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HomeMy WebLinkAbout10-08-12 (2)J REV-1500 Ex(°'-'°' `~, PA Department of Revenue Pennsylvania Bureau of Individual Taxes °EP°"1AEN}OFR61EN~` Po Box.zeosot INH Harrisburg, PA 17126-0601 F 1505610143 ENTER DECEDENT INFORMATION BELOW Social Securtty Number Date of Death Decedent's Last Name Suffix PROUGH (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffz Spouse's Social Security Number OFFICIAL USE ONLY Ccunty l;otle Vear File Number TAX RETURN 21 12 0216 Date of Birth O1 14 1956 Decedent's First Name MI ELIZABETH A Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Onginai Retum ^ 2. Supplemental Retum ^ 3. pnrm?~ tlZ r13eBtzm (date of death 4. Limited Estate ^ ^ qa. Future Interest Compromise (tlate of tleath after t2-72-92) ^ 5. Federal Estate Taz Retum Required B Dacetlent Died Testate ^ 7, (An~eC FYio(TO gala Livirg Trust 0 1 8. Total Number of Safe Deposit Boxes (Attach Copy of Wilq ^ 9. Litigation Proceetls Receivetl ^ 10. n$°rireeniOS-~n~~ana t(Ce~es~f death ^ 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAK INFORMATION SHOULD BEDIRECTED TO: Name Daytime Telephone Number BOGAR [717) 737 8761 JAMES D First line of address ONE WEST MAIN STREET Second line of address City or Post Office SHIREMANSTOWN Under penalties of it is tme, correct al Tara E. James D. e-mail address: West Main L 1505610143 PA 17011 Side 1 State ZIP Code PA 17011 schedules and is basetl on ail - t J ,•~ <:) REGISTER OF V1;USE N ONk,'~j ~~L?I 1 6 V` _.J ~ Q C~ `; r ?> J7 a~ ` DATE FILED _ DATE 150561143 ~') i ~l r!-t c7 L,~a7 CG7 ~7 f?~ C7 r'~ r'-f _r 1 '-i ~ 'Tt `~ C'~ i,= rn "o O 'Tt belief, 247(2 J 1505610243 REV-1500 EX Decx;dent's Social Security Number oecetlenrs Name: p~ough, Elizabeth A. RECAPITULATION 128 , 900.00 1. Real Estate (Schedule A) ...................................................................................... . 1. 2. Stocks and Bonds (Schedule B) ........................................................................... .. 2. 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. 12 , 2 52.4 8 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested........... . 6. 7. Inter-Vivos Transfers & Miscellaneous t~(oq Probate Property u Separate Billing Requested........... . 7, 24 , 131.64 (Schedule G) g. Total Gross Assets (total Lines i-7) ................................................................... .. 8. 165 , 284.12 9. Funeral Expenses & Administrative Costs (Schedule H) ............................... ........ 9. 21 , 845.87 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ...................... ........ 10. 154 , 935.32 11. Total Deductions (total Lines 9 & 10) .......................................................... ......... 11. 17 6 , 7 81.19 12. Net Value of Estate (Line 8 minus Line 11) ................................................. ......... 12. -11 , 4 97.0 7 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. -11 , 4 97.07 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal taz rate, or transfers under Sec. 9116 15 (a)(1.2) X .00 16. Amount of Line 14 taxable 0 . 0 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 0.00 18. at collateral rate X 15 19. Tax Due ........................................................... ...................................................... . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505610243 1505610243 0.00 0.00 0.00 0.00 0.00 REV-1500 EX Page 3 File Number 21-12-0216 ucwucm o v „M.` ....... .-. DECEDENT'S NAME Prough, Elizabeth A. STREET ADDRESS 1185 Kingsley Drive CITY Camp Hill STATE PA ZIP 17011 Tax Payments and Credits (1) 0.00 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Dismount 0.00 Total Credits (A + B) (2) 0.00 (3) 3. Interest q, If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) 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. (5) ~.DO Make C t0: 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 inwme of the property transferred :............................................................................... x b. retain the right to designate who shall use the property transferred or its inwme :.................................. x c. retain a reversionary interest; or ............................................................................................................... x d. receive the promise for I'rfe of either payments, benefds or care? ............................................................ x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without ^ ^ receiving adequate wnsideration? .................................................................................................................... x 3. Did decedent own an "intrust for or payable upon death bank acwunt or security at his or her death?....... ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which wntains a beneficiary designation? .................................................................................................................. ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. r .`a~.2",a?r3~- ,. ,.'-".. ~ ~ sly ,' .~r. , dr :, ,. ?~f`.~. ~~:'. '~ ; r ~ : "; 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. 48500041046 REV~85 EX (05-04) SAFE DEPOSIT BOX INVENTORY PA Department of Revenue - PLEASE: USE ORIGINAL FORM ONLY Social Security or Death Certificate Number Date of Death County Code Year File Number _ 182-46-1958 02/09/2012 ~ 12 Decedent's Last Name - Sutiiz First Name MI PROUGH ELIZABETH A ADDRESS OF DECEDENT STREET. CTIY: STATE: ZIP CODE: 1185 KINGSLEY DRIVE CAMP HILL PA 17011 NAME AND ADDRESS OF PERSON RC-0UESTNG THE OPENING OF THE SAFE DEPOSR BOX - '. NAME` TARA STROUP 524 FISHING CREEK RD Ltvvlalser~tc T rra I r ooa • NAME, ADDRESS AND RELATIONSHIP (IF ANYI TO DECEDENT, OF PERSON(S) PRESENT AT THE B07(OPENING - a. NAME: ~ ~ ~ ~ RELATIONSHIPc STREET ADDRESS: CRY: STATE ZIP CODE: h. NAME: ~ RELATIONSHIP: STREET ADDRESS: ~ ~ CITY: ~ STATE: LP CODE a NAME: - RELATIONSHIP --- STREET ADDRESS:--_-- ~ CT1Y: STATE: ZIPGODE: NAME AND ADDRESS OF FlNANGAL INSTITUTION WHERE THE SAFE OEPOSR BOX IS LOCATED NAME - - .. M&T BANK - - - --__.... , . - STREET ADDRESS: - ~ --- _- CRY:' STATE ZIP CODE '. e e a c ~ n-ru cr LEMOYN E PA 17043 NAME OF PERSON MAKING LAST ENTRY DATE OF CONTRACT TO RENT BOX ~]• NUMBER OF BOX OF PERSON(S) HAVMG ACCESS TO BOX a. NAME: - TA_RA STRO_UP _ __ ' STREET ADDRESS: 524 FISHMG CREEK RD CTTY: ~~_~~ ~ STATE ZIP CODE LEWISBERRY PA .17339 NAME AND TITLE OF EMPLOYEE TAKING THE INVENTORY DATE AND THE OF LAST ENTRY 2/10/12'12:20 pm 1 TITLE UNDER WHICH BDX IS REQUESTED _ ELIZABETH A PROUGH b. NAME STREET ADDRESS CRY: WAS A WILL IN THE BOXY ^ YES ® NO Byes, a. Dale of will: b. Name and address of personal representative, H named in the will . STREET ADDRESS: `-~ __:---_ c. Name antl addreu of attorney, B any NAME . STREET ADDRESS 48500041Q46 ~iL~+Yta1L5 '+• DRY: ~ ~ SIHIC: ur woc. CITY; STATE: ZIP CODE: 48500041046 SAFE DEPOSIT BOX INVENTORY Page--_ Df= RFV.IR.ri FX INSTRUCTfONS (1) Cash: Report total only. (2) .Stocks: List in detail every common or preferred certficate, wananf or other rights found in box. Stocks are to be designated by name of company, certificate number, date of certificate, name in which stock is registered, and number of shares and dass of stock. (3) Obligations of U.S. Govemmeni: Number of items, date of issue, face value, riames In which registered and type of ownership, _ i.e., jcindy held, payable on death, eta (4) Bonds: Designate by name, amourrt, serial number, or other designation. (Bearer Bonds) (5) Bank andSavings and Loan Passbooks: State name of depositor, number of book, Wst date .appearing in book, name of bank and branch, and balance. (6) Jewelry, Coins, Stamps, Manuscripts, etc: List and describe as fully as possible. (7) Deeds, Mortgages, Current Insurance Policies or otherevldences of IntleMedness: List and describe as tuliy as possible. (a) Ail other contents. (a) Retum completed form to: DEPARTMENT OF REVENUE INHERRANCE TAX DMSION - DEPL 260601 HARRISBURG, PA 1712&0601 ITEM NO. ~ -- REM DESCRIPTION . _ __ _ _ ~ _ ~ ~ ~ L~S~ IX>?l~ - -- - --- - -- - ~ z w ~ _ _ c.~vtR~J ~l~ivn ~ -- _ -- ~ - ,- --- _ 1 - ~ b~f~h coffi~c~.f~e.._-fill ~~ zn~e.:~f, _ ~s ~ _ - -- ---- _ _ __. ~fi {`t1~~ on o f br'rffi ~ ~ ~~i'czfion -- ~- -~ - _ es a f._ d~sc!~ar __~ I _ !'"" "' rUn.- Ian rx~r ---- - -- - J l ~~ -- _ -- ~jjrfft cPr~i~cQf-e _ - -- -- ~d=~c~rs _ _ - --- - - 1 , _ l j ~' ,~=~~~r-aufcnce~ r~u~i/~S~r~nu~_cnr~~e (~.a-~ parr; ~ . _ ~; c~~se. - -- ~ --- _- _ ~ _ ~rud~o.~ one ~c~€ Qrr_ ~ _ -- I~~ti ~ l '~tP ' ~f ' 11-- ' ] - ~. i _ i ~ i Zrt~le, (14.~'r ~c.. ~~~ 1 J _ ~ j - _ C~¢cCQ-e £lr~.l~ ~u -r _ ~~__c~P ~~ ~ir~r ~ -- --- - ~ -- C - ~ j ~ ~e r~ ~-hm r ~ ~ y~~p I CERTI CORRE FI' UNDER TY OF PI9iJURYTHAT THEABOVE RECORD t5 PERSON RECEMNG C O C ND COMPLEfETO 7HE BEST OF MY KNOWLEDGE AND BELIEF. SAPE DEPOSIT BOX INVENTORY: SIGNATU E /_ _ .. "___._... " __-`2%'_ __._.._.-_ SIGNA ~ r4(11L~1SGY/~/~TT?BOX BELOW:___- __.. __ . __ -c ._. __. -., IA ~ O P R PRINr NAMEf/f\~ ~ ~~ ~~,(/~~ y~/~~ ~ / ~ LMJfA 1 ! 1 I f l.0 1 i _-.___ / "' .. FFFfRRSIIINNNTTT /~ C-~y ~ / ~ ~ ~L2-~S./J--LPL-u~_ -__ ... -. _ .. _ , __ ~~ ~ ~-~ -- PRIJNMTITL~E 0~:~~® 'f _.. ___ D/AjTE [y ~ Ol CHEOK APPROPRLYIE eOk r ) ~ I 1 ~`^ - ~/ `" c.l/b / ~ m~ of sak Eewsit box ^ Joint w ~ Eypt¢Rapreae n NOTE: Attach additional 8'A" x 91" sheet(s) ff necessary or use duplicates of this page of form. The Department is authorized by law.42 U.S.C. §405 (c)(2)(C)(7, b requhe disGes+se dSoda) Seaagy nunbers in oannadian wllh adilluestering statefax laws. The DepartrneM uses Ute Sodal Seaeity number to idenfify the decedent aM personal representatives of the estate. The CortlmorertaM may aLsso use the information in exchange of tax information agreements w~fh Federal and local taxing auUwrities. The state law ibils the Cormrorroeafih's rsannel from d~OSi confidential tax informaton except for official purposes. Rev-1502 E%* (11-09) SCHEDULE A REAL ESTATE cOMMONWE4LTHOF PENNSYLVANIA INHERITANCE TA%RENRN REStDENTDEOEDEM ESTATE OF FILE NUMBER Prough Elizabeth A. _ 21-12-0216 pll real property avnrotl solely or as a tenant in common must be reported at fair market value. Fair market value is tlefined as the price at which property woultl be e%changetl between a willing buyer antl a willing seller, neither being compelletl to buy or sell, both having reasonable knoMtletlga of the relevant facts. Real propem/ which Is jointlycwned with right of aurvivonhlp must be tllaclosetl on schetlule F. Attach a copy of the settlement cheat if the property has been sold Include a copy of Ne deed showing decedent's interest tt owned as tenant In common. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Real Estate -All that certain piece or parcel of real estate having erected thereon a dwelling 128,900.00 known and numbered as 1185 Kingsley Drive, Camp Hill, Pennsylvania. The property was acquired by Elizabeth A. Prough by Deed dated April 20, 2000 and recorded May 1, 2000 in the Cumberland County Recorder of Deeds Office in Deed Book 220, Page 235'x. A copy of said deed is attached hereto. The county assessed value of this property is $"d28,900.00. TOTAL (Also enter on Line 1, Rec:;tpitulation) ~ 128,900.00 (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule A (Rev. 11-08) _ , GUIl,B E;', Ll..(r' CO: RITY-fA THISINDENTURE'nar~Rr ~ erg 2 zs MADE [he 24th day of April ,2000 BETWEEN Elfzabetlt A. Stroup AND Elltabeth A. Prough CRANITOR(S) GRANTEE(S) WITNESSETH, that in considaration of the sum of ONE --{3100) --~- DOLLARS AND NO/100 in hand paid, the receipt whereof is hcmby acknowledged, said Grentor dots Iremby, gmm, bargain, sell and convoy unto said Gmntec, their heirs, aucceaeors end azsigns: ALL THAT CERTAIN piece or pamel aC land situate in the Township of Lower Allen, Cumbttlend County, Pennsylvania, bounded and described az follows, to wit: BEGDJNIIJG at a point, said point being on the wuthem Bide of Kingslry Road 188.98 feet west of the southwest comer of the intersection of Kingsley Road and Norman Road, also on the property line betwcen the lands now or late of Russell E Shaub, being Lot No. 10; thence along the said Lot No. ]0, south 70 degrees 03 minutes 20 sceonda Weal, 120.89 fen to a spike at line of Lot No. 12; thence along the same North 0't degrees 55 minutes 16 seconds F.esl, 100.]4 feet to a spike on the South aide of the said Kingsley Road; thence along the same on the ere of a curve curving m the right, havieg a radius of 143.69 feet a distance of 127.58 feet along theright-of--way line of Kingsley Road to a spike, said spike being the place of BEGINNING. n9uR 220 race 225 BEING Lot No. 12, Bloek '"I", on the Plan of Highland Park as rewrded in Plan Book 5, Page 39, Cumbedand County Records. HAVING thereon erected a one story frame dwelling known as l I85 ICin~ley Roa1i, Camp Hill; Pennsylvania l1NDER AND Sl1BIECT, neverWelesa, to rasmnents, restrictions, reservations. conditi~ms and right of-way of record. BEING the same property Elisabeth A. Stroup, by deed dated the I6a day of September, 1993, and recorded in the Recorder of Dccds OF5ce of Cumbttlard County, Pennsylvania in Deed gook Volume 36, Page 559 and granted and conveyed unto Elisabeth A Prough, the Grantor (s) herein. TIIE Gmnlnr and the Grantee are the same person and lhcreforc this lmnsadion is exomipt from rplly transftt tnx. with the appurtenances: To Have and To Hold the same to and for the use of said Grantee(s) their heirs and assigns forever, And the Grantor(s) for themselves, their heirs end oseigns hemby covenant and agree that she will WARRAM1 PGF.NF.RALLY the property heretry conveyed. oooK 220 r~.sl 236 NOTICE-THIS DOCUMENT MAY NOTlD065 NOT SELL, COPiVEY, TRANSFER, INCLUDE OR INSURE THE TITLE TO THE COAL AND NOTICE AND RIGHT OF SUPPORT UNDERNEATH THE SURFACE LAND DESCRIBED Of! REFFERED TO HEREIN, AND TAE OWNER OR OWNERS OF SUCH COAL iVIAY HAVEMAVE COMPLETE LEGAL RIGHT TO REMOVE ALL SUCH COAL AND, IN THAT CONNECTION, DAMAGE MAY RESULT TO THE 8URFACE OF THE; LAND AND ANY HOUSE, BUILDING OR OTHER STRUCTURE ON IN SUCH LAND. TAE INCWSIONOF TH15 NOTICE DOES NOT ENLARGE, RESTRICT OR MODIFY ANY LEGAL RIGHTS OR ESTATES OTIlERWISE CREATED, TRANSFERRED, EXCEPTED OR RESERVED BY THIS INSTRUMENT, fttd oake In st forth b the mnav prcvkW In Snilnn 1 or 11n A,[ of JoV ~~. 195/, e. L 98e, ~ a,w.ded, and h oM InKOded n nntln of unro,mdM Ivlru,oeab, If onr.i WTI7VFSS the hand and seal of said Gren[ot{s) WITNESS: zebeth A. Stroup A Eliislxt i A Prouyh L/ G- BUOI `,Z~ PAi.iz,3'j _. ,os wI =ss: $h2ab th A-~~ B COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF G;... h.~lww~ On [his 24th day of April , 2000, before me, a Notary Pubtic, the undersigned ot[cer, peeaonally appeared, Elizabeth A. Sunup AKA Eli~sbeth A. Prough, known to me (or satisfamorily proven) to be the persons whose names are subscribed to the within instrument and acknowledged the[ they executed the same for the purposes herein contained. IN WITNESS WHEREOF, i hereunto set my hand and official seal. NOTARY PUBLIC CERTIFICATE OF RESIDENCE I. ['rr<a u.+a. F Fr t Iw FI-.a, , do heroby certify that the Grantee's precise nsidence is l l65 Kingsley Road Camp Hiil, PA 1701 I Wimesa my bend this 24th daYof APriI , 2000. s~~,~~- M~'1r P IIgMAaY MA1WMr4 'a W an "a~7w~wmo~ayyt ~In aalV 4a ~~ ~aste of Pennsylvania focnly of Cumberland I'.U arGaU fn do obits f or the recardind of Duals c'••nAIoj ~Cu~m~F.¢rlartl County. :.Ona1~L_lMr Pa (( __i~.u my hnM anYUn¢I of ofhce Carlisle, PA Ihk ~ day R „P ~1~'. i1 ,~ri.•}i f x-r Y I .•~~Y~'F ~" py/ Y• ' SOUK 220 vet :G3g 1 aXLiS tCe5U1T LCTa115 Detailed Results for Parcel 13-23-0545-159. in the 2010 Tax Assessment Database DistrictNo 13 Parcel ID 13-23-0545-159. MapSuffix HouseNo 1185 Direction Street KINGSLEY ROAD Ownerl PROUGH, ELIZABETH A C/O PropType R PropDesc LivArea 824 CurLandVal 28400 CurImpVal 100500 CurTotVal 128900 CurPref Val Acreage .20 CIGrnStat TaxEx 1 SaleAmt 1 SaleMo OS SaleDa O1 SaleCe 20 SaleYr 00 DeedBkPage 00220-00235 YearBlt 1955 HF File Date 12/21/2005 HF_Approval_Status NI . as.. http://taxdb.ccpa.neUdetails.asp?id=13-23-0545-159.&dbselect=l 2/13/2012 Rev-0608 F~(i (6-86) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY INHERITANCE TA%RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Prough, Elizabeth A. 21-12-0216 Include the pmceetls or litigation and the date the proceeds ware received by the estate. All propertyjointly-ownetl with Me right of survivorship moat be discloeetl on schetlule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Cash -from wallet 5.00 2 M&T Bank -Memorial gift 3,000.00 3 M8T Bank -Checking Account No. 9854009934. Date of death balance $$6.10. This account 6.10 was non-interest bearing. 4 M8:T Bank -Checking Account No. 10473459. Date of death balance $759.37. This account 759.37 was non-interest bearing 5 Personal Property -Sold at Auction; including 1999 Chevrolet Lumina, VIN# 7,302.50 2G1WL52M6X9184710 6 21st Century -Car insurance premium refund 86.66 7 Internal Revenue Service - 2011 Personal Income Tax Refund 216.00 8 Medical Insurance -reimbursement 832.00 9 Mutual of Omaha • Cancer insurance premium refund 18.06 10 Nationwide -Premium refund 26.79 TOTAL (Also enter on Line 5, Recapitulation) I 12,252.48 (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 E (Rev. 6-98) Q MsTBank 499 Mitchell Road, Millsboro, DE 19966 Adjustment Services Phone 888-502-4349 F ax (302) 934-2955 February 28, 2012 James D Bogar One West Main Street Shiremanstown, PA 17011 Re: Estate of Elizabeth A Proueh Social Security: 182-46-1958 Date of Death: February 9, 2012 Deaz Sir or Madam: Per your inquiry on February ] 7, 2012, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Number 9854009934 Ownership (Names o, fl ElizFtbeth A Prough Opening Date 11/01/l1 Balance on Date of Death $6.10 Accrued Interest $ .00 Total $6.10 2. Type of Account Checking Account Account Number 10473459 Ownership (Names ofl Eliutbeth A Prough Tara E Stroup (POA) Opening Date 09/IO~J3 Balance on Date of Death $759.37 Accrued Interest $ .00 Total $759.37 For any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, please ra0 the South Charles Street Office at#410-545-2155. We were unable to locate any safe deposit boz for the above-mentioned decedent. This letter does not include any accounts in whirr the deceased may have been listed as Power of Attoirney, Custodian of Uniform Transfers, Representative Payee, or Trusfee under a Written Agreement Sincerely, ~~~' n~'J2 Tammy Spencer Adjustment Services _.~~~~ "'.. ` ROWE'S AUCTION SER~TICE (RH 79L) 2505 Ritner Highway Carlisle, PA 17015 Bill Rowe (AU 1538L)-'' 249-1978 215-1044 574-1008 Dave Rowe (AU 2295L) SELLERS NAME ADDRESS OTHER Auction Is Action Call "Rowe" For Satisfaction r ~ ,. . i„ ~' ~ ~,''-~-- `" s °x _ DATE ~ ,~ - ~~ /. ,a,~ AUCTION DATE/LOCATION DESCRIPTION OF MERCHANDISE] a ~<^ AUCTIONEER % .,~ ~- CLERK % A, ~d° a °._e: tM ~, R, , A { ~w,f~'r..'. .~' - 6'4P ~ :?.'A.e ty, .~., gy C,.....o ,. ,~_- ~'.~.tda "'~.;~„~. ~ ~F...y. s'E. ~., - ,, GA$ ~' ..`. ^:~ eR.. r ~. C, ~.,e'1.,.f?" A.s:,,.^^ ~es.a a 2 ..~ n..r c,r ,® "" A~ 19- r,.~ ~~~ As `~' Pe(~+r ~. f...r '~ ~ -,F,t ~ ~ ^ w dnu, e, ~""a ~^-' t ^ .n i ."WS~..aR.m-n° ~~ f 9 <A8 ~'4 al.~,n~..G~i Gf .....Gt r:..~ iiyFi. L. `}~, h.f \ a r p4~v? ~n-,cad::i .any ..z..'..?'A„~;^ y `4...K~n. .G. /~.M~.. -n\-~~.'~fb..F-.:Fmm •2y,'/~®F~~egy S.~~yr~P~!e~"...A.F``'n ~ Fi wa.O R.. ~'C'Ti ~... "~-e _ ~ ~1 ~v^ i xi.~ c ~ ~ f_ fit 'a '. e '~ .4 _.~~, &:.. a"' r .°-4, r ~, ~ I Commission the Auctioneesa 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 authoritied 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 putcheaer. I agree to hold harmless the Auctioneers against any ci~~ima of the nature referred to in this agreement. pl^- ~ ~~ ~~ AUCTION SIGNATURE SELLERS SIGNATUI#E Total Sales (Clerking Tickets Attached) $ +" °~ •~ '° Less Sale Expense: % Commission Auctioneer $ -~, E ~ ` ----"'" % Commission Clerks $ OTHER: TOTAL SALE EXPENSE DEDUCTED $ SELLERS NET $ . e (-emu' ~--~ ~~1~~.. ~~, e , !:Ori!£+gm F-1 f_t C'~,1C~6'i SiT'zl1 C'.' a q.'le s3.t-.l n65 .:'tt leF7 rr-:i'% - - - rT"~ .a t,', €l 3.~ - '~.f ,~±.. CI c ._. , - .- -- _ . . ,'•@Z iE~r_ c.`9 ESt a t? Gi is 3uet~"I 1-'T^ZwU~{~'! ~~~ ris;ring LrRelt P.ct !-_rwi sJerry ~y 1i3~^~ _ :; LL f <, t] .L „,r.. - r~ c ; -_ ~.. ' - ,, ._ ,~ .~~ ..r_ _,- "' ~L- 5I nS~~r Sr l... ?. it Cr ,_3.'• . i38 - PL - kitchen cT~ns 1 c. rs~? - z:L - vfitristmaS lp'v i i.uln ' BL - ~BG3T°c`tt 7, OTtS i ], ,, ki4 - c~L - e~ ~~ter^ial ; ;;,, ~~ - L';L - t~ecr,se F~r.I~ie=. ~ L~. r'rF - CAL - ec,oktnnks 1 : Qi~F ~ ,, ~ i - t~~! i - ' + .. r:_;T~i1 w: ~ icar .i i...3s! - _ -. f].1. ..S ~ fl`. f.i ._ ._ _. _ ~ . _ ~, - - o ~, :. t •_ T;e - 77C vr- - .. - ?JJ.S. ~t.o L71_ '- :Jr... '~ t ..~i. J w. l f G m x ( i 1'J v v V 1 Ci : :. .:.... __ a?~ ~ ~R ~. T: ~ I ati ~ It,A ' ~ .. _ ... ! . rJfvt _ .. .-. vie .. 1. '`. - ~~y_IV - aL. - electr•ic:~l.. cords ? ~. std! RC?4o1e' 5 ~C`.C: ~.:l C+Tt ,C.; C-;"V 1~'v -f C;G,r is s s u , i-'r` _~ ?fit ~l. _; :.:,~,7~;, r.-.t,1; Nat; . i;_t-t5crd ; c=, cem ?e't 'L i1]mf]tiv !~A.: ~L}`Q~1,kf li~..-~..~t~' 1}v!_ . Y f: _ u 3a'_lera %4A G$C.Gt''^ ~-1 ~da`?r.•: ~'Y PrigU? E y . `••~f} ?<v Cti o,n~l t<~ ..: is '_'-1 LEM; 5~r1'"'TsP 'ife ~~~'°;:7 Lt6m d125~'r"7. };t3C~+ r`r:tc e :r~G i? •'.'Ct it - ~L - Corelle 1 ~.u~~~ - SL -- Set ~~ di>{~e5 1 1~.~rJi ` UL - 13 i•.IL tt~I ~~ttiea J. .lu C•Y.~ ' RECD}-'t~5 ) ~E•h., f:'~/i - t'~L - toolbox ,t. ~.._'~ - Li_ - books ~x~ nla+, said x;.~ . - Stemware 1 i2. S~! - BL -tool lot 1 1. S!4 - Do7.l b~b~la 1 E„m~ - ~' FzL - L7aEas !. a. !ZiG§ _ ~L - tool. lot g - -- - - ,?L - slectrse~i eer~cs - _ _ i :1, t~~ -- ',3I_ - misc~ •i ems ~ "~r,[n?i '- 3L - i:iCiGkS lryl 7.5~ ur fU Cx'4 Sii 1;a ^~" - Kitcr.~, 104; 1 i~ ",'; - 'ciL _. :'•e L`.71^Ci5 .:~ ~1f Ct :. Stry iC1 .,. "' ?=L x-filu~ 10.4 ~## i•+.t C)'.'. >el;' .r ` -' !~rer_ k Pot. i ,.. ^,rs; - aL - 'r'' S i't c •~? e l =_. / > e~e•! „ l?'w`. -- ra i 1 E? 1' i t ~ l'.ti ~,~~~r~ - ~3v~~. r.y ~7 .:~ i;'f111~L -. .. ~: 1i.wl GUf1~Ovt~fJ ~? Sl e y ~ ,:9~^1 ' I='r'L55t C: LI t_CSmri U'C .'_ '. ,i.'. .. ~''i.. - i-~F`e bu0{t Ei'!d= C: ~Y'c .. i4~'.'~ 1••~-~ _- Fel7t (- r'CctY` L~ld>., _!. Ci'i3 i 1 f^.f `= __ ..1 _ _ _ , ..~ ~,n 1 _ _ _ .. _ _ _ .. _ _ _ - L-`,iy platte~ - Str'crfor^d Nec~.,ey ~ t~9:c~ticn SE~r"dew 25[75 Rtner f~r•Jy i:.8 i^I,iSP E~ ~H :7Qti~ r i.7-2',9-ci~7?9 c^!t'~-9.~78y c?7-4?94~ rv!rot=a. rat~,~5e.9~ct:ione.ers~icee cars _~t~~er ~ ~Cc~ ~.5'c_:i:e 3Li.~;abei:i-9 F'ruugh ii'4 ~iSiing Lri^tc F: rd Le~aisberry PA i733~ it_ru UeSCri~,tirJr9 Set o'i- plates F'unctrbat~?. ezt t7i.lri~g stoa5. f~3.eli.n bMf Case Sit Gkti+eY' C'f3~2}' ~;-leg ~7alker hlahageng~ corfee table wfdr l:Jhits+ pi.ctu're ~ramelcui^ie Grearr rutrbe"9~=rdaid 'oenci? Seale Seining table ldnlrter ~.1h e8' Clai r 43!a l Et e r- Table,'2 L-oardsfr' chairs Etc?c+ie cer~;er huvc~: _, , c :~~n~ v. !!='r= lamps ~Jfshades - ene l~1ar~;rabe TabP.e ~ chair set 43a P I~ er" y^:ZL~:27^ ~ ~t E=!heei'^hair T~f u p'F el taial C' .T (f inf J"1 L' (S .L a'J 27" ~J:s~bJY. vrerif °r5 Hcae_r•:~i iiii3er ~ ioc;: i'_~2g uc~~ii Fi2~ng eaai.net-evaaden S'i; i>p $~~3 ChcE}'^J b1. i'~J l' 139ii C. (~r i. ce ~ '.~.. ~. f14n lea .~ _ testy Tntai i S 4, ~~U Rl= ~~ ~.- ~y ]. C?u 6 ~i"~ :x (~ tk~t„ 4.tb.i 1 d4. f!!r~ i ~., 77,jt/} i 9 ~ _ `~? a. k!~ 1 at?7_ !?ii$ £ i f„1, ©4?1 1 20 IcRJ 2~. @Jiti .S J9;7e I' ~. 1 i`Gr e la~L: _. ~ Q3;' P ir3us%,r;; i L5• rtlCt 4 ? ~~te r?!~d': 2a, ,,.;: JS~ /il ~~.~ _. IFi j :i 2~3. f;li?7 "_ r l . i:.1lq ., ~~ L%il7t 1 c. !?!+iS 2 1 L. v ~j}fit .. .ti=c :J~i! 1 f~. ab iE13 Fi^.°, ~i=171 ~5'G ~~8. ~i 4:; dYJ'@'~: F! i~T'W iiyjh S~~ ='shiny ~T'eEl; R.~ L.E. 'a t3 ~`i"t"}t ~ri j,7.~.?ia S'4 Ci11 'i1E SC7'i ~''i-i0;1 - PT'P.C^ u1~'J e'L~7. c]A ._-___ - ~E1? ~v., ves4 ~/baakcase s ^'~C 1~i7 TY'3n st UOl :L .'rJe ~`IZ Ll~i iv!m 5 Ucl4; 7'OCef EY` y. ~y. 51~ -- ^'.is=_*~n oak hi.t~h_hai.T' 2`~e~~h i~BfliS2 lz~ ~1frl Ol.lYi~: 5~`~i+~, 4ri7i u~.ni. G115Si~n cll~". JS ~i7J1$fj~l}„ ~[y~j„~'',~~ i-P55 •~CR.)tt 5i'G iilE 3:'~?a •-[-e~175., .'.:G 1Va;, Cl ue :,~ se'.lct^e io~~;.1~t~^ C_ ir. ~ ~ n i_I Li-,~F a.I L.l ~f i i= ~ ~~~ `c L. ~...) ~l'=,e ~ S L, ii .'. C _tJ:i Ste:' ,.-'e ~~ ~ ~ . ~ . s. fj[ L . _Y' ] . ..;,l,,,sa, r~.~lra ~.a+.l.c.ise: , Derv ce~ ~ ;1+! ~e1.7.Ern i~~ T {: k?^.i ate>C'"^1F?<.1 Dil ~uLi l~ .. fa.. _ g- ~. J s rr G" .~' ~ 1_ - .J-1? 5 stzP'li~in - .- ? - J-1~ steri±ng .jz;.,z: r - J-5 ~ 5 rings _ - J•-Lit S+izxiccn „jz+nzlry - F_2i c sterling r-'ir,gs ~ - - ~'-.BLS ~~..~Y ^'-r_' 7., J4 - ~ LL. - .5e+~exry ~ 7. - :fir +~-`_!_ '- ,j c^Yd.=i1^'y, C 1 - ~_ _- '7 T.1 t' _ ... - HL - jewelry G4He5 (Gi-i) ~~ 1 ._ ~L -' rdillte ;BtMe 1P"d uOH c: 'I ~e ~l~~ ~~;,AL~ '.r ~ :i:.°.. i. f`. 1 LJ VCu. a .. I.J i-d $441j9~lf .ye ~itv~ ~ L:~~ sr 1'•G- e lei i~h 1_gi~ ~iF~e JL'. Ftf. ;i)!i , ~ ~a 2 "'E";, 4 +rE.f't, ,qL`"+ Y, ;", '9' S e v. ,, ,_ f ~ry tlu ..: !•.Je .~iJ 'r'JC G.JU lT(;j i. ~s'Ue did~'n uva ~E7{ °P~d. d7L~ st2?, t'1L'~ ~fjp~ ~?!:^1. J -.. 3S. !b~ ~Iti~ ~tlri :_~~ +~~ ~y ~,~nF~ :ip .5 =%.re rliWu r. i ya9, i°t},j G':S.j'i Ire.. TiinnL tnw, °nF• un,:r+ i-~uGinGCC Rr'~m:~c fI5„r~'~i nni CERTtFICATEOF TITLE.FOR A 95 N ~l .6/ .A.~ J h vl ,'. ry{p ttab}yMLmTER Srkrurs ~v.. - ': 4< fc~, "' uW~,ikjAr 1" ~ ~ ~ s.. ~S"~k',a y~i,°, IY. s u A~"MI~ 4sE~o ~y~~~,( ~~~e n~V tC d E%EMPY OM OPGMETEP DISCLOSURE ~STE~m OWNS, ho ~ V ~ of '. J~f ~~y V ^kT dl~ eM~,~N. P~6 ,r ~~~~bd K~wA¢~~R,~I~G' 'I,N~ PIlP f"•~ EtT~'lr $por{q(iwr~'~,(~y yYd R'i.~LOL~uElcv~~A yV~ E..' N;f~~ ~'^ll ~L~''1 '~~ ~'ft TM ~ ~ >^'v, li ~ ~ ~ ~ s,* t '^', c +~mwGAan~uroL!NmiY~, X s h,~V C 'aP H ~ "H~ P'A~1n7.~3L1 ~ '"* Y"" % -` ~p'~~. ~' N '~aw~Im~tr~"L~ e L .L06GWG VEXICL P ISM1VAa A POLICE VEXICLE •~ LA ~„ }},, i ~ I 7G fl R 11 P =RECON3TRUOTED ) y` s^ ;.h~5k ~ ~ ~ yAl~ 17 8 aTREET POD a AI` t ~`d~ "M y-ro+f" 4 M 4.r t"P V"W k Y I :F d1'{ F .PEOWEAEP_T,EF'VEHIC{£- 4 a. °w.?~} ~Pm~ ~(' ~ Ipr l 1' DIY I k y 'V V UENICLE 1bNiNNa {IEI6aUEO~IN~4 ~i ¢"'~ ! Y~ IVM1! '~ d d Jr W •.FL000 VEHICIE 4 Ik r °44 { f # A Y % ~VENlA6 A TA%I .L ~j R H'FAVOA,OF #d r ^ Y'E se ~~ I v .^ ~{ y. ,,y}EC4Nb111EM F$YO(}'(J~ 5 xfn .. .., o L4 ~r f... hl~{~tl .a.r - ~~p " , .. .... , ..rw.t" a~ t £; ~~~` RS ', i ?' X A' it 1M1 i°. V~~` rYl 'f~7 ~y ?yd' G 1 r~ ~ n a ww 1 lrom y ns~m y~pm se~e.{e~yw me ~v I:X's ~u t {%y,. Ile M1oltlgr uai }gwaM.tlEC TCI Iq UM1 Bkjrceu MNOf~~hd Fl E AELE_TSETY` l 2PProP eb iann erd t .A ~ '~.~ ~ ~. ~'.,' .gy,4 'LATE. A,~' " dA~.1, d h, ~I 1 La LY SECONO LIEN RELFJ,BED - AUIHORIZED REPRESENTATIVE DATE MAILING ADDRESS. BY_ 0 2 9 513 AUTHORIZED REPRE&ElrtATIVE ELIZABETH A PROUGH .1185 KINGSLEY RD CAMP HILL PA 17011 I rertlryu o, Ne tlele Pf 1¢suq.Me oMC I recorck e! me Pem~aylvenb DepanmeM ALLEN D BIEHLER d Tyupprlellop Allpq Nat ,M1e paROnlsJ a mpenY nemstl Mrein Is Me Ywtu owner - .. ___ M the a?IO whkle. Secrete of Tr __ rY aaspomtiw: I! a W-pptcl be Ilatetl as aTR~~T ! ~ wICIT^/r~ ~, IF M19l1~15 AN ELT CHEC „.' NOTE~FlN PEmUTAED ' 2NO LIEN DATE: alainr ee ceNmm~. al ra a veM;x eeamvea eue~ i murnn n.,o I~-pND.UENH-OLDER STREI ET MPL AeT OF AVMOFI2EOSGNEF I s ONEP IF THIS la NO INSTITIffION NO. (TYPE OR PRINT) Certificate of Title must be submittetl within 20 days, unless the purchaser is a registered dealer holding the vehicle for resale. WARNING O EB E TRANSFER OF OWNERSHIP. FAILURE / 6 E FALSEE 6TATEMEN ' TO COMPLETE OR PR VID NG N FINE Oli MPRIBONMENi T MAY RESULT ,,' Pq ewwn mulwmpau lom.MmA w•wxTe ASSIGNMENT OF TITLE• wesgmmv.nw~tla•wa3•ayn.ae q.l.+~ '6MbnD Mm dnb+um nus ee mm aae. ~ LAST FIRST M.I. Q _ / 1 PURLNASEP OP FULL ^ I'r11~( /J I~ ~~ II/~ / E~ met lFre tlDmBIO sdn05 WJg Iw+61V tlM1 bs6l Dl in Nw MDDWIatl . BUSINESS NAMEV V L/L .J ~~"II1 !!-- ~ p V ~ ~ TEpmS it I { g E~~ ~:~ ~ ~ M COPVPCHASEP ~ ~NBe tl r (I pk B eul I II p DI IM PeM1lcie,D o {~ j~ yI /~ /~ ~ . (1 ~ Y ~ ~BfletlB DI m FpPWRp by B61k a11wRBtl a I:'' ~ , , /~D/+% L('il 'OL ADDPE55 1 ~ D ^^~ I! ck m98+RB1Dt b(TIMg00 j~ I!S"NDTm B.yU91 II aBe j Q I~BAwss dJfs RlppM l®I Ngll+d ~ WARNIND'. Otlomelef tli6Crepefi% < //~~ Lm ~jSLV ~ 1. ~' - '~~^ WlB NllFer wtlhy mel CiBVBMtlakh060l0ny etlCUmbreru entl met Me DxnSmM1lpkl~nAy I /Tll l_ PVPCHASE PPICE A~ pry, ItP TAT ~ h0+161B+wE t0 mB peRptl(6) Of mB tlBBIBf IIBIBE. 6 E V J OP DIN (.(~ w SUBSCRIBEp AND SWORN ..' M TO BEFORE ME MD '~ DAY s e'~N 1~ I PURCHASER 61 NANRE II i ~l .y~lA~~1 W'. V UT NJ I~I + TUP F. pA~M'"FW ~' Ih ~ t' { y! rv ;r, RONA66P 61 NANPE t MbNWEAL H PURCHASER ANDIOP' ' C0.PUPCHASER MUST 7 OF PENNSYLVANIA ~ ADP INT NA • _ I ~, ~~ ~ 1 NOTARIALSEAL t/ /~ ~!"]~( "~~ '~ ~r~j~ ~: u z ~ ~~~ 1 ~ w M ~ L M l~f f' 6 NA, R # ARY ANN C. GAHBARINO, NOTARY PUBLIC +l riL m r ~ *.; v ~ ' SILVER SPRIN(i'TvVP CUMBERLAND O NTY ~ r , s r y ~ ° ~~ ~ h~ v ~ ' ~~ ~Q /~i • ., DU ` , I E ~ ,l }r'rv v ~ MY COMMISSION EXPIRES DECEMBER 13; 2012 r SELLER ANDIDR '' `- `" £ ~~ p gE,yr NAME HERE /` B • t B mM0 wtlMyt Lp ma EeM pL6rylpvt davAeepa mm m DtlgmelBr ytll~ k 6 '~~ ~ ~~ ''~j+ "h~p~, mseew Mme whble~ "'" ~ "'WI ~ V UST FlRST M.I ~] 4 ~ Y ~, J 4 M ! iYl $ a -v ~P~1`µXATll tr~w ~M~~ w ~'~P'+1~ eu51R BeEORNOME~ ~ ~ A ~ep0' R0~ I ~ Tme ecWelmll~4epp0, f ) M coauRga6ER wwA/' f'~&~N A'~I~~ 9 fl F.HY ^. Bq6 ~n. L 'RHINO OtlwnOlaz.BWwP~% NV ~ Nly B b~~bl+Rr ! I~entl mN me BmwtSMpk BIIV' ' ~ ' ~ SIFEET a ""/~. "! 5' N` T ,~ .ADDREBB V'~~pp ` ~,~1' N4 } + A. '- pmtely~ p pre perew gl g wetai,IBl.a I eul.~ ~ ma'+ .?rte cm A SUBSCRIBED AND SWORN jfl BEFORE ME 1~~'` E byl usE NWE n onp ~ aP " Il 1 ) u t ti L_ .:. DA ~'~ + qh7 hf~ ~ m ggwrr D ,P ,it +~ P~ 4 ~ V 9 t ! ~ g '§ Y 4J 9 :( t 1 O ~ Huf 4 'ry'h t" V,% ih . 'w ^E~' 'y ~ ' ~ ~~ ~~ y, y yN b41Y ~. n910NF1UREAFePERBON ADMINIB MIND ~ A ~ A I^{. N~Y, CABER 6qN TUfl 3 ~ .9 F~; . w~v~^ ' ltd ~'r ~~"c '~,~° r~ ~~PI•t l e - s y y 1 _ .rv - ~ `~ ~ ~ COi &6 PURCHASES AND/OR- ~ I'~ Cp?URCHA6ER MUST l~'~l 4~ ~ VM'N ~~~I ~ I ;. ( . $ O ~ + I b {i ~ I 1,.I ~t t, Y 1 > .^ ~ ~~ IU ~ 9E DF I" w . ` ,, ~ ~q MINDPAMMR NAME HERE' 1~1 4M,' {~': • y B. ~ 0 1 :R • NAwmly me can DI I6Wpu~w~l µp5 mn m0 .kr ream a k ~.'.: ~ '- ~e mIbB05 W IM vBNde L ~ ~~ I p P I I u f`, ~ ,~ e , ^ ~DTdM wMM mll N B r.• :. 5'x LAST B RAN„, Fl~ry4~~ ,;~ ^M.I. %IRI]NSERlIR WLL mNpN p~ m. APW. rb fiU61NE58 NAME "h'< FYw fr D' k ,^ ~~pA~EA M~,«~ ,~«~ ~ ~ ~a~ ' P C01 I W RNiNG Odpnebr, ry ~ ~' yn. ~• N^ ; 1 ~ V NB azMmel tlN BwnereltlBby t ~rA r r e ~ ti`~~ F /IDDPF&4 ~ ~~ 0{IIB tllMletl. ~ CmVY Ar "YYAsrw" Tn S ~ UBSCRI ED ANp SWORN gq~ n fl9EFO~FJME xN1.N-a C'+' ~~~ MO `~~' °~^.' DAYYr~ 1~4FMEARI 0. , ~T` w„+~r i P~BX4rI~~~iIF ~ ~ ,•L~c~ SE PPiGE } S~ l1 I M' ``.w C~ry~~YU~ jaa u d q. N 1Fr~ tt I ` ~ ~~ ~~ '~11 C ~'1' MF +' ` V ~~M F` ~ ^ 1 Y R„Y'M1:" : ~ A ~ V `~ ~ I ~1 B ~A ~ ~ • M C 91D ~E'OF ~PEfl6DN tlOMINISTERINO N ~m VR N n,l3N~ qIR P 51 Nq E µ, + a s -•' ~~N+~~`~~ H' ' '~'~ ' ~~ µ ~~Yi~ m )E" ~ ~~ ~~ ` NSi' 3. t ~ „ t t I u n fl81 NP 4 ,p y ~ +u ~ +~ P I PURCHASER AND/OP COVIIRCHASER MUST ~ pp~y I I ,. L s r ANOPR M ~ ~ RM4 W I ~ . j1'~ ti_ ~+ "4 f' T s" ;~•. A y. 4 ( 'N A 1,~ t ~ t ~~ ~ ~ '+'• ILANOPRMNNAEHERE k:.~ B B. • 0 1 • N N wPilY tlla 1x51 o(_nrylwr MmMnlp met Ble tlprnekr reeMM I • LA8'r i FIfl9T M.I •" ••• ; ~eMUn +N180 Mme vBNtlaL. BUBiNE 9NPME~LL ~~i`M"NR of pt1,'#?~ ~~"b A~~I ~ '1 w ' ~ d RT ~I. m/ ~ VT ti V yI"M ~ ~~ ~ OOiURCHAEEP. } a ~ k Ji] a ~ 'A ~ Y 1b k ~ ~~. . p0 '.,f DT m aM I NwBe J r R Fk R hw+g'91'+t"I pev 9 1Bd AmTkY ~Xrte A 'RNING Otlmmater tlne e e ~ i/ I ~ p p% STISEET v d h /1 R"~5 1j~ M Ii • rXly Nm1~~~bl/M.d60q~~iAw OM ENI m00WMAl11pk11fr by ADDRESS F ^Tfl YPA Pnc i{iA~Vk` ~ t n ,tlme EeeleNidetl y y+ x AO me wReM m ,wl" L S Y UBSCRIBED AND SWORN .~~.. ,I^ .,, zrP augcHASE PR1cE ~,BEFOJAE ME ~ N Iw ~ wu ! ~} , 5 TE :~ T ~~{A ^ ,, , T,. 9 ~ ' MO :. DAY.+. yk AR+ ~ 16 I.. OR:OM u 4 4 ifi t q ~ /, iT `b ~ 8 f M a v ke ~ I I SWNATIRE DF PER60NYDMINI6TERING DATH•Ir+, ,~ NN;!'ul PIIPLHA5ER 810NATlRE ."~+ ~ tN C6PURCHASEfl StONA RE J Q - f PURCHASED ANDIDR i 13YPURCHASER MUST. fj W HANDPRINT NAME HERE ~ fD , ..I :'. . 7 Y - ~ . ~ RE D<6ELLER i ' N' $IDNAN~ ~ _SELLERMUST HANOPgINTNAME HEPE ~~ 5 G,I,~ECtl,f_C„kl~REt.4F/~P~,,~.,ICq'CIO„I~IF,,,Qj~.AEALER TITLE ).+ND.CAM,P,LETE ,SECT10~!~) TI,~LrIMG.fEE$$....~, ..., ,..,: L C MV-3 (8-Q8) MOTOR VEHICLE VERIFICATION commonweann of Pennsylvania OF FAIR MARKET VALUE BY PA Department of Transportation THE ISSUING AGENT Bureau of Motor Vehicles Harrisburg, PA 171 V4-2516 This form is used in conjunction with Forms MV-1, MV-4ST, MV-2t 7A and an on-line processing Applicant Summary Statement. FOR DEPARTMENT USE ONLY TYPE OR PRINT ALL INFORMATION AS REQUESTED A VEHICLE DESCRIPTION _-- M iel~ / ( ,Il Make oC,Veni e ~f m I _ 1. ~~(" Y/ / \ Motlel ~\.~ I~ I I~I~ BotlV TYPe ~~ PFR EHASE ~~L~• m W I (~ VP.IVd e ltlenliGratiw NUmbe (VIN)^ r O(1 ~ i ~~~ ~a~ Y~ ~ ~ ~1 Otlo er rdng O O~ (N07Znth5) ~ ~ 3 . , B AGENT VERIFICATION OF FAIR MARKET VALUE -Check (!)the appropriate block: r I°A I certify that the average Fair Market Value for the vehicle described above is $ u{Q'I_`f_ Ste' ifi d b th i i as ver e y e current ed t on o f a P enn DOT approved publication. n a` ~1n n Name of Publication: I~~~ ro ~ This vehicle or the fair market value forthis vehicle washot listed in a current edition of a PenrIDOT approved publication 'n rrtny possession. Signature~of A nffitl ent ' /{/r, n, (~ ~~ y~ A ~ /~Illl'V\IT' Agent Numb ~-U~U~ Da@ 4I3.Ii3- C PURCHASER I~I~OlYMAT10N ' last Name (or Full Business Name) First Name Mitltlle Name PA DlRholo I W Date of Birth, ~TOrJL-~ ~trZ ~A Ul D LL--E «a~a IDa ~ ~j (G~O 7`J> ~/°~'(/9 90 Go-Purchaser fast Name First Name Mdde Name PA DIJPhotg IDp Date of Birth D PURCHASER/SELLER EXPLANATION - Explain in detail why the purchase price listed on Form MV-1, MV~ST, MV-217 or Applicant Summary Statement is less th;ln 80% of the average Fair Market Value, or if the vehiGe is over 15 years oltl antl the purchase price is less than $500, explain how the purchase price was determined, or if the vehiUe is not listetl in a PennDOT approved publication, explain how the purchase price as listed in section A was determinetl. Please use atldhional paper if more space is required. NOTE TO PURCHASER: An ddlE I d't f th' h' I I b th D rt t I R Please retain copies of this form, your cancelled check or original rash receipt, and your receipt from the seller of dhis vehicle, along with either your copy of the Application for Certificate of Tiile (MV-t ), the Vehicle Sales and Use Taz ReturnlApplicadon for Registration (MV~ST) ar the Application by Financial Institutions for Certificate of Title After Default by Owner (MV-217A). If you fail to reply to the Department of Revenue, you will be assessed for the estimated amount of tax due. (old 6J o~or~ -For e~tr~t~o E SEAL AND SIGNATURE OF SELLER -NOT REQUIRED FOR VEHICLES PURCHASED OUT~OF-STATE SUBSCRIBED AND SWORN , I n I/V/e state that t/we have read antl signed this form after its completion, and I/we TO BEFORE ME: MONTH /-t DAY 0~` yEp,~~ ~ swear or affirm that the statements made herein are true and correct, and that any ~ ~ ~ ~ statement made on or pursuant [o this form is subject fo the penalties of 1 B PA C.S. Section 4903(a)(2)(relating to false swearing), which shall inclutle punishment of a Ic A ~R ~r, NG OATH ~ fne not exceeding $S,ODO, or to a term or imprisonment of not more than two years, $ or both. T MMONWEALTH OF PENNSYLVANIA signature of sever .~~ ~ ~~ ~ x ixA~Eln ~ ~~DUGI-I ~(~FC~S~"7~~ A ~ MA R ININ UBLIC Signature of Go- eller ~/ M SILVERS B ~ OUNN P' MY COMMISSION EXPIRES DECEMBER 13, 2012 Telephone umber (~,~, rpo8-co5~9 F SEAL AND-SIGNATURE OF PURCHASER SUBSCRIBED AND SWORN I/We state that I/we have reatl and signetl this form after its completion, and I/we TO BEFORE ME: MONTH DAY VEAR swear or aff rm that the statements made herein are true antl correct, antl that any statement made on or pursuant to this form is subject to the penalties of 18 PA C.S. scNATURe of PERSON ADMrN15TERwG OATH Secion 4903(a)(2)(relaling to false swearing), which shall include punishment of a me not exceeding $$,ODD, or to a term or imprisonment of not mare than two years $ , or both. T Signature of Purchaser 4 DO NOT NOTARIZE UNLESS ' SIGNED BY THE PURCHASER IN signature of OO-Purchaser M PRESENCE OF NOTARY P Telephone Number ( ) I HIJ tVKM MAY BE PHOTOCOPIED IMeBBenger NO. Rev-1510 EX+(598) DDMMONWEALTHOF PENNSVIVANIA INHERITANCE TA%RETURN RESIOENTOEDEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Prough, Elizabeth A. 21-12-0216 This schetlule must be campletetl and fletl if the answer to any of questions i through 4 on the reverse sitle of the REV-1500 CCIVER SHEET is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE NUMBER 7HE DATE O TF RANSFERSATTACFITA COPV OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1 T. Rowe Price Annuity -Tara E. Stroup is the named 24,131.64 24,131.64 beneficiary of this account TOTAL (Also enter on Line 7, Recapitulation) I 24,131.64 (If more space is needetl, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) M & T BANK CORPORATION Human Resources Department May l6, 2012 James Bogaz One West Main St. Shiremanstown, PA 17011 RE: Estate of Elizabeth Prough Dear Attorney Bogar, I have received the information that you have requested from T. Rowe F'rice. 1. Vested balance as of February 9, 2012 was $24,131.64 2. Loan balance as of February 9, 2012 was $13,410.73 3. The Letter of Administration, which was received from Tara Stroup, is being sent to T. Rowe Price. Tara will be able to call T. Rowe Price to have the funds rolled over or distributed. Should you require further assistance, please contact me at 716-842-5570. Sincerely, ~~~ Dawn M. Wichlacz Employee Benefits Speci i REV-1151 EX*110-06) COMMO ERITANCE TAX DE N~RLVANIA RESIDE DDECE E T 1J SCHEDULE H FUNERAL EXPENSES 8r \DMINISTRATIVE COST: ESTATE OF FILE NUMBER Prough, Elizabeth A. 21-12-0216 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached B. I ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) 4,575.00 Street Address City State Zio _ Year(sl Commission paid z. Attorney s Fees Bogor & Hipp Law Offices 7,350.00 3. Family Exemption: (IP decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zlo _ Relationship of Glaimant to Decedent 4. Probate Fees 323.50 5. Accountant's Fees 6. Taz Return Preparer's Fees 7. Other Administrative Costs 9,597.37 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 21,845.87 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Prough, Eli¢abeth A. 21-12-0216 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Myers Harner Funeral Home -Funeral bill 3,630.00 2 Rolling Green Cemetery 945.00 H-A 4,575.00 3 21st Century -Cal', Insurance premium 165.73 4 Bonnie K. Miller, l'ax Collector -per capita tax 53.90 5 Camp Hill Fire Company #1 -Ambulance service 2/9/12 1,272.50 6 Comcast -Final bill 62.21 7 Cumberland Law Journal -Executrix's Notice 75.00 8 H&R Block -fee to,prepare 2011 Personal Income Tax Returns 255.25 9 Holy Spirit Hospital -Account No. 41724681. For services rendered 2/9/12. 1,851.00 10 Home Depot - painking and cleaning supplies for house 178.12 11 John Buss' Mowing and More -lawncare 39.50 12 John Buss' Mowing and More -lawncare 42.40 13 John Buss' Mowing and More -lawncare 84.80 14 John Buss' Mowing and More -lawncare 84.80 Copyright (c) 2002 farm software only.The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE ICOSTS continued ESTATE OF FILE NUMBER Prou h, Eli¢abeth A. 21-12-0216 ITEM NUMBER DESCRIPTION AMOUNT 15 John Buss' Mowing and More -lawncare 16 John Buss' Mowing and More -lawncare 17 John Buss' Mowing and More -mowing 6/8/12 and 6/19/12 18 Journal Publications -Executrix's notice 19 Lower Allen Township -Sewer and trash 20 Lower Allen Township-Sewer and trash 21 Pennsylvania American Water -Utility bill 22 Pennsylvania Ameirican Water -Utility bill 23 Pennsylvania American Water -Utility bill 24 Pennsylvania American Water -Utility bill 25 Pennsylvania American Water -Final bill 26 PPL Electric -utility bill 27 PPL Electric -Utility bill 28 PPL Electric -Utility bill 29 PPL Electric -Utility bill 30 PPL Electric -Utility bill 31 Register of Wills -Filing fee for PA Inheritance Tax Return and Inventory 84.80 106.00 84.80 150.00 119.85 119.85 139.98 41.24 38.84 28.79 39.98 326.98 51.65 41.84 30.53 63.53 30.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Prough, Elizabeth A. 21-12-0216 ITEM NUMBER DESCRIPTION AMOUNT 32 Rowe's Auction Service -Auctioneer's commission 2,150.87 33 T-Mobile -final bill 198.07 34 Tim Houck -Painter -fee to paint house 1,000.00 35 U.S. Postal Service -Certified mail to M&T Bank and Department of Revenue r~z Safe Deposit 11.50 Box Inventory notices 36 UGI -Utility bill 118.74 37 UGI -Utility bill 59.00 38 UGI -Utility bill 51.00 39 UGI -Utility bill 51.00 40 UGI -Utility bill 51.00 41 UGI -final bill 46.08 42 Verizon -Utility bill 111.24 43 William G. Rowe -Appraisal fee 85.00 H-B7 9,597.37 Copyright (c) 2002 form software only'The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 E%* (t2-OBI SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8t LIENS COMMON W EDLTH OF PENNSYLVANIA INHERITANCE TA%RETURN RESIDENT DfCEDENr ESTATE OF FILE NUMBER Prough, Elizabeth A. 21-12-0216 Report dsbts incunatl py the tlecetlent prior to tleath that ramainetl unpeitl a[ the tlate of death, inelutling unmimbumetl metlical expanses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Bank of America Visa (West Asset Management, Inc.) -Account No. 4264 2857 4344 0901. 2,504.09 Date of death balahce $2,504.09 2 Chase Freedom (~sa) (DCM Services) -Account No. 4118 1603 0554 7096. Date of death 14,116.56 balance $14,116.56 3 Discover Card (DCM Services) -Account No. 6011 0027 5384 3697. Date of death balance 7,613.73 $7,613.73 4 M8:T Bank -The date of death balance of due was $76,008.09 76,008.09 5 M8T Bank - Home,Equity Line of Credit -Account No. 12044448251564998. Date of death 35,420.53 balance $35,420.53 6 M&T Bank Visa -Account No. 4170 9360 3597 6619. Date of death balance $482.50 482.50 7 QVC - GE Capital Retail Bank (Ascension Point Recovery Services, LLC) -Account No. 6045 766.28 7610 4342 0463. Date of death balance $766.28 8 Swineford National) Bank Visa (Phillips 8: Cohen Associates, LTD) -Account No. 4037 6600 3,928.71 1977 7374. Date of death balance $3,938.71 9 T. Rowe Price -Balance of outstanding loan against annuity 13,410.73 10 Woman Within (Ascension Point Recovery Services, LLC) -Account No. 601 266 378. 684.10 Balance due 684.10 TOTAL (Also enter on Line 10, Recapitulation) I 154,935.32 (If more space is needetl, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-OB) REV-1513 EX+(11-BB) NN ~~" ~,yI1{ ~ SCHEDULE J COMIN~ERITANCE~~RETURN~NI~ BENEFICIARIES FIESIDENTTTT DECEDENT ESTATE OF FILE NUMBER Prough, Elizabeth A. 21-12-0216 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT ( ) Words ($$$) I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 a 1.2 Tara A. Stroup Daughter One (hundred 524 Fishing Creek Road percfant of rest, Lewisberry, PA 17339 residue and remainder Total Enter dollar amount for distributions shown above on lines 1 5 throw h 18 on Rev 150 0 cover sheet, as a r o riate. NON-TAXABLE DIS RIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTA L 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-OS) LAST WILL AND TESTAMENT OF ELIZABETE A. STROUP 2, ELIZABETH A. STROUP, of Lower Al1e:n Township, Cumberland County, Pennsylvania, make, publish and declare this as and for any Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. F RST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including axLy property over which I hold power of appointment and together with any insurance policies thereon, to my daughter, TARA E. STROUP. S COND: Should my daughter, TARA E. STROUP, predecease me, I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and. together with any insurance policies thereon, to my mother, R1JTH S. PROUGH. T IRD: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisamle without court approval and effective until actual istribution of all property: (A) To sell at public or private sale, or to lease, ~ for any period of time, any real or ersonal p property and to give options for sales, exchanges or leases, for sucYi prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give ,~~ legally sufficient instruments for transfer of t:he property and t~ receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (O) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to ;any principle of diversificaCion, risk or productivity. (F) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing p]Lan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FOIIRTH: I direct that all inheritance, estate, trans- P~r, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether ox- not with respect to property passing under this Will, shall be pziid out of the principal of my residuary estate. FIFTH: I nominate and appoint TARA E. STROUP, Executrix of this, my Last Will and Testament. In the event of the death, resignation or inability to serve fox' any reason whatsoever of the said TARA E. STROUP, I nominate and appoint 2 JAMES D. BOGAR, Executor of this, my Last Will and Testament. I direct that my Executor or Executrix, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~ day of 'c~i%~~uc2wJ , 1994. ~~f ELIZABETH A. STROUP Signed, sealed, published and declared by the above- named Testatrix as and for her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address ~Q~~~ Address 3