HomeMy WebLinkAbout08-04-06
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15056041125
REV-1500 EX (06-05)
PA Department of Revenue '*
Bureau of Individual Taxes '.
PO BOX 280601
Harnsburq, PA 17128-0601 -' ~~
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Vear Flle~mber
INHERITANCE TAX RETURN d.. } or-' {fS~
RESIDENT DECEDENT ~ 1
Date of Birth
17128 5 5 0 2
09262005
09171935
Decedent's Last Name Suffix
Decedent's First Name
K U T Z J R
BENJAMIN
MI
D
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Spouse's Social Security Number
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death 0 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Tele~hone Numbei
P AU L BRA D FOR D 0 R RES Q 717 25 8 '-8 558
FILL IN APPROPRIATE OVALS BELOW
[Xl 1 . Original Return
o 4. Limited Estate
o
o
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
o
o
o
o
8. Total Number of Safe Deposit Boxes
2. Supplemental Return
o
o
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
Firm Name (If Applicable)
, , .
REGISTER OF WILLS USE ONLY- 'l ,
'1'
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P A U LBO R R LAW 0 F F ICE
First line of address
5 0 E A S T H I G H S T R E E T
Second line of address
City or Post Office State
liP Code
I
'----__~A_T~FILE~._._
CARLISLE
P A
17013
Correspondent's e-mail address:PAULORR@JEARTHLfNK.NET
Under penalties of perJury, I declare that I have examined thiS return, Including 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 all information of which preparer has any knowledge
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE
8/3/2006
ADDRESS
50 EAST HIGH STREET
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
CARLISLE
PA 17013
DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
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15056041125
15056041125
-1
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15056042126
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: BEN JAM I N D. KUT Z , JR
RECAPITULA TION
171285502
1. Real estate (Schedule A)
1.
5500000
2. Stocks and Bonds (Schedule B)
2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)
3.
4. Mortgages & Notes Receivable (Schedule D)
........... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E)
5.
563269
6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested ... 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) 0 Separate Billing Requested 7.
8. Total Gross Assets (total lines 1-7) 8. 6 0 6 3 2 6 9
....,.... . ....... .
9. Funeral Expenses & Administrative Costs (Schedule H) 9. 1 4 0 2 2 8 5
........ .
10. Debts of Decedent, Mortgage liabilities, & liens (Schedule I) ..10. 6 2 6 3 7 3
....... .
11. Total Deductions (total lines 9 & 10) 11. 2 0 2 8 6 5 8
. . . . . . . .
12. Net Value of Estate (line 8 minus line 11) 12. 4 0 3 4 6 1 1
. . . . . . . . . . . .
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) ............ . 13.
14. Net Value Subject to Tax (line 12 minus line 13) ..........14. 4 0 3 4 6 1 1
....... .
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0 _ 0 0 0 15. 0 0 0
16. Amount of line 14 taxable 4 0 3 4 6 1 0
at lineal rate X .O~ 16. 1 8 1 5 5 7
17. Amount of line 14 taxable 0 0 0 0 0 0
at sibling rate X .12 17.
18. Amount of line 14 taxable 0 0 0 0 0 0
at collateral rate X .15 18.
19. Tax Due 19. 1 8 1 5 5 7
. . . . . . . . ........................ . . .
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
00
Side 2
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15056042126
15056042126
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REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
BENJAMIN D. KUTZd~__
STREET ADDRESS
1565 MCCLURE'S GAP ROAD
File Number
._-.__.._----._----....__._.._--._-~-_._._-- -----,-----------
-----------~-_._- -- -------- -~~~--
._~-------_. ---...---.-------,-----
CITY
CARLISLE
--T~~TE--~- -- -- I ~1;013
Tax Payments and Credits:
1 Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
1,815.57
1,822.00
Total Credits (A + B + C ) (2)
1,822.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Interest/Penalty (D + E) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, 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)
0.00
6.43
0.00
A. Enter the interest on the tax due.
(5A)
(5B)
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
0.00
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......... ..................... ....... 0 00
b. retain the right to designate who shall use the property transferred or its income; 0 00
c. retain a reversionary interest; or....................................................... ......... ... 0 00
d. receive the promise for life of either payments, benefits or care?.............................. ... 0 00
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration?....... ................ .................. 0 00
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ...... 0 00
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation?.......................... 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.
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 three (3) percent [72 P.S. s9116 (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 zero (0) percent
[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 zero (0) percent [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 four and one-half (4.5) percent, 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 decedenfs siblings is twelve (12) percent [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.
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
'JEPT 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
ORR PAUL BRADFORD
50 E HIGH STREET
CARLISLE, PA 17013
---~---- fold
ESTATE INFORMATION: SSN: 171-28-5502
FILE NUMBER: 2105-0945
DECEDENT NAME: KUTZ BENJAMIN D JR
DA TE OF PAYMENT: 07/21/2006
POSTMARK DATE: 07/21/2006
COUNTY: CUMBERLAND
DATE OF DEATH: 09/26/2005
NO. CD 007004
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1,822.00
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TOTAL AMOUNT PAID:
REMARKS:
CHECK# 110
SEAL
INITIALS: JA
RECEIVED BY:
TAXPAYER
$1,822.00
GLENDA FARNER STRASBAUGH
REGISTER OF WillS
REGISTER OF WillS
CUMBERLAND County, Pennsylvania
CERTIFICATE OF GRANT OF lETTERS
No. 2005-00945 PA No. 21-05-0945
Es ta te Of: BENJAMIN D KUTZ JR
(First, Middle, Last)
Late Of:
LOWER FRANKFORD TOWNSHIP
CUMBERLAND COUNTY
Deceased
Social Security No: 171-28-5502
WHEREAS, BENJAMIN D KUTZ JR
(First, Middle, Last!
late of LOWER FRANKFORD TOWNSHIP CUMBERLAND COUNTY
died on the 26th day of September 2005 and,
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills ~n and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
KIM J BOOKS and CA THY A LOCKE
who have duly qualified as ADMINISTRATOR (RIX) of the estate
of the above named decedent and have agreed to administer the estate
according to law, all of which fully appears of record in my office at
CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 26th day of October 2005.
~ .
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Reg/iter '0"(' Wills '
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Deputy
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* *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
REV-1502 EX + (6-98)
.
SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
BENJAMIN D. KUTZ, JR
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 orooertv which is iointlv-owned with riaht of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
55,000.00
1565 MCCLURE'S GAP ROAD
(SEE HUD-1 AND CERTIFIED APPRAISAL ATTACHED)
./
TOTAL (Also enter on line 1, Recapitulation) $
(If more space IS needed, insert addillonal sheets of the same size)
55 000.00
\
A. Settlement Statement
U.S. Department of Housing
and Urban Development
p......, ~ ....
. r~~"',' \." / /
(.); \\11
i ,--..-' i
u '
B. Type of Loen
~. B ~~A lc~1;;;vA~rlL . "conv un~:Cle Numb~=~.' -r"loanNUmber -~ -''8 Morlgage Insurance Case-Numbe7 n. .
C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown Items marked
"(p.D.C.)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals.
D. Name & Address o"B~'r7c;:;;;r---rE'N'-';;e& Address ~fi;elle; -- .--. "--""'f'N~;;,-e&-AddreSS 01 L';";de;
Buyer's I Estate of Benjamin D. Kutz, Jr, ,I NONE
Ty J. Whitten and Heather L. Whitten
113 Big spring Terrace, I
Newville, PA 17241 I j
__----.l__...~.... _______ __. .__.1..
G. Prc;p-enyLOcation - ----- .----, H. SelllementAgenl:
1545 McClures Gap Rd.
Carlisle, PA 17013
Place of Selllemenl
-~l-'
--------------TI Settlement Dale
J. Summary of Borrower's Transaction ._______~_..~.'<: Summary of Seller's Transaclion
100. Gross Amou~,:e Fro",-~orrower __. __ __ _._ 40D.Ji.r~....~m.ount o.lJe TO.~"lIer__
'" ''"'=''''" MOO __~ _ ~ _[ 55.000.00 '"' ","'CO" ""P'""
102 Personal property ___~__~__~~ ______ 402 _Person~1 ~"JP~.!Y__
1 03 Seti!;ment charge-;-to borrower (line 1400) ...J ,274..00 403
1M 4M
~-~-~---~ ---
105 _ ~. 405 __ _~___._~._ _. ___
Adjustments for Items paid by seller In advance Adjustments for items paid by seller in advance __ _ __. _
106, City/town taxes to 406. ,c;;ty/tow.n taxes. '~'.~ . -~f-' . _._
107. County taxes to 407. County taxe~_.._~__ ~.
108. Assessments to 408. ~essments_~__~__J<>_~_._. _ _.____ __.
109:...__..____~ 409. "_ _ ___.__.__.
~.__.._..____ __~._________~_.._. 410, __.__.__..__ ..__._.______ _ ~__
111. 411.
---_._~.- ---_._---'---~----
112. 412.
55,00000
120. Gross Amount Due From Borrower
56,274.00 420. Gross Amount Due To Seller
~~~mounts Paid By Or In Behalf Of Borrower ~~. 500~....Fle.d~ctio~~~mount Due_ To S..!,,!,._ _~ ",
201 DepOSit or earnest money 5,000 00 501 Excess depOSit (see Instruclions) ,
202 P.."nc'!'.".'.alT10IJ."t of new~"-8r1~ --== - _____ ~_. 5~ ~eltlement c~'rges t~ seller (line 140~ ...::..:- .-~I __.l.~2..0.80
203 ~X1stlng_'9an(s) taken s.:'bJec..t.!9__ ____ _.___ 503 . EXlsling 10ar10~en subject !"'--.__ _. --L
204. ~__=.__ __~_~... 5Q~~yoH ol.~ortgage loan .. _~. _
205. __.._~. 505. PayolI of second mortgage loan _.__.. .._j
206. __.~ 50~_.___..._.___.______ .---t-
207.~~~. 507. ._____.__.. .._.f-.
208. 508.
-_.._~--~_._~---_._--"- ~---_.-
209. 509.
--------------~- -----
Adjustments for items unpaid by seller Adjustment!. for itElms u!:'paid by ~I""_
~10. City/town.taxes to ~__ 5_1.o..:...<::.~~,,-~n taxes.__~~'~'_'''i'''_
211 County taxes to 511. C~-"'Ltaxes._..___..__.__..t.o_____.__. _ iu
212. Assessment." to 512~sessments..___._.____~.___._____t__ ...~_
213. 513.
~--_.~-----~ ---.- ----_.._-_._-_._~-------~.-_.__..._._._----._..__._--- ----
~-..-.--~.----_.~-- -'- 5.1.4.:... ----~~..~~_._. i-
215. 515,
~------~-_._---,_._.- -0-___- ____________________________
216. 516.
-~---~-,---~~-- ~-_.
217. 517.
--~----,--~. ~-----~- -
218. 518.
219. 519.
55,000.00
-.f
-+
. j---_.
220. Total Paid By/For Borrower 51,274.00 520. Total Reduction Amount Due Seller
300. Cash At Settlement FromfTo Borrower 600. Cash At Settlement To/From Seller
301. Gross Amount due trom b.9.1:'()wer (IIne_120)--=__.~ 5~~'7.,i.00 60~-;;;;s a",(,-"-~l due'to seller~420) ___._-:-___-=~
~03_'_less-"-mounts paid by/for borrower (line 220) _.___ ( ..~c274.0Ql 60:<,...J,,,ss..."'.d."-ctio,,<;i"..a."".:...due ~eller(line 52~.___,.L
51,739.20
55,000.00
..21,739,2.Ql
303. Cash
From
[J To Borrower
603. Cash
To
o From Seller
Section 5 of the Real Estate Settlement Procedures Act (RESPA) requires
the following: . HUD must develop a Special Information Booklet to help
persons borrowing money to finance the purchase of residential real estate
to better understand the nature and costs of real estate settlement services;
. Each lender must provide the booklet to all applicants from whom it
receives or for whom It prepares a written application to borrow money to
finance the purchase of residential real estate; . Lenders must prepare and
distribute with the Booklet a Good Faith Estimate of the settlement costs
that the borrower is likely to incur in connection with the settlement. These
disclosures are manadatory.
Section 4(a) Of RESPA mandates that HUD develop and prescribe this
standard form to be used at the time of loan settlement 10 provide full
disclosure of all charges imposed upon the borrower and seller. These are
third party disclosures that are designed 10 provide the borrower with
pertinent information during the settlement process in order to be a better
shopper.
The Public Reporting Burden for this collection of information is estimated
to average one hour per response, including the time for reviewing instruc.
tions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information.
This agency may not collect this information, and you are not required to
complete this form, unless it displays a currently valid OMS control number.
The information requested does not lend itself to confidentiality.
Previous editions are obsolete
Page 1 of 2
form HUD-, (3/86)
ref Handbook 4305_2
,
@
L. Settlement Charges
~"'-'----~._-'---------'------~"_..~'- ._---~-,--~
700~T~!, Sale~/Broker:~Comm~slon based onpriC!!..._..__
U_ Divisi.o.n~f Comrl1issio':'J!ine 70Ol~s tOllows,________
~_L...._ _ ~....--~______________..r~_______~___ __
702.!__ .____~___________~~._~_._____.______._.___________
~~c::'Ol1lmissio"__paid ar...~ettlem<:11~______.___ .._ _______.________ __.____
704.
800. _Items Peyable In Connection With Loan
;_~~;:n_:~___~___.:=_=~_ ::..-=-= ~ _~==- __----..-_-_=_.--.__j-._-_~-.._--_ =--_ __-__f,~-
803. Appraisal Fee -----_~__.....t~~._____ 1--
1l.<!.~. Cred~~~____~_______..to.________ ___~..j
;: ;~~%::: :::"~:'~. -:____-. ..m :.~j~-= I
808.
809. -=--=~-==:=~_____ _____~~..::::_=~ --_---=:=::::=~[
810. I
8i1"----------~--.----------....-- t----
~Cl:.~s~ed By Lender To Be Paid In Advance _ __, _
901. Interest from ._._~__..rc>___________._~___. ...I.day _ I
;:~:::;:=~::~'=~_=_=m_=-:::.~L _ - -=-~--r--=-~. ~,.
~OOO. Reserves Deposited With Lender
~l!~i~;~~-===~~~~:j:~~~~= - ..... ~--~-t- _~-j.
~-=~=- ~~~g --~~ ~~--~~=--:.-=-t___m-- ~:~-t
~~. ~:~:~~~:~g~;::,:::r~~e-e---.~-::~I~dO~~I~e...-=~::::=====-=----r..===.i~.O(Jr=-.
1103. Title examination to .._--~~----------==-+- ------f-"
~~-~;;~;;;~~_ :: Paul Br~dford Orr. ESqUire_=:::::_:..=====::..=--=-t=_-:":::i~,ooJ
1106. Notary fees to I'
it07 All~~Y~f~~i==::::~___.___..~~~~QUirll_--=:-_-_-::::--J_-~::::-::" . r
_.u _~~des abo!~~~S num~ers: - - - - - -_ 1=1 _ _ L_
1108. Title insurance to
- -- --------- -- .- ._-t-
___Jir'c'.':d.ElS-"~.':J1.Snumbers: .._.__ ___.___ __ ~__ ) ____
: ~ ~~. ~:::::: :::::::: : :~===-.:-'- ~----'--"---j---- ..-- -. -==1
1111. Larrv Foote-Deirsified Appraisal Services________ --.---..L.._______
1112. ,
1113. ".'--.. ------..-....-~---.-.---.t----- --.-- ---1-
1200. Government Recording and Transfer Charges
1201. Recording fees: Deed $ 38.50 ; Mortgage $
~~.c::;ly/county lax/stamps: Deed $ ; Mortgage $
~O:J..~a~e tax/s~mps: Deed $ ; Mortgage $
1204.
~--'--~'-,----~,~
1205.
1:300. Additional Settlement Charges
1,301:. SurveY..____'.o............_...
1302Yest inspectionto_.______.. '_.__.__
1303. .iurnace Inspection & Cleaning
1:lO~, J::<l..x,,9aim Bureau 2004
1305. Tax Claim Bureau 2005
% ; _.-----T-
--==--=-=J
i
Paid From
Borrowers
Funds at
Selllement
Paid From
Seller's
Funds at
Settlement
r-.
- i--
1
I
40.50 , Relea~~;$' ----- ---- ~-- -- -:>Q.F--
__m __ ~~m :. f~ ~,~~o:_ m
~=-=~ ~ - _m= ~ _ ==-t: m= l.
---.-------.-- -.---.-l---------
1400. Total Settlement Char~e8 (enter"n lines 103, Section J and 502, Section K)
1,274.00 I
./' .,f' ~
'., I ~, ,I
1 i'/
" N~l'
./ . . ....(
/' /
~ ../"
/.
"; . ,/
('if(</
-", '-r/
)jc7/ /~/C>/((.>
:'\
,-.'.".\ \..',
') :.
\.~ ut~,
295.00
250.00
....1I2Jl..Q
....>1".
550.00
125.75
913.34
851.71
3,260.80
Previous editions are obsolete
Page 2 of 2
form HUD.l (3/86)
ref Handbook 4305.2
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APPRAISAL REPORT
1545 McCLURE'S GAP ROAD
CARLISLE, PENNSYL VANIA
PREPARED FOR
THE ESTATE OF BENJAMIN D. KUTZ, JR.
BY
LARR Y E. FOOTE
DIVERSIFIED APPRAISAL SERVICES
35 EAST HIGH STREET, SUITE 10]
CARLISLE, PENNSYL VANIA
] 7013-3052
(717) 249-2758
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D
SUMMARY OF IMPORTANT FACTS AND CONCLUSIONS
LOCATION: 1545 McClure's Gap Road
Carlisle, Pennsylvania
TAX PARCEL NUMBER: 14-06-0023-0] 6
IMPROVEMENTS: Single-wide mobile home.
PROPERTY RIGHTS: Fee simple interest.
OWNERSHIP HISTORY: The subject property is owned by Benjamin D. Kutz. The
property was purchased on November 9, ]984 for a
reported consideration of $2,000 and ownership
transferred on deed reference 30-Z-444.
SCOPE OF THE ASSIGNMENT: The scope of the assignment included an analysis of the
subject's area, an inspection of the subject property, an
estimation of the property's highest and best use,
consideration of all three approaches to value, and the
application of those relevant to the valuation of the
subject.
OBJECTIVE: To estimate the market value of the subject property as
unencumbered.
EFFECTIVE DATE: September 26,2005.
HIGHEST AND BEST USE: Continued use as a single-family residence.
COST APPROACH: N.A.
SALES APPROACH: $55,000
INCOME APPROACH: N.A.
FINAL VALUE CONCLUSION: $55,000
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APPRAISAL CERTIFICATION
I hereby certify that upon application for valuation by:
THE ESTATE OF BENJAMIN D. KUTZ, JR.
the undersigned personally inspected the following described property:
All that certain piece or parcel of land, with the improvements thereon erected, situate
in Lower Frankford Township, Cumberland County, Pennsylvania, bounded and described as
follows:
Beginning at a point in the middle of McClure's Gap Road; thence North 29 degrees 41
minutes 12 seconds West a distance of 139 feet to a point in the middle of said McClure's Gap
Road; thence along a curve to the right a distance of 11 feet with a radius of 1,450 feet to a
point; thence along lands now or formerly of Casper P. and Minta E. Lloyd North 54 degrees
54 minutes 5 seconds East a distance of 164.24 feet; thence along lands now or fonnerly of the
said Lloyd North 79 degrees East a distance of 60 feet; thence along lands now or formerly of
the said Lloyd South 29 degrees 2 minutes 58 seconds East a distance of220 feet; thence along
Lot NO.1 ofa subdivision at Plan Book 34, Page 19 South 79 degrees West a distance of230
feet to a point being the place of beginning. Being Lot No.2 of the subdivision plan for Casper
Lloyd recorded in Plan Book 46, Page 56.
To the best of my knowledge and belief the statements contained in this report are true
and correct, and that neither the employment to make this appraisal nor the compensation is
contingent upon the value reported, and that in my opinion the Market Value as of September
26, 2005 is:
FIFTY-FIVE THOUSAND DOLLARS
$55,000
The property was appraised as a whole, subject to the contingent and limiting conditions
outlined herein.
Larry E. Foote
Certified General Appraiser
GA-OOOO] 4-L
3
REV-1508 EX + (6-98)
.
COMMONWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
BENJAMIN D. KUTZ, JR
FILE NUMBER
ITEM
NUMBER
1.
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.
DESCRIPTION
ESTATE SALE GROSS PROCEEDS
(DECEMBER 10, 2005-BRICKER AUCTIONS)
VALUE AT DATE
OF DEATH
3,334.00
2.
CENTRAL PENN AUTO CLUB REFUND
34.50
3.
1991 FORD AEROSTAR MINI-VAN
(KELLY BLUE BOOK VALUE)
ADAM'S ELECTRIC CO-OP REFUND
1,635.00
4.
355.50
5.
ORRSTOWN BANK ACCOUNT NUMBER 106002081
BALANCE ON DATE OF DEATH TRANSFERED TO ESTATE ACCOUNT
273.69
TOTAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
5 632.69
j)Ee, /Or ()s-.
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Kelley Blue Book - Suggested Retail Pricing Report - Ford, Aerostar
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Condition
Value
Excellent
$1,635
(Selected)
Suggested Retail Value Assumes Excellent
Condition... More
NEXT STEPS:
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Get a CARFAX History Report
Vehicle Details
Change~@ij:lmeot
Engine:
Transmission:
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Mileage:
V6 3.0 Liter
Automatic
RWD
97,000
Selected Standard Equipment
5 Passenger
Xl
Air Conditioning
Power Steering
A~1/FM Stereo
Blue Book Suggested Retail Value
The Kelley Blue Book Suggested Retail Value is representative of dealers' asking prices and is
the starting point for negotiation between a consumer and a dealer. This Suggested Retail Value
assumes that the vehicle has been fully reconditioned and has a clean title history. This value
also takes into account the dealers' profit, costs for advertising, sales commissions and other
costs of doing business. The final sale price will likely be less depending on the vehicle's actual
condition, popularity, type of warranty offered and local market conditions.
Vehicle Condition Rating
Chec_k, Vehicle_TitlE! Hif5tory
Excellent
$1,635
"Excellent" condition means that the vehicle looks new I is in excellent mechanical condition
and needs no reconditioning. This vehicle has never had any paint or body work and is free
of rust. The vehicle has a clean title history and will pass a smog and safety inspection. The
engine compartment is clean, with no fluid leaks and is free of any wear or visible defects.
The vehicle also has complete and verifiable service records. Less than 5% of all used
vehicies fall into this category.
* Pennsylvania 07/24/2006
Blue Book Retail Value Assumes Excellent Condition
ThiS value assumes the vehicle has received the cosmetic and/or mechanical reconditioning
http://www.kbb.comlkb/ki.dll/kw.kc.ucp?kbb&170 13&;641 046&;;ucr;& 16;FT;BS
Page 1 of3
Li::-:t ~'<"
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Estimated Payments
$ 33 /mo @ 7.59% APR
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from 6,65% APR
Your CredIt Score for h,:,~,::
Get a Free Insurance Qu.Y",-"
New Dealer
599%
~lm~~-
Used Oeak<r
RefirHlIlG:
Person-to-Person
MotOfCyd{!
995";;;'
105%
7/24/2006
. Adams Electric
~ Cooperative, Inc.
@ A Touchstone Energy" Cooperative ~
-
1338 BiglervilIe Road
Gettysburg, PA 17325-1055
Telephone: 7 17/334-92 I I
Fax: 7 I 7/334-3980
Web Site: www.adamsec.com
April 24, 2006
KIMBERLY BOOKS
98 PARTRIDGE CIR
CARLISLE PA 17013
ESTATE OF: BBtiitJ"kttrz:aodPATlUCJA I
BRENNEMAN"
PATROI'\JAGE it 4380
Dear MS. BOOKS:
This letter is regarding the above estate and the status of patronage capital derived during the year( s) in which
electric service was received from Adams Electric Cooperative, Inc.
As a non-profit utility, Adams Electric Cooperative annually allocates patronage capital to its member-
consumers based on their electric usage or patronage. Each member's annual patronage capital allocation is
added to any prior year allocation and becomes subject to periodic cash retirement as financial conditions
permit. Patronage capital is required by cooperatives for working capital and equity purposes to secure long-
term loans necessary to construct reliable electric facilities to serve member-consumers.
For the past 24 years, the Cooperative has made special retirements of patronage capital to estates on a
discounted lump sum basis. Both the general and special retirements are subject to annual authorization by the
Cooperative's Board of Directors.
The special lump sum early retirement of an estate's patronage capital discounts the unretired patronage
capital for each year that such amounts are paid in advance. Applying the process to this estate's patronage
capital yields a . In order for the Cooperative to provide the
special retirement, please:
1. Complete and return the enclosed Legal Statement.
2. Sign the Legal Statement in the presence of a Notary Public.
3. Return the Legal Statement in the enclosed postage-paid envelope.
After return of the completed Legal Statement, I will include the estate's patronage for consideration ofthe
special, discounted retirement tentatively set for December 2006, but possibly June of2006. If you have any
questions, please let me know. Otherwise, I look forward to assisting you with settlement of the estate.
Any funds not claimed must be turned over to the Pennsylvania State Treasury, Unclaimed Property, after a
period of five years.
Sincerely,
C tJ-a--f/l/J L-L ~1" cU/
i/Joanne May, Patronage ::;
Capital Representative
~
ORRSTOWN
13J\]\Jl(Da~e 11/30/05
J.'Pr~mary Account
Enclosures
11111111111111111111111111111111
Estate of Ben 0 Kutz Jr
c/o Orr Law Office
50 E High St
Carlisle PA 17013
WE PUT THE LOW IN LOANS!
ASK ABOUT OUR SPECIAL LOW RATE HOME EQUITY LINE TODAY!
CALL 1-888-0RRSTOWN ABOUT THIS LIMITED TIME OFFER!
C H E C KIN G A C C 0 U N T S
Account Title
Community Checking
Account Number
Previous Balance
1 Deposits/Credits
Checks/Debits
Service Fee
Interest Paid
Current Balance
Estate of Ben 0 Kutz Jr
C/O Orr Law Office
Check Safekeeping
Statement Dates 11/04/05 thru
Days In The Statement Period
Average Ledger
Average Collected
111001032
.00
273.69
.00
.00
.00
273.69
Page 1
111001032
11/30/05
27
273.69
273.69
Activity In Date Order
Date Description
11/04 Telephone Transfer Credit
Trace No
050700058
Amount
273.69
Balance
273.69
<D OUTSTANDING CHECKS
To Reconcile Your Checking Account
NUMBER
AMOUNT
1. List and Total all outstanding checks including those still outstanding from
previous statements.
2. Enter the "Balance This Statement" found in the last block of the summary
tine on the front of this statement.
3. List deposits and other credits not shown on this statement.
4. Total items listed in steps 2 and 3.
5. Enter and Subtract the total of the outstanding checks as determined in
Step 1 above from total in Step 4.
6. This Figure should be your checkbook balance. If it does not agree, review
the above steps, note the following instructions and if necessary review
your checkbook entries.
TOTAL
RECONCILEMENT
@
Q)
@
CID
@
IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC TRANSFERS
Telephone: 717-532-6114 . Address: P.O. Box 60, Orrstown, PA 17244
If you think your statement or receipt iswrong or if you need more information about a transfer onthe statement or receipt, please contact us as soon as possible using
the above telephone number or address. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error orproblem appeared.
(1) Tell us your na me and account number(ifany).
(2) Describe the error orthe tra nsfer you are unsure about and explain asclearly as you can why you believe there isanerrororwhyyou need more information.
(3) Tell usthe dollar amount ofthe suspected error.
If you tell usorally, we may require that you send usyour complaint or question in writing within 1 0 business days.
VIle will determine whether an error occurred within 10 business days (20 business days if the transfer involved a new account) after we hear fro m you and will
correct any error promptly. If we need more time, however, we may take up to 45 days (90 days if the transfer involved a new account, a point-of-sale transaction, or a
foreign-initiated transfer) to investigate yo ur complaint or question. If we decide to do this, we will credit your account within 10 business days (20 business days if the
transfer involved a new account) for the amount you think is in error, so that you will have the use of the money during the time it takes us to complete our investigation. If
we ask you to put your complaint or question in writing andwe do not receive itwithin 1 0 business days, we may not credit your account. Youraccountisconsidered a new
account forthe first 30 days after the first deposit ismade, unless each of you already has an established account with us before this account isopened.
VIle will tell you the results within three busin ess days after completing our investigation. If we decide that there was no error, we will send you a written expla nation.
You may ask for copies ofthe documentsthatwe used in our investigation.
LINE OF CREDIT ACCOUNT INFORMATION
Important Information About Your Account Charges:
VIle compute the FINAN CE CHARGE on your account by applying the periodic rate to the "average daily balance" of your account (including currenttransactions).
To get the "average daily balance," we take the beginning balance of your account each day, add any new loans, and subtract any payments, credits, unpaid finance
charges, and unpaid insurance premiums. This gives usthe daily balance. Then, we add up allthe daily balances forthe billing cycle and divide the total by the number
of days in the billing cycle. Thisgives usthe "average daily balance."
If a ''finance charge adjustment" is shown on this statement, we computed this portion of the FINANCE CHARGE by multiplying the principal amount to which the
adjustment applies by the periodic rate which applied in the billing cycle for which the adjustment was made and by the number of days for which the adjustment was
made.
Billing Rights Summary
In Case of Errors or Questions About Yo ur Statement
If you think your statement is wrong or if you need more information about a transaction on your statement, write us on a separate sheet at the address shown on your
statement as soon as possible. We must hear from you no later than 60 days after we sent you the first statement on which the error or problem appeared. You can
telephone us, but doing so will not preserve your rights.
In your lette r, give usthe following information:
(1) Your na me and account number.
(2) The dollar amount of the suspected error.
(3) Describe the error and explain, if you can, why you believe there is an error. If you need more information, describe the item you are unsure about.
You do not have to pay a ny amount in question wh ile we are investigating, but you are still obligated to pay the amounts on your statement that are not in question.
Whilewe investigate your question, we cannot report you as delinquent or take any action to collectthe amountin question.
This isa summary of your rights; a full statement of your rights and the bank's responsibilities underthe Federal FairCredit Billing Act will both be sent to you upon
request and in response to a billing error notice.
REV-1511 EX + (12-99)
'*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
BENJAMIN D. KUTZ, JR
FILE NUMBER
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. CUMBERLAND VALLEY MEMORIAL GARDENS 3,090.00
2. HOFFMA~ROTHFUNERALHOME 6,835.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representalive (s)
Social Security Number(s)/EIN Number of Personal Representalive(s)
Street Address
City State lip
Year(s) Commission Paid
2. Attorney Fees PAUL BRADFORD ORR, ESQUIRE 3,646.78
3. Family Exemption (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City State lip
Relationship of Claimant to Decedent
4. Probate Fees 210.00
5. Accountant's Fees
6. T ax Return Preparer's Fees
7. PROOF OF PUBLICATION FEES-THE SENTINEL 166.07
PROOF OF PUBLICATION FEES-CUMBERLAND LAW JOURNAL 75.00
TOTAL (Also enter on line 9, Recapitulation) $ 14 022.85
Debts of decedent must be reported on Schedule I.
(If more space IS needed, insert additional sheets of the same size)
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EXHIBIT "A"
Pre-Need Funeral Arrangement Contract
Statement of Funeral Goods and Services Selected
D
GUARANTEED SERVICES AND MERCHANDISE
:harges are only for those items that you selected or that are required. If we are required by law or by a cemetery or crematory to use any items, we will
.xplain the reasons in writing below.
..of Service Reque~ted r---" \.
-!Cad ,'1-r 0 na.J . ~ Y\ .D...rn _
'rofessional Service
;asic Services of Funeral Director and Staff...................... $ ~_
mbalming ........................................................................ $ V
'you selected a funeral that may require embalming, such as a funeral
lith viewing, you may have to pay for embalming. You do not have to
ay for embalming you did not approve if you selected arrangements such
5 a direct cremation or immediate burial. If we charged for embalming,
'e will explain why below:
i NON-GUARANTEED CASH ADVANCE ESTIMATES
leath Certificates (Quantity ~ .................................... $ :;;).00:> c;> Crematory Charge .............................................................. $
irave Opening/Closing ..................................................... $ 7 ~1:1 '"" Transportation .................................................................... $
leath Notice ...................................................................... $ Other
lowers .............................................................................. $ We charge you for our services in obtaining the following
lonorarium ....................................................................... $ Cash Advance items:
1usic ................................................................................. $ Amount charged ................................................................. $
uncheon ........................................................................... $ TOTAL ESTIMATED COST OF NON- I I
:oroner's Fee .................................................................. $ GUARANTEED CASH ADVANCE ITEMS ................. $'7~"C:Jv
TOTAL GUARANTEED AND NON-GUARANTEED FUNERAL PRICE ..............1 $ &g- 3SDO I
F THIS CONTRACT WAS PERSONALLY SOLICITED AT A PLACE OTHER THAN THE FUNERAL HOME'S PLACE OF BUSINESS: YOU
HE BUYER MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY ATER THE DATE
>F THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS WHICH ARE PART OF THIS CONTRACT.
'heck box if embalming is required for viewing 0
lther Preparation .............................................................. $
lther (specifY) ................................................................... $
acilities
'isitation ........................................................................... $
unelal Service .................................................................. $
:ommittal Service ............................................................. $
lther (specifY) .................................................................. $
lther (specifY) ................................................................... $
v-
\,./"'"
V/
0/'
'ransportation
:;h~~a5r5s~~~:; :fuS~~:ilfi~~%~~~~i.h~~~).................. $
uneral Coach .................................................................... $
ead Car ............................................................................ $
amily vehicle ................................................................... $
lther Transportation ......................................................... $
'OTAL GUARANTEED SERVICES ........................../ $~q~--o1
V'
V
./'
Name of Penon for whom funeral services or
merchandise are purchased if other than purchaser
Slh6f13ture of Purchaser'
Date
.CPA10/99)
Page 1 of 1
hereinafter called
, hereinafter called "provider".
"purchaser" and
Check box if cemetery requires outer burial container 0
Check box if crematory requires alternative container 0
Other required purchases:
Merchandise
Casket ............................
Manufacturer NllIp
Model Name
Model #
Exterior Material & lor
Interior Material & Color
Out~~::~:::~~~!5(:rww $ or yoU d
Model #
Material C0()~.re..t.e. UJ/l1 t1 or
Urn...................................................................................... $
Description
Register Book .................................................................... $
Memorial Folders ............................................................... $
Acknowledgement Cards ................................................... $
Other . ........ ........ ..... ...... ...... ...... ...... .................................... $
Other .................................................................................. $
TOTAL GUARANTEED MERCHANDISE ................./ $31QSbo I
... .............................................. ~/d-SOC
v
V
V
TOTAL COST OF GUARANTEED I I
MERCHANDISE AND SERVICES ............................... $lrttJ g DIkI
White - TPA, Yellow - Provider, Pink - Purchaser Copy
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Tammv Shoemaker, Classified Advertising Manager, of The Sentinel, of the County
and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a
newspaper of general circulation in the Borough of Carlisle, County and State
aforesaid, was established December 13th, 1881, since which date THE SENTINEL has
been regularly issued in said County, and that the printed notice or publication
attached hereto is exactly the same as was printed and published in the regular editions
and issues of THE SENTINEL on the following day(s)
JanualY 05,12,19,2006
COpy OF NOTICE OF PUBLICATION
lliAn~
Letters Testamentary for the Estate of BENJAMIN D.
KUTZ, JR., deceased, of Lower Franklin Township,
Cumberland County, Pennsylvania, have been granted
to the undersigned. All persons Indebted to the Estate
are requested to make immediate payment, and those
having claims against the Estate are requested to
present them for settJement without delay to:
Kim J. Books
98 Parlridge Circle
Carlisle, PA 17013
Or to: Cathy A. Locke
1131 Franklin Street
Carlisle, PA 17013
Affiant further deposes that he/she is not
interested in the subject matter of the
aforesaid notice or advertisement, and that
all allegations in the foregoing statement
as to time, place and character of
~~iz~(L
Or to:
Paul Bradford Orr, Esquire
50 East High Street
Carlisle, PA 17013
Sworn to and subscribed before me this
25th day of January, 2006.
C'It,Ulrh Ad) Jf WtJi/-e
Notary puQJit ~
My commission expires: C; ji ItJf
COMMONWEALTH OF PENNSYLVANIA
Notarial Seal
Chnstina L Wdfe, Notary Public
Carlisle Boro, Cumberland County
My CommiSSion Expires Sepl1, 2008
Member, Pennsylvania Association Of Notaries
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PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEAL TH OF PENNSYL VANIA
COUNTY OF CUMBERLAND
ss.
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
Viz
r;T/}Nf)/l-~,/ Id ~ ~~(, J'/}N/)A1!-V l~ c;2{)Cb,. ....:I'ANO/f7<Y A~. ~C>U~
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
Kutz, Benjamin D., Jr., dec'd.
Late of Lower Franklin Township.
Executrices: Kim J. Books. 98
Partridge Circle. Carlisle. PA
17013 and Cathy A. Locke, 1131
Franklin Street. Carlisle. PA
17013.
Attorney: Paul Bradford Orr. Es-
quire. 50 East High Street. Car-
lisle. PA 17013.
1L
-
swomhTO AND SUBSCRIBED before me this
~b day of ~.4#{)J9.R'(, &.6~b
~.~ OJ .I.L J4u1dpA/
...... Notary
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
January 20, 2006
Cumberland Law Journal is published every Friday by the Cumberland County Bar
Association and is designated by the Court of Common Pleas as the official legal publication for
Cumberland County and the legal newspaper for publication of legal notices.
TO:
Paul Orr, ESQUIRE
Benjamin D. Kutz, Jr., ESTATE
RE:
Legal advertisements must be received by Friday Noon. All legal advertising must be
paid in advance. Make all checks payable to: Cumberland Law Journal.
------------------------------------------------------------'--.-------
-------------------------------------.-----------------------------------
Advertisement inserted on following dates:
January 6,13,20,2006
Advertising Cost
Second Proof Request
75.00
$ 0.00
$ 0.00
$ o .00
-------------
$ 75.00
Proof of Publication
Payment received
Total Amount Due
1523
LAW OFFICES OF PAUL BRADFORD ORR
ESCROW ACCOUNT - IOLTA
50 EAST HIGH STREET
CARLISLE, PA 17013
\
<-1 \ v-\\ (i ,
DATE __----------L---\__Oc___L\~cL.!L______
60-15038
313
TPOA~HE (~ - y--" , C\ \\ (. .-'- r.:'l ,\ . \/. ,-r. r,-' !\ I $- ,(;:: ,"'f'
, .\ '!((L~\ ll1,- \....L1..U--.J__~J/-,\ le,~ y~ -------------- - I ,j ~J
ORDER OF____"=___-'-L.~ .. - , \," ---. -------- _.-'-,_ ________.--- (>~_) //i ",
:--\\. \ --,(; \'JJ..j '\ _ ~. J"" L\.....JG .. _____ . -----,- -------~:::__________~____j~lf'_MLlARS ~
---:=~~ - -q- --~cr ---'--- - - ------ -- -------------- - - - -- /-~ r .. I II I
J t) 0 If) If'!1
~ ,I I., I 'I. '
_...O~yYN~K. ~'_" \'. \. ~\. I.j/L/V
FOR_rL~\~F0.\ \",L\ \-)__1-\/\C.\J R '. \ t:'-)-\-C~~:_ J (j-..,J j. I / M'
III 0 0 . 5 2 ~ III I: 0 ~ . ~ . 5 0 ~ b I: . 0 BOO 5 ? :1 L, III
REV-1512 EX + (12-03)
'*
SCHEDULE.
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
BENJAMIN D. KUTZ, JR
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
FILE NUMBER
ITEM
NUMBER DESCRIPTION
1. SETTLEMENT EXPENSES FOR SALE OF REAL ESTATE
PER HUD-1 DATED JANUARY 27,2006
(SEE LINE 1400 OF HUD-1)
2. BRICKER AUCTIONEER EXPENSES FOR SALE ON DECEMBER 10, 2005
(SEE PROCEEDS SHEET ATTACHED TO SCHEDULE E: LINE 1)
3. ADAMS ELECTRIC CO-OP
($148.61 + $64.60)
VALUE AT DATE
OF DEATH
3,260.80
1,880.00
213.21
4. SPRINT TELEPHONE
42.48
5. COMCAST CABLE
28.47
6. ADAMS ELECTRIC CO-OP
8.26
7. IRS BACK TAXES
91.82
8. D & D TRASH REMOVAL
250.00
9. W & M TRASH BILL
29.94
10. LARRY FOOTE APPRAISAL SERVICES
275.00
11. DELINQUENT PERSONAL TAX BILL TO G.H. HARRIS
58.00
12. FURNACE REPAIR
125.75
TOTAL (Also enter on line 10, Recapitulation) $
6,263.73
(If more space is needed, insert additional sheets of the same size)
A. Settlement Statement
U.S. Department 01 Housing
and Urban Development
: R::;:-~];:"~~,:~~= ~:r :" '~:~_ _t'''""OO .-: "~"~~:m""'.=o'
C"N~t;; -This form is turnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Ilems marked
"(p.D.C.)" were paid outside the closing; they are shown here forj~f.or_matio~_al~_~rpo~es. ~~d are n.~t.lnclude_d 10 thet~t~IS. _ _
~~::~s & Address;;;B;r~;;;~r~ ---:1 E~:t::e& ;d;:~;~~~I;~ :::, Jr. -- --- --fN~~~&Add~~SS 01 Lend-;;---
Ty J. Whitten and Heather L. Whitten
113 Big spring Terrace
Newville, PA 17241
G:P;';P';;lylocallon- ---------~----TH-s.t;;.;me~Age~t - - .-~-. '----
1545 McClures Gap Rd., , __., _
Carlisle, PA 17013 rlaCeOISetllemenl
i
I
-- 1
I
II
Seltlemenl Dale
~ SumlT1~~~.':'.o."",r's Transaction ____._ __ ___ ______I<._~ul~l~r1.C)f~lIer'~2"_al1~ac~iol1
100. Gross Amount Due From Borrower ___~_____ ~~._~oss~ount.[)ue_~Sell<..____
101. Confract sales price ~ -------f-.-. 55.000.00 ::~~l1tracf_sal.e_sJl~~__,,__
~'P~~nalproperty -- - _ 4Q~-"'ers()'2"~l'r_op"rtL_ __._
:::-,.,,,.."' _.;;.Oo~w;; '''"'''"0' --='27400 :::-:- _ ==__ -:= ~=_]
Adjustments for Items pa;d by seller In advance _ Adjustments for Items paid by s!lIer in advance __
106-Clty/town taxes --- to~__ 406 Clt}'ltown taxes --"-~--,--, --f
107 County taxes to __ _~__ 4~S:-"-"l1ty ta~_.__.t()________ __
: ~ -'~'~'~"" - _ _ ~o _ ~ ~ _ -=-_ :~ '~",m.",,:-=- u~o - _ - f-=-
2.t..!~---=--:-- -- H________ ~~,2.. n__ __om. ____________
112. 412.
Adjustments for items unpaid by seller
--1-- --===-- 51 O__~~,,-~ ta;es -.:. _ _ t()_ _
~t,__<:;oun!y taxes _. --_____----.2."-__
512. Assessments to
--~_.~-------~--------
513.
514.
515.
516.
517.
51B.
.-------------
519.
120. Gross Amount Due From Borrower 56,274.00
200. Amounts Paid By Or In Behalf Of Borrower
2o,'.-Oepo';;;- or earnest money ------__-1--_ 5,000.0'0
~CJ..2'n Pril1.c;ipai amoun~!new~,:,~_____.::=-r ___n____
2.Q:l:.~xisting loan(s) taken s~bject to ~____
204.
---'---"~---'-- --~~ --~---
205.
_.~._------_._---_._~------ _.~_.
206.
---.-.--.- --~--_.._-
~E_________~ --==1== ~~~_
Adjustments for items unpaid by seller
~.10. City/town taxe"-__________ to
~t.L Count~"_~s_______.....!Cl__
212. Assessments to
213.
214.
215.
------
216.
-----.-------------.---.
217.
21B.
219.
=-==1= .----:==
55,000.00
420. Gross Amount Due To Seller
500. Reductions In Amount Due To Seller
-~--_._~-,-
501. Excess deposit (see instructions)
_.~-----~~-~_._----_._----+._--_.- ------------
502 ,_S<lllI€!ITl~.t.c;.harges to se""':..(Iine 1400) .. ______ ~--- _1.,2~Q,8g
503.E, x, isting ~oan(s) taken subject to ---" - ---,- -,r ',,_,,_.'_, _,__" ._
50~a.2'Cl!'of first mortgage loan ___________ onn ___ _ __ __. __
50S. PaYOft..~e_c()n.cJ.":'."rtg~"-Jo,,"--_ _____ _, __
506.
5~L_ _ ::::.~~~~-===~~---- ~----
SOB.
509.
55.000.00
-n-l-- -.
nUn j
220. Total Paid By/For Borrower 51,274.00 520. Total Reduction Amount Due Seller
300. Cash At Settlement FromlTo Borrower 600. Cash At Settlement To/From Seller
~_Qross Amount due from b;;rower (line 120)-=-=r~ ---=--56~ff4006.Qi~=ir~~~1T1.0';;'~<:IlJ.:-;;;-~J;;(ii-"~4:~OL~::::~==-:c"
~o~:.. Lessamount~paid by/for bOI'r()_",".'JIiI1.~_220) ____+'.__.2.127400) 603....L:.e~~-'e_du,c;tions In amt. due~I!".'.iI!I1."..~20) __ U
I ,
303. Cash [J From U To Borrower I 603. Cash [~' To [] From Seller
Section 5 of the Real Estate Settlement Procedures Act (RESPA) requires
the following: . HUD must develop a Special Information Booklet to help
persons borrowing money to finance the purchase at residential real estate
to better understand the nature and costs of real estate settlement services;
. Each lender must provide the booklet to all applicants from whom if
receives or for whom it prepares a written application to borrow money to
finance the purchase of residential real estate; -lenders must prepare and
distribute with the Booklet a Good Faith Estimate of the settlement costs
that the borrower is likely to incur in connection with the settlement. These
disclosures are manadatory.
51,739.20
_.55,g.Q9 ~Q.
..._!?1.,1.:!.9,~..J
Section 4(a) of RESPA mandates that HUD develop and prescribe this
standard form to be used at the time 01 loan settlement to provide full
disclosure of all charges imposed upon the borrower and seller. These are
third party disclosures that are designed to provide the borrower with
perlinent information during the settlement process in order to be a better
shopper.
The Public Reporting Burden for this collection of information is estimated
to average one hour per response, including the time for reviewing instruc-
tions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information.
This agency may not collect this information, and you are not required 10
complete this form, unless it displays a currently valid OMS control number
The information requested does not lend itself to confidentiality.
Previous editions are obsolete
Page 1 of 2
form HUD-1 (3/86)
ref Handbook 4305.2
,
L. Settlement Charges
---------~-----~--- iJ r
700. Total Sales/B~-k-;r's Commission based on price $ @ % =
----.----.--"-- -- -= - ~ Psao',d,-oFwreO,ms ~ '-.----PsajedIIFer,~s~
_~l()n_"f..<::ommissiollJ'ir1e 700) as foll()~_~__
;~~ l__~~===--=---=~_ :: _ __--===__=_ ~~~::-- - _ ~~t~:~'---_~~~~t~~~:~~___
703. Com"2.'.ssion paid ~t.~tllement__________
704.
800. Items Payable In Connection Wit"-- Loa-,,--~_______~
801. Loan Origirl~t!.~Fee .__----""'--__.________.
8..2.2. Loan Di~()u_n.!...____ _.__~____
8..2.~ Appraisa~~.____________ ....f,,_______
804-'-..c::.redilfl.s.port.___._ ----- ----"'-- _ --. --~ -----
1l()~l,.e.nd_~-"-pect!.().':'.-"~e___ _~___ ____ _ ___ _ ____
806, __Mortgage~nsura~c~~~~c_ation Fee t_~.___~____________
8()7..c..!ss'!':lPJion Fe~_ ____~____
808.
----~-"----_.._-_.._------~_.__._------_._---
809.
810.
----_.._----.-. -----~-_."--------~ .--,---- .-.----------,-..
811.
~ll...ltems_Required By.~"nder.!o Be .!'-"~ Advance
901. Inter':.s! from_______.__~,,__________~~_.___~_ _ /daX_
~~~: Mortgag~_~surance Pre~jum fo~_.___~___.___~_____ months 10
~~~~~!:~d~~~~~~~ium !~_____~~_______ _year_~__~
904. ____________.______ . n__ )'ea-'~to__.
905.
100!>:.... Res!-'-"-"!.~po!'!.':.d With Lend!'!__________________
~=-. Haza!9~~_:~~~~__~ __.. _ .____~~~ths@$ _~___~~~?_~_~____. ---1------------- _._~~rr__
10.Q2. Mortg~"...!".su'''I1C_''__ ____~__ months ~.!._______._E.e.r mont"--____ =~__-=u_=_--::_+=-~-.~.:. .~-- __ ___
1.O..2.~,_c:;ty..il'''I'..e_'ty~x~s___ ____----"'-o~t.h~_u _ perlTl-,,~th __---=-._._.._...--1-___-_------- ! u_
.!5~__~~: Cou~~oper!r taxe~..__ mO~~@$ ________E...~~~~~.~.!!1 _ ~t--- -~-,.------_____l_____._
~{{-A!'.r1lJ~~~~e~=m~nts ..:~=_====__;;:~::: ~:~~=~~~~~*=~-------=~--=-==J=--==~:==~:_t-:
;~~~~- --- --~-~~}_----~~~---~------+ -1-
~:~~- ;::~e~;..9;';"~~le-;--- ---;;;---Pa~~Qu""ir~-- - -- - - =1=---'- 450 oaf
~;:. ~::::t~~::~~~:io~::~~h-=~-~~----------=~~~_~~_~_---~--+f---.=- -- --~]
: :~: ~:~:;~:~~::a':'o:====_~~ ::~~:~r~==Uire_~_ _ _ _ __===_ __---_ _ __ Hl5 00 f _
1107. A~tcJ"'-")""__~e_es_____~__._u__!.o_Paul Bradford Orr...E~u!.r.e___ ___ -f _ ___ -----r
1i08--~~~~~:~;~~e ite'rls--"-"-IT1~-"-'"_'____;o----------- --- )t - _ r
------------~_..-~~-------~- -- - --1 - - t
_.__~<?_ludes a~_ove items numbers: )
: :~~: ~e::::: ;:;:::~: :_ -~ ___==__- =_~_ _-_- = _~_ --.= _~-__-_-~_ _
~c Larry Foote-Deirsified Appraisai Services ___________ '
~~-----------~~ -.----- ---------_ ._-+_~__ n __ __j
1113.
1200. Go.vernment Recording and Transfer Charges
'2.9_1.:..f1.ecording fees: De~__ 38.50; Mortgage $ ___4Q~9_; Re~e:~~i~-:---------=-~=l=---~--_jj-_l- _
!3~il)'!:.ounIY ~~x1slamps: Dee_d $ : Mortgage $ _ ________
13.()3___.~tate tax/stamp_s: Deed $ ; Mortgage $ __ _ _ ~____ _ _________.~_ _ ___ 550 00 ~
1204.
1205. . -------.~-- . .-----~--..---- -.- ----..~.---- ------.~.-t--
1_3.00. Addl!~"-"'-_f)."tt1ement Charjle-,,--- . ._________._____
1301. Survey to --~--. -r-~ -1- -
[;j~:~~:;i~~~=-===-~=~--=_~ ~~~~_= =-1-=-:--: - ~j~~
1305. Tax Claim Bureau 2005 851.71
--i
.-~~=1::- n -I
. ---==-J I
-={--- ..~.
---- --i- -
- ,--
------"--.
- -i-
-- +
T
__oj
,
u-r-
"
295.00
250.00
__~.7.5.00 ......
550.00
1400. Total Settlement Charg,ea (ente.' Dn IInas 103, Section J and 502, Section K)
3,260.80
/ ~-I" .
/
/( ;il '/
. f
'-1 f/ 'I'
/ .1'(/.....
"/ .' Kf...
-- ./' /' / . '7"/
//(.1/ /' /1."/((."
...i
\ '. ,'\
\ ,__,V\.\"'"\
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\ "" \c.. L.",
Previous editions are obsolete
Page 2 of 2
form HUD-t (3/86)
ref Handbook 4305.2
-"~,.""""-".""""---""""",-,"",,,,.",,","<'~~'-""'._-'~"~._~"'--'''''''---'',,~._"".^.,.,. .,..--"'........" ..._" .
- - - - - - - - - - - - - - -
- - - - - - - - -
Detach here
Please detach the above portion and return with your payment
i-;ccount #~2~517~5300 -.- f Meter ~previous Rd i Present ~_ MUltiP~ KWH Used I R~~:~g
Name: BEN D KUTZ I KWH 67880 68707 1 827 Estimated
PATRICIA L BRENNEMAN I
Reading Dates: 09/01/2005 TO Estimated I
Rate: RES01 RESIDENTIAL
Service Loc: 1545 MCCLURES GAP RD
BASIC CHARGES
I Energy supply prices and charges are set
by your electric generation supplier.
Adams Electric Cooperative Inc.
1338 Biglerville Road
Gettysburg, PA 17325-1055
ENERGY SUPPLY:
BILLING DETAILS
(888) 232-6732
Energy charge
827kwh @ .04074
TOTAL ENERGY SUPPLY
DISTRIBUTION:
Service charge
Distribution charge
500 kwh @ .02926
327 kwh @ .02076
TOTAL DISTRIBUTION
FCR CHARGE 827kwh @ .01805
TOTAL BASIC CHARGES
PRESENT READING ESTIMATED
33.69
33.69
13.00
14.63
6.79
34.42
14.93
83.04
-I
I
I
I
I
I
!
!
NON-BASIC CHARGES
\ \ ~ to ~
ACCOUNT SUMMARY
j -- I
Rev Month i OCT 20~
ITotal yearly! ,
KWH for ! 8287 I'
past 12 :
months ~-----J
Average ' I
j monthly ! 690 I
I KWH , I
r for past 12 i I
I months : !
t ~---'
i
I
!
PAYMENT DUE
Previous Balance:
Payments Received:
Late Penalty:
Balance Forward:
Total Basic:
Total Non-Basic:
Sales Tax:
ACCOUNT BALANCE
11/15/2005
i
I
i
j
64.60 :
0.00
0.97
65.57
83.04
0.00
0.00
148.61
148.61
~,17053?O
+
~
~
04 173;;:-,~()fO~~'
DATE BILLED METER NUMBER ACCOUNT NUMBER
09/29/2005 91479294 2051705300 +
,~:~~;::,'" "',,: ~;:~~~~~" 'fmu. ,,~~
AC1~Hl1::, Elcc1n;:. CourH:-ratJ\ic lnc
:33S Blq~P~-vdl(~ R03Ci
PC) bC)X 36U~-.
Cycle 1
1'"
'f".!i~' ~,Jo; \o-D
~\7 l~l"-~ ~\\\eC\
\ .r\ \\\ e~\9A.\R ENTER ,----, r--, ~I
,-".r ...JT--~\, ~ READING DATE L_Jt__...J L_~
if- ~~~ e'\l~('--\ (V".c~'''(' 'Cl)'lCI"IC) U[, '0 help co.op ':lrn~~t~:hlfl rH'('C!"' I~D~~t
C-l P-l plta::.p :C:dq~t tJp~o\., :c,':;tan VO~l! bili \',-'I!! be rClunded
. ."\\\"r\ ~) tc the :-!f'\T f?\iPP ci':)!I<U .Jmount I,\i!tl; d!ft('.!.t\r1c(l bc'h'v'e0n
V"-' ~~( 7f1Lf,aC!iJ j ~JIII:x q'-!P ;.lIT;(Junt ,~)()', SJClfH~ ~')r(:i~:'ct r-Q:-!pJ11g
(P, lj\..I\MiJrlG
\...l>C' . ~',~,r"lJ'c +
67880 ij~~~~ READING
'! "EhF,-:-~~3~~-f)~/'.-'~:.'
~'''\'''\\1 ann r~l s !:: (_
on-
1545 MCCLURES GAP RD
REG
+
240 1 AV 0.278
BEN 0 KUTZ
PATRICIA L BRENNEMAN
1545 MCCLURES GAP RD
CARLISLE PA 17013-8914
+
1...111...111.111..111111.111111.1.111.11111.1.11.1.1.11111111
- - - - - - - - - - - - - - - - -
Please detach the above portion and return with your payment
r-~cc;unt-;:-'2051;-~;300-----'---'-! Meter Type "preViOUS R-d I Present RdfMu1tiPiier i KWH Used I R~~:~g ;---'-------1
i Name: BEN D KUTZ t-- KWH---.L-67320--~- 67880-L--------1-.l.-------s~Actual----'---------j
: PATRICIA L BRENNEMAN : ;
I Reading Dates: 08/15/2005 TO 09/01/2005 i '
I
Rate: RES01 RESIDENTIAL I
i
Service Loc: 1545 MCCLURES GAP RD I
,
I
------_.,~..<._~------,.._------_._---_.-I
BILLING DETAILS i
Data ch here
.._-_.__.~.._<-~.._.."..-------"~-~,,-'---"--_..__._.__.--~
BASIC CHARGES
: Energy supplV prices and charges are set
by your electriC generation supplier.
Adams Electric Cooperative Inc.
1338 BigleNille Road
Gettysburg, PA 17325-1055
ENERGY SUPPLY:
NON-BASIC CHARGES
'\
Energy charge
WPCA
560 kwh @ .04074
560 kwh @ .00500
22.81
2.80
V\~
\.It ~ \ b \
(888) 232-6732
TOTAL ENERGY SUPPLY
25.61
DISTRIBUTION:
SeNice charge
Distribution charge
500 kwh @ ,02926
60 kwh @ .02076
13.00
14.63
1.25
For :~O ';r..a~ ,;.-,-(lJn: Eir,ctr :.: R()UT\dlny--U,~, fc-r rj~,)te"'-~1
'-;2n<.: ;l....:,':.l~:t~'n m;1n\' en C)P farnlt!e:) tl;>!n
I":'-U;-;,': i~' ~-.:,IS1i; ~J~- ,:1:'':(\'.1: I:' ;88(-:
: TOTAL DISTRIBUTION
28.88
r--------.--.ACCOUNT SUMMARY
,-------..---,-----------------r .
LRev MonthE~~~~~._.J ::~~Oe~~sB~:;~~~d:
"Total yearlyl I Balance Forward:
~~ ~~r I 8060 I Total Basic:
L~nt~~_t-! ______ i Total Non-Basic:
; Average I Sales Tax:
! m~~,mIY ; 671 i ACCOUNT BALANCE
I for past 121 I
i months
~~--,_~.__--,-.J
!
i
---;
i
---J
FCR CHARGE 560 kwh @ .01805
10.11
107.71
-107,71
0.00
64.60
0.00
0.00
64.60
TOTAL BASIC CHARGES:
64.60
, '--~-'^._.._.__.._-- -."-- .,..~-"._-_.._---
PAYMENT DUE
10/15/2005
64.60
t LECTRICHECt< AUTHORIZATION
TlTNTION 8E~J D fCHZ
P/\.HiIClt" L. E:3FlENNUII1AN
f.i\akc ltwc. YOUI last check p<lyrnenl' By signing belo\,'.
V;Hi :luthorize Ai.iams Electll(: 2nd yOUi flt12llCiai
fnst~tLjtic}~-'i to auton1atical;y d(~(jt!ct a!l fututf: p~lVrrlF'nt~;
1::! (jclrn~::, Elcctrl\:. bi!t::::, freiT" t~.\~,~ ctlPcklr"I~; account
~'IC' '~\ n;,_'>n t. he c nc I ~)::::lP (1, !~-:: hee~'
c,.q~:atljrc fur Flcctf'fChpck l\uthorlzaHon
Please detach and return this portion with
your payment. Make sure the address below
shows through the return envelope window.
Please Make Check Payable and Mail To:
ADAMS ELECTRIC COOPERATIVE, INC.
1338 BIGLERVILLE ROAD
PO BOX 3605
GETTYSBURG PA 17325-0605
1111111..111.111111.1.1.1.111111111111..11111.111.111.11111.11
1. Please read your meter when you receive this bill. Please print
your meter reading with one number per box. Enter the reading
date as a two-digit month and day where indicated. Readings
need to be received by the due date on the bill.
2. Detach the upper portion of this bill and retum it with payment
by the due date (see payment options at right). Please write
your account number on your check or money order.
3. Please make sure the address at the top shows through the
retum envelope window.
4. All bills are due and payable by the due date shown on the
front of the bill. The due date applies to current charges only
and does not extend the due date for previous charges.
Unless you are on budget billing or have a credit, the amount
shown as "Balance Forward" is past due and subject to a
finance charge. Non-payment of past due amounts may
result in service disconnection.
We offer the following payment options:
. ElectriCheck: Sign up for automatic bank draft.
. E-Check: Pay electronically on the Web at adamsec.com
or ebill.adamsec.com.
. Pay-by-mail: Send checks or money orders to
Adams Electric, 1338 Biglerville Rd., PO Box 3605
Gettysburg, PA 17325-0605.
. pay-in-person: Pay at any of the three district offices listed
below. Night deposit boxes are available for use after
regular working hours. Adams Electric is NOT responsible for
cash placed in the night deposit box.
. Budget Payment: Plan is available so you pay an equal
amount each month.
Rate Schedules are available upon request.
Basic Charges: The three required charges for electric service
include energy supply, distribution and fixed cost recovery.
Energy Supply Charge: The combined charges for electric
generation and transmission services. Generation service is
competitively priced and not regulated by the Public Utility
Commission. Your cooperative or other electric generation
supplier you have chosen sets generation charges. The Federal
Energv Regulatory Commission regulates transmission charges
These charges depend on the terms of service between the
customer and the supplier. This area may also include a
Wholesale Power Cost Adjustment 0/VPCA) , a pass-through of
seasonally higher power supply costs.
Distribution Charge: Charges on every member's bill for
delivering electricity over your cooperative's electric distribution
system to your home or business. This charge will vary according
to how much electricity you use. A monthly service charge,
representing the carrying costs of distribution plant in place to
serve you with electricity, is included whether or not you use any
electricity.
Fixed Cost Recovery (FCR) Charge: A required regulatory
charge on every member's bill reflecting power generation costs
embedded in wholesale power contract terms.
Non-Basic Charges: Any category of service not related to basic
electric services (energy supply, distribution and FCR).
Balance Forward: The amount carried forward from your
previous eler-tric bill
Price to Compare: This amount is the same as the energy
supply charge(s) on the front of this bill. It is expressed in dollars;
for example $.04074 equals 4.074 cents per kilowatt-hour (kwh).
Regardless of whether you purchase energy supply from the
cooperative or an altemative energy generation supplier, this is
the amount to use to compare prices when you are shopping for
an energy supply provider.
1-888-232-6732 OR (717) 334-2171.
York District Office
200 Trinity Road
York, PA 17404-9833
For any questions about your bill or other matters relating to your electric service:
Gettysburg District Office Shippensburg District Office
1380 Biglerville Road 204 West King Street
PO Box 1055 Shippensburg, PA 17257-1126
Gettysburg, PA 17325-1055
Office hours are Monday through Friday, 7:30 a.m. to 4:30 p.m. Closed major holidays. Billing questions
can be answered weekdays until 8:00 p.m. by calling 1-888-232-6732. Check our website at WWW.adamsec.com
TO REPORT A POWER OUTAGE -- CALL TOLL FREE 1-800-726-2324.
~Sprint.
Monthly statement~ October 25, 2005
10f 5
Customer service
1-800-829-8009
Internet address
sprint.com/local
Customer number
717-243-2494-434
Summary of Current Charges
Local Long Distance Total
Monthly Service Charges .11 .00 .11
Partial Month Charges -25.41 00 -25.41
Other Charges and Usage .47 5.28 5.75
Taxes and Surcharges -119 .74 -45
Previous charges
Payment
Past due balance
62.48
.00
62.48
"............._____.__...........______..__..........n...__.___.........________.__.......______............___.......
....,a.t..d~'a,moy,.j ....PI~~se.J)..yiim~~t.Iiate Iy.........
p~
t
~D&
@ Please recycle
NNNNNYNY 3
Please return this portion with payment.
....
.....
Sprint@
Customer service
1-800-829-8009
Internet address Customer number
sprint.com/local 717-243-2494-434
Please pay past due amou
$42.48 immediately.
-
-
--
-
BEN D KUTZ JR
1131 FRANKLIN ST
CARLISLE PA 17013-1362
--
-
-
11111111111111111111111111111111111111111111111111111111111111
****************** AUTOC R**C019
00023375 1 AC 0.275 01 72
12 71724324944346 00QuuuOU002000 000042482 0535501
@omcast~
ACCOUNT
NUMBER
DATE
DUE
TOTAL
AMOUNT DUE
Visit us on the web at WWW.comcas\.com
09547389687-01-9
ON RECPT
$28.47
. BEN KUTZ
For service at:
1545 MCCUJRES GAP RD
CARLISLE PA 17013-8914
Summary of Charges
Statement Prepared 10/20/05
Billed from 10/07/05 to 10/31/05
90.02
0.00
61.43 cr
0.12 cr
$28.47
Detail of Charges on baek
Previous Balance
Payments (includes payments received by 10/20/05)
Cable (Video) Services
Tax~J~urq.arg~ Fees
Total Due
~~
v\~ 'D")
News from Corneas!
We regret losing you as one of our cable subscribers. Our records indicate that the
final balance shown above is now due. Your prompt payment is appreciated. Any
outstanding equipment must be returned to our office within 7 days. Please call us at
any time should you wish to reconnect your service.
Please detach the above portion and return with your payment _~
Account #: 20~-17053~~... - .... Meter TYP;=I~r::~f~~ 'r~~:~~~t r
. . .........9., _____._.__9...
Name: BEN D KUTZ KWH 68970 69080
PATRICIA L BRENNEMAN
Reading Dates: 12/22/2005 TO 01/10/2006
Rate: RES01 RESIDENTIAL
Service Loc: 1545 MCCLURES GAP RD
Detach here
Multiplier I.~~~
110
j...Reading
Type
Actual
._. """"_.'d"~' ---. ,- ,- '~'__'''_''__... ____ .~" .__.____~._,_ -..-~.--.._."'_..,"__<_.~_...,.___~.,c...__.._._.. .,_ '_"_'.'__"_".~_,._..
BILLING DETAILS
BASIC CHARGES NON-BASIC CHARGES
Energy supply prices and charges are set
by your electric generation supplier.
Adams Electric Cooperative Inc. (888) 232-6732
1338 Biglerville Road
Gettysburg, PA 17325-1055
. ENERGY SUPPLY:
Energy charge 110kwh @ .04074
4.48
~\
~ C,-' \J
\ \'if'\\) ,
\\V /
\'0')
C'\- ~
TOTAL ENERGY SUPPLY
DISTRIBUTION:
4.48
Service charge
Distribution charge 110 kwh @ .02926
Membership fee
11.27
3.22
-25.00
TOTAL DISTRIBUTION
: FCR CHARGE:
-10.51
FCR Charge 110 kwh @ .01805
fR. :~;~;;'h i ;;.~~~~O] -~~o~~~~~y -m;;1...
l.--------.t- --.-.------- Payments Received: -215.00 !
IT~~"y;arIY I I,. Adjustments: 14.00 i
! past l~r I 7530 Balance Forward: 12.30 i
L.~~~t.h_~__J.m___.___._..__.J Total Basic: -4.04
Ii Average i I Total Non-Basic: 0.00
m~~,mIY I 6271 Sales Tax: 0.00
for past 12 i I ACCOUNT BALANCE 8.26
I months i I
I H .L.
i
I
I
i
i
.....____.__..~_ PA Y~E~~~~_~____~~M_~~~_~~.~~...__~:~~_
.--<!
~".. ...._._~,.,-~-----,____ .._w_.__._.~~____A_'__,._~._., _'__~". ._~_~____.~ ~___,,_._~___.. ".~_~_> ___...,
1.99
TOTAL BASIC CHARGES
-4.04
-.-..-.----~..-.----~.~,__'~___M'_____.__~_~,,_.~.___.__..'"..._~._.__~_._,......~...,__
000534
199612 WI
~~ I RS Department of the 't:reas,ury
Irttfb'?JJ Inlel'Dal Revenue S....v.n
ATLANTA, GA 39901-0030
Notice Number: CP 501
Notice Date: 01-09-2006
\v
_~ \L4
"
SSN/EIN:
Caller 10:
171-28-5502
627839
039588.221391.0190.005 1 AS 0.301 848
1...111.11111......11..11.1..1.1...1.1.1...11.1.1..1111.1..1.1
\) ,~ .
'\ (), V ,\0~ . \)\.0
\\ 1- "1Ii~I~~I~I~!~I~I~i~I~I~
~:;~
~
BEN D & PATRICIA KUTZ
98 PARTRIDGE CIR
CARLISLE PA 17013-8753988
*171285502101*
039588
Reminder
We show you still owe
$91.82,
According to our records, you haven't paid all you owe for tax period 12 - 31- 1996 . To avoid additional
penally and interest, please pay the full amount you owe within ten days 11'om the date of this notice, We can
file a Notice of Federal Tax Lien if your balance owed is not paid within 10 days II-om the date of this notice,
If you already paid your balance in full or arranged for an installment agreement, please disregard this notice,
Account Summary
I Form: 1040 I Tax Period: 12-31-1996
Current Balance: $ 91.82
Includes:
Penally:
Interest:
Last Payment:
$0.00
$ 0 .61
$0.00
For information on
your penalty & interest
computations, you may
call 1-800-829-0922
3_ Questions? call us at 1-800-829-092?
__ __=:Sl
----------------------------------------------
JOB ADDRESS: 1545 McClures Ga Rd.
Carlisle, PA 17013
Cleaned u trash & hauled awa debris $ 250.00
BALANCE DUE: $ 250.00
ORIGINAL
* PAYMENT DUE UPON RECEIPT *
THANK YOU
Pay Last Amount
In This Column
N
INVOICE
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NASTE MANAGEMENT
WASTE MANAGEMENT
OF CENmAL PA - 611
4300 INDUSTRIAL PARK RD
CAMP HILL PA 17011
(717) 232-0878
(BOO) 642-8850
(717) 763-9153 FAX
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)escription
'revious Balance
rotal Credits and Adjustments
rota I Payments Received
rotal Current Charges
Total Amount Due
Total Amount Past Due
Amount
0.00
0.00
200.00-
229.94
29.94
0.00
I , j[l!!qllllrll,IIllIlI!!'III!'~:'1111111I1I 11111111 f"f'IIiI!:"/!,' iiII" 'I!' III I' I it! ;I!I :/11 'IIP"II 'I 11\1, "I II Ij " 1111' I Ill! Fll!(lr! I 1111111 111111,,111111 ~l!lli jl II II I
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)escriplion
~o"-Off
Total Current Charges
Amount
229.94
229.94
r full payment of the invoiced amount is not received within 30 days of the invoice date. you
rill be charged a monthly late fee of 1.5% of the unpaid amount. with a minimum monthly
harge of $3.00. or such lesser late fee allowed under applicable law. regulation or contract.
Page 1 of2
BRENNEMAN. EDDIE
611-0131420-0061-4
11/1612005
2904478-0061-3
Due Upon Receipt
. 00012-96990-32009
Customer:
Account Number:
Invoice Date:
Invoice Number:
Due Date:
WM ezpay Account 10:
Current Invoice Amount
Total Amount Due
229.94
Please pay totaJ amount due. Thank you for your
business.
WE CAN NO lONGER ACCEPT PAYMENTS AT OFFICE
lOCATIONS. PLEASE USE REMrr TO ADDRESS ON PAYMENT
COUPON.
WANTTO PAY THIS BILL BY PHONE? Please call
1-888-824-n44 to make a convenient, secure payment.
Available 24 hours a day, 7 days a week.
. ~ ;AlP1Q
~A ctlJ--1J~' q 4
Want to pay this bill on-line? Go 10 WWW.wm.com to learn
more about WMezPay and make a convenient, secure
payment.
lIVe keep
~.'M;1!Y3
cleaD.
From everyday collection to environmental protection,
Think Green~ Think Waste Management.
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Diversified Appraisal Services
Real Estate Appraisers and Consultants
INVOICE
35 East High Street
Suite 101
Carlisle, Pennsylvania 17013-3052
DATE: November 15,2005
Tel: 717.249.2758
Fax: 717.258.4701
TO: The estate of Benjamin D. Kutz, Jr.
AMOUNT: $275.00
FOR: Appraisal Report
1545 McClure's Gap Road
Carlisle, Pennsylvania
Thank You,
K~
TERMS: Due upon receipt
Larry E. Foote
Certified General Appraiser
GA-000014-L
Tax ill Number 206-36-6731
MAY 5, 2006
#511945-511946
G H HARRIS ASSOCIATES INC.
Delinquent Tax Collectors
POBOX 216
DALLAS PA 18612
PHONE: 570-639-50 FAX: 570-639-2964
Hi 1illllrCIJi)
,il MAY 08 2D06 ,}
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PAUL BRADFORD ORR, ESQUIRE
50 EAST HIGH STREET
CARLISLE PA 17013
DEAR ATTORNEY ORR:
This is in regards to your letter you sent to us pertaining to BENJAMIN D AND PATRICIA
KUTZ who passed away December 16th and December 26, 2005, as per their 2005 School
Per Capita taxes due and owing in the Township of Lower Frankford, Cumberland County.
Please be advised that on the date of January 26, 2006 a Robin from your office called our
office and stated that they were both deceased and that $22.00 was being mailed to our
office to cover said tax involved. We never received payment. We then received another
phone call on April 24, 2006 from Robin stating $29.00 each would be mailed to our
office, but now we are receiving this letter.
These taxes came out in July or August of 2005 and since the Kutz's were still living when
these came out, they would be still liable to pay thru their Estate. Please remit to our office
a payment of $58.00 to cover these taxes in question.
Thank you.
Very truly yours,
G H HARRIS ASSOCIATES INC
Delinquent Tax Collector
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G H HARRIS, PRESIDENT
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City
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City
Emergency
Service
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Service
PMP
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State
Zip Code
Incomplete
AIR CONDITIONING CJ
HEATING CJ
OTHER CJ
I
D
D
D
D
D
D
D
D
D
Qty
I
Clean or replace air filters
Clean and check condensat,e drains
Check and adjust fan belts
Lube motors and bearings
Ambient Temperature
Supply temperature
Return temperature
Head pressure
Suction pressure
D
D
D
D
D
D
D
D
D
Check controls / thermostat
Check voltages
Amp draws
Tighten all electrical connections
Check safety controls
Vacuum Clean Unit
Examine comb, chamber
Examine heat exchanger
Clean jet line
D
D
D
D
D
D
D
D
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Clean or replace oil filter
Check gas valve
Check flue
Check ignition
Combustion test
15',,75
---'
Total Hours d., '5
Material Used
/10, {)()
'J5.75
Reclaiming Equipment
Preventive Maintenance
Program / Contract
MHRS
All installed parts are guaranteed against normal service failure for a period of 15 days or in
accordance with manufacturers or other specific warranties, whichever applies, All labor is
guaranteed for a period of 30 days with limitations: Many defects which seem identical can
be caused by one or many parts or circuits, therefore, no responsibility will be assumed for
any portion of equipment (parts or circuits) on which Tuckey's has not performed service,
Sales Tax
This is your invoice.
The above work is authorized
and approved.
x
1:),5. 75
Please Pay from This Invoice
SERVICE TICKET I PREVENTIVE MAINTENANCE PROGRAM I CONTRACT FORM
"''"''"...
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
BENJAMIN D KUTZ JR
SCHEDULE J
BENEFICIARIES
FILE NUMBER
,
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 (a) (1.2)1
1. KIM J. BOOKS Lineal 6,724.35
98 PARTRIDGE CIRCLE 1/6
CARLISLE, PA, 17013
2. CATHY A. LOCKE Lineal 6,724.35
1131 FRANKLIN STREET 1/6
CARLISLE, PA 17013
3. DIANE L. WEIDNER Lineal 6,724.35
1300 NEWVILLE RD. 1/6
CARLISLE, PA 17013
4. CAROL A. BAKER Lineal 6,724.35
180 EAST KELLER STREET 1/6
MECHANICSBURG, PA 17055
5. EDDIE L. BRENNEMAN Lineal 6,724.35
675 BUTTER RD. 1/6
DOVER, PA 17315
6. DONNIE L. BRENNEMAN Lineal 6,724.35
84 WEST MAIN STREET 1/6
NEW KINGSTON, PA 17072
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 $
(If more space is needed, insert additional sheets of the same size)
CERTJFICATlON OF NOTI.Ct~JJ~D}J;R RlJLKs..M~)
Name of I kcedcnt. __ ..Be.nj.amin--ll..-.lC.ul:.z-.-----.lL~.--.-----
Date uf Ueillil:
S e p_t_.~_m_b e.!:_.1Q_~_...-29 05_______________ .._
Will Nll.
:\drnin. i\ill
.200S=Dng45 .
ru lilt'
I (<TliI\ tit,,1 notice llf (henetidal interest) ~statel!dllliIlistrM.hm I Rule '\.6(:1\ ul the Orpll'iI I ol,d Rules Wd.':
',cived ('If I UI 11 illiled 10 the follow I ng benefIciaries of tJw :11. (\lit' . .Ct.;;" iI ie,: ,'.,Ui, un ..ll3010&
N~iJlll'
;~_lldl l."
~im J. Book~ 98 Partringp Cirrlp. CArli~lp,PA 17013
CCi.thy A. Locke ._113.L._Er~k.lin...s..t.., .Carlisle,PALZO!3...
Diane L. WeidnerJ1QQ.Ng.w.y.il~e...Roa.d, Garlis.le,.P.A._11.QIJ
Car 0 1 A_._ . 13. a k e..L__l.DR.__RasL-Ke.1le.r...S..L., _ Mechanic.s.bu.r:.&-,_..P.L.LZD55..___.....____
EQ~LL~. .L_L ..:8 1: .e_nn em.an....6.25....B.u.t.tex__R.o..aJL... _Uo v_eL, ..__PA ...17..3.15 --. .--- ...- ..-
])ate.
Donnip T Rr~nnpm~n 84 West MAin St I Npw Kingtown. PA 17072
NotIce lias now been given to all persons entitled thereto under Rule 5.6(<1) (',('cpt _ . ___ _'_ __u __...__ .__ _______ _.__
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Name .
_E.a.u..l__13.La.dLQLcL_ 0 r L.___E)2.CJ.J,l.1Xg..__.
Address 5.Q___~Q..g,t._H i Kh_...S.tT.~.E:!.t_. _.
Ca LLisLe.,EA.. L701:3.
Telephone ( 7 ~7=_~,5.8'-J~5_2~
Capacity:
Personal Representative
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.___X .Counsel for personal representative
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