .' vt;. ::'1' g .:: COUNTY OF YORK: J ":: ...'. Vi , r ..., '" On.this the 6th day of March, 1984, before me, a ~tary :> Public in and, for the saidCommonweal'th'and County,. personally appeared Stephen' P. Linebaugh, who ac}mow1edged himself to be the Attorney-in-Fact .for the Dickinson, T'ownship. Joint .Venture, and that he as such, Attorney-in-Fact, being 'authorized to".do so, executed..the " foregoing . Indenture for the' purposes therein contJained by ',signing .the name of Dickinson Township Joint Venture by himself as Attorney-in-Fact. and that he acknowledged the same in order that the said Indenture might be recorded. , "..." '~,,;. . IN WITNESS WHEREOF, I have hereunto s~~-;';~:'.\fr~~~';--a!1d notary seal ,~" ....,'\.'''1/ ,..0 ., . ..,.......\ ~ /,..f ~ .. ~,".-.," ::O.~ 'r~.~' '}.......~ .' ~. ~~M;I.. '~. ~ IA. -<.LJ, , .II. (~IH: ~ Notary Public . .\'. ... .1,.) . <:): c:,,:E My Commission Expir'e~~.~::-:/:'::;':'\~"~v./ BRENDA L. HARTMAN. NQ'ory Public''';' .(~,". ";':' 0"'',,'' LQQ,nvlll,.. BorouQh, York Co" Po. '. .....>'11 "\.. ",." My Comml..ion expires Feb.. 29, 19B8 .,.......... . ' i . . . . i . ~ ~ ,,' /,;.. ~ ',' .' ': I: :".' . ;'..,' .# : \.- ;.1 (.I . " ., ,..!.'.... I hereby certify' that the within .Grantees'is R. .0..2, Box', .. '",..., '.'. \. ., ,'-. ..JOOk~30 "ArE 162 FacetWin Screen Print for publicD4, from "CAMA_Login" 1/6/20D5 2.58.38 PM CUMBBRLAND COUNTY ASSBSSMENT OFFICB 2004 BASBYBAR NEIGHBORHOOD. 869 CONTROL * OB002067 DISTRICT. OB - DICKINSON TOWNSHIP SD. 3 PARCBL. OB-40-2639-010. I I SPBC ID. LOTI L-0065 I L---, Tback. 08-15-0195-001. I Short Name . HUNT, SARAH II: I I I I LAST NAMB . HUNT . \ \ PROPBRTY TYPII:. RT I IFIRST NAMB . SARAH B I I I I I C/O NAMB . & ROBBRT W JENKINS \ I SALliS I IADDRBSS1 . 480 PI~ GROVE ROAD I I DBED BK/PG.....OD3DQ-OD161 I IADDRBSS2 . \ I D~TE OF SALE...D4/12/1984. I IpOST OFFICB. GARDNBRS I I SBLLINEl PRICB,..' 7DOO I ISTATB & ZIP. PA 17324 \ \'.,' I I I I I Situs. 48D PINE GROVE ROAD I CURRENT VALUES I Prop Descrip. I J As..ssed Fair Market L, LAND DBSC. LOT 65 PB 45 PG 32 I 1'MV - 4444D L - 4253D I LAND USB TYPB. lOB I C&G - B - 191D I DEBDED ACRBS. 2.11 I approved? -:> T - 4444D I Screen 1 Enter Seiection > Recordz 79B82 Number -Switch Screens, . X -Exit, J -Jump Mode, P -Forms, I -Image Down Arrow -Next Entry I Up Arrow -Previous Bntry, ? -Screeos, B -Browse .' Citizens Circle Gold Account Statement . Of 2 Beginning November 09, 2004 .'. . through December 08, 2004 SARAH E HUNT -1 B I C I 1_... ROBERT W JENKINS a ance a cu 4.l.lon . .:F~): Circle Gold Cheddng Hi Interest Previous Balance Average Daily Ba/ance . 610073-128-6 Checks 1,473.05 . ."- - mwat . Withd(awals ,00 . Deposits & Additions 1,085.40 + Cur~nt Interest Rate .25% Interest Paid . .54 + Annua/I'ercentage Yield Earned .25% Current Balance 2,820.46 _ NumberofOays Interest Earned 30 Interest famed .54 Interest Paid this Year 6.76 . Previous 8alance TRAHSAtTlOH DETAILS 3,207.57 Checks. Ther~ is 0 'break in check SIqUfflct Check' Amount Date Check' Amount Oat. 785 8.36 11/.lD 792 55.00 11/.23 786 232.23 11/.D9 793 270.00 11/24 ;L 787 17 . 98 11/22 794 71. 00 11/J29 !'V 788 26D.00 11/D9 795 42.39 12/03 789 50.33 11/16 797' 230.00 12/08 790 29. 29 11/16 798 79.47 12/08 _ 791 27.00 11/16 799 100.00 12/D8 o rotalChecks 1,473.05 Deposits & Additions Date Amount Description ~ 12/.D1 Aetna Inc Benft py. mt 041201 0044300D0205. 568 cf ^' 'TJ 12/03 US Tre"UI)' 303 Sac Sec 1203D4 . ,"'" . " 0 Total Deposits & Additions 5'r, :5"'7'\, - ~~ /3of<./<. . I,D85.40 Interest DOIte Amount Description 12/08 .54 Interest o Tota!InterestPald .54 o CUITl!ntBalancl! . l 2,820.46 Dally Sa ance o.t. ..I.n" M. ..t.". C#" e.I.n" '* 11/09 2,715.34 11/23 2,527.38 01 ~.--- 2,314~ ' , 11/10 2,706.98 11/.24 Z,Z~I.;8 1 7D3 I ;,"'.;9 'It./ 11/16 2,60D.36 11/29 2,186,38 12/08 2,82D.46 ~ v 11/11 1,581.38 0:" . /./ , 'f,- ~"/ ~11) " I /O\em!)~rfD]C &" [Qu~1 r10usinglender .., '. .0-"< ,',~, '. ""I',dC', "'1']''''<<11.''0'' Citizens Circle Gold Account Statement 0 Of 2 Beginning November 09, 2004 through December 08, 2004 Contents Summary Page 1 Checking P.1ge 2 i --r'''l\t-(~.. :.",...j Citizens Circle Gold Summary -----"" -" Account Account Number B~ance B.1fOilnce SARAH E HUNT Last statement lbb Statement ROBERT W JENKINS DEPOSIT BAlANCE - Checking Circle Gold Checking Hi Interest 610073-128.6 Circle Gold Checking Hi Interest 61DJl73.128-6 3,2D7.57 l,8l0.46 ,- Circle Money Market 620026-168-0 29, 311. 61 Q.9' 340. 4!.) - 0 Total Deposit B,dance 32,160.87 - - Monthly combined balance to waive monthLy fee is 2D,OOO.OO 0 Total Relationship Balance Your monthly combined balance this statement period is 31,969,6D - 32,160.87 - . - f t2~ 7/ .{./1- p~ Mfm~fr fOIC G) Equal Housing Lender ,~. "t .,,,,< ','.;\"< ~,' \"."JltM\\ \nh:>mution THE BANK OF NEW YORK NEW YORK" FIRST lANK. FOUNDED 1784 BY ALEXANDER HAMILTON DECEMBER 23, 2004 SARA E HUNT Be ROBERT W JENKINS JT TEN 480 P%NE GROVE RD' PA 17324-8819 ,. GARDNERS ", '.. ..'"",' 'RE : TAX EX SEC TR SER 393 PA TRUST 109 A/C: . 01341964 N/O:SARA E HUNT Be ROBERT W JENK%NS JT TEN Cert1~1cate(8) .:1000003 , Dear SirjMadam: We are respondinq to your correspondence reqardinq the referenced certificate(s) of ownership. For your protection, a stop transfer restriction has been placed aqainst the certificate(s). We will be pleased to issue a replacement(s) if you complete the enclosed form. The form must be certified by a notary public and returned to us within 30 davB alonq with the fee Btated below. Please review the followinq conditions to determine which forms are required for your particular situation. .' - For a lost, stolen, destroyed or misplaced aeaistered and Unendorsed certificate(s) that has a market value not in excess of $200.000.00, an Affidavit of Loss mUBt be completed. - In cases where the owner(B) is deceased, an Affidavit of Loss must be completed by the Fiduciary and an Aqreement of Indemnity (paragraph 10) must be completed by the Heir(s) to the Estate. (If the certificate(s) is reqistered as a Joint Tenancy, the affidavit and agreement should be completed by the survivinq joint tenant.) - If the EBtate has no Administrator and no AdminiBtrator will be appointed, or if there is a Will which has not and will not be probated, the Waiver of Probate must be completed by the Heir(s) to the Estate. - If the lost certificate(s) was reqistered in the name of a corporation, an Affidavit of LOBS must be completed and signed by an authorized officer of the Corporation, with title. - If the certificate(s) was Endorsed, the Affidavit of Loss and the Application for a Lost Instrument Bond or the Agreement of Indemnity (paraqraph 10) must be completed. - If the current market value of the lost certificate(s) to be P.O. BOX 413, EAST SYRACUSE, NY 13057-N13 Page 2 replaced is in,excess of $200,000.00, and if the certificate(s) was not in .negotiable form (Endorsed), the Application for"a Lost Instrument Bond must be completed in it~entirety. This is the only document needed for replacement. The financial information that you provide on the Application will be verified; therefore, please avoid listing personal referenceB under item No. 12. List the name(B) of your Bank" Brokerage Firm, etc. , the addreBs, the person to contact, and a telephone number. Also include a telephone number where you may be reached during busineBs hours in case a question ariseB. If an Estate is involved, individual Applications should be completed by the Heir(s), and an Affidavit of Loss should be completed by the Fiduciary. In addition to the completion of the appropriate documents, a surety bond must be applied against the original certificate(s). The expense for the surety bond is based on 1 1/2 percent ( 1.5 % ) of the market value on DECEMBER 22, 2004 , the date the Btop reBtriction was initiated. The premium payment is calculated as follows: SERIES B D PRICE ITS X .015 - PR 05~8 $252.34 5 $18.93 7V-(' t~1jJ}~ Please make your check payable to our bonding agent, SEABOARD ~ SURETY COMPANY, for the premium amount. The check and the completed documentation will be forwarded to Seaboard so that the aSBumption of liability can be properly recorded. When we receive Seaboard's acknowledgement, we will complete the replacement. If you need further assiBtance, please call us at (800) 856~8487. We look forward to hearing from you soon. Very truly yours, ~cX~~ Lost Certificate Dept. Encls. Unit Investment Trust U";:1.511 U+ (1-UI '*' SCHEDULE H FUNERAL EXPENSES, COMMONWEALTH Of ,ENNSVLVANIA ADMINISTRATIVE COSTS AND INHERITANCE lAX (!TURN MISCELLANEOOS EXPENSES IESIDENT DECEDENT Please Print or Type ESTATE /VT S/f/?/fl/ E. UM ~/c7~ -O:::J 49 ITEM NUMBER DESCRIPTION AMOUNT A. Funeral Expenses: 1. ~,&~H)/JN- /.<.0-1"# ,PvNe",'uJ-L /r--n.U' 3; 95'8, ;<S . .~'" .. B. Administrative Costs: 1. Personal Representative Commissions ~ ~ r tJ I <:rt:-N 1<.; -:' S Social Security Number of Personal Representative:;?-DtJ -;:z,r -,za~r:; q7-2,00 Year Commissions paid p- .. ... .s-- 2. Attorney Fees /;t",,;n~,.. 0( r2:>~/e<:"'5 3, ) 7-'/, OrO 3. Family Exemption Claimanl Relationship % Address of Claimant at decedent's death ... Slreet Address City State Zip Code 4. Probate Fees ; ~1S9--r 1- c.-,7/)' .S?;. CO C. Miscellaneous Expens..: 1. s:~-ae-7n..a ,SeeHA--f7j 0, ./r-r,t)b.-,""T~ ;5o-,vL /8.0.$ , 2. ft&:: /.> /&~ 1- .0, j /.r-I -flr/L'J"; ,;..,lr/ j7r..~~rG 10,00 3. ~""7 ;r p-~ 1- tv,'//.J ~k....r CJ.--Y' c-i/"'::) 8, co ) . 4. ,j)W-b;-O:; 'I..A 1f)/ppr-6+1 ,J"''T / ...Q "'VI W .I ,ql'tp"-;I/~ :2.. rS"', &:>0 5. I?z::.t:/,t.~' f Cv.7'h- / cf0,..,; ? s--, 00 6. ~~~e?Z..Ye r""' .r4/fH-Y C-rMP73 ;:?.s-o, 0c::J 7. 8. TOTAL (Also enler on line 9, Recapitulalion) S 81 7-')8. I B Ilf more space Is needed, Insert additional sheets of same size.) . "',""""1,"'. SCHEDULE I CQMMONWIAU'H Of 'fNN$'l'\VAHIA DEBTS OF DECEDENT, INHlIlToUfCI lAX uru.... _S1Df"" DKlOINJ MORTGAGE LIABIliTIES AND LIENS ESTATE OF Plea.e Print or Type ~/Y~ ~ R'9// c- FILE NUMBER . ,2/05"-6C7~ ITEM NUMBER DESCRIPTION AMOUNT I. ?n4--. ~ e-/~ I] M"iLt 4'1 .2. Sh'-I,P4-i do, /1 ~.fj>'';'';vl /' ". ". 8133, B'1 . ""'i "'"," , /89 I c:v .1, J'#-/?~ ~I / I 6"~,N"r 1'-.--t-J,o.;.J ?-~8, ?-( '1 t2..qn--w-sk tp~~NA...,) ~J <.r, 6pDr, ~TJ .s vc...J ) ~ Lj, 5:;- , ~, . )n c...--I .!; v c..J l' Ji, 51-' I 7. v.r~ 7'7!- m~N' iIr,..t.."...-.;r /2-2, 3 ~ 3, ,,tJE-/13 L8,<2... /ACS' /l6tSO'C!. 71-'1 . C7C) , /_ ~~. /;vf, C], E~/(;; .jVVY/(r/j/Yce ../ ~uJb /N"s, . . /2(., I 00 /a ~ /Z~'9'1 -'Lf /C1:<', 7-1 II, a.,-n..... p"~/.r~c.v IX.- /NS.~~'",.; 1/1->- 33 '. .'" , . TOTAL IAI.o enter on lin. 10, Recapitulotlon) S :z J 2. c.. )1, (,F (If...... 'poco is .....foci, in..rt additional .h..1s of .ame .ize.) REV.1513 EX+ (9'00) *' SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT OECEOENT ESTATE OF ;:-/ u /V /1 C "1t1</9/f 1=, FILE NUMBER ~V~ -co 4'9 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND AODRESS OF PERSON(S) RECEIVING PROPERTY 00 Not List Truet..(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and trans1ers under Sec. 9116 (s) (1.2)J 1. /<01........ 1- 0, V-E#I<C/N'S <.SOp\.! }j ,;..~ s~/e~,/! /z.j ,. ~o-lUC. I pq./ ~ "-'t:?'f ~'.... ~ .2,. .k!.t?Nq<-,2) ?-. 'V'C "" 1<-'.vS SQ"i :1 C?C 9C H/'''''I./~ 95 :/3 C#-'9aL.a J m T. \S'?B;2-'f .) G ("./ 2-"'16 C:--77i '9 B/LL.<Jj)~)( C9t-(.. /3 ,2 [1~?- ..s. 4J J &/dJ" P~C6 , <$ 7-tA- -f,z,-r / ?L. 34'99 t- ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROuGH 1B, AS APPROPRIATE, ON REV.1500 COVER SHEET II NON. TAXABLE DISTRIBUTIONS: " A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL OISTRIBUTIONS 1. TOTAL OF PART 11- ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON LINE 13 OF REV.1500 COVER SHEET $ (Ii mOle space is needed, insert additional sheets of the same size)