Loading...
HomeMy WebLinkAbout96-00361 / s= /tltJ-t, ~ -. ._. .. O. -. PETITION FOH PIWHA TE and GHANT OF LETTERS No,~fo'3~1 To: Ellul<' oj CATIIEIl I NE Il ~II\TIINA ul.w kntll"" us CATIIER I NI': T ~IATIINA . 1Jc"(,'I.'OSt'tl. Regi'ler of Will, for Ihe CounlY uf ("",I'''r10,,,1 in lhe Commonweallh of Pennsylvania So('wIS,.,'/lrirY,'V/I. lRl-07-R'j79 The pelilion of Ihe under,igned re'peclfull)' represel1l\ Ihal: "nur pl'titinncf(\J, \\110 i\/arc 1M year, or age or oiLIer an Ihe cxccut nr~ inlhe 1"'1 \\ill of lhe abme deel'delll. daled I" I)' l'i and c",Ii,'ill'l daled Jul.)' '11, 199') advllnc~meilt of Twent Thousand (~W.U()U.UU) Voliars to .Jarroo he~--i:-till1<!~!b....and beneficiary with I interest. N;u,,' It'h,o\anl ,'Ut.:'llnl\lan(I:". "'.~. ,,,'mm'IJlinn. ~t'alh ur (',(',"ula" cle.) namcd . 19...2.l..- L. l1ucKcnucrry DC\"\.'IHh.'1l1 \\i.I\ lIul1Iidlcd.1I Llcalh in rllml".Y""1nrf Counl)', Pennsylvania. with 11...1:-.. _. la' I fall1il)' l1r prindp;i1 re,idence al lOB Curtis ,\venue _____ N(twhllrJ' PA 17240 1;/~i/'t'. J.i,,;I;i/'d,-- Ill'll 'IICCI. numtlcr .mFJ ,"un1.7IJlall1~) '/ I>eeend,'nl. Ih,'n -8.0 )'ea" of age. died Anr! I 9. . 19 96 al.the CarLis.lc.Jlospitn1. CarliH)e. l'ennHylvania E\c"j'1 a' 11'111,,\\. Jecedenl did IIUlmarr)', wa, IIllI divorced and did n01 have a child born or adoplcd afl,'1 ,'\e.'lIllll1 Ill' I he w illuffered fur prubale; W;II 1I01lhe viclim uf a killing and was never adjudicaled il1l'lHI1Pl'll'UI: I>ec,'mkl:: ,II ,le;lIh ow lied properl)' wilh e,limaled value, a, 1'0110"': (I I' dOl1lh'lkd ill l'a,l A\1 pe"onal properl)' 1111101 domidkd in I'a.) I'e"ollal properl)' in l'enll\)'lvallia III 1101 domlclkd III I'a,) I'e"onal pruperl)' in Coumy \'alll.... llf h..al!.....I;i:\,.. ill Pcnu,\'lvallia '"l1alcd .1' 1,,\1,1\\,; pN~ ~ J l" o.t. S 2.0 , o '\l. . S s 50 s . bVIJ ..>J Nh_I~) . \\ IILKI:H)j,;L. pelllionerhl re,peelfllll)' reque'H') Ihe plobale of Ihc la" will and codicil(s) pfC'l'llh:d hl'rC\\lIh amllhe gr;ull uf klh:r'-t.~1.mentnrv . 11l:\I,lnu:nIJf\; .uJnlll\l\lrillIUn to:.l.a.; .Jdmmi\tr3110n d.h.n.c.I.Ot.) 1 hl,.'l tlll. . . .~::: :i:; ~~ ,= atUu) L~ .JOHN IV RINl, ~la~]/~~ _~~UD~~~~~~~' .. -949.GREEN--SPK-I-NG-RPAIl 'NEINi-bhIH'A--I--7241 1111 PIN" ROAn ~'FI""I f I I.' 1)^ 17')/11 7:. ::., r _____u_._ _ ---- - --- OATH OF PERSONAL HEPRESENTATIVE CO\I\IO:\WEAI.TII OF I)E:\:\SYL VANIA I 'S COl':\TY OF (;mliiEf>..ANIl .r ti lhe 1'"11110""(" "IJ'.ne'lIall1ed ""';"~'11lT affirml'llhallhe 'lalemelll' in the foregoing pelilion arc !rll,' .Ind "'''"'' 10lhe he,1 01 Ihe k,""':.:dge and helieI' of PClilionerts) and Ihal as personal represen- 1:111\"1'1,'1' :he allo,,' decedell1 !,elilioner,,, will we\1and !rul)' admini'ler Ihe eslale according 10 law. S\\I'TlI .10' or allirl1l~~, 'lI1d "'11. 'c.rih,ed j ~.' ~ & heh',e!U_:,:IIi, " ""-'____00:).,'1 ~ I g, ~ '7fi/( / ~~ -d It} ". . . '-'~. . . -----. ok _Ltiiz . ' ~f.L DJI-Vrt-'f-- < '-" f::fj c. [; ~is . HI'ellfl';;-' ./OIIN \~ RINE '" ;;;' " Q ;: ... ... ~ - ~1I. 21-%-361 Eslale lit' CATIIEIUNE 1\. NATIINA (aka CATIII':I\INE T. NATIIN/\) Deceased I)ECIU~E OF PROBATE A;\II) GRANT OF LETTERS \SIJ '\()'" m_._ _ Maj'..J.,- IlJ-2L. in .:omideralion of Ihe pelilion 1m 1111.' :l'\o..'~~l' 'Idl' hl'rl'tll. ';lIi,r.h:wry pwof ha\lIIg been (uc!'ll'l1lcd before lIle. II IS 1>I:l'KITD Ihallhe 1I\'lrlllTlenll') d.lled..J.uJy 15. l~ 31. 1<;92 de'ml'ed Ihere1l\ be adlllllled I" pIIII>;,,,, and filed uf le.:"rd '" Ihe la" "ill uf CATm:I\INE 1\. HATHN~_1.al.so known as CA}'IIEI\INE T. NATIINA) and I.",'lll.'r.. _QL.tl!Htll1!lulltary .tr,' here'" ~r.lll1ed lol JUDITH .K._1I0CKENllERRY--=d~Qllli.Ji...J!.1NE ~n \r~",,~~t~r5lJ hift{ /1+ Mary C. l.a\,.;j s IT.I:S Prohatc. 1",'111.'1". Hl', Short l'ertifi,ale'161 ' L1l5_,OQ_. 'i .18.00__ 'i Il.IMlITClN C._j)Alll~ 10764 "rtc IK'! , 1~1lJ1. t "I. I.U ~II I POBOX 375. SHlPl'ENSBURG PA 17257 R''''lIII1;'j;lli''1l Codicil x-Pages (4) JCP (() I AI. Filed ., Ni;lY, J.19~6.." .___ L 1~~.~_~ 'i 12.00 - 5.00 , '$160. <;0 .\U!J.:l ss (717)532-5713 "110:-'<1' 00 :0 c: !l: vi 71 0., ::Orn ,~ ~, r .~ ~ . , , ::tJ N (J N , - ~ , , '0. f OJ .. ::01.: Vi g. )>;:l N Mailed Letters and Order to Attorney on 5/6/96. . . I II I I I I I I lib llil\' llll'" willi 1Ill" ,1"1 Thi, I' III u'nily Ih.11 till' 11lhlllll.llhlll 111"t gl\ lrl I, t. II Ir (! \ " 'I'lt. "'111 .111 ," fI',OLl (II I l~.j t- II It'. \ 1.1It..1I Hq;I\f1H Tht" 'lri~lIl.d 1I1111u.llt \\dll1l 11'1\~ it.!, ,I,.. rlH ....1.111 \"lI.d I\,.,p!,l, (It'IQ- t'll 1'{'tlll,lIlt III lillllJ~ WARNING: Ills Illegal to duplicate this copy by photostat (lr photograph. h..t, fill' lhi..u,tlilil'.ltl", $.)(Jo ?1:! 4UL :tltf,d Ill',~i,,,.H No. J/- /ttf- /81~_ Ll.lIl' 3S3S042 '.. :u CO"''''ONWfALlIIOr l'rrm1,vtv"w" .orr"'IH~lln m Ilr"Ull. YlTAI "Lcnnne;, crnTtnCATr Of' DEATH '....'1...._. :'~'~~~~~~i:~~:i ':: I .E~.:.r;i~t:\ :.:: .~:.. I", ;':.~',::," :,~ ;,j~.~j::; ~:~~.~~ \ ,,', '.. :~'... ... ~~~j.~,:;:.:i_~. , ~~ ~.-=. '1 ~0V00 _t_ "M . -.t...."';j.-)T~ -~"'''.--.-F'''''';.'''..:''': . ... "".h :;..--.. ..-J~'''.m.;r....''~...,., .., '_~"~ _.~"" J.i ". ow. \ ... ..__"U_ ......, .. ~~~~~~~~~~:;:::::~.: "'r'.I.~.,:.r.;;"..;..""..,., J'1,~;.,,'~::I;:::,I:T' /"'-:, ~'~f'::".':'.;J- ~'':;;;~~~.::,:.:' '~_- ,~~~;~'~~::~4.. tit (,'l~j~~;;""-"''''-''' II. !''1I.(.''lfl ~(I'':I' " ... \ "~I' ,4' ~ '-"L ,-:" .. ll'l:r.t":' -. .:IE~~~;::~~^~~';;~;'-'~~';';O . [':':::~~' .'.. "\ . -~-r. ~,., u-:"-:"_.._ ~~~~!0:~- ______u.~. "', t,,,,, '~'I~;'::~~~~~;:\I:i{t~1~~~~~.~-'~t'd"'19~~~=..~......~~= !:,.J~~'J~,~~' HoC'h.~ItL""I'l" ~." ,.1.,.-.,1.... - '---'--"--I~~}~~::~:~:::~~:! ,~;l:/, '~'r":!!~~'!::~'" ~:.:~ I ~..lt~ e.-Ij ____\10_.: .. " ..... ..~_r.... r,\ I,' ~O ~"""'''l--_____,____ :, I: fl,. ,,/,II',l~lltl( I/,tlf c..",;.t.,...,/ 'j.t(I'':'''I''lII~1 TII'I'.. , ':l1l11:t'fll l"( C~ .____ _ ,t. ,. I: .;~2~:1 g :~lr:H tt~"~'~"'''''"''' ",._. t:, -" . (~"(;:1' I -. ...Jr:~::i~;'L;~~~.;'I~~!;:~J0;.~~~g-:-\.33bl~l(n~:I\~I,~~:.I.-r.\,'~~;:;~_ '~~N.~_, ,~?' .-- '-"..-... ..'.., "....., EO ~~~~~;:.~~ ~~-~~.~~~-- - ----J.;'" ;;"tf~-.~ ------ --[':-."""'"'" :,:"~;;.;;.;",,;:~~..:'~~:--- " }'f'/", ,!._..,~:__.".,_.,r)/" 1.. ' ,. ",Miff', ,_..._....._..<-....,..,..............,......-.;;.~.:;--. _T - ,.... ,:-.--.:.;;--:;;-;.;0;:;-::-;;.-......._.. nu. ,-..,...,-...-..-...-...-.... I ~.__......__..- :..........- "'.'-.."'\1.........--..-..-.....,.., .',_..,..-. -r0l"'Ul.t\..... (.. LI t .f t =":.:;;;-;--. ..p :. . . 'J I .....___ ~.;~';;. .: ."-' ;u....\.."" ,_--.___ I....'.'... t..,".'., ,_,..........orlll.,-'O u"",,_"'..... '.'h..'_ -'''''II''_'UU c____~...-;;;;-.;.:-.,-;;.,':",; ;;""~~IUO"I' .."'''....0. .- --- ""...u,I:1,....;;;,j,..-;;.' ....1...'.........\1 l'_U'Olt<..."." N'flI..... .,i.;;;;,......... ",",-. <'~.' " 1- J ::,:" ."'tOOC&l"&""""COfl~'. Ool............._.tl_-t2......,' .. ....... ~ ...- ..........'.'.~1"......... "" "",.,. . ...__....N ~;// Jpci:fJ1:' ';U<- .. . "'-'''''''' [' . ,..... ;~~,~;OT=-.~'=~.._---- I..=;-~j~~..~~..::._---_... .....'~..ol>l'......'..'.,.. ~,., -- ~ (-(:;-~'-~---"l~-'-- I~:'~"~.:;~.I'-:J..,l~ _ ~~:I'~Oo#r'''~ ;"l~'t\, ..:V<.:,....."\,_.,..i-,......j;:-,;.,.;,.,.,,,.P; .'r..... Ii u,:~.;'~:. I' 6...... ~~,.... 1'1"\'0 It ,.ll.l \J.J (~f"Y, ~,)\11J\o- (\.) \}' n..l 'h (. I'" . 01'-" .- ~--;. ~_. - ..- 1,. cl;>~J /<1'/r7C-_..~__ -.- :.;, _u ..~ .. [J r' - , ....- "' .... " €i""j;;f,,..........;;.. --.,- ____u .(1"1..."-\""'-:"..',....._ ....,.."...-.. ._.. .... ~ ~_ '.' ." ,.--................. ........-...-.....,...-..-..-....."- '~.lotltr.I.,.~.....tc:,...,.._....... ""--....,.-.......,....................-.... ......... .,.,.,.......-... .", ..'............. ..::..1 ~/-:-<( , 191:-96-1Z I.AST W 11.1. ANIl TESTA~:ENT I, CATHERINE II. NATHNA (also known as CATHERINE T. NATHNA). of the Borough of Newville, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or codicil previously made by me. lTEN 1: direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEN 11: 1 give and bequeath all of my tanl\ible personal property (not including cash or securities) including, without limitation, personal effects. household furniture and furnishings. automobiles, and the like. together with any policies of insurance in effect at the time of my death applicable thereto, including any prepaid premiums thereon, to such of my daughter, JUDITH K. HOCKENBERRY, and my grandchildren, JARI\OD L. HOCKENBERRY, WAVERLY ANN HOCKENBERRY, and .JACALYN RAE HOCKENBERRY as survive me to be divided among them as nearly as possible in equal shares in such manner as they may agree upon or. failing agreement for any reason whatsoever, then in such manner as my Executor shall determine, giving due regard for their personal preferences. Any such article aUotted to a minor may. as my Executor thinks advisable. either be delivered to the minor or to the person with whom such minor resides to be used for such minor's benefit, or any person to hold i or the minor. or be sold and the proceeds paid to the guardian as property distributable to the minor as herein provided. Neither the minor recipient nor such person with whom such minor resides shall be required to furnish any bond or security for the custody of such property and the receipt of the minor or such person for such property shall be full l)quittUllCC to my Executor. Cost of shipping or moving such items to beneficiary shall be paid as an expense of administration of my estate. ITEH 111: 1 devise and bequeath the residue of my estate of every nature and wherever situate in four equal shares. one-fourth each, per capita, to such of my daughter. JUDITH K. HOCKENBERRY, and my grandchildren, JARROD L. HOCKENBERRY. WAVERLY ANN HOCKENBERRY, and JACALYN RAE HOCKENBERRY, as shall survive me by thirty (30) days. ITEH IV: The share for any person who is a beneficiary under this my Will and who shall not have attained the age of twenty-one (21) years shall i ~ be held by JUDITH K. HOCKENBERRY and JOHN W. R1NE as custodians for such beneficiaries under the Pennsylvania Uniform Gifts to Hinors Act. ITEH V: 1 direct that all taxes that may be assessed in consequence of my death. of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expenses of the administration , of my estate. ITEH VI: 1 appoint my daughter, JUDITlI K. HOCKENBERRY and my nephew, JOHN W. RINE, Executors of this my last Will. Should either of my said Executors fail to qualify or cease to act as Executors. 1 appoint my nephew, J. GARY RINE, ~:xeclltor of thi s my last Will. In:M Vll: Hy individual fiduciary shall be entitled to reasonable compensation for his or her services rendered from time to time unless different compensation has been provided for in a separate letter of agreement. ITEH VIII: 1 direct that my Executor or guardian or their successors shall 1I0t be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM IX: The interests of the benef iciaries hereunder shall not be 2 COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND , . i I , i I I ;1 ., . i I, I i I, CATHERINE R. ~lATHNA, 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 and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Cl:sr"A~/-- B. '~~ -- - ~ CATHERINE R. MAT NA (SEAL) Sworn to or affirmed and acknowledged before me by CATHERINE R. ~lATHNA. the testatrix. this /J"-fl. day of . 1991. r'~--~---~'l~:{ ~; .i,-;.;7:~'; :;c--------. ~ vn IV. .'.1. ~.~..'.'i.. ..I!:....."/ Pll~l;c I ,. ,- p .. , ....,. C'''llt, ,:.'''':,1..-1/0. 3. ~'ll'rj::;':~,~. 'i' r. .", ' . - . :1. r '1' _ . l .... Cl,. 'ni~'l":'; )''''l.,',;'l. I.,. ..',. .:_!.,_":'_"~__'._.._.'.___. _..._ __n.' ..__. Notary Public COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, i)~",..I/( t...:,,'/l'~ and witnesses whose names are signed to the a ta hed or forego in 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; that the testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness 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 eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed me by lJ...nie,I!,. A .s;~" 5 J,,-e.~ /L.f):../;/J '" J... a-.....h~.( this ~ ..5-I-J.. day of . } "',9' Ud.u- J}{. ~a <- Notary Public tt~~~ , to bef~ T l1nd . witnesses. , 1991. 4 G----;:;-';I;\-';:\l--i-,\I----~ VTt ":.' ':, ;. I.:,<:.t'll':)lj:~. :,;1 ~,r:.."!.~-,; ':J:" (~-":, ~"1.~~,~ r(l,. P.l. "~)' ( " 1"" .. '..f 'j .., .. , ~, . " . ') _._~ __;..:.~ .~._.:"'_.' . '.':-.' ~ -::~l_.:.'_' .....-6 l t~- c:~ , ,-_..1 ,- I ~~;.a - c' .'. ( , ., f-- CERTIFICATION OF NOTICE UNDER RULE 5.6(al Name of Decedent: Catherine R. Mathna a/k/a Catherine T. Mathna Date of Death: Aoril 9. 1996 Estate No.: 1996-00361 To the Register: 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 Mav 14. 1996 : Admin. No.: ~ Address Judith K. Hockenberrv 949 Green sorina Rd. Newville PA 17241 Jarrod L. Hockenberrv 714 Mountain Rd. Newville PA 17241 WaverlY Ann Shuahart 379 Whiskey Run Rd. Newville PA 17241 Jacalvn R. Allaver 519 First st. Carlisle PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: '5 -li_:gw Signature Name: Hamilton C. Davis Address: POBox 375 Shiooensbura PA 17257 Telephone: (7171532-5713 Capacity: personal representative X counsel for personal representative COMMONWEALTH or P[NNSYI.VAWA OEPAfHMENT OF REVENUE DUREAU Of INDIVIOUAL TAXES 0[PT280601 HARHISUURG, PA 1712B.0601 _~'J~'~ ~ NO. AA 296788 "[V"6m "'0,, PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT RECEIVED FROM: I" ACN ASSESSMENT CONTROL NUMBER AMOUNT DAVIS HAMILTON C 75 EAST KING ST POBOX 375 SHIPPENSBURG, PA 17257 1f11 ....7. J....'R Qt.. fOlDtl(R[ FOlD HERE . ESTATE INFORMATION: fiLE NUMDER PI-199"'-0361 NAME Of DECEDENT (LAST, MATHN DATE Of PAVMENT 10/20/1998 POSTMARK DATE 0/00/0000 COUNTY CUMBERLAND DATE OF DEATH SSN lR::l-07-R~79 (fiRST! 1M!) TOTAL AMOUNT PAlO -r.7,678.86 VZ REMARKSJOHN RINE.JUDITH HOCKENBERRY C/O HAMILTON C DAVIS ESO SEA{;:HECKIl 0162 , ; RECEIVED BY .I! rF:;.;\:yT~.T~ OF \\'I['L;:) ~ 11ARY C. LE IS REGISTER -----------------~ ----,- ---- ..-- .---., -- -_..-- --. --- .- -- ,.-.- - - -.-" --- -. -- ---;-:- ~ 7 ---, . ,. } " , . . ..-. ~~ -"-,"",.A."~ 4f/"'l"". 1-.:" Docodont's Com loto Addross: .51"((1 AOOUES5 10K Curll' ^ .el1lle !ilAll PA liP 17240 em Newhurg Tax paymonts and Crodlts: I. Tax Duo (Page' Uno 1 B) 2, Credits/Payments A, Spousal Povorty Credit 8, Prior Paymonts C, Discounl (I) 56.620,96 Total Credils (A + 6 + C) (2) 3, IntorosllPenalty II applicable D, Inlorost E, Penally 51.057.90 5, T otallnterosllPonalty ( 0 + E ) (3) II line 21s groator\han line 1 + line 3. ontor the dilloronce, This is the OVERPAYMENT. Check box on Page 1 Une 19to requelt a refund (4) II line 1 + Iino 3 is groator than lino 2, ontor tho dillorcnce, This is the TAX DU E. (5) A, Entor \he interost on tho tax due, (SA) 6, Entor the lotal 01 Uno 5 + SA, This Is the BALANCE DUE. (56) Make Check Pa able to: REGISTER OF WILLS, AGENT 51.057.90 4, 56.620.96 51.057.90 57.678,86 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS 1. Old docodent make a transfor and: Yes No a, retain the use or income of the property transferred; ..........................,...............................,...0 00 b. retain the right to designate who shall use the property transferred or its Income; ................. 0 00 c. retain a revorslonary interest; or ..................................,......,........................,..,........................0 00 d. receive the promise for life of either payments. benefits or care? .......,..,..,..........,..................0 00 2. If death occurred on or before December 12. 1962. did decedent within two years preceding death transfer property without receiving adequate consideration? If daath occurred after December 12. 19B2. did decedent transfer property within one year of death without receiving adequate consideration? ........................,.....................,...................,.............,.......,...... 0 00 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ........................,.......................,.......,........,......................,.......,......................0 00 4. Did decedent own an individual retirement account, annuity. or other non-probate property? ..... 0 00 72 P,S. 99116 (a) (1.1) (i) provided for the reduction ofthe tax rate imposed on the net value oftransfers to orforthe use of the surviving spouse from 6% to 3% for dates of death on or after July 1. 1994 and before January 1, 1995. 72 P,S, 99116 (a) (1.1) (il) provided for the reduction of the rate imposed on the net value of transfers to or for the use of the surviving spouse from 3% to 0% for dates of death on or after January 1. 1995. The statute does not e~empt a transfer to a surviving spouse from ta~. 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 JANUARY 1.1995 - Please answer the following question by placing an "~"In the appropriate space, Old the decedent create a trust or similar arrangemont which Is soley for the surviving spouse's benoflt for his or her entire tifetlme? Yes 0 No 00 If you answered yes to the above question. the tax on the trust or similar arrangement Is postponed until the death of the second spouso. at which time it will be fully ta~able at the rate(s} applicable to the remainder beneficiary(ies}. Enter the value of the trust on Schedule J. Part II. in order to remove It from the calculation of the tax due In this estate. You may wish to file Schedule 0 In order to make the election available under Section 9113. If the election is made. the trust or similar arrangement Is ta~ed in the estate of the first decedent spouse. the portion of tho trust or similar arrangement which benefits the surviving spouse is taxed at the zero tax rate, and the remainder Is taxed at the rate(s} applicable to the remainder beneficiary(ies), If you choose to make the election. you must attach Schedule 0 to a timely-filed ta~ return, along with Schedule(s) K and/or M in order to show the apportionment of the trust or similar arrangement between the surviving spouse and the remainder beneficiary(ies), IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN I.,\ST WIl.1. AND TESTAMENT I, CATIIERINE R. ~IATIINA (also known as CATIIERINE T. MATIIN,\). of the LTtH 1: I direct that all my just debts and funeral expense~. including I . I \ \ Borough of Newville. Cumberland County. Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or codicil previously made by me. my gravemarker and all expenses of my last illness, shall be paid from my residuary estace as soon as practicable after my decease as a part of the ndminintratlon of my ~statc. ITtH 11: 1 give and bequeath all of my tangible personal property (noc including cash or securities) including. without limitation, personal effects, hou~ehold furniture and furnishings, automobiles, and the like. together with any polldes of insurance in effect at the time of my death aPl'llcablc thereto, including any prepaid premiums thereon, to such of my daughter. JUD 1TH K. HOCKENBERRY, and my grandchildren, JARROD L. HOCKENBERRY, WAVERLY ANN HOCKENBERRY, and JAC,\LYN RAE HOCKENBERRY as survive me to be divided among them as nearly as possible in equal shares in such manner as chey may agree upon or. failing agreement for any reason whatsoever. then in such manner as my Executor shall determine, giving due regard for their personal preferences. Any such article allotted to a minor may. as my Executor thinks advisable, either be delivered to the minor or to the person with whom such minor resides to be used for such minor I S benef it, or any person to hold ior the minor. or be sold and the proceeds paid to the guardian as propcrc:. distributable co the minor as herein provided. Neither the minor recipienc nor such person wich whom such minor resides shall be required to furnish any bond or security for the custody of such property and \ the receipt of the minor or such person for such property shall be full \ ,\ ----..- uquittanc~ to my Executor. Cost oC shipping or moving such items to beneficiary shall be paid as an expense oC administration oC my estate. ITEM Ill: 1 devise and bequeath the residue of my estate of every nature and wherever situate in four equal shares. one-fourth each. per capita. to such of my daughter, JUDITH K. HOCKENBERRY, and my grandchildren. JARROD L. HOCKENBERRY. WAVERLY ANN HOCKENBERRY, and JACALYN RAE HOCKENBERRY, as shall survive me by thirty (30) days. ITEM IV: The share for any person who is a beneficiary under this my Will and who shall not have attained the age of twenty-one (21) years shall be held by JUDITH K. HOCKENBERRY and JOliN W. RINE as custodians for such beneficiaries under the Pennsylvania Uniform Gifts to Minors Act. ITEM V: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expenses of the administration of my estate. ITEM VI: I appoint my daughtet, JUDITH K. HOCKENBERRY and my nephew, JOHN W. RINE, Executors of chis my last Will. Should either of my said Executors fail to qualify or cease to act as Executors, I appoint my nephew. J. GARY RINE. Executor of this my last Will. ITEM Vll: My individual fiduciary shall be entitled to reasonable compensation for his or her services rendered from cime to cime unless different compensation has been provided for in a separate letter of agreemen t. ITEM VIII: I direct that my Execucor or guardian or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM IX: The interests of the benef iciaries hereunder shall not be ~ FIRST AND SOLE CODICIL TO LAST WILL AND TESTAMENT I, CATHERINE R. MATIINA (also known as CATlIERINE T. HATHNA), of Newburg. Cumberland County, Pennsylvania, declare this to be the Sole Codicil to my last Will dated July 15, 1991. ITEH I: 1 hereby revoke ITEM III of my Will and in its place substitute the following: "ITEJoI Ill: 1 devise and bequeath the residue of my estate of every nature and wherever situate in four equal shares, one-fourth each, per capita, to my daughter, JUDITH K. HOCKENBERRY, and my grandchildren, JARROD L. HOCKENBERRY, WAVERLY ANN HOCKENBERRY, and JACALYN RAE HOCKENBERRY, as shall survive me by thirty (30) days. provided, however, that the share of JARROD L. HOCKENBERRY shall be charged with an advancement of the sum of Twenty Thousand ($20,000.00) Dollars based upon funds of Testatrix given to him for the purchase of a truck. ITEM II: In all other respects, I hereby ratify, confirm and republish my last Will dated July 15, 1991, together with this Sole Cod icil, as and for my last Will. IN WITNESS I.'IIEREOF, 1 have hereunto set my hand and seal this J/ J I day of J~(y , ' ~. -;:....v . .'}- n.... . :"-'i.. I~'()A" " 1'\, l/'la.) ~ .,(SE,:u.) Catherine R. ~\athna - , 1992. Signed, published, and declared on the date thereof by the above named Catherine R. Mathna as and for the Sole Codicil to her last ~ill dated July 15, 1991, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. :)jf~l;L./Y bA..--"-. residing at5~ ;",_ i:./.tu<..---;" /-/.':-. ,,'J residing at .......'/ ';'''" -:J.,.....:,:~ ," /" _Jr.,# COHMONWEALTII OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, CATIIERINE R. MATIINA, the testatrix whose nome is signed to the attached instrument or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that 1 signed and executed the instrument as my First and Sole Codicil to my last Will doted July 15, 1991; and that 1 signed it willingly and as my free and voluntary act for the purposes therein expressed. t"" :!Jx.OZ)u"".'. 1. ;')tt(.':t.~",--,..J.SEAL) Catherine . Mathna Sworn to or affirmed snd before me, by Catherin th~ e atrix, this acknowledged Mathna, day of NolanoI SooI J.'lCqUCIne L llr.rMl:lugh, Nct.3Iy NlIc ~Boro.Cuinbcfla...dc..l!'Cy My CaTm$SlCn El<pore'\A:Jo 14. 1995 ss. COUNTY OF CUMBERLAND We, }Je{~$, k...J'(' and no.;..;!.. L. )-;t><-f , the witnesses whose names are signed to the attached 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 First and Sole Codicil; that che testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testatrix signed the First and Sole Codicil as a witneas; and that to the best of our knowledge the testatrix was at that time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. t/J,('L~ ../iL ~ ;J......:.J./. $. ~ before and witnesses, . 1992. Nol?J\~'~:"~ ~~ L.-.k~,-n,Ncl'arv~'~ J:!<Dl'!IM "'''"C1.IT'llCr........, eo.,'.ty ~e:.vC<1v,: 1',1[1'.5 2 1lt"#.'WO"I'~ ~ ~ CQMMOlH/EALIH or PENNSYLVANIA INHERlIANCE TAXREIURN SCHEDULE A REAL ESTATE FILE NUMBER ESTATE OF ........_........oow.-.............-...,.-...'-.......---....... -..............-. -............."'...........-...--................-........ survl'lorshl mUll bt dllclosed on Schedulo F. ITEM NUMBER 1. DESCRIPTION Real Estale property localed all08 Curtis Avenue, Newburg. PA 1124\, Cumberland CounlY Conveyed 10 Calherine T. Malhna by J. GlII)' Rine and Virginia B. Rine. his wife. by deed dated April 5.199\ and recorded in Ihe Cumberland Count)' deed book Vol "B". Book 35. Page 63 wilh a recording dale of April 17. 1991. see Attached Appraisal. This propeTIY hIlS been lisled with realtors and actively marketed since July 9. 1996. but has not been able to be sold. VALUE AT DATE OF DEATH $95.500.00 TOTAL (AlSO enler on line 1. Recapitulationl $ (If more space Is needed. insert addilional sheels ollhe same size) 95.500.00 APPRAISAL OF THE PROPERTY LOCATED AT 108 Curlls Avenue Newburg, PA 17241 AI OF April 9, 1996 000 FOR ZULLINGER.OAVIS Law Olllell 75 EIII KIng Slral' Shlppenlburg, PA 17257 BY 8TEVEN W. BARRETT REAL ESTATE 124 N. H.nov.r Slr18' Cerllll., PA 17013 Sleven W. Berrell Reel Estete 124 N. Hlnovlr 8UII' Clrlllll, PA 17013 17171243-6646 Juno 7.1996 Zulllngor & Davll Law OlllcOl 75 EaSI King Slroel Shlpponsburg. PA 17257 AE: Prope~y . 108 Cu~ls Avenue Newburg. PA 17241 Calherine MA THNA Eslale 96.0469 Borrower. File No,' Dear Sir or Madam: In accordance wllh your requesl. I have personally Inspecled and prepared an appraisal repo.1 ollhe reel properly localed al: 108 Cu~ls Avenue. Nowburg. PA Tho purpose ollhls appraisal Is 10 esllmalelhe markel value ollhe properly described In Ihe body ollhls appraisal repo~, Enclosed. please IInd Ihe appraisal report which descrlbOl ce~aln dala gathered during Ihelnvasllgallon ollhe p.operly. The melhods olepproach and reasoning In Ihe valuallon ollhe various physical and economic laclors ollhe subjecl properly are conlalned In Ihls reporl. An Inspecllon ollhe p.ope~y and a sludy of pe~lnenllaclors.lncludlng valuallon Irends and an analysis 01 neighborhood dala.leads Ihe appraiser 10 Ihe conclusion Ihal Ihe markel value, as 01 April 9. 1996 ODD,ls: $95.500 1 il The opinion 01 value e.preued In Ihls report Is conllngenl upon Ihe Llmlllng Condillons all ached 10 IhlS reporl. II has been a pteasurelo OIslst you: III may be ollu~her service 10 you In Ihelulu.e, please leI me know, Aespecllully submllled. Sleven W. 8arreU Aeal Eslale ~.... G'}, uL.U t ," k STAN SKOWAONEK PA Conlllcellon .AL.001572.L ",.... ."f.I\o,-I,,' l"h"IU" :,UlTumu'l "ppfallill ttOpOfl c.... ProDerl., O..e,IIIIIo" UNIFORM RESIDENTIAL APPRAISAL REPORT FIl. No. U..lU, I r"~'~""!'!- laB Curti. Annu. . "~ ~,,,,,u'C. "". PA I'."" 112U !~I~D!~~IPl~_~poed nook kJ4._'lgI U1 ____n_______._. .__ _.. ..-. (WIlly c~d.nd - . , ~!!"fI ''''''~_11:2I:a3tQ:QI1__--'!'-.!!!!-n/''-~L!~!L! $"'~1,2''''"''.!!!:!.'"'!.- !,Il/A 110",,,' -~;.;~~;.;~.....- ClI.,.~IO_'-..::::::: ....-;..-:;.;.;,; Ouu,a~1 r'j 0-"" I I'ananl 1;1 \ "Ollllrhll.filUfPprlln, 1.1 f..lll'flplt I h.UI~'.. ,rllltelhpe I I ,uD I IC~_IIII\II'RIIIUDN..OIItrI 110" uH. ~!'I~~!!~!!l!!!~L H9pt""U_Town.tliP ... ___. _. .-.~~,~'I!r!~CL 2l:ono .. ~'~I~!'I~C1. 0131.98 .!!!!!IIul HL^~~JfJA DtIC,........!!~~~cN~I!E~.H!!'!'.-!l:!~,.~~!!II!!- "/A ---.. !~"'~""_I.lllnC.L,-g.d.,_Att.mn~'J"" _l~.,I..t JUI\9 at."t._Phl~.b.'C,-P1',_ ---- _. '",UlIlI S"AH W "UIIII , ',U: ....rlh u. -.... "'-rll.'. ap. 11"'-' lOCltlOll _ UrD.u ~ SIo/OlIID.11l _ Rill" ".""lItI Jlttlt,.Ml"'..III!( "....III""'" U~"U'''I' - 1..", _ l"""~ ,JI'II" ,.. U""..~ '~~."'" 11"'1 ,.", ...10." _6a.. 1'j.~I'''' L J tilO.ul All' _ RllII' ~ '\at161 _~. ~ 0..., _1:5 _ Low Jill. l tlltflf)' _0_ rillll ,rOUIt "~II'pl"''' '- IIIU1UlIl, ..I 'lIlllt _ OltMlfll f- haw :iipJIL~i UIIIU I.,.,,,, .0._ 10. IlItld,nth :'.7.~::~: I- :'~:'." ~ ~'~."::' - :::::: I.:! :=::',~:~~ -.-.J~!~ ::~:~ ~ri.' -". . tI.I.:II.I....IUllcl~III11'..IU...IIl...II...,....If.....tpnl'..lKIIn. I N'IIMIoIIlOO'~Ulllttll'CII&IIC"lIIf1(l _aubjlct._h_boYDdIld~o_th.. nQrth.bY_RQut. &Cl,_pn_ttt.....t by Ht I!<lG!LII..a.....IL'b._.OlI'ILllLIl.Y._q..ye./!O.a'n<I.9lLt~.-"".t by. I'Dutl.6" .----. --. - -- ....- "clolI ifill al1l<< 1M malutaDlllf1 ot ... pI'OPI'IlI' III 1M 1I11fM1lM1'IOM 1'10111I1'1 III 'lI'IpIOJllI.1ll 1M 11II."1111, .mplOfllltlll ItflIII'1, ... 10 1II11'n. I 11~u._n'Jl!LIa!l'''JlGtDn~lLIf''QtJl'l''''''bU~tY 51f J1u1>jo<:t~Dho..' ,.tobll. _lo_nt., . 11L.'PPPD(t~ng_~n~t~"__rI-!ithllL...y_a;~YlnC~~.t.nGI,.r~LV~.po~,."...G~n,t.;.th. i 1.c.1.JllI.k.tplIC...JIIIS&.n=3UQ=JI ---- ---- ----- U'I'.I nlfItlllCIIU III IN .1IOft" NlllIOOIfIOOlI (lIldul*ll .UIIClOfI tor Ole .,.,... CDIlc\lllOll' 1111'" III CI\II UII' of "OPII'1 ;";;.~;;-';';';";;'.~-~;;;I;i I ,. IlIta II "11 011 tIlIlIpllllhl '.0IlI'.... 101 UM .. CIlI 1lI11NlOllIOOI. ",Utpboll of lilt ",,1II11U of ..... tIl' lIIwIClII, COMIUIO/II. .ll p'OI'I.w_nll!ILnLl'll".I1UY--ttl>~.-"l'h .4I\.Ul"'C. ....""lnc.tU. ,for proylou, qu,,,o< 88 dot..!l.. --..---.- .-. -.---.--.-. .-..- - _.-- --.... ----..-------- -- - _.-- ---------...-. -..- , ,njtcll,'.uIUUul,,'UDI 111'PPUUD.II)..III/It,m",nMl,,,artClYllralOIL'lftiomIO.-nlI,'AUOUlllClftIKO'11 I; 1"1 I. INO I "PP'OII111'ltIOUlflllmtlfIOlllnlll"'U1'III~'CI'/OfICl MIA . ""'Ollll'llllklIllIlUlllDtlOlIlllll.IoI....III....IIIItIICI"Of'CI "'/A_._..__. OIIClItlC COIIlllllllllllml/ltl '~'IIC1I1IlO11..lulllll": HI i D'''''''' lQLLn!LE!l....u.&J!lI!I!<-<Itd_l!IIlY~lHbJ.~. _-,-,_ '-"'" z...l ,... .._..' -. .--,_. SlII.rll LJ1....&:rll-IPLl .C~lI""lllf LJYII LB!NO Sin 'tYPIcal. fQr.'._.rlla____ SptCltlCroftnICIUIIJIUlI:IIItIl.'uc,lpUaIl Non. 1tI12-WD.-- _ .____ SUPI ftAlct~n~l.~___._--- 10000001ton'lp&&llC' 0 LII" ll..llOtItIlIlto,mlll' 1'..,."....".1 DUll," [ilHofOllllll D.tltIIgt A4~at. .-..--- --' ~ft"I'tlfllllltltwnPIOlf" x "mill'" n OClll'''UI!!~ . __._ v... RA.lcS.nti"l__..___. I UUlIlllt "'bile Otllfl all..II...'"....... "pi ~c '~'ll UllClUplIl. AYflIr.g.- ..... -..--.... (lulllcn, x 111111 _Kl~I~'__~!' ~ Dnll.a,s"rtau Stone .-.--..-- GIt ClIIDlf\Il1I' H!ID! ~llnlllumlllll Hon. Incllclt.d WI'" _we!! 1.'..11' :.fqg!-___~ - flUUPltWllOOltill~I.""III- [Jr.; r;lkl S,Nllry....f x IlllIl.gftU _~2!"!~.---- flU'\zOIlt C!_ _-_ UIIOIII .i/~~/1.1 ~ J!!rmu.., ...... H90!___ ______ ... _ - tlU_AUIIHO_ _ ~2~~p5~___._._. Comllllllll l.pp.mlll IMII. IIUmllll. IllCfotCMIIIlIl. IplCUl IUUunU". I'" IrlU. ...... 01 Mill llOII"",loIrnllll IOI\lIlI 1111. .lcl: .~11_.l}_ COaDOn for are. and hi' no .d....nuff!ct on markl~!blH~.J.-'lh!~.'(.!-n!L!-PP!~~~!~ttn~- e'Bement. encro.chments or oth.r adverse conditions. G1H(RAt DISCRIPlIDIl (lltRf(l1l OISCRlrllOIl raUfrlDAnOIC IAUUIIlI IHSUl.AnDIl "'OolUNU 1 fOUllUbOI CcncWI-1}Wk SIal ~_Il8_ A/uS,n 1QU f100l ~ "'.01110.111 _L--lJ11I1DlW'" vH1x!lft~~ e,,""" _~~n~__ "fIlllIN' =~~= C.II/II _.. 1:.: i "11 10111"U I RI~sd Aools"rtlu ...Ih!l!;IL- IlIIMIIII _~!l..-- (1*", Un(1.I\-"!lh.d W.I. - xl DUIIIlISIyItI ~~ GIIIlIII'OIlllIPU. ~~num S-.PutrI, _,,,-op.!- WaI' COncr.~..81k llOCM -- ~~ (lIUIIII",oooll' augtlna WiIlto."" D~lLIDm9 O.,.pntu _lf~g!LS2~L.. llOOI ~~mcn~!I! IIIOl'1t - lAltlml 6 SlGfMISCUIII -!h!~ StID411ll11l1 -H9nLC~L-aUIlI..(1Il1'f _l!P___. un'llh'I _--1 1 Innl"IA .IYII' 2..3 Uln,llcMI'tiouUl No InluUPllA Non. Cbs. I _~!. -!!l!!-.. ~ ~ ~ _.~_ ~~, ~!~.. !!!~.!. .!!!~L ,!~!'I.. ..J!!!!!~_ _!'!!~ll1 Immllll l PU ,,,"" - --L -YH .-L == == === _L ._l.~ __Iffl == ~J:J4q- !lIlIll _-..------------ . r;;,;;;;-;;.. .'n' ",;,,,,,,., 4-';;;;;',----;- ;;;;;;;;m,~,~II:-.-- li'iI..;;;;;;;;;i.;;-;;;;;;:;;;- I IHIlRIOR Ihlllltll~OIlUIGIl KUliNG llICKINIOU1'_ Ame _ AM(frIIIIIS CUSlDRlG( : ,.." ~!l!t~L'l!n..1'L I,,, fit P!!"I!. ..'",..... ~... ;:: ,"''''''11' - - ... LJ 'Will ~.11 Iwl &~~!..q 1I1l1111(h,A ~ 111I1' ~ 'UIO ___..! Gill" 'olnll I ,,"""Wilt Wood COIIflllOllAnug! DllllOlat '""': OIl~,IUlf I- On' __.____ 'lIttftl' 1____ latftflflO' _C!~t/V1nYL COOliNG OIlIl.UN' ...! S(Utlll r! rolta ___ _ DllnN' ---- III"WIIIUc04 DrvveU C.1lI1" ..!!L- faMtoOt X ftoo' I- fillet ___ _ .....11. --- 000" Mood DtIltl NIA ...Itt..... ttnll"ooI CllPClIl -- .- ~....r.rI. Condition COIltltlOlA..ralM WU".,,(l1Y1I -; 111II''''' t- 01"'." 2/Stn AldIlIOtIIII1I11,I11l (l~tlIIt."1J IIllCllnlltltnl. lit': .1Qg~!!Il~rl~L!!~!~~~Qng:~@~!.P~~!Q.--"'H"-- -.-.-- - -.---- i COIlllllOll 01 thI lII'IPfMllIIIIII. ..,rtdlb 1pf!J1ktI. MCtlOIlII. an. .."ItItlI. ""'11 ,.'''1'. ,,,,,If1 0' COIlU'"CIlClII. IImOOlll/llfl""""t. IIC: - - .- : tmPro.,lIIDIlJ\ts_!re 1n ..,.r.;. condition !!~~!!~_E!!Y!ic!!~~_!,l;1!!~!~m!!-J~!d:!qu!:~l~! ~PP!~~~: -- I I ---------.-..---..--.---- - ..-- -~----_.-. .--'---'- ........ ./lfIllIl'IIIllllhl tof\tIUCIIIl, {lilt" u. tvI NlI .,..... Icr. t1Wllo\r, .'1"1. IOIIC Iwhl"'C". .IC I ,III.nt III tIlII ....""'.11'I.11I1. 011 Il'It III.. 01 tit Ill. 1Ift1ll.1I1I. .IClll'1y ot 111I IlIDltU ,rOPlI" ~ut!!~~t!~_!"!1!'~~"'~..!..P9!'~~19n!.!!'=~~pp!~!lIn~/dllg~~ead.- --- --. h..tlllll...lPOIIIIII 'OWulllt,...n.u 1feM 'IU I(JJ 1ol-.11......I':I"...'lIr'llmlu1Mfl Summary Appralaal Rupon UNIFORM RESIOENTlAL APPRAISAL REPORT F". No, .. 20, 000 Co"''''I~ll Oil tOil "PO/DUll l"lt" U. IllUrCf 01 unl UM l'lt UIIIt, .....1. 1001 UICIlIUIOl\, '"' IOf HUD, VA ,II' '11I1110 IU.'""" IImllf\lll, 'UWlCIllIIC Ill, .. IN ".'F)'I Colt PI' -fro~,K4rahall a.lft VB1U.tlon_aor,ICB lIandllook,and lood_cOBt .naIye1o.Llnd_ - valUI trozza "'-rht OAt. CoUPld.on.__ PeprochtJ.on blOod. on .gl. 11t. . oblln" cond!tlon .ln4 MArket Olt. Anlly.l.. _ eltLmAt.a ~emAlnlP9 Ccono~c Lit, 50 ~( - 55_ YI.n__ V.lu.llon S.ellon 1511"'''10$111 Vltul 1111l,UlIDIUPHODUCJrOlfC05T "IWIlI UfPAOVlU'IiIIS I D...", _ldU. i,HDI 45.00.01 -__51.660_ Pu_nt_I.OU"".' _U.OO_' _17,024_ FaUo______ ---________ -__1,000_ f' GIltI''ClfpOrl _J08 5. '101 _27.00' _____'.316 rDI~llU/lII;,.Cfll'U. _. -__..11.000. : 1111 J.8' 'tlllit., 1.3"1l~1IDn" hllfllll ~ DI,..",lOll --J.ood__I.oooL___ _, ..000 _ DI""I""VI~ollm"o'llm"'ll _, ___J4, 000__ ..... Ij'YJI;,t tf"lI Un.'OWlmtnll .1 J,OOO_ IlIrjUlfDViIUllftDlf."IID.ltH .1 my u!U.!!.!~~__._ ------f!l~~~~I~~! f~~'~~~l~~O ~ _ ~~~~~~~I!~qJ. 108 CUrtI. Annu. 51 Ht. Rock Road 315 Ht. Rock ROld 27 HIY, GroV8 ROld '.!!!'!!!...Ho!!!l.rg HllIYHII_ H.'"'Uh_____ _ _.._ /lB.,.,I11, ______ ~~.,.~'" LIIUI .B.JIU.. _________ ~ Kilo I ___,_ I....," L__H/A. !.-U.oOQ 1_ n.~oo -",_ 11,1 ''',",0'',"'0 .". I n.a!JI '---n.18.'~lU.PI '--n.u.!!ll::ol_'--___II.U!~rn.oo_ Cnlll4!J.' ''''''".....,,,. JnlPO<lUo ~nho.".JItOOrtlB_1:<lUnhoU.L~OP0:d4_ l:ounhpUB,_llacOnlB_ "'UI'.JUII."" .11""1/'" .11""1/.. , '11''',_ -'!!~!!~l!~~ _.!!!!!!r~!---."lJ!!.<e! SlltlO' fltlUa/ll None, Cony i Non., CoDY : None, Cony : COIIctlllOtl1 , , . 11QI.J/IWlO!!lLi P<lII_ !!n!<rJom_i D<>>I Jln!<rJo,," ~ ' _ _ .!!!''''''.'''' ~/211.1f lU~~ : 10/15 ! __ _ PlI5, ----i ___ IOClllOll BvJ1yL~ A!lU~ ~'''ng,__:_._ t\Y8rage.--1__ _... l...........~ lIl_a~l-,- lIlLJllli'h i ro,-SIlli'II-J____ r",S1JopIo -i--- ,,,. ~3'l.Aq/~!ll~ ...J2-ML~!lI._i ~H-Aq/A!ll._i___ 1.n_Ac'B/A~i-~l,OC "'. I!tlill.nthL I!tli<llnthU l'al1denthU____ l'aa1dBf1~hLLh__ _ .." ........ f!or:.:nlAYg BInJ:Il/ll'" i l'anoh/...!ll_1-_____ l'aPch/AYlI_i_____ .....01'.."",.... AyglYln/llrlL Jl!llLllnok_i--::5._000 AYlI/M\II!l111lO!1i_ +2. ODD AYlI/Y1Jlyt--i_ f2. 00 121' 1_Jllrl _nJlnl : +3,000 ~p-r.ua__i_t].ooO 4 rUn__ _i_ __ I CO/lOlfloll A.eng~ ADf!9'~__.__ ~!~fI9",__i-___.___ ATflF.9...._.i._ _. AIlaot.CIU. llllll: ...,:.., I.: ...,:..... : 1_: ...,: ..... : I.... :..., :...., : i AClOIllCOuIlI 12 11 5T]:1 : +1,000 ~i]_~3:Ji-.!-. +1,000 .='if~ri.-~_r-:u;oo , ~~l!!!L- .JJJ'---!!_'I -tU--!l.!LJ-f31_QPQ _ UI_~~.lLL_ +3,2001,008 .JHI_ ;_.t2,10 I lu.m'AI & h'llllll. Full Damt rull DeDIt! Full Damt! rull Damt : i -.........,,," U!!11n!~b!!!l !L~U~!l!!'-l!d ! g~t1"lohl!<!_L. Unf!,Jloh!d_L____ I 'unCllOtlllUllllily A".[!ge A~[!g@_i ^!e~lg.._._i_._ .. _ Anrage_.__i__ · !!!!!''''.... HL!!__l!"iU..CA OIl]@l/NonLJ_.1~.~OQ OHwaB/NQp,,-i___ +],000 ~BB/Hon'_i_~]._por : ..., 'A.,.,,,,,.. 1YEloll_1l'P.~I~ : _ 1yplcd_,- ___ Typ!C'~__i___ t ~!I'<" "LClLGfng, 1.J:~!;,trpQ[ti_J!. 000 2 !:-Or -G.r.g'i___ ~1. 500 Nono___i__t1. 50. : P~IUI. "'10, Om. PaUo Porch : Porch : Stoopa: I fllllllSUIlI,'IC H~~. l_rJ.{,p~!~~_ L..:2, p'og ~Qine .--_--1-_ 1.r1rep~ac. .1-_-:2, DOC .!~!_~,IIC H~Ut~ ~!?n!_._;____ ~ope___i_.. flo~~ .___+-___ .!'!!t!U".., : M'gg fiJ-;-rr.:,...L-:io.--"oil GG:OJIJ.~::-_-6;6cio ..."......,,,.. 0'OU1~::: I ' 0"'.BII.2.1 oIComNII!ll. I ~.Q.gR LJ !_'.,JOg lL.1.....ttJ"_SJ5,_,-OO COIIllllenu IlIl lain ComN"lllIlllftallJl/ll"" lullj.tI PIOPtII)". tomPolOlllllf)' liD"" fI'IIIlDo,". 'ItI8~!C;:~_h...s;9!IP'~~11l.!i!'J.t~. "'_ nl!g~hood proDett!!II. Sal.. comcar!l~llYl!l-Jh~I_!-!!LU~_~~n~_qf_.~~,OOQ:f'8,SOQt____ ~~~2U~t~~.rable. "lthin ~bU~j~~~!.J~!!~!-ng!n!~~_~lIt!N!~.(L!". !ZP'llded_ '!H~-!nL-!.h'!g...!!!-!hL~,~~!!~J~" !nH~!~,______._ __ ___.. _ ___.. c..... ..----__.__u --------.- - .--.- . ---.--.-. - IIIU SUIJ(CI COUPlIlA8U'-O! COI.I!!ill!!~?_~-=j _COY~"OJ== OIll."lclln'DIU t/17/91 Non. Hon. Hone SOUltl.loIP1IOIUI/II $10,000 Hone Hone None ~~~ CHR Coug;~OU!l!II Pat;g~~_ ~~~hgulI!_PacO{d4 __ _ ~ourthoull. Racord. lnl"lll OIl'" tullllll"'ltmlnl of lilt, o'll1~n. 01 UlI/l, 01 "'I t~bilCI p'o~m, I~~ 11'I1"11' Oll~f pllOI 111/11 01 1~llltcl JtI' to/llNII~1 ",/11I11I OIl' till 0111II WI 011PII'1I111 HO_J!dor II!!!I w1tM!LJ!!~.ar. _____. ..___.___..._ flDltAllDVllUIIfUIIICDII'AIUSD.."II0ACH . ............,. ............ ----I-=:'S..t~OO~ IUlCAllDUllIfUIIICDM..."IIDACH IUIIOlttlblll IItl1!lUUUlrI,1 AUIS 1\10 rO'OItA,nIUIIIllfl/ll' H A.I A '11I1 11I111"11111 IIIU, :C'u II' hbjltllo Ul'"01l1l, 111"1/.01\1. ~'IUChOnl 01 ton"llO/ll """ ~tow .. 11Ibj.tl10 COfIIOI.boII fll O!IIIII11.mclllut.Cll\l Con"llCIIIIOU"'IIII1. n!!..J!~.2!rtv h..!1 ~PP~~II~(L~.!Lcu{~!nt. ~O!'\~~!OI1L.~~I!.~ppr~!~a1 J. lo~..__ ~~g!g!..p~!!....Q..~!Y. nontr!~..!~!~~~!!~~_!~~!~h!!~_!~"d4'!l.....S~ry ~pra1l!l ~por1;;__ flnlllllCOIICllIlllolt Co!t .n~!Jc.t An.~.Y!!!_~O~!!!~!!1~~.Y.!HPP.!l~~.~~!!;J..u~e:d.~rh~_'!!~~.l_ G~__ ,. ~!!ral1 "" found J.nlP.ProprJ.!~Q~~~!~_~!!.Y!I~_~r~!~~~~!!~g~t.J!_IPP!!~ ~q_th!.~~k!t__ P!~!.~lli!!~~~J.ng~!1e 1!!~~~J911_.!y.b!~I~~!!t!~_~"!~t!. !J~tw~,~ l___._._ __. I I '''' ..''''.. ~ IlW. .....,. II ~ ....", ", ""'" .... 01 ... .." ....". '"1111 ... '"~." 01 "" .."', ..... .. ... ..... ........ ... ... "'""..., .....,.., . r ~ IIlUtl/l' coelillDl'lJ, 111I mlR.1 nl1lt UllnlDOll VI.III, ILlIIIIll N .lUUlU 'n"" Ult fe"" UMIMII U.. fOlllll0G4IIA'rlu. ~1!L-) i f IWIIIIIIIIIUI IHI MAllin VAlUI. AI DUlIIID. Df 'HI JlUL '1I0'IIIIY IHAl IIIHI IUIJICI Df UULA1t..2!!. .... Df ~~!~ ?c__1"'.PCJP_ t 111flllCH II IHI DArI Df IIIPICIIOII UDL'HI Uf(CIIV( OUI D' 'HII JlI'DIUI,ID '-1~~OFtQO--.2..- ", ."UII~ Iun 'U'UII~IO~U~~II(DI:~ ~~llwlI a. ~ ~I~!!!!!!...__ ~'-t.) U_~.. ._ l"ilol' [JOIUGI Il.",. S'lAN SIOWRcHlK "JIfI. STEVEN W. BAJUUt'lT r SRA, S A In,peel"OClI'", ~!!!~~!!7i~L~~~j:=-i?~~______~-=-=--= Q!r!~;'.!ls'i~.!!-j~~_?; 151?' ~.~_ _-- . _ __.__ SIJI,CI,llI'UllOfl'RL.001572_L Sill. PA SIJI.CII""U"OII,GA.0002SJ8_L 1111I. . PA OI-S~IIIIIC'""'-------. --- ---.-----.- SI;';' Dlsra!;I"I~';;- RD:026921~A 1111I PA I t~" "III,.. I" II IJtll '1..II~ , 1I.,.."'....'u"lr",llllll. 11'.''''''1'-1",,'1'11, SKETCH/AREA TABLE ADDENDUM fl.... IOJ Cu,tl, A~u' OfV Newbura SlIle P. 8oIfOWtl Cllh.,lne'. ....IM. E.,.II Llndef/Oitn, P,lvlt. Counly Cumb."Md lJpCodo \1241 20' " [;I~I~~~I~~~!~I]i 22' ;:;:::::::;:;:;:::;:;:;:;:; .:.:.:.:.:.t,'.:.:...:.., ........... :.....:...; ........... ...........' :.:.:.:.:.:r..:.:.:.:::.:.: ........................, ::::::.:.::<<::.:.:.:.:.:. .:.:.:::::.....::::::.:::.: ............;........:..... ...........18........... ..........{J,.......:.:.:. ........................... ...........Ga............' ...........0............ ::::::::::~:::::::::::~~ ~ .<l KUchen .. Bedroom oS is III 28' Living Room Bedroom .5blh Ldy SCAlE: tktcft. IlllOt.a' AREA CALCUlATIONS SUMMARY AI.. Nlm' 01 At.. 8111 Total. CLA' flrU floor \14.11.00 IU,I.DO PIP Cone,," Plllo Zlo.oO 2'0.00 .... Gautt 101.00 101.00 UVING AREA CALCUlATIONS iI.oo .11.00 I I 21.00 ZZ.OO SubtOlaI. 14.56.00 '101.00 e,..lrdown TOTALUV,t.OLE (rounded) 1148 1148 ..,...ao"",,'. oU'f.~oUll'IO"'-- PHOTOGRAPH ADDENDUM hll;.t1 . Catharine .I4ATIOIA Eltat_ f~~i~~ ~!ll_! ~ ~ ~ j:~ ~!! -~!!~~~ ~~---- --- :_- ~.~~'-_-":-~. ~':'=~~~-~-_.-. ~1J_H~!t?~~g______-1~~~rl~n~ .__._______~!t! _I'~_ "lIdtf ZulUn er , Dn'h \or-t.. .-,.... II.. jltrllUUl1 FileNo 96:0'.6' - ---_. - .I,C." .172~1 FRONT OF SUBJECT PROPERTY REAR OF SUBJECT PROPERTY STREET SCENE * 0 .'-1 n 6,) X 7,1 'X H,I 0 9,1 [) 10,1 U 11,) 0 12,) 0 Il.) rJ 14,) 0 ",1 X 16,1 X '7,) [) IHI 0 191 [) 20,1 (] 21.) n 22,) rJ 211 (J 24.) n 211 bl2~1 (,'211 11 2R I ")>(291 -~ ".101 IJ ,11) '1/'1 iN , n,lle Uo,rowor/Cllorll f1loPOlty AddlOSS C"~ londor r'.4UU:.UJlLHA.11INA. "'!lULl! IUO_Cutl!lLAvo.wo Ncwbu{R Counl)' CUDllu'rlnnd ZulJJO&.C-lJP.,vln SlalO r^ Zip Codo 171~ I M'I'MISAI. AIlIlF.NIlIIM SI'/iCIAI. CONIlIl'lONS 1M ,"'1ft...., ''''"''4 II,,", '" "r"ntk .,...,i..I,.....I....lh.. .." U,lIllll,. tor rIoh ."..'1'" ....,.. "" a.uf'"ll...", II.. 11..Jtrtf"'fC11r,lht fM..."tI. uk.. ..wI....11 "".I,......,.....1t .",1 h""lftl Unk.. ......',..11. ftftlullh. '"'.....1..., 11.11 If"'" In.I" 1....~III"'l"ll' eN lilt ''''''rf.t101'llllfol IMINflT Ilftrtl"''''.r'fl tll.... '" 11..1..,,,,, ""I.'.....'..,..., II., '\ll';ru '....,..,", 1..1.., 'rr,l"oI 1M. It..... 1M,.... ,..,..."..... IIUIn', lltil II.. "f',illl"'lllintll"""'" lit.... I:J I) 11le sul-Jrel It IClCRlcd 1111 fUIIII,url And I. Ie"" 111:111 n... 1I1111111r. 1"', cmMJlllulI h 1)'lIlcallllMI [UlllmUII (or Ihe lIt:!. Dncl IKJHS NO ,- :.lfecllhe ,":lllel value: fl( 'ulule 1II:1llclnhilil)' "' lite: Iuhjc:cl. 2.) CfllIllllelfl.lnllt.lu'I,IJI Ulc..t lie 'oclllcd wllhllllhe Iuhjecl's lle1lhhlll'KJOtI. These usn Ire Iyplcal 01 similar nellhbo.hood nlMt (}O NOT lIf1ccllhe mJI~el vallie Of fulu,e m~JkeIJhilil)' III Ihe 11IhjcCI plOl~.ty. 1) VIClIlI Ind unlfevcloptd laud wes lie '(lealnt 'Willlln Ihe luhlccr. f1e1lhllfllhuod. lllue uses lie: 1)'Ilknl fOf Ihe Irea and 00 NOT affec' Ihe P1lU~CI value or 'uMe m~lkcllIhllll)' III Ihe suhjtcl pU(1Clly. ".1 111e p,cclumlll:lnl value In the ne1lhtuhllfkJ Is le.u Ih:\I1lhal nf the maILe' vafucnl Ihe .ubject P'"l1CI"Y. Thr.1I due 10 the \'CI)' wMc .alllc 01 value 01 pmperlics in Ihe Dlt:!. DUIIIIlPCIkJr' IIU:lUI)' of IIIe luhjcclllwPCrly. 111ls cUlldlUull DOES NUr arrccl rhe mlllhl v.lue of Ihe aubJ<<' rw h. fululc mAlhl.hllil,. ltte lubjecl pnlf~r1y Is fuellcclln I F.E.M.A.'denlllicd flood Zone. lhlt cDfkJllloll DOns NOT Irfccllhe ml.kel vllue 01 ruluJe m:ukelahllll, of Illc suhjecl when nood Jmurnllce cnYClnle Is required. fluod'nsu'illlce Is 'UlleJled. UJmpness I. nolcd IlIlhc ha~,"cnl or Iltc subjcd. nlls condillon 's condtlclcd 'ypkllln dwelfln,. 01 111I1 '1)'le Ind OOES NOT AffcCI fI1:l1lcl walue ollhe fulule lIl:ukclabllll, uf Ihe luhJa:1. SI:UKJiIlI 0' fUllnllll walc' Will 1101 JI,cstnl on bascmenl Onor, ~ TIle suhjec' rmpcr1y Is .efYked hy privlllc well _lInd scJ1llt _Iyslellls wllkh Is common fOf Ihe IIC11. Thl, cines nul alfcc' rn:uLcI ulue 01 lulurc malke':Ihllly. nle !1l1'JiXllt older Ih:1II flye 15) )earl 011I. All llIccll:lnlc.11)'Ilc:ms 'ndudhll Ihe heDlh'l. elcclfk.J and plumbrnllYllerns nf'rCM up:m n whu:l1 CllCfl1ll ""llC'Cllulllo h! In wldlnl urde,. No WAlTftlUleJ Die Implied In IJaI. 1I.lemen'. Rcp:ll, "cms ,,"e.e OOlctJ IlIlhe commenl. lcellon of Ihe ICIOI. lhele COnllllenll OIlICflll, hems arc for dcJCtlpllye f11ll']lJlU unl)' and lie nol ~qulred 'cp.'\I,.. TIle rcpal, 'Icms Ibled ftl'e cusmcII, In nAlule and UO NOT .rreellhe mlUkc, yalue Of 'ulule m:uke:lahllll)' III Ihe Juhlccl plOpell,. 'I1IC h:lsCIIICIlI noOl It II dill noor. 1hl. cOllt.lillon II commonlntll),fdcaf fOf IlIe Ireland DOES NOT .'fectlhe mll'cI ullle III fulllle lII:ukeL1hllll)' Ilf 1110 luhjcCI. 1he IIICICIICC 01 II dill UUOI' UOES NOT I.'JC. hClllh Of ufcl, h"'.lrd. 'IIIc $uhJecl11lnllClly dUCJ cllul~n funcllonal nhsolt.'Cellce Q lIuled 1lIIIle ICPO'" lhll concllllollls cOflsldered lypkaJ .nd COllllllnn lu. Ihe our"~ nnd 1111., llylc dwe:fIilll DUll oems NOT arrccl Ihe lI1:u~et \'tlue fIf lulule lIuukclahlllly of Ihe suhjecl prntICII)'. l1lc lilllll value uccetlt 30'JI 01 IOf.1 vAlue due 10 Ihe hl&h demilnd for vXrlnlliUld '"thlt nellhhorhoW. This condlllon Is cundlle,cd COll1l1llll1 and ')'plc:tl fmllle nclahliOflluod Aud oems NUT DUCCllhc mouLcl "Allie n, luMe mllletAbllll, of IhesllhJrcl. lIlc lalld ".lue clCecd, .101. 01 Inial "alue. TIlIt I, due 1IIIhe ',"Ie lire uf Ihe slle. Tlds COltfllllon It conslde,ed 10 be ')l1lc:l1 :md cumrnnn alld VOES NOT :tUccl Ihe m:llLtI v:due n, fultlle IRJrLtrahllily III Ihe suhjccl. IIlLliyhlll:1l ndjmrrnclll' wc'e II:qubed Ih:1I c,ceed ""'. These '1ljuslUlenU wac ,e1luffed due Iu lack CJf more slmll.r cnmr:l':'ihlcs ClllllI:.1 h..UyilJu:lllallnl. AlIlhlee Clllllll.'U:lhJc! a,e Ihe nES r A VAllAOI.E. Tnt:ll ndjmlmCnlt elccclI 1~lJ,. lIlIs Is duc 10 Ihe Ixk 01 CllIUr:llnhle 53lcs 11131 wefe nUlle 111111131 IlIlhe .ubject'. m"icl .~.. AIIIllJee cDmpiuAhles Ale Ihe OEST A VAllA OLE. One 0' mOle comp:unhle ..,lc~ are n1L1cllllan sil (6)IIIIJ1lLhs old. Allhoulh Ihere:ve cnlllpalahle rrnpclllcsllllhe suhject'. (111::1, nnne l13we sold ~cenll)'.lhc~Iurc. s.,lu In eacen of t11 (6) 1IIU1llhs nld have In he used. Alllhrc:e comparablcs used w,", Ih, nEST AVAILAnLE, Oue OIllInfe cOIllJ'o1lnhles used WC'fe In CICesS nf one (I) mile from suh.tccl P'UJICII)'. Allhuul..lllcre lie comparablc (IfOpelllu In Ihe fllllnt'dl:lIe IUC.', nnne hone ~lllla:el1ll)'. lllc:rclllle, II was lIeCet\.1I)' 10 use clIUlllamhle sAlu oulddc 01 the lmlhcllI:lle nlu. All cnmp:lfAhfes used:\le Illc:tled III ShlliliU ncillhllfllhuo.h :11111 wilhllllhc sallie II1JI.CIIIII 1IICI. All Illlee Cnllll'i'1lnhlt.' uttd wCle the nEST A v AILAOI.E. lIle elcculcnll)'slclU WDJ nlll conllecled du,lulluspccUun. 111e W:lICI seryice w.., not conneclcd dmlnlln'(1CClhlll. 11le he:tllul sy~lcm \Vn., shut duwn dml"llnsltCCIICln. "uofinl_rlulllhllll_Etecllic:lI_lfc:llllll_celliflcallonIt sllllesle.... fll,lIIundlwhnlllllll,.llll_. oul hullLlillBs _ 'ndulled _.l1ullllcludcd _,<<ordinllo ICIlIIeI.'luillelllles. ^cClllllilllln IcndrlS luhJefllle~ a m:uhnum 01 _ i\CIet .'ere conside,ed fnr Ihls valu:trlnn. Rcmainl". Delcalc WI. .IVCIIIIO value. 11Ic ~lIhjeclpmfICr1)' Is localcd nn II prlvale rn.'II. \Yond hlk'l:lllnllltl~ltCCllcllllt su alcl!. bu 'ccolllcd deed hallllc,: ()JI . \ ~l_. COllsiltefallou: S...lq..J1lln . t.O . rropmcd cnr"fmcllon/lennY:lliooln co,..li\llce 111111:111' And ~1~cilic:lll(ll1s 10 he COIRlllclCd III n WlIIkm3n.like mallnc,. Seller I, Pi'lyhlll"'1l nr nlln'elmlulcn,I,. ....1' nons NUl nUt'Cllhc: 11I:1.lel yalue III fulllle llI:u.CI:lhilil)' u'lhe slIhjcct. All COIlIr:llnhlc 1:11", me: yc.lfled cln\Cd l."et. 1IIc,e :ue nn ~ltCcI:11 cllutllllull' or olhcllequlrCRlCIII' 1It:ll wlIuld nlfect malLei w:lIl1c III fulUlC lIl:uLel3hilily 'n Ihlt AI" pr:ti"" "1'1'1011. Olhc,: IJ J)rJ? ~~" c-.:;L..UJl-AcL_ ^1'1II:li,C' ------ .........., ""'=- ~t) ) ) ') --..-rI- ne\'lew^I'r":.i,c, I I I , . ",,-'--"""."._-- . Q Z I ct>-I .JI-I ~Z' w:d 000 I :E U f :l I U ~IJ ~(, I '>0 ,. i) , ~11 ., -. ~.' ..... '. APPRAISAL REVIEW III &tc.o,d"." WIlli IN UnllOulI It&lIdIfdI of 'rol'lIlClA1l ~.I..I "&tlel. I ,vtlmil IhI IoDoWlflG 'Pelfllld Re,,,. olIN .lluhld UlIdolm Auld.lllill "pplIlUlltpoll pIIPllId by STAN 8ltOWP.OKlIt dll.d _Lug!2L-lU' Clh'lng1fl'p'opIlrv~lOcili4.C~'g~':~ur;~~,-A!!nU..- .~-.---- ".!l!~~g.JA BUld upon m, 11,,,..1 d,daft: '11 ThI plopIUY wtlIchtllM ,vbjlel ofdlill.YMI... rilly dllcnbld '" 1flI.llnflld U",llHm Ru.n&ilI"""llilll A'POIl In TbI 111.chld IPPlJtI.11S c.CIII'Iplel. .Dd acculIl. pullUlnt 10 ItlI ,llndlld. "' 1011h br IhI Undonll Sl&ndlld' 01 'loIIUIoaIIAJIPIIIII'"CUCI; (3) TbI cUll.ndlN IdlUllmlltllO tl\ldllI an IhIIUldlId 'ppl'.llIllft .dlqual.lnd 1I)nlnl; (4) TllI'PPllllllmllbo6l.nd lIdlftiqUII Vlld In IhIlllldltd 1pC)1I...I....ppropri&lI; and (51 ThtIUtrlll.opWont,lndc.ondulklManlht IltItflId ,ppllllllatl 'pelfoprille.M.lllonablt. CERTIFICATION hud upon IhI lallooinO.1 CIIUty 1hI1.1O ItII bul 01 my kl'lO'*dOI.nd belie!: '1) Tht IU(I.nddll. f,poIltdbym..ndustdlllfll'MlWpfOUllaft Inlllndc.oulCt; In TllI .uttf;It, opinion" Ind c.ondulilonl '" tht .me. "port ,f' lMftilld 0IIfy by Iht 'UllI'IIpUoa Ind limilinO condIboIlI 11Il,d an IIltI 11''''. Ilpoll. 1M III my "'"01l11. unbiIud prollUlQtlll .",tylll. ~. Ind U111CklIIORI. (31 I hlVl no pru...' 01 PICSPldM "'IUIII in ItII property IbII .. \1M .ubI"l 01 ibis Itport .1Id I "'VI no 1lI,,0ftI1 inllrnlo.b111atLh.llpeellOlhlpalblllllYCti.d '4) ..., COfIlptnulioflllltOt COIl....1 Ollar lefiono. IV.nlluultinOllOfft lilt .","'iI, opinIonI, o.c.ondutklftl in,Orlhlus.oI.UUIII'fll."porl; (5) My 'IlIttlb, opWons, .nd c.ondulKlM .." dmlCl9ld Ind Itld .nitw llport .11 p"pam in QlnlofmUy W11h tbI Ullllorm SllncSlldl ollhl 'lolullONl Appc,lul 'I.ebe..; (6) l-did- ptIIOlUJrlmptcllhllub;tCtPfOptllyolltlllpollunde,"YM1.; 111 Noon. pfO\'idedlignrllCllll plol..lionIl.ntltlnet Ia m. an my IloIlCbc>>n II' "vilw'IIP/liI.r; (I) I UI~" 1lIl1, 101l1I blSl,l m,_dgt.nd belial. IhI llpo11ad .""'". oPalonI.nd _ion' .," dn,Iopo<I,.nd this 'IV". hn bun pllpmd, in conlolmily wtlh 1M "..."m.nlS 01 (hI Co6t 01 "ormlONl (lhiCllnd SlIndlrdlollbl Prolmionll ,"pp!lisll 'lUliet ollh. '\ppflislllllllrlUl.. 10) I "rlity lhlllh1ultollhll ,m." lullttcl 10 1M uqulr.m.ntl ofINApplllllllmlrlUllulllnQlOIh'IIW by III d'" lulholll.drepltllnllllYU. ItO) A.I ollh. dll. ollhil llvit.,I.1hI undifllgllld ItYM"', hi'" tduUhDR plOQllm ollht Appflinllll1lrlul.. compttlld 1fl. IIqvillm.nll ollht coaliftuinQ Slgna""; - '-- c..-t) \ L rC. Nlml STEVEN' M. BAP.RJT'J'. S~RJlA D.I.&lgIMd, Juno 7. UU SIII.CtltdIUllOft'. ~g~~!~_____ Sill. PA 01 SIII.lin,,"'; RD..02U~1"A Sill. r_~_ ('plIlIlOn 0.11 01 CtlhllClbOllor Utili': _f/.3Q'~,! ",.I'W.,"".,"'I.'I'IIIIU14 DEFINITION OF MARKET VALUE: I.. ..." p"".'. p"'. ..".. p,.p.'" ,..u'd .".g" o<."p."'''. ..d .p.' m"'.' ",d.' .11 ,u.d."." "010"". ,. . ,.., ..,., ,.. bu,.' ..d ..II.', u,,, ."",g p,u""''''' ",..'.dgOl." ",d ...um",g ,.. p"u .. .., ."",.d ., u.du. ...mu'u' 'mp""'" ,... d.""'''.' .. ,,,. '...umm....n .1 . ..,. U ., . .p.,,".d d... .nd ,.. p...",g .1 ..II. ".m ..II.' ,. .10'.' und.' ...d...... ...,.., "1.10'.' ..d ..11., .,. "p..II, m.",.'.d, 121 ..,. p...... .,. ..11 ,,'OIm.d ., ..11 .d~..d, .nd ..... .,Mg ,n ..., .. ..n"d." .,. ..n .... ",.,.... "I . "..."'.,. ..... .. .1I...d I., .....10'. .n ,.. .p.n m"'.'. "1 p.,m..'" m.d. .n ,.,... ., <n. .n U & doll... ., .n ..,m. .1 ""'''',,' ."",g.m.." ..mp.'..'. ,".'.'.. ..d 1'1 ,.. p'.. ,.p'."'" ,.. ..,m.' ,.n....."...n ,., ,.. p,.p.'" ..Id u..".".d b, .p."" ., "...". I",,,,dng ., ..,.. ..n...".n.' g,."'.d by .nJonl I"Gtlalld '1II1h thl ..II 'A"'u"".''''.'.. ..mp....'" mu".. ..... I., .p.."'.' .....,.. "n",...g.' ..,.. ......".n. N. ."'."".'" .,. ......." ,., ,.... ..." ..". .,. ..,m.lI, p..d ., ..11." .. . '''lOll .1 ........ ., II. " . ...,.., ...., ,.... ..". .,. ,..d." ,,,."',,,..,. "n'. ,.. ..II.' p.,. ,.... ..". " .."..11, .11 ..,.. "......,... Sp.".I.' ....,,,. ,,,,..,,.g .d,u..m.." un .. ...d. ,. ,.. ,.mp.'..'. p,.p.'" b, ....p.".... ,. ".on".g ,.,... .".,.d ., . ,."d p.'" "",'u...n.' I..'" ..., " n.' ."..d, ",.',.d 'n ,.. p,.p.'" ., "........n A., .d,u..m..' ...u'd n.' .. ..'.u,...d .n . ...d>.",..1 d.lI.. ,., d.U" .... .1 ,.. "".n".g ., ..n'''''.'' bur ,.. d.U.. .m.u'" .1 .., .",u"m..' ...uld .pp'."".'. ,.. m.".'" ,....,.n ,. ,.. "n.n".g ., .........n. bm" .n ,.. Ipprl,II"'ludgm1nl STATEMENT OF LIMITING CONOITIONS AND APPRAISER'S CERTIFICATION CONTINGENT ANO LIMITING CONDITIONS: T.. 'PP,....," ..Il,".....n ".,.pp.'" 'n ... .pp,.".IIt,," II aubl'CIIO lhllollo'jll'lng ,and.llona: I. T.. .pp'."" w.1I ... .. It,,,.,,'" I.r .."I'" .1 . l.g.1 ..,.,. ,..1 .11... .11." I.. p,...", b.'ng .pplt,..d ., ,.. ..II. ,. ,', Th. .pp'."" ...um" 'h.' ,.. "". " g..d .." m.,.."b'. ond, ,10.,.1.,.. .,11 n.' It.d" .., oplnlonl Iboullhl ulll The P'OPIfI, i. IPP,I.ud on lhl bUll 0111 bllng unda' ,"ponl.ble o.nanhIP' 2 Th. 'PP'.'''' 10" p,.~"d . ...,d> In ,h. .p...,..1 ,.p.Il'. .how .pp,..,...I. d,...n.,.n. .1'.. 'mp,...m.'" ..d ,.. .....10 .. ''''ud.d ..1, ,. ..".. ,.. ,..d., .1 ,.. ,.p.1l 'n ".u.""ng ,.. p,.p.ll, ..d u.d."".d,ng ,h. IpP'I'U'" dllllmlnlllon 01111.11. , Th. .pp'."" 10" ...m,..d ,h. ...d..I. "ood ".p' ,10" .,. pr."d.d b, ... Fod...1 Em.'g.ne, ",...g.m..' Ag"", ,., ...., d". ,.10,...1 ond 10" n.'.d ,. ,h. .pplt'''' ,.p." wh.'h.' ,h. ...i." .". " '.....d ,. .n ,,,....,..d &p."" FI..d Hm,d AI'" 0....'. ,.. .pp"".' .. n.' . '10".'.'. h. ., .10. m.... .. gu.,.."'" ..pIIU or Impllld. "glfdlng Ihl' d.'lfmlnllion . Th. .pp'."" w,lI n.' g". "..'m.n, 0' .PP'" 'n ,.10" b...u'. h. ., .10. ...d. .. .pp,.".' .1 ,.. p,op.'" 'n quillian, unl.... apaCllic .".ngomenlIIO do 10 hlVI blln m.dl balar,hlnd , Th. .pp'."" 10.. ...,m...d ,h. ..110. 01 'h. '.nd 'n ,h. (0.1 .pp,..d> .. '" h'gh'" ",d b." 10'. .nd 110. ,mp,...m.." ., ,h." ..",,,bu,.', ..,.. Th. ..p...,. "'10."." .1 'h. "nd o.d ,mp,.,.m.." mu" ... .. ulld lR conlunC:hon with In, othll .ppfllnland ,'.lnwIlId.1 th'r .f' 10 uud . Th. .pp..".' 10" ..,.d In ,h. .pp..I..I'."" .., ."..... ..nd,"." I.ud> ... ...d.d ..p."'. d'P,."",.n. ,.. p....... .1 hm,d.u, ..".., ,.". .u....nm, ... I ....".d du".g ,.. In,pl<".n .1 110. ...,1<' p,.p.'" ., ,... h. ., .10. ....m. ..... .1 d."ng 'h. n.'.." ......d> "..,... In p..I.,..,.g .10. .pp.....1 U.,... OlIO...". ..."" ,. ,h. .pp..".1 Itp.". ,h. .pp'."" 10" .. ....ltdg. .1 .n, h,dd.n .r u..pp."n' ...d'''..' .1 'h' p,.p"" ., ."..... ..",..m.n,,1 ....."... I",du...g ... p'''.''. 01 h....dou. ..".., ,.". .ub.'...... "'1 .." ".101" m." 'h. p,.p.'" m.'. ., I... valu.bl., ... 10" ...um.. ,... ,h." .,. .0 .ud> ...",,,.n. .nd ...... .. gu...n'''' .r ..."..".., ..p'''' ., '..plied. "g.,"'. ,.. (On",,,on .1 'h. p,.p."" Th. .pp'.'''' w,lI n.' .. ,..p.'''.'' I., .., '10.10 ..n",,,.n. 110" do ..." ., I.' .., .ng"'."". ., ...".g ,10" ..,gh' b. '.O.".d .. "',(0'.' ...,.., .u.h ....,,,... ...., 01<'10'. 110. .pp"".' .. n.' '" .,p." 'n 'h. h.'. .1 ..."..m.n..' 10"""" 110. .ppr,lul,.porl mUll 1'101 b. contld".d It.n .nvllonm.nl.'......m.n1 01 Ih. prop."r- 7 Th. .pp'''''' .bl.i..d 'h' Inl.,..",.n. ..11m"", .nd .p,.,.n. 'h.' .". ........d I. ... .pp..".1 "p." I,.m '.10".' ,1001 h. ., .10. ...""." 10 b. '.'"b'. ..d b.'''''' ,h.m 10 .. 1110' .nd ..".<1 Th. .pp"".' .... n.' ."um. ...pon.lbMr lo'lht a"U'I'r 01 Iu(.h 11Imtthal ",,,tlurnl.h.d b, olh., parll" . Th. .pp..".' w,lI ... d..d.'. 110. ...lIn" .1 th. .pp..i.., "p." ....p. .. p,..,..d I.' 'n ,h. Un".'" Slandards 01 P,ol..slon.1 Appralul Pra,Ilce g, Th. 'PP'."" 10.. b...d hi. .r h.r .pp..i..1 r.p." ..d ..'10'''.. (O.du.,.n I.r .n .pp",..llh.. ,. ..bll<ll. ..11"1<1.', ..mpl.".n, ..p'"'' ., ."...".n. .n Ih. ...ump".n 110" ..mp..".n .1 ,h. 'mp'o......1I .,11 b. plrlolm.d In. wor"-manll" mannll. 10 Th. .pp..I.., ,,10" p,.vld. 10" ., 10" p".' .11I'.' (O...n. b.'.'. 'h. l.nd"I<".n' .p.,,".d 'n ,.. .pp..,..1 ,.p." ..n .".'.1011 110. .pp,.".1 ,.p." 1""'10""'. ..",110"." ,..10' ,h. p,.p.'" ,,'10.. ,.. .pp..".... ,d.."', ..d p,.'."'.'" d."g..".". .nd ,.,....... ,. .., p",.."...1 .pp..,..1 .,g.n,,"'." " ,.. hIm .."10 .10"10 ,.. .pp"".' .. .......'..1'. .n,.'. .,10.' Ih.n .10. .0"..." ,.. ...".0... .. ". .10........ .." ...,gn'; 110. m...g.g. I...'''. c.n,.II..II; p,.,...I.." .pp"I..1 o,..n,,"IO.'; .., "". or l.d".II, .pp,ovad hn..<I.' 1.",1.110.; ., .., d.p...m."'. .g...,. ., ".lIum.nllhl' .1 ,.. UnIl." S,.... 0' .., .It'. ., 110. D,,\II" .1 C.lum.'.; ....pl I." ,h. ,....'1<"..1 ..., """.10'. 110. p,.p.'" ...."p".. ",,,.n 01 ,h. "p." .11I, I. .". ..".<1'.' ., ..p."",g ..,,,'.1') .,'10.10' h.".g '0 .blOln 110. .pp"".... p".' .","n ..n..'\. Th. .pp,."..'. .,,,,.n .....'" .nd .pp,...1 mu" .,.. .. .bl..... b.I.'. 110. .pp..".1 .., b. .....,." b, ..,.n. 10 110. pu.'" ,.,.ugh .",...",ng, pubhc: "llhons, n''''. ..1.1, 01 olh.' m.dll flnn'. fwh. fOlm 1004B ,.g] PIQt' 012 'Itddl' Mae fOlln 4]~ 6.91 ,..,.. 96-o.n APPRAISER'S CERTIFICATION: 1t11 -'pp'I...' (I,hll" Ind Iglu.lhal I I hi'll I...."h.d Ihl lubllCl ml.IlII I'" Ind hl.,1 "Iltl.d . mlnlmu," ollh'" """I 11111 01 pIOpI.IIII mall Ilmll" Ind p,ollmll. 10 Ii'll I"blltl p,opIII, la, tonlld".hon In Ih, ..1.1 tomp'fllon 11'11'111 'I'd ha.,' m.dl I dolll' Idlullmlnl ..1'1.1' IPplOpu.1I 10 "lIacl Ii'll m,,~el ,ucltan 10 Iholl 111m I 01 Ilunllleanl "III,hO" II I Ilgnlllunl II''" '1' I complrable p'o~'I, II IUpIIIO' la, 0' mall llVOllbll 11'111', Ihl lubllCl PIOPII'" I hi'll midi I nIUIII'" ldiullmlnllo IIduel Ii'll ldiUII.d Ill.. p"n alii'll comp.flbll Ind. II . l.unlhClnlll,m In I tomp.llb11 p.oplllr II Inlllio, la, 0' I... II.,Ollbll 11'1.1'1 Ii'll lubl'tl plOplll" I hi'll midi I pO..II.,1 'diu..m,nl 10 In".... Ii'll IdlUllId 111'1 P"" ollhl comp.llbll 2 I hi'll I.~'n 11'10 conlMM'luon 11'1. l.tlOIl Ut.1 h'''1 '1' Implt. on .,.1". In '"' devllopm.nl 01 thl IIllmlll 01 mllhl v.IUI In Ihl Ippllllll ItPo,1 I h.", not ~"D"I"glr ..llhhlld In, liunl",,"I Inlolmlllon hom Ihl .pplIlIII rapo.1 Ind I b,hl"I, 10 11'1, b..1 01 m, ~nD..I'dgl, 11'111 III 11.llmlnll and Inlorm,llon In Ii'll IPPIlIIlI IIpoll "I If''l Ind cO"lcl 3 I 1IIIId In Ii'll Ippr.II" Itpoll CMllr m, own ptllCMlII. unbll..d, Ind p,ol,ulonll Inllrlll, opinlonl, Ind conellnionl, whICh "I IlIblld onlr 10 Ii'll conllng,nllnd Ilmlling tonct.IIOnllpl~hld In Ihlllo,m .. I hlVI no p,,"nl or P'OlptCUvt 1n1,'"1 In Uti properly 11'11111 11'I' lubl". 10 Utll r.po,l. Ind I hl.,.1 no p,,"nl or p'Olpltll'" pillaI'll 11'1,,"1 0' bin wilh ,..petl 10 (hI parudpanll in Ihl UlnllCllon. 1 did 1'01 b.... 'Ithll plfll.U, or complll.I,. m, 11'.1'''1 andlor Ihl ullmlll of mlf.I' "'11". In Ihl IpP"1111 "pan on (hI "". color. IIhglon, .... tllndlalp. '.milill 1IIIuI, 0' 1'11101'11 ouoin 01 11th" 11'I1 prolpetlivl own"l or otCUplnll olthl .ubjlel prop"l, or at Ii'll pllllnl o..n." or ocevp.nll olthl propllllll in Ihl viCInil, ollhl lubllel proplIl,. 5. I hl"l no prillI'I 0' eonllmpllltd 1uI"" Intlrlll In (hI lubltel p'o~rI" and n.Uh" m, currlnl 0' IuIUII Implo,mlnl nor m, complnllllon tor plllor,","g 11'111 Ipprlilll II canllnglnl on Ihl Ipprlllld vIIIII 01 Ihl proplIl, I. I.... 1'01 II""lrld 10 llporl I p,tdtllfml"ld VIIUI 0' d1rlcUon In valul Ihll IlvOrl Ihl ClII" 01 Ihl di.nl 0' In, "I,"d pIU,. ,nl .mollnl 01 (hI "'11"1 ..lImall. Ihl .Ulinmlnl 01 I Ipl"'le 1111111, 0' (hI O"U"lnel 01 · lubuqlllnl 1"'1'1 in order 10 flCli"l m, comp.nlllion .ndlor Implo,mlnl lor plllo'mlnll Ii'll Ippflll1l I did 1'01 b,,1 thl Ipp""11 "pOll on I "qu,,"d minimum "lluIllon. . Iplgl" "lllIlllon, 0' Ihl nud 10 Ipp,O.,1 I IP.~hc mOllglg.loln 7 I plllolmld INI ,ppfliulln conformity' .ith the UnJ!o,m Standardl 01 Prollnionll -.pp"i..1 p"elica Ii'll' "'" ldOplld and promulgllld b, Ihl APP'"..1 Sllndardl Board of Th. -'pprtilll Found.tlOft .nd 11'111 ..III in plica II 01 Ih. IlIlell"l dill 01 thll Ipp"llIl. ..Ith Ihl Ilelpllon ollh. d.p"""1 prowsllon 01 Iholt Sllnela,dl. .hi'" dOli 1'01 Ippl, I lt~nOWlldlll thll an ..limlll 01 . rUlon.bll uml 10' IlpOlllll In (hI op.n mllhl .1 . condlllon in Ii'll dlhnlllon 01 mllkel vII"1 and Ihl 1I1Imlll I dlvtlopld II conlllllnl with 11'I1 mlf.lling Ilml nolld in Ihl nllghbolhood lIellon ollh.. liPari, unlllll hnl olhlrwlll 1I.lld In thl IIcon~hlllon IItllon e. I hnl pI"onlll, Inlpl,lld Ihl inllllor .nd 1.llrkn Ir..1 01 Ihl .ubj'CI properly Ind Ihl 1,'"101 01 IU proplnlll 1IIIId .. compl"bl.. in Ii'll Ippra,..l rlpoll- I fu,lhll "rill, thll I hl,,1 nolld In, apP"I,,1 0' ~no...n Id,,"" condlllonl In Ihl lubi"l impro"lm.nlt. on Ihl lubl"l '111, or on In, 1111 wllhin Ihl "nmldtlll VItiI'll, 01 Ihl Iubl.el p,op"lr 01 whith I 1m ..1" Ind hn' midi Idlullm.nll for 'hili Idv"" condlllonl in m, Inlt,111 01 Ihl proptrl, vllul 10 Ihl ..111'1 Ihal I hid m""" lvidlnet 10 luppon Ihlm. I hlVI 1110 camm.nltd Iboul Ihl IUItI ollnl adv"" condllionl on thl marklllbllll, ollhl .ublttl pfOplfl,. II, I plllonlU, p"p"ld III condllllonl and opinion. lbeulahl "II 111111 lhll .111 ..llorth In Ihl IPPIIIIII "po'l. II I "lIad on lignlliClnl prolllllonal lullllnet Irom an, Indivtdllal or Indlvldu.11 In thl plf'ormlnca 01 Ii'll Ippllllll or Ihl prepar.llon 01 thl Ipprailll ,.poll. I h.vI nlmld IU'" Indlvtdllll(11 and dildolld Ihl Ipttilic 1,,1lI plflarm.d b, Ihlm in thl ",onabllian IIcllon 01 11'111 Ipprlllll "pori, I cII"I, 11'111 an, Indlvldull 10 nlmld 'I qll.hlllild to plflorm Ihl 1,,1lI, , hnl 1'01 .lIlhorilld Inron. 10 ml"l I ehlngl to Inr 111m in Ii'll flPOIl. Ih."lolI. II In unllllholllld thlnglll midi 10 Ihl Ippfll..1 flpOII,I.lllaak. no rllponllbllil, lor II. SUP ERVISORY APPR AISER'S CERllFICA lION:U a 'UplmlOrr 'PPIIII" Ilgnldthl IppIIII.IIIPO'I,""OI Ih, nIhil.' and IgII" thl" I dillellt IlIp""". thl IpPflll" ..ho pllp"ld 11'1. Ipprainl ,.pO'I, hU' IIvi....d Ii'll IPPlliul IIpOII, 111"1 ..llh Ihl Itlllm.nll .nd condlllionl ollh. Ippflillf, IU'" 10 bl bound b, Ihl .pplliun CIIIIII"lIonl numblfld Clhroullh 7 .bOvl, .nd 1m liking 111\1 fllponllbilllr 10' Ihl IPPfllll'lnd Ihl Ipp,.iul rtporl AODRESS OF PROPERTY APPRAISEO: 108 Curtis A:...a.u. APPRA.IS~i c::-\ J . SJontlUlI.~J Haml_ STAN SKOWN)NlK D.l. Signed, Jun_ ,. 1!" SI.t. CIlllhUlion'. _1U.-001~'2-L or Sill. Uunn': Sill.. PA bPUlllOR 01" 01 Cellllltl1ion Dr Uunn: ~l~g/~7 SUPERVISOR"'-APPRAI~ IIltqulltdl: SJonllUlI: -S ._...J I L -tI- H.m.: J!~~'r1'J.~RAL.!~~- 011' Signed: _~un. 't.-..!~~~ SIIIICtllIIIUbon'. QA-000298-L o,Sllllu,.nn': ~:~~~!~i:A--- 51.11; _!~ ---.--- EIP"allc'lO,I. olCtlllliuhonorliunll: _f1~~/n [ilOId OOId Nollnlpt" Proptll't Fr.ddl' Mat Form Ug 6.g) ,,;.2012 f,nnl' Mat fOlm loo4B 6 g) S,.t.",.,.,IltiI-IU,I'ltllIIU11 I'.... .. " . ;:1 ., .." ~ . . JRZ:cb March 18, 1991 L .,.,' ',,- 'r '. " -, 'ct r"s, ell, IlJJ. c.:.':~"",~'r.\JUr" I" 17" I Il, 0' " _U THIS DB ED HADE this S ~ day of ~",......: I , 1911-, Between J. GARY RINE, joined by VIRGINIA B. RINE, his wife, of R. D. 1, Shippensburg, Pennsylvania, hereinafter whether one or more referred to as "GRANTOR," And CATHERINE T. MATHNA of 33 Big Spring Avenue, Newville, Cumberland County, Pennsylvania, hereinafter whether one or more referred to as "GRANTEE," WITNESSETH, that in consideration of the sum of Ten Thousand ($10,000.00) Dollars, in hand paid, the receipt whereof is hereby acknowledged, the said Grantor does hereby grant and convey in fee simple to said Grantee ALL the following described real estate lying and being situate partly in the Borough of Newburg, Cumberland County, Pennsylvania, and partly in Hopewell Township, Cumberland County, Pennsylvania, more particularly described as follows: BEGINNING at an iron pin on the southerly side of curtis Avenue at corner of Lot 23 on the hereinafter referred to plan of lots; thence by said Lot 23, South 14 degrees 19 minutes 44 seconds East 170 feet to an iron pin on line of Lot 13 on said plan of lots; thence with Lot 13 and by Lot 14 South 75 degrees 40 minutes 16 seconds West 95 feet to an iron pin at corner of Lot 21 on said plan of lots; thence by said Lot 21 North 14 degrees 19 minutes 44 seconds West 170 feet to an iron pin on the southerly side of Curtis Avenue; thence with the southerly side of curtis Avenue, North 75 degrees 40 minutes 16 seconds East 95 feet to an iron pin, the place of beginning. BEING designated Lot 22, containing 16,150 square feet, on plan of lots prepared by Carl D. Bert, R.S., dated August 11, 1978, entitled "Land Subdivision for John L. Rine and J. Gary Rine," recorded in Cumberland County, Pennsylvania, Plan Book 34, Page 75. lIb" ') )'- .) (.3 ," f,' "", . ,.\ /1> [.' ;.: " ,. I OlV","..,..n ~ ~:LV_ INHERITANCE TAXRETURH R , SCHEDULE B STOCKS & BONDS FILE NUM8ER 21 96 0361 ESTATE OF Mathna Catherine R All plOptrty Jolntly-owntel wtth rIlIhto' survivorship mUll bl dlscloltel on Schtelull F. ITEM NUMBER I. VALUE AT DATE OF DEATH $3.108.05 DESCRIPTION PNC Brokerage Account #22386834. Alliance Corpornte Bond Fund TOTAL (Also enter on line 2. Recapitulation) $ (If more space is needed, inseo additional sheets of the same size) 3.108,05 ", _..-...---.....~_. tI)'d "l\:jJ.[jJ. . . \ . . g i I .. Ii I If ..II . li . .; . .. . ... .. l. .. I . : ~ .. i I l . . . . : t 0:.1 .. . . i . . I" . ... .. ' .. .i-t:~~ "CIa- ::1 "el .. , DSea i! ~al'la l~ Shag I ...... I ~E nl i ;14S I ~ . g ....; ~ u... ii!=.in\i .... iii o.a' . ......... . i:i i -111I ~ - , . , h :Ie n ,II: it \\i I , ,. , .. . .. , . ...~I: .. ... . . t;i .. , I! . .. I \ i .. " .. .. ,. i . .. . .. \ . . ,.. ,. E ' - , .. , .. I ". ache ~I ~T" ~ :tlcI sz:vt 9S6t-L? ~,~u.'''" *' COfolMQlN/EAl.THOfPf.NNSYLVA!M INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONALPROPERTV FILE HUMBER Include \he proceeds ollltigatiOn end \he dale !he proceeds were """ived by \he .slate, All property Jolntly-owneel wIIh !hI right ollUNlvo"hlp mu.t be dl.clo"d on Scheelull F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 1988 Ford 4 Door Crown Victoria LX Sedan VIN#2FABI'74F3JX\10034 $1,850.00 ESTATE OF $1,46\.8\ 2. PNC Bllllk. N.A. Checking Account #5040006258 $1.41 accrued interest on the same $652.29 3. PNC Bllllk. N.A. Savings Account #5050008003 accrued interest on same $2.\57.70 4. Personal property per appraisal per Dennis Gotshall $5,014.70 5. Glenbrook Life Annuil)' No. GA110104 $25,177.44 6. Erie Family Life Insurance Company, Annuity #602-016 and #326-933 7. Blue Cross Blue Shield refund 8. Insurance refunds (\.70 +2.80 + 59.00) \ \ I I I ! TOTAL (Also enter on line 5. Recapitulation) S (II more space is needed, insert additional sheets ollhe same size) $0,84 $\96.\0 $63.50 36.575.79 -' APPRJ\ISI\L OF ~ PROPfm"i or' 'I11E rnTATE OF CA'I11ffilNE T. MII'11lNA, mx:EIISFD, l08 aJRTIS AvmtJE, NDIIlJRG, PA m MIIY 29, 1996: 2-Pc. contemporary living roam suit $ 75.00 O:mnon green recliner (shows wear) $ 15.00 Early Am. type chair (floral design) $ 25.00 Brown La-Z-Boy recliner $ 40.00 25 in. RCA XLl00 console color television $ 125.00 Walnut finish stand $ 20.00 old fl=r light $ 15.00 Slrall round Il\'lrble top stand $ 65.00 Repro Il\'lple f=ted dough tray (lamp stand) $ 22.50 Ibol1lJow1/pitcher lamp $ 75.00 O:mnon brass-finish Il\'lgazine/log basket $ 8.00 Approx. 9 x 12 ft. oriental style rug $ 60.00 O:mnon table light (swan/roses) $ 8.00 O:mnon 2-drawer lamp stand $ 15.00 Crystal type lamp $ 10.00 Lamp with metal base $ B.OO Cast iron flower with 3-f=t $ 20.00 Miscellaneous pictures/picture frames $ 25.00 fobdem 3-pc. braided rug set (lot) $ 30.00 5-Pc. maple dinette set $ 65.00 Panasonic microwave $ 60.00 Kenmore refrigerator $ 125.00 Miscellaneous dishware $ 22.50 Pots/pans $ 20.00 Partial stainless flatware set $ B.OO Microwave stand $ 15.00 Odd dining roam chair $ 3.00 Approx. setting for 8 Royal China dishes $ 35.00 Amber depression platter $ 8.00 Mr. Coffee coffeemaker $ 10.00 Black & Decker under cabinet can opener $ 8.00 Proctor-Silex toaster $ 5.00 Whirlpool automatic washer $ 100.00 Whirlpool dryer $ 65.00 Modem wooden kitchen cabinet $ 45.00 Modem small oak drop leaf table $ 30.00 \ J.lou~-1 'Z.S'- o;? .:.-:..:.~ ~ --..,. po-...... , P 1 I ERIE ERI~ ;::.~.~,lILY LIFE INSUR.~NCE COMPANY 'Ae"'..!" . :'.. .., ~...-. 'J" 0:1 ...~_~.:....:; : I~~ E~;~'; ,..:.:,':.1; ..;w . t,.., -.-.",..""" '.;:r;., . .t".:..~7~,C:':<.c . -(1 Fr:.': ..d......"~~.:.;.. . ':'.l~' ~I~~.':'l'--! May 8, 1996 Carl L. Cramer P.O. Box 98 Newburg, PA 17240-0000 Re: Death Claim on Catherine T. Hathna Annuity '602-016 & '326-933 Dear Mr. Cramer : Enclosed please find our checks '037794, '037793, 1037795 & 1037751 each in the amount of $6,252.66 which represents the full death claim benefit available to each beneficiary in this case. This amount includes 1/4 of all contributions and interest accumulated on the above referenced contract. Also enclosed you will find checks '037514, 1037515, '037516 and 1037517 each in the amount of $26.70. This amount represents 1/4 of the May payment that was cut but not mailed to Mrs. Mathna. We appreciate your assistance in the handling of this claim. Pleaue extend our sincere condolences to the family. If you have any questions, please do not hesitate to call Melody Cochran, Policyowner Service Representative, at our toll-free number 1-800-458-0811, extension 2922. Sincerely, f";-~ Ernest Beccaris Department Manager Life Accounting ED:MAC Enclosures: Check(s) I _' -. ..- _r .... _._ , - Continuation of REV-1500 Inheritance Tax Return Resident Decedent 21 96 0361 MaihT)a, Catherine R. PaQe 1 Schedule H _ Funeral Expenses & Administrative Costs. B ITEM NUMBER DESCRIPTION AMOUNT 19. 20. 21. Property taxes for 108 Curtis Ave, Newburg PA Reserves for contingencies Dehumidifier $2,454.30 $1,000,00 $158.99 SUBTOTAL SCHEDULE H.7 $3.613.29 ,....KII".,'~~_ ., .~ ~THorPENNSYLVAIM INHERlrANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES FILE NUM8ER ESTATE OF RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do NotUltTrultee(sl OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXA8LE DISTRIBUTIONS (Include outright spousal distributions) I. Judith K. Hockenberry 949 Green Spring Road Newville, PA 17241 2. Jarrod L. Hockenberry 714 MounIain Road Newville. PA 17241 3. Weverly Ann Shughart 379 Whiskey Run Road Newville PA 1724\ 4. Jacalyn R. Allgyer S 19 First SITeet Carlisle PA 17013 daughler 1/4 residue of eSIate grandson 1/4 residue of eSIate granddaughter 1/4 residue of eSIate granddaughter 1/4 residue of eSIate ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE. ON REV 1500 COVER SHEET II. NON.TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION g\ 1 3 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE I. B, CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II _ ENTER TOTAL NON.T AXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (II molO space is needed, insert additional sheelS 01 the same size) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE /)~ Il{' ,~' BUREAU Of INDIVIDUAL TA~ES IM1..RI1ANCr IAIl DIVISION [l(Pl. :80601 HARAISBUNl, PA 111:8-0601 NOTICE or INIlERITANCE TA~ APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHEHT or TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RW:i54i-ix-AFP-iO'9=97Y-NoTicE--on-NHEifiTANCE-TAiniPPRAisEHENi'-,--ALLOiiANCE-OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MATHNA CATHERINE R FILE NO. 21 96-0361 ACN 101 DATE 12-28-1998 TA~ RETURN WAS, ( I ACCEPTED AS fILED I XI CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule Al 2. stocks and Bonds (Schedule OJ 3. Closely Held StDck/Pa~tn8rshlp Interest (Schedule C) 4. Hortgages/Notes Receivable (Schedule OJ 5. Cash/Bank Deposlts/Hisc. Personal Property (Schedule El 6. Jointly Owned Property (Schedule fl 7. Transfers (Schedule Gl 8. Total Assets If an assessment was issued previously, lines 14, IS and/or 16, 17 and 18 reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. A~ount of Line 14 at Spousal rat. (1S) 16. A~ount of Line 14 taxable at lineal/Class A rat. (16) 17. AnDunt of Line 14 taxable at Collateral/Class B rate (17) 18. Principal Tax Due HAMILTON C DAVIS ESQ ZULLINGER DAVIS PC PO BOX 375 . . SHIPPENSBURG PA 17257 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Het Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts 14. Net Value of Estate Subject to Tax NOTE: TAX CREDITS: PAYMENT DATE 10-20-1998 RECEIPT NUHBER AA296788 DISCOUNT 1+) INTEREST/PEN PAID I-I 1,059.83- r- III 121 131 141 151 1&1 171 lql 1101 12-28-1998 MATliN A 04-09-1996 21 96-0361 CUMBERLAND 101 Amount Rellitt.d 95.500.00 3.108.05 .00 .00 36.575.79 .00 .00 24,993.56 .00 (Ill 1121 1131 114) ISchedule J) .00 ~ ,00= 110,190.28 ~ .06= .00 X ,15= 110) AHOUNT PAID 7,678.86 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE * tlt.I\."I,I'I,'''1 CATHERINE R l NOTE: To insure proper credit to your account, subllit the upper portion of this fora with your tax payment. 101 135,183.84 . If PAID AfTER DATE INDICATED, SEE REVERSE FDR CALCULATION Of ADDITIONAL INTEREST. ( If TOTAL DUE IS LESS THAN Sl, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS RefLECTED AS A "CREDIT" lCRl, YDU MAY BE DUE A REFUND. SEE REVERSE SIDE DF THIS fORM fOR INSTRUCTIONS.. ?4.QQ3 ~6 110,190.28 .00 110,190.28 will ,00 6,611.42 .00 6,611.42 6,619.03 7.61CR .00 7.61CR RESERVATIONI E.tat.. of d.c.dent. dYing on or b.for. DeC..b.r IZ, 198Z -- If any future Inter..t In the .state I. tranlf.rred In POls...lon or enJoye.nt to Clasl B (collat.ral) beneflclarl.. of the deced.nt aft.r the expiratIon of any .Itat. for Ilf. or for yearl, the Co..onwealth hereby .xpre.lly r.l.ry.s the rIght to apprals. and a.se.s transf.r Inherltanc. Taxes et the lawful Clas. B (collat.ral) rDte on nny such future Inter.st. PURPOSE OF NOTICE: To fulfill the requlr..ent. of Section ZI40 of the Inheritance and Estate Tax Act, Act ZI of 1995. (72 P.S. S.ctlon 9140 I. PAYHENT: Detach the top portion of this NotIce and sUb.lt with your pay.ent to the Regl.ter of Wills print.d on the r.ver.e .Ide. --"ake check or .oney order payable tOI REGISTER OF MILLS, AGENT REFUND (CR): A refund of e tax cr.dlt, which wa. not r.quested on the Tax Return, .ay be requ.sted by Coapletlng an "Application for Refund of PennSYlvania lnherltanc. and Estate Tax" (REV-1313). Application. are available at the Office of the Regl.ter of Will., any of the Z3 Revenu. District Offices, or by calling the special 24-hour answering seryice nueber. for for.s ordering: In PennSYlvania 1-8DO-362-Z050, out.lde PennsYlvanle and within local Harrisburg erea (717) 787-8094, TOO' (7171 77Z-2252 (Hearing I.palred Only), OBJECTlDHS: Any party In Intere.t not satisfied with the appralse.ent, allowance or dl.allowance of d.ductlons, or .s......nt of tax (Including discount or Interest) as shown on this Notice .ust Object within .Ixty (60) days of receipt of this Notlc. by: AD"IN ISTRATlVE CORRECTIONS I --wrltt.n prote.t to the PA Depart.ent of Revenue, Board of Appeals. Dept. 1810Z1, HarriSburg, PA --.lectlon to have the .atter det.r.lned at audit of the account of the personal repr.sentatlve. --app.al to the Orphans' Court. 17128-1011, OR OR DISCOUNT: Factual error. discovered on this assess.ent should be addresled In writIng to: PA Depart.ent of Rev.nue, Bureau of Individual Ta.es, ATTN: Post Assess.ent Review unit, Dept. 280601. Harrllburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the bookl.t "InstructIons for Inherltanc. Tax R.turn for a Resident D.cedent" (REV-150IJ for an explanatIon of a~lniltratlvely correctable errorl. If any ta. due 1. paid wIthin three (3) calendar .onths after the decedent'. death, e fiYe percent (5X) dilcount of the tax paid is allowed. PENALTY: Th. 15% tax aan.sty non-participatIon penalty is cO.put.d on the to tel of the tex .nd Interest al.esl.d, and not paid before Jonuery 18, 1996, the first day efter the end of the tax aane.ty periOd. Thl. non-participation penelty I. app.alabl. In the sa.e .anner and In the the sa.e tl.e p.rlod es yOU would appeal the ta. and Int.r.st that has been a,s..sed as Indicated on this notlc.. INTERESh Int.r.st II charged beginning with first day of delinquency, or nine (9) .onths Bnd one (1) day fro. the date of death, to the date of pay.ent. Tak.s which becaRe d.llnquent b.for. January I, 198Z bear Int.rest at the rate of .Ix (6%) percent per ennue calculated at . dally rat. of .000164. All ta.es which beca.. delinquent on end after January 1, 1982 will bear Interest at a rat. which will Yary fro. calendar year to cal.ndar year with that r.t. announced by the PA Deport.ent of Revenue, The applicable lnter.st rates for 198Z through 1999 are: ~ Intere.t Rate Dally Inter.st fllctor !!!r Intllrest Rat. Dally lntllre.t Fnctor 198Z 20~ .000548 1988-1991 11~ .000301 1983 l.~ .000438 199Z .~ .000241 1984 IU .000301 1993-1994 n .00019Z 1985 13X .000356 1995-1998 .~ .000Z47 1986 lOX .000274 1999 7~ .00019Z 1987 .~ .000247 -~Int.rest Is calculated as followsl INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlc. l'lu.d aft.r the ta. beco... delinquent will r.flect an Interest calculation to flft..n (15) daYI beyond the date of the as'.lsaent. If payeent Is .ade aft.r the Int.rest co.putatlon date .hown on the Notlc., additional Inter.st au.t be calculat.d. i I I I il 'I ! I ;1 I , I I I 'I II I MV.'41OVlt....l '*' INHERITANCE TAX EXPLANATION COMMONWEAL m Of PENNSYLVANIA . DEPARTMENT OF REVENUE OF CHANGES " BUREAU OF INDIVIDUAL TA~ES DEPT. 280601 HARRISOURG PA 17128.0001 DECEDENrS NAME Catherine R, Mathna FILE NUMBER I 2196'()361 REVIEWED 8Y Daniel Heck ACN I 101 SCHEDULE ITEM EXPLANATION OF CHANGES NO. The value of the estate has been adjusted as the result of the correction of an error in arithmetic. ROW Page 1 PAVMDIU o.tKh the top portion 0' this Hot1ce tand .ubIIlt ..Ith your paYMnt aad. payable to the ,.... Met Itddre.. printed on the rever.. .Ide. ._ If RESIDENT DECEDEHT aake check or aoney order payable to: REGISTER OF WILLS, AGENT, __ If NDH-RESlDEHT DECEDENT uk. ctMck. or aoney orlklr payable to: COtU'lOHWEALTH OF PENNSYLVANIA. REFUND (CRh A r.fw1d of a tu credit. which "as not reque.t.d on the lax R.tum. NY be requested by cc*pl.tlng an "Application for R.fund of Pennsylvania Inheritance and E.tat. lex" (REY-l313). Application. are avallftbl. at the Office of the R~I.t.r of Will.. any of the Z3 Rev8nU8 DI.trlct Offlc.. or fr~ the Depart.entt. 24-hoUr answerlno ..rvlce nueber. for foras ordering: In PennSYlvania l-aOO-362-2050. out. Ida Pennsylvania end within local harrisbUrg area (717) 787-8094. TDO' (717) 772-2252 (Hearing I~alred only). REPLV 10: Duestlon. regarding errors contained on thl. notice ~ld be addressed to: PA Depart.ent of R.v~. lur.au of Individual laxes. AllH: Po.t Ass.....nt R.vl... Unit. Dept. 280601. HarrisbUrg. PA 17128-0601. phone (717) 787-6505. DISCO...lh If any tax dull Is paid "ithln thr" (3) celltnder aonths after the deced.nt'. d.ath. .. five percent (5%) discount of the tex paid Is aUOtHtd. PEHALTYl lhe 15% to ~sty non-part1clpatlon penalty Is COlJPUtltd on the total of the tax and Intere.t .......d. end not paid before January 18. 1996. thcl first day .fter tho end of the tax .-na.ty p.r1od. IHTERES1: Interest Is charged beginning "Ith first day of d.UnquenCy, or nine (9) aonth. and on. (1) day fr~ the data of death, to the date of paye.nt. Tax.s which beC". d.llnquent b.for. January 1, 1982 b.ar Int.re.t at the rate of .he (6%) percent per anr'lUII calculated at a dally rate of .000164. All taxes which bec". deUnquent on and after January 1, 198Z will bear Int.r..t at a rat. which will vary fr~ calendar y.ar to calendar year "Ith that rat. announced by the PA Depart.ent of Revenue. lhe appllcabl. Intere.t rates for 198% through 1999 ar.: V.ar Intere.t Rate Oallv Int.re.t Factor Vear Interest Rat. Dallv Inter..t Factor 198Z Z'X .000S48 1988-1991 lIX .00OSOl 1983 16% .00008 I..Z 'X .000247 1'" lIX .G00301 1993-1994 7X .000192 1985 13% .GOG356 1995-1998 'X .000247 1'" I'X .GG0274 1999 7X .000192 1987 9X .000247 .-Interest I. calculated a. follow.1 INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice Issued after the tax baeoa.' delinquent ..Ill r.flect an Intere.t calculation to fifteen (15) dav' beVond the date of the .....sunt. If pay...,t 11 aade after the Interest c~tatlon data shoWn on the Hotlce, ~ltlonel Interest .u.t be calculeted. C.I STATUS R8POR'I' UNDER IWI.E 6.12 Name of Decedent: CATH8RINE R MA'I'HNA Date of Death: APRIL 9. 1996 Estate No. 1996-00361 Pursuant to Rule 6,12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether complete: Yes____ administration of No xx the estate is 2. If the answer is No, state when representative reasonably believes administration will be complete: Auoust the personal that the 2000 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes____ No____. b, The separate Orphans' Court No. (if any) for the personal representative's account is: c, Did the personal representative state an account informally to the parties in interest? Yes_ No_ Date: d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and may / ~ attached to this report. ,1/J,rJ7dV ...' I ... ':',. ..,... ro N C1: ~~ Hamilton C. Davis, Esquire P,O. Box 375, 75 E. King St. Shippensburg, PA 17257-0375 (717) 532-5713 :; C:l wee 0: -) ;:;1" ~5 '..JU Capacity: Personal Representative -KK- Counsel for Personal Representative 13 - . . - ..~...- ..- -~- - --.- t ~ ~"";\" .-,.-- " . nr.~!t"l\~d6fI17"\S Estate No.: 21-1995-0](.1 ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA In Re: Esta1e or.lcffrcy ,I lIurdJ:c Late of LCllIllynl' lI11rllUJ:h NO. 21-1995-0]61 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6,12, SUPREME COURT ORPHANS' COURT RULE Personal Representa1ive: Counsel for Personal Represen1ative: Robert R,Chureh, Esquire Dale of Decedenl's Death: 09-02-1999 Date of Delinquency Notice: 10-14-02 The undersigned, Mary C. Lewis, Regis1er of Wills, in accordance wi1h Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies 1he Orphans' Court Division, Court of COlllmon Pleas of Cumberland County, 1ha1 neither 1he above named personal representative nor the above named counsel for 1he personal representa1ive have filed wi1h the Register of Wills or Clerk of the Orphans' Court his, her or its SlaWs Report required by Rule 6,12, Supreme Court Orphans' Court Rule and tha11he requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by 1he Register of Wills on 10-14-,2002, and that1he 1en (10) day no1ice to file the Slat us Report has expired. Accordingly, in accordance with Rule 6.12 1he Court is hereby no1ified of such delinquency and 1he undersigned reques1s 1ha1 a Court conduc1 a hearing to de1emline whe1her sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Distribution: Personal Representative Counsel for Personal Representative Esta1e File Mary C. Lewis, Register o~ Date: 10-14-2002 1r...1l/)-{) 'V l' A hearing is scheduled for al .30 ~'~tourtroolll No.3. If the SlaWs Report is filed prior to the hearing date, the hearing will automatically be cance SENDER: COMI'Lt:rE TIllS SECTION. . Complete Items 1.2. nod 3. Also complete itom 4 II Rostrictod Dollvory i5 dOSlrod. . Print your nnme ond addro56 on Iho rolJOfSD 60 that we can return tho cord to you. . Attach this card to Iho bock ollho mmlpioco, or on tho front il spaco permllS. 1. ArtICle Addressed 10. . RUid E. eku:/' f~~<Jl- 1.0./34//%3 r:2/0 {;Jo.i~ .!tiut li~)P{L {J 17 If!! -Flb3 2. Article Number (Transfer from service label. PS Form 381 1, August 2DOl A SIgfllllullt. " X ( \ l o AlIllnt o A(J{lro!i'i~' B Rec,,:i~~ bV ,l'mllf..O(j NJtI1o} C 0.11001 OehvlOfY -t" 1 \, '".-" leT I ~ "Il\" o Is doltvury IJddross dlfft n! t'Ofll IILIj'Il I? 0 Yos tl YES, onler dohvury ~ddltt'i'j bolo.... 0 r~o 3. ServIce Typu etertll,od M.l11 o RegISI9fOO o Insured Milll o e.plUSS Mall o Return necf'lpl 'or MOfchnndlse Deco 4. Restncted Dell....ery? (Edra Foo} DVes 7001 2510 0006 5862 2191 102595.02.....0835 DomestIC Return RecOipt -.." . . I. . . .....1 ." :' . - , . .".... .,. .,.. ,-, nJ L__-----.- nJ ..D '" LSl ,;..,., .~: I.... : p,,'..;,' \ .------ ._-------,----. :",.,.,.(', ..D c::J c::J c::J I'e'_'" P!!<." r~ I "f' ,[r!.J:.!",,"'f'l"l I,,,:, ,.".: R..,!r'c~"'l S...,"",!~ [":1-""'" ~,.~ r]~.: . 'f..: ~ TQtlll Po,lag. & he' i S _ _ _ __ _____. : I ::~:'tt~;::t -<1fiu~I..t:;;:-- :5 V'por,""/dCbx/// ~7 .- "-c;;;;"";"';',,II~ viP#- /7 / (J.V- /y'G,6 ~ pm,. ..t.'OlI'i';;.;T..!'j.... .1l...II.hll'~II..~T"-.....I~ . '. ,._..... .-