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HomeMy WebLinkAbout10-06-10 (2)~` ~ 15056041125 •~•~i REV-1500 EX cam) oF~CIA~ t,sE ~I~Y~ PA DepartrneM of Revenue County Cade Yeah Fpe Number Bureau of IrN~viduai Te~oes INHERITANCE TAX RETURN Po Box 2110601 2 1 1 0 0 0 2 3 6 Harri9burll PA 1~12e-osol RESIDEidT DECEDENT ENTER DECEDENT INFORMA710N BELOW . Soda! Security Number Date of Death Date of Birth 1 4 4 2 4 7 7 2 3 0 3 0 2 2 0 1 0 0 4 2 6 1 9 32 Decedent's Last Name Suffoc Decedent's First Name MI LAI REELEANOR ~ J (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Sodal Security Number THIS RETURN MUST BE FILED IN DUPUCATE~ YV~TH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW © 1.Original Retum ~ 2. Supplemental Retum ~ 3. Remainde R$tum (date of death prior to 1213162) 4. Limi~d Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal E~t$ Tax Retum Required death after 12-12-82) ® 6. Der~dent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total Number iof Safe Deposit Boxes cAff,rh ('.nnv of 1MIn !Attach C~v of Trust! 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to~t a~q uhder Sec. 9113(A) between 12-31-91 and 1-1-95). (Attach Sch (~) CORRESPONDENT - THIS SECT~N MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTW. TAX INFORMl1 N OULD BE Dg2ECTED Tt Name Daytime Tefepho~ 1 e Niumber H A R O L D S I R W I N I I I E S Q I 7 1 7 2 4, 3 ti~ 9 0 , . ~ Firm Name (If Applicable) REpigTE [LS USEd~11LY _ I R W I N LAW O F F I C E , ~ , r~-t <~ `7. First line of address , ~ ~ ~ C7~ ~ 6 4 S O U T H P I T T S T R E E T ~~ -ch© _ ~ Second line of address ' ~ .. State ZIP Code Cit P t Off D TEFLED ~ y or os ice C A R L I S L E P A 1 7 0 1 3 ', ComespondenYs e-mail address: kwinitawollf .coot - Under penalties of perjury. I dedare that f have examined !his return, inducting accompanying schedules and a>adsments, and to the best of a and beNef, R is true, ported and . Deder~on of pteperer other then the personal repreaentalNe la based on aA kdortnsUon of which preparer lewwledge. SIG TURE OF P RSON RE SIB FOR FILING RETURN ATE ~~ ~vt.0.~ L Z!C ADDRESS 95 LADNOR LANE CARLISLE P 17015 SK3 P H N REPRESENTATNE ATE ~ ~ Zl31 r ADDRESS • ', STR T CARLISLE 64 SOUTH PIT 'P 17013 PLEASE USE ORIGINAL FORM ONLY I L 15056041125 Side 1 . I 15056047~1C5 ~"~ __z rx •~ ;--n v J~ ' ~ 15056042126 REV-1500 EX DeoedenYs Sdcial Security Number 1 4 4 2 4 7 7 2 3 DeoederK'aName: ELEANOR J. ZAIRE RECAPITUUTiON 1 ~2 8 5 0 0 0 0 1. Real estate (Sdredub A) ................ ..................... 1. 1 2 ' 4 5 8 5 8 4 2. Stocks and Bonds (Sdredub B) ........................ ....... 2. 0 0 0 3. Closely Held Corporation, Partnership of Sob-Proprietorship (Schedub C) ..... 3. Q Q Q ........................ 4. Mortgages & Notes Reoeivabb (Sdredub D) 4. 1 1 ! 1 3 7 1 5 3 5. Cash, Bank Deposits $ Miscellaneous Personal Property (Schedub E) ....... 5. 6. JoiMy Owned Property (Schedule F) ^ Separate Billing Requested ....... 6• 0 0 0 7. Inter-Vivos Transfers & Misoellarreous N~Probate Property t d Billi R 7 '' 9 6 4 5 3 9 ....... eques e ng {Sd~edub G) J Separate . ~ ~ s 4 ~~ 4 - 3 1 0 2 7 6 7) .......................... 8. Tohl t3ross Assets (total Lines 1 . ' 9 1 3' 4 8 9 2 6 ~stratnre Costs (Sc~redule H) ................ 9. Funeral Expenses >4 Admin . 1 ' 3 9 7 0 5 10. Debts of Decedent, Mortgage Liabilities, ~ Liens (Schedub q 10, 11. Total Deductions (total Lines 9 d~ 10) ......................... . 1 L 312 8 8 6 3 1 12. Net value of Estate (Line 8 minus Line 11) ......................... 12. 4 0 II 1 2 1 6 4 5 13. Charitable and Govemrrbrrtal BequestsJSec 9113 Trusts for which ' Q Q Q an election to tax has not been made (Sdredub J) .................. 13. , 4 0 ~~ 1 2 1 6 4 5 .................. 14. Net Value Subject to Tax (Line 12 minus Line 13) 1a. ~ _ TAXCOMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES ', 15. Amount of Lkre 14 taxabb '~ at the spousal tax rate, or tranakns under Sec. 9116 Q 0 0 15 0 0 0 (a)(1.2) X.0 _. . 16. Amount of Line 14 taxable 0 0 0 0 0 0 at lineal Hate X .045 16. 17. Amount of Line 14 taxabb 4 0 1 2 1 6 4 5 17 4 '', 8 1 4 5 9 7 at soling rate X .12 , 18. Amount of Line 14 taxabb 0 0 ~ 0 ~ 0 at collateral rate X .15 18. 19. Tax Due ................................................19. _ 4 ~,8 1 4 5 9 7 20. FILL IN THE OVAL IF YOU ARE REGUESTtNG A REFUND OF AN OVERPAYMENT ^ Side 2 15056.042126 - 1505604~1~C6 J REV-1500 EX Pape 3 Decedent's Complete Address: FGe Number 00238 oecEOE s NAME ELEANOR J. LAIRS STREET AfX>~SS 6 wssEY covRr ~~y GA![L/iLE STATE PA ZIP !7016 Tax Payments and Credits: 1. Tax Due (Page 2 line 19) (1) ~ 48,146.ti7 2. CreditslPaymeMs A. Spousal PoveRy Cred'd . B. Prior Payments 27,600 00 C. Discount 1,376.00 Total Credits (A +B +C) (2) 28,876.00 a . 3. InterestlPenalty ff applicaible D. Interest E. Penalty Total lnterestlPen~ty (D + E) (3) 0.00 4. ff Line 2 is greater than Lkle 1 + Line 3, enter the difference. This. is the QYERPAYMENT. FB in oval on Papa ~ Lhre 20 b request a refund. (4) ' 0.00 5. ff tine 1 +Line 3 is greater than Line 2, enter the difference., This is the TAX DUE. (5) ~_, 1~,Z7o=9! A. Eater the Interest on the tax due. (~) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) !6,270.97 Make Check Payable fo: REGISTER OF W-LLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPRCi!PF~U~TE BLOCKS 1. Did decedent make a transfer and: Y ~ a. retain the use or income of the property transferred : ..................................................:......:............ i noane; ............................... b. rEain the right to designate who shall use the property transferred or its c. retain a reversionary interest; or ................................................................................................ : ® ........ d. receive the promise for life of either payment, benefits or cue? .............................................. . 2, ff death occurred after December 12,1982, did decedent tran~er property within one year of death without receiving adequate consrderation? ....................................................................................... 3. Did deced~t own an'in trust for" or payable upon death bank account or security at his or her death? ......... 4. Did decedent own an Individu~ Retirement Account, annuity, or other non-probarte property which contains a berrefidary designEion? ....................................:............................................................. ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUE8TIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R ~ ART OF THE RETURN. For dates of death on a after July 1,1994 and before January 1,1995, the taor rate imposed on the net value of transfers to or for the use df thb surviving spouse is three (3) percent [12 P.S. §9118 (a) (1.1) (i)]. For dates of death on or after J~uary 1,1995, the tar rate imposed on the rret value ~ transfers ro or fathe use of the surviving spouse ' zero (0) percent [i'2 P.S. X116 (a) (1.1) (ii)J. The statute does not exemgt a transfer to a surviving spouse from tax, and the statutory requirements for ~e of assets and fil~g a tax return are still applk~ble even ff 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-qne years of age or younger' al death to or for the use of a nai~ral parent, ~ adoptive parent, or a stepparent of the child is zero (0) percent [T2 P.S. §9116(a)(1.2)]. The tax rata imposed on the rret value of transfers th or fa the use of the deoed~Ys lineal beneficiaries ~ four and one-h~f (4.5) percent, as noted in 72 P.S. §9118(1.2) (72 P.S. §9116(aX1)]. The tax rate imposed on the net value of transfers to or for the use of the derredenYs siblings is twelve (12) percent (72 P.S. §9116(aX1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent In common with tt~a decedent, whether by blood or adoption. 'i ~I j REV 1b~ EX+(8-98) ' CON/NONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT J. LA/RE T_ _ ,. m,.. __ scHEOV~E a REAL ESTATE FILE NUNN;ER 00236 ezfienged bebreen a wing buyer ~d a wire seler, nerWet beNg tD buy oroeN, bob hevkp ressonabb imowle«dpe of the 'fads. tUN which k ~owiNd with of tutvivors must hedtsdoad on Schsduls F. REM 'i VALUE AT DATE :NUMBER DESCRIPTION OF DEATH 1. TON-NrrOU:E LOCATED AT 6 AAAEI/ COURT, GAJtLJ31.E, rw l70~3 !23,300.00 VdW esswd orl 3aN rr-e:w (H(/D-t Altadnd as Exhlblt'~ ' i . ~ ~ - .. a REY-1603 FJ(+ (8-98) ' ~ COCvNAONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS C~71NI C yr FILE 191MBER ''.., ELEANOR J. LA/RE 00286 AN properly jointly-owned with ripM of wnrhror:hip mud be dhudosed on ScheduN F. ITEM VALUE AT DATE NUMBER DESCWPTION OF DEATH 1. Vs lAV/MQS BONDS 22,08'f.0! Vahra as /teuMsad oA altachad Exh/b!t .C.. 2. Arar - ', s9,00A00 2,245s9aa7a shams Comaaa stock tl/a/aa as atateM Oa attached Exb/bk 'D° A VER/ZON 89,766.88 1,86a.79y8 shahs Conunon Stock A2A26 Vahra as stated oa attached Exh/bk'~" ', ~ Ls/ CORroRAnoN ss.~a a shahs Common stock VahN as atatad O/r attached Exhlbk'P ~ OsPP ~ f/1a/ra COfnln0/1 :IOCk tl/akfa at atatad On attaChad Exh/hk 'O" 82 sharrrs Common stock Q tl~6o Valaa lased on Chan Attached as Exh/bk "M' 7. FRONTIER COMMlNWCArIONs ss shahs Comnwn stoat Q ~ 60 Vahro lased on Chart Attached a Exh/bk "P j Y TOTAL (Abo enter on line 2, (If mae apeoe b needed. kisert additlonel sheet of the same afore) i 1,676.72 1,sn.6o 495.00 EV-1504 EX + (6-99) •COM~AONWEALTH OF PENNSYWANIA INHERITANCE TAX RETURN • RESIDENT DECEDENT SCHED~JLE C • CLOSELY HELD CORPORATION, PARTNERSHIP OR " SOLE-PROPRIETORSHIP :3'l1Al t tJr r14t dU1~IftK ELEANOR J. LA/RE 00286 Sdiedule G1 a G2 (Ylouding aN aupportlrg infortnadoll) nxlst be a>bedied for each doeelyfield aalwratlonlpartrleiaFdp infest of the debed~nt, o>her lhen a sole-proptielu9hip. See inskuctlola tatl~e atlpportlrp fnfartretlon tc be sl~tlsd fotaol~proprieb~ahips, REM VALUE AT DATE NUMBER ~ DESCRIPTION ~~ OF DEATH ~. NONE aoo r i .y • SCHEDULE D caw+o~twF.~Lrn of ~NSnvn,Nw MORTGAGES & NOTES ""cET~.R~'~ RECEIVABLE rtESOENr oEC~oe~ :STATE OF FILE NU R !<LEAMOR J. WRE OOZ36 AN popMtY Jotntllaownod MAtl~ ~ dpM of wrvivonihip must bs discbsed on Schsduls F. ITEM ~ VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 11~IUE ~ I 0.00 . ." ~~ _ __ _ _, _. __ - REV-1508 EX + (8-98) • SCHEDULE E CASH BANK DEPOSITS 8 MISC. C o , , OMMONWEALTH f PENNSnVAN1A IN ~ rE TATA R SRN PERSONAL PROPERTY E ~ ~ o s - ESTATE OF FILE NUMBER ELEANOR J. LA/RE 00?.38 '' Include the of NHpatlon and the deffi the were n3oeired by the estate. Ail property MAh of eurvhron be dtedoted on &heduk F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. MEMBERS 1sT FDEDiERAL CREDIT UNION ~, Y0,341.46 Iteau/ar savhps Accost No. 164471.00 Vahie based on bank letter attached as Exhlblt "J" ~, Z MEMBERS 1sT FEDERAL CREDIT UNION 4,Y60.6T ChecMnq Accwrnt No. 161471-11 ', Vahl based On bank Utter attached as E7[h/blt .J.. ~I I 3. MEMBERS 1sT FEDERAL CREDIT UNION j Ss3230 CD Accowrt Nb. 164471.40 ', Vakre based On bank MlNr attached as Exhlblt 'J" ~ 4, MEMBERS tsT FEDERAL CREDIT U/ON 14,6110.00 CD Account No. 1644711 ' Vahw based on.bank Niter attached as ExMblt 'J^ ~! 3. MEMBERS 1sT FEDERAL CREDIT UNON 'I 13,?.3013 CD Account No. 1644713 ~, Valve based on bank letter attached as ExMblt 'J" 6 CASN ON NAND I X00 Uncashed havehr's Check ' 7. COMCAST ~~ 31.04 TV CabM Acco.rnt RefYrnd 0. TRAVELERS INSURANCE COMPANY !, 1,13200 Unearned Car Insurance Premium Rdirnd 9 I CENTlIRr LINK 34.07 Telephone Bill Refirwd ~ 10. PERSONAL PROPEItTV sOLD AT AUCTION p,,58Z,00 Vak-s based On stabanen! o/ sale prices aKached as Exhlb/t .K.. 11. COMCAST DMDEND INCOME 13,,30 12 ~~ CAPITAL TAX COLLECTfON BUREAU ~ 117.7! Local Income Tax Refund _ 13. AAA s8 30 unearned Attenberslilp Reflood 14. HARP '' 16 00 Unearned Membesh/p Rellund ~ 13. ATiT '~ ^ y ~ DlYldend Income ~' 21.84 • 16. I TAx wND Now PRO,RAnoN FROM REAL EsTATE BETTLEMENT ~ ~, 2!210 aN NI/D-1 attached as Exh1Wt'B" TOTAL (Also enter on line 5, RecaPlhdat~eon) S ~~ts»ss (K more apace Is needed. iraert addilbnal sheets of the creme sire) _. __ __ _ _ Continuation of REV-1500 Inheritance Tax Return Resident Decedent ELEANOR J. LAIRE 21 10 00236 DeoedeM'a Name Page 1 File Numlaer Schedule E -Cash, Bank Deposits, b Misc. Personal Property ITEM VALUE AT DATE NUMBER DESCRIPTION ' OF DEATH 17. ZOOS lukslc Randwous ', 1!,600 00 Values lasted on Sale rrico ', ~ 1a , wRE TRUST clrolcES s,1n.4s wn~ra/ wcconit ' , Va/w lased on Stat~~uent Attac~od as lE~i/blt '~' 19 AAlER/CAN FUNDS' ' Z7,S1~~ Mvsstnrant Account No. OOOS1478804 ', Va1w lasod on Stat~nt Attacl~d as E~dNbk '7N Z0. YER/ZON ~ Z1ASZ D1rldMd Incomes 21. COA/MOMM/FALTN OF rENNSYLVANIA ~ ', 230.00 FropNty Tax Robato Ibr 2000 ZZ. CAMTAL TAX COlJ.1CTlON 6uREAU 117.71 Tax RdY~~ ~~ i i I '~ 'I ~I . SUBTOTAL SCHEDULE E ~I 43,aSLZ1 GRAND TOTAL SCHEDULE E ~! i 111,371.53 REV-1506 EX + (e-98). . SCHEDVLE F COMINONWEALTH OF PENNSYWANIA JOINTLY-OWNED PROPERTY INHERRANCE TAX RETURN RES~ENTDECEOENT ESTATE OF ~ FILE N ELEANOR J. WRE QO?.S6 ~ ill ifiet Nlie fllide 1~ OM ~ OtrUN decedent's dale Of dntll~ ~ must ~ fOp0lfld 011 ShceduN d. SURVMNG JOINT TENANT(S) NAME ADDRESS ~~ RELATK)NSHIP TO DECEDENT a NONE . i s c JONiTLY-OYYNEQ PROPER11f: LETTER DATE DESCRIPTION OF PROPERTY oF. ' DATE of DEATH rrEM FDRJDNR MADE mKxuDE NAME aF FII+~NCw~~I~smurl~Al~eA~ICACx~ouHr I~BERORSIMnAR DATE of o~-n~ ~ vAU~E of NUMBER TENANT JOINT IDENTIFYWG NINIBER ATTACH DEED FORJOMIIY-HELD ftE11L ESTATE. VAUIE OF A6SET I DECEDENTS INTEREST ~. A. . NoNe . . aoo I, i aoo -. . . ' ~ • ' _. -_ _ a i ~, _. ., ~i ~ I j i _ . .. > • • •. TOTAL (Algo en~r on line 6, Recapitulation) ~ s w at [K more apioe is needed, kreert elddiBollal streets of Yle creme. aiae} ~ ~- REU~s~o oc + (e-ee) SCHEDULE G ' ~ INTER VIVOS TRANSFERS ~ CO wHER"~ir,~u c °Frnx~r~;,,~;""w MISC. NON-PROBATE PROPERTY RESiOENr oECEOENT ESTATE OF FILE NUNEIER ELEANiDII! J. WRE ~ 0026 This adredule must be oompleled and tied ~ the. errsrrer>Q arty d questlons 1lhrough 4 on >he reverse ode of the REV-1500 COVElZ SWEET is yes. DESCRIPTION AF PRtJPERTY ITEM nEw~ar:nEnwire~;na~~nr~ww~or~e+rNO DATE OFDEATii 960FDECD'S I~.X(ILUSION TAXABLE NUMBER '"Ea'r:°F'ra"arm"'r"°"~°°°"°Fn~°®-~'r~ser"'E VALUE OF ASSET MITEREST p~~ar~.q VALUE 1. AST-iIFE lgats~.~s !00 losss~.~ Mnadt~-wcaanst No,1U9Z1749 ~ '~ 1Vilwu~e aced on titahnnnt Athched as Exh/blt "N" ', 2 AMBINCAN ANDS 59,a!lLQ6 !00. ~ 59,.?l9:66 Yadoas CdNes Firwds F00 OrandnerrMws and N/ece : . 1UWw eased !n lhtanant wltadled as EXldbk ~" i • ~ ~ y . I . '' ... TOTAL (Abo err an Nne 7 [! more apace is needed, insert addidorrel aheele of the creme siae} REV-1511 EX + (12-a9) col~oNwEa~rH of aENNSYwANw INHERITANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES 8 ADMINISTRATIVE COSTS ESTATE of FILE NUMBER ELEANOR J. LA/RE OO~g Osbfs M decadent must be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. JO!/NSON-WALTON FfJNERAL HOME - Funora/ Exp~ns~s ~! gppgs~ B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) i Social SeaxKy Number(s)rEIN Nurtiber of Personal Represerdative(s) ~I Sheet Address Cily Shlle ~ Year(s) Conrrr~ion Paid: 2, Atiomey Fees /RWIN LAW OFFICE 3. Famtiy Exemption: (If deoedenCs address is not the scone ae dahnaM's, aCach explanation) Claimant Sheet Address City Shute ~ ReletioraMp of Claimant to Decedent 4. proper Fees C!/MeERLAND COUNT 1/ REGISTER OF WILLS i 5. AooountenCs Fees i 6. Tax Retum Preparer's Fees 7. CO(JNT I~ REGISTER OF WILLS - Fpl~ laveriMry and Apprde~uneM ~',i 8. THE VILLA! I+oMEOwNERS' ASSOC/AT/oN - Naneowners' wssoedatlon Dues ', A ROSERT CAIRNS -Solo CoanlylLocd/ubrary Rea/ Estate Taxes ~ l0 STANLEY S7EAMEit - Repdra to Red Estate ! 1. CONMONWEALTN OF PA -Red Estate 77ranailir Taxes !2 /RMIIN LAW OFFICE - Atton»y Fens on Rod Estate Sde 1 A ROOERT CAIRNS -Red EstaH Tax Cartl//aatlon 14. SOfITN M/DOLETOIII TOWNSN/P MUIINC/PAL AUTNOR/T1~-Water Dq/ ~ ~! 12 CAMAERLAND COUNT 1/ REO/iTER OF W/LL3 - F//e Inventory and Appra/semsnt 16 ROWE'S AUCTION SERVICE -Personal Properly Auction Expenses '~ S1,S00.00 50 00 shoo 5.90.!0 S1g~s4 1,Sg200 ZQ0.00 200 • lol.la 00 824 70 TOTAL (Also enter on line 9, Recapihrlatrort) (; *,,~~ (If more speoe is needed, insert additlonal sheehi of Ure same alas) _r ~ __ _ , _ _ _ ___ T .,~ _ .~ _ 2EV 1512 EX+ (12-03) • ~ ' , SCHEDULE 1 ~ . ~~,,,~~, ~ PE"NSnvnNa DEBTS'OF DECEDENT, u~"ERlra"cE TAX RETURN MORTGAGE LIABILITIES, 8i LIENS RESIDENT DECEDENT ESTATE pF FILE NUMBER ELEANOR J. WRE 00256 Report debb incurred by the dscedeM prior b death whkh remained unptaid as of fhe date of dalh, including unreimtl~raed ntedlcai arpenses. ~( ~ VALUE AT DATE NUMBER ~ DESCRIPTION i, OF DEATH 1. COMCAST !, 60.07 uWltr 9111 ', 2. METROPOL/TAN~EDISON COMPANY ~ ~ 750.67 1/dnly 9llls ~ ', 3 CENTIJRYL/NK ~ 150.11 vl9ky 91fIs 4. U3 TREASURY I, 4a) 00 .2009 P~noaal Income=Tax ~ ~ . b CONNONWEALTN OF PENNSYLVAN/A I, 141.00 2009 Personal Iacoma Tax ~ caPITAL rAx couECnoN 9vREAV 121.00 2009 hrsonal Inconia Tax 7. SOUTN M/DDLETON MUNICIPAL AUTNOR/TY 101.00 uHNly 9Iq Z CARLISLE 90R000N TAX OFFICE 6.90 Personal Taxes • ~ ; . ~~ . .. i . ~ TOTAL (Also enter on Iine 10, Rec~ihdatio~l) i S ~ . 1597.05 (IF more space is needed, wrist additlor~sl aheeta of the same alas) . .i T REV-~s~s ac+(9•o0) cor~uoNVUEAI.TH of PENNSnvANw INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES FILE Nt1N~ER EL@AIIfOR J. WRE 007t~6 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Us<t Tnnbe(:) OF ESTATE ~ TAXABLE DISTRIBUTIONS 116 (a M Rolmel ~, ~ trarrefe~s Urger 1. RUIN ANN NE/DER i/61lno ~6 Ladnor Lan. ~ OBI'.-TMrd RnsMw 6 Mat- . f~rasf., !rw 't 701 s LNKe wnaalty wcoount 2 rAULA M. NEIDER s/b/-n~ zzs North sa-dnw-r wwna. oar.-nra+a R.adv. . wt. NoNy SprfiaOt, ~w ~~oss .~ a Loa ~ ~AU~asN s~hnna a06 Soalh Y/dd[.sear Road On-.-Thhd Rssidae ~w hots ~. rwnoR ~ ~uuNraN. ~ E/blh~ 60a:oath N/ddlosear Road o Fand rw t70t5 - d. JOSHUA P MALlN13N S/hBn,~ ~ ioalh M/ddasax.Rad Calgeae Fand Ca~flsN, rA t70t6 ' & DiAKOTw B, KUHN slbq~p . Z~B North Bdtlinon wwnw CaVI.F. Fand Mw NoNjr !pr/nEs, PA l70ti6 . 7. NATMAlM1EL J.MAUN/iN 3-hNnE • bOts loath Mlddhnour Road t:a/ly. Wnd CsillsN, rw 1 TOt S ~ . ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, 0 -1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: . . • • A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. NONE ~ Q00 B, CHARITABLf•AND GOVERNMENTAL DISTRIBUTIONS • 1. NONE 0.b0 .. ~ . ~ i TOTAL OF PART II - ENTERTOTALNON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ~ ; ~ ~ ~ rx ~.r,.e ~,.e ~ ~~~ i.,~ ~x~.,,~~ ~ .,s x,e e,.,,s .~~ LA~fT SILL ANIIt T~sTAM~IT I, ELEANOR.J. LA1RE, of Cumberland. County, Pennsylvania, do hereby make, publish and declare this to be my lest will and testament, hereby revoking all wills heretofore mad by me: 1. I direct my personal representative to pay all of my debts, funeral and administ~rafive expenses as soon as convenient after my decease. I direct that all inheritance taxes imposed or payable by reason of my death and interest and penakies thereon with respect to aMl property, whether or not such property passes under this Will, shall be paid by my personal ~~ representative out of my estate. ~ ', . 2. I direct that my personal representative sell any realty and/or personalty by me at my death aril not specifically devised or bequeathed herein, 'at public or private sale r sales and to give good~and sufficient deeds and/or bills of sale therefore, in fee simple, as I uld do if I'nring. My representative is authorized and empowered to engage in any business in r"' ""~ I maybe engaged at my death, for sudi period of time after my death as seems exped~ent to said representative. ,. .. ~, 3. I give, devise and bequeath all of my estate of whatever nature and wherever situate to my sister, Ruth Ann Heider, my niece, Paula M. Heider, and my niece, Lori M. Mali~ish, share and share .alike, or the survivor thereof. 4. I nominate and appoint Ruth Ann Heider to be the penal representative of to serve without bond. If she cannot or does~not serve, then I appoint Paula M. Held M. Malinish, to be the substitute co-personal representatives, with the same powers without bond. . 5. I suggest that my personal representative retain the'services of Harold S. Irw Carlisle, Pennsylvania in the settlement of my estate. IN 1MTNESS WHEREOF, I have hereunto set my hand and seal this 16~ day of Apr w and Lori d also III, 21008. wMO A~~o~-vrr WE, ELEANOR J. LAIRE, SARAH A. HARDESTY and KATHRYN M. MULLEN, the ~estatmc and witnesses-respectively, whose names are signed to the foregoing instrument, being f irst duly sworn, do hereby declare to the undersigned authority that the testatrix signed ar~d 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 y wand mind and under no constraint or undue influence. COMMONWEALTH OF PENNSYLVANIA c ~.. ELEANOR J. RE SA A. HAR KATH YN ULLEN ~. sas: COUNTY OF CUMBERLAND Subscribed, swum to and admowledged before me by ELEANOR J. LAIRE,. the t ribs herein, and subscribed and sworn to before me by SARAH A. HARDESTY and KARrYN M. MULLN, witnesses, this 16'" day of April, 2008. _ /~ wswc.~xoF~rLV~ran (/ ~~ ~~''~' ~.~ Notary Public Haoid S. {iarin Bi;~q,No~Y ~~ (,amobed~ed0amty ~ . aaaroi~on 241} . . ^ s EXFIIBIT °B" - - __ OMB NO. 2502-0265 'ir E 1. FHA 2. FmHA 3. CONY. UNINS. 4. VA 5. CONY. INS. NT S. DEPARTMENT OF HOUSING ~ URBAN DEVELOPM ' 6. FILE NUMBER: 7. LOAN NU BER: SETTLEMENT STATEMENT ~ 8, MORTGAGE INS CASE NUMBER: C. NOTE: This form Is famished to give you a statement of arras! settlement costs. Amounts paid to and by the setNamant erlt are shown. Jtems marked '7POCJ" were paid outside the closing; they are shown here for informational purposes and are not i [Yded in the totals. 1.0 3/98 (73833.2 KU 8/13933.4 KULASr11 D. NAME AND ADDRESS OF BORROWER: Patricia A. Kulas 112 Pearl Drive Carlisle, PA 17013 E. NAME AND ADDRESS OF SELLER: Estate of Eleanor J. Laire 8 Abbey Court Carlisle, PA 17015 F. NAME AND A DRESS OF LENDER: '" '~ G. PROPERTY LOCATION: 6 Abbey Court PA 17015 rlisle C H. SETTLEMENT AGENT: ~, Manson DeaMorlf Williams Otto Gilroy & Faller ~ ~ ,k.4 SETTLEMENT DATE: ~ June 24, 2010 , a Cumberland County, Pennsylvania PLACE OF SETTLEMENT 10 East High Street ', Carlisle, PA 17013 101. Contrad Saks Price 128 500.00 .401. Contract Saks Price 128 500.00 102. Personal 402. Personal Pr 103. Settlement Cha to Borrower Une 1400 5 095.75 403. ~ 104. aoa. 105. ao5. 106, Cou !f .Taxes 06/25/10 to 01/01/11 171.83 406. Coun R .Taxes 08/25/10 to 01 1/11 171. 107. School Taxes 0685/10 to 07/01/10 108. Assessments to 109. HOA Fees 0885110 to 07/01/10 110. 20.07 20.20 407: School Taxes 06/25/10 to 408. Assessments to 409. HOA Fees 08!25!10 to 07/01110 ~ 410. 07 1/10 20.07 20.20 111. 41 L 11'2. 120: GROSS AMOUNT DUE FROM t30RRDWER 133,807.85 200, B i R E 201. it or samsat moos 500.00 202. Pri al Amount of New Loans 412. 420. GROSS AMOUNT DUE TO SELLER 501 ~ Excess it See Instru ions 502. Settlement Ch es to Se{kr Line 1 128,712.10 LL : 1,641.15 203. Existi loans taken su ed to 503. Existi loan s taken au d to 204. 504. Pa if of first a 205. 505. Pa of second Mo a 206. 506. 207. 507. De sit disb. as ooeeds 208. 508. 209. u sn ms n a r 210. Cou IT .Taxes to `~• u m a 510. Co n R .Taxes to e r 211. School Taxes to 511. School Taxes to 212. Assessments to 512. As meats to 213. 513. 214. 514: 215. 515. 216. 516. ~ ' 217. 517. 218. 518. 219. 519. 220. TOTAL PAID 8Y/FOR BORROWER R: 301 Gross Amount Due From Borrower Line 120 500.00 133 807.85 520. TOTAL REDUCTION AMOUNT DUES C T T IFR 601. Gross Amount Due To Seller Line 420' R 1,641.15 128 712.10 302. Less Amount Paid B/For Borrower Line 220 ( 500.Q0) 602. Less Reductions Due Seller Line 520 1,641.1 303. CASH X FROM TO BORROWER 133 307.85 -n,e ~~nAnreinnwri A receipt of a completed c~pvUf oases 18 2 803. CASH X TO FROM SELLER of this statement & any attachments referred t ' 127,070.95 he in. • Borrower 9'L"~ atricia . i alas ~~ Seller Esta f Eleanor J. Laire ~, By: ~~'~ nn a er, ac rix. T MUD-1(3.98) RESPA H8~30S.4 _ _ _.__ ,. _, ccrT~ cucuT ruwor_cc '00. T TA C n ° PAID FROM PAID FROM ~ Division Of Comm/ssion !!ne 700 a3 FO110W3: BORROWERS SELLER'S 'O , S ~ t0. FUNDS AT FUNDS AT '02. 2,570.00 to Century 21 A Better Way sETTLEMENT SETTLEMENT '03. Commission Pafd at Settlement 2,570.00 '04. Broker Fee to Centu 21 A Better Wa 175.00 1. oan Inat on ee to 302. Loan Discount % to 303. Appraisal Fee to 304. Credit Report ~ to 305. Lender's Inspek~ion Fee to 306. Mo a e Ins. A .Fee to 307. Assumption Fee to 308. 309. 310. 311. X01. Interest From to ~ S Ida { d °~) X02. Mo a Insurance Premiumfor months to X03. Hazab Insurance Promium for 1.0 ars to X04. . X05. 1001. Hazard Insurance S r 1002. Mort Inwrance S r 1003. Cou R .Taxes S r 1004. School Taxes S r 1005. Asseaaments S per 1006. r 1007. S r loos. r 1101. Settlement or C Fee to 1102. Abetted or Tiflis Search to 1103. Title urination to 1104. Tdle Insurance Binder to 1105. Document ration to 1106. Note Fees to 1107. Attorney's Fees to Irwin Law Office 250.00 includes abotre Item numbers: 1108. Tide Ins ra o Id R ublic Na final Tit Inauren Com an 1003.75 includes above item numbers; 1109. Lenkbr's Coverage 1110.Owner's re e S 128,500.00 1,003.75 111E 1112. 1113. 1201. Records Fees: Deed S 62.00; Mo e S Releases S 62.00 1202. C' /Coun TaxlStam a: Deed 1285.00• Mort a e 1285.00 -1203. State Tax/Stam s: Deed 1,285.00; Mo e 1 285.00 -1204. 1205. I 1301: Surve to 1302. Pest In n to 1303. Tax Certidcatfon Fee tq Robert C. Cairns 5.00 1304. Final WateriSewer to SMTMA 012095 101.15 1305. 1400. TOTAL SETTLEMENT CHARGES Enbr on Unes 103 Section J and 602, 8ectfon K 5,095.75 .1,641.15 By signing page 1 of this statement, the signatories acknowledge receipt of a compbted of page 2 of this two page statempnt.l Certified to be a true copy. Martson Deardorff illiama Otto Gilroy b F~Iller• Settlement Agent ~~ (13633.2 KOLAS / 13633.2 KOLAS ! 31 ) r "z, Calculate the Value of Your Paper Savings Bond(s) • TreasuryDirect __ -_ Page 1 of 2 11Q0)0 + IOOhm1t01 + Teok + Caltulata the Valw of Your Paper SsvMgs eond(c) Calculate the Yalue of Your Paper Savings Bond(s) 1p-vuws weo w.cuums ~ La tn~s Velw as M WQOW terleo Deraaibetlo ru /ond /erlel Nueben )ague Oats Motes Oe60ipt10n EE 80(141 ® ~ L J Nt Not Oawd N! Not 41p91k 1br payrllent !6 Indudta 3 nwrRh _ 9gtY TO SAYE YOUR INVENI70RY YK~rett Orb MA McOxd and not amYq CalCUlstor Results for RetlemptloR Dste 03/2010 ~ Tabs Prlee Tekal Va lue Tobi int etwt Yrp inbrwt ;7,431.25 821,643.63 #14,212,38 ;80.14 Sondss 1-!OS d 3085 series ~ Oaaoie ~ Oeb Aaaruel ~ Netreity ' Mae ! IatarMt ~ 1 Rab ~ ~ f ~~ . !~ 850 10/1995 04/2010 10/2025 ;25.00 ;17.10 1.55% 843,6s ~ ~ !3= 510,000! 06/1994 06/2010 06/2024 (5,000.001 84,368.00 ~ 2,18% q,3q,w ~ f ~ 850 10/1865 04/2010 10/2015 {25.00 {65.94 ! 4.00% 886A4 ~ . !~ ~! 09/1905 09/2010 09/2015 825,ppi ;67,74 ` .4.00% yL74 ! i ~ 8so~ 06/1965 06/2010 06/2015 ;25,00+ ;67,74 !( 4.00% {8174 ( ! ~. EE 850 07/1965 07/201p 07/2015 X5.00' ~7J4 4.00% q=,74 ! it . ff 850 07/1965 07/2010 .07/2015 ~ 825,00 47.74 ~ 4.00% M174 ~ EE ;,50! 06/1965 p4/1010 ON2015 825.001 ;67,74 ! 4.00% 893J4 j FE 850 OSs(1965 05/2010 05/2015 `25,00 {67.74 4.00% 88174 j EE ` ;SO! 04/19{1 04/2010 04/2015 825.001 =67.74 1 4.00% p174 i 3. EE ~ ;50~ 0311965 09/2010 05/2015 ;25.00 ;69.60 4.00% 894AS ~ ~ l5: :50~ • Oy1965' 09/2010 02/2015 ~5.00~ ;89,60 • 4.00% {M.fO . EE ~ 850 01/1985 07/2010 01/2015 ;25.00 869.60 ~ 4.00% 8f4.f0~ EE 8501 12/1964 06/2010 12/2014 f2S.00~ (69,60 4.00% p4.p EE ~ 850 11/1984 05/2010 11/2014 :25.00 ' {69,60 4.00% ~ 884.N ~ ~ ~ ;50~ 1W1984 Oy2030 10/2014 uS,00! :69,60 4,00% ~ p6.60 f I ~ 850 09/1964 09/2010 09/2014 ;25.00 {71.50 4.00% ~ 866,w 1 j . . .~ ~ 85p! 09/19(4 0612010 04120t4~ ;25.00! X11.50' 4,00% ~ 886.w ~ I ~ 850 08/1984 06/2010 06/2014 ;25,00l~ =71.50 4.00% 896.1a 1 Et: ~50~ 07/19M 07/2010€ 07/2011 ;25.00! ;'/I,SO~ 4,0011 {96A9~ j . !~ ~ 850 08/3964 06/20t0~ 04/2014 ;25.00 ;71.50 4.00% 886.w i. , @' ~ ;.50~ OS/19M 05/2010 01/2014 ~ ~5,00~ ! :71.SOi 4.00% ~ I j . ~ 850 0/1964 04/2010 ~ 04/2014 {25.00 872.30 4.00% 8f7.10~ . ~ 856 03/1984 09/2010. 03/2014 (25.001 =73.42 4.00% 899.431 j ~ ~ 8s9~ 02/1964 06/2010 Oy2014 :25.00 873.42 4.00% gf.431 ; . ~ 850! 01/1964 07/201 01/2014 X5.00! ;73,42 4.00% 88R42~ t£ i 850 12/1963 0 06/2010 12/201 ;25,00 :77.42 4.00% {99.42 ~ ~ ~ ;50~ 10/1963 0{/2010 3 10/2013 =25.00 :76Mi ~ 1,76%~ +161.14• . EE ' 890 x9/1963 09/2010 09/2013 =25,00 :77.36! 1.N% {16=,16 ~ =S0~ 09/1993 02010 06/2013 ;ZS.00~ p7,36 ~ 1.64% {191.1fj ~ ~ 850 07(1983 07/2010 07/2013 825,00 ~ 877J61 • 1.64% 8102.16 I - FE ~ {50~ 06/1963 04/201 06/2013 u5.00~- "• :77J6{ 1.bt% i102.16i ~ ~ 850 05/1983 0 05/2010 01/2013 =25.00 877,36~ .:~ 1.61% 8102.16 ~ . EE ~ ;,50~• 04/1983 04/2010! ! 04/2013 ;25.00 ;82,22( ].29%! 8167,11+'' i !~ i 850 03/1963 09/2010 ' W/2013~ {25,00 X2.96 2.22%~ .8107,90; ' !~ i ;.50~ 02/1963 08i/2010~ 02/2013 ;25.00 X9,46; 4.00% 811{,46( ~ ~ 850 01/1963 07/2010 01/2013 825.00 ~9,46~ 4.00% 811s.sti . .EE y ~ ;50~ 12/1962 OW2010 1I/2012 ;25.001 899.463 - 4.00% 8316.46' ~ / .. ~ ~ 1so~ it/lssz os/zoto tu2ox2 1zs.oo~ :99.46 4,00% u34.46 ~ EE :sod 11/1962 05/zolo 11/zotx 82s.oo~ ~~9.48 4.ooli 8119,461' i ~ fsoj to/1962~ o4/zoto~ to/2oxz B:s.oo~ 8105.44 4.oox~ •ue.46 i ~ ff Aso! 09n962 o9izoto~ o9lzoiz ;2s.oo! ;toe aj 4.00%~ {111A6~ ~ ~ EE" . 8501 oE/1982~ 06/2010 06/20x2 825.00 : 8108 04~ 4.oo~i' 81~1.04~ ~ i~ ~ • ~. Et< ;,so! mi1962' 07no1o~ o7/zoti =2s.oo! =ioe,a~ 4.00%~ ~{111ASj ~ ~ ee ~ 1so~ os/19u osnoto os/2o12~ 425.00 81o6.ai 4.00%4 •u1.o4 i ~ EE 850 01/1982 OS/2010 .05/2012 K5.00~ ;1P8,04~ 4,00%~ ~ 8111A4( 850 04,11962 04/20103 04/2012 825.00 8108.04 4.00% 811iA4~ ~ !E s50~ 03/1962 ~ 09/2010 0 0312012 ~5.00~ ;110.701 4,00%~ 8116J0~ ' L~ 850 02/1962 ~ 06/201 02/20121 825.00 81f0,70~ 4.00% 8116.70! ~ http://www.treasurydirect.gov/BGSBCPrice i~ rn~.~- iu/iu da,~ ~'w~ R~ct tk~ ~dui~a~c. -.. ucck~da.~&~E ,~,~,~-. 3/11/2010 ~. _ __ . ~6 Calculate the Value of Your Paper Savings Bond(s) u,»zfsoeEi L72521199EEj EE EE € fso; 8501 01/1962 17/IN1 1 m/zoiD 1 06/2010 1 Duz912 . 12/2011 1 f2s.ooi 00 829 u1o.7o~ 70] 8110 4.00% 00% 4 ~ =ur,7oi I • 177 701 ~ , . 1 . . . ; 8 _ L725N770EE1 EE ttki 850, 12/1901 ` 06/2010 12/2011 815.00' 8110.701 4.00% 8178.70` L724966S9EE1 ~ 8501 11/1981 ` 05/2010 11/2011 825.00 ;110.701 ~.f10% 8178.70; _ L724&1570EE1 EE ! IE 850] 10/1901 !; 04/2010 10/2011 825.00, 8110.70 4.00% 8178.70{ - _ L57176789EE1 EE 1 8501 09/1N1 1 N8010 1 1 N/2011 f25.00~ ;113.42' 4.00% { 81`0.42; i _ L57157190EE1 EE 850; 08/1981 1 08/2010 ! 06/2011 1 825.001 1 8113.421 4.00% 1 8170.12] ~ 1 ~ _ L614816BBE8 EE ~ 8501 07/1981 1 07/2030 1 07/2011 ` `25.001 8113.42] 4.00% ! 8170.12] j L61487266EE1 EE { f50j 1 06/1981 3 06/2030 1 06/2011 11 875.00] ;113.42; 4.00% t 1 8WA2~ ~ 111 _ L40230109EEj EE 3 890 , OS/1981 ~ 05/2010 • 05/2011 1 f25.00~ 8319.42] 4.00% 8,12' ! _ L40212744EE1 EE 1 850' 04/1981 1 04/2010 042011 111 ! 825.001 8119.SB~ 4.N% ~ 8144.f0~ 1 _ U0170492EE1 EE I `501 01/1981 1 07/2010 1 01/2011 1{ 825.001 `122.48; 4.00% ` 8U7,10' ; _ L21141900EE1 EE 1 850; 01/1983 11 07/2010 1 1 01/2011 1 `25.00] 8122.48+ 4.00% 1} 8117.481 j L21128207EEj EE 1 ~ 850 ! 12/1980 1 06/2010 ! 17/2010 1 825.00 8122.48 ,4.00% 1{ 8117M1 1 1 _ L21127160EE1 ~ 8501 11/1980 1 as/20io 11/2oio fts.ooi u22.481 4.00% 1 1117.80] f - _ L211199S9EEj EE 8501 10/19N ' 04801D ~ 10/2010 1 825.00 8135.901 4.OOK 81N.fo! j _ L16530722EE1 •EE 850; N/19N 1 N/2010 1 !!!!!!1 09/2010 ! `25.001 1 f139.i2~ 4.00% 81N.12i t L16515800EEj EE 1 8501 I DB/1980 1 08/2010 1 Oq/2010 ! i 825.001 1 8139.12] 4.00% '81p:12j+ I L164l9409EE1 ~ E f50j 1 07/19N 1 07/2010 1 07/2010 `25.001 fi39.i7~ 4.00% 1 81M.12~ L36463295EE1 EE 850 1 ! 06/iN0 1 06+12010 t ! 06/2010 X5.001 1 .8139.121 4.00% 81N.12~ ! _ Q6409625729E1. E t E `251 OS/19N 05/2030 1 1 05/2010 11 1. f18.75~ 890.801 4.Op% ~ 81N.g1 i ]~ Q8360787761E E 1 1 825 04/1980 048010 3 Oy2010 (18.75 869.701 4.0076 1111 81N.401 1 1 Q83N778d13' E 1 1 8251 D,/1960 1 04/2010 ~ 11 04/2010 1 f18.7S1 fN.701 4.009fo ! 810`,101 1 = Q83N768b28Ei E 1 825 I 03/19N 1 D3/2010) 818.75 I `91.87' 1 8116!.`21 ~ i ., _ Q6380758569E1 E 1 8251 02/19N i 07!20101 `18.751 891.871 8110.821 )~ j - Q8360747094E1 E 1 825 02/19N1 07/2010 818.75 ;91.871 i 8130.82] j~ i t:6360736575E1 E f28 01/19801 O1/ZOSO~ si8as~ 891.871 + 3 8110.823= m 11 - Q6980727133E1 E ~ 825 12/19741 12/2009III111' 818.75 891.87] 1111 8.821• MA 1 Q6980716005E1 E 8251 12/197911 1 17/2009 f18.751 891.871 8110.821 MA 1 ~ Q635611N733Ei ~ E 8251 11/1979 1 11/20091 818.751 ~~ ~1.87j, ~ 8110.`21 ~ ! Q6956178329E1 E 1 8251 10/19791 10/20091 1 `18.75` 840.841 elo9All ~ 1 Q8358168384E1 E 1 8251 lai9791 ~ 1 30/2009 1 818.751 `90.841 1 81N.N~ )y8 Q69S0157031E1 E `251 N/19791 ~ 1 09/200911 `16.751 '890.6,1 1 81N.N1 ~ 1 Q63561454958 E ~ `251 08/19791 3 1 00/200`1 818.751 890.841 ! 81N.N1 1J4 1 r Q6358131N4E1 E i 8251 0419791 . ON2009t1 `18.751 ;90.841 !1 81N.N1 )1~ 1 ~Q632S747199E1 E `( 8251 07/19791 1 ~ 07/20091 816.751 890.841 ~ 81N.701 15A t Q4i725736602E1 E 1 f25! 0641979 1 1 061/2009 f18.7S1 `90.841 ~ 81NJ11 )y8 1 Q6325724637Ei E 1 1 8751 05/1979 1 OS/2009~ 1 818.751 ~10.58j 81M.771 !!S 1 ~. Q6925712494E1 E ~f25i 05/19791 OS/20o9 1 . (18.751 '890.581 ~ 81NJ71 !~ f1 Q632569l890E1 E ~ !!! 8251 04/19791 ~ 04/2009E 818.751 8N.531 ~ 81N.28! )~ i •~~ Q6R5667136E1. E' 8251 03/19791 f 09/7D093 (18.751 8N.S31 ~ 81N.781 MA 1 „ _', Q'630219N71E1 Q6302L83975E ~ E E 8251 825 03/1979 02/1979 03/20091111111 07!20091 818.751 818 75 fN.571 59 ' 889 111 BiN.201 ~ 1 ~~'~ 1 . 1 . 1 f . f e1N.2.1 1!6 i ~ Q8302170927E1 Q6302157136E1 E E 8251 `25 01/1979 17/19781 ( O1/2009~ 17/2008 818.751 `18 75 8N.53f S2 8N ~ .8108.201 ~ i 11 1 . 1 . 1 1 B1N.271 ~ _ Q6302142367E1 Q6302127577E F 1 E 1 ;251 `251 17/19781 11/1978 + ~ ly2pN4i 11/2008 . 818.751 f18.75 884.52! 889.231 ~ 8108,27! )~ ! ' 8107 981 jg ^I~ 1 . Q6270567201E~ E + 825 I 1 10/1478+ ~ ` 10/2006+ 1 818.75 `88.22! ~ . 83N.l7! iS+! } Q6276S52583E1 E 1 825] 10/19781 1080061 `18.75] 8N.221 ~ 810`.971 1 Q6276597973E1 Q6278523374E E f E + 8251 825 09/19781 06/19781 ~ + ~0480Ni 06`1006 . 816.751 `18 75 868.22 ~ 22+ 8N 81N.97 ~ 1 ~ 1 1 ~ 1 1 . 1 . 1 81N.97+ b6 f. QG278508834E! Q6246920226E1 E 1 ~E 1 8251 825 08/!976+ 07/19784 1 I OB/2008~ 0780Ni `18.751 `18 75 `60.221 886 221 ~ 6108.971 19A + j 1 ~ . 1 . ~ 81N.97{{ Q874N04704E! Q624686466SE1 E 1 E ; 8251 `25 06/1976+ 05/19781 1 11 06/2008' 058008 816.751 (16 75 868.191 887 921 ~ ~108.l1! l+J9 ! 1 87 81N Q624686U52E Q62315216Ui;1 E 1 E 1 1 8251 8251 04/19761 03/1976+ ! 1 1 04/20N+ 0420081 . 1 `18.751 `18.75] . ' fN.79! 8N.791 ~ i , 1 ~ 83N.71! m 8108,84 ~ ! Q623149743BE! E + 1 , -Q693i47111~E~ _ E + 8251 f25i 02/19781 01/19761 + D7JION1 OS/2008E ' 818.751 ~ `18.751 8109.701 `109.701 1 1 812840. 1!A i 8128.181' ~ flwwy 167w wadd you 68Ee tlfs f0o17 • O @1a0dlent O~ O r+eir .. „. Page 2 of 2 ,, y _ _ _ __ _ ,,,_ . _ _ EXHIBIT "D" ~pmputersh~are '~' l ~~Q I Compucersimre Tnrst Company NA. `Vl ` P.O. Box 43079 = Providence. Irtode blend 0!29403078 V4itltYt USA, US tertitaiea 8 Ctrteda 80p 3517121 47 d 9 = ~AUro~so~7170 00038910122334 122334 Otataide USA, US terdbries & Ceattt a 791575 2 ~•~•~~ ~ ro~~t41rrt~rtPiIiPI1Pt41rtrlhrr~tttttrlPtPHllrilrgirt AT3'fNtc.bancerpaetede6aef9telewea ~ ~ ~ d oie. f3.EANOR J LAIRS = 8 ABBEY CT t CARLISLE PA 170154385 Helder Account Ntan aer ~ - 03003780367 DNWsnd Rab (Gras DlviMnd I Taos wwllr.ld I Tam ~ I Na1t DNidmd . Dah I Rsimsstlnp Ditrld~+ds I (sl (s1 alr4ey2o1o 1,s1a>.169937 0. 410010. e2/.27 ~, _ 92827 Tranaction History From: 01 Jam 2010 To: 03 May 2010 ', ~. I Dl°^ 1 Amount) I mo' I u.dlr~ttT e I Ameu ~ I :~r.,>~I Tr4tnt Rl yp Ot Feb 1010 Belrtce Fonwrd Dlrldsd RelnvwYnent 913.33 bb6 Fees .. 907.77 28.529192 1,174.101794 2,210.188037 03 rbY 1010 DINdrW RebvwYttent 021.17 8.52 Fee 922.75 21.117751 2,215.306171 Summary of Holdirt~ Dab: 03 May 2010 Gass Daalptlora: r COMMON ttTOCK Certllfcabd 8ttaans I Unosrtlflcahal8huas I Total slw« I Closin0 Prks I I ~ (:l Dlna:t ReoistraHon I RsimadnsM Psr slam lf) COmputershare P 0 Box 6006 124UDR A t r -I- 0020940096 004ED ~ '. Holder Name: Et.EANOR J LAgtE ~! , -- Optional Cash PutChas@ pw66. ab>ua ree poAbn ettd ntai b ate eddren ek6wn bN6w. , i M yea erlela b ^uke an optloael 4ieM purduee eat 7hie tlnaM pNeee tasks your duck Hotdatr Account Nuaaber P~eekvn Me~ No N~ua er~artd Ad T8T k~ to your daea~. 03003780367 I ~I D Tk~ rorm.nowa oNLr be+.ed b<AreT Mc. The endoeed conYbtaroat as ONLY be eippred b rte aceaetl aekreatced b rte rlpM. Attaclrad ~ a a ~ II~~1®~Ii~~~/~~ ~~~ ~ o.~t6ta6« n,r~io,t~r~xi~r6ttae,""k';~ia~°,,.a /d;;nau,a6 tpu~u~blttlrt4tt~ty6Ht~~pntil~tl~~tlh~l9r161~11t1411 as M Ywaeled en M ne>d bueYteee dey . ^ Card Stream, IL 80197.6006 J OOOOOOOOOATT SPPl C13~103780367 ' I DIYIdsrld Mforrrtatbn Record Dab: Do Apr 2010 Holds Account Nta~abaahC3003780367 I 1 1 • I I s Your email address can now help save the environment. Register for electronic communications using the eTreem program and we'll have a tree planted on your behalf. Go to www.eTree.comNerizon to regisker. HAROLD S IRWIN III IRWIN LAW OFFICE 64 SOUTH PITT STREET CARLISLE PA 17013 May 20; 2010 G~~~~n~~ Comput%'rsNare Investor Services 250 Royall Street Ce~-tom Massathusetts 02Q21 wvww.computershare.com Company: VERIZON COMMUNICATIONS I_NC. Registration: MISS ELEANOR J LAIRE Holder Account Number: 00006475507 Document LD.: 10138WF00849320 Our Reference: VZN/0002884364/9/SF65572 '~i Dear Sir/Madam: Thank you for contacting Computershare, the transfer agent for Verizon Communications Inc We appredate the opportunity ibo be of service to you. ~~ On March 2, 2010, this account contained 1,358J948 shares. The dosing price on that date vas $29.26 per share: On May 18, 2010, all book entry shares were transferred from account number 0000647550 in accordance with your request. An account statement containing the infom~ation for the new unt is being mailed directly to the transferee. To transfer the remaining shares, we require the following.documentation: • Ali outstanding Bell Atlantic sbodc certificates for the related transfer If you are not in possession of the 66 remaining shares, please contact us for replacement Mail sent to us via the Postal Service should be addressed. for .. CompuUershare , P.O. Box 43078 Providence, RI 02940-3078 If you use a private mail carrier, your documents should be addressed bo: i . Computershare .250 Royail Street ~ Canton, MA 02021 If you are sending orrtificates through the mail, we recommend the tine of registered or ~ mail, with return receipt requested. We also recommend you insure your padca~ at 396 of the face va ue' of your certificates (or $20.00, which ever is greaterj. This represents an approximation of the cost fan ~i _ .., _ _ . , indemnity bond to replace your certificates should they be bst or stolen. To calculate the value, take, the number of shares represented by the certificate, multiplied by the prevbus day's closiride, mu~iplied by .03. Information pertaining to the other company accounts referenced in your letter will be separajtely mailed to the address shown above. Should you have other account related questbns, please call us at (800) 631-2355.Our tale she representatives are available during regular business days between the hours of 8:30 a.m. to 6 p.m. Eastern Time. Please note that any available representative can assist you. For certain routs iriformatbn, you may call us 24 hours a day, 7 days a week and access our automated ~elephor•e service. Sincerey, Service Representative Enclosure: None E7CHIBIT "F" i ,. ,. ~~~ ;~:?r ~ 4 Did yoxr know? Most shareholders can manage their holdings online with free aaess to Computershare's investor CentreT"' website. Use this simple tool to quickly and easily update account information, sign up for electronic delivery of documents and more. Enrol{ FREE today at www.corhputershare.com/investor. HAROLD S IRWIN III IRWIN LAW OFFICE 64 SOUTH PITT STREET CARLISLE PA 17013 May.i9, 2010 Company:- Registration: Holder Account Number: Document I.D.: Our Reference: LSI CORPORATION MISS ELEANOR J LAIRE 03002211393 10138WF00839990 LSI/0002884364/9/NK/66168 ~~t~,~ Canpu~#hare Investor Services 250 RoyaH Street Cpntan MassBChusetts 02b21 www.computecsharecom Dear Sir/Madam: ', Thank you for contacting Computershare, the transfer agent for LSI CORPORATION. We appreciate the • opportunity th be of servke to you. On Mara 2, 2010, account number 00000268658 held 6 shares. On that date, the closing p was;5.53 per share. This letter will confirm that the shares being held in the above r'eferenoe account were trarlred into the new Estate account on May 18, 2010. A statement has been mailed to the new shareholder' alddress. There are, several ways to sell shares: The shareholder can call us directly for a broker assis~ed sale. Our hours of operation are Monday through Friday, 9:00 AM - 5:00 PM Eastern Time. 'The shareholder may also submit a written request mailed to our Sales Department. You y dither complete the Direct Registration Transaction Request form or send us written instructionsf you are going to send written instructions, then please be sure to indude the folkwving information:', '~ The complete registration ~n the account. _ The name of the company. The account number. The date. Number of shares to be sold. All registered holders must-sign the request just as their name appears on the front of the statement. i Please mail the request to: • . I , Compubershare Investor Servk~s ~, ', Attn: Sales Departrnent ', P.O. Box 43078, Providence RI, 02940-3078 Or Overnight 250 Royal Street, Mail Stop 1A, Canton, MA 02021 y __ T _ _ ;_ __ _ .,; ; r ., The FEES for selling DRS shares is a flat transaction fee of $15, plus an additlonai proo~sing'fee of $.12 Dents per share. Shares will be sold as soon as practical, after we .receive the completed sales request in good order. After the sale, there is a ,three business day settlement period before the check will be !~ rrteiled to the shareholder. Information regarding other accounts being held at Computershare will be mail~l separately Should you have other account related questions, please call us at 677-282-1168 during reg~lar business hours. Please note that any available representative can assist you.. Sincerely, ', I Service Representative ~ ~ ~ i Enclosure: None ., . ~, ~~ ~~~ ~~, E~~ ~, ~ 001048 'IPJu"1"1~1~~~~I~~~Ilr~lrlr~llo~lllll'~~II~II1~~'~~I'1~~I'1 ~ MISS ELEANOR J LAIRE ~ 6 ABBEY COURT CARLISLE PA 17013-4365 ees. ,~. ~mpu~ershcme -~' Camputershare Trust Compeny,N.A PO Box 43078 Providence, AI 02940.3078 Ydthin USA, US territories 8 Canada 800 631 2355 Outside USA, US terdtoriea 8 Canada 781575 3994 www.computersha~e.coKNverizon Wrltan CanxrxrNeatlorw krc. b under the laws d Shte d DE. IloMler Acwwrt Number 00006475507 ACCOUNT SUMMARY As d dae of vz _~ .. _ _.. on 18 MaY m10 osPP-comrnonsbr* al.nooooo ooooooo ~ o.nooooo elaooooo 12e.47oo00 t,e7s.72 I TfBtgsdlon History ~ Frotn:l8 Mani 4010 To:18.Mary 2010 This aecfon pertains onyx b bookatlry Nweehniks. i>on ltrglnetlotl Dedltctlon Deduction Nall Prke Pl- T nlliction Tdd Book °'" I Corer tlon I Amount (f) I D..cdptlon l Amourk (~ I Amount (~ I Bl,arwr~ tail ,.. ~ I ~~. Pen Tnrreelare D8PP • Cenrrron 9bdc 9.ir,u Farnnd ~ t,~ueelees teM.yzolo Traroier .~,~u~eslass oooooo0 lladr Gtees Oaa+YOn -Adeeerplon d the Nock dat b whidr you hold arras, e.q. Prke Per ~rMNdt- The mrket pdca per ehen purdar ae0 elr told underttre PNn for fkrmron ebdt dre treneeollorr. CM/laked 1Nrereellhrle Netl !y Yoe -A phyelcel aAReNe rra ieeued br tireee 7YrraeUon 1NreraNrrMe -TM remiber d ehera qr sold drardr the Plan for e?rreekrile. lhle berweGion. lookl~eok~EwYy rflrera - Shras Compuerelrro meinbrine for you fn en ebdroric lbgl iook>lhereeNrdb-The wm d tl boakenby , bdrdnp both DRS end eeoouiC s ebek arlicrfle wee net eerwd br lreee ehrra. N Dina Rel4balar ehens irnabrrent phn eheree, a drie deft ePedAed• end Yrveeerrert glen ('Plert~ ehene aA held b beek~Y Tam. OYeN bOM6eliorr Yeok 1NrewelUrils,~ - Y eherMihet ere not pert d lr Pea Yreeeheet Mrr ~eelr>lYereelUnib - look~rdiy ehra tlrt ew pert d ether e „ dlviderd nkenernent plan (DtiP) a dked ebdr purpfrw Pen ~I• i To1e1 sllrereeAMrle - The sum d el a~rlAned errd book aheree IreW b lAe aocaud a d ire dole epedled. . CbeNy Prbe - TDe doekg nrdN prke a d the axouR summery dNe. YerkN YYWe -The dolor value d IM bW elaa held b tlde eooount ^ d the deM epedled. Dedreropoeeerlplbe-AdeenbtlafdenywrorxfYwMiheldkrlMrgYriadlonNee. • iarlwCarlM-rtareomwtYnerarw4aYdraMa er NoeepwYgww Oede0rell Aerord- DoAr emaede deducted may kelude terse erdlerreeClorrtea rw 8&Ylrli Mrr wp rare eeAm dlhe alert lee nHet a Fee YY4 M wdeeq (wlatAfaeah+YM>lydeelrybloMNepeoolmdeelorleCampt111MWekinpiedbpey} 'brPhwW~ElllnaFUSnYdMiq'OUMiMbeiMliilM prMr~rlRw~re~eSerMangiienwi.l~erbrwY ary~IdenlearWsPiooeWe 1May~rMVOMM.0AbA9,E IMt Aaard -The bet amountberrecfed for ynu, Bowl b lr rarwrsbn emorrd lea FOIrMS' aden d ourwebei. Fwred ranee o rwt . i I '~ ~~ E7[NIBIT "N" . Scottrade Page 1 of 2 ~_ ~~ .~s~ Hans ADaa 8aauwls 8rrpbyrrrre ~ fomr Caner VYbbcnk Trade Q~rNgr f Emcuson 8M MeP ~ C~Y«tee eenlon ConUa Us MaAceb Stocks • ,MuWal Funds Exdlsrge~Traded Funds ~ omcast Corp cucsA:eASDAQ ;~i tnAnuy: &aidostnra a f~tda TV 7.81Y 0.142 0.8046 11,527,484 ueika ae. u ewy.a ey.c i.ua m mnurn. ~ / % anno• volume ~ ', EXdugve yyhen you open a Scddada xsourrt, you will ba atlk to trade, add stoda to a eratch Ust, sat OY !'aitut^es alerts and qat neal-tlms quotes. Time Renpa Upper Irbkstors lower tndkators Chart Sty4 ®~ Took ©Hldb _..._.. _..___.. ._..........._. 30 ', ...._..w.._. i 9 T _____ __ '_--' 18 _. ~.~___. ___. __._. __._. __.___.._. _ 17 omcest Corp ', e: of 12149 PM ET 8J1 T110 allaaa~ (millions) Close Up (1,68) Close Dorn (1.48) EMA(13) DI*Imis > Renave x !, __._.._.._. _____.___ . _.~..r._.___.____.___ .___.__.....__._.______._.___..__.~__._._..._.._,.._._.._.._.~ B0 _. _... ~. _.._._ 40 20 8oettrsda 8errrCt~lt an sunsnarts arrtplloted klrmetlon Nrto a ptaln F+raBeh that's easy <D ~ urrdarslarw. ., _ _ 7b aae SmsrlTrDa aYart any d lha IbB i Yrdl O M M Av a ow np o pa: ov ar pa, q 8olMgar Sande, MACD, hmbo8t Saq /rltaCtanrW,Sbw9toelartlebRalatlaa - ~ '.. 9tlarglh, On BWna VoAsna, Yyllaarrs % _ ~ ~', It, Dkatgalal IAOrernart Indkabor a the ', UMNrrte QadBatar. i Analyak w81 ba praeerrtd M thk area. ybu cen hMe thb haorn at any tMna M - ~, :tNRMq the Hide SnlaRTe# Optbn ahors. i i ~ ~ ~ ^ i ~attl.~wK ~ee1'CrN1Yr TMnr{Cwdlemr VYge bfune BueMpCOnlewy nlealoeYe rbrle DMdoewe a.w~oe aooWeN 4 2010 Swttrade f~ • • + II http://research.scorirade.co~/public/stocks/charts/charts.asp?reset=l&fullscreen~ ', 8/17/2010 'EXHIBIT "~" Scottrade Page 1 of 2 ' ~^_ caeeb.ett Us . .Hems Aeon 9aoarads F3npwym.ni Fomr c.ex yNrea.aa Tees ou.lgr i Ewearon eae FAap I Gans.. s.nfa.a contra Lk Makds Stocks Muted Funds l.~xharips-Traded Funds rontier Communications Corp FTR:HYSE ~ . sr~r '', .49 *0.K 0.81% 4,921,179 Mwkae e.ra k AakYtl ay at kaae 20 mawan, I Uanaa / % pknea Volume - ExdtLdt-e Wien you open a Smtbada account, you will be able tb trade, add stodor to a wabdl Ilst, set llNtY1li alerts and qat real-tlme quotes, Or Thne Rangy Upper IndFt~tore Loaiar IndFtato~s Chsrt Styli ®~~ To01s ®•HidO ~~ Mar 2, 2010 Open 7.7e Feah 7.a! Law 7.61 Clop 7.ae 1AOlulna a,Mae00 ~~~ _._._..___..___._ _.__ .-_.___.___.___.___.___..___.___..___.___._ __.___,.._.._.___.___._~. 8.2 _. ._....._._._.__..._.~ A ......_....... 8.0 ~ _ I j ie -_.. __. __....__._._ _ _ ___.._..__._ 7.7 7.2 .___.____.__._.___.___. _. ___.___.___.____.._ __.._..._...7.0 Frontier Communications Corp as of 12133 PM ET 7J2Fi/t0 ', dwe+ (millions) Close Up (448.8M) Clost Dolrn (321.SM) EMA(13) Optlorls > Remove x - - ___._-.-~......_........._. 40M _... ._....._.~..__ ._....___._......_..._....._.._..._......_...._._......._..__ 20M Sooltreda SmerLTSld ca,l help eummsrha tampawtad UMhrmatlon Into a ppm ', 6'l9MMl expFSnatbn th~t'a aay to undareLnd. -- To We SmerLTee seFad: ury d de IbMawina Hldkatgs: MOVkq Agrepe, ', - ~~ PAOCHanrlM, 5kwr aesal..tlv, ReFseFve ,~ 9tlergth, On Flatana Vakxie, Msll4ms % 0. Dkeabnel povanoK Indictor or tM UMFinab Oeda40or. hkN tMt A~iW~st any Lima by alaaMia the Fade Smart Text OptFan above. I I a Y a ~ I I FaY.g awea«li 'Cwsw Tamr a CaNaau NYys b Funa suMekw t:Cllatlllay Ofaelo~ula FFweal QYObwa aYYmrt eoaWaoa p 20105m1b~ada ~1c,nr, e,,,,,.g~~ http://research.scottrade.com/public/stocks/charts/charts.asp?symbol=FTR ~, 7/26/2010 _ _ I f _ ,P r ~. ,..... MEMBERS 1~ ' PBDHRAi.CRBDIT UMON . REGULAR SAVINGS ACCOUNT: Account Number/Suffix 164471-00 I, Date Account Established 01/13/1997 ', Principal Balance at Date of Death ~ $20,341.29 Aaxued Interest to Date of Death $.17 i Total Principal and Accrued Interest $20,344.46 I ' Name of Joint Owner None CHECKING ACCOUNT: Account Number/Suffix 164471-11 Date Account Established 01/2611998 'i Prinapal Balance at Date of Death $4,280.66 ', Accrued Interest to Date of Death $.01 ', Total Principal and Accrued Interest _ $4,280.67. ii Name of Joint Owner None CERTIFICATES OF DEPOSIT: Account Number/Suffix 164471-40 ~~ Date Certificate Established 01/13/1997 Principal Balance at Date of Death $8,651.81 '~~ Acaued Interest to Date of Death $.49 Total Principal and Accrued Interest $8,652.30 ', Name of Joint Owner None '~, CERTIFICATES OF DEPOSIT: Account NumbeNSuffix 164471.41 Date Certificate Established 04/01/1999 Prinapal Balance at Date of Death $14,694.12 Accrued Interest to Date of Death ~ $.88 Total Principal and Accrued Interest $14,695.00 ', Name of Joint Owner None ', i CERTIFICATES OF DEPOSIT: Account Number/Suffix 164471-43 Date Certificate Established 06/11/2001 Principal Balance at Date of Death $13,249.11 Accrued Interest to Date of Death $1.02 Total Principal and Accrued Interest $13,250.13 Name of Joint Owner ~ - ~ None MEMBERS 1~ FEDERAL CRED~T t!JNION '~ I sigh-Anne Stallings ', Lending Insurance Support Speci~ali~t March 18, 2010 ', ~,I Ettats of: E. Jane Lairo Date of Death: March 2, 2010. '~ 8ocia18tacurily Number.144-Z4-7723 'I 5000 Louise Drive P.O. Bog 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 • ~www.memberslst.org i _.. _ __ _ ._ .-.- _ _ _ .-a. ,. _ -~- ,.. _ _ _ . _ , .... _~__ , . _._. ~. __ , _, -._--- r , _ ' ROWE'S AUCTION SERVICE (RH 79L) Bill Rowe (AU 1538L) 2505 Ratner Highway Carlisle, PA 17015 ]~aAe Rowe (AU 2285L) 249-1978 697-4794 249-2677 Auction Is Action Call "Rowe" For Satisfaction ' ~ j ~. ru ~J ~- t ~ ~c 2_. DATE SELLERS NAME ~ ~ ~ ~ . ADDRESS ~; 6/ L-A ~t1 ~llr~.fl.. (• aV PHONE ~ "~- ~'Z. ` ~TIiER E-~'s~? ~. t~ 4' -tom AUCTIO ER °k ~ S~ AUCTION DATE/LOCATION ~ ~= G ~ CLEB.K ~9~ ~'~'~'" DESCRIPTION OF MERCHANDISE +-Sci~Jdl•J)1~. ('J 15 c\L ~ ~ ~ IL• .. ~.1 A.I~A_'~'~h- S1s~-T ..~ -\}Lt~~~,_~~,/U~,~ r . Z ~ t°!~-~l• S' ~ -~v ~ ..~ ~.t s t ~ ~ e ~~ ~~ N t~~~ u~:: ~_ ~s,.-~ mot. -~c,c~ ~- _ u c1~ /~ /L: .. K L "- 12~Jas r .p (~ ~~ v+rL1.l.K ~ ~.~ ~Z ~~ V ' ~ ~J~ '.. L~~ ~ ~ ^ e --~ . (7~/,/(-s S ~/ `7tl~ I Commission the Auctioneers to sell the merchandise to the highest bidder by Public A c~ion. Merchandise to be sold as is & grouped as necessary to obtain bids. I cez•tify that I am the owner or u~horized represen• tative of the merchandise, goods and or property and have good title and the right to sell !that they are free from X11 incumbrancss. I agree to accept all responsibility for providing merchantable ti ~ for delivery of title to the purchaser. I agree to hold harmless the Auctioneers against any claims of the tore referred to in ent. AUCTION SIGNATURE SELLERS SIG ATURE Total Sales (Clerking Tickets Attached? ~ ~~-- `~ ~ ~- `'- ~ "' .- - ~ Less Sale Eacpense: Z~ 3 x"'`96 Commission Auctioneer 3 ~ 0 "~ ~, % Commission Clerks ~ ~S"'~ `"' ~ bi ~ fx~J ( ~ OTHER ~ ~ /~ `i l f31 - . . - : .~ , I . Z ._-- . TOTAL SALE EXPENSE DEDUCTED S ~ f'~ ~I ~-'®' _ SELLERS NET ~ -~i '~--'I'~ ~~~ RU1~ ~S :~ l~ ,- _ . _ ___ __~,. T ~ ~ ~ _ _ _ _ _ __ _ ,_ . S U R E T R U S T S ' C CES NHW JHRSEY PREPAID FUNERAL TRUST FUND f a - Account Disbursement Statement E Jane Laire 6 Abbey Court ~ March 8, 2010 Carlisle, PA-17015 ~, Consumer A nt # : 8000081254 This statement is to confirm the disbursement of funds from a prepaid funeral account r fihe benefit of E Jane Laire General Information ~ ~~I Disbursement Information ~ '~ , 4 • AV 02 226961 29871H893 A+*SDGiT ~uili~u~1141111~1dh~~~•Ilh~lriulllll~ll~lllllilll~lllllll ELEANOR JANE LAIRE/DEC'D 8 ABBEY CT CARLISLE PA 17018-4385 Pave the ~vay to bury shaires online Say goodlrye to marling ~ investment checks. Link your bank and American Wnds accourds today wkh our ample two-step process. Leam more at americanfunda.com/onGneinveating. Reminder of oar address change .».N..N.».N..N..NN..N..N..N.N.....NN...N..N.»..N.N..»N......N..N.»..N.N.,..,... To ensure your transaction-relatied requests end other incoming correspondence are recenred in a timely manner, remember to use the correct address for the American Funds service carrier in your region, as shown on our return address, or go to americarrfunds.com and click 'Coact Us.' YCgtrsmmc~ifi tlddetr NISSLEY (717) 2490795 INVEST FINANCIAL CORPORI~TION , 1188 WALNUT BOTTOM RD CARLISLE PA 17015-9180 i . . I For more stxo~unt infonna~o~. N ..NN. NNN N.N.NNN.N. ++ NI ..............N..N.N..N.N ^ Cap yonr fiaacigl adviser ', ~ Aulearatei iafonatiar aai setrioss ~~ _ Websrte - americarrfunda.com American WmiaLins o - 80Q1325- ^ Personal assiahncs - ti a.^. be. t p.i. Easbsm tiara M-F Shareholder Services - 80Q/421-0180 C~ (Aprll 1-June 30, .2010) ... N.N..N... .N.N..N.N..N.N..N.N. .N.....».N..».N....N......N..N.....N.N......N.N.N..N.N.....N.....N.........N............N.....N..... ~ . ~.NN...N.....N.N..N.»..N...... 11~nwstid Chs ato Valbs on dlNdsnds snd sccawrt ydw on Endir-D ...».. »..»».».....»».». + Mditlons + cspfb! pdns »-- .»» N~dnnvds ±/-.» vsbs ~»~' Ai~JMY10 µ den bdsnce ffi8AN08ZJAl~ffi .» »»». »».........»...»» » »»».».». .» ..... »»»».»....».» . The Income a-A Accourrt # 121,818.55 SD.00 5288.58 50.00 -52.010.01 I,525,8~i.12 1,767.951 >R.EANOIt JANE SHIRE d5Y1~"'- PBO t~rs7r8s~.J>llsrnass Wndamertta -529A Account # 51,358.92 Cap~l Wo and Income-529A Account # 57,890.14 515.050.06 !^ Totab 50.00 50.00 -57,427.05 587.13 ~.OQ 50.00 -5/,778.32 596.18 lO:iID~ 50.80- -515,203.31 5153.31 51i.11i.81 ... S11.N 1Zp.5t -515,!13.37 -11.118.71 50.00 0.000 sao: s_ ~_ i~ _~ l~ 50.00 0.000 50.00 - St~i,li5.i2 . t x zxsast/oooooot ~.a,~aMr.~.wss _u~wweMoaue a Capital World Growth sa11 Insane Fend - Claaa 5~A Successor owner. Lori Melinish Acaaat # 81473877 fend # 1033 ~i CVIIIAX Tisd~ dsGs p~sc-ip0a- Do#Sr~mourrt S~ro pliaa Shops trsrttact~d 01/01/10 Beginning balance ~~~~~ ~»~ 57 677.06 »~».. .....»..... Ss4.00 . »~»».~».»»..w_ 03/19/10 Income Dividend 0.147 533:19 $33.71 0.985 04A1/10 Contrib To 86186830 -57.672.30 534.29 -223.747 04A?1M0 Earnings To 85188830 -5104.02 534.29 _3.034 06J30/10 Ending balance 50.00 529.31 S'harobrbneo 225.796 226.781 3.034 0.000 0:000 ~. asp ~_ ss~ 88i€ • y AR1M.{1~/f.7~~M~J1Yl11i_= 1--.RI~IO~1lMi zzesavooooooz O ~.- ,_,~ - --r ::~~~~~ ~.`kt.:.. .v~ .~.. ~..:.~:: ~..t ..~..~~ . ~ IINIII~IIIIIIININIAININ~NIIIINININIII~!~II~Y , ' Meti.ife MAX-1® A Fixed Annuify For inquiries contact: Statewsnt Date 11 /03/09 MetLife Statewsnt~Period.' 11/01/08-10/31/09~.~. P.O. Box 10342 ... ...... ............ " Des Moines, IA 50306-0342 Account N M9237148 Tet: 1-(600)638-7732 ..........~ . ...... ........ . ~ Market NQL 00708 Tax~ID~A~~ ' -ON~FILE~ ELEANOR J LAIRE ..... .. ........` Issue~Date . .. .. ...... ~10/28/1992~ 6 ABBEY .CT ....... ..... ~ ~ ~ F ..................... ~ • CI~RLISLE PA 170154365 Eeployer Group ~l ! N. A: Amuitant~ I .ELEANOR~J~LAIRE~ TOTAL CONritlBllTIONS TOTAL VNTHDRAWAIS TOTAL CHARGES TOTAL EARPBNGS ENOING BALANCE 1O/31 /O8 S 6.000.00 ; 0.00 S 0.00 ; 6,325.73 S 10,325.73 11 /01 /08 l COPtTRIBlJT10N5 ~ TYPE I~~E T~RATE ~ ONT~C'TALACCOUNT I NIITHDRAWALS 10/31/09 l ; 339.53 10/31 /09 ~mzx3.saE (~ vos~ 9,988.20 339.53 • ~.- EXFIIBIT °0" AV 01 147371 75735H490 A*•5DGT Ir~'~~~'Ill~lllltrrrlrlll~lll~rl~llr~lll~'~{Irrl't~'~'ll'~II~I'~I YCSP/COLLEGEAIrE:RI CA ELEANOR JANE LAIRE OINNER/DEC'D FBO TAYLOR.R MALINISH 6 ABBEY CT CARLISLE PA 17015-4365 N~ S 4~ OIF S 1'rO0~ ~ f+0!'1>QZ M....1 W.~......M.....«~....N...w.......wig...w.-..w.....M.N.....N..-.....w.-. Now you can pet exact copies of your tax forma from our webs~a whenever you need them. To learn .more or download s forru, kp in to your account at american[unds.com snd click Services for this account.' Yaat Mtridld adsber NISSLEY (717) 249-0795. INVEST FINANCIAL CORPO~tAI'ION 1166 MIALNUT BOTTOM RD CARLISLE PA 17015-916 ~4>M' sO00itlIIt 11tlfDl'll~>~~ ^ CeN Maur fi^ncial siriser ^ AsiuuNari iafmraation ant serric Welisite - americantund:.com American Wndaline a -800/325-3~0 ^ PaRaai ue&arux - ! •.^: to_ . pi.^ti IEasl^a ties M-F Shareholder Services - >MQ1421-01~ Q c9 -Qanuaty 1-March 31 2010) _ lklnwstd p-any. in ViAr. on rlivldsurds and sccasnt ' Viirs on »..........~.. 1~3U!!! + A~dlioas + es sins -~- N~ithdtsws/r /- ~lire - A1~r/10 shsrsbs~ ~C81P ~. ffi8ANi01t j111r8 LIRM ON~/DECD PBO J08~HQA P l1Ai~88 The Income erica-529A Accorirrt # 114,305.Q2 50:00 1118.89 SD.m 5218.35 514,733.26 934.299 ~' ~ ', ~! ~ YIrO ]fA1 American -528A Account # 57,086.75 Capital! r-528A Account # 51,393.92 ~CSP 114.160.67 American -528A Account # 11,066.75 Capitallrtco =529A Accourrt # ~,~,92 514,16D.61 Totals y So.ao 114.¢1 10.00 ~ 11n..3i SO.OD 563.95 '50.00 517.20 x.00. 1106.16 »~. 50.00 ~ 5194.54 50.00 114.51 50.00 x.4.96 50.00 1106.16 51f.N 13Mi.il So:ao stn.34 SD.00 111.20 x.00 1114.54 57,288.80 301.106 !17.475.07 153.78:1 - 1h4,763. 57.286.60 307,406 x1.475.01 185.763 ~_ ~_ 10.~.3i "R"r' a..ogsem 51.M SW7.O ~ u~s~r/ ~woao~ v AV 02 226861 28871H893 A**SDGT ~nlmn~lihdll~Illh~•~~lllrtrllllllld~ll~ddllll~ll~lllllll ELEANOR JANE LAIRE/DEC'D 6 ABBEY CT CARLISLE PA 17015-4365 Pave the ~vay to buy shares online Say goodbye to ma5ing in irwestment checks. 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Learn more at americandunds.com/onlineinvesl;ng. ]R,ermdnd~er of our address change Ta ensure your transaction-related requests and other incoming .correspondence are recen-ed ~ a timely manner, remember to use the correct address for the American Wnds service cerrter ~ your region, es shown on our return addre~, or go to americandnnds.com and click 'Contact Us.' . i - J~ 30, zoio~ Roplvsted tnulpe L1 Value an dividends end sceowK U~3r/l0 + AddAiona + capkal peso - lMitlldnwels +/- vawe Year MflfCtal adlrlaEr N~SSLEY (717) 249-0795 INVEST FINANCIAL CORPOI~AT!ION 1166 WALNUT BOTTOM RD CARLISLE PA 17015-9180 For more accotuint ~nf en ^ CaN year finaacal aiinssr I . ^ Autsrsatsaf iafs~^afiorr aM se Website - americanFunds.com American WndsLine o - 80QI3Z5- ^ Personal assahnce -ga.^. b p.ra. tea M-E Shareholder Services - 80QI421-Ot ffiBANt)eR jANB Id>M<B/DBC'D The Income erica-A Account # 527,616.55 10.00 n88.~ 50.00 -52,010.01 V+CSP/DOii A B~ts BAaU~ORIC.A , jA ~ BO 1~~TiHANiBM. J aAIII~H . Fundaments -529A Account # 57,359.92 50.00 50.00 -57.427.05 567.13 Capital Wo 6 nd Income-529A Account # 17.880.14 SO.OD 50.00 -17,776.32 586.18 ~ - ~ ~ - ~ --- . ` , ~ r ----i0:A0---- - -.--50:80•,-- --1t6s~i:-~--~--N- --~t6331 Talak SQ.iBi.it !/.N ~. 12N.6t -:'IS.tp.37 -l1.pi.fl 1 2 228881/0000001 e a~ ~_ ~_ ~_ .........~........~.....~... ism Yalw on Fnditg ~ ~f0 sham balmce ~, .» ~ ~', 525,8.12 1.761.951 I 50.00 0.000 III 50.00 0.000 .~. -~--•511:.00.....__.. _ .. _.._...._...... ~,IBti.1! . _n _ .. ~r _ ~ _ _ _ _ __ _ __ __ The right choice for the long termm . ~ ~ ~ ~ ~ ~ _. T~age _3df 4 :~-.er~can Fu~.+ds ~~ Capital WOrld ~1i01Nth 8)Ild Income Fund - Class 5~A Successor owner. Lori Malinish Accoant # 81473677 Fnni # 1033 ~ CYVIAX ~ ', Trade data Dascnpdion DoWr amounC Sltara price Shares Mnaactadl ~ . . . . ~»•» Shs~a balance .....»»».» . »~.» .»~~~~»~ O1N7/1O Beginning balance »57,677.06 . ».....»».».» »»..».»....».....» $34.00 ».».» h~ 225.796 03/19/10 Income Dividend 0.147 533.18 533.71 0. 226.781 O4A1/1O Contrib To 85186830 -57,672.30 534.29 -223.74 3.03+4 . ' 04101/10 Earnings To 85186830 -5104.02 534.29 -3. 0.000 06/30/10 Ending balance 50.00 529.31 ', 0.000 aaan aa~ ~_ 11~ • aeon • y Y AR.MIIM~OfIIYI~IfR7O77.01AA1lY.~MMCL_-A/i_».YIRNIY~T[N! 22eaet/OOOOODZ O