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HomeMy WebLinkAbout05-26-111505607121 REV-1500 EX (06-05) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 1 1 0 4 2 8 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 2 0 0 2 0 5 2 9 6 0 3 2 8 2 0 1 1 0 7 0 3 1 9 2 7 Decedent's Last Name Suffix Decedent's First Name MI S A N F O R D H O W A R D H (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. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) QX 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 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. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number G R E G O R Y R R E E D E S Q 7 1 7 2 3 8 0 4 3 4 Firm Name (If Applicable) First line of address 3 1 2 0 P A R K V I E W L N Second line of address City or Post Office State H A R R I S B U R G P A REGISTER OF WILLS USE OI~1~ ~: ~ ~ ;'~ r --~ ~ ~/~ ~ Q1 ~~~ ZIP Code ~ 1 7 1 1 1 ~~ Correspondent's a-mail address: LAWOFFICE@REEDPALAW.COM ea '`~ °~, - , C° ~'~ '~ C"j Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. S N TUR OF ERSON ESPON IBL FOR FILIN RETURN ATE ADDRE. S ~ ~~ SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE HUUKtJJ PLEASE USE ORIGINAL FORM ONLY Side 1 1505607121 1505607121 J J 1505607221 REV-1500 EX Decedent's Name: HOWARD H • SANFORD Decedent's Social Security Number 2 0 0 2 0 5 2 9 6 RECAPITULATION 1. Real estate (Schedule A) ........................................ 1. 1 6 0 0 0 0. 0 0 2. Stocks and Bonds (Schedule B) .................................. 2. 6 6 5 0 2 0. 5 6 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. 3 5 6 8 . 3 3 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6• • 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ....... 7. 1 1 5 0 . 0 0 8. Total Gross Assets (total Lines 1-7) ........................... 8. 8 2 9 7 3 8. 8 9 9. Funeral Expenses & Administrative Costs (Schedule H) ................ 9. 2 1 4 8 2 . 9 0 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............ 10. 1 9 6 0 . 0 5 11. Total Deductions (total Lines 9 & 10) ........................... 11. 2 3 4 4 2 . 9 5 12. Net Value of Estate (Line 8 minus Line 11) ......................... 12. 8 0 6 2 9 5 . 9 4 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. 8 0 6 2 9 5. 9 4 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 15. 16. Amount of Line 14 taxable at lineal rate X .045 8 0 6 2 9 5. 9 4 16. 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 1 g. 19. Tax Due .............................................. ..19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505607221 3 6 2 8 3. 3 2 3 6 2 8 3. 3 2 1505607221 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 11 0428 DECEDENT'S NAME HOWARD H. SANFORD STREET ADDRESS CITY STATE ZIP Tax Payments and Credits: ~• Tax Due (Page 2 Line 19) (1) 36,283.32 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 34, 556.15 C. Discount 1 _,727.81 Total Credits (A + B + C) (2) 36,283.96 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.64 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 +5A. This is the BALANCE DUE. (5B) 0.00 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. retain a reversionary interest; or ................................................................................................ ^ ^ d. receive the promise for life of either payments, benefits or care? ....................................................... ^ ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ^ ^ 3. Did decedent own an "intrust for" or payable upon death bank 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? .................................................................................................. ~ n 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 January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (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 zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (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 four and one-half (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 twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER HOWARD H. SANFORD 21 11 0428 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 roe which is 'ointl -owned with ri ht of survivorshi must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Real estate situate at 203 West Courtland Avenue, Shiremanstown, PA 160,000.00 Explanation of value: This real estate was purchased by the decedent on April 30, 2009 for $169,900.00, a copy of the deed being attached hereto, marked Exhibit "1"and incorporated herein by reference. The Cumberland County Assessment Office values the real estate at $175,200.00, a copy of the assessment records being attached hereto, marked Exhibit "2" and incorporated herein by reference. However, recently the executor attempted to list the real estate with Rick Woodland of Century 21 Piscumeri of Camp Hill, Pennsylvania stated that he would be fortunate to receive $160,000.00 for the property in the current market. TOTAL (Also enter on line 1, Recapitulation) ~ $ 160, 000 00 (If more space is needed, insert additional sheets of the same size) REV-1503 EX + (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER HOWARD H. SANFORD 21 11 0428 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Merrill Lynch Account # 872-44238 187,468.75 See copy of letter attached hereto as Exhibit " 3" 2. Merrill Lynch IRA Account # 872-76633 477,551.81 See copy of letter attached hereto as Exhibit "4" TOTAL (Also enter on line 2, Recapitulation) I $ 665, 020 56 (If more space is needed, insert additional sheets of the same size) REV-1508 EX + (6-98) SCHEDULE E CASH BANK DEPOSITS & MISC. COMMONW , , EALTH OF PENNSYLVANIA INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER HOWARD H. SANFORD 21 11 0428 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Metro Bank Checking Account # 537016859. See Metro Bank printout 1,702.94 attached hereto, marked Exhibit "5" and incorporated herein by reference. 2. Miscellaneous household furniture and furnishings having no significant value 500.00 3. John Hancock Refund of long term care policy premium.See copy of John Hancock letter 1,356.00 attached hereto, marked Exhibit "6" and incorporated herein by reference. 4. Chase Card Services Credit 1.06 5. PNC Bank Checking Account # 51-1201-7694. See copy of PNC bank statement 8.33 attached hereto, marked Exhibit "7" and incorporated herein by reference. TOTAL (Also enter on line 5, Recapitulation) I $ 3, 568 33 (If more space is needed, insert additional sheets of the same size) REV-1510 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY HOWARD H. SANFORD 21 11 0428 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. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. 2002 Buick Regal LS Sedan 4D with 70,000 miles 4,150.00 100. 3,000.00 1,150.00 Transferred to his son, Mark H. Sanford, within a year of date of death. For value see copy of cars.com, attached hereto, marked Exhibit "8" and incorporated herein by reference. A copy of the Certificate of Title is also included as part of Exhibit "8". _ TOTAL (Also enter on line 7 Recapitulation) ~ $ 1,150 00 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (10-06) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER HOWARD H. SANFORD 21 11 0428 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Malpezzi Funeral Home 7,471.07 B 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) Street Address City State Zip Year(s) Commission Paid: Attorney Fees Gregory R. Reed 9,000.00 Family Exemption: (If decedents address is not the same as claimant's, attach explanation) 3, 500.00 Claimant Mark H. Sanford Street Address 203 W Courtland Ave city Shiremanstown state PA zip 17011 Relationship of Claimant to Decedent SOn Probate Fees Register of Wills Accountants Fees Tax Return Preparer's Fees Additional short certificates -Register of Wills Holy Spirit Hospital (last illness) Card Member Services - monthly payment Cumberland Law Journal (advertise) The Sentinel (advertise) PP&L (due before death) Pennsylvania American Water (due before death) PP&L (final invoice) Pennsylvania American Water (Final invoice) Jeffrey A. Wilbur Plumbing & Heating Recorder of Deeds -recording fee for deed TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 365.50 12.00 19.43 84.00 75.00 198.16 172.05 82.08 256.00 53.11 131.00 63.50 21,482.90 REV-1512 EX + (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER HOWARD H. SANFORD 21 11 0428 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1, Sears Credit Card -payoff balance 113.67 2. Chase Card Member Services -payoff balance 1,846.38 TOTAL (Also enter on line 10, Recapitulation) I $ 1, 960 05 (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (11-a£~) r pennsylvania SCHEDULE ~ DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Howard H. Sanford 71 11 f]d7R RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Mark H. Sanford, 203 W Courtland Ave, Shiremanstown, PA Son 100% of the residue ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, A S APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS: 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 REV-1500 COVER SHEET. $ ~~ niure space is neeaea, inser[ aaaitional sheets of the same size. Exhibit ~~~~ iNiii~iiuiiii~i 001D9V ~_Ur~'~ TAX PARCEL ID NO: 37-23-0557-137 This D th eed made the 3 ~ 0 day of APRIL, 2009 Between, JOSEPH CALVANELLI, a single person, herein designated as Grantor, And HOWARD H. SANFORD, a single person, herein designated as Grantee itnesseth that the Grantor, for and in consideration of One Hundred Sixty Nine Thousand Nine Hundred Dollars and no cents ($169,900.00), lawful money of the United States of America, well and truly paid by the Grantee to the Grantor at and before the sealing and delivery of these presents, the receipt whereof is hereby acknowledged, and the Grantor being therewith fully satisfied, does by these presents grant, bargain, sell, alien, release, convey and confirm unto the Grantee, his heirs and assigns, forever. ALL THAT CERTAIN lot or tract of land situate in the Borough of Shiremanstown, Cumberland County, Pennsylvania, more particularly bounded and described as follows, to wit: BEGINNING at a point of intersection of the southern line of Courtland Avenue and the line adjoiner between lots numbers 1 and 2, Block "J" on the hereinafter mentioned Plan of Lots being 95 feet in a westerly direction by the northern line of Courtland Avenue from the western line of Rupp Avenue; thence South 78 degrees 56 minutes West by the northern line of Courtland Avenue for a distance of 80 degrees to a point at the eastern line of Lot No. 3; thence North 11 degrees 4 minutes West by the eastern line of Lot~No. 3, Block "J" for a distance of 110 feet to the southwest corner of Lot No. 16, Block J ,thence North 78 degrees 56 minutes East by the southern line of Lot No. 15, Block "J" for a distance of 80 feet to a point at the northwest corner of Lot No. 1, Block J ,thence South 11 degrees 4 minutes East by the western line of Lot No. 1, Block "J" for a distance of 110 feet to the point and place of BEGINNING. BEING Lot No. 2, Block "J" on the Plan of Shireman Manor as recorded in the Recorder of Deeds Office in and for Cumberland County, Pennsylvania , in Plan Book No. 12, Page No. 32. BEING the same premises which Herbert E. Andrew(sic) and Doris E. Andrews, his wife, by Deed dated June 8, 2004, and recorded June 10, 2004, in the Office of the Recorder of Deeds in and for the County of Cumberland, Pennsylvania, in Book 263, Page 2343, granted and conveyed unto Joseph Calvanelli, a single person, the Grantor herein. HAVING ERECTED THEREON a dwelling house being known and numbered as 203 West Courtland Avenue, Borough of Shiremanstown, Cumberland County, Pennsylvania. TOGETHER WITH all and singular the buildings and improvements, ways, streets, alleys, driveways, passages, waters, water-courses, rights, liberties, privileges, hereditaments and appurtenances, whatsoever unto the hereby granted premises belonging, or in anywise appertaining, and the reversions and remainders, rents, issues, and profits thereof; and all the estate, right, title, interest, property, claim and demand whatsoever of them, the said `Grantor, as well at law as in equity, of, in and to the same. TO HAVE AND TO HOLD the said lot or piece of ground described above, with the buildings and improvements thereon erected, hereditaments and premises hereby granted, or mentioned and intended so to be, with the appurtenances, unto the said Grantee, his heirs and assigns, to and for the only proper use and behoof of the said Grantee, his heirs and assigns, forever. AND the said Grantor, for himself and his heirs, executors and administrators, do, by these presents, covenants, grant and agree, to and with the said Grantee, their heirs and assigns, that he, the said Grantor, and his heirs, all and singular the hereditaments and premises herein described and granted, or mentioned and intended so to be, with the appurtenances, unto the said Grantee, his heirs and assigns, against them, the said, Grantor, and his heirs, and against all and every other person and persons whosoever lawfully claiming or to claim the same or any part thereof, by, from or under him, her, it, or any of them, shall and will SPECIALLY WARRANT AND DEFEND. In Witness Whereof the Grantor has hereunto set his hand and seal, the day and year first above written. Signed, Sealed and Delivered ' th f In a presenceto ~ ~ y ~~- - ~ %~ Josep alvanelli ;- I r' STATE OF PENNSYLVANIA SS. COUNTY OF _~~~~ On this, the 0~ day of r; , 2009, before me, a Notary Public, the undersigned officer, personally ap eared Joseph Calvanelli, known to me (or satisfactorily proven) to be the person described in the within instrument, and acknowledged that she executed the same in the capacity therein stated and for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. "'~-ViIV10Nb'VEALTH OP PENNSYLVANIA i Notarial Seal ~u~ar~r» t,, Cramer, Notary Public ?-~art-pderr T~vp., Cumberland County _'~~~ C~?mr~n;;;sicr3 Expirrs May 20 2010 P u b I I c ~~?rr;r~~:;: '~'~'"<t:3strv.%yl~ c!wserciation of Notaries ~ / The address of the above-named Grantee is: est Courtland Avenue Shir nstown, 17 11 r Gran ee Cc. pqo 7~ Commonwealth of Pennsylvania . ss. County of Cumberland Recorded in the Office for Recording of Deeds, Mortgages, etc. in and forthe County of Cumberland , in Record Book Vol. Page WITNESS, My Hand and Seal of Office, this day of , 2009. Recorder. F:\Home1BJW\DOCS\SANFORD.HOWARD\Deed.Cortland Avenue.wpd ROBERT P. ZIEGLER RECORDER OF DEEDS CUMBERLAND COUNTY 1 COURTHOUSE SQUARE CARLISLE, PA 17013 717-240-6370 Instrument Number - 200914142 Recorded On 5/4/2009 At 8:16:05 AM * Instrument Type -DEED Invoice Number - 42637 User ID - AF * Grantor - CALVANELLI, JOSEPH * Grantee - SANFORD, HOWARD H * Customer -CORNERSTONE * FEES STATE TRANSFER TAX $1,699.00 STATE WRIT TAX $0.50 STATE JCS/ACCESS TO $10.00 JUSTICE RECORDING FEES - $11.50 RECORDER OF DEEDS PARCEL CERTIFICATION $10.00 FEES AFFORDABLE HOUSING $11.50 COUNTY ARCHIVES FEE $2.00 ROD ARCHIVES FEE $3.00 MECHANICSBURG SCHOOL $849.50 DISTRICT SHIREMANSTOWN BOROUGH $849.50 TOTAL PAID $3,446.50 * Total Pages - 4 Certification Page DO NOT DETACH This page is now part of this legal document. I Certify this to be recorded in Cumberland County PA ~y o* cu;Ne~ o ~~, x ~ ;,~, -- ~- ., ° RECORDER O D EDS ~- t~'~ ` ~'~ 17Sfl * -Information denoted by an asterisk may change during the verification process and may not be reflected on this page. 001 D9V EX~llblt Taxlll3 Kesult lletails DistrictNo 37 Parcel 1 D 37-23-0557-137. MapSuffix HouseNo 203 Direction W Street COURTLAND AVENUE Ownerl SANFORD, HOWARD H C/O PropType R PropDesc LivArea 1260 CurLandVal 37700 CurlmpVal 137500 CurTotVal 175200 CurPrefVal Acreage .20 CICrnStat TaxEx 1 Sa IeA m t 169900 SaleMo OS SaleDa 04 SaleCe 20 SaleYr 09 Deed BkPage 200914142 YearBlt 1961 HF_File_Date 12/15/2009 HF Approval_Status A Detailed Results for Parcel 37-23-0557-137. in the 2010 Tax Assessment Database Yage 1 of 1 http://taxdb.ccpa.net/details.asp?id=37-23-0557-137.&dbselect=l 4/21/2011 Exhibit _~ L ~ ~ O ~ d ~ N ~ ~ ~ ~' N M ~ O ~ ~ C N ~ ~ C V ev DO > Q C O N N U ~ N D O ~ r .~ O O H U1 Z .~ ~ ~ ~ O O O ~ Q f0 G1 'O ~ ~ O O N ~ _ ~ O N ~ .. .. .. ~ ~ Q ~ M Qi N > ^ (/~ W ~ .,.r p A ~ C ~ L ~ _ ~ U ~ ~ ~ _J ~a a~ Q Z = = 2 ~ >' o o 0 ° 0 ~ ~ o ~- m 0 0 o ~ ? ~ ~ a E o ~ M ai ._ ~ _ ~ w ~ Z .J .~.+ ~ ~ d O CO d' r ~ fY/~ 000 00 O M~• o ~ a ~ ~ ~ O ~ CO ~ r ~ ~ C! N ~-- N to M ai O ~ _ ~ M r N O O v ~ a ' o a o ~ ~ ~ O N N _ ~ N N ~ 00 f` M O .-. 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C Q O O _ O C iC N~ ~ N ~' ~ ~ U O O C C ~ ~ '-' N ~ '~ ~ O O i m ~ ~ C ~ _ ~ i N . . to C O ~ ~ p ~ = ~ '+ O ~ C U O N "" E C •~ N N ~ w N O ~ C O C~ I a 0 0 .~ 7 ` C ~ .. ~ y •D ~ N U O 'O (C O ~ ~p C ~ ~ S N O ` > N 4l p N + . ~~ C ~ `~ C O ~ t0 N ~ N ~ C 7 O O U 7 ~~ d C ; ~ p L ~ O N C N O fC O ~ ~ .` O O ~ v- O E N L ` p 0 ~ C d la N y . a~ c c ~ ~ ~ a aci ~o T o •~ ~ w. ca ~ ~~ '~ . GS j ~ N ~ • C J V , O 7~ d '~ ~ ~ c ~ ~ ~ ~ •` „~ c •o ~ ~ a I ~~ N ~ s ~ a~ ~ ~ ~ w ai r • . ~ c ~ O+ O ` 'D U ~ V O c0 O~ ' N 0 ~ J 3 ~ .p+ ,c c m~ N N N ~~ C O rn C •c ~ ~ p U a L cv N >' ~ Q • 3 ~ sa C f 0 C Q ¢ p t H C ` ' ~ N w ~ ~ ~ , ~ ~ . e 0 ~ i O ~ O ~ ~ ~ N ~ ~ ~ C N L ~ ~ C ~' C ~ f6 ctS +. •p C L O Y L C •~ ~ N N N N • O~ ~ ! ~ 3 •~ ~. ~ ~ c° °~ ~~ N cd ° 'O U •-°' c° ~ m N a i _. rn c C O m ~ ~ U m N ~N L N > N L Y fB ~ ~~~ ~ _ p U N ... > S i cv ~ p N ~ ~ ~ c0 ... ~ t .o a ~ ~o U ~ ~ O ~ u~cN "" a v o O w O to _~ c ,~ ~ O ~~ C > v > ~~ t C O p . ~ ~ ~ ~ d N O N cs U ~, ~ . ~ V ~ y l s= i C ll p t0 C ~ Q N L U~ fA ~ >' ~ L C C f9 ~ N = O N Q. ' V i ~ cfl N ` Z N j N - ~ ~ C O ~ O c0 ~ ~N O N O f c0 ~ O O C C ~' d p! % V ~ R C _ O 7 t0 U ~ d U d m ~ O U~ ~~ p 0 e E . ` ~+ O C E . O~ O V ~ E O O N N N C C L O N ~ O O p N c ~~ N ` 1 2 p ~ L N O +- N ~ ~„ N ~ t c~ is d o ~ fA w O C ,y a 'v L d V '~ C C d ~ a E y ~ ~ ~ ~ o!f ~o .- ~ d c 'a c Z A ~i ti O ~p i m m d a - a ~ o ,~ ~ ~ c = p~ J O c ~ Y ~i y A y l0 ~ ~ ~ ~ eO~ m v- Y d .G O .y y Q m A O H O C •d d m d 19 C = ~ X e0 'D A r C ~~ d ~ O C ~ O ~ ~ O d ~ y p, 'v d p Ip L .7 V ~ O ~ V y ~ i •` c d .3 E v d d Q ~ 7 O o s c a c ~a c c m _ O ~ .y .O U a ~ C ~ d N fl. i ~ ''0 1° a a .° ~ `o ~a o ~ d d y ~ C C t O O v O ~ '° ot~ t ~ v 3 c 3 m ~ c o c N N yLL H w ~ R v 'i O O .y+ d a a ~a f/! C C y = d . w w ~ ~ ~~ ~£ ~ ~~ (n N ~ ~ o!f off +• _ ~ m C y to D7 c c ~ and ti ti 'v w ~ d Gi 'C O 1N d d C d1 ~ d ~ a 'a ~ ~ ~ .c t w ~ ~ _ _ > y 'v a J~- J C ~ V1 o -~ C d .~ .~ ~ ~ :~ ~ ~ ~ Z O. EX~llb It q- C d c ~ °~° J ~ ~ ~_ ~ `o •L = ~ U ~ A v ~3 Q ~~ o s c m _ ~ ~ o U .~ ~ ~ O O ~ ~ ~ O ~ ~ r .. .. .. > W ^ ~ a ~ C ~ _ ~ O U U o ~. Q N Q Q y-- >, o ~ ~ o ~ ~ ea ~ ~ p -~ > > ~ ~ d s > _ ~° wiz ~ ~ ~ o ~ O O •,,, eo c~ G Q M M t0 ~ V ~ ~ '` O N 0~0 •..+ .y i .- ~- N N N ~ ~ ~ N N N O O O ~ ~ ~ r-+ ~ ~ 0 ~ D ~ •~ 0 ~ N ~ ~ O ova __ __ ~ ~ O O . ~ ~ O ~ ~ O ~ O ~ C y O M 'O ~ ~ O C V ~ t1 a 0 O~ N ~ ~ ~ ~ O O r ~ ~ O M .` ~ = ~ O N d O ~ Q O N ~ ~ ~ ~«.. O d Y ~ ~ ~ ~ Z o m ~° ° M ` O N Q O O Y N Q r vs O ~ O 00 ~ - M 00 ~- . . O 2 ~ O N m C1 0 N O r`-.. t1') O _~ N O O N ~ ~A ~j O O N ^ -' ~ Q N ~ Q _ QO N ~ O J ~ U ~ p O d~ C o N~ O N p N O ~~ ~- ~ ~ N O ~ .~ ~ ~ Y o0 O 3 V V f/1 ~ J ~ m W m ~ pp N N O Q~ V 0 W m O ~ N M O V1 ~ Q C7 Z O o ~ m C7 Z o o ~ ~O '' f/l L ~ O a s o N 0 0 c O Q .-. ~ N _A 3 ~ ~ N O O ~-- 00 U ~ ~ ~ ~ N V) 00 N C O r' ~"' r N ~ C ~ ' O p N O - C ~ I~ ~ ~ O ` M R ~ -- ~ Q ~ r Of ~ .. ~,,, C ~~~ O ~ _ O O O ~+ C ? ~` ~ 0 ~ ~ ' OO V ~ ~ ~p N l( ) ~ M (A ~ Q ~ ~ N ~ O y,, O r L d Y Y Z ~ '~ m ~ ~ ~ O O ~. M ~ ~ ~ 3 c~ ~ N O J ~ ~ O r ~C N Q t N O .-. ~ a O w 0 o ~ o c~ } O ~ ~ N ~ ~ ~ ~ ~ M - r `~ a N ~ ~ CO v ~ rn M r O ~ ...! o N o N U co O ~ o ~ I- ~ ~ ~ ~ 2 N ~ to ~ ? d N ~ O N N ~ ~ N 4 LL _ .~- _ O = ems-- O U ~ ~' ~ N U Qf --' N N ~ N ~ C~ I- ch O Z ~ M O ~ ~ Q ~ ~ ~ U Q ~ N M W O ~ N ~~ O ~ UO O O VO CO O C J d Z ~ p ~ N fA \ N O ~' C ~ r o0 ~ ~_ O N ~-- . O m ~ r p ~ ~' d: r r ~ N Z M ~ ~- O N ; . L .L c - . O N ~O ~ J ~ W 00 O O r. U~ ~ ~ O ~ Q ttj ~ O r O ~ M ~ d W F- }~ ~ N O ~ m F- ~ N ~ ~ ~ O Z fA ~ ~ O N O ~ J Z ~~ W m O \ N ~ O ~ (n ~ C7 Z Z ~ O ~ U C7 Z O O _ ~ U (!~ Z O O ~ C7 (n Z O O ~ t0 N N1 ~, O ~ a O O p O O f~ 00 • t ~ r- N ~ r' ~ ~ `- `~ O cV .-- ..+ O V v Q .~ M .-. ~ ~ ~ •`~ ~ N O O Ch V ~ ~ N N N N ~' _ N N CV ~- ~ O r ~ r G H ~ N ~ O t0 v N 00 000 ~ ~ Q N ~ r N •• C ~ ~ O O Op O C ~ ~ H i O (O ~ O O ~ . ~ O ~ 0 ~ ~ ~ ~ ~ Q ~ o ~ ~ M O ~ v . ~ . O ~ L .~..~ Y ''"' Z .p O O m O O O ~ ~ ~ ~ ~ d: ~f J `- ~ r' p Y H Q = c~ .-. ~ ~ ° ~ o O ~ M ~ o = t1~ ~ Q? M N 000 ~n d. ao V CO ~ c~i ~ ° o Z ~ ~ ~ ~ ,~ N r- ,,,, (n Z N ~ ~ „ O N O ~ ~ ~ O = ~ ~ ~ O ~O ~ r ~ ~ ~ O r ~S ~ N ~ ~ ~ Q O N~ Z 0 N ms ~ M ~ Z a o (/) Q ~ ~ Q e - O r -- O ~ ~ M ° W ~ M 0 U~°\ ~ ° o - i. ° o ° O o o 0 n ~ Z ~ o N ~ _ O U Z QO p N o ~- O ~ O O N ~ ~~ O O d O I- ~ ~, O N ~ r O~ GO N r' r (~ Z \° ~ N ~ O N r- ~ c N e~- r N .~ O Z w O N M V~ p N ~ O~ M O p Q~ ~ ~ p _ ~ V dl ~ m m ~ N O a Z m ~ N ~ N~ W O p O ~ ao D O S O ~ N 0 d (~ Z 0 ~ 0 _ ~ d (~ Z ~ O C .«.~ J~ ~ Q O N _ ~ co ~- L o > Z Z i p ~ Z Z O o "" ~ ~; . i ~ O 00 O O p O h d0 . ~ d N p N ~- ~ O O r r C O V v Q - . ~ ~ _ p O O ~ M L N f~ ~ ~ y cfl !!'1 00 O (n M r N r 0 ~ C H ~ O O ~ ~ ~ N ~ CNO ~ ~ ~ r r >_ Q r ~ .. H ~,, ~ C ~ O ~ O O O y 'p ~ O O M ~ r C ~ r' 00 0 'Cr ~ d' E L ~ ~ M ~ 0 0 r C O _ ~ y Q O O O N ~ ~ r r e- O L ~ ~ _ Y Y Y Y 7 Z 'O O O O O O O O M m ti 0 ~ ~• M 0 0 ~ Q J O ~ r ~ O ~ O ~ Y N a z ,. ~. Y ~ ~ 00 ~ LL o ~ r ~ o ~ ~ ~ o Q W o a M ^ M M 000 M r O ~ Oa0 ~ M ~t cj N M 4. r N e- M O N M v ~ O N ~ O O ~ N Z ~ ~ Z ~ ~ U in r- U M ~ O O N ~ ~ O O ~ \ r N ~ N r Q C7 Q N Q (' Q ~ N ~ ~ Q N ~ O Q N N ~N ~ O ~(~ ~ O Z ~ O ZN ~ O ~ ~~ N O `- ti O W ~ M M p W ~ ~ 0 O Z N `- Q (D N ~ 2 O N O N = p O N ~ C ~ 0 ~ ~ M N ~ O N Z O ~ ~ ~ r O N 0 ~ ~ ~ ~ o ~ r Q N ~' d . . - ~ f~ Q O N r - 0 ~ M ^ O CEO O r - 00 ~ ^ _ 0 ~ 0 N r J ~ N ~ ` N O N _ ~ W ~ ^ O ~ O Q O ~ ~ ~ Q ~ N \ ~ Q ~ O N \ ~ d ~ Q ~ ' ~ 0 N Q m fn Q N ~ Q N Q N O M ~ D W LL. ti Z D M O " ~ W~ LL L.L Q Z ^ ( O ,~ ~ LL Q Z ^ O ~ 11 LL Z Q O ~ ~ ~D U1 L ~ O O O O p N ~ Q. O O O O o~p y 0 ~ ~ rn ~ C O v v Q - - . . ~- r . . N ~ .-. M ~ .~. .~ ~ ~, d •L ~ M M O O M > ~ N r N O ~ ~ M ~ ~ O ~ d' C N M o ~ _ C ' ~' N ~ ~ O ~ ~ Q ~ N N ~ r C `~ ~ ~ O O O O 'O O .` ~ ~ ~ N ~ ~ M ~ ~ ~ ~ Q pN N ~ ~' ~ ~ r _ ~" O 00 O `~ L y,..r '1C ~ Y ~ +' ~ Z O .~ m ~ tO ~ O N ~ N ~-- ~ ~ ~ M O O O ~ V' J ~ ~ o ~ O r Y N Q t N N a O o ~ ~-. L1~ ~ ° \ N m ° ~ NO Op ~''~ ~ ~ j N N O O O O N O N ~ o~ N ~ a - pp N ~ ~ ~ O N ~ ~ ~ 0 ~"_ _N t(7 ~ 0 O N ~ (/1 O N ~ 0 N Z N p m r _ `- Z i" r- ~ r Q O ~ ~ q r N (!) O e N m r O L1J ~ ~ N . W ~ ~ N W ~ ~ Q O Q N 00 ~ ~ o ~ H ~ cN ~ ~ N M (!~ O N O r- p w ~ 00 p O F- O C Q ~ N ~ f- N ~ O "' LLl \ p0 O (~ N O ~ F- ~ ~ O Q In ~ ` Q ~ _N r I-- c O r ~' Q Q e ' Q N O e- Q ~ ~ r Op O ~-- ~ N ~ O l!') r, N % W\ ~ N O N ~ O O ~ Q ~ N Q Q Q ~ O N r Q N O ~ ~ O O ~ ~ M Gpf ~ Z (ND Z O o N N (/1 Q N `'_ f" O O (~ Q pp N NO H (A D N ~ Q ~ - O M N 0 Sri o ~ ~o Z D o _ '~ ~o Z ~ 0 5 ~ - Z N ~ `~ ~ ~- ~ o ° o ° F 0 c N ~ a o o° o o o ~ = o ~ ~ ~ ~ o ~r 0 Q ~ ~ ~ r' GO ~~-, y ` ~ ~ ~ 00 M N 00 ~ 7 Rf ~ `_' N 07 ~ f~ M M y ~ N ~ 00 ~ ~ ~- C ~ ~ 000 N ti ~ ~ N N 0~0 000 ~ v ~ r- > a 0 o~ y `' ~ ~ ~ O o 0 O 0 ' Q E ~ ~ N r ~ ~ ~ N O ~ Q O O O ~ N ~ e~- ~ w O L t+ cc G cc+ +. CCa~ L C L Z ~ O ~ O O O _ m N r ~ O 1 ~ !~ ~ !'~ J ~ ~ p ~ Y N Q L D~ io- 0 2 ~ Y o m o O ~ p=p 0 2 00 00 Cl O ~ N ~ ~ N N ~ N ~"~ ch .-- ~ N ~ ti N r N N ~ N ~ O O `-' r O O `-' ~ fq ~ r ~ N ~ ~ ~ N O ~ Q N ~ N ~ O Z ~ ~" O Z ~ ~ O m r ~ r O Q W O Q ~ N (QQn j L1 _ r F= ~ N (n _ `- F'' N !n ~ O ~ N . ' W N N ~ ~ ~ ~ ~ ~ ~ ~ O ~ O 0 W 0 W O C F-in Q` ~ ~ O H~ Q~ 0 N ~ O -p F QM 0 N O F -tM Q N O `'"' ~ ~ ~ O ~ (n ~ ~ ~ ~ (j ~ M ~ N ~ 0 ~ ~ N ~+' _a Q o ~ N r Q o ~ r O Q o a ~ O O Q Oo ~ In O r _ M d d Z~ Q ~ c i .:.: Z dN.' Q ~ cN ~; Z M Q 0 N ~ Z N Q O N ~-- ~ V) 0 ~ O Z 0 0 C ~ O Z ~ O ~ ~ M Z C1 O ~ Q ~' Z Q O ~ ~O N ~. O O O O p N e d O p p ~ N C ~ O 00 r C O V V Q O `- O N ~ N ~. 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O N ~ r O O ..~ N O ~- O N O ~ M r ~ ~ (n N ~ N Z ~ o Z ~- .- ~- Z ~ ~ H ~ .- ~ W ~ " N ~ Q ~ ~ O Q O O O N Z ~ ~ O e- ~ ~ ~ ~ N M ~ Q O N W Q N ~ I'°' N o I- o ~ ~ p ~ ~ ~ M OC ~ N ch ~e~- O ~ ~N O 0 O O p o O O F- O N ~ ~~ 0 O W N F- to O o W N ~ o ~- C .3 .~ ~~ ~ \° Q Q O O N N M ~ D o Q r e- ~ O \ p O W ~ Q o ~ N O ~ Q O Q U ~ e- O ~ ~ M ~ o \ \ M N ~ ~ N Z 0 0 ~ ~ .- Z O O ~ Z to Q ~ M ~; Z (N4 Q ~ N O ~ ~ N L O ~ r~ Z D o ~ ~ c~i Z o o ~ ti ~ ep i eo a O O O O o O O O 0 ~ s o N 00 ~ ~ o 0 o c 0 Q M N ~ N ~ _ Cfl N N .` ~"~ _~ ~ I~ t0 M N ~ ~ ~ M O ti ~- y ~ i~ c- ~ tin ~ ~ ~ N N N N C H ~ ~ ~ ~ C v RJ V > Q r 07 ~ .. ,a, v O ~ ~~ O O O O O _~ ~ ~ ~ ~ ~ ~ 'F'r ~ f++A CO M O r O y y~ O N M ~ ~ ~ ~ Q O ~ +-• ~ ~ _ _ _ _ Z -a ~°n °o °o °o ° 0 m atio °O ~ 0 0 ~ (O ~ ~ O N p ~ N M ~ ~ J Y O O Q O _O O O ~` 00 OO ~ ~ ~ ~ N M M M ~ d' O 0 Z in O N N e- a0 N ~ ~ r ~ O O N .-. ~ Z M ~ ~ O O O (~ p N 0°O ~ O r W ~"'' N rn d' Z ~ ~ O O ~ O N > ~~ ° ~ O Q U O U w; o ~ ~ Z a z F- O N r ~ ~ ~ fn ~ J •'~' .a w o Q pO N M Q (A ~` U N Q N = W Q N ~ rn ~ ~ O = W ~ J M ~ d Z N Q~ N ~ ~ ~ U N U~ (~ N LJJ ~ (~ N ~~ (/~ N ~~ 0 ~~ Z D o ~ QCn 0 o Q~U Z o <(~ Z o QZ Z o ~O N1 `. O M O O O N R ~ ° O f~ In ~ a o = `o °' :~ c 0 u Q .-. N N N M M ~ ~"~ CO N 0~0 ~ > O O p ~ ~ (V ~ M CO ~p M ~ C ~ ~ O •a ~ c'M ~ Rf V ~ `~' ' Q e- r O~ C t^N O y a~ E ~ o ~ 0 p 0 O 0 ~ C ~ m `° ~° O ° O `"' M ~ V~ ~ Q ~ M r~ ti y.. O L '~ J ~ ~ ~ J ~ _ _ _ ~ = Z O LD ~ O ~ O O ~ ~ ~ ~ J ~ ~ ~ ~ ~ M Y pl Q p O ~ O O O O ~ r O N O te L O M N r " ~ 2 ~ N `- ~ M ~ ~ O ` " o r O ~j O a c~ .- - a rn r o .- O N ~ Cfl ~ ~ N O ~ M O O r- ~ ~- pp ~ ~ O p N ~ U ~ ° ~ ' o ~ o0 Z Q ~ N ' ~ ~ J ~ N LL' ~ O o m ~ N M W M ~ ~ \O M ~ -i o ~ j ~ ZD o U m W a o ~~ x Z ~ ~ r- ~ OY - .,., U W O g W W - ~ ~' n. cn O o o ~ ~ `- o ? C~ ~ o Q~ O ~ . co Z .- v ~ eh i ~ a UO Q M ~ ZO >- N a O cn N ~-0 W N D F-~ cn N N ~ QU Z o = QU z o QU Z o m«a Q o ~ UUO Z o ~ ` d co N r- ~ ~ ~ ' N ti t L ~T ~ ~ O it O V V Q M i~ M M M ~ 00 C~ d' N N O 0 O O O v, M O O O O O cri N O O O N O M ~ ' O ~ • _~ ~ O ~ N ~ Rf O ~ CO ~-- C~ y ~ _ M 00 0p M M O N V1 N M I` N In p p ~ c y -o ~ c ~ ~ > u Q ~ H ~l O ° ° O O p O m ~ E o o °O °° °o ° N V ~ ~ O ti' CD CO 00 aj w O ~ ~ ~ ~ ~ ~ ~ ~ _ _ _ _ = 2 Z ~ o o 0 ° 0 0 _ m o ~ 0 O o o ~ ~ ~ o co ti M ~ d' ~ QO ~ ~ 00 pj J t~ Y N O O p O O ~ O - p O O O _ ~ ~ ~ ln p O O t ` ~ ~ ~' ~ a0 00 p _ ~ C~ r Z O o°p N ~ O ~ f~ J ~ ~ ~ r CO ~ ~ ~ ~ N ~ ~ ~ ~ ~ `-' ~ O N W ~ Z N W U ~ Z 2 ~ Z ~ ~ ~ Z ~ O ~ ~ `'- W c O zN p a U ~ j Z ~ ~ Q ~ Z J •~ •~' ~ ~ Q ~ N ~ ~ ~ N z ~ ~- N p U w F- ~ .- N W 2 w F- ~ O ~~ _ Q W ~_ O d Z ~ ~ ~ Q O V ~ J(n ~ C7 O U ~ QZ J~ N M ~ d V) 0 O~ J U .~ U Q Z M O ~ O U U ~- M Z O 2 O U U ~" M Z O = ~ U Q F - O N ~~ O N (n O N O O ~ U Z O ~D N N! L ~ d O) N In ~ ~' ~ (~ ~ ~ ~ n L r- o o o h c 0 v a M M M O '~' _ •" ~ N ~' d •` ~ V d C N ~ ~ C ~ ~ V o a ~~~ M O Op0 pip ~ O ~ Qj N ~ O ~ ~ O ~ M CO crj N N M d' e- c ~ ~ ~'-oE o° o o0 o 0 ° 0 0 0 c ~. '~: Rf f/! ~ d' O ~ ° ~ ° ° 0 o N ~ ~ ~ 'per ~ CO ~j t0 ° t!~ cis ~ Q ~ co N M o ~ ~ O L _ 1 J ~ Z _ _ = _ _ m M O O ~ O ~ O ~ ch M ~ O p O d' ~ rn ~ ~ ~ o J N M t/1 Q O ~ O O M O O ~ ~ O C1 ti '~ lf') O M M ~? O ~ N r ~ r M M ~ O CD O r ~ 00 a O ~ ~ ~-. r ~ r N e- O " ~ ~ ' `- ~ Q W ~ O r r- W ~t N ci ao o O = O U ~ ~ O M J O J ~-- O O J N ~ `'~ ~ O l A N a Q Q L j ~ c v ~ W o ~ ~ O V W W ~ Z W ~' a ~ O o o ~O O o ~~ O ~ ~ ~ o ~ U W Q 0 ~ W ~ W N °~ fn (A ~ Z Q O N ao W W F- Z Q O N J O ~ O M v to d~ / ~ J (n Q N M > O O } N U O (~ N (~ (n (A p N d ~~ W (n N _> O M t 1 O O U Z O O U Z O O U Z O O (/~ Z O W O } c) ~ ~ ~ ` ~ HU Z o N ~ a ~ "' ~ ao ~ M ~ 00 : to` ~ ~ 0 v a v ~ ~ ~ ca ~' ~ v d > N N O N O N CO N d' N M C N ~ 'C ~ ~t C ~ tQ V >_ Q r ~ W ~- ~ C C~ O O O O O O O C E ~ ~ ,~, O ~, ~ o ~ 0 o ~ C 3. N N ~ ~ C1 ~ ~ Q N ~ ~ O o O N O c~ ~ r.. O L ~ _J ~ _ _ _ _ _ Z .p O Op O N O O O m r d: r ~ O ~ ~ - ~ O ~ ~ J ` fY/1 Q O ~ p ° O O O O O t N ems- O p ~ ~ N ~ ~? N ~ ~ O N (D M- _ ~ ~ . M O ~ N o. `- ° o ~ ~ .~ ~ o O ~ N °- _ M M r ~ e- ~ ... 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V /C U w 0 0 > `~ ~ O C C 'y ' ~~ c c a i a N ~ ~ a i >, ~ o c ~ ~ v , c m p ai a 'p ~i ~i v d y ~ ~ L A N ~ O ~ O p .C N ~ C ~ O~ C j ~ L V C .a 1p C C C N w C O ~ ~ Q 'O ~ ~ O N ~ ~ j, w ;~ ~ p 'C C d d d d N~ V~ !~ O ~ • O- ~ U ~ O N SS cfl C S C ~ d~ _~ f0 .. y d p ~ T N f0 ~, ~ C C C (C c0 O O ~ O 'O U .N a U t t y V O C h 3 h 7 ~ ~ `~ v N N O v O) ~~ p ~ ~ ~ 1L ~ C C> :a fl. C~~ ~ ~ iC.. D ~ C cv t N N ~ L cC N O ~ i 0 i J J ' C y O w N N ~ ' . ~ O - L O O C - y ~ fd O N E~ ~ 'C d O ' ' w t 'U L O . H Q Q' Q ~ LL. ° _ U Q Q LL . .,, Q p w ~ > d ~ i ` ` d d R O 'O O N Exhibit ~" "L7 n CJQ ~_ 00 -.-~ O C~ .--~ •J n Q.. ~• ~. n ~_ O IN R° ~D O~ t~-. ~~ i N O~ O W 00 w R° 0 n CD a .p 00 ~_ -{~ N O o c=o -~« a~i . . . . r . . . O - o ~ o c --n ~ ~, -~- - _, - -, a O `. ~_ --~ _- __ ?~ ~.-: .z '-~ -. . 0 W 0 W 0 W 0 W 0 W '.'. N N N N N O CJl ~ W ~ W ~ W ~ N ~ (n N 2 C1 2 W Q C m ~ y ~ ~ n ~ Z p ~ V~ ~ C = ~ N ~ tD ~ ~ Z Z c ~ Z Z ,,,~ m D D p ~ -~ ~ m ~ N O O ~ 0 ~ C O o o o o o n ~ ~ 0o Qo 0o cn Qo ~p O ~ ~ ~ oo ~ s ~ rn 2 2 2 m ~ = C7 ~ n n n _ ~ m n n ~ ca ~ ~ ~ n. ~ ~ O ~ c~i~ O Z ~ '~ (D ,a. ,..,. O o' ~ ~ H O O c ci n ~ ~ c ~ t ~ D as z o vi ~ ~ ~ d ~ ~ °~ ~ ~ ~ N o O Ja ~D ~D n ~ ~ ~ ~ W N O CJ1 -~ W v N n (D ~1 V ~1 ~1 00 O N W U1 ~ N O 1~ A ~! Cp O 00 OD O A 1~. CT C,71 --- ~ ~ v ~ W N ODD ~ CO O O aD O 00 A O O O O O 0 N _~ c~ n co m n (D fD O~ n ~/ n s c~ n ~Q C7 O C r+ .~ ~ ~ ,~ ~~ ~..,~' r~ 43 C7 Cd C/~ .-.. I~ N UQ CD ~• O ~'h N Exhibit John Hancock Financial Services LTC Policyholder Services 1 John Hancock Way, Suite 1700 Boston MA 02217-1099 1-800-377-7311 1-617-572-6010 (Fax) 1-800-555-5421 (TDD Hearing/Speech Impaired) April O5, 2011 ESTATE OF HOWARD H SANFORD C/O MARK H SANFORD 203 W COURTLAND AVE SHIREMANSTOWN, PA 17011 RE: Howard H Sanford Policy #: 06 5024740 To the Estate of Howard H Sanford: G~~~~ Please accept our sincere condolences for your loss. Long-term care policy #: 06 50247401isted above has been cancelled effective March 28, 2011. The refund check in the amount of $1,356.00 should arrive in the next seven to ten days. This check represents any unearned premium previously submitted. If you should have any questions, please contact us at 1-800-377-7311, Monday -Friday 8:OOam to 6:30pm EST.; one of our Customer Service Representatives will be happy to assist you. You may also reach us at our website: www.johnhancockLTC.com. Sincerely, Policyholder Services - KXN1 cc: Sharon Steiner Long-term care insurance is underwritten by John Hancock Life Insurance Company (U.S.A.), Boston, MA 02117 (not licensed in New York) and in New York by John Hancock Life & Health Insurance Company, Boston, MA 02117 DTHJ2 O1/10 Exhibit Free Checking Account Statement `%; PNCBANK PNC Bank Primary account number: 51-1201-7694 Page 1 of 2 For the period 03/05/Z011 to 04/06/2011 Number of enclosures: 0 000184 For 24-hour banking, and transaction or . ~ ~ HOWARD H SANFORD JR ~ interest rate information, sign on to 203 W COURTLAND AVE PNC Bank Online Banking at pnc.com. SHIREMANSTOWN PA 17011-6508 'rj For customer service call 1-888-PNC-BANK Monday - Friday: 7 AM - 10 PM ET Saturday & Sunday: 8 AM - 5 PM ET Para servicio en espar~ol, 1-866-HOLA-PNC Movingt Please contact us at 1-888-PNC-BANK ® Write to: Customer Service PO Box 609 Pittsburgh PA 15230-9738 Visit us at pnc.com ~`•'•" TDDterminal:1-800-531-1648 For hearing impaired clients only IMPORTANT NOTICE FOR CUSTOMERS USING A CREDIT CARD FOR OVERDRAFT PROTECTION Effective Apri130, 2011, when a credit card is used as overdraft protection for your checking account, the available credit balance of the credit card will be available for ni htly processing of items and for point-of-sale_and_ATM overdrafts (online authorizations). Free Checking Account Summary Howard H Sanford Jr Account number: 51-1201-7694 Overdraft Protection Provided By: Contact PNC to establish Ovsrdrallt Protection Balance Summary Beginning Deposits and Checks and other balance other additions deductions 8.33 .00 .00 Average monthly balance 8.33 Ending balance 8.33 Charges and fees .00 ~•ti []~~n~~~ Tn~ IAf~AC/AC ~~~n ~~~~~u~~~~~_nn~ nnnnn.~. Exhibit CERTIFICATE OF TITLE FOR A VEHICLE .A 103333406~t]C1034-~[l1 2~4WB55K7211273502 20CI2 ~ BUICK I 58196723702 5A VEHICLE IDENTIFICATION NUMBER YEAR MAKE OF VEHICLE I TITLE NUMBER I iDN I 0 I PA ~ f -11/29/10 f []65777 0 BODY TYPE DUP SEAT CAP PRIOR TITLE STATE ODOM. PROCD. GATE , ODOM. "MILES ODOM. STATUS LL~zsro2 ~ 'z1/29i1o ~ ~ 4 I I .-~ ~ ,.. DATE PA TITLED DATE OF ISSUE T UNLADEN WEIGH • GVWR GCWR TITLE BRANDS ODOMETER STATUS 0 ~ ACTUAL MILEAGE ' • 1' ~r MILEAGE EXCEEDS THE MECHANICAL ~~ a LIMITB 2`= NOT THE,ACTUAL MILEAGE 9. NOT THE ACTUAL MKEACiE-ODOMETER ~ / ~~``~ ' ' VERIFIED TAMi~ERING ,,,, ~,„* ~ '~' ~ , . 1 =EXEMPT FROM ODOMETER DISCLOSURE REGISTERED OWNER(S) , ~ ' ~~ ~~' ''' S,r-'~~• a `" ~ I ..~ ; .~ ,~ ~ 7' 71TLE BRAVOS 'A ANTIOUB VEHICLE VEHICLE' : r,N{ M A R~ K - H S AN F 4 R D ~~+' = ~~ ,~,~, ~ .; ' ~+ r ~ ~ P~r,,,,r,~~t~ ~,,~;, .. : C CLASSIQ ~ = co~,LECnBLE V6HICLe 2 ~] 3~. W ~G OU R T LA N D. , ~ A ~ ~-~ 9 ~ ~ ,,, h ~ . ~~ ~ ~~ , ~~~~ ~~~ ~ F ~ QUT OF ~gUNT(~'(' D n QRIGINpLLY' MFf4q.;'KOR NQN-U S ~ ,,ol:isRlaurtloN ;,; `~"` 3 Yaw ~~ ~T, ~ = N PA 1?[]11 ST , H = AGRIdULTURAL VEHICLE 1 ,~~ ,,-, OW ~HLREMAN ~ ~ ~ .r: , L = LOGGING VEHICLE P . ISlWAS A POLICE VEHICLE I~ IIII I. , II of 11 il ~ 11 I I Iii il' lii l I ~ bnl l iii l R .RECONSTRUCTED S .STREET ROD 1 l I li( l l l l Il s l ~ ii Ij,l ~„~Illm~~~i!611I~i1 III q~~I6 ~ II I I ~ ' A II~ III ~ ~ T =. RECOVERED THEFT VEHICLE li ~ li ~~~ I~I iI ~ ~ ~ I l l I ~ ~l ~ V .VEHICLE CONTAINS REISSUED VIN a HI E I I ij~ y I I l ~~~I ~ ~' ~ n, '~ I i;~~l1 41 III~~~ CL FLOOD VE W FIRST LIEN FAVOR OF' - ~ 'I ~~ N FAVOk~'y~F: SEC d LIE I ,,. ~nlllu ~ ~~: X = ISlWAS A TAXI . . r,.,, III, ~I~ i .. I r~ en, the fl tisfectlo of the }i n ~ listed u rst i ~ tq he th BUreau'I of Motor VehlCles with t Ifenholder must forward this TINe 4 f r or fee, app opriate m and ' FIRST LIEN RELEASED DATE ~ „ ~ I ,,., ,i~',I BY SECOND LIEN RELEASED AUTHORIZED REPRESENTATIVE DATE MAILING ADDRESS BY AUTHORIZED REPRESENTATIVE MARK H SANFORD 2013 W CQUf~TLAND A~JE ~/~~ SHIREMANSTOWN PA 17011 Pennsylvania DEPARTMENT OF TRANSPORTATION T~ V IV W ~ /~ tiJ V I certiy as of the date of issue, the official records of the Pennsylvania Department ALLEN D B I E H L E R of Transportation reflect that the person(s) or company named herein is the lawful owner of the said vehicle. Secretary oP Transportation I •. . SUBSCRIBED AND SWORN If a co-purchaser other than your spouse is listed and you want the tiNe to a BEFORE ME: be listed as "Joint Tenants With Right of Survivorship" (,On death of one Dnv veAR owner, .title goes to surviving`owner)-;CHECK MERE ^.:Oth®rwise, thA title MO ' will be Issued as "Tenants In Common" (On death of one owner; rnterest.aE ' deceased owner goes to his/her heirs or estate). '"' I N TUR of PERSON ADMINISTE IN ,. ATH IF NO LIEN, CHECK^ IS THIS~AN EL`r? (IF YES,. FW REOUIRED) - Y~9 © NO'I~~ J , W 1ST LIENHOLDER FINANCIAL INSTITUTION NUMBER: 1ST'UC:,NHg1~DER NAME ,~,~ ,, r i STREET CITY I STATE 21P ( IF NO 2ND LIEN, CHECK ^ IS THIS AN ELT? (IF YES, FIN REQUIRED) YES ^,NO^ Thv undersignoJ horoby makes applicalwn for Conificate al Tillo to tho vohlcla tlvscribetl I above, subivcl to the ancumnranres and olhvr legal claims sel forth horo. 1 2ND LIENHOLDER FINANCIAL INSTITUTION NUMBER: -- , 2ND LIENHOLDER NAME SIGNATURE OF APPLICANT OR AUTHORIZED SIGNER STREET , NER CITY SIGNATURE OF CO-APPLICANTRITLE OF AUTHORIZED.SIG , STATE ZIP Kelley Blue Book Used-Car Values - Cars.com ~_ ;_ .~ ~ ~ ~ `` ,~ ~ •~ Kelley Blue Book Used-Car Values 2002 Buick Regal ~ Chanae Vehicle ©1 LS Sedan 4D (,;~ _,A,_'` ~~ Average Consumer Rating -"` ~~ wr wr ~ pit ~ (4.7) 9 reviews j Write a review Supply basic information to see values for this vehicle Next Steps Approximate Mileage: ,mow f 70,~~~ List this Car For Sale « :~~:, Search Local Listings Engine: V6, 3.8 Liter ~ [eM7Mwbok .~ W ..... ...~ .. Research this Vehicle Transmission: . _ Values provided by Kellev Blue Book Get a CARFAX Report Automatic Donate afar - Get a Drive Type: Tax Deduction FWD [: 7 E-Mail Paae Equipment that may affect values (standard equipment is pre- selected) Print aaae ° Gran Touring Pkg I JI AM/FM Stereo ~ „f Dual Power Seats 'Abboud Pkg [ CD (Single Disc) ! 'Leather J ABS (4-Wheel) !, CD (Multi Disc) I J Sun Roof (Sliding) J~, Air Conditioning j j MP3 (Single Disc) I _~ Moon Roof _. _, h~`" Power Windows ~ _; MP3 (Multi Disc) _ { _j Rear Spoiler J_', Power Door Locks I. 'Premium Sound L..f Alloy Wheels j`r! Cruise Control (_„ Navigation System j! ~ Premium Wheels (/' Power Steering ~ ~ DVD System ~ ~ Premium Wheels J~" Tilt Wheel i J~ Power Seat 19"+ Blue Book® Values fora 2002 Buick Regal LS Sedan 4D with 70,000 miles in ZIP Code 17111 on 05119!2011 Vehicle Condition: Fair Good Excellent Trade-In value: X3,075 x3,650 x4,000 Private party value: x4,150 x4,800 x5,200 View Retail Value t`+ecalculate Values ey2011 by Kelley Blue Book Co., Inc. The specific information required to del'errnine the value for this particular vehicle was ,applied by the person genera[ing this report. Vehicle valuations are opinions and may vary from vehicle to vehicle. Actual valuations will vary based upon market conditions, specifications, vehicle condition or o[her particular circumstances pertinent to this particular vehicle or the transaction or the parties to the transaction. This report is intended for the individual use of the person generating this report only and shall not be sold or transmitted to another party. Kelley 61ue Book assumes no responsibility for errors or omissions. (v.11053) " + ~, .r " ., .. r I~~..~,; Ire 1'~ Horne ~ Contact Us j Site Index j About Cars.com j Employment Oooortunities ~ Become a Cars.com Dealer Cars.com Mobile j Busaueda de Carros Usados en Esoa"not ~ ®Become a Fan Search Cars.com ~~ I~ Powt~recl by: Go~c.)~~,Ic: Page 1 of 2 http://www.cars.com/go/kbb/kbbMain jsp?year=2002&mkid=7&mdid=59&kbbmdid=349... 5/19/2011 LAST WILL AND TESTAMENT OF HOWARD H. SANFORD KNOW ALL MEN BY THESE PRESENT THAT I, Howard H. Sanford of 141 Tory Circle, Enola, Cumberland County and the Commonwealth of Pennsylvania, being of lawful age, sound mind, memory and understanding, do make, publish and declare this instrument to be nay Last Will and Testament, hereby 1-evolcing any and all Wills and Codicils heretofore made by me. Item 1. I hereby direct my hereunder Executor to pay out of my estate all my just debts, including all the expenses of my last illness. Item 2. My said Executor is also authorized and directed to pay out of my estate all inheritance, legacy or estate taxes on my estate or on the devolution of any portiof m thereof or levied by reason of my death, including those leveed on proceeds of part y estate at the time of my death. Item 3 (A). In the event my son, Mark H. Sanford, survives me, I give, devise and bequeath unto my son all of my property, real, personal and mixed, wherever situate and whether acquired before or after the execution of the Will, or to which I am entitled at the time of my death. Item 3 (B). However, in the event that my son should predecease me, or if my son and I should die in a common disaster or under such circumstances that it cannot readily be determined which of us died first, or if my son, regardless of the cause of his death, should survive me for less than thirty days, I provide that subsection (A) of paragraph three shall be null and void and the remainder interest shall pass with Item 4 of this Will. Item 4. Under the above stated conditions, in the event that my son predeceases me, I will and direct that all of my property, real, personal and mixed, wherever situate and whether acquired before or after the execution of this Will, or to which I am entitled at the time of my death be distributed as follows, to wit; 100% thereof I will unto my sister, Nancy S. Persinger. Initials: ~' -1- Item 5. I name, constitute and appoint my son, Mark H. Sanford, as the Executor of this my Last Will and Testament, and in the event of the death., resignation, refusal, disqualification or other disability of said Executor hereinbefore named or designated while or before acting as Executor hereunder, I hereby name, constitute and appoint my sister, Nancy S. Persinger as the altei-~~ate Executrix of this my Last Will anti Testament and she shall have all the rights, powers and duties as are vested upon the Executor hereinbefore designated. Item 6. No one acting as an Executor or Executrix, or otherwise acting an Administrator of this my Last Will and Testament, shall be required to give bond or other security in any jurisdiction, and if despite this exoneration bond is nevertheless required, no sureties shall be required. Item 7. Severability - If any provision of this Willis held invalid, that shall not affect other provisions that can be given effect without the invalid provision. SIGNATURE i~ I, Howard H. Sanford, the testator, sign my name to this instrument, this _~ day of % ~ , 2007. I declare that I sign and execute this instrument as my last Will, at I sign it willingly, and that I execute it as my free and voluntary act. I declare that I am of the age of majority or otherwise legally empowered to make a Will, and under no cos , aint undue influence. ~n ~~~ Howard H. S of -2- WITNESSES We, the witnesses, sign our names to this instrument, and declare that the testator willingly signed and executed this instrument as the testator's last Will. In the presence of the testator, and in the presence of each other, we sign this Will as witnesses to the testator's signing. To the best of our knowledge, the testator is of the age of majority or otherwise legally empowered to make a Will, is mentally competent and under no constraint or undue influence. -. ~ We declare ut er penalty of perjury that the foregoing is true and correct, this ~~ day of ~ , 2007. Witness #1: ~ ~ ~~ Address: 2041 Herr St~feet, Hanisbur~, PA Witness #2: Address: 3712 Woodridge Drive, Harrisburg, PA -3- ACKNOWLEDGMENT AND AFFIDAVIT Commonwealth of Pennsylvania: County of Dauphin ss. We, Howard H. Sanford, James J. McCarthy, Jr., and Larry Weisberg, the Testator and the witnesses respectively, whose names are signed to the foregoing instr<iment, being first duly sworn, do hereby declare to the undersigned authority that the I~cstator signed and executed the instrument as his Last Will, and that the Testator signed willingly, and that the Testator executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witnesses, and that to the best of their knowledge, the Testator was at that time eighteen years of age or older, o sound mind and under no constraint or undue influence. Testator: Witness: Witness: ~~.- J tl~P _ l~, Subscribed, sworn to and acknowledged before me by Howard H. Sanford, the Testator, and subscribed and sworn to before me by James S. McCarthy, Jr. and ~~ Larry Weisberg, witnesses, on this, the ~ ~ day of ~ ' ~ 'T` , 2007. IN WITNESS WHEREOF, I hereunto set my hand and official seal. . ~~ ~~-~. Notary Public ' M commission expires '~~ / ~''~' / ~~~~~ ~ NOTARIAL SEAL y Linda M Nate NOTARY PUBLIC City of Harrisburg, Dauphin County M Commission Ex Tres 10/02/2010 -4-