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HomeMy WebLinkAbout06-17-11'- - ' ~ 1505610143 -~1 REV-1500 Ex(o,-10, OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE Po Box.2soso~ INHERITANCE TAX RETURN ;~ 1 10 10 7 7 Harrisburg, PA 1712s-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 178 16 4622 10 24 2010 Decedent's Last Name Suffix CLIPPINGER (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's Social Security Number Date of Birth 08 10 191.8 Decedent's First Name MI PAUL W Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF' WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 4. Limited Estate ^ 4a. Future Interest Compromise (date of death after 12-12-82) ^ 5. Federal Estate Tax Return Required x^ li Decedent Died Testate (Attach Copy of Will) ^ ~ Decedent Maintained a Living Trust (Attach Copy of Trust) 1 - 8. Total Number of Safe De osit Boxes p 9. Litigation Proceeds Received ^ 10. Spousal PovertYYCreditl(date of death between 12-31 91 and -1-95) 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 JERRY A WEIGLE ESQUIRE 717 532 7388 First line of address 126 EAST KING STREET Second line of address City or Post Office SHIPPENSBURG Correspondent's a-mail address: State ZIP Code PA 17257 REGISTER O~-i~VILLS USE LY ~O ^ ~' `~ r'n ~. ~= ~ "- t f ~ ~ ~ ~~~' '~ C - ,; DA I~ED ""~ i• -- _. ~. .•'~ t!`' 'J1'7 rU Under penalties of perjury, I decl re 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. eclaration of preparer other than the personal representative Is based on all information of which preparer has any knowledge. S ATURE 0 PERSO RES SIBLE FOR FILING RETURN DATE ~~~ .,,(,~~~ Royd Keys lp - ~ " /~ 39 ictoria Lakes Drive South ac n le FL 32226 _ SIG ATUR OF PREPARER OTHE HAN RE S NT T VE DATE ~ J rry A. Weigle Esquire ADDRESS 126 East King Street, Shippensburg, P 7257 Side 1 1505610143 :L505610143 PA Inheritance Tax Return Signature of Additional Fiduciaries ESTATE OF FILE NUMBER Clippinger, Paul W. 21-10-1077 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. Signature #2 Name Address1 Address2 City, State, Zip Date Bonita K. Ocker 13 Kail Avenue Shippensburp, PA 17257 ~~ ~%S ~ ~~ " 'J 1505610243 REV-1500 EX Decedent's Social Security Number Decedent's Name: Clippinger, Paul W. 17 8 16 4 622 RECAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 171 , 0 0 0 . 0 0 2. Stocks and Bonds (Schedule B) ............................................................................. 2. 94.60 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. 10 0 , 14 0 . 0 7 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers & Miscellaneous -Probate Property (Schedule G) ~ Se arate Billi R t d p ng eques e ............ 7, 8. Total Gross Assets (total Lines 1-7) ............................................ ......................... 8. 2 71 , 2 3 4 . 6 7 9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 4 5 , 5 91.8 0 10. Debts of Decedent, Mortgage Liabilities, 8~ Liens (Schedule I) .............................. 10. 515.5 9 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 4 6 , 10 7 . 3 9 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 2 2 5 , 12 7 . 2 8 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, 2 2 5 , 12 7 . 2 8 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .00 15. 16. Amount of Line 14 taxable at lineal rate X .045 2 2 5 12 7 . 2 8 r 16. 17. Amount of Line 14 taxable at sibling rate X .12 0 . 0 0 17. 18. Amount of Line 14 taxable at collateral rate X .15 0 . 0 0 18. 19. Tax Due ............................................................ ......................................... - _ _ 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 0.00 10,130.73 0.00 0.00 10,130.73 Side 2 150561,0243 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-10-10'T7 DECEDENT'S NAME Clippinger, Paul W. STREET ADDRESS 122 West King Street CITY r:>TATE ~ ZIP Shippensburg PA 17257 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest 9,000.00 473.68 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (3) (4) (5) 657.05 Make Check Pa able to REGISTER OF WILLS, AGENT. _ ~.. i"` c PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN 1'HE 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 :................................ ^ n --, __ . c. retain a reversionary interest; or ............................................................................................................... ~_~ ~.~ d. receive the promise for life of either payments, benefits or care? ............................................................ ^ ~J 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................................................................................................... ^ 0 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 n contains a beneficiary designation? ................................................................................................................. n 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, 1995, the tax rate imposed on the net value o~f 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 they 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 aecedent, whether by blood or adoption. (1) 10,130.73 Total Credits (A + B) (2) 9,473.68 Rev-'502 EX+ (~ ~-08) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Clippinger, Paul W. 21-10-1077 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 jointly-owned with right of survivorship must be disclosed on schedule F. Attach a copy of the settlement sheet if the property has been sold Include a copy of the deed showing decedent's interest if owned as tenant in comm~~n. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Real Estate in Letterkenny Township, Franklin County, PA -sold 3-16-11 52,000.00 2 Real Estate in Lurgan Township, Franklin County, PA -Under Installment Agreement of Sale 54,000.00 to Michael C. Miller dated 3-1-11 3 Residence at 122 West King Street, Borough of Shippensburg, -Cumberland County, PA - 65,000.00 sold 2-21-2011 TOTAL (Also enter on Line 1, Recapitulation) I 171,000.00 (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-2503 EX+ (6-98) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Clippinger, Paul W. 21-10-1077 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 U. S. Savings Bond -Series EE $50.00 face 94.60 TOTAL (Also enter on Line 2, Recapitulation) 94.60 (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-508 EX+ (6-98) ,. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Clippinger, Paul W. 21-10-1077 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 AARP -membership refund at cancellation 16.00 2 Adams Electric -patronage retirement 28.32 3 Capital Blue Cross -refund at cancellation 267.30 4 Erie Insurance Group -auto premium refund at cancellation 159.00 5 Gross Proceeds of Public Sale -Personal Property and 1993 Oldsmobile 19,685.25 6 School Tax Proration at real estate settlement 305.98 7 Tuscarora Wayne Insurance Company -homeowner's refund 117.00 8 Cumberland Valley Cooperative Association -three (3) shares Preferred Stock redeemed 1-6 30.00 -11 9 M 8~ T Bank Certificate of Deposit 4397409 25,000.00 Accrued interest on Item 9 through date of death 60.18 10 M & T Checking Account 97168068 17,945.61 Accrued interest on Item 10 through date of death 0.01 11 Orrstown Bank Certificate of Deposit 20044501 15,000.00 Accrued interest on Item 11 through date of death 164.46 12 Orrstown Bank Certificate of Deposit 32738449 5,500.00 Accrued interest on Item 12 through date of death 609.41 I Total of Continuation Schedule See attached page TOTAL (Also enter on Line 5, Recapitulation) 100,140.07 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) ~ Rev-508 EX+ (6-98) i COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY continued ESTATE OF FILE NUMBER Clippinger, Paul W. 21-10-1077 ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 13 Orrstown Bank Checking Account 519715 2,290.51 14 Orrstown Bank Savings Account 784591 4,460.70 Accrued interest on Item 14 through date of death 0.34 15 1937 Buick Coupe 3,650.00 16 1948 John Deere Tractor -proceeds of sale 1-5-11 3,000.00 17 Gold Plated Pocket Watch 150.00 18 Grain Painted Corner Cupboard 1,200.00 19 Three-Drawer Blanket Chest 500.00 TOTAL (Also enter on Line 5, Recapitulation) ~ 100,140.07 Copyright (c) 2002 form software only The Lackner Group, tnc. Form PA-1500 Schedule E (Rev. 6-98) ~ REV-1x151 EX+ (10-06) ~~,, . COMMNHERITANCE~ ~ R~TI~RN ANIA RESIDENT DECED N I SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Clippinger, Paul W. 21-10-1077 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT N MBER A, FUNERAL EXPENSES: See continuation schedule(s) attached B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Royd Keys Bonita K. Ocker __ Street Address 3917 Victoria Lakes Drive South city Jacksonville state FL zip 32226 __ Year(sl Commission paid 2011 See continuation schedule(s) attached 2. Attorney's Fees Weigle & Associates, P.C. 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant 10,660.55 11,138.00 11,887.00 Street Address _ City State Zio Relationship of Claimant to Decedent 4. Probate Fees Register of Wills, Cumberland County 373.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 11,532.75 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 45,591.80 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Clippinger, Paul W. 21-10-1077 ITEM NUMBER DESCRIPTION AMOUNT Funeral Ex ep nses 1 Fogelsanger-Bricker Funeral Home 10,660.55 H-A 10,660.55 Personal Representative Commissions 2 Bonita K. Ocker 3 Royd Keys H-B1 Other Administrative Costs 4 Ausherman Brothers Real Estate -appraisal fee 5 Belle Jewelers -appraisal of pocket watch 6 Bonnie Ocker -reimbursement for batteries for tractor and 1993 Oldsmobile prior to sale 7 Century Link 8 Cumberland Law Journal -advertising Letters Testamentary 9 Erie Insurance Group -auto premium 10 Expenses of Public Sale 11 Linda K. Klein -notary fee 12 Michael C. Miller -repairs to tractor prior to sale 5,569.00 5,569.00 11,138.00 475.00 37.10 105.99 0.77 75.00 316.00 5,221.31 55.00 1,000.00 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 Clippinger, Paul W. 21-10-1077 ITEM NUMBER DESCRIPTION AMOUNT 13 News Chronicle -advertising Letters Testamentary 121.25 14 PA Department of Revenue - 2010 PA41 fiduciary income tax 6.00 15 Penelec 61.35 16 Penelec 17.93 17 Penelec 23.40 18 Penelec 22 89 19 Penelec 21.08 20 Real Estate Settlement Expense -sale of Letterkenny Township real estate, document 150.00 preparation 21 Real Estate Settlement Expenses -122 West King Street, Cumberland County, including 949.68 Attorney Fees - $235.00; Realty Transfer Tax - $650.00; and County Tax Proration - $64.68 22 Register of Wills, Cumberland County -filing PA Inheritance Tax Return 15.00 23 Register of Wills, Cumberland County -filing Family Settlement Agreement 100.00 24 Register of Wills, Cumberland County -Short Certificate 4.00 25 Register of Wills, Cumberland County -Short Certificate 4.00 26 Terry L. Sheffer -appraisal of personal property 50.00 27 Timmons Oil, Inc. 286.00 28 Timmons Oil, Inc. 303.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) i ~ SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Clippinger, Paul W. 21-10-1077 ITEM NUMBER DESCRIPTION AMOUNT 29 Timmons Oil, Inc. 454.50 30 Timmons Oil, Inc. 469.50 31 Timmons Oil, Inc. 161.00 32 Timmons Oil, Inc. 276.00 33 Tim's Heating Service 50.00 34 Tom Cutler -trash removal from residence 600.00 35 Weigle & Associates, P.C. -reimbursement for postage, xerox copies, and long distance 100.00 telephone calls H-B7 11,532.75 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) ~ Rev-1512 EX+ (12-OS) SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Clippinger, Paul W. 21-10-1077 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unre~imbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Borough of Shippensburg 131.75 2 Borough of Shippensburg 107.84 3 Department of Veterans Affairs -medical service prior to date of death 54.00 4 Department of Veterans Affairs -medical service prior to date of death 27.00 5 South Mountain Volunteer Fire & Ambulance 82.50 6 Weigle 8~ Associates, P.C. -outstanding billing at date of death 112.50 TOTAL (Also enter on Line 10, Recapitulation) I 515.59 (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 I (Rev. 12-08) REV-1513 EX+ (11-08) ;~ ~, SCHEDULE J COMMNHERITANCE T~ RNETURNANIA BENEFICIARIES RESIDENT DECEDENT ESTATE OF I FILE NUMBER Clippin4er, Paul W. 21-10-1077 NAME AND ADDRESS OF RELATIONSHIP TO ;;H~~RE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$) 0 of is st I TAXABLE DISTRIBUTIONS [include outright spousal • distributions, and transfers under Sec. 9116 a 1.2 _ 1 Teresa A. Clough Stepchild 1/7 Share of 1,860.78 8810 Pineville Road Orrstown Bank Shippensburg, PA 17257 accounts less $15,000 2 Lynn Conover a/k/a Johnna Lynn Conover Granddaughter Corner Cupboard 1,200.00 1127 Hamlet Court Neptune Beach, FL 32266 3 Royd Keys Son Cedar Chest 195,901.86 3917 Victoria Lakes Drive South {$500.00) and Jacksonville, FL 32226 Residue of Estate 4 Everett L. Miller, Jr. Stepchild 1/7 Share of 1,860.77 82 Lloyd Childers Road Orrstown Bank Falkville, AL 35622 accounts less $15,000 5 Jeffrey A. Miller Stepchild 1/7 Share of 1,860.77 22 Rustic Drive Orrstown Bank Shippensburg, PA 17257 acrounts less $15,000 See continuation schedule attached Continuation 22,443.10 Total 225,127.28 Enter dollar amounts for distributions shown above on lines 15 throw h 18 on Rev 150 0 cover sheet, as a r o riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION 'TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-'1500 COVER SHEET Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) ~ , SCHEDULE J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Paul W. Clippinger 10/24/2010 178-16-4622 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 6 Michael C. Miller Stepchild 1/7 Share of Orrstown 1,860.78 6315 McClays Mill Road Bank accounts less Newburg, PA 17240 $15,000 7 Robert E. Miller, Sr. Stepchild 1/7 Share of Orrstown 1.860.77 338 Strohm Road Bank accounts less Shippensburg, PA 17257 $15,000 8 Bonita K. Ocker Stepchild $15,000 plus 1/7 share 16,860.77 13 Kail Avenue of balance of Orrstown Shippensburg, PA 17257 Bank accounts 9 Pamela J. Pevahouse Stepchild 117 Share of Orrstown 1,860.78 432 Maize Lane Bank accounts less Bunker Hill, WV 25413 $15,000 Total 22.443.10 1 LAST" `SILL A1~D 7'F..STAM~;1~T I, PAUL W. CLIPPINGER, presently residing at 122 West King Street, Shippensburg Borough, Cumberland County, PA 17257, zip being of~ sound mind, memory and disposition, do hereby make, publish and declare this my Last Will and Testament, hereby revoking and making void all Wills by me at any time heretofore made. FIRST. I order and direct the payment of all my leg~~lly enforceable debts and funeral expenses as soon as maybe convenient after my decease. SECOND. I~ give and bequeath my corner cupboard presE;ntly located in the dining room of my home to my granddaughter, LYNN CONOVER, absolutely. THIRD. I give and bequeath my cedar chest located in. tree bedroom of my home to my son, ROYD KEYS, absolutely. FOURTH. I direct that my step-son, MICHAEL C. MILLER shall have the right to purchase the tract of real estate that I own in Lurgan Township, Franklin County, Pennsylvania, and more specifically described in Franklin County, Pennsylvania Deed Book 728 at Page 667 at its current fair market value at the time of my death as determined b~;~ a competent appraisal or appraisals to be secured by my hereinafter named Co-Executors, le:>s the full sum 'of FOUR THOUSAND ($4,000.00) DOLLARS to take into account the garage building erected on said real estate by the said Michael C. Miller, upon the following terms and conditions: a. MICHAEL C. MILLER shall notify the estal:e :in writing of his interest to exercise his right to purchase pursuant to this, .Paragraph within forty-five (45) days of my Will being entered for probatf; and his receipt of a copy of this my Last Will and Testament. b. Final settlement shall occur within ninety (90;1 days of my Will being entered for probate and Michael C. Miller's 1-eceipt of a copy of this my Last Will and Testament. FIFTH. I direct that my step-son ROBERT E. MILL:EI:, SR. shall have the right to purchase my interest in certain mountain ground that I own located in Letterkenny Township, rranklin County, Pennsylvania, and more specif cally described in ]~r~~nklin County Deed Book 728 at pagE 67~ at its cu~ient fair market value at the time of m,y death as determined by a competent appraisal or appraisals to be secured by my hereinafter nanr.~ed. Co-Executors. a. ROBERT E. MILLER, SR. shall notify the estal:e in writing of his interest to exercise his right to purchase pursuant to this Paragraph within forty-five (45) days of my Will being entered for probate acid his receipt of a copy of this my Last Will and Testament. ~ ~~ WEIGLE & ASSOCIATES, P.C. -ATTORNEYS AT LAW - 1z6 EAST KING STREET - SHIPPENSRURG Go 177F7_1~Q7 b. Final settlement shall occur within ninety (90) days of my Will being entered for probate and Robert E. Miller's rec;ei;pt of a copy of this my Last Will and Testament. SIXTH. With respect to the funds in my name at the Orr~stown Bank, Shippensburg, Cumberland County, Pennsylvania, presently consisting of a checking account, savings account and a certificate or certificates of deposit, I give and bequeath the full sum of FIFTEEN THOUSAND ($15,000) DOLLARS. from said funds to my beloved ~;tep-daughter, BONITA K. OCKER, absolutely, on a per stirpes distribution basis. I then give aJ1d bequeath any said funds over and above the fifteen thousand dollar pecuniary bequest to BONITA K. OCKER to all of my step-children including the said BONITA K. OCKER as follows on a per stirpes distribution basis: ONE SHARE to EVERETT L. MILLER, JR. presently residing at 8?. Lloyd Childers Road, Falkville, Alabama 35622 ONE SHARE to ROBERT E. MILLER, SR. presently residing at 338 Strohm Road, Shippensburg, PA 17257 ONE SHARE to JEFFREY A. MILLER presE~ntly residing at 22 Rustic Drive, Shippensburg, PA 17257 ONE SHARE to MICHAEL C. MILLER presently residing at 6315 McClays Mill Road, Newburg, PA 17240 ONE SHARE to TERESA A. CLOUGH presently residing at 8810 Pineville Road, Shippensburg, PA 17257 ONE SHARE to PAMELA J. PEVAHOUSE presently residing at 432 Maize Lane, Bunker Hill, West Virginia 25413 ONE SHARE to BONITA K. OCKER presently residing at 13 Dail Avenue, Shippensburg, PA 17257 SEVENTH. In the event that my funds on deposit at the Orrsl:own Barak and certificate or certificates of deposit at the said Orrstown Bank are insufficient to I-ay in full my $15,000.00 pecuniary bequest to the said BONITA K. OCKER, I direct that any deficit be paid from the rest and residue of my estate, it being my specific intent and desire to honor in full my pecuniary bequest to my beloved step-daughter, BONITA K. OCKER. EIGHTH. I give, devise and bequeath all of the rest, residue, remainder of my estate, real, personal and mixed, whatsoever and wheresoever situate, to my son, ROYD KEYS presently residing at 3917 Victoria Lakes Drive South, Jacksonville, FL 32226. ].n the event that the said ROYD KEYS should predecease me or is not living on the 60~ day following my death, I then give, devise and bequeath all my estate, real, personal and mixed, w:ha~~tsoever and wheresoever situate to my step-daughter, BONITA K. OCK.ER, on a per stirpes dis~:ribution basis. NINTH. I nominate, constitute and appoint my son, ROYD KEYS, and my step- daughter, BONITA K. OCKER or the survivor thereof, to be the Co~-E:~ecutors of this my Last Will and Testament. _ ~- WEIGLE & ASSOCIATES. P. C. -ATTORNEYS AT LAw - 17_6 FAST KING STRRRT - 1~HfPPFN~R( IRC~ po 17,~c,~7_igq~ TENTH. I direct that my personal representatives shall r.~ot be required to give bond for the faithful performance of their duties in any jurisdiction. ELEVENTH. I direct that any and all death taxes which bec~orrie due and payable upon my death be paid out of the rest and residue of my estate. IN WITNESS WHEREOF, I, PAUL W. CLIPPINGER, havE; hereunto set my hand and seal to this my Last Will and Test ent, written on thre (3) pages, the first two pages signed for identification only, this `'~,..~ day of ~ , 2009. ~- ~~~ ~~%L~~~.-~~~ (SEAL) ~~ WEIGLE & ASSOCIATES. P. C. -ATTORNEYS AT LAW - iZ6 EAST KING STREET - SHIPPENSBURG. PA 17zS7-1~Q7 This instrument was by the Testator, on the date hereof, signed, published and declared by him to be his Last Will and Testament, in our presence, who at his request and in the presence of each other, we believing him to be of sound and disposing mind and merrioly, have hereunto subscribed our names as witnesses. ,- ~; ..~ ~~ _ COMMUIVWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS I, PATJL W. CLIPPINGER, the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. P~i~JI~, ~ I~~~R ~c Sworn or affirmed to and acknowledged before me b P UL W. C PPIN R, the Testator, this ~ day of ~ ' '~ 2009. G COMMONWEALTH OF PEIVt~~YLVA.NIA. ~i~TARtA~ SEAS Jerry A. Weigfe, ~Iaiary Ptoi~ii~ City G` ~h~~.?oen5burg, C~:mberl~sadGo!a~ty !qty ;-~.;- . ,,.~ ,,•-~ . ~c.~~res October 0?, 2010 WEIGLE & ASSOCIATES, P. C. -ATTORNEYS AT LAW - 1Z6 EAST KING STREET - SHfPPENSBURG, PA 17ZS7-1397 r COMMONWEALTH OF PENNSYLVANIA . SS COUNTY OF CUMBERLAND ~. l ~ ~ (` 'ry and (~~~~~tc~~ ~5 ~ ~, ,the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw PAUL W. CLIPPINGER, the Testator, sign and execute the instrument as his _Last Will; that he signed willingly and that he executed it as his fief; and voluntary act for the purposes therein expressed; that each of us in the hearing and sight o:f the Testator, signed the Will as witnesses; and that to the best of our knowledge the Testator was a.t the time eighteen (18} or more years of age and of sound mind and under no 2009. ' '"~~AtTH (3,F PEIVNSYL~ANIA '+At SEAE, ''Mary Pubiic Wand Couc~ty _ . ~' 241©. C4MMONWEAtTH C~~F PENNSYtVAK1A Nt?TARIAL SEAL Jerry A. Weigle, Notary Public City of Shippensbur~, Cumberland County My~Commission Expires October 4T, 2010 WEIGLE & ASSOCIATES, P.C. -ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG. PA 172.57-1397 Sworn or affirmed to and subscribed before me ~~J RSV-485 EX (05.04) SAFE DEPOSIT ~30X INVENTORY PA DepaRment of Revenue 48500~41~46 PLEASE USE ORIGINAL FORM ONLY -- Social Security or Death Cert~cate Number Date of Death .... ~ ... . i ~. County Code Year ... , Decedent's Last Narna ~ Suffix First Narna ., .. ©AoDRE$S OF DEC DENT S "(: ~ CITY: ~ ~ l.J. NAME A1~lq ADORES RSON REDUESTING THE OPENING qt= THE SAFE pEP SIT BOX \ NAME; ,rti ri /'~ f1 ~ V-~ File Number MI f:: ZIP CODE: ' ~- i'! ~.. ST r .~, GN~~ ~-- La~.~..o ~~ ~ ®S~~~'~.v~ . _` + ~..., s~ ~~:. _.....ZIP CODE:.. I NAME, AbD E8S ANO REI.ATIONSNIP (IF ANY) TO DECEDENT, OF PERSON(S) PRESENT AT THE gpx ppi=NING a. E: ~ .. .........~~~HIP:., .. .,.._.. _..._.,._ ~EQE DR`Er9~ : ,Ci` ~~~~ ~ 1.. , ~ .... ~ce~c'~cm ~ iy' I'~ S~~ , ZII~ Ded TL ~ V b. AME: ~„~O~_., K CHIP: ..... ... .... ~E>'~Dp~: ~ ~ 11 ... . ~ (fCITY: .. S ZIP CODE: ' `~ c. NAME: RELATIONSHIP: STREET ADDRESS: CITY: _ .~ STATE; ZIP CODE: t~-MEAND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX 13 LOCA7Ety 'STREE.T.ADDRESS; ~ r-, 1 ~ _ CITY: ~ _ __ S1 A1~1 ZIP CODE,__. ;~ • E OF ER ON M N T ENTRY DATE AND ZM OF LAST ENTR~ DATE C O RENT X NUMBS OF BOX 1 ~ E U ER WHIG XIS REQUESTED -i ~ I Co uV _ NAME AND ADDRESS OF PERSON(S) HAVING ACCESS TO BOX a. ~ b.~"'' E: ~.,~; ~~.1 ~ ,..... 1 lCS ..... _ ....... ... ............. _.., .. ____ ' STREET ADDRE STREE SS: ~ as ~ ~ ..... .~9..1-'~---~:~,,-; ~,La.k~ ~,.5..,. _.. ___ `~`~:_ S7 YIP COpE: `! ~ ~ ~ ~' ~' STATE: Z P COD AN T(~E OF ~.$~f E KIN THI= INVENTORY ' .Q `~ WAS A WILr_ IN THE SOX? . YES ^ NO If yes, a• pats of will: b. Name and address of pe onal representatly@, It named in tho will NAME• 1 ~~~ ' ~© ~ i .. .. .._ ..... .. S T DDRE' ~ $TA7E: Z.IP CODE: ' c. Name and address of attorney, IF any NA :~ ST ESS: CITY: ST ZIP r U_~ L 48500041 46 48504041046 ,X+ (3.04) ~' ~ i '4 COMMONWEALYH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0001 ENTRY INTO SAFE DEPOSIT 80X TO REMOVE A WILL OR CEMETERY DEED iQate of Entry Month Day Peer Oc:tober 27 10 Please Print or Type e ~tusT at= cc~t~ol t=Y~n Rr REPt~ESt'_NTOTtvE of FINANCIALS INSTITUTION WHERE SAFE DEPOSIT SOX IS (,dCA7E'D ANO RETURNED TO ABOVI: ADDRESS. DEGEDEN7'8 NAME (Last, First. Middle) SOCIAL SECURITI~ NUMBER (t2equireG) DATE OF DEATH Paul Clippinger 178-16-4622 1Q/24/2010 ADDRESS OF DECEDENT Street Address Clty Stat® Zip Code .122 W King St Shippensburg PA 17257 NAME AND ADDRESS OF pEIZ30N REQUESTING ThiE aPENING OF 7HE SAFE DEPO$!T BOX Name Royd Keys _ Street Address City State Zip t;.odo 3917 Victoria Lakes Dr, South Jaclsonville FL 32226 ~ NAME ANb ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED Namd of Fin8nCi21 InSt'tuti0r+ M St T Bank ~ _ _ ___ Sireet Address City Stat® Zip code 35 E King Street Shippensburg PA 17257 NUMBER OF SAFE DEPOSR BOX : TITLE OR NAME(S) UNDER WHICH BOX IS REGISTERED 1296 Paul W Clippinger ' WAS THERE A WILL IN THE BOX? ® YES ^ NO Ir ye;; a. Qate of will: 05/27120 ~p '~'~ 1 1 Month Day Year b. Name and address of persona{ r®prssgntatfv®(s), if nam®d in the will: Name Royd Keys _ Street Address Cny State Zip Cade 3917 Victoria Lakes Dr South Jacksonville PA 32226 Name Bonita K Ocker _ Street Address City State Zip Code 13 Kaif Ave Shippensburg PA 17257 c. Name and address of attorney, if any: Name Jerry Weigle ~ _ Street AddrCSS City Stale Zip Code r 126 E King St Shippensburg PA 17257 Name ~ Street A4dresS City State zip Code 1 certify under penalty of perjury that the ~bave record is correct and completl3 to the best of my knowledge and belief. Signaturd Date ~~~ _ 10/27/2010 Print Name _~ ' Tills .~ ~ ~ ~~ ~ Debbie L Fitch r ~ ~ c~~ CSR tl .1 The Qepartment is authorized under federal law, 42 U.S.C. § 405 (c), to use the decedent's Social Security number in administering this state tax law, The Depattment uses Social Security numbers to establish a decedent's identity and ensure proper credit for tax payments. ~ u ~ c _i yr ~~..-- . ~ ~AF~ ~a~~os~~ pox ~NwE~~roRY :~ fNSTRUC7'101V5 (7 j Cash: Report total only. . . (2) Stocks: List in detail every common or preferred certificate, warrcnt or other rights found in box. Stocks ore to ba designated !,y name of tompdny, csc}ificate number, date of csrrtificat®, name in which stock is registered, and number of shares and doss of stock. ` (3} Obligations of U. 5. Governmeal:~ Numb®r of itsrms, date of issue, fore value, names in which registered and type of ownership, i.e., jointly held, paycble on death, etc. {4) Bonds: Designate 67 Hems, a!l~ocint, serial number, or other d®signation. (Bearer Bends) (5) Bank tend Savings and Loan Passbooks: State name of depositor, number of book, last dote oppearing in book, name of bank and branch, and balancer. , {6) Jewelry, Coiasr Stomps, Monu:cripts, etc: List and dasaibe as fully as possible. ~ . (7) Deods, Mortgoges, Current Insurance Pviieiss oe other evidences a# indebtedness: list find describe as ~~ fully as possible. ~ ~ ~ ' (8) All artier eontenls, lr~+ s~ altsc~pnoa No. . . c ~ ~ ~ ~ ~ ~ C7 ~~ _ U 611 Sao S ~ ~ "~ ~~ ~~ ~~ ~1 ~~ ~~ ~' ~~ ~~~ ~ tq~ ~. .Q '~ r ~ ~ , f= ~ lv~ ,.. ~ ~ e o ~ Cdr ~r- - ~< < ~ .. ., - n . ~ _ w .~ ` i /1/6f ..._ ~. ~ _ J i- • .~.~ ' 1 I w ! ~ ''y~\ ~ ~J .ten __ jh~~ i f esrti#y under penalty ~ erjury that the vbvva record is eerrsct and cornpleta to !hs b~! of my k»owlsdge and b®lia#. .~ Data Si~Aptu~ d a ~ ~ ~ ~ ~ ~. r1 . r~ riot Narna, and 7itla NOTE: AtTVch additional S'!z" x 1 1 " st!@erts) ~: necessarp vc r~sv Rvp~,c~ra~ w~ .s=~a W~~~ v. ~.~.....• Pa a #2 f ~4J r ~~~' SUMMARY OF SALIENT FEATURES Subject Address Lower Horse Valley Road Legal Description Deed Book Vol. 596 page 699 • City Orrstown County Franklin State PA Zip Cade 17244 Census Tract 0102.00 Map Reference N/A Sale Price $ Date of Safe Borrower Estate of Paul Clippinger Client Estate of Paul W. Clippinger Size (Square Feet) Price per Square Foot $ Location Average Age Condition Total Rooms Bedrooms Baths Appraiser Tim Ausherman Date of Appraised Value 10/25/2010 Opinion of Value $ 52,000 Form SSD2 - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Ausherman Bros. Real Estate Inc. Pa a #1 Borrower Estate of Paul Cli in er _ File No. Pro a Address Lower Horse Voile Road (:itv (~rrctnwn County Franklin State PA Zia Code 17244 Client Estate of Paul W. Ciippinger APPRAISAL AND REPORT IDENTIFICATION This Appraisal Report is gDfl of the following types: ^ Self Contained (A written report prepared under Standards Rule 2-2 (a) , persuant to i:he Scope of Work, as disclosed elsewhere in this report.) ® Summary (A written report prepared under Standards Rule 2-2(b) , persuant to the Scope of Work, as disclosed elsewhere in this report.) ^ Restricted Use (A written report prepared under Standards Rule 2-2(c) , persuant to'the Scope of Work, as disclosed elsewhere in this report, restricted to the stated intended use by the specified client or intended user.) Comments on Standards Rule 2-3 I certify that, to the best of my knowledge and belief: - the statements of fact contained in this report are true and correct. -the reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions and are my personal, impartial, and unbiased professional analyses, opinions, and conclusions. - I have no (or the specified) present or prospective interest in the property that is the subject of this report and no (or the specified) personal interest with respect to the parties involved. - I have no bias with respect to the property that is the subject of this report or to the parties involved with this assignment. - my engagement in this assignment was not contingent upon developing or reportlng predetermined results. - my compensation for completing this assignment is not contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this appraisal. - my analyses, opinions, and conclusions were developed, and this report has been prepared, in conformity wiUi the Uniform Standards of Professional Appraisal Practice. - I have (or have not) made a personal inspection of the property that is the subject of this report. (If more Than one person signs this certification, the certification must clearly specify which individuals did and which individuals did not make a personal inspection of the appraised property.) - no one provided significant real property appraisal assistance to the person signing this certification. (Ii there ~rre exceptions, the name of each individual providing significant real property appraisal assistance must be stated.) Comments on Appraisal and Report Identification Note any USPAP related issues requiring disclosure and any state mandated requirements: APPRAISER: '~/ i Signature: Name: Tim A Date Signed: 29 2010 State Certification #: GA000149L or State License #: State: PA Expiration Date of Certification or License: 6/30/2011 Effective Date of Appraisal: 10/25/2010 SUPERVISORY APPRAISER (only if required): Signature: Name: __ Date Signed: 9/20/2007 State Certification #: or State License #: State: __ Expiration [late of Certification or License: Supervisonl Appraiser inspection of Subject Property: ^ Did Nat ^ Exterior-only from street ^ Interior and Exterior Form ID06 - "WinTOTAL" appraisal software by a la mode, ins;. -1-800-ALAMODE Pa a #3 LAND APPRAISAL REPORT Borrower Estate of Paul Clip pinger Census Tract 0102.00 Map Reference N/A Property Address Lower Horse Valley Road _ City Orrstown County Franklin State PA Zip Code 17244 - Legal Description Deed Book Vol. 596 page 699 _ Sale Price $ Date of Sale Loan Term NA yrs. Praperftr Rights Appraised ®Fee ^ Leasehold ^ De Minimis PUD Actual Real Estate Taxes $ N/A (yr) Loan charges to be paid by sell er $ NA Other :,ales concessions NA _ Lender/Client Estate of Paul W. Clippinger Address _ Occupant Vacant Appraiser Tim Ausherman Instructions to /Ippraiser NA Location Urban Suburban Rural Good Avg. Fair Poor Built Up ^ Over 75% ^ 25% to 75% ®Under 25% Employment Stability ^ ~I ^ ^ Growth Rate ^ Fully Dev. ^ Rapid ®Steady ^ Slow Convenience to Employment ^ ^ ® ^ Property Values ^ Increasing ®Stable ^ Declining Convenience to Shopping ^ ^ ® ^ Demand/Supply ^ Shortage ®In Balance ^ Oversupply Convenience to Schools ^ ^ ® ^ Marketing Time ^Under 3 Mos. ®4-6 Mos. ^ Over 6 Mos. Adequacy of Public Transportation ^ ^ ^ ,Present Land Use 10% 1 Family _% 2-4 Family _% Apts. 9'. Condo _% Commercial Recreational Facilities ^ ^ ® ^ % Industrial 90% Vacant _9'o I Adequacy of Utilities ^ ^ ^ Change in Present Land Use ®Not Likely ^ Likely (*) ^ Taking Place ;*) Property Compatibility ^ ®^ ^ (*) From To _ Protection from Detrimental Conditions ^ ®^ ^ Predominant Occupancy ®Owner ^ Tenant 5 % Vacant Police and Fire Protection ^ ^ ® ^ Single Family Price Range $ 20.000 to $ 300.000 Predominant Value $ 60,000 _ General Appearance of Properties ^ ® ^ ^ Single Family Age New yrs. to 100 yrs. Predominant Age 20 yrs. Appeal to Market ^ ^ ® ^ Comments including those factors, favorable or unfavorable, affecting marketability (e.g. public parks, schools, ~~iew, noise): Sub'ect roe is located off of lower Dimensions Irregular Zoning classification None exists Highest and best use ®Present use = 26.26= Sq. Ft. ar Acres LJ Comer Lot Present Improvements ®do ^ do not conform to zoning regulations Other (specify) _ Public Other (Describe) OFF SITE IMPROVEMENTS Topo rolling to s.tee slo es Elec. ^ None available Street Access ^ Public ^ Private Size Irregular Gas ^ Surface None Shape Irregular Water ^ None Maintenance ^ Public ®Private View Average San. Sewer ^ None ^ Storm Sewer ^ Curb/Gutter Drainage adegusite ^ Underground Elect. & Tel. Sidewalk ^ Street Li hts lathe property located in a HUD Identified Special Flood Hazard Area? ®No ^ Yes Comments (favorable ar unfavorable including any appazent adverse easements, encroachments, or other adverse conditions): No adverse easements or encroachments were observed. Subject orooerty site is o rimairly in grass. The undersigned has recited three recent sales of propertieg most similar and proximate to subject and has con:>idered these in the market analysis. The description includes a dollar adjustment reflecting market reaction to those items of significant variation between the subject and comparable properties. ti a significant item In the comparable property is superior to or more favorable than the subject property, a minus (-) adjustment is made thus reducing the indicated value of subject; if a significant Item in the comparable is inferior to or less favorable than the subject property, a plus (+) adjustment is made thus increasing the indicated value of the subject. Address Lower Horse Valley Road Covalt Road BoySc:out Road High Mountain Road Orrstown Needmore Pa 17238 Hustontovvn Pa 17229 Walnut Bottom Pa 17266 Proximi to Subject 30.76 miles SW 13.61 miles W 16.77 miles E Sales Price 50 000 ~ ` ~- ` 75 000 -° ~ 49 000 Prira ~ $ ~ - Date of Sale and DESCRIPTION DESCRIPTION + - Ad'ust. DESCRIPTION + - Ad"ust DESCHIPIIUN + - Ad ust. _ Time Adjustment 6/25/2010 2/25/2010 4/22/2010 Location Avera a Avera a Average Su erior -5 000 • Site iew 26.26 acres 20 Acres +15 600 20.8 Acre +10 900 19.68 Acres +13 100 Water On site On site On site On site Sewer On site On site On site On site To o ra h rollin to stee rollin to stee Rolling_ -10 000 rollin Su erior -5 000 other No access/no electric Access/electric -17 500 Access/electric -17 500 No access/no electr Sales or Fnancing Concessions NA NA conv Sale No concess Conwsntional Na concess conv Sale No concess Net Ad'. otal + - -1 900 I-I ~± (~ - -16 600 + - 3 100 Indicated Value ~ x of Subject ' „ Net 3~8 90 '' 48 100 ''Net 22.1 % ~ 58 400 "` het 6.3 % 52 100 Comments on Market Data: Overall market conditions have been slow over the past year ~uvith few transfers of mountain land within the area. Comments and Conditions of Appraisal: legal access $15000 does not ..............a s,..... .,.~., a.,.,~,.. Final Reconciliation: Emphasis was placed on the Sales Comparison Approach to value which reflects bu ers in the market Iace.Few sales exist - within the area com arable to the sub'ect ert . J - I ESTIMATE THE MARKET VALUE, AS D D,,dP SUBJECT PROPERTY AS OF _ 1 O/25/2O1 O 21) 10 t0 be $ 52.0017 ~' Tim Ausherman _ ®Did ^ Did Not Physically Inspect Property A raisers Review A raiser if a licahle Ir~~l v Ausherman Bros. Real Estate Inc. Farm LND - "WinTOTAL" appraisal sottware by a la mode, im;. -1-800-ALAMODE , ,,.Went Statement 2. ^FmHA 3. ^Conv. Unins. iA 5. Conv.lns. 6. File Number 112252MILLER 7. Loa is orm is um~s e o give you a s a amen o ac ua se amen cos moun s psi o an y e se em Note: Items marked'(p.o.c.)- were paid outside the closing; they are shown here for information purposes and are WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and im risonment. For details see: Title 18 U. S. Code Section 1001 and Section 7010. p y Pflnted 0311 Fi12011 at 17:27 RLH D. NAME OF BORROWER: Robert E Miller, Sr. ADDRESS: 338 Strohm Road Shi ensbur PA 17257 E. NAME OF SELLER: Paul W. Clippinger Estate _ - ADDRESS: ~ - _ F. NAME OF LENDER:. - -- ADDRESS: _ - G. PROPERTY ADDRESS: Tract 2 containing 26.43 acres, more or less, Letterkenny Twp., Franklin Co., PA Letterkenn Townshi H. SETTLEMENT AGENT: South Central Home Settlements, Inc., Telephone: 717-532-7387 Fax: 717-532.6552 PLACE OF SETTLEMENT: 126 East Kin Street Shi ensbur PA 17257 _ I. SETTLEMENT DATE: 03/1612011 J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER _ 101. Contract sales rice 50 000.00 401. Contract sales rice _ 50 000.00 102. Personal ro art 402. Personal ro art 103. Settlement char es to borrower line 1400 430.00 403. -. ' - '~ ~ -.. . 104. 404. _ 105. 405. _ Ad'ustments for items aid b seller in advance Ad'ustments for items aid b seller in advance 109. 409. 110. 410. _ 111. 411. - 112. 412. _ _ 120. GROSS AMOUNT DUE FROM BORROWER 50 430.00 420. GROSS AMOUNT DUE TO SELLER 50 000.00 200. AMOUNTS PAID BY OR ON BEHALF OF BOR ROWER _ 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. De osit or earnest mone 501. Excess De osit see inst ctions _ . '; _ _ _ 202. Princi al amount of new loans 502. Settlement char es to seller line 1400 _ _ 150.00 203. Existin loans taken sub'ect to 503. Existin loan s taken sub'ect to _ 204. ~ 504. Pa off of First Mort a e Loan "' _ 205. 505. _ 206. 506. _ 207. 507. _ 208. 508. 209. 509. _ Ad'ustments for items un aid b seller Ad'ustments for items uri aid b seller - 213. 513. 214. 514. _ _ _ -_ 215. 515. _ 216.- 516. 217. 517. _ 218. 518. _ _ 219. 519. 220. TOTAL PAID BYlFOR BORROWER 520. TOTAL REDUCTION AMOUNT DUE SELLER _ _ 150.00 300. CASH AT SETTLEMENT FROM OR TO BORR OWER 600. CASH AT SETTLEMENT TO OR FROM SELLER- 301. Gross amount due from borrower line 120 50 430.00 601. Gross amount due to seller line 420 50 000.00 302. Less amounts aid b /for borrower line 220 602. Less reduction amount due seller line 520 150.00 303. CASH FROM BORROWER 50 430.00 603. CASH TO SELLER 49 850.00 SUBSTITUTE FORM 1099 SELLER STATEMENT: The information contained herein is Important tax information and is being furnished to the Internal Revenue Service. If you are requireri to file a return, a negligence penalty or other sanction will be imposed on you if Chia item is required to be reported 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 bylaw to provide the settlement agent (Fed. Tax ID No: )with your correct taxpayer ident~cation number. 1I you do not provide your correct taxpayer identification number, you may be subject to civil or criminal penalties imposed bylaw. Un er pew nalues~rjury, I certify that the number shown on this statement la my correct taxpayer IdentiFlcalion number. TIN: / SELLER(S) SIGNATURE(S): I _ SELLER(S) NEW MAILING ADDRESS: SELLER(S) PHONE NUMBERS: (H) (W) ~ s ii form HUD-1 (3B8) ref Handbook 4305.2 99 - - - U.S. Department.of_Housing Arid Urban Development _ , `p OMB A royal No.-2502-0265 _ ~, n Number . 8. Mortgage Insurance ~.,ase Number ;~ en agen are s own. $' not included in the totals. TItIeEx less Settlement S stem 'I / - j ... r ~ ~ ~ ~ .e form HUD-1 (3/86) ref Handbook 4305.2 ,1'MENT OF HOUSING AND URBAN DEVELOPMENT File Number:112252MILLER PAGE 2 FMFNT STOTFMFNT TifleGvnroce CeHlnmonf 6iefem DrinFer~l (19/1~MM1 n+ 17.97 DI LJ CEMENT CHARGES ~TAL SALES/BROKER'S COMMISSION based on rice $50 000.00 0.000 = PAID FROM BORROWER'S PAID FROM SELLER'S Division of commission line 700 as follows; - - FUNDS AT FUNDS AT J1. to SETTLEMENT ;SETTLEMENT 702. to , 703. Commission aid at Settlement 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Ori ination Fee 802. Loan Discount 803. A raisal Fee -- 804. Credit Re rt 805. -806. 807. 808. - 809. 810. 811. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From to Ida 902. Mort a e Insurance Premium for 0 mont to 903. Hazard Insurance Premium for 0 mont to 904. 905. - _ - 1000. RESERVES DEPOSITED WITH LENDER FOR 1001. Hazard Insurance mo. Imo 1002. Mort a e Insurance mo. Imo 1003. Ci Pro rt Tax mo. Imo 1004. Count Pro art Tax mo. Imo 1005. School Taxes mo. Imo 1009. A ate Anal sis Ad'ustment 1100. TITLE CHARGES 1101. Settlement and Title Search to South Central Home Settlements Inc. 375.00 1102. - 1103. 1104. 1105. 1106. 1107. Attome 's fees to Wei le 8~ Associates 150.00 includes above items No: Document Pre includin Deed 1108. Title Insurance includes above items No; 1109. Lender's Cover e 1110. Owner's Covera e 1111. 1112. 1113.. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recordin Fees Deed 55.00 • Mort a e • Release 55.00 1202. Cit (Count taxlstam s Deed • Mort a e 1203. State Tax/stam s Deed • Mort e 1204, Deed • Mort a e 1205. Deed ~ • Mort a e • Release 1300. ADDITIONAL SETTLEMENT CHARGES - 1301. Surve -- ` 1302. 1303. 1304. 1305. 1306. 1307. 1308, 1400. TOTAL SETTLEMENT CHARGES enter on lines 103 Section J and 502 Section K 430.00 150.00 _. ~- • ~. HUD CERTIFICATION OF BUYER AND SELLER I have Ce Ily re 'awed the HUD-1 Settle ant Statement and tot best of my knowledge and belief, it Is a true and accurate statement of all receipts and disbursements made on my acccunt or by me in this s . T rther certify lh a recei copy of th UD-1 Settlement Statement. , o er, r. CL~/ l~ Q, u ~ppm'/g/er/ a -V y - AR~IT IS A CRIME TO WIN F GL KE ALSE STATEMENTS TO THE The HUD 1 Settlement Statement which I ha - -n3pared i true and accurate account of this transaction. UNITED STATES ON THIS OR ANY SIMI FORM. PENALTIES UPON CONVICTION ave caused or will cause the funds to be di urs rdanoe with this statement... CAN INCLUDE A FINE AND IMPRISONME .FOR DETAILS SEE TITLE 18: U.S. CODE SECTION 1001 AND SECTION 1010. ~ a~~/ ,/p ^_~/ By. i ` Pa a #3 ~~~~ .Two , SUMMARY OF SALIENT FEATURES ~~ Subject Address 6315 McClays Mili Road Legal Description Deed Book Vol. 831 page 43 City Shippensburg County Franklin State PA Zip Code 17257 Census Tract 0103.00 Map Reference 13-OG15-024A Sale Price $ Date of Sale Borrower Estate of Paui Clippinger Client Estate of Paul W. Clippinger Size (Square Feet) Price per Square Foot $ Location Average Age Condition Total Rooms Bedrooms Baths Appraiser Tim Ausherman Date of Appraised Value 10/25/2010 _ Opinion of Value $ 54,000 Form SSD2 - "WinTOTAL' appraisal software by a la mode, inc. •-1-800-ALAMODE Ausherman Bros. Real Estate Inc. Address 6315 ent Estate of Paul W. Clippinger APPRAISAL AND REPORT IDENTIFICATION State File No. Pa a #2 This Appraisal Report is ~ of the following types: ^ Self Contained (A written report prepared under Standards Rule 2-2(a) , persuant to the Scope of Work, as disclosed elsewhere in this report.) ®Summary (A written report prepared under Standards Rule 2-2(b) ,persuant to the Scope of Work, as disclosed elsewhere in this report.) ^ Restricted Use (A written report prepared under Standards Rule 2-2(c) ,persuant to the Scope of Work, as disclosed elsewhere in this report, restricted to the stated intended use by the specified client or intended user.) Comments on Standards Rule 2-3 I certify that, to the best of my knowledge and belief: -the statements of fact contained in this report are true and correct. -the reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions and are my personal, impartial, and unbiased professional analyses, opinions, and conclusions. - I have no (or the specified) present or prospective interest in the property that is the subject of this report and no (or the specified) personal interest with respect to the parties involved. - I have no bias with respect to the property that is the subject of this report or to the parties involved with this assignment. - my engagement in this assignment was not contingent upon developing or reporting predetermined results. - my compensation for completing this assignment is not contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this appraisal. - my analyses, opinions, and conclusions were developed, and this report has been prepared, in conformity with the Un'dorm Standards of Professional Appraisal Practice. - I have (or have not) made a personal inspection of the property that is the subject of this report. (If more than one person signs this certification, the certification must clearly specify which individuals did and which individuals did not make a personal inspection of the appraised property.) - no one provided significant real property appraisal assistance to the person signing this certification. (If therE: are exceptions, the name of each individual providing significant real property appraisal assistance must be stated.) APPRAISER: Signature: ~ ~~ Name: Tim erman Date Signed: 12!29/2010 State Certification #; GA000149L or State License #: State: PA Expiration Date of Certification or License: 6/30/2011 Effective Date of Appraisal: 10/25/2010 SUPERVNSORY APPRAISER (only if required): Signature: Name: Date Signed: fl,~g{Egg7 State Certification #: or State License a't: State: __ Expiration Date of Certification or License: Supervisory .Appraiser inspection of Subject Property: ^ Did Not ^ Exterior-only from street ^ Interior and Exterior Farm ID06 - "WinTOTAL" appraisal software by a la mode, inc. -1=800-ALAMODE LAND APPRAISAL REPORT Pa a #4 File No. c~;nsus Tract 0103.00 Map Reference 13-OG15-024A Property Address 6315 McClays Mill Road . City Shippensburg County Franklin State PA Zip Code 17257 - Legal Description Deed Book Vol. 831 page 43 Sale Price $ Date of Sale Loan Term NA yrs. F'ropeily Rights Appraised ®Fee ^ Leasehold ^ De Minimis PUD Actual Real Estate Taxes $ 598 (yr) Lo h an c arges to be paid by seller $ NA Other sales concessions NA Lender/Client Estate of Paul W Clippinger Address __ Occupant Vacant Appraiser Tim Ausherman Instructions to Appraiser NA Location Urban Suburban Rural Good Avg. Fair Poor Built Up ^ Over 75% ^ 25% to 75% ®Under 25% Employment Stability ^ ® ^ ^ Growth Rate ^ Full Dev. y ^ Rapid ®Steady ^ Slow Convenience to Employment ^ ® ^ ^ Property Values ^ Increasing ®Stable ^ Declinin C g onvenience to Shopping. ^ ®^ ^ Demand/Supply ^ Shortage ®In Balance ^ Oversu l C i pp y onven ence to Schools ^ ® ^ ^ Marketing Time ^Under 3 Mos. ®4-6 Mos ^ Over 6 M . os. Adequacy of Public Transportation ^ ®^ ^ _ Present Land Use 20% 1 Family _q, 2-4 Family _% Apts. _% Condo _% Commercial Recreational Facilities ^ ®^ ^ = qa Industrial 80% Vacant _% I Adequacy of Utilities ^ ®^ ^ Change in Present Land Use ®Not Likely ^ Likely (*) ^ Taking Place (*) Pr rt C ope y ompatibility ^ ® ^ ^ (*) From T o _ Protection from Detrimental Conditions ^ ®^ ^ Predominant Occupancy ®Owner ^ Tenant 5 % Vacant Police and Fre Protection ^ ® ^ ^ Single Family Price Range $ 20,000 to $ 300,000 Predominant Value $ 60.000 _ General Appearance of Properties ^ ® ^ ^ Si l ng e Family Age New yrs. to 100 yrs. Predominant Age 20 yrs. Appeal to Market ^ ® ^ ^ Comments including those factors, favorable or unfavorable, affecting marketability (e.g, public parks, schools, view, noise): Sub'ect ro ert is located al Alt on enwald road area is a mix of scattered sin le fami homes with the ma'orit of land use in a~3riculture. Dimensions 315 x288 __ Sq. Ft. or Acres Corner Lot Zoning classification None exists Present Imlrrovements ®do Hi hest and best use ^ do not conform to zoning regulations 9 ®Present use Other s ecif _ Public Other (Describe) OFF SITE IMPROVEMENTS Topo rolling - Elec ® . Street Access ®Public ^ Private Size Irregular Gas ^ Suriace_ asphalt Shape Irregular Water ^ l we l Maintenance ^Public ®Private View Average San. Sewer ^ septic tank ^ Storm Sewer ^ Curb/Gutter Drainage adequate ^ Underground Elect, & Tel. Sidewalk SVeet Li hts Is the property located In a HUD Identified Special Flood Hazard Area? ^ No ®Yes Comments (favorable or unfavorable including any apparent adverse ease t men s, encroachments, or other adverse conditions): No adverse easements or encroachments were observed. Sub'ect ro ert site is rimairl in ra ss. The undersigned has recited three recent sales of propertles most similar and proximate to subject and has considered these in the market analysis. The description includes a dollar adjustment reflecting market reaction to those items of significant variation b t h e ween t e subject and comparable properties. If a significant item In the comparable property is superior to or more favorable than the subject property, a minus (-) adjustment is made thus reducing the indicated value of subject; if a si nifi t it g can em in the comparable is inferior to or less favorable than the subject property, a plus (+) adjustment is made thus increasing the indicated value of the subject. ITEM SUBJECT PROPERTY COMPARABLE N0.1 COPdPARAB N0.2 COMPARABLE N0.3 Address 6315 McClays Mill Road Lower Horse Valley Rd L ower Horse Valley Rd Lower Horse Valley Rd Shi ensbur U er Strasbur Pa 17265 U er Stra:>bur Pa 17265 U t er S rasbur Pa 17265 Proximi to Subject 11.68 miles W 11.68 miles W 11.68 miles W Sales Price - Price $ 40,000 43 000 ~ 39 000 Data Source Ins ection MLS-Courthouse MLS-Courthouse MLS-Courtho - Date of Sale and DESCRIPTION DESCRIPTION + - Ad~u t ~ ' ' use Time Adjustment s . 6/11/201 ESCRIP 1 ION + - Ad ust DESCRIPTION + - Ad"ust. 0 6/16/2010 6/16/2010 Location • Site few Avera a Inferior +3 500 2 acre Inferior +3 500 - Inferior + 3 500 Water s 3.18 Acre -4 000 Well on site None 4.78 Acre -8 000 2.78 Acre -3 000 Sewer +2 500 se tic tank None +7 000 None +2 500 - None None + 2 500 To o ra h Rollin Rollin - +7 000 Rollin None +7 000 other Sales or Financing 2 car era a fair con Fenced +4 000 NA None +6 000 -- Rollin None + 6 000 Concessions conv Sale NA NA conv Sale conv Sale Net Ad'. Total Indicated Value _ ~ ~; + , ,., ~ 13 000 NA - + ~^ - 11 000 NA + - 16 000 of Subject Comments on Market D ~ - Net 32.5 % $ 53 000 ata: Overall market conditions have been slow over the Y Net 25 6 % '~ 54 000 a t 'Net 41.0 % 55 000 s ear with few transfers of sin le famy buildin sites. Comments and Conditions of Appraisal: See attached limiting conditions The subject properl: is 2 acres and has a well septic tank and 2 car garage in fair condition on the site. There is a manufactu d h e ome on the site that is owned bt anothe:r erson. Final Reconciliation: Emphasis was placed on the Sales Comparison Approach to value which reflects bu ers in the market Iace.Few sales exist within the area com arable to the s b ct ro ert . .- IESTIMATE THE MARKET VALUE, FIfIED, OF SUBJECT PROPERTY AS OF 10/25/2010 2p 10 to be $ 54,000 Tim Ausherma A raiser s - ®Did ^ Did Not Physically Inspect Property Review A raiser if a licable [Y2K] _ Ausherman Bros. Real Estate Inc. Form LND - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE ri e~iuus euwuna are oosoiete ~~, .. - t; ` A. Settlement Statement 'I :~ ". .8. Jvge of Loan . .- _ ~ form HUD-1~(3/136)~~el llBndGook 4:3052' -- - -s~' U:S_bepartment of Housing and Urban Development " 1: FHA 2. ^FmHA 3. ~Conv. Unins, 6. File Number 7, Loan Number 8, Mortgage insurance C ase Nu b r - m e 4. ^VA 5. pConv.Ins, 1122g6FI~Y s orm is urmsTieHTg'ive you a s a emen o ac ua se emen cos s. moun s al o an C. Note: Items marked "(p.o.r•.)" were paid outside the closing; (hey are shown here for Information purposes and are not in9ludeden the (olals. WARNING: Ii is a crime to knowingly make false statements to the United Stales TltleEXpi ess;Settlement S Ihf st on y em s or any other similar form. Penellles upon convictlon can Include a fine and im risonment. For delalls see: Title 18 U. S. Code Section 1001. and Section 1010. D, NAME OF BORROWER: Fry Family Limited Partnership - Panted Oa1812011.at 16:58 RLh: ADDRESS; 111 West Kin Street PO Box 329 Shi ensbur PA 17257 ~ - E. NAME OF SELLER; ' Paul W, Clippinger Estate - ADDRESS: 122 W, King Street, Shinpelisburg PA 17257 - R ~ , • - F, NAME OF LENDER: - '. - - ~ _ ADDRESS:- - ~. PRbPERTY ADDRESS: 122 W. King Street, Shippensburg, PA 17257 - Borough of Shippensburg, Cumberland County ' ' H. SETTLEMENT AGENT: South Central Home Settlements, Inc,, Telephone: 717.532-7387 Fax: 717.532.6552 - .,.. _: PLACE OF SETTLEMENT: 126 East Kin Street Shi ensbur PA 17257 - - I. SETTLEMENT DATE: 0212112011 _ _ - J. SUMMARY OF BORROWER'S TRANSACTION: 100 GROSS AMOUNT DUE FROM BORR K. SUMMARY OFSE "ER'S TRA SACTION :~ , OWER 400: GROSS AMOUNT`DUE n S~IL~R '~ , ~'~ } 101. Contract sales rice 102, Personal ro art 65 000,00 401: Contractsal s ~riee- ~ ~~ ~ r u - #''r h„ ~ ~ ~ ~;~ , L s ~,t< 65 X00:00: ~ ~ .103.: Settlement char es to borrower line 1400 ~ ~ 1 162.00 ~ 402.:Personal to erf '` =' 403 _ .. ,~, ~ - ~ .. 104: . _ 404 .. 105. , ., .- .. .,,. 405. - Adjus_tments for items old b seller in advance - 108, School Taxes 02121111 to 06130111 305 98 Ad ustments for Items old b seller in adv once ~ - - . 109, 408...School Taxes '02121111 to:06130111 '.$ _ .305,98 ' _ 409. 110. _ 410. :; . - I , 111, 411. ~, 1, . £ :F 1.12. 120. GROSS AMOUNT DUE FROM BORROWER - 66 467.98. 412.: _,_'_ r :: k .: 420, GROSS AMOUNT'DUE Td SELtER` - ~ }~ ~ ' • .200 AMOUNTS PAID BY OR ON BEHALF OFBOR ROWER , . ~ : 65305:98' - 500 _ 201 ': De osit or earnest move - .-REDUCTIONS IN AMOUNT DUE TO SELLER ~ '~ 202 Principal amount of new loans 6 500,00 501, Excess De osit .see Instructions -.. - ...6 500.00• 203. Existin loans taken subject to 502. Settlement char es to seller line 1400 885 00 503. Existin loans taken sub' ZTt . . 204, 205, ~ e o 604.. Pa off of First Mort a e Loan 505, - 206. ~ 506. ~ 207. 507. s ~ t 208. ~ 508.... t ~ -~ 209. ~ - _ ~ 509. •- -.. :~~" xy. ;~ }i~S ~. ''~`~F ~ , ~ Adjustments for items un aid b seller ~~s i .~ ~ r f ~~~ 211. ~ Count taxes 01101111 to 02121111 -~ Ad ustments for-Items u aid b seller 64.88. ' ` ` .511, Count -taxes . 0110 1111i 0212~111 213, . o -:, ' -.: 64:68 214, 513. , ~ _ . t 215. 514, ~ =- ~ 216. 515. 217. 516, - 218. 517. _ 219. 518.. - - - .. 220. TOTAL PAID BYIFOR BORROWER 519. - '; X - "-• _ ~_ 300. CASH AT SETTLEMENT FROM OR TO BORRO 6 564.68 WER 520..TOTAL REQUCTION AMO.UNT~bUE SELLER- T~ 7 449:68 301.. Gross amount due from borrower lie 120 600. CASH AT SETTLEMENT-TO OR=FRC)M'SELLE R .-- . 302.'` .Less amounts paid by/for borrower (line 220) 66 467.98 6 601. Gross amount due to seller Ilne 420 ~ 65 305.98- 564.68 - 602. Less reduction amount due seller Ifne 52p . T.. , 7449.68. .303, CASH FROM BORROWER ~ _ 59 903.30 603. CASH TO SELLER 57 856.30 ~• SUBSTITUTE FORM 1099 SELLER STATEMENT: The Infonnalion contained herein Is important lax Information and Is being fumished to the lnlernel Revenue Seivlce B you,are r ui~ed to a negllg~n~e papally ofolhensanclion wlli be imposed on you if This Item is required to be reported and the IRS determines-that if has not been reported, .The Contract Sales Brice descrlbad oi~ + # ' Ilne 401 above cons8tules the Gross Proceetls of lhls Iransection. eq file a return I 1 ~ You are required bylaw to provide the set8emenl agent (Fed. Tax ID No: ~ i±~ number, you maybe subiacl to civil or crlminal penallles imposed bylaw. nder pens t es o pe~tury, lycerl(fy haltlhe numbetlr ahownton this statement Is my correcLleitpayer identlficalion.number ydu i~o hot provlda yoUh cf~r"rei;t Taxpayer Iddhtl8cation TIN: - _ ; f r - - SELLER(S) SIGNATURE(S): ,i'. ,;.5,. F _ .~ c, SELLER(S)NEWMAILINGADDRESS: - ~" f -~-~-i~ +~ =...~~ I -,a:i? ~ ~ SELLER(S) PHONE NUMBERS: _' ' - (H) (W) - '- .. + , i :.~ ,t ~ t .~ - ~ i ' ~ - r 7 ~ C' , .~ a I ,F .y, -> y - , ., _. ~ ~:.`.f r ,. ~ Jar .y1 ,v1ENT OF HOUSING AND URBAN DEVELOPMENT F ~l form HUd-i (3/36) reGHandbook 4305. ile Number 112246FRY `D = 2 .. PAGE 2 RENT STATEMENT TitleEx ress Settl t S ' P ' ` - tNT CHARGES emen stem r nted 02/18I~01 ~ at 16 58 RLH ~ - ., :, SALES/BROKER'S COMMISSION based onrlce $65 000 00 0 000 = - PAIi~ FRAM ~ _ PAID FROM 3 . . .I of commission (line 700 as follows: i30RRQW~R S , . °`SELLER~S . to FUNDS AT . FUNDS AT to SETTLEMENT': SETTLEMENT< ,ommission aid at Settlement ' ,(EMS PAYABLE IN CONNECTION WITH LOAM ~ ~ - .. Loan Ori ination Fee % + - - J2 Loan Discount ' % - - . ° I I .803 A ralsal Fee ~ - - . - - 804. Credit a ort • ~ - - - t. 805. .. ~. - - . a 806. ..- , . . :.: a ~ ..:rt .: - .. -'•_807•- , .. ,. .. ~. 8 08 _ .. .- .. ,_ , .., . . ~; : ~ - ' 809. 810. _ ;i 811. ', - _ - :. 900. ITEMS REQUIRED BY'LENDER TO BE PAID IN ADVANCE - 901. Interest From to a Ida - t ~ ' 902. Mort a e Insurance Premium for 0 mont to - ~ i.' x" 4 903. Hazard Insurance Premium for 0 most to 5 t ~ ; ; 904. ; _ ~ Y , *e . : , _ - s... - :905.. .. ~. ' °:1000.~RESERVES DEPOSITED WITH LENDER FOR 1001, Hazard Insurance mo. /mo ~' 1002. Mort a e Insurance . _ mo Imo 1003. Ci Pro ert Tax mo. /mo - _ 1004. Count Pro ert Tax mo. - 38,57 Imo - 1005. School Taxes mo. 71.59 /mo 1009. A re ale Anal sis Ad'uslment 1100. TITLE CHARGES - f ~ - 1101. Title Search/Settlement Pre , to South Central Home Settlements Inc ~; 3 ~ ~ ~' '` 4 . _1102. Representation at Settlement to Wei le & Associates , , ~ ~ 20tl,Od.:' _ ~. '.11 tl3 ` . .:. -;:250:00 _ ...1104; _,,: ... ,..... .:. • 1105. 1106. - - - - - _ -1107. Attorne 's fees to Wei le & Associates - (includes above items No• A reement of Sale acid Deed Pre arati 235.00-. on 1108. Title Insurance ~ i'. ;... ' includes above items No: -- • ~ 5 =` ,` = _ 1109. Lender's Coverage ~ , f aF ; - - ~ 1110. Owner's Covera e .. ~. - ~` f , ` 9111. - 1112. ,.. - - 1113. - 1200, GOVERNMENT RECORDING AND TRANSFER CHARGES ~ - 1201. Recordin Fees Deed 62.00 I • Mort a e • Release - ` 1202. CitvlCounty tax/stem s Deed 650.00 '~ Mori a e : ' 62:00 . • 1203. State Tax/stamp Deed 650.00 ' Mort a e ~ • ~ ->~ 650:`t).0~ :.- ' . 1204. ~ Deed ~ Mort a e ~ ~ '-.650.00 ' 1205. Deed ~ ~ Mort a e • Release 1300. ADDITIONAL SETTLEMENT CHARGES sue- sip ~ - tr-t - 1301.: Surve _ - 1302, Final WaterlSewer/Trash to Borou h of Shi ensbur P,O.C. b Seller - ' 1.303. .. . 1304,. . 1305. ' ,. .. - ! 1306. , ,: ' 1307. - I ... "' 1308. ~ ' 1400. TOTAL SETTLEMENT CHARGES ~ ~ enter on lines 103 Section J and 502 Section [ ~, - ~ ~z~ . ~ +`~ 4 °-~` - I ~- ~ ~ " ' * "~ ~ " ~~? ~ {~~N t :~ 1fi2}~d _ " HUD CERTIFICATION OF BUYER AND SELLER . , 0 ~ 885'~~' -_ .'I have carefully reviewed the HUD-1 Selllemenl Slalemenl and to the best or myy knowledge and belle(, Il Is a We aid accurate slatemeril or all receipts and dlabursements made on (n this Vansactlon. I furllter certify that I have received a copy or the hIUD-1 Sollleinenl Statement. Fry Femlly Llmlled Partnership m~l accbu l r b e '~ . n o y m I ~ _ _ - r dr~Prc~7L Paul W. Cllppinger Estate , ~~ 7 ~ ~C~ ~ ~ ~ t r { ~ ' , L l,~ ~. ~,~ C~,I~~i~'" o -- ~4. `:i 1 f ;tom i ~. - 1 .. V Y a ec r o ie c er, o- ecu or ;. L WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE Tha HUD-1 Settlement Slalemenl which I have spared Is a end dccurate account of Mils transaction, UNITED STATES ON TIiIS OR ANY SIMILAR FORM, PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 1B: I have used or will cause the funds to be dls rspd I ac or ance with !h(s statement. 11.S. CODE SECTION 1001 ANO SECTION 1010. - - e r y: ~. x ~.>3--, ~,v,~ Ir;li~riciual i ~~ls Calculate the ~Jalue ~f Your p ~ c ~ n ap~r ~avsncrs oonc(s} 3 j VaEue as of: _..... rtstar..~:t,~Lfz~i: ! 1 p/2010 UPDATE sl t I Calculrtor Series: Denomination: Bond Serial Number: Issue Date: __ ... . __ ~©~es i~esc~ EE Bonds 50 1 ... .. ... :..,; NI Nat IssuE '_~~.. - NE Not eiigit ~ - _____.._._.._ __ p,5 Includes ~C3Ri~ ~'~3 ~~~E '~Li~ :f`!'~'i~EE~''F'C~~1' interest ~ __~._._._.......,.,._,..._.._.,.._~.. MA Matured , _...~„~_„_, _ interest .~_.......... W..._....._ ................................... ' .~*; a ~. CAt~~ ~ r`~Ct: ~E'3'~a~ ~aEuei e"~ta~~ ~0'i~£''~'eS~ $25.00 $94.60 $69 60 . ~r~:~s: ~-~, oaf ~. ~'wr~at ~ Series Denom ': Issa~e text r=i~ai Issue IEnterest ~ D+~i~e ~C~CG1a§ Ei~a~€€E'i`z'~ i^~r CCE' r ~. ra~.erest ~{~~~.~t' L221649731' EE $50 09/1985; 03/2011 ~ 09/2015' $25.00 _ $69 60< §i~~;3® 4.00%' $94.6Q '" ~ t~. t TM45 CO,u' Ir 4'SOED OY.DEft AVTMOl1 KD IIBEBTY BOND A.^.T.:S N.:Et:DE~. W.L 4'.__lE... TC TI:: TE ~' iTLTED W. THE tl4^f: MEk._~ ~~~~ ~ , ~. 4.' ~..- L. M~ .,.f `., FI ti.~ http://v~~~vw.treasurydirect.gov/B C/SBCPrice 11 /3 0/? 010 JONES & MAK~1NAlIClIONS LLC DarrylJa~~ IVe~Martin Newville, PA 5hippen6burg, PA SALE DATE OF SALE ~ ~ ~ I I , r-~t~ 1 ~ ADVERTISING EXPENSES: Lancaster Farmer , _ The Guide Valley Tunes News Chronicle Other Other Sale Flyers Copies ~ - Type Settiag_'.~ - Total Advertising Cost - Total # of Bidder Numbers ~ ~ Total # Sale Sheets Cash Amount In Total $ of Checks Total # all Sale Sheets_ ~ `? , (~ ~~ • ~-~ - + Advertising Cost ~ - Auctioneer's % ~S`i~ -- ~ ~ ~ 1 ~ ~~ - _ Misc. Charge ~ ~` ~L~' ~ ~ ~~.~-~ ~~~ -c.~> _ Misc. Charge - Net Sale (after expenses) ,~ ~ ~ , ~CQ~~ o . ~ ~ ~ ~ ~ ~ ~ a~ j ~~ .,, :~ ~r o•~ Thank you fnr the op, portuzu"ty to wvr~ with you and your family. ~~i,'J 1 3 2010 ,,~ 499 Mitchell Street, Millsboro, DE 19966 November 16, 2010 Weigle & Associates, P.C. Attorneys at Law 126 East King Street Shippensburg, PA 172570-1397 RE: Estate of ,Paul Clippinger Date of Death: October 24, 2010 Social Security Number: 178-16-4622 Dear Mr. Weigle: In response to your request, please be advised that at the time of death, the above- named decedent had on deposit with this bank the following accounts. 1. Account Type ........................... Certificate of Deposit Account Number :...................... 31003914397409 ~ Ownership (Names off .............. Paul Clippinger Opening Date ...........................02/ 18/92 Balance on Date of Death..........$25,000.00 Accn~.ed Interest $ 60.18 Total ....................................... $25, 060.18 2. Account Type ........................... Checlflng Ac~^ount Account Number.: ..................... 97168068 Ownership (Names off .............. Paul Clippinger 0~~9 D~• • ....... • • • • • • • • • • . • ......O 1 /28/ 80 (account closed 10/ 28/ 10) Balance on Date of Death .........$17,945.61 Accn.~ed Interest $ 0 O1 Total ......................................$17,945.62 The above named decedent had a safe deposit box. • Page 2 November 16, 2010 * If upon reviewing the information above, you believe there are additional accounts not referenced, please provide us v~}th an account number and/or the name of any possible joint account holder. For any additional information on the above ~iccounts, including ownership and any changes, closures and/or reimbursement of funds, please contact our King Street Branch at 35-39 East King Street, Shippensburg„ PA 17257 or # 717- 532-4132. Sincerely, `~`~ ~l~/Zv/~ Charlene Warrington, Adjustment Services 1-888-502-4349 t URRSTOW~'~1 ~~ a r of~« t~ ~1a~Y~rr~'~er , ~Q 1 'e~g~e Ass~a~~tes, PC I ~~ East .ng ,~t-r~et Shp~e~ sb~xx~, ~'.~, ~ X25 ~~: :~~~.t~ Qf ~~u 'mow Cl~p~~i~~r ~ccaun~ ~. -- 1 ~ ~~cc~unt: "~~e - free e~'a~ ~~te ~~e~+~d - I ~. f ~ ~ ~ ~Tt~~n~ ~c~c~a~.~t ~~a~a~~'c~~~ -- c~ r3a,~ance - 2,~~. ~ .~ccru~c~ ~nter~s~ ~. ~'~ L?a.tc pen~d -- ~~' ~'~ Jv~2t A~c~u~ r~~.n~~~'d~t:~~ - ~~rz~ ~al~nce - 4,~~~.74 Accrued I~~e~-~st - ~".~~ i ~~ Krr~~ ~trc r ~, fax °C . 88 . t~ ~R~"t"~7rt ~ ~ ~c~~C'. ~~?G'I'~CQ "` ~9,~ ~ ~ ~~ 8~~2C~ -- ' 1 ~,~Ot~~~~. ACC~,IC~ Iri~:~re~~ ~~ ~ ~a~.4~ i.1~~.,L ~~~Z.i.~~ ~~~~~~L~,k~..~ '..' 1~~~~ " "" C ~ ~ C~ ~ ~++~p~~~:~~ j ~ ~ } ~+~y p ~w y ~1..L..1 i~.t.~i..Y l~L.~~~w~~ T LJ~~.'T ~u~~~am~r ~rc~i~~ ~pe~~,1i~t ~. /4 1 Y' 6 5 4 3 p 4d Clb Sed 1,500 4,500 7,500 16,880 26,250 1936 Special Series 4 0, 8-cyl. 2d Corm 1,970 5,900 9,640 22,140 34,440 4 2d Bus Cpe 1,330 3,980 6,640 14,940 23240 2d RS Cpe 1,380 4,130 6,880 15,480 24,080 3: 2d Sed 1,160 3,480 5,800 13,050 20,300 2 4d Sed 1,130 3,400 5,660 12,740 19,810 ~ 1936 Century Series 60, S-cyi. 2d Conv 2,260 6,790 11,320 25,470 39,620 5( 2d RS Cpe 1,520 4,570 7,620 17,150 26,670 ~ 2d Sed 1,200 3,600 6,000 13,500 21,000 30 4d Sed 1,430 4,280 7,140 16,070 24,990 ~• 1936 Roadmaster Seri es 80, 8-cyt. 4d Phae 2,310 6,940 11,560 26,010 40,460 ~; ~ Sed 1,480 4,430 7,380 16,610 25,830 ~ 1936 Limited Series 90, 8-cyl. ~1d Sed 1,520 4,570 7,620 17,150 26,670 8fl ,~ 7PSed 1,580 4,730 7,880 17,730 27,580 ~, yid Fml Sed 1,670 5,020 8,360 18,810 29260 q)J ~Jd 7P Limo 1,770 5,320 8,860 19,940 31,010 q!; '1937 Special Series 40, 8-cyl. ~?d Conv 2,110 6,320 10,540 23,720 36,890 ~Id Phae..__-___. _,._2,150 6,460 10,760 24,210 37,660 ~ ~M Rn- ~, 2d S t C ~,22(Z_ 3650% ~,D$6~368,__0=2~80~ 1 60 79~` i~~ p pe 2 3, 5;32 4, 71120 3u 2d FBk 1,170 3,520 5,860 13,190 20,510 29: ~'d Sed 1,060 3,180 5,300 11,930 18,550 ~! ~u1FBkSed 1,100 3,300 5,500 12,380 19250 ~; 4~dSed 1,070 3200 5,340 12,020 18,690 Zt;, 1937 Century Series 60, 8-cyl. ' 2d Conv 2,200 6,600 11,000 24,750 38,500 5~ 4d Phae 2,250 6,740 11240 25,290 39,340 5t 2d Spt Cpe 1,360 4,070 6,780 15,260 23,730 33! 2d FBk 1,240 3,720 6200 13,950 21,700 311 2d Sed 1,040 3,120 5200 11,700 18200 ~,i 4d FBk Sed 1,160 3,480 5,800 13,050 20,300 4d 5ed 1,100 3,300 5,500 12,380 19250 21,° 1937 Roadmaster Series 80, 8-cyl. 41 Sed 1,400 4,210 7,020 15,800 24,570 3S' 4i Fml Sed 1,450 4,360 7,260 16,340 25.,410 3Q 4.i Phae 2,200 6,600 11,000 24,750 38,500 5f 1937 Limited Series 90 , 8-cyl. 4d Sed 1,520 4,560 7,600 17,100 26,600 38 411 7PSed 1,560 4,680 7,800 17,550 27,300 39 4,i Fml Sed 1,720 5,160 6,600 19,350 30,100 43 4ti Limo 1,680 5,050 8,420 18,950 29,470 42 1938 Special Series 40, 8-cyL 2rl Conv 2,150 6,460 10,760 24,210 37,660 53! 4cl Phae 2200 6,600 11,000 24,750 38,500 ~! 2d Bus Cpe ~ 1,220 3,650 6,080 13,680 21280 3+)~ 2tl Spt Cpe 7 ,260 3,790 6,320 14,220 22,120 311 2cl FBk 1,170 3,520 5,860 13,190 20,510 2t' 2d Sed 1,000 3,000 5,000 11,250 17,500 2): -0c' FBk Sed 1,090 3260 5,440 12,240 19,040 2); 4d Sed 1,060 3,180 5,300 11,930 18,550 2c,' 1938 Century Series 60, B-cyl. 2d Corm 2290 6,880 11,460 25,790 40,110 5T, 4d Phae 2,340 7,020 11,700 26,330 40,950 5d! 2d Spt Cpe 1,480 4,440 7,400 16,650 25,900 31J 2d Sed 1,280 3,840 6,400 14,400 22,400 321 4d FBk Sed 1,240 3,720 6,200 13,950 21,700 31J 4d Sed 1,200 3,600 6,000 13,500 21,000 3q PAKTS 4d sed 1;040 3;120 5;200 11;700 16200 2s;ooo SELE~TI®fil: The widestt selection of lal®S, ne~o, acsed and reproduction 1933 Series 60, 8-cyl. parts for restoring and maintaining !9®uc 7 g36 thru 7 X87 2d Corm Cpe 1,970 5,900 9,840 22,140 34,440 49200 ~QDIC16. 2dSptCpe 1,230 3;700 16,160 13 860 21 560 30800 E~IC16~S largest Illustrated aE9Gl ca6st®cco coonputeriaed 2d Uc Cpe 1,430 4280 , , 7,140 16,070 24,990 35,700 CatalOgsl ~IeaSe send $5 for procoapat forSt class delivery. 4d Sed 1,220 , 3,660 6,100 13,730 21,350 30,500 Ifemeanber to state year and n>to~lel ®£ ~+®uc ~A11~K. aEach 1933 Series 80, 8-cyl., ' additional year add ~1.®At. 2d Conv 2,260, 6,790 11,320 25,470 39,620 56,600 4d Phae 2dSptCpe 2,410 1,520 7240 12,060 27,140 42210 4,570 7,620 17,10 26,670 E0,300 38 100 g~~~Q]f. ~e ace the largest woridwiale supplier ®€ ~QtJt3~1~ parts. ®eer 2d Vic 1,580 4,730 7,880 17,730 27,580 , 39,400 ~~•®~~ 88i,~oGare feet Of ~d6~~:1~ ina9eQDtC~rC~,e t~fuulliOnS Of BaD1C1( 4d Sed 1,320 3,960 6,600 14,850 23,100 ,33,000 It~rtS. ~Gt:aSe visit Our E~Gi10~iE Eie©~~rB~ctc. 6 ___._ 5 4 3 2 .__.,m._.,_ 1 . __ 6 5 4 3 2 1 4d 7P Sed 1,380 4,130 6,880 15,480 24,080 34,400 1933 Series 90, 8-cyi . 4d Limo 1,430 4,280 7,140 16,070 24 °90 35,700 2d Uc 1,890 5,660 9,440 21,240 33 040 47 2(10 1930 Marquette -Seri es 30, 6-cyt. 4d 5P Sed 1,480 4,440 , , 7,400 16,650 25,900 37 000 2d Spt Rds 1,840 5,520 9,200 20,700 32,200 46,000 4d 7P Sed 1,560 4,680 , 7,800 17,550 27,300 39 000 4d Phae 1,800 5,400 9,000 20,250 31,500 45,000 4d ClbSed 1,620 4,870 , 8,120 18,270 28,420 40 600 2d Bus Cpe 1,240 3,720 6,200 13,950 21,700 31,000 4d Limo 1,820 5,460 , 9,100 20,480 31,850 45 500 2d RS Cpe 1,320 3,960 6,600 14,850 23,100 33,000 1934 Special Series 40 8-cy l. , 2d Sed 4d Sed 960 1,040 2,880 4,800 10,800 16,800 3,120 5,200 11,700 18200 24,000 2d Bus Cpe 26,000 , 2d RS Cpe 1,130 1,180 , 3,400 3,540 5,660 12,740 19,810 5,900 13,280 20 650 28,300 29 500 1931 Series 50, 8-cyl. 2d Tr Sed 1,030 3,100 , 5,160 11,610 18,060 , 25 800 2d Spt Rds 2260 6,790 11,32() 25,470 39,620 56,600• ~ 4d Tr Sed 1,130 3,400 5,660 12,740 19,810 , 28 300 4d Phx 2220 6,650 11,080 24,930 38,780 55,400 4d Sed 1,080 3,240 5,400 12,150 18,900 , 27 000 2d Bus Cpe 1,500 4,500 7,500 16,880 26250 37,500 1934 Series 50, 8-cyl. , 2d RS Cpe 2d Sed 1,580 1200 4,740 7,900 17,780 27,650 3,600 6,000 13,500 21,000 39,500 30,000 2d Conv 2d Bus Cpe 2,220 1,280 6,650 3,840 11,080 24,930 38,780 400 14 6 400 22 400 55,400 32 000 4d Sed 2d Conv 1240 2,160 3,720 6200 13,950 21,700 6,490 10,820 24,350 37 870 31,000 54 100 2d Spt Cpe 2d Vc C e 1,380 1 480 4,130 4 430 , , , 6,880 15,480 24,080 7 360 , 34,400 1931 Series 60, 8-Cyl. , , p 4d Sed , 1,130 , 3,400 , 16,610 25,830 5,660 12,740 19,610 36,900 28 301) 2d Spt Rds 2,410 7240 12,060 27,140 42,210 60,300 1934 Series 60, 8-cyl. , 4d Phae 2d Bus Cpe 2,360 1,520 7,080 11,800 26,550 41,300 4 570 7 620 17 150 26 670 59,000 38 100 2d Conv 4d Ph 2,260 6,790 11,320 25,470 39,620 56,600 2d RS Cpe 1,580 , , , , 4,730 7,880 17,730 27,560 , 39,400 ae 2d Spt Cpe 2,310 1,430 6,940 4,280 11,560 26,010 40,460 7,140 16 070 24 990 57,800 35 700 4d Sed 1230 3,700 6,160 13,860 21,560 30,800 2d~c 1,520 4,570 , , 7,620 17,150 26 670 , 36 10() 1931 Series 80, 8-cyl. 4d Sed 1,180 3,540 , 5,900 13,280 20,650 , 29 500 2d Cpe 1,680 5,040 8,400 18,900 29,400 42,000 4dClbSed 1,560 4,680 7,800 17,550 27,300 , 39 000 4d Sed 1,360 4,080 6,800 15,300 23,800 34,000 1934 Series 90, 8-cyl. , 4d 7P Sed 1,400 4200 7,000 15,750 24,500 35,000 2d Conv 1,080 3,240 5,400 12,150 18 900 27 00(1 1931 Series 90, 8-cyL 4d Phae 1,120 3,360 , 5,600 12,600 19,600 , 28 00(1 2d Spt Rds 3,000 9,000 15,000 33,750 52,500 75,000 4d Spt Cpe 1,160 3,480 5,800 13,050 20,300 , 29 00(1 4d 7PTr 2,610 7,820 13,040 29,340 45,640 65,200 4d 5P Sed 1,200 3,600 6,000 13,500 21,000 , 30 00[1 2d 5P Cpe 2,120 6,350 10,580 23,810 37,030 52,900 4d 7PSed 1,380 4,130 6,880 15,480 24,060 , 34 40[1 2d RS Cpe 2,070 6,200 10,340 23,270 36,190 51,700 4d ClbSed 1,430 4,280 7,140 16,070 24,990 , 35 700 2d Conv 2,900 8,710 14,520 32,670 50,820 72,600 4d Limb 1,470 4,400 7,340 16,520 25,690 , 36 700 4d 5P Sed 1,770 5,320 8,860 19,940 31,010 44,300 2d ~c 1,670 5,020 8,360 18,810 29 260 , 41 800 4d 7P Sed 1,820 5,460 9,100 20,480 31,850 45,500 1935 Special , Series 40 8-cyl. , 4d Limo 1,870 5,600 9,340 21,020 32,690 46,700 2d Conv 1,920 , 5,760 9,600 21 600 33 600 48 000 1932 Series 50, 8-cyl. 2d Bus Cpe 1,180 3,540 , , 5,900 13280 20,650 , 29 500 4d Spt Phae 2260 6,790 11,320 25,470 39,620 56,600. 2d RS Spt Cpe 1,280 3,840 6,400 14,400 22,400 , 32 000 2d Cornr 2,310 6,940 11,560 26,010 40,460 57,800 2d Sed 1,030 3,100 5,160 11,610 18,060 , 25 800 2d Phae 2,360 7,080 11,800 26,550 41,300 59,000 2d Tr Sed 1,040 3,120 5,200 11,700 18 200 , 26 000 2d Bus Cpe 1,230 3,700 6,160 13,860 21,560 30,800 4d Sed 1,080 3,250 , 5,420 12200 18,970 , 27 100 2d RS Cpe 1280 3,840 6,400 14,400 22,400 32,000. 4d Tr 5ed 1,130 3,400 5,6'60 12,740 19,810 , 28 300 2d Uc Cpe 1,330 3,980 6,640 14,940 23240 33,200 1935 Series 50, 8-cyl. , 4d Sed 4d SptSed 1,080 • 1,120 3,240 5,400 12,150 16,900 3,360 5,600 12,600 19,600 27,000 28 000 2d Corrv 2d Bus C e 2,160 1 280 6,490 10,820 24,350 37,870 3 840 6 400 1 59,100 1932 Series 60, 8-cyl. , p 2d Spt Cpe , 1,400 , 4,200 , 4,400 22,400 7,~0 15,750 24,500 32,000 35 000 4d Spt Phae 2,310 6,940 11,560 26,010 40,460 57,800 2d vc 1,480 4,440 7,400 16,650 25,900 , 37 004 2d Conv 2,360 7,080 11,800 26,550 41,300 59,000 4d Sed 1,200 3,600 6,000 13,500 21,000 , 30 000 2d Phae 2,410 7240 12,060 27,140 42210 60,300 1935 Series 60, 8-cyl. , 2d Bus Cpe 2d RS Cpe 1280 1,330 3,840 6,400 14,400 22,400 3,980 6 640 14 940 23240 32,000 33200 2d Conv 4d Ph 2,220 6,650 1 1,080 24,930 38,780 55,400 2d Vc Cpe 1,380 , , 4,130 6,880 15,480 24,080 34,400 ae 2d Vc 2,260 1,480 6,790 1 4,430 1,320 25,470 39,620 7,380 16 610 25 830 56,600 36 900 4d Sed 1,200 1932 Series 80 8-cyl 3,600 6,000 13,500 21,000 30,000. 4d Sed 4d ClbS d 1,200 3,600 , , 6,000 13,500 21,000 , 30,000 , . e 1,280 3,840 6,400 14,400 22,400 32,000 2d Uc Cpe 1,320 3,960 6,600 14,850 23,100 33,0 2d Spt Cpe 1,430 4,280 ~ 7,140 16,070 24,990 35 700 4d Sed 1,240 3,720 6200 13,950 21,700 31,000. 1935 Series 90, 8-cyl. , 1932 Series 90, 8-cyl. 2d Conv 2,310 6,940 1 1,560 26,010 40,460 57 800 4d 7PSed 1,720 5,160 8,600 19,350 30,100 43,000 4d Phae 2,360 7,080 1 1,800 26,550 41,300 , 59 000 4d Lirrro 1,920 5,760 9,600 21,600 33,600 48,000 2d Spt Cpe 1,480 4,430 7,380 16,610 25,830 , 36 900 4d Cib Sed 1,870 5,600 9,340 21,020 32,690 46,700 2d ~c 1,520 4,570 7,620 17,150 26,670 , 38;100 4d Spt Phae 2,950 8,860 14,760 33,210 51,660 73,800 4d 5P Sed 1,440 4,320 7,200 16200 25,200 36 000 2d Phae 3,000 9,000 15,000 33,750 52,500 75,000 4d 7PSed 1,480 4,440 7,400 16,650 25,900 , 37 000 2d Conv Cpe 2,900 8,710 14,520 32,670 50,820 72,600 4d Limo 1,540 4,630 7,720 17,370 27,020 , 38 600 2d RS Cpe 1,970 5,900 9,840 22,140 34,440 49,200 , 2d Vc Cpe 2,020 6,050 10,080 22,680 35,280 50,400 4d5PSed 1,920 5,760 9,600 21,600 33,600 48,000 1933 Series 50, 8-cyl. 2d Conv 1,820 5,460 9,100 20,480 31,850 45,500 ~~~ ~ 2d Bus Cpe 1,080 3240 5,400 12,150 18,900 27,000 2d RS Spt Cpe 2d ~c Cpe 1,130 1 230 3,400 5,660 12,740 19,810 28,300 3 700 6160 13860 21560 30 800 -_: . Any condition, tQp ~ laid, lease call 12 E~E~G~ILL't"'~`: ~cosce ~ ~'T~ er.~e 6cave ~m~e~onalc~ect' ~~ ~;~n~r~' c~eeE~;. ~'~e are 8 f~e~EE~E8t1c~e f~ce~6~es~~ ~E~'t'Gi'~L~: ~~E mEcer r~ec®~~;; ~t;s~~~ece~~ ~i` i~~~1;e~~E:, ii1,~~-~rrf:®r•~c. por fast de@~~.~~ E.~~e ~~~~ E'~Fb~. ~~'is~.e GLRasb~r-~uc;~~ ~~~~c~~ec~s~. ~4Se ~6s6p yi9ort;cfiwiia~e. SW~ SUY ~~~~ ~~S 8z gl~~ ~~~ ~~~~ QI~ ~l~L Z.Q. ~~ ~ L~ ~ ~,- ~ P.O. Box 5/205 Peaxl St. Neshanir, Station, NJ 08853 ' Phone 908-369-3665 ~'~ F'ax 908-368-7595 T ' < < M Wi~P.,®~C~~2~C~.ga:L ~3.CQLLf. ^ E`sEt expanded values ®nd c€ata for oEE ~eEt~cfes ort f~11is poke ¢f: ~~r~,oFa'corsreport.co 1 1 119. ROBERT E MILLER, JR, ~ ~~„ ~~ 60-1503.3 340 STROHM RD. _ ~,,._ . 313 SHIPPENSBURG, PA 17257 ~`'•' ~ 229070 1. G':./., T~~ _ ORDEP OFD + ~ ~ _, ~ .• ~~ / ~ .. ~; ~ ~G .~ J`~ ~ O L L H F S ~ ~ .,r,,. J +~ ~~~~~r i~jt ~P'v ~ ~rf~~~~~~ ~ , ~~ 9n,nu;•Fw~hms ^ lx~ ~u. on ox!:. C' NOT VALID FOR LESS THAN $~oo.oo ORxsTOwivB~xx A Tradition ofExuTltnu , x:03 L3 L5036~: 2 29070ii' 85 _~,~ ati~ ~ a~ ~ 1 _. __.. __ - - - - / _.. ~/,tom ::. ~- `i ~i ~.i ~ ~~ :?4 .~~~ ~.,-- _r--~..~ ~.- ~..~.-~~~v~.r- ~.--' ~...._..;:- -•:~-.~ 16 'R r --° ._ .~~ .~ / r ~~ b ~^ :;- r,.,; -. DIAMONDS J\ ~ ~~..~;, ~fff ~~ .;,,::'f WATCFfES ESTATES "~ ,, ' ,, :tiff .. `\N r ~~`j~.,f/~e ~;;i_%! K~~a. -' JEWELRY . i APPRAISED ~.,~~' ~~ ___~:: _ +~~ _ „mac K..... ....,, __ T..y-. f _ _ __ F'w!' - ~M l -8 ~ ~~;,;. ~, ~~,_,;•.... ..,~.~-`:%~'r"`~.~,^'v:.J~`-'~"!._..~xr ~~,~=~-i tip.., w~.j ,/ ~• ~::.i" ~' :i' BELLE JEWELERS 841 CHAMBERSBURG MALL CHAMBERSBURG, PA 17202 January 27, 2011 TD WHOM IT MAY CQNCERN: DATE:,. This 15 t0 Certify THAT WE ARE ENGAGED. IN THE. JEWELRY BUSINESS, Appraising Diamonds, Watches, Jewelry and Precious Stones of a{I descriptions and have been so engaged. in 'said business for many years. We herewith certify that we have this day carefully examined the following listed and described artic{es the property of - Bonnie Ocker M - 13 Kail Ave. Shippensburg, PA 17257 ADDRESS We estimate the value as listed for insurance or other purpose at the current retail value, excluding Federal and other taxes. In making this Appraisal, we do NOT agree to Purchase or replace the articles. GENTS ELGIN NATIONAL WATCH COMPANY. POCKET WATCH GOLD PLATE, WITH PAINTED NUMBERS. SECOND HAND DIAL, AT BOTTOM. 55 MM, IN SIZE. WORN ENGRAVED CASE. CURRENT REPLACMENT VALUE EXCLUDING :TAXES; The foregoing A,ppraisai is made and accepted upon thz express uo?derstan~~'ing that N© Liability or Responsibility is in4urre~d;by the ~,~praiser giving same. K l ~ ~~ (` -~~ .,~. ,~~ x k "~` l ,~ , ,, a i rr ` ~\~) ~. - "}` ~^ ` A • ~ .4 r~~ L z sY~~tt~ ~ u~' ~~pp~ ~ se~w~c~ 365 Musser Road, Shippensburg, PA 1'1257 717-264-3885 Appraisal for: Paul Clippenger Estate, 122 W. King Street, Shippensburg, PA 17257 Date: October 28, 2010 ITEM APPRAISAL V,~L,UE Grain painted corner cupboard 1,200.00 3 drawer blanket chest 500.00 TOTAL: $1,700.00