Loading...
HomeMy WebLinkAbout02-0222 PETITION. FOR PROBATE and GRANT OF LETTERS Estate of Charlotte M. Clark No. also known as To: Register of Wills for the Social Security No. 182-01-201~ Deceased. County of Cumberland Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executors in the last wilt of the above decedent, dated July 9 and codicil(s) dated n/a in the named ,19 96 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h_er last family or principal residence at 32 Fairfield Street, Newville Boroueh, Pennsylvania - (list street, number and muncipality) Decendent, then 82 years of age, died February 11 ~ ,1~ 2002 at Ch~mhmr.~h, rg l-ln.~nit~l: U.h~mhor.~h, re. Ponn~y]vanla 172f~1 ' Except as follows, decedeJt did not marry, was not ~i'vorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decedent was married to Andrew Jackson Clark. He died on July 30, 1980. Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal Property $ 1500. OD (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ 55.000.00 situated as follows: Real Estate and improvements situate in Newville Borough, Cumberland County. Pennsylvania. known as 32 Fairfield Stremr.. Nawvillo_: Po_nn.~ylvmn~a 1724] WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) Robert W. M~ller 1102 Pine Road Carlisle. PA 1701~ ~d~lie A. Crum 28 North High Street Newville, PA 17241 100 Buttermilk Road N~-w'villo: PA 17241 OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CU3'I'BERLAN'Df ' The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will w~t)vd t~ly administer the estate according to law. Sworn to or affirmed and subscribed before me this 28th dav of / ~~f~/~ ~ FEBRUARY,' ~ / k ' - ' Y~RY?~ ~/~q']I-s / Register t ~ ' ~' ~ No. o,9/- ©~ Estate Of Charlotte M. C~Lark , Deceased DECREE OF PROBATE AND GRANT OF LETTERS ANDNOW MAREH 1, 2002 I~xx , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated July 9, 1996 described therein be admitted to probate and filed of record as the last will of Charlotte M. Clark and Letters Testamentary are hereby granted to Robert W. Miller. Julie A. Crum_- and Scott A- Clmrk FEES Probate, Letters, Etc .......... $ 115.0 Short Certificates( ) .......... $ 9.00 ]~t~O~ oxt.r.a..pacje-s $ 9.00 jcp . $ 5.00 TOTAL . $ 138.0 Filed .... .F..E.B.R..U. iS..R.Y...2.8, s...2.Q .0.2. ...... called attorney on 3-1-02 Richard L. Webber, Jr., Esquire Attorney I.D.~ 49674 ATTORNEY (Sup. Ct. I.D. No.) 126 East King Street Shippensburg · PA 17257 ADDRESS (717) 532-7388 PHONE his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Local Registrar P 7 9 14 1 5 9 ~~~ FEB :~ 2 2002 No. ~ Date mos.~ ~. :~? COMMONWEALTH OF: F:ENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS .T CERTIFICATE OF DEATH " ~oEt.~ Charlotte M. Clark I:E}emale 17'~t~u"'v'"u"~E~ 2017 ~*'~"'~'~"" ( ==~. u~,,v~ u~.,~ O~T~. 82 I : .... I '--' ~ '--" INa- '~i' ' I ~ ranklln I Chambersburg ~s~EU~.~.z~c~) I~c~'s ' ' ~'~' l z I b4' ~ [,s. ~evvll[e~ Pa. 17241 } ~ Tndv A C~,,~ ~m~z~ ~ ~ ~,,,-,~ ~.0 ~ ..... ~--' I~~'"-~= ..... ~ ..... '~'~.~ ~ ~.. O_[eb 15 2002 [B1g Spr~ng Oem. Near,lie, Pa. ~ /~~ ~ ~;~-~.~ ~ Imm~-~m.,~m~m~..,. 'er Funeral Home Inc ~== ~ ~-~ ~. ~1~ ~. ~ IO~E P~KEO ~ (M~. ~. ~,1 DATE Of: INJURY INdURY ~q' WORK? LAST WILL AND TESTAMENT OF CHARLOTTE M. CLARK I, CHARLOTTE M. CLARK, of the Borough of Newville, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all Wills, Codicils, or writings in the nature thereof, by me at any time heretofore made. FIRST: PAYMENT OF EXPENSES - I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. SECOND: SPECIFIC BEQUESTS - I bequeath the following items: A. Corner cupboard and oak rocker, to my son, ROBERT W. MILLER; B. Utility chest from barber shop, chair from barber shop, glass pitcher with eight glasses, and all nu-cut glassware, to my stepdaughter, JULIE A. CRUM; and c. Cedar chest and bamboo bookcase, to my stepson, SCOTT A. CLARK. In our presence, the above-named Testatrix signed this and declared it to be her Will, and now, at her request and in her presence and in the presence of each other, we sign as witnesses: STATE OF PENNSYLVANIA : : SS COUNTY OF CUMBERLAND .. I, CHARLOTTE M. CLARK, having been duly qualified according to law, acknowledge that I signed the foregoing instrument as my Will and that I signed it as my free and voluntary act for the purposes therein expressed. CHARLOTTE M. CLARK, Testatrix We, having been duly qualified according to law, depose and say that we were present and saw CHARLOTTE M. CLARK sign the foregoing instrument as her Will; that she signed it as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing and at her request signed the Will as witnesses; and that to the best of our knowledge she was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Subscribed, sworn to or affirmed, and acknowledged before me by the above-named Testatrix and by the witnesses whose names appear opposite on this ~& day of Notary Public IN RE: ESTATE OF CHARLOTTE M. CLARK, late of the Borough of Newville, Cumberland County, Pennsylvania, deceased : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY :PENNSYLVANIA : ORPHANS' COURT DIVISION : ESTATE NUMBER 21-02-0222 CERTIFICATION OF NOTICE UNDER RUI,F, 5.6 (a) Name of Decedent: Charlotte M. Clark Date of Death: February 11, 2002 Will No. 21-02-0222 To the Register: "~ I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above- captioned estate on March 1, 2002: Scott A. Clark 100 Buttermilk Road Newville, PA 17241 Robert W. Miller 1102 Pine Road Carlisle, PA 17013 Julie A. Crum 28 North High Street Newville, PA 17241 Notice has now been given to all persons entitled thereto under Rule 5.6(a). March 21, 2002 Signature Name: Address: Telephone: Capacity: Richard L. Webber, Jr., Esqmre Weigle & Associates, P.C. 126 East King Street Shippensburg, PA 17257 (717) 532-7388 Personal Representative X Counsel for Personal Representative WEIGLE & ASSOCIATES, P.C. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 CCMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 001389 RICHARD L WEBBER ESQUIRE 128 EAST KING STREET SHIPPENSBURG, PA 17257 ........ fold ESTATE INFORMATION: SSN: 182-01-2017 FILE NUMBER: 2102-0222 DECEDENT NAME: CLARK CHARLOTTE M DATE OF PAYMENT: 07/09/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 02/1 1/2002 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $618.50 REMARKS: TOTAL AMOUNT PAID: RICHARD L WEBBER ESQUIRE $618.50 SEAL CHECK# 116 INITIALS: AC RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 2 1 0 2 COUNTY CODE YEAR 0 0 2 2 2 NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER ~ 182 _ 01 -- 2017 Z Clark, Charlotte M. III DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE U.I 2/11/02 5/21/19 REGISTER OF WILLS III (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER LM fl. I-- Z UJ Z 0 LU 0 r~l. Odginal Retum ~--~ 4. Limited Estate r~"-J 6. Decedent Died Testate (Attach copy of Will) ~----] 9. Litigation Proceeds Received ---']2. Supplemental Return [~4a. Future Interest Compromise (date of death after 12-1292) r--~ 7. Decedent Maintained a Living Trust (Attach ropy of Tmst) ~'~10. SPousal Poverty Credit (date of death between 12-31-91 and 1-1-95) [~]3. Remainder Return (date of death pdor to 12-I3~2) E~]5. Federal Estate Tax Return Required O 8. Total Number of Safe Deposit Boxes E~11. Election to tax under Sec. 9113(A) (Attach Sch O) NAME Richard L. Webber~ Jr, ~ Esquire FIRM NAME (If Applicable) Weigle. & Associates, P.C. TELEPHONE NUMBER U I 7 ) 5-.~,,). - '7~'~'~' COMPLETEMAILiNGADDRESS 126 East King Ship.;ensburg, 14. 1. Real EState (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Modgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 8520,00 (Schedule E) 12,125.00 6. Jointly Owned Property (Schedule F) (6) [~ Separate Billing Requested 7. inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 6224.68 675,86 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) Net Value Subject to Tax (Line 12 minus Line 13) Street Pa 17257 c-_~FFICIAL USE ONLY (8) 20,645.00 (11) 6900.54 (12) 13,744.46 (13) (14) 13,744.46 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 618.50 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate x .0 45 x .12 x .15 19. Tax Due 20. [----] (15) 6]_8.50 (16) (17) (48) 6]_8.50 (19) Decedent's Complete Address: STREET ADDRESS 32 Fairfield Street · CITY STATE ZIP Newv~lle PA 17241 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits ( A + B + C ) 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) 4.: If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 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. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (1) 618.50 (2) (3) (4) (5) (5A) (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 618.50 618.~50 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; ............................................ [] [] ~. retain a reversionary interest; or .......................................................................................................................... [] [] · d. receive the promise for life of either payments, benefits or care? ...................................................................... [] [] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. [] [] 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 a beneficiary designation? ........................................................................................................................ [] IF Tu= AId~tMI'D Tn AIdV (11~ TI.Il; /~1::1('1~11:: rtlll=~Tlflld~ !S Vl=~ Vrtll MII~T ~CtMl:)l PTP .~l.ll:rllll I: P. ~13 I:11 I: IT ~,.~ PART i31: THF RFTIIRN 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 compJete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. DATE ~._~-0 ~ SIGNATURE OF PERSON RESPOI~IBLE~~~FOR FILING~,)..~.~____RETURN/'""h ,~~- ('zt,J '~'~~ ADDRESS l~O'Butter~ilk Roan ' 1102 Pine Road Newville, PA 17241 Carlisle, PA 17013 SIGNATURE OF PREPARER OTHER THAN REPRESENTA~IV~ ~ ADDRESS 126 East King Street,'Shippensburg, PA 17257 28~N. High Street Newville, PA 17241 DATE 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 3% [72 P.S. {}9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. {}9116 (a) (1;1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 RS. {}9116(1.2) [72 P.S. {}9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 RS. {}9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1508 EX+ (2-87) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Please Print or Type ESTATE OF FILE NUMBER Charlotte M. Clark 21-02-00222 (Alt property jointly-owned with the Right of Survivorship must be disclosed on Schedule F) iTEM NUMBER J 5. 6. 7. 8,' 9. 10. 11. DESCRIPTION Members 1st Federal Credit Union Members 1st Federal Credit Union Members 1st Federal Credit Union Account Accrued Interest to Personal property - gross proceeds Barber Cabinet Oak Cane Seat Chair One Piece Corner Cupboard Glassware on shelf Wooden Rocker Cedar Chest 1987 Chevrolet Cavilier - Savings Account #36960-00 - Checking Account #36960-11 - Investment Savings #36960-05 Date of Death from public sale TOTAL (Also enter on line 5, Recapitulation) VALUE AT DATE OF DEATH 30.79 652.98 1608.79 0.44 4761.00 35.00 18.00 235.00 30.00 16.00 32.00 1100.00 $ 8520.00 (Attach additional 81/='' x 'i1" sheets if more space is needed.) REV-I$09 EX+ (12.88) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Charlotte M. Clark 21-02-00222 Joint tenant(s): NAME ADDRESS RELATIONSHIP TO DECEDENT A. Andrew Scott Clark Stepson Bo Co Robert Wayne Miller Julie Agnes Crum 100 Buttermilk Road Newville, PA 17241 1102 Pine Road Carlisle, PA 17013 28 North High Street Newville, PA 17241 Son Stepdaughter Jointly-owned property: LETTER ITEM FOR DATE TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBER JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1. A,B,C 7/9/96 Real Estate, together with $48,500.00 25% $12,125.00 improvements thereon, situate at 32 Fairfield Street, Newville Borough, Cumberland, PA TOTAL (Also enter on line 6, Recapitulation) $12,125.00 (If more space is needed insert additional sheets of same size) ,REV-1511 EX+ (7-88) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Please Print or Type ESTATE OF FILE NUMBER Charlotte M. Clark 21-02-00222 ITEM DESCRIPTION AMOUNT NUMBER ko C. 1. 2. 3. 4. 5. 6. 7. 8. Funeral Expenses: Eby Granite - Engraving Egger Funeral Home Administrative Costs: Personal Representative Commissions Social Security Number of Personal Representative: Year Commissions paid Attorney Fees We'[g]e Family Exemption Claimant Address of Claimant at decedent's death Street Address & Associates, P.C. Relationship City State__ Probate Fees Miscellaneous Expenses: Cumberland Law Journal - legal advertisement Valley Times Star - legal advertisement Postmaster - Certified Mailing Cumberland County Register of Wills - filing fee inheritance tax return Roy D. Zip Code for Gutshall, Auctioneer - expenses for public sale 105.00 2295.89 2500.00 138.00 75.00 '94~0 3.94 15.00 997.45 TOTAL (Also enter on line 9, Recapitulation) S 6224.68 (If more space is needed, insert additional sheets of same size.) REV-1512 EX+ (1-93} ~ COMMONWEALTH OF PENNSYLVANIA iNHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Charlotte M. Clark SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Please Print or Type FILE NUMBER 21-02-00222 ITEM DESCRIPTION AMOUNT NUMBER 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Newville Water & Sewer Authority Sprint Koughs Oil. Service PP&L PP&L Chambersburg Hospital PP&L Hoovers Plumbing & Heating, Inc. Swaim Health Center Forest.Park Nursing Home MGM Nationwide Insurance TOTAL (Also enter on line 10, Recapitulation) 104.61 25.56 12.45 41.45 41.38 131.00 36.24 180.75 7.42 38.00 45.00 12.00 675.86 (If more space is needed, insert additional sheets of same size.) REV-1513 EX+ (2-87) ~ COMMONWEALTH OF PI~NNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Charlotte M. Clark 21-02-00222 ITEM AMOUNT OR NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP SHARE OF ESTATE A. Taxable Bequests: 1. Andrew Scott Clark Stepson Cedar Chest ($3 and one-third ( of residue 2. Robert Wayne Miller SON Corner cupboard ($235.00) Oak R ($16. and one-third of residue 3. Julie Agnes Crum Stepdaughter Barber Cabinet( Chair ($18.00), Glassware ($30. one-third (1/3) of the residue oo) (1/3) Rocker (1/3) ($35.00) .00) and ITEM AMOUNT OR NUMBER NAME AND ADDRESS OF BENEFICIARY SHARE OF ESTATE B. Charitable and Governmental Bequests: TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $ (If more space is needed, insert additional sheets of same size) Membersl FEDERAL CREDIT UNION INSURANCE DEPARTMENT 5000 Louise Drive P. O. Box 40 Mechanicsburg, PA 17055 1-800-283-2328 or (717) 697-1161 REGULAR SAVINGS ACCOUNT: Account Number/Suffix Date Account Opened Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner CHECKING ACCOUNT: Account Number/Suffix Date Account Opened Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner INVESTMENT SAVINGS ACCOUNT: Account Number/Suffix Date Account Opened Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner 36960-00 03/09/198~ $30.79 $.oo $30.79 None 36960-11 03/09/1984 $652.98 $.oo $652.98 None 36960-05 01/09/1986 $1,608.79 $.44 $1,609.23 None Insurance Products Supervisor March 26,2002 Estate of: CHARLOTrE M. CLARK Date of Death: 02/11/2002 Social Security Number: 182-01-2017 OWNER Address Date of Sale Auctioneer Other FINAL SETTLEMENT Date ' '/~ 7/D 3 -Sale Location" '~ ~ ~~4 PROCEEDS OF SALE: Cash ............................................... Checks ............................................ Other .......................................................................................... Miscellaneous (see attached list) ............................................ TOTAL PROCEEDS OF SALE ...................... ... LESS SELLER'S SALE EXPENSE: Auctioneer's Fee .......................... Other Seller's Expenses Advanced by Auctioneer: Miscellaneous (see attached list) DEDUCT TOTAL SELLER'S SALE EXPENSE ............................... $ TOTAL NET PROCEEDS TO SELLER ............................... $ I, (or we), the seller of goods, merchandise, and/or property sold at public auction on above date and location, acknowledge and accept this settlement of proceeds of sale. I (or we) agree to accept all responsibility for providing merchantable title to all goods, merchandise, and/or property sold, and for delivery of title to the purchaser. (Date) (Seller's Signature) Auctioneer or Cashier's Signature Form No. FS Reorder from: MISSOURI AUCTION SCHOOL Phone 1-800-835-1955 (Seller's Signature) 'F,O[::-_RT i~'. Z!EOI-~-i': F;ECOI,(DEi~, OF DEEDS ';IJ,q BERLAtlD COU,IfY- '96 JUl. 1[] 3 .59 THIS Tax parcel no. 28-20-1754-072 DEED hundred and ninety-six (1996) . ~ in the year nineteen BETWEEN CHARLOTTE M. CLARK, widow and single woman of the Borough of Newville, Cumberland County, Pennsylvania Grantor, AND CHARLOTTE M. CLARK,, a one-fourth interest, ROBERT W. MILLER, a one-fourth interest, JULIE A. CRUM, a one- fourth interest and SCOTT A. CLARK, a one-fourth interest, said one-fourth interests to be held as joint tenants with right of survivorship and not as tenants in common, Grantees. WITNESSETH, that in consideration of the sum of $1.00 DOLLAR (One Dollar), in hand paid, the receipt whereof is hereby acknowledged, the said Grantor do grant and convey in fee simple to said Grantees, as their interests appear above, their heirs and assigns, ALL that certain tract of land situate in the south ward of the Borough of Newville, County of Cumberland and state of Pennsylvania, bounded and described as follows, to wit: BEGINNING at the eastern half of Lot No. 52 in a plan of lots laid out by the Farmers Bank of Carlisle, Pennsylvania, said plan being recorded in deed book W, volume 5, page 486, and bounded on the south by Fairfield Street; on the east by Lot No. 51, on the north by an alley; and on the west by the western half of Lot No. 52 owned now or formerly by Herbert R. Wirrick. Having a depth of one hundred eighteen and five tenths (118.5) feet to the aforesaid alley and a uniform width of twenty (20) feet, and having thereon erected one-half of a two- story frame dwelling house. BEING THE SAME REAL ESTATE WHICH Melvin A. Kelley and Flora M. Kelley, by deed dated April 27, 1953, and recorded in the office of the Recorder of Deeds in and for Cumberland County in Deed B6ok Volume H-15, Page 141, granted and conveyed to Andrew J. Clark, and Charlotte M. Clark. The said Andrew J. Clark having died on July 30, 1980, title to the same remained vested by operation of law solely in his surviving spouse, Charlotte M. Clark, widower, who is the grantor herein. AND the said Grantor will warrant specially tile property hereby conveyed. THIS IS A CONVEYANCE FROM PARENT, CHARLOTTE M. CLARK, TO HERSELF, HER CHILD, ROBERT W. MILLER, AND HER STEPCHILDREN, JULIE CRUM AND SCOTT A. CLARK, IS THEREFORE FIFTY PERCENT EXEMPT FROM PENNSYLVANIA REALTY TRANSFER TAX. IN WITNESS WHEREOF, the said Grantors have hereunto set their hands and seals the day and year first above written. WITNESS: CHARLOTTE M. CLARK ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA : : SS COUNTY OF CUMBERLAND : On this ~ day of J=/~- 1996, before me, a Notary Public, the undersigned officer, personally appeared Charlotte M. Clark, widow and single woman, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and offic~~.~? · ~ .~..,. ~.~. I ~1~ ~ ~ ~ J.. ~ ~c I .... '~-. 142 536 I certify that the precise residence and Post Office address of the Grantees is: 32 Fairfield Street Newville, Pennsylvania 17241 ' Attorney f~ G~antee (s) COMMONWEALTH OF PENNSYLVANIA : COUNTY OF ~ ob~ ~ : RECORDED in the office of the ~ecorder of Deeded_etc., in and for said County, in Deed Book 1~?~ , Page ~J~ WITNESS my hand and Official Seal this /0 day of , 1996. ~/~'~RL'o~r d~ ~ f/~D e e d s REALTY TRANSFER TAX STATEMENT OF VALUE See Reverse for Instructions IStale Tax P~ld Book Number RECORDER'S USE ONLY Complete each section and file in duplicate with Recorder of Deeds when (1) the full value/consideration is not set forth in the deed, (2) when the deed is without consideration, or by gift, or (3) a lax exemption is claimed. A Statement of Value is not required if lhe transfer is wholly exempt from tax based on: (11 family relationship or (2) public utility easemenl. If more space is needed, attach additional sheet(s). (el :I :l ::L"] ',,Is] ~ I ~] 4 ~ I - Ne. me . Telephone Number: Richard L. Webber, Jr. t ~$qs AreaCode( 7_1.7 )776-6566 Street Address City State Zip Code 366 Green Road Newville PA 17241-0040 Charlotte M. Clark Street Address Cily Slale Zip Code Newville PA 17241 Slroel ;ed:ldress 32 Fairfield Street Counly Cumberland I, I. Actual Cash Consideralion $ ]...oo 4. County Asse,sed Value $3250.00 I la. Ar~'~'un! of Exemption Claimed 50% School District Big Spring 2. Other Consideration + 0.00 .5. Common IJvol Ratio Factor x 14.29 lb. Percentage of Inlerest Conveyed 75% Document Gmnfee(sJlbssee(s) Charlotte M. Clark et al. Streel ~dress 32 Fairfield Street City Slate Zip Code Newville PA 17241 Cit~ ~wnshi~ Borough Newville Borough ~x Panel Number 28-20-1754-072 3. ~tal Consideration = $1.0.0 6. Fair Market blue = $46,442.50 2. Check Appropriate Box Below far Exemption Claimed [] Will or intestate succession (Nome et Decede,lJ (Edale File Numbe,J [] Transfer to Industrial Development Agency. [] Transfer to agent or straw party. (Attach copy of agency/slraw party agreement). [] Transfer between prlncyal and agent. (Attach copy of agency/straw trust agreement). Tax paid prior deed S [] Transfers to the Commonwealth, the United States, and Instrumentalities by gift, dedication, condemnation or in lieu of condemnation. (Attach copy of resolution). [] Transfer from martgagor to a holder of a mortgage in default. Mortgage Book Number , Page Number [] Corrective deed (Attach copy of the prior deed). [] Stotulory corporate consolidation, merger or division. (Attach copy of articles). [] Other (Please explain exemption claimed, if other than listed above.) T r a n s f er 'J s stepchildren and %o self, son, and two is therefore 50% exempt from realty transfer tax. Under penalties of law, I declare that I have examined this Statement, Including accompanying Information, and to the best of my knowledge and belief, it is true, correct and complete. / OMB NO. 2502-0265 A. B. TYPE OF LOAN: II U.~. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT lmm]FHA 2.[--]FmHA 3. [-~CONV. UNINS. 4.[~]VA 5. [-'ICONV. INS. - 6. FILE NUMBER: I 7. LOAN NUMBER: DARIUS. ROBERT X 2 I SETTLEMENT STATEMENT 6. MORTGAGE INS CASE NUMBER: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "[POC]" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. 1.0 3/98 (DARIUS, ROBERT X 2PFD/DARIUS, ROBERT X 2/9) D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: Robert C. Darius and Robert W. Miller,Julia A. Crum and Adams County National Bank Kathleen D. Darius Scott A. Clark P.O. Box 3129 5319 Edgewood Drive Gettysburg, PA 17325 Alexandria, VA 22310 G. PROPERTY LOCATION: H. SE'CI'LEMENTAGENT: 23-2267691 I. SETTLEMENT DATE: 32 Fairfield Street Broujos & Gilroy, P.C. Newville, PA 17241 May 24, 2002 Cumberland County, Pennsylvania PLACE OF SE'I-I'LEMENT 4 North Hanover Street Carlisle, PA 17013 J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 01~ Contract Sales Price 48,500.00 401. Contract Sales Price 48,500.00 02. Personal Property 402. Personal Property 103. Settlement Charges to Borrower (Line 1400) 1,463.00 403. 104. 404. 1 O5. 405. Adjustments For Items Paid Bv Sefler in ¢dv¢nce Adiustments For Items Paid Bv Seller in ¢¢lv¢n~ 106. City/Town Taxes to 406. City/Town Taxes to 107. County Taxes 05/25/02 to 01/01/03 134.30 407. County Taxes 05/25/02 to 01/01/03 13430: 108. Assessments 05/25/02 to 07/01/02 7567 408. Assessments 05/25/02 to 07/01/02 75.67 109. 409. 110. 410. 111 411. 112 412 1120. GROSS AMOUNT DUE FROM BORROWER 50,172.97 420. GROSS AMOUNT DUE TO SELLER 48,709.97 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. Deposit or earnest money 4,850.00 501. Excess Deposit (See Instructions) 202. Principal Amount of New Loan(s) 41,225.00 502. Settlement Char~les to Seller (Line 1400) 1,528.24 203. Existin9 loan(s) taken subject to 503. Existing loan(s) taken subject to 204. 504. Payoff of first Mortgage 205. 505. Payoff of second Mortgage 206 506. 207 507. (Deposit dish. as proceeds) 208. 508. 209. 509. Adjustments For Items Unpaid By Sefler Adjustments For Items Unpaid By Seller 2!0. City/Town Taxes to 510. City/Town Taxes to 211 County Taxes to 511. County Taxes to 2 12. Assessments to 512. Assessments to 213. 513. 214. 514~ 215. 515. ~216. 516. 2t7. 517. 218. 518. 219. 519. 220. TOTAL PAID BY/FOR BORROWER 46,075.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 1,528.24 300. CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER: 301. Gross Amount Due From Borrower (Line 120) 50,172.97 601. Gross Amount Due To Seller (Line 420) 48,709.97 302. Less Amount Paid By/For Borrower (Line 220). ( 46,075.00) 602. Less Reductions Due Seller (Line 520) ( 1,528.24', 303. CASH( X FROM) ( TO) BORROWER 4,097.97 603. CASH( X TO) ( FROM) SELLER 47,181.73 g ned ~eceip_t of,,,~gP?~eted copy of pages 1&2 of this statement &_any attachments referreC, to herein. Se,er Borrower '-':'" ' ' R,~~~,~,._7/~ R obe~ W. Milter,Ju li a A. C rum F(athlleen D. ,Darius - ~ott-A. Clark '- HUD-1 (3-8B) RESPA, H~3DS.2 Pa~e; L. SETTLEMENT CHARGES 700, TOTAL COMMISSION Based on Price $ ¢, O,gg00 % PAID FROM PAID FROM Division of Commission (line 700) as Follows: BORROWER'S SELLER'S 701. $ to FUNDS AT FUNDS AT 702. $ to SETTLEMENT SETTLEMENT 703. Commission Paid at Settlement. 704. to 800. ITEMS PAY'ABLE IN CONNECTION WITH LOAN 801. Loan Origination Fee 0.0000 % to 802. Loan Discount % to 803. Appraisal Fee to Adams County National Bank 175.00 804. Credit Report to 805. Flood Certification to Adams County National Bank 15.00 806. Mortgage Ins. App. Fee to 807. Assumption Fee to 808. 809. 810. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From 05/24/02 to 06/01/02 @ $ /day ( 8 days %) 902. Mortgage Insurance Premium for months to 903. Hazard Insurance Premium for 1.0 ),ears to 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance months ~ $ per month 1002. Mortgage Insurance months ~ $ per month 1003 Cit),fTown Taxes months ~ $ per month 1004. Count), Taxes months ~ $ per month 1005. Assessments months @ $ per month 1006. months ~ $ per month 1007. months @ $ per month 1008. months ~ $ per month 1100. TITLE CHARGES 1101. Settlement or Closing Fee to 1102. Abstract or Title Search to 1103. Title Examination to 1104. Title Insurance Binder to 1105. Document Preparation to 1106 Notary Fees to Cash 3~50 3.50 1107. Attorney's Fees - POC to Richard L. Webber, Jr. (includes above item numbers: ) 1108. Title Insurance to Commonwealth Land Title Company 552.75 (includes above item numbers: ) ! 109. Lender's Coverage $ 41,225.00 1110. Owner's Coverage $ 48,500.00 1112. Pa Endorsements 100,300,8.1 to Broujos & Gilroy, P.C. 150.00 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 25.50; Mortgage $ 43.50; Releases $ 6900 1202. Cit),/Count), Tax/Stamps: Deed ; Mortgage 485.00 1203. State Tax/Stamps: Revenue Stamps ' Mortgage 485.00 1204. 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301 Surve), to 1302. Pest Inspection to 1303. Auctioner Commission to Roy D. Gottshall 970.00 304. Water / Sewer to Borough of Newville 69.74 305. Express Mail Fee to Adams Co. National Bank 12.75 1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502, Section K) ¢ ~ 1,463.00 1,528.24 By signing page 1 of this statement, the signatories acknowledge receipt of a comple tement. Certified to be a true copy.  ujos ~ Gi'l~oy, P~.C. ~ t Agent (DARIUS. ROBERTX2/DARIUS. ROBERTX2/9) AGREEMENT OF SALE THIS AGREEMENT made this ~-?¢~ay of .~t?r''~ [ ,2002, by and between, SCOTT ANDREW CLARK, ROBERT WAYNE MILLER and JULIE AGNES CRUM, INDIVIDUALLY AND AS EXECUTORS OF THE ESTATE OF CHARLOTTE M. CLARK, hereinafter referred to as SELLER , and referred to as "PURCHASER". WITNESSETH, that for and in consideration of the sum of ($ t-/~>:o ~. ~'~, to be paid by the Purchaser to the Seller as hereinafter provided, the Seller agrees to convey to Purchaser a tract of real estate located in the Borough of Newville, Cumberland County, Pennsylvania, more fully described in Exhibit "A" attached hereto and incorporated by reference herein upon the following terms: 1. DOWNPAYMENT, FINAL SETTLEMENT. Purchaser shall pay ten percent (10%) of the purchase price upon execution of this Agreement. The balance of the purchase price shall be paid at final settlement, which shall be held within 30 days of the date of this Agreement. Time is of the essence..: 2. WARRANTY OF TITLE. At settlement, Seller will execute to Purchaser a deed containing a Standard Executor' s Warranty, stating that the Co- Executors have not done or caused to be done any act that impeaches, charges or encumbers title to the property, excepting however, existing buildings and use restrictions, ordinances, easements (visible and of record) and utility right of ways. Said title shall be good and marketable and insurable by a reputable title insurance company licensed to. do business in Pennsylvania. Seller warrants that the restrictions affecting the premises, if any, will not be violated at the date of settlement hereunder. 3. IF TITLE DEFECT. If Seller is unable to convey good and marketable title, Purchaser shall have the option of taking such title as the Seller can give without abatement of price, or of being repaid all monies paid on account by Purchaser to Seller WEIGLE & ASSOCIATES, P.C. -- ATTORNEYS AT LAW -- ~26 EAST KING STREET -- SHIPPENSBURG, PA 17257-1397 and the Purchaser shall also be reimbursed for any title examination costs incurred; and in the latter event, there shall be no further liability or obligation by either parties hereunder and this agreement shall become null and void. Seller is obligated to take reasonable steps and expend reasonable sums to clear title of any liens, encumbrances, defects or clouds which might appear on the title. 4. RISK OF LOSS. Seller shall bear the risk of loss until final settlement and shall continue to insure the premises until that time. 5. TAXES, ETC. Any real estate taxes, rents, water and sewer expenses and the like shall be apportioned pro rata as of the date of settlement based upon the calendar or fiscal year of the respective government authority. 6. REALTY TRANSFER TAX. Ail realty transfer taxes shall be borne equally by Purchaser and Seller; however, Purchaser shall be liable for all realty transfer taxes if his rights are assigned to a third party. 7. POSSESSION. Seller shall deliver full and complete possession of the premises to Purchaser on the date of settlement. 8. DEFAULT BY PURCHASER. In the event Purchaser fails to make settlement as provided, violates, fails to perform or fulfill any of the terms or conditions of the Agreement, then in such case all deposit money and other sums paid by the Purchaser on account of the purchase price, whether required by this Agreement or not, may be (a) retained by Seller on account of the purchase, or (b) as monies to be applied to Seller's damages, or (c) as liquidated damages for such breach, as the Seller may elect, and in the event that Seller elects to retain the monies as liquidated damages in accordance with this paragraph, the Seller shall be released from all liability or obligations and this Agreement shall be null and void and all copies will be returned to Seller for cancellation. 9. SETTLEMENT LOCATION. Settlement shall be held at the office of Weigle & Associates, P.C., at 126 E. King Street, Shippensburg, Pennsylvania 17257 or at such other location agreed by the parties. 10. PUBLIC WATER AND SEWER SYSTEM. Seller hereby advises the Purchaser that the property is/is not served by a community or public water supply system and public sewer system. 11. RECORDING OF AGREEMENT. This Agreement shall not be recorded in the Office of the Recorder of Deeds or in any other office or place of public record. 12. DISCLOSURE FORMS. Purchaser acknowledges receipt of Sellers Disclosure Statement and Lead Paint Disclosure as required by law. WEI(~LE & ASSOCIATES, RC. -- ATTORNEYS AT LAW -- 126 EAST KING STREET -- SHIPPEI\ISI3URG, PA 17257-1397 13. NO HAZARDOUS SUBSTANCES KNOWN. Sellers are not aware of the presence of any hazardous substances on the premises in violation of any state or federal law _and/or regulation. 14. RESERVATION. Seller reserves the right to reject any and all bids. Seller shall accept a bid only via the signing of this Agreement of Sale. 15. ENTIRE AGREEMENT. This Agreement contains the whole agreement between the Seller and the Purchaser and there are no other terms, obligations, covenants, representations, statements or conditions, oral or otherwise of any kind whatsoever. IN WITNESS WHEREOF, theparties hereto have set their hands and seals the day and year first above written, intending to be legally bound hereby. WITNESSETH: SELLER ESTATE OF CHARLOTTE M. CLARK ~cot~ Andrew Clark, Seller as Executor and Individually By: ~/~,~,~ ;;¢~~~ Robert Wayn~ Miller, Seller as Executor and Individually Ju~e Ag~-~s Cru~, Seller as Executor and Individually PURCHASER WEIGLE & ASSOCIATES, P-C. -- ATTORNEYS AT LAW -- 126 FAST KING STREET -- SHIPPENSBURG, PA 17257-1397 SCHEDULE A ALL that certain tract of land situate in the south Ward of the Borough of Newville, County of Cumberland and State of Pennsylvania, bounded and described as follows, to wit: BEGINNING at the eastern half of Lot No. 52 in a plan of lots laid out by the Farmers Bank of Carlisle, pennsylvania, said plan being recorded in Deed Book "W", Volume 5, Page 486, and bounded on the South by Fairfield Street; on the East by Lot No. 51, on the north by an alley; on the West by the western half of Lot No. 52 owned now or formerly of Herbert R. Wirrick. Having a depth of 118.5 feet to the aforesaid alley and a uniform width of 20 feet, a having thereon erected a one-half of a two-story frame dwelling house. BEING that same real estate that Charlotte M. Clark, widow and single woman, by her deed dated July 9, 1996 and recorded in the Office of the Recorder of Deeds in and for cumberland County, pennsylvania, in Deed Book 142 at Page 535, conveyed to Charlotte M. Clark, Robert W. Miller, Julie A. Crum and Scott A. Clark, Grantors herein. Tax Parcel I.D. No. THIS DEED MADE THE (2002). BETWEEN AND day of , in the year of our Lord two thousand and two ROBERT IV. MILLER, JULIE A. CRUM and SCOTT,4. CLARK, of Cumberland County, Pennsylvania, hereinafter referred to as Grantors, ROBERT G. DARIUS and KATHLEEN D. DARIUS, husband and wife, hereinafter referred to as Grantees, WITNESSETH, that for and in consideration of the sum of Forty Eight Thousand Five Hundred Dollars ($48,500.00), in hand paid, the receipt whereof is hereby acknowledged, the said Grantors do hereby grant and convey, in fee simple to the said Grantees, their heirs and assigns, ALL that certain tract of land situate in the south ward of the Borough of Newville, County of Cumberland and State of Pennsylvania, bounded and described as follows, to wit: BEGINNING at the eastern half of Lot No. 52 in a plan of lots laid out by the Farmers Bank of Carlisle, Pennsylvania, said plan being recorded in Deed Book "W", Volume 5, Page 486, and bounded on the South by Fairfield Street; on the East by Lot No. 51, on the north by an alley; on the West by the western half of Lot No. 52 owmed now or ~,,,,e**y ,~, H~.be,[ R. Wirrick. Having a depth of 118.5 feet to the aforesaid alley and a uniform width of 20 feet, a having thereon erected a one-half of a two-story frame dwelling house. BEING that same real estate that Charlotte M. Clark, widow and single woman, by her deed dated July 9, 1996 and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book 142 at Page 535, conveyed to Charlotte M. Clark, Robert W. Miller, Julie A. Crum and Scott A. Clark. Said Charlotte M. Clark died on February 11, 2002, thereby vesting full and complete title unto Robert W. Miller, Julie A. Crum and Scott A. Clark, Grantors herein. And the said Grantors hereby covenant and agree that they will warrant specially the property hereby conveyed. Joan Miller, spouse of Robert W. Miller, executes this Deed to release any and all interest that she may have with respect to the real estate conveyed herein. Witnesseth: Joan Miller Judith E. Clark, spouse of Scott A. Clark, executes this Deed to release any and all interest that she may have with respect to the real estate conveyed herein. Wimesseth: Judith E. Clark Floyd E. Cram, spouse of Julie A. Crum, executes this Deed to release any and all interest that she may have with respect to the real estate conveyed herein. Witnesseth: Floyd E. Crum IN WITNESS WHEREOF, the said Grantors have hereunto set their hands and seals the day and year first above written. Signed, Sealed and Delivered in the Presence of Scott A. Clark Robert W. Miller Julie A. Crum COMMONWEALTH OF PENNSYLVANIA : : COUNTY OF CUMBERLAND : SS. On this, the day of ., 2002, before me, a Notary Public in and for said County and State, the undersigned officer, personally appeared Scott A. Clark, Robert W. Miller and Julie A. Crum, known to me (or satisfactorily proven) to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public COMMONWEALTH OF PENNSYLVANIA : : COUNTY OF CUMBERLAND : SS. On this, the __ day of__, 2002, before me, a Notary Public in and for said County and State, the undersigned officer, personally appeared Joan Miller, Judith E. Clark and Floyd E. Crum, known to me (or satisfactorily proven) to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public I do hereby certify that the complete post office address of the within named Grantees is: Date: Attorney for Grantee COMMONWEALTH OF PENNSYLVANIA : : COUNTY OF CUMBERLAND : SS. RECORDED on this day of in the Recorder's Office of said County, in Deed Book , A.D. 2002, at Page Recorder LAST WILL AND TESTAMENT OF CHARLOTTE M. CLARK I, CHARLOTTE M. CLARK, 'of the Borough of Newville, Cumberland County, Pennsylvania, being of sound mind, memory and disposition, do hereby make, publish 'and declare this Testament, hereby revoking and making void Codicils, or writings in the nature thereof, heretofore made. my Last Will and any and all Wills, by me at any time FIRST: PAYMENT OF EXPENSES - I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. SECOND: SPECIFIC BEQUESTS - I bequeath the following items: A.- Corner cupboard and oak rocker, to my son, ROBERT W.' MILLER; B. Utility chest from barber shop, chair from barber shop, glass pitcher with.eight glasses, and all nu-cut glassware, to my stepdaughter, JULIE A. CRUM; and C. Cedar chest and bamboo bookcase, to my stepson, SCOTT A. CLARK. RESiD~E OF ESTATE - I give, devise and bequeath all the rest, residue and remainder of my estate, be it real, personal, or mixed, of whatsoever kind and wheresoever situate, as follows: A. One-Third thereof to my son, ROBERT W. 'MILLER, and to his issue, per stirpes, .if he is not then living; B. One-Third thereof to my stepdaughter, JULIE A. CRUM, and to her issue, per stirpes, if she is not then living; and C. One-Third thereof to my stepson, SCOTT A. CLARK, and to his issue, per stirpes, if he is not then living. FOURTH: EXECUTOR - I appoint ROBERT W. MILLER, JULIE A. CRUM, and SCOTT A. CLARK, Co-Executors of my Will. Neither my Executor nor any successor shall be required to give bond for the performanceof their duties. I grant to my Executor the power to compromise claims without court approval and without the consent of any beneficiary. FIFTH: PROTECTIVE PROVISION - To the greatest extent permitt'ed by law, before actual payment to a beneficiary or to his or her account, no interest in income_or principal.sba!! be assignable~by a beneficiary or available to anyone having a claim against a beneficiary. IN WITNESS W~EREOF, I hereunto have signed my name to this, my Last Will and Testament, the text of which consists of three l (3) typewritten pages, this 1996. CHARLOTTE M. CLARK, Testatrix In our presence, the above-named Testatrix signed this and declared it to be her will, and now, at her request and in her presence and in the presence of each other, we sign as witnesses: STATE OF PENNSYLVANIA : : SS CoUNTY OF CUMBERLAND : according to I, CHA~LOTTE M. CLARK, having been duly qualified law, acknowledge that I signed the foregoing instrument as my will and that I signed it as my free and voluntary act for the purposes therein expressed. CHARLOTTE M. CLARK, Testatrix We, having been duly qualified according t° law, depose and say that we were present and saw CHARLOTTE M. CLARK sign the foregoing instrument as her Will; that she signed it as her free and voluntary act for t~e purposes therein expressed; that each of us in her sight and hearing and at her request signed the Will as witnesses; and that to the best of our knowledge she was at the time 18 or more years of age, of sound mind and under'no.constraint or undue influence. Subscri~bed, sworn to or affirmed, and acknowledged before me by the above-named Testatrix and by the witnesses whose names appear opposite on this ~& day of .J~'/~ , 1996. Notary Public ~ .... .OT V. Sr . ' BUREAU OF TNDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT, 180601 HARRISBURG, PA 17118-0601 COMMONHEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT] ALLO#ANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSHENT OF TAX RE¥-15¢? EX AFP (01-02) RZCHARD L NEBBER JR ES~J'~ NEZGLE S ASSOCS 126 EKZNG ST ~ SHZPPENSBURG PA 1',~57 DATE 08-19-2002 ESTATE OF CLARK DATE OF DEATH OZ-11-ZOOZ FILE NUMBER 21 02-0222 COUNTY CUMBERLAND ACM 101 Amount Remi ~'l:ed CHARLOTTE M MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGTSTER OF NTLLS CUMRERLAND CO COURT HOUSE CARLI'SLE] PA 17015 CUT ALONG THIS LINE ~'- RETAIN LOHER PORTION FOR YOUR RECORDS 4 REV-1547 EX AFP [01-02) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLO#ANCE OR DZSALLO#ANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CLARK CHARLOTTE M FILE NO. 21 OZ-OgZZ ACN 101 DATE 08-19-2002 TAX RETURN NAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN I Real Estate (Schedule A) 2 Stocks and Bends (Schedule B) 3 Closely Held Stock~Partnership Interest (Schedule C) Mortgages/Notss Receivable (Schedule D) $ Cash/Bank Deposits/M/sc. Persona! Property (Schedule E) 6 Jo/ntly Owned Property (Schedule F) 7 Transfers (Schedule G) 8 Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ado. Costs/M~sc. Expenses (Schedule H) 10. Debts/Mortgage L/ab~llt~es/L~ens (Schedule ~) 11. Tote! Deduct/ohs 12. Net Value of Tax Return (1) (2) (3) (q) ($) 8z520.00 (6) 12~125.00 (7) .00 (9) .00 NOTE: To /nsurs proper .00 credit to your account, .00 sube/t the upper port/on .00 of this fore w/th your tax payment. (8) 6,ggq.68 (10) 675.86 13. NOTE: ASSESSMENT OF TAX: 15. Amount of L/ns lq at Spousal rata 16. Aeount of L/ne lq taxable at Lineal~Class A rate 17. Aeount of Line lq at S/bling rate 18. Aeount of L/ne lq taxable at Collateral/Class B rata 19. Principal Tax Due TAX CREDITS ! PAYMENT RECEIPT DISCOUNT DATE NUMBER INTEREST/PEN PA/D (-) 20,6q5.00 (11) & .0§0. ;~ (12) 15,7~q.q6 Char/table/Governmental Bequests; Non-elected 9115 Trusts (Schedule J) (13) Net Value of Estate Subject to Tax (1~) Zf an assessBent ,as issued prevlously, lines 1~, ~5 and/or 16, 17, reflect figures that include the total of ALL returns assessed to date. .00 l$,7qq.q6 18 and 19 will PAYMENT MUST BE MADE BY 11-11-2002~. ZF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. (15) .00 X 00 = .00 (16) l$,7qq.q6 X Oq5 = 618.50 (17) . O0 X 12 = .00 (lB) .00 x 15 : .00 (19)= AMOUNT PAZD 618.50 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 618.50 .00 618.50 ( ZF TOTAL DUE ZS LESS THAN $1] NO PAYMENT ZS REDUZRED. ZF TOTAL DUE ZS REFLECTED AS A 'CREDIT' (CR), YOU MAY BE' A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS ~ BUREAU OF INDIVIDUAL TAXES TNHERTTANCE TAX DZVTSTOH DEPT. :'8060'~ HARRTSBURG, PA 171~'8-06D1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ZNHER'rTANCE TAX STATEHENT OF ACCOUNT REV-1607 EX AFP C01-DZ) RICHARD L WEBBER JR~ESI~ WEIGLE & ASSOCS 126 E KING ST SHIPPENSBURG ~A, 17257 DATE 08-26-2002 ESTATE OF CLARK DATE OF DEATH 02-11-2002 FZLE NUMBER 21 02-0222 COUNTY CUMBERLAND ACN 101 I Amoun~ Rmmi~md CHARLOTTE M MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 NOTE: To insure proper credi~ ~o your account, submi~ ~:hm upper por~ion of ~his form wi~h your ~ex payment. CUT ALONG TH'rS LINE ~ RETA'rN LOWER PORT?ON FOR YOUR RECORDS *~ REV-1607 EX AFP (01-OE) ESTATE OF CLARK xxx /NHERZTANCE TAX STATEMENT OF ACCOUNT xxx CHARLOTTE M FILE N0.210Z-OgZZ ACN 101 DATE 08-26-2002 THIS STATEMENT 1S PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACM IN THE NAMED ESTATE. SHOWN BELOW 1S A SUMMARY OF THE PR/NC/PAL TAX DUE, APPL/CAT/ON OF ALL PAYMENTS, THE CURRENT BALANCE, AND, ZF APPL/CABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-19-2002 PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYMENTS (TAX CREDITS): 618.50 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER NTEREST/PEN PAID (-) 07-09-2002 CD001589 .00 618.50 ZF PAID AFTER THIS DATE, SEE REVERSE S/DE FOR CALCULAT/ON OF ADD/T/ONAL INTEREST. ( IF TOTAL DUE ZS LESS THAN $1, NO PAYMENT ZS REqU/RED. /F TOTAL DUE /S REFLECTED AS A "CRED/T' (CR), TOTAL TAX CREDIT 618.50 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 YOU MAY BE DUE A REFUND. SEE REVERSE S/DE OF THTS FORM FOR /NSTRUCTZONS. ) I~UOS:~d :~o~ Igsuuoo~ 'obi ~uoqd~I~£ 8B~L-~ (LIL) ss~mppv LggLI V~ '~anqsuadd!qs ~u~bI s~AoS~q .,(iqzuo~o:~ oA~z3u~s~zaoz IZUO~od oq3 u~q,,A re, ms 'ox s! :m,~s~m ~q3 ~-] ON ~ sox :O3oldmoo s! m~3so oq~.~o uop~.~s..~FnP~ aoq~q,~ roms 'I :o3~,so pouopd~zo-oAoq~z oql$o uo~Z~s_ .u:m:up~ oq3;io uopoldmoo 03 3oodsox q~].A~ ~m.~Ao[Io2[ ~q3 ~od~z I 's~In2t ~n°O,stmqcI'zO 3.moo ~uz~;[dns ~q3jo 2~I'9 ~In~t o~ ;mznszn<I. gggOO-ZOOg :' ON. II.~A~ :'oN · .upmp¥ zooz :3uopooa(I ~lo __ ___. We, having been duly qualified according to law, depose and say that we_were present and saw CHARLOTTE M. CLARK sign the foregoing instrument as her Will; that she signed it as her free anci voluntary act for the purposes therein expressed; that each of us in her sight and hearing and at her request signed the Will as wii~nesses; and that to the best of our knowledge she was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. `~ ~ ~, Subscribed, sworn to or affirmed, and acknowledged before me by the above-named Testatrix and by the witnesses whose names appear opposite on this ~~~ day of ~~ L'~ `~' 19 9 6 . .. ~ - Notary Public ~" ~~~' C~tAM4~~pM ~lfPl~ ~ RES APRIL 26, t99t