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HomeMy WebLinkAbout03-15-11 (2)150561D143 --J REV-1500 Ex (ot-to> `~ OFFICIAL USE ONLY PA Department of Revenue pennsylvania county code Year File Number Bureau of Individual Taxes oEVnaTMEaroraEVENUE Po Box.26osot INHERITANCE TAX RETURN 21 09 0234 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Date of Birth Social Security Number Date of Death 203 10 5041 02 18 2009 02 29 1920 Decedent's Last Name GURY Suffix Decedent's First Name KATHLEEN MI S (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 IN APPROPRIATE OVALS BELOW ^ 1. Ori final Return 2. Supplemental Retum ^ 3. Remainder Return (date of death X 9 ^ prior to 12-13-82) ^ 4. Limited Estate g Decedent Died Testate (Attach Copy of Will) ^ 9. Litigation Proceeds Received ^ 4a Future Interest Compromise (date of death after 12-12-82) ^ ~• AtfacheCopy~of~fnest)aLivingTrust ^ 1 D Spousal Poverl Credit (date of death between 12-31 ~J1 and 1<-1-95) ^ 5. Federal Estate Tax Return Required 0 8. Total Number of Safe Deposit Boxes ^ 11.Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number GEORGE F DOUGLAS III ESQ ?1? 249 6c"~33 F__~ First line of address 354 ALEXANDER SPRING RO Second line of address City or Post Office State ZIP Code CARLISLE PA 1?IJ15 t- REGISTER OF WILLSS~LSE?DNLY-:; - ~ . ., _ , _ I --- ~~'.i. , ., . _ t_. , ~_- ~ __. , _ . _,~ _ -~ -1 c:: DATE FILED T~ -, ~} 'f ,,, `' ~ C._/ -.~ dou las salxmannhughes.com Correspondent's a-mail address: ~ ~ Under penalties of perjury, i declare that.l have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge. nerG Melissa D Reed ~ 2796 Leitersbur Road Wa nesboro PA 17268 SIGNATURE OF PREPARER OTHER THAN REPRESENTATNE DATE ~g~~~ ') George F Douglas, III Esq. ~ ~ ~ S ~ I 354 Alexander Spring Road, Suite 1, Carlisle, PA 17015 Side 1 15[1561[1143 ]r50567~t1~43 J 15D561D243 REV-1500 EX Decedent's Social Security Number DecedeM'sName: GUfy, Kathleen S 203 10 5091 RECAPITULATION 389.$0 31$ 1. .. Real Estate (Schedule A) ..................................................................................... 1. , 2 318,723.29 2. Stocks and Bonds (Schedule B) ............................................................................. . 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................................................ 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... 5. ~~~ .+ X96 • ~~ 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers & Miscellaneous ion; Probate Property u Separate Billing Requested............ 7. fy . ©~ (Schedule G) 8. ......................... Total Gross Assets (total Lines 1-7) ............................................ s. 760, 709.81 9. Funeral Expenses 8~ Administrative Costs (Schedule H) ....................................... 9. '4 7 , 7 ~ ~ • ~ 3 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 3 , 6 7 7 . 3 6 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. rJ 1 , 38 ~ . 3 9 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 7 ~ ~ , 323 . ~2 13 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) ............................................... 14. 7 ~ 9 , 323 • 42 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 15. 0 . d0 (a)(1.2) X .00 16. Amount of Line 14 taxable Q , Q 0 16. ~ • © ~ at lineal rate X .045 17. Amount of Line 14 taxable ~ _ Q Q 17. ~ • ~ ~ at sibling rate X .12 18. Amount of Line l4 taxable '](~~r323,42 18. 1Q6i3~~•CJ1 at collateral rate X .15 19. lE}6, 398.51 19 . Tax Due ................................................................................................................ .. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^ Side 2 L 15D561D243 7~5D5611:1243 J REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Gory, Kathleen S STREET ADDRESS 630 Brenton Street CITY File Number 21-09-0234 STATE ZIP PA 17257 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 2. Credits/Payments A. Prior Payments $7,875.50 B. Discount 4,414.50 Total Credits (A + B) (2) (3) 3. Interest 4, If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2 Line 20 to request a refund 106,398.51 92,290..00 649.57 5, If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) ~ 4,7rJ$+~$ 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 :...................... .. ... .. ^ x b. retain the right to designate who shall use the property transferred or its income :.................................. ^^ c. retain a reversionary interest; or ............................................................................................................... d. receive the promise for life of either payments, benefits or care? ............................................................ ^ 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without ^ ^ receiving adequate consideration? ................................................................................................................. . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ^ ^x 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which ^ ^ contains a beneficiary designation? .................................................................................................................. x 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, 1t~~a~~y~®995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: . The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0 percent [72 P.S. §9116 (a) (1.2)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1502 IJ(+ (11-08) SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA I I INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Gu , Kathleen S 21-09-0234 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 which is jointlyowned with right of survivorship must be disclosed on schedule F. Attach a copy of the settlement sheet if the property has been sold Include a copy of the deed showing decedent's interest if owned as tenant in common. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Real Estate situate at 16671 Mountain Green Road -Spring Run, PA at proceeds of sale 43,000.00 2 Real Estate situate at 318 E. Burd Street, Shippensburg, PA -See HUD 1 attached 79,900.00 3 Real Estate situate at 630 Brenton Street, Shippensburg, PA at fair market value (145,230 x 182,989.80 1.26) 4 Real Estate situate on Amberson Road in Fannett Township, Franklin County, PA at fair 12,500.00 market value (1080 x 9.62) - at proceeds of sale -See HUD-1 attached TOTAL (Also enter on Line 1, Recapitulation) I 318,389.80 (If more space is needed, additional pages of.the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08) Rev-1503 EX+ (6.98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF All property jointly-owned with right of survivorship must be disclosed on Schedule f. ITEM CUSIP DESCRIPTION NUMBER NUMBER Individual Stock Certificates on Hand 1 019228402 33,651 shares of Allied Irish Banks, p.l.c. -American Depositary Shares 2 687380105 7,084 shares of Orrstown Financial Services, Inc. -common 3 43 shares of Prudential Financial, Inc. -common; Account No. 0012 34926 4 891709107 230 shares of Tower Bancorp Inc. -common M8~T Revocable Trust Account No. 1104237503 5 002058102 530 shares of AT8rT Inc. -common g 264410105 700 shares of Duke Energy Corp New -common 7 30231G1o2 275 shares of Exxon Mobil Corp. -common g 847560109 250 shares of Spectra Energy Corp. -common g 922040100 42.269 shares of Vanguard Institutional Index FD 10 92343V104 200 shares of Verizon Communications Inc. -common 11 983024100 400 shares of Wyeth -common FILE NUMBER 21-09-0234 VALUE AT DATE UNIT VALUE OF DEATH 1.63 54,851.13 26.41 187,088.44 22,44 964.92 19.995 ~ 4,598.85 23.075 12,229.75 14.245 9,971.50 71.925 19,779.38 13.46465 3,366.16 72.35 3,058.16 28.085 5,617.00 42.995 17,198.00 TOTAL (Also enter on Line 2, Recapitulation) I 318,723.29 Kathleen S (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1508 EX+(6-98) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Gurv. Kathleen S 21-09-0234 InCluae the proceens ~i uuyuuv~ ~ _.,~ ., ,o ~~•- ..._ ~• ------ - - - - All property jointly-owned with the nght of survivorship must be disclosed on schedule F. ITEM NUMBER 1 2 3 4 5 8 7 8 9 10 11 12 13 14 15 16 VALUE AT DATE DESCRIPTION OF DEATH $50 American Express Traveler Check - No. 108110320 50.00 M8T Bank, Money Market Fund #420 -Held in Revocable Trust Account No. 1104237503 12,944.52 Sovereign Bank, Checking Account No. 3531060651 41,210.08 1990 Pontiac -VIN 1G2WJ14T8LF203080 200.00 Household Goods - at net proceeds of public sale 1,889.25 24.01 Embarq -refund EMC Insurance -refund of unused premium due to cancellation of insurance 111.00 Highmark -refund of unused premium due to cancellation 279.30 Orrstown Financial Services, Inc. - dividend of record 211312009, payable 2/25/2009 1,558.48 1,926.50 Penn National Insurance Penn National Insurance -loss payment claim for door replacement 592.00 Pennsylvania National Mutual Casualty Insurance Company -refund of unused premium due 275.00 to cancellation of insurance The News-Chronicle Company -refund 55.65 Timmons Oil Inc. -refund of credit 980.12 Tower Bancorp, Inc. -dividend of record 21212009, payable 2/16109 64.40 United States Treasury - 2008, 1040 income tax refund 1,292.00 Total of Continuation Schedule TOTAL (Also enter on Line 5, Recapitulation) See attached page 123,596.72 (If more space is needed, additional pages of the same size) Form PA-1500 Schedule E (Rev. 6-98) Copyright (c) 2002 form software only The Lackner Group, Inc. Rev-1508 EX+(B-98) g~HEpULE E CASH, BANK DEPOSITS, 8~ MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA continued INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Gu , Kathleen S 21-09-0234 VALUE AT DATE ITEM DESCRIPTION OF DEATH NUMBER 17 Zullinger-Brenzie Outdoor Design and Maintenance -funds on account 60,144.41 TOTAL (Also enter on Line 5, Recapitulation) I 123,596.72 Form PA-1500 Schedule E (Rev. 6-98) Copyright (c) 2002 form software only The Lackner Group, Inc. Rev-1510 I?7(+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF If:uni Kathleen S SCHEDULE G INTER-VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPERTY FILE NUMBER 21-09-0234 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM DESCRIPTION OF PROPERTY INCLUDE NAME OF TRANSFEREE THEIR RELATIONSHIP TO DECEDENT AND NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. Agency Trust Account#1104237503 - (Revocable Trust Agreement) M&T Bank, successor in interest to Dauphin Deposit Bank and Trust Company, Trustee; Agreement established by decedent and decedent's deceased spouse (who died on October 6, 1996)- settlors on January 19, 1995, with income payable to decedent-settlor for life with trust terminating on last death of the surviving spouse and distributed to decedent's estate. All assets in this trust have been listed on the appropriate schedules of this return. TOTAL (Also enter on Line 7, Recapitulation) DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE (If more space is needed, additional pages of the same size) Form PA-1500 Schedule G (Rev. 6-98) Copyright (c) 2002 form software only The Lackner Group, Inc. REV-1151 EX+ (10-06) COMMON~~IT~LT~I Q~EC DEN~R~VANIA R IDEN D FUNERAL EXPENSES: ESTATE OF [;~~rv_ Kathleen S ITEM N MB A. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-09-0234 Debts of decedent must be reported on Schedule I. DESCRIPTION AMOUNT See continuation schedule(s) attached I 7,843.50 g. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(sl Commission oaid 26,570.00 2. Attorney's Fees Salzmann Hughes, P.C. 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address State Zip City Relationship of Claimant to Decedent 4. ~ Probate Fees 483.00 5. Accountant's Fees 725.00 6. Tax Return Preparer's Fees 12, 087.53 7. Other Administrative Costs See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 47,709.03 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF c~~~rv Kathleen S FILE NUMBER 21-09-0234 ITEM DESCRIPTION AMOUNT NUMBER Funeral Expenses 7,843.50 1 Fogelsanger-Bricker Funeral Home, Inc. -funeral services H-A 7,843.50 2 Other Administrative Gosh Bauserman's Lawn Service -April lawn mowing for 318 1/2 Burd Street 95.40 3 Bauserman's Lawn Service -May lawn mowing service for 318 112 Burd Street, 127.20 Shippensburg, PA 4 Bauserman's Lawn Service -June lawn mowing service for 318 112 Burd Street, 127.20 Shippensburg, PA 5 Borough of Shippensburg -final water and sewer service for 318 112 Burd Street, 207.97 Shippensburg, PA 6 Borough of Shippensburg -water, sewer and refuse service at 318 112 Burd Street, 88.63 Shippensburg, PA 7 Grouse's Lawn Service -lawn mowing service on 712109 for Mountain Green Road, Spring 37.10 Run, PA 8 Grouse's Lawn Service -lawn mowing service on 719109 for Mountain Green Road, Spring 37.10 Run, PA 9 Grouse's Lawn Service -lawn mowing service on 7115/09 for Mountain Green Road, Spring 37.10 Run, PA 10 Grouse's Lawn Service -lawn mowing service on 7122109 and 7129109 for Mountain Green 74.20 Road, Spring Run, PA Form PA-1500 Schedule H (Rev. 6-98) Copyright (c) 2002 form software only The Lackner Group, Inc. SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF (FILE NUMBER Gu , Kathleen S 21-09-0234 ITEM DESCRIPTION AMOUNT NUMBER 11 Grouse's Lawn Service -lawn mowing service on 8/5109 for Mountain Green Road, Spring 37.10 Run, PA 12 Grouse's Lawn Service -lawn mowing service on 913/09 for Mountain Green Road, Spring 37.10 Run, PA 13 Grouse's Lawn Service -lawn mowing service on 8115109 for Mountain Green Road, Spring 37.10 Run, PA 14 Ehrlich -pest control for Mt. Green Road 1,725.68 15 Eric Diffenbaugh Surveying -surveying service at 10 acre tract in Amberson Valley in order 689.00 to administer the estate 16 George F. Douglas, III -reimbursement for mileage to attend public sale of Mountain Green 29.60 Road, Spring Run, PA, in order to administer the estate 17 Hurley Auctions -commission paid to sell real estate in order to administer the estate 3,150.99 18 Jamie L. Mosher -proration return of security deposit and rent due to sale of 318 112 Burd 838.66 Street, Shippensburg, PA 19 Law Office Forest N. Myers -research of file, photocopies and telephone calls 150.00 20 M8T Investment Group -fee collected 316.67 21 M8T Investment Group -fee collected 116.67 22 M8T Investment Group -fee collected 116.67 23 M8T Investment Group -fees paid to sell securities in order to administer the Estate 119.59 24 M8~T Securities, Inc. -legal transfer fee 75.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF (FILE NUMBER Gurv, Kathleen S 21-09-0234 ITEM DESCRIPTION AMOUNT NUMBER 75.00 25 M8T Securities, Inc. -legal transfer fee 26 M8~T Securities, Inc. -legal transfer fee 75.00 27 M8T Securities Investment Group -expenses paid to sell security in order to administer the 46.59 estate 28 Melissa Reed -reimbursement for overnight postage 51.25 sa Reed -reimbursement for smoke alarms, keys and miscellaneous items needed to li M 189.11 29 s e sell 318 112 Burd Street, Shippensburg, PA in order to administer the estate 30 Melissa Reed -reimbursement for signature guarantee needed to administer the estate 5.00 31 Mountain Yew Woodworks -service assessment for Mt. Green Road, Spring Run, PA 100.00 32 PA Department of Revenue - 2009 PA41 income tax due 360.00 33 Penelec - 318 112 Burd Street -electric service 14.99 34 Penelec - 318 112 Burd Street -electric service 14.36 14.97 35 Penelec - 318 112 Burd Street 16.81 36 Penelec - 318 112 Burd Street 37 Penelec - Mt. Green Road -electric service 56.80 22.05 38 Penelec - Mt. Green Road 37.89 39 Penelec - Mt. Green Road 3.14 40 Penelec - Mt. Green Road Form PA-7500 Schedule H (Rev. 6-98) Copyright (c) 2002 form software only The Lackner Group, Inc. SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF Gurv. Kathleen S ITEM DESCRIPTION AMOUNT NUMBER 3.18 41 Penelec - Mt. Green Road -final electric service 42 Randall A. Brenize -miscellaneous repairs and labor expense to sell 318 112 Burd Street, 333.00 Shippensburg, PA in order to administer the estate rder of Deeds - 1% realty transfer tax for 318 112 Burd Street, Shippensburg, PA paid to R 799.00 43 eco sell real estate in order to administer the estate 44 Recorder of Deeds -1 % realty transfer tax paid to sell real estate in order to administer the 430.00 estate 45 Recorder of Deeds -transfer 630 Brenton Street to Evelyn Fuller 49.50 46 Recorder of Deeds -1 % realty transfer tax paid to sell Lot 20 Amberson Road, 125.00 Chambersburg, PA, in order to administer the estate 16.00 47 Register of Wills -four short certificates 20.00 48 Register of Wills -five short certificates 4.00 49 Register of Wills -one short certificate 50 Register of Wills -expenses and filing fees 180.00 51 Salzmann Hughes, P.C. -reimbursement for payment to the Cumberland Law Journal to 75.00 publish Executors notice 52 Salzmann Hughes, P.C. -reservation held for postage and miscellaneous contingencies 500.00 198.16 53 The Sentinel -Legal advertising H-B7 12,087.53 FILE NUMBER 21-09-0234 Form PA-1500 Schedule H (Rev. 6-98) Copyright (c) 2002 form software only The Lackner Group, Inc. Rev-1512 EX+(12-08) COMMONWEALTH CF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Kathleen S scHEau~.~ DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-09-0234 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. VALUE AT DATE ITEM DESCRIPTION OF DEATH NUMBER 772.69 1 Carol A. Carmack, tax collector - 2009 Cumberland County real estate tax for 630 Brenton Street, Shippensburg, PA tax collector - 2009 Cumberland County real estate tax for 318112 Burd Carmack rol A C 382.81 2 , . a Street, Shippensburg, PA 3 Carol Comack, tax collector -prorated 2009-10 School tax on 318 112 Burd Street, 49.59 Shippensburg, PA ($931.45 less $881.86 refund at time of settlement) 77.02 4 Embarq -phone service tax collector - 2009 Franklin County real estate tax for Amberson Road Neil M d F 31.16 5 , . a re tax collector - 2009 Franklin County real estate tax for Mt. Green Road, Spring il N 172.58 6 , e Freda M. Run, PA 7 MSHMC Physicians Group -balance due for medical service 135.00 8 PA Department of Revenue - 2008, PA40 income tax due 704.00 15.56 9 Penelec - 318 1/2 Burd Street -electric service 269.56 10 Penelec - 630 Brenton Street -electric service 237.39 11 Penelec - Mt. Green Road -electric service 830.00 12 SEKBCo. -preparation of 2008 income tax returns TOTAL (Also enter on Line 10, Recapitulation) 3,677.36 (If more space is needed, additional pages of the same size) Form PA-1500 Schedule I (Rev. 12-08) Copyright (c) 2009 form software only The Lackner Group, Inc. .._- ~-~---- , . __. ~. SCHEDULE J COM IN RESIDEN~EDECEDEN~RN~~ BENEFICIARIES ESTATE OF FILE NUMBER Gu , Kathleen S 21-09-0234 NAME AND ADDRESS OF RELATIONSHIP TO DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY (Words) ($$$) I TAXABLE DISTRIBUTIONS [include outright spousal ~ distributions, and transfers under Sec. 9116 a 1.2 1 Guy JFuller -deceased Brother 2 Evelyn L. Fuller Sister-in-Law Entire Estate 709,323.42 100 S. Fayette Street Shippensburg, PA 17257 Total 709,323.42 Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 15 00 cover sheet, as a r o riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF Ktv-1500 cwtrc sett I I Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) .. LAST WILL AND TESTAMENT I, KATHLEEN S. GURY, of 630 Brenton St., Shippensburg, Cumberland County,Pennsylvania, being of sound and disposing mind, memory and understanding, declare the following to be my last will and testament, hereby revoking any and all wills heretofore made by me. Item I. I direct my executor hereinafter named to pay all my debts and funeral expenses. Item II. I hereby give, devise and bequeath my entire estate to Guy J. Fuller and Evelyn L. Fuller. In the event that they should predecease me, I give, devise and bequeath my entire estate to Cynthia E. Unger and Melissa D. Reed. Item III. I appoint Guy J. Fuller and Evelyn L. Fuller as my executors, and direct that they should serve without bond. If they are unable to serve, then I appoint Cynthia E. Unger and Melissa D. Reed as substitute executrices. IN WITNESS WHEREOF, I have hereunto set my hand and seal this _ ,~ p~ , ,f ~ ~ ~ day of i"~=' ~ ~ : ,1996. ... ~~T-'`~ ~ (SEAL) ~` Kathleen S. Gury Signed, sealed, published and declared by the above named testatrix, as and for her last will and testament, who at her request, in her presence, in our presence, and in the presence of each other have hereunto subscribed our names as attesting witnesses: ;1 ~-~ Tom. ~ .~ ; .~ _~ ` ( _^ _' ~'1 ~ '3 ~~ ~ -~" i COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND .~ ~; ,.t ~ We, and '.'~"' ~*- ~ ~`' ~'~~=whose names are signed to the atta ` d or foregoing instrume , t, being duly qualified accdording to law, do depose andsay that we were present and saw testatrixsign an execute the instrument as her last will, and that she signed willingly and that she executed it as her free ri the hearin y and fs ght ofthe testatrix signed the contained, that each of us g will as witnesses; and that to the best of our knowledge, the testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ~'' F ;~ ~ `~.'Y` ~14F. p~,g~`~ i r t r Sworn to and subscribed before me this ~ ~ r {-' day of ~ ' +'~° ,1996 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, Kathleen S. Gury, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. } athleen S. Gury Sworn to and subscribed before me this the f ~ ~a' day of ~~- `?~La~~~'LC: 1996. ti._. ` " ~~ ~'„~.,: / '~ ~ `" -, Notary NOTARIAL SEAL JANET M. LAY NOTARY PUBLfC CARLISLE 80R0., CUMBERLAND COUNTY MY COMMISSION EXPIRES JUNE 26,1999 Previous 0dition4 Bre Obsolete A. Settlement Statement form HUD•t (3.861 ref Handbook 4305.2 U.S. Department of Housing and Urban Development naxo n...,......,t nt., oGro_noaa te,,,.l.e~ ~ vanf~nnot I. ^FHA 2. ^FmHA 3. ^Conv. Unins. 6. File Number 7. Loan Number 8. Mortgage Insurance Case Nwnber V v 2 -1 This form is lumished to glue you a statement of actual settlement torts. Amounts paid to and by the settlement agent are shown. C. Note: Items merked'(p.o.a)" were peed outaMe the Closirp; they are shown here for inbrmali0n purposes and are not included in the totals. TIf18E%pre35 Settlement System W ARNtNG: It is a crime to knowingly make tetra statements to the United States on tMS or any other similar form. Penalties upon D. NAME OF BORROWER: JUdy A. Zeigler 2 W' 2 E. NAME OF SELLER: The Estate of Kathleen Gury F. NAME OF LENDER: N/A G. PROPERTY ADDRESS: 16671 Mountain Green Road, Spring Run, PA 17262 wn i H. SETTLEMENT AGENT: PA Real E$tate Settlement SOCVICES, LLC 14/ MMARY F B R WER'S TRAN A TI N: K. MMARY OF ELLER' TRAN ACTION: 43 000.00 43 000.00 871.50 i 09 14 09 12 31 09 51.53 09 14 09 12 31 09 51.53 09 14 09 06 30 10 322.07 09 14 09 06 30 10 322.07 44 245.10 43 373.60 2 000.00 2 000.00 3 994.63 ' 2 000.00 5 994.63 44 245.10 43 373.60 2 000.00 5 994.63 30 42 245.10 37 378.97 SUBSTITUTE FORM t099 SELLER STATEMENT: The information contained herein Is important tax information and is being furnished to the Internal Revenue Service. If you are requiretl to lire a return, a negligence penaay or Wher sancllon will be Imposed on you if this Item is requiretl to be reported and the IRS determines that It has not been reported. Tha Contract Sales Price destnbetl on line Ot above constllutes the Gross Proceeds of this traraaaion. Vou are repuired by law to provide Me setdemem agem (Fed. Tex ID No: 1 with your correct taxpayer itlenLlicatlan number. II you de not provide your correct taxpayer identification number, you may be subject to civil or criminal oenettles imposed Dy law. er penalties of perjury. I certity that the number shown on Ihia statement is my correct taxpayer idenntibatlon numbv. TIN: __ SELLER(S) NEW MAILING ADDRESS: SELLER(SI PHONE NUMBERS: SELLER(S) SIGNATURE(S): Previous edidons are obsolete lone HUD-7 (3'661 rel Hantlbook a305.2 U.S. DEPARTMENT OF HOUSING Arvu uKnAty utvnt.urntnly 7 rue i~umoer.:w>-r r ~o ~..u.- NT M T PAID FROM PAID FROM 43 000.00 = BORROWER'S SELLER'S FUNDS AT FUNDS AT SETTLEMENT SETTLEMENT 0.00 0.00 Salzmann Hu hQa P.C. 400.00 43 000.00 41.50 41.50 430.00 - 430.00 430.00 430.00 Freda M. Neil Tax Collcetor 413.64 Hurls Auctions 3 150.99 871.50 3 994.63 HUD CERTIFICATION OF BUYER AND SELLER I have carefully reviewed the HUD•t Settlement Statement and ro the best of myy knowledge and belief, it is a true and accurate statement of all receipts aM disbursements made on my account or by me in this hansactbn. I lurmar certiry that I have recWved a copy of the HUD-1 SeMement Statement. ~ a WARNING: It IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this Transaction. UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION I have caused or will cause the funds to be disbursed in accordance wiM this statement. CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 18: U.S. CODE SECTION 1007 AND SECTION 1070. '''~ ""p '1, / ° {~ ~~'~.•f 4 J { .~ gy;-,.,s_L , A. i ~~ .~.i4 ~+,JS k E ~ t t € r;' rrevlous ecmons are onsolere A. Settlement Statement roan Huun tsratil rer Handooox wsuo.[ U.S. Department of Housing and Urban Development ,...t nl.. ~~n9_n9R5 lavnires '1 113 0 /20 0 91 T y~I 1. ^FHA 2. ^FmHA J. 81COIIV. Unius. 6. FileNwnber 7. Loan Number 8. Mortgage Insurance Case Number 4 ^v ~ 0- 04 1 76 1 This form is fumished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. T.itleEx res5 Settlement System C. NOte: Items marked "(p.o.c.}" were Daid outside the closing; they are shown here for information purposes and are not inGuded in the totals. P WARNING: It is a crime to knowingly make lalse statements to the United Stales an this or an other similar form. Penalties uDOn ~ D. NAME OF BORROWER: Jamie L. Mosher E. NAME OF SELLER: Estate of Kathleen S. Gury F. NAME OF LENDER: M&T Bank 1 M&T Plaza uffalo NY 14203 G. PROPERTY ADDRESS: 318 1/2 E. Burd Street, Shippensburg, PA 17257 Shi en bur Bor u H. sETTLEMENT AGENT: PA Real Estate Settlement Services, LLC 4 exa der S rin R ad to C r i le 17015 07/17/20 NSACTION: ' J. SUMMARY OF B RR WER'S TRANSACTION: ~ NT F W 79 900.00 S TRA K. SUMMARY OF S LLER T T 79 900.00 r 4 787.67 n i i I r' v r' i I 'n 07 17 09 12 31 09 176.19 07 17 09 12 31 09 176.19 86 881 07 17 09 06 30 10 881.66 07 17 09 06 30 10 . T yy T i H F 85 745.72 80 958.05 IN T T 1 938.42 63 920.00 i. i in 4 500.00 M&T Bank A' n~f "' i I f i II TA A Y F 64 420.00 AT R R I A T 1 938.42 M T R M 05 80 958 85 745.72 . 1 938.42 64 420.00 anz r^ncu FRnM Rr]RR(]WFR ___ 21 325.72 79 019.63 SUBSTITUTE FORM 1099 SELLER STATEMENT: The information contained herein is important lax information and is being furnished to the Inlemal Revenue Service. If you are required to file a return, a negligence penalty or other sanction will be imposed on you it this item is required 1o De reportetl and the IRS determines that it has not been reported. The Contract Sales Price described on line 401 above constitutes the Gross Proceeds of this transaction. You are required Dy law to provide the settlement agent (Fed. Tax ID No: )with your correct taxpayer identification number. It you do not provide your correct taxpayer IdenOficadon number, you maybe subject to dvd or criminal penalties Imposed bylaw. Un er penalties o perjury, 1 certify That the number shown on dris statement Is my wmed taxpayer identification number. ~ SELLER(S) SIGNATURE(S): ~ TIN: SELLER(S) NEW MAILING ADDRESS: SELLER(S) PHONE NUMBERS: (H) ronn t~uu-~ tsrotii per iyancuucr, usuot rremous eauons are oosmete PAGE 2 ! t ~ nFPARTMENT OP HOUSING ANU URt3AN DE'JLLOPMENT file Number: 20(79-1045 S TTL MENT S ATEMENT PAID FROM PAID FROM M T r' 79 900.00 = BORROWER'S SELLER'S 7 T A FUNDS AT FUNDS AT SETTLEMENT SETTLEMENT N T LR 1 670.87 M&T Bank Kirchme er b Associates Inc P:O.C. 380.00 Bu er LR 7.50 POC b Lender CBC 4 i M6T Bank P.O.C. 500.00 Bu er LR t M6T Sank P.O.C. 200.00 Bu er LR LR 595.00 M6T Bank F LR 80.00 i First American RETS First Americar, FDS I y 1 V 07 17 2009 08 O1 2009 9.6318 15 Da s LR 144.48 V WIT 33 LR 93.99 31 . g I 6 31.90 ~LR 191.40 2 76.86 LR 153.72 LR -158.91 0.00 M&T Hank 29.00 Salzmann Hu hes P.C. t 30.00 Note Clerk ~ ~ Stewart Title Guarant PA RE SS 812.52 63 920.00 - 79 900.00 - 812.62 i Stewart Title Guarant PA RE SS 150.00 Stewart Title Guarant PA RE SS 35.00 1 RNM NT RE ORDIN F 111.00 38.50 72.50 799.00 799.00 799.00 799.00 20.00 Recorder of Deeds N TT 931.45 Carol Comack tax collector 20.50 Salzmann Hu hes P.C. Salzmann Hu hes P.C. 10.00 207.97 Borou h of Shi ensbur 4 787.67 1 938.42 4 HUD CERTIFICATION OF BUYER ANO SEL!_tFC in this trensaichon I further certify Mall have reeNtved a copy oftlhe NUD-1 o5elllekmentl Statemenbelief, it is a true and accurate statement of ail receipts and disbursements made on my account or by me Jamie ocher Estate of Kathleen S. Gury 8y. Melissa . Reed. Executrix WARNING: I ' S A CRIME TO KNOWING! Y MAKE FALSE StA«ME~uS TO THE The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this 'ransaction. _ _ _.- -. - _ __ ...~, rnMArYIr1N t have caused or vrilt cause the /unds to be disbursed in accordance with This statement. TaxDB Result Details Detailed Kesults fo r Yarce132-34-2413-250.1: DistrictNo 32 Parcel H) 32-34-2413-250. MapSuffix HouseNo 630 Direction Street BRENTON STREET Ownerl GURY, JAYS & KATHLEEN S C/O PropType R PropDesc LivArea 1878 CurLandVal 28800 CurImpVal 116430 CurTotVal 145230 CurPrefVal Acreage .37 CIGrnStat TaxEx 1 SaleAmt SaleMo SaleDa SaleCe SaleYr DeedBlzPage 0016K-00479 YearBlt 1965 HF File Date HF Approval_Status Page 1 of 1 n the 2004 Tax Assessment Database http://taxdb.ccpa.net/details.asp?id=32-34-2413-250.&dbselect=l 5/6/2009 lOritl nUU-i (Jltlb) fei nanob00x 93Ub.[ A. Settlement Statement U.S. Department of Housing and Urban Development I. ^FHA 2. ^FmHA 3. ^Conv. Uoins. 6. File Number 7. Loan Number 8. Mortgage Instuance Case Number ^v 2 -11 This form is famished to give you a statement d adual aetttemenl msU. AmounU paid to and by the settlement agent are shown. G. Note: Items marked'(D o.c.)' were paid outside the dosing; they are shown here for iMormafion purposes and are not indutled in the totals. T)tleFxpreaa Settlement System W ARNING: tt is a crime to knowingly make false statemenU to the United Sfates on this or an other similar fans. Penalties upon D. NAME OF BORROWER: Richazd L. Wise and Janet L. Wise 57 M ant ' R ad Chamb rs ur PA 17202 E. NAME OF SELLER: The Estate Of Kathleen S. Gary F. NAME OF LENDER: N/A G. PROPERTY ADDRESS: Lot 20 AmberSOn Road, Chambersburg, PA 17201 Fenn To hi x. SETTLEMENT AGENT: PA Real Estate Settlement Services LLC, Telephone: 717-249-6333 Fax: 717-249-7334 q i A 1 1/ J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER' TRANSACTION: 12 500.00 12 500.00 1 130.00 ~ 13 630.00 12 500.00 125.00 125.00 13 630.00 12 500.00 125.00 13 630.00 12 375.00 SUBSTITUTE FORM 1099 SELLER STATEMENT: Tha inlarrnagon contained herein is important tax inlormafion and Is being famished to the Internal Revenue Service. If you are required to file a return, a negligence penally or other sandion will be imposed on you it thin item is required to be reported and the IRS determines that it has not been reported. The Contrad Sales Price described on line 407 above constlNtes the Grose Proceeds d Nis trensacdon. You are required bylaw to provide Ne settlement agent (Fed. Tax ID No: 1 with your correct taxpayer identification number. N you do not provide your correct Uxpayer identification number, you maybe subjed to dvil or criminal penalties imposed by Iaw.lTnder penalperjury, I cartily that Uro number snown on Ihia statement is my caned taxpayer identifiuaon number. TIN: ~ SELLER(S) SIGNATURE(S): SELLER(S) NEW MAILING ADDRESS: SELLER(S) PHONE NUMBERS: _ rrenous edmdns are oosaere roan nuu-i t;Nea) rer Hancooox asua[ U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT File Number: 2010-1139 PAGE 2 TT EM NT T E T PAID FROM PAID FROM 12 500.00 = BORROWER'S SELLER'S FUNDS AT FUNDS AT SETTLEMENT SETTLEMENT 0.00 0.00 Edward I. Steckel Es ire 950.00 12 500.00 55.00 55.00 125.00 125.00 125.00 125.00 1 130.00 125.00 HUD CERTIFICATION OF BUYER AND SELLER I have carefully reviewed Me HUD-i Settlement Statement and to the beat of my knowledge and belief, it is a We and eccurote statement o! all receipts and disbursements made on my acwunl w by me in ~nsaction. 1 further certify that I have received a copy d the HUD-t Settlement Statement. I ll ~Q yr/ r ~%~l' t„k.:Ctivtl~ Al r ll.~,(d~l Rena L WiseWise Jan Lei Wise ~ The Estate W Kathleen S/Gu-ry__,__ /n ~. i/ I ti~~. ~',.~,~/~, I t ~ ~ ~ ~,/ By: liasa D. eed, Exewtdx WARNING:~1T IS A CRIME TO KtJOW INGLY MAKE FALSE STATEMENf3 TO THE The HUD-t SelBement Statement wh1U I have prepared is a true and accurate aaount of Inis transaction. UNITED STATES ON THIS OR ANV SIMILAR FORM. PENALTIES UPON CONVICTION 1 have caused w will cause the funds to be disbursed in acwrdance with Nis statement. U.SN CODE SECTION 1001DAND SECTION 010. R DETAILS SEE TITLE 18: /~,/ Historical Quotes: Charting Tools for Looking Up a Security's Exact Closing Price - BigC... Page 1 of 1 Moro Enter Keyword(s) i SEARCH I! •~ Trade wtth Schwab for just S8.9S T+Atx ~ Uet all the advanced freeing rods, seminars and personal StM'vitx r a r ' . You expect from Shcwab for as little as 58.95 a trade. > .c a Read more ,a,.. ! ~.- Ear E~ s,nnketxayw~,r, , r : Mona Orafaa _.. throe hidswrMle eAartata :; t11slerleal Quotas ._ Ri~lfapset /lY/IrMaa/Tea~ ` lnlNMrrt.Mptdtreb TDis Historical Quotes tool alkwrs you to bok up a security's axed dosirq price. Simply type in the symbol and a historkal date to view a qude and mini chart for that securky. ~,~ Enter Symbol: AIB Enter Date: 02/1812009 Allied Irish Banks, P.L.C. Wednesday. February 1a, 2009 Closing Prire: Open: High: Low. Volume: 1.62 1.7 rr__ / 1.71 j . ro 3 ^---!` 1.55 1,108,100 Go To Charting ~~~ ~ No Splits 2-Month Daily ChaA or Allied Irish Banks, P,LA. Sponsored Links Solar Stock Pick - EVSO Solar Power Your PoAfol'ro. Green Energy Stock Investment www EvolutionSolacrom . I Make S15K+ A Month Using A Stock Trading Bot Proven And 100°~ Guaranteed! www.howtobuibyourtuture.com Overwhelmed With Debt? Cut Debt By 70°k & Payoff In 12-30 Mnths. 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Intraday dale delayed 19 minutes for Nasdaq, and 20 minutes for oMer exchanges. Dow Jones IndexesSM firm Dow Jones b Company, Inc. SEHK intraday data is provided by Comstock and is al least BO-minutes delayed. All quotes arc n local exchange time. _ ._ . , _.____._L .........1,.:~+,,,.;,.,v,~Pfay,tr a~.,~rlPtect=l&svmbol=AIB&close date... 3/5/2009 Historical Quotes: Charting Tools for Looking Up a Security's Exact Closing Price - BigC... Page 1 of 1 Enter Keyword(s) !SEARCH More t~ ~~,~~ I I I ICI What ifau a.a~ico kitkaad andysiat -; >°~ ir~t.~a iM~oNa+000trta ^/1/vwra.tTed. .r.awna-r~ed•~•_. __ elolat. Nawa rrtarar... __ ..._:. This Historical quotes tool albws you to bok up a securth's exact dosing price. Slmph tYPe in the symbol and a histoneal date to view a quote and mini chart ror coat security. >,i Enter Symbol: ORRF Enter Date: 02/18/2009 Orrstown Finl Svcs Inc Wednesday, Febmary 18, 2009 Closing Price: Qpen: High: Low' volume: 25.50 26.78 26.78 2G.1Y ~ 26.50 600 Go To Charting ~~~ Sponsored Links Solar Stock Pick - EVSO Solar Power Your Portfolio. Green Energy Stock Investment www.E vo fulionSMar.com I Make 515K+ A Month Using A Stock Trading Bot Proven And 100°~ Guaranteed! - vrww howtnDUibyouduture.cnm Retirement Planning 401K Roll-Overs, Income Strategies, Taxes and Estate Planning. www.AdvisnrVllatld com No Splits 2-Month Daily Chart of Orrstown Finl Svcs Inc 2009 New Car Pricing Buying a New Car, SUV or Hybrid? Find Discount Prices in Your Area! www WhyPaySticker com , Get 100 Free Trades. E*TRAOE Seturitles, 0 AI~Ea1T11Ae! ; .~ .~ ~actS -- £r..~rsR..r. Sconrade: 57 Trades, Fast Executions Get 100 Commissbn- Free Tratles. Trade hee ror 30 days at TD AMERITRADE. 30-Day Guarantee. Click Here- Home i ADqut i Job Oppgrtunilies i ContaU U i FeeAbeyk i Melp License and imegrete news, wstom financial tools and data hom Q4.W_J404s_SIi4f!1. SoLul4ns.. Copyright O 2009 MarketWatch, Inc. AN rights reserved. ay using this ske, you agree to the Terrns.Q(Use and Privacy. PO_Fg7f (updated 4/3A3). Intraday data F Histdoencal anA eurte~nt end-of-day da a fxavided by ~~t-e~ o~ntDa1fl-Prima ~ Rgte_9rK&..D9ta to l4mis QI itge. Moro infonna0on on NASDAQ lr2dea pymbgb and their current Onancial status. Intraday date delayed 1 S minutes for Nastlaq, and 20 minutes for other exchanges. Dow Jones IndexesSM hom Dow Jones d Company, Ina. SEHK intraday data isAll q o~tes are in bcal exchengettime ~ ~ minutes delayed. _ _ . ~ -~--1--~_~nnc v.,.L...o ,a zi~i~nn4 Historical Quotes: Charting Tools for Looking Up a Security's Exact Closing Price - BigC... Page 1 of 1 Moro I ~! ~tflAJ `i"1iLl'lUl uWli~ ~~~~ I~~~1~~~~{i~. NOltl.i RLARiR .. a/srv.,ttitywtt~ - - Ertrss Sl+e6oi'iG9warh. !~ ~h3at.ivrnrtit ~lw? `..'- ~.. gtwt~t , ltNwa Midtutiiien IMarb4: INatarlcat WIOLa ~: _ ~AIYMQMTi-al! !._>~`.... TMs Histodcal Quotes tool allows you to bok up a security's exad Losing pots. Simpq type in the symbol and a historical date to view a quote and mini chart for that security. -,'• Enter Symbol: PRU Enter Date: '02/18!2009 Prudential Finl Inc Wednesday. February iS, 2009 Closing Pare: Open' Hiyh. Low: Volume. z2.s1 23.32 ~~tt `` 11 23.32 .Zf•`f~ ~ 21.56 10,103,700 Go TQ Charting ~~~ ~ Sponsored Links AARP -The Hartford Over 50? Save Hundreds On Fast, No Hassle Auto Ins Today. Free Quote! AARP.TheNanfont tom - 2009 New Car Pricing Buying a New Car, SUV or Hybrid? Find Discount Prices in Your Area! www WhyPayStickercom I Make S15K+ A Month Using A Stock Trading Bot Proven And 100°~ Guaranteed! www howlabuildyourfulure.com 30yr Mortgage at Syr Lowl Now is the time to Refinance! $180,000 Refi for 39991mo. www. 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SEHK intraday data isAltrgvide s areCroimoeal exchange'time, ~ minutes delayed. ... ,. ,. n~_~__a-1 0......«L.~+1-UTJTTR~nIncP r~~t Enter Keyword(s) '. SEARCH FtATURIK4 aRLAKt1V8 MARK['r rR~111rs ~~ Ntar~eta~h tl No Splits 2-Month Daily ChaA or Pnrdential Finl Inc ~i~n~n9 Historical Quotes: Charting Tools for Looking Up a Security's Exact Closing Price - BigC... Page 1 of 1 More ~-- ~' • .h ,x~r..•y"MId~Nt~Mth frtrer Syraaolibgywurds ,-. .. _. .... traWa tedr 1tOnte Morcott..., NlaAeaipt QYOUa ...:~ep4!f'A'.. t~tlpdtbOh t?ledttc>b<... oMoe This Historical Quotas tool alkwrs you to look up a secumy's exact closing price. Simpy type in the symbol end a historical dale to view a quote and mini than for that seeurAy. b Enter Symbol: TOBC Enter Date: 02/18/2009 ,~ Tower Bancorp Inc Wetlnesday. Febnrary 18, 2009 20.00 Closing Price'. 19.99 Open' Q p 20.D0 High: I 1. R I ~ ~ ' 19.99 low: vowme. 640 No Split3 Go To Charting Z-Month Daily ChaA nt Tower Banwrp Inc Sponsored Links 2009 New Car Pricing Buying a New Car, SUV or Hybrid? Find Discount Prices in Your Area! www WhyFaySticker cam Bush Passes Housing Bill Now is the time to Refinance! 5180,000 Refi for $999/mo. www MortgageRatesExpeAS.com _ _ - Mortgage Rates at 4.375°~6 Fed cuts rate below 0.25%. Get $200k loan for $791Imo. Ret18 Save Now www. M atgage seestRates. wm 4.89°/a Fixed Mortgage Refl ' No Points. Refi Your Mortgage Now! As Featured on CNNMoney & Forbes. DeRaFrimeRerinance.tom Get 100 Free Trades. E•TRADE Securities. ° r . t TRAQES 100 r rear sc Free 30-Day Trial. Free 30-Day Tnal. SeoOrade~ 57 Trades, Get 100 Commission- Click Here. Click Here. Free Trades. Fast Executions Home I AGout I ~b-OPP°-nundes I Con}ac1.US I FeedbaSk I !~D License and integrate news, custom Onanciel tools and data hom ~! JOne~~N4M.$O.M1i44e,~ CopyAght O 2009 MarkelWalch, Inc. AA rights reserved. By using this she, you agree to the Terr~ot USe and Priya~ PoXey (uptlated 413/03). Intraday data PH sbdral and cutrewn end of-daY ~ Pr°'b1 iM gclh!4nDeta P[king_and g4lerenGp.p Ito lermf of use. More inlonnation on NAS9?!9 iradeA 5irmb_ols and their arrent Anancial staNS. Intraday data delayed 15 minutes for Nasdaq, aM 20 minutes ror oMer exchanges. Dow Jones IndexesSM from Dow ,boas 8 Company, Inc. SEHK intraday data All q des areCmrloea exchange'tfine ~ ~ minutes delayed. Enter Keyword(s) ~. SEARCH _ .. , _~-1 0_~_....,.t.,.1-T(1Rf Rrrinca ~ ~~5~7.nn9 T-547 P©02 F-584 0~-29-'09 11;5 FBOM- Date of Ds+aCh: 0x/18!2009 Valyntiott Date: 03/10/2009 Processin4 pate: Qfarea SeccuritY or Par Description 1} 1L,944.52c~an tCASH) 2) 530 ?~T4T INC (003068102} COl~I New York Stock IDcchari<3g 02/18!2009 gatate Valuation Estate af: DBtelOfn~ th Rsport TYPe~ Nuipber of SeCUrities~ 8 File ID: Estate Val-1104237503-Gury tdean andlor Div and Int Security i~justments Accruals Value High/Ask Low/Bid - --------- -"~- ~- ~ 12 , 944.52 23.40000 aa.7saao ~/L a3.o7saoo 200 VIItIZON C~NICATIONS ~ (92343V104) 3} Whew York stock Ewchange 28.50000 27.67000 H/L 28.085000 02/18/x009 4) 5) 6) 71 6) 275 ffiD[ON MOBIL CORN (302316102) CC!! Drew York Stock 9e 72.58000 71.27000 H/L 71.925000 Dzf18/2009 110.00 Div: 0.4 ~: 02/06/2009 Rec= 03/10/2049 PaY: 03/10/2009 250 SPRCTRI+ H36~ CORD (847560109) }~ York Stock SxChan9B 13.79000 13.13930 H/L 13-46465D Oz/1a1zoo9 6x.50 Div: 0.25 Bx: 02!11/3009 ReC:,02/13/x009 Pay: 03/16/2009 4oD wn~rH (983024100} CCM p~ york Stock EXChan9e 43,a4D00 42.7500D H/L 42.995000 oane/aoo9 12o.oD piv= 0.3 ~: 02!1112009 RBC: 02/13/2009 Pay: 03/02/2009 700 Ul7%E ENERGY CORF NE4i1 (264410105) COli . New York stock ~~~ 14.46000 14.A3000 H!h 14.245000 . Dx/18/2009 - 161.00. Div:~0.23 ~= 02/11/2009 Rec: Da /13/2009 PaY: 03/16/2009 , 4a_a69 vANw~w ~TL 1NDIIL gp l9zao4D1o0) 12,229.75 5,617.00 19,779.38 3,366-16 17,196.00 g,g71.5D M~utu~l ~ (as quoted b5f NASDAQ} 72.35DO0 Mkt 3,058.16 T2.350000 02!18/x009 - .------ 8.4,164.47 X5453.50 Toter Value: Total Accrual: Total: 584,612.88 page 1 6SCionS, 6stateVnl, ix C~y~7uct of Estate Valuations & Pricing SYBt~~ IriC. It You have gu roduCed with at (918) 313-6300 or www.evpsY~-com_ (Revisfon 7.1.1} This report was P 1,lease contact EVP Systems REVOCABLE TRUST AGREEMENT by.and between JAY S. GURY and " gATHLEEN S . GURY S ettlors and Dauphin Deposit Bank and Trust Company, Trustee 7/S9 hereby-#~ans€er-tom--tau ~n-~e-pe~~--~~-~-a..,~ - ----~ - _ the Trustee), a Pennsy~vaniibahnk ~~~ at ~~ ~~ o~~es h eafter, t°bbe delivered contemporaneo y held in Trust as follows: FIRST: Dispositive Provisions For Our Benefit -During our lifetune: A. All of the net income shall be` pa~idatsowe, or the survivor of us~may due c ~ accumulated and added to prat p . writing; B. As much of the principal as we may from tune to time request in writing shall be paid to us, or as we, or the survivor of us, may otherwise direct; C. If, in the Trustee's opinion, eith ~~ and advai to ee the Trustee may apply ply the payments to our own best ixtte directly for our benefit as much of the income and or pprincipal as the Trustee ma ,from time to time, deem appropriate for .our welfaze, comfazordti,~ p~podrtmoar emergency neeals~ ~~ h of he income as thetTrustee deems audvisable. y add to priitcip D. Trustee shall keep true and correct books of account, which books of account shall at all reasonable times be open to the inspection of Settlors or their duly appointed representative. Trustee shall also render quarterly to Settlors a detailed statement showing all r oe~t~ ~~~ ~es~~s to as u~vanesttedt t the trust estate and the manner and time of the rendition of such statement. SECOND: Dispositive Provisions Afte~D use of tJl a surviving SettlorhUpon the this trust shall continue in e.~cistence fo death of the surviving Settlor, while the trust continues, the Trustee shall pay the then-remaining p?rinciP ettlor income to the E,•cecutor or Administrator of the Estate of the surviving S THIRD: Right to Revoke and Amena~ ari trlt~e and from time to tune by an amend this trust, in whole or in part, y instrument in writing, deliveredhteostheoT~tand liabilities of the Trusteecsltall no our lifetimes; except that the d , p be changed without its written consent. We, Jay S . Gury and Kathleen 5. Gury ensbur Pa 17257 (Settlors) of 630 Brenton Road, Shipp g THIRD: Right to Revoke and Amend (Continued): This right of revocation and amendment also is reserved for the survivor of us, and is exercisable by the survivor by himself or herself alone. The Trustee reserves the right, at any time upon thirty (30) days advance written notice to Settlors, to resign the trust and -deliver-the-#rus# e~a~ ~~due and a ableor-of-us,-a##er~edu~ing-there-omits-- fees and any exp P Y FOURTH: Additions to Trust: Subject to the approval of the Trustee, either of us, or any other entity, may add property, real and personal, to the principal of this trust. FIFTH: Trustee's Powers: In addition to the powers granted by law, our Trustee shall have the following discretionary powers, applicable to principal and income, which shall be exercisable without leave of court and shall continue until distribution is actually made: A. To accept and retain any or all property at any time hereafter delivered or in any other manner hereafter acquu'ed, including-stock orother securities of the Trustee, or of a holding company controlling t e Trustee; B. To invest in all forms of property (including, but not by way of limitation, real estate, all types of stocks, bonds, options, and participations in common trust fw.lds and money market funds); without being confined to investments prescribed by statute and without being required to diversify; C. To buy investments at a premium or discount; D. To hold property unregistered or in the name of a nominee; E. To give proxies, both ministerial and discretionary; F. To compromise claims; G. To join in any merger, consolidation, reorganization, voting trust plan, or other concerted action of security holders, and to delegate discretionary duties with respect thereto; H. To borrow from Dauphin Deposit Bank and Trust Company or from others, and to ~ledgon such terms and conditions as trustees deem appropria e. °r securities up I. To sell at public or private sale for cash or credit or partly for each to exchange, to improve or to lease for any period of tinne, any real or personal property; and to give options for sales, exchanges, or leases. j. To allocate any property received or charge incurred to principal or income yr partly to each, without being obliged to apply the usual rules of trust accounting; ... _. _ :T _. _._ .,...a ., K;. To.distribute-in easiror-ur kind or partly° m eac i; , °- ..~ . L. To retain any part or all of my business interesconducitna one orswithlothers the Trustee considers it advisable to do so; and to any such business in which either or both of us are engaged, with all the powers of an owner or with respect thereto, including the power to delegate discretionary duties to other ranul suchybusu~iess, and to in o porat at o change person; to invest other prope ty its form. This power includes_ the right to~ake t~iopns ofpa v environmental law or regulation thereunaer. M. To disclaim, in whole or~in part,. any interests in property for any reason, including but not limited to a concern that such property could cause potential liability under the federal, state or Local environmental law. SLXTH: Compensation: The trustee shall be comp etin etdw u acthe period of ts~ . standard schedule of charges in effect from tune _ g services, and this cumpensationosfhtah Trusteef rSettIors hereby acknowledpe tly from each u1 the sole discretion g tee's current fee schedule, which is subject to revLSion from lime to receipt of Trus time. SEVENTH: Non-Assig~be sub's c to attachmentmlevy or see1iz re by anyroperty held under this Trust shall creditor, spouse, assignee or trusts aororVe=i~eern ~an ~e andpthe principal to the receipt thereof. The Trustee shall p. y persons herein designated, as their interests may apppear, without regard to any attem ted anticipation (except as specifically providede t as oa anee ~e~,~ereto pledge ng or assignment under the Trust ~ o e~~~ess a ainst either or both of us. or attempted levy, attachment, seizure o p g EIGHTH: Law Governing Tres anna hall in all rest ects be goo med by ~ laws Commonwealth of Pennsylvania Counter, Pennsylvania. and shall have its situs at Cumberland Executed on 7~'"`~`~6'y ~ f ,19.25 NOTE. Before executing this document you may want to consult with your Attorney to assure that your wishes are being set forth . accurately and in proper legal form. WITNESS:aa/~~ J~u~c.~'~~ '~ ~ ~ ~' ~~ q ,,,. (SEAL) Fuller Eve n L. tiller WI' NESS: `/ _ • ~-- a' ~ ° ~ (SEAL) ;' . Fuller Evel n L . Fuller Guy' The foregoing trust is hereby accepted. ,191~'~ Executed on ~ ~--'' / f Dauphin eposit Bank and Trust Company .. B ~ 6-+-~~'~ y ~t r.~...f .FT/w F6 ~r ~~ A~i i U ~u- COMMONWEALTH OF PENNSYI-VANIA ~ COUNTY OF On this, the daq of ,19 ,before me, a . notary public in and for the said Conunonwealth and County, penson~y aPPeared and known to me (or satisfactorily proven) to be the persons whose names are subscribed to the foregoing Revocable Trust Agreement and acknowledged that they executed the same for the purposes thereat contained. WITNESS my hand and notarial seal. Notary Public M rCOmmission Expires: ~~iatthew ~. I-~~~rley A~_~ctian Ga. Tnc. ~:~~~ PS_i~han~En '1"rai l East ~:~r~e erEcast 1 e. P'A. 17c:x:5 (717) 597 `~14'-~ Fax: 1717) 5'~7-`~`3c~ E~msll:lr)faldrlltr'lEVice~_tC~tlans.cam ~e{'Slte:w!'~w.~"lllY`1C~`r'c"it_tC:T1an~ .COID ~~:ttlemer-Et KATHLE~i~ GI.~RY ES~i'AT~ P'aq~==: 1 ,~e? :der~: ~,~5 L:7~~ LEIT'EftBgURG RL3 WAY'Ir~ES~QRU P'A 17~E~ Item I:~escr~iptiart P'r~ice Gftg} Tatal __.____.____.__.._______~___. -~ax~wlseat~ct~shians and r,±ty 1 1`~. ~~ 1 fax w!r_hr~i.~tmas decor, 1 ~°~'~ 1 hiatertial 1 1~. ~~ . • 1 Flag 1 f3. 0~ 1 P`lanter's 1 ~. ~~ 1 Teddy ~rear~ 1 7. ~--~ 1 hlat e r-• i a l--. 1 ~. ~~ i Papcr goads +~lg~_in cleaning 1 ~'- ~~' foal i Bax sti_~ffed ar~imalsl~+ax ~:. ~~ ~ ~• ~~ wllamp 1 Remaining lot iE, boxes 1 . ~•~~ 1 Pair' of chairs 1 '` ~~~ 1 Liaxlat 1 y'° ~~ 1 Baxlot 1 `'. ~~ 1 Hax wlpict~er~e 3. "~~~ ~. ~°~ fr~ameslmat erYia.l 1 P~asket lot 1 `'` ~~~ 1 Rax of books 1 °='' ~~ 1 k~ag of pillawclmater~~•ial lot 3. ~~+ ~ r~• ~~~ 1 F'-'acket books 1 '~. ~~ 1 Typewriter 1 ~. ~'~ 1 Remaining lot 8 1 ~. ~~'~ 1 Tapes 1 ~. ~'s~ 1 Paper goads!paper c~. ~~ ~:' 1~• ~~ 1 Yarn 1 4. ~~~ 1 L~~_~ck in box 1 ~• ~~~ 1 fax of books 1 ~'. ~~ 1 R3!q 1 at 1 ``" ~~~ 1 Window lic~htslshau 4~ac 1 ~. ~~ 1 E+ax w~b~d -nxttan =.et 1 L.4~~Z~ 1 Remaining lot 8 1 ~° ~~~° 1 Anti fr°ee~e 1 '• ~~ 1 Table legC 1 `'. ~~ 1 Rad ~. n 1 . ~~`~ 1 -r, i r' e p} t m p 1 c:. ~t l?~ 1 ~"temainir:g lot 1~ 1 1" ~°~ 7--~~-~+~ LEGACY CENTER Matthew S. H+.frley A+action Co. Inc. ~8~~ P+schanan Trail East Greencastle, PA. 17025 {717) 597 51~~- F'ax: {717} 537-9522 Email:infotdh+_tr~leya+_~ctians.cam Website:www.h+_irKleya+_~ctions.cam Settlement N:ATNLEEN GuRY ESTATE Seller~: 3~5 279G LEITERSPIlRG RD WAYNESPORO F'A 1728 F'age: Item L~eccriptian price G~ty Total .___......__.___...._....._.-.- ? Stack lllmbeY° Chalce ~. ~+~ ,.:: ir, ~~ 7 Stack 1+_~mber choice 2« ~-~ ~: 4. ~~ ? Stack 1+_imber 1 1. -~~+ ? f-'lactic fatale ~ 1 ~. ~~~-0 ? Lot of 3 metal chair°5 1 1. ~~+ 7 ~ Oak chair 1 1. ~~ ? F'lantctand 1 i. ~~ ? Fair bar~ stools i ~. ~'~ 7 Stepstoal _ 1 ~`. ~~ _ ~ ? _ Heater 1 i7. ~~ 7 Toaster i ~:~+, ~~ 7 Pax needlew#orklbox slips E«~~ ~ 1E.~~ Poxe, kitchenware 5. ~-+Z~ c 1~. ~~- ? Skillet j• ~•~"~ ? Pax bedding 1 ~. ~~ 7 Crackpot 1 4. ~+~ 7 5~.~ndiallgame ~. Oi~- ~' ~'• ~~ ? Remaining lot of 9 boxes ar° i ..,. ~~+ items ? Remainir~t~ lot of 1~ boxes 1 E• k~ ar-~ items ? Paxlot 1 ~.~~ ? Pox yarn 1 ~='. ~~ 7 Pox sheets 1 ~. ~~ ? Pox glasswar-elphoi:o alb+_im 2.~-~ ~- 4.0~ ? Pax yarn/electric ski 11¢t c. ~O ~' ~+• ~~ ? C1 ock 1 `=• ~~ ? Pax 1 at s ~. ~~ L ~*. ~'~ ? Remaining lot of '~ baxea or~ i ~~ O~ stems ? Haier air conditioner-. 1 4t. ~~ White micr-awave 1 P• ~`~ Prass floor }.amp flar-al 1 ~~=. ~~ shade Chandelier~ 1 r.~@ ? Limp 1 4`. ~G 7-~~:.::;--iZ+`~ LEirACY CENTER Mattl-~ew S. Hs_tr~ley As_tcti.on Co. Inc. ~~tZuZt E~s_ichanan Tr~ai 1 East Gr~eencast l e, F'A. 17~~5 (71')537 910+ Fax: t717)5~!7-3~:~~ Email:infa+~hur~leyas_-ctions.com t~letsite:4d4U4U.h~.tr~leycys_tctians.cam Settlement I'.ATHLEEN GURY ESTATE F'cige: S e 11 e r- : ~~~+ c7~?~ LE I TERSHURG RL~ WAYNESHQRQ F'A 17~~6a Item Description .F'r~ice G?ty Total _.-_.______-------%-V^-~oaden-LctsE?-lamp 1 c.. ~+~+ -- F'anel 7 mirror, ~~~ Pdot sold *~-~~ -- Coffe-e title ~~~ Not Bald #~#~ - Lae.;--cis of oak title 1 1~:. ~+-~ - Mir~rnr folding 1 ~. ~~~ -- Ho4aar~d miller° clack 1 ~~. ~~+ - Stand 1 ~. ~+~+ - Cedar chest 1 ~''. ~~ - T"v stand 1 '=:~' ~~ -- Sm stand 1 `° ~~ - Chair, ~ . +~~+ 4 v+Z+. ~+~+ -- Chair, ~. +~~+ C 1 ~+. +~+~ - Ch a i r~ 1 i +Z+. ~+~+ - Recliner- 1 ''~`~~` ~~ - Green c!-sair 1 ~~+. ~~ - Ch ~ 1 Y~ ~ 1 ~~+. +Z+47+ - R+_tg tr~aYde`.i 1 65. ~+L ;s_tit - Ladr~m i 7~. +~Q1 - Amana dryer, 1 ~~+. ~++~ - Stove i 1 +Z+. ~+iZ+ I t ~: m s : `~ ~ A m c~..s_t r; t : 1, 1 ~ 3. ~+~+ Commis =_-ion Est ::;'~~. -Z+~'+t~ r 41-.. ~5 Removal a1= t-sansaleatle gtEms `~.~~' CC Less aa.)s.+stmer7ts: _.4~'E:..~~ Net ds_ie to se~ller~: 7E,S.45 ... __ .. ff s .=vi _... .: ~1~ ... ..... . 4 _._: - - f ^ ' W i~t 5 t...li_ ~l ~ ~ ..~. 1. 1_ t ..._ ~G .... _ t -! i ~ L3 i~P :'`F T ._ -' n V i 1 t ~ r ' 2, t.-_ q~ .. .. _ ... .. .. - :g `.. ,- - .. r ~ ~ r~ _ ....._. - ~ .. _. _ ..... . ~. ........ . _..~.... ..._ _ ..._ _.... _ . ~ .. yx a~, a r: ; Ek ~ v~ . ~,i ., ~~t 4~;i ._ ~. _- ;~ w 3 ~3 °-, ... _{ `. i_i 7. ,lJ f~ ?~ 1:, ti~ ,~, r, Ct r~~ ~_ ,.. ct f . 3 ~ .. -1 + ' i i"'f 47s L ::: t. ~'1 °° _i f ~ (~: i_t t? ~t P 5 w~ L~ C: ~ 'r"' `a ± ~. ~'r~ „ fs" ~" '~, i~: •~ ra ~.~ F' u r"' e >c r x? f ~.. ~ c; ~ r ~ ~ ~ n r s-t ~ _. ~, e . y `3, ~,,~ ~ > "~~~'; ,. r ~. ~. , '7..~ ~ y^ ~' t :.{'.~} (} ~.: ~" q 1. ~ i._ a iL~ ~»t • i~~~T ,. . ~Y•7,t+~'~ ~L;! ~~"S try 1.~.~ ~~ ~ _~ it1 .... 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Gury SOCIAL SECURITY #: 203-10-5041 DATE OF DEATH: February 18, 2009 Checkin Open date: 6/9/2006 Account #: 3531060651 Type: g In the name of: Kathleen S Gury $41,210.08 Date of Death Balance: 1/23/2009 $0.00 Int.(YTD) from 1/1/2009 tO $0.00 Accrued interest to date of death: Other Info: Page 1 of 1