HomeMy WebLinkAbout05-19-06
'REV-1500 EX f (&-bo)
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COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Moses Helen C.
DATE OF DEATH (MM-DD-Year)
DATE OF BIRTH (MM-DD-Year)
01/10/2005 06/03/1934
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
Moses Gear e L.
00 1. Original Return
o 4. Limited Estate
D 6. Decedent Died Testate (Attach copy of Win)
D 9. Litigation Proceeds Received
D 2. Supplemental Return
D 4a. Future Interest Compromise (date of death after 12-12-82)
D 7. Decedent Maintained a Living Trust (Attach copy ofTrusQ
D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
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COMPLETE MAILING ADDRESS
101 S. Market Street
Mechanicsburg, PA 17055
TELEPHONE NUMBER
717 -796-2100
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)
D 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. T olal Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Valu~ Subject to Tax (Line 12 minus Line 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal ,rate
17. Amount of Line 14 taxable at sibling rate
18. Amount of Line 14 taxable at collateral rate
, (11)
(12)
(13)
120,915.00 X L (15)
X _ (16)
X .12 (17)
X .15 (18)
(19)
19. Tax Due
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
OFFICiAl USE ONLY
FILE NuMBER
21-0501047
OOUNTYCOOE ~ - - NUMBER- -
SOCIAL SECURITY NUMBER
179-28-5874
THIS RETURN MUST BE FilED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
1 6 1- 2 6- 9 7 0 9 .
D 3. Remainder Return (date of death prior to 12-13-82)
D 5. Federal Estate Tax Return Required
_ 8. Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
3,076.00
OFFICIAL USE ONLY
150.00
125,760.00
CI
(8)
128,986.00
8,071.00
8,071.00
120,916.00
(14)
120,915.00
0.00
0.00
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eee en s ampl e e ress:
STREET ADDRESS 233 Woods Drive
CITY Mechantd:sburg ,I ,WA~A -I ZIP 1 7 0 5 5
Tax Payments and Credits:
1. Tax Due (Page 1 Une 19)
2. Credits/Payments
A. Spousal Poverty Credit
8. Prior Payments
C. Discount
0.00
(1 )
3. InterestlPenalty if applicable
D. Interest
E. Penalty
Total Credits (A + 8 + C) (2)
T otallnteresUPenalty ( 0 + 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 Une 1 + Une 3 is greater than Une 2. enter the difference. This is the TAX DUE. (5)
A. Enter the Interest on the tax due. (5A)
8. Enter the total of Une 5 + 5A. This is the BALANCE DUE. (58)
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; ........................................................................... D l!l
b. retain the right to designate who shall use the property transferred or its income; ........................................ D lXl
c. retain a reversionary interest; or ................................................................................. ...................... 0 liI
d. receive the promise for life of either payments. benefits or care? ............................................................. 0 [X]
2. If death occurred after December 12, 1982. did decedent transfer property within one year of death
without receiving adequate consideration?;.............................................................................................. 0 [Xl
3. Did decedent own an lin trust for' or payable upon death bank account or security at his or her death? ................. D [XJ
4. Did decedent own an Individual Retirement Account, annuity. or other non-probate property which
contains a beneficiary designation? .......... ........................................................ ..................................... D [XI
0.00
0.00
0.00
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, 'declare that I have examined this retum, IncludinQ accompanying schedules and statements, and to the best of my knowledge and belief, It Is true, correct and complete.
Declaration of preparer other than the personal representative is based on a1lmformation of which preparer has any knowledge.
SIGNA TUR F PERSON RESP~SIB E FOR FILING RETURN DATE
'-'.. 5/12/06
ADORES
~ 233 Woods Drive, Mechanicsburg, PA 17055
SIGNATUR EPRESENTA TIVE DATE
5/12/06
ADDRESS
101 South Market Street, Mechanicsburg, PA 17055
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 i. 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. ~9116 (a) (1.1) (ii)).
The statute does not exemot a transfer to a surviving spouse from tax. and the statutory requirements for disclosure of assets and filing a tax 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. ~9116(1.2) [72 P.S. ~9116(a)(1)J.
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. ~9116( a)( 1.3)]. A sibling is defined. under Section 9102. as an
Individual w~o has at least one parent In common with the decedent. whether by blood or adoption.
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REV-1502 EX + (6-98)
*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAx RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Moses. Helen C 21 05 01047
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 ro which Is InO -owned with rI ht of survivorshl must be disclosed on Schedule F.
SCHEDULE A
REAL ESTATE
ITEM
NUMBER
1.
DESCRIPTION
acan 0, ee y ee oca e a
Tomko Avenue, Hanover Township, Luzerne County,
Pennsylvania. (Curtent assessed value is $50.00
which is minimum assessed value for a vacant lot of this size.
he maximum assessed value per Luzerne County Tax Office would be
200.00 The common level ratio factor for Luzerne County is $15.39.
sing the maximum assessment value of $200.00 results in a fair
arket value of $3.076.00)
VALUE AT DATE
OF DEATH
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed. Insert additional sheets of the same size)
3 076.00
" REV-1508'8( -4- (6-98)'
*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Moses. Helen C.
ITEM
NUMBER
1.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
21 05
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jolnOy-owned with right of survivorship must be disclosed on Schedule F.
DESCRIPTION
TOTAL (Also enter on line 5, Recapitulation)" $
(If more space is needed, insert additional sheets of the same size)
01047
VALUE AT DATE
OF DEATH
150.00
" REV-150Q 6<'" (6-98) 1
'*
ESTATE OF
Moses. Helen C.
COMMONwEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
FILE NUMBER
21 05
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
01047
SURVIVING JOINT TENANT(S) NAME
ADDRESS
pouse
A.
oses
33 Woods Drive
echanicsburg, PA 17055
B George L. Moses
c
JOINTLY-oWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECO'S VALUE OF
NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENfSINTEREST
-\. 235 Woods Drive 162,450.00 50. 81 ,225.00
\ ~33 Woods Drive 89,070.00 50. 44,535.00
0.00
TOTAL (Also enter on line 6, Recapitulation) . $ 125.760.00
2
(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
ESTATE OF
Moses. Helen C.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21
01047
05
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES: 6,646.00
1. Mamary-Durkin Funeral Service Corp.
1. Funeral Luncheon 330.00
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 R. Mark Thomas, Esq. 1,000.00
3. Family Exemption: (If decedenfs address is not the same as claimants, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 95.00
5. Accountants Fees
6. Tax Retum Prepare(s Fees
7.
TOTAL (Also enter on line 9, Recapitulation) . $ 8 071.00
(If more space is needed. insert additional sheets of the same size)
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REV_1513Ex+IP*, ·
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE J
BENEFICIARIES
I
FILE NUMBER
1.
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS pnclude outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2))
George L. Moses
233 Woods Drive
Mechanicsburg, PA 17055
(Decedent died intestate with less
than $30,000.00 in her individual estate.
Therefore, spouse is sole beneficiary)
RELA TIONSHIP TO DECEDENT
Do Not List Trustee(s)
NUMBER
I.
Spouse 1000/0
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
ll. 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 $
(If more space is needed, insert additional sheets of the same size)
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ht-A.f-Warrah~. D~, short Fofm. Ad:. of 1909,
I HeliiT Hall. Ii1C'"~ Indiana, Pa.
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MADE THE --- L/ day of June
of our Lord one thowsand nine hundred and seventy-six (1976).
in the yedlr
BETWEEN GEORGE L. KRAMER and LOIS E. KRAMER, his wife, of the
Township of South Middleton, County of Cumberland and State of Penneyl-
vaniaj and LUCILLE J. BRICKER JACKSON, and G. W. JACKSON, her husband;
of the Township of Silver Spring, County of Cumberland and S~ate of ' i
Penneyl vania, parties of the first part ,,,~.., ~
Grantee S :
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Grantor 8 J
and GEORGE L. MOSES and HELEN C. MOSES, his wife, of the Township
of Silver Spring, County of Cumberland and State of Pennsylvania,
parbies of th~ second part,
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AND the 8aid g1'lJi/l.oor8 hereby covenant and agree that . they
Gener all y the properly hereby oonveyed.
wilt warrant
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I M hereby certify that the precise residence and complete post 0& 'ii~
of the within named grantee is R. D. 1 - Woods Drive. MeChanicsburg..:.. P,~055
.June ~ 19 76 --Ut'~j~
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CO,MMONWE}lJTH OF JEL.SY~"VANIA' l~s.
County of --~~~ f
RECORDED on this --~-------Z~. ooy of ______
A. D. 19Lt, in the Recorder's Office of said County, 'in Dee'
VoZ. __.2:____6.._____, Page ~f2_i?::.____, ..
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. l'ot_A.t-Watriiitfneed.. Shott. Form, 'Act of 1909.
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t\F'~M\r;ED"(;rtlcE .'FTJ~E
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MADE THE r 11... day of
0/ our Lord one thousand nine hundred seve n t y (1970).
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c~,\1I;~oUllrY
,FE~WSYl VAtHA
BETWEEN
GEORGE L. KRAMER and LOIS E. KRAMER, his wif-e,
of Silver Spring Township, Cumberland County,
Pennsylvania, parties of the first part, herein-
after called the
Grantors I
and
GEORGE L. MOSES and HELEN C. MOSES, his wife,
parties of the second part, hereinafter called the
Grantee S f
fVITNESSETHI. that in consideration of the ~"\Mll of TweQ ty Four Thous and Five
Hundred ana No/lOa - - - - - - {;:p24, 500.00 J - - - - - - - - - Dollarsf
in hand paid; the 'teeeipt whereo; is hereby acknowledged; the said grantors do hereby grat1,~
and convey to the said grantees' ; the ir he irs and as.s igns ,
ALL that certain tract of land situate in the Township of Silver ~pringf
County of Cumberland and state of Pennsylvania, bounded. and described
as follows; to wit:
BEGINNING at a poiht in the middle of a public township road known
as 'the Big Head Woods Roadj at corner of land now or formerly of
Wi111am R. Dougherty an.d Patricia M.. Dougherty, his wife; thence 1
aiong the,middle of said roadj South seventy-eeven (77) degrees
West' brie'Hundred and Thirty (130),feet to a Roint; thence along the,
lihe "of' lands how or formerly ofLJ.nden R. Gates, Jr'. and Lois Jean,
Gatesj his wife, South nineteen (19) degrees 'East Seven Hund:red
and Ninety (790) feet to a pin; thence alon~ the line of lBnd~ no~ o~
formerly or Frank B. Mumma, North seventy-seven (77) degrees East
Two Huhdred (200) feet to lands now or formerly of Henry J. Johnson
and Florence I.., Jolmson, his wife; thence along the1ine of said lands)
North nineteen (19) degrees West Four Hundred Eighty (480) feet, more.
or less, to a point at lands now or formerly of Charles W. 8unday# thence
along said lands now or formerly of Charles W. Sunday, North twenty~two
(~2)degrees forty-five (45) minutes West One Hundred and Thirty--eight
and five-tenths (138.5) feet to a point on the line of lands of. William
Ri Dougherty and Patricia M. Dougherty, his wife; aforesaid; thence,.
along the line 'of said last mentioned lands, South seventy.;..seven (77)
degrees West S venty (70) feet to a point; thence by the samet North "
twenty...two (2~' degrees forty-f!ive (45) minutes West One Hundred tlrtd":;'.
Seventy...fi-ve (175) feet to a point in the center of the public township'
roaa',- at tlieplaoa bf~BEGINNING."~---~-'-- -_____i~_
BEING the same premises whi.ch Paul R. G~tes and Meryle Yvonne Gates,
his wife, by their deed dated July 14, 1956, and recorded in the
Omee ofthe..Recorder of Deeds. in and for Cumbe:pland County, Penn-
sylvania} in Dee~ Book tt1u, Volume 17, Page 500, granted and, conveyed
unto George L. Kramer (now joined by his wife; Lois E. Kramer), the
Grantor herein. .
UNDER AND SUBJECT~ to the restrictions and conditions as imposed in
prior deeds, ~ excepting those; if any, pertai.ning to race; creed or
color, whioh i~ is hereby expressly intended~ shall not ba ~posed
or reimposed hereby. ·
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State of
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On this, the
~ss.
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day of
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, before me,.
the unde1.signed officer, personally appeared
known to me (or satisfactorily proven) to be the person whose name subscribed to the
within instrument, and acknow'ledged that he executed the same for the purposes therein
contained. '
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
____u___________________________________________________n_________ ------ --.~--------.- e
---.. --.... .----.. ------ ------ ..----- -----.. --- --- --- --.. -----.. -----.. ------ -----.. - ----.. ----......
Title of Officer.
do hereby certify that the precise residence and complete post office addre8s
of the within named grantee is
19
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Attorney f or. ~___ ____________________ _____~ ____________________~--~-----.
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COMMONWEALTH OFPENNSYL VANIA, l
~ 88.
County of -,--- -----...------~----... . CI1J \' () .
RECORDED on thUJ -------.-1..------------- day of ----------(f'~-----
A. D. 19__20., in the Recorder's Office of said County, in Deed Book Q
Vol. ~--_.1.:.~._______, Page ---------9.-f.f:...
Given under my hand and the seal of the Sai~:.:~01Je written,
", __1/-___. ---r\?!.--------.--------------------------, Recorde-r.
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AND the said, grantOf'S hereby covenant and agree that
generally the property hereby Conveyed.
they
wilt wart1tttt
~chool bist. Oumb. Co.. p~(
I % Reel E.+.te TraJl~r .T.' ..
r ~...
.J ... ~....g. -.7 !J. Ant. a ( 1 S '-
.00 . -\ ......':\'...
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1N WITNESS WHEREOF, ilaid grantorB hfllJ hereunto set the ir ha:M3 and sea!!
the dallaM 1/6611' first above written. .
.~~~~_.._._..e~.
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_.__....-..-...-..-....-...-..-....-.-...-...-...... .e
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lss.
dojtn~~ t'Ul?~~erland crtfi d4y of f CL_... ...-
a Notary Publio in and for said state t{~~untYj
the.ttttd.~t8jl!tt~d. ufJicer, perso1tatty appeared
". (iEJoRdl!l L. KRAMER and LOIS E. KRAMERj his wife j . .
. ' " , ., .' . . . . . . .... . ') . . .
kiWW1t tome (of stitl.slMtoHt1I pfoiJe+i) to be the per801lS ~Vho8e M:me s are. .'.1l~48.~~ 'tb,.~ke, .
iVithi,,!- instftiment, aM ackttowtedged that they executed the same lor :.~~~~~6j,~~~6l:il;~"\~'i;, i
contatnect... . I) ." . ';iI.pJ,-t;t..;~;, i
IN WiTNESS WHEREOF, i hereunto Bet my hand and official 8eat. r.,L~~;";;'~'{?l,c:.;;rf/,;~y~~'i'l,
: t I.erelrt _ ttitify ,hat the It.ldeb"' MRS.-;;~~:.~..-0...-~~~.~~f!~~~{l~i~.~ .....,...:~~~*~{;
'... p. ....J. n.i.t!._ "t .. .... L Gr' . _ . t.....L ~ MECHANICSBUO(l Boonuf'U \, J. hJ ~ ~ ',. ~ - .". - I....~... .~':::\'
.._ Ii.. . und O. WIUUII .. .... _ .-.-."y--.....Y 'OJ._...__.__.---...l.'=<C~r"'- '. .. --- ,IQ.--":- ..--~. ....-...-. ;. ..'
) I " A. ..' CUMBERLAND COUNTY TitU!'bt U/fl66('. (.
tv~Z-~~. ~) ii.O.MM~~:~;SDEC.29.1971 'r};.:. .'f.."
. . ~/Z ~A~-
__ .-' . ..__' 'Gr' .rAtty... __ ... ~...- It'-\. .. '\.~
State 0/ pennsyl van ia
; 19"-70- j belore-m-e~.---
I..... .....,11"'"
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BK 3 b q 1 PG 5 b I
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Tax Parcet Nti.
APR 2 7 2006
Rental Housing Support ,
Program Fund surcharge: $10.00
FIDUCIARY WARRANTY DEED
MADE THIS \ ~ r~ day of yYJG.-rL." f ih the year of our Lord two thousand and
six (2006)
BETWEEN
GEORGE L. MOSES; ADMINISTRATOR
of the Estate of Helen C. Moses, and JOSlnPIl JAMEjS
MOSlnSt MtCHAEL J~ HOGAN; ROBERT R. HOGAN ANti
EDWARn C.HOGAN
Grantors;
!1tid
GEORGE L. MOSES
Grantees:
. '.
\VttEj1tEAS. Heleti d.Moses. be caine seized~ in fee; of a certain lot of land situate
hi Macoh dOtifity~ tl1ihois; more particularly described herein (the "PremiseEt)~ and
. .
WttEttEAS. ltel~1i d. Moses; (the "Decedent'') died on January lO, 2005; as a
resident of Petihsylvanhl; possessed of the Premises; and
WttEREASt Letters of Administration were granted on December 2; 2005; by the
ttegiste:t' tit Wille of Cutnbetlatid County; Pennsylvania (the "RegistetH), to George L~
Mose~f Wldowef tif aelen d~Moses; to serve as. the Administrator (the
l'AdmittlstratotH) of the Estiite of HeIeh d. Moses; deceased (the "Estate;'); without
tequiramei1t of a bofid~ uhder Case No~ 2005-01047; and -
WitEREASJ the Administratott along with Joseph James Moses, Michael J. Hogat1~
Robett R. Hogah and Edwa.rd C. Hoganj Grantors herein, desire to cot1vey th~
Premises to the Grantee.
WITNESSETH, that ih consideration of ONE ($1.00) DOLLAR, in hand paid~ the
receipt whereof is hereby acknowledged, the grantors do hereby grant and convey to .
the said grantee, his heirs or assigns,
.
BK 3 b q 1 PG 5 b 2
ALL THAT C~RTAIN tract or piece of land~ including improvements thered11f
situate, lyitlg lind being in the City of Decattir; County of Macon and.
domlliol1wealth of 1llinois, mote particularly bounded and described as follows:
BEG1NNtNG at the West eighteen (18) feet of Lot One (1) and the East
twelve (12) feet of Lot Two (2) of E. W. Wood~s Subdivision of Lot 6 in Block 3 of
May Bros. and Travers Subdivision as per ,Plat recorded in Book 149, page 522 of
the Records in the recordet~,s Office of Macoh County, Illinois.
BEING the same premises conveyed to Helen C. Moses, by Mollie Sabinski
tinder deed dated JUne 30, 1997; and recorded in the office of the Recorder of Deeds
in and for the County of Macon~ Illinois, in Book No. 2731; Page No. 99. Joseph
JalIies Moses; Michael J. Hogan; Robert R. Hogan, and Edward C. Hogan, the sole
surviving childreti of Helen Moses, join in this deed as grantors to transfer any
interest they may have in this property by reason of their intestate share in the
estate of lIelel1 d. Moses.
SUBJ:FjCT to the same exceptions, reservations, covenants, conditions,
waivers and restrictions as contained in the prior chain of title.
TO IlA VE AND 'to BOLO, the said premises, with, and singular the
apptttte11ances; U11to the said parties of the second part; their heits and assigns; to
d.tid for the only proper use; benefit and behoof of the said parties of the secotid pIirt
their heits and assigns forever.
Attd the said grantors do hereby covenant and agree that they will warrant
spsclally the property hereby conveyed.
tN WtrNEsS Wlt~ltEOF\ said grantors have hereUnto set their hands and
seals the day and year first above written.
Sigtted. Seated auut Delivered
~~
.
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)
)
rge L. oses, Admmistrator
;;;;;M(p~
J seph Ja s Moses .
--
)
~~..
Michael J. Hogan ,
-"
)
i:/~4
/'Ro ert R. Hogan
----...........
)
c~c~
Edward C. Hogan
Commonwealth of ~ennsylvania )
County of dU1I1berland
SSe
)
. 011 thisj the J14111Y of ~ ,2ooL, before me, th? undersighed office!',
personally appeared George L. Moses. known to me (or satisfactorily proven) to be the
per80rt whose name is subscribed to the within instrument. and ackhowledged that he
executed eUUne fot-the 'purposes thereih contained. .
iN WlrNEJSS WitER~OFt t heretihto set my hand and official seal.
coMMoNWEALTH OFPENNSYl VANIA
NOTARIAL SEAL
JOHN 0; GRIGSBYi NOTARY PUBLIc
Shrew.burV T O\YttShtpi York County
~y ~oM~t~AfbN EXPIRE~ ApHI25i 2006
...
BK 3 b q 1 PG 5 b ~
COinmonwealth of Pennsylvania )
ss.
County of Ct.unberland )
Ort this. the 17"";i~ of ~ ,2ooL before me, the undersigned office!',
personally appeared Joseph James Moses, known to me (or satisfactorily proven) to be the
pereoti whose name is subscribed. to the within instrument, and acknowledged that she
executed t:ltltne tor the pUrposes therein contained.
. l'WIN[ Wtrrkr~~~ ~~EOF~ 1 here to set illy hand and official seal.
coM Mo.... EA.rH Ot:l'~ ~
NOT Ai='IAl seAL '.' .
JOHN D. GRIGSBY, N01ARY pUBLIc
ShtewsbUty ToWhshlp, York County
MV ~oMMtSSIO~ ~xPt~ES April 25. 2006
Cob1ti1ollweltlth ot Petinsylvatlla )
COtitity ot CUti1betlartd )
Ort thill, the 11 ~liY of ~ ; 20~ before me, the undersigned officer,
persotta11y f!ppeared Michael J. Hogan, known to me (or satisfactorily ptovert) to be the
perSoti whoss tUim~ is subscribed to the within instrument, and acknowledged that she
executed sahie fof th~ purposes therein contained. . \
. tN. W1TNE~li.EOFJ t hereunto set my hand and official seat.
coMMONWEALTH OF PEN .
NOTARIAL SE~~y pUBLIC ~ r::;
JOHN O. GRIGSBY I NOT rk County ./ /
ShrewsbUtY Township. YOA. tit 25 2006
M'I ~MM'.SSION ~P'RES P ·
ss.
Commonwealth of Pehilsylvania )
...
County of Ctimberlatid
ss.
)
COMMONWEAl. tH air .......vLvANtA
NOTARIAL SEAL
tIn.Marte HeHnM. Notary Pubtfc
MlddteMi twp'i cumbertand Cou~ty
. CbrM1IHIot1 E . .11'68 Octobtt 31. 2009
On this, the / q tk.day of m ~Y{ "- , 200L before me, the tmdersigned officer,
personally appeared Itohert R. Hogan, known to me (or satisfactorily proven) to he the
person whose tlame is subscribed to the within instrumentt and acknowledged that she
executed same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
- j;~A>A 1~
Notary ublic ....
.. .
I .
I .
aK 3 b q 1 ~G5 bS
Commonwealth of Pennsylvania )
ss.
County of Cumherland )
On this, the /1.t~ of ~ . 200-4-. before me, the undersigned officer,
personally appeared Edward C. Hogan, known to me (or satisfactorily proven) to be the
person whose name is subscribed to the within instrument, and acknowledged that she
executed same for the purposes therein contained.
IN WITNESS WHERE,OF, I hereunto set my hand and official seal.
~
..~
coMMoNWeALtH OF PENNSYLVANiA
NotARIAL seAL >
JOHN b. GRIGSBY, NOTARY pUBLIc
Shtewsbury ToWhshtp. York County I
MY coMMiSSioN EXPIR~S April 25. ,2006
. ~."'. "" .... . 'oj .,' \ . . .
I .
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.. i do hareby certify that the precis~ residence and c~t1lplete post offic? lidd.te~
. oftha within named grantees is ~3" {}JQ()r1~ Orll-e} ~/~rn
m~ I? ,2ooL .X!>>IJ~
Attorney for G~
COMMONWFjALTH OF ILLINOIS )
COUNTY OF Macon
SSe
)
ltEConDED Oti this day of
the Recotdet.s Office of the said County; Deed Book
; A.D. 20_t ih
; VoL . Page
~
divert tii1d~t* my hiitid and the seat of the said office; the date above written.
; Recorder ~
fP ..e.,
Exempt under provisions 0 at. _
Sec. 31-45, Property Tax Code. ___________
Da18~ of.. B~ p/l--1 tali.; . . .. .
I (Buyer, Seller or Represen ve. I
~ ~r.
rj-~
\--~
'~tAATE OF fLLtNOIS
m CON COUNTY ss
REOORDED A f
lOOhAPh 21 A q: ijq
IHEREBY.CERTJry THAT
THISINSTnUHEUT WAS
FILED
f:,EE> .
~".. ......., . ." (2.... ....&hn.... ............
"...~.....
.; .' .... '. .' ".
" . RECORCn:R
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CEn:n~It:l.) PROf1t'Jrty IDENt'tIOAtIO.~~ ..~~UMUEft '
MutllOfPAU1Y .'. ~
PIN MAP L1:~S.L~..,~..,_. Sl09K SIA6T._Le
REt:: lliIlII ;;5006 "limA'"...--.. /' _ OIVISION__
DATE 3-~o-t?..6 ~~,t?
_._.u __ . _~~
Tax patee! No.
: ," . / ';'~:/ti'
1 . !'!. .
FIDUC1ARY WARRANTY DEED
MADE THIS I q I.J,. day of (Yl o.rcJ-- ,in the year of our Lord two thouslind and
six (2006)
BETWEEN
GEORGE L~ MOSES, ADMINISTRATOR
of the Estate of Helen C. Moses~ and JOSFJPIt JAMES
MOSES, MI~HAEL J. HOGAN, ROBERT R. HOGAN AND
EDWARD C. HOGAN
Grantors;
and
GEORGE L. MOSES
Grantees:
WtIEltEASf Heleh C. Moses~ became seized; in feef of a certain lot of land situate
in the roWhshijj of Hattover, Luzerne County, Pennsylvania, more particularly
described hereitt (the uPremisesH); and
WlIEItFJASf Heleii d. Moses, (the "DecedeIle') died on January 10, 2005, possessed
of the Premises; and
WHEREAS, tetters of Administration were granted on December 2; 2005, by the
ttegister of Wills of Cumberland County; Pennsylvania (the "Register"); to George L.
Moses. to serve as the Administrator (the "Administrator") of the Estate of Helen C.
Moses, deceased (the iCEstateh), without requirement of a bond. tinder Case N'04
~005~O 1041; I1nd
WitEltEAsf the Adtiiinisttatot, a.long with Joseph James Moses, Michael J. Hogan,.
ltohe:rt it. lIogfltl at1d Ejdward C. Hogan, Grantors herein, desire to convey the
Premises to the Grahtee~
WITNESSETlI, that in consideration of ONE ($1.00) DOLLAR, in hand paid, the
receipt whereof is hereby acknowledged, the grantors do hereby grant and convey to
the said grantee, his heirs or assigns, .
~'1-EMpr ~I-ht t1Uk R"., -t-A:y
~O~s ~ l4usb~~
bt-\weE:f\ l-\-u~bi\nJ +- w It~-+
.
.
..
I
t
ALL ttHAr CEJRtfAtN tract or piece of land situate, lying and being in the
rowhship or Ha110var atld Wright, County of Ltizerne and Comnionwealth of
Petitisylvatiia. more particularly hounded and described as follows:
BE01NN1NG at a point on the south sid.e of Roman Avenue, said point being
the division line between lot Nos. 11 and 10, as shown on the plot of lots of Julia
Slovickosky; Thence South seven degrees forty minutes East (s 70 40' E On ~ titie
dividing Lot Nos~ 10 and 1i; one htindred fifty (150) feet to a point; Thence North
eighty~five degrees forty mintites west (N 850 50; E) fifty (50) feet to a poitttt the
dividing line betweert Lot Nos. 10 and 9; Thence North seven degrees forty minutes
west (N 70 40; W) on a tine dividing Lot Nos. 10 and 9, one hundred fifty (150) feet
to the south side of Itoman Avenue; Then South eighty-five degrees fifty minutes
West (8 850 50; W) along the tine of Roman Avenue fifty (50) feet to the place of
BEGiNN1NG.
nEINQ the same premises conveyed to Helen C. Moses~ formerly knowti as
Helen Hogan; by Helen Koonrad, widowt under deed dated October 19, 1985; ahd
recorded in the office of the Recorder of Deeds in and for the County of Luzertle,
:Pennsylvania, in Book No. 2176, Page No. 208. Joseph James Moses, Michael J.
Hogan, Robert It. Hogan, and Edward C. Hogan, the sole surviving children of
Relet! Moses; join in this deed as grantors to transfer any interest they may have in
this property by teasoti their intestate share in the estate of Helen Ci Moses.
SUBJECT .to the same exceptions, reservations, covenants, conditions,
waivers and restrictions as contained in the prior chain of title.
TO .HAVE ANn TO BOLDt the said premises, with and singular the
apptittehances, Unto the said parties of the second part; their heirs and assigns, to
and fot the ohty proper lise, benefit and behoof of the said parties of the second part
their heirs and assigns forever. .
Atid tha . said gratitofs do hereby covenant and agree that they wilt warrant
specially the property hereby cOIlveyed.
tN WltNlDSS WltEREOFt said grantors have hereunto set their hands and
seats the day and year first above written.
. , . ;',h.;.
t,. : ; f I ~,
REC Bcd 3006 'I.t 72875
..
Signed. Sealed and Delivered
hi the Presetice of
e~
)
)
orge L. Moses, Administrator
Estate of Heten C. Moses
~(lk~
J seph Ja s Moses
---
)
~1ft.:{J{
)
f~/~--"
o ert R. Hogan
~LIf~
Edward C. Hogan '
)
Commonwealth of PehI1sylvania )
ss.
COUhty of Cumberland )
On this, the (1 t ~ay of ~ I 200 c: . before me, the undersigned officer,
personally appeared George L. Moses. knowtt to me (or satisfactorily proVert) to be the
person whose dame is Bubscribed to the within insttumeht~ and acknowledged that he
executed satne for the purposes therein tained. .
IN WtTNESS WHEREOF; I reun
. "14;'...;' ""
I.' '. (:.~.i:l:
REC AooIc 3006 'all 72876
> .
Coit1tnohwealth of Petthsylvania )
8S.
County of Cumberlahd )
On this~ the 11 'i~y of ~. ~ 2ooL~ before me, the undersigned officer.
person~l1y a.ppeared Joseph James Moses, known to me (or satisfactorily proven) to be the
persot! whose hame is subscribed to the within instrument, and acknowledged that she
executed same for tha purposes thereirt contained.
tN WITNESS WHEREOF~ I hereunto set my hand and officiatsea1.
COMMONWEALTH OF PENNSYLVANIA ~ / A
NOTARIAL SeAL
JOHN D. GRIGSBY, NOTARY PUBLIc
ShreWsbury Township, Yotl< COUhty .
My COMMISSION EXPIRES ApH125. 2006 otary Public
Cotntnonwealth of Pehttsylvsnia )
ss.
County of Cutnherlartd
)
. Ott this. the I?~ay of ~ . 200~ before. me; th~ undersigned office!'1
personally appeared Michael J. Hogan, known to me (or satisfactorily proven) to be the
persbrt whose name is subscribed to the withih instrument, and acknowledged that she
executed siihie for tha purposes therein contained.
tN W1TNESS WHEREOF\ I hereu se y hand and official seal.
F PENNSYLVANIA D.~ <"
NOTARIAL SEAL. , ~A.A ~
JOHN D. GRIGSSY, NOTARY PUBUC ~
8hrtwtburY Townahlp, York CoUnty
MV OOMM'M10N EXPIRES April 25, 2008
Comtt1onwe~th at Pennsylva .
)
S8.
dotitity of CtUnherlarld )
On this. the 11ll.- day of rnCAr('~, f 2001c-, before me~ the 'undersigned officer.
personally appeared ltobert R. Hogan, kIiown to me (ot satisfactorily proven) to be the
person whose name is subscribed to the within instrument, and ackttowledged that she
executed Saine ro~ the purposes thetein contained.
IN W1TN~SS WHEREOF. I hereunto set my hand and
cotlilIMoHWtALm bar PE~H"LVANIA
NOTARIAL SEAL
tlnaM~ Heffner, Not.y "ublc
MiddteMJt TWp., cumbertand County
COrhinIision E ires Octobet 31. 2009.
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REC 800II 3006 Pa'l 72877
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Comtnonwea1th of l'etlhsylvatUa )
ss.
CoUhty or CUfi1betlaiul )
Ort this; the /1 t~IlY of ~ ; 200~ before me, thetinderBigned office!',
personally appearad FJdward d. ltogat1; known to hie (or satisfactorily proven) to be the
person whose hatne is subscribed to the within instrument, and acknowiedged that she
exeeuted s8trte for the pUrposes therein contained.
1:N WiTNESS WHEREOFJ I hereunt~t my hand and official seal.
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Not Public
F PENNSYLVANIA
NOTARIAL SEAL
~OHN D. CiRIGSBV. NOTARY PUBLIC
Ihftwtbury Township,. York County
M'I.COMMtSstON I!XPI~ES Aprt125, 2006
REC led 3006 ~lle 7:21i78
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. 1 do ~etebycertify that ,the precise residence and, comp!~~e 9os~ officeadd1]ss
otthe withlt1 tiarl1ed grantees IS ~33 tAJ~ /)1". J YI'~~re. J /4
" J J 70.:!;t/
~)7 ;200~ ~~~
Attorney for G ll:UI'lee
CoMMoNWEALTH OF PENNsYLVAN1A )
SSe
COUNTY OF CUinbetland
)
REdoRDED oli this day of
the Recorderts Office of the sa.id County, Deed Book
, A.D. 20_t in
, Vol. t Page
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Giveh under my hahd and the seal of the said office; the date above written.
; .Recorder.
REe look 3006 Pali 72S79
............. ,
tfotO Q~f.DS OF Lu~... . hereby CERTIFY that this
tf o~ ~..-...- ~~.. do u t ,
I ~ .#~ . -', ~ , c men s recorded in the
~ i l . " \ 8 \ Recorder of Deeds Office of
~ \. . .' ) J J Luzeme County, PennsylvanIa.
Ssn.~./ ~~k. OAv.Oulb.'
......... -~--
MARY K. DYSlESKI
ReCORDER OF OEEDS
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\;'F.,;I1illtl~lfY". q)tlllt'il'. .,%Ilel.ab t};yvi(;(Y. ...6q~;"ii.....
'?::d":'.;:' 'SlI Pameh Street. Wllkes-b$rre, PA. Telef)hone: (610) 824-4801 · Fax: (810) 824~93 .
AndreW (Di'8W) Mamary, Jr,. F.D., SupeM.or.. Pre,kMnl, Andrew Mamary, F.D.
"Sen';c(:' is always ollrfirJI H
. .
"../. .lAr~ Oec.)t'ge L. Mosts
~~~ood~Dr. "
." : Me~~~i~burg*PA .18102
;....i!~~.~ ~Hehm c, Mose./
.':~:i~tii~~'br~tHI;Jat1tu,rY 10, 2003 ..
. Account No.C 1-200S0P03
Funeral Date: January 13,2005
.... . ~
Se~~l~~,~:~~).~i.~~~'.~'.'.'. '.' . . . . . . . . . . , . . . . . . . . . . . . . ., . . . . . . . . .'. '.".'.~'~~:~::
;.":1)" OfFabiUth:slsetvitcs Fot Viewing.. . . . . . . . . . . . .. . . .. . ... . . . .. . . . . , . .. .. . . . . .42~.OO
,:1~;Uje orr-~ilit~ijI~lces For Funeral; . t. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ) 10.00
...;.......':".,.'..-: '_' :-"",, ,..,..,.,.,.~:.-~~-,,_.,~~~..a.'!-._<:'~ '~-",--"--":';'-.."-",-'-':-7-":'" -.-' .
Ftuillly Cat.;IOcai :.. . ~. , .. .;.. .. . . . . . .. '" . . . .. . . .. . . . . . . .. . . . . . _ . . . . . . . . . . . . . . 140.00 .
, Vehicle Tc) Transfer Renulills To F .b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 S. 00
'\>. .;"..;A... ;,:, .....'...'.,....:.... '. ,.
. H~t~ ~"~~~/;"~.h >~'~..p)~ ~.. . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . -. . . . . - . . . . . 150.00
FJowet.~'!dtFIPtaIDISpU9Ui6n.. . ~ . ~ . . . . . H . . - . . . . . . .. . . . .. .. . _ . . . - - . . . . . . . . . . 4S.00
. . ~ ~':~W~.'", , , . · . . .. · . .. . . .. .. .. ... . . .. .. .. . .. .. . . . . . .. .. .. . .. , 12! .00
. . Merchilndi.tii? "':"'~ .
.' Casket: Batc.viUc hiot)' {]old>(. . . .;. ~" n ~ ~ . .. ~.. . . . ',~ . + , . H. . . . . .. . _ . . . . . . . . . ~ .
..';y' "". . ; Vault:' DelliXeConcreteUiliialVlPitt .. . . H .. ~ . . 9 . .. . . .. . ~ . .. .. . . . . . . . . . . . . . . . . . . . . .
':. "",^tktiowledgemettt Catds'.~ . ~. ~.'... .. . . . .. . . . ~ ". .'. . ., . _ . . . . . . . . . . _ . . , . . . ~ . . . . . . . .
"., i:;:; ':. ,.::' ;C,uCifix . . . l . .~. ~ ~ ~.; . . .. ~ '" .. ~.' . . ... . .. ..: ... ... . . . . . .. . , .. " . . . . . . . . . . . . . . . . . . . . . .
," :.,.;(:.r .. -, ',--
1,99'.00
t ,224.00
12.00
20.00
20.00
30.00
20.00
i',~o
Total or All Stledions .. . ... . . .. .. .; . .; .. .... . .. . .. . .. ..~. ..
. .' TObIt Amount bue .; .. .... .; .. .. . . .. .. .. ...;. . . . .. .. ..
f,. -
'.-', , .,'
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RECEIPT FOR PAYMENT
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GLENDA FARNER STRASBAUGH
Cumberland County- Register Of Wills
One Courthouse Square
Carlisle, PA 17013
Recelpt Date:
Receipt Time:
Receipt No.:
12/02/2005
13:43:06
1042662
MOSES HELEN C
Estate File No. :
Paid By Remarks:
2005-01047
R MARK THOMAS
. JA
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Receipt Distribution ------------------------
Payment Amount Payee Name
Fee/Tax Description
PETITION LTRS ADM
AUTOMATION FEE
SHORT CERTIFICATE
JCP FEE
Check# 2547
Total Received.........
45.00
5.00
20.00
10.00
----------------
$80.00
$80.00
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
CUMBERLAND COUNTY GENERAL FUN
BUREAU OF RECEIPTS & CNTR M.D