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Home My WebLink About09-28-06 . .~- , . -J REV-1500 EX (06-Q5) PA Deparlm~nt of Revenue . Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 E~TER DECEDENT INFORMATION BELOW Social Security Number Date of Death 15056051058 OFFICIAL USE ONLY County Code Year INHERITANCE TAX RETURN RESIDENT DECEDENT 21 06 File Number 0597 Date of Birth 161-16-1264 04/11/2006 12/17/1918 Decedent's Last Name Suffix Decedent's First Name MI Flohr Fay A (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS <.;; 1. Original Retum c:.:::j 2. Supplemental Retum c::- 3. Remainder Retum (date of death prior to 12-13-82) 5. Federal Estate Tax Retum Required 4. Limited Estate 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) C::) 10. Spousal Poverty Credit (date of death 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 Telephone Number 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 8. Total Number of Safe Deposit Boxes Mark W. Allshouse, Esq. Firm Name (If Applicable) Christian Lawyer Sol. (717) 582-4006 17090 f'-o,.t REGIST~F WillS U5~lY Co CT'\ .-- en ~.;;.. :0 ::D -0 rr1 :;lIO -0 :IJ)>r- N s: :z; 9j 0) ::= Cf) ^ ::JOO OO-n OC ~DA~llED :g ==- :J: '!? . ::r:.;:J ::tJ rTl fTl ("") QO ,-- :0 S~CJ f-n n, :'-00 (1:) 0 -n II .-.- :D -"': C) ~= rn t-j'") fJ " First line of address 4833 Spring Road Second line of address City or Post Office State ZIP Code Sherrnans Dale PA ... c..J Correspondent's e-mail address:mark@chl:istianlawyersolutions@comcast.net SIG~NAE OF ADDR S5 1~78 ~_ yPike, ~arlisl_e_,. PA 1701~_ SIGNATU E OF PREPARER OTHER THAN REPRESENTATIVE uJ ,~~~-, [st-,- ring Road, Shermans Dale, PA l7090 PLEASE USE ORIGINAL FORM ONLY 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.. lion of preparer other than the personal representative is based on all information of which preparer has any knowledge. RSO P NSlBlE FOR FlUNG RETURN DATE o/c15/0& .- DATE ---- 9p6~Ye L 15056051058 Side 1 15056051058 -1 . ... --.J 15056052059 REV-1500 EX Decedent's Name: RECAPITULATION Fay Decedent's Social Security Number A Flohr 161-16-1264 1. Real estate (Schedule A). . . . . . . . . . .' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 584,400.00 0.00 0.00 0.00 64,673.70 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. 6. Jointly OWned Property (Schedule F) Separate Billing Requested . . . . . .. 6. 7. Inter-VIVOs Transfers & Miscellaneous Non-Probate Property (Schedule G) c::; Separate Billing Requested.. . . . . .. 7. 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8. 11,676.01 0.00 660,749.71 25,370.20 182.83 9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . . . . . . . . . . . . . . . 10. 11. Total Deductions (total Lines 9 & 10)................................... 11. 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_ 16. Amount of Line 14 taxable at lineal rate X.O 45 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 25,553.03 635,196.68 0.00 635,196.68 12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 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. 0.00 15. 0.00 28,583.85 0.00 635,196.68 16. 0.00 17. 0.00 18. 0.00 28,583.85 19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT <a) L 15056052059 Side 2 15056052059 -.J . .. REV-1500 EX Page 3 Decedent's Complete Address: DECEDENTS NAME Fay A Flohr STREET ADDRess _18~~_Ho"y P~~e__ _ File Number 0597 DECEDENrs SOCIAL SECURITY NUMBER 161-16-1264 CITY Carlisle STATE PA ZIP 17015 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. CreditS/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 28,583.85 35,000.00 1,750.00 3. InterestJPenalty if applicable D. Interest E. Penalty Total Credits ( A + B + C ) (2) 36,750.00 TotallnterestJPenalty ( 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. 0.00 8,166.15 A. Enter the interest on the tax due. (5) (5A) (58) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. 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 Ii] b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 Ii] c. retain a reversionary interest; or.......................................................................................................................... 0 [iJ d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [i] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate COnsideration? .............................................................................................................. 0 Ii] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 Ii] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....:................................................................................................................... 0 ~ 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. ~9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemDt 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. 99116(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. ~9116(1.2) [72 P.S. ~9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. ~9116(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. . . REV-1502 EX+ (60gB) . COMMONVIIEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF Fay A Flohr All real property owned solely or as a tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. FILE NUMBER 21-06-0597 ITEM NUMBER 1. DESCRIPTION 1878 Holly Pike, Carlisle, South Middleton Township, Cumberland County, Pennsylvania VALUE AT DATE OF DEATH 584,400.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 584,400.00 , . REV-1508 EX< (6-98) .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Fay A. Flohr FILE NUMBER 21-06-0597 ITEM NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of sUlVivorship must be disclosed on Schedule F. DESCRIPTION VALUE AT DATE OF DEATH 1. PNC Bank Account No. 5080571681 20,787.90 2 PNC Bank Account No. 5140184131 43,885.80 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 64,673.70 ~ REV-1509 EX. (6-". COMMON~lTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINRY-OWNED PROPERTY ESTATE OF Fay A. Flohr FILE NUMBER 21-06-0597 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINTTENANT(S) NAME A. Kay P. Flohr ADDRESS RELATIONSHIP TO DECEDENT 1878 Holly Pike Carlisle, PA 17015 child B. c. JOINTLY.OWNED PROPERTY: lETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCiAl INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VAlUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH OEED FOR JOINllY-HElO REAl ESTATE. VAlUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 07/20/02 PNC Certificate of DeposK Acct. No. 31300231664 10,863.22 50% 5,431.61 2. A. 05/15/02 PNC Certificate of Deposit Acct. No. 31900227757 8,144.46 50% 4,072.23 3 A. 05/15/02 PNC Certifrcate of DeposK Acct. No. 31100228377 4,344.34 50% 2,172.17 TOTAL (Also enter on line 6, Recapitulation) $ 11,676.01 (If more space is needed, insert additional sheets of the same size) c .. REV-I511 EX+ (,2-... COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Fay A. Flohr FILE NUMBER 21-06-0597 Debts of decedent must be reported on Schedule L ITEM NUMBER A. AMOUNT FUNERAL EXPENSES: Hollinger Funeral Horne & Crematory, Inc.: Services: $3,850.00 Merchandise (casket & vault): $3,170.00 Grave Opening: $600.00 Newspaper Notices: 210.04 Death Certificates: 60.00 Remaining charges (flowers, clergy, etc): $584.00 B. ADMINISTRATIVE COSTS: 4. 5. 6. 7. 8. 9. 10. 11. DESCRIPTION 1. 8,474.40 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address 0.00 City Year(s) Commission Paid: n/a _ State Zip 2. Attorney Fees 3,964.50 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 0.00 Claimant Street Address City State . Zip Relationship of Claimant to Decedent Probate Fees 544.00 Accountant's Fees 0.00 Tax Return Preparer's Fees 0.00 West Shore EMS - ambulance transport PNC Bank - fees on estate checking account South Middleton School District Real Estate Taxes Funk's Drilling, Inc. - new well and pump installed at 1878 Holly Pike Cumberland Law Joumal - estate aavertising expense 88.00 7.66 6,385.74 4,438.62 75.00 1,392.28 SEE ATTACHED CONTINUATION SHEET TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 25,370.20 ~ 13. 14. 15. Estate of Fay A. Flohr File Number 21-06-0597 SCHEDULE H Funeral Expenses & Administrative Costs Continuation Sheet 12. The Sentinel - estate advertising expense Med-Ed - utility charges April through August, 2006 Suburban Energy Services - utility charges April & June 2006 Waste Management - trash through August, 2006 TOTAL THIS PAGE $166.07 $507.06 $631.85 $ 87.30 $1,392.28 ~ , REV-15f2EX'(f2<3l .. COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE UABIUTlES, & UENS ESTATE OF FilE NUMBER 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. Peck's Septic Service - septic cleaning and repair located at 1878 Holly Pike 182.83 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 182.83 ~ REV'1513 EX' (9-00) *' COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Fay A. Flohr FILE NUMBER 21-06-0597 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 [indude oubight spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Kay P. Flohr child 1/3 1878 Holly Pike, Carlisle, PA 17015 2. Carolyn A. Flohr child 1/3 1878 Holly Pike, Carlisle, PA 17015 3. Matthew W. Flohr grandchild 1/3 1878 Holly Pike, Carlisle, PA 17015 . 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS . TOTAL OF PART 11- 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) ~ WILL I, Fay Ann Barbour Flohr, of Carlisle, Pennsylvania, being of sound mind, hereby revoke my prior wills and codicils and declare this to be my will: GIFTS 1. Personal and Household Effects: I give all my jewelry, clothing, furniture, automobiles and other articles of personal or household use, including insurance on that property: A. To ChildrenlDescendants: In equal share to those of my children, Carolyn Ann Flohr and Kay Paulette Flohr, and my grandson, Matthew William Flohr, who survive me by thirty (30) days to be divided as they may agree. In th~ absence of agreement, the division shall be made as my executor may think appropriate. My executor may choose for a minor child and distribute the property to the minor or to any person to hold for the minor. Any articles which my executor considers to be unsuitable for minors, however, may be sold, with the proceeds added to my residuary estate. II. Residuary Estate: I give the residue of my estate: Page 1 of8 A. To Children/Descendants: In equal share to those of my children, Carolyn Ann Flohr and Kay Paulette Flohr, and my grandson, Matthew William Flohr, who survive me by thirty (30) days. If a child does not survive me by thirty (30) days, but leaves descendants who survive me by thirty (30) days, those descendants shall receive, per stirpes, the share that the child would have received had she survived me by thirty (30) days. III. Powers of Appointment: No provision of this Will shall exercise any power of appointment that I may have. ADMINISTRATIVE PROVISIONS IV. Death Taxes: All federal, state and other death taxes payable because of my death on the property forming my gross estate for tax purposes, whether or not it passes under this Will, shall be paid out of the principal of my probate estate so that the burden falls on my residuary estate. None of those taxes shall be charged against any beneficiary. This article shall not apply to generation-skipping taxes and any property over which I have a general power of appointment for federal estate tax purposes. V. Tax Options: I authorize my executor to exercise any options available in determining and Page 2 of8 .. paying any taxes in my estate, and to allocate my generation-skipping tax exemption. These decisions may be made without requiring adjustments between income and principal. The decision of my executor shall be conclusive upon all persons concerned. VI. Beneficiaries Under Twenty-One (21 ) Years of Age: Any property passing under this Will to a person under twenty-one (21) years of age shall be paid to his parent as custodian for that beneficiary under the Uniform Transfers to Minors Act of Pennsylvania. If his parent for any reason fails to qualify or ceases to act as custodian, my' executor shall appoint the custodian in her place. VII. Protective Provisions: To the greatest extent permitted by law, before actual paYment to a beneficiary or to his or her account, no interest in income or principal shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary. VIII. Manaszement Provisions: I authorize my executor to: A. RetainlInvest: Retain and invest in any form of real or perso!lal property anywhere which, in my executor's opinion, is appropriate for my estate, without being required to diversify; Page 3 of8 ~ B. Compromise: Compromise claims and abandon any property which, in my executor's opinion, is of little or no value; C. Borrow: Borrow from anyone and pledge property as security for repayment of any funds borrowed; D, Sell/Lease: Sell at public or private sale, exchange or lease or lend for any period of time, any real or personal property, and give options for sales or leases; E. Capital Changes: Join in any merger, reorganization, voting trust plan or other concerted action of security holders and delegate discretionary duties with respect to these powers; F. Distribute: Distribute in cash or in kind and allocate specific assets among the beneficiaries (including any custodianship) in such proportions as my executor may think best, so long as the total market value of any beneficiary's share is not affected by such allocations. The powers, authorities and discretion given under my will shall be in addition to those granted by law, shall continue until the distribution of the property, and shall be exercisable without court authorization. Page 4 of8 , FIDUCIARIES IX. Executor: I appoint Carolyn Ann Flohr and Kay Paulette Flohr to act as Co-Executors of my Will. If they fail to qualify or cease to act, I appoint Matthew William Flohr executor. I direct that: A. Conflicts of Interest: My executor may use any aspect of the investment or banking business operated by an entity in which any executor has an interest and may pay such entity its customary fees, regardless of any rule regarding conflicts of interest. B. Resignation: Any executor may resign at any time without court approval. C. Bond: No executor shall be required to give bond or security in any jurisdiction. Dated:.;:7- ~-' .{"} .~I ,2001 r:r C'J /,.t.....'j' ., 3:.;;; /~, _4.-"_""/ I"-.--{b-,f.:r.// \":-.-7 d~..f. ~V' L-' .'_,~_,.~. '_ / FAY ANN BARBOUR FLOHR Page 5 of8 ~ -L In our presence Fay Ann Barbour Flohr signed this and declared it tobe her Will, and now at her request, in her presence, and in the presence of each other we sign as witnesses: /{i / /!~~'J ;r tQ~ L ,', ~~,t' 1_ ': :'"' {.. / t _..;.A::"~l-- .;:, .~_' ( c. '''_ ..., , l '/ .~J....-='""t c,...---- , 14 1 ~ '. . I / ;/. "~ /~ J// c t/)/ ~-~ .' (WITNESS) (WITNESS) Page 6 of8 . STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND I, Fay Ann Barbour Flohr, having been duly qualified according to law, acknowledge that I signed the foregoing instrument as my Will, and that I signed it as my free and voluntary act for the purposes therein expressed. ~7 /l"4//j-ld-.-J r::fl<-l:"( Fay Ann Barbour Flohr We, having been duly qualified according to law, depose and say that we were present and saw Fay Ann Barbour Flohr sign the foregoing instrument as her Will; that she signed it as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing and at her request signed the Will as witnesses; and that to the best of our knowledge she was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. te)Llh&t;; f!);--;ld (WITNESS) Page 7 of8 ~ Subscribed, sworn to or affirmed, and acknowledged before me by the above- named testator and by the witnesses whose names appear opposite on M.~ 07~+H My Commission Expires: Page 8 of8 , 2001 ~. ~-:~ '-' ,_, t1 r. 15 It 1;01~ (WITNESS) -~ fJL"i /J1~ NOT ~; PUBLIC ~ ... -0-1 0 -1-0 en I\) '001 CO ........ en I\> )>-)>- m 0.. -<X CII 00 ..)>- m 0.. og "' ..-< -<X CII h-< lO 0 )>- c:g m 0 .. 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CD a> Q) a> tn ::E a> ::E ;;. == ~ ~= ~ 5'g ..... :7g ..... lI>_ ..... ..... C/)e C5 ll> _ CD 3 Z C/)e C> Z :;;CD ..... ~ CD 3 . :;;~ ..... ~ a. ..... . 0 I\) ..... ..... < ::.: ..., ~ I\) .... ~ -Ilo ~ ::::.: ~ (; c.l co (; c.l Q) .. \- t. ZOI-AT-Warranty Deed. Short Form. Aet of IIlOIl Henry Hall. In... IudlIUUl. Pa. tlrbi~ 1!letb, tiF ~ _aile tlJe :If-=:.. ~ay of V; ~ in the year of our Lord one thou8and nine hundred and ./ fifty-tlffJe (1953). ~rtml'rn GLENN it/. FLOHR, of South Middleton Township, Cumberla.nd County, Pennsylva.nia, hereina.fter called and GLENN W. FLOHR and FAY 11., FLOHR, his wife, of Grantor South Middleton TO\Vinship, Cumberland County, Pennsylvania, hereinafter called _ftntSSttb. that in consideration of One ( $1. 00 ) . . '. D~~ in hand pa.u/., the recelpt whereof 1-S hereby acknowledged, the said grantor do es hereby grant and convell:to the said grantees, their heirs and Grantee s : aassigns, ALL those two certain tracts of land situate in South Hiddleton Township, Cumberland County, Pennsylvania, bounded and described as follows: TRACT NO. 1. BEGINNI~G at a point in the middle of the back road leading from CI.J.r1isle to Mount Holly Springs on Swarner's line; thence with said road, the following courses and distances, south 40t degrees east 465.35 feet to a point; south 23 degrees east 203.6 feet to a point in said road and the Richard Craighead Estate; thence with the center of said roao and the lands of the Richard Craighead Estate, south 14 degrees east 1780 feet to a point in the line of lands of R. J. Cullings; thence along lands of said CUllings, south 79t degrees west 120 feet to a point; thence along lands of said Cullings, south 9 degrees east 221.6 feet to a point in the center of the York Road; thence along lands of sa~d Cullings and the approximate center of the York Road, south 75~ degrees east 134.6 feet to a point in the center of the intersections of said roads to lands of said Richard Craighead Estate; thence along the Approximate center line of the first mentioned road and lands of the Richard Craighead Estate, south ll.j. degrees east 1195 feet to a po~nt;. thence" wi th ~he same J south 66 degrees east 1317 feet to a pClnt ~n the otate Highway \Route No. 3~)i thence with the approximate center line of said Highway, south 32 degrees west 364.15 feet to a nail at the side of the oil macad~~ pavement in said Highway in line ~~th the southern side of the Mill and 49 feet distant therefrom; thence along the Mill property of Guy R. Keirn and Ma~tha G. Keirn, south 20 degrees west 116 feet, more or less, to .an iron bolt at the corner of the land of John W. and Helen 1-1. Keirn) thence along the northeasterly side of their lot, north 64 degrees west 189.1 feet to a point; thence with the same, south 26 degrees west 70 feet to a point in the lar.d of John L. Shelley, ~r.; thence with said Shelley's land, north 64 degrees west 8 feet to the southeast side of the lane; thence still by lend of Shelley and the southeast side of the lane, south 31t degrees west 789.5 feet to a corner; thence still by land of Shelly, south 35t degrees east crossing the Mill Race and the Yellow Breeches' Creek 552 feet to a point; thence with land .. ~ " formerly of D. H. Pensinger, south 56 degrees east 496 feet; thence with Leo Tanger's land, south 261- degrees east 188.25 feet; thence along the approximate center line of Pine Road, south 59t degrees west 893.5 feet to a point; thence wi. th the same, south It7t degrees west 813.2 feet to 9. point in the line of lands formerly of' Be~jamin Zeigler; thence with lands formerly of Zeigler, north 3lt degrees west 825 feet, more or less, to a point in\the line of land. of .John McCoy; thence along the land of McCoy, north 21 degrees east 554 feet to a point; thence along land of McCoy and crossin~ the Yellow Breeches Creek, north.22t degrees west 194.7 feet to a point in the bank of the Vdll Headraee; thence along the bank of the Mill Headrace the fallowing courses and distances: north 45t degrees east 153.5 feet; north 82 degrees east 132 feet to a point; north 69 degrees east 264 feet; north 80 degrees east 99 feet to a point; north 86 3/~ degrees east 231 feet; thence recrossing said Mill Race; thence with land of John McCoy, north 56 degrees west 930 feet; thence with land of George Woods, north 27t degrees west 1549 feet; thence with the Barnitz Estate, north 68 degrees east 578.3 reet; thence by the same, north 23 3/4 degrees west 708.7 feet; and with the same, south 75t degrees east 125.3 feet; and north 14i degrees west 2670 feet to a point in Swarner's line; thence with Swarner's line, north 75 3/4 degrees east 365.3 feet to the point of beginning. Containing 143 acres and 152 perches, ID0.le or less. Being the same tract of land which Guy R. Keirn and wife, by their deed dated June 12, 1939, and recorded in the office of the Recorder of Deeds in and for said Cumberland County in Deed Book "2", 'voL 11, page 386, granted and conveyed to Johnatha.n Paul Flohr and Mabel O. Flohr, his wife. ~qACT NO.2. On the north by Tract No. 1 above described; on the east by Pennsylvania St~te Highway Route No. 34; on the soutt. by property of John L. Shelley, Jr.; and on the west by property of the said John L. Shelley, Jr. and George IV. Snyder. Being the same tract of land. ]>'hieh Guy R. Keim and \vife, by their deed dated April 25, 1940, and recorded in the office of the Recorder of Deeds in and for. said Cumberl~nd County in Deed Book "DII, vol. 12, page 116, granted &nd conveyed to J. Paul Flohr and Mabel O. Flohr, his wife. The said Johnatrhan Paul Flohr, also known as J. PaUl Flohr, died June la, 1951, whereupon by operation of law title to the above tracts of land vested entirely in :f.tlabel O. Flohr. The said Mabel O. Flohr died December 29, 1951, intestate, leaving to survi ve her as ber sole heir at law her only son, Glenn itJ. Flohr, the grantor berein. . ).. .. ~PNC. Erica L ~ SchlegeVConsumerlPGH/PN C 0612612006 10:25 AM To Judy Yaw/ConsumerISCPIPNC@PNC cc bee Subject Date of death balances Estate of Fay Ann Flohr (Deceased) SS# 161-16-1264 DOD 04-11'-2006 ACCOUNT NUMBER * DATE OF DEATH BAlANCE + ACCRUED INTEREST CDS #31900227757 $8,034.83 + $109.63 s'" CDS #31100228377 $4,285.87 + $58.47 CDS #31300231664 $10,726.42 + $136.80 DDA #5080571681 $20,787.17 + $0.73 ./ DDA #5140184131 $43,883.43 + $2.37 / Safe deposit box 829 located at the Mount Holly Branch. If you selected the balances to be sent to the ..Branch" they will only be sent to The requestor by Lotus Notes. Have a great Day!!! :-) t. "4 ~ ~ c-f<lt<t<< aIUt de rr,iUirr9rrm ,.., "* ~. . :,. ~ COMMONWEALTH OF PENNSYLVANIA IEPARTItENT OF REVENUE BUREAU OF INDIVIDUAL TAXES IIEPT. Z80601 HARRISBURG, PA 171Z8-0601 '* INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 ACN 06133011 DATE 07-07-2006 REY-lS4S EX AFP (19-00' EST. OF FAY A FLOHR S.S. NO. 161-16-1264 DATE OF DEATH 04-11-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT D SAVINGS o CHECKIN o TRUST 00 CERTIF. KAY P FLOHR 1878 HOllY PIKE CARLISLE PA 17013 REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARlISLE1 PA 17013 PNC BANK has provided the Depar'bumt with the infoMlation listed below which has been Used in calculating the potential tax due. Their records indicate that at the death of the above decedent, YOU were a ioint owner/beneficiary of this account. If you feel this inforllation is incorrect, please obtain written corraction frOll the financial institution, attach a copy to this foF"ll and return it to the above address. This account is taxable in accordance ..ith the Inheritance Tax L_s of the COll1llOnwealth of PennSYlvania. Questions EY be answered by calling (717) 787-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS AccOWlt No. 31300231664 Date 07-20-2002 Established Account Balance Percent Taxable A..OW1t Subject to Tax Rate Potential Tax Due x 101863.22 50.000 51431.61 .045 244.42 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notice IIUst acc.-pany your paYlU!l1t to the Register of Mills. Make check payable to: "Register of Mills, Agent". Tax x NOTE: If tax paYIIBnts are .ade within three (3) IIOnths of the decedent.s date of death, you IIaY deduct a 5% discount of the tax due. Any inheritance tax due will becOIIe delinquent nine (9) .onths after the date of death. PART [!J A. 0 The above inforntion .., tax due is correct. 1. You ~ choose to NIIIit paYIIBnt to the Register of Mills ..ith two copies of this notice to obtain a discount or avoid interestl or YOU lIay check box "A" and return this notice to the Register of lUlls and an official asses~ent will be issued by the PA Deparusant of Revenue. B. ~ The above asset has been or ..ill be reported and tax paid with the PennSYlvania Inheritance Tax return to be filed by the decedent's representative. C. 0 The above inforntion is incorrect and/or debts and deductions _re paid by you. You .ust co.plete PART 0 and/or PART 0 belON. [CHECK ] ONE BLOCK ONLY If you indicate a different tax ratel please state your relationship to decedent: PART ~ TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date estab~ished 1 2. Account Balance 2 3. Percent Taxable 3 X 4. AItount Subject to Tax 4 .5. Debts and Deductions .5 6. Mount Taxable 6 7. Tax Rate 7 X 8. Tax Due 8 PART r!J DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Line .5 of Tax Computation) I $ Under penalties of perjury 1 I declare that the facts I have reported above are true.. correct and COlIIplete to the best of IItY knowledge and belief. HOME ( ) ....nn., -- . CO""OHWEAlTH OF PENNSYlVANIA DEPARTHEHT OF REVBIJE .BUREAU OF INDIVIDUAL TAXES 1lEPT. 280601 HARRISBURG, PA 171Z8-0601 '* INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 ACN 06133013 DATE 07-07-2006 1IEY-154S EK Al'P u,...., KAY P FLOHR 1878 HOLLY PIKE CARLISLE PA 17013 TYPE OF ACCOUNT EST. OF FAY A FLOHR 0 SAVING~ S.S. NO. 161-16-1264 0 CHECK If. DATE OF DEATH 04-11-2006 0 TRUST COUNTY CUMBERLAND 00 CERTIF. REMIT PA YltENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 PNC BANe: has provided the Depar1:ll8nt with the infol"llation listed belOlf Nhich has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, YOU were a joint owner/beneficiary of this account. If YOU feel this infol"llation is incorrect, please obtain written correction fro. the financial institution, attach a copy to this fo,... and return it to the above address. This account is taxable in accordanco with the InheritanClll Tax laws of the Co..onwealth of PennSYIV81'1ia. Questions _Y be answered by callin!:Y (717) 787-83Z7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS ACCOWlt No. 31900227757 Date 05-15-2002 Established AccOlMlt Balance Percent Taxable AIIoI.rIt Subject to Tax Rate Potential Tax Due x 8,144.46 50.000 4,072.23 .045 183.25 TAXPAYER RESPONSE To insure proper credit to your account, two (2) copies of this notico .ust aCCOMpany your paYllent to the Registar of Wills. Make check payable to; "Registar of Wills, Agent". Tax x NOTE; If tax paYllents are llado within three (3) IIOnths of the decetkmt"s date of death, YOU !mY deduct a 5Z discount of the tax due. Any inheritaoco tax due will beco.g delinquent nine (9) MonthS after the data of death. PART [!] If you indicate a different tax rate, please state your relationship to decedent: A. 0 The above infol"llation and tax due is correct. 1. You May choose to r_it PBYaent to the Register 0* Wills ..ith two copies of this noticoa to obtain a discount or avoid interest, or yOU IIBY chock box "A" and return this notiClll to the Register of Wills and an official asses5lllent will be iSSUed by the PA DClpartaent of Revenue. B. Pv4 The above asset has been or will be reported and tax paid with tho PeMsylvania Inheritance Tax return .A to be fi1&d by the decedent"s representative. C. 0 The above infol"llation is incorrect and/or debts and deductions More paid by you. You wst COIIplete PART 0 and/or PART 0 beloN. [CHECK ] ONE BLOCK ONLY PART ~ TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. AccOlMlt Balance 2 3. Percent Taxable 3 X 4. AIIount Subject to Tax 4 5. Debts and Deductions 5 6. AiIount Taxable 6 7. Tax Rate 7 X 8. Tax~ 8 PART f!1 DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of peritAry, I declare that the facts I have reported above are true, correct and COIIplete to the best of IIY knowledge and belief. HOME ( ) TOTAL (Enter on Line 5 of Tax C~tation) $ LlnDV r .,. 11 . .. COMMONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVEIIJE BUREAU OF INDIVIDUAL TAXES DEPT. za0601 HARRISBURG, PA 17128-0601 '* INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 ACN 06133012 DATE 07-07-2006 REY-1S43 EX N'P (D9-DO) EST. OF FAY A FLOHR S.S. NO. 161-16-1264 DATE OF DEATH 04-11-2006 COUNTY CUMBERLAND TYPE OF ACCOUNT o SAVING~ o CHECKII o TRUST fiJ CERTIF KAY P FLOHR 1878 HOLLY PIKE CARLISLE PA 17013 REHIT PAYMENT AND FORMS TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 PNC BANK has provided the Depar'blent with the infor'llation listed belD111 which has been used in cat=in.... .... ........, "'" _. The" -... '''''- ....t ., "', _'" of .... ..... _t, .... ..... . "'int -'/bene"si..." sf "'I. ......t. If .... ""' "'.. in......... .. 1noorroot, P,.... ....in ori.... correct... .... .... ........, .....tut..., .t.... . sop, to "'.. ..~ - ~tum it .. .... ..... ......... Th........t.. ......,. in __ w'''' .... I_...... T_ L_ of .... "-_on". o-F PennSYlvania. Questions IIiIY be an_red by calling (717) 787-8327. COMPLETE PART 1 BELON * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 31100228377 Date 05-15-2002 Established Account Balance Percent Taxable AlIIOUnt Subject to Tax Rate Potential Tax Due x 4..344.34 50.000 2~172.17 .045 97.75 TAXPAYER RESPONSE NOTE: If tax pal/llents are IIade wi thin thrlle (3) IIOnths of the deCedent"s date o-F death, YOU !lay deduet a 5Z discount o-F the tax due. Any inheritance tax due will becgge delinquent nine (9) eonths a-F"ter the date o-F deatlJ. Tax x PART m If you indicate a different tax rate.. please state your relationship to decedent: A. 0 ThIll above in-Fol"lliltion and tax due is correct. 1. You IIiIY ehoose to r_it pa~nt to the Register of Wills with two copies o-F this notice to obtain a discount or avoid interest, or YOU IIiIY checlc; box "A" atd return this notice to the Register o-F Wills and an official assesSllant will "be iSSUed by the PA Departllent of Revenue. s. M Tho ..... a.~, .... boon or wil, .. _'.... ~d _ paid ..'" .... "~~'_io Imorjton~ T_ 'atum ? to be filed by the decedent.s representative. C. 0 ThIll above inforlliltion is incorrect and/or debts and deductions were paid by You. You ..st cOllplete PART 0 and/or PART @J below. . [CHECK ] ONE BLOCK ONLY PART ~ TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS lINE 1." Date EstabUshed I 2. AccCX8lt Balance 2 3. Percent Taxable 3 X 4. ~t Subject to Tax 4 5. Debts and Deductions 5 6. A.ount Taxable 6 7. Tax Rate 7 X 8. Tax Due 8 PART f!] DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury.. I declare that the facts I have reported above are true.. correct and cOllplete to the best of IIY knowledge and belief. HOME ( ) LInD.,., ... TOTAL (Enter on Line 5 of Tax COllpUtation) $ - .. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 - :)>' REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 006923 h_~____ ford ACN ASSESSMENT CONTROL NUMBER AMOUNT ALLSHOUSE MARK W ' 4833 SPRING ROAD SHEMANSDALE,PA 17090 TOTAL AMOUNT PAID: 101 I $28,000.00 I I I I I I I I ESTATE INFORMATION: SSN: 161-16-1264 FILE NUMBER: 2106-0597 DECEDENT NAME: FLOHR FAY ANN BARBOUR DATE OF PAYMENT: 07/06/2006 POSTMARK DATE: 07/06/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 04/11/2006 REMARKS: $28,000.00 CHECK# 8702 SEAL INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS T AXPA YER .. COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: REV-1162 EX(11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT FLOHR FAY ANN 1878 HOLLY PIKE CARLISLE, PA 17013 --_h__~ fold ESTATE INFORMATION: SSN: 161-16-1264 FILE NUMBER: 2106-0597 DECEDENT NAME: FLOHR FAY ANN BARBOUR DATE OF PAYMENT: 07/07/2006 POSTMARK DATE: 07/07/2006 COUNTY: CUMBERLAND DA TE OF DEA TH: 04/11/2006 TOTAL AMOUNT PAID: REMARKS: FAY ANN FLOHR CHECK# 8703 SEAL INITIALS: CM RECEIVED BY: , ,__f ~:,.. .- "',.! TAXPAYER NO. CD 006942 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $7,000.00 I I I I I I I t $7,000.00 GLENDA FARNER STRASBAUGH REGISTER OF WIllS