HomeMy WebLinkAbout02-14-06
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
INVENTORY
Estate of HURLEY, Bobby E.
No. 21
05
0285
, Deceased
Date of Death 3/7/2005
Social Security No. 426829034
also known as
Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the
personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation
placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no
real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We
verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the
penalties of 18 Pa, C.S. Section 4904 relating to unsworn falsification to authorities.
Name of
Attorney: Jill M. Wineka, Esquire
I.D. No.: 58802
Address: 1719 North Front Street
Personal Representative:
~. ;~~iI;4 ~ J1~ a 0111-
Constance C. Webb
Dated .;J..-' / -;{ C)O~
.
HarrisburQ,
Telephone: (717) 234-4178
PA 17102
Description
20.87 acres of vacant ground located on Rt. 44/144 in Potter County,
owned as tenants in common by the Decedent and Virginia R. Adams
Value
7,500.00
Prudential Value Portfolio, 2,001.71197 units @ $2.265560/unit
4,535.00
Prudential Jennison Portfolio, 2,215.77950 unites @ $1.715250/unit
3,800.62
AIM V.1. Premier Equity Fund, 3,020.53803 units @ $1.398100/unit
4,223.01
Janus Aspen Series International Growth, 1,504.52667 units @
$1.948740/unit
2,931.93
Premier VIT Op Cap Small Cap, 3.783.24043 units ~:$,{998780/unit
7,561.81
(Attach Additional Sheets if necessary)
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Total
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205,784.05
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative,
include the value of each item, but such figures shduld not be. extended into the total of the Inventory.
RW-4
pJ.
Continuation of Inventory
HURLEY, Bobby E.
21
05
0285
Paqe 1
Description of Inventory
Description
181 Shares of Prudential Common Stock @ $58.595/share
Value
10,605.70
Members 1 st Federal Credit Union, Savings Acct. No. 20563-00
5,169.28
Members 1 st Federal Credit Union, Money Management Acct.
No. 20563-05
25,447.80
Members 1 st Federal Credit Union, Certificate of Deposit Acct.
No. 20563-40
15,629.12
Citizens Bank, Checking Acct. No. 6100707202
115,035.61
1997 Dodge Truck, VIN No. 1B7GG23Y1V5307955,
Title No. 51354026301 HU
3,075.00
Highmark Blue Shield refund
251.37
The Prudential Insurance Co. of America - dividend check
10.54
The Prudential Insurance Co. of America - death benefit
7.26
Subtotal $
175,231.68
205,784.05
Grand Total $
LAW OFFICES
HOWARDB. KRUG
LEON P. HALLER
JOHN W. PURCELL JR.
JILL M. WINEKA
BRIAN J. TYLER
NICHOLE M. STALEY O'GORMAN
LISA A RYNARD
LATOYA C WINFIELD
Purcell, Krug & Haller
1719 NORTH FRONT STREET
HARRISBURG, PENNSYLVANIA 17102-2392
TELEPHONE (717) 234-4178
FAX (717) 783-4939
HERSHEY
(717) 533-3836
JOSEPH NISSLEY (1910-1982)
JOHN W. PURCELL
VALERIE A GUNN
OJ Counsel
February 13, 2006
Register of Wills
Cumberland County Court House
Carlisle, PA 17013
Re: Estate of Bobby E. Hurley
No. 2005-00285
Dear Register of Wills:
Enclosed for filing, please find the following documents in the above-captioned Estate:
1. An original and three copies of the Pennsylvania Inheritance Tax Return;
2. An original and two copies of the Inventory; and
4. A check made payable to the Register of Wills in the amount of $30.00 in payment of the filing
fees of $15.00 each to file the Pennsylvania Inheritance Tax Return and the Inventory.
Please return two date-stamped copies of each document to me in the enclosed stamped, self-
addressed envelope. Thank you.
Sincerely,
~::; ~
JMW/bas
Enclosures
cc: Constance C. Webb, Exec. wlo enc.
Bureau of Collections & Taypayer Services wlo enc.
(estates\hurley\02-13-06 Itr to Register)
. REV-1500 EX + (6-00)
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
OFFICiAl USE ONLY
FILE NUMBER
2 1 -0 5 0 2 8 5
"'ColiNTY"CoiiE ---VEAR- - - NUMBER- -
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
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HURLEY Bobb E.
DATE OF DEATH (MM-DD-Year)
DATE OF BIRTH (MM-DD-Year)
SOCIAL SECURITY NUMBER
4 26- 8 2 - 9 034
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
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03/07/2005 07/12/1940
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
o 3. Remainder Retum (dale of death prior to 12-13-82)
o 5. Federal Estate Tax Retum Required
~ 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 01
Webb Constance C.
IX] 1. Original Return
o 4. Limited Estate
IX] 6. Decedent Died Testate (Attach copy of Will)
o 9. Litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (date of death after 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy ofTru.t)
o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
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THIS SECTION MUST BE COMPLETED. ALLCORRESPONDENCEAND CONFIDENTIAL TAX INFORMATIO NSHOULD BE DIRECTED TO:
NAME COMPLETE MAILING ADDRESS
Jill M. Wineka Es uire
FIRM NAME (If Applicable)
Purcell Kru & Haller 1719 North Front Street
TELEPHONE NUMBER
717 234-4178 Harrisbur PA 17102
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1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D) (4)
5. Cash, Bank Deposits & Miscellaneous Personal Property (5)
(Schedule E)
6. Jointly Owned Property (Schedule F) (6)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7)
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H) (9)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
OFFICIAL USE ONLY
7,500.00
33,658.07
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to.
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164,625.98
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(8)
205,784.05
12,341.41
973.63
14. Net Value Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
19. Tax Due
192,469.01 X 0.00 (15)
0.00 X _(16)
0.00 X .12 (17)
0.00 X .15 (18)
(19)
(11)
(12)
(13)
13,315.04
192,469.01
16. Amount of Line 14 taxable at lineal rate
(14)
192,469.01
17. Amount of Line 14 taxable at sibling rate
0.00
0.00
0.00
0.00
0.00
~
18. Amount of Line 14 taxable at collateral rate
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
,
Decedent's Complete Address:
STREET ADDRESS
1191 Letchworth Road
CITY
Camp Hill,
STATE
PA
ZIP
17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
0.00
Total Credits (A + B + C)
(2)
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
0.00
Total Interest/Penalty ( D + E) (3)
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 (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
A. Enter 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
0.00
0.00
0.00
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 IKI
b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 IKI
c. retain a reversionary interest; or ...................................................................................................... 0 IKI
d. receive the promise for life of either payments, benefits or care? ............................................................. 0 IKI
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?.............................................................................................. 0 IKI
3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ................. 0 IKI
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ....................................................................................................... 0 IKI
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
DATE
- / / -cJ {itJ
SIG
Jill M. Wineka, Esq., 1719 North Front Street,
HarrisburQ,
PA 17102
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. S9116 (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. S9116 (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. s9116(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. S9116(1.2) [72 P.S. s9116(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. s9116(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.
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LAST WILL AND TESTAMENT
OF
BOBBY E. HURLEY
I, BOBBY E. HURLEY, of Camp Hill, Cumberland County, Pennsylvania, do make, publish and
declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by
me.
ITEM I:
I direct that all my just debts and funeral expenses, including my grave
marker 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 expense of the administration of my estate.
ITEM II:
All federal, state and other death taxes payable because of my death
with respect to the property forming my gross estate for tax purposes, whether or not passing under this
Will, including any interest or penalty imposed in connection with such tax, shall be considered as a part
of the expense of the administration of my estate, and shall be paid out of the principal of my estate
without apportionment or right of reimbursement.
ITEM III:
I give, devise and bequeath my World War II swords and myfather's
World War I rifle to my nephew, BRIAN HURLEY of Carlisle, Pennsylvania.
ITEM IV:
I give, devise and bequeath all of the rest, residue and remainder of my
estate of every nature and wheresoever situate to my wife, CONSTANCE C. WEBB, provided that she
shall survive me by thirty (30) days.
ITEM V:
Should my wife, CONSTANCE C. WEBB, predecease me or die on or
before the thirtieth day following my death, then I give, devise and bequeath all the rest, residue and
remainder of my estate of every nature and wheresoever situate to my brother, FRANKLIN HURLEY of
Carlisle, Pennsylvania
ITEM VI:
I appoint my wife, CONSTANCE C. WEBB, as Executrix of this my Last
Will and Testament. Should my wife, CONSTANCE C. WEBB, predecease me or fail to qualify or cease
to act as Executrix, I appoint my brother, FRANKLIN HURLEY as Executor of this my Last Will and
Testament.
. .
ITEM VI:
I direct that my Executrix or Executor shall not be required to give bond
for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
j) (3t..G m 0E fL , 2004.
ow,
t day of
(SEAL)
The preceding instrument, consisting of this and one other typewritten page, was, on the date
thereof signed, published and declared by BOBBY E. HURLEY, the Testator therein named, as and for
his Last Will, in the presence of us, who, at his request, in his presence, and in the presence of each
other, have subscribed our names as witnesses hereto.
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COMMONWEALTH OF PENNSYLVANIA
ss:
COUNTY OF DAUPHIN
J . VYE, BO~BY E.. HURLEY, and
'<:;.._ ,II 1V1. lt/j n cJ:.c/\..,. , the Testator and the witnesses, re pectively, whose
names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the Testator signed and executed the instrument as his Last Will, and that he
had signed willingly and that he executed it as his free and voluntary act for the purposes therein
expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as
witnesses and that to the best of their knowledge, the Testator was at that time eighteen years of age or
older, of sound mind and under no constraint or undue influence.
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Witness ..1/
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Subscribed, sworn to and acknowledged before me by BOBBY E. HURLEY, the
Testator, and subscribed and sworn to before me by 7>12-fAIU I( HUI?ULf
and ~JI LL Ivt. tu IIV t?Jt~ , witnesses, this <lY-J.. day of /)€CtI116~1l
2004.
/~AJJ-fUtA- 0 . ~~
I Notary Public .
(wills\hurtey\ will)
r~-'-"""i'~OTAR!AL SEAL -,
I BAP,8..!\F{;:.. .lJ... SHADEL, No1:ai-y pubnc.
Oit<J of Harrisburg, DauphIn County
~~lf~9:?!!~~~~s!?n ~~ M<.:~~ 19:~OO7 :
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: REV-1502 EX + (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
HURLEY Bobby E. 21 05 0285
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 which is iointlv-owned with riaht of survivorshiD must be disclosed on Schedule F.
SCHEDULE A
REAL ESTATE
ITEM
NUMBER
1.
DESCRIPTION
20.87 acres of vacant ground located on Rt. 44/144 in Potter County, owned as tenants
in common by the Decedent and Virginia R. Adams. See attached Deed dated 2/9/1999
from Richard B. Moyer, Jr. to the Decedent and Virginia R. Adams. The Deed was
recorded on 2/23/1999 in Potter County Book 272, Page 931. The total value of the
real estate is $15,000.00.
VALUE AT DATE
OF DEATH
7,500.00
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
7 500.00
"','"'''' (
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Warranty Deed
POTTER CO.
Th is /11 de 1''1 tureGISTER [,. RECORDERS
/i j9'FEB 23 Prl 3 05
.\f:iiJ[ IIII'
(: f
day of Fe~ruary,
in IlIe YCilr n.follr I.orel nnc IlIoIlSC/lH/11I1!,> III11:drer! illld ni;lcly-nine (A.D. 1999),
ilETWF.EN
Richard 13. I\toyrr. Jr..
ofR.D, 3. Box 7SK. \V~'lIsboro, PA 16901,
hereinafter called GRA~TOF..
.ANO-
Bohhy E. lIurlry and Virginia R. Adams,
of 145C Ncwville Ro l\1, Carlisle, P A 17013,
hereinafter caned GJ1d;\TEES"
lI'ITNfSSfTlI, Thill 110 cnllsit!emtinn o( FlI:TEEN THOUSAND DOLL...\RS AND 00/100-,,"'----,--00---
u' _....u_uu.__...___.n..u__..n nun__u ...-( S 15.000.00 )_'00" _.._u....n_ __..n ___nn..___.' ..-..n -.--...Dollo'lrs,
lilll.fIlIIl/OIlCI' o/the Unitc'! States tf.lmcrit'il, ii, hant! paid, t/IC receipt whereofis herchy ackllO\\'ledgcd.
the said Grantor docs herehy gram (uld COIII'C." to the said Grantees, their heirs and assigns, 111 fcc, as
tenants in c{.mmon.
ALL that certain piece. parcel or tract of land silllale, lying and ceing. in the TOWNSHIP of ABBOTT,
COUNTY of POTTER and CO\IMONWEALTH ofPE~SYL\'ANIA, bounde': ~.Id described as
follows:
BEGINNING al an iron pipe tLt the sCllIlhwesl comer of The,)dore Sykora lands hy Deed Book Volume
198. at page 587; t'.lenec along the: west hne ofThedore Sy~:vra lands, North 09 degrees 33 minutes 17
seconds East ~QS.5~ fect to an iron pipe; thence alon~ lands o!'Clay:on Fl"CY. South 8 I degrees 37 mir:t::cs
59 seconds Ea.it 1.4$2.05 feel to ,'In iron rod; thence along lands of Bob Hines, Soulh 48 degrecs 22
minutcs 25 seconds East 113.1':1 feel r.O a.n iron rod; thence still along lands of Bob Hines, North 31 degrees
40 minutes 51 seconds Easl 306.17 feel t.) an iron rod; thence along lands of Clay10n Frey, North 30
degrees II m:nutes 12 seconds Easl 374.75 feel to an iron pipe; thence along lands of Tcleford Parks,
South 43 degl'e':s :17 minuf<:s 50 seconds East 252.00 feet to a point in the cenlerline of a joint.use
driveway; thc!,'{ along the ec:nterlinc of said joint.use driveway C:;outh 42 dr:grees 3] minutes 25 seconds
West 199.94 f',:c:t to a poinl in Ihe cenler of a mountain steam; thence along Ihe center of said Mountain
Slream, South 1)3 rlcgrees 40 minutes 07 seconds East 130.00 feet to a point in the centerline of Lillie
KClllc Creek; IlK nee along Ihe cenledin,: of Little KCllle Creek, South IS degrees 48 minutes 07 seconds
\Vest IOI.S4 kct 1.0 a poinl. Ihence along lands of Fred Reynolds, North 60 degrees 26 minutes 03 seconds
West 175.00 kc: 10 an iron pipe; thence along the east side of the of the aforementioned joinl.use
driveway. SouIII 34 degrees 43 minutes 44 seco'lds West 113.05 feet 10 an iron pipe; lhence along lands
of Leslie Adam~. South 29 dl:grees 20 minutes] 2 r;econds West 110.55 feet to all iron pipe; thence slill
along Leslie Adl1ms, South 01 degree 3:; minutcs 37 seconds East 118.10 fect to an iron pipe; thence still
along lands of Leslie: Adams. South 63 degrees 35 minutes 41 seconds East 10/.59 feet to an iron pipe on
the \\'L_. bank of Little Kettle Creek; thence South 52 degrees J I minutes 57 ~e('onds East 22.51 [tet to
a point on Ihe easl bank of Lillle Kelllc: Creek; thence along lands of John Tlipak. South 79 degrees 20
minutes 00 seconds East 266,50 feet to a point in the centerline of Pennsylvania Roule 44; thence along
the centcrline of Pennsyh'ania ROllte ~. South 14 degrees 48 minules 40 sc.:onds West 164.43 feet to a
point; thence along lands of Edmund Suzenski. North 79 degrees 54 minutes 35 sccor.ds West 2. 173.65
feet to the point of beginning.
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CO:\"TAIi\ING 20.87 acres of lJnd, including ro III rights-of-way.
SUBJECT TO po:;siblc;pring rights and right-cf-way for access in common with the Grantee hercln
(prior), his ~:cirs or .lssigns.
C i\D E R .\ ND SUB.! ECT TO an casement of a printe roads 16 feet in width. which roadway :.hall be
used in common with the heirs and assigns of Frank K:lrhan.
EXCEPTING .\i'lD RESERVING all oil, gas and Inineral nghts as resc!ved in a deed from Charles
Scheibner and \lary G. Scheibner to Wenzel A. Karhan and Frank Karhan, dated April 27.1920. and
reco:'ded :-'lay 19, 1920 in Deed Book Volume 92, at p.lge 300, records of Potter County.
EXCEPTI;-.1G A1\'D RE.5ER\'Ii'lG a parcel of land conveyed to Cla)10n Frey, et ux. by Jeed datl:d
October '27, 1988, recorded thl: sanlC day in Deed Book Volumc 229, at page 1036. records of Potter
County.
EXCEPTI1\G AND RESEI1\'ING a p.lrcel of land conveyed to William :VI otter, et al. by deed dated
FebrJary S, 19~9, rl'C,)rded Febmar)' 13, 19S:Y in Deed B,)ok Volume 229, at page 1036, records of Potter
COL:n\)'.
BEING th~ same p;'emises conveyed to Richard B. Moyer, Jr. by deed of RicharJ B. Moyer, said deed
being dated the 30th day of March, 1995 and recorded the 3 I" day of March, 1995 in Deed Book Volume
254, at page 628, records of Potter County.
ALSO BEING the same premises which \\'as subject to a certain Article of Agreement b'7twcen Richa-j
B. r-,'10)'er. Jr. and Lcslie Adams and Bobby Hurley, said Article of Agreement being dated the n'J d.l}' of
September, 1996 and r~eorded the 1 st day of Octo her. 1996 in Miscellaneous Book Volume H-9, :It page
584, rcconls of Potter County. The parti.cs bereto acknowledge that the temlS of said Article of Agreer'I.:nt
have be~n satisfied. MOi\;.'Over, it is 3cknow\cdged that Leslie Adams passed this life testate on Febmai)'
24, 1998. survived by his widow and sole beneficiary Virginia R. Adams, who has satisfied the tCilTlS and
conditions of the Arlicle of Agrecmt:nt, and thus. is taking title to the subject property as a tenant i:1
common with Bobby E. Hurley.
Grantor has no~ di~posed of hazardolls wa.~te nor docs he have actual knowledge of hazardolls waste
disposal on the above-described real property.
THIS DOCU1\IENT l\IA Y NOT SELL, CONVEY, TRANSFER, INCLUDE OR INSURE THE:
TITLE TO THE COAL AND RIGHT OF SUPPORT UNDERNEATH THE SURFACE LAND
DESCRIBED OR REFERRED TO HEREIN, AND THE OWNER OR OWNERS OF SUCH COAL
J\LA Y I1A VE THE COMPLETE LEGAL RIGHT TO REl\IOVE ALL OF SUCH COAL AND. IN
THAT CONNECTION, DAMAGE MAY RESULT TO THE SURFACE OF THE LAND A,'\'D Ai,\,Y
HOUSE, BUILDING OR OTHER STRUCTURE ON OR IN SUCH LAND. THE INCLUSION OF
THIS NOTICE DOES NOT ENLARGE, RESTRICT OR MODIFY ANY LEGAL RIGHTS OR
ESTATES OTHERWISE CREATED, TRANSFERRED, EXCEPTED OR RESERVED BY THIS
INSTRUMENT.
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ol.t1Il"';"lffll,~; ''''''':t~' ':'!"'~':l.~:~.n\ :""i'iiiTI~~t1~d .ti'...."'!~~'Ili1'lfiurl"W.~~r\al~ifi;n<fMft. "Hi ',n~~j;,;d;fl;..t;!jth'..
..Y~~~..~l'r.t~I~l.J::Ii!.llI1_.,,'''l~.<<:.~..~:;:liJ;.~S~~.ra.'t...:m_.Jt.~~~P.l~.t'.m~9r:::..:m..~~j.'t
. ti""'hfi.,i"liInf'.-M~li1~bt!"'i&""'t~l"ltlia :fM'rtf!n';rifjf'm'~'hyjli'f~~1~\!'dPnCiof;n~Tffi1ifiO- cO'IitnlCf; f1h'e
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,........_.IDlC?l~;n~"':':'.:.:.~tt..-T:l_~~;l..~~~~~I~:a.~\lrl~ ~.....~.. ~~~ 2-~...!t,,~~g~~~l"f....-.J
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~.J.:t'-M~ ~F..~-..__ t~.r:rt:'~ft,_U~_~.u""d.~y~P~n:..r.r.~~~"'l':'=..:.::.1l:--:t~ ~.. ~Ilt:,.... ..t :P1_........."=........
ar'..."l.'t'J\Vi>....w.:f'"w -of.t,;'Uri;or ,
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TOGETHER with all and singular. the ways. watcrs. water-COUT!'es. rights. lib(,",1ics. buihiir,gs ;.nd
improvcments. privileges, hereditan'ents and appurtenan-::$ whatsoevcr thereunto belonging. or in
anywise appertaining. and the re,,(."r.;ions and remainders. rents. iSSllt.::i :1no profits thereof; and all the
est3te. rifht, title. iilterest. propeny, claim and demand whatsoever of the Grant0r. as well:!s Jaw as in
equity. of. in and to the same.
TO !{A VE Ai'\D TO HOLD the said lot or piece of ground above described. with the messuage or
t<:llement thereon erected. hereditaments and premises hereby granted. or mentioned and intended so to
lx:... with the appurtenances. unto the Grantees. their heirs and assigns. to and for the only proper use and
b-:hoofofthe Grantees. their heirs and assigns. fore"er.
UNDER AND SUBJECT. nevertheless. to certain conditions and restrictions ofnxoru. as aforesaid.
AND the said Grantor. for himself and his heirs. executors, and administrator.; docs by these presents
Co\'el"'l\t. promise and agrl:e. to and with the said Grantees. their heirs and assigns. that he. the said
Grantor and his heirs and assigns. all and singular the hereditaments and premises here:,y granted or
mentioned and intended so to be. with the appurtenances. unto the said Grantees. their heir!> and assigns.
against him. the said Grantor and his heirs and against all and every other person or PCrsOIl$ whomsoever
lawfully claiming or to claim the same or any part thercofby. from or under them or any "fthem. shall
and will. subject as aforesaid. GENERALLY WARFANT AND FOREVER DEFEND.
IN WITNESS WHEREOF. said Crolllor has hercunto set his hand llnd seal, tire dllY mldycar first
ahm'c-Il'ritrcn.
7~c: and delil'e::cd in the presence of
r I.' " '1-, I 1. 1
LLL- (,..h..,,~. ./ l'i~-./
,I
n _. '-::l /
~_2-(g~.:=i.~_ISEAL)
Richard B. Moyer, Jrtl ,;Y
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CER71F1C4TE OF RESIDf:..WCH
I hcrchy certify that the precise n'sidcnce oflhe Gm''''!l~r herein is a.~ )!JllolI's:
1450 Newville RO:ld
1\i\{1 l(N}J~.-'-~
Carlisle. PA ] 1.QJ...:L
Atromey or Agent for Granfr('s
ConllllOlill'C(dlh 0/ Pcnllsyl\'a/lia }
County of ~ Ti" '1 ~ )
011 this, the ---.!:!.1 day of February. 1999. before me,
i) I')
I('((~M?. '- (.;
I,
Ii') ~ ~ t/:.
I
J'-";
f-
the undersigned o.lfreer. personally app:?l1red Richard B. Moyer, Jr., knoll'll 10 me (or snti~fQctorily
prol'en) to be the person whose name is siibscribed to the with ill instnunent, alld ar.knowledged that he
execl/ted the samefor thc purpose therein cOl/l7ined.
IN WITNESS WHEREOF. I have herel/nto set my hand and officJal seal.
~!t ....[;
. I (!i - /
. t..rf-.{ {._ ~.. 'LL<' it.
Notary PW1/ic
^~v CommiSSIon f.xpires:-
) .
./ 11":, t!. {.<'.<.(::::
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.. . -..,. ...... .r._.,ol "j,it..'~'t
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Indentul4e
Warranty Deed
_~.U"'_
----~,....-- ,-
_t~~-
Richard B. Moyer, Jr.
--AND--
Bobby Eo Hurley and Virginia R. Adams
Dated Febnrnry
.1999
For --2Q...8.L.;.crllQUillld... more or less. located ill Abbott
lmYn.ship. Potter CQY.ll1.y. Pennsylvania
Co !IS i d l' ra t io n ~li...Q.QQ...00
Entered for RccOl d in Recorder's
OJ}lce ~l.--ru~
COII"ty, the
Er;lcrcdfor Record in Recordl'1"'s
Office of--..eQ11~______
COllnt)', rhe __ d,7\' of-E(j'2rn..ao~/9-2.2
__ da.v of
i'LDeed BQf>k VO/llme
~ at paJ:e
Ta.:r, $
Fees, S
Recorder
ACKER AND LARSEN
ATTORNEYS AT LA IV
215 NORTH AlAIN STREET
P.O. BO.\' III
COUDERSPORT. PA 16915
814-274-7913
\
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~~
;\;
:1
t
( REV-1503 EX + (6-98)
'*
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
HURLEY Bobby E.
FILE NUMBER
21 05
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
0285
ITEM
NUMBER
1.
DESCRIPTION
Prudential Value Portfolio, 2,001.71197 units @ $2.265560/unit
2.
Prudential Jennison Portfolio, 2,215.77950 unites @ $1.715250/unit
3.
AIM V.1. Premier Equity Fund, 3,020.53803 units @ $1.398100/unit
4.
Janus Aspen Series International Growth, 1,504.52667 units @ $1.948740/unit
5.
PremierVIT Op Cap Small Cap, 3.783.24043 units @$1.998780/unit
(See attached Statement from Prudential Financial)
6.
181 Shares of Prudential Common Stock @ $58.595/share
(See attached date of death value from Yahoo Finance)
VALUE AT DATE
OF DEATH
4,535.00
3,800.62
4,223.01
2,931.93
7,561.81
10,605.70
TOTAL (Also enter on line 2, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
33658.07
---
Prudential ~ Financial
Values
Statement
PrucoU(e~CoInplIny
A I"rudIsial RaadaI CompuIy
AaDWly Slnkcs
P.O. 8OJI. 7960
PhillldelphlLPA 19176
January 17,2006
BOBBY E. HURLEY
1191 LETCHWORTIiRD
CAMP HILL PA 17011
Owner: BOBBY E. HURLEY
Annuitant: BOBBY E. HURLEY
Contract Nnmber: EOOOI596
Contract Date: 1210611996
Type of Contract: Discovery Select
Market: Non-Qualified
If you have any questions, please contact your F"uraneiaIJ1iu
'" '" "~~:,C"lIlu toUfreut (8Q(J); ~Jk
The values provided on this statement are calculated as of 03/07/2005. Any activity after this date is not reflected in this
stalement.
[f you surrender this contract you will lose the right to future annuity benefits under the contract. In addition, all or part of the
distribution may be subject to federal and/or state income tax. You may also be subject to a 10 percent penalty tax for early
withdrawal. You may want to consult with your tax adviser if you have any questions concerning the applicable tax treatment,
as Prudential cannot offer tax advice.
AI though great care has been taken in preparing this statement, we reserve the right to amend the statement as needed. For
additional information about the benefits available to you, please refer to your original contract.
Account Summary as of 03/07/2005
~~llf!!l~qir,:q~;;);?J;21~-',':fth?~jB~~~l'i~~iIt.tJ.p~?~~,i,J,ft~ty~*!',;'rUJ>Qf!ll...,~ci9~tUYS~'8Pf"t
Prudential Value Portfolio 2,001.71197 2.265560 $4,535.00
Prudential Jennison Portfolio 2,215.77950 1.715250 $3,800.62
Premier VIT OpCap SmaIl Cap 3,783.24043 1.998780 $7.561.87
AIM V.I. Premier Equity Fund 3,020.53803 1.398100 $4,223.01
Janus Aspen Series Int'l Growth 1,504.52667 1.948740 $2,931.93
877018, W SH
Discovery Select Variable AMuity is is$ued by Proco Ufe Insurance Company, (in New Vorl<, Proeo Life Insu""",,, Company of New Jersey) aod offered
duough Prudential Invcsaoent Management Services LLC. a regWered brokcr-dea1er. Unit values of the variable investment options are determined at the end
of the business day on the trade dab:: of Ihc transaction. All are Prudential companies:.
Surrender Value as of 3n /2005
Contract Value $23,052.43
Misc. Fees $30.00
Surrender Charge $0.00
Recaprured Bonus $0.00
Cash Surnin(t~r.Ya.iil~l!5
An1ountA~abieto~)Yii~~~-m~Ii~:~u~i:,~~:as'~1:_!J~01~~;'i\$~~Q2~~IY;J,0":;'D!:
Beneficiary Information
Primary Beneficiaries
CONSTANCE C. WEBB
Please see the beneficiary designation information in your contract for more details.
,PRU: Historical Prices for PRUDENTIAL FINCL INC - Yahoo! Fi...
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Start Date: IFlAar .17. ..! 12005
End Date: LFIA.i:lr.1 t?.._......12.99.~.
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Date
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Open
58.50
High
59.11
Low
Close
Volume Adj Close"
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58.65 1,145,300
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" Close price adjusted for dividends and splits.
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20f2
2/9/200612:10 PM
REV-1508 EX + (6-98)
'*
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
HURLEY Bobby E.
FILE NUMBER
21 05
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
0285
ITEM
NUMBER
1.
DESCRIPTION
Members 1 st Federal Credit Union, Savings Acct. No. 20563-00
2.
Members 1 st Federal Credit Union, Money Management Acct. No. 20563-05
3.
Members 1 st Federal Credit Union, Certificate of Deposit Acct. No. 20563-40
(See attached Statement)
4.
Citizens Bank, Checking Acct. No. 6100707202
(See attached Statement)
5.
1997 Dodge Truck, VIN No. 1B7GG23Y1V5307955,
Title No. 51354026301 HU
(See attached NADA value)
Highmark Blue Shield refund
6.
7.
The Prudential Insurance Co. of America - dividend check
8.
The Prudential Insurance Co. of America - death benefit
VALUE AT DATE
OF DEATH
5,169.28
25,447.80
15,629.12
115,035.61
3,075.00
251.37
10.54
7.26
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
164625.98
~.~__c.::.
SAVINGS ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
MONEY MANAGEMENT ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
CERTIFICATE OF DEPOSIT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Estate of: BOBBY E. HURLEY
Date of Death: 03/07/2005
Social Security Number: 426-82-9034
fvlg
MEMBERS 1st
FEDERAL CREDIT UNION
20563 -00
OS/25/1978
$5,168.43
$.85
$5,169.28
None
20563 -05
OS/23/1995
$25,441.99
$5.81
$25,447.80
None
20563 -40
OS/23/1995
$15,624.91
$4.21
$15,629.12
None
~BERS 1ST FEDE~L CREDIT UNION
d"1'''';ac ?l.?a~
D nise A. Wolfe
Insurance Services S pervisor
April 27, 2005
5000 Louise Drive . Po. Box 40 · Mechanicsburg, Pennsylvania 17055 . (717) 697-1161 . www.members1st.org
/'/ +: CITIZENS BANK
525 William Penn Place
Suite 153-2510
Pittsburgh, PA 15219
April 19, 2005
PURCELL, KRUG & HALLER
A TIN: TILL WINEKA
1719 NORTH FRONT STREET
HARRISBURG, PA 17102-2392
Estate of BOBBY E HURLEY
Date of Death: Mar 07,2005
SSN: 426-82-9034
Dear Sir/Madam:
In accordance with your request, the attached information sheet has been provided in the above decedent's
name as of his/her date of death.
For IL or LC accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please
call 1-888-999-6884.
Sincerely,
CcGtciL Q~~
Carole Gre~ (J 2J
Operations Services
.~ CITIZENS BANK
Account Number
Account Title
Date Opened
Account Type
. Principal Balance as ofDOD
Interest from Last Posting to DaD
Account Balance as of DaD
YTD Interest to DaD
6100707202
BOBBY E HURLEY
1/12/90
Checking
$115035.61
$.00
$115035.61
$47.63
..
National Edition
..
1986 THROUGH 1997
PASSENGER CARS
LIGHT-DUTY TRUCKS
1 72 Years of Service 1
2005 · JANUARY THROUGH APRIL. 2005
20 DODGE
MDdel
No.
Boar
Trad,,-In TYPE
4525 Van 127.6".. .. . . . .. . .821
4950 Maxivan 127.6" . . . . . . . . . . . .821
1997 RAM VAN 3500-1 Ton-V8
6225 Wagon 127.6" .. . . ."
6650 Maxiwagon 127.6". . .
4925 Van 127.6'. . . . . .
5350 Maxivan 127.6" .
RAM VAIl omoNS
300 AddSLTTrim ............
50 Add Aluminum/AUoy Whee~
75 Add P""er Seal .. .. .
350 Deduct V6 Engine .........
400 Deduct W/oot "'r Conditioning
75 Deduct W/oot Cruise Control .. . .
75 Deduct Wfoot Power WlI1dows
" .835
.. .835
.831
.... .831
1997 DAKOTA PICKUp.l/2 Ton-V6
3400 Sweptline .
4700 Club Cab .
275 Add SL TTrim ..
275 Add Sport Trim .. ...
1500 Add 4 'fi,heei Drive ..
50 Add Cruise Control .. . .
50 Add Power Windows .
300 Add V6 Engine :.....
300 Deduct 4 CyI. Engine. .. .. . ..
300 Deduct W/oot "'r Conditioning . .
1IID Deduct W/"'1 Automatic Trans.
. G as the 151 position of the model # denotes 4WQ
1997 RAM 1500 PICKUP-l/2 Too-VII
4225 SweplHne 'WS" (V6). . . . . . . .C16
5100 Sweptline .. ...... C16'
6250 ClubCab................ .C13'
1997 RAM 2500 PICKUP-314 Ton-V8
6200 Sweptline HD .. .. .C26' $18710
7350 Club Cab HD........ ...... ..C23' 20n5
1997 RAM 3500 PICNUP-l Ton-V8-0ual Rear Wheels
1300 Sweptline ... . .. . C36' $20255
8450 Club Cab.. .. .. .. .. C33' 22600
RAM PICKUP QPnOlls
350 Add Laramie SLT Trim (Sid. SS1). .
175 Add Sport Trim.
650 Add SST Pl<g. . . . .
1500 Add 4 Wheei Drive ... .. . .. .. .. . .. ..
3400 Add 5.9L 6 CyI. Turbo Diesel Engine .
300 Add S.OL Vl0 Engine. .. ."
50 Add "'uminum/"'Ioy Wheels
200 Add Leather Seats ..
75 Add Power Seat ..............
350 Deduct V6 Engine (Ex. 'WSj . . .
400 Deduct W/",t Air Conditioning . . .
300 Deduct W/oot Automatic Trans.
75 Deduct Wfout Cruise Control ..
L26'
.. L23"
. F as Ihe 1st posltion of the model # denotes 4WD
ADJUST FOR MILEAGE - ADJUST FOR CONDITION
JANUARY THROUGH APRIL 2005
M.S.R.P.
1n10
19360
$23140
24950
20300
20875
Trade.ln
sa
TY
Weight Loan Retail
4032 4075 6225
4234 4475 6700
Mileage Class: III
5047 5625 8125
5343 6000 8515
4414 4450 6675
4633 4825 7125
DODGE
1996 CARAVAN-V6
1700 Caravan .
2350 Caravan SE.
2900 Caravan LE .
3150 Caravan ES.
2200 Grand Caravan
2850 Grand Caravan
3400 Grand Caravan
3650 Grand Caravan
150 Add Sport Trim
175 Deduct 4 CyI. t
1IID Deduct W/out I
1996 RAM VAN 1500-1/
4200 Wagon 109.6"
3200 Van 109.6".. .
1996 RAM VAN 25oo-3J
4500 Wagen 127.6"
3500 Van 109.6"..
3550 Van 127.6".. .
3850 Maxivan 127.6
1996 RAM VAK 350(\.1
4800 Wagon 127.6"
5150 Maxiwagon 12
3800 Van 127.6"..
4150 Maxivan 127.€
RAil VAN omolls
250 Add SLTTrim
2DO Deduct YO E,..
300 Deduct W/oot
1996 DAKOTA PICKUP.
2500 Sweptline .'
2450 Sweplline Spc
3500 Club Cab.
3450 Club Cab Spa
225 Add SLT Trim
1300 Add 4 Wheel I
250 Add V8 Engin
175 Deduct 4 CyI.
200 Deduct W/oul
150 Deduct Wfout
. G as the 1st posilion of I
1996 RAM 1500 PICKI
3800 Sweptline "^
450ll Swep\ine .
5500 Club Cab. . .
1996 RAM 2500 PICKI
5250 Sweplline.
5350 HD Sweplllne
6250 Club Cab. . .
1996 RAM 3500 PICKI
6350 Sweplline .
7350 Club Cab.
IIDJU
$12725
16420
300 350
50 75
75 100
350 350
400 400
75 75
75 75
Mileage Class: II
3273 31175 4950
3762 4250 6425
275 325
275 325
1500 1675
50,75
50 75
300 350 .
300 300
300 300
1IID 200
$14075
15880
18550
Mileage Class: IU
4009 3825 59l1O
4028 4600 6850
4575 5625 8150
Mileage Class: IU
4765 5600 8075
4983 6625 9350
Mileage Class: III
5254 6575 9300
5583 1625 10515
350 400
175 1IID
650 725
1500 1675
3400 3625
300 350
50 75
2lIO 225
75 100
350 350
400 400
300 300
75 75
REV-1510 EX + (6-98)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
HURLEY. Bobbv E.
FILE NUMBER
21 05
0285
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
DESCRIPTION OF PROPERTY
ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAl ESTATE. VALUE OF ASSET INTEREST VALUE
(IF APPliCABLE)
1. World War I rifle, 2 World War I swords. 300.00 100. 300.00 0.00
Brian Hurley, nephew of Decedent. Transferred prior
to death in December of 2004.
TOTAL (Also enter on line 7 Recapitulation) $ 0.00
(If more space is needed. insert additional sheets of the same size)
REV-1511 EX + (12-99)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
HURLEY Bobby E.
FILE NUMBER
21
05
0285
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Musselman's Funeral Home 7,237.60
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees Purcell, Krug & Haller 1,000.00
3. Family Exemption: (If decedenfs address is not the same as claimant's, attach explanation) 3,500.00
Claimant Constance C. Webb
Street Address 1191 Letchworth Road
City Camp Hill, State P A Zip 17011
Relationship of Claimant to Decedent Spouse
4. Probate Fees Register of Wills of Cumberland County 260.00
5. Accountanfs Fees
6. Tax Return Prepare~s Fees
7. Register of Wills - fee to file Will, Automation fee, JCP fee, Short Certificates 50.00
8. Cumberland Law Journal - advertise Estate 75.00
9. The Sentinel - advertise Estate 158.81
10. Prudential Financial - misc. fee to value fund 30.00
11. Register of Wills - fee to file PA Inheritance Tax Return 15.00
12. Register of Wills - fee to file Inventory 15.00
TOTAL (Also enter on line 9, Recapitulation) $ 12341.41
(If more space is needed, insert additional sheets of the same size)
..... ..
.
REV-1512 EX + (6-98)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
HURLEY. Bobby E.
FILE NUMBER
21 05
0285
Include unreimbursed medical expenses.
ITEM
NUMBER DESCRIPTION
1. Members 1st Federal Credit Union
VALUE AT DATE
OF DEATH
9.95
2. Metro Med Services
3. Internists of Central PA
4. Holy Spirit Hospital
5. Hershey Kidney Specialists
6. Cingular
7. Moffit Heart & Vascular Group
8. Quantum Imaging
9. PA Gastroenterology Consultants
10. George Shahinian, MD
11. Timothy Clark, MD
12. Lower Allen Township EMS
13. George Shahinian, MD
83.75
155.90
100.00
38.50
26.78
17.00
10.25
14.50
13.00
32.00
465.50
6.50
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
973.63
,.
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
FILE NUMBER
HURLEY Bobbv E. 21 Of) 0285
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (al (1.2)]
1 Constance C. Webb Spousal
1191 Letchworth Road 100% of residuary
Camp Hill, PA 17011
2. Brian Hurley - nephew Collateral
150 East Chapel Avenue Personal property
Carlisle, PA 17013 referenced in Item III.
The rifle and
swords were trans-
ferred prior to
death.
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, 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 DISTRIBUTIONS
1.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
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