HomeMy WebLinkAbout09-21-07 (2)
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15056051058
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
Jt 07
o g (Cf
Date of Birth
I q If - a ex - <t t/-3s
~/~J JD'7
Suffix
r::LJ 8' / /9 3 /P
Decedent's First Name
MI
Decedent's Last Name
.J-Jw 1/
H.-s',
Bttr- J,.JtU-tt.
K
(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
_ 1, Original Return
c=:i
4. Limited Estate
C)
3. Remainder Return (date of death
prior to 12-13-62)
5. Federal Estate Tax Return Required
c::l
2. Supplemental Return
CJ-
~
CJ 4a, Future Interest Compromise (date of
death after 12-12-62)
(=~, 7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
c=:i 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
6, Total Number of Safe Deposit Boxes
~
1)onn~
I'~I\
51~4
E ybS Br-I d~ (
ROCA.d
~ 11 - 3c2.9 - 'l.,Lf-C1 g
o g
REGISTE~t.'!YILLS USE-eNLY
~c: ::D (/)
) '0 rrl
-:c(~ -u
-i>r-
";.om N
~~~n~
Firm Name (If Applicable)
First line of address
City or Post Office
ZIP Code
S~ j~=)
~~ 11
:iJ
",-I
j~~
DATE FILED
::P-~
::n::
Second line of address
1..0
..
State
N
-.J
fv\ech.lu11 C.S bu V3 PAllO S' 0
Correspondent's e-mail address: donnCtm q LJ./ @ (1.0/. LfJYYl,
Under penalties of perjury, I declare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is e, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIG
4L-L tLLu.'\J\..L..
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
DATE
ADDRESS
PLEASE USE ORIGINAL FORM ONLY
Side 1
L
15056051058
15056051058
--.J~
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..
--'
15056052059
REV-1500 EX
Decedent's Name:
B ~ kQ~_~_J~____~_.u.__.~_~_~.
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:=J Separate Billing Requested . . . . . .. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) <=> 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 Subject to 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 .0_
16. Amount of Line 14 taxable
at lineal rate X.O -=tS 3 tJ.. 3 q I 3
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
15.
16.
17.
18.
19. TAX DUE.... ...... ... ..... ........ ...... ... ....... ...... .. .... ... 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
L
15056052059
Side 2
Decedent's Social Security Number
I q LJ ~ 8" g i.f 3S
15"" 4- .B '7 D
5y I '66
I 5", ~ SO
/ L/-o I c'io
g to L( LfLf ()
18. Lf4-0
cgOg7
;?o5~7
3LJ.3QJ3
34:'
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1547(P
J S-47IP
15056052059
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REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENTS NAME
13, l"'c ClYCL- K II
STREET ADDRESS
b/3 4~ ErbS I~OCLCj
File Number
DECEDENTS SOCIAL SECURITY NUMBER
q tf ~ g 8'lf3.S-
CITY
Ie s bur-t
ZIP
/70 S-O
Tax Payments and Credits:
1. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1)
154-7(P
<6/tf.5"O
Total Credits (A + B + C ) (2)
tIS
3. Interest/Penalty if applicable
D. Interest
E. Penalty
o
Total Interest/Penalty ( D + E ) (3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5)
/L/(P(P1
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(5A)
(5B)
J4-(P/Pj
A. Enter the interest on the tax 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 13'
b. retain the right to designate who shall use the property transferred or its income; ............................................ D [S]
c. retain a reversionary interest; or.......................................................................................................................... D E;J
d. receive the promise for life of either payments. benefits or care? ...................................................................... D 1J
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. D ~
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. D I2d
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ ~ 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 P.S. ~9116 (a) (1.1) (i)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exempt 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. ~9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1502 EX+ (6-98.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
leNIDULI A
REAL ESTATE
ESTATE OF . FILE NUMBER 9 t::il
b Od--- b ctv-o...... l( -W-u \ \ A001- 00 1-.
All real property owned solely or as a tenant In common ITIISt be reportlcl at fair market value. Fair market value is defined as the price at which property would be
exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts.
R.I property which is jol~1cI with right of survivorship lftIat be disclosed on SchIcIule F.
DESCRIPTION
ITEM
NUMBER
1.
E s ~ -k. t\. +- 5 I ~'1 t: r b ~ B yo lei S e.
f\.Ar( c ~(ln l C So bu V- J P e.-f\Vt &,--\ I V t\.. (\ I 0-.. )
o L0 Y\ -t' d so \ e \ '-I b ~ C\ e ce_d ~Y\ i)
'1)0 \J V t'-l u.-c. b~s ~ c1 6 n 'r~ Ce "" +-
Q:. Y" eo.... Sa. \.(' <;. -p n c..a.- C.0YY'-(J CA..~ ( s.o n
l<e~ \
'12.0 ltC\
s '^ e e -\- cA:4-\-CLCJ'""l e_d .
VALUE AT DATE
OF DEATH
#J54-,3'1D
TOTAL (Also enter on line 1, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
154- 310
,
REV-1503 EX+ (6-98*
COMMONVIIEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHIDULI B
STOCKS & BONDS
ESTATE OF B .
4 6vy-b~ t- l-t-u, I I
ITEM.
NUMBER
1.
;)...
3.
4.
10.
1.
1.
b.
All property Jolntly-owntd with right of lurvlvol'llhlp must be dls~losed on Schedule F.
DESCRIPTION
a. 05 5 h.a.re S ~ A l cc~ -h-I ~. L u.c. t"(\ t @ ~ , 3.9 1
I 0 0 ~ka..U-\ "'{J A v~ ' I tl c.. G ~ /1, 0 I
5:3'-1 ,.,L..... ..1 ~$ 0 S-
~~ i) Um~C<<up Q do.J02
1!Jl> ~ ~ Mdlif /ne-G 4fotJ.13
I DO ~r-i. '? 4 N c 1<.. (~)Y' P (9 $ 5 ~, I J
1"'7/ <sMr.e~ ~ A-TafT Ine- e 3Q,{pl
0,0, (pq', Shtt~-f8 i John I-/-tLn ClJcAt:
1f\+e.rf1tL-h(fYlti) C6Y~ A FUhd e
'$ t..f 7. Lf J-
~ Lf q. ~ J 4 ~ S (}.-b V ~ot T(}:+tt.A
S -tv c k- AA llA k0+ I tLolut FIA.-Kt1 @13, .q /
FILE NUMBER
VALUE AT DATE
OF DEATH
,;()ZIoY
lJ'1 0 ()
15 (Jlq
1
q~ 10
)
5~1 1
)
&'1 ~'73
Lf 36 J
I
qt20:L
TOTAL (Also enter on line 2, Recapitulation) $
(If more space Is needed, insert additional sheets of the same size)
5479{)
REV-15G8 EX+ (6-98) .
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHIDULI I
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
l3ttyb tt,ytL k:. J-l-u II
-
FILE NUMBER
Include the proceeds of litigation and the date the proceeds were l'eceived by the estate.
All property jointly-ownecl with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER DESCRIPTION
M q.- T 'BtlA\.lc, eh~ck:.-l~ ttC{ OLt"'+ #. 44/'/p!zas
.2.. . Me fY\ blJ' S I s I- F:ede y-,.J C Y" ed-I + LA 11-'-0 Y)
~ClV' VI ~.s. A teo un-.f # I ~ 0 {p J(~
CS 0.. V I Yl [j j 4t..LOtA..n + #: I to g q;l S'
VALUE AT DATE
OF DEATH
" /530
}
0. 3J;J..
I
703
3
~t?o 3 B LlI CJL C ~ nfu/r11 k fIt '1 I3Lu.L
, T~1)D iL V A I (,(t'..
1 '705
'Jt)TAL (Also enter on line 5, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
/5 ;:;S()
REV-1510 EX+ (6-98.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
ESTATE OF
FILE NUMBER
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.
DESCRIPTION OF PROPERTY
ITEM INamE lHE NAME OF lHE lRANSFEREE, lHElIl RElAllONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NUMBER lHE DAlE OF lRANSFER. AlTACH A CCPY OF lHE DEED FOR REAl. ESTAlE. VALUE OF ASSET INTEREST (IF APPLICAIllEl VALUE
1. IRA A c co t.l n -+ -t!- q q ~ g ~ ~ 7 qt1 S- gS5~4 /OD~ ~~5~
i.f c/ht/ d r-e Y\ hM1 t F~ LLIt rl" S I
{J,X ~
d, I f<.A It C <~/d);L 1'\ + .-tJ= q q '3 '7 3 ;:)..:;:1 '} 8 f
4 cAu.. { ~L Y.fA") AI'" -<- b-t/Y1 e 'h ~_l et~U-1 9f. Lf g{,p jdlJ % .5 if, if
I
,
.
TOTAL (Also enter on line 7 Recapitulation) $ J+O 04--0
.. I
-'I
8~
(If more space IS needed, Insert additional sheets of the same Size)
REV-1511 EX+ (12-99)_
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Bet r [-)(A t- CL J( 1-kt I J
FILE NUMBER
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
B.
1.
DESCRIPTION
1.
FUNERAL EXPENSES:
Musse Jt""-ctH F,.Ahet---u...../ I-I-vmc Svc s
grt\.v't'_ Of€-J'l/l1j I mOr.J-, CfQr1 ser- VIU S"
e i'Y\ b.\. I m I t'lj JC.-t\. c{ +r-ClA'\, c:; PPl-- M .J-1.l~
a I'\.d. CC<.S ILL 1- _
)
f fowej.-f
AMOUNT
fL;t '3 ~cg.
I} fc q9
OlOO
~ ~-Gl
'3 S-OO
387
We r:;)- S ho r e E IIL~ \V",J:_~
St.. UGu.-ls lu.+hev-n Chu..vch - pasforctnclc7ftl1',st
ADMINISTRATIVE COSTS: fee S
Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City
. State
Zip
Year(s) Commission Paid:
2.
Attorney Fees
3.
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Don Ha. J+u II
Street Address 5/~ LJ E .... b ~
City !LAe.( hall I L ~ hu r~
Relationship of Claimant to Decedent
)'?:> y- I d Vf- I?- 0 0-- d .
State PA .Zip I~ OS-O
oIcLl{'~) h l-e-r.
4.
Probate Fees
5.
Accountant's Fees
6.
Tax Return Preparer's Fees
7.
~l~
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
/.), 4-+ 0.00
REV-1512 EX+ (12-03)
.
SCHIDULI I
DEBTS OF DECEDENT,
MORTGAGE UABIUTIES, & UENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
FILE NUMBER
ITEM
NUMBER
1.
-
Report debts InculTld by the dec:edent prior to death which remained unpaid as of the date 01 death, Indudln; unrelmbursed medical expenell.
VALUE AT DATE
OF DEATH
M~T
DESCRIPTION
6cu\L.J+ome t-~LA'I~
A c.c + fd-, I 5 Y. r;;l/7 [)
LI Y\L 0 r Crecf, +
s- '-/- ~ 0
, ,I C .J n ,/1 S
J. ' F, net I C j--~d ,1'" a. JrtIL loJ
Bon Ton
VI<)A
BoscC!V
{p:L
qS-
/q
"3
C- h e (k:.. id: q dO b w Y ,.J.J..u, be k>v- e. dett- +h
b U + G-Ieo.-re d t'-. -F-hw (V d S
Iq~
if.
u ./--11, ~ bd Iso.. h cJ.... r i' <t / e S k-le.
kv- ~ - MOW;l'tjl -hro..~h ~
D~ Ie ( h-t 'c. I We\. kv I (), I
n -l-u - _ eak..~ IL, Cx1A- S -J- 02.. DO I
J /rope Y. . ~O I fA)(c" g. ,....,.--=- f"flA U
elf. pen ~S
~~ b,"I,
q4:7
1~1'l
6.
TOTAL (Also enter on line 10, Recapitulation) $
(If more space is needed, insert additional sheets of the same size)
8 6 g'7
REV-1513 EJ(+ (9-00)
ESTATE OF
*'
SCHEDULE J
BENEFICIARIES
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
5cu- bet ~ k J-J-u. II
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 (a) (1.2)]
Ma~L 'S. ++u II
3 .;l q IC, c h Va. JJ -<<t Rtf...
(O--~/,s/e PA
S I 3. L/ /:;.- r h s t3A..t rI.-:r-
ft.,U. c h.tv11 C s bv rtj PA
RELATIONSHIP TO DECEDENT
Do Not List Trustee(s)
son
~hky-
3.
Ptt. -h--I C L Cl 1+. ~ l.tt IYl Ct-n
~ tj YUj ~ C/o ~ C. r. ott1.U..OxJvkr
La..r/IS/{, PA . . ()
FILE NUMBER
AMOUNT OR SHARE
OF ESTATE
.;Js'lo
:?. ~ 10
~S-%
~S-%
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
A
b>onYltl. M. ~ II
Lf
WI II,titn P. J..J...u / I
/;J?K' 'AI. L,sbv~" R4
/Vte ( ItP...n L (' ~ bt/ ro P4
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
$,011
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
LAST WILL AND TESTAMENT
OF
,BARBARA K. HULL
I, BARBARA K. HULL of Hampden Township, ,Cumberland County,
Pennsylvania, ,declare 'this to be 'my Last Wil~ and Testament,
herebY. revoki~g any will previously made by me"
I - I direct the payment of all my just debts and
funeral expenses out of my estate 'as soon aS,may be practical
after my death;
II - I devise and bequeath 'all of my automobiles and
all other articles 'of personal or household use, ,including house-
hold, goods, ,furniture and personal effects, to my children, Mark,
Donna, ,Patricia and William, to be 'divided amo~g them as they may
!lgree,' ,or, ,in the 'absence 'of agreement or if any of them is under
the '!lge of 21 years, ,as my executor may think appropriate provide
that articles which 'my executor considers unsuitable for my child-
ren may be sold and the p~oceeds thereof added to my residuary
esta-te. My executor may, :without further responsibility, dis-
tribute property passing to a minor under this paragraph to the
minor or to any person to hold for the minor. Should any of my
said children not be 'liv~g at the 'time of distribution, then his
or her beques't contained in this paragraph only shall lapse.
III - I devise and bequeath all the rest, ,residue and
remainder of my estate of whatever nature and wheresoever situate
unto Dauphin Deposit Trost Company, Harrisburg, ,Pennsylvania,
Trustee under a Trust Agreement dated the --;17'# day of May, 1976,
between myself as 'settlor and said bank as 'trustee, ,to which
Custom Report
rage 1 OI 1
Full Report
B
)
ASTER
District 10
PareellD 10191602022
Property Addr 5134 ERBS BRIDGE RD
City State Zip MECHANICSBURG PA 17050 2432
Owner Dis Ia RICHARD J & BARBARA K HULL
PROPERTY AND OWNER INFORMATION
Plat Image Property Type
are of Name Land Use Code
chhol District 4 Land Description
Neigborhood 1000 Lot Condo Unit 10
Census Tract 113.05 Latitude
Census Blk G 6 Lon itude
SSESSMENT VALUES
nd Value $35,000.00
otal Value $137,560.00
trRANSFER (SALE) HISTORY
BUILDING CHARACTERISTICS
ear Built
EffYear Built
iving Area SF
Ivlng Area Factor
Living Area Total
Limitin Factors
1960
1960
1689
59.15
99904
Owner Name
Mail Addr
Mall Addr2
Subdivision
House Number
HULL, RICHARD J & BARBARA K
5134 ERBS BRIDGE ROAD
MECHANICS BURG PA 17050
5134
R RESIDENTIAL BUILDING
101 RESIDENTIAL 1 FAMILY
LOT 1
L-D001
40.249214
76.975145
Building Value
Clean And Green
$102,560.00
Deeded Acres
Stories
Dwelling Type
Sewer Type
Road Type
Water Source
0.35
1
DETACH
PUBLIC
PAVED
PUBLIC
http://cpml.fnismls.comIParagon/Tax/Reports/CustomReport.aspx?taxid=2627 4&reportid= ... 6/28/2007
{Juick pnnt - :Spreadsheet
Page 1 ot 1
liST
PRICE:
SOLD
PRICE:
HIGH LOW AVERAGE MEDIAN TOTAL PRICE LISTING COUI\
$259,900 $121,900 $169,062 $157,700 $1,352,500
$250,000 $122,000 $168,037 $161,000 $1,344,300
Picture MLS # Class Type Area Price Address City State Status
1 10113643 Residential/Farm Detached 6 $122000 5020 ERBS BRIDGE Mechanicsburg PA Sold
, ROAD
$130 000 5042 ERBS BRIDGE
, ROAD
$149,900 5104 Erbs Bridge Rd
$152 000 5112 Erbs Bridge
, Road
$170,000=: Erbs Bridge Mechanicsburg PA
$180,5005142 Erbs Bridge Rd Mechanicsburg PA
$189,900~~8 Erbs Bridge Mechanicsburg PA
10144787 Residential/Farm Detached 6 $250,000:~~ Erbs Bridge Mechanicsburg PA Sold
Disclaimer
Information provided is deemed reliable but not guaranteed.
6
10107497 Residential/Farm Detached 6
10133464 Residential/Farm Detached 6
10093615 Residential/Farm Detached 6
1
6
3
1
1
10101274 Residential/Farm Detached 6
10087588 Residential/Farm Detached 6
10130500 Residential/Farm Detached 6
6
160k
OVV+
IV-1
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Dow'" 2.09% Nasdaq.... 2.510/0
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Alcatel-Lucent (ALU)
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Historical Prices
SET DATE RANGE
Start Date: I~U~H.l~.~...........: .I~.Q~!........': ~~o~an 1,
End Date: 1~~~...1~.1............1~~!..........
ilt.\IIiJ;*~
PRICES
Date
Open
Close
High
Low
Saturday, August 4,2007, 9:12AM ET - U.S
Symbol Lookup
Finance Search
On Aug 3: 11.37 ...
Get Hi.toricel Prices for: I.. .. _ . _ . :::~I
~: Daily
r Weekly
C Monthly
('. Dividends Only
First I Prev I Next I Last
Volume
Adj
Close*
21-Jun-07
14.04
13.90
13.99 6,835,400
13.99
13.98
* Close price adjusted for dividends and splits.
First I Prev I Next I Last
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8/4/2007
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11;~~r..sYm~I(~).... .......... tiM,..;.J Symbol Lookup
Avaya Inc. (AV)
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~ Fidelity
Historical Prices
SET DATE RANGE
Start Date: 1~~~u;mlI?1...........; I~~!...,.....: igo;an 1,
End Date: 1~~fl....l~.1............l~~~!....m..:
1~_8~
PRICES
Date
Open
High
Low
Close
21-Jun-07
17.02
17.10
16.92
17.10 9,231,800
17.10
* Close price adjusted for dividends and splits.
Finance Search
On Aug 3: 16.65 ....
Get Historical Prices for: I.
BJ.':....':....:::
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C Monthly
C Dividends Only
First I Prey I Next I Last
Volume
Adj
Close'"
First I Prey I Next I Last
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Saturday, August 4,2007, 9:13AM ET - U.
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Comcast COrp. (CMCSA)
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Historical Prices
SET DATE RANGE
Start Date: 1~~nH.I~.1...........I~~'O'!.......H: ~go~an 1,
End Date: 1~~.~....I~.!...H.....j I~g.o.!.........:
~~~.-l'
PRICES
Date
Open
High
Low
Close
Finance Search
On Aug 3: 25.5701 .... 0.:
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Get Historical PriQlS for: I. ....... :.:IQi.1
~: Daily
(::: Weekly
C Monthly
C Dividends Only
First I Prev I Next J Last
Volume
Adj
Close.
21-Jun-07 28.14 28.49 27.76 28.39 18.155,600 28.39
· Close price adjusted for dividends and splits.
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Dew.... 2.090/0 Nasdaq.... 2.51%
Saturday, August 4,2007, 9:17AM ET - U.S
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MetLife Inc. (MET)
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Historical Prices
SET DATE RANGE
Start Date: 1~~~...!If 1~.~............I?gQ!'........) ~~o~an I,
End Date: 1~~~....l~.~............l?gQ!'.........:
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PRICES
Date
Open
High
Low
Close
21-Jun-07
64.60
65.24
64.22
64,84 4,276,200
64.84
· Close price adjusted for dividends and splits.
Symbol Lookup
On Aug 3: 60.99 ....
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8/4/2007
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Saturday, August 4,2007, 9:16AM ET - U.S
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NCR Corp. (NCR)
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~ Fidelity
Historical Prices
SET DATE RANGE
Finance Search
On Aug 3: 51.19 ...
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Start Date: I~U~j!t I~.~...........! 1~2!.........: ~~o~an 1,
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PRICES
Date
Open
21-Jun-07
52.05
· Close price adjusted for dividends and splits.
First I Prev I Next I Last
High
Adj
Close.
http://finance.yahoo.com/q/hp?s=NCR&a=05&b=21&c=2007 &d=05&e=21&f=2007 &g=d
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Low
Close
Volume
52.53
51.69
52.49 918,900
52.49
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Dow'" 2.09% Nasdaq'" 2.51%
1J;1'ltr:l.r.~y.Ill.b.<>I(t;;L...... IU,._:~ Symbol Lookup
A T& T Inc. (T)
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t'age 1 or .j
Saturday, August 4, 2007, 9:18AM ET- U.S
Finance Search
On Aug 3: 39.45 ...
...............
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Start Date: I~u~...,~.~..........; 1?99.?........J ~go~an 1,
End Date: 1~1J.~.Ji1I~.1..._........I~9.?.._......i
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(; Weekly
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PRICES
Date
Adj
Close*
Open
High
Low
Close
Volume
21-Jun-07
39.70 39.91
39.31
39.59 18,998,400 39.25
* Close price adjusted for dividends and splits.
First I Prev I Next I Last
~ Download To Spreadsheet
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8/4/2007
~
Quarterly summary
John Hancock Funds. LLC
MEMBER NASD
1 John Hancock Way, Suite 1000
Boston, MA 02217 -1000
April 2, 2007 - June 29, 2007
Page 1 of 2
SH-3185-JHF2P-17
BARBARA K HULL
5134 EROS BRIDGE RD
MECHANICSBURG PA 17050
Investment professional
Name
Dealer
Branch
T R Nikles
Signator Investors Inc
1624 Hausman Rd
Allentown PA 18104-9349
Contact information
Web site www.jhfunds.com
EASI-Line (24-hour automated line) 1-800-338-8080
JHF customer service 1-800-225-5291
(Monday to Friday, 8:00 a.m. to 7:00 p.m. Eastern Time)
-
Portfolio summary
Beginning value as of 04102107
Total additions
Change in value
Ending value as of 06129/07
Reinvested long-term capital gains
$3,951.53
+363.86
+8.76
$4.324.15
;;;;;;;;iiiiiii
!!!!!!!!!
;;;;;;;;iiiiiii
-
;;;;;;;;iiiiiii
-
Account summary
For your information
Are you aware that John Hancock offers a 120-day
reinvestment privilege? You may invest all or a portion of
your redemption proceeds* back into the same fund and
account from which the proceeds were redeemed without
any sales charge, if we receive the deposit within 120 days of
the date of the redemption. Please be sure to include a
written notation with your deposit, stating that you are taking
advantage of this privilege. If you have any questions, please
contact a John Hancock Funds Customer Service
Representative at the number Iist~d at the top of your
statement.
* Must meet fund minimums
;;;;;;;;iiiiiii
;;;;;;;;iiiiiii
==
;;;;;;;;iiiiiii
=
-
-
=
;;;;;;;;iiiiiii
=
!!!!!!!!!
;;;;;;;;iiiiiii
-
Portfolio allocation(s)
You are 100% invested in International/Global Funds.
These John Hancock Funds are also available.
./ Equity Funds
./ Asset Allocation Funds
./ Lifestyle Portfolios
./ Sector Funds
./ Income Funds
./ Tax-Free Income Funds
./ Money Market Funds
./ Lifecycle Portfolios
-
!!!!!!!!!
Beginning value Total Total Change Ending value
Fund name as of 04/02/07 additions reductions in value as of 06129/07
International Core A $0.00 +$4,324.15 $4,324.15
Account details for non retirement account(s)
Barbara K Hull
~ e
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Dollar Share Shares this Total
amount price transaction shares owned
$3,951.53 $8.78 450.060
$363.86 $8.70 41.823 491.883
$0.00 $8.62 491.883 0.000
~
~
,
-
,
.
~
~
~
Trade date
OS/23/2007
OS/25/2007
Description
Beginning value on 04102107
Cap Gain Reinv 0.80848
Merge To 66
ii~.lKIij;;JiHr::iliuMg::::::::::::::::j::jj::jj::::::j:j:::j:::::::j:::j::::j::::j:::jj:j::::jj:j:j::jj:::::j:::::j:j::::::::::j:':I:jjjj:::j::::jj:jj::j:j:j:::::j:j:::::j:j::::::::::::jj::::::::jjj::::j:j::::::jj:j,mRt_I:::~:j:II:(I..
Dollar Share Shares this Total
amount price transaction shares owned
$0.00 $44.51 0.000
Trade date
Description
Beginning value on 04102107
'U.1.LICA. ll1~lUUlji:U rnUl;:S WI" JV.t1.l'l .t1f\l.'Il.,Ul.,l\. .rU~ 111 JUliN HANC - YahOO! J:'mance Page 1 of3
Yilhw! : ~ec.l\Ai8r? _h :U"'c:8ign In ! Help
~FINANCE
Dow .,. 2.09% Nasdaq 0.00%
Monday, August 6,2007, 8:04AM ET - U.S. Markets open In 1 ho
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Finance Search
01'1 Aug 3: 45.73 ...
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1 Fidelity
Historical Prices
Get Hlstorlcel Prices for: I.
:::~:~I
.:aII
SET DATE RANGE
Start Date: 1~~.~..1I1?~...........! 1?~9.!........': ~go~an 1,
End Date: 1~~~....1?1...........: 1~9.!.........!
~, Daily
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C Monthly
C Dividends Only
~~!~_1Iit;i;1
First I Prev I Next I Last
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PRICES
D~t~ Open High !..ow C!O$~ Vo!Ym~ Adj
Close.
21-Jun-07 47.42 47.42 47.42 47.42 0 47.42
· Close price adjusted for dividends and splits,
First I Prev I Next I Last
~ Download To Soreadsheet
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Monday, August 6,2007, 7:59AM ET - U.S. Markets open In 1 ho
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Finance Search
Vanguard Total Stock Mid Idx (VTSMX)
:.............................
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On Aug 3: 34.56 .....
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Historical Prices
Get Historical Prices for: I. . . . . . ~i~
SET DATE RANGE
Start Date: l~tJll_I1I?.~.._.......) l?q9.!.......... ;go~an 1,
End Date: H~Il.... ~.!..........) 1~9.!........J
~: Daily
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C Monthly
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PRICES
Date
Open
High
Low
Close Volume
Adj
Close.
21-Jun-07
36.91
36.91
36.91
36.91 0
36.78
· Close price adjusted for dividends and splits.
First I Prev I Next I Last
'*' Download To Spreadsheet
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AccoUNT NO,
· r! M&rBank
44668805
CLASSIC CHECKING
JUN.05-JUL.03,2007
1 OF 2
00 0 06109H NH 017
34158
MRS BARBARA K HULL
5134 ERBS BRIDGE RD
MECHANICSBURG PA 17050-2432
HAHPDEN
ACCOUNT SUMMARY
:.,::.>8E;. ""ING:,<<::.::>:.:: ::;.;:::::,:1) ...... .:,,&::,,:,:.:: : ...::::::::.::.:::::::...:::::::::::::::.::. :::>:::::.:/:OTHER::::.::::>::,: :: :CURRENT::<, . .:<. .::::ENDING,';:::::::..
.. >:: <aALAMCE',,:;:::. .:: :1)THER ::ADDIT1()NS,> :, >: ,:, ':'<::eltECkS :.'.10:::':':::: .:> :<: :SOI'fRACfIONS>' ::: :.,: ,IHTE:REST ,po : ,.,::., "BALANCE:,>::.
NO . AttOUNT NO. AItOUNT NO . AttOUNT
843.05 2 1,544.00 5 516.42 10 566.21 0.00 1,304.42
ACCOUNT ACTIVITY
,:PQST.::tNG,: .::: :.:::: >: :::.:.:<.: :..::::.: >>: :::::>:>::.: :.::::.::: :.:<<.:< ::;>,: ::.::::.::::::..:::::::::: :.:.:::::.::::: .DEPOSITS"INTERESl: ,.,: :.:CHECKS:.: .,:OTHER: ,: .: :::"::",, DAILY::::,: ::,,:::,::
: :'::DAtE ,.,:'. .... ....: :.: ::">'YRANSACTIOH'nescrHfltION:: ,:,:::. .... (>OffUtR 'ADD1'fIONS .:.:...: 'sOItliAtTIONS>>< . ::BALAHCe<,,:. .....
06-05-07 8EGINNING 8ALANCE
06-06-07 HESS 38285 CAHP HILL
06-07-07 COHCAST CENTRAL CENTRAL PA
06-07-07 HIT ATH CASH WITHDRAWAL ON 06/06
HAHPDEN, HECHANICS8URG, PA
06-07-07 CHECK NUH8ER 9203
06-12-07 KARNS QUALITY FOOD HECHANICS8URG
06-13-07 GIANT FOOD STORES 1005HECHANICS8URG
06-14- 07 CHECK NUttBER 9205
06-15-07 RICHLAND PARTNER CASH TRANS
06-15-07 KARNS QUALITY FOOD HECHANICS8URG
06-19-07 VERIZON Pay..ntREC
06-19-07 PANe PAYMENT
06-19-07 CHECK NUHBER 9204
06-20-07 US TREASURY 303 sot SEC
06-25-07 PP ELEC BILL
06-26-07 CHECK NUHBER 9206 ~ \7-'
07-02-07 PA TREASURY DEPT REVENUE
07-02-07 CHECK NUHBER 9207
38.31
66.38
50.00
$843.05
804.74
20.00
13.01
78.13
40.00
175.00
12.26
29.50
24.62
10.00
668.36
655.35
577.22
537.22
349.96
79.00
196.42
285.84
1,529.84
1,450.84
1,254.42
1,244.00
300.00
250.00
1,304.42
ENDING BALANCE
$1,304.42
I
........."..."................ .....-.. ".. ----.--,
:.< :.. >:" :CHECI(SPAIIl '$\.i""'AHY ,::.
. :<:::.:<1
9203 06-07-07
9206 06-26-07
20.00
196.42
9204 06-19-07
9207 07-02-07
10.00
250.00
9205 06-14-07
40.00
LOOBA (1/03)
Send Inquires to:
5000 Louise Drive
PO Box 40
Mechanicsburg, PA 17055
www.members1st.org
Main Switchboard: (717) 697-1161 or (800) 283-2328
EZ Call: (717) 697-4372 or (800) 283-4372
TOO: (717) 697-5312 or (800) 283-2328 ext. 5312
TeleBranch: (717) 795-6049 or (800) 237-7288
MEMBERS 1st
FEDERAL CREDIT UNION
14441 1 AV 0.312 14441-14441
1'1111111.111"111.1.11"11.1.1.1..1..1111.1.11111..11111.1..1
BARBARA K HULL
5134 ERBS BRIDGE RD
MECHANICSBURG PA 17050-2432
-
-
-
-
-
-
=:;
-
-
-
-
Statement of Accounts
May 25, 2007 thru Jun 24, 2007
Account Number:
168925
Account Balances at a Glance:
Checking: 'E. 88
Savings: 675. 19
Certificates: 0.00
Loans: 0.00
Money Management: O. Q9.-- '1 -
~(};.()
Page: 1 of 1
Your current Member Loyalty Reward level is Silver
Ar~ you looking for a way to invest your hard earned money? Consider a
certficate from Members 1 st. Ask an associate about our monthly specials or
visit www.members1st.org for more information.
CHECKING ACCOUNTS
11 - CHECKING
Date
May 25
Jun 24
Transaction Descriotion
Balance Forward
Ending Balance
SAVINGS ACCOUNTS
00 - REGULAR SAVINGS
Date Transaction Description
May 25 Balance Forward
May 31 Deposit by Check
May 31 Deposit Dividend 1.000% :
Annual Percentage Yield Eamed 0.99ll% from 05/01/2007 through 05/31/2007.
Jun 24 Ending Balance- . ,
YTD SUMMARIES
TOTAL DIVIDENDS PAID
00 REGULAR SAVINGS
11 CHECKING
2.59
0.00
Total Year To Date DivIdends Paid
NOTE: Total includes closed shares
Additions
Subtractions
Balance
27.88
27.88
Additions
Subtractions
Balance
506.40
674.76
675. 19
675.19
168.36
0.43
2.59
Don't forget about our new Member Loyalty Rewards Program.
The more products you have with us, the more benefits you'll receive.
Ask an associate for details or visit our website at www.members1st.org for details.
Send Inquires to:
5000 Louise Drive
PO Box 40
Mechanicsburg, PA 17055
www.members1st.org
Main Switchboard: (717) 697-1161 or (800) 283-2328
EZ Call: (717) 697-4372 or (800) 283-4372
TOO: (717) 697-5312 or (800) 283-2328 ex!. 5312
TeleBranch: (717) 795-6049 or (800) 237-7288
MEMBERS 1st
FEDERAL CREDIT UNION
14064 1 AV 0.312 14064-14064
1...11111.111....1.1.11111..1.1.1111..11...1.11111111..11.11.1
BARBARA K HULL
5134 ERBS BRIDGE RD
MECHANICSBURG PA 17050-2432
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Statement of Accounts
May 25, 2007 thru Jun 24 I 2007
Account Number:
120616
Account Balances at a
Checking:
Savings:
Certificates:
Loans:
Money Management:
Glance:
0.00
5,312.16
0.00
0.00
0.00
Page: 1 of 1
Your current Member Loyalty Reward level is Silver
Are you looking for a way to invest your hard earned money? Consider a
certficate from Members 1 st. Ask an associate about our monthly specials or
visit www.members1st.org for more information.
SAVINGS ACCOUNTS
00 - REGULAR SAVINGS
Date Transaction Description
May 25 Balance Forward
May 31 Deposit Dividend 1.000'%
Annual Percentage Yield Eamed 1. {)()(J% from 05/01/2007 through 05/31/2007
Jun 01 Deposit ACH BENEFIT PAYMENTS
TYPE: PENSIONS 10: 9186063000 DATA: BPP0082FX1
Deposit Transfer
From HULL,DONNA M XXXXXXXXXX Share 00
Deposit by Check
Withdrawal
Ending Balance
Jun 05
Jun 14
Jun 14
Jun 24
YTD SUMMARIES
TOTAL DIVIDENDS PAID
00 REGULAR SAVINGS
22.n
Additions Subtractions Balance
4,985.37
4.52 4,989.89
49.27 5,039.16
350.00 5,389.16
23.00 5,412.16
100.00- 5,312.16
5,312.16
Add Your Photo For Security
Your personal safety and financial security are top priorities :~t Members 1 st. As a result of
increased scams and fraudulent activity throughout the entire country, we are strongly
encouraging members to have their photos ad~,d to tpeir,account records. When visiting our
branch offices, you may be asked by qne9tc:)4n:As~Qci~te;; to allow us to take your photo. This
member identification program will assi~st inourfr~4d deterrence initiatives and will take our
identity theft prevention program to the next level.' We are experiencing an increasing number of
attempted fraudulent activities and as a result, we need to be able to verify your identity
immediately upon retrieving your account information.
In addition to having your photo in our files, you may be required to show additional forms of
identification based on the type of transaction you are seeking. This is for your protection and
security and we appreciate your ongoing cooperation and understanding.
".L~CilC'y .LlIUc UVUI!l... rUVnLt: rnny rll~lng 1\.~pun. nUlCK, t...entury
page 1 ot '2
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advertisement
2003 Buick Century Sedan 4D
BLUE BOOK3 PRIVATE PARTY VALUE
Condition
Value
- advertisement -
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Excellent
$8,280
~
Good
$7,705
(Selected)
pair
$8,975
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I Average Consumer RatIng (3. Reviews) Read Reviews
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I ****11 4.8 out of 5 Review This Vehicle
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Mileage.
Engine:
Transmission:
Drivetrain.
47,093
V6 3.1 Liter
Automatic
FWD
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SeI~ted EqJllpment
stanelarel
Air Conditioning
Power Steering
Power Windows
Power Door locks
Tilt Wheel
AM/FM Stereo
Dual Front Air Bags
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optional
cruise Control Front Side Ail" Ba9s
i Cassette P9'Ner Se8t
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!!Slue B()()~ Priv~~41 P'!irty V~h"4I
Close Window
Private 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 v"hicle is sold "As Is" and carries no warranty (oth"r 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
g.,nati"" p"r""&86.
http://www.kbb.com/KBB!UsedCars/PricingReport.aspx?ManufacturerId~7 & Yearld;::=200...
8/12/2007