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10-31-08 (2)
15056041147 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number Po Box.2sosol INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 2 1 0 8 0 0 1 7 9 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 166 22 0863 02 11 2008 07 14 1929 Decedent's Last Name Suffix Decedent's First Name MI HUGHES JGHN E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW X ~ 1. Original Return ~ 2. Supplemental Return ~. 3. Remainder Return (date of death prior to 12-13-82) ~ 4. Limited Estate i J qa. Future Interest Compromise ~. ~ 5. Federal Estate Tax Retum Required - (dale of death after 12-12-82) ry-~ g Decedent Died Testate r~-~_ ~ Decedent Maintained a Living Trust 1 S. Total Number of Safe Deposit Boxes ~~,„, ,, (Attach Copy of Will) II (Attach Copy of Trust) ~~ 9. Litigation Proceeds Received ~ 1 ~~ between l2 31 y91 andlt'datge5,f death ~ _ l 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number JAN M WILEY 717 432 9666 Finn Name (If Applicable) THE WILEY GROUP, PC First line of address 130 W. CHURCH STREET Second line of address City or Post Office DILLSBURG Correspondent's a-mail address: State ZIP Code PA 17019 REGISTER OF WILLS US~,O,NLY i -, -- ,~ L~ _:~ _ I=-= GJ -•a ~= c ..~ Under penalties of perjury, 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 representative Is based on all information of which preparer has any knowledge. SIGNATURE OF P SON RESPONSIBLE FOR FILI ETURN DATE Gregory E. Hughes ~ ~~/~ -7/~ ,~ ADDRESS 0 Fickel Hilll~oad, Gardners, PA 17324 I NATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ~;,: ti~ _~~ Jan M Wiley I L~w7 '7/G~~ ./130 W. Church Street, Dillsburg, P~( 17019 Side 1 15056041147 15056041147 J PA Inheritance Tax Return Signature of Additional Fiduciaries HughesOJohn E. I 1I 08 OOM 9ER I Under penalties of perjury, 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 representative is based on all information of which preparer has any knowledge. Signature #2 ~jJ.,...- ~ ~~ Name Address1 Address2 City, State, Zip Date Eric B. Hughes 908 E. Coover St. Mechanicsburg, PA 17055 l ~~~/~ ~` 15056042148 REV-1500 EX decedent's Name: J O h t1 E. H U g h e S RECAPITULATION 1. Real Estate (Schedule A) .......................................................................................... 2. Stocks and Bonds (Schedule B) ............................................................................... Decedent's Social Security Number 166 22 0863 1 223,117.68 2 7,611.28 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 No_n_-Probate Property (Schedule G) r ,i, Separate Billing Requested ............. 7 8. Total Gross Assets (total Lines 1-7) ....................................................................... 8. 9. Funeral Expenses & Administrative Costs (Schedule H) ......................................... 9 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10. 11. Total Deductions (total Lines 9 & 10) ...................................................................... 11. 12. Net Value of Estate (Line 8 minus Line 11) ............................................................. 12. 13. Charitable and Governmental Bequests/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. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .00 0 0 0 15. 16. Amount of Line 14 taxable at lineal rate X .045 7 8 0 9 0 0 3 6 16. 17. Amount of Line 14 taxable at sibling rate X .12 0 0 0 17. 18. Amount of Line 14 taxable at collateral rate X .15 0 0 0 18. 19. Tax Due ..................................................................................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 312,167.29 2,065.64 281,903.59 826,865.48 38,617.39 7,347.73 45,965.12 780,900,36 780,900,36 0,00 35,140,52 0.00 0.00 35,140.52 Side 2 15056042148 15056042148 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-08-00179 John E. Hughes STREET ADDRESS 707 South York Street I CITY Mechanicsburg --- STATE PA Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit g. Prior Payments C. Discount 3. InteresUPenalty if applicable p, Interest E. Penalty Total Credits (A + B + C) Total InteresUPenalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 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. g. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT ZIP 17055 (1) 35,140.52 (2) 35,957.03 (3) (4) 816.51 (5) (5A) (5B) __ ;. ~~-- 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 :.................................................................................. ~ ~, `~ _- b. retain the right to designate who shall use the property transferred or its income :.................................... L J x'i c. retain a reversionary interest; or .................................................................................................................. ~._~ ~~ -- d. receive the promise for life of either payments, benefits or care? .............................................................. x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................................................... ~~ ~i~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... [_ ] ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which -- contains abeneficiary designation? ...................................................................................................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. 34,200.00 1,757.03 ~.~~st dill ttn~ ~rst~m~nt OF JOHN E. HUGHES BE IT REMEMBERED, that I, JOHN E. HUGHES, of 707 South York Street, Mechanicsburg, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Wi11 and Testament, hereby revoking and making null and void any and all Wills and Testaments and writings in the nature thereof made by me at any time heretofore. ITEM 1: I direct that all my just. debts and funeral expenses be paid as soon after my demise as may be convenient. ITEM 2: In the event my friend, DOROTHY M. JONES, shall survive me, I devise and bequeath my homestead real estate situate at 707 South York Street, Mechanicsburg, Pennsylvania, together with all household goods and furnishings therein, and all policies of insurance on said real and personal property, to my friend, DOROTHY M. JONES, without liability for waste, for and during the term of her natural life so long as she desires to use such premises as a home and pays all costs of maintenance thereof, ir,c'_udinq taxes, assessments, insurance and ordinar~~ repairs, said property to be insured in a reasonable amour.r_ 1ns_;r.ir~q th_ interest o~ the remaindermer, as well as her:-,:'--. Cpon the death of Dorothy ~%. ~~..__, cr a`._ ~„~.. prior time as she no longer uses said preT,ise~ a a home for herself, I then, give said real estate and a1i ho,aenold ~~r,ds q` and furnis:nir.gs therein to my t_-,~ro sons, GREGORY E. HUGHES and ERIC B. HUGHES, in equal shares, per stirpe_;. ~ ~~~ ~. JOHN E. HUGHE~ -1- ITEM 3: All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, whether it. be real, personal or mixed, including property over ;~~hzch I have a power of appointment, I give, devise ar.d bequeath unto my two sons, GREGORY E. HUGHES and ERIC B. HUGHES, ire equal shares, per stirpes. ITEM 4: I direct my hereinafter named Co-Executors to pay all inheritance, estate, succession and legacy taxes oP whatsoever nature and kind, to which my estate or the transfer of any property passing hereunder or other~:ise passing by reason of my demise, may be subject and to charge such taxes against my residuary estate, it being my intention that none of the aforesaid taxes, either federal or sta*~, ^„ any property required to be included in my gross ~:;-_~;~_~ under the provisions of any state or federal law r.ow ir. force or hereafter enacted, shall be prorated a,:~ong t:!e perscn_ interested in my estate to whom such property is o. nay be transferred or to whom any benefit accrues. ITEM 5: I appoint my two sons, GREGORY E. HUGHES and ERIC B. HUGHES, as Co-Executors of this my 1,ast `~7ill and Testament. ITEM 6: 1 direct that my Co-Executors or t~sei° successor shall not be required to give bo;,d ! or the 1 =.it:~.`_;: performance of their duties in any jurisdiction. IN WITNESS WHER°OF, I have hereunto set r~.y hang: a;.-~ „__, this ,- ~_S~ day of -~P _~~ zou2. -_ 4~IT ESS: ~~;~- ~2~~ ~ ,~ ~~ -~ _,~ ~ / ~~ ~; ~, .... OHN E. HUGHES _~_ COMMONWEALTH OF PENNSYLVANIA s SS COUNTY OF YORR We, JOHN E. HUGHES, JAN M. WILEY, ESQUIRE ar,d SHERRY A. FITZREE, the Testator and the witnesses respectively, whose names are signed to the attached or foregoing I instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Wi11 and Testament ~ and that he had signed willingly (or willingly directed i another to sign for him), and that he executed it as his free and voluntary act For the purposes therein I expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed this Last I Will and Testament as. witness and that to the best of: their knowledge the Testator was at the time eiq:steer: (18) years of age or older, of sound mind and under no constraint or undue influence. -~~ ~`~ % - ---- - - E. HUGHES =' 1 w~ ss /~ ,_ w~~ Ess - ; S~.v~orn to and. subscribed -l- before me this ~}~' day of ~~ ~f~ r ULLX Lk 2 0 01 . i~. ~1 i r ~ f L~- NOTARY PUBLIC MY COMMISSION EXPIRES; ~ Iwoiarlal Seal J, Dawn Gladfelter, Notary Publio Dillsburg goro. vor'a County My Commissian Expires May 17, 2005 tvlember, Pannsylvan, a assoaaaon of No lanes REV-485 EX (OS-04) SAFE DEPOSIT BOX INVENTORY PA Deparhnent of Revenue 485DD04LD46 ~~f°~l'~ PLEASE USE ORIGINAL FORM ONLY Social Security or Death Certificate Number I (.~ (~ -- ~ ~ - C~ C~ `~ Deced~e)nt's Last~JName V ~j 1 T © ADDRESS OF DECEDENT, ~TREEi: ~, .., Date of Death County Code Year File Number ~~ ~, j ~ ~ , ar ~ ~' ~ i C, ~ ~, ~ v -~ ~~ Suffix First Name JO~~~ ;~ CITY ~l ~rl~~~~ -cs NAME AND ADDRESS OF RSON REQUESTING THE OPENING OF TkiE SAFE DEPOSIT BOX NAME STREET ADDRESS:; ~ 0 ~~~~ ip; ~ j ~ ~ ~yT~ NAME, ADDRESS AND RELATIONSHIP (IF ANY) TO DECEDENT, OF PERSON(S) PRESEN\T A7 THE MI STAT ZIP CODE_~ ST ZIP CODE ---- d~ 1 ~ ~ Cf OPENING a- NAME: REt ATIONSHIP: STR)=ET ADD ESS. / i t I ~ CITY: ~ ST E: ~I~COD\: _La~- _~_c~C-?-- t-~ -- - - - _ _ ---~~~~-- -- ----~1-~- 3 -QQ ~I b. NAME - RFLATIONSHIP- STREET ADDRESS CITY STA,~ ZIP CODE- c- NAME: i11~ ~ t~ r - _ _ __ --~!!11~~L_1 F~ ~ ~V ~1~-_~ STREE7ADDRESS: /~~n ( ~ 1 U CI Y: ST ZiIP CO~D`E - -- NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATE() ------ --- ---- NAME: --------- ---- ~t~ ~ ~~~~ - - - -- - STR TADDRESS ~ j CITY: STAF~ ZIP CODE NAME OF ERSON MAKA~ LA ENTRY D E AND TIME GENTRY DATE OF COtyTRACT TO RENT BOX NUMBER~F BOX ~(1, T17LE UNDER WHICH BOX IS REQUESTED Q/ ~"'~® - ~ _ - NAME AND ADDRESS OF PERSON(S) HAVING ACCESS TO BOX - -- a NAME b NA E ---.._. __----~1..--. aTt~EETADllf2 - S: ~ ,i~ f~F-T „DDRt:-.SS ciTr _ ; E z~P , ~,~,F: -, _ s ~r ~~r .,Oirr NAME AND TITLE OF EMPLOYE AT `ANG THf- INVENTORY ----- - - - WAS A WILL IN THE BOX? ~~ YES ~ N< I es, a- Date of ndl- - - -~~ - b- Name and aridress of personal representative, it named in the will NAME. STR(-ETAF)Ilf,. ;.~ --- _ - - - -- c- Name and addre>s of attorney, if any NARAE STREETADDRt ~~ 48500041046 CIiY `iTAiC- 711' Ci)U1- CI FY SlAlf. LIPCO[7E 48500041,046 SAFE DEPOSIT BOX INVENTORY Page __ I_of 1_ REV-485 EX l -- --- - ----- ----- I INSTRUCTIONS {~) Cash: Report total only- (2) Stocks: List in detail every common or preferred certificate, warrant or other rights found in box. Stocks are to be designated by name of company, certificate number, date of certificate, name in which stock is registered, and number of shares and class of stock. (3) Obligations of U.S. Government: Number of items, date of issue, face value, names in which registered and type of ownership, i.e-, jointly held, payable on death, etc. (4) Bonds: Designate by name, amount, serial number, or other designation. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, last date appearing in book, name of bank and branch, and balance. (6) Jewelry, Coins, Stamps, Manuscripts, etc: List and describe as fully as possible. (7) Deeds, Mortgages, Current Insurance Policies or other evidences of indebtedness: Ust and describe as fully as possible. (8) All other contents. (g) Return completed form to: DEPARTMENT OF REVENUE - INHERITANCE TAX DIVISION - - - f DEPT. 280601 J HARRISE3URG. PA 1 7 7 28-060 7 ITEM DESCRIPTION -~ ~~ ~~ .~ ~ ab ---- __ ___ - -- - ~_ ~ .. (~_G_w~__ -- -- -- --- - - - -- -- -- -- -- -- --- --- -- -- - ---- -- _ __ __ - -- --- _- -- -- ____ - _ __ _ -- - - --- - --- --- -- . -__-- - - ---- -_ ____ -- _-- ___ __ - _ _ -_ -- 1 _ --_ _ _ _- _ _ --_ _ ~ _- _ I _ _ -- _ I __ __ _ _ _ I ___ _ __ _ - - _ _- - - --- - ICERTIFY UNDER PENALTY OF PERJURY THAT TtiE AIIOVE Rf CORD IS i PE RSON RECEIVING COPY OF CORRECT AND COMPLETE TO 7HE BEST OF MY KNOWI_EDGF AND BEl IEF I SAFF DEPOSIT BOX INVENTORY' ---- ---.. ___--- _ --- _ _. _.. __._ __...- --- --- _-_-1 SIG NArl1RE ~ .~~~,\ UKr _ __ _ __ _ i J _ _ 1 RINT NAME ~ ~ r2 V F NAME AN() C:hIFCK AF'P R()F'fil Alt- aOX EiC~ OW' ~~ ~ ~ - ~ ~ ~ - {~ ~~1 CL~ t't-'9 ~ U~ + ~ C',L~ ~ _~ ~ 9 tom- -- --- - --- - -i-- - ' __ - _.. _ - --- _ _..__ __ ~HINr FIRE r)AF~ ~ ('is ~:K APf ~O~'~~IA7~aOX ~ ~_ - - - _. -. -_ ~~~ X1/1111--1,f r' ~~ ~/ i 1 _.a(;uto~(tt~R) ~~ '\[7 ~~nisl Jtn 1. ,.) `{l'~ i~ f f~~ - 31,~ 1 ~ !t ~ ~ ~ tstate RepresontaU e L~ Jo Luviner of sale nepos~t oux ~ __-_~.~~ - __. -_._-_ 11JJ _ _ ____-__. _.__ -.__._._-_-. -_ _ 1 NOTE: Attach additional 8'1~" x 11' sheet(s) if necessary or use duplicates of this page of form. The Depaftmenl ~s a~tho~zed by !a'+r, 42 U S-C. §405 (c1(2;(C){~), To require dls:aosurc v ;[kill . ~:~^ ,ply numbers .n wnnec5on ~Nlth adrnunstenna ;tale taz !aws he Uepirbnem use-~ the S.aciai Security nu noer t.. ~ientiy tree decedent and person gal ,- pr'sertaUvcS of the ,,_+-e i h. ~~irnmonweallh may also use the ininm~atinn m ~+;change o' tax ,n.,,Fr arbor agre~~r~~an!s j r.i7~ ~utl rJl an-_1 In _II •3~~~._i ~n~~onbes h. stat2l.3~n ,fr ~nib~l ~_ ~, I..DFP!Tl,)F roa~alths c r ,.~~~1-;r ~~F,r.'.os rig canfidenhsi ~_~fx u,`xFr,~'~.ion c E„' or rfinsl purp~.~se~ _- - - __ _ J Rev-1502 FJC+ (6-98) SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAk RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Hughes, John E. 21-08-00179 All real property owned solely or as a tenant in common must be reported at falr market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which Is Jointly-owned with right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Sale of 707 S. York Street, Mechanicsburg, PA 17055: 125,000.00 2 Sale of cabin, 43 Old Forge Rd., Cooke Twp., PA (State Forest Leased Campsite 97,295.00 1-C-43): 3 Tax proration due estate (707 S. York St., Mechanicsburg, PA): 4 Tax proration due estate (Cabin): 463.97 358.71 TOTAL (Also enter on Line 1, Recapitulation) I 223,117.68 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 6-98) A. Settlement Statement U.S. Department of Housing CnAS ;+t'.'r;va! ~1c. 2502-0265 and Urban Development (eacres t t/30I2009j rn l \.J B. Type of Loan 6 File Nu ber ~7 Loan N tuber ~ e Mortgage I s once Case Number'. - ', FHA 2 1 FmHA 3 ~ ~. Conv_ Unins ~ I, < - , VA 5 L_~ Conv Ins C. Notes This forrt~ is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement anent are shown. Items marked "(p.o.c-)" were paid outside the closing; they are shown here for informational purposes and are nct included in the totals. O Name & Address of Bcrrower. E Name 8 Address of Seller: i F Name 8 Ado esp. o' Lc roe- Thornas A. Mowery, Sr. Estate of John E Hughes ! N!A Edwina K. Mowery 707 South York Street 107 Mountainview Drive ! Mechanicsburg, PA 17055 Ctters, PA 17319 I _ i_._. __ . - _ ----_ _ - - -- -- (; renerty Loca!ion 43 Old Forge Road Cooke Township, PA ;State Forest Leased Campsite t-C-43) i R Settlement Agenr. IN/A -- - - _ -- - ~~ Place of Settlement: ~! 43 Old Forge Road Gardners, PA 17324 ~ _ Sel!ieme [rr2!e- 51 ti310fi J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100. Gross Amount Due From Borrower 400. Gross Amount Due To Seller ?Gt. Contract sales price 97,295.00 407. Contract sales price j 97,295.00 707 Personal property 0 00 402. Personal property •', 0.00 03 Settlement ch^rges to borrowe (Gne 1400) ', 403 ~ ~ - ___ C4 I 404 705 405 Adtus[ments for !fetus paid by seller [n advance Adjustments for hems pa!d by seller to advance 106. Citypown fazes to 406 City/town taxes to ---- - - __, t 07 County taxes to 205.59 .-- - POC ---- - -- --- --t 407. County taxes to 205.59 - -- --- POC tCB. Assessments to 408. Assessments to t 09 409. 70 School/taxes to 153.12 POC 470. School/taxes to 153.12 POC 111. 471. 172 472 720. Gross Amount Due From Borrower 200. Amounts Paid By Or In Behalt Of Borrower 207. Deposit or earnest money 202. Principal amount of new loan(s) 203 Existing loan(s) taken subject to 204- _. - ___ - _-.__-_- ------- - -- 205 206 207 208.- -- .. __. _ -._. - Adjustments for items unpaid by seller 270. City/town taxes Io 277. County taxes to 272. Assessments 213- - 274. 215. 216 27e to 219 97,295.00 ~ q20. Gross Amount Due To Seller ~ 91,295.00 1 500. Reductions In Amount Due To Seller I.00 501. Excess deposit (see instructions) 502 Settlement charges to seller (line 7400) 5337.70 t - 503. Existing loan(s) taken subject to --- - --._- _.-_--__.- _-t..__-_-_- - 504. Payoff of first mortgage loan i 505. Payoff of second mortgage loan -- -- 506. , --- - __• 507 _._. -.. 508 509 _ _ Adjustments for items unpaid by seller 510. City/town taxes to 511. County taxes to 572. Assessments to t~ __- -. _-~- - _.. _1 - --- 513 574. 515. s7s. st7 - - s76 519. i _-- ----'---- - -. _..._ - - - _. ___ .. t--------- 220 Total Pard BylFor Borrower i 1000.001 520 Total Reduction AmounF Due Setter 5337.70 300. Cash At Settlement From/To Borrower 600. _ Cash At Settlement To/From Seller 307. Gross Amourt due f om borrower (line 720) ~ 97,295.00 601. Gross amount due to seller (line 420) 97,295.00 302. Less amouris paid by!for borrower (line 220) ~( 1000.00) 602. Less reduct!ons in amt. due seller (line 5201 ( 5337.70 ) 303. Cash ~:`~ From _ -'~. To Borrower 96,295.00 603. Cash fJ. To '~• From Seller 91,957.30 Section 5 of the Real Estate Settlement Procedures Act (RESPA) requires the following: HUD must develop a Special information Booklet to help persons borrowing money Io finance the purchase of residential real estate to better understand the nature and costs of real estate settlement services; • Each lender must provide the booklet to all applicants from whom it receives or for whom it prepares a written application to borrow money to finance the purchase of residential real estate; • Lenders must prepare and d!siribute wdh the Bocklei a Good Faith Estimate of the settlement costs that the borrower is likely to incur in connection with the settlement These disclosures are manadatory. Section 4(a) of RESPA mandates that HUD develop and prescribe this standard lorm to be used at the t!me of loan settlement to provide lull disclosure of alt charges imposed upon [he borrower and seller. These are third party disclosures that are designed to provide the borrower with pertinent information during the settlement process in order to be a better shopper. The Public Repoamg Burden for this collection o! Ini o~mation is estimated to averaoe one hour per response, including [he hme for reviewing instruc- tions, searching existing data sources, gathering and maintaining the data needed, and compietina and reviewing the collection of information. This agency may not collect this information, and ycu are not required to complete this form, unless it displays a currently vahe ON18 con VOl number The information requested does not lend itself to conhdentiahty- P~evious ed~tiors are obsolete Page t of 2 icrrn HUD-l (3/86) ref Hanc book 4305.2 L Settlement Charges 700. Total Sales/Broker's Commission based on price $ @ / _ - _.._ _ __ __._. _. _- ____ -.___. -_. __ Division of Commission (Ilna 700; as tollows -- -___ _.___-.. - _ ____- _ _._- _ _ Paid Frorn ' Oorrowers i i Fad Fran i Sa~ler's C1 $ tO _ Funds ai ,, Fund=_ai 702. S ~--_---_. --_ __..__ -.__-- 10_ -- ----- - __- ____ -_ _-. _-_. __ - ___ -__. ----- _- ___. . - _-i Seillemenl , Settlement _... -__ - ' _ ._ 703. Commission aid at Settlement ____ __ ., --- - _. _- -.. -- _. - _.. ---- _-___ _.... _ -_.. _.. _____. __. _._- _ _.- _ ____ _,__-_._. _. _ -_ - - - ----- __ _..--__ -i..-_.- __. ___ _ i _... _..-1. ..__.... _._.. .._._ y 5337.70 /oa _ 600. Items Payable In Connection With Loan A01. loan Origination Fee 802. Loan Discount / ~ 803. Appraisal Fee to 8CA Crecit flepon to 805. tender's Inspection Fee _ - _ __ _ ~. _ - - -- f - +. A06 Mortgage Insurance Application Fec to - -- I -- - r _._ ~__ _.. _ 807. Assumption Fee I _ 808. - -- - _ .. _ 809. 810. _-- -- - ~-- -- - _ - __ - -. t - - -- ---- -~-- 817. _.. _. __ _ j .---_ -'_ _. 900. Items Required By Lender To Be Paid In Advance - ___._._ - - - -----__. ---- 901. Interest from to @$ --- r day 902 Mortgage Insurance Premium fo -- - -- ------ ---- _---. - _ months [o __. --- t - __~ __ - . I 903. Hazard Insurance Prer^wm for . -. -- -- ..- ----- -__..__ years to _.. _ ---- - t 904 __ _ _ _ _ _.- __ yczrs to _. - -- -. ~. 905. ___._-- _-- ____. - -- 1000. Reserves Deposited With Lender 1007 Hazard insurance months@$ per month ~ I t002 Mortgage insurance months@$ 1003 Cit ro ert taxes m th @$ per month ' t - y p p y _ - _ - - - on s ---- - -- --- ---- - pei month --- -------.__..---- I I -._..--t-- _ .__ `_ ____. _. ____. 1004 County property [axes months@$ per month I j 1005. Annual assessments months@$ per month r -- 1006. months@$ -- -------._. - per month I ' - . _.. ---- -- - 10C7- months@$ - --.P _ __ -.~--- -- er month - 1008 months@$ per month ~ 1100. Title Charges 1 701 Settlement or closing fee to - i - - -- - 11C2 Abstract or £rtle search to ~ 7103 Title examination to __ - __ 1104 Title insurance bender to 1105. Document preparation to -._ __ _. j 1106 Notary fees to - _ ~l _ --- 1107. Attorneys fees io - - -- (Includes above items numbers ---- ) I - -- --__ __. ___. - - t 708. Title insurant e to - -.- 1.. _. I ~ _. ._-_ - (includes above items numbers _ --- 1709. Lender's coverage $ ___ - -- -- - r 1 -- - - - -- --- - -- 7110. Owners coverage $ -- - , ----- t 7 7 L I- - ~ -- _ __-- -_- 1112 - _. _ _ __ I_. __- - --_-- _- _. 1713- 1200. Government.Recording and Transfer Charges - -- ~ - - ----- - --- 1 ecording fees. Deed $ ;Mortgage $ :Releases $ --- -- - r --- 7202 Gty/county tax/stamps Deed $ _ -Mortgage $ _ --- i -~ _-- - - - - - --- - 1203 State tax(starnps. Deed$ -Mongage $ --- -- - - - -- - --- - _ _ -- --- -- ._ ._ kk 7 - --- - - - _- _ - r I 1205. ~I _~ - - 1300. Additional Settlement Charges 1301 urvey to ----- --- ~- - - ----_ _- ._ - 1302 Pest Inspection to Gilhert's Pe_si Control $~00~ -- l l_ POC ~ 1303 7304 Peck's Se tic Service Ins ectlon a_ nd Test $_200 00 - -- P L_P j -- - - ~ -- - Poc - -- ---- 1305 - - -~ T 1400. Total Settlement Charges (enter on lines 103, Section J and 502, Section K) ~ 0.001 53.37.,'0 ~% ` %'` fT~~ <~ ~~ ~ Pa e 2 of 2 form HUD-1 (3;a5) P revlous ,: rnnons are ~7bsolete g net Handbook x30.; 2 Real Estate Tax Pro-Ration • 2007/08 School Tax (7/1/07 thru 6/30/08) $1,164.84 paid by Seller @ discount 8/31/07 $1164.84 / 365 days = $3.19 per diem 48 days remaining x $3.19 = $153.12 $153.12 BUYERS OWES SELLER • 2008 County/Twp. Tax (1/1/08 thru 12/31/08) $325.39 paid by Seller @ discount 04/16/08 $325.39 / 365 days = $0.89 per diem 231 days remaining x $0.89 = $205.59 $205.59 BUYER OWES SELLER $358.71 BUYER OWES TO "Estate of John E. Hughes" NOTE: New School Tax bill (2008-09) commences 7/1/08 Next County /Twp. Bill commences 1/1/09 OMB NO. 2502-0265 ;~- , B TYPE OF LOAN DEPARTMENT OF HOUSING 8 URBAN DEVELOPMENT S _ ___ 1.^FHA 2^FmHA 3 ^X C:ONV UNINS 4.~VA 5 ~CONV. INS. . TLEMENT STATEM 6. FILE NUMBER. ~T 707- -Y RK-sTREET 7 LOAN NUMBER I SET ENT 8. MORTGAGE INS CASE NUMBER: 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 pa/d outside the closing; they are shown here for informational purposes and are not included in the totals. 1.0 3/9B (707-S-YORK-STREEI.PFDn07-S-YORK-STREET/3) NAME AND ADDRESS OF BORROWER emoyne Land Corp., Inc. 19 S Third Street ~moyne, PA 17043 E NAME AND ADDRESS OF SELLER Gregory E Hughes, Co-Executor and Eric B- Hughes, Co-Executor of the Estate of John E. Hughes F- NAME AND ADDRESS OF LENDER: Centric Bank, N-A 3601 Vartan Way Harrisburg, PA 17110 PROPERTY LOCATION- )i S York Street 'echanicsburg, PA 17055 H. SETTLEMENT AGENT: 23-2083639 Kerwin 8 Kerwin I- SETTLEMENT DATE June 11 2008 ax Parcel No. 20-24-0787-045 -- PLACE OF SETTLEMENT 27 North Front Streel 2:00 p m Harrisburg, PA 17101 , J. SUMMARY OF BORROWER'S TRANSACTION K SUMMARY OF SELLER'S TRANSACTION 1 Contract Sales Price ~ 125,000.00 401. Contract Sales Price 125,000.00 2. Personal Pro ert 402. Personal Pro ert 3. Settlement Char es to Borrower Line 1400 2,650.50 403- 4 _ 404. 5. 405. A u tments F r! m Pai 8 Iler in dv n A s m n Far ! m Paid By Seller in a van 6 Cit /Town Taxes to 406. Ci /Town Taxes to 7. Count Taxes 06112!08 to 01!01109 378.10 407- Count Taxes 06(12/08 to 01/01/09 378.10 8. School Taxes 06/12/08 to 07!01/08 85.87 408. School Taxes 06/12/08 to 07/01/08 85.87 9- 409. 0 410. 1. 411- I 2- 412. 0 GROSS AMOUNT DUE FROM BORROWER 128,114.47 420. GROSS AMOUNT-DUE TO SELLER 1 125,463.97 0. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 1. De osit or earnest mone 12,500.00 501. Excess De osit See Instructions) 2 Principal Amount of New Loan s) 100,000.00 502. Settlement Char es to Seller Line 1400 1,250.00 3. Existin loan(s) taken sub ect to 503. Existin loan(s) taken sub)ect to 4 504. Payoff of first Mortgage 5 505. Pa off of second Mort a e ~ 6 506. 7 507. 8 508- 9- 509. Adfustments For Items Un aid 8 Seller Ad ustments For Items Un aid B Seller 0 City/Town Taxes to 510. Ci !Town Taxes to 1 County Taxes to 511. Count Taxes to 2 School Taxes to 512. School Taxes to 3 513. 4. _ 514. 5 515. 6 516. 7 517- 8- ~ 518. ~ 519. 0 TOTAL PAID BY/FOR BORROWER 112,500.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 1,250.00 0. CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TOlFROM SELLER: 1 . Gross Arrrount Due From Borrower (Line 120 I 128,114.47 601. Gross Amount Due To Seller (line 420) ~ 125,463.97 2 Less Amount Paid BylFor Borrower (Line 220) ( 112,500.00) 602. Less Reductions Due Seller (Line 520) ( 1,250.00 3 CASH (X FROM) ( TO) BORROWER 15,614.47 603- CASH (X TO) ( FROM) SELLER 124,213.97 .C uiwa~aiyiieu ~~eieuy acrcnowieage receipt of a completed copy of pages 1&Z of this statement & any attachments referred to rei Borrower Lemoyne L~1~ r Jne-~' ~ - Seller ~J' ~ ~ ~~. - _/~~ ~ Gr ory crghes, Co-Ex u or ~jtT Y ~ , ae1-L--Coons, President Eric B Hughes, Co-Execut HUD~'~ ;3 851 RESPF. ~i 84305 2 L. SETTLEMENT CHARGES 10. TOTAL COMMISSION Based on Price $ @ 0.0000 % aau~ E~oM r ~~o F koM Division of Commission (line 700) as Follows: soRROwER s sELLEa s )1 $ l0 FUNDS AT FLINGS AT )2. $ t0 SE.T7 LE ME NT SETTLEMENT )3. Commission Paid at Settlement )4 to )0. ITEMS PAYABLE IN CONNECTION WITH LOAN )1. Loan Origination Fee % to )2. Loan Discount % to )3. Appraisal Fee to )4. Credit Report to )5. Tax Service Fee to )6. Mortgage Ins. App. Fee to )7. Assumption Fee to )8 Flood Certificate )9. 0 1. 10. ITEMS RE UIRED BY LENDER T BE PAID IN ADVANCE )1 Interest Frorn 06/11/08 to 07/01/08 @ $ /day ( 20 days °/~) )2. Mortgage Insurance Premium for months to )3. Hazard Insurance Premium for 1.0 years to 14 I5. 100. RESERVES DEPOSITED WITH LENDER )01. Hazard Insurance months @ $ per month )02. Mortgage Insurance months @ $ per month 103. City/Town Taxes months @ $ per month 104. County Taxes months @ $ per month 105. School Taxes months @ $ per month 106. months @ $ per month 107. months @ $ per month 108. months $ er month 00. TITLE CHARGES 01. Settlement or Closing Fee to 02. Abstract or Title Search to _ 03. Title Examination to 04. Attorney's Fees to 05. Document Preparation (Deed) to 06. Notary Fees to Kerwin & Kerwin 20.00 07. Attorney's Fees to (includes above item numbers.- ) 08. Title Insurance to The Guarantee Title & Trust Co. 983.75 (includes above item nurnbers: ) 09. Lender's Coverage $ 10. Owner's Coverage $ 11. Endorsements 100, 300, 710,8.1 to The Guarantee Title & Trust Co. 200.00 12 Incoming Wire Fee to Mid Penn Bank 10.00 13. Closing Protection Letter to The Guarantee Title 8 Trust Co. 35.00 '00. GOVERNMENT RECORDING AND TRANSFER CHARGES '01. Recording Fees: Deed $ 41.50; Mortgage $ 67.50; Releases $ 109.00 '02. City/County Tax/Stamps: Deed 1,250.00 Mortgage 1,250.00 '03. State TaxlStamps: Deed 1,250.00; Mortgage 1,250.00 04. Assignment of Rents to Recorder of Deeds 26.50 '05. Recorder of Deeds ~00. ADDITIONAL SETTLEMENT CHARGES ~01. Survey to .02. Pest Inspection to ~03- Overnight Mail _ to U.S- Postmaster 1625 ~04. Sewer and Refuse Mechanicsburg Borough POC:SO 00 Paid ~05. 00. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502, Section K) 2,650.50 1,250.00 3y signing page 1 of this statement, the signatories acknowledge receipt of a completed copy of page 2 of this two page statement. ;ertified to be a true copy. ~_~ ' ~~ Kerwin & K n Settleme ent /C7 SYORK.$rRr ETI 767 S-'(OH /.-S'RE~r/3 ) Rev-1503 F7(+ (8-98) SCHEDULE B STOCKS ~ BONDS COMMONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Hughes, John E. 21-08-00179 All property Jointlyowned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 Redemption of US Savings Bonds (see attached): 7,611.28 TOTAL (Also enter on Line 2, Recapitulation) 7,611.28 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) ~,: ,. U.S. Savings Bond Redemption Receipt r Branch ID: 1 Transaction Number: 0-838144335061 ESTATE OF JOHN E HUGHES JR 166-22-0863 Redemption Date: 03/08/2008 908 EAST COOVER STREET 9~(~- ~--(~(~~~ Teller ID: EBRN3CK MECHANICSBURG, PA 17055 Issue Interest Redemption Serial Number Series Denom Date Issue Price Earned Value 012018342-EE EE $100 01/1981 $50.00 $222.48 $272.48 018034347-EE EE 100 02/1981 50.00 222.48 272.48 018037166-EE EE 100 03/1981 50.00 222.48 272.48 018040731-EE EE 100 04/1981 50.00 217.16 267.16 018044109-EE EE 100 05/1981 50.00 205.76 255.76 020865649-EE EE 100 05/1981 50.00 205.76 255.76 021919392-EE EE 100 08/1981 50.00 205.76 255.76 021264071-EE EE 100 10/1981 50.00 200.76 250.76 021260081-EE EE 100 09/1981 50.00 205.76 255.76 032631087-EE EE 100 05/1982 50.00 195.84 245.84 043629574-EE EE 100 04/1983 50.00 150.52 200.52 043641627-EE EE 100 04/1983 50.00 150.52 200.52 043619871-EE EE 100 03/1983 50.00 154.80 204.80 040323509-EE EE 100 09/1982 50.00 195.84 245.84 032612553-EE EE 100 08/1982 50.00 195.84 245.84 032601685-EE EE 100 07/1982 50.00 195.84 245.84 040349406-EE EE 100 11/1982 50.00 179.96 229.96 040335906-EE EE 100 10/1982 50.00 191.00 241.00 035375319-EE EE 100 12/1981 50.00 200.76 250.76 027851668-EE EE 100 11/1981 50.00 200.76 250.76 TEMP AGENT NAME STREET ADDRESS LINE 1 STREET ADDRESS LINE 2 CITY, WV 11111 000-000-0000 Page 1 Of 2 rU.S. Savings Bond Redemption Receip~ Redemption Date: 03/08/2008 ESTATE OF JOHN E HUGHES JR 166-22-0863 Transaction Number: 0-838144335061 Issue Interest Redemption Serial Number Series Denom Date Issue Price Earned Value 020868884-EE EE $100 06/1981 $50.00 205.76 255.76 043590208-EE EE 100 01/1983 50.00 179.96 229.96 035379234-EE EE 100 01/1982 50.00 200.76 250.76 021916211-EE EE 100 07/1981 50.00 205.76 255.76 032624441-EE EE 100 03/1982 50.00 200.76 250.76 021292804-EE EE 100 02/1982 50.00 200.76 250.76 032634529-EE EE 100 05/1982 50.00 195.84 245.84 043603382-EE EE 100 02/1983 50.00 179.96 229.96 032620900-EE EE 100 06/1982 50.00 195.84 245.84 032627696-EE EE 100 04/1982 50.00 195.84 245.84 043576427-EE EE 100 12/1982 50.00 179.96 229.96 Total number of bonds redeemed: 31 Total Price Total Interest Total Value $1 550.00 6 061.28 $7,611.28 Customer Signature TEMP AGENT NAME STREET ADDRESS LINE 1 STREET ADDRESS LINE 2 CITY, WV 11111 000-000-0000 Page 2 Of 2 SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Hughes, John E. 21-08-00179 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 M8~T Bank Savings Account Number 25004920104300: 160.05 2 Proceeds from personal property auctions: 4,399.86 3 Prudential Refund: 37.26 4 Smith Barney Account #54J-02551-11: 306,290.12 5 Travellers Chks: 220.00 6 1990 Toyota Pickup: 1,045.00 7 Coins in lockbox: 15.00 TOTAL (Also enter on Line 5, Recapitulation) I 312,167.29 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) © M&TF~~nk 499 Mitchel] Street, Millsboro, DE 19966 March 12, 2008 The Wiley Group Attorneys at Law Wiley, Lf°nox, Colgan 8v Marzzacco, P.C. 130 W. Church Street, Suite 100 Dillsburg, PA 17019 RE: Fstate of John Hughes Date of Death: February 11, 2008 Social Security Number: 166-22-0863 Dear Ms. Gladfelter: In response to your request, please be advised that at the time of death, the above- named decedent had on deposit with this bank the follovaing accounts. 1. Account Type ........................... Savings Account Account Number ...................... 25004920104300 Ch,unership (Narn.es off .............. John E. Hughes Opening Date ...........................01/21/93 (account closed 03/ 10/08) Balance on Date of Death .........$160.02 Accrued Interest 0.03 Total ................................ .~ ---$160.05 2. Account Type ........................... Checking Account Account Number ....................... 2678025582 Chunership (Names off....... _..... Eric Hughes, Gregor} Hughes, John Hughes Opening Date .............._..........-04/26/84 (account closed 03/ 10/08) Balance on Date ofDeath.....-...$3,740.45 Accrued Interest $ 0.00 Total... ~ . ..............................$3.740.45 • Page 2 March 12, 2008 3. Account Type ........................... Savings Account Account Number ....................... 15004200940036 Ownership (Names off .............. Eric Hughes, Gregory Hughes, John }lughes Openinq Date........_ .................07/08/91 (account closed 02/20/08) Balance on Date of Death .........$2,456.34 Accrued Interest 0.19 Total ....... ..............................$2,456.53 4. Account Type ........................... Home Equity Account Number ....................... 12044452964724998 OT.unerslup (Names off .............. John Hughes Opening Date ...........................09/06/07 Balance on Date of Death.........$4,904.68 *This amount is not. to be used for payoff purposes. For a payoff balance, please call 1-800-724-2440. Current Balance .......................$4,732.58 *This amount is not a payoff balance. The above named decedent had a safe deposit box. * If upon reviewing the information above, you believe there a:re additional accounts not referenced, please provide us with an account number and/or the name of any possible joint account holder. For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, please contact our Mount Holly Springs branch at 631Holly Pike, Mount Holly Springs, PA 17065, or # 717-486-3038. Sincerely, i \ ~~~._~ Charlene Warrington, Record Management 1-888-~02-4349 ~-~ _.,_® I ~' a !n tom,, -- ~- ') -- ,`,. r I (, /~ ,~b~ ._ ~~, ',- -; ~ .... E~~l"GTE jJf~ .Jiff-ii~l HtJ~ 1-IE: ~_a99rI~-I>~~'1C., i.:iJ~J~E~F; sT I•rtf=+~fl faH .I. ~rLiJJ i~!e-~cr~iptian F'r~ir~~e +=!i_~,~ Ta+~~~l I,.J a t"i ~ r? f^ p r. 1'1 ]. fLl , c_' ~ f~l ~I i~ l a t h e s ~, +~+Z+ F.atr_he"t set 1 ~:, ~S%~ Nan~~y man t~aak-I ai_ 1 tti, ~~~+~+Z+ h~l e 1. m F~ i. I F~ , fZf iZi Neat ±:-ape 1 +Z+, ~i~~if~ S t +_f d i= i n ~ e 'r :t 1, k'i k'i t"~I _~. i t s I i7i z ~ i~f QI r~ i n ~ e r, :i ~ , ~+ ki 1 i 9 ~ a,,~ l ~+, +7.+~?+ ~•J i r~ ~ ~ t r i p ~-: e r.. ~ I 1 , +Zi ~t 5~ t_~. ~ r~ i' S _. i' a a l s I ~ ,~.) k'f Taal L e l t I ~+, ;~ t?f t7t Hntil=r'ee"_>; tes'Eer 1 +~,;_~~+~ La.pht t Q+,;~1i~++~ T a a l hit I '_, , ~+Zi -~ i -.- a. r~ ~ +, a a I kit L i „ +'++1+ F a g ~~ e r~ j. h o ~+~i Taa l s 1 ~i, ~QI~7~ Cal iper'•s i 4~_ ;~~+~izf F'lier's - l a't_ 1 i7+ , ~ k's ~f t~f T a r, I s ~ ~+, ! 5+~ 4?+ Gar'r'ing Coal=. :I 4'i,;~!IZ+i?i 1' F, s .tar, i ~+, ;~ ~~++Z+ I-: n i. 1= e -- I a i_ 1 1 , ~ +Zi rail heft__la"t_ ~ 1,k'i~i L~ ,-?. I i p ~ ~:. _~ -- ]. a t ! ~~ , ;: ,~-., iii i~'! T t F m s a l ;' i!t is m ~~ ~ t. n 'f: ~ :i r, ~ ~! i_ n r(I tii 1. _- 1. r. r~ =+.'I_ %+ 4~`+ , k71 iz?3 tZt ~: ~_as ?.t'I lr_i.st f;isrl~;'_ , -,~7l, I~llL~I t `~ L~ "~., ~:I :l P .h. ':J `.~ P A. I f' i ~ i ~._~ +Ci , ~.J kt wi,~rr;.~ ~ I°}:~~~+, Y' = A r- r- : v ~- i- ii i ('., -:~ i `:'_...~; -- -:: 2~ ;. ±~a.t e o I~jt--1 A~-E~~+~~ -- y Y'1 I~' i i +•" r? E' ~'. t~ _ 1. !Z? , 1 Iii _ i!.=~. r~~ <'a.l-i ! ~'! L l ri 1Li I~'l .. 1 ~ 1 r' f~ ~ O O C~ .~ 7• r- ~i = ~1 r a t`I - F:, „ 1~1 ir'_I --- E~ r-~ c k e t s J. 1~ ~' ~i - Trimmer 1 1.+?+~1 ~- Washer ~r l ~_t i d 1 ~; . ~1 ~~ - .Jack ~. S+z+~+~h ~' 1 . IZ I ; ~ 1 -- ~af'~ .~ ~ ' J~ ~ ~ IL.1u LJti.I'L' -- Lot 1 IZ+. ~'~,~+i~ -- Handles--{~+~mp 1 1, ~IZ~ _ ~!!g shielcl--sickles 1 ~1. ~~~'+k?i - 'Tire ~~_tm~-pr~_+r~er'_; 1 IZ+. 1 IC'++ZI -- Garden tool: i .s.IZ14!+ - Worker' i. kt. r`'=~~~+~?+ t~~,v~n+. 1-+.aar's. room Ht~?FtFt' S ~UCTIOtd 71 r--~1+5`-8.:46 Sett lemeni_ ERIC HUGHES (=~.age o Se 1 3. er a 7~~ EST JOHhd HUi3HES '3~8 E. Ct.~pVER ST I`'lECH F'H 17~~5 T}:ram T'~escription F'rice U!t~; Total -- -r1 e e d wa c k e r' 1 +z+. ~ 51Z+ 4?+ -- Sholjel 1 ~. ~5~+Z1 -- Hiteh 1 1~„ +~~ o m m i s s i o n ~. ~. <++ZI ~ }~+z11Z1 ~: It.emss '~.~: Famo~!nt~ 4;.=r..„? 1~'4'+.-+21 Less .ad.j~_istments r: -°~1 ~. -`>ZI h~1 4? 'k ~_~ . 1, t? t' ft S 4~ l l f~ +.. s '_ J F~ . +!_~ ~.a 1- Irl W , .a a i,_- (J m ~-~ hil-1 ~ 5 ~_~ s ' ~ -` _ C~ •`• i rJ _._ fi''=. _ t-1~.~L. TI+]r`a I ~ I ~''F•_~i~•• 'JL ft~ ;.\ www. haar•s. com Settlement; Seller: 7~? :.~- H ~FiR" S t~UCT I t~h! ERTC HUGHES ES1' .JDHr~I HUGHES 9~q E COCiVE_R ST h1EL1-i F'H 1?~ ~~ Item i-7.escription -- Cooler - G01f c1~_tbs - FolJing chair -- Lamp tables - Recur~U player. - Swivel r-ocFcer~~ - Rocking chair .- Dropleaf table _- L~roplPaf table - Sewing machine i~ommission at !~~. ~+~~% wwa+. ha.s.r-s. com ;~~- ~K, r~: ~~ ~ ~, X97. +.14 Les:; ad.j!!stment~s: hdet r.~!!e to seller~: -~/~ s Ht~flR" S HUCTI01~1 ?17~_4~,c-~~~+E ~~~~ -- ;~~-~ F'a g e . Price G!t y~ Total 1 1;. i~ 1 '~. ~~~ 1 ~, . -~ 1 1 L . +Zi~+ 1 ~'. ~~ 1 7. ~ 1 1 . ~ ~+ 1 1. ~~+Zi 1 1 k . ~~ k~ 1 S. ~~ Items: 14c Hmo~_int: 994.E,~ ~i'~6. 75 13v , ~~! a~, ~ 5 ~' ~ 3 _.. 4'4 if a. ':a to 'i. ~::7''i-t <°. l __ ._7 a •L at ;. "T: r Iii ~..~. 1 ,`--14"i! i7 i~ i 1 L a iP a !z:! =-i- k'1 ~, !1`4!1: ,:~y !'!L,ill, !!I++~l 1~tit=~t~l~:. ''r'!;=!t.~ FiJFf ~iF:t...i... ~:P•~1t~7 i"t-ft:C:li.Jl~3-I (~!i_a~ i~~. ~i";"f':[i=!~~I SMITH RARNEY CH John H. Hughes, Jr. Acct #54J-02551-11 DOD Values 2111/2008 Sec. # BDP sBCX ALL AHTBX DFS EBIBX IAR MS VZ Description Bank Deposit Program Western Asset Management Allstate Corporatipn American High income Trust Discover Financial Services Eaton Vance Income Fund of America Idearc Inc. Morgan Stanley Venzon Communications 09-03-08 12:01y Py: 3i3 # Shares Price Closins~ Price 9932.53 $ 1.00 $9,932.53 22877.04 1.0000 $22,877.04 1112 $ 46.72 $51,952.64 4510.42 11.3700 $51,283.48 936 15.1700 $14,199.12 8661.86 5.8700 $50,845.12 33 9.3100 $307.23 1872 42.711)0 $79,953.12 664 37.561}0 $24,939.84 ~~ ~J ~'" $°`°aY - 14~ 7094 161 0.15 Q M~TB ~ ~~ ISSUEN PNOMISES~TD PAY ~ n'srz ~ 1 I ~' ! O~OOe 0 l9;l 'llll lb -.~. ~ ••A~rn S~etiNy.uNei~ O.fl ONOE rNE ABOVE - - 1~yiyy~.~^~.•Olg~1iJ, COftDANCE WRilrjy{ / ON NEVE SE ~~.. v 1 .;-~ ~ ~ i~ '` `~, r - ;~ ) --~ -- --- ---- ~ /~ IssuerCitlcorp OUNiENSiGaNMEflE"NLP9~FSENCE OF PEflSON CASHING ENCASHMENT)N~C3r]ili1TTOA -9 Chairman, Ciucorp ., i/~ INSTRUCTIONS ON THE REVERSE J -__ N Vork, -.NY, U S A. ~B~OOOOOBO~: L a 2 709 ~~„ Y~g~~~~i;®~ 5,4fi' S 2; ~:~~ TRAVELLERS v~~~ CHEQUES ------~ issued by Citicorp Use 6a11 point pen, and press firmly. PURCHASER'S OR }, PURCHASER'S AGENT'S IZ SIGNATURE o . ~ - cw U d GATE MONiH ~ ~~ OAY L%J YEAR CAUTION' Carry ?his copy separately from Cheque it must he presented tpr refuntl purposes. PURCHASE AGREEMENT ?q~ f Cheques in sequence starting with number Purchaser/Purchaser's agent agrees to terms and conditions on reverse. 5 (FIVE) $20 TRAVELLERS CHEQUES $ ~ 00.0® If cfteques are delivered to Purchaser's Agent, Purchaser must sign here; Purchaser agrees to Purchase Agreement conditions. rOfi I;HASE R'S ~lGNATt1RE attached page for Worldw e Refund Ins ~~kx V-?~~'~l,~j'"..`~;~. .I.•~~"~'~~-M~%--~`r=-~ L~v~~~,.;~:;i ~'"~ai1 ~SJ.S.S?o ~ i Ilil~li yr r ~~I ~~ ~. hill 6!~i ~ ~/~.f ~ ~~}~, ~~-~ ~~ir. 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INC NEW Y ~ ty~ I ~ II I+11110' -III imuVUl ~Ih LIIIIII~~ _ I I I 1111+ ql 9111 I1 !P+-. - I 3 ~ P~~~II 1 11111 1 11 _ II~ I I , ~_,.~` F - `IIII _ I I rill ~IIIIIIIIIII 111 tltuullll I~I +~~,; Q o 1um911III~ _ ~ 11 I ~ j l o I Il~~~nl~ Innu111j ~~ .I II'I h I I ~ ~1u 1 0 ~ 111+ uolollll . ~- •1dllilllal 01 IIo4x~~ . - III 1 I 11111+111 i ]R - . ~,7 , rs~sH~e~# i II y il~~l1 1I IIII I ~TSON s.~sN+Ne ~ ~I+II~I I ,1IO u ~ I J(y$/ L~Atiti~tiu:G`/ IIL x.80000.00 5 L ~~II _.I:h ~~ - DUREON ~. ~`~~~LL'~~.'~E~ ~~~ ACCEPTANCE PROCE~ I ~~~1 ..- REVERSE SIDE .. , xf J:..'~:~;`:":~1`. Z . I ~ - '-- - - -- s ass u~ _ =-=~~v ~ •:_ ~q - E. _~ _'~ Y n -. l ti ~J ITi ~ iirr'~fTlif~Rri' r I -^ V ~ jid y_ _ - I„ I~, ~ ~- I•JI+I WHEN COUN iER51 D BELOW WITH iH15 SIGN 0.TU - -~- ! a ~ ry t tti ~~n~r r~ ~.~ .. j a•~ pl~olaJ~l~l i lil~l ~~JTfl~Y~1~~J~~s1 ~~1~110 `j •' 1L~ ~ ,I~~~~ I I~~ i Silil~~ s: - $~ ~ $SU`D ~Y AM.~RICAN F%PR`t$$ RAV ?..,[J S 2VI _- ~ ~• " ~~' S MPANY. INC NEN Y[;R%. N Y ~. ,y~ ~ ~: ~ . ~ ~~ ~, ~ 3 , ~~ ,~ - ~_ _ ~, , , ,~~. ,a 1., #~ ~~ t °~-- _ 1 ~j/'u~d ~ , ` ~~ -~ _. COQN T£RbI #J HEREIN Pq EytNCEIJf EH+UAI LA:.~r#NG _ }/<~L~~ ;l x.8000000 5 L~r~i~.~~~~~09fii i~~~_~~ A//' ~_.. I - -- --- ~~q~d~'~~~ ACCEPTANCE PROCEDURE ON REVERSE SIDE ~ T ~' ~ ~i'"'~~""' _.__._ - ____ ..........v.. kelleti F31ue. Book -Trade-ln Pricing Report -Toyota, Pickup -Official Kelley 131ue Book.. }'age 1 of 4 :. ~- ~~I~ ~~~~ ~~0~ ~ ~ ~ ;riiN~~;;Y THE T~tUSTEQ RES©URCE advertisement Dome Neu Cars Used Cars Eieseareh & Explore Pews & Revie~nas Classifieds auto t Used Car Values ! 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View Toyota Pickup Find a Dealer Search all Classifieds in 17055 SELL YQtfR JS;vD ~ A~ on Blue Book Classifieds"" Reach millions of shoppers on kbb.com, AutoTrader.com, and other popular sites. f=ind out more, Click BUY d USEL CAR on Blue Book Classifieds"" Toyota Pickup ',~+...i~..,,.,,, hhh ,-,,,,,;uF212iI ~~r ~r'arcfPr;~~;nnRenclrt_aSnx?Yearld -1990&Mi]eaRe-100000Rc... 5/7/2008 r DEPARTMENT OF TRANSPORT~~TION _ GERTIFIGATE' O,F TITLE FOF'~A VEHICLE 8 r 5 ~ 4 - - ----- -- - -- ------ ------ ---- - 90043006000201-.001, JT4VN3,3D7L503,6389 ~ 90 I TOYOTA ~ 427~66707D1, HU VEHICLE IDENTIFICATION NUMBER VEAR MAKE OF VE RICLL,TITLE NUMBER. Q ~t62D I 5~250I ` TK DODY:TYPE .I OIIP I SEAT CAP ~ ;:UNLADEN-,WEIGHT GYWR GCWR -I -TTTLERRANDS - 2/22./90 I 2/22/90 I. ! 2/22/`~D ~ 003064 I D DATE PP. TITLED DA i~ OF iSSUL PRIOA TITLE STATE I ODOM.-PFOCD DATE ODOM MILES. t.)DOM. STATUS - - oL~r.iE "EA SiALUS o = Aurunl rn I Ea. ,E 5~ - 1 rA1LFA ,k f Rr LEDS it IE MECHANICAL - '-~:6'Zvi:.HhF+vbiC4kT9R55;~.5~8sF3~TF~J,!~ry>•}s9y~'#~S:lit• ,. - ~ I. ~_MRS ~ - ":T ~ ~ MII E ~F - - ~, - 3 rJT it Elu,Tf MI FJ~C'E ODOMEtER AC 1AL MILEAGE ~,,MPE""`'~_ - < EXEt+1P_ h Ff tMt O.Y IER L 5(:LOSURE -AE I F70lvNL P(5) 114E RR S '~O i 1~~77~5~ C. (:UV r(..VFHIC!~E - - . P B (] X 8 3 ~ ;t ~ / ,t N7AY ~,I, N, ~, ME~>o ~R~,s ' MT OL~Y SPGS PA 1,7065 I '`''"~'~`"" _ 1 A,rrx.ulr~luwfaiic ~~" - ~ - N a Fr7tiMFal Y , ~ )1- jE HX_'.LE RLGt '~, lil ]i (f~(3 tiTRI l 'rp ~$$$ VE;r LL 'JNIlIN~i I ,UFO VIN K F'(1RMEJIIYA r~k RRST N FAVOR C °~ SECOtrD -'EN FAb CIH r FUl~TON BANK. ,,: ~~ f ] ,~ ~ ~~~]~:.. If a second lienholder is listed, upon safislactioh of the first lien the _ J Ilenholder must forward this Title to the Rureau of MotorVehides with FIRST ~EN RELEASED ~ ' appropriate brm and fBe. - D//ATE// - RY ' AUTHO IZED'RE ~~ SE V may- SECOND LIEN FELEASI=~D ~ ~,,I~+- - - ~. '!~"~ 7fU U-F~'.`~£l+~r..=i~T'i'~~:'?u-drt6"~:r~'~'-A:'~a'~;' '-.MAILINGADDRESS ,; ~,~ - EULTDN.BANK By AUTHORIZED REPRESE~T0.TIVE 7,b 95 STATE ST E RETERSBURG PA 1,7520 >< _ ~_'' I certify as of the date of Issue, The official recortls of the Pennsylvania Department of - - - - Transpodallon reflect that the person(s) or.company named herein Is the lawful owner - of the said vehicle „_, _ _ Secretary of Transportation D. APPLICATION FOR TITLE AND LIEN INFORMATION - n°PaoPalnME`sEenonis oN r e FEPR/ERSE sloE oFLiiils oo°cuMeN° nae COMPLETED. SUBSCRIBED AfJO SWORN When applying for title witn a arovmer, other than yeut 5}lOUSe, Che[k one of TO BEFORE ME' these blocl~s. I no block is cnecked, title will be issued as -Tenants in Common " MO p;,Y y~R A ^ Jornl i¢nant9 rM1h Right of Survivorship (on death of one owner, Iitlegoes ~ 10 me SUrvlvlne owner). R n Tcn ~nrc .n ('..vr mnn rrn na~rr. ..! n~o „.,nn. ...reroc. n(.~o.-e~con rnun~r Rev-1509 EX+ (8.98) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Hughes, John E. 21-08-00179 It an asset was made Joint within one year of the decedent's date of death, It must be reportiad on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Eric B. Hughes 908 E. Coover Street Son Mechanicsburg, PA 17055 B. Gregory E. Hughes 60 Fickel Hill Road Son Gardners, PA 17324 C. JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1 A8t6 3/26/1984 M8tT Bank Checking Account Number 3,740.45 33.333% 1,246.80 2678025582: 2 A&B 7/8/1991 MST Bank Savings Account Number 2,4Ei6.53 33.333% 818.84 15004200940036: TOTAL (Also enter on Line 6, Recapitulation) I 2,065.64 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) i ~' , ©M&TBank 499 Mitchell Street, Millsboro, llE 19966 March 12, 2008 The Wiley Group Attorneys at Law Wiley, Lenox, Colgan 8v Marzzacco, P.C. 130 W. Church Street, Suite 100 Dillsburg, PA 7 7019 RE: Estate of John Hughes Date of Death: February 11, 2008 Social Security Number: 16Ei-22-0863 Dear Ms. Gladfelter: In response to your request, please be advised that at the time of death, the above- named decedent had on deposit with this bank the following accounts. 1. Account Type ...................... ..... Savings Account Account Number .................. ..... 25004920104300 Ownership (Names off .......... .... John E. Hughes Opening Date ...................... .....01 /21 /93 (account closed 03/ 10/08) Balance on Date of Deaf12.... .....$160.02 Accrued Interest $ 0.03 Total .............................. . ~ ---$160.05 2. Account Type ........................... Checking Account Account Number ................... .... 2678025582 Ownership (Names off .............. Eric Hughes, Gregory Ilughes, John Hughes Opening Date ...........................04/26/84 (account closed 03/ 0/08) Balance on Date of Death-........$3,740.45 Accrued Interest $ 0.00 Total ........ .............................$3.740.45 • Page 2 March 12, 2008 3. Account Type ........................ ... Savings Account Account Number ....................... 15004200940036 Ownership (Names of) .............. Eric Hughes, Gregory llughes, John llughes Opening Date ...........................07/08/91 (account closed 02/20/08) Balance on Date of Death .........$2,456.34 Accrued Interest 0. l9 Total.---- ------- -•-- -------------- -$2,456.53 4- Account Type ........................... Home Equity Account Number ....................... 12044452964724998 Ownership (Names off .............. John Hughes Opening Date ........................... 09 / 06 / 07 Balance on Date of Death.........$4,904.68 *This amount is not to be used for payoff purposes- For a payoff balance, please call 1-800-724-2440. Current Balance .......................$4,732.58 '`This amount is not a payoff balance. The above named decedent had a safe deposit box. * ]f upon reviewing the information above, you believe there are additional accounts not referenced, please provide us with an account number and/or the name of an_y possible joint account holder. For any additional information on the above accounts, including o~mership and any changes, closures and/or reimbursement of funds, please contact our Mount Holly Springs branch at 631 Holly Pike, Mount Holly Springs, PA 1.7065, or # 717-486-3038. Sincerely, ) ~ _ Charlene Warrington, Record Management 1-888-~02-4349 t2ev-1b70 EX+ (b•98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Hughes, John E. 21-08-00179 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 DE IPTI N P PERTY INCLUDE NAME OF 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 Smith Barney IRA Account #54J-76257-12: 277,091.72 277,091.72 2 Sovereign Bank IRA Account #0358005841: 4,811.87 4,811.87 TOTAL (Also enter on Line 7, Recapitulation) ~ 281.903.59 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) Fax sent by : 17177370800 SMITH BARNEY CH 09-18-08 11:27a Py: 4/14 Sec. # BDP 58CX ALU GE JNJ VZ AHTBX NYVTX EBIBX SHICX LAFFX PHSTX John H. Hughes, Jr. Acct #54J-76257-12 DQD Values zl~~l2aos Description Bank Deposit Program Western Asset Management Alcatel-t_ucent General tAlectric Johnson & Johnson Verizon Communications Amer High Income Trust Davis New York Venture Fund Eaton Vance Income Fund of Sostan-B Legg Mason Partners High Income-C Lord Abbett Affiliated Fund-A Putnam Health Sciences Trust - A Total # Shares Price Closing Price 52883.81 3 1.00 $52,883.81 2411.85 1.0000 X2411.85 39 $ 6.01 $234.39 300 34.0100 $10,203.00 400 61.$800 $24,752.00 200 36.7900 $7,358.(}0 3134.776 11.3700 $35,642.40 909.716 3fi.6300 $33,322.90 5165.084 5.8700 $30,319.04 4317.156 6.7400 $26,507.34 3337.693 12.8200 $42,789.22 213.27 50.0200 $10,667.77 $277,091.72 The above summary/prices/quAtes siaiist'res have been obtained from sources we believe to bs reliable, but we do not guarart~tee itS accurBCy or completeness. Past performance ':s no guarantee t>f future reauEts. ~- 1 - - - ---- _. Court Ordered Processing • llecedents MAt-MI33 02-10 - Y O. T3ox K4100~ - Boston. MA 0"?2R4 March 19, 2008 S. Dawn Gladfelter The Wiley Group 130 W. Church St., Suite 100 Dillsburg, PA 17019 RE: Estate of John E Hughes Jr. Date of Death: 02/11 /08 Dear S. Dawn Gladfelter: Per your request, enclosed please find the account information as of the date of death for the above-named decedent. For your information, accrued interest is not included in the date of death balance. Please feel free to contact me if I can be of any further assistance. Very truly yours, r ~ ~ j ,. Laurie DiGiandomenico Team Leader 617-533-1789 Sovereign Bank I;STA"TE OF SOCIAL SECIIlI'TY #: llATE OF llEA`hI1: Jahn Eliot }Iughes, .lr. 166-2?-O~s63 1=ebrtiarv 1 1. 2U(? Account #: O3~80~_5~41 7~~~pe: lR,~ In the name of: John Eliot 1Iu~hes Jr_ Date of Death Balance: $4,~UG26 Int.(YTll) from 1!Ii200~ to ];>1%008 Accrued interest to date of death: XS.6l Other Info: Closed ,!10/08; L3eneliciaries: Eric and Grego Open date: 5/4i 19H4 $14.47 Ilu~hes (sons Page 1 of 1 REV-1151 EX+ (12.98) COMMONER TANCE TAX RN TURN ANIA RESIDENT DECEDENT ESTATE OF FILE NUMBER Hughes, John E. 21-08-00179 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A, FUNERAL EXPENSES: See continuation schedule(s) attached 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 The Wiley Group, PC 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. I Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 808.46 30,000.00 700.00 7. Other Administrative Costs 7,108.93 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 38,617.39 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS 'Rev1502 EX+ (6-98) SCHEDULE H-A FUNERAL EXPENSES continued COMr10NWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Hughes, John E. 21-08-00179 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) 'Rev-1502 EX+(6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued ESTATE OF (FILE NUMBER Hughes, John E. 21-08-00179 ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland Law Journal (advertise estate): 75.00 2 Filing Fee: 30.00 3 Gift Associates: 155.00 4 PCS Stamps 8~ Coins: 86.65 5 Settlement costs -sale of 707 S. York St., Mechanicsburg, PA: 1,250.00 6 Settlement costs -sale of cabin: 5,337.70 7 The Sentinel (advertise estate): 174.58 Subtotal 7.108.93 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-BT (Rev. 6-98) 'Rev-1572 EX+ (6-98) SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERfTANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Hughes, John E. 21-08-00179 Include unrelmbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Auto Insurance payment: 116.36 2 Betty Heckerd, Tax Collector: 677.87 3 Borough of Mechanicsburg: 108.32 4 Camp Hill Emergency: 39.94 5 Chase: 160.84 6 Comcast: 60.67 7 Embarq: 126.96 8 Janet Franz, Tax Collector (cabin): 325.39 9 MST Bank Home Equity: 4,904.68 10 Met-Ed: 38.59 11 PA Dept. of Revenue: 30.00 12 PP8~L: 217.43 13 Shipley Oil: 293.00 14 The Hartford (house and cabin insurance): 0.00 15 United Water: 44.53 16 Verizon: 203.15 TOTAL (Also enter on Line 10, Recapitulation) I 7,347.73 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) hfC\/ 1 s CYa /OJ\111 SCHEDULE J COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Hughes, John E. 21-08-00179 NAME AND ADDRESS OF RELATIONSHIP TO SHARI= OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY ovDa u$ Dtis e $ ;Words) ($$$) I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)~ 1 Eric B. Hughes Son 390,450.18 908 E. Coover Street Mechanicsburg, PA 17055 2 Gregory E. Hughes Son 390,450.18 60 Fickel Hill Road Gardners, PA 17324 Total 780,900.36 Enter dollar amounts for distributions shown above on lines 1 5 through 18, as appropr iate, on Rev 1500 cove r sheet III NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TA:K 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 I U.UU Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) Jan M. Wiley David J. Lenox THE WILEY GROUP October 27, 2008 Att<>r"~y5 at L<<W Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 In Re: Estate of John E. Hughes, deceased File Number 21-08-00179 Dear Register: Enclosed for filing please find an Inventory, the inheritance tax return in duplicate, and the status report with regard to the above captioned estate. Also enclosed is a check in the amount of $30.00 representing the filing fee. Please return the recording receipt to my attention in the enclosed envelope. Thank you for your cooperation. Sincerely, Dawn Gladfelter/Legal ssistant r-~ c~ THE WILEY GROUP ~~~: c~ c: /dg - ~~' --- ,-, T : i -t encl. - = ~ ~ c.~ _ ;-~ ~_ ~i.~j -~ .~~_{ t`J J C," ~, , 130 W. 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