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HomeMy WebLinkAbout02-11-11 (2)J 1505610140 REV-1500 EX (°~-~°) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year Fite Number PO Box 28oso1 INHERITANCE TAX RETURN Harrisbu PA 17128-0601 RESIDENT DECEDENT 2 1 1 0 0 5 2 5 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1 7 3 3 8 7 4 4 8 0 5 1 2 2 0 1 0 0 9 1 1 1 9 4 7 Decedent's Last Name Suffix Decedent's First Name E D M O N D S O N MI D O N A L D E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL INAPPROPRIATE OVALS BELOW 0 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death 4. Limited Estate prior to 12-13-82) 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) OX 6. Decedent Died Testate 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe De sd Boxes (Attach Copy of Will) ~ po (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number L I N U S E F E N I C L E 7 1 7 ? 6 3 1 3 8 3 REGISTERS WILLS USE OFILY C _..._ First line of address ~`, ~ r~ ~. a i ~ ~ ~ t~ _ ^ ---, .r; °~ _~ 2 3 3 ], M A R K E T S T R E E T -r ~~ -- `"~~; Second line of address -'=- ~'`~ ~ .._. ' ~ t..7 City or Post Office ~1 ` , ~ State ZIP Code __E~ILED C A M P H I L L ~~ P A 1 7 0 1 1 Correspondent's a-mail address: LFENICLESIREAGERADLERPC • COM Under penalties of pery'ury, I deGare that I have examined this return, inGuding accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. DeGaration of preparer other than the personal representative is based on ail information of which preparer has any knowledge. SIGNAjU E OF PERSON RESPONSIBL LING RN ..,...,..',... ,~ _ 11'TE y >I 2264 FOR~aSTER STREET HARRISBUR 17103 ADDRESS 2331 MARKET STREET CAMP HILL PA 17011 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505610140 1505610140 J J 1505610240 REV-1500 EX Decedent's Social Security Number Decedent's Name: DONALD E- EDMONDSON 1 7 3 3 8 7 4 4 8 RECAPITULATION 1. Real Estate (Schedule A) .......................................... . 1. 1 8 5 0 0 0, 0 0 2. Stocks and Bonds (Schedule B) ..................................... . 2. 3 8 2 0 , 8 4 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .... . 3. 4. Mortgages and Notes Receivable (Schedule D) . ........................ . 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 3 3 2 9 9 , 3 2 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested 7. ....... Inter-Vivos Transfers & Miscellaneous N n-Probate Property (Schedule G) ~ Se ar t Bill 6. p a e ing Requested ....... 7. 1 9 0 7 3 5, 9 5 8. Total Gross Assets (total Lines 1 through 7) ........................... 8. 4 1 2 8 5 6 , 1 1 9. Funeral Expenses and Administrative Costs (Schedule H) ..... . ~••••....... 9. 3 1 1 8 5. 0 4 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ............. 10. 1 3 5 3 7 5. 1 1 11. Total Deducttons (total Lines 9 and 10) ............................... 11. 1 6 6 5 6 0. 1 5 12. 13 Net Value of Estate (Line 8 minus Line 11) ............. ............... 12. 2 4 6 2 9 5 9 6 . Charitable and Governmental Bequests/Sec 9113 Trusts for which . an election to tax has not been made (Schedule J) ...................... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) •••• •~•••••• ••. .... ... 1a. 2 4 6 2 9 5. 9 6 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABL E RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2)x.o _ 0. 0 0 15 16. Amount of Line 14 taxable . 0. 0 0 at lineal rate x .045 2 4 6 2 9 5. 9 6 1s. 1 1 0 8 3 3 2 17. Amount of Line 14 taxable . at sibling rate X .12 0. 0 0 17 18. Amount of Line 14 taxable . 0. 0 0 at collateral rate X .15 0. 0 0 18 , 0. 0 0 19. TAX DUE ......................................................19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610240 1 1 0 8 3. 3 2 1505610240 REV-1500 EX Page 3 File Number Decedent's Complete Address: 21 10 DONALD E• EDMONDSON STREET ADDRESS 3825 SULLIVAN STREE CITY STATE MECHANICSBURG PA Tax Payments and Credits: ~ ~ Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments 12 , 0 0 0.0 0 B. Discount 5 5 4.17 Total Credits (A + B ) 3. Interest 0525 ZIP 17050 (1) 11, 083.32 (2) 12,554.17 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (3) Fill in oval on Page 2, Line 20 to request a refund. (4) 1,470.85 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) o.oD Make check payable 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: a. retain the use or income of the property transferred : ....................................................... Yes ^ No a ............... b. retain the right to designate who shall use the property transferred or its income; ............................... ^ Q ............. . c. retain a reversionary interest; or ................ ..................................................... ^ 0 ............ d, receive the promise for life of either payments, benefits or care? ................... ............................ ^ a ........ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ..................................................................... ^ .................. 3. Did decedent own an "intrust for" or payable-upon-death bank acxount 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? .................................................................................................. O ^ 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 Jan.1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent (72 P.S. §9116 (a) (1.1) (ii)J. 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) p2 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)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (Ot-10) Pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT tSIAIE VF: FILE DONALD E• EDMONDSON 21 10 0525 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 3825 SULLIVAN STREET, MECHANICSBURG, PENNSYLVANIA I 185,000.00 SETTLEMENT 12/28/2010 - SETTLEMENT SHEET ATTACHED TOTAL (Also enter on Line 1, Recapitulation.) I ; 185, 000 . If more space is needed, use additional sheets of paper of the same size. REV-1503 EX + (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER DONALD E• EDMONDSON 21 10 0525 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 24 SERIES EE UNITED STATES SAVINGS BONDS 1,522.68 2• X86.821411 SHARES UGI CORPORATION STOCK ~ 2,298.16 TOTAL (Also enter on line 2, Recapitulation) ~ ; 3 , 8 2 0.8 4 (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (B-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. IN RESIDENT DECEDENTRN PERSONAL PROPERTY ESTATE OF FILE NUMBER DONALD E. EDMONDSON 21 10 0525 All property joirlUy-ownedwiffi right of survivorship~must be disc ose~d on Schedule F. ITEM NUMBER DESCRIPTION 1• Members 1st Federal Credit Union - Savings Account -106736-00 5000 Louise Drive Mechanicsburg, PA 17055 2• Members 1st Federal Credit Uniion - Checking Acocunt - 106736-11 5000 Louise Drive Mechanicsburg, PA 17055 3• Members 1st Federal Credit Union - Investment Savings -106736-05 5000 Louise Drive Mechanicsburg, PA 17055 4. Member 1st Federal Credit Union - Supp. Savings - 106736-01 5000 Louise Drive Mechanicsburg, PA 17055 5• KTAC Insurance Agency - canellation refund 3401 Del Amo Blvde• Torrance, CA 90503 6• Comcast - cancellation refund 1555 Suzy Street Lebanon, PA 17046 7• Department of Heath 8 Human Services - Medicare Part D Refund Office of the Secretary Washington, DC 20201 8• Patriot News - Refund 2020 Technology Parkway, Suite 300 Mechanicsburg, PA 17050 9. Med. Drug Refund 10• ~2 - 1958 EDSEL 11. TRACTORS AND ACCESSORIES 12• STATE FARM HEALTH INSURANCE DISABILITY BENEFIT 13• X2006 SATURN VUE 14• 1990 HONDA PRELUDE 2 DOOR SEDAN 15• (COUNTY/SCHOOL TAX PRORATION FROM SALE OF THE HOME 16. BART PRINTS VALUE AT DATE OF DEATH 2,805.94 1,606.21 171.76 30.31 142.26 4.37 250.00 85.20 250.00 2,000-DO 10,047.41 177.33 10,725.00 757.00 766.43 300.00 TOTAL (Also enter on line 5 Recapitulation) I S 33 , 299 32 (if more space m needed, insert addi~onai sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent DONALD E. EDMONDSON 21 10 0525 Decedent's Name Page 1 File Number Schedule E -Cash, Bank Deposits, 8 Misc. Personal Property ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 17• PERSONAL PROPERTY 1,000.00 18• ESCROW BALANCE REFUND FROM MORTGAGE WITH BANK OF AMERICA 677.95 19• MOTORCYCLE 1,500.00 20• DIVIDENDS ON ACCOUNT 2.15 SUBTOTAL SCHEDULE E 3,180.10 GRAND TOTAL SCHEDULE E S 33,299.32 REV-1510 EX+ (08-09) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON•PROBATE PROPERTY FILE DONALD E• EDMONDSON 21 10 0525 This schedule must be completed and filed ff the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION pFAPPLICABLE) TAXABLE VALUE 1. PHOENIX ANNUITY 190,735.95 100.00 190,735.95 PO BOX 8027 BOSTON, MA 02266-8027 BENEFICIARY - LAURA FOULKROD - DAUGHTER TOTAL (Also enter on Line 7, Recapitulation) ~ S 190 , 73 5.95 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER DONALD E• EDMONDSON 21 10 0525 Decedents debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. PARTHEMORE FUNERAL HOME & CREMATION SERVICES, INC• 11,222.92 2• GINGRICH MEMORIALS 140.00 B. ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address Ciry State ZIP Year(s) Commission Paid: 2, AttomeyFees: REAGER & ADLER, PC 3,500.00 3. Fatuity Exemption: (If decedents address is not the same as daimants, attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: CUMBERLAND COUNTY REGISTER OF WILLS 397.50 5 Accountant Fees: 6. Tax Retum Preparer Fees: 7, LEGAL ADVERTISEMENT - JOURNAL PUBLICATION 79.00 8• LEGAL ADVERTISEMENT - CUMBERLAND LAW JOURNAL 75.00 9• REAL ESTATE COMMISSION FOR SALE OF HOME 11,025.00 10• REAL ESTATE TRANSFER TAX FOR SALE OF HOME 1,850.00 11• HOME WARRANTY/PLUBMING REPAIR/ELECTRIC WORK - SALE OF HOME 2,034.00 12• SELLER ASSITANCE FOR SALE OF HOME 500.00 13• EXECUTRIX COSTS 361.62 TOTAL (Also enter on Line 9, Recapitulation) S 31,18 5.0 4 If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+ (12-08) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8~ LIENS ESTATE OF riot numestrc DONALD E• EDMONDSON 21 1D 0525 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. MORTGAGE TO BANK OF AMERICA - MADE UP OF THE FOLLOWING 122,939.48 7 PAYMENTS ON THE MORTGAGE - JUNE-DECEMBER = 44832.10 PAYOFF ON SETTLEMENT SHEET - 4118,107.38 2• MEMBERS 1ST FEDERAL CREDIT UNION - VISA ACCOUNT 2,602.83 4672090D00201954 3• VERIZON WIRELESS - ACCOUNT 031653120100001 139.89 4• STATE FARM INSURANCE - CAR INSURANCE 491.05 5• PENNSYLVANIA AMERICAN WATER 103.05 6- PPL ELECTRIC UTILITIES 571.50 7• CHASE - SATURN CAR LOAN X10615014271103 5,765.09 8• L•L• BEAN VISA CARD - ACCOUNT xxx7045 252.98 9• HAMPDEN TOWNSHIP SEWER/REFUSE - TWO QUARTERS - JULY-DECEMBER 300.00 10- WILT 8 COMPANY - YARD./LANDSCAPE WORK 1,859.24 11• ARNEY BROS, INC• - CUT DOWN AND REMOVE TREE 350.00 TOTAL (Also enter on Une 10, Recapitulation) I S y 3 5, 3 7 5 If more space is needed, insert additional sheets of the same sae. REV-1513 EX+ (01-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF: FILE NUMBER: DONALD E• EDMONDSON 21 10 0525 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS pndude outright spousal distributions and transfers under Sec. 91 f6 (a) (1.2).] 1. LAURA M• FOULKROD - DAUGHTER Lineal 226,295.96 2264 FORSTER STREET HARRISBURG, PA 17103 2• DEVIN MARIE FOULKROD-GRANDDAUGHTER (BEQUEST) Lineal 10,000.00 300 DEAN STREET ELIZABETHTOWN, PA 17022 3• THERESA MARIE BERRY -GRANDDAUGHTER (BEQUEST) Lineal 10,000.00 35 N• 4TH STREET, APT• 1 NEWPORT,PA 17074 I ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I E more space is needed, use additional sheets of paper of the same size. REV-1500 Discount, Interest and Penalty Worksheet Discount Calculation Total Amount Paid within three calendar months of the decedent's date of death: 12, 000.00 Discount: 559.44 Interest Table Year Days Delinquent this time period Balance Due this year Interest this period Before 1981 1982 1983 1984 1985 1986 1987 1988 throw h 1991 1992 1993 throw h 1994 1995 throw h 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 TOTALS Penalty Calculation If the decedent's date of death was on or before March 31, 1993, insert the applicable amount: Total Balance Due on January 17, 1996: Penalty: A. Settlement-tatement (HUD-1) OMB Approval No. 2502-0265 Number: 8. Mortgage Insurance Case Number. Number: 1 1. ^ FHA 2. ^ RHS 3. ®Carn. Urdns. , 4. Q VA 5. ^ Corn. Ins. Notr: This form is tumished to glrs Y~ a statement of actual setlkrnaM mats AMOUMS Wid to end aY the eeltlemaM sGeMS era atrowt tlems madmtl C . '1p.o.e)' ware paW ouWds the d tlro7l are stream hero for infomtetlonal s and are not IroWded fn Oro totals D. Name & Address of Borrower. E. Name & Address of Seller. F. Name & Address of Lender. Pled W. 6liles, Jr. E state d Donald E Ednwlmarr Bank d Amedca, NA 128 McMaare Lace, Medtanirahnrg, Pa 17D55 3 825 Su0ivan StraM, Madumtrahurg, Pa 17055 Atln: F~aprLae Closing Po1a, 6400 L.egary Ddve, MS T%2~8T2-, Plano, TX 75024 G. Property l.ocetiorr H. Settlement Agent I. Settlement Date: 12/29/2010 3825 Sullivan St 1st Advadaga Seltlenlerl Sarvlces kx. Disbursement Date:12292070 Medlaniceburg, PA 1705D TelepMrte:717591-7755 Fax 7175917756 Place of Settlement TitleF~ress 6375 Merry Dmns, Sidle t02, Medmnics6urg, PA 17050 Printed 72292010 at 6:20 am M KS GmasMoudDuriramBormrrer 700 ~ 400. GmnAmoanCDuetoSd kr' . . 101. Caneadsalesprice 185,000.00 401. Canaaclsaksprice 185,OOOA0 102 Pesaral 402 Peacoat 103. SetllenleMdlargas7obonower(Ikm140D) 5995.33 403. 104. ~. 105. ~. ~ pNd it advarp raltnreds lori4snm seller let edvana 106. CByAoamtams b 40fi. Ciyltownfaxas b 107. Coulty taxes 12292DtO to 171412010 3.53 401. County tams 12292010 ~ 12!412070 3S3 108. SdadTates 12292p10to06130/1011 75&01 408. SchodTaxes 1212911A10m061302011 758A7 109. SerRr&Trash 12/192010 tot1ld12010 4.89 409. SawerBTrash 12292010 to17131201D 4.89 110. 410. 117 41t. 112 412. 720. GrooMomdDusfiomBomswr 781.761.76 420. GrosaMaemtDueto7iYMr 185,786A3 ZOQ Amamh:PMd orln 8ehatl.otBatorae 500.. ReduNua NASawMWsto:tietler 201. Depotltaeaneslrmrey 2,000.00 501. P~essdepoelt~saealstrrxdlolls) 202 Pdndpelamarddnewben(s) 45,OOO.OD 502 SetlkrneltdletgasMse0er(Iine7400) 14,909.00 203. c lake! l0 503. FxIs0 a taken 'edto ~4. 504. PayoOdPoslmot~e0ebanb8arkdAtneica 778.107.38 ~. 505. Paydfdseoadrtbrtgagek~ ~. 506. ~. 507. 208. `'~' 209. ~. Ad br prruu se0ar for Poarsu d ae8er 210. ' Mown taxes m 510. COy1Ntm fetoro to 211. CaMy~a~ms b 511. Camrytalas io 212 Sdncl Tares - to - St2 Sdwd Tares b 213. 513. 214 514. . 215. SeNaA~ist 50D.00 575. S~Asafst SOOAO 216. 516. 217. 517. 218. 518. ~y 220. Tohl Paid Bonorrw 47,500.00 519. 520. Tohl ReMetlon Mount Dae Sa0er 131,516.38 300. Cash sttiallMtsedfionY4o~9orcowsr 600. CashatBetlNrrwrtfolhom8s0er 3D1. Grasanorrdduehenborroaa(hm120) 191,761.76 801. Gloeserrwdduetoee8a(Rne420) 185766.43 3p2, tnsamaedspeldbldfarbonuaer(Orm22D) 47,500A0 802 l•~ainamarddueaeiler(Gne520) 133,51fi.38 303. Cash ©From ~ ToBonowar 144,281.78 603. Cash QX To ^ FranBelbr 52,250.05 Previous edlth7r15 are obsolete Page 1 of 4 HU60 700. To61RWEetab~6mkerFeae- - .dt,025A0• ~PaPd From ~ Paid From Divhbnd~oommisalan ~e700.mfdl°aB. . - Borrower's Seller's ~1' ~ •~ b RarMaxlslAdvantage Funds at Funds at ~' u~'~ b RelMacReeByAsaodetes,kia Settlement Settlement+ 703. Carcdpion pad at adOenwN N,025.00 704. Camr b RdMaxlstAdvantage 250A0 800. Sens b-Gmeneetlon~wNlr Lose 801. Oufodgkretimdrarga P~s~r~On~t %or50A0) 5580.00 (hanGFE#1) 802 Yauraedlathage(pdds)1arOreapedncFrarestraledwser 5 (framGFEf2) 803. Yourad)usbd orf¢na0m diagea (fmm GFE A) 590.00 804. Appralaal fee b lard.Sek Servbe S~OAO P.O.C. (~ GFE 53) 805. Credit repot b Lad6sle kc 535.00 P.O.C (from GFE Ki) 806. Tbcservice bEACTaKSevkes (framGFES3) 89.00 807. Flood certlfwa0on b Latd6are Rood f)elanirellon Ina (flan GF£ ~i) 26.00 808. Progeny kgpec6m Fee 1e (konr GFE?3) 900. Oems Lendar.robe~Pald~InAdvana 901. De9y kdareetcleergas fran Ocrrr 121292010 b OtAtl2011 ~ 55.86001day (cram GFE 010) 17 58 . 902 14apgge Iris. Frerdum for mom b (from GFE 1q) 903. Homeoanels knurawe for ~Oa b ~ ~~ (tram GFE A11) 451.00 904. mmmeb GFE011 1 1001. hi8aldepadtfaryoureevowamoud (eomGFE18) 934 37 10~. ~ ~°~ 3 rtgntles 37.59hrnrdh 511277 . 1 Inwarce more S O.OOMpnOr SOAO 1004. Cky Pmpdfy Tax rrgnlhe S O.OWmonBe SOHO 100& Coudy t ropedy Taz 11 npn0ig S ~ANm~ 1385.44 1006. Sdbd Taaes 7 nronyre S 125.31lmoreh 5877.17 1 5441A1 1100. THk 1101. eervioesarM stitleWurerrce ((romGFE94) 805 88 . t102 BelBaremadakgfee b S 1103. Owrrels f8b kgrsarrce (Oan GFE 96) 678 50 1104. fmdelattlekeeuare ~~ . 1105. fer~aere99epoor,Y~„9545.000.0o LmrdefsPdwy 11as. owrrera 9aepo5rx 9nas165AOO.ao owrefs PU9q 1107.Agxd'spa0ondlAeBOIeIWe6~asnoePraMun 51,109.57 1108. Undarwnlera pa9on d0b bfal tltle kesaerke preniun S195S7 1109. 1200. Gosemoeent aMTnaWer 1201. GorarmentnlartWgdarges (franGFE1T7) 152A0 1102 peed5g20O S90A0 RekeSeS0.00 7203. Trer~s(erfbms (OamGF£~) 1 850 00 1206. ~'v% Deed 31 .09 1ao9 . . 1205. SE3bTmdatarnpe peed 1 AO 50.00 1206. Dead 30.00 SOHO 1.850.00 1207. 1]00. AddObnd,SeltlrnenE 1301. RequYod services tlret you can shop br (fran GFE 88) 1~2, survey b S 1 . Peet kmperAon b y 1 and Repoda b 1305. WeBlSeptlc Tank Ymp Fee b 5 1306. Bare Wemeoy bAnwlanffonre Shield 1307. Plunhkg Repgrs - b Drell Ddlars 569. 1308. Elecbic Wok b WS. Bachical Canlrama ~ 1309. 1iTraehl/13r~1 b T .Sewer 1,215 15aao 'Feld ardstde d deem hr aiMm...e~ rc. _. n r..._ m.._..__ .,-,,..-- 5,995.33 14.909.00 Prevbus editlons are Obedece Page 2 of 4 HUD-1 dGOOd Fad EsbnaEe G and HU"~. es G•-" Fallh Eethns6e HUa1 The Cannot tlxrane HUat Lin. Number Qroril7kietlon grgge ° .801 ranaedtaaiagelPohrs)rarnnspacficin~traeawtsen e mz YauradY~ad algpu6m ttue m ~D.00 aoo 590.00 aoo g -p--803 Tremf~~ ti t~ 590. 1,850.00 590.00 7,850.00 rna n 70W came Nasaea Nlna Then 70X Good Fahh 6tlmaES HUat ~- S !201 nppretsal ree g fig4 270.00 !52.00 ~~ 'sos - ~o.go X0.00 - S T i 35A0 35A0 ai aen ce f ~ ~ ~ Flood asrfifiratlon #-807 - 89.00 Pmpedy WPectlon Fee ! 808 28.00 Zg,gp 300.00 0.00 i 1,050.00 692,00 5 X58.00 a 3!.0952% rna un - - kdtlal da onA ar Good FaMh Ee6men HUat p Y n esaow aocaat A 1001 k t,496.0o g3q ~ rbmtaurgestrom p.. 1 SS Haneoerrers knra 7 , 7 alrca # 903 451 00 Titleaervices.andk7ndehfitleirrsurerae. ~ 1101 . 151.00 ~~ -S 1703 ~ 475.00 805.88 Pest Inape ctlar 1 .75 ~ Sacs end Otlnrttepods # 7 ~'~ 0• ' T Fee •~ 0. !305 180.00 0.00 Yourirr%albanartauntis ~ 545,000.00 Yaur kon Isms is . 30. yeare YcurkaSalkrlermtrafeis - 4.7500% Your6dtlalmonWyamoudosedfapincipal,if,andam•mafgepe 5234.741nqud~ insrsarce b ^ Prkrdpat Q NtereH ^ M agaB'slnewanrz Can Yaurimerast refs riser t1 7~~ ''~~ 1=fr'u ^ Yes, h can rise to a rtraianum d X. The first drange ei0 he on 1 ! and can drarge ~ every yeas afiar t ! . Every ciranga ~a.Yamidaeslretecaninaeeseadeoeaseby 16. Over theNedtlreban,yoa - Interas!rdeisgumaiteedtoneverbeloa~arthan %ahighatlran %. Even tl you make Payrnanls an bnr& can,yaaban balake riser. .~ X^ Na ^ Yes, tl can rise to a mazlnwm d S Even tl you make paymeds on 6re,.can Yam manlhly.amaml roved Tor X^ Na ^ Yes, diefast krceaee wn ba on / / Pb~~kdarest~andmorgegeinaeanoe~rhe7 - " and th monlAiy amwdawedanrreeroS > Themmm~an8caneverrbemi55 Ones ycur ken Inve-a prepaymem penal!)? ^X Na ^ Yes, you matdmum prepayment penalty ~ $ Does yaurben have a tuYlam paymen7T ~ X^ Na ^ Yes, You have a balloon payment di due in yeaaan / ! Total rrnrAhly amumtawed kidrdkrg estrav acoamtpayrtients~ ^ Yau do not have a ~h esvoer PaMrent Tar ihans such _ , as property ~Cea and Ixarraomrers inaraaw:e. You must pay tlrese INms rDragly yaureetl. ` Q You have an additional rtgnWy escrow paymam d 5197.94 Ihd reaAls inatotal kdtlal rtrmMy annum owadd5432.68. Thbindudes prirsSpa<kdwas4 any nnr~age insnarne and arty ilara dretlred helon: PmpmlY taKea ^X HomeawkMs kwrrarne ^ Flood kreraance ^ ^ ^ Nuts N you have env m~ee,..,~ d,..,a x,. a •.• ---` ^`_--- - ..e....~,~.w. ~wnuusaruwruuswnn,pleas~CallaCtyWrlender. Previous itlons are obsole0e Page 3 of 4 HUDl Estate of DanaW E Edrnonaon The HU0.7 SsONmaM Statenerd vrhkh lluve pnpe~ed k a fnro and acaaate aawm oiOYs tnmsaction I have puead w wiM ome the fuMa io ye dYhulaed in accmdanoe wM tlda afatame~d. SE7TLEMEM AGENT ~ / ~ /~ / /G DATE WARNING R IS A CRIME TO KN0IMNGLY MAID: FALSE STATEMENTS TO THE UNRED STATES ON THIS OR ANY SIMILAR FORM PENALTIES UPON CONVICTION CAN INCLUDE A flNE AND IMPRISONMENT, FOR DETAILS SEE TfTLE 18: U S CODE SECTION 1001 AND SECTION 1010. Previous editions are obsolete Page a a Huo->_ D c~rtnFlCnnoN of suY~rt ANO seuEr I have a'efuly ~evlwed au HU0.1 SaltW~rnt StaaarNnt and to iM Oest of my Imovdedge and haYet, tt b a vue aM awuab etaaement Of ao ~~4 end diabamrlsny made on my axouM w M ma in thi6 transaction 1>'t+ttllw prtify that I have'aaeMd a Dopy otihe HU0.1 SattlementStatement NareaiBarmwrer. tlaueoiSeller: FdeNumbx Fred W. Grdlbs, Jr. Estate of Donald E. Edmorrson 10398 Teb~~e PnePe~ 11/292010 at 7:09 em Not.: This page is furnished to give you an itemization of the amounts shown on Li Paid From Paid From nes 1101, 1108 and 1104 of the Settlement Statement (HUD-1). This page Borrowers Sellars accompanies but is not a part of the settlement statement ff a discrepancy i Funds at Funds at ex sts, the information shown on tha Settlement Statement (HUD-1) applies. Settlement Settlement 1100. T6b l7rapes Amount 9rdrMed b Lbre 1101 1101. Ttb services aid bMera tltle ewserrce a Fee 8 35 00 605.68 . a c Eme6lDac Fes - 25.00 d Mrhe b Fee 35.00 10 00 . e. Service Lelbr 75.00 180.00 1102 Sa6ema0adml Ice 1103. Ouvieh Btle barage S 67950 879.80 1104. Lenders fdle iiwrarrre 475.88 S 625 86 . a EMaaenent900EP4FtesiEen0el 50.00 b. EndOrsenwnt 100 Ysietlm 50.OD c Erwbnarra0300 50.00 (Total 1103 «1104) 1105. Laida'sfdb Ten6S/5,00DA0 103874548PASLE 1106. Ovebratltle 9m9:t1 501114245071 1107. spa8arrd6~e trial tltle>nau~ S 1.109.57 1108. lbdervdkrs arNetdaltitlekat6atce 199.81 (Tda11107 11 + 08) 1109. 1110. 1111. 1112 r 1700. Tbk wPor 1101. Tl6esaeicesaidiendersfHleinsmartoe S Tofal ~ Borrower ~or0~ Borrower L'ore1101 $;~ pyd a Fee to Krldsi D. Shire b• to 1st Seltlwnerd Services hu: 35.00 35.00 . a Fina6lDoc Feefolal SettlanaMServiosehtt 25.00 25.00 d WYabFeetolsl SdManadServkealrrc 35.00 35.00 . a Service Lelbrto FYst Mwrken Tab 10.00 10J1D 1104. Lender's title irararre to 1st SetllarimtServirasba 75.00 gyg.SS 75.00 ~.~ S 80 5.88 8~.~ ESTATE OF DONALD E. EDMONSON I ~/ ~Da[e. 12@9M0 Date 1229H0 C E 2~"~"" "W~~ Fred W. . Jr. K:~Edmondson.D.Will.doc ~ March 14, 2007 N r'' ~-:~ ~© -~. ~ 7 ~ ~ _,~ 9 LAST WILL AND TESTAMENT _ .:. _. ~ "' %`` l.L~ - _'t-,c`~ -ca -; ~ _. .c- DONALD E. EDMONDSON I, DONALD E. EDMONDSON, of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this my Last Will and Testament, hereby revoking any and all prior Wills and Codicils thereto by me at anytime heretofore made. 1. IDENTIFICATION OF FAMILY. I declare that I am a widower and have one (1) child, whose name is LAURA M. FOULKROD. As used in this Will, the term "my child/children" refers to all my natural children and adopted children. As used in this Will, the term "issue" refers to all lineal descendants of the indicated person of all generations, with the relationship of parent and child at each generation determined by the definition of "child children" set forth in this paragraph. 2. PAYMENT OF BURIAL EXPENSES AND DEBTS. I authorize my executor to pay all the expenses of (1) a funeral or memorial service; (2) the interment of my remains, including the costs of a gravesite, if necessary; and (3) the installation and inscription of a suitable marker at, and perpetual care of, the gravesite. I further direct my executor to pay all of my debts that my executor in his or her sole discretion may allow as claims against my estate. 3. SPECIFIC BEQUESTS. 3.1 I give and bequeath the sum of Ten Thousand ($10,000.00) Dollars to my granddaughter, DEVIN MARIE FOULKROD. 3.2 I give and bequeath the sum of Ten Thousand ($10,000.00) Dollars to my step granddaughter, THERESA MARIE BERRY. 4. DISPOSITION OF TANGIBLE PERSONAL PROPERTY. I give all of my tangible personal property of every kind and description, including, but not limited to, books, pictures, clothing, articles of household or personal use or adornment, household furnishings and effects, and automotive vehicles and their accessories, but excluding any money, evidences of indebtedness, documents of title, and securities and property used in connection with the operation of any trade or business to LAURA M. FOULKROD. // Donald E. dmondson ' K:~Edmondson.D.Will.doc March 14, 2007 5. DISPOSITION OF RESIDUARY ESTATE. 5.1 Disposition. All of the rest, residue and remainder of the property that I own at the time of my death, both real and personal, and of every kind and description, wherever situated, to which I may be legally or equitably entitled at the time of my death (my "residuary estate"), I give outright and absolutely to LAURA M. FOULKROD. 5.2. In the event my LAURA M. FOULKROD is not living on the sixtieth (60) day after the date of my death, I leave all the rest, residue and remainder of the property that I own at the time of my death, both real and personal, and of every kind and description, wherever situate, to which I may be legally or equitably entitled at the time of my death (my "residuary estate") to her issue, per stirpes. 6. POWERS OF ADMINISTRATION. 6.1 Grant of Powers. My executor, in the administration of my estate, (my "fiduciaries") shall have the powers and authorities set forth in this Article 6. These powers and authorities may be exercised by my executor and trustee in their sole and absolute discretion, without the permission or order of any court. These powers shall be supplementary to those conferred by law, including, but not limited to, those set forth in Title 20, Chapter 33, of the Pennsylvania Consolidated Statutes. 6.2 Retention of Assets. My fiduciaries shall have the power to retain any or all property of my estate, however received and acquired, for so long as they deem appropriate. This power may be exercised even though the property may not be of the type authorized by law for investment, and even though the retention may leave a disproportionately large amount of the value of my estate invested in one type of property. 6.3 Transfer of Assets. My fiduciaries shall have the power to sell, transfer, and convey any property, of whatever nature, including real property, and wherever situated, that I may own at the time of my death, or that may come into my estate or after my death. The sale, transfer, or conveyance maybe by public or private sale, at such time, on such terms and conditions, including selling price and credit, in such manner, and for any reason that my fiduciaries deem appropriate, including, but not limited to, the purpose of obtaining net proceeds to be distributed to my residuary beneficiaries. b.4 Investment. My fiduciaries shall have the power to invest and reinvest any property in my estate in preferred and common stocks, bonds, notes, common trust funds (including any managed by any corporate fiduciary), interests in investments, trusts, mutual funds, leases, mortgages on property wherever located, and, generally, in any property and in proportions of property as my fiduciaries deem ~ dvisable, even though the investments 2 ~~ Donald E. Edmondson K:~Edmondson.D. Will.doc March 14, 2007 are not of the character or proportions authorized by applicable law for the investment of the funds. 6.5 Power to Borrow. My fiduciaries shall have the power to borrow money for any purpose, for any periods of time, and on any terms and conditions as they deem advisable (including the power to borrow from any corporate fiduciary), and to pledge, mortgage, or otherwise encumber any property in my estate to secure repayment of any loan, as well as the power to renew existing loans either as maker or endorser. 6.6 Power to Hold Property in Nominee Form. My fiduciaries shall have the power to hold any property in the name of a nominee or in bearer form. 6.7 Distribution in Cash or in Kind. My fiduciaries shall have the power to make distributions in cash or in kind, or partly in cash, in divided or undivided interests, as amended, or other applicable law, and to determine which assets shall be sold and which shall be distributed in kind, without notice to or consent by any beneficiary. 6.8 Distribution to Minors and Persons Under Disability. My fiduciaries shall have the power to make distributions or payments to or for the benefit of any beneficiary who is a minor, an incompetent, or who in the fiduciaries' judgment is incapacitated. The distributions or payments shall be made in any one or more of the following ways: (1) directly to the beneficiary; (2) directly to the creditor in payment of the debts or expenses of the beneficiary; (3) to the guardian of the person or estate of the beneficiary; (4) to any custodial parent of a minor beneficiary; (5) to a custodian for the beneficiary under any law related to gifts to minors, including to my fiduciaries in that capacity; or (6) to any other person who shall have the care and custody of the person of the beneficiary. There shall be no duty to see to the application of funds so paid, provided due care was exercised in the selection of the person to whom the funds were paid, and the receipt of the person shall be full acquittance of the fiduciaries. 6.9 Continuation or Liquidation of Business. My fiduciaries shall have the power to continue or to permit the continuation of any business, incorporated or unincorporated, in which I may have any interest at the time of my death for any period of time, or to liquidate the business on any terms as they deem. appropriate. This power includes, but is not limited to (1) the power to invest additional sums in any business, even to the extent that my estate maybe invested largely or entirely in the business, without liability for any loss resulting from lack of diversification; (2) the power to act as or to select other persons to act as directors, officers, or employees of any business, to be compensated without regard to being a fiduciary under this Will; and (3) the power to make any other arrangements in regard to any business as my fiduciaries shall deem proper. 6.10 Employment of Agents. My fiduciaries shall aye the power to employ and pay the compensation of any and all attorneys, agent custodians, attorneys-in-fact, experts, 3 onald E. Edmondson K: ~Edmondson.D. Will. doc March 14, 2007 investment counsel, accountants, bookkeepers, or other agents or providers of services as my fiduciaries deem advisable in the administration of my estate. 6.11 Commissions.. My fiduciaries shall have the ,power to take reasonable commissions on account at any time during the administration of my estate without the approval of any beneficiary or of the court, but subject to allowance or disallowance on the settlement of the final accounts of my fiduciaries. 6.12 Third Party Reliance. No person or corporation dealing with my executor shall be required to see to the application of any property paid or delivered to my executor, or to inquire into either the authority of my executor to enter into any transaction or the expediency or propriety of any transaction entered into by my executor. 6.13 Charitable Donations. In the event that any of my tangible personal property is donated to a charitable organization(s) then my fiduciary is instructed to use the value of said donation(s) as an inheritance tax deduction for any inheritance tax return which may be required to be filed as a consequence of my death. 7. PAYMENT OF DEATH TAXES. 7.1 Payment of Estate Taxes. I direct that all federal and Pennsylvania estate taxes payable as a result. of taxes assessed on property passing under this Will shall be paid from my residuary estate as a part of the expenses of the administration of the estate. 7.2. Inheritance Tax. I direct that the Perulsylvania inheritance taxes payable as a result of my death, limited to taxes assessed on property passing under this Will, shall be paid out of my residuary estate and shall not be deducted or collected from any beneficiary under this Will or other transferee. 8. EXECUTOR. 8.1 Appointment. I name, constitute, and appoint LAURA M. FOULKROD as executor of my estate. 8.2 Bond Not Required. None of the individuals named in Section 8.1 shall be required to furnish a bond for the faithful performance of his duties as executor. 9. PRESUMPTION IN CASE OF SIMULTANEOUS DEATH. For the purposes of this Will, in determining whether a person has survived me or another person, a person shall not be deemed to have survived me or another person if he or she dies within sixty (60) days of my death or of the death of the other person. C. , Donald E. Edmondson 10. LIABILITY OF EXECUTOR. My executor shall not at any time be liable for mistake of law or of fact, or both law and fact, or errors of judgment, nor for any loss coming to any beneficiary under this Will, or to any other persons, except through actual fraud or willful misconduct on the part of the executor or trustee. My executor may, from time to time, consult with counsel with respect to the meaning, construction, and operation of this Will, particularly with respect to the appointments, allocations, and disbursements, and may act on the advice of counsel in all matters without incumng liability on account of his or her actions. 11. INTERPRETATION. 11.1 Successors of Fiduciaries. All pronouns referring to an executor and the term "executor" shall be construed to mean any person acting as my executor, co-executor, personal representative, or administrator, as the case maybe. 11.2 Number and Gender. If required by the context of this Will, singular language shall be construed as plural, plural language shall be construed as singular, and the gender of personal pronouns shall be construed as either masculine, feminine, or neuter. 11.3 Headings. All headings .used in this Will to describe the contents of each article, paragraph, or other division are provided for convenience only and shall not be construed to be a part of this Will. 11.4 Governing Law. This Will shall be construed in conformity with the law of the Commonwealth of Pennsylvania. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of six (6) typewritten pages, the first e (5) f which bear my signature in the margin for the purpose of identification, this ~,~f~day o , 2007. DONALD . EDMONDSON, Testator Signed, sealed, published and declared by the above-named Testator, DONALD E. EDMONDSON, as and for his Last Will and Testament, in the sight and presence of us, who, at his request, in his sight and presence and in the ~ ht and pres ce o each her, have hereunto subscribed our names as witnesses. 23.x/ /1~,~~~T fr Witness Address ~ a... W tness 0233 /~~,~~~~ A ess Q l 0 // 5 K:~Edmondson.D. Will.doc March 14, 2007 COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND 1 I, DONALD E. EDMONDSON, THE TESTATOR, WHOSE NAME IS SIGNED TO THE FOREGOING INSTRUMENT, HAVING BEEN DULY QUALIFIED ACCORDING TO LAW, DO HEREBY ACKNOWLEDGE THAT I SIGNED AND EXECUTED THE INSTRUMENT AS MY LAST WILL AND TESTAMENT; THAT I SIGNED IT WILLINGLY; AND THAT I SIGNED IT AS MY FREE AND VOLUNTARY ACT FOR THE PURPOSES THEREIN EXPRESSED. SWORN OR~ AFFIRMED TO AND CKNOWLEDG BEF RE ME BY DONALD E. EDMONDSON, THE TESTATOR, THIS _~AY OF ~ ~ 2007. r DON D E., E, ~D~MONDSON PIOTARY PUBLIC COMMONWEALTH OF PENNSYLVANIA COMtsfiOi`~+!r~ r=AL i N OF PENNSYLVANIA Notarai Seal Deborah L EirennemaR. Notary Pubpc Cetrlp FNN Boro, :,t.:mt~erland County SS. MyCa~xrtission ~__ .> June 18, 2D40 COUNTY OF CUMBERLAND ) t+Aember, P8""s"'"~,;:. ,.>.-~s~iation a waa>tee WE, i/K~ ~/' ~~~lC'`l~ AND ~~e~"! l_ ~~ l /11 C./L- L~ THE WITNESSES WHOSE NAMES ARE SIGNED TO THE FOREGOING INSTRUMENT, BEING DULY QUALIFIED ACCORDING TO LAW, DEPOSE AND SAY THAT WE WERE PRESENT AND SAW THE AFORESAID TESTATOR SIGN AND EXECUTE THE INSTRUMENT AS HIS LAST WILL AND TESTAMENT; THAT HE SIGNED WILLINGLY AND THAT HE EXECUTED IT AS HIS FREE AND VOLUNTARY ACT FOR THE PURPOSES THEREIN EXPRESSED; THAT EACH OF US IN THE HEARING AND SIGHT OF THE TESTATOR SIGNED THE WILL AS WITNESSES; AND THAT TO THE BEST OF OUR KNOWLEDGE THE TESTATOR WAS AT THE TIME EIGHTEEN (18) OR MORE YEARS OF AGE, OF SOUND MIND AND UNDER NO CONSTRAINT OR UNDUE INFLUENCE. PORN OR AFFIRMED TO AND SUBSCRIBED TO BEFORE ME, THIS ~S DAY OF ~ I` I Q~,~ , 2007. c /~ . ~~~.+~~ i tt JN PE(~!NuYT L, VANIA ~vu~;:~? Seal Deborah L F3rs~":::: r~iatary PubNc Camp Full Bore.._:c+r =~rlarxl _ My Commission r..;,.,. . ,June 11 ~0 ... _~-tion of Notaiies