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HomeMy WebLinkAbout06-29-11 (2) 1,50561,01,40 1500 EX (01-10) REV - OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year f=ile Number PO BOX 280601 INHERITANCE TAX RETURN 2 1, 1, 0 1, 0 4 0 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1, 8 0 2 8 4 9 5 4 0 9 1 2 2 0 1 0 1, 1, 2 0 L 9 3 5 Decedent's Last Name Suffix Decedent's First Name MI M U R I C E A K J A ~1 E S D (If Applicable) Enter Surviving Spouse's Infor mation Below Spouse's Last Name Suffix Spouse's First Name MI M U R I C E A K C A R O L A Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 1, 7 2 3 2 0 7 4 6 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 0 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) I.VKKCJF'VIVUCIV I - I rIIJ JtI.I IVIV IVIUJ 1 CSt l.V1VIYLt I tU. HLL I.VKKCJYVIVUtIVI.t HIVU I.VIVtIUtIV I IHL I H1l IIVrVKIVIHI IVIV JN,VULU CSt UIKCI, 1 CU I V: Name Daytime Telephone Nurriber B E N J A f1 I N J B U T L E R 7 1, 7 2 3 6 1, 4 8 5 ~-._~ REGISTER C E~~(TL~.S USE OPfLa( ~, First line of address i °1~ rn t~.~a f ~ ~ ~~ -- ~ 7 1 ~ ', . ~ < ~~ ~ r I ; I:~~ , 5 0 0 N T H I R D S T R E E T :, c~ _ c c ~-n _1 Second line of address ~ _ =- -_ C:~ <-- ~ ~_ ~ ~ P O B O X 1, 0 0 4 I ~ .... _i:7 ~ -~ `~~' - ~_; ; ~~ Cit or Post Office Y State ZIP Code DATE FILED ~=~ ~`__ ~ - --.. - _ H A R R I S B U R G P A 1, 7 1 D 8 Correspondent's a-mail address: LAWYERS~BUTLERLAWFIRM.COM 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. SIGN RE OF PERSO RESPONSIBLE FOR FILING RETURN DATE - ~ ~' ~// ADDRESS ~ 440 SPR HOU ROAD CAMP HILL PA 1701,1, SIGNATURE F P HE THAN REPRE ATIVE D,aTE ADDRE~S / 500 N THIRD STREET, PO BOX 1004 HARRISBURG PA 17101, PLEASE USE ORIGINAL FORM ONLY 1505610140 Side 1 1505610140 a~ y J 150561024 REV-1500 EX ~ecedenYs Name: J A Nl E S D- I"I U R I C E A K Decedent's Social Security Number 1, 8 0 2$ 4 9 5 4 RECAPITULATION 1. Real Estate (Schedule A) ........................................... 1. • 2. Stocks and Bonds (Schedule B) ...................................... 2. 4 2 4 4 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. • 4. Mortgages and Notes Receivable (Schedule D) .......................... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 4 9 •~ 4 9 . 8 0 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. • 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ....... 7. 9 1 9 4 9 6. 5 0 8. Total Gross Assets (total Lines 1 through 7) ........................... 8. 9 6 9 0 8 8 . ~' 4 9. Funeral Expenses and Administrative Costs (Schedule H) .................. 9. 5 ~~ 1, 5 . 1 3 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) ............. 10. • 11. Total Deductions (total Lines 9 and 10) ............................... 11. 5 ~ 1, 5 . ~, 3 12. Net Value of Estate (Line 8 minus Line 11) ............................ 12. 9 6 3 .3 7 3 . 6 1, 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. 9 6 3 .3 7 3 . 6 1, TAX CALCULATION -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 .000 9 6 3 3 7 3 6 1, 15. 16. Amount of Line 14 taxable at lineal rate X .0 0 0 0 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 Side 2 1,50561,0240 150561,0240 0. 0 0 0. 0 0 0. 0 0 0. 0 0 0. 0 0 J REVF1500 EX F~age 3 Decedent's Complete Address: DECEDENT'S NAME JAMES D. MURICEAK STREET ADDRESS -- 440 S rin House Road CITY STATE ! Z IP Camp Hill . PA ].7011 Tax Payments and Credits: ~ ~ Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest 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. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. File Number 21 10 1040 0.00 Total Credits (A + B) (2) 0.00 (3) (4) 0.00 (5) 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 : ..................................................... ^ 0 ................. 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? ....................................................... ^ ^ Q 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............................................................. ^ .......................... 3. Did decedent own an "in trust for" orpayable-upon-death bank account or security at his or her death? ......... ^ Q 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? .................................................................................................. ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the uise of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements far disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent (72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. RE~s-1503 EX ~ (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER JAMES D. MURICEAK 21 10 1040 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION _ OF DEATH 1. Savings Bond 42.44 TOTAL (Also enter on line 2, Recapitulation) I $_ 42.44 (If more space is needed, insert additional sheets of the same size) RED-1508 EX ~ (6-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, a M~J<r. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF JAMES D. MURICEAK FILE NUMBER 21 10 1040 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 NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. 2003 Lexus ES 300 _ 7,959.00 2. 1997 Lexus ES 300 2,728.00 3. 2000 Lexus ES 300 2,851.00 4. 2000 Lexus ES 300 2,861.00 5. 2008 Chevrolet Colorado LT 14,736.00 6. 2005 Mercedes-Benz CLK500 18,332.00 7. Highmark -Refund 82 80 TOTAL (Also enter on line 5, Recapitulation) I $ 49 549.80 (If more space is needed, insert additional sheets of the same size) RE~~-1510 EX+i(08-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF JAMES D. MURICEAK FILE NUMBER 21 10 1040 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY - ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENTAND 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 IIF AFPL~c:A6LE) VALUE 1. Wells Fargo IRA -See attached 919,496.50 100.00 919,496.50 Beneficiary: Carol A. Muriceak (spousal) TOTAL (Also enter on Line 7, Recapitulation) ~ $ 919,496.50 If more space Is needed, use addltlonal sheets of paper of the same size. RE~i-1511 EX+' (10-09) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF JAMES D. MURICEAK SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS FILE NUMBER 21 10 1040 Decedent's debts must be reported on Schedule I. ITEM - NUMBER DESCRIPTION AMOUNT A. 1. FUNERAL EXPENSES: B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State ZIP Year(s) Commission Paid: 2, Attorney Fees: Butler Law Firm 1,695.00 3. Family Exemption: (If decedents address is not the same as claimant's, attach explanation.) 3,500.00 Claimant Carol A. Muriceak Street Address 440 Spring House Road City Camp Hill State PA ZIP 17011 Relationship of Claimant to Decedent Spouse 4. Probate Fees: 173.50 5 Accountant Fees; 6. Tax Return Preparer Fees: 7. Cumberland Law Journal -Estate Advertising 75 00 8. The Sentinel -Estate Advertising . 9. Photocopies 219.40 10. Cumberland County Register of Wills - Filing Fee 0.80 11. . Cumberland County Register of Wills -Filing Fee 30.00 12. Postage 5.00 16.43 TOTAL (Also enter on Line 9, Recapitulation) I $ 5,715.13 If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+ (12-08) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF JAMES D. MURICEAK FILE NUMBER 21 10 1040 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE. NUMBER DESCRIPTION OF DEATH SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS TOTAL (Also enter on Line 10, Recapitulation) I $ If more space is needed, insert additional sheets of the same size. REV.1513 EX+ (O~i-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF: JAMES D. MURICEAK NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. Carol A. Muriceak 440 Spring House Road Camp Hill, PA 17011 FILE NUMBER: 21 10 1040 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Spousal AMOUNT OR SHARE OF ESTATE 963,373.61 ~ ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV 1500 COVER SHEET, AS APPROPRIATE II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ If more space is needed, use additional sheets of paper of the same size. LAST WILL AND TESTAMENT OF JAMES D. MURICEAK I, JAMES D. MURICEAK, of Hampden Township, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Codicils by me at any time made. ITEM 1. I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by my Executrix out of my residuary estate, as an expense and cost of administration of my estate. My Executrix shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. In the absolute discretion of my Executrix, she may pay such taxes immediately or may postpone the payment of taxes on future or remainder interests wltil the time possession thereof accrues to the beneficiaries. ITEM 2. I direct my Executrix to pay the expenses of my last illness and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate. ITEM 3. In the event that my wife, CAROL A. MURICEAK, survives me, I give and bequeath to her absolutely and in fee simple all of my household furniture and furnishings, ~~ books, pictures, jewelry, silverware, automobiles, wearing apparel and all other articles of household or personal use or adornment. In the event that my wife does not survive mE;, I make said bequest to my children living at the time of my death to be divided among them as they shall agree. ITEM 4. If my wife survives me, my Executrix shall divide my residuary estate into two separate parts, the marital part and the exemption trust. I give, devise and bequeath the marital part to my wife, CAROL A. MURICEAK. The marital part shall consist of that amount which will equal the maximum marital deduction allowable in my estate for federal estate tax purposes, reduced by the final federal estate tax values of all other property interests wluch pass or have passed to my wife, under other provisions of this will or otherwise and which qualify for the marital deduction. In no event shall a greater amount be allocated to the marital part than is necessary to completely eliminate the federal estate tax in my estate, after considering all other federal estate tax deductions and credits (but only to the extent the use of the state de;~.tr- tax credit does not increase the state death taxes payable) to which my estate maybe entitled. My Executrix shall satisfy the marital part in cash or in kind, or partly in each, with assets eligible for the marital deduction; assets allocated in kind shall be deemed to satisfy this amount on. the basis of their values as finally determined for federal estate tax purposes, but in no event shall the date- of-distribution value of such assets be less than the amount of the marital deduction. Tlie exemption trust shall consist of the balance of my residuary estate. If my wife survives me, I also give, devise and bequeath to my wife, CAROL A. MURICEAK, any property, pov~~er or interest disclaimed by my Trustees under any succeeding item of this Will. C -2- In the event that my wife, CAROL A. MURICEAK, predeceases me, I give, devise and bequeath all my property as provided in the succeeding ITEM 6 of this Will. ITEM 5. I give, devise and bequeath the residue of my estate, of every nature and wherever situate, to my Trustees, IN TRUST, for the following uses and purposes: (a) The Trustees shall pay to or expend and apply for the benefit. of my wife, CAROL A. MURICEAK, in installments as nearly equal as possible and at least quarter- annually, all of the net income from this trust. (b) The Trustees shall pay to or expend and apply for the benefit: of my wife, CAROL A. MLTRICEAK, so much of the principal as they, in their sole discretion, deems necessary for the proper support, maintenance and welfare of my wife, including medical, surgical, hospital or other institutional care, having in mind both the standard of living t:o which. she has been accustomed and the income available to or for her from other sources. (c) After the death of my wife, CAROL A. MURICEAK, or if she predeceases me, then upon my death, the Trust shall terminate and the Trustees shall di:>tribute the then remaining principal balance to my children, CINDI ANN MURICEAK and TAMES DAVID MCTRICEAK, equally, share and share alike. IN the event that one of my children is not then surviving, his or her share shall be distributed to his or her children, if any, in equal shares, or if none, shall be distributed to my surviving child. (d) No part of the income or principal of the property held under this Trust shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee ~~~~~~`~ or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. Tl1e Trustees shall pay over the net income and principal to the parties herein designated, as their interests may appear, without regard to any attempted anticipation, pledging or assignment by any beneficiary under a trust, and without regard to any claim thereto or attempted levy;, attachment, seizure or other process against said beneficiary. ITEM 6. In addition to the powers conferred by law, the Trustees shall have the following powers: (a) To retain in their absolute discretion and for such period as to~ them shall seem advisable, any and all assets constituting the Trust Fund, without liability for any loss incurred by reason of the retention of such assets. (b) To change investments and properties, and to invest and reinvest all or any part of the corpus of the Trust hereby established, in such securities, investments, or' other property as to them seems advisable and proper, irrespective of whether the same are authorized for the investment of trust funds by the laws of the Commonwealth of Pennsylvania. (c) To sell all or part of the property which at any time may constitute a part of the Trust hereby established, at such time, upon such terms, for cash or on credit, with or without security, in such manner and at such prices, either at public or private sale, as to them shall seem advisable and proper, and to execute good and sufficient deeds and bills of sale therefor. ~~!~.~ -4- (d) To lease any property held by them and for the duration of th_e term, irrespective of the provisions of any statute or of the termination of the trust; and to rriortgage, pledge, collect, convert, redeem, exchange, or otherwise dispose of any securities or other property at any time held by them. (e) To borrow money, whether to pay taxes, exercise subscript:io:ns, rights, and options, pay assessments or to accomplish any other purpose of any nature incidental to the administration of the Trust hereby established, and to pledge any securities or other property held by them as security therefor. (f) To enforce any bonds, mortgage, or other obligations or liens held hereunder; to enter upon such contracts and agreements and to make such compromises or settlements of debts, claims, or controversies as they may deem necessary or advisable; to submit to arbitration any matter or difference; to vote personally or by proxy any shares of stock which may at any time be held by them hereunder. (g) To consent to the reorganization, consolidation, merger, liquidation, readjustment of or other change in any corporation, company or association, or to the sale or lease of the property thereof or any part thereof, any of the securities or other property of which may at the time be held by them thereunder, and to do any act or exercise any power with reference thereto that may be legally exercised by any person owning similar property in his own right, including the exercise of conversion, subscription, purchase or other options, the deposit or exchange of securities, the entrance into voting trusts, and the making of agreements or ~ ~~ ,_ subscriptions which they may deem necessary or advisable in connection therewith, all without applying to any court for permission to do so, and to hold, redeem, sell or otherwise dispose of any securities or other property which they may so acquire, irrespective of whether the same be authorized for the investment of trust funds by the laws of the Commonwealth of Pennsylvania. (h) To cause to be registered in their name as Trustees hereunder, or in the names of their nominees without qualification or description, any securities at any time held in the Trust hereby established. (i) To determine the manner in which the expenses incidental to or connected with the administration of the Trust hereby established shall be apportioned as between income and principal. (j) To carry out agreements made by me during my lifetime, inclluding the consummation of any agreements relating to the capital stock of corporations owned by me at the time of my death, and including the continuation of any partnership of which I may be a member at the time of my death whenever the terms of the partnership agreement obligate my estate or personal representative to continue my interest therein, and to enter into agreements for the rearrangement or alteration of my interests or rights or obligations under any such agr. eE;ments in effect at the time of my death. (k) To apportion extraordinary and stock dividends received by them between income and principal in such mariner as they may see fit; provided, however that all rights to subscribe to new or additional stock or securities, and all liquidating dividends shall be deemed to be principal. ( n (1) To disclaim without court approval any part or all of any pl-operty, power or interest passing to the exemption trust under any Will, Deed of Trust or other<~vise. The Trustees may freely act under all or any of the powers of this Agreement given to them in all matters concerning the Trust hereby established, after forming their judgment based upon all the circumstances of any particular situation as to the wisest and best course to pursue, without the necessity of obtaining the consent or approval of any court, and notwithstanding that they may also be acting as an individual, or as trustee of other trusts, or as an agent for other persons or corporations interested in the same matters, or maybe irrte:rested in connection with the same matters as stockholders, directors or otherwise. The powers herein granted to the Trustees maybe exercised in whole or in part, from time to time, and shall be deemed to be supplementary to and not exclusive of the general powers of trustee pursuant to law, and shall include all powers necessary to carry the same into effect. The enumeration of specific powers herein shall not be construed in any way to limit or affect the general powers herein granted. ITEM 7. The Trustees of the foregoing Trust shall be my daughter, CINDI ANN MURICEAK, and my son, JAMES DAVID MURICEAK. In addition to other provisions applicable to trustees generally, the following provisions shall apply to the Trustees: (a) No bond or surety shall be required of the Trustees or of an.y successor Trustee who shall serve hereunder. -7- (b) The Trustees or any successor Trustees may resign by an instrument in writing. (c} The Trustees or any successor Trustee may appoint any person, firm or corporation, other than the Testator or any firm or corporation which the Testator has an interest, as successor Trustee. (d) Any successor Trustee shall have and may exercise all the rights, powers, duties and discretions conferred or imposed on the Trustee. (e) No one dealing with any Trustee need inquire concerning they validity of anything the Trustee purports to do, or see to the application of any money paid or property transferred to or upon the order of the Trustee. (f) No successor Trustee shall be obliged to examine the accounts and actions of any previous Trustee. (g) No successor Trustee shall be responsible in any way for any acts or omissions of any previous Trustee. (h) No Trustee shall be liable for any act or omission unless the same be due to that Trustee's own willful default. (i) The compensation to be paid to any Corporate Trustee for its ordinary services as Trustee shall be at the rates prescribed for similar trust services in its standard ~~~~~~~~ s compensation schedule in effect at the time of each charging of such compensation, unless it agrees in writing to a different fee arrangement. Any Corporate Trustee shall receive reasonable additional compensation for all requested or required extraordinary services. It may deduct the compensation at such time or times and from such sources as it may reasonably determine. Reasonable compensation shall be paid to any individual serving as Trustee, unless the individual waives the right to receive compensation. ITEM 8. If any income or principal shall be payable to any beneficiary who shall be a minor or shall be under a legal disability or in the sole judgment of my Executors c-r Trustees shall otherwise be unable to apply such payments to his or her own best advantage (hereinafter referred to as minority or incapacity), my Executors or Trustees shall hold such income and principal during minority or incapacity and shall apply such income and principal to the health, maintenance, support and education of such beneficiary during minority or incapacity without the appointment of any guardian or committee or any authority of court and shall make all or any portion of any such payment in any one or more of the following ways: (a) Directly to such beneficiary. (b) To the legal guardian or conservator or custodian under the tJniform Transfers to Minors Act of such beneficiary. (c) To a relative of such beneficiary to be expended by such relative for the benefit of such beneficiary. /- «~ -9- (d) By themselves, expending the same for the benefit of such beneficiary. Any remaining income and principal to which such beneficiary shall be entitled shall bf; paid and distributed to such beneficiary on the termination of minority or incapacity. ITEM 9. If my wife, CAROL A. MURICEAK, and I should die at the same time, or in a common disaster, or under such circumstances that it is difficult or impossible tc- determine who died first, she shall be deemed to have survived me. ITEM 10. I hereby nominate, constitute and appoint my wife, CAROI~ A. MURICEAK, as Executrix of my estate. In the event that she is unable or unwilling to serve in this capacity, I then nominate, constitute and appoint CINDI ANN MURICEAK and JAMES DAVID MURICEAK as Executors of my estate. In addition to the powers conferred by law, my Executors shall have the same powers granted to my Trustees in ITEM 6 above: My Executors are specifically relieved from the duty or obligation of filing any bond or bonds. ITEM 11. For the convenience of my Executors, I note that this Will has been prepared by Ronald D. Butler, Esquire and the Butler Law Firm. ~~- -10- IN WITNESS WI~REOF, I have hereunto set my hand and seal to this :my Last Will and Testament, this day of , A.D., ?007. SEAL) James . Muriceak WITNESS / ~ ~~~~ residing at ~ ~ ~ ~~-d~c - residing at ~~9 /~,~ cs'll ~,-c..b ~4 f l ~ l ~ Y -11- COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS. ~ We, JAMES D. MURICEAK, ~~ ,~.9 }~c~~ ~. ~ v-c-t..~ /L .and names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator signed and executed the instrument as his Last Will and that he had signed willingly (or willingly directed another to sign for hi.m) and that he executed it as his free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and that to the best of their knowledge, the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. '" James D. Muriceak Witness ~~~ Witness Subscribed, sworn to and acknowledged before me by JAMES . MUR][CEAK, the Testator, and subscribed and sworn to before me b ems,-~~~ ~~ J~ ~, ~ ~. Y -r- cam- , and -g ~NS~ M c ~ .~ ,~ vTL ~ ~, the witnesses, this (tom day of ~ , 2007. Notary Publi My Commission Expires: COMAAONUVEALTH OF pENNSYLVANiA NOTARIAL SEAL CHERYL L FERGUSON, Notary Public City of Harrisburg, Dauphin County -12- My Commission Expires A~ii 6, 2005 IN RE: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF JAMES D. MURICEAK, ORPHANS' COURT DIVISION DECEASED NO. 2010-01040 ~~ c~a ~ .~, DISCLAIMER ~ ~ ~- . ~. ~ rn -- tri ~ C~ __, ` ~ r-,--~ ; -rl :::~~~ rJ~~ ~ TO WHOM IT MAY CONCERN: v ~ ~' ~-'~^' C,'7 --~ G? D ~. -- ~- ~ ~ G.~ - C~ ''~l KNOW ALL MEN BY THESE PRESENTS, that we, CIlVDI ANN MURICF;AK and JAMES DAVID MURICEAK, designated Trustees of the exemption trust created under ITEM 5 of the Last Will and Testament of James D. Muriceak, have been granted the power under ITEM 6(1) of the Last Will and Testament of James D. Muriceak "To disclaim without court approval any part or all of any property, power or interest passing to the exemption trust under any Will, Deed of Trust or otherwise". ITEM 4 of the Last Will and Testament of James D. Muricealc provides that "If my wife survives me, I also give, devise and bequeath to my wife, CAROL A. MURICEAK, any property, power or interest disclaimed by my Trustees under any succeeding item of this Will". The Last Will and Testament of James D. Muriceak, dated July 16, 2007, was admitted to probate on October 15, 2010 by the Register of Wills of Cumberland County, Pennsylvania, and Letters Testamentary were granted thereon to Carol A. Muriceak as Executrix. We are not receiving any consideration for making this Disclaimer. . Intending to be legally and irrevocably bound, we do hereby wholly and perrrianently disclaim as Trustees of the exemption trust created under the Last Will and Testament of James D. Muriceak all of the property, power or interest passing to the exemption trust under any Will, Deed of Trust or otherwise, and by this Disclaimer, we do intend to irrevocably and unqualifiedly refuse to accept as Trustees of the exemption trust created under the Last: Will and Testament of James D. Muriceak any property, power or interest passing to the exemption trust under any Will, Deed of Trust or otherwise in compliance with the provisions of Section 2518 of the Internal Revenue Code of 1986, as amended, and the provisions of Chapter 62 of'the Pennsylvania Probate, Estates and Fiduciaries Code in order to effect a qualified Disclaimer thereunder. IN WITNESS WHEREOF, we have hereunto set our hands and seals on the date indicated. WITNESS: ~~ ~....; ,- -~~ ~Cindi Ann Muri ea1c, Trustee Date: ,~~~~ o_ ~ ~ // ~--_ , .r amen David Munceak, Trustee Date: IN ~~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNS~'LVANIA ESTATE OF JAMES D. MLTRICEAK, ORPHANS' COURT DIVISION DECEASED NO. 2010-01040 ACKNOWLEDGMENT OF DISCLAIMER BY EXECUTRIX To Whom It May Concern: KNOW ALL MEN BY THESE PRESENTS, that I, CAROL A. MURICEAI'~, have been appointed Executrix of the Estate of James D. Muriceak, and I hereby acknowledges :receipt of the Disclaimer by Cindi Ann Muriceak and James David Muriceak, Trustees of the e;xE;mption trust created under the Last Will and Testament of James D. Muriceak pursuant to the power granted to said Trustee under ITEM 6(1) of the Last Will and Testament of James D. M:uriceak, Deceased. --..._. . Dated: ~.__. J~~ ~ ~ ~ %/ ~ ~~ i ~- Carol A. uriceak . `~ _ __r .... ....__ ._ . .. _ _ _- _ ..- CERTIFI'CATE aF' TITLE ~'OI~: A VEHICLE ~ r y • 4 .._~ ~~= -. - - 333 - {:: ~ .-_. - - . - . ~ ..: - .: _ - . :. ... - , ZD21z 5:34 ~1bOt11518 CIU~Z ~ : - - ;~, . ~,;• .. : ..;x~ - JTHBF3D~130b1y441 ~ - 2D13~ : LE~:US - . ~ ` - -- -. 585351176Q2 ` •. •~ .VEHICLE IDENTTFtCAT10N NUMBER : . YEAR } SAKE OF Y 1~ U , EHIGLE "_ BODY. TYPE ~_• au~ I sEAT cA~ -~' ~ PRfOR TITLE STATE ~ ..., + ~ . ODG° L PROCII. DATE.. ODOtet: tvttL:ES DdOk4. STATUS ~ ~ DATE PA TITLED DATE OF ISSUE UNLADEN NJEIGHT (,~~rR ~ GCLI'R - TITLE BRANDS - • • OOCMETEFt STATU3 ~ - - '0=ACTUALF.7lLEAGE: '. ~ T ~ I.ttLE.:GE E(CEfDS THE tdECHANJCAL - ~ L'MITS 2 =PLOT"F-HE ACTU!-.[. S.11LE,',GE . - - 3 = t70T THE ACTUAL A1)LF~GE-04Ck~.SEt'ER . Tr.7",iPERhtiG VEAIF[ED - . ;i ., .4 ~ `3 + ~` ~ - REGISTEAED OWNER{S} = EXEttPT F3i OI~S..ODCfdETER OISr.,L,OSJRE ~' {_ n 5 "r ~ TITLE BRANDS - ~ +'~s,y, -r, .~:;~.- ~ . <. .,r ; .r. A:. ANTIQUE VEHICLE C.~= CLASSIC VE}IIGtE ~ r 3 3 D^ B R a 0IC R D ~ t •~ - t F c C ~ =OUT OF CAtJIV7RY ' c;" - CAMP H I t C P~ 17 D L 1 - ~ G' = ORIGMALLY f.~tFGO- FDR NON-US_ H= AGatCULiIIR L }I CL g VE I E L = LOGGitr(} VEHtCf:E P ISIYJASA POLICE VEMCLE r R = RECONSTAUCTED ' ~ S . 9TREET i300' T = REi_'.DVEAEDTHEFTYEtitCLE . - _ V -_ `Jr"}31CLFGONTAIN3REISSUEr? Vlti.. ~: : F1FiST L.tEN FAVOR OF: VJ =FLOOD 'lEHICIE . X = IStiVAS A 7AXI SECOtdD LIEN FAVCRAF: 7 If a sxond Irenholder is tfst,i>ii upprT satistaCtien c1 the first Qen tlTe first ~ . lienholties: mLSt fon~:ard. this Title to the Bureau of taTotor lretiicles with the FIRST UEN RELEASED apprepciate forth and Eee. DATE BY AUTHORIZED REPRESENTATIVE- SECOftD LIE1`1 RELEASED • MAILWG ADDRESS DATE • gY AUTHORIZED REPRESENTATVE ><I:AMEN D1~~}ID: MURItEi~K , 33QD BRfl4K RD ' CA(1P HILL P~ 17Q1b _+~ . a a • Pennsylvania DEPARTMENT OF TRANSPORTAFTOPh' o C Certify as of tha date of Issue. tfie aifitiat records of the PennsJMania DepaiVnent -- - - --- _ - - i t of Trans nation retlect that the erson s br ~ L L-~~-~- BTE ~ f c.,~ ~ p (} company named herein is the laxfiul r ~ '~ o>,r Jer :~ .:of the said veMcle" 2 S _ nf.T puc'tAfion - - .' - . : .:C~ - ~~ ~SUBSGRIBED.AND SWORN ; ft a co-purchaser other than our s TO BEFORE ME: Y t~8 is listed and,yoU want the tk-e in ; r ~~ ~ be tisted s "J ' ~ 3 oint Tenants With Rtght of Survivorship' (pn death of -0ne ~ nv ~7O " ~ . ~; - Ye;.ri owner, titie,goe~ to Sulvmng o+vner) CHECK HERELl, OUzerwise, the title s t ~ vaili tie issued as ':Tenants in :Common" (On ci~th of one owner,- interest of : %'1 - "~ deceased owner goes to his/her heirs or estate} ra IGM TUp - r,~r' - ~ 14 ~ . E F ,. AD1dIM1I15TERING OATH i ~ ~ . ' Q 1 IF NO UEN. CHECK ~ IS THIS Att ELT?. {1F YES. FIN AEQUIRF~) YES © NO^ i ~ 'CA :4 t tST LtENHOLDER FiT•JANCIAL tPISTITUTION NUfiBER: -TI - 1 ~~ .. ". O + 3 tSTL.lENHOLDERTL~W{E n. I 1 STREET - 'Q //~~ yI - 1 ' '- C[TY STATE ZIF : T~ t~' a Ttxp urxrs~ey he~Y makes ~ ~, IF N0 2ND UEfd, CHECK'? IS THIS AN ELT? (IFYES, FIN REQUIRED} YES Q td0^ a0c-'e. s• CerMicafn of TUB to the varxie ~r.;r. d - ~1}eL [D 16A arCartl..'rafiffi arvf artiert8try daiR4•..Sfrtai4l lure .. v v 2rJD UENHOiDER FINAiJGAL INS-rITLfT}pN AlUfiBER: 2N0 UENFIC)COER NAME V SIG:JA7UFiE OF aFecacA:rr OR AU-rHOat7.B3 S1GrvER i ' STREET . SIG!L47LRE OF. CO-APF'LCANTiTTTIE OF AtllttGRr~Err 37CirEA ~ ' Cn-Y .. ..- .:. - : ; i STATE w ., , .- ..._." ZIP .:.... . 1~L77 Rasianwa ...... .... ... .. .. . ... ~k ,~ s f CarYhistory VIN search, auto history check at CARFAX Vehicle History Reports Page :L of 2 '~ t V~F~E~E-~ ~!1~T4~1~tY FI:E~'f~#i7 ........................................... EACH CARFAX REPORT CHECKS FOR: Major Accident Mileage Rollback Multiple Owners Frame Damage Lease, Personal, Taxi or Police Use Total Loss Rebuilt Flood Damage Airbag Deployment Mileage Rollover Salvaged Hail Damage Branded a Lemon Last Reported Mileage Junked State Owned Length of Ownership Estimated Miles Driven Per Year Not Actual Mileage Recall Information Warranty Information ~~1..1s5 Service, Inspection, and Registration History fJrd~r ~.~ARF~~ Repc~rfi 3e Sli~~rt... ~e ~urel Vehicle Hjstory e~r~h Res~[~s VIN: JTHBF30G130111441 Vehicle: 2003 LEXUS ES 300 Records: 29 records found in the CARFAX Vehicie History database What is a Record? ~~ul' lrt~~rmat~or~ `_.\i 1 CARFAX Report for $34.99 i t_ 5 CARFAX Reports for $44.99 *Cardholders As it appears on card Name *Billing Street Address Address ___ _ ____ __ ___ __ ___ ____ City _ Alabama Z p *Email Address *Card Type VISA *Card _ __ _ _ ___ ____ _ Number *Expiration Select Month Select Year ': Date _ _ _ *Security Where is my Securit Code? Code y By processing my order, I agree to the terms of the Customer Agreement and understand that CARFAX may not have the complete history of every vehicle. ~~ risk. ~ r~~n k~~~~c ~u~rr~~t ~f r~~t 1~'~~ s~fi~~d! ~:~.{ ~. . Make sure you read our Customer Agreement ~ F. ~ before you ask us to process your order. w..~~~, _ .. _ I agree to pay cone-time charge of $44.99 (USD) plus applicable sales tax in the following states: CT, DC, HI, NJ, NM, NY, SC, SD, TX, WA and WV, according to my card issuer agreement. This 5 CARFAX Reports Plan is valid for 60 days from the date of purchase, and is intended for my personal use only. Commercial use, resale and redistribution of CARFAX Reports is strictly nrnh,ilh#c~rl._.,.'_'(`nmmor!~i,~.l._I_I,so.:~,i.c_r{~afin.c~,...a.a._~_a~c+_~i~.~ nc~+r_~.n.o,c.~_. https://secure.carfax.coin/creditCard.cfx 6/3/2011 /~ V O W N 00 'CERTi~'1C;1~TE ~lF ~`ITL.E iFO~ A ~~~'~C~~ 5y9 - < _ :: -. _ _ .: ~ _ :' .> .. :. .. : .:. - 1 _ . -' zQ~~3~~~~nnnsoa~:nn~- : - j .. . . ._ . . . _. - .:+1T>E~B~C2~~4~5~143853~ ~ X997 ~ L~E~.U~ - 5~17~~1281CI4~. R4i~ ~- VEHICLE IDENTiF[CP.TIO'.~F'~1".-t~.~R Y,_fi.9 MAKE OF JEiitCLE -EFfCE NUtABER ~DN; # D ~ ~ yl~~~~ily0 ~ 46>~AQL~ ~ ~~I _ ~ BODY TYPE DUF SE;iT CAP pR:GA TiTIi STATc :~DQivI. PAOLT~, DATE:. ODOtQL iViTLES ~ _ aI3C7Li STATUS , ,, 1 ~ DATE PA TITLED 7P. T E CF ISSUE UPIL4DEA! L°IEIGriT GtMJP. GGVdR TITLE BRANDS - OD0~7_G'TER STATf.;S ~ ~ hr,LEac~ i=rc~^~s ~xE rr-CrE.~.r~t~SL urrTs 2 =:ICi 1 T~ ACTUit fAL=?,GE = MJT Tr!E ACTLIA< tS~EA:,F ~^+~:tI1=; L°. . TA.*hT~PJl•:C-1~~3IF10 - _- - - ~ - - _ ~~Ef~PT FRild L1L~i.Tr; ~1i iJIJ.'LD~_1JFi= .t _ ~, - REC,ISTERED OWhtER(S) TCi 4c 8'.3A1,:;t5 - - ~ Ah7tC21E ~Icrilt;Lc' . - - - C G1.AS51C ~IEHICLE xt < c' ~ - ', ; . - ~ A .z, `4 4 ^ ~ P R I N G H 4 U ~ E R ~=: .. F =OUT OFCOUIYTHY ~ = oRl~iNaLLY r.>i-c~ Foa rlor~us ` ; . _ ~ • { -: r OiSTR!SLfrts3ht CAMP HILL ~~ ' 1 ? 03 7 - _ N = .vfiR1CULTURAL }lEHiCLE , , , . - LOG~SASB Y~iiCLE - F f3 ,"lA3 APOL~£%JEHIC'f..c^- - fl ~ RECQN¢T? 1~ - S _S'RE~" POQ T = AECO`It~IY r}tEFF VEHVCLE V = ~lEii:Cl~ CQPiFtJHLS RdSSUED \IiN ~ - '1'1 n FLGCID VE4i1G1E ~ FIRST LIEN FAi~OFI OF: SC-COND LIEN FA`lOR OF =~ = ISWAS:A TA:(t : it 3 record lienhalc~r is .!sled won saiisEaoLan of Iite ~icsI Hen, lice first - lienholdar must forvrard this T ide cn the Bureau of T~.totor Vehicles ~vlUr. the FIRST LIEN RELEASED appropriata form and fee. ' DATE ,BY SECGND LIEb! RELEASED AUTY.OAIZED REPRESENTATI;~E DATE :• ~' MAILINCr ADDRESS` -BY - A.Uil-IORIzED REPRESENTATIS/L= >" CARf?L 1~URI CE~K ~ 4 4 Q SPRINU H4 USE ~~ ,' CAMP HILL PA ..17.01,1. _ <~- p~~~sCva~~a . DEPARThtEDlT O~ ~I~.ptNSP4fl?`ATIOIV; ~ _ - - - , i certify as of the date of issue. the cAifctiaf records of the Pennsylvania t7eparirnent ~~~It ~ ~3. Lt ri~:f~ l;` ~. ; of Transportation reflect that the pe,•sour(sr or company named herein is the Iavrfui owner at the said:vehfc[e. 5eemtary of Ti-sinsportntion SUBSCRIBED AND SYJORN TO BEFGRE RIE: ~I~°.~-LPE OF ?ca~'r P :: i.':~Si'ERf!:3 J. 1~ t u f_ L. >_ - r ,i ai-~, , i ~ --.~- .. -. _ } If a co-purchaser other than gout' sptiilsa rs fisted and ygu waitL-the 3itTe~ td i' be listed as °Joini Tenants 1Nitf~ Right of SLirvivotship` {On heath of ote " ve~a I ot~mer, title goes to stirvi~ririg ownar) CNECI<-HERE O:.Otherwise, the. title. built 6e issued as `Tenattis In Common` (On ~[eath of one owner, ~itsi~st pf j deceased irate goes to hislfler heirs or estate}. F: IF NE1 LIEN, Ci~ECK~ IS THtS AN ELT? i1F YES, ESN flE4UIRED) YESQ NO'Q ", 15T L1ENIiOLDEfl FlNANCWL tiRSTITUTfON NUhiBEFL- t ST LIEf~-40LIIER NARRE ,._ j STREET CtT'r STATE ZiF IF NO 2PID LIEA1, CHECK t~ 1S TFi!& AV EE.T? (IF VES; FiN R.cQLHRED) YES {~ iriQO . 'Isla u~idafglgrwd .tiverA. me&er. a„'p!'c.p:an for Ca..^.l,osfa c.. 'i'_'w U na v~'Gc- .Y_uv3^_7 - 8b0 R. SU[~CC l0 Q1I @f1f11RIdf1. :1CE3 Bltd IIthB('S~ L3..T3 !Et IL~:1~ .`.2r.?. - `. 2ND L1ENf-:OLDEr't- F}i~tANCfAt. tIJSTfTtFTiON NUktBER ! ZfiiD L1ENFiOLDER AiAME SIGt1ATtlRE DF ?,PPLiC:.Yi CA.RtTi}'L'~ Si3Ft.A ~ STREEr cirY SfGNAIlJAE OF C6-nP?LICART,TFRc OF AUTNCF?It`~~J SIC`isl ( _ STAT... - ZIP - a s N N ~- Car.history~ VIN search, auto history check at CARFAX Vehicle History Reports Page 1 of 2 l f i-rEHI'CR.~ 1~!$T~]~Y R~1',°QHT'# ~,r' - .:, ~~~ - Veh'ICEe l~ist~r~ search esr.~lts ~- VIN: JT8BF22GXV5003851 ........................................... EACH CARFAX REPORT CHECKS FOR: Major Accident Mileage Rollback Multiple Owners Frame Damage Lease, Personal, Taxi or Police Use Total Loss Rebuilt Flood Damage Airbag Deployment Mileage Rollover Salvaged Hail Damage Branded a Lemon Last Reported Mileage Junked State Owned Length of Ownership Estimated Miles Driven Per Year Not Actual Mileage Recall Information Warranty Information ~~~5 Service, Inspection, and Registration History ~I°der C~RFA.X R~pe~~ts ~ ~~~~.., ~e lure! https://secure.carfax.com/creditCard.cfx Vehicle: 1997 LEXUS ES 300 Records: 41 records found in the CARFAX Vehicle History database What is a Record? Your [af~r~ti~n "F~~t~G~r;~rJ 1-iwl:u-L ,-, `~~~' 1 CARFAX Report for $34.99 ":-' 5 CARFAX Reports for $44.99 Cardholders As it appears on card Name Billing .Street Address Address _ _ _ _ __ ................................. _- City Alabama *Email Address *Card Type VISA *Card Number __ Zip Expiration Select Month Select Year Date *Security Where is my Security Code? Code By processing my order, I agree to the terms of the Customer Agreement and understand that CARFAJC may not have the complete history of every vehicle. ~~ rile ~ m~n~~r k~~~ ~uar~r~# if r~~t 1 ~°~~ ~~~fi~d Make sure you read our Customer Agreement ~ ~ .. before you ask us to process your order. I agree to pay aone-time charge of $44.99 (USD) plus applicable sales tax in the following states: CT, DC, H1, NJ, NM, NY, SC, SD, TX, WA and WV, according to my card issuer agreement. This 5 CARFAX Reports Plan is valid for 60 days from the date of purchase, and is intended for my personal use only. Commercial use, resale and redistribution of CARFAX Reports is strictly rax-~Fa.ihi+„Qii„!!,(~lnrt'?,1'Y.mcrlMi.~l~,~ I,cQ_"A~_flsafi,narl..,,ac ~a.co_k~~<wnaccia~ns.._._._.____. 6/3/2011 ~i ^~ ~S .~I~/ r ,..~..~ - ~ _ ' , _. _ s _ - _ _ _ ._. _ _ _ _ . ,. - _ _ - - `~ _ , _ -_ _ ~~ _ - ~~ >1T &SF~BUtiY 5II9?33,Q ~tt 2©l~I3 LEXE1~ = 598936Ul3~Q4 ~!U :~ ' •.eE?.;~C~ . _?r::r _ ..;s,?< . tc. „:.. F y~° ~ 1s'e/'iKEOF-JFriiCt.E ~ T}T1:ENUhiHER L ^ ~- :._ _; - . .:, _ ~~}~ ; D ~ ~ AMY: ~ ~ LI,lZ=il3~~i ~ Q8.83~UC1~ = . ~= I7 SOY '. E i -` +- CA= ?RtCR?li? E STJ.TE ODORS. 1'ROCD. DATE. OOOtu1: G1?i~S flQOt~d. STATE'S :i.4T= Pr S' ciJ i _ - _! = t J, ..~ucN V ~f=:ZT Gtr~tR ~ _i'~^.zR ~ 7,TLc 3?AiIJ~S ~' S, F` ~. .- j oaf ST,r~_ f r~ ~, I ~ S ~a~ oti4,,~~ C j R=~lsrA» o,fvN~R,s) I ~_ r~:~~ , t.~c Jar a.c C r'[.A~IC YJili.E D r OLLEI:Ttl31E'ttcHiCLE • - w • i,'y„~. ~" ~ r :a ~ F OUT OE W 4 4 ~ S P R I i~ ~ H~ U~ E R }~- _ F ~`~ a OfkG1.~tA!' Y A1FGiJ. FoR N0(~S~tf.3. - 1 atsTfl:evrtorl CAP~P HILL PA 1?~3~3, _ ~ •~-;;af~;z~~ ,~tt;~_ 3 = ~>T P.+..~ T ~ F~c~3'v'~v"EC~'-EF-.'JE:-!fCLE 'i 4~t?iC'ict, hTA;?13 FtS+SS:,'EII V;N rc'~'bD++~t}~E ~ r FIRST lJEN FAVOR OF: ~ X L 19,6:A$.c iAX1 _ SE%G7~1f? LiE19 FnVbR OF: It a `seccxrd GenhofrJer is listed upon. saf+.sfadton of the- fi;sY Tien the >hst l~nholder must tonvard tlt}s T"tye to tha Sure-.u of I.fator Vehide9 yilh the FIRST LIEN RELEASED aplxupria{e form and fee_ D~+:TE 8Y SEC0IVD tlEAr RELEASED _ AUTHORIZED REPF{E5tP1TkTIVE DATE R9A111NG ADDRESS - B,j . ' AUTHORIZED AEFRESEtdTATIVE C CaR~L MURILEAK .44.13 SPRING H4U~E ftD EAtiP "HILL PA 1711 :~. p~r~~a~~~~ar~i~ _. C7EFARTt~IENT OP TARl45PORTATIC}N .`, • t certify as of the date of issue: the official Tedlds of the P2rarsy{v.nia Department ~-~ ~~~~ _ of TranSportaUdn reflect that the perscn(sl a pmpavry Warned tiESeirs is the lan#ul ovrner of the said ierUcle_ Setretarp of T_raasporta$on • a :.SUBSCRieED Ar1D SwaRN tF a co-ptlrcl~tase"r ofher than your spouse is fisted art¢ you vrartf the i}tieto ;TO:BEFORE1v1E: ~ beItSted 3S°.lOtiJt-T~IYBRLS.~U? RI'~}'lt-Ot' SUIYIVO[St7[j3"(OndE3Yt'3 o1-plle- ~~. onv •n:~ ~ ovane~, BBe goes to sutvtving owner: CHECK. HERE E1 OBlenvse, the title i wilF he issued as 'Tenants in Comnron' (On dealh of one oNmer, interest of : ': t ,deceased owner goes to hislheF heirs or estate). sicrtaTUA ctF ~~ :; r~r~ Ptc Ar.t - )F NQ C]EN, CHECKQ ' tS THtS Atd SET? (IF YFS, FIN REGLItRED) YES U. NOL~ Q j 1ST lJENhi4Lf)ER F]tVANC1At tNSTtT"u7tON NUAI6ER: CD - z: _O i 7ST LIENHOLDEA NAf,4E . ~ ; STREET - _. ~~ i CITY STATE - Z1P _ + e fF NO P1dD t_IEN: CHEEK ] lS TH{S AN ELT'? QF'(ES; FfN REGUfRED) YES ~ fdO f~' _ Tta ardan'gn9d hevCy insYxs ~rJncateyc tnr Cetti."satd at- Tilya :o U» •aahs:.e .C~'agd ~ - -: nbm~a, siCleci u tY,a a~m4vxX5.s ar:d Otfler:itgat c{SCnSSe: far!R hsi~ - ~ ~ - ^u'VD iJENtiOLI1EF~ F~'tA1~tG!hd. Ih1S'FlTtJ710IJ 1V lJk1EER: t . 2NB [JENHOt.DER NAME S1Gf1RTJAE ;F APPUCiF7T CR rIUtHORtZEi) Sir3FiFR . ~ ~~~ ~ ~ CfTY STATE ZIF SIGTIATUP.c t~E. G0..1pPUGtM7'TfZE uF A.ITHCAITtD StG .'Ei3 : f - - - ~ - s .. .. .__ ._- ___ \~ `•v'^\\, 1 V~ '~- Ca history VIN search, auto history check at CARFAX Vehicle History Reports Page 1 of 2 ~. ~ ~. ~3, P: ~~®®~~ __ W~H~~LE 1'~[STOI~Y FI.EPORTS F ........................................... EACH CARFAX REPORT CHECKS FOR: Major Accident Mileage Rollback Multiple Owners Frame Damage Lease, Personal, Taxi or Police Use Total Loss Rebuilt Flood Damage Airbag Deployment Mileage Rollover Salvaged Hail Damage Branded a Lemon Last Reported Mileage Junked State Owned Length of Ownership Estimated Miles Driven Per Year Not Actual Mileage Recall Information Warranty Information F}IUS Service, Inspection, and Registration History ~rrer CARFAX. Re~~rts ~ ~~tart... Be Sure! https://secure.carfax.com/creditCard.cfx 'r{el1'rcl~e Histc~r~r ~e-:arch f~es~lts VIN: JT8BF28G1Y5097310 Vehicle: 2000 LEXUS ES 300 Records: 39 records found in the CARFAX Vehicle History database What is a Record? Your In#alrll~~tian ~~ ~~ii~~~~ I--wI~L- -' 1 CARFAX Report for $34.99 `'~-' 5 CARFAX Reports for $44.99 *Cardholders _ __ _ Name As It appears on card *Billing Street Address Address __ _ __ __ ___ __ _ - _ __ City Alabama _ _ Zi _ P *Email Address *Card Type VISA *Card ___ _ __ Number ~'~Expiration Select Month Select Year Date __ #Security Code ' Where is mY Securit Code? By processing my order, I agree to the terms of the Customer Agreement and understand that CARFAX may not have the complete history of every vehicle. ~~ ril ~ rrj~r~ t~ ~u~r~n~ if n~~ 1~~~ ~~~fi~~d! .r ~ : , ~ ~ ~ ,. ~, c ~ ,yr -. Make sure you read our Customer Agreement ~; before you ask us to process your order. ::~. I agree to pay cone-time charge of $44.99 (USD) plus applicable sales tax in the following states: CT, DC, HI, NJ, NM, NY, SC, SD, TX, WA and WV, according to my card issuer agreement. This 5 CARFAX Reports Plan is valid for 60 days from the date of purchase, and is intended for my personal use only. Commercial use, resale and redistribution of CARFAX Reports is strictly incnh.i.h i,+.Qrl,„~"('nm m.aCCia I_ I._! sa_~~c__~i.caF.r.+c,>r,~._ a c _~a c o.,Fa~<_ n~rcnn.c__... _._.._..,. 6/3/2011 ._ SI.BSCRIBEII ANO svuoAr! if a co-purchaser other than your spouse fs listed a~ you want She title to ~- TO BEFORE h4E: ~ be listed as `Joint ~'eAanis V+Crth _ Right of Survivorship' (t7n death of o[~e _ I ~,a,~ ~:,r ~h"ti otiarier, title goes to surviving owner) CHECK HERE }1 Othervrise, 4he tr71e `- i wiU ~e:issueri as `i"errants in Common` (C3n death of one oevner;; interesY'of ''~ ~ deceased owner goes to l~lsfier hairs or estate}:. •'w ~ + ~~ G fF NQ UENT Ct{ECIf Q IS T!-pS AN ELT? pF'CES. FIN REQUIRED} YES 1~ NO ^ ,Q :~: , _. T -. ~ ' 1ST CJENF30IJ?EA ANANCIAL fNSTlTUTIQN NUP9H R: E ~~ `~ ~ ' I 0 . ~s-r LlerwoLO>~ Nnr~e - _ _, a - i STREET ,Q . /T1 V ~ ~ _ (-CITY STATE zIP ',- - Q i Th 3e d ~ IF F]Q 2.^!D L;6'+1. CHECK t7 iS ~i-!lS A?! ELT? QF YES, FiN r'3E~111REi7) YES ~ NQ~ e urt rs gne nenPl rtatcFS e~"~ca'tua :~ CertA:r~e W i~ to :ne tidti~fe desccw acct e. !1>Cled 1~ pie eriaatc~rancea ard cG:er l- ~ dims abt Ibrlh fis:e .. " t y . . 2NQ t]EF7HOLDER FiNrNC1AL IMSTrTUTtOD! tVUMBEA:~ W 1 2rta t1ENFi!01.oER NRFAE N 5G1L4TURE OF .tiA'e~LSG.'A'.? CFi Al1rF+OrJZED SK3?tEr'i ~ ~ i ;. " i STAEEl ' W stsraa~ of co~,~vi..rc.autmrtF dr avrtaoev~ stcu~ ` GtTI STATE ZiP Car history~VIN search, auto history check at CARFAX Vehicle History Reports Page 1. of 2 ~ ~ t ~ - i.. ®~~~~~ n. .. 1TEH1'CLE HI~T~F1:Y i4.E1}DRT9 IFd~ ........................................... EACH CARFAX REPORT CHECKS FOR: Major Accident Mileage Rollback Multiple Owners Frame Damage Lease, Personal, Taxi or Police Use Total Loss Rebuilt Flood Damage Airbag Deployment Mileage Rollover Salvaged Hail Damage Branded a Lemon Last Reported Mileage Junked State Owned Length of Ownership Estimated Miles Driven Per Year Not Actual Mileage Recall Information Warranty Information ~>~~ Service, Inspection, and Registration History rc~er CARFAX Repc~~t~ ~e Srr~~rt... Be Sure! https://secure.carfax.com/creditCard.cfx 1~ehrcfe Hst€~ry S~e~rch e~tt[t~ VIN: JT8BF28G9Y5077385 Vehicle: 2000 LEXUS ES 300 Records: 29 records found in the CARFAX Vehicle History database What is a Record? ~'OtJt• ~FlfQlrttl~tltf(1! ~~% 1 CARFAX Report for $34.99 ~... "~` 5 CARFAX Reports for $44.99 *Cardholders As it appears on card Name *Billin g Address Street Address _ _ __ ____ __ ...City _ Alabama Zi __ P kEmail Address *Card Type VISA '`Card _ _ Number kExpiration Date Select Month 'Select Year _ _ _ _ _ _ ecurity Code Where is my Security Code? By processing my order, I agree to the terms of the Customer Agreement and understand that CARFAX may not have the complete history of every vehicle. ~~ rile ~ ~~~~ ~~~ ~u~r~r~t if r~~tt 1i0~a ~~~fi+~~d Make sure you read our Customer Agreement ~ before you ask us to process your order. I agree to pay cone-time charge of $44.99 (USD) plus applicable sales tax in the following states: CT, DC, HI, NJ, NM, NY, SC, SD, TX, WA and WV, according to my card issuer agreement. This 5 CARFAX Reports Plan is valid for 60 days from the date of purchase, and is intended for my personal use only. Commercial use, resale and redistribution of CARFAX Reports is strictly .nr_nli,ika,itori...,!'l~.~rra.mcar.~ial..l.,l.sa'! ;c, rlcfi,na~rl ~~,c.. ~,~:cc~_h~,~ .nar_~(aK+c __ .............. 6/3/""2011 .. r .. -: _... - . - .~ .. _ - _ _. ~ _ CE'R~'IFIC:~,.T~ ©~F ~I ~"~~ FC3I~ ~- ~I=~ICLE S ~ ~ ./ ~ . ~ ._. .. .~,CI3~334C37T3I]a452~DQ1. - - .. - `3i~~'7~T~€3EI'I88192Q2~ ~.: 2fl~I$ ~ ~HE~-R~tET ~ # b573bSSi5Q2 Ctt3 _ i VEHICLE 1DENF31=1CAT!O~ i ilUAtoE~ YEr",R 3.Si4K^ OF VEH[Ct.l= I . i fTLE Ni14a19ER ~ _ 'F ~ . ~ .: BODY TYPE ~ Q ~. _. _.. ! ' ~ PA - I-1l~9lZD Q~2BQD ' Q ~ ~ f -. DUP SEAT C.~£ PRICr3 TITLE. aT.4TE OD01A_ PROCD. DATE rJ 1 DOtt1. PAVES. Of?O~d. STATUS :... 3fI,31`D8 - ~ 11!191-1^: ~ 403 6 ~ 1 'S-~3^D `` ~ . DATE PA TITLED DATE Or ISSUE UNL4DEN +TIE3GHT j GVWR GCV:R 7TrLE BAANIIS ' I • - - COOf4Ei"-_'RSTATLS ~ _ T=!~II_:wECJ{^~'~STI-f?=4.fEGNWt'r':.L Lib1riS - _. _ 2 =," ~T THE Av JAL 6itL'r_A„E . - 3 = i`r'QT T'r.E ;.CTLyL h1FL~1,u=-7CCf~cr? a c Tn A?>_?;NG VERi tED r _ - _ = i_)C~{F i :: n.Zl,t DCQSR~~ 61`x.3,=+JF.E REGISTERED CYJNER{Sj _ TtT c oH.4;JDS ~• ~ 1. = A.,YTiOUE Vc7iTG ~ - k C- = CLASS{C VEHICLE • ~• ti~ ':~ ` c v E , 44^ 3Pt~~1~IL7 t7~Lt.3E it~,' ~ ~ =OUT aF COUIyTRY v=Qr~'GW7.i!YiJIFGD.FOfI~:ON-U.S. - C~ M P HILL P A I 7^ 1 b - ~ISTAiBUT:OfJ h. ~cRtcuLTUa=,i ~~,a1cLE i _ >. ~ L:.Gt:c~a S'EI~tCLE P = 1F11!JFS A P(itlCc VEH;C:.E - R ~ RECAt1STRUCT~~1 5 5 BEET RbD ® s T ~ RECOVEf?FD THEFT Vc^rJSCLE v = ><=rnc>_E cot¢ryNS t~ss>r~ wN ' ti =FLOOD VtZiICt= • FIRS7 llEN FAVOR QF: SECCSND LIEN FAVOffi OF: ~~ a IStV1AS AT',d{I '" , if a secoTei ;rer~hokfer is ksied apon .<,atis?ad~on ci th$ first !tart, tta fast ffsnho7Qer must t+ar{+ard tttis Title to the Burz~ of Adotor Veh{cSes tvr~h': Ute FIRST LIEN RELI:P;SED aFP~P~e ~~ and fee.. DATE ~ B f SEGOND t1EPt RELEA..SED AUTHORIZED- REPRESEhrTA'F7VE DATE MAtL1NG ADDRESS BY , ~ AUTHORIZED REPRESEi~1TATIVE CAROL MURICEAK 44:0 -~PRI~IG H~7U~E RD _ ` CAMP HILL PA 17x11 ~~'>° :.: ~~'~t~7S~CY~~~~ - DEPARTFj1;~NT 03=.TfCAPfSPORTATION _ - - - . ~ 1 certify tis of the:-date of issue, the o11iUa1 racotUS of V1e Pervtsftvania: Depamnerit ~.. A ~.. L Ems; i T ~ L of Transporla5on rafted that the personls) or compan'f named hen=in fs the lawful otmer . . ~ - of the said vehicle. ~. Seu'elary of T[znsporintinu y , . . ~. ~ _ s M ~~= SUBSGRlBED AND SWORIJ If a ijo-purchaser offtet~fhan your spouse is Cisiad atM you want: the Cale to Y -~ TO BEFGRE tv1E: ! be listed d5 '.!Dint Tenants. llkth Right of 5urvivdrship" -~On' death bf one :.. ~"' o~v ~ a otmer, title goes to surviving rnvner) CHECK HERE [1 otherwise, the tr~Ie ~;~• ~ wilt be issued as Tenants iri Cnrrunon` (On death of one tnvner,' interest of ' ~ ~;;. ; .deceased cnvner goes. to his/her heirs or estate). • •~ - JCaNATC1Fc ()F PERSCr Ct.... .$•c~f~;.; C=.7'~; ~ ~ - fF rJQ L18~t.1~iiE-CKL~ 1S THIS AN ELT? (IF YES, FMI REQUIRED) YES L7 NO ' Q y s. LL.1 (~ ~ 1ST LIETdHOLDEH FINANGAL INSTITUTION NUMBER: , •~ i Q 1ST LIENHOLDER NAME ~ Q STREET // V // ~ t ( GTY STATE ~ . _Z1P / ' `/ Tfm u+ulersKned ha:ehy maba ~M r'~: a a:: + i ~ u 1F Pt0 2ND LtERt, Gi-r ECK'~~, IS THIS AN ELT7 jtF YES; FiN R£{~t1tREDj YESLf NOQ ~ ~ !Vrl~ _ .~e. n . _ +a rJadr 3c~5xt - ebave: a~ec;tc the snamibsaaces arJ:.7a*. t=_y.>s~c~insse..~,_re - _ 21VD 11ENFiOLDER FlNAPfG/AL (NSTITUTlON NUAtiiER: W ~ 2t4D ~IEhiHC3LDER NAtvtE ^ ` MATURE OF 4P?L}_n•i ^r+:1rJT?i;JnOE'15~!-`~-, :- '... : . ' l J W - 1 _ .~ - ' STfiEET _ .. SIGIdATUFE OFCO-:i?PLYi,?•,'T:TmcOF i+JTii'1~.?^C `f s':ER - ; CST(. - ....STATE -EIP ~1 M Car history VIN search, auto history check at CARFAX Vehicle History Reports Page 1 of 2 . ti= a;, l+'EH7s~.E 1-1t~30FiY RE1~'~FiTR ~~ ........................................... EACH CARFAX REPORT CHECKS FOR: Major Accident Mileage Rollback Multiple Owners Frame Damage Lease, Personal, Taxi or Police Use Total Loss Rebuilt Flood Damage Airbag Deployment Mileage Rollover Salvaged Hail Damage Branded a Lemon Last Reported Mileage Junked State Owned Length of Ownership Estimated Miles Driven Per Year Not Actual Mileage Recall Information Warranty Information ~ ~ Q.B S Service, Inspection, and Registration History ~rcCer C~R~AX Report ~~ ~~~~rt... I,~e Sure! VeClCcle Hs>~at~r S~~a>•ch ~es~C~ts VIN: 1 GCDT43E088192024 Vehicle: 2008 CHEVROLET COLORADO LT Records: 12 records found in the CARFAX Vehicle History database What is a Record? Yi:?~IE' ltl#~~Imati~n "I~~luir~c Fi~l r% 1 CARFAX Report for $34.99 ,--. "~'-' 5 CARFAX Reports for $44.99 *Cardholders As it appears on card Name *Billing Street Address Address City Alabama '"Zip *Email Address *Card Type VISA __ *Card _ Number kExpiration Select Month Select Year Date __ _ _ , *Security __ Code Where is my Security Code? By processing my order, I agree to the terms of the Customer Agreement and understand that CARFAX may not have the complete history of every vehicle. ~~ rile ~ ~~n~ b~~~ ~~r~r~t if r~~t 1 Ii°~'~ ~tifi~~i ,r. ,~,i~ ~rA ~M;. .~ ~. Make sure you read our Customer Agreement ~ F. before you ask us to process your order. agree to pay aone-time charge of $44.99 (USD) plus applicable sales tax in the following states: CT, DC, HI, NJ, NM, NY, SC, SD, TX, WA and WV, according to my card issuer agreement. This 5 CARFAX Reports Plan is valid for 60 days from the date of purchase, and is intended for my personal use only. Commercial use, resale and redistribution of CARFAX Reports is strictly rnfii.hit,.c~!'I._"(~nmm.c~r~^ial„.I_I..cn'_'_ic._r7gfi.c~.s~r~...mac„.~.ic~Q_lh~.c_.n~~~nnc ,_......_.... http s : //secure. carfax . com/creditC ard. c fx 6/3/2011 M ~~ .~~ r~ / J V SI~9SCRIBEC) RIyD SwoxtN ~ if a ao=purchaser other than your spouse is fister# arii3 ou a i ro BEFOS3E AiE y w irf fie tftle to _` ~ be Ffsied as ',Joint Teriants 1Ni~ Right of Survivorship' {pn death of -0ne "o a,r t~Fa ; ativrter, Gtlagoas to surviving atl~ner~ CHECK FiERE~ ptherwiss,.the.tiUe e ' } wiH b issued as Tenants to Common'. (tJn death of one owner irrterest of 3 , , n i decQased cnvner goes. to his/her hews or estaie}: _ Q st nrA:~a= F °i= wr .arlls~atrs ;-:a;v+. r ~ a • t iF MQ LiEi~, Ct-tECKQ tS THIS AM EtT1 (IF YES;.FIN REOUIR@} YES Q NOQ , :: ~ cn .. + 1ST LIENHOt_DER:FINANC1At tNSTtTUT10N T~SUMflER: ~ ' (r ' i iST i1E_F~IOiDEA hL4G1E ~.. STREEr Q _ ~ : ~. 1 - ,n ! C1T/ STATC Z1F i - . ThQ ~d>)ra] t~eD;r m-I~.apps-~ti~n !V: a et :~is~to ~e ~vrcicia daver:e3 IF PtO e^A;D L16V, CHECK II tS T'r!{S AN ELT? (iF'fES, FBI RE4(1EREG) YES i7 NOQ . ~. . . sbrni sirt3jtct~n the anciaihtanc~s an-ya~ar"11;x1 tldIn1S Suloah lra: ~ ! 2ivo u~~R FENa.NCIAt. itv~mztr~ort~tvutwsER: a ?[1D L1EtJ19Qt~R' ~e+ulva~ o~ APPLtC,:t~ ue Aun;nel~u sic~a IdAME STREET a S1GfJANAE OF f.A-ipp(}C,AN;;7~ ~ JF Al,?hO4fc.'~c SIG .Ert 4 ~~ - - STATE - ~p ir,: Car history VIN search, auto history check at CARFAX Vehicle History Reports Page 1. of 1 .~ ~,:;~.:, ~~Hrcl-E M~~~+o~~r ~~~4RTS .., _ ~',.''i~,~~1 ,~ ~,~;E7i~;~ ~~L~~t ........................................... EACH CARFAX REPORT CHECKS FOR: Major Accident Mileage Rollback Multiple Owners Frame Damage Lease, Personal, Taxi or Police Use Total Loss Rebuilt Flood Damage Airbag Deployment Mileage Rollover Salvaged Hail Damage Branded a Lemon Last Reported Mileage Junked State Owned Length of Ownership Estimated Miles Driven Per Year Not Actual Mileage Recall Information Warranty Information ~~C,~~ Service, Inspection, and Registration History Order CARFA~C Re~art~ ~ Smart... Be Sure! ~~ 1~~'~ ~~~~~ ~i~(~'~t O~'!~C F~rrt1 Vehicle Hist~r~ search ~esulls VIN: WDBTK75J55F162663 Vehicle: 2005 MERCEDES-BENZ CLK500 Records: 22 records found in the CARFAX Vehicle History database What is a Record? Year In#ar~tifln ~~~z ~~-r::~ ~~~s~~ ~._-' 1 CARFAX Report for $34.99 '~= 5 CARFAX Reports for $44.99 *Cardholders As it appears on card Name *Billin g Address Street Address _ _ ____ __ City Alabama Zip *Email Address *Card Type -VISA *Card Number *Expiration Date Select Month Select Year *Security Code Where is my Security Code? By processing my order, I agree to the terms of the Customer Agreement and understand that CARFAX may not have the complete history of every vehicle. i~~ rile ~ n~~~~ bll~ u~r~r~t if rat 1i°~~ ~~titi~d! s~ . •~-~~, ~,~ ~ ,~ ~~ , Make sure you read our Customer Agreement ~ ~ ~ ,~ before you ask us to process your order. agree to pay cone-time charge of $44.99 (USD) plus applicable sales tax in the following states: CT, DC, HI, NJ, NM, NY, SC, SD, TX, WA and WV, according to my card issuer agreement. This 5 CARFAX Reports Plan is valid for 60 days from the date of purchase, and is intended for my personal use only. Commercial use, resale and redistribution of CARFAX Reports is strictly ~r_~.hih_.itwrl..,!'(.~ram,mar.~alml..l.~,~_".c. rlafi.n.r~rl aic~_~_~.cc._h~.<~.rn,or_cn.ns....._.__.., ........~,_.: https://secure.carfax.com/creditCard.cfx 6/3/2011 ~~r .r ~r ~.... +.v .ter.. ,,,rte i .i. r ~ vv JV.J .J LI-tl VI\ I l_ 1"IJJL 1 1'IVI'll `I I I !""IVL. ULI UL r ~ ~' IRA Quantity Description 1 Symbol CUSIP Date Of Death DOD Price /Share Totel Cost Basis 850 ASSURED GTY MUN HLDGSPFD AGO.E Od623A-3a4 9/12/2010 23.03 1!9575,5 345 ABBOTT LABORATORIES A6T 002824-Ia0 9/12/2010 51.54 1'7781.3 310 ATRIA GROUP INC MO 022095-10-3 9/12/2010 23.84 7390.4 22 AMERICAN INTL GROUP INC AIG 026874-78-d 9/12/2010 36.35 799.7 1.50 APACHE CORP COMMON APA 037411-10-5 9/12/101,0 93.73 1~d059.5 140 BANK AMERICA 7%CAP TR II BAC.V 055188-2a5 9/12/2010 24.93 3490,2 400 BAXTER INTERNATIONAL INC BAx 071813.1a9 9/lz/zolo 43.07 17228 660 CVS CAREMARK CORP CVS 12665x10-0 9/17./2010 29.02 1:9153.2 325 CARDINAL HEALTH INC CAW 14149Y-10-8 9/12/2010 31.6 10270 20 CATERPILLAR INC CAT 149123-10-1 9/12/20,0 71.26 1425.2 278 CHEVRON CORPORATION CvX 1,66764.-10-0 9/1.2/2010 78.82 21:911.96 170 CNUBB CORP CQ 171232-10-1 9/12/2010 56.05 9528.5 462 CITIGROUP INC C 172967-10-1 9/12/2010 3.91 1806.42 1.10 COCA C01A COMPANY KO 191216-10-0 9/12/2010 58.52 6437.2 50 COLLATE PALMOLIVE CO CL 194162-10-3 9/12/2010 75.18 3759 500 DANAHER CORP DHR 235851-10-2 9/12/2010 39.59 19795 870 MORGAN STANLEY 6.2596 TR MWG 617462-20-5 9/12/2010 24.32 21158.4 510 DISNEY WAIT COMPANY DIS 254687-1x6 9/12/2010 34.15 17416.5 1750 EATON VANCE TAX ADVANTGD EVT 27R28G-1,0.7 9/12/2010 15.59 27282.5 385 EMERSON ELECTRIC CO EMR 291011-10-4 9/17./2010 49.81 19176.85 290 EXXON MOBIL CORP XOM 30231G-10-2 9/12/x010 61.2 17748 415 FANNIE MAE 8.2596 PFD FNMAS 313586-75-Z 9/1,2/2010 0.34 141,.1 575 FEDERATED INVTS INC Cl. B Fil 314211-10-3 9/1.2/2010 22.23 12'782.25 980 GECC 6.196 PINES 11/15/32 GEC 369622-51-9 9/12/2010 25.85 25333 700 GENERAL ELECTRIC COMPANY GE 369604-10-3 9/12/2010 15.98 1,1186 1,041 HANCOCK JOHN PATRIOT PDT 41013T-1x5 9/12/2010 11.64 1.2117.24 180 ITT CORP ITT 450911-1x2 9/;12/2010 45.6 8208 450 AMERISOURCEBERGEN CORP ABC 03073E-1x5 9/12/2010 28.47 1:7811.5 230 INTL BUSINESS MACH CORP IBM 459200-10-1 9/12/2010 127.99 29437.7 600 JOHNSON CONTROLS INC JCI 478366-10-7 9/12/2010 28.43 17058 150 KELLOGG COMPANY ~ K 487836-10-8 9/12/2010 51..27 '7690.5 3,3:1,6 MFS MULTIMARKET INCOME T MMT 552737-10-8 9/12/2010 6.91 22913.56 430 MERCK & CO INC NEW MRK 58933Y-10-5 9/12/2010 36.65 1!5759.5 21.0 MOLSON COORS BREWING-B TAP 60871R-20-9 9/12/2010 4.4.08 !1256.8 140 MURPIiY 01L CORD MUR 626717-10-2 9/12/2010 58.38 13173.2 150 NEXTERA ENERGY INC NEE 65339E-10-1 9/12/2010 53.16 8274 200 NORFOLK SOUTHERN CORP NSC 655844-10-8 9/12/2010 58.85 11770 280 PEPSICO INCORPORATED PEP 713448-10-8 9/1,2/2010 66.41 1,8594.8 310 PHILIP MORRIS INTL INC PM 7;18172-10-9 9/1.2/2010 54.6 1,6926 355 PROCTER & GAMBLE CO PG 742718-10-9 9/12/2010 60.4 21442 210 STATE STR CORP STT 857477-ia3 9/12/zolo 37.93 '7965.3 200 3M CO ~ MMM 88579Y-lal 9/:12/2010 83.94 16788 325 UNITED TECHNOLOGIES CORP UTX 913017-1x9 9/12/2010 68.89 221389.25 A60 UNITEDHEALTH GROUP UNH 91324P-10-2 9/12/2010 34.49 15865.4 290 WALGREEN COMPANY WAG 931,422-ia9 9/12/2010 28.96 8398.4 27,000 BANK OF AMER 7.4361/15/11 060505-AG-9 9/12/2010 102.x2 2'7599.4 25,000 GEORGE WASHING 636 020119 372546-AA-9 9/12/2010 116.98 29245 20,000 GOLDMAN 6.15% 04/01./18 38141G-FM-1 9/12/2010 108.77 21754 50,000 HOME. DEPOT 5.496 03/01/16 437076-AP-7 9/12/2010 1,12.09 56045 20,000 JOHN HOPKINS 5.25°•6070119 478115-AA-6 9/12/2010 115.52 23104 1,0,000 JP MORGAN 69e 01/15/18 d6625H-GY-O 9/7.2/201,0 112.35 1,1,235 10,000 MORCAN STAN 4,7536 4/1/14 61748A-AE-6 9/12/2010 1,02.49 10249 Cash 121790.27 919,496.50