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HomeMy WebLinkAbout07-01-08 (2)1505605.1058 R ~~~ ~ ~ ~ ~ EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes ~ :^ ~ County Code Year File Number PoBOx2sosol INHERITANCE TAX RETURN 21 07 0954 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 209-20-2186 ,October 14, 2007 ,September 2,1927 Decedent's Last Name Suffix Decedent's First Name MI Losch .Eleanor (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW 1. Original Return 4. Limited Estate ~ 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received J. MI THiS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 2. Supplemental Return .. 3. Remainder Return (date of death prior to 12-13-82) 4a. Future Interest Compromise (date of 5. Federal Estate Tax Return Required death after 12-12-82) ~c;~:;`;~. 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (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. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number Andrew C. Sheely, Esquire '717-697-7050 Firm Name (If Applicable) REGISTEI"2 CiF WILt_v U .~~~t~NLY Andrew C. Sheely, Esquire o ~. ~ O First line of address t"' ~ P.O. Box 95 ~ ~ _ ~ `-~ 1 r _. _ _ ._. _.. _. Second tine of address _ ~~ r ,. _~ t _ _ _ ~ 127 South Market Street ~~ ~ - _ DAT~ILED :+ ._ City or Post Office _ _ State ZIP Code . ~ _ .. ~ .Mechanicsburg PA 17055 ' ..~ Correspondent'se-mail address: andrewc.sheelyCverizon.net Under penalties of per)ury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representati is based on all information of which preparer has any knowledge. SIG ATURE OF ERSOI~A RESPONSIBLE FOR FILING RETURN •r !'^T~ An RFSS Karen L.Fegley,Ex.,4411 RoyalOak Rd.,Camp HiII,PA17011/Darryl V.Losch,Ex,8140 CrestviewDr.CovingtonGA30014 SIGN ~ OF PR ,~jR EPRESENTATIVE ~ ~DATF~ p pn ~cc Andrew C. Sheely, Esquire, uth Market Street, P.O. Box 95, Mechanicsburg, PA 17055 PLEASE USE ORIGINAL FORM ONLY Side 7 15056051058 15056051058 ~, 1.5056052059 REV-1500 EX Decedent's Social Security Number Decedent's Name: LOSCh, Eleanor J. . _.._ ~ .... ~~ . _~ti ~ _ . ~.. __.. ,. ~ _ _. _ ,_ .. .. _.. . : . 209-20-2186 . ~ ~ . . . ~ RECAPITULATION 1. Real estate (Schedule A) .......................................... ... 1. ', 3 4 4, 9 0 0 .0 0 __ 2. Stocks and Bonds (Schedule B) .................................... ... 2. ' 7 7, 0 2 3. 8 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. ! 2 3 0 , 513.7 4 6. Jointly Owned Property (Schedule F) >w``~~ Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property 7 5 1 71 3 (Schedule G) Separate Billing Requested...... .. 7. , . 654,151.31 8. Total Gross Assets (total Lines 1-7) .................................. .. 8. 9. Funeral Expenses & Administrative Costs (Schedule H) ................... .. 9. 17 , 374.4 3 10. Debts of Decedent, Mort a e Liabilities, & Liens Schedule I 9 9 ( ) .............. 10. .. ' 4 3 , 0 2 1 . 5 9 11. Total Deductions (total Lines 9 & 10) ................................. .. 11. 60 , 3 9 6.0 2 12. Net Value of Estate (Line 8 minus Line 11) ............................ . . 12. ' S 9 3 , 7 5 5.2 9 13. Charitable and Governmental Bequests/Sec 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. ' 59 3 , 7 5 5 . 2 9 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers une+~~ cec. 9116 (a)(1.2) X .0. 15. ' 16. Amount of Line 14 +~„~ble at lineal rate X.045 593,755.29 16.! 26,718.98 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 ' 18. 19. TAX DUE ....................................................... ..19. ` , 26,718.98 20. FILL IN TN' '4L IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~~_ / ~; y~ c~ U~. ~ ~, ,~~~ ~, L X60520.59 Side 2 15056052059 RSV-1500 EX Page 3 Decedent's Complete Address: Eleanor J. Losch STREET ADDRESS 4411 Royal Oak Road CITY Camp Hill Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. InterestlPenalty if applicable D. Interest E. Penalty File Number 21 07 0954 DECEDENT'S SOCIAL SECURITY NUMBER 209-20-2186 STATE PA 25,000.00 1,315.75 Total Credits (A + B + C) (2) Total InteresUPenalty (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) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable fo: 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 :.................................................................................... ...... ^ ^X b. retain the right to designate who shall use the property transferred or its income : ...................................... ...... ^ ^X c. retain a reversionary interest; or .................................................................................................................... ...... ^ d. receive the promise for life of either payments, benefits or care? ................................................................ ...... ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................ ...... ^ 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ........ ...... ^ 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................................. ...... ~ ^ 26,718.98 26,315.75 403.23 403.23 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 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. §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)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. ZIP 17011 wwnm~ivvvct~u n ur NtNNSYt`JANIA D°PARTMENT Qf REVENUE BUREAU OF INDIVf~UA! TAXES DEPT. 180801 HARR158URG, PA i?128.0607 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT FEGLEY KAREN L 12 OAKWOOD CIRCLE CAMP HILL, PA 1701 1 ACN ASSESSMENT CONTROL NUMBER fold ESTATE INFORMATION; SSN: 209-20-2786 FILE NUMBER: 2107-0954 DECEDENT NAME: LOSCH ELEANOR J DATE OF PAYMENT: 01 / 11 / 2008 POSTMARK DATE: 01 ~1 1 /2008 COUNTY: CUMBERLAND DATE OF DEATH: ' 10/14/2007 REMARKS: RECEIPT TO ATTORNEY SEAL CHECK#1026 AMOUNT 101 ~ 525,000.00 i TOTAL AMOUNT PAID: 525,000.00 INITIALS: AJW RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS REV-1162 EX{11-96} NO. CD 009162 TAXPAYER - -'rS'C: ^ --- (L^TS ,~ O aniwl.2ati:Awi_r ~ ~~cF ®:wv ..~-- O A~7 _. N ~~ m t0 ~ ~ c-r n i z ~~~ . ~] ~ y ~ ` ~~~ m: w a' g` ~ j7 nN~Z ~ ~ ~ ~ D '' ~ ^• ~ ~ ~ ~ r rgc~'i~a O ~ n~ ~O m ..~ m , ~x5 o ° ~ 70~~ ~, ~ _ r ~' ~ ~ ~ ~ 'n t d ru ~ ~'' ~ .3'~ ~ ~ "~ d ~} ~ O ~ .. ` ~~ r ~ , ~ 0 ~ + Im ~ © ^` N 1 V / ^~ //~~ ~ V/ 7 7 tai ~~ ~~ O V CJ . x~5 v v _ ~ I ~. _ i. v n r !. s cor,~r~~oNwEAUi-, of Nr<NNSVwANIa, (ZEAL. E$TATE INi 1E-.NITANCE TAX RETURN RESIDE:N"i DECEDENT ESTATE OF FILE NUMBER Eleanor J. Losch 21-07-0954 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a wilting seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. (If more space is needed, insert additional sheets of the same size) STANDARD AGREEMENT FOR THE SALE (}F REAL ESTATE This fnnn recommended and approved for, but not restricted to use by, the members of the Pennsylvania Association of REALTORS® (PAR). SELLER'S BUSINESS RELATIONSHIP WITH PA LICENSED BROKER AJS~R BROKER (Company} PHONE ADDRESS FAX I LICENSEE(S) Designated Agent? ^ Yes ^ No BROKER IS THE AGENT FOR SELLER. OR (if checked below): Broker is NOT the Agent for Seller and is a/an: ^ AGENT FOR BUYER ^ TRANSACTION LICENSEE BUYER'S BUSINESS RELATIONSHIP WITH PA LICENSED BROKER ~ BROKER (Company) C®nturv 21 at the Helm PHONE X717) 737-4444 ADDRESS 320 N. Front St. , Lemoynel PA 170x3 _ FAX (717) 737-4818 LICENSEE(S) Luu L~ Dang Designated Agent? ^ Yes ^ No BROKER IS THE AGENT FOR BUYER. OR (if checked below): Broker is NOT the Agent for Buycr and is alan: ^ AGENT TOR SELLER ^ SITBAGENT TOR SELLER [~ TRANSACTION LICENSEE When•the same Broker is Agent for Seller and Agent for Buyer, Broker is a Daal Agent. All of Broker's licensees are also Dual Agents LtNLES5 there are separate Designated Agents t'or Buyer and Seller. If the saroc Licensee is designated for Seller and Boyer, the Licensee is a Dual Agent. ~. This Agreerment, dated ~, 26 2ooe , is between 2 SELLER(S): Estate. of Eleanor J. Losch 5 4 ,called "Selier," and 5 _ BUYER{S): Lam Nauken 6 7 ,called "Buycr." K 2. PROPERTI' (9-45) Seiler hereby agrees to sell and convey to Buyer, who hereby agrees to purchase: 9 ALL THAT CERTAIN lot or piece of ground with buildings and improvements thereon erected, if any, known as: 10 12 Oakwood ~ircle i I , in the Totanahig _ of Hampden I2 County of Cumberland in the Commonwealth of Pennsylvania. IdcniFcation { e.g., Tax ID #; Parcel #; 13 Lot, Blnck; Deed Book, Page, Recording Date): 1 ~ 3. TERMS (9-OS) 15 (A} Purcl-asc Price $159 900 00 16 On® hundred fifty-nine thousand nixie hundred 00/100 U.S. Dollars, 17 which wi{I be paid to Seller by Buyer as follows: 18 l . Cash or check at signing this Agreement: $ 19 2. Cash or check w ithin 1 days of the execution of this Agreement: $ 2 , 500.00 ?.0 3. $ 21 4. Cash ar cashier's check at time of settlement: $ 157 , 400.00 22 TOTALS 159.900.00 23 (B) Deposits paid by Buyer within 30 DAYS of settlement will be by cash or casiaier's check. Deposits, regardless of the farm of payment 24 and the person designated as payee, wilt be paid in U.5. Dollars to Broker for Seller (unless othenvise stated here}, , who will retain deposits in an escrow account until consummation or termination of this Agreetent in conformity with all applicable laws and regulations. Any check tendered as deposit monies may be held encashed pending the acceptance of this Agreement. (C) Seder's written approval to he on or before: 0527/08 (D) Settlement to be on £30/2008 , or before if Buyer and Seller agree. (E) Settlement will occur in the county where the Property is located or in an adjacent county, during normal business hours, unless Buyer and Seller agree otherwise,. (F) Conveyance from Seller will be by fee simple deed ofspecial warranty unless otherwise stated here: (G) Paynteni of transfer taxes will be divided equally between Buyer and Seller unless otherwise stated here: (H) At time of settlement, the following will be adjusted pro-rata on a daily basis between Buyer and Seller, reimbursing where applicable: cur- rent taxes (see lnfolmation Regazding Real Estate faxes); rents; interests on mortgage assumptions; condominium fees and homeowner asso- ciation fees; water and/or sewer fees, together with any other lienable municipal service. All charges will be pro-rated for the period{s) cov- ered. Seller will pad up to and including the date of settlement and Buyer mill pay for ail days following settlement, unless otherwise stated here' 41 Buyer Initials:_~ A/S-R Pape t of I7 Seller Initials: Revtscd 9l05 Pennsylvania Assaclalion of COPXRIGHT PGNN5YLVANIA ASSOCIA.T[ON OF REAL RE,ALTO RS® ftFAUORT Th~VOlc~,er Real Eataled lR Pennxylvanle Ck~`TLRY 2i At the Holm 320 vonh Front S•~eatWOrmleysburg, PA 17043 Phones (717) 991 - D327 flax: (000) C00 • 0000 ~fa~yan Jacques Produced with ZipFOrm^" by RE ponnsNet. LLC 18025 Fii:een Mile Roed, Clinton Township, Michigan A8035 mvw zioform cum 2DD5 9i05 Tanmy Le vnnu+n+ naio+u~uua+ r-NN+awa+ nv~/vt ~ ~,, 9 . ~~ .~~~.CLCl~C'Md(' I~itc rr 1cU8-06AC' Ilt!' rl; :,a,': ul ix' SII t xY ' , rt'0iu 1: rt, >;, l is to row c hvul •dcli •nl o ilh m a ~cunnc a ndtt ua cl su urlcd u,inion al lhU m , 'NI cui t• a the su h cr1 n~crl . '- yl \x.1,,,4411 Royal Oak Road Ciw Camu !-Fill Ilnc YA ri~rl,ry~1701 J Is n n n Nol ApnliG•thle ow ~• ,r u. hli ~cnrx VJ4,tyC,jj, trod Eleanor ~ osoh < nn by [' umtx;r~jl~ f,;, ..I u, ~hlrt L)eed IIook 25F_l'796 t~ti • c l'•,r^~~i !1 JO-2 t-0277-207 "lu\ 1 L• 20013 11.1. I'asc, .t; 1 •7~2 _ _ _ ~ ~ ' j• ' ,.n )„~ X ~ C _JS241.SS'I~ ncl month ] .. ,'. , ~ •' •' X c Estat ur oses with an effective date of Octobl r 14.2007 , - `•~ tl~ II 1 .I... 1. I'!~ II 1• 1 ~yy;,Jy~ v (Jy .I„Ih •••!C •.~r'. •,I l.e,l I,' xluyy,c~l'/ 1111 SY~} ' t] . . ~ ! h u 1 I.+'r_• ,,~kyn, 11 nr.} NotApulicable .' 1 :iiJ diJ nut an:d}ve the auetruel for suls lur the sublecf pmchasc lransuelim:.Ixplttin the reeults ul the pool}'six nl:hecunlrtel lur sale ur,rhp lht n;ll}cis eaz nui :•.....•.1 Not AuJ~licable )~~ ~:, "' ~ 1 ~. re xat ll1i lul"11 tlop~tr ~rnaum uud Icxcrily the itmnt to be n•ur= , L•exenl Lnnd Uxe. K. ~. rnol'vnl ~.S `3 .1: 10 'f , }{ • , ~ , . ~ }( ,... 120 l0 ' lulu-I umil, 10 ~ I The su(~ •t pro) .r Y is south of Carlisle Pike. e~,gt of St _lohns Church Read. ~ yy1,ry ,,~, ;,,,.,,,,.~,.,, I S •x , • wr • 1 jjou[e 1 4 'u7d diilflStf Trindle Rnarl in Hamp~y Zownghj~ 150 ~ 4i • „ 1 .h I ") ~ Th su~jeu'c nejYhborfloo knoam as Hampden C;ardetygin Hampden Township This neigh o y; rhood is gj„tt joining 4 t ~ I tU's appraisal J ' I ~ 'r i . i th' ~ 1µ • C117~t faurily recide,~rP end utilised ~{~y~!_ly'~r~t~~stj2les in the ~nafysis I } ' s -similar spyhu•e ronr;,ne with yr ~wer•tee sde price of ~I85 OOU Sellers received 97°l0 of theft asking price. The average time on the market was 36 days. "I:his 7 w• ' - n wut,i_„ See •ttt•tched deed n e• 24 Acres tihu~ Rectangular ei~„ Residential is X ~ ~111L1u1aw 1,1_s ~..y, I'th• .djyy;ln .•c.+l<n_rc ~p~y;y ~u,s uul enncillealiun.l 4im nnyylynn? tiu li'1u. Jcscri he ) • 1 I)~rerv ice use. x '~ x - _ ~ -rfan. t,j996 ~ , I , Irt tlLl f ,1tr I I li Ins ILS ' 'h ' I ~ 1i1 I~ x 'In 1', 1iv x '1, II l~cydcst.rihc v nrntc that wnldd affect rhr p]arketability and use of [he rite flare •n'e no •lu •Irenl sjjg r^nril+'^r,c or non-u~Jj> _ : naleri.+IfffconAlllon r-. - - . ~. ~ X ~ Aluminu Sidi t r Ya int(Pa er llW or Plaster Tile .. s Tradition• I Double Hun & Stationar Po~'celti n . I.il¢IirC \'e tl"IS Zt} Rum w+s Sclllcmcnl ticrcmix Yes X tore" 2 - , . y, ]^'IdCl17C x J x X ~, of t'nrs 2 ,o- ,~ 1... C \, d< \d Iiti ti 11 t , t,„ i,,l ~„~,i~p Ceilin i-tns stomt windows and doors. t ) • The sub'ect ro'~ert dis la s a ;>yys new , •tnd the kitchen was upgraded in 2003. exterior shutters vinyl fencing •dl se'tson room , 11 ! 1 1 !, I'i I 1" I'I' I I' ~'i,a,l'ILo ,. •,1 •'1 N., !f\ •g I~. ~'I. y„~,~,y It needs to be noted that inl'onnation was urovided that the condenser for the sir condition unit needs replaced. .451n1 r n I tl ,u:. ~• •s . ~,• •. I rl~l le sh I~•••„h, u,n u", o..,,.,rnc1 tm itu )•, (° }y!S il11 " ~17 L ~ .. t~, I! \u Jc•:uihc _ .. _ , Ivu,.i,c !.Ice br,nn TU 11;nrfi ?f itLY I„gc I of ( rnnuie A i.ic Perm ; IaIJ .Uarcu 3nu? l+nifon~t Residential Appraisal Report lalca R~iB-06AC lheic; 38 cnm;r;unhle mane, lie+cm reptjv urtia~;~,(l,r sale in the snhiacUiu~Ihnyf~unJ nyl~ in nricc fnnn 4; Q=}~),t)~~ 124 y9O O ,~ I I'.t'r+' JIC 13Sc,un i,I':1hll' 4iJCh II) I,IC tiJh ltil nt'I •L b;,rhi,nJ ++~ithin the 1J51 I\1',.ten Illlllllhl; tall `l ll ~ In \i11C )I'ILl Irum ~ _. // /~/~ 1 o i l S,OVD l„ ~ 47o,UO(l. I~I:.A'I'lJil; SG9JIi(" C'Oht1',1F2,113L,iti:V.1!117 C11h11':1B.11SL1.ti,ALI.lI: CU.+iI'.A it.11i(,lstii!.LdJ +Jdic,+ 441 I Royal Oak Road 302 Thomas Drive 423 Yark Hills Drive 3821 Carriage House Urive „ti, Within l2 mile ithin2miles Withinimilc ~~` ;. . , .. , I . ~ , ~ 94.49. 1 l5. 6 ~ .~~ ~ : '. ~~ 99.71 ~ ~u.ls_, -. 's,,u.;,,:;,,;,n,i„} , . ," Se1lerHdp 9 UOM/Convem -8,000 Seller Help 24 UOM -5,460 SeflersHelp 2 UOM -.5,9'0 7 ~ / 7 ) uburban Suburban 0 Suburbat 0 Suburban - O q• 3 33 y , .,, Residential imil ~ 0 Sitnil'v U Creek Vie+v -5 000 - u I (~ a, •, vela a Averse 0 Avers e 0 Good _ O ~ 3 1 ;ood Good 0 'sod U Good _ O ~ ; \b J 1 o,, . u, c ~: IL,n room ~ ~ - m 1,742 ,, n 1964 -3 440 I S7S - 4 34U 1 94(~ ~ -4 U8U ,.la+r,nenl s r,,,,~h,.d +t m Partial Fin 1 Concrete Slab S,OQU Full Finished 2 -2,OU0 Partial Finished U 5' n ~ c uu F'HAlFaech'ic/C'A 8t3/Gas/CA 0 BB/Electric/CA U SB/Gas _.. 2 UUO S' - 5 1.5 > • ll Season/Porch Yatio/Screen Porch PatiolPorch ) OOU Patin/Porch 1_ 0, OU -~ ;Shed one Non ~ None Noce U 5 ,~. X - -a Sao X -1 0 X ~- -I I SSU _w,a. ItJ s,a~ u„~ ;, ~,r i, • ~ ~ '_ , - '' ~u vdi -2.53 ~A Urncs; d. 9.18 ~R 190 4b rv~( ~Ji -0.07 <; 1,,,,.+~~~ ~ ~ 8.13 ~n 1$1 880 n (-vii. 5 80 ~, ( -, +. J_ 9 32 c~ 187.450 X - t„ . ,t ,M~. „~. .511) ~ . + , Public records - ~!.1:: ,.may - - P/tl ~~SiS01 ~(nd , 11 aL 'I „ .; ~ . ul 13 1983 Nov. 20 2002 None Piloted Nom: Noted 5 3 ~ Public records Cou Records Caunt ~ Records .rnntty Records .. . , ~ , . ,( r ) Jiu~ a 2nas ' itLd to b~.an arm s lct~lyh it'tn tclivn There are no noted trursi'ers of the comas within the oast scvend nears, lte above du es tr to $190,46 0 !'< i or nlr cases of this tuurlicnl 1 have estimated 1n opinion of value at $185 OOU as oS October ] 4. 2007. ~~IW¢: Ful~~,-S 'x Cou ,: - , 'o'. larL ~ a ` , mlu c , t~ r + , 'SNrr ,,, I BS O(l0 raxLdPl~ n r:rd 1 ny,~ol Annlicable _ Sury_ s~pr •: Ir : I „Not A nnl The Cost Auuro u.b ++as considered but not utilized due to the uy~ of the subiect'tad the dilticulty to acculafely me tsutink deurel iation, "the om Arnno tch w r+ ton+idele9 ut not utilized since this t1DC.9f ~lar!Y.~ ~„nicely ~n owner occun,ed retitdence.nld_nyi1kR14st11~~ 1J)S icahle ~~ , ~. TI i t , d Jc ~:,. ;. ,I ie. ~.t to cu:nprcaiun pu Ftlun.+und pe ,llcauuns nn me ha.es r a hyon:ncueut e,ianJtuou W+i the lmpr ~ m uv hate n~ en cum ,k,~J. ~;nhlcn,ntlu•lullun mt. wpaice or ul(u'ulinus on th~husts,ri uhyputh~ucul cunJ„iun Thal th~r~pm r+ur ullcr'rt;nm lun~c t,cu:c roy,lc,,,J o, s~ ~.,' s,i ~ n ln,. ' nasedmtaeunyderrvisnalhtspectlunotrbctntxrtormrdexkeriurareauoftheeubJeclproperty,deS'Inedswpeotrvor14a1atemenSotaesuroptimisanUlindllnt~ ,:uuJtlions,:md xpprxtxrr'e certtfleuttun. mp font) uprnlun uY the market value, ae JrnnrJ, or the rmd property that le the snbJed ul'tlds report ix Q i lurm 71? i\;~I'~I, ~f1U$ V~bbc: U1 C , ~~•••~" ..'.•. .vrJJic \fu. - REV-~`~03 EX+ (6-98) scNEOU~E s COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT FRTOTF nF FILE NUMBER Eleanor J. Losch 21-07-0954 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH Decedent died on Sunday, October 14, 2007. The following values were established by using the average of the mean of the high and low of each following stock as of Friday. October 12. 2007 and Monday, October 15, 2007. 1. LGA Vision -11 shares @ 28.76 per share 316.36 2. Alcatel-Lucent - 259.3753 shares @ 9.86 per share 2,557.44 3. Spectra Energy -148 shares @ 25.82 per share 3,821.36 4. Sovereign Bank - 3,786.834 @17.04 per share 64,527.65 5. Duke Energy - 304,8354 @ 19.03 5,801.01 TOTAL (Also enter on line 2, Recapitulation) I $ 77,023.82 (If more space is needed, insert additional sheets of the same size) REV-1508 EX+ (6-98) k° Y. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDt~ILE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Eleanor J. Losch Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. FILE NUMBER 21-07-0954 ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PNC checking Acct. #5140038855-date of death value 31,635.23 2. PNC Saving Acct. #5004331352 181,137.97 3. 1999 Chevrolet Van, 187,000 miles, VIN 1GBFG15ROX1034242 1,500.00 4. 1999 Cadillac Sedan, 97,000 miles, VIN 6S69899502295 500.00 5. Personal property of decedent 3,500.00 6. Victor H. Losch -Estate PNC account 8,160.00 7. AG Edwards Cash Account 4150-4099 2,663.54 8. 2007 IRS tax refund 1,417.00 TOTAL (Also enter on line 5, Recapitulation) $ ~ 230,513.74 (If more space is needed, insert additional sheets of the same size) 'Nov, 1. 2007 4.O1PM PNC BANK 412-705-2747 ~ PNCBANC The Thinking 6ehlnd The Money November 1, 2007 Andrew Sheely 127 s Market st PO BOX 95 Mechanicsburg, PA 17055 RE: Eleanor J Losch (TSeceased) SSN: 266-07-3188 DOD: 10-14-2007 Dear Mr. Sheely: No. 4972 P. 111 In response to your request for Date of Death balances for the customer noted above, our records show the following: Checking Account Account # 5140038855 Established 04-01-1969 ELEANOR J LOSCH DOD balance: $31,632.62 + 2.61 accrued iaterest Savings Account Account # 5004331352 Established 03-21-2007 ELEANORJLOSCH DOD balance: $180,719.45 + 418.52 accrued interest Please note that this office only provides date of death.balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do not process any financial transactions or provide statements. If you need assistance with az~y of these items, please call 1-888-PNC-BAN[C (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, I-C~ ~~~ Co een Crow er 1-800-762-1775 P7-PFSC-04-F 500 First Ave Pitisbwgh, PA 15219 Member FDIC Page 1 of 1 JUN-09-2008 16:05 AG EDWARDS 717 238 2922 P.002 A,G. EDWARDS & SONS, INC, 4400 Deer Path Road, Suite 700 Harrisburg, PA 17110 717!238-8444 toll free: 800/503-5874 fa x: 717/238-2922 ~ June 9, 2008 E DWA~D S. FAXED TO: 717-697-7465 Andrew C. Shecly Attontey at Law 127 S. Market Street P.O. Box 9S Mechanicsburg, PA 17055 ItE: Estate of Eleanor J Loveb & Aocount#4150-4099 DOD: 10!14!2007 hear Andrew; Per your request, the estimated date of death valuation follows: 1. AGE Bank Deposits $2663.54 2. 2475.834 shares Soverci~ Bank (SOV) A. 10/12/2007 $17.35 $16.99 H/L, Mean $17.17 B. IO/15/2007 $17.29 $16.52 H/L Mean $16.91 C. Mean (A+B) $17.04 x 2475.834 3. Total Value Sincere William J. Averill Financial Advisors Wachovia Securities, LLC Enclosures: October 2007 Statement Realized Gain/Loss Report as of 6/5/2008 $42, 188.21 $44,851.75 Pass performan~~e is no guaruntee of future results. Account total perforrnance is a holding period rate of return. Although the uhove information has been clhtained from sources believed reliuhle, A. G. Edwards d` Sons. Inc. does not ~~uararuee its uccuracy. This report has hcert prepared for your convenience. It is not intended to replace official documcrrts such as trade HEV-1510 EX+ t6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Eleanor J. Losch FILE NUMBER 21-07-0954 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 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 DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1. Sovereign Bank - IRA account # 0358001725 1,713.75 100 1,713. TOTAL (Also enter on line 7 Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 1,713.75 REV-1511 EX+ (12-99) SCFIEDt~LE N COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Eleanor J. Losch 21-07-0954 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 Garman Funeral Home $8,640.13 2 St. Johns Lutheran Church luncheon/services 325.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 0.00 Name of Personal Representative(s) Karen L. Fegley, Darryl V. Losch Social Security Number(s)/EIN Number of Personal Representative(s) Street Address 4411 Royal Oak Road City Camp Hill State PA Zip 17011 Year(s) Commission Paid: 2. Attorney Fees Andrew C. Sheely, Esquire 5,875.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State _ Zip Relationship of Claimant to Decedent 4. Probate Fees 510.00 5. Accountant's Fees Samuel Barbush, CPA 520.00 6. Tax Return Preparer's Fees ~. Misc. postage and certified mailings 84.30 $ Additional short certificates 90.00 s. Reimbursement to Darryl V. Losch for traveling fees and expenses 730.00 ~ o Reserves to conclude Estate administration including First and Final Account, misc. costs/expenses 600.00 TOTAL (Also enter on line 9, Recapitulation) 17,374.43 $ (If more space is needed, insert additional sheets of the same size) RECEIPT FOR PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17613 LOSCH ELEANOR J Estate File No.: 2007-00954 Paid By Remarks: LTC VICTOR H LOSCH II AJW ------------------- Fee/Tax Description PETITION LTRS TEST WILL SHORT CERTIFICATE JCP FEE AUTOMATION FEE Check# 1709 Total Received......... Receipt Date: 10/22/2007 Receipt Time: 14:41:24 Receipt No.: 1050302 Receipt Distribution ------ ------- ------- ---- Payment Amount Payee Name 460.00 CUMBERLAND COUNTY GENERAL FUN 15.00 CUMBERLAND COUNTY GENERAL FUN 20.00 CUMBERLAND COUNTY GENERAL FUN 10.00 BUREAU OF RECEIPTS & CNTR M.D 5.00 CUMBERLAND COUNTY GENERAL FUN ---------------- 510.00 510.00 REV-112 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE t)F FII F NIIMRFR Eleanor J. Losch 21-07-0954 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Sovereign Bank Mortgage payoff in re: 12 Oakwood Circle, Camp Hill, PA 17011, Acct. 0356101245 $24,611.52 2. Reimbursement-Darryl V. Losch, misc. repairs to real estate of 4411 Royal Oak Rd., Camp Hill, PA 17011 843.06 and to decedent's vehicles 3. Settlement charges for sale of 12 Oakwood Circle, Camp Hill, PA 17011 (seller assist, commission, transfer 7,599.00 tax 4. Final Comcast bill 99.31 5. PPL utility bill pending real estate transfer, 4411 Royal Oak Rd., Camp Hill, PA 17011. 810.24 6. Final Sprint phone bill 51.92 7. Final local Verizon bill 46.47 8. Boscov's -final credit card bill 85.64 9. Misc. motor vehicle and Homeowner's Insurance bill pending transfer of titles and real estate 1,999.25 10. Misc. sewer/trash bills for 4411 Royal Oak Rd., Camp Hill, PA pending transfer of real estate 138.65 11. Misc. water and utility service bill for 4411 Royal Oak Rd., Camp Hill, PA to PAWC 51.70 12. Lawn maintance/snow removal for 4411 Royal Oak Rd. pending transfer of real estate and 12 Oakwood 545.00 Circle prior to transfer - D. Fortnev 13. Final lawn care treatment bill - Truegreen 122.47 14. Misc. stock transfer fees 70.00 15. Misc. recording fees @ Recorder of Deeds Office, Cumberland County 39.50 16. RSR Appraisers -appraisal of Estate real estate 650.00 17. Decedent's 2007 state income tax obligations 270.00 18. Pro-rated real estate taxes @ 12 Oakwood Circle ($349.98 county /twp -reimbursement per settlement 167.86 sheet $182.121 19. Necessary roof repairs to 12 Oakwood Circle prior to real estate sale to repair damage as of date of death. 4, 820.00 TOTAL (Also enter on line 10, Recapitulation) $ , 43, 021.59 (If more space Is needed, insert additional sheets of the same size) 1~/06:r2001 Tl1E 9;42 FAQ 610 685 9033 Sovereign Bank ~uu~~uu~ SOVEREIGN BAN ATTN. 10-6138-- 05 601 QENN STREET READING, PA 19601 **RESIDEN'I'IAL MORTGAGE P YQF'F QUOTE** 11/06/07 LOAN NTJI~B E R: 0 3 5 61012 4 5 PRIMARY BORROWER'S NAME: VICTOR H LOSCH PRO ER~'Y ADDRESS: 12 AK WOOA CIR CAM HILL PA 17011 SENT TO: SOVEREIGN BANK BRANCH rr^AX 717-763-4530 ATTN BUELLA AS OF 1.1/06/07 THE STATUS OF THIS LOAN S AS FOLLOWS: TAXES YTD ESCROW BALANCE INTEREST P SD TO PER DIEM INTEREST 1609.51 390.27 11/0 /07 3.1940 INTEREST RATE CALCULATED TO 4.75000 11/05/07 *** PAYOFF AMOUNT CALCUTIATIC PRINCIPAL BALANCE INTEREST CALCULATED TO 11/06/07 ACCUMULATED LATE CHARGE HAI;ANCE LIFE/AH INSURANCE CALCULATED TO 11./06/01 ESCROW/IMPOUND ADVANCE BALANCE PAYOFF PROCESSING FEE AND/OR OTHER FEES RECORDING FEE PREPAYMENT PENALTY FEE LESS UNAQPLJ=ED FUNDS ** TOTAL REQUIRED TO PAY LOAN OFF** PMI/FHA TO BE DEDUCTED FROM ESCROW S G/'~.r- INTEREST DLjE - - - - - - - _. -. - J - 15.97 ~ *** 24543.55 15.97 0.00 0.00 0.00 25.oa 27.00 o.oo 0.00 24611.52 0.00 ~.~.P PAYOFF PkE PARED SY : ~ (~I f `~f ~ ~ ,~,~, 11 / 0 & / 0 7 ANY QUESTIONS, PLEASE ~O~YVTACT US AT 1-800-232-5200 iAGE 1 DF 2 OMB NO. 2502-0265~'.. A. B. TYPE OF LOAN: U.S. DEPARTMENT OF HOUSING 8 URBAN DEVELOPMENT 1.^FHA 2.QFmHA 3. ~CONV. UNINS. 4. QVA 5. QCONV. INS. SETTLEMENT STATEMENT 6. FILE NUMBER: AsA-080117 7. LOAN NUMBER: 13oaooooss9 8. MORTGAGE INS CASE NUMBER: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked (POCJ" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. 1.0 3/98 (ASA-080117.PFD/ASA-080117/19) D. NAME AND ADDRESS OF BORROWER: Lam Nguyen 12 Oakwood Circle Camp Hill, PA 17011 E. NAME AND ADDRESS OF SELLER: Estate of Eleanor J. Losch F. NAME AND ADDRESS OF LENDER: Lincoln Mortgage Company 8004 Lincoln Drive West, Suite C Marlton, NJ 08053 G. PROPERTY LOCATION: 12 Oakwood Circle Camp Hill, PA 17011 H. SETTLEMENT AGENT: 02-0640071 Appalachian Settlement Agency, LLC. I. SETTLEMENT' DATE: June 24 2008 Cumberland County, Pennsylvania PLACE OF SETTLEMENT 2040 Linglestown Road, Suite 203 Harrisburg, PA 17110 , 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. ConVact Sales Price 159,900.00 401. Contract Sales Price 159,900.00 102. Personal Pro ert 402. Personal Pro ert 103. Settlement Char es to Borrower Line 1400 7,565.83 403. 104. 404. 105. 405. Ad'ustments For Items Paid B Seller in advance Ad'ustments For Items Paid B Seller in advance 106. Ci /Town Taxes to 406. Ci /Town Taxes to 107. Coun Taxes 06!24/08 to 01/01/09 182.12 407. Coun Taxes 06/24/08 to 01/01/09 182.12 108. School Taxes 06!24!08 to 07!01!08 24.11 408. School Taxes 06!24/08 to 07/01/08 24.11 109. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 167,672.06 420. GROSS AMOUNT DUE TO SELLER 1 0,106.23 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. De osit or earnest move 2,500.00 501. Excess De osit See Instructions 202. Princi al Amount of New Loans 127,920.00 502. Settlement Char es to Seller Line 1400 ,599.00 203. Existin loans taken sub'ect to 503. Existin loans taken sub'ect to 204. 504. Payoff of first Mortgage I 205. 505. Pa off of second Mort a e 206. 506. 207. 507. De osit disb. as roceeds 208. 508. 209. Seller Assist 3,000.00 509. Seller Assist 3,000.00 Ad'ustments For Items Un aid B Seller Ad'ustments Forltems Un aid 8 Seller 210. Cit !Town Taxes to 510. Ci !Town Taxes to 211. Coun Taxes to 51t. Coun Taxes to 212. School Taxes to 512. School Taxes to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BY/FOR BORROWER 133,420.00 520. TOTAL REDUCTION AMOUNT DUE SELLER ,599.00 300. CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TOfFROM SELLER: 301. Gross Amount Due From Borrower Line 120 167,672.06 601. Gross Amount Due To Seller Line 420 1 0,106.23 302. Less Amount Paid By/For Borrower (Line 220) ( 133,420.00 602. Less Reductions Due Seller (Line 520) ( 7,599.00 303. CASH (X FROM) ( TO) BORROWER 34,252.06 603. CASH (X TO) ( 1=ROM) SELLER 1 ,507.23 The undersigned hereby acknowledge receipt of a completed copy of pages 182 of this statement & any attachments referred to herein. r Borrower ~ Seller Lam Nguyen f Es too eanor J. Losch- L. SETTLEMENT CHARGES 700. TOTAL COMMISSION Based on Price $ % 3,OOO.00 PAID FROM PAID FROM Division of Commission line 700 aS FOIIOWS: BORROWER'S SELLER'S 701. $ 3,000.00 t0 Century 21 at the Helm FuNOS AT FUNDS AT 702.$ t0 SETTLEMENT SETTLEMENT 703. Commission Paid at Settlement 3,000.00 704. Transaction Fee to Century 21 at the Helm 175.00 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Ori ination Fee °/ to 802. Loan Discount 0.3800 % to Lincoln Mortgage Company 464.82 803. Appraisal Fee to 804. Credit Report to 805. Lender's Inspection Fee to 806. Mort a e Ins. A .Fee to 807. Assumption Fee to 808. Tax Service Fee to Lincoln Mortgage Company 85.00 809. Commitment Fee to Lincoln Mortgage Company 675.00 810. Flood Cert Fee to Lincoln Mortgage Company i8_0Q 811. Loan Discount to Broker to istContinental Mortgage 1,918.80 812. Processing Fee to 1st Continental Mortgage 895.00 813. 814. 815. 816. 817. 818. 819. 820. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From 06!24(08 to 07/01/08 @ $ 22.7803001day ( 7 days %) 159.46 902. Mort a e Insurance Premium for months to 903. Hazard Insurance Premium for 1.0 ears to 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance months $ er month 1002. Mort a e Insurance months $ er month 1003. Cit (town Taxes months $ er month 1004. Count Taxes months $ er month 1005. School Taxes months @ $ per month 1006. months $ er month 1007. months @ $ per month 1008. A re ate Ad'ustment months $ er month 1100. TITLE CHARGES 1101. Settlement ar Closin Fee to 1102. Courier Fee to A alachian Settlement A enc ,LLC. 40.00 1103. Tax Certification Fee to A alachian Settlement A .enc ,LLC. 10.00 1104. Wire Fee to A alachian SettlementA enc ,LLC. 8.00 1105. Document Pre aration to A alachian Settlement A enc ,LLC. 35.00 1106. Nota Fees to 1107. Attorney's Fees to includes above item numbers: 1108. Title Insurance to A alachian Settlement A enc LLC. 1 158.75 includes above item numbers: 1109. Lender's Coverage $ 127,920.00 1110. Owner's Coverage $ 159,900.00 1,158.75 1111. End 1 0 013 0018.1 to Appalachian Settlement Agency, LLC. 150.00 1112. Closing Protection Letter to Stewart Title Guaranty Company 35.00 1113. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 38.50; Mortgage $ 80,50; Releases $ 119.00 1202. Ci !Count Tax/Stam s: Deed 1,599.00• Mort a e 1,599.00 1203. State Tax/Stam s: Deed 1,599.00; Mort a e 1 599.00 1204. 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Surve to 1302. Pest Ins ection to 1303. 1304. 1305. 1400. TOTAL SETTLEMENT CHARGES Enter on Lines 103, Section J and 502, Section K 7,565.83 ,599.00 _ _. _ ----.._._..---~_---"---...._..._..~_ ..........................o.a.. ,...vr .,, eye <.,, ,,,,mow vas ~ _ Appata i ement Agency, LLC. Settlement Agent Certified to be a true copy. REV-1513 EX+ (&00J COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Eleanor J. Losch 21-07-0954 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)) 1. Cheryl Ann Byers, 10 Lagoon Drive E, Bricktown, NJ 08702 Daughter 25% 2. Karen L. Fegley, 4411 Roya[ Oak Road, Camp Hill, PA 17011 Daughter 25% 3. Darryl V. Losch, 8140 Crestview Drive, Covington, GA 30014 Son 25% 4. Victor H. Losch, II, 428 Emerson St. N.W., Washington, DC 20011 Son 25% 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 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) j LAST WILL AND TESTAMENT OF ELEANOR J. LOSCH I, ELEANOR J. LOSCH, a resident of the Commonwealth of Pemisylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. I live with my husband who retired from the military service of the United Staters. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement fn•om any recipient of any such property (including reimbursement under Section 2207B of the Internal Revenue Code). SECOND: I give all real estate owned by me at the time of my death, and all rights that I have under any related insurance policies, to my husband VICTOR H. LOSCH, if he survives me. THIRD: I give all tangible personal property owned by me at the time of my death, including without limitation personal effects, clothing, jewelry, furniture, furnishings, household goods, automobiles and other vehicles, together with all insurance policies relating thereto, to my husband. VICTOR H. LOSCH, if he survives me, or if he does not survive me, to those of my children (DARRYL V. LOSCH, KAREN L. FEGLEY, VICTOR H. LOSCH II and CHERYL A. BYERS) who survive me, in substantially equal shares, to be divided among them as they shall agree, or if they cannot agree, as my Executor shall detenmine. FOURTH: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), as follows: (a) If my husband VICTOR H. LOSCH survives me, to my husband outright. (b) If my husband does not survive me, then to those of my children who survive me and to the issue who survive me of those of my children who shall not survive me, per stirpes. (c) If my husband does not survive me and there shall be no issue of mine then living, I give my residuary estate to those who would take from me as if I were then to ciie without a will, unmarried and the absolute owner of my residuary estate, and a resident of the Commonwealth of Pennsylvania. FIFTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my Executor, at any time and without court authorization, may: distribute the whale or any part of such property to the beneficiary; or use the whole or any part for the health, education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of the whole or any part of such property until the beneficiary attains the age of eighteen (18) years, and may hold the same as a separate fund for the beneficiary with all of the powers described i.n Article SEVENTH hereof. If the beneficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. SIXTH: I appoint my husband VICTOR H. LOSCHto be my Executor. ~If my husband does not survive me, or shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint KAREN L. FEGLEY and DARRYI, V. LOSCH as Co-Executors. If either Co-Executor shall fail to qualify for any reason as Co-Executor, or having qualified shall die, resign or cease to act for any reason as Co-Executor, I appoint VICTOR H. LOSCH II as Co-Executor. If VICTOR H. LOSCH II shall fail to qualify for any reason as Co-Executor, or having qualified shall die, resign or cease to act for any reason as Co-Executor, I appoint CHERYL A. BYERS as Co-Executor. I direct that uo Executor shall be required to file or furnish any bond, surety or other security in any jurisdiction. SEVENTH: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to divide and distribute property in cash or in kind; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. EIGHTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me unless such beneficiary survives me by more than thirty days. NINTH: I may leave a letter of intent with the executed copy of this will for the purpose of giving guidance to my Executor concerning the distribution or sale of certain items of my property. I request, but do not require that my Executor honor my wishes therein expressed. This document was prepared under the authority of 10 U.S.C. § 1044 and implementing military regulations and instructions, by Captain Robert E. Samuelsen II, U.S. Army, who is licensed to practice law in the State of Minnesota. IN WITNESS WHEREOF, I, E~ANOR J. LOSCH, sign :my name and publish and declare this instrument as my last will and testament this ~ ay of 2003. I also have affixed my signature on the bottom of each of the preceding pages hereof. --.C~.~ ELEANOR J. OSCH The foregoing instrument was signed, published and decl~u•ed by ELEANOR J. LOSCH, the above-named Testatrix, to be her last will and testament in our presence, all being present at the same time, and we, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses on the date above written. ~- having an addre~ss~at ~ /~c~ /Z having an ad ~ess at ' ~(' ~ -7 ~ J"'1 ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss. e, ELEANOR 3. LOSCH and E ~ %C ~ ~ ~~~~%~ ^ _ _ _ _ _ _ _ _ _ _ ,~~i~ _ ~ Q!~ 7L _ _ _ _ _ _ _ _ _ _ _, the Testatrix and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix, ELEANOR J. LOSCH, signed and executed said instrument as her last will and testa- ment in the presence and hearing of the witnesses, and that she had signed willingly, and that she executed it as her flee and voluntary act and deed for the purposes therein expressed, and that f;ach of the witnesses at the request of the Testatrix, in the presence and hearing of the Testatrix and each other, signed the will as witness, and that to the best of his or her knowledge the Testatrix was at the time at least eighteen years of age, of sound mind and under no constraint, duress, fraud or undue influence. ELEANOR OSCH Testatrix Witness Q- _ Witness Subscribed, sworn to and acknowledged before me by the said ELEA OR J. LOSCH, Testatrix, and subscribed and sworn to before me by the above-named witnesses, this ~ ~ day of~f f ~I 003. Not Public My commission expires on Notarial Seal Betty S. Kistler, Notary Public Carlisle Boro, Cumberland County My Commission Expires May 14, 2005 Member, f'enn5ylvania Association of Notaries