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HomeMy WebLinkAbout03-24-111 1505610148 REV-1500 Ex~°'-'°' OFFICIAL USE ONLY _ PA Department of Revenue County Code Year File Number Bureau of Individual Taxes Po Box 2aoso~ INHERITANCE TAX RETURN 21 0 9 :1131, Harrisburg, PA 17128-0601 RESIDENT DECEDENT _ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 202-36-5265 11,252009 01281,946 Decedent's Last Name Suffix Decedent's First Name M I MOLIN CAROL M (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M I MOLIN WILLIAM H Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH 'THE 209-32-0891 REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW ® 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death ^ 4 Limited Estate ^ 4 F I ^ prior to 12-13-82;) . a. uture nterest Compromise (date of 5. Federal Estate Tax Return Required 0 s Decedent Died Testate ^ death after 12-12-82) 7 D d i t M t i Li i d T 0 . . ece en a n a ne a v ng rust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (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. 0~) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SIHOULD BE DIRECTED TO: Name Daytime Telephone Number MARK E• HALBRUNER, ESQUIR 71,7-731-9600 r-. ; First line of address 1013 MUMMA ROAD, SUITE Second line of address City or Post Office State ZIP Code LEMOYNE PA 1,7043 Correspondent'se-mail address: M - HALBRUNERWGATESLAWFIRM • COM REGISTER Q,_^ ~ S USE ONT,Y ~t .--' -r ` i_± _ ~__._ .. :~ f -.. ., , ., t... .,Y , ~ r. ^~ _ , -.~ . _ _ ,„. ~ r.~ .k~ r_., - . _. `;~ _ _. _~' DATIE FILED ~ ' Under penalties of perjury, I declare that I have examined this return, including accom Hying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the p rsonal repr entati a is b s on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ~. - DATE WILLIAM H• MOLIN, EXR. -T,,-.Z~/ ADDRESS 591-13 GENEVA DRIVE MECHANICSBURG, PA 17055 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE MARK E• HALBRUNER, ESQ• ADDRESS f ~~~ ~~ \ r 101,3 MUMMA ROAD, SUITE 1,00 LEMOYNE, PA 17043 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610148 9M46474.000 1505610148 J -~ ~~ ~° 2 +l :.~ y T-j ~~ _~..~ ~Jr J REV-1500 EX 1505610248 Decedent's Social Security Number 202-36-5i?65 Decedent's Name: M O L T N CAR 0 M RECAPITULATION 1. Real Estate (Schedule A) 1. $ 9 9 , 7 0 0.0 0 2. Stocks and Bonds (Schedule B) . 2 $ 0 • 0 0 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , 3 $ 0 • 0 0 4. Mortgages and Notes Receivable (Schedule D) 4. $ 0 • 0 0 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. $ 4 , 31, 5.2 0 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested 6, $ 0 • 0 0 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested 7. $ 0 • 0 0 8. Total Gross Assets (total Lines 1 through 7) g $10 4 , 015.2 0 9. Funeral Expenses and Administrative Costs (Schedule H), , 9 $ ? , 8 6 5 • 2 5 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 10 $ 8 8 , 4 8 2 • 9 3 1 1. Total Deductions (total Lines 9 and 10) , 11. $ 9 6 , 3 4 8 • ], 8 12. Net Value of Estate (Line 8 minus Line 11) 12. $ 7 , 6 6 7 • 0 2 13. Charitable and Governmental Bequests/Sec 9113'Trusts for which an election to tax has not been made (Schedule J) , , 13, $ 0 • 0 0 14. Net Value Subject to Tax (Line 12 minus Line 13) 14 $ 7 , 6 6 7 • ~ 2 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers un~er Sec. 9116 (a)(1.2)x.o_ $7,667.02 15. 16. Amount of Line 14 xable 4~ at lineal rate x .0 $ 0 • 0 0 16 17. Amount of Line 14 taxable . at sibling rate X .12 $ 0 • 0 0 18. Amount of Line 14 taxable 17. at collateral rate X .15 $ 0 . 0 0 18. 19. TAX DUE 19. 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1505610248 Side 2 1505610248 $0.00 $0.00 $0.00 $0.00 $0.00 J 9M4648 4.000 REV-1500 EX Page 3 File Number decedent's Com lete Address: 21 0 9 1131 DECEDENTS NAME '- MOLIN CAROL M STREET ADDRESS - C M R AN CITY STATE ZIP MECHANICSBURG PA 17055- Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) $ 0 . 0 0 2. Credits/Payments A. Prior Payments $ 0 . 0 0 B. Discount $ 0 . 0 0 Total Credits (A + B) (2) $ 0 . Q Q 3. Interest - (3) _ $0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. (4)~~,. 0 ~ 0 0 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) _ $ 0 . 0 0 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: Yes No a, retain the use or income of the property transferred; ^ ^~ b. retain the right to designate who shall use the property transferred or its income; ^ C~ c. retain a reversionary interest; or . ^ ^~ d. receive the promise for life of either payments, benefits or care? . ^ ^~ 2. If death occurred after Dec. 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? ^ ~ ; ^~ 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 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)]. 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. X9116(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)]. 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. 9M4671 2.000 RE~1--1502 EX + (d1-10) pennsy~vania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBEFZ: Carol M. Molin 21 091131_ 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 compe'lle'd to buy or sell, both having reasonable knowledge cif the relevant fads. 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 DESCRIPTION OF DEATH 1. Condominium designated at Unit No. 1077-1 Lancaster Boulevard, Mechancisburg, Cumberland County, Pennsylvania; being Tax Parcel No. 42-24-0792-041A; $99,700.00 transferred to the decedent, Carol M. Molin, by Bonnie R. Condran, by her deed dated July 28, 2000, and recorded on August 2, 2000, in the Cumberland County Recorder of Deeds Office at Book 226, Page 491. Value is county assessed value of $99,700. TOTAL (Also enter on Line 1 Recapitulation) I$ $ 9 g 7 0 0. 0 0 9W4695 2.000 If more space is needed, use additional sheets of paper of the same size. ~ ~ RED--1508 EX + (fi-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, ~ MISC. PERSONAL PROPERTY ~~~ ~~~~~~ ~NdcC is neeaea, insert aaoitional sheets of the same size) is i a rt vF FILE NUMBER Carol M. Molin 21 091131 Include the proceeds of litigation and the date the proceeds were received by the estate 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 Carol M. Molin 21 091131 Decedent's debts must be reported on Schedule I. ITEM -- NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~. Funeral Director $2,023.42 B. 1 ADMINISTRATIVE COSTS: Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address 2 3 Clty State ZIP Year(s) Commission Paid: Attorney Fees: Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant Street Address Clty State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. 1 Cumberland Law Journal publication fee Total from continuation schedules . TOTAL (Also enter on Line 9 Recapitulation) I $ 9wasA~ 2.00o If more space Is needed, use additional sheets of paper of the same size. $5,000.00 $306.00 $75.00 $460.83 7,865.25 Estate of: Carol M. Molin 21 09 1131 Schedule H Part 7 (Page 2) 2 Donegal Insurance Group homeowner's insurance premium $143.00 3 Sunguild Condominium Association homeowner's association fees $313.85 4 Miscellaneous Administrative Expenses fax charges, paper supplies, etc. $3.98 Total (Carry forward to main schedule) $460.83 REw1512 EX+ ~~r2-08) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Carol M. Molin SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS FILE NUMBER 21 09 113] Report debts incurred by the decedent prior to death that remained unpaid at the date of death, includin g unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~• Chase Card _ Acct No. ending in #8469 $5,131.07 2 Chase Card Acct. No. ending in #7714 $6,784.47 3 American Express Acct. No. ending in #1005 $1,140.69 4 Griswold Special Care home health care $412.77 5 JoAnne Taylor home health care $134.50 6 West Shore EMT emergency medical transport $1,710.56 7 Checks written on decedent's Metro Bank Account No. 0513302406 prior to date of death that cleared after date of death. $1,405.43 8 Anne Chapman home health care $11.75 9 Carolyn Ruby home health care $500.00 10 Sunguild Condominium Association homeowner's association fee $94.00 11 FIA Card Services credit card bill $74.00 12 Gail Yepsy home health care $47.00 13 Sprint phone service $36.69 14 JP Morgan Chase Mortgage No. 06 48 51 2580 $71,000.00 __ TOTAL (Also enter on Line 10 Recapitulation) ~$ $88 , 482.93 8W46AH 2.000 If more space is needed, insert additional sheets of the same size. REV-1513 EX+~,(01-10) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF: NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY [ TAXABLE DISTRIBUTIONS [InGude outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. William H. Molin 591-13 Geneva Drive Mechanicsburg, PA 17043 All of Residue: $7,667.02 FILE NUMBER: 21 09 :1131 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE Surviving Spouse ~ $7,667.02 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET. AS APPROPRIATE LAST WILL AND TESTAMENT OF CAROL M. MOLIN ~~~ ~ Q LAST WILL AND TA'I' `T - s OF CAROL M. MOLIN ~ Q :~ ~ __ © __i_, r ~~?n, r,~ _ . I, CAROL M. MOLIN, now of 1077 Lancaster Boulevard, Apartment 1,~~nics~irg, .~ ~~ ~.- -- Cumberland County, Pennsylvania 17055, do publish and declare this to be n~ ~'~~ WiL1-jand F~`~;' °-- Testament, hereby revoking all other prior wills and codicils made by me. ~`-~? -,ry t, ~-° .---~ ~~ _ ' -_:= FIRST: Family Backtround and Appointment of Executor. ~' '• r ~ ''~' U1 ~-,-~ ,~_~ (A) Family and Background Information. I am not married, and I have no children. (B) Appointment of Executor. I appoint my ex-husband, WILLIAM H. rVIOLIN, to act as Executor under this Will. If he dies, becomes incapacitated, resigns or otherwise does not complete the duties of Executor, then Iappoint mysister-in-law, YVONNE DEITER, to act as my Executor. The aforenamed persons are all hereinafter referred to as "Executor" or "Exec:utors", and they shall serve without bond and without being required to account to any court. SECOND: Funeral and Last Illness Expenses; Taxes. (A) Expenses of Funeral and Last Illness. I direct my Executor to pay m:y funeral expenses and the expenses of my last illness from my estate. (B) Taxes. I direct my Executor to pay any and all estate, inheritance, successiion, legacy, transfer and other death taxes or duties, by whatever name called, including any and all interest and penalties thereon, imposed under the laws of any jurisdiction by reason of my death, upon or with respect to any and all property included in my gross estate for the purpose of such taxf;s, whether such property passes under or outside of this Will, out of my residuary estate, without being prorated or apportioned among or charged against the respective devisees, legatees, beneficiaries, transferees or other recipients of any such property or charged against any property passing or which may have passed to any of them. The Executor shall not be entitled to reimbursement for any portion of any such taxes from any such person. THIRD: Tangible Personal Property. Except for those items excluded below and those items enumerated in the Letter of Instruction, I bequeath all my tangible personal property, including but not limited to clothing, jewelry, furniture, household furnishings, household goods, personal effects, motor vehicles and all other similar articles which I own, and the insurance thereon, to the persons} entitled to my residuary estate in Article FIFTH (A)(2), below, and ifmore than one person is entitled thereunder, then my tangible personal property shall be divided among them as they may select in as nearly equal shares as is practical. Tangible personal property shall not include: (1}any ~~` C . ,e t~" LAST WILL AND TESTAMENT OF CAROL M. MOLIN PAGE 2 and all property used by me in any business, (2) cash on hand or on deposit in banks, (3) stock or securities, (4) any type of evidence of indebtedness and (5} any life, health or accident insurance policies. If there is any disagreement as to distribution, I direct my Executor to make such distribution, and the decision of my Executor shall be final and binding. Any items not selected oi• any items which my Executor considers unsuitable for my beneficiaries may be distributed or sold in the sole discretion of my Executor, and if sold, the net proceeds therefrom shall be added to the residue of my estate. Any such article allocated to a minor may, as my Executor deems advisable, either be delivered to the minor or to any person to safeguard on behalf of the minor. Notwithstanding any other provisions in this Article THIRD, I may leave a separate, dated and unsigned Letter of Instruction, which I shall place with this Will, containing directions as to the ultimate disposition of certain of the property bequeathed under this Article THIRD, and such Letter of Instruction shall determine the distribution of such items. FOURTH: [This article has been intentionally left blank.] FIFTH: Residuary Estate. (A) I give, devise and bequeath all the rest, residue and remainder of my estate, of every kind and character, real, personal and mixed, tangible and intangible, and wherever situated, lIl(:lUdlllg ally lalJJGd or rel'lol.lnl;ed legal,les, llevlses or rC~sld'l.l~li y' bl~liul~sls aiid oil`y' prv~ii~y ov'~.r which I may have a power of appointment, as follows: (1) TEN PERCENT (10%) shall be distributed in equal shares to JOYCE MEYER MINISTRIES and THE SALVATION ARMY. (~) NINETY PERCENT (q0°i~) shall be distributed to my ex-husband, WILLIAM H. MOL1N, or if he does not survive me, then to my brother, CHARLES MICHAEL DEITER, and my friend, MARGARET REVEL, in equal shares, or if either of them does not survive me, then to the remaining one of them. (B) Prior to final distribution of my estate, the Executor, in his discretion, may make partial distributions to one or more beneficiaries or trusts. A distribution may be made subject to any indebtedness or liability of my estate. c e s LAST WILL AND TESTAMENT OF CAROL M. MOLIN PAGE 3 (C) If any beneficiary named in this WiII, singly or in conjunction with any other person(s) or organization(s), contests in any court the validity of this Will or any provision herein, or conspires with or voluntarily assists any person or organization attempting such a vvill contest, then the beneficiary shall be disinherited and all interests which would otherwise have passed to the beneficiary under this Will shall be forfeited and shall be determined as if the beneficiary did not survive me or did not exist at the time of my death. This paragraph shall not apply to any disclaimer executed by a beneficiary named in this Will. If it is determined that this paragraph violates the law of any state where this Will is admitted to probate, the remainder of this Will shall remain valid and shall not be effected by the severability of this paragraph. SIXTH: Spendthrift Provision. No beneficiary shall have the power to anticipate, encumber or transfer his interest in the estate in any manner other than by the valid e~;excise of a power of appointment. No part of the estate shall be liable for or charged with any debts, contracts, liabilities or torts of a beneficiary or subject to seizure or other process by any creditor of a beneficiary. SEVENTH: Powers of Executor. In addition to such powers and duties as may have been granted elsewhere in this Will or by law, but subject to any limitations stated elsewhere in this Will, the Executor shall have and exercise exclusive management and control of the estate and shall be vested with the following specific powers and discretion: (A} In the management, care and disposition of the estate, the Executor shall Dave flit power to do aii things and to execute such instruments as may be deemed necessary or proper, including the following powers, all of which may be exercised without order of or repoz-t to any court: (1) To sell, exchange or otherwise dispose of any property at any time held or acquired hereunder, at public or private sale, for cash or on terms, without aclvertisemer~t, including the right to lease for any term notwithstanding the period of the estate, and to g1-ant options, including any option for a period beyond the duration of the estate. (2) To invest all monies in such stocks, bonds, securities, mortgages, notes, choses in action, real estate or improvements thereon, and an_y other property as the Executor may deem best, without regard to any law now or hereafter enforced limiting inve~;tn-ents of fiduciaries. (3) To retain for investment any property deposited with the Executor hf;re~under. % -; ~ `' --~+ ~~ , i ~'~~-~~ LAST WILL AND TESTAMENT OF CAROL M. MOLIN PAGE 4 (4} To vote in person or by proxy any corporate stock or other security a.nd to agree to or take any other action in regard to any reorganization, merger, consolidation, liquidation, bankruptcy or other procedure or proceedings affecting any stock, bond, note or other security. (5) To use attorneys, real estate brokers, accountants and other agents if such employment is deemed necessary or desirable, and to pay reasonable compensatior- for their services. (6} To compromise, settle or adjust any claim or demand by or against the estate and to agree to any rescission or modification of any contract or agreement affecting; the estate. (7) To renew any indebtedness, as well as to borrow money, and to secure the same by mortgaging, pledging or conveying any property of the estate, including the power to borrow from the Executor at a reasonable rate of interest. (8) To retain and carry on any business in which the estate may acquire an interest, to acquire additional interest in any such business, to agree to the liquidation in Lind of any corporation in which the estate may have an interest and to carry on the business thereof, to join with other owners in adopting any form of management for any business or property in which the estate play have an interest, to become or remain a partner, general or limited, in regard to any such business or property and to hold the stock or other securities as an liivcstlilciii, alid to ciiipioy agents and confer on tl"i%ITi autl'ioI`It'y' to muiiagC and c)perate the business, property or corporation, without liability for the acts of such agent or fcrr any loss, liability or indebtedness of such business if the management is selected or retained with reasonable care. (~} T o register any stock, bond or other securiiy in the name ul'a noinit~cc, withuui the addition of words indicating that such security is held in a fiduciary capacity, but accurate records shall be maintained showing that such security is an estate asset, and tht, Executor shall be responsible for the acts of such nominee. (B) In making distributions from the estate or trusts to or for the benefit of ~.-n~,~ person under a legal disability, the Executor need not require the appointment of a guardian but shall be authorized to pay or deliver the same to the custodian of such person, to pay or deliver the same to such person without the intervention of a guardian, to pay or deliver the same to a legal guardian of such person if one has already been appointed, or to use the same for the benefit of such. person. ~~, s ~----, ~- ---~~_ LAST WILL AND TESTAMENT OF CAROL M. MOLIN PAGE 5 (C) In the disbursement of the estate and any division into separate shares, the Executor shall be authorized to make the distribution and division in money or in kind, or both, rE;gardless of the basis for income tax purposes of any property distributed or divided in kind, and the distribution and division made and the values established by the Executor shall be binding and conclusive on all persons taking hereunder. The Executor may in making such distribution or division allot undivided interests in the wine property to several shares. (D) The Executor shall be authorized to lend or borrow, including the right t~o lend to or borrow from my estate, or any trusts which I may have established during life, at an adequate rate of interest and with adequate security, and upon such terms and conditions as the Executor shall deem fair and equitable. (E) The Executor shall be authorized to sell or purchase at the fair markE;t value, as determined by the Executor, any property to or from my estate, or any trust created by me during life, even though the same person may be acting as executor of my estate or as trustee of any of my trusts. {F) The Executor shall have discretion to determine whether items should be charged or credited to income or principal or allocated between income and principal as the Executor may deem equitable and fair under all the circumstances, including the power to amortize or fail to amortize any part or all of any premium or discount, to treat any part or all of-the profit resulting from the tnatui-ity or sale of any asset, whether purchased at a premium or at a discount, as income or principal or apportion the same bet~~~een income and principal, to apportion the sales price oi`' any asset -e~wccii 1riCoiiic acid pr'iricipal, w treat arty uivid~,nd v, v~l'i~.r ulo~rlvu«o~~ cf ur~y 1Tive~~.Tn e~~~ u,, income or principal, or apportion the same between income and principal, to charge any expense against income or principal or apportion the same, and to provide or fail to provide a re<~sonable reserve against depreciation or obsolescence on any assets subject to depreciation or obsolescence, all as the Executor may reasonably deem equitable and just under all the circumstances. EIGHTH: Ri~lits aiid Liabilities of Executor. No bond or other security shall be required of the Executor. This instrument shall always be construed in favor of the validity of any act or omission by the Executor, and the Executor shall not be liable for any act or omission e;~cept in the case of gross negligence, bad faith or fraud. Specifically, in assessing the propriety of any investment, the overall performance of the entire estate shall betaken into account. The Executor shall be entitled to receive reasonable compensation for services actually rendered to my estate and reimbursement for reasonable expenses incurred in the perfol-~nance of his duties. V~'I (' s ~:.--~,~ LAST WILL AND TESTAMENT OF CAROL M. MOLIN PAGE 6 NINTH: Tax Elections. In determining the estate, inheritance and income tax liability relating to my estate, the Executor's decision as to alI available tax elections shall be conclusive on all concerned. In accordance with Internal Revenue Code §2632(a) (or its successor provisions) and without regard to whether a federal estate tax return is actually tiled, the Executor shall allocate so much of the federal Generation Skipping Transfer (GST) exemption amount as will fully exempt any generation skipping transfer which may occur under this Will. TENTI-I: Definitions and General Provisions. (A) Survival. Any beneficiary who dies within sixty (60) days after my death shall be considered not to have survived me. (B) Other terms. The use of any gender includes the other gender, and the use of either the singular or the plural includes the other. (C) Captions. The captions set forth in this Will at the beginning of the various divisions hereof are for convenience of reference only and shall not be deemed to define or limit the provisions hereof or to affect in any way their constnlction and application. (D) Powers of Appointment. By this Will, I exercise any powers of appointment which I possess at the time of my death. [The rclilall"jdcr of tliiJ page haS bCCn Intcritlonaii y' ii ii biaiik.j r~ ~~ ~ ~ ~ ~, ~--~.~~~ ~= ~_ LAST WILL AND TESTAMENT OF CAROL M. MOLIN PAGE 7 IN WITNESS WHEREOF, I, CAROL M. MOLIN, the Testatrix, have to th:> my Last Will and Testament, typewritten on eight (8) pages, including the Acknowledgment and Affidavit, set my hand and seal this 4`'' day of April, ?008. I/` CAROL M. MOLIN Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who have hereunto subscribed our names at her request, as witnesses hereto, in the presence of the said Testatrix, and in the presence of each other. Each of us further declares that he believes the Testatrix to be of sound mind and memory. ThE; preceding instrument consists of this and seven (7} other consecutively numbered typewritten pages including the Acknowledgment and Affidavit. i a~ ~- ~ residing at ~ ~~~-~~ .t~.~,~~' ' ~~ -~c_ Signature o Witness Print Name f Witness ~?~~ ~ - ~ ~ _ - residing at Mechanicsburg, Pennsylvania Marls E. Halbruner, Witness s ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CU1~/IBERLAND SS: The Testatrix and the witnesses whose names are signed and subscribed to the ;attached or foregoing instrument, being first duly sworn and qualified according to law, do hereby acknowledge, depose and say to the undersigned authority, that the Testatrix signed and executed the instrument as her Last Will in the presence of the witnesses; that she signed it willingly or willingly directed another to sign it for her; that she executed it as her free and voluntary act for the purposes therein expressed; that each of the witnesses were present and saw the Testatrix sign and execute the instrument as her Last Will; that each subscribing witness in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of their knowledge the Testatrix was apt ghat time eighteen years of age or older, of sound mind and under no constraint or undue influence. Carol M. Molin, Testatrix ~ t~ _ , ~ ~ _ _- Signature of Witness Mark E. Halbruner, Witness Print Name of fitness A On this, the __~_ day of April, 2C)OS, before Mlle, a Notary Puhiic, the undersigned officer, personally appeared MARK E. HALBRUNER, known to me (or satisfactorily proven} to be a member of the bar of the highest court of Pennsylvania and a subscribing witness to 1:he within 1nStI11111eI1t, and certified that he was personally present when the Testatrix, CAROL NI. VIOLIN, and the above witnesses, whose names are subscribed to the within instrument executed the same, and that said persons acknowledged that they executed the same for the purposes therein contained. IN WIT?~1ESS WHEREC_)F, I hereunto set my hand and official seal. .. „. .,_ ~~ ~ _ Notary Public --- `'' - ~ - ~ - .~ COMMONWEALTH OF PENNSYLVANIA .. ,; ~ - Notarial Seal ~~~ Traci t_ Sepkovic, Notary Public Lemoyne l3oro. Cumberland County My Commission Expires March 18, 2012 Member, Pennsylvania Association of Notaries PA REV-1500 SCHEDULE A REAL ESTATE J. U.A J/.U J.\tiJl,l. J. L JJ'~.-I,f'.d I.l r~a~e i o1 i Detailed Results for Parce142-24-0792-041A-U107701 in the 2010 Tax Assessment Database DistrictNo 42 Parcel_ID 42-24-0792-041 A-U 107701 MapSuffix HouseNo 1077 Direction Street LANCASTER BOULEVARD UN Owned MOLIN, WILLIAM H C/O PropType R PropDesc UNIT 1 LivA rea 1014 CurLandVal 0 CurImpVal 99700 CurTotVal 99700 CurPrefVal Acreage .00 C1GrnStat TaxEx 1 SaleAmt 1 SaleMo 07 SaleDa O1 SaleCe 20 SaleYr 10 DeedBkPage 201017586 YearBlt 1987 HF_File_Date 12/22/2004 HF_Approval Status R http://taxdb.ccpa.net/details.asp?id=42-24-0792-041 A-U 107701 &dbselect= l 2/23/201 1 V L' 4. 7 R t • ~~.. ,~ .'. ., ...,, ,1~ f'~C.-r r ~3 OOT 9 ~!~ 1~ `~6 DEED 7'~ o. 24-0792-041_A THIS INDENTURE, made the ~ day o ~n the ear Two Thousand Three {2003). ~ Y of our Lord BETWEEN CAROL M. MOLIN, a single woman, and BEATINA MAE DEITER (now deceased} as joint tenants with right of survivorship, of Cumberland County, Pennsylvania, GRANTOR, Party of the First Part, A N D CAROL M. MOLIN, a single woman, of Cumberland County, Pennsylvania, GRANTEE, Party of the Second Part, WITNESSETH that the said Party of the First Part, for and in consideration of the sum of ONE (51.00) Dollars and 00/100, lawful money of the United States of America, well and truly paid by the said Party of the Second Part to the said Party of the First Part, at and before the sealing and delivery of these presents, the receipt whereof is hereby acknowledged, have granted, bargained, sold, alienated, enfeoffed, released, conveyed and confirmed and by these presents does grant, bargain, sell, alien, enfeoff, release, convey, and confirm unto the said Party oi' the Second Part, their heirs and assigns. SEE ATTACHED LEGAL DESCRIPTION AS EXHIBIT "A" BEING THE SAME PREMISES which Bonnie R. Condran, single woman, granted and conveyed to Carol M. Molin, single woman and Beatina Mae Defter, single woman, as joint Tenants with the right of survivorship, by deed dated July 28, 2000 in the Recorder of Deeds in and for Cumberland County, PA in Record Book 226, Page 491, and recorded on August 2, 2000. The said Beatina Mae Defter having died on October 14, 2001, whereby vesting her interest unto her daughter, the survivor herein. THIS CONVEYANCE IS FOR THE SOLE PURPOSE OF REMOVING THE 1~E(~`EASED MOTHER, AND IS FROM THE GRANTOR, UNTO HERSELIF, AND IS THERFORE TAX-EXEMPT. UNDER and SUBJECT to restrictions and conditions as now appear of record. AND THE SAID Party of the First Part, for their selves, their heirs, exE;cutors and administrators, does by these presents, covenant, grant and agree to and with the said Marty of the Second Part, their heirs and assigns, that they, the said Party of the First Part, their h~eus all and singular the hereditaments and premises hereinabove described and granted or mentioned and intended so to be, with appurtenances, unto the said Party of the Second Part, their heirs and assigns, against the said Party of the First Part and their heirs and against all and every other person or persons whomsoever, lawfully claiming or to claim the same or any part thereof, t>y, from or under them, them or any of them, shall and will, by these presents, SPECIALLY WARRANT AND FOREVER DEFEND. ~oox 259 P~r~~O~ IN WITNESS WHEREOF, the sand Party of the First Part, has hereunto set their hands and seal the day and year first above written. Signed, Sealed and Delivered in the Presence of ~ ~?" ;' ~C (sEAL} :(sEAL} CAROL M. MOLIN WI SS FOR C L M. M{)LIN COMMO TH OF PENNSYLVANIA ) ~„ ,_,~ :SS COUNTY OF l9~_ ~ On this, the ~_ day o ~ , 2003, before me, a Notary Public, the undersigned officer, personally appeared Ca 1 M. Molln, the Grantor, known to me (or satisfactorily proven} to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purpose therein contained. 1N WITNESS WHEREOF, I hereunto set my h d d Notarial se ~. 1 Notary Public My Commission Expires C MMONWgALTH OF PENNSYLVA1~iiA J3otanai Seal Antoinette Miler. Notary Public j3ampton Tv-n.. C'~berland County M Co~mmiss-+~u F.xp°es 4cpt. 1, 2007 ~~, Pennsy~ania Asatx~atan of Notaries CERTIFICATION OF ADDRESS I hereby certify th the precise residence of the Grant in the within D is: ` ~. ~ ~- ~~rd Agent for Grantees 5oor• 259 pacF kd5 EX~IIBIT «A?~ ALL THAT CERTAIN dwelling unit situated in Sunguild Condominium U er Township, Cumberland County, Pennsylvania, designated as Unit No. 1077 PP • Allen Declaration and Declaration Plans of Sunguild Condominium, dated Decemb ~ 2n the and November 29, 1979, respectively, recorded December 12, 1979 in Cumber 6„ 1979, County Misc. Book 249, page 784, and plan Book 37, Pa e 23 res erland Ammendement to the Declaration Plans of Sunguild Condomiunium, bothldaand February 28, 1986, both recorded March 31, 1986 in Cumberland Count Mi ted 315, Page 804, and Plan Book 49, Page 129, respectively, under the ro isio sc. Book Unit Property Act of the Commonwealth of Pennsylvania (Act of Jul 3 I9 ns of the 196), Y 63, P.L. No. Parcel # 42-24-0792_041 A. l ~~rtr ~~~ t 1, is tc~ ~ a .. , , lrt Ctrr~~b~1~1.~r~c~ ~` t ~~urc~c_c,t C-t~~~~~~y 1~~, _.~~. a r.. ~~1 ~;..,~r ~r R ecorc~er r~ ~' ~~t,~s ~~~ ~~9 p~r,~~~ PA REV-1500 SCHEDULE E CASH, BANK DEPOSITS & MISCELLANEOUS PERSONAL PROPERTY 'METRO BANK 3801 Paxton Street Harrisburg • PA • 17111 mymetrobank.com 888.937.0004 January 19, 2010 Gates, Halbruner, Hatch & Guise, PC Attn: Traci L. Sepkovic 1013 Mumma Rd Suite 100 Lemoyne, PA 17043 RE: Estate of: Carol M. Molin Tax Identification Number: 202-36-5265 Date of Death: November 25, 2009 To Whom It May Concern: This letter is in reference to decedent account information you requested for the individual listed above. We are able to provide the following: Account Type: Checking Account Number: 513302406 Date Opened: 06/14/2001 Date Closed: 12/28/2009 Primary Owner: Carol M. Molin Date of Death Balance: $2193.95 Account Type: Savings Account Number: 626817589 Date Opened: 06/16/2006 Date Closed:l2/21/2009 Primary Owner: Carol M. Molin Date of Death Balance: $171.12 Please feel free to contact me at (717) 412-6127 if I may be of further assistance. Sincerely, ..- Diana Reynolds Metro Bank Research Associate/Deposit Services THE STAND,~RQ REGISTER FEDERAL CREDIT UNION P.O. 30X'1 ;7 DA'fTON. CY.I ~ a5 u)i-1167 PHONE (937) 223-3333 -. OIL !=FLEE t-B00-543-2283 wv~nv.stdre~~fc.~. erg OCT31 OCT01 OCT01 OCT31 OCT31 ' MEMBER NO. ENDING i]ATE ' .BRANCH PAGE STATE2IP CODE 0004278200 10-31-09 36 1 PA170550 22598-OD376 CAROL PSI MOLIN 1077 LAP~CASTER BLVD APT 1 MECHANICSBURG PA 17055-4492 NOTICE: PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION .. ~:' ~,,g~~M1 H.AN~SAC~ION DESCRIPTION ,: OPEN A MC-NEY MARKET ACCT TODAY -AVERAGE RATE FOR OCT. WAS 1.00% FOR BALANCES OF $60,000 OR MORE. TALK TO LINDA AT EXT- 215. THE AVERAGE RATE FOR PREFERRED CHECKING BALANCES OF $20,000 OR MORE WAS .50% FOR OCTOBER. REG SHARE ACCT MO STMT ACCT# 1 10-01-09 THRU 10-31-09 NEW BALANCE ~~C-t CQr C ~i'J ~ y`am' ~~ SHARE DRAFT ACCOUNT ACCT# 9 10-01-09 THRU 10-31-09 EFT ACH MASTER GROUP STANDARD REGISTEPAYMENT 091001 EFT WASH MUTUAL WASH MUTUAL LOAN PYMT 100109 DIVIDEND " " ANNUAL PERCENTAGE YIELD EARNED F RCM 10 - 01- 0 9 THRU 10 - 31- 0 9 ON AVG. DAILY ~ NEW BALANCE PREVIOUS PREVIOUS BAI 738.54 602. 26- 0. 16 ~ALANCE OF ''*~` OVERDRAFT FEES PAID 0.00 /YTD 0.00 WAIVED 0.00 /YTD 0. Of '""' RETURNED ITEM FEES PAID 0.00 /YTD 0.00 WAIVED 0.00 !YTD 0. Of. I DEPOSITS, DIVIDENDS AND OTHER CREDITS DATE AMOUNT DATE AMOUNT DATE AMOU OCT01 7 3 8. 54 OCT31 0. 16 TOTAL D I V E DENDS 1 0. 16 TOTAL DEPOSITS AND OTHER CREDITS 1 738.54 ~.1, 9'~2,5`~33 ,~.. ~1~~ 9 2 5," "49 1, 925. 33 S=. 0;.1'0%. ~.t~~ -`~1 925_:x;49 s~~ } ,~`~ - ,~~< ~ "~~ ~~ ', ~ti ~,, , - - nom` s= r DATE ANpUNT-~ it ~ ~, _ ~r,:- ~,~,~t_y~y-~s; I .;~ } t~ I '~_ ~ ; "-` ~. ~ ~, i ~ F ~~~ r E~ y~ 0 c Meil Inquiries To: THE STANDARD REGISTER FEDERAL CREDIT UNION P.O. BOX 1167 DAYTON, OHIO 45401-1167 PHONE (937) 223-3333 TOLL FREE 1-B00-543-2283 wwws,dregtcu.org 141EMBER N0. - 6NQIN(3 I?ATE MEIYIBER NANtt= ~: PAGE 0004278200 10-31-09 CAROL M MOL1N 2 DATE 't•Ft?1N~4C~IOI~C1l=BCR11571oN' - - _ :; J AMOUNT WI THDRAVIALS, FEES AND OTHER DEBITS DATE AMOUNT DATE AMOUNT DATE AMOU DATE AMOUNT. OCT01 602.26- TOTAL FEES 0 0.00 TOTAL WITHDRAUTALS AND OTHER DEBITS 1 602.26- *******'** STATEMENT SUMMARY **** ***** - ACCT NEW DIVIDENDS SOCIAL TAX L NEW FI BALANCE YTD SECURITY NAME NANC '`~ ~'.. ~ : ; :~ , ~ ~' BALANCE CHARGE ::b:.. ;~: -=: :- 1 5. 14 0. 00 XXX- XX- XXXX CAROL M MOL I N =__ ___________ ________ --_ 9 1, 925. 49 2. 51 XXX- XX- XXXX CAROL M MOL I N TOTAL DIVIDENDS YTD 2. 51 TOTAL F I E CHARGES D : ~0 , i~~nNUiviiuii~~i~iii~u~~~~^ ,,, - 22598 ~. lv ~ u x>~,u ~ ~ ur x - ~..,..., --t+ -- - ~~~.~gr: ~NSiIi~NCE GROtl7' ATI_ArdTIC STATES INSURANCt COMPAIV'f DC)NEGAI_ MUTUAt_ INSURANCE COMPANY LE MARS II~dSUHAr~CE (;~)MF'P,N'; PENINSULA INDEMNITY COMPANY J R[ PL-NINtiULN ItJ;;I tl-iANCr ! a >MF'Hrl i' tiOr t I HENN INSURAh•ICE COMPANY OF VIRGINIA P Ci N(_~X _t00 MARIETTA, f'A 1 i''~.4!-u3UU • t-IiU0-1577-061)U • www.donegalgroup.com DONEGAL MUTUAL INSURANCE COMPANY BILLING INQUIRIES CALL: 1-800-877-0600 06/01/10 CANC_.ELLATION MEMO 004833 1 N S MOL I N CAROL M U C/O WILLIAM MOLIN ~ 591 GENEVA DR., APT, 13 E MECHANICSBURG PA 17055-5448 ~ f~~~lll~~~lll~~~~l~i~~i~i~~l~l~~f~ti~f~~fl~~l~~~~il~~li~l~~~fi YOLl'CY EFFECTIVE: 2/21ji0 TOTAL POLICY PREMIUM: $143.00 ACCOUNT BALANCE G 1124461. 0805 HOMEOWNERS 78.50 PRO-RATA CANCELLATION EFFECTIVE 07/05/10 g8.00CR LK A ~} ~ REFUND DUE $19.50 ~ N A CHECK WILL BE SENT UNDER SEPARATE COVER. ~ T A OLWEILER INSURANCE AGENCY ~ E G 222 S MARKET STREET ~ R E P 0 BOX 344 ~ E N ELI ZABETHTOWN PA 17C-22-0344 N S T A T TELEPHONE (717 ) 367 - 5134 oM-i tc;ro~r ~„' PLEASE ~aKE CHECKS PNY~,BLE ~ra IVILI V 1 ' !J Checb; Enclosed OR ^ T o make payment e/y electronic check or credit card, visit us at our web site at www.donegalgroup.cam or telephone us at: 800-877-0600. ^ ADDRESS CHANGED? PLEASE SHOW ADDRESS CHANGE ON THE BACK OF THIS STUB. PA REV-1500 SCHEDULE H FUNERAL EXPENSES and ADMINISTRATNE COSTS RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date: 12/07/2009 Cumberland County - Register Of Wills Receipt Time: 1.3:57:54 One Courthouse Square Receipt No.: 10591.76 Carlisle, PA 17613 MOLIN CAROL M Estate File No.: 2009- 01131 Paid By Remarks: JOHN M EAKIN ESQ JN ------------------------ Receipt Distribution ---- _ ____ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST WILL 260.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE JCP FEE 15.00 16.00 CUMBERLAND CUMBERLAND COUNTY COUNTY GENERAL GENERAL FUN FUN AUTOMATION FEE 10.00 5 00 BUREAU OF RECEIPTS & CNTR M.D _ ------- CUMBERLAND COUNTY ~~ENERAL FUN C eck## 5262 --- --- 306 00 Total Received......... . 306.00 I n~ rat -lot-t~e~,~s ago. 812 Market ::it. Harrisburg, PA 17101 Inquiries - 717-2~~5-8213 GATES, HALBF;I_)NER & HATCH, P.C. ATTN: ACCTS SAYABLE 1013 MUMMA ROAD SUITE 100 LEMOYNE PA 17043 ~.:)e,~atriot luews NOw you know ' ~ ~O ~ ~ ~ ALL CHARGES ARE NE1 ACCT # NAME AD ORDER # DATE EDITION ADDTL. INFO. TYPE OF CHARGE AMOUNT 41052 41052 41052 GATES, HALBRUNER & FIATCH, P.C. GATES. HALBRUNER & F,LATCH. P.C. GATES. HALBRUNER & H',ATCH. P.C. 0002034581 12/28/09 REGULAR molin 0002034581 01!04/10 REGULAR molin 0002034581 01/11/10 REGULAR molin BASIIC AD CHARGE BASIC AD CHARGE BASIC AD CHARGE $80.19 $80.19 $80.19 41052 GATES. HALBRUNER & HATCH, P.C. 0002034581 12/28/09 REGULAR molin BOLD TEXT CHARGE $4.00 AFFIDAVIT CHARGE $15.00 TOTAL: REMITTANCE ADDRESS The Patriot-News Co. 23794 Network PL Chicago, IL 60673-1237 $259.57 Please include irf•rle Account # or Ad Order # (above) with your remittance--Thank You NOTE_ This Invoi~~~:~ replaces the Order Confirmation which we previously sent with Proofs of Publication i _,}, .Y t ~ ~ II ~ fit ~ ~,~ ;~~.,:~ .--~ - , ~~„iu. ' .+~uutl I ~.~ CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Telephone - 717 249-3166 Fax - 717 249-2663 January 22, 2010 Cumberland Law 3ournal is published every Friday by the Cumberland Countty Bar Association and is designated by the Court of Common Pleas as the official legal pu~-lication for Cumberland County and the legal newspaper for publication of legal notices. TO: Mark E. Halbruner, Esquire Carol M. Molin Estate RE: All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement publication date: January 8, 3anuary 15, and January 22, 2010 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 Sunguild Condomil~ium Ass~ci~tion Select Property & association Management 1000 N. Prince Street Lancaster, PA 17603 Phone:(717) 735-8407 5/18/2010 Card MoIin 1077 Lancaster Boulevard, 1.1nit 1 Mechanicsburg, PA 17055 --FINAL DELINQUENCY WARNING-- CERTIFIED MAIL -RETURN RECEIPT REQUESTED RE: 1077 Lancaster Boulevard, Unit Ol Dear Carol Molin: This is the final notification regarding the past due balance totaling 313.85 for your Suh~guiId Condominium Association fees. This amount includes all assessment fees, late fees, special assessment fees, and miscellanous charges that are currently showing as open on your ac:cc>unt. After previous attempts to resolve this issue, the debt has not been rectified. Below is ail itemized list of what is outstanding. ASSESSMENT CURRENT BALANCE Assessment 206.00 Late Fee 3.47 Special Assessment 104.38 'Y'OUR TOTAL BALANCE IS: $313.85 Please make checks payable to: Sunguild Condominium Association The Board of Directors has instructed us to file a civil complaint with the local District Justice if payment is not received within ten (I 0) days of the date of this letter. The legal expense to process the paperwork will be charged to your account. THE PURPOSE OF THIS COMMUNICATION IS TO COLLECT A DEBT AND ANY ~fFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. We would Like to avoid proceeding with. legal action if at all possible. Please submit your payment in full no later than the deadline provided. If there is a question about the total amount in arrears, please contact us immediately at (717) 735-8239. We thank you in advance fc-r your cooperation and attention to this matter. Sincerely, Accounting Department Select Property & Association Management On Behalf of the Board of Directors for Sunguild Condominium Association /' -- - - -_ _ __ ~~'~~iL insurance Gi oup ~~5 c:u~Y MARIETTA, PENNS~r'LVANIA 175a~-0302 HOMEOWNERS POLICY - PREFERRED AMENDED DECLARATION O1 * * * EFFECTIVE 03/10/10 SUPERSEDES ANY PREVIOUSLY ISSUED PAGE FOR THIS POLICY PERIOD. ~` •1 i / -, ••1 1 1 EFFECTIVE 12:01 A.M G 1124461 02/21/10 02/21/11 DONEGAL MUTUAL- INS. CO. 000483 t /1"/ ) 367-5134 MOLIN CAROL M OLWEILER INSURANCE AGENCY 0 C/0 WILLIAM MOLIN 222 S MARKET STREET 591 GENEVA DR., APT. 13 P 0 BOX 344 MECHANICSBURG PA 17055 ELIZABETHTOWN PA 17022 RESIDENCE PREMISES 1077- LOCATED AT ABOVE ADDRESS UNLESS OTHERWISE STATED HEREIN: 1 LANCASTER BLVD MECHANICSBURG CUMBERLAND CO n~ ZONE 29 PROT #FAM 05 CONDO --------- CONSTR DED AMT FT HYDR ----- FIRE DEPT PREM GRP YR CNST #APT BRICK VENR 250 1000 5 MILES 29 16 - ~E~, l COVERAGES LIMIT i Cv`v'ERAGE A - DWELL i i3v ------------ OF LIABILITY -------------------- PREMIUM COVERAGE B - OTHER STRUCTURES 35 ~IUI~ 3 8. 0 0 COVERAGE C - PERSONAL PROPERTY 46,600 93 00 SECT COVERAGE D II COVERAGE E - LOSS OF USE - PERSONAL LIABILITY 18,640 . INCL. 500,000 COVERAGE F - MEDICAL PAYMENTS 1,000 COVERAGE E/F PREMIUM 11.00 ENDORSEMENT PREMIUM 32.00 TOTAL PREMIUM X74.00 HOMEOWNER RENEWAL REWARDS DISCOUNT 10.000R HOMEOWNERS ACCOUNT CREDIT PLAN DISCOUNT 16.000R LOSS FREE DISCOUNT 5.000R NET PREMIUM DUE 143.00 THIS IS A PRIMARY RESIDENCE. FORMS: HOOOOo 02/05, HO-2S1 01/81, HP-505 08%04, H00496 04/91, HF~0.137A 07'09, HP-502 06/06, HP51i 05/97, H02363 12/02, H01732R 12/02, DHACP 09/'95. ENDORSEMENTS: H00006 HOMEOWNERS 6 UNIT-OWNERS FORM (PA) HO-291 PENNSYLVANIA NOTICE HP-505 INFLATION GUARD (H00004 AND H00006} 'L-2 (9/88) ~t~,.,y,,(,~ j~r~ti,.~~tJ P resident 03/10/10 20:01:2905 CONTINUED ON REVERSE SIDE REFER TO FINAL PAGE FOR BILLING NOTICE PA REV-1500 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES and LIENS Payment Due Date New Balance Past Due Amount Minimum Payment 01/05/10 $5,131.07 $102.00 $204.00 CHASE ~ ~~ Account number: 5494 7760 0053 8469 • Make your check payable to: Chase Card Services. Please write amount enclosed. New address or a-mail? Print on back. 5494776D00538469DD020400005131070DOOOOOOODD0000 67759 BEX Z 34509 D EST OF CAROL MOLlN 591 - 13 GENEVA DR MECHANICSBURG PA 17055-4492 ~ttt~~~t~tt~tt~t~tt~tt~~ttt~t~tttt~~t~t~ttt~~tt~t~ttt~~tt~~tt~ CARDMEMBER SERVICE PO BOX 15153 WILMINGTON DE 19886-5153 ~ttt~~~ttt~~~tttt~t~tt~t~tt~tt~t~tt~~t~tttt~t~~~tttttt~~tt~t~~ ~: 5000 ~ 60 28~: 30 4 6000 5 38 ~.6 9011• Statement Date: CHASE ~~ 11/12/09- 12/11/09 ® Manage your account online: www.chase.com/creditcards Minimum Payment: $204.00 Payment Due Date: 01/05/10 Additional contact information ACCOUNT SUMMARY Account Number: 5494 7760 0053 8469 conveniently located on reverse side Previous Balance $5,131.07 Total Credit Line $5,000 New Balance $5,131.07 Available Credit $0 Cash Access Line $1,500 Available for Cash $0 Your account is closed. Please continue to make monthly payments by the due date until your balance is paid in full. FINANCE CHARGES Finance Charge Transaction Daily Periodic Rate Corresp. Average Daily Due To Fee / Accumulated FINANCE Category 30 days in cycle APR Balance Periodic Rate Service Charge Fin Charge CHARGES Purchases .00000% 0.00% $0.00 $0.00 $0.00 $0.00 $0 00 Gash advances .00000% 0.00% $0.00 $0.00 $0.00 $0.00 . $0.00 Total finance charges $0.00 Effective Annual Percentage Rate (APR): 0.00% Please seE; Information About Your Account section for balance computation method, grace period, and other important information. The Corresponding APR is the rate of interest you pay when you carry a balance on any transaction category. The Effective APR represents your total finance charges -including transaction fees such as cash advance and balance transfer fees -expressed as a percentage. IIIIIIII 1111 IIIII 111111 II I II III IIIII IIII' IIIII VIII VIII VIII VIII 1111 I II III VIII VIII IIII IIII PO 13ox 48458 Oak Fark iY11 48~'3,~c Return Sereice Request ~~~d 12/3 I i 09 The Estate of; CAROL M 591 - 13 GENEVA DR MECHANICSBURG PA 17055-5448 I~~~III~~~III,~,~I~I~~I~I~~I~I~~I~~I~I~~II~~I~~~~II~~II~I~~~II Phillips & Cohen Associates, Ltd. Ph Rt10-477-6441 Fx 302-368-0970 Office Hours: M - Th: 8am - 9pm Fri: 8am - 6pm Sat: 8am-12pm 1002 Justison Street Mail Stop: 263 Wilmington, DE 19801 Reference #: 16774926 -------------------------------- Balance: $6784.47 *** PLE.=ASE DETACH AND RETURN IN THE ENCLOSED ENVELOPE Wl'1'H Y"OUR PAYIvfENT *** Re: Client: Client Acct: Reference#: Balance: To the Estate of CAROL M: Chase Bank USA, N.A. 7714 16774926 $6784.47 Our client Chase Bank USA, N.A. recently received notification that CAROL M passed away. Initially, on behalf of our client and our office, please accept our condolences. Ttlis account was referred to our office because we are specialists in the area of deceased account care, and bE;cause CAROL M was a valued account holder. As it is our goal to assist family members/loved ones through this process. enclosed is an informational leaflet providing helpful tips, guidance and support during this difficult time of managing the final affairs of CAROL M. At this time, we are seeking information regarding the Estate of CAROL M, including information about who is administrating the Canal affairs, if there is not an Estate. While family members and/or loved ones are not personally liable for this account, we are trying to contact the party handling the final affairs to ensure the proper resolution of the account. Please contact our office at 800-477-6441 to provide information about the Estate, and to speak with our speciall}~ trained deceased care agents. Sincerely, Phillips & Cohen Associates, Ltd. Though our goal is to assist family members/loved ones during this difficult time, we are required by law t~, provide you with the information below. * * IMPORTANT CONSUMER 1NFORMATION Unless you notify this office within thirty (30) days after receiving this notice that you dispute the validity of this debt or any portion thereof, this office will assume this debt is valid. If you notify this office in writing within thirty (30) days from receiving this notice, this office will: obtain verification of the debt or obtain a copy of a judgment and mail you copy of such verification or judgment. If you request this office in writing within thirty (30) days of receiving this notice, this office will provide you with the name and address of the original creditor, if different froill the current creditor. This communication is from a debt collector. This is an attempt to collect a debt and any information obtained will be used for that purpose. Phillips & Cohen Associates, Ltd. • 1002 Justison Street • Wilmington, DE 19801 • 8C-0-477-6441 ((ZES 1')40:'1'003:00017 I :001:1000:09365 : SP09: PCAL 105 :01: PCAI.105 IN RE: ESTATE OF: Carol Molin ESTATE NO. 21-09-1131 DECEASED. SATISFACTION AND RELEASE OF CLAIM The undersigned, Kathy German, Agent for American Express has accepted a settlement in the amount of $1,140.69, satisfying the claim filed in this proceeding on behalf of the Creditor. This satisfaction and Release of Claim is executed to acknowledge discharge of the claim and to release the estate and personal representative from all fiirther liability in respect to the date of death liability on account number * * * * * * * * * * * 1005 . Executed this October 6, 2010. American Express Claimant By: ~- Kathy German, Agent Estate Recoveries, Inc. P.O.Box 15380 Baltimore, MD 21220 443-6I 5-7400 CLECKNER ANA FEAREN ATTORNEYS AT LAW 119 LOCUST STREET P.O. BOX 11847 HARRISBURG, PENNSYLVANIA 17108-1847 TELEPHONE: (717) 238-1731 DENNIS J. SHATTO FAX: (717) 238-8481 ANN E. RHOADS August 31, 2010 Mark E. Halbruner, Esquire Gates Halbruner & Hatch, PC 1013 Mumma Road, Suite 100 Lemoyne, PP~ 17043 RE: Estate of Carol M. Molin No. 21-09-1131 (Cumberland County) Dear Mr. Halbruner: RICHARD W. CLECKNER (1926 - 2004) ROBERT D. HANSON (1996 - 2006) RETIRED: WILLIAM FEAREN I represent Elderhood Option, Inc., trading as C~=riswold Special Care, and on its behalf, filed a claim in the amount of $412.77 in the above estate docket. The petition for letters indicates assets of $195, 000.00. I would grE~atly appreciate it if you would let me know whether or not you expect that there will_ be assets available for the payment of creditors. Thank you for your assistance. Very truly yours, CLECKNER AN ~ FEAREN Dentii.s J. 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Holidays a CQpfe * a whi#e _ s Yellow _ ~~ae ~~nk' carCher~t i e war ,' -~,.~_ ~iz' ~~~~ da~~,~/ ~~ ~~ _ ~, ~.- ~~ ~~ ~~ ,~ SECOND RESPONSE August 13, 2010 1001 Drexel Hill Blvd. New Cumberland, PA 1707C- Mark E Halbruner, Esquire GATES, HALBRUNER, HATCH & GUISE P.C. 1013 Mumma Road, Suite 100 Lemoyne, PA 17043 RE: Estate of Carol M. Molin William H. Molin, Executor Dear Mr. Halbruner: I am writing this second response in reference to the request for I~etters of Administration regarding the estate of Carol Molin. This letter is a request for payment for caregiver services provided to Carol in the amount of $134.50, for eleven hours of work in November 2009. I previously sent a copy of the standard receipt provided to the client for payment for services rendered. I worked several days in November 2009 as an in-home Caregiver for Carol. as a representative from Griswold Special Care of Shiremanstown, PA., and I never received payment for the hours worked on November 22, 2009 and November 24, 2009, as listed. If you have any questions regarding this, please contact me. Thank you for your consideration regarding this matter. (t ~',~ u ~-'L'~-'~`~ 30~ Anne Taylor ~ i V *** END OF ATTACHMENTS ***