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HomeMy WebLinkAbout07-09-10 (2)1505610101 REV 1500 °` tO1-3O' ~ OFFICIAL USE ONLY PA Department of Revenue pennsylvanta Bureau of Individual Taxes '~"`~°`~~` County Code Year File Number PO Box z8D6os INHERITANCE TAX RETURN Hanisburv. PA i~vS-o6oi RESIDENT DECEDENT ~ 0 ~I ~ ~ ~ ~ 7 ENTER DECEDENT INFORMl1~tOf~. BELOW Social Security Number Date of Death MMDDYYYY I~31 !o I o~o oo~ Decedent's Last Name Suffix ~ Z ~- (If Appgcable) Entsr Surviving Spouse's Infortnatlon Below Spouse's Last Name Suffix Spouse's Social Security Number Date of Birth MMDDYYYY ~~~ 9 2 / Decedent's'' F~~irst~~N~~'ame MI E LL:1= ~m Spouse's First Name MI rr-n-r~~~~..~ ^ THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE O1/ALa BELOW ~ 1. Original Retum O 2. Supplemental Retum O 3. Remainder Retum (date of death prior to 12-132) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federel Estate Tax Retum Required death after 12-12-82) I~ 6. Decedent Dfed Testate Q 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigatlon Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDQIT - TNIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTUIL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number H < - - . ~~r6-~~r ~ 9 First line of address Second Nne of address Cily or Post Office State ZIP Code C / $ ® ^ CorrespondenYss-mal4address: C@S/~~e/ds3®Cmm~ust. net REGISTER OF WILLS USE ONLY L~ ' C ~ o G t .,. ~ ' m ~ ~ i` „i C.. . ( r ~ 9 J y yr~ .C Y l~' ~~\ W ~~_ t C:7 n C7 4...,, , ~ ~`` _, t.'s ' " '1 TE FILED ~~ .. r ~,•~f~. a Under penaMies 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 flue, correct and complete. Dedaretion of preparer other than the personal representative is based on all information of which preparer has eny knowledge. SIGNATURE OF~E SON RESPIp~IBLE FAR~IQL'NG RETURN DATE Y IU O~ ~ ~~?.~/t7 ADDRESSD'~~ ~~ R)~~ acf.~.Z Clover Ar,117echd~tiesbu.r+r ~ Pf1 ~9vS~' Side 1 L 1505610101 1505610101 J - - - - V PLEASE USE ORIGINAL FORM ONLY J 1505610105 REV-1500 EX Daoadent~s Nara: T3 f 1 T ZEL , DELla4- E. same etrr~w Decederrt's Soaal Security Number 1. Real Estate (Sdiedule A): ........:................................'... 1. .~~ ~~~~~~~~~ ~~~ ~~. D ` ~. O urn D ~~~~ O 2. Stocks and Bonds(Sc~edule B) ....................................... 2. 1 ~ Q 3. Ckx~ely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages and Notes Receivable (Sdiedule D) ........................... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. $ 3 7 9 3 8 7 6. Jointly Owned.Property (Schedule F) p Separate BilNng Requested ....... 6. 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) O Separate BiNing Requested........ 7. ~ [~ O ~ 8: Total Grams Asaets (total Lines 1 through 7) ............................. 8. ~p $ y ~ g 9 9. Funeral Expenses and Administrative Costs (S~t,edule H) ................... 9. ~ ~ g a ~ 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule 1) .............. 10. $ 7 3 T Q 11. Total Deductions (total Lines 9 and 10) ............................ , .... 11. 3 '~ / b a r'o 12. Net Vatua of Estate (Line 8 minus Line 11) .............................. 12. 9 ~ 13. Charitable and Govemrr~ntal .Bequests/Sec 9113 Trusts for which an election latex has rat been made (Schedule J) ...:...........:... ..:.. . 13: ... O a 14. Net Value Subject to Tax (Line 12 minus Line 13) ........................ 14. S ~ / ~ 3 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (ax1.2) X .00 18. Amount of Line 14 taxable at lineal rate X .0 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14;t8xeble at collateral rate X .15 15. 18. 17. 18.~ 19. TAX DUE ............................;..,..._...:........~..:.:....:•.~19. 20. FILL. IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT - ~.t . °t :~ .;- .. Sjde 2 1505610105 1505610105 O REV-1500 EX Page 3 Decedent's Complete Address: Flle Number a ~ -OC~.. ~D ` DECEDENTS NAME STREET ADDRESS 3~ ,t2~~Ew.¢y ~e• CITY ' ~~~~~` ~ ~k~ STATE ~~ ZIP ~ 7O S~O Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CrediL~IPayments ~ A. Prior Payments 9~S'DD. ~o B. Discount ,S DO• °o 3. Interest 4. 6 Line 2 is grea~r than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill In oval on Paga 2, Lina 20 to requfst a rtitund. 5. ff Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (3) d (4) ~ .Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent rrutke a transfer and: Yes N~roII a. retain the use or income of the property transferred :.......................................................................................... ^ I/~ 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. ff death oasurred after Dec. 12, 1962, 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 benefiaary designation? ........................................................................................................................ ® ^ IF THE ANS4MER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R AS PART OF THE RETURN. For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [T2 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 arxi filing a tax return are still applicable even if the surviving spouse is the only benefiaary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 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 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 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 12 percent p2 P.S. §9116(a)(1.3)]. Asibling is defined, under Secction 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. (1) ~y 93S.6S Total Credits (A + B) (2) ~ ~O~ ODO- °o REV-1502 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESIDENT DECEDENT SCaEI'~LE A REAL ESTATE ESTATE OF FILE NUMBER All reel property owned solehr or as a Uenarrt In common must be reported at fair market value. Fair market value is defined as tt~e price at which propeAy would be exchanged between a willing buyer and a willing seller, neither being cxxr-peiled to buy or sell, both having reasonable of the relevant facts. Rql property which Is joinUy~owned with rf~t of aturvivorship mnst be rgecbeed on Scirediule . ITEM ', VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. /¢LL ~//FT /M ~Of Or fi'/~OKI?wI /A~IJI/I~CA~ !.f ,e!if' /Ys. YDC or ~c ~~tl ..S~6a~:rf: oa /Q/~r.t ~.- ~r6if~tu! S~d./:r. ~'~e I, ~,tvnc ~orr.~ii~c/t~~ ~cSC/Ribl- ~ tii fntvMr`t~~sd~ tnoK/Il~i /QeG'o/Y/CI~S °~~ e ~ ~°/a p /yl~ 1~. /~iCr~r-in )n 1L-//q F: ~e.1~ze /, •deifcd it/o 8, tool 4ofd rtecorded !~ SB; d Recorders ~~~t: Inl Rcco rd r3oak .~ ~q P a~ I D 4 3 . Sit.ir p~i»~~s ai+~. ' ilw i~vrtove~ !.~%f~i a c~.v~lli~yv u~~f c~gip pI'tA'IiseS GJiere so/al ~fo ~6b~- L . ~t,~nriano ~r AI? ado, aA/O ~' ~ `vrice a~ /SD, Oqp. oo . ~' tdee~a~~~ ~'` ice e~p~~s o~ ~ Q~ !,'JG~~ ~t,S J'~ ~~i'e/~~~-~ ~S'fitGf ~l~cl c~ . t f S'p~ QOD. no TOTAL Also enter on Nne 1 R 'orh ~' Z ecapltulatl ) ~ / ~'O, DOfJ. (If more space is needed, insert addiUon~ sheets of the same size) .. ~ . r ~~ ! ~ ~ ~ fa G' Tax Parcel No. `~-~ /~` ~~ DEED MADE the ~ day of ~~i...(~A-! ~i .~~t~2001, BETWEEN ~ ~ ,~, ~''' ti c~'~ e~..ce MAX D. MARBAIN, an adult individual ("Grantor"), ~ ~ ~ ~ G ~ c~ '~ AND ~'' ?_ ~ :ti ~ ° e~~ r-~ DELLA E. BEITZEL, an adult individual ("Grantee"j ~ ~ 8 ~`~ ~~ WITNESSETH ~ ,c,ra ~, t„r -o ;;~; That the Grantor, in consideration of ONE HUNDRED TWENTY-FIVE THOUSAND ~ DOLLARS ($125,000.00), paid by the Grantee to the Grantor, the receipt whereof is hereby acknowledged, does hereby grant and convey to the Grantee: ALL THAT CERTAIN lot or parcel of ground situate in Silver Spring Township, Cumberland County, Pennsylvania, being identified as Lot 1'~. 40C on the Final Subdivision Plan for Evergreen Subdivision Phase I prepazed lby Hartman and Associates, Inc. dated July 22, 1997, as subsequently revised dnd recorded in Cumberland County Plan Book 76, Page 69 (the "Plan"), as more particularly described as follows, to wit: BEGINNING at a point on the southern right-of--way line of Ridgeway Drive (50 feet wide), said point being on the dividing line between Lot 40C and Lod 40D as •shown on the Plan; thence continuing along the said dividing line South 1~6 degrees 49 minutes 44 seconds East a distance of 110.00 feet to a point o~ line of Open Space 2 as shown on the Plan; thence continuing along Open Space) ~ South 73 degrees 10 minutes 16 seconds West a distance of 36.00 feet to a point on the dividing Line between Lot 40B and Lot 40C; thence continuing along the Said dividing line North 16 degrees 49 minutes 44 seconds West a distance of 1110 feet to a point on the southern right-of--way line of Ridgeway Drive aforementpgned; thence continuing along Ridgeway Drive North 73 degrees 10 minutes 161 seconds East a distance of 36.00 feet to a point on the dividing line between Lot 4~?~ and Lot 40D, said point being the point and place of BEGINNING. BEING Lot 40C and CONTAINING 3,960 square feet or 0.0909 acre. r •~ SOUK ~~~ ; PAtii:~„~.g~~ BEING part of the same premises which Charles R. Hess and Dorothy R. Hess, husband and wife, by their deed dated March 23, 1998 and recorded in the.Office of the Recorder of Deeds in and for Cumberland County in Deed Book 173, Page 1127, granted and conveyed unto Max D. Marbain, Grantor herein. TOGETHER with the Allocated Interest appurtenant to the Lot as mare particularly set forth in the Declaration of Covenants and Restrictions for Evergreen,: A Planned Community dated September 4, 1998 and recorded in. Cumberland County Miscellaneous Book 590, Page 97, together with all amendments thereto (the "Declaration"). UNDER AND SUBJECT to terms and conditions set forth in the Declaration, to all other covenants, conditions, restrictions, rights-of--way, easements and agreements of record and to matters which a physical inspection and survey of the Lot would disclose. THE GRANTEE, for and on behalf of the Grantee and the Grantee's heir, personal representatives, successors and assigns, by the acceptance of thi$ deed, covenants and agrees to pay such charges for maintenance, repair, replac$~ent and other expenses in connection with the Common Facilities, as may be ~a~sessed against him, her, them, it, or against the said Lot, from time to time by the Executive Board of the Evergreen Homeowners Association in accordande with the Pennsylvania Uniform Planned Community Act, 68 Pa. C.S., 5101 et Seq. (the "Act"), and further covenants and agrees that the Lot conveyed by this deed shall be subject to a lien for all amounts so assessed except insofar as Section ~'4b7(c) of the Act may relieve a subsequent Lot Owner of liability for prior unpaild assessments. This covenant shall run with and bind the Lot hereby conveyed and all subsequent owners thereof. AND the Grantor shall and will SPECIALLY WARRANT the property hl~heby conveyed. IN WITNESS WHEREOF, the Grantor has executed this Deed a.s of the dad and year first written above. WITNESS: ~~ ~~% I ~ ~ (SEAL) Max D. Marbain BOOK ~4~ PAGk~,~~~ COMMONWEALTH OF PENNSYLVANIA n SS: COUNTY OF I ~,c_.~ ,I,~p 1, 1~ ,~ ~~D : On this, the ~ day of`~._n..~~..Q~ ,~it~~r~2041, before me, a Notary' Public,-the undersigned officer, personally appeared MAX D. MARBAIN, known to me (or satisfactorily proven) to be the individual who executed the foregoing instrument, and duly ael¢.nowledged to me that he executed the same for the purpose therein. IN WITNESS WHEREOF, I have hereunto set my hand and official seal.. Notary Public (SEAL) My commission expires: iVWarial Seal Anna Marie Mader, Notary Public Hampden Twp., Cumberland County My Commission Expires Aug. 16, 2004 Member, Per-nsyh~aniaAssociationof-~taries ~;UUK Gib PAGEjL~~~ COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND RECORDED in the Office of the Recorder of Deeds in and for said County in D~~d Book , Page WITNESS my hand and official seal this day of , 2001. Recorder of Deeds I hereby certify that the precise address of the Grantee herein is: _~~ 71a~ I ~c~7-;; ~ ;.,e recorded Lr~ C.'~-~ ~- ~ =aunty FA o, j ~~~y ~ ~~~rt'I~~~~t~' ..Ik SCAM-n 1 ~~ 1 1 ro -a-.:la~e~5s.crai rase r. -~ -a ..a ~a .c ',.. -sa ~ ra tvwrucmx~~~~-, C• tJr w .+- -xt r~rt z Grp ~ -rl~~" ca~a vz ~~~ v Attorney or Agent Grantee iir iw iPF C.rr is i.:e cz-, a~• r {3r .~rsc,c~a r^a."s~c^.br-sue rot ~ c~ w :t ' ~ ti u ~ TJ rte-. ~ ~s` .~-' w :~.+ ~ ~ ro ~ ~ ~ ~ m F... 4 f"~ C.A CJ4 H• ,". a+ ~ • 4 '.'~ F+ G+J ~ O -h. a ~ ~ . . soOK ~~g eacE~,? r9S Tax Parcel Number: 38-23-0571-303 MADE THE oZo,{{i day of ~L ~ in the year of our Lord two thousand and ten (2010). BETWEEN DIXIE L. RIDER, as Executrix of the Estate of DELLA E. T$BITZEL, a.k.a. DELLA ELIZABETH BEITZEL, deceased, late of the Township of Silver Spring, Cumberland County, Pennsylvania, Grantor, and ABBY L. CHIPRIANO, single woman, of the Township of Si~ver Spring, Cumberland County, Pennsylvania, Grantee. WHEREAS, the said Della E. Beitzel, a.k.a. Della Elizabeth B i~zel, was vested in her lifetime with title to the premises hereinafter described, in the Townshi~i of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania; and WHEREAS, the said Della E. Beitzel, a.k.a. Della Elizabeth B~igzel, departed this earthly life, testate, on the 2nd day of October, 2009, and Letters Te ehtary were duly issued to the said Dixie L. Rider, by the Register of Wills of said Cumberland (County, docketed to No. 21-09-1017; and WHEREAS, the lands herein-mentioned were not specifically deivised: NOW, THEREFORE, THIS INDENTURE WITNESSETH~t the said Dixie L. Rider, Executrix, as aforesaid, for and in consideration of the sum of O HUNDRED FIFTY THOUSAND and No/100 (S150,000.00) DOLLARS, and other good land valuable considerations, to her in hand paid by the said Grantee, at and before a ensealing and delivery hereof, the receipt whereof is hereby acknowledged, has granted, bargtha~d, sold, aliened, released, and confirmed, and by these presents, by virtue of the power end authority in her vested by the Fiduciaries Act of the Commonwealth of Pennsylvania, does gralnt, bargain, sell, alien, release, and confirm unto the said Grantee, her heirs and assigns: All THAT CERTAIN lot or parcel of ground situate in Silver $p'ring Township, Cumberland County, Pennsylvania, being identified as Lot No. 40C on the Final Subdivision Plan for Evergreen Subdivision Phase I prepared by Hartman and Assojci~tes, Inc. dated July 22, 1997, as subsequently revised and recorded in Cumberland County 1'la~- $ook 76, Page 69 (the "Plan', as more particularly described as follows, to wit: BEGINNING at a point on the southern right-of--way line of d away Drive (50 feet wide), said point being on the dividing line between Lot 40C and Lot 4 )~ as shown on the Plan; thence continuing along the said dividing line South 16 degrees 49 mi 44 seconds East a distance of 110.00 feet to a point on line of Open Space 2 as shown on Plan; thence continuing along Open Space 2 South 73 degrees 10 minutes 16 section est a distance of 36.00 feet to a point on the dividing line between Lot 40B and Lot 40C• ence continuing along the said dividing line North 16 degrees 49 minutes 44 seconds West a i ce of 110.00 feet to a point on the southern right-of--way line of Ridgeway Drive aforementi n ;thence continuing along Ridgeway Drive North 73 degrees 10 minutes 16 seconds East a i ce o~ 36.00 feet to a point on the dividing line between Lot 40C and Lot 40D, said point bei~~ the point and place of BEGINNING. BEING Lot 40C and CONTAINING 3,960 square feet or 0.0909 acre. BEING the same premises which Max D. Marbain, adult indi dial, by his deed dated November 8, 2001 and recorded in the Office of the Recorder of Daed~ ifr and for Cumberland County in Deed Book 249, Page 1093, granted and conveyed unto Della ~. Weitzel. Her said Estate is the Grantor herein. TOGETHER with the Allocated Interest appurtenant to the Lqt ~s more particularly set forth in the Declaration of Covenants and Restrictions for Evergreen, t+1 >~lanned Community dated September 4, 1998 and recorded in Cumberland County Miscellaln~ous Book 590, Page 97, together with all amendments thereto (the "Declaration"). UNDER AND SUBJECT to terms and conditions set forth in ~~ Declaration, to all other covenants, conditions, restrictions, rights-of-way, easements and jagreements of record and to matters which a physical inspection and survey of the Lot would dis~lbse. THE GRANTEE, for and on behalf of the Grantee and the Grantee's heirs, personal representatives, successors, and assigns, by the acceptance of this deeds Covenants and agrees to pay such charges for maintenance, repair, replacement and other expen~s in connection with the Common Facilities, as may be assessed against him, her, them, it, or ailnst the said Lot, from time to time by the Executive Board of the Evergreen Homeowners Aiation in accordance with the Pennsylvania Uniform Planned Community Act, 68 Pa. C.S. Sl~l et seq. (the "Act's, and further covenants and agrees that the Lot conveyed by this deed sh~11 be subject to lien for all amounts so assessed except insofar as Section 5407(c) of the Act y relieve a subsequent Lot Owner of liability for prior unpaid assessments. This covenant ~ha~l run with and bind the Lot hereby conveyed and all subsequent owners thereof. TO HAVE AND TO HOLD the said messuage or tenement ar~d itract of land, hereditaments and premises hereby granted and released, or mentioned) afid intended so to be, with the appurtenances, unto the said Grantee, her heirs and assigns, to~al~d for the only proper use and behoof of the said Grantee, her heirs and assigns, forever. AND THE SAID GRANTOR, Executrix, as aforesaid, her su rs and assigns does covenant, promise and agree to and with the said Grantee, her heirs an assigns, by these presents, that the Grantor has not done, committed any act, matter or 'rig whatsoever whereby the premises hereby granted, or any part thereof, is,-are, shall or may b~ iimpeached, charged or encumbered in title, or otherwise howsoever. IN WITNESS WHEREOF, the said Executrix of the Estate o1~Della E. Weitzel, a.k.a. Della Elizabeth Weitzel, deceased, Grantor herein, has hereunto set her Ihand and seal the day and year first above written. Signed, Sealed and Delivered in the Presence of: ~~fr ~, ~i>~~ I' s~ -(SEAL) DIXIE L. RIDER, Exec tr x of the Estate of Della E. Weitzel, a.k.a. D lltt Elizabeth Weitzel, Deceased COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF CUMBERLAND ) On this, the ~ day of - , A.D. ~0~0, before me a notary public, in and for the Commonwealth of Pennsylvania, personally appe'~jed DIXIE L. RIDER, known to me (or satisfactorily proven) to be the person whose name is kulbscribed as Executrix of the Last Will and Testament of Della E. Beitzel, a.k.a. Della Elizabeth ~tritzel, and acknowledged that she executed the same in such capacity. IN WITNESS WHEREOF, I hereunto set my hand an official', seal. s~~ F: ~~ ~ Notary Public My commission expires: (SEAL) I do hereby certify that the precise and exact post office address olf the within Grantee is: Attorney for Grantee ~,w~+~"~~ OMB Approval No. 2802-0285 ge A. Settlement Statement (HUD-1) ~~o eNt~ B. True of Loan 1. ~ FHA 2. Q RHS ~3. ~ Corn. Unins. 4. ~ VA 5. ®Com. Iro. 8. Flls Number: IA-2020.p20-C 7. Loan Number. 5701018880 8. Mortgage Insurance Cue Number: C. Note: 77i1a /ornr !a hrMshsd to yl ve you a sfahmerrt d actus! asfllNnsrk costs. Maurits gold to and by the' aettlemsnt agent ere alawn. Items marked (p.ac.)"were paid outslds Uis doalnp,• they era sAown !rare /arlnlormatlorral purposeq end an not Included !n the D. Nems a teas d Borrower: Abby L. Chiprisno 40 Royal Palm Drive Mechanicsburg, PA E Name end Address d Seller: Della E Bsitxel Eshh Dude L Rider, Adminatntrix N and Address d Lender: Fultop gerAc, N.A One Pecan Square Lanclietbr, PA 17802 G. Property Locetlon: 36 Ridgeway Drlve Mechanicsburg, PA Cumberland County, Pennsylvania H. SsldsmeM Agent: Goldberg Katarran Strawberry Square Hanisburg, PA Ph; I. Setdsment Date: Mey 20, 2010 Place d Settlement: Strawberry Square Harris PA J. mm Borrowers transaction K. Bum of >lellere 100. Gross Amourd Due from Borrower: 400. Gross Amount Due to'SN :~. 101. Contract sales cs 150000.00 401. ConUad sales a 150 000.00 102. Personal 402. Personal 103. Ssdlemsnt C to Borrower Une 1400 5865.38 403. 104. 404. 105. 405. A for items aid Seller in vance Ad • for chins d in advance 108 G own Taxes 05120110 to 12137!10 . G own Taxes 10 to 12I31I70 707. School T 05I20I70 to 08I30H0 129.20 407. School axes 10 to 06130/10 129.20 108. Aaeeesmsnh to 408. NsessmsMs ' to 109. 408. 110. 111. 411. 712. 412. 120. Oroes Amount Ow from eomower 158,082.54 420. Oross Amount Due 150,407,18 200. rata Paid or in shall of Borrower u one h Amo rat lei. 201. it or emrst 2000.00 601. Excess d see i 202. Prl arraurrt d new I • 128000.00 602. to, Sal ne 1400 1551.29 203. t3dstl Iwn s taken s act to 503. Edsd I s tsksn• to 204. 504. Flrst 205. 208. 508. 207. 607. I deb. ae 208. 608. 209. 608. r un Id Bell tistrrw r tams u Seller 270. CI own Taxes to 570. C Taxes to 21 t. I Taxes to 611. School Taxis to 212. Neessmsnts to 512. Asssssmenh to 213. 513. 214. 614. 215. 15. 218. 518. 217. 517. 218. 518. 218. 518. 220. Total Paid Ifor Bortower 128,000.00 620. ToW Reduction Amu Seiler 1,551.28 300. t.seh at 8ett1 t fromlto Borrower at m 61NNr 301. Gross arriouM due from Borrower Ilns 120 158 082.64 807. Gross amourd dire h I r Ina 420 150407.18 302. Less amount d Borrower Iins 220 128,000.00 802. Less reducdora due Ile I M 620 ( 1,557.2 303. Cash XO From ~ To Borrower 28,082.54 803. Cash. ~ To I From Ssllsr 148,855.89 The undenignsd hereby • wledge reeeJpt d a c i plated copy.d this ststanent 8 arty altschmenta roferred td hbrein Borrower ~- Seller (6~// 1 L Chi no bell Bsl I Es ~ ,'' ' ~).~ s L. I r, minstratrix iM pY011a RoPOe1M ew'LOn IOr rib OOao01011 of Mbnnolen b oMmoetl Naa mM"Ms poi mponw for ooAOOlne, rovNvrk~p ono ropOrale M t T~lo oyorwy moY net aeMal riio Mbrmotlon, oM you on nolrpuko0 b oompioe rib qrm, unNU aAlpNys • mommy voNO pAeanaol numlor. Ne aonWoMOMb h ooouna: Mo dIWOOUn N mrMtbry.!-hiM Is OoolpraU b provl0• rio OoMo b o RHBPA aoNrW. tanoaebn wMi Nlonnelon durlne rio awnwnt proaoa Page 1 d3 HUD-1 (IA-zo7o•02ac.PFDAA.zot o•o2ac/9>. L. Stettismant Char es 700. Totd Red Estab Brobr Fees wtd From P•w From s on ss cn ne as Borrow.r• s•twr• Fundnt Fundnl 7 a•a•m•nl S•e•m•nt I t 704. 705. 800. Items able in Connection with Loan 1. ur off InaUon cha s Includes Ors InaUon Point a 802. Yaur credit a charge (poirds) for the specific Interest rate chasn S our ust or na on ar 804. sisal fee to Msllaa Kenn 1:450 POC-B 805. Crodit rt to Crsdater a First Adva Co ax aerv ce o tort ca on o q r can rv css 895.00 from GFE ty1 (from GFE #t2) from GFE from GFE tT3 from GFE ttC1 ayt om 150.00 g,~ om 0. om pm 1 om 900. Ibms R ulrsd Lender to Be Paid in Adwncs 901. Dill Interest char from 05/20/10 to 08/01/10 12 S1T.891780/d from GFE *10 212.30 902. Mo insurance um for monUa to 903. omsowne a nsurance r an to orate nn ~• from GFE tKi om from GFE N71 906. (from GFE N11) 1000. Reserves D osited with Lender 1001. Initial deposit for your escrow account s naurance r' mon (from GFE.aY9) 1;202.94 7 a naunnce 1004. Pr fazes months S 1005. Coun Tax 4.000 months S 25.42 r mon month ' month S S 101.88 1006• months Q S per month S 1007. School tax 12.000 months ~ i 100.25 per ntontit S 1,203.00 1006. Local tax 4.000 months ~ S 12.88 per month S 51.44 1009. regale Adjustment S -243.18 1100. Title Cha n 1701. Tide services and lender's title Insurance 1102. Settemsnt a clod tee 1103. nor ti s nsurancs to a t e naurance to g from GFE rY5 1,744,00 88.00 1105. Lenrkr's title II limit 128 000.00 1108. Owner's UUe Ic limit 150 .00 1107. nt's rtlon d Ute toW UUs Insurance emium to Goldner Katanan to tams Abstract Co 348,00 1108. Underwriter's pordonof Ux total Utle insurance rsmium to Stewart Tills Guars 489.00 1109. Tax Csrt Fse to Ooldbe Katzman ', 348, 5, Ogg, 0.00 1 n o vsr 41.29 11 . AUoms a 11 Us orsemertt 1 e rc 1 sr s insured os ng stter 1200. Gowmment Recording and Tnnsfe- Charges 1201. Government records char to Recorder's Office from GFE 184.00 1202. Deed S 88.00 M S 98.00 Refeaaes i Other i 1203. Tnntfsr taxes (from GFE N8 1204. C Coun tax/st = S 1205. Stile tax/s 1 Tr T R r 1207. Transfer Tax to Recorder of deeds S 1, 1300. Additiond Settlement Cha ss 1301. R wired asrvicxs Uwt u can s for fran GFE *8 1302. Hansownsrs Assoc. Fee to Ev reen HO Assala0on 1303. 1304. 1305. 1400. Total Settlement C q enter on Ilnss 103 Section J and 80 8sction K 5655.36 1 551.29 syMOninsp•s.~mtno.at•mmcn•rsnaon.••eknowt•as•r.o.tFtor•oomvNadooFyorvs•aant.i«ovs. nt Goldberg Ka , Shc smell Agent Page 2 of 3 HUD~1 , pA-zolo-ozo-c.PFD/li~zoio-a2ac/1o) REVd508IX. (1~ SCHEDULE E r~~n~ of PENNSnvnNU, CASH, BANK DEPOSITS, 8s MISC. '""~ oF'~Nr c oE, PERSONAL PROPERTY ESTATE OF FILE NUDE 'BEITZEL, DELL/ ~ oZ/-Og- /0/7 Indude the prooaeds of IiBgation and the dates tl~e proceeds were received by the estate. All p-opeAy jointly-owned wNh fM right of wniWaship must be dbclowd on Schndup F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ,. r2E'/~xBuKsE~Ew?'~' /P~o/1,~Tio~U' av s•~' c+~ .~.to ~s ~- ,OS P~ SE TTLE/Xl NT S~16~'T ~1TT.fz(~~ ~E~2ET0.' ~ %n~ y~o (o C, tf,~Twwr~ Taxes ,B. L:nc ~7 School Taxes ~~ ~; 6. 7. 8. 9. G~eoss ~oe~5 sM.E o~ i°~ezoN~ry .¢r I~A~R S /~uC T~oN <see ~trcho~ccis ~shc~ arf'aclu,dJ P/rOCgP~2S ~+eafr sFc~,ao s~ ~ T H.~.~e S Atic~'Tem ~W PN~ ,~¢NK / TEiYIS A~. Car}; •~' Diepos:t •1ib 313 Doa 7So s8 8. zit ~~~r. fi d.v.ct. on 2~ ~ c . c~~-F. ~ ~osrt ~ al7 003 i i 9 i'o a ~. int. /I-c.~r: fn cl.o.d• crh ~f:'in C ~: Cfie~K' ~St: # Sod txr~ bP.39 F ~'~t ~b da ~ a, .zfu~+ ~ G, oSav;~ ~t ~` sov ~o~ a4s9 N. .ant Armor. ~ dod o~ l,~ii, G Csec yq~aa~oh /e~tr a~~ccltcd) ~Qc~und c~ Boa y.~n~f o,- Lot9 Ta.~r Care Nov yii,k Cr.{ ~riS/!/; (/o. ~~ 7T. 98 ~~Z! ao ¢588, YS ~ oT, ao ~o,6F8So cI. ~ f /o, 8/6. T8 ~ 7. S7 ~~,o~~ /s .i8 c~l7, go 6 . i~ ~/b. ~f xnskr. ~nvcrl ~D~-y e f r~~c,; net ~et^s o n a l ~ a.tf'a ~h ed H~~tR's ~¢KcTlarl _ 3~r,0 SM.F' - GRoss ~l2o~tar Hfl'ARS ~C7/b/1/- '1~Ni ~,LF - G/loSS ttkO~S 1992 it3k/tiC LE.S,/JBRE SAN Y//Y. /CYHP53L~~1N413~1~1~' (00;000 pttt,iE3. ~ Sc~ ValKa~tioas a#'aul~tt~l~ ~dr+nundS ~ 1, 078. .o NttluJ 'biwe $eapk ~.Z,SdS °° awa., >< 's 3,9ssb7 ~3~&.sn ~`ro z,oo ~~ly 2 ~ ~~, &ol, SO TOTAL (Also enter on line 5, Recapitulation) I S $ .3, 7 9 ....,. v vpv„v w ~ ~ov..w, n I.l~l ~ awltM Ii71 ~ Itlts4`T (A UIB S~fle SIZ@) Date: 05-14-2010 www. hears. com Settlement Sellers 38 ' ' Item HAAR' S AUCTION MIKE TRINEN EST OF DIXIE RYDEN 2422 CLQVER DR MECH PA 17055 Description 717-432-84!6 rice '. Qty page; 1 otal - Lamp table 1 22.00 - Dryer 1 120.00 Sewing machine 1 1.00 - Tv 1 1.00 '" Tv ~ i 5.00 - Dropleaf table I 9. 0 0 - Washer 1 / .f f B5r 00 Sled 1 3.00 - Ironing board 1 3.00 - T v 1 35.00 - Stand 1 17.00 - Arm chair i 25.00 - Coffee table 1 22.00 - Lamp table i 17.00 - Table-chairs 1 20.00 - Lave seat-end 1 75.00 - Stereo outfit 1 32.00 - Snack trays 1 5.00 - stool 1 6.00 - patio chairs 1 30.00 - Ladder 1 1.00 - Stands, record cabinet 1 1.00 - Night stands floor light 1 0.2'500 • - Hamper 1 .1,50 - Ch ai i r 1 1.00 - Lawn chairs 3.00 2 6.00 - Sewing machine 1 1.50 - Chair 1 1.00 - Wall stand 1 8.00 - Cushions 1 1.00 - Sweeper i 22.00 - Chair 1 1.00 - Drum table END i 10.00 Items s 33 Amoumi~ s 588.25 Co m m i~s s i on at 40.000K 23$. 30 FUEL SURCHARGE i 1~ 00 Less ad,justmenit~s -245.30 Net due to sell~r~: 342. J5 www. hears. com HAAR' 3 AUCTION ' ~'1?-432-9246 `~D te= 05-21-2030 www. hears. coax HAAR' S AUCTION 717-432-824fi Settlement MIKE TRINEN Page: i Sellers 38 DIXIE RYDEN 2422 CLOVER DR MECH PA 17055 Item Description Price 'Qty Tatal - Pedestals--stand 1 4.00 - Planters 1 3.00 - Vcr ~ 1 0.2500 - Chain saw 1 22.00 - Flaor light 1 5.00 - Cushion-lat. i 0.2500 -- Weed eater i i. 00 Edger-weed eater 1 0.2500 - Chest of drawers i 47.00 - Rug-headboard-patio table 1 5.00 - Sax spring-sattress 22.00 2 44.00 - Dining roam suit 1 50.00 - Bed frame 1 . 17.00 - ~ Sweeper 1 0.2500 - Light-bookcase-end i 7,00 Iteats: 15 Amouin~: 207.00 Commission at 40.000% www. hears. eom HAAR' S AUCTION ~~ Bar 80 Less ad,justa~en~~a ~ -82.80 Net due to seller: --124.20 ~' 17-432-824fi Jan. 12. 2010 3:25PM PNC BANK 412-105-2747 ~~ :.~oa+s'r~rraY January 12, 2010 Chmcles Shields III Esq 6 Louscr Rd Mechanicsburg, PA 17055 RE: btatne: Della E Beitzcl SSN:183-12-1316 DOD: 10-02-2009 Dear Mr. Shiclds: No. 4813 P. 1/2 In response to your request for Date of Death (~D) bslaoces for the customer noted above, our records shov--the following: certiscate of Dep,~it . Account # 31300275058 DELLA E BEITZEL DOD balance: 510,688.50 + 1.66 accrued iatGr~t labcrest paid 01-0I 2009 thru 10-02 2009 589.23 YTD Account # 3 1 7003 1 1 962 DELLA E BETTZEL DOD balance: S 10,816.78 + 7.57 accrued interest Interest paid OI-01 2009 thrn 10-02-2009 5198.31 YTD Cb~ Account Account # 5070076839 DELLA E BEI;t°ZEL DOD balance: S'1,042.1~5 + 0.18 accrued interest Interest paid 01-012009 tliru 10-02-2009 52.50 YTD Savi~~s Accao~ . Account # 5002072959 DELLA E BEITZEL DOD balance: $47,$06.14 + 16.54 accrued, intermit Interestpaid 01-01 2009 tbru 10-02-2009 5"153.52.YTD~ Establish 09-28-2005 Establisihc~ OS-07-2~7 Established: QI-O1-1974 Establis: 06-30-z 999 Ao„o i .,f7 Jan. 12. 2010 3:25PM PNC BANK 412-105-2)4) No. 4813 P. 2/2 Safe Deposit Boz The cUecedent maintained safe deposit box # 1452 DELLA E BETTZEI, looted at: . Mechanicsbwg Branch 2 E Main St' Mechanicsburg, PA 17055 717-691-4011 ' Please mote that this officx provide.S dale of death balances for deposit accounts (lltAs, CDs, j (Ihecitiug aad Savings). We do not pr~cesa sny 5aamcW trsaaaeliom or provide sbite^reaa. If you a¢old assistace with any of thesc items, please call 1-888-PNC-HANK (l-888-762-2265 or stop by your 1oca1 p1~t~ Bank branch office. sinccrcly, National Fitxancial Services Ce~ater PPTC Bank, N..A. Member FDIC Pswr. ~ of ~T of ~6rTZEZ, DEZG~ E. fi cF~t,cv. 2~ v9 ~a~ ~?~h1/ZED .UST ox' /~~SoN~Ty ~YoT .Sc~T ~ ~1/~,S ~'.71eid ~ .S~ ~. ~~~ ~s,~c w:/_Y, sr~4~l' ~k ~u ~ ~ ~ne~c.--s pia, ~ ~: D/~ c~Oiiy T~ fis: ~, sir ~// /ll~l~1~/e ~/~ _ ao ~S o . a 6.. ~ f9icQ~.f e~' C~ii/t4 ~~0, 00 ~/ld'/'~P~LlIt~I .tffCS (// (~ L.00 9 L' ~lYiSi/1; !~-~~ sf/~il~~ ~~ Lt~h'ffC/'~f5~/I?i/Y'1~ ~ ~S/J~-t~/ ~'itk~- Q ~~10. Do ~~ I~iSC Q4i' ~ItAG~i/ ,~j f/s; 00 ---~_ ~3`f8. SD e: 06-16-2010 www. haars. com Settlement Seller: 38 HAAR~ S AUCTION MIKE TRINE DttI~~ X I ECLRYDEN ~E~~ GAOL 17Qi55 Item Description - Pox of dishes - Box lot x mas - Gan lot - Box lot weeds - Dishes - Oven lot - Flatware - Luggage - Gicture - Pans - Box Iot towels - Box lot basket - Box Iot - Bird feeder Iot - Dillow Iot - Box Iot books misc - Box Iot tub Iot -- X mas I of - Gan lot - Heater - Box bag Iot - Vcr player lot - Box Iot - X mas Iot - Glant box lot - Glant lot shelf - Gic lot - Linen lot Commission at 40.000% 717-432-824f Gage: trice Qty 'Total 1 1.00 1 0.2500 i 2.00 1 3. 00 1 0. 5000 1 0.5000 1 5.00 1 0.2500 1 0.2500 i 0.2500 i 1 i . 00 1 2. 50 1 3.00 i 3. 00 1 5.00 1 1.50 1 2. 50 1 1.00 1 3. 00 1 ~. 00 1 6. 00 i 0.2500 1 2. 00 1 1.00 1 3.00 1 i . 00 1 0. 2500 1 i . 00 Items: 26 Amount: 62.00 X4.80 Less adjustme~hts: -24.80 Net due to se11~r: 37.20 www. haars. com HAAR* S AUCTION 7~7-432-8246 _ _ `L`~ ate: 06-i1-2010 www. haars. com HAAR' S AUCTION 717-432-824f Settlement MIKE TRINEN/DIXIE RYDEN Page Seller: 3E3 2422 CLOVER DR MECHANICSBURG PA 17055 Item Description Price Qty 'Total - BEDSPREAD, SHAMS SET i 1.0@ - RUNNER ~ i O.51aO{i - FLOWER 1 3.Of~ - GLASS COMPOTES 1 O.25Ok - BINOCULARS i 6.0Q - CANDLEHOLDER, FLOWER ARR 1 4.0~ - HOLIDAY STAR 1 0. 5O0Q - CDS 1 4. OQ - SILVER TRAY, CANDLEHOLDERS i 0. 250 - CANDLEHOLDERS 1 O.25OQ - P I TCHER, B I RD i i. OQ - BOXES 1 0.2500 - GDS 1 4. 00 - FENTON PIECES i 5. 00 - REFIG DISH i 1.00 - CANDY DISH, JAR 1 6.00 - PITCHER, BOWL 1 2.00 - VASE LOT 1 0.2500 - LIGHTS 1 5. 00 Itea~s: i9 A~nownt: 44.25 Coa~eission at 40.000% 17.70 Less ad~justeents: -17.70 Net due to seller: 26.55 www.haars.com HAAR'S AUCTION 717-432-8246 ' ;7sf°'~ ~; ~~ i- r ~'~, 4 ~ > .p IV f~ ~~ /~~i/y// ~ if1'~' ~/~~~,~~,j~~~ / ~ ~~~y 1 '~ ~ / •• ~ ., r ' { ' ~ ~ ~ w, ~ ' ~ _ 4s ,,;lr Fi AS ~ .~v ~p yNC~d"!R d'.~1S4.E{~x.1 ~e'CS~ti~i'~A'-'~} k % ,~~AL 'MILEAGE - ~,~,~: s ~ ~'~~ . ~! ~ ~ ov+riefllSl ~ ~ . ~,.. ,~ , ~ Oj f4.LA E ,BEITZEL ~ ~ ~- , ;~• ~ .,~ ~ .~ °' O ~ ~ TH M A PA 17 7 ~ F - Otf ---i ~-°""""" •°" i 02 ;~ ,,, , i/ f ~~ ~ ~ Loga~o i/ ~ _ 'Y/ P ~. FiLY ~ R-NHG01197~,yED` ~ qp j ~i~ ~ ~ V ~ q .. ~ C-IEN FAVDR OF. ii a ~ ~ 3ECg1p LEN FAWR OF f X - FO/iMEil{.Y ~,~. ~ ~~ST BAMK ~ YRUST C0 : 1 ~~ i~~~` ~-~ ~ F,IF~ST kI~I RELEASED `~'~ - ~- -- ~ - ~ ~ w` HNeNnldart~.~holFiv 4. 6s~f, '9a' ~itlebleuon d tll9. ~ ryg ~- ~ tltla jNM to H e 8 _. ~ i urrau d~ kblor appraprlab. M/m ;i: ~ ~ *" ~ 2 ~ 1~~~ .%i~, ~ .. ~ SECOND LEN ~4EA6ED q LdAWNG ADDRESS ., _.., r ~, r„ .-itk~ro c:.rax.~, 'r.., FIRST BANK E TRUST CO -~4: ~` ~ , ~~ ~x~, F, ~.,.'. MAIN E MKT ST t-~~;.._;.- y .. , ~~ i. MECHANICSBURG PA 1705 ~ ~'~ a 1 ~ . ~ ~ ~~'" ~-~~' k 5 ~ ,~ ..; ceSabre car appraisal. Used Buick car pricing. .d8abre Appraiise Your Car eed 4dr Sedan ~ Show All Stvies TMV Ptidng: Anoraiae Your Car Phg1~. A Editor's' Ratlng NOt Yet Rated ~ Read the Model Review Consumer Rstlna rf Reviews ~1NHte s Review FuN Economy 19 mpg 7/2/10 1:53 PM 9EIIrC1;E 9POTI.ICR7 menicao ocxtn~s y ..,...... ,. _ MIit1M077.YE WE7tt/ORK i~EMVnE17Elt s ' AFF0RDI161i. 1711 CALCULA70R ~ I - TRUE MARKET vAIUE ........ __...... ..~ ..._ , ahor ~Me~iht CARRNS.! s 91en Ue Tndaal ~ ~ ~ Flnd eu hor muds you i•n affod ~~ ~ ~~----_._i_~_. R tMtid out hor marp , nwrds ~+cisl on ~ a us•d uri ? , OK Inc•M1ws, ~ freo woos, nod ~ T•A us your d•sind montMy payment i rke rang far •t • ~ ~t VYI91 Edrteetds 1NVi ya4 9~ty~ ~b P~ MWnaM baud on Y!a+l' ~IC~. Yom. 9 i d asts, syy shots E ~ P 9 oris. op n as, and your dss i auto ntut. ~' v next ur. Y ~ ~~ ............_..~.~~ ........r.......,.......j ~,,._~..»,.« ..............~,,...~.~.~,. M..~..._,.w.......~ ....»....m. ... .,.. . .........,._..,.....__.. auyMq • fM11nE • Vfary Ail Sivlas • Appraise Your Car • Prk~s in Your AreF • Rusk Values • Trt~ Cost to OMm vettta. oetNa • euma • ~d~06mntic • S~ • ;. sl•tkMwdla • , • RatMaa a RavNws • i1~1.BBld!!9f • Road Tasl Ratlnas • Road Test Review • • Awanis HiatDrv • (, • ~iiii'n4L Nelphrl Toob • .S~Yi@ • g . Terlutical Service • e=_~ L~ g`~Ir krL-Inca • ~~rtn ~,..ns as_ low as 3.95% APR • Sall Your Gr Dnline Used Car Appraiser 9esdc v'xwic~¢ru•nisN.. STt't ~ Revittiw Editatttds.com PtitanR Repod Tres Mrk•c Whit"' 992 auldc LeSabro Limited 4dr 7t~E>~-3n ~' P=rb Sedan Natbnal Base Pllcs 1395 1728 54 58 AM/PM/Csssetts Audb System S2 :4 Power Extarler Minors SO ;0 Cruise Control t'2 ~ Cdor Ad~atmant i0 5.1 Whke B4~9llal Jllftmant 5-27 5.49 for Lp Code 17055 5392 5392 60,000 tulles C~,ndltlon Adiu moot i0 50 dun Tool s7e+ r+,oy>< certNied used vehlde Prloa Another Vehlde Pdnt Window Stldcen: Trade-In 1 ~yate PeRV I Deal er Retail Biryfng a New Card C3et now car prkirtp In your aroa. ~~ ZIP: 17055,; j E~atalt 11,284 119 ;9 i:0 j10 5-1 5-88 5392 50 51,606 wA http:!/www.edmunds.com/used/1992Jbulck/lesabre/509/optbns.html7tmvaction~vdpresult Page 2 of 3 1992 Buick LeSabre -Private Party Pricing Report -Kelley Blue Book ~- r__. __ 7/2/10 1:56 PM SEARCH ~~~ THE ~"` Name New Cars Certified Pre-Owned Used Cars Research Reviews & News Dealers 6. Inventory Gars For Sale Used Car Values 1 Search Used Cars for Ssk 1 Certifkd Pre-Owned ~ Compere VehideS ( Perfect Car Finder 1 Most Researdied Vehkles ~ CARFAX Vehkk History Weltoma Bade 1 Spn In ~ Create Account I My KBB ZIP Code: 17055 Recently Viewed You Might Also Like Free Deafer Price Quote ''~~tt ~ New and improved Used Car tistings. You just might find a deal tfiat's tao g~c! ip pass up. `.::" ~.. I I I -'S: lit > JIa~. Sits > 3~2 > Jlilkk > 1~ .> tJmitesd Sedan ~D 1992 Buick LeSabre Limited Sedan 4D T2de-In Value Private Party Value Suggested Retail Value CPO Value Photo Gallery Cars For Sale :+rwl Compare Vehicles Blue Book Review Consumer Ratings Find Your Next Car Specifications !U1 A llSE{1 tAt On slue Besok classifiesds'^ CC::._ __ ._ __ _. i Near ZIP ~ 17055 _.. _..: To Vises Ada" Clldc ~ Shopptnq Toots Free CARFAX Record Check Auto Loan from 3.65% APR Get Your Credit Score Now Compare Insurcnce Rates with Progressive Payment Cakulator Extended Warranty Quote Priirt For Sak Sign i9ND TIC iiGHT GR Compares Used vs. New and UsM~.. ro vlesw use, aidi 1ilEM AMOiHE! IIENIUE ~sIWCFRYe ...._ - , SeM[t Na4e..; 3MectMOO~t:;; .:~ ~ et1JE BQ~iC' PIIY~1`E PAR1Y YitIUE >~ rY ~-~+ Gonditlon twa+rs rssr Yaiue Excellent $2,750 $2,525 Fair $2,025 More Photos H f ~ ~1E ~ e SEARCH LOCAL LISTINGS Free CARFAX Record Check PO11e'"d ~' ' VIN No VIN? No Problem) Aversye Consumer Rating (240 Reviews) ` Read Reviews r, *{} 4.4 out of 5 Review this Vehkle E Vehieb Hiphli0hts 4 i lMlesapes: 60,000 lnplries: V6, 3.8 later s Transmiadori: Automatk Drivatrain: FWD Selected Equipment Se d d Chsripe Equipment sn sr i Air Cariditloriing Power Door Lacks AM/FM Stereo Power Seeatng Tlk Wheel Cassette Power Wkidovrs Ctuise Caritroi Steel Wheels Blue Book Private Party Value Kelley Blue Book Private Party Value fs the amount a buyer can expect to pay when twykiq a used wr from a private party. The Private Party Value assumes the vehkie is sold "AS Is" and carries no warranty (otlier than any remaining fscoory warranty). The nriM sak prke meY vary depending on the vehkie's actual oondkbn and local market condkioris. This value may also be used to derive Fair Market Value for insurance and vehkle dwvitlon purposes. Pabst Car News 1o cooket cars under s18,oo0 More News ®Save Vehkle Pr{ryt ~ Email http://www.kbb.com/kbb/UsedCars/PrlcingReport.aspx7Yearld~1992b...11462%7c34308%7c17p55%7c0%7c0%7c6Condltian~~alodBQulzConditions~ Page I of REV-%10IX. (7A'/) CoMMONVUEA~rH of PENNSrLVANIA INHERITANCE TAX RETURN SCHEDULE G INTER-VIVOS TRANSFERS ~ NNSC. NON•PROBATE PROPERTY ESTATE OF FILE NUiMBER'~ ' SE1 ~'ZEL, ~~~ ~ a/-D 9 fo/7 This schedule must be completed and fled ff the arm to arty of Qs 1 through 4 on the reverse side of the REV-1500 COVER SHEE!f is yes. REM NUMBER DESCRIPTION OF PROPERTY n«xuoE 1~ RA-E of THE TRANBFERff, TIEUt RflATION8INP To DEf~BTf ANDTIE DATE of TRArls~ei ATTACH A COPY Of TIE DffD RDR RFK ESTATE. DATE OF DEATH VALUE A 96 OF DECD"S INTER T EXCLUSION TAXABLE VALUE 1. ~ yirk L: ~t ~/1/lrti ~ .+~' N3 /7,Z Sf?,,3 X58, 893./7 / 00'0 ~'' --o -- xS~i ~~/7 BeaG~'~:ories: /elrnoh '~C~fZ[.~, Sort ~l4 ~Dixic ~i;der, dau.9h~zr Y~ 'Bc; t~l, S ramdscn m ~ chat;l Se~~acl, rand so~+ y 8 ~ Cs~ /al~~,~o,, f~tr a~'u~rd> .?. ~~tki- Trkst Nen-Qka/r~eq~ ~nnai~cJ f/ ~~~.?53.?l lOm~r -o- 3~.?~f~ ~?53.? ~ ~~ DDD /Ob bS10 ~ F IBer~e~i~c f arics 3a-r4 ~deifiicl, ~ y9 /G1`hoM Qei~C1, Soi4 y~ ~, x;e R;~~, ~ ~~, y~ ~t~ ~:t~i ~s~,,, yd ~ ~; ~ ~~, ~~ yg rs~ ~4~Ka~~ ~~ ~~~r> 3 S~1C amt ~ w~ct1 g (k'ecd ~~ ~Taa) j ' ~ ` ~~ N~. ~bo3~flo8 Sf9, 33Y6Z ' lOO~e ~ 33y(6: ~ ~1-self KO. ~b 2~ob b5 ~'~6, sGb.rz /oo fie - .- ~ rye, SEf~.s (v~r/a~~en Aror~~c~ ~ ,&>rrd/ey ~•c/ •~ lr~radi// 4 ~Q~ed B~.~tris) )7~ttr/ Qai fzr.1~ Son 73 vG+tton ~1 ~'ttl , Sort y3 ~~»e R.d~~ da,~.ter Y3 (IF more space is needed, Insert TOTAL (Also sober on line 7, Recapitulation) I s ~ 7 ~, p ~ ~-. same TAe Compoa~yYsn deepB October 29, 2009 James Day - NYLIAC 3401 N. Front St. Suite 100 Harrisbul~ PA 17110 Annuitant(s): Della E. Beitzel Policy(s): N3 172 423 Claim #: 184553 Dear Mr. Day: New YorkLi[e Lwranee Compn~ New York Li[e Iowrance aed Ararily Corporation (A Dsiawa~a Corporation) NYLIIiE Iwuranrce Company o['Adsona (Net 6tenced in rvery ctah) P.O. Box 6916 Cleveland, OH 44101 1-800fi95=9873 www.new~nnKi~E.cone .4goent/Representati ae: I am pleased to reply to your request for tax information on the above annuity. Form 712 which you requested, is only used in the filing of estate tax for Life insurance contracts. However, th$ following information should be of assistance to you: Annuity Policy Number: N3 172 423 Issue Date of Annuity: February 24, 1990 Value as of Date of Death: $58,893.17 This Deferred Retirement Annuity was issued to the decedent providing for life incoa~ p~y~nts to commence at maturity. As the annuitant died prior to the maturity date, the full proceeds ~v~re payable to Barry Beitzel, Vernon Beitzel, Steven Beitiel, Michael Beitzel and I?ixie Ride[ as benefidiaries. I hope this information will be helpful to you. ff you have any questions, you may contactl, me at the toll- free number above. Sincerely, Nancy Bellamy Claims Associate III i __ l1sc..d l t ~ 300 9 ~S ~'• VIII E ulTrust~ Life Insurance Company November 23, 2009 Chazles E Shields, III 6 Clouser Road Mechanicsburg, PA 17055 RE: Policy Number: EQ0001066404F Owner: Della Beitzel, Deceased Annuitant: Della Beitzel, Deceased Mr Shields III We have received your request for the value of this contract as of the date of death of Ms Della Beitzel. We have also received authorization from the Administratrix of her Estate stating we may release this information to your office. Per your request here is the account value information you requested as of October 2, 2009. Accumulated Value $224,253.71 If you have any questions, please call our Customer Service Support line at (866)-598-3692. Thank you, Customer Service Cc: Dixie Rider .._ ~ ~ , ~.; EquTrust life Insurance Company • PO Box 14500 • Des Moines, Iowa 50306-3500.8661598-3692 REV-1511 EX+ (12-99) SClIE~lLE N COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES $c INHERITANGE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FlLE NUMBER Debts of decedent must be reported on Schedub I. ITEM A. FUNERAL EXPENSES: ,. /~1a.IpCtzr central ~ornt, ~ h1c.chanicsb4~, P~ xg,S6~.~~ ~ii/t~rcli /It~I~'~s/s }`o?bo•Do 3. FtcnGrnl ~l d1 ` ~p~s fin ~~~. 00 ~- IS(o~orari~ t• ~v. Zkerii~ 'f3o~.o0 vs tdd ~o Hari u », ~`o' /yi; n~/r ,(;j r ' ~ D/~4iti sf /aa, ao e. ADMINISTRATIVE. COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) _ ~ ~ x /F L . R l ,rfl~ 7 ~ ~, ~ ~~ Soaal Security Number(s)lEIN Number of Personal Representative(s) Street Address oZ ~ %; ~ Clover cty lY)e Ch~.,l:cabx><.. state _~ rp 17o S".S' Year(s) Commission Paid: 2. Attorney Fees CI~arIGS !~. SI,~ a.~ds Tzi ~ ~$~ . ~[ ~r ~~~ pD 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant NO A?~Lc ~L/~e//3 LE ~~/~~ Street Address City State Tip Relationship of Claimant to Dece dent 4. /~ 1 Probate Fees Wr7.a oPt~jlAdt i SS GG ~ $I~pt't' CtZrt',F7~C~ ~~ f1. ~ 5. Accountant's Fees foarr.T L3~~Cb ~~~ ~ f-I~ ~ QIoG~C~ mCC.I~lalrLt~.p4~'~i S~~ of1 Prep. of 1040,. P~'~o, IUD /off/, p~ 4cl 6. Tax Return Preparer's Fees ~. Rd~u-i~rsil~4 in C.w..lszt.,<-~ar~d L`-wr+'~~ Bsr ~~ur+nal ~S.dd ~ /Frh/tirt ~ s ~nJ ; N Carl *sle Sctn~: ne I j f S/S. AG 9. A-dd~ fi~oNdl 54tart' c.crf i ~"ca-~.: ~~o~ oQ /~. !~: /: ~tl ~ fs ~,~s qtr o~ !~i//s ~/S, ©v li . ~ fi~r~-ar~ ~A w L~t1tfft9 F- s~f.G~ t1T _' '~'~~'' P~(~~~ f elf 0. t,~l~ . ~~ TOTAL (Also enter o line 9, R on) 5 ~ ~~ Q~.'[,1~ (N more space is needed, insert additional sheets of the same size) ..; i. :,. .. ~ ~ '~ PLt1MBING, HEATING & AC, LLC. May 18, aolo Ms. Abby Chipriano 41 Royal Palm Dr. Mechanicsburg, Pa 17050 RE: residence at 38 Ridgeway Dr. Mechanicsburg, PA 17050 Dear Ms. Chipriano, We are pleased to offer the following proposal to fix the roof leak at the address l~sted above. Following is the breakdown of work: Included: • Remove existing roof pipe flashing from heater flue (2) • Remove and reuse existing shingles • Install (2) new roof pipe flashings • Re-install shingles and roof sealant as required Total Cost: $115.00 We hope you find the proposal favorable, if so please sign at the bottom and ~~• We will schedule a time suitable to you to complete the project. Accepted• Date• Sincerely, /moo ~U G~ William H. Euker Estimator ~je ~IPK. G~~ ~L'~jer 1nQ~e~ ~~.~c-~,2. `fie. C~~ t7F ~2Q~~~ a~ Se ltd ~QS ~1rj`~ . TjC~ ~~ ~iS ~+P . n~eYJ ", tj 2~ ~~~ ~ 51~;te ~q~ ~ ~l,t~-~ ~~ e <u,r~ ~, ~ kT~ COMMERCIAL • INDUSTRIAL • RESIDENTIAL 42 Royal Palm Drive • Mechanicsburg, PA 17050 OFFICE: 717-458-5420 • FAX: 717-458-5470 • E-MAIL: beukert~eliteplumbingheatingac.com • www.jeliteplumbingheatingae.com i __~.'i 2 ' SC~fIEfl. N , c~r»~'d ~ S T. of /3E/TZEf, d~LA F, l~ic~` w~F~ .Z/-~O~o/7 13. /TE/I~S PifiO BY ~:~'1-7,(~t ~T SETrt~~IIENT orv S~t.~ I~ lP~ E3?ATE ,es /~e=-~2 s~ rrr~iH~i~T ~~z~'.f~Tr'~D : ~• Lix //0.9 T.~ C1erf fee r~ GoJc~l ber~ Kafir ~/D. qv ~ ~ 8. Goe //!o ~;~Q/ /~// t . P s•/fir r~ T ~I~w• ~y~, ~ e' . [.,-'.,c /zoT rrnsdCr T.~ ~o ~. o f' ,~e•Qa .o ~ moo, ~'~ yaars /{uc%oit.- ~o~-miss~oh ~ .S~ o,~ /ACr~'arra/f~. _ ~~3s; 30 /S /, A_~ !, f? .'y44~s /~Kcn oit ~ t~tiGl ~[t~tal~e ~G _ ~/O. e~ `6• lyQtl~ /TL-~7Grl- (,~~1IAlssiojl GYl ~ c3'e~ D/~~~/xpy ~~.?.GI~ 1 7 Sti sir m~ i~fi Q~r~ ~ tr: //mss c~ s~~t~~wr,.~jf - e~. ~.. Sa/e q~ /pa/ Csr ~ _[ SAC ~rcG9~r~sf ~'xK~d.~ I s7.SD I8: _ , dd ,~/ ~7/~~ ICC~j~4lC/', ~~ ~5.~ f /~D/'Q~S4~ _ ~~QO.DD. ao. Pic. ~ 38 ?/ ~- 02 . _ 5~~~,.. S/Or~i~tg ~~ _int~ri~~ v o • X88, 30 _ ~. ~~r uf; l;~'es ~ z~s~ oZ3. , GMI11i Ssi eN ~ _ 3nc~ ale at ~hQUt.rr /~•r..crhon ~07~ ~D e?y, , QdMmiStio~ en ~~ SI~t ~ ~44rS /~~~./rt, P/7. ~O a~.S' 1/e~;2oa ~`3 ~. 96 a?6. /Vrihaw;cue Tr~stt,~: ,, ~/r~rs ..T sr~r ~o?/~, o0 ~~~~ _ ~ 7s: ~ 8.: ,~m~o~y ~~at~itt ~ , i~ttR:n. c%A uP ~wu ~i~ Sa/c ~ ~. av 02 j : OoPG { aB~ Si ~, I~l.n ;~OI W a~,r I . ~~ Er S7o 31. l.pMcatS~' f77. Do Stc Gnhn,Q~.q~) P• 3 i ` scH~, tl, ee~td 33 ~i~~4 - n CtJer 30.00 PPc '` a3. ~~ 36. ~ w~~ "~~ ~- 37. f/7. `~ 3s: /1~i' w: a r6~ /S 3 ~~ i/~' l ~8~ 30 ~1 w ~ r f6 ~ t7 Z 1~ir~is .di ~b ~, i? ~sf` ~ , s ~ ~/ 7mu~ KG . ~? ___ /~orp l~li s ..20 D~ n4 ~ '~ ~: m~ i w; ¢ , /` yg ~~~~~ '` 9 =~ SZ! ~`~ s~ ~ .Z S2. i A/ " r ~~ 5~ ~ S'' /1~ .t~: ~i .f: ~ro~i r~ C/Ca ft ~ G.td ~I ~i 1~a~tr' '' aT, by ' REV 1512 EX+ (12-03) scN~ou~ ~ COMMONWEALTH of PENNSnVANW DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ~ ESTATE OF FILE NUMBER Re port debts incurred by the decsdeM prior to death which remained unpaid as of the date of death, including unreimt>luned medical expanses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH ,. V~ri t'oh ~d ~ 7S , 3 ~A-~ P ~It`/l~ Cct rG ao~o.sw Ol~R~i onS /1l~q~ica~/ ~irSe~i~l~ivnlt r3S~ B'D S. Cih fin k i -~ ~-'~ ~ - /3c P~-R~It+ut.0 #/G t /8 6. a~~~.~, v; nty~ ~S,o~s as 7. ~*tf» ~Q¢n(~cct", A'~t/~onwide Cer '~5 af~spwi~C ~insur. p qs :~~, TOTAL (Also enter on line 10, Recapitulation) i i ~ j 7.3 7. 0.~ (If more space is needed, ~sert additional sheets of the same size) REV-1513 EX+ (9-00) SCt~~1~LE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBED $EITZEL~ ~DEL[.h~ F ~./_09_l0/7 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY ~ RELATIONSHIP TO DECED Dc NW LlaTnaa.(sj AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] f • H A-t2RY ~ i6ElT2 EZ carts ~ splvfcsc dl's' cl!eoecf- ~~~ .v/.~ ent. He pt~cdecEaseQl har_ ~• Stcyan J3c+t?mil ' ~ DO CQ / O~S~AG / ~ ~il~S~t~tl^~, pA /70/9 /DS C t~~lttv~sen i! . , O 3. M;cha~1 ~3e:1'z~l ID/ws y81~'SK~ite 370 Gra~rcr/K 7>r., Croztf', VA ~~932 Q1~u~Afs~h ~ / , Qgp.~o ~f : ~r~dlty ~erlul , , / /`".mss y~ ors/df(t 13d~ N. bunion fie., i~-rl-r~{~-1 ~hc, /G ~y ~'QJ'EdSOI! ~/, OLSp• Oe S $~ ~; f~/ ~o ~Bei~zsl ~ rautdta.~ ~ /, ace, se 3y 994 N. D~~'.4ia// ~iir,/ ~ (,a.rnet, /G b~3/ (stt ~o/1l-i. Slkef' a~r~.d~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THR OUGH 16, AS APPROPRIATE, t~ N, RE{F1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARRABLE AND GOVERNMENTAL DISTRIBUTIONS '~ 5hepherdshrwn un:t'cd Y)'tti~fiod;s>i-' Chkr,ch 19 ~~ s. York St, rneel~nicsbur~. PR /7osS f~~aD•~~ i TOTAL OF PART ll -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET I IO (If more space is needed, insert additional sheets of the same size) p.2 s~'+~'El>. J.' ~'Sl oF',~~J7lEL, dEZG¢ E: ~'iG~Nv~ 2~-o9--/a7 ~o. /~G~~ /~"/Yr _ _ (! - ' """'• ~ ~/ DSO . eo 7 .~a!nCS doss /3~~/ ~-ar~t~f-• n P' o0 IOGYJ .: 7~ Hun ftr ~urt~ .~,~ 6~crn, ~,C ~683Z a'. Xenn r,~j i¢. R,. i~er ~^cSeyi O 9'/, BGb • °O L~,r~~ dl"~c~er ~y~~ C'leru- !) ~ /lIC~r~,es~dK,~-, ~i*/7os~ Y t~trry,T, ~i~~-e,/ won ~/~ /~s.'c/ue 3 5/ 999 /Y. D•ok ,!'!sa!/ ~icle, G~rtna /L woo3/ ,b ,: l~erao~ ~ ~-,fze/ ~~ Y~ Gc~s;due /fo ~x f~~3, Lcx:~~, v.~ ayyso /~ ~ Xis ~. ~i a~Cr c~ 4:[G / ~f ~ia~t ~y2Z L'l -~er fir., /11CL'~~.-~eSGkr~,(~# /7azt' t ~' ,.. ~ ~ ~' - ~...c S r rF ~7 Fit -r~P~~~eT ~ ~~ ~ _ ~i a S'. ~ ~k ~ ` as ~t t l'" 3 c~ ~ ~ ,.~.~ ~ ti ~ ~ I Kr"y' ~ ~!, 't r '.~ a n" ~' z ~ ~ +`a~` +;e` i1+ ~y ' ~ ~ U ij ~,-~ ~ f ~ i t = r K~ ~ .$,~ ! ry,7~~~iW q,~, f. ~~1 F.5 _ _ i > 4 A `f Rr ~Y~ 1 LAST JILL AND TESTAMENT OF DELLA E o BEITZEL I, DELLA E. BEITZEL, of the Township of Upper Allen, County or CLU~lberland and state of Pennsylvania, being of sound and dispc>sing mind, memory and understanding, do make, publish and declare. this my Last LJi,ll and Testament, hereby revoking and ma]<ing voz_d all former LvTi.ll.s by me at any time heretofore madeo 1, I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can conveniently be done <> 2. I give, devise and bequeath all the rest, residue and re::rlainder or my estate, of whatsoever nature and wheresoever the sa~xie ray be situate, to my husband, HARRY Fo BEITZEL, ab- solutely and unconditionallyo 3u In the event my said husband, HARRY F, BEITZEL,. should :predecease me, or should he die at about the same time as I do, such as in an accident common to both of us, then in suc e~rent, I direct the settlement and distribution of my es- tate to be made in the fallowing manner, to wit: -1- __ __ _ _, (A) I give and bequeath the sum of One Thousand ($1,000.00) Dollars apiece to each of my grandchildren -.who are living at the time. of my decease, and diuect .that the Inheritance Tax on sa~.d bequest be paid Qut of my residuary estate, In the event that any of s~.id grandchildren are minors at the time, I direct that their share in my estate be deposited in a savings ac- count with a local banking institution until such time as they attain the age of .eighteen (18) years, at which time the same shall be turned over to them absolutely. (B) ~ give and bequeath the sum of F~.ve Thousand ($5,000.00) Dollars to the Shepherdstown United 1~ethodist Church, which is .located in the Village of Shepherdstown, Cumberland County, Pennsylvania, (C) I give, devise and bequeath all the re~s't, residue and remainder of my estate, of whatsoever nature and wheresoever situate, to my children, share avid share alike, per stirpes. 4. LASTLY, I nominate, constitute and appoint ~' husband, HARRY F. BEITZEL, Executor of this, my Last Will and T'iestament, and in the event my said husband should predecease me, cr should he for any reason be unwilling or unable to serve in such -2- __ ~ _ _ _. capacity, then in such event, I nominate, constitute and ap- point my son; DENNIS EUGENE BEITZEL, Executor of this„ my Last Will and Testament, in his place-and stead.. In this . respect also, I direct that the commission of my said'son, as Executor. of my estate, be limited to two and one-half (2~%) per cent., rather than the five- (5%) per cent, fee nominally paid Executors for their services. IN WITNESS .WHEREOF, I have hereunto set my ,hand and seal thi s day of January, A, D, 1987, r1~~_~.-~*~. ~~ (SEAL) Della E, Be' e Signed, sealed, published and declared by tie above- named DELLA E. BEITZEL, as and for her Last Wi11 and Tlestament, in the presence of us, who, at her request and in her iresence, and in the presence of each other, have hereunto subsc~xbed our names as witnesses, '., -3- I, DELLA E. BEITZEL, the Testatrix whose name is signed to the attached .or foregoing instrument, being duly quialfied according to law, do hereby acknowledge that I signed a~.d exe- cuted the instrument as my Last Will and Testament; that I signed it willingly; and that T signed it as my free and volu.~ntary act and deed for the purposes therein expressed. 28th Sworn and affirmed to and acknowledged before me, the _ day of January, A. D. 1986. My Commis s-ion f. ~^ ~ ", • (SEAL) Expires: otary u lc September 21, ,1987 COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) .We, the undersigned, J_ piobert Stauffe and ' the .witnesses w ose names ~ ~.re signed to t e attac a or oregoing instrument, being duly qualified ac- cording to law, do depose and say that we were present and saw the Testatrix, DELLA E. BEITZEL, sign and execute the instrument . as her Last Will and Testament; that the said Testatrix, DELLA E. BEITZEL, signed the same willingly; and that the said FELLA E. BEITZEL executed it as her free and voluntary act for ~$he purposes therein expressed; that each of us, in the hearing andlsight of the Testatrix, signed the Will as witnesses; and that t'o the best of our knowledge, the Testatrix was, at the time, 18 or, more years of age, of sound mind; and und~ no constraint or undue influence. f L~ ' 1~ Sworn and subscribed to before me this- 28th day of January, N terry u is My Commission Expires: September 21, 1987 - 4-