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Home My WebLink About09-20-07 '" ~- ~ h~ ~ _ ."9 C3u"-- ca:C; (l)cl'-- . 0 ~ W'='<( 32~a... 2 co ==- CO .- a:: ",I -a. E o:l () :\:~~ ~ ,.3 >-.J !\ "- V .~~-_.._._. _--,J. I.J ...-\_.. c:---'> 17 rJ \~'. l.-J \' ,v:: '-, ' ~l.~:::::~ s,....'~1liI "/'1 ,----. I _~_..J.; ., -.., \,",' I: ...- .I '- \-._-"" ~jj f(- r ( 1 ('" '\ j/l ...., ~~..- I ' !~ 'v') L '1 --"',,_.J l~ .... ,"""", ... . , "..," , ,. .-J 15056051058 REV-1500 EX (06-05) PA 0epaI1men\ of Revenue '* Bureau of Individual Taxes PO BOX 280601 Ham5~,PA1712~1 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL use ONLY Comly Code YeiY INHERITANCE TAX RETURN ("1/ RESIDENT DECEDENT eX 00 Ale Number (J6S{P Date of Birth 201-16-7382 09/30/2006 06/17/1925 Decedent's Last Name Suffix Decedent's First Name MI Rhoads LeVance w (If Applicable) Enter Surviving Spouse's Infunnatlon Below spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPUCA TE WITH THE REGISTER OF WILLS ALL IN APPROPRIATE OVALS BELOW . 1. Original Return 2. Supplemental Return 3. Remainder Return (date of death prior to 12-1~2) 5. Federal Estate Tax Return Required 4. limited Estate 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION IlUST BE COMPlETED. ALL CORRESPONDENCE AND CONFIDENTIAl TAX INFORMATION SHOULD BE D1RECTEp TO: Name Daytime Telephone l'lumber . 6. Decedent Died Testate (Attach Copy of W~I) 9. litigation Proceeds Received o 8. Total Number of Safe Deposit Boxes Ronald E. Snell (717) 763-8878 Firm Name (If Applicable) REGISTER OF WILLS USE ONL:t- ( .' First line of address 1308 Kelon Road Second line of address U! City or Post OffICe State ZIP Code DATE FILED Camp Hill Pa 17011 Correspondent's e-mail address:Karenj06358@cs.com Under penalties of perjury, I declare !hat I have examined this rellan, including acca "pa. 'Yin9 schedules and statements, and to the best of my knowledge and belief, it is true, correct end complete. Declaration of preparer other than the personal representative is based on all infonnation of which pre parer has any knowledge. ~1~~~;2~~!~;;~R~TUR: . _~yD;1~pz_ ADDRESS 1308 Kelton Road Camp Hill PA 17011 -------------.-... -------,.'-_.._,,- --- SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY L 15056051058 Side 1 15056051058 --.J --.J 15056052059 REV-1500 EX Decedent's Name: RECAPITULATION LeVance W Rhoads 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) 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 Govemmental 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 APPUCABLE RATES 15. Amount of Line 14 taxable at the spousaf tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 16. Amount of Line 14 taxable at lineal rate X .0 45 8,131.97 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. ALL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L 15056052059 Side 2 201-16-7382 Decedent's Social Security Number 188,871.99 188,871.99 8,161.45 8,161.45 180,710.54 180,710.54 8,131.97 . 15056052059 --.J REV-1500 EX Page 3 Decedent's Complete Address: DECEDENTS NAME LeVance W Rhoads STREET ADDRESS 621 Herman Ave File Number DECEDENTS SOCIAL SECURITY NUMBER 201-16-7382 CITY Lemoyne I ZIP 17043 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B.PriorPayments C. Discount (1) 8,131.97 12,960.00 3. InterestlPenalty if applicable D. Interest E. Penalty Total Credits ( A + B + C ) (2) 12,960.00 4. TotallnterestlPenalty ( 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, Une 20 to request a refund. 125.00 __'________n___'_____,. ____"___ . 1 ,(}go .()O. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (3) (4) (5) (5A) (5B) 3,703.03 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. Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "Xn IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.......................................................................................... 0 iii b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 iii c. retain a reversionary interest; 01'.......................................................................................................................... 0 iii d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 iii 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 iii 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 iii 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 iii 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)l. 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) percen~ except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)]. The tax rate imposed on the netvalue 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-1508 EX+ (6-98) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF LeVance W. Rhoads FILE NUMBER 2006-00886 Include !he proceeds of litigation and lhe date lhe proceeds were received by lhe estate. All property jolntty-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION CHecking and Savings Account Number 294021 VALUE AT DATE OF DEATH 175,911.99 Members First Credit Union 5000 Louie LaneP.O. Box 40 P.O.Box 40 Mechanicsburg Pa 17055 Phone 717-795-5100 2 Estate Taxes Pd By 12,960.00 Midstaate Abstrscl Company 2331 Market Street Camp Hill Pa 17011 Phone 717-763-1383 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of lhe same size) 188,871.99 REV-1511 EX+ (12-99)_ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATM COSTS ESTATE OF LeVance W. Rhoads 2006-00886 FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Myers Funeral Home 37 East Main Street Mechanicsburg Pa 17055 4,790.00 Rolling Green Cemetary Phone 717-763-4055 1811 Carlise Road Camp Hill Pa 17011-5910 B. ADMINISTRATIVE COSTS: 3,371.45 1. Personal Representative's Commissions 0.00 Name of Personal Representalive(s) Social Security Number(s)/EIN Number of Personal Representalive(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 0.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 0.00 Claimant Street Address City State . Zip Relationship of Claimant to Decedent 4. Probate Fees TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $ 8,161.45 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. REV-1513 EX+(9-QOI .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF LeVance W. Rhoads FILE NUMBER 2006-0086 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY Do Not List TnlStee(s) OF ESTATE I TAXABLE DISTRIBUTIONS rmclude oubight spousal dislribulions. and transfers under Sec. 9116 (a) (1.2)) 1 Ronald E. Snell Phone 717-763-8878 Step Son 50% 1308 Kelton Road Camp Hill. Pa 17011 Brian L. Rhoads Step Son 50% 115 Sharon Drive Shermansdale, Pa 17090 ENTER DOllAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE. ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABlE AND GOVERNMENTAl DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed. insert additional sheets or the same size) st Send Inquires 10 5000 Louise Drive PO Box 40 Mechanlcsburg, PA 17055 www,members1st.org Statement of Accounts Jul 25, 2007 thru Aug 24, 2007 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 Account Number: 294021 - - --= ;;;;;;;;;;;;;;; !!!!!!!!!!!!!!! - !!!!!!!!!!!!!!! MEMBERS 1st FEDERAL CREDIT UNION 1566 1 AV 0.312 1566-1566 1".111...111......11...11.11",..1111...1..1.11...1"1.1".11 ESTATE OF LEVANCE W RHOAD c/O RONALD E SNELL 1308 KELTON ROAD CAMP HILL PA 17011-6108 Account Balances at Checking: Savings: Certificates: Loans: Money Management: a Glance: 12,578.06 163 ,333.93 0.00 0.00 0.00 - ===== - = --: - -.--.---. Page: 1 of 1 Shopping for a new or used auto loan? Finance your new vehicle with us! Ask an associate about our current rate special or visit us on the web at Www.rnernbers1st.org. CHECKING ACCOUNTS 11 - CHECKING .Date Transaction Description Ju/ 25 Balance Forward Jut 31 Deposit Dividend 0.250% Annual Percentage Yield Earned 0.25fJj(, from 07/01/2fXJ7 through 07/31/2fXJ7 Based on AV8IlIge Daily Balance of 12.575.39 Aug 24 Ending Balance Additions Subtractions Balance 12,575.39 12,578.06 2.67 12,578.06 SAVINGS ACCOUNTS 00 - REGULAR SAVINGS pate Transaction ~tion Additions Subtractioll$ ._...__!ul ~. flalance Forward Jul 31 DepOSit Dividend 1.000% ~-"'-~_. ..-........".-..-----l38"':&r-. Annual Percentage Yield Eamed 1. ~ from 07/01/20()7 through 07/31/2007 Aug 24 Ending 8aIsnce 8al8nce 163,195.33 ---160, 33J . 93 _..- 163,333.93 f'.' YTD SUMMARIES TOTAL DIVIDENDS PAID 00 REGULAR SAVINGS 11 CHECKING 533.55 19.re Total Year: To Date Dividends Paid NOTE: Total includes closed shares 553.31 Don't forget about our new Member Loyalty Rewards Program. The more products you have with us, the more benefits you'U receive. Ask an associate for details or visit outwebSite at www.members1st.orgfordetailS. rOMMOhJWEALTH OF PENNSYL.VANlt, liEP :':':C'MENT Of REVENUE 8UREAU OF INOIVIDUAL TAXES C:fTT 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(lHl6) ~ECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ADLER & REAGER 2331 MARKET STREET CAMP HILL, PA 17011 __n 'oid I ESTATE INFORMATION [ SSN: 201-16-2382 FILE NUMBER: 2106-0886 DECEDENT NAME: RHOADS LEVANCE W IDATE OF PAYMENT: 08/08/2007 POSTMARK DATE: 08/08/2007 I COUNTY: CUMBERLAND DATE OF DEATH: 09/30/2006 -------- NO. CD 008520 ACN ASSESSMENT CONTROL NUMBER AMOUNT I 101 I $12,960.00 I I I I I I I I l TOTAL AMOUNT PAID: REMARI<S: CHECK# 6488 SEAL INITIALS: CJ RECEIVED BY: TAXPAYER $12,960.00 GLENDA FARNER STFIASBAUGH REGISTER OF WILLS RECEIPT FOR PAYMENT ------------~------ ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Receipt Date: Receipt Time: Receipt No.: 10/09/2006 13:12:26 1045942 RHOADS LEVANCE W Estate File No. : Paid By Remarks: 2006-00886 CMM ------------------------ Receipt Distribution ------------------------ Fee/Tax Description PaYment Amount Payee Name PETITION LTRS TEST WILL SHORT CERTIFICATE JCP FEE AUTOMATION FEE Cash Total Received......... 210.00 15.00 20.00 10.00 5.00 CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN BUREAU OF RECEIPTS & CNTR M.D CUMBERLAND COUNTY GENERAL FUN $260.00 $260.00 1 GUARANTEED PRENEED FUNERAL ARRANG~MeNT CONTRACT STATEMENT OF FUNERAL MERCHANDISE AND SeRVICES SELECTED THE CONTRACT: This contract is entered between ,,___. ~,:.,~ \l ~_~'<'i'! (fi'Cz.:;,. ______ hereinafter called 'Purchaser"and herei'1after calied 'provider' of iunera! merchandiSe and services for n . _c-"_."'-c.":::~:.._...c,,-.._:_..~_,.,:,,,,,..____,__,_ nerelnatter called "funeral beneficiary.'; A. TODAY'S COST OF FUNERAL HOME MERCHANDISE AND SER- VICES [Guaranteed merchandise and services) Charges are only for those items that YOLl selected or that are required. If we are required by faw or by a cemetery or crematory to use any items, we will explain the n~asons in writing below: Check box if cemetery requires outer burial container 0 Check box if crematory requires altemative container CJ Professional Services BaSIC services of Funeral Director and Staff Embalming If you selected a funeral that may reqUire embalming, such as a funeral with viewing, YOLl may have to pay for embalming. You do oothaVEllopay for embalming you did not approve If you selected arrangements such as a direct cremation or immediate burial. If we charged for embalming, we will explain why helow: Check box if required for viewing 'J Other Preparation """.."....."...".. ,....""...."..."...".""..."".. $ Other(specify) $ iF' Facilities and Statt Visitation .. ......, ".."""......" "......"..."............".............."..... $. Funeral Service ............"".."...........".......""."........."......... t Committal SeNice ...."".....".........."..........."....................... $. Other(spec~~'l. S Other (specify) $ J,,,,.-" .' ,,,I" <E;;l.'( ,/'" y Transportation RemovatfTransferto Funeral Home..,.....,..................."".... (within __ miles of specified fuoeralhome) Funeral Coach"..".., "..,...... "....... "..,. ........ ....... ...", ..:...;.. ",' Lead Car "....".,',...""..........."..".......,,............................;. Other Transportation ,.."......,."...... ,................ "'" ."..,,"....... TOTAL COST OF GUARANTEED SERVJCES.................... $ ~,~.s'. ~ Merchandise Casket Description I') (,J";,l \('''- Outer Burial Contarne("......"......,.............,."........".........,$ .~-,,_.. .' Description Urn ....., .......',.........,....,...,....".""""...."............"....."..."... Description . . Register Book ,.....,,,...... ........".......,.. '" ".......;..." ,... ..,.. ....... ,,$ Memorial Folders ",.q."., n......'.,....,.........;. .'.. ...... OJ.,.., ..>...... .$.w'-;....." .t~;i"/ AcknowlerlgementCards ............,...................................., $_. Other ........... TOTAL COST OF GUAAANTEEO MERCHANDt$E........... B. TODAY'S COSrOF CASH ADVANCE ITEMS (Estimated costs of non-guaranteed merchandise and services) Death Certificates (Quantity Grave Opening/Closing....... ........................... ..... ...... .......... Death NoHce . ..."... ......... ....."............ .............................. "" Flowers.".............., ...,........,.....,.'....,...,...... ..... ......,............. HOnbrarlum .................... ....................." ,.... Music. ............................ ......... ,.... ....... ............ .......... ........... luncheon. ,. '..... '..........,.......... .......,.. . .... '" ....,.."....... ...... ..... Coroner's Fee ........ .................."......... .........'........ ...... ......... Crematory Charge ................,........................... ,................. Engraving............. .... ...,.". ............ ......, ............. ,. .....'...... .... '.. MarkerlMonument ..... ...... ..... ....... ................... ,....... ...... ....... Transportation.. ........,. '..... .....................................,............. Sales Tax ................... ,..... "..,.,................. .."..,..... ...,.... ",., ,. Other L-~. $ $ $_--_. We charge you for our services in obtaining the following cash advance items; Amountcharged ....................."..................................,........ $ TOTAL ESTIMATED COST OF CASH ADVANCE ITEMS (N()n~guaranteed) ................ ............. ......................... $....______ TOTALPRENEED. 1'OOAY'SCOSTS ($eCti~ A& 8) ...n. EFFECTtVE DATE OF.PRtCE GUARANTEE: The effective date of the price guarantee described on page 3 depends on whether the policy that is purChased in conlUn~tlonWith ~s~r~et is a full benefits poUcyotfi1 limited benefits policy. ' . ;". ii i';i( ,. The insurancepoliey purehased in conjunction with thfS'COntractiiS ~'uftbe~fitspolicy.. Theprlcegua@rl~e~ak~effect immediately because tl1einsurance poficypurchasedin conjunction with thisconlract lsa full benefitspoficy, which means that the full amount of the death benefit is payable immediately after the policy is issued. ;.------.---.~. Theinsutance policypudasedinconiunetionwilt!, ti1iicontract is alllnitedbeneflls policy. The price guarantee takes effect 011 tM date when full benefits are payable under the policy. There ls a waiting period beforelhefUfl deathbenefitisp~~teorid$'~lirillt"ben. efits . policy. If the insured should .disbefore aJlthe premiUms have been paid or during the limited benefits period, the proceeds payable at the time of death may norbe sufficientto coverthe at-need retail price of guaranteed funeral mer~ndisea~services.lfthe in$tt~proceedsarenotsuffl- cientto make Mpayinent, the difference between thede~beneflt paid and the at-need retail price ot the guaranteed funeral goods and service~ shall be due and payable to the provider by the authorized representative of' the tuneralbeneficiary. Pagll 101 3 ~.~'""~'.~.-. - _,11ft ',~_~"._.......+ _llllll'-tI.. -rr 'lU',..'I. l~.~.'" ..",",..""'"!~I. 1....4..1, ',", '" \ . ,'d- ( : \'~\' \' ",/\;, " \ ;i"" f\ f"T '< """',,-l' ,. .,'1'1. L.i\..( " ',...,., \.. "c,c' \.,) L..)"" .."j,j...., t\.... ".,,' ".' " ',' '~,' ,...\.~""; ,,' LEVANCE W. RHOADS DORIS RHOADS 631 HERMA.N AV'ENU::: LE:MOYM:., P/\ 1704~i PNC Bal.)k. N~\.. Central PA Choice Plan l..~"'",;!""""""~-r:-~.. ,..~ ,j .... r'.v.'. 0,_, \ :",,',; '"." "'\ /" ..<t~, <' r".J i ,,;: ;' '.. \..",," "-,, ;.' "" ~ ,- ~- ,'.- , ~. , ...L, '..' \ \, '.' i'l !",},)"',.I,) Co ..,x,). 3190 1C'1 [$ I: 0 j .. 1 1 2 ? ::1 81: :1 Ft 0 uM 5 1. 1.0 1. 2 g q b 8 H' ~. on ':" ...:;; m~ ;~;m. --.. r- ~:_; en 'II rn c:: 'Yl- .c~, -i ~ m ,., S) 'W t;; lU~, o~;gg'1:J)>o ')>0 '''._,oz~ Cl 1- cd ("". r~~ ". ~"" ~.-:; () 6 Q) ~rH0 8-1" i =?~:"'~Zi ! w..., C.:.I) 'l' Zl ~{m ;;; .... rrt -n' '. ," .. .^~ ""~., .., ..,!;Ii. {./l'~'r <;,,() U'lQ' ;..,.) ';>'~)' \ O' ;:?lJ" ...\~ % '" '-. ..-!:t ~'l'- lOOOO?D 2 250,(- 't"~~lIf1i~<JF'P"~/'J;~"""Irn'fi'1l":rm"'f''''';Il'1''l~"....-r'"",. <.'EMETERY ,\GREE1\fENT ROLI..ING GREEN CEl\;IETERY (StrL'~~t /\ddr,~~.\', Ixl J 'i(.,);a! ,unr P:'nn.\\ll . i-71 761 (Mailmg Address) 1',0.130\ 126, Camp Hill, I'cnnsylnHl1<l 17011 GIBR1,LTI\Rr>,IAUSOLEUM CORPORATION an Indimw c<wpor:nilln doing nmin<.'s', us Rolling Gr('{'!1 Ccmdery, (hereafter "SELLER"), and \\Ihuse re,i,h'nce " at lilt' Right" C,';:f!ili;:.1:~' WITNESSETH THAT, lor lInd.in consideration of the nlUlll") covenants herein ,:(lntained, the PURCHASER agree~ to buy and the SELLER agreesl~) seIlt/le l1\i:~'<haq~,h~;,;' mhi.'<,,)" lK~rdndfter l:'IHL"lh'!'~tt(u ;,tnd I.lc;.\.-.rih;;d.;I:K\,,"_'~ , IU:-,j>, Ig;;L;t;:::.: lil~hl..,:"lP'J."-l..:;" ht.~l'(nqn('{ (ntirncrated~l,nd(1c~ignated in the c",lll..t~y K!lVW.... ..'\l!lS J.{()Hll.~Gr~~~y,!!PWllhcl<lrm., dntJ condllionsalltJ. for the amounts us sctlorth iJlll.lis AgreemenL This Agreement is subject loacceP"*"(.'e bYSEtLER, and when ,'accep'(!if',"'s'tiift be binding upon the successors, assigns, benellciaries. heirs and legal representatives of tbe parties hereto. 1. DESCRIPTION OF BURIAL. FlIGHTS. The Burial R12hh c\)",~rd \1\ ihis Ap"cnwfll "re 'h, '" n I", 'he milP "I' SUdl !::lrdi'l]!huddilll' Of! Ilk in Ilw ollici' of SELLER. and are more particulat.ly described below, The purl'hllse prkc of Burial Rights OOes not include Illterment/Entombment/lnurnment Fees (opening and dosing Cll.~tst, Opening and dosing must be purcbas'Cd separlltdy. __ Grave Space: _ Lawn Crypt: ~~. Depth ____Side by Side -,..-Single I Sf Choice 2nd Choke (Must Hii' (,'ompk:ted) Garden SCCilllP Lot Spaee(sl A', -;;i,:~; 2. DESCRtpTION OFMER~E o Check here If men:handiscI,dng purchased 1br lL,e at another cemetery Cemetery's name: A. VJ\lil:J'(St: #/, Des~OIl #2. Description 8. URN(S): #1. Description #2, DescriptiQ)l ('. Mf~MORIAUMONVMEN't; :r"-.......... , Bronze Size Togdher Forevcr; Monument DescriptiOn if;icAsltrIT(St: #1 DescriptiOlJ Model Name #2 Description MQdd Name Model No. Model No, -- . !'!!ausoleum: _Imerior ~E;xtcrior _Dt;luxe ,,"Family __Single _ Nic::!!!: _Jlltl~Iior ____Exterior _Single ____Companion 1st Chok{> 2nd Choice (;~1~~~.v ~~ ,5 " ;~'" .,.' 'ir ,(,j' Building Section No.(s) I_evel *MlIxlmu,W'easket'ditnens:!t:m$;.a~.:lengtti9f)~; 3. ITEMIZATION OF CHARGES (A} Buriai Rights (as described in Para, I above) (B) L('s~ Preconstruclion Discount (e) Le;,s C~,'tific'a(c .Di:.COUlll (D) Second Right of Interment (Fi Vault(s) (FI Casket It] iG) Caskt't #2 (Hi Urn(s) (l) . . M~ps,,!I;7~\ll.l"elten (J) M~rn()~;il 0 (K) ll)stlllI~iolJ Charge and Early Care Fee !<)f Memorial/Monument (t) Other (M) Sal~s Tax . . . (Nt Caf~(}f' Turf Af~UndMelJ\6tia17MQfi6niertt (0) l!ltennent{g~i(;;~f~r~~n\lrtunel1t Fees tor Weekdays (Circle One) No. Puwhased (Pl Processing Fee (Q) TOT A:L CASIlPRICE (A tbru 1'1 ITEMlZA nON OF TIiE AMOUNT FINANC.EO ( 11 Total Cash Pri<:e m A, ()ashDownPayment B. Trade Old ..\.grc'cnlt'lH C.T61al Down Payment (2A+2B) (3) t)'#paid Balance ofCMh PriCi;\{1 (4\ Credit Life Ins\lr~ll..e (5.1 Tptal Ij npaid BaJanpll .{3+ 4) " $--.--..-- $ $~'OO '. pay the SELl.ER I'M ~u('h rights in accordance with the followin!! disclosure STaTem~llt. The (ost 01 yom credit :j~ a ~ t.'arh nit,;.' 1'~~:.: Lh-~;~.; .1!l~ch.tnt tb.2 ;.,t..::dit Tilt' ;;jJll)Ull: 1)1' ~'fl;.'dit prL' will. en,r V\llI. vidcd to YllU or on YOllr bdml1 TL;: J.!lluunt yuu ,ij h.i\'i.' paid after YOll have madt\ (dl paym(:::nts :IS \l'ht'dHkd. 1l't"1' ,\.01 TOT Ah ~~Jt ~fUCE T:"!t,' ~~..t.i~ ~O~l'f ~t~ :,bur pmchas!:,: (In;1.ir~it; in. dud;n~:>t~"'rt: 'ld,'(.ir~ pav. IHt;;lU Oi~ ' ANNUAL PERCENTAGE RATE FINANCE CHARGE (Fe) AMOUNT FINANCED TOTA~ OF PAYMENTS 'f '\\ YOUR PAYMENT SCHEDULE tNlLL BE: i Number 01 Payments 1 Amount 01 Payments Fj~ Payment Due Date Ther~afler, Payments Are Due ---.----~------ ~ ",t'<::,.. ';'1i;:':'~; ~'<;r;~;ilj on the . ___..__........._.._....__..___... $.._.__.__.._~___ ~ ..... . i' . . INSURANCE: Cnldil life insuranteis not required t(\ obtain credit and will nOl be provided unle~s you sign and agree to pay the additiol~1 Credit Life i ... Ind~,idll,Ii ; . ."- ': . Premium Cost Jon~ Insured's Signature qt> iDate'cWi Binn ~. . . ~3JD ..~~ " I -----:--- II , Llle Ch:ll.C II ,; p;IYIlWl1! j, laic \01.< v.i11 k ch;nged $~.OO.I~(1 (If the paymenl ~. ~~~Pti~:~:nJjc~J~~if~sCj~~f~~}y~~e;~~tl~~t~~;~i~I!;~.'"l)".:[fl~~e~~:~d tv<< reI lei \,[ par; ul !.tic Im'll~~~~~':,f,lJ}"k~ '. <lal\' :<nti l"1i'l'I)rn('nt.r(~fllndS(n~I~!l!t!~!!;~~~..,,"...._._:"'__._' . ...... .... :.... ... ~_"~__' < ..... '. ...... .... . .... '.' ....... '.. > . ....... ." '.. .' ,NO l'OrBJi;.PVRC !1.;l,,\h~OONO"PiSIUN.mSAG~Nr'8.PbIm:.ljft .1'I'0R{{IF..' 'YIlJ;.ANK'SPACE. (2) YOt.; ARE ENTI1'LED n, A COMPLETELY f1L[J'1 -IN COPY O:F rms AGREEMENT. (3) UNOER THE LAW, YOUJlAY,ETHE!U' ...~\l~,,:Pl!il~1 · CONl'HTIONS.ro OBTAINAPAR'rI~,""'" ....... ....... '. '.' ...... .,. '.' ......... : I . '. PURC : ~ (APPLIES ONLVlF VOl! MA), CANCEl. THIS A., EEMENTBY PRO OR BY MAIl.... THIS NOTIC '.MUST IN YERED OR POSTMARKFJ) Ell'OltE'NI N. o. TIeE MUST BE l\:.IAlLED O. ..ROL. LINGGlW:. N CANCEL THIS AGREEMEN , THE SELLERMAYNO filATION OF TlflSRlGHT I Sf;E NOTICE OF CftNCE . . , if HIS AGREEMENT. ! . '.' .' .' [ II ! \ .' .' ! '. PQRCB'SACKNQ'Wt\F.JlGEMENT. ........... : .;1' B..Y S.'lGNING. 'BELOW. ,P.URclIAS. ER REPRESENtS AN . .....ACKNOWLEOG...ES. TlIAtr. PUR..: CHASER BAS READ ANDi I'HEtERMSOF THIS AGREltMENT, 11IATALLRELE ANT BLANK SPACES HAVEB'EEN COMPLETED, AND T · BASItECEIV. ED ACOYYOFtrms AGREEM Ai"S'.DrR..JO.R..T....Q. D........l. s...CUS.SI.NG PRICE. 'S,...SER. V. ICES. OR MER 0.1" THE APPLICABLE PRIcE LIST AS REQ n BfTHEFEDERAL TRADE, COMMISSION, FUNERALP REGVLATION RULE. ~ .... ...... '. . }..... .......~:'.s,..,.""''''.t.H.......~..','0'..''''...'-.,.....",...'' . . . !SEE'REVl<:RSE SIDE FO, ADDITIONAL TERMS ',}!'iDCONDITIONS.. .... . ( : , iN WITNESS WHEREOF, SELLE~ and PURCHASER have exec*d this Agreement this _.J::!..-_ day of __.....,...:..:.i~.-----1.~, . RETAIL LNSTALLM~:NT /\GREEMI':l'ht counsdor:....__~.-:.'./"..t.1 ) ; k':'{~hjtR;t.mRAOf:~~Al . Rolling (,n'ell Cemetef,~ ~y:_~ :,:;,',:,i::, j-': i.::< :',} A IF' BUIUALRIGHTS CERTII-'ICATE 0 BE .IN NA,,,"IE(S) OTHER TH N rURCOASERtSl.llIEN PROVlO.: N;"ME(S) H~:RE; ! : ' ~ r t- r. Elllployer: f\grcemem No. . t White C"py...SELLER'S CoPt ~S24 (07'Oli9~) I~'r j' : -l t Yellow Copy-Atlachto Da~ Sheet 2. Employer: Pink Copy...PlJRCHASER'S (oPY (Forward with Pa~'lUe:nt B,x,k) I' ~~' [:11 G STf::t OF WILLS r::lll\l!BEFH.AND County, Pennsylvania CEATIFfeA TI: OF GAANT'F'\;[EfTERS No. 2006-00886 PA No. 21-06-0886 Estate Of: LEVANCE W RHOADS (Filst, Middle, Lastl Late Of: LEMO YNE BOROUGH CUMBERLAND COUNTY Deceased Social Securi ty No: 201-16-2382 vn:m SliS, on the 9th day of October 2006 an instrument dated ~i~l~eflil):'r 30th 1982 was admitted to probate as the last will of L E ", 1 ~I(:r IV RHOADS (J Ir Sl ,I ~ c' 'h~, :: I; ! ~a :: ('1' J~EMOYNE BOROUGH, CUMBERLAND County, \i~' ::1] E': on the 30th day of September 2006 an ~'!}'E:( 3.AS I a true copy of the will as Th'E:.( 3FORE, I, GLENDA FARNER STRASBAUGH 1 'c. :::'L\[: ,=:RLltND Co un ty, in the Commonweal th of ("c:. :i.tT ,~hat I have this day granted Letters ,'Ofl/ILD E SNELL v'J'J:: ':iaE duly qualified as EXECUTOR(RIX) c:nl ':ia",' agreed to administer the estate according to law, a.1l of which fu ~. ~ V appears of record in my offi ce a t CUMBERLAND COUNTY COURT HOUSE, I ::';I:I.ISL( PENNSYL VANIA. IN TBSTIMONY WHEREOF, I have hereunto set my hand and affixed the seal c':~ 17,1 c:~fice on the 9th day of October 2006. J1.U 4'1~ PM tUJ, #4(15 !hi' Register 0 lIs /' MI.e1>n ~~ eputy ~'*NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) LAST WILL AND TESTAMENT OF LeVANCE W. RHOADS I, LeVance W. Rhoads, of Lemoyne, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my Estate or by any recipient of any property, shall be paid by my Executor out of the property passing under this will, which is not specifically devised or bequeathed, as an expense and cost of administration of my Estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax paid by my Executor even though on proceeds of insurance or other property not passing under this Will. ITEM II: I hereby exercise all powers of appointment which I may have at the time of my death in favor of my Executor, and all property subiect to all such powers shall be included in my Estate. ITEM III: I give and bequeath all my household furniture and furnishings, automobiles, books, pictures, iewelry, china, linen, silverware, wearing apparel and all nthpr likp Articles of household or personal use and adornment if my wife does not survive me, then to Ronald E. Snell and Brian L. Rhoads, or the survivor of them, in equal shares. ITEM IV: I give, devise and bequeath all of the rest, residue and remainder of my property, real, personal and mixed, to my wife, Doris H. Rhoads, if she surV1ves me, but if my wife does not survive me, then to Ronald E. Snell and Brian L. Rhoads, or the survivor of them, in equal shares. ITErvl V: In t~e settlement of my Estate, my Executor shall possess, among others,:he followinq powers: (a) To 3ell t~lt:her.at public or private sale and upon such terms and conditions as my Executor may deem advalltaqeous to my Estiil:t;.e, a;ny OJ: illl real or personal e:;t.ate or interestt~erein, whether owned by me severally or 1n coniunction with Qtber persons or acquired after my death by my Executor, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all trust and without obligation or liability of the purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Executor in this paragraph or elsewhere in my Will. (b) To pay all costs, taxes, expenses and charges in connection with the administration of my Estate. My Executor shall pay expenses of my last illness and funeral expenses. .' "......__~~..;,..._...n_.."-.._~...... ",,'~'.''-'.'....''',_~ (c) To d is tr ibu te my Es ta-1:e~-In' k i n money. If any assets are distributed in kind, they shall be distributed at their respective value(s) on the date(s) of their distribution. Page 2 of 4 pages (d) To do all other acts in the iudgment of my Executor necessary or desirable for the proper and advantageous management, investment and distribution of my Estate. ITEM VI: Any person who shall have died at the same time as Testator or in a common disaster with him, or under such circumstances that it is difficult or impossible to determine who died first, shall be deemed to have predeceased hlm. ITEM VII: I nominate, constitute and appoint my wife, Doris H. Rhoads, to be my Executrix (herein referred to as "Executor"). In the event of the death, resignation, refusal or inability of Doris H. Rhoads to serve as my Executor, I nominate, constitute and appoint Ronald E. Snell, to serve as Executor in her place. My Executor is specifically relieved from the duty or obligation of filing any bond or bonds. i~Ml~~I\lJIIIII~~;i-"'m'J~~Iffi!illl.fl M.(IliIiI'f(.l...."'_._..~'!t'1lll~..W..... L_I.~,~t!!,UItl(llJ"'.,- ___.,~. .~, "'~~'!''''''-"..~~.~............". .' ~,,,,,""~-~--,,....,...,.,--,~.....--.._- 11~ HIT!'il S WHEREOF, I have set my hand and seal to Ull:'. rnv La~.t vl/i land T0:stament, cons'isting of this and the precedi.nq two (2) pages, this; (l day of ,_..,?i.tl2t.v...(,:J~/L, 19B2. ~.-/. l/J ,/ (/ /-t.. [ r;l J,.>cCiZ- i/v' I \>Jt.a<7 ~-;)-- LeVance W. Rhoads (SEAL) SIGNED, SEALED, PUBLISHED AND DECLARED by the above named Testator, LeVance W. Rhoads, as and for his Will, in the presence of us, who, at his request, in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses in attestation thereof. J/ lial, -' ! h, _ ( .. Address ,/<\ // __1,_.' , I: /;I! '; , ,,,- t _.(tt,';'"\ r j;, / \ - I I \ .' /) /' ...,,~ /: /;/ VI /'/', ,1',- .> J .- . / ;i / h. {,If ( 'Ai--;::,':~;~-~' ""';-';~"'^"';(,.7";- ,,-_,-?,">","~.o,_..'''-< '., ,<-,'t-...,-",:,,-}'" ... . /~~\/....-~-- /' r! ' ""-""'d"""-d-"~'0"'-'- ",' -- ___ _. r A ress =-'1 /jc......... (-"7_._ /l I ,-~~; ,/ 1",2 i,~>) .{V ,-.-~ ........ - / ~.-,L " ////_. , -/-~..,;t-" L'.,L t.. -v' re-+;-''? 1.7;. I ; I ---- ( ,,', f I 1:.( ;, .) G " ii,../ /1" ,. . "':" """" / ' :J /~- " (,., '.;1 ') /"'>f-" ( 7,;;;" /,} Page 3 of 4 pages ,\CKNOWLEDGEMENT COMMONWEALTH OF PENNS' ii\NIA COUNTY OF J.JcLl..t-l,./lC,,- I, LeVance V. the foregoing instrume! law, do hereby acknowl as my Last Will; that my free and voluntary ( SEA L ) -., (.... ;:>0 : Rhoads, Testator, whose name is signed to " having been duly qualified according to '']e that I signed and executed the instrument 3igned it willingly; and that I signed it as 1'1: for the purposes therein expressed. _ /7 I Jr( , ( Public' / I~A.\AP6AflJ\ J. BOUDREAUX, Notary PlJt~ Harri3DIJfR, Dauphh c';',ty, Pi\ My Lon;missiJn f '., Jl. /2. 984 ~?I// , . . I . AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA CQUN'rY Ot' , L,Z-iILJ) / ss: . . .J L IT --// /\) .^', \.1/ We, \,1 I( (L I 1// /. i I ,,/ \.,. ",r,. I I.. . '1 ,:.... II . I I " ~),} Yl (J /i, the wi tnesses whose names are ed orr/;fore"going instrument, being duly qualified according to law, do depos~ and say that we were pre- sent and saw Testator sign and execute the instrument as his Last Will: that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of each other and in the hearing and sight of the Testator signed the Will as witnesses: and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. or affirm,e,~, t~, ~n~.I~ub~~r~bed ~9!. be~o"r.-,e\ n;e! by:/" "f)/:,.Li,:L/ , , (j.), I / ", 'f:~9d t]) )(JJ.JJ /(.-''.(..1 I L.J ill..: X',1f I( )) /' ~('l/tJL day of /,Q..jJ.1 {; ("' (jl , 1982. / J '" \.'" .' 1/; -'~ /\~{. "-., Ii /)' /7/ .' ,'...,) j 'f "rU.J/f-cl ~j CLc ClZJ-<-f wi tness//'-':/ { . . /' I / /.. /,/ 0' /' \.;{/ / //</'- " j ,/ //> '("~<~;~'l .t.'C C ;>".. '/1 // 'Ii' (;./ /1 "-'Witness \ \ " '~ ,~ ~., '/;>' I \ i .1 I Sworn . Jl./ Vi :i,j! U witnesses'.lt.his ...---..----" J I _/'>t..:'t.",.~e''',,'''' L<../. W'l tness /~.(c.;,.!.__.<--_.. .' (SEAL) , ,() y't( 671 ('/l.J ,.\ J.> 10..- -'I A..,' ( _ ;Notary Public ./ II / (./ ..' ) ,--- ) I)) " /\"A' I -j, ''', / ( /' ,A'i..-Li li..[ t{j (( I / / /- f B~Rf:jAJtA!. 1l('!JOOl'il'JX. !\!otJ;)I Pu!;l1q " ;".r:, h~.-:...h;... p.:r, P,<\ Page 4 of 4 pages My Commi,;;bl L<pires (Jet. .~.;. l~