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HomeMy WebLinkAbout06-11-10 189-09-5034 '.. 09/11/2009 .10/23/1919 Decedent's Last Name Suffix Decedent's first Name MI Shoemaker Kathryn T (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number ' THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS J 15056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT ~' ~ ~~ ENTER DECEDENT INFORMATION BELOW ~ I ~ ~ ~ Q Social Security Number Date of Death Date of Birth FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Retum C~. 4. Limited Estate '!7 6. Decedent Died Testate (Attach Copy of WIII) C~ 9. Litigation Proceeds Received ? ~:y 2. Supplemental Retum c'_m:y 4a. Future Interest Compromise (date of death after t2-12-82) C~ 7. Decedent Maintained a Living Trust (Attach Copy of Trust) C~ 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) c;.~ 3. Remainder Retum (date of death prior to 12.13-82) t=.? 5. Federal Estate Tax Retum Required 0 6. Total Number of Safe Deposit Boxes O 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name _ Daytime Telephone Number _.. _ _ _ Michael Scherer, Esq. (717) 249-6873 Firm Name (If Applicable) i REGISTER OF WILLS USE~LY ~. Baric Scherer •, ~ o First line of address ?' ~" L~ x s y l 19 West South Street ?y 4 ' Z ~ F Second line of address T Ct~ ~., ~ 4 y, City or Post Office ATWI ED O State ZIP Code _____~ _.___._.«.___._ ~ _# ' ~ ~ Carlisle PA 17013 Q correspondent's a-mall address: mscnererLDarlcscnerer.com Under penalties of perjury, 1 dedare that I have examined this return, including arx;ompanying schedules and statements, and to the best of my knowledge and belief, a is true, correct and complete. Declaratbn of preparer other than the personal representative is based on all Infomlation of which preparer has any knowledge. SIGNATURE OFrPERSON RESPONSIBLE FOR FILING RETURN DATE 1309 Sadler Drive, Carlisle, PA 17013 11 Garden Drive, Carlisle, ~A 17013 SIGNAI PI3 E -OTKER TKAN REPRESENTATIVE DATE ,//I / ~. /~~ io AUUKC7A 19 West South Street, Carlisle, Pennsylvania 17013 PLEASE USE ORIGINAL FORM ONLY ',[~ Cf~ r~ r-~ "~f 'i Side 1 L 15056051058 15056051058 V' v J 15056052059 REV-1500 EX Decedent's Social Security Number _ ____ __ Kathryn T Shoemaker 189-09-5034 Daceaenr5 Name: RECAPITULATION 1. Real estate (Schedule A) ........................................... .. 1. 159,099.07 2. Stocks and Bonds (Schedule B) ..................................... .. 2. 16,428.58 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. 4. Mortgages & Notes Receivable (Schedule D) ........................... .. 4. 5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) ...... .. 5. 96,688.83 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Properly ., _._. (Schedule G) C~ Separate Billing Requested...... .. 7. 8. Total Gross Asaets (total Lines 1-7) .................................. .. 8. 272,216.48 9. Funeral Expenses & Administrative Costs (Schedule H) ................... .. 9. 32,535.19 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............. .. 10. 4,106.86 11. Total Deductions (total Lines 9 & 10) ................................. .. 11. 36,642.05 12. Net Value of Estate (Line 8 minus Line 11) ............................ .. 12. 235,574.42 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) ...................... .. 13. 23,557.44 14. Net Value SubJect to Tax (Line 12 minus Line 13) ...................... .. 14. 212,016.98 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 15. 16. Amount of Line 14 taxable ____ _... __. _ at lineal rate x .045 212,016.98 1g, 9,540.76 17. ~. _ Amount oT Line 14 taxable _. __ _ at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 1 B. 19. TAX DUE ....................................................... .. 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 15056052059 REV-15o0 EX Page 3 Decedent's Complete Address: FIIa.Number_... _. ( 28 I, 08~ ; 0539 DECEDENTS NAME DECEDENTS SOCUIL SECURITY NUMBER Kathryn T Shoemaker 189-09-5034 STREET ADDRESS 29 Garden Drive CITY Carlisle STATE PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. CreditslPayments A Spousal Poverty Credit B. Prior Payments 10,000.00 C. Discount 3. InteresUPenalty if applicable D. Interest E. Penalty 477.03 (1) Total Credits (A + B + C) (2) Total InteresUPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This Is the OVERPAYMENT. FIII In oval on Page 2, Llne 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 9,540.76 10,477.03 936.27 Make Check Payable to: REGISTER OF WILLS, AGENT `:- '~! `i !ir'~~gsllasC~il "III{(u ;13'~;lll#i'° N€IJ; ~ €~III£ i~ IIM! , Ilil~l - `uEl~Nllll!~I~~W#(f~i4il~ w nisi .t1a, '!;+ ~ . ,,E. 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 :............................................ ^ c. retain a reversionary interest; or .......................................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. ^ 3. Did decedent own an "intrust 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? ........................................................................................................................ ^7c ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. -tT:~~*~1~...,!?1f'~tu~9~?!u ..tll;~xi'!1~~~1~'~113s'f~~l(G~;iiilil4lliiltllil?ii;l~, : jii{~~€{tE~~.r 19~iliil~±#9~~N{. ~~~'~2U'~z,.; ..:, ` '"~(~I~ ' ".~. For dates of death on or after July t, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of trensfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (6-98) SCNEDI~LE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER property owned solely or as a tenant In wmmon must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. (If more space is needed, insert additional sheets of the same size) REV-1503 EX+ (6-98) SCMEpULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER All properly Jointly-owned with tight of survlvonhlp must be disclosed on Schedule F. (It more space is needed, insert additional sheets of the same size) REV-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Kathryn T. Shoemaker 21-09-909 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointty~owned with right of survivorship must be dlaciosed on 8ehedule F. (If more space is needed, insert additional sheets of the same size) ' REV-1511 EX+ (12-99) SCNEpULE M COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES 8c INHERITANCE TAX RETURN ADMINISTRATNE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Kathryn T. Shoemaker 21-09-909 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t Hoffman Roth Funeral Home 8,544.17 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) see attached Social Security Number(suEIN Number of Personal Representative(s) SVeet Address City .State Year(s) Commission Paid: 2010 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant None Street Address City State Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees ~. The Sentinel (legal advertising) s,. Cumberland Law Journal s. West Shore Oil for decedent's residence io. Bill Malloy; snow plow at decedent's residence 11. Check fee 12. North Middleton Authority: water bill at decedent's residence 12,000.00 Zip 9,500.00 Zip 323.70 375.00 166.30 75.00 748.40 30.00 9.87 25.75 TOTAL (Also enter on line 9, Recapitulation) ; 31,798.19 (If more space is needed, insert additional sheets of the same size) IN RE: IN THE COURT OF COMMON PLEAS OF ESTATE OF CUMBERLAND COUNTY, PENNSYLVANIA KATHRYN T. SHOEMAKER ORPHANS' COURT DIVISION NO. 21-09-0909 SCHEDULE H continued 13. Art Calaman: appraisal of decedent's residence $300.00 14. Wire Transfer fee for securities transfer $12.00 15. Shane Bouder: trash removal at decedent's residence $200.00 16. Norman Eberly: cleaning decedent's residence 225.00 Total $737.00 IN RE: IN THE COURT OF COMMON PLEAS OF ESTATE OF CUMBERLAND COUNTY, PENNSYLVANIA KATHRYN T. SHOEMAKER ORPHANS' COURT DIVISION NO. 21-09-0909 EXECUTORS INFORMATION 1. Phyllis Jones 11 Garden Drive Carlisle, PA 17013 SSN 177-42-4710 2. Doris Townsend 1309 Sadler Drive Carlisle, PA 17013 SSN 206-32-2453 Fee: $6,000 Fee: $6,000 Total Executor's Fees: $12,000 REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSriVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8~ LIENS ESTATE OF FILE NUMBER Kathryn T. Shoemaker 21-09-909 Report debts incumd by the decedent prior to death which remained unpaid as of the data of loath, Including unrelmbureed madlcal expenaaa. (If more space is needed, insert additional sheets of the same size) ' REV-1513 EX~ (9-0O) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ' RESIDENT DECEDENT scN~ou« r BENEFICIARIES ESTATE OF FILE NUMBER Kathryn T. Shoemaker 2009-00909 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Llst Trustee(s) OF ESTATE r TAXABLE DISTRIBUTIONS [ndude outright spousal distributions, and hansfers under Sec. 9118 (a) (x,2)1 1 • :Carlisle Brethren In Christ Church, 115 Walnut Bottom Road, Carlisle 2• Doris K. Townsend, 1309 Sadler Drive, Carlisle, PA 17013 3• Phyllis E. Jones, 11 Garden Drive, Carlisle, PA 17013 4• Carol Shoemaker 153 East Hillaest Drive Carlisle PA 17013 5. 6. 7. 8. 9. 10. W , , Michelle Eager Nettesheim, 109 Strangford Lane, Dufiam, NC 27713 Mark Thomas Eager, 827 Wellington Drive, Carlisle, PA 17013 Scott J. Shoemaker, 9441 Creekview Terrace, Apt.103B, Manassa VA Holly Lyn Price, 104 Spruce Street, Carlisle, PA 17013 Kelly Renee Rimmer, 3 Secretariat Drive, D)Ilsburg, PA 17019 Aaron David Jones, l 1 Garden Drive, Carlisle PA 17013 *CONThNQSD ON ATTACHED ENTER DOLLAR AMOUNTS FOR DISTRIBUTION3 SHOWN ABOVE ON LINES 15 THRO NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO charitable prga~zation .daughter daughter daughter-in-law ,granddaughter grendson ;grandson ',granddaughter ',granddaughter :grandson SHSST* JGH 18, AS APPROPRIATE, ON RE AX IS NOT BEING MADE 10% 14%. 14% 14% 7% 796 7% 7% 7% 7% V-1500 COVER SHEET B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S (H more apace is needed, insert additlonel sheets of the same size) 0.00 t LAST WILL AND TESTAMENT I, KATHRYN T. SHOEMAKER, of North Middleton Township, Cumberland County, Pennsylvania, being of sound mind, disposing memory and full legal age, do hereby make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils heretofore made by me. ONE. I direct my Co-Executors to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. Furthermore, I direct that all state, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property composing of my gross estate for death tax purposes, whether or not such property passes under this will, shall be paid by the Co-Executors of my estate. TWO. I direct that all of my household furnishings be divided equally amount my two (2) children, DORIS K. SHOEMAKER TOWNSEND and PHYLLIS E. SHOEMAKER JONES, and any items which they do not want to retain should be sold at public sale with the proceeds distributed as set forth in paragraph three (3) of this my Last Will. THREE. I give, devise and bequeath all of my estate of every nature and wherever situate to the following: A. Carlisle Brethren in Christ Church 115 Walnut Bottom Road, Carlisle, PA .............................10% B. My daughter, Doris K. Shoemaker Townsend ................14% C. My daughter, Phyllis E. Shoemaker Jones ......................14% D. My daughter-in-law, Carol Shoemaker ............................14% r`~ E. My granddaughter, Michele Suzanne Eager ......................7% F. My grandson, Mark Thomas Eager ...................................7% G. My grandson, Scott Jeffrey Shoemaker .............................7% H. My granddaughter, Holly Lyn Shoemaker .........................7% I. My granddaughter, Kelly Renee' Jones ..............................7% J. My grandson, Aaron David Jones ......................................7% K. My adopted grandson, Gregory Edward Hill ....................6% FOUR. If one of the forenamed has predeceased me, then their share will be equally distributed to their issue then living. If one of the forenamed has predeceased me without living issue, then said share will be equally distributed equally to those named above who survive me. FIVE. I nominate and appoint my children, DORIS K SHOEMAKER TOWNSEND and PHYLLIS E. SHOEMAKER JONES, to serve as Co-Executors of this my Last Will and Testament. It is my express desire that my Co-Executors give the first option to purchase my real estate at an appraised market value price, if I still own it at my death, to my daughter, PHYLLIS E. SHOEMAKER JONES. SIX. My Co-Executors may, at their discretion, compromise claims, borrow money, retain property for such length of time as they may deem proper lease and sell property for such prices, on such terms, at public or private sales, as they may deem proper; and invest estate property and income without restriction to legal investments. SEVEN. No Co-Executor acting hereunder shall be required to post bond or enter security in this or any jurisdiction. 2 SS WHEREOF I have hereunto set my hand and seal thisa'day of IN WITNE , November, 2003. 1 y EAL) KATHR T. SHOEMAKER Signed, sealed, published and declared by the above-named person as and for a Last Will and Testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. CHER L.CLELAND ~~ ~~ r ~- TRACI D. S 3 ., ' ACKNOWLEDGMENT AND AFFIDAVIT WE, KATHRYN T. SHOEMAKER, CHERYL L. CLELAND and TRACI D. SMITH, the testatrix and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. r-~ TH T. SHOE~IAKEl;, ,, LELAND , D. SMITH COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND : Subscribed, sworn to and acknowledged before me by KATHRYN T. SHOEMAKER, the testatrix herein, and subscribed d sworn to before me by CHERYL L. CLELAND and TRACI D. SMITH, witnesses, thisay of t' --` -- """' A. SETTLEMENT STATEMENT U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Huai OMB No. 2502.0265 1. ^FHA 2. ^FmMA 3. ^Conv. Unins. 6. File Number: 7. Loan Number: I B. Mortgage Insurance Case Number: 4. ^VA 5. ^Canv. Ins. RE09-220 C. NOTE: This form is furnished ro give you a statement d auiua setllertrent were. Amoun44 pad to and by the settlement agent era shown. Items marked yp.o.c.)' were paid outside Inc clming; may are shown here for informatiana purposes and are not included in the totals. D. Name and Address d Borrower(s): Hansen Law Otflees as Inlermedlary E. Name and Address d Setler(s): Estate d Kathryn T. Shoemaker F. Name and Address d Lender: N/A G. Property Location: 29 Garden Driw end vaoaM bt, Caresle, PannsyNania North Mbtlletortl Township, CumMrlantl County 29-18-1389-016 017 Place of Setbmant 1 Irvine Row, Carlieb, Pennsylvania 17013 H. Name d Settlement Agent: Duncan 8 Hartman, P.C. (717) 249.7780 I. Cbsing DYe: Disbursement Dale: 2.77.2010 2-11-20717 103. SatlNment eh b f3ortovrer 8ns 1400 2947.75 3. 105. 5, 108. ro 406. Ci Aown rases b 109. hod 2-11-2010 b 8-30-2010 784.3 2-11-2010 ro 30-2 10 7 .39 111. 411. 1 Fr 7 7 ,14 Oroas Amou T 180 7. 9 202. Pdnci nl n 2. Settlement ch b s ens 1400 1 .75 204. 504. Payoff of first mortgage loan 205. 505. Payoff of second mortgage loan T. 507. 208. 11, n lases t- 1-2010 2-11-2010 5 .57 511. n t 1- i• t 2.11-201D 58.57 213. 1 , 21 ~ ~ 515. 219. 518. • T .ea . TieW A 1585.32 ~ ~ 301. G amount due from Bortower Yrls 120 183 732.14 801. Gross amount duet sefkr dne 420 7 7 , From To Borrower 7 To From SeNOr SELLER'S STATEMENT: The information contained in Blacks E, G, H, and I and On line 401,406 and 407 is important tax informaamantl is bang famished to the Intama Revenue Service. If you re repaired ro Ob a return, a negtlgence penalty or other sendbn will bami706ed an you it this item is required ro be reported and Me IR5 delarmirxn that it hoe nd been reported. Vau Ye required to provide ihe5etlertrent Agem with your correct taxpayer identlfka8on number. If you d0 nd provide ma Setlement Agem wth your carted ta>rpayeridendfkitlon number, you maybe subject to civtl or criminal penetiea inpoaed by law. Under penalise d perjury, I cenity that the numbershitwn on this statamenl is my correct taxpayer identification number. j p:: ".: ~-... ... ..-.... /~ yI,1 " ' ` ' ` Paitl Fran PNd From an % - Borrowers SeHds Funds at Funds d 7 L Settlement Settlement 7 i ion t 801. Loon O ' ' Fee % to 803. eofi. aa6. 812. in ur ium f 904. ,.. 1 1. H M s marldl M 1005. Annusl aaawamenta monMs month 1 row ~ sarlent 11 1. i 1 1103. Tills examinetlm to 1108. Nd 1 W 1107. ABaneys lase to Duncan & HerOmen, P.C. 5125; O'Brien, Boric 8 Scherer - POC 125.00 1108. Title inawanca to W illiem A. Duncan. Agent fa Firal American Tale 1,158.75 1111. 111 ~ t201. Rae rd lee6: Deed 64.00 .00 R e 0.00 64.00 1204. 1302. 1305. n 1 7 CERTIFICATI sssO~bbbbN~~~~/yyl~l have carefWy reviewetl Me HUD-1 SelBernent Statement anC to me Oast of my knaMedpe antl belief, it is a true antlaccurate smlement of all ~\~~~ dy\Y`ents made an my account a M me in this hansadan. I fui7her certay thM I received a capyd Me HUD-1 Settbment Statement. '; ,ry- 1l~L~1: ,~..~ris ..w/ signature d e«rowar signmura d tlonw,rer sl{~1 re d sever ExE L , si~alure a ExE~ , The HUD-1 SMtMment~t which I h tired la a true and accurate aaount of the funds diabursetl a to be disburaetl by Meuntlasigned tie part d Me aetlhment d Mia tran~. - ~~ll o SignaWfe d S 1 1 pate WARNING: It re a edme to knew make late stdemenl9 to the UnaW Stales on this a any dher similar tam. Penalties upon conviction can include a fine antl Impdaionment. Fa tlNail6 aM: Title 18 U.S. Coda Section 1001 antl Section 1010. Prepared bv: O'Brien, Baric & Scherer 19 West South Street Carlisle, Pennsylvania 17013 (717)249-6873 ParcellD # 29-18-1369-017 29-18-1369-016 This Indenture, made this r I day of F~1.~6~'~~~7 , 2010, Between DORIS K. TOWNSEND and PHYLLIS E. JONES, CO-EXECUTRD{ES OF THE ESTATE OF KATHRYN T. SHOEMAKER, late of Cumberland County, Pennsylvania, (hereinafter called the Grantors, of the one part, and PHILIP J. RUEGG and EVELYN J. RUEGG, husband and wife, of Cumberland County, Pennsylvania, (hereinafter called the Grantees of the other part, Witnesseth, the said Kathryn T. Shoemaker, by her Last Will and Testament, duly proved and recorded in the Register's Office of Cumberland County, Pennsylvania, as Estate No. 2009-00909, provided inter alia, as follows: 5. I nominate and appoint my children, Doris K. Shoemaker Townsend and Phyllis E. Shoemaker Jones, to serve as Co-Executors of this my Last Will and Testament... NOW THIS INDENTURE WITNESSETH, that the said Grantor, by virtue of the power and authority aforesaid, in said Will contained, and in consideration of the sum of One Hundred Sixty Thousand and 00/100 Dollar ($160,000.00) to it paid by the said Grantees, at and before the unsealing and delivery of these presents, the receipt whereof is hereby acknowledged, has granted, bargained, sold and conveyed and does hereby grant, bargain, sell and convey to the said Grantees, as tenants by the entirety: TRACT NO. 1 ALL that certain lot, piece or parcel of land situate in North Middleton Township, Cumberland county, Pennsylvania, bounded and described as follows: BEGINNING at a limestone at the side of a Driveway on line of lands of the Borough of Carlisle; thence by land of the Borough of Carlisle along a fence line South 18 '/: degrees West 73.5 feet to a cedar tree; thence by same South 4 degrees West 22 feet to a point on an electric pole line; thence by land now or formerly of Dale S. Hench and Mildred A. Hench, his wife, along said pole line North 80 degrees 50 minutes West 179 feet to a pole; thence by land of Dale S. Hench and Mildred A. Hench, his wife, conveyed or about to be conveyed to Jerauld R. Myers and Julia M. Myers, his wife, North 14 degrees 10 minutes East 133.5 feet to a stake at the side of said Driveway; thence by side of said Driveway by a curve to the right a chord course of South 69'/z degrees East a chord distance of 185 feet to a limestone, the Place of BEGINNING. The above description is taken from a survey prepared by Tom O. Bietsch, Registered Surveyor, dated October, 1959. THE GRANTEES herein, their heirs and assigns agree to share in the repair and maintenance of the above mentioned driveway with the other property owners adjoining said driveway and also agree not to block the free use of said driveway either by the parking of a vehicle or vehicles thereon or otherwise. THIS CONVEYANCE is made and subjection to the five restrictions as set forth in that certain deed from Dale S. Hench and Mildred A. Hench to the Grantors herein dated October 24, 1959 and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book "M", Vol. 19, Page 59. ALSO, THIS CONVEYANCE is also made together with a narrow right of way over remaining land now or formerly of Dale S. Hench and Mildred A. Hench from the rear line of the above described premises in a southerly direction to the existing water line of the Borough of Carlisle for the purpose of laying, maintaining and repairing a single water line to the above described premises for the household uses of one dwelling, the cost of laying, maintaining, repairing, filling and restoring the ground to its original level and condition to be the responsibility of the Grantees herein, their heirs and assigns. BEING the same premises which Dale S. Hench and Mildred A. Hench, by Deed dated October 24, 1959 and recorded October 24, 1959 in. the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book M19, Page 59, granted and conveyed unto Marlin L. Shoemaker and Kathryn T. Shoemaker. The said Marlin L. Shoemaker died April 14, 1981, whereby title became vested by law in his surviving spouse, Kathryn T. Shoemaker. The said Kathryn T. Shoemaker died September 29, 2009, whereby title became vested by law in her estate. TRACT N0.2 ALL that certain lot, piece or parcel of land situate in North Middleton Township, Cumberland county, Pennsylvania, bounded and described as follows: BEGINNING at a point on line of land of the Borough of Carlisle at corner of other land now or formerly of Marlin L. Shoemaker and Kathryn T. Shoemaker, his wife; thence by land of the Borough of Carlisle South 3 3/4 degrees West 100 feet to an iron pin; thence by land of Dale S. Hench and Mildred A. Hench, his wife, North 80 degrees 50 minutes West 179 feet to an iron pin; thence by same North 3 3/4 degrees East 100 feet to a pole; thence by other land of Marlin L. Shoemaker and Kathryn T. Shoemaker, his wife and along an electric pole line South 80 degrees 50 minutes East 179 feet to a point, the Place of BEGINNING. The above description is taken from a survey prepared by Tom O. Bietsch, Registered Surveyor, dated August, 1960. THIS CONVEYANCE is made and subjection to the five restrictions as set forth in that certain deed from Dale S. Hench and Mildred A. Hench to the Grantors herein dated September 17, 1960 and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book Z19, Page 936. ALSO, THIS CONVEYANCE is made subject to the easement of the existing water line of the Borough of Carlisle which traverses the above described premises in a general east-west direction. BEING the same premises which Dale S. Hench and Mildred A. Hench, by Deed dated September 17, 1960 and recorded September 17, 1960 in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book Z19, Page 936, granted and conveyed unto Marlin L. Shoemaker and Kathryn T. Shoemaker. The said Marlin L. Shoemaker died April 14, 1981, whereby title became vested by law in his surviving spouse, Kathryn T. Shoemaker. The said Kathryn T. Shoemaker died September 29, 2009, whereby title became vested by law in her estate. TRACT N0.3 ALL that certain tract of land situate in North Middleton Township, Cumberland County, Pennsylvania, bounded and described as follows: BEGINNING at an iron pin on line of the Borough of Carlisle, said iron pin being the Southeast corner of land of Marlin L. Shoemaker and Kathryn T. Shoemaker, his wife (acquired in Deed 19 Z 936); thence by land of the Borough of Carlisle along a fence line South 3 3/4 degrees West, a distance of 250 feet, more or less, to a point in the middle of a small run; thence down the middle of said small run approximately North 62 degrees West, a distance of 270 feet, more or less, to a point; thence through an iron pin (18 feet from the last mentioned point) and land now or formerly of Joseph W. Baric et ux North 22 degrees 10 minutes West, a distance of 153 feet, more or less, to an iron pin; thence by land which Mildred A. Hench conveyed or to be convey to Jerauld R. Myers, et ux North 831/2 degrees East, a distance of 132.5 feet to an iron pin; thence by said land of Marlin L. Shoemaker and Kathryn T. Shoemaker, his wife, South 80 degrees 50 minutes East, a distance of 179 feet to an iron pin, the place of BEGINNING, containing 1.25 acres, more or less. The above description is taken from a survey prepared by Tom O. Bietsch, Registered Surveyor, dated April 1967. THIS CONVEYANCE is made and subjection to the five restrictions as set forth in that certain deed from Dale S. Hench and Mildred A. Hench to the Grantors herein dated October 24, 1959 and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book "M", Vol. 19, Page 59. ALSO, TOGETHER WITH a 15 foot Right of Way for the purposes of ingress, egress and regress from the Northwest comer of the herein described tract of land along the Western edge of the said tract of land conveyed or to be conveyed to Jerauld R. Myers et ux for a length of 108 feet, more or less, and then turning and narrowing to 10 feet and continuing for a length of 158.50 feet, more or less, to a Driveway, said Right of Way being for the benefit of lands or the Grantees herein, their heirs and assigns and being in common with lands of the said Jerauld R. Myers et ux, his heirs and assigns, which abut thereon. The 15 foot part of said Right of Way is marked on the above mentioned survey which is attached hereto and the 10 foot part of said Right of Way is the ] 0 foot Private Driveway set forth in the Deed to said tract of Iand conveyed or to be conveyed to Jerauld R. Myers et ux. BEING the same premises which Mildred A. Hench, widow, by Deed dated May 13, 1967 and recorded May 18, 1967 in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book I22, Page 659, granted and conveyed unto Marlin L. Shoemaker and Kathryn T. Shoemaker. The said Marlin L. Shoemaker died April 14, 1981, whereby title became vested by law in his surviving spouse, Kathryn T. Shoemaker. The said Kathryn T. Shoemaker died September 29, 2009, whereby title became vested by law in her estate. TOGETHER with all and singular, the tenements, hereditaments and appurtenances to the same belonging, or in anywise appertaining, and the reversion and reversions, remainder and remainders, rents, issues and profits thereof; and also, all the estate, right, title, interest, property claim and demand whatsoever, both in law and equity, of the said Grantor, of, in to or out of the said premises, and every part and parcel thereof. TO HAVE AND TO HOLD the said premises, with all and singular the appurtenances, unto the said Grantees, their heirs and assigns, to and for the only proper use and behoof of the said Grantees, their heirs, assigns and successors forever. In Witness Whereof, the said Grantor has hereunto set her hand and seal the day and year first above written. Sealed and Delivered IN THE PRESENCE OF US: ,_1f~/....~~ (°L t/~r~aa.,~(~,~ {SEAL} Estate Kathryn T. Shoemaker ~~ „Q,~ By: Doris K. Townsend, Executrix ~~_1i ~~i~ C~• ~~Z~l/ {SEAL} to of Kathryn T. hcemaker By: Phyllis E. Jones, Executrix Commonwealth of Pennsylvania ) ): SS. County of Cumberland ) On this, the day of , 2010, before me, the undersigned officer, personally appeared Doris K. Townsend, Executrix of the Estate of Kathryn T. Shoemaker, 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 in the capacity therein stated and for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public My commission expires Commonwealth of Pennsylvania ) ): SS. County of Cumberland ) On this, the day of , 2010, before me, the undersigned officer, personally appeared Phyllis E. Jones, Executrix of the Estate of Kathryn T. Shoemaker, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she signed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public My commission expires The precise residence and the complete post office address of the above-named Grantees is: On B I f the Grantees s o~ ~, ~ ~~ N ¢ O Y a~ N y ~~ V ^ ~ ~ a m ~~~~~ W 3 a O ~ iii ! ~~ ~ ~ I `~nit;~l~ilry'~[~~f~(~!; }~;:Gt{jf`E ~;}1i,~~;~i1~e ~ ~~ ~i'~tii,ti;sl'.~,-'~{~ ,'' ,~;_'}}~it(jliil)i~i,ISI;~ ~ ~ ~ aid :1~1~i',~ ?Eij••1~ ~.;~t11 ~~~j~iti~ol~i{~~1~}i " ~ '~.I ~~ {}~i u9{il,i; t~~i~l} Iii :lts~ll~iu~~~~~ill.tt i i ii' I"I'i' ' I ii I rji~. ~ III y.... s , e, , I I I ~~ ~ I~ i ~ 1~1 ( 1 ~l• + YI 1 t' ~ 11 t'• 1 1 ~ j I ~ ~ I ~ ~ II I i ~~~ ~~I ~;~il li~l ~ ~ I I ~~ 11,~~r:~11j~.j! t~+ fit; ft{f~ ~t}~~Jr;1{I ~t~ ~ ~t i , '' I ~~ ~'j,l.!11i~ ,1t.~i~;~ t~~y1 t~l~tp}l ~'i', ~-° I~~ I )'• jj4i',,!11-~i,~'i' f~ ~ viii jt:r ~ #' 1j~ ~ ,tlizt~~ ~ ~jif~,u,1~,!~ „ '' I i r'~ ~~1 1 ii ~i t r Try N ,,! ~ ~ iti~~~`';~,~;jef:~l~~~,l~ !i',~'.(±ijii~i~ 1lj~;lli~ ~I ~I ~ ~ i' l+ jr ~jil1{t~r~lj# {~i~'l-i~fii~i~h'ii;~[!' ,~(iii;,y;!;{}6:'~;it~~Ji~;'i1,,~'rf;,'t•~,,•~it : it: 'i ~!13~It~~P`1r'`'' i' ~ 1 ' ~ 'I~:`t I ~~,,,~1,!t~,+t„Ir,,,s,~i ttllr.~~l~,llillt 11.1 c1 I~ ,,,, ,, ,, „ ntr~ r , ij~ Ij~'{~~' ~~jij~;~~I~~(j~~~ijl,'~'~~1,'j~~i~ ,~ ~,:; ~ ! ~ I;i1,E;1~ ;iyf ~+~j~~,~t'-~~i~1;i'i,r;t#,o ,' , .~ t ,,, , `~ g~~'II,~i~' ~~i!ii~a~i~~~~ll~ti~t;!„i1~1~ rid j i (1:1 ~ j iti11 .~ a c g P rt O i 1 t ~~ ~a '~~ a £ ~ , BP: Historical Prices for BP p.l.c. Common Stock -Yahoo! Finance Page 1 of 2 New User? Register Sign In Help Preview Mail w/ Yahoo! Mail Toolbar ~'~H~!~ FINANCE Search web search Dow ? 0.82% Nasdaq f' 1.01% HOME INVESTING NEWS & OPINION PERSONAL FINANCE MY PORTFOLIOS TECH TICKER --~ GET QUOTES Finance Search Wed, Jun 9, 2010, 2:15PM EDT - U.S. Markets close in 1hr 45mins BP plc (BP) At 2:OOPM EDT: 30.20 • 4.48 (12.91%) TRADE ~~~ ~ """"""""~ ~ ~ ~ FREE~~.,~ ,,[~1~I~~~I rnraaoc srwaius°ua.._ E~`. ...~. .. Historical Prices Get Historical Prices for: GO SET DATE RANGE QQ Daily Start Date: Sep ~„y; 11 2009 Eg. ]an i, Weekl zoio O Y End Date: Sep ,~•~ 11 2009 OMonthly O Dividends Only Get Prices First ~ Previous ~ Next ~ Last PRICES Date Open High Low Close Volume Adl Close• Sep 11, 2009 54.83 54.93 54.23 54.58 4,888,700 52.14 Close price adjusted for dividends and splits. First ~ Previous ~ Next ~ Last ~"1Download to 8Dreadsheet Copyright ®2010 Yahoo! Inc. All rights reserved. Privacy Policv -About Our Ads -Terms of Service - CoovdohUlP Policv -Send Feedback Quotes delayed, except where indicated otherwise. Delay times are 15 mins for NASDAQ, NYSE and Amex. Sea also delay times for other exchanges. Quotes http://finance.yahoo.com/q/hp?s=BP&a=08&b=11 &c=2009&d=08&e=11 &f=2009&g=d 6/9/2010 ADVERTISEMENT Historical Quotes: Charting Tools for Looking Up a Security's Exact Closing Price - BigC... Page 1 of 1 more Enter Keywordls) '. SEARCH Bigl It`L JUST LIKE SCHWAB'S .~ ~ ~~ ADVANCED TRADING PLATFORM. ^" =. tieererrpw.eMUww•.~l+aorrewrsttaltl.~eo.aosab.. ~ ~ d„xrlesscatwea ~ ~ ', ~ ~ Naw Markeldafn Provider» Neere I OaeAe~ Mawro IeJilnletw~ tYh,luts ~ tapodnl Ououe i N1Nee`anddYaala 1 Itaeiwr.Mdusb Thls Hislonul Oudae 1001 afiows you to bok up • uwrilys exatl cbsinq prke. Simpy type n ms eymbd all a NNOrlul tlele to Waw • quele end mini char) br lhN sewrtly. fi~ Enter Symbol: by Eller Date: 9/11/09 BP PLC Fntlay, September 11, 2009 Closing Price. Open Hign' Low volume. 54.68 54.83 54.93 54.23 4,688,735 Go To Charting ~~~ ~ Sponsored Links Penny Stocks Soaring 900% Sign up to the #t Stoek Alert Service for Free Now www. PennySlockGninscom Online Business Degrees University of Phoenix. Eam Your Degree without Putting Life on Hdd Phoenix atlu Experlan®-Official Site Get Your F~cpedanW Credit Score. IYs Fasl, Secure 8 Easy. www.Experiancom Invest In Gold: Goldline® Gold Delivered to Your Door. Free Investor Kit. Since 1960. GolJline com/Gold Scotlnde: S7 Tlades, FaN SteWiant Trade Froe for lb Drys. Trou Naw N FMMXy E'TRADE 6eumks. 'Q AMMIIfl1111N~ TD AMF321TRADE. TnM ass tar 30 drys. kl0plq 1 BQp{p I Job OoocnunMles I comerA us Feedbxk I f jpip Lkanse and intsprats rrewe, wetom fiuntlal (Dole and dale from l)vw Janes CIkM Salukane.. CoPydpM 02010 MarkelWNCh. Ina All dpMa rowrwid. By wing this atle, you ogres to tM Tsrma of Uas end Pdvecv Polkv (updalsd M3103). IMrodry DNe IxovWSO Dy Thomson ReNSro erM suDjeU to temle M uea. HiNOnul end wmM endowry dale proWdetl by Thomson Reuters. IMratlry tlala tlelayetl per axchenpe roquirsnlsMS. Dow Jones Indexes (SM) iron Dow Janes a CanDary, Inc. AN quotes aro In bcN exchange time. Rwl tlms laN uM data Drovidad Dy NASDAQ. Mole M/dmNion on L~ amt tMlr current M1nantlal NNUS. IMrodry dell dNayed 15 mNUUe 1br Nasdaq, and 20 mklulea for atner exNrenpes. Dve Janea IrMexeaSM from Doe Jones a Company, Ix. SEHK InDadry dNe is proNdad DY Comstock entl la N IxN 80.MnNes tlelayetl. All quolea ero In lain exchange tlme. 2-Month daily Chart of BP PlC No Splits http://bigcharts.marketwatch.com/historicaUdefault.asp?detect=l &symbol=by&close_date=... 6/9/2010 _ 06-10-'10 16:01 FBOM- T-104 P0002/0002 F-972 © lrlid~C~ a99 Mitchell Road, Millsboro, t)8 199r~ Adjustment Services Fhoae 888-502349 Fix (302) 93a-2955 June 10,20)0 Bark and Scherer Attolnaeys At Law 19 West South Street Carlisle, PA 17013 Re: Estate of Kathryn T Sl-i eo Social SeCUriri' 1$9-09-SU34 Date of Death: te>txlbe 11 2009 Dear Sir or Madam: Per your inquiry dated Jtule 9, 2010, please be advised that at the time of death, the above-named dt~edetlt had on deposit with this bank the following: 1. Type of Accorau Checking A,cmwrt A.ccorotrNurnb~er 2675020792 LhVrierShip (/VWItCS UJ/ nucn~~ia a .nwr.~iuuei Opening Date 04/01/78 Balmtce on Date of Dear/t $11,286.82 Accrued Interest $ .11 Toep( $1],288.93 For tltrthsr account iolormation, dosares and/or reimbursement oC Ctmds please call the }lid Sheet Ceriisle Oboe at 4Pt17-210536. We w~ umtble to locate auy sde deposit bout rot the sbove•mmtioned decedent. Sincerely, S M Kimble Adjustment Services C m Om n~ Z (D N D to 2 D a x ~Om OAz ~ ~ N moo a ~o m m O ~~ v ~AO C a m 0 G T C Z (mA o -~ nm A Z N N Dy 0 z D x oaz N A y mQQ~O ~~ m <$ mg O w J_ C yyN P 3 c ~d z dS a ~ T~, ~m vm ~~ z N N D N z D .l7 x Mmm V b ~ C c m ~ ap ? %i a N N N v a a~ ;_ 6 N m $' s~ ay~Sa y~ c~ ~ Ll~~SSnE~o T' w q° n ~ N~ w ~ v p ~~ E m G o~ < c ~° 3 ~ °Q Ao y Q n ° FT d ~ ^ ~ ~ ~ ~'' mm ~ O W ~ ? 0 ` b 0 1 '1 O a f N W i ~ A 1 d .~ ~y a ~ G ~ C n f cyD p d¢~ o ~ ~ e b W ~~W~ o f, . m 3 3c . $ ~H o C m N~ ~s~nd ~, ~ O m p ; m a s € as " ° ~ d s"w" G ~~ ~ ~ °v~ ~g~s tea, ~ b N~ y _ ° 1 G ° 7~ 0 ~ O N~ N 6!, (pp f D O O D. m G o ~ ~ m° ~ S ° ~_ ~ ° ~ o 1 m 01 O ' ~ k Al m ~ ~~ w ~ O ° m C i ~ C C C w 4 q ~ C j ; 3°~`~. ~ ~' ~ ~ Q S~m~ G w. $4 °,go rr o 9'gS ~ fi ° °_ ~ ~a~•m s w g° ob5a 3m O< ~o'no~ ~ u'_,am°~ '~~ S+ O n f~(p4p ~ i ° 1 b ~ ~ r°q ~ ` ~ g , .. O. 3 n a t ~. O ~ ~ ~ n S ° .. 1 m o o g g ~ ~ a$~° ~ n ° S ~` ~ o 0 5 v "° o S ~ ' ° ao ~ ~ a ~ ~ ° ° ~ ° ' y ~ O C O c 7° C ~ ~„ ° ~ . ° ~~~ O . ~ ~ N ° ~ ? ^ o W O C ° ~ ~ O ° y C ~ n a Q i O _ o° ~ 3 rp ~ .. o m e ~ O .«m m ~ m ~ ' ~ ~ ~ 3 ~ a ~ 'y'^~ ° ' ~ 3'm m n ~~1 ~ . ° L' ~ tj ~ ° N om mm 3 w3 m~ '° ' ' ~ ~ o~~c i e ?'3 y ~ ~ v S^ ° o ~ m ° M; C O ~' m e N G ~ ~ ~ 5 rTo 1 _ MONO ~°O.N ~m C C ~ R ~ rCi ° ~ ° m Ol Q 1 uC eY. ° ' !1. a a A~ N n Q' u 'D S !°II '0 ~ A' y H ? a °~ O 4°/ ~ ° O ~ 4 ° ~ ° ~ , 0 4t•~°" ~ o ~~ °~ ~ m Ea mn;.m w y~ x S \ „'^gS O~° N ~'t i an N ^'~ ~ ; O Nry N ~` m 1 g p W a .t =, .o y c i ~ ~ m~ m ° 0~3 m a $ o ~ qy m a n ~ N ~ c~D ~" ~ G ~ b o c W 3 ~" H~ 3 ~ o w R~ w ~~~~ r\~~~y m m ~ _° o n -, ~ ~ ~ !~ A/ o ~ 4 ' ~• Ve ~ 3m ~ ~ me ..' rt ~J7 ~, 01 M V _ ° a ~03~ PrL m ° O q x nny 4 2 a Z A Z ~1 y 0 a 1~ n n 0 3 0 a t 0 ?C N r r y ,,~ `~ '' i.v 3 v' r~ ~ ~ ~~ C ~ ~. ~ "p ~ ~ 1 ~ .Q `D 3 aV S ~~ W 0 N ,o W §^~ 'I N w - _ ., _... ; . v ROWE'S AUCTION SERVICE (RH 7aL) 2505 Aitner Highway ~ Carlisle, PA 17015 Bill Rowe (AU 1538L) 249-1978 697-4794 248-2677 Dave Rowe (AU 2295L) Auction Is Action Call "Rowe" For Satisfaction ,; SELLERS NAME ~ -~- -, .-~ ~_~ :fir-a. ~,.i~, r= •> ~? ~,~ o ;~~r. ~ :~...~~,y"" DATE ., ~~ ADDRESS ~ rr ~ i.`•?:.].r~.~~='.3W" !~ r'~ y'~ , !~.`tr't'~Ir ~ 1.~..... ~"%~~i ~ PHONE ~' I -'' z~ ~'~~'~ OTHER AUCTIONEER % ~ ~ ~r~ AUCTION DATE/LOCATION ;=-^~--~ '~ ` `~`"~'~ :'-- '- r ~ ~ ,Y t -' - ~'"~' CLERK % 't--:~ ~•r ~--k,~-'s'--- t= ~ DESCRIPTION OF MERCHANDISE ,~_ r ,_ ~i ~ 9 . .. ~., I 'r.' {!.-n 5P 1!3 L j ? ~ f , 1 e "i;•' .3 •iI . ~ .~ 'T : J ~ ti ¢.... ~. vs. ~:i -.u*= ^- C~ '.. k:) ,) ' i T ._ . ~> ' ' i - ru ~ '~ ~ .....A ~ °.5~ ~ :. ~t'1 ~.'F 4T"" 1 r.- iJ; tJ~- .d,-~,,~ ~~ ~Y~ ~ ~ ~ fL V r ~ 2 ~f i ^ °°°( r . 9 / .~ ,~ ~-H I -~-T • I L,.r~ r ti, r~ - -~ ' '.^. f 7 1-e :_ r ? ' a.~`ti k_` ,.~ i 2 ' 3'='L. ! : •'~~ .' 1 1 ~ .~ '..,~..- /'P s f ... `-. ~,,~j~ . ~.+y i :: i . ~ ~ _ r '5.... a 'Y,'.'~ 1 \ >y+.r ~ Y _. .:~ .. `t _ eta ~•?F+~ .u ~ l ~9w t" ~ t '"^ l _l ^f.- yr, ,~ '/~'-' / j,++,i~ ~.~. yY"h'~f ~t ;; AUCTION SIGNATURE ~~ .r I Commission the Auctioneers to sell the merchandise to the highest bidder by Public Auction. Merchandise to be sold as is & grouped as necessary to obtain bids. I certify that I am the owner or authorized represen- tative of the merchandise, goods and or property and have good title and the right to sell and that they are free from all incumbrances. I agree to accept all responsibility for providing merchantable title and for delivery of title to the purchaser. I agree to hold harmless the Auctioneers against any claims of the nature referred to in this agreement. SELLERS SIGNATURE ~_._:_ Total Sales (Clerking Tickets Attached) $ ~~ ~---, -~' '"?a Less Sale Expense: -~ > ~~ ~! % Commission Auctioneer $ ':~`~ ~ ~~ .-~ -"'~` % Commission Clerks $ OTHER: ~ `. ~~~ '~.. ~ c.}°,._. :it`--~..~. :.:. `~-, e~ ° _..-._ TOTAL SALE EXPENSE DEDUCTED $ ~"~ ~ "( ~''- "" ,~ ~_,-._. { ~- SELLERS NET $ -~'"" ~ -t~°