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HomeMy WebLinkAbout09-20-121505610143 REV-1500 EX (01-10) OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE PO 80X.280601 INHERITANCE TAX RETURN 21 12 0330 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 200 24 0798 02 28 2012 Decedent's Last Name RYNARD (If Applicable} Enter Surviving Spouse's Information Below Spouse's Last Name Spouse's Social Security Number Date of Birth 04 30 1931 Suffix Decedent's First Name MI MARY E Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Return ~ 2. Supplemental Return ^ 4. Limited Estate I J 4a Future Interest Compromise (date of death after 12-12-82) ~~ I n i 6 Decedent Died Testate (Attach Copy of Will) ^ T~ Attach Co a~of Trust a Living Trust PY ) ^ 9. Litigation Proceeds Received ^ ^ 10. Spousal Povertyy Credit (date of death between 12-31 ~91 and 1-1-95) ^ 3. Remainder Return (date of death prior to 12-13-82) ^ 5. Federal Estate Tax Return Required l1 8. Total Number of Safe Deposit Boxes 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number BRADLEY L GRIFFIE 717 243 5551 ~~ First line of address 200 NORTH HANOVER STREE Second line of address City or Post Office CARLISLE State ZIP Code PA 17013 Correspondent's a-mail address: bgriffie@griffielaw.com Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ~~~ ~~~it.~ ~y~ , cs~^~t-~-. Joan M. Garcia-Cruz ~ ~~,~ ~ 6 ~ 96 Partridge Circle, Carlisle, PA 17013 S REPARER OTHER THAN REPRESENTATIVE DATE Bradley L Griffie ,~ DR r Street. Carlisle, PA Side 1 1505610143 t REGISTER O S USE ~LY ~ ~ _ rrl ~ Z r ._ "'C7 -- ~ . a ~. r N ....y CQ ~ N ~ ~, ~~--i .• w ~ DATE FILED :a '~ r , i' (~ i f 1 -~_: ~~~ ...~ C'. r•n 1505610143 J h~~' J REV-1500 EX Decedents Name Rynard, Mary E. Decedent's Social Security Number 200 24 0798 RECAPITULATION 1. .......................................... Real Estate (Schedule A) ................................ ............. 1. 2 7, 0 0 0. 0 0 2. Stocks and Bonds (Schedule B) ............................................................................. 2. 5 6 , 517.12 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................................................ 4. 5~ Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... 5. 223 , 515.4 9 6. Jointly Owned Property (Schedule F) ~X Separate Billing Requested............ 6. 12 , 7 2 2 . 2 0 7. Inter-Vivos Transfers & Miscellaneous N~ Probate Property uested arate Billin Re Se 7 7 4 2 65 4 8 ............ g q p (Schedule G) , , . g. Total Gross Assets (total Lines 1-7) ..................................................................... 8. 3 9 4, 0 2 0. 2 9 9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 23 , 692.64 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 4 , 2 98.35 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 2 7 , 9 9 0 . 9 9 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 3 6 6 , 0 2 9 . 3 0 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............................................... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ............................................... 14. 3 6 6 , 0 2 9 . 3 0 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 15 (a)(1.2) X .00 . 16. Amount of Line 14 taxable 3 6 6 , 0 2 9. 3 0 16. at lineal rate X .045 17. Amount of Line 14 taxable 0 0 0 17 at sibling rate X .12 . . 18. Amount of Line 14 taxable 0 0 0 18 at collateral rate X .15 . . 19. Tax Due .............................................................. ................................................... . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 0.00 16,471.32 0.00 0.00 16,471.32 Side 2 L 1505610243 1505610243 1505610243 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-12-0330 DECEDENT'S NAME Rynard, Mary E. STREET ADDRESS 423 North Pitt Street CITY Carlisle STATE PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 20,000.00 1,000.00 (1) Total Credits (A + B) (2) 3. Interest 4, If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (3) (4) (5) Make Check Payable to: REGISTER OF WILLS, AGENT. 16,471.32 21,000.00 4,528.68 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :............................................................................... ^ b. retain the right to designate who shall use the property transferred or its income :.................................. ^ c. retain a reversionary interest; or ............................................................................................................... ^ ^x d. receive the promise for life of either payments, benefits or care? ............................................................ ^ 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................................................................................................... ^ 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................................. ^x ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value 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 January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0 percent [72 P.S. §9116 (a) (1.2)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116 (a) (1.3)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1502 EX+(11-08) SC~iED~J~E A ~~ ~ REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Rynard, Mary E. 21-12-0330 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08) (If more space is needed, additional pages of the same size) Rev-1503 EX+ (6-98) S~HED@JE.E S S STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Rynard, Mary E. 21-12-0330 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNfT VALUE VALUE AT DATE OF DEATH 1 PNC Bank Corp. - 31,437.12 (528 shares at $59.541sharej (See attached statement) 2 La-Z-Boy Incorporated - 25,080.00 (1,650 shares at $15.20/share) (See attached statement) TOTAL (Also enter on Line 2, Recapitulation) 56,517.12 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1508 EX+ (6-98) S~FIE®~l~.E E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Rynard, Mary E. 21-12-0330 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Citizens Bank -Checking Acct. #XXXXXX6789 17,305.50 (See attached statement) 2 Citizens Bank -Savings Acct. #XXXXXX2777 164,984.59 (See attached statement) 3 CenturyLink Refund 5.67 4 Sentinel Subscription Refund 38.58 5 Highmark Health Insurance Refund 5.57 6 State Farm Homeowners Insurance Refund 180.48 7 Medco Health Insurance Premium Refund 332.20 8 Real Estate Tax proration at settlement 169.46 9 1994 Buick Lasabre -Serial #1 G4HP52L1 RH5YY85E 1,000.00 (See attached statement) 10 Personal Property (Auction) - 2,501.50 (See attached statement) 11 Cumberland Valley Memorial Gardens - 2,179.00 Cemetery Plot 12 Raymond James - TOD Investment Account 34,812.94 Investment Account No. XXXX1333 (See attached statement) TOTAL (Also enter on Line 5, Recapitulation) I 223,515.49 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1509 EX+ (6-98) ,., COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT S~HED4l~.E F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Rynard, Mary E. _ 21-12-0330 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Joan M. Garcia-Cruz 98 Partridge Circle Daughter Carlisle, PA 17013 g. Russell L. Rynard 32 Turnbridge Lane None Carlisle, PA 17015 C. JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSE % OF DECD S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1 A 05/07/2010 Citizens Bank -Checking Account 16,719.52 50.000% 8,359.76 #XXXXXX6785 {See attached statement} 2 B 03!18!2005 Citizens Bank -Checking Account 8,724.87 50.000% 4,362.44 #XXXXXX8371 (See attached statement) TOTAL (Also enter on Line 6, Recapitulation) I 12,722.20 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) Rev-1510 EX+ (6-98) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PR PERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER Rynard, Mary E. 21-12-0330 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY THE DATE OFnTROANSFERSATTACFi A COP OF TORE DEIED FOR REAEESTATE DATE OF DEATH VALUE OF ASSET °i° OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1 Symetra Life Insurance Co. -Annuity #XXXXXX9904 50,167.14 100.000% 0.00 50,167.14 (See attached statement) 2 Raymond James Financial Services, Inc. -IRA 24,098.34 100.000% 0.00 24,098.34 Account No. XXXX4651 (See attached statement) TOTAL (Also enter on Line 7, Recapitulation) I 74,265.48 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) REV-1151 EX+ (10-06) i ~ of COM INOHE IR TANCEOT~ RETURN ANIA RESIDENT DECEDENT S~~IEDtl~E FI FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Rynard, Mary E. __ _ 21-12-0330 Debts of decedent must be reported on Schedule 1. ITEM DESCRIPTION AMOUNT N MBER A, FUNERAL EXPENSES: See continuation schedule(s) attached B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Joan M. Garcia-Cruz Street Address 96 Partridge Circle city Carlisle state PA Zia 17013 Yearls) Commission paid 2012 2. Attorney's Fees Griffie & Associates, P.C. 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 9,194.91 3,000.00 8,000.00 4. Probate Fees 470.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 3,027.23 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 23,692.64 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SC~'IED6lE.E ~ FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Rynard, Mary E. 21-12-0330 ITEM NUMBER DESCRIPTION AMOUNT Funeral Ex ep nses 1 Hoffman-Roth Funeral Home & Crematory, Inc. 8,084.84 2 George's Flowers 279.84 3 Cumberland Valley Memorial Gardens (engraving) 490.00 4 Pastor expense 100.00 5 Wake/Luncheon expenses 240.23 H-A 9,194.91 Other Administrative Costs 6 Auction fees to Rowe's Auction Service 920.52 7 The Sentinel (Advertising) 189.54 8 Cumberland Law Journal (Advertising) 75.00 9 State Farm (Homeowner's Ins.) 524.00 10 Lawn Service (Brad Boores) 215.00 11 Trash Removal from real estate (Shane Bouder) 750.00 12 House Cleaning (Jodi Rynard) 300.00 13 PPL Electric Utilities 53.17 H-B7 3,027.23 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 EX+ (12-08) SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Rynard, Mary E. 21-12-0330 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 Highmark Blue Shield -Health Insurance 334.00 2 Borough of Carlisle (WaterlSewer) 72.90 3 PPL Electric Utilities 35.88 4 Medical Billing 44.36 5 George T. Hicks, Tax Collector - (personal/per capita tax) 4.90 6 Marshall & Isley Trust Co. - (Overpayment of pension) 189.54 7 CenturyLink 5.67 8 Comcast 12.32 9 JC Penney Credit Card 33.66 10 Checks processed through decedent's account post-death - 60.58 CenturyLink - $57.28 AD8~D $3.30 11 Real Estate Settlement costs and fees - 3,504.54 Realtor's Commission - $2,125.00 Transfer Tax - $270.00 Seller's Assistance - $1,100.00 Tax Proration (School} - $9.54 TOTAL (Also enter on Line 10, Recapitulation) (If more space is needed, additional pages of the same size) 4,298.35 Copyright (c) 2009 form software only The Lackner Group, inc. Form PA-1500 Schedule I (Rev. 12-08) REV-1513 EX+ (11-08) s~ ' SC~IED~~.E .! COM ~RETURNANIA N~ER A C O BENEFICIARIES I IT E T RESIDENT DECEDENT ESTATE OF FILE NUMBER Rvnard, Marv E. 21-12-0330 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$$) 0 of t ee I TAXABLE DISTRIBUTIONS [include outright spousal • distributions, and transfers under Sec. 9116(a 1.2 1 Russell L. Rynard None 4,362.44 32 Turnbridge Lane Carlisle, PA 17015 2 Aaron C. Beidel Grandson Seven and one- 20,764.70 13 Fisher Run Road half percent Dillsburg, PA 17019 3 Tazhon Kameil Eugene Davis Great-grandson five percent 16,022.13 62 East Penn Street Cariisfe, PA 17013 4 Adam Fralish Grandson two and one-half 6,921.57 75 Main Street percent New Kingstown, PA 17072 5 Christian Fralish Grandson two and one-half 6,921.57 75 Main Street percent New Kingstown, PA 17072 See continuation schedule attached Continuation 311,036.90 Total 366,029.31 Enter dollar amounts for distributions shown above on lines 1 5 through 18 on Rev 150 0 cover sheet. as a r o riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FO R WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) S~FIE®~l~.E J BENEFICIARIES (Part !, Taxable Distributions) ESTATE OF: Mary E. Rynard 02/28/2012 200-24-0798 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 6 Joan M. Garcia-Cruz Daughter Forty-two and one-half 163,159.11 96 Partridge Circle percent Carlisle, PA 17013 7 Jodi L. Rynard Daughter Thirty-seven and one- 140,956.22 62 East Penn Street half percent Carlisle, PA 17013 8 Leann Sutton _ Granddaughter two and one-half 6,921.57 55 Gasoline Alley percent Carlisle, PA 17013 Total 311.036.90 1 LAST WILL AND TESTAMENT ~r MARY E. RYNARD I, MARY E. RYNARD, of 423 North Pitt Street, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and malting void all previous Wills and Codicils heretofore made by me. FIRST I order and direct my Executor hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as is reasonably possible. I direct my Executor to pay all inheritance, estate, succession and legacy taxes, to which my estate or the transfer of any property hereunder may be subject, and to charge such taxes as part of the expenses of the administration of my estate, being deducted and paid from the residue of my estate and not to be deducted in any manner from any specific bequests made herein. However, my Executor need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they GRIFFIE chi ASSOCIATES Attorneys At Law 200 N. Hanover Street Page 1 of 9 100 Lincoln Way East, Suite D Carlisle, PA 17013 Chambersburg, PA 17201 become due and payable. I have prepaid the Cumberland Valley Memorial Gardens for interment. However, if I do not own a grave marker at the time of my death, I authorize my Executor/Executrix, in his, her or its sole discretion, to erect a suitable grave marker at my grave, and to expend sums from my estate for this purpose. SECOND In the event that I own more than one cemetery plot in my name at Cumberland Valley Memorial Gardens, or at any other cemetery or Memorial Gardens, it is my desire that the cemetery plot not used for my interment shall pass to my great-grandsom TAZHOM I~:AMEIL EUGENE DAMS. In the event my great-grandson should predecease me or die on or before the 60th day following my death, and I should still maintain ownership of more than one cemetery plot, the remaining cemetery plot after my internment shall pass through the residue of my Estate. THIRD I give, devise and bequeath my entire estate of whatever nature and wheresoever situate, together with all insurance proceeds thereon, to the following individuals in the following shares as hereinafter set forth: (A) FIVE (5%) PERCENT of my net estate to my great-grandson, TAZHON I~:AMEIL EUGENE DAMS, per stirpes; GRIFFIE ~ ASSOCIATES Attorneys At Law 200 N. Hanover Street 100 Lincoln Way East, Suite D Carlisle, PA 17013 Page 2 of 9 Chambersburg, PA 17201 (B} FIVE (5%) PERCENT of my net estate to my grandson, AARON C. BEIDEL; in the event my grandson, AARON C. BEIDEL should predecease me or die on or before the 60th day following my death, then his share of my Estate which he would otherwise have received shall pass through the residue of my Estate; (C) TEN (10%) PERCENT of my net estate to be shared equally among my grandchildren, who are the children of my late daughter, JEAN LOUISE FRALISH, my said grandchildren being LEANN SUTTON, ADAM FRALISH, CHRISTIAN FRALISH and AARON BEIDEL, per capita; (D) THIRTY-SEVEN AND ONE-HALF (37.5%) PERCENT of my net estate w to my daughter, JODI L. RYNARD. In the event my daughter, Jodi L. Rynard, would predecease me or die on or before the sixtieth (60th) day following my death, her share of my estate shall pass in equal shares to my grandchildren, SHA.QUILLE DAMS and TANEISHA DAMS, and my great-grandson, TAZHON KAM]EIL EUGENE DAMS; (E) FORTY-TWO AND ONE-HALF (42.5%) PERCENT of my net estate to my daughter, JOAN M. GARCIA-CRUZ, per stirpes. FOURTH Any devise or distribution under this Last Will and Testament which is payable to any beneficiary who may be under twenty-one (21) years of age or, in the judgment of my GRIFFIE ~ ASSOCIA TES Attorneys At Law 200 N. Hanover Street Carlisle, PA 17013 100 Lincoln Way East, Suite D Page 3 of 9 Clzambersburg, PA 17201 Executor/Executrix, mentally disabled, shall be held in a separate trust by my Executor/Executrix as trustee until such beneficiary reaches twenty-one (21) years of age or during such period of disability. During the term of any trust created pursuant to this Paragraph, the Trustee is authorized to expend and apply so much of the net income and principal of each such trust as the Trustee shall consider advisable for the health, maintenance, support, and education (including college education, undergraduate and graduate) of each such beneficiary until he or she attains twenty-one (21) years of age, or until all such amounts are paid out of trust. I direct that no Trustee shall be required to give or post bond for~the faithful performance of the Trustee's duties in this or any other jurisdiction. FIFTH I grant my Executor/Executrix the following powers in addition to and not in limitation of such powers as my Executor/Executrix shall hold by law: (a) To retain all property received including the stock of any corporate fiduciary acting hereunder, provided such property remains productive. (b) To join in any corporation, partnership, recapitalization, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors, including but not limited to, the voting of shares. (c) To manage, operate, repair, improve, mortgage or lease on any terms any real estate held or owned by my estate. GRIFFIE & ASSOCIATES Attorneys At Law .200 N. Hanover Street 100 Lincoln Way East, Suite D Carlisle, PA 17013 Page 4 of 9 Chambersburg, PA 17201 (d) To operate any business that I may own at my death. (e) To invest any funds of my estate in any stocks, bonds, notes or other securities or property, real or personal, without regard to the principle of diversification or any other statute or general rule of law in his, her or its absolute discretion, it being my intention to give my Executor/Executrix the broadest investment powers possible, providing such investments do not unnecessarily prevent the prompt settlement of my estate. (f) To sell or otherwise dispose of any property, real or personal, tangible or intangible, at any time forming a part of my estate in any manner and on such terms and conditions as my Executor/Executrix shall see fit in his, her or its absolute discretion. (g) To borrow money for the payment of taxes or for any other proper purposes in the administration of my estate, and to mortgage or pledge estate assets as security. (h) To compromise claims without court approval including, but not limited to, any controversies with the United States of America or the Commonwealth of Pennsylvania concerning estate and inheritance taxes on any interests that may pass under this my Last Will and Testament. (i) To distribute in cash or in kind upon -any division or distribution of my estate. (j) To undertake any and all acts deemed necessary and proper by my Executor/Executrix for the proper, advantageous and prompt management of the settlement of my estate. GRIFFIE ~ ASSOCIATES Attorneys At Law 200 N. Hanover Street 100 Lincoln Way East, Suite D ', Carlisle, PA 17013 Page 5 of 9 Chambersburg, PA 17201 (k) In general, to exercise all powers in the management of my estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as to him, her or it may seem best and to execute and deliver all instruments and to do all acts which he, she or it deems necessar~~ or proper to carry out the purposes of this, my Last Will and Testament. SIXTH No interest of any beneficiary of my estate, either in income or in principal, shall be subject to anticipation or pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have the power in any manner to charge or encumber his interest either in income or principal, nor shall the interest of any beneficiary be liable or subject in any manner while in the possession of my Executor/Executrix for the liability of such beneficiary. SEVENTH I nominate, constitute and appoint my daughter, JOAN M. GARCIA-CRUZ, as Executrix of this my Last Will and Testament. In .the event my daughter is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my grandson, NICOLAS S. GARCIA-CRUZ, as Executor of this my Last Will and Testament. I direct that my Executor/Executrix shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. GRIFFIE & ASSOCIATES Attorneys At Law 200 N. Hanover Street 100 Lincoln Way East, Suite D Carlisle, PA 17013 Page 6 of 9 Chambersburg, PA 17201 EIGHTH I hereby declare it to be my expressed desire that my Executor/Executrix employ the law firm of Griffie & Associates, of Carlisle, Pennsylvania, for legal advice and assistance regarding this my last Will and Testament, they having considerable knowledge of my affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. IN WITNESS WHEREOF; I have hereunto set my hand and seal to this, my -Last Will and Testament, consisting of nine (9) typewritten pages, the first six (6) of which .~ bear my signature on the side margin, for purpose of identification, this day of ~c~~u a~}r ,2012. ~~~~~. MARY .RYN GRIFFIE ~ ASSOCIATES Attorneys At Law 200 N. Hanover Street 100 Lincoln Way East, Suite D Carlisle, PA 17013 Page 7 of 9 Cliambersburg, PA 17201 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA: SS. COUNTY OF CUMBERLAND I, MARY E. RYNARD, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. ~F~ nnnA MARY E. RYN Sworn or affirmed and acknowledged before me by the Testatrix this ~< `~ day of ~~ r ~ , 2012. Oonnionwe~ItlydPrn Mani. Nar~aw.ar~ ~,~tint,irolhrll~r ar~a.eoiaipl~, Wb.~aaC~oun4r My oonu~on e~a.,l.wri, 2s. pots GRIFFIE & ASSOCIATES Attorneys At Law 200 N. Hanover Street 100 Lincoln Way East, Suite D Carlisle, PA 17013 Page 8 of 9 Chambersburg, PA 17201 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA: SS. COUNTY OF CUMBERLAND WE, d L - r ~ ~'t~ -P and l ~a'b~ n ~ ~.r~S~~ the witnesses whose names are attached to the foregoing document, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the 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 subscribing witness in the hearing and sight of the Testatrix signed the Last Will and Testament as witnesses and that to the best of our knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed and subscrit ~,a ~~ ~J~ l~iasse7`f-tr Conrna~wsdlh d Pem 11pQ1M~A1.86AL IM~-lhnR NaliryPubr ONde eoioupl~ ainibnlmd oouMlr My CartrnNNa~ ~,~r„ rry96, 2D1e Not ry Public GRIFFIE d~: ASSOCIATES Attorneys At Law 200 N. Hanover Street 100 Lincoln Wa~~ East, Suite D Carlisle, PA 17013 Page 9 of 9 Cjiambersburg, PA 17201 Attachments to Schedule "A umr~ Nu. ~~u~-u~na ~r B. TYPE OF LOAN: A. EN 1•aFHA 2.[]FmHA 3. ^CONV. UNINS. 4. ~VA S.OCONV. INS. U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPM 6. FILE NUMBER: 7. LOAN NUMBER: SETTLEMENT STATEMENT 8. MORTGAGE INS CASE NUMBER: C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(POCJ" were paid outside the closing; they are shown here for informational purposes and are not included /n the totals, 1.0 3/98 (14829.2 DIEHL/14829.2 DIEHL/45) D. NAME AND ADDRESS OF BORROWER: Donald E. Diehl and Suzanne Diehl Jonathan S. Diehl and Rene L. Diehl Chante M. Shildt 4 East High Street Carlisle, PA 17013 E. NAME AND ADDRESS OF SELLER: Estate of Mary E. Rynard c/o Bradley L. Griffie, Esquire 200 N. Hanover Street Carlisle, PA 17013 F. NAME AND ADDRESS OF LENDER: G. PROPERTY LOCATION: 423 N. Pitt Street PA 17013 l l H. SETTLEMENT AGENT: Martson Deardorff Williams Otto Gilroy & Faller I. SETTLEMENT DATE: July 5, 2012 is e, Car Cumberland County, Pennsylvania PLACE OF SETTLEMENT 10 East High Street Carlisle, PA 17013 SUMMARY OF BORROWER'S TRANSACTION J K. SUMMARY OF SELLER'S TRANSACTION . Contract Sales Price ~ 27,000.00 101 401, Contract Sales Price I 27,000.00 , onal Pro ert ~ 102 P 402. Personal Pro ert I ers . ttlement Char es to Borrower Line 1400 I 1,621.71 S 103 403. e . 104 404. . 105 405. . 8 r r P i Taxes 07/06/12 to 01 /01/13 i 169.46 nt /Tw C 106 406. Count /Tw .Taxes 07/06/12 to 01 /01 /13 ( 169.46 . ou . hool Taxes to ~ S 107 407. School Taxes to c . sments to i A 108 408, Assessments to sses . ; 109 409. . 110 410, ~ . i 111 411. . I 112 412. i . GROSS AMOUNT DUE FROM BORROWER 28,791.17 120 420. GROSS AMOUNT DUE TO SELLER ~ 27,169.46 . AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 0 500. REDUCTIONS IN AMOUNT DUE TO SELLER: . 20 osit or earnest mone 5,000.00 D 201 501. Excess De osit (See Instructions ~ e . i al Amount of New Loans i i P 02 502. Settlement Char es to Seller Line 1400 i 2,395.00 nc r . 2 tin loan s taken sub'ect to ~ i E 203 503. Existin loans taken sub'ect to x s . 204 504. Payoff of first Mortgage ~ . ~ 205 505. Pa off of second Mort a e . 06 506. De osit retained b seller i 5,000.00 . 2 207 507. ~ . 08 508, . 2 Assistance j 1,100.00 ll S 9 509. Seller Assistance ~ 1,100.00 er e 20 . n ai e er t t t A ustments or terns n al 8 e er erns s or men A us Taxes to ~ t /Tw C 10 510. Count /Tw .Taxes to . oun . 2 l Taxes 07/01/12 to 07/06/12 I 9.54 h S 11 511. School Taxes 07/01/12 to 07/06/12 i 9.54 oo c . 2 ments to A 12 512. Assessments to ssess . 2 513. ~ 213. i 4 514. . 21 515. 215. ~ 6 516. 21 . ~ 517. ` 217. 18 518. . 2 i; 219 519. . TOTAL PAID BY/FOR BORROWER 6,109.54 220 520. TOTAL REDUCTION AMOUNT DUE SELLER ~ 8,504.54 . H AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER: 300. CAS Amount Due From Borrower Line 120 I. 28,791.17 G 601. Gross Amount Due To Seller Line 420 I 27,169.46 ross 301. Less Amount Paid By/For Borrower (Line 220) ~( 6,109.54) 302 602. Less Reductions Due Seller (Line 520) i( 8,504.54 . 303. CASH (X FROM) ( TO) BORROWER _ 22,681.63 603. CASH (X TO) ( FROM) SELLER I 18,664.92 HUD-1 (3-86) RESPA, HB43052 ACl~CN01I~~LEDGMENT OF RECEIPT OF SETTLEMENT STATEMENT Borrower: Donald E. Diehl and Suzanne Diehl Jonathan S. Diehl and Rene L. Diehl Chante M. Shildt Selfer: Estate of Mary E. Rynard Settlement Agent: Manson Deardorff Williams Otto Gilroy & Faller (717)243-3341 Place of Settlement: 10 East High Street Carlisle, PA 17013 Settlement Date: July 5, 2012 Property Location: 423 N. Pitt Street Carlisle, PA 17013 Cumberland County, Pennsylvania have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of the HUD-1 Settlement Statement. 4 ~---~ Estate of Mary E. Rynard BY. / J n M. Garcia-Cruz, Executrix To the best of my knowledge, the HUD-1 Settlement Statement which I have prepared is a true and accurate account of the funds which were received and have been or will be disbursed by t d rsigned as part of the settlement of this transaction. ~ G~ Martson Deardorff Williams Otto Gilroy & Faller Settlement Agent WARNING: It is a crime to knowingly make false statements to the United States on this or any similar form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section 1001 and Section 1010. HUD-1 (3-46) RESPA, IiB4305.2 L. SETTLEMENT CHARGES 700. TOTAL COMMISSION Based on Price ° PAID FROM ' PAID FROM ' Division of Commission Irne 7OO aS FOIIOWS: S BORROWER SELLER S 701. $ 1,900.00 to Prudential Homesale Services Group FUNDS AT FUNDS AT 702 $ t0 703. Commission Paid at Settlement 704. Transaction Fee to Prudential Homesale Services Grou SETTLEMENT SETTLEMENT 1,900.00 225.00 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Ori ination Fee % to 802. Loan Discount % to 803. Appraisal Fee to 804. Credit Report to 805. Lender's Inspection Fee to 806. Mort a e Ins. A .Fee to 807. Assumption Fee to 808 . 809 . 810. 811. . ITEM E RED BY LENDER T BE PAID IN ADVANCE 901. Interest From to @ $ /day ( days %) 902. Mortgage Insurance Premium for months to 903. Hazard Insurance Premium for 1.0 ears to 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001, Hazard Insurance $ er 1002. Mort a e Insurance $ er 1003. Count /Tw .Taxes $ er 1004. School Taxes $ er 1005. Assessments @ $ per 1006. $ er 1007, @ $ per 1008. $ er 1100. TITLE CHARGES 1101. Settlement or Closin Fee to 1102. Abstract or Title Search to 1103. Title Examination to 1104. Title Insurance Binder to 1105. Document Pre aration to Nota Fees to 1106 . 1107. Attorney's Fees to Griffie & Associates POC:S includes above item numbers: 1108. Title Insurance to Ofd Re ublic National Title Insurance Com an includes above item numbers: 500.00 1109. Lender's Coverage $ 1110. Owner's Coverage $ 27,000.00 500.00 1111. 1112 . 1113. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 63.00; Mortgage $ Releases $ 1202. Cit /Count Tax/Stam s: Deed 270.00 ~ Mort a e 1203. State Tax/Stam s: Deed 270.00; Mort a e 63.00 270.00 270.00 1204. 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Surve to Pest Ins ection to 1302 . 1303. 2012 School Taxes to Geor e T. Hicks, Jr., Tax Collector 06-20-1798-305 1304. Final Water/Sewer to Carlisle Borou h 06-20-1798-305 696.09 92.62 1305. 1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502, Section K) _c ~ n .t ~L.:., t..... n4n 1,621.71 ie~mon~ 2,395.00 By signing page 1 of this statement, the signatories acKnowleage recelpr or a coin~ric~CU wNy ~~ Npy~ ~ ~~ ~~ ~~~ ~~•~ rGa~ ~.,...,,,..,..• Certified to be a true copy. Martson Deardorff Williams Otto Gifroy & Faller Settlement Agent ( 14829.2 DIEHL / 14829.2 DIEHL / 45 ) Attachments to Schedule "B" (Computershare Computershare Investor Services 250 Royall Street Canton Massachusetts 02021 www.computershare.com BRADLEY L GRIFFIE ESQ GRIFFIE & ASSOCIATES PC 200 NORTH HANOVER STREET CARLISLE PA 17013-1946 April 11, 2012 Company: THE PNC FINANCIAL SERVICES GROUP Registration: MARY E RYNARD Holder Account Number: 00000740501 Document I.D.: 12094WF00931841 Our Reference: PNC/0002840489/10/63408/LB Dear Sir/Madam: Thank you for contacting Computershare, the transfer agent for THE PNC FINANCIAL SERVICES GROUP. We appreciate the opportunity to be of service to you. Below is the account balance information you requested as of February 28, 2012 for the above account. Shares Held by Agent: 0 Shares Held in Certificate Form by Holder: 528 Total Shares: 528 Closing Price Per Share: $59.54 In order to sell shares of Common Stock registered in the name of a deceased party, a transfer of ownership must first be completed. Our records indicate that the outstanding certificate is currently registered in the deceased shareholder's name. If you are unable to locate these certificated shares, please contact us so that we may begin the replacement process. Please provide us with a completed Transfer of Ownership Form, available at our website, signed by the court appointed estate representative (Personal Representative /Executor /Administrator). The signature must be Medallion Signature Guaranteed. Medallion Guarantees are provided by eligible institutions, such as a commercial bank, trust company, national bank, credit union, or brokerage firm that is participating in a Medallion Guarantee Program such as STAMP (Securities Transfer Agents Medallion Program), SEMP (Stock Exchange Medallion Program), or MSP (Medallion Signature Program). The Medallion guarantee is not a notarization. The financial institution providing the Medallion Signature Guarantee will require additional documentation regarding the death of the shareholder, and the authority of the court appointed representative. Please contact the Medallion Signature Guarantee institution directly for specific information regarding what documents they may require. The Computershare stock transfer wizard will walk you through the transfer process and assist you in completing the necessary documentation to complete the transfer. Please see our website at www.transfermystock.com. We also require ONE of the following: • An Inheritance Tax Waiver Stamp, next to the signature on the stock power form certifying that no inheritance tax waiver is required. The stamp may be obtained from the same financial institution providing the Medallion Signature Guarantee. OR • An Inheritance Tax Waiver form: Depending on the decedent's state of legal residence, an Inheritance Tax Waiver Form may be required. You can obtain this form, and instructions on how to complete the form, from the state tax agency of the decedent's last state of residence. OR • A notarized Affidavit of Domicile (available from the state), attesting to the state of residency of the decedent. In some cases, an Inheritance Tax Waiver form may be also be required in addition to the Affidavit of Domicile. Please ask the state office where you obtain the Affidavit of Domicile to advise if they require the Inheritance Tax Waiver form for security transfers. Please send all certificates, as well as the appropriate documents, with a letter of instruction. Please also provide your daytime telephone number, in the event we need to contact you. Mail sent to us via the Postal Service should be addressed to: - Computershare P.O. Box 43078 Providence, RI 02940-3078 If you use a private mail carrier, your documents should be addressed to: Computershare 250 Royall Street Canton, MA 02021 If you are sending certificates through the mail, we recommend the use of registered or certified mail, with return receipt requested. We also recommend you insure your package at 3% of the face value of your certificates (or $20.00, whichever is greater). This represents an approximation of the cost of an indemnity bond to replace your certificates should they be lost or stolen. To calculate the face value, take the number of shares represented by the certificate, multiplied by the previous day's closing price, multiplied by .03. Once the transfer is complete, please contact us for sale requirements under the new registration or refer to our website at www.com~utershare.com/investor. If you have Internet access, please consider electronic delivery -it's fast, convenient and environmentally friendly. When you consent to electronic delivery, THE PNC FINANCIAL SERVICES GROUP will plant a tree on your behalf with American Forests, a leader in tree planting for environmental restoration. Sign up today at www.eTree.com/PNC. Should you have other account related questions, please call us at 800-982-7652 during regular business hours. Please note that any available representative can assist you. Sincerely, Service Representative Enclosure: None LZB Historical Stoclc Quotes - La-Z-Bo3/ Inc. Historical Stock Quotes Page 1 of 1 Enter Syrnbois or Keywords SEARCtt ) Lates( News yiev: And ~ F'odcasts •55p Chesapeake CEO lost money on wells 3:53p Treasurys stretch weekly gams: ialyes: since 199& '~' -. t J.52p Dems seek Ughter Volcker rule after J.P. Morgan May 1' 2012 3:54 PA4 EU't 3:5Up U.6. stocks an track fog second weekly orop Nev,Yorr. London Tokyo D01R+ -:,7.0•: NASDAQ -O.G2 53.P 50G -4.54 Gper7 Closed Closed 12.815.03 -0.29°io 2,833.62 -.00°i° 1,353.45 -C.'3°i~ Home News Viewer Markets Investing Personal Finance Industries Economy/Politics Trading Gect: Jobs Log In Porifalio Alerts Games Stocks Mutual Funds ETFs Options Bonds Commodities Currencies Getting Slaved MarketWatch Adviser Premium Newsletters Hulber( Interactive Researoh Tools :~ ~ •} ~ ar» Wt ~ ~ E~ '~T'RA l 'E { ' ~ ~ .;n o rr I r~ F,~ . v La-Z-B ~y ~ ~ ~+. Sel Alerts Find a Broke! Enter Symbol or Keywora GO Add to Porliolio Trade et E'TRADE NYSE: LZB .......... tNeoi' ....._...__....__......._.._._...__......._....... (New' OVERVIEW PROFILE NEWS CHARTS FINANCIALS ! HISTURICA~ OUOTES ;ANALYST ESTIMATES OPTIONS SEC FILINGS PICKS HULBERT INSIDERS Cuunlrio~.vn to closr -Real lime cotes May 1 (.2017. 3:.5:i p.m. Previous close ;Day IOW Day high 52 week low 52 week high -0.08 -0.52% ....._.__....._._____.._. _.._____ .__ _. $ '~ rj,28 S1b.D3 515.49 56.76 516.43 ~, 2 ® Volume 267,517 100 11e 12p tp 2p 3p Enter Date: '02/28!2012 ~~ :Set Historical quote for: LZB Tuesday, February 28, 2012 - ' _ . Closing price: 314.52 Open:. .._ ............._......__..._........._S7d.48 High: $1d.60 Low: 514.27 Volume: 355,023 12 F M '16 15 14 13 12 MarketWatch.cotn -Enter Symbols or Keywords _ _ - i SEARCH j Site Index ? Company Into ~ MadtelWa[ch on Facebook WSJ.oom Topics i Code of Conduel i Baryon's Online Help Corrections ! j MarketWatch on Twitter L3igCharts ' Feedhack Advertising Nredia Kit ~ Virtual Stock Exchange Newsroom Roster Advertise Locally All Things pigital Modia Archive ': License our Contont i RSS I Promiwu Products 5roker Gonler ~ Podcasts ~ Mobile Your Ad Choices 61adcetWatch Community i Financial News Unhne W5J.com Small Business FINS: Finance, IT jobs, Sales jobs Intradnv rJ513 p7nvairtd oy ulY 7 nlezu7c and subject to le7ms nl us< Idlsloncnt and usnent uncl~of•dm data r!r<!vrtied by t3nC'IntuAun.. Intradn~; data enlayee per eRrhangn requ7ramenls. Goiv Jones 7ndater: ISM) Irom ()rci~ Jonas v r,amparn•. m:. A!t quotes a!a to !ucai erchanpc hme. keel hrrw. lest set= dale provided by IJASUAC~. tAora iniurmahon on IJASDAG7 ceded symbols and kt>!! cunent f!nancial stews. tntreda? tieta Cdpydgns t'7 2(712 AAarY.afV>ratch, Inc. 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D P v lLl (/3 -.~ m ~ -o .~ o m w ~ .~ w v' m ~ ~ TI O n~ CA V ..~ `` ~ J .\ ~~ ~~ L. i~ t\ ~~ ~..~ ,,D ~ O D D +J z \~1 Z D N ~ ~ m s. D lV r ~m o 3 0 ~yy z ~4 ~ ~ D `, m a m ~ s ~ ~ D J D r c ~, m O 3 a/11rN'~16 OaZIa OHlflr 1°,som „ ~ m Z n ara181'~9a ONr ~~'~' - A6 ~ m 1Na~r aareNral o y ~ 2 ANtldWO~ 1Sfla1 ~ 2!3 SNH211 x~O1S Ntl~l?13Wtl '^ = m soaaalfit~aa aHr aaN~ISaatNno~ /; ~t:~/ ; D ~ ~%,rJ." " ~ , ''~-•' ~ 1 z 1 ~ ~~~~.~.(l5 ,, e ~~ /i ji ~ D /~~~~ r D %:,....:. ,; :, •~ . ' z 0 c . m ' W _ N~ ~ ~ ~ n ~• O o x m N n a m r ~ O Z ~.. i,i.;i;% i ~~ i ii. Z Z j~~/.;~L';~./ ~. ' R ,~(/~/i,:~ %i /ii~ ~ ~ !.s ii; A ~ Ip ~! ~ ~ ~i %~ /~"•: Z i i~~ O ~ F 1 ~ m A J;_ m r A .Y1`~ .. ~ ~ ~~ ,v \; ~. J ~ " ~' . Attachments to Schedule "E" !~~t~a,. C®~r~~-anys Inc. _ /, 995 ,!C, ~~~ ~~ ~ ~~~ ~~ ~ C~~ii B~ll[CK TRUCKS 7ll17 T-7~111~ P-ib~ l'nrl~clo Pn~~~c~~ltrn-nin 7'x()1-~ o Tnlofi~-n~.P 717-24~-~(l~i(, ~ FAX 7~'7-2/f9-'799 2505 Ritner Highway Carlisle, PA 17015 Bill Rowe (AU 1538L) 249-1978 215-1044 574-1008 Dave Rowe (AU 2295L) Auction Is Action Call. ``Rowe" For Satisfaction. SELLERS NAME s "t ~ ~--'~ ~ ~- ~~- DATE ' i ~ ~ ~ ~ ADDRESS c`-b -Tam-,nr w` _~ ~~., - C~~~' PHONE 3 SS" --`~5~~{ OTHER ~Zz ~, ~ ,ten 5 -, G~~ ~-,~,~ ~5 ~'~.~~-~- _ AUCTIONEER %- ~,S AUCTION DATEILOCATION DESCRIPTIaN OF MERCHANDISE CLERK % _ _~ ~-~~ ~ ~ /~ ~-. ~ ~~ -- t~ ~ s ~ ~. C~~ 1 ~ ~ _. ~.+~-emu... ~ -t ~. ~ ~ ^ rC ~ c~ ti~ (s~-`,mss Lc~-~-~ -- ~ ~.a. ~ -- S ~- ~ ~ - ~3 --~~~s _ ~3,~..3 tc.~-~ S r~ ~ ~ ~ 1 1 ~ ~ r- LET LL~~S 1 ~ `L .h-~g ~ -~ t t~ ~.-.E-/s ~ ~-T - ~ Lit-c~.~ l't~.. w~ s ~ ~1 L St.~ _ _~ ~ ~ ~ ~~ ~~ I Commission the Auctioneers to sell the merchandise to the highest bidder by Public Auction. Merchandise to be sold as is & grouped as necessary to obtain bids. I certify that I am the owner or authorized represen- tative of the merchandise, goods and or property and have good title and the right to sell and that they are free from all incumbrances. I agree to accept all responsibility for providing merchantable title and for delivery of title to the purchaser. I agree to hold harmless the Auctioneers against any claims of the nature referred to in this agreement. /~ A AUCTION SIGNATURE U SELLERS STGNA~TURE Total Sales Clerking Tickets Attached} ~ ~S ~9 l ~~- Less Sale Expense: OTHER: ~ Z 3r% Commission Auctioneer ~ ~'' ~ S ~~ % Commission Clerks t~~ S ~- TOTAL SALE EXPENSE DEDUCTED ~ ~ ~ ° ~-- ~'L A SELLERS NET ~ ~ S^8 ~ ~^ w, r• i ~ ~ MZ ,~ -..a ~. r ~M ~~Ir w~r. ~ ~X~R wV i r~ r~M 1 /~ ' I I I ////I~~'•'••• ~ ~~111 /14 ( { , ' nT /VCS/ . rK ,. ,.~ .. i t I I I ~ I I I~ ~. ~ , I I I 1 I I~ I I ~ ,'~ .-.' ' I I I I ! I i I ! ~~~ ' ~ ~l .~ I~ I t I ~ I t •'';a ~ ~ ~ s . 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I 5~ ~N. rN. rfi.. ~~r .~.wr ,w~r r~r w~wlw Mr'~r w~r wow ~fiw r`~ r~r /r~w ray ~ ~ .:•• •I t I I ~ t I I I! ~ I ( I 1 1 ~' ~ , • • '~ 1~• ~ ~ll •'r. r~*' r~r ./Y~ w~r ryw•ri ~ r~r r~1 .M /i/NW .NNr M~1/~ r~~• ~~M r.~w ,• ,,~.~ ~~ ~ i I MI t t iP I {. ~ I ' I t I I ~• '•~~r t! :~ '•.n ; ~ . .~~ r r~,A r~ ,~ «W w~ r• r~'~ A; w1 r. ~ r r~r r.~r r+~•q ~ W6~ H~ Ti ~ 1' ,~~ ~• . _,_._ ~ ~ _ •, ". t,,~ ~ •'• ~ ~ ^ T ~~ w4 ~ r~ ~ MI•.w w ~ ~~~ ~ "~ w .w.~ w . = Y r~ M .•~ ^ nr~~ r ~'~, r. ~I , •~ _ _ ~, ~ ~ •;• ~ ~ ~ g. ri t //t s t I ' I I I ~ I I y ~~ ~, {' n+ "~~ .•~r r'./T ~~~ war r~~ OI f. rr~M r"~r rl~w ~~Y r~M Mr+r ~3w / ~ . ~ ~~ (~~ i I I I i t , I i iYYYI VVI 1 1 { I SSI"'' ~, • ;'~ , ~"~ ..~r ~~ A;r .* w ryw ..« ..~Y rYr w~~ w~r Air MAN w~r •,j +~ ~I.tA ..~• 1 ' ' . '.~ _.~ • i•• Q ~ ~ • y +. r raw rNr. r/-.n r~ r 1hw .. M,.. ~ ~ w~`r .w0 r wti~ . '~, ? ti~ ~~~ ~ ~ ..~ -~ n w n r ~n x- ~"+ 4r 1 rl t t ! i l t :~` ~ ,~,. ~~ ~ ~' ~j, ~ ..M ^~ r'~'r w~r ~ r.•~r _~.. wQ~. w -1y •. r~r rN.. r'~r MMr ~, ~ ~''' , w ~ 11 + I ,' t I I I t I I I ~I ~ I , I ~r, •, "~'.,I ' • "1, •r , •.~ w '. , + .d Raymond James Financial Services, INC. t;f~1REALIZED GAINS AND LOSSES Mar>> E. Rynarcl ACCOUNT # 550 71333 Februar~~ 2b', 2012 (Excluding kcinvestcd Divs.) Uatc Quantity Sccuritl Mutual Funds 12-I6-OS 1,417.492 Wells Fargo Advantage Asset Alloc- Ation F Fixed Income iVlutual Funds 01-26-09 2,934.806 Mainstay High Yield Corporate Bond Fund CI U.S. Cash Accounts TOTAL PORTFOLIO 12.85 18,218.26 12.13 18,215.26 4.46 13.089.23 5.96 Cash Account Rj Bank Deposit Program Money Market Fund 91.57 3S.7S 31,434.81 17,194.18 ]7,194.18 17,491.44 17,491.44 91.57 35.75 34,812.94 Unrealized % ,., Gain/Loss G/L` -r-- -1,024.08 -S,6 -1,024.08 -S.6 4,402.21 33.6 4,402.2 I 33.6 3,378.13 10.7 Please foul enclosed a cope of your portfolio report. This letter should be retained with your financial records for reference regarding terms used in the reports you will receivc.lt is important to Hole the following: l ."?" indicates information is not available. if "?" refers to unavailable market value, please note that liquidation values of such assets ma~~ be at significant variance to cosl.2. Projected Annual Income and/or Yield is an estimate only based on year-lo-date informalion.3. Gain/Loss calculations are not time weighted and simply indicate the dollar amount or percentage the asset has appreciated or depreciated since purchase date.4. Reports displaying Cost, Gain/Loss or 1099 Reconciliation information should not be relied upon for tax reporting purposes and is not intended as a substitute ibr tax advice from your personal tax advisor.5. Performance calculations can be shown both dollar weighted or time weighted depending on the intention of the report. Regardless of calculation method, performance numbers do not indicate or infer future invesUment perforrnanee.Please remember: This dat~i is furnished to you for informational purposes only. Although ills derived from information which we believe to be accurate (including, in some cases information provided to us by youj we cannot guarantee its accuracy. This information is notintended and should not be used for any official tax purposes. There can be no assurance that past performance can be repealed in the future.~~' 1 Unit Total Market Cost Cost }'rice Value r O c6 d ° O _~ (~ O U Q i o o O > 1 O ~ ~ I U .; 1 Q ~ 1 I N I [t 00 N N ~f' O 1'[r r ~ M ~ f0 > 1 r O ~ O) ~ ti N ~ N T ~' I r (~ T ~ ~ 1 '~ Ir r M M ~ I ~ .~ ~ ' O U O I O L (ll 1 ~ r -O ~ ~ N C N Itn N T > N .~ • O N •~ ' I 1 (~ L (n ~ ~ I ~ ~ ..Q ~ (6 O O L 1 J I ~• O 1 1 ~ ~ .O •- O O ' Y cn O IO M r ~ ~ U O~ Q U N ~ Z > 1 to N r Q .N •~ _~ U L~ _ ~ ~I ~ C N ~ Y ~ 1 ~ O O R'f (+') ~ ~ ° 10 O N 'O ~ ~ N ~ Q ~ IN ~ I N ~ L C~~ d ~ ~ ~--~ O ~ ,L N N ~ 3 c~ (if > ~~ ~ 1 IN N ' Y ~ C O V V 'a O V ~ O O ~ L ICO 1 N tJ) C U O N O C ~ .. ~ a °° ~ a; -° ~ o ~ ~ o ~ ~ c~ ~ r a E ~ o c~ ~ ~ ~ ~ iN ~ Q ~ ~ ~ L ~ 1 O o N - Q W I ~ o O O I W 1 ~ E- W in a~ ~ L p In ~ o ~ ~ ~~ ~ ~ a U O ~ o~ Q C ~ A ~~ ~ c n ~ o ~ Q ILL W W ~ •L ~ N N ~ lO ~ ~ N O O Q ~ Q~ '~' 1 ' ~ ~ ~ ~ ' ~ ~ p o ° J z Q U a c~ .~ °-' ~ °-' ~ a` +' . ~ 1 W { ° ~ L ~' E Q (7 _ I ~ ~ LLO r O ~ O ~ ~ Q CJ T l y,n 1 ~ / ~ ~ ~ to O >_ ~ U O ~ ~ to ° „ I= (~ Q ~ ~ ~ ~ ~ 'U 1} ~ O ~ ~ U ~ I~ '^ v/ L.. C~ L V (n 4= ~ O V O Q IZ w ~ ~ ~ E O +~+ N N N I Q > O~ .,._, O Q~ 000 c IG > E o O o,._ ~ c~ .~••' c m~ N N N 00 00 d7 I ~ ~ ~ = ~ O ' ~ N N N 1 L7 ~ ~ C ~ C fns ,+,,, N N Cfl ' ' ~ O O~ N 3 ,a ~ L ^, ~ ~ ~ I X ~ ~ W (L3 N N C U -O U 1} Q .p 'O C C U >_ F- 1 ~ W cn (0 (Q >, Q o O ca O O ~ _ ~ N~ I~ N N ~ ~ N O c~ `- O O ~ .C (~6 (0 ° ° Q 'u~ 1 M 1 LL ~ ° ~ (0 O (II cn N • ~ ~ ~ O U I~ ~ .C o 6~ C c ° o •~ O ,~ ~ o~ o _o a ~ ~ N o ~ ~ 1~ ~ ~ ~ ~ _O ~ ~ I N - N Q O E 1 ~ I .-. ~ ~ Q ' ~ Q5 ae~c Citizens Bank April 9, 2012 Griffie & Associates, P.C. Attorneys and Counselors at Law 200 North Hanover Street Carlisle PA 17013 Estate of MARY E RYNARD Date of Death: Feb 23, 2012 SSN: 200-24-0798 Dear Sir/Madam: One Citizens Drive ROP 112 Riverside, RI 02915 In accordance with your request, the attached information sheets have been provided in the above decedent's name as of his/her date of death. Per your request for when the accounts were made joint, account number 610088-837-1 became joint according to our records as of the March 18, 2005 statement. Our records can only go back up to seven years. There were no withdrawals larger than $2,500.00 made within the last twelve months prior to death. Account number 6225746785 became joint at the date of opening which was on May 7, 2010 and there were no withdrawals made within the last twelve months prior to death. For Installment Loans or Line of Credit accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please call 877-579-2667 option 2. Sincerely, ~~ ~ Kristen B. Correia Decedent Account Processing REF#: 538686 a~,~ Citizens Bank.. Account Number 6100726789 Account Title Mary E Rynard Date Opened 5/15/1972 Account Type Checking Principal Balance as of DOD $17305.49 Interest from Last Posting to DOD $ .O1 Account Balance as of DOD $17305.50 YTD Interest to DOD $ .88 yy,~ Citizens Bank° Account Number 6140272777 Account Title Mary E Rynard Date Opened 6/13/2001 Account Type Savings Principal Balance as of DOD $164984.05 Interest from Last Posting to DOD $ .54 Account Balance as of DOD $164984.59 YTD Interest to DOD $ 8.53 Attachments to Schedule "F" Citizens B~r~k. Apri19, 2012 Griffie & Associates, P.C. Attorneys and Counselors at Law 200 North Hanover Street Carlisle PA 17013 Estate of MARY E RYNARD Date of Death: Feb 23, 2012 SSN: 200-24-0798 Dear Sir/Madam: One Citizens Drive ROPl 12 Riverside, RI 02915 In accordance with your request, the attached information sheets have been provided in the above decedent's name as of his/her date of death. Per your request for when the accounts were made joint, account number 610088-837-1 became joint according to our records as of the March 18, 2005 statement. Our records can only go back up to seven years. There were no withdrawals larger than $2,500.00 made within the last twelve months prior to death. Account number 6225746785 became joint at the date of opening which was on May 7, 2010 and there were no withdrawals made within the last twelve months prior to death. For Installment Loans or Line of Credit accounts, contact our Loan Department at 1-800-708-6680. For all other inquiries, please call 877-579-2667 option 2. Sincerely, ~> h I Kristen B. Correia Decedent Account Processing REF#: 538686 A~ Citizens Bar~kn Account Number 6225746785 Account Title MARY E RYNARD/JOAN M GARCIA-CRUZ Date Opened 5/7/2010 Account Type Checking Principal Balance as of DOD $16719.47 Interest from Last Posting to DOD $ .OS Account Balance as of DOD $16719.52 YTD Interest to DOD $ .78 A~ Cit~zensBank Account Number 6100888371 Account Title RUSSELL L RYNARD/MARY E RYNARD Date Opened 12/8/1993 Account Type Checking Principal Balance as of DOD $8724.39 Interest from Last Posting to DOD $ .48 Account Balance as of DOD $8724.87 YTD Interest to DOD $1.33 Attachments to Schedule "G" SYM£TRA~ August 3, 2012 Griffie & Associates, P.C. 200 N Hanover Street Carlisle, PA 17013 FINANCIAL RE: Symetra Life Insurance Company Annuity V000039904 for Mary E Rynard Dear Mr. Griffie: Per your request, the date of death value on the above mentioned annuity is as follows: Date of Death Value February 28, 2012 X50,167.14 We appreciate the opportunit}/ to serve our customers. Our service center is located in Bellevue, Washington. If you have any questions, please contact us at 1-800-SYMETRA or 1-800-796-3872. Select option 2 for Retirement Services, followed by option 3 for the Individual Retirement Plans unit. To reach me directly, please press 9 followed by my extension 66170. Our customer service representatives are available from 6:00 a.m. to 4:30 p.m. Pacific Time, Monday through Friday. Sincerely, Jerry Sanchez Claims Examiner Retirement Services Symetra Life Insurance Company Symetra Life Insurance Company • Retirement Division • 777 108th Avenue NE, Suite 1200 ^ Bellevue, WA 98004-5135 • www.symetra.com Mailing Address: PO Box 305156 • Nashville, TN 37230-5156 • Phone 1-800-796-3872 • TTY/TDD 1-800-833-6388 \/I _GiR 9/11 Raymond James Financial Services, INC. t;I~1REALIZED GAINS AND LOSSES Mary E. Rynard IRA Raymond James c~ Associates Inc. CSDN A CCD U1VT # 88914651 February 28, 2012 O;xcluding Reinvested llivs.) Unit Total IYIar•kcf Unrealized Uatc Qu:rntin• Sccurir,• Cosl Cost Price Value Gain/Loss G/L Mutual Funds U6-14-07 62.301 Hartford Capital 30.82 1,920.32 33.01 2,056,56 136.23 7.1 Appreciation Fund Class A 1,920.32 2,056,56 ]36.23 7.1 Fixed Income Mutual Funds 01-29-09 636.041 DelawareDiversiCed 6.45 4,100.00 9.29 5,908.82 1,808.82 44.] Income Fund Class A M 4,1 OU.00 5,908.82 1,808.82 44. I International Mutual Funds 07-27-U4 670.098 Franklin/templeton 10.64 7,129.96 20.16 13,509.18 6,379.22 89,5 Mutual European Fund CI 7,129.96 13,504.18 6,379.22 89.5 Other Assets (Income) 08-24-07 49.41 Invesco Energ~~ Fund 36.43 1,800.00 42.64 2,106.71 306.7 ] 17.0 Class A M/F 1,800.00 2,106.71 306.71 17.0 U.S. Casli Accounts Rj Bank Deposit Program Money 517.07 517.07 Market Fund 517.07 517.07 TOTAL PORTFOLIO 15,467.35 24,098.34 8,630.99 55.8 Please find enclosed a copy of your portfolio report. This letter should be retained with your financial records for reference. regarding terms used in the reports you will receive.lt is important to note the following:l ."?" indicates information is not available. If "?" refers to unavailable market value, please note that liquidation values of such assets may be at significant variance to cost.2. Projected Annual Income and/or Yield is an estimate only based on year-to-date information.3. Gain/Loss calculations are not time weighted and simply indicate the dollar amount or percentage the asset has appreciated or depreciated since purchase date.4. Reports displaying Cost, Gain/Loss or 1099 Reconciliation information should not be relied upon for tax reporting purposes and is not intended as a substitute for tax advice from your personal tax advisor.5. Performance calculations can be shown both dollar weighted or time weighted depending on the intention of the report. Regardless of calculation method, performance numbers do not indicate or infer future investment performance.Please remember: This data is furnished to you for informational purposes only. Although itis derived from information which we believe to be accurate (including, in some cases information provided to us by you) we cannot guarantee its accuracy. This information is notintended and should noI be used for any official tax purposes. There can be no assurance that pas! performance can be repeated in the future.C;CiC1 a~ > r ~ ~ i N U -r U ~ i ~ Q (~ ~ d i O I N 00 CO ~- ~ Op r In I~ i C0 O O CO j 10 ~ O ~ '~ itn M - N N ~ i ~ U I 4) ~ ~ , ~ (Cl ,N ~ O CAD ~ I~' O ~ ~ ~ ~r (6 ---.+ O U Q W i 1 Y Q ~ I I ~ ~~N ~ r r O GO ~ ~ ~~O W O N M c+7 N ~ I ~ 2 ~ O N N N N f~ ~ ~ I O _ O _ O O (p Q ~N N N N ~ Z - I ' ~ U a N ~N N N N N N N , L , r ~ r I` p O ~ IM ~ CU d' ~ ~ ~ ~O O ~~ Qw ~ ' IW -~ Z Q i~ Q ~ ~ I° ~ Q ~- ~ U Q U 0 I Z W p W O ~ Z ~ti w ~ ~ ~ J Q ° ~w °" Q ~ Q I>_ w ~ ~ ~° z Q z ~ IQ Z ~ Q IQ Q ~ ~ ,J ~ ~ ~ W i~ Q Z N N N r r r O O O ~ ~ ©~M N N ` ~ N N 1~ ! ~LxL X Q .~ ID ~ 2 Z ai I ~ L ~ (6 Q 00 ~ N ~ 0 ~ ~ ~~ 000 ~ N o ~~ U I N c~ (~ ~ ~ O , O 00 CO r "' "J vi O ~ I N Cfl ~' O O p ~ W W a~ ~ r N ch ~ 0 0 0 ti ti ~' N O M r 1` 00 N r O In In O M t!' N N N d ~ U ~ ~ ~ ~ O ~ ~ ~ ~ 00 c s ~ N O c~ o v~ Q 0 O C ._ ~.. (0 ""' ~ U N N ~ ~ ~ ~ ~ O N .~ C > p ~ ._ .C L (n O O ^~` ~ C_ W L ~ O ~ '- ~ p .O ~ ~ ~ Q ~ '~ - U N •~ .p ~ Y ~ ~ o °~ c~a a~ j L ~ X m - ~ N "O .C N ~ ~ ~ (~ ~ >, ~ ,~ ~ ~ O OU ~ Q) _ to C ~ U O ~ O Q ~ ~ O fSS ~ ~ ~ ~ ~ N O ~~~ N c ~ o ~; c o (6 ~ ~ N ~ ~ Q = O ~ t6 -p ~ ~. > ~ N Q .~ >, ~ ~ ~ ui N ~ O (6 ~ ~ U .~ 'p ~ C ~ ~ ` .~ o a~ ~ a ~ a ~` ~. o ~' E °a C~ p ;a o ~ c Q ~ ` cn O L. O v p~'6`O C ~ +-~ ~ .U .N ~ ~ ~ ~ N V ~ u0i U 'i C ~ U p !~= fl.. U cn ~ ~ O Gl ~ N ~ ~`- ~ U O O ~.`- ~ ~ ~ ~ ~ ~ ~ ~ ~~_~ O O > ~ 3 'B ~ ~ ~~ V ~ ~ cn•-mac >. c~ ~ ~ -~ > ~ _p ~ ~ ~ O ~ c~ ca >, a '~ L ~ ~ ~ O ~ O 0 ~ ~ N ~ ~ p , ~ ~ i.. O L. N O RT O 'O ~ (~6 O (~6 t~ N C ~-• 'D (p 'C O (a L C oa ~ ~ o o ~ N ~ ~ ~ O cn (~ ~ ~ ~ ~ .~ C ~ ~ ~ (6 I- o ~ O.U