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HomeMy WebLinkAbout04-0864Estate of JANE C. KIDD also known as PETITION FOR PROBATE and GRANT OF LETTERS No. CT/ -- ~ /'~ -- 0 ~$ ~ To: Register of Wills for tl~:,~ .~ Deceased. '~.County of Cumberlag~ in the Social Security No. 185-26-0750' -Commonwealth of PennsYlVania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut rix in the last wilt of the above decedent, dated February /4, 2000 and codicil(s) dated None '04 iEP 2 ani a8:06 C (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with er last family or principal residence at 423 So.th High Street: Borough of Mechanicsburg (list street, number and muncipality) Decendent, then 71 years of age, died September 16 ~ 2004 ,>1:9 , at. Harrisburg Hosp±tal, City of Harrisburg, Dauphin County, Pennsylvania Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: None Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ Unestimated ' (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ I~no~ql-im~ t~d situated as follows: 423 South High Street, Borough of Mechanicsburg~ Cumberland County~ Pennsylvania. WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) Karen M. Hugl~ 836 Washington Street Huntingdon, PA 16652 OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. affir~d~t~/and subscribed ~ before me this ~ . Karen M. 'H Sworn to or day of ~ C-~C~6'~~ Register Estate Of JANE c. K~vv , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW September ?nn/, ~ , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated February 4, 2000 described therein be admitted to probate and filed of record as the last will of Jane C. Kidd .; and Letters Testamentary Karen M. Hu~hes are hereby granted to FEES Probate, Letters, Etc .......... $ Short Certificates( ) .......... $. Renunciation ................ $ $ TOTAL . $ Filed ................................... 44 West Main Street Mechanicsbur~, PA 17055-0318 ADDRESS ,. (717) 697-8528 PHONE his is to cerlify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be fbrwarded to the State Vital Records Office lbr permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee fl)r this certificate, $2.00 Date Local Registrar HI~.143 ReV. JANE 71 Dauphin depot worker 423 S. High St ,~Mechanicsburg, COMMONWEALTH OF PENNgYL.VANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH co =i C. I(TDD x ~elaa'le 185 --"26 -- 07.58~ unknown e~[~ ~ ~ f~ ~D Harrisburg Harrisburg Hospital ~c~ white PA Carson Jones 9-04 Union Cemetery t. Union, Pa 17066 66 LAW OFFICES SN ELIBA~ER, BRENI~IEMAN & SPARE LAST WILL AND TESTAMENT I, JANE C. KIDD, of the Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void ali former wills and codicils by me at anytime heretofore made. FIRST: I order and direct that all my just debts and funeral expenses be paid by my Executrix, hereinafter named, as soon as conveniently may be done after my decease. SECOND: I order and direct my Executrix, hereinafter named, to convert all the rest, residue and remainder of my Estate, real personal and mixed, whatsoever and wheresoever situated, into cash as soon as practicable after my death, and divide the net proceeds (after payment of all accounts under Item first above and all taxes o.ccasioned by my death) into six (6) equal parts, which parts I give and bequeath as fo]lows: A. One (1) such part unto my step-daughter, namely, GAIL K. HUGHES, if she survives me. B. One (1) such part unto my step-grandson, namely, DAVID C. HUGHES, if he survives me; C. One (1) such part unto my step-granddaughter, namely, CYNTHIA H. MOEHLE, if she survives me; D. One (1) such part unto my step-grandd~hter~amel~,?~CiREN M, HUGHES, if she survives me; ~ E. One (1) such part unto my step-great-granddau~,qiter, namely, HEATHER H. PIERRE, ff she survives mO;and~.~ ~ : c~ ~,~ ~-:~, .... SNELE3AKER, BRENNEMAN & SPARE F. One (1) such part unto my step-great-grandson, namely, ROBERT C. MOEHLE, if he survives me, but subject to the protective provisions of Item Third hereinbelow if he has not attained the age of twenty-three (23) years at the time of my death. If any of said beneficiaries should predecease me, I order and direct that the bequest to such deceased beneficiary shall lapse without substitution of issue, and the residue of my Estate shall be divided equally among and distributed unto the named beneficiaries who survive me. THIRD: If the said ROBERT C. MOEHLE has not attained the age of twenty-three (23) years at the time of my death, I order and direct that his distributive share hereunder shall be delivered and paid over to his mother, CYNTHIA H. MOEHLE, IN TRUST, NEVERTHELESS, as my testamentary trustee, to hold, manage, invest, accumulate income and reinvest for the benefit of ROBERT C. MOEHLE until he attains the age of twenty-three (23) years, at which latte~- time said trust shall b~ terminated and the assets thereof distributed to ROBERT C. MOEHLE, absolutely. During said trust, neither the beneficiary nor his creditors shall have any right to obtain or use any of the assets of said trust, it being my intention to create a spendthrift trust which prohibits the beneficiary's assignment of any interest in the trust and prevents a creditor or attempted assignee from obtaining said assets prior to termination of the trust and distribution of assets to the beneficiary. I authorize and empower the trustee to invest the assets hereunder as a reasonable and prudent investor and not be limited to statutory or so-called 'qegal investments" for fiduciaries. LASTLY: I nominate, constitute and appoint my step-granddaughter, namely, KAREN M. HUGHES, to be the Executrix of this, my Last Will and Testament, but if for any reason she should fail to qusliFy as such Executrix or --2-- LAW OFFICES SNELBAKER, I=JREN KIEMAN 8~ SPARE cease so to serve, then and in that event, I nominate, constitute and appoint my other step-granddaughter, namely, CYNTHIA H. MOEHLE, to be the Executrix hereof, each and both to serve without bond or other security as a condition of quslification hereunder. IN WITNESS WHEREOF, I, JANE C. KIDD, have hereunto set my hand and seal to this, my Last Will and Testament, which consists of three (3) typewritten pages to each of which I have sffixed my signature this z/~ day of February, A.D., Two Thousand (2000). ,~/Jane C. Kidd (SEAL) The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, pubhshed and declared by JANE C. KIDD, the TeStatrix therein named, as and for her Last Will and Testament, in the presence of us, Who, at her request, in her presence and in the presence of each other, have subscribed our names as witnesses hereto. -3- LAW OFFICES ~NELBA~ER, ~RENNEMA~ & SPARE COMMONWEALTH OF PENNSYLVANIA ) · SS. COUNTY OF CUMBERLAND ) We, JANE C. KIDD, RICHARD C. SNELBAKER and JANE J. COONEY, the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~tatrix Wi - ness dWitness Subscribed, sworn to and acknowledged before me by JANE C. KIDD, the Testatrix, and subscribed and sworn to before me by RICHARD C. SNELBAKER and JANE J. COONEY, the witnesses, this ~.- day of February, 2000. Notary Publi~/~'~ CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Jane C. Kidd, Deceased Date of Death: September 16, 2004 No. 2004-00864 Pa. No: 21-04-0864 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on or about September 16, 2004: Name Address Karen Hughes 836 Washington Street Huntingdon, PA 17201 Gall Hughes 9 S. Shaver Street Mt Union, PA 17066 David Hughes P.O. Box 786 Verona, VA 24482 Cynthia Moehle 1111 Post Oak Wichita, KS 67206 Robert Moehle 1111 Post Oak Wichita, KS 67206 Heather Pierre 783 Fern Lane Chambersburg, PA 17201 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: NONE. Date: September 22, 2004 "~'-R:ie~ard C. Snelbaker, Esquire 44 West Main Street Mechanicsburg, PA 17055-0318 (717) 697-8528 COMMONWEALTH OF PENNSYLVANIA DEPARTMENTOFREVENUE BUREAU OFINDIVlDUAL TAXES DEPT280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1 162 EX(1 1 96) NO. CD 004700 SNELBAKER RICHARD C 44 W MAIN STREET MECHANICSBURG, PA 17055 ESTATE INFORMATION: SSN: 185-26-0750 FILE NUMBER: 2104-0864 DECEDENT NAME: KIDD dANE C DATE OF PAYMENT: 12/06/2004 POSTMARK DATE; 1 2/06/2004 COUNTY: CUMBERLAND DATE OF DEATH: 09/16/2004 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $17,500.00 REMARKS: TOTAL AMOUNT PAID: $17,500.00 SEAL CHECK//119 INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS - Register of Wills of Cumberland County I /.: STATUS REPORT UNDER RULE 6.12 Name of Decedent: Jane c. Kidd Date of Death: September 16, 2004 Estate No.: 21-04-0864 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: . Yes 0 NoWcX 2. If the answer is No, state when the personal representative reasonably believes that the administration wiIIbe complete: Ap pr ox. 1 ye ar 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informaIIy to the parties in interest? Yes 0 No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk the Orphans' Court and may be attached to this report. Date: 6/6/05 Si e Richard C. Snelbaker Snel~aker & Brenneman, P.C. Name 44 West Main Street Mechanicsburg, PA 17055 Address (17) 697-8528 Telephone No. Capacity: 0 Personal Representative @ Counsel for personal representative REV-1500 8\(5-00) > OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER --1L COUt>lTY CODE 04 YEAR 0864 ----- NUMBER I- Z W C w (.) w C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Kidd Jane DATE OF DEATH (MM-DD- YEAR) DATE OF BIRTH (MM-DD- YEAR) 09/16/2004 12/16/1932 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) e SOCIAL SECURITY NUMBER 185-26-0750 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMB ER w ..... ~ :!oo ua:~ wll..U :rOO ua:....I II..IJl II.. 0:( [X] 1. Original Retum D 4. Limited Estate [X] 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received D 2. Supplemental Retum D 3. Remainder Retum (date of death pnor to 12-13-82) D 4a. Future Interest Compromise (date of death after 12-12-82) D 5. Federal Estate Tax Return Required D 7. Decedent Maintained a Living Trust (Attach copy of Trust) L 8. Total Number of Safe Deposrt Boxes D 10. Spousal Poverty Credit Idale of dealh betwee' 12-31-91 aod 1-'-95) D 11. Ejection to tax under Sec. 9113(A)(Allach SchOI THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS I- Z W o z o lI.. <J) w DC DC o () Richard e. Sne1baker FIRM NAME (If Applicable) Sne1baker & Brenneman, p.e. TELEPHONE NUMBER 44 West Main Street Mechanicsburg, PA 17055 717-697-8528 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Reeeivable (Schedule D) (4) 5. Cash, Bank Deposrts & Miscellaneous Personal Property (Schedule E) (5) Z 6. Jointly Owned Property (Schedule F) (6) 0 D Separate Billing Requested t= :) 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) ~ (Schedule G or L) t: D.. 8. Total Gross Assets (total Lines 1-7) <( (.) W 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 0: 10. Debts of Decedent, Mortgage Liabilrties, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 60,500.00 245,254.91 0.00 0.00 125,873.82 0.00 OFFICIAL USE ONLY 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 38,042.21 (8) 49,566.08 9,705.03 469,670.94 (13) 59,271.11 410,399.83 0.00 (11) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for Yotlich an election to tax has not been made (Schedule J) (12) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax 0.00 Z rate, or transfers under See. 9116 (a)(1.2) 0 i= 16. Amount of Line 14 taxable at lineal rate 410,399.83 0:( ..... ::J 0.00 II.. 17. Amount of Line 14 taxable at sibling rate ::E 0 0.00 U 18. Amount of Line 14 taxable at collateral rate x 0:( Tax Due ..... 19. (14) 410,399.83 x .0 ~(15) x .0 45 (16) x .12 (17) x .15 (18) (19) 0.00 18,467.99 0.00 0.00 18,467.99 20. ~ CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 3W46451.000 Decedent's Complete Address: . STREET IlDDRESS 423 South Hi h Street Boro of M Cumberland Count CI1Y Mechanicsbur STA1E PA ZIP 17055- Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 18,467.99 0.00 17,500.00 875.00 Total Credits (A + B + C) (2) 18,375.00 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 0.00 Total Interest/Penalty (0 + E) (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 92.99 A. Enter the interest on the tax due. (5A) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. Make Check to: REGISTEROFWlLLS,AGENT (5B) 92.99 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a. retain the use or income of the property transferred;. . . . . . . . . . . . . . . b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? . . . . . . . . . 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . .. D 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. IX] D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, induding 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 OF PERSON Yes No D D D D ~ ~ og og ~ og ADDRESS Executrix Huntingdon, PA 16652 DATE " "U> () ( ADDRESS 44 West Main Street Mechanicsburg, PA 17055 For dates of death on or after July 1, 1994 and before January 1, 1995. the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 99916 (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% [72 P.S. 99116 (a) (1.1) (Ii)] The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent. or a stepparent of the child is 0% [72 P.S. 9 9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiafies is 4.5%. except as noted in 72 P.S 99116(1.2) [72 PS 9 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% (72 P.S. 9 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. 3W4646 1000 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE A REAL ESTATE RG,V-1502 EX + ~98) FILE NUMBER Jane C Kidd 21 04 0864 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. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 60,500.00 Property known and numbered as 423 South High Street, Cumberland County, Mechanicsburg, PA 17055, sale value (see attached settlement sheet) 3W4695 1.000 TOTAL (Also enter on line 1, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ 60,500.00 f \/-"1-.;0....' _,~ ,~,.,...... '0',_. '.' A~-" . .> U.S DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 1 SETTLEMENT STATEMENT Affiliated Settlement Sevices Group, LLC 3912 Market Street Camp Hill, PA 17011 (717) 975-7839 FINAL B. TYPE OF LOAN 1. 0 FHA 2. 0 FMHA 3. 0 CONV. UNINS. 4. 0 VA 5. 0 CONV. INS. 6. ESCROW FILE NUMBER: 7. LOAN NUMBER: 00042840-001 NJT B. MORTGAGE INSURANCE CASE NUMBER: C. NOTE: This form is furnished to give you a statement of actual settlement costs. .Amounts paid to and by the settlement agent are shown. liems marked "(P O. C.)" were paid outside the closing; they am shown here for informational purposes and are not included in the totals. D. NAME OF BORROWER: Elwood C. Paul ADDRESS OF BORROWER: 46 Skyline Dr. Mechanicsburg, Pa. 17050 Estate of Jane C. Kidd E. NAME OF SELLER: ADDRESS OF SELLER: F. NAME OF LENDER: ADDRESS OF LENDER: 423 South High Street Mechanicsburg, PA 17055 Cumberland County 16-24-0787-089 Parcel #16-24-0787-089 Mechanic5burg Borough 1 5t Ward Affiliated Settlement Sevices Group, LLC Snelbaker, Brenneman & Spare, P.C., 44 West Main Street, Mechanicsburg, PA 1-7055' 11/18/2004 PRORATION DATE: DISBURSEMENT DATE: 11/18/2004 G. PROPERTY LOCATION: H. SETTLEMENT AGENT: PLACE OF SETTLEMENT: I. SETTLEMENT DATE: J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION r 1 00. GROSSAMOU NTOUE FRC1d BOORoNERgi;;'~jf!;>t rj,h i;i!;i;j1;1{{1ili!!r{~\i'1!~:lwkIYi,400!iJ~b$S.AMOuNt DUl:1fos EW~R:fi!(;;I;i!;I;\i!'!:';)'i '-:i-~/~:9:M:~}:!;L i~::-~\;,:.'.., ;:';j;: , ~:..-' " ;' '~'; \1 ! ::;...,i; 1 0 1 Contract Sales Price 60,500.00 40 1 Contract Sales Price 60,500. 00 1 02. Personal Property 402. Personal Property 1 03. Settlement ch arges 10 Borrower (line 1 400) 1 ,288.25 403. 1 04 404. 1 05. 405. ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: 106. CityfTown Taxes 107. County Taxes 108. Assessments 109 School Tax 110 Sewer 111. 112 11/18/04 12/31/04 45.95 to 11/18/04 11/18/04 to 06/30105 to 12/31/04 662.47 11.71 113. 114. 115. 120. GROSS AMOUNT DUE FROM BORROWER: 62,508.38 200.JAMOUNrs .~AID. BY..OR'N..~fl.A[F.O~mq~~q~~{flil~i1~;I}i~; ,....., 201. Deposit or earnest money 10,000.00 202. Principal amount of new loan(s) 203. Existing loan(s) taken subject to 204. 205. 206. 207. 208. 209. ADJUSTMENTS FOR ITEMS UNPAID BY SELLER' ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: 406. Cit fTown Taxes 407. County Taxes 408. Assessments 409. School Tax 410. Sewer 411. 412. 413. 414. 415. 420. GROSS AMOUNT DUE TO SELLER: 11/18/04 12/31/04 to 45.95 11/18/04 11/18/04 to to 06/30/05 12/31/04 61,220.13 501. Excess deposit (see instructions) 502. Settlement charges to Seller (line 1400) 503. Existing loan(s) taken subject to 504. Payoff of first mortgage loan 505. Payoff of second mortgage loan 506. 507. 508. 509. ADJUSTMENTS FOR ITEMS UNPAID BY SELLER 210 CityfTown Taxes 510. CityfTown Taxes 211. County Taxes 511. County Taxes 212. Assessments 512. Assessments 213. 513. ..... 514. t - ~._...-a ..- CHARGES ESCROW FilE NUMBEH: UUU4~1;j4U-UU I I~.I I SI-I r -rOt[ "tnTAI ~"'I :.'. :.;. D n "c' '. ". ;'0;:" ;;: I , BASED ON PRICE$ 60,500.00 @ 0/0= PAID FROM PAID FROM DIVISION OF COMMISSION (LINE 700) AS FOLLOWS: BORROWER'S FUNDS SELLER'S AT SETTLEMENT FUNDS AT 701. $ to SETTLEMENT 702. $ to 703. Commission paid at settlement 704. I ..800. ITEMS PAYABLE IN.CoNN ECTION \MW I ,n :i... OX. .'1." .....r"'': ...: i I 'V 801. Loan Origination Fee 802. Loan Discount Fee 803. Appraisal Fee 804. Credit Report 805. Lenders Inspection Fee 806. Mortgage Insurance Application Fee 807 Assumption Fee 808. 809 810. 811. I 900.. ITEMS REQUIRED B'(LENPe:R,TO It;... ;""it;; ...... .c- ..;.......... I 901. Interest From to @ $ Iday % ( days} 902. Mortgage Insurance Premium for Month(s} to 903. Hazard Insurance Premium for Years(s} to 904. 905. I 1000; RESERVES DEPosiTED WITH .... :";', :,:, I ... ',::"(' >...... ".,':.. ,.... 1001. Hazard Insurance months @ $ per month 1002. Mortgage Insurance months @ $ per month 1003. City Property Taxes months @ $ per month 1004. County Property Taxes months@ $ 32.06 per month 1005. Annual Assessments months @ $ per month 1006. months @ $ per month 1007. months@ $ per month 1008 months @ $ per month "1100.1IT[1: CliARGEStji:!; 1.1;f;t!; :en,... k~ ........ 1101. Settlement or closing fee 1102. Abstract or title search 1103 Tille examination 1104. Title insurance binder 1105. Document preparation 1106. Notary fees to Notary/Clercial/Settlement Fee 5.00 1107. Attorney's Fees (includes above items numbers: ) 1108. Title Insurance to Affiliated Settlement Services Group,LLP 624.75 (includes above items numbers: ) 1109 Lenders coverage $ 1110 Owner's coverage $ 60,500.00 1111. Overnight Delivery Fee to Affiliated Settlement Services Group,LLP 15.00 1112. 1113. I =;;~ "uu,' 1201. Recording Fees: Deed $ 38.50 Mortgage $ Release $ 38.50 1202. Citv/Countv tax/stamps Deed $ 605.00 MorlQaQe $ 605.0li 1203. State tax/stamps Deed $ 605.00 Mortaaae $ 605.00 1204. 1205. I 1300. AUUlllvn"....'" ,,.. \Y,' 1301. Survey 1302. Pest Inspection 1303. Sewer (Oct 1- Dec 31) to Mechanicsburg 80ro Office 107.8: 1304. Tax Certification Fee to Affiliated Settlement Services Group,LLP 2.01 1305. 1306. 1307. 1400. TOTAL SETlLEMENT CHARGES (Enter on line 103,Section J - and -line 502, Section K) 1,288.25 714.8 REV-1503 EX + (6-98) .L SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Jane C Kidd 21 04 0864 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 1.Citizens Investment Services account #57534248. Consisting of Dreyfus Premier Municipal Bond Fund, Class B, containing 5,015.150 shares valued at $16.20 per share. VALUE AT DATE OF DEATH 81,245.43 2 First Commonwealth Financial Corp. 7,508 shares of common stock valued at $14.00 per share 105,112.00 3 U.S. Savings Bonds 408 Savings Bonds consisting of EE and E bonds (see attched listing) 58,897.48 3W46961.000 TOTAL (Also enter on line 2. Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 245,254.91 Vallie As Of C:s+8 t Q..,. 0 ~ ~ ~ Cvle., C - ~old Page 1 of4 Savings Bond Calculator CALCU Savinc Series Denomination IEEBonds 3 $110o.::::.f I ""'U' 'I"""I 7~!';nt# Pf,,:; seriaINum~~OS(CL q!!J~a~ -$ l3/~~'SJ. I , Iq~/~qQ4_ . IUpllatE!1 Bond Info Results # Bonds Total Price Total Interest Total Value YTD In: 108 $5,450.00 $7,780.52 $13,230.52 $385. Issue Interest Next Final Serial Number Issue Date Series Denom Price Interest Value Rate Accrual Maturit~ C84635028EE 08/1985 EE $100 $50.00 $99.20 $149.20 4.00% 02/2005 08120 1 : C84634687EE 08/1985 EE 100 50.00 99.20 149.20 4.00% 02/2005 08/201: C93562672EE 11/1985 EE 100 50.00 96.28 146.28 4.00% 11/2004 11/201: C84636359EE 10/1985 EE 100 50.00 96.28 146.28 4.00% 1012004 10/201: C96287829EE 01/1986 EE 100 50.00 96.28 146.28 4.00% 01/2005 01/20H C96287497EE 12/1985 EE 100 50.00 96.28 146.28 4.00% 12/2004 12/201: C116509005EE 03/1986 EE 100 50.00 96.28 146.28 4.00% 03/2005 03/201 ( C116508681EE 03/1986 EE 100 50.00 96.28 146.28 4.00% 03/2005 03/20 H Cl16541952EE 05/1986 EE 100 50.00 93.40 143.40 4.00% 11/2004 OS/20H Cl16541609EE 05/1986 EE 100 50.00 93.40 143.40 4.00% 11/2004 OS/201 ( C117480914EE 08/1986 EE 100 50.00 93.40 143.40 4.00% 02/2005 08/201 ( Cl17480485EE 07/1986 EE 100 50.00 93.40 143.40 4.00% 01/2005 07/20H C123142024EE 10/1986 EE 100 50.00 90.60 140.60 4.00% 10/2004 10/20 1 ( C117498305EE 10/1986 EE 100 50.00 90.60 140.60 4.00% 10/2004 10/20H C135151680EE 12/1986 EE 100 50.00 76.40 126.40 4.00% 12/2004 12/201 ( C123169349EE 12/1986 EE 100 50.00 76.40 126.40 4.00% 12/2004 12/20H C135153539EE 03/1987 EE 100 50.00 76.40 126.40 4.00% 03/2005 03/20 1 ~ C135153141EE 02/1987 EE 100 50.00 76.40 126.40 4.00% 02/2005 02/20 1 ~ CJ C135192429EE 05/1987 EE 100 50.00 73.92 123.92 4.00% 11/2004 OS/20 1 ~ 0 C135192073EE 05/1987 EE 100 50.00 73.92 123.92 4.00% 11/2004 OS/201~ "('; C') C138945768EE 07/1987 EE 100 50.00 73.92 123.92 4.00% 01/2005 07/201~ ~ , - C138945347EE 07/1987 EE 100 50.00 73.92 123.92 4.00% 0112005 07/201~ ~ C138979287EE 10/1987 EE 100 50.00 71.48 121.48 4.00% 10/2004 10/20 1 ~ I "::T C138978866EE a 09/1987 EE 100 50.00 73.92 123.92 4.00% 0312005 09/201~ ~ C146224658EE 12/1987 EE 100 50.00 71.48 121.48 4.00% 12/2004 12/20 1 ~ (J C146224256EE 11/1987 EE 100 50.00 71.48 121.48 4.00% 11/2004 11/20 1 ~ ~ C211799094EE 08/1990 EE 100 50.00 60.04 110.04 4.00% 02/2005 08/202( '- <:""' C257324556EE <.. 07/1990 EE 100 50.00 60.04 110.04 4.00% 01/2005 07/202( ~ -zs ~ ~avings Bond Calculator Page 2 of 4 ~ C277198925EE 02/1991 EE 100 50.00 57.88 107.88 4.00% 02/2005 02/202] C277069641EE 0111991 EE 100 50.00 57.88 107.88 4.00% 0112005 01/2021 C308849951EE 07/1991 EE 100 50.00 55.76 105.76 4.00% 01/2005 07/2021 C300808054EE 06/1991 EE 100 50.00 55.76 105.76 4.00% 12/2004 06/202] C338382602EE 12/1991 EE 100 50.00 53.68 103.68 4.00% 12/2004 12/202] C334769431EE 1111991 EE 100 50.00 53.68 103.68 4.00% 1112004 11/202] C408406746EE 03/1993 EE 100 50.00 34.36 84.36 2.69% 0312005 03/202~ R97611139EE 02/1993 EE 200 100.00 97.36 197.36 6.00% 02/2005 02/202~ C383757584EE 10/1992 EE 100 50.00 48.68 98.68 6.00% 1012004 10/202: C373207911EE 09/1992 EE 100 50.00 51.64 101.64 4.00% 0312005 09/202: C358722517EE 05/1992 EE 100 50.00 51.64 101.64 4.00% 11/2004 OS/202: C352649496EE 04/1992 EE 100 50.00 51.64 101.64 4.00% 10/2004 04/202: C432856363EE 08/1993 EE 100 50.00 32.32 82.32 2.75% 02/2005 08/202~ C430522318EE 07/1993 EE 100 50.00 32.32 82.32 2.75% 01/2005 07/202~ C433330318EE 09/1993 EE 100 50.00 32.32 82.32 2.75% 03/2005 09/202~ C433981996EE 10/1993 EE 100 50.00 31.28 81.28 2.49% 10/2004 1 0/202~ C434552613EE 1111993 EE 100 50.00 30.36 80.36 2.60% 11/2004 11/202~ C84612722EE 07/1985 EE 100 50.00 99.20 149.20 4.00% 01/2005 07/201: C84612381EE 07/1985 EE 100 50.00 99.20 149.20 4.00% 01/2005 071201: C84610890EE 05/1985 EE 100 50.00 99.20 149.20 4.00% 11/2004 OS/201: C84636023EE 10/1985 EE 100 50.00 96.28 146.28 4.00% 10/2004 101201: C84635685EE 09/1985 EE 100 50.00 99.20 149.20 4.00% 03/2005 09/201: C84635360EE 09/1985 EE 100 50.00 99.20 149.20 4.00% 03/2005 09/201: C93562995EE 1111985 EE 100 50.00 96.28 146.28 4.00% 11/2004 111201: C93563317EE 11/1985 EE 100 50.00 96.28 146.28 4.00% 11/2004 111201: C96287137EE 12/1985 EE 100 50.00 96.28 146.28 4.00% 1212004 121201: Cl16508355EE 02/1986 EE 100 50.00 96.28 146.28 4.00% 02/2005 02/201 e C116508013EE 02/1986 EE 100 50.00 96.28 146.28 4.00% 0212005 02/20H Cl16507714EE 01/1986 EE 100 50.00 96.28 146.28 4.00% 01/2005 01l20H C116541276EE 05/1986 EE 100 50.00 93.40 143.40 4.00% 11/2004 OS/20 H C 116540945EE 04/1986 EE 100 50.00 93.40 143.40 4.00% 10/2004 04/20 H Cl16509311EE 04/1986 EE 100 50.00 93.40 143.40 4.00% 10/2004 04/20H Cl17480069EE 07/1986 EE 100 50.00 93.40 143.40 4.00% 0112005 07/201 e C116542678EE 06/1986 EE 100 50.00 93.40 143.40 4.00% 12/2004 06/20H C116542313EE 06/1986 EE 100 50.00 93.40 143.40 4.00% 12/2004 06/20H C117497891EE 09/1986 EE 100 50.00 93.40 143.40 4.00% 03/2005 09/201 e C117481702EE 0911986 EE 100 50.00 93.40 143.40 4.00% 03/2005 09/201 e C117481314EE 08/1986 EE 100 50.00 93.40 143.40 4.00% 0212005 08/201 e ~avings Bond Calculator Page 3 of 4 C123168971EE 11/1986 EE 100 50.00 76.40 126.40 4.00% 11/2004 11120H C123142796EE 11/1986 EE 100 50.00 76.40 126.40 4.00% 11/2004 111201 t C123142426EE 11/1986 EE 100 50.00 76.40 126.40 4.00% 11/2004 11120H C135152768EE 02/1987 EE 100 50.00 76.40 126.40 4.00% 02/2005 02/20 1 ~ C135152400EE 01/1987 EE 100 50.00 76.40 126.40 4.00% 01/2005 01l201~ C 135152044EE 01/1987 EE 100 50.00 76.40 126.40 4.00% 01/2005 01/201~ C135191702EE 04/1987 EE 100 50.00 74.12 124.12 4.00% 10/2004 04/20 1 ~ C135191353EE 04/1987 EE 100 50.00 74.12 124.12 4.00% 10/2004 04/201~ C135190999EE 03/1987 EE 100 50.00 76.40 126.40 4.00% 03/2005 03/20 1 ~ C138944914EE 06/1987 EE 100 50.00 73.92 123.92 4.00% 12/2004 06/201~ C138944523EE 06/1987 EE 100 50.00 73.92 123.92 4.00% 12/2004 06/201~ C138944169EE 05/1987 EE 100 50.00 73.92 123.92 4.00% 11/2004 OS/20 1 ~ C138978451EE 09/1987 EE 100 50.00 73.92 123.92 4.00% 03/2005 09/20 1 ~ C138978043EE 08/1987 EE 100 50.00 73.92 123.92 4.00% 02/2005 08/20 1 ~ C138977644EE 08/1987 EE 100 50.00 73.92 123.92 4.00% 02/2005 08/20 1 ~ C146223840EE 11/1987 EE 100 50.00 71.48 121.48 4.00% 11/2004 111201~ C 146223456EE 10/1987 EE 100 50.00 71.48 121.48 4.00% 10/2004 10/20 1 ~ C 146223049EE 10/1987 EE 100 50.00 71.48 121.48 4.00% 10/2004 10/20 1 ~ C256122111EE 06/1990 EE 100 50.00 60.04 110.04 4.00% 12/2004 06/202( C266907999EE 12/1990 EE 100 50.00 57.88 107.88 4.00% 12/2004 12/202( C146225181EE 12/1987 EE 100 50.00 71.48 121.48 4.00% 12/2004 12/201~ C266788889EE 11/1990 EE 100 50.00 57.88 107.88 4.00% 11/2004 111202( C266687043EE 10/1990 EE 100 50.00 57.88 107.88 4.00% 10/2004 10/202( C261709221EE 0911990 EE 100 50.00 60.04 110.04 4.00% 03/2005 09/202( C3087279811EE 05/1991 EE 100 50.00 55.76 105.76 4.00% 11/2004 OS/202] C308573906EE 04/1991 EE 100 50.00 55.76 105.76 4.00% 10/2004 04/202] C277298624EE 03/1991 EE 100 50.00 57.88 107.88 4.00% 03/2005 03/202] C329997695EE 10/1991 EE 100 50.00 53.68 103.68 4.00% 10/2004 10/202] C309115713EE 09/1991 EE 100 50.00 55.76 105.76 4.00% 03/2005 09/202] C308999551EE 08/1991 EE 100 50.00 55.76 105.76 4.00% 02/2005 08/202] C348240203EE 03/1992 EE 100 50.00 53.68 103.68 4.00% 03/2005 03/202: C346173343EE 02/1992 EE 100 50.00 53.68 103.68 4.00% 02/2005 02/202: C341908305EE 01/1992 EE 100 50.00 53.68 103.68 4.00% 01/2005 011202: C3698864 74EE 08/1992 EE 100 50.00 51.64 101.64 4.00% 02/2005 08/202: C366041627EE 07/1992 EE 100 50.00 51.64 101.64 4.00% 01/2005 07/202: C360740663EE 06/1992 EE 100 50.00 51.64 101.64 4.00% 12/2004 06/202: C396787141EE 01/1993 EE 100 50.00 48.68 98.68 6.00% 0112005 0 1I202~ C394879966EE 12/1992 EE 100 50.00 48.68 98.68 6.00% 12/2004 12/202: Savings Bond Calculator Page 4 of4 C389641116EE 11/1992 EE 100 50.00 48.68 98.68 6.00% 11/2004 11/202: C424182139EE 06/1993 EE 100 50.00 32.32 82.32 2.75% 12/2004 06/202: C417413067EE 05/1993 EE 100 50.00 32.32 82.32 2.75% 11/2004 OS/202: C413245937EE 04/1993 EE 100 50.00 33.36 83.36 2.41% 10/2004 04/202: IViewlOq Viewing Bonds 1-108 Le end Note Description NI Not Issued NE Not Eligible for Payment P5 Includes 3-month interest penalty MA Matured and Not Earning Interest Please rate this service. (Please print and/or save this page before submitting your survey) Service Excellent Good Fair Poor Savings Bond Calculator (" (" (" (" Submit SurVey Reset I ~avings Bond Calculator Value As Of 109/2004 Bond Info Series I EE Bonds Results # Bonds 300 Serial Number C58015922EE C58015703EE C54327276EE C58017353EE C58017071EE C58016818EE C68354001EE C68353710EE C68353424EE C68908168EE C68907905EE C68885204EE C48490607EE C48490391EE C54327103EE C58016585EE C58016365EE C58016144EE C68353149EE C58017904EE C58017632EE C68354841EE C68354263EE C68354547EE C68909000EE C68908719EE C68908755EE C78147274EE Savinc ~ clos~ \OI0Io<-{ Issue Date I L( ~73 (. 5fc Lu "._. J!Il.!l ate. ..!'.~ Denomination Serial Number -.if $I~~_~._"__]f L__ Total Price $7,868.75 Total Interest $37,798.21 Total Value $45,666.96 Issue Interest Issue Date Series Denom Price Interest Value Rate 04/1984 EE $100 $50.00 $112.48 $162.48 2.73% 03/1984 EE 100 50.00 114.72 164.72 2.57% 03/1984 EE 100 50.00 114.72 164.72 2.57% 06/1984 EE 100 50.00 107.20 157.20 2.56% 06/1984 EE 100 50.00 107.20 157.20 2.56% 06/1984 EE 100 50.00 107.20 157.20 2.56% 09/1984 EE 100 50.00 107.20 157.20 2.56% 09/1984 EE 100 50.00 107.20 157.20 2.56% 08/1984 EE 100 50.00 107.20 157.20 2.56% 12/1984 EE 100 50.00 102.16 152.16 4.00% 12/1984 EE 100 50.00 102.16 152.16 4.00% 11/1984 EE 100 50.00 102.16 152.16 4.00% 02/1984 EE 100 50.00 114.72 164.72 2.57% 02/1984 EE 100 50.00 114.72 164.72 2.57% 01/1984 EE 100 50.00 114.72 164.72 2.57% 05/1984 EE 100 50.00 107.20 157.20 2.56% 05/1984 EE 100 50.00 107.20 157.20 2.56% 04/1984 EE 100 50.00 112.48 162.48 2.73% 08/1984 EE 100 50.00 107.20 157.20 2.56% 07/1984 EE 100 50.00 107.20 157.20 2.56% 07/1984 EE 100 50.00 107.20 157.20 2.56% 11/1984 EE 100 50.00 102.16 152.16 4.00% 10/1984 EE 100 50.00 105.40 155.40 2.33% 10/1984 EE 100 50.00 105.40 155.40 2.33% 01/1985 EE 100 50.00 102.16 152.16 4.00% .01/1985 EE 100 50.00 102.16 152.16 4.00% 12/1984 EE 100 50.00 102.16 152.16 4.00% 04/1985 EE 100 50.00 99.20 149.20 4.00% l1ttn'llwww<: nl1hlirrlf'ht trf'~<: ('r(wmrISRrPrirf' Page 1 of9 YTD Inl $615. Next Final Accrual Maturit) 10/2004 04/20 1 ~ 03/2005 03/20 1 ~ 03/2005 03/20 1 ~ 12/2004 06/201~ 12/2004 06/20 1 ~ 12/2004 06/201~ 03/2005 09/20 1 ~ 03/2005 09/20 1 ~ 02/2005 08/201Li 12/2004 12/201~ 12/2004 12/201~ 11/2004 111201~ 02/2005 02/20 1 ~ 02/2005 02/20 1 ~ 01/2005 01/201~ 11/2004 OS/201~ 1112004 OS/201~ 10/2004 04/201~ 02/2005 08/201~ 0112005 07/201~ 0112005 07/201~ 11/2004 11/20 1 ~ 10/2004 10/20 1 ~ 10/2004 10/20 1 ~ 0112005 011201: 01/2005 01/201: 12/2004 12/20 1 ~ 10/2004 04/201: 11 15UnLl S,avings Bond Calculator Page 2 of9 I - C78147996EE 04/1985 EE 100 50.00 99.20 149.20 4.00% 10/2004 04/201: C78147715EE 03/1985 EE 100 50.00 102.16 152.16 4.00% 03/2005 03/201: C45525789EE 01/1983 EE 100 50.00 150.20 200.20 4.00% 01/2005 01/2013 C45525571EE 01/1983 EE 100 50.00 150.20 200.20 4.00% 01/2005 01/2013 C45525331EE 12/1982 EE 100 50.00 150.20 200.20 4.00% 12/2004 12/201:: C48503020EE 04/1983 EE 100 50.00 129.16 179.16 2.34% 10/2004 04/2013 C48484398EE 03/1983 EE 100 50.00 131.24 181.24 2.59% 03/2005 03/2013 C48484179EE 03/1983 EE 100 50.00 131.24 181.24 2.59% 03/2005 03/2013 C48513210EE 07/1983 EE 100 50.00 121.64 171.64 2.97% 01/2005 07/2013 C48508374EE 06/1983 EE 100 50.00 121.64 171.64 2.97% 12/2004 06/2013 C48503905EE 06/1983 EE 100 50.00 121. 64 171.64 2.97% 12/2004 06/2013 C68909815EE 03/1985 EE 100 50.00 102.16 152.16 4.00% 03/2005 03/201: C68909546EE 02/1985 EE 100 50.00 102.16 152.16 4.00% 02/2005 02/201: C68909274EE 02/1985 EE 100 50.00 102.16 152.16 4.00% 02/2005 02/201: C40210806EE 12/1982 EE 100 50.00 150.20 200.20 4.00% 12/2004 12/201:: C40210568EE 11/1982 EE 100 50.00 150.20 200.20 4.00% 11/2004 11/201:: C40210348EE 11/1982 EE 100 50.00 150.20 200.20 4.00% 11/2004 11/201:: C48483966EE 02/1983 EE 100 50.00 150.20 200.20 4.00% 02/2005 02/2013 C48483729EE 02/1983 EE 100 50.00 150.20 200.20 4.00% 02/2005 02/2013 C45523018EE 01/1983 EE 100 50.00 150.20 200.20 4.00% 01/2005 01/2013 C48503681EE 05/1983 EE 100 50.00 121.64 171.64 2.97% 11/2004 OS/2013 C48503473EE 05/1983 EE 100 50.00 121.64 171.64 2.97% 11/2004 0512013 C48503253EE 04/1983 EE 100 50.00 129.16 1 79.16 2.34% 10/2004 04/2013 C48513925EE 08/1983 EE 100 50.00 121.64 171.64 2.97% 02/2005 08/2013 C48513693EE 07/1983 EE 100 50.00 121.64 171.64 2.97% 01/2005 07/2013 C48513461EE 07/1983 EE 100 50.00 121.64 1 71.64 2.97% 01/2005 07/2013 C5431781EE 11/1983 EE 100 50.00 114.72 164.72 2.57% 11/2004 11/2013 C50665044EE 10/1983 EE 100 50.00 119.68 169.68 2.30% 10/2004 1 0/20 L~ C50664820EE 10/1983 EE 100 50.00 119.68 169.68 2.30% 10/2004 10/2013 C50664592EE 09/1983 EE 100 50.00 121.64 171.64 2.97% 03/2005 09/2013 C50664335EE 09/1983 EE 100 50.00 121. 64 171.64 2.97% 03/2005 09/2013 C50664102EE 08/1983 EE 100 50.00 121.64 171.64 2.97% 02/2005 08/2013 C54318333EE 12/1983 EE 100 50.00 114.72 164.72 2.57% 12/2004 12/2013 C54318112EE 12/1983 EE 100 50.00 114.72 164.72 2.57% 12/2004 12/2013 C54318649EE 11/1983 EE 100 50.00 114.72 164.72 2.57% 11/2004 11/2013 C54326885EE 01/1984 EE 100 50.00 114.72 164.72 2.57% 01/2005 01/201<1 C54326672EE 12/1983 EE 100 50.00 114.72 164.72 2.57% 12/2004 12/2013 L6563342EE 04/1980 EE 50 25.00 105.68 130.68 4.00% 10/2004 04/201C ht-t",.II,,~,~,,<, "'''hl;'''rl,~ht t,.p"" f'"~"/~rl<;;:~rp,.irp 1 1 IQ/OJ. Savings Bond Calculator Page 3 of9 . .... L36329725EE 04/1981 EE 50 25.00 91.28 116.28 4.00% 10/2004 04/2011 L36329066EE 03/1981 EE 50 25.00 93.62 118.62 4.00% 03/2005 03/2011 L36328563EE 02/1981 EE 50 25.00 93.62 118.62 4.00% 02/2005 02/2011 L68310746EE 09/1981 EE 50 25.00 86.32 111.32 4.00% 03/2005 09/2011 L68309940EE 08/1981 EE 50 25.00 86.32 111.32 4.00% 02/2005 08/2011 L17547647EE 08/1981 EE 50 25.00 86.32 111.32 4.00% 02/2005 08/2011 L68312228EE 11/1981 EE 50 25.00 84.14 109.14 4.00% 11/2004 11/2011 L85242793EE 03/1982 EE 50 25.00 84.14 109.14 4.00% 03/2005 03/20 1 ~ L 75956737EE 02/1982 EE 50 25.00 84.14 109.14 4.00% 02/2005 02/201~ L 17504903EE 01/1981 EE 50 25.00 93.62 118.62 4.00% 01/2005 01/2011 L94358709EE 07/1982 EE 50 25.00 82.00 107.00 4.00% 01/2005 07/2012 L94357953EE 07/1982 EE 50 25.00 82.00 107.00 4.00% 01/2005 07/2012 L17501486EE 08/1980 EE 50 25.00 107.00 132.00 4.00% 02/2005 08/201 C L17503751EE 11/1980 EE 50 25.00 93.62 118.62 4.00% 11/2004 11/201 C L17504412EE 12/1980 EE 50 25.00 93.62 118.62 4.00% 12/2004 12/201 C L6563975EE 05/1980 EE 50 25.00 107.00 132.00 4.00% 11/2004 OS/201C L 17500373EE 06/1980 EE 50 25.00 107.00 132.00 4.00% 12/2004 06/20lC L 1750 1 022EE 07/1980 EE 50 25.00 107.00 132.00 4.00% 01/2005 07/201C L 17546784EE 07/1981 EE 50 25.00 86.32 111.32 4.00% 01/2005 07/2011 L17546160EE 06/1981 EE 50 25.00 86.32 111.32 4.00% 12/2004 06/2011 L17545471EE 05/1981 EE 50 25.00 86.32 111.32 4.00% 11/2004 OS/2011 L75956118EE 01/1982 EE 50 25.00 84.14 109.14 4.00% 01/2005 01/2012 L 7595531 OEE 12/1981 EE 50 25.00 84.14 1 09.14 4.00% 12/2004 12/2011 L68311432EE 10/1981 EE 50 25.00 84.14 109.14 4.00% 10/2004 10/2011 L94357150EE 06/1982 EE 50 25.00 82.00 107.00 4.00% 12/2004 06/2012 L85244204EE 05/1982 EE 50 25.00 82.00 107.00 4.00% 11/2004 OS/2012 L85243407EE 04/1982 EE 50 25.00 82.00 107.00 4.00% 10/2004 04/2012 L111615062EE 10/1982 EE 50 25.00 79.90 104.90 4.00% 10/2004 10/2012 L 111573839EE 09/1982 EE 50 25.00 82.00 107.00 4.00% 03/2005 09/2012 L94367790EE 08/1982 EE 50 25.00 82.00 107.00 4.00% 02/2005 08/2012 L 17503287EE 10/1980 EE 50 25.00 104.40 129.40 4.00% 10/2004 10/201 C L17502626EE 09/1980 EE 50 25.00 107.00 132.00 4.00% 03/2005 09/201 C L 17502163EE 08/1980 EE 50 25.00 107.00 132.00 4.00% 02/2005 08/201 ( Q5248741345E 04/1 975 E 25 18.75 107.71 126.46 4.00% 10/2004 04/200: Q5248735087E 02/1975 E 25 18.75 110.24 128.99 4.00% 02/2005 02/200: Q5231701772E 01/1975 E 25 18.75 110.24 128.99 4.00% 01/2005 01/200: Q5020829712E 07/1972 E 25 18.75 109.02 127.77 07/2002 Q5020 16248E 05/1972 E 25 18.75 107.44 126.19 OS/2002 htt",./I"",,,,,,:: "'"hli,..rl""ht tr"""" ".",,/pr/<::"p.rPr;('p 111QlnJ Savings Bond Calculator Page 4 of9 . - Q5004829339E 04/1972 E 25 18.75 107.44 126.19 04/200~ Q5075024151E 03/1973 E 25 18.75 111.14 129.89 03/200~ Q5063620543E 01/1973 E 25 18.75 110.81 129.56 01/200~ Q5056726012E 12/1972 E 25 18.75 109.58 128.33 12/200~ Q5131997640E 11/1973 E 25 18.75 113.01 131.76 11/200~ Q5125771449E 10/1973 E 25 18.75 113.01 131.76 1 0/200~ Q5124809133E 08/1973 E 25 18.75 112.99 131.74 08/200~ Q5182708746E 07/1974 E 25 18.75 111.27 130.02 07 /200~ Q5181807419E 06/1974 E 25 18.75 111.27 130.02 06/200~ Q5181801948E 05/1974 E 25 18.75 110.96 129.71 OS/200~ Q2611451323E 02/1972 E 25 18.75 107.42 126.17 02/200~ Q2611449703E 01/1972 E 25 18.75 107.13 125.88 o 1/200~ Q526734512E 05/1975 E 25 18.75 108.93 127.68 4.00% 11/2004 OS/200: Q5043746452E 11/1972 E 25 18.75 109.30 128.05 11/200~ Q5029733861E 09/1972 E 25 18.75 109.30 128.05 09/200~ Q5028791337E 08/1972 E 25 18.75 109.30 128.05 08/200~ Q5111044851E 07/1973 E 25 18.75 112.71 131.46 07 /200~ Q5090470377E 06/1973 E 25 18.75 111.45 130.20 06/200~ Q5081969739E 04/1973 E 25 18.75 111.14 129.89 04/200~ Q5160684536E 03/1974 E 25 18.75 109.73 128.48 03/200~ Q5159300178E 02/1974 E 25 18.75 109.73 128.48 02/200~ Q5145674895E 12/1973 E 25 18.75 109.73 128.48 12/200~ Q2494474133E 05/1970 E 25 18.75 118.61 137.36 OS/200e Q2488520468E 04/1970 E 25 18.75 118.61 137.36 04/200e Q2475261984E 03/1970 E 25 18.75 118.61 137.36 03/200e Q2445563725E 0911969 E 25 18.75 116.27 135.02 09l199S Q2432300874E 08/1969 E 25 18.75 116.26 135.01 08/199S Q2421892047E 06/1969 E 25 18.75 114.67 133.42 06/199S Q2334479256E 05/1968 E 25 18.75 113.82 132.57 05/199~ Q2326859976E 03/1968 E 25 18.75 112.53 131.28 03/199~ Q2322235270E 02/1968 E 25 18.75 112.53 131.28 02/199~ Q2382260053E 01/1969 E 7~ 18.75 118.52 137.27 01/199S -) Q23 82231 003 E 11/1968 E 25 18.75 116.69 135.44 11/199~ Q2368883474E 10/1968 E 25 18.75 115.39 134.14 1 0/199~ Q2473736782E 01/1970 E 25 18.75 118.25 137.00 o 1/200e Q2459746427E 12/1969 E 25 18.75 116.97 135.72 12/199S Q2458306019E 11/1969 E 25 18.75 116.27 135.02 11/199S Q2416508170E 05/1969 E 25 18.75 119.85 138.60 05/199S httn./I"",,,,.,, nllhl;('r1~ht tr~.,,, (Tr'\v!Rr!<;::RrPri('~ 11!~ In.+ Savings Bond Calculator Page 5 of9 . - Q2407669820E 04/1969 E 25 18.75 118.52 137.27 04/1 995 Q2400787534E 02/1969 E 25 18.75 118.52 137.27 02/1995 Q5218752544E 11/1974 E 25 18.75 109.94 128.69 4.00% 11/2004 11/2004 Q5218746236E 10/1974 E 25 18.75 108.72 127.47 4.00% 10/2004 10/2004 Q5204610042E 09/1974 E 25 18.75 111.27 130.02 09/2004 Q2367473122E 09/1968 E 25 18.75 115.39 134.14 09/199~ Q2347852824E 07/1968 E 25 18.75 115.39 134.14 071199~ Q2341546306E 06/1968 E 25 18.75 115.41 134.16 061199~ Q2547167304E 02/1971 E 25 18.75 107.85 126.60 02/2001 Q2539141915E 12/1970 E 25 18.75 121.26 140.01 12/200e Q2533407095E 11/1970 E 25 18.75 120.94 139.69 11/200e Q2604800782E 10/1971 E 25 18.75 107.61 126.36 10/2001 Q2570984023E 09/1971 E 25 18.75 107.61 126.36 09/2001 Q2585784302E 07/1971 E 25 18.75 107.3 1 126.06 07/2001 Q2112153490E 03/1965 E 25 18.75 190.72 209.47 4.00% 12/2004 03/2005 Q2106644943E 02/1965 E 25 18.75 189.70 208.45 4.00% 11/2004 02/2005 Q2091678815E 11/1964 E 25 18.75 211.57 230.32 4.00% 11/2004 11/2004 Q2159711058E 12/1965 E 25 18.75 109.37 128.12 12/1995 Q2149583711E 10/1965 E 25 18.75 157.37 176.12 2.59% 01/2005 10/2005 Q2143544220E 09/1965 E 25 18.75 157.37 176.12 2.59% 12/2004 09/2005 Q2201149721E 08/1966 E 25 18.75 104.52 123.27 08/199E Q2195654890E 07/1966 E 25 18.75 104.52 123.27 07/199E Q2183658970E 05/1966 E 25 18.75 103.27 122.02 05/199E Q2520774508E 10/1970 E 25 18.75 120.94 139.69 10/200e Q2501728365E 08/1970 E 25 18.75 120.94 139.69 08/200e Q2501711926E 07/1970 E 25 18.75 120.61 139.36 07/200e Q2578012095E 06/1971 E 25 18.75 108.20 126.95 06/200 I Q2564631523E 05/1971 E 25 18.75 107.85 126.60 OS/200 I Q2559307949E 03/1971 E 25 18.75 107.85 126.60 03/2001 Q21 0 1888085E 01/1965 E 25 18.75 208.51 227.26 4.00% 10/2004 0112005 Q2082257378E 10/1964 E 25 18.75 211.57 230.32 4.00% 10/2004 10/2004 Q2610163188E 12/1971 E 25 18.75 107.91 126.66 12/2001 Q2132439855E 07/1965 E 25 18.75 160.06 178.81 2.34% 10/2004 07 /200~ Q2124234474E 06/1965 E 25 18.75 162.15 180.90 2.59% 03/2005 06/200: Q2115351750E . 05/1965 E 25 18.75 190.70 209.45 4.00% 02/2005 OS/200: Q2182376464E . 04/1966 E 25 18.75 103.19 121. 94 04/199E Q2169393285E 02/1966 E 25 18.75 109.38 128.13 02/199E Q2164740742E 01/1966 E 25 18.75 109.38 128.13 o 1/199E nttn'/I"",,,,,,, nllnlirrlf>nt trf>'l" (T(w/"?(,/<<;;;"R(,"Pr;r<> ll/C;Und. Savings Bond Calculator Page 6 of9 . - Q2254634433E 04/1967 E 25 18.75 107.11 125.86 04/199/ Q2249345698E 03/1967 E 25 18.75 107.11 125.86 03/199/ Q2231624982E 01/1967 E 25 18.75 107.11 125.86 01/199, Q2306366704E 12/1967 E 25 18.75 112.53 131.28 12/199, Q2297566534E 11/1967 E 25 18.75 110.95 129.70 11/199/ Q2290565659E 10/1967 E 25 18.75 109.70 128.45 10/199/ Q6334357567E 08/1979 E 25 18.75 71.15 89.90 4.00% 02/2005 08/200S Q6362019734E 09/1979 E 25 18.75 71.15 89.90 4.00% 03/2005 09/200S Q6368820815E 11/1979 E 25 18.75 70.22 88.97 4.00% 11/2004 11/200S Q6297301266E 12/1978 E 25 18.75 71.85 90.60 4.00% 12/2004 12/20m Q6318355454E 03/1979 E 25 18.75 71.86 90.61 4.00% 03/2005 03/200S Q6310969735E 01/1979 E 25 18.75 71.86 90.61 4.00% 01/2005 01/200S Q6043514661E 12/1975 E 25 18.75 108.23 126.98 4.00% 12/2004 12/2005 Q6043508613E 11/1975 E 25 18.75 107.95 126.70 4.00% 11/2004 11/200: Q6030034382E 09/1975 E 25 18.75 109.23 127.98 4.00% 03/2005 09/2005 Q6105564941E 08/1976 E 25 18.75 107.19 125.94 4.00% 02/2005 08/200~ Q6105559099E 07/1976 E 25 18.75 107.19 125.94 4.00% 01/2005 07/200~ Q6083466315E 05/1976 E 25 18.75 106.93 125.68 4.00% 11/2004 OS/200~ Q2229349648E 12/1966 E 25 18.75 1 07.1 0 125.85 12/199~ Q2223429647E 11/1966 E 25 18.75 105.71 124.46 1l/199E Q2210084437E 09/1966 E 25 18.75 104.52 123.27 09/199~ Q2280502844E 08/1967 E 25 18.75 109.70 128.45 08/199, Q2268643759E 07/1967 E 25 18.75 109.70 128.45 07/199/ Q2261484326E 06/1967 E 25 18.75 1 09.71 128.46 06/199i Q6368824630E 12/1979 E 25 18.75 70.22 88.97 4.00% 12/2004 12/200S Q6381499042E 02/1980 E 25 18.75 70.22 88.97 4.00% 02/2005 02/20lC Q6385601718E 03/1980 E 25 18.75 70.22 88.97 4.00% 03/2005 03/201 ( Q6326341234E 04/1979 E 25 18.75 70.08 88.83 4.00% 10/2004 04/200S Q6326370869E 05/1979 E 25 18.75 70.94 89.69 4.00% 11/2004 OS/200S Q6334353301E 07/1979 E 25 18.75 71.15 89.90 4.00% 01/2005 07/200S Q6015956079E 08/1975 E 25 18.75 109.23 127.98 4.00% 02/2005 08/2005 Q6014686797E 06/1975 E 25 18.75 109.23 127.98 4.00% 12/2004 06/200: Q6287161986E 10/1978 E 25 18.75 70.76 89.51 4.00% 10/2004 1 0/200~ Q6075061531E 04/1976 E 25 18.75 105.75 124.50 4.00% 1 0/2004 04/200~ Q6068172687E 03/1976 E 25 18.75 108.24 126.99 4.00% 03/2005 03/200t Q6056929694E 01/1976 E 25 18.75 108.24 126.99 4.00% 01/2005 01/200~ Q6120211896E 12/1976 E 25 18.75 106.28 125.03 4.00% 12/2004 12/200t Q6210206263E 11/1976 E 25 18.75 105.92 124.67 4.00% 11/2004 11/200~ nttn.II"",f'lvc: nl1nli('npnt tl"P'1C: O"('",/"P.r/~"p.rPr;('p 1 1 IlVnd. Savings Bond Calculator Page 70f9 . - Q6111791623E 10/1976 E 25 18.75 104.72 123.4 7 4.00% 10/2004 10/200( Q6191174994E 0911977 E 25 18.75 105.28 124.03 4.00% 03/2005 09/2001 Q6184280388E 07/1977 E 25 18.75 105.28 124.03 4.00% 01/2005 07/2001 Q6177871825E 06/1977 E 25 18.75 105.30 124.05 4.00% 12/2004 06/2001 Q6255575675E 05/1978 E 25 18.75 72.30 91.05 4.00% 11/2004 OS/200~ Q6232653368E 04/1978 E 25 18.75 76.19 94.94 2.34% 1 0/2004 04/200~ Q6231574920E 02/1978 E 25 18.75 93.07 111.82 4.00% 02/2005 02/200~ Q6290651072E 04/1957 E 25 18.75 181.15 199.90 04/1991 Q6290651 071 E 03/1957 E 25 18.75 181.15 199.90 03/199, Q6290663121E 01/1957 E 25 18.75 180.81 199.56 01/1991 Q6290651078E 12/1957 E 25 18.75 162.22 180.97 12/1991 Q6290651077E 11/1957 E 25 18.75 186.32 205.07 11/1991 Q6290651076E 10/1957 E 25 18.75 186.32 205.07 10/199, Q6162329365E 04/1977 E 25 18.75 103.82 122.57 4.00% 10/2004 04/2001 Q6156074964E 03/1977 E 25 18.75 106.28 125.03 4.00% 03/2005 03/2001 Q6143235397E 02/1977 E 25 18.75 106.28 125.03 4.00% 02/2005 02/2001 Q6223526531E 01/1978 E 25 18.75 93.07 111.82 4.00% 01/2005 0 1/200~ Q6210825049E 11/1977 E 25 18.75 92.76 111.51 4.00% 11/2004 11/2001 Q6196679562E 10/1977 E 25 18.75 102.84 121.59 4.00% 10/2004 10/2001 Q6278741731E 09/1978 E 25 18.75 72.55 91.30 4.00% 03/2005 09/200~ Q6270493427E 08/1978 E 25 18.75 72.55 91.30 4.00% 02/2005 08/200~ Q6270488029E 06/1978 E 25 18.75 72.52 91.27 4.00% 12/2004 06/200~ Q6290651 07 5E 08/1957 E 25 18.75 186.32 205.07 08/199, Q6290651074E 07/1957 E 25 18.75 186.33 205.08 07/1991 Q6290651073E 06/1957 E 25 18.75 183.97 202.72 06/199: Q6290651 081 E 05/1958 E 25 18.75 164.37 183.12 051199~ Q6290651080E 03/1958 E 25 18.75 164.37 183.12 03/199~ Q6290651079E 02/1958 E 25 18.75 164.37 183.12 02/199~ Q6290651087E 01/1959 E 25 18.75 172.78 191.53 o 1/199S Q6290651086E 11/1958 E 25 18.75 167.96 186.71 11/199~ Q6290651085E 10/1958 E 25 18.75 167.96 186.71 1 0/199~ Q6290651093E 09/1959 E 25 18.75 169.35 188.1 0 091199S Q6290651092E 08/1959 E 25 18.75 167.26 186.01 08/199S Q6290651091E 06/1959 E 25 18.75 169.13 187.88 06/199S Q6290651099E 05/1960 E 25 18.75 173.61 192.36 OS/200e Q6290651098E 04/1960 E 25 18.75 173.61 192.36 04/200e Q6290651097E 03/1960 E 25 18.75 173.61 192.36 03/200e Q6290651105E 02/1961 E 25 18.75 180.32 199.07 02/2001 httn.II""",,,,, nllhl;,,~pht trp.,,, rr""/Prlc:prPr;"p 1 1 IQ IIlJ Savings Bond Calculator Page 8 of9 . - Q6290651104E 12/1960 E 25 18.75 178.43 197.18 12/200C Q6290651103E 11/1960 E 25 18.75 1 78.04 196.79 111200C Q6290651111E 10/1961 E 25 18.75 187.40 206.15 10/2001 Q6290651110E 09/1961 E 25 18.75 187.42 206.17 09/2001 Q6290651109E 07/1961 E 25 18.75 183.20 201.95 07/2001 Q6290651084E 09/1958 E 25 18.75 167.96 186.71 09/199~ Q6290651083E 07/1958 E 25 18.75 167.97 186.72 07/199~ Q6290651082E 06/1958 E 25 18.75 165.78 184.53 06/199~ Q6290651090E 05/1959 E 25 18.75 172.78 191.53 05/1995 Q6290651089E 04/1959 E 25 18.75 172.78 191.53 04/1995 Q6290651088E 02/1959 E 25 18.75 172.78 191.53 02/1995 Q6290651096E 01/1960 E 25 18.75 169.75 188.50 01l200C Q6290651095E 12/1959 E 25 18.75 169.75 188.50 12/1995 Q6290651094E 10/1959 E 25 18.75 169.35 188.10 10/1995 Q6290651102E 10/1960 E 25 18.75 178.04 196.79 10/200e Q6290651101E 08/1960 E 25 18.75 175.77 194.52 08/200e Q6290651100E 07/1960 E 25 18.75 173.94 192.69 07/200e Q6290651108E 06/1 961 E 25 18.75 183.20 201.95 06/2001 Q6290651107E 04/1961 E 25 18.75 182.61 201.36 04/2001 Q6290651106E 03/1961 E 25 18.75 182.62 201.37 03/2001 Q6290651117E 06/1962 E 25 18.75 192.04 210.79 06/200: Q6290651116E 05/1962 E 25 18.75 191.49 210.24 OS/200: Q6290651115E 03/1962 E 25 18.75 191.52 210.27 03/200: Q6290651124E 04/1963 E 25 18.75 199.54 218.29 04/200~ Q6290651122E 01/1963 E 25 18.75 196.4 7 215.22 o 1I200~ Q6290651121E 12/1962 E 25 18.75 196.4 7 215.22 12/200: Q6290651129E 12/1963 E 25 18.75 205.80 224.55 12/200~ Q6290651128E 09/1963 E 25 18.75 204.42 223.17 09/200~ Q6290651127E 08/1963 E 25 18.75 203.36 222.11 08/200~ Q6290651114E 02/1962 E 25 18.75 190.00 208.75 02/200: Q6290651113E 01/1962 E 25 18.75 188.00 206.75 011200: Q6290651112E 11/1961 E 25 18.75 187.40 206.15 1112001 Q6290651120E 10/1962 E 25 18.75 195.58 214.33 10/200: Q6290651119E 09/1962 E 25 18.75 195.57 214.32 09/200: Q6290651118E 08/1962 E 25 18.75 194.06 212.81 08/200: Q6290651126E 07/1963 E 25 18.75 201.20 219.95 07/200~ Q6290651125E 05/1963 E 25 18.75 199.54 218.29 OS/200~ Q6290651123E 03/1963 E 25 18.75 199.57 218.32 03/200~ nttn'!/\vww<; nl1nli('rl~nt tr~;'l" (T()v/R(,!~R(,Pri('f' 11/~und Savings Bond Calculator Page 9 of9 . - Q6290651133E 04/1964 E 25 18.75 209.02 227.77 04/2004 Q6290651135E 07/1964 E 25 18.75 210.54 229.29 07/2004 Q6290651134E 06/1964 E 25 18.75 210.54 229.29 06/2004 Q6290663122E 03/1964 E 25 18.75 209.04 227.79 03/2004 Q6290651132E 08/1964 E 25 18.75 212.77 231.52 08/2004 Q6290651130E 02/1964 E 25 18.75 207.96 226.71 02/2004 I View lqJ I Viewing Bonds 1-300 le end Note Description NI Not Issued NE Not Eligible for Payment P5 Includes 3-month interest penalty MA Matured and Not Earning Interest Please rate this service. (Please print and/or save this page before submitting your survey) Service Excellent Good Fair Poor Savings Bond Calculator r r r r submH'~~6Jey'yl ")Re~etl httn:llwwws.nuhl icdeht.tre8s. (T()v/Rf' ISRf'Price 1 1 !~unJ. R6V.150e EX + ~ge) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Jane C Kidd FILE NUMBER 21 04 0864 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 Citizens Bank Checking account #6100701360 Citizens Bank Checking account #6100707512 29,497.30 14,827.47 2 3 Citizens Bank Certificate of Deposit #6140-845173 39,527.95 4 Citizens Bank Certificate of Deposit, account #6140-873541 15,205.30 5 Coins consisting of following: 6 Indian Head Quarters, 1 "1865" nickel and 1 "1932" quarter, sale value 750.00 6 Conseco Senior Health refund unearned premium on policy # 606847 81. 81 7 First Commonwealth Savings account #0202109288 10,283.31 8 Graham Oil Transports LLC Decedent owned a .0018311% cusenbary lease in oil well in Texas. 175.00 9 Highmark Insurance refund unearned premium on health insurance policy 275.43 10 Household gooods sold by Brickers Auction 8,644.00 11 Jewelry ladies diamond ring, appraised value (see attached appraisal) <<<<<< PAGE BREAK >>>>>> 600.00 Total from continuation schedules 6,006.25 3W46AO 1.000 TOTAL (Also enter on line 5, Recaoitulation) $ (If more space is needed, insert additional sheets of the same size) 125,873.82 Estate of: Jane C Kidd 185-26-0750 Schedule E (Page 2) Item No. Description Value at Date of Death 12 Mechanicsburg Minute Men Color Guard raffle winnings due the Decedent 50.00 13 Members First Federal Credit Union Savings account #3221-00 633.31 14 Omega Bank Savings account #3008815 4,208.44 15 Stonebridge Life Insurance Company refund unearned premium on policy # 82AK6J2838 9.23 16 The Patriot-News refund on subscription service 59.66 17 The Sentinel refund on subscription service 43.48 18 U.S. Treasury death benefit from civil service retirement & disability fund 1,002.13 Total (Carry forward to main schedule) 6,006.25 Sfack ~o, "\P-100 Distnbuted by Star Struck Inc.. Belhel. CT 06301-0::,..i8 1-800-243-6144 Printed in U.SA r"" . iJ'ltr~~~...c,>f.;if<~~~~~~~~~ ~~~"l .,~~~~' ~~~~~~~~~~~.v.;Y~},P;:;~.Y~~.v:.v~~i ~ Appraisal G:;;~=K~,s"L L.1 ~ ~" ~ ~) ~~ ~, ~~ ~ w, h"""nh ",lily. !h" w' h'v, !hi' d'y. ""fully ""fii"d th, tollowing Ii,"d ood d",rib,d ,"id" ~1 ~ ~ it~ Ll4-D 125 Li4bh"5 (}?Li4Y;NUM.., .~~ ,~~ t.~~ t~ 1::> ~ ~ C >\ }::> c", AJ u;-'X. 1:> I "..... ,:. b .~ ~ R.: 'j f""'J~~' ,2'''j ~ .~ SizE (",- tn ~ R VoJ '" c> C LiT 1) j ..........;~ D '~ ~, ~'vt1-C.~A"-Ci.)' - ~~ ~ S i I - J+-c 0 Jo~ ~ ,"9/8C!; - \?!\f ~ I '--'T'+I... (Q~.,.., it 5 ro, *' ~ ~~ JOS"Dc fl1ELE~ ~1 t~ ~~-;:;:~-%e~~;~J+ccic" i-~IZ ~:L::~I- ~~~ ~~ . TO VTL D i rln-r .-v1I';) w e I svJ ~ fc () i) ~'" .,~ ~.~.~, I 5> ~ I( ~ 'L-)"-!':'- lt~ ~!} I lO~ CT ~i-0" c.ot/Hf'x j) U ~~ ~ ~?=~' th, "fi' ood ,dd"" of th, P,,,h,,,,,, Owo" of the 'ded ood d"",bed ""de,, ~ ~~ NAME Si'I'l\JE- ('. K' Dj) ,~ ~~ ADDRESS 't2~ ~L'-Tf-I H- '') ~ S"~T (VLec.i,"~;(5b,-,c:'i' u:b. IZ 05";- ~ ~~.~ The foregoing Appraisal IS made wIth the understanding that the Appraiser assumes no liabilIty with respect to any actIon that mav be t,~~ .,-~ taken on the basIs of thIs Appraisal. . ,,~ ~~l ... ~ .~~ The estImated value IS listed for Insurance or other purposes at the current retail value. excluding Federal and other taxes. In making t~ .C"~ thIS AppraIsal. we Do NOT agree to purchase or replace the articles. ,~,~ p r ^ ~ .,..t :~",}:..... ;~-.,>,:;,>/:> :!;:~:;)... ~.,'~ ~';~~f) '~"'~f~~~/'~~~ '?~?;~;~'~ ~,,)''l?~:.,;)~1:::9~ ;y~~.,!.. ..>:;!>-,.:'> ~,.>:"....),,>-),>~.;, "::>~=.__~. ..-__ ..~ ....",...~,.,'~-"''S.;J-' .JI!IIII"~.J!1)i',,',i;gY;-.::iT~ ~'~J1::Y""":~.~:::./, -:_=:? ""'_~..:-::JJ/ ,::../""'~.,~-,~::,.r",:,:7"',;"':/.:::/ ::;/.,.-~, - -,,' , R~V-1510 EX + .6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Jane C Kidd SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21 04 0864 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM DESCRIPTlON OF PROPERTY DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE IN:LLOE Tl-E NAME OF n-e TRANSFEREE. THEIR RELATIONSHIP TO DECEDENT ,4J\() NUMBER Tl-E DATE OF lRAJ'.SFER_ ATT/lCHACOPV OF TI-E DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. First Investors Life 26,017.28 100.0000 0.00 26,017.28 Annuity, contract #369050, beneficiary is Gail Hughes 2 New York Life Insurance Company 12,024.93 100.0000 0.00 12,024.93 annuity, contract #SC187056 TOTAL (Also enter on line 7, Recapitulation) $ 38 042.21 (If more space is needed. insert additional sheets of the same size) 3W46AF 1.000 REV-1511 EX. (12-99) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Jane C Kidd ITEM NUMBER A. B. 3W46AG 1.000 Debts of decedent must be reported on Schedule I. DESCRIPTION FUNERAL EXPENSES: 1. Robert D. Heath Funeral Home, Inc. funeral services 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Karen M. Huqhes Social Security Number(s) I EIN Number of Personal Representative(s) Street Address 836 Washinqton Street City Huntingdon State PA Zip 16652 Year(s) Commission Paid: 2. Attorney Fees Snelbaker & Brenneman, P.C. 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Brickers Auction commission and miscellaneous expenses associated with auction Total from continuation schedules FILE NUMBER 21 04 0864 TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ AMOUNT 6,049.49 22,180.00 15,341. 34 225.00 2,600.00 3,170.25 49,566.08 Estate of: Jane C Kidd 185-26-0750 Schedule H Part 7 (Page 2) 2 Comcast cable TV service 42.23 3 Dave Kreamer Coins & Currency appraisal fee 25.00 4 Robert Haring garbage removal 390.00 5 L.G. Connor Real Estate Appraisers real estate appraisal 300.00 6 PPL Electric electric service 48.04 7 Settlement charges associated with the sale of property A. Transfer Tax - $605.00 B. Sewer charges - $107.82 C. Tax Certification - $2.00 714.82 8 UGI Utili ties gas service 38.16 9 United Water Pennsylvania water service 43.30 10 Verizon phone service 68.70 11 Reserve for filing fees, accounting fees and other costs associated with the administration of Decedent's Estate 1,500.00 Total (Carry forward to main schedule) 3,170.25 RIi.V-1512 EX +~12-03) .' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Jane C Kidd FILE NUMBER 21 04 0864 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER L DESCRIPTION VALUE AT DATE OF DEATH Comcast cable TV service 42.24 2 George K. Shahinian medical services 68.55 3 Leffler Energy heating oil 167.58 4 Pennsylvania Dept of Revenue tax due on 2004 Final Individual Income Tax Return 209.00 5 PPL Electric electric service 34.02 6 Trugreen lawn service 62.54 7 U.S. Treasury tax due on 2004 Final Individual Income Tax Return 9,061.00 8 UGI Utilities gas service 20.97 9 United Water Pennsylvania water service 11. 08 10 Verizon phone service 28.05 3W46AH 2,000 TOTAL (Also enter on line 10. Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 9.705.03 REV-1513 EX + (9-00) . SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Jane C Kidd NUMBER I NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] David C. Hughes P.O. Box 786 Verona, VA 24482 1 16.666667% Residue: 64,063.76 2 Gail K. Hughes 9 South Shaver Mt. Union, PA Street 17066 First Investors Life Inventory Value: 26,017.28 16.666667% Residue: 64,063.76 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) FILE NUMBER 21 04 0864 AMOUNT OR SHARE OF ESTATE Step-grandson Step-daughter 64,063.76 90,081.04 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 3W46AI 1.000 TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET (If more space IS needed, Insert additional sheets of the same size) $ 0.00 . Estate of: Jane C Kidd 185-26-0750 Schedule J Part 1 (Page 2) Item No. Description Relation Amount 3 Karen M. Hughes 836 Washington Street Huntingdon, PA 16652 16.666667% Residue: 64,063.76 Step-Grandaughte 64,063.76 4 Cyn thia H. Moehle 1111 Post Oak Wichita, KS 67206 16.666667% Residue: 64,063.76 Step-granddaught 64,063.76 5 Robert C. Moehle 1111 Post Oak Wichita, KS 67206 16.666667% Residue: 64,063.76 Step-great-grand 64,063.76 6 Heather H. Pierre 783 Fern Lane Chambersburg, PA 17201 16.666667% Residue: 64,063.76 Step-great-grand 64,063.76 . -:... I . LAST WILL AND TESTAMENT I, JANE C. KIDD, of the Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at anytime heretofore made. FIRST: I order and direct that all my just debts and funeral expenses be paid ~ by my Executrix, hereinafter named, as soon as conveniently may be done after my decease. SECOND: I order and direct my Executrix, hereinafter named, to convert all the rest, residue and remainder of my Estate, real personal and mixed, whatsoever and wheresoever situated, into cash as soon as practicable after my death, and -"'-. ~) divide the net proceeds (after payment of all accounts under Item first above and all taxes occasioned by my death) into six (6) equal parts, which parts I give and bequeath as follows: A. One (1) such part unto my step-daughter, namely, GAIL K. HUGHES, if she survives me. B. One (1) such part unto my step-grandson, namely, DAVID C. HUGHES, ifhe survives me; C. One (1) such part unto my step-granddaughter, namely, CYNTHIA H. MOEHLE, if she survives me; D. One (1) such part unto my step-granddaughter, namely, KAREN M, HUGHES, if she survives me; LAW OFFICES SNELBAKER. E. One (1) such part unto my step-great-granddaughter, namely, .. f ~ if . F. One (1) such part unto my step-great-grandson, namely, ROBERT C. MOEHLE, if he survives me, but subject to the protective provisions of Item Third hereinbelow ifhe has not attained the age of twenty-three (23) years at the time of my death. If any of said beneficiaries should predecease me, I order and direct that the bequest to such deceased beneficiary shall lapse without substitution of issue, and the residue of my Estate shall be divided equally among and distributed unto the named beneficiaries who survive me. THIRD: If the said ROBERT C. MOEHLE has not attained the age of \;'j twenty-three (23) years at the time of my death, I order and direct that his " " distributive share hereunder shall be delivered and paid over to his mother, CYNTHIA H. MOEHLE, IN TRUST, NEVERTHELESS, as my testamentary trustee, to hold, manage, invest, accumulate income and reinvest for the benefit of ROBERT C. MOEHLE until he attains the age of twenty-three (23) years, at which latter time said trust shall be terminated and the assets thereof distributed to ROBERT C. MOEHLE, absolutely. During said trust, neither the beneficiary nor his creditors shall have any right to obtain or use any of the assets of said trust, it being my intention to create a spendthrift trust which prohibits the beneficiary's assignment of any interest in the trust and prevents a creditor or attempted assignee from obtaining said assets prior to termination of the trust and distribution of assets to the beneficiary. I authorize and empower the trustee to invest the assets hereunder as a reasonable and prudent investor and not be limite< to statutory 01' so-called "legal investments" for fiduciaries. LASTLY: I nominate, constitute and appoint my step-granddaughter, . c. " .. cease so to serve, then and in that event, I nominate, constitute and appoint my other step-granddaughter, namely, CYNTHIA H. MOEHLE, to be the Executrix hereof, each and both to serve without bond or other security as a condition of qualification hereunder. IN WITNESS WHEREOF, I, JANE C. KIDD, have hereunto set my hand and seal to this, my Last Will and Testament, which consists of three (3) typewritten pages to each of which I have affixed my signature this LJ ~ day of February, A.D., Two Thousand (2000). /() rl-~L-- f!. ~dd--/ C!Jane C. Kidd (SEAL) The preceding instrument, consisting of this and two (2) other typewritten pages, each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by JANE C. KIDD, the Testatrix therein na,med, as and for her Last Will and Te~tament, in the presence of us, who, at her request, in her presence and :in the presence of each other, have subscribed our names as witnesses hereto. ~ ' ~' ,-dk--. +-- g~~ o ,.' t' :. .. C0M1\10NWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) We, JANE C. KIDD, RICHARD C. SNELBAKER and JANE J. COONEY, the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as a witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~V!.- a/cA...-/ _11, 0 (' .g-,r>'-<"'l d WitJ~s~ Subscribed, sworn to and acknowledged before me by JANE C. KIDD , the Testatrix, and subscribed and sworn to before me by RICHARD C. SNELBAKER . and JANE J. COONEY, the witnesses, this 4Jt.. day of February, 2000. -~~p~~ r NotarIal SAAr COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-961 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 005457 SNELBAKER RICHARD C 44 W MAIN STREET MECHANICSBURG, PA 17055 ACN ASSESSMENT CONTROL NUMBER AMOUNT __u_h_ fold 101 $92.99 ESTATE INFORMATION: SSN: 185-26-0750 FILE NUMBER: 2104-0864 DECEDENT NAME: KIDD JANE C DATE OF PAYMENT: 06/20/2005 POSTMARK DATE: 06/20/2005 COUNTY: CUMBERLAND DATE OF DEATH: 09/16/2004 TOTAL AMOUNT PAID: $92.99 REMARKS: CHECK# 126 SEAL INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX 09-05-2005 KIDD 09-16-2004 21 04-0864 CUMBERLAND 101 APPEAL DATE: 11-04-2005 ( See reverse side under Objections) Amourrt Rami tted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE _ RETAIN LOWER PORTION FOR YOUR RECORDS +- REv:is4;-Ei-AFP"c03:osj-NoTIcE-OF-INHERITANCE-TAi-APPRAISEMENT:-ALLOWANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JANE C FILE NO. 21 04-0864 ACN 101 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN BUREAU OF INDIVIoU;IlOOfiO::D ['[[ICE U INHERITANCE TAX DIVISION,_,':"_,--.-,.: , ..--' -- " ' to, PO BOX 280601 . HARRISBURG PA 17128-0601- "nf'\':" ('\.I"""l""\ 2 [.YD 0C.t - - Pil \2: II CU:T~\< CF O";e I" ' RICHARD ~SNELBAKER '-, SNELBAKER & BRENNEMAN 44 W MAIN ST MECHANICSBURG PA 17055 ESTATE OF KIDD *' REY-lS47 EX AFP (06-051 JANE C TAX RETURN WAS: (X) ACCEPTED AS FILED DATE 09-05-2005 ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l Estate (Schedule A) 2. Stocks end Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest [Schedule C) ct. Mortgages/Notes Receivable (Schedule DJ S. CashIBank Deposits/Misc. Personal Property {Schedule EJ 6. .Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) 60,500.00 245.254.91 .00 .00 125.873.82 .00 38.042.21 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule ~) 14. Net Value of Estate Subject to Tax I~ an assessment was issued previously, lines 14, 15 and,or 16, 17, 18 and 19 will reflect ~igures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: IS. Anount of Line 14 at Spousal rate (IS) 16. A.ount of Line 14 taxable at Lineal/Class A rate (16) 17. AMount of Line 14 at Sibling rate (17) 18. A.ount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax DUB D NOTE: TA NUIIBER CD004700 CD005457 REFUND INTEREST/PEN PAID Ie) 921.05 .03- .00 + DATE 12-06-2004 06-20-2005 08-29-2005 (9) (10) 49,566.08 9.705.03 (11) (12) (13) (14) .00 X 410,399.83 X .00 X .00 X 00 = 045 = 12 = 15 = AHOUNT PAID 17,500.00 92.99 46.02- ~ TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE NOTE: To insure proper credit to your account, subnit the upper portion of this for. with your tax paYllent. 469,670.94 I;Q ?71 11 410,399.83 .00 410,399.83 (19)= .00 18,467.99 .00 .00 18,467.99 18,467.99 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. iF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY 8E DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE [r:""0';<"',~~~T~NCE TAX 'u.'SyA"rl;iiIIEft,lTOF ACCOUNT REV-1607 EX AFP (03-05) [in; .1 n',~ I ,~ 1.~TE : . '::esTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 09-12-2005 KIDD 09-16-2004 21 04-0864 CUMBERLAND 101 JANE C I,: RICHARD C SNELBAKER SNELBAKER & BRENNEMAN 44 W MAIN ST MECHANICSBURG PA 17055 {-.,; Allount Reali tted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR RECORDS +- --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) ~~~ INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF KIDD JANE C FILE NO.21 04-0864 ACN 101 DATE 09-12-2005 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 08-29-2005 PRINCIPAL TAX DUE: 18,467.99 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-06-2004 CD004700 921. 05 17,500.00 06-20-2005 CD005457 .03- 92.99 08-29-2005 REFUND .00 46.02- TOTAL TAX CREDIT 18,467.99 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J CJV\ 11 . ESTATE NO 21-04-0864 FIRST AND FINAL ACCOUNT AND STATEMENT OF PROPOSED DISTRIBUTION OF AND BY KAREN M. HUGHES, EXECUTRIX OF THE ESTATE AND UNDER THE LAST WILL AND TESTAMENT OF JANE C. KIDD, DECEASED, LATE OF MECHANICSBURG BOROUGH CUMBERLAND COUNTY, PENNSYLVANIA Karen M. Hughes, Executrix as aforesaid and Accountant herein, avers as follows: DATE OF DECEDENT'S DEATH: September 16, 2004 ".) DATE LETTERS TESTAMENTARY ISSUED: September 22, 2004 : ....~. '. . '.. DATES EXECUTRIX NOTICE ADVERTISED: Cumberland Law Journal October 1, 8, 15, 2004 I Patriot-News Co. September 28, October 5,12,2004 ; ; . , ~~; FIRST AND FINAL ACCOUNT , .. ,'.,-'j .,:,: , . . , W i PERSONALTY - PRINCIPAL ACCOUNT DEBITS The Accountant charges herself with the receipt of the Decedent's personalty, goods and chattels as set forth in her inventory heretofore filed in the amount of: $ 383,153.66 The Accountant charges herself with the following additional receipts: 1. United States Treasury, civil service benefit 1,698.00 2. MetLife, life insurance proceeds policy #680336437MS 4,224.03 3. Office of Borough of Mount Union, reimbursement for prepaid grave opening certificate 350.00 4. American United Life (AUL), life insurance proceeds, policy # 01605160380 1,238.31 5. Office of Federal Employees Group Life Insurance, life insurance proceeds 6,265.67 6. Commonwealth of Pennsylvania, refund on Inheritance Tax 46.02 TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, DEBITS: $ 396,975.69 PERSONALTY - PRINCIPAL ACCOUNT CREDITS The Accountant claims credit for the payment of the following items from Decedent's Personalty Account: 1. Citizens Bank, checking account #6100701360, check #122 written by Decedent $ 10.00 2. Robert D. Heath Funeral Home, Inc., funeral services 6,049.49 3. First Commonwealth Financial Corp., loss on sale of stock 1,151.56 4. Prime Vest Financial Services, commission and fees on sale of First Commonwealth 401.85 Financial Corp. stock 5. Comcast, cable TV service 84.4 7 6. Verizon, phone service 96.75 7. Dave Kreamer Coins & Currency, coin appraisal 25.00 8. Bricker's Auction, commission and expenses on sale of household goods 2,600.00 9. Citizens Bank, refund Civil Service payment received in error 1,698.00 LAW OFFICES 10. Register of Wills, Agent, estimated tax payment 17,500.00 SNEL8AKER & 11. Register of Wills, certified copy of Will 5.00 BRENNEMAN, P.C. 12. Register of Wills, Young County, Texas, probate fee 17.00 13. George K. Shahinian, medical services 68.55 Page 1 ~~ 11 14. Register of Wills, Agent, Inheritance Tax 92.99 15. Register of Wills, filing fee for Inheritance Tax Return 15.00 16. Loss on sale of Ladies Diamond ring 500.00 17. Register of Wills, additional probate fee 140.00 Items to be paid subsequent to confirmation of Final Accounting: 18. Karen M. Hughes, Executrix Commission 22,180.00 19. Snelbaker & Brenneman, P .C., attorney services 15,341.34 20. Snelbaker & Brenneman, P.C., costs advanced: 472.60 a. Register of Wills, probate fee 231.00 b. Cumberland Law Journal, advertising Executrix Notice 75.00 c. Patriot-News, advertising Executrix Notice 121.60 d. Register of Wills, short certificates 45.00 21. Reserve for filing fees, accounting fees and other miscellaneous costs associated 1,500.00 with the administration of Decedent's estate 1 TOTAL, PERSONALTY, PRINCIPAL ACCOUNT, CREDITS: 169,949,60 PERSONALTY - INCOME ACCOUNT DEBITS , i 1 The Accountant charges herself with the receipt of the following I Income from the investment of Personalty Principal: ! 1. United States Treasury, savings bond, interest $' 64.60 2. Omega Bank, checking account #3008815, interest 0.76 3. First Commonwealth Bank, savings account #0202109288, interest 1.97 4. Citizens Bank, checking account #61 00707512, interest 24.19 5. Citizens Bank, checking account #61 00701360, interest 12.31 6. Citizens Investment Services, account #57534248, interest 457.25 7. Citizens Bank, Certificate of Deposit # 6140-845173 & 6140-873541 , interest 141.15 8. Members First Federal Credit Union, savings account #3221-00, interest 0.38 9. First Commonwealth Financial Corp., stock dividend 1,201.28 10. New York Life Insurance Company, annuity contract #SC187056, interest 38.05 11. Omega Bank, estate account, interest 375.09 TOTAL, PERSONALTY, INCOME ACCOUNT, DEBITS: $ 2,317.03 PERSONALTY - INCOME ACCOUNT CREDITS The Accountant claims credit for the payment of the following items from the Personalty Principal Account: 1. H&R Block, preparation of 2004 Individual Income Taxes $1 225.00 2. PA Department of Revenue, 2004 Individual Income Tax I 209.00 3. Internal Revenue Service, 2004 Individual Income Tax ~ 9,061.00 TOTAL, PERSONALTY, INCOME ACCOUNT, CREDITS: 9,495.00 I I I REAL ESTATE - PRINCIPAL ACCOUNT I i DEBITS The Accountant charges herself with the receipt of Decedent's Real Estate as set forth in her Inventory heretofore filed in the LAW OFFICES amount of: $ 60,500.00 SNELBAKER & The Accountant charges herself with the following additional receipts: BRENNEMAN, P.C. 1. Adjustments made at settlement for sewer, county and school taxes 754.43 TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, DEBITS: $ 61,254.43 Page 2 II REAL ESTATE - PRINCIPAL ACCOUNT CREDITS The Accountant claims credit for the payment of the following items from Real Estate Principal Account: 1. UGI Utilities, Inc., gas service $ 59.39 2. United Water, water service 54.38 3. PPL Electric, electric service 82.06 4. Trugreen, lawn service 62.54 5. Leffler Energy, heating oil 167.58 6. Charges associated with the sale of property, as follows: 714.82 a. Transfer tax 605.00 I b. Sewer charges 107.82 c. Tax certification fee 2.00 I I 7. L.G. Connor Real Estate, real estate appraisal ! 300.00 8. Robert Haring, garbage removal from property I 390.00 TOTAL, REAL ESTATE, PRINCIPAL ACCOUNT, CREDITS: $ 1,830.77 REAL ESTATE -INCOME ACCOUNT DEBITS ! I The Accountant charges herself with the receipt of the income from the investment of Real Estate Principal Account: $ NONE TOTAL, REAL ESTATE, INCOME ACCOUNT, DEBITS: $ NONE REAL ESTATE -INCOME ACCOUNT CREDITS The Accountant claims credit for the payment of the following items From the Real Estate Income Account: $ NONE TOTAL, REAL ESTATE, INCOME ACCOUNT, CREDITS: $ NONE LAW OFFICES SNELBAKER & BRENNEMAN. P.C. Page 3 LAW OFFICES SNELBAKER & BRENNEMAN, P.C. PERSONALTY: PRINCIPAL ACCOUNT: Debits Credits Balance INCOME ACCOUNT: Debits Credits Balance TOTAL PERSONALTY REAL ESTATE: PRINCIPAL ACCOUNT: Debits Credits Balance INCOME ACCOUNT: Debits Credits Balance TOTAL REAL ESTATE: TOTAL FOR DISTRIBUTION: RECAPITULATION Page 4 $ $ 396,975.69 69,949.60 $ $ 2,317.03 9,495.00 $ $ 61,254.43 1,830.77 $ NONE $ NONE $ 327,026.09 $ (7,177.97) $ 59,423.66 $ NONE IT $ 319,848.12 $ 59,423.66 I ~ 379,271.78 I I LAW OFFICES SNELBAKER & BRENNEMAN. P.C. COMMONWEALTH OF PENNSYLVANIA COUNTY OF II U /7 't,< --? C7' cJo :") (v Karen M. Hughes. Executrix, being duly sworn according to law 55. deposes and says: that she is the Executrix of the Estate and under the Last Will and Testament of Jane C. Kidd, Deceased; that she is the Accountant herein; that the foregoing is a true and complete accounting of her administration of said Estate; that the attached list or schedule [*] contains the names, addresses and amounts due unpaid creditors who have given proper notice of their claims; that the attached list or schedule [**] contains the names and addresses of all persons interested in the distribution of said Estate; and that the facts set forth herein are true and correct to the best of her knowledge, information and belief. Sworn to and subscribed before me this g- day of 0 oh u-- 2005 /,,/"7 State of PA. County ofHl.m,titlgdon Subscribe.P and $.wornbefore me.this~day of {)Gt; 20~: ~ ~ e:c: NOTARIAL SEAL BETTY J. GRISSINGER, NOTARY PUBLIC HUNTINGDON BORG, HUNTINGDON CO., PA MY COMMISSION EXPIRES OCT 28 2007 Page 5 LAW OFFICES SNELBAKER & BRENNEMAN, P.C. * UNPAID CREDITORS: II NONE ** PERSONS INTERESTED IN DISTRIBUTION OF ESTATE: 1. Gail K. Hughes 9 South Shaver Street Mt. Union, PA 17066 2. David C. Hughes P.O. Box 786 Verona, VA 24482 3. Cynthia H. Moehle 1111 Post Oak Wichita, KS 67206 4. Karen M. Hughes 836 Washington Street Huntingdon, PA 16652 5. Heather H. Pierre 783 Fern Lane Chambersburg, PA 17201 6. Cynthia H. Moehle in Trust for Robert C. Moehle 1111 Post Oak Wichita, KS 67206 Page 6 II STATEMENT OF PROPOSED DISTRIBUTION Karen M. Hughes, Executrix and Accountant herein, proposes to distribute the balance of the Estate of Jane C. Kidd, Deceased, to wit: $379,271.78 in accordance with the Last Will and Testament of said Decedent as follows: 1. Gail K. Hughes $ 63,211.96 1/6 of residue as per Item 2A of Will 63,182.80 1/6 of Graham Oil Transports LLC, cusenbary lease in oil well 29.16 in Texas, In-Kind 2. David C. Hughes $ 63,211.96 1/6 of residue as per Item 2B of Will 63,182.80 1/6 of Graham Oil Transports LLC, cusenbary lease in oil well 29.16 in Texas, In-Kind 3. Cynthia H. Moehle $ 63,211.97 1/6 of residue as per Item 2C of Will 63,182.80 1/6 of Graham Oil Transports LLC, cusenbary lease in oil well 29.17 in Texas, In-Kind 4. Karen M. Hughes $ 63,211.97 1/6 of residue as per Item 20 of Will 63,182.80 1/6 of Graham Oil Transports LLC, cuse.,bary lease in oil well 29.17 in Texas, In-Kind 5. Heather H. Pierre $ 63,211.96 1/6 of residue as per Item 2E of Will 63182.79 1/6 of Graham Oil Transports LLC, cusenbary lease in oil well 29.17 in Texas, In-Kind 6. Cynthia H. Moehle in Trust for ~obert C Moehle $ 63,211.96 1/6 of residue as per Item 2F of Will 63,182.79 1/6 of Graham Oil Transports LLC, cusenbary lease in oil well 29.17 in Texas, In-Kind To be held in Trust until the age of 23 per Item Third of Will TOTAL DISTRIBUTION: $ 379,271.78 LAW OFFICES SNELBAKER & BRENNEMAN. P.C. Page 7 I \ I I . I i COMMONWEALTH OF PENNSYLVANIA ) /I U /It //7 ~ r! O~7 55. COUNTY OF ) Karen M. Hughes, being duly sworn according to law, deposes and says that the facts set forth in the foregoing Statement of Proposed Distribution are true and correct to the best of her knowledge, information and belief. ~~ In IJ.t.~ 11~/),-" Karen M. Hughes, Execli!tix Sworn to and subscribed before me this gWlday of OUCJ,ku.,- 2005 I ~~~ . ~ State of PA. County of Huntingdon Subscribed and Sworn before me this-L-day ofOc.L 20~: ~~'- NOTARIAL SEAL BETTY 1. GRISSINGER, NOTARY PUBLIC HUNTINGDON BORa, HUNTINGDON co., PA MY COMMISSION EXPIRES OCT 28 2007 \ LAW OFFICES SNELBAKER & BRENNEMAN. P.C. Page 8 I i COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND l J ss: Karen M. Hughes according to law, deposes and says that she , ~ thE> F.xprntrix J C Kidd of the Estate of ane. late of __~:chani:_sbu~__~_<:.:_ough , Cumberland County, Pa., deceased aad that the 'th" . t d b Karen M. Hughes th 'd Executrix WI In IS an Inven ory ma e y . __ _ 'f e sal of the entire estate of said decedent, consisting of all the personal prop~rty and real estate, except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. being duly sworn ~ ~L , ~ Ivt, A.,...., ~.~ Executor ministrlltor Karen M. Hughes, Executr~x 836 Washington Street Hunt~ngdon, ~A 166)L Sworn and subscribed before me, ~ 2005 NOTARIAL SEAL BETTY J. GRISSINGER, NOTARY PUBLIC HUNTINGDON BORO, HUNTINGDON CO., PA MY COMMISSION EXPIRES OCT 28 2007 16th Address OilY September Month 2004 Date of Death Yellr INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. ... State of PA. County of Huntingdon Subscribed and Sworn before me this--.&...day of OLJ5 205 ..c: Q) Ol) ~ ::l 'M 0 ::l H 0< 0 (Jl >- I'Q -0 1Xl "0 CIl I- W "0 Ol) '" e::: I- ", " .-t >- W -<( OH ~ CD ~ '" e::: Q.. I- ~ ::l u Q) 00 0 V1 .0 CD CIl ~ 0 0 w w UJ 0 C\ Cll I :r: e::: u u ~.o J- Q.. .-t I- ..J L1. 'H ", .-l 0 Z -<( 0 Q) s:: Q.. Q) I L1. ...J s:: Cll w w s:: .-l 0 -<( ell ..c: .;.. rf.J N > Z c:: " u - Z 0 (]) c: 0 4-l ;:E: :::l U V1 Z 0 0 e::: 0 () z w -<: .... '0 Q.. (]) -0 H +J c: 11:1 ell ", ..c: +J - -;: u (Jl 0 CD or-( 1Xli -0 "'tl ~ ~ I CD E 0 0+- CIl I ~- :::l 0 I () u: a:l Inventory of the real and personal estate of JANE C. KIDD, Deceased PERSONAL TV: 1. Citizens Investment Services, account #57534248 $ 2 First Commonwealth Financial Corp., 7,508 shares of common stock valued at $14.00 per share 3. United States Savings Bonds, 408 savings bonds consisting of EE and E bonds 4. Citizens Bank, checking account #6100701360 5. Citizens Bank, checking account #6100707512 6. Citizens Bank, Certificate of Deposit, #6140-845173 7. Citizens Bank, Certificate of Deposit, #6140-873541 8. Coins consisting of 6 Indian Head Quarters, 1 "1865" nickel and 1 "1932" quarter, sale value 9. Conseco Senior Health, refund unearned premium on policy #606847 10. First Commonwealth, savings account #0202109288 11. Graham Oil Transports LLC, .0018311 % cusenbary lease in oil well in Texas 12. Highmark Insurance, refund unearned premium on health insurance 13. Household goods sold via public auction 14. Ladies Diamond ring, appraised value 15. Mechanicsburg Minute Men Color Guard, raffle winnings due Decedent 16. Members First Federal Credit Union, savings account #3221-00 17. Omega Bank, savings account #3008815 . .. . 18. Stonebridge Life Insurance Company, refund unearned premium, policy #82AI<.6J2838 _ 19. The Patriot-News, refund on subscription service"' 20. The Sentinel, refund on subscription service 21. U.S. Treasury, death benefit from civil service retirement & disability fund 22. New York Life Insurance Company, annuity, contract #SC187056 TOTAL PERSONALTY: $ REAL ESTATE: 1. House and lot numbered as 423 South High Street, Mechanicsburg Borough Cumberland County, Mechanicsburg, PA 17055 TOTAL PERSONALTY AND REAL ESTATE: :;- 81,245.43 105,112.00 58,897.48 14,827.47 29,497.30 39,527.95 15,205.30 750.00 81.81 10,283.31 175.00 275.43 8,644.00 600.00 50.00 633.31 4,208.44 9.23 59.66 43.48 1,002.13 12,024.93 383,153.66 $ .60,50Q.OQ "". ,~: $ 443,653.66 l_~ ~' en o II I II II II. z II ZZO-.:t Or:aH'" ;:;::~CI.lOO ;:0:: HO o ~::> I U:><H-.:t HOO ~Z I OpH""" OIX:N HUP IX: 0 pOU" OZ 0 Uj7nZ r:aIX:Zr:a ::t:r:a<!jH Hp::j::rl<!j zS~~ HUOr:a ~<!j OH Z I ::e ~ r:aH H:>< ~CI.l Z .c 00 ;i o H o i:Cl A o 00 H H ~ ;i .D . CIl :>, O().\.J 'M !::: r:a r:: ;i Z tU 0 <!j.cOtU "U 'M Q) '\j !::: Ll-I ::E: !::: tU o td:> Ll-I .-I .-I Q)Ol-l:>' .\.J Q) CIl tU Q).o !::: .\.J .\.J S !::: CIl C!l ::l Q) r:aHO~ ~ "< ;.~ >,;" -g; ., i , ,,%...~ }4 ~ ~ ,:: 1t . ..:'~ g ! '~ ~ :; ~~0\1 ,t;,;.;....,.. - ~ Ill:" """" """"~ ....... 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Z 1~ z ~ '..Li Z Z - .... ~' ..... z '" ," :i p:) C8 :i ..Li ~ < cD ....J (..l...! Z Vl z c ,~ ::~ - :: '<, -= J. :::: .... .... Register of Wills of Cumberland County / /: STATUS REPORT UNDER RULE 6.12 Name of Decedent: Jane C. Kidd Date of Death: September 16, 2004 Estate No.: 21-04-0864 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: . Yes ~ No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration wilI.be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0C No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes 0 No 0 Date: c. P.C. Address (717) 697-8528 Telephone No. Capacity: 0 Personal Representative gCounsel for personal representative ~