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HomeMy WebLinkAbout03-20-121505611185 REV-1500 EX (02-11)(FI) PA Department of Revenue OFFlCUIL USE ONLY Bureau of Individual Taxes County Code Year File Number Po eox 2eosot INHERITANCE TAX RETURN 21 11 0 0 7 8 6 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 201-16-1893 06252011 01151924 Decedent's Last Name Suffix Decedent's First Name MI COLLINS RUTH K (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name M I Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE - - REGISTER OF WILLS FILL IN APPROPRWTE BOXES BELOW ® 1. Original Retum ^ 2. Supplemental Retum ^ 3. Remainder Retum (Date of Death ^ 4. Limited Estate ^ 4a. Future Interest Compromise (date of ^ Prlorto 12-13-82) 5. Federal Estate Tax Retum Required ® 6. Decedent Died Testate ^ death after 12-12-82) 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe De o it B (Attach .Copy of Will) (Attach Copy of Trust.) p s ones ^ 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 Schedule O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number CHARLES R• NEBEL JR• CPA 717-249-3414 ~, First Line of Address BOYER 8 RITTER CPAS Second Line of Address 141 WEST HIGH STREET City or Post Office State ZIP Code CARLISLE PA 17013 correspondent's e-mail address: C N E B E L a B R C P A• C O M REGISTER OF IML~ ONLY f --a S ~ 5~ rTt rya r„ri ~ Cr ~~; ~-f:I~~ ; --, ~ ,- `rJ -1 .. DATE FLL.ED Under penalties of pery'ury, I declare that 1 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 proparor other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETUR ~ ~ DATE BARBARA C• OYLER, EXECUTRIX ~~ ~~~ ADDRESs 1550 LONGS GAP ROAD CARL SLE, PA 17013 SIGNATU OF PREP OTHER THAN REP ATIVE TE ~~ ~~ ~ /~~ ADDF2E~S ~ - BOYER 8 RITTER CPAS, 141 W• HIGH ST CARLISLE, PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 1505611185 OM46473.000 1505611185 r',~ , <' -~ t -; ~-r, _z.a r` ~_, ._ t' ~ ~ L.` J t~~ '~ Estate of RUTH K. COLLINS Executors (Page 1) Name Barbara C. Oyler Address 1550 Longs Gap Road Carlisle, PA 17013- Tax ID 185-38-9462 201-16-1893 1505611285 REV-1500 IX (FI) Decedent's Social Security Number 201-16-1893 o~ceder,rs Name: C O L L T N S RUT H K RECAPITULATION 1. Real Estate (Schedule A) ......... . 1. 16 0 , 0 0 0.0 0 2. stocks and Bands (Schedule B} ........ . 2. 4 2 2 , 9 31.0 0 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Sd~edule C) , g. 0 • 0 0 4. Mortgages and Notes Receivable (Schedule D) 4 216 , 9 3 2.0 0 5. Cash, Bank Deposits and Misc~laneous Persona- Property (Schedule E) 5. 19 4 , 9 6 3.0 0 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested g. 2 , 5 2 7.0 0 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Properly (Schedule G) ~ Separate Billing Requested .. .. 7. 2.2 4 , 5 4 2.0 0 8. Total Gross Assets (total Lines 1 through 7) 8 1, 2 21, B 9 5.0 0 9. Funeral Expenses and Administrative Costs (Schedule H). .. ... 9. 2 3 , 4 3 9.0 0 10. Debts of Decedent, Mortgage Liabilities, and Liens (Sd~edule I) , 10. 41, 0 0 0.0 0 11. Total Deductions (total Lines 9 and 10) , 11 6 4 , 4 3 9 • 0 0 12. Net Value of Estate (Line 8 minus Line 11) , 12, 1,15 7 , 4 5 6.0 0 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) , , 13 0 • 0 0 14. Net Value Subject to Tax (Line 12 minus Line 13) , 14 ], ,15 7 , 4 5 6.0 0 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or " transfers under Sec. 9116 0.00 16. Amount of Line 14 le at lineal ratex o 4 . 1,157, 456.00 1s. 52, 086.00 17. Amount of Line 14 taxable at sibling rate X .12 0. 0 0 17 0. 0 0 18. Amount of Line 14 taxable at collateral rate x .15 0.0 0 i 8 0.0 0 19. TAX DUE . .. 1s. 52, 086.00 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505611285 ~ 1505611285 J OM4648 3.000 REV 1500 EX (Fq Page 3 Decedenit's Cnimnletn erlrlrocc• File Number +'+~ uu ~ uo DECEDENTS NAME CO S UTH K sTREErADDRESs CffY STATE ZIP N W MB A PA 17070- Tax Payments and Credits: 1. Tax Due (Page 2, une 1 s) (1) 5 2 , 0 8 6.0 0 2. Credits/Payments A. Prior Payments 3 6 0 0 0. 0 0 B. Discount 1, 8 9 5.0 0 Total Credits (A + B) (2) 3 7 , 8 9 5.0 0 3. Interest (3) 0.0 0 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. (4) ~ , 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 14 ,191.0 0 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 properly transferred ... ..... .. ..... .. ... .... ^ 0 b. retain the right to designate who shall use the property transferred or its income .... .... ^ 0 c. retain a reversionary interest .. ..... .. .. .. .. ^ d. receive the promise for life of either paymerrts, benefds or care? .. ..... .. .. ... .... ^ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ..... .. .... .... ^ 0 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ^ 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 FN.E IT AS PART OF THE RETURN. Far 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 use 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 ar for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even 'd the surviving spouse is the only beneficiary. For dates of death on or after Juy 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 deodent's lineal benefiaaries is 4.5 percent, excxpt as noted in [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. OM4671 2.000 REV-1502 EX+ (01-10) Pennsylvania [JEPARihBJr ClF REVENUE INFEPoTANCE TAX RETURN RESIOENfOECEDENi SCHEDULE A REAL ESTATE ESTATE OF: FILE NUN~ER: RUTH K. COLLINS 21 1100786 AI I real property owned solely or as a tenant In common m ust 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 ar sell, both havng remsonable knowledge of the relevant facts. Real properly that Is joiritlyowned with right of survivorship must be disclosed on Schedule F. awasss z.ooo If more space is needed, use additional sheets of paper of the same size. REV-1503 EX + (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS ~ BONDS INHERffANCE TAX RETURN RESIDBJT DECEDENT ESTATE OF FILE NUMBER RUTH K. COLLINS 21 11 00786 All property jointly-owned with right ~ survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION ~ DEATH 1 .10 Shares Met Life Stock at $41.02/share 410 2 4,399.277 Shares Prudential National Muni FD C1 C, Prudential Acct 30959258 (Acct Stmt Attached, Exhibit B)at $14.57/share 64,097 3 239 Shares Banco Santander (Account Stmt - Exhibit D) at $10.68/sh 2,553 4 316 Shares Prudential Financial, Inc. (Acct Stmt - Exhibit C) at $59.73/share 18,875 5 354 Shares Principal Financial Group per statement (Exhibit N) at $29.09/share 10,298 6 36 aeries EE US Savings Bonds, $200 face value, issue dates B/1984 through 4/1985, per attached list (Exhibit E) 3,600 Interest accrued to 06/25/2011 10,731 7 33 Series EE US Savings Bonds, $200 Face value, issued 5/1988. through 1/1989 per attached list (Exhibit F) 3,300 Interest accrued to 06/25/2011 6,900 8 33 Series EE US Savings Bonds, $200 Face value, issued 12/1982 through 8/1984 and 3 Series EE US Savings Bonds, $1,000 Face value, issued 3/1984 through 5/1984 per attached list (Exhibit G) 4,800 Interest accrued to 06/25/2011 14,932 9 45 Series EE US Savings Bonds, $200 Face value, issued 7/1987 through 5/1988 and 2 aeries EE US Savings Bonds, $100 Face value, issued 12/1987, per attached list (Exhibit H) 4,600 Interest accrued to 06/25/2011 10,023 10 46 Series EE US Savings Bonds, $200 face value, issued 8/1986 through 7/1987 per attached list (Exhibit I) 4,600 Interest accrued to 06/25/2011 10,936 Total from continuation schedules 252,276 TOTAL (Also enter on line 2, Recapitulation) $ 422 , 931 3waes6 i.ooo (If more space is needed, insert additional sheets of the same size) Estate of: RUTH K. COLLINS Schedule B (Page 2) Item No. Description 11 23 Series EE US Savings Bonds, $200 face value, issue dates 4/1985 through 9/1985 per attached list (Exhibit J) Interest accrued to 06/25/2011 12 47 Series EE US Savings Bonds, $200 Face value, issued 10/1985 through 8/1986 per attached list (Exhibit K) Interest accrued to 06/25/2011 13 it Series EE US Savings Bonds, $10,000 face value, issued 9/2002; 4 Series EE US Savings Bonds, $1,000 face value, issued 9/2002; and 12 Series EE US Savings Bonds, $5,000 face, issued 7/1991, per attached list (Exhibit L) Interest accrued to 06/25/2011 14 4 Series I US Savings Bonds, $10,000 face value, issued 10/2U01 through 6/2003 and 1 Series I US Savings Bond $5,000 face value dated 12/2001 per attached list (Exhibit M) Interest accrued to 06/25/2011 15 U.S. Treasury Note 3/4; yields .802; matures 11/30/11 (stmt attached - Exhibit O) Interest accrued to 06/25/2011 16 U.S. Treasury Note 5/8; yields .673$; matures 4/30/13 (stmt attached - Exhibit O) Interest accrued to 06/25/2011 21 11 00786 Value at Date of Death 2,300 6,655 4,700 13,132 87,000 69,773 45,000 20,714 2,000 1 1,000 1 Total (Carry forward to~main schedule) 252,276 REV-1507 EX + (698) CONIMONNIEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE D MORTGAGES ~ NOTES RECEIVABLE ESTATE OF FILE NUN~ER RUTH K. COLLIN$ 21 11 00786 All property JoiMiy-owned wflh rtght of survivorship must be disclosed on Schedule F. REM VALUE AT DATE NUMBER pE~RRlp7)ON OF DEATH 1 115,033.27 Par M J Explosives Inc. Demand Note dated October 9, 2009, with interest annually at 3.25 (Exhibit W) 115,033 Interest accrued to 06/25/2011 1,803 2 100,000 Par United Methodist Church Demand Loans: dtd 2/14/02 #15975 face $15,000; dtd 11/28/01 #15787 face $7,000; dtd 9/3/02 #16558 face $25,000; dtd 5/8/02 #16152 face $3,000; dtd 6/14/02 #16377 face $35,000; dtd 9/3/02 #16559 face $15,000 (copies attached, Exhibit X 100,000 Interest accrued to 06/25/2011 97 TOTAL (Also enter on line 4, Recapitulation) $ I 216 , 933 3w46AC 7.000 (If more spans is needed, insert additional sheets of same size) REV-1506 EX+ (11.10) Pennsylvania SCHEDULE E DEPARTHBJTOF REVENUE CASH, BANK DEPOSITS, ~ MISC. RESIDEPIr DECEDERETURN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: RUTH K. COLLINS 21 11 00786 Include the proceeds of litigation and the date the proceeds ware received by the estate. All ro ointl owned with ht of survivorshi must be discbaed on Schedule F. fTEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 . PNC CHECKING ACCOUNT #5140012428 (PER JUNE BANK STATEMENT ATTACHED, Exhibit P) 14,423 2 PNC MONEY MARKET ACCOUNT #5001608237 (per June Statement Attached Exhibit P) 80,238 Interest accrued to 06/25/2011 10 3 Personal Property - residence contents per inventory of executor, attached as Exhibit Q. 1,931 4 Automobile: 2004 Buick Century, 18000 miles, good contition, value per Kelly Blue Book, attached, Exhibit S' 7,990 5 Coin collection valued at proceeds of sale 3,935 6 Allstate Nursing Care Reimbursement Claim 950 7 Jewelry valued at sales proceeds 75 8 Cash i.n decedent's possession 382 9 Sovereign Bank Certificate of Deposit #775545585, valued at amount received when cashed 7/26/11, net of withdrawal penalty (see Exhibit T) 9,513 10 Sovereign Bank Certificate of Deposit #775546112 valued at amount received net of withdrawal penalty when cashed 7/26/11 (see exhibit T attached). 11,864 11 Susquehanna Bank Certificate of Deposit #10006351703, valued at amount received when cashed 7/26/11 (Exhibit U) 27,118 12 Susquehanna Bank Certificate of Deposit #10006351810, valued at amount received when cashed 7/26/11 (Exhibit V) 27,291 13 Allstate Refund Nursing Home Insurance Premium 89 14 Highmark Premium Refund 253 15 CNA LT Care Insurance Premium Refund 788 16 Hartford Auto Insurance Refund 656 Total from continuation schedules ~ eGn OW46AD 2.000 TOTAL (Also enter on line 5 Recap if more space is needed, use additional sheets of paper of the same sae. S 194,964 Estate of: RUTH K. COLLINS 21 11 00786 Schedule E (Page 2) Item Value at Date No. Description of Death 17 Patriot News Refund 270 18 CNA LT Care Insurance Claim payment 2,000 19 Legionnaire Insurance Premium refund 41 20 Medico Refund 22 21 Legionnaire Med Insurance Claim Payment 1,121 22 Legionnaire Med Insurance Claim Payment 60 23 CNA LT Care Insurance Claim Payment 3,523 24 PA Department of Revenue - refund receivable on final PA 40 427 Total (Carry forward to main schedule) 7,464 pennsyNania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-0WNED PROPERTY ESTATE OF: FILE NUMBER: RUTH K. COLLINS 21 11 00786 ff an asset became jolnUy owned wNhin one year of the decederR'a date of death, k must be reported on Schedule C: SURVNNG JO~ff TI3~WM'(S) N4A~S) AOOI7ESS I~ATiONSFPTO OEC®EIYf A Collins II, James J 21 Holly Street, Mt. Holly Springs, PA 17065 Son B Oyler, Barbara C 1550 Longs Gap Road, Carlisle, PA 17013 Daughter JOINTLY OWNED PROPERTY: RHN t~~~ LETTER Fg2JgN TENMIT LIATE T NW~E ,JQIP(~ INCLUDEHAMEaF iDNANYCCDIMNUIBERDNSMIAR IDENTIFYING NUNBER ATTACH DEED R]!t JCRRLY FELD REAL ESTATE. ~+TE~~ATM+ VALLE OF ASSET % aF $ 1JlHi~S'T onTE OF p64TH VALLEOF D~EOB~If S MJfHa=ST 1 BA 8/7/1964 Rolling Green Cemetery Lots, 4 lots valued per letter and deed (exhibit R); one joint owner, Robert Collins, predeceased decedent. 7,580 33.0000 2,527 TOTAL (Also enter on Line 6, Recapitulation) S 2 , 527 swasAE z.ooo ff more space is needed, use additional sheets of paper of the same size. REV-1510 EX + (Ot3-09) Pennsylvania DEPARTMENT OF REVENUE INF~WTANCE TAX RETURN RESIDENrDECEDENr SCHEDULE G INTER VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ~~' f" c ~ FILE NUAABER RUTH K. COLLINS 21 11 00786 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. ITEM NUMBS DESCRIP'T10N OF PROPERTY naz~nerrw~oFnetwv~sFe~,nsaaaanoreHProor~s-rtaro TFED47EOF7RN6F8tA7TMHA00PYOFTFEOffpFORpHVLEgrAiE, QATEOFDEATH VALUE OF ASSET °~60FDECD'S INTfftEST EXCLUSION FAPPIJCABLE TAXABLE VALUE 1• Prudential Annuity Contract #E0487386, death benefit paid equally to son and daughter, see Exhibit Y. 135,736 100.0000 0 135,736 2 Met Life Annuity Contract #OOOC1015890, death benefit paid equally to son and daughter (Exhibit 2) 4,444 100.0000 0 4 444 3 Union Central Annuity #3052234, son and daughter are equal beneficiaries of remaining guaranteed annuity payments, valued at present value at 2.25 Applicable Federal Midterm rate of remaining 42 monthly payments of $527.57 (Exhibit BB) 21,289 100.0000 0 21,289 4 Principal Financial Annuity #00070123, beneficiaries are son and daughter equally (Exhibit AA) 63,073 100.0000 0 63,073 TOTAL (Also enter on line 7, Recapitulation) $ 224 542 If more space is needed, use additional sheets of paper of the same size. 9W46AF 2.000 REV-1511 EX+(~o.os) SCHEDULE H Pennsylvania OEPAAT1uENrOF REVENUE FUNERAL EXPENSES AND N~EPoTANCETAXRETURN ADMINISTRATIVE COSTS RESOENroECEOEnrr ESTATE OF FILE NUMBER RUTH K. COLLINS 21 11 00786 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~. Rolling Green - Interment 1,195 2 Parthemore Funeral Home 9,689 Total from continuation schedules 337 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: 1, 500 3. Family Exemption: (If decedent's address is not the same as GaimanYs, attach e~lanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 854 5. Accountant Fees: 4,500 6. Tax Return Preparer Fees: 7. 1 PP&L - utilities on residence for sale (8 months) 191 2 Chapman Fuel Oil -heating oil for residence for sale (4 pmts) 2,020 Total from continuation schedules 3,153 9W48AG 2.000 TOTAL (Also enter on Line 9, Recapil If more space is needed, use additional sheets of paper of the same size. 23,439 Estate of: RUTH K. COLLINS 21 11 00786 Schedule H Part 1 (Page 2) Item No. Description Amount 3 Funeral Meal 337 Total (Carry forward to main schedule) 337 Estate of: RUTH K. COLLINS 21 11 00786 Schedule H Part 7 (Page 2) 3 New Cumberland Borough - water 6 sewer for residence for sale (3 quarterly pmts) 310 4 William Raves - mowing, leaves and snow removal, residence for sale (8 months) 700 5 PA American Water - utilities for residence for sale (8 months) 221 6 Bank Fees 42 7 Carpet Cleaning - prepare residence for sale 140 8 House washing - prepare residence for sale 150 9 Reserve for Final Income Tax Preparation 550 10 Reserve for Fiduciary Income Tax Return 450 11 Carlisle Sentinel - advertise grant of letters 190 12 Cumberland County Law Journal - advertise grant of letters 75 13 Baron ~ Associates - real estate appraisal 325 Total (Carry forward to main schedule) 3,153 REV-1512 EX+ (12-08) Pennsylvania OEPARThENiOF REVENUE INHERITANCE TAX RETURN RESS~1r oECEDEnrr SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES S LIENS ---. •. - -• r~~e nuaaserc RUTH K. COLLINS 21 11 00786 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 1• Bill Raves 210 2 PP6L 35 3 Continuing Care RX 331 4 Cumberland Crossing Nursing Home Expense 2,702 5 PA American Water 27 6 PEERS -repay portion of final retirement monthly payment 79 7 Internal Revenue Service -balance due on final income tax return of decedent 37,616 8W48AH 2.000 TOTAL (Also enter on Line 10 Recapitulation) ~ S 41 If more space is needed, insert additional sheets of the same size. REV-1513 EX+(01-10) Pennsylvania OEPMTbENI' OF REVENUE INHERRANCE TAX RETURN I'iESIDENT DECEDENT SCHEDULE J BENEFICIARIES is Iw I t car: FILE NUMBER: RTTTT7 TC f`AT.T.TNC n~ ~ ~ nn.vn~ NUMBER NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY RELATIONSHIP TO DECEDENT ~ Do Not List Trustee(s) ~ v AMOUNT OR SHARE OF ESTATE TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).) 1. Barbara C. Oyler 1550 Longs Gap Road Carlisle, PA 17013 1/2 of residue and 1/2 of all annuities Daughter 578 728 2 James J. Collins II 21 Holly Street Mt. Holly Springs, PA 17065 1/2 of Residue and 1/2 of all annuities Son 578,728 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 1 8 OF REV-1500 COVER SHEET, AS APP ROPRIATE. II NON-TAXABLE DISTRIBUT7ONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. awasAl 2.000 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTF If more space is needed, use i ON LINE 13 OF REV-1500 sheets of paper of the same SHEET. 0 003796-UWUilMnrch 1'., 199:ilC:NWP~4l.lU ~r~t 3~i11 ~n~ ~PStttxtcent OF RUTH K. COLLINS I, RUTH K. COLLINS, of the Borough of New Cumberland, County of Cumberland, and onwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills made by me. ARTICLE I I direct the payment of my legal debts and the expenses of my last illness and disposition of my from my estate as soon after my death as conveniently may be done. All of the foregoing shall be expenses of the administration of my estate. ARTICLE II I bequeath all of my tangible personal property (excluding cash or securities), together with any xisting insurance thereon, to my husband, ROBERT L. COLLINS, if he survives me for a period of thirty 30) days. If he does not so survive me, I bequeath said tangible personal property to my children, JAMES . COLLINS, II and BARBARA C. OYLER, to be divided between them in as nearly equal shares as e by my Executrix after giving due regard for their personal preferences. ARTICLE IU I devise and bequeath all of the residue of my estate to my husband, ROBERT L. COLLiNS, if he survives me for a period of thirty (30) days. If he does not so survive me, I devise and bequeath all of the residue of my estate in equal shazes to my children, JAMES J. COLLINS, lI and BARBARA C. 003796-OOOOI/March 13, 1993/CRWI24330 OYLER. Should any of my children have predeceased me, the share of such deceased child shall be distributed to his or her issue, per stirpes. In the event that a child of mine has predeceased me without leaving issue to survive, the share of such deceased child shall be distributed to my surviving child or the issue of any child who has predeceased me leaving issue to survive, per stirpes. ARTICLE IV I appoint my husband, ROBERT L. COLLINS, Executor of this my last Will, lin the event of his inability or unwillingness to act or continue to act as Executor, I appoint my daughter, BARBARA C. OYLER, Executrix. ARTICLE V I direct that my Executor, or his successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction in which they may be called upon to act, insofar as I am able by law to do so. IN WITNESS WHEREOF, I hereunto set my hand and seal this ~~day of May, 1993. ~~~ f~.. / C~ILLI,~ (SEAL) Ruth K. Collins Signed, sealed, published and declared by the above-named Testatrix 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 hereunto subscribed our names as witnesses. ,~ ~.y J~~il' ~ L / l.~ >~C~l~ i / Do3796-00001/I~larch 13, 1993/CRW/34330 ACKNOtiYLEDGEbIENT COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND , ~ I, Ruth K. Collins, Testatrix, whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Wiil and Testament; that I signed it willingly; and ttlat I signed it as my free and voluntary act for the purposes therein expressed. Ruth K. Collins Sworn or affirmed to and acknowledged before me, by Ruth K. Collins, the Testatrix, this ~L of May, 1993. i Notary Public 003796-00001/March 12, 1993/CRW/34330 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA 55: COUNTY OF CUMBERLAND . We, (~ ~ ~(~~ ~ ,U~ J(` D ~~ C~. and _~ J(~ ~.~~'~'~/ the witnesses whose names aze signed to the foregoing instrument, being duly qualified according ~ta law, do depose and say that we were present and saw the Testatrix sign and execute the foregoing instrument as her Last Will and Testament; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Wilt as witnesses; and that to the best of our knowledge, the Testatrix was at least I8 years of age, of sound mind and under na constraint or undue influence. ~~ il~fl1~0~1! Sworn to or affirmed to and subscribed to before me by ~. ~~r~~~ ~~~ ~'~' 4~~` ~!'P`~, and i ('`_~~ ~ ~ Q 14f _:LL! (~ ,witnesses, this ~ L day of May, 1993. T Notary Public Baron & Associa6es (717) 31&7032 tom: INVOICE Baron 8 Associates Real Estate Appraisers 449 Devon Road 11070201 MB Camp HNI, PA 17011 htvdce Dale: 7/8/2011 Tebphone Number: 717-315-7032 Faz Number. Due Dab: T0: IOrderN: Lender Case 8: Tim Holmes CIbMt~e~: Estate of Ruth Collins FHA/NA Case x, 757 Carol Street New Cumberland, PA 17070 Ysin FAe Monform: 11070201 MB E-Ibi: Olher Fib # on form: Tebphone Numbm: Fat Number. Federal Tax D: Almnek Number. Empbyer 0): Lender: Tim Holmes, Esq. CBertC Tim Holmes Purdlaeer/Borrower. N/A Properly Address: 757 Carol St Clly: New Cumberland County: Cumberland State: PA Zip: 17070-1422 Lagal DestxglBon: Cumberland Courdy Recorder of Deeds, Book 0013T ,Page 460 Residential Appraisal 325.00 SUBTOTAL ~ 325.00 CheckAr: Date: Desalpdon: Chedt#: Date: Description: Clteckdf: Date: Deatxiptlon: SUBTOTAL TOTAL DUE $ 32s.oo Farm NIV50 -'IMnTOTAL' appraisal software by a la mode, Inc. -1-800-ALAMODE EXHIBIT A I 7 # APPRAISAL OF REAL PROPERTY LOCATED AT: 757 Carol St Cumberland County Recorder of Deeds, Book 0013T ,Page 460 New Cumberland, PA 17070-1422 FOR: Tim Holmes, Esq. Estate of Ruth Collins 757 Carol Street New Cumberland, PA 17070 AS OF: June 25, 2011 BY: Mark A. Baron, Certfied Residential R.E. Appraiser Baron & Associates Real Estate Appraisers 449 Devon Road Camp HBI, PA 17011 Baron & Associates Q17) 315-7032 Portn fiA2 -'W'x~TOTAI' appraisal software by a b mode, Inc. -1-800-ALAMOOE 21 July 11, 2011 Tim Holmes, Esq., RE: Estate of Ruth K. Collins 757 Carol Street New Cumberland, PA 17070 Dear Sir. Pursuant to your request, I have prepared a Summary Appraisal Report for the property captioned in the "Summary of Salient Features" which follows. The accompanying report is based on a site inspedion of improvements, investigation of the subject neighborhood area of influence, and review of sales, cost and income data for similar properties. This appraisal has been made with particular attention paid to the applicable value influencing economic conditions and has been processed in accordance with nationally recognized appraisal guidelines. The retrospective market value condusion stated herein is as of the date of death of Ruth K. Collins, on June 25, 2011; as stated in the body of the appraisal and contingent upon the certifications and limiting conditions attached. The date of inspection was July 2, 2011. Please contact me, if 1 can be of additional service to you. Respectfully, Mark A. Baron PA Certified Residential Real Estate Appraiser f-am DCVR -'WinTOTAL• appraisal software by a la mode, inc. -1-800-ALAMODE Fi 1 1 SUMMARY OF SALIENT FEATURES Subject Addn:ss 757 Carol St Legal Descriptlon Cumberland County Recorder of Deeds, Book 0013T ,Page 460 City New Cumberland Coumy Cumberland State PA Lp Code 17070.1422 Census Tract 0107.00 Map Reference 25420 Sale Pdce E N/A Date of Sale N/A Client Tim Holmes Borrower N/A Size (Square Feet) 1,463 Price per square Foot E Location suburban Age 63 Years Okl Cond'Non Average !Fair Total Rooms 7 Bedrooms 3 Baths 2 Appraiser Mark A Baron, Certified Resbential R.E. Appraiser Date of Appraised Value June 25, 2011 Opidon of Value 3 160,000 Form SSD2 -'WInTOTAL• appraisal software by a b mode, Inc. -1-80aALAM00E Subject Photo Paae Gent Tim Holmes Address 757 Carol St C New Cumberland Ca Cumberland Spate PA L Code 17070-1422 Bosoww NIA Subject Front 757 Carol St Sales Price N/A Gross Living Area 1,463 Total Roans 7 7olal Bedroars 3 TatelBathrooms 2 Locatlan suburban IAew typical Site .26 acre Uualfty average / alumin. Age 63 Years Old Subject Rear Subject Street Fonn PICPDLSR -'WInTOTAI' appraisal software by a la mode, inc. -1-800-ALAMOOE Baron & Associates (717) 315-7032 t ~mcDmedouoe UNIFORM RESIDENTIAL APPRAISAL REPORT RkNo. 11D7ozolMe rTa Aaoress i5~ carol St C New Cumberland Stale PA ~ Code 17070-1422 Descd Cumberland Cou Recorder of Deeds Elook 0013T P e 460 Co Cumberland Assessor's Parcel Na. 26-23-0543-004 Tax Year 2011 R.E. Ta>es 3037 bi A~ N/A Borrower N/A Currert Owner ROBERT & RUTH COLLINS OC Owner Tenant Vacart Pro raised Fee SI b tsasehcid Pro' T PUD CandorrYntiltm A HOA N/A a Name New Cumberland Etoro 2nd Ward Rat 25420 sus T 0107.00 Sale Price N/A Data of Sak; N!A ura I d r fart Tim Holmes E Address ser Mark A. Baron Certified Residential R.E. I Address 449 Demo n Road Cam Hill PA 17011 La:ation Urban Suburban Rural PredomitSM Inoue Pneent lend are % Land use ctr~ge Built up ^ Over 15% ®25-75% ^ Under 25% ~(~pg) ors) One famiy 68 ®Not Ykety ^ Ukey trowth rate ^ Rapid ®Stable ^ Sbw ®Ownar 90 138 Low new 2.4 family 5 ^ In process Properly vakres ^ Incr~sfng ®Siable ^ Decirtng ^ Taart 750+ H h 100+ MuN-famiy 3 To: DenRnd/suppy ^ Shortage ®ln balance ^ Over soppy ®Yarad (O-5%) ~anl~ Commercial 11 Marlath time Uafar 3 mos. 3-6 mos. Ova 6 mos. r % 220 350 OVux 13 Rees: Race sad the racW eeratrogtlen of We aelRhbArood ors sot ap~rabal faeMrs. Neighborhood bourxlanes and characteistins: See attached bcation ma .New Cumberland Boro Factors that affect the markelaMity of the properVes N the ndphbortrood (proximity b employment and amenmes, empioymart stability, appeal to market, e6c.): The ne' hbortwod consists of a com 'ble mix of m 55 to 75 r okl detat~ed homes of va ual' .All amenities and ma'or traffic arteries are corweNent to the sub'ed ro . A Ecoromic social and cal area. Distance to amenities and necessities is avere .The are no known detrimental hborhood influencxas that woukl affect the sub'ects value or marketabil' avere a mix ands of residential dwell s boated in an avers sized suburban towns ' . Martmt conditlons in Uxi subject ndghborhood (InGuding support for the above carck>,slans related to the trend of property vaktes, demandlsuppty, and marketlng time - such as data on campetltive properties fa sale in Vie neighbortrood, descriptlon of the prevakxrce of sales and flnarxing cencessiars, etc.): The search of co tax records the ML.S service and information atirered from realbrs familiar with the sub'ecl's market indicate ricer to be stable. Mort funds are readil available from a vane of sources with conventional loans bean 4.51 % to 6.00% interest fixed 30 err mo a e to 3 intr. Sellers are not wired to offer sales or financi concessions however setter assistance is occurri Project hrtonrradorr for PODS ~ applicable) - - Is Ure devebperlbuilder in control of the Herne Owners' Associatlan (HOA)? Yes No Approximate total nrunbar of unUs in Ure subject project Approximate total nxlmbar of units for sak: in Ux: subject project Descdbe CdIlNtgrl elarrRds and rerxeational facilities: pmensiars BO' X 150' X 80 X 150' Topography level Site area .26 acres Comer Lot ^ Yes ®No Size average SpecVic zadng crossificatien and description R1A -Residential Shape radon ular Zortng congiance ®L~al ^ Legal rencerrforminp (Grandfathersd use) ^ Illegal ^ No zortng Drainage ors Ade wale a use Otlxx use lain New foal for the area U1Rtiea Pobic OVxa Off-aie knpmvemerds Type Pubic Pdvate Landscaping matureftvoical Electricity ® Street paved ® ^ Ddveway Surface macadam Gas ® Curb/gutler oorxxete curbs ® ^ Apparert easemerts Utiities Water ® SldewaYc concrete ® ^ FEMA Special Food Hazard Area ^ Yes ®No ~ananY s ® Street Ilghls present ® ^ FEMA Zone X Map pale 3!16/2009 Sbrm sewer Nane FEMA M No. 42041 C0282E Conxnlerds (apparent adverse easemems, encroachmerds, spatial assessmerts, side areas, illegal or legal nonx:orta mkg tuning use, etc.): Standard easements for utilities are resent which do not adverse! affect the site. There are ra known or a rent adverse easements encroachments or conditions n oted. GENERAL OESCRIPiION EXTERIOR LIESCPoPTION WUNDAiION 6ASELENT INSULATION No. df Udts 1 Faundatlan concrete block Slab none Area Sq. Ft 969 Roof ^ No. of Stories 1.5 Exterior Walls aluminum ! a . Crawl Space none % finished 50 Ceiirg ^ Type (Det./AtL) Detached Roof Surface shi b ! cod Basement full Cdirg taster Walls ^ Design (Style) Ca Cod Gutters & Dwnsp[s. aluminum / . Sump Pump none / fbor drain Walls anelin Fkxx ^ HdsUnyProposed E:dsti Window Type dMvin wdJa Dampness None observed Fbor asb.tlle None ^ Ape (Yrs.) 63 StonrVSaeens foal Selderrrent None observed Outside Ertry walk out door Unknown Eflectlve A rs. 20-25 Manufa House No trdestatlon None observed ROOLtS r tMn Did IOtchen Den Rm. Rec. Rm. Badroorts # Batls Laund Otl xs Area S . FL BasemRd 1 .5 X 969 Level 1 1 1 1 2 1 969 Level 2 1 1 1 494 Flrtstred area efrore a cartaire: 7 Roars 3 Bedroom s • 2 Bat h s ~ 1463 are ket of Gross LIN Area INTERIOR Maledals//Condtilon HEATING gTCHEN EQUIP. ATI1C AMENRIES CAR STORAGE: Fbors w file wood/a Type FWA Refrtgerata © None ^ Flrepbce(s) # 1 ® None ^ Walls art dw anal / a Fuel oil Rarge/Oven ® Stairs ^ Patlo ^ Gara e # f Tdm~Rdsh wood /a Canditlon averse Disposal ^ Drop Stab ^ Deck ^ g o cars Attached 1 car Bath Fbor file c t. ! a COaING Dishwasfxx ® Scuttle ® Porch enclosed ® Detached Bath Wainscot con. file / a Central CAC FarVHood ^ Fbor ^ Ferxx: wood ® Buih-In Doors foal / a OVrar Microwave ® Heated ^ Pool IG / Paor ® Carport 1 car CondVion avers Washer P Flnlstred Shed Drtvewa 1 car Additional features (spatial energy emciert ithms, etc.): foal to the market area. Condhion of the improvemens, depreciation (physical, functiorel, and artemal), repairs needed, quaily of construction, remodeingladditlons, etc.: There is no e~mic or functional obsobscerxx3. There are no ipl irua uacfes and no ma'or re irs are wired. The ual' of construction is rated as avers e. The roof a ors to be in cod condition with no evidence of k3aks on the interior. Kitchen a rs to be dated' ohfer liarx:es cabinets and counts Elathrooms are functional but dated and some of the q ti is dated. Adverse cevironmertal condtilons (such as, but not imtted to, fazardaus wastes, toxic substances, etc.) present in tiR improvements, an Vie site, or In the Immediate vicinity of tine subject property.: There are no known or a rent adverse ernironmental conditions that would ative im act on the sale of the .The in round was covered and not able to be observed b the a raiser. Freddie Mac Farts 70 6/93 PAGE 1 OF 2 Fatmle Mae Form 1004 6/93 Form UA2 -'WinTDTAL• appraisal software by a b mode, Inc. -1-600-ALAMODE Y~kutlonSedlon UNIFORM RESIDENTIAL APPRAISAL REPORT FleNn ~~mn~mnna ESTIMATED SIfE VALUE ..............................................= E Comrtranls on Cost Approach (such as, source d cost estimate, silo value, ESTIMATED REPRODUCTION COST-NEW-OF NAPROVEMENfS: square foot ra~ulatlon and fa HUD, VA and FmHA, Vie es0mated remaining Dwepng 1.463 Sq. ft @E = E economic Bfe d Nre propeAy): The Cost roach vAll enerel result 969 Sq, ft @E = In an excellent estimate of value V the buikfi is new or = reasonab new and the im rovemeMs reflect the h' hest and Garage/Carport 648 Sq. ft @E = best use of the end. However when items of ical Total Estimated Cost New ....... ............... _.. _.= E de reciatbn must be estimated an area of ant is Less Physical Functonal External involved which is sub'ect to error. The Cost roach was not Depreciation ~ ~ =E utllized due to the a e of the sub ecl. Depreciated Valce d hnprovements .. ............................... =E 'As-Is• value of stte improvelnerts ............ .. ..................... _$ twICATEDVALIffBYt~51'APPROAl2t ............................ ITEM SUBJECT COMPARABLE N0.1 COMPARABLE N0.2 COMPARABLE N0.3 757 Carol St 511 Carol Street 1704 Maple Street 1716 Maple Street Ad New Cumberland New Cumberland PA 17070 New Cumberland PA 17070 New Cumberland PA 17070 to 0.27 miles NE 0.31 miles E 0.26 miles E Sales Pdce N/A 188 500 192 500 184 900 Pric s LM Area 118.16 ~ 110.38 ~ 106.39 ~ Dahl an4/a Inspection MLS 10200643 MLS 10207601 MLS 10205773 VerVkatlon ublic record ublic records a ant ublio records a ant ublic records a ant VALUE ADJUSTMENTS OESCRIP11014 DESCRIPTION + - A ' t DESCRIPRON ; + - Ad' st DESCRIPTION + - Ad' st Sales ~ Rrancirg VAIDOM 96 VAIDOM 13 CornJDOM 231 C CIs.CosU -6 000 CIs.CosU -5 000 CIS.CosU -6 400 dSa me 2111/2011 6/15/2011- 6/7!2011 Lceatbn suburban suburban suburban suburban Lease SI k Fee Sim le Fee Sim le Fee Sim le Fee Sim k Slle .26 acre .16 acre .15 acre .15 acre View ical ical ical ical Des Ca a Cod / A Tredkiona ual ~ TredPoona ual ~ TrediUonaVE ual D of Construction avers / akanin. avers /brick -2 000 a ./ brk stucco -2 000 a ./ brk stucco -2 000 63 Years Old 59 Years Okl 76 Years Old 69 Years Okl nditlon Ave a /Fair S rior -5 000 Su rior -15 000 Su rior -5 000 Above Grade Toil ; gds; Batltc Total ~ Bdmis ~ Baths ~ Total ~ Bdrms ~ Bays ~ Tdhal ~Bdrms ~ Batts Room Courd 7 3 2 6 3 1 +4,000 000 7 3 1.5 +2 g 4 2 Gross UN Area 1463 . Ft 1 426 . R. ~ 0 , 1 744 . Ft. ~ -5 600 1 738 . Ft ~ -5 500 Basemad & fldslx:d Full, partial finish Full, partial finish Full, unfinished Full, partial finish Rooms Below Glade RR Pdr RR Pdr none +4 000 RR Pdr / Su . -3 000 Functional Utl Averse Averse Averse Avers e fieaV Y FW oil /CAC HWoil /none +3 000 HW aslnone +3 000 FW oil /CAC FSNderd Beans T ice! T 'cal T ical T ice! a 1 car ar.&ca ort 1 car are a +1 500 1 car a +1 500 2 car are -4 000 Pads, PaVo, Deck Enclosed Porch Cov.Patio +1,000 Poroh,Patio -1,000 Deck +1,000 fl ce s etc. 1 Fire lace 1 Fire lace 1 Fire lace 1 Fire lace Ferree Pod etc. IG of /Poor none -5 000 none -5 000 vane -5 000 Oyler Shed Fence none +1 000 Shed Ferree Fence +5pp Nd Ad~ ~ + - -7 500 + - -23 100 + - -29 400 Adjusted Sales PdrR of C M 161 000 169 400 155 500 Commerds an Sales Comparison (Includhlg Vre su bject property's cornpaBbiNty to Vxe rreighbodroad, etc.): All sales are located within the sub'ects marketi area. After a h search of all avai lable data the com rabies chosen were considered fhe best available. Ad'ustmerrts were made to- reflect substantial differences between the com arable ro roes and the sub'ect. The ad'ustmenLS that were made reflect the ical actions of b rs and seller in the mark lace. Gross IM area lot s¢e r buiN were obtained from Cumberland Co tax assessment records and deemed as accurate. In the ever>< N is determined that a of the information from ublic records is inaccurate I reserve the ' ht to review and or revi se this re and co nclusion of value stated within. See Addenda ITEM SUBJECT COMPARABLE N0.1 COMPARABLE N0.2 COMPARABLE N0.3 Date, Pdce and Data No prior sales No prior sales No prior sales No prior sales Source, far pda sales within the last within the last within the last within the last witldn d isal 3s months 12 months 12 months 12 months Aratysis d any crrrterd agreement d sale, opVon, a Ystinp of subject property and anatysis d arty pdor sales d subject aril corrgraruables within one year of the date d appraisN: ' The sub ect is rat curve under cordract or listed in the o n market Neither the sub'ed or the com rabies have transferred within the three ors. DICATEDVAWEBYBALESWIWARISONAPPHOACH ............................................_...------ .. - .... E 160000 OOICATED VALUE BY N4COtE APPROACtI kable Estimated Markel Rerd NIA , x Gross Rent Mu r N/A - N/A TKs appraisal is made •as is' subject 1o Vx: repairs, aNeraNons, inspectlans a conditlons Bsted bebw sub~ct to completlon per plans & spedficaVons. Condtlors d ApprUsal: No warre of this a sisal is iven or im lied. No Iiabil' is assumed for the structure! andlor mechanical elemerrts of the ro Rral RerxxrcHation: Due to lack of ua and ual' of rental data the Income roach was considered i ro ' to and not util¢ed. Greatest vve' M was iven to the Sales Com rison roach as k reflects the ice! actions of b rs and sellers in the mark lace. The Cost was not util~d due to the a e of the sub act ~ stated above in the costa roach commerrLs section of this re ort. Tie purpose of INS appraisal is to esBrrate Vre marled value of the real property Vial is Ve subject d this report, based on Vre above trondi8ans and the certiNcation, cordirgerd and Ymitlrg condtlons, and market value definitlon Vat are stated in the attached Freddk Mac Form 439/FNMA form 10048 (Revised 06/93 1. 1(YYE) ESTBIATE THE MARIffT VALUE, AS DEFNED, OF Tiff REAL PROPERTY THAT LS THE SUBJECT OF THIS REPORT, AS OF June 25 2011 (YYHICFI L4 Tt1E DATE OF NSPEl;110N AND THE ffFECTNE DATE OF TENS REPORT) TO BE E 160,000 ~ SUPERYBORY APPRALSER (ONLY E REtH1WED): g ~ A ~~ Sl r aW re Xf Signakre ^ Did ^ Did Not Name Mark A. Baron. Certfied ResideM~l R.E. Appraiser Name Inspect Property Data Aeoart Signed Julv 11, 2011 Date R ort Si ned Shute Certlfication # RL139822 State PA State CertiRcation # State Or State license # Shute Or State License # State Freddie Mac Form 70 6nJ3 PAGE 2 OF 2 Fannie Mae Farm 1004 fr93 Fam UA2 -'WInTOTAL' appraisal software by a M mode, Inc. -1-800-ALAMODE Comparable Photo Paae 1 7 CYerd Tim Holmes Address 757 Carol St C' New Cumberland Cal Cumberland State PA L Code 17070-1422 Borrower WA Comparable 1 511 Carol Street Prox b Subject 0.27 miles NE Sales Price 166,500 Gross Lhdrg Area 1,426 Total Rooms 6 Tohdl Bedrooms 3 Total Batlrooms 1 Location suburban View typical She .16 acre Oualily average /brick Age 59 Years Oki Comparable 2 1704 W~ple Street Prox to Subject 0.31 miles E Sales Price 192,500 GrossLiNngArea 1,744 Total Rooms 7 Total Bedrooms 3 Total Bathrooms 1.5 Locaton suburban View typical Site .15 acre Quality avgJ brk,stucco Age 76 Years Old Comparablo S 1716 Maple Street Pfex. to Subject 0.26 miles E Sales Price 184,900 Gross LiHng Arm 1,738 ToMlRooms 8 Tohdl Bedrooms 4 Tohdl Badrcaems 2 Locaton suburban Vlew typical Sfte .15 acre Quality avgJ brk,stucco Age 69 Years Old Fonn PICPIX.CR -'WinTOTAL' appraisal sortware by a b mode, inc. -1-800•ALAMODE 7 MB P UNIFORM RESIDENTIAL APPRAISAL REPORT MARIQ?T DATA ANALYSIS ~ ~ r saes amra favorable ~, ~ ~ . s vad hverable than, the sut ~ a p c(+)) r ana to suq(etx trove caaldwed m the strrenT, ~ aBerr subxxt propallies. If a s cart ~ caroa propefty ~s su Uo, a mae adpubr~iat~il ~ rre~de,' tyahus i~t~ ~~r~ ~t~ ~jtct N a significarrt fern in the comparable is irrfena ta, or less REM SUBJECT COMPARABLE N0. COMPARABLE N0. COMPARABLE N0. 757 Carol St s New Cumberland 729 Carol Street New Cumberland PA 17070 761 Carol Street New Cumberland PA 17070 1920 Elm Street New Cumberland PA 17070 to S Pdce Pd LM WA ~ 0.05 miles NE 122.74 ~ 179450 0.01 miles 89.34 ~ 135 000 0.28 miles NE 200 000 8220 45 Data and/a V inspection ubkc record MLS 10209056 ublic records a nt MLS 10199176 ublic records M MLS 10202163 ublic records a eM VALUE ADJUSTMENTS DESCRIPTION DESCRIPiIWI + - Ad t DESCRIPTION + - t DESCRIPTION ; + - Ad' sl Saks a financing Carcessions Corn./DOM 1 CIs.Cost/ -8 900 Conv./DOM 8 CIs.Costl CornJDOM 154 CIs.CosU DaleO<Sa me 5/5/2011 10/15/2010 6/3/2011 LocaBon suburban suburban suburban suburban i Fee Sim le Fee Sim le Fee Sim le Fee Sim le Slle .26 acre 24 acre .35 acre .14 acre View lest lest lest icel I rel Ca Cod / A TredidonaV ual Ca Cod ! A Ca a Cod / A of Conshuetlon avers e / akunin. awre /brick -2 000 ave /bride -2 000 avere /bride -2 000 e 63 Yvan; Old 61 Years Old 61 Years Okl 66 Years Old Conddfon A e /Fair S rior -20 000 inferbr +10000 Su rior -15000 Above Grade Tohal ~Bdrrns~ Batls Total ;Bd~; BaBLS ~ Total ~Bdrms~ Bats ~ Total ~Bdrms~ Batls Room Count 7 3 2 6 3 1.5 +2,000 6 3 1 +4 000 8 3 2 Gross LIN Arm 1 463 S . Ft 1462 . Ft ~ 0 1 511 S . Ft ~ , 0 2433 , ft ~ -19 000 Basetrard & flNshed R Bekw Grade FWI, partial finish RR Pdr FWI, partial finish RR Bath -2 000 FWI, unfinished none +4 000 cravN space +2,000 rane +4 000 Functlorlal UBI Ave a Ave a Averse Avers e Fkatl Golf FVII oil /CAC FW /none ~ +3 000 FW oil /CAC BBwtr oil / cane ~ +3 000 E EfACierdkefns T I T 'cal T lest T lest rt tear r.&p ort 1 car are +15000 2 car are -4 000 On Street +5 500 Patch, Patio, Deck, s etc. Enclosed Porch 1 Fire lace Sc.Pch, Patio none -1,500 +2 500 Enclosed Porch ~ none +2 500 3 Patios -1,000 2 Fire laces -2 000 Pool etc. IG I !Poor none 5000 none 5000 rwne -5 000 (IBler Shed Fence Fence +500 rroce +1 000 Fence +5pp Net Ad'. Adjuskd Saks Price of C + - -16 400 163 050 + - 10500 145 500 + - -29 000 171 000 Date, Price and Data Source fa prig sales witldn r of al No prior sales within the past 36 months No prior sales within the last 12 months No prior sales witlun the last 12 months No prior sales within the last 12 monfiu Comrerts: Market Data Anaysis E93 Form UA2.(AC) -'WinTOTAI• appraisal software by a k mode, Inc. -1-B04ALAMODE Comparable Photo Paae I .1 7 B CNerd Tim Hdmes Pro Address 757 Carol St C New Cumberland Ca Cumberland State PA D Code 17070-1422 Borrower N!A Comparable 4 729 Carol Street Prox. to Subject 0.05 miles NE Sales Price 179,450 Gross LJving Area 1.462 Total Roons 6 Total Bedrooms 3 Total Batlxaoms 1.5 Locaton suburban View typical Site .24 acre Dualfly a~rerage /brick Age 61 Years Oki Comparable 5 761 Carol Street PrWC to Subject 0.01 miles Sales Price 135,000 Gross Llvirg Area 1,511 Tohdl Rooms 6 Total Bedroans 3 ToYul Bathrooms 1 Location suburban View typical Site .35 acre Oiiality average /brick Age 61 Years Oki Comparable 6 1920 Elm Street Prox. to Subject 0.28 miles NE Sales Pdce 200,000 Gross Living Area 2,433 Total Rooms 8 Total Bedrooms 3 Total Bedrooms 2 L.ocatlon suburban New typical Site .14 acre Oualfty average /brick Age 66 Years Old Form PICPIX.CR -'WinTOTAL' appraisal software by a b mode, inc. -1-8D0-ALAMODE SueelemerMAl Addendum - -- ----- VGV I IYIO Ctent Tim Holmes Pro Address 757 Carol St C New Cumberland C Cumberland State PA D Cade 17070-1422 Borrower N/A • URAR :Adverse Environmental Conditions There are no known or apparent adverse environmental conditions that would negatively impact on the sale of the property. The appraiser has not been informed, nor has the appraiser any knowledge of the existence of any environmental or health impediment, which iF known, could have a negative impact on the market value of the subject property. The valuation contained herein is not valid ff any hazardous items are found in the subject properly and stated within the appraisal report, including but not limited to: Ureafortnaldehyde foam insulation, Radon Gas, Asbestos Products, Lead or Lead Based Products, Toxic Contaminants. ~_URAR : Adven;e Environmental Conditions The subject is of an age where lead based paint may be present. The market does not penalize the property, however, the client should be advised of its possible existence. It is assumed that lead based paint is not present. If the client has a concern then a qualified expert in this field should be contacted to inspect the subject property. • URAR :Sales Comparison Analysis -summary of Sales Comparison Approach Gross living area and tax assessment information for comparables was obtained from County Tax Assessment Records. All sales are considered to be reliable indicators of value, and are weighted similarly in the final reconciliation. Appropriate adjustments have been made for all differences. Comparable sales are all Dosed sales. It is noted that the sales chosen are considered to be the best available. All comparable sales are located in the same market area as the subject property and would be considered by the same perspective purchaser. Comparable photos have been taken from the MLS, these photos best reflect the property at the time of sale, additional photos provided have been included and were taken by the appraiser on 7/8/2011 while personally viewing each comparable sale from the street. COMMON APPRAISAL ADJUSTMENTS Comparable sales are selected on the basis of nearest similarity to the subject property as to time of sale, proximity of bcetion and similarity as to age, condffion, gross living area, bedroom and bathroom count, basement, garage size and updated and upgraded features. Sales prices are presented subject to adjustments as necessary for financing terms, relationship of buyer and seller, agreements for expenses between the parties, and any other factor that would affect the net sales price. Considerable effort is made to use sales within six months of the effective date of the appraisal. Site adjustments are based on the differences of lot size between the subject and the sales. Adjustments applied are based on the contributory value of the added land, not the actual cost. Design and appeal adjustments reflect differences between home designs such as ranch, two-story, tri-level, bi-level, etc. An adjustment in this category may also be based on the market reaction to various front elevations and curb appeal. The construction quality adjustments recognize differences in building construction and the amount and quality of exterior and interior finish. The age and condition adjustments consider observable differences in actual age and condition of the cortrparebles and the subject with regard to periodic routine maintenance and defered maintenance. Adjustments for bedroom and bathroom count reflect the market reaction of importance of these features. The bedroom and bathroom differences may or may not be relevant in a particular devebpment based on the demographics and familial status of the typical purchaser in a given neighborhood. Gross living area adjustments are based on the d'rfferences of above grade square footage. Adjustments applied an; made on adollar-amount per square foot basis. These adjustments generally range from $10.00 to $40.00 per square foot. Generally, the typical buyer does not differentiate between homes that are within frfty square feet of each other. No adjustments are applied in Adjustments for basement are based on the differences of below grade square.footage. Adjustments applied are made on adollar-amount per square foot basis. These adjustments generally range from $5.00 to $20.00 per square foot. Generally, the typical buyer does not differentiate between basements that are within fifty square foot of each other. No adjustments are applied in this situation. A separate adjustment may be applied for rooms below grade. The adjustments applied are based on the contributory value of the improvements, not the cost to construct. Adjustments for updates and upgrades reflect updating a property has recently received. Examples are new carpet, paint, windows, furnace, roof, landscaping, etc. Upgraded features generely reflect the amount of added features installed by the seller. Additional adjustments are made for heating and cooling types, garage sizes, decks, patios, porches, fireplaces, etc. Adjustments made are based on the market reaction to these features in the subject's neighborhood. Form TADD -'WinTOTAL' appraisal software by a b mode, inc. -1-800-ALAMODE .11 B Suoulementgl Addendum Client Tim Holmes Pro Address 757 Carol St C New Cumberland C Cumberland Slate PA II Cade 17070.1422 Bortower N/A SCOPE OF WORK: Observation of the exterior and walk through observatan of the interior of the property. Measuring the exterior of the dwelling. Review of the County Public Record data and Mum-List, Inc. records. Review the county tax map online informatan, county tax map, inning, and FEMA flood maps. Verifying, the comparable sales with broker, agent, seller or buyer. URAR : Dioftal Signatures The digital signature used on this report is an exact replica of the appraisers actual signature. The digital signature has not been aRered and is downloaded from the program by the appraiser. The digital signature is password protected to avoid improper usage. The digital signature should be considered equal to an original signature of the appraiser. DEFINITION OF MARKET VALUE The definition of Market Value "is from regulations published by federal regulatory agencies pursuant to Title XI of the Financial Institutions Reform, Recovery, and Enforcement Act (FIRREA) of 1989 between July 5, 1990, and August 24, 1990, by the Federal Reserve System (FRS), National Credit Union Administration (NCUA), Federal Deposit Insurance Corporation (FDIC), the Office of Thrift Supervision (OTS), and the Offioe of Comptroller of the Currency (OCC). This definition is also referenced in regulations jointly published by the OCC, OTS, FRS, and FDIC on June 7, 1994, and in the Interagency Appraisal and Evaluation Guidelines, dated October 27, 1994. SPECIAL LIMITING CONDITIONS: This appraisal is not a home inspection and the appraisers' are not acting as home inspectors when preparing the report. When pertorming the inspection of this property, the appraisers visually observed areas that were readily accessible. The appraisers are not required to disturb or move anything that obstructs access or visibility. The inspection is not technically exhaustive. The inspection does not offer warranties or guarantees of any kind. The appraiser is not a home or environmental inspector. The appraiser provides an opinion of value. The appraisal does not guarantee that the property is free of defects or environmental problems. The appraiser performs an inspection of visible and accessible areas only. A professional home inspection or environmental inspection is recommended should the client have a concern. Suoolerruental Certifications: I certify that, This SUMMARY APPRAISAL REPORT was prepared by Mark A. Baron, PA Certified Residential Real Estate Appreiser, for the exclusive use of the (intended user/client). The intended use of this appraisal report Ls for estate settlement purposes. Estimated market value is the most probable price in terms of cash or in terms of finandal arrangements equivalent to cash. The information and opinions contained in this appraisal set forth the appraisers best judgment in light of the information available at the time of the preparation of this report. Any use of this appraisal by any other person or entity, or any reliance or dedsions based on this appraisal are at the sole responsibr~ity and at the sole risk of the third party. I accept no responsibility for damages suffered by any third party, as a result of reliance on or decisions made or actions taken based on this report. In my opinion, the reasonable exposure time linked to the value opinion is up to 180 days. I further certify that, to the best of my knowledge and belief: - The statements of fact contained in this report are true and correct. - The reported analyses, opinions, and conclusions are fimited only by the reported assumptions and limiting conditions, and are my personal, impartial, and unbiased professional analyses, opktions, and conclusions. - I have no present or prospective interest in the property that is the subject of this report or to the parties involved with this assignment. - My engagement in this assignment was not contingent upon developing or reporting predetermined results. - My compensation for completing this assignment is not contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated resuk, or the occurrence of a subsequent event directly related to the intended use of this appraisal. - My analyses, opinions, and conclusions were devebped, and this report has been prepared, in conformity with the Uniform Standard of Professional Appraisal Practice. - Mark A. Baron has made a personal inspection of the property that is the subject of this report. Mark A. Baron PA State Certified Residential Real Estate Appraiser Form TADD -'WinTOTAI• appraisal software by a la mode, inc. -1-800-AWdODE 1 P 1 DEFINITION OF NIARId:T YALUE: The most probabb price which a property should brtng in a cenpetltlve and open market under aY cendiYons rsquisile to a fa'u sale, the buys and seller, each adbg pnrderdly, krawledgeabty and assuming the price is ref affeded by undue stlnxdus. ImpYctt in this deflriflon is fire censumrrtatlon d a sak as d a specified data and the passing d Atle from seller to buyer under corrdtlorx; whereby: (1) buyer and seller are typicaly moth~add; (2) both partles are wet idamred or wet advised, and each actlng in wfrat he carreiders his own best interest; (3) a rresorebb Ame is albwed fa exposure in Are open market; (4) payment is made b terms d cash in U.S. doYars a in terrre d flrenclal anargerrrerts comparable Arereb; and (5) Are price represeds th nanrel coreWeratlon for Are propary sold unaffected by special or crsaAve flrencirp or sales concessions' granted by anyone assodaterl wtth the sale. "Adjustrrrents to the conparsbks must be made for special or creatlve flrencirrg or sales concessions. No adjuslnrads are necessary fa Anse cods which an: remraly paid by sellers as a rssutt d tradtlan err pw b a markd acre; these costs are raad8y ickrdiflabb since fire seta pays these costs in Hrtualy aY sales transactlare. Spedal or crretlve fhrenckq adjustmads can be made to the comparabb ProPertY by canpadsons to flmandrrg lams offered by a Arird party InstlYNarel lends that is nd akeady IrnoNed In the property a irareactlon. Any adjusbrrerd should not be cabulaVed on a mechadcal doAar fa dolor cost d Are Anancirp or concession but th dollar amount d arty adjusbrrerd should apprwdmab the markePs reacAan to the flrencirq or concessions based on Are appraiser's judgemerd. STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERTIFICATION CONTINGENT AND LINIITIN6 CONDITIONS: The appraiser's certfflratlon that appears in the appraisal report is subject ~ the folowfng cendiflans: 1. Tire appraise wiN rot be responsible fa matters d a legal nahoe that affect efttrer Are properly befog apprsised er the ifYe to tt. The appraise assumes that Are Atle is good and markeFable and, therefore, wiN not raider any opirdore abed Are Afle. The property is appraised on Are basis d tt bdrrg under responsible awrership. 2. The appraise has provided a skddr in the appraisal report to show apprordmaUe dimerebre d the improvemads and the skdch Is included orYy to assist Are reads d the report in visualizing the property and understandirp fire appraisers detamhreflon d its size. 3. The appraiser has examirred the avallabk flood maps Are( are provided by the Federal Finagerrcy Maregemerd Agency (or DArer data sources) and has nded in the appraisal report vdreArer the sdrjed site is baled in an idedifled Special fSood Hazard Area. Because Are appraiser is rat a surveyor, he or she makes ra guarsrrlees, express a ingrlkd, regarding this detenrdrreflon. 4. The appraise will rat give tesflmorry or apprer in ceurt because he or she made an appraisal d the property in question, unless specific arrangemerds to der so have been made bdorehand. 5. The appraiser has esflnreted Are value d the land in the cost approach at tts fdghest and best use and Are imprevenrents at their contributory value. Tfrese separate valuatbns d the land and improvemads must not be used in conjunctlar with arty other appraisal and are irnaYd 'rf they are so used. 6. The appraise has nded in the appraisal report arty adverse concYAore (such as, needed repairs, depreciatlen, the presence of hazaPoous wastes, bxic substances, etc.) observe dudng the hrspediat d the subject properly or that ire or she became aware d dtrrtng the nomral research involved in performing the appraisal. Unless oAterwise stated in the appraisal report, the appraise has no knowledge d arty Mdden or ureppared condiYars of fire property or adverse ern4raunadal condiYons (inckMing the prreence d hazardous wastes, tmdc substances, eb.) drat would make the property more or less vakrebb, and has assumed that Arere are no such condttiore and rrekes ro guarsntees err warrardies, express or ImpYed, regarding Are condttfon d the property. The appraise wig rat be responsible for arty such condttbre that do exist err for arty agirreaing or tesdrg that might be regdred to discover wtrether such conditlors exist. Because the appraise is rat an expert in the field d ernironmadal hazards, Are appraisal report rtxrst not be coreidered as an ernironmengl assessmed d the property. 7. The appraiser obtained the IdonreAon, esflmates, and opinions Are( were expressed In the appraisal report from sources chat he or she considers tc be reYabk and beYeves them to 6e tole and correct. The appraise does rat assume responsibility fa Are accuracy d such flans that were famished by oArer parties. 8. Tire appralsa wiN not discbse the corderds d Are appraisal report accept as provided for in Are Urrifonn Standards d Professional Appraisal Practice. 9. The appraise has based his or ha appraisal repel arM vabatlon cenclrsion for an appraisal that is subject to satlsfadory cempbflon, repairs, a almraflons on th assumptlon that compl~on d the imprevemeds will be pefomred in a wodananike manrrer. 10. The appraiser must provide his or her prtar wrtAen consent before the Ienda/cYerrt specged in ttce appraisal report can distribute Are appraisal report (including conclusions about Ace Property vaYre, Are appraiser's iderdfty and professiorel desigrretlors, arxi rderences b any ~ofesslorel appraisal organizaflorre a the flnn with wMch fire appraise is assecial~) to arryore direr than fire borrower; the mortgagee or tts successors and assigns; fire mortgage insurer, cauullards; professbrel appraisal orgardzaflore; arty stalls or federaly approved financial IreAludon; or arty deparbreM, agency, a insbumerdaYty d Ace lkrfled States a any stale or lire Disidd d Columbia; exra~t that the Ienda/client may distribute Ace property descdpgon sectlon d the repel onry to data colectbn or reporgng service(s) wifhod having to obtain Are appraiser's prtor wrtAen consent Tire appraiser's wriflen coreerrt and approval must also be abtaired before the appraisal can be cxKrveYed by arryone to Ace pubYc tfuaugh adveNsirg, pubYc relatlore, news, sales, or oiher media. Freddie Mac Fam 439 6-93 Page 1 d 2 Fanrde Mae Pone 10048 E93 Baron & Associates (717) 315-7(132 Form ACR -'WinTOTAL' appraisal ~flware by a b made, Inc. -1-800-ALAMODE 'n 1 p APPRAISER'S CERTIFICATION: The Appraiser certlfies and agrees that: 1. I have researctred the subject marled area and have selected a mlNrtxun of tlrree recent sales d propoties most similar and pradnate to the subject property for censidaatlon in th sales comparison areysis and have rrede a dolor adjusbrrod whor appropdab to reflect tire marled reaction to Vase i~ d signfiiprd vadatlon. fl a signfifcod fion in a cenparable properly is srpedor to, or more iavaable tlen, the subject property, I have made a rregatlve adjushrrerd to reduce th adJrrsted sales price d the comparable and, l a signtlkard tarn in a comparable property fs infeda to, or less favorable than the subject property, I freve made a positive adjusmrent to krcrease the adjusted sales price d the comparable. 2 I have taken irdo considaatlon th facers flat have an impact on value in my devebpmrart d the estlma~ of market value In the apprds~ report I have not aawirgy wilrhdd arty sigrrifipra infomretlon from the appraisal report and I beUeve, to the best d my Imowiedge, that aU statemorts and irdomnatian in ire apprersd report are tore and correct. 3. I stated in ire appraisal report ody my awn persorel, rsr5iased, and professiorel analysis, opinons, and concusions, which are subject ony to the corrJngent and Nmitlng conditlons specified in this tam. 4. I have no preserd a prospective IrrNrest in th property that is th subject to 1Hs repot, and I have no present or prospective posorel irrterest a bias with respect to the participads in tla transactlen. I did not base, eitlro partlaly ar canpldey, my analysis araVor the estirrete d martrd value in the appraisal report on the race, cebr, relgton, sex, handipp, famiNal status, or retlorel origin of efilrer the prospecive owners or accupads d the subject property ar of th presort owners a occupards of th properties in th vicinity of the subject property. 5. I have no presort a cadenrplated fuWre kderest in the subject property, and neitlrer mry currod or tuWre empkryment nor my compotsalon for pertomning tlds appraisal is cadingort on the appraised value of the property. 6. I was not requked to report a preddemrined value a direction fn vakre tlrat fawrs the pose d rie clod or arty related parry, the amount d the value estimate, the altaimred d a specfiic result, or th occumorce d a subsequort sued in ado to receive rtry camporsation and/or orpbyment fa perfortrdng the appraisal. I did not base the appraisal repot on a requested minimum valretlar, a specific valuation, or the cared to approve a specific mortgage loan. 7. I perfomrred this apprisal in cordomity wtlh the Uniform Standards d Rofessional Appraisal Prectlce that were adapted and promulgated by are Appraisal StandaNs Board of The A~rsisd Foundatlan and tlrat woe In place as of tire effectlve date of this apprisal, with the exception d the deparWre provision of those Standards, which does not appy. I aduaxdedge that an estlmale d a reasoreble time for exposure in the open market is a condition h the defiritlarr d mortal value and the estimate I developed is cereisud with th marturtirg time rated in th rrelghbortaod section d this report, unless I have omowise stated in the recencilation section. 8. I have persorely inspected the Itrtedor and odertor arils of the subject property and the ex(abr of all propoties Ysted as carparables in the appraisal report I furtlrer certlty tlrat i have rated arty apparod a known adverse cenditiars in fie subject krprovemenls, an the subject site, or on arty site witldn the innrediate vicbYty of the subject property of wtrich I am aware and (rave made adjusmrerds for these advose conditlore in my areysis d the property value to the extol that I had market evidence to support Rrem. I have also rAmmented about the dfect d the adverse cerrditlore an th marketabilly d the subject property. 9. I posorety prepared ar conclusions and opinions abod the mat estate that woe sd forlr in the appraisal repot tl I relied on sigrdfipd protessierel assistance tram any individual or indivddua(s in the periomrarrce d the appraisal a the preparation of the apprasal report, I have named such individual(s) and disclosed th specific tasks pedomred by them in th rewnciNatlon sectlar of this appraisal report I certify that any indhdual so named is qualified to perform the tasks. I have not autlarized arryone to make a change to arty Item in the report; tlrerdae, ti an unauthorized rJrarrge is made to th appraisal report, I will take no responslbiNty fa it. SUPERVISORY APPRAISER'S CERTIFICATION: ti a supervisory appraiso signed the appraisal report, he or she certifies and agrees drat: I directly supavise the apprsisa who prepared the appraisal report, have reviewed the appraisal report, agree with the slatemods and corsdusians d the appreiso, agree to be bound by the appraiser's certlfiptlons nrmboof 4 through 7 above, oral am taking full responsNNitiy fa the appraisal arM the appraisal report. ADDRESS OF PROPERTY APPRAISED: 757 Carol St. New Cumberland. PA 17070-1422 APPRAISER: SUPERVISORY APPRAISER (only if required): Signahxe: //afl.L~,_,~~ ~~ Signadse: Name: Mark A. Baron, Certified Resrdentiaf R.E Appraiser ~~; Dale Signed: JuN 11, 2011 tote Signed: State Codficatlan #: RL13S3822 Staff Cotlfiption #: a State ucorse #: a State uranse #: State: PA State: Erpiretion Dad of Certlfication a license: 6/30/2013 Expiretlon Date d Certlficadon or license: ^ Did ^ Did Nd Inspect Property ,wma mac coat awn a~,t Page 2 d 2 Fannie Mae Form 10048 &93 Fenn ACR -'YyinTOTAI° appraisal software by a b made, inc. -1-800-ALAA400E Tax Map Fonn SCNLGL -'WinTGTAL' appraisal saHware by a la mode, inc. -1-80QALAMGDE n I .1 q Buildinu Sketch 1 1 Client Tim Holmes Ro Address 757 Carol St C New Cumberland Ctw Cumberland State PA 7~ Code 1 7 0 70-1 422 BorrolNer NlA 1z.a Shed Io ('1Bf80e N 3e.a c Bedroom ~~ Bedroom N G N ~ a N Pomh e9 Rroan Kitchen Carpal Livi Room 9.0' 19.0' 19.0' 16.0' 3B.o' ~ ~ce O fM BedfO0e1 ~j BaM 38.0' ~wMav- Commends: Form SKT.BMSkI -'WinTOTAI' appraisal sottwaB by a b made, ir~c. -1-800-ALAMOS PhOtoaratoh Addendum 1 1 Client Tim Holmes Pro Address 757 Carol St C New Cumberland Cou Cumberland State PA Zi Code 17070-1422 BemoNrer N/A Form PICSIX2 -'WInTOTAL• appraisal software by a la mode, Inc. -1-800-ALAMODE Location Man F 11 7 1M 1 CYad Tim Holmes Address 757 Carol St C' New Cumberland Cou Cumberland State PA D Code 17070-1422 Borrower N!A Form MAPlOC -'WinTOiAL' appraisal softwan: by a b mode, inc. -1.80o-ALAMODE Prudential 'i'H~2-PRU1 P-1 ESTATE OF RUTH K COLLINS 1550 LONGS GAP RD CARLISLE PA 17013-8659 Account Number. 0030939255 Check Number: ~ 000932242 Total Distribution: ~ $64,342.72 Page I of I Your Fund Narnc PRUDENTIAL NATIONAL MUM FD CL C Fund Class/Number Class C / 336 Date Distribution Type Shares Value Shares Redeemed 07/22/1 l Grass Distribution 4,394277 $64,229.44 Dividends Earned $163.28 Net Fund Distribution $64,392.72 Detach before cashing or depositing, check, _s ~_ ..~ w_ ~_ S ~rwr C w 0 EXHIBIT B Prudent~,al ~omputers~ore C~nputershare Trust COmparry, N A. ~ PO Box 43033 ~ Providence, 8102940-3033 ~ Within USA, US territories & Canada 800 305 9404 ~ ~ Outside USA, US territriries >i Canada 731512 3782 0 &873 www.oomputershere~mrestor . Il~~l~~~lll~~~l~ldiiailltli~li~~l11111111illililltl,l~gi~~l~~l Pa,ae~rtialF,ree.isorpenizedruderurelaws BARBARA C OYLER EX ES7 RUTH K COLLWS dthe Sale of NJ. ~ 1550 LONGS GAP RD ~ CARLISLE PA 17013 HolderAccouMNrimber . _~ 00031817498 Corrlpany ID _ .. PRU - - ...... . _ - -- SSNiiW CerlMed Yes Transaction(s) Date I Transaction Description I ~ GUSIP ~ l f SharesNnits Descr p tlan 25 Jul ~1i Transfer 316.000000 7443102 r~~ ~ Account infoemation:~ Dafie: Z5 Ju128i9 (Exdudes transacfions pending settiementj Cturertt T°~I ~~_ Direct Shahs/ Price Value «j CUSIP Ciass Registration Units Per Share Description Balance 3ie.0ooo00 3i&.000000 ss,210000 1soze.36 74437A102 Gammon smar IMPORTANT INFORMATION RETANI FOR YOUR RECOFio3. 'Eidsad~im[sywr~emdd6rtlin6~denaiedigyoma®utlowUrbmbdQrOo~atya~pmtdiati~~lon8~at Mbaet~ampagY+IsbatrmwluarawafiiaiddeGwrydtl~kad~fadoesnotdb~lr mnrerwr~wbe~. s~dawb~,ram,rr~o~bmm.s,ewrd~ww.erpdsw.wo. Ma oeti~w w }ar Pml ts+wpia4 wtl~youwi6 bdepwd par mduig mA3oYL ~airpeb a aA~vle, «Ma~s(erpur 6odFgWy dmiea zneirsa~eam~+~,err.~rm~.roev~..~aAade~~t.zar~. r~an~.~..w~aeaeru.~~,aywn.Aode«,~~.,.uu.~ee~e~ee~ar~xw~n~o. weta~epaee~dawgaobad, iyarddaat~amalmxiavlolaloanrUbd,aleMMdelealdbyefaliti6taat~iaNad PI®evWlaarr~Neame~dyarmc~I~ori~ouadaddaoiW~to~pomm~utmstl~ Upan~tla 1Mfi~tbaapdwelddr,aigw6drapa,Yid(dGldd~b~DAjAlbwdBf8q~L1CO{IB11~3i~$AplIYIAd.6iAy}.ABb~wdiAi~imSdtliBdwdlCblfBld esbaeb6a oidtlleiYlolydMBWIdOf~libAltlelkelllwBlbbpdiimdbd~InNlegd~agedg~,Pldxwl~6altl6ofwydmsasollli Imam ws mednpumlladQomgdrdiw aadawadisuad>7 tlN FeOmal D~poilmweaoe l5oryorioq Ihesaan3'aa NeedorAmbdfon Capwa6on,arwydherreexal aamle agencg uYao spat baginm~daetw9b us «doeotlwreaiq.dNYymyar exwttraUw iaiepetbd~ apedned b~rsmm arr raupropeigraoubheeaebsabkel b:bue isdalaad aopeaytawa aaa ~naa roltaappmpdom ahem. ® 4 0 U D R EXHIBIT c p R U -~- so reaoss3.o.r`ux~ i a~aoearems9 i, u nn~aaaa~~ rttw imp Ple~e see Immrtsnt pRNACY NOTICE on reverse side of ste6ereeM Direct Registration Account Statement ~~ ~~ Questions: U.S. telephone number: 888.810-7456, Outside U.S.: ~i1-453-2126 For an(fr>e axount irdomra~rr, please vidt waw.adr.~kler Febreiary 11, 20'11 Account Summary Barron santander, SA American Depositary Rerxipts Aecarnrt # 7t~41g4?'9 Direr won hniotmtation RUTH K OOLLOiiSS CUSIP [1kEmber: OS964H1O5 757 CAROL STREET Br+oloer /Dealer FAnr Nusne: NEW G PA 17070 Brolaer 1 Dealer Aooourd Number: Bro[cer! Dealer Partldpent Number: Transfer Agent Aeeourrt Numbm: 7000413478 Acoaun~ dalue Marloet Value Dada 0211OhI1 . ltd Value Price S1 1.8900 Total N~rlcet Vatue 52.841.71 Shal'e-Balarxes-.-.__ ~ _ _ ..._._._-.-- ------.~ _ - _-_ Y~sir-to-0ateAafour~ts -- _ _ _ -- ~._ _ Direct Ramon 239.000 Service Charges Paid by Yau - -_ - 50.00 t'.ertficabe(s) OA00 Commisswns Paid by You $0,00 Global Incest Direct Program 0.000 Federal Tax 1Nithheld 50.00 Total Shares 239.000 hbrmesidertAien Tax 50,00 Year~o-Date Activify f~ sm~toae ~pe< Naanowtit Numb.rd DiractRegiWntion sly.. ar.,~. `Transaction Request Banco SaMand~, S.A. American Day Receipts Aaount ~ 70418478 , Mail t+D: .~IMor~n Chase Bards NA B091 7000419478 See Reverse fDr InStruction.S Banco SarBander, SA PO Banc 64504 ~ ^ 1• ~ shares into my ~ Paul MN 55164-0504 T ORS acx:ount. You tlAltST submit your shock s~ ^ i +nY ads $s [ed ~ [] 2 Transfer shares per the attaa>ed itrs. . AAregdsterad aeners MUST sign err the badt of 8ris farm. ' (fie rrwst beer medallion prararrtee) RUTH }C COLLItVS 757 CAROL STRI:E'l' AN oMraerz must sign oa the bade of this form. NEW CUMBERLAND PA 17070 a 0 G W C m Exhibit D Requests, otherthan address on thkform a will Doty at[ect QRS , oat shares geld is the Global inue6t `^ w I~~®~~~~®®,I I~.,®~~~® LxrectPrograrrr. tfae~ Jrwn 021111 909i0a7001 01 fie 517E For ae ~ reque~ (here ~ a serriee ~ of StODO and a s.12 per share Inaioerage ooreatissiorr fee. The shares r bli this statere~ent sue Lilly paid and llris is a record daddrEa4see rtgtrts at the time of issrsut~ce. ~ihrery of ~ 'of i~ ~ ~ ~ Th~~ is nefher nora~r~r. -A-PaY-copy of anY rigF#~Pd+~9m. r and which may be attached to fire seuuities covered by this staterna# ~ be obtained by wr~g to the 9eet+etary othee Company. ---------- ----------------------------- - - - - - ~- - 7~de Far~d6ollan poiiao'fo Sic ado`lmas abowa tretow. - - - - - - - - - - - - - - Calculated Value of Your Paper Savings Bond(s) Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 06/2011 Total Price Bonds: 1-36 of 36 Total Value Total Interest WaY~ on 6~~Iu Page 1 of 1 ~/ YTD interest Serial # Series Denom Issue Next Finat Date Accrual Maturity Issue Price Interest Interest Rate Value Note r22000313ee- 20003 6 ._-.EE E --_.$200;04/1985x10/2011' 04/2015.:_- 20 i 1 8 .. $100.00.:._. _.__ _ $293.68 :___4.00%r_ ,_ $393.68,.., rZ i ee d E ~ r 04% 9 5+18%2011 04/2015 .-. _ ~1U0 00. $293.68 _4.00% r. $393.88 . ..... r220 03i7ee ...,EE , $200.04/1985.10/2011. 04/2015t.. ,..~104.00; , $293.68: 4.0096 ! $393.68_ - r19659203ee. 1965 2 4 .-,_EE .. . EE ~ , _,.. $200, 03/1985 09/2011.03/2015 _. 2 0 $108.00 , . _ ,. __$293 68 _ _,4.004!6_,., . -° _ $393.68 _,_-. _ __ r 9 0 ee_ $ 0 ;.03/1985 09%2011__03/20].5,.,. _ $100.00._ - -_ $293.68 -4 00°Yfo $893 68 r19659207ee. EE $200:03/1985~09%201i 03/2015-,. . $lUfl_00. - $293.68 r 4.00%, _ _ . _.__ ----.._. $393.68_ r29659211ee. EE -... ._._..... _.....- .-. ....$200.103/1985 09/201I_: 03/2015 , ,_.6100_00 .._..__293.68 _•4.,Q04/o _ •- $393.68 r19659199ee_: ___EE $200;02%1985 08j2011 02/2015; $100.00; $293.68: . .__-4.009!0 : _ ,.___..._, ¢393.68; ri9654200ee._ . -.- 19659 __ EE -.. - _$200x02/1985108/2011_;.02/2015_..__ . $100 DOr ..__.._293 68 _ 4_00°16.. . -- . .$393.68:____--- .- .-_ r 201ee; EE , .. -- ------ ----..-...---- ---._... :___.$200,02[1985;08/2011 OZ/2015_ _- __61QD.a0r--. __._-$293.68. ___4.OO~oI . _. $393.68 r19659202ee.. 19222789 ___EE_,_ :- -_$200.! 02/1985108/2011, 02/Z015;_ .. $ _ $100 OU,:._ ._-___ $293.68_ ^ 4.OQ%_ .. _--___- ...._~383.68T.. - • - r ee; ......-- , EE - .-- 200.01/1985; 07/201101/2015; 100.00: $ $293 68 _ 4.OOaY6 $393.68 r19222793ee; . ... . . .......1, EE .--_ _ ._..._$200._01/1985,07/2011 .01/2015;,._ $100_00.:.. .-.-_$293.68__ - ,__4.00%0- _ ____-$393.68: r19222787ee 19222T88e ..EE EE ...$200.01/198507/2011, Ol/2015~, $100.00. -_- $293.-68_ ` _-4 00%;- __ - $393.68:._._...... ---1 s e r. ___ ...$200,.01/1985.07/201101/2015_-.- 6100 00_x.., __,$293.68 - _ 4.009!0 6393 68 r19222795ee i - -------~ ........... ........ EE . . $200 01%1985 07%2011 ~ 01/2015 _$100.40 , $293 68 .• 4 0096: _ __ . ...__.- -_ $393.68; r1888U731ee~ __EE ,__,_$200 12/1984.12/2011 12(2014r_.._ -.$100.00 r.. ....__~301.60 -~--- ~ -- ,4 OQ94~~ -- - 6401.60_ r19Z22786ee _ 388 72 EE $200;12/198412/2U11 .2/20I4~ 3100,00} ~30i_60, , _. 4.Q89/a: _,_.__ __-..__._- $4dt.60- _ r1i 0 8ee~__ __EE : ____$200.,<1Z/1984,_12f2011_~.12/20i4_____ _„$100_40 ___ ,._._301.60 ___4,OQ?/o 940x.60 . r1888Q730ee ._ EE _ $200112/1984112/203..1 12%2014 ~ . _- _ $100._00 - __ $301 60 , _ 4 00% .._-, _ $401.60 r18880721ee EE _$200:11/1984 11/2011.;,11/2014 ~ $100 00 t ___301 fi0 .... . 4 0096 s $4(1!.60 r18880723ee EE _ $200 11/1984 ,11/2011 11%2014.,-... $ 100_ U0 } -_ X301_ fi0 _ - _. 4.00% •_.__ _ $401 60 . r18880726ee- _.EE _ $200_11/1984r11/2011:11/2014,___..._6100.00,___ ,_,$301_.60 _400°k;_. __ 64Q1.6pp r18880727ee, EE $200 .11/1984.61/2011, 11/2014: $100,00; $301.fi0 4.00% __ ~4~01.60; r18542389ee _.EE -$200:10/1984 10%2011 10[2014 $100 00 .$301.60 -- 4.00% _-_ _ 6401.60 r18542390ee EE $200 ~ 10/19$4 1012011 102014: _, _$100 00 $301 60 _._ 4 0096 ___ $401 60 _ ~~ _r18542391ee EE ._$200 ~ 10/!984.10%2017. 10/2014 ._$100 00 -.6301.60 _ _.. .4 QU% . _ 6401.60 r10880716ee: 18B8U7] 7 EE $20010/I98410/2011.10(2014.. _$100 00, $301..60 4.OQ%. - - _ $401.60 r . ee EE T _ $200:10/1984:10/2011 10/2014__ ._- ._$100.00r _„ _.__.~301.6Q ,4 00% _ 6401~B0 r18542382ee EE $200:09/1984.:_09/2011 09/2014: $100.00: $3U1.60. . F 4.00%= $401.60 r18542384ee~ _ __EE __._ _$200.09/1984 09/2011 09_(2014:_. _ .$100.00 __ $301.60 ~ . 4, 1109x0, ,_ 6;407. 60 _ r18542385ee _ _EE $200:09/1984:09/2011 09/2014;,,..., $100.00. $301 60 , _ 4 00% , __ . __._. _ $401.60: r28542386ee 1854 EE EE __ 8200 09/1984.09/2011. ,0912014 _._., $100 DO _ . ,_., $301:60 _- 4 0096 __.. - . _.9401_60 r r 2377ee, $200.08/1984:08/2011 08/2014; $1[}0.00 $301_60 4,00% 8401.60. r18542378ee EE .........._.___..._.___ :. ...-...- ,..$200 08/1984.08/2011 08/2014 .,.-• _$100,_00 .... . ...$301,_60 : 4 00%0 _ 6401 60: r18542379ee: EE $200108/1984:08/2011 08%2014; lUO.QQ: $ _$301,60 - _.. 4.00%; ... . ..-•_-- ~ ` ~~" $407..60: Totals for 36 t3onds ° ~3.6ee_eo t ~ie_7se_aa -! ~ , a ~~~ Qe ,. . Notes NI :Not Issued _ NE _ Not eiig[ble for payment, - _ . _ _ - . ____ -_ - PS :Includes 3 month Interest nal ... - Exhibit E .---..-..___._-..._.... ..........................._.----._..{~.. .tY -_.----_. ._. MA ;Matured and not earnin interest p~~ N 1~ http://www.treasurydirect.govBC/SBCPrice 6/28/2011 Calculated Value of Your Paper Savings Bond(s) Calculated Value of Your Paper Savings Bond{s) Calculator Results for Redemption Date 06/2011 Page-l-o~ 1' ~; ,,'~/ L Total Price Tote! Value Total Interest YTD interest $3,300.00 $10,200.16 ~6_gnn_~~ ~~.,., e~ Bonds: 1-33 of 33 ~~~•~,~ ~ y1 tO'~S~( i Serial # Series Denom Issue Next Fina! Date Accrual Maturity Issue Price Interest Interest i~te Value Noti R50744837EE~ R50744833EE _._ EE.. '__ E _..$Z00:01/1989^07/2011~ 0]./2019,-- 1 .__•$1t]Q._00: - -.$202.08;, -._4.009!0_-_ _____.$302.08__. ~ 07 _. E_ __:_, $200.12/1988 2f 2011 _,12(20].9._ , $100.00 ,_•_ $208 16 4 OD% _ •__"__. ~3Q8.16 R5 44825EE R50744827EE EE $Z00:12/1988~12/Z011 12(2016_ $100.00, , ~ . .$208.16; . _. .4.00%_ _ •_ $30816 , ..._ ................ , EE .... ..... ._.$200._ 12/1988 12/ZOil_t_12/2018 , _ _-$100,00 .... .$208.16 4 00% __ - $308.16 y .._ . R50744825EE_•-.EE __r_ .$20012/1988;_12J2011_?-].2[2018' . . -.$100.00 . _ •--_ $288.163 _ 4_009!x : V _-- $308.16 _-~~• R50744821EE: -------------•---- .. EE .._.-._- _.... ..$200.11/1988 11/2011. 11/2018.:. _$lOQ.QOi •.. . $208 I6 _ - , 400940 _._.• --- 830816t _R50744820EEr_ ___EE.___ $200.:1I/19$8~_il/20111_ll/z018._ ~100.00~ _ _ .____,~208.16~ _ 4.009!0 ^ _ _ - $308.16 ; .R50744819EEy- 4 17 f EE _ $200,11%1988{ 1].%2011 1]. _2018=. - / - - -- $100 00f -_ _"_$208__16 -, • __ 4 00% _ _..._ . _ " .$306.16 ~ " _ ._ . -.._.._ _4 8 EE _ 0 -__EE.___-..$200.11/1988_r11f2011. 11/2018; - . ~].U0.00°- ._-___~208.16'_ ___4.009~0_._ . $308.16__ R4648 Q46EE~ t . EE- s $200.11/1988.}11/207.]. 11/2016 $100.00 $208.16 r 4.00%: 3308 16~ F 46480045EE__ t .-,EE ~.__ ••$2Q0•:10/1988~IOf241I~10/2018 $1Q0.00 _ - •____$2Q8.16 400°Yo _ - _ _ ~308.16 ~ F 46460043EE; 64 42EE EE $200:10/1988 ~ 10%20].1 ~ ,10/2018.; 88 $100.00 ~ _ $208.16 ___ _4_00% _ _ .__- . ____- . _$308.16 R4 800 ~ _EE $200_.10/19 . 10/2011' 10%2018.. _ $100.OOY •_.$208.16 4 00940 . $308 16 R4G480041EE, . EE r _...... ,.-- $200 10 1986.110.201! -10 2018 - -- / . - - , -/_ / - . $140-~0 - ._ $206 16 . , - - 4 80% : _-_ _ "-~ "-" 8308.16 R.-.-..-80040EEt•. EE___s._- -_$20009f1988?09/2011: 09(20181_._. ..~100.04~ _..~Z08.161. . .. 4.00°Y6 _ _ _ ...-. $308.ifi R46480039EE; .EE E .- _ ~. $200_,.09/1988; 09(2011 09[2018 _- $].00-00 •_ _ -$208 16 r- - _._ ' 4.00°J~o _. :_ ° -• $308.16 .R46480038EE~,• - EE $200:09/1988.: 09%2011 d9i2018 _$1{10:00_:_ . .... $208.16r . ._ 4.OQ9~6 " _ $308.16 : R46480037EE_ EE -.--- , "-" $200: 09/1988 ~ 09/2011 ~ 09/2018, _ . $100.00_ __ -_ . $Z08 16 ., --._ 4 00% _.- _ $308 16 - ~ . R40029219EE: . _.. -.-_-- ---•--. EE__1 -••--. r,....$200.08/1988.08/2011 ~ 08-(2018 ~..._ _ ...$100~00~.. . ~ .....$208.16r .. _._ 4.009~0 _ ___ _ ~308.1fi : ', R40029218EE,_ _EE_ $200_.08/I988,08/2011 08/2018;- _$100.00;. ._ _. $20816 * --- 4.009!h. --- . ... _. $80816, ~ ~' R40029217EE 0 EE __-$200 0$/1988.08/2011,08/2018 $lOt} 00 _ - $208 16 _ 4 009b _ $3p$.lfi: R4 0Z9216EE - EE -. .-- .$200 08~1988:08/2011~ 08/2018, $100..00,.- . - -..-$208.16;._.. --~--~--~-•~~-- _4.00980 ~-~ - -- ~~~"~~"' " " $308.16 '. _R40029215EE~.__-EE__'_-__ .$200_OSf198808f2011r08(20I8~,-- _,$lOQ.QQy,_ •••__$208.16} -- --- 4:00% _ ...-. --_ ~308.16 ~ R40Q29214EE1 4 EE _ _$200-_07%1988;07/2011 07%2018:_ $100.00,;_ _ - $208 16 __ 4 0096 __. • __.__•_,_- $308.16 1 R U029213EE EE •$200 07f 1988' 07f 20].1 r 07/2018 , . -,104.00 _ - . -,..$208,16.; _ _. 4 OQ% _ . __ $308.16 R40029212EE _, R40029209EE EE . EE $200:07/198811)7J2011 07/2018, -~- $200 07/1988 07%2011 7 018 $100_ D0, $ $208.16, 0 4 009!0.•. O ° ------- ..$30$.16: _ _ _ .. ~R40029208EE; 0 .-•_ ... EE . ?0 /2 !._-._ $200,06/198812/2011 06%2018:. 100_00 _, $100.00 _ ___ $2 8.16;,_ •$21432 -4_ U /u ,•._. 4.009!a . ,8308.16 _,_-.__-_ $314.32: _R4 029245EE _-_ 4 Z _EE ,___• ,$200 06f1988,~12/2011 06/2018_.___• , $].00 QO ._••_-X214_32_ - 4 QO°/a $314.32? It400 920 EE___- R40029202EE_ _EE EE $200.06%1988.;_12/2011.:.06/2018: $200 06f 198$ 12%201 6 018 $100_UOT O _"$214_32^___ _-•_. 4.00%-__. __ , ,, __$314.32:. _ R40029200EE; • EE, r .- 1: Q /2 _•, _ : $200.05J1988?.11/2011' 05%2018. . , $100 Q .. $100.00 , _ -$214 32 ____ _ 214.32_! 4_OO~i6_:__ _ 4 000 $314.32_ _ _ 3].4 32 9199EE : EE $200 05 1988 :11 2011: OS 2018 ].00 00 214 32 4,009!0 , -. $314.32 : Tefiada fw~ RQ Swwde: a•2 ~nw nw: a. ~ www : ~ ~ , ~~ _ ~ ___ _ _ ._.... _ Notes NI ;Not Issued . ............. __NE_Nat,eligible for_payment.-.. _ •___. • ,• „__ .._.-_ _" -•,, P5 ;Includes 3 month interest penalty _ -_ .. , MA :Matured and not earnln interest EXHIBIT F http.//www.treasurydirect.gov/BCISBCPrice 6/28/2011 Calculated Value of Your Paper Savings Bond{s} Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 06/2011 Page 1 of 1 :,fit' Total Price Total Value Total Interest Y'i'D Interest $4,800.00 $19,731.52 $14 931 5Z ___ _ $385.84 Bonds: 1-36 of 36 (~ v~~~2 (~ `z ~ f 6 ! Serial # Series Denom Issue Next Final Date Accrual Maturity Issue Price Interest Interest Rate Value Note r18542381ee 176 487 EE ' $200 OS/1984~08/2011- 08/2014--- •. _$lOQ_00 ~ - - -__301.60•: __•4.00%r ... X401.60- r 1 1ee" EE_ .-____-,$20i)f07/l984+07/2011 07/2014 $100.00 $301.60 4 009!0 $401 6p- _r17614870ee EE $200 07%1984x07/2011 07/2014 $100 00, -_301.60 - _ .4.00% --___ _ $401.60 r17614877ee _._ ......... ...... EE ....... .....$208~07f1984t07/2011_.07/2014,... .$100,00,. .:...._..$301.60_- °" _4.00°Yo F "'-"' -- $401.60 r17614878ee : - - _ „- „ _ 18542375 -•. •EE ,,.,_ .- .,, „$200x07/1984 07/2011. 07/2014x--• ---$100_00.x_ _---_$301.50_ • - , 4.00%r ----- _- ~-- -._ $401.60_-_.-_- ~- r ee; --••-.------•--------- - EE -------- -- -$200;.07/1984:_07/2011 07[2014;-- ---$100.00. -- $301.60_- 4.0096 $401.6~r r17614864eer •_EE. ._-;.__$200 06/1984 12%2011 06[2014 _~100~OOT. ..•• $309.60 ,. .4_00%_x ... _ . , _ $4Q9.60_ r17614866ee: - EE__ $200~06/1984,12/2011~ 46/2014___ $10q OQ _ _ - _ $3Q9-60 4.00°X; - --...... $409.60 i r17614868eer_ ._.EE -$200 06%1984t12/2011~06/2014, r _ $100_00 _. $3Q9.60 __ 4 00°Ya $409.60r r17614869ee} EE 8200:06/1984,12/2011, d6/20l4 _- _ 100,00.,.. $ - _ _ -$309 60-, . _ _4.00%_ - _ -- • - $409.60 r____219788ee~. __-EE :_•_-.$200x05/1984 li/2011,.05/2014;__- ____~1QO.OQ~- __ _--$309:6Q: 4:009k,~ ,__ ~409.60 r r152197i39ee4 EE $200..05%1984 11%2011 05/2014: - X100.00: - $309 fi0. _ • 4.009!6 ; --__ _ _ - ~t409.605 r17614860ee: --.- , „- 761 861 r EE E ~ , -. $200;05/1984 11/2011 05/20145 • 8 05 4 2 1 . $100._00: . $309,60, _ -- 4,009!0_ _ _--$409.60r-----_ ri 4 ee _ E ' 200 /198 11 0 1, 05/2014, _ .$100 00;, _..•.$309-60. _4,00°16- $409 60: r17614862ee.• ................... I52 .,•E 1: -; •$200.x05/1984.11/2011 D5j20i.4_- _ $100..00. ......_$309,60 4 OO0N0_, _ . .___ - . $409.60 ~ ••--__-... r 19775ee , EE $200 , 04/1984 :10/2011. 04/2014 _ $100.00 $309,60 ; - _ 4.00% #409.60 ; r15219782ee, EE _••- _$2Q0: 04/1984,10/2011 Q4[2014_, . $10a QO_•_• -- ._309_60 _„ 4 809;6 _ _ , $409 60 r152197i33ee EE $200 04%1984 ,10%2011.:.04/2014 _ $100.00 , _309_60 _ 4.009~b , ,_, . _„ ._ $409.60 r - r15219784ee EE $200-r04/I984k10/201]. 04(2014___•_ __$100 00 -.___ 309 60___ _4.00°Yo . ____~409.60 r15219769ee _ 5 EE $200 ; 03/1984: 09/2011 03/2014: $100 -QO _ $309 60 _ _ 4.00% ~ r__._ $409.60. r1 219770ee „ • EE :__-__200 i 03/1984x09/2011: 03/2014 ~__.. • $100 00 $309 60 _4.OD9!0__. . ._ 84tf9.60; r15219773ee , -EE _ -$200 x03%1984_ Q9%ZOl i 032014 ; - $100.00 -_ $309.60 _ _4 00% _ _ •.._- $409 60 r15219774ee _EE _-$200~03/1984~09f2011~.03%2014,_-._ _.$100_00;.- -_-_•_•309 60 r 4 a09~_ --_ _ _- _- $409.¢0'. r15219764ee, EE_ $Z00~02%198408/2Q].i 02/2014 $100 00~ $309.60 _ 4 00%: _____ _--.--,:••_ $409.50 : r15219765eer-• , EE •_•,,._$200.02/1984; 08/2011: OZ/2014 •• _ $100 00.x.• _- „ ,.-$309 60 ___ _4:009!0 x . X409.60 r15Z19766ee~-- 15219768 EE_. 8200'.02%1984rOg~2011 02[2014:_ 0 $100;00,. $309.fi0 _ ._ 4 QO°ib __,.- _. •••_--._ $409.6. r ee ....... _EE r- . X200 02/1984_ 8/2011_r 02(2014 .__ $100 00 -•_ $309 60.: _. , 4 ;4096 X409.60 r15141704ee -- 141 3 EE - E $200 , 01/1984 ~ 07/2011.01 2014 / - 100 00 _ $ - _ _ $309.60 ~_ 4.00%.~ _ ~-~~ - $409.60 _ -.._ Lr___ 70 ee__ 7 e __ E ..•__$200 X01/1984;07/2011 01/2014---__ ••$100M00_-. . -$309.60_-_ 4:00°x6_- __$409.6D:, r15141 00e i 88 EE $200 ; 01/1984 i 07/2011-; 01/2014: $100_00 _ $309 60 4- 00%. ._-_-_- X409.60 r14 4500ee r _C-E __$200 01f1984°07%201]. 01/2014 _ 100 00 ,,,$309 60 4 009x0 $409.60 ].4884498ee, EE $200 01.%1984;07/2011, 0].%2014, $100..00, -_ $309 60 __ 4 00% ._, _ •. $409.60 r10171124ee EE , _- $200 12/1982 ~ 12/2QI1 12/2012•.. •.. $100 00 ,, .. _ •.,,.- X428.32 , 4 00% ~ _ $528 32 m_ 5Z4fi00ee; EE ~$1,000,05/1984,11/2011.05/2014; $500,00: ,$1,548.00.. 4.00% _ . $2,048.00: m7164936ee_.- EE ,• _~.$1,OOQ,,,D5/1984:11/2011 05/2014--, _.$500 00,_. --$1,548 00 . 4 00% _ . - ... 2,048.00_ m6524594ee: EE ; $1,000;.03/1984;09/2011: 03/2014: $500.001 _ $1,545.00 . , - 4.00%; . _ .. $2,048.Qp Totals for 36 Bonds' $4,800 00 ~ $ 14,931 52 __ $19,731.52 Notes NI :Not Issued NE _ Not eligible for payment . P5 :InGudes 3 month Interest penalty _ MA Matured and not earnin Interest EXHIBIT G http://www.treasurydirect.gov/BC/SBCPrice 6J28/2011 Calculated Value of Your Paper Savings Bond(s) Page 1 of 2 Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date Ofi/2011 Total Price Totai Value Tote! Interest YTD Interest $4,600.00 $14,621I13.~04 $10,023 04 $287 52 Bonds: 1-47 of 47 b~ TVA ~~ ~ ~~~ f - ~ti Sena[ # Series Denom Issue Next Final Date Accrual Maturity Issue Price Interest Interest Rate Vaiue No#e __ R40029198EE _ . , . EE . , _ - $200.;_05/1988 17./z01 i_ 05/2018 ~ _. , _-.$100,00: " _ ._ .,.$214,32 4.00% ~ $314.32: .R40~29196EE EE ~ .... _ $200 r 05/1988 11/2011. 05/2018 , - $100.00 _ .- . _- $214 32 -__, - 4.00?/b ; -_ --- . _ - -- $814 32: .-R40029194EE_ - EE r __--$Z00_05/1988ri1%2011 05%20].8 _ $100.00 ---_$214 32 4 OO~ib . _ $314.32- R40029193EE; EE _ $200 04/1988 10/2011 04/2018., $100 00 - _ $214 32 _ --' 4 00% ._ - -- -- $3!.4.32 --.R39291433EE: 39291 32 EE , - .$200y 04%1988:10/2011 04%2018, -_. $100- 00,_ _- _ $214 32 - - 4_009!0• _ .- __ $314.32 _- - R 4 EE, ft39291431EE ~ _ EE E ~ $200;04/1988 10/2011 04(2018:. 0 1 8 0 ,," $100..OQ-: _-._.$214.32. 4_Od°/b= _ .. _ $314.32_;_______ -_ E_ $200T 4/ 9 8!_10%2 11_~_04(ZO16: _ $100.Q0 ~ - $214.32 - 4 00°Yb : $314.32; R39291426EE: EE - ._ $200:03[1988 09/2011 _03/2018 _ $1Q0,00. - - _ $214 32 ~ . _ 4.00°Y0 ~ -- $314.32: _ R3929].425F_E ~ 39 91 24 EE EE E 3200 ~ 03%1988 ~ 09/2011 03%201.8 _ $].00 00 - _ $214.32 . _ .4 Oa96 ~_ _ - _. 3314_32r _ _R 2 4 . r E --..$200. ~ 03/1988 09/2011 ~ 03(2018 ; . - - $ IOQ.00 _ $214 32 4 009'6 X314.32 -_R39291423EE;. _EE _$200703/1988.09/2011 03%2018.. _ 10800 - $ . - _--" _--$214.32 - * 4 0096 --- - - $314 32 R39291421EE - ---- , EE _ _ $200; 03/1988 09/2Q11 ~ 03%2018-~ 1 $100.00. ~_ _ $214.32 ; _ . _ . 4.009!0 ~ " _ , _ $3 14.32 - R39291420EE ~ EE ._. .- $200_02/1988 082011 02/2018 ~ _ _ $100 00 $214 32 ~ - _ 4 00% , $314.32: R39291416EEr EE ` $2006-02/1988 OS/Z_011E QT.~2018~_ $iQ0,00r-" _$214.3x _ - 4 009b _ _ _--- $314 32 R39291415EE : EE : _ $200~OZ/1988 : 08/2011 42/2018 ,. _ $100.00 P -_ . $214.32 - _ -_ 4 00°Yo _ -_ $314.32• R39?91413EE~ EE ~ _$200~_02/I988 08/2011;02/2018,. .__.$100.00. _ . $214 32 . 4 00% ¢31432: _ R39291412EE_ "EE $20001/1988 07/2011 01/2018_ _ $100 OOy _ . $214.32 __ _ 4 009k ~ - $314.32: R3929].410EE EE _ $200 { Q1J1988 ~ 07%203.1 0].%2018 $l00 00 - $214 32 4 00% ._, _ $314.32 _._9291406EE _ 9 __EE _ " $200_, 01/1988.; 07/20214 01/2016 ___ $7.00-_00. _ _.. 8214,32 4 009! -. $314 32 R3 29].398EE FE $20001/1988 d7%ZOli; U].%2018; $Sd0.00: $214.32 , 4 00% "_ , $314.32 ; __R39291397EE~ -_EE ! _ ---$200_IZ/1987- 12/2011__12/2017r- .--~].OO,UO:"_ ----$220.64 :--- 4 00% _ _ , _. 832x 84: C143357407EE~ - ..EE $100 12/19871 ].2/2011 12%2017 350 00: $1].0.32 -_ ~- 4 U09!o s --_ _ .._. $160 32; - -- Ci43357406EE~ R39291395E EE : " ,$100-.12/1967 12/2Q11 _12/2017, ---*-- $50..00:._ -.. . $].10._32, _ _ 4_OU94o~_ - $1.60.32;__ E ~_ EE : __ R39291393EE•_-_EE_--F,_. _ $200 .12/1987 ~ 12/2011. 12%2017:._ $100..00 ~ _,$200;12/1987.12/2011-_ 12/Z017r__. _•$1aU:00.__ $220 64 . -__$220:64: 4 00%' 4.009!0 ' _. - $32Q.64: - $320 64 ~ _ R39291392EE ; 9 91 EE .. _ _•$200 12/1987.12/2011 12/2017 • _ _ _ ~10Q. 0~ ~ .- _ "~22Q.64 _. , ,., 4.Od°ib .". , , $320.84. _R3 2 390EE: ........_.._ ..,. 3 91 88 EE ..._..._. ; .. .-$20011/1987 11/2011; Z1~2017;,_ 20 9 ~ 1 , $100.00; -..-$220 64 -- • 4 00% --• _ . -- .--_$320.64 -- ._ R 92 3 EE __EE "$ 0! 11/1 87 1 /2011 1"1/2017: - . $100.00 - .. ._$220 64 i 4F.00°Y6 ~t320 64 R39291387EE~- -_EE -. .-$20Q~I1J198711/2011._112017_•_ ---$10000._-_ . . - v _-_.,.~220.64~ .. 4.00%~ . , $320.64 _ R39291386EE: 3 - EE $200 11/1987 12%2011 11[2017 - - -- $100.00.;_ _-_ $220 64 ............. F... 4.00°16 ~ -- _, ... .. $320 64 ._R 9291385EE6 _,. EE . _ •. _ -_$200 10/1987 10/2011: 10/2017; -- $100 00 - _ -- _ - ' ~zz0.s4 , 4 00°16 _ „ $32~l.64 _R39291384EE:.-. R3 2 _,EE --___ _$200_10/1987 10/2011 10/2017_ _ $100,00 ,•. _ " $22064 !} QO%: - -_ $32G.64~ 9 91383EE~ ......... ......... _.. EE :.,_,$200~10/1967~10/2011 10(2017,.__ . ...$100.00... " $220.64 . 4 00%: " - - 53x0.64 ~ ~ •. R39291381EE ~ 39291 78 EE $200:10/1987 i 1U~2U11;1.0%2017 $100 00: , $220 64 . - 4 00°Yo ...-- -- ; . 32Q- 64 ~ _ ~ $ ..R 3 EE _.. EE ~ ,._. __"_ _-. 200 09/1987:.09/2011 09(2017. _ .--_100:00• - ,.~Z20 64 4:00°Yo - _ $320 64 _ft38872300EE:, 887 2 _•EE.--~ _$200;09/1987:09/2011 09/2017:_- . -_-$1UO,OQ°_ . _ .-_•_$220.64 ~-, 4.00% . _ _ :--„--,-_ $320 64; __R3 2 99EE "- 3 8722 E -~ i__. -$200 09/1987;09%2011 09%2017, _ _ $10Q00._ - ___•$220.641 4.00% -•• . "•,$320.64. . R 8 98 E: _ _ , _,_ ~. EE- ,_ -$200.:09/1987; 09/ZO11, 09/2017.,. $100.00.:.. .. $220 64 4 009!0 : .. $320 6!4 - -R38872297EE?.-- 8 71 -EE__...... .$200.;_09/1987__09/2011:09(2017_- . .$lOQ.00~___ - .--.-$220.64_ . _--- 4.009!0; " _ :_ _ $320.64: R37 13 3EE: _....._ ....... EE $200; 08%1987: dB%2011„ 08%2017,•. $10Q D0, __ 64 ....$220 _ ... 4 Od%- ... . "- $320;64 R37813712EE- ----------- -------_---- EE _.. .; _ $200_08/1987:08/2011 08/2017;._ _$100.00,.. _ _ .. $220.64: . --- 4.00%0 _ -- -- -- -- $3x0.54 R37813710EE: •. 781 •EE _- , $200.OB/1967,_0$J2011 08[2017:-__ ._$1x0:00.: _-. .- $220 64: . __ 4.00°YO __ _... --.... $320 64 R3 3711F_E. ........ ................ _. C-E _._.. ; ... $200; D8/2987 08/2011.08/2017 ._. __$100.00.;•. _ . ,_ $220 b4 ,., 4 00°rfo ; _-- • •-• $320.64: R378l3705EE_•,. EE .., -- $200 07/1987,;07/2011 •07/2027,_ . ,.•$100 00:,. ., , .- $220 64: ..... _ _- - 400°% -•- _ 5320 64_ R3.78137(}4EE ._. EE•_ . ~200.07Ji987;07%2011 Q7/2017:• , _ $100.Q0.:._.• " $220.64 -..- 4 00%: ._ . " $320.64 ._ R37813705EE . ... EE ... _.... $200 07/1987 07/201]. _ 07 2017 .. _ / . r 100 00 _ $ $220 64 . _ _ 4. 0096 :- "-'"' $320 64 -R37813703EE~ EE $200-..07/1987,07/2011.07/2017_ $100.00,: , ... $220.64 , ..,.. 4.00%. .. , .. .. , _$320.84 http://www.treasurydirect.gov/BC/SBCPrice 6/28/2011 ,. calculated Value of Your Paper Savings Bond(s) Page 2 of 2 Totals for 47 Bonds'$4,600 00 X10,023 04~ $14,623 O~ Notes NI :Nat Issued NE :Not. eligib~efar.payment,.... PS :Includes 3 month Interest penalty __ _ MA 'Matured and not eamin interest EXHIBIT H http://www.treasurydirect.gov/BC/SBCPrice 6/28/2411 Calculated Value of Yaur Paper Savings Bond(s) Page 1 of 2 Calculated Value of Your Paper Savings Bonds} Calculator Results for Redemption Date 06/2011 Total Price Total Value Total Interest YTD Interest Bonds: 1-46 of 46 ~~'~ • ~ t ^ Serial # Series Oenom issue Next Fnal Oate Accrual Maturity Issue. Price Interest Interest Rate Value Note R37813702EE _ ' ___ EE_, - _~ __-.$20007/1967 ~ 07/2011 ~ 07/2017 ~- _-_-$100.x0-_ •_,_,-__ $zza:64Y •- _ 4.009/0:-- _- -_-320.64 ~ __ __ _R38872295EEr _. EE___,-_-,_$200.06/1987 12/2011 06%2017__ __ $100 00 ______-..$227:04 , _4 OQ9b .-- $327.04x .._____872288EEi _-EE• _-_-.__$200;06f1987?12/2011__06/2017 __].(10,00__.__--_,$227.04; _ ..-.. 4;00% -„•__ _,•. _...-- $327.04; R36872286EE: „_6872Z85EE; .. EE : _ _$200.06/1987 12/2011 k 06/2x17,_ ---- _._EE.__;- $200_~06/i9$712/2011-;06[2017; -_-$100.00.,_ $100 00. . - - $227,04: $227.04; -., _ _4.00%: 4:009!0 ,_,. .- $327.04; $327 04' R38872284EE EE $200 06/1987 12%2011 06~2Q17r_•_ . . - _, , $100 00_.__•_.___227-U4 _-_ , _4 009!0 ~ ,._ - -,-_,_ X327.04: R3887228iEE_ _- EE_. _r,__-•$200:05%1987 11/2011 05/2017 __ -, _$100.00 ___ _-___227,04,, -_ ___4,00% •_,•. _ X327 04 ! R3687Z279EE-_ EE _ $2Q0-;05/198? 11~2011t05~2017, $100.00; ___$227 04 , - - 4.00% --_• _ _•• _,._-_, $327.04 , R38872278EE: EE ~ , $200 05/1987 ~ 112011 05(2017 ~ $100.40 -„ -, $227.04 _4, 00% _, _ .. $327.04; R38872287f:E ~ _ EE.- .:,-__$200 05/1987 t1 J2011 ~ 05/2017 _. $100 00 „ ,,.,, $227.04 , _4.009!0 -,___ ,_ - _ $327' 04 FtB7813701EE 37 13699EE EE $200-:,04/1987 :10/2011 04/2017 $100,00._ ,_,- • $227 04 __ 4 00% -__, _ r-- ______ X327 04: '°""°°~- •° R 8 -- ~. EE -_ .-. -, ---$200;.04/1987 ~ 10/2011 04/2017_ __ $100.00___ __- __-.$227.04. 4-00%0 x $327 04 ~ R37813697EE~_ ,_EE._ _._-,_.,$200 U4/1987 10~2U11: 04!2017 -_. ,, 8100_00__ __„ __$227 04 _ - - 4 00°16 _ _ __ - .- $3Z7.04~ R37813696EE -__EE„ ___,__„~2D004/198710/20i1 04/2017' _$100_00 „__,_,$227,04 ., ._. ,400%: _ _ - .. ~3Z7.04r R37813694EE}_-_ EE--.- __~ ___,$200.03/1987 09f 2Q11 } 03/20].7 -__ ,_ $104.00,:__ , _ ,-_-$227,04r• - ,,- ,-_4 ;00°x6 1 .,•_- --_• _,_ $327.04 R37813693EE; EE ~ $200; 03%1987 09/2011 _03/2017 ; --$100:00 $227 04 , .•_ _4 00°~fo ~ - . _ ..__ $327.04 °. R37813692EE' _- - EE - _ -$200 _03/1987 ~ 09/2011 43/2017 : - , $100 -OD _ -- ---- $227,04 ._ 4 009!0 $327 04 - A37813691EE_- __EE--- __--$200r03/1987r09f2011-rQ3[2017;_ -$100OQ__- __-____~2z7_04: , _. 4.OO~i6 . ___ . _ -..-. $327.04; _R3~813689EE:- . - ., EE_ _--_- _-_.-200 _02/1987 08[2011 Q2/2017 _._ ..$100.00 _ , --__--_ $227,04 „ 4 QQ% : __. ._,_ _. - 0327 04 R37813688EE_- EE. ~ _ $20002/1987-;08/2011.102/2017: $100,00:__ -- $227,04 __4.00%: _ ,._ $327.04; R37813fi86EE~ EE ;. - $200. 02/196706/2011, 02/2017_ $1na.00 -. , ...._$217 04 . 4 009!6 .. . - $327 04 R37$i3685EE._-- - EE . __ - $200 02%1967. 08/2011.02/2017__.- _ $100.00 .- , - _---.$227.04 , 4.00% _. - -._-_____- $327 04: R37613683EE EE $20Q 02/1967'. 08!2011 02/2817 $10U~00 _ -227 04 _--_ 4 00°i6 .-__ __ _ X327 04 R37813682EE r EE - _ -$200. 01[1987 07/2011 01/2017.. $100.00 - - -X227 04 4 00% f --... $327 04 R37813b81EEr , EE .__$200.01/1987.07/2011; 0172017, _$100-00_ . , __.$227,04 _ , 4 00°/b - . _, $327,04. R37613660EE,- , EE__. . _, 8200, 01/1987:07f 2011 01/2017, _ .. $100,00 • - _-_ $227.04; • .... . .. . •4.009!x ; ._. . _ __ $327.04: ._•_•-813677EE: E -$200;_01/198707/2011;,O1f2017, _ 100.00, -, . _..,_,$227,04:. , ., _ _4x10%; •. - - _ -.- - $327.04. R37813676EE: .. -._ ...-•-• ..... ...... . . EE . • ; $200;12/1986;12%2011 12%2016 $100 00 : _ _ $233 60 _ 4 0096: _. .-_ "--`- $333.60: R37813675EE. C 3EE~ EE $200-12/1986y12/2011_E 12/2016 $100.40_ _ $236.60; _4_00°ifo~ _ _ $383.60; i23781367 -_,EE _ _ $200_12/198fir1~2011 12%2016_ _ _$100-00_- .. -$233 50 4 00°~ $333 60 i234438082EE EE -• $2x0 ~1Z%196fi 12/2011 12%207.6 , _ $100 00 - , $233 60 4 OQ°ib ._ , ___ 333.60 R34438081EE, EE $200;12/1986 12/2011x12/2016, $100,00 $233.60: _ 4.00°k _ _ ~- $333 6Q i R34438080EE, EE _ . ---$208,.11/198b'il/2011~ 11%2016. _ . $100.00-:-_- - .____8233.60_.__ 4.00% _ _ X333.60'. R34438078EE _ - EE _ $200 11%1965.11%2011 112016 _ _ _ _ $100 00 _ --__-$233 -60 __,_ 00% 4 _ _ _ $333 60 R34436077EE EE -. $20D 11/1986:11%2011 11[2016 $100,00 _ - . - _. $233-60 - 4.00%; . ; $333 60 R34438076EE„ R31832067EE; EE EE $Z00,11/1986E11/2011, 11/2016, ., $200 10/1986:10/2 11 10/201fi $100.00, _ - ,- $233.60 4.00%. _ . ; __$333.60 - R31832063EE•_ - _ _EE . _; 0 ,. -. $200 x10%1986-,10/2011. 10%2016 _--- _ $100.00 ..- _-$100.00- -_- _._$270,96- _ -.---_ $270.96; 4.00%•... 4.OOR!a _ $370.96.;._... $370.96, R31832061EE: --•-••-• -..-.-.._._._.,.-.. EE _...... -.--. $200_10/1966.10/2011 10/2016.:..._ .$100_00:.-. ..- . .$270 96 -__ 4.Q09!o; _- _ --- $370 96; R31832060EE .- EE __ :_,.,$200; 10/1986'10/2011,10/2D16: ,., _.$10000;, . $270.96 . - 4A0%: -•~ $370.96: R31632059EE: EE. .. ~ ,, $200;10/1986.:10/2011 10/2016.. $10Q00,-• -_.$27096 . 00°k 4 . - $37096_ R31832058EE 31832 57E EE $200..09/1985 09/2011: 09%2016 ; $100_00. $270 96 - -,_ -_ 4 004/0 _ ___ -.. $370.96' R 0 E R31832 5 E EE $200: 09/1986 ; 09/2011 Y 09/2016 ; $!.00_00 $270.96_ 4.00°1!0,; $370.96 -- ~ D 5E _____ ________ ______ _ - EE - _. $20D :04/1986_: 09/2011 09/2016- $100.00 $270.96 4.OO~k ; - $370.96 R31832054EE; EE .._ . $200,09/1986'09/2011'09/2016' - - 100A0:._ __, __ ..$270,96: _ _ 4.00°16; $370,95 , R31832053EE EE $200;08/19$5;08%2011 08/2015' $100.00.;-. $270,96 4.00% . $370.96_ http://www.treasurydirect.govBC/SBCPrice 6/28/2Q11 Calculated Value of Your Paper Savings Bond(s) Page 2 of 2 Totals for 46 Bonds' $4,6D0 00 $10,935 68 ~ $15,535 68 Notes NI :Not Issued ._NE __Not.eligible, for_payment_ _ . _ _ _ . _ __ ._ . _ .._._ ..PS_ Includes 3, month_interest penalty.-. _ _ __ MA ;Matured and not eamin interest ~~ EXHIBIT I http://www.treasurydirect.govBC/SBCPrice 6/28/2011 Calculated Vaiue of Your Paper Savings Bonds} Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 06/2011 Total Price Total Value Tota! Interest $2,300.00 ~e_9~._an ~~ ter. o~ Bonds: 1-23 of 23 (~~~~-,~i~ ~~~~~ `~V , _ r Page 1 of 1 ~~~ YTD Interest Serfal # Series Denom Issue Next Final Date Accrual Maturity Issue Price Interest Interest Rate Value Note R24034607EE ~ .......................... _-"..r EE- • ~ - . _.-$200: 09/198509/2011.r 09/2015 ~.- _ $100.OQ,_--__.8286.00 r ---.4.00%_- $386.00 , _R24034605EE- R2403~3603EE EE EE $200., 09/1985 09/2011.09/2015 _ 40 . 81Q0.00 r -- -- $286.00 - - 4.00°/6 • _ ._ _ _, _ .. - _ _ $386_00. ----_ 2 09/198509 2011:09 2015 $ F --.---•-./---_---• • >----. / $100 00 $286 00 4 00°16 - $388 00 • -R22182567EE- • R2 EE • ,-• $200,y09/1985~09/2011_Q9/2015 $100 00_____- $286_00_ - 4 009!6 . . - X386.00 -- 21B2566EE --EE-__,; - $200 08 1965 08fZ011 08[2015 5i.00.UQ?__- -_.$286.00 • _. _ - --.4 009!6 - ;• • __ _ $388.0Oµ • . R22182564EE -- . EE ~ -,._-~ $240, 08J1985 ~08/2011.08/ZO1S -- -,-81go ao,_-_ __ $286.00 - , - 4 009!0 _-_ ---- $386 00 _R22182563EE r - EE - $200; 08%1985 408%201]. ~ OB%2Q15, . 100-00 .- 266 00 . _• 4 00°16 -_• . „ _.- . - " $386.00. -,..22182561EE.- 1 -_EE--..; r $2D0: 08/1985 i 08/2011_; OB/2Q15 * $100,00*_-_ _ -- -__$286.00;- . . - ---4,OQ%; -.. 385.00 Ft22 8Z560EE EE $200~OSJ1985 08/2011 08[2015r $100 00__,_,_ $286-OOr _4 00%0 _•_• $386 00 -R22182555EE,.- RZ21 58 ' EE---.r-__ $200,~07J1985_07/2011.07/2015_.-. ..$100,00_;--_ --_-$266,00:- - --4^OQ9!g~-_ -__ , „-, ,-_ ._$386.00_. _ 625 EE --- R2 1 2557EE ~ - EE - $200_;•07/1985 07/2011._07%2015, $100 40 --- -- $286.00_.- - 4_00°i6~.- -. _$386.00-; - Z 8 _R2Z182555EEr- EE EE $200 ~ 07/1985 y07%2011.07/2015.; $200 07/1985 07%2Q11.:U7(201Sr -$lOD 00;---- 5100 DO - $286.00 t - 3286 00 -- 4_00°16 _-- 4 00940 -_$386 00 $386.00 - it22182491EE=._. . EE - r $200rO6J1985 12/2011 06~20].S 100.00, - ~ . - - _ _ _-_ 243.68 4 00'16 $ ....--- __ _ _ 68 $393 .---___82485EE r - E - EE ; -. $200 ~ 06/1985 12/2011,- 06/2015 : - - $100.00 : $293.58. , - .,--. --4.009!(0. ~ - . .. . . - $393.fi8 - R2218Z488 E! _ 1 EE_ ~ $200;06%19851iZ~2011, 06/2Q.5 - $100.00T $293.68.,- 4 00°16 _ ; $393.68 -R22 8Z493EE ~.- _EE-.-, - 200 } U6/1985 }12/2011 _06(2015 - $ . $100 00 : $293.68' - --- -----,. - 4.00% ! - $393.68 R220003Z1EE EE --.. _______ _...,..._....-r... $ZOO rO5J1985? 11/2011-_ 05(2015 - ,$100 00 ---, - _ $243.68 ,-. _ - - --.--.. _ . ..4_009:6 `• ._ ~393.6i3 r ~ - R22182477EEi -----_-----------------.,r--- EE -------- --- $200.;_05-J3985 11/2011x05[2015;- . -.$1QO.Q0..-. 9293-68_ _ .4_(?0°ibr.. _ ,-- . $393.68~ .. ., . R22182478EE E ..---~-- --- •-----~-----------r.. EE .----- - $200 05%1985 11/2011:. 05/2015 - $104 00 $293 68 4 00°16 ~ ._ _ _ $393.68 . - R22182482F_E~-_,EE---_:, - 0 $200 05/1985 1].j2Q11-_05(2015,,- - $100 DO -_- _$293 68 4 00°jb _ $393.68t RDD 00308EE?-___EE-_ •,-. $200.~04~1985r10f2 U11_04(2015 _ 1_ $100,00;-._._,8293.68: _ , ,_ 4.00°J/o: _ 9393.68; _ii22000309EE--_ -EE _ : _" .. $200; 04/1985 10/2011 ° 04(2015 , ,. _- -9100 001-_- - $293.68 _ ..._._._,._. 4_QO°i6 x - ,-__, _, _ $393.58 Totals for 23 Bonds-~ $2,300.00:56.554.80 ; - ___ ~8_95a_an Notes NI :Not Issued - NE. ;Not eUgible-fur-payment--_ -- PS ;Includes- 3 manth_intere_st.penelty _. _ _"--- MA ;Matured and not earnln Enterest - EXHIBIT J http:!/www.treasurydirect.gav/BC/SBCPrice 6/28/2011 Calculated Value of Your Paper Savings Bond(s) Page 1 of 2 Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 06/2011 Total Price Total Value Total Interest YTD Interest Bonds: 1-47 of 47 Serial # Series Denom Issue Next Final Date Accrual Maturity Issue Price Interest Interest Rate Value Note .-r31832052ee 31 _EE. .:..._._$200.,.08/1986;08/2011_~0$/2016~-_ .__100.00 _- $270.96_ _-_.4.00%;.-- .. $370.46; r 832051ee _ EE ~200~08/1986 08(2011 08(2016.. . ~100.OQ_„•_ ___ $270 96 - 4 00°ibr _. _ ~370.96 r029034713ee EE _, , , . --• $200 ~.08/19i36 08[2011 OB/Z016:_ 100,00_ .__ „- $270 96 ,___ _4.00% ___ _ - • •- ~37Q 96 __• _,,.___- _ - 712ee: EE $200 ~ 07/1986t07/201L~ 07/2016. _ - •$100,40 _ $270 96_ _ -- 4 00% - _-_ .----- $370 96 r029034711ee- -__ EE . _ ~ $200 :07%1986;0712011 07/2025 ~.. •--$1d0µ00_:-,-• _•.~270.96y . 4 U09!o; , _, _--- .... $370 96 _ _r029034710eer .___EE-. . r. $200 07/1986 07/2011- :07/2016 E__• •_,.$100:00•__,. .-_ .$270 95~. ._ ..,4~00% _ . - - • _ • $370.96 _r029034705ee_ -.- _6E.. •, $200_,-07/1986 07/201].-: 07~(2016's __ ___.$100.00: -. . $270,95~. ._. .,.. -_.4^00%!_ .... ___.___.___ 3370.9fi: r029034704ee: EE $?00,_07/1986;07/2011,_07[2016 _ $100.00, $270.96 _,• 4.00%; _-. •_ ____.__ 3'370.96_ r029U34700ee 029 3470z EE E $200..Ofi/1986 12/2011 06(2016 $1.00 00 : •278:40 4_OD%_--, _ _ __ $378_40'. .. r 0 ee_ -•- E•• __-__•.$200.06/1986_12j2011.~06/2416M.•..$100 00:_,__.___~z7e.4o - _..4.009!0 X378 40 .r027089300ee: • ,EE _ _.•___$200? 06%1986 2%20].lj•06j2016.... . $lOQry00____ . - -X278.40; •,.,- •4.00940: .... . . . . .__--••..__ ~378.4Q r029034698ee.. EE __ •- _ X200-:06/198b;12/2011~Ofi/2016*_ 100_40_- 278 40 .. . . - 4 00% _. _ _ - #378 40 . r0290S4695ee _._._.--•--......._ _. EE ....--- - $Z00-~OS/1986, li%2011_.05[2015i _._ . ,- $100.OU, , .._. $.278.40, ~ 4.00 /o . _ _ .._ . - - X378 40 _._.........4..9.,eet . _..EE-._ ,;......$20005/198611/2011,_05/Z016~......$100~OO,r..... ._.$278.40T_ ., ... __,4.~(?09!fo . .. _. . _ .-- .. $878.40 r029034694ee-r EE ....$200.05J1986 11/2011.05/2016 _.. ..$100,Q0_.._.. ._..3278 40LL. _..4_Q0~6 . ` _.. _........•. ~378.40. r08708929Bee : EE , _ $200 U5/1986-~ 11~2U11; 05/2016 ~ . . $100.00.: _- _.$278.40 . ...._ 4 00 % - __. ......-. $378.40 : r027089297ee'. r028784571ee EE EE -$200- 04/1986 ~ 10/2011 r Q4~2016 t _-_ $200 04/1966 10/2011 04/2016 , $100.00 _ 1 0 ~ - $276 40 _ 76 40 . _ _ 4.00% ~_. _ 4 Q °Y - ~ ' • $378.40 .-- -- . 40 _ r02708996ee: _.,~--_,_--_•-,,,,, EE _ ,. r r__. _ $Z0004/19$5 10/2011 04(2016._. X 00.0 _;.- , $100.00„ $2 , :• --_ $278 4U -• . 0 6___--, -4 OO~o _,_$378. __ ~- •~°--•• 337$ 40 : r0287845fi8ee-, EE . X200 :04/19136 ° 10/2011 04/2016 ,__ .$100,00: _ $278.40* ---- 4.009/0 • -_ - ------ $378 40 . r02$784566ee : _ EE _ $200:-Q4/1986 10%2011 04/2016., _, _ $100.00. - , $278.40 . 4.0096 . . $378.40 ro27084295ee _ 287B4565 _EE E $20D:.03/1986 09/2011_: 03_/2016 r-- __ 2 0 1 _ ~:~og oo _-. - _. , ___ ~z~s 40~., , _ 4_Q09!a _ - _ , - _.. _.$378.40 _ rD ee • E _--3 . 0 03% 986 09/2011~03~2016r_-._ X100-00-__.•- _-$278.40 4_00°0 $378 40 r027f)89294ee EE $200.; 03/1986. 09/2Q11 03/Z01.6 $i.OQ 00, _ 3278.40 _._- _4_DO% r ~ , ,-_._...... $378.40 , .. ~.... _..0...._ .. e2, - 27 92 2 EE :__$200:_03/198C.09/2011.03J2016.Y - - $100,00 :.. _ _. _..$278 40 . 4_0090 ; -- - -~ - $378.40-=--- . _ --- r0 08 4 eet. _EE-. .._.•_~200r02/19B608/2011.OZ(2016___ $100,00:.,... ,__.$278.40___ •.4_0096: _ 378.40 _ ~ r027089291ee ; .. .......,.~. r027089290 ,-EE .- EE .. 20 _ $....0:02[1966.08/2011, 02,(2016.:.... $ ..$100,00_:...... ....$278,40 _ __ .4.009!0-; -- . . __ -$378,40-_ ee: ~ --- ---• ---- ---- --- -- - - f ---- :_.__ 200: Q2/1486,08/2011 02%2016:._ - _$100,00_ _-X278-40 4 00%: $378.40 ; r027089289ee r027089288ee; EE El: ;._...$200., 02%1486:08~2011.~ Q2%2016-, $20001/1986 07/2011 of/zoib $100 00, _ lo0 a0 ~ $278 4Q .- 2 8 4 - . _-- 4.00°~q, _ _ ., . _ $378 40 ___ .. 4 . , ___ : -r __- _ -$ _- _ _ _ __-$ 7 , 0. 4 00%0: 378. 0 r027089287ee. --EE .-$20001/1985_07/2U11 01/20i6t .$10x._00:_,. • 327640._ _.. 4.00°:6_ . _ _ - -__. $378.40 _ r027089286ee. EE . $200_U3.%1966;07/2011~U1%2016:_ $10000___ .$276.40 __.. 4 00%; _ .•_-- - $378.40: r027089283ee.__ EE $20001/1966..07/2011,01/2016_-.-_ -$iQ0,00 „ - -$276 40 . 400°16 -- $378 40 . x027 _8928 _ _ - • Zee EE Z00-;12/1985 :12/2011 12/2015 __ __. 10U 00_ _ . , $265 OO j. - .._ 4: x0016 . _ ____ - $386 00 r027089280ee EE - $200;12/1465_:12/2011 12/2015 - . $100.00, , _ , $286-00 _ __ __ 4 00%0 . _ __- -°-- 33$6 00 b27089279ee„_ EE _ $200__iZ/1985,12/Z01112~2D15• $100.00.._- __$286-QD . _-_ 4 00°/0; . _ $386 QO r027089278ee„ EE _$200:12/1985~12/Z011, 12/2015: $100,00:_ . $286,00 ._ -_- ,. 4,00%; . _: $386 00 r027D89277ee ............ ....._ .. - FE --- - _$200;12/1965 ;12/2011 12/2Q15__ .__ $100_00 _ _ $286 00 . 4 00%: $38fi,00 r027089276ee_ . 02 EE $200,11/1965.11/Z011 112015 ___ _.. $100.00. $286 Q0 4 009!0 __--_ $386 0!t1 r 7089275ee' __ -_- . , -. , _ ... , _ EE $200:11/1985 11/2011 11/2015; $100A0 $286.00 • ._ . 4A0% : - _ _.-_ _ --- $386 00 r027089273ee. `. EE $200.: 11/1985 ~ 11/2Q].1.3.1/2015 ; . _.. , -$100,00 -_ _ . $286.00 .. 4 00% .... $386.00 r027089Z71ee _., EE ._.•_ _ ' -. $200 11/1985,11/2011 .11/2015 _.. $100_00 - _ $286.00 , • 4.OD9'o , •- $3$6 00 r027089272ee . _ . EE $200!10/1985;10/2011;10%2015,. $100 UO_ $286 OU: _, _. 4.00% ; .. ... $386.00 r24392036ee EE $200 10/1985'10/2011 10/2015 - $100.00, $286 00 , . 4.00°Yo „ .• $386 QO r22206223ee EE $200;10/1985,10/2011 10/2015 $100.00 . . $286.00 4.00°Ib• - . - - $3$6.00 r. 4034610ee EE $200:10/1985:10/2011; 10/2015;,,, $100A0 , $286 00 __ __.. 4 DD°Yo $386.00-_ http://www.treasurydirect.gov/BC/SBCPrice 6/28/2011 Calculated Value of Your Pager Savings Bond(s) Page 2 of 2 ' _ r240346b9ee EE_. $200._14/1985.:10/2011.; 10/2015;__..__.$100.00_ _ $286.00.; 4.00%:__...__ $386.00.___ ..~ ---- _ _Totals fog 47 BondsS4.700.00 Si3.i3i.68: : si~_wa~_a~ ~~- Notes NI :Nat Issued __NE :Not_eliglble_for,payment,.._.__ P5 ;Includes 3 month, interest penalty MA :Matured and nat eamtn lnteresC EXHIBIT K htip://www.treasurydirect.gov/BC/SBCPrice 6/28/2011 Calculated Value of Your Paper Savings Bonds} `~ ' , Calcula#ed Vafue of Your Paper Savings Bond(s) Page 1 of 1 Calculator Results far Redemption Date 06/2011 Total Price Total Value Total Interest YTi) Interest Bonds: 1-27 of 27 Issue Next Final Serial # Series Denom pate Accrual Maturity Issue Price Interest interest Rate Value Note x5652343ee EE _. __$10,000x09/2002:.07/2011_: 09/2032' $5,000.00: ___$1,552.00; 1.S094o' $6,552.00: _ x5852342ee, . EE :$10,000_09J2Q02 07/2011109[2032, . $5,000 00,_ .$1,552,00 ._ 1 504/0 _... $6,552 00 X585Z341ee: EE .$10,000 09/20Q2 07/203L 09/2032 _ $5,000._00 _ ,__ $1,552.00 _ 1.509b ._.. . ._ ._._ $6,552.00: 5852340ee,_ EE _ t _$10,00009/2002r07/2011* 09/2032 51000.00 i,55Z 00! -- --- ~ 1.50%; _ ,. _. -- $6552 00 . x5852339ee; EE „_ $10,OD0.y09/2002 07/2011 09/2032 _. ._.. $5,000 00 . _. $1,552.00 _ , 1 509!b _., . ~6~552 00 __._x58S2338ee _ EE ___$10,000 09f 2002 07/2011 ~ 09/2Q32 _ _ , ___ $5,000 OQ . $1,552 00 . _ 3 5090 _ . _ -- .. $6,552 00 „__X5852178ee_ EE ,.$10x000.09/2.002 07/2011 09/2032 _ .y _ „$5,000 00 _. . $1,552 00 _ _ S SQ96 _ , . . _ _ $6,552 00 ,_._x5852177eeti EE_ .._~10,000~.09/200Z~07/2i)11 09/2032~ _ _ ~5,000.00 , _ $1,552.00 _ . _. i SO% ___ _ ...... $6,552.00': __,_x5852176ee._ _.EE_ _$1.0,000.09J2002~07%2011 09(2032 __ $5,40000 ._ $1,55200 _ .,. 150% __._ _ _ 38,552.00 __XS852175ee -- EE :$10,000#09/2002. 07%2011: 09/2032_ .. $5,000_00. _. _.$1,552.00 _ _ ._1 509!0 _._„ __. ___. $5,532 00? .._x5852174ee.,, _EE_ ..$10,000.09/200207/2011,_09/2032,_ $5,00000 _ : ._$1,552,00 . 1 50% . _ _. $61552.00 m79786b21ee : EE $1,000' 09/2002. 07/2011 _ 09/2032 ; + _ _ $500 00 ..._ $155 20 . _ 1 50°No : _ = ... . $65S 20 m79786620ee EE $1,000~09f2002 07%2011 09/2032 , $500 00 , $155.2Ui . i_509~6 _ _ 655 20 , m74786619ee__ E'E .$1,000r09f2002:07/2011 09/2032 .___.__$500.00 __ ._ __ _ $155 2 0 _ _. 1 50°16 _.. _ _ ,,. ,_ $655 20 m79786618ee_ , EE _ $1,000;09/20Q2 07/2011~09/Z032_. . $5d0 00 _ , . ,~iSS 20x _ 1_509!6 _ _ $655.20 v2255943ee, .._._. EE :_._ $5,000:07%1491 07%2011.: 07%2021: _,.._ . r_ $2,500.00 _.___ _. _ _$4,340.00 . . 4 00% _..._,.__ Y__., . $6,840.00. _..y22559!32ee_ EE__ ___.35,000~07/1991_r07/2011.07/2021_. .,.,. .._.$2,500._Ofl.~.. _ $4,34~0 00 _. _ _ 00% 4 _ _ $6840.00: __, v2255941ee, EE _ $5,000 :_07%1S9I.07%2011 r 07%202]. $2,500 00 , $4,340. t?0 , .,, 4.00°16 : ,.,. _ . _ _ $8,840.00 _ v2255940ee .._ . EE _ , ._. _$5,000 07/1991_rQ7/2011 t 07[2021 ._ , _ .$2,500_00r. , _$4,340 OU r 4,Q096: _ $6,840.00 ,..,, __„_, _.939ee_ . i v2255 EE _ : .:_,.$5,000:07/1991_07/2011 07/2021. , _ _ $Z,5Q0,_OO _ _ , . $4,340 00 . 4 00°No .._ $6,840 00 :- . ,,v2257904ee „ EE _ r .. _$S,ODOt07J1991_~07/Z011 07/2022_r_ ,r _.__$2,500;OO.t . . $4,340.00 _ , _ 4 ifa%o ____ . ..-- $6,840 OQ . .._._v2257974ee_ _ EE_. ~5,OQ0.:07j1991 07~2Q].1 07%2021__ . _~2,50i1 00 . _ , $4,3;40 00 _ _. 4 00%0 _,.._ _ . $6,840.00 _ v2257973ee'_ EE .,.__$5,000_D7/1991, 07%2Qi1 07%2021 .1. _ $2,500 00._ _ $4,340 00: , .4.0096 _._ _ , .. $6840 00 ._, y2257972ee: EE. ___._$5,000,07/1991__07%20i1107%20Z1_:_ $2,500.00x_ . ___$4,340 00 _ 4_0096,; _ _ __ ... .. $6,840.00; .v2257971ee. EE $5,000x07/1991.' 07/2Q11 07/2021 ~ __$2,500 00 _ $4,340 00 4 OQ% $6,840.00 __.,vZ257970ee_ _ EE _ _ _$5,000 407f 1991.07/2011: 07/2021 __ .. 2/500.00 , $4,340.00 . _ 4 0095 _ $6,840 00 _ vZ257969ee: EE $5,000.:07/1991_. 07%2011.07/202]. . $2,500 00 .. __ _ $4,340..00 _ y.. 4 0090 _ . __ _ . __ _ __ _. . $6,640.00 Totals for 27 Bonds 1987.000.00:969.772.80: s~2_e~r,-. a~,ta~ NI ~NatIssued NE __Nat_ellgible for_payrnent _____ --- __PS__ ° Includes_ 3_ month, interest_penalty_._, _ _ _ MA :Matured and not earnin Interest l~~a>~~ EXHIBIT L ~~3/„ http:/Iwww.treasurydirect.govBC/SBCPrice 6/28/2011 C ~. .~ • 'a v ~ ~ Q Q ~ana a~aoau ~mm~ n ~~ a p ~ n O ~ ~ ~ mm~ o !n!n ~ . ~~~3n m~~~g ~c~°ao~ a ~aa~~ ~>>ma ~oo~ iA~,~ S~mm' ~~ m p • ~~.,~~m ~~~~x a~3~~a aQ"' v~a~~ ~,~~mw Q ~~~•~ m ~ ~ ~~ a ~ m3~.$a v~~~ ~ o =* W m ,~~a~ O .. _ S ~ ' _ ~ ~~ ZO 3 M ~ ,~' ~ d O ""~ a rQ o ~ ~a`°~ m z m~ aQ m Q a ~•~ m m~~~ oc~" ~Q m ~D .of m~ W~ W C71AWN~O a o y ~ ~ ~ -----$ a~ J .1 J C~10o00 ~ 0 0 0 0 0 0 ooot~o 3 <xxxx oooooy 00000 N ~ ~ ~:~ ~ -~WOV y ~ .AA N OD --~ ...~ m N W ~ OND CNo Z ~O ~O ~ m ~O C V1NOOV 3 .1 ~ J ~ ~i ~~~~~m 00000 i 0'0000 S, v +~o 0 „ 0 ~ 0 'v 3 ~ x O o O o o o O o O~ o~ .~ ~ F-I ~ 0 O 0 D 0 0 0 0 0 0 D m H y W~ C C ~ ~ N 0 1_ Ja W Q ° ° °O ~ ~ ° ~ o o o o ~ ~ ~ ~ ~ J W ~ ~ Q ~.W ~ - pp~~ ,ON1 aD ~~ pp~~~ 11 J~~app A pAppp - A ~ ~ 1 O W N ~ C37 ~ ~ Cl CJI V X71 W C7f V W V W ~' O C ;P A Vf ? fW W ~I W V IP ~ ~ ° z ° c ~ y . i ° ~ v ~ ' j ~ n~ 0 n~ 0 n~ 0 n~ 0 n 3 m - 0 ~ ~ O ~'0~ 'tl A' .~. ~~v n~ ~ n~ n~ m ~, 3m 30m ~ °w ~ w ~ °w W° Ow S;;m .. W ~ C ~ . .. W W W C ~ ~ ~l Gf W J ...9 O • ~~ ttt~ _~ tttt= t7710O55 I~nlut~lIratttldd"lltl~~a~t'tQltllllt~t~Ittlt~~gtl~t~.Ly BARBARA C OYLER EX EST RUTH K COUJNS 1550 LONGS GAP RD . CARLISLE PA 17013 ~pmputershare ~` Canputershlue Tnlst Company. NA. PO Box 43078 Providence. Rl o2s4Q-307s Telephone: 866-781-t 368 vanrow computetshare.cflm Pdndp~ F~mantial Croup is inomporaled under the laws of Ble 51a1e of DE. _ _ ID .. -- . - PFG SSNff[N t~f' led Yes Transaction(s) Date ~ Transaction Description I SharesN~ ~ CUSlP ~ Descn'Cpl~.i~ 25 Jut 2011 Transfer 354.000000 T4251V102 Cormron Stock Account in#orfnation: date: 25 Jut 2o11(Exdudes tr~tsactions pending settiemertt~ Cturent Totai Direct Shares! ItegistratIon tlnifs Per Share ~~ (s~ C~S[P Descrip~ Balance 354.000000 354.000000 26,580000 10,15272 T4251V102 CAtrNtlon Static Exhibit N N~RTANT INl-0RNAr~N - REfA9i l~R YtK1R FR:CORDS. 1Nsadubbyarnemdd9eagrsl~oaitaraammdaer[gaksdelaCastamysaprtdeaOhedHagatratimSystant Td[todldc'itneNheraaapdiehlei~umaltmrealtl/yy,anddaGlerydftdoaaatdullooldarany dgdsbUlannitient tahoddhebptMltariapohatdmaaabaaaaaslddl~a~ipdtlea-dlses No K6nnantarPad8apu6ed. 71e6tSegliaallmtweapodtdaoori6Wadmdahlftaasa~ydladdla.temayl,BQtt, tfyaovalar®+aeeabyCrieyhAdonsnEpnhmsadtada~dlhenlriwad~egoeNda~feoost6~hniaiatloamuliod.we taaepnasaaadacwquasled. Ifyaudfdmtt>p[dlyaaat>mina'adttlmnadnd,weMedemdmdb6eiwl64~loat(F~arlkd. t'le®sWilan-~e6+iaaaaasuYrar~ad~imrM}anreedaddlko~dl~oatlonahate~etbaffi. Upon a~laal, ba Caogo~r adl>ilaltlA loagr>sbalahoMR wit~eld dspe.01W1 dalelald dlYa de~lr6mn, dpNa t~0 dpke uamnay ~Na R~ 9anyf. pakmmm ald tal>btime d W aline daft da>a alb anrinsuacemed la a imed, and le adha9y d `eoad d6naioa m dMla IMalalwtabadb ald t4 datanakla and dtayn ~n. plalnues and inbYasdanydw aal'ea Aasda ma am depaaifs d Calplirdratandaa:ndianped ty tlla Fatima! flgfod 111t1~ tnpowbq tle Saonffes haetla PeateYm Calporadon, arg dlaledeld asmlaagmcy ryas do ant ~ to eoamwkh as ordo !rot tnw ally ae8gy layoaraepnw tRMN tlartrdadsstaemad ~ star. ~41l~PlaPrty oaald Ytcaalesl8jact ~ s~4 mdamd t~ly lint ad lralsNrnd fOtlA npPap~ta atato. 40UDR P F G '{'. _...._.., ..,_...,... Plisse see imoorfant PRIMACY NOTICE on lwerse SIdB of statemeC °°resaao~.naax,331 eiatassrotas4e wv~n ta~~op•sn~u~ Legacy Treasury Direct ~--*•~r~e~- ,.~ ~ aa-~eo.s4ss (oursla. me us.~ ROBERT LEWIS COLLINS~OR RUTH KOHLE COLLINS 757 CAROL STREET NEW CU![BERLAND PA 17070-1422 ~9 nwiaoar. tutuua47q 1REASURY RETAIL, SECLTRTTIFS SITE P.O. BOX 567 PTI158URGH PA 15230-0567 PHONE: (800) 722 2578 (7I7) 7741466 Payments made by direct sit to: PNC BANK - ` - RwtinS Nunsber: 031312738 ConSdential. . _ __ ~ Neme on Aceoun`k ROBERT/RUTITCOLLINS - _ - - CHECKINQ Account Number. Confid~tisl No AccooN~r goi,nnvcs ~~.x:. ....... ,~ .,,q,Z _ `~{ {~}bl ~~ r • ~ ~• _ _-. - r ~.,~ r ~ _ wr fi sh}: h+h T } .~L~~'.'!C' S i t'{y~ }- '^..}-= ~?}:Ltr}~..~:fie T ~ / ~~~ i ~fi .' . .xu • {+.S ' : X'+ri.'{`i ~ S ~ • :7C :2S{i/ 1~}Yf I .4 ~ l ~ , ~ ,~ y _. ~ _ ¢~ f ''tis . rfLty: r. -:rrff:i":"rr~t.v .vM::t'v +rr •.i l::=~i1•~v.-. •i'~CVC ~ - .O °r•:5~•• 7 I.c 'j~+}"tA ~• ';?sfs S 2. L ~ 91.2d24Nl19 01 2, 000 1]./30/09 99.497034 0.802 O,g/31n1 0 3/4 NOTE AE li L1to1'sst 11/30/11 2,000 7.50 91Z42aQE3 O1 1,000 05/02/11 99.905047 e.b73 10/31/11 0 5/4 NDTE AK 13 ~ta~sat 04/30/13 1,080 3.13 TRA1vsACTioN ~roxY For 12/31/2010 to 05/06/2011 04/30/11 912a24xLa a 7~6 NOTE x u Ynt.r.,t Pgyant 4.30 Exhibit O iF YOU HAVE QUESTIONS CONCERNOiG THIS STATEMENT, PLEASE CONTACT YOUR TREASURY RETAIL SECURRiE8 SITE AND PROVIDE YOUR ACCOUNT NUMBER Total Banking Statement PNCBANK PNC Bank , _.__..._....._.... _........_ ..............------- -----Prima ry accounYnumher: 51-00012428 ------ ----- - e.1 of 5---------.......__...._ .......... ........_._.._.____-----....__---.. .....................--._._.__.__..........._.~or t6a period 66/04/2011-to d7/A6/Z011 _....-- _--.--._..._............__.... --.---..._.Numberof artciosures:0- _.___...__ ..._._.. __..-----...._..._..._.. _.... _ ..............._.........._._..._.........._..._....__.._._.........._._._...._...----._......._...._................__._........._._..._...._..._........__._.._....._......-.----.-.-. v....._..........._.__..._..._._ ........................ RUTH..K.._COLLINS_............._................_.---..._......---.----.._._ --...._.....__.._.__..._._.....----___-.- For24hourbanking;andtransadion~or---__....._........ _ _ ~ _ _ _ _......_ ... ............._.__........_......._.._. C/0 - >lARBARA -OYLER.._....._..._ _ . ..._ _.__... .._._.....__....._.._..___- iMerestrateinformation;signonto-__ ._...._......_.... ...._..__._. ..........__...._....._....-- . . ---...__...._.........._._...._....._ _ .._._._..PNC Bank Online Banking at pnc.com:. _ ...._....... _.._._ .............-.......__..._..........•...._._..1550 LI#N65 6AP RD -- _..._......._...._.....___.............._. _. -_._._._.'aForcustomerservicecalll-888-PNC-BANK -- ARL S -PA .17013_8659 .....__......._ ................_ ....._._..........._..___.._.----------._.._._Mondayr-Friday: 7-AM_toPME'1'-_...._._.._._.............._. _......_ .. .. _._..._._... _..... __._... _. _._... _. _......._.._._..........._....._....._..........._.._..._..._._..._ ................ ...._....__.... _.._.,._.._.__...---....._....._....__ atu Sunday:-.e.AM..5 PM.ET-----._.__.._.•...._. _..........._... _.----.-..__....__......- --------------........, _.. _.... - --- --- _ ...._ .__.. ................._.......----------._..._.. ;'1-866-HOLA-PNG..._._......._ Para servicio~n es __....__..__.......-------...__.._.............-----..----------...__..._ ................_... _._._.__._._..._......._......_........__.._._._-__._..-.--- -.......................__...--------Moaiaplr_Please cantad_us at .1-888-F!NCGBANK..._.__. ._..... _ _ ......._....___---.---.._._...__ .__ ........................._._ .............__ ...... __.. _._..... _.__......®~filrite !o:Customer-Service ...._..._----._..__._._...__....__._ ... _...__...___-_---------.............__.......__.._....._..__..........._ ............._.._..__......-----..._......._...............-------------- --__.._.._..._....._.......___._...._.--------PO Box 609------....._...___.__ ---~.-------____ _.__._. ...._.-._ ....................._. _..__.. _.......---•-----._._._............. _ _....._._._..__......._____........._.... _........_...__ ......_ _ ...._. _. _.._......-------.--.._...._....._._._..Pittsburgh PA 15230-9738_._..._.._......__....._..._.._...._._.._ ..... Visit us at pnccom . _ _ . _ _......-_- -.. ... _ ® TUD temunal: 1-800-531-1648 __._. " - ._ ...................--- .__...___......._ ~oelie ori~g mipareil ilimis etily R®lationsl~p Overiie~r .....__. _._._._.__....... _..........._ _ __.___. _........ _--......__..._ .... ---_.._... --_ . _......... ... . . '__ _ AQ ................................_-__............._....._...._.----_...._........ Bank-D ~~ ooentts . ... __ ._. __.._.__........................_.~.._...__.............._......._.... _. _-_._... _....._.._.. _ _ .___ ._. .. _..... ...._ Descdptlon--___..__. ._.._....._.~ ..__ _ _.__ .._.AeoounttVumber ..._._._._..... . ._. ..--_-- _.__. o lance. _ ... DeP ~f 8a C _.___ ..-•..-.511001-2428 .. _ _. . Interest ....---.. _ _............17;163:12 ......._ .. Perfof-manceMoneyMarket...._....._..._ .......... ............._.._.50AlOfi-8237 _..._............_-._._,..... ............_........_..__...-----..___.__ ...__._-_----------___.........._......_.80„~.53:86__rl TotalD..._...tisZlq__......_..........----..._._...._.._....._.._. _ ....................... _._.......__ - -----_..... __.... _.___...._ .... eP ._....._..__................._..__...__........_................_._._.._........_...___..._. _......._....__--__ 9ti;416:98 ....................... IMPORTANT ACCOUNT INFORMATION . .................................._...__... .._............._.............__..._._...._..._..__......._........__-.__._-~-------_...._......__..-_._._..____...._. The inPonntttion-below amends the PNC'Funds Availability Policy: _Please Lead flue iDfonmation and retain ikwith yourrecords:-------.-..--- .. _._.._... EITectlve•July15;2011 _ ._._......---.__... _......_ ............._....----.._._.__...........- _ _ ... _.. _......_._ ...._..._ ___.._...._ __..--------.._-_.___--___.............__.......___.------..____--- ..... ...... .............._.__.__..._._......_.............. For Large~Dollar Deposits aad New Accoents: -_........__._.._ ............. _ ... _ ....... _. ........_.__ ._ _ ....... _ .._.__._..._..__.. _......_ ........__......_..........._.. ......_.._....._.__._....._..._..._........._ ......._. . 'ThcPNC-Funds Avoilability-Policy will be changed toutlow-for an additioiml-$1p0 from deposited ohecks or items to-be available-the-fast----- businesa da -after~the business da -of our Y Y Y depos:t-for-all-purposes._......_.-_...__. .._.-.-. - __... _._......__._._-_...__.....__...__....._.__._...__..--_--_--...._........ _........_._...__..__._.......___ .... Elease. seethe. E:imds.Availability-Policy..appiicable-to.your-account for.e.compiete overview. o£our.policy.on.making depositecLfnnds ___.___._._._......_ - Please leadthis infonmation~and retain it withyourrecards: _......__...___._......_.. _-. ..............._......_____............._...._...----....._...__...._ _ _ _ .__ _...__._..._....._..__...___ As 'of 09/1ZI2011; for new line of credit applications; the semnal fee waiver betlefit wDl no longer apply: Anyexiating anneal fee waiverbeuefifwtll oointinne fortlie7ife ofany"already-est6blisliedl3ae"ofcredit aocoimt:_.._ ...............__......_.._._......._........__......_........... _...................._....---.... EXHIB.IT.....P.........._ ._ .... .................. _............._..............._.._.._.._..-- __..............................___.. .... ~: Total banking Statement For 24hour information, sign on to PNC Bank Online Banking on pnacom. Account number: 514001-2428 - contimted i3alauae Summary iFor the period 08/04/ZOt t 40 07/OS/~Ot t RUTH K COLLINS Primary account number. 51-4001-2428 Page 2 of 5 Beginnl~ Daposils and Chocks and other Ending balance other addltlons deductions balance 14,568.83 3,379.84 780.55 17,16312 Average moatldy Charges balance and fees 14.925.89 2.00 raat;iacfbon Summary Checks paid/ Check Card POS Check Card/8ankcaM _ withdrawals signed iransadlions ' P175 PIN lrtiiwections - 5 0 _ .._ _ .... Total ATM PNC Sank Olher Bank .. rans3citons A'idt transactlona ATM transactlats 0 0 0 - .. plerest Summary. As of 07!06, a total of $2.U8 iti niter"ast Si a .. .... Annual,Parc~lage Number of days l~Yeraga.collsclgd Interest Paid v s !~ ~ yeaf Yield Earned (APYF~ in interest period balance forAPYE this period `~` 0.052 $3 ............. 1.#,925.89 .67 ... . ... $CYY~ DBii~ ......._ . ............ . . and ~~ Ad~ons _... ThAm were 7-Deposits and-CtherAdditions Iola .Anrount D~crlpllon tataii $5,379.8A.... 16/13 393.17 Direct Deposit -Payment Prudential Pia Ros889434 ... .._ 16/28 366.82 Direct Deposit -Ann Pymt ....._ .. 14Ie[i;opolitan OOOC1015880 ..., __ . 16/30 475.88 Direct Deposit - Annuitant _.. . PA Treasury Dept '76'75 ' 17/01 1,549.00 Direct Depo9li - IfaloQ SCC _...... ..._ .- .. - _.... .. US Treasury 303 XX7~IIO!C189SA 17/DI 448.44 Direct Deposit - Annu$ypay ' - - - Union Central X2234 .. _ .. ... , 17/01 148.38 Direct Deposit -Ann Pymt ~ Metropolitan OOOC1015890 - . i7/~ .67 Interest Payment . decks and Subatitu~ Chsdcs :~ Data Reference umber Amount paid number Chock number Date .. Rafararua} . Amount paid number X338 25.00 06/06 oeaaaa7~o .345 * 3'78.'71 06/06 otiwl5~2 5347 5348 27.00 1 .. U6J14 . itt3s447d87 ` - X546 1DD.00 OG/94 otzgts7sei 210.00 062 7 na~oiaos Gap in check ~quence Thera were 5 checks listed totaling $741 91 ~nliiaos as:d moronic Banking Deducfaious . . There wars 2 Onli+te or Electronic~Banfting rate Amount Descrlptlon Deductions totaling $80.tt4, - lf;/OG 1.91 Payment,E Check Check Pymt Verizon ARC 5341 Ify'27 34.93 Direct Payment - Elec Svc Ppl Eu 7C-'~L~X8007Ws Coll'ms Household Inventory Pans ware v Toaster Mixer _ Microwave •--~ 120 0 Stove $ . 0 Refi erator D~hwasher (Chairs {4) ~ $35.00 HH $253.00 _ Dina Room Dishes Senn Bawls S_ ewin9_ Machine $35.00 $20.00 $5.00 SA SA I~M1AC Buffet $10.00 DMC i 0 0 Chairs 4 $ 0.0 HH $.170.00 Living Room N $10.00 HH _ Sofa $70.OQ HH mohair $50.00 JJC a~uners 2} $10a.oa JJC/S~ ;nd Tables (2 $10.00 JJC occasional Table $5.00 SA toffee Table $5.00' SA stereo. fable lams 2) 'door Lamp $10.00 $50.00 JJC SA HH sire Place-tools _ $5.00 House Amine Rack $2:00 5A tecords $30.00 ~ 'lower Pictures $15.00 House bed & .clothes butler wkker seat chair $ sm. Lamps (3) $24.00. $284.00 Attic Chaise lounge $15.00 w, m'aror N EXHIBIT Q 35,00 1.0.00 i 5.00 SA DLH SA Queen bed and i Law dresserw/n H' h dresser 10.00 SA Van~i 8 Stud w $8:00- SA chest of drawers 10.00 SA Side-Chair ~~ 10.00 HH N stand SA nioht stand SMO Waad desk SMO Metal desk MAC File drawer SMO CakxAator $250.00 SA Washer SA D SA Freezer SMO Table SA _ : Phone $10:00 SA Golf Clubs (2 set; $Z6Q.00 Basement -new $5A0 SA P Po table $15:00 SA Sofa $fi.00 SA Chairs (2} $26.00 F..nd Tables.(2} (2) HH Floor Lam $250.00 HH I Boa~ron HH Large.. Map/PicfvrE HH TV $5.00 SA TV trays 5:00 SA :Dehumidifier HH SA JJC SA SMO l~Mc $10.00 Ttas $50.00 JJC SA $10.00 HH Now SA HH HH X5.00 HH $1.00 HH $10:00 $166.00 $10.00 HH SMO $190.00 SMO SMO $5.00 HH $1:00 SA $1.00- HH T$10:00 HH $1:'.00 SA $5.00 $5.00 HH 1228:00 1150.00 HH $50.00 HH $5:00 JJC $5:00 BCO _ $1.00 HH $5.00 HH $5.00 HH ~1a.oo sco $5:00 BCO $1,931.00 1 Rolling Green Cemetery 8/15/2011 To whom it may concern Robert L and Ruth K. Collins, both deceased, own ifie following properly here at Roiling. Green Cemetery. Block C -section 26-spaces 2,2,3,4 Today's price #or property in Block C is $1895.00 per space. Renate Grim Family Service Supervisor EXHIBIT R Digiv, 1$I1 Carlisle Road • Camp FIiII, PA 17011 • 71i-7G1-4055 • I~ax 717-7G1-4826 www.rullin -~recncemetcrycom • DigaityMemorial.oom O v n n TRANSFER AGREEMENT ~ ~, xivow ,~ l+~r sy T~ rasp ~;., .,, R. D._ #1,~ York Haven... Penns~lvania~.'.~-...~...».»....~.»-»~ .» ~»-... ».- _-_- - _- - - -_ - - h~;aafter ~al~ea Grantoi8 ,and Robert. ~...rrol?ji.~g. and,~or. ~!74~h.$~....GR~..~...?~ t~if~~...~/.Qx..~~..~T.ay~~?-~~A4~ ..,k~~ s. .~1~.t11..F,~1~s?~ .~S1X:~X.'A...~w...~eS~~.~.~...~a.S...C~ltg~itell...R73..,~lCl~l7.'~».~iAJQail~i8...~...~iYil9...~II~s~@~f„J~.~7...I'3.~2'~. of survivorahi.,pa„ o~»,~~,~,»Carel Street, Near Ct~ber~a.!~d.~...P~I~~.Y~.'!~~:»... -.. ~..- .. ~. - - hereinafter relied Grantee g in and far the consideration of . ti~....-gpl9:»~ ..»...~ --...,-,,.-.,,.-.»~,,,,.... »........~.. »w ».-. ». ~...Q~.4...~d oO~lo~ - "' - - ollurs to . #c.h..s~0..... is head paid, receipt of which is hereby admowledged, does hereby great and convey onto thie above uumed Grantee 8, all of Graaim's right, title and inteeeat in and to all that propmty situated is Rollfag Green Cemetery, in the Conaty of Cmnberhuxi, State of Penasylvaaia, described as Graves ..~+s.»t~n...~..~Ad..~ Lot .....».~.~ .............»... .Block .......~ ............» ... . (n Rolling Cenue •••~ •••» Green lacy, That this eonveyenee, and all light, tale and interest hereby caaveyed in the pzoper;y above described, is subject to all laws .and ordinances, and to the following conditions, reservations. restrictions and rules end regulations, and the Grantees covenants and agrees that (a) The Grantor t3 avers that ...t.he~r., ha 't-i~e right to make. this assignment and transfer of rights by virtue of and •hereby .~..:».....» ............................~.e aslmtoistrator...~ecub~r, aia:................................................................. ......... liability and responsibility whatsoever in coanectioa with said transfer. --.. » . (ice) No tsaasfer, canveysace ar t of eery iatiarest or rights ecgnired hry Grantees shell be valid without the written consent of Rolling Green Cemetery Company ~ being thereafter rewrdsd am its books. (e) No monument ar other memorial, tree, plants, objads or embellishments of from the above-described pmoPerty b3' the Grantee without the wrR#en consent of Rollie g Gr~een.~ be p~Ced ~, altered or removed ~. ~ ~Y ~~ on1,y ~ given far the type, design sad materiels as ed Rollie G ' Company, such wrttben eonaent s~eape woslC and. imptavemenis :ail any ktad, and aIl-care of the above descri Property, be Y ~ gnr3fng, land- shall be plmtted, trite or moved, and all iafiaimea~, meats and removals, including ~ and all trees and plants of any kind be made only liy RoIUas: Green C~~ paay with its cgs end closings of graveq, stall forced with conoietR w>~l not be ~u~'4~• T~ ~e of wood outer-cases far interment without being rein- (d) Rolling Greece Ceme~y Company, at the e_xpeose of Grantee 8 and es a ~ against the abavo described pro ,may repair err rernove any mcmm~eut or other memorial w is '"~ pprraappar~~~ or off~sive or has beooate daugeraus or dilapi~d; and may °renwve any tree, Rotvar ar pleat, or ether object ar em~belHshraent that becomes unsightly or dengmws, (e) Rolling Green Cemetery Company shall not be liable far h~ err damage caused by as act :of God, common enemy, thieves, vandals strikers, malicious mfschief makers, avoidable aeeidents, riot or order of any military ar civil antbority. (f) The eaumeratlon hezeia of certain cxulditi re~rvaticns, restrictions, rules and regulations shall not be considered as the anIp limttatiams, bnE the Graateeg shell always hold aII .~.h@~., interest- and rights .limited by and subject to the roles and- regulations end bl'--laws of RoIIing Greer Cemetery Company now existing or which may be by it hereafter adopted etcher by amendment, tion air the adoption of new ones. These roles and regalatiams era on i31e for iaspectiou in the: oi$ae of Robing Green Cemetery Company sad speci$celly referred to and herein inserted as if net forth in fall. AII the above conditions, reservations, restriciions, roles and regulations are binding upon Grantee ~ ~:h,-B~:I'heirs, devisees, esecnfiors, admdnish~atars ands, and are eaforcesble only by Balling Green Cemetery Company or its saccessora in interest. Nothing herein ~atained shall be to restrict the use of any other portion of the cemetery conveyed to Grantee8 IN WITNESS WI~RI;OF, .~. hex caused these presents to tae. executed this ....... ~ ~ ry~ i%z day of .. .. .....».........., T9~! ~•~f ..................................................... I Subscribed and s~vrnn to befo me this ..... !~/!z~;! :................_.._. p~fC ~~~,~~ ........... 'I . .. .~•.c./.~ ~ ............................. ~~ _.........'~:~:~ . ~~~~p°,~ ~c ,~~ ......................... D .~~..//,~~~~~,, ...~7 Granters ~~~.~t . klb~Ti~ls EXQIfB~~• •+~14I..«.~'.~~.•.':`.`.Lt: ..:~.G-v~rl.'...~: Cr~'L ~, APPROVED by Ge I~andaX, in_,Januar)! 1y6....... .».» .. .... ..` -~~..._... ' Grantee:g Ice consideration of the above covenants, of the Grantee 9 sad cond~h'oned upon ~ strict and fail perfonasnoe thereof, Rolling Green Cemetery Company consents to the foregoing transfer which hen been recorded on the record boob at Roiling Green Cemetery. NO LIABILITY OR RESPONSIBILITY IS ASSUMED BY ROLLING GREEN CEMETERY CAMPANY BY REASON HEREOF OR FOR OR ON ACCOUNT OF SAID TRANSFER OR RECORD THEREOF, NOR DOE5 SAID ASSOCIATION I1V ANY MAIQNER CERTIFY OR WARRANT THE TITLE OR RIGHT OF USE PIIRPORTED TO BE CONVEYED. Hated ..............»............... ~.k . L.r..~....1~1..». I.9.ta~;. ROLLING , ~~MET1;gY COMPANX ~: • Anthoriza~d Officer " ~,~ 2004 Buick Century Sedan 4D Trade In Values, Reviews -Kelley Blue Book I(eliey Blue Bi~(~!(,ias rausrer asouteee• Used Car Private Party Values ~~ ~ 2004 Buick Century .:Y;:....__~, . Sedan 4D MBea~ 18,000 Private Party Values Veiticie HigFtlights ExceNent $8,465 Good $7,990 0 Fair $7.,240 Page 1 of 2 MPG: City ]8/Hwy 27 Max Seating: 6 Doors: 4 Engine: V6, 31 Uter Drivetraln: FWD Transmission: Automatic EPA Class: Midsize Cars Body Style: Sedan Country of Origin: United States Country of Assembly: Canada Your Configtaed Options p'" t,azm ~ tyPkal equipment ror thts ®~. j papfloris ~a<you added wh6c map ttds ®r. Enptae Ameseory PaNta~s V6, 3.L Ltter ! p lkrl~ i Tr'aaseatuton s Crnnfort and Canrenletre ~~ ~ Atr Condltbning ~ Pourer WNdaws Drlratrain ~ Power poor Locks FYYD 0 ~ I Pourer Steeing ~ TiR VYheel Freysinger Pontiac Buick GMC Call us tndar 1.865.293.1309 visit us az 6251 Carlisle Pike Medranlc~tirg, PA 17Q50 aduentseme.t GiossaryofTemu EXHIBIT S Enrnent and iaetrurrrc~tlen AM/FN Stead Cp (Single Dist) Safehr and Seaniq trist Ak 9aps t#Iheele mfd Tkes Steel Wheek http://www.kbb.com/buicklcentury/2004-buick-century/sedan-4d/7vehicleid=2008&intent=-t... 8/5/2011 ~~Sovereign Bank Certificate of Deposit Receiut This receipt is issued to: Ruth K Collins 757 Carol St. New Cumberland, PA 17070 , The account evidenced by this receipt is subject to and farther eacplained in the terms and conditions as contained in the deposit account agreement and the certificate of deposit disclosure. Date Opened: 11/24/2009 Amount: 10,000.110 Term: 36 month -Invest CD Maturity Date: November 30, 2012 By: ~ Date: 11/24/2009 I Easy, ConvenientBan[dng. ~~SOV@~I~1 B$nk tl~king ~ savln8s t tnaos 1977SOV.BANK I souerelg~aakcom CUSTOMER RECEIPT TD IUeR DatE !1/~~~lt-9 11:ib Ylr ¢GB Art' G7!',°i5~15a$ AMt ~IG,GGG.GG yea O~d1 BU7i Exhibit T n Cert'if'icate of Deposit Receipt This receipt is issued to: RUTH R COLLIIVS 757 CAROL ST NEW CUMBERLND PA 17070-1422 The account evidenced by this receipt is subject to and further explained in the terms and conditions as contained in the deposit account agreement and the certificate of deposit disclosure. Account Number: 0 7 75 5 4.6112 IRA Account: ^ Yes ~ No Date opened: 0 7 / 15 / 2 010 Product Type: No Stmt Amount: $11.,736.45 Term: T637/36 Months Matority Date: 0 7 / 15 /2 013 Interest Rate: 1.9 8 0 0 APY: 2.0 0 0 0 Interest Disbursement: Accrue To Account/Office Pickup Interest Payment Frequency:Monthly at End of Month ~~~#..,.~.A77:...: ~:.; .._.:.,...:;:.;:..:.,;::.,:::;=>:°:; .............Date;..: Q7:/1'S/2p10.: , , .::...:...:..:.~ .:::' "~oiupI~ted;uy: .; cow ~'`~ >umtB SovereignBank ~~~~~ ~~ 1.877.SOV,BpN[(I savereignbankwm `; CUSTpNiER RECEIPT ~:;~lgttatitr~e;of This I~ Etiectixe 1Z/02 Tip 1~~NL' I~[c'i.c ';li ail'_t= i`Y.'~5'. l.ii :'J ~, ~1ii'L ~I;,:'4;L,-,, e~oe ~o~ ~ Q u.m~. Frwr ~ ~ 0 3 . o ~ :.. . ~~ .. ~~ n o . 1O A p- ., N C ~ 2 -~+ ~. ~~~ ~ ~ . ,~ ir ~r w~r~ ~ ~ d ~"~' .tea T w ~ ~, ~ ~ ~,, ~~ N I-~ W J d1 N ~ . .., w y.a ~- - ~ ~ o A • ~ ~~ DD O ' ~ .. ~ 2 ' O 9 O a 0 0 o c ,~ ~ ~ ~. v~ . 9 ~ ~ ~ ~ ^' ~' . .. ~ i~iyr Y t . - ~ C ~ e 1 j ' VK ~ .. ~ ~ bd Rr. o "~ ~ z ~, ~ ~ ,. t+k ~ W+ ~'!i C E't w~ O '~ _ . f .~._.- ~ fffO~~~ " ~ ~C ~ ~ ^~, ' .~ ~ G . ~Q: ~ ~ ~ '~°'. ~. Q ~'~ ;~ ~~ ~ rn d 1.129.378.0 2139-200.23 Sovereign Bank 10-6438-CFS P.O, 8ox 126x6 Rrudi~ PA 1%12-2646 ForrrardMg Service Requested 2~ss.2aoz3 oNOxoo1-eon Important Tax Document Enclosed RUTH K COLLINS 1550 LONGS GAP RD CARLISLE PA 17013-8659 L.dIL~~IIi~~~y~~IL~II~L~L~IL~JJ~I~i~yd~I~IL~~~I~IJ -__ ~ L-_-_.~ ~~I,~Illllll~~l~~lli~I~~~~nl~illi-,-~<<I~I,I~II,~IIII~,I,III,I,I Sovereign Bank 60,7 ro. ne. rxaR xwtt~rA ~yki-uon DIRECT INQUIRIES TO: 1-877-768-2265 HEARING IMPAIRED: 1-600.428.8121 (TTY/TTD) DIRECT BUSINESS INQUIRIES TO: 1.877-768-1145 FEDERAL I D NUMBER : 23-1237295 ANYTIME BETWEEN 7:OOAM ANO B:OOPM, EST, 7 DAYS A WEEK RUTH K COLLINS YOUR TAX PAYER ID NUMBER 1550 LONGS GAP RD 201-16-1893 CARLISLE PA '17013-8659 TAX YEAR 2011 PAGE 1 OF 1 i,as roe bo.~,.~orted." -."""""" "",~, "' •"•""°"°°" "'°r °~ annosea on you n mrs mane rs Baer ane aro ~ns.u. u.c rc faseao -oc~r a va p~r~pre~ -eue i is~oiii 1~ -CUgtBFa lYmple~t -ONB~151Satfo FORM 1099-INT ACCOUNT NUMBER BRANCH INTEREST (BOX 1) 3 YEAR CD 0775546112 00077 133 76 PENALTY (BOX 2): 114.60 ACCOUNT STATUS: REDEEMED , INVEST CD 0775545585 00077 109 13 PENALTY (BOX 2): 600..22 ACCOUNT STATUS: REDEEMED . TOTAL INTEREST INCOME NOT INCLUbED IN BOX 3 (BOX 1): 242.89 TOTAL INTEREST ON U.S. SAVINGS BONDS, ETC... (BOX 3 O.OU TOTAL EARLY WITHDRAWAL PENALTY (BOX 2~: 714.82 TOTAL 1099-INT REPORTED TO THE IRS (BOXES 1 AND 3 242.89 PRESORTED FtR6T-CLASS MAR us. aosTAC.E PAro FDS Certificate of Deposit Receipt This receipt is issued tts: r•- ;RUTH K COLLINS 757 CAROL STREET NEW CiTMBERLAND,PA 17070 Account Number: 1001)635 IRA Number: _-- __ Amount $ 25. 000.00 Date Opened O1 / OB / n n Term 50 Month (s } Maturity Date 01 / o e /2 0 ~ a .-; Interest Rate 3.450000 ~ Annual Percentage Yield 3 51°,b O1 -Susquehanna Bank I,emayne Office 271 Market Street Lemoyne, PA 17043 The account evide~ed by this receipt 'ts subject to anti further explained itt the tears and conditions contained in the account agreement and account disclosures. The account is Not Negotiable and Not Transferable. Only the items checked apply. ^ Fixed Interest Rate ® Variable Interest Rate ^ Additions Permitted ® AutomaticaIIy Renewable D Single Maturity (not automatically renewable) ^ Callable D Notice Account Interest will be: ^ mailed to the owner(s). ® added to principal (compounded). O paid to account No. ® to be tiaid every 1 Monthts} ~ 1994 Bankers Systems. lne., St. Cloud, MN farm COflEC-9K-L,AZ Bf7/2002 (pays 1 of fl CJ ii ~ G 1 ~ O '~ Z7• "•~ Cll rT f~ [U C J .p Ql J- .~ -{-! 1 at O ~ CJ 'ce` g ~ ~ -' i ~ ,ryy ~ Q d i ~ Mq .F' •. -1 • t n. 3 C s_ c -s- -~ a, R, fQ a .~., w ,y o m •-1 f c c r•.r m t O u O - + d I1~ O •w m m Y~ .-i Q • l V-. a. 3 V V~ ~ O ~ M N O -1 --1 '~ O '~ .~^ ~ L C .,-r- to rR C . ~ i £ T iV -Y 7 R1 rA .T 5.. ~ ,,j o JC ~ ~ m C, ~ ~ ~ Qt ~° -. '= ° c w a III i a/ .Y ~ ° 3 4' c as o a •S.r ^ .•• ~ a. ° ++ 3 ~ • t i i * 4 ~ a i r m • ~ n ~i v m '~ ~ a ~ ~ u 3 c r• •~ sz . U H F-- U F- Exhibit V Susquehanna U.~cinl Clreck 110440198 r~o BttANCH: ORIGINATOR: TIDIE: CK AMT: DATE: 7 /2 6 / ii FEE A111T's TOTAL: TO: ESTATE OF RUTH K COLLINS NON-NEGOTIABLE 1111 TMCK183696 I4:04:18 $*****27,116.46 $*******t#**, 00 $*****27,118.46 Susquehanna O'~"reaal 11044 019 6 t~so BRANCa: ORIGINATOR: TI1lIYi: CKAhIT: DATE: 7 /26/11 FEE AA1T: TOTAL: TO: ESTATE OF RUTH K COLLINS 1111 TMCK183696 14:03:43 $*****27,291.09 $***********.00 $*****27,291.09 NON-NEGOTL~BLE 303 Mulberry Drive, P.O. Box 2053, Mec3tmticsburg, PA 17055-2053 No. 15975 Date FEBRUARY 14, 2002 Oo demand we promises i 5" 040 eOt~r of ROBERT L. OR RUTH R. COLLINS ~***FIFTEEN THOUSAND AND------------ ---NO/100----_ Dollars Without defalcation or stay of exeattion, for vaine tsceived, with interest at 5.50y~ ~, ~~ waiving ~~on and exemption laws, sad judgment for shove sam without o~ with interest and cosy of snit, snd with five percent for collection fees. There is a L % penalty an all monies not 1dE is the fiord for a period of one ymr. THE CENTRAL PENNSYLVANIA CONFERENCE COMiwIITTEE ON ANS THE UNITED Mli"l80D CH _ Attest: ~ ~. SR.RON Oi• Mllsl'ITEE ON LOANS o~swmoam 303 Mulberry Drive, P.O. Box 2053, Mecbani PA 17055-2033 No, 15787 D~ NOVEMBTsR 28, 2001 On demand we promise b #o the order of ROBERT L. OR RUTH R. COLLINS +~/~0 s , 00.00 *~***SEVEN THOUSAND AND------------------_-.~__.._-.~.--_--NO/100-----------------Dollars Without defsicstioa ar stay of execaEion, for vahie received, with farierest at 6.50y~ pet. sees®, waiving ~~~ and exemption laws, and confess jodg~neat for above sam wiihont o with merest said costs of snit, and with five pere;ettt for collection fees. There is a I% peawlty on sll stories not left in the food for a period of one year. THE CENTRAL PENNSYLVANIA CONFERENCE COM14II1TEE ON LO THE UNITED METHO CH ~ C011~lT~ ON LOANS ' no wpKS amorved 303 Mulberry Drive, p O. Box 2053, Mechanicsburg, pA 17055-2053 -~_ No. 16558 Date SEPTEMBER 3, 2002 of ROBERT L. OR RUTH R. COLLINS On demand we promise bo ppaay to Cite order ' s*25,000.00 **~'TWENTY FIVE THOUSAND AND---_..._-~-----------~..._-.~_---NO/ 100----------- ~Uaes Without defaicatbn or stay of exe~[iou, for valse rewired, with interest at 5.50Vo _ and exemption Paws, and confess judgment for above sum without o6set, with intat+mt amend costs ofd with five percent for coflecUon fees. Theta is a 1% peeait~, oa all monies not felt io the fmtd for a period of are year. THE CENTRAL, pENNSYLVANIA CONFERENCE COhIIKT1TEE ON LO Attest: ~ ~ ~?~_ _ „METHODLSTC~3j~CS . ~~;I ! f r.l EXHIBIT X - ~,„b,,~„„~~ No. 16152 of 303 Mulberry Drive, P.O. Box 2053, Meclranicsbutg, PA 17055-2053 Date MAY 8, 2002 ROBERT L. OR RIIT@ R. COLLINS On demand we promise to pay to the order ~3.D00.00 ~ru~r._ ~rnrrG airs exrr Nn / i 00 Dollars Without defalcation or stay of ezerotian, for value receiveeT, with interest at 5.509~L, per serum, waiving inquisition and exemption laws, and coafess jndgmerrt for above sum without, oH~, with interest and costs of suR, sad with five pexoeat for colleetion fives. There is a 1 °iL penalty on all monies sot bR iu the fiend for a perbd of oae year. THE CENTRAL PENNSYLVANIA CONFERENCE COMIMIITTEE ON LOp~ ~, C\ i THE UrTITED METHODIS~CiEHIRCB /I , / Attest: ~%~,. ,..~.~ ..) ~1'~ . IW~ ~I../ MYO N 303 Mulberry Drive, F.O. Box 2053, Med~anirsburg, PA 17055-2053 ~, 16377 of R13TB. R• COLLINS or ROBERT L. COLLINS Date June 14, 2002 On demand we promise to psyy to tlrt order ~**35,000.00 rTSIRTY-FIVE THOUSAND sad NO/ 100----_---_ _-~__~_____--..._.-_- -M.-~_-_~~rs Wrthoat defalcation or stay of a:eartion, for value recxived, with interest at 5 • SQ96, per anaam, waiw~g iagnisition and exemption laws, and confess judgment for above snm without aifset; with iatereat and casts of suit, and with Eve percent for co~Ction fees. There is s 1°i6 penalty on all monies nut left is the fund for a period of one yeuz THE CENTRAL PENNSYLVANIA CONFERENCE COMIYIITTEE ON LOA1~ l T'HE i11VTTED METHODIST t~HRCH /1 •l _ Attu C.2~C~-e/ ~ enexmeeMm ~a a..awe No: 1~' 303 Mulberry Ihive, P.O. Box 2053, Mechsui~~ PA 17855-2053 ' D$te SEPTEMBER 3r 2002 of RUTH K. OR ROBERT L. COLLINS ~ demand we promise ffl #o the order $* oao. 00 'Y*'~*FIFTEEN THOiJSAxD tOiD-----~.__~ ---------------NO/ 100----_._ __ R'rthoat defalcation or stay of execateoq for value ~~ _ "Dollars and exemption laws, and confess • wed, with interest at 5.50 p~ arm percent for collerbon f~, J~ment for above sum without nm, waiving inquisition T'ha+e is s 1°~6 penalty on ~ ~~y not ~ m t~ ~ °°sts of srr~ aad with Sroe TBE CENTRAL PENNSyI,VgMA CO fund far a period of one year. I11~IT'ED ~ ~~ ~E ON LOANS Attest: hcJ. ,. a . CB TREA8t7RER -- . of ~° LOeNs Man. n.. .._ SUSQUEHANNA- CC~NFERBVCE .. uN11'B~ METHODIST; CHURCH.::' ao3 Naxeener nom, Fo aox ~ ; ,, ,. .. .. ~~oss . . 2-1(}393 ` .... L1Ai'E . ~JtTLY 28, . . 2011..: Ci~C IC NO. . 47290 ' ~. '.::.l~A7E. .. .. _. ..:_;;; :.....:.:....,-. ,.:; ... .-...... ,.Acct .ivo . . - Annour[t 928/11 WITFIDRAWAL OF:INV~,STMENT . ~ :25500.00 , ..50,000.00 . 50,000 04 SUSG~UEHI~IN[VA CONFERENCE ~. Ut!YiED . AIlE11~DIST :CHURCH .. ` ~: . _.. . _ . ,.. . 3a3.Mtnea~r DRIVE, PQ.BOac . VEi~DOR . ~ .2 50384 D~4TE ..'.:JULY28;:2011 : ' ` CHEC K hi0. 47291. : .. •DA7E.::. ..... _ . °_ : _; ; ::; .:.:: ` ; ::REF6tBVCE . ' :: :::: ::..::' ::: _.. ., .: ACCf.: NO. ...... . _ :: .:::: `- . ':.::.. .:AMOUM : ~: ,:.:.:.:. .: ...: 728/1 l .. ~ WiTFIDRAWAL~OF lNVFSTDijENT _ .25500.00 - 50,000.00 ' . ` soooo.oo Prudential Annuiies Services Strategic Partners Annuity One III P.O. Box 13467 Philadelphia, PA 19176 ~IIauli~' TrBIISACt30n iv0>~IrIIi~,tf.011 July 18, 2011 >~0048 ?980204 001 092001 RUTH K. COLLINS 757 CAROL ST NEW CUMBERLAND, PA 17070 Financial Professional: JASON R. MILLER PRUDENTIAL - PFS 150 CORPORATE CENTER DR. SUITE 105 CAMP HILL, PA 17011-1759 E04[f73tlG CC Page 1 of 2 Annuity #: E0487386 Type: Non Qualified issue Date: 05/25/2006 Owner Name(s): Ruth K. Collins Annuity Date: 05123/201.9 Annuitant: Ru#h K. Collins Please review your statement and contact us within 30 days if you find any information you believe to be inaccurate. Total investment Value $0.00 Investment Transaction Ac#ivity Traasaetioa Investments ~ of Units/ Unit Price/ Valise/ Date. Unadfusted MVA Account Value Account Value 07/ 18/2011 Transaction Type: Death Benefit Surrender The following amounts were withheld for taxes and/or deducted for applicable surrender charges from the total amount shown below: Federal Tax: $0.00 State Tax: $0.00 Surrender Charge: $0.00 Pre TETRA Gost Basis: $0.00 Post TETRA Cost Basis: $112,692.78 AST Preservation Asset Allocation (11,519.39391] 11.78326 {$135,736.01) Transaction Total: )1135,?36.01) Transaetioas in your oariabie annuity contract are priced at the end of the business day (geaeraliy 4 p.m. Eastern time) oa the day the transaction was processed. Exhibit Y A¢cnt [D;.ECH936 011'ice ;rHARX 0oooooaso ! I t l l l l l i l I Prudential A P+udrnNid f P"~ ~'~ ~°"'~"' Check Statement Prutlantlal Mpdty Stvtc~s, P.p. [!m[ 138 PhMedaipM4 RA 19f Ili Date: JULY 19 2oii 3n~7sz9 BARBARA C OYLER - owner: Ruth K Coi 1 i ns CARLISLE6PAfi17013 Annuitant: Ruth K Collins Contract #: Eo487386 Product: 5P III Bns Roti Up Market Type: Non Qualified Page T of i Thank you .for yyour patience while we completed your request for death benefits from the contract' listed above. Tfie table below provides a breakdown of how we determined the net .check amount. Taxable amounts are repported #o ou and the Internal Revenue Service. The. federal taxable amount of your payment is $ 7i521.fi2. The state taxable amount is $ 11521.62. We have presented this information based on our understanding of tax law You may wish to consult your tax adviser if you have any tsx questions. Because each situation is unique, neither the Company nor its representatives can provide tax advice.' GRASS FUND MITHDRAWL AMT 67868.01 FEDERAL TAR WITHHDLDING 1728.24 STATE OF PENNSYLVANIA 345.65 NET AMOUNT OF diECK 85794.12 ~~,5~4~.27_7Q____.__-..___-• ----PLEASE OETACH'CI;~.IS~:SSAIiiVl~ FQFLF.t~O~iD~S.._-._.....-_~ .. _ _~-___._. ~.w._ __. 000000329 ! ~ i ~ I I Pl'tl+~`Il~ l t A Prudential mmpaey Prom "~''~"'""~ ~°"'~"y Check Statement Prgdential AmmNy Swicas, P.O. Bmt 19886 Philadelphia, PA 18178 3796827522 JAMES J COLLINS II 21 HOLLY ST MT. HOLLY SPRINGS PA 17065 Date: Owner: Annuitant: Contract #: Product: Market Type: JULY 19 2011 Ruth K Collins Ruth K Collins I:a487386 SP III Bns Ro)1 Up Non Qualified ,r:.:.. <:h:~. „~.:~ >:~fa ::w ::;:. r;::, .::Y,< ->•:<:., r,.... Page 1 of i . .. -- ...:::..:. c.. <.K: .~.. ~. .4H ,.:;:::. .~:~" ..~4 ~.Y<: ,~ ri <., .. v„ ..,,:• r ^~ C'~ S4°' z - :inii' .... :`:r.Yf1fY ' u rY' ~. : u.. .. .... •• n ......vv - •~ i•,f'.:-:~~J* ~t~// "'S VM>'v.}4~Y-.. a.0.,.Mrv. .. rS 1k; q~t v}.. >.:k:y'.:hs;::::.nr:3>:uh.. ;:::.:.0.:45:' ~~I\} :~, ~ '4.M%C%MveS. :ii':.; .:. •. .JG4ACJ??:::: ~Y:o~h:J'u$y~•':I.4.... . ... . r. rsr,..-c:x.:::.:::_: Thank you for your patience while we completed your request for death benefits from the contract listed above. The table below provides a breakdown of how we determined the net check amount. Taxable amounts are reported to you and the Internal Revenue Service. The federal taxable amount of your payment is $ 1 1521.61. Ttte state taxable amount is $ 11521.61. We have presented this information based on our understanding of tax law. You may, wish to consult your tax adviser if you have any tax questions. Because each situation is unique, neither the Company nor its representatives can provide tax advice. rm doss FuNO wITHORawL AMT srass_oa FEDERAL TAX WITHHOLDING 2304.32 STATE OF PENNSYLVANIA 34g.~ NET AMOUNT of ChlEgt 8:03 /~~ ZZ 1 ~_ i VPAS 40,$9770) PLEASE DETACH CHECKS KEEP STATEi~AE~EpR_f;ECC~RDS_-_-_~.__. _... __ ~~ PA. Box 14694 Des rNo(nes IA 5090E-3584 MefLife August 1, 2t31 i JAMES COLLINS 21 HOLLY ST MOUNT HOLLY SPRINGS PA 17065-1316 _ ._......._......._ 13E:.: METAOPOLI'IAN LIFE.IetSUHANCE COMPANY.7±ON]'RACT_'.OOOC107S89t} _--- .._-.. _ . dWNER pUTH K COLLINS Dear Mr. Collins: We have processed ahemp-sum distr~ution representing the proceeds payable to you under the above- referenced annuity. We are. sending a check in the amount of $2,008.57 to you under separate cover. The table below details how your check amount was c~iculated: Portion of account vahie at death due u as ben $2,221.77 Plus irrtecest-due credited at 4.7596, tram date of death $9.97 Less federaltaxes-withheld: $22S.1Z toss state taxes withheld: .00 Checkarnour~ ,008.57 The taxable portion of your prac~eds is $2,231.74. An IRS Farm 109.9-R wig be ma~'led to you by January 3i, 2072. ff you have any quest~ns, please contact your representative ar cail our Customer Service Center at 1-800-777-5$97 Monday through Friday between 8:30 a.m. and 6:30 p.m., ET. sincerely, Eli~beth The~en Sr. Arxrn~ty Representative -Post Issue Process'ptig MetLrfe Annuity Operations and Services Exhibit Z 'This corutner tvaa lssaed by TLe New Srtglond Mutrmi Ljfa lnswnrrce Cowpony, which ttns merged imo MaLife on 8/34/199 Me~aa~n ute ~surance cort~pany o~225 P.O. Box 14594 Des Molnes, IA 50306-3584 BARBARA OLYER 1550 LONGS GAP RD CARLISLE, PA 17013-8659 Date: 07-29-2041 Customer Service y-800-638-7732 CLAIM PROCEEDS Gross payment 2,231.74 -FederaTWsfltfii5idiiig -- _ -".-.._ - 223 i7 -. _ Net Payment 2008 ~ MetLife Check No: 500754800 Contract No: OOOC10'15890 Complete fur Change of Address aad Return to Address Above: NAME ADDRESS: GffY: STATE: ZIP CODE: CONTRACT NO. - - . SIGNATURE: DATE EXHIBIT Z i~fan Life Insurance Company 01251 f .0. ox 14594 nes iuioines, is soaos-a5s4 JAMES COLLINS 21 HOLLY ST MOIIi`i'P HOLLY SPRINGS, PA I7065-3316 Date: 07-29-2011 Custowner Service 1-800-638-7732 P`~nnir Aln• cnn~c~cnc CLAIM PROCEEDS Gross Payment 2,231.74 _ ~ _ .. _ ~ __._ . _ . _..... -- X3.17 ____ federal Withholdi - Net Payment 2,008.57 Contract No: OOOC1015890 Complete far Change of Address and liteturn W Address A6anie: NAME: ADDRESS: Met-Life C1TY: - -STATE: ZIP CODE: CONTRACT NO. SIGNATURE: DATE: Principal LifeJnsurance Company ''' Des Haines, IA 50392-0001 Financial Gronp BARBARA COLLINS OYLER 1550 LONGS GAP ROAD CARLISLE FA 17013 ANNUITANAT: RUTH K DEATH BENEFIT: SHORT TERM INTi3REST : FEDERAL WITHHOLDING: STATE WITHHOLDING: NET AMOUNT PAYABLE: COST BASIS: TAXABLE GAIN 2011: COLLINS - DECEASED 31,53.6.42 + 98.50 (TAXABLE 2011) - 2,153.64 - 00.0.0 = 29,481.28 10,00.0.00 21,536.42 EXHIBIT AA sroc~pc K]6498051 os.ot-zo~~ (Detach and Retain for Maur Records} s2s,nati.ze wvA~u ov 'veR~ir rHE Aerr+i~ncinr.oF.THis MIULTMT01~ sECURmraocuu~r -. ~:... ~;. ,.~ , _. CHECK BACKGROUND AREA CHAWQES COLOR GRADUALLY FROM TOP TO BOTfOkf. .,~ - :. .; .. ,: . .. .. .; 1 «•. :. :,~ ,. ,a ~ : _ .a f .. ~ r. ~;;,~ • •., ^ "~u.i~fim~iid,imspawuwtl~l» Pr#nci f 1 `s France. Co - - ,. pa~n~ m'~ri Des MDiq'e~, iiA ~,5Q392=0001 - - .. . ~ - .. - ;. .• ., • :. .. . 4 '- :< F.. - .... . 7ag3"7171s --" .. ...:. .: •_... .. ~llp; :. .. .: ', - - Date :• Q.8-A1- - - ~ ~ NOT;VAUD AFTER lBO DAY5 :. ~. ' CONTRACT NO. 0070123 - .. - ~. *** .Amount S* * * ..:. ,• ~ °. **+r2g r 481..28*.. . gay To BARBARA COLLINS OYLER 1550 LONGS GAP ROAD CARLISLE PA 17013 Tw~NT~r rrn~ 'PHOUSAND FOUR HUNDRED IiIGHTY ONE Arm 2s/Iao------ - . , .-~.,....~ THE NORTHERN TRUST COMPANY, CHICAGO, IL 0710 J Authorized 6ipnelura)s) PAYABLE THROUGH NORTHERN TRUST BANK/DUPAGE, OAK BROOK, IL II' i L L 6 4860 5 i)I" t:0 7 1 9 2 38 28~: 0 30 ~ 56 20011" 3 Principal Life Insurance Company ' ' Des Moines, IA 50392-0001 FIII~IICMI riJRIIP JAMBS J COLLINS II 21 HOLLY ST MT HOLLY 5PRINGS PA 17065 ANAi[7ITANAT: RDTH A COLLIr7S - DECEASED DEATH BENEFIT: 31,536.43 SHORT TERM T~cpST; + 98.49 {TAXABLE 2011) FEDERAL WITHHOLDING: - 2,153.64 STATE WITHHOLDING: •-.__.- ... ,08.00 _` _,._- _____---- - - ,-- ------- NET ~NIOIfi~T ~pIYAHL$ • = Z~S; 481.2 - - ---- ----____.. _ COST BASIS: 10,000.00 TAXABLE GAIN 2011: 21,536.43 STDCHK K 1848H050 0&01 201 ~ (Detach and Retain for Your ReCanjs) S29,net~ wvnw Ov T7ie IIblon CeidrvI rug r cry ~~nwt ohio as24o -. (523~395.2Zf10 wwwami~~hviagm ~~ ~wnawe and Imau~mts A WEIR Cnmp~y BARBARA OYLER 1550 LONGS GAP RD CARLISLE PA 17013 Dear IVIs. Oyler. July 20, 2011 Re: 3052234 Ruth K. Collins We wish to express our sincere sympadry to you and fo the members of the family of Ruth K. Collins. We are enclosing the information ycn requested in your telephone cal! of July 15, 20I 1. Under this contract, Ruth K. Collins was receiving monthly payments of $527.57 each, minus federal withholding, since January 1, 1995 under the Joust and Survivor Life with Twenty Years Certain Annuity Option. This option was to provide a monthly payment to Ruth K. Collins during the joint lifetime of Ruth K Collins and Robert L. Collins and thereafter to the survivor for as Long thereafter as the survivor shall live or for the remainder of the guaranteed period, whichever is later. When Robert L. Collins died on Aprii 2.8, 2006 the monthIy_payments continued to Ruth K. Collins uninterrupted. As of the data of death of Ruth K. Collins on June 25, 2011, there remainforty-two payments to complete the twenty year guaranteed period. In accordance with the Agreement dated June 5, 2006, the remaining guaranteed payments are to be continued to James J. Collins II and Barbara C. Oyler children ofthe payee equally. To continue these payments to James J. Collins II and you, we will require the following: ~ Certified Death Certificate ~ ~ Claimaafs Statement Forms UC 3963 completed by~ames J. Collins II and you and notarized ~ Completion of the encla~sed Election for Federal Tacoma Tax withhdding Forms Return of the paymem dated July 1,2011 in the amount of 5448.44 C~. ~ Stn - y~8, ~~! Since the above mentioned payment was directly deposited into the Insured's bank account, reimbursement in the form of a personal check or'money order will be accepted. The check should be made payable to The Union Central Life Insurance Compau~- in the amount of $448.44. EXHIBIT BB ~-c)" r,u ` 58~~~~~~ ~~,e~ cow.. ~ ~rra3n-s~c. Page 1 of 1 Present Value of an Annuity 3/13/2012 Basic Information Scenario Title Amount of annuity payments 527 57 Term of the calculation . Term certain Frequency of annuity payments Monthly Number of payment periods 42 Age 1 Age 2 Age 3 Age 4 Age 5 Annual interest rate(°k) 2.2500 Frequency of interest compouding Monthly Timing of annuity payments End of period Results Present value factor 40.3524705 Present value of an annuity 21,288.75 Notes http://tax.cchgroup.com/FinEstJfinest/PrintScenarios.aspx?isMultiple=false 3/13/2012 2011 Applicable Federal Rates Short-term - 3 years or less Mid-term -over 3 years to 9 years Long-term -more than 9 years Blended annual rate for 2011= .40%