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94-01048
I'IItlO'''' "lItQHh 0411 COUNT~ OF NBVAlDA N~vl!.dll. City. Californiu 9595~: l _4__~' . ._4____..... ~.....::R::f.1~,~~~~,~~~;.I,~.._. 394290 00.476 t'4" I,U "\i/oii.;, ,1111_" '''I '.':" ..I.....~~ ~,~..... I'-~-~W~~:~-D'(;N~~' ';II~"'" ....rrM'~~~~~~_cth.-..-_.,] J ";~J~';~:~1. "-~~-~~~i-;~~;joa;~' ,-.- --I' .;~~.i _:~~~~Fmitr~.~-rj:~:ml!~.;~" (J:J'/~J'; ';~~Il r'f ~~;. ",..on r ;\;'6':;1~~;' ~~. ,. [; ':::"''',.:;::'; '[X:I ,..,~, , : ;"1::; ;"\ ::';'I~I" ." ;',~" ."" ,,,..,,,. iT....le.. - ~.- -'1 i.-.:.,...:, "I~'" 'I ~"". .~,.."". 1,_"W.h",~:_e.,.___ _ . ___.D""j' :d ;. ,,,_. _'" .0.." Fl(!cl\JO(ld _ II .".n Q' .".....n. ',n ,'., ~,,,,I IO/,ll ,""00"" ,-.,.\.. ..~~!.~~!'.- !!~_8_~~_____ _I. ..,.,......c.--Il..Il...!),""'.....'to;.,0000 Hodulnr llomo!l u.u,,~ 82JI UlacKw1l1o\l Circlll 1214 ''''HUM:' i-,' ~~,.._._-- '4_' - -.-.. -1-" ,-iIo-;'-'-;- ~"-- -- ~- .. 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I I I I" ................. rll C p.1l unt rorre n.ur n~ Suc. 9~:-!~)]. -----.- -~------. nt- ---'--+-,i1. ,.:.;......;.;;.;.;;_.- :['=t _:_.' __D "'-- ___EJ ".- 1.0 1110'""""'..h ________ - 0.!.!L...l1.. .,1 ..........U".........C...H .~~~._ _.._____. _____~__..___..._____ _. .:__l ~!!I_.__..D_~ I" o"....~..,.c:.~.C_,q...Cl>'l,.."...'O...u...,,' .o,....'IQ 101;1"" Q,...... 10' '''l",tl>lur CAUII ., Dvr 10 ,$ OU.10 '" nonl! '.-iT";;;., .....u..,.. ...-;,~;';i;;-I';';-";;-CO;;-",-w.~ ;-'-''-;"',;;i o;;-;i'l-'~,i'; '.";.-. ",;;- ;';l..j;"~.~; -,;;;. -- 110 11;~;w'j"j;'"...~;;~fl';.;;.;;;-,;..-.;;-;'~-ew;;;------.-.r"jiil-,-;~i;;i-..-,.._-."',-,1'.;.,;-';;'-;;;7(r... ,.U"OC~"""Q.' '''...0.' 0"'''.... OIIC.O:-;C:I:;~~.::.lt':I::::~,.Io.::"~~I...U.. ~_.____.___ __.._..._._.___.__._....:.. '-'-c'.' ..- -.. ~ .-.- ...- ~--_.-.. .--- ",.IIOllte ~" : >UI/ 0 0 ,.:c" II' ".. .'"....OIG t~,..C,.~ t "'''1 .... '.1 'PQ.," ' I. ~ro;-..~iil~ck;oirrD' ,""'_"".""OCIU..tPllOOI .."oou'''''U'O "'"'_'0'0''''' Q "II,,"" Q .....a.. 0..0-::"1 [:1 0"-'" [l~o..o.a""'," JSJ '~C'Of..' .......<1.,<)01 _ Lt".........ll li1~''';.;;;I~;;;-.-;:;;;;-~;_.~ r;.-,-..;;r;r,;,:oo.7"._~..._-_._----- ._~----...__._---_.- 10]56 Trucko(t Tahoe Airport Itd,. Truckoc. CA, 961111 liit;,.~.-:~~~\~:..~. ',i. ~;.-", ~:'E~'~;l;~' "r'~'.l;; UO-~~:oller II '" ","... <I.....' '"01' i'iO-;.;.;;,-.-.~;;.flil-;,~Q;';I-.;,-;..D-;-'- -,-;;r ,-,i-.:,'-;;'T,;,- -'--;;.;i ;.7;.::';:--' _.. _m_m~~~/.OS/_!_9!.~_ . _. .. _.1.~~:~~_.~~~~!_~.~.. !~_h.~~. _~!..".~~ t 104 tI.~.... __ ...MI, ....t'..I" .....,. .,,--,~ '"""1' .. ,..",,, Solu Airt:raLt Accidentl ~aHOUn8orR1ght Roar .. L_ _.__._u STATE OF "AI.lFORNI.\ COUNTY TlP NFV,\I1A CERTIFIED COPY OF VITAL RECORDS l" DATEISSUED 09/0 fj/19~.;~ Th.II, I fllll.nd "4CII.pIClQ'lct.on ollMo decum""l oll,e,.II, IQgl'IOrtd .IM ~. ./ '1'7 . - plac.d on ~le In In. o!t,ce 01 lh. N.~.ad.t (;elJnf~ tlfl.lllll p'llarlm.nl (J4tf... V':;J.#. ...l M.D. nEOISTIIAJl NE ."ADA COUNT V. CAlIFORNI" 11\1. cop)' n~ v.litl un~n preparttl tin en'fned l1oldcllli\rlil~in~ 'till 'flll \IK"iUUre or Jte.IIIIU, , , ".., ~1 .. 94 .. 1048 RENUNCIATION In Re Estate of KAREN ELI ZAB,ETH CORREAL ,decused, To the Register of Wills of CUMBERLAND County I Pennsylvania, The underslqned JANE LEE SCHAEFER (Mother) of tlie above decedent, hereby renounce(5) the right to administer the estat.. and respectfully ask(s) lhal Letlers of AdminiRtration be Issued 10 ROBERT D, SCHAEFER (Fat.her)' WITNB~ ,,,"hI. II ,,,.rl\!..w.b., IL:z;/ ~o,~ (Slan~ure) ;,ty CA.LJ,Jt-(l:J!~ &1.. t1J ~cr , (Address) (:)" 10 7 (Slanllure) " (Address) (Slanl,ure) r-. . , , 'I.i. , ,1'1 1;\ \;.'1 (Addrm) I ",. t..i "1 , . .'::\ ., , ~j II. (j(.) 21 - .94 - '1.Q48 ~y Western Surety Company Bond No, 60)90140 Know all Men by these Presents: 'I'IIA'I' WI'; u IlO~Je~t Schc1Hfer , IIH l'I'iIll'1J1I1I, alldllll' WI';S'I'I':HN Stlltl';'I'Y (:llMJ'ANY, a "OI'J10I'lIlioll dill)' Ji"I'IIHI'dlo do husilil'HS iu tl,,' COlIlIIllllI\\'1'1I1t1r of l'I'lIl1sylvllllill, 111'1' 1II,Id IIl1d fil'lld.v houlld unto tlrl' COllllIlllll\VI'ldllr of l'I'III1Svl\'lIl1ill ill Ihl' sUlllof _~'welltyYhousand and no/100 ($20.000,00) II0IIIII'H, 10 hI' J1l1id to till' slIid COIllIllOIllI'I'lIlth, 01' 11,,'il' "I'l'llIill Allol'III')' "" Assil(lIH. '1'0 thl' II'hit'1r J1aY1I1l'1I1 11'1'11 II lid Ind,\' 10 hI' llIadl', WI' hi ad oUl'sl'lvI's joillllv llIld sl'vI-rallv, 1'01' alld illlhl' 1I'I1lIII', olll'IIl'1l's. (o;xI"'lIloI'S llIld Adlllillisll'lIlol'S, l'iI'llIlv hy till'S;' 11I'l'sl'als. . Sealed With Our Seals - Dated the 7th day ot Novunbur In the year 01 our Lord ono thousand nine hundred and 94 The Condition of This Obligation Is Such, That If The Above Bounden ___.__RQ~rJ;.$~ME!t(,!L ,.. Adlllinistl'lll .9]:"_._.....__.__...._ __.u_._._., of all alld Silll[ulal' 1111' t :oodH, Chaltl'ls awl CI'"dits of__J<qr~!LS.gha_eJ.(,!r .CClIT@J , _____~_.___....___._ .~_~_...__ '..__m._ ....______. d(l('l'HS{'IL do IIlHkll III' l'IlIlS(l tll lip llIlUIt., II tl'Ut' Hnd ppl'fpl'l IIl\'plllo!',\' of all alld silll(ulru' 11ll' (;oods, Chaltl'ls alld CI'('dits of till' "aid dl'I'l'as"d, II'hit'h hIlVI' 1'01111' 01' Hhall 1'01111' to Ihl' Imllds, J1osHI'HsioRJ;\'i~'l'~\t~~E~~'f-.ROl)<olr;t;Scha~f!;!r;- ' till' said ________.__,.__.__....._ __._._____ _ 01' illlo 1111' hallds 01' J10HHI'HHioll of all)' othl'l' J1l'rsollol' I"'I'HOIIS, 1'01' _..___h.\.m alld thl' salla' so lalldl', do I'xhihit, 01' ('ansl' 10 hI' I'xlrihill'd, illto thl' Hl'l(istl'I"s Offi"I' ill till' COUllly of, ,Olnberland , lI'ithill 1I1h'ty days fl'olll till' dlltl' 1ll'I'l'of; lIlId till' S'IIII1' (;oorls, Challl'ls alld (:I'I'diIS, alld allothl'l' Ihl' t:oods, Challl'ls :llId CrtHJitH of tho sllid dl',,,'asl'r1, at till' tillll' of her , ,........ dl'lllh, II'hit'h al all\' I illll' shall 1'01111' to till' hallds 01' III>"Sl'ssioll of till' said RotJert Scha~-fer . ______ _------;:-'...'9"......-.-.---;-__._ _~_____~.n Ol'j~.~\:~\~~,;t:i&;I-i~IS~.;~;,l\ Ili'III1)'I;II\;:I'I;I'I'~I;n' 01' J1I'I'~on~,fol' uu his' , ' dll w~;;1n'IUfl;lY/III\n1Ill1>h,,' al'I'TII'din~ 10 law, ,\wi fUl'thl'l' do nmk,' 01' l'ausI' to hI' lIIarll', a jllsl aad 11'\1(' iIl'l'onllt fjC,'.' .13'tS '.1,L'~~';~,_u sllid Adlllinisll'alion, wilhin six lIIoulhs 1"'0111 1111' dill I' 1"'1'1'01', 01' whl'n Ihl'I'I'\11lto f~lir!.ll hy \III' oPN)'IIIll~ COUl't, and all till' l'l'sl and I'l'sidla' of Ihl' said (:oods, Chatll'ls and Cl'I'ditH whit'h Hlmll blPt'Qund relllalninl(,ul'fi'tl till' said Adlllinisll'alol"s al'I'ounl, Ihl' sallll' Iwinl( fil'sl I'xlllllinl'd and ullll\\'I'd h~1 thl' (),~lin!1H- ,flo\)lt 0(,1h4rl;ount,V havilll( jUl'isdietion, shall dl'li\'I'I'lInd I'll)' unto sUI'h J"'I'HOIIIII'I"'I'SOIlS at thl' Hllid tYvl'lJWr.l:.Courl.,til('fllclr' dl'I'I'I"- 01' sl'lIll'nl'I', PIII'HUIIlII to law, shalllilllit alld IIppoiut, IInd ~,hull 11'1,11 and tl'uly eon1p~yilJi'\I,,~\y~ Ill' Ihis COllllllonwI'alth l'r1alinl( to I'ollall'l'al inlll<l'ilrllll'I'H: and if it shall hl'I'l'aftl'l' al'l ""l,': thatllny.(JHt,lvilhllld t"sIHIIII'nt waf> IIIl1dl' h)' IllI< dl'I'"asl'd, lIad IIII' sana- shllll h" 1"'o\'I'd al','ol'ding 10 law, II till< Haid __....RoberLSchaefe,L_ .. -.--- heinl( thel'l'lInto I'''quired, do sUl'r"adel'II,,' Haid Ll'ltl'l's of Adl11illistmlioll in10 II", Itl'J(lsll'I"s Offil'I' afOl'I'Hllid, then this obJi~lItion 10 hI' vllid, othl'l'wiHI' 10 1'l'lIIl1in in full 1'01'<'1', Sealed and delivl'r"d :n thl! Jll'I'SI'IIl'I' of PI'inl'1pal "rnlerilignod SEE ENOORSEMENT ^'cra:n y _'_"_'U'''_ j. . "\ I!'.f"lnt WI'; S'l')' By , - 1'''1"11,11\:1,\ I; Hr. '-1...'-l.'-1~4"".""oIo .Loj " "!" "'-, .. I, I'"~ STATE OF SOUTH DAKOTA} County of Mlnnohaha '.s 7th On this , ., II , " ''Ii -... " I' ,I I I " , '" " I', ,,' "j " ",;'1:' . ", ACKNOWLEDGMENT OF SURETY (Corporat. Officer) November day of_. j, " 94 , 19_, before me, a Notary PubUc In and for said County, personaUy appearecL. Joe p, Kirby, President personaUy known to mo, who being by m. duly sworn, did s.y thst he I. the alore..ld olllc.r of tho WESTERN SURETY COMPANY, a corporation duly organized and ..I.tlng und.r th.laws of tho State of South D.kota, that tho .ealalllxed to tho for.golng Instnlment 10 tho corporate ..al 01 said corporation, that tho ssld Instrum.nt was slgn.d, s.aled and ..ocuted on behalf of said corporation by authorl. ty of Ita Board of Dlroctors, and furth.r .cknowledg. that tho ssld Instrum.nt and tho .xocutlon thereof to be the voluntary act and deed of said corporation. IN WITNESS WHEREOF, I have her.unto subscrlhed my name and affixed my offlciale.sl the dsy and year last above written. My com~lselon eXpires ), PFAFF My CommlS11on Expires 9.14.2001 Form 1~.9-8& " " ' ," ;" "\', j !l 1 I 't' '; 'I " I' .. '. 'III:, ,10_ , ., .(,1" ,'" ,"1\ Notary PubUc "-....-.................,.'" 1,1',; " I" , ';,1" "\ " , " 'I ,. '.u:, '1_, \Ii ';,1 i, " , , I I I I I I " I ~y Western Surety Company , POWER OF ATTORNJtJY KNOW ALL MEN BY THESE PRESENTS: Thai WESTERN SURETY COMPANY, a corpor.llon organlzod and o,lsllng undor Iho Isws ollho Slalo 01 SOlllh O/lkolo, /lIITI aulhorlzod and IIconsod 10 do buslno99 In Iho Slalos 01 Alabama, Alaska, Arizona, Arkansaa, Call1ornla, Color",III, COllrlllotllllll, Oelawaro, Dlstrlcl 01 Columbia, Florida, Oaorgla, HawaII, Idaho, illinois, Indiana, Iowa, KanA/la, Kllnlllcky, LOlllalllllll, MllllllI, Maryland, Mass.chuoolls, Michigan, Mlnnosola, Mississippi, Missouri, Monlana, Nobraska, Novall/l, Nllw II/lmp.hl/o, NlIw JorTlny, New Me,lco, Now York, No/tI, Carolina, Norlh Dakoi., Ohio, Oklahoma, Orogon, Ponnsylvanla, Rhodo ITlI/lnTl, !Il1l1lh Olllollno, Ilfllllh Dakota, TonnBsBoo, To,aB, Ulah, VBrmont, Virginia, Washington, Wast Virginia, WlsccnBln, Wynrnln\J nlllllhn lInllnTllllnlnTl III AmBrlca, doo" hBreby mako, conslllulo Bnd appolnl Joe P. Kirby 01 _____.u_........ sioux Falls I South Dakota II I I I t d Presidunt Stale 0 -::i71;': _~~._.____~., s r~gu af yo ec e ..___ u_. I I as AtlornaY'liI'racl,Wlth lull powBr and BUlhorlly horBby conforrBd upon him 10 sign, o,eclllo, acknowlmlgo onTl TllIllvor 1111 Ollt! On lib behallU surslY BOd IS lis acl and desd, all 01 the fOllowing classBs 01 documanls to.wll: " ,1f\demlll'y,'SurelY and'UnlJarlaklng, thai may be doslred by conlract, or may bo glYon In any 8cllon or IHOf:ondIIlU In "'y tllllllllll~w or "lully, petiole. In~emnllylng emplovers agaln91 to!!S or damago causod by tho mIsconduct oltholr employou; olllolnl. 11I'" ",ullIIHnly IlfHIUlh,Uly 110111111 IM.tnnIW in all Clues whom Indemfllly may bo lawfully givon; and wllh full pow or and authollty to oMcculo COfl!lOfllft ""d wltlvoII 10 Illillllly UlI,h'r\U"lIl o)tlen,~ any bond or document exccutod lor Ihls Company, and to cornpromlso Bhd sClUlo any and all claims CUlllHlllntJ. II1lelll (If ful,llnu AU.11I1I1 ..It I Company, 'VIMf.rn Bur.ty Company IUlther carlUlas Ihattho lollowlng Is a Iruo and aMacl liOPY 01 Soctlon 1 of tho Uy,lftwft III WlIIllIfll (ltHelv Clllllf'AIlV dillY adupled &rl,~.now In foroe, to.wlt: ''1,,1' Section 7. All bonds, policies, undertakings, Powers 01 Altornay, or other obllDallons 01 the corporal Ion lIh.III11'l fWIGulftclln thu 11ClIPMlltlll"Ilt' 01 the Company by Iho Prnldonl, Secrelary, any Asslslant Secrelory, Trealluror, or any Vice Presldenl, Of by lIuch olh,r olllellll all 1110110"111 nl (l1'lnlll" may aulhorlll.l. The PresIdent, any Vice Pros Ide nt, SecrelafY, any Asslslanl Socrelary, or lho Treasurer may allPolnl AllOllloya In 11'0111' AUtin'. 'Nhn .hlll have aulho,lty 10 laaue bonds, pollclell, or Ufldsllaklngs In the name ollhe Company. The corpora to Ileal III nol necolltllY '",Ihl) Vllflllly III "fly 1111/111', pollclOll, undeltaklngs, Powerll 01 AHornoy or othe, obligations ollho corporallon. Tho signature of any lll/oh nflj(ll1f 11Ilel 1110 IJOIIIOIII... '.It lIl,.y hll prlnled by facsimile, In WltnBss WhBreol, the said WESTERN SURETY COMPANY has caused thoso l"oo"nIB III 111I 1I"",Ullld hy 110 President 7th ...___ wllh thB corporal 0 BBal alll'Bd this. .__,. WESTERN SURETY C Nnvunl XJl~ ,10 94 . By._...., Assistant Stcrolary 'y, I'lcoldnnl STATE OF SOUTH DAKOTA I as. COUNTY OF MINNEHAHA J 7th November On thlo ________ day 01 __._.~... ......... 94 ,10", hololo mn, a Nolary I'Ullllo, Ilor.onllly appoared ....--. Joe P. KlrbY..__......._..___.. anTI L. Nolson who, being by me duly aworn, acknowledged Ihat Ihoy slgnod Iho abovo Power 01 Altornoy un Prosldont ,....._. and Asslatant Secretary, rBspBctlvBly, 01 Ihe said WESTERN SURETY COMPANY, anTI aoknowlodgod ssld Inotrumont 10 be the voluntBry act and deed 01 said Corporation. .~~~~~~~~~~;;.~~~~~~~~ t 1r.!iifJ NOTARY PUSLIC ~ .. l&o4L SOUTH DAKOTA ~~~:~):: : M}' ('OlnmiHinn f:_IJIff'" I.'.!'.!.!I~I 1 ~~~~~~~~~~~~~~~~~~+ ~,~" Not,ry Public Form 612 - lo.9~ 735' PI- 7 fE. " CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedentl Correal, Karen Elizabeth Date of Deathl September 5, 1994 Will No, 21-1994-01048 _Admin, No. To the Registerl I certify that notice of beneficial interest required by Rule 5,6(a) of the Orphans' Court Rules was served on'or mailed to the following beneficiaries of the above-captioned estate on I Name Addr~ Mr, & Mrs, Robert Schaefer 28 Cherryfield Dr" W, Hartford CT, 06107 Notice has now been given to all persons entitled thereto under' Rule 5,6(a) except Da te 1 ,",. \ L, ('I ',> -~ Mancke, Esquire U"I t::~ ,,- t,"} <:> ,!q ,-,In; N () I ) '':_~ Ei: i ,t.;f .. 0 q) , '.' N ;1 , :\,' J ~~ 5?> ',i ", . ..' ,:, ~: ,-' rj (J '~~I ~'" ~ ~~ a: a:: Address 2233 North Front Street Harrisburq, PA 17110 Telephone(717) 234-7051 capacitYl Person~l Representative x Counsel for per&onal representative If. {,- B ,. ~rv:!lOCl 'H Ilol71 '." ~ 73 'd' e. / . '7 I ~- - J/. d. INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) COUNTY COD! Y!AR NUMUR 19. If lin~ 181, g"al" than lino 17, ~nllr Ihl difflrlnco on lin. 19. Thl. II Ih. OVIRPAYMENT, me 20. If linl 17 I. g"alor Ihan linl 18, Inllr Ih. dlfflrlnco on lin. 20, Thl,I'lh. TAX DUE, A, Enllr Ih. Inlorl'l on Ihl balanco dUI an linl 20A, 8, Enl., Ih. 10101 01 lin. 20 and 20A an Ilnl 208. Thh I. Ih. 8ALANCI DUI, Mak. Ch.ck Payabll 101 Rlgl.I., of Will.. Agln' ;. " ". ' . .81 sun TO ANSWI. ALL QUlmONJ,ON' .IMISI :'1'1: AfID TO .ICHICle MATH.'4lIf{(:~'N.t:"\'l"':':':" ;:; Ullder pinelli., of p.tluty, I dlC.lar. that I ko.... ,oamln.d Ihlt r'lurn, lncludlng accompanying ICh.du;n and tlal.",."II, and 10 ,hi bill of my ~nowl.dg. Clnd b,li,f, Ill, tru., corr.ct and compl"I. I dlclar. rhat all ,101 .11011 kat bltn f!pq,ttd GlllUI mfl,h. yolj,jl. Otclarallon of pr.po", olk" ,hon ,hi p.rsonal rtprll,nloll". II balld on ali In/o,mallon 01 which proparor ha. any Inowlldgl. I<OlY.lrt u, Schaeter . N L 1llJ:'mlHo mU'H .OOUlI 2(\ Chef.'C/field Drive 0,1," :..---\. ~I~ . .. L" I: tord, CT 06107 .3 oj I ,l,00~1lI 2233"Clucth B'ront Street 0,1,11 Harrisbury, PA 17110 . ~ '.') "l~~" ~ ~ l!! ~~S o~a ~ ~g =i 82 z o 0: ~ ~ ~ I PILI NUMI.. 21 1994 1048 COMMONW\"Lftt Of 'INNSYlYANIA 0".' ",NI 0' IIV'NUI POll () IICI'O. 1Il7 ~."'IIU~D, ',I, I7IOJ.lll7 . I ,AN ODLllNlllALI N' .. . IE I. O,lglnol R.lurn o 4. Umllld E.tat. 290 (;;C110 Road Carlisle, PA 17013 Cf'''' Cumberland o 3, RlmaINd., RI,u,n I'u, datil al d.ath pria, 10 12.13,82) o 5, Pld.,.1 ellall To. R.tu,n Requir.d ._ 8, Tal.1 Numb.. of So,. D.pa,;! 80... Correal, Karen (;;lizabeth Nu..m 10'01l90/'005"/'9~ A rJ. 516-70-3170 'j o 2. Suppllmlnlal R.turn o 40. Pulur. Inlorl" Camp,oml,. (/0' datI' of d.olh akor 12.12.821 o 6. D",dlnt Dlld T.,latl 0 7, DIC.dlnt Malntalnod . 1I,lng T,ull (AlIach co of Willi IAlIach co y 0/ Trull ALl:. COUUPONDGNCI AND CONPIDIHTlAL TAX INPOlMAlI SIIOULlUI D1RlCTlD TO" AM MAl Ai John B, Mankce, (;;sq, 2233 North Front Street Harrisburg, PA 17110 .' ...'l.....~.\!'.I"'1 .,(-.f/iff.1 , ...,10.... 11~J,",: .~. ,~~ . .' ',.' lUPHONI NUM'ilr , 1 ';..: ; ~ 'j I. Rial Ellal. (Schldul. Al ( II 2. Stack. and 8and. (Schedul. 81 ( 21 3, Cia Illy H.ld Slocl/PaNnl..hlp Intorlll (Schldul. C) (31 4, MaNgag.. and Natll Rlcll,abl. (Schldull 01 ( 4) 5, Ca,h, Bank Dlpa.11I & MllClllanoau. Plnanal P,aplrty( 5) (Schldul. e) 6, Jolnlly Ownld Proplrty ISchldul. PI 7. Tranllon {Schldull GI (Schldul. L) B, Tolol G,o.. AII.1I 110101 IInll 1.7) 9, Pun oral e.p.nll', Admlnlurall,. Call., Mh"lIaneau. I 9) e'Plnll. (Sch.dul. HI 10. Dlbll, Mortgagl Uablllllll. U.n. (Schldull I) (101 11. T 0101 OlduCllon. (Ialallln.. 9 & 101 12, Nil '1oluI of Ellallllln. 8 mlnu.llnl 111 13. Chorllabl. and Go,"nmlntal BlqulIlI (Schldull JI U. Nil Valu. Sub ""10 To. IInl 12 mlnu.llnl 13 o o o o 5.217.28 6,175.00 o .J. < i: ~:, 16)_ 17) I 81 11 . ~Q' '1\ 8.392.81 11,286.85 .,/,- '.' 19i679.66 . -8,287.38 (111 (12) 113)_ 114) .~-- o o ~ ~ .. ~ V S 15, Amounl of IIn. 14 lI"abl. 01 6% roll Ilnelud. ,alu.. from Sch.dull K 0' Schldull M,) 16, Amount of IInl 14 la.abl. 01 15% 'all 1'"e1udl ,alulI I,am Sch.dul. K 0' Schldull M,I 17. Principal 10. dUI(Add 10. /,am IInl 15 and from IInl 16,1 18. Crodlll P,lor Paymlnll DllCount + (151 _' .06 . (16) _' .15. o (17) o Intorll' o o 1181 (191 C.n~(k he.n .1 you ore It'fllu...tinq n tt"und uf yOUf OVl'lpoYfOl'nt 1201 0 o (20A) _____~__.. (20B) _ 0 (" t..l .~'" . . .'. .......- .-: -~" ,~. .:.;" ... "':'~~.!;'~';""~' ." ';.\":':,.',:.':'..:.l~;N . JU' ,~.. ~I:" " ".', lttIoUOl a:. "..11;:' " " ~ .' .....,......-..-.... :,.(j:~.r.l' ,., ':', .. ,'t,\ '..r'. '.,' :~.. " . 1'~ '. -- . , . ~' ,. ~,' ..,'.' ,,'. ' " ~i.....:"';..: I ,,' .a'.:":, '~'I'" '~:': ".,. .. ",::~.:I .' CCMMONW....Il!!.C' 'n1NITI'IAtlIA IIlHiIrIAH'" tu: amaH iiiiDlHr DICSDIHf Karen Elizabeth Correal SCHEDUU E CASH, BANK OEPOSITS AND MISCELLANEOUS peRSONAL PROP5RTY '. , IAU ...,...., lo4ft.tv-... with ,h Zit'" .Ilorvlwnlll, "0" ~. dlld.... .. '....01. 11 ITeM NUMBER 1. Bank of Boston Navy Federal Fleetwood ~ Earnings 2. 3. " . ~,' , I, 'I! ,. ,. ,I, ,I,' i, , , , , " , '. ,,,. .. , " , , " ,,' " ,. , ,. " i I' " , " ,I!, DESCRIPTION " j; ",' I' " , " .. " .. . .' 1',' , . 'j '.. " q, , " . .. " I' l! , , " , , ,. ", .i ,'" , .'1', " 1 , ,. " " .. .' . VALU& AT DATI OP DEATH 2,813.26 1,977 ,37 426.65 " , : Oi " ,. ;1' ,. TOTAL Allo .nllf on Itn. 5, R.copltulatlon) S 5,217.28 (1o..cl1 ..dl,I...'Il'a' . II' '0_ il ..'N Ip...I. ...d'd,l .. " " .' .' " " ,,, ; "':.' .' * CCIoUolClHWIAIIH 01 'INHITW'I'IA IHHllIWod we IINIIl USIDIH! DlaD,IHT - ,.':" ....,\.'~ "..:.. " ;' ..\:',-:~~~:f~/~' '........ &I'AUU a. ,..., -,' :" 'I ;:" '. . I';,";"" .....'.../001, . . - .- ~~ -~. ~ .'. . 'I "".i.l.....,~,..'. . . ,'"...... :1.-..~l"..i!,...~...''''., ,- ':-. :. '. : :.,.>~.t;~~)~~:,..... .<.:~.. , "SClIEDULI! H' FUNERAL expeNSES, AOMINISTRATlve COSTS AND MISCELLANEOUS expeNses '..t' . . " ." '"";' " .:.. ,'",.. ',.' , ":'," ' .. . ,'. , ,,~ 21-94-1048 Karen Elizabeth Correal ITEM oesciurnoN NUMBER A. Pun.ral Ex".n.." 1, Memorial Service .- 2. Hoffman-Roth Funeral flome AMOUNT 2,554,60 2,925.00 TOTAL (Also ,nt.r on Itn. 9, Rlcopltwllltionl IS 8/ 392,81 (If mar. spaCl! I. need.df In..." additional sh..t. of sam. du.) :,"\!'I~l......... ....- , .,":......~!.:.."l..._,.,~, ~~~..r.mt"~1"l:.~~~~~~qa:;Ii.~"i?Vj;t!:":i......"'r..,........."'.\'" ,,,,,,,,,,,,.,;, 'If, .' " . ., . ....,...I.,.."'~'",,,.i,'j~ ,...",,-' ., ~'; ,''.1: ;,~'" ;... ., ..", tl'6U'~ IX. ".... ~.Q. ~ __01_- 1ftff4uWtC1 tAl 11NQ4 "-'- SCHEDULE I DeBTS OP DeCEDeNT, MORTGAGe LIASLlT1ES AND LIENS PI.a.. ?rint or T p. I FlU NUMBER 21-94-1048 a: rlOF Karen Elizabeth Correal N~~1Il I OESC~IPl10N 1. Barnett BAnk of West Florida (Auto loan, joint with Vincent Correal) (Simultaneoua death) Total amount due - $9,529,47 Amount claimed (~) AMOUNT 2, Sallie Mae - Student Loan 3. USAA Visa . 4, Pacific Bell 5. Ann Taylor 6. ustIA Insurance 7. USAA Visa 4,764,73 5,504.56 31.25 66,96 151.30 284,96 , 483.09 , " '''I..' " " " " ' ..' ," " ,. , ' " .' " " TOTAL (AI.o 'nllr an IIn. 10, Rocapllulll1lonl III mo'" 'paCt 10 ...d,d, 1.1f" adJlIIa.ol lit"" 0/ ,am, d:L) $ 11,286.85 :'.' , ' , 90 LAMBERTON ROAD WINDSOR,CT 06095 No,_ 11.122 118 50062071 Sequence No, , 42930133 " . Inlured', Name SSN1Ce~, Numbor Issuo oalo VINCENT M, CORREAL To Ihoorder of 196625420 PAY~ 10-20-94 $****1,000,00 ESTATE OF, KAREN E, CORREAL C/O, JANE &; ROBERT,SCHAEFER , 29CHERRYFIELD DR: , WEST HARTFORD CT 06107 , , II' 5001':. 2O? U;II' .:0 ~ ~'l0 ~ 2221: /. ,":'" " ",:,:}.,i:;:,:::, Wji c.)~","~,:; Aulhor1zed Roprasonlliilvo 1", '.: \" 'I "Shawmut 'Bank''connectlcut;,N,A. Hl/t1ord, CT " ,', , AetnaUtelnsuranceCQmpanr' OR-9078a (3-~1 ~ ? 211' i ,:!<:t;'>'.:'U~":",~ .,' :' :;:; 'TR~ASURER'S CHECK 865 3 09?:~:"":'(':, i ,O,B_~RTi\GCHAEFER' .,"'.~, , U PlIACHA$l!R ' . '" 1.11 i '"I g .'\:::"\:/:):':,':'.: : .' "" . , I';:'> : j" ii. ~Ti l'2123/94.'>'~r,;~6::8: E'STA'TE OF. KAREN E'SCHAEFER . .. ;', 'I' ''''I'J' . ':':;:.::";':: ,:.1' ,:;":.';',::th.::.,(;' , .. ..$2i):i~i:,3:",,#6.. .. "'. . ", . " . \ ':":--t..'I" . ., . ,\ ...;.'~ :'( .l,.'~'..:: ". ,~" , .....t.~.!f.::.:::rl~',. ,! ,(, ::,'~, ':,:BANI('(:lF.',BO,STON: ,LIIt~i/tfi- ~t2h;~".:.'.)':,.',i...'" '\;::','. ' ,'.. ~...ftil'i-....; CONNECTICUT " -::;~D6<iZAlVR' 3-,:.:,:, I:, :" ' " . '; '(~~~:~:'~nt;~M~~ "'(~/\"',. : ':.",. '. I. " II'bBbS~G.'lIl' :1:O~~:~00a051: 571,01':.1,0211' ,". :, ;._ I. ,'I.'" HE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER .,l. i;,,"=1~ '1 .":::~,{'~.t:!,l/i:, "11,;'::' . ~ 'I i' ,1;1 r-.~ I, .' ." "~',I o Q'l':.1!1Ji02' 6' , No, ' ,:.ffi,J,i,",.,' FLEETWOOD ENTERPRISES, INt, 312~ MVERS ST, RIVERSleE, CA 92~23 "RST U'lJON ....nOl<Al. BANI< Cll.APfl HILl.IIQRfHCAOOlIAA :W.yi~;Y'I: j',;. :"'1,""'),1.': , ' 'flli~Rii!i~~"DRED: TWENTY-SIx AND 65/100 DOLLARS 'I,"'" "," .' 1,-, ,I:', I"; 'I, " TOniE," I' OReER OF, M-1I6 -m- , ',;1, ESTATE OF KAREN SCHAEFER 29 CHERRTFIELD DR WEST HARTFORD CT 06107 I ~'/ /'/~ ;:/~ I'; / ~) I"} ,:"...J ,t., ", ~t1(!?!~(O (/ /!~'''.''';':''':::-: 'i' '~:,~!lI1.'!i13lllt.~I7']) \ I" \1, \d~ L.,:h~, "',:.. ' 11'00 U. W 2 bll' 1:0 ~ ~ H~) 5 b ~,: 7'l 'lB ? 2 2 2 5 I,II~___, , " 0 0 g 0 0 g 0 0 Cl 0 , , , . " .' 0 0 0 It\ 11'I 11'I pol t'\ t'\ II) II) 11), N i ,.., IC lQ CI'l CI'l' 0. ... N " ... .. ... ... ~ ... , Cl, , , CJ' I " ic fa tJl~ j Gl ... J ~ J j J olI' Gl 1'1 a- lii .. 0. .tl rl 0 ~ U III ... CIl Gl .... . ~ 1IO , .. '00: N !I:l l)'Cl~ CJIllI '" Cl . 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' . . . . . . . XVd cr.:ot g61ZZtio '. . ", ., , , \ 'OJ , CUSTOMER COpy WIlt ~nrtfarb ~Durnnt 21111 'ROAD STREET HARTFORD, COHHECTICUT 06115-2510 al."ltli~ Ad.lrtl,I., 103.1!1..111 Or T. rei n Oonn.atiaut. . ." a..,. I I..,~a.rr..tl... ,gS.! P.,I!l .111 I., .qulrtl' loi. Ai..iio CLASSIFIED ADVERTISING INVOICE DATE 0'1/13/'14 o 0 0, TARTORT INa aRTI oasc 0 P 2D3S218b'lS 'I8'lAU1400 0'1/0'1 0'1/0'1 CORREAL,FIRSTLT " LINES BOX SCHEDULB Sb t{rz-, t5 ~ ~ /-30/" AMOUNT DUE >:' ',-;, " 'r; "/.:, ''-,01 ':' i ~~ " ,,' ';: ,...~ ';. ~.li\\"\\-t.I/'\t/lr.I~Tl'~~',':',""/1o" .t,......I,\, ' {>:::':: ,: ...~,': i":),::,:?,,,"'" ,", , ", 2D3S2:L8b'lS DD17b4D ~?b,4D I r7.~C) 3-3-3, fV And ch.ok.. Pl.... Inolud. Yaur Aaaount Number On All Corr..pond.ne. And R.t.ln Thl. Partlon For Your R.oord. " , j,' I" ! '., " , "I " , 1.1 ",1 ."-II"' .' j' p' , " " j,j 'i,' " , ' "," J:,' " I,. ",/ I I,' i ,. ,,' " " 1': 'i ;'1' ;.\ . '" (' :", I, " i",', ,;' " " ; ',,;, ,~, __ ; ,,'.. "" .', '.'t-! I, :': ,,,' '.' ,:.' '. "I,' ;" ,_, ..'" \t'~." ..4....-l~.Uo'I~:.t-"".;:'O......I.'l.:ftiw.,....',lli'....II;'I"".. ".I..~.. -{/,\.'I Of,'; ..-1,/,,,1.,/ "H~l,.ll." ,....,,,,1 t_:.:" ....., j:, t~,'!" :t .;';,;, l'i; ,..' ' , __," ','" , ' '\ , 'j. I ~ I : .,'", i . ", J' .- ~, I ;' I,' 'I;' 'I. ~', ' ,," I " ,'- ;' ':' ,j ",Ie ,i;' i' ",:' , '_.' , , ,;,; ,. ,\ :'/0'" 'j, '.,'.. .. \, I,',; i ,.11 '~7' \ ; ,. .;:. . ,~ ./1' ,; /(t,. .~,:.: I.. ~ I,; :'" I J "'I~'J '..,',~: 1#1.1;, . ," P", " 'i I,; J. .' ';;~';' i'" 1''(, 'I' . .:,-') "~J,<j, " . ,.-...".' " ",I' 1'. , ,I ", " " , I,"~"~ " " " , 'I. ,. ,'j. , " 1,\) , ,;' 11 " 'I, I< ,I' " " I' '." " ' \' ,. 1'\, ./ ,I r , ','j " I' , " , , ';' ,\ " '1,1 I I r I I I I,. , )I " " " '" ROBERT D. SCHAEPER JANE 0, SOHAEPER 28 CHeAAY~ DA. :,' , we8T..HAATFO~ar. oel01-, .. '.'" , . (.,' '--'", I ~~!:JVIM.. 'F/&~~ (/ - ~._,.: l ~ , I ,'~ . ~.-~-'--" -/?dO f .~~~tct~~ Hartford, ~cut ~, " . , ~lMO ~ .R~'1Ji; .,I:OHCjOOl,l,SI: 08SCj OSI;?III .".-'1,",'11' , ~.1 .' __1,'"_,.",,, ,\ , jJ ....._;..;..,."'~'~I'_.h. , . "I I"~ ," , ,I , ", ,,~/- ;. . " ',' 'll.l...";.,,.-:J..,:......,.' .1". .:~,~.:j,it \\0: ".-'/.,;1,:,\,.' '\', ::",'\: """, ":-"... . o' ",\ . . d . " ,',. 1"." ,\'.. " , ',I , '" "j. ,,', Ii ',I , , I' " " " " 'I I, , ' '" ',: ", " I,' !, """",,;,,' '" :' ".,', 10 I~.;,." .""Ii "~I' J.":,,," ., ~'I-' .,' ,,',' ~~'-;4."';Io'.'''''1.l;lkJ!.~14:!'"'i'.t..fi'II.~".,'I\~..'t'I~''l, I,.. ~.~.". _1_.. ;l ,;:J,.",...~lll.l&o\.......l'.. ,"-/"\"_, , " '" ,', '" /, " , ; I ' . : ' . :i. ~. L', I: ''-'''', I,',!' ", I', ,I . '.,1.,!. ", ""/'. I' , " 'I, " ,I .-..'.... '...; ,. , ", ......'~ , ,- 4336 t1,-.r /,? 192.!1 ~Bl i.....--, .-...-;-, I $ :~4or. CLt>.j , " \1' " I' \.... .. . .--.....--. " it I! I:' DOLLHS .j " I, , " , , " " 'i " , '-, ,. ,. " \, " ""~i'~'l '~f~.'" .'.. ..~ ~\',,~ ' , ':,:,(,(;~',I.I,;~;';' . ,'~ t,: I. ," .,,'/,A, , , l< t " , , ,';1.;' "'Ill" I'," , ,-';, ,.' " IJtlnI1....;;\'...I'~...'1"" 'h, I.. . IIft'~f,\.- {... '~ ':-'1.; . ~'''l, V; (.. n'.'1 ' '.,j, j. ,'I',i "'I, I, , " " " 1," , " " ,; f' ,::,.'; f.' I (' d ': " !-I f' I I " l' , , " I.. " " " .. 'oj ',',' ,.,y,,~ . -..,,' " " ,I' .' ,. . 'l' , bU. 09/27/94 tiM' 0~U49 Pig. 1 C CA ANAHEIM-COMFORT SUITES ~01 VIA CORTEZ ANAHEIM HIl.l.a CA 92B07 921-1100 f:11:r.:~fI Pfi'II','.If."-I)(1 R~'~'rllf1 '1"3 Rllt" r.:,:,,1,., G,t'p/Mh h "'.l/R Room TypllJ G1 Roc~ Rl\b~ 33.00 CORREAI./I='AUI.A ArrivlI SEr.' 2(;: ';l', 19130 D.p~t~t SEP 27 ~~ Plylll'nt: BC 42!50 042 799 30! 07/9!5 RII'.rllnc::e , Chalrg.. Olt. D..c::ription Room C"lfdih aEI' 22 ROOM CHARGE , , 408 33. ('0 Rout.d FroM Ac::c::t P!54600-0 1, I hrn 1 eEl' 22 CITY TAX 40B 6.B9 Rout:.d FroM Ac::c::t P!54600-01, I hrn ~ SEp 22 ROOtot CHMGE 33. O~l SEI' 22 CITY TAX 6.B9 eEl' 23 1.0CAI. TEI.EpHONE TTI. CHG 40B 1.2B, Routed FroM Ac::c::t 1='!:l4600-0 1, I hrn 3 aEP 23 RooM CHARGE 40B 33. O~l Rout.d FroM Ac::c::t 1='34600-01, It: em 4 eEl' 23 CITY TAX 40B 6.89 Rou~'d FroM Ac::c::t: 1='!54600-01,Jhm !5 eEl' 23' ROOM CHARGE 33. ~10 BEl' 23 Cny TAX 6.89 - OIlF.!'l1 f'lOPV I", I " , I " "", , ' .' I ',.' DMU 09/27/94 Tim. Oel49 P-a' 2 C OA ANAHEIM-COMFORT SUITES 201 VIA CClRTEZ ANAHEIM HIl.l.S CA 921307 921-1100 , Rccti! r:'!)/,e;CII;I-OO Ro~'rn" '11'J'3 I, ", I Rmta C(','r11'l (~t'p/~II'~ PH/R rk,e,rn rvl''' Q Ik..:.rn rlAI: "! ~3. (1(1 II ' CO~REAl./PAUl.A I ,Art'lve SEr' 2:': '~/tteI30 Dapo1\~t SEP 27 q~ ~IYM.fte Be 4a~O 04e 1~~ ~O1 o7/ge 1/'-- -.,,- Dlli:i1 D..cl"ipHon R.h....nclil , Roorn Cho1\rgas . Ct'ed it. !I" BE" 24 ~OOM CHAflGE 408 ' 53.qO Rouflltd Fl"ohl Aoot. 1='54600-01,Ihm 6. I.. BE" 24 ' CITV TAX 4013 6.89 ' Rouhd FrOM Rcot P~46(10-0 1, It IiIrn 7 eEl=' 24 RooM CHARGE 33, !~o eEl' 24 CJTV TAX 6,89 eEl' 24 LOCI:ll. TELEI'HONE TTl. CHa 408 .64 Rout.'d From Aooi: 1='54600-01, Item e eEl' 23 ROOM CHARGE 408 $3. O~l ~oui:.tl Fro'" AI:t:fl I'34600-01,Ihm 9 eEl' 2e C!'TV tAX 4013 6.89 Roui:'d Front Aobi: 1='54600"':01 j a em 10 eEl' 2e ROOM CHA~GE 33.0(1, BE" ee C ITV TAX 6.89 - " , " ( I, QUEST COpy "" ',' ,. 'I: Ii :i' \\ ' " " " " " " '.' (, , " ", ", . '1 , ' I' Date 09/27/94 Tlm. 05149 Page 3 C CA ANAHEIM-COMFORT SUITES eOl VIA CORTEZ RNAHEIMHILLS CA 92807 921-1100 Aectil P~"I;I)I)-OO RC'CIIII# 1,1)':1 Ri.lt. Cc,r.!. Grp/Nkt PH/R Rc.om Type Cl Rc"~rn R~t IJ 33.00 CORREAL/PRULA Arrive SEP 28 3" 18130 Depllrt SEP ;;:7 '3/, .PaYlll.nil 8C 4250 042 799 J01 07l9!5 D.~. O..ed pU on R.fer.nc. Room Chat'ges Cr'lId it. SEP 2!5 LOCAL TELEPHONE TTL CHG 4(18 ,,6/, Rout.d From Aeet P!54600-01,ltem 11 SEP 26 ROOM CHAAGE 408 5.3, '?'I Routltd From Ac::ct P!546CIO-0 1, I tern 12 SEP 26 CITY TAX 408 6.89 Aoutld From Rc::ct P54600-01, I tern 13 SEP 26 ROOM CHMGE 53.,9'.' SEP 26 CITY TAX 6,S':' SEP 26 LONG DISTANCE TTL CHG 408 ',.61) Routed Frorll Aed P!54600"0 1, I tern 14 SEP 27 MASTERCRAO/VISA PAID IN FULL VISA 6o&~ ()6 ell lllrlce Due I ,'oq , , ' ' Pll".dt 9111 Slgnd ur.I_______________________.,.____..:______....._______.::.,.___..:. - "-UF.'lT COpy ;j ,; " , \"" , , ' , ", " ' " " rl" ,,' " :/,..z.'~; ~;~.~:11:7',~ 7:~....l...WF.'~,.7'"',~~,1. "1 7'~1'"'" .',- ""<'-:"~"';~'f'I;!l\'''~~J,...v,r1':'I''K'-~';~' r' .-;' .3 .\!!,pa'l.1 Balance 01 Cash P'~e (I minus 2) S I '. , ;) '\7 . ') 1(3) ~ 01h8' Cha'ges Including Arroonls Paid 10 Olhe'S on Iou' aehall A COil 01 PI1Yllcal Damage Inlu,ance Paid 10 Insurance Company Covellng Damage 10 lhe Yehlcle . COli 01 OPtoon8\~edll ~!l'rence IO/Ihe Te,m ollhls Conuact Paid 10 In\y,,~ce Company Llle S \) t " o.sablhlV, AcCident and Heallh S . I C O",c'al Fees Paid 10 GovalTllT1ftl\1 Agencies D Documenta,y Slamps I Gove,"ment License andio, ReglSualoon Fees (lIemlzel , Gove,nment Ce",I~ale 01 Tille Fees Q OIne, Cha,ges (Selle, """ldanllly woo WlII ,ece,vo poyrnenl ano dencrlbe pu'pOse, 10 10' , 10 10/ ' 'Ileal Othe, Cha/ges IIId AmoonlS PalO 10 OthelS on \bu, Bohall S . Amount F,nanced - UnpOJd Balance (amounl 01 C'OOII you Will gOIl (3 + 41 S 1 SF.CUAlTV 'NTERES'( Tt1IS dQfecmenllS Inlunded as d '18curily .1grcomenlunder the UnllOfm COl'nmOlClal COde Tl10 Secuutd Party reset\'1I and lhe Oeb(Of Q"'" to lhe Secwed Party tl seCuflly Inl810Sllltle SecUrltv InlorO!lllIfl1M PlOpeftv deSCfll1Qd abOvo and In all pariS, aCCASSOIIOS, ..1l1achmenls. special tOOl. addlllOnl. replacemencl And acee.lIOns lherelo and proceeds lhoreol now owolld 01 "0'03"01 ac;qul1oo lly 1M DADIO', In any foluM 01 praD01lv Insurance ptemums pak1 wUh re'PlCllhefltOln accordance WIth the lerms !allOtlh In the lovelse Side 116'001 .1M In any IOllJnd 01 premiums on credll hlo or cut(h\ hie and dlSabll1ly Insurance wflften In connecllOll .-.~ thlslransacllOnln accO/dance Wllh Ihe lalms allha cladll II!n or Clodll hie and dlsaolllty Insutanco conuacl (thO Collato,al) 2 INOEBTEDNESS SECURED The Debtor ag,eos to pay 1M fotal 01 PavmenlS 111 accofflanco wllh 1M paynl6nl scneduld S6[ lOlln aoove The Secunly In/eretl MeutH paymenl 01 the TOIlII 01 PaYfT'lfflIS '" dccOfdanco WIth IMI SCMdulO (and any 'onawal or oxlonSI()n ollhO oblIgatIOn I and the paymenl 01 any olhe1SLmO due by ltwt Debtor 10 lne Secured Pally undor It", ISlms 01 [1115 aOtaernenl (1110 IndebtednesS) J WARRANTIES OF DEBTOR Ttle Debtor waHams and so long as any part at thO Indebledness 'emalns unpaid s/1all be deemed contlnlXlOsly 10 w.,,1ft thli (I) the OeOlOf IS the owner 01 me COllalerallloe 01 all 'OCUlIIV 1/11010515 Of alne' Oncumbla,\Cos O_COPllhO Secuflty InlerOSl, (b) the Debto, IS aulhotlZed 10 8:'\1" lnlo lhe Secunty AQlIJemenl, (Cllhe COIlalo,allS used 01 004JQ111 lOt uSO :}/IInaflly fOf thO PUlPOSU mafked as tallOwS (1) 0 In bUSIness 0' PlOlesslonal operaloos, (2) OFOf personal, IltT'lIty Of I\lXJsehOld pUlpo!.as and the CeOtOI 5 'eGloanco IS ,1\ lhO JdwnSS <1M In tl10 ~otJnlY 'ioeclt1od belOW (dl tM DeOIOI was lhe owne' IfflB 01 any_11MlS.0f encLmbtancea of any aropenv !faded In as dllal partol any dOwn paymenl aM (01111110 COllalo,alls or WI' I nocome a 1I.IIlulO. It WIll t>e aHl.Iloo 10 'ual plepe,ly allhe Deblot'saddrea. specified " ~I/,\ )1.\,:, , 1 '1 s , , S , 'I ,\ ~.t. 1\1 .J J ,: . , :> ".,!'j ~I ,\ :1/ A 821 , I 3(4) 1';, 'l'.>d, l"(5) belao<l 0110 'OIl ptOplI,ly Iocaled.' 1....'011 p,opelly 10 wt>Ch "'" COIlalOlaJ Wll be IIId " dotC/lbed..lollowl. I""ed " owned by lhe DelllOl 01 'I owned by NoTICE TO THE BUYER 00 nee SlQn IhlS Conl/ICI belore you have lead II Of 1111 conlllM an.,. blank spaces 'lbu a'e enhlled 10 an e_act copy ollhe conUICI you 1ilO" Keep 1110 0I011C1 YOU' legal '/(It,,, TIlt undIrIIaned MIler hII not rIIlldt Iny Wlmntln with MpIC1 to lilt CoIIIlInII, IXpIHI or ImpI'=l~udIng wlthout IImH11t1on _f.IM . to lilt _htntibIlIty 01 lilt CoIIIlIfIl'1 m..... for I partlcullr pIllJlOll, TIlt undelllllned buyer l1\I'f be . to ttptl'fIt WTttItn _tltt lnlm the IlltI1UMcIIHw Of otIltII. Thlllllretment II IUbject to eddltlonll terml on the rove,.. aide hervof. The Dtbtor ecknowledgee recelpt of e completed copy of the 19fMI1Ifflt, 1/1~!rE:il' 11 C0PR~,\r~)"/,.', :1/" I (SEAL) Pr>'rt.: ~i001lf. ~~vrOL8T, ('Ie, (SEAL) ,',t\Hl:;iJ r. ~,:Ht\IWr-:P" . (SEAL) Add/ess I. J ')f"oI I/^'H'l r ,.j'I),', "'.J,,',IJ Addt... 'f..t 1~) '3~1I\rd,Ji! I'H^l~. ,l') .'E'l.:,\~:~n,t\ .'1, J ), llt.,'~",,\l.Ulj{\ l':~ J.!.)')'" AetPt'clne\'l'/4' ',J,:.'J "j/BusPhone~'!li'~} },~ J-11~) I)CT0P:-:R ], 10.\:,', B1rthdtl. of Buyef FL 12304 5 518 910 p,1IWlt1t lOllOf'(, rJ~' may be used 123463 AlP.! 1291 I...'."... .... ...., II, .-...-....,. ". I< '-,". ....,.-,... .......tt........, '... ,,,' ''', ..".. ",. '~UtlM I(lOIIWlt IWtl Au. I' tlnj UI Plfdl/d tel Atw 'IOU '114L :'''IUIA.dtJd "'... . ..'.....,.-",......."......""".......,'1'1.... ,... t. :., ;. ~. '.: :,*..,:;:;~,;,'\/, ,~1 ""::~>f,,~j.;;~~:~~;~.,.,,' ,,:: . ,..'; " );.,:,' ;'., ,,1.", ".~.;'.. .:'. 1';~;'f,~.,~r.4 .,... ~CCO\J1iT NUMBER CREOI! ~Y~llAOlE %\~W S6~IEMtNI P~Y~~~~ DUE MINIMUM llMlf CROOI! Cl SINO ~ IE PAYMENI Due ~121 &500 263~ 2893 1000 968 30 08/?6/9~ 09/20/9~ 0,00 - OA T6 OP RE,eRENCE !lUMBER CIIAAOES, PAYMENTS, AND CREDITS SINce LAST STATEMENT AMOUNT IRANS POST. ~tOCA"I""&A 1l~IUlU.UUCAlII' , , PREVIOUS BALANCE ~38,Ol , I , I I I , , '7~12185KSS8TDE~Q6 ~ PAYMENT ~ TNANK YOU ~ 08rz2 08rz2 0820 0823 '2~~01~OKS07EL8VAW ~, ~LLOCK S S COAST PLAZA COSTA MESA CA ,2 I , , , , , I I I =tf;: , , 1./"3/2 , , I , t!o2<?4y. , I , , , , , , I , , I I , I PREVIOUS BALANCE PAYMENTS CREDITS PURCHASES AND DEBIT NEW BALANCE CASH ADVANCES ADJUSTMENTS CHARGE ~38.01 ~38,Ol 0,00 31.25 0,00 0.00 31.2!1 --AN AMOUNT FOLLOWED BY A MINUS SIGN 1-1 IS A CREDIT OR A CREDIT BALANCE UNLESS OTHERWISE INDICA TW. OUR RECORDS INDICATE YOUR HOME PHONE IS 904-626~0767 AND YOUR BUSINESS PHONE IS 90~~~4~-1061. PLEASE UPDATE TNE ABOVE COUPON IF THIS INFORMATION IS INCORRECT, Send InqUiries To: U:lAA CAIIU Ct"'tll AU DUll IULSA, OKL'At1UI'1A I~l~l AVEn~QE Send Paym"'~ To: PO BOX 2972 OMAHA NE 68103-2972 DAILY ~121 ,8500 2634 2893 BALANCE FOR CREDIT CARD INQUIRIES PLEASE CALL: SUIlJECT TO I ANNUAL PUCINTm mE I 12,50 UNITED STATES FINANCE CHARQe.~ Tulsa I _MIlIltlOllTlllYl I 1,0~2 1.800.922.9092 91 B.B64.14oo u,uu ~EGr ~. m.m T8 " 'fhl T';I, IU, or" .'~"/j UJI,jrr.Illll "'N~1t oJ/ 'II D.trl ,II In.,I,lrll TII J,O,11 ,1l1l'!ll'I1(QI h\lfr.e Chdlt;~1 on PljfCl1U". JIJlIITlU~1 o.lt 'Nt t1",,~ B&laroea "10"011' 0)11 I~Il iI.lllJlrQ(11 In IOjl1 0" lJ1e (jut! 11allJ It 'Itllllo~" ,tl "''''Im:. "'A5SAGtIUSETlS, Of '/EflMOPlT. 011" ",II nOI olM r'nanr.It Cl'IAtli4" lOt pIlreflatU lot tn tal'M Nt(A i\ ~I"cn '110 pUC~JI~t J'O ~lo1lo ~ll!lt -,"coum ','Ill ,1dd ~ FI/lJflr.o C11J(9o! TO jour J':COunl'04 O,)CI1 CUh MvNII:'I'f'iCILQitlQ Al.llO/llalO h'OllllA,ICN1~ oII,U'df~"'JIJ JNllj~e of COIWltll'~ru:Q Ct:tKa\l 'rl!lTllntj d4t'llllllOlll1lfll;.t'" Advatl(' TO;OIII Accoof'! LM'bl h, CUll AlNaroel 1-1 pa.Q" "H ,1~Ollf Plotll 8oltol/ICe on N $l.llotmtll1t IrlI;llIfJet.t~ CW'l A,NM,ctt.uld '(00 O<1v !I1e,Mle PIe" 84UI'ICO by II'It due doll', '(OIJf ntt1 'IlAtIrnonl 'Il'I~ 1f'iC1lJ) 1 Fn,1/1l1t l:!I.lUJQIMI,lCWII" O(llflll C.un "ltoancll"om 11I0 tlQ,,/'of} (1.1le fisted 400'1e l.ln~11M d.1.!e 1M CoUn MVM'((l11 pak1ln hJN NOTICE: See rever" side lor ImpOr1anllnlormaUon. '''...:::;;r''~' . / I. RIV.ll~7 IX API' I1Z.9~* COIIIOIMALTlt 01' P!IIIIVLYIHIA IIUAIlIII!NT 01' _0 IlII!AU 01' IlCDlYllMJAL IAITI!I LVI, 110101 IWIRIIIURll. PA 1711I.0101 C''' ,I ,1 I ,) " 7 .""\ (JO\L / ~ NOTIce OF INHE~ITANCE TAK APP~AIIENeKT, ALLOWANCI O~ OIIALLOWANCE OF OEDUCTIONS AND ASSES~EKT OF TAK ACN 101 DATI 06-06-95 PILI NO, DATI 01' DEATH 09-05-94 COUNTY CUMBERLAND NOTE I TO INSU~E '~'E~ C~EOIT TO YDU~ ACCOUNT, SUSHIT THE uppe~ PO~TION OF THIS FO~ WITH YOU~ TAX PA~IKT TO THI ~EGISTE~ OF WILLS, KAKI CHECK PAYABLE TO "~IGISTE~ OF WILLS, AGENT" REMIT PAYMENT TOI JOHN B MANKCE ESQ 2233 N FRONT ST HBG PA 17110 REGISTER OF WILLS CUMBERLANO CO COURT HOUSE CARLISLE, PA 17013 Mount ~..ittlld J CUT ALONG THIS LINI ... Rl'rAIN LOIIIR PORTION FOR YOUR RECORDS ... REV: iiji'i'i-ixU"PP"n'z-; 94 rilili'"fciuciji- Iliiliifff AilerT-,,;r 'A-pjiilAf iiEiiiili'~ --"i.rciwANc i-oli-"''''-''' - -, - -- DISALLOIIANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ISTATI 01' CORREAL KAREN E FXLE NO, 21 94-1048 ACN 101 DATE 06-06-95 TAK ~ET\J~ WASI C X I ACCEPTEO AS FILEO ( I CHANIlEO RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. R..l I.tot. (Sohlldul. Al (11 2. Sh"k. IInd land. CSchldull II C21 S, Cl...l~ Hold Stoqk/P.rtnerohlp Int.r..t (S"hedul. CI (31 ~, Hart_./Hat.. ~....lvllbll CSchedul. 01 (~I S, ClohI.onk Dopa.lt./HI... P.r.on.l Prop.rt~ (Sohldul. EI (il 6, Jolntl~ OWned Proport~ (Sohedul. FI C61 7, Tron.f.r. (Sohldul. 01 C71 I, T.t.1 A...t. .00 .00 .00 .00 5,217.28 6,175.00 .00 CII 11 ,392,28 APPROVED DEDUCTIONS AND EXEMPTIONS I 9, Funer.1 Expon.../Aa., C..t./HI.", Expen... CSohldul. HI (91 10, OIbh/Hart_ Llllbllltl"./LI.". (SohIdull II (101 11.286.85 11. Totol DIcIuCltlon. (11 I 12, NIt V.I... .f Tile ~.tum CUI 13. ChlrltIlbIl/Gov.rNllnt.l I.......h (Schldul. JI CUI _ l~. NIt V.l... .f I.t.to SUbj...t to Tile (1~1 NOTEI If.n ........nt w.. i..u.d pr.viou.1Y, lin.. 1~1 1S .nd/or 16, 17 .nd 18 will refl.ct figur.. th.t includ. the tot.l of ~ r.turn. .......d to dat.. ASSISSMENT OF TAXI 11, ~t .f Line l~ .t Spou..l r.t. (1&1 ,00 M ,03. .00 16. ~t .f Line l~ tllellbl. .t LI....I/ClI.. A r.to (161 ,00 M ,06. ,00 17, ~t of Line l~ t.xllblo .t Coll.t.Mll/Cl... I r.t. (171 .:.!!.Q. M' 15. .00 II, Prlnclp.l TIX Duo (181 ,00 TAX CRIDITSI PAYHIKT DATE 8,392,81 1<1.~71J." 8.287,~8- ,00 8,287.38- ~ECEIPT NUHIIER DISCOUNT C + I INTE~EST C oj AHOlllfT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE ,00 ,00 ,00 ,00 . IF PAlO AFTE~ DATE INDICATEO, SIE ~EVIRSE FO~ CALCULATION OF ADDITIONAL IIfTE~EST, IF TOTAL DUE IS LESS THAN .1, NO PAYHEKT IS ~EQUI~ED, IF TOTAL DUE IS ~EFLECTED AS A "C~EDIT" (C~I, YOU HAY II DUE A ~IFUND, SEE ~EVERSE SIDE OF THIS FO~ FO~ INSTRUCTIONS,I ..'. 22 t~ :IJ :TIeo :) ,: "~'I n ,'j, C'l , I'," , - I ...1 i _:~ ' ", .'." 'f' :\1 ( (, \.., p' .-1 0 IIIfRYATIOM. I.t.to. .f dtoodInt. dying on or belor. Doc....r II, Iltl .. II ony futuro Int.r..t In the IIt.t. II trat.f.rred Jn pa.....Jon or enJov.ent to Cl... . (call.t,rel) bII~fJoJ.rJ,. of the deoedent .ft.r the explr.tlon af any ..t.t. for lIf. or for 1M'" thl C.-onwMlth hereby .lquII.ly rlHrVtl thll'lght to IPPrtlH end IIHII tranlf.r IMlr'U-* Tex.. .t the llNful CI,.. . Cool1.t.r.l) r.t. on InY such future lnt.r..t, PUIlPOIl! 01' NOTICE. To fulfIll tho r...lr_t. 01 SooUon 1140 01 tho Ir/lOrltonc. ond E.t.t. IIll Aot, Aot, 21 01 1991. 11 P,I, "'Uon 1140, PAvttEN'TI o.teoh thl top porUon of thlt NoUc. end ..It ..Ith yCKlr PlYMnt to thl Rllltt" of MUll prInted on thl rlV"tI .leM. ..110.... .- or _Y ordor poyobl. to. REOIBTEIl OF NILLI, AOIIlT All p.vwtnt. rto.lvld IhtI1 firtt be .",dled ta any Int.r..t lltllctt _ be due ..Ith .,y r_lnder ...1I1d ta thI taM. R!f'\JMD (CR)I A rtf1n:l of . t'M oredlt, NtIloh .... not r"UlltM on the "IC R.tvrn, ..y be "qullttel by o_I.U,... In "a"lIntJon far A.fund of Penn.ylvani. Inhlrlteno. end E.t.t. Tax" CREV~IS1S). Appllo.tlon. .r. ,v'lllbl. .t thl Offlo. af the Rllltt" of WUlI, MY of thl U R.vlNN Dhtrlot Offioll, or by c.IUnl thl apeol.1 Z4-hoUr .......ri"' HrYlCI nutblr. for f~r.. orderlngl In Ptnn.ylvenl. 1-100-542.2010, ou(,lo. Penn.ylvenl. end within 1...1 Horrloburl .r.. (111) 111'1094, IDOl (111) 112-2152 (HoIrl.. lopolr.4 Only), OUCTlOHII My petty in Int"..t not HthUed ..ith the."r. I~. 'nt, '11~' or dh,UowtnOe of t*:luoUon., or ........"t of tax Unoludlne dhc4M't or Int.r..U II thoNn on thl. MoUo. ...t objlOt ..Ithln .hb (60) dly. of receipt of thlt Hotlo. bYI .....rltt'" prat..t to thl PI. DlpartMnt of RlVtnlMI, ktrd of AppMl., Dlpt. 211021, ",rrhburg, PI. 17U'~10Z1, OR .....leatlon to he'I. thl Att" dtt.,.lnec:I .t IUdlt of thl KCOU'tt of thl ptrtontL rtprllent.t1v., OR .........1 ta the Orphen.' court, AlIltIN IITllATlYI! t_tTlIINI. IlITtRliT. hetulll .rrort dlacov.rad on thl. ........nt lhauld be IIddr...ed In ..rltl". tal PI. OIJpertMnt of RIYInUI, lurltu of Individual T~.., ATT"1 po.t A.II.tllnt R.vl... Unit, DlPt. 210601, HtrrJlbur., PI. 17IZ'~0'01 ~ (717) 717.6501. ... Pete S of thl booklAt "In.truetlan. for l~rltlnCl Ta. A.turn for. A..ldlnt Dtotdent" eA!Y~1101) for In .xplen.tlon of Idtlnl.tr.tlv.ly eorreotlbl. .rror.. If tnY tax M It p.Id ..Athln thr.. el) c.ltndlr IDnttl. .fter the deotdlnt'. dNth, . five perollnt CIX) dJlOCKI'tt of tho till p.ld II .11_. Int.r..t It chit'" bIIlnnlnt ..1th firet dly of dtllnquenay, qr nlnt U) tonth. Ind OM (1) dly fr. the det. of ..th, to thl ct.,. of P'VMl'1t. Taxll Nhlch __ dlU,.,..,t befort JlnUlIry 1, 191Z bHr Inter..t .t thl tit. of .he Cn) percent per .,.,.. e.leulatld at . delly rat. of .000164. AU to:.. NtIIr-h bto.. dell~t on end .ft.r JInuIry 1, I'" will bttr Int.r..t .t ~ r.ta Mhlch ..Ill Ylry froe calender v..r to a.llnder yllr ..Ith that rlt. tnnQUnGld by tn. PI. Dlpart,,"t of R~. The tppllcabla Intar..t r.t.. for I'" through 1"5 .r'l DIItllIIIT. ~ Inter..t Alta Dllh Intarllt Peato!' !!!! Interllt ftlta DoilY Intarllt FKtor 1911 lOX .000Me 1911 U ,OGGl41 1"5 16X .000451 1911'1"1 IIX ,000501 19M IIX .ooom 1"1 9X .000141 1911 ISX .000516 1"5'1994 n .000191 1911 lOX ,000114 1"1 U .000241 --Inter..t 11 o.loulattel II follow'l Il1TEU1r . BALAMCll OF rAlC UNPAIO K IMlIEI OF DAYS OELIHQumrr K DAILY INrElElr FACTOa ."Any Motlo. 1.1UId aft.r thl taM btoOlt' delInquent ..111 r.fltot 8n Int.r..t o.lcul.tJon ta fIfteen (11) day, beyond the dltt. of the UH..-nt. If PlYMnt It licit .ftar thl Int.,lIt cMlPUtaUon det. Ihcwn on the Motlo., ~Itlonll Int.r..t lUst be C1loul.ttd.