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Home My WebLink About01-09-12 1505611185 1500 Exl°2.,,,,F° '~ REV - OFFICIAL USE ONLY PA Department of Revenue County Cotle Vear File Number Bureau of Individual Taxes PO BOX 280601 INHERITANCE TAX RETURN 21 12 1158 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYVVV Date of Birth nn MDOVVVr 2D1-18-8255 1D132D12 04241928 Decedent's Last Name Suffix Decedent's First Name M I CLEPPER RICHARD D (If Applicable) Enter Surviving Spouse's Information Below Spouse's last Name Suffix Spouse's First Name M I Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE - - REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW ^ 1. Original Return ^ 4 Li it d E t t . m e s a e ^ 6. Decedent Died Testate (Attach Copy of Will) ^ 9. Litigation Proceeds Received ^ 2. Supplemental Return ^ 4a. Future Interest Compromise (date of death after 12-12-82) ^ 7. Decedent Maintained a Living Trust (Attach Copy of Trust-) ^ 10. Spousal Poverty Credit (Date of Death Between 12-31-91 and 1-1-95) ^ 3. Remainder Return (Date of Death Prior to 12-13-82) ^ 5. Federal Estate Tax Return Required ~ 8. Tofal Number of Safe Deposit Boxes ^ 11 _ Election to Tax under Sec 9113(A) (Attach Schedule 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number THEODORE L• BRUBAKER, ESQ 717-9`tp5-5745 ~ ~ ~ REr TCbOF WILL94LSE O! A I j 't7 _-r~ X20 ~ _ p 077 r.mr 2 O'i r1rv ~ First Line of Address y CO 07 ~xs - 1 1 :r. is ~ 480 NEW HOLLAND AVENUE ,. ~' c-~ c, -r ~' _r , Second Line of Address sJ c ~J ~--' ... C7 SUITE 6205 ~ '~i '~' (,,.- o Cit or Post Office Stafe ZIP Code DATE ~ y LANCASTER PA 176022227 Correspondent'se-mail address: TEDBaBCGL-LAW•COM Under penalties of perjury, I declare that 1 have examined this return, including accompanying schedules and statements, and to the-best of my knowledge and belief, it is true, correct and complete. Declaration of preparar other then the personal representative is basetl on all information of which preparer hes any knowledge. C/0 480 NEW HOLLAND AVE, STE 6205 LANCASTER, PA 17602-2227 SIGNATURE O~PBEPARE3,DTHER THAN REPRESENTATIVE 480 NEW HOLLAN-B~CVE, STE 62D5 LANCASTER, PA 176D2-2227 PLEASE USE ORIGINAL FORM ONLY Side 1 1505611185 ornasa~sooo 1505611185 1505611285 REV-1500 EX (FI) Decedent's Social Security Number 201-18-8255 UeceCeors Name CLEPPER RICHARD D RECAPITULATION 1. Real Estate (Schedule A) ....... .. ................... 1 $ 0 • O 0 2. Stocks and Bonds (Schedule B) . .. 2 $ 51 , 589 •16 3. Closely Held Corporation, Partnership or SolrProprietorship (Schedule C) , 3. $ O , O O 4. Mortgages and Notes Receivable (Schedule D) _ .. q $O • OO 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. $ 3 2 , 7 9 3 •13 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested 6. $ O • OO 7. Inter-Vivos Transfers & Miscellaneous Nan-Probate Property (Schedule G) ^ Separate Billing Requestetl .. 7. $ 81 , 4 6 4 • 4 9 8. Total Gross Assets (total Lines 1 through 7) _ 8. $16 5 , 8 4 6 •7 8 9. Funeral Expenses and Administrative Costs (Schedule H). g, $ 4 , 893 •62 19. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 10. $5, 797 •95 11. Total Deductions (total Lines 9 and 10), 11 $1 O , 691.57 12. Net Value of Estate (Line 8 minus Line 11) 12 $155 ,155.21 13. Charitable and Governmental BequestslSec 9113 Trusts for which an election to tax has not been made (Schedule J) , 13, $ O • O O 14. Net Value Subject to Tax (Line 12 minus Line 13) . 14. $155 ,155.21 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers unQer Sec. 9116 (a)(tz)x.o- $0.00 15 $O.00 16. AmouN of Line 14 xable at lineal ratex.o 4~ $155,155.21 1s $6, 981.98 17. Amount of Line 14 taxable at sibling rateX .12 $ 0 • OO 17. $ O • OO 18. Amount of Line 14 taxable at collateral rateX.15 $O. QO 18. $O • OO 19. TAX DUE.. 19. $6,981.98 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^ Side 2 1505611285 1505611285 OM4648 3. X00 REV-1500 E% (Fp Page 3 Decedent's Complete Address: File Number ~1~ 1~~ 1158 DECEDENTS NAME CLEPPER RICHARD D STREEF ADDRESS MBERLAND COUNTY CITY BOILING SPRINGS STATE PA ZIP 17~07- Tax Payments and Credits 1. Tax Due (Page 2, Line 19) (1) $ 6 , 9 81.9 8 2. Credits/Payments A. Prior Payments $ Q • I] B. Discount $349 • 10 Total credirs(A+e) (z) _ $349. 1~ 3. Interest (3) $ ~ • 0 ~ 4. Ii Line 2 is greater than Line 1 + Line 3, enter the tlifference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. (4) $ ~ • 0 0 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) $ 6 , 6 3 2 • 8 8 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 transierretl .... ^ ^X b. retain the right to designate who shall use the property transferred or its income . . ^ ^X i i i t t t .. ..... . c. re n a revers n eres a onary d. receive the promise for life of either payments, benefts or care? . . . . . . . . . ^ 2. If death occurretl after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consitleration? ... ....... .... ^ i k i h " ' ^ in trust for or payable-upon-death ban account or secur ty at his or er death? 3. D d decedent own an 4. Did decedent own an individual retirement account, annuity, or other non-probate property, which contains a beneficiary designation? . . . . . . . . . . . ® ^ IF 7HE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE I7 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) O]_ For dates of death on or after Jan. 1, 1995, the tax rate imposetl on the nel value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116 (a) (1.1) (ii)]. Thestatute 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. Fa 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 tleath to or for the use of a natural parent, an atloptive 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 tlecetlent's lineal beneficiaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1 )]. • The tax rate imposetl on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. A sibling is tlefined, under Section 9102, as an intlividual who has at least one parent in common with the decedent; whether by blood or atloption. OM46J1 2.000 REV-r503 EXt(688) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS 8 BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER Richard D. Clepper 21 12 1158 All property jointly-ownetl with right of survivorship must be tlisclosed on Schedule F. awasss loos pf more space is neetled, insert additional sheets of the same size) REV-1508 EX+(11-10) pennsylvania SCHEDULE E oEaAarnnErJr of Rem"ue CASH, BANK DEPOSITS, 8r MISC. ~RESO~MO~c~~NTT~R" PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Richard D. Clepper 21 121158 Include the proceetls of litigation antl the tlate the proceetls wire receivetl by the estate. All property ~ointly owned with ri h[ o(survivorship must be disclosed on Schetlule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH t_ Money market account held in Morgan Stanley individual brokerage account $786.83 See attached valuation 2 PNC Bank Checking Account No. 5140182978 $29,710.51 See attached valuation Interest accrued to 10/13/2012 $0.15 3 2004 Ford Taurus. VIN 1FAFP53U04A145109. I $1,000.00 See attached Bill of Sale 4 Tangible personal property $0.00 Decedent resided in a nursing home at the time of his death and had no personal property of any monetary value. 5 AF&L Insurance Company - Refund $940.00 6 Progressive Home Advantage - Refund $46.00 7 Progressive Preferred Insurance Company - Refund $255.00 6 ~ DirecTV - Refund $59.64 OW46A~ 2.000 If more space is neetletl, use atltlitional sheets of paper or the same size. S 793.13 REV-1510 EX a (08-09) pennsylvania DEPARTMENT OF REVENUE SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY Richard D. Clepper 21 12 1158 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBE DESCRIPTION OF PROPERTY vuu>=r~nwaeov rrE mnrsrsaee,r~iRaEwno~naro oeceoaarAro t~on>E Orrnxsen AnxrvACOw or rrE OeEO FOa arx ES*nsE. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST IXCLUSION ~ IFArouCABLE TAXABLE VALUE ~ ~. Prudential Annuity Policy No. ~E0380889. Designated i beneficiaries - Richard L. i Clepper and Patricia Ladson $34,886.53 100.0000 $0.00 $34,886.53 See attached valuation 2 Prudential Annuity Policy No. E0241118. Designated beneficiaries - Richard L. Clepper and Patricia Ladson $46,577.96 100.0000 $0.00 $46,577.96 See attached valuation I I I I I i l it I I i I I I I TOTAL (Also enter on line 7, Recapitulation) $ If more space is neetletl, use atltlilional sheets of paper of the same size 9 W06AF 2 000 'REV-1511 EX' (10.09) Pennsylvania OEPPRTTAEM OF REVENUE INHERITANCE TA% RETURN RESIOEM DECEDENT ESTATE OF SCHEDULE H FUNERALEXPENSES AND ADMINISTRATIVE COSTS FILE NUMBER 71 17115 Decedent's debts must be reported on Schetlule I ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES. ~ None B. 1 ADMINISTRATIVE COSTS. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address Citv 2 3 Vear(s) Commission Paid: State ZIP Attorney Fees. Family Exemption: (Ii decedent's address is not the same as claimant's, atlach explanation.) Claimant Street Address 4. 5 6. 7. 1 2 5wasnc z aoc City State ZIP Relationship of Claimant to Decedent Probate Fees. Accountant Fees: Tax Return Preparer Fees: Brubaker Connaughton Goss 6 Lucarelli LLC - Administrative costs advanced The Sentinel - Proofs of publication Total from continuation schedules . TOTAL (Also enter on Line 9, Recapil If more space is needed, use additional sheets of paper of the same size. $4,200.00 $335.50 $50.00 $125.82 $182.30 893.62 Estate o£: Richard D. Clepper Schedule H Part 7 (Page 2) 21 12 1156 3 Cumberland Law Journal - Proofs of publication $75.00 4 Richard L. Clepper - Reimbursement of out of pocket expenses (obituary, postage, notary fees) $107.30 Total (Carry forward to main schedule) $182.30 RE~.,s,zEx.h=_~' SCHEDULE Pennsylvania DEanarMENr of REVENUE DEBTS OF DECEDENT, '""I Rlr"NEE T~ RETURN MORTGAGE LIABILITIES & LIENS RESIpEM CECEDENT ; ESTATE OF FILE NUMBER Richard D. Clenper 21 12 1158 Report tlebts incurred by the decedent prior to tleath that remained unpaid at the date of death, inclutling unreimbursetl metlical expenses. ITEM VALUE AT DATE "UMBER DESCRIPTION OF DEATH 1. ~DIRECTV - Cabl s $131 41 2 3 4 e expen e Millennium Pharmacy Systems - Prescription expense Cumberland Goodwill Fire Rescue EMS - Medical expense Thornwald Home - Nursing home expense $440.95 $50.98 $5,174.61 swasnt~ zooo If more space is needed, insert atltlitional sheets of the same size. REV-1513 EX+ (01-10) Pennsylvania OEPARTMEM OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF: FILE NUMBER: Richard D. Cle er 2112 1158 RELATIONSHIP TO DECEDENIT AMOUNT OR SHARE NUMBER i NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Nol List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS pnclutle outright spousal distributions antl transfers under Sec. 9116 (a) (12)-] 1. Richard L. Clepper ~ 2145 Quail Drive Lancaster, PA 17601 508 0£ Schedule G, Items 1 6 2 508 of Residue Son $77,577.61 2 l Patricia G. Ladson 1 204 Camelot Drive Goose Creek, SC 29445 i 508 of Schedule G, Items 1 b 2 508 of Residue Daughter $77,577.60 EMcR DOLLAR AMOUNTS FOR DISTRIBUTIONS SHO WN ABOVE ON LINES 15 THROUGH 1 B OF REV-1500 COVER SHEET, AS APP ROPRIATE. II ~ NON-TAXABLE DISTRIBUTIONS I, A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: t I 8. CHARITABLE ANO GOVERNMENTAL DISTRIBUTIONS. 1 i TOTAL OF PART II -ENTER TOTAL NON-TAXP9LE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ $ 0.00 swasAl zooo If more space is neetled, use additional sheets of paper of the same size. WILL I, RICHARD D. CLEPPER, of Boiling Springs, Pennsylvania, revoke my prior wills and declare this to be my last Will: GIFTS FIRST: PERSONAL AND HOUSEHOLD EFFECTS: I give all my articles of personal or household use, including automobiles, together with all casualty loss insurancerelating thereto, to my children, RICHARD L. CLEPPER and PATRICIA G. RAVER, or the survivor, to be divided among them as they may agree. In the absence of agreement, all such property shall be sold and the proceeds thereof added. to my residuary estate. SECOND: RESIDUARY ESTATE: I give the residue of my estate, real and personal, as follows: A. One-half (1/2) to my son, RICHARD L. CLEPPER, or, in the event that he does not survive me, to his then-living issue, per stirpes, or in default of such issue, pursuant to Paragraph B. of this Article SECOND. B . One-half (1 /2) to my daughter, PATRTCIA G. RAVER, or, in the event that she does n.ot survive me, to her then-living issue, per stirpes, or in default of such issue, pursuant to Paragraph A. of this Article SECOND. ADMINISTRATIVE PROVISIONS THIRD: SURVIVORSHIP: If a beneficiary fails to survive me by thirty (30) days, that beneficiary shall be deemed to have not survived me. {oowsuo iI FOIIRTH: DEATH TAXES: All federal, state and other death taxes payable because of my death on the property forming my gross estate for tax purposes, whether or not it passes under this Will, shall be paid out of the principal of my probate estate so that the burden thereof falls on my residuary estate, and none of these taxes shall be charged against any beneficiary or any outside fund. This provision shall not apply to generation-skipping transfer taxes. FIFTH: TAX OPTIONS I authorize my executor to exercise any options available in determining and paying death taxes in my estate as my executor deems appropriate, without regard to any effect upon the size of the marital deduction and without requiring adjustments between income and principal. SIXTH: BENEFICIARIES UNDER THE AGE OF TWENTY-FIVE (25) -CUSTODIAN: I appoint such individual or corporation (including a fiduciary serving hereunder) as is designated in writing by my executor as custodian under the Uniform Transfers to Minors Act ("Act") for (i) any beneficiary who has not attained age twenty-five (25) at the time an interest is distributable outright to him or her under the terms of this Will or (ii) except to the extent a valid appointment of a custodian has otherwise been made,_any person who has not attained age twenty-five (25) at the time an interest is distributable outright to him or her as a result of my death, from any other source. The custodian shall hold such property in an account established under the Act and shall from time to time expend for the benefit of the beneficiary such of the income and principal of such account as the custodian shall, in the custodian's discretion, deem appropriate and in accordance with the Act. Upon the beneficiary attaining the age of twenty- five (25) years, the custodian shall pay to the beneficiary all then remaining property in such account; provided, however, that should any person for whom property is held in an account {w6oazso ~I - 2 - under this Article SIXTIi die before attaining the age oftwenty-five (25) years, the property then held in such account shall be paid to the estate of such person. SEVENTH: MANAGEMENT PROVISIONS: I confer upon my executor under this Will all powers granted to fiduciaries under the laws of the Commonwealth of Pennsylvania, whether my estate is administered in the Commonwealth of Pennsylvania or elsewhere. In addition to the powers granted by law, I authorize my executor or other legal representatives of my estate serving under this Will to: A. Retain and invest in arty form of real or personal property regardless of (i) any limitations imposed by law on investments by executors, (ii) any principle of law concerning delegation of investment responsibility by executors or (iii) any principle of law concerning investment diversification; B. Compromise claims and abandon any property which, in my executor's opinion, is of little or no value; C. Borrow from anyone, even if the lender is a trustee hereunder, and pledge property as security for repayment of the funds borrowed; D. Sell at public or private sale, exchange, lease or lend for any period of time, any real or personal property, and give options for sales or leases; E. Make loans to, and buy property from, my executors or administrators or the trustee of any generation slapping trust of which I am a deemed transferor; F. Join in any merger, reorganization, voting-trust plan or other concerted action of security holders, and delegate discretionary duties with respect thereto; {00608250.7} -3- G. Allocate any property received or charges incurred to principal or income or partly to each, as my executor may think reasonably appropriate; and H. Distribute in cash or in kind or partly in each. These authorities shall extend to all property at any time held by my executor and shall continue in full force until the actual distribution of all such property, except as otherwise specifically stated. All powers, authorities, and discretion granted by this Will shall be in addition to those granted bylaw and shall be exercisable without court authorization. EIGHTH: PROTECTIVE PROVISION: No interest in income or principal shall be assignable by, or available to, anyone having a claim against a beneficiary before actual payment to the beneficiary. FIDUCIARIES "INTH: EXECUTORS: 1 appoint my son, R]CHARD L. CLEPPER, executor of this Will, but if he is unable or unwilling to act, I appoint my grandson, TIMOTHY B. CLEPPER, executor of this Will. No executor shall be required to give bond. Executed: February 10, 2011. (SEAL) Richard D. Clepper In our presence the above-named testator signed this and declared it to be his Will, and now at his request, in his presence, and in the presence of each other, we sign as,witnesses: {00608250.1} -4- Lancaster, PA 17602 221 East Chestnut Str Lancaster, PA 17602 COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF LANCASTER We, RICHARD D. CLEPPER, THEODORE L. BRUB_AKER and BETSY E. BOLACK, the testator and witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed aiid executed the instrument as his last will and that he had signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator signed the Will as witness and that to the best of their knowledge the testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Subscribed, sworn to and acknowledged before me byRICxaRD D. CLEPPER, the testator, and subscribed and sworn to before me by THEODORE L. BRUBAKER and BETSY E. BOLACK, witnesses, on February 10, 2011. EACTN Oi PENNSYLVANIA ^!V'~M4?6Ag8ER, NOTARY PUBLIC 6tIY QF.LJAICASTER, LANCASTER COUNTY ON EYPIAES lAN 7 ] 2 Commission Expires: c3111 i /l~ {00608250.1} - S - ~; 3 •. j(- E( ((/;J f ~f Witness 36 nasr SaeecsSoro ~aeet Hudson, : ~ 49236 rei t39 ,;^480v roll free E77 476 0675 November 12, 2012 Susan L. Barber Estate Paralegal C/O Brubaker Connaughton Goss & Lucarelli LLC 480 New Holland Ave., Suite 6205 Lancaster, PA 17602 Re: Estate of Richard D. Clepper Dear Ms. Barber MorganStantey SmithBarney Per yow request the date of death value for the estate of Mc Clepper will be calculated on October 12, 2012. The market was closed on Saturday 10/13/2012. Number Name Of Shares Symbol CUSIP 2,539.397 Pimco All Assert C PASCX 1,975.076 Alpine Ultra ATOAX 786.83 Bank Deposit Program Mr. Clepper also held 2 Prudential Annuities. Policy Number E0380889 Policy Number E0241118 The beneficiary on the 2 annuities is 50% Richard L. Clepper 50% Patricia Ladson 72200Q687 020828406 Please let m~krroW Tf^}~ou need any additional information. Regar i ~' lcG~-~~ ~ ~ C~ Nadine J. Martin Senior Registered Associate to Kelly Kuennen The Ellsworth Group 10/12/12 Value Price $12.46 $31,640.89 $10.10 $19,948.27 $1.00 $786.83 $34,886.53 $46,577.96 This information and data is being provided at your request and is from sources considered reliable, but their accuracy and completeness is not guaranteed. It has been prepared for illustrative purposes only and is not intended to be used as a substitute for the transaction statements you receive from Morgan Stanley Smith Barney LLC. Please compare the data on this document carefully with your transaction statements to verify its accuracy. This information is based upon the market value of your account as of the close of business on October 12, 2012, and is subject [o daily market fluctuation. Noe. 7. 20'2 9:51NM PNC ''~. ~ ! a} November 7, 2012 Arubaker Connaughton Cioss 8z Luc Artorneys at Law 25 North Duke St I,ancastei PA 17602 RE: Richard D Clepper SSN: 201-18-8255 DOD: 10/13/2012 llear Sir/Madam: No. 9810 F. 2i 2 Ira response to your request for Date of Death (DOD) balances for the customer noted above, ow records show the following: Checking Account Accomrt#5140782478 EstablSshed: U1I01/1962 RICHARD D C1.,EPP1sR DOD balance: X29,71.0.51 + U-15 accrued inteEest Please note that this tiflice provides date of death balances for deposit. acamnts (IRAs, L'Ds, Checking and. Savings). Vie do nut process any financial transactions or provitite statements. if you need assistance with any of these items; please call 1-888 °NC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, National Financial Services Center PNC Bank, N-A- Member FDIC This message is intended for the use of the individual or entity to which it is addressed and may contain information that rs privileged, confidential and exempt from diselosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communications is strictly prohibited. Ifyou have received this communication in error, please notes me immediately by reply or by telephone at 800 762-1775 and immediately destroy this fazed document. Page 1 0£ 1 BILL OF SALE OF MOTOR VEHICLE In consideration of the sum of $1,000.00, a receipt of which is acknowledged; I, Richard L: Clepper, Executor to the Estate of Richard D. Clepper, of 2145 Quail Drive, Lancaster, PA 17601, refereed to as the Seller, sell and deliver to Ashley L. Lupfer and Daniel L. Lupfer the following described automobile: Ashley L. Lup er Dame _ . up er 217 West Ridge Street Carlisle,PA 17073 717.884.1892 Make: Ford Model: Taurus Year: 2004 VIN: 1 FAFP53U04A145109 Odometer: 124,454 miles Seller expressly indicates that the described vehicle is being sold "As is"; without any warranty either expressed or implied as to the fitness of the vehicle indicated by this Bill of Sale. Seller Richard L. Clepper, Executor to the Estate of Richazd D. Clepper 2145 Quail Drive Lanoastet, PA 17601 Date //- ~ ' .~~/ot-- 717.368.(j~9 Buyer' ~ Date "' oG `' f / ~IL1, f