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08-18-09
..~ ""'~ REV-1500EX(D6-05, PA Department of Revenue Bureau of IMividual Taxes PO BOX 2806D1 Hartiabum. PA 17128-0601 O 4. Limned Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust ,___._. 8. Total Number of Sate Deposit Boxes (Attach Copy of Will) (Attach Copy of Tmst) O 9. Litigation Proceetls Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - TH44 SECTION MUST SE COMPLETED. ALL CORRESPONDENCE AND CDNFIDENTIAL TAX INFDRMATN)N SHOULD SE DIRECTED TD: Name _.. __. ... _... __. _ Daytime Telephone Number 4 _ _._. __ _.. Karl R BodtorF _ Finn Name (If Applicable) _ '-----------~~---"""'~ ' REGISTERS WILLS USE Y 15056051058 OFFICUIL USE ONLY Ccunty Code Year Fie Number INHERITANCE TAX RETURN ' -'- (~ ---- RESIDENT DECEDENT 21 08 ~ 1181 Sodal Secudty Number Date of Death Date of Birth 11/19/2008 ' 12/13/1911 t ___ Decedent's Last Name Sufix Decedent's First Name MI i Bodtorf i Mabel D 1 (N Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Sacial Secudty Number, THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW t~ 1. Original Regan O 2. Supplemental Ratum O 3. Remainder Return (date of death prior to t2-13-82) City. or Post Office _ State Taylors ~ SC Correspondent's a-mail address: kfbpSyd(C~aOI.CORI Under penattles of Factory, I tleclare that I have examlrr&1 this return, InUutlirg accompenyir it is hue, correct and complete. Declaration a<Dreparer other then me personal representaf 302 West Main Street; Taylors, SC 29687 ZIP Code 29687 : r ~~, ~ C ,. 0 . 2' ? ~ Jr II- ~ ^ _Y}~f_J ~ , -1 -~ m _- '~ I. i~~l~ ~ .-.. ~% TI _ ~~... 7 ~ ~ - ~ ~'~ ILED N ' ' __ _ .. " , ~ schetlules entl statemems, antl to the best of my kr a Is basso on all iMOrmatlon or which ttetxuer has Slsn T~URE~EPREPARER OTHEj T~+ RESE TIVE DATE ~J~....i ~/i ~_ 8G 5~- ~ 9 z • 2g Z7 O6r17ros 302 W6st~in Street; Taylors, SC 29687-2210 PLEASE USE ORIGINAL FORM ONLY I_ 15056051058 Side 1 15056051058 ~b ~-v .., 15056052059 REV-1500 EX Decedent's Social Sewdty Number oacadenra Name Mabel D Bodtorf ~, RECAPITULATION 1. Real estate (Schedule A) ............................................. 1. 159,000.00 78,080.00 2. Stacks and Bonds (Schedule B) ....................................... 2. ~_`_ 3. Closely Held Corporation, Partnership or Sde-Proprietorship (Schedule C) ..... 3. 4. Mortgages 8 Notes Receivable (Schedule D) ............................. 4. 5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ........ 5. 54,962.00 r--- 6. Jointly Owned Property (Schedule F) O Separate Billing Requestetl ....... 6. I 24,658.00 f----------- 7, Inter-Vlvos Transfers 8 Miscellaneous Non-Probate Property ~ i (Schedule G) O Separate Billing Requested........ 7. r----- 6. Total Gross Assets (total Lines 1-7).... 316,700.00 ................................ 8. _._ __.~... 9. Funeral Expenses BAdministrative Costs (Schedule H) ..................... 9. ; 41,062.00 , -v__ 1i 10. Debts of Decedent. Mortgage Liabilities, 8 Liens (Schedule I) ................ 10. 11. Total Deductions (total Lines 9 8 10) ................................... it. 41,062.00 12. Net Valua of Estate (Line 8 minus Line 11) .............................. 12. '~, 275,638.00 13. Charttable and Governmental BequestslSec 9113 Trusts for which F--~ ~, an election to tax has not Veen made (Schedule J) ........................ 13. 14. Net Value Subleet to Tax (Line 12 minus Line 13) ........................ 14. ~ 275,630: 01 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable et the spousal tax rate, or transfers under Sec. 9116 ~ ..._ _.._ ~ -_-_.___._._____ 16. Amount of Line 14 taxable ~;~ ~ ~ ~ 12,403.71 at lineal rate x .0 45 275,638.00 ' 16, ',~ 17. Amount of Line 94 taxable ~~ r-~^ 9 at sibling rate X .12 17~ __~_~~__ 16. Amount of Line 14 taxable at collateral rate X .15 '~. ' 16. 19. TAX DUE . ........ 12,403.71 . .. .. .... ..... ......... . 19 i 20. FILL IN THE OVAL IF EQUESTING A REFUND OF AN OVERPAYMENT O 15056052059 SIde2 15056052059 f ~- REV-1500 EX Page 3 Decedent's Complete Address: __ __ ~IN NamMr 21 OS 1161 _, DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER Mabel D Bodtort 1694-3942 STREET ADDRESS 128 Winston Drive qTY Mechanicsburg STATE PA ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 12,403.71 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A+ g + C) (2) 3. InteresUPenalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 4. If Line 2 is greater than Line t + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Llne 20 to request a refund. (4) 12,403.71 5. If line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) 12,403.71 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 properly trensferred :.................................................................................... ...... ^ b. retain the dght to designate who shall use the property transferted or its income : ...................................... ...... ^ c. retain a reversionary interest; or .................................................................................................................... ...... ^ d. receive the promise for life of either payments, benefts or pre? ................................................................ ...... ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................ ...... ^ 3. Did decedent own an "in Wsl for or payable upon death bank aa;ount or seprity at his or her death? ........ ...... ^ 4. Did decedent own an Individual Refiremem Account, annuity, or other non-probate propedy which contains a beneficiary designation? ............................................................................................... ................... ...... ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R 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 (O) percent 172 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 lax 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 lwentyone 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)j. 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 [y2 P.S. §9116(a)(1.3)j. A sibling is defined, under Section 9102, as an individual who has al least one parent in common with the decedent, whether by blood or adoption. .~ REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA CERTIFICATE OF GRANT OF LETTERS No . 2008- 01181 PA No . 21- 08- 1181 Estate Of: MABEL D BODTOI?F lFirag Midtlk, LesN Late Of: LOWER ALLENTOWNSH/P CUMBERLAND COUNTY Deceased Social Security No: 169-44-3942 WHEREAS, on the 25th day of November 2008 an instrument dated July 29th 1997 was admitted to probate as the last will of MABEL D BODTORF /First, Midek, Lasd late of LOWER ALLEN TOWNSH/P, CUMBERLAND County, who died on the 19th day of November 2008 and WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA EARNER STRASBA UGH Register of Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: KARL BODTORF who has duly qualified as EXECUTOR(R/X/ and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARL/SLE, PENNSYLVAN/A. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 25th day of November 2008. eglster o l~s I n ep y **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) i ~~~x~f i~X ~.zz~ `~..e~~~xm.ext~ o~ MABSL D. BODTORF I, MABffi, D. BODTORF, of the Township of Lower Allen, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this my Last Will and Testament. 1. I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can conveniently be done. 2. i direct that there shall be paid out of my residuary estate all estate, inheritance and like taxes together with any interest or penalty thereon imposed by the Government of the United States, or any state or territory thereof, or by any foreign government or political subdivision thereof, in respect to all property required to be included in my gross estate for estate, inheritance or like tax purposes by any of such governments, whether the property passes under this will or otherwise. 1 - 3. I direct that I be interred in Rosehill Cemetery, Altoona, Pennsylvania. 4. i give and bequeath the following items of personal property to my daughter, BEVHRI,Y B. McNAMARA: my Master Bedroom Suite, a pair of vases which I received from my family and the coin collection marked with her name and the following Hummel figurines: Flower Vendor 381 Apple Tree Boy 142/3/0 Little Fiddler 4 Hello World Sensitive Hunter 6/1 Puppy Love 1 Umbrella Girl 15/13 Timid Little Sister 394 Spring Dance 353 Christmas Angel with my small Nativity set 92 Bell Doll Mother 67 March Wind 43 March Wind Crystal Wash Day with medallion 321 Co-Boy-Jelly Maker 5. I give and bequeath the following items of personal property to my daughter, GLORIA B. CLARK: my White Bedroom Suite, the pair of vases received as a gift from Nettie Ross and the coin collection marked with her name and the following Hummel figurines: Happy Days 150/4 - 2 - Little Sweeper 171/4/0 Smart Little Sister 346 Merry Wanderer 7/0 Auf Weidersen 153/1 Strolling Along 5 Stormy Weather 930 Farewell 65/1 I Brought You A Gift 479 Mothers Darling 176/0 Chicken Licken Balloon Lady Co-Boy-Bookworm 6. I give and bequeath the following items of personal property to my son, KARL R. BODTORF: my Bedroom Suite, the coin collection marked with his name and the following Hummel figurines: She Loves Me She Love Me Not 174 Chimney Sweep 12/20 Village Boy 5/10 Be Patient 197/1 Close Harmony 336 Serenade 85/11 Umbrella Boy 15/17 Little Miner Kiss Me 311 Wall Vase (Boy-Girl) 360/A Watchful Angel 194 Todays Children (2) Co-Boy - Skier Mug-Monk 7. All the rest, residue and remainder of my estate, real, personal and mixed, I give, devise and bequeath in equal shares to my three children, BEVERLY B. McNAMARA, GLORIA B. CLARK and KARL R. BODTORF. 8. Lastly, I nominate, constitute and appoint my son, KARL R. - 3 - BODTORF to be Executor of this my Last Will and Testament and I further direct that no bond or other security be required of my personal representative to guarantee faithful performance of his duties. IN WITTNESS WHEREOF, i have hereunto set my hand and seal this ~ 9/h day of July, 1997. ~'~ IraJ t~ eL/ _ (SEAL) TMabel D. Bodtorf Signed, sealed, published and declared by the above named NABEL D. BODTORF as and for her Last Will and Testament, in the presence of us who have subscribed our names hereto as each other. witnesses, at her request, in her presence and in the presence of REV-1502 E%+ (11-08) Pennsylvania iii DEGARTMENT OF gEVENVE INHERRANCE TqX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Mabel D Bodtorf 21-08-1181 All real property owned aolely or as a lanaM in common must be reported at fair market value. Fair market value is defined as the price at which property woukl 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 that U JoiMlyawned with right Of curvlvonhlp must be dixlocad on Sdredula F. Attach a copy of the settlement sheet if the property has been sold. ITEM Indude a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1 128 Winston Drive; Mechanicsburg, PA 17050; single family house 159,000.00 TOTAL (Also enter on Line 1, Recapitulation.) ; 159,000.00 If more space is needed, insert additional sheets of the same size. JOHN M. EAKIN ATTORNEY AT LAW MARKA 8011ANE BLIILDIND MECHANICSBURG. PA. 17055 TELEPHONE ('1141 96611 Oi fA% 19191 eft-1111 December 31, 2008 Karl Bodtorf 302 W. Main Taylors, SC 29687 Beverly McNamara 711 N. Pine Street Middletown, PA 17057 Gloria Clark 225 Karinch Street Lebanon, PA 17402 Re: Mabel D. Bodtorf Estate To the above heirs: 1 have received the appraisal of premises at 128 Winston Drive. The appraiser established the value of $159,000.00 as his estimate of the fair market value on the date of death. I will keep you advised as we proceed with the settlement of this estate. Very truly yours, John M. Eakin ~ REV-7503 EX+(6-98) SCNEpULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & 80NDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Mabel D 8odtorf 21-08-1181 All q'opiuly joindyowned with d9ht of survfwxafiip moat a dlacloaed on SeMdule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 7' DWS GNMA Fund SGINX #209704050 TOD 2244.841shs @ 14.62 32,819.58 2 DWS Growth & Income Fund SGDGX #209704050 TOD 2297.711 ~ 9.43 21,667.41 3 DWS Global Thematic Fund SGOBX #209704050 TOD 1063.262 @ 12.76 13,593.14 4 Legacy#4800-279-1229 US Treasury Bond 2112 Note H 13 10,000.00 TOTAL (Also enter on Ilne 2, Recapitulat'lon) 15 78,080.13 (If nwre space is needed, insert additional sheets of the same size) ' ~P.O. Box 219] 51 Kansas City MO 64121-9151 February 9, 2009 Karl R. Bodtorf, P.C. 3002 W. Main Street Taylors, SC 29687 Fund: Multiple Funds Class-S Account#: ~'XXJ~~4050 Registration: Mabel D. Bodtorf TOD Dear Mr. Bodtorf: DWS iNVeanxertrs DWeh~ Mnk Group I am writing in response to your recent letter regazding the above-referenced DWS fund account. Please accept our condolences on the passing of Mabel D. Bodtorf. Balance of Account Below I have provided the number of shares, shaze prices, and dollar values of the funds in this account as of November 19, 2008. Fund Name (Class S) Number of Shares Share Price Dollar Value DWS Growth & Income Fund 2,297.711 $9.43 $21,667.41 DWS GNMA Fund 2,244.841 $14.62 $32,819.58 DWS Global Thematic Fund 1,063.626 $12.78 $13,593.14 Outstanding Checks - Our records indicate there are currently two outstanding checks for this account totaling $263.82. The details aze as follows: Fund Name Issue Date Check Number Dollar Value DWS GNMA Fund Class-S Jan 26, 2009 5771701 $159.38 GNMA Fund Class-AARP Ma 24, 2005 4036988 $104.44 If you aze unable to locate and deposit these checks please send us a letter instructing us on how to handle these checks. Due to a series of mergers and rebrandings, AARP Funds aze now known as DWS Funds. Therefore, GNMA Fund Class AARP is now DWS GNMA Fund Class S. Beneficiary Information The Transfer on Death (TOD) beneficiary information listed on this account is as follows: Prima Beneficiaries Name Allocation Kazl R. Bodtorf 1/3 Beverly B. McNamaze 1/3 Gloria B. Clazk 1/3 Beneficiary Options The following options are available to the above-referenced individuals as TOD beneficiaries: • Transfer his or her portion of the account into a new DWS Investments account. • Transfer his or her portion of the account into an existing DWS Investments account. • Redeem his or her portion of the account and have the assets sent to the address indicated on the Transfer on Death Affidavit form. Required Documents In order to transfer or redeem the account, DWS Investments requires the following documentation: • A signature guaranteed Transfer on Death Affidavit form signed in capacity by the named beneficiary. • A certified death certificate for Mabel D. Bodtor£ We received this document and will retain it on file. • A New Account Application Class-S signed in capacity by the named beneficiary. This document is required only if transferring to a new account. If he or she already owns anon-IRA with DWS Investments and want to transfer the assets to that account, his or her non-IRA account number will need to be provided. What is a Signature Guarantee? A signature guazantee is designed to protect an account from unauthorized activity and can be obtained at a bank or brokerage firm. Please note that a notary public is not an acceptable guazantor. Mailing Instructions Please submit the appropriate documentation in the enclosed postage-paid envelopes. TDStn (Nzws) Legacy Treasury Direct www.tr0eaurytliraclgov t-800.722-2678 t-3W-180-864 fOUlskq Ma U.3.) KARL BODTORF EXECUTOR. OF THE ESTATE OF MABEL D BODTORF DECD 302 W MAIN STREET TAYLORS SC 29687 ""= 864)363-0351 or 864 244-1007 t- 80-6080646 _ . _-- -- `: No withholdin Maifing NurtWr: O2t006/// TREASURY RETAIL SECURITIES SITE POBOX9150 IvIINNEAPOLIS MN 55480-9150 PHONE: (800) 722-2678 Payments made by direct deposit to: PNC BANK Routing Number: 031312738 NameaslCrzaunt: EST ivIABEL BOD"PORF CHECKING Acwunt Number: 5005850568 ACCOUNT HOLDINGS TRANSACTION HISTORY For 04/09/2009 to 04/10/2009 04/09/09 91202lNV5 2 1/2 NOTE N 13 Tranafar In Srourlly Prla: 9,955.72 04/09/09 912A26MV5 2 1/2 NDTE H 13 Transfrr Ou! (10,000 -10,000 IF YOU HAVE QUESTIONS CONCERNING THIS STATEMENT, PLEASE CONTACT YOUR TREASURY RETAIL SECURRIES 6RE AND PROVIDE YOUR ACCOUNT NUMBER TD 5177 (Nwanbx 2005) IMPORTANT MESSAGE Mailing Number: 021006777 TREASURY REINTRODUCED THE 52-WEEK BILL IN JUNE. YOU CAN NOW PURCHASE A 52-WEEK BILL EVERY FOUR WEEKS. AS OF 4/7/08, SECURITIES CAN BE PURCHASED AT A MINIMUM OF 5100 AND IN SI00 MULTIPLES. WANT TO HOLD YOUR SAVINGS BONDS AND MARKETABLE SECURITIES IN THE SAME ACCOUNT? GO T'O W W W.TREASURYDIItECT.GOV FOR MORE INFORMATION. IF YOU HAVE OUESTION6 CONCERNING THIS STATEMENT, PLEASE CONTACT YOUR TREASURY RETAIL SECURRIES SRE AND PROVIDE VOURACCOUNT NUMBER REV-1504 EX+ (5-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE 7AX RETURN RESIDENT DECEDENT SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP OR SOLE-PROPRIETORSHIP ESTATE OF FILE NUMBER Mabel D Bodtorf 21_pg_~ ~gy (If more space is needed, insert add'Nonal sheets of Me same size) REV-7507 EX+(8-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Mabel D Bodtort SCNEf~11LE P MORTGAGES & NOTES RECEIVABLE 21-OS-1181 (d mwe space is needed, Insert addhfonal sheets of the same size) REV-1506 EX~(6-96) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Mabel D Bodtort SCMEbULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-08-1181 InGude the proceeds of Iitipation and the dale the proceeds were receivetl by the estate. All properly joinSyowlted with rlpht of survivomhip must to dhebsed on Schedule F. 1 1988 Honda Accord LX #JHMCA5485JC015339 2 Coin Collection 3 Hummel Figurines 4 Furniture 5 Personalltems 6 M & T Bank Aat 1131003914395718 7 Fulton Bank CD 022-0164899 2.96% 8 FuRon Bank CD 022-0194420 3.20% 9 Fulton Bank CD 121-0029280 3.83% 10 fuRon Bank CD 121-0029323 4.16°h 11 FuRon Bank CD 121-0029326 4.16% 12 FuRon Bank CD 221-0036125 4.16% 13 Fulton Bank CD 221-0036138 4.16 14 Sovereign Bank CD 0355001660 15 Sovereign Bank CD 1685209048 16 Sovereign Bank CD 1685212480 17 Sovereign Bank CD 1685212498 18 Sovereign Bank CD 1685212506 19 Sovereign Bank CD 1665219485 20 Sovereign Bank CD 1685335695 21 Sovereign Bank CD 1685393967 500.00 825.00 3,791.00 t 740.00 150.00 2,001.72 2,016.94 1,008.72 2, 027.89 1, 026.79 1,005.26 ® 2,003.19 1,427.39 3,501.36 6,257.58 2, 000.00 1,500.00 1, 000.81 10,947.59 2,731.21 8, 500.00 TOTAL (Also enter on line 5, Recapitulation) S 54,962.45 (H more apace is neetleQ insert additional sheets of the same size) ~, ~1 c~ 5~.1,~. __ _ ._:. __. W~c for tf~h,c: ,. __ ~~~cha.n~ c ~~ki-~ pA ~et,N: ~. MdrFval a ~X~~~.~o~ :~ ~ `, ho ,s ~k~ ~Qs,~na~-~ odtG~f ~--~, i-1~c. ~ 5 ~-c~ ~' ~ c ~ Wl a b ~ 1 p S3 Lo..ve,r ~I~GYr To~,.~h~h~(~ ~~wwlb~r'~PY1~ w rc~ ~ ~ d O a s h¢ r z by O~- ~ 5 ~ ~'1 O- }ran5~i~r -~ti.~,. -~I~rc.J~v~I~ v~~~~.~~-~ G 5 ,,~ P l i ~.d yea ~.:~ hiar- c~ ~,,, ~oae ~ Accord. Lk~ viN ,.11~~GA5`~g5-~~-0~533G ~-i~5 35,04 o ~ (a6 Ioq !~ Coins Bequeatfkd to Karl R 13odoorf from Mabel D.13odtcaf. 7Lwe coins are all of only average condition (circulated wias). All figiaes weae pulled from tl~e Internet on06/14/09 Q WdCiAnswers.com Silver Dollars 1890 S17.00 1896 516.00 1896 516.00 1921 515.00 1921 515.00 1921 S15.00 1921 515.00 1922 S17.00 1922 517.00 1922 517.00 1925 514.00 1972 51.00 Silver Half Dollars 1942 57.00 1952 57.00 1952 S7.00 i96a S6.oo Ha1fDo11ars 1964 s6.oo 196a s6.oo 196a s6.oo 196a s6.oo 196a S6.oo 196a s6.ao 196a s6.oo 196a s6.oo 196a 56.00 196a s6.oo 196a s6.oo 1967 Soso 1967 Soso 1968 50.50 1968 50.50 1968 50.50 1968 50.50 1968 50.50 1968 50.50 1969 50.50 1974 50.50 1976 50.50 1977 50.50 1980 50.50 1985 S0.50 ^ Total: Sz7s oo ( 3 ~ t ~ 2 S . ~ Personal Property Of Mabel D. Bodtorf As Appraised By Frank Potteiger Auction License Carlise, Pa 17013 Item Value Master Bedroom Suite $125.00 Pair of Vases (Family) $20.00 White Bedroom Suite $200.00 Pair of Vases (Nettie) $20.00 Bedroom Suite $75.00 Miscellaneous Furniture Hummel Figurines Flower Vendor $150.00 Apple Tree Boy $40.00 Little Fiddler $300.00 Hello World $55.00 Sensitive Hunter $80.00 Puppy Love $30.00 Umbrella Girl $150.00 Timid Little Sister $150.00 Spring Dance $150.00 X-mas Angel w/ small nativity $125.00 92 Bell $15.00 Doll Mother $50.00 March Wind $30.00 March Wind Crystal $30.00 Wash Day w/ medallion $150.00 Co-Boy Jelly Maker $150.00 Happy Days $150.00 Little Sweeper $45.00 Smart Little Sister $55.00 Merry Wanderer $44.00 Auf Weiderson $45.00 Strolling Along $80.00 Stormy Weather $125.00 Farewell $80.00 I Brought You A Gift $65.00 Mother's Darling $60.00 Chicken Licken $80.00 Balloon Lady $45.00 Co-Boy Bookworm $150.00 She Loves Me She Loves Me Not $50.00 Chimney Sweep $22.00 Village Boy $25.00 # 725 L $300.00 Personal Property Of Mabei D. Bodtort ee Patient $150.00 Close Harmony $100.00 Serenade $30.00 Umbrella Boy $150.00 Little Miner $40.00 Kiss Me $90.00 Wall Vase $80.00 Watchful Angel $150.00 Today's Children $65.00 Co-Boy Skier $150.00 Mug Monk $10.00 $4,231.00 Beverly's Coins Gloria's Coins Karl's Coins ~ ©One M A PVC. ButCYO Mechanicsburg January 9, 2009 MABEL D BODTDRf 302 WEST MAIN ST TAYLORS SC 24687 1582 Re: CD Account Closing Notice Account # 31003914395718 Dear Mabel D Bodtorf, We are writing to confirm that on 01/08/09, your CD account was closed or transferred. At that time, the balance was $2,001.72. We'd like to remind you that M8tT Bank is committed to providing you with solutions to all your financial needs. To find out more about the many ways we can help you with those needs, simply stop by any MBtT Bank office or call the M&T Telephone Banking Center at 716-626-1900 or 1-800-724-3222. Or if you'd like, visit the M&T website at www.mandtbank.com. Thank you for banking with M&T Bank. Sincerely, ~f<cheee Coee-Necxoa Michele Cole-Hector Customer Service Manager eRAnrrl A10fCl t am LISTENING. January 30, 2009 Karl Bodtorf 302 W. Main Street Taylors, SC 29687 Deaz Mr. Bodtorf: RE: Mabel D. Bodtorf, deceased November 19, 2008 In response to your recent inquiry concerning the accounts maintained in the name of the decedent, please be advised that the following accounts were open at the date of death: DATE OF DEATH ACC CD# BALANCE INT RATE OPEN ROLL OVER MATURITY 022-0164899 $2,000.00 $16.94 2.96% 2/7!2002 2/7/2008 2/7/2011 022-0194420 $1,000.00 $8.72 3.20% 2(12!2003 2/1212008 2/1212013 121-0029280 $2,000.00 $27.89 3.83% 1/10/1990 1/10/2005 1/10/2010 121-0029323 $1,000.00 $26.79 4.16% 4/1/1990 4)1)2005 4/1/2010 121-0029326 $1,000.00 $5.26 4.16% 4/4/1990 4/4/2005 4/4/2010 221-0036125 $2,000.00 $3.19 4.1b% 11/5/1990 11/5/2005 11/5/2010 221-0036138 $1,400.00 $27.39 4.16% 12/2/1990 12/2/2005 12/2/2010 *' above CD's aze in her name only 121-0029288 $1,500.00'/ $19.17 3.83% 1/21/1990 1/21/2005 1/21/2010 251-0051731 $1,100.00'/' $17.41 5.21% 8/1!1986 8/111998 8/1/2010 ** above 2 CD's aze joint with Kazl Roy Bodtorf If you should have any further questions, please do not hesitate to contact me at (717) 291-2437. `Very truly yours, ~jIC~1uM.~~9~ Karen D. Hillegas Credit Inquiry Processor ,~.. _ 3 1. fi S S a.u. TtS'.5 Sili~*'.`:13t,u.3 ';,. ~ ,:,.??g:f # r 'r:gF`S" -y :ax-_1. f~;i?1pSy 173 -3 -i ~'c t ~'...~ ~ .. :, a ^Yi9y. r:v CeS.C > <~:. P O Bo x`~8~ u , ~~'LafricaSler; "Pk ° l ~ibc9~k t ~ ': ~ :'~e fultonbank.com 1-800-FULTON-4 Sovereign Bank ESTATE OF Mabel D Bodtorf SOCIAL SECURITY #: 169-44-3942 DATE OF DEATH: November 19, 2008 Account #: Tn the name of: 1681735148 Type: Mabel D Bodtorf or Kazl Open date: 3/15/2004 Date of Death Balance: $217.88 Int.(YTD) from 1/1/2008 to 11/19/2008 $0.00 Accrued interest to date of death: $0.00 Other info: Account#: 0355001660 Type: In the name of: Mabel D Bodtorf CD Open date: 7/1/1983 Date of Death Balance: $3,501.36 Int.(YTD) from 1/1/2008 to 10/31/2008 $115.36 Accrued interest to date of death: $6.24 Other info: Account #: 1685209049 Type: CD Open date: 4/24/1998 In the name of: Mabel D Bodtorf Date of Death Balance: $6,257.58 Int.(YTD) from 1/1/2008 to 10/31 $155.02 Accrued interest to date of death: $9.61 Other lrtfo: Account #: 1685210146 Type: CD Open date: 3/15/2000 ~In the name of: Mabel D Bodtorf or Kazl R Bodtorf Date of Death Balance: $5,000.00 Int.{YTD) from 1/1/2008 to 10/31/2008 $163.11 Accrued interest to date of death: $10.69 Otherlnfo: Account #: 1685212480 Type: CD Open date: 1/22/1991 In the name of: Mabel D Bodtorf Date of Death Balance: Int.(YTD) from 1/1/2008 Accrued interest to date of death: Otherlnfo: to 10/3]/2008 $65.26 $4.27 Page 1 of 2 Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: Mabel D Bodtorf 169-44-3942 November 19, 2008 Account #: 1685212498 Type: CD Open date: 2/12/1991 In the name of: Mabel D Bodtorf Date of Death Balance: $1,500.00 Int.(YTD) from 1/1/2008 to 10/31/2008 $48.96 Accrued interest to date of death: $3.20 Otherlnfo: Account #: 1685212506 Type: CD Open date: 7/3/1991 In the name of: Mabel D Bodtorf Date of Death Balance: $1,000.81 Int.(YTD) from 1/1/2008 to 10/31/2008 $48.96 Accrued interest to date of death: $3.20 Otherlnfo: Account #: 1685219485 Type: CD Open date: 2/14/1990 In the name of: Mabe] D Bodtorf Date of Death Balance: $10,947.59 Int.(YTD) from 1/1/2008 to 10/31/2008 $361.75 Accrued interest to date of death: $23.71 Otherlnfo: Account#: 1685335695 Type: In the name of: Mabel D Bodtorf CD Date of Death Balance: Int.(YTD) from 1/1/2008 Accrued interest to date of death: Otherlnfo: Account#: 1685393967 Type: In the name of: Mabel D Bodtorf Date of Death Balance: Int.(YTD) from 1/1/2008 Accrued interest to date of death: Otherlnfo: $2,731.21 to 10/31/2( $5.76 CD $8,SOO.OC to 10/31/2( $17.06 Open date: 1/25/2002 $86.42 Open date: 11/7/1997 $260.20 Page 2 of 2 REV-1509 EX+(9-98) scN~ou~~ F COMMONNIEALTH OF PENNSYLVANIA )Q~pm,Y-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Maha10 Bodtorf 21-OB-1181 It an asset was made Jolnt ANMin one year of the decedent's dau of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Karl R Bodtorf 302 West Main Street Son Taylors, SC 29687 B. C. JOINTLY-OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FlNANGAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH OEEO FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF PSSE( % OF OECO'S IN(EREST DATE OF pEATM VALUE OF DECEDENT'S 1MERE8T t' A. 03116!06 Vanguard GNMA VMMXX 1039.908 ~ 10.31 10,721.00 50 5,361.00 2 A 03/16106 Vanguard Prime Money Markel VFIIX 25051 @ 1.00 25,051.00 50 12,525.00 3 A 12/31/05 General Electric Stock GE 374.8773 ~ 14.45 5,417.00 50 2,708.00 4 A 03/15/04 Sovereign Bank Chedrirg #1681735148 218.00 50 109.00 5 A 03/15100 Sovereign Bank CD 1685210146 5,000.00 50 2,500.00 6 A 03)15pp PNCBankChecking50-70095431 2,911.00 50 1,455.00 TOTAL (Also enter an line 6, Recapitulation) f 24,658.00 (It more space is needed, inseA adtlRbnal streets of the same size) Mabel D Bodtorf & Karl R Bodtorf JT TEN WROS 128 Winston DR Mechanicsburg, PA 17055-3530 (Total report value includes any accrued dividends.) - ~ ~ r ~ c „~ s r r`g is s-f ;. ' i Nth ~ ~H f k - pl a f ., , 7 ' ]accrued . , lr X $tue iYrwdends GNMA Fund Investor Shares 0036-88012147449 07/30/2007 1,039.908 $10.31 $10,721.45 $26.96 Prirra3A+~~ryMktFcmd ~ ~A'#~~,„449 ,08/13lOp~hS; ,.~,OS~,E;!hA0 $1,00 $25,061,00. 534.94 Totals 535,772.45 E81.90 ' Doesn't indude amrued dividends. ------~-_- ------------- -. --_. _-___._ 1889939719 02/05/2009 12:51:47 ^ P.O.Box 358035 Pittsburgh, PA 15252-8035 0119857 D1 AT 0.344 .<3,~p T3 0 8393 1]OS5-953038 CO1 a33P2 - IIIIII II IIIIIIII IIIIIIIIII III'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MABEL D BODTORF 8 KART R BODTORF JT TEN 128 WINSTON DR MECHANICSBURG PA 17 Year.To.Dat43 dcc4wn! Summarrv 4102 01 01199570990740 Page 1 a 2 SIwNAOIdx Ot GENERAL ELECTRIC COMPANY GE STOCK OBtECT PLAN STATEMENT PRa4T DATE: 11!04/2008 CUSIP: 001-450-36980410 BYMBOI.: GE ACCOUNT KEY: BODTORF-MABEDO100 INVESTOR ID: 124982973737 FOR QUESTIONS CONCERNING YOUR ACCOUNT PLEASE CALL i-800-788.2513 Save this Statement for Tax PurDOSes AsoF:laGaD6oa cASX OnnDeKDS r~TArouwr TDTAI MARRETVAWET ~i8f "~8M8TMEATam -. _ _ _ -~_. 1oTA5: nl TAx YN71NffLD (81 AMODUNT ro INVE81'RJ. .INVESTED Ih 7,308.38 19.4900 480.31 480.31 450.31 TRADING f[ES PAYS 6Y IS) aMNCE FEES PAID 0Y IA 81LL E OF PLAN SHARES h l CPRTIFK:ATW MIMES MELD SIWlE6 HELD BY TOTAL COMPANY COMPANY OROBS PROCEEDS TAXYATNHELD SNARES HEl.O BY YDU 9Y PUN OTHER PU/N8) SHARES 374.8713 374.8773 I+....e..s e.,sr.dw r.d.......st..., ~~ RECORD DATE PAYAELE DATE 7RANSACTKRI DEBCRIPTN]N OIVID@ID RATE BMAREB ACAUIRED OR WRHDRAWN CASX INVESTMENT Isl T07AL GROSS nl 06222008 10272008 COSaION DNbEND 0.3100000 6.2832 114.28 PART ICIPATING RECOR D DATE DISTRIBUT ION TAX TYOrIaNtl PAOWm aMIYIC[Fasa lAi aYlp TOTAL CERTIFICATED SHARES SNARES HELD SNARES HELD BY TOTAL WITHHELD ISI ~~ +wr~olnw roruu ~~ NET IS1 HELD BYYW BY PLAN OTHER PLANIS) SNARES 114.28 368.'41 388.5941 Vmi TtiAMn.T9nenNiM Aahn TR~MSACiION CABH NET TRADING SERVICE AMOUNT PRIDE PEN BHARES ACOUMW SHARES HELD GATE OEECNP7101/ INVE6TMO1T Ip pSTRIBUTKNI IS) FEES IN FEEa 181 INVESTED IS) SIfARE Ip DR WRXDRAWN BY PIJW BALANCE FORWARD 368.08N 0125708 1X7A1AON OMDEND 111.00 111.00 34.4800000 3.2193 3812837 OY2608 COMMON ONIDEND 112.00 112.00 33.1000000 3.3837 364.6671 072Sg6 C081AON OMDEND 113.08 113.08 2A.7900000 3.8287 368.6947 1027N6 COMkgN DMDEND 114.26 111.28 18.1860000 8.2832 374.8773 GENERAL ELECTRIC COMPANY txISM: 001 45036980410 ACCOUNT KEY: BODTORF-~MEEDO700 AMBEL G 80DTORF a KART R BODTORF Jr TEN 126 WEISTON DR MECHANICSBURG PA 171156-3530 /3owier(y mIW sign aro dMe sews ( 7575 124962973737 Portia{ Withdrawal (Continue Plan Participation) Issue a wRilkate for this ~~ numWrof shams: S+tl this number of aharas: ~~ Full Wkhdrawal (Terminate Plan Participation) Issue a car811cate for alt SuN shares and a cMck fw froc6onal shares. O 9etl all plan shams. Additional Cash IntrestmeMs WrRe tM amount enclosed: ~~ Make cMdc peyabN to: 8NY MELLONKiENERAL ELECTRIC YOU AMY INCREASE YOUR SHARES WITH OPTKINAL CASH INVESTMENTS OF 810 UP TO 810,000 PER 811IESTAAENT Dap~K oT CsrtflicateE Dspos6 the enclosed number ~~ of entree: 0014503696041080DTORF--MABED0100IR00110 Regular Checking Account Statement ~ PNCBANK YNC Bank Primary account number 50-7009-5431 Page 1 of 3 For Nra period 77/18/2008 to 12/18/2008 Number of enclosures: 0 .. - MABEL D -BDDTBRF .. For 24-hour banking, and transaction or ~ KARL R ° B4DT9Rf interest rate information, sign on to QPNCBankOnlineBankingatpnc.corn. 302 W MAItiST For customer service call 1 888-PNC-BANK TAYLORS SC 29687-2210 between the hours of 6 AM and Midnight EC . ~ Para servicio en espatlol,.1-866-HOLA-PNC Movthpi Please contact us at 1-888-PNC-BANK .. .. ~ W rite to: Customer Service PO Box 609 Pittsburgh PA 15230-9738 .. _, - -... -. -a ....: :- Visit trs atpnacom - ~ TDD terminal: t-800-531-1648 - .. - For hearir~ enpaveA clients oNr 1}id yojc know that every pttrchase made wiUt your_~NC Bank Visa Credit ofi Check Catd though fire end of the year could rtlean a chance for IZid you know it,s possible. to have significantly mere tltatt,$2i0,000 in deposits at PNC Bank FAIC insured? Stoll in any branch to A'cgdtRiF l'IUmt1eY: 50-7009-5431 nan n oea[orr .. Haianca 3ammary Please see fhe Activity t)etait section for addNional infonna[ion. - Beginning Deposits and Checks and other Ending -' - balance other adtlittons - deducNOns balance ... 5007.06 .00 - 5,007.06 .00 _ _ Average monthly Charges balance adtl tees . I,171:6Ci 00 Tragaatotion w~xwaq/ Checks paid/ Check Cartl POS Check Card/8ankcard - withdrawals signed transatllons POS PIN transactions 2 a ~ - __ -- Total ATM PNC Bank Other Bank transactions ATM transatllons - ATM transactions 0 O ~ 11cHvity Detail Chaska apd Subtstitwq Checks :heck Date Reverence Check Date Reverence lumber Amount paitl number number Amount paid number ;fi02 2,000.00 11/]9 oeatoss62 7004* 96.25 1]/19 O4G901236 Gap inchecksequence There were 2 checks listed totaling x,008.28. atlitsr Dedactitona There were 2 Other Deductions totaling ate Amount Description (2.810.87. 1/25 .00 Outstanding Item Close 125. 2,9]0.81 Debit Memo Reference No 021868001 FORM963R-1006 REV-1510 EX+ (6-98) COMMONVoEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCNEDIILE 6 INTER-VIVOS TRANSFERS & MISC. NON•PROBATE PROPERTY ESTATE OF FILE NUMBER Mabel D Bodtort 21-08-1181 This schedule must be completed and filed if the answer b anv of puestions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMt3E DESCRIPTION OF PROPERTY iuawarea rw~oF TMara~rsreesa, msie ssunouswvrooecsoanrnuo rNa onrearnnasran nTrna+ncow orr~osm roa aru asrnn:. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION PFnacLN.MU=) TA7(ABLE VALUE f. None TOTAL (Also enter on line 7 Recapitulation) S I 0 00 ' (If more space is needed, insen additional sheets of the same size) EV-1511 EX+(12-99) scNlou« x COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES F~ INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Mabel D l3odtorf 21-08-1181 Debb of deudsnt mint ba reported on SeheduN L ITEM NI IMGFG neenoioTinu GIJM INT A. I FUNERAL EXPENSES: t' Funeral; Pastor, Waka; Death Certificates 6. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Kart R BOdtOrt Soda) Seadty Number(s)IEIN Number of Personal Representative(s) _ street Address 302 West Main St Ciry Taylors state SC Zip 29687 7,400.71 . Year(s) Commission Paid:2009 2. ANOmeyFees 1,045.00. 3. Family Ezemp9on: (I/decedents address is not d1e same as daimant's, attach ezplanadon) Claimant Street Address Ciry .State .Zip Relationship of Claimant tc Decedent 4. Probate Fees 5. Aaountant's Fees 1,500.00 ` 6. Taz Retum Preparer's Fees 7. House Selling Expenses 18,192.20 a Fix up expenses 7,855.37 s Upkeep, utilities, taxes, furnace inspection 4,620.02 ~o Contents Appraiser 100.00 t ~ Final Medical Expenses 171.50 12 Retirement Refund 177.20 TOTAL (Also enter on line 9, Recepitulatlon) S 41,062.00 (If more space is needed, insert atltlitional sheets of the same size) Neill Fune21 Home, Inc. 3401 Market Street Camp Hill, PA 170114428 (717)737-8726 3uparvisor: Kevin J. Shillabeer Tha fdbwing Is a detailed dll for the proteasbnal aervloes andlor merdtandlse arranged fw Maul Bodtorf Date of Servbe ;November 24, 2008 Statement Recipient : Karl Bodtort Statement Date December 07, 2008 302 W main COntracl Number 741101000068 Taybrs, SC 29687 Arranger Name Kevin J Shiilabeer Initlal Selection Finel Sebcdon Difference Pat*age Offerings Immediate Burial Basic Professional Service Fee Transferring Remains to Funeral Home Funeral Vehicle/Hearse Total Padrage Offerings ~ Care and Preparatkm of Remains Embalming Totel Caro and Preparotlon of Remains S2,fi00.00 $2,600.00 - Incl Incl - Incl Ind -- Ind Incl --- $2,600.00 $2,600.00 - $795.00 $795.00 -- $795.00 $795.00 - Mudtandiae Concrete Grave Liner $995.00 $995.00 --- REVERE SILVER $1,095.00 $1,095.00 - Total Merchandise $2,090.00 $2,090.00 - Cash Advance Cemetery $895.00 $895.00 --- Certified Copies $72.00 $72.00 -- NewsPaperNOtice $179.17 $179.17 - TenUChairslsetup $159.00 $159.00 - Total Cash Advance $1,305.17 $1,305.17 - ~' Total Services, Merchandise and Cash Advance $6,790.17 $6,790.17 - `°" Total Charges (Total Sarvloes+/-Allowances+Taxes) Lase Cash Received Unpaid Balance Due InlOal Selection Final Selection $6,780.17 $6,790.17 ($6,790.17) ($0,790.17) $0.00 $0.00 Difference Pape 2 of 2 VItalChek -Order Conflrmatbn ~- ~/italChek~~L~•-t ALWYledC'Campatry 1/18/09 6:28 PM Home About us Help FAQs Ayutla En Espainl Order Confirmation Thank you for choosing VitalChek. Your order has been aooepted. Your order Is being forwarded to the folbwing agency: PENNSYLVANIA VITAL RECORDS. SMp m: a. Kati 8odtorf Pu'dyae Date: Sunday. January 18, 2009 302 W. Main SL'eet Taykxs, SC 29887 Paymartt lletltod: Ma~tCard X7000 XXX1C I000C 7951 SIdPPia9 Matlad: UPS ar (What's this?7 Est Procaadnq Tama: 3 - 5 badness days What._ this? Order Number. 73595219 PIN: 550275 ,- Deperdin0 upon your order method, you may reoelve a PIN Number akxtg vdth your Order Number. For your security and to proOaQ the . ,.. mnndendality of your personal Infwmatlon, Please do not share, copy, w oCierwise Prpvkle your Order Number and(w PIN Number to anyone else. AOaacY: PB915/{.VANIA VITAL RECORDS Detn Remrd Ordartd 1 Death: Mated 8odhoR Qlare arwtlter oNer wan the same aoencv ~ Wave another order with a different aaencv t Your Okeet Commctbn Weave partnered vdth over 400 government agenoes nationwide. ..~,. team mover ~~ NoW Customer Testimon~ls birth Certificates Death Certificates Marriage Recortls Divorce Records Site Security Privacy a[ ChoicePOin[ Privacy Policy Site Map Legal Copyright ©V'ibiOtek Netwarltr Irc. a OnieePdnt comparry. All righ6 mewed. ChoicePdn[ n a LexlsNeMSg Comparry as of September 19, 2008 115 Qty Rice Exba Copiac Tabl 6 $9.00 $45.00 $54.00 Procesdrg: $8.00 Shipping: $17.00 Tax: f0.00 Tani: S79.ao famiiy Tree Ma 2008 ~-.,~,a_ ®TRUSTe CERTfFIEJ GRIV~ACY https://rvvvw.Wtalchek.corn/order_conflrmation.aspx Page 1 of 1 r ,~ ,. 'ti . k : F`:' y. '. 3 ~ Banquet ` Altoona 621 Valley View Blvd Altoona, PA 16602 8149465115 ~ " :~ www.hosss.com ~• /2008 3: 38;54 PP _ r: Kristie " = " 500698 cable 65 Adult Salad Bar 175.25 Adult Salad Bar 6.a9 ,r Coffee 1.59 ~ _ - °..` Adult Salad Bar 12.98 ; :`r"" Adult Salad Bar 6.49 $ -`° ' Raspberry Tea 1.99 2 3 ~ Adult 5a lad Bar 12 98 F , Afternoon Senior 15% - 0.97 Afternoon Senior 15% - 0.97 ~ Kid's 5-under Drink ya APPIe Juice _ - 4.95 ~ Pepsi 41.79 Coffee 4.77 4~ater 3 . Adult Salad Bar 6.49 ~~3, :. Toffee - __ __ -_ -- - 1.59_ ~ ~.'- 4 Unsweetened Iced Tea 1.99 ~4 Hot tea 1.59 '" ~> Coffee 1 59 ~ ~-' Adult Salad Bar . 6.49 ~ ~~ Sweetened Iced Tea 1.99 SubTotal 289.05 Tax 17.34 ~ Gratuity 55.15 _ z: ~ total 361 54 ~~~ ~ ~ ~' ` , ` " TIP TOTAL __ _ _ If"..:= _ ~ , ; ~`'' Visa 361.54 _ ~~., ;~ " :` ~ Acct:XXXXXXXX465 ? G AuthCode:85254A ~ ~ S ~l' -, _~ q .. .. ~ ~ ~ .. ni ~nTN Pn nnn~ ~ ~ .. ~ ~ ~ ~ ~ _.~ {; $ i _ .. . • A~ ~po~a-,s...l _ _ ~ d ~ _D__ ~ ~i Receipt Date: 11/25(2008 _ _. _ "mil _ Receipt Time: 11:30:27 ~~~(~~,~~~~t r~__ 1 ~tp ~~~_~3Q` oe~ Receipt No.: 1054873 ~ d0 _ _ - -- _ - __ _. _ _ 4g Jo _-~ __- _ --- Pd.c.K.- -- ~~~ - - - --_ - .. .. ------------------------ xeceipL Lits~riuu~ion --------------------- --- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 360.00 CUMBERLAND COUNTY r_rmnxunr. Ft1N WILL .15.00 CUbIDERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 40.00 CUl~lBBRLAND COUNTY GENERAL FUN JCP FEE 10.00 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 CUMBSRI,AND COUNTY GtxnrRrtnr. FUN Check# 4848 ---------------- 8430.00 Total Received......... 5430.00 . Accoun T ax 300 West Main Street Taylors, SC 29687 (864)292-2821 garylander~aol.com Mabel D Bodtorf $karl Bodtorf 203 Muddyford Road Greenville, SC 29615-4742 Invoice Date: 08/17/2009 For profeaeional services rendered in connection with the preparation o£ your 2008 individual tea return. 2008 Tax Preparation Total Charge Adjustments Pa 1500 Inheritance Form 1091 $ 1,500.00 Subtotal $ 1,500.00 Total Due $ 1,500.00 ` , vwnv nvw CAMP HILL, PA 17071-7302 o6a0: " A$SESS.NO -13002089 . MAP Nff. 13230559.032 ` 128 WIN$TON DRIVE ACRES .180 DEED 0022U00893 WINDSOR PARK LAND LOT 34-0 Reaidentlel 9uiMrt~g RESIDENTIAL twY 80DTOFIF, ROY O b MABEL D n~ 128 WINSTON DRIVE MECHANK'^aBURG PA 77055 once PHONE ~~7I177~~gg7755..7575 EXT 1707 wua MON,'IUES,THIfRS 9-A DR BY APPI' CLOSED WED, FRI ANQ HOLIDAYS BONNI~MILLEROLOWER-ALt.EN.PA.US CLAY Allli•BB11 FORCOLLECIg11.A1nRLOq OF A L8B1 A911Npf. TOUR PROMOl7Y. "SEE RE7lER9E SpE OF YLL FOR A BREAImOWN OF YOUR COUNTY TAX DOLLARS" ReWmBi6vr6hPaymeM.FeraReDaipl,EncloeeSe6AddresaedSmmpedEnvebpe. IPTAXE8 ARE IN ESCROW, R3RWAR0 TO MDRTOAOE CO. TAXCOLLECTOR COPY 861 Nx - 606 MYNIa m BDNNIE K MILLER, TREASURER 22336E1TY8&JRO ROAD CAf+7P HAI., PA 17071.730¢ ono ASSESS.NO.1300~ MAP NO; 13230669092 1Y WINST(Ni ORNE ACRES 780 DEED 00221100893 WINDl~P RESIDENTAL YAtt BODTOF~, ROY O ~ MABEl D PlweB 128WINSTONORIVE MECHIfNK:3BUR6PA 77055 Rates _00239900 COORS3 B 62.61 .00239900 215.96 2 k 273.00 278.57 10 306.4. Rates .00018000 4.79 ..00018000 . 16.20 2 t 20.48 20.90 10 22.9: Rates .00150000 .00150000 2 k i0 ' 1RB1IC. 8 39.15 135:03 170.70 174.8 ..191.61 Races - .ooosonoo .DOOS000O a e 1D~ PIRB SBVS 13.05 45.01 86.90 .58.06 63.@; Rates .00050000 DHBT 13.05 . .00050000. 45.01 2 } 56.90 SB 06. 101 63.81 Rates l.oo gq LI(Bi1' 39.00 39,00 9.00 TAX AMOUNT DUE -y 0610.96 >~B.n ~BS7.76 u paid Oa ositkez 3 Ol 2009 5 Ol 2009 7 Dl 200! OO 4 30 2009 6 2p 8 (b11BO1 N0::073-.0020118 La1M Ltpmvsent. v ues -' ne a 90 0 0 a 0 r os ww. 7.bta1 11a 1 0 v~c„vo Bath .00239900 E -.6 :6 Bites . 00018000 C.OOBSY .70 .00239900 -'2159 .00018000 .16.20 2' 173.0 2 } 20 4B 78.57 0.90 10 306.43 10 } 22 99 Beres. .00150000 B 39 5 .oossoooo Y95.03 2 } 170.70 171.18 to k 191.60 Bates. .00050000 ]!IBB.SB08 'Y3.05 Bates. ~ .00050000 SVC 13.05 :00050000 ~ Ol .000 090 45.01 . 7} 56:90 T.} 56:90, 8.06 8.06 10.} 63.87 10 ~ 63 H7 Ba es 1.00 ~,.~ 39.00 39.00 39 00 .TAX. AMOUNT DUE.--~ 7{610.06 7-6fLT7 !Ip7.70 5! Bn3.d;gs x Att~s Ii ': Oa os.'. :3 Al 2009 J,4.2 2009 5 O3 2004 8 2009 7 Ol 2009 C1AY ~M71!OR.fAttLBCt10RANDA:M90FALISi A011MT arrce PHONE 1 7675 EXT 1701 Y'OIRk PROP9DY. , ~~ CLOSEDWWEEDO,,.~M~OfiOL1DAY8. '"'B~REV~BES~EOF~.(FORA:6AEA1®01MNOPYOGROQUM'IFSAXDdJ.ARB" BONNI~MILL6iOLOWER-ALLEN.PA.US Re1um BU MAtlI Pavrt7eM. fot a Receipt ,Enebae Se6 Addressed Slemped E7tvebpe. E$TA7E OF MAB6f. D 60DTORF F~CttI'Oft KARL A BOptORF aoB w MAw sT TAYLORS SC BB807 k_ 1 129 k~,~ BO•I173I313 D!1 r~~» ~ $ b~6.98 - ~ 9~r/o1y-~' Den.Y~ P1 QPNCBANK ' - R~ esak. H„ 01~~,~ , L n pA1A~_ "._ l ~ ~e,t ~~~~ ~3tr~ For 811i'~ii~-ifr.~~ni. ~..~- 1:03i_ 3i~'7T~00 58 50 5686' Oi29 „....v.. ~~~q Og1E5 LOYE'S NONE CENTERS. INC. 5500 CARLISLE PIKE MECHANICSBURG, PA 17050 017) 610-9290 -4A1E- ILES C 52223PD2 976451 03-06-09 .:727 16X26 YNITE SYINGDOOR MED 98.00 809 2lT PLSND CHRM BATH VANIT 39.98 d2B 19Y T2 MICRO TYIST CFL 2P 14.96 2 1 7.48 1859 29X18 CONGO YNITE BOAROYR 148.00 7894 SETON CHROME PRPER HOLDER 8.98 0885 lAV FCT 4" CNTRSET 2HOL Y- -64.00 160853 NIT INTEBRA PULLOUT 87315 89.00 7937 DRP 15 VERDE LEAF FLUSH B 34.88 SUBTOTAL: 931.80 TAX: 26.27 INVOICE 12798 TOTAL: 464.07 BALANCE DUE: 484.07 VISA: 464.01 UISR XXXXXXXXXXXX4651 93099A AMOUNT: 464.07 ~~-~ 2223 TERMINAL: 12 09/06!09 10:59:51 i OF ITEMS PUF4CHi4SEE): 9 EXCLUDES FEES. SERVICES AND SPECIAL ORDER ITEMS I~IIINNIIIi11~~~1Mia~L~~l ' LOYE'S HONE CENTERS, INC. 5500 CARLISLE PIKE NECHANICSBURG, PA 17050 (117)610.9230 -SALE- SALES ~: 52229NJ1 1013109 03.05-09 40566 20007 YNITE AAR IN A BOX 9.98 86438 525' SISRL TYINE 4.97 96889 3 1/2" REUSABLE SUPER SLI 9.98 44885 B OZ BRASSO METAL POLISN--- 3.38 -- -146215 YONDER BRA 2 11.96 2 1 5.98 26122 KOBALT 502 MAGNETIC TACK 8.97 SUBTOTAL: 49.24 TA%: 2.96 Ilu)OICE 15949 TOTAL: 52.20 BALANCE DUE: 52.20 VISA: 52.20 VISR XXXXXXX%X%X%4557 95806A AMOUNT: 32.20 ~., --.. - ~ -P .- ~,- ~ q-~ y.o -~ /~(y2~J p Z 1© b Z {~, ~ THE HOME DEPOT 4120 6000 CARLISLE PIKE, MECH PA 17055 STORE MANAGER CHET KEELEY t717)795-96D2 4120 00059 07613 03/06/09 _E 14 SCOT59 10:49 AM „_.'474558027 2GAL PAINT <A> 042369228589 F100R TILE <A> 2®44.40 SUBTOTAL SP.LES TAX TOTAL :XXXXXXXXX4657 VISA H CODE 00741A/0593222 24.9£ 88. Si 113.7' 6.8 $120.6 120.E la p ~ RETURN POLICY DEFINITIONS POLICY ID DAYS POLICY EXPI ~ 1 90 06/04/200' .HE HOME DEPOT RESERVES THE RIGHT ,., LIMIT / DENY RETURNS. PLEASE SEE THE RETURN POLICV SIGN IN STORES FOR DETAILS. n ie~emTFFlI i 11W PRICES Steve Lazur 124 VVYn1on Dfive MschnlYgbul~, PA 17056 717.997~826D c,~ ~r ~ zo, zoos ~C~~?; Rapaiisat 128 VlfinsEOn Dr., AAeCh. PA ~iSL~ '~: Kld BodFOlf ' - r cieoxp,_soms fcr~kl~,otwW, appNat! ane oo4t of prigw ~ i470.o0 ; b wyNs rndudfrp wMhar.ano and,down abks. _ appq ttN~h ooM of whits p~kit rld trla oow ai p.ku b waner.r.a and down spars. `nplaad kMdnn light _ °~• ' NsM esth - nnrovaa cnoldinp ships arw toNer, insprsd tffllln iloo*g,, ti70.00 _ +mWwa+YY~nwo«inq.qu.ros.n.w.d!!+o1~.hipS,pW~lesbo«~asndmor ii, :~cr,pNg wlrWow ins trans. ~-.-- -°--~----~ -,ate.-~- ~ x ,:... - ~.~,r ~. ~v h3Y tssxTj~ "~;1k1-...'.t~S~'.~/.,2 ~4r ...+c nt } .+.:..-w.w...~+,3.. • Pint.-? 9Yo^ prln~er.l,psYon whMs for trswnsnt waNs _ .._ , itt7.67 • Mrrn , nY.~ o.k uaP.won sYip ror nrr ea-,. _ _ sr3.to W W all ~lrcis 04~ W sMV~ I.~r. N you hens ~nY quayfons oasoarllYl~ tl~a Ynoioe, caiYd ms. THANK YID!/ !q!R YO!!R B!lSMfESS! -~x ,x, Y _ o.oox„ { 70TAL ' ~a.~ .__.~_._...._..._~,k 4d- fi:Z~.9 ~!L 1~5 Steve Lazur ,~.~. re.ar+e~a rn tmss r~~~ ~,.,~ ,za wrwa' w, w~. PA ~~ - _ .~.~. -p~na~E.+Oia~a _ _ _ . ~~ ':•v„a..n...e.o..wt.,.nn..m........e.wsvbom.wn, ~~~ • arw <.r~o n ~1d+4 dwO ~mn..AO wan.~a b. -'HYrOwYlnbiO Kant µV ~~dM ~IQp6d2aoOa/P~mtlM1 L<, Cr~OO~at.YuQwA, ~Y+6Vb M~ydb •pp~plwWafp~Im0~0o~UHnY~gd~ep •PIit7 M,~~aaardy{p1aYWlf~rl7a~~R allPl!'~ •p~t•lpblaf e~FV.tiY.20~Kdr/n~A./9Mcn~v/r~w~igbs f1m.e8 •a.o+i~o*aw..r«+w.~arm,...nw.a~waa~aAV Mass s _ as+x oaox YWAtlntlsS`/~rP11Y~lmlr.liy0Y0wfM ~MYR4iaoi~. CmW ~. 7/tA//typ/Fp7 y011R 7pL11. i W31 ESTEllECIrrOR 1CN BODTORF F Sox yr ruw sr rnnoas sc xessr Pay to the 133 ss-~znrats '~ -. i g - 9 0<~ I $ 651,2E t Z~ e .n+... tr lco Dollars ~ .: ~temprAru. oa ~:0 3 i 3 i 2 738: 500 58 50 568N' O L 3 3 w...~.. Fba.e. wbn.n C«bIHTW 1100 Ca.hxNF , ioM.b MM.b ~'~ BaurN01 Caip1 Pyan &yll > NI MM N.)1 »M YM.06 t?Fam F>Ibi/ 111 M.]t Wt.N IWV00in MYY~xtl Fby Wb10 AY»e1 FbyYp 0 1 b00 >l2b bA0 MSM ISlW Y1b1 Cow0llpMV ~ N2M W.M WYM>CaNiy TYn Z ItO.M W.M 0 pM pb 0 M.b M.M 7 ~~ ' o am a ~ L7 1 9 I. I 0 pA0 MAO ~iM . 0 0 t0.M MAO M.M 10.00 J W11 .~ er ON F~- `~aA"'~" ~ ~ ~ a 0 > bm b.00 ,o N lub 10.00 oo N ~~ .I ~-..~ > 0 o . M.M 1>AO >aM . M.b M.M M ~` W ~`^ ~ M b o aaao b.m 0 MAO M.M ~ ~ ~ 0 M.b ~ . 0 pM M 0 0 t0.b Mal >O M.M P 0 > M.b M.b p.M >aM "°°' I_E64-~63-0851 ,~ ,,, ~aA. mrl.v Rm-FbyY~p, ceunrna b po.M >TA.M e.e.aa>w.Fm. o Mm Mm Jyyiry -NOl1y 11 N>AO HM.M 0 p.M MAO 0 oM M.M IoM !>A> f0M p.M M.M b.b b.M TWI IlolYlob M.ul.b t01Y Hours M 10Yl goer 1100.M fibl AOe M.at.b Hi wn: Maly! bM ooWliY brCxpK gGlon CounYr W /Mleeel •llrlyer MI PMWeIy CtlRmyY T~wb NY F~oMy W b Ii.]M.]6 Tne LVpon ]Oy>NIH bnlNyyy>Ipp.We R MABEL ~ ~A ~ U 1.34 E1 G O ~ ou» a~1 / 1 i~v nna i csw] o s. O3 .y1 t /-~ POYmrhe oraerd Tsw._ L. e.. I $ 1/320.75 Ow. i~ce+ua..~ .s~.m.. A.ur // ~~w ~1~a~'71jOpn.y 0 QPNCBANK ~~_ ~~ DD C~ l Y A '/ Fer11H. C ~'~~~tl,0~1~ w 1:03 i3 i2?381: 5 056505681' OL34 ~r-J~~~ G K ~ ~- ~ T_ ~ L,a,v~ ~~^^- s o g a ~ e ~ ~ . P ~ ~ J~ q3~ $ l ~ ~ ¢ ~ ~ a $ ~ ~ ~ ~~ s ~ ~sp~'i A~ €~ 3~ G ~ ~~ e ~ ~ ooNO~ g~sgux~ ~ E888888 • gg ~_ 2 8 ~ E6EE$E b'8E~ s E S E sEEES'sEEEE ooooeeeeeevooooo eee°a°o~._o~~e_ xxgs sg$g~~~ag~ s~ggsgg==wgs,~~ EBBS $888888888 88888865888-~88 ~_ 2 's'SEESEES8E'sEEEEE EEEEE'SESSSEgES8 N ro ~ ~ -Q o ~ !y ~ ~ m~ ~ 6 g ~ d o Fo c ~1 0~ p d R o a V S a ~ a 3 ~ • v T e ~. ~ ~~ c a ~ ~ m ~ ~ 7_ b N m Ng~i y cnm m' ~e0,0~ a ~ ~ S~ as ~ OS 3Nm ~ m ry N 4e' yy 3 ~ i3 x, x ~ ms l &' Si io '~ $ ~ ~` ~ ~ ~ m W +~r m nc~ °IS~.~<`gimm ~ aor~ mm~~g. tom a,zSg ao a ~. g~g~~~~~'m.~ o v 3 ~ $$ 2a v ~ 9~ m ~$FO^r3 F ~ W 9 R~ ro lD g ~ a~ o~ggm ~~ "~p3'~ y ~ ~ ~S.aRn ~ ~ n ~ ~ S 0 3, ~ ~~.~ ~y ~. ~~d °~ ~ o ~ J d O > > ~ N a ~ 3 F n ~ ~ y S c ~m S 3 ~ W ~N-~~ W IOd~b ~~ p ~~ C w ~ D ~_ A VI (A~ (W~N~O 4En Om00 M N {p M H N n W N N p O W 0caigm 00 ESTATE OF MABEL D BODTORF 153 EXECUTOR KARL R BODTORF 302 W IMIN ST d p 9b 1913(319 TAYtORS SG 298!7 ~, .? ~ \ MI o.a Pay W the ordar of.~adi !Jr ~ ~$ 6,f5.46 r q S l.rr ~ Dollars L'1 w "~ ~ PNCBANK PNC Bmk. NA. 010 CmtralPA `.' y. For ~ Z- 8 srsruMliss_ _. ~lr ~ ~\ lea~iRX 1 S4 ~~r ~:03L3i27383: 5058545689• Oi53 »~.,~, VHEN CAL R~R OIL )R SERVICE, PLEASE 1AVE YOUR ACCOUNT DUMBER AVAILABLE. SERVICE INVOICE KARL BODTORF EXECUTOR 302 W MAIN STREET TAYLORS SC 29687 KEYSTONE OIL P. O. Box 157 • Camp Hill, PA 17011 Phone: (717)737-3451 • Heating Oil • Air Conditioning • Oil Burners • Heat Pumps • Water Heaters • Service Contracts MABEL BODTORF (A) FR AC 128 WINSTON DRIVE MECHANICSBURG PA 17055 Please detach antl mall with your rcm/ttance. AMOUNT ENCLOSED aTY PART NUMBER ITEM AMOUNT 1 SERVICE CALL INCREASE VENT PIPE 0.00 1 1168NU BLK NIPL 2 X 6 9.50 1 532-2 VENT ALARM 2"X2" 44.25 1 435-3 VENT CAP 2" MUSHROOM 22.30 2 1190N4 BLK 90 2 .13.50 l 1105N4 BLK UNION 2 27.30 1 MISC 2X30 BLK NIPPLE 22.70 1 MISC 2X24 BLK NIPPLE 24.10 1 MISC ~ 2X12 BLK NIPPLE 11.90 ~ ~ REGULAR OVERTIME 2.0000 78.0000 156.00 HOURS AT PER HOUR x81 SERVICEMAN: MILEAGE AT PER MILE NATURE • ' 331 . OS ~, CF CALL DAY SERVICE RATES: APPLY TO ALL SERVICE BETWEEN 7:30 AM - 4:00 PM DAILY NIGHT SERVICE RATES: APPLY AFTER 4:00 PM DAILY-ALL SATURDAY, SUNDAY AND HOLIDAYS pay to the Order of. INVOICEDATE ACC01fNfN0.' ... PKiE 682266 06/22/2009 5740 1 t:0 3 Z 3 L 2 7 38t: For ~ 6 811• ~PNCBANK ~y~PA . .T_ _ . A_~.~,,raY@ 500 58 50 5 KEllSTONE OIL P. O. BOX 157 • CAMP HILL, PA 17011 737-3451 Di56 156 gp-11)31313 ~.y o+1 =7~~ .0~3 8 ...q _ Dollars ' .... " p(TEAC1~lTOR KARL R BOpTORF F / ~/ - q D ~e 3A2 W MAIN ST TAYLORS SC 29887 i ass No. zso:mes ~ A. B. TYPE OF LOAN: YJ6. DEPARTMENT OF NOUSINOiURBAN DlVBWPIAlNT SETTLEMENT STATEMENT 1. FHA 2.QFmNA 3.~CONV. UNINB. 4.QVA S.~CONV. INS. B. FILE NUMBER: 7. LOAN NUMBER: D 3-09 5700921920 8. MORTGAGE INS CASE NVMBER: H1-92'15937-703 C. NOTE: 7hk binl At AanlYMtlb9Aa youaahbnl•ntdaawl wMNnerrtdma. Anarm6PakbaMSY tlls aNSSment gprltenr shown. Soma mamM'IPOCl wars psMOUbAfa Ols oUriq; OuYaa shown Aen1 Arrenbma0onal pwpows an0 ale mf hCSMW h Ols ble4. 1A 11• .YfDDTAm•YI D. NAME AND ADDRESS OF BORROWER: DAYID A. DUKA bM AGNES E DIAKA 19 FALCON CWRT MECWWICSBURO. PA 17066 E. NAME AND ADDRE99 OF SELLER: ESTATE OF MABEL D. BODTORF 125 WN/BTON DR MECFMNICBBURG, PA 17065 F. NAME ANO ADDRE86 OF LENDER: FULTON BANK ONE PENN SQUARE, SUITE 30{ LANCASTER, PA 17802 O. PROPERTY LOCATKX~I: 128 WIN8TON DR MECHANICSBURG, PA 17065 H. BETTLEMEM AGENT: ZS1819811 TRI-COUNTY ABSTRACT SERVICE I. SETTLEMENT DATE: Juy 24, 2009 CUMBERLAND Courtly, PonnayN•nb PLACE OF SETTLEMENT IS CENTRAL BLVD CAMP HILL, PA 17011 J. K. 111A51ARV OF BELLE ' 108. PFIOII .O1RW DUMT OU TO tlLLBR: 101. Conkw Pllca 169800.00 401. CaOgBMw Prbs 159900.00 102. P•naW 402. Paaalel Pnl env 103, BaMNMM bBal0lwf 1 2700.90 103. 101. 404. 106. 106. Fa llsnla PNtl SMMhatlwlce FarlMna PailB SMNha0vanw 106. ownTtaw 072MOB b 01gV10 .36 105. own T•ww 0721IOB b Otg1/70 107. Tara b 107. Taw• b 106. BCHDOL TAX 0721gB b 0781110 113021 105. BCNOOL TAX 0T24g9 b 0781/10 113021 109. 8EWER11RA8H JULY-KEPT 0721IOBb 10gig9 72.OD MB. BEWERRRASH JULVSEPT 0724AIBb 10g1g9 72.00 110. 4 0. 111. 411. 112. N2. 120. QRO39 AMOUMDUE FROIY8ORROWER 164,019.88 420. ORO9S AMOUNTOUE TO SELLER 181,379.59 200. PAID r OR M ellNALP OF BOIBIOBYBR: 500. M NT TO 9BLLER: 201. aaameM 1000.00 001. 9n911LYoolN 201. Amaral of NSw • 157003.00 502. 8sUlenbM bBMM 1100 9018220 203. s Wall ro 509. • iak•n b 201. ZOS, 208. 5M. dM1N tsmld 606. 207. 507. d1W.w t 208. 308. 209. TAX PRORA71ON SELLER A8616T 781.06 SOB. TAX PRORA7KIN SELLER A0818T 781.OS Fa Esma 3aNr A ForlMnt 9MS1 210. own Taws b .610. own Tmms b 211. Tewt ro 511, Taaw b 212. TA% ro 612. SCHOOL TAX b 213. 513. 214. 51{. 215. 616. 218. 616. 217. 517. 218. 618. 218. 618. 220. TOTAL PAID BYiFOR BORROWER 168,781.06 320. TOTAL REDUCTION AMOUNT DUE SELLER 36.963.26 700. CAMI AT SETiI.lMlMT 505. CA6H AT ill-R.flENT 5ll1BR: 901. Gress AmawB Due Fran Barowa LM1e 120 184079.88 801. OnXw AmaaO Oils TO B•M 420 - 181919.68 302. Law Alnabl Pab a Bonowar LYN 220 ( 168 761.0 502. Lsw Ra0uctleru Dw 808sr Lha 620 38963 309. CASH (X FROM) ( TD) BORROWER 5,316.84 00.7. CASH (X TO) ( FROM) SELLER 122,118.91 The uabrNpnee hMOY aT/nowisdps Ie1Npl da oNnPMb6 aopy dga9aa 182 d 014• sbismeM 5 arA' •1larnnenh Iablre5 b MINn. I FNVE CAREFULLY REVIEWED THE MU0.1 BETTLEMENf STATEMENT AND TO THE BEST OF MV KNO/VLEDOE AND BELIEF, R 19 A TRUE AND ACCURATE STATEMENT OF ALL RECEIPTS AND DISBURSEMENTS MADE ON M1' ACCOUNT OR BV ME IN THIS TRANSACTION. I FURTHER CERTIFY THAT 1 HAVE RECENED A COPY O THE U0.18ETTLEMENT STATEMENT. Bamwsr • ~ ~ ~ 8a1~ ESTATE OF MABEL D. BODTp~RF i~L~~1bL~,L~n,-y_ B u.. [~._.['716/O.(r~la4 Q~ ACCURATE ACCOUNT OF THE SETTLEMEM OF THIS ' IS A CRBAE TO KNOWINGLY MAKE FALSE 9TA7EMBSQ8fi0 THE UNRED STATES ON THIS OR ANY SBIILAR FORM. PENALTIES UPON CAN INCLUDE A FME AND IMPRISONMENT, FOR DETAILS 9EE: TTRE 18 U.&. CODE SECTKMI 1001 8 SECTION 1010. L. SETTLEMENT CHARGES P.v z 700. b'OTAL COO\NBBIOp BYed Orr Priao S % 9234.00 PNOrnorn PNOfxoN D/HIIWIOICMmnAlNgl NM 75D OO FOBOwA~ NORROWERB BELIEFS 79 7. ~ 4,&2.00 ro ERA-N T, INC. fuxoe At FUNDS Ai 70 2. 4,392.00 b K l WILL01M8 N A 6[n1EtleNr eEiitxrExr .70 3. bebn et 9,23x.00 '70 9. RAGE FEE b KELLER WIILVVAS CEN RALP 17795 360.00 90 0. I7PlN PAYABLE 01 CONNEC7gN YYfffl LOAN 80 1. Login Nrstlon Fee % ro 80 7. Loan Obcount % ro 80 3. IFee ro AP 325 LENDER LLER IST 325.00 80 4. CradK Re b C T 14.0 ER LL I 14.89 80 5. Lamb s I Fae to 80 8. a bs. .Fee to 80 7. An Fee to BO B. PR I E ro ULTON BANK •ELLE I 200.00 80 9. DOCUMENT PREP FEE ro ULTON K 'BELL ASSIST 250.00 81 0. IN RAN E S C E to FULTON K LL R T 5x.00 87 7. FL DE FE to K T 11.50 81 2. FI INSPECTK)N FE ro CHTHALER •76.00 LENDER 'SELLER ASSIST 75.00 B 1 U R I E L 8 14. FL DE FIRS AM I FL D P i. L R 8 75.1 C 73.00 E 8 16. TAX LA D ERVICE FEE FIR T 1 EAL ESTA ER C INC. 7 . l ND R 8 17. 8 18. 8 78. 8 20. 9 00. REMO REQUIRED BY LENDER TO BE PAID M ADVANCE 9 01. InroRN Fmm 072N00 ro OBKIIKIB S 24.793300/d ( e d %76ELLER ASSIST 797.8 9 02.M Imlxenn rrx»ro ULT 2700.30 9 03. MwM Insurona Premium for 1.0 en ro GEICO INSURANCE AGENCY INC. 'SELLER ASSIST x20.00 9 04. 8 05. 2009 COUNTYROWNSHIP TAXI BONNIE K. MILLER, TAX COLLECTOR POC 826.77 1 000. RESERVES OEPOBfIED YBTX LENDER 1 001. HsxaM InelAerrca 3.000 rrpntlla S 33.75 r m011M •BELLER ASSIST 107.25 1 002. bNxerKe 0.000 morKM 9 70.37 moM 1 003. C own Talmo moMM 0 manta 1 004. Taxes 8.000 nwn0la S 52.10 monN LLE 1ST 314.40 1 005. SCHOOL TAX 2.000 rrgMOa S 102.57 Iler rtwntll B R 205.14 1 008. morKM S r moMn 7 007. mmON r moMa 7 008. AOGRE(iATE ESCROW ADJUSTME mpBM madh •ELLE I T -215.35 1 100.11TLE CNAROEB 1 101. Setlbmanl or Fee ro 1 702. CLOSING PROTECTION LETTER ro FIRST AMERICAN TfTLE INSURANCE CgAPANY 'SELLER ASSIST 35.00 7 193. r ro 1 709. Tllb Inwnnae Bbdar ro 1 105. DogrmeM retlan ro lRl-COUNTY ABSTRACT SERVICE DEED 700.00 1 108. N Fees ro CASM •BELLER ASSIST 15.00 1 107. Atlo a Feea ro Mdudas s0ow Kam num0en.~ 1 1 I I TY AB TRACT RVICE B L 1 T 71 3.7 Mdudsa a0ow lbm nundlsa: 1 109. LaMefs COVen 5 757,003.00 107088809PA1 1 170. fa o 8 780, 1,753.78108 AO 7 171. EN ENT31003008.1 ro TRI T ICE BELLER IST 150.00 1 112. 1 113. 72W. OOVERNAIENT RECORDING AND TRANSFER CIURDEB 1201. Retard Fan: Deed S 18.50: 0 81.50: Rebasee 8 'SELLER A$3137 1202. : Dasd 7 ~ M 1203. Sbb T RswMM 97am 1080.00: 'SELLER ASSIST 113.00 1 5 .00 1 300.00 7204. ELECTRONIC DOCUMENT RETRIEVALro 'SELLER A33816T 25.00 1206. OVERNIGFf7/000RIER FEES ro TRI-CWNTY ABSTRACT SERVICE BELLER A880)T 14.50 43.50 7800. ADDITIOIW. BE77LBIAENT CWIROFA 1301. to 7302. Peetl n ro 7303. TAX CERTIFICATION FEE ro TR4000NTY ABSTRACT SERVICE RE-IMBURSEMENT 10.00 1309. SEWERRRASH JULY-SEPT ro LOWER ALLEN TOWNSHIP AUTHORITY 98.00 7306. See WtlKt dbb. aMKOK ro 27,720.25 1400. TOTAL BET7LEBIENT CXARO[B CnM On LNSM 10D BaaBarJ end K 2700.30 98,102.20 ar YwiM ww ~ Setlbmenl I~aM cemmea to Ix a aua oaPr. rawxsw rarwm.w r,.I 'S •Y[[~C Frva.zs (qlv. ~~s1 . • ac+Trr c~enwnn ESCROW A(;RF.F.MF:NT , '~ DATE: LOO APPLICATION NO.: ' ' Z~ ~a'3 -op SETTLEMENT AGENT ("COMPANY"): ri~- aun~U ~GS ~~ .~'erV~Ce The u ersigned parties have requested that the Company hold in escrow the sum of $ ~arono ~ (the "funds") fmm the proceeds of the settlement of the property described in the above application number. These funds are to be retained without interest by the Company on the following terms and conditions: Funds held ~ ~ ~ „~ ~,,,, h e r~'+~ n e e.. Tow dun e hfo e4~#~, '~ luaGe C ~ ~o~for F. Fxe ~l.~.k,-/SCl~er ~g`r/eyes ~e ~iw.e, Fi nal. F.o Eo~e. he-~u.rns pref~'red. tJo ~o..~'er't-bC4 r~ Deeew~.~e~- 1~ jooq_ A9en~ t~:~l ~e1c tZejurn A.y+d `ssuo bhSa,Ue.r-Sd~e. 'tZegg~s of fn~il~s a..~ ~ZeC[i.nd 4ny, 6wla.~ .z~.,.,~~ 6o..la~onc~ue, e vfit r+ F til ~{ie[enf Fu.r.ds- St Uer a9reea The funds are ~e paz~to tc + L=e ~ 6o ue_ upon satisfaction of the above terms and conditions and after receipt by the Company of written confir- mation from all parties hereto. In the event costa or expenses, including attorneys fees, are incurred by Company because of litigation or otherwise, arising out of the holding of the funds, the Company shall be entitled to reimburse itself out of the funds for any such costs and expenses, inclusive of attorneys fees. If the Company is unable for any reason to reimburse itself out of the funds, the enders~ned parties do hereby jointly and sever- ally agree to indemnify the Company for any and all wets and expenses, including attorneys fees, that the Company may suatam arising out of any acts taken by the Company in good faith pursuant to this Agreement. It is understood and agreed that in the event of a dispute, the Company, may in its absolute discretion, pay the funds into Court and allow the Court to determine the proper disposition of the funds or con- tinue to hold the funds pending receipt by Company of uniform wntten direction from all parties hereto. The Company, acting as escrow agent, shall not be liable for any error of judgment or for any act taken or omitted to be taken in good faith or in reliance on any written notice, certificate or other documents believed by it in good faith to be genuine and to be signed or submitted by an authorized signatory. The liability of Company hereunder, acting as escrow agent, shall be limited to matters involving the gross negligence or willful misconduct of Company. n1F}6~ A charge of $25:@0 for the first six months aha31 be made for funds held in escrow by the Company; and a minimum charge of $2b.00 shall be made for every year beyond the initial six month period is which the funds are held. In wnaideration of the wmpletion of settlement, the undersigned do consent and agree to the terms and wnditiona hereof. SE ~ R BUYER/MORTGAGOR' ~t ~~ /j 4 ~ ~edjCa~.rti.l~ ~• lc ~-a Address; 30~ LUGSf /Nd! h Sf /o~SC Z~t687 lblephone: Q ~+H' 3 4 3- O 3 S ,~ Address: Telephone: ~~~ ~ ~~ `7 Accepted n behalf of the By: Address: CAMP "~ Telephone: ,. ` ` ` ADDITIONAL D136URSEMENTS EXHIBIT Borrower: DAVID A. D2AKA and AGNES E DZAKA Seller: ESTATE OF MABEL D. BODTORF Lender: FULTON BANK Settlement Agent: TRI-COUNTY ABSTRACT SERVICE (717)781-8870 Place of SsttlemeM: 48 CENTRAL BLVD CAMP HILL, PA 17011 Settlement Date: July 24, 2009 Properly Location: 128 WINSTON DR MECHANICSBURG, PA 17055 CUMBERLAND County, Pennsylvania PAYEE/DESCRIPTION NOTEIREF NO BORROWER SELLER AMERICAN HOME SHIELD HOME WARRANTY ID#21158844 BONNIE K. MILLER, TAX COLLECTOR 2009-2010 SCHOOL TAXES ID #13-23-0559-032 7R1-COUNTY ABSTRACT SERVICE ESCROW FOR INHERITANCE TAX DUE Total AddKbnai Dbbuntements shown on Ltne 1308 $ 0.00 514.00 1,206.25 20,000.00 $ 21,720.25. (DZA223.09. PFDIDZA223.09/14) REV-1512 EX+ (12-08) '~pennsylvania SCHEDULE I f~iT oeaARrmervrarReveNUe DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDEM DECEDENT ESTATE OF FILE NUMBER Mabel D Bodtorf 21-08-1181 If more space is needed, insert additional sheets of the same size. ' REV-1514 Ext (4-09) Pennsylvania OEPAPTMENT OF NEVFNUE Bureau oFIrMMdual Ta~ces PO Box zaaboi Hartlsbu9 DA i7u8-osoi SCREpIlLE K LIFE ESTATE, ANNUITY & TERM CERTAIN (CHECK eDX q ON pEV-i5oo CDVEp SHEEP) ESTATE OF FILE NUMBER Mabel D Bodtorf 21-08-1'181 This schedule should be used for all single-life, joint or successive life estate and tens-certain calculations. For dates of death prior to 5-1-89, actuarial factors farsingle-life cakulations can be obtained from the Department of Revenue. Actuarial factors can be found in [RS Publication 1457, Actuarial Values, Alpha Volume for dates of death from 5-1-89 to 4-30-99, and in Aleph Volume for dates of death from 5-1-99 and thereafter. Indicate below the type of instrument that created the future interest and attach a copy of it to the tax return. O Will ^ Intervrvos Deed of Trust ^ Other None ^ Life or ^ Tenn of Years ^ Life or ^ Term of Years ^ Life or ^ Term of Years ^ Life or ^ Term of Years p Life or ^ Term of Years 1. Value of fund from which life estate is payable .........................................$ 2. Actuarial factor per appropdate table ............................................... . Interest table rate - ^ 3.5% ^ 6°h ^ 10% ^ Variable Rate % 3. Value of life estate (tine 1 multiplied try Line 2) ....................................$ ^ Life or ^ Term of Years ^ Life or ^ Term of Years ^ Life or ^ Term of Years ^ Life or ^ Term of Years 1. Value of fund from which annuity is payable ...........................................$ 2. Check appropriate block below and enter corresponding number ................ . Frequency of payout - ^ Weekty (52) ^ Bi-weekly (28) ^ Monthly (12) ^ Quarterly (4) ^Serni-annually (2) ^ Annually (1) ^ Other ( ) 3. Amount of payout per pedod ........................................................$ 4. Aggregate annual payment, Line 2 multiplied by Line 3 .................................. . 5. Annuity Factor (see instructions) Interest table rate - ^ 3.5°/° ^ 6°! ^ ~ 0°h ^ Variable Rate 6. Adjustment Factor (See instructions.) ................................................ . 7. Value of annuity - If using 3.5, 6, or 10%, or if variable rate and period paYOUt is at end of period, celalatlon is Line 4 x Une 5 x Lure 6 ...........................$ If using variable rate and period payout is at beginning of period, calculation is (Line 4 x Line 5 x Line 6) + Line 3 ...............................................$ NOTE: The values of the funds that create the above Future interests must be reported as part of the estate assets on Schedules A through G of the tax return. The resulting life or annuity interest should be reported at the appropdate tax rate on Lines 13 and 15 through 18 of the return. If more space is needed, use additional sheets of the same size. .~ M'REV-1513 EX+ (il-DB) pennsylvania YJ DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DKEDENT SCHEDULE) BENEFICIARIES ESTATE OF FILE NUMBER Mahral fl Rndfnrf 2't-OB-'I'181 RELATIONSHIP i0 DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON{5) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS (Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] _.... _.. 1. Karl R Bodtorf; 302 West Main St; Taylors, SC 29687 Son 33.34 2 'Beverly McManus; 711 N Pine St Middletown, PA 17057 Daughter 33.33 3 Gloria Clark; 225 Karlnch St; Labantwn, PA 17402 Daughter 33.33 ENTE0. DOLIAR AMOUNTS FOR DISTRIBUttONS SHOWN ABOVE ON LINES 15 THROUG H 18 OF REV-1500 COVER SHEET, A S APPROPRIATE. I! NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1. Notte B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. None TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBl1TI0NS ON LINE 13 OF REV-1500 COVER SHEET. ; If more space is needed, insert additlonal sheets of the same size.