HomeMy WebLinkAbout12-21-12 (2)J 1505610105
REV-1500 ex `02_"' `~'
Pennsylvania OFFICIAL USE ONLY
PA Department of Revenue ~PANTXENIOE XEV[XUE Couniy Code Year File Numkier
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BOX z8o6oi /~
Harrisburg, PA 17128-o6oi RESIDENT DECEDENT '~~ I ~ ~ 1.1~
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
09/23/2012 09/26/1944
Decedent's Last Name Suffix Decedent's First Name MI
Maschmeyer Virginia A
{If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
N/A
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (Date of Death
Prior to 12-13-82)
O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required
death after 12-12-82)
~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust.)
O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date of Death O 11. Election to Tax under Sec. 9113(A)
Between 12-31-91 and 1-1-95) (Attach Schedule O)
CORRESPONDENT - THIS SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
Jacqueline M. Verney, Esq r'~~
(717) ~3-9190 ~ ~ rn
First Line of Address
44 S. Hanover St
Second Line of Address
City or Post Office State ZIP Code
Carlisle PA 17013
R S]X~2 OF WIL~ISE t~Ufi~
x,. r-° rv ~ rn
- y y _'._~ t-v7
' ~ .....~ DATE FIIEEA C17 ~
~~
Correspondent's e-mail address: jmverney~a0l.COm
Under penalties of pery'ury, 1 declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
rt is coned and corn lete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SI RfiIOF PER RESPON~BLE FOR FILING RF~URN DATE
GNATURE OF PREP ER OTHER RE SENTATIVE DATE
~s /2- Zit -t Z
DDRE r
Cl ~ S . ~ta~W~e~ ~~ C ~ ,4- 1 ~ ~ t 3
PLEA8E USE ORIGINAL FORM ONLY
Side 1
L 1505610105 1505610105
15[15610205
REV-1500 EX (FI) Decedent's Social Security Number
Decedent's Name:
--_
RECAPITULATION
1. Real Estate (Schedule A) ............................................ . 1. 100,000.00
2. Stocks and Bonds (Schedule B) ...................................... . 2.'
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .... . 3.
4. Mortgages and Notes Receivable (Schedule D) .......................... . 4.
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)...... . 5. 26,553.67
6. Jointly Owned Property (Schedule F) O Separate Billing Requested ...... . 6. 187.73
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Requested....... . 7.
8. Total Gross Assets (total Lines 1 through 7) ............................ . 8. 126,741.40
9. Funeral Expenses and Administrative Costs (Schedule H) .................. . 9. 11,888.48
10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) .............. . 10. 7,885.39
11. Total Deductions (total Lines 9 and 10) ................................ . 11. 19,773.87
12. Net Value of Estate (Line 8 minus Line 11) ............................. . 12. 106,967.53
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. 106,967.53
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0_ 15.
16. Amount of Line 14 taxable
at lineal rate X .0 45 106,488.53
16.
4,791.99
17. Amount of line 14 taxable
479
00
48
57
.
at sibling rate x .12 17. .
18. Amount of Line 14 taxable
at collateral rate X .15 18.
19. TAX DUE ...................................................... ...19. 4,849.47
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Side 2
1505610205 1505610205 J
REV-1500 EX (FI) Page 3 File Number
Decedent's Complete Address:
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19) (1) 4,849.47
2. Credits/Payments
A. Prior Payments __
__ __.
B. Discount 242.47
Total Credits (A + B) (2) 242.47
3. Interest
(3)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund. (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 4,607.00
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred .......................................................................................... ^
b. retain the right to designate who shall use the property transferred or its income ............................................ ^
c. retain a reversionary interest .............................................................................................................................. ^
d. receive the promise for life of either payments, benefits or care? ...................................................................... ^
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. ^
3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? .............. ^ ~
4. Did decedent own an individual retirement account, annuity or other non-probate property, which
contains a beneficiary designation? ........................................................................................................................ ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND 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 Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements 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 benefiaaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling 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+ (1i-08)
;~ Pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Virginia A. Maschmeyer 21-12-1057
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 that is jointly-owned with right of survivorship must be disclosed on Schedule F.
If more space is needed, insert additional sheets of the same size.
®Print This Page
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* ~!i ~ '~• OMB Approval No. 2502-0265
i ~' A. Settlement Statement (HUD-1)
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4. ^ VA 5. ^ Corn. Ina. 2012-30
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were paid outside the dosing; they are shown here for iMomrational purposes and are not included in the totals.
D. Name 3 Addroas of Borrower. E. Name & Address of Seger. F. Name & Address of Lender:
~reY S• Austin Estate of Virginia A . Mashmeyer N/q
~~ Ridivatley Rwd Robert Mashmeyer, Executor
Mechanicsburg, Pa 17050
G. Property Location: H. Settlement Agent: ' '' I. Settlement Date:
1919 Esther Drive Ja ueUne M. Vem , E uire 12/21/12
Carlisle, PA 17013 Place of Settlement:
44 South Hanover Street
Cartisle, Pa 17013
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505. P d second ban
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t10S: Gross amount due to sager &wa 420 100,000.00
802. Less raductlona in amount due'Sefler tine 520 0.00
803. Cash ~ From ®To Seller 100,000.00
The Public Reporting Burden for this Collection of informaton is estimated at 35 minutes per response for collecting, reviewing, and
reporpng the data. This agency may not collect this information, and you are not required to complete this form, unless it displays a
currently valid OMB control number. No confidentiality is assured; this disclosure is mandatory. This is designed to provide the parties to a
RESPA covered transaction with information during the settlement process.
FDT Registered To: Jacqueline M. Vemey, Esquire FDT is Copyright ®2004-2010 www.Ali-Forms.com
Previous editions are obsolete Page 1 of 3 HUD-1
6aPrint This Pane
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803: YouF es from GFE A
804: fee to ' _ from GFE #3
805: Cradt to from GFE #3
808. Tax service to from GFE aKi
807i:Flood certltication _ from GFE #3
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f 204. /Coon tax/sfam Deed M e 2,000.
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1306.
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FDT Registered To: Jacqueline M. Vemey, Esquire FDT is Copyright ®2004-2010 www.All-Forms.com
Previous editions are obsolete Page 2 of 3 HUD-1
^Print This Page
ADDENDUM TO HUO-1 SETTLEMENT STATEMENT
CERTIFICATION OF BUYER AND SELLER
I 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.
t further certify that I have received a completed copy of pages 1, 2, and 3 of this HUD-1 Settlement Statement
t - Buyer/Borcower stator of Es of Virginia r / Seger
Buyer/Borrower
Buyer/Borrower
Buyer/Borcower
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon
convidion can indude a fine and imprisonment For details see: Title 18 U.S. Code Section 1001 and Secton 1010
Seger
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transadion. t have caused or will cause
the funds th be disbursed in acxordant~ with this statement.
M. Verney, Esquire Settlement Agent Date
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon
conviction can indude a ftne or imprisonment. For details see: Title 18 U.S. Code Section 1001 and Sedion 1010
Seger
Seger
FDT Registered To: Jacqueline M. Verney, Esquire FDT is Copyright ®2004-2010 www.All-Forrns.com
Previous editions are obsolete xxxxxxxxx HUD-1
REV-1508 EX+ (08-12)
~ pennsylvania SCEIEbULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Virginia A. Maschmeyer 21-12-1057
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property joirrtly owned with right of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. "S" bracelet 14k gold 430.00
2, oval hjoop diamond earrings 14k gold 466.00
3, diamond solitaire ring 14k gold 1,774.00
4. diamond solitaire pendant 14k gold 163.00
5, diamond stud earrings 14k gold 174.00
g, diamond huggie earrings 14k gold 221.00
7, diamond ring 14k gold 131.00
g_ diamond ring 14k gold 238.00
g. diamond ring 14k gold 475.00
10. sapphire & diamond pendant 14k gold 254.00
11. tanzanite pendant 14k gold 258.00
12. sapphire & diamond ring 10k gold 92.00
13. bracelet 14k gold 135.00
14. sapphire earrings 14k gold 100.00
15. mother/child pendant 14k gold 47.00
16. cross 10k gold 13.00
17, sapphirelzirconia earrings 14k gold 49.00
1 g, sapphire pendant & earrings 14k gold 63.00
19. 3 pair hoop earrings 10k & 14k gold 71.00
20. 1 pair hoop earrings 75.00
21. Frank Robinson baseball card 1972 23.00
22. Members 1st savings acct 55226-00 5,233.07
23, Members 1st checking acct. 55226-11 500.00
24, Members 1st investment acct. 55226-05 1,744.60
25. 2008 Honda CRV 13,824.00
TOTAL (Also enter on Line 5, Recapitulation) $ 26,553.67
If more space is needed, use additional sheets of paper of the same size.
NAME/OWNER: Estate of Virginia A. Maschmeyer
6214 Wallingford Way
Mechanicsburg, PA 17050
DATE OF APPRAISAL: October 24, 2012
DATE OF DEATH: September 23, 2012
PURPOSE OF APPRAISAL: The reason for this appraisal is to grade and estimate
the value of this jewelry for Fair Market Value, using the IRS definition of the price
a willing buyer and a willing seller would sell with each having the requisite
knowledge and neither being under any compulsion to buy or sell. All estimates of
Fair Market Value are based on date of death, September 23, 2012.
Because the grading was done in the mounting, all grades and measurements are
estimated to the extent the mounting allows using GIA standards and measurements.
1. ITEM DESCRIPTION: This diamond "S" bracelet is 14KT yellow gold. There
are fifty-three prong set single cut diamonds. They are .02 CT each or
1.06 CTTW. They are IZ (Included 2) in clarity and J-K-L in color. There is an
insert clasp with safety eight. The bracelet weighs 5.5 DWT.
FAIR MARKET VALUE: $430.00
2. ITEM DESCRIPTION: This pair of oval hoop diamond earrings is 14KT yellow
gold. There are twenty-four straight and tapered baguettes in each. The forty-eight
baguettes weigh .02 CT each or .96 CTTW. They are I1 (Included 1) in clarity and
I-J in color. The earrings have omega backs and weigh 2.8 DWT.
FAIR MARKET VALUE: $466.00
3. ITEM DESCRIPTION: This diamond solitaire ring has a 14KT yellow gold
shank and platinum crown. The round brilliant cut diamond is in a 6-prong V-flair
setting. It is an average 6.13 mm in diameter and weighs approximately .84 CT. It
is SI2 (Slightly Included 2) in clarity and J-K in color. The ring weighs 2.4 DWT.
FAIR MARKET VALUE: $1,774.00
Page 2-Maschmeyer
4. ITEM DESCRIPTION: This diamond solitaire pendant is 14KT yellow gold.
The round brilliant cut diamond is in a four prong setting with a rabbit ear bail and
weighs approximately .19 CT. It is SI2 (Slightly Included 2) in clarity and I-J in
color. The pendant weighs .2 DWT.
FAIR MARKET VALUE: $163.00
5. ITEM DESCRIPTION: This pair of diamond stud earrings is 14KT yellow gold.
The two round brilliant cut diamonds are in four prong settings and weigh .15 CT
each or .30 CTTW. They are I1 (Included 1) in clarity and H-I in color. The
earrings weigh .4 DWT.
FAIR MARKET VALUE: $174.00
6. ITEM DESCRIPTION: This pair of diamond huggie earrings is 14KT yellow
gold. There are ten channel set round brilliant cut diamonds in each. The twenty
diamonds weigh .015 CT each or .30 CTTW. They are I1 (Included 1) in clarity and
J-K in color. The earrings weigh 2.6 DWT.
FAIR MARKET VALUE: $221.00
7. ITEM DESCRIPTION: This diamond ring is 14KT yellow gold. There are three
rows of nine round brilliant cut diamonds. The twenty-seven diamonds weigh
.O1 CT each or .27 CTTW. They are I2 (Included 2) in clarity and J-K-L in color.
The ring weighs 1.5 DWT.
FAIR MARKET VALUE: $131.00
8. ITEM DESCRIPTION: This diamond ring is 14KT yellow gold. There are seven
rows of three channel set round brilliant cut diamonds weighing .015 CT each or
.31 CTTW. They are I1 (Included 1) in clarity and J-K-L in color. The ring weighs
2.6 DWT.
FAIR MARKET VALUE: $238.00
9. ITEM DESCRIPTION: This diamond ring is 14KT yellow gold. The center
prong set pear shaped diamond is approximately .33 CT. It is VS2 (Very Slightly
Included 2) in clarity and I-J in color. There are two marquise side diamonds
weighing .05 CT each or .10 CTTW. They are SI1 (Slightly Included 1) in clarity
and H-I in color. The ring weighs 1.5 DWT.
FAIR MARKET VALUE: $475.00
Page 3-Maschmeyer
10. ITEM DESCRIPTION: This sapphire and diamond pendant is 14KT yellow
gold. The oval prong set center blue sapphire measures 5 mm x 4 rom. There are
twelve round brilliant cut diamonds surrounding it. They weigh .O1 CT each or
.12 CTTW. They are SI2 (Slightly Included 2) in clarity and I-J in color. There is
an eighteen inch rope chain with a spring ring clasp. The pendant and chain weigh
2.5 DWT.
FAIR MARKET VALUE: $254.00
11. ITEM DESCRIPTION: This tanzanite pendant is 14KT yellow gold. The prong
set trillion tanzanite measures 5 mm x 5 mm. There is an eighteen inch rope chain
with a barrel clasp. The pendant and chain weigh 3.4 DWT.
FAIR MARKET VALUE: $258.00
12. ITEM DESCRIPTION: This sapphire and diamond ring is lOKT yellow gold.
There is a center marquise blue sapphire measuring 3 mm x 5 mm with six round
brilliant cut diamonds surrounding it. They weigh .O1 CT each or .06 CTTW. They
are I1 (Included 1) in clarity and K-L in color. The ring weighs 1.4 DWT.
FAIR MARKET VALUE: $92.00
13. ITEM DESCRIPTION: This bracelet is 14KT yellow gold. It is a seven inch
double rope with an insert clasp and safety eight. The bracelet weighs 2.9 DWT.
FAIR MARKET VALUE: $135.00
14. ITEM DESCRIPTION: This pair of sapphire earrings is 14KT yellow gold.
The two oval prong set sapphires measure 4 mm x 6 mm. The earrings have
leverbacks and weigh .5 DWT.
FAIR MARKET VALUE: $100.00
15. ITEM DESCRIPTION: This mother and child pendant is 14KT yellow gold and
has one melee diamond weighing .02 CT. It weighs .8 DWT.
FAIR MARKET VALUE: $47.00
16. ITEM DESCRIPTION: This cubic zirconia pendant is not gold.
FAIR MARKET VALUE: $0.00
Page 4-Maschmeyer
17. ITEM DESCRIPTION: This cross is lOKT yellow gold. It weighs .4 DWT.
FAIR MARKET VALUE: $13.00
18. ITEM DESCRIPTION: This pair of sapphire and cubic zirconia earrings is
14KT yellow gold. There is a 3 mm round blue sapphire with six cubic zirconia in
each. The earrings have Sheppard hook backs and weigh .9 DWT.
FAIR MARKET VALUE: $49.00
19. ITEM DESCRIPTION: This sapphire pendant and earrings are 14KT yellow
gold. The pendant has a prong set round blue sapphire measuring 3.75 mm with a
rabbit ear bail. The earrings each have a round blue sapphire measuring 3 mm
with leverbacks. The pendant and earrings weigh .7 DWT.
FAIR MARKET VALUE: $63.00
20. ITEM DESCRIPTION: There are two pair of lOKT yellow gold hoop earrings
weighing 1.3 DWT and one pair of 14KT yellow gold hoop earrings weighing
.6 DWT.
FAIR MARKET VALUE: $71.00
21. ITEM DESCRIPTION: There is one pair of hoop earrings weighing 1.6 DWT.
FAIR MARKET VALUE: $75.00
Gold price @ $1, 707.00 on October 24, 2012
Gold price @ $1,666.00 on September 23, 2012
DISCLOSURE: I have no financial interest in this jewelry nor do I anticipate any.
The fee for this appraisal was not contingent upon value and reflects our normal
and customary fee schedule. These estimates reflect our opinion of the Fair Market
Value as defined by the IRS. This appraisal does not conform to Uniform
Standards of Professional Appraisal Practice (USPAP).
Jill Morrow, GG (GIA) AM-ISA
Accredited Member- International Society of Appraisers
Member Appraisers Association of America
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Product Features
• Great for any Frank Robinson fan
• Sport: Baseball
• This is a collectible trading card
• Great for any Los Angeles Dodgers fan
Key Collectittles Informlatic~n
a~nhenridty Provkled ev
C.gnd!tigr!
Conditbn Provided ev
Athlete Name
Year
Manufacturer
Brand
League
Team
Product Description
1972 Topps #754 -Frank Robinson TR
Frank Robinson TR Los Angeles Dodgers
(Baseball Card) 1972 Topps #754
by Tooos
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Price: $23.00
in Stock.
Ships from and sold by ~QMC.
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See Image
Seller
Frank Robinson
1972
Topps
Topps
MLB
Los Angeles Dodgers
Product Details
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ASIN: B006GVVLFO
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.................... ............
X23.00 + 54.99 shipping
in Stock. Sold by COMC
or
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Sh.~.re
11/20/2012 9:59 PM
1 of 3
MEMBERS 1St
FEDERAL CREDIT UNION
PRIMARY OWNER:
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
CHECKING ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
INVESTMENT SAVINGS ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
PRIMARY OWNER:
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix
Date Account Established
Principal Balance at Date of Death
Accrued Interest to Date of Death
Total Principal and Accrued Interest
Name of Joint Owner
Date Joint Added
Virginia Maschmeyer
55226-00
04/08/1980
$5,232.34
$0.73
$5.233.07
None
55226-11
10/04/1985
$500.00
$0.00
$500.00
None
55226-05
09/27/2000
$1,744.49
$0.11
$1,744.60
None
Craig Maschmeyer
127468-00
07/13/1992
$375.40
$0.06
$375.46
Virginia Maschmeyer
09/26/2000
MEMBERS 1ST FEDERAL CREDIT UNION
Tessa L Klugh
Lending Insurance Support Specialist
December 3, 2012
Estate of: VIRGINIA MASCHMEYER
Date of Death: 09/23/2012
Social Security Number: 182-34-8534
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17050 I UPDATE Prking for
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__
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Trade-in Dealer Retail
$12,660 $14,947
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Optional Equipment
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REV-1509 EX+ (oi-1o)
~ ~ Pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCEIEpuLE F
70INTLY-OWNED PROPERTY
ESTATE OF: FILE NUMBER:
Virginia A. Maschmeyer 21-12-1057
If an asset became jointly owned within one year of the decedelrt's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT
A• Craig Maschmeyer ~ 4284 Winchester Road Allentown, PA 18104 ~ son
B.
C.
70INTLY OWNED PROPERTY:
ITEM
NUMBER LETTER
FOR mINi
TENANT DATE
MADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAME OF FINANCIAL INSTITiJTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY HELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET % of
DECEDENTS
INTEREST DATE aF DEATH
VALUE OF
DECEDENTS INTEREST
1. A. 09/26!00 Members 1st Federal Creidt Union #12468-00 375.46 50% 187.73
TOTAL (Also enter on Line 6, Recapitulation) I $ 187.73
If more space is needed, use additional sheets of paper of the same size.
MEMBERS 1St
FEDERAL CREDIT UNION
PRIMARY OWNER: Virginia Maschmeyer
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix 55226-00
Date Account Established 04/08/1980
Principal Balance at Date of Death $5,232.34
Accrued Interest to Date of Death $0.73
Total Principal and Accrued Interest $5.233.07
Name of Joint Owner None
CHECKING ACCOUNT:
Account Number/Suffix 55226-11
Date Account Established 10/04/1985
Principal Balance at. Date of Death $500.00
Accrued Interest to Date of Death $0.00
Total Principal and Accrued Interest $500.00
Name of Joint Owner None
INVESTMENT SAVINGS ACCOUNT:
Account Number/Suffix 55226-05
Date Account Established 09/27/2000
Principal Balance at Date of Death $1,744.49
Accrued Interest to Date of Death $0.11
Total Principal and Accrued Interest $1,744.60
Name of Joint Owner None
PRIMARY OWNER: Craig Maschmeyer
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix 127468-00
Date Account Established 07/13/1992
Principal Balance at Date of Death $375.40
Accrued Interest to Date of Death $0.06
Total Principal and Accrued Interest $375.46
Name of Joint Owner Virginia Maschmeyer
Date Joint Added 09/26/2000
MEMBERS 1sT FEDERAL CREDIT UNION
Tessa L Klugh
Lending Insurance Support Specialist
December 3, 2012
Estate of: VIRGINIA MASCHMEYER
Date of Death: 09/23/2012
Social Security Number: 182-34-8534
REV-1511 EX+ (10-04)
~ . pennsylvania
DEPARTMENT OF REVENUE
INHERRANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Virginia A. Maschmeyer 21-12-1057
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1' Ronan Funderal Home 255 York Road Carlisle, PA 17013 4,230.04
2. Luncheon 269.49
B.
1.
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City
Year(s) Commission Paid:
State ._ _ ZIP
2. Attorney Fees:
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
_ _ _..
Street Address
__ ....
City _ _ _ _. _.._._ _ State _ ZIP ___
Relationship of Claimant to Decedent
4. Probate Fees:
5. Accountant Fees:
6. Tax Retum Preparer Fees:
~• Advertise Estate Sentinel-$200.16; Cumberland Law Journal-$75.00
8. Appraisal Fee Morrow Jewelers Camp Hill, PA 17011
9. Estate Bank Acct checks
TOTAL (Also enter on Line 9, Recapitulation) ~;
If more space is needed, use additional sheets of paper of the same size.
6, 000.00
450.00
200.00
275.16
450.00
13.95
11, 888.48
Ronan Funeral Home
255 York Road
Carlisle, PA 17013
Tel: 717-258-9863
Lynn A. Ronan, Funeral Director
Fax: 717-241-4041
Mr. Robert Maschmeyer October 6, 2012
6214 Wallingford Way
Mechanicsburg, FA 17050
Funeral expenses of Virginia Anne Maschmeyer, September 23, 2012
Total Professional Services
$3,130.00
Minimum Alternative Container
Other Merchandise Selected
Memorial Package
Cash Advances
Newspaper Notice Sentinel
Newspaper Notice Patriot-News
Certified Copies of Death Certificate
Flowers
Transportation
LESS: Credits granted
$ 145.00
Total Other Merchandise Selected $145.00
$ 169.56
$ 324.77
$ 60.00
$ 127.20
$ 311.00
Cash Advance Total $992.53
Total Funeral Service Selected $4,267.53
$140.00
$100.00
Cumberland County VA
PLUS: Interest Charge
$62.51
BALANCE DUE $4,230.04
ESTATE OF VIRGINIA MASCHMEYER gp-8714/2313 110
ROBERT 1v1ASCHIv1EYER, EXECUTOR ~~~
7.919 ESTHER DRIVE ~~`~~~.._~~2
('ARLISLE, PA 1.7013
r~~Y ro
st
u
>~S3ZAARC UNIgN
•/~~pV ~~
+:`23L382241~~: 2L84793459i~' DLLO
Items purchased for Mom's after service get together at my house
Silver Springs beverage $101.93
• Soda, Water, Beer, Ice
Costco $ 75.71
Wegmans $ 91.85
Total $269.49
Tlie Sentinel
www.c~mberlir,k.com
V~iG~+~.'P1
c~usie srv~rissuac er~~v coun,?r
JACQUELINE M. VERNEY
44 SOUTH HANOVER STREET
CARLISLE, PA 17073
717-243-9190
AD NUMBER PAGE NO.
415043 1 of 1
BILL DATE SALESPERSON
10/22!12 woifc
START DATE STOP DATE
10!06112 10/20/12
AD NUMBER AD DESCRIPTION CLASS unt5
415043 EXECUTOR'S NOTICE LETTERS TESTAMEN 10 PUBLIC NOTICES 36 * 2 cols
Publication Insertions Rate Net Amount Gross Amount
3 THE SENTINEL -LEGAL 3 LGL $191.16
TOTAL AD CHARGE $191.16
3 PROOF OF PUBLICATION 01 PRF $7.00
3 MOBILE SITE MOB2 $2.00
Purchase Order Est. Maschmeyer PAY THIS AMOUNT $200:16 $240.19*
*AFTER 11/16/12
THE SENTINEL .,
Thank you for advertising with The Sentinel! Deadline for c/o LEE NEWSPAPERS
in-column legal ads is 4:00 p.m. two business days prior to PO BOX 540
date of insertion. For questions, call (717) 240-7130. WATERLOO IA 50704-0540
PROOF OF PUBLICATION
State of Pennsylvania, County of Cumberland
Tackie Cox, Sales Director, of The Sentinel, of the County and State aforesaid, being duly
sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the
Borough of Carlisle, County and State aforesaid, was established December 13,1881,
since which date THE SENTINEL has been regularly issued in said County, and that the
printed notice or publication attached hereto is exactly the same as was printed and
published in the regular editions and issues of
THE SENTINEL on the following day(s):
October 6,13 & 20, 2012
COPY OF NOTICE OF PUBLICATION
~r ~,
,~:.
' ,~
~ ~ «h_
F
5 ~~'{ ~ y
1w1;kr~lM`r+r
Affiant further deposes that he/she is not
interested in the subject matter of the
aforesaid notice or advertisement, and that
all allegations in the foregoing statement as
to time, place and character of publication
ar true.
Sworn to and subscribed before me this
2z~ 20IZ.
a~~
Notary Public
My commission expires:
NOTARIAL SE4L a..
BAMBI ANN HECKENDORN
Notary Public
CARLISLE BOROUGH, CUMBERLAND CNTY
illy Commission Expires Jan 27, 2014
CUMBERLAND LAW JOURNAL
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
Tele: (717) 249-3166 Fax: (717) 249-2663
October 19, 2012
Cumberland Law Journal is published every Friday by the Cumberland County
Bar Association and is designated by the Court of Common Pleas as the official legal
publication for Cumberland County and the legal newspaper for publication of legal
notices.
TO: Jacqueline M. Verney, Esquire
RE: Virginia A. Maschmeyer Estate
Legal advertisements must be received by Friday Noon. All legal advertising
must be paid in advance. Make all checks payable to: Cumberland Law Journal.
Advertisement inserted on following dates:
October 5, October 12, and October 19, 2012
Advertising Cost
Proof of Publication
Second Proof Request
Payment received
Total Amount Due
$ 75.00
$ 0.00
$ 0.00
$ 75.00
$ 0.00
Becky H. Morgenthal, Executive Director
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, approved May 16, 1929), P. L.1784
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ss.
Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and
State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law
Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid,
was established January 2, 1952, and designated by the local courts as the official legal
periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly
issued weekly in the said County, and that the printed notice or publication attached hereto is
exactly the same as was printed in the regular editions and issues of the said Cumberland Law
Journal on the following dates,
vlz:
October 5, October 12, and October 19 2012
Affiant further deposes that he is authorized to verify this statement by the Cumberland
Law Journal, a legal periodical of general circulation, and that he is not interested in the subject
matter of the aforesaid notice or advertisement, and that all allegations in the foregoing
statements as to time, place and character of publication are true.
' a Marie Coyne, itor
SWORN TO AND SUBSCRIBED before me this
19 day of October, 2012
~~ 1
>I!<aechme~er, Vilrsiaia A., deed. ~~ NOtary
Late of North Middleton Township.
Executor: Robert Maschmeyer c/o
Jacqueline M. Verney, Esquire, 44
S. Hanover Street, Carlisle, PA
17013.
Attorney: Jacqueline M. Verney,
Esquire, 44 S. Hanover Street, -~-~~
Carlisle, PA 17013. NOTARIAL SEAL
DEBORAH A COLLINS
Notary Public
CARLISLE BOROUGH, CUMBERLAND COUNTY
My Commission Expires Apr 28, 2014
Molrrow Farll•ar Jewelers
3750 Market St
Camp HiIL PAS 1T011
TeL• (7171737-5808
www.morrowfarrar.com
SALE sold To:
......Date: 11/15/2012 5:49:40 PM Mr: and Mrs. Bob Maschmeyer
Salesperson: RFH 6214 Wallingford Way
Entered By: JSM Mecfianicsburg, PA 17050.
Sale: 71504
bmash07@gmail.com
Ship To:
Item #: Description: Qty: Price:
C-69611 See Attached List of 21 Items; Appraise $450.0'0
.for IRS, estimate time and price (date of
death 9/23)
Job C-69611. Picked Up
Tendered: Check $450.00
Thank you for shopping at Morrow Farrar Jewelers
No cash refunds. Exchange with original sales slip.
No cash refunds, store credit only.
Subtotal: $450.00
Tax:. $0.00
Total: $450.00
REV-1512 EX+ {12-12)
~ pennsylvania SCHEDULE I
DEPARTMENT OF REVENUE DEBTS OF DECEDENT
INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Virginia A. Maschmeyer 21-12-1057
Report debts Incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1• PerCapita taxes Cumberland County/N. Middleton Twp 11.00
2. Hospital-University of Pennsylvania P.O. Box 824336 Phil, PA 19182-4336 1,156.00
3. N. Middleton Twp real estate taxesL school 201202013-$2015.55; county-$550.76 2,566.31
4. N. Middleton Water Authority $86.42; $83.07 169.49
5. Honda Finance Co. Oct, 2012 payment 323.19
6. Honda Finance Co, Payoff 2,501.12
7. Members 1st credit card 336.66
8. Century Link phone/cable $91.80; $94.51; $94.59 280.90
9. York Waste Disposal 49.73
10. PP8~L $162.98; 162.97;165.04 490.99
TOTAL (Also enter on Line 10, Recapitulation) (; 7,885.39
If more space is needed, insert additional sheets of the same size.
F + i + + ~ • ' + t # +
TAX COLLECTOR COPY -RETURN WITH PAYMENT FOR PROPER CREDIT
VIRGINIA A. MASCHMEYER
1919 ESTHER OR.
CARLISLE, PA 17013-1028
Payable To;
ROBIN K SOLLENBERGER, TAX COLLECTOR
5 HILL DRIVE
CARLISLE, PA 17013
PHONE (717) 249.0747
8ili No: 3727
Bili Date: 311112
Control No: 29.002191
OCC
COUNTY OF CUMBERLAND Discount Face Penalty
COUNTY PC $4.90 $5,00 $5.50
TWP OF NORTH MIDOLETON
MUN PC
$4.90
$5.00
$5.50
MUN OCC 0.000 $0.00 $0.00 $0.00
TAX AMOUNT DUE
it Date Of Payment Is On $9.80
3/1/12 thru 4/30/12 510.00
5/1!12 thru 8!30/12 $11.00
711/12 or Later
ESTATE OP VIRGINIA MASCHMEYER so-azz4/2313 111
ROBERT MASCHMEYER, EXECUTOR
1919 ESTHER 1?RIVE
CARLISLE, PA 17013 ~~'~~ GL's
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TAX COLLECTOR COPY -
MASCHMEYER, ROBERT W
8 VIRGINIA A MASCHMEYER
1919 ESTHER DRIVE
CARLISLE, PA 17013-1028
RETURN WITH PAYMENT FOR PROPER CREDIT Biti No: 2553
1919 ESTHER DRIVE Bill Date: 3/1112
Acres 0.26 Control No: 2929001856
NOLL MANOR MAP NO: 29-1ti-1094-099.
LOT 3
Payable To:
ROBIN K SOLLENBERGER, TAX COLLECTOR
5 HILL DRIVE
CARLISLE, PA 17013
PHONE (717) 249-0747
I
Assessed Value: Land: 40,000 improvement: 118,600 Thai: 158,600
County RE Discount Face Penalty
1.902 $295.63 $301.66 $331 83
1 g3
County Lib .143 $22.23 $22.68 ,
$24
95
Twp/Boro 0.694 $107.87 $110.07 .
$121
08
St Light 1 $72.90
$72.90 .
$72
90
TAX AMOUNT DUE $498.63 5507.31 .
$550
76
If Date Of Payment Is On 3/1/12 thru 4/30/12 5/1/12 thru 6/30/12 .
711112 ar Later
Payable To: ROBIN K SOLLENBERGER, TAX COLLECTOR Office Hours: MAR,APR
JUL
AUG TUES 10-4 & THUR 10
6
5
• ~
HILL DRIVE
CARLISLE
PA 17013 ,
,
MAY,JUN,SEP,OCT THURS 10-6 -
Biit No:
Bill Date: 2553
3/1/12
,
PHONE (717) 249-0747 APPT ONLY JAN,FEB,NOV,DEC; Control No:292900t856
MAP NO: 28-15-1094-099.
Deac: 1919 ESTHER DRIVE Assessed Value: Land: 40,000 Improvement: 118,800 Total: 158
800
Acres 0.28 ,
NOLL MANOR Discount
County RE 1.902 $295.83 Face
$301.66 P~~y
$331
83
LOT 3
f County Lib .143 $22.23
TvrplBoro 0.694 $107
87 $22.68 .
$24.85
. $110.07 $121.08
S1.OO~FEE FOR ADDITIONAL RECEIPTS St Light 1 $72.90 $72,80 $72 90
T„~~,y~ TAX AMOUNT DUE
1498.83
1507.31
;550.76
MASCHMEYER, R08ERT W
8 VIRGINIA A MASCHMEYER if Date Of Payment Is On 311/12 thrU 4/30/12 5/1!12 thru 6!30/12 7h l12 or Later
1919 ESTHER DRIVE _
-"
CARU9LE. PA 17013.1028
TAXPAYER'S COPY -KEEP THIS PORTION FOR YOUR RECORDS
ROBIN K SOLLENBERGER, TAX COLLECTOR
5 HILL DRIVE
CARLISLE, PA 17013
TEMP - RETURN SERVICE REQUESTED
OFFICIAL BOUNTY MUNICIPAL TAX BILL
tifriiltlili~li.niililfli~i„fili„itf.i,.,i,lt,,,iiit~"'Iltlll 87,1U-258
t MASCHMEYER, ROBERT W
8 VIRGINIA A MASCHMEYER
1919 ESTHER DRIVE
CARLISLE, PA 17013-1028
9
~~N
'f
d
u
i~nm~nm ,,,,a,u
T ~-e Hospi>wal of the
~,,y~.- Ewa q,..~Un/ve~ity of Pennsylvania
VIRGINIA MASCHMEYER
1919 ESTHER DR
CARLISLE PA 17013-1028
Pattern Name: Maschmeyer ,Virginia
StBtemertt Date: 11/1$/12
Service Drne(s): 09/06/12-09/20/12
Account Number: 108323180
Medical Recond Numfber: 053148912
•!
Ins. 1: NONGRP
.Ins. 2:
Ins. 3:
Ins. 4:
0
m
~tI't~3t)C~'~t"t'~ £;S'Ss~~
Your insurance Company Has Paid Their
Pardon Of This Bill. Prompt Payment Of The
Remaining Balance is Appreciated!
PENN MEDICINE PROVIDES FINANCIAL
COUNSEUNC3 AND WHERE APPROPRIATE,
SIGNIFICANT DISCOUNTS TO UNINSURED
AND UNDERINSURED PATIENTS IN
ACCORDANCE WITH THE REQUIRE-
MENTS iN THE PATIENT PROTECTION AND
AFFORDABLE CARE ACT. CONCERNS
ABOUT YOUR ABILITY TO PAY, CALL
CUSTOMER SVC AT 1-877-433-5299, M..F
8AM-5PM, SAT. 10AM-5PM EST,
Total Changes: 5201, 055.00
Payments/Adjustments: 5199 , 899 , QO-
Account Balance: 51,156.00
Please Pay This Amt: $1,156.00
Far questions, call customer service at:
(877) 433-5299.
Please Nbie; Yom physician wNl bill sep~i+ely for pof+essional services.
Psnn
1500 S'k. UM S00
PA 19102
ADDRESS SERVICE REQUESTED
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VIRGINIA MA5CHMEYER
1919 ESTHER DR
CARUSLE PA 17013-1028
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PO BOX 824336
PHILADELPHIA PA
19i 82-4336
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Payment Due Date Novembar 11, 2012
Current Payment Due $ 323.19
Total Amoum Due $ 323.19
Payoff Summary f
~~ ~
Payoff Amount ~ $ 2,498.94
Payoff Good Through November 11, 2012
Accoant /nllarrsna~on
Account Number 101625887
Vehicle Description 2008 HONDA CRV
VIN Number JHLRE48578C016483
Regular Payment Amount $ 323.19
Maturity Date June 11, 2013
Payments Remaining 8
AC~i ras>~t Slta~errran't
,vaco De~ytlon amount rorar
70/18/2012 Payment Received -Thank You! $ 323.19
Principal $ 303.20
Interest $19.99
s
MONTHLY STATEMENT
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hoindafinaincialseirvices.~lm
Cusftomer $arvfca:
tsoot 91 s-9939
Automated response 24 hours, 7 days a week
Associates available weekdays from 9:00 am - 5:00 pm EST
FOr COI ~98~dY!/CY fir:
Honda Financial Services
P.O. Box 65507
Wilmington, DE 1980&0507
FOB p8 ~:
Honda Financial Services
P.O. Box 7829
Philadelphia, PA 19101-7829
Moving is a hassle..
Changing your address shouldn't be.
You may have updated your address with the post office, and
now it's time to update your address with us. We provide you
with three easy and convenient ways to do it. You can simply fill
out the address-change form on the back of the payment
coupon, or you can call the customer service number listed
above. Better yet, just go to hondafinancialservices.com, select
'Account Overview' and click `My Profile." Staying in touch
made simple.
a One winner and a guest will get to visit Lipkin Park at their next
O° music video shoot in Los Angeles, courtesy of Honda Financial
Services. Ten first prize winners will receive an autographed
`" H~~ F~~~M,~~ sa~eS ~S a oea or n~~~~n,a~as F~ne~ co~c«s,;~n. Incubus poster. See official entry and rules on HFSGrad.com.
Kindly return this coupon and write your account number on the check 091st 7830677 009162 018321 00001!00001
~~~~~ .american Honda Finance Corporation
NU Box 65307
Financial wiM,inglon DTI 19808-0307
services
11 /14/2012
MASCHMEYER VIRGINIA
19l 9 ESTHER DR
CARLISLE PA 1.7013
OFFICIAL 1V'OTICE -ACCOUNT PAID IN FULL
Re: AccountA7umber:OOC1001A1(?5$$7000 VIN:.T.~-ILP~E413~?4C0164$3
.Dear MASCHMEYER VIRGINIA:
Thank you far financing your vehicle with Honda Financial Services (American Honda Finance
Corporation). Unce we verify your payment has cleared, your account will be considered paid in full.
Enclosed is your Title and/or Lien Release.
Additional Information
_ Unce your account is paid in full, to remove the lien. from the title, we recommend that you
contact your local Department of Motor Vehicle ageu.cy and }resent them with the title and/or lien
release documents.
i _ If you purchased Credit Life Insurance, Accident &. Health and/or debt waiver (GAP) coverage in
conjunction with. yottr account and did not previously cancel. this coverage, you niay be eligible to
receive a refund for unaccrued credit insw•ance or debt. waiver (GAP) coverage. To inc]uirc about
a refund, contact. your dealer or coverage provider to request a refund of an.y unearn. ed premiums.
Ifyou have other coverages in effect nn the accaunt. and you wish to cancel that coverage, it is your
responsibility to notify the dealer or coverage provider that you have paid off the account and would
like a refiiud of any unearned premiums.
Our records indicate. that your selling dealer was:
F.AULKNFR HONDA
P. O. BOX 2861
HARRISBURG PA 1.7105-2861
Thank you again for financing with us. We have enjoyed serving you, and look forward to assisting you
with future financing needs.
Regards.
American Handa Finance Corporation
American Honda f=inance Crnporation l PO Box 63507 ; VJi(mingtan, t)'E 19808-0307 ~ (800) 9) 6-9939
JHLRE48378CU16483 {pA) NF-RT-12C) R~-1 IQ) 1
vIR(iIN)A A MASCHMI'~YL-R
`" ~ ~enturyL.ink~M
P.O. Box 1319
Gharlatte, NG 28201-1 31 9
Account Name: VlRG1NIA MASCHMEYER Page: 1 of 4
Accoum Number: 313639513 Bill Date: Nov_ 13, 2012
~d11_Nul'11a@I`S.___.------.____.___ CU1"!'@11t Ch11'~@S $UIYtRk3t'Y _ __ Detai! Page
Pay onine _
www.centurylink.com/myaccount ~ CenturyLink Local Services 3 33.12
_.... .......ry
Pay by Phone __ _ __ _._.. ......
1-86&712-1996 ~ Centu Link Entertainment Services 4 of . d7
........... ....
.............................._.....
customer Service Tota! Current Charges 94. ss
1-aooasa-sso4
Customer Service Hours
Mon-Fri 8 a.m.-7 p.m.
Repair Service
1-aoa~$$-3604
Visit ~ online
www.csnturylink.com
Previous Balance Payments 8 Adjs Balance Forward Current Charges Amount Due Date due
gi .so ~ gi .aD c~ ~ o.oo ~ sa ~~ I 94.59 I DeC. 07, 2012
The Due pate On This 8111 Applies to Current Charges Only d 6
............................ .....
...._..... ____ _._._ _m .. ~.__._._ __...._.___...____ ___
"'PLEASE FOLD TEAR HERE AND RETURN THIS PORTION WITH YOUR PAYMENT`""
PLEASE REMIT PAYMENT 70:
1111111111"1~'lll'11111lI111~~~~~1111111u'llllll111~~11~~u1.n
CenturyLink
P.p. Box 1319
Charlotte, NC 28201-1319
Accounf Number:
313639513
AV 41 06208A 145868212 A••5DGT
VIRGINIA MASCHMEYER
1919 ESTHER DR
CARLISLE, PA 17413-1428
Amount Due Sy Dec. 07, 2012
94.59
111111111111'1'~~11'~~11'1~11'1~1~~1'~"11 `11i~~~I'11111111"11 FOR CHANGE OF ADDRESSOR PAYMENT AUTHORIZATION.
Please cheek here and complete reverse. Thank You, I-t
DDDD313b3951390DDDDOflDDODDODDDDDD00011131200D000945906000DDD
r;~u;~e~ (~ questions? Please Visit us online at rage ~
~..,+J contact us by Nov 26. `~ pplelectric.com
~~~ ~°"` 1-800-DIAL-PPL ,
`~`~^ (1-800-342-5775)
~. «~ uuNn•o M-F: Sam to 5pm 38630-78016 Nav 26, 2012 $162.97
Your Electric Usage Profile
Service to:
V A MASCHMEYER
1919 ESTHER DR
CARLISLE, PA 17013
Meter: 71133479
Your next meter reading is on or about Dec 3, 2012.
This section helps you understand your year-to-year
electric use by month. Meter readings are actual unless
otherwise noted.
2011 ~ 2012
isa
Z 125
Se loo
A
~ 75
`~ 50
~°
a 25
0
Nov 2012 2g 627 22 55F
Nov 2011 29
Nov 1 757
Actual 26 53F
71288
Oct 3 Actual 70661
29 Days kWh Billed
Dec 2011- Nov 2012 15750 627
1313
Dec 2010 -Nov 2011 16364 ~ 1364
Billing Summary {Bitting details on back)
Balance as of Nov 2, 2012 $O.W
Charges:
Total PPL Electric Utilities Charges 5162.97
Total Charges $162.97
' mount Que By Nov 26, 2012 .._
-_- _ . _. $li2.9y
Account Balance $162.97
PPL Electric Utilities' price to compare for your rate is 7.907 cents per kWh
effective 9/1/2012 to 11/30/2012. For a list of supplier offers, visit
papowerswitch.com or www.oca.state.pa.us.
Your Message Center
• Budget Summary:
We billed you $1,141.00
Including this bill, you used _~,~
After this payment, your budget is ahead $392.71
• With paperless billing, you can receive and pay your
PPL Electric Utilities bNls online. The process is free, o
quick, convenient and secure. To learn more or sign up, ~
visit ppleMctric.com.
• Information about appliance energy use and tips on
saving energy are available through the Energy Library
on our Web site, ppfelectric.com.
Payment Methods
Online at:
pplelectric.com
tsy pnone: i-Si)0-342-5775
or call BiilMatrix (service fee applies)
at 1-800-672-2413 to pay using Visa,
MasterCard, Discover or debit card.
By Mail: Correspondence should be sent to:
2 North 9th Street Customer Services
CPC-GENN1 827 Hausman Road
Allentown, PA 18101-1175 Allentown, PA 181049392
Other important information on the back of this bill ~
~;; m
,'>""` *A - ~ Return #his part in the envelope
• : provided w~h a check payable
~~~ is--
to PPL Electric Utilities. 38630-78016 Nov 26, 2012 $162.97
~~
AY 01 006010 63554B 21 A"SDGT
111'llllll~llhl~l'll'III'IIIIIIIII"I'I"II'lllil~tltl'll'II"'I
V A MASCHMEYER
1919 ESTHER DR
CARLISLE, PA 1 701 31 028
Amount Enclosed:
^oa^oao^
PPL ELECTRIC UTILITIES
2 NORTH 9TH STREET CPC-GENN1
ALLENTOWN, PA 18101-1175
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~ 7700001629770000162974 3863078016
J F M A M 1 J A S d N D
Months
=~,® k~ r.' "11 ~uC~ltU[1~[ riCA~C ~~ V15{L US U{III{le aL ~ pg~ 1
„w ~~ contact us by bec 26. Pplelectric.com
~~ »°~ 1-$~-DIAL-PPL
. „ {1-800-342-5775} 38630-78016 Dec 26, 2012
''"~ +~ ~ M-F: Sam to 5pm $328.01
Your Electric Usage profile
Service to: _ _..~
V A MASCHMEYER
1919 ESTHER DR
CARLISLE, PA 17013
Meter: 71133479
Your next meter reading is on or about Jan 3, 2013.
this section helps you understand your year-to-year
electric use by month. Meter readings are actual unless
otherwise noted.
2011 ~ 2012
lso
125
100
75
a
~ 50
a zs
0
J F M A M J J A S O N D
Months
Dec 2012 32 1077 34 40F
Dec 2011 30
t3ec 3 _
1379
Actual 46 46F
72365
Nov 1 Actual 71288
32 Days
Jan 2012 -Dec 2012 kWh Billed
15448 1077
1287
Jan 2011-Dec 2011 16584 1382
Balance as of Dec 4, 2012
Charges:
Total PPL EI
details on back
i'.97 .-... ~~~
dz y~;~
ectnc Utlhtles Charges $165.04 / ~
Total Charges _ $328.01
Amuuriit Doe By Dec 26
12 _
20
,
,.
.
_
.
_
_
Account Balance $328.01
PPL Electric Utilities' price to compare for your rate is $0.07544
This changes the 1st of Mar, Jun
Sept
and Dec
Visit per kWh.
,
,
.
papowers
or www.ocastate.pa.us for supplier offers. witth.com
Your Message Center
• Budget Summary: "'
We billed you $1304.00
Including this bill, you used5884.3~ -
After this payment, your budget is ahead $419.61
• This bill includes a previous balance. If you have paid
this amount, please accept our thanks and pay only the
current charges. 8
• With paperless billing, you can receive and pay your
PPL Electric Utilities bills online. The process is free,
quick, convenient and secure. To learn more or sign up,
visit ppielectric.com.
Payment Methods
Online at.
U pplerettric.com ®By phone:1-800-342-5775
or cal! BillMatrix (service fee applies} "--
at 1-800-672-2413 to pay using Visa, =
MasterCard, Discover or debit card.
By Mail:
2 North 9th Street _
Correspondence should be sent to: "'~
Customer Services ..
CPC-GENN1
Allentown, PA 18101-1175 827 Hausman Road
Allentown, PA 18104-9392 r
s
Ctther important information on the back of this bill -~
r ='
® Retum this part in the envelope
~~~ •`~ =i provided with a check payable
to PPL Electric Utilities.
ems. Ltednc t.ltitmois
AV 01 005372 790918 21 A*'5D6T
rtrrrrrirtilrr•rlr~lrllrlhu~llr~ir~t~nl~lNliF~lll~~~tlrlrrtr
V A MASCHMEYER
1919 ESTHER DR
CARLISLE, PA 17013-1028
PPL ELECTRIC UTILITIES
2 NORTM 9TH STREET CPC-GENN1
ALLENTOWN, PA 18101-1175
l~~r.,~rulli,irl,rill,~ltr„1.illiiiiilrlliiltruliriillll~iliil
1 510000328Q11QQOQ328Q14 ~863D78fl16
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08630-7$016 D®c 26, 2012 $:~;:g~="
Amount Enclosed: ~`' ~'' ~ J
^o^~o^~^
REV-1513 EX+ (01-10)
Pennsylvania
DEPARTMENT Of REVENUE
INHERTIANCE TAX RETURN
RESIDENT DECEDENT
ESTATE
Vir inia
NUMBER
I
1,
2.
3.
4.
5.
6.
7.
8.
9.
II
1.
1.
SCHEDULE
BENEFICIARIES
iF;
A. Maschmeyer
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under
Sec. 9116 (a) (1.2),]
Brian T. Maschmeyer 180 Bamstable Rd. Carlisle, PA 17013
Jennifer A. Maschmeyer 1919 Esther Dr. Carlisle, PA 17013
Britney A. McClure 6214 Wallingford Way Mech, PA 17050
Anne Marie Brown Fish 215 Rolling Road Broomall, PA 19008
Lone Ann Maschmeyer 6214 Wallingford Way Mech, PA 17050
Nicole T. Maschmeyer 180 Bamstable Rd. Carlisle, PA 17013
Lisa Brown 105 West State St. Media, PA 19063
Robert Maschmeyer 6214 Wallingford Way Mech, PA 17050
Craig M. Maschmeyer 4284 Winchester Rd, Allentown, PA 18104
RELATIONSHIP TO
Do Not List Tn
son
daughter
granddaughter
neice
daughter-in-law
daughter-in-law
neice
son
son
FILE NUMBER:
21-12-1057
AMOUNT OR SHARE
OF ESTATE
$1774;35%residuary
$174.00
$221.00
$466.00
$1318.00
$1263.00
$13.00
35%residuary
30%residuary
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE.
NON TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR 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. I ~
If more space is needed, use additional sheets of paper of the same size.
LAST WILL AND TESTAMENT
OF
VIRGINIA A. MASCHMEYER
I, VIRGINIA A. MASCHMEYER, of 1919 Esther Drive, North Middleton Township,
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 making void all previous Wills and Codicils heretofore made by me.
1
I order and direct my personal representative 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. However, my personal representative 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 become due and payable. If I do not own a burial
plot or a grave marker at the time of my death, I authorize my personal representative, in his, her or
its sole discretion, to purchase a burial plot and to erect a suitable grave marker at my grave, and to
expend sums from my estate for this purpose.
2
I give, devise and bequeath the rest, residue and remainder of my estate, together with all
insurance proceeds thereon of whatever nature and wheresoever situate as follows:
A. I give, devise and bequeath my engagement ring to my son, BRIAN T.
MASCHMEYER, of 180 Barnstable Road, Carlisle, Cumberland County, Pennsylvania;
Page 1 of 8
LAST WILL AND TESTAMENT OF VIRGINIA A. MASCHMEYER
B. I give, devise and bequeath my diamond earring studs to my daughter,
JENNIFER A. MASCHMEYER, of 61 High Bluff Road, Hilton Head, South Carolina;
C. I give, devise and bequeath my diamond huggies to my granddaughter,
BRITNEY A. MCCLURE, of 6214 Wallingford Way, Mechanicsburg, Cumberland County,
Pennsylvania;
D. I give, devise and bequeath my diamond lever back earrings to ANNE
MARIE BROWN, of 131 Columbus Avenue, Newton Square, Pennsylvania;
E. I give, devise and bequeath my diamond necklace to my daughter-in-law,
LORIE ANN MASCHMEYER, of 6214 Wallingford Way, Mechanicsburg, Cumberland County,
Pennsylvania; and
F. I give, devise and bequeath my diamond band to my daughter-in-law,
NICOLE T. MASCHMEYER, of 180 Barnstable Road, Carlisle, Cumberland County,
Pennsylvania.
G. I give, devise and bequeath my sapphire jewelry to my daughter-in-law,
LAUREN ELIZABETH MASCHMEYER, of 518 Seem Street, Rear, Emmaus, Pennsylvania.
H. I give, devise and bequeath my St. Judge gold meal and 14k gold cross to my
niece, LISA BROWN, of 131 Columbus Avenue, Newtown Square, Pennsylvania.
t I. I direct that the remainder of my gold and gem j ewelry be divided among my
~ daughters-in-law, LORIE ANN MASCHMEYER, NICOLE T. MASCHMEYER, and LAUREN
E. MASCHMEYER.
3
I give, devise and bequeath the rest, residue and remainder of my estate, together with all
insurance proceeds thereon of whatever nature and wheresoever situate as follows,
A. THIRTY-FIVE PERCENT (35%) of my estate to my son, BRIAN T.
MASCHMEYER, providing that he survives me by sixty (60) days;
Page 2 of 8
LAST WILL AND TESTAMENT OF VIRGINIA A. MASCHMEYER
B. THIRTY-FNE PERCENT (35%) of my estate to my son, ROBERT
MASCHMEYER, of 6214 Wallingford Way, Mechanicsburg, Cumberland County, Pennsylvania,
providing that he survives me by sixty (60) days; and
C. THIRTY PERCENT (30%) of my estate to my son, CRAIG M.
MASCHMEYER, of 518 Seem Street, Rear, Emmaus, Pennsylvania, providing that he survives me
by sixty (60) days.
It is further my desire that my personal representative, after consultation with any heir or
'heirs of mine who survive me, and in his, her or its own discretion, choose such articles from my
tangible personal property (exclusive of cash, stock certificates, bonds, and all other tangible
evidences of intangible personal property) as he, she or it believes will be useful to such heir or heirs
or desirable for him or her or them to have, either from a sentimental point of view or otherwise, and
to deliver such articles to such heir or heirs or among such heirs in equal or unequal shares as
determined by the further exercise of his, her or its discretion, provided no other heir objects to the
distribution. All tangible personal property not so distributed is to be sold, either publicly or
privately, by my personal representative, adding the proceeds of such sale or sales to my residuary
estate and to be disposed of in equal shares among my surviving heirs after payment of my estate
debts, taking into account the tangible personal property otherwise provided to them.
4
I grant my personal representative the following powers in addition to and not in limitation
of such powers as my personal representative 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
Page 3 of 8
~ LAST WILL AND TESTAMENT OF VIRGINIA A. MASCHMEYER
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.
(d) To operate any business that I may own at my death.
(e) To invest any funds ofmy 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 mypersonal representative the broadest investment powers possible,
providing such investments do not unnecessarilyprevent the prompt settlement ofmy
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 personal representative 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 ofmy 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 ofmy estate.
(j) To undertake any and all acts deemed necessary and proper by my personal
representative for the proper, advantageous and prompt management of the
settlement ofmy estate.
Page 4 of 8
LAST WILL AND TESTAMENT OF VIRGINIA A. MASCHMEYER
(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 she deems necessary or
proper to carry out the purposes of this, my Last Will and Testament.
5
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
personal representative for the liability of such beneficiary.
6
my Last Will and Testament. In the event ROBERT MASCHMEYER is deceased, unable or
I nominate, constitute and appoint my son, ROBERT MASCHMEYER, as Executor of this
ing to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and
appoint my son, BRIAN T. MASCHMEYER, as personal representative of this my Last Will and
Testament. I direct that my personal representative 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.
7
I hereby declare it to be my express desire that my personal representative employ the law
firm of Knight & Associates, P.C., of Carlisle, Cumberland County, 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,
Page 5 of 8
LAST WILL AND TESTAMENT OF VIRGINIA A. MASCHMEYER
the administration of my estate, and the execution of the powers herein mentioned. Any mention
of Knight & Associates, P.C. in this my Last Will and Testament, is my free and voluntary act and
through no influence by any person.
IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament
this ~ day of March, 2006
i rua . Masc eyer
Page 6 of 8
LAST WILL AND TESTAMENT OF VIRGINIA A. MASCHMEYER
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
I, Virginia A. Maschmeyer, 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.
it ma A. Masc r
Sworn or affirmed and acknowledged before me by Virginia A. Maschmeyer, the Testatrix,
this _~ 0 day of March, 2006.
Page 7 of 8
LAST WILL AND TESTAMENT OF VIRGINIA A. MASCHMEYER
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERLAND
~' .._ ~ t~ I/l'~~ ~~v)~L~~_t'~J ands (~q~ g ~-GGA-GH£ Q ,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 Virginia A. Maschmeyer 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 subscribed before me by f/Ll. ~ and
L' 6~-S Gatts~G-i+s 2 this ~ day of March, 2006.
F:\User Folder\Firm Dots\Wills\3919-lvamwill.wpd
Fage 8 of 8
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Social Security or Death Certificate Number Date of Death County Code Year File Number
Decedent's Last Name Suffix
First Name __.,
MI
MGSC.~Ir'79[~/.C r' ' Y~rJ:r7~~R
fl ADDRESS OF DECEDENT STREET: CITY; STATE: ZIP CODE:
Iti'! ~SallTtr' ~frYC ~'~i/i3~t /~i~F ~~ ~~
NAME AND ADDRESS OF PERSON REQUESTING THE OPENING OF THE SAFE DEPOSIT BOX
', NAME: ~oE7e/f Ir)r1X~lrr)e ,~r~
STREET ADDRESS:
G4,:;/~--[,CJG//~n9~ord Ltl~~ CITY:
/+'jtc~7G•'iic~~lUic, STATE:
p~ ZIP CODE:
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NAME, ADDRESS AND RELATIONSHIP IF ANY) TO DECEDENT, OF PERSON(S) PRESENT AT THE BOX ENING
a. NAME: RELATIONSHIP:
STREET ADDRESS: CITY: STATE: ZIP CODE:
b. NAME: RELATIONSHIP:
STREET ADDRESS: CITY: STATE: ZIP CODE:
c. NAME: RELATIONSHIP:
STREET ADDRESS: ~ ~ CITY: STATE: ZIP CODE:
NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED
NAME:
Mme,-r)b`rs ls~ ~cu
STREET ADDRESS: /~~
!'7/! .S ~~n CITY:
~a~/isle STATE: ZIP CODE:
r~.9 ~7ai
NAME OF PERSON MAKING LAST ENTRY DATE AND TIME OF LAST ENTRY~~
DATE OF CO ACT TO RENT BOX NUMBER OF BOX 1 TITLE UNDER WHIGH B XIS REQUESTED
NAME AND ADDRESS OF PERSON(S) HAVING ACCESS TO BOX
a. NAME:
Url' ins. ~GS~ha>P ~,'
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---- b. NAME:
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STREETADDRESS>' ~ ~ ~
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STREET ADDRESS: ---------.._..
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CITY: „ STATE: ZIP CODE:
t. ~ . 1~,,~ l< a,~4 ~ ~~~ /~ CITY: ~ STATE: ZIP CODE: '.
NAME TIT OF
I1;' ~~t PL YEE TAKING THE IN ENTORY
~v~vinnr ,[~c~c~~-?m><n+- -~rtl~~in n~-/~i~nrat.~Y
WAS A WILL IN THE BOX9 ^ YES ~ NO If yes, a. pate oT will: V
b. Name and address oT personal rap~esentative, if named in the will
NAME:
STREETADDRESS:~ ~W ~ ~ `,_ ~ ~ CITY: STATE: ZIP CODE:
c. Name and address of attorney, if any
NAME:
STREET ADDRESS: CITY: STATE: ZIP CODE:
485DDD47,D46 4850DD41D46 J
DISCLAIMER of INTEREST
This Disclaimer of Interest is entered into this 4~ ~~ day of (~'_~'(1~~' , 2012.
WHEREAS Lauren E. Miller, formerly known as Lauren E. Maschmeyer, is a
beneficiary in the Estate of Virginia A. Maschmeyer; and
WHEREAS since the execution of the Will of Virginia A. Maschmeyer, dated March 28,
2006, Lauren E. Miller has been divorced from Virginia A. Maschmeyer's son, Craig
Maschmeyer; and
WHEREAS, Lauren E. Miller acknowledges that under the Last Will and Testament of
Virginia A. Maschmeyer she would have received the decedent's sapphire jewelry and would
have shared in the remainder of the decedent's gold and gem jewelry; and
WHEREAS, Lauren E. Miller wishes to disclaim any and all right, title and interest in
said estate of Virginia A. Maschmeyer, specifically her sapphire jewelry and a 1/3 share of the
remaining gold and gem jewelry:
NOW THEREFORE, intending to be legally bound, Lauren E. Miller hereby. disclaims
any and all right, title and interest and proclaims that from now and until eternity Y shall not
make any claim to the estate of Virginia A. Maschmeyer.
I hereby set my hand and seal the day and month first written above.
WITNESS:
E C~
~ '~~ ~ r~,
LA REN E. MILLER
~'
LAUREN E. MASCH IEYE
'_
Sworn or affirmed and acknowledged before me by Lauren E. Miller, formerly known as
Lauren E. Maschmeyer, this _ day of ~~~, 2012.
coMr~oNw~rH of ~NSY~vrww
Na~lse~
Notary Public ~01~'" w' ~°~ ~ ~~
cxi- a ~Ilentown, ~, county
My Conniledon ]ix~e 22, m35
~snv~- ~ssocuioe ~ Noru~s