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HomeMy WebLinkAbout01-06-111505610143 REV-1500 Ex `°'-'°' OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year File Number Bureau of Individual Taxes cePARTMENTOFREVENUE PO 60X.280601 INHERITANCE TAX RETURN 21 10 0494 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 201 16 0275 04 16 2010 Decedent's Last Name WIMER (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Spouse's Social Security Number Date of Birth 10 08 1917 Suffix Decedent's First Name MI ERMA S Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return ~ 2. Supplemental Return 4. Limited Estate ~ 4a. Future Interest Compromise /rtata of riaath aftar 1~-1~-R~l 6 Decedent Died Testate ~ ~• gttac eGoMa~of Trust a Living Trust (Attach Copy of Will) ( PY c ) 9. Litigation Proceeds Received ~ 10. beiween 102 31 ~1 audit (datge5~f death 3. Remainder Return (date of death 11. Election to tax under Sec. 9113(A) (Attach Sch. O) prior to 12-13-82) 5. Federal Estate Tax Return Required 1 8. Total Number of Safe Deposit Boxes CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number -~:4 GEORGE F DOUGLAS III ESQ 717 2 4 9 3 =~~-'~ First line of address 354 ALEXANDER SPRING RO Second line of address City or Post Office State ZIP Code CARLISLE PA ..~-- ,~ REGISTER OF Vlfl'LCSSE O ~.Y _''i..rj~ ~`a1 ~-,' -~-, ~~ ' C...~ ~;~ '~.. ~~ ~~ ~_~ ,~+~ I DATE FILED F~=i=-~ :::~ r _ ~ ...~ r,:` 1 ~- _ ~ i__: .., .7 . ~ .,.:,, ...~1.~ ~-•-~ +'l _ ~- •-' ~t ~~ Correspondent's a-mail address: 9douglas@salzmannhughes.com Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge. 51GNATURE 0~50N RE5PON516LE~ FIL~i~- URN DATE ~.-~, y~~,~. ;~~ Bonnie Black _ _ _ /~~~~~~ ADDRESS 645 Lindsey Road, Carlisle, PA 17015 SIGN TURE OF PREPARER OTH R THAN REPR SENTATIVE DAT George F Douglas, III Esq. ( j ennaecc 354 Alexander Spring Road, Suite 1, Carlisle, PA Side 1 L 1505610143 1505610143 J PA Inheritance Tax Return Signature of Additional Fiduciaries ESTATE OF FILE NUMBER Wimer, Erma S. 21-10-0494 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. Signature #2 Name Address1 Address2 City, State, Zip Date Darwyn Black 645 Lindsey Road Carlisle, PA 17015 3" ~ ~ J 1505610243 REV-1500 EX Decedent's Name: Wimer, Erma S. Decedent's Social Security Number 2 01 16 02 7 5 RECAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 657.60 2. Stocks and Bonds (Schedule B) ............................................................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages 8 Notes Receivable (Schedule D) ........................................................ 4. 5• Cash, Bank Deposits 8~ Miscellaneous Personal Property (Schedule E) ............... 5. 153,924.36 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 37 , 612.35 7. Inter-Vivos Transfers & Miscellaneous -Probate Property arate Billin ~ Se Re u st d l S h d G 2 98 , 50 9. 7 7 ............ p g q e e ( c u e ) e 7, 8. Total Gross Assets (total Lines 1-7} ..................................................................... g. 4 90 , 7 0 4 . 0 8 23,261.77 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) ................................................................... 11. 23,261.77 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 467,442.31 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which $ 9 2 6 6. 3 2 an election to tax has not been made (Schedule J) ............................................... 13. , 14. Net Value Subject to Tax (Line 12 minus Line 13) ............................................... 14. 378,175.99 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .00 15. 16. Amount of Line 14 taxable 0 0 0 16 at lineal rate X .045 . . 17. Amount of Line 14 taxable at sibling rate X .12 16 , 2 90.02 17. 18. Amount of Line 14 taxable at collateral rate X .15 3 61 , 8 8 5. 9 7 18. 19. Tax Due ................................................. ................................................................. 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 0.00 0.00 1,954.80 54,282.90 56,237.70 Side 2 L 1505610243 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-10-0494 DECEDENT'S NAME Wiener, Erma S. STREET ADDRESS 645 Lindsey Road CITY Carlisle STATE PA ZIP 17015 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 53,000.00 2,789.47 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) Total Credits (A + B) (2) (3) (4} (5) 56,237.70 55,789.47 448.23 Make Check Pa able to: REGISTER OF WILLS, AGENT. 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 :............................................................................... ^ ^x b. retain the right to designate who shall use the property transferred or its income :.................................. ^ ^x c. retain a reversionary interest; or ............................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ............................................................ ^ ^x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................................................................................................... ^ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... [x] ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................................. ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0 percent [72 P.S. §9116 (a) (1.2)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1503 EX+ (6-98) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Wiener, Erma S. 21-10-0494 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 1 - $500 U.S. Series EE Bond - (POD William Wiener 657.60 predeceased the testatrix) Principal $250.00, Interest $4o7.so TOTAL (Also enter on Line 2, Recapitulation) 657.60 pr more space Is neeaed, aacsltional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1508 EX+ (g-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Wimer, Erma S. 21-10-0494 include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Cash and coins in safe deposit box - at appraisal 414.00 2 Foot Locker -pension payment for March and April 210.00 3 Western National Life Ins. Co. -payment for March and April 95.68 4 Western National Life Insurance Company -April benefit 48.65 5 Citizens Bank, Checking Account No. 6100653285 13,808.97 Accrued interest on Item 5 through date of death 1.82 6 Citizens Bank, Certificate of Deposit No. 6140752345 2,103.51 Accrued interest on Item 6 through date of death 2.39 7 Wachovia, Checking Account No. 1010049591695 7,606.35 Accrued interest on Item 7 through date of death 0.09 8 Wachovia, Certificate of Deposit No. 247412052009463 6,169.18 Accrued interest on Item 8 through date of death 13.38 9 Wachovia, Certificate of Deposit No. 247412073603016 32,673.49 Accrued interest on Item 9 through date of death 4.37 10 Wachovia, Certificate of Deposit No. 247412073603061 40,336.50 Accrued interest on Item 10 through date of death 5.40 Total of Continuation Schedule See attached page TOTAL (Also enter on Line 5, Recapitulation) 153,924.36 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY continued ESTATE OF FILE NUMBER Wimer, Erma S. 21-10-0494 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 11 Wachovia, Certificate of Deposit No. 247412092009469 12,677.56 Accrued interest on Item 11 through date of death 25.89 12 Wachovia, Certificate of Deposit No. 247412093428593 9,853.84 Accrued interest on Item 12 through date of death 41.55 13 Wachovia, Certificate of Deposit No. 247412112827031 5,933.83 Accrued interest on Item 13 through date of death 11.87 14 BNY Mellon -remaining balance of Burial Trust 1,535.71 15 Highmark -refund of unearned premium 192.94 16 Mutual of Omaha -refund of unearned premium 157.39 17 Western National Life Insurance Company, Annuity Contract No. FJ230012 -Beneficiary: 19,977.34 Erma S. Wimer Estate 18 Western National Life Insurance Company, Annuity Contract No. FJ230012 -Beneficiary: 22.66 Erma S. Wimer Estate - TOTAL (Also enter on Line 5, Recapitulation) I 153,924.36 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) REV-1509 - PA INHERITANCE TAX RETURN - SCHEDULE F JOINTLY -OWNED PROPERTY ESTATE OF FILE NUMBER WIMER, ERMA S. 21-10-0494 SURVIVING JOINT TENANTS NAME ADDRESS RELATIONSHIP TO DECEDENT 645 Lindsay Road A. Bonnie Black _ Carlisle, PA 17015 .Niece 645 Lindsay Road _ B. Da n Black Carlisle, PA 17015 Nephew-in-law 11 Parkway Drive C. Darrell Smith _ Liverpool, PA 17045 Grand Nephew 15 Parkway Drive D. John Smith __ Liver ool, PA 17045 Grand Nephew 882 Hilltop Road _ Mount Joy, PA E. Matthew Wander 17552 Grand Nephew 231 Blossom Trail _____ _ Mount Joy, PA F. Michael Wander 17552 Grand Nephew ea ow rove -- G. Doris G. Smith_ Road Niece 231 Blossom Trail _ __ Mount Joy, PA H. Ethel M. Wander 17552 Niece 159 Mt. Rock Road ___ _ I. Ral h E. Wax Newville, PA 17241 Ne hew Rev-1509 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Wimer, Erma S. 21-10-0494 Han asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME A.- - - SEE ATTACHED B. C. JOINTLY OWNED PROPERTY: RELATIONSHIP TO DECEDENT ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSE % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1 A 01/01/2001 Pioneer Classic Balanced Fund A -Fund #67, 13,380.55 50.000% 6,690.28 Account No. 7086991, joint with Bonnie Black 2 A 6-11-2008 Citizens Bank, Certificate of Deposit No. 10,504.02 50.000% 5,252.01 6252144259 -Joint with Bonnie K. Black 3 A 6-11-2008 Citizens Bank, Certificate of Deposit No. 10,809.59 50.000% 5,404.80 6252142566 -Joint with Bonnie K. Black 4 A 1-16-2001 Citizens Bank, Certificate of Deposit No. 12,788.43 50.000% 6,394.22 6140786851 -Joint with Bonnie K. Black 5 B 3-21-2002 Citizens Bank, Certificate of Deposit No. 1,398.68 50.000% 699.34 6140859220 -Joint with Darwyn L. Black 6 ~ 12-8-1999 Citizens Bank, Certificate of Deposit No. 2,105.30 50.000% 1,052.65 614052337 -Joint with Darrell Smith 7 D 12-8-1999 Citizens Bank, Certificate of Deposit No. 2,105.30 50.000% 1,052.65 6140752329 -Joint with John Smith 8 E 12-8-1999 Citizens Bank, Certificate of Deposit No. 2,105.30 50.000% 1,052.65 6140752302 -Joint with Matthew Wander Total of Continuation Schedules See attached a es TOTAL (Also enter on Line 6, Recapitulation) ~ 37,612.35 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) Rev-1509 EX+ (6-98) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT continued ESTATE OF FILE NUMBER Wimer, Erma S. 21-10-0494 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. JOINTLY OWNED PROPERTY ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSE % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 9 E 12/8/1999 Citi2ens Bank, Certificate of Deposit No. 2,105.30 50.000% 1,052.65 6140752302 -Joint with Michael Wander 10 A 1989 -1990 2 - $500 U.S. Series EE Bonds, joint with 1,395.80 50.000% 697.90 Bonnie Black 11 A 1990 -1992 7 - $1,000 U.S. Series EE Bonds, joint with 9,106.80 50.000% 4,553.40 Bonnie Black 12 C 10/1987 1 - $500 U.S. Series EE Bond, joint with 770.40 50.000% 385.20 Darrell Smith 13 G 2/1994 1- $500 U.S. Series EE Bond, joint with Doris 478.00 50.000% 239.00 G. Smith 14 G 0111989 1- $1,000 U.S. Series EE Bond, joint with 1,452.00 50.000% 726.00 Doris G. Smith 15 D 10/1987 1 - $500 U.S. Series EE Bond, joint with John 770.40 50.000% 385.20 Smith 16 g 02/1994 1 - $500 U.S. Series EE Bond, joint with Ethel 478.00 50.000% 239.00 M. Wander 17 g 01/1989 1 - $1,000 U.S. Series EE Bond, joint with 1,452.00 50.000% 726.00 Ethel Wax Wander 18 E 10/1987 1 - $500 U.S. Series EE Bond, joint with 770.40 50.000% 385.20 Matthew Wander 19 F 10/1987 1 - $500 U.S. Series EE Bond, joint with 770.40 50.000% 385.20 Michael Wander Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) Rev-1509 EX+ (6-98) SCHEDULE F COMMONWEALTH OF PENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT continued ESTATE OF FILE NUMBER Wimer, Erma S. 21-10-0494 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. JOINTLY OWNED PROPERTY ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSE % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 20 I 02/1994 1 - $500 U.S. Series EE Bond, joint with Ratph 478.00 50.000% 239.00 E. Wax TOTAL (Also enter on Line 6, Recapitulation) I 37,612.35 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) Rev-1510 EX+ (6-98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. N N-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Wimer, Erma S. 21-10-0494 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY THE DATE OF TROANSFERSATTACFi ACOPY OF THE DEED FOOREREAL ESTA E. DATE OF DEATH VALUE OF ASSET °~ OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1 Western National Life Insurance Company, Annuity 27,286.62 100.000% 27,286.62 Contract No. FJ225983 -Beneficiary: First United Methodist Church 2 MetLife Investors USA Insurance Co., Annuity 25,796.39 100.000% 25,796.39 Contract A2045702 -Beneficiaries: Ralph Wax, Jr., nephew, Ethel Wander, niece, Doris Smith, niece and Bonnie Black, niece 3 Symetra Life Insurance Co., Annuity No. AN0880033 - 45,224.04 100.000% 45,224.04 Beneficiaries: Ralph E. Wax, Jr., nephew, Ethel Wax Wander, niece, Doris Wax Smith, niece and Bonnie K. Black, niece 4 MetLife Investors USA Insurance Co., Annuity 49,788.47 100.000% 49,788.47 Contract A2044728 -Beneficiaries: Ralph Wax, Jr., nephew, Ethel Wander, niece, Doris Smith, niece and Bonnie Black, niece 5 Jackson National Life Ins. Co., Annuity Policy No. 24,762.05 100.000% 24,762.05 0059138630 -Beneficiary: First United Methodist Church 6 2- $1,000 U.S. Series EE Bonds -POD to First United 3,637.60 100.000% 3,637.60 Methodist Church 7 4 - $500 U.S. Series EE Bonds POD to Bonnie C. Black 2,567.60 100.000°t° 2,567.60 8 4 - $1,000 U.S. Series EE Bonds POD to Bonnie C. 8,687.20 100.000% 8,687.20 Black 9 2 - $1,000 U.S. Series EE Bonds POD to Darwyn Black 1,560.00 100.000% 1,560.00 10 3 - $500 U.S. Series EE Bonds POD to Mary J. Good 2,343.60 100.000% 2,343.60 Total of Continuation Schedules See attached a es TOTAL (Also enter on Line 7, Recapitulation) I 298,509.77 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) Rev-1510 EX+ (6-98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA continued INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Wimer, Erma S. 21-10-0494 ITEM NUMBER DESCRIPTION OF PROPERTY THE DATENOF ROANSFERSATTACIi ACOPY OF THE DEED OR REAL EST TE. DATE OF DEATH VALUE OF ASSET °~ OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 11 1 - $1,000 U.S. Series EE Bonds POD to Mary J. Good 1,315.20 100.000% 1,315.20 12 3 - $500 U.S. Series EE Bonds POD to Bernice Wimer 2,315.00 100.000°l° 2,315.00 Hoerner 13 2 - $1,000 U.S. Series EE Bonds POD to Bernice 2,579.20 100.000% 2,579.20 Wimer Hoerner 14 4 - $1,000 U.S. Series EE Bond, POD to Darrell Smith 5,448.00 100.000% 5,448.00 15 4 - $1,000 U.S, Series EE Bonds, POD John Smith 5,448.00 100.000% 5,448.00 16 1 - $500 U.S. Series EE Bond, POD Doris G. Smith 431.40 100.000% 431.40 17 7 - $1,000 U.S. Series EE Bond, POD Doris G. Smith 8,800.40 100.000°I° 8,800.40 18 2 - $5,000 U.S. Series EE Bond, POD Doris G. Smith 14,236.00 100.000% 14,236.00 19 1 - $500 U.S. Series EE Bond, POD Ethel N. Wander 431.40 100.000°1° 431.40 20 7 - $1,000 U.S. Series EE Bond, POD Ethel Wax 8,800.40 100.000% 8,800.40 Wander 21 2 - $5,000 U.S. Series EE Bond, POD Ethel Wax 14,236.00 100.000% 14,236.00 Wander 22 4 - $1,000 U.S. Series EE Bonds, POD Matthew 5,448.00 100.000°I° 5,448.00 Wander 23 4 - $1,000 U.S. Series EE Bonds, POD Michael Wander 5,448.00 100.000% 5,448.00 24 3 - $500 U.S. Series EE Bonds, POD Ralph E. Wax, Jr. 1,746.60 100.000°l° 1,746.60 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) Rev-1510 EX+ (g-98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA continued INHERITANCE TAX RETURN RESIDENT DECEDENT ITEM NUMBER DESCRIPTION OF PROPERTY THE DATENOF TR~F~NSFERSATTACIiTA COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET °~ OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 25 7 - $1,000 U.S. Series EE Bonds, POD Ralph E. Wax, 9,235.60 100.000% 9,235.60 Jr. 26 2 - $5,000 U.S. Series EE Bonds, POD Ralph E. Wax 14,236.00 100.000% 14,236.00 27 3 - $500 U.S. Series EE Bonds, POD Richard D. Wimer 2,315.00 100.000% 2,315.00 28 2 - $1,000 U.S. Series EE Bonds, POD Richard D. 2,579.20 100.000% 2,579.20 Wimer 29 1 - $1,000 U.S. Series I Bond, POD Frances Wimer 1,806.80 100.000% 1,806.80 TOTAL (Also enter on Line 7, Recapitulation) I 298,509.77 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) ESTATE OF FfLE NUMBER Wimer, Erma S. 21-10-0494 REV-1151 EX+ (10-06) COMM_QN~~IDENT DECED~N~R~VANIA SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Wimer, Erma S. 21-10-0494 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT N A. FUNERAL EXPENSES: See continuation schedule(s) attached 2,132.49 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Bonnie Black Darwyn Black Street Address 645 Lindsey Road city Carlisle state PA zip 17015 Year(sl Commission rJaid 7,180.00 2. Attorney's Fees Salzmann Hughes, P.C. 12,230.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zia Relationship of Claimant to Decedent 4. Probate Fees 410.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 850.00 7. Other Administrative Costs 458.78 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 23,261.77 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Wimer, Erma S. 21-10-0494 ITEM NUMBER DESCRIPTION AMOUNT Funeral ExRenses 1 Westminster Cemetery -grave marker 1,595.00 2 Bonnie Black -reimbursement for funeral luncheon 337.49 3 Rev. Timothy Wheeler -funeral services 200.00 H-A 2,132.49 Other Administrative Costs 4 Register of Wills 30.00 5 The Sentinel -Legal -Legal advertising 208.78 6 Jones 8 Martin Auctions, LLC -coin appraisal 40.00 7 Vital Records -death certificates ordered 180.00 H-B7 458.78 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) REV-1513 EX+ (11-08) COMMpRESI~~ENT ~ECEDN~RNANIA SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER w~mer, Irma S. 21-10-0 494 NUMBER NAME AND ADDRESS OF RELATIONSHIP TO DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE PERSON(Sl RECEIVING PROPERTY (Words) ($$$) I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 a 1.2 See attached schedule Total 378,175.99 Enter dollar amounts for distributions shown above on lines 15 throe h 18 on Rev 150 0 cover sheet as a r o riate. II NON-TAXABLE DISTRIBUTIONS: . A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1 First United Methodist Church 1,000.00 2 First United Methodist Church 32,5so.o5 3 First United Methodist Church 24,762.05 4 First United Methodist Church 27,28s.s2 5 First United Methodist Church 3,637.so _ TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 89,266 32 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) SCHEDULE J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Erma S. Wimer 04/16/2010 201-16-0275 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Properly Relationship (Words) ($$$) 1 Frances E Wimer Sister-in-Law Sch G Item 29 ~,~vb.~u 1035 Pine Rd Carlisle, PA 17013 2 Mary J. Good Niece Sch G Items 10811 3,658.80 601 Winding Hill Road Newport, PA 17074-7801 3 Bernice W Hoerner Niece Sch G Items 12813 4,894.20 80 Old Gap Rd. Carlisle, PA 17013 4 Darrell Smith Grand Nephew Sch F Item 6812 6,885.85 11 Parkway Drive Sch G Item 14 Liverpool, PA 17045 5 John Smith Grand Nephew Sch F Items 7815 6,885.85 15 Parkway Drive Sch G Item 15 Liverpool, PA 17045 6 Matthew Wander Grand Nephew Sch F Items 8818 6,885.85 882 Hilltop Road Sch G Item 22 Mount Joy, PA 17552 7 Michael Wander Grand Nephew Sch F Items 9819 6,885.85 231 Blossom Trail Sch G Item 23 Mount Joy, PA 17552 8 Richard Wimer Nephew Sch G Items 27828 4,894.20 720 Yorkshire Drive Carlisle, PA 17013 9 William Wimer Brother-in-Law Deceased PA 1 SCHEDULE J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Erma S. Wiener 04/16/2010 201-16-0275 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 10 Ethel M. Wanders Niece SchF 16817 65,495.05 231 Blossom Trail SchG 2,3,4,19,20,21 Mount Joy, PA 17552 1112th residue 11 Doris G. Smith Niece SchF 13814, 65,495.05 635 Meadow Grove Road SchG 2,3,4,16,17,18 Newport, PA 17074 1/12 residue 12 Ralph E. Wax Nephew SchF 20 66,519.43 159 Mt. Rock Road SchG 2,3,4,24,25,26 Newville, PA 17241 1/12th residue 13 Jessie E. Wax Sister 1/16th residue per Item 8,145.01 231 Blossom Trail Fourth B. of the Will Mount Joy, PA 17552 14 Grace E. Colter Sister 1/16th residue per Item 8,145.01 620 Sheck Drive Fourth B. of the Will Newport, PA 17074 15 M. Frances Wiener Sister-in-Law 1124th residue as per 5,430.01 53 Strawberry Drive Item Fourth C. of the Carlisle, PA 17013-4441 Will 16 Genevieve Yohn Sister-in-Law 1/24th residue as per 5,430.01 252 Locust Point Road Item Fourth of the Will Mechanicsburg, PA 17050-2663 17 Maude Davenport Sister-in-Law 1/24th residue as per 5,430.01 1289 Picadelly Street Item Fourth of the Will Norfolk, VA 23513-1921 18 Bonnie Black Niece SchF 1,2,3,4,10,11 86,739.65 645 Lindsay Road SchG 2,3,4,7,8 Carlisle, PA 17015 1/8th residue 2 SCHEDULE J BENEFICIARIES (Part 1, Taxable Distributions) ESTATE OF: Erma S. Wimer 04/16/2010 201-16-0275 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 19 Darwyn Black 645 Lindsay Road Carlisle, PA 17015 None Sch F Item 5 Sch G Item 9 118th residue 18,549.36 Total 378.175.99 3 REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA No . 2010- 00494 Estate Of : ERMA S WIMER CERTIFICATE OF GRANT OF LETTERS PA No . 21 ~- 10- 0494 (First, Middle, Last) Late Of : SOUTH M/DDLETON TOWNSHIP CUMBERLAND COUNTY Deceased Social Security No : 201-16-0275 WHEREAS, on the 12th day of May 2 010 an instrument dated March 20th 2002 was admitted to probate as the last will of ERMA S WIMER (First, Middle, Lastl 1 a to of SOUTH MIDDLETON TOWNSH/P, CUMBERLAND County, who died on the 16th day of April 2010 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA EARNER STRASBAUGH Register o.f Wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: BONN/E BLACK and DARWYN BLACK who have duly qualified as EXECUTOR(R/X) and have agreed to administer the estate according to law, all of which fully appears of record in my office a t CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNS YL VAN/A . IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 12th day of May 2010. ~~~ ~ ~ ~ - ba,~ ~-' '-' Register of ills --~ l- ~ ~ y ~~~~ d~ ~~ ~ Deputy i ~~ _,__~_wr~mr-i ~, .~. TTT TTT T/r T?C~ TT~/ITTP, TDD1r''71D /~'TI?~?' MTnlll r+. I,A.~'T) rv ~} ~ . , __ _ -y ~ ~ ,_; ~, fV -;- -~, LAST WILL AND TESTAMENT '~' ~~ - -a `=~-~~~ `-~;=; ~ ~" O F - ~ _, ~ _= ~ " ` ~~ V ERMA S. WIMER .,o ' I, ERMA S. WIMER, of Carlisle, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, revoking all other wills and codicils heretofore made by me. ~~~~` FIRST ~ t direct the payment of my debts, taxes and the expenses of my last ~ i(Iness and funeral from my estate as soon after my death as conveniently may be done. ~ SECOND I give, devise and bequeath the sum of One Thousand ($1,000.00) Dollars to the ALTER GUILD of the FIRST UNITED METHODIST CHURCH, Carlisle, PA, to be used for the purpose of the purchase of altar flowers for the church service, at least annually, as a memorial to my late husband; CLARENCE 1~i1. 1/~IIMER, and to rne. THIRD give, devise and bequeath to my niece BONNIE BLACK and her husband DARWYN BLACK, or the survivor, their choice of any items of personal property they shall desire including but not limited to furniture, furnishings and household goods (not including cash or securities). Any such items not selected by them shall be added to and distributed as part of my residuary estate. FOURTH I give, devise and bequeath all the rest, residue and remainder of my estate whatever nature or wherever situate as follows: A. One-fourth (1/4) to de divided between my nieces and nephew, ETHEL WANDERS, DORIS SMITH and RALPH WAX, per stirpes. B. One-eighth (1/8) to be divided between my sisters JESSIE WAX ~, and GRACE COLLER, per stirpes. 'r ..t; C. One-eighth (1/8) to be divided among my deceased husband's r sisters, FRANCES WIMER, GENEVIEVE YOHN and MAUDE DAVENPORT. ~`~~ D. One-fourth (1/4) to THE FIRST UNITED METHODIST CHURCH of r'-~ a- Carlisle, PA, for its general uses and purposes. r E. One-fourth (1/4) to BONNIE and ~DARWYN BLACK, or the survivor. ~N r FIFTH I direct that no trustee, personal representative, guardian or other fiduciary nay ned, nominated, or appointed by this my Last Will and Testament shall be required to post any bond or give any security of any type for my purpose whatsoever, any law or rule of court notwithstanding. SIXTH Any and all payment or payments of any sum or sums, whether in cash or in kind and whether for principal or income, payable hereunder shall be made upon the sole receipt of the respective individual to whom the payment is made, and free from anticipation, alienation, assignment, attachment, and pledge, and free from control by the creditors of any such beneficiary. SEVENTH I appoint BONNIE and DARWYN BLACK, or the survivor, Executors of this my Last Wi(I and Testament. I request that my said Executors retain the services of SALZMANN, DEPAULIS and FiSHMAN, of Carlisle, PA to represent them in the administration of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of three (3) typewritten pages, the first two of which bears my signature in the margin for the purpose of identification, this 20th day of March, 2002. ~~~_~..~--i^~-~cz ~S. ~.~~.~;~.,-Y,-v-~L~ (seal) ERMA S. 1/VIMER Signed, sealed, published and declared by the above named Testatrix, ERMA S. WIMER as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence, and in the sight and presence of each other, have hereunto subscribed our names as witnesses. --, ADDRESS 95 Alexander Spring Rd, Carlisle, PA 17013 ~ ~ ~, .~~ ADDRESS 95 Alexander Spring Rd, Carlisle, PA 17013 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND : ss. We, ERN1A S. WIMER, "~vi~;t ~'~,~ ~..~. ~-~ _,f ,,, ~~~,and ! ~.~_ ~';~_{ ~~„ ,~ the Testatrix or 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 signed and executed the instrument of her Last Will and Testament, and that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the Will as witnesses, and that to the best of their knowledge, the testatrix was at the time eighteen (18) years of age or older; of sound mind and under no constraint or undue influence. Sworn to and subscribed before me this 20th day of March, 2002. -((jj ,~ '~ Zt fb'~1 'a.i+~,`.:::~i:ia9t:.^S ~.".j:-1!'ga ~+i.;~. ~.s~ d'+~y .~- O r Q3 Q+ N 4- d ~ !', ~ ~ ~, .." ~! i 3 "~ ? 0~. ~ ..+ ~ ~~, c~S d r Q ~ ! L G v ~ ~ LL» "~- 7 1.~ ""' .ice 7 ~ ~v 4? ,4 __--~~ ,~ ~ ~ ~, I Ef3 d 7`~ ~I -~ ~'1 0 'cN r ~' o '~ c cl~'~ ~'o m~.~ _~- N~ ~ CO ~ td O "~ N TNT LA N N ~ G z ~ ''~ x m ~=vo L, Nay ~ G ,~ O O O ~ N ~ ~'CY~Oj C.~CpN °~ Z N ~L ,_ • d O o N ~ ti' G G ~ ~ C t0 0) ~ r C1 o ~ ~ E .~% 'O td~Ca.~U O ~ O N N N~,E;aO ~ ~' ~ N 'O .y( ~Np v N IL1 ~ ~ ~y. ~ ~ -O G G ~ ~ N A OZ"00 N ~ N ~ ~•y, ~ O ~ p~ ~~ ~ G W ~ t0o ~' Z 'L '~ ~ • ~ w N 47 N ~ ~ ~ ~ N p O O N ~ ~-p -D N Ti C N N t5~ C ~ N N ~ pC~•- V sac ~~>C - ~33W ~ c~W c coax co..-- t ,~ ~ N N ~ ~ td 7 ~ ~ (.~ 4NN ~ ~ttyca3 t!1 N N ~ 't3 'd O ~~~~ ~ ~ ~ ~ 4 `~' " ,~ a . _ l..t,.J i ~ ~ ,~'~' a ~ a ``~ l ~V N ~ `~ ~ ~~= Z '~~ ~~ ~< ~ ~ ~ l ~/ N ~ O ~ 1-.~- , ~ Q y~ t u ~ ~ ~ , ,~ - -.~ r--- ,. ~ ~ =. ~ ~, ~, ~ ~~ ,~ ~~ ~~ } '® ; ~l ~~ ~~ . ~ a ~ ~ _~ ~` ~ 1 ¢ ~~ ~~ ~ . a ' j~) n.~ r~r I _ "~ ~ !~~~ 'i ~ ., ... 1 •'~~ ~, •4 ,A fa1~ -' ~, _ ~~ r ~; ~' '~; _. I~~ .~ ~a ~~ ~, a ,~° o ~~ ~ `~ ~ i r. ~ N ~ c.D i c~~ '~ C`- i ,~ ~ ~ O ~.. ~~~ ~ ~.,. c'M ~r~.~ V t ~~~ -. .~ ~ ~©. O C1! ' "~ rx's L'- ~., x s. ~ ;~ ~ O ; •.. ~ ,,,,,,, c.~ O 3~w o ~ .-' ~ ~~„ ~~, ~ ~ ~. .Q ..~ ~, ~ ~ ,~ ~ o ~~a c~ ~ o u.~ccu °` °~' ~ .. r 1 _ -- ..~ JONES & MARTIN AUCTIONS & APPRAISALS 544 MOHAWK RD. N EWVI LLE PA 17241 717-226-0776 OR 717-477-8565 July 15, 2010 Appraisal for: Erma Wimer Estate -date of death 4/16/2010 10- Kennedy Half Dollars, 1.50 each = 5- Susan B Anthony Dollars, 3.00 each = 71, 72 & 76 Silver Dollars, 1.00 each = 54 Bicentennial Quarters, 1.50 each = Uncirculated 1964 Kennedy Half Dollar 3- 1963 1 Dollar Bills 5- 1963 5 Dollar Bills 9-1963 5 Dollar Bills {Red Label} 3- 1963 10 Dollar Bills 4- 1963 20 Dollar Bills 1-1935 1 Dollar Bill, Silver certificate 1- 1957 1 Dollar Bill, Silver certificate 1- 1928 2 Dollar Bill {Red Label} 1- 1953 2 Dollar Bill, Legal tender note 3- 1976 2 Dollar Bills, 2.00 each = 1-1928 5 Dollar Bill {Red Label} 6- 1973 Uncirculated Lincoln-Kennedy Pennies 4.00 each = 48- Wheat Pennies, .50 cents each= $ 15.00 15.00 3.00 81.00 4.00 3.00 25.00 50.00 30.00 80.00 10.00 10.00 5.00 20.00 6.00 9.00 24.00 24.00 TOTAL 414.00 ~"'~-'~ Consolidated Statement ~~ 02 1010049591695 752 30 ~A~HOVIA U 5 1,360 4/10/2010 thru 5/10/2010 Crown Classic Banking Account number: 1010049591695 Account owner(s): ERMA S WIMER Account Summary Opening balance 4/10 $7,606.35 Deposits and other credits 305.68 + Interest paid 0.33 + Closing balance 5/10 $7,912.36 Deposits and Other Credits Date Amount Description 4/19 305.68 DEPOSIT 5/10 0.33 x INTEREST FROM 04/10/2010 THROUGH 05/10/2010 Total $306.01 Interest Number of days this statement period 31 Annual percentage yield earned 0.05% Interest earned this statement period $0.33 Interest paid this statement period $0.33 Interest paid this year $1.56 a~ Citizens Bank Account Number 6100653285 Account Title ERMA S WIMER Date O ened __ 11 / 15/2001 Account Type ~ _Checking ^ ~ Principal Balance as of DOD $13808.97 Interest from Last Posting to DOD $1.82 Account Balance as of DOD ~ $13810.79 YTD Interest to DOD $7.04 ~~ Citizens Bank Account Number 6140752345 Account Title ERMA S 'VVIMER _ Date O enecl 12/8/1999 __ Account Type _ Time Deposits Principal Balance as of DOD $2103.51 Interest from Last Posting to DOD $2.39 __ Account Balance as of DOD $2105.90 YTD Interest to DOD $23.89 Fax Transmission 5/28/2010 10:18: C7 AM PAGE 1/002 Fax Server ;1lTH~Y~~ Reference ID: 3052^, 43 Wachovia Bank Balance Confirmation Services P O Bos 40028 Roanoke, VA 24022 May 2$, 2010 SALZNiANN HUGHES PC ** SUBJECT: Verification / Caafirnlation of Account and Balance Information proti7ded for: Customer: ERMA S WIlVIER {SSN# XXY-XX-0Z75) Date of Death: April 16, 2010 Deposit Account Information Acco~art Account Date of Death Average Balanoz Date Maturity Interest Accrued Y'ID Date Type Number Balance Opened Date Rate Interest Irdcrest Paid Closed CERTIFICA'T'E OF 463 $6,169:18 3!11!2004 3/1112013 $13.38 $62.95 DEPOSIT LEGAL TITLE: ERMA S WIIViER CERTIFICATE OF 7~.YXk"X~YX7~7~``~016 $32,673.49 7/18/"1008 7/13!2011 $437 $524.29 DEPOSIT LEGAL TITLE: ERbiA S W1MER CERTIFICATE OF ?s~~c'~X3061 $40,336.50 7!1811008 7/18/2011 $5.40 $647.25 DEPOSIT LEGALTITC.E: ERMA S WIll-fER CERTIFICATE OF X70~'~~OuYk7Q{9469 $12,6?7.56 3/11/2004 3/11/2011 $25.89 $121.94 DEPOSIT LEGAL TITLE: ERiViA S WII1-ifER CERTIFICATE OF X8593 $9,853.84 6120/2008 612012013 $41.SS $123.61 DEPOSIT LEGAL TITLE: ERIviA S ~t'lhfER CERTIFICATE OF 031 $ 5,933.$3 12,1512006 9i S~ X013 $11.87 S 101.60 DEPOSIT LEGAL TITLE: ERMA S WIT~tER Page 1 of 2 Fa:~ Transmission 5/28/2010 10:18:07 AM PAGE 2/002 Fax Server .~ Referencx ID~ 3052743 ~1TrHCI~~L~ CFIECKING ?~;{Xh'`c'~'YY169S 57,606.35 6i10~Z00Z 50.09 51.13 LEGAL TITLE: ER.'~iA S WA,tER Other Account Information Aceotatt Aecourtt Date of Balance Date Date Ledgzr Collec~trd Type Number Opened Closed A-NNUI'I'Y XXJt~Ofl{.Y.~OO1Z A11,>IERICAN GENERAL -For information regarding annuities, please call 800-4244990 ANNL]ITY X,~'~{}Gc'XS983 ,AMERICAN GENERA.[., - For infomtatian regarding annuities, please c~III 800-4244990 No Safe Deposit Box found for customer. * Date of death balance does rtot include accrued interest. * If date of death occurrs on a weekend or a holiday, date of death balance does not include acry transactions that were made during that time period. ~ S~~ Jennifer Straub Servicenter Associate Phone: (540)~b3-7323 Jg; .Ig By accepting this inforrnacion, the recipient thereof re{~resents and warrants m Wells Fargo Sank, N.A ("tVells Fargo"~ that the recipient is authorized by the customer to receive lawfully this information. The recipient agrees that it wDl not disclose this infomoation to any third party, unless compelled to do so by legal process, and that it will lawfully use this information The recipient acknowledges that Webs Fargo does not represent and warrant that the information is complete and accauate. The recipient fiuther acknowledges that the information may not disclose the enure relationship between customer and Wells Fargo. 'The information is subject to change without notice to the recipient The recipient a~ees to indemnify, deferud, and hold Walk Fargo harmless from and against arty claun resulting from the disclosure and use of the information by the recipient or from the breads by the recipient of airy agreement, representation, or warranty contained herein. Wachovia Bank and tiVachavia Bank of Delaware are divisions of Wells Fargo Bank, N.A. Page 2 of 2 June 1, 2010 George F Douglas III P.C 354 Alexander Spring Rd Ste 1 Carlisle PA 17015 Re: Annuity Contract #FJ230012 Deg±r Mr. Douglas: ~~'I~S-1-EE:~ ~ ~~:~TIC~i~'r~I. The Internal Revenue Service (IRS) requires reporting of all death benefits for federal estate tax purposes. As this contract is an annuity, IRS Form 712 is not applicable and will not be issued by Western National Life. Listed below is the death benefit information for this contract. Contract Number Ty e of Annuit ~ Contract: Flexible Premium) Non~~Qualified Tax Deferred Annuit Date of Issue: 08/26/2002 Contract Owner's Name(s): __ Erma Wime~• Accumulated Value as of 977.34 $19 Date of Death on 04/16/10: , Total Death Benefit as of 051.90 $20 06/01/10 , Proceeds made payable to Beneficia ies): Erma S Wimer Estate Mr. Douglas, we appreciate the opportunity to assist you. Should you have any questions, please contact our Client Care Center at 1-800-424-4990. Sincerely, ~~ Kristi Noriega, Annuity Claims Examiner Annuity Claims Department ~ir-y 1, Via, 2010 ~s ~f12Ill1l1 I~LI~'ll~$, I'.C. Att,~: C;t:pl-ge F. Dottg~ts Ili, Esc;. 1 U5 N 1~'pnt ;~(, Strife ~t~l H11TiS~u1'~ F~~.1'~101 REFERENCE.: ~'(~RIt~# 003~806Q Pioiteet' Classic $al~u~cecl l~ul~d rL Flincl# 67 ~~CCotult# 70~G991 Bolmie I3lactt J"I, ~`a `I~" ~!-)e~ir Mfr. 77ott~l~rs: I il.Ill 1'F~i•it.il~g i!~ t'~g~tt'd to yo~fa' recent coryesponde~ICO i~as• the ~bu1-e referelicec ~~cC~tillt. `I,harll: ~ra~l for takici~; t17~.: t~~zr,e to notify ~ls of the c'cz~~4l~ of ~:11I1a ~Vilnel•. I'l~.--.~:~sc e;~ten(i ptlr coltdolettc;?s tc the f:tinily. 7'lie above nerpllnt is a ~(7lllt t~llilllt i10001111t I]i11T11114; rr•121i1 `V1111C1' <<rl<1 I3oiwi~ Hick ~s joilrG te,tntrts; tli~re F1I-C not ~t11'y sll;~res tf;a~t ~Vf~re issued a StoC1C ~:ti'tiflCil~c',S, The V£llti~ oftse ~ccotinC OI] Apri! 16, ?t11t), ~tt~~is ~1.3,3~0.55 (l,~$:i.43 i shares ~t $9.02 l~ea• sli~i'e)- In order for 13c~n~li,r,1~31nck to re-register car close the ~ccotrllf, .i:'ic:: ~~;er r~;cltrires the f~llp~vi~,~_;: • ~~11 fE~ilnllrvj~ ~~I,e?'~]pfll!'E' ~.77cp1'a~rtee r~lC7l)2ped letter of illStivetion from I1-Is. f31~~ck, ilifonnil~g Pioneer jvhat y~?t~ t~,isl~ tc~ lie clc~tie wit11 tl~.e r,caount- 7•!ie sig~iattu-e I,.Llst tie gtltjr~inteed an ilie letter itsel;t'b~- ~~i "eligible ~;Z11~1'~ntc)t" (dt~t;llitioil ~Iiclpsecl). PiUI1f;L1' cloy ~7ot. ~ri:,,,ept ItfStits '?:<-tii~ii r,~% ~~ npta.Ty plibli:;~ .~~ ~1t1 ~lItC171~7t;vc tv a,1~/z~,;lr:l!inv~ 15'igf'?~~lit~'e Cr`crcnc~r~tc~e k~tC7i1 ~~). Yle~se Note t11at. ~z for to clrafliag #IIe letter of iilstriretipn, the gu~tr~titto!' should lie c+~ilt.actetl to obtlu~ t.lieir i•ec1~IiI'em~nts for providing t t~ n~f~'d~tlliof7 a`i~11C7frlre ~?`, ~crr~.rirtee Stcrrrtp. L1 ~ _ • rf :~otzl~ie f31Ack t`~ill be re-l'c'.plstel'ing the 11CC:VUIIt Iil leer 11iti11P. alo11Z, site ~i~~i11 need to cc~~~~pl:;le the enclosed Appli,;,'~~?c,tl. 7'lte <~.ppliC~ttion It=i:>f co,~taitl all personal it;.!:~rtnatioll itlclitdin4;15ei• fitll ll~tli~e, date i~Fbi~-~~t, social secttrit~ tirtttlbc~~, {~ ~x:! a residential ~,cftlt es:~~. ~-ldeliiianally, i1~z5. Black nittst sill ille/ ~t~~plic~ttioil in S~c:ioi. ~i. [f'1=3c~~~.ttte Black t~i~t 1:;;: clc~ itt~ tli~ flccott~it, sl~,_. tit~ill aleed to coiiipl~t fl~,~ es~c.lc~sed ~J'~~ ~0.1'~yi, 'his for~~t supplies u;, ~vitl~ fire soci;.ii s~curcty ~tt_fzibc;r for prul3er trot repof'litl; '1X~'lleli tyre rec~i~'e file i•egitirec! items, irt; will proceei! ~tivitll the izistrttct.ions <teCOrditlgl~y. 1:1i~t.~re enclosed a postAge-paid reply eli~crelope for ~yot~r toe. If you Ilti~~e ~~~y gttestiutls, ple~rs~ contact ouc Cli~itt. ~~ervice DGpartinent <jt 1-BCKt~~~S-E~9Z, 8:00 ~t.nl. tv'1,t;~? t~.lr~. ~~stenl St~nilaril':'~ittt~,l,~l<?lYCt~ty tlvou~Y fz~i;:l;rti'. Sincerely, l~lattlie~v Goldstone Slt~t!rehalciet• C:'on~espollclet~t Ei~closLtre(s): I~~ieda.lli~xl Signatttrc C_tt~tt~aittee Ins~t ~~r-.~ 1.' ~I7Yl t~pplic~ti~?.~ Ytetui~l Ltzv~lape T~ Citizens Bank Account Number 6252144259 ____ Account Title ERMA S WIMER OR BONNIE K BLAC ~: Date Opened _ 6/ 11 /2008 _ Account Typ: Time Deposits Principal Balance as of DOD _ $10499.06 Interest from Last Posting to DOD $4.96 Account Balance as of DOD $10504.02 _ YTD Interest to DOD $119.57 PENNSYLO/ANiA INHERITt.a~CE ~. INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 10-0494 Po Box 2so6o1 TAXPAYER RESPONSE ACN 10139627 HARRISBURG PA 17128-0601 DATE 07-06-2010 REY-1543 EX AFP (08-08) BONNIE K BLACK 645 LINDSEY RD CARLISLE PA 17015-9225 EST. OF ERMA S WIMER SSN 201-16-0275 DATE OF DEATH 04-16-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST a CERTIF. CITIZENS B AN K OF P A provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a ~oint•owner/beneficiary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please call ili7) 787-8321 with questions. • COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 6252144259 Date 06- 11 -2008 To ensure proper credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 10 , 504.02 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 5,252.01 months of the decedent's date of death, Tax Rate X 1 rj deduct a 5 percent discount on the tax due. -- Anv Inheritance Tax due wild become delinquent Potential Tax Due $ 787 • 80 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT A. ^ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain C H E C K a discount or avoid interest, or check box "A" and return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. ONE B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~Z and/or PART 3~ below. PART If indicating a different tax rate, please state OFFICIAL .USE .ONLY ~ AAF a relatianship tc decedent: PA DEPARTMENT pF REVENUE TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due 8 $ 8 - PART a DATE PAID PAYEE DESCRIPTION AMOUNT PAID DEBTS AND DEDUCTIONS CLAIMED Under penalties of perjury, I declare that the facts I have reported above ar tru c r~ect,and complete to the best of my knowledge and belief . HOME C~ ~ ~ ) ~~~ - ~ ~ ~ ~~ ~ - n .~"- 7 l Z 7~ "7 //f TOTAL CEnter on Line 5 or tax ~omputailon~ +' T~ Citizens Bank' Account Number 6252142566 Account Title ERMA S WIMER OR BONNIE K BLAC`i~ Date O e~lcd 6/11/2008 Account Type _ Time De osits Principal Balance as of DOD $10804.48 Interest from Last Posting to DOD $5.11 Account Balance as of DOD _ $10809.59 'STD Interest to DOD $122.35 'PENNSYLVANIA s NNE ~ T:~ NC-E 1 A-~ INFORMATION NOTICE AND FILE N0. 21 10-0494 BUREAU OF INDIVIDUAL TAXES ACN 10139628 PO BOX 280601 TAXPAYER RESPONSE HARRISBURG PA 17128-0601 DATE 0 7 - 0 6 - 2010 REV-1543 E% AFB (00-OB) BONNIE K BLACK 645 LINDSEY RD CARLISLE PA 17015-9225 EST. OF ERMA S WIMER SSN 201-16-0275 DATE OF DEATH 04-16-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST a CERTIF. CITIZEN S BANK OF P A provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above named decedent, You were a joint owner/beneficiary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania: P1?ase call C?1?? 787-8327 with questions. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 6252142566 Date 06-11-2005 To ensure proper credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 10 r 809 59 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject to Tax $ 5,404.80 months of the decedent's date of death, . 1 5 deduct a 5 Percent discount on the tax due. T a x R a t e X Any Inheritance Tax due will become delinquent Potential Tax DUe $ 810 72 nine months after the date of death. PART TAXPAYER RESPONSE 0 FAILURE TO RESPOND WILL RE5ULT IN AN E?FFICiAL TAX ASSESSMENT H E C K A. ~ The above information and tax due is Remit payment to the Register of a discount or avoid interest, or Wills and an official assessment correct. Wills with two copies of this notice to obtain check box "A" and return this notice to the Register of will be issued by the PA Department of Revenue. ONE B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representa tive. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~2 and/or PART ~ below. PART If indicating a different tax rate, please state relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 X - 4. Amount Subject to Tax 4 5. Debts and Deductions 5 - 6. Amount Taxable 6 $ 7. Tax Rate ~ X 8. Tax Due 8 $ OFFICIAL'USE ONLY ~ AAF PA DEPARTMENT OF REVENUE PAD I 2 3 4 5 6 - 7 I ~, PART r~wTr r~wrn vevGF DESCRIPTION AMOUNT PAID DEBTS AND DEDUCTIONS CLAIMED Under penalties of perjury, I declare that the facts I have reported above are true, corrsgc rand -` complete to the best of my kno ledge and belief . HOME C ~ ~~ )r~""~ ~ -- ~ `! f~vi. _ ~F~ . IUTAL lCn~er v~~ ~s~~c .•. •-• --^ --• ~--------- - T~ Citizens Bank Account N-umber 6140786851 _ Account Title ~ERMA S WIMER OR BONNIE K BLAC{ Date Opened _ __ 1/16/2001 Account Type Time De osits __ Principal Balance as of DOD $12784.80 Interest from Last Posting to DOD $3.63 Account Balance as of DOD $12788.43 __ YTD Interest to DOD $145.18 PENNSYLVANIA INHERITANCE TAX' INFORMATION NOTICE AND FILE N0. 21 10-0494 BUREAU OF INDIVIDUAL TAXES ACN 10139629 PO Box 280601 TAXPAYER RESPONSE HARRISBURG PA 17128-0601 DATE 07-06-2010 REV-1543 EX ~FP <08-087 BONNIE K BLACK 645 LINDSEY RD CARLISLE PA 17015-9225 EST. OF ERMA S WIMER SSN 201-16-0275 DATE OF DEATH 04-16-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST a CERTIF. CITIZENS B ANK OF PA provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, you were a joint owner/beneficiary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Pennsylvania. Please cal, (717) 787-8327 w :h questicns. COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 6140786851 Date 01-16-2001 To ensure proper credit to the account, two Established copies of this notice must accomvany payment to the Register of Wills. Make check Account Balance $` 12 ~ 788 • 43 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax payments are made within three Amount Subject t0 Tax $ 6, 394.22 months of the decedent's date of death, deduct a 5 percent discount on the tax due. Tax Rate X 15 Any Inheritance Tax due will become delinquent Potential Tax Due $ 959.13 nine months after the date of death. PART TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT.LN AN OFFICIAL TAX ASSESSMENT A. a The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or check box "A" and return this notice to the Register of C H E C K Wills and an official assessment will be issued by the PA Department of Revenue, ONE B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~2 and/or PART 3~ below. PART If indicating a different tax rate, please state OFFICIAL :USE ONLY ~ AAF a relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ - 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due 8 `~ 8 PART a n~Tr (]A TT PA VGG DEBTS AND DEDUCTIONS CLAIMED DESCRIPTION AMOUNT PAID -___ -. ___ . ___ r .G T.. .. f.. .w....f~~inn1 Under penalties of perjury. I declare that the facts I have reported above are true, correct and compl'te to the best of my knowledge~nd belief. HOME C 7 ~~ ) ~--~^ ~• ? } Zj i, .~ ; ,., , ~~ Citizens Bank Account Number 6140859220 _ Account Title ERMA S WIMER UR DARWYN L BLAI:K Date Opened 3/21 /2002 __ _ Account Type Time Deposits - Princi al Balance as of DOD $1394.86 Interest from Last Postin to DOD $3.82 Account Balance as of DOD _ $1398.68 YTD Interest to DOD $11.80 PENNSYI.VA~NIA INHERITANCE TA' INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE N0. 21 10-0494 Po Box Zao6o1 TAXPAYER RESPONSE ACN 10139625 HARRISBURG PA lnzs-o6ol DATE 07-06-2010 REV-1543 EX AFP (OB-D8) DARWYN L BLACK 645 LINDSEY RD CARLISLE PA 17015-9225 EST. OF ERMA S WIMER SSN 201-16-0275 DATE OF DEATH 04-16-2010 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT SAVINGS CHECKING TRUST CERTIF. CITIZENS BAN K OF PA provided the Department with the information below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-named decedent, You were a point owner/beneficiary of this account. If you feel the information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Commonwealth of Rennsyivania. ?lease call C717) 787-8327 wit h.grra~tions: COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 6140859220 Date 03-21-2002 To ensure prover credit to the account, two Established copies of this notice must accompany payment to the Register of Wills. Make check Account Balance $ 1 , 398.68 payable to "Register of Wills, Agent". Percent Taxable X 50.000 NOTE: If tax Dayments are made within three Amount Subject to Tax $ 699.34 months of the decedent's date of death, Tax Rate ~( 1~j deduct a 5 percent discount on the tax due. --- Any Inheritance Tax due will become delinquent Potential Tex Due $ 104 • 90 nine months after the date of death. PART TAXPAYER RESPONSE a FAILURE TO RESPOND WILL RESULT IN AM OFFICIAL TAX A58ESSMENT A. ~ The above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or check box "A" and return this notice to the Register of C H E C K Wills and an official assessment will be issued by the PA Department of Revenue. ONE B L 0 C K B. ~ The above asset has been or will be reported and tax paid with the Pennsylvania Inh(ritance Tax return 0 N L Y to be filed by the estate representative. C. ~ The above informs ion is incorrect and/or debts and deductions were paid. Complete PART ~2 and/or PART ~ below. PART If indicating a different tax rate, please state OFFICIAL-USE .ONLY ~ AAF relatic^ship to decedent: ~ PA DEPARTMcNT OF REVENUE TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balance 2 $ 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 $ 4 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 $ 6 7. Tax Rate 7 X 7 8. Tax Due 8 '~ g PART DATE PAID DEBTS AND DEDUCTIONS CLAIMED PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above afre~.true, correct and complete to the best of my kngwledge and belief. HOME ~ ~~~ )=y~`t~ ~ t1~~ TOTAL (Enter On Llne 5 or ) ax t, (,m).,u ~a~luni a~ Citizens Bank Accouni Number _ 6140752337 _ Account Title ERMA S VJIMER OR DARRELL SMITH Date O ened ~ ~ 8 % ~__ ___ _ Account T e ____ Time Deposzts __ Principal Balance as of DOD _ $2103.51 Interest from Last Posting to DOD $1.79 Account Balance as of DOD ~ $2105.30 YTD Interest to DOD $23.89 T~ Citizens Bank Account N-umber 6140752329 Account Title _ ERMA S WIMER OR JOHN SMITH Date Opened 12/8/1999 _ Account Type __ ____ Time Deposits Principal Balance as of DUD _ $Z 103.51 ___ Interest from Last Posting to DOD _ $1.79 Account Balance as of DOD $2105.30 YTD Interest to DOD $23.89 a~ Citizens Bank Account Number 61.40752302 _ Account Title _ ERMA S WINTER OR MATHEW VEJ"ANDER Date Opened 12/8/1999 _ Account T e Time Deposits _ Principal Balance as of DOD $2103.51 Interest from .Last Posting to DOD ___ $1.79 Account Balance as of DOD $2105.30 Y'I'D Interest to DOD _ $23.89 a~ Citizens Bank Account Number ___ 6140752310 Account Title ERMA S WIMER OR MICHAEL WAI~IDFR Tate Opened _ 12/8/1999 Account Type __ ___ Time Deposits Principal Balance as of DOD __ $2103.51 Interest from Last Posting to DOD $1.79 _ Account Balance as of DOD __ $2105.30 YTD Interest to DOD $23.89 f y-- O <- t6 (]- ~ ~7 i ~ ~i r a~ N N' ~' 1' ct~ o .~ O ~~ ~, iN O ~~ ~N;`N tll L~~ 0 `s'`o ~ O O 11• .~.. V CL ~~ ~ o ° ~ lL~~ v N~ N a•+ ~ p ~ ~c Z o0 ~ ~` N 47 '~ ~ ~~ 7' O O O ~ Ct „~ `s o ~ ~o ~ ~ r `cam 7 1 O CA rn~ ~~~ ~~ ~ o' O CO 0 V ~ ~~ v ~ ~ ~ ~ o . cS> Y+ v ~ d ~ "" ~ y ~ 7 ~ .~ ~ ~ ~ ~ Q~ ,~ O o ~ ~ t1 N N ~ w 4~ r+' .Y1 3 p. .T.{ ~ 67 ~ ~ ~'V~ ~~ +^'~ O' 0 O 1 ~ ~ ~~ ~ ~ O' c'a ~ ~ .~ ~ ~ c~ _Da ~ ~ O ~ `n 'i ~ ~, i d v 1 1 w` ~ ~~ ~v N r ~~ z 'c" N O', _-_ ~~. i O., ~• ~ I~t ~i ~ ~ '~~1 '~~'~ c~a``~ ~' 7~ iN O r _ N ~,`` C' N 1 elm ~~ ~ O ~iao~ ~ ~T N ~ ~~ ~c 2p~ x ~~yQ N ~ O ~ N N .~D. a'U oZG°s ~ a ,r ='4.~0 = N ~ `" cc°~~° coc~a..~a oEc~~ ..- T • , -o o,t, x tdv ~ ti. O ~ t4 = c~v ~~' o U.C~ U4 ~ ' Cf~ N tl U N~~~ U- 3 ~. ~~o c ca~~.°'o aZ~ o ~, aN~~~~ ~a ~~~~~ u~ ~ m ~ ,C ~-''`~'' I . `-'-Z L ~ ~i'6 ~ ~ '' O a O .,.. N~~G'~ ~ Q~ •'D 'p N 3 C ~ ~ ~ ~ ~N s~i~L O :G N •~ U ~ y N ~~ UN7i~ O • ~~~ G ~ao~ ca _- - s .~y N N ~ N ~ ~ V ~`yU? Q N ~ ~ cdc~~~i N N N'd 0~~9 ~~~~ Q~* ~a . .' rJ a.~c»~r,; ~ y' ,,~ ~ .~ _.._._ r~ .9,LL'::..': .-. --- '~/ _ .. ._ii-.e~__. ~I~rr' ~ •0'Ol..-.. _ .i~rlrri i _ ,~~~ ~ ~ ~~ ~ '1'I!I• I_:\,l'I'I~.3)~•I..1'I'I'.~.!)I'...11I1.~I_~.I.I_..~ ;~,., :~ ~ °^' r i ~..J - .;%• y~,, ~, -.--% 1 i i I•. I .i l '_1" l) h.~.L..L) i) ~) I !.. z ,_ _ . 1 _ ,.:rte _..... _ . _ _ .. 201 16 0275 05 1989 } . ;;, ERMA S WIMER -- ~~_ ~ ~•~'~_ FRB PITT t --:~~ 04-17-01 ~~ '~-r:~ ~ : __ ~x.° ~ 8 2 8 W NORTH S T rs>UfN1AGdN-~~ CARLIS1LE 1 PA 1713-1743 r I~~~III~I~~II~~I~IIII1~il~~1~111~~~1 ~I~~1~111~~1IIlI~~Il~~ll~l ' GA?i~iG ~TA•,1P - ~.. `\$ OR BONNIE C BLACK - "'='" RI 011030004 001 001 -0057341698 I.oooo~ooo ~I.o~ ..ra 200 5 ? 3~, L69B~i .~.._:. ~..~r.. •~a•~LLYG~ `~w ;u'•l: to :v~.:.i.. j~y«•~'~y ~s_~r< ~~"~°'+' _ - -. .~ ~. itiVla.l~ ~~ [ ~'i.v 4 . _ _ _ ._. w -1 .. is 47a'aW;Ui '.. W.~•iAA4w'iJt'.U.a'ila r4...~'aW at~(IaWa~.L,.LL i'3 ;~'• _ _ j1Y' ~:~ra=;'~ 'e~ ~: ~~ ..,:~ :r/.,; !~~ii~~~~'ilrr.~~'I~~~'~~~`~~.~ Oi• 0 11 M :~ 1 ~~ 1T~I 11 p''1~ ' ~ ~- sT-'' 'C d ih > i ~~ ~• . • • ~ ` ~ t , r ,[ ~ ~• r I 1 i r • • ) ~'l~ ~ A I ~ 0 1 /i„11 if rrr ~r ~.~~ ~! ~~. 1f ~~I,i ~Pr~~r9j ~~~~•C\~~~~:..: \ti :~,i ~. ,t ,.. ::<~- ,., .,, ~N1 1. ' ~ , r .•. .,i d111~ i ~ .!!. , il.illl'I II, •`~..:~~ i ~ ~~ • it i 11 f v ~ ~ i ' ~ ~ 'I'II I~ r \,i_I I.,I) 5~1 LL1vI ~ ~ {)I~1~1'11 I~,I:I{.. ~ . '' ,, ~" ,' `~' ~ ~-i ~.~.~p.1sr ,~~,+~,~' .;`,.\' ,lt' :' III~':~I)1:~Il~,l)OII.,I:~': ~~r-F:~~3T,_eA F:> 3J 1•Ei~_ 201 16 0275 05 1990 k'.. ~ '~ ~~ ...~ 1 7~~ ERMA S WIMER _--- _, r r ~, `= f=~ F~R B PITT .~ m `~~'~, 8 2 8 W NORTH S T ,' 0.4 U~Nl ~E~rTQ 1 `~, _ CA4L ISLE PA 17013-1743 ,~ - ~ GATING STAMP I~1~1111,~IIl~~l,~,ll~lll~~~~llll~~l~l„1,~11>'~~l,Jl,al„1111 r ' ~ j ~ ''~'_ OR BONNIE C BLACK ' ~~,,~ RI 011030004 OOI OOI 0057341700 ,,, ;;, ~~ '/ ~~ D5~3~t1~00EE ~:0000 9000 ?I:0 6 ~~h~~ x,00 5 ? 3 ~, 1 ?00~-' ~ ~"iu•~ ~''.n....~.c ~~•.: ~i::!.~..•~•~•~ul .~vti'w.L~zaw ~1'i ..ry-~~~~ .r~.~•:',~ ~t.a:iia.y...'_G:':,J~'~"".uw~( •'~.:. ~y''.~ ..d' aa5~1i.~'iiti'w,.s'.'aiuiir£i+:+..YS:LSu1c l1't2+~''~~Gti . . • 'wL ~' 4Yi O O~ ---T ~ i r ~ ~ I ~ ~ NNI ZI I i~_ c0 ~- ~, O O ~.+ ~L ~ OIL r' r'iN N N O ~ +~+ O N'N~N,NIN~NjN ~+-+ OOOOO;O~O ~ ~ NININ~NIN~N!N ~ Q ~ ~ -`ICI-~I~~~;~ ~ ~ O~N~tf~ CD!f`IO) Ri 010 O~O'O;O r- ~ C C ~ 'v t~ ~ ~ ~L ~ ~0.. 0 0 0 0 0 0 0 ~~ 0 0 0 0 0 0 0 'N NIN IN NIN N ~ ~ . ~ . ~. . ~ ~ OIOOI~ICOif~IO ~ Z IOIOIO OIO~O O , 0 0 0l o 0 0 0 v C'7 CO O O I~ I` ~-- G~ N N c'7 M c'7 ~ M d' ~.. l1') l!7 L() I ~ ll) ' Ln L.() o ~ o ~ o ~ o 0 0 0 0 0 0 X 0 0 0 0 0 OH O ~ ~' d' V' ~1' d' V' ~t 0 0 0 0 0 0 0 O N N N O O N ~ 00 ~-- tt') I lf') V ~t O ' ~ CO d' ~ ~ CO CO M M M c'~ M N N N .;..r L ~ ~--- ~ ~- ~ ~ r-- r- Q ~ U ~ ~ r-{ 0 0 0 0 0 0 0 n,r C~ +, O N N N O O N d ~ CO ~ ~" r'" CO CO ch ~ C U ~ ~ 00 CO ~ 00 f` t` I` ® ; .~ C ~ :.~ ~ ~' Q U ~ O OI O ~ O 0 O 0 O 0 O 0 0 0 0 ~ o o o o o o 0 .,~ a ~ ~ 3 ~ s ''~ O ~- ~- r- N IN N O ` d O OI O O O ! O HO ! O ! ~ ~ + + N ~ ~O Ir p~ ~ ~C~ Ic- O) Ir- ~c7~ I~ O Ir CT~. lrl !~ D Id~I N ~ CD ti ~ I. O O O O O O ,r- .a wwiwwwww ~ W W W W W W W OOOOOOIO r r r r c- r ~- ~ In l(~ In l.() ~ LI') L17 ~L 00 CO CO 00 00 00 CO O~ ti ti ti ti~ ti 0 0 0 0 0 0 0 ~IO O O O O 010 OIO 0 0 0 0 0 0 C ~ ~ ~ ~ r ~ ~ d ~ •~Iw wlw wiwlw!w wow w wlwlwlw ~ Z ~- N M c1' '~ ~ COI I~- mI ~ - I -1---~- I o CU I of ~' ~ ~~ O~ L ~ r~+ ~3 C O O O 0 ~~ ~ ~ iri 0 H O ~I ~ O ~ ~ ~- .a "O 7 O C O CO ai ~'' .r ~ ~ ~ ? ~ Q~ T•N ~ Q1 O0~'L O U Z ~ c ~ L ~ U p C C N ~ U O O yt ~~+~~. a~ C~ ~p ~ U O Z' C O O .L7 ~ O""t ..~ = 4'a~o n ~, "'. C .'' O O ~' f~ ~ ~~•~ O ~ .. ~' d O ~ ~~ E ~ ~ Q C x 'fl ~ O O X f0 L O ~ ~ O U '~ ~ O 'fl W .~ ~ N tnW ~.~'` ~ ~ ~ ~ d ~ ~ U ~ ~ .D OZ~~ O~ ~~~~.~ W c rn ~ .n O ~ ~~ f~~ cZ~~.n° m ~ a~ a~ _ s ~~ N (0 t6 ~ U n`o`on ~n ~ c c ~-- 3"''~~ N C .~ f~ O ~ O C N N fG ~ '` 'N '~ U ~ t0 ~ ~ X U~33W ~ww ~ `- ~ O OL ~ N ~ N ~ ~~ '~ U Q ~(n N CQ fII 3 .N N .N ~ C C C C O ~ .~ .n ~ Q~* • ~a. r N CI: ti M ..0 N L fi n`v+~a; `t\ ,u:N~r+ ~;f ,+!J ~~i~~ ;,J 'f ~~~~ l~.q ~ u •~ ~_ ,! v. a ! _ +~ r o~^~ ~'~i_„ ` : ``y•"'tea/!: ~ ryi ; ~ °" :, ..1 :~z:> ~ "-''~,~+~ ~ _/,^I(1_ [I~_ _ _.__. ..,.• _____-_---~-=--_~~' l ___ _ _ _ ~a:;.~ ~~1-a~'~~` 'fir;: ~,iJ~ ~1'4~4,+ i"' r,.'o.';, ~' ~ ?, ~~ • ~ ' '' `~~T~:I„j; Yt~;~Jr~~)~ ~'ivit~g ~F:,~~1Ti~~:T:f~~~ - ._ -- - , y ~ ~ ~~ ~ ~~ - A } t ~_ R -- =.~1~. f ~T iNE N~'URiTY yEREOf wil~.~Y ..11 ~sr :.~;~t ;, `~ ~~ _ 201 16 0275 09 1990 ~ ;J~. ' ~~ ,r~-~, ~;, ERMA S WIMER ---- s t, ,~ ~_ ~.., ~ -~-= ,FRB P I fiT ~~ 8 2 8 W NORTH S T ~ 159U~N41AGENT'S ~ '~~ . ~~~ CARLISLE PA 1'1013-1743 DA7;NG 57AMP ' ~ l,<<III~~,III~++~~,II,+II+~~~111+~+1~1-~I+~II~~~I~il~~l~+~li~i '', ~ OR BONNIE C BLACK ~ i ~ . ''~y'~ RI 011030004 001 001 ' ZTO 778 514 0 2 ~-~ .. -. ~ :.v~ v~ ;~r.,~i` ~ ~ ~ it '-•~ Sw,.l ryJ/Ainwwy .b~M1 ...-~ x:00009000 7+:0 ? ini,~~.dy 9C0 ? ~8 5 L40 2~~' •--- - ---- ~~Ec~ytty~r..2~Zl:~s~.~;5:~:.aad;ac~xdccxaa~aa 4.Vi4~a~v~aa~o4a. ~:;. .: ,. ~ •'~Y'.~~ d i~+::~f~/ Sii~fe~:rd ~ 4. ~'~•..~ In~f ~. ~'1~~'~~'1~ ,1 ,. \~ ~ • ~ ~ t . r ~ ^ ~ ! i t th ~11~ hiA~ay~?µ:~j~J// 1~~~'~~~~\\.~~~.J;! i ~ 1~/~~'~`~, ~~'~ AT THE MRTUNITY%HEREOF WILL PAY ~ ~Tt ~ij ~~,~y_f\~! ~~~-,J ~`I _. - . r'~?!ir'~~F /1~++~!`~i l~~~Z)~~~, ~ ln~ `\Y ~~f'~ l~Tlly~~iTt7il~~\1+~~1..~~t~l.itclli.~~ .~~:-_ C- E ..~ ,: .. _, ,. u 749 FJ~~. x_ s- ...-..:..- _:. -. :::c,.._ .__ ~.. _ ~. j _~!••~ 20I I6 0275 02 1991 _~ " .~~~~. . ->~ ~ ,: ' .. ERMA S k'IMER .~----_ .. ,~ L, ~~ , _ `. 4W ,FRB P I t~T I ,~ ~. ~~ r ~ -' 0 4 -- 1 7 - O 1~ ~ ' y~_ ;~. ~ ,§,.. 8 2 8 W N 0 R T H S T ,' ISSUIN~AGEN7'$ t " I ~:,~' CARLISLE PA 1 70 13- 1 74 3 - ' DATING STA ~1P l~+~Iil~~~lll~~~~~~ll~~ll....III.„I~I~~I~~il~„(~II~~I~~~I(~I .,,,,~~~~ OR BONNIE C BLACK - ~~~ RI 011030004 001 001 OU77851405 :00009000 ~~:o ~ i~~~r~' ~ , ~Y ,: X00 7 78 5 L ~,0 5~~ ,. - __ _ - ~k;4XN1i?•r J.~iti/+jf,: ~,J y i. f•'l.v.~ r7r.1 r1kVt ).Y~ d b!atkd att i:4: _: Vo4V 4 ti£i4 v'%n V I ty¢yi/,,yJ dA ~. ,~.I.:) • ~ ? -.. ~~~'U yo1.4 ~ ~ ~ _ S~!c•'1@~Sh)iStio ~~i'~iViY.Su.`LSGti1~2ilxtYri'2t'u~'' v6k' ~ ; T •+:^;^•a@'Asd:dd:d:6.17~titidd,d;CSd:~ddddb4~~~?.d,`S);d:. "•l~~i •: ~ ~ • ;~.'„- :/ i3i'' • ) , ~;;:"TC :.:.+~ : ~ I. :~ .ay"t _ .'may . ~7': 3 ~' °I s"fi ';: AZT: r, "' r,~ ~'t it5~: dam' ::!! . ~r :4 ,'a "`T~" ~~ • a.; ~ N`.~~~.i:~~9" ~'j~-l+ilc ~ ~ii~ ~Vl;:~.,'•%r~~tif.(• 1~•~IS~,~~~y~'.~• i J 1i ='~ ~1~~! w'. I v - ~f w y ~ ~ ice, .-:~ i '..~R. +~~ ~1~ :~ ~•~irt:;~ ~iii~i i }~ ~ ~'~~'~~1 .'i+:_' ,, ~ / J .~I C.'... .`,i' 11p~T)1• 1 ~ i ~; ~n ~ ~ It• ~' / ~~• ll~~ii)t) ~ .av./•~~• '.YR ;] - ,1~(!~r--:'-~ j'T~" / I i.L I... :'. l` -~;,~u I ~L~ yi - ----- - ' ~~~ ~.IJ ~~.~%a~1,,1~ ~~~~1 ~~ l/~:~i~~l•I~i~~.r.i~V~~ _ -- -- _ __ _ y ~ i,~ - ~ , ~ ,~_ _ 1 • ~ ~ --- -~~. ?ti ~ x +~jj 'may w ~ r ~~.~, ."~, I Ai THE MATURITY HCREdf WILL •AT f...~ ~.._~ ... 2 S .d ~: ~~. ~~i_~~ ..i~.__J y ;5;~..;.r w• a_ _ .. 201 16 0275 06 1991 :~ j ,~y, I ~~ l;, ERMA S WIMER .-~---~~. { sY ,ERB PIfiT n ~ ~•- mar= ~ t_ -' 04-17-0I~ ~ ISSUIN AGEN 7'S ~ ' ~ 828 W NORTH ST 2 ~ -: ~ ;. CARLISLE PA 17013-1743 , ~ DATING STAMP _ ->~~~ liill~~iiilllil/fii.l~iill~ii~illlii~lil,ili-Ilii,lili~~l„~Ilil ~ - I 1.. ... ~ .~ ~ 9. '' OR BONNIE C BLACK - ~ 1 030004 001 001 `U0~1t351 04 ~~,, _ - R I 0 1 7 4 ` .art: ~ •!;is:'~~ ~~ ,~ ...~.~ M~~851'~04EE ~ ~~ .S:.rvtary JlAi :>.orvry '.,.,.' l:ooo0 9000 ~~:o ~ '~~ ~.~~ o00 ~ 2a 5 i ~.o ~,~-~ ~A~u+~'.'.~~~~s';:,,tahd:~hnyy;~,aa~aA,aac,?:aacaauaca.A+r~65~S;~t4;$6'a '` ~~~ -. -- - -- - - - _ --. --- ww t/ p7 1 -? H~... a'i > ~ ~ ~ 1 ~ ~ r ..` ~ .viii/ ~ `'t \\.~ _ ;~?.: 7i Or-u~ilr...: ~,~ ='vJ',.,,~i~4~~,y!I.il I)i ~~~ aiti i 1.i d 'tl r ~~ i~: ~J L' ! _ 1 1 (~ ,,N~ t '~ ~~ ~:~,\VI ~;,fs~2!=''d I h~~~~->...r;;. .. •~.•.~ •~~ liw;;~; ~,. t_~ . ~ r i• k ,; ,. ,-'VAl l n-3.w -- -- --1 -----~-` ~. - - ~ + ------- F ~.^_' ~ I i ... __ __._ s ~ .• ~ ~ ~ G-ti r~l~~l~~~ li~~i\~~~1~i.~~ ~i7~~~~~~~l~~Jl~~'~i~~1~117ia~~~lS~'S~\ ~ ~ , ~ of ~ i+ ~ ~--1 ji,•~ 11 `~?• G , AT THEM TURI.Y HEREOF HILL /F I , 7. `I r ;t:+~~f,~~~;j l,, °?CC~ ~'aw l>>i, 1iI1c7Y~~~t~\,1;a~T)())•I.~.~~1_;rS~ I~,r~ ,:~ ., , ,;,~ .o: •. _,_ 201 16 0275 U9 1992 rr'" d I ~'~ ~~~, I ~`~, l;, ERMA S WIMER ,FRB P I T~T I i r ..,~ ,,~ ~w 1 8 2 8 W NORTH S T ~sS~INq AGENT'S 1 ~~.~ CARLISLE 11 tt PA 17013-1743 ~ ~ { ~ ~(11'~~ilt'~Iilliiillfll~ill11~~Illfilll/III~IIIIIIIII~lllllll ~` ~.4TINCSTAM1IP e ~`~~` OR BONNIE C BLACK ~. Jz RI 011030004 001 001 OU77$51403= ~, , ,~ ~£-~. s h~~~851't05EE ; If ~ +rr+Y-S `" z f +:00009000 ?~:0 ? ~ ~''~}~''~ Loo ? 7a 5 L~,O 3~~a ~ id[itiX~kS.i~•lta.`>•;,r.a.»._s 1Slt~k•~r5.x -!.~.i~~Y£i~YS.,.r kdW:s '...~1uik•.~Vi.u%kYau~2.~u`.1:.',%1'/:.~y`r?, ~,fi~•~NiL~i`~lLi•x~iii~ll"'w?_Z_.~~7.ffi'bSi~~iZ7,9~ti.0.~(*.y_~~`.y~+`te.~_S_li~^aYiL~?,4~4~u/itl~/~i$LSt~415D'~trS1~M):dcdddy~iua:~~i~r`.ZZtSu1ti { O ~„' i ~ ~~ CJI ~ ~~ '~~ ~ d y 1 ~`~ ~ ~ 7 ~~ 7~ ~ ~ ~ ~ N ~i O ~ ~ ° ca ~ c d ~ ~ -~ o w .~ a ..+ ~O ~ 0 +~ N'~ 0- ~ w t- N 1` ~`1 ~ C ~ ~=`~ 4>' r O ~ ~1 as Z a °o• ~' ~n ~°n N a u `f' °o. 'al OG `r o ~ C ~ ~ co r- 7 ~ ¢. O ~ ~ ~, G~ V ~ ~ 0 7 ~-+ ~ Q, Ga .~~ .r., 3 O r, o' a N ~ N d ~ .+ O C~. ~ O c? 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Ff70M ISSUE DATE •~:, -.. 2l'1 1 b G277 Gz ) 9~4 ~~~~ _ ~.:~a 7:/ERA S ~iIF~tP, F~~ PITT. ' .'~ ~--~' a Z~ W 1ti C F T H STREET I_~~„~:.~E~- S CARLISLE PA 17013 ---- f ~. _ , OR ETHEL A4 ~iANOER ~'.~' " ROS-A 03100$21-00G0 uCJOvOJ J1Q794 L701 '~.O,C403~~3524 >,~ ~---- ti'! ~. ,. ,,-i :~ -~_r>>> ~ D~0353524EE . ~~.,~ T. ~:00-00 9000 7~:0 6 ~'~~'f800 ~,0 3 5 3 5 21+~~' i .. V i.. :1 `1'11'+1i:'a PLC SrcY.'1'L 1Wa'JIIJ1.1L44:4'I/.41N 1s.1'i1A4/~Ji4~i'+l/-4 '14's'JJ1'~. .T,~.i~J[LL't'iY LtY.'1'+r1'iwyai'1 i aLL4 1ii4'..:/ yL l!1'i /IL 11 1'Ji.46 .J_U'~Lt( A1'~...'rat' { ~a- T' {(~ d-- ~ ~4 i.n ~ '~ ~i G1 V Efl ~'i l7~ _~o' ~ ~'~ t'_ t t57 y~ C1 ~~ 'C3 <t ~ ~" O ~ O j -si o~ ~o 0 v'~ o;~o . ~o ` ~ ~ ~ 0 0 ~ N 7 ~ ..• '~ ~ { ~ 7 Ef? 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U ~ ~ O C N N U Q. ~ ,~ ~ V N 3 3 U1 ~ ~ Q ~ CWT ~ C7 ^O v ~- 'O ~ ~ ~ ~ L d" ,¢ N N N C5~ ~ ~ N ~ ~ ,~ ca ~a' 4 u~ can ~ ~4 O ~coca~ N N N ~ ~ G Q 0~ ~ ' ~ p~~~ Cr'~ tfs ~ • Z ~ ~a • O ~ '~ M N ~ 0~ O O ~ G ~ ~ ~ t11 0 ~ N` O 1 tl~ ~ ~ ~ _ .N N O ~ Z ~' G~~ ~ ~, June 1, 2010 George Douglas III P.C 354 Alexander Spring l:d Ste 1 Carlisle PA 1701 ~ Re: Annuity Contract #FJ225983 Dt~~lr Mr. Douglas: The Internal Revenue Service (IRS) requires reporting of all death benefits for federal estate tax purposes. As tills contract is an annuity, IRS Form 712 ~s not applicable and will not be issued by Western National Life. Listed below is the death benefit information for this contract. Contract Number T e of Annuit Contract: (Flexible Premium) Non-Qualified Tax Defel7r.d Annuit Date of Issue: OS/O l /01 _ Contract Owner's Name(s): _ Erma Wirner _ Accumulated Value as of $27,286 62 Date of Death on 04/16/10: _ _ __ _ Total Death Benefit as of $27,405.18 06/01/10 Proceeds made payable to First United Methodist Church Beneficia (ies): Mr. Douglas, we appreciate the opportunity to assist you. Should you have any questions, please contact our Client Care Center at 1-800-424-4990. Sincerely, ~1~~ _" U Kristi Noriega, Annuity Claims Examiner Annuity Claims Department MetLife In'- ~s,or ~ USa P.O. Box r x593 Des Moines IA 50306-3593 MetLif~ May 20, 2010 GEORGE DC~UG_AS III ESQ SALZMANN HUGHES PC 354 ALEXANDER SPRING ROAD STE 1 CARLISLE PA 17015 RE: METi.IFE iNVESTt~RS USA INSUF<AtidCE GGMPANY G~~i~TR,~1CT A2043702 OWNER Erma Wi:ner BENEFICIARIES Ralph Wax, Jr., Ethel Wander, Doris Smith, and Bonnie Black Dear Mr. C~otaglas: We are sorry to learn of the death of Erma Wimer. The following information will be helpful in settling the claim on this annuity contract. !n accordance with the policy's death benefits, the beneficiary(ies) may choose one of the foll~_: wing options to settle the funds still accumulating: 1. F~equest a lump sum payment of the cash surrender value. This value is paid in one lump sur~n, and it would include all applicable surrender fees. This settlement must be made within 5 years. from the date of the participant's death. 2. Request that income begin immediately from any of the annuity income options described on the enclosed list. This choice maximizes the benefits of the policy since 100% if the ann~ ~ity value is applied to produce periodic annuity income. The guaranteed period of any option se;:;cted cannot exceed the beneficiary's anticipated life expectancy. Proof of the beneficiary'::, date of birth is required if a life option is chosen. Benefit payments must start within one year from tl~e date of death. Because the policy is a legal document, certain forms need to be completed and returned before settlement of the claim can be processed. Listed below are the requirements to settle this claim. 1. The original policy m~rst be returned for lump ~-;um settlement. If it cannot be located, section G an the claim form must be completed and signed. 2. The Policy Claims Settlement Form. Please complete section A. A settlement option must be selected as well as an election regarding Federal Income Tax withholding. Please note that section F does not apply to the s~;ttlement of this claim. The v~ !ue of this policy on April 16, 2010 was $25,796.39. If you have any questions, please contact your representative or call our Customer Service Center at 1-800-284-4536 Monday through Friday between 8:30 a.m. and 6:30 p.m., ET. Sincerely, Michael Irving Sr. Annuity ReprPSentative -Post Issue Processing MetLife Annuity Operations and Services o7ioi~2oio is:zs Far (~oo:~ SYMyTRA, FINANCIAL July 1, 2010 Estate of Erma S Wimer C/o Salzmann Hughes, P.C. Attn: George F Douglas III, Esq. 354 Alexander Spring Road, Ste 1 Carlisle, PA 17015 RE: Symetra Life Insurance Company Annuity AN0880033 for Erma S Wimer Dear Mr. Douglas III: Per your request, the date of death value on the above mentioned annuity is as follows: Date of Death Value April 16, 2010 $45,224.04 We appreciate the opportunity to serve our customers. Our service center is located in Bellevue, Washington. If you have any questions or would like help finding an agent or advisor in your area, please contact us at 1-800-SYMETRA or 1-800-796-3872. Select option 2 for Retirement Services, followed by option 3 for the Individual Retirement Plans unit. To reach me directly, please press 9 followed by my extension 65390. Our customer service representatives are available from 6:00 a.m. to 4:30 p.m. Pacific Time, Monday through Friday> Sincerely, v ~. ~- Ron abien Claims Examiner Retirement Services Symetra Life Insurance Company Case Flo: 2892477 ^ Symatra Life Insurance Company • Retirement Services • 777 108th Avenue NE, Suite 1200 • Bellevue, WA 98004-5135 • www.symetra.com Mailing Address: PO Box 3882 • Seattle, WA 98124-3882 • Phone 1-800-796-3872 • TTY/TDD 1-500-833-6388 June 16, 2010 Ralph E Wax Jr C/o George F Douglas III, Esq. 354 Alexander Spring Road, Ste 1 Carlisle, PA 17015 RE: Symetra Life Insurance Company Annuity AN0880033 for Erma S Wimer Dear Ralph E Wax Jr: This letter is a reminder that you are named as a beneficiary on the above referenced annuity and your claim is pending settlement. We understand this is a difficult time and that you are faced with many challenging decisions. Symetra Life Insurance Company is dedicated to answering your questions and providing resources for you to make educated and informed decisions. All or a portion of your distribution may be taxable to you during the year in which it is withdrawn. We recommend that you consult with a tax advisor prior to selecting a payment option. Please note that a death certificate must be received by our office if not already provided before any specific information may be released to.authorized individuals. Faxed copies are acceptable for informational purposes only. Our fax number is 1-866-532-1357. Our goal is to process your claim quickly and accurately. In order to achieve this, please provide: • The completed Beneficiary Option Request form with your notarized or medallion guaranteed signature. • An original certified copy of the death certificate, if not already provided ~ i h; S i-~ L~~rQ~, C~ For policies with multiple beneficiaries, we encourage all beneficiaries to return ti~eir claim forms toRPther_ a- We appreciate the opportunity to serve our customers. Our service center is located in Bellevue, Washington. If you have any questions or would like help finding an agent or advisor in your area, please contact us at 1-800-SYMETRA or 1-800-796-3872. Select option 2 for Retirement Services, followed by option 3 for the Individual Retirement Plans unit. To reach me directly, please press 9 followed by my extension 65390. Our customer service representatives are available from 6:00 a.m. to 4:30 p.m. Pacific Time, Monday through Friday. Sincerely, .< ;, E . ~ ~. ~ .. ~ _ _t~ 4; ~. -_ Ron Fabien Claims Examiner Retirement Services Symetra Life Insurance Company ,ax' ~~~. .. .. ~Vf71Ptf8 Llfe ~fl~l ""<31~~_.. L..G~'Ti~.~-i.~y' ( ..~ii'i ~i~flC J_ IV.i :.~~...~ j1vi +- ~. ;i. ;~ %i.1 ~,}~_~`l:1 ~~. _ _. _. _. ~ 1, ~; ( < .~ ' ~ ~-. Y ,\ 1 ~ T R.~~ June 16, 2010 Ethel Wax Wander C/o George F Douglas III, Esq. 354 Alexander Spring Road, Ste 1 Carlisle, PA 17015 RE: Symetra Life Insurance Compa~ly Annuity AN0880033 for Erma S Wimer Dear Ethel Wax Wander: This letter is a reminder that you are named as a beneficiary on the above referenced annuity and your claim is pending settlement. We understand this is a difficult time and that you are faced with many challenging decisions. Symetra Life Insurance Company is dedicated to answering your questions and providing resources for you to make educated and informed decisions. All or a portion of your distribution may be taxable to you during the year in which it is withdrawn. We recommend that you consult with a tax advisor prior to selecting a payment option. Please note that a death certificate must be received by our office if not already provided before any specific information may be released to authorized individuals. Faxed copies are acceptable for informational purposes only. Our fax number is 1-866-532-1357. Our goal is to process your claim quickly and accurately. In order to achieve this, please provide: The completed .Beneficiary Option Request form with your notarized or medallion guaranteed signature. An original certified copy of the death certificate, if not already provided ~ ~:~~~~~L~~ ~:t~ For policies with multiple beneficiaries, we encourage all beneficiaries to return their claim farms toge±her. We appreciate the opportunity to serve our customers. Our service center is located in Bellevue, Washington. If you have any questions or would like help finding an agent or advisor in your area, please contact us at 1-800-SYMETRA or 1-800-796-3 872. Select option 2 for Retirement Services, followed by option 3 for the Individual Retirement Plans unit. To reach me directly, please press 9 followed by my extension 65390. Our customer service representatives are available from 6:00 a.m. to 4:30 p.m. Pacific Time, Monday through Friday. Sincerely, ~~ <' Ron Fabien Claims Examiner Retirement Services Symetra Life Insurance Company ~ ra Life Svmet Insurance Company • }'a t~~~.:It `_~'t i'> ' ' , _ . . ._~_ ~~ I,. _~~ ~ ~:: 'r~l~ `~'i rti .`~ _=F .. .~ 1 -._ _ _.. ,T.~ f _. __ - - ~:~; S ,.¢@' y 7J~t'y f y June 16, 2010 Doris Wax Smith C/o George F Douglas III, Esq. 3S4 Alexander Spring Road, Ste 1 Carlisle, PA 17015 RE: Symetra Life Insurance Company Annuity AN0880033 for Erma S Wimer Dear Doris Wax Smith: This letter is a reminder that you are named as a beneficiary on the above referenced annuity and your claim is pending settlement. We understand this is a difficult time and that you are faced with many challenging decisions. Symetra Life Insurance Company is dedicated to answering your questions and providing resources for you to make educated and informed decisions. All or a portion of your distribution may be taxable to you during the year in which it is withdrawn. We recommend that you consult with a tax advisor prior to selecting a payment option. Please note that a death certificate must be received by our office if not already provided before any specific information may be released to authorized individuals. Faxed copies are acceptable for informational purposes only. Our fax number is 1-866-532-1357. Our goal is to process your claim quickly and accurately. In order to achieve this, please provide: • The completed Beneficiary Option Request form with your notarized or medallion guaranteed signature. • An original certified copy of the death certificate, if not already provided ~- ~-fir F ~~~~ ~:j ~ ,~- ~~~; { C For policies with multiple beneficiaries, we encourage all beneficiaries to return their claim forms tobetl:er. We appreciate the opportunity to serve our customers. Our service center is located in Bellevue, Washington. If you have any questions or would like help finding an agent or advisor in your area, please contact us at 1-800-SYMETRA or 1-800-796-3872. Select option 2 for Retirement Services, followed by option 3 for the Individual Retirement Plans unit. To reach me directly, please press 9 followed by my extension 65390. Our customer service representatives are available from 6:00 a.m. to 4:30 p.m. Pacific Time, Monday through Friday. Sincerely, ,~ i~, ,~. Ron Fabien Claims Examiner Retirement Services Symetra Life Insurance Company ;, _. ~ c...,,o+ra I ifa Insurance Company R-:'_,r~ r~~:_ ~ ~:~ ~si<... _~ ~ ._,~ , ~~ .. _ , _:t,~ > .. ~.:'7 . ,. '. ? ~ = ~ .... ~, . ..,;. r~~ ~~ ~ 1~~~~~ -~. ~ ~ 1l~ June 16, 2010 Bonnie K Black C/o George F Douglas III, Esq. 354 Alexander Spring Road, Ste l Carlisle, PA 17015 RE: Symetra Life Insurance Company Annuity AN0380033 for Erma S Wimer Dear Bonnie K Black: This letter is a reminder that you are named as a beneficiary on the above referenced annuity and your claim is pending settlement. We understand this is a difficult time and that you are faced with many challenging decisions. Symetra Life Insurance Company is dedicated to answering your questions and providing resources for you to make educated and informed decisions. A11 or a portion of your distribution may be taxable to you during the year in which it is withdrawn. We recommend that you consult with a tax advisor prior to selecting a payment option. Please note that a death certificate must be received by our office if not already provided before any specific information may be released to authorized individuals. Faxed copies are acceptable for informational purposes only. Our fax number is 1-866-532-1.357. Our goal is to process your claim quickly and accurately. In order to achieve this, please provide: • The completed Beneficiary Option Request form with your notarized or medallion guaranteed signature. • An original certified copy of the death certificate, if not already provided .- ~~.,~.r e c~ ~~, ~f.~tiv ~~~ E For policies with multiple beneficiaries, we encourage all beneficiaries to return their claim forms togetrer. We appreciate the opportunity to serve our customers. Our service center is located in Bellevue, Washington. If you have any questions or would like help finding an agent or advisor in your area, please contact us at 1-800-SYMETRA or 1-800-796-3 872. Select option 2 for Retirement Services, followed by option 3 for the Individual Retirement Plans unit. To reach me directly, please press 9 followed by my extension 65390. Our customer service representatives are available from 6:00 a.m. to 4:30 p.m. Pacific Time, Monday through Friday. Sincerely, ~` _ - -.. ,--~ Ron Fabien Claims Examiner Retirement Services Symetra Life Insurance Company .., .. ~a~ae r..._....a.... 1 :1~, 1 nra ~n171tJdt"7` ~' ~ ... n~~ira ~ • ~(.'?~II'.')i~k ti'i l Jr-f~'("1;:~ • ~ .' ~ _ .I' :.z ~, ...., ,.. _ ! _ ~ (._ ,i;" ~ ,~.i ,1 .. - _ _. tiletLife Investors USA P.O. Box ? 4593 Des Moines IA 5G306-3593 M~tl,ife May 20, 2010 GEC)RGE DOUGLAS III ESQ SALZMANN HUGHES PC 354 ALEXANDER SPRING ROAD STE 1 CARLISLE PA 1701 r, RE: METLIFE INVESTORS USA i~lSURANCE COMPANY CONTRACT A204.~ j~~ OWNER Errria Wimer BENEFICIARIES Doris Smith, Ralph Wax, Jr., Ethel Wander, and Bonnie Black Dear Mr. Douglas: We are sorry to (earn of the death of Erma Wimer. The followir;:~ information will be helpful in settling the claim on this annuity contract. In accordance with the policy's death benefits, the beneficiary(ies) may choose one of the following options to settle the funds :Mill accumulating: 1. Request a lump sum payment of the cash surrender value. This value is paid in one lump surr~, and it would include all applicable surrender fees. This settlement rust be made ~witl in 5 years from tf ~e date of the participant's death. 2. Request that income begin immediately from any of tfie annuity income options described on the enclosed list. This choice maximizes the benefits of the policy since 100% if the ann~.~ity value is applied to produce periodic annuity income. The guaranteed period of any option selected cannot exceed the beneficiary's anticipated life expectancy. Proof of the beneficiary's date of birth is required if a life option is chosen. E3enefit payments mu~;t start within one year from the date of death. Because the policy is a legal document, certain forms need to be completed and returned hef,,re settlement of the claim can be processed. Listed below are the requirements to settle this claim. 1. The original policy must be returned for I~~rnp sum settlement. If it cannot be located, se, ion G on the claim form must be completed and signed. 2. The Policy Claims Settlement Form. Please complete section A. A settlement option; must be selected as well as an election regarding Federal Income Tax withholding. Please note that section F does not apply to the settlement of this claim. The value of this policy on April 16, 2010 was $49,788.47. If you have any questions, please contact your representative or call our Customer Service Center at 1-800-284-4536 Monday through Friday between 8:30 a.m. and 6:30 p.m., ET. Sincerely, Michael !ruing Sr. Annuity Representative -Post issue Processing MetLife Annuity Operations and Services NATIONAL LIFE INSUFtAi~1CE COMPANY July 9, 2010 SAL7MANN HUGHES, P. C. 354 ALEXANDER SPRING ROAD SUITE 1 CARLISLE PA 17015 Your representative: HAROLD A COMERER C/O FINANCIAL INVESTMENT SERVI I3 W MAIN ST WAYNESBORO, PA 17268-1517 Phone: (717) 762-8337 Policy Number(s): 0059138630 Insured Name: Erma S Wiener Dear George F Douglas III: Please extend our condolences to the family of Erma S Wiener. We are available for any questions you may have. Thank you for yo~ir request. The value as of April 16, 2010 was $24,762.05. Your service needs are very important to us. If you have additional questions or concerns, please contact our Service Center at (888) 565-4995, Monday through Thursday, 8:00 a.m. Ito 7:00 p.m. and Friday 8:00 a.m. to 6:00 p.m. (ET). You may also contact Jackson via email through "Contact Us" on our website at www.jackson.com. Sincerely, v~ Charles F. Field, ALHC, LU, FLMI, AVP Claim Administration cc: HAROLD A COMERER Jackson Service Center 1 Corporate Way, Lansinfi loll 48951. Toll Free Number: 500-777-7779 Email at CustomerCareQjackson.com; Our ~Vehsite is w~~-~c~~.jackson.corn ;,., ~~l.lllll~ ,~~~illtllis{fah~~U June ~0, ?O10 Saltsman ~ Hu`.:hes La~v Firm .-~tt: Tamnly Sie~erest 3~~ A(eatlder Spl'III~ Rd St#( Carlisle, P.~ (70 ( Deceased: Erma V~'imer Policy No.: 0091 ~g6 }0 Dear Saltsman ~ Hughes .Law Firm: lour independent Jackson representative: H.-~ROLD .-~ C01~1ERER Ci0 F[N.~NC'[.-~L [N~'EST1~~IENT SER~'I ~~' MAIN ST ~~'.~~'NESBORO, P.-~ (7?6S-l>1'1 Representative Phone: N/.-~ VVe are sorry to hear about the death of Erma Wimer and wish to e~terid our condolences. Based on the information provided, we have established a claim for the follo«~intT: Policy Number Named Beneficiarv 005~)13~630 First United Methodist Church Preselected Benefit Option Please be advised that any scheduled distributions will cease and any un-cashed payments, issued in the deceased's name, have been stopped. In order to process the claim promptly, please return to tls the follOwin~: ' Claim Forn1 ' Corporate Resolution ' Ta~c 1 D Number ' Final C'erti~ed Death Certificate Once we receive this information, we will process the ciait~l as quickly as possible. Pleas:; be advised, any docurlentation submitted to our office will not be r turned. .Lump stem payments of $5,000.00 or greater are distributed via a. Beneficiary access Account (;not available in all states or for corporations, partnerships, trusts, estates or minors>. These funds can be used immediately simply by wrrtlli~ Oise of the drafts t~~e provide for any amount up to the total in the Beneficiary Access Accoulit. Funds in t(~e account currently earn interest at l .0041i~,, compounded daily. "I~here are no fees or charges to keep this account or write checks. Jackson National Lice [nsurance Company ~~~ 1 Corporate V~%a_v, L.tnsin~, MI 4~9j I 800i 644-4 S ~ j Pr-lic~~ Number : OU;c~ ~ ;~6 ~~) June 30, 211111 if yllU lla~'e ally C~ll~st1011S OI' Ileed addltlOnal infol-matlon, please contact our Service Center toll free at SSS'~6~-49~)~. Sincerely, Charles F. 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()\~~1'.-:~1'II()I~.;~~'i`1I ~:I)t)I, I'~t.\1 ~.~ If~TEREST CEASES 3•~ VEA RS FROM ISSUE DATE ~- ---- ;. P~43~~~iEEOEE --r-, .':0000.`90.00,`!°.0.~,. y~,~~''E.~~.~;~'.3..~.?-~ ~...`~~~s. _,_ .. ~~.~_. .. .1 ~ ... ... ~ . - . . ,....~ A x , ~ __._.. . r: ~-_ ~" .. ,. _ -, •"- . - ;: ~_ ~~~~ _~~ PR'3 PGH .,~ ~ .r C ,4 R Z I S L ~ ? A 1 7 1 3 a - .~:; _ ~SSe _ ~ ) ~ 3.J ~t)C ~ '~ ry n'- ~ ~ 1 C~7 [ ~~1.'. I..~l~ 1 >~ ~ SAN ~ Li~ C-~ ~G.~U1 ~~`~ .~ __ _ ~ M52552601EE e , f;,. - . ~,t +:0000 9000 ?+:0 ? '~~ ~~.` ~ .~.__ ... .. •:: u.w.u.u~..!iw:u..u«.u«~~i,.~~.i ..-.~,.~ .,.. _.~_;..x /:.. ..~..~,i.a._..a .>.. :. _ ~:.:.. ~ ~.: ...,.:'...~« ..1...~..~ II, ..~L.a.~~i •.,i.ii.~:,....c~....:~lGi~ _ ~ .~ ,..~i1i.'..cs~ C ~ r. _ .~J ~~ _,,v} ~ ~ I ~ pp Y~, ~ ~J~J} ~~ 1, J ~ 3 ~ 1,.f 1 1 ~ ~ ~!~ //// >~ I \\\ I ~iu/11~~I~i! / ( ` \ ` r + ` 1~~~.. '~,.llt_)~ .li`\~.I.~~'1 ).~i~J,.\~-.'7 . . .rYJ I..~.-. .. ~r_-.> .. 3.. Y_a:~~, Z~J1 1 6 0275 '! l 1 y42 ' ~,' Est %, ~RMA S RIMER - , '~~`~~ FR E P G H >'~.~. EZS 1rEST NORTH ST j ,,~~.n~ ~ k=- - ~ ~- i -=~-~ CARLISLE PA 1?01? FOD EOtiNIE BLACK .. . ~r:s; ~~ ~`~}=t~~ C31?~J0~2`i-OCO~ 11~?9? ;~0? OC1 ACS-A 5Sr, y 0~ 2 4 ~ 7 4 = ~~.~ .: ~, ~ ~_~ < <;,, , ~. - - -~ _. ., ,~ ~ - ~~ :, M550E49~4EE ! ~ +:00009000 ?+:0 ? ~~~ `~~ 000 5 50 ~~9 74~+' ~Y - .-.. ..,. ; .-...; y.J~ .::• ,... -~~s~/'.ii ,YTS-i ~- .-~~ Yc.~~ ~t ..'J3 r. _ ;5."Ti ~_:~J 'r - -_i:~...:,i,Y :T„ira J~ \.`i ~"~`1.. ~. ?"3~.'~/ '"_ II-'~~~+~~-'"'` _ ! 1 ..l.. ~,! a ~ :.!! ~a •~R .J.1=.JI~ ._3J ~ ~~r. yj,.. s..t ~-. ~I ~ ~~ i~j ~ !~I .`11 L~ `>,~/ yi./j i ~ j ~•`.`~.1 \b~i• ,~ _ v \ •°~ 'i. '~~/~ ,I Il~i~ ~ ~ .• -:. i. '- _ _ ~ '.1 t11 ,i. ~ .~ a. J/r .I I~,il~t~lt ~\.`.. w d . .. -... ~ ~ ...r,. ~i~ ' I _.. .. -. _ _.- _~.. ..._... _.. _.... - _. - ... .. - .. .._ - 7 ~ , .1j Il+~~tt •~.,\,'. i= i~.l ~'. 1,1)~)i•~~f.~17~ l~~j~.3 „4.~i„~! INiERtST (.E,s.~E~3'.. E,R: 2011 1 b 027 C7 1 9~2 --- FRB PGN ~ -~` --- 03-J7_ga. ~`,/ss X2;3 ~1 ~T NORTH ST ,;3~J00 K ,stir ~~~„ ~ C ARL I Sl E PA 1 701 3 ___ ~~ .~- ~ __ v,~v Y~-~ ~ -/~ Paa EOr~N~~~aLac x , o ',~ ~: ~ ~- - t~3130f1~21 Uti00 ~ 1 O~1.5~2 002 001 RDS-A ~ D~_51Z5~ ~_ ,.. ` ` ~1 7 ' I'/•- -~ ~.~. ~`. =~'. _ :_ Ll.~.. •.1 ~'. "I ~.'u. 0? +:00009000?+: .t l-~~_. ~. .. a+ . ..... ... .. ... .. w. v....a ..n• .. a... ,~! ~, 9B ~-~. ~,~~a,f3005 ~ 256 -..: - . +.. ......_ .... .. .ter-~... -+t _..~_. _ . ..~ / J._. _. ...[. -..1 A'~v~.~. . ,~ . -• •. - - ---- ~,. -- ~-~ 1 f s ~ - lr~~~~ ~ ~ ~ ItJTER _ST CEaSES 30 YE.~RS ~.:_. ., .. ._ ,~ ..,- ~ - ... .. ~ FROM ISSUE CA-E .~ 201 16 0275 a =}S"~ a ~• ~%} %~ ERMA S WIMtR ;E~ _ ~~ .`" ~ µ ~ - 828 W NORTH ST ~` = ~~~ CARLISLE PA 17013-1743 ~! _ ~ 'I..,III~~~ill~~~~~~ll~~il~~~~li i,„i~l~~l~:ll~~~l~ll~~i~~~ll~i r~ }~ ~ POD BONNIE COLLER BLACK -0000 OOOOOUO 012596 018 '-~` RDS-A 043000261 / ~1.... ~.=s.~ - ~~s-ti cr 'y" .....~+ V .. . . 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C, j N O'O o 0 oa ~~~ ~ ~ 0 '~ °o~ ... ~' to y ~a q ~ ' o . o ~~/ ~ ~ W ~ ~ ~ N >, ~ ~ a' ~ y .-- ~ o a~ ~ ~r ~, ~, O O Q ~ ~ v ~ Q ~ O ~ ~~ ~ 3 ~ ~ ~ tCf ©' 1 to ,. ~o ~~~~~' Z N t~`'-~ 00 ~ ~~~~ ' ~ ~'~ ~ ~ r- ~~~o 0 0_' °-~ ~ ,~ i ~ ! ~- °' 1~ 1 O ,_--~ ~" ~~-w~,Fu.~ *- ~.w .w ', Q1 '~ t i tl1l N'~, ~ l N ~ z,~ ~ m ~_---~---- N 0 ~ ~, N `~ I ~ SIN ~~~ o I 'ml ~_-- 'fl -+C3 C ~ ~ ~ C1 T ~ ~ m `~ ~ c' 2~~ x yyvO G~+•'wN O ~ N ~ Dfl-~ 'U G. ~ Q N ~ y _ ~ a~py ~ _..rN~ ~ c c ~ ~ •c o~c~~ ..•• ~^ • , -o o,s °x'v v,~o°'~ ° E cXa ~~,~~,o U~ ~~ T~ ' js ~ ~ ~ NW N ~ Cl. ~ TU~~ G ~ ~ ~ ~ oZ~p ~, a~ ~ .~- ~{ r'- S~ u' ~~ ~'C W~~sa ~Z~~' Z ~ • ~ N= ~ ~ ~ ~ ~j~,ooo ~ ~~~ ~ 3~a~~v' c 'C3 ~ N N ~ O G N N U -0 r ~ ~X ~3~U-! ~ ~~~ C y C O O Q1 „d N N N N ~ a? ~ ~~~ ~C~ aC ~ `n ~ g~c4~ NNN"p G p p~ ~ S3 .a~-~ ~~ Q un * ~ ~a . .' ` ;T ;~va•• ~~ ~ ~1~i1+i~1f i : ~/~ ~. ~i„i/ 'J'' ~~` J it _ + ! .~-~ ~ __ -... .._ ~ . .. ~ -~- _ , ,. -. _ .. .- .. _ ~._ ~a.i - - 1 1 - - " - ` ~ ' ~ _ . ..., ~ . 1. ~ 1 ~• -t _ ~~. - - . .._ _ .- _._ .t~. ~ ~ .. - _ . ~.. 1_ .... 1_`, ,;~ ~' ~.,.:,; `,,,1. i•• - - -= (Y\l. 'I'1 10~'ti\\I) 1~Oi.1..\i'ti ; ~ ~.~ • - ~ ~i: , .. FRO~.1 ISSUE GA"_ 7 - ~~~ 201 16 0275 07 1993 -; 1~ . ~* %ERMA S WIMER -- . -~ ~ FRB PITT. , ~. ~~- ~ ~ 828 W NORTH ST 1~ _~ ` CARLISLE PA 17013-1743 I 5 ~ DAiiti..: 3"'~MP ~i~ ' ~ ~ t --` ;/~ s PUD DARWYN BLACK RDS-A 043000261-0000 0000000 073198 018 071648207 i '~ J tl C~ Sf: f/ / l% ~;ooo0 9000 ?+.o ? ~~~ooo ? ~ ~ ~ ~ ~ -~ I r r1'-. LLIy ~ 8 o ?+~ ~ ~uLJ.Ma+.UaW...i`~ 11.1.a1~..4•a~M .. .__...._ ;-.. . ~ i~ LLaWiIJ~W.JJJ.alit.•.Ji1Ja.a.tJa Li'i4u~A~aJit.t+1+/iWit44!.A4<l~'1~~~i~~ff{l1 .. _ '.JStl l~ua.'x.v ~V~+:L':~,i~ +/.U1...aV 'La,4l.!.~. ._ '_ :. '... r.i..eW/Jal.yiJakylil+.y ~~ .-_.. - _-.... a1y .~..~la '~41i1 r • 1 .._ ..... . .......... . _ '.• V ~ ~1~11~~ .,: '•Vj... ~~i///~ii~/I Ir+f+~^ 1~~~~~\' A!q 0 V ~ :'~ {~1 -- N:~ ~ ~ :'I _lR~. . ~ ~ --' ~'~ ~s--~-.j~... 1. {.. t `0 ~ %~!+ff~i~+i+'iJl!~:~~\\\\~ .; i/I• ~iil+l i~..: ~I 1~\\ •~ `, . i s3 ~ . `:1 Ih~. ~++i i:;~ ~ i~/,.,, 1 ~ 1~..» y~l ~ ~ ~J_..JI', _~i,,,+i ~I1~,•~~ ~~ 1Vt !iii!"fJ;lJ+~i~ I,y~~~~ \'1/I;~ \, ~~„ JJ +'1 • + ~ .' .. ..., ,..1 I~~~ I 1 ',. ,.. ~. ; r, . 'n"wf f t~~~~l 1.. \ i I 1 ~) II 11 i. .. .. .. ~ ~. '~ ~j ~ ~ 1 ~ '1'II,I,iYF\:Iilµfl),~'1~1~f'Y~~~()i~'.1,~'111yI;t('1', ~ ,~ !~~~il~/j/%/'f f1~)fr111~ ~~•~ ~ z!• 1~~:1~ II~II()i-,~~1a\~/~1.~(~Jil/i1~~.~ INTER'cST CE45E5 3C YE?.RS ~'~ r; ~ FROM ISSUE ~A.TE ..~ ~~. .i 201 16 0275 07 1998 t{t t f , }~ ~: :.,, g Y- ~ %ERMA S WIMER ___ -- FRB PITT. ' ~~~ ~- 08-04-.98' 828 W NORTH ST y'"°TJ~" _~ ~, ~~ CARLISLE PA 17013-1743 ! _ _ 11 DATING STAMP _ ~ ` ~ ~~~ll~~l~l~~~!!!!!!I~!l ~1~!!~~'~l ~l~l ~l ~7l~ " ~i~~li~'!!I l~~~~i~ ~ ' ! ~. ~ .: ~,-~~ POD DARI~YN BLACK ~~~~~-~_:~ ;~~ - RDS-A 043000261-0000 0000000 073198 018 0071648206 ~~ ~~,~~ ~ ~i~«~ M~1b~~206EE ,_,., r x:0000 9000 ?+:0 ? ~ ~ L00 ? 16 48 20 6++' 'hir#ua:li+. 4u~a.. ..a.•:ua'..+ !uu•1~:i.;A:ilt.xui:G:iix aiii~l• ...'.+:x•:~«a '.w:uii:.w.ia•..~.•.i~',:i+i1~-.~ ,duku.~.'u~.~.':C~.'~.~ •aLL'aK'+41a•YIA~J14UlLa4Aa(11+.rC .a1..~41. ~a ..'.u.+.ti..•+w~..wiw..u/>~.ic ~.~~~~t.~y..twt~ 0 0~ O O O ~ ~j N N~ Z' ~ CO d' 00,_ i o ~~,~ a~~~~~l~l ~; ~ ..•lo~o;o~ N ~~~ cv!CV N~NI _ i~ ~ ~! D i In ti I l[7 i ~ i0 O O' O C C C '~ ~----i -- ~ a'N NI i O O O r ~-- c- _ ~~N N N~ r.+ Ojl~ ~ t7 x oho o. Iz L ~ ~. C1 ~ ~ o ~ °~ t~ ~ ~ L. ~ ~-+ 0 ~ QJ ,~ r-i ~ ¢ ,U ~ ~-, c; 0 I~Io 0 ~ ~ ~ ~ ti ~_ ~Ir- r ~. 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SERIES ~~ ,~. ,. ~'~.1sf' 1~~~i1~1 ~••••~•' 1~~,~~~r~~1~C.(p:;t`,~ 1\1);I)l)I•:I~1i`l~w?~ INTEREST CEASES 30 YEARS - ~ ! ~s ~ n- ~ Lr ~ - .~ •~. .••••••••°• •~ f R O M ISSUE D A 7c ?D1 15 GZ7 ~ ~~ 1991 s?pa ~7r ~~o~~~ sT n ~r~~~ ~N,t~ s ~~ ~~ .' ~ ~ A f\ L 1 S L ti~.. t' ~ ~ ~ Q ~ ~ s~ ~ ~ L-ssu V.-V~7c~~~_ 5 ~ S yry=Y. I ~ =~ - s _ -_-'~. ~~~ JIfL ~r3~ST~14°-.1 _, ,' '~ ~ POD '~N2Y J ;~DDD ~--- ` ~ 4~ 1~-Q-C~43-Q7T-c~.22-F~_ " rT~~,~tt~s„ ~,~?/ g91~7~OC1D455 a12 3~rI0B RA _ -: _ _ ~~ ~,~, ~: ,~~ X22 M4~0~ 2EE ~~ 800 ~, 30 7 ? 2 2 2~~' ~, x:0000 9000 7~:0 7 ` ~ ..,:.. r ,r j . -..:. .. ~;, r r •:}~~,, ~,~i~ „ :. L~,.,.; ,,, inn a r,, ~~ . Ste.. a... a1LJIa1.M15U:1~A~ ~~i'+- '1'1tiWL..{.[ a'ti•~GaUJ ti'vi1144 a~afaWa4~L'.Y1LL'a'i L'Yi4~/1.U LLW..':{lata s11WLYLL~~UYiY_ ~•allLJ.~ ~...- --'tS_`~-77"a..u{•suu.'~i...l,.sxv~i..Li•>al.•a4,k.Ja'.4:a4 2~.'~~uiiu:~.ux:L'ti::•::i~..~:u1':.'~~..+ __ 0 0; a~ iT_ i ~~ 0 0 0 , ! ~ci N N~ Z) ~ ~I ~ t~A i~~ O O = G)iNl ~ ,~ (OlOld~~ !~ O ~ ~+ ~ ~;~~~ I ct7 ~ ~ ~ ON~ONjONI I~ Q C= o o~o I I ' I I C U LL • L- ~ ~ j ~ I ~ N ~ j al ~_ i ~ OOO ~.+C~Dj LL C ~ O O O ' Ln _ N NIN~ ~i~-- Z OiOlO~ CI _I 0 0 ~ ~ ti ~ ~ d' ~ ~- , O } ~ ~ ~ O O 0 0 o f` ;~,, O O O V Ef-? ~,O OHO .L ~ ~ ~ ~ ~ O O O d• 00 00 O r r- c- ~ O r r-- ~ ~iti ~ "~ ~., > 0 ~ U Q.. ~ O ~+ ~ +-~ ~ O O O ~/ ~t~~ p ~, ~ 00 0~ L.G. ~/ w (/~ r r ~-' > m v' co co c ~, ~ co ~ v c ~ ~ ~ •' ~ c V ~~ O~O'O ~' Q U O O O ~ •-~ ~ O IO O ~ ~ ~ ~,~ N NON n`. `fl 0 ~+ co rn rn I ~+r rnrnrn N Q I~I~I~I O OHO a~ ~ t~ ~ c~ ~n Z ~ N ,d. .` ~ ~ _~ ~ ~ ~_ N_ ~t i ~ ~,~~ ~~rt I CIOjOiO W ~ ~ ro •~'~wwwi a ~,~wwwl t- ~~ I iri ~ ~ •n I c ~ ~!r- NAM N OEM Oi Z I , > m m L-` I C ~ ~ N O N ~ ~ ~ ~O~ ~.~' ~ _ 'D C O O O U ? O C ~ t ~ U ` O .O•.-y N•O C C ~ N O ~ ~ L ~ ~ C. (~ L U OZ C O O _d4-~ 2 ..,NO C .~ ~ O L.. a oEco- ~ ~'~ ~w O Q~ O (U ~ ~ COO c0 X t C1 E ~ CO U,nM O~ X •- ~ W.~N~ U tnW 0 ~•~ 3 ~ = E a ' O ~ V ~ ~ C O .~ C ~~ O Z -o ~ .n . ~.~ ~~.~ X~~a~ ~ Worn ~ • ~ ~ c~6 'a C Z ~ ~ ~ ~ • ~. ~,. _ L ~~ ~a~= Uc'~nooo ~n~CC`~- 3 ~~-a ~ ca~v=,~~ O C ~ ~ L ~ '` '~ '~ U U~33W w • oww o cwW ~ ~ o o ~ ~ai~~' ~~'='~U Q cn cn ~ ~ t~ c0 ~ ~ .N N .o C O O O O .~ .a ~ .D ~ , V Q ~ * • ~a• .• 0 N O c~ d rn c ' ~ r_ _1 ^'. 9i: ~~l 1'f 'a .. + r _ • 1 t E ~ 'L I 3 r /.-/ .~.~1 `~~ J~ +. it 11 . . 201 16 0275 05 1980 ,,. ;, ERMA S. GJINIER ,~ r,-t ~~ ~' ~.,- ~ 828 WEST NORTH STREET ~•~ '- ~ .~;~r II ~ ~ . •1 CARLISLE, PA 17013 ~;,~, .. ~' ~ ~ tri;-~~~ ~ car ~Q~ - ;:.~ P.O.D. BERNICE WIMER HOERNER ~=~~~~~ =3 _~ . V 1 t. V !r~^~ :1, '~~ ~~ ~f~ '" ..~, -- D1146994~EE x:0000 9000 7~:0 6 ~~,~~ 0 0 1 1 ~, 6 9 9 ~, 7 ~~' , __ i4:'_~~... _:.!i?;`.ZG._5;.~.4.__ ..,u`L_..'Y ~._.,:~.Y-'.k:'~.S . _l,_ _ , . : a ~'.3~" t .._4_ru., _ ~ '9 ~t~ .~. \ -^ _ ~.. ! „ \ _ ....JIl-. , . -.-.-n, ~ r...J ... .' `".'s -...fr : ~ // ~1 ~~Glil~.~~ '~~ :J /'j`i /i~4 II"l~~+;l \ :~7 ~" ~ I 1 1~°~ `:~i, C: V • a><: et -+ •'+ vJJ; ii n ,I1~! 1 .. ~. !! 1 V N 1 1 -~. L V _ 1 1 1 1 r I nr ~ Y • // ~, I ~~ ~ a .'~`` ~ ) )•~+) /i ~ri4'~. +1 111. ~~~ ~ 1~~ ~~~~~ 'rtl I 1111 ~~~~~ .:, .!iri/ rt! I II °~~~. •.7 .i ,CZ\. 1S) ... 1+ J.. JI.~/.• ~ 1 111.1It ~' - "- .._ __ .-r _ -__. __- --_ _.. _ -. _. ._._ _.._. _.__. ...1' ~ /-! .- - _._-_. _- _ _. - I Irl't ' _..-__ -_ ~,~ , 'J , ~~ 'r ~- ~ --- ------- -/~YI~:~J~1~1tiJ~~~,~i~~~~,~i~~1~11~~J1~~~ri1:~~-7~~~~~~\~~~+:,1`. ~~ ~v~ •171'; ~"I ~i ` Jt 1 11 AT THE MAI JF-iY:iErEJ, AIE~PAV t._~-~~.~..~~), ~~ ,:.1~~ -.._., ~~;.o c: ~'~:tilaJr ;;,~~~;~ ~., j:;°~ ` 1,.li;l~l I•i~i~.\Il) ~:+1 ?lam l+~()'I;I.~.:~ar'`'.i i =~ c ~F +a.'.~{ ~~i _,~ ~.. --.~-~~, .. , ~,~'._ . t' .._ / ~ •~ ~ ~ ? ... ~ r ~. y las iNG AiG cv TyS If i ~. ~ ' `~ r ,; . - . _ ~; , I ... ,, .~ .. ~:00009000 7~:06 '~,'~~~t 00 L 2 ~ ~, 9 ~ 5 3~-' ' ]'u'kiAi;i'irR.2v~S+ii'L~26.u7y?.'J.7 )hM :`rl.s l,Vyi.~,r '~ ,?,. ...~~,~. •.~-s„.i ~3~`uL~.'~ ".hu il~ilti):i;~.a+rliia~_5~> rLli::t~'t'r'a ,~ac.z' ~^ r ) ' It ` i ~. r, , t's,• ^Z7J" *:~ ~.' 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Y.. - .S r ~ a .,. i4aw. -:: - ' ~ 9 / {-~ r` J..~j r r g t : y. ~ * Y~ ~i y ~~ fi., ~ f ~~ ., . ~ _. ~ 9 I ~ a ! ! ~ - r \ ~ ~ f 1 A . ~ ~ 7 ~ l J J e ~ ~ i 1. i •.`k \ ~ 7_U'? ~U _ j r ~ ~ 1 ~U~ L ~' ~ ~ c ~, l tih ` Q ,~ ., ~.a ~ J ~~r~~l '~ r_ .. - _ '~ ' _ _ ~~,~ ~, _w: ~~ , - x:00009000?x:06 ~~~~f X00 2469~,~~, 5~~' ice' r ..- O <- N Q~ ct5 b.- _~-_~_--1 ° ~ N "~ _ , ~ ,o ~',; ,~ I ~ ~-- ~ o i~ I ~ ice, ~~~~ ` O ~ V ~,,~~, Z ~' ~ ~ ~ ~ ~ N ~~ ~ 1 oo~ 0•v ~ cNa ~ ~~1 ~ O ~+ ~ ~ may' N ~ ~ s p ~ '~ o o t6 ~ ts- N .r+ .Q- ~ d ' ~ ~ 1 ~ ~ ~ ~ „+ ..~ , NI N ~, ti. , ~ ~'~~`O ~ 1 Iz ~~ a ~ ~ o ~ ~ ~ o ~ Y 's' o 1 1 O 1 O ~ '~ ~ . , a ~ oG ~" 00 N ~~ S-+ v ~ ~,~ N ~ ~ ~ 7 ~ o ~ ~, N g, 3 ~ l ~ ~rr V Q 7 .r1 ~- U ' ~ o v ~ ~ Y ff~ G,,, d. a ~ d? 1 ~~ {~1 -.f'7 r" ~+ ~'C3 ~ ~ '~ W ~ ,w,~l ~ z °° ~~ ~ ~ ~ ,~ N •~ ~ ~t ~'~ ` p_ I'~ d1~~ ~ t/'1 d '~Iw~.u.S ~ N' ~- t1) ~, ~ ~.- ~N 01 Z CD~-- ~C6 O ~„" N 'N N ©~ ~,~m . --'- ~~ 0 ~' m o ~ T C6 N N N ~G ZD~U ~L ~ O -t'3 N ~ O~ v'tLn GrCpN OZ a7"-~ t'o.y°o a~ _ •-~ = N ~ `' C C ~ ctT ~ N .r U- o~ ~ ~~ w• T • i '+U a,-C X 'T3 ~ ° E. cxa o ~~,~.~o t7 Li o -a ~,(' ipy R7 t1 v NW ~ t~4 ¢. ~ ~^v~ c~~~~ oZ~oo N .A N ~ ~ •~ c' ~ W p~ ~-~ W~coa-o ~? v a~ _ N ~ ~ ~ U N o 0 0 ~ a~G ~ v 7i G~~~ ~ CS N N .~ oc~'--u s~ o ~ ~ ~G ~~~~ V ~~~o ~ao~ co ...--.o .~ ~ N "N 0?o~U ~ ~ ~ 4N~ ~ +~tdN~i N N N'f} O ~ ~9 .i3 'Q '¢ ,~ a ~' ~ ' ~a . .' . _ _ •'--j~--7%?`-_. _`_ ~. -iS"".5~:'i:. .!T"l.. ---'-^' :s-;1:-". ~..71,"%i~"7::t• -^~',~'~y;'1?"'CCII""' /~'7'7"""'0::'~'-CK''..:~7J.~"+a.'_r, ______,, ..,-..'~"~ \'I.a d ~•tr C 1s >' ~ / i -+I~f 1 ~\\ ~' ~ % f~~~,j 1+ J ~ ! V. ! I " \ ^ 1 . ~.-•~. _ _. ~_ 1 / . w ~ ~1 ~ \ O ~ ~ II ~-_ ,j i _`~~` ~ 'I'ii i•: t•;iII'3:3) ~'1'.1'i'i~ l~l~ 1,lIi:i;It~ 1 ``-~_, ,]]i~T -, -• f I i ~ ~ ~ ° • '1 I )Jal.a~ii.~ l~ ~~JJ 'l j()~! () l- '~ ' INraa_sT CEASES 30 YEARS f ii ~ ' ~ 3„1 .; . . ; i .l .i . ,( ,. ... ,.,.. .... _....... ,_ ....-... ...., '... .. .., .. .. ..., .. ., ~, .. .// 1 .i. 0 ~ ~ f -} V ~ ~ ~~ ~'~~ ~~~ ER ~A S `~~I i~E ~Y'~, r I32E r~J ~!~?T4-! STS=E ~(~,~'~-: -. CALL ISLE PA 17013 l,; ~~ ^~ l~, ~~ ~ ar*~ --~--~ t~ E? ~? PH ~L EISC AST US ~a~yy 20 1991. n1~3 3~_R'aI0"_ NO~~ti~4: , ~1-0-.043_ ~4b_~t S_Et= __-- 3911300Jr~J3°u 012 3410 ~A h ..~,, ~ ;~__~_ M43046818EE 1:0000 9000 7~:0 ? -~~ 800 ~, 30 ~ 68 LBii` ~~r . ~ .. AD.++3Awt~Aa.~iLU~A.la,.,"•. LL!.J+1L.~1~•.Na~+Ii..4tJal.IylY.4L~I~1.~5~ ~~..iu au.Wi'iLL K4-`a4V•a..UY.~.•w4•s~~a. Jw'+!14 aJ1' SiLL'wi.J«liU-Hyi.~lUt aWa4.4WV,da1Ya'YL.LU.YY~4T~lla'.J?~iW~: .. :sue" S'STI.:.%~T.1'.'7.i~ -~- ~ f - ~" ! ~ ~~ ~ / , ! 1 I' . ~ ~ 1'~i'; 1 .. ' ~.~--~ e ./ //~,I .,l,~1 - _ ~ ~ ~ Ir~~ ~ k ~f )+ 6 1 li/yl~ll~ IItl1\\~~~~~, ~:\'~/! ~j~ J4tlI,INii l1 \~~~~ :\°a'i~ ~ ! ! t l Iy1 I I \"~! ! , t i' i, 17'-y' \ J1 : ~~/»j rrllll, lII~ ~t~` ff.,`A {~ dl •t1 1 )~~ tr. ec• ..1_~.1,.'1~.Y..~ ~ I ;_ ~ v _ ., ._. ..~.. -. ~ :-. ,ry.~ :~~ ~'-~'" -~ ,~. - .~ ,..Y ~ -yy - '. .~ .' - - ~ - / T T i > ` INTEREST CEASES 30 YEAR5 • ~JJ.//• ~ ~.~yt ~~ s• ()~!•...-~ 11().~ ~7~\~) ~~1)laSi:,O ~.\~. F:^cJM ISSUE DATE , , 20~ 16 0275 G7 X492 ~. --- ~:.' _: %, tR;"~A S 4~I~{ER .F-R.g PGH '05-07-~2 ~' ~' ~~~~~~ 82,E S~EST NORTN ST ;~ 1553'~7D17~y _ _ _ ~~ -r;. , ~ E ARLISL P A 1 7 0'i 3 'y_ of-,~,; TA•.,P ,:a ,. ~ - s ~~~ r ~ " °~ , P 0 D D E R 'V i C E H G E R N E R , E ~ __._~.--_ ~ _- ~-=~ ~ ~ 130Q821-QDDG 0 ~ Q80592 002 009 f2DS-A 97 ~~712S b _~ - _ x ~. ~ tiX y ~ - T _ ~ ~ ~ ~ `~ - M512569~bEE x:0000 9000 ?~:0 7 'T1' .~ ~ ~u~800 5 ~ ~ 5 6 9 ? 6 ~ ~~ .i:.'1~ .+..a v.i._.•.c.~i'~~ xl...~ ..• .u• ~' 'L• ~ .. _._ ..-.. ~JXYI - J1G..: ..ill';...: ~... :.a.- [.t,sJ1V,4 .. i~N 4~iA.ia .n~ ~'.,,a,.A , . . . . ~ p I i ~ f* ! * Z ~ ~ i ~-- ~ ~ ~ ~ ~ L ~ rn~ +~+ ~ ir-I o!~ N;N .- N! ~ f0 +,,iO~ t~. ~:N' ' Q) O,O, N!NI 07 ; N O NI t.C) (~ fO! I O~Ot O! LL i O, O~O O I~ ~' N~ N~N~ N~ i ~~+ 0 ~ ~ 0 ~ ~I 0+~ ~i ~! ~ O O~ O O Z I ~ ( o o l 0 0 ~ I (` M CO O ty ~ ~- NI N M ~ ~~ ~ ~' o 0 0 ~; 0 0 0 0 , ~ O O O O ~ v v ~ v~ O CD O! Oi II O N O N ~ ~ M N Op t (D~ ~ ~ tl~ ~ ~' M M M j ~ b4 ~ ~~ ~. }, Oi CD O~ OI O N O~ N' N ~ M N CO C~j r- ~ t.C) T ~ ~ O ~ ~ ~ M C ~ 0 O o 0 O} o~ 0 O o 0' O o ~ ~ o ~n 0 ~n 0 to 0 ~n L a ~ rn oa r- 1~-7 ~ a~ ~ rn~ rn jrnl ~ ~ ~ Imo' ~ ~' ~~ ~' ~ Iv l N ~ ~ O - O ~ ,N ~- ~~ O O 'O O L .~ w W w w ~ w w ;w w ~ Z pp N c- ~ i ~ I l17 `~ Rf CO ~--- N CO ~ ~ QO CD I . l i 07 r- f~- lf') j N 0p i ~ O I (n ~M ~ d' ~ -- ~ o ~ o ~ o ~ o~ t ~ ~ ~ i ~ 0 I~ c- 0 ~O! Ic- o i~ c- o) IO 'c- ~ I ~ ~ ~ ~ ~ ~ ~ W w :W ~W) ~, . ~ Iw ~ lw t ~w iwl -~ I Z I - - ~ r- ( `.~ , r' ~ ~ - lal ~i 'a' V~ ~ ~, cv ~ i O O ~ ~ d' i M ty ~ ~.+ C i O O O 0 0 V N a`. ~ c~ O F-- l o ,~ I a~ ~o~ cm O~ N O y ~ C O C (0 _~ " O A ~"' ~ c9 .~ to U 'fl ~ ~ ~ ~ ~•- ~ ~ O ~ ~.C Z -n ~ X u~oco -C "'' ~ O ~~N~ O O ~ n t ~~~Q.a C ~ N ` U OZ C O O =•a~~ _ ~,~o ~. ~ ~ ~. ~ ~ ~,._.O a~ w ~- a ~~'C~:~ ~ C'" X'D ~ O O O td X t O ~ ~ CO U 'n ~ O 'D X •- W ~ ~ o cn W O ~ ' c 3 ~ ~ ~ Q .D ~ U ~ ~ C O .C C ~~ o Z -D ~ .n ~ N C ~ ~ W ~ ~ ~ ~ O ~ ~ C Z ~ ~ ~ a~i a~~2 ~ ~~~ U n`o`on 3+0-'U~ ~ ~~~~~~' o~~~L ~ f9 (~ (0 X Uo33W • oww o C W w ~ ~ O O ~ N N ~ N.ONC~ ~ ~ '~ U Q (n (n N ~ m m 3 N~~.n c ~~~ o 0 0 0 ~ ~ ~ .~ Q ~ * • ~a~ O N O t~ d r- a c .:9~:\ _ ~ ~ f'.. ` ri I lr{'f 1 ' ~' ,41; y 1 i J ' ~ J y ~ U i '"- 4j ' 7, `~ , - .~(:5-°.T_:, + 1.' .,- ~ ~ -. ~ . a------.-~` , ,S_.,. ~ „~---- A, ~ .. c - ~ i ~ - - J ~~ ~~ ; ~ : N Y ' ~ ~ ~ i ~ ' 'Z~' • , f „- - J' ~~.?*l ~ i C '~, _ .-.:.- - 1L -~~~ .._ .. ; ss J ~.1 _/ - _ -.. -. _. .__ ._... ___- 1 ~„~. .. il ~ \ J j4 J i r f~N q 11 .! .i~~._~,.... _ _ ~- 4y/ __ 111111 II ~ - \Vl~ f~~:s-~ z' ~ ~. ~ ~ ~ ~ ~~ ~ ` '~'1_I~;1~,~;1~~i.~~J~~,~~~-~'1~~~~(~I~'~~_1~~i',~~~'~~~`;~y, 'rrE 4A';,u •. ...E . i~r `+ , ~._-- -- _~ ysir3a ~ ~ ~ ,, ~ - ! ~~t'~ ` - ~~ r ` a + v' ~~u , a 1 L -i~lJ .. „` ~ 3 i)l a: .w . w. ~ -+ ...~ : r ..I -..w.~... -. ~i~s ~./ - .. Gut 1~ 1~~7` _ _ , ~,tl ~.~ {~ r ._ .. _ - "` ' ~ ~ z32~ ~ NGRTH aTR~~T r ~R3 ~'#~IL - - ~ 1 " _ - '~ - ,; L A n L I S L r. Y r. 1 7~ '13 - ~ i -S C; A G T U S', ISSUING AGENTS - a' ~e .. , ~J ~ i . + ~ - ~.- x+1 - .,.. ... _'1 DATING 5'AMo _ y ~.. _ r. r ~ _ tc+ t Y ~ r+ ~..• .. .. - - _ k~ ~ ~ °~ -- ,.. ~ .. Ila ], i :00009000 7~:0 ~ ~~~1~~~~ 00~3 '~ ~ ' ~ ~ ~, _. -- ... ~ • ' . _. _.._ . .. .. _. _. - _ r,$ `~-r~,y ~,~. '=,~Sd.t'tri C;. 7~i„} Y nrJ rT .. y. L A~ .,.. _,,,..f . ~.u'a:.- _ '~-.' ~ i r' ~~'s~'_-"y.LLiau~+,ditat:~:1.'Zic~ ~ C „J.. taC • „L ~ ~ ~\ } ~. .C ~ t (r r ~ f 1>' r • r ~,a ~ ~~ J~Y^',jV~ /`~~: __ .__~__..____.___._- _'~~.....i , •~....a n.~.. 1a. AT.~ .•-~U RIji V/MEfiEUG WILL P r 1 , .~r.r ...~ wr.--_______.___~L ~i~~ iJ i.J ' ~ ~ ._'~ .._ ., .. l lil, l \C l.I.l)'~i ~.l~l.'~~{)Y ~1,~~Il.l:`1C'1; a i i _a .~ ~..,,, ~~ :.>~,,,.-'rfti;~,_,~~f ~.,.~ '__ (.~'\1 "1'II(Jl'ti~1~11) ~J(-)I:Y.X`l,S} n ' • .i" ,~: _ 201 16 0275 OZ 199.1 ~~, ~, ,: ~; lam. 7~~ - ,~ ;~ ~ ~2S ~! >~ORTH ST~~ET .~`~~3~PNIL ~~ CA,<.LiSLE PA 1~(?13 DISC AST 135; .~ ~: _ Ii SUING AGENT'S '~ ~= = -~*` .r r~3 06' 1991 j. -~ _ ~ U?TIN(i sTA tiff i _ I! r - __ P~JD DA2 R ,_LL ` S?~i TH -- _ --_~-~ ~,'-, ~!-fl-041-525-5b7-~F -- , - .,, ~1~ 391~?3500Q457 OOt3 34 5 RA ,, r~~l1,-~ _ -, ~1418E566~EE ~. ~ - ~~~ 1 ./,,. y../// / ,. err./ r.1w~. JI _ 1:0000 9000 7~:0 7 ~ ~ ~ 000 ~, ~8 c 5 6 ~ 7~-' ._ r -..II ~hia,\ "~.- ~.. a'aAa'i•... r'Na'r'aW ys4 a'saWiL.LL'a1.i.' a'a'rWal+l+lry. a'Ni4~ ~LL.. ial aW+la' uallt .atrlii.,. 4'i'J1... 1iWL.i.'.J a'rW~I.~iiLL44W.~`'.L:i uLli4''i4 L.l iar.'a'iA~al.rla.~ 'aLlIIaI.MY+.~•a ryt'i•~.W '~. a,.i.a-ala ..a ia.•a a'. - ~y~ .. •'~ a~ ~. •1~ - -. - '~`~~ ~~,~,~~_ = -1'ii:l~,x~:~~~r~,r~'~~~i~i~~~r,:~ «~~l.L~~i~r~,~;tc~~_~~; _____5~~'IES EE _~.~ ~ } ~~~~ off\.. ~~~~ ~~~ \:1 '•~~~l~~l~l;''t.. i ~~ ~ ire ~., tNTQR EST CEASES 30 YEARS .i••~i 1~ ~.. ,..~~:. :.) ...ti....r~~...~..,... «.:.~ ...r`-.r,.~.~.....~.~~....~FR OMISSUE OATc 'i ';; • ~:." '24I Ib 42T5 4"a 1931 ,'_. _ - 82~ ~; M7RT~# STS FAT _. FRS PH.~'i. ~~1~~ :..-. CARLISLE PA 17413 FISC AST':US• i ~ z~,,.L - - t55UlNG AGENT'S ~ ~. -~,4 .~ ~n~r 20 1991 I ~. .; ; , ~. .. _ .. ~ ~ 1 OAT:NG STAyP ~ r .. . --.~ ~ - Pt3Q 4A~hElL S~itT~. .~~~~ ~. ~. ~1=4-:4~r3-J46-9:15-~E ___ r. ?_fai,c>~~'~ ~~~- ~93~3{?4~J©3C `~09 341U8 'RA _ . ~~.~~,~ ,~ ~ M4304b815EE .S'.,..i~~ y.r~~f~'nn~.~~nr :0000 9000 ? :0 7 ~ ~ .500 ~ 30 4 68 ~ 5~~' i ~. _7,'' ~: n ~ ~ ~ ~. O O'; ~ ' ~ ~ ~~ ~ ~ I O O O I ~* i* i* N N~ Z' ~ ~ ~ ~ i 00 _ ~ i 1` i~ O~O;;~I~~ O ~i~ ~ Ie-iN'N NI ~ +-~ ~O;O~O'O' N ~~ ca~N'NININI ~ ~rn;rn N,~n ~ ~ c~ ~o~o~o 0 o •~~~ , c • ~ ~ -a L ~ y„r ~ ~ L OIO O O Q~ ~ r- II r r r- i ~C ~ O{O `O O~ N IIIIII N N N I- o -I~I~I~-I ~ ~.+ O a? CO l.C) ~ ~ O Oi0 O Z ~ o to 0 0 1`iM~CD O ~ ~ NON M o ~'~ ~; ooolo ~ O O,O O I ~ ~ ~ d• ~t O O OHO; COO N NI a~ M~r-~i ~ N CO d' r". ~ d' M M M ~ 0 ~ L -- ~ ~ n/ C o CD~ o O a N o, INI LL ~ ~ ~ ~ (~ i M N C)O CD ~- ~ d" ~fj I~ , L C ;~ ~ O Eft 00 oO ,oO~ ,•~ C ~ U Q ~ ~ -- O O 0 O 0 ;O 0 ~ ~ o o o o ~ ;o ~ ~ o 0 0 0 ~ a ~" I ~ ~ 1a7~0 OHO fA ~Ir- r~r~c- N O~ ~~N ~ O OIO O p^: 01 ~~I I ~. ~ ~'"'I i ~ ~I (; O .~,,,~ V' ~• AIM ~ ~~ .a+ ~ C~ O O O 0 0 N L I .t2 W W W ~ W ~ W W WiW ~ t` I O CO ~ V' Z (V ~- c0 I ~- NI~- CO~~ Cfl N ~ CO ~ O~ 1` N ~ ~ '% r- I ~ 00 O ~ i ~ r•- r r M ~ to I M d' d' j V' ' i ~i~ l i ~ ~ O O OHO; ~ O~O'O~Oj I ~ I~i~ sir--l i~ _ I f N -~ ~~ I I ~ ~ ~~W~WIWIW O I '~IWIw'w,w ~.- ~-- o ~ ~ , ~I .~ ~; I c ~ I oil Z ~ r- N ~`'> V' > m m~ __1_1_ ~ ~~ ~~ ~ o ~~~~, ~m•°c~ ~ a~~ ~ ~ ~ ~ T.~ ~ 0) '~ O~~'t Z .fl 'D X to N C O t ~ V O C C ~~ N ~ Tp ~ '0 ~ +- d N C ~ ~ ~• U OZ C O N .D O "" L _ . a ~ ... = n~ o ... ~, ... C •~ ~ C (0 ~ ~- `= O ~, .-. Q. O ~ C E O ~~ ~ X"O Coo~ro x U ~ M ~ O ~_ W•~~~ ~ cnW ~ ~•~ 3 ~ ~ ~ a 'a ..+ U~ ~ C O .C C •~ iCZ~ ~.n ~ N ~~•~ X 'o ti ~ j W O d) ~ ~ ~ ~' ~ (~ ~ '' ~ ~, ~ C cZ~ cco~° -v ~ ~._ ~ ~~_ ~ c~ c~ ~ U no``oo ~~~~~ 3 •~ •v -v a~°i C ~ ~ _ ~ O C ~ ~ L ~ •` •~ '~ U ~ f0 fU (p X Uo33w w, ~ww ~ ~ o o L 'B v~ cn v~ ~•~•~U Q(ACn ~ ~ ~ W 3 N•~ ~.a C ~~~ O A .O ~ ~ Q~* • ~a. . ' r- v- O N m c~ d. v a a~ .f""'~. I ~ • ~~ ~' ~ ~ ~ # ~ ~ ~ I ~`,~>. • iii J I~:.~... -- ~ - 1 i ~ vl - ~... ) rte- _ _.... - _-~ - y i~ . 1,.~1 iJ 1 . J 1.~ i ~ ,. T ~,, ~ ~ ~~ :~ I'i~i~,'I D ~'I?:~-'I,I',:~~ ()I~''~ li~:l~I~t'~ tr'.~IT . ~} ! ~ ^' 3~l _ AT a MATJAITf Eic ji x l~>{V - ... i ._. ~. c, 3 : . +~ ~ 3 _. ~~~ - _ ~ ~.. ~ ~ ry ~.' ~` NIL ,~ ~ r a A ~ '~i Z ~' _~ r ; r~ 3 P t'~'~r ~` ~ u ? ~j aV ~V ,.• ~ T i t ~ ~ L ,'A,.~~T s .. .;9 - - _... ..-._. _ -. TAMP j. %. t- - Kt. -' :. ~,~ ~ _- 'tl ~`'~~ ___ - 4 ' 1' r ~. ~, ,~ - ~~F ~ _ ` ~~: ~ _ 7 ~ - T ~ ~ ~ ~y=~~_ ,,,~. = - - M 31.19 b 2 ~ ~1 E E ~- ~, ~ __~~- - - ~ y ~~~~. (/// III ... L96 2 2 ?, ,. ; ., . 1.,. _ 09000 ?~'0 ? ~~~.~t 00 3 L -- __ 0 s rv iii. v},~ htl:r`h'r ?~dV ft ~: 1 ~.. - -- - ' ~ ~'lyytY Y~y ia't v.Vf 41:U.t}C _ _. _-_ _ .O.d.4.0.1h~a~iu~-'~aatl.., i.'•i i:~'~:i - - ~Vr s !~: .. ~ ~`J' . ~•r`` ~~~ - ,~ ~_ , ~ <.'~I ~_ ~~ J-~ f - -..-__- jr~~~:~~~~~.ii~~r~r~ ~~I~MtiITI~,~~~~~~»»~,r,~~c~'~~~ ... w.~ AT THE MAT UAITY 11E aE('F WILL VAV w ~ ~ __ -__________-. SERIES -_.__ ~' E -~{ ~{ 2CI 1~ 0~?~ 0~ IagQ i ~? ~ ~~ "v ~.~~ STF.~E? ,~ ~ ~ :NIL ~ ., :Q~LISLC PA 17;13 ~-I5C ~ ' ~ISSU:NG A T k1.S : ENT'S ,~' ?~ S~~ 2 0 , 1 9 9 .. ;; , :~ ~~ ~ l10 .~-0-0~ ~ ~~ - -,-- ~9.:~Z5500J~+37 00~~ a~~ 34iQ3 x.00009000 7~.0 ? -~,OOa~,waL~S,,? 2,L 0~~' { LaI...J.Jw y...~ ~a ~i wy. a~~y Aiaui.:i:w •a4{i/.ii.l%.Y w.uy.i" ~..-,? ~ .•` ~ ,. - Sa iQ"ia'ya ~ A - -- - - - ._ _---...-- ++.,.W.ca.u.~.~~,u.~a~.uiL:~+aL..w:k.:~';.~u :i:~:~u..,,.~.iiAL..~.'J.a.i ~aa~,.~..,. ..~.w.~ _.. - .... -- ~ `1 _- _..__. ._.-__- .. _-. _... _._ ~_ I '' ~ r ~, r~ a F ~, r~ v , ~ •) y TAD ~; ~`' ~ ~~ ~~ I'II I~, Y .\ I ILI.,I) ~ I~11 y„~~ O1~'.~-fit 1.I.1(tl~t~. S ~ IES ~~ 4. - '',~ ~ u'_~ y ` `A7 THE MAT UAITY NE H•EOi WILL iAV •:>~sss ~i+~„~;~, >...~ ' O\:1,Elwll,OC ~~~~\ll~1JOT.i~~~l:~t ~' 201 16 4275 02 1991. ___ , i 828 'rI NrJRTN STQEE ,1=R8 PN IL ~ ~;` CALL ISLE PA 17013 FI,'SCS~~A~TNTUS -; F E B {? b 19 91 "' _ ~~ ', ` ~ JCNt~1 S~9ITH - ~~-- ,~. Qo~ :: ', f. ~~;~~~~, _ ~-Q-041-825-t556--EE -' ~. ~~ ~'-, ~91035DOC457 007 34148 RA :~ ~~ - ~~-~->> .~= ~ - ~ M4182EbbbEE ,~, .1.,.. ~~ ,///. /. .,~ ~, i ~. v ~ coo ~ooo =.- ~ _ ~ ~ .-a•,.~...1~~. u.~~u....~ a~.~a~aa. a~.,_.+..~~•~~+t.aaa ~itia ~y.+:;i~l..i`wi„ ~~r:}:ii~'+.w~' ~,'L ~.t.~.~.~~ :~.i:..~ ~.y~~1.w :w ..iaa~.~..r L ~ ~~_h. J. max. ~~.u-~~x~ ~aa~.~y:lt a r O r c6 4- ' GO ~l ~ tti71 ~ 1 ' ' ~ , 0 ~ w -!~ A ~ p~ ~~, a~ i °r.,y 1 ~ t O' ~ ~ ~1~~ ~' o~ ~ a ~ ~ ~ ~ ~, ---o .«~ V U- ~S' ~ ~ ti- ~ c^ ' ~~ Q'om O ~'' _ ' '2 ` ~° d ~ ~~ '7' cn' ~'1 ~ ~'~~ ~,.., ~' a ° ~, a. ---" o ~ `~ ~- ,' ~ ~' ~ ~ `'d' 1 ~ 1 O ~' ~ ~ i ' r O ~ ~ ~ ~, ..-~ ? ~-+ +, o O O , '7 ~ O ~ v N ~ ..~ ~ CY'~ ff~~ ~ ~!~1 a ~~.~I ,~ ~~o i C G ~ ~ r .Z 6~ ~ ~ d to ~'d ---."`_ O O~ O ~ ~ ~ ~ ~ 0 r!i ~ O r *- w ~ ~; ~~ ~ ~ ~{ ~ N -~~ o ~ , o ~ m, ~ ~ ~ _-~--- ~ " m - "'a -c3 ~ O N ~COa% G ~ •.:• -gyp T ~ N ~ ~ ooc~o~ Z .~' ~ ~ L~ ~ "d ~ N ~ O ~ N ~ -O .G,,..~- O. U C.~pN pz~~+-r _• 4- ~ O = N ~ C C ~ t4 ~ tv +~ o- O ~ ~ C' Q,,,.3 '~ 4 r yC 'O O3L a K G L ~ ~ ~ O U S1 4? -p '?(' p'y tD .fJ U N u! ~ N ¢ 3 ~~a c' c~~ ~°'n oZ-o o ~, ~ N G ~ .... ~ . ~ Ct5 ~ r [`~ S~ LL1~~ ~G 11~~~~ ~Z N ~ N ~ ~ ~ V N o 0 0 c~'a a; .C'p ~-p ~ 3cw~°' C ~N N~ O~N•~'U D LC,,, ~ ~ ?C, ... ~ ~ 311.E ~ g~w ~ -a ~ *- -o C O o ~ t0 ..- -- ~ 'O N ~ N ~ Qy (~ ~ '~ N U a N to ~ ~~~3 N N t!S "d `D ~ O ~~99 ~ -~ Q tfS x `L 0- . _ ~ ~ //~~ i y 1,IIi"i~'~ I "~ ~ \y~.~, ~.ry` rii~Y ~ ry ~y/j; .......a ls~~:~ li..~,~~1`fl ~1lil~~~l~+I~~~~t~I°l~lll/.1~ ~'~j1~~{ T ~~ ~~ L y ,~ t e ': ;r?s"N~ilr 1f~~1"\21~';~~~ ~ ~ r -~ T.t{ i~ '1 I i. '1~ r i.,.J1~/ll.l ` -INTEREST CEASES 3Q YEARS =• t'~ Ott - FROM ISSUE DATE - ~.. t_ ...- . 2O1 I6 0275 05 _1995 ._ . -_ X ~. ~- ~,~,:' 1;, ERMA S WIMER "_`-_ ~' ;, ,~ ~ - FAR B PITT , ;~ ,_ ~._~ - " 05--09--95, ISSUIN AGEN75 ~' may. {.. ~ 828 W NORTH STREET ~ ~ _ ; z ~: ~. CARLISLE PA 17013-I~43 ... ,.. ,, , .^. .1'I.NG STAti1P ,, i ~ ,, ~ ~ h~ POD :DORIS G SMITH : ~_ , ~ -_ ¢;~.~ RDS=A 043000261-0000 .000,0000 050595 033 _ 00-x+5115957 _ ~ ~-,~.~~~ D 4 51 1 S 9 S ~ E E ~ ,. „y . ~.ooo0 9000 ~~: t^ ~0.]S.'L ~~f~`u{C`21LV1'G1Y211~~ i~'Y_!.C'?XtSJ I i..H;iyll.k ~E 1_:_~~41iiy.Lllti.~Ji'~+ LLl+.ta4LWf1.~Wa.4L.1W7~~•~N:.1~1~11LWL~~L ~~S'F,t41LU..~iY_,E~ ~~litYLW.~ 41Yfi'A.].+fYtRKC.II,:Y1 h~a~.~~.~~' .'l... a.y~;'~~ ~i ~,y~, 0 0 ~ ~ ~~ r~ ~ ~~ ;- - i ~ ~ lo' r r 0 0~ o; N Ni Z' -.. CO d'C I ~ ~ !# ,« I ~~ ~ ~ I ~ O, O; op~ ~ O O~~ ~. ~•~ 'rte O colrn ) j lolo I lco ,a~ ~ ) ~ op( ~! ~ ~., ~ ~- ~~ Ri +•+IO nj ~ ~ N r-~s- O~O N N fN!N ~O~O N N N O N ~~N O N ~ , I tC +~ ~ ' ~ ' I` , ' ` i ~ V ~ o O ~c I C 7 o~o lf ) i O o~o I o ~ o I C U LL •L . ~ ~ ~ a.+ ~ O ~ ~" ~ ~ 0 0 0 0 0 I 0 0 I O ~ 0 +-+ ~ 0 N ~ O 0 N ~ t~ 0 N ~ 07 O ~N ~ Cn O 'N ~ ~O O N ~ ~~ O 'N IL1~ , ' I y ~ Ll ~j ffl lr 0 O O i0 I0 0 ~I ~Z II l IIf IfI I C ,~ 0 0 ' 0 0 0 0 ' o 'mot r- d' ~ c'7 + N N ~ O ~-- ~-- N N CO o0 } tf7 tf3 In Lf') lfl I C'') C`') O O ~ 0 0 0 0 0 0 0 ~ O X O 0 O 0 O 0 O 0 O 0 ~O r-- O r V • ~ ~ d' V' tt t7' V N N ~ ~•' a 0 0 '0 !0 0 (0 0 cfl co o o o o 0 ~ ~ r-. t` O ~ CO N t.C) 00 CO CO I CO ! O 00 O 0~ , r `~ r r r ;r ~ O ~ ~ I ~ ~ ~ o • o o io o o? ~ ~ ,~,,, cfl co (o , 0 0 0 0 ~ ~ ~ C ~ ~ ~- I`~ O' O ~ O~ N ~ tf3~ O CO CD o0 00 CO 00 O ~ N O c0 N ~ ~ 0 ~ ~~ ~ j ~, V J U ,~ . ~' Q ~ ' 0 0 0 ~ 0 ~ 0 0 0 - O 0 O 0 O 0 O 0 O O~ o O O X O ~ ~ • L o ll~ ~ 0 lC~ 0 l!') 0 lf') 0 LC') 0 l1') 0 In a a ~ f~ 00 Q5j0'O CO'C~ a~ ~,ao,oo oc~;rn~rn~rn(rn to RSIr r r~r ~-r r ~ ~ ~ ~ N 0 ~~ ti M~tl') Olti~ti O O O,O,O O O .n wlw wlw1w w w ~wwww~www ~~~~~~~ ~Nc~r--Ococo Z c~ v' o ao ~- + r~ r~ CD (~- CD ~ N O O ~ 00 (` .- O 1~- 07 O • L- 0p 07 M 0p ~ ~f7 t.f) d 0 CO o0 O t- r r °o;o °o'o °o °o~ O olo oio 0 0 0 C r ~- r' r r ~ r i ~--- ~ Q IE~}I I N -~ II 'ate •°'(w w~w;wlw w+w o ~Iw)w~wlI~w wIw'wl E-- ,___~ 1_ ~_ o ~ r-----I -~ j I I I ' c~ COI Z ~r N)C'~(t7' tI~ CO't`~ > mlti ~L_----L--=-- ~--1 - -L-J C ._.I_J a~ ~o C ~ O ~ ~II N ~~ ~ ~ ~ U ~ ~. N ~ N ~•-gym V OQ~L Z~~ X t/~ ~ C ~ L'='OO ~+_' Na C C ~ ~ O ~ N ~ 'fl~i ..~. ~Rf ~ZCO~ • ~ L _ ~ "~ 2 ~ o N N +-' ~ «~+ ~' d °~~Ea~ °'o` o ~~ C X N V ~M ~ O ~_ W.mro~ v ~wa~~~~ 3~?E~. c o .~ ~ '~ ~Z-o ~.o ~~~~.N X~~~ ~ W~~ ~'~ ~ N ~ ~ Li1 ~ C O ~ . ~ ~_ ~ ~ Q1 ~ ~ ~ c c~ U noo`o ~~~~~ c~ ~~•--~ 3~ma•°ia~ a'-~~c O ~ U ~ ~T, ~~C"'- U ~ L N N U~33w • oulLLj o ~WW~ °~~ a ~ ~ ~ ~ ,a~ .~ ro ~`-~U Q (n (n ~ ~caca3 .N ~' .~ a c 0 ooo~ ~ .n ~ ~ ~ ^ v Q ~ * • ~a• .• r W r O m -~ a~ C .c::; t:- - .• ~: _ ,__ _ ~; V ~ ~ ._ ; 201 16 0275 04 1987 + ~ i 3; ~ _ '~ r ~ '' Ezma S. Wiener ~ =' ,~ ~ - ... _ ~~ ~rf; ."~ 828 W. North Stzeet ~ ;x ~~ r„z,, Carlisle, Pa. 17013 : ~ ~ ~ ~ ~- :.+ '~~ ~~ ~ P.O.D. ~ ~ _ ,_ _-.._ ~^ Doris Wax Smith ~ `~~`~""~ M2088b~54EE ,~.,.~,,,~,1 x:0000 9000 ?~:0 7 '~~'~~~ ~00 2088 6 3 5 ~, ~~' -~ Y- ~~. r.- ., -~. ..... ... _.~ _. r-«._ .. .~_ .. _:"...A ~7' 9 ,J t . , , _ _... ._ y -. 201 16 0275 07 1988 '~ ~I~ila S t` ime 1• ~,j s;: ~>..t ~,,1 ~~> ';' s ~ 828 ~~'. ~;orth St ~- y~y~.. Carlisle, P~\. 1-701 j~ ~ Ts = ~~~~~ Doris Smith ~~ , POD . . 3 r- ; 4,, ~l' ~,-~': ~_ ~.:. fi =--~ .~ `~`°~ - 4-. M2b9~14~9EE ~; _ x:0000 8000 7a:0 ? ~` ~''~ 00 2 6 9 7 L ~. 2 9~~' . :>, + , .. .. - I - tie's .~ .- $~~ ~ .,~ ..~`. ' ' -... r~ k ;~, ~~4 f- o __ , + .r/ y _ 1 ! _ I .,, ~, ~~. rt, ~ ^,.'Y".3' a"r' 7....-, ..r. r .~~i5 i~ {x~ J/.J »' , F! , 4 d ) L J '.' Sir, }; 1 ` ~' 1 ~ ih \ , a ~. r ~ { ~S - -. _ -. _. '__-_ y- ~ a -- ..c.._ .~~... ...~~i' f ~ ~ l ~ era / t i -~,d ~t~~7~~.7 ~1; ~~~~1~~~~'~i~ __, _- -.-_..___.._._ ~~_._ b:k _. ._ - `. 7 P 201 16 0275 03 1989 T~Err~~a S Glimer 828 W North St. .Carlisle, Pa. 17013 POD Doris Wax Smit'n _, LAS'- - ' r .. +000009000 ?~.0 7 ~ y, j, 00 28 3 160 39~~' .. ,... - ... .... .. , ...... ~ ...... _. _.......... .,...-.. .u.. , ,....~. 1~..... ,... _.... ~JV~ ~~ f,jf, ~~j~ ~ ~~iiic,., Il l) -1~ ~ ~`\ ~11w fl N RI ''~ 7.~ f~ ~~ -J a~_ r _ - ,- / •`, _. .. ~~~. }..r•.:,.. ~~ j :_ i ill ! _ . •au 1_-- ~~~ ~+l ~_./i~ ~l :1111, , iJi~' ill a .. ',~y' ~ ~'- ~ ~ ~ 'I'II,I:, I_~:tiI7'l.l) ti't':1'I'I•'~;t)1 .1>1.1:I,Ii'.1 ` ~ ~ ~ r~ ~ 11 ' .,:, '~,,,' ;f~ ~,~,~ z ,.~ '' l>.\ 1~:,'1'I I{ )i_'.~ ~\ l) I)t)I,i,.~l;:-; _ i ~~ -~ F t 3 3 1t~). , ' a~ 4 : _ a ;f ..- _ - .... - ., .IG c~1 T5 'i.... ~u ~ ~ ,~ ~: '~ a _ _ Y ~ ` _ r r` . Yip ~ ~ "i ~ ~ ~ .' .. 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FR JM~fSSUE D:.TE _ 201 I6 0275 07 1998 ~: _ tt ~~~~,,'~~ _`x /, ERMA S WIMER -~ FRB PITT t~ ~ •' 828 W NORTH ST ~;5~:~la,F;,TS ' - ~, ~ -~-~'~ --~, ~~ CAf.'L I SL_E PA 17013- 1743 ' ~ _ '% I~~~III~~~IIl~~~~~~II.~II~~„III,,,l~I-~I~rll„~I~11>,~1~~,11~1 °';~.,° ~-~,,. ~, '=~~~,~1 P0D DORIS SMITH - ''"-"1` -`~~~ RDS-A 043000261-0000 0000000 070898 010 ~ ~ /,~.;, 0071590385 ,; ~- , :~ e:0000 9000 ?1~0 ? ~~ ~}~f500 7 ~f 590'38 5~~' ,,~. ~ , iWa.,N.at..•~'~a~i.•ult.`.....~..«w....~~~~.. ...•..,i':.~;i•.x.W.x.'..'~w ~.~x'..i~ ~'~•.i~..,~.,..~....t'.~•:iA'~~L~, <- 0 ~- cv c~ m a ~ ~ ~~ O ~~~ ~ ~~ ~~ } 3 -.,~ N , 1 ~, t~ "~' ~ 1 4 ~ •~ ~;~ ~ ~ ~' ~~ '~ .r.~ as a 7 0 ~~' ~ ca ~~N ~~ ~~ a~~ v o~~ o t ~~ ~ ~~~ C U 1s• ti... ~ ' ' n. N ~ f 4- ~~ ANN ~ p~~~c~ ~ O Z '~ ,'ov., csa 1 ~N~ ~ `d I ~~1~ ca ' x.71 O O ~~ N N' rn I ~`,~~ ~~1 .1 o ~ ~- ~ ~` ~, . ,r; Sri < Y ' a ° ~ ~ o ~ ~°~.° ti ~ ~ ~t o ~+ a> `~' ~ 1 ~ r_'`~' ~l ~ o ~ ~ '^J o ~, ~^ 0 ~. G ~ ~ ~ J ~ ~ ~'~ 7 p O ' ~,,. 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J 1 ~;jf5i i f~.', 1~ ~1 '. - !`1 )'~« Y~ i ~1 ~~~.t '~~-~~: ~.~~ ~lila.~~ ~~. ~N?CREST C£?.SES 30 YEAR .» ~. . ~ .,~ ,~..-........ ..... _... ,.... ..... ... FRAM ISSC.'c OAT 201 16 0275 ~05 1995 __ _.. a• , t ~ -. `~ ,~~.; ,, ~ 1,;~ T:; ERMA S WIMER ,,-----_ ~~ FRB PITT . ,,_.~ ~..~ k~' ---~:,'~ 828 W NORTH STREET ;~ 0,5~,409-.95~ `'u .~; !CARL I SLE !! PA 17013-1743 i • ~ Ii111~~1111~~1111111~11" /111~~~1II~IIiI'll~~lll'1~~11'111~~tI o>riuc sTxu~ '` ~~ ,; ,; r;t,~ POD ETHEL N WANDER _ ''~'` RDS-A .043000261-0000 0000000 050595 033. _ `0`04115960 .:.- ~ ~"' D451159b0EE x:0000 9000 ?~:0 6 1~~'at 500 ~, 5 ~ ~1 5 9 60-+' ... .. ,, . ._ _YSWiwl.:LL.aLwJ. .Je .~. -..a~t~1 ..u...;~~.aW.auluiv.~.u«~.t_v:+i.,x.a.~.~c.'..L..:.'..u..'-~:.i...w..,4U~~.~:u •,~ ,,~ ••.: .. ~ ~~~ti~/~`~~~'~•'w...-ua~ta.~/+~~t~44 L,~y1~JiULY1 r4•.4144.aLi4lyl~,~bNaYaf4iWa5Llf 4Y ••~_:14!.~4'.NSILtcLJil~.LlY1~./.JdL4!+.: ~~ N I CO oc ti ~~ cts ~. ~~ L ~-+ ~ o rd ~ .,-. c~ C ~3 %'~ ~ c~ L ~ ~ ~ r--I ~ +~ ~ .-. U ~ Q W ~~s Q l~ ~i--~ -I i ~ ~- 1 - i ~ ~ j~ ~~ '~ i~ VL ZI ~I L i I i~ ! I j ~ ;r` ~~ ~ +~+,O I '~oio~;o ao mi IOiO~O;Ol0~0 ~ R'N ~ ~v ca o N'NIN N~NIN! ltilMi~n,rn!r-Ir~~ o o o o o o' ~ .~ c , . ~ l ~ ! ~ L~ ~ I + ~ ~ o 0 00 0 0 0 ~ ~ r ~' +~+i0 ~ SIN ''r r~r rlr c--I O OIO~O;O O N'IN!NININ N t 1 , '~ J~-- Z o'ooo'oo~ .~ ~ Io .~ ~ ~ ~0 0 II _~ ~ O r ar d' r M N M ~N jN ~OO N I00 ~ ,~,, 0 ~ O 0 ~ i0 0 ~ O 0 ~~ ;O 0 ~~ O ~ o O 0 07 ~ ~ O ~t O ~ ~t O ~?' 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N I f` N ' f'7 'C1` O w f` r CO wo 'c7' O r w M fb M w' V' 00 M ~ O 00 ~- CD ~ r ~ O N ti O O O O L- ~ fb O 07 f'7 CD ~ fJ0 O ~ r l1~ r ~ . ~- tn N N N ct ! fit' ~ f`' O O OHO Oi0 Oi OI 0~ O' 0 O O~ O' ~ ~ ~ O ~-- ~ OiO~ c^ r O~ r 0i r 0I ~ 0 c- °'~ ~ wl w;wi w' w! w~ w' ~,i w~ w~wi wi wl w~ wl ~ -~ f ~{- -~ - I ~ t - ~ ~ _ Z ~-----~ `_' NIMi ! _1 ~r ~~ ~n'+ I c~I 1 ~ ~- 'pi r I ~ V' I wO i I~~ c- I~~ ~ ~i~'~ a ~I >( ~ v o ~ ~ ~ ~ i`a o °? o ~ ;, o .~~~~ (n j OM ~"O O ~ Lj~ t~ O O ~t Z ~ v ~'' c , I`-' x ~ a~ ~ a~ L~U`O C~N'~ ' O ~ N .C N O I IO; Zs ~ ~ Q, cII _ CO ... V ~p11 O ~Z ~ 0= I~°n' ~ _' ate" O V~MI N N 'y. I, Eta 4 ~ C ~ ,~_ O O ~. .. o E ~ aQ. -. ~ ~. ~o ~a~ X~ ~ ~- C O O X cp (0 U ~M ~ O X~ o~ W'~ ~ v ~ tnW N ~~L ~O'?~Q >, U .O ~ C .C C O .~ oZ-a c°.a X~~rn ~ W~~ ~~ c~ ~ ' ~, ~ G CZ ~~,~ ~ L L, S ~ ~~ L U n o 0 0 to ~ C ~ `~- 3 -°~ .o v ~ ~ a~m~ ~'-~~c O ~~ NL ~ '~ "'- U U~33w L y.d _ ~ O w w 0 W O W W C 1. O fU O L ~ N N N ~ ,~ ~ N . ~ `- `- U Qc~fn ~ ~mcts ~ ~ N N a -o -a ~ c O ~ D . . ~ 'vi Q~* • g n. c~ 0 t- ~~ --r-, o( al v . oj~~ ~ mL ` _ ~ i i\ , ... ~ ~ 1_I ~ ~ ~J ~ ~M_A ~ ` 201 I6 0275 O4 1987 F :k ' k r'f ' ~~' Erma S. Wiener ~. _ 3 _ "~ - 828 W. Nozth Street ~~^~;- ~: ~ ~ ~~-. f ~~ ~ ~ Carlisle, Pa. .7013 - K ~~ P~O~I7~ ~ t ~.-- ,.- _ - .. ~; Ethel Wax Wonder {` ~ ` ~ 1 "~~~~ h12088b355EE a -~ ~~~ ,,,~ ~; x:00009000 ?~:0 7 '~~ ~~ 00 20886 3 5 3~~' _ . ,, ;. _ J w. ,. :. _ r. , ,: .. x Y a r ~ f r 3 ~ . ~. ~ .. ~ .~ ~' ` - 201 15 0?75 07 1958 ~< . I ~ ~ JY 'f i ~ .. ~ ~L~pC3. ~7 1'~•1~11 ~i1 s~.c 7~~~ ~i~ ' ~n ~~ggFF ~~~ , - 5 2 8 IV . fort li S t . ,~~~.~..;~. ~ ~~`~`, ~ { ' . .~~~ Carlisle, P.1 17015 ,. . . f~ ,,r-~-•.. ~~~; ~~,~. POD. Ethel_ itianclers .. Yl T ~ gI {.. ~~ ~- ~_ { ~~-.> ~` . K - v-- ~ ~ _iY ~~~r ~ ~ . . ~ . ? wn . ~. ~ M2b9~14~~EE ~~ 1:00009000?~:0? ^' }~~ 00 269? L~, 2 2~~' ;. .. ,,~ , . ,/i {~...,.,t ~ ~! ~,. 1 ~ 67 a~ ~ r K t~ ,~ {1 f { 7 ~ )~~~ ~~Yr ~r ~} +~1 ,1~ S~~Cd ~ ~/ /~rri.~~+{~ ~ '~i R.S; .. .. .~.._..L~.~..1.............~..~ _ _ e 4 ~.2 i ! . -1 :!~ ~1 # ? ~ 3 1 3 a 5h7 { ~ 6 ~ ~.q~ ? 1 ~^~~ ~ ,~ ~ 1 '.~ r1 ~Fi'1 -~ ~ _~ 1 1 y~ ~ ~ ~ 7 _ ~q}-1 a v 201 16 0275 ~" Erma. S Wiener 828 W T~lorth St . Carlisle, Pa. 17013 POD Ethel Wax ti~7ander 03 1989 ~p~.t:'0 .~, is ~ t 7~y~c .. , .,. L. L: ~._W_, ... i .__ -- ~71~8~160~~F=E ;~ . ~:0000 X000 ?~:0 ? ~` ~`= 00 28 3 L 60 3 ?~~~ ..... _ a_... ._.. \ _ ...... .. ..... ... :'..~ ... ..... _.1:..1.1. ~~...w,.l~v .: ~.t...... ... ..tel. r..~~.2,'..~ ... ~.. ~, .. wN~\V~/'f, _ ~~~ •1'~i+~li~ ~~/i ~'"=~v/~~ '>iii%~/i,+l !I`~'!,I ~~~\~\~ E './ Id "~ i ~7 _ ~~~ ~ C+1~ :H g _ .4 - .,•• • G..._- ~-i ~I~jl+ 1 `'~~~~1 mil, >~~~ • + +,! ~j~ ._ . :: ,, , ..,. ., , , ,, ,. _ . .J. .: - •,~2.. yl .. R~ ~~ t .1 ~ Ii I ,a.. ~:i • yI • ~ .- - .'~,au•. - __ __. _ _ _ - -_ .._ . . _ -i.' . ,... , _ .. ~ - - - / ~. 7 ~':~_ ~ ( ~ -- 'T'ill;, I,\.I'1'I 1) til #'1'1'~ ()l .1•Jll'1~1I ,1, ~ ~ a ~ ~' .~y•' 1~ , t.~ . _ y()\l 1'Il(~1'ti \\lY l)(A)i.1..1,1''~ ' ~. ~;. _ - +- s .1 .; ~~ ~tl l; 'i _ :. 11.a . / ? ) l ~ 5 y '~' ~ ''t ~-~rT~~ s-~,`~ ? - I / - :9 ,a ~' :00009000 ~~:o ~ ~~ ~,oo~,oBO 58 i ~~-' ~~ ~.: • .r..... y. .. l~ii "•iJ+l.N14tNiLJ.Cl4. .. W.~W~44/4'i41.1rWJI:LLJiI.a~I.IJ.M~tiJ.L'a) •-`~J_4 UAiw',. ;G~Arl~lWNal. a,lL'Yli +15M. i'~/i411WJ/ali~r'a4tC 4.i~Jakt.irW~.'tiJ 4WaL~'~~_IiLLiJ' ._ ." ~ 1-K`~111.j4.tr..•. .,. . ,...... •. a•../.., •r;,....,.V ~~::O'iif,;~l III +'I~~~~:~~ flf ~1 k !) :'+J 1~~ br ~I Id _ ~. 0 ~ ~ ,~ ~~,nl1,l'I+~i~ll~y~~~`~~~`~\;.-1'I/u t!~~~>~/y~;l~r'~~Ijt~~~i~~:~i-~ ~Ve; ..... 1 t ;`f=`'~Vj' , ~~ ~ ~[~iCI:i.\1`I:I;1)~'1~~~c1:~,1)t~ 1_~1I1_,1-rlr~. SEINES ~~ ViT•iNE CIA JRITY F,CRLJF I~,.l.~1I ~~~ a ~1~ ~ .w ~.I Lt .i ) '7 ,~ iz-; (.)\l l lrt)C ~.~\1) l)Ol.t:.11.ti': '„ ''''" a /'.~ .,, 7 ~~ ~', :~ ~i 'i -4 G>T~`: ~ 57.~r.12 :~ _ / ~ ' / ~"~ /' .,~ p f1 ?; i ~ ~ ! 1-2 ~ ~•~ r' L~ S its rf~l~~,`~1~-,1= - - ~415~~104E~ 1:0000 9000 ?1:0 7'~ E 900 4 L 5 7 2 LO ~,~~' .: ~~ )~~ ~~ .~r>: ~- "- 44,>a..'..,.. '~.'.,e:4 ,..~.... ~ ... ':.w ~..~'~'au.".1...4 'a':i:u~wtiawi~a++ 'au+i~.wu .~~l.l.J:4G., f.lA[LAkfiW.ViG.Wa'w'a~~'itJ 1Wa'Ji,' ~a 14 ~.1.t4 4+'~/ir~,sy„,,'a`Li'skv '~1./ili'iJ~J ...'.Wi..! 'a4W.ala! 4W+M%+Ja` ~ ss'.~ ~ '1 - .. _ - -- .. Vii.., - -'-__. ... - _ ~• ....~~ .. _ .... ~~?''-~ -:~ _.,U~::~ i i /..~~v__ :i \: \ ~.. i.`.,~ 1. w ,;;„~,t~~r: ,)1.~ ~Y/Z ~~y/~/~1 f'r?'~ha`:~~~~.. R!\~I (/ N />!) )~~ yl~ V !d +s_ {: / 0~:~ ,' ~ z`, ~..,.0 1 Yiii~rip`,+'lid1~;~~~~~~.,`:\V/.,;;;i~ii~i;+;+Iln~'1L111~~~~~~~~~,:~ \L~/' ,., ~~ ` .`, _ ,~ • -.~ ... 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Y.Ja1r.'a4'a.UG '1L4`U .Uw+~.~, •- ~ ~ j~s ~ •\~.~`,`~-~~/~/ fY/:!r' ~1i /iii%~4~ji~~~~r+1~itIIN\~~~~fl~ .. -,) ~1 1 }~~/ br~ d ,. ~ i1 ' oY *c~ _ I f ! { 1 ( ---- ~ ( ~.:10`~:~ _ --- --- - __,I,Ilill C.1i~l~l:I~ti'11'lily~'OT: ~ - -- ~;(t ~f„ / 1~ ~ ! T\\ \\\ Z Ai tME MATI~R+iY HEREOF HILL FaY :~ \.. _ ....._ i - __ 201 1. b OZ75 4~: , ,: j;~r ~ `~` ~;, FRM4 S NI!~=R <2 , 4 82.A ~ !FORTH STg EFI' ~~ ~.,'~~ - CARLISLE ` PA 17013 _ .,,, , ~;•' ~ _ `'~t t~OD M1~NAEL ~lANDER ,; ~;i~,,,,,t~,,t ° y/; 891 ~J35~J004~7 006. 34'lOB RA t _, ~:ooo0 9000 ~I:o ~ ~' 900E 1A '--- -- .- '.U~Aaly ay,aWi!a' i.t.aa,a~i`11~1.1~~Y.~I~W.Ma'yykl~l ~ r•:: ~ r~ 1 / ~•i _ ... . . -._ _- -_-. _, y~..:.:u.-wu,•~:iii~faW~'~•ary.x:/'S~,.'. s~~l~rs SEE 02 1991. FISH AST JS, ;y ~~'3 4~ 1491 _ _ -~ ----- 1~`~18C5bb5EE y ~. ~ \1~ 111/. :I 1~1 [;'fir 1 Ill S-1 11.1,5 (I)II 1~~i:1~,I~1:{I i, c, ~~ . ~ / - -- ..~ ~ ~ ,. r...._..... 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Inrer7 ~ ~~a aov <+ 201 16 0275 05 1995 ;;: ERMA S WIMER FRB PITT 05-09-95 828 W NORTH STREET '°.,, 1::'.,;` CARLISLE P A 1 7 0 13 - 1 7 4 3 ______ I..,Il1~~lill..,~~~11!l11~l~~Ill~,~I~1l,I!!II!!lI~II~lil,lllll ' POD RALPH WAX JR RDS-A 043000261-0000 0000000 050595 033 0045115959 ,~ ~~- , . ... x:00009000 ?x:06 ~ ~ _ ~,00~, 5 1 ~ 59 59~~' _. ~_ ~r~. `:.:~.A ... . . ll.: ,s lr.. ... .._. ~. _. .. .. c'.t.. _ _ - - ~ ~.. .. _. .. ... .-.. ..,..-.... - ....r _..._... ;,.. .. .-mot:. - <~L•~ _ _ W.as -....a. .. ._.., O C ~ r O ~ ~ ~ O C o a N C tt3 ~ '~ a` °- a L Q. ~ r'J ~ ~ ~ ~ ~ .•'' a. ~ U ~ ~ Q ~ C Q a N C O CD f j - f r i I I ZI ~ ~ ~ 1 I ~L O ~ OI OI ' ~ ~ ~- ~- ~ N ;N I ++ ~ ~ ++j Nj 0, N 0 N O~ Ni OI N O~ N O; ' ;N O ~ ~ N ~ to N ~ d'~~ N ~I N N; `i tn NI ~ COI N ~ CO N '` O ~ C O O O' j O O i0 ~ j ~0 u. 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RS E INTEREST Cc:.SES 3~ FRO1.1 ISSUE D.>~i E , J 2i~1 7 ~ i~t~5 ~>5 14~1~ ~ : •~> ~ ~,, ,. _ %, ERh1A S WIt~tR ~R~ FCN ~ _ -. _ N ~` ~ 1 ' , ~ 8Z~ WEST NORT~i ST ~ ~, ~`~"~~r~ ~. 3 CARLISLc PA 17J1 ~ -__ _. ., .., ~c 2~Y-, -~_ _ '~ 1'GD RALPH WAX J R _ _ ~ ? fr~j` y ---~ _ J'~ LU~ LL4 E'I~JJ LJ1 .~L'Ub~ ~`I.iCU~ Gb~ ~ 7 _, . ~' ~~~. 00009000 ?~:0 ? '~ ~~~f 300 506666 ~ 2~~' x . i ~ 11 `` ~ _t a'./ i... ..r... '.r 1....... •.- ~...ta. .._ .. ~. . r t.... s....i:`.. _. ..f .4 w..::vf ...:wf.~ ..'. .. r.., ... ... r.w+ -.... ~. _.. .v .., .... ~. ...i ... .. .. ~. ~ y_U .s./ 'i K'ay _ .-... _. . ~~. -- ~; /`${j ~i ~ ~ l~ ~rII I z~~ i~i ~:»~~-r~-i~l:~ ~~.~~ »r ~:,1.1t~~,_ ~ERIE~ EE - .'.t ~t~q ~-. ~~ ~~_..; - _ ) INTEREST CEASES 30 YEaR~ ::p~.!~~f~. ,3.. .. -' ,,... .. ~ .,.-.... .~ .-.. ...... FROM ISSUE DATE ~ 1992 G 2:x}1 10 ~~ ~5 , J: _ 1:, ~~ _ FR8 PGH ~ ,.: _, ~ i . 1~ n, 8 2$ s~i N O R T H S T 'S~'(7C~~"T~5 ~`~~" CA RL I SSE - PA 1 7~~1 3 _.._ ~ - DATING STAMP - ~a P~ ~ ~ QL~ (~ ~ AX ~ ~ R :;_f.;~, 031303821-t7%00.091~~2 f?02 002 r~DS-A ~ 1\~`JQ;S_2.3.32595 :, yam`. ~.:I,/~ .,` ~ _ ~~~~1~=, s>> ~ _: _ _ ~_t<<.~ ~ ,u - _ M 5 ~ 3 5 E 5 9 5 E E r.,..,. :x:00009000 7~:0 ? _ ~ ~ 300 5 2 3 3 2 59 5~~' ,. '~`h+Y.ll4 Y:~~.. ~t`~i ~: ~~: -.;~ ~-iGi ` t ~dG:.~ii~~..a.~ii."~i~'tiw~..i ~uduiw :u1't_a_'_u~ii.=~i~iidi~~4tO t7 Yd-~~i ;.RLL!•.'!f`.~:3.~~:ti ~'ird~-Y. },+Y ).y~A, ?~}.LL:aD.vr.U;,;.Xo,.rh. a~L:Ei'L56^eL~~ u",..e d. .;SS...iZ.xuLS'~auu+.+LW '-'±u11s. ~,~' - -- -- ~4~i._ _-•- r ~.- O N QS 4- > o : ~~"' ~~ ~ ~~ _ c' ~ p ~, ~ ~ ~~ Z I ~~ 9 ~~~~ 1 ' 1 ~ ~t'w CT~~p~ .r- ~' N~ +~-+ 47 ~ O p'i o ~~ ~ ~`~;N,NI C] `~ Cs' o~ o~ c~ ~~c ~ 1 ts- C. 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'" ~ .. .r ~.... .. ..~. _ _. .. . _. ~., ( ~ i i :1 ,i,~ ,~~ ~~~ '.3''3'.~is. _. :.~r-'art„ ~, , ~ , ~ ~ cif ._ ._. _• --- ,~ -._, ~ . .,., ~• _~~,;, s~~~~ i • "/~ ~ l 1 i ~ `~ r~ ~~ .~ t, ', 201 1b 0275 ~:~ E RP~IA S. W I M E R 828 4dEST NORTH STREET CARLISLE, PA 17013 P.O.D RICHARD D. WIMER ~~~ :.~~-~. ~ -~~:. =- D114699~9EE rF ~ ~' i:00009000?~:06 ;~~~~ 00 1 1~,699~,9-~' t~T ~ wx ./, .i~xi~,_. i`r..,jr~?.~~'xLG..w'i'`~'•s.~ _,. .a.sk. i >..i ~., ._a...: i.-a1~'.. .. )y. ~--_ .. i ~6~ - _ x k., 4 `.ix.x.....<.__ ,..::.L1 is ~4 _ :z1..~ "'~..._G:.! c.~x-.c.. ;.._...i?.i9iT+.i:x ; .rf..6S' ...;Sa..!_'Ll.~ ~ . ~~.i'sy .. ,~~ ;; ~~•~~~' ~, ^T, `;~ , K a ~ .~... }sn $ ~+' Jai t' ~'Mj''.~. ~ . j s ~ , `^ t_ .,~ ti~~ ,~ ~. , ~, ,' ..~.~\ ,, ~„~. . // 7~ 1 - J Y r +I 1. r~ 7 t r ,t ~,I,~]~., i~F\;],1 ].;1:) ~ 11~_itl.g~(~1~'.~1Ii]~'-°l'I~.]~'~1:~ ~_^ •~ W YET iN_ NA TUP'.TV rE E.r 'rll~. AY^ _ _- I I_;'~;Jl• ; i i ~~,1!l ~)1 ~~7~~1 ~; ~~t) I I.4y1~~ 6', ~~ ~~. ~ ~ ~ ~~ f ~ ; t .` ':~ G5 1986 Lam.. r'r ~~ _;;a n / ' 1 ,~ _~- l 1's't:~i ~~ _~ ,.~ ~~~~ ,- . ._, rte: ;., J~ . ~ ~ =... _. .%vE~ ~~y •'t j ~ 4;j ~ T ~ ~~;y{3 ~_NIL~, L J ~ 1 S f`N ~ ~ V ~~ w.' `~ 11 ~~~ J ~4O{ V / :ooo0 9000 ?~:0 6 {{~~~.~~~ oo i ~ i 1, ^ ] C ~,~-~ c w u,.., ~:• w ~ X„>l,k.~:w.:u.i'4uT1'~.. ~=- sr; LSut.s& ,x. ~ Y. A AU,;,~p )1)~°) ~ .v',~ ~ x.• ~., e..~itL4:uS.u,isa'ii+ia'J• ~ ~ u!N _ ~ ~ .x f.~ t.!t 1,,,V.~ u.ui.++:Stti?c..1a'lc'i.7.:~li.(i+~! ~_._ ;.•as~.~-_ •~ '--: ,..' " ~ '• nt a t.t ~1 ' +1 Ir5_ ~.d e.'_;~~ 3/ry. +.. ~. ~? .\'_'_" _`,'_"'` 1`~~,. Y•.`,~ 1~ ...~~i ' . ~~.. :. ~ J aa,;'r'^r--^~ i.~~ ti '0~";~b:l: .i• r /. 'i ~ il~`•~\ ..~_~,_ ' A fl.. xa ~ ) d j 1 /il~( ~~ ~~~ ~.~ ~ l r r ~ --'ia: ~l:~ . _... ~..1-: ~ ~~ ~ 1 ...v ;i ~,~ J_...+._.__~S ~~/ }II~III Ij q~ ~~~~~ ~~ ~,+,i//'41(1'~~~ 1'~ ~'~~°~ 3"~ 1. ,, .. _ - ,. i .. _.: ~ ... ..~ '~ ~~ ~~T~i~ ~~:~~~~~~ ~~;t-,~ ~J~~~:~,af~~l~.li):Ilc,-~ SERIES ~' '~ ., \~-- ~~,: _._ - ~: _ ~; ?~, ~ '_ - -. ` C ~i~_i`.`i.. ~i P A ~ 7;_J1~. ~1.St. HrT l7 `S F' ^! ~~ ~ L ~:~~ U ~ ~'i fit? _ x:00009000?x:06 ~ ~ 200 2~,69~-,~,~6~~' .~- O <-- N tJ1 (d D- O'~, Z ~ ~ ~ N .._. c9 ~~ y ~ j O ~~ ~ ~~ N~~~ n-~1 ~ ~ 1 ~ ~i,a,,y~; N, 0~,, ~ '~' ~ o' o~ ©~~ 1 i~ IL ~ '~ CL- ~ i O;O l.L- G ~ `N1 N ~ p ~' -s'~~r`- IZ ~~1 1 ~' 1, ~, ~~~ ~, I ~~ ,~ ~N~ Ii ~ ~ ~i~' 1 ~ !` '? 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