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Home My WebLink About04-0268 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estateof Harry E. Boer. J~', NO also known as , Deceased Social Secu~rlty Ns 208-24-2566 Peht~oner(s), who ~s/are 18 years of age or older, apply0es) for ~ A Probate and Grant of Le~ers Te~amenta~ and aver that Pet~boner(s} ¢~ ' ~ ~ ~ f [ ~s/are-the ~xec~ n~me~ 4n the I~st W~II of the Decedent, ddted and codicil(s) dated ~ ,." ~> o ~cept ~ follows, Decendent did ~ot ma~. was not d~vorced, ~d d~a aot have a child bom or adopted a~er exec~t~n of the d~cum~nt~ offered for probate, was not the wcbm of a ~][tng and w~ nev~ adjudrsated ~ncompetent ~ .' ..... ~ __ B ~[~t of LePers of A~n~stratJon Pe~t;oner(s) a~er a proper search has~ave ~sce~amed ~at Decendent left ~o W~II and was su~ved by the following spouse 0f any) and he~ ~ Name Relabonshl~ Reslden~ Harry E. Baer~ ZZZ son Georgia Motter ~ter .02 Kerrsville Rd., Barbara Felton ~t;r ~46 Lincoln St., Carlisle,i~9~10] D~ana Nenn~nger ~ter B1 Hilltop Ln.~ Neville, PA ]724~ {COMPLETE IN ALL CASES ) Attach additional sheets ff necessary Decendent was domiciled at de~th In Cumberland County, Pennsylvania, with h~s/her last family orpnnctpalresldenceat 550 Barnstable Road. Carlisle. PA 17013 {list street, number and muni~palrb7) Decendent, then 72 years of age, d~ed February 17~ , 2004 at C~rl~=l,, p,,o~,~,,=~Med~r~l Center (Location) Decendent at death owned property w~th eshmated values as follows (if domicded in PA) All personai property $ 500.00 (If not dom~cded In PA) Personal property in Pennsylvania - $ (If not domiciled ~n PA) Personal property m Co_unty $ Value of real estate m Pennsylvania $ 80,000.00 sltuated as follows 550 Barnstable Rd.~ Carl~_sle, PA Wherefore, Petlboner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Per,hen and the grant of letters In the appropriate form to the undersigned ,*-cvs....o~ ' S,~nature Typed or printed name and res,dence PA, 16801 STATUS REPORT UNDER RULE 6.12 Name of Decedent: Harry E. Baer, Jr. Date of Death: 02/17/2004 Estate No.: 21-2004-268 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes. X No __ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's account c. Did the personal representative state an account informally to the panes in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphans' Court and may be attached to this report. Date Richard L. Campbell, Esquire 720 South Atherton Street State College, PA 16801 (814) 234-1500 Attorney for Estate Oath of Personal Representative Commonwealth of Pennsylvama County of ' Centre -- The Per,boner(s) above-named swear(s) or effir .re(s) that the statements In the foregoing Pet~bon are true and correct to the best of the knowledge and belief of ~et~tlor~er(s) and that, as personal representS, tire(s) of the Decedent, Petlboner(s) will well and truly administer the estate according to law Sworn to or affirmed and subscribed , ¢j¢7 ' - _before me this 8th day of -' March ~kx 2004 ter " Noz Deceased _ _ _~ ......... Estate of - Harry E~ Ba.e~_, _Jr- ~ ., - ~ SoclaISecuntyNo 208-24-2566 Date of Death February 17~ 2004 on the reverse rode. hereon, sahsfactory proof hawng been presented before me, ~'T IS DECREED that Letters [] Testamentary [] Of Admlnistrabon .~.~ p..o..~.~,~. ~.~..~.....n~.......~,~.~.,. are hereby grantedto Harry E. Baez', III m the above estate and that the instrument(s) dated described ~n the Petition be admitted to probate and fried of record as the last Wdl of Decedent Letters .. $ r~o,o,/PzO C ~ Register of ~fl'~ Sho~ Ce~flcate(s) -- . $ ~. Aff~dawts ( ) - $ LD No 06753 ~raPages( ) $ Address 720 S. Atbe=to~ Street StAte College, ~A 1680i Codicil $ JCPFee -- . $ /~ ~ Telephone (814) 234-1500 Inventow $ Other . - $ TOTAL $ ~ ~ F~rm #FiW-I Page 2 of 2 Preparing by the pennsy~vsma Bar Assocmtlon 1991 h~s ~s to certify that the ~nformaUon here g~ven ,s correctly cop,ed from an ongtnal certfficate of death duly flied w~th me as Local Registrar The original certfficate will be forwarded to the State V~tal Records Office for permanent fihng WARNING: It is dlegal to duplicate th~s copy by photostat or photograph. Fee fOrp tl~sl 0~.S91 12cert'ficate'No $200 ~ ~JrJCJ ~'L°calFES~'''&~'~ '~'~- "- ~(~-'J~Reglstrarl 7 200~= ~ ~ ~ate CERTIFICATE OF DEATH 550 ~ms~le ~d ~ '~ ~' ~ "ffi ~ ~ Ne~ P~s~ro ~ O,,~ ~20/2004 ,,~rl~d Vall~ ~. Grd , ~rl~sle, PA 17013 ]m~ 012633 L I~ Bribers ~eral H~, Inc.. IN THE ORPHANS' COURT OF CUMBERLAND COI~IS~I~!¢P~-~'~IS¥-I~VANIA Reg~ste~ ot INRE: ) '04 f~A[~ 18 All :25 ESTATE OF ) HARRY E. BAER, Jr. ) Clef k-C% ,&,~ Court Cumberland Cc,, PA RENUNCIATION TO: REGISTER OF WILLS OF CUMBERLAND COUNTY The undersigned, Diana Nennmger, hereby renounces her right to adm~nlster the Estate of HARRY E. BAER, Jr, late of the Carlisle Borough of 550 Bamstable Road, Carlisle, Cumberland County, Pe_nnsylygn_~a, a_n_cl re. sp~_ct~!.ly_re_que_st_s__ that Letters of Admlmstratlon be issued to Harry E Baer, III WITNESS IN THE ORPHANS' COURT OF CUMBERLAND COUN~,CPEN~SYLV)ANIA INRE: ) '~ NaR 18 /~11:25 ESTATE OF ) HARRY E. BAER, Jr. ) Clerk-O:? ,_,,,:~ Cour[ Cumberland Co PA RENUNCIATION TO REGISTER OF WILLS OF CUMBERLAND COUNTY The undersigned, Barbara Felton, hereby renounces her right to adm~mster the Estate of HARRY E BAER, Jr, late of the Carhsle Borough of 550 Bamstable Road, Carhsle, Cumberland County, Pennsylvania, and resl~C~t~l~[y rbqt~es~ts ~l~h{'Le{{e~'of Adm~mstratmn be ~ssued to Harry E Baer, III WITNESS. Barbara Felton Date IN THE ORPHANS' COURT OF CUMBERLAND ~_-~,Y,(P, E1NNSYLVANIA Regtster of W~l!s IN RE: ) '04 l~,a,R 18 All :25 ESTATE OF ) HARRY E. BAER, Jr. ) gJed< Ct3 '2 ,.~ Ccu~! Ournberla"~d Co, F'A RENUNCIATION TO REGISTER OF WILLS OF CUMBERLAND COUNTY The undersigned, Georgia Motter, hereby renounces her right to administer the Estate of HARRY E. BAER, Jr, late of the Carlisle Borough of 550 Bamstable Road, Carhsle, Cumberland County, Pennsylvania, and. respectfully requests that Letters of Admlmstratlon be issued to Harry E. Baer, III WITNESS' Georgia Mq~er ' Date, LAW OFFICES OF MILLER, KISTLER, CAMPBELL, MILLER, WILLIAMS & BENSON, INC //~ //~/ A PROFESSIONAL CORPORATION /~ 720 SOUTH ATHERTON STREET STATE COLLEGE, PENNSYLVANIA 16801 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent Harry E. Baer, Jr. Date of Death February 17, 2004 Estate No 21-2004-268 TO THE REGISTER I certify that not~ce ofbenefimal ~nterest reqmred by Rule 5 6(a) of the Orphans' Court Rules was mailed by F~rst Class U S Marl to the following beneficiaries of the above- captxoned estate on March 5, 2004 Georgia Motter Barbara Felton 402 Kerrswlle Road 346 L~ncoln Street Carhsle, PA 17103 Carlisle, PA 17103 D~ana Nenmnger Harry E Baer, III 31 Hilltop Lane 420 Oakhurst Lane Newwlle, PA 17241 State College, PA 16801 Not~ce has now been g~ven to all persons enmled thereto under Rule 5 6(a) Pdchard L Campbell, Esqmre Attorney for Estate (814) 234-1500 LAW OFFICES OF MILLER, KISTLER, CAMPBELL, MILLER, ~LLIAMS BENSON, INC. STA~ COLLEGE, PE~SYLV~ 16801-4628 720 SO~ A~ERTON S~ET Register of Wills Cumberland County Attention: Sue One Courthouse Square Carlisle, PA 171013 LAW OFFICES OF MILLER, KISTLER, CAMPBELL, MILLER, WILLIAMS & BENSON, INC. A PROFESSIONAL CORPORATION / ~ 720 SOUTH ATHERTON STREET STATE COLLEGE, PENNSYLVANIA 16801 CER TIFICA TION OF NO TICE UNDER RULE 5. 6(a) Name of Decedent: Harry E. Baer, Jr. Date of Death: February 17, 2004 Estate No.: 21-2004-268 TO THE REGISTER: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was mailed by First Class U.S. Mail to the following beneficiaries of the above- captioned estate on March 5, 2004: Georgia Motter Barbara Felton 402 Kerrsville Road 346 Lincoln Street Carlisle, PA 17103 Carlisle, PA 17103 Diana Nenninger Harry E. Baer, HI 31 Hilltop Lane 420 Oakhurst Lane Newville, PA 17241 State College, PA 16801 Notice has now been given to all persons entitled thereto under Rule 5.6(a). Date Richard L. Campbell, Esquire Attorney for Estate (814) 234-1500 LAW OFFICES OF MILLER, KISTLER, CAMPBELL, MILLER, WILLIAMS & BENSON, INC. A PROFESSIONAL CORPORATION JOHN R. MILLER, JR. PLEASE REPLY TO: 720 SOUTH ATHERTON STREET RICHARD L. CAMPBELL STATE COLLEGE, PA. 16801-4628 JOHN R. MILLER, Ill STATE COLLEGE OFFICE (814} 234-1500 TERRY J. WILLIAMS FAX (814) 234-1549 TRACEY G. BENSON AND SCO~Vi' C. ETrER, Ph.D. 124 NORTH ALLEGHENY STREET ELIZABETH A. DUPUIS DAVID B. CONSIGLIO BELLEFONTE, PA. 16823-1695 (814) 355-5474 STACY PARKS MILLER GENERAL FAX (814) 355-5340 JULIA R. CRONTN August 2, 2004 v~a~L ESTATE FAX (814) 357-0264 COUNSEL TO THE FIRM ROBERT K. KISTLER Register of Wills Cumberland County Attention: Sue One Courthouse Square Carlisle, PA 17103 :::: 29 ; ,i IN RE: Harry E. Baer Jr., Estate - Inheritance ch File No: 21-04-268 Dear Sue: I enclose herewith the Inheritance Tax Return for Harry E. Baer, Jr., date of death February 17, 2004 along with a check for $1,420.07 to be filed. Also enclosed are two additional copies of the Inheritance Tax Return, one for you and would you please time stamp the other and return it to me in the self addressed envelope. If you have any questions or concerns please feel free to contact my office. Very truly yours, MILLER, KISTLER, CAMPBELL, MILLER, WILLIAMS & BENSON, INC. Richard L. Campbell Enclosures cc: Harry E. Baer, III RLC/djh COMMONWEALTH OF PENNSYLVANIA REV 1162 EX(11-96) DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128 O601 PENNSYLVANIA RECEIVED FROM: INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD OO4239 CAMPBELL RICHARD L 720 SOUTH ATHERTON ST STATE COLLEGE, PA 16801 ACN ASSESSMENT AMOUNT CONTROL NUMBER ........ fold .......... 101 t~1,420.07 ESTATE INFORMATION: SSN: 208-24-2566 FILE NUMBER: 2104-0268 DECEDENT NAME: BAER HARRY E JR DATE OF PAYMENT: 08/04/2004 POSTMARK DATE: 08/04/2004 COUNTY: CUMBERLAND DATE OF DEATH: 02/17/2004 TOTAL AMOUNT PAID: $1,420.07 REMARKS: CHECK//31237 INITIALS: JA SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS WILLIAMS & BENSON. INC, ~ ~' · 720 Soulh Athcr ~ l! Sr~[ TO: Register of Wills Cumberland County Attention: Sue One Courthouse Square Carlisle, PA ~7~03 REV-1500 CO~.w~*L~.OF.E..SyLV*.~ INHERITANCE TAX RETURNF~LE.UMSEa OE.~.~0~ RESIDENT DECEDENT 21 O4 ~68 OECEDENT'S NAME (LAST, FIRST, AND MIDDLE iNITiAL) SOCIAL SECURITY NUMBER Baer, Jr., Harry E 208-24-2566 ~ DATE OF DEATH (MM-OD-YEAR) DATE OF BIRTH (MM-DD-YEA~) ~3 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE o 02/17/2004 04/26/193I a~u REGISTER OF WILLS IF APPLICABLE) SURVIVING SPOUSe'S NAME ( LAST, FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMSER [] 1. OriginalReturn [] 2. SupplementalRetum [] 3. RemainderRe(um(dateofdealhpdo~to12-13-82) ~li [] 4, LimitadEstate [] 4a. FuturelnterestCompromise(dateofdeathafler 12-12-82) [] 5. Federal Estate Tax Return Required [] 6. Decedent Died Testate (Attach copy [] 7. DecedentMaintainedaLivingTrust(A~tach 0 8. TotalNumberofSafeDepositBoxes < [] 9. Litigation Proceeds Received [] 10. Spousal Poverty Credit (date of death beiween [] 11.Election to tax under Sec. 9113(A) (Attach Sch O) Richard L. Campbell, Esq. § ~ Miller, Kistler, Campbell, et al. 720 South Atherton Street 'ELEPHONE NUMSER State College, PA 16801 814/234-1500 1. Real Estate (Schedule A) (1) 4 4,5 2 0.0 4 o~c~l, us~ ONL.~ 2. Stocks and Bonds (Schedule B) (2) None 3. Closely Held Corporation. Partnership or Sole-Proprietorship (3) None~. 4. Mortgages & Notes Receivable (Schedule D) (4) None 5. Cash, Sank Deposits & Miscellaneous Personal Property (5) (Schedule E) 733.74 6. Jointly Owned Property (Schedule F) z (6) None _o [] Separate Billing Requested I .~ 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) None ~ (Schedule G or L) ~ 8. Total Gross Assets (total Lines 1-7) (8)~ ~ 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 12,657.00 ~ ii:~' 5,253.78 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 1,039.67 11. Total Deductions (total Lines 9 & 10) (11) ] 3,696.67 12. Net Value of Estate (Line 8 minus Line 11) (12) 3 l, 557.1 ] 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 3 1,557.11 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) ~ 16.Amount of Line 14 taxable at lineal rate 3 1,557.11 x .045 (16) 1,420.07 ~ 17.Amount of Line 14 taxable at sibling rate 8 x .12 (17) ~ 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) 1,420.07 Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: I STREETADDRESS 550 Barnstable Road CITy Carlisle IsTATE PA Iz~ 17013 Tax Payments and Credits: 1. Tax Due (Page I Line 19) (1) 1,420.07 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A +B+C) (2) 0.00 3. Interast/Penaltyif applicable D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line l + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 1 Line 20 to request a refund 5. IfLinel+Line3isgreaterthanLine2, enter the difference. This is the TAX DUE. (5) _ 1,420.07 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BAI.~CE DUE. (5B) 1,4 2 0,0 7 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 preperty transferred; .................................................................................. ~ I b. retain the dght to designate who shall use the property transferred or its income; ............................... c. retain a reversionary interest; or .......................................................................................................... d. rece ve the promise for life of either payments, benefits or care? .............................................................. 2. If death occurred after December 12, 1982, did deceedent transfer property within one year of death without receiving adequate consideration? ....................................................................................................................... [] 3. Did decedent own an "in trust for" orpayableupondeathbankaccountorsecudtyathsorherdeath? ......... [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-prebata property which contains a beneficiary designation? ...................................................................................................................... [] [] IF THE ANSWER TO ANY OF THE ABOVE QUESTtONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Har E. Baer, Ill DATE State College, PA 16801 Richard L. Campbell, Esq. DATE 720 South Atherton Street State College, PA 16801 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 o1 the surviving spouse is 3% [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 0% [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exemDt 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 0% [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 4.5%, 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 12% [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. SCHEDULE A REAL ESTATE ESTATE OF Baer, Jr., Harry E FILE NUMBER 21 - 04 - 268 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 propert~ would be exchanged between a w ng buyer and a willing 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~n schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 550 Barnstable Road, Carlisle, PA, Tax Parcel g46-08-0583-087A, see attached appraisal. 44,520.04 TOTAL (A/so enter on Line '1, Recapitulation) 44,520.04 SCHEDULE E CASH, BANK DEPOSITS, & MISC. co~o.w~L~. O~.E..S~vA.~ PERSONAL PROPERTY INHERFFANCE TAX RETURN RESIOENT DECEDENT ESTATE OF Baer, Jr., Hany E FILE NUMBER 21 - 04 - 268 Include the .proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH M & T Bank - see attached 233.74 Personal Contents in house 500.00 TOTAL (Also enter on Line 5, Recapitulation) 733.74 SCHIEXJLE H ESTATE OF Bacr, Ir., Ha~.~ E FILE NUMBER 21 - 04 - 268 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 Ewing Brother Funeral Home, Carlisle, PA 10,407.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State ~ Zip Year(s) Commission paid 2. Attorney's Fees Miller, Kistler, Campbell, Richard L. Campbell, Esquire 2,000.00 3. Family Exemption: (if decedent s address s not the same as claimant s, attach exp anation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Register of Wlls, Cumberland County 250.00 5. Accountant's Fees 6. Tax Retain Preparer's Fees 7. Other Administrative Costs TOTAL (Also enter on line 9, Recapitulation) 12,657.00 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE CO.~.W~L,.O..E..S~VA.~ LIABILITIES, & LIENS iNHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Baer, Jr., Harry E FILE NUMBER 21 - 04 - 268 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 M & T Bank - Line of Credit 1,039.67 TOTAL (Also enter on Line 10, Recapitulation) 1,039.67 SCHEDULE J COMMON;WEALTH OF PENNSYLVANIA BENEFICIARIES ESTATE OF Baer, Jr., Harry E FILE NUMBER ~ 21 - 04 - 268 RELATIONSHIP TO AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT Dn Nh! I I., Tnmt~l~t OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 Harry E. Baer, III son [/4 o£Estate 420 Oakhurst Lane State College, PA 16801 2 Georgia Mutter daughter 1/4 of Estate 402 Kerrsville Road Carlisle, PA 17103 3 Barbara Felton daughter 1/4 of Estate 346 Lincoln Stxeet Carlisle, PA 17103 4 Diana Nenninger daughter 1/4 of Estate 31 Hilltop Lane Newville, PA 17241 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 OMB NO. 2502-0265 H A. B. TYPE OF LOAN: U.S, DEPARTMENT OF HOUSING & URBAN BEVELOPMENT i 1.E~FHA 2,E]FmHA 3.[~ CONV. UNINS. 4. r~VA 5.E~CONV. INS. 6. FILE NUMBER: I 7. LOAN NUMBER: SETTLEMENT STATEMENT MOTTER3 I 5, MORTGAGE iNS CASE NUMBER: C, NOTE: This ton'n is furnished to give you a statement of actual so,lament costs. Amounts paid to and by the seffiement agent are shown. items marked "[POC]" were paid outside the closing; they are shown here for intormational purposes and are not included in the totals. 10 3~8 {MOT~E R3 pFD/MOTTE R3~') D, NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: Georgia G. Mortar Estate of Harp/E. Beer, Jr, Adams County NaUonal Bank Casey D, Mot[er Harry E. Beer, III, Execctor PO Sox 3129 402 Kerrsville Road Gettysburg, PA 17325 Carlisle, PA 17013 G, PROPERTY LOCATION: H. SE~'LEMENTAGENT: 25-1624518 I. SETTLEMENT DATE: 550 Barnstable Road Bradley L. Griffie, Esquire Carlisle, PA 17013 July 19, 2004 Cumberland County, Pennsylvania PLACE OF SETTLEMENT 200 North Hanover Street Carlisle, PA 17013 J, SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 101. Contract Sales Price 45,000.00 401. Contract Sales Price 45,000.00 102. Personal Property 402. Personal Property 103. Setttement Charges to Borrower (Line 1400) 1,522.75 403. 104. 404. 105. 405. Adjustments For Items Paid By Seller in advance Adjustments For Items Paid By Se#st in advance 106. SchooITaxes 07119/04 to 06/30/05 1,046~71 406. SchooiTaxes 07119/04 to 06/30/05 1,046.71 107. County/Township 07/19/04 to 12/31/04 105.34 407. County/Township 07/19/04 to 12/31/04 105,34 ~08. Assessments to 408. Assessments to 109. County/Township Taxes 409. County/Township Taxes ~ 10. Schoo~ Taxes 410. School Taxes 111. 411. 112. 412. 120. GROSSAMOUNTDUEFROMBORROWER 47,674.50 420. GROBSAMOUNTDUETOSELLER 46,152.95 200. AMOUNTS PAiD BY OR IN BEHALF OF BORROWER: 500, REDUCTIONS IN AMOUNT DUE TO $~=! ! 201. Deposit or earnest money 501. Excess Deposit (See instructions) 202. Principal Amount <:f New Loan(s) 65,000,00 502. setgement Charges to Seller (Line 1400) 1,632.01 203, Existing lean(s) taken subject to 503, Existin~ loan(s) taken '~,b?,,~ to 204 504. Payoff of first Mortgage 205. 505. Payoff of second Mortgage 206 506. 207. 507. 208 508, 209. 509. Adjustments For Items Unpaid By Seller Adjustments For Items Unpaid By Seller 210, School Taxes to 510. School Taxes to 211. County/Township to 511. County/Township 212. Assessments to 512. Assessments to 213. 513. 214. r 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. ' 519. 220. TOTAL PAID SY/FOR SORROWER 65,000.00 520, TOTAL REDUCTION AMOUNT DUE SELLER 1,632.01 300. CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM ~r:l I ~:R: 301. Gross Amount Due From Borrower (Line 120) 47,974.80 501. Gross Amount Due To Seller (Line 420) 46,152.05 302 Less Amount Paid By/For Borrower (Line 220) 65,000.00) 602, Less Reductions Due Seller (Line 520) 1,632.01) 303. CASH ( FROM) ( X TO ) SORROWER 17,325.20 603. CASH ( X TO) ( FROM) SELLER 44,520.94 The undersigned hereby acknowledge receipt of a completed copy of pages I&2 of this statement & any attachments referred to herein. 'G'.'.'.'.'.'.'.'.'.~r§i~, ~./I;rotter- '~' ' '.-"/? // Estate of Harry E. Baer, Jr. I-la?fy E. i~er, III, Executor L, SETrLEMENT CHARGES 700. TOTAL COMMISSION Based on Price $ (~ % PAID FROM PAID FROM Division of Commission (line 700) as Follows: SORROWER'S SELLER'S 701. $ to FUNDS AT FUNDS AT 702, $ to SETTLEMENT SET[LEMENT 703. Commission Paid at Set6ement 704. to 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Origination Fee % to 802. Loan Discount % to 503. Appraisal Fee to Adams County National Bank $175 (Waived) 804. Flood Certification to Geotrac Flood Services $18 0Naived) 805. Lender's Inspection Fee to 806. Mortgage ins. App. Fee to 807. Assumption Fee to 808. 809, 810 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901.Interest From 07/1g/04 to 08/01/04 @ $ /day ( 13days %) 902. Mortgage insurance Premium for months to 903. Hazard Insurance Premium for 1.0 years to 904. 905. 1880. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance months (~ $ per month 1002. Modgage Insurance months (~ $ per month 1003. SchoolTaxes months ~ $ per month 1004. Count~/Township months (~ $ per month 1005, Assessments months @ $ per month 1006. months (~ $ per month 1007. months @ $ per month 1008, months ~ $ per month 1100. TITLE CHARGES 1101. Settlement or Closing Fee to ~, 1102. Abstract orTitleSearch to Tri-CountyAbstract Svcs. 117.5(~ 1103. Title Examination to 1104. CIosin~ Protection Letter to First American Tille Ins. Co. 38,0C 1105. Document Preparation to BradleyLGdffie~Esquire 75,00 1106, Nota~ Fees to Cash 6,0£ 6.00 1107. Attorney's Fees to (includes above item numbers: ) 1198. Title Insurance to Tri-CountvAbstracttAqent for FirstAmedcan 238,75 ~includes above item numbers: ) 1109. Lender's Coverage $ 65,000.00 1110, Owner's Coverage $ 45,000.00 1111, Endorsements (300, 100, 8.1) to Td-CountyAbstract/Agent for Firs/American 150.0(3 1112 Approved Atty Fees to Bradley g Gdffie, Esquire 410.00 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201, Recording Fees: Deed $ 39.00; Modgage $ 56.50; Releases $ 95,50 1202. City/Coun~ Tax/Stamps: Deed ; Mortgage 450,00 1203, State Tax/Stamps: Revenue Stamps ; Modgags 1204. 450.0C 1208, 1380. ADDITIONAL SE'I-rLEMENT CHARGES 1301. Sun~e¥ to 1302. Pest inspection to 1303. 2004 School Taxes to Deborah Piper, Tax Collector 1,101.01 1304. Overnight Express Fee to Griffie& A,~q¢!~tes 1305. ~ 20.00 1400. TOTAL SE'I-rLEMENT CHARGES (Enter on Lines 103 Section J and 802, Section K) 1,522.75 1,632.01 Codified to be a true copy Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of Baer, Jr., Harry E No. 21 - 04 - 268 also known as Date of Death 2/17/2004 , Deceased Social Security No. 208-24-2566 Harry E. Baer, III The Personal Representative(s) of the above Estate, deceased, verity that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedenrs death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory ars true and correct. I/~Ve understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unswom falsification to authorities. Personal Representative Attorney: RichardL. Campbell, Esq. Signature:~E~ ~, I!~'~l~"/4;F'~Jst'~i~' I.D. No.: 06753 Signature: Signature: Address: 720 South Atherton Sa'¢et Address: 420 Oald~u~st Lane State College, PA 16801 State College, PA 16801 Telephone: 814/234-1500 Telaphone: (814) 237-6639 Dated: Personal Property M & T Bank - see attached 233.74 Personal Contents in house 500.00 Total Personal Property $733.74 (Attach additional sheets if necessary) Total Personal Property and Real Estate $45,253.7~ Register of Wills of Cumberland County, Pennsylvania INVENTORY continued Estate of Baer, Jr., Harry E No. 21 - 04 - 268 also known as Date of Death 2/17/2004 , Deceased Social Secudty No. 208-24-2566 Real Estate 550 Barnstable Road, Carlisle, PA, Tax Parcel g46-08-0583-087A, see attached appraisal. 44,520.04 Total Real Estate $44,520.04 2 CONNONNEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES DEPARTNENT OF REVENUE XNHERZTANCE TAX DXVZSZON DEPT. Z80601 HARRISBURG, PA 171Z8-0601 NOT/CE OF INHERITANCE TAX APPRAISEMENT, ALLO#ANCE OR DISALLO#ANCE · ~ ~'i' OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX AFP ~_ ~ DATE 10-04-Z00~ ESTATE OF BAER JR HARRY E ~ DATE OF DEATH 02-17-200~ ~- FILE NUMBER 21 0~-0268 c~ COUNTY CUHBERLAND RICHARD L CAHP~ELLi~ESQ ACH 101 ~ Amoun~ Remi~ed 720 S ATHERTON S~ I STATE COLLEGE PA 16801 HAKE CHECK PAYABLE AND REMIT PAYHENT TO: REGISTER OF HILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17015 CUT ALONG THIS LINE ~ RETAIN LO~ER PORTION FOR YOUR RECORDS REV-l$47 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLO#ANCE OR DZSALLOgANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF ~AER JR HARRY E FILE NO. 21 0q-0268 ACN 101 DATE 10-04-200q TAX RETURN gAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNZNG FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e (Schedule A) (1) ~5~0.0~ NOTE: To insure proper 2. S~ocks end Bonds (Schedule B) (2) O0 credi~ ~o your account, $ Closely Held S~ock/Par~nership In~ares~ (Schedule C) ($) O0 submi~ ~he upper portion ~ Hot,gages/No,es RaceivabZa (Schedule D) (q) O0 of ~his form ~i~h your $ Cash/Bank Deposits/Misc. Personal Proper~y (Schedule E) ($) 755 7~ ~ax payment. 6 Jointly Owned Proper~y (Schedule F) (6) O0 7 Transfers (Schedule G) (7) O0 8 To,al Asse~s (8) ~5,Z5~.78 APPROVED DEDUCTIONS AND EXEHPTIONS: 12,657.00 9. Funeral Expenses/Ada. Cos~s/Hisc. Expenses (Schedule H) (9) 10. Deb~s/Hor~gage Liabilities/Liens (Schedule I) (10) 1.039.67 11. To'al Deductions (11) 12. Ne~ Value of Tax Ra~urn (12) 31,557.11 15. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 lq. Ne~ VeZue of Es~a~e SubSec~ ~o Tax (1~) 31,557.11 NOTE: I~ an assessment ~as lssued previously, lines 14, 15 and/or 16, 17, 18 and 19 ~111 re~lect ~igures that lnclude the total o~ ALL returns assessed to date. ASSESSHENT OF TAX: 15. Amoun~ of L/ne 1~ a~ Spousal ra~e (15) .00 X O0 = .00 16. Amoun~ of Line lq ~axable a~ Lineal/Class A ra~a (16) 51,557.11 x Oq5 = 1,q20.07 17. Amoun~ of Line lq a~ Sibling ra~e (17) .00 X 12 = .00 18. Amount of Line lq taxable a~ Collateral/Class B ra~a (18) .00 X 15 = .00 19. Principal Tax Due (19)= 1,~0.07 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AHOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 08-Oq-ZOOq CDOOqZ59 .00 1,q20.07 TOTAL TAX CREDIT I 1,~20.07 BALANCE OF TAX DUEl .00 INTEREST AND PEN. .00 TOTAL DUE .00 .~ IF PAID AFTER DATE INDICATED) SEE REVERSE ( IF TOTAL DUE TS LESS THAN $1, NO PAYMENT IS RE~UIRED. FOR CALCULATION OF ADDTTIONAL INTEREST. TF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~ YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR TNSTRUCTIONS.) RESERVATION: Estates of decedents dying on or before December 1Z, IgBz -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for lifo or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawfu! Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act Z3 of ZOO0. (TZ P.S. Section 9140). PAYHENT: Detach the top portion of this Notice and submit with your payment to the Register of Hills printed on the reverse side. --Hake check or money order payable to: REGISTER OF HILLSj AGENT REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-1313). Applications are available at the Office of the Register of Hills, any of the Z3 Revenue District Offices, or by calling the special Z4-hour ansmering service for fores ordering: 1-800-36Z-Z050; services for taxpayers aith special hearing and / or speaking needs: 1-800-447-30Z0 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must obSect within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. ZBZOZ1, Harrisburg, PA 171ZB-lOZ1, OR --election to have tho matter determined at audit of tho account of the personal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIYE CORRECTIONS= Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. Sea page S of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (5) calendar months after the decedant's death, a five percent (SI) discount of the tax paid is allowed. PENALTY: The 151 tax amnesty non-participation penalty is computed on the tctal of the tax and interest assessed, and not paid before January I8, 1996, the first day after tho end of the tax amnesty period. This non-participation penalty is appealable in the saaa manner and in the the same tiaa period as you would appea! the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning aith first day of delinquency, er nine (9) months and one (1) day from the date of death, to tho date of payment. Taxes ahich became delinquent before January 1, 198Z bear interest at the rata of six (6Z) percent par annum calculated at a daily rate of .000164. A11 taxes which became delinquent on and after January 1, 1982 ailI bear interest at a rate which mill vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through ZOO4 are: Interest Daily Interest Daily Interest DaiIy Year Rate Factor Year Rate Factor Year Rate Factor ~ ZOX .00054B ~1Y~'8-1991 11Z .00030! ~F~ 9Z .000247 1983 16Z .000438 1992 9Z .000247 ZOO2 6Z .00D164 1984 11Z .000301 1993-1994 72 .00019Z 2003 SZ .000137 1985 132 .000556 1995-1998 9Z .000Z47 ZO0~ 42 .000110 1986 iOZ .O00Z?4 1999 72 .00019Z 1987 lOZ .000274 ZOO0 7Z .O0019Z --Interest is calculated as follaes: /NTEREST = BALANCE OF TAX UNPA/D X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date sheen on the Notice, additional interest must be caXculated. Law Offices of MILLER, K1STLER, CAMPBELL, MILLER, WILLIAMS & BENSON, INC. A Professional Corporation 720 South Atherton Street State College, PA 16801 IN THE ORPHANS' COURT OF CUMBERLAND COUNTY, PENNSYLVANIA IN THE MATTER OF THE ESTATE OF ) HARRY E. BAER, JR., deceased, Late ) of West Fairview Borough, Cumberland ) No. 21-2004-268 County, Pennsylvania ) FAMILY SETTLEMENT AGREEMENT WAIVING FILING OF ACCOUNT AGREEMENT MADE this ~day of ~a ~ ,2004, by and between: Harry E. Baer, III, Executor of the foregoing Estate of Harry E. Baer, Jr., deceased, -AND- Georgia Motter, of 402 Kerrsville Road, Carlisle, PA ~ ~arbar~a Felt0n,~of 346 Lincoln Street, Carlisle, PA and Diana Nenninger, of 31 Hilltop L~e, Newville, PA, and Harry E. Baer, III of 420 Oakhurst Lane, State College, PA. ,.o WITNESSETH: ,~ WHEREAS, Harry E. Baer, Jr. died February 17, 2004, leaving no Will heretofore filed to this number. Han'y E. Baer, m, was appointed sole executor, and Harry E. Baer, HI, Georgia Motter, Barbara Felton and Diana Nenninger are beneficiaries of the Estate; and WHEREAS, on March 18, 2004, Letters of Administration in the common form were granted by the Register of Wills of Cumberland County, Pennsylvania, thereto to Harry E. Baer, m, Executor; and WHEREAS, the Executor has proceeded with the administration of said Estate and has filed a Pennsylvania Inheritance Tax Return for the Estate, said Return having been accepted /0 - ~/~o ~( ; and WHEREAS, the parties hereto desire that the Executor shall not be required to file a First and Final Account and Schedule of Distribution with the Orphans' Court of Cumberland County, and that the net estate of the Decedent shall be distributed without the necessity of filing a formal account. NOW THEREFORE, the parties hereto intending to be legally bound hereby, mutually agree as follows: 1. The parties hereto, and each of them agree and acknowledge that they have fully and carefully examined the assets of the Estate of the said late Harry E. Baer, Jr., and have heretofore divided such net assets. We further agree that no further accounting is necessary and that we are satisfied with the distribution as aforesaid. 2. The parties hereto do hereby release, remise and forever discharge the Executor of the Estate of Harry E. Baer, Jr., of and from all manner of acts, suits, claims, accounts, accountings, debts, dues and demands whatsoever which they or any of them or their legal representatives or assigns may at any time hereafter have, against the Executor, the said Estate or the assets thereof, from, for, touching or concerning any of the assets and property of the said Estate and/or claim or interest thereto or therein, and the administration, management, collection, sale or distribution of any of said assets and for or on account of any money, interest, income, -2- assets or proceeds out of the same, from the time of the death of the said Decedent to and including the date of this Agreement and Release. 3. This instnunent is a full and final settlement agreement by and among the parties hereto, both fiduciary and individual, all of the same having been arrived at, concluded and executed after a full and complete disclosure of the assets of the said Estate and the rights of the parties therein and thereto and all of the parties hereto, and each of them, agrees to abide by the terms hereto. 4. The parties hereto and each of them, agree that they will at all times in the future and whenever necessary, appropriate or convenient, make, execute and deliver to the said Executor, and/or to the other party or persons, any and all instruments, documents, conveyances, deeds, releases or other instruments of any kind necessary or convenient to carry out the intention of this Agreement and/or to permit, assist and enable the Executor to fulfill his duties with reference to the said Estate and all of the assets thereof. 5. This Agreement constitutes the entire understanding of the parties hereto, and each of them acknowledges that no representations or statement of any kind, written or oral, have been made to them or any of them prior hereto by the Executor or by any other person or party upon their behalf. 6. This Agreement shall enure to the benefit of and shall be binding upon the parties hereto, and each of them, their heirs, executors, administrators, successors and assigns. -3- IN WITNESS WHEREOF, I, Harry E. Baer, III have hereunto set my respective hand and sealthe ~7'dayof 067/'0~O~ ,2004. Harry E. Ba~, m, Executor and Beneficiary COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CENTRE ) On this ~' ;~day of (2 C,~--~ ~T~ ., 2004, before me, a Notary Public, personally appeared HARRY E. BAER, m, Beneficiary, Executor and Beneficiary of the Estate of Harry E. Baer, Jr., known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing instrument and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal. Notary Public COMMONWEALTH OF PENNSYLVANIA_ No,rial ~ Robert L. Patlon, Notar~ Publ~ Tyrone Bom, Blair County · -4- IN WITNESS WHEREOF, I, Georgia Motter have hereunto set my respective hand and seal the ~/ day of~k~__~, 2004. Georgi~,lotter, Bene~ciary COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CENTRE ) On this ~_ day of ~_~.'. ,2004, before me, a Notary Public, p~rsonally appeared GEORGIA MOTTER, beneficiary in the Estate of Harry E. Baer, Jr., known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and notarial al. -5- IN WITNESS ~rlEREOF, I, Barbara Felton have hereunto set my respective hand and seal the /r~ day of/]tT/x.t,m~ , 2004. Barbhra Felton, Berleficiary COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CENTRE ) Onthis I~' dayof /~0kll/0q_~_ ,2004, beforeme, aNotary Public, personally appeared BARBARA FELTON, beneficiary in the Estate of Harry E. Baer, Jr., known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal. Notary Public -6- IN WITNESS WHEREOF, I, Diana Nenrdnger have hereunto set my respective hand and seal the /~ day of ]~J/L], ,2004. enn~ng~,, Beneficiary ~ COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CENTRE ~ On this ]~ day of A~)/J ,2004, before me, a Notary Public, personally appeared DIANA NENNINGER, beneficiary in the Estate of Harry E. Baer, Jr., known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing instrument and acknowledged that she executed the same for the purposes therein contained, yie~t~o et IN WITNESS WHEREOF, I have my han~ and notarial seal. NOTARIAL SEAL [ N, ary Public PAMELA A. SWITALSKI, Notmy Pul~c I Shippensburg Twp., Cumberl~d County I My Commissiae Expires Feb, 9, 2008 -7-