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Home My WebLink About02-0844 Estate of Phoebe W. Streeter PETITION FOR GRANT OF LETTERS .-v No. ~/- tJ J. - g-- '-f 'I also known as , Deceased Social Security No 473095787 Pelitioner(s), who is/are 18 years of age or older, apply)ies) for: (COMPLETE "A" OR "B" BELOW:) o A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut rix Decedent, dated 9/12/00 and codicil(s) dated named in the Last Will of the State relevant circumstances, e.g., renunciation, death of execlrtor, Ene Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: o B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence I (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at 1206 Dickinson Dr., Carlisle, PA 17013 Decedent, then 84 (list street, number and municipality) years of age, died AUQust 25 ,2002 ,at MartinsburQ, West VirQinia (location) Decedent at death owned property with estimated values as follows: (if domiciled in PA All personal property.. (if not domiciled in PA Personal property in Pennsylvania. (if not domiciled in PA Personal property in County Value of real estate in Pennsylvania. Total. $ $ $ $ $ 100,000.00 150,000.00 250,000.00 Real Estate situated as follows: 1206 Dickinson Dr., Carlisle, PA 17013 Wherefore, Petitioner(s) respectfully request(s) the probate of the Last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Typed or printed name and residence 396 Thatcher Rd. Martinsbu WVA 25401 jI- 8'9- s Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed be~kA/~bL day of ~hA- / ~.cAr----. iQ /~ U. /41"' . A Jr- J<. Susan s. Brookreson 'tfrJ M.AJ '/J1 t.11.&. -')1'1: dJ.. .,.1.a.Pr~ ,I-; , Jt1 IA#7 DECREE OF REGISTER Estate of Phoebe W Streeter also known as Deceased No. 21-02-844 Social Security No:473095787 Date of Death: 8/25/02 AND NOW, SEPTEMBER 1 R th 2002 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Lettersllil Testamentary 0 of Administration ((c.t.a.. d.b.n.c,t.; pendente lite; durante absentia; durante minoriate) are hereby granted to Susan S. Brookreson, 396 Thatcher Rd., MartinSburg, WVA 25401 in the above estate and that the instrument(s), if any, datecl3eptember 12, 2000 described in the Petition be admitted to probate and filed of record as the Last Will of Decedent. FEES Letters .................................... $ 270.00 24.00 /bn.i1h/ :??dbA(~ .w../!LZ. ~ 41 R'egister of Wills I Short Certificates(s) ............... Extra Pages ( 3) ............... 9.00 Signature I.T.R....................................... JCP Fee ................................. 5.00 Attorney: William P. Douglas I.D. No: 37926 Address: 27 W. High St. Carlisle Inventory............................... . Other...................................... PA 17013 TOTAL ............................$ 108. nn Telephone: 717-243-1790 DATE FILED: SEPTEMBER] 8. 2002 CALLED ATTORNEY SEPTEMBER 18, 2002 WEST VIRGINIA DEPARTMENT OF HEALTH & HUMAN RESOURCES BUREAU FOR PUBLIC HEALTH - VITAL REGISTRATION PHYSICIANS I MEDICAL EXAMINER'S CERTIFICATE OF DEATH ROOM 165, 350 CAPITOL STREET, CHARLESTON, WV 25301 lYPE/Pl'llNT ~ PERMANENT IlL""',"" STATE FILE NUMBER 4 socw.. SECURITY NUMBER !>3;.(;.E.Lw.;.\Bi<\~ (Yews) 84 5b UNDER 1 '>'EIIR Months Days , 50:: UNDER I DAY Hours MiMe" :z 00:0 1 DECEDENT'S NAME /First, Middle, la!oil PHOEBE W. STREETER 6 WAS DECEDENT EVER IN U S AAMED FORCES~ (YesrYtIO) NO HOSPITAL Ol~at"'n! 9a PLACE Of' DEATH (Chect only cne see nsl/tIClIons on y SIde) o ER/Ovlpatlent 0 OTHER 0 Nllr"'ngl-lon"l!! Mesidence ~ Other (Speclly! (DAUGHTER'S HOME) 'kl COUNTY or DEATH BERKELEY CO. 9b ~ACIUTY NAME (II no( inl;f<IVtic:n. gr.<e slroel and no.mbIlI') 10 MARITAl STATUS-Mame<! NlrooerMar"ed,~, o."<)t~ed (Speoly) II $lJRVIW-lC. sPOUst (If wile, gl..e fIlIliden name! MARTINSBURG l;{a DECEDENTS USUAL OCCuPATION (Give kind 01 ...orlr dawJ dlIing most of ..orl<lflQ Me Do!:!!2! use re/lIed.) HOMEMAKER 120 KINO OF BUSINESSIINDUSTRY THA TCHER ROAD WIDOWED OWN HOME 133 RESIDENCE-STATE PA 13b COUNTY 13<: CITY, TOWN, 00 LOCATION lJd STREET AND NUMBER CUMBERlAND CARLISLE 1206 DICKENSON DRIVE NO 17013 14 WAS DECEOENT OF HISPANIC ORIGIN? (SceciIyNo"'Yes-ltves.~/fCuban Ik~>can. \>""\'\0 FI"",,, e1C) Ollil> 0 'Ies. Soec,1y 16 DECEDENT S EDUCATION (~yonlyl\ogt>es.l9f1ldec",,-c;Jeled) WHITE ~:A"",,,MlarY/SecOndarYlo-1;>1 ~;~lege~40r5'1 110 MOTI1EflSNAM\O If..'!'/, Middle, MaKJen Scm_! 15 RACE A""'''eanIMd....n 8Iack.WMe.elc (Spec'fy) l::1e INSIOECITY UMlT$? (l'e:!;orflO) 131 ZIPCOOE 11 rATHER'S NAME (fltSt, Middle, Lasl) FRED WIELAND ERMA POLLMAN 19a lNFOI'IMANT'S NAME (T'rf)elPtIn/) SUSAN BROOKRESON 1% MAA.\NG jl,.OORfSS 1SIIeel <If'Id Mlnbet IY RlIal ROute N<.mbe,. Clry 01 Town. State ZiP Code! 396 THATCHER ROAD, MARTINSBURG, WV 25401 2Gb PLACE OF DISPOSITION (Name 01 cemc(e.-V, <,:(emaIO'y, 01 04hetplac;;e! 2Qc I.OC'-TION-C'l'l '" Town Sl<11r.' IJ:tcremalo;)n o Remo.alffOmSlale DOIhellSpec,lO 21 $lGNATUflE OF FUNERAl SERVICE LICENSEE OR PERSON ACTING AS SUCH SMITHSBURG CREMATORY SNITHSBURG, MD 23<1 To lhe best "I rtrI/ know~ dealh =<:1.1,,,,6 ~\ \he \~.': ,Ie. am pI~ce ~1a\"d r-J nNAMEANDADDRESSOFFACllITY BROWN FUNERAL HOME, P.O. BOX 821, 327 W. KING ST. MARTINSBURG WV 25402 nb DATE SIGNED (MOl"". Day YeiJll ITEMS 24.26 MUST 6E COMPlETED BY F'ERSONWHO ~CESOEA1H " DE " 27PA I Elet arrt's.1 Appro."",'I" Inl,,;.~1 18e'weenOns.e' and ,Dealt'l IMtJiEDlATE CAUSE lFinal dose3SeOl/condrlion rt'lll)II;tg"'de-a\l'l) - $eQuenhally list conditiO"!o_ ~ <lI'Y. ..adl"llIO.rnmedl3le cauSe Enle< UNDERLYING CAUSE (DISE'''oo OI/."",ry thalrnilialed.......n1S resuillng In death) I....ST DUE m10R PS'" CONSEQUENCE OF) DUE m 101'1 AS A CONSEQUENCE OF) , ~RTII Other socnrfocant ~ conl"bulrng tOd"athtxJIMI'esullrMg'n the unclerlyrngeause gi\ll!flrnP"" I 28a WAS AN AUTOPSY PERFORMED? (Ye$o<nol Dc) ;>8b WERE AUTOPSY FINDINGS AV...ILABI.EPRIQR TO COMl'l[ t\QN OF Cjl,.USE OF DEATH> ('Ie; Of no) "~EROFDEATH Nalural DF\:ndlnY In~eSI>Q<1tlQli eldenl 30a DATE OF INJURY (MenU., Day, '1",.-) 3Lltl TltJiEOF 3Jc II'UURY AT WORK? INJURY (Yes Of NO! JOd DESCRIBE HOW INJURY OCCURRED o SuICide o HOrmCIde 31.1 CERTIFIER (Check onJ~ ~I o Couklnotbe Delermined " 3)e. PlACE OF INJURY "'ll\Ome, farm sl'oot, t"Clor~_ oI1",e buikling ete (Spec/YI ;J)I lOCATION ISlr"et and Number Or P ,,~, Roult: Nombe' (;<1'1 or Town Slatel o CERTIFYINGf>HYSlCiAN(~ cert<fyong cau;e 01 dealh WI'let'l ano:Ahe. d1ySIC",n has prorlOll.ced dealn and r:o/TlJIe'e(J Ifem 231 10 th(,OOSI ol.....~nowledge.ooalhoccurreddue lolhe causelS)and man""r as slaled o PRONOUNCING"'NO CFRHFY(N(; P\-WS\CIAH (P!'ly5lcian boII'l ~onQlI'ICH1g dealh a-xt e/lf("yrng 10 ea~e 01 deal"! To the besl of ..... ~nowledge. ooalh occurred al1he '<me, dale. and place. and due 10 the e ~nd ma",.,.,.r a. sTal~<l 33 REGISTRARS SIGNAruRE )4 QME FI\.ED IMo1tl'- Da~, YIiW! t? ~ '1- ~O O~ .. Form VS-002 (Rev. 6/92) STATE COpy I hereby certify that the above is a true photographic copy of a record filed with the Vital Registration Office, Bureau for Public Health, Charleston, West Virginia. Witness my hand and seal this thirtieth day of August, 2002. G"~~ 21-02-844 LAST WILL AND TESTAMENT OF PHOEBE W. STREETER I, PHOEBE W. STREETER, a resident of the Commonwealth of Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportiomnent and with no right of reimbursement from any recipient of any such property. SECOND: I give all tangible personal property owned by me at the time of my death, including without limitation personal effects, clothing, jewelry, furniture, furnishings, household goods, automobiles and other vehicles, together with all insurance policies relating thereto, to those of my children SUSAN S. BROOKRESON and POLLY S. PRITCHARD who survive me, in substantially equal shares, to be divided between them as they shall agree, or if they cannot agree, as my Executor shall determine. THIRD: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), as follows: (a) If SUSAN S. BROOKRESON and POLLY S. PRITCHARD or either of them shall survive me, to those of SUSAN S. BROOKRESON and POLLY S. PRITCHARD who survive me, in equal shares. (b) If none of the beneficiaries under clause (a) above shall survive me, my residuary estate shall be paid and distributed to those of DR. 1. W. BROOKRESON and JAMES B. PRITCHARD who survive me, in equal shares. If none of the aforesaid beneficiaries of my residuary estate shall survive me, my residuary estate shall be paid and distributed to those of CARLA BROOKRESON, DIANE BROOKRESON, STEPHANIE PRITCHARD and ELIZABETH PRITCHARD who survive me, in equal shares. FOURTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the beneficiary; or use the whole or any part for the health, ) "...,---~ , -LiP-< //J ~ '. education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of the whole or any part of such property until the beneficiary attains the age of twenty-one (21) years, and may hold the same as a separate fund for the beneficiary with all of the powers described in Article SIXTH hereof. If the ben- eficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. FIFTH: I appoint SUSAN S. BROOKRESON to be my Executor. If SUSAN S. BROOKRESON shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint POLLY S. PRITCHARD as my Executor. I direct that no Executor shall be required to file or furnish any bond, surety or other security in any jurisdiction. SIXTH: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to divide and distribute property in cash or in kind; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. SEVENTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me unless such beneficiary survives me by more than thirty days. The terms "child" and "children", as used in this will, include only the child and children of the person designated, but not any adopted child and children of such person. The term "issue" includes only the children and other issue of the person designated, but not any adopted children or issue of such person. The terms "child", "children" and "issue" of the Testatrix shall not include any stepchild ofthe Testatrix. IN WITNESS WHEREOF, I, PHOEBE W. STREETER, sign my name and declare this instrument as my last will and testament this 11- day of , 2000. I also have affixed my signature on the bottom of each of the preceding ") !r-1~V:)t, ~Ja; PHOEBE W. STREETER 2 The foregoing instrument was signed, published and declared by PHOEBE W. STREETER, the above-named Testatrix, to be her last will and testament in our presence, all being present at the same time, and we, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses on the date above written. % S:ofh r v lCLV.) having an address at Jbff ;I~.~ ,/ A-'-?c- 171A {' (t...y- L < I 0 ~ II ML; 1-:",1 ( rol ). having an address at {;/f'/c!t/J t-c' /~ / /.7.?' /3 3 ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUIY\ b e.Jfth J , ss. We, PHOEBE W. STREETER and _ _s:z.~"-YL 1.% ,-SQl h.cr:- lav..l.l_ _ _ __ Q€~':..-~_,=_J'FffJ!.l~,y~______________________, the Testatrix and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix, PHOEBE W. STREETER, signed and executed said instrument as her last wilJ and testament in the presence and hearing of the witnesses, and that she had signed willingly, and that she executed it as her free and voluntary act and deed for the purposes therein expressed, and that each ofthe witnesses at the request of the Testatrix, in the presence and hearing ofthe Testatrix and each other, signed the will as witness, and that to the best of his or her knowledge the Testatrix was at the time at least eighteen years of age, of sound mind and under no constraint, duress, fraud or undue influence. .~;J ~~_. / v ~.-d~.-J1f. . ~AV PHOEBE W. STREETER , Testatrix n ~/r~Cv/J Witness Az;e.5I,~,;,,__ " . Witness Subscribed, sworn to and acknowledged before me by the said PHOEBE W. STREETER, Testat.ri<', and subscribed and sworn to before me by the above-named witnesses, this J.b. day of ~-r-t ,2000. &. j~ _ ~otary PUbJiC~ My commission expires on 88030 1:t1lEOI. WNO:l ('Irs) S>4B:) ~OOS1:IOU 'Vd '8>10VIII;IV8 ..'811I1VO 3J.VOOAaV 30anr J.SOd 3HJ. :10 301:1:10 ~3133~lS "M 3830Hd -JO- IU31UUI9'3m - llUU - tllllllE 19'urI! REV-15?OEX +(6-Ol)) REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT '* COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT 280601 HARRISBURG, PA 17128-0601 to- 2 W Cl W () W Cl DECEDENT'S NAME (lAST, FIRST. AND MIDDLE INITIAL) Streeter Phoebe W. DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD.Y.,,) 08/25/2002 05/16/1918 (IF APPliCABlE) SURVNlNG SPOUSE'S NAME (LAST, FIRST, AND MDDlE INITIAL) W I- "'S'" 0"'''' w"o x~9 0.... .. " [XJ 1. Original Relurn o 4. limited Estate (X] 6. Oecedenl Died Testate (Attach copyofWIJ o 9. litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (dale of death after 12-12-82) o 7. Decedent Maintained a Living Trust (AttacheopyofTrust) o 10. Spousal Poverty Credit (date of death between 12-31.91 and 1-1-95) OFFICIAL USE ONLY v n J~ ") FILE NUMBER 21-020844 COiiiTvcooe ----vEM- - - iiiMiiR-- SOCIAL SECURITY NUMBER 473-09-5787 THIS RETURN MUST BE FILED IN DUPlIC\TE WITH THE REGISTER OF WILLS SOOAL SECURITY NUMBER D 3. Remainder Relurn (date ofdealt1 prior 10 12-13-82) o 5 Federal Estate Tax Return Required _ 8. Total Number of Safe Deposit Boxes D 11. Election to lax under Sec. 9113(A) (All"",", 0) COMPLETE MAILING ADDRESS 27 W. High SI. I- Z W o z o .. '" w '" '" o o NAME William P. Dou las FIRM NAME (' Appicabe) Dou las Dou las & Dou las TELEPHONE NUMBER 717-243-1790 P.O. Box 261 Carlisle 2 o i= :5 ~ l- e:: <l: () w 0:: 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Close~ Held Corporation. Partnership or Sole.Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Joint~ Owned Property (Schedule F) {6) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (tolal lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage liabilities. & Liens (Schedule I) (10) 11. Total Deductions (total lines 9 & 10) 12. Net Value of Estate (line 8 minus line 11) 13. Charitable and Governmental8equestsfSec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subjeclto Tax (line 12 minus line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 2 o i= ~ ~ a. ::;: o () ~ to- 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X _(15) 214,161.94 X .045 (16) X .12 (17) X .15 (18) (19) 16. Amount of line 14 taxable at lineal rate 17. Amount of line 14 taxable at sibling rate 18. Amounl of Line 14 taxable at collateral rate 19. Tax Due 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMEN (8) (11) (12) (13) (14) PA 17013 155,000.00 OFFICIAL USE ONLY 48,694.91 I ! ~ 40,386.50 244,081.41 29,919.47 29,919.47 214,161.94 214,161.94 9,637.29 9,637.29 o d t' C I t Add ece en 6 ample e ress: STREET ADDRESS 1206 Dickinson Dr. Carlisle, PA 17013 OTY I STATE I ZIP Tax Payments and Credits: 1. Tax Due (page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 9,637.29 462.00 3. InterestlPenalty if applicable D. Interest E. Penalty Total Credits (A+ 8 +C) (2) 462.00 T otallnterestlPenalty ( D + E ) (3) 4. If Line 2 is !Teater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is !Teater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT .'If ilL -_. ~ ..-- II PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN 'X' IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;...................................... .................... ............. 0 00 b. retain the right to designate who shall use the property transferred or its income;...................................... 0 00 c. retain a reversionary interest;.or.................................................................................................. 0 00 d. receive the promise for life of either payments, benefits or care?......................................................... 0 00 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration?....... ... ........ .......... ..... .... ......... ...... ............ ........ ..... ..... ....... 0 00 3. Did decedent own an 'in trust for" or payable upon death bank account or security at his or her death1............... 0 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation2....... .......... ....... .............. ............................ ............. ..... ........... ... 0 00 9,155.29 9,155.29 1_ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETU Under penalies of perjury, I declin thai I haw examined this return, inclJdinq a::compa'lying schedues and statements, and to the best of my knowedge Erld belef, ij is true, careclll'ld oompele. Declaration of prepnr other than the personal representali\l& is based on allnfoonation of whk:h prepnr has any knowedge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS SIGNATURE \:~:g}:RER O:ER , - ~. ADDRESS Douglas, Douglas & glas, 27 W. High 51. Carlisle PA 17013 II - III. II~' --- ,.. !Ilim .~_ .~Ii. L JIlL,. For detes of death on or after Juty 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (ij]. ENTATIVE DATE 1 0/25/02 For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemo! a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)J. The tax rate imposed on the net value 01 transfers to or for the use of the decedenrs lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) 172 P.S. ~9116(a)(I)I. The tax rate imposed on the net value of transfers to or for the use of the decedenrs siblings is 12% [72 P.S. ~9116(a)(1.3)1. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV150~."-m. COMMONW~THOFPENNSYLVAN~ INHERITANCE TAX RETURN RESID NT DECEO NT ESTATE OF FILE NUMBER Streeter Phoebe W 21 02 0844 All real property owned solely or as a tenant in common must be repartedat fair market value. Fair market vall.le is defmed as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasOllable knowledge of the relevant facts. Real property which is joinlly-owned with right of survivorshin must be disclosed on Schedule F SCHEDULE A REAL ESTATE ITEM NUMBER 1. DESCRIPTION 1206 Dickinson Drive.Carlisle. PA 17013, selling price VALUE AT DATE OF DEATH 155,000.00 TOTAL (Also enter on line 1. Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 155000.00 A. """'''''111''11. ~tatement U.S. Department of Houllng and Urban Development ~ ,r B~ .T.tP~C?~.hpa~__"~______ 1......0 FHA .2.0 FmHA 3.0 Conv.Unlns. ..F1I.N,m,,,"---"'---l'.l,,oN,m,,, 1.M;rt;M;;o"''''~c.~Numbe< 4. 0 VA 5. 0 Cony. Ins. 1 C. Note: ThiS form Is fumlshed to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent a~e shown. Items marked "(p.o.c.). were paid outside closing; they are shown here for Informational purposes and nO~ Included In the totals. D. Name end Address of Borrower E, Name and Addresr': c.f Seller...-.------ -,. .,--_._'." -- -~-TF~-t\i~~dMd;;~; t.~~;'- James M. Ilgenfritz Estate of Phoebe W. Streeter_~A_ Alice A. Ilgenfritz -_._._,----~- G.PrQ?erty\.oca\\or. OMS Approval No. 2502-<1255 H. SellleMenl Aveni Gerald K. Morrison, Esquire --.-------..-.---.'--- Place of Settlement . --TI. ~li~;;;~~'t Oat; Carlisle Borough, Cumberland County, Pennsylvania New Bloomfield, P A 10122102 J. Sum~_~'!y_of Borrower'. Tran.acUon 10~. ~r<?!.!,~mount Due 'From BOffOWe'f 1 01. CO~tJ"~~ ~.ales..e!:!.~_ ._..__'___ _ __._______~_~_ 1.02 .P.e~onal property 103. Settlement char es to borrower Une 1400 104. 105. K. Summary of Seller'. Tl'lln.actlon 400. Gro.. Amount Du. To Sener :155,020.00 401. Cootract.alooprlce 402. Personal ro rt 1,678.50 403. -; 155,000.00 404. 405. l=~._. Ad ustments for It,ms aid b .,Uer 11'1 advance ~95i..:.__9!t.rtown taxes to 107. fp.,!,,'Y taxa. ,,10/22/02 to 12/31/02 108. Assessments to 109 "Sdioo!--. 10/22/02 to 6130/03 110. to ",. to 112. to Ad ustme"ts for ttern. aid b ..Uer In advance 406. Cl ltown taxes to 115.04407. Co," taxa. 10/22/02 to 12/31/02 _____.. 408. ASBelsments to ___..'!~ 1.53 409. Schoolu._l.()!.~~O~to 6130/.93. i .~ 115.04 ... ~ 931.53 410. 411. 412. to to to 200 Amounts Paid By Or In Behalf Of Borrow.r ---..' 1,000.00 Excess deooslt (see InstructIons) --.----- .-._. 201. q~l?!.!~...Q.r eamest money ____.._.~__. 501. -~. .. " 202. p~n.~lE.8:L~ount of new loan(s) 502. Settlement ctlarges to seUer (line 1400).___ ___.. ...---. 11,073.53 203 _E,~is~jng loan(s) taken subject to 503. Exlstlnoloan(s\ taken subject to ___--'.__ -..- ,.-., ?~~,-- . 504. Pavoff of first rnortnane loan , .......- - .+ 205. 505. Pavoff of second mortnane loan ~,,-_._.- ~~, Concrete Repair 435.00 50.. Concrete Repair I 435.00 : .---'--'" -..... 207...:__ 507. _,__.._____..__~.J. ~~:.__.__... u___ ~- 508. ..--. .. ~----_....._-~_...--. ...-.--.,,- ~ ~29.._ . .--. .. 500. -...- ..------.-- ... .. -.-.. Ad1ustments for Items unpaid bv seUer ... Adlu.tmenta for Items unpaid by ..1I.r '- . -...-..... " ?~.Q:. Cltvltown taxes to 510. Cltvltown taxes to , . ..-------.....-- 211:. .Gountv taxes to 511. Countv taxa. . to ---.-- ~- 212. Assessments to 512. Assessments to +---.-----.--.. ~.13~ to 513. to i__~__._.___..m__ -- ......--. ..- 214, to 514. to -.--...---- .-"--'''''-'"- _'..n'" 215. to 515. to --.-.-.-.- .----...-., .--...----->-. ~16. to 518. to . . -----".. 21L~. \0 517. to " -. . .-.<- ..- .. ~_1_~..___. to 518. to I ",,-- --_..~.. .----.. 219. to 519. to I --- '-".--.-' . 220. Total Paid By/For Borrower 1,435.00 820. TotaJ Reductlon Amount Due Sener 11,508.53 157,725.07 420. Gros. Amount Due To S.lIer &00 Reductlonaln Amount Due To Sener 156,046.57 120. Gros. Amount Due From Borrower 300 Cash At Settlement FromITo Borrower ~01..,'~r..oSS Amount due from borrower (line 120) 157;725.07 601. Gross amount due to seller (JIne 420) . ...." --.". ._--... 156,046.57 1,435.00 --.-. _...n .-. --.. 11,508.53 ) 32-~:_,,~es-~_ amount paid b'1l1or borrower (line 22Q) 602. Leu reductlons In amt, du~ seller (Hne 520) .( 303. C..h IZl From o To Borrower 156,290.07 60:3. Cuh IZl To o From Soller " 144,538.04 600 Cash At Settlement To/F1'om Selle1' SELLER "'" SELLER TRUE AND ACCURATE TIFYTHATl HA~_E...... ~ r~ ED BY THE UNDERSIGNED AS A PART OF THE SETTLEMENT OF THIS TRANSACTION. ., -' WARNING: IT IS A CRIME TO KN INGL Y MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE: TITLE 18 U.S. CODE SECTION 1001 & SECTION 1010. I'r..",lous EdItIon Is Obsolet.. HUD.1 (3-86) RESPA. HB 4308.2 ~'d:'",:,;.'i': .,...-:," , .~<-<' L. ~ettlement Charges !.o.fJ. Total Sales/Broker's Commission based on price S Division of Commts$lon {line 700} 6$ follows'. 701.$ 9,300.00 to ~~~.:.~ to 703. Commission aid at Settlement 704 ERA-NRT Inc. - transaction ree 155,000.~OL:=_:=:::~..==~300.00-~id F;om Borrower's Funds At settlement Paid From Selle!"s Funds At Settlement ERA-NRT InC. 100.00 ._n_-i);306.b6 100.06 800. ~t~X!:l~_~ayabl.ln Connection WIth Loan ------'----.--'.-''--------. -----r--'---'--'-' 801 ,L.oen Qri-.G!.I]~~t?_~_f.!e__,______ __________ % ______~__._..__.~_ . _ ..________. _ _n _,__.____"....__~__. 802 !-:9~n_.9i&COunt. % _._________.______._______. 803. Appraisal Fee to ________________ 804. Credit R.eport to 805. Lender's Ins ection Fee 806. fy10rt a e Insurance A Iicstion Fee to 807. A~~~lJ1ption Fee 808, 809, 810. -- 1----.. ---f--n t- - --- , r" -~--------..-... f- . -+ 811. 9g_€?: Items Required By lender To Be Paid In Advance ~~.;. Interest from to 902. Mortgage Insurance Premium for 903. Hazard Insur;1nce Premium for 904. 905. 1 OOO~,J~eserv.. Deposited With Lender 1001., ,t:!~zard Insurance @$ {day months to years to ________,__ ___ years to_..__~__.___.__ -"._-_.~---'~.- , .r 1"- 1007 1008. 110~. ,TItle Charge. 1.'!.9J,,_ Settlement or closing fee .~.:~..~:_Abs.trae\ or title !learch 1_193:,_, Title examination 1! O~:_I!!!!! Insurance binder 119_5:,..Q.2.cument preparation 11..9i_,_Notary fees ~1_9l- Attomey's fees deed, etc. (Includes above items numbers: 1108:~_~~tle lnsul'8nce J!.~cludes above Items numbers: 1.~i?Jl,_Lende"s coverage 1..! !.9..:.."~ner's coverage 1111 1112. 1113. 1200. Government Recordln and Transfer C 1201. Recordin fees: Deed $ 120~. City/county tax/stamps: Deed '$ 1..?9.?.. State tax/stamps: . Deed $ 1?9~. 1205. Carlisle Borou h - water 1::i~~.,!,_ddltlonal SeW.ment Charge. 13c9!.__Su~ 1~.?:. Pest inspection 1303. Jayne Jones - cleaning 139~ S. Central PA Homes - home inspection $285.00 - POC 1305. Ins ection Co an - POC months@$ morrtl'ls@$ months $ monthstm$ monthstmS monthstm$ months@$ per month per month er month per month per month per month per month , -----\_. 1002.;. ~rtaage insurance ! 003. CI ro e taxes 1004. County property taxes ~q9_~:_!,_nnual assessments 1006 ..-----l---- -.--+---- - I to to to to to to ---~ $ $ ~----- --:Jt=-.-----+. .-L . , --.-i---..-- , .. --.-~_r_---- i- to Douglas, Douglas & Douglas - POC to . ._~--.- .....-t---- .. 28.50 : Mort a 1,550.00 1,550.00 $ ; Releases $ 28.50 L. --- '__(~50}jO _I,55.Q:0.QT ; Mortgage ; Mortgage $ $ .."'-_."---~-,,.._--+ ----23.53 to :-=r=-- 'I' -==:=- ___ - ' ., Too.oo to _____c,,, 140Q. Total Settt.m.ntCtl..,ps (entel' on Un.. 103, Section J and 502, Section K) 1 1,678.50' 11,073.53 The undersigned hereby acknowledge the receipt of 8 completed copy of pages 1 &2 of this statement & any attachments referred to herein. I HAVE CAREFULLY REVIEWED THE HUD-1 SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF. IT IS I< TRUE I<ND I<CCURATE STATEMENT OF ALL RECEIPTS AND DISBURSEMENTS MADE ON t,fY ACCOUNT OR BY ME IN THIS TRANS TION. I FUR E~I~CEE?'r THAT I HAVE ::~:~:: C~PY THE HUD-1 SETTLE NT STATEM . SELLER ( JJ:D!~q;~ WARNING: IT IS A CRIME TO K OWINGL Y MAKE FALSE STATEMENTS TO THE UNITED' STATES ON THIS OR ANY SIMILA~ FORM. PENAL TII:.$ UPON CONVICTION CAN INCLUDE A NE AND IMPRISONMENT. FOR OETAILS SEE: TitlE 18 U.S. CODE SECTION 1001 & SECTION 1010. Publ1c Reporting Burden for this collectlon of information is estimated to average 0.25 hours per response,lncludlng the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completIng and reviewing the collection of infonnation. Send comments regarding tt'l\s burden estimate or any other aspect of this collection of Information, including suggestions for reducing thIs burden, to the Reports Management Officer. Office of Information Policies and Syatems. U.S. Department of Housing and Urban Development. Washington. D.C. 20410-3600: and to the Office of Management and Budget. PapeIWor\< Reduction Project (2502-0265). Washington. D.C. 20503 U.I.OOVEI"IMI!NTPklHTlHlJOP'P"ICE: ,,,,o-l4U5 RfV"~''''(l'". COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Streeter Phoebe W FILE NUMBER 21 02 0844 Include the pToceeds of litiga1.ion and the date the proceeds were received by lhe estate. All property jointly-owned with the righl of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 OESCRIPTION PNC Bank, certificate of deposit # 21001054796, established 5/12/95 VALUE AT DATE OF DEATH 14,134.31 2. PNC Bank, certificate of deposit #21 001 055045, established 5/12/95 7,017.21 3. PNC Bank, certificate of deposit #21 001 055046, established 5/12/95 14,034.39 4. 2001 Buick Sedan, selling price 12,000.00 5. Rowe's Auction Service, net proceeds of sale of personal property 382.00 6. Carlisle Regional Medical Center, refund 10.35 7. Sprint, refund 4.90 8. Evening Sentinel, refund 65.18 9. Real Estate Tax Proration received on 1206 Dickinson, Borough Tax 115.04 10. Real Estate Tax Proration received on 1206 Dickinson, School Tax 931.53 TOTAL (Also enter on line 5, Recapitulation) $ (if more space is needed, insert additional sheets of the same size) 48 694.91 U~I-~~-~~~~ ~l:~b PNCBRNK 0PNCBAN< October 21, 2002 William P. Douglas 27 W. High Stteet P.O. Box 261 Carlisle, PA 11013-0261 RE: Estate of Phoebe W. Streeter, deceased SSN: 473..09-5787 DOD: 8/25/2002 Dear Mr. Douglas: 412 758 3458 P.Ol In response to your request for Date of Death balances for the customer noted above, our records show the following: Certificates of Depo8it Account # 21001054796 PHOEBE W STREETER DOD balance: $14,123.11 + $11.20 accrued interest Account #21001055045 PHOEBE W STREETER DOD balance; $7,011.64 + $5.571lCCIUed interest Account #21001055046 PHOEBE W STREETER DOD balance: $14,023.26 + $11.13 accrued interest Checldng AUUUDt Account #5140399861 PHOEBE W STREETER SUSAN S BROm~RESON DOD balance: $29,773.17 -I- $0,85 accrued interest Page 1 of2 Established 05/12/1995 Established 05/1211995 Established 05/12/1995 Estab1ishe.:l 05/19/2000 U~!-cD-C~~~ ~~'~b r'NUJHNK 412 768 3458 P.02 Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savillgs accounts). We do not process any financial trau.sactions or provide statements. If you need assistance with any of these items, please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNe Bank branch office. Sincerely, ~ uJJJ1o- Rachelle Wells 1-800-762-1775 P7-PFSC-04-F 500 first Ave. Pittsburgh PA 15219 PageZ of2 Member FDIC TOTRL P.02 ROWE'S AUCTION SERVICE (RH79L) Bill Rowe (AU 1538L) Ben Rowe (AU 1092L) 2505 Ritner Highway · Carlisle, PA 249-2677 697-4794 249-1978 Bob Rowe (AU 2276L) Dave Rowe (AU 2295L) Auction Is Action Call ''Rowe'' For Satisfaction SELLERS NAME <\,4~.. S~hftla...... '2-""~ DATE ADDRESS \:> Du Co "loc "" 'Dd4.A44-.... <9 \::)D'-'-'-4 c.. PHONE :;L ( ~, ~""'~ fo.+, c.-I4ri1-L~ , G<>1. ",.- OTHER Ll d\3 AUCTIONEER % "2-..> AUCTION DATE/LOCATIONS''-ll6 ~ ~ 0 ^~6Iot.lZ.o...s i ::2..>(. er:.'1iIt\.0 IT:> DESCRIPTION OF MERC ANDISE I-DI/o/" -z.- . I ~ ~U""'D \ lo;rl '" '\ ..Lt. [~ !.. F' ~ r;~~ " .' " it. 71 ~ . L' -on.. IT'.~ I Commission the Auctioneers to sell the merchandise to the highest bidder by Public Auction. Merchandise to be sold as is & grouped as necessary to obtain bids. I certify that I am the owner or authorized represen- tative of the merchandise. goods and or property and have good title and the right to sell and that they are free from all incumbrances. I agree to accept all responsibility for providing merchantable title and for delivery of title to the purchaser. I agree to hold harmless the Auctioneers against any claims of the nature referred to in this agreement. AUCTION SIGNATURE SELLERS SIGNATURE Total Sales (Clerking Tickets Attached) $ 71 q .!:J D Less Sale Expense: .,,~ /' '" C .. A t' $ ~ ~ """7 3..5 -10 omrmSSlOn uC IOneer I tJ % COrmpissiO~ $ /)-7J..lj 1::> J J-2~R: ~ 1,4- \/~ L '--"',-lL,-'*'-'-< s:: TOTAL SALE EXPENSE DEDUCTED $ SELLERS NET $ } 2....\. 6D 3=17. .P 3e-:z. ~ ~~ AUCTION SIGNATURE SELLERS SIGNATURE 1 Buyer's NlIme Or Number Item or Lot Number @ $ REMARKS: '0 I " 't '- ( C4( ,_ $ /'1 '-A V This receipt vertfies payment and delivery of the abOve. Sold as Is. wher. Is. All s.'es final. Thank you. . ~FoonCTMluouri~School1-8Ol).835..186& Buyer's NlIme Or Number Itemor Lot Number @ $ REMAA<S , -, L11-:- { I ~ L'- ( Q S'<- $ ;;). This receipt verifies payment and delivery at the abOve. Sold as Is. where is. All sales final. Thank you. . ~ForrnCTMIuoufIAlICltionSohooI1-800-836-1865 . .... .. q;33 ~ ~{(v~(.) @$ =$ ~~. (0-- Buyer's NlIme Or Number Itemor Lot Number REMARKS: This receipt verifies payment and delivery of the abOve. Sold as Is, where Is. All sales final. Thank you, . ~FlXmCTMit.OUfIAuction8chooI1-BOO-83S-tl65 Buyer's NlIme Or Number Itemor Lot Number @ $ REMAAKS: fRq (f'1 pf:tfe. I IL $ l7J - This receipt verifies payment and delivery of the above. Soid as is, where is. All sales final. Thank you. . ~FormCTMilSOUfiAuotion Schoof 1-800-836-1166 Buyer's NlIme Or Number Itemor Lot Number @ $ REMARKS: r;;;6 (L--{ f{ L)~C e r $ lJ\'- This receipt verifies payment aod delivery of the above. Sold as l8, where 18. All sa'es final. Thank you. . R~ Former MilaouriAuctIon School 1-800-835-1065 Buyer's Name Or Number Itemor Lot Number @ $ REMAA<S ;;.., VIU, f r/Y\OV\( ia --- '- $ 1"- This receipt verities payment and delivery of the above. Sold as is, where is. All sales final. Thank you. . A60rderFormCTMislouriAuotionSchcH)11-800-835-1956 .,;JGIICI . V"'t-'J Buyer'S Name Or Number Iterll or Lot Number @ $ r' 1 ~' .. \QS:~ ( G~Ket~ $ ReMARKS: 65 ..........-....~. This receipt verifies payment and delivery of the above. Sold as is. where is. All sales final. Thank you. . AeonMfFormCT"'..ouriAuction 8clhooI1-8DO-835-1965 Buyer's Name OrNumber T ~:"~ c;JC<(~<) @ $ (03 b; jcU( cK 8 $ w- REMARKS: This receipt verifies payment and delivery of the above. Sold as is. where Is. All salft final. Thank you. . ReorderFormCTMiI~AuotionSclhooI1-8Q0.835-1166 Buyer's Name Or Number ~:" ~ (-'cAlVt rfbt- {Ci - 9 @ $ - $ REMARKS: ;<. '- This receipt verities payment and delivery of the al:'love. Sold as is. where is. All sales final. Thank you. . RtIorderFormCTMi..ouriAuctionSoftooI1-8lJO..835-1865 Buyer's Name Or Number Item or Lot Number (q 10 i V OV'\ @ $ $ REMARKS: ~ -.., '-< " , , , Ii " , , ~ Buyer'~ : Or~ , Itemor : " ,Lot Number '. .,11 I! .~"- This receipt verifies payment and delivery of the above. Sold as Is, where is. All sales final. Thank you. . ReordefFormCTMiaSouriAuotion SdIooI1-8D0-835-1166 11 @.$ $ . -ReMARKs: This receipt verifies payment and delivery of the above. Sold as is. where is. All sales final. Thank you. . ReordefFormCTMiI.ouriAlICtionSchool1-8O().835-1955 Buyer's Name Or Number "em or Lot Number @ $ 12 $ REMARKS: .....00. OA DATE This receipt verifies payment and delivery of the above. Sold as is. where is. All sales final. Thank you. ~LS 3~8', OD PAGE PAGE NO._ TOTAlS . ~~..."'TU;.a~"~;"""""~~"''''''~A' ._..N\....~ ''''''0: 1 &tfer's Name Or I\klmber Item or LotlUnber @ $ REMARKS: rl"l \0'0\ (C)\ppev = $ 0- 'w1.,~8Ipt v8filfles payment and delivery ot the above. -"-"SOld as IS. where II. All sales final. Thank you. . ~FOI'mCTMiuouJIA.uotionSctlool1..eoo-835-1166 &tfer's Name Or Number Itemor LotlUnber @ $ REMARKS : r:! c/1 J /(fS5 ~~ $ G 1hls receipt verifies payment and delivery of the above. Sold as Is, where Is. All sales final. Thank you. . Aeotder Form CTMIuouriAuction School 1~116S &tfer's Name Or Number Itemor LotlUnber @ $ AEMAMS, bO~3 /DietS 5 $ ~c) ...... :-{Q- This receipt verifies payment and delivery of the above. Sold as is, where Is. All sales final. Thank you. . ~FonnCTMluOutl"uctionSchool1..aoo-835-tl6S &tfer's ~ Or 1IIurnbei' Itemor i Lot Number @ $ REMAAKS: o Lf-o . (11/('#0 (/ $ 3 ....... This receipt verifies payment and delivery of the above. SOld as Is. where is. All sales final. Thank you. . Aeotdef ForrnCT MIuouriAlIation SohoOI1~835-106& &tfer's Name Or Number Itemor Lot IUnber @ $ AEMAMS, (6)5 ic:o( $ :;; -," .......... This rece1pt verifies payment and delivery at the ,boye. Sot$I as is. where Is. AU sales tlnal. Th,nk you. . AeordefFonnc~iI.ourIAUQtion School 1-800-835-1155 Buyer's ~ Or Number Itemor Lot Nlmber @ $ REMARKS: f-a1{ ~ 6S~ $ .3 -- This receipt verltie. payment and delivery of the above. Sold as Is. where Is. All sales final. Thank you. . R6OI'l:Ier Form CT Miuouri Aucfion Sdlool 1-800-835--1955 --,..~ G ll-O Buyer's Name Or Number Item or LotNlmber @ $ Lf) ICU11--,f \--- $ ReMARKS: I- I This receipt verifies p,yment and delivery of the above. Sold .s Is. where Is. All sales tinal. Thank you. . ReolderFormCTMIMouriAlIGtion 8chooI 1..aoo-835-116S Buyer's Name Or Number Item or Lot Nlmber 6Cj~ 8 0VQ~~ @ $ $ 1--- ReMARKS: This recelpt- verifies PBlyment and delivery of the above. Sold Blsis, where is. All sales_ final. Thank you. . ReorderFormCTM..ouriAuctionSohooI1~116S ___ t Buyer's Name Or Number Item or Lot Number @ $ >1 $ REMARKS: This receipt verifies payment and delivery of the above. Sold as is, where is. All sales final. Thank you. . fWordetFormCTMifilouriAuction8chocn t;.800-835-1065 10 Buyer's Name Or Nlmber Item or LotNlmber @ $ $ REMARKS: This receipt verifies payment and delivery of the above. Sok:S as is, whet'e is. All sl!l\estinal.lhan'Kyou. . Aklrd<< FormCT MlnouriAuction School 1-800-835-1865 11 Buyer'S Narn<l Or Number Item or Lot Number @ $ $ REMARKS: This receipt verifies payment and delivery of the aool/e. Sold as Is, where is. All sales final. Thank you. . Reorder Fonrt OT M..OIJri Auction School 1-800-835-1955 6 12 Buyer's Name Or Number Item or Lot Number @ $It1L - $ RE"""",,S This recel t rl payment and dehve(y 01 the above Sold as IS, whete is. All sales final. Thank you. ~DA~ ~~$ ~ls.-:;3IDO . ~f()l'mCTMissauri"ucl.ionScll,",,",, 1-800-~195S 1 Buyer's Name Or IUnber ltemex LollUnber @;$ REMARKS: ~. /" /' 00'"1- V\c~ $ 7 - i1._l~*eIPt verifies payment and delivery of the abOve. Sold as Is, whet. Is. All sales final. Thank you. . ReoRIwFormCTMiMouriAUCl\ionSc:tlool1-8Q0..8G6-1155 Buyer's Name Or IUnber Itemex LollUnber @ $ 1// f-,~ 'f CC\ e_V\ $ REMAAKS, 5 --- This receipt verl1les payment and delivery of the abOve. Sold as Is, where is. All sales final. Thank you. . ......FonnCT,MiNouriAuGtionSchooII~tl55_ Buyer's Name Or IUnber Itemor LOllUnber @ $ G1fl t VQY1 K $ REMARKS: . '1 -- . This receipt verifies payment and delivery of the abOve. SoJd as is, where Is. All sales final. Thank you. . ~Fol'mCTMiuow'\AuctiorISchool1-8O().835-1865 Buyer's ~. Or Numbei' - Itemex - LollUnber @ $ 7 (f)( q {,'tf\{ \-. $ REMARKS: ;x '-- This receipt verifies payment and delivery of the abOve. SOld as Is, where is. All sales final. Thank you. . ~FOfmCTMinouriAuctlon Sohool1-800-836-tl66 Buyer's Name Or IUnber Itemex Lot IUnber @ $ G7Lf bCD~ $ REMAAKS, (;()( I - :' ~\ This rect'pl verifies payment and delivery of the above. $olt- as \s, where is. All sates tlnat Thank you. . ReorderformCr.ouriAuotion SGho<II1-800-836-1V65 Buyer's ~i Or I<Unber Itemex Loll<Unber --- Sdf--- 00~ @ $ $ AeMARl<S - ~ ,- This receipt verifies pa;men} and delivery of the above. Sold as Is, where Is. All sales final. Thank you. . R~rFotmCTMissouriAuctjOfl School 1-800-835-1955 ":' -....1""7 )()(~ Buyer'S Name Or I<Unber Item or LOlNumber // \. I r/ . Vl V !,-j! CMq 'S $ @ $ REMARKS: M~ This receipt verifies payment and delivery of the above. Soid as is. where is. All saies final. Thank you. . Reor..-FormCTMiMouriAlICtion SohooI1-800-835-1t56 2 J/)" 8 Buyer's Name ~!: b (0 t1f -e+- @ $ $ REMARKS . ], This receipt verifies payment and delivery of the above. Sold as Is. where is. All sales final. Thank you. . ~~CTMiuOWiAuo1jonSchooJ. 1~1~. 3 9 t, G~5 Buyer's Name Or I<Unber Item ex Lol Number @ $ ('" , l-{ $ REMARKS: 7 ---- This receipt verifies payment and delivery of the above. Soid as is. where Is. All sales final. Thank you. . ~FonnCTMiuouriAuotion8Ghool t-800-83S-1155 4 60? S- 10 Buyer's Name Or Number Rem or LOlNumber @ $ ( rOC (c <, $ REMARKS: 3 -, This receipt verities payment and delivery of the above. Sold as is. wh9fe Is. A.U sales tinal. Thank you. . Reotd4IrFormCTMillOUriAuction SClhooI 1-800-83&-1165 5 11 Buyer's Nlfme Or Number Rem ex Loll<Unber f~\-V\-+ 7 '\ @ $ $ REMARKS: 3 '-- This receipt verifies payment and delivery of the above. Sold as is. where is. Ail sales final. Thank you. . Reord<<FormCTMiuouriAuctIonSchooll-8lJO..835-1965 6 12 Buyer's Name Or Number Rem ex Loll<Unber REMARKS, @ $ m,ve", of the above_ SALE NO PAGE PA"" sale. "nat :nk YO"3- 0, Oc,) OR DATE NO._ lOTAl S TOTAl. $ :---0- . R4KXdM FOI'n'lCTMi\t$Ol.lt\A\Mltion School 1-800-83S-196S 1 Buyer's Name Or Nlmber I ~:"~. ----'!e{ lit lev ~ $ - $ .....-s,;, G __ ( .;IO~",,",1 ~ vvt"1 Buyer's Name Or Number Item or Lot Number ',{ (/Ql1 '-- ~'-'-' "^- ~~ ,..-... bo<". " I 'M1ia',iecelpt verities payment and deUveryof the.boY.. SOld as Is, where is. All sales final. Thank you. . ~~mCTMiuouriA\lCl\ionSohoCll1-8l)()..113&.'1l6$ Buyer's Name Or Number Itemor Lot NLmber @ $ ~l H-~ $ ~l,- ~-~ '-. This receipt verifies payment and delivery of the above. SOld as is. where 'I. All sale. final. Thank you. . R4KIIderFormCTMihouriAuotlon~II~1t65 REMARKS: Buyer's Name Or Number Itemor Lot NLmber @ $ Ii I , hro ~/\ t. . , $ REMARKS; . Lf ~ This receipt verifies payment and delivery of the above. Sold as Is, where Is. All sales 'Inal. Thank you. . ReorWrfonnCTW..ouriAuc\ion SChool 1-800-l!I35-tll56 . Buyer's ~, Or I'U11bjIi , ........ . ....... or . Lot NLmber G3Cf ~(Qlt(~ '- @ $ $ REMARKS Thl. recelp' verlfle' pey1an::::,YOrY oflho above. SOld-as Is, where Is, AI1 sales final. Thank you. . AeorderFormCTMlIsourlAucmon SchoOII-800-836-t0S6 Buyer's Name Or Number Itemor LotNLmber @ $ Gas 9 [fEe v\, $ REMARKS: ~-- J 1'ohis r8(:;~pt verifies payment and delivery of the ,bov.. f SoW.' as is, wtMne Is. All sales tlnal. Th;tink you. . AeonMtFOl'mC~if;.ourIAuctiOn Sahctol 1.aoo..B35-1865 Buyer's ~~ Or Number ~:~ 9tCt~c) @ $ - $ 1/1 REMARKS ,- This receipt verities paymlnt and delivery of the llbove. SOld as is, where is. All sales final. Thank you. . Reorder Form CT MissouriAuclion School 1-800-835-1955 2 3 . " 6 " " . , , , , , Ii , , , , , , , , " " , " i , , , " " , , , . o. , , , , " , , @ $ REMARKS; "'- This receipt verifies Pi1lymenl and delivery of the above. Sold as is, where is. All sales final. Thank you. . Reon*FormCTMifeouriAuation SohooI1-81JO..835..1l166 6;>~ . Buyer's Name Or Number ~:"~ \:lex::) (:; @ $ $ z::_ j This receipt verifies payment and delivery of the above. Sold'8 is. where Is. All sales final. Thank you. . ~FomtCTMldqpriAuctionSchpot 1~tt65. REMARKS: b61 " Buyer's Name Or Number Item or Lot Number @ $ I W\[OW\.A $ REMARt<s: 3 -'c " " 'I II .~ ' , " " This receipt verifies payment and delivery of the above. Sold as Is. where is. All sales final. Thank you. . ~Fom'lCTMifsouriAuotionSohooI1-8O()..836-1866 6'-tO 10 Buyer's Name Or Number Item or Lot Number @ $ Kl ~~f'Vl $ ""_S ;Ki '--~ This rece'pl verll'e. paymenl and deilve~ ~e. Sold as is, where 15. AU sales final. lhank you. . fWotder FormCTMIlIIouriAuction SohooI 1-800-835-1866 -- lluyer's Nime Or IIkomber Item or Lot Number @ $ '% 11 . REMARKS: ~"\ = $ (--- This receipt verifjes payment and delivery of the above. Sold as Is, where is. All sales final. Thank you. . Reorder Form or M.touri Auction School 1-8lJO..83S.1965 Buyer's Name Or Number Item or Lot Number @ $ 12 men L de' e Itft-, . All sales final. hank you. ~~ ~~ $ fu~Al s,i;5-, Of) REMARKS: SALE NO. OR DATE . Rear<:t. FoI-mCT U;isllOU'fiA.u<'!lion Schl::lol 1-soo..83S-1955 1 Buyer's Name Or IUnber Itemor Lot IUnber /_""l~~ll:PI''''1 Co/j b( t{ Lit K f\{ ..,~ ct$' - $ AEMARKS'" ...;J .) '-. Thls'i'ecelpt verlfle. payment and delivery of the above. Sold as Is. where Is. All nles final. Thank you, . ~FormCTWuouri"uaIJon 8GhooI 1-800-835-1165 Buyer's Name Or IUnber Itemor Lot IUnber @ $ 0bLf 2 ~cu $ AEMARKS, Lf .......... . lhls receipt verifies payment and delivery of the abOve. 8o'd as I.. where Is. All sales final. Thank you. ReonMr~CT'MihoutIAIIOtioft8ohoo11~116S Buyer's Name Or IUnber Itemor Lot IUnber 0{Y~ >,. -.a l~ VV\ (vt ,_ @ $ - $ ~ - REMARKS: I ,- This receipt verifies pay~nt and delivery of the above. ~d as Is. where is. All sales final. Thank you. . ReoniwFormCTMis-ouriAuotion Sohoolt-800-8:J5..1155 . , ~\ ~ ~-:.~ ~ /~/ (0 Lot IUnber . ~ --p ~-~ This receipt verifies payment and delivery of the above. Sold as Is, where is. AU satea final. ThaM. you. . Reorder Form CTMIhourlAuction ScltIool1~1166 4 Thi. r8C41~t verille. payJent ~!;very of the above. ! SoIl a. Is, where Is. All sales limal. Thank you. . ReoRSeIformC""sOI,II'iAuction SohooI 1-800-8:J5..1066 ~~.Af c:; 1-9 ~:"~ ~\ looy $ l1)' -- This fEJCeipt verifies payment and delivery of the above. Sold as Is, where Is. All sales final. Thank you. 6 @ $ REMARKS: . ReorderFormCTMi..~riAuctionSd\oat t-8Q0.835..1955 . ..."'....., " , , I' " Buyer's Name Or IUnber Item or Lot IUnber REMARKS: r I ) 1 t 7 $ 3 --..' This receipt verifies payment and delivery of the above. Sold as Is, where is. All sales final. Thank you. . ~FcrmCTM..ouriAuctionSchool1..aoo-835-1865 Buyer's Name Or Number Item or Lot IUnber @ $ REMARKS: i(X)( Go4- 8 $ 7;<..3 " " " " " , -: G This receipt verifies payment and delivery of the above. SOld as Is, where is. All sales final. Thank you. . R.oIdet'FOrm.cT~AuctionSOhooi 1~'lI55' Buyer's Name Or Number Item or Lot Number @ $ REMARKS: -- -.... AecA $ ) -9 $ I I ~. This receipt verifies payment and delivery of the above. Sold as is, where is. All sales final. Thank you. . Reorder FOITTl CT MIsaOUri Auotion Sohool 1-8QO.835-1lMi5 Buyer's Name Or IUnber Item or Lot Number @ $ REMARt(S: 04<6' 10 (Qf{~ $ ( -, This receipt verifies payment and delivery of the above. Sold as is, where is. All sales final. Thank you. . ReoIdwFofmCTMilsowiALICltion &lhooI1-801H135-1S166 +, t<, Buyer's Name Or Number ttemor LotlUnber @ $ REMARKS: , 11 . <boa ((uLJ , ~ rp(f $ 5-- This receipt verifies payment and deli'lefY of the above. Sold as Is. where is. All sales final. Thank you. . RIKHderFonnCTMilsourlAuetionSohooI1-800-835-1965 T: ~ltt1.tf1{;e"very of the above Sold as is, where IS. All sales fmal. Thank you. Buyer's Name Or Number Item or Lot IUnber RE""""" SALE NO OR DATE . ~.....rJ;........~TU........,.;&....tl..... ~""^"-I t.AOO...It':l"-1ao::r:. 12 PAGE PAGE 00._ TOTAl S SALE TOTAL S tf C:;~ tJ) 1 ~S Name Or Number lIemor Lot Number -~. ~ >:IefltH l!" \"utJy Buyer'S Name Or Number lIemor Lot Number @ $ hec\ (f-; IL tv-. g ! - = $ ~7~ ~ This receipt verifies payment and delivery of the abOve. SOld as la, where Is. Ailsa'" final. Thank you. . ~FormCTMiMourlAuotion 8ohooI1~1166 Buyer's Name Or Number ~~ C{ife9:J?-v @ $ 7 $ ~7~ REMARKS: This receipt verifies payment and delivery of the abOve. SOld as Is, where Is. All sales final. Thank you. . ReofderFonnCTMuourlAuation80hooI1~1C165'!' '; Buyer's Name Or Number Item or Lot Number @ $ 'l~ ,. Lq~({~ $ a5" - REMARKS: t This recetpt verifies payment and delivery of the abOve. Sold as is. where Is. All sales final. Thank you. . ReoI'derForm CTMinouriAUCItion 8chool1..e00-B36-1165 7 " SlaW) ~c{ t4t4~(~ Buyer's. ~\ Or Number lIemor . Lot Number @ $ $ ~o -..... REMARKS: This receipt verifies payment and delivery of the abOve. Sold as is. whef8 Is. All sates tlnal. Thank you. . RltOIderF<<mCrMilsouriAUQtion SohooII-800-836-1155 Buyer's Name Or Number lIemor LotNumber 3~ r" '\ CJ1C{( V , @ $ $ REMAAKS: ') -, Tltls reet:- t verifies 'payment and delivery of the abOve. , Sol as is. where is. All sales final. Thank you. . R~fOl'mc~ .souriAucIiorI School 1-800-835-1965 Buyer's~' ~ Or Number ' ~:n ~ 'f{(j)V lG< U{ tP (- = $ ,~ @ $ REMAAKS: '- This receipt verifies payment and delivery of the abOve. Sold as 1$, where Is. All sales final. Thank you. . RiIIORHlrFormCTUi"ntJ(iALlCfil'Nl ~nl"ll t-AM.Jn....tW'-.. . . 5 REMARKS: heqc{ c.! ! 7 $ 5 ---- This receipt verifies payment and dIJlivery of the above. Sold as is, where is. All sales final. Thank you. . Reorder FonnCTMinouIIAuatlon SohooI 1-800-136-1166 Buyer's Name Or Number lIemor Lot Number @ $ REMARKS: ucr 8 (C(f i- $ , r , I ~ , --f"- I , I -- This receipt verifies payment and delivery of the above. , ".Sold as"". w~re Is. A,II s~les~ fin.al. Thank you. . """Forml::TMIuOimAuCtionSohOoI1.s00!a3s-115s ' Buyer's Name Or Number lIemor Lot Number @ $ REMARKS , Oi fC{bl € /9 9 $ G '- This receipt verifies payment and delivery of the above. Sold as Is. where is. All sales final. Thank you. . ReotWrFormCTMinOUrlAuotion8choo11-800-83S-1166 ._ft'- , , I, , " I " , " , , /, / " , Buyer's Name Or Number Memor Lot Number @ $ REMARKS: 7 c C{Bsf ~ d(fQJ.J;eq~ 10 $ 31~ This receipt verifies payment and delivery of the above. Sold as Is, where is. All sales final. Thank you. . RltordltrFormCTMIuOuriAuotIonSohooI1~1166 Buyer's Name Or Number lIemor Lot Number @ $ REMARKS: VU9 'l'9 , 11 ~ $ {~ -- This receipt verifies payment and delivery ot the above. Sold as Is. where Is. All sales finaL Thank you. . ~ Form CTMiuouri Auotion School 1-BlJO..835-1955 - This receipt verifies payment and delivery of the above. Sold as is, where Is. All sales finaL Thank you. ..-. PAGE PAGE SALE I '1 J. -'::, D NO. --""" 'TOTAL S TOTAL $ , Buyer's Name Or Number lIemor LolNumber @ $ REMARKS: SALE NO. OFt DATE . l:lo____'I;...._,....,.u._~~".,...""__ <>_^~, ._"....".....~..._.:: 5fro! 30\ ,. $ I 1 ~s Name Or tunber . Itemor Lot tunber,' fie REMAAKS..1 t ~e"er ~ uupy i . Buyer's Name Or Number Item or Lot tunber @ $ 50(Q \)Pvi $ I! - This receipt verifies payment and delivery of the abOve. Sold as is. where la. All sales final. Thank you. . ~FonnCTMilfOUriAuctkJn 8chooI1-8[1G.136-1156 ~s Name Or tunber ----;;- ~:~ ",adfO @ $ 00{ $ 1- FlEMARKS: This receipt verifies payment and delivery of the abOve. Sold as is. where 18. All sal.'fln81~.Th.,.k y~. '" . ~FotmCTMiaouriAUQUonSohooI1-800-835-tl66 . , ~s Name ',:. lq Or tunber 1-Q~b (e Itemor \ , Lot tunber , j @ $ . - $ REMARKS: .M ~ , :5 ,~ This receipt verities payment and delivery of the above. Sotd 8S is, where Is. All sales tlnal. Thank you. . ReonMrFOl'mCTMilsourlAuction School 1-800-835-1166 ",~'t'! . Buyer's ~. Or tunber ~ t ~:~'gCD \ LI6 @ $ $ REMARKS: (-- This receipt verifies payment and delivery of the abOve. Sold as Is. whefe Is. All ule, tlnal. Thenk you. . Reorder ForrnCTMinouriAuotion Sohool1-8D0-835-1t66 f,IUyer's Name ~em~ LotNumber @ $ 'GG1~ ,91 (U lJj (1\ (t~:n' \ , > $ ~ ~, ""MARKS . fi" \ '- T~IS '1" t verifies payment aod delivery of the above l Sol as Is, where IS. All sales final. Thank you . FIeon:MrformCT. "'Ol.InAuctic>n SctIooI 1-800-836-1l165 Buyer's ,::;"I Or tunber Itemor Lot Number @ $ $ REMARKS; This receipt verifies payment and delivery of the above. Sold as is, where Is. All sales flnl1ll. Thank you. . AeorderFo'mCTMial~riAl.ICl:ion School1-800-83S..1965 2 3 4 6 7 $ REMARKS: This receipt vertfies payment and delivery of the above. Sold 's is, where is. All sales final. Thank you. . ReoRMr FotmCTMilsouriAuction Sohool 1-800-835-1165 , , , , , , , " , , II 4 " II , Buyer's Name Or Number Item or Lot Number @ $ 8 $ REMAFW\S: This receipt verifies payment and delivery of the above. . , ' .~ld3Sj~,~t\efeis.\"'I~I,e.,nn~l.fhank'tOU. . Reon:t<<Forl't'ICTMIMoiuriAuotion80hooI1-800-835-1165 Ii Buyer's Name Or Number Item or Lot Number @ $ $ REMARKS: This receipt verifies payment and delivery of the above. Sold as is, where is. All sales finaL Thank you. . AeorderFormCTMietlourlAI.IOtiorlSchooI1-800-836-1165 '0 Buyer's Name Or Number Item or Lot Number @ $ $ REMARKS: This receipt verifies payment and delivery of the above. Sold as is, where Js. All sales Ilnal. Thank you. . ReorderFormCTMinOUriAuotionSchool1-800-835-1965 . . " II " 'f 11 ; i. Buyer's Name Or Number Item or Lot tunber @ $ $ REMARKS: This receipt verifies payment and delivery ot the above. Sold as Is, where Is. All sales final, Thank you. . R~ Form CTMlaaouriAuotion SClhool 1.eoo.835-1955 Buyer's Name Or Number "em or Lot Number @ $ 12 $ REMARKS: This receipt verifies p,yment and delivery of the above. Sold as is, where is. All sales final. Thank you. ......00 OR DATE PAGE PAGE 00._ TOTAl S ...... TOTAL $ 7. OD ) . . R__~_l"'TU\""^,,.;""'''';~n<::'''''~^l i_<IfV\..Q':lI;.iQl;I; 1 ~S Nllme Or Number , Item or " S~I;'\) n Lot Number, . ,\ \....i __s ~.i .o7'ClIlC'l ~ ....v~y Buyer's Name Or Number Item or Lot Number @ $ .~-') , I $ 1 '-. This receipt vertfles payment and delivery of the abOve. Sold as is. where Is. All sales final. Thank you. . ~FonnCTMiMour1~8clhool t-8Ol).836..tl65 ~s Name Or Number ~ ~:n~ iubU{p _Ab @ $ $ FlEMAAKS: 1'- This receipt verifies payment and delivery of the above. Sold as Is. where Is. All sal.. ,Ina!. Ttwtnk yOl,l. . RoIofderFormCTMtuouri"uationsOhooI1~1I155 '. ~, ~s.Name .. Or Number ~ ~~ d~y/--v 't! @ $ $ - FEMAAKS: 4 t- . This receipt verities payment and delivery of the above. Sold as is, where Is. All sales final. Thank you. . "."...form cr.....ouriAuction SohooI1..80CHI36-1l1155 ~s N8ffie Or Number Itemor Lot Number sa ~lQ(A{(J @ $ $ REMARKS: 1-- This receipt verifies payment and delivery of the above. Sold as Is, where is, AIt sales Un.L Thank you. . ReordwFormCTMluouriAIMlIIonSchoOl1..e00.835-1l1155 , , 'cDq~ t1luyer's Name , Or Number Itemor LotNumber @ $ C~a(r / , $ ReMARKS: . i" "'- ::B-'IS rec,~, '''pi verities payment and delivery of the above. So' as Is, whetr. is. All sales final. Thank you. . onnC' sourlAuction SchoOl 1-800-836-1855 Buyer's I Cl Or Number ' -1 ~:n ~ ex ~q CiV\'(f , @ $ $ REMARKS: I This receipt verifies paymel::: dellwry of the above. Sold as Is, where Is. All sales final. Thank you. . Reorder Former Miss04lriAuctiM School 1-800-8.1..;"1Il!iS " f " f 1,1 ',' ~ 3 . 5 . q>1) 7 all f L.;f-f: V''' $ REMARKS: 1 ,~ This receipt verifies payment and delivery of the above. Soid as is, where is. All sales final. Thank you. . Reon:terFof'mCTMiaSouriAuotionSohool1.aoo-836-1166 Buyer's Name ~::: ~~ @ $ -7 (hCi/r . $ REMARKS'. 4-0- This receipt verifies payment and delivery of the above. i' )fSoI~ a.s\,lS, wh~re is:. All sa~",fi~al.r,rhankyou. . Reorder Form CT Milsouri Auction School 1-800-836-1lilS5 Buyer's Name r:n:E: {11~ @ $ 11 . $ REMARKS: " " ,I , , , II" , , , " , , }~ This receipt 'I8rifies pa~ent and deiiwry of the above. Soid as Is, where is. All sales final. Thank you. . ReorderFomlCTMldouriAuotionSchooI1..eoo.836-1166 9l0~( (0(0710 Buyer's Name Or Number Item or Lot Number @ $ REMARKS: $ J&-( ( "'- , , " " " , " " , , , , " ,~ , I , , " , , , , , , , f This receipt verifies payment and delivery of the above. Sold as is, where is. All sales final. Thank you. . Reorder ForrnCTMitsouriAuotion SohooI 1-8()(H35-1166 Buyer's Name Or Number Item or Lot Number 'S ~f\(- 7 11 i~ $ REMARKS: @ $ ?~ - This receipt verifies payment and delivery of the above. Sold as is. where is. All sales final. Thank you. . Reorder Form CT MiaSOUri Auction School 1-800-835-1955 Buyer's Name Or Number Item or Lot Number 12 @ $ REMARKS: I This re etpt It. s payment and delivery of the above. Sold as Is, 'where is. All sales final. Thank you. SALE NO. PAGE PAGE SAlE I L QRQATE NO._ mTAL $ TOTAL $ (/) -.. OD . A----'....I:"....l"'c'TU,...."..IIo..._c:N.....l t_Ann..D"ILi~1:: t' _ ;' i ,._ _ "'/>~ ~NiIine Or Number . Itemor Lot Number 0 REMARKS ., t! / , . (plly --f--- ir,,'Y',w..J!/-- , $ I d d() This receipt verifies payment and delivery of the above, Sold as Is, where Is. All sales final. Thank you. . RtoI1*formCTMiMouriAuclkN18Ghoo1 1-800-83&-1165 Iluyer's Name Or Number Item or Lot Number @ $ IFf /~ ~ 1~~'1~ I 1/ REMARKS. I ()/) This receipt verifies payment and delivery of the above. SOld as IS, where Is. All sat.. flnel. Th~nk y04- . RltorderFonnO":MIuourIAuctionSohooI'I~It65 ' , Buyer's Name Or Number Itemor Lot Number @ $ REMARKS: J 6~ T.tlls receipt verities payment and delivery of the above. Sold as is, where Is. All sales final. Thank you. . R<<lfderFonnCTMlIsciurlAuction SchooII-800-836:1S165 Iluyer's Nl!Ille' Or Nurnbe'r Itemor Lot Number @ $ ~J' REMARKS. This receipt verifies payment and deli....ry of the above. Sold as Is. where Is. All sales Una!. Thenk. you. . Reorder Form CT MiallOUrlAuctIon School 1-800-835-1166 Iluyer's Name Or Number Itemor LotNumber @ $ (?J1 I /r), I . 1/1(\ " I 0 VI ).$ REMARKS: rr () (J f i i; l'~ ~~~. t verities payment and delivery of the above. SOld s Is. where is. All sales final. Thank you. . AeorOer mCT ' ouriAuotlon School 1-800-836-1955 Buyer's 00 { "/} Or PMIber t t l? cJ ,;;. ~:"~ -, 's $ @ $ REMARKS: () . U{; This receipt verities payment and delivery of the above. Sold as is. where is. All sales final. Thank you. . Reorder FormCTMissOIlriAuctiCIn School 1_900-835-1DiS5 ~tfllt'1 ~ \,oufoIy Buyer'S Name Or Number Item or Lot Number @ $ !.. / 7 i(h~, . /p /Y:'#'C4.....--- I REMARKS: ,- .....'> (It) ThiS receipt verifies p,yment and delivery of the above. Sold 8S is, where is. All sales final. Thank you. . Reorder FormCTMisSoufiAuction SohooI 1~1865 2 8 ~.:- tfi1 / ~.::-"";/-~' ..~ REMARKS! ___ _./-~.~~----- ....."----- --.... -..... This receipt ....rifies p,yment and delivery of the above. --. . ,~ldas,ls, where is, AU sale$';ti~l.lfhank you. ~ ' 'I' " ., ., . ReorderFomlOTMilsourIAuction$Ohoo1 1-800-836-1965 3 Ii , , ~ , i ,-- I " Buyer's Name Or Number Item or Lot Number I - J~ b1:~ /1 ._-- J ( jil/C...../- $ d{/ 9 @ $ ReMARKS: -Cd ThiS receipt verifies payment and delivery of the above. SOld as is. where is. All sales final. Thank you. . ~FormOTMt.souriAlIOtionSohooI _1-800-835-1866 " .1;-.- . , I Buyer's Name " , Or Number , . Item or ,. Lot Number I: ~ , @ $ $ , - " REMARKS: " I 10 This receipt verifies payment and delivery ot the above. Sold as )~. where Is. All sales final. Thank you. . Reorder FormCT MIHoUriAuotion SohooI 1-800-836-1865 5 11 Buyer's Name Or Number Item or Lot Number @ $ $ REMARKS: This receipt verifies payment and deliv6fY of the above, SOld as is, where is. All sales tinal. Thank you. . Reorder Form OT MilSouri Auction Sohool 1-800-835-1955 6 12 Buyer's Name Or Number Item or Lot PMIber @ $ I I l." r- $ REMARKS: """'NO OR DATE I This receipt verities piment and delivery of the above. Sold as is, INhere is. All sales final. Thank you. . nO t/i', <-' PAGE PAGE NO._ TOTAl.. S 5AlE lOTAL $ . R~<;'.......,._'TU....""..;."............<::~,.,..\ t_Ilnn.._II:.....~1:, ""'~""(1"O.. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESlDEflT OECEOEflT SCHEDULE F JOINTLY -OWNED PROPERTY ESTATE OF Streeter Phoebe W If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. FILE NUMBER 21 02 0844 SURVIVING JOIN1' TENANT(S) NAME ADDRESS RElATIONSHIP TO OECEOEflT A. Susan S. Brookreson 396 Thatcher Road Martinsburg, WVA 25401 daughter B c JOINTL Y-OWNEO PROPERTY: LEITER DATE DESCRIPTION OF PROPERTY lIOF DATE OF DEATH ITEM FOR JOlflT MADE ~u.de nameof finav:;ialinslitutioo lJ\d bri. ~t numbeI' or simiw identifying number_ Attach DATE OF DEATH OEW'S VALUE OF NUMBER TENANT JOINT deed for joinl~-hekj real estate. VAlUE OF ASSET IflTEREST DECEDENTS INTEREST 1- A. 5/19/00 PNC 29,774.02 50. 14,887.01 Checking Account # 5140399861 2. A. 6/18/01 Vanguard Pennsylvania TaxE><empt Money Market Fund 50,998.97 50. 25,499.49 #015219820 TOTAl (Also enler on line 6, Recapitulation) $ 40 386.50 (If more space is needed. insert additional sheels of the same size) ,. .,".- ,', &"/'.1' ."'~"""..'.'.' ",:-,,--- ....' _~X' '_~,~---" ',r. ~i"- "f __,li __ TH~. June 30, 2002, year-to-date Page 1 of 1 Vanguard Pennsylvania Tax-Exempt Money Market Fund 1,"11I",111"""11,,11"1,.1,, t.I"I,IIII11I1,,"I1I11I,,1I PHOEBE W STREETER & SUSAN S BROOKRESON JT TEN WROS 1206 DICKINSON DR CARLISLE PA 17013-4220 Statement number: 015219820 (800) 662-2739 - Client Services www.vanguard.com Website (800) 662-6273 - Tele-Account Fund number: 63 Account number: 9949012396 1/31 2/28 3/28 4/30 5/31 6/28 Transaction Balance on 12/31/2001 Income dividend Income dividend Income dividend Income dividend Income dividend Income dividend Balance on 6/30/2002 ACCOUNT VALUE On 12/31/2001 On 6/30/2002 $ 50.574,77 $ 50.909.20 Dollar amount Share price Shares transacted Total shares owned $1.00 50,574,nO $ 55,85 1,00 55.850 50,630.620 49.67 1.00 49.670 50,680.290 56.01 1.00 56.010 50,736.300 59.41 1.00 59.410 50,795.710 61.70 1.00 61.700 50,857.410 51.79 1.00 51.790 50,909.200 $1.00 50,909.200 $ 334.43 Annualized Compound Distribu1ion yield annual yield payable date April 1.41% 1.42% 5/01/2002 May 1.43 1.44 6/03/2002 June 1.24 1.25 7/01/2002 Tr_ date Tax.exempt income ~ '}"t .,+"1 )(1) SI~(D2- ~ .I?'O, <f1f.11 ~~~ :~~ '*' l,:.{\ l(~06 I ,I" Do not aUer this slip. Use only to purchase additional shares in: Vanguard Pennsvlvania Tax-Exempt Money Market Fund Fund number: 63 Account number: 9949012396 Make checks payable to: The Vanguard Group - 63 List each check separately. f\cc. r b r..... PHOEBE W STREETER & SUSAN S BROOKRESON JT TEN WROS 1206 DICKINSON DR CARLISlE PA 17013-4220 .. J. o Check box if changing your address: note new address on reverse. $ $ $ THE VANGUARD GROUP PO BOX 7800 PHILADELPHIA PA 19101-9892 Total amount enclosed $ 2 1- 1 900 1048 M1 11 X 100929 0063 09949012396 3D I ~IW UIII II 1111 1111 11111 II 11111 11111 I~ nlll IIUIIII ~11I11 "",,,.,,,,,.,,.m*, COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Streeter Phoebe W SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21 02 0844 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Brown Funeral 1,325.27 2. Gingers Florists, funeral flowers 48.71 3. Susan Brookreson, and Polly Pr~chard, food, trawl, memorial, caterer for dinner 1,383.24 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Susan S. Brookreson 0.00 Social Security Number(s) I EIN Number of Personal Representative(s) S \lee\ Address City State Zip Year(s) Commission Paid: 2. Attorney Fees Douglas, Douglas & Douglas 10,000.00 3. Family Exemption: (If decedenfs address is nol the same as claimanfs, attach explanation) 3,500.00 Claimant Susan S. Brookreson Street Address 396 Thatcher Road City MartinsburQ State WVA ZIP 25401 Relationship of Claimant to Decedent dauQhter 4. Probate Fees Register of Wills 308.00 5. Accountanfs Fees Greenawalt & Co., preparation of 1041, fiduciary return, first and final 600.00 6. Tax Return Preparer's Fees 7. Roof repair, 1206 Dickinson 85.00 8. B.J.'s Lawn sennce, 1206 Dickinson 85.86 9. Sprint 28.63 10. AT&T 18.46 11. PP&L 52.81 12. Corn cast 10.55 13. Mel 41.10 14. Susan S. Brookreson, reimburse for postage, 32.12 15. Borough of Carlisle, water bill 13.53 16. B.J.'s lawn Sennce 85.86 17. PP&L 71.85 18. Borough of Carlisle, water bill 13.53 TOTAL (Also enter on line 9. Recapitulation) $ 29919.47 (If more space is needed. insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent Streeter, Phoebe W. 21 0844 02 paae 1 Schedule H - Funeral Expenses & Administrative Costs - B7 ITEM NUMBER DESCRIPTION AMOUNT 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. Pa. Bureau of Individual Taxes for 1999 B.J.'s Lawn Service Carlisle Hospttal, last bill Susan S. Brookreson, reimbursement for roses for bowling team memorial Susan S. Brookreson, reimbursement, two trips to Carlisle to sell car, real estate Dept. of Vaal Stats, expedaed s~. for death elf for Russell Streeter Evening Sentinel, advertising Cumberland Law Journal, advertising Reserved for filing inventory, appraisement, final account Recorder of Deeds, 1% transfer tax, 1206 Dickinson Jack Gaughen real estate commission on sale of 1206 Dickinson Concrete Repair, 1206 Dickinson ERA-NRT Inc., Transaction fee, 1206 Dickinson Borough of Carlisle, water bill proration, 1206 Dickinson Jayne Jones, Cleaning, 1206 Dickinson 82.32 28.62 121.91 16.50 64.00 21.00 97.07 75.00 200.00 1,550.00 9,300.00 435.00 100.00 23.53 100.00 SUBTOTAl SCHEDULE H-B? 12,214.95 """"EX""'".. COMMONWEAlTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FilE NUMBER .w 71 n7 nIl"-" RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not listTrustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1- Susan S. Brookreson daughter 1/2 residue 396 Thatcher Road Martinsburg,W.VA 25401 2. Polly Pritchard daughter 1/2 residue RR I, Box 1754 Friendsville, PA 18818 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17. AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A SPOUSAl DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1- B. CHARITABLE AND GOVERNMENTAl DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOTAl NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEE $ (If more space is needed, insert additional sheets of the same size) "~^w~ .- "'""..~ LAST WILL AND TESTAMENT OF PHOEBEW.STREETER I, PHOEBE W. STREETER, a resident of the Commonwealth of Pennsylvania, make, publish and declare this to be my Last Will and Testament, revoking all wills and codicils at any time heretofore made by me. FIRST: I direct that the expenses of my last illness and funeral, the expenses of the administration of my estate, and all estate, inheritance and similar taxes payable with respect to property included in my estate, whether or not passing under this will, and any interest or penalties thereon, shall be paid out of my residuary estate, without apportionment and with no right of reimbursement from any recipient of any such property. SECOND: I give all tangible personal property owned by me at the time of my death, including without limitation personal effects, clothing, jewelry, furniture, furnishings, household goods, automobiles and other vehicles, together with all insurance policies relating thereto, to those of my children SUSAN S. BROOKRESON and POLLY S. PRITCHARD who survive me, in substantially equal shares, to be divided between them as they shall agree, or if they cannot agree, as my Executor shall determine. THIRD: I give all the rest, residue and remainder of my property and estate, both real and personal, of whatever kind and wherever located, that I own or to which I shall be in any manner entitled at the time of my death (collectively referred to as my "residuary estate"), as follows: (a) If SUSAN S. BROOKRESON and POLLY S. PRITCHARD or either of them shall survive me, to those of SUSAN S. BROOKRESON and POLLY S. PRITCHARD who survive me, in equal shares. (b) If none of the beneficiaries under clause (a) above shall survive me, my residuary estate shall be paid and distributed to those of DR. J. W. BROOKRESON and JAMES B. PRITCHARD who survive me, in equal shares. If none of the aforesaid beneficiaries of my residuary estate shall survive me, my residuary estate shall be paid and distributed to those of CARLA BROOKRESON, DIANE BROOKRESON, STEPHANIE PRITCHARD and ELIZABETH PRITCHARD who survive me, in equal shares. FOURTH: If any property of my estate vests in absolute ownership in a minor or incompetent, my Executor, at any time and without court authorization, may: distribute the whole or any part of such property to the beneficiary; or use the whole or any part for the health, ) .~.IP-c :fl. --3f~ , .._ -",.-....c-.-=n... ^ _c..~'_.....,.,-~"""<''''."''".''''''''''_ .,~.. ',", .,;.~ ...,.... ~ ~< ....:- education, maintenance and support of the beneficiary; or distribute the whole or any part to a guardian, committee or other legal representative of the beneficiary, or to a custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt therefor executed by the person to whom the distribution is made shall be a full discharge of my Executor from any liability with respect thereto, even though my Executor may be such person. If such beneficiary is a minor, my Executor may defer the distribution of the whole or any part of such property until the beneficiary attains the age of twenty-one (21) years, and may hold the same as a separate fund for the beneficiary with all of the powers described in Article SIXTH hereof. If the ben- eficiary dies before attaining said age, any balance shall be paid and distributed to the estate of the beneficiary. FIFTH: I appoint SUSAN S. BROOKRESON to be my Executor. If SUSAN S. BROOKRESON shall fail to qualify for any reason as my Executor, or having qualified shall die, resign or cease to act for any reason as my Executor, I appoint POLLY S. PRITCHARD as my Executor. I direct that no Executor shall be required to file or furnish any bond, surety or other security in any jurisdiction. SIXTH: I grant to my Executor all powers conferred on executors under the Pennsylvania Probate, Estates and Fiduciaries Code, as amended, or any successor thereto, and all powers conferred upon executors wherever my Executor may act. I also grant to my Executor power to retain, sell at public or private sale, exchange, grant options on, invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on credit; to borrow money and encumber or pledge any property to secure loans; to divide and distribute property in cash or in kind; to exercise all powers of an absolute owner of property; to compromise and release claims with or without consideration; and to employ attorneys, accountants and other persons for services or advice. The term "Executor" wherever used herein shall mean the executors, executor, executrix or administrator in office from time to time. SEVENTH: I direct that for purposes of this will a beneficiary shall be deemed to predecease me unless such beneficiary survives me by more than thirty days. The terms "child" and "children", as used in this will, include only the child and children of the person designated, but not any adopted child and children of such person. The term "issue" includes only the children and other issue of the person designated, but not any adopted children or issue of such person. The terms "child", "children" and "issue" of the Testatrix shall not include any stepchild of the Testatrix. IN WITNESS WHEREOF, I, PHOEBE W. STREETER, sign my name and declare this instrument as my last will and testament this a day of , 2000. I also have affixed my signature on the bottom of each of the preceding 7 r(~l&;V)t, &r;;,~ PHOEBE W. STREETER 2 - The foregoing instnunent was signed, published and declared by PHOEBE W. STREETER, the above-named Testatrix, to be her last will and testament in our presence, all being present at the same time, and we, at her request and in her presence and in the presence of each other, have subscribed our names as witnesses on the date above written. % ~O'{l.\p /1- (O..-VJ having an address at &~-- ./ t1 Tee - P'TA ro...rLdo ~r.'d.riu'rU I!VI), having an address at O/l4-l.-/J t.-E /'/1 / /7tJ /3 3 Jl- , . Name of Decedent: CERTIFICATION OF NOTICE UNDER RULE 5.6(a) V hl:>€-~ \IV. S\(<.:r: ETE F'::.. Date of Death: f\ U d- 2.-'5:", '2.-0 c)~ Will No. 2 \ - 0').. - 0 8' 4- '-/- Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on ~ ') t'J. "2....010"'2-;.. Name Address c,~ ~ ~ Notice has now been given to all persons entitled thereto under Rule 5.6(a) except ~ Date: q - 20- 0 '2- Signature ~Q~ Name Address DOUGLAS, DOUGLAS & DOUGLAS P.O. BOX ?lil CARLISLE, PA 17013 Telephone \1' j. 2-'t' -:0., \ .. 4.0 Capacity: _ Personal Representative ~counsel for personal representative NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA IN RE: ESTATE OF PHOEBE W. STREETER, DECEASED NO. 21-02-0844 TO: Susan Brookreson 396 Thatcher Road Martinsburg, W.V A 25401 Polly Pritchard RR I, Box 1754 Friendsville, P A 18818 Please take notice of the death of decedent and the grant of letters to the personal representative named below. You may have a beneficial interest in the estate under the Last Will and Testament of PHOEBE W. STREETER See attached copy of Will Name of decedent: Phoebe W. Streeter Last known address of decedent: 1206 Dickenson Dr., Carlisle, PA 17013 Date of Death: August 25, 2002 Place of Death: 396 Thatcher Road, Martinsburg, W.VA. County of Grant of Original Letters: Cumberland Decedent died Testate, and a copy of the Will is attached hereto Name, address and phone number of all personal representatives: Susan Brookreson 396 Thatcher Road Martinsburg, W.V A 25401 Name, address and phone number of counsel: William P. Douglas Esquire 27 W. High St. Carlisle, Pa. 17013 Phone: 717-243-1790 Additional information may be obtained from the undersigned: Dated: September 20, 2002 . :r INVENTORY Estate of Streeter, Phoebe W. , Deceased No. 21 02 0844 Date of Death 08/25/2002 Social Securijy No. 473095787 also known as Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and aU of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. INVe verify that the statements made in this inventory are true and correct. IflNe understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative: Name of Attorney: William P. DouQlas I.D. No.: Address: 27 W. H iQ h SI. Carlisle, Telephone: 717-243-1790 Dated PA 17013 Description Cash, Bank Deposijs, & Misc. Personal Property Value PNC Bank, certificate of deposij # 21 001 054796, established 5/12/95 14,134.31 PNC Bank, certificate of deposij #21001055045, estabiished 5/12/95 7,017.21 PNC Bank, certificate of deposij #21 001 055046, established 5/12/95 14,034.39 2001 Buick Sedan, selling price 12,000.00 Rowe's Auction Service, net proceeds of sale of personal property 382.00 Total (Attach Additional Sheets if necessary) 203,694.91 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. RW-4 . ,'. Continuation of Inventory Streeter, Phoebe W. 21 02 0844 PaQe 1 Description of Inventory Description Carlisle Regional Medical Center, refund Value 10.35 Sprint, refund 4.90 Evening Sentinel, refund 65.18 Real Estate Tax Proration received on 1206 Dickinson, Borough Tax 115.04 Real Estate Tax Proration received on 1206 Dickinson, School Tax 931.53 Real Estate 1206 Dickinson Drive,Carlisle, PA 17013, selling price 155,000.00 Subtotal $ 156,127.00 203,694.91 Grand Total $ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(1 1-96} RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DOUGLAS WilLIAM P 27 W HIGH STREET CARLISLE, PA 17013 --- fold EST A TE INFORMATION: SSN: 473-09-5787 FILE NUMBER: 2102-0844 DECEDENT NAME: STREETER PHOEBE W DATE OF PAYMENT: 10/31/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 08/25/2002 NO. CD 001792 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $9,155.29 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK#1019 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $9,155.29 MARY C. lEWIS REGISTER OF WillS /?-8'9-.s-' "'- BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX WILLIAM P DOUGLAS DOUGLAS ETAL PO BOX 261 CARLISLE PA'17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-16-2002 STREETER 08-25-2002 21 02-0844 CUMBERLAND 101 - REV-1541 EX AFP {Ol-OZl PHOEBE W Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE"y=i5'4-j-EX--AFi.--coFo2Y-Ncii"YCE--OF-YNHEifiTANCE-TAin-ppiiiliSEf.fE"Ni"-,--AL.i-OWAifcE-OR"----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF STREETER PHOEBE W FILE NO. 21 02-0844 ACN 101 DATE 12-16-2002 TAX RETURN WAS: [X J ACCEPTED AS FILED J CHANGED NOTE: I~ an assessment was issued previously, lines 14, IS and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate {I8l 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 214,161.94 X 045 = 9,637.29 .00 X 12 = .00 .00 X 15 = .00 119J= 9,637.29 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held stock/Partnership Interest {Schedule C> 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets llJ 12J 13J [4J (5J 16J 17J 155,000.00 .00 .00 .00 48,694.91 40,386.50 .00 18J APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax 19J IlOJ 29,919.47 .00 IllJ 112J 113J [l4J NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 244,081.41 ;>9.919 47 214,161.94 .00 214,161.94 "..... . ,+, AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 10-31-2002 CDOO1792 481. 86 9,155.29 TOTAL TAX CREDIT 9,637.15 BALANCE OF TAX DUE .14 INTEREST AND PEN. .00 TOTAL DUE .14 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.J IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. ORPHANS'S COURT DIVISION NO.21-02-0844 FIRST AND FINAL ACCOUNT OF SUSAN S. BROOKRESON, EXECUTRIX OF THE ESTATE OF PHOEBE W. STREETER, LATE OF THE BOROUGH OF CARLISLE, CUMBERLAND COUNTY PENNSYLVANIA DATE OF DEATH:AUGUST 25, 2002 NO. 21-02-0844 LETTERS GRANTED: SEPTEMBER 18,2002 FIRST COMPLETE ADVERTISEMENT OF GRANT OF LETTERS: CUMBERLAND LAW JOURNAL: OCTOBER 4, II, 18,2002 EVENING SENTINEL: SEPTEMBER 24, OCTOBER I, 8, 2002 DEBITS PRINCIPAL: REALESTATE 1206 Dickinson Drive, Carlisle, PA 17013, selling price TOTAL PRINCIPAL: REAL ESTATE PRINCIPAL: PERSONALTY PNC BANK, C/D #21001054796, ESTABLISHED 5/12/95 PNC BANK, C/D #21001055045, ESTABLISHED 5/12/95 PNC BANK, C/D #21001055046, ESTABLISHED 5/12/95 PNC BANK, checking account #5140399861, joint with Susan Brookreson, one-half value 2001 Buick Sedan, selling price Rowe's Auction Service, net proceeds of sale of personal property Carlisle Regional Medical Center, refund Sprint, refund Evening Sentinel, refund Real Estate tax proration received on 1206 Dickinson, Borough tax Real Estate tax proration received on 1206 Dickinson, School tax Vanguard Pennsylvania Tax Exempt money market fund #015219820, Joint with Susan Brookreson, one-halfva\ue USAA refund USAA refund Refund, Worldcom TOTAL PRINCIPAL PERSONALTY: INCOME REAL ESTATE INCOME PERSONALTY Vanguard Pennsylvania Tax Exempt money market fund #015219820, Joint with Susan Brookreson, one-half value PNC, estate checking account interest TOTAL PERSONALTY: TOTAL DEBITS: $155.000.00 $155,000.00 $ 14,134.31 $ 7,017.21 $ 14,034.39 $ 14,887.01 $ 12,000.00 $ 382.00 $ 10.35 $ 4.90 $ 65.18 $ 115.04 $ 931.53 $ 50,998.97 $ 118.40 $ 141.85 $ 11.30 $114,852.44 None None $ 181.93 $ 35.85 $ 217.78 $270,070.22 CREDITS The Accountant herein credits herself with the following: 1. Brown Funeral $1,325.27 2. Gingers Florists, funeral flowers 48.71 3. Susan Brookreson, and Polly Pritchard, food, travel, memorial, Catererfor dinner $1,383.24 4. Susan S. Brookreson, reimbursement for horne-related bills $ 204.53 5. Register of Wills, Letters $ 308.00 6. Dept. of Vital Statistics, death ctf for Russell Streeter $ 21.00 7. Douglas, Douglas & Douglas, attorney fee 10,000.00 8. Greenawalt & Co., preparation of 1041, fiduciary return $ 600.00 9. Borough of Carlisle, water bill $ 13.53 10. BJ's lawn care $ 85.86 11. Polly Pritchard, reimburse for electridwater $ 87.80 12. Pa. Dept.of Revenue, 1999 taxes $ 82.32 13. BJs lawn care $ 28.62 14. PP&L $ 28.33 15. MCl $ 22.60 16. Cumberland Law Journal, advertising $ 75.00 17. The Sentinel, advertising $ 97.07 18. Register of Wills, filing inventory and appraisement $ 25.00 19 Register of Wills, agent, PA inheritance tax $9,155.00 20. Register of Wills, reserved for first and final account $ 200.00 21. Recorder of Deeds, 1% transfer tax, 1206 Dickinson $1,550.00 22. Jack Gaughen real estate commission, 1206 Dickinson $9,300.00 23. Concrete Repair, 1206 Dickinson $ 435.00 24. ERA-NRT, Inc., transfaction fee, 1206 Dickinson $ 100.00 25. Borough of Carlisle, water proration, 1206 Dickinson $ 23.53 26. Jayne Jones, cleaning, 1206 Dickinson $ 100.00 27. Susan Brookreson. reimb PP&L $ 52.81 28. Register_~f Wills, filing final account $ 104.00 29. Barrett Rea1 &tate, appraisal of real estate $ 250.0? ~~ TOTAL CREDITS: $35,707.22 RECAPITULATION TOTAL DEBITS: TOTAL CREDITS: $:270,070.22 35,707.22 BALANCE FOR DISTRIBUTION $ 234,363.00 J/lD.-~ ~ ~Susan S. Brookreson ~EAL) COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND Susan S. Brookreson, being duly sworn according to law, deposes and says that she is the Executrix of the Estate of Phoebe W. Streeter, and that the averments of the within First and Final Account are true and correct to the best of affiant's knowledge, info~be~ ~ tV /IJ.-~ SEAL) Susan S. Brookreson Sworn to and subscribed F~ ~ MYOC ~ notary ,2003. Notarial Seal Anne M. Cox, Notary Public Carlisle Borough, Cumberland County My Commission Expires July 14, 2005 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNA. ORPHANS'S COURT DIVISION NO.21-02-0844 STATEMENT OF PROPOSED DISTRIBUTION OF SUSAN S. BROm~RESON, EXECUTRIX OF TIIE ESTATE OF PHOEBE W. STREETER, LATE OF THE BOROUGH OF CARLISLE, CUMBERLAND COUNTY PENNSYL VANIA STATEMENT OF PROPOSED DISTRIBUTION The accountant herein proposes to distribute the said estate iIi accordance with the Last Will and Testament of Phoebe W. Streeter as follows: "THIRD: I give all the rest, residue and remainder of my property and estate...as follows: (a) If Susan S. Brookreson and Polly S. Pritchard or either of them shall survive me, to those of Susan S. Brookreson and Polly S. Pritchard who survive me, in equal shares." BALANCE FOR DISTRIBUTION $.234,363.00 Susan S. Brookreson 396 Thatcher Road Martinsburg, W. V A 25401, one-half of residue Polly Pritchard R.R. 1, Box 1754 Friendsville, PA 18818, one-half of residue $ 117,181.50. t 117, lRt 'i0 TOTAL DISTRIBUTED $ 234,363.00 ~~L~~(SEAL) COMMONWEALTH OFPENNSYL VANIA COUNTY OF CUMBERLAND Susan S. Brookreson being duly sworn according to law, deposes and says that she is the executrix of the Estate of Phoebe W. Streeter, and that the averments of the within statement of distribution are true and correct to the best of affiant's knowledge, inf01;mation and belief. ktJ.-- J Susan S. Brookreson Sworn to and subscribed ~ ^ /J ~ day of CJ'k:..{J~2003. ~otary \ Notarial Seal Anne M. Cox, Notary Public Carlisle Boroug~, cumberland CountY My Commission Expires July 14, 2005 " '" =', <= c ~ . 0 ~ " rigt~t'r 0- .~ '..-1 4-< " Ul 11l " '" 0 Q) '" -<: o " '" .J:} 0 .c ..J Ul .... U 00 . i ~~.r;ir ~ . Cl <( '" '" '" '" Q) 0 :>, H ::J H Q) " " " ~ o " o~B Ji!5 oR H 0 Z H" '" Ul "';;: '" " ~ '" Q) .... 0 0 "~lt :i 0 ;< " '" "0 . Q) '" 0 . " w " " ".J:} u ~ I"' ~ I Ul 0 -' w >- 0 o '" 0 Q) Q) '" >- " ;;; 11l - S :>, 0 Q) Ul o.c", ,~i ) >2 i H 11l " " N Z ~ 00 m S" u Ul Q) .c " " ~.g lli>2 0 -<: Ul x Z 0 o " u 0 '" '" '" ..J >- I 0 W' U 0 <>: Po'>: 4-<H 0 Cl LU 0 m 0. ~ 0 0 04-< 0 '" 0 ::J z I " _ 0 4-<U H '" 0 0 Q) !~ii i'i~ 0 a: " W ~ 0 "" '" '" '" Q).J:} 0 " ..J "'"" " '" Q) " S '"" 0 >- , 11l ,,"CO .... 4-< " '" 0 .1:."0 I :l2 - >- N '" '" 0 '"" 0 "',...,u fiU"'~~' Q) <Ii " ..J OH I 00 " 00 <( OC 0," N '" " Ul . . '" ..J -<: 0 UQ)O " " " '" '" Q) Q) Cl U .J:} I '" Q) '" Q)H >- ~ ~Sl.ki Q)SH S Ul Q) " Ul ~ &i1ii~J~ C) ::J .cON " Q) O.c Q) .... 0 "U Ul "00" Q)H 0 '" '" '" '" "4-< 0 '..-l.j...J ~ 4-1.j...J '" di:E-<=!5:O '" H 0 Z ,""00 0 OOOU ~- ...::- ~ ",. I.... CP .x J; ....~ ,. \~ I UliJ!h l~~ E~.8J"llf~l: i cP o~,lJ Sli -g ~ ~E"ll i g j.:g!,i iiii~!~'_ ~JI >2j~lH ~ .h h mi." ~.'! tidlf~H~ ~ (/) .~ __' .e. .<.._ ,', < ~~ i_~ , ~"'~'cll~.", __ r: ';>.1.,.1:; J ,.:d.t:...., s '. ..... ,., U \.) ------;.. r... fi :.: ~-."~. ,;~) :' 0 1ft ' ...;,' ,~~ ii!!>' v-_ - ",_ ~ .:~ ~~'~ c C>..o-- 'to' (!;::-, ., ."", "'-,~.f!! -_ -,,' .~:.~ -,':) , ,'-')j ~~; g '- '} 1;: ~ 0 ;;\ ,..:. <It ~ ';,j 5;; :;j c Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 7/08/2004 DOUGLAS WILLIAM P 27 W HIGH STREET CARLISLE, PA 17013 RE: Estate of STREETER PHOEBE W File Number: 2002-00844 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 8/25/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS CC: File Personal Representative(s) Judge Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 7/08/2004 BROOKRESON SUSAN S 396 THATCHER ROAD MARTINSBURG, WV 25401 RE: Estate of STREETER PHOEBE W File Number: 2002-00844 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 8/25/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STR3tSBAUGH REGISTER OF WILLS cc: File Counsel Judge STATUS REPORT UNDER RULE 6.12 Name of Decedent: Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: State whether administration of the estate is complete: Yes ~ No__ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal represegtative file.a final account with the Court? Yes ~. No___ . /.zt_~-A ~ ~m ~ . l__ ,he separate Or ha,s Cou t dnE) the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes__ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may Date, be attached to this report. Name (Please type or prin~ Z l; Z~ OZ 'll]P ~. Address Tel. No ( MAH: rmf/AM3 ) Capacity: __Personal Representative ~Counsel for personal representative © > 0 0 0 © m