HomeMy WebLinkAbout03-16-07 (2)
,,- ---J ..
--.J
.. ..-. ~
15056051047
REV-1500 EX (06-05)
PA Department of Revenue '*
Bureau of Individual Taxes .
PO BOX 280601
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
OFFICIAL USE ONLY
County Code Year
File Number
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Date of Birth
Decedent's Last Name Suffix
Decedent's First Name
MI
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
c::) 1. Original Return
c::)
2. Supplemental Return
c::)
c::)
4. Limited Estate
c:::)
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
-
c:::) 4a. Future Interest Compromise (date of
death after 12-12-82)
c::) 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
c::) 10. Spousal Poverty Credit (date of death c::) 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
"
8. Total Number of Safe Deposit Boxes
c::)
Firm Name (If Applicable)
C)
Correspondent's e-maH address: .J, ~ a,M ere s 6i) ep i x. nt;t
Under penalties of pe~u eclare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct an mple. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
ADDRESS HA-llll:S E. S. rtFL/).5
h CLlI/SErt A~~ /J!EI!HANICS/3UIl6i PA /7/)S~
PLEASE USE ORIGINAL FORM ONLY
Side 1
L
15056051047
15056051047
~
~
--.J
15056052048
REV-1500 EX
Decedent's Name:
RECAPITULATION
1. Real estate (Schedule A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1.
2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3.
4. Mortgages & Notes Receivable (Schedule D). . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5.
6. Jointly Owned Property (Schedule F) c:::> Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) c:::> Separate Billing Requested.. . . . . .. 7.
8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8.
9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). . . . . . . . . . . . . . . . 10.
11. Total Deductions (total Lines 9 & 10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.
12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . '.' . . . . . . . 13,
14. Net Value Subjectto Tax (Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . . . 14.
TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .O~
16. Amount of Line 14 taxable
at lineal rate X.O f5'
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable.
at collateral rate X. 15
19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : .. . . . ., . . . . . . . . :.'. . : . .. . : .1,9.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
~~
-V~
~~~
~~
L--- 15056052048
Side 2
'L
..,...........
Decedent's Social Security Number
15.
16.
17.
18.
c::>
15056052048
--.J
REV-1500 EX Page 3
File Number
;;LI- ()S"-/t:J r'l
1II .
Decedent's Complete Address:
DECEDENTS NAME ~OAJA-Ll> 71PPE -rr
F.
STREET ADDRESS r!rtJll=VIG W ])/lll/E
33t?tJ
---.----
--~-----_.__.._----_.-
CITY j)1Et!.NA AlleS Sl///. r;" I STATE ,d~ I ZIP 110.50
!
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
'I
, ~ 73. 8'/
J
o
-~~,--_._--------
o
.0
Total Credits ( A + B + C ) (2)
o
3.
Interest/Penalty if applicable
D. Interest
E. Penalty
4.
Total Interest/Penalty ( D + E )
If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.
tJ
--~_.~_.-----_.._-
___~_n_________
(3) 0
(4) 0
(5) "1~73,iJ
(5A) , 287.30
(5B) ~ 7~ /6/, II
,
5.
If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred;.......................................................................................... D ~
:: ~:::~ :h~e~;~i:~:~sii~~~::;:~. .~.~~.I~.~~~. ~~~. :.~~~~~. .t~~.~.~~~.~~~. ~~. ~~~ .i.~.~.~.~.;.:::::::::::::::: :::::::::::::::::::::::::::: B 11
d. receive the promise for life of either payments, benefits or care? ...................................................................... D ~
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? ............. ............ ............ .................. ................ ........... ........... ........... ...... D rgj
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. D IKl
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ rgJ D
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent [72 PS. 99116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 PS. 99116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. 99116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. 99116(a)(1.3)]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
-:
CHARLES E. SHIELDS, III
ATTORNEY-AT-LAW
6 CWUSER ROAD
Corner ofTrindle and Clouser Roads
MECHANICSBURG, PA 17055
GEORGE M. HOUCK
(1912-1991)
P A Department of Revenue
Inheritance Tax Division
Commonwealth of Pennsylvania
Bureau of Individual Taxes
Dept. 280601
Harrisburg, PA 17128-0601
March 15, 2007
TELEPHONE (717) 766-0209
FAX (717) 795-7473
RE: Estate of Kathryn Tippett, deceased
Cumberland County Docket No.: 21-06-0486;
Estate of V. Lourene Bowers, deceased
Cumberland County Docket No.: 21-07-0120;
Estate of Ronald E. Tippett, deceased
Cumberland County Docket No.: 21-05-1044
Dear Sir / Madam:
Please find attached to this return a copy of my letter to Anastasia DiBartolomeo for your ready reference and
convenience. By reading it first, the rest will make more sense. Weare now submitting the Inheritance Tax Return for
Ronald E. Tippett. You may also want to check with Paul Dibert because I spoke with him via phone quite some time
ago regarding the complex interplay of these three (3) Estates and the assorted reasons for the delays in their respective
settlements.
Some pertinent additional facts may be helpful in evaluating the attached return: Decedent's son, Scott
Tippett, an adult, lived with his father in the residence at Golfview Drive. He rendered assistance and help to his father
from time to time. The house at Golfview was subject to some speculation as to the best way to deal with it. This
included evaluating whether to try to sell it to a family member or to sell it to an outsider. Making such a decision was
complicated by the fact that the house deteriorated due to lack of upkeep. There were excessive amounts of
miscellaneous tools, equipment, salvageable materials and the like that required special arrangements to remove and
dispose of. These materials and problems had been building up and accumulating over the last fifteen (15) years or so
as a result of the decedent's injury, later open heart surgery, and inability to complete a number of his then current and
subsequent plans.
I have placed on Schedule I the expenses paid out of decedent's Estate to settle his mother's and sister's
Estates. Had he lived til the completion of their Estate settlements, these fees and expenses and taxes would have been
paid by him during his lifetime and would have thus reduced his bank accounts and total asset values available to be
listed on his Estate asset schedules. The interplay between these Estates is somewhat complicated and it would most
likely be helpful to you to read all three Estate returns together.
If you have any further questions or need any further information, please advise. We currently have an auction
of the real estate at Golfview Drive scheduled with Chuck Bricker, Auctioneer. Thank you for your kind help.
Very truly yours,
CIMA-~~ -r-
Charles E. Shields, III
Attorney-At-Law
CES/mjj
Encl osure
l>>s. ~ /Ji~~ ·
A.tpt. 'I ~/ II~~ ;,Jdt ff-e ~ l~ 713-~'/'Ir
/2e f -f,ipdi e;1iJP
ikwv /Jls. /J/~I1P; ~
I~ a# ~ :;r;:t:t:: fib
~j;r! ~1 ~l/~~/];bOl.
tJ4 (L ~.a.b"t ~AAlU~ ~- ,~~
.' / -7 ~(b~~-~I~/h
~~/~~~~WI~
p;tt/ ~ ~ ~ /tvt ~ ~ ~/ ~lJ;~
1ft ~1. ;tJ # 16 ~.t:. ft# ~
~ f;f ~ :~ II:.-t;~ t>>t ~ ~ f:.A- ,
~Jr:~ ~7~ 'dM~~
~r~ ~~J:r~~~
~;u/;tdkV~~'
k Jv~~#~~~tZ~1JfP"
~~iPttr~# ~4PfL ~
1l! 1>
~GE~' HouCK
J912~199l)
Ci\~RLES E. Si\IELDS, 111
ATTORNEY-AT-LAW
6 CLOUSER ROAD
Corner ofTri1ldle Q1IJi Clouser Roods
,,^r,C\l.A!'llCSBURG. p,,- \1055
5' )J1~ ,2f)O"1
Tf,U'-p\l.ONE t1 \1) 166-0209
FAX (111) 195-1413
1 ",...
"'"
'(r,
~
..-I
N
l""- t
IS)
IS)
N
""'.
<<:2'
~
-
(T')
I$)
~
H
I-
I: g
r'
,( ft
IX
-'"7'
~
a
H
~
0
H
lJ,..
H
ffi
:>
.L-
a
H
01
fJ)
H
Z
~
.::1
IX
I-
11
)
I""-
.-I
.............. 0
NI""-LO IY
<<:2' .. <I
-g~~ ~
-... (T') ., <I
(T')COI$)(T'))L.1-
1$)I""-I$)I$)0lO
\
~
~~z
H . Or-.
1-0HlOI-
... Z I- '-' ...J
W e::tW='W
I-xa::t,!;if.DO
<Ie::t::J<IWO
Cil1..Cia....IY~
i
j
. I ,
- I
_u__~ ~ &'tJ~
__~teres:t- c1Jc,
f!j.:;.%,,- raL2t/Df:> ,.. )33_i!~
II t/ 01_- __'?J~;;;- 7Lf- d~.s
~ ~ I g? 3 . 8 I y., .000 J q 0}. ~ f> I, 3~
~ I, 3;2. ~ /33 d~.s := $ ('75. 5k-~
f~, l?'73. ~().21 ~::: 1/. ~ / --
~ J. 51 'f.. 7Lt J~~ ;: .fill /14-
$- , 'J ;. ~b
'\I.'li.
___..-W? I 3D
-
----........--._~,~-----_......-
-
.AEv-15OZ..,EX+ (6-98*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF __
I I PPE -rt; /<p/l/A-Ll> E.
FILE NUMBER
c:L/-bS-t'pf!1('
All real property owned solely or as a tenant in common must be reported at fair market . ,.
exchanged between a willing buyer and a willing seller, neither being compelled to bu va~ue. ~a~ ~a~ke~ value IS defined as the price at which property would be
Real property which is J"ointly 0 d Ith . h Y r se, ot aVlng reasonable knowledge of the relevant facts
- wne w rig t of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
DESCRIPTION c
VALUE AT DATE
OF DEATH
1.
EIf5T SIDE ~ 2 yz Sn/LY F"/l.AhlE bltJElt/NG-
HOltSE J.)tcJl/6GJtG1> 1:23 e. mAIN.57: //11 7Nt" .8o-'Z-
PII~II 0'& SH/AGAI.4N~rptVAJ I t!UIH8EIU-.I'1A10 (!;IltA)7~
PGItINSYGVAIII/A.I 1H12E PAA.Tica~LY i>ES~/8E1) /.I/J
7IIAT t!E/l-rA/.II /JEt!> J/ArED JUl.y Z" Z/!)t:)Z ~m
/(A 7J//lYN z: 7/P,E Tr ,/ l{.III~AfIf-J2A,IE() /AllbpAJ., ~
()E~GtJeNT//UAI~~1> L?; 7/,8'ETT/4/4 .tee: 7/,pe7"-
.,
/fAJl) P, UnltEAlE B'~b7(S,/ /IS .:J2p/AlT /2:,v~?:S""
aJ/7'JI ~/~h'7:) t7~ S~N.YII"~~Sf.llr:: Jt'E~I)~J)GV /A)
.1#1:" P~FII!.G Pr 7"H'E /(E~/lIJSf BF ~ /A/
A-NJJ r:e>A t!Uhl~EA!L-/fA/}) t!PU/IITy /A/ .b~~ rJ_
-......
~S".2 P.I1GG' 298l/ 7){E SAI./) Y; LPtl/le/VE
~ ..
SPt<)E1lS ]HFP./f/l..TFt> 7/01/0 eA,RrHL.Y L./FG tJ.N
(JC7:?~E!N ~ 2t'P~ PJ){EREU/lPA) Fa~~ T/rL,c
f/ESr61J IN He< ~RP/HG7l, TNE TNE7J.I >/UlYI~~
I!t'AI/rt,,/) E. 7iP;t'E77 ~€ PE(!.Et)E::NT HB2G/A/..
(SEE tJ;PNrd,€lH€lJ t!lJpy of lJEetJ II- T77f &NE'z>) .
THIs fJMf?~Jt7Y /VAS Sa/:) ON o(!'T.c3~.1 Z./)()~ To
~l1ltetMAAlSnk/1V tlllllrE/) A1E7){I')l>I> T (Y../tlKlj!
~t( fg- 3, aJtJ. II) (S€E t!t;py PI= ~pA!A(S> i:JES> ~
tJF5~ IfNI) ~r SE-r7ZEhf/!!NT .sHEEr A7r~eY 3'3, t){)~.~1)
C &JU7IAJuEi> ONjJ. z )
TOTAL (Also enter on line 1, Recapitulation) $ 17:; J ()~t).. DD
(If more space is needed, insert additional sheets of the same size)
y
SOIEf), /1-. " t'Att4.
fJ~F ~
ESr: t9,c 71,d~~~r~~t>_~~__________. ~L.F/WJ. ~~~~:!P~~
~ es.rAJ?:
____._____. ~~ _. _.T'!!P 7d~r:S ._f?~ _kd'AI..IJ __.___:5 rr<<.-!!_rE~1! N /!-h/~ O~ ~aJ~S# /1;------
___________ fJ1t/!LIJS!UfAl~ ~I(A/TY /__._~~/PNI.r.(~~~(A__L/bI/J~.t/~~_ ~ y ._______
_________. ___ /JIt)ELLlN~ tf/tI/JI~eeG!L_~L~~J~~J?Gh/ .2>..€/~E/________~
/J/E&//1/J1/4J8t(1l6~ )?~___~dg P,4J€TlCa~""/GLY ~ NA/A'aY
j)E"SCI</~ED /J) 7ilA-T ~E/lT/t/AI 5eT7Z€JHeNT /f(j~MG:/C)r
'i> n/U7aAl .REi'L67I-SE. 1>A-Tet> Mro/?s;e /0/ /P~S/_____~__
/JErU;EEN l>ECE'L>E7VT ~AI~ flIGIIL~/Uas f)F /i'AlA/JOJt'67I!
Sf.1{/I-'/l.G' 7" ~ ~StJ/z'7l?rl lJT#G7t "P~A/.r ~~ EJlJn77,g;;
# Jt)/tL /f~/~~ ~/JA!G E~Y #r LA--LG€ /AI .s~/L>
er /r
'bJ!!EE?/J(GNT /)~..sI6r;fl/f~ ~ EXN/8/T 1= TN~/A(
,,-.-------.... --..--..------------------------ -------
/'
(SE"F &py t)F !JEJ2T(/tIJ;/Vr ~/l-6ES t)~ ~aGE7UGNT
._______.__._____~Jl) _~I{//JJr ~F N .,f_r J71-e#GtJ HG7&5"72J).
_'0' " ____ _____ ______,_~"__________.~__--=~
_______J#IS p~f2t:~X~__.j'~__~".If,.of'~-1IS~n~ /J1/f1eI<......... ........___
JlIt.6a:LL!flJ!;ff15~t..! d-Z..nC{~/~t!)t2__~~: (SEtP ~Pr"----~
___ . ~I= ~~a7i&:gL__e.q~Z2~AJ,f _ ~. # /L.$B2.Tf 7~ff)~_ ~ ~
___~_.________ ~~@IS~__ __ _______.________________________________ ________ ____._______
.,
.
Tax Parcel No. 37-23-0555-136
~nLfZI
TillS DEED
Made the ~JVl day of ~ ~
in the year two thousand and one (2002).
Between KATHRYN I. TIPPETT, unremarried widow, currently of the Borough of Shiremanstown,
Cumberland County, Pennsylvania, Grantor,
to
RONALD E. TIPPETT, a.k.a. R. E. TIPPETT, her son, currently of Hampden Township, Cumberland
County, Pennsylvania and to her daughter, V. LOURENE BOWERS, their heirs and assigns, as joint
tenants with rights of survivorship and not as tenants in common, Grantees,
WITNESSETH, that in consideration of the sum of ONE and No/lOO ($1.00) DOLLAR, in hand
paid, the receipt whereof is hereby acknowledged, the said Grantors do hereby grant and convey to the said
Grantees, as joint tenants with rights of survivorship and not as tenants in common ,their heirs and assigns:
ALL THAT CERTAIN lot of ground situate in the Borough of Shiremanstown, County of
Cumberland and State of Pennsylvania, bounded and described as follows, to wit:
BEGINNING at a point on the north side of East Main Street, at corner of property formerly of
Joseph A. Willis, now owned by the Evangelical United Brethren Church of Shiremanstown; thence by said
property northwardly one hundred sixty-seven (167) feet to a post on the south side of Strawberry Alley;
thence by said Alley westwardly twenty-two and five-tenths (22.5) feet to an iron pin; thence southwardly
through the center of a frame barn and beyond, along other property now or formerly of Mildred P. Sauve
and James W. Sauve, ninety and two-tenths (90.2) feet to the center of the cesspool; thence southwest-
wardly along the same property thirty-four and five-tenths (34.5) feet to a point at the rear of the
partition wall of the double frame dwelling house erected on this and the adjourning lot of ground; thence
southeastwardly through said partition wall forty-five (45) feet to a point on the north side of East Main
Street; thence by said street eastwardly twenty and five-tenths (20.5) feet to a point, the place of
BEGINNING.
HAVING ERECTED THEREON the east side of a two and one-half (2-1/2) story frame dwelling
house numbered 123 East Main Street, Shiremanstown, Pennsylvania.
BEING THE SAME PREMISES which Mildred P. Sauve and James W. Sauve, her husband, by their
deed dated December 31, 1952 and recorded in Deed Book "E", Volume 15, Page 293 granted and
conveyed unto William C. Tippett and Kathryn I. Tippett, his wife. The said William C. Tippett departed
this earthly life in December of 1980 whereupon full and complete title vested in the said Kathryn I
Tippett, his widow, the grantor herein, according to the laws of the Commonwealth incident to tenancies
by the entireties.
The Grantor further grants and convey unto the said Grantees the right, so far as may be necessary
or usable, to use the cesspool which is located partly on her property and partly on the adjoining property,
subject, however, to the same right of use by the owners of the adjoining property, the care and
maintenance of the same so far as applicable to be borne in equal shares by the respective owners of this
property and the adjoining property.
THIS IS A TRANSACTION BETWEEN PARENT AND CHILDREN AND IS, THEREFORE,
REALTY TRANSFER TAX EXEMPT.
IN WITNESS WHEREOF, the said Grantor has hereunto set her hand and seal the day and year
first above written.
AND the said grantor does hereby covenant that she will W ARRANT SPECIALLY the property
hereby conveyed.
Signed, sealed and delivered
in the presence of:
sl Clvt~ IE: 6h/eUs9
,
vI K~fI,t'll1 r t:ppett
,
KA THR YN I. TIPPETT
(SEAL)
Bk d 52 fl' 2'J.i'l
'J
...
COMMONWEALTH OF PENNSYLVANIA
: 55.
COUNTY OF CUMBERLAND
On this, the () ",A day of ,:r 14-~ ' A.D. 2002, before me the
undersigned officer, personally appeared KATHRY I. TIPPETT, known to me (or satIsfactonly proven)
to be the person whose name is subscribed to the within instrument, and acknowledged that she executed
the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
sl Ch4&
E. sit, ;' ~/d.s 'liL
Notary Public
CERTIFICATE OF RESIDENCE
I HEREBY CERTIFY that the precise residence of the Grantees is:
123 East Main Street, Shiremanstown, Pennsylvania
~I ~ E 0h~e,14~~
Attorney for Grantees
2
A. NO. 2502-0265 ir
B. TYPE OF LOAN:
U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1.0 FHA 2.DFmHA 3. DCONv. UNINS. 4.DVA 5. DCONv. INS.
6. FILE NUMBER: 17. LOAN NUMBER:
SETTLEMENT STATEMENT SHIRE281-06
8. MORTGAGE INS CASE NUMBER:
C. NOTE: This form is fu~~ished..to give y~u a st~tement of ~ctual settlement costs. Amounts paid to and by the settlement agent are shown.
Items marked '{POC] were paId outsIde the closmg; they are shown here for informational purposes and are not included in the totals.
1.0 3/98 (SHIRE281-06.PFD/SH IRE281-06/6)
D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER:
SHIREMANSTOWN UNITED METHODIST CHURC ESTATE OF RONALD E. TIPPETT CASH
125 EAST MAIN STREET
SHIREMANSTOWN, PA 17011
G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 25-1619811 I. SETTLEMENT DATE:
123 EAST MAIN STREET CHARLES E. SHIELDS, III
SHIREMANSTOWN, PA 17011 October 30,2006
CUMBERLAND County, Pennsylvania PLACE OF SETTLEMENT
3414 CHESTNUT STREET
CAMP HILL, PA 17011
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER:
101. Contract Sales Price I 83,000.00 401. Contract Sales Price I 83,000.00
102. Personal Property 402. Personal Property
103. Settlement Charaes to Borrower (Line 1400) 1,633.25 403.
104. I 404.
105. I 405. I
Adjustments For Items Paid By Seller in advance Adjustments For Items Paid By Seller in advance
106. Citv/Town Taxes 10/30/06 to 01/01/07 I 57.91 406. City/Town Taxes 10/30/06 to 01/01/07 57.91
107. County Taxes to 407. County Taxes to
108. SCHOOL TAX 10/30/06 to 07/01/07 697.20 408. SCHOOL TAX 10/30/06 to 07/01/07 697.20
109. SEWER 10/30/06 to 01/01/07 20.54 409. SEWER 10/30/06 to 01/01/07 20.54
110. 410.
111. I 411. I
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER 85,408.90 420. GROSS AMOUNT DUE TO SELLER I 83,775.65
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Deposit or earnest money 501. Excess Deposit (See Instructions)
202. Principal Amount of New Loan(s) 502. Settlement Charaes to Seller (Line 1400) 871.00
203. Existina loan(s) taken subiect to 503. Existing loan(s) taken subiect to I
204. 504. Payoff of first Mortgage
205. 505. Payoff of second Mortaaae
206. 506. I
207. 507.
208. 508.
209. 509.
Adjustments For Items Unpaid Bv Seller Adjustments For Items Unpaid By Seller
210. City/Town Taxes to 510. CitylTown Taxes to
211. County Taxes to 511. County Taxes to
212. SCHOOL TAX to I 512. SCHOOL TAX to
213. 513. I
214. 514.
215. 515.
216. I 516.
217. I 517. I
218. 518. I
219. 519. I
220. TOTAL PA/D BY/FOR BORROWER I 520. TOTAL REDUCT/ON AMOUNT DUE SELLER 871.00
300. CASH AT SETTLEMENT FROMITO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
301. Gross Amount Due From Borrower (Line 120) 85,408.90 601. Gross Amount Due To Seller(Line 420) I 83,775.65
302. Less Amount Paid By/For Borrower (Line 220) I ( ) 602. Less Reductions Due Seller (Line 520) ( 871.00
303. CASH ( X FROM) ( TO) BORROWER 85,408.90 603. CASH ( X TO) ( FROM) SELLER I 82,904.65
..-
OMS
~
The undersigned hereby acknowledge receipt of a completed copy of pages 1&2 of this statement & any attachments referred to herein.
I HAVE CAREFULLY REVIEWED THE HUD-1 SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IT IS A TRUE AND
ACCURATE STATEMENT OF ALL RECEIPTS AND DISBURSEMENTS MADE ON MY ACCOUNT OR BY ME IN JRANSACTION. I FURTHER CERTIFY
THAT I HAVE RE D A COpy F THE HUD-1 SETTL ENT STATEMENT.
Seller
exe)
SHIREMA TOW NIT D E 0 ONALD E. TIPPE T
TO THE BEST OF MY KNOWLEDGE, THE HUD-1 SETTLEMENT STATEMENT WHICH I HAVE PREPARED IS A TRUE AND ACCURATE ACCOUNT OF THE
FUNDS WHICH WERE IVED AND HAVE R WILL BE DISBURSED BY THE UNDERSIGNED AS PART OF THE SETTLEMENT OF THIS
TRANSACTION. 2-
SETTLEMENT OFFIC R
Settlement Agent
WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE: TITLE 18 U.S. CODE SECTION 1001 & SECTION 1010.
. .
Page 2
-- -' L. SETTLEMENT CHARGES
700. TOTAL COMMISSION Based on Price $ @ % PAID FROM
Division of Commission (line 700) as Follows: PAID FROM
701. $ to BORROWER'S SELLER'S
702. $ to FUNDS AT FUNDS AT
703. Commission Paid at Settlement SETTLEMENT SETTLEMENT
704. TRANSACTION FEE to
BOO. ITEMS PAYABLE IN CONNECTION WITH LOAN
801. Loan Origination Fee % to
802. Loan Discount % to
803. Appraisal Fee to
804. Credit Report to
805. Lender's Inspection Fee to
806. MortQaQe Ins. App. Fee to
807. Assumption Fee to
808.
809.
810.
811.
900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interest From to @ $ /day ( days %)
902. MIP Totlns. for LifeOfLoan for months to
903. Hazard Insurance Premium for 1.0 years to
904.
905.
1000. RESERVES DEPOSITED WITH LENDER
1001. Hazard Insurance months @ $ per month
1002. Mortgage Insurance months @ $ per month
1003. City/Town Taxes months @ $ per month
1004. County Taxes months @ $ per month
1005. SCHOOL TAX months @ $ per month
1006. months @ $ per month
1007. months @ $ per month
1008. AGGREGATE ESCROW ADJUSTMEI months @ $ per month
1100. TITLE CHARGES
1101. Settlement or Closing Fee to
1102. CLOSING PROTECTION LETTER to FIRST AMERICAN TITLE INSURANCE COMPANY
1103. Title Examination to
1104. Title Insurance Binder to
1105. Document Preparation to
1106. Notary Fees to CASH 8.00 6.00
1107. Attorney's Fees to CHARLES E. SHIELDS. III 459.50
(includes above item numbers: )
1108. Title Insurance to TRI-COUNTY ABSTRACT SERVICE. AGENT 297.25
(includes above item numbers: )
1109. Lender's Coverage $
1110. Owner's Coverage $ 83,000.00 297.25 105140276
1111. ENDORSEMENTS
1112.
1113.
1200. GOVERNMENT RECORDING AND TRANSFER CHARGES
1201. Recording Fees: Deed $ 38.50; Mortgage $ Releases $ 38.50
1202. City/County Tax/Stamps: Deed 830.00' Mortgage 830.00
1203. State Tax/Stamps: Revenue Stamps 830.00; Mortgage 830.00
1204.
1205. OVERNIGHT/COURIER FEES
1300. ADDITIONAL SETTLEMENT CHARGES
1301. Survey to
1302. Pest Inspection to
1303. TAX CERTIFICATION FEE to TRI-COUNTY ABSTRACT SERVICE 5.00
1304. SEWER OCT-DEC to LOWER ALLEN TOWNSHIP 5012010 AC# 30.00
1305.
1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502, Section K) 1,633.25 871.00
By signing page 1 of this statement. the signatories acknowledge receipt of a completed copy of page 2 of this two page statement.
~ g~:Jr
SETTLEMENT OR=ICER
Settlement Agent
Certified to be a true copy.
(SHIRE281-061 SHIRE281-06/6)
Tax Parcel Number:
THIS INDENTURE
MADE THE 3-cJM day of f)~
Lord two thousand and six (2006).
, in the year of our
BETWEEN
TODD TIPPETT, as Executor of the Estate of RONALD E. TIPPETT,
deceased, late of the Township of Hampden, Cumberland County, Pennsylvania,
Grantor,
and
SHIREMANSTOWN UNITED METHODIST CHURCH, a Pennsylvania
non-profit Corporation, of the Borough of Shiremanstown, Cumberland County,
Pennsylvania, Grantee.
WHEREAS, the said Ronald E. Tippett, was vested in his lifetime with title to the
premises hereinafter described, in the Borough of Shiremanstown, County of Cumberland and
Commonwealth of Pennsylvania; and
WHEREAS, the said Ronald E. Tippett, departed this earthly life, testate, on the 19th
day of November, 2005, and Letters Testamentary were duly issued to the said Todd Tippett, by
the Register of Wills of said Cumberland County, docketed to No. 21-05-1044; and
WHEREAS, the lands herein-mentioned were not specifically devised:
NOW, THEREFORE, THIS INDENTURE WITNESSETH, that the said Todd
Tippett, Executor, as aforesaid, for and in consideration of the sum of EIGHTY-THREE
THOUSAND and No/tOO ($83,000.00) DOLLARS, and other good and valuable
considerations, to him in hand paid by the said Grantee, at and before the ensealing and delivery
hereof, the receipt whereof is hereby acknowledged, has granted, bargained, sold, aliened,
released, and confirmed, and by these presents, by virtue of the power and authority in him
vested by the Fiduciaries Act of the Commonwealth of Pennsylvania, does grant, bargain, sell,
alien, release, and confirm unto the said Grantee, its successors and assigns:
ALL THAT CERTAIN lot of ground situate in the Borough of Shiremanstown, County
of Cumberland and Commonwealth of Pennsylvania, bounded and described as follows, to wit:
BEG INNIN G at a point on the north side of East Main Street, at the corner of property
formerly of Joseph A. Willis, now owned by the Shiremanstown United Methodist Church;
thence by said property northwardly one hundred sixty-seven (167) feet to a post on the south
side of Strawberry Alley; thence by said Alley westwardly twenty-two and five-tenths (22.5) feet
to an iron pin; thence southwardly along other property owned by Shiremanstown United
Methodist Church, ninety and two-tenths (90.2) feet to a point formerly in the center of a
cesspool; thence southwestwardly along the same property thirty-four and five-tenths (34.5) feet
to a point at the rear of the partition wall of the double frame dwelling house erected on this and
the adjoining lot of ground; thence southeastwardly through said partition wall forty-five (45)
feet to a point on the north side of East Main Street; thence by said street eastwardly twenty and
five-tenths (20.5) feet to a point, the place of BEGINNING.
HAVING ERECTED THEREON the east side of a two and one-half (2 ~) story frame
dwelling house numbered 123 East Main Street, Shiremanstown, Pennsylvania.
".
Described as per that certain Plan dated December 1, 1952 a true and correct copy of
which is attached hereto.
IN TRUST, that said premises shall be held, kept, and maintained and disposed of for the
benefit of The United Methodist Church and subject to the Discipline and usages of said church.
This provision is solely for the benefit of the Grantee, and the Grantor reserves no right or
interest in said premises.
BEING THE SAME PREMISES which Kathryn I. Tippett, unremarried widow, by her
deed dated July 2, 2002 and recorded in Deed Book 252, Page 2984, granted and conveyed to
Ronald E. Tippett, a.k.a. R. E. Tippett, her son, and V. Lourene Bowers, her daughter, as joint
tenants with right of survivorship and not as tenants in common. The said V. Lourene Bowers
departed this earthly life on October 19, 2005, whereupon full and absolute title to the said
premises vested in her said brother Ronald E. Tippett, by virtue of the laws of this
Commonwealth incident to joint tenancies with rights of survivorship. His said estate is the
Grantor herein.
TO HAVE AND TO HOLD the said messuage or tenement and tract of land,
hereditaments and premises hereby granted and released, or mentioned and intended so to be,
with the appurtenances, unto the said Grantee, its successors and assigns, to and for the only
proper use and behoof of the said Grantee, its successors and assigns, forever.
AND THE SAID GRANTOR, Executor, as aforesaid, his successors and assigns does
covenant, promise and agree to and with the said Grantee, its successors and assigns, by these
presents, that the Grantor has not done, committed any act, matter or thing whatsoever whereby
the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged or
encumbered in title, or otherwise howsoever.
IN WITNESS WHEREOF, the said Executor of the Estate of Ronald E. Tippett,
deceased, Grantor herein, has hereunto set his hand and seal the day and year first above written.
Signed, Sealed and Delivered
in the Presence of:
(SEAL)
TODD TIPPETT, Executor of the
Estate of RONALD E. TIPPETT, Deceased
COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF CUMBERLAND
)
On this, the day of , A.D. 2006, before
me a notary public, in and for the Commonwealth of Pennsylvania, personally appeared TODD
TIPPETT, known to me (or satisfactorily proven) to be the person whose name is subscribed as
Executor of the Last Will and Testament of Ronald E. Tippett, and acknowledged that he
executed the same in such capacity.
IN WITNESS WHEREOF, I hereunto set my hand an official seal.
Notary Public
My commission expires:
(SEAL)
CERTIFICATE OF RESIDENCE
I do hereby certify that the precise and exact post office address of the within Grantee is:
Attorney for Grantee
...
...
\P 1-
-- ,
- -
~. }..
~ 1l.I
J A, c a B L A U V ~ ~ .,J
--J
Po~.,.. -l~
~ , r=/-v 167'
g.. JANE T 8 R OWN
"l:t ~I E. W. L.
~ lei r
<11
N)
~
PT.
~I
o
t\I
i f';:s.(' CENT€R of
.J~.~~l-
I Z'Ob
y>o. Z'-
O:l
~
1l;l
~ ~
<t
~
PI.
PO$7'
P,N
~ ~
N ~
. llI:
<Jot, \&J
~
t
'"
~
~
\l)
V')
IVD-/23
w~ C. $-- K ArllRYW 1. 7/ PPE Tr
~L~/
Rev.
R. A.
.5 T RA f 84 416iN
" ':.< '. : ......-.
. .1':
PIC/n showlnl{ Properly Qcpu;,..ed from
)I1MES W. $- !r1ILO~~{J f?5/1UVE
or L. w. 'ir .JANE.T L. !3FOY(f{
9-
J1I! C. f KATJlRYIV [. TIpPETT
NO-12/ ~ 123 cA5TIYlAIN5TffEer
./(."
.:1
L. ~.
.cOirO. OF 5klREIV/ANSTOWN
A' I
_7CO/ c- / ~ 30
C U MB, Co,~ Pe NNA.
j) ("c - (51- /1->2
7~}-:~qL
1-
..
f~"
Mark E. Hilbert & Associates
06-142
File No. 06-142
;1' ~~ i ." ~f 'I ,;'
********* I NVO Ie E *********
File Number: 06-142
November 8,2006
Charles E. Sheilds III Esq.
Charles E. Sheilds III ESQ.
6 Clouser Raod
Mechanicsburg, PA 17055
Borrower: Ronald Tippet
Invoice # : 06-142
Order Date :
Reference/C ase # : 06-142
PO Number:
3800 Golfview Road
Mechanicsburg, PA 17050
Appraisal
$
$
325.00
Invoice Total
State Sales Tax @
Deposit
Deposit
$
$
($
($
325.00
0.00
)
)
Amount Due
$
325.00
Terms: Balance due upon receiptof invoice add15% fee if paid 30 Days past receipt.
Please Make Check Payable To:
"' ~~2-
{~
rpAtP 12-110 b
I'
Mark E. Hilbert & Associates
3607 Rosemount Avenue, Suite 405
Camp Hill, PA 17011
Fed. 1.0. #: 23-2391423
TO INSURE PRPOER CREDIT
PLEASE RETURN A COPY OF THIS INVOICE WITH YOUR PAYMENT.
3607 Rosemount Avenue, Camp Hill, PA 17011, Phone 717-901-8224, Fax 717-901-4779
r---
" ,
Mark E. Hilbert & Associates
06-142
File No. 06-142
Summery Appraisal
Charles E. Sheilds III Esq.
Charles E. Shields III Esq.
6 Clouser Road,
Mechanicsburg, PA. 17055
File Number: 06-142
Summery Appraisal Report
In accordance with your request, I have personally inspected and appraised the real property at:
3800 Golfview Road
Mechanicsburg, PA 17050
The purpose of this appraisal is to estimate the market value of the subject property, as improved.
The property rights appraised are the fee simple interest in the site and improvements.
In my opinion, the estimated market value of the property as of November 19,2005 is:
90,000
Ninety Thousand Dollars
The attached report contains the description, analysis and supportive data for the conclusions,
final estimate of value, descriptive photographs, limiting conditions and appropriate certifications.
Mark E. Hilbert
MARK E. HILBERT & ASSOCIATES
3607 Rosemount Ave, Camp Hill, Pa 17011
3607 Rosemount Avenue, Camp Hill, PA 17011, Phone 717-901-8224, Fax 717-901-4779
Nlarl< r.. \-lilbert & f'SSociates
06- '\ 42
f\\e No. 06-'\42
,1.0.
" ,.
APPRA\SAL Of
summef'/ APpra\sa\
LOCATeD AT:
3800 Go\fV\ew Road
Mechan\CSbUrg, PA '\7050
fOR:
Char\e5 E.. Sh\e\dS \\\ E.sq.
6 Clouser Road
P A. '\7055
BORROy.JER~
Rona\d l\ppet
AS Of:
November '\9, 2005
B~:
MarK E.. HUbert
MAR\<. r.. \-IILBr.Ri & p..SSQCIAiES
?/j01 Rosem ount A"enue. camp \-lill. P'" 11011. Phone 111_901-8224. fa>< 111_901-4119
T-
Mark E. Hilbert & Associates
.,
Uniform Residential Appraisal Report
06-142
File No. 06-142
R.E. Taxes $
Census Tract 113
PUD HOA$ UQeryear ~m~ntr
[ lves IRlN()
X did not analyze the contract for sale for the subject purchase transaction. Explain the results of the analysis of the contract for sale or why the analysis was not performed.
- Contract Price $ Estate Date of Contract Is the (lI'o{.l~ seller the owner of {.lublic record? [Xlves .D No Data Sourc~}. T a~ Report
Is there any financial assistance (loan charges. sale concessions, gift or downpayment assistance. etc.) to be paid by any party on behalf of the borrower? U Ves DNo
.
If Ves. report the total dollar amount and describe the items to be paid. $ Nt A
~
X Increasin 67 %
Shortage ft fa.
Growth Ra id X Stable Slow Marketin Time Under 3 mths X 3-6 mths Over 6 mths 4 %
Neighborhood Boundaries NeiQhborhood boundries are South by Armitage Golf Cource, West by.._ 3 %
· Orrs Brid e Road, North b La land Road, East bEast Pennsborow TownshiQ.. 1 375 Pred. 301 Other V.Land 20 %
Neighborhood Description Subject property is located along Golfview Road inHampdenTownshiQ, Cumberland County. Pennsy!yaniCl n
Market Conditions (including support for the above conclusions) FinancinQ is readly available from a varie~ of sorces.
Dimensions See Attached Deed s hea 0.88 Acres +/- Sh~e Irregular View R~~ig~nti.~l
Specific Zoning Classification Residential Zoning Description SinQle Family
. Zoning Compliance fXlLegal r ] Legal N~nconforming (Grandfathered Use) nNo Zoning nllle~al (describe)
Is the highest and best use of the subject property~s improved (or as pr~p~sedpe~ plan~ and specifications) the present use?~Yes 0 No If No, describe.
Off.site 1m ovements- TlE~
Street Macadam
Alle None
FEMA Ma
Publi~._
Yes [RJ No If Yes. describe.
.
Describe the condition of the property (including needed repairs, deterioration. renovations, remodeling, etc.). Subject property is in need of a COMPLETE RE-Hab.
he there any physical deficiencies or adverse conditions that affect the livability, soundness, or structural integrity of the property?
If Ves, describe.
Does the property generally conform to the neighborhood (functional utility, style. condition, use, construction, etc.)?
need of a lot of u radin.
If No. describe. Subiect property is in
Freddie Mac Form 70 March 2005
Producad using ACI sotlware. 800.234.8727 www.aclweb.com
Pagelof6
Fannie Mae Form 1004 March 2005
1004_05 033005
Mark E. Hilbert & Associates
. .
Uniform Residential Appraisal Report
06-142
File No. 06-142
There are comparable properties currently offered for sale in the subiect neighborhood ranging in price from $ to $
There are comoarable sales in the subject neighborhood within the past twelve months ranging in sale price from $ to $
FEATURE SUBJECT COMPARABLE SALE NO. 1 COMPARABLE SALE NO.2 COMPARABLE SALE NO.3
3800 Goltview Road 1402 Warwick Road 1433 Simpson Ferry Road 3 Elmwood Court
Address Mechanicsbur , PA Camp Hill, PA New Cumberland, PA Camp Hill, PA
Proximity to Subiect 1.5 Miles+/- 3.25 Miles +1- 2.75 Miles +/-
Sale Price $ Estate $ 109900 . $ 98,650 - $ 108,00e
Sale AicelGross Uv. hea $ 0.00 s . ft. $ 106.39 SQ. ft. $ 106.65 sq. ft. $ 109.31 SQ. ft.
Data Source(s} ~ C.P.M.L./Tax Report C.P.M.L./Tax Reoort C.P.M.L./Tax Report
Verification Source(s) Aaent 1 Court House Aaent 1 Court House Agent 1 Court House
VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION t( . \ $ Adjustment DESCRIPTION t(.) $ Adjustment DESCRIPTION t(.) $ MjlJ~tment
Sale or Financing DOM 1 Dom 6 Dom 43
Concessions Conventional Conventional Conventional
Date of Salemme 08-12-05 09-23-05 08-09-()~ I
Location Suburban Suburban Suburban Suburban ul__
LeaseholdlFee Simole Fee Simple Fee Simple Fee Simple Fee Simple
Site 0.88 Acres +1- 0.40 Acres +1- 0.15 Acres +1- 0.29 Acres +1- L____
View Residential Residential Residential Residential r--
Design (Style) Ranch Ranch Ranch Ranch ~l--
Quality of Construction Aluminum 8rick 1 Alumin Vinyl 8rick
Actual Age 57 +1- Years 54 Years +1- 55 Years +1- 46 Years +1- L
Condition Poor Averaae -15.000 Average -15,000 Averaae -15,000
Above Grade T clal 1 Bdrms.1 Bath$ T clal I Bdrma.1 Balhll Total I Bdrmll.l Balhll Tolal IBdrms.l Balhll
Room Count 7121 1 6 I 3 I 1.5 -1.500 4121 1 5 I =2 -I 1
Gross Living hea 1 , 1 04 sq. ft. 1 033 SQ. ft. 925 sa. ft. +1,800 988 SQ. ft. +1,200
Basement & Finished Part. Full -1 ,000 None +1,000 Full -1,000
Rooms Below Grade Unfinished Rec. Room -2,500 Unfinished Ree. Room ~~,500
Functional Utility Averaae Averaae Averaae Averaae
_ Heatino/Cooling 8.8. Elec I None Hot Air-ClAir -3,500 8.8. Elec I None Hot Air-ClAir -3,500
. Energy Efficient Items Averaae Averaae Averaae Averaoe
.
.;; Garage/Carport 3 Car Garage 1 Car Garaae +5000 On 81. Parkino +8,000 On S1. Parkino +8,OQQ
. Porch/Patio/Deck None Porchl Patio -4 000 Porchl Patio -4 000 Porch -3,000
~
. Fireplace None None None None
. UP-GRADES None None None None
.
UP-GRADES None None None None
· Net Adiustment (Total) r 1+ Ixl- $ 22,500 I 1+ [xl- $ 8,200 f1+ fxl- $ 15,8QQ
Adjusted Sale Price Net Adj. -20.5% Net Adj. -8.3% Net Adj. -14.6%
- of Comparables GrosshJi. 29.6% $ 87.400 GrosshJi. 30.2% $ 90 450 Gross hJi. 31.7% $ 92,200
I U did lXJ did not research the sale or transfer history of the subject property and comparable sales. If not, explain ESTATE
My research I J did r X did not reveal any prior sales or transfers of the subiect property for the three years prior to the effective date of this appraisal.
Data source(s) Tax Report
My research l J did I X did not reveal any prior sales or transfers of the comparable sales for the year prior to the date of sale of the comparable sale.
Data source(s} Tax Report
Report the results of the research and analysis of the prior sale or transfer history of the subiect property and com arable sales (report additional prior sales on paj:Je 3).
ITEM SUBJECT COMPARABLE SAlE NO. 1 COMPARABLE SALE NO.2 COMPARABLE SAlE NO.3 :
Date of Prior SalelTransfer Not Available Not Available 04-14-05 03-31-78
Price of Prior SalelTransfer $1.00 39500
Data Source(s) Tax Report Tax Report Tax Raoort Tax Report
Effective Date of Data Source(s) 10-12-06 10-12-06 10-12-06 10-12-06
Analysis of prior sale or transfer history of the subject property and comparable sales All comoarables dates and value are from the County Tax Reports. and
C.P.M.L.
Summary of Sales Comparison Approach. All comparable sales are settled to the best of the aooraiser's knowledoe. Verification of settlement is
with County andlor Realtor.
Indicated Value bv Sales ComDarison Approach $ 90,000
Indicated Value by; Sales ComDarison Approach $ 90 000 Cost Approach lif developed) $ 0 Income Approach (if developed) $
The market approach reindorced bv the cost aooroach is a oood indicator of fair market value.
· DATE OF DEATH nOVEMBER 19 2005
~ This appraisal is made [xJ "as is," LJ subject to completion per plans and specifications on the basis of a hypothetical condition that the improvements have been completed,
iii
~ o subject to the following repairs or alterations on the basis of a hypothetical condition that the repairs or alterations have been completed. or 0 subject to the following required
. inspection based on the extraordinary assumption that the condition or deficiency does not require alteration or repair:
Based on a complete visual inspection of the interior and exterior areas of the subject property, defined scope of work, statement of assumptions and limiting
conditions, and appraiser's certification, my (our) opinion of the market value, as defined, of the real property that is the subject of this report is $ 90,000
as of November 19 2005 , which is the date of inspection and the effective date of this appraisal.
Freddie Mac Form 70 March 2005
Produced IIlIIng ACllIOt\ware. 800.234.8727 www.aciweb.com
Page 2 of 6
Fanrne Mae Form 1004 March 2005
1004_05 033005
Mark E. Hilbert and Assoc.
--,-
Mark E. Hilbert & Associates
06-142
File No. 06-142
.,
Uniform Residential Appraisal Report
~
B1
';
~
.
.
,
. -:---------..---~~"T~~~7.~f.f;.y,,'i;'~~'ts-~~'i:..[fj;l-<Mc~i~~i;~l.1~1llliJ1t~ '-~~~~-~~~~~-:::'::----~..' .: -.
_" ~~-~""",~,",,~_-~J.......1L':'~~~~*~~.;.z..;;.. .-.--.........~~~~~~
Provide ade uate information for the lender/client to re Iicate the below cost fi ures and calculations.
Support for the opinion of site value (summary of comparable land sales or other methods for estimating site value) Reproduction cost of a property this age and
condition is not a reliable indication of VALUE.
o
o
ESTIMATED
REPRODUCTION OR
REPLACEMENT COST NEW
.
............=$
............= $
c
External
o
c
Total number of units sold
Data sourc s
If Yes, date of conversion.
If No, describe the status of completion.
he the common elements leased to or by the Homeowners' Association?
No If Yes, describe the rental terms and options.
Describe common elements and recreational facilities.
Freddie Mac Farm 70 Mardi 2005
Produced using ACI SOllwarl. 800.234.8727 www.lciweb.com
Page 3 of 6
Fannie Mae FaIn 1004 March :z,
1004_05 033
Mark E. Hilbert & Associates
Uniform Residential Appraisal Report
06-142
File No. 06-142
This report form is designed to report an appraisal of a one-unit property or a one-unit propert~ with an accessory unit; including a .
unit in a planned unit development (PUD). This report form is not designed to report an appraIsal of a manufactured home or a Unit
in a condominium or cooperative project.
This appraisal report is subject to the following scope of work, intended use, intended user, definition of market value, statement of
assumptions and limiting conditions, and certifications. Modifications, additions, or deletions to the intended use, intended user,
definition of market value, or assumptions and limiting conditions are not permitted. The appraiser may expand the scope of work
to include any additional research or analysis necessary based on the complexity of this appraisal assignment. Modifications or
deletions to the certifications are also not permitted. However, additional certifications that do not constitute material alterations
to this appraisal report, such as those required by law or those related to the appraiser's continuing education or membership in an
appraisal organization, are permitted.
SCOPE OF WORK: The scope of work for this appraisal is defined by the complexity of this appraisal assignment and the
reporting requirements of this appraisal report form, including the following definition of market value, statement of assumptions
and limiting conditions, and certifications. The appraiser must, at a minimum: (1) perform a complete visual inspection of the
interior and exterior areas of the subject property, (2) inspect the neighborhood, (3) inspect each of the comparable sales from at
least the street, (4) research, verify, and analyze data from reliable public and/or private sources, and (5) report his or her analysis,
opinions, and conclusions in this appraisal report.
INTENDED USE: The intended use of this appraisal report is for the lender/client to evaluate the property that is the subject of
this appraisal for a mortgage finance transaction.
INTENDED USER: The intended user of this appraisal report is the lender/client.
DEFINITION OF MARKET VALUE: The most probable price which a property should bring in a competitive and open market
under all conditions requisite to a fair sale, the buyer and seller, each acting prudently, knowledgeably and assuming the price is
not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and the passing of
title from seller to buyer under conditions whereby: (1) buyer and seller are typically motivated; (2) both parties are well informed
or well advised, and each acting in what he or she considers his or her own best interest; (3) a reasonable time is allowed for
exposure in the open market; (4) payment is made in terms of cash in U. S. dollars or in terms of financial arrangements
comparable thereto; and (5) the price represents the normal consideration for the property sold unaffected by special or creative
financing or sales concessions* granted by anyone associated with the sale.
*Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustments are
necessary for those costs which are normally paid by sellers as a result of tradition or law in a market area; these costs are readily
identifiable since the seller pays these costs in virtually all sales transactions. Special or creative financing adjustments can be
made to the comparable property by comparisons to financing terms offered by a third party institutional lender that is not already
involved in the property or transaction. Any adjustment should not be calculated on a mechanical dollar for dollar cost of the
financing or concession but the dollar amount of any adjustment should approximate the market's reaction to the financing or
concessions based on the appraiser's judgment.
STATEMENT OF ASSUMPTIONS AND LIMITING CONDITIONS: The appraiser's certification in this report is subject to the
following assumptions and limiting conditions:
1. The appraiser will not be responsible for matters of a legal nature that affect either the property being appraised or the title
to it, except for information that he or she became aware of during the research involved in performing this appraisal. The
appraiser assumes that the title is good and marketable and will not render any opinions about the title.
2. The appraiser has provided a sketch in this appraisal report to show the approximate dimensions of the improvements. The
sketch is included only to assist the reader in visualizing the property and understanding the appraiser's determination of its size.
3. The appraiser has examined the available flood maps that are provided by the Federal Emergency Management Agency (or
other data sources) and has noted in this appraisal report whether any portion of the subject site is located in an identified Special
Flood Hazard Area. Because the appraiser is not a surveyor, he or she makes no guarantees, express or implied, regarding this
determination.
4. The appraiser will not give testimony or appear in court because he or she made an appraisal of the property in question,
unless specific arrangements to do so have been made beforehand, or as otherwise required by law.
5. The appraiser has noted in this appraisal report any adverse conditions (such as needed repairs, deterioration, the presence of
hazardous wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she became aware of
during the research involved in performing this appraisal. Unless otherwise stated in this appraisal report, the appraiser has no
knowledge of any hidden or unapparent physical deficiencies or adverse conditions of the property (such as, but not limited to,
needed repairs, deterioration, the presence of hazardous wastes, toxic substances, adverse environmental conditions, etc.) that
would make the property less valuable, and has assumed that there are no such conditions and makes no guarantees or
warranties, express or implied. The appraiser will not be responsible for any such conditions that do exist or for any engineering or
testing that might be required to discover whether such conditions exist. Because the appraiser is not an expert in the field of
environmental hazards, this appraisal report must not be considered as an environmental assessment of the property.
6. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that is subject to satisfactory
completion, repairs, or alterations on the assumption that the completion, repairs, or alterations of the subject property will be
performed in a professional manner.
Freddie Mac Form 70 March 2005
Produced using ACI software. 800.234.8727 www.aciweb.com
Page 4 of 6
Fannie Mae Form 1004 March 200c
1004_05033005
Mark E. Hilbert & Associates
Uniform Residential Appraisal Report
06-142
File No. 06-142
APPRAISER'S CERTIFICATION: The Appraiser certifies and agrees that:
1. I have, at a minimum, developed and reported this appraisal in accordance with the scope of work requirements stated in this
appraisal report.
2. I performed a complete visual inspection of the interior and exterior areas. of the ~~bje~t property. I reported th~ co~~ition of
the improvements in factual, specific terms. I identified and reported the phYSical defiCiencies that could affect the livability,
soundness, or structural integrity of the property.
3. I performed this appraisal in accordance with the requirements of the Uniform S~andards of :rofessional Appr~isal Practice
that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were In place at the
time this appraisal report was prepared.
4. I developed my opinion of the market value of the real property that is the subject of this rep~rt based on the sal~s comp.arison
approach to value. I have adequate comparable market data to develop a reliable sales com~anson approach for thiS appraisal.
assignment. I further certify that I considered the cost and income approaches to value but did not develop them, unless otherwise
indicated in this report.
5. I researched, verified, analyzed, and reported on any current agreement for sale for the subject property, any offering for sale
of the subject property in the twelve months prior to the effective date of this appraisal, and the prior sales of the subject property
for a minimum of three years prior to the effective date of this appraisal, unless otherwise indicated in this report.
6. I researched, verified, analyzed, and reported on the prior sales of the comparable sales for a minimum of one year prior to the
date of sale of the comparable sale, unless otherwise indicated in this report.
7. I selected and used comparable sales that are locationally, physically, and functionally the most similar to the subject property.
8. I have not used comparable sales that were the result of combining a land sale with the contract purchase price of a home
that has been built or will be built on the land.
9. I have reported adjustments to the comparable sales that reflect the market's reaction to the differences between the subject
property and the comparable sales.
10. I verified, from a disinterested source, all information in this report that was provided by parties who have a financial interest in
the sale or financing of the subject property.
11. I have knowledge and experience in appraising this type of property in this market area.
12. I am aware of, and have access to, the necessary and appropriate public and private data sources, such as multiple listing
services, tax assessment records, public land records and other such data sources for the area in which the property is located.
13. I obtained the information, estimates, and opinions furnished by other parties and expressed in this appraisal report from
reliable sources that I believe to be true and correct.
14. I have taken into consideration the factors that have an impact on value with respect to the subject neighborhood, subject
property, and the proximity of the subject property to adverse influences in the development of my opinion of market value. I have
noted in this appraisal report any adverse conditions (such as, but not limited to, needed repairs, deterioration, the presence of
hazardous wastes, toxic substances, adverse environmental conditions, etc.) observed during the inspection of the subject property
or that I became aware of during the research involved in performing this appraisal. I have considered these adverse conditions in
my analysis of the property value, and have reported on the effect of the conditions on the value and marketability of the subject
property.
15. I have not knowingly withheld any significant information from this appraisal report and, to the best of my knowledge, all
statements and information in this appraisal report are true and correct.
16. I stated in this appraisal report my own personal, unbiased, and professional analysis, opinions, and conclusions, which are
subject only to the assumptions and limiting conditions in this appraisal report.
17. I have no present or prospective interest in the property that is the subject of this report, and I have no present or prospective
personal interest or bias with respect to the participants in the transaction. I did not base, either partially or completely, my
analysis and/or opinion of market value in this appraisal report on the race, color, religion, sex, age, marital status, handicap,
familial status, or national origin of either the prospective owners or occupants of the subject property or of the present owners or
occupants of the properties in the vicinity of the subject property or on any other basis prohibited by law.
18. My employment and/or compensation for performing this appraisal or any future or anticipated appraisals was not conditioned
on any agreement or understanding, written or otherwise, that I would report (or present analysis supporting) a predetermined
specific value, a predetermined minimum value, a range or direction in value, a value that favors the cause of any party, or the
attainment of a specific result or occurrence of a specific subsequent event (such as approval of a pending mortgage loan
application).
19. I personally prepared all conclusions and opinions about the real estate that were set forth in this appraisal report. If I relied on
significant real property appraisal assistance from any individual or individuals in the performance of this appraisal or the
preparation of this appraisal report, I have named such individual(s) and disclosed the specific tasks performed in this appraisal
report. I certify that any individual so named is qualified to perform the tasks. I have not authorized anyone to make a change to
any item in this appraisal report; therefore, any change made to this appraisal is unauthorized and I will take no responsibility for it.
20. I identified the lender/client in this appraisal report who is the individual, organization, or agent for the organization that ordered
and will receive this appraisal report.
Freddie Mac Faro 70 March 2005
Produced using ACI softwal'll. 800.234.8727 www.aciweb.com
Page 5 of6
Fannie Mae FClI'Ill 1004 March 200S
1004_05 033005
.
, ,
Mark E. Hilbert & Associates
'~. ..
Uniform Residential Appraisal Report
06-142
File No. 06-142
21. The lender/client may disclose or distribute this appraisal report to: the borrower; another lender at the request of the borrower;
the mortgagee or its successors and assigns; mortgage insurers; government sponsored enterprises; other secondary market
participants; data collection or reporting services; professional appraisal organizations; any department, agency, or instrumentality
of the United States; and any state, the District of Columbia, or other jurisdictions; without having to obtain the appraiser's or
supervisory appraiser's (if applicable) consent. Such consent must be obtained before this appraisal report may be disclosed or
distributed to any other party (including, but not limited to, the public through advertising, public relations, news, sales, or other
media).
22. I am aware that any disclosure or distribution of this appraisal report by me or the lender/client may be subject to certain laws
and regulations. Further, I am also subject to the provisions of the Uniform Standards of Professional Appraisal Practice that
pertain to disclosure or distribution by me.
23. The borrower, another lender at the request of the borrower, the mortgagee or its successors and assigns, mortgage insurers,
government sponsored enterprises, and other secondary market participants may rely on this appraisal report as part of any
mortgage finance transaction that involves anyone or more of these parties.
24. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are
defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal
report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a
paper version of this appraisal report were delivered containing my original hand written signature.
25. Any intentional or negligent misrepresentation(s) contained in this appraisal report may result in civil liability and/or criminal
penalties including, but not limited to, fine or imprisonment or both under the provisions of Title 18, United States Code, Section
1001, et seq., or similar state laws.
SUPERVISORY APPRAISER'S CERTIFICATION: The Supervisory Appraiser certifies and agrees that:
1. I directly supervised the appraiser for this appraisal assignment, have read the appraisal report, and agree with the appraiser's
analysis, opinions, statements, conclusions, and the appraiser's certification.
2. I accept full responsibility for the contents of this appraisal report including, but not limited to, the appraiser's analysis,
opinions, statements, conclusions, and the appraiser's certification.
3. The appraiser identified in this appraisal report is either a sub-contractor or an employee of the supervisory appraiser (or the
appraisal firm), is qualified to perform this appraisal, and is acceptable to perform this appraisal under the applicable state law.
4. This appraisal report complies with the Uniform Standards of Professional Appraisal Practice that were adopted and
promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place at the time this appraisal
report was prepared.
5. If this appraisal report was transmitted as an "electronic record" containing my "electronic signature," as those terms are
defined in applicable federal and/or state laws (excluding audio and video recordings), or a facsimile transmission of this appraisal
report containing a copy or representation of my signature, the appraisal report shall be as effective, enforceable and valid as if a
paper version of this appraisal report were delivered containing my original hand written signature.
APPRAISER
Signature ,,~k-.&.7'-
Name Mark E. Hilbert "
Company Name Mark E. Hilbert And Associates
Company Address 3607 Rosemont Avenue, Suite 405
Camp Hill, PA 17011
Telephone Number 717-901-8224
Email Addressmhilbert@pa.net
Date of Signature and Report November 8,2006
Effective Date of Appraisal November 19, 2005
State Certification # RL-000388-L
or State License #
or Other (describe) State #
State P A
Expiration Date of Certification or License June 30, 2007
SUPERVISORY APPRAISER (ONLY IF REQUIRED)
Signature
Name
Company Name
Company Address
Telephone Number
Email Address
Date of Signature
State Certification #
or State License #
State
Expiration Date of Certification or License
ADDRESS OF PROPERTY APPRAISED
3800 Golfview Road
Mechanicsburg, PA 17050
APPRAISED VALUE OF SUBJECT PROPERTY $ 90,000
LENDER/CLIENT
Name
Company Name Charles E. Shields III ESQ.
Company Address 6 Clouser Road
PA. 17055
Email Address
SUBJECT PROPERTY
o Did not inspect subject property
o Did inspect exterior of subject property from street
Date of Inspection
o Did inspect interior and exterior of subject property
Date of Inspection
COMPARABLE SALES
DDid not inspect exterior of comparable sales from street
o Did inspect exterior of comparable sales from street
Date of Inspection
Freddie Mac f<lrm 70 March 2005
Produced usl"" ACI software, 800.234.8727 www.aclweb.oom
Page 6 of 6
Fannie Mae Form 1004 March 2005
1004_05033005
Mark E. Hilbert and Assoc.
Borrower: Ronald Tippet
Property,)t.ddress:3-BOO Golfview Road
City: Mechanicsburg. ..
Lender: Charles E. Shields illEs .
FRONT VIEW OF
SUBJECT PROPERTY
Appraised Date: November 19, 2005
Appraised Value: $ 90,000
REAR VIEW OF
SUBJECT PROPERTY
STREET SCENE
Borrower: Ronald Tippet
Property ~a'dress: 3800 Golfview Road
City: Mechanicsburg" "
Lender: Charles E. Shields illEs .
I
l.;UMt"'AKAtsLt:. t"'KUt"'t:.K I T t"'HU I U AUUt:.NUUM
File No.: 06-142
Case No.: 06-142
State: PA Zip: 17050
COMPARABLE SALE #1
1402 Warwick Road
Camp Hill, PA
Sale Date: 08-12-05
Sale Price: $ 109,900
COMPARABLE SALE #2
1433 Simpson Ferry Road
New Cumberland, PA
Sale Date: 09-23-05
Sale Price: $ 98,650
COMPARABLE SALE #3
3 Elmwood Court
Camp Hill, PA
Sale Date: 08-03-05
Sale Price: $ 108,000
"(.
..r-"
\
\\
\~
~
)
!'
r.
..
Borrower/Ctiaot
Property Address
City
Lender
File#
County
State
Zip Code
BUILDING SKETCH
. . ~--~'~"-".~"'''''''~'.'''''- --.._- _...._._.-_..~.._. '."-"-' .._~-.-
. .'
.' .
~_~~=tJ2,~?~;~i~~-r~~t.-~~~=J~~t~~r=~CIJlt=.-~~~
- ...___;_.__\______;_____,____,.......__._.------.\-----,:..--J--.-__..r___~---._-;-.- -,. .
. ...n ..... ~~.-~~~~_==,-J~=~,=~[CJ~n1Uf-T----.71lii--t--r-r.-
"".-=.-..~=~_]2lJ?~I~[~~_i . i.... . .,"-,--, .. ,- ~'-~!---
. ...--..-.- ''''f ..
J{O -.-
,..1 ~ ~ " \_, _I,. ~ I) '.,' '_I,
.. ... . ~.1 .....,'.
,J: I . ~ :
,'L.,...;:...~~.:..;..u_.~:.~,.k::' ~..~;;,,;.;.:~~~cl~.~.;~~~;;h;;~;.~.";;;~iJ.i~~'J~u.:.::~~,;:~~~').;:;.::~~~'.:l.~;;"i;;~~';;';i~';~f\I', ""::;I...~,~,~.;,~~.:'::;":::4:";.o... :'d' .'.....l.~""~~.-''-'-_.,,'"'''-l.:.;;,...;_..'-.;;....:_;...'-..'-i.-'-..
:EXHIBrr "F"
Legal Description - Tippett
TRAOT NO.1: BECHNNING at a point on the centerline of Golf-view Road (T-623)
at the southeast corner of lands of Charles E. Slack, the releasor herein, thence by
the same~ North 030 08' 33" West~ two hundred fifty-three and nineteen hundredths
(253.19) feet to an iron pipe; thence along the same, North 460 38' 331' East, fifty-si~
and seventy-nine h1.mdredths (56.79) feet to a point; thence along a channel, South
24Q 52' 51/1 East, one hundred nine and seventy-five hundredths (109.75) feet to an
iron pin; thence along Tract No.2, herein d~scribed below, South 220 32' 51'1 West,
seventy-nine and fifty-six hundredths (79.56) feet to an iron pin; thence along the
sam.e, South 030 081 33" East, one hundred twenty-two and fifty-seven hundredths
(122.57) .feet to a point on the centerline of Gol:t\riew Road C'r-623); thence along the
centerline of Golfv-ie",v Road North. 85Q 49' 311t West, torty-nine and ninety-three
(49.9;3) feet to the PLACE OF BEGINNING. CONTAINING 0.32 acres.
TR.-'\.CT NO.2: BEGINNING at a point on the centerl~ne of Golfview Road (T-623)
at the southeast corner of Tract No. 11 herein above described; thence along said
Tr.act No.1, North 030 08' 331t West, one hundred twenty-rn"o and fifty-seven
hundredths (122.57) feet to an iron pin; thence along the same, North 22Q 321 51"
East, seventy-nine and fifty..six hundredths (79.56) :teet to an iron pipe1- thence along
a channel.. South 240 52' 5111 East1 one hundred eight and forty-five hundredths
(108.45) feet to a point; thence along the same, South 690 35' 0211 East, eighty-nine
and sixty'-five hundredths (89.65) feet to a point; thence along the same, South 60"
41' 481! East, one hrmdred twelve and sixteen.. hundredths (112.16) feet to an iron pin;
thence South 220 091 401t East) thirty-tJ:,xee (3::LOO) feet to a point on the centerline of
Golfview Road; thence along Golf\riew Road, "NOlth 85~ 49' 3111 West, two h-undred
sixty-toUl;' and thirty-eight hundredths (264.38) feet to t~e PLACE OF BEGINNING.
Containing 0.56 acres.
: ~ U Nv1
r. uu::.
:<:'~,. ''.';H' ". '.. 'I.
. .,' f';.,o),:;-:H.:(~~;'~" ,~~.~:;:.
SETTLEME~l AGREE]\tIE~"T
AND 1\fUTUAL GENERAL RELEASE
This Agreenlent is a Settlement Agreement and a Mutual General Release entered
. ItJ PI "j tfi -1-
into this 10 lFlday of u(!,{1rN.r
. 199,-s, between Highlands of Hampden
Square Partnership, a Pennsylvania partnership duly organized and existing under me laws
of the Commonwealth of Pennsylvania, with a place of business at 4309 Linglestown Roa~
Hanisburg, Dauphin County) Pennsylvania, (hereinafter referred to as "Highlar.f.ds of
Hampden)'), and Jerome J. aud Ann M. Hudak, husband and wife, with an address at 1015
S. Vlaterford \Vay!Mechanicsburg, Cumberland Cmmty, Pennsylvania, (hereinafter the
'~Hudaks')), Stephen G. and Abbe Marcus, husband and wife, with an address at 1017 S.
Watertord Way, Mechanicsburg, Cumberland CQunty, Pennsylvania, (hereinafter the
<LMarcuses")1 John H. and Nlary K. Surry, husband and wife, with an address at 1009 S.
.Waterford Way, Mechanic3burg, Cumberland County, Pennsylvania, (hereinafter the .'Surrys"),
Craig i\. .and Katherine A Gallagher-Shrift, husband and wife7 with and address at 1011 S.
\Vaterford Way, Mec.hanicsburg, CUJnberland County, Pennsylvania, (hereinafter the "Shrifts")s
and David F. and Linda A. Stirling, husband and wire. with an address at 1013 S. Waterford
...
Way, Mechanicsburg~ Cumberiand County) Hampden Township, Pennsylvania (he~aft~t _
.;:;:, _1) .~
c:.- m P, ..J
the "Sttrlingsn)) (The Hudaks~ Surrys, Shrifts and Stirlings are collectively referred. Wias i0.~ ~
N 1-::::t~.:...:
--.J: :po 0 ~
OWners')); Ronald E. Tippett, unmarried adult individual, with an address at 3800 Golfv i~;;: :;
-c ("") C r~
.=3 '0 Ii --
Drive. Mechanicsburg, Hampden Township Cumberland County Pennsylvania 170~5 c: 0 ~
1 , 'N ~. rtl ~
~ :;g, ~~'
, C) I ({)...:>
c.n ~
)>.
') ~ [' , i~ ~I/ ~ b/~' U ): 1 ~ "I ,D..I'il
-
r, UU J
, .
".t..' ,0"
", ~"..
-M."_'-
(hereinafter referred to as "Tippett"); Charles E. Slack, unmarried adult individual with an
address at 3810 Golfview Drive7 Mechanicsburg, Hampden Township, Cumberland County)
Pennsylvani~ (hereinafter referred to as "Slack") and Gmmett Fleming,Inc., a Delaware
business corporation, with an address at 207 Senate Avenue, Camp Hill, Cumberland County,
Pennsylvani~ 17011 (hereinafter referred to as '''Gannett Fleming'~).
WITNESSETH:
WHERBAS~ Tippett filed a civil action Cornplaint in the Court ofCOllunOll Pleas of
Cumberland CQ"lm.ty. Pennsylvania and docketed to number 94-4841 Civil Term 1994 against
~ .
Surrys and also filed a civil action Complaint in the Court of CoID.tnon Pleas of Cumberland
County and docketed to number 94-4842 Civil Term 1994 against Shrifts; and
WHEREAS~ Slack filed a civil action COlnplainr in the Comt ofCollllnon Pleas of
Cunlberland County and docketed to number 94-4843 Civil Term 1994 against Shrifts and also
riled a civil action Complaint in the Court of Connnon Pleas of Cumberland County)
Pennsylvania and docketed to nmnber 94-4844 Civil Tenn 1994 against Stirlings and also filed a
civil action Complaint in the Court of ComrnoIl Pleas of Cumberland County~ Pennsylvania and
docketed to number 94-4845 Civil Term 1994 against Hudaks; and
'1
..
,...l.L.:.l l.j ._1/ ~L~'_j;_" l '.,' -' _ _ . _ ..
, .
WHEREAS: Tippett owns certain real estate adjoining lots purchased by the Sunys and
the Shrifts in the Highlands of Halnpden DevelopInent as more particularly shown on the
PreliminarylFinal Subdivision Plan for the: Highlands of Hampden Square, Phase III (herein the
"Plan'} as recorded on September 1, 1989 in the Office of the Recorder of Deeds in and for
Curnberland County, Pennsylvania in Plan Book 59, Page 3; and
\VHEREAS, Slack owns certain real estate adjoining lots purchased by the Shrifts,
Stirlings, Hudaks and Marcuses in the Highlands of Harnpden Development as shov.,1D, on the
P Ian; and
VlHEREAS, the Complaints filed by Tippett and Slack against the ab~ve-identified Lot
Owners allege encroachment of various lot lines on the respective b~undaries of property o'i\'l1ed
by Tippett and Slack; and
. WHEREAS, the lot acquired by Marcuses as more particularly described in the deed
dated October 16, ] 992 and recorded in the Office of the Recorder of Deeds in and for
Cumberland County, Pennsylvania in Deed BookL, Vohmle 35, Page 603 Inay encroach on the
S lack property and the T\.1arcuses join in this Agreement to resolve any encroaclunent of their lot
on the Slack property; and
3
" Co i ,_I j' ::.IJ IJ :_,' ; '.I ~ 1 1 . _ 1 nUl
< ,~
.......--..-.~ ....... "
":..ah__"':_""'_"~__""'-'-'-";'-""'-'-"""--""""""" .
WHEREASt Highlands of Hampden Was the developer of the Highlands of Hampden
Square, Phase ill development which conveyed the lots which are alleged to encroach on the
respective boundaries of property owned by Tippett and Slack including the lot conveyed to the
1-1arcusesj and
Vn-IBREAS~ the alleged bOlmdary encroaclunents as set fOrth in the various Complaints
derived from a survey prepared by R.S. Raffensperger dated May 12, 1982, last revised
December 3~ 1982 for a subdivision of a predecessor development to the Highlands of Hampden
Square developurent, which survey de~cribed the COn1DIOn boundary with Tippett and Slack as
various courses and distances which did not ~incide with the center of an existing stream along
the common boundary, as described in me prior deeds for the Tippett and Slack properties and as
described in the prior deeds for the Highlands of Hampden property (herein the "Raffensperger
Survey"); and
. WHEREAS, Gawlett Fleming prepared a survey and subdivision plan for the Pamay
Developnlent Company, Inc., predecessor in title to the Highlands ofHarnpden, as developer for
Phase vm:~ Final Subdivision Plan of Kingswood, recorded on June 23) 1989 in Plan Book 58.
Page 79 of the Office of the Recorder of Deeds in an.d for Cumberland County~ Pennsylvania
(herein the "Kingswood Plan"); and
4
:) .c. t' I,I :1, _ ;'.! U 0 ' 1 U t . j, , :. 1 r.~''l
-", --lJ ;...; U
,-~.~:';;r"~.~~~:'~~~~{~~:'.,.~}'L~)~~lri;':'~-.,~~,~I:. . p..4h.......... -MD 1. ~. ";':- - _.~.-,-..~..A.:. "-t~..~~..., .... __~ _ ~~. _'.,n ..~ ,,~~...~,.--.~.___
WHEREAS: the Kingswood Plan was based upon the Raffensperger Survey whIch dId
not describe the common boundary between Tippett and Slack, the Lot Owners and the Marcuses
as being bound by the center line of the stream~ contrary to the historical deed references; and
WHEREAS, the said Pamay Development Company~ Inc. granted and conveyed an out
parcel shown on the Kingsvfood Plan to Highlands ofHam.pden by deed dated Au.gust 7 ~ 1989
and recorded in the Office of the Recorder of Deeds in and for Cmnberland County)
Pennsylvania in Deed Book ~'Ctt, Volume 34, Page 373 which out parcel was subsequently
subdivided as shown on the "Plan"; and
\VHEREAS, the Lot Owners and the 1vfarcuses acquired their various lots which are a
part of the Plan fronl the Highlands ofHanlpden or their successors in interest; and
\VHEREAS, because of the alleged encroachments on the respective properties of Tippett
and Srack: by the lot lines described in the Lot Owners' deeds and ill the Marcuses' deed, the Lot
Owners and the Marcuseshave a potential claim against Highlands of Hatllpden pursuant to the
warranty of title captained in the Lot Owners) deeds and in the 1v.lar.cuses~ deed; and
WHERE.AS, the parties have agreed to settle this lllatter under the terms alld conditions
hereinafter set folth, to resolve the above-described inconsistency in the historical deed
descripti.ons of the disputed bOWldary and the description as originally set forth in the
T':..:
. 5
:) t. r' LII:\ ," ~ ~_II..J C,. 1 U .:.. 11::.~. rl.LVl
!', U '_I '
, "
,. IMiY_ ~..t...; _' '~.v. '''':~f'.,~~,~.:,:.,. ;~"~';''''''t;:~~;'; .~,~~~~!r,~.....!~#r.~;..J ;'.~~'~.2.~ :,".~,,:,~, ~,T." ~. '~.h ,~,!..~ ,., . ',...~ ~:~. ...o;.An>>~.~;t~'i~.:a:4~ "." - ';.. .,:..,. .f ...,...".I~J.~ "7~'~" " "'..'.....:, ..,:' ..:~ l :,~. 'lJ.~' ..~:,...__. .........__.. . _..
Raffensperger survey, which description was subsequently incorpora[ed uno the Kingswood
Plan prepared by Gannett Fleming and in the Plan prepared tor the Highlands of Hampden by
Act One Consultants, which Plan was the source for the deed descriptions of the Lot Owners and
the Marcuses; and
\VHEREAS, the parries;. pursuant to this Agreement, also intend to release the othe.rs
from any and all claims which each may have against the other in cOlmection with rhis matter.
NOW THEREFORE, the parties hereto in cOIlsideration of the covenants and conditions
hereinafter' set forth and intending to be legally bound hereby~ covenant and agree as follows_
1. Revised Boundarv. Tippett and Slack agree to accept the revised description tor
their respective properties as sho\vn. On the PreliminarylFinal Subdivision Plan for the Highlands
ofHaUlpclen Square. Phase ill, (herein the ('Plan") as recorded on September I, 1989 in the
Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania in Plan Book 59,
Page 3, which Plan contains the survey data used to describe the Lot Owners' and the Marcuses'
respective lots.
2. Consideration. In Consideration ufTippett and Slack's agreement to the ebove-
described boundary, Highlands of Hampden agrees to pay $4,600.00, iten]i~ed as follows:
6
::. .c. to' ;' U ~J, i. i~i LI D/ 1 U 1:. 1 1 . _;.. f.l~;l
~, '...1 U I.,}
.. -.... "..... '". .-.......,.. '.. .,... ,'... .......".~.)n~(.,i..).~.li'.~i~.~..':;-"....." '. ..... . .. .,..'".'.... ~ .,-......,'..,.. '.' ,..,...." "." ".......~.......... ,,". ..-~.'.. . i.... ,,' '0"''-' . .. . -,
~"',"."...V_'i.,"._ .,? ~~'''70''~''''''';;<::''~<~:'''''(~r~'':.~~t.~ ~ TIppett ':~$75:t):o~:ts~e6ll{~ns-ati~n?f6i"a'fr~dijttron~.tii'!ai7e1fg't~:F;-ot'~re~: :'~~~;'~~,,:::".~,...~'
2.
Slack - $25.00 as compensation for a reduction in acreage of .02 acres.
...,
.:J.
$4,500.00 for legal expenses and costs inclJrred in. searching the title to Tippett
and Slack's property.
3.. Exchange of Ouitclaim Deeds. The parties hereto agree to exchange quitclaim
deeds to any interest they nlay have in their adjoinders' property which may be inconsistent with
the revised boundary as agreed upon herein. The legal description of the areas to he
incorporated into the qnitclainl deeds to be exchanged pursuant to this Agreement are set forth in .
the following exhibits which are incorporated herein and made a part hereqf by reference:
a. Exhibit "A" - legal description of Surrys' property for quitclaim deed from
Tippett.
b. Exhibit "En - legal description ofShrifu' proprity for quitclaim deed froln Slack
and for quitclaim deed :frOIn Tippett.
c. Exhibit "e" - legal description of Stirlings' property for quitclaiIn deed from
Slack.
d. Exhibit "nu - legal description of I-Iudaks) property for quitclaim deed from
Slack. .
e. Exhibit ''E'' - legal description of Marcuses' property tor quitclaim deed from
Slack..
t: Exhibit (4F" - legal description of Tippett property for quitclaim. deed fi'om the
Lot O,vners.
g. Exhibit "0".. legal desc.ription of Slack property for quitclaim deed from the Lot
Owners' and the 1VIarcuses.
7
SEP/05!~Out Ui 11:L~ AM
t'. UU~j
.
I ~ ~
~{;;';.;;~':~:,:l~L:~~; ~~::~"... . .,
.:
.". , ~:;..r.:;,.;,;;~'~~:::~;~.:;;"~:;';;'.;: ;;;,:~;:~~.~;:;~~~~.~lii,iO.r~~'~ir~l~l-::" J1~;.lii"';':':;;,~"'~M.~""a1I.aJ;,;.;,;_.~~~:J:'';:..";~'",,,.;;.;;.;...,,;' '''~.;;;,,~:..~~~.:;.:.....t':._~. :~
I
4. S1JIY~ QfEncroachment Areas. Gannett Fleming, in consideration of the olumal
releases granted herein has surveyed the revised boundaries of the Tippett and Slack properties
and has prepared the legal descriptions in connection therewith for incorpor~Jion into the deeds
to be prepared pursuant to Paragraph 3 above.
5. Preparation and Recordin2: ofOuitclaim Deed3. Highlands ofHarnpden legal
counsel shall be responsible for the preparation and signature for all quitclaim deeds to be
prepared and delivered in connection herewith. Each party shall be responsible for recording
their respective deeds. Any transfer ta.x: which may be assessed under the Permsylvania Realty
Transfer Tax Ac.t, 72 P .S. ~81 0 1 ~ ses'l upon recording the quitclaim deeds. shall be the
responsibility of the grantee identified in the said deed.
6. Subdivision Approval. The parties hereto ackuovlledge dlat subdivision approval
from the Board OfCOffilllissioners of Hampden TOVVllShip is not required as a result of this
Agreement and resolution of the boundary dispute pursuant to Hampden Township~ as more
particularly evidenced by the letter from Hampden Township, attached hereto and nlade a part
hereot as Exhibit "H".
7. . Praeci~es to Discontinue. Tippett and Slack shall file of record within thirty (30)
days of the date of this Agreement in the Court of Cor run on Pleas of Cumberland County~
8
;::1 t r ...' !-.J :1:.': 'll.J U tl,/ l' l\o~ 1; 11 J -' i"\llil
r, uru
,
I
t.41~t~::j~f;Xtl'~t\lt~iiN~~l~.~~~~l:;\";:~t:"iO<~~.;J;:~,.ij,;;-;'.~~~:j,~.;:U;,,,-"";i:.:;.;,:;;."i,~;~~~(h
Praecipes f~r tbe Discontinuance and Withdra~al with prejudice of the civil action Complaints
docketed to numbers 94-4841, 94-4842, 94-4843. 94-4844 and 94-4845 ac1mowledging that rhe
matter is settled, end~d and all costs are paid.
8. Lot Owners' and Mar9uses' Release. By this SettleJ:nent Agreelnen~ the Lot
Owners and the Marcllses do hereby remise, release, quitclaim and forever discharge Highlands
of Hampden, Tippett, S"lack and Gannett Fleming of 811d from all and any manner of actions,
causes of action, judgments, suits, debts%f dues, accounts, agreements, claims and demands
whatsoever) whether in law or hi equity, which they ever had, can have or may have by reason of
any of the matters refer.red to in this Settlement Agreement and specifically those Ul.atters
referred to in the Complaints f~Ied of record in the civil actions docketed to lll.unbers 94~4841)
94-4842,94-4843,94-4844 and 94-4845 in the Court ofCornmon Pleas ofCunlberland County,
Pennsylvania, from the beginning of time until the date of this Settlement Agreement.
9. Highlands of Hampden Release. By this Settlement Agreemen~ Highlands of
Hanlpden hereby reinise, release, quitclaim and forever discharge the Lot Owners3 the Marcuses,
Tippett, Slack and Gannett Flelning of and from all and any nlanner of actions, causes of actionJ
judgrnents, suits, debts, dues, accoun.ts, agreenlents, clainls and denlands whatsoever, whether in
law or in equirj, which they ever had) can have or may have by reason of any of the m~tters
referred to in this Settlement Agreement and specifically those matters referred to in the
9
::. t r U 'J./ 1. U U ::'/ l' U 1:. i 1 _: .1.f/l
r, C!IT
Ii l..'.:.
4.
~~~~~;if~~~~t~~f;;';:;~;:;~~;;;;;l;;~~~;'~1\\!i",~liQ~~;j~~,t"*t,4\\;;;[~;?!1i't~,~";"";h;;;~,;.i'~~\;;;;~~~~~
Complaints filed of record in the civil actions docketed to numbers 94-4841~.944842J 94-4843,
94-4844 and 94-4845 in the Court of Common Pleas of Cumberland C'ounty, Pennsylvani~ as
well as from any and all claims which may not have been specifically enumerated or stated
therein1 whether directly or indirectly arising from or out of any relationship which existed
between the parties hereto in connection with the TIlatters referred to herein fronl the beginning
or time until the date of this Settlement Agreelnent.
10. Tippett and Slack Release. By this Settlement Agreement, Tippett and Slack do
hereby relnise, release, quitclaim and forever discharge the Lot Owners, the Marcuses, the
Highlands of Hampden and Gannett Fleming of and from all and any manner of actions, causes
of action~ judgInents, suits, debts, dues, accounts~ agreements, clainls and demands whatsoever,
'whether in law or in equity, \vhich they ever had, can have or may have by reason of any of the
matters referred to in this Settlement Agreen1ent and specifically those matters referred to in the
Complaints filed of record in the civil actions docketed to numbers 94-4841. 94-4842~
94-4843, 94-4844 and 94-4845 in the Court 6fCommon Pleas of Cumberland County,
Pemlsylvania~ as well as from any and all claims which nu~y not have beeIl specifically
ennnlerated ~r stated therein. whether directly or indirectly arising from or out of any
relationship which existed between the parties hereto in cmmectioll with the matters referred to
herein fi-om th.e begimling of time until the date of this Settlement Agreement.
10
SEr/U~/"~uut:/ ~'Ut ~ ~
. ,J ~ F.:li~
u1.:.
.
'-'l,;:~ ' -':J.'ll'~.;'"':""'~nhettFleming;Release. 'BY1tb.is Settlement"Agreement, GannetfFlerning does
hereby remise, release~ quitclainl and forever discharge the Lot O\vners, tbe lvlarcllses, the
Iiighlands of Hanlpden, Tippett and Slack of and from all and any nlamler of actions, causes of
action~ judgmeIlts~ suits, debts) dnes, accounts, agreements, claims and demand,s wha~soever)
whether in law or in equity, which they ever had, can have or may have by reason of any of the
matters referred to in this Settlement _t\.greement and specifically those matters referred to in the
Conlplaints filed of record in the civil actions docketed to numbers 94-4841, 94-4842, 94-4843,
94-4844 and 94-4845 in the Court of Common Pleas ofCwnberland County, Pennsylvani~ as
well as from any and all claims which may not have been specifically enumerated or stated
therein, whether directly or indirectly arising from or out of any relationship wlrich existed
between the parties hereto in. connection with the nlatters Teferred to herein from the beginning
of thne until the dzte of this Settlement Agreement.
12. Bensillt. This Settlement Agreement and Mutual Release shall be binding on the
panies hereto and their respective heirs, successors~ executors, administrators, and assigns. The
parties hereto warrant and represe.nt to One another that this Settlement Agreenlent and Mutual
General Release ext.ends to and includ~,s any claims which any officers, representatives, agents,
servantSt employees, partn~rs, or related and associated cornpanies have against the other p~
to this A.greemen~ it being their intention, UIlderstanding and agreement that no fitrther clainls
11
~, t t' u::. ~ i} U C: 1 U L 1 i .::. -t :Uil
J. 1...'.1._'
..
J .~:. _
against the other for any matters arising up to and including the date of this Agreement.
13. Cooperation. The parties hereto agree to ex.ecute any and all docutnents or papers
reasonably necessary to carry out and effectuate the terms and conditi?ns of this Settlement
AgreeInent upon the request of any other party.
14 - Conll)romise. The parties hereto ackriowledge that this settlement is the
compromise of a disputed claull and that the execution of this Agreement and pe.rfomiance of the
acts required herein shall not constitute an admission by any party of liability to any other party .
The parties hereto ackncrwledge that the agreed upon paynlent by Highlands of Hampden
pursuant to Paragraph 2 above is made by I-lighlands of Hampden in order to reach a settlelnent
of this matter and to avoid further lidgation which would result jn the joinder of Highlands of
Hampden as a third-party defendant. The parties funher agree that the payment by Highlands of
Harp.pden is made in consideration of the Lot Ov.ners' forbearan.ce fromjoining Highlands of
Hampden in the litigation ",rhich is to be discontinued pursuant to this Agreement and represents
a bona fide claim against Highlands of Hampden which is settled by the .terms of this Agreement.
15. Construction. This AgreeJ.nent has been executed in and shall be construed in
accordance with the Ia\vs of the Conmlonwealth of Pennsylvania.
12
....\.:..:,. L .... ....1 '~), t.. '....; \..' U:. J. .'.;.1..' .L":', _ J. .:...1..0.;.1.
.
:0:....: \.-
, .
. , ,r:~.~~.~'~;.: ;.':c'. .......,. ;..:. ....:.:;; . ':3:~:~.~':;: ''i';~.. ,:"'~,:~; ':.\:,~~~~ ;;::jL~......, ;'.', .~~}. ::.\'
Witness
HIGHLANDS OF HMfi>DEN
SQUARE PARTNERSHIP
~A,#.,~
-w q ~L)
By: Yingst lit es, Inc., Partner
Richard Yingst, President
!}~m#.A~
'~94
~b';~
TIPPE'fT -
/i/?~ ---v ~
L7-~ ~ l:.~' ? f 7
~I ~; 't?~
R.onald E. Tippett
//~ '- ~jI''' J A
/(~)J/. 7~e-
SLACI{
~ 4,~ ;F. ff~
Charles E. Slack
_~TTEST :
7
GANNETT FLEMING~~
~~
(/4 .~--d<7__
13
REV;1503 Ex + (1-97) ,
.
.
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
TI fJp E T T I Il/Nn-l.]) E.
FILE NUMBER
2,1-ps -{bl/If
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
'if' .shates D/- l!t>lNmDH she../< DI- N()rtnrup Gr&(,n14nn
CUSI p ~ '" 8D1 102
/&I,I/.Ir, 2Ppr /,/ 5t, ~2 I. SS: 7' 1 ;'
av~.. 5"',3Z fkA Sh,
#'1', 2/, 2A?S hi 5",,1,9 /11 S'-- 2/ .%' G9'!.5I,,,
VALUE AT DATE
OF DEATH
,
- 3'~ 3{;7.6K
(s~e Y/I/1A1t 7iJ~ -h"urt~ affa(:h~eI)
~. ~.~ Eli t(1 S. Sat/,'AfS &ntl ,f .74//. /'I'J2 , 53.1l!
~~r"4/ AlP. l "197 ()31 {,I (, EF
(Se.t, Vc.lkClH'Il stateMtI\t Afl-Acltul)
3. 53 .JM,res 6f &1H/JWJ11 l)f- Pru,denh~/ F,nllrtc/al
C usip 11= 7~~ .3Z() IO~
/(Pt/, IIJ 200S;- hi 7~,('1 /D 7~S"l/ 7 ALe '71.-1'I3/PtfSJ,.
IIIJII. 2~ ~O()S h: 7",~() /11 7 UJ .,~.2 r . x53 5h. - 'f" 03~, 23
~ ~
'I. ]);r/tleAtI /Let!, rUtd ~J1 /fllJ1 J- ttf (I, 1/ ~ff sAllre )(. S3:: ''1/.. 6'1
(see. m/t(4h"" hjUJr5 4&tckel)
TOTAL (Also enter on line 2, Recapitulation) $ 4 3J Sf) I, /9
lit ~_._~ --...."'- ."" ",~_~,.._~,.. J._.......__~ ""'''''''.....:.:^~'''''I "''''~^+'''_ "of +h" _,"u.'u'n" _~i"'7",\ ___
r'rices for NORTHROP GRUM HOl CO - Yahoo! Finance
~tart Date: ( Nov;'~~t 18' 2005. Eg. Jan 1, 2003
\.. . :J
E) Daily
o Weekly
o Monthly
o Dividends Only
End Date: [ Noy t;,J 21 2005 !
PRICES
Date
21-Nov-05
18-Nov-05
~Get Prices'
First I Prev I Next I Last
Open High Low Close Volume Adj
Close*
56.21 r 56.21 \ 56.64 1,098,100 55.65
I 56.69 j
J 55.12
56.62 1 56.62 55.76 I 56.10 2,425,300
\.
* Close price adjusted for dividends and splits.
First I Prev I Next I Last
~.Download To Spreadsheet
Gj Add to Portfolio '.0' Set Alert f2) Email to a Friend
09/06/200609:13 AM
Get Historical Prices for Another Symbol: L j ~G();' Svmbol Lookuo
· Stock Screener
· Meraers & ACQuisitions
· Splits
Copyright @ 2006 Yahoo! Inc. All rights reserved, Privacv Policv - Terms of Service - CODvriaht/lP Policv
Quotes delayed, except where indicated otherwise.
Delay times are 15 mins for NASDAQ, 20 mins for NYSE and Amex. See also delay times for other exchanqes.
Historical chart data and daily updates provided by Commoditv Svstems. Inc. (C5n. International historical chart data and daily updates
provided by Hemscott Americas. Fundamental company data provided by Caoital 10. Quotes and other information supplied by independent
providers identified on the Yahoo! Finance oartner Daqe. All information provided "as is" for informational purposes only, not intended for
http://finance.yahoo.com/ q/hp?s=NOC&a= 10&b= 18&c= 2005&d= 10&e=21&f=2005&g=d
Page 2 of 3
Calculate the Value of Your Paper Savings Bond(s)
09/12/2006 10:43 AM
TreasuryDirect4'
. Mv Accounts
. Treasurv Securities
& Proarams
Research renter
Plannina &. Givin(J
.~
· .Ew:w..:i
~ > ~ > IQlilii. ) Calculate the Value of Your Paper Savings Bond(s)
TOOLS
. Savinos Bond Calculator
. Savinas Bond Wizard
. Savinos Bond Value Files
. Savinas Bond FRB locator
. Treasurv Bills Notes Bonds & TIPS FRB Locator
. Treasurv Hunt
. Estimation Crllclllators
. Savinos Bond Earninas ReDorts
. Redernntion Tables
Calculate the Value of Your Paper Savings Bond(s)
SAVINGS BOND CALCULATOR
Value as of:
11/2005
C.!!POA TE J
8
H~lp
Series:
r'E~dS----~
Denomination: Bond Serial Number:
tSO i4'~
Issue Date:
f
I
I HOW TO SAVE YOUR INVENTORY I
( CALCULATE~
Calculator Results for Redemption Date 11/2005
,:VIEW/PRINT/SAVE LIST
Total Price: $25.00 Total Value: $53.94 T~tal Interest: $28.94 YTD Interest: $2.10
Bonds: 1-1 of 1
Serial # L497037616EE Issue Date 01/1992 Issue Price
Series EE Next Accrual 01/2006 Interest
Denom $50 Final Maturity 01/2022 Interest Rate
$25.00 Value $53.94
$28.94 Note
4.00% t REMOVE)
CALCULATE ANOTHER BOND
Instructions
How to USE' the Savino:., Bond CalCUlator
Note Description
NI Not Issued
NE Not eligible for payment
PS Includes 3 month interest penalty
MA Matured and not earning interest
[Survey
~w would you rate this tool?
'-' Excellent
C Good
.8 Fair
http://www. treasurydirect.gov IBCI SBCPrice
Page 1 of 2
Calculate the Value of Your Paper Savings Bond(s)
o Poor
( SUBMIT~
09/12/2006 10:43 AM
Freedom of Information Act I Law & Guidance I Privacv & Leoal Notices I Website Terms & Conditions I Arressihilltv I Data Qualitv
U S. Deoartment of the Treasurv Bureau of the Public Debt
http://www.treasurydirect.gov/BC/SBCPrice
Page 2 of 2
PRU: Historical Prices for PRUDENTIAL FINCL INC - Yahoo! Finance
Yahoo! I ~~atlQQr?i MlYn lU)8cstgn In ! Help
Make V! your home page
-
Jtf'Web'5earch~E
....-....- ---
-
- ..~,'
Dow ..... 0.330/0 Nasdaq 1" 0.350/0
03/15/200710:51 AM
Thursday, March 15,2007, 10:S1AM ET - U.S. Markets close in 5 hours and 9 minutes.
! Enter Symbol( s)
I [~~~~]
Symbol Lookup
Finance Search
Prudential Financial Inc. (PRU)
~,g:t
E*nUlOE S"(lIrltl"l
Historical Prices
SET DATE RANGE
., 1 ~d :1';:' S '''''urtf:'r
2. Fidelity
At lO:31AM ET: 89.25 't 0.59 (0.67%)
Get Historical Prices for: ri~GO"
http://finance.yahoo.com/q/hp?s=PRU&a= lO&b= 18&c=2005&d= lO&e=21&f=2005&g=d
ADVERTISEMENT
Page 1 of 3
PRU: Historical Prices for PRUDENTIAL F1NCL INC - Yahoo! Finance
.
03/15/200710:51 AM
Start Date: f Nov'~ 1181 l2.~05J Eg. Jan 1, 2003
End Date: f Nov'~~$ll21J l~~05J
6 Daily
o Weekly
o Monthly
o Dividends Only
~G~t iprl(!es'~
First I Prey I Next I Last
PRICES
Date
Open High Low Close Volume Adj
Close'"
76.55 76.60 76.02 76.45 1,857,600 75.55
76.60 76.61 75.54 75.96 2,166,400 75.07
21-Nov-05
18-Nov-05
18-Nov-05
$ 0.78 Dividend
* Close price adjusted for dividends and splits.
First I Prey I Next I Last
rUl.Download To Soreadsheet
~ Add to Portfolio '.Q' Set Alert ~ Email to a Friend
Get Historical Prices for Another Symbol: [ ..f,;GO"9 Svmbol Lookuo
· Solits
· Stock Screener
· Meraers & ACQuisitions
Copyright @ 2007 Yahoo! Inc. All rights reserved. Privacv Policv - Terms of Service - CoovriahVIP Policv
Quotes delayed, except where indicated otherwise.
Delay times are 15 mins for NASDAQ, 20 mins for NYSE and Amex. See also delay times for other exchanaes.
Historical chart data and daily updates provided by Commodity Systems Inc. (Csn. International historical chart data and daily updates
provided by Hemscott Americas. Fundamental company data provided by Caoital 10. Quotes and other information supplied by independent
providers identified on the Yahoo! Finance cartner oaae. All information provided "as is" for informational purposes only, not intended for
http://finance.yahoo.com/q/hp?s=PRU&a= lO&b= 18&c=2005&d= 10&e=21&f=200S&g=d
Page 2 of 3
4 .
PRU: Historical Prices for PRUDENTIAL FINCL INC - Yahoo! Finance
-
03/15/2007 10:51 AM
trading purposes or advice. Neither Yahoo! nor any of independent providers is liable for any informational errors, incompleteness, or delays, or
for any actions taken in reliance on information contained herein. By accessing the Yahoo! site, you agree not to redistribute the information
found therein.
http://finance.yahoo,com/q/hp?s=PRU&a=10&b= 18&c=2005&d= 10&e=21&f=2005&g=d
Page 3 of 3
""'~"'.".". .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF 71 P P E.1; !lIJNIr L lJ E'.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
2/- 0 s" /PLf'l
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of sUNivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
~~
DESCRIPTION
rnEltJSE7tS FlleST ~E/)81Al. C/lE1)rr UN/(/JAI:
0). :5AYIAl6s- A~(!,T. # ~'13'1'1,-<<J
11,,) eNE(!I(/NG A-eCT: :i/: .2'13 y" - 1/
(SEE rA-U1ATltJN LI!?77l:7t A-TrAeNeb)_
err/ZEAlS BANI(
".) 7i1J1€ J)EfJI?SIT #: 'Z"091 ~'1'13
iJ.) CJ/ECklN6 ~T -It "/~o 7/5' .:l7:t
e.) SArIN&-S A-l.c:r: -IF {,:lI.f.'I 7.$D S/3
(seE t)~j::lel,f-l. J/A-LJ,{-IfT1~N SNE~rs ReNJ1 elTlzeNS'
I3AAlK ArrAM€D)
,
of KJf 7J./A-Y# z. 7/"o~E rr t-VA"S ,bEt!E"bENTs /JtorN~.
;)J/E P/lE7JEt!E7fS€O #~ SbN l5y /1-.PPI'l~X. 71i1~ YG~.r.
If- SGP"./lArE /h'#~/rAA/l!G ~ /S .If!,G/NG ,c/L.EZ:J
;=i:>~ HG/l e:srA7&; 7h'E ~/rlz,G.A/ A~(!DUNrs ~
,
Cf..,DSEf) t1'Jar .>NI?,er~y /S€FoA!E DE~G;bENrS" J>E1'I
//1/ "~~E7e TZJ //l-Y A-~~/Jftlbl-7/#6- Al'L!7>/~ 41/LLS
/iaN./> N ".s~ th:.
3. ?SECU
Q ~ aE G ulA-1l SH /fIlES A-(!'~ "t:
t.. ) A te~, ]:>11-]> DAJ 4.)
~
f,
,-
c.) CHEe/(',A/(; Aet1 T.
J.) ,4- t!c, R.. Dv l> DI1 e.~)
(SEE D~FIC/,;JL. VA L.4A-T/P,A) LETTE7e /l-T?;JI(!HEb)
EA./&' /AI.sJt~, KE;::: tI AJ.I>
EIlI~ INJk~, I?€Fl( /1/ b
FOR.,]) TlfueK PZSV S ltfJEYl 0 fA. 7Y {.,bAl~,13111J
S~llG" ~()K J/A-Ltfll-77~AJ ~ 7/AaNEtJ) (s;e irji
TOTAL (Also enter on line 5, Recapitulation)
(If more space is needed, insert additional sheets of the same size)
VALUE AT DATE
OF DEATH
"-
~ S.07
"1, If ~"r ~a.
~
..o~
j . DO
11 , 00
JZ70.OB
.03
~
I ~ 1~.3.2e
j J ./3
?/CS-:I)()
." S-o, /)~
~
62. I q .3{),,~f)
$~I 3()/,'tf
,
SMEtJ. E; e,;d'J.
____________________ _._ E__~_L.___QE__71el!EL'_.-/&tf/&D----t~-- ______________________ ____________________;lJ:~s:: IOl{~
-~=~~=.....-_~~.. -1~i~~-~~~=~=~~~~:~~~_::~'::~:.~J~-l.~~;I~
_____________fL__ _LI4.~fl" ll~IJf__.dttl~__~_ ___~/f?E__(lE___l!l A:!!!__~"E___~/U !!€!!_7X___________________ -------------------
__________________.._~ -L~_~ /{11f.~/J/ !!/iJ_?!/~d,:__ ~____~!-~jj~_ _u~c.._g~~~~~________ -----------------------------
_~_ _______ ..__________.__ _~J{~~~!t_~Ef_f!!t~___ ~____~~€!ZldfE.._dl~'------------------------ -------- - - --------------
~~~~_===_~--~;=~_=;:~~~::~~_:_===:=__~==:==:===-===- i:~~_
_______________.__ __________~~_____ ~~_r.______~~if ___________________________________________________________________ _______________ ~ ~" ~'(__.
______________________ ___I!.._ ___~~?_E _J2r__~_!?~_lfs ~_1! A-L_!L_/L'!~ttJ._!l.!.ti_~_____~ U!~__qf~___________________ ---------
13L.=A-T uP /!u]2J/JI~/!J/t..t:'3 gy eHUt!L gBt!~E72
__.____________ __ _~----- ________________________________________________________----------------- -----.-----------------.,.1--- - --.- -------------------------
_______~ _d-u e 7i /),v EEf___ ________________________ ---------L?~ /) l>_
_________.~~,___. _..__________ ___~._____._-_~__.__~.~____~_..__.+_.L__..__.._____~_._,._~..___.._..--.-. _ .___~.~_^,__._._.._ ..,--____._._.._______~_~____._._...________,___.__.._.-.----.---..--~-----,-~.------.--.. - .-..._._.~..
-......---.- -~-_._-- _._----~_._~_.,---~--~..._-_._.._---------_._., -~_.,--_.-------'_..~.-'"" -,--~_._-_._._.__.....-.----,-~--_.._-".__._.._.__.._,,---------_..'-_..,,-----~_._..--_.._.._,---,------_...._,--~--~-----.-- ~----~-
.------...-...-_________.~_._,...__.___._ _~_,._..___.__...--...,. _,,__.._____~,___......-_______,_._.._~___._~__.._'_.._.___~__.~_..___._.._,,_.______._.._.~___~_,~_____._.___..___'_..-._~____~_.__~._..._____...__.__._._._ ______. ~__4~.__._________,___.~~
----~---._-- -----~-~-~-~---~,,~-_._--------_.__._.._--._.__.._-~-----~'~_.-..._-........--.._..__._...~--~---~-'-~. --~-._._...-_._.._~-~-_.. _._--<-----~~..--~----_._-_._"----_._--
~____._ __..___.________~_~___..~ __._ ._._ '._ _,_..___-_______.____._..___~'__,,_......._ _.._....-..__._~._...._~_....~~__.e_._ ____.._.__...~~_____._ _.._._.,,____~__ ,. _' _.._._____.____._..___~__._ ._..___.__.__...______.P~ ___,._..________________._uu_._ -..__.. _____.___~,~___~_._._____..~.__
· r'1Er'1~E~,~_;1~_.T Feu INS. DEPT 7177955178
SEP-05-06 03:59 PM ~ ~
'~~,.~.l\~. ),,'.~:
~~t.~.:.~..
"J1'~ "
" .
" .
~:
~h~~ ,
"
y"; :.':.; ,
Ij",_ ..
f". .
..
i' ,.
;.1 i
"
I
J'"
tv 1st
MEMBERS 111
JlJiOEMl.CRsDIT UNION
AUT:
AccountNymberlSu ix
Date Acco~nt Estab 'shed
prinCiPaf,:,J3~lanCe at,!.Date of Death
Accrued Interest to 'fate of Death
Total Prl~~pa' and ~ccrued Interest
Name of JOint Owne
CHE ceo T:
Account N rnberISU~'X
': '\
Date Acc,Q, ptEstabl shed
Principal:e.,,",,:I' ',a,' nee at ate of Death
. Accrued ltl rest to ate of Death
, Total Prlri~i '-'I and Apcrued Interest
Name of Jo'nt Owner
I I
,
I ~
)
I
I
1
\
I
I
j
I
i
,
I
I
I
I
I
i
\
I
I
\
j'i;':l' !
Estate of:; 'C';. NALD . TIPPETT
Date of D""'; 11/09 005
8ocla'S ".',ty Num, er: 204-30-8102
.,' !
i
1
j
\
i
I
I ._--~..'--,-_.._--_..
I
5000 Lou i~(' Drive PO. 0, . 40 · M ~~(:h~lJ licshur > )
243496 -00
04/13/2004
$25.07
$.00
$25.07
None
243498 .11
04/13/2004
$1 A96.62
$.00
$1,496.62
None
tU~e~s 1ST FEDERAL CREDIT UNION
,~(u ~~.,t:
enise A. 'vkIt:t
Insurance Services perviso-r
September 5, 2006
P.OI
~~ 'Cit'izens Bank
525 William Penn Place
Suite 153-2618
Pittsburgh, P A 15219
December 22,2005
CHARLES E SHIELDS, III
6 CLOUSER ROAD
CORNER OF TRINDLE & CLOUSER ROADS
MECHANICSBURG P A 17055
Estate of RONALD E TIPPETT
Date of Death: Nov 19, 2005
SSN: 204-30-8102
Dear Sir/Madam:
In accordance with your request, the attached information sheet has been provided in the above decedent's
name as of hislher date of death.
For IL or LC accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please
call 1-888-999-6884
Sincerely,
(};tl~
Ann Rhodes
Operations Services
~~ Citizens Bank
Account Number 6240994443
Account Title KATHRYN I TIPPETT or RONALD E TIPPETT
Date Opened 7/30/2002
Account Type Time Deposits
Principal Balance as of DOD $.00
Interest from Last Posting to DOD $.00
Account Balance as of DOD $.00
YTD Interest to DOD $293.92
~~ Citizens Bank
Account Number 6100715272
Account Title RONALD E TIPPETT
Date Opened 1/13/1981
Account Type Checking
Principal Balance as of DOD $.00
Interest from Last Posting to DOD $.00
Account Balance as of DOD $.00
YTD Interest to DOD $1.60
~~ Citizens Bank
Account Number 6244730513
Account Title RONALD E TIPPETT
Date Opened 8/11/2004
Account Type Savings
Principal Balance as of DOD $.00
Interest from Last Posting to DOD $.00
Account Balance as ofDOD $.00
YTD Interest to DOD $5.50
PSE(~
TI;J~'J
;l.-III/If) 5-
the financiallinkTM
December 13,2005
Account # 0204308102
CHARLES E SHIELDS III
ATTORNEY-AT-LAW
6 CLOUSER ROAD
MECHANICSBURG, P A 17055
Dear MR SHIELDS:
The following is the status of RONALD E TIPPETT's account with PSECU as of the date of death.
Joint Owner's Name
Date of Death
Date of Birth
NONE
11.19.2005
12.14.1940
Share Description
S 01 Regular Shares
S 04 Checking
S 06 IRA Shares
S 50 24 Month Certificate
S 51 24 Month IRA Certificate
*Funds were transferred to S4/Checking.
Open date
03.12.1991
03.12.1991
04.15.1993
09.16.1998
09.21.1997
Balance
$ 70.08
18,123.28
CLOSED 11/09/2005*
CLOSED 11/09/2005*
CLOSED 11/09/2005*
Accrued Dividend
$0.03
1.13
The dividend earned from January 1, 2005 through the date of death was $77.99. The decedent had no loans with us.
We do not have safe deposit boxes for our members.
If you have any questions, please call 234-8484 in Harrisburg or our toll-free number, (800) 237-7328. At the menu
prompt, enter 6 and then extension 2227.
li!it
Member Service Representative
Finance Support Unit
j
j
!
I
1
Pennsylvania State Employees Credit Union I
Main Address: 1 Credit Union Place, Harrisburg, PA 17110-2990 . (717) 234-8484 . (800) 237-7328 I
(ei----... - .. Mailing Ad.dre,ss:P.g. ~ox 6!g.1~~.~.~r:r~~Y!~kf~_1 !19A~!2_13..:J?.1D???.~?J2q (I12l?1 . ~..... (~29J.4??-.1. ?~!.(!_l?l?q__
"-~ Savings federally insured up to $100,000 by the Notional Credit Union Administration www.psecu.com .
. '
Kelley Blue Book - Private Party Pricing Report - Ford, F250
~
03/15/2007 11:10 AM
.~~
advertisement
Quick Dealer Price Quote
Search Used Car Listings
List Your Car for Sale
USED CARS
COUIPARE NEW CARS REVIEWS &. RATl'..GS ADVICE FJr;lANClr,;G 8. INSURANCE
~ > Used Cars > ~ > f.Q.!:Q > F250 > SUDer Dutv Lana Bed> Equipment
Print This Page
1999 Ford F250 Super Duty Long Bed
Trade- In Value
Private Party Value
~_, ..._._._., , <~A'~-.'''' "._.'_'._" _
Suggested Retail Value
Photo Gallery
Review
Specifications
Compare Vehicles
~ Shopping Tools
Free CARFAX Record Check
Auto Loan from 6.65% APR
Compare Insurance Rates
Payment Calculator
Extended Warranty Quote
Print For Sale Sign
BUY A USED CAR
on Blue Book ClassifiedsTPI
~~. . '~~J
L F2S0
_._~..._..._-~.-_..~
r30Mii~~~~i~s~-- .~
ZIP Code 17055
To View Ads, Click
SEll YOUR USED CAR
on Blue Book Classifieds'""
Reach millions of shoppers on
kbb.com, Cars. com, and other
popular sites.
Find out more, Click
fiND THE RIGHT CAR
ii Estimated Payments
$134 Imo @ 6.95% APR
BLUE BOOK" PRIVATE PARTY VALUE HVHAT'S THIZ"
ClIck (0.. DeuuJs
Condition ....IJJHfH'S TH1Z:: Value
Get a Pre-Owned Loan
from 6.65% APR
Your Credit Score for Free
Get a Free Insurance
Quote
Excellent
Good
$ 7 ,490
$6,930
$6,205
- advertisement ---
Fair
More Photos
NEXT STEPS:
Search Local Listings
Sell Your Pickup
Vehicle Highlights
Mileage: 78,000
Engine: VB 5.4 Liter
Transmission: Automatic
Drivetrain: 2WD
Selected Equipment
Change Equipment
Standard
Air Conditioning
Power Steering
AM/FM Stereo
Optional
Cassette
Dual Front Air Bags
Running Boards
Blue Book Private Party Value
~rivate Party Value is what a buyer can expect to pay when buying a used
car from a private party. The Private Party Value assumes the vehicle is
sold "As Is" and carries no warranty (other than the continuing factory
warranty). The final sale price may vary depending on the vehicle's actual
condition and local market conditions. This value may also be used to
derive Fair Market Value for insurance and vehicle donation purposes.
Vehicle Condition Ratings
Excellent
ODDOC
Check Vehicle Title History
$7,490
http://www.kbb.com/KBB/ UsedCarsl PricingRe port.aspx?Manufactu rerld.. .e%7c208342%7 ctrue%7 c2 0840 1%7ctru e&Condition=Good&Qu izConditions=O
Page 1 of 3
REV-1Sl0 EX + (1-97)
.
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF TI pfJ E TT; /f~AlI1l.]) E.
FILE NUMBER
21- b S" -/ /)'1'1
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM
NUMBER
1.
DESCRIPTION OF PROPERTY
INClUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER
ATTACH A cOPY OF THE DEED FOR REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET
%OF
DECO'S
INTEREST
EXCLUSION
lIF APPliCABLE)
TAXABLE VALUE
S~~uA PEItIJ/~1II ,alAN /N ~E RJA!/}1 ~I=
A~ A-N#tflry ,'JAY/f13LE 7P tJEtJE1JB;UTS
~AlJ: JEF,e:IfE'Y~. TIF'//E rT 47t!l)
7bIJD 7i/l/JErr
(SEe J/A-/.l{/Fn~AI LET7l:72 ;'} rr/le,NG:/>
RlMf ~EtPt{A- &1i/ftJI!/I7QAJ )
?
/~ fS"~ 9~
I tlt)~
-C) -.
(
/~fS~9('
TOTAL (Also enter on line 7, Recapitulation) $ / ~ 35 t.f. 9 t,
(If more space is needed, insert additional sheets of the same size)
~
121; ill fir
Sequa Corporation
Three University Plaza
Hackensack, New Jersey 07601
201343-1122
December 16, 2005
Mr. Todd Tippett
c/o Charles E. Shields, III
6 Clouser Road
Corner of Trindle & clouser Roads
Mechanicsburg, P A 17055
Dear Mr. Tippett:
We were sorry to hear of the death of your father, Mr. Ronald E. Tippett. May I
extend our deepest sympathy to you and your family.
At the time of death, Mr. Tippett was receiving a 5 Year Period Certain benefit
from the Sequa Pension plan in the amount of $390.92 per month. Since you and
Jeffrey Tippett are named beneficiaries, you are both eligible to a benefit from the Plan,
til January 31, 2009. The current value of the plan is approximately
$14,854.96 to e paid on a monthly basis. .
In order to process payment of your monthly benefit, we asl< that you verify the
accuracy of the address of your residence, as shown above, by placing your signature at
the bottom of this letter. Upon completion, please return it to us with a copy of Mr.
Tippett 1 s Death Certificate, and the enclosed Form W-4P, and Direct Deposit
Agreements so that we may process your benefit as soon as possible. We also need
copies of your birth certificates and social security numbers.
4"
S.qua Corpora,ion
Mr. Todd Tippett
December 20, 2005
Page 2.
We need to hear from you right away so that there is no interruption of this
benefit. If we do not receive an answer from you by January 20, 2006, we will assume
that you wish to forfeit your retirement benefits. Should you have any questions, please
do not hesitate to contact me.
,;r 1
Vi ery trulY yours,
~1~~~
Benefits & Pension Administrator
FJ/
EncIs. :
Signature
Date
,..
,AEV"513EX+ (9'OO~ .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE J
BENEFICIARIES
ESTATE OF iIPPE7f, ~llJ}lIl..b e:
FILE NUMBER
~/-C>S-/b9~
RELATIONSHIP TO DECEDENT
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s)
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
1.
oS Co T"/ "/1 PPE r.
3tO{) GDLFII//;/AJ:/JIt.
mE eHA-NICSS L(~G-, ~If /10 S"'D
S6N
~
TIJDD -nPI1ETT
~ O~5 - HA-!e/JlF~T De..
f(J ECJ..III-AJ I C S e UR6.} fJlI Ji oSS-
SoN
AMOUNT OR SHARE
OF ESTATE
Y;L
YL
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS;
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
.r '-
. X, I?[)A/A-~.l) E. TJPP:;-;:, . . . -1Jt.4AU} ~ 13jO[)
i~ Ih.-" flflmflW, ~~~'. . .... ~ ~-/
~~~4d~~~~
1___ ~.4Ip~~~~ ~~
idl~~~~~ w-.-. f-?&.
[I- J~~/~rdl:_.- _....~~~
~*~. .. . ~ .
i2.dr,~,~~d/. ~~.cwrd.
~r~~~~4NI~:e-~
. ~~~~~~~ ~~d11~
iC4J~1/~adt; . .
i /f)~~~~~4~.$~~
1.~eoTT TljJf/ETT.h~~~~~~
i~~~t:k~~/ #.t!'4 7/~,P~TT
!i ;!)hU~~~~~&;~~~.'''.'.~/
ii7f)PP 7l//"ETT: ~ ~.~~~ ~~
I~~ ~~ $7 ~~ $etJTT 7/;tJ/~TT
! ~ ~jf~~~/"/~rr/?EY 77F~E~
,~ad~~~~~~at.ud/
:~/t'v~ ~/A-~~ iwt/~4
r~' .
i~t~/ ~ ~~ dtff~/ 7O~~
I.. -' ~~- 4t:~~~~.4u/
~t11t(4i~ & ~~ Uh~~P'u
t ftIV:jjj ~ ~ ~ ~~/ & r/ ~
· /J!/CII/I- L se!-l/()f)Ye::7t!' .$~A ~~~
~,
/rV gJ/1lfI~ .MI!6l2@F/ ~~~;L;
~Aff~~~/oI~~7~
a.kd #d ~ /f'ti~tf A!~ dPC>~,
. ~... I" ;c. r _ _. . .._...... _... ._.. .... ~)
;gOAJA-t.L> C?, 7//J/lETr
'f
REV-15;1 EX+ (12-99) _
, ..~.!.1~;~
~J.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF --r I P P E T7; ~IJAlII- LTJ E:
FILE NUMBER
~-
21-,1./09'1
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
1.
FUNERAL EXPENSES:
M U.S se.lm A.V\ ~ n.e. Y'a I
01;t
"f Le~'1 t1 eo (:?e Co -'"' i a
~hUI :r:)
HD~G
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s) 7i:J Db 71 PP E r T
Social Security Number(s)/EIN Number of Personal Representative(s) a tJb - (,,, - 70.3'
Street Address ~ () 35' 114 rYe sf .(),.,. ve
City _ me.cl1a 11 I' e. ~ J, U J;j State ~ Zip -' 71>SS'"_
Year(s) Commission Paid: ~ () () +-
II) .
It.
2.
Attorney Fees CH AIZLE*$ t:. SRI Gl. /)S .IE", ES~.
AMOUNT
~
'I
I~~ 53-1'.70
1', II 332./'~
i~S~.tDD
"
J 5~11 1JI)
:T
/hh" Of)
~
7S; DO
., It> 7, 99
f), d,-O. of)
'I, 5'". ()t:J
r!'
~.t:)O
3.
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant .s~TT 'I",ETT
Street Address 3f"OO 60!FVIEtcJ X>JZ/~
City /J1E"(!.NANles6u~(;.
Relationship of Claimant to Decedent ~ "III
State ~ Zip
170SD
4.
Probate Fees a.w:l t>";8':"aJ ; 5>s ue. of sl.,Drt certih'caJ-e,$
5.
Accountant's Fees L
) =rttnd 13rL~kb;JI J currently eI- /neeh4n,'c.s-
Tax Return Preparer's Fees b t.c.'] , 1-1 f R J3/l)(j/(.. fr,r p rtf'. I Dt/ D I PA- 1/ ()
IUllel'fisi1! ;" CumlaerlAllt'i L.a.w Journal
A-elyert-iSi"! //1 Cllr/isk Erenin; c5enline/
A ,tJ.,'/,;f1tU pro~o.t~ tt4.
rl'l/no Fet.. , 1?ea~sfer .f "//Is
/ldel/l1'ol1o.,{ .short cerf, hC4te..r
6.
7.
g,
7.
TOTAL (Also enter on line 9, Recapitulation) $ 1-J~" if 07 I b(P
(If more space is needed, insert additional sheets of the same size)
1
I
. ,I · )
IT 1.. 5 t!-hul fl. I Gn1f J ·
_______u_________~~:r:.~Ey !!!!~-!r;-&# ~ E- ______________EL~€_ NP. 2/-0$:' ()~__
____.____~-Lu/!~~_k.~jJf€9f( t"'_p~e-!tr.tZ.__~______._____.___/. D~__
.13. _Jdt; ~_~~_ e. IYJ~_______________ ~ 3 6SS-
. ~
_jlf._....tl!J..~___~P() _~ ________ /53.9"
~~_dU _ .J- -r. _ . I / , $f
_____..j~ --Cl2L-~- Jt'IIOur: - I~ 3 E'.J!L~ -I1IJ/JIt.P/4//1U'J //Jsur: ~_9if~_~___
II · ,
/(,. ,'trl ZPJ1 _ ;;ll. 37
__u__i7. -- ---~~~ -b::;~ ;::::~f~ti~~j-3~4, fL____
.__._--_.__.__.~._---_._----------~ ~~---------~-"-...--
~ . jJ/JL /~3 t /J1~ '~~I
Ir. tt ~Z I ~ 3 __ E. /J1AiH '17 i: 79
~
._____~J~~~_kl1s/, f.IJ/I'_I_~_(ip./hew. 37/ 7~
____ ~/. rt/Mst.J:1,$ ut'. /~~ f, fJlAII1. >t '7'" 9~
_ ;Z~. _ jJtJt. -)}~ _ _ };'{. ~.
3. L~-~_u~~_u~'-It@ig;JI-J/~1J;;z./{)
a!l2.__lerJ 241/ _ ';'/.37
. ~
_____._____~5: _ ____ fA c I_~._[g3._~___.___._____~_____ ~ ~. 23
0'1". ,4.,,11 j)p ~ -l-~ 1d:t.SO
7, fJtIuI- /JoT -+~~~or /)?iss:~ 'fu.Sf)
~.l. . PetzA tJor._________._________________.________________________._ ~ lJ, SL___
___~_2!L___u~-~~~--u--------------------1~r.f6--u
____ ~.. __-'!a-'___ff1KL..JiI~_______~__._.___._._________________._____._____ '" s~__
I. 1l'
__________~. .___~(; :r... - __L~_3 R, /IiI!n .-____._.____.__________._________n__.!t~~~k.______._
________~_ ____er; ~_.~~rL___ - ~l[ v,'w ._DI':___.___________ ___.______________ It) ~ tJO
33. ilL ~ 6to(fr;lIw____._____________________.____._u___.!L'i~"!._~_~__
___1L~, ___ . Po~mo'7f ~ $ U y: _______________________________._.________~ 9~~r.~_____
______ ~_ _-.R~J.-~U' of-1M; II ~_~___21vwt.__~t~_6' e.t(~____________________._____!..~, ()f) _____
---'--- --.-~(,~-- - .~fi.k_.____j-~tL---E~--.~ -----_____..______..____. __._.._____ '.u__'___,_,_,___,__. ____________.____!Jl'-~L....
. , .
P1'3 ScIJ Ii. J ()fJfft C/.
______________f::rJ: ~E__T1f!e~rT;.-I!!"!~~.. ..~___ .. _____.___~__.__.. ..___FI t€.tY~_~___?/-o.) -/ ~~ ~
~
:=~~~-:~-=::_ _~H~1~_~~--==~~:-:::__H_:-:=__~-~__n-::-__-~:__--:--~=_L;:~~=~
=::=-:--__~~- ::~~.-~~~~~~~~-i:~:.~_==::-_-_=::_:~_==::=:=~j~~;=_
Ltl. /Jill ';1.3 ~. /)1_ ~/.
_~______." ..,__., _..__cr__._._n__.___._~
. ,
_ __ ___________. _._ ____~~_._._l{!_:r. ______ ____._l~_e.____f. __ ~______.___ _....___.______________.d_ ._____._______.____________________9 ~~_~(j_______
. ..._____._. ____._ ..'!~._.__.. .._l!..fJj.____________.Jk~i~_..________.. _._____....._____________ .__w.______.. ________ . m__f~~__?.z_ __._
___.__.._______...._.._..._'1'1._ _.__...___~lt--#1U1!!-----_.--._-.-.--...--------.-.... ..___..__._..____._.___. ... ....___.____..________..__..___.____~?p~-t~---
_n _n_ ____ ___u_ 'i:L _n_~-IJJJiAL{~)---_----- _______ ______ ___ - _nn ________JpZ/L___
~/,. Yer/UH -U.
-.---.-.,'-- . "~.- -------.. .. ._.._.,--~~----
_ ___nL[l___&4![_L~_~Jf~~-~JJ}----~~./)~-----
._w. ___tQ~_____&~ 41,._IILIIik_____./ ~_~___g -~ __ ._ - ...________.____~ll_II.___.____
=::_::=~_:.:--_~t:_::~~~-~~en_~:~:__:--=__.. _~=:_.__-.-=:.:..~=W~~~~:=
.._ _ ______ ._________.s:~_. ___ _____!!!..f.___ ....___... ..______________.1'4 J. _g!_.~___________.____..____________________________.____~~!~~r.__ ____
__. ____.___. _ ...___.__~~~--..-----.-JJI;-Z--.----.--.-~.---~-----.-.L~~_... ~_____~ ..._____ .___.___._________..._____________ .__ u_________.~!(:~~_____
_._________._____._~~_ __~_fJ/,. . _ ..... ._~L_l!~._ . ._______...________._______..._...._________.._______.___~~~_ f!-fJ_'--.... ..__
_. ..___.. _~f!..u.._ ..._._&~__Mu'I&~__.____ . . _____u__...____....___. . ...._.__ _ -....____._____._____.__.____u__~'J~..f~____
.~~S;_~l'~_~Jts.ttl:_L4..tJL--n . .....__ft;z./t
a___. ..._--..u-i/fNHIlr/m ._1iUl11.5-IYjJ__._~_._..GI?(f~~~ .=__yl!.~_~~. ~4:____u ____________u__ __ ____....~f.Z?
-..~~-. ____.~~~~!1.______... ..---.---...---- ._____..___ .____._.._____~~~:z~______
._._~_._/P/ft~ltIt~ ~~J'~----{~/L~~"-1-L3-l~--t2l4HI- . u._ ______~_~._~12____.___
______.h..~.... -.~~-e.~~~It-.--~-...aIL~!';'.---$J,am4H~~~........-/~$-~~u~___.~a.~_tf....?~.__._
.. .",!, .~fr$-~ 'i~f~tfl>
kl~_ fl f L~fffl ~___ 1/30, /}i)
lD2..
H2tgnO~t;t:rL~_4 "'.
I ~ 3 e'. JV\,. .~-
. n_ ,_,_,,___,,_ "______._~~~__~_._~~__._,_
.~o..~~
po.ft( $eAuI fl., ~ 'do
___J1s1: of_ -n(JfE(l;filf)~/) __~______ ElL4EJ!!fl~~/-t)S--II>Y'~_
.~___~Jp.3. .i.:~ ~~___._~_.__~__~__.._Y07.I!l__..
____.._ ____~!I~___J!e"i u~_____________ ....____..____. __________.___________~ z'Z:__ // ____
o ,
~---~J:f- ~~---------------- -------.---- . ... /~3:/~_ _
=--:~j--~~ ~~- ~: ;~-~=~-===:~~~-==.=~.~-=-=~~~:__.
________ _~/fJ;/~ /JJ'; ~ ~ f3
/JoT - ....Jit!fI's~~H ~#I (IlM~- su4.__ ~SZJ
I1IlSt _.:!;,.5UJl.. _.___.____._._____~ ~tI; ?Z
~(ffitG~--_----~----~';07.IL--
?
~___. ______________________ _ .. ,2...1../.1 _ _~
A' ~
/TAl. fvA,fer_~3 E.IJJAUL________ J/, '11
~__ ~/f J/b~?-~ '/~3..J/)
L-_m~~~(f"/~ I!.~____________._____ ~i'1~f)()
l______L ~ 3 ___f'. _A1M_____________ f1/~. 7/
______G()I&.~~~_j}~______u________________ ___________ PO, 'I. /7 ___
~____El___E. JM____.___._.____.__._____.___._________!1 ~.!'l_____
if _1iJs~ _______._______________._______---.!io .1 ~_ .u._
~1l1.,J,ulf~-k,~).---~----.--_------~07.IL....--
.__fl uJJlslip____... _~~(f~!_'e~L______________ _________________._m______m_nm______~~~?~ ___ ._
. ~
~___l11lt1f_____7i..~tf4!fJ_____=_1 :J.:j__~~__1ll4#ll_~_____.__.._____._______________ 3~ /J~_____
SeJ-y,'c;e n tl~~=AMf1eM~t.L7i"!~j1~~(J.M_-![j-'ijJ ___
~L.._itL~ _____...._..__.___L2S_._~_IJ1~_. ___nO ..___________..__.__.__________._.n_____~~_~':tt.____
~__ _________ _ __ __ ______n__ _n_ __ __ ___ ___ _ n__ m _ ______ _.._____ _ _ n _ __.________~_~_'.!~_________
~---~I--.JkL~ _____..__________.___..__........_______.____.._ .._ .__..________._n.___.__ _._n____..______...._.__~!t~..~l~_..._____.._.
t
~5...Ltr_.__=_~_~[fr_~~_~_________ ________________________._________ _____u______ _ ___ ~ ~ ,t?o
~____l~ ~u___~__j\'l ~_____n_ .___._______m_.__________~______ n_________.________~~~~__~t..________
----
'I, __f!jJL
----
b'l J!eJt 1J
_1P-' -- ,r:;,fr,
-......--.--.
7/. L;
1A. J/eJ"i
/.J.. -~,
~----~-
7tf, -- ,---- ~----
-.15: _ _.._____~ rr.O
_:& --- ~fJ
77 ____t!.P.~
--~-
11', _______Il ~
----~ ~1'(4tI
.__iD !. ____L!~~
f(; _ ----111JhfJ .
~. __m_.. _.L, ----- ._-
-~~--- 411
-..-- ---------- --.---------..-
-____1!!t... _______ii__
-------~ __.___f.~i_._
.
-----~,'-- ---_.-- - -
f7. &ie
--------- ~---~_. "---- ---. .~---_._--~-- ~
_____~..n _.__._.._.__f!f!_bn.__
fJut51' sekl 11./ ~;J.
__________~________ IF S~__JlF ___J] PI! J:=_I!J__I!!/!ltf__~__~______________________________E-'_~_fi:~a ~!~tJ r"_ -/~~cz_
. ?
_ ___11'-. __--'J._t;. :z:___-=-J~L_~_)llt:Uh1__2f~_____________________________________________ __ ____ ~ ;1 ~ (,0 ____
________ _____ __ _ 10~__ ___ f fJ L - Ct9I&: euJ _____________________________________________________ Y F.. 'I
______ _7&_ ____ ~re;w;l _di$u r,,________________________________________________ ~t).. 9z
~_m___u.. _ L,j~__IJt/iI1tAL ;;ISI~r. IM!________----:___ ;7./9
________ __!l~~ ___~~-Ih ~__/ ~---'i II~~___=_ __l~_ _F;_41~ ff: _ _____-L~2Z.. (')9~_-_
. ?
~ _~ ~J),~f~----------------------- </.3,/0
r.:J: jJfJL - I A.3 E: mati, S~ ,",3, ?~u
9'. lIGI - 123 IF. rn~ Sf: _ ';T3~.7b
,7. fJfJl - t;-Ifr/~ ~/7, ~I!J
AI /fA!- l1Iahr. - /23 E.. ht~ ~ "i/~"-?
...__~9f n_L/~ /ft1ffi,.4/ JnsHr. f;() z/,! .
jot). Yel'iz()n 'I '-13, 70
/'-L Was/i /JMn~~ /J/lIIJ/-W ....iLt'deAf/ ~-ILI'M1I:W
';1' 5alt ~ hllI$'Te pem~J/AL_______ _ '5fl,&~
/~:l- (1, A-h/# tvahr -/2~ E.. ttL4i1LYlI "td,'1i'
1)3. ~~/ ;e./I' SlDrll-f~__________~ "lI3./t:J
_.________fttf.. jJtI1/1IJ~T_.Uf/~.-f-fte_'~~r~9-a~ ~ .
_~____ ...._.___ __/'_~~ ..~-..{ld~-l---------------------- ~'_ SZJ__
_____L/J. ___.-_a~6.AL~_~.s~ -Jiufb.--k-./lJ..~. ~~J:____.!f.jZ,Lf~_
/ ~~~ ________f!Lt~!___~_{g~__6 /J(4fdJ____51:_~_________________________________________5 ~!..!9 ____
____________L!2Z _______ /I a:to - __I ~ 3 __~~__.__St______________~__________________________~______~:7 ~~2 J_
-------------LPL- _______!?;; I- (__=_____rit'!h'l~__f~______________________________________________ _______!:/ / ~_~_!" __
-. . ---jl)~- --f-!-f1-A1~-;Jp ~!'~ --- ------______~ . ... ____________~oz:_I9._
- _ltI2'-_n__I!ItIJy1//ILLM~ ___7iui _&~ _{lp/6.t_~_~~_. _ ._____~3tE...
--______ Jll-. __& .jfll!:._ff/afd=..J23..&.JJ24!tt_?t~ ___: ___~/.1l ;"~n_.
_ _________________J(~~ _____~w<<_ Ifllen___7i?p_!___P.~<J.I-StJ1Llf -__ / ~_a__eL-~it~________~~~___f!o____
p~" :.;; du/ /I. J /JIa ;;,
____. g_~Zcl:!.E~..__nZ~!!!!!!_~?;4!!!/f!._I!__€_._._n__.. ________ _ . _________.__E!l~_~_(Y~._~~:'!.f=_(~~
UU_... nu..1I!J.Lu~!,*f.u~~~_1-e,.n uM uun u__u__u uu_ uun__u ___L~~(O__.
m_____ __.._._____.ll_ t/~___._ ___!!G.4:._._~_13~___ff.._ _ljl~_S.l_.. _______ _ .n_ ._.._.___ . __ _...________~_________~__.___~f(___.2 f_______
____ . ___________IL~_ ______I!e~_f _.n=_/~~LR. ~ JI-.._ j_~.~/
___._________._____li"--~_ ____~e}' ~1ilJ!J:.~___fd&__.J&Ii_ ..-~E--.l2-~.--E-.-.Ift,f:/~--$.b(:r~E-~Z??'.~:------...--------____M._
____ ...________________.___ _IJ{ ~l____SIl!il:L__dZL~ll/~@____~_...~~;f~__Aj---. -___._.._____________.______________.______.._____._
"
_____________._______ ________fLA[F.___.ll~'_..::__t1!L!._~~~t.._f~~___. ... ._._______ _______n________._______ _______~!.~~____._____
# I.
____ .______________________ _.._______________~_____! 2~_~___...__:~T~_I~/i~~n__p!({_________________________.! 30~~~________
__On_un. ____oM_non / ~ I ~ &> ~~~__71!::~___~T!t: ._E~ .-_~~4'~lj_".~~____~_~~______.___
/J ~
_________________ _~_____________. ________(~~q :.__J.I>4!~?!:..~~~~~~_:_J1~~__~€!!!.~______..____~?2_~_~_______.
_ ___n_____~____~1_7~ ._!!IA:~_~__.._(_(!~Ii~r:_._~1._~4_~t'L~~---CPIIP/.'~-L4---__ ~~_s._~.__.._.__
. _jl8'.._u_u~hLU:SPc.~-- _u_W____W_ . _w_u m_mu___..._~!'t 3~_/~u__u
u_uu _. .../1"- wuw~~uJ~/{~4~-_-----un-u ._____n.____J~/~___..
~
____ _.____ _____ ..... _~~p ~.._~~"!:!:.__ ____(;r;(f~~~.4!1____ _ _...._______________________ _.. _______u________ _____ ______~~_ S~__!I
/1./# ;JI1I-L ~~/f-tl~ Ill'. ~/Z ,,~
__ __ __~__..,___ ,_.__.__,__..._..__.~___.._ ,_~____.,.__.__.___'~'_n..__.~,.~_._~_____~___..._,,_."__"_'__~_r.~____"'_'__~,_____,~,", _..~.___.__..._____.._"__.,..~_____.~_>._.......__ .._,~_ _.~___.<____..._..._.~_.,~.~.~___~__._.~_________.._______._~~..___......--._____ ~._~
_____________.____!J...~_ .--.______'i~__~_~.bJ6L~--.-..------------.-._...-._-_.__.....__________.__.. ____________.___..___y~~~__._.
.....~_~._~=-;:.......~~=~:~.._;;;~;L~~~..~._~;~..li-=-_~r~-~=
_____.__________._ ____~____. _____1Jk.t!#t!!~ ~__~~___Ja4_~_ _ ___ __ _.... ____ __.____..._..__ ______ ____________.. ~~#_ ~_._
- -- --- .------- u_ _ _ _____~~L-----~(--J~~~~ "'_u__.______ .__.________ ....__...._ .___ _______.__ __________..________.._l_1f 3..~_I!!..______
J~" _tJ~f{ - Gt)//;;/~ IJr. ~/~,IlZ
_..__..___.._______._I~_Z_ _ ~~_~ ___ ?l~_ _12t.,?/t!~1f.__ -::.._?!? _ !{€~~€ _ t?~_ _7?~__~_ ___ _ ___ _ _
-- - ----------.. - .--------- - _f!~!!~_!J/_____ _ . .. _ _ __.. ____________________. _ _________ __________ _ _______._. ___ ___~~r~ ______
..lRt.__.___rJl!:SJ!Al._&lf€!/'[~..~__7R._____~~~!!-?__'?~_r___ ..el!f~!~~__E!Y!/!!__L~________ _.___.___.._.._____._.____
STR.!-h1. uTP_'iL1AtJ.!'/oj /I- r.~HItZA-lUJS7P_. fJFilE'-7Ii!./!'.";&nm?._u_.. _u .
___n______n_ftt.!~_____PP..[eN_!2#u..f.ft..~_~J!..,4s ef(S___~_.~ _~f2~/=.iI/ € ~ ~~.~~._fJ1!______
I z.~, Ljb~ 111~4.eL.7;ll.I+r:. ~I/ 3. .z3
p~ l.J Fdd 1/;/ enI:/.
__"'_ ....._..._..__...._ _@_~~E...._.7i~L€.7J;_.&!I!.4f!!._~. .._..........._..____ __........._ .._.._____.E{~..~~.?_~""!!F~~.fL~-.--
_ _____L;3f2~ I!iJAd~/)f//~r_~ ~.....'!!g!-Ht:L<<;z~6L~1.-~':.#..-~.---..--.-
..' .__. _. ..........___.....______... ..' ~'fdLl.-_-MkX.... ___.__ _..... ....~.__..__... ......__._...._.. .___ ....._.._.._._....._._.__....._.. _...._.. _........_ _. _._..____.__.__.._._.___f~. J1 L; ____._.
.........._._ ..L3.L___~~p,)Lci__-:::.lirL /J1VIIf~/':L~~~-~!L~-- -. __n13h~.f" ..... u
mm..___ -' ;; ~'- -~lhL2;(~14f~---....---n-----------.---....---- __1'L4jtJ___.
...___....__'-~_.l.. .. ._l2RA___I)()j'Ilt~.~ .~~..IJt!!~I'I.!!! -::Nf.~A1t~.~__~.____._______....____...__.__....
---..----;2uJ.JJJ..-d'ttAJfl5"lc _n.._m_ ________ ..___nu_______....___~~~._
____._____ .._____.LJ. 1,....__ ....I!~t,f~_Ai.. GI!L{yI~....I)~!..._.... '"''_.''".''' ..... ...._._ .._____.... .,_____.._.._ ____.__,._._..._..___.._____,_'UZ~.~?!___._.__
__ ._. .__1 :3~~_ ZiJtl/l!f~.fJj!!lIV_~/.,~--IiL.J;X k~L_f2i/le-aL6R.IM~----------..-
____.___..__ .,._,._ __. ~ ~__i~~__.._________..._________....___..____. __..___.._.._.. ..........___.____.,.....____...___. _..____.__....___......____~lf~_~~..._._____
._ -------13~-L1.Mrt.-If1Mwd. _.:;lfl..JUll__ - __ _____ - ... - - __ _~/L3'Y.n .......
__ _ ..... .. _ 13_ .__f)~lL~bj'!tIur -::-:kfllA;f--/IJ1IJJm'6<l:::.-11Jit-fJeClJlJdJfuL-kk----;-----
___ _____~__._____ .--M-.-4&t,..., _dJ.ttllr~:kl'.....--. --....-- ,..-....---- . - .--.---.- . _u..._.._._ ._,_____.. _u___......_,__.._.._______l~P..~_~"!...____
__ __u_ __ .LJ.f.. _.!J/".1J.keri/~'0I1 Bi!,d_ tJzll1'!!. i $~/o!'__Ii.cAud{_#!'l4v-_ ~,,_ '- ___ __.. __u_
.____________..______ .....~P?Lt2f___~lt!~l~--.---..-..,---.--,-.. ..__.____......_._ ,_____u________._.....___._.________.~_1'!.._~~~_.. .____
__..{~ Z_ _.. 6?eLm_dH f'~~~__,{14!td~~ ._,~ __I6L~.._.._~_.._~ r___..... ____________ _.___, '_'M__"_
-----~--- f2!wl~~Il!es;... ~~6P:~ /Jf4J;~~J1-"''K-~f4~-~~-..~~.~fJ.--.
__, L'i!!~, _.._/111...'01 ..j--'1}g_/MttL__~_....{!A4_~~~_.._.~___S,f~_~~ __IlL____-!i!:-.-P.~~.4.,---_-.....-..-.--------_
-- ......--. __P._~?Zl~=__&~/&.$.ktYL_k___Tl!.~ ~~6-~-~/fh.~7---~-
...._ .______._..__ _____.__.. _~u/'./-re-;:.-. ....._ ..............._._.... _...____... ...... _... '..u...'.__ ..... .,___" _.... u'" .....,,_..,...._.. ....__.........._., ____'___'__"'___" ______ ..._._____...____,__!..~_~~1!..._ ____
..______________. ..i_tt.~- ..._,;Ji!2et...___&" d{&l(/.;._._tl~/f_ !i!!!~1<.6~-;;t!tf2--d..~__..L~!I~_/J1fl/;rd~_ _Z~~_<2_~_.
_.. ______ ,... .._,_,....l~!:....: 4-tt?.~1$: .(}lM1J:/~'2~!!-1/7!:ld1~#h~"!___~.. ,~_._..f~,!Jf__&~~At~W_...._.u_.._,_.. ....._.__,_____
_.______ .___ .._____...______ _ &~.#_ .__.._.,_,.......____... .....______.. ... ....____ .___,_._____'-_..., ...,_._...._,. _.....__ __.._ ...,___..____ ._.... __._....__ ..__u__~J~!?_..lf___..
. -..-------... ,.----.--J'i~-, '. ....~ly!..i!l!afe .._r;AlIl1;~2..l!!lIJfl/ll1slJch'"n____~_~JL..... ~-..~.}/P.l'IJl'k,IJ-~___,~~_!..'-_.._ -'__
_'_ On' ..___, .Gc~MM4M,- .Stt?d<.
""""".""1 * · SCHEDULE I
COMMONWE~LTHOFPENNSYLVANIA DEBTS OF DECEDENT,
INH~~;~~~i 6:2E~~~~RN MORTGAGE LIABILITIES & LIENS
ESTATE OF TI PP r= IT; f(PJIl/H,/) E:. FILE NUMBER
:U..OS-Ib~l/
Include unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION
1.
AMOUNT
I.
3~
Jf.
$",
~;
7..
L;feh'me Se,rVic.t..5 ~e.rtt:lt,rt.J r~: e.sfa.t~ p14111li~ ~ prl-P.
ef. wi 1/ I h&/J.'t. (!AU I Jtt t.eh' fl3J J e:!G. ~ 0 e.J.o bir GMr1
NOlltlMb..ey" ~os pr/tJr fD aI.f).d. .i, Ch4,r/~S E.
Sh ;e,lds 1if~ Fst.
u.s. -rreasury -fr,r U.J. Il'leowaL TA.fC IDtf~ /(efz."rn
I'Q. ik,at. 'f iI~en.ue ~r jJ/1~~ /?erurn
U . S. -rrtAS I.l ry lor a.J 01 " f> .# n .../ 1J;rY10 lkYl towed on I P'/o
I3AlaACt- r1u~ ~PJ G/JIJ<!, ~ est-ok IJU;rff4?e
~.I//tJ.. /).3~ '373 qLl2
(s~e ~py d NA!I.'r $WeJ//eAt d4c&d ).
CIeuJ(s dralJ)/I DIf memJ.rs n/st Cltuk'1 ~Ultt bdo/'e.
dak "f tludh ItJh'Ch (!/t!4~t/ /llle! tWf purl /1.f-kr d~ t:f
du/f, I fluts /1IJI/llu"1/ 6W1 ref!~ hi Itfe ~
~W11 hi s-dtetl, E:
a) eki~, Ifl? -~/)/lft, /ltdftfe /JIp. ;/Ay'AVA1
6) tbit M, '1~{) - t/eI'/ UI1
CJ,uJ<:r dNtI)n eV1 A€tu C~/7 ~tutt /Jd"H. dJi "f
Ju.f{ wh,'cJ, c/eo/'tr/ ~ WeJt, ;7W1 alkr ~ ~I dealt~
fW.ts ItDf M-v'1! bet.l1 reffuhd ;'1 ilL YtUu~5 .s1uJed11 M1
ScItuI E;
0.) chtIt. /IJJ. (,5'ftJ rn us se1mo1t; Fu,nua{ HDlHe
(PS1 TilHDfhy Cla.".", /If,/).
{q Sg SUS~. :r;.t. h1ec/.
lPsCf r=ICG A-$soe,.
Chllst /JlasterC().rd (ehIJ.r:ft$ for Pt-e.sc,.lrPhDI1 brk1& d
R ;fe -I+,'d)
~ ~9:J.,S()
~
lI, fD 3 7. tJo
~8.31. ()t:)
Jl37.:l. 71:}
~
(,.1 7 71!>, 77
~ S3 s, I)!
~ -;;s. 7/
~ 5, If)(g. /)0
"
,2, 3 SO.. 00
J I 'S 0 f. ()O
,: 10 s. fJO
,
:lJ l' ~ s. 9"
F-
TOTAL (Also enter on line 10, Recapitulation) $ {, 1, 1.{99, JJ
(If more space is needed, insert additional sheets of the same size)
<J '" a
~~
sc1tetJ -r. J Cnlt 'd.
'~__"__'~_'___'__ ._!f$1;__~f_-.!_1~f E_!Z_~A!~_.__r;::__...__._________~___._._._____._________~/ - tJS- -/ Otf~ .__
..._____~~_______._'!. _~~~~J _L_.~~t___~~.r~'_'_~~_ . ________..._____..._._..__.__~__....__.._.__~"'~_~~______
____.__________..___._i!?-:_ ___&~__~~~'_~ ~io/t------4J1.J.u (t.~ n/i.__..____.._.___.._..___________________~ z s: ~~_
..._.______.___.____-'L!___ ----fn.fll!~~---~ 1__~/lp..ItL_____t1!lI1~________.__ .____.._______._....___.________.____.______________lJfR_I?~~~-_.--
_~ ~ __~__Jz_ __Jl~Lb-.l~--6'R ~[~i.~_---~---- ____________________~~..!L~~7 _
__o.._..__.._____.___'-3"'-.___._...fjJ~t~/A~-hL(;.LerJA~dI.t-.-........f~A~_j~L-oG~~--.-.t:t!:--A"-~A~ _____..________._.___
~
_______________ ___.____Lf3./ /0 'df-L.AHL:./A..!:bl!!...----!t /L~~~~~l!ff.~o ~~.-__._..o______..__._._____.._.__~~4. 7~.__
~___m__~l'f._l1!f.slJ'~__&~l"flj. ____ ______ _m~~ __~____ ~ __ _____ __ _ _ ___ __ _~4'O.~~ _ ___
___~____ _____/5: __ _~!t._/JkJMt{__-------_ ____ ___~____________~__________; ""'..S1',-___
__ ___~_ _..I ~__ __;Ol!~lH'--_trt!/.d;__a 1/ IfbrJffi?1f( /6/t1re.J)I./'Jt 11!t-14-A S1J.~__~_
___~__[l__ Ji!1JPJfkAt__ .r hl4_1L~---~-- ___~___~_ _ _ ____~ ___~_______~L/.1 ~~~ ___
If. I(EG/srBl. ~F N/t.Lb AI!. /J1~AJI8 ~A)e1) ~AJ ~
__~...._. .....__-_-0..--_---..--- _.-._._,_ . ...__.... . . _.___.__._0..._______.._.._.__._.___._...___._______._..0____on.._
__7li~___~f_~Lflf!'j_€lf~__~~_ _ZW~ E577f 7l;"' &>F...K;!f!!l-::__.
t'<yAJ 77,tJ//E -rr LJECYi7I$t$. et{ /J1 i3B2LJI-AJA CeliAJ7y
_.__..._.__...____. __..... ____ 0._'___'----. _."__' ----..--.----....--..--;1'--.-.....--.-.--........------....0.-----. -/--..---0--------.-00-. '____'0. .....___...._.__.. .____..__ 0 _______.. ___ _______... .._0____._
._____o_._____o.___.____.__.!?t:)~f r___ff!!~_o_._?L:_f2_fl_~12qJf"-.__L_.._._~~E___l~__!!!~~/)____..._______0._0__
._ _0_" ........._...._ __ .__00.__ .....ltl!ff_li!!FAlo_o t?!!!!2......... _tfr......@tf.#:..~__.~_o..___?]!!~€~__!2~~A(~.._...__.__~____._.
.____0__.______._0____..___ _..Rt5__LLE~77...'!1~____!f /t~ ._._II~_....._.;;tg!io___~?k._..._Zl?._e~~___._._..o.__________
__.______._.____...0_.___ ..ItJII/i..._._~~ .._o._s.e......!E..~1!{~C___.~_.__t{~o({.....~ 0:_~~_.._._
. .....0_._.........._._.________..._.._ ...~_.ol1f:$~.... ..4~~..l2e7?!-t]___.._~&((~~A/!/~~~_o~(!:){..ot!t!r
._....___..._...___......... _..._____ .._(LE_.IlEf' ~/{t!_~..___t((tf_......_&r~l!!.. _??l..~/fIJ:1!!..4--~Ifl_ff2_______.........__..._....._____..o_.
_.___On__._O_ _____._.._._.___!l!!/L__._1Ji~. _L/J!IL€lI... ...T/f~_.._~Zl(&![__4!i(C!It.....o~(f_~______o 'n__."____'''_,
..... __._'."_'_ ...__________..___ _._._J._~_!!_~ AilX.___o~/lLo___E{f:_~__.____.........o .0__._.
_O_......o......__.o___m__ .. ...-o(t1) ./{~~~~_1ft!!_2Eo ...o!!!.~~.~d_4IdL[.t~/j~!Jg.
($) II II "..._o_...EI~l~~._.tli.~.._ _ .0__..__
_{~_J_ I. ,. II 7N1f.1i1l TA)t
__ .__. 0_."_' _.._____o~tP~_ep
'0_0. ._._._0____ _ .~!.~!!l?
~ ~Cf9, 23
I 'I, ~rrIS/cR.. 9F LDJl.L5FT;1e. lJ.,{pN./~_~t;t.!@.o_f?~..!tIC._o....
.._./lJ.ilQf./ TI!:..A!4:F;.__.. -r~_ .~~1JfteN leG.. V, 4!~_Il..F;JY 1;:.
-.
.; .' .
fI(~~tYo
~
~ 9s,z _?~_~
JT
~'Ol~
~ dl)
..;;7c.)tJ# _
~ St) . f)f)
, ~
{OMER INtQRAflON
,me:,ONALD E. TIPPETT
Account Number: ' 0306373442
Home Phone #: (717)732-1126
PROPERTY ADDRESS
3800 GOLFVIEW DR
MECHANICSBU PA 17055
GMAC Mortgage
Visit us at www.gmacmortgage.com for
account information or to apply on-line.
860S01 08'1I1OS 10,15 0006842 20051206 EL048102 OMREO 1 OZ DOM EL04810000. 146316 OM
For information about your existing account.
please call: (800) 766-4622.
IBWNHJPY
#KW04297G77632#
111.111...111....1.1.11.....1.1..1.11..1...1.111...11.....11.1
RONALD E. TIPPETl"
3800 GOLFVIEW DR
MECHANICSBU PA 17050-2282
For information about refinancing or obtaining
a new loan. please call:
Nationwide. 24 hours (800) 753-4622
Or to find a branch near you (800) 888-4622
fM..~.~
. '::
~.
Please verify your mailing address, borrower and co-borrower information, Make necessary corrections on this portion of the statement, detach,and mail to address listed for Inquiries on the reverse side,
:. . '. "~:~~CD7~11.ltli;:~~;Y~~,{~'J.;":~'\":-1:{~:;' .~
0306373442
,,' "i):r::'l~-:iji:~:7)~:j;;"';'YoJifl'-;::~ ~l7:;r:.:;f/0';"iI1ut: i . .
..",.....'~;".,...,~....... ,- '~~"'-'f''''''~'''n..._.,.,.J~'''~~~JO.-!lt~~ '" .~ 1 1.
Account NUllber
Principal and Interest
SUbsidy/Buydown
Escrow
Accidental Death Ins
Amount Past Due
Outstanding late Charges
Other
Total Amount Due
Account Due Date
CurrentState.ent Date
December 01, 2005
Maturity Date
September 01, 2007
7.75000
Interest Rate
Current Principal Balance*
$6,770.77
$382.93
$673.64
$1,390.57
Current Escrow Balance
Interest Paid Year-to-Date
Taxes Paid Year-to-Date
For Customer Care inquiries call: 1-800-766-4622
For Insurance inquiries call: 1-800-256-9962
,. ,/'1\- \ \ 0
lIY"' \~~
\!l-\~
Account Activiqr :Since .last Statement
Description Due Date Iran. Date Iran. Total Principal Interest Escrow Add'l Products late Charge Other
Payment 12/01/05 11/21/05 $535.01 $302.60 $45.68 $182.78 $3.95
"'This is your Prine ipal Balanl e only, no the amount n quired to lf~ he loan in full. For payoff f!~ ures and maili 9 instructiom , call the
Customer Care nun~ber above or you ma obtain neces i:iary payo f Ig IJres through 0 IJr automated ystem (24 hou s a day, 7 dal s a week).
See back for automatic payment sign-up infonnation and other payment options.
b9ortamBe~ ,
Happy Holidays! Your Annual Loan Statement (Form 1098) information will be mailed with your
mortgage account statement in January to the address above. In addition, you can obtain
year-end tax information at www.gmacmortgage.com as early as 1/4/2006.
Our office hours for customer service and payment processing on Saturday, 12131/2005 will be 9:00AM _
1 :OOPM CT. Payments received after 1 :OOPM CT on 12/31 will be posted in 2006 for tax purposes.
See Reverse Side For Important Information