HomeMy WebLinkAbout08-28-06
.
REV.1500 EX 16-00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1500
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
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DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
IXX>LI'ITLE, RUTH CRULL
DATE OF DEATH (MM-DD-YEAR)
07/03/2006
FILE NUMBER
21 - 06
0610
DATE OF BIRTH (MM-DD-YEAR)
07/29/1915
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
N/A
[2g 1. Original Return
o 4. Limited Estate
~ 6. Decedent Died Testate (Attach copy of Will)
o 9. Litigation Proceeds Received
o 2. Supplemental Return
o 4a. Future Interest Compromise (date of death after 12-12-82)
o 7. Decedent Maintained a Living Trust (Attach copy of Trust)
D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
COUNTY CODE YEAR
NUMBER
SOCIAL SECURITY NUMBER
044
24
5768
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
D 3. Remainder Return (date of death prior to 12-13-82)
D 5. Federal Estate Tax Return Required
o 8. Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
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NAME
JAMES D. CAMEROO, ESQ.
FIRM NAME (If Applicable)
COMPLETE MAILING ADDRESS
1 325 NORI'H FROOT S'I'REEI'
HARRISBURG, PA. 17102
TELEPHONE NUMBER
(717) 236-3755
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1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
(1 )
(2)
(3)
(4)
(5)
-0-
-0-
;...0-
-0-
176,908.95
-0-
(8)
176,908.95
(6)
(7)
-0-
(11)
(12)
(13)
17,474.66
159,~34 79
159.434.66
(9)
(10)
9,329.51
8,145.15
(14)
-0-
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Une 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)
x .0 _ (15)
-0-
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-0-
-0-
(19)
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16. Amount of Line 14 taxable at lineal rate
x .0_ (16)
17. Amount of Line 14 taxable at sibling rate
x .12 (17)
18. Amount of Line 14 taxable at collateral rate
x .15 (18)
19. Tax Due
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
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-
LAST WILL AND TESTAMENT
OF
RUTH CRULL DOOLITTLE
I, RUTH CRULL DOOLITTLE, presently residing and domiciled in
the Borough of Lewisberry, York County, Pennsylvania, hereby
declare this to be my Last Will and Testament, and I hereby
revoke any and all prior wills and codicils previously made by
me.
ITEM I: I hereby give and bequeath the sum of Five Thousand
Dollars ($5,000.00) unto SCOTT E. MILLER and LILA M. MILLER, or
their survivor, in recognition of their offers of assistance.
ITEM II: All the rest, residue, and remainder of my estate
I give, devise, and bequeath as follows:
A. Five percent (5%) to the LEWISBERRY FIRE COMPANY,
Lewisberry, Pennsylvania, for the general uses and purposes of
said Company;
B. Five percent (5%) to the NEWBERRY TOWNSHIP FIRE
DEPARTMENT, Etters, pennsyivania, for the general uses and
purposes of said Company;
C. Thirty-one percent (31%) to the HELEN O. KRAUSE ANIMAL
FOUNDATION, for the general uses and purposes of the Foundation;
D. ~hirty-one percent (31%) to DICKINSON COLLEGE, Carlisle,
Pennsylvania, for the general uses and purposes of the College;
and .
E. Twenty-eight percent (28%) to the ANNIE E. STERLINE
LIBRARY, Lewisberry, Pennsylvania, for the general uses and
purposes of the Library.
ITEM III: All estate, inheritance and other death taxes,
together with interest and penalties thereon, payable with
respect to property or interests passing under my will or any
codicil thereto, shall be paid out of the principal of my
residuary estate without apportionment. It is my intention that
,any. tax due upon the legacies hereunder of finite ~- ---. C!h~ll be
borne pro-rata by the remaindermen, and shall no1' ~)
specific legatees, even though the remainderman J - ~ ~ cJ.
taxable charities. c.2? () ~
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ITEM IV: I appoint JAMES D. CAMERON, ESQ., as Executor of
this my Last will and Testament. I direct that my Executor shall
not be required to furnish security in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this 7th day of March, 2001.
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R~ CRU- LImE
WITNESSETH: The foregoing instrument was, on the date stated
above, signed, published, and declared by RUTH CRULL DOOLITTLE,
the Testatrix named therein, as and for her Last will and
Testament, in the presence of us, who at her request, in her
presence, and in the presence of each other, have subscribed our
names as witnesses hereto.
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ACKNOWLEDGMENT
Commonwealth of Pennsylvania
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County of Dauphin
SSe
AND NOW, this 7th day of March, 2001, I, the Testatrix whose
name is signed to the attached or foregoing instrument, having
been duly qualified according to law, do hereby acknowledge that
I signed the instrument as my Last Will and Testament, that I
signed it willingly and as my free and voluntary act for the
purposes therein expressed.
CX\~.
RU~L ll&LITTLE
Sworn to, subscribed, and acknowledged before me by
RUTH CRULL DOOLITTLE, the Testatrix, this 7th day of March, 2001.
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My commission expires:
Notarial Seal
Shana R. Geyer, Notary Public
Harrisburg, Dauphin County
My Commission expires July 20, 2002
Ment>er, Pennsytvsnl8 AssncI8t1on ot Notaries
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AFFIDAVIT
Commonwealth of Pennsylvania :
: ss.
County of Dauphin
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~~w, ~S 7th day of March, 2001, we, JAMES D. CAMERON
and . (t L '-aJ'1'1e!MN , the witnesses, whose names are signed
to the ttache or foregoing instrument, being duly qualified
according to law, do depose and say that we were present and saw
the Testatrix sign and execute the instrument as her Last Will
and Testament; that she signed it willingly and executed it as
her free and voluntary act for the purposes therein expressed;
that each of us in the hearing and sight of the Testatrix signed
the will as a witness; and that to the best of our knowledge the
Testatrix was at that time at least eighteen (18) years of age,
of sound mind, and under no constraint or undue influence.
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A ~wor~ ~..~nd subscribed before me by JAMES D. CAMERON and
L~~~/~ b~nN , the Witnesses, this 7th day of March,
20 1.
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Notary Pub ic
My commission expires:
Notarial Seal
Shana R. Geyer, Notary Public
HarrIsburg, Dauphin County
My CommIssiOn Exp(rus July 20, 2002
Member, PennIytv8nlB AssocIatIon 0' NotarIes
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CODICIL TO THE LAST WILL AND TESTAMENT
OF RUTH CRULL DOOLITTLE
I, RUTH CRULL DOOLITTLE, of the Borough of Lewisberry, York
County, Pennsylvania, declare this to be a codicil to my Last Will
and Testament d~ted March 7, 2001.
FIRST: I hereby revoke Item I of my Last Will and Testament
and substitute the following:
"ITEM I: I hereby give and bequeath the sum of Five Thousand
Dollars ($5,000.00) unto GLENN ORRIS, in recognition of his acts of
kindness and assistance."
SECOND: In all other respects, I do hereby ratify and confirm
my Last will and Testament dated March 7, 2001.
I have signed my name this 17th day of October, 2001.
Signed by RUTH CRULL DOOLITTLE, the Testatrix, as a codicil to
her Last will and Testament dated March 7, 2001, in the presence of
us, who at her request, in her presence, and the presence of each
other, have signed our names as witnesses. '
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ACKNOWLEDGEMENT AND AFFIDAVIT
Commonwealth of Pennsylvania
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County of Dauphin
We, RUTH CRULL DOOLITTLE, JAMES D. CAMERON, and CYNTHIA L.
CAMERON, the Testatrix in and the witnesses to the Codicil, the
;lttached or foregoing instrument, having been qualified according
'to law do depose and say:
,,~. . (a) that I, the Testrix, do hereby acknowledge that I signed
~~~the instrument as a codicil to my Last will and Testament, that I
''''i.i~},~ai9ned it ,willingly and as, my free and voluntary act for the
'~~~~~~ses:,therein expressed, and '
, ~:?~~fl:l~ j: (b)' that we, the witnesses, were present and saw the Testatrix
"~~',.,;~I!t:' ,,'i:'i' sign and execute the instrument as her codicil, that she signed it
"M,' . . willingly and executed it as her free and voluntary act for the
purposes therein expressed; that each of us in the hearing and
sight of the Testatrix signed the codicil as a witness and that to
the best of our knowledge the Testatrix at that time was eighteen
or more years of age, of sound mind, and ~nder no constraint or
undue influence.
~~
RU H ULL OLITTL
J
Sworn and subscribed before
. ~f October,
Notary pu lie
2001.
M:f commission expires:
Notarial Seal
Shana R. Geyer. Notary Public
Harrisburg. Dauphin County
My Commission ExpIres July 20, 2002
Member, Pennsylvania AssoctatIon of Not8I1es
SECOND CODICIL TO THE LAST WILL AND TESTAMENT
OF RUTH CRULL DOOLITTLE
I, RUTH CRULL DOOLITTLE, of the Borough of Lewisberry, York
County, pennsylvania, declare this to be a second codicil to my
Last Will and Testament dated March 7, 2001.
FIRST: I hereby confirm and republish my intention to delete
of Item I of my Last Will and Testament dated March 7, 2001.
SECOND: In place of the gift to Glenn Orris of Five Thousand
Dollars ($5,000.00) contained in my Codicil dated October 17, 2001,
I hereby substitute, instead, the following gift to Glenn, so that
Item I shall now read:
!lITEM I: I hereby give, devise, and bequeath my real property
located at 215 South street, Lewisberry, pennsylvania, as well as
all of my tangible personal property, inclu4ing insurance thereon,
unto GLENN ORRIS, in recognition of his numerous acts of kindness
and the assistance he has provided to me."
THIRD: It is my specific intention that Glenn shall not be
responsible for the payment of any inheri tance tax or
administrative expense related to the foregoing bequest. Rather,
it is my intention that he shall receive my real and tangible
personal property without reduction or charge for any inheritance
tax or ordinary administrative expense. .
FOURTH: In all other respects, I do hereby ratify and confirm
my Last will and Testament dated March 7, 2001, and my COdicil
dated October 17, 2001.
I have signed my name this 27th day of December, 2002.
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RJ~~ D~OLITTLE
Signed by RUTH CRULL DOOLITTLE, the Testatrix, as a second
codicil to her Last Will and Testament dated March 7, 2001, in the
presence of us , who at her request, in her presence, and the
presence of each other, have signed our names as witnesses.
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ACKNOWLEDGEMENT AND AFFIDAVIT
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Commonwealth of Pennsylvania
County of Dauphin
: ss.
We, RUTH CRULL DOOLITTLE, JAMES D. CAMERON, and CYNTHIA L.
CAMERON, the Testatrix in and the witnesses to the Second Codicil,
the attached or foregoing instrument, having been qualified
according to law do depose and say:
(a) that I, the Testatrix, do hereby acknowledge that I signed
the instrument as a second codicil to my Last will and Testament,
that I signed it willingly and as my free and voluntary act for the
purposes therein expressed, and
(b) that we, the witnesses, were present and saw the Testatrix
sign and execute the instrument as her codicil, that she signed it
willingly and executed it as her free and voluntary act for the
purposes therein expressed; that each of us in the hearing and
sight of the Testatrix signed the codicil as a witness and that to
the best of our knowledge the Testatrix at that time was eighteen
or more years of age, of sound mind, and under no constraint or
undue influence.
~t_~O~
RU . ._..CRULL qOLITTLE
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CY THIA L. CAMERON
Sworn and subscribed before
me this 27th day of December, 2002.
My commission expires:
NaI8IIII Sell
ShIn R. Geyer, Notary PWIc
QvOlHantstug. ~ CoII'Ily
My COl......., EJcpfresJlly 20. 2008
Member. ~ AsIOIiaIion OfNolarles
. REV-l508 EX. (1-91)
.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF iT TI'LE
RUTH CRULL IXXJJ..JI
RLENUMBER 21-06-0610
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
2
3
4
5
6
7
8
VALUE AT DATE
OF DEATH
DESCRIPTION
Sovereign Bank
P.o. Box 841005
Boston, MA 02284
Certificate of deposit humber 2565041338
81,524.51
Sovereign Bank
Accrued interest, certificate of deposit humber 2565041338
')28'J l4
Wach6via Bank, N.A.
P.O. Box 40028
Roanoke, VA 24022
Certificate of deposit number 247412081556012
50,000.00
Wachovia Bank, N.A.
Accrued interest, certificate"of deposit number 247412081556012
438.33
PNC Bank
500 First Avenue
Pittsburgh, PA 15219
Checking account number 5140095462
9,544.76
PNC Bank
Accrued interest, checking account number 5140095462
1.55
PNCBank
500 First Avenue
Pittsburgh, PA 15219
Money market account number 5004771999
35,282.30
PNC Bank
Accrued interest, money market account~number 5004771999
89.36
TOTAL (Also enter on line 5, Recapitulation) $ 176,908.95
(If more space is needed, insert additional sheets of the same size)
Sovereign Bank
Ruth C. Doolittle
044-24-5768
July 3, 2006
ESTATE OF
SOCIAL SECURITY #:
DATE OF DEATH:
Account #: 2565041338 Type:
In the name of: Ruth Crull Doolittle
Date of Death Balance:
Int.(YTD) from 1/1/2006 to
Accrued interest to date of death:
Other Info:
CD
Open date:
1/8/2002
$81,524.51
6/30/2006
$28.14
$1,011.38
Page 1 of 1
Fax Transmission
7/24/2006 4:06 PM PAGE
1/002
Fax Server
.
~HOVIA
Ret<<e~ ill' 16958.50
Wachovia Bank N.A.
Balaoc,e Confirmation Serl,lces
POBox 40028
Roanoke, VA 2402:2.'7313
July 24, 2006
JAMES DURYEACAMlliRON
ATIORNEY AT LA W
1325 NOR'Ilf FRONT STREET
HARRISBuRG. PAL i 102
SUBJECT: Verification! Confirmation of Account and Balance lnformatlon provided for:
Customer: RUTH C DOOLItTLE (SSNj 044-24-5168)
Date of Deatb: July 3,1006
Deoosit Account Jnformatioo
AaDurlt
T-'lpe
..\ocomt
Number
Date of [)eeth
Balll.lJCe
Average
Balance.
lAte
Opened
~;8t,l!'lty lnwoo Accrued YTD Date
Dole Rate In1ere!lt In1C:rc~1 P<lid Closed
CER'fIfIlCATE OF DEPOSIT 2474l2(l81556012
LEGAL TITI..E: RUTH CRULL !JOO:JTTL.E
JAMES DCAMUON . POA
$50 ,lJCO. iJO
7:6i2GO:
S4J8.33
$88644 7d&i2006
* Due to ~y5tem limitnions, we l'lm only proviJe a twd~e month avc:ragc balilllCe ou deposittJry ac.,;ounu;
o PNCBAN<
August 10,2006
James D. Cameron
Attorney at Law
1325 North Front Street
Harrisburg, P A 17102
RE: Estate of Ruth C. Doolittle, deceased
SSN: 044-24-5768
DOD: 7/3/2006
Dear Mr. Cameron:
In response to your request for Date of Death balances for the customer noted above, our
records show the following:
Checking Account
Account #5140095462
Established 02/28/1990
RUTH CRULL DOOLITTLE
DOD balance: $9,544.76 + $1.55 accrued interest
Savings Account
Account #5004771999
Established 03/12/2001
RUTH CRULL DOOLITTLE
DOD balance: $35,282.30 + $89.36 accrued interest
Please note that this office only provides date of death balances for deposit accounts
(IRAs, CDs, Checking and Savings accounts). We do not process any financial
transactions or provide statements. If you need assistance with any of these items,
please call 1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch
office.
Sincerely,
~~~-
Rachelle Wells
1-800-762-1775
P7 -PFSC-04-F
500 first Ave.
Pittsburgh P A 15219
Member FDIC
. REV-1511 EX+ (12-99) .
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
FILE NUMBER
RUTH CRULL IXX)LI'ITLE
21-06-0610
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A. FUNERAL EXPENSES:
1.
DESCRIPTION
AMOUNT
N/A
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
James D. Cameron
Social Security Number(s)/EIN Number of Personal Representative(s)
1325 North Front street
3,500.00
Street Address
City Harr i sburg
SPA Z'
tate _ rp
17102
Year(s) Commission Paid:
2006
2.
Attorney Fees
James D. Cameron, Esq.
5,300.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
N/A
City
State _ Zip
Relationship of Claimant to Decedent
4.
Probate Fees
Register of Wills of Cumberland County
332.00
5.
Accountant's Fees
6.
Tax Return Preparer's Fees
N1A
N/A
7.
Cumber land law Journal (legal advertising)
75.00
122.51
8
The Sentinel (legal advertising)
TOTAL (Also enter on line 9, Recapitulation) $ 9 , 329. 51
(If more space is needed, insert additional sheets of the same size)
REV.1512 EX+ (12-03)
'*
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
RUTH CRULL lXX)LI'ITLE
FILE NUMBER
21-06-0610
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1.
Alert Pharmacy Services
(final bill)
718.77
2
Messiah Village
(billing statement 06/30/06)
6,854.38
3
James D. Cameron, Esg.
(billing statement 06/30/n6)
Messiah Village
(final statement 07/01/06 - 07/03/06)
100.00
4
472.00
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
8,145.15
REV.'S13 EX+ (9-OO.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF Rum CRULL IXX>LI'lTLE
SCHEDULE J
BENEFICIARIES
FILE NUMBER 21-06-0610
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.
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. PLEASE SEE ATrACHED LISTING.
- .
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)
SCHEDULE J (Attachment)
Ruth Crull Doolittle, deceased
No. 21-06-0610
II.B. Charitable Distributions.
1. Lewisberry Fire Company
Post Office Box 269
Lewisberry, PA 17339
2. Newberry Township Fire Department
2145 York Haven Road
Etters, PA 17319
3. Helen o. Krause Animal Foundation, Inc.
Post Office Box 311
Mechanicsburg, PA 17055
4. Dickinson College
Post Office Box 1773
Carlisle, PA 17013
5. Annie E. Sterline Library
308 Market street
Lewisberry, PA 17339
5% residue
5% residue
31% residue
31% residue
28% residue