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Home My WebLink About12-27-12 (2)---~ REV-1500 Ex (o1-1°) 1505610143 OFFICIAL USE ONLY PA Department of Revenue pennsylvania Bureau of Individual Taxes OEPARTMENTOFREVENUE County Code Year File Number PO 60X.280601 INHERITANCE TAX RETURN 2 1 12 0 0 8 5 1 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 162 22 4894 07 23 2012 04 08 1928 Decedent's Last Name Suffix Decedent's First Name WOLF MI KATHRYN L (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS ® 1. Original Return ^ 2. Supplemental Return ^ 3, Remainder Return (date of death . prior to 12-13-82) ^ 4. Limited Estate ^ qa Future Interest Compromise (date of death after 12-12-82) ^ 5. Federal Estate Tax Return Re uired 4 ® 8 Decedent Died Testate (Attach Copy of Will) ^ 7 Decedent Maintained a Living Trust (Attach Copy of Trust) 1 8. Total Number of Safe Deposit Boxes ^ 9. Litigation Proceeds Received ^ 1 p. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) ^ 11. Election to tax under Sec. 9113 A ( ) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name CRAIG A D I E H L ESQUIRE CPA Daytime Telephone Number 717 763 7613 First line of address 3464 TRINDLE ROAD Second line of address City or Post Office State ZIP Code CAMP HILL PA 17011 Correspondent's a-mail address: c d i e h l@ c a d i e h l l a w. c o m REGISTER OF WILLS tt~iE ONLY C .:J ~1 r~ ..s~ (~~ :~ '~ . ^ +~ -.E.. I a . ~ ~~ 5 ~~`., `~ "". ;~ ~- ~..N,,e . t, ~ `i .:--~ATEf~F4LED~w3 ..i .. ~..: , . r`y ~, ... ~~ w.~m` ~,~~~C~ Nc~iaiues or per)ury, i os~iare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complet Declaratio of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGN URE. F PE ON RESP SIBLE FO FILING RETURN 1(./' DAT ADD s William T. Wolf ~~ ~~ , .z,. 3013 Lincoln Street, Camp Hill, PA 17011 C1(~AIA TII vlvlvn I vr« yr rRCY/iKtFC V I FitK i N REPRESENTATIVE ' DATE ' Craig A Diehl Esquire CPA ~ ADDRESS 3464 Trindle Road, Camp Hill, PA 17011 Side 1 1505610143 1505610143 J l hlL/ J REV-1500 EX Decedent's Name: WOLF , KATHRYN L . Decedent's Social Security Number 162 22 4894 RECAPITULATION 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. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ............. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ............. 7. 8. Total Gross Assets (total Lines 1-7) ...................................................... ................. s. 9. Funeral Expenses & Administrative Costs (Schedule H) ......................................... 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10. 11. Total Deductions (total Lines 9 & 10) ................. ..................................................... 11. 12. Net Value of Estate (Line 8 minus Line 11) ............................................................. 12, 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. TAX COMPUTATION -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 .00 15. 16. Amount of Line 14 taxable at lineal rate X .045 4 7 6, 0 4 7. 4 7 16. 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 1 g, 19. Tax Due ..................................................................................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2 1505610243 150561D243 8,903.76 87,748.94 416,921.39 513,574.09 35,827.80 1,698.82 37,526.62 476,047.47 476,047.47 21,422.14 21,422.14 1505610243 REV-1500 EX Page 3 Decedent's Complete Address: Fite Number 21 - 12 - 00851 Wolf, Kathryn L. STREET ADDRESS 124 North 31st Street c ITY Camp Hill Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A• Prior Payments B. Discount 3. Interest STATE PA ZIP 17011 (1) 21,422.14 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. Total Credits (A + B) (2) 0.00 (3) 0.00 (4) (5) 21, 4 2 2.14 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; or ...................... d. receive the promise for life of either payments, benefits or care? .............................................................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without x receiving adequate consideration? ...................................................................... ^ ................................................. x 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... ~ a 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ................ 0 ^ ........................................................... . ..................... ..................... 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 r . Y ..., >; _ 1.. - ~,.. ~ .T.. _ .... _,. . ~.,,:<: ._ ,:. _ ~ ,~ ,, Jul 1, 1994 and before Jan. 1, 1995, the tax rate im ,osed on the net value of transfers to or for the use of the survivin spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. p g For dates of death on or after Januarryy 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 stafute 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)]. • sibling is defined under Sectiont9102, as an individual whothas at least one padrent n c~olmmon wi hphe decedent whether ba)b ood oAado tion. Y p t ~ n COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF WOIf, Kathryn L. FILE NUMBER 21 - 12 - 00851 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION NUMBER 1 ~ 192 shares of Pepco Holdings, Inc. $19.64/share 2 I U.S. Savings Bonds -Series EE (12 $100.00 Bonds) See Attached 3 I U.S. Savings Bonds -Series EE (40 $50.00 Bonds) See Attached UNIT VALUE VALUE AT DATE OF DEATH 19.64 3, 770.88 1,614.60 3, 518.28 TOTAL (Also enter on line 2, Recapitulation) 8 903.76 Calculated Value of Your Paper Savings Bond(s) Yage 1 of 1 ~ ~ ~-~~ Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 07/2012 $600.00 $1,614.60 $1,014.60 $40.72 Bonds: 1-12 of 12 0409199911 EE $100. 06/1993. 08/2012 .06/2023 $50.00 $56.48 4.00% $106.48 0409199910 EE $100 06/1993 08/2012 06/2023 $_50.00 $56.48 4.00% $106.48 0387216387 EE $100 02/1993 08/2012 02/2023 $50.00 $84.12 4.00% $134.12 0361682600 EE $100 08/1992 08/2012 08/2022 $50.00 $86.80 4.00% $136.80 0361682597 EE $100 08/1992 08/2012 08/2022 $50.00 $86.80 4.00% $136.80 0361682599 EE $100 08/1992 08/2012 08/2022 $50.00 $86.80 4.00% $136.80 0361682598 EE $100 08/1992 08/2012 08/2022 $50.00 $86.80 4.00% $136.80 0308851477 EE $100 07/1991 01/2013 07/2021 $50.00 $95.20 4.00% $145.20 0308851476 EE $100 07/1991 01/2013 07/2021 $50.00 $95.20 4.00% $145.20 0309377367 EE $100 11/1991 11/2012 11/2021 $50.00 $92.36 4.00% $142.36 0309377368 EE $100 11/1991 11/2012 11/2021 $50.00. $92.36 4.00% $142.36 0308851475 EE $100 07/1991 01/2013 07/2021 $50.00 $95.20 4.00% $145.20 Totals for 12 Bonds 600.00 1 014.60 1 614.60 NI Not Issued NE Not eligible for payment P5 Includes 3 month intere st penalty MA Matured and not earnin interest http://www.treasurydirect.gov/BC/SBCPrice 12/5/2012 ( ~~ / ~~ `'. ,~4 '~ . ~~ ~ti. t ~~ ~~ F: f [ ~~ ,~.~•~~ _ 1 ~~_ 1 ec,~ i~l'~ ~. -INTEREST CEASES 9OYEARS , ~; ,~ .. ,,..: ,..~. FROM ISSUEDATE _. _D,-Ex IP.P.Q ~~~~ - k "_ _ x4 ISSUING AGENT'S d~ __ -t' ~~` _. -_ _ - ___ '.' _ S~ - ~ SATING STAMP --- ..Y ~ x ).. ~.` ~ --- -- - -. - _ - ,,,E-..~~~~~...,,~ :SKrr..y.,~nr~.,u.x~ -C3088514~5EE x:000-09000 ~~:0 4 ~ •_ 20 3088 5 ~ 4 ? 5~i' •y '') ~ -' •~ruaa.l~•xruAw~ZS~i"7•'r`~~4 fiF5+YfT F?.15.:';7T7.7RIF3f7~" rr r 9. . - - 5~'i~1xi51Y:+3~F.r`'S.yr~' ~ _:~ `"~fi~~tS,~,x,~7 Sfl't~f°d~i'~+!~Y` ~+ b~i'~i "~ ~{ ~ ~ ~,Sd;9'~J1~;_h~iB;ti'i676:UNk4:6u6~ChtIC~M.1i.e F ~ 'fh$3~1k~1r6'b^6 t ' t ,y rr Fs`s' d/Jf~= t ~~ .o~_ .c.~ r-..a~m~~~` ~°~`n~~'I~U~PE a`~~ d'i~.r~iaj~Q~ ~~~ r .;e_ ...~..~.~..~..~.~ .~~~~ ~~ . _~ ' _ ~ INTEREST CEASES 30 YEARS _ ~ ~ ~~ - ~ FROM ISSLIE~DATE~ ~~ - ; • L I ___ ---- d ' ~ a~'Ir1~~~ tt ~ ~~ ~ y ~~~ tSU IJL~EN~ ,~ ~t ~- - a °~ T ~. `~ r Vii' ~ ~ ~! ~ ~ !.~ ^ ~ A : ~ ~ ~~~ ~ ~ ~. . ~ :_ __ ,_ - _ ~~~~c~~~~~ did ~ ~ ~ ~ ~ 1 ~ ~ ~ ~ f- „~ ~- ~ ~ 3~ ~ - ~ ~ -- - - _ - - _ _- I t _~ - ~- - ~ C3095~1368E .s~n,.~r,,,r,..~n. .~ - ,:, x:0000 9000 ~r:0 4` - ?0 30 9 3 '7 7 3 68n' .,.~ 1 ~~ ~'~....~.,~~ 1 _ INTEREST:CEAS ES 30 YEARS .. .,,, ... ,.. .. FROM.. ISSUED ATE ~ ~ _ ., .t ;; ~ ~ ~5x+ SOC ..LC/_F~f I,. I.G.,, ~. J.. r, ~~ 7'~ I 4 • ~ ~ -- e - 1 ' ~ :~~ ~,~ '~ .. r- _ _ _ __~._ ~~~DING b~ ~ ~~ I , t ~~ ~ ~~- ~~< ~ ~ t ~ V - I ~ 1 ~ooo0 9000 ~~ = ~'~ ~~ - ~~' ~ 603093735?~~ ~~ '' ~~ t+Bxa~f~~u:~L~'~u,- _~`'.'~+~ r 62G iYx'{~;a.~' fr ~Gfi7F~'5`Gbfr eP6~9:d'~fi' ~ c~.S`'"'`".U'B~G'~6-.9~fNB.&t.~0"7r6~fk'~ i676ris@:tkG~B~BCflafi~n~nn~rr-rw+.r:-xaa.a.~_> > ~ ., _ - - - r ..;i ~ . -. I , f' ~~ (~~. ~LIt U~ t, t u~~~l ,~E4>:~{~ 'mil'/1H~IAViJ~~\Yt!a7~~ ~4 \.r ~. tic~.~e~a..rm~..n @~1 ,.. ~gg5-.l'am' ~ ~ ~ rpEit164 \ei ES~,. "% esp. ... ' '1~~L7~'kJ (GI~TIl~1~i~1~~f.~~C~~I~I~G~tH I'~~. - ~~.: :E d~.~~.....s~. ~'...G .~._ , I JLJ J~ i~_ INTEREST. CEASES 30YEA RS -~ - c ->t / t-'' - ~ .. ~ FROM.ISSUE DATE :- '~.. . - r ~~jj _, __. - - -~: ~ ,~ .--~_. ._....._~ .. ~fl~~. . -- ,, - ,, ~t _ -- fi ~~~~ ~ ~~~ - ~ _ fiJ '~ r ISSUING AGEN75 ~' ' DATING STAMP ~ ~ „e,_ LL rye , r s -- . ` -C~088 I' 51I4~bEE ~ .=E'[ _ ..,,L _.SKli)t[JAlI~llrrtFfu _ +:0000 9000 7+.O a ~ ~ 30 3088 5 ~ ~,'? 6ii' `~~ \~~~ 1 V J INYlYN'iY~O -lOG(YiQ: - ~`~~~ ~~'~'lt), ~~,{c` ~,~~J ~C~1; ~!~r_` - 1NTEREST~ CEASES 30 YEARS ' - FROM iSSUE'D ATE ~. ~~ _- _ _:~ I -~ SOC SECI.EMP ID NO~.:•••~ 'V•- i.~ ~ ~ - _ err z ~ ~ .~ ~ I ~ r_~ ~ ~. ~ e ~ -~ ~~ - ISSUING pG ENT'S ~ 3 ~~ °--~ ~ ~ DATING~S TAMP \ ~ ~ s i I L [ u *~ r- 1 vrc 3 {~ ~ ,:~ -7y ~ >_ p~ ~ - _ ! r - - .~.. +00~0090007+e0~, =~ 60361`68.2598ti' ~~A~. ~~~'t']C't3;$"tvpi%~+'~"'1`. {:'lT~,~S~,S~ilr~J7l.'.ti.j, ~;9W);~fl:!klihkH.-Iafr-RM: is -~r:sw .,...... ~.......... ,.-..., _ - ~ ~~-'~i fi= a _ m - f rOdbt~t 1 \~~;..~,: _ 'l~.i.~ll s'~:~FT,~Iy~I~i~l \~i;l ~~ J~~1~j I1~1'°l Y,~~ -- .INTEREST CEAS.E53D YEARS ~~ ~ ~ ~ ~ ~ - FROM ISSUE DATE t . V _ ~. J - -- - a i ,. ~~. ISSUING AGENT 5 ~W k { I r- i n-~ ~ ~ i yam- - - _ -~- - ~ ` DATftJG STAfi1P , ,,s, ~. i ..: ~n ` _ ; t"'~; .~~~~~~~~~ ~ ~~ , r ~, ~ ~ I k ~t ~~~ ~ - - I --~ ~, - =C 3 616 ~ 25 9 9 E E x;00009000 7~:0~ - ~0 36 X68 2 599j!' i~.s~J:~_uai~3~r....,,:.A+kvi~s.3iriJi~``} t,lyb~C:$~:6:A~.U~~.ti 't«t~eF r„ »- +.:i;:FnS~r..7~C~~iJi3~ar.G~i" ~~"i':i<3rJaF."~ Z~lii~-51f' ~.`i~fsf~a/1~3+Y~`~ t 4v'FA~r~)7Cw~~~t~w,r.,,. ~S'Li.):`:y..~ ~;lFl`~~~'.:l ~~~L~'Il)~~~~i~J ~<J ~~~IIJTu l[l ~i.. =INTEREST CEASES 30-YEARS deb, - ..~ .m'~ ~.-~~t .,,,r.,. ,~~.n..« _-~,.,.. _~ .av .0.:0.6, . ..-" t~. `gyp .~c.. _ ~ FROM ISSUE DATA" _- ~ des a.. - i -.~...e._ _ - SGC EFGlEk P 1D NO ;~I,. f. - - a~ ~;~~, ~ ~ '~~ ~ ` _ 2, S x " i ~ .r ~ ~a }I F xis ~.S # ~ f f ."~~ .., r 4 £`. Y^ f ~ ~. V r~'~ =: 5 ~a _ i '~ 1 ^7 - ~ ~~ )SSUING AGEN75 I ` '~' ~ \\ "rA'I.~JI :t ~~4~ ~- 1 H~ , ~ ,S 2 ~ DATING STAt+IP~ ~` ~ ~ - tM4 -~ \ fN, ` `~~ Imo. L _'Mk (L~ ~S~' `~~ ~ Jj. I - • r ~~z~,~ ,~~~- '~~ fF'~_~~~; ~~ ~ ~,! f '7 t ~ ~: ~ ~~C~~b1b8259~E~ ~~~,~ ~. ~~~~~~ - ~~ T ~~ ~~~ ~ - ~\ ~ ,t_ ~`-~_ ,-~r~ ,. ~~~~0000 9000 ~~..04 - 50 3 6 ~~$`2 59 ~~-` ~° ~v ~~'. ~a%%!/~~~!jl'1~11~ 1ttP~~.~ 19~\ n w• ~ -v . J,~~ _ ~0 ~ - „-r`•~`r,,,,--t ,,,r, - - •. •. ,. , _ :.. ry i ~~~~~rt~:~ ~~~.~s ~ _- S-~ ~ _ i t ~t,`F71 ~~~S,r,g~! iTi~` INTEREST GEASE5~30 YEARS taG ~E~tl'\1~ ~ ~~~1~1C 1111 ~~11 i~Ai 111 R ~J-1~-~.,1~_t .1c[.-. ~ k FROM ISSUE DATE ..~ ~. _; ..~ ~ ~ ~~~ ~. ; s' s #~ ~ - ~~ ~ ,fse r ---- ' a' y. . `scc s~'~iEM~ m r+a _ _ ~ c 5 ~'r G'~ k~ ~f ~~ Ill, ~ r ~ ~ ~~ _ 3 3. Fa '~ 0:i ~i .~, Y~.i a ~" "~z ~ ~ «- _ - - ~~ ~ ISSUING AGENT'S - _ i - - - _ } DATING STAMP L ~ ~ ~ ,e+, °~ s ~ E ~, ~ ~ ~~ x _ ~ ,~ ~:~--~ ~ ~b~~ t - - s.,,,,.,r,,. , <,,,<,F.v; ~~~ ~` ~~\`. x:00009000 7~:0~ 80 36. X68 2600~~~ 3 9'{ t'.`wx~h`iM"'CtA ^t~"s+s:.tL'O,tiS +7C5~7R12 di 9:: a '_ RS"a+Y.ti3~S .. ...... _.xiN ~ A,.;,:,,rx~Et~'«;9a,cfl:{Etxf,r~7:6rJ. t4~* u v ~~ -~ ` ~~ `~ a~` ,o ~~ ~~E~;S~R~l~~~flE~E~~tll~~f~~~lt~~~~i~~~~~~U~~~i~,AE~i'i1s~1~~E~'~1~ :~z ?:N• - ~ l 7 pt ~ 1t ;7 a u QF~~~iE~~t ilp~`-~.~1.7 Ej E~lY nE `~i ~f ~~~i.~lli~~.:~~gi~`. ~~ ~~ -_1NTEREST.C.EAS E530 YE ARS - : FROM.ISSUE DATE } / T Y`, - - ' ~ s "- ~ ~ _ .~ .. ~ 1 ~ 5 r S,.''i c~ - 1 - ~.. 51 1 G NT ~ . r, ~. ~~ ~ v ~ ~ ~ ; DATING ~ ~ STAMP _ ~E~1Ct + A11 _. ~.000D9000 ~~,04` ~-~~ ~ ~'L ~~- ~ I ~-'-~C40919991QEE ~~.~../~r, , ,,,...~«<, ~0~09 X999 io-,. ,~„~ , .~~~. s.; __ , `~'~~ ~.,~.., UGC SE_/EI.tF IU ~NO ~ 1--~--. :~ 1 ~ J„ ~: ~ ~ } r f ~. ~x ~-_ ',~-3 ~ ~ ~ _ _ lit e. ., _ ~ } ~4.`a,~ .l l..r'~~,i chi,' ~~ ?J ~1~3f.~.~ ~_~ -s~ ~ ~~ i~'?'# i~ ~ ~,3.~~~i r' ~ -i.~ ~ 7 ear ~t # ,~~~.~b 7~'~ ` ~_.._ - --- ~T -' Wiz" J.c_~.-f--~`- _ -. -_P_,.~~ _ ,a. - ,1r ,.lr ,.~rti~. /~..~,,,ry . ~ aeooo09000~~0:0~ ~~ ~ ~0~,09 i99~ Calculated Value of Your Paper Savings Bond(s) Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 07/2012 l,ooo.oo 3,518.28 2.518.28 Page 1 oi~ 2 _.----- 64.54 Bonds: 1-40 of 40 L422167761 EE $50 03/1990 09/2012 03/2020 $25.00 $50.52 4.00% $75.52 L422167760 EE $50 03/1990 09/2012 03/2020 $25.00 $50.52 4.00% $75.52 L422167759 EE $50 03/1990 09/2012 03/2020 $25.00 $50.52 4.00% $75.52 L422167758 EE $5'0 03/1990 09/2012 03/2020 $25.00 $50.52 4.00% $75.52 L476450041 EE $50 10/1990 10/2012 10/2020 $25.00 $49.04 4.00% $74.04 L476450044 EE $50 10/1990 10/2012 10/2020 $25.00 $49.04 4.00% $74.04 L476450040 EE $50 10/1990 10/2012 10/2020 $25.00 $49.04 4.00% $74.04 L476450038 EE $50 10/1990 10/2012 10/2020 $25.00 $49:04 4.00% $74.04 L476450042 EE $50 10/1990 10/2012 10/2020 $25.00 $49.04 4.00% $74.04 L476450045 EE $50 10/1990 10/2012 10/2020 $25.00 $49.04 4.00% $74.04 L476450043 EE $50 10/1990 10/2012 10/2020 $25.00 $49.04 4.00% $74.04 L476450039 EE $50 10/1990 10/2012 10/2020 $25.00 $49.04 4.00% $74.04 L419367989 EE $5'0 09/1989 09/2012 09/2019 $25.00 $52.04 4.00% $77.04 L331708627 EE $50 04/1988 10/2012 04/2018 $25.00 $56.76 4.00% $81.76 L363675338 EE $5'0 10/1988 10/2012 10/2018 $25.00 $55.16 4.00% $80.16 L331708626 EE $5fl 04/1988 10/2012 04/2018 $25.00 $56.76 4.00% $81.76 L331708625 EE $50 04/1988 10/2012 04/2018 $25.00 $56.76 4.00% $81.76 L331708628 EE $50 04/1988 10/2012 04/2018 $25.00 $56.76 4.00% $81.76 L363675336 EE $5`0 10/1988 10/2012 10/2018 $25.00 $55.16 4.00% $80.16 L363675337 EE $50 10/1988 10/2012 10/2018 $25.00 $55.16 4.00% $80.16 L363675339 EE $50 10/1988 10/2012 10/2018 $25.00 $55.16 4.00% $80.16 L308833024 EE $50 08/1987 08/2012 08/2017 $25.00 $58.40 4.00% $83.40 L308833025 EE $50 08/1987 08/2012 08/2017 $25.00 $58.40 4.00% $83.40 L308832962 EE $50 06/1987 12/2012 06/2017 $25.00 $60.06 4.00% $85.06 L308832960 EE $50 06/1987 12/2012 06/2017 $25.00 $60.06 4.00% $85.06 L308832958 EE $50 06/1987 12/2012 06/2017 $25.00 $60.06 4.00% $85.06 L308832959 EE $50 06/1987 12/2012 06/2017 $25.00 $60.06 4.00% $85.06 L261077997 EE $50 10/1986 10/2012 10/2016 $25.00 $71.50 4.00% $96.50 L281267251 EE $50 12/1986 12/2012 12/2016 $25.00 $61.76 4.00% $86.76 L281267351 EE $50 02/1987 08/2012 02/2017 $25.00 $60.06 4.00% $85.06 L187179695 EE $50 08/1985 08/2012 08/2015 $25.00 $75.40 4.00% $100.40 L187179696 EE $50 08/1985 08/2012 08/2015 $25.00 $75.40 4.00% $100.40 L155259623 EE $50 02/1984 08/2012 02/2014 $25.00 $81.54 4.00% $106.54 L155259626 EE $50 02/1984 08/2012 02/2014 $25.00 $81.54 4.00% $106.54 L155259625 EE $50 02/1984 08/2012 02/2014 $25.00 $81.54 4.00% $106.54 L155320574 EE $50 04/1984 10/2012 04/2014 $25.00 $81.54 4.00% $106.54 L155259624 EE $50 02/1984 08/2012 02/2014 $25.00 $81.54 4.00% $106.54 L112595978 EE $50 03/1983 09/2012 03/2013 $25.00 $87.06 4.00% $112.06 L123695955 EE $50 06/1983 12/2012 06/2013 $25.00 $85.84 4.00% $110.84 L18378846EE EE $50 07/1980 07/2010 $25.00 $142.40 $167.40 MA Totals for 40 Bonds 1 000.00 2 518.28 $3,518.28 NI Not Issued . - http://www.treasurydirect.gov/BC/SBCPrice 12/5/2012 Calculated Value of Your Paper Savings Bond(s) Page 2 of 2 NE Not eligible for payment P5 Includes 3 month interest penalty MA Matured and not earnin interest http://www.treasurydirect.gov/BC/SBCPrice 12/5/2012 ~0 ~r , ~` ` ~ ~,~ ~.~'~ :~~~T 5T CAf~~ ~~LL ~~ ~' (~.~ A , . ~. ~~s ..,~_f.. S.,d,~ lJlE7TY CD!!D ACi. AS AMENGED, +i EO;;r,`tnWE eacr, rtreov. ~....~, (aaut DATE WHfCH IS 7HE FtR57 DAY OF (MONTH) __~ (YEAftt -. tir~~~ '~, t DATING STAMP ~ '" ~ f a ~ / y ~ ~ a _`___ ;~ a n NI L1S3788 (~~EE :~i oI 1` J ' fi .i . ~.. Et y~ ~ • iE• N mar . 1 '' 'T/S ;r,llf,t¢ ~, ~ ;. ~ 'y.tS v. r3 ~ d1 ~ ! %r ;' T ~~ ~ b -- r app} : ~ ~ ~ ~ ~ ~ ~- q ~f{f. ~- c ~~ ~~ L€ ~ f ~ 4.:~.*b:~!~ ;~F <4`T.m 9~'' p ~ -<~~~~ ' T ~ ~ ~ - -.~ J ~ ~1 ' ~ ~ i ~ l r ' . . J ~" "" mm~ s _ ~s != " - 'b' `rFf.. ruH --- F.WiLL PAY . / Z ~ ... ~~ ~ ~~~ ~~~~j ~ ~ ~` ~~~~~~ ~ ~ ISSUE DATE -- r-.`"" _ ~' ~` ~''~' _ -~ ~--~ - -. - - - WHICH IS THE FIRST DkY GF -' - 7" Todd L. jn'a1f i96-18-.14.79 , 3u n e I983 p«M1 ~ /~..'b..~ Icy 'J ~ ~ ~ N 124 `•~ 3-lsti .Street GaTnr~ Hill Fenna. 17011 _ _ _ _ _ _ _ _ _ (MONTNIj-~_-_ -` (YEAR) - at`F ~~+ E ,~ ~ ' ~~~Sj , ~~r t - A , or ~ ~'~~ ~ ~ XE ~' i' ~ ~ 1 ;~ ~~~. ~~~ .-< _ ~ Cathryn L. ''olf rY T { ~ ISSUING GE T6~~ '~D {LE _ ¢( 11 DAT~G ST~P / ~~.: .-t ; ` ., - .. ` ~~~, ~ ~ ~ ~ ~ ~~ '- - _ - - iii 3~~~ ~ _ _ ~ a ~ ~- - - - - --. . ~ - - - THIS BON015 ISSVED UNDER AUTHORI JD IiEERTY BOND ACT, AS AMENDED -- - - AND IS GUEJECT.TO THE TERMS ~ ATEO ON THE RACK NE REOF ~ I` r i ~ ~ ~ ' ~ ~ ~ ~ r ' . ~ OECARTMENT OC THr TREASURY - ~ - /[,/j,>~~ ~ ~la.`.ci WASHINGTON ~ '~ S / /G} % ~ - . - frrc ary O t rtvlury ;.'.,s'~f~,1;~.rL -,~1 +l.A'~c~~,,,. E r I ~ ~Jli~ a `~ ' J f ~-~~ !'~ St~~~S..~ -.,,~,•.. 17 11 ~ ~ ~ EI`; Rr n xf.::.:?>-•~ f Na AT THE MATURITY HEREOF WIL~~L;.P~A~Y, d' ~W" I II •,~ ~ ~ ~~~~~~~]~ sS ISSUE DATE E s~, -. . ~y'?~~;i~•;,! WHICH IS THE FIRST DAY OF ~ r~ /~. 6 ~~-. ,. To Kathryn L, Wolf 162-22-4894 MhR. 1983 'r` 124 N _ _ -~. ~` _ - ~ 31st. Street `""~~=~~~tt3R"R' ~: ~. >~ C arr:p H i l I, Pig 17011 ~ ~i ~' ~ _r ~ \ or 8q~k and tros~ Cab, b k , 5 ...y ` Todd L. Wolf + 165UING AGENT~6 11 I ` DATING 6TAMP ~ I ~ ~ i ~ > :.~ ~ ,. t ~~OSEV-EL, - I •/~~ ~ THIS lOND IS ISSUED UNDER AUTHOR IBERTY BONG ACT, AS AMENDED. 1 11 L 5 9 5 9 7 ~ E E ' - ~ AND IS SUBJECT TO THE TERN ED ON THE BACK NEflEDf. L DEPARTMENT OF THE TREASURY ~ (,iy~ I ~ ~ O1 ~ I ~, wASHINCroN ~ S f~ >v~ I `pf. l t3 ~~~``Ii.~~iY~ ~~I`{~~~i{~ ~N ~I ~ III ' ~ ~ i'I! I tl ~. ~ v~ ~ i I ~O ~ r".jza -' "'C ~~~i'iI1,1~y~ ~ "/J..\1 ~ ~ 9'P~~:ui:. II .v. Lif ~ ~ ~`nn -- E' ~ O ~~~~~y'~y.~p 4 ~~ ~1 l 1 -.o~.~_ ;'v:~.~st+ ~f1 ,, , 't.m a. ,v~ 1 it ._ `• ` ,~.t .~~ _ Fa.,, x,11 ray, _. y~ ~~~ .,. _; ~, i~ ,~•3r~z a ~ AT THE MATURITY HEREOF WILL PAY _ ~ • D~0 ~ ~ ISSUE DATE .I.i~ r ` ""~3 rl~~~.~...~s WHICH IS THE FIRST DAY OF Q I ~,.~,~ .. _ ` . - , To Todd L. ~JOIf _ " - _ _ 196-I4-1479 February 1984 /, }} ____ ______ i ~. .' ~ _ 124 !~V• .31St street (MONT. 1 -_- (YEAR) E 6 ~ ~ ~` Camp Hill , P a. 17 G11 ~~55~{{ pf~g~ p(>~[~ ~~ .L Sr ... .. ~. ~~J>~LI. 1114 4YSS~ DVS b i ~" ~ I6SUINO AGENT~6 S °a ~~ ~ ,L 1 I °a f J I T9 _-..._.. _.. ~.._. _ (\/\ ~ 6 - ItathrSTn I~. ~~e~1f ~~~ ~ ~IN ~~ P ~, ~ m o O ~ m `, __ _ ~ ` .. \ ~ ~• i ~oOSEVEL-4 m °a i - THIS ENO SSU6IERTOTHE ERO ~ ~' STATEDONTHEB CI(X R OFNDED, ~ 15 5 2 5 9 6 2 ~ E E , ,s DEPARTMENT OF THE TREASURY ~_-~; %J' y~[f.~ ~ lh~ai ' - WASHINGTON "~L SKMQfy N!/f%Ti4N~ ~u _.. _- I K S~ Rw~1 p iiV\I 1 ' r{ 1- y i • I ~_-=: , _ v=~~`11 ~"~ vx~l ~ .I~~~_ 155UE DATE L _ _ - WH ~' _ ICH IS THE FIRST DAY OF ~, To TGt~~ 'L. vtiC1t~ lib-~~4-14~~ %~ - ~ ~.pril 19~4- „~. -~ vet nAO T ) - _ ,, ~ 124 ~l :31st- street ~~~~ -(YEAR,-- ~~ Cep Hi1I, ~~. 17G~.1 ~ ` - - ~ Cr ~ 166UING AGENTS 1 _ I 1 1 1 (/[F 1 j ~I (jttt~{'+~' ~P 1 ~\ k~a~hryn L., YVQLZ ('/ ~~~ DAMN ~ i i e - - _ ~ ' - ' TNIS BOHD IS ISSUED UNDER AUTNO 1 pND IIBEgTY BDND ALT, AS AMENDED, • - AND IS SUHIECTTO THE TERM ~ ~ ~ ~ ~ ~ O `"FATED ON THE BACK MEREDF. ~~ Z` DEFARTMFNTOF THE TREASURY y' -.. -_ A ~~ ' -- - ~ - - - WASHINGTON ~~'~Q ~ __ __ ~:"~, _ ._:~`~~r111 ~ ~'Ly v~ " ISSUE DATE _ WHICH IS THE FIRST DAY OF __. ,-- Ta ~'or~Z L. ~~y'aIf ~,~~ - _ 196-14-1479 February 1984 ,, _ lt4 1~. 31st St __ teat -.IMOTJTH!-~-__ -ivenR)-- '~ ~= ---- C amp -H i l I , P a. --1-7011 ~.~~tl~c~~ ~~~~~~~ ~ ~, _ _ ~ - ; I66UING AGENT~6 II -x '_' ~.' yn L• k~`a' O I T ~~`~ 1 ®A~INs~p 1 _ _,. .. ~._ ~e 7 _ _ '' ~o®5t<VE~'~ s ~_ TNIS 60N0 IS ISSUED UNDER gVTHORI ' D LIBERTY BOND ACT, AS AMENDED. ANO IS SU6IECT TO THE TERNS ATED ON THE BACK HE REOF: e ~ ~ ~ w t tJ LL' DEPARTMENT DF THE TREASURY ~ '~ ~ >3~ """ "" y T '-. - -. ' _ - WASNINGTON '•' s+•~c~ / ' ~ A.ui ~~ S`~ hp~E _ ~~~'?~ ~ ~~ ~ ~i, r~~L'~~~~~ 15 5 U E D A T E ' ,WHICH IS THE FIRST DAY OF ~~ ~ ` To Todd TL. }soli ? ~'~_14_1_[; 7~ ebr~:ar 1Q8~ - i2~ I'~. 3lst street __ ~ ___ _ _ ~. + +,~ I (MONTH I l _ _ _ _ (YEAR) - - ~ ; ~ C amp H ~. ~ l , ~ a. ? 70I.I ~~ ~~~~~~: ~~~x~~t' _ - _ - - r 16SUING AGENT•6 ~ _ __ I I 1 I I Cathryn L. ~~7olf 11I.',\~~-~.a, ,~G~' 1 P ; ` / ,~ `\ _ _ _ , e~«E.~~ ' -_ THISBq/D ISISSUEO UNDEfl AIITHOflI dO LIBEflTY BONDACT, AS AMENDED. - ANO IS SUBJECT TO THE TERMS ;fATEO DN THE BACK HEREOF. , ~• 4y ~~ m,F (\ ////~//JJ {i~'~Y5'p _. _ -_ ~~.55259623 E~ OEPAgTMENTOF THE TREASURY ~~ ~-. -. O / ~~~~ ,- ~.. ~uicR !!! _ ^I - .: _. - _ - WASHINGTON ~ nncn~n~~..,.-... ___-_ _ - - SHraay a/alr /1TQSY/y 1 LI ~ ~~ 1 i ~ I • II ~0 IT ~~ ~ i r "' _ _ } ~ ~~,~t-s 3oaaatA~F~c~s>ga~tr~s?^r~t~ee6a~~ ~ --._ -, _ ~_ 1_ ~~G 1 ~ t ~- r ., Sy+• '"E6CC .,c~,L~53Aaxc*.r~e~~r?~ ~ ~ -- G` ~-r ,IIr, ,T~F".; F ~ - ~r rs~ ~ ~- _ ~ ~ bTG~3*-dT~r~.bR1S99BC*~ ._" .*-;, ~~SI4E+++e+fjl ~ e h;5p t ~. 3f ~~r5;;! ^~ '^,„„ •~' #Ir+t'~~^;~•.i ~ - - ~i~~ /~7J~~a;7 , 6`~ - 2BJS~_Db~®E9&TS~rot+3t~3*vT~';'da~'a7n~l~aL'c S ;,~tE-+N+-..•r :;'~ E~.,y l~I~.~,E~ i 4.. ~.1 /~ a ,.-~;~- ~ ~'I ~ :~~J F~ -/-l ~31TJD?~C 3 ~'1 c~ • - I -. --~ - AT THE MATURITY HEREOF WILL PAY - A ' ~~.. - , f ~~ `ace ~ T?• ~ ~ ---- -- ISSUE DATE T~ Todd L Wolf _, WHICH IS THE FIRST DAY OF 19614-1479 ' 114 Nor ~ #1 s t, _ fig. _ - ®t~ 5 ~~P ?~i11~ Fa 17011 . (MONTH) _ _ _ _ I YEAR) _ - ~AtJRHt~i DE€~QSPr' ' <, or Kathr 1 f - -. , Yn L; -~tTo $>!!~;`& 7T;ilS7 CO. ', - ISSUING AGENTS I :-. - r I- r r _ ~ r ~ r ~ ~ ~ .,- - THIS BONG IS ISSUED UNOE9 AUTH ~~ AN IS SU6JELT TOIHC TEq 'JD LIBERTY BONG AGT, A54MENDCp, _ - - - TATEO ON THE~EgEOF. I ~ ~ ~ ~- ~ r\ ~ ^ ") - GEPAATMENT GE THE TRFA:UpY i L Jj 3J 6 E E :'.L2yQ - _. WACNIhGTON /VFS..i-c LC ~ ~~l u~ •~:Sum,,,.n„~Y,2enr~oBl~ -+I..s2+~4+l:UL ~..~,•E-:~.aF~k're c - .T .eruy o~arinvruy~ ~~~ / - _. -_. ---.-~_,,...~~„~aw~B®as ~ ~-- - - - - V -- - -- e- ~-+"' ~BFI"`9R" _ +~~•tla - - `J - - _ AT THE MATURITY HEREOF WILL PAY ~ ~~ x ~''~ r ~ i ti~`F ~ if ~ #- `~ ~ ~ 1 n15~.. _ ~~~----~~ - , -- --_ . ___. _ ISSUE- D A T E WHICH 15 THE FIRST DAY OF To Toda z.. wolf 196-14-1479 i24 NTno7r]th 31st 7 Aug.____1~85 ~~P..A~i~.3 i {~i ~IOl~ - InMONTH) ___~ (YEAR)_- M or Kathr3'n L wolf ~~~~~'~`NEa, ~', _ __ _ I ----- /e~ ~{ /!a - `~ / ~tG, ~',a ~~ - - THIS ND IS SUBJECT TO THE Tf ~ ~ /'~ NG LIBEfliY BONU 4LT. AS AMENDEC, f`i^M1J/' 'TAT'cO ON THE BACK NEflF.OF. DEPAgTMENT Or THE TAEASVRY ~ (\/ ... _. ___. - WASHINGTON ~~'VVV /.L4G[.~ /~ ~G.w is9,Ey@Jk cv~r--~-4_~+s.cY~IC4vaPi: a•;~~,r. c., n4nG.~, _ Srrrrra!i"urMrir.crury ~--- a ~~.... °T~ 6 i - ; 1 . -~, ,, ~ u v _ _~ ~`,~ i ~:.T~'.%t~ ~Z°~4r~i~6y4ldd~f~/jyevy~fryS-ss~`?}~~ iPOp~ ~~~{~ji.N~~~}{~~lfa~~y ~ e ® (/ 1) ~'~ ~~-~~~ '-- ~.' - "~ ._...-- ----- -- _..-_-------___ -- I~_, ~~~4i5~ ...:.O~fi,G5:~7~.uG'~[~..s~l•~f NS 11~~a.~::~lt 1:t~~._..~..e.~ .._ _.r. ~f~'&~S~fi~-~~0 B'7°°~b."f~':~,~c~°-.--v2~:.';~'"'~-'.'~~`i~ e..._. o~° ~~ 14 ~~. In ~, ,~ ,.~ ~ ~ - ...-. . - ., ~i„MaT 14 P 1'K ~;y4d ~t "mv ~ 'O~~/a /lIJ ~J ~ {{{ ~tw~eiOC v11~~ -• ~ , s ,Rq t 4, ~ a ~ `s ro.L ~ ~~ 1~~~.:/ ~..f :,r.'~.°.~.:.1`°,~'~.,~~~`~..~1`rtiE~ rz~A ~ITK~~` ~ g6 ~~Q0~C ` ~3Fti; - - ATTRE MATLRITY HEREOF WILL7AY ~~ Ni {'~`~~~j ~~ :' _ 1 `~.. b ~~ , i S ~~ ~~~~-mot :~{ ~ ~ ~'~1 e V,~~ ~~ ~ ~ . __ _ ~ ~-179 r ~- ~:_~ __ ---,~ , Y - `~, ~.~ . 02 _ --- .~ .: . 7o J~. Toad ~,. ~~~~ ~ --, -: 12~ I~1~x ~h 3~-~t 0-~ree~ -T =~l~u~a=~,-. r , 'Cam ~ ~ ~~,~; ~ ~ :, ~~~-~ ~~. ~,, ~ . ~ H1 ~. I s ~ ~' ~ 1701 - ISSUING / AGENT'S a ~. ~; •: ; - _ _ .,.. _ 7 L_, '-0~TRSG 57%A MPl~~ _ _ L i _ -. f' v ~1 .„ ~. 1 ~:.' t c ~ •_ ,- _ ':i ;s. _ ~_ _ ~.~. o~ ~S~ b~D ~~. 0~ ~, ~} ~ ~`;:~~s•'v--°~~ }, .~ - +'F~~t~~Ga~ ~~~~ b ~ ~ 4• rg'%~\ r~ I l" ~ k .fG~. t.-keF o.~`: • l f~N~7 !11\ \"~~ ~ - E¢ AT iHE.MA/TURtYY~HEhREOF WILL Pip~Y ~. ~ E~ ~ • } ~~ ds. fdS' k16(~gP~~ca .~`~Z~.~ h ~ I{Il ~~.lv~j )~~~~') ~~,€\,~~py.1Ca~) _ I ~ ~ .. ~3E_6. 5 _ ~! ~9~ ~-~!~-179 i ~~ ~ ~ ~ - ._ s----------~ ` ' ~ i ~~~? ~ 1 3r'~ ~ i __ _- _~ ~~~~ -f- ~, - _~ ~r ~- 7~~ ?ir, 'IT~dd L~ ~d~? ~' _ f3'~~§~~~;~ L~~7~QS€~ s F ` ~'~'~ ~~ _~ GLLilp li? ~ ~ ~1 Cu • _ ~ 11/ 755~NG ~GE ~T 5 ~t..i. ,~ ,~ ~~ F: a -` - -~; k i _ .. /'` ~ - DA7lNG STAMP + 66 ~~ _z , t - ~_ f~, ~~ _ r: ~ ,,~,,., :, ,,,,, ~.:000D 9Q00 ~~:0 3 ~~ ~ - ~ c" ti. ~ .~'~~v4=L•'.tszc:r.~{c+~~`'~fi~ rrouS:zlas~~~}YF~6nxi~i~xt~ u.,6~.uoV'.tKb'~~1 a' V~ I ~~ , ~t . (n"Ih ~ O V ' 1 1 1 n ~D ~. _ __ -- _ -_ _ _ - .-_:..,.'°~Z -~~ ~ yL -' cr,.~ r '-' LL -~ ~- - 2~ ~ p~v ~~{"~' 'E:,m. - rt t^y '~ lir j1 . T~ `q r. ,ti ~ •GGi t~~f /.~ V+,`~ ~` „~`'fuie~.... ; .. ~~ _ ..f"~r--T • ~ ~ ~.s=1 ' ~ ~ 4 ~' F ~ ~slffV ~}E ill f 1 ~4ti~ 5; zS~ r rrr ~C,~F r%l~fl ~~+/tt t~ Irlt •~., Y R~ •!ii tS t f ~...,~:rei ~ 'x ~ S4L ~ ~~ ~ ~ ~: i'~ ~ ~ ~ ~ ~j ~ +1 e VF -` ~s.rrr ,l'I f C ._ ws: e4 ~ ~14~~`i` ~~1 s6rv~~ J~'~i~t G~ 1(r Er~/+~! ~r~{~i,~ IiVV j~`y ~ - + ~~e+6~' ><t , ~~-~ ~!"- f r _ ~ i==,<~~I. - ....• °..~` t -- - ~ -- ~~v~,.°`~~-~~ ' ;I .,fit{ ~ ., ?fit ~f k~b, c'~i~F~I'~u~~r ~~ ~~4~', ~'1 t~'~-~~ ~~~L`i~~.-~~.n ~ ~+ ~k~ '~ AT T MA UH N EFEG' WILL FAY a• ~` ~r Y _ -- ~r~L'~~°..~~ 'fF if l~el reFit :~`IS*~t. ~ e ; _ I~'~11~{_~~~C~-~ lri<' {~J~ ~ 1 '~~~ d.~ ~ _ ~ i ~_ - ~ ZgF,_~ ~,...1~?4 ~ b ~ ~ ~~7 e-- - - - ~ rr ~., ~~~~~ ~-~, I~~ra To~~ L. lf~ol~ --_ ~~at~~ ~ -rrl~s~ ca. ~._- l SLUNG AG T 5 t,. . {' ,~ J ~ ; -- x «w- ~ - `~ - .l..j~ - El~{t~i~Jaj it ~~ 1 hit - - i ( _ Y :_ 1_SS,,, ,rye~l~~~ ,. - ,~ _ n , Y ~ ~:000090007:03 ~1~~~ 030.88329~.~~~' - -. - - 0.4.x....:. t,. -.<........Hr.i~w.~i~tcrkl,-nf:-al~f:+TXi.Yi:i.-„'is~etf';ntKcikiab'Ff.O.G'iL~h`I'i~rtiy'it"ZN~Stilal~s~.L4~'Y~~v'a~`.~.l;~~~xr~v.U:~.Yx1ir?fi'7i"~af.;,iicl~d }~ ~ ®~ _ ~~C~~~IY~~GIlY37~~~~~I„L~~~~l ~~i~~rl "~~~~L I~~M•,~k~'9.V~{~V ~, .G_d ~~c' n ~~ '~"- _ AT THE MF7Lf~ITY 11ERE~F WILL PAY •~i ~~`1'ic 'pll`~ i~ ~I{~(~:.,I~,+~~~f~~~'t~'1 `~~~~~i~ i:.. C C` ~,: I ~ v b e i'!df`~R~' ~! .. .=..s ~~ .o/.,.._ - t?HI~N 1 lFi= F .1 .C~l l C': 1~0 + _ ~_. y E ~ ;, I I _ _ ~ I: ~___.~ ~~ _ ~ _-- '_ -`_:JC Ems;:/Cl^r II, ~_'-__ - 1. O.!; ~, ,,., :-.i :i> - - = -~ ,=:~~~~~ ~~~ Todd L~ ~To~.f ta~au~H~ De¢os~r y r-4~ ~~ ~ ~'_ ~ + J55 LifNG AGENT'S ;, ;, ~ ~a~p ~~i~ll~ P~.. 37011 ~ - ~ ,~ ~ - ,}'I -, ~ - ~-- ~ `~ ~_~ ~ ~ TI 1,. s ~ t I!_- '~ _ }f _ Ff}{Il~I~~UTiI]j (~. ~~ ~ t s ~ ~_ ~ _ ~ _ ~ ~ - ,3r F yy ., ; .'!! -'"1~~I~7tiJ1.~j°~ ~ ,~ ~ '~ ~ * I ~ 1~ 1~ ~ i( `T` ~ l~~i ? ~ t } - ~ k I'_ I - ~ - 1 - ~~1, ,~ ,_~1~ - ~ ; s . ,a~l~r,.~l,~,, - _ ,~ 1 - _ x:00009000 7;03 - ~~ ~~ 0 30883 30 2 5~~° . `... ... - .....• _ -_- _ ~_ _._ .. _. _~. _. _ _: .... .. .. .. .. ..: ...~ e-~e..e_F..~....,...::.. ,,.,,..w~..,.r..x-.T:xraw;nwr.~..awHa-~iwN.F.n..auPoxuB,,fl.HJ~camf}:Gxtdll!~f1::r{t7L.aACiA6.il:B76'AkA'OtvrJiU~IYI,RUti.4Jtl.F~.tNPYn~:V.97~{Y;ltt ~~ ~~ ~~° \, 1 ~~ -.-- _ 3 , ~_• ,_ ~~ ~, - "~~ ~ ~ AT 7HE tiA7URlT{ f -PEOF HILL P Y F ~ ~1 - ~~ /Al /~~ fit,, 11\ \`~`\q 'Wi`t "~\I ~( ~,~ ..~~ - - - ". .' ~/s°%i~i/~Dt~t~l~ \\~~ )iii ~~~lA~'4~~f~)~~~~~jliJ~~"~~~-,~1~? - J I 1 ? ~) _ ~ f - - ~ 1. U ;, _ - ~~~ ~ ~_ J/~ ~vrlti ~ < ~n'~~i ~' --- ~ -~` r -1 ~ ~ c ,v J~i ~ ~ ~` 3 , . _ /~~,_'^ 4 ^", ~ '7 ~{ T.1 f ~~n I ~ - ~ I$S UItJ GAGENT 5 'T~. . ~ I- - ~1 TT pI~IN TPr.' /~n 1 '~ ( r -I ~t. L~l L 1Pt:'.I~ r ._ -. , ~~ G.! t~)'~{ ~, i t ~ ,_ - - - - _ ~ , !E E _ ~ i; r_ i~ ____~. ~- ., . , fi ~ ~.00009~Q0 _. s N,+7t0-,6+6,~547" ` uW"~ti~itY^*~,`hM1:C~' * `' ,• "" - "' ~ ~ y 3iYiYi~:'tai{3~'~9iS~flFfG3~t~'auatSL"SCiS"3:7rL'li~i~:~1~'J~•S.+SCI1t"Wr.M.rR ~C`~.~.~;~r1 4y,s}yrv',~.~YJ.yiiF)-b~,+tFJtif~li+~` [~,thi^.Y~~i'~l~~s'~:ti~1~+~b~Y~r~Y+7i x~~~i+ks~+xfi2+yn,Y~Wt~~E~1,:iS~J2ir~L~s. .-.rt^ i..ic le°- °qe° . v'.:.~~...~ imi /.::: ~,~. •.. .. .. ;, ,.~~: ... ... ... .::.... .:, • . ~ ,~ : ' .; a+~•.,.' ,44 ,..ro iY~ ;sro'~%iijr IEr~EIE;~+'`~~a~~ f€P G ~1 t~ CAE 1 _ 4~ t r:' ~, 0 _ C } ~ ~ E ~ ~ w .., rs ~ Ilr's~l 1\ ~ ~\~ iii ~/,~/I11 "111~~1\\~~ E ~ ~ 4'~ E fl I /~r~~111~1~1~~~ ill}+~~~~`e~`~sVA~; dcii~~i~4~~ illsriil~ 11}+~t~~~,~~' ~ t~E~~ 1111 - bi ~ ~ (~/.` -\:<~::a~~~~4.11 `s,~y,,.~;fs; . 3;..~~ '!w.~t.. .;,{ y. , ,.,. ~„~ ...;. . ,,,,,~~, ;~, 1} ~!~4,. yll~il pll ,.,: ,.~~. .:..-.7,.. ,-J ~~•,.T ~% qq~~ '~y``,r ; E ;, ~y _O,. `, ,~`~ iee, yy-~ rr, ~~ ' { ~. ~- ip ,Sy~ ~~ ~ • ~ ~ ~ ~ ~ ~ ~, ~ ~ :. \~ E ` ff ,~ , 'J iA19. ~t'P~fF m~~~~~1~~1,:1~31~s.1, 1~,)~~IIl.~~~ i,~~.~~ III~~lLl~~ @ j ~ lJi - ~ 6 ~ ~~.e.. '.~ ~ .~4 ~C.~~~J ~ ~ ` - l.t_?t .. -~ r~~iiir%~~~I IjOZ~~~aJ~ ~ da~y~bl 1 c , _ . ...........~ ~ AT THE MATURIT~HEREOF WILL PAV w !g~'Ig`~II',,j~'~s~t ~C~~~~r~i~~ ~~~ at~~ ~.e' a.•,~,.,o..._,.d~ .-i:~ E e t t f~. 4sJ 1- i s t r 1 . 1. _ , ~, _ E , ~, y~. iE -+°. , . ' F , 1 { ~ ~r - ~ . J ~~ t ` _ - ~ .~~`t ~r ~ ..L ~ 1.~ ~l~'i U.L U.L l.. ,~1 ~. V ~Z,7 ~ v ~'.~ __ yr', ~ ~ ~ .i..~~~ ~;~ ~"\ ~..]yypp :.~~~ ~~ i ~ ~~1~~~~ ' ~ I I~ ~CJ.llli~ 1_ i_, Ir J.: !v t5"9 U}N C.i~~N7.'~'+*R' ~T+ { a ~4 I \ 1~ \\\~ ,(a ~.1- ~. - ~ ~ ^~ r ~~I a E T l DATING STAMP ~~ 1 r ~ ~' ,,.i ' 3. "` - r ~-j` _-.--,fir _~~ ~(( It 11 t ~`° ~d 8 ~ °~ ~,, I~II~; .~~.`I~'c1 ~ u ~t IE_=~ E IF ~` 1., F { I~ s in=11 J: (~ i I`2 ~ ' I~ ~;~iL f.~ t t ~~,~ { -.~ ~> u~~ ~r~7uJ~j`~~ ! ~ ~~1~. ~r, ' ~~t ~ _,~ ~ _ I ~ ~- __~ '~ -/!~ ~,,~ ,~ IE'-[1~ ~ 1 ~ 0 ~ ~ ~_~ ~ E ^~~ ^ ~E+~~~ i 1, -. ~.000090D0 ?~.0 3 ~~~,~~ 0 3 3 1 7086 ~ 5 ~` _; _ _ _ _ _ _ _ _ _ . _ _ ~ ~ _e ~ ,~~_._ i ~F s „ o.a"~ .~ k....~.,...,..,..wa.~>n.~n.rrs.a-,,,n ,~rv rxsre-.tr.nar,~tr.&GANG.UN?,Y+alah},Irt.F~$.G7C~a1}~$i~5GUN76P~s6i63G.~14 ;~}R:~tAi1Ci1 .,,, Ili i ~ ~ ~ it . - ~. ~...~ inii ::..1 )/ i ) ~ _ ~ ~ ~ ~ EI I ' /t ~l. ~Q1 1 ~ ~~~ \\~ d ! /~Ir 11 ~ IIE~II ~`~\\t\V~ :~~`~afi ' O~Aiii' ~% J%i/l,lll.,'I III ~j~N~\\~. ~ {d ~ ~'~ I J w ~ ~ ~ E ~ ,~: rr I!') tII I 1 ~\\\~~l ~. ii ~~. 0// I I 1 \~.R,~ a Q I ~ ;~ .. • viii ild /// ' ~ 1. ,.d. :~: r` .~ i ., ~~ O~I~d9~ j~ / ii r..IO ~, 1 1 ~ .~ ,,.1 1 .I, 11:, ~ ~ i~i•i.,n.:11 liil ~ ~ ~ h~i~~~ZZ~`1~ - ~I~Jlf~~i~~.,s~ O i rr:i, 11 i 1 I.o .~~~ c~• r,. t •ro - - _ _, ~ d .~ AT THE AIATU RITY HEPEOFVJILL 9AY ~, - _ s 0!~ t"~----nom ~ `~ (~ - ~1~-._ 7 ~-8 '~~~~~~~I ~1~p1~~~~~U\~~ ~~ r'1~1~4~.i~~~t tY~~ ~i~ ~~~t,~~A:. J}..I'h 1, blc <C - L:. Two i~} /-~ ~'~ ,CIE ~ \-~~ ~__~.~~._~ ' ~~ _ ,~ ~ HOC `=E_i EIriF )G F10 ~~ ~ - - - ~ ~, ., - 1. _- - _ _ _ '~ f '~~:.;; `.:fir `l'O'~,0 1 ~:~r~, f ~ '~ ~ _ .~ ~ ~-. ~~ ,~ f/„. ^.'t /1 ~~ ill ~~ ~} ~ ~IS~LfY~F' ;4Q~~7~v ~ ~. \\~ T J - \ _ ~` ~~'.' ~7 _~~s 1 +TcJ.oATIN~`"s rn r~r , t _ _ ~.~~ - ~ - -t; ,~ ~. ,_ _ ,~ ~ ~~- . .. _ a, ~ , ~- E __~_ ~ ~ _ _ _ , 1 r ` T _ - _ ~ ~ -- _= - _ -- - ~~ ~~~~rj~,,~,~L> > ~ ~ _-$ ~ _t- ~ 1_ - _ ~ ~-.- r ~= 11~~.~_I --I~ -~k ~-L-.3.31 ~ 0 ~ ~~~2 b E E _ ~ ~;~ I, ~-~~~.QL3 ~~~~ i~,T?08 6 2 6~1' ..0.0009000 ~~. 0 3 3 F~~ ,t; '~9A1vPi {t'V t"3'~3 }7.:i$;~(+vniL'"'y'r'IY{' ~4.3a=$6itrYi1T~ i~fY94F ,,,'*i 1ti.117..}~7UClii,A s , v,-K.,~a ~, .. -.v,,., ... 7v.s:a4h>,sr.,rr_4~is{:uiif$.:Jfr•J7O#%AkX.I'l3.'1.ttt,'fl4~li~']t~'%~'~~'~.YfZ$`i~'tk~3Y}"L~1.9w.'~;d;~RNt~ . " ynC~`~IiEw~~.-- \`~ ~~. ~~ ~~. 61 _ _ /t~T~ ~ AT THE MAiURITVHE REOF WILL PAV '` ..... '..Fs~~ - 1 ~ 7 -y ~ r. -r y- ~ . t ~,~ ' ^ ~ u -7 ,.~ ~~ ~ ~ _~. G'1i1 ~1?1-~ ~n~` 1~~~1 I ~ ~. ~ISSUING~AG EFI T'S- ' ~I ~ ~ _- ~ _ -. ~G STAMP ~ ~ - ~1fi-..bn i._ r~ ~- ~ l'Y zw x:0000 9000 ?~::0 3 - : 0 3 6 36 ? 5 3 38i~' ~~in x. * r {14010'.4AY'9G'J:7c4,~'rtYr7F)wYb, ~ '~. ~A" ~Y6.9#:67d:@G~'(M I ~ fi' - ~ ~i0@:B'i{:$i6:5: ~'" - - ~uuai~roaoi ~`7~~.'.~.ta..~.~~:~ .r ~.~~SSLTt1' 2(.%li~C+S'+~1 i~~~~ ~" •r ''~i~4~i1. ~~ +$'~l~i~'l L:,a~\\~\~ `,iPF'' ~11ff~ffr~Fr l r ,»;%;d' Pi1v :~-• •r ~_ _ _~1, y~F~E_`'y,' /I _ _~ ,. ~ ~ r. F,~ f ~I'lil~'"I~ ~'+1i~~3'1~ :~~~s)~'~~~~I~I~.~iQ'I(~~~~~ qi THE MHTURITY HE REOF YII~PFy _ ~ ~~ L ~~;, , r - r r ~ ~i c( '~froiliy IJja~,{t,Y1>> ~c ti~t~~~~?~ ~ . ~ ~ - _ - ~ _ - _ / I 1_fl6--1~~-1'x:79 ~ ~; ~ _~`~, '~r~'~? I ~~~~? ~ ~ ~_ I, ., _ , - .. :~ ~. I X14 '~~~ = 12?+ ~T~r;~h ~~ ~-~, ~t3 Pte- _~ ~ , ~ - ~ ~, !~ Ty..., , ~T+ _ II ~ ~ ISSU{NG AGENT'S 's `: ,~+ , ~ 1 ~h~,~~y.L - - , gg i i ~ ~ t~ - i t' - C - _ / ay° _ k ;~~. L I ~ ~~~- ~ ~- I~ ~t ~_- ~ it-- ~ ~.` ~ ~F`, E +~ I~ i t~ C ~y _ III ~~ ~~ - - ~L~3.3~~i ` 0862~EE _ ~~~`~`C - a«~ ,oEl _~ f~i .1r~ ,ri~~ll/e lr..u~<.y - ,~, x:0000 9000 ?~OL3 ~ ~ ~ ~~ 0 3 3 i. ?08 6 Z ?», n. _ _ _ _ - _ , ,.., ,1,_ .,,....._, ~ ~..,.,,~,~.wi~,~.-~.,, ~~~;,t~rt~w>.~,jaioiur~it~vi@:~.4iv63iPc~11Se'Sh$i~~ v~i~g4s+2~dc~Oct+th~iduAG'4;~ 3a]~.~$~Yi,~.ts ~i"~~+t?`~"c7~SC@'~'~~j';¢i0*iL~'llS' ~' 1. ~ ~66ri - . it c °1~ l l~I%'i~ r 1 ~ { y ~j~ ~\ - .r.r.. „~~~ - :~. ~ i. `~~\i~1~~1.. I1~~~,yiii iffy vrl rl. r.Ju4~ ~ i "`r• -. .: i ~~ '4 1 ~~~~~ ~ ~~ ~ ~ AT~THE~MATURITY~NEREOF WILL:PAY .~ ~. i '~ F~ ~, E Y ~ -. ':.. 1 I Y !i .~(l/%~ln( {'', /j ZCZ1a\ :~ L: - ~~~~ ~ ~~~~~11j ~` ~z~a - a~ I _- .. ~' _ 1ST-14-147 ;; .. _.._ -a - I - ~ _ - a .. _ - _ 'z ~~`C9~N,1~-F ~y~~~f~s}F T~ 1~c3.d golf L. `^ n. y~',(+~ ry ~~+ ~ L ~ ~5w ~ • ~ ISSUIN G~yAGE~IG~ LGtili} Ll?-~1~ L~G'O ~7~~~ : ~~~~II ~~ATr~y~ P ~ 1 1 ~~_ _- _ -, _=- _~ ~~ - _=~-~ ~ 4 19 3 6 9 8 9 E E: . -! ~. ~-- - _. __v --- -- 0:00009000 7~:0 3 - ?04 ~9 36 7989~~' ~~ - - d@Aab~l~6tfY`~i~~r6'6'6184'S4@1b~+~3~ .. ~ ~ / ~ r ~`~~ ~l` t ~~T11 6I~~1 ~ ~ ,~~,~ ~'~ 'l9)~ ' t~ ~ ''~'vH `i'ce ~- .. ~E~:IE~S ~4 w AT THE MATUR~~ITY~~H"'E~~RE,OF WILL PAV ~.. : a- /f fi,,s'ir!Niia>nb01 ~` ~~ -~z. ~; ~~~~~~~..o~JL~~,a~l E' \I 1~r' ~ ..~ se:~l. ,- .: -_ ,. _ ~ o~ ~' ~ o~ X01 -~, T - ..~.r. ~ _ - - - - - - - ~ - - e,00009000 7~:0 3 :.~ .204 764 500 39u^ ~a~i,~>Q:~~Yr~~r:~,y~arr,~TSc~~i,+~tra~Y#r~ ~,o,~aPr~dziit~k4i4a6iq;~a~4c4c~alr9~t4^frr~li9a@+1~~@:~; +Fn3aa4~+6a4~:G~bn~yatss9~a;~a3rrac6rt~s:4nr/.~nbrrrc~;~s ~ ' ~R~~,. 1~r . /~, r4ivi i i r r:r;r ; r .g /,~. it .i ~.,..,cv . .• r ,,.,, ...., . _ ~ ~ ~~a~. • ir.,,~,t 1~~ ifs/l. ;rj.~s ~ ,. 1 ~ s' - ~- a g 1:~ ~ ~:,C - ... ~ EREOF WILL PAY RITV - -~ , ~ Y ~~~~ 1%%i~~~j/ill/e\i.>~1~t~1i3 ~ H AT THEMATU '. JY~~~'~~~~~..F~) C) V~~~~ _ _. _ .~ C ~ (p3 r/ r~ ~ I f , 50- ~ _ - - - _ .. - - - , ~~ ~ ~ ~ ~~ ..- ~ ~~.. ~ ~~ ~ ~~ ~~ V~1 B EN . .Y 1/ I55 .~ r3 , - I R --* ` \ n ',~ -_I -_ _ -- _ ,~ ` , I pATiNG STAMP ~~~ ~~ I>>~ ` i -- ~ ~ ; ~ L4 ~6 45 00 4 ~ E E ~ '~ ]~o-~0~7~ - - _ - ~.. 1-- - - - i .. ~- c ~. _ .f' miry./'/hrimn~n,/ ~ - _ - - x:0000 9000 7!:0 3 : ~ . 60 4 7 6 4 500 4 3 . i~' . .~..,. .. ~._ ' _ AT THE MATVRITN HEREOF WtLL PAV '.' ' c^ 1 ~ e I _. 1 `~~, <%%~j ~r%,f{Ifl~fal~ >\!'e~i e ~ ~- l~..d~~~~'~~~ r-v~.~~l ~ - .r L }I - - - - - --- <~ ~ - _ _ , /"r ~ ____ w ~:_~ c- :,~~ ~~ ... CF_f,. H.._~:. .Sirn/m,/o//h~7rrcurcry -. x:0:000 9000 7~:0 3 ~ . 80 ~, 7 6 4 500 ~+ 5~~' B:U.'CcO:?:~]fti7!j:?:'?:S:J.;X;Y.^77;haV:bi$a^,'rI,'77f7S1a@:§'~$'4'fi'~nr",5"$76`fl~i'b~lcdt9'~'L~'ft'97@ab'7fi"ti~" Y+Z~~iiC~tl'~'._"~`9"J~A''.•:97476A' -- ,~ - ',~p$`b'I&'6',+1Y1 ;t _ l.,_'ti~ IYII.io :ter. N -_ ~ -_. .. .. - ~ ~1 '- __ 64Y ri~~%ii~ ~1~ 110 . ~~te~.im.. >r :, ~ it a,. C. - - ~ AT THE MATURIT,V HEREOF WILL PAY ~ ~ ~~ • ~`' D 11 ~ ~'~ ~ ~~~~~~,,;;~~ kk -..L ~,.. ~~ ~~ ~ ~~WYF'l~~.f . . .~ - ~. _ i" a _ ~ ISSUING AGENTS , - ~ Gy t~\ ~ "~ _..~ I ~ ~ i ~I T ,.,'_. ~~~ .. „ - ~ - ~ DATING STAMP ri 3011 . ~V L~ lam. •' .- ~i-l ~ ~~~ ~ ` _ _ ~~\} _ _ ~ " _ __ _- y! >;, . ~ n 111 ~ ~S. ~ _ __ -~, ijt yet. 'ly~~~ _ ;}~6 _._.__ '. - ___ _ _ ~ _. ____ _ 1 J - _ - E _ ...... . x:0000 9000 7~:0 3 '~ .- 50 4 7 6 4 500 4 2~i' '~'YFY. Yl11v}~~i 1~'M1tilY } K1Y/J6ol~l~'97(~l~?~:~i" ~ '~'~~{~'~d18"~~Q"r~lYIIYfYlY~~~•'~`V~i~t% ~7~7~161~~4~~~'i{T:Y _- ~~ ~~ o, ~ ,- , ~ .AT 7HE MATURITY~NEREOF WILL PAY ~ - -41 L -~. _ tP~r'~'~1-~~..r~~Qa ~cC Ol ~.. ..o/V .~r ~ ~ '~~~ ~~ _ - _ ~. ~ - ~~ - ~ -- - ~ -=- ~ ,~ r.,, IS SUING AGENT'S y.,. ~ ~` I 'n, - _ I DATING STAMP f ~ ----' `ti r~~~~ ~~"~~~I . <<~~s~ - --- - - ~ ~- - - - - .. _ .~~__` .5..~*tu Jefihr'irrueuJ PT_-.~. - _ ~:Q_0009000?x:03 ': 304764500~+0~~' a:a~,a:,i~~~~r;E,r.~r,~:~rr+~ra;~rus -~ S"S' ~~o~ ~; off! / ~v. ~~, o . ~~ ~ ~ a ~ ~tijr ~~~ ~ - AT THE MATURITY HEREOF WILL PAY ~ ~~~~~ S ~~~ "'~~ {1ii~1 i.~~i ~~VQI~ ~~~~~~\~ii -c. I• - _ _ JJiLLdJJ .,. ,. __. .i?:. - d!i -_ I i ' _ _ _ ` i ~~ a ' fSSLI1NG AGENT'S 1 9 r -- { _- I -DATING STAMP- ~ '' ,\ _ i, '~~~~c~~~~>> ~~~~R~t~~~~~~ ,~ X33 ~1~~2 ~, :~~ 1 _ ~ . ~.. t , s~rv,~>/.,rh~;J.~u E E ~_ , ~ ~~ ~ - ~_ I°0000 900.0 ?x.03 `~' LrO4 ~ 6 a 500~~, ~~~ ' ^ ~ h4~ativN~6co~4*~o-~o>Fx~xpa:a:cla~ar~mr, ~,r~_awe,..,wr.,a,w,wJ.a,,, ~ ~.,K.~..,. ,,.o o ~, e.~ a e a e , .. ~ _ _ - - - - - - ,.._, ;T~,~~ - --- _ • Si~~• _ - -._____ O I °_ ~~ .~ ~ X11;I~r~~l~~~u~`sY~`~~~~1~(~~~.'~~ ,1`I~~ ~ t' u (C~ . ~ ~~~I~S ~~~ ~~A/1 J~~ei ,/1T ~~~\~~~ Q• ~ AT TElE MgTUR1TV~HEREOF Y/ILL PAY •. „ga J~~ra~;tL,~~ s Q~7r~r Avg ~~5 , ~ F .... ~ „ =- 196-18-1479...._. ,~ r . ~ - - - larch i 1990 _ _...... .~_ I , ~ ~ .;,.. ~ - ~~~ _~ _..,F ~~ ~~ ~_~.. p Todd L. '~ ~~ .' ~~ ~ 7a Wp1f ~ ~_~~upr;~~ fl~Q~s~~ i24 N eaa~~ & x~us~ co. _ orth 3I st. `S~reet ,~~~ ~;~, cam, x~ll pa '~, i55Ui ~G py Ej•!TS 5 ~ ~_ ~ : ~~ ; _ P _ 1~9.1~ I ~ = : i - or T- _ ; _ ~~ 9 ~ r -.. '. ... -- 1=. ~ATIN trGJ~lS(y/''Ty(hVIjMP ~, ~ Kathryn __ - - _ ~ s golf - ~ , - - ; o .. .t. :- . f f y _. - t ~ '-- -_ ~t.. ~,~ ~,R~E S~ ~ I J r_ _ I +' J J 1y K i _ ... G~, i __ _ _ __ ,.T ~ ~, ; t , _ ~ ~, < - .. ~ r ~~~ ~ ~~~~ __.__ 4 2 C 16 ~ ~ S S E E~ EI DE __ _ .~,rn/ury„//{,l lJerfJ'!uy ~:000090.00'~~:0 3 ~, 104 ~ 2 ~ 6 7 ? 58~~0 P+6`at•~••*frfxvuwt,,:ra ~uT, - -~xroBxkc~~5.°a-bac5abc ~ ~.. ... -c i{}:fT~#7:13~6GrJ~7''~]"6d~Jt~ttu.IY•'~~97ii~9G?V1GT:~N~:7.{1:G79'7fiT~fi~]B.fl]F1WY.in H:ki<Yva~ra~.~. rw~..u- n,...._.~_., ...'4"` ,S~ ~~ ~ `~ _ lj ~~ r~ ~ °' if~~el~~~Jj ~~T ~`r77y ~!'1~[1'1~3~r~`~1~IN~ k~~ItEGY!'lF~7C1~ ~ ~~ Y- -, !P - = y'~%ei~~~°~j'e`e~~oQ~.~cae~:~e~3 ~~e~ tea' :~ . AT TilE MA7U0.1TY HE0.EOFWILL 9AV ~ - 11~`rt3~ _ -~9 ts~~.~~~~1 r ~. V'~ ~~ya ` ILJ bJf.J _- _ .: - ~ ~ 196-?~~-1479 -- .' - March -1990 ~_ 3. ~ ~ : ~~ ~ ~~~ ,, -- -- 7~; Todd L. Wolf - I}AC1PHiP.1-pEPDSIT !' ~"?' ~= 1~4 I4orth 31st. Street.. - $~.}it>~ ~I~u~T co: ~, a. //~ ~Q~ ~` - ~~.~~ _ - Cam Hi11, Fa. 17011 ~ ISSUING AGEN T'S .~~ _ ~1_; p or - _~_... - - .».z«. - - ~~~~ ~: ~ O~TIN~STAMP ! ,r ~ ~ Kathryn L7oIf _ - - i _ 1~' Y A - - '~f"~JJ~J 1~~-~ ~ ~ _ __ ._ _ ~ - , __ ~ ~ ~ L'4~21b~~59EE .~E sm~,~,~,,,f,.~.~~n, r G=7 n, sg ~;:vvw#ro.; ; t~ J ti ~ ~:000090007:03 ~. :204 22 ~67759 a 4 - --' , , ~ .v.;ra: ~c~ 1 dkl: :vbufi. i~U.d~ CC~~~o.5;4f4: ;6 Fk4cU~:dc4;B;bi6c~4Fr4~{! Px~^6~i6Nr5 9c6Krt6~ica° :~$~i"l~+~f~'r+~J;S'~ia1~;{s+~ '~+~,4~fi:4:4,f1N.~i~N~:a~€aC^~.4i:vwchti~~"~v n.~rr~r~ SCHEDULE E CASH, BANK DEPOSITS, & MISC. COMMONWEALTH OF PENNSYLVANIA PERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER ESTATE OF WOIf, Kathryn L. 21 - 12 - 00851 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 M&T Bank -Checking Account #91207460 15,914.01 2 M&T Bank -Certificate of Deposit Account #31003915124728 19,667.00 3 M&T Bank -Checking Account # 951213079 3,930.93 4 2001 Ford Focus - 4 Door 2,500.00 Mileage - 30,215 5 Jewelry -See Attached Appraisal 6,990.28 6 ~ Highmark -Health Insurance Premium Overpayment ~ 167.20 7 ~ American Water Company -Refund ~ 2.02 8 ~ Crocker Farm MD Auction -Auction Proceeds from Personalty ~ 150.00 9 ~ Crocker Farm MD Auction -Auction Proceeds from Personalty ~ 13,775.00 10 ~ Cordier Auction -Auction Proceeds from Personalty ~ 24,652.50 TOTAL (Also enter on Line 5, Recapitulation) ~ 87,748.94 MOUI~ITZ J E W E L E R S Trust Your Special Moments To Mountz. September 4, 2012 William Wolf 3013 Lincoln Street Camp Hill, PA 17011 Dear William Wolf, At your request I examined the jewelry you submitted for valuation and have provided an opinion of the Approximate Fair Market Value for the estate of Kathryn Wolf, date of death: July 26, 2012. This report is valid only in its entirety and the final figure excludes any applicable taxes. You may wish to take this into consideration when using the report. The value conclusions are subject to limiting conditions that are set forth in the body of the report. To the best of my knowledge and experience, I estimate the jewelry has a total Approximate Fair Market Value of $6,990.28. Photographs are included with the original report for your reference. I suggest that you keep your copy of this report in a safe place. This report was prepared in accordance with the Uniform Standards of Professional Appraisal Practice (USPAP). If I can be of any further assistance, please call Sincerely; Cherie Lynn Grove Certified Gemologist Appraiser, AGS Enclosures 3'80 TriiY~~e Itoa~ • Camp >~ii11, PA 17011 • 717.763.1199 • (F) 717.763.F953 • mountzpewelers.com Page 1 of 8 ' A ~4 L R I C A N G E M S O C' I F T 1'' Table of Contents • Letter of Transmittal • Table of Contents • Purpose • Intended Use • Definition of Fair Market Value • Approach to Value • Market • Limiting Conditions • Subscriptions Retained for Value Consulting • Metal Markets • Certification • List of Laboratory Instruments • Item Descriptions • Photograph(s) • Biographicallnfonnation This report is valid only in its entirety and for its stated purpose and intended use and was prepared in accordance with the Uniform Standards of Professional Appraisal Practice (USPAP). Statements and Limiting Conditions Purpose The purpose of this report is to describe and document the quality of the jewelry listed and to estimate it's Fair Market Value. Intended Use Definition of Fair Market Value The fair market value is the price at which the property would change hands between a willing buyer and willing seller, neither being under any compulsion to buy or sell and both having reasonable knowledge of relevant facts. The fair market value of a particular item of property... is not to be determined by a forced sale price. Nor is the fair market value of an item of property to be determined by the sale price of the item in a market other than that in which such item is most commonly sold to the public, taking into account location of the item wherever appropriate. Taken from Treasury Regulation 20.2031-1 (b) Approach to Value There are three traditional approaches to value that are as follows: Income approach: Applies to income producing properties and is used only if an income situation or rental property can be identified. Market Data approach: Compares the qualities of the subject item to an article with similar or identical qualities, and researches and records current verifiable sales of such merchandise. Cost approach: Establishes the total value of an item by considering the value of its component parts precious metal content, gemstone weights and qualities, labor, and any other fees) together with the appropriate retail markup according to the norms of the jewelers in the locale, supply and demand, and the current state of the marketplace. Page 2 of 8 Fair Market Value is estimated using the market data approach. Neither the income approach nor the cost approach apply in establishing Fair Market Value. However, the cost approach to value was used to check on the reasonableness or market values found. Market To value an item a market (and market level) must be recognized. The most appropriate market for jewelry can vary depending upon the article's age, condition, quality, intrinsic content, aesthetic appeal, provenance, current fashion trends, artistic interpretation, period of manufacture among others. The type of retail outlet that most commonly carries the items being appraised is considered to be the most appropriate market. However, the auction market was also considered as another appropriate market in establishing Fair market Value for this type of jewelry. Limiting Conditions The jewelry described within has been analyzed and graded in accordance with prescribed grading standards using "state of the art" methods and precision laboratory equipment. Jewelry constructed solely of, or in combination with, precious metals (i.e._platinum, palladium, yellow or white gold and/or silver) is tested, analyzed and described for its type and content of such metal. Unless otherwise stated, all gemstone weights, grades and measurements are approximate and stones have not been removed from their mountings. Diamonds are graded with the prescribed grading nomenclature of the Gemological Institute of America (GIA) and the use ofpre-graded permanent master diamond color comparison stones. Colored stones are color graded according to the GIA color grading system. Unless otherwise stated, all colored stones listed on this appraisal report have probably been subjected to various treatments to improve their appearance. Treatments are considered. usual and customary practices when properly disclosed and when done without intent to defraud the consumer. The treatments are mostly stable and do not require special care. When a treatment is detected and considered unusual it will be so noted by this appraiser. Some treatments are reversible and re-treatable. It may be beyond the scope of an appraisal to determine exact treatment methods or the amount of treatment present. Some treatments require sophisticated equipment not found. in a standard gemological laboratory. Prevailing market values are based on these universally practiced and accepted processes by the gems and jewelry trade. Sources are assumed to be reliable and the appraiser does not assume responsibility for their information. The appraiser assumes the ownership of the subject property is true as stated by the client. The fees paid for this appraisal do not include the services of the appraiser for any other matter. In particular, fees paid to date do not include any of the appraiser's time or services in connection with any statement, testimony or other matters before an insurance company, its agents, employees or any court or other body in connection with the property herein described. If the appraiser is required to testify or to make any statements to a third party concerning the described property and/or appraisal, the applicant shall pay the appraiser for all of such time and services so rendered. This document is limited to its stated intended use and is invalid if all items listed in the Table of Contents are not present. Unless expressly stated, the items appraised are in good condition. Any serious deficiencies and repairs are noted. Ordinary wear and tear is not noted. The information in this report is confidential Page 3 of 8 This appraisal process does not discover liens, encumbrances, or fractional interests but, if known, they are noted. The limited owner of this appraisal is the party for whom the work was performed Possession of this report does not provide title to the items appraised. . Possession of this report, any portion of this report, or any copy thereof, does not include the right of publication without the appraiser's written consent. Use of the information contained in the appraisal is invalid if all items listed in the Table of Contents are not present. Each.item described in this report has been photographed and file copies of the photograph(s) as well as a copy of the report are maintained in the appraiser's files for at least five years after the report date. Third parties may rely on the information in this report for the defined purpose and intended use only. Third parties requiring further information than what is in the report must obtain the written permission of the owner of the appraisal before the appraiser will discus the report. No changes may be made to this report by anyone other than the appraiser. The appraiser cannot be responsible for unauthorized alterations. The professional relationship between the appraiser and. the client ends with the delivery of this report. Subscriptions Retained for Value Consulting Drucker, Richard -The Guide. Northbrook, IL Rapaport, Martin -Rapaport Diamond Report, New York, NY Gold $ l 604.80 List of Laboratory Instruments Binocular microscope Leveridge gauge Electronic scale Thermal conductivity diamond tester Touchstone and acids Ultraviolet light unit Spectrascope Proportionscope Polariscope Dichroscope Refractometer Chelsea color filter Heavy liquids Diamond light and graded master comparison. diamonds Page 4 of 8 Certification • I hereby certify that, to the best of my knowledge and belief: • The statements of fact contained in this report are true and correct. • The reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions, and are my unbiased professional analysis, opinion, and conclusions. • I have no present or prospective interest in the property that is the subject of this report and I have no persona] interest or bias with respect to the parties involved. • My compensation is not contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of my client, the amount of the value estimate, the attainment of a stipulated result, or the occurrence of a subsequent event. • I have made a personal inspection of the properly that is the subject of this report. • No one provided significant professional assistance to the person signing this report. • My analyses, opinions, and conclusions were developed, and this report has been prepared., in conformity with the Uniform Standards of Professional Appraisal Practice. ___ Cherie Lynn Grove Certified Gemologist Appraiser, AGS 9/4/20 l 2 Page 5 of 8 Prepared For: William Wolf Date: 9/4/2012 3013 Lincoln Street Camp Hill, PA 17011 Item 1 ' Group 1 Two silver tone turquoise 30-36" necklaces. Each necklace has between 15 and. 18 tumbled turquoise boulders measuring 1/2" to 1 1/2". There are round hollow silver toned beads and oval beads in-between each boulder. Each necklace has a .fold over clasp. Total Approximate Value $g~.00 Item 2 Group 2 Eight silver and silver tone faceted inlayed, and tablet style turquoise cuff bracelet sand bangle bracelets. Total Approximate Value $320.00 Item 3 Group 3 Two Masonic pins and two charn'~ pendants. Total Approximate Value $ ] 5.00 Item 4 -Group 4 Four coin style necklaces, three of which have a single coin set with a chain pendant. The remaining coin pendant has town coins set at stations down the necklace with in inverted horse show in the center with silver tone beads and fold over clasp. Total Approximate Value $100.00 Item 5 Item 5 One sterling silver chain bracelet with thirteen attached charms. Total Approximate Value $65.00 Item 6 Bracelet One base metal seven row foil back diamond imitation bracelet. The middle and outer rows of the foil backs are larger. The bracelet has a fold over clasp that snaps tight. Total Approximate Value $20.00 Page 6 of 8 Item 7 Ring One lady's 14K white gold diamond solitaire diamond ring. There is one approximately 2.72ct round brilliant cut diamond set with four prongs in the center. The ring measures 8.67mm wide at the top, 2.36mm wide at the high polish shoulders, and 1.89mm wide at the base of the shank. The ring weighs 1.8dwt, is stamped " l 4K" and, " 2 (double S) 7", and has a removable ring guard.. Diamond Grading Report Shape and Cut: Measurements: Weight: Depth: Table: Girdle: Culet: Finish Polish: Symmetry: Clarity: Color: Round brilliant 8.63 x 8.61 x 6.00 mm (approximate) 2.72 Cts. (estimated) 69.61 62.6% Slightly thick, satin Very small Good Good I-l I Total Approximate Value $6,11 ] .96 Item 8 Ring One lady's 14K yellow gold domed cluster belcher st}~le diamond ring. There are seven approximately .OSct round brilliant cut diamonds set with 14K white gold cluster setting with high polish scalloped edges. The ring measures 13.42mm wide at the top, 9.06mm wide at the high polish shoulders, and 4.04mm wide at the base of the ring. The ring weighs 5.2dwt, is stamped "14K", and measures finger size 6 with a removable ring guard. Diamond Melee Attributes Shape and cut: Measurements: Total Weight: Clarity: Color: Round full cut 2.5 mm 7.00 cts. (estimated) VS G-H Total Approximate Value Total Approximate Value for All Items Six thousand nine hundred eighty-nine dollars and thirty-eight cents ,-• l Signature of Appraiser: - :- Cherie Lynn Grove Certified Gemologist Appraiser, AGS $272.42 $6,990.28 Page 7 of 8 ~, COMMONWEALTH OF PENNSYLVANIA SCHEDULE G INHERITANCETAX'RETURN INTER-VIVOS TRANSFERS & ~RESIDENTDECEDENT T---,,..- MISC. NON-PROBATE PROPERTY ESTATE OF Wolf, Kathryn L. This scFiedule must be completed and filed if the answer to any of questidns 1 throuah 4 on naae 2 is ~A~ ITEM NUMBER DESCRIPTION OF PROPERTY I Include the name of the transferee, their relationship to decedent and the date of transfer. Attach a copy of the deed for real estate. DATE OF DEATH VALUE OF ASSET °~° OF DECD'S INTEREST ~, EXCLUSION I (IF APPLICABLE ~ , TAXABLE VAL>JE ) 1 I Transamerica Life Insurance Company -Qualified ~ 416,921.39 I 100% 0 00 ~ 416 921 39 ~ Annuity -Policy # 02TCB012946 ~ i i I 1 . i , . ~ I FILE.NUIVIBER ' . 21 -.12 - Q0851. TOTAL (Also enter on line 7, Recapitulation) 416,921.39 ;' SCHEDULE H FUNERAL E)CCPENSES & COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN /~ ry-A'N~~+~~ ~~ RESIDENT DECEDENT ~1LJIY~ h7 ESTATE OF Wolf, Kathryn L. I FILE NUMBER 21 - 12 - 00851 Debts of decedent must be reported on Schedule I. ITEM , NUMBER I FUNERAL EXPENSES: DESCRIPTION AMOUNT A• 1 Rolling Green Cemetery -Interment Expenses 1,445.00 2 Nancy Martin -Soloist for Funeral 75.00 3 Myers Harner Funeral Home -Funeral Expense 9 083.00 4 Rolling Green Cemetery -Inscription on Headstone 285.00 5 Trinity Lutheran Church -Funeral Luncheon 242.48 B. ~ ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) . Street Address City State Zip ~ Year(s) Commission paid 2. Attorney's Fees Law Offices of Craig A. Diehl - 12 839.35 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant i Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Register of Wills, Cumberland County 469.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. i Other Administrative Costs 1 ~ Law Offices of Craig A. Diehl -Reimbursement of Certified Mail costs for Pennsylvania 5.75 DPW Letter TOTAL (Also enter on line 9, Recapitulation) 35,827.80 Sd~Cedule' H COMMONWEALTH OF PENNSYLVANIA Funeral `~}T-" "--' "` INHERITANCE TAX RETURN AdminlSt)'at11/eCostsconttnued RESIDENT DECEDENT ~ ESTATE OF Wolf, Kathryn L. FILE NUMBER 21 - 12 - 00851 2 Cumberland Law Journal -Estate Advertisement 3 Law Offices of Craig A. Diehl -Reimbursement of Certified Mail costs for Pennsylvania Department of Revenue Safe Deposit Box Unit Letter 4 ~ The Sentinel -Estate Advertisement ~ 5 ~ Mountz Jewelers -Jewelry Appraisal 6 Crocker Farm MD Auction -Auctioneer Fee 7 Crocker Farm MD Auction -Auctioneer Fee i 8 Cordier Auction -Auctioneer Fee, Advertising Costs 9 ; Register of Wills, Cumberland County -Filing Fee for Inheritance Tax Return 75.00 5.75 176.92 275.00 26.25 2,410.62 8,398.18 15.00 Page 2 of Schedule H SCHEDULEI f ~ i ' " DEBTS OF DECEDENT, MORTGAGE COMN~HERITANCETAXRETURNANIA LIABILITIES, & LIENS RESIDENT DECEDENT FILE NUMBER ESTATE OF ~/~/p~f, Kathryn L. 21 - 12 - 00851 - , Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 Holy Spirit Hospital -Hospital Bill 170.00 2 (Janet Miller, Tax Collector -Personal Tax ~ 14.70 3 I United States Treasury -Quarterly Estimated Federal Tax Payment ~ 300.00 4 West Shore EMS -Ambulance Bill 1,114.12 5 Camp Hill Fire Company -Emergency Transport 100.00 TOTAL (Also enter on Line 10, Recapitulation) I 1,698.82 REV-1513 EX+ (11-OS) i COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wolf, Kathryn L. NUMBER I NAME AND ADDR i RECEIVIN I. TAXABLE DISTRIBUTIONS 1 William T. Wolf 3013 Lincoln Street Camp Hill, PA 17011 SCHEDULE J BENEFICIARIES RELATIONSHIP TO ESS OF PERSON(S) DECEDENT G PROPERTY Do Not Llst Trustee(s) [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Son FILE NUMBER 21 - 12 - 00851 SHARE OF ESTATE j AMOUNT OF ESTATE (Words) ($$$) 100% of Estate Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet, as appropriate. II. 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 ~ 0.00