Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
01-31-13 (2)
1505611185 REV-1500 EX (02-11)(FI) PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number Po Box 2sosol INHERITANCE TAX RETURN 2 1, 12 0 9 0 4 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY Decedent's Last Name Suffix Decedent's First Name M I CATLIN HAROLD B (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 ^ 2. Supplemental Return ^ 3. Remainder Return (Date of Death Prior to 12-13-82) ^ 4. Limited Estate ^ 4a. Future Interest Compromise (date of ^ 5. Federal Estate Tax Return Required death after 12-12-82) ^ 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) ^ 9. Litigation Proceeds Received ^ 10. Spousal Poverty Credit (Date of Death ^ 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 TO: Name Daytime Telephone Number CRAIG A• HATCH, ESQ• 71,7-731-9600 First Line of Address ],013 MU~1~1A ROAD Second Line of Address SUITE 100 City or Post Office State ZIP Code LEMOYNE PA 17043 Correspondent'se-mail address: C - HATCHa1G,ATESLAWFIRCI • C4M Under penalties of perjury, 1 declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is tr , c rrect and complete Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SI RE OF PE~O SP BLE FOR FILING RETURN DATE AD ESS 7 DORWART I ETTERS, PA 1,731,9 SIGNATl1 , OF P R THAN REPRESENTATIVE DATE ..~''r. - ...._.. _. ~ ~~113 ADDRES 1,0 f1UMMA ROAD, SUITE 1,00 LEMOYNE, PA 1,7043 PLEASE USE ORIGINAL FORM ONLY 1505611185 REGISTER~OF'WILI S U$II,JONLY c_..~.~ .~.+~ ..; , u ~.„• ~> .-DATE FILED Side 1 OM4Fi47 3.000 y5a5611185 J , Estate of Harold B. Catlin Executors (Page 1) Name James T. Catlin Address 337 Dorwart Circle 196-14-0198 Etters, PA 17319- Tax ID 103-40-1052 J 1505611285 REV-1500 EX (FI) Decedent's Social Security Number DecedenYsName: CATLIN HAR OLD B RECAPITULATION 1. Real Estate (Schedule A) 1 0 • 0 0 2. Stocks and Bonds (Schedule B) ... .. ..... ..... . ..... ... . ~ ~. Z 0 , 5 0 0 • 16 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) , 3. 0 • 0 0 4. Mortgages and Notes Receivable (Schedule D) _ 4 0 • 0 0 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. 4 ~ 0 0 0 • 0 0 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested g. 10 , 9 9 0.31, 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested 7. 1, 6 8 , 91, 2.9 7 8. Total Gross Assets (total Lines 1 through 7) ~ 1, 9 4 , 4 0 3. 4 4 9. Funeral Expenses and Administrative Costs (Schedule H). 9. 3 9 , 414 •7 0 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) , 10. Z 8 9. 5 9 11. Total Deductions (total Lines 9 and 10) , 11. 3 9 , 6 0 4 •2 9 12. Net Value of Estate (Line 8 minus Line 11) 12, Z 5 4 , 7 9 9.1, 5 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) , , 1 g. 0 • 0 0 14. Net Value Subject to Tax (Line 12 minus Line 13) , , 14. 1, 5 4 , 7 9 9 • 1, 5 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers un~er Sec. 9116 (a)(1.2) X .0 - O. O Q 1 5. 0. 0 0 16. Amount of Line 14 t xable o 4~ t li l x t nea a ra . e 154,799.15 16. 6,965.96 17. Amount of Line 14 taxable at sibling rate X .12 0 • Q [] 17 0 • ^ 0 18. Amount of Line 14 taxable at collateral rate X .15 0. 0 0 18. 0. 0 0 19. TAX DUE 19. 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505621285 1505611285 OM4648 3.000 6,965.96 a J REV-1500 EX (FI) Page 3 Decedent's ComnletP Aririrpcc• File Number n ~ nani~ DECEDENT'S NAME CATLIN HAROLD B STREET ADDRESS CUMBERLAND CITY STATE ZI P CAMP HILL PA 1,701,1,- Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments $, 0 0 0. 0 0 B. Discount 3 4 8. 3 0 3. Interest (1) _ 6, 965.96 Total Credits (A + B) (2) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in 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. 8,348.30 (3) 0.00 (4) ]„ 382.34 (5) 0.00 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 x^ ^ b. retain the right to designate who shall use the property transferred or its income ^ ^X c. retain a reversionary interest ^ d. receive the promise fur 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? ^ 0 3. Did decedent own an "in trust for" or payable-upon-death bank account or security at his or her death? ^ 0 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 ~n 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. §91 16 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's si5lings 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. 0 M4671 2.000 REV-1502 EX+ (01-10) pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF: FILE NUMBER: Harold B. Catlin 21 12 0904 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-0wned with right of survivorship must be disclosed on Schedule F.. swass5 2.00o If more space is needed, use additional sheets of paper of the same size. REV-1503 EX+ (8-12) pennsylvania SCI-IEDIJ~~ B DEPARTMENT OF REVENUE INHERffANCETAX RETURN STOCKS & BONDS RESIDENT DECEDENT FILE NUMBER Harold B. Catlin 21 12 0904 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIP110N OF DEATH 1. 59 Shares 59 shares of common stock of Frontier Communications Corporation 195.14 5/18/12 -High: $3.38; Low - $3.20; Average - $3.29 5/21/12 - High - $3.40; Low - $3.25; Average - $3.325 DOD Average - $3.3075 per share 2 248 Shares 248 shares of common stock of Verizon Communications, Inc. 5/18/12 - High - $41.96; Low - $41..26; Average - $41.61 5/21/12 - High - $41.77; Low - $41.22; Average - $41.495 DOD Average - $41.5525 per share 10,305.02 TOTAL (Also enter on Line 2, Recapitulation) I $ 10 , 500.16 zwasss 2.00o If more space is needed, insert additional sheets of the same size REV-1504 EX+ (~gg~ SCHEDULE C COMMONWEALTH OF PENNSYLVANIA CLOSELY-HELD CORPORATION, INHERITANCE TAX RETURN PARTNERSHIP OR SOLE-F'fTOPRIETORSHIP ESTATE OF FILE NUMBER Harold B. Catlin 21120904 Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. REV-1507 EX+ (g-98) SCHEDULE D COMMONWEALTH OF PENNSYLVANIA MORTGAGES & NOTES INHERITANCE TAX RETURN RESIDENT DECEDENT RECEIVABLE ESTATE OF FILE NUMBER Harold B. Catlin 21 12 0904 All property jointly-owned with right of .survivorship must be disclosed on Schedu~e F. 3W46AC 1.000 (If more space is needed, insert additional sheets of same size) REV-1508 EX+ (0&12) pennsylvania SCHEDULE L DEPARTMENTOF REVENUE CASH, BANK DEPOSITS & MISC. RESIDENTDECEDENTTURN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Harold B. Catlin 21 12 0904 Include the proceeds of litigation and the date the proceeds were received by the estate. 2w46AD 2.000 If more space is needed, use additional sheets of paper of the same size. REV-1509 EX+ (01-10) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF: FILE NUMBER: Harold B. Catlin 21 12 0904 If an asset became jointly owned within one year of the decedent's date of death, it must be reported on Schedule G. SURVNING JOINT TENANT(S) NANE~S) ADDRESS RH ATIONSHIP TO DECEDENT A Catlin, James T JOINTLY OWNED PROPERTY: 337 Dorwart Circle, Ef.ters, PA 17319 Son ~~ NUMBER LETTER FOR JOINT TENANT DATE MADE ,JQINT DESCRIPTION OF PROPERTY INCLUDE NA~vE OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMLHZ IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECEDQdTS INTEREST DATE OF DEATH VALUE OF DC~EDENTS INTEREST 1 A 8/28/1964 M&T Bank aoint checking account number 22046755 21,980.62 50.0000 10,990.31 TOTAL (Also enter o~ Line 6, Recapitulation) 3 10 , 990.31 swasAE z.ooo If more space is needed, use additional sheets of paper of the same size. REV-1510 EX + (08-09) ~CHEDUhE C~ pennsylvania DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MIS(;. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Harold B. Catlin 21 12 0904 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 NUMBS DESCRIPTION OF PRGPERTY INCLLOETFEr14MEOFTHETRANSFEREE, THEIR RELATIONSHIPTO DECEDE~JTAND THE DATE OF TRATiSFER. ATTACHACOPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION IF APPLICABLE TAXABLE VALUE 1• Residence located at 4 Cornell Drive, Camp Hill, PA 17011 (Residence owned by The Catlin Family Irrevocable Trust) 168,912.97 100.0000 0.00 168,912.97 (Contract Sales Price plus taxes ) TOTAL (Also enter on line 7, Recapitulat~~n) y I 168 , 912.97 If more space is needed, use additional sheets of paper of the same size. 9W46AF 2.000 REV-1511 EX+ ~,ao9, SCHEDULE H pennsylvania DEPARTMENT OF REVENUE FUNERAL EXPENSES A N D INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Harold B. Catlin 21 12 0904 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. West Shore Elks #2257 (funeral luncheon) 1,500.00 Total from continuation schedules I 9,029.68 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street- Address City State ZIP Year(s) Commission Paid: 2. Attorney Fees: 5, 0 0 0. 0 0 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant Street Address 4. 5. 6. 7. City State ZIP Relationship of Claimant to Decedent Probate Fees: Accountant Fees: Tax Return Preparer Fees: 1 Mileage for checking on house at 4 Cornell Drive and picking up mail 2 James Catlin (reimbursement for estate expenses) Total from continuation schedules . 369.60 777.19 22,738.23 TOTAL. (Also enter on Line 9, Recapitulation) ~ ~ 3 9 , 414 .7 0 swasA~ 2.00o If more space is needed, use additional sheets of paper of the same size. Estate of: Harold B. Catlin 21 12 0904 Schedule H Part 1 (Page 2) Item No. Description Amount 2 Rolling Green Cemetery Company (grave marking) 285.00 3 Neil Funeral Home (funeral bill) 8,744.68 Total (Carry forward to main schedule) 9,029.68 Estate of: Harold B. Catlin Schedule H Part 7 (Page 2) 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 James Catlin (reimbursement for home improvements to 4 Cornell Drive, Camp Hill) Gordon Kline (lawn maintenance) Cumberland Law Journal (estate publication notice) The Patriot News (estate publication notice) PA American Water (water bills) PP&L Electric Utilities (electric bills) Lower Allen Township (sewer/refuse bills) Bonnie K. Miller, Tax Collector (real estate taxes) W.C. Eschenaur & Son, Inc. (heating fuel bill) United States Post Office - New Cumberland (certified mailing) Andrea Catlin. (reimbursement for stamps and copies) Keystone Insurance Company (homeowner's insurance) Ron Hoon Quality Painting (house painting for 4 Cornell Drive, Camp Hill) Kevin Catlin (installation of kitchen floor and BiFold Door and carpet removal for proper•~y located. at 4 Cornell Drive, Camp Hill) Verizon (phone bill) Capital Area Carpet (carpet cleaning at 4 Cornell Drive, Camp Hill) Lowe's (cleaning supplies to ready house for sale at 4 Cornell Drive, Camp Hill) Settlement charges (Sale of 4 Cornell Drive, Camp Hill, PA) 17011 21 12 0904 1,781.20 890.00 75.00 123.38 197.85 473.58 217.90 1,562.54 377.90 20.01 52.20 208.00 4,335.00 200.00 76.07 79.50 60.10 12,008.00 Total (Carry forward to main schedule) 22,738.23 REV-1512 EX + (12-08) pennsylvania SCHEDULE DEPARTMENTOF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Harold B. Catlin 21 12 0904 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ewasAH 2.000 If more space is needed, insert additional sheets of the same size. REV-1513 EX+ (01-10) pennsylvania DEPARTTAENT OF REVENUE SCHEDULE J BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Harold B. Catlin ~~ ~~ none RELATIGNSHIP TU DECr=DENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] 1. James T. Catlin 337 Dorwart Circle Etters, PA 17319 Son 77,399.58 2 Elizabeth Wever 5032 Heatherhill Lane 1 Boca Raton, FL 33486 Daughter 77,399.57 ENTER DOLLAR AMOUNTS FOR DISTRIBU110NS SHOWN ABOVE ON LINES 15 THROUGH 1 8 OF REV-1500 COVER SHEET, P.S APP ROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SEC110N 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 0 . 0 0 If more space is needed, use additional sheets of pc,per of the same size. 9W46AI 2.000 CERTIFIED DEATH CERTIFICATE Ia'a~.~; ~~ ~ xt, .~~. ; , d': t' f;;;' if1< L:~1`t1i1s:;(ti'. ~..t~: /Print In nanent ick Ink u D E 0 0 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS fFRTI~IfATF fib IlFAT41 1. Decedent's Legal Name (First, Middle, La May 20, 2012 6a. Age-Last Birthday (Vrs) 56. Under 1 Year Sc. Under 1 Da 6. Date of Birth (Mo/Day/Vear) (Spell Month) 7a. Birthplace (City and State or Foreign Country) Months Days Hours Minutes Tl11Sa Qk 84 June 19, 1927 7b. Birthplace (County) TU Sa 8a. Residence (State or Foreign Country) 8b. Residence (Street and Number -Include Apt No.) Sc. Dld Decedent Live In a Township? PA 4 Cornell Dr] Ve Ves, decedent lived in Lower Allen twp Bd. Residence (County) . Cumberland Be. Residence (Zip Code) 1 701 1 ^ No, decedent lived within limits of city/boro. 9. Ever In US Armed Forcesi 10. Marital Status at Time of Death ^ Married ~J Widowed 11. Surviving Spouse's Name (If wife, give name prior to first marriage) [Yes ^ No ^Unknown ^ Divorced ^ Never Married ^Unknown 12. Father's Name (First, Middle, Last, Suffix) l 13. Mother's Name Prior to First Marriage (F~rst, Middle, Last) d Wa ter G. Catlin Bertha M. Bufor 14a. Informant's Name 14b. Relationship to Decedent 14c. Informant's Mailing Address (Street and Number, City, State, Zip Code) James T Catlin Son 337 Dorwart Circle Etters, PA 17319 ..... lSa. Place of Deat Check only one I( Death Occurred in a Hospital: ~ Inpatient i r~+, r--t lf Death Occurred Somewhere Other Than a Hospital: LJ Hospice Facility L.J Decedent's Home ^ Emergency Room/Outpatient ^ Dead on Arrival ~ ^ Nursing Home/Long-Term Care facility ^ Other (Speci(yj 156. Facility Name (II not institution, glue street and number' SSc. City or Town, State, and Zip Code 16d. County of Death Hol S irit Hospital Camp Hill, PA 17011 Cumberland 16a. Method of Disposition ®8urial ^ Cremation 166. Date of Disposition 16c. Place of Disposition jName of cemetery, crematory, or other glare) ^ Removal from state ^ Donation 5 24 2012 / / ^ Other (Specify) ling Green Memorial Park 16d. Location of Disposition (City or Town, State, and Zlp) 17a. Sig [ur of eral Se a LI s or P on In Charge of Interment 7 7h. License Number Camp Hill, PA 17011 ~ ~' F'D 013239 L 17c. Name and Complete Address of Funeral Facility Neill Funeral Home, Inc 3401 Market t. Camp Hill, PA 17011 18. Decedent's Education -Check the box [hat best describes the 19. Decedent of Hispanic Origin ~ Check the 20. Decedent's Race -Check ONE OR MORE races to indicate what highest degree or level of school completed at the Lime of death. box [hat best describes whether the decedem the decedent considered himself or herself to be. ^ 8th grade or less is Spanish/Hispanic/Latino. Check the "NO" ~ White ^ Korean ^ No diploma, 9th - 12th grade hoz I( decedent is not Spanish/HisppOic/Latino. ^ Black or African American ^ Vietnamese High school graduate or GED completed (ENO, not Spanish/Hispanic/Lathe ^ American Indian or Alaska Native ^ Other Asian ^ Same college credit, but no degree ^Ves, Mexican, Mexican American, Chicano ^ Asian Indian ^ Native Hawaiian ^ Associate degree (e.g. AA, AS) ^ Yes, Puerto Rican ^ Chinese ^ Guamanian or Chamorro ^ Bachelor's degree (e.g. BA, AB, BS) ^Ves, Cuban ^ Filipino ^ Samoan ^ Master's degree (e.g. MA, MS, MEng, MEd, MSW, MBA) ^Ves, other Spanish/Hispanic/Latino ^ Japanese ^ Other Pacific Islander ^ Doctorate (e.g. PhD, Ed D) or Professional degree (Specify) ^ Other (Specify) e.. MD, DDS, OVM, LLB, 1D 21. Decedent's Single Race Self-Designation -Check ONLY ONE to indicate what the decedent considered himself or herself to be. 22a. Decedent's Usual Occupation -Indicate type of work g] White ^ Japanese ^ Samoan done during most of working Ilfe. DO NOT USE RETIRED. ^ Black or African American ^ Korean ^ Other Pacifi Islander ~ System Analyst ^ American Indian or Alaska Native ^ Vietnamese ^ Don't Know Not Sure ^ Asian Indian ^ Other Asian ^ Refused 226. Kind of Business/Industry ^ Chinese ^ Native Hawaiian ^ Other (Specify) ^ Filipino ^ Guamanian or Chamorro Coamtin7 CatlOn ITEMS 23a • 23d MUST BE COMPLETED 23a. Date Pronounced Dead (Mo/Day/Yr) 23b. Signature of Person Pronouncing Death (Only when applicable) 23c. License Number BY PERSON WHO PRONOUNCES OR CERTIFIES DEATH (, ;J (,/~~ ' ' ~ ~ 23d. Date Signed (MO/Day/Vr) 24. Tim of Death ,! ~`1~{~(-{' ~ ~V, ~ ~ ~~N +) ' (,1 G7 `.~j~ I ,J ~ ~' ~ /J~• 25. Was Medical Examiner or Coroner Contacted? Yes ^ No CAUSE OF DEATH approximate 26. Part 1. Enter the chain of events--diseases, injuries, or complications--that directly caused the death. DO NOT enter terminal events such as cardiac arrest Interval: respiratory arrest, or ventricular fibrillation witho ut showing the etiol o g y . DO N O T ABBR V IA E TE. Enter only one cause on a line. Add additional lines if necessary Onset to Death {/~\ ~ / ~1 / ~ ~ Q l ' ~ ~ ~ J IMMEDIATE CAUSE > / C~, V ~~ ~/ l n I/1 (./ /T f\ ~~ `J (final disease or condition Due to (or as a conseouence ofl: resulting in death) b. ~~~~~5 Sequentially list conditions, Due to (or as a ronsequence of): if any, leading to the cause listed on line a. Enter the c. UNDERLYING CAUSE Due to (or as a consequence of): (disease or injury that initiated the events resulting d. in death) LAST. Due to for as a consequence of). 26. Part II. Enter other si¢ni ficant conditions contri bu ting; [o death b ut not resulting in the underlying cause given in Part I 27. Was an autopsy perforJned? f ~~t ` / M J ~ ~ V ~ ~ I N ' ~ / ^ ^ I" \~ 7 E- y ~ Yf /~ )/~ ~) « ~ J ' ' 1 2g Were autopsy findi ng s available ~ ro complete [he cau,.s-e/of death? ^ yes L~ No 29. If Female ^ Not pregnant within past year 30. D,i.d. ,T!obacco Use Contribute to Death? L~.es ^ Probably 31 M nner of Death [ij Natural ^ Homicide ^ Pregnant a[ time o(death ^ No ^Unknown ^ Accident ^ Pending Investigation ^ No[ pregnant, but pregnant within 42 days of death ^ Suicide ^ Could not be determined ^ No[ pregnant, but pregnant 43 days to 1 year before death 32. Date of Injury IMO/Day/Vr) (Spell Month) ^ Unknown If pregnant within [he past year 33. Time of Injury 34. Place of InJury (e.g. home; construction site; farm; school) 35. Location of Injury (Street and Number, Clty, State, Zip Code) 36. InJury at Work 37. If Transportation Injury, Specify: 38. Oes[ribe Now Injury Occurred: ^ Yes ^ Driver/Operator ^ Pedestrian ^ No ^ Passenger ^ Other (Specify) 39a. Certifier (Check only one): ^ Certifying physician - To the best of my knowledge, death occurred due to the cause(s) and manner stated ^ Pronouncing & Certitying physician - To the best of my knowledge, death occurred at the time, date, and place, and due to the cause(s) and manner stated ^ Medical Examiner/Coroner - On the basis of examination, and or investigation, in my opinion, death oc cu«ed at the time, date, and place, and due to the cause(s) a ndmann er stat e d n ~ j ~r + Signature of certifier: Title of rertifier: /~I ~~ License Number: ~~v1-S Ll ~(1 396. Name, Address and Zlp Code of Pe on Completing C e of Death (Item 261 39c. Date Signed (MO/Day/Yr) D~', R,5'. /Jct r~ 563 ~tl5r STre7 CaJ~~ fl ~~ 17611 j)1cl U aol~ 40. Registrar's District Nu er 41. Regis ors i azure 42. Registr Flle Dale (MO Day/Yr) 43. Amendments Disposition Permit No. dto C9 ~(oq HIOS-143 REV 07/2011 THE CATLIN FAMILY IRREVOCABLE TRUST DATED MAY 26, 2010 CATI,I~i F'A,''~' 1~R~V~CAB~,E '~'YtiTST Tl~~ ~'1tUST AGREE1ViL~1~'!' is executed in triplicate on this day of May, 2010, by and between H,,~.RQI,i~ B. CATY.II~, now of 4 Cornell Drive, Camp Hill, Cumberland County, Pennsylvania 1 ~'O11 (hereinafter called "Settlor") and ~ARQ~,1J $, CATKIN, now of 4 Cornell Drive, Camp Hilll, Cumberland County, Pennsylvania 17011, and J'AIV~~ T, CA~'~1N, now of 337 Dorwart Circle, Etters, York County, Fennsy]vania 17319 (hereinafter called "Trustees" or "Ca~ Trustees"), A]~'~CLE I. T1iY1~T ES'Y'ATE 1.01. Initiat Prin~aipal. Settlor, desiring to establish an irrevocable trust, does lxereby irrevocab]y transfer, assign and deliver to the Trustees 'and their successors, and assigns the assets listed on Schedule A,, attached hereto and made a part hereof. As further evidence of such assignment, the Settlor has executed or will cxeoute or cause to be executed such other instruments as may be required .for the purposes ofcornpleting the assignment or transfer of title to such property to the Trustees. The Trustees accept such transfer and assignment to themselves as Trustees, and undertake to hol~I, manage, invest and reinvest the assets of this Trust, and to distribute the ineorne and principal of the Trust in accordance with the provisions of this Agreement. 1.0z. Additional Priacipai. The Settlor and any other person ox persons, with the consent of the Trustees, shall have the right at any time to make additions to the corpus of this Trust or any share thereof hereby established. All such additions shall beheld, governed, and distributed by the Trustees in accordance with the terms and conditions of this Agreement. The Trustee, in its sole ~ ', discretion, may requite, as a prerequisite to acceptin roe that the transferrin g p P rty~ g party provide evidence satisfactory to the Trustee tkiat (i} the property is not contaminated by any hazardous or toxic materials or substances; and (ii) the property is not being used and has never been used for any ~, activities directly or indirectly involving the generation, use, treatment, storage, disposal, release or discharge of any hazardous or toxic materials or substances. 1.03, '')isel~~r, The Trustee shall have the right to disclaim, in whole or in part, prior to its acceptance by the Trustee, any interests in property for any reason, including but not Limited to a concern that such property could cause potential liability under any federal, state, or local environmental Ia~--. A~tTICI;,,~ Ili. IRRIv~(?CABIf,IT~' Off' ~'ItlJST 2.01, Irrevoc~, Settlor has been advised of the consequences of an irrevocable trust and hereby declares that this Trust shall be irrevocable and shall not be altered, amended, revoked, or terminated by Settlor or any other person or persons, A-1~TICLI~, ~. }`, INS~TEIANCE I't~LYCIE>5 [T~#,fS :TRiIS`1"IS'1~r}T'~11V7~1V1),~,~ T®H~~D ,~11GL~'I1~~'U~4N"CE~POLrCI~S'.J A~~'TCI,L rV'. TB,IJST' D~STI~IBU'I`IOl'~1't~ 4.Q1. Trust Prinef~~i. The entire corpus of this Trust, including the assets initially transferred to this Trust, subsequent additions to this Trust, and the proceeds of any sale, exchange or investment of such Trust assets, shall be used for the purposes herein contained, x.02. Itt ome Dig 'bution. During the Settlor's lifetime, the Trustees shall distribute all of the net income of the trust to, or for the benef t of, ~UL~ B. C;A-.1"LIN, The Trustees steall make no distributions of principal t4 IIAIt®L~ g, CAT~.IN Upon the admission of IiA.RQLD B. CAT~,IN to a long term care facility for a period o£ time in excess of thirty (30) days, the Trustee shall cease the distribution of income and shall accumulate the ineorne to the principal of the Trust. a.43, ]_Princfpai bigtribution~. ~Jpon the death of the Settlor and the a necessary and appropriate taxes, costs, fees, debts and expenses, the Trust shall ternaanate.t U nl termination, the remaining trust estate shall be divided into separate and aqua,! shares and one such sI•,are shall be dist~~ibuted io zach of the Settlor's children, JAMS T. CATY.Il`T and PI•17~-B~TH 'WLVE~, per stirpes. if either of the of Settlor's, children predecease the termination of this Trust ~--ithout surviving issue, then such predeceased child's share shall be distributed to the other child of the Settlor, per stirpes. 4.04. General Power o~ ppointmenl. Settlor's children, JADES T, CATLIN and ELIZA-BET'~ WEVI+ ~, are hereby granted tho general power to appoYnt some or al l of the principal of this Trust to theax~selves or either of them, . in such proportions and upon such terms (in trust, outright gi#ts; or in any other manner) as they ~oyntly or ~ndi~vidually deem advisable. This power shall not be exercisable unnder their Wills, xf Settlor's children fail, either in whole or in part, to '~~ exercise this general power of appointment herein granted, the unappointed principal shall continue in trust and shall be administered according to the terms of this 1 rust. Upon the death, resignation, ; . , removal or incapacity of Settlor's children, JAMES T. CATLIN and ~LIZABET~ Vi~EVER, the survivor ofthern shall exercise the general power of appointment under this provision. prior to the exercise o the (rcneral power o f Appointment by JA1V~S T, CATLIIV' and ELIZABET~I WEVE~ or either of them, JAMES T, CA~'LIN and ~LYZABETI:I WEVER shall provide a written notice of the intent to exercise this power to the then-current Trustees. The Trustees shall inform the Settlor of the intent to exercise this General power of Appointment. por a period ofCen (10) days, the Settlor may veto the proposed e~cercise of the General Power of Appointment. After the ten (l 0) day period expires, the proposed exercise of the Creneral Power of Appointment shall take et'fect unlE,ss the Trustees have received wi-itten veto from the Settior. ~,Tit~L,~ Y. P4'1~VERS Ql~' T~t1~5TE~S S.Q1. !r~eneral Paw Yn addition to such other powers and duties as may have been granted else~uvhere in this Trust, but subject to any limitations contained elser~-here in this Trust, the Trustees shall have the following powers and duties: ~1. In the rnax~agernent, care and disposition ofthis Trust, the Trustees shall have the power to do alI' things and to execute such deeds, instruments, and other documents as may be deemed necessary and proper, including the following powers, alI of which maybe exercised without order of or report to any court: (1) To sell, exchange, or otherwise dispose of any property, real, personal or mixed, wheresoever located, at any time held or acquired hereunder, at public or private sa]e, for cash or on terms as may be determined by the Trustees, 'w'ithout advertisement, including the right to lease for any terns notwithstanding the period of the Trust, and to grant options, including an option for a period beyond the duration of the 't`rust. (2) To invest aal monies in such stocks, bonds, securities, investment companies or trust shares, mortgages, notes, chores in action, real estate, improvements thereon, and other property as the Trustees ~rx-ay deem best, v~rithout regard to .any law now ar hereal~er xn force limiting investments of fiduciaries.. 3,) To retain for investment any property deposited with the Trustees hereunder. (4) To vote in person or by proxy any corporate stock or other security and to agree to or take any other action in regard to any reorganization, merger, consolidation, liquidation, bankruptcy or other procedure or proceedings affecting any stock, bond, note or other security held by this Trust. (5) To use lawyers, real estate brokers, accountants and any other agents, if such etnpJ;oyment ~s deemed necessary or desirable, and to_ pay reasonable compensation for their services. (ti) To compromise, settle or adjust any claim or demand by or against the Trust and t:o agree to any rescission or modification of any contact or agreement affecting th.e 1`rust. (7) To renew any indebtedness, as well as to borrow rrtoney, and to secure n. K1 /. • . '. 3 the wine by mortgaging, pledging or conveying any property of the Trust, including the power to borrow from the Trustees (in the Trustees' individual capacity) at a reasonable rate of interest, ($) To retain any business interest transferred to the trustee, as shareholder, security holder, creditor, partner or otherwise, for any period of time whatsoever, even though the interest may constitute all or a large portion of the trust principal; td comply with the provisions of any agreement restricting transfer of the interest• td participate in the conduct of the related business or rely upon others to do so, and to take or delegate to others discretiotaary power to take any action with respect to its management and affaiirs which an individual could take as outright owner of the business or the business interest, including the voting of stock (by separate trust or otherwise regardless of r+vhether that separate trust will extend for a term within or beyond the term of the trust) and the determination of all questions of policy; to execute and amend partnership agreements; to participate in any incorporation, reorganization, merger, consolidation, sale of assets, recapitalization, liquidation or dissolution o~ the business, or any change in its nature, or in any buy~sell, stock restriction, or stock redemption agreements; to invest in additional stock or secix~rities of, ox make secured, unsecured, or subordinated loans to, the business with trust foods; to take all appropriate actions to prevent identify, or respond to actual or threatened violations of any environmental law or regulation thereunder; to elect or employ with compensation, as directors, officers, employees, or agents of the business, any persons, including $ trustee of any trust held under this instrument, ox any dixcctor, officer, employee, of agent of a corporate trustee of any trust held under this instrument, without adversely affecting the compensation to which that trustee would otherwise be entitled; to rely upon t'eports of certified public accountants as to the operations and financial condition of the business, 'without independent investigation; to deal with and act for the business in any capacity (including in the case of a corporate trustee any banking oar trust capacity and the loaning of money out of the trustee's own funds) and to be compensated therefor; and to sell ar liquidate the business or any interest in t)ae business. (9) To register any stock, bond or other security in the name of a nominee, without the addition of words indicating that such security is held in a fiduciary ~ V ~~ capacity, but accurate records shall be maintained showin that the stock bond g ;' `. other security is a trust asset and the Trustees shall be responsible for the acts of the ' nominee. (10) To set aside as a separate trust, to be held and administered upon the same terms as those governing the remaining trust property, any interests in property, for any reason, including but not limited to a concern that such property could cause potential liability under any federal, state, or local environmental lar~v. 4 13. ~?Vhenever the Trustees are directed to distribute any trust principal in fee simple to a person who is them under twenty-one (2I) years of age, the Trustees shall be authorized to hold such property in, trust for such person until he becomes twenty~one (21) years ofage, and in the meantime sllal 1 use such part of the income and the principal of the trust as the Trustees may deem necessary to provide for the proper support and education of such person in the standard of living tp which he has become aecustorned. if such person should die before becoming twenty-one (21) years ofage, the property then remaining in trust shall be distributed to the personal representative of such person's estate. C. l'n making distributiptts from the Trust to or for the benefit of any minor or other person under a Legal disability, the Trustees need not require the appointment of a guardian, but shall be authorized to pay or deliver the distribution to the custodian of such person, to pay or deliver the distributaon to such person without the intervention of a guardian, to pay or deliver the distribution to the legal guardian of such person if a guardian bas already been appointed, or to use the distribution for the benefit of such person, D, rn the distribution of the Trust and any division into separate trusts and, shares, the Trustees shall be authorized to make the distribution and division in money or in kind or its both, regardless of the basis for income tax purposes of any property distributed or divided in kind, and the distribution and division made and the values established by the Trustees shall be binding and conclusive on all persons taking hereunder, The Trrustees may in making such distribution or division allot undivided interests in the same property to several trusts oar shares. E, zf at any time after Settlor's death the total fair market value of the assets of any trust established or to be established hereunder is so small that the corporate Trustee's annual fee for administering the trust would be equal to ox less than the minimum aiuiual fee set forth in the Tz~ust+ce's regularly published fee schedule, then the Trustees in their discretion shall be authorized to terminate such trust or to deckle not tv establish such trust, and in such event the property then held in or to be distributed to such tarust shall be distributed to the persons vvho are then or would be entitled to the income o#'such trust. If tlae amount ofincome to be received by such persons is to be determined in the discretion of the Trustees, they the Trustees shall distribute the property among such of the persons to whom the Trustees are authorized to distribute income, and i~ such proportions, as the Trustees in their discretion shall determine, I~. The Trustees shall be authorized to lend ox borrow, including the right to lend to or ~ :'~~ borrow from the Settlor's estate, at an adequate rate of interest and with adequate security and upon such terms and conditions as the Trustees shall deetxi fair and equitable. G. The Trustees shall be authorized to sell or purchase, at the fair market value as determined by the Trustees, any property to or from Settlor's estate, the estate of SettIor's spouse, or any trust created by Settlor or Settlor's spouse during life or by will, eveca though the same person or corporation tray be acting as executor of Settlor's estate or the estate of Settlor's spouse or as tru$tee of any other such trusts and as the Trustee of this Trust, 5 ~. The Trustees shall have discretion to determine ~rhether items should be charged or credited to income orprincipal or allocated between income and principal as the Trustees may deem equitable and fair under all the circumstances, including the power to amortize or fail to amortize any part or all of any premium or discount, to treat any part or all of the profit resulting from the maturity ox sale of ar~y asset, whether pu~cchased at a premium or at a discount, as income or principal or apportion the same between income and principal, to apportion the sales price of any asset betHreen income and principal, fo treat any dividend or other distribution on any investment as income or principal or to apportion the same between income or principal, to charge airy expense against income or principal or apportion the same, and to provide or fail to provide a reasonable reserve against depreciation or obsolescence on any asset subject to depreciation or obsolescence, all as the Trustees may reasonably deem equitable and just under all of the circumstances, r. The Trustees are hereby authorized and empowered to purchase such insurance policies as they deem appropriate, 5.0~, Actions and, oting by Ttrustee~. 'W"hen the authority and power under this Trust is vested in Cwo (2) or more Trustees or Co-Trustees, the au#hority and power under this Trust or granted by law shall be vested in, and exercised by, each of the Trustees individually or all o~'the Trustees jointly, such that each Trustee may act independently, or the trustees may act jointly, in the adrnir~istration or under the terms of the Trust agreement. S.Q3. T'ruat over to ~esi Zvi ~ ~nvhron ent 1 azards. The Trustee shall have the power tQ use and expend the trust income and principal to (i) conduct environmental assessments, audits, and site monitoring to determine compliance with any environmental law or regulation thereunder; (ii) take al l appropri ate remedial action to contain, clean up or remove any environmental hazard including a spill, release, discharge ox eontamirzation, either on ifs own accord or in response ro an actual or threatened violation of any environmental taw or regulation thereunder; (iii) institute Iegal proceedings concerning environmental hazards or contest or settle legal proceedings brought by any local, state, or federal agency concerned with e~avironmet~tal compliance, or by a private litigant; (iv) comply with at~y local, state or federal agency order or court order directing an assessment, abatement or cleanup of any environmental hazards; and (v) employ agents, consultants and legal counsel to assist or perform'the above undertakings or actions. Aay expenses incurred by the trustee under this paragraph may be charged against income or principal as the trustee shall determine. A,~tTIC~,~ ''iri. SP~NDT~~T P~t4'V'YSION 6.01. ~ener.~I ,pro~$idn. No beneficiary shall have the power to anticipate, encumber or transfer his interest in the Trust 1/state in any manner outer than by the valid exercise of a power of Appointment, No part of the Trust lrstate shall be liable for or charged with any debts, contracts, liabilities or torts of a beneficiary or subject to seizure or other process by any creditor of a bene~Clary, J ~, ..,. i i 6 -1y- A Rx~C~.E . CaNSTR~IC'f'~ON~ Off` T~tUST 7.Q1. Choice.of ~.,aw. This Trust shall be administered and interpreted in accordance with the laws of the Common~realth of Pexu~sylvania. 7.Q2, Unless otherwise stated, aZl references in this Trust to section and chapter numbers are to those of the Internal Revenue Code of 19$6, as amended, pr corresponding provisions of any subsequent federal tax laws applicable to this Trust. T.O. Other Tessa. Unl ess the context otherwise requires, the use of one or more genders in the text includes all other genders, and xhe use of either the singular or the plural in the text includes both the singular and the plural. 7'.0~. Ca lions. The eaptioz~s set forth in this Agreement at the beginning of the various divisions hereof are for convenience of reference only and shall not be deemed to define or limit the provisions hereof or to affect in any way their construction and application. 7.05. Situs of Trust, The Trust shall have its legal situs in Cumberland County, Pennsylvania. A~TY~Y.E V1T~. CQIVIPEi~SATIQIIT OF TRUS~'EES A,]V'D AtPF~INTIVYCI~I"I' ~F SYJC~ESSOR TRUSTEES $,01. ~~apensatio®. The Trustees shall receive as their eornpensation for the services performed hereunder that sum of money, based on an hourly charge or percentage rate, which ilte Trustees normally and customarily charge far performing similar services during the time which they perform these services, 8.OZ. Removal of Trustees. Settlor xnay remove the Trustees, or any of them, at any tune or times, with or without cause, upon thirty (30) days written notice'given to the current Trustees. ~' Upon the death of the Settlor, a majority of the current income beneficiaries xnay remove the Trustees, or any of them, at any time or times, with or without cause, upon thirty (30) days written notice given to the current Trustees, Upon the removal of the Trustees, or any of them, a successor ~~~ Trustee(s) shall be a ointed in accordance with the terms set forth in Para rah 8.03. i PP g P ,~ , , r; i $.03. Appointment of SuceeBSOr Trustees. The Trustees, or any of them, may resign at any time upon thirty (30) days written notice given to the Settlor if Settlor is living, or in the event of Settlor's death, upon thirty (30) days written notice given to the current income beneficiary or beneficiaries (including a beneficiary's natural ox legal guardian or legal representative),hereunder. Upon the death, resignation, removal or incapacity off' the Trustees, or any of them, a successor trustee(s) may be appointed by the Settlor during Settlor's lifetime, or, after Settlor's death, by a majority of the current income beneficiaries. Notwithstandingthe foregoing provisions respecting the appointment of a successor trustee(s), if and in the event that one "trustee shall die, resign, be removed, or be adjudicated incompetent, the remaining Trustee shall exercise the powers, and carry out the duties, of Trustee individually until such time as a successor trustee is appointed. Any successor trustee(s) shall be a financially sound atad competent corporate trustee or issue of the Settlor, Unless otherwise designated by the Settlor during his lifetime, the successor Trustees shall be the Settlor's daughter, EI,Z~ABETH W~V'~~, and his grandsons, KEVIN ~, CATLIN and J~~`FREY BARTUI~' CATLIN. Any successor trustee(s) thus appointed, or, if the corporate trustee shall merge with or be consolidated with another corporate fiduciary, then such corporate lduciary, shall succeed to all the duties and to all the powers, including discretionarypowers,herein granted to the Trustees. B.Q. E o etation of Trustee. No Trustee shall be liable fox any toss or depreciation-in value sustained by the Trust as a result of the Trustee retaining any property upon which there is later discovered to by hazardous xnaterlals or substances requiring remedial action pursuant to any federal, state, or Iocal environmental law, unless the Trustee contributed to the loss or depreciation in value through ~villfixl default, willful misconduct, or gross negligence, 8.05. Inds nific$tion of t~t~stee Y1 on D stributio~. Notwithstanding any contrary pro'visidn in this Trust Agreement, the Trustee may withhold a distribution to a beneficiary until receiving from the beneficiary an itademnification an agreement in which the beneficiary agrees to indemnify the Trustee against any claims flied against the Trustee as an "owrner" or "operator" under the Comprehensive invironmental Response, Compensation and Liability Act of 1980, as #'rom time to time amended, or any regulation thereunder. A~tT~CUE Y7~C. FERPETIBTIES CLAUS CT~rs~rrczErsrlv~~r~~orr~zx~,~t~'~~~ F~~~ ~'~rs ~RUSr.~ ARTICI,~ ~C. ACQ~SYTYON OF UI~TEB STATES 'T~ASURY BO1~bS E1..XC~LE FO~t, TAIL PAYNIT<~N'I';1'AYMENT Off' 'X'A7~CE3, FUN~RAI. EXl'~NSES, ANA EXl'LI~ISES OF Ab~ISTRATION 10.01. A-.c uieition o#'Bonds. The Trustees may, at any tune, without the prior approval or ~~ direction of the Settlor and whether or not the Settlor is able to manage Settlor's own affairs, acquire :. Clnited States Treasury Fonds selling at a discount, which bonds are redeemable at their par value ; ' ~ plus accrued interest thereon for the purposes of applying the proceeds to the paynr~ent of the United States estate tai pra the Settlor's estate; and the Trustees may borrow from any lender, including therr~selves, with or without security, to so acquire these bonds. TQ.Q2. patent of YJnited States Estate Tag by BoQ~ Reclemptio~, The Settlor directs that any United States Treasury Bonds`which may be redeemed at their par value plus accrued interest thereon for the purpose of applying the proceeds to the payment of the United States estate ' tax unposed on the Ssttlor's estate, and which are held by the Trustees, shall, to the extent of the amount determined to be required for payment of the estate tax, be distributed to the legal representative of the Settlor's estate to be used by the legal representative ahead of any other assets and to the fullest extent possible to pay the estate tax. X0.03, a meat Death ea an (1~ther° state Settlorncn Cos#s. After the Trustees have complied with paragraph 10,02, above, and ascertained from the legs] representative that all such bonds have been redeemed. in payment of the United States estate tax, the Trustees shall also ascertain from the legs] representative whether the Iega1 representative has sufficient assts to pay the remaining legacy, succession;, inheritance, transfer, estate and otherdeath taxes or duties (except the additional estate tax imposed by Section 2032(c), or corresponding provisions of the 1'nternal Revenue Code of 1986 applicable to the Settlor's estate axed imposixig the tax) levied or assessed against the Settlor's estate (including all interest and penalties thereon), all of which taxes, interest and penalties are hereaflter referred to as the death taxes, interest and penalties, If the legal representative advises the Trustees that insufficient funds exist to pay all the death taxes, interest and penalties, the Trustees shall then pay to the legal representative from the trust property, an amount equal to all the death taXES, interest and penalties in excess of the funds available to the legal representative for these purposes, which payments are to be made without apportionment. If the executor of the Settlor's estate, in such Executor's sole discretion, shall determine that appropriate assets of Settlor's estate are not available in sufficient amount to pay (1) the Settlor's funeral expenses, and (2) expenses of administering the Settlor's estate, the Trustees shall, upon the request of the executor of the Settlor's estate, contribute from tlfe principal of the trust estate the amount of such deficiency; and in conneeCion with any such action the Trustees shall rely upon the written statement of the lxecutor of the Senior's estate as to the validity and correctness of the amounts of any such expenses, and shall furnish funds to such Executor so as to enable such Executor to discharge the same, or to discharge any part or all thereof itself by making payment directly to the person entitled or claiming to be entitled to receive payment thereof. No consideration need be required by the Trustees from the Executor of Settlor's estate #'or any disbursement made by the Trustees pursuant hereto, nor sha11 there be any obligation upon such E~cecutor to repay to the Trustees any of the funds disbursed by them hereunder, and all amounts disbursed by the Trustees pursuant to the authority hereby conferred upon them shall be disbursed without any right in or duty upon the Trustees to seek or obtain contribution or reimbwrsement from any pea~son or property on account of such payment. The Trustees shall not be responsible for the application of any funds '~~ `~ delivered by them to the Executor of the Settlor's estate pursuant to the authority herein granted, nor shall the Trustees be subject to liability to any beneficiary hereunder on account of any payment made by them pursuant to the provisions hereof 9 1~ VVYTNESS VV~~~3F, the Settlor and Trustees have hereunto set their hands and seals as of the day and yzar first above writte~a. 'VV~TNESS: .,.~Aip~- ~. f-4 a-~#.f~c„~ (SEAL} HARdJ~~I ~. CAT~1N', SETTL'~R ~~NIM~I~WEAL,~'~ QP PENN~YI.VAI~A SS: C®UNTY Q~' ~~ i • On this, theo~D~ day of May, 201 Q, before rne, a Notary Public, the undersigned o#~cer, personally appeared ~A~~I.~~3 ~. CATI;IN, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within Trust Agreement, and acknowledged that he executed the same for the pu~rppses tbexeia, contained. ~N'V~'~11I~S~'WiF~REO~', I have set my hand and official Seal. ....,_ - ~_:.. r"~ .P - -. , - ~~taly ~IIG - . ~ . ' M~Commissiot~ >axpires: ... : ~, ~: ~.F . -~ ~ ~ ~: .~ ' . ~ ~ Momber. Ponnaylvania Aseoclation of Notar~ee j ~~ ~, •, COMM NIN>^A~TH OF PPNNSYLVANIA Notarial Seal ~a~ l~ waUcer, Notvy Pub~a Ls~rloy118 Son), Clltt)bedar-d CoufM~l My Como116sfon E~idas Jan. 20, 8011 10 ~'he foregoing Trust Agreement rxras delivered, and is hereby accepted, a2 I-,emoyne, 1'etlnsyl~'ani~, on M$y _ a, ZO10. vc~Trr ss ~~ ~~ r (5~~.) HAo.~ZOLD 8. CATL~I, ~'~,~JST'~E wi s '~ ~ L (sent,) AMES T. CATLTIV, TRUSTEE r 11 ~~:~~~~~ 'r ~c~~s ~~~~~~~ REFERRED '~'O ~N THE ,A-1~NE~ED TRUST AGREEI~-~ENT ~A~'ED o Nlav Z~, 2Qx 0 , _ ~'R(~M RA,RO~,~ ~. CA"~"L~1~, SE'~'T'LOR TO H~ROLT~ B. CA.'~'LIN AN~1 ~~MES '~'. C~,TL~N, '1"~tUS'~EES PROPERTI~ DESCR~PT~ON: ~ Cornell Drive, Camp ~i11, PA 17011 Lower Allen Township, Cumberland County Real 1Jstate as recorded in the Office for Recording of Deeds, Mortgages, etc. in and for the County of Cumberland in heed Book ~", `V"ol 16, Pages 257, 258, and 259 on October 2~, 195. 13 PA REV-1500 SCHEDULE B STOCKS and BONDS / ~ ~ _ /` ~ m ~ ~ ~ _ _ Z ~ ~ ~ ~ ~ V Ql GO 00 CO N '- -r~nrnm ~ ~ Q """~' '~ ~ r iD d ~° cry ? -~, T' ,~ ~ ~ 3i ;- ~ G z ~oovc~ v~ v,c~M ON a~ ~Y- O O ts~ ~ Z `~ N +~ ~ ~ ~ "~ ' y ~ ~ pp r p ~ EOo~w o~ ~.. .. ~ O~ C m G Q Z V~~oG-~ ~ ! v' ~ G A fII CO i /~ ~ E N U ~ U V ~ ~ f ~ s z ~ 3 l~ ib Q ~ ~ ~ ~ ,_ t~ A~A•• v~ cn `' 2 ~ ~ ~ ~ y W .. ". .. •.r ~ O O ~ ~ ~ ~~ ~- ° 0 .. "" C1 ~ .. p ~' O O 3 ~ ~ a ~ d ... ' ° .r v a; a~ ~ ~ ~ : ~n ~ ~ ~ a~ o ,~., o ~ ~ s ~ _ . ~:~ f~ ~-~ ~ o o ~~ = U ~ m~~ ~ _ _ oo L.L - a U vi , a..* ~ O c a~ ~ ~ ~ L O O ~ cn tom'' Q~ ~ - Q ~ ~ ^ N f/1 ~ a? ~ ~ to ~ ~ i ~ 'd I ~_ Q V ~ ~ ~ ~ Q ~ -~ O ~ :r U ~ " '~ Z3 ~ g O :; ~ O ~ ~ Q ~ "~ > ~ _ fl- = ~ o ~ ~ ...~ ~ O rro ,. ~_ ~ - ~ ,' ~ ~ a ~ O i . ~~ a Q ~~ ~ m ~ ~ ~ O o- ~~ ~ V O °r° = z v O O . _ ~ 0 V• L~ 0 ~ ~ ~ ~.. m U p ~ ~ '~ Z "; ©O ~ .~ ~ w ~ ~ ~C ~ ~ :: -C O ~.. . ~ m J .` ` ~ ~ ~ __ ~ _ Q Ll.l Z ~ _ ~ ~ ~ .. - ~ O~ a ~ r" Q ~ ~~ s.. U S ~t U ~ cc .r O a~ I ~' ~ e~- c V ~ c'V .-: ~~` ~ ~ r .,a 0 N Z ` o cu _ `° _ v 'O ~ y~~' i~, ~~ttii'' ~j~i ~{I tip Ht I lL M a a Q 0 x Y S FTR Historical Prices Frontier Communications Corpora Stock - r'ahoo! Finance Page 1 of 1 Neer t3sar7 RBgictE.; Sign in ~?ep Gat rlevr Yahs~~; ;~fiail a, 5 n,; v; f p ~ 'W2i! t. , YahGC" .__._ Sear~.h Search Web_ i ' ._ _........._..._ ..................._,.r I ..................................................................................................................................... ................................................................................................................................................................. ........................................................ _........................................................................................................... . ~ i I 1 .............................. . HOME iNVESTtNG ~ NF..WS I pEI;SONAL FIN~RfCE ~ ~F,Y PORTFOLIOS I EXCLUSIVES __. __......... f Get Quotes Finance Search fu? Jai 22 20'.3, 1~ ?h',h EST - ;1S Aarl:ets close in 5 hrs and 3~ rains Dow •0.14% Nasdaq x'0.30% FTR A , , . t ! 7 ' FREE INVESTING TOOLS ~."'~'~' IC~t~lT11Ai7 ~~~~~ Frontier Communications Corporation (FTR) NasdagGs 4.44 a ~.~4 0.89%~ 10:23AM EST -Nasdaq Real Time Price Get Historical Prices for: ~~~ GO Historical Prices Set Date Range C: Daily Start Date: May ~ 18 .2012 Eg. Jan 1, 2010 f Weekly End Date: May ~ 18 2012 !` Monthly ~" Dividends Only Get Prices Prices Date Open High Low Close May 18, 2012 3.37 3.38 3.20 3.22 Close price adjusted for dividends and splits. ~`~ Download to Spreadsheet Currency in USD. F ~1 4 ~` ~~ 1 . ~~ ~ C{_ ~ ~ Bask h=~srrree'~ ~zsst twv:c~.;r~:t 9.r:1 ' Copy: ig1':! "• 2013 Yahoo' nc AI rghc: rea.:'ved. Priv~.y Pe:icy - AUout Luc Ad> - T~:'rra cf Sc;rvice - Ccryri~ht!l~' Policy • ziertl f•~eed;rack -Yahoo': -AEC News P~et,uork Quotes are real-time icr NAS(JA,(~ NYSE. and N'O'SE !t'K { `;:ae a€so dalav iirn~s for ot'r:e: ex:;hanges. ;~;i ir~`o~rnatiori prcv:cad "as :s" fcr' inforrr:atior:a purposss ar:ly, rat inier:Ued for traUinc ?u";JCcCS Qf aiivic-~; t~1PlthJr `rahoc' f1Gr" ~.nY 0` It1d8p@ndBr~ ,,^..rO~:IdAfS {S ilabl•~ 'Or al'y i1lfJrfYlatlO''lai errGl"5.:1-corrtplztaness, er decays, or fnr any -r~;,:icns ts,k•~ n in reia:~ce cn i~iforrr:atior; ccntainar here!n. By accessing the 'fahco ;;'~'. you argree not to YaU+stri;iute the irif~~rmatior:'ounc ;here: n. Real-Tirrre continucus streaming cuotes 'are avail ~taa ?~rouyh cur arerniurr service. You rney turn ~e rr~irg quotes cn or o`f. ruf=:iurrienal company rJate c~rav~ded Uy Gafntat 1~~. Hr:;;on;::a c:part rata aria daily u~rJates :;reviled by Corrrricdity 7ysterns. Ir:a. ;CSIj. IE Jern:.i~c,rra! h':stori ;;al chart da'a daily updaas. fund sumr:nary, f:..nd ;~erfcrmarc.°, d;vid~nd data an i Mornirgsts; Ir:da:c c<~ta i~roviaed k:y Morningstar, inc. A.dCho~c ~s Atld to Portfolio LiKe 152' ~Y'r;~r j..a ,i;aa; ;~ ;,. _ =1 , Firs# ~ Previous ~ Nexf ~ LGst Volume Adj Close' 11,732,700 3.00 f=irst ~ Previol_IS ~ PJext ~ L~:si http://finance.yahoo.com/q/hp?s=FTR&a=04&b=18&c=2012~.d=04&e=18&f-2012&g=d 1/22/2013 FTR Historical Prices ~ Frontier Communications Corpora Stock -Yahoo! Finance Page 1 of 1 Ne~rr User? Rerister Sign fn iie`p Get ne>v Yahoo! plait apps 'vtii ~.~ ~, Yalfae ____ _ . _ __ Search Search Web 1 _ .................. _............_ _ .............................. HOME i ItJVESTiNG NEWS I FERSC~NAL FIfdANCE L .MY POR7FOLlQS ~___..._ EXCLUSIVES_ L _ .............................~.................................... Get Quotes ! Finance Search' Tue Jan 22 2G". ~n .'4h v' EST - JS '•aarkets rinse in ;, hrs and 36 rains Dow 30.12% Nasdaq 30.30% .~ * Qspr iw ~ ill ,"~ jN • i Sl~IM~ q~ ~! 1 of # ~ r ~ WHY E*TRADE iL..~ ~~'>~~ t~ ~pt s4 Frontier Communications Corporation (FTR) ^dasdagt^yS 4.4450 i 0.0350 (0.78%j 10:24AM EST -Nasdaq Real Time Price Add to Portfolio Lips 152: Historical Prices Set Date Range t Daily Start Date: May ~ 21 2012 Eg. Jan 1, 2010 r Weekly End Date: May ~ 21 2012 ~` Monthly d" Dividends Only Get Prices Get Historical Prices for: ~ GO First ~ Previous ~ Next ~ Last Prices Date Open High Low Close Volume Adj Close' May 21, 2012 3.25 3.40 3.25 3.37 ? 1,82,900 3.14 'Close price adjusted for dividends and splits. ~`` Download to Spreadsheet Currency in USD. 't t~r e• -' ;' ~f`.. ~ ~i 1 L. _ } 1~ ~? _j First ~ Previous ~ Naxt ~ Last CcpyrigYd ^'i c 13 `Tahoe! 'nc r;f ra?ts r:.s~ rred. Privacy i'c'iey -„bout Ou+ Ad; - T~r,ra of S-,rvice - Ccpyr~hUlt~ Policy -Send F eedD3ck - Yahoa': - AF_?C 1`~Bws NetWOrk motes are real-time for ~Jri ~f]A,(~, iJ`(SE. and NYSE 'ti's;'i' See also delay times fir other excaangF~s Aa iri'orrnati:;ri prav:deo as a" for in-orn ~atior:a': purposes Dray, r=~# inerded for trac±ine pu-;~rses or advice. Neither `rahaci nor anv ;~` i:~ds,;~,~neen prn•;iders is iiahia `or ary informational errors. ircomplataress r..r delays, cr far any -,cicrn talon in reliance cn i:~`<orn-atior: container t~er~in. ~~- accessing the Yah.;o <: ~. you agree rot to rea,;tr~;utc ttre intorrr:ation'ouno share:r:. Real- firrte ::ontinucus strean!int; cuotss are ;.>•i~iiaLle thrOUgtl cur pret-liUrr! 58rvice. Yoe: rnCi tUrrt sra::r.;ir:r: qucies cn a' of cur:rtarren~a! corr,par~y {9a•.a ~ravided ~y ±;ap~fc=I iC]. Hr3i0ri: ~t chart rata ariU Uai1y a~d:~:es previdEd by ,,;,rrrrie•J'ty Systerris. Ir:;; CSIj. li ternas:on2i histori.;al chart {iata daily updates. funU sur:~,,~ary; fund peril:rmarc, c;ividand data and h,?~rnirrstar Ir::lax rata provide~f by P.1crnin~s°ar. ir^ http://finance.yahoo.corr~'q/hp?s=FTRB~.a=04&b=21&c-2012&d=04&e=21&f=2012&g=d 1/22/2013 ,= Verl,~Qj'', .` "•-'~ ***********"AUTO**3-DIGIT 170 000108/0040352 0 4 0 3 5 2 .~.. "- iilill~fili'{fill,!l'iltiJl~~iil~l01°i~~"i"iti't~lliil~i"~ii~~ .=. .. HAROLD B CATLIN .-.. 4 CORNELL DR ~pmputershare Computershare PO Box 43078 Providence, RI 02940-3078 Within USA, US territories 8 Canada 800 S31 2355 Outside USA, US territories 8 Canada 781 575 3994 vwvw.computershare.com/verizon ~ CAMP HILL PA 17011-7637 -- ~ Hotder Account Number 00008989109 1 N D _. s - Record Date 10 Apr 2012 Check Number 0004634905 SSN/TtN Certified Yes 001 C50005.D0viEQ5_PG 1.VZA1.005909_447~6~040352%040352 i~erizon Communications InC. - D~v~dend Payment ~.~~ Get Direct Deposit -Avoid Delays! It's fast; no more waiting in fines. it`s convenient, even when you're out of town. (t's easy #o enroll; call us at 1-840-631-2355 and select option 1 "to access your account" and then from the account menu select "details of your last dividend", or see back for an authorization form. Dividend Confirmation Payment Date I Class Description ~ Participating I Shares/Units ~ Dividend ~ Rate Gross jj' Dividend {$) I Deduction I Amount {$j ` Deduction I Type Net Dividend ($) 01 Feb 2012 COMMON 248 50.500x0 124.00 0.00 N1A 124.00. 01 May 2012 COMMON 248 50.50000 124.00 0.00 N1A 124.40 Year-To-Date Paid 248.00 0.00 248.00 1UDC VZN '~ C~,~1CD'COC~ ~ R. OOHXDA-PP Ne=rr ti~ar? ............._................._......................_.................._......................._...._r.._............_.................__ .... . ............. _ ............................................................................................................................................... i....................................... _................................. f HOME ~ tNVESTiRiG NEWS I PERSOIUAt. FitJANCE NiY PORTFt3LIOS FXCt.115IVES I "` .. Get Quotes i Finance Search Tue. J<n 22 20", 1~ 'A ,R EST - iS 'Y1<~rkets dose in 5 hrs and 34 rains Dovv ~ 0.12% Nasdaq 10.31 N4-FEE T ' ~: ~ ! :' ATl~tl ACCESS ', ,;,, 3 ' " + - E~ `TRAt3E` .t _ ..._ t~ Verizon Communications Inc. (VZ)- ~JYSE 42 ^ ~ ~ ~ 0.03 (U.U7%) 10:26AM EST -Nasdaq Real Time Price Add tc Portfolio ~ii;~ 393 Historical Prices Set Date Range Get Historical Prices for: ~~ GO rdc~ha ;.; e t": Daily Start Date: May ' 18 2012 Eg. Jan 1, 2010 f Weekly End Date: May ~ 18 2012 r Monthly f` Dividends Only Get Prices _. Prices Date Open High Low Close May 18, 2012 41.61 41.96 41.26 41.53 `Close price adjusted for dividends and splits. First ~ Previous ~ f~uxt ~ Las# Volume Adj Close' 20,256,400 40.15 `` Download to Spreadsheet Currency in USD. ' ~l~ f F.~ ~'~ First ~ Previous (Neri ~ Last Copy: fight r~> 2i;13 Yahoo! ?nc r',f r:,^hts raserred. Pri43cy pricy - ~,bouf Uur Ad; - 1'~rr:s of Service -Copy=ighlilP Policy - send Feedback - ~fahoo' - AI/C News NetiuOrk C2uotes are real-time foU MASD!?(~, rJYSt, 2nd t'YSE U~i~T See also d41ay tunas f:1fvti'!E: EXC'1dr1GBS. r'>it irdorrriatlJri prcv ded "as :s" fvr in>ormatlorai purposes only, rJt ItT'.8nd°v `Uf tfaCil'Ig ~'U~'JCSP.S :)f aG'1riC°. tJ?Ith2C `(aho0i nOr c^,ny Oj i+i~Jt:'nCP!1i ("O~'Idf.'rS IS I72b12 `Of E3t'y II'1f:JrnlatlO:ldl trffGrS.I'.CJrTtpt~?eress. or r~elay.~, er for arly acicns t~k._n in fEI~nce on i:i'orn:atior: ccYltaln°r t~8relll. ~1~ dC:~C'SS:II;~ th8 YiittUO` ~`;;, YOti o~r8~' f':Jt ;O 'z C`15t17.~Utt tf•?i 1:3IOf[T?atlGf: ~GUt1C 118ret n. t<881-TI[Ti~3 COr1tInUC:JS 9tfearr`I'14 CltOf°u 2fF,' a`: <'sltr~i6 ::trough Cur prerzu:arr: sefvicU. You rna turn sraar.'lirg quotes cn or o"i. Y undarr~eniaf cCmp;:ny d eta H=rGV+i:E:1 )y i;apltal K? Hi;oriea? :'part c`ata afict Uaily updates provided by "orr,rncJity :ysterns. Ir•:u (^Slj. Internat:crial historira( Ci~a^ data, laity updases. funs: sur:~mary. fr;rid perfr..rniarc~, dividar?d :lata and A.":nrnir:gsi~:- I:?;tox data prr.,vided br 11Cliiings:ar, lnr... VZ Historical Prices ~ Verizon Communications Inc. Com Stock -Yahoo! Finance Page 1 of 1 Neer Usart F?egi~?er Sign in Fiep Get new Yahoo! t~laii apGS 'Uaii tr> - `!! 1'aPwe _. _ __ Search Search Web i ...........................................t..............................................................................................................................................................................................................................................................................................................................................................................................................._............ r ~ ................................................... ~ NOME ~ ENVESTtNG NEVi+$ PERSONAL FINANCE ~ MY PORTFOLIOS I EXCLUSIVES i i ................................. Get Quotes Finance Search Tue. Jan 2a. 2C`?. 1~ ??A?vt EST - ES :Markets close in 5 hrs and 33 miss Dow 30.13% Nasdaq 10.30% ~- OPE1V AN ACCOUNT [~kTRRDE 5[CURITIES LLC , _ Verizon Communications Inc. (VZ) 1~3v;;~= 42.50 ~- 0.04 X0.09%~ 10:26AM EST -Nasdaq Real Time Price Add to Portfoiio ~ik6 393 Historical Prices Set Date Range is Daily Start Date: May 21 2012 Eg. Jan 1, 2010 f Weekly End Date: May ~ 21 2012 ~ Monthly ~" Dividends Only Get Prices Prices Date Open High Low Close May 21, 2012 41.69 41.77 41.22 41.34 ' Close price adjusted fc,r dividends and splits. '`` Download to Spreadsheet Currency in USD. q ~f ~~ _~ Get Historical Prices for: ~ GO Firs# ~ Previous ~ Next ~ Last Volume Adj Close' 12,139,600 39.97 Firs# ~ Previous ~ Nexf ~ Last CcpyrigYd ~'~ 2:it3 Yahoo! inc. Af r~gl?ts rc~~:~•ed. Privacy Pe`ic, - r;bout Uur Ad; - T'~:'ms of Service - Co~yrightrlF` Pol cy -Send Feedoack -Yahoo' - AIaC NeW5 NetWOrk C~uotes are reai-time fcs Nii``iDA.(~, f~YSE, and t'YSE '•Ni{~f der, also delay tunes for at~we: exc'3enrr;s. Ail infGrrnation prcv:aed ' as :s' fdr insormatiGra': purposes onl3-, riot irtterded for trading purposes or advice. Neithar Yahoo! nor any cf inrependen rro:-iders is liable nor any u~formatianal errors ircomplatzress. cr delays, er for any =,c:ions taken in rei~rice en information, CGntaln~?d harem. By Gccess:ng the Y_:hoG s:e. you •ayree riot to redistribute the intorrr:atiGr`GUnd :harem. kcal-hirne continL:eus straarr:iriy c;uotes are adailaGla through our prerniurn service. YGU rrray turn s:rear:~:ir:g quotes cn or of cur:darnrenal cGmparry data provided by ~,ap~tal li]. HiSOriGJi char# Bata aid daily updates pri;•VidE:~ t)y ^GrrrrtGdlty :,iy5ternS, ire. ;CSIi. Ir?tern~=tip:'tal h€storic:a! chart rata. daily updates; fund sur?ir~iary; fund parfr..rmar:;;e, dividend data and !:,'ornir:gsi~:~ Indax rata provided by htomingstar, Inc. http://finance.yahoo.com/q/hp?s=VZ&a=04&b=21 &c=2012&d=04&e=21 &f=2012&g==d 1/22/2013 PA REV-1500 SCHEDULE E CASH, BANK DEPOSITS & MISCELLANEOUS PERSONAL PROPERTY r 1~ 1.~~ ~ r..i l ~ ~1 - Yi~ ~~~F~. Z`=,nF.F.C ~~~~1. e~ E~~ i E'/~ t £ { ~ i 'B4 I 1 A ~ ~ ': 1~: ~~ 1 lli\i7L11~1~~_ F ~ r .~. ~ J /) ~ ~~ ~. ___ ~ _~+~,-.`~t~~y_[_._~~t ~ATf ,~ __ ~~ .s ~' ~~ t ~ ~~ iM f _ I < ~~ L..; 'a.-~~ ii ~ '3 : / ~~.-y°" ; ~ _ ,,//fit 6~ ~ i''T ~ ~_ r.,+ ~ ~: `6- '.==~~~ ~ ~ Imo.: r~ ~ .~ t ~ ,, t.'.:r,~~-/~,~.- _ .f~~'•.~ -~.. ~( _~ . _ DOI_ I_Ai~S ~ ~ y, . f. ~~ __ '-' ~` .~' EE~ER~i CI2~iT li:.ZC`: :~ ~, 3;echanicshcrg, PA 17G55 ~ n-j:-k.membersistarg x - f~ - 4 ~~ ~: ~t ~ ~,.~ PA REV-1500 SCHEDULE F JOINTLY OWNED PROPERTY Mt~TT 499 Mitchell Road, Millsboro, DE 19966 Adjustment Services Phone 888-502-4349 F ax (302) 934-2955 August 1, 2012 Law Offices Of Gates, Halbruner, Hatch & Guise, P.C. 1013 Mumma Road, suite 100 Lemoyne, PA 17043 Re: Estate of Harold B. Catlin Social Security: 196-14-0198 Date of Death: May 20, 2012 Dear Sir or Madam: Per your inquiry on July 26, 2012, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Account Number Ownership (Names o~ Opening Date Balance on Date of Death Accrued Interest Totul Checking Account 22046755 Harold B. Catlin James T. Catlin 08/28/1964 $ 21, 980.62 $ .02 1, ost0_ ~Q PA REV-1500 SCHEDULE G INTER-VIVOS TRANSFERS and MISCELLANEOUS NON-PROBATE PROPERTY °`"~"'" OMB Approval No. 2502-0265 5.'iiluli~',. A. Settlement Statement (HUD-1) FINAL ~"•w or•e: ~ e~ • •. 1. ^ FHA 2. ^ RHS 3. X^ Conv. Unins. 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number: 12-1735GC 1351257249 4. ^ VA 5. ^Conv. Ins. C. Note: This form is furnished to give you a statement of actual settlement casts. Amounts paid to and by the settlement agents are shown. Items marked "(p.o.c)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. D. Name & Address of Borrower: E. Name & Address of Seller: F. Name & Address of Lender: Karen A. Pyryt The Catlin Family Irrevocable Trust United Wholesale Mortgage 523 Ellencroft Road, Lewisberry, PA 17339 4 Cornell Drive, Camp Hill, PA 17011 555 S. Adams Rd, Suite 200, Birmingham, MI 48009 G. Property Location: H. Settlement Agent: I. Settlement Date: 11/30/2012 4 Cornell Drive Guardian Transfer Corporation Disbursement Date: 1 V30/2012 Camp Hill, PA 17011 4075 Market St., Camp Hill, PA 17011 Lower Alien Township 717-909-4700 Place of Settlement: TitleExpress 4075 Market Street, Camp Hill, PA 17011 Printed 1 V30/2012 at 10:26 am by JMG 100. Gross Amount Due from Borrower 101. Contract sales price 167,900.00 102. Personal ~o art 103. Settlement charges to borrower {line 1400) 6,103.95 104. - 105. Ad'ustments for items aid b seller in advance 106. City/town taxes to 107. County taxes 11/30/2012 to 1213112012 63.23 108. School taxes 11 /30/2012 to 06/30/2013 911.84 109. Sewer OINID 11/30/2012 to 12!31/2012 19.13 110. Refuse O/N1D 11130/2012 to 12/31/2012 18.77 111. 112. 120. Gross Amount Due from Borrower 175,016.92 200. Amounts Paid b or in Behalf of Borrower 201. Deposit or earnest money 1,000,00 202. Principal amount of new loans} 60,000.00 203. Existin loa s taken sub'ect to 204. 205. 206. 207. 208. 209. Ad'ustments for items un aid b seller 210. City/town taxes to 211. County taxes to 212. School taxes to 213. 214. 215. 216. 217. 218. 219. 220• Total Paid b /for Borrower 61,000.00 300. Cash at Settlement fromlto Borrower 301. Gross amount due from borrower (line 120) 175,016.92 302. Less amounts paid bylfor borrower (line 220) 61,000,00 303. Cash ^X From ^ To Borrower 114,016.92 ..... ...... ....._.._.. .- --°..._.~ _. __ ..... ~... r.,, ,..ow~~~a .~ ...,~~......a. ~o.~a..~.y, . pa rq is agency may c ec s n ortn on. an you ere no raga n o r this lorm, unless d displays a wrrenlly valitl OMB control numoer. Nc contidenllality is assured; Ihls disdosure is mandatory. This 45 designed to provide the parges to a RESPA covered trensedbn with in(vnnagon during the sedbmanl process 400. Gross AmountDue to Seller 401. Contract sales price 167,900.00 402. Personal ro art 403. 404. 405. Ad'ustments for items aid b seller in advance 406, Cityltown taxes to 407. County taxes 11!3012012 to 1213112012 63.23 408. School taxes 11/3012012 to 06/30/2013 911.84 409. Sewer OIN/D 11!3012012 to 12/31/2012 19.13 410. Refuse O/N/D 11!3012012 to 12/3112012 18.77 411. 412. 420. Gross Amount Due to Seller 168,912.97 500. Reductions In Amount Due to Seller 501. Excess deposit (see instructions) 502. Settlement charges to seller (line 1400) 12,008.00 503. Existin loa s taken sub'ect to 504. Pa off of first mort a e loan 505. Payoff of second mortgage loan 506. 507. 508. 509. Ad'ustments for items un aid b seller 510. Cityltown taxes to 511, County taxes to 512. School taxes to 513. 514. 515. 516. 517. 518. 519. 520. Total Reduction Amount Due Seller 12,008.00 60D: Cash atSettlementaolfrom Seller 601, Gross amount due to seller (line 420) 168,912.97 602. Less reductions in amount due seller (line 520) 12,008.00 603. re Cash ^X To ^ From Seller a ea 158,904.97 ___ See attached addendum for additional information Previous editions are obsolete Page 1 of 4 HUD-1 700. Total Real Estate Broker Fees. $ 10,299.00 Paid From Paid From Division of commission Tine 700 as follows: Borrower's Seller's 701. $5,262.00 to Howard Hanna Funds at Funds at 702. $5,037.00 to Coldwell Banker Homestead Group Settlement Settlement 703. Commission paid at settlement 9,299.00 704. Earnest Money Deposit to Howard Hanna $1,000.00 P.O.C. B' 1,000.00 705. Broker Fee to Coldwell Banker Homestead Group 300.00 800. Items Pa able in Connection with Loan 801. Our origination charge (Includes Origination Point 1.906% or $1,143.60) $2,036,60 (from GFE #1) 802. Your credit or charge (points) for the specific interest rate chosen $-1,066.20 (from GFE #2) 803. Your adjusted origination charges (from GFE A) 972.40 804. Appraisal fee to FNMA Waiver (from GFE #3) 75.00 805. Credit re ort to from GFE #3 806. Tax service to from GFE #3 807. Flood certification to Corelo is Flood Services (from GFE #3) 12.00 808. to 900. Items Re uired b Lender to be Paid in Advance 901. Daily interest charges from from 1113012012 to 1210112012 @ $5.7534Iday {from GFE #10) 5,75 902. Mortgage insurance premium for months to (from GFE #3) 903. Homeowner's insurance for 1 ears to Erie Insurance (from GFE #11) 410.00 904. months to from GFE #11 1000. Reserves De osited with Lender 1001. Initial deposit for your escrow account (from GFE #9} 937.80 1002. Homeowner's insurance 3 months $ 34.17Imonth $102.51 1003. Mortgage insurance months $ O.OOlmonth $ 1004. Property taxes months $ 0.00/month $ 1005. County taxes 10 months $ 60.26lmonth $602.60 1006. School taxes 6 months $ 130.21/month $781,26 1007. Aggregate Adjustment $-548,57 1100. Title Char es 1101. Title services and lender's title insurance from GFE #4 905.00 30.00 1102. Settlement or closing fee to $ 1103. Owner's title insurance -Title Resources Guaranty Company from GFE #5 560.00 1104. Lender's title insurance -Title Resources Guaranty Company $905.00 1105. Lender's title policy limit $60,000.00 Lender's Policy 1106. Owner's title policy limit $167,900.00 Owner's Policy 1107. Agent's portion of the total title insurance premium $1,204.00 to Guardian Transfer Cor oration 1108. Underwriter's portion of the total title insurance premium $261.00 to Title Resources Guarant Com an 1109. to $ 1110. to $ 1200. Government Recordin and Transfer Char es 1201. Government recording charges $ (from GFE #7) 160.00 1202• Deed $62.00 Mort a e $98.00 Release $ 1203. Transfer taxes $ {from GFE #8) 1,679.00 1204. CitylCounty taxlstamps Deed $1,679.00 Mort a e $ 1205, Slate Taxlstamps Deed $1,679.00 Mort a e $ 1,679.00 1206. Deed $ Mort a e $ 1207. $ 1300. Additional Settlement Char es 1301. Required services that you can shop for (from GFE #6) 87.00 1302. Notary fee to Guardian Transfer Co oration $25.0(1 1303. Courier/wirele-doc fee to Guardian Transfer Co oration $62.00 1304. to 1305. to ' ~ r ' ` ' ~ ~ ~ 6,103.95 12,008.00 "Paid outside of closing by (B)orrower, (S)eller, (L)ender, (I)nvestor, Bro(K)er. **Credit by lender shown on page 1. ***Credit by seller shown on page 1. See attached addendum for additional information Previous editions are obsolete Page 2 of 4 HUD-1 Com arison of Good Faith Estimate: GF .and HUD=1 Char es Char es That Cannot Increase H.UD-1 Cine.:Number! Our origination charge # :801 Your credit or charge (points) for the'specificinierest rate chosen # 802 Your adjusted origination charges' # 803 Transfer taxes # 1203 Char es That in Total'Cannot Increase More Than 10% Government recording charges #:1204 Appraisal fee # 804 Flood certification # 807 Title services and lender's itle insurance # .11Q1 Owner's title insurance - Title Resources Guarahty Compahy # 1103 CPL, END # 1109 Document prep # 1.112 Notary fee # .1302 Courier/wirele-doc fee # 1303 ~• ~ ~ ,• Char es That Can Chan e Initial deposit for your escrow account # 1001 Daily interest charges from #901 $5.7534ld;a Homeowner's insurance #-:903. Loan Terms -Good Faith Estimate HUD-1: 2,038.60 2,038.60 -1,066.20 -1,066.20 972.40 972.40 1,679.00 1, 679.00 Good'Faith Estimate HUD-1 175.00 160.00 475.00 75.00 14.00 12.00 1,235.00 905.00 250.00 560.00 225.00 0.00 100.00 0.00 40.00 25.00 90.00 62.00 2,604.00 1,799.00 $ -805.00 or -30.9140% Good Faith Estimate' i1UD-1 3,300.00 937.80 5.75 5.75 0.00 410.00 Your initial loan amount is. $60,000.00 Your loan term is 30. years Your initial interest ate Is 3.5000% Your initial monthly amount owed for principal, .Interest, ahd any mortgage $269.43 includes insurance is ^X Principal ^X Interest ^ Mortgage Insurance Can your interest rate rise? X^ No. ^ Yes, it can rise to a maximum of %. The first change will be on 1 1 and can change again every years after I f .Every change date, your interest rate can increase or decrease by %. Over the life of the loan, your interest rate is guaranteed to never be lower than % or higher than %. Even if you make payments on time, can your loanbalance rise? ^X No. ^ Yes, it can rise to a maximum of $ Even if you make payments on time, can your monthly amount owed fqr' ^X No. ^ Yes, the first increase can be on I 1 and the monthly principal, interest, and mortgage insurance rise? amount owed can rise to $ The maximum it can ever rise to is $ Does your loan have a prepayment penalty? X^ No. ^ Yes, your maximum prepayment penalty is $ Does your loan have a balloon paymeht? ^X No. ^ Yes, you have a balloon payment of $ due in years on / / Total monthly amount owed including escrow account paymerits ^ You do not have a monthly escrow payment for items, such as property taxes and homeowner's insurance. You must pay these items directly yourself. ^X You have an additional monthly escrow payment of $224.64 that results in a total initial monthly amount owed of $494.07. This includes principal, interest, any mortgage insurance and any items checked below: Q Property taxes ~ Homeowner's insurance ^ Flood insurance ^ ^ ^ Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender. See attached addendum for additional information Previous editions are obsolete Page 3 of 4 HUD-1 I ~, THE 7LIN FAMILY I REVOCABLE TRUST ,,. The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be disbursed in accordance with this statement. SETTLEME GEN // ~j~Z~~ DATE WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRI50NMENT. FOR DETAILS SEE TITLE 18: U.S. CODE SECTION 1001 AND SECTION 1010. See attached addendum for additional information Previous editions are obsolete Page 4 of 4 HUD-1 HUD 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 I further certify that I have received a copy of the HUD-1 Settlement Statement. Itemization of Line 1101 ;Name of Borrower: Name of Seller: File Number: Karen A. Pyryt The Catlin Family Irrevocable Trust 12-1735GC Prepared 11/30!2012 at 10:26 am Note: This page displays an itemization of the charges shown on line 1101 of the HUD-1 Settlement Statement. This page accompanies but is not a part of the HUD-1 Settlement Statement. If a discrepancy exists, the information on the HUD-1 Settlement iStatement applies. 1100. Title Charges Total Charge Borrower Seller 1101. Title services and lender's title insurance to Notary Fee- Sellers to Guardian Transfer Cor oration $ 20.00 20.00 Tax Cert Reimbursement Fee to Guardian Transfer Cor oration $ 10.00 10.00 1102. Settlement or closing fee to $ 0.00 1104. Lender's title insurance -Title Resources Gto Title Resources Guarani Com ~$ 905.00 905.00 1109. to $ 0.00 1110. to $ 0.00 Totals: 3 935.00 0.00 905.00 30.00 SellerlLender credits shown on a e 1 POC=Paid Outside Closin CR = t.enderGredit See attached addendum for additional information Previous editions are obsolete Page 1 of 1 HUD-1 i I i I~~I~f01~f~~N'RI~I'~ Prepared by and Return to: Craig A. Hatch, Esq. Gates, Halbruner & Hatch, PC 1013 Mumma Road, Suite 1 100 l,cmc~yne, PA 17043 TAX PARC~~L Nn, 13-23-0547-492 LOWER AI.LIJN TOWNSHIP DEED THIS DEED is made the 26`h day of May in the year two thousand ten (2010). BETVfEEN HAROLD B. CATLIN, now of 4 Cornell Drive, Camp Hill, Cumberland County, Pennsylvania, 17011, party of the first part, GRANTOR, AND HAROLD B. CATLIN, now of 4 Cornell Drive, Camp Hill, Cumberland County, Pennsylvania, 17011, aild J~.MES T. CATLIN, now of 337 Dorwart Circle, Etters, york County, Pennsylvania, 17319, Trustees ofTHE CATLINFAI~VIILYIRREVOCABLE TRUST, parties ofthe second part, GF:ANTEES. WITNESSETH, that said party of the first part, for and in consideration of the sum of One ($1.00) Dollar, lawful money of the United States of America, well and truly paid by the said parties of the second part to the said party of the first part, at or before the sealing and delivery of these presents, the receipt whereof is hereby acknowledged, has hereby granted, bargained, sold, aliened, enfeoffed, released, conveyed and confirmed, and by these presents does grant, bargain, sell, alien, enfeoff, release, convey and confirm unto the said parties of the second part, theirs heirs, successors and assigns, ALL THAT CERTA~T tract or parcel of land situate in the Township of Lower Allen, County of Cumberland and Commonwealth of Pennsylvania, more particularly bounded and described according to survey of D. P. Raffensperger, dated August 5, 1955, as follows: BEGINNING at a point on the northern side of Cornell Drive one hundred twenty-three and two one hundredths (123.02) feet West of the intersection of Cornell Drive and Center Drive also at the dividing line between Lots Nos. 2 and 3 on hereinafter mentioned Plan of Lots; thence westwardly along the northern side of Cornell Drive seventy (70) feet to a point at the dividing line between Lots Nos. 3 and 4 on said Plan; thence northwardly along the same at right angles to Cornell Drive one hundred thirty (13~) feet to a point; thence eastwardly eighty-three and sixty-three one .hundredths (83.63) feet to a point at the dividing line between Lots Nos. 2 and 3 on said Plan; thence southwardly along the same one hundred shirty-two and twenty-four one hundredths (132.24) feet to a point, the place of BEGINNING. FEING Lot No. 3 on Plan No. 2 of Cedar Cliff Manor, recorded in Plan Book 7, Page 13, Cumberland County records. ~IAVING thereon erected a one and one-half story brick and frame dwelling house known and numbered as 4 Cornell Drive. DEING tl_~e same premises which Stuart M. 1--T_eagy and Evelyn 1-leaby, by deed d~.ted October 24., 1955, and recorded in the Recorder of Deeds Office in and for Cumberland County, Pennsylvania, in Deed Book U16, page 257, granted and conveyed unto Harold B. Catlin and Elizabeth M. Catlin. Elizabeth M. Catlin departed this life, thereby vesting complete title under operation of law to Harold B. Catlin, Grantor herein. THIS IS A TRANSFER FOR NOMINAL CONSIDERATION TO A TRUSTEE OF AN ORBINARY TRUST WtiEitl, ~'1-i!; 'I'ftA1VSNEN UH '['HE SAME YNUYEK7'Y WUFJLll KE EJ~EMY'C f H E HE 'I ~LA1~5 +'EK VAS MADE DIRECTLY FROM THE GRANTOR TO ALL OF THE POSSIBLE BENEFICIARIES THAT ARE ENTITLED TO RECEIVE THE PROPERTY OR PROCEEDS FROM THE SALE OF THE PROPERTY UNDER THE TRUST AND IS THEREFORE E~MPT FROM THE PAYMENT OF REALTY TRANSFER TAX. TO~GET~IER with all and singular the buildings and improvements, ways, streets, alleys, driveways, passages, waters, watercourses, rights, liberties, privileges, hereditaments and appurtenances, whatsoever unto the hereby granted premises belonging, or in any wise appertaining, and the reversions and remainders, rents, issues, and profits thereof; and all the estate, right, title, interest, property, claim, and demand whatsoever of the said Grantor, as well at law as in equity, of, in, and to the same. TE? HAVE AND TO HOLD, the said lot or piece of ground above-described, with all and singular the buildings and improvements thereon erected, hereditaments and premises hereby granted, or mentioned and intended so to be, with the appurtenances, unto the said Grantees, their heirs and assigns, to and for the only proper use and behoof of the said Grantees, their heirs and assigns forever. AND the said Grantor, for himself, his heirs, executors and administrators, does covenant, promise and agree, to and with the said Grantees, their heirs and assigns, by these presents, that he, the said Grantor, and his heirs, all and singular the hereditaments and premises hereby granted or mentioned and intended so to be, with the appurtenances, unto the said Grantees, their heirs and assigns, against him, the said Grantor and his heirs, and against all and every person and persons whomsoever lawfully claiming or to claim the same or any part thereof, by, from or under him, her, them or any of them, shall and will, subject as aforesaid, ~PECL~LLY ~V~.~~]E~ANT ANA FOR.E~ER DEFEND. IN FITNESS ~.~'I'~ERE~F, the said party of the first par ~ has hereunto set his hand and seal, the day and year first above-written. SIGNED, SE~L,ED~ ~.ND DELIVERED IN TIDE PRESENCE QF r,Y- Jf ..~-~- ,r - _ ., , ~_. I~.RdLD ~. CA.TLIN COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND On this, the ~.~.=~ ~ay of May, 2010, before me, a Notary Public for the Commonwealth of Pennsylvania, the undersigned officer, personally appeared HARQLD B. CATLIN, known to me (or satisfactorily proven) to be the person whose Warne is subscribed to the within instrument, and acknowledged that he executed the same for the purpose therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. ~~ . .. f... it-+ .. ..'. c .. ~_ :~;_ ... _ ... ,_st '- ~ , ,.', . - ,~ ~ , r Notary Public My Commission Expires: CERTIFICATE aF RESIDENCE I hereby certify that the present residence of the Grantees herein is as follows: Harold B. Catlin 4 Cornell Drive '- r Camp Hill, PA 17011 ~ -~ ~' : '~ ~ ~'~~ :--- Attorney for Grantees ROBERT P. ZIEGLER RECORDER OE DEED CUI~BERL~.1`~D CO~Jl`~TY 1 COI.TRT~Of.T~E SQ~L.IARE CARLISLE, PA 17Q ~ 3 717-240-6370 Instrument Number - 201014496 Recorded On 6/3/2010 At 11:41:57 AM * Totai Pages - 5 * Instrument Type -DEED Invoice Number - 666b6 User ID -- AF * Grantor -CATLIN, HAROLD B * Grantee -CATLIN FAMILY IRREVOCABLE TRUST, 'I~ItS * Customer -GATES & ASSOCIATES * FEES STATE WRIT TAX $0.50 STATE JCS/ACCESS TO $23.50 JUSTICE RECORDING FEES - $12.50 RECORDER OF DEEDS PARCEL CERTIFICATION $10.00 FEES AFFORDABLE HOUSING $11.50 COUNTY ARCHIVES FEE $2.00 ROD ARCHIVES FEE $3.00 WEST SHORE SCHOOL $0.00 DISTRICT LOWER ALLEN TOWNSHIP $0.00 TOTAL PAID $63.00 Certification Page DO NC~T ~ETAC~H This page is now part of this legal document. f Certify this to be recorded in Cumberland County PA of cuMe ~,, z ° ~~' - ~~' ° RECORDER O D EDS ~~ 'IT50 * -Information denoted by an asterisk may change during the verification process and may not be reflected on this page. IIIIII~Iillll~llllllllllll PA REV-1500 SCHEDULE H FUNERAL EXPENSES and ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 016395 CATLI N JAMES 337 DORWART CIRCLE ETTERS, PA 17319 -------- fold ACN ASSESSMENT CONTROL NUMBER REV-1162 EX(11-96) AMOUNT ESTATE INFORMATION: SSN: 196-~4-0198 FILE NUMBER: 21 1 2-0904 DECEDENT NAME: CATLIN HAROLD BARYON DATE OF PAYMENT: 08/ 1 6/201 2 POSTMARK DATE: 08/16/2012 COUNTY: CUMBERLAND DATE OF DEATH: 05/20/2012 REMARKS: SEAL CHECK# 1001 101 ~ $ 8, 000.00 TOTAL AMOUNT PAID: $ 8, 000.00 INITIALS: CJ RECEIVED BY: GLENDA EARNER STRASBAUGH REGISTER OF WILLS TAXPAYER ~~ ,_ ~. ~, ~., ~v ~„,: ~~ L. f~m~ ~:~ t ~-- ~ ~' J ~~ k ~ .~ . Q ~ ~ ~ /~ ~ ~ ~ ~~~~ ati ~ ~~ ~ S ~' ~ 6 ~. ~ ~ ~~. ~ ~`. ~.. ~: ~~ ~~ ~ ~ ` o ~ ~ ~ - ~4 ~~ '~ ~ ,~ ~~ ~ :.~ ~~, ~~ ~ ~ W~. ~ > ~ ~` ~ ~ F- ~ ~ ~ -,r ~~ ~. .~: y- ~, ~ ~ ~_ ~ ~ ~ t ~. ~ n ~ ~ ` ~ M f ~ ~.` ~~ ~ ~,. ~~ ~~ ~~ ., irk ~ ~ ` c~ ~ ~~ ~. ~~ ~ ~, ~ ~ ,' ~~ ~: ~ ~ ~ ~ ~ ~~ ~~ ~. ~., ~ ~ ~' ~ ~~,, ~ '~- b A `~ ~ ~; ~ h_ #~ ~, i~ ~, ~ ~ ~ ~ ~ ~+/~-7/"~t~ ~~ti ~f o ; ~\ ~ ,~ ~' ~~ ~, ~•. ~ ~ N `~ ~~~\`\\\ V ~ ~' r s 9 ~ ~ ~~ ~` ~' ~ ' `~ V v 5 ~~ ~~ .. ~<~~ ~~~~ C~-'~>L1S"..~ ~~~ • ~Al~AP wlt.>L, ~~ X7091 • (~i~} ~~'-~~ ~~ ._ ~ ~ ~ ~ ~ Contract File Folder Name/Number CEMETERY INTERMENT RIGHTS, MERCHANDISE, AND SERVICES PURCHASE/SECURITY AGREEMENT THIS AGREEMENT PROVIDES FOR PERPETUAL/ENDOWMENT CARE. The undersigned, referred to as `Purchaser', hereby agrees to purchase the Interment Rights, Merchandise and Services described herein, subject to acceptance and approval of the above named cemetery, hereafter referred to as `Seller'. Purchaser: Last Name: ~~ I~ if I-. l~ I I I I I I I I I I I I I First: I L. 11 cP- f)'' L, lL `C t`-1 I I I I I Middle: I I I I I I I Telephone: ~ ~ '~~) ~i _ ,,, _ '? C~ ~.~ SSN: _ _ DOB: / / Email: Address: ~ t1~ T', ~ I- I I ~-I `l~ T1" IH k ice- fry li L I , I`~ IL I* I~Jt~ I I City' ~.ti~) (I, I~ I I ~' P-h CD t1`) I I I State: ~ I I Z'p' ~ _~ 4 X ; r; Go-Purchaser: Last Name: I I I I I I I I I I I I I I I I I I First: I I I I I I I I I I I I I I Middle: I I I I I I I Telephone: ~ ~ _ _ SSN: _ _ DOB: / / Email Address: I I I I I I I I I I I I I I I I I I I1 I I'~ I I I I I c'cy. I I I I I I I I I I I I I State: I I I Zip: Deceased: Last Name: ;~ ~'-1~- ~, fl ~~ I I I I I I I I I I I I First: ~ r~ ;~~ ~1~ ( fi I I I I I I I I Middle: ~` ~ I I I I I DOB: ~ / ~ Gj / ~ C; .' ~ DOD: ~ / <%~ / ,~`J, ~ `~ Burial Date: r / ~;~ / _~;~ 1 ~ Veteran: Description of Interment Rights to be used: ~ ~ 1-~ ~~~, ~~ - (X GI ~ ` ~;~1,,. ~ Memorialization Rights: Issue Certificate of Interment Rights to: ~ Address: City: State: Zip: INTERMENT MERCHANDISE & SERVICES • Interment Rights $ Urn (Includes Perpetual/Endowment Care of $ ) Supplier • Interment and Recording Fees -' Type/Color • Outer Burial Container _` _ _~ Design/Size Supplier Admin/Processing Fee /~ 1 ~ c J . ~. 4 Model/Design Other - Material/Color Other • Outer Burial Container Installation - Other ` MEMORIALIZATION Other • Memorial ~- Other Supplier Other Type/Color TOTALS, ALLOWANCES & TAXES Design/Size Interment Rights ( - ) • Memorial Base ~ Reason Supplier Merchandise/Service .................................................. ( ) Type/Color Reason ~ Design/Size Apply to • Memorial Perpetual/Endowment Care `" Merchandise/Service ..............:......................................... ( ~' ) • Memorial Installation Fee - Reason • Memorial Inspection Fee w Apply to ` ~ ~ ~ • Nameplate/Scroll ~C i`s ~a ~ „D ~ ^ ~ ~ , ~ ~ Sub Total ~.~ ~ ~ . ~~ • Lettering _ Total Taxable ~- • Flower Vase Sales Tax tf a licable ..........................................:........ _ (~ pp ) Supplier TOTAL CASH PRICE $ ;~ ~ `. . ~`. Type/Color Less: Down Payment _-`.~:~. ~ . C!7 Design/Size Other • Vase Base -' Total Down Payment ( ~ "_~~ ~ ~ ~~ Size/Material Unpaid Balance of Total Cash Price $ - ~) -- Notes & Payment Terms (where applicable): p~B~ `...ACCOUNT. PAGE 000000022046755 4 OF 5 HAROLD B. CATLlN ce-e4 ~*~ ~~ , 816 3 JAMES 7. CATLIN Y ~ CORNELL DRn~E vAh '~,D1 Z CAMP WLL, PA t70t1 -nY TO THE ~, ~~ys Z2 S ~ ~ 1, ~ n. !~ C UKIgR OFD ~ ~ ""', ~ ~~ - DOLLARS 8 .: ' is $tTBSIlEC -- ,.a..ti.o~ /~ n , , MEMO ~:D3 ~3D2955~: Z 2D~.6 5 ~~-'8 ~6 3 Check #5163 Paid :06/05/2012 51500.00 _- NARaLD B. CATL.tN oa~~ ~ 6113 ~ L64 JAMES T. CA7lIN ,J l 4 CORNELL DR1~E 7 / °~ i CAMP HILL, PP i7W 1 DS ~ -- b / • f rnr ro'rHF~L%f~lL~lL~t (/l/u~~-- l_ ~' ~9 5~N ~ ~ ORpF.[ F ~J ~ /~' /~1M&T anlc xr.~~wwon.~ ~IEatU - ~:D31302g5S~: 22~ 755n'8i64 Check #5164 '. Paid :06/12/2012 579.50 t _ ~/ ~'l il-~ ! ~ r '~ F% i >03I3018d6< ~ Oi Metro Bank Hub M O S op 2012-06-04 013069824 ~`''~~_""""`77~~ff -"'7f v ~ v. ~ ~A~ ~ ~0~1 ~ ~~ ~ O S N m Check #5163 Paid :06/05/2012 ;1500.00 ~~ ~ r ~ .~~ j,~ ~~6r ~ oca r- ' ~ 1° v'~'~ 1 :~ 4 ~ ~a~~ ~~ Check #8164 Paid :06/12/2012 =79.50 pn~s~ L HAROLD B. CATLlN o8~64 a~6113 8167 JAMES T. CATLIN ~ _ ~ CORN0.L DRIVE uw"ir:`r' CAM,,,,////P HIL/L, PA 17D11 ..,~,~ p ,/yG~~J /~l~~[/,T F IIRI)PR UP C-~c~c'LL.,~~~'~~L ~.d ~ Ic~a~M&T IIanlc ~ ~ ~. ~_ M~rN~./gIY Offer ;~.03i~©29~55~: 220 7551i'8i67 Check #8167 Paid :06/12/2012 ;8744.65 -~,la 816 8 °D- w-aoL~ s. cAn.ln! oaea , JAMES T. CATLIN 4 CORNELL O R IIfE onTe CAMP MLI, PA T7011 PaY TD 71iE /~/fj ~ "~ OFDCa C1P lvL/' ~ ~cJ~ 0 pp dl~~lLARS LN C'.-- ~IM~'nanlc d ~ j .~ - ~:~eos+ms 1 ~:Q~L3^2955i: 2204 SSn'8 ~£8 :: AGCDUNT;:: .. .PAGE 000000022046755 5 OF 5 ~- - ^. ,` ' > 0654010090 < " a a ~ ~- + __C r O ~_ _ ~ b~ A -- ~ r ~ ~ m - - wi 'r ~' 3~ p ~ ~m N1s2 C _ .._ ~ - .. .- _ "" o o - - ... .~ i ~ ~. - - i E .. #I - - $ Check #5167 Paid :06/12/2012 ZS744.68 " IC.. . /y; Z T V: I I _ ' 66 'i r 1 ~~~ ,r J r r~,+( C ~ ~ ..1 ~ f i / , ~. T •~ !!J a' --~ 0. ~~ ~ . „z ~~ Check #8168 Paid :06/15/2012 ;100.00 Check #8168 Paid :06/15/2012 X100.00 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, viz: August 10, August 17, and August 24, 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. ______-- °Lis arie Coyne, ditor ~.. SWORN TO AND SUBSCRIBED before me this 24 day of August, 2012 Catlin, Harold B., deed. . Late of Camp Hill. The Catlin Family Irrevocable Notary Trust. Trustee: James T. Catlin c/o Craig A. Hatch, Esquire, Gates, Hal- bruner, Hatch & Guise, P.C., 1013 Mumma Road, Suite 100, Le- moyne, PA 17043. N'JiARIAL SEAL Attorneys: Craig A. Hatch, Es- DE3JRAH A COLLINS quire, Gates, Halbruner, Hatch & Notary R~ablic Guise, P.C., 1013 Mumma Road, CARLISLE BORJUGH, CUMBERLR,hJD COUNTY Suite 100, Lemoyne, PA 17043. ~}, Co~~;s;;on E~;pires r~ar ?8, 2014 CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 Tele: (717) 249-3166 Fax: (717) 249-2663 August 24, 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: Craig A. Hatch, Esquire RE: Harold B. Catlin 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: August 10, August 17, and August 24, 2012 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 75.00 Total Amount Due $ 0.00 Becky H. Morgenthal, Executive Director The Patriot-News Co. 2020 Technology Pkwy Suite 300 Mechanicsburg, PA 17050 Inquiries - 717-255-8213 GATES, HALBRUNER & HATCH, P.C. ATTN: TRACT HILFERDING 1013 MUMMA ROAD SUITE 100 LEMOYNE PA 17043 the ~latriot Neius Now you know THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Holly Blain, being duly sworn according to law, deposes and says: That she is a Staff Accountant of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 2020 Technology Pkwy, Suite 300, in the Township of Hampden, County of Cumberland, State of Pennsylvania, owner and publisher of The Patriot-News and The Sunday Patriot-News newspapers of general circulation, printed and published at 1900 Patriot Drive, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Community Weekly editions which appeared on the date(s) indicated below. That neither she nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That she has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION COPY This ad # 0002224507 ran on the dates shown below: August 17, 2012 ~ August 24, 2012 --- ' ~, August 31, 2012 Notice is hereby 91ven that Harold B. \l n\ ~ Catlin of Camp Hlil, Cumberland Coun• •• ~ iv, PennsYlvanla, has died, that during his lifetime he established the Catlin Family Irrevocable Trust, and that all ,1° ~~ _. persons Indebted to him are requested fo , j `' make immediate payment and those ! $ havln9 claims against him are request SWOf~f'I t0 nd subs ibed b O me is 3 y pf August, 2012 A. D. ed to present them for settlement wlih• ~ ~ .~~ , out delay to: (~' The Catlin FamIIY Irrevocable Trust ~`• 5 1. ~ James T. Catlin, Trustee ~ ~, ~~: c/o Crale A. Hatch, Esquire :,~, ' , %r • Gates, Halbruner, Hatch & Guise, P.C. ~ f "' ~ 1013 Mumma Road, suite loo ___- Notary Public ~ Lemoyne, PA 17043 COMMONWEALTH OF PENNSYLVANIA Notarial Seal Sherrie L. Owens, Notary Public Lower Paxton Twp., Dauphin County MY Commission Expires Nov. 26, 2015 MEMBER, PENNSYLVANIA ASSOCIATION OF NOTARIES The Patriot-News Co. 2020 Technology Pkwy Suite 300 Mechanicsburg, PA 17050 Inquiries - 717-255-8213 GATES, HALBRUNER & HATCH, P.C. ATTN: TRACT HILFERDING 1013 MUMMA ROAD SUITE 100 LEMOYNE PA 17043 c~he ~latriot News Now you know STATEMENT ACCT # NAME AD ORDER # DATE EDITION ADDTL. INFO. ALL CHARGES ARE NET TYPE OF CHARGE AMOUNT 41052 GATES, HALBRUNER & HATCH, P.C. 0002224507 08/17/12 METRO EAST 41052 GATES, HALBRUNER 8~ HATCH, P.C. 0002224507 08/24/12 METRO EAST 41052 GATES, HALBRUNER & HATCH, P.C. 0002224507 08/31/12 METRO EAST BASIC AD CHARGE $39.46 BASIC AD CHARGE $39.46 BASIC AD CHARGE $39.46 AFFIDAVIT CHARGE $5.00 TOTAL: This is not an invoice. Please do not remit payment from this Statement. An invoice will be generated at the end of the month. --Thank you. $123.38 NOTE: This Statement replaces the Order Confirmation which we previously sent with Proofs of Publication pB~ ........................ __ ___ - ACGOUN~`: _ PAGE 000000022046755 2 OF 3 00000707-0002568-Page 2 of 2-FIDS1541G70211181211-00000707 ~~+•: r •~ f . HAROLD B. CATLtN ne~a ~~ f9 81 ~ 6 - JAMES T. CATLIN ~ ',~y~ _ -- 4CORNELI DRIVE ' UA7$fL-L.~4~rYyW~4.~ CAMP HILL, PA 17011 PAY TO THE -. ,_ .. _. - Q1 ~~/h~~// ._ _. N -- - ~ - OJ U~f ~-~AbLARS 8 s`~~`~.~ I~M&TBank .~ - - . If•IWJ MOAS - - /~ eye /~~ ~~clL~_ r MEMD r(~I~Ffi ldl~iL~ _~ ~~ ` - - - ~ x:03 i 30 2g55~: 2 20~. 551'8196 Check #8196 Paid :10/19/2012 ;33.83 rfAROLD e. cATLae oa-0. ~"~ 8 19 7 JAMES T. CATLIN 4 CQflNELL DRIVE ~Q ~~ ewTc C;ANP FdLL, P 17011 PAYTO THE / ~ ~~/4 a ~c n, MEMO l ti a:03i30Z955t: 2204 55~Bi9? Check #8197 Paid :10/29/2012 X100.00 .. _ s ~ r~ .; I` a ~f" ~ o m __ ~:~j ~ ~ - _ - - I i ~ i - - ~ X33.83 z V ~ ~ - ~ - ~~ ~ c ,: -c Check #8196 Paid :10/19/2012 Check #8197 Paid :10/29/2012 ;100.00 TLIN ae-~a HAROLD B_ CA ~~~"' 8 ~- 9 $ s,s JAMQERNEi.4CADRNE (~ f !Z. s~ CAMP HILL, PA 1701 ~ a~TE ~ PAYTO T1lE /~7j)~ ~/!~ f'/ ~` 'l~~ l U~ /~~ ~~ Y /Jf ~ W ~j ~~ . OREK3c c>F-~ r . // G/~ ~~ /~1M an c ~~..~. ~ ~:03L3029554 zzD4 55r^$Z9B - Check #8198 Paid :10/26/2012 X28.53 HAROLD B. CATLIN 08.64 rs ' la $1 ~ 9 JAMES T. CATLIN 4 CORNELL DRIVE CAMP HILL, PA 17011 owtF ~ ~~~ } ~ - -- ~~RS 8 ~:: ~ Ic~1M&T nk - wWeiarr~ose ~ ~ ~ _ . MF,pf - ~ ~ ~:03i30z955~: 2ZD4 75Su•8i99 Check #8199 Paid :10/26/2012 X30.90 - _ - _- -_ - = -_ - - -- _ T:i - -.. .--_- .... -.rt/ - - - 1=~=~ - / -- _'.~QQQl~43i~4~'~_ ?l~$E94 BNYMELL~N _ - _ _ - ~_~QOZ~I£36~~63.4A~7?k~"~µ- CRECk~OPfRYEE _" n~GM - ° __ _ - ~ ~~1~6008~3~~~~•=` '; ABS END GUAR (A _- : _- - _~ 9.f32B:12' S.9 7~~3~ 66}_008 - -- Check #8198 Paid :10/26/2012 A ;28.53 - m _~ _ ~. t.-.~ic.E- ~ r D `~ / r n n: '-nj ~A `: , 1 ~V'' ~ ti m n . .. _ - ~ Or ~ -i o- - ' „ m O u "° _£ - a a' ~ ~ ~ ~ ~ _ - w - `'~ ----- - -- ~ -- ~_,. i Check #8199 Paid :10/26/2012 / f3 ~ M8rTBc~t11k .. . ............. ..... .. ___ 000000022046755 3 OF 3 00000707-0002568-Page 2 of 2-FIDS1541G70211161211-00000707 HAROLD B. CATLIN oE•sa ~~f''s $ ~ ~,~ JAMES T. CATLIN 4 CQRKELL DRIVE Z~ ~ 'liz~ CAMP HI/L/L{~j/p//A(/,/~1~70t 1 vYtF ~~ Q~ f~ f CbLrt l~F1E .~ ~~ _ / f j.SL'} _ ~ '~~+ ^ ( W /n `I , ~~ a ~1 N~&T' Bank -- ~ 1:D3 13D 29551: 2 2046 5511'$ 2q0 ~''OOQDO X0895.'' Check #8200 Paid :11/02/2012 (108.95 ~_:,, 8 2 0 ~,/ HAROLD B. CATLIN os-sa .,: a"' JAMES T. CATLIN 4 CC,RMFLI 7n1YE :J~.TE f~'~ /J C~AMP/Y~.I/LL~PA//170!! 1'AY 1111111 ~. /u(~fj- I t /~-FI~f-TI ~~.~ ~ ~ ~~C4 / S~_ -,~'~g.',~ s~ l~l~ ~1~llr~Gl /~ T.{ ~1~ ~f~ ::~~~~~,~ D(3LLARS 8 .~,...... 4 ~ /~a1 M&T Bank I:D 3 1 30 29 5 51: 2 2046 5 5il'8 20 it Check #8201 Paid :10/31/2012 ;1562.54 HAROtq B. CATLIN oe-ed ~ bs3 a 2 ~ ~ JAMES T. CATLIN 4 CORN£LL DRfv~ DATE CRMPHiL ,PR 17014 ~nYTUrrle' /~ fi/ //~~~ ~ ` ~~ ~--~-~0~1~ ~"' ao ~Do uo~LARS 8 ~~ ~ ~MBeTBet]Ic /~IJJ/~ I~ti M OrM ` ~~~; ~:03~3029551: 22046 55'8202 Check #8202 Paid :11/06/2012 X56.00 T gn:75 6113 ~ ~~ HAROLD 8. CATLIN OB-64 ~,~ JAMES T. CATLIN 4 CORNELL DRIVE n,trr. ~ J - C<1iNF+ HILL. PA 1701 t + ~Q ti y P.1Y TC) TFI & l~C' ~s~r,~zu~--~ $ 37~j 1 a rr (Vi~PF.R~C?F J 1 q~ ' I ~L.l/i,~G ~~,l~flG~ -~/l~~E.~.~}°~ ~~7v._'~-- ~" f~1~^nor.i.nRS 8 ~.,: /~1M&TBank !! ~ Mi~~aM hn ORr _.... - ~ ` ~.#-~. ¢,Q~ wit'`'`=" ~" 1:0323029551: 2204 551+"8204 ,~ Check #8204 Paid :11/25/2012 ._ -- ~ ~ N ,L . ~ ~ ~ ~ O .-: _; i - d _du , r.j~,,, ti R _ { j_._: , Q~ Gc - Xz ~r i Check #8200 Paid :11/02/2012 5108.95 ., -~ , ~-~'as 1 >031301896~ 'i~ ~'~ Metro Bank Hub #Ol ~' ~~, 2012-10-34 ~ ~~~ x ~, - 0 0 1 2] 2 3 4 4 5012123445 'i .~~ ' ~ T L y ~\ 1~ fi./ r - <A i ~ ~ - ;~, ~~ f • V~ ~~~ 5 ~ N 1 ' ~ ~ ' _ ! m Check #8201 Paid :10/31/2012 ;1562.54 --~' 4 ~~~~o _~ ~~rn~~~ i ' ~ ~' m' , n~m a~ ~~`:~:~~ -Ht31SI08i~H3i3I$?8?~ E~H989938 - ~13H51~ - ~ ~ ~,~~ ~! ~ f n Check #8202 Paid :11/06/2012 X56.00 y '~• ._ ~.' lr<?J l.i u -K l=• 1 {'-' _. 1~ ._S ~ .' 1 ~f + i:; LI ~. c1 ~•~~3 - ~1'~ ... 1 ~~~ J ~ 2~11~~~~ - ~ ~;:~cn ~.~U ~M~~~~ cn o~`'' m C~Z Xti ~~~ O r a~ ~ 5377.90 Check #8204 Paid :1I/15/2012 #377.90 ~ 1VI8rTBc~lllk _ _ _ _ _ ACCOIIN~' PAGE 000000022046755 2 OF 3 00002976-0010931-Page 2 of 2-FIDS1541G70112181212-00002976 ~~ :' .~ ~~ `------- HAROLD 8. CATLIN oe-ea 1~ ~ B13 $ 2 0 3 JANt:S T. CATLJN ~ ~ ~L a CORNELL DaivE /~ DArt CAMP HILL. PA 7011 V~ PAY 7Ll11 fT, 3 c~x~s ~x /Jl~ ~ ~~ B ~ pp y LLARS W ~... M&T Dank Kya'adFAQ AlFhfD r I 1:0313^29551: ~20~. ?SSn^B203 Check #8203 Paid :11/19/2012 ;50.00 I !~ S ~ IiAROLD B_ CATLIN 0864 ~s 61t3 8 2 V CJ JAMES T. CATLIN ?Z `/ ~~ t"qJ Y, 4 CORNELI !)RIVE oA» ....-~_ ~. _ I r - CA }i1LL, PA 17011 _ ~ ~ - g PAY m r~ ~ $ ~8• S.3 . . , „~ cxu>fi: aP - i ~- -~_~3 _ ~~~8 - ~~---~ 8 ~._~ ~ Bank r.~r+riw aAa ~ .- ~~ _ ~ ,. gp'~'~ z~jy - .. T ue, 1:031302'5 2~0~.6 55~•$ 20§ - -- Check #8205 Pafd :11/27/2012 ;28.53 - HAROLD B. CAT11N 48.64 - ,~ 8n3 ~ 2 ~ S - __. ~ -... JAMES T. CATLIN r'l3 /p'IZ4slJ~W J ~ Ca RNELL DRIVE UAl'E " - +. ~_ .. _ 4 •, ,' - CAMP HILL. PA 17014 PAY TO 71iF ~ ~ ~ / v 7 1 / ~~~ r~„~OLt_A[t5 e+ ~ ~ w ~ - .. ~ ~ '- ~ ~ ~ 11EM() - • - i 8206 - ~• 1:03L3029551. .- ''c 20467 Su Check #8206 Paid :11/26/2012 X56.89 HAROLD B. CATLtN oa•oa °~~-'s, a 8 2 0 7 JAMES T. CATLIN . cc~NiwLL aR:ve oAn ~1 ofy' CAMP MILL, PA 17071 rnvTC~7tty ~ UIUIFR[1F _ - ~ ~ ~ ~0, 4 r ch~a1M&TIiranlc I,Q3i3^29551: 2204 5511'8207 check #8ao~ Paid :la/o6laola s2o.o1 ./ _ r_ ~~~,>~ ~~ 000005 228 112712 0094 BNYMELLON - 0002406270344 PIT CRED TO PAYEE 184-60081371412 ABS END GUAR 112712 582984 229 458 ii Check #8205 Paid :11/27/2012 528.53 - ---- --- r, ----- - r~ ~~1"~~/f l nn -~ ~ O ' I ;~ ~ - m Q+~ Y ~' ~ ~a ~~~ -L; A i ~ G m n • ~ ~ 4, < m `d m c p ~~r, ~ ~ ~_ SQ -_ - .: - <. '.' ~ O ~ i m z ,~c N .~ w _ N w - W •.. _... Check #8206 Paid :11/26/2012 556.89 /y~/~ / / Q cy~`xc~+ S: n rn c~ n ' R 6 1 1"1 A 7t4 'p ~~w~~R m ~~ ~~~ /~ ~/ ~~~ -- Check #8207 Paid :12/06/2012 X20.01 / Check #8203 Paid :11/19/2012 ;50.00 p M~sank ACCOUNT PAGE 000000022046755 3 OF 3 00002976-0010931-Page 2 of 2-FIDS1541G70112181212-00002976 • , _ - HAROLD B. CATLIN oa-sa .- e'er s" - 8 2 0 $ _ _ . .• JAil4ES T. CATLIN ~ '~~~ir ~OI ~_ - a CORNELL DRIVE, ~ DnTe CAMP HILL, PA 17Dtt -. ~ J/J ~~ E~ yOK1JiROF~ / 7 • -- $' 7~i,TS . ~ ~ ' 1 " .. - M&T Ban r~ - .. .. yiON~n AAMo ~ ~ ~ ~. -' .~ ~ ~// .. ~.03i3a2955~: 22~~. 75Sii'820a - Check #8208 Paid :12/10/2012 X45.25 HAAOLO S. CATLIN os-sa 63~a fi113 $ ~ ~ 9 _ _ - . JA6iES T. CATttN . - - - ~ C.ORNELL OR1VE u~Ts RnF HILL, AR t ' ~ wr mute ~ ~ ~i0+ ~/~ - f ORDER OF ~~ ~~ryy~~_. - T /~1M&TBanlc Ir ~' ~ . ~~WMOii~ ~}~lDA/f'o'K ~:03L3~2955~: 22^ 755R•8209 •'.U ~ ~~ L ~ 2 I'~ m m m '+~ s ~ A O m ~ m ~ ~y ~ m I, A = ~ °m m _+ ~ ~ n z m O ~~ Z ~ y ~ •' l N -~ t.L A _ w III ~ W t ,:) I - ~ W ~ ~ __ :; Check #8208 Paid :12/10/2012 ;45.25 .~ I y .. _ 11 ~~~ Q . ~ y_ (~4 - ~ ~` 1l.? -- , 7 it ' " %` ~~ ~ (' r 1. ~o ~ ~ _ Q. ~ c ~s ~l ~ ~ ~G!/~ ~'~ ~ ~, ~ I I //tt '' j i ~//V~ ~~t ` 1 I check #s2o9 Paia :12/11/2012 ~26.so check #s2o9 Paia :la/il/2o12 ;a6.so pM~s~ __ _ ___ ACCOUNT R/FGE 000000022046755 2 OF 3 00002787-0010548-Page 2 of 2-FIDS1541G70110181210-00002787 •: i .~ . ~~ J HAROLD B. CATLIN oe-sa °3~sn3 $1$1 - JAMES T. CATLIN - 4 CORNELL DRIVE - - ~~ ~~ Z~' J 2•/ yy CAMP /HILL A 17011 ~f PAY 7'Q 771H /~JY~/~ \J~ .__ ~,/i7`~~[V-. OXf~R C1F i olt~~l ~,o. ~-.~~~a ~~~ ~n~.pal~i ort ~oo~_ f~~AS ~ ..._.. ~ /c~1M&TBank ~o m ~~-. .--s, ~-~_ +:31302955+: 2204 5511.81gL Check #8191 Paid :09/20/cola ;1781.20 HAROLD B. GATLlN ae-s4 ~'~ L _ 8 ~ 9 ~ ~ JAME$ T. CATLIN onre ~ ~~ / L 4 CORNELL DA11/E ~, P HIk,1., PA 17 1 PAY' TPTHB OADfR (1F `~ ~~~ + ------ ~ ~ 8 ~ r ~ ~1M~Haok MQI'wr M 0~ c MEMO Wrvt •~ ~:03i302g55~S 220 ?551~•8L92 Check #8192 Paid :09/25/2012 ;100.00 nr~~ HARgID B. CATLIN os-sa -613 819 ~ JAMES T. CATLIN ,[~ _ o CORNELL ORI4E v,a7E..~ ~~~I. 2Q ~L~- I ., CAI.1P HILL, PA 170'1 ~ .; I•aY IV ~ru: ~~9 e~ !I 1A !51~~%~Z~[(~'^D ~7 ~ I/ .~~ Q/~f ~ ,~ ~~ILL.~itS L!J ,,......~ ,~ /r~M&TBaillc / +:031302955+: 220 75511.8193 Check #8193 Paid :10/11/2012 ;249.83 HAROLD B. CATLIN ae~a ~~6113 p 19 4 JAI4iES T_ CATLIN 4CORNELLDRtVE DATE. ZQIZ/ CAMP H1LL, PA 17011 E - „ 1 $ ~ 03 TAYTO TH~~ URlJ1'li OF - ~ + ~ 03 ~LLAxs 8 w_' ~" 4 _. /~1M Bank M~~- t_ 1:03 i302955~: 2204 55u^8 191, Check #8194 Paid :10/OS/2il12 ;32.03 'i/n~~ ~l/ice ~'. ~`/IZ~~~'I~1j72 r ~:. - _ - - -- .- - - . -- , =;~, a~,~~_ -4~ ems ~: , ~ ~~~~~ '~~~ - - ~ ~ ~1~ ~ ~~o~ ~ ,_ ~,_ E~ ~~7 ! v= ~ o _ O ~ - ~ m . - ~ -- - s --- -- r~ ~v~~ check #x192 Paia :o9/as/cola ;loo.oo ~' ro \~ m ~ c _ .. } _ ~ ? ~ z r ' 1' N A yl vAi s - _ ~ G ~, A m ' = ~s .. R~ D`f!90(i'H0'IL78655? >631 3' $%8~•~ 06.,A00r'•C - ;' E~ v~a~o rn e - ~ ~ i ' ~ '7 tiA :wD y3 c ~ .c .-t .n m...0~„ZL~ r ~. ~' ! . y: ~ d 7c ~~ ~ ~ i' _ _°~' z I I - ~= i I ` _ _.. a ~~ . ', ~ - ~- __ --- - z C .. -------~-".~- n Check #8193 Paid :10/11/2012 ;249.83 .: _-~~` ~'' -• . ~` .... ~;~ _~•:. .:.. - ~,' ,= ,~~~• ate. i . - 0.030 206 100512 OOJ~, ~,' ' _3~~3NYM~LI~f~ . ' . ~ ~"'=-+ ,t ~'; ;r.: -~ _ a. -:. - . Check #8194 Paia :1o/o5/cola ;32.03 Check #8191 Paid :09/20/cola ;1781.20 p M~B~ AGCOUN7 PAGE 000000022046755 3 OF 3 00002787-0010548-Page 2 of 2-fIDS1541G70110181210-00002787 HARoLO B_ CATLIN oe•so `~~'6,,~ 819 8 a,-~ dARIfES T. CATLIN a CORNELL DRIVE 1 ~1 C MP HILL. PA 1705 t p,pj. !!!!!!; _ _ DOII.:~ RS l~ ..... (~ Icta1M&T Bank ..~r~ rr oK.~ 1~ tIG~1o! l~rc.~l.(~et=l ~f D Iy,L~ Y ~_ ~ r ~ ~:03~302955~: ( 22046 5 5u'BL95 Check #8195 Paid :10/09/2012 _~ X208.00 ~ ~,o~ ~ ~-i . ' _ ~ r~~ ~J .. ~/~ ., ~ - ,~ ~ ` m ^ r;-~ / ~ ~ // 1 C ( ~ ~ ~ ~ 17. ' 20121006 ° I" ~ >031000053< r ~ - I ' I PNC Hank '' `" A • _ - " ' ~ ii o =- c DEP. TO CR. PAYEE - ' _ ~ ABS. OF END. GTD. ° 01 -i . ~ - - ~ Check #8195 Paid :10/09/2012 (208.00 a~ _ _ _ ACCOUNT :PAGE 000000022046755 3 OF 5 00002771-0010468-Page 3 of 4-FIDS1541G70109181209-00002771 Y .r-``T..~ ~T. HAROLd B. CATLIN oe-ea ~~r-~t3 8 ~ 81 JAME$ T. CATLIN 4 CORNELL DRIVE '~~ CAMP HILL. PA i~ut t Dare / ~ rAr ro mm $ l~O~ n O ~ cmoFxc+- 9 ~U ~'~7LLARS B ~ :. ~ /,>~a1M&Tl3enk ~~ ~~,.~~~ ~7txfU~WL __ V/l~ ~ 1:03ti30 955+: 12204 755a'BiBL Check #8181 Paid :08/a3/201a (140.00 HAROLD B. CATLIN o8~4 e~"g a 1$ 2 JAMES T. CATI.HV d CORNELL DRIVE ~ ~~[~a,- 2~~2r CJ11rfP F1iLL, ph i7611 ,~ :~ " rArroFro: ~ exiDiaeoF $~~ ~ ..... w } _M ~.~.~~. ~.,,~ ~,#l~7tc3 ~ ~ ~:03i302955+: 2204 55a'8i82 check #818a Pafd :08/aa/cola ;as.36 HAROLD B. CATLIN p8-64 ~~613 89.8 3 JAMES T. CATLIN 4 CORNELL DRIVE uA,r: ,(~~ JZ CAMP HILL, PA t7pi 1 l i PAl"1'U THE ~ $~ /)~~ lJd ORDEK O)' ~ V ,q~ i ~~dl ~~ •:iGSG~!N~.L~,~ ----,!Tlxf C, /!G!?-i70LtA RS U r.......~ ~ ~a1M8rTBank L ~ ~ + IXpNW fah OfK~ )JDJU +:0313^29551: 2204C~55i1'H iB3 Check #8183 -- _ as - -. .. ~ - :~: . - _ _ _ - - s - - _ ~0~05 085 082212 8094 - ~ I B.WYMLL~ON - ' °t - . " _ _ 9D02406270344 -PIT :.. CREQ TO PAYEE -= _• ' ~; -----__= f84-6O08l37.1'd'I~. ABSENDOdAR _. __ :.: _ __ ~ ~2~1.2 349.334 Q86 17.2 ~ .._ _ _ __ Check #818a Paid :08/aa/a01a ~a8.36 ` .. ~. ~~~ ~ ~~~: ' ~ ~ `~ ~.' n C ~~ j .~f~l N ~ S6 V N T -N .- ~ Q L« N • C . y ~• Paid :08/a3/a01a ~a068.00 Check #8183 Paid :08/a3/a01a ~a068.00 HAFIOLD H. CAnIN oe•ea ~, °11~ 818 ~ t JAMES T. CATLIN 4 CCMiNELL DRIVE ~ CAMP HILL, PA ti011 /j1J~~f,,J,,~'~(.~O~ '~ DA'CE~~GL~~~~ ~.}~f ~ U e t PAr'R7'ntE ~~jj c ORDFR OF dd., ] ~ V a ' I ~ ~i ~ Y '~"~'! ~^ ~~~bLLARS ~~ ~ /~51M Banlc ~:03i3029551: 220. 551+'8181. Check #8184 Paid :08/a4/a01a 560.40 .l~c~~>-~ ~r~il+ ~fi~p ~,~~a ~s ~0. ~~ ~ i~h,~~ y= Check #8184 ~~ J Paid :08/a4/201a X60.40 Check #8181 Paid :O8/a3/a01a X140.00 AAA. co m 3433 TRINDLE ROAD CAIL~l~ N4LL, PA, 17D11 Tel: 717 761-8347 11 JUL 2012 10:38 Receipt 02WS-4385-16/CH2 AAA CENTRAL PENN RECEIPT HAROLD B CATLIN 438 195 019667700 6 PL ~ C''~li?i~~~'T.T. DRT~~E Mgm ~~31~~: 1977 CAMP HILL, PA 717-737-5501 17011-7637 Reference Description Amount Domestic 1. SUN 1389220 TITLE WORK TRF OF TAGS PENNDOT-ONLINE CASH PAYMENTS (PDOT) /" ~~~. 1 @ 28.50 US %'.28.50 `~ TRIVIN FEES (TFR) 3 L 9.1L~ iJ~ 9.20i MEMBER FEES (MEM) --- 1 @ 22.70 US ;`"22.70 Total 60.4 OLFMC Pavment 37.70 MC Payment 22.70 M/CARD ONLINE FEES: XXx:XXXXXXXXX7546 Cardholder: CATLIN/JAMES ~° ~~//jj~~ T 77T~7l1~T7~TT!'~D,7 n~no~~ ~L''L' ,~ "1 '7 f2 '] a~nna~ag~ 70ti~s~ ~ 1~~/oZf r> I V 1 V i L V 1 V f V J .J Li i:i Z 1 t V t V V I L J ~/ Ls 4- ../ ~/ PURCHASE $ 3 7 . 7 0 ~ '~~/~ DATE/TIME: 11 JUL 12 10:38am /j SIGNATURE I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT CLUB M/CARD: XXXXXXXXXXXX7546 Cardholder : C?~?'r.r~.~1~7~NrES AUTHORIZATION: 072182 REF ##: 178180092995 706256 PURCHASE $22.70 DATE/TIME: 11 JUL 12 10:39am SIGNATURE I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT 1. SUN TRIVIN FEES DON'T MISS OUT! Join the 1,000's of members who have saved hundred's of dollars on their Auto & Home Insurance. Call or visit your local AAA Central Penn Office for a free quote. Do you Show your Membership Card at the following locations: Tan}er n,,,rl ets, New Y4?~k- ~ 5.~: ; Payless. Shames, Lenscrafters, NAPA, Reebok Outlet Stores If you do, your savings will be 10~ or more. Go to AAA.com for a complete listing. pMBank _ _ _ _ __ - __ kCCOIIfNY PAGE 000000022046755 4 OF 5 00002771-0010468-Page 3 of 4-FIDS1541G70109181209-00002771 HAROLD B. CATLIN os-5a ~~~~~"~ 8 ~ 8 5 JAMES T. CATLIN , a CdRNELL DRIVE D,~ zarl, S CAMP HILL, PA 17611 , f ['A1"1[l Illli O~ ~,~,1:>«,~ . ~,~~~ G~,~~ I ~ Asa, d ~yy u/ t >, I>z~alM&TBank /'J' r'f1~1~f1 ~45~~! a ~n ~ccwn>_nc Check #8185 Paid :08/29/2012 ;150.00 HAROLD 8. CATLIN oa-sc E71-;35a++= S 18 6 JAMES T. CATLIN 4 CCRNELL DRIVE 7y ~~~ i.APAP HILL. FA 170~ii DATE ~Q -. J J '/ a'- / pppl.;h t ~[y~ /J~Y~I=,L/A~a ~ !' ~V 1 ~ L~~-~7~~~'.••/'-!/~~J,/ OigJ~--r ~l7hnLLARS B ~ chi M&T Banlc w•~ ~) V I w,a YaM1 tMlpl / ' / k ~:03i30245 : 22D 75511'8186 Check #8186 Paid :09/04/2012 ;639.80 FIAROLD B, GATLIN Os-&t ..~ 313 81~ x 818 7 ~• JAMES T_ CATLIN •` 4 CORNELL DRIVE + CAMP HILL, PA 17D1'1 DATE • i ! PA1' TO iHF ,~ ~r ~ ~9~~ •~~ ~~ ' ~ onntx of .. ~ n / ~,,I -~J C- o~ pI 1 ~13/ /JLr/GL~I~?(_IL - ---OI_J~~~/.i_U1~dL~L1 GLi.ARS LJ ,.......... 1 1~1M&TBanlc M°N.b PM OFn . 1 ~ 1 , /` I~`?~ _ x:03 t30 2955: 2"L'04 55x•8 L8? Check #8187 Paid :09/06/1012 ;2267.00 - - - - HAfiOLD B. CATLIN _08-64 = -- - °`~Y1~ i - - $ 1 8 8 -- -- _ _ _ _ ~,s-- - - - _-__- -_- - - - - - - _ - -= JAMES T. CATLIN • r- - --~ - --- - /(~ __ - _ --- -- --~ 4CORNELLDRIVE- - -- -- - - DATE ~ ~~~?j.}~m~Y~-Z~1L - - C HILL, P 76t 1 ='~~"]~'~'- - + r~ l1R Af.7F~ ~ - - - - - - .' .~...-~.. ~.....- _ 1 $ ._Zop, ~ _ ' - ~ - ~~~ - - . ~ nos.L.~R.s_. a a.rc . MWrMMOMw - r~ ~ 11TFAIU ~ - ~ ~:031302~55~: 220 755~'8L8H Check #8188 Paid :09/12/2012 ;200.00 I ~'!/ Check #8185 Paid :08/29/2012 ;150.00 ,~ - ,; _ g ~ Y ~ c '} ~ m ry P~ Q. ~ r =S T L1 `' O n i K ~ ~ + ~ N~ ~~ roT~ m _ ~~ ~~ m ~~5E0~I,fi,t~l5s7r:i .,1;3131$7$7•=- 6~dtl02$ m1 o a 3 o j .. +...~ i ~.t ~ia ~-Ny~ C ~ : _ ._ S ~Z ~~:~.1 C , G F _ . - ~ y ~ ; 9 , C D ~ ~ Z j~_ j~ V 2 ~ H _ -a ~ -~ c ~ a _ ~ - '~ €~ -- -~ 3 Check #8186 Paid :09/04/2012 ;639.80 ~~~~~ ,~(//fV~~//y/~.~I,r~ ~~ ~ c t•1 ~a ` a ~ m ^' - r.. ~z _ ~ - ~:- ~• - i - _. ~ ,1 Check #8187 Paid :09/06/2012 ;2267.00 i~ < . o o~ - ~~ - - - . - - _-- LuJ7/ C~~~~ ~ ~. - ,. . Check #8188 Paid :09/11/2012 ;200.00 M8~~~ .ACCOUNT. PAGP 000000022046755 5 OF 5 00002771-0010469-Page 4 of 4-FID S1541G70109181209-00002771 Ji' '~ . IIARQLp B. CATLIN oa~e+ ~t ~ ~,~~~~ 11~~ 81 E g JAMES T. CATUPI ~/~„ ` oarE L q7~i ~Y~j 4 CDRKELL OFWE J CAMP MILL, PA 170~t C P,~Y T4 Tlti !// ORDrR uF ~/ /y~e~ ~ A~$ ~/~ I p 0 --~~N~~G"~ ~`~ ~LLARS U ~... ~ ~IMa+~'Ba-nlc K/tw0~y,-0?~ ~9EN0 ~ ~:O3i302955~: 2204 55r1'8i69 Check #8189 Paid :09/17/2012 5100.00 HAROLD B. CATL[N oe-s~ ° ~ ~56"3 a 1 g ~ JAMES T. CATLIN ~ 4CORNELLDRIVE n, ~ ~~ ~~%~ ~ I+ -. C AMP HILL, P A ti011 . ~ '' r//e !R ~~ ~ ,O ~ y~ n ~ V/ t >, ~ no ,r.AUS ~ ~51M Iianlc AIM M 0160 Mtiw. ,,~~(~ ~/ ~ r , ~:O313O295S~: 220 5511.8 i4q Check #8190 Paid :09/14/2012 ;89.80 ~~~ ~~~~ ~- Check #8189 Paid :09/17/2012 fry O ~ .~ C'1 ~ 3 rn ~' ~ CD Q U] ~~ ~z -~~ z ~.7 r t sloo.oo 4 _ .~~ ~l ~ ~: r T / m tmi O , ~ ~ ~ ~ t~ ? ~,(/y,,/S / ~ w j n v m ,D - m ~ , ' / ! " RI ~ H _. = ^ z - - .. m i y r . - .. ^ N < ": a ~ N .'.1 W ~ W Check #8190 Paid :09/14/2012 (89.80 0 MB~BaI]k __ _ ____ _ ACCOI~NT PACE 000000022046755 2 OF 3 00000719-0002583-Page 2 of 2-FIDS1541G70208171208 ` HAfiOLD B_ CATLIN OB-sa wt~~E'n ~ 17 4 j ~ .IAIVAES T. CATLIN ~ 4 OORNELL DRIVE /Z CAMP HILL, PA 17011 ualt 3 ~R~ o E ~~/lll-/n ~c~ ~rn4n ~2 -~ _ ~ ~ ~ . f ~~ ~ .....~... .~ i ~ - ! '~ DOLLARS 8 ,'.~ ~. ~ /~s1M Bank ~. a - -- --- - - ---- ~C03i30295SI; 2204 ?5511'$L7~, Check #s174 Paia :o7/ao/cola s3o.2o y HAROLD 8. CATLIN os~a ~ ~~ ~,~~t13 ~ 175 JAMES t. CATLIN 4 COAIVELL DRIVE CAkiP i1R.L.. i-A 170i 1 DATE T2O r~ p rev To nle $ /m,~ l~ L ORDLROF_~ 1UU 5 n~ pia ~/Jf/J~.l~ ~--~~ -~--c~-gs ~ /~M&TBenk >l -- ~~. I:03ti3029551: 220 75Sn'Bi75 Check #8175 Paid :07/19/201a 5100.00 HAROLD 6. CATLIN oe-ss ~~°'t3 $ 17 6 - - JAMES T. CATLIN 4 CORNELL DRIVE aw1E /L CAMMP Fpt.f~ PA 17011 q ~ ~,1 M&1' Bank _ - ~ -- - - . ~y M dY~ ~~, M _ ~ ~ r'f~S~' rr -- - - I:03L3029551: 224 551N8i76 4 Check #8176 Paid :07/25/x012 6196.96 I 69_')5 ~ HAROLD B. CATLIN 094 ss 6'•y 8 ~7 8 JAMES T. CATLIN 4 CC)Rh'ELL ORNE ~7 f(~ .. 1!)~j L CAb1P HILL, PA 170-1 ~ 1 ua~r i ' ; r;,r Tn TTm /y4-~~~~1~~' ,~IY'ii y .~ ,.~c ~ ,~, ~ $ 333 _ ~ ~. - ~j~ ~ y ~!!N PC. ~.~~C / /~'•~~ l //~~lc ni '~~----~ ~//Q7---1~CJLLARS 8 w~'..,...-. i I ~ /cTa1M8tT Banlc N~pn~rnVaM1 (IR.x / / ~~ k e i~ j~ //~ y" 'j /~ / // _' G ji I:D3i3029551: 22D4 5511'8L78 } ~' - .. T - - ~. i c,~ • ~ (?Q0411'1 088 072012 0094 BNYMELLON - T ., = -~ ~ '~' ~ 1 F'_'~`= 4~ Qi)02406270344 PIT - CRED TO PAYEE - ~;;., °s:~~.~-=~ 1 184-60081371412 ABS END GUAR ~~ K~:_.._ o ~ ~ ~ ~ ?2012 253710 089 178 ~^ - - -. - _ v ~ i~ a-ice -' . ._ '~ , - . Check #8174 f k /~~ i Paia :o7/ao/cola s3o.ao / A , ~~~lC f :~ ~ ±D ~~ a =~ z a7 Z a L ~ Check #8175 Paid :07/19/2012 6100.00 r° ~ n~ / ,r'~ JG ~ Check #8176 Paid :07/a5/201a X196.96 s - S s ,? r . ` G ~ ~ [1 ~ N T ~ S _ 4• . i~ i , r~ ~ I ~ ~ Or Z m ~'~ ~~ ? l S C 009@v00-1_7253x6 ~.@31 31 87$7< 00900@1 5 - @~~,c~.'~~~ 1 [ 6 . ~~ ~ i ~ T ~"a ~'i ^ J Z~ ,•i ~_ j K'_ 2 0 • . 3 ~ 1 i - A . S . n '~' - 3 .' _ L - .; . T ? 7 `n . I.r ~ _ pp' ~r r - ~ J U ~. - - - - ~'-~-----~- - ~ _S - [A ~_ m Check #8178 Paid :08/01/2012 6333.55 Check #8178 Paid :08/01/2012 ;333.55 - ../1 it n O1VIs~TBank __ __ __ __ __ a~~o~N~ , p~~~ 000000022046755 3 OF 3 00000719-0002583-Page 2 of 2-FIDS1541G70208171208 HAROLD O. CATLIN oaea ~"~ B 17 9 JAMreB T. CATLIN 4 CORN~L oRnrE 701 f GUAP MLL, Pll 1 eAZe ZO / Z.• ! ~ rev m Fxe //~u~ ORitFR OF ~ /~t/IJ p~ /C/r/ ~ ! s ~-~ LLARS B~ ~ M` ~ 1 ~I~B~ ~y,_ ~~ cT.~IJ?f t wK.~ / ntacolf~~~J~P*~[JS7~ 'f • w ~:03L302955~: 220 6755.8179 Check #8179 Paid :08/06/2012 X100.00 HAROLD B_ CATLIN OB-64 '„~&t~ g ~. $ D JAMES T_ CATL11+1 4 CORNELL DRIVE /~~~ CAMP HILL, PA ~JOtt DATF. r11Y T(771je 3 atDEROF~ ~ ~ 9~ ~i`~ ; ~ ~ ?S ./ `~i.ARS 8 ! ",` ~~ &TBnlc .~`dpVnd M ORb f:D 3 i 30 29 5 Sf: 2 20~, 6 7 55x1^8 iBD ~ I Check #8180 Paid :08/15/2012 X98.75 .. z ~:~ 0 ~ ~ ~ m _ r ' A J ~A6'7 ~ c +~ _ ~ ~ ~ O r ~ -~ O ~ O Z ~ 2 N r = yW{,.~1 N - W Check #8180 Paid :08/15/2012 X98.75 Check #8179 Paid :08/06/2012 ;100.00 p ~s~ ACCOUNT _ PpG1r 000000022046755 2 OF 3 00002816-0010623-Page 2 of 2-FIDS1541G70107181207 •: '~ ~ . .+ i~~ HAROLD B. CATLIN 09~sa ~~~179 8 Z rJ 6 JAMES T. CATLIN 4 COF;NELL DRIVE v~7F S 2f 2d~L CAMP HN1, PA 1701 f Q' L ~/{~~_~ ;~ I, //- ~ l~l~ / "` `~' Bd f~' DoLIARS 8 ~ 1c~M&TBank . ~~..m - ~ -- ~ - ~o ~~ ~:03i3D29551: 22Db 75511~B356 Check #8156 ~, ~~~ - T . --~ ~v; a ~~~ :~ ~~~~~~~~ a ~ - _ ~ ~ - `'-~Z'~ ._ _ - - - 1 Paid :06/21/2012 ;486.00 Check #8156 Paid :06/21/2012 ;486.00 HAROLD B. CATLIN os-5a ~ ?3 816 JAMES T. CATLIN a CORNELL DRIVE L ~ CAMP HILL, PA 17011 vA,~ , (/~' ~~~Ix .~~_I~~~o~,~ /~~/JJj//~/~l/{'n~A s ~~~ ~ , a E f pp ~~a~'~DnI.[.ARS 1.1 ~ r. ~ Thank ~- `- MiY~r MORAY _ MFM0~6~~4 ~V~~ I6~~~`~~~ '~ ~:03i302955~: 22D4 75511.8159 Check #8169 Paid :06/21/2012 ;50.20 HAROLD B. CATLIN os~a ~ ~,~,-~°sns 8170 JAMES T. CATLW 4 CoRNELL DRIVE l CAMP HILL, PA 17011 ~~ ~~ > 1 i I'AY "10 THE 1 ~ //~1~ O[ytl7p l.]F [/f/ y ~ ~' I~al'Ik M ~~.~ 1:03i30C9551: 2204 55w~8i70 Check #8170 Paid :07/10/2012 ;100.00 - - - .= - - - -..:~~~- ----~ ---T -- i1AROLD 8. CATLIN 08-ea s~~e:i3 817 JAMES T. CATLiN 1 e CORNfiLL DRIVE vATE ~ ll ?~; li CAMP HILL. PA ' 1011 ~- / F i'.1Y 7C)TTI - ''eeII ^ " ~ { ~ /LJ(fr f V= / ' RItJF.R OF 9s D?a ~,_~d~ ~ir~.'•f -~--~i~a~.~--__ qty---~,,., .~,xs 8 ._.__~ ' 1~1 M&T Bank 7 Y>• N{~Jn! hla 111Pu MEMO ~~ /~1~~~~ .-~ Y I:^ 3 i 3^ 29 5 S1: 2 204 5 511'8 L '~ i AI'00000 LOH 9 51~~ --- ~ ~~~~~ G r . 4 "~'~ z - .n i ~ .:~ ~ n '~ - " M . }~ ~ ~ ~ x •; ib~0022 161 062112.0094 BNYMELLON _ = m ''' ° ~•' " ~DQ2406270344 PIT CRED TO PAYEE ~' - - ~ - - _ 184-6008!371412 ABS END GUAR = n _ - ~ - ~l!62112 185384 161 322 -= E' ~' ''_ ~E ~ -_ p Check #8169 Paid :06/21/2012 ;50.20 o~~rr,, ~'a~s~ ~_: :D i ~. ~'~,. _ ~'' , A: Q. ~ ~ ~~ ~? c -c #817o Paia :07/lo/aoi2 ;loo.oo i - - J~~ ~ ~ca'!h'~~/ '~ ~ . ~' r ~ ~ '' ~ S71 O ! _. _ ,;' ~~ i L .I . ~~~ ~4~tJ J!:~S~t _ C? ~ y Check #8171 Paia :07/12/x012 ;lOS.s5 Check #8171 Paia :07/12/2012 ;108.95 MB~~~ __ __ __ ACCOUNT: PAGE 000000022046755 3 OF 3 00002816-0010623•Page 2 of 2-FIDS1541G70107181207 - - HAROLD B. CATLIN oe~a ~„~~~ a 17 ~ ' JAMES T. CATLIN - 4C4RNELLDRIVE _ nn3f~~-~7JZ/ y - CannP MIL -roi t _ _ .... [ t'AY 111 l' j ~'~ - ~V -~, = VRUEIt 1~ ~ _ .~... _. ..`..r ~ IsZa~M~BrT Ic . _ ,.~.~.~..o.. . ~s~agc 1JffJ~lll %P~A! ~ y ~ } ~7~ ~ ~ ~~ ~ +:0313029551. f 2204 55u'81?2 Check #s17a Paid :07/11/cola ~innl~l~ V1J344Z lOC vrflrzlti.lmany HAROLD 9. CATLIN DB-s4 die '6113 817 3 JAMES T. CATLIN 4 CORNELL DRIVE ~ /~ CAMP HI;,L, PA 770 1 ~ nArF t CAY TOTFIH JJ J~+~jJo r / 9 E (1RnFR nF ~~~"_ ,,~~~~ I C ( ~/Lf ~ `~ _ . __ __ _ J~ ~ r~/ ~ i ~fQ, jy~s~~~ L~ZC. ~ ti~ . :.. ~/IB~ .r ..n KS 8 »~! ~~ ~ /~1Ms~'Ba>n~l~~ 1 ~rr~ Y ~ynaro n.~e~. . h1FT'ICJ ,ZO7~f Faso _ M ~:03i30C9551: 22Q++ 75511'81?3 Check #8173 Paid :07/17/2012 6151.99 6as.4o ~- t ~. 4 ~ ~ 1 O _ ~ _.~~ i _ ~ ~"' Check #817a Paia :07/11/ao12 62s.4o ~ m~ S .~.~ ~ 3~'. ,~ gg ~ m ~~ ,~ it ~ ~ IC . ~' 7! ~ i D 0 ~ ~ m ~ a ' v / :. ~a a ) g ~ ~ y ~ G 1~ - ~ E , .: F ~. . ~ L p Z.t ~ , u:G'.rs. ? .t .[ ~ ~ ~ ~.. k .F Y ~ ~ n .~ ~ , :-`T~_ ~,, - Check #8173 Paid :07/17/2012 ;151.99 C, ~,~ ~~ ~~~~~ ~~ ----- ~~ , "~ LOWE'S HO~IE Cf:NTf:F,S, INC. 55p0 (~ARL:(Slf: PIKE MECHANICSBURG, PEi 17050 (717) 610-9230 -~ :~AI_E - SALES#; S2223MB3 161i60~i0 TRIINS#: l0i'37116 06-03-12 327372 WM DUMPS"ER IN A BfIGi 29.95 18792 SWIFFER I)ASE: STE)RTI:F~ KIT 9.97 314433 2402 MAG:[C [:ABIIIET 8. WOOD 4.95 183102 .06 OZ WIIITE: APf~LIFINCE PA 4.27 SIIBTOTAI 49.14 1'AX ; 2.96 INVOICE 10'158 T CASH 60.10 CHANGE: 8.00 STORE: 2223 TEI)MIPIAL: 10 06!03!12 11:26:47 # OF ITEMS I~t1i~~'I~ASED : ~ EXCLUDES FEES, SEIIVI[~ES AND ~~PECIAL ORDER ITEMS THANK Y011 FEIR SffOPf'I:NG LOWE:'S. SEE REVERSE SI[~E FOR IIE:TURN P(ILICY. STORE MAN11GEf;: ,)IM DUNKELBE:RGER WE HAVE THE I.OWE;ST PRI[:ES, GUARANTEED! IF YOU FIND A LOWEI! PF;ICE, WI:: WILL BEAT IT BY 10~. SEE :;TOF;E FOR IIE:TAILS. YOUI, OPINIONS COUNT! ~ REGISTER TO YIIi R 55,000 1.0i1E'S fiIFT CARD! ~ * iREGISTRESE PARA GANAR UNA TAfI,.IETA DE REGALO LOWE'S! * REGISTER BY COMPLE"IN[i A (iUEr~T' SATISFACTION SURVEY ~ ~ WITHIN ONE WEEK liT: uWw.lowes.com/survey * Y 0 U R I [~ # 10'i `.~8 2223 155 * NO PURCHASE 11ECf;SSARY ?'fi ENTER OR WIN. ~ ~ VOID WHERE PROHIBITED. MUSI" BE: 18 OR OLDER TO ENTER. ~ OFFICIAL RULES 8 W:[NNE:RS AT: k~Ww.lowE!s.com/survey * STORE: 2223 TEIIMIPIAL: 10 06l03l1Z 11:26:47 ~~~ ~ ---- -_ __ ~_~~ ~. ~~ ~~ I~ I~ ~~ 1 ~i n C~ ~ asp Z ~ o< mHrn o ~ ~ m rno ~m ~ ~ o m m =~--I ~ m~+Dac c-'o +r-~~ n ~~ =AO ~o bc~ ~ ~-~ -'~ ~ ~ ~ ~ ~ ~ ~ {m°Jr°z v°mn H~ o~~ °r°O m° m~ ~} o -~ m~ ~ Hzmr ozrn oz ~~ ~ ~~ ~r~Um} ~~~~ n. ~~~ H~ ~ z`iom ~~° o ~~ moo ~~ =rn WT V~V1 '~ ~ ~ ~- ~~~V ~E t!?D~~ ~{-a~70D+r-1 N~_ O~CnCn ~D ~N ~H ~1~U }1~1~TmC ~ ~O ~ }~-~/~~~~ it -I~zF HOZ1~'I C~-C 000~~ C'~2DT~'1~ Dr D IT~.rn µ 1"INW a ~''+~ i.111 ~D2OC ~ZC~~ ~ ~\-+~ D r(~O ~~ O ~3 ~H ~~10 \ ~ o ~ '~-i{~~ Y zo3~ H m ~rn csi~ z -~~ vm a, mm ~ rn zvtn off \. o Dr r ~. {c-: ~~ fir'<4--+ ~- ~ ~ v {.}~ = Nomm°z cni-n~~~rz-, No i m x -~~ ~ ^_ ~E = to ~ -~ D 2 «-1 :~ -1 r-• O Tt Y \ ~J (~ H ~ ~Q- o m ~wmz o~~ ~-D ~~ ~ cu ~ ~~ ~~°m3m -TlmSO~ o = o ~ U ~ .. -~. (C ~` j ~ cn 7C7 --~ N m ~~ N Ul N O N O N N ~ o ~'-~ m ~ mo ~ wom.--~ X~ J oc~Si ~ G m c~ ~' ~ ~ ZX t°C ~ DrA-~ ~~ ~ ~ ~ ~ ~° ~ m ~ rn QX ~ ~=o ~Q t4 ~ ~ C~ ~ Qa~ ~ ~ ac ~ ~x ~ ~m mOo m ~ ~- _~ ~ ~zDCZ3 mx ~ ~0 3 ~ -~~ (n T At ~~li ~ CD tf> ~-+ ~ r- ~ "'3 ~ O ~ ~ ~ ~ry { ~ '~ iTt S' Z ~ N X O m TTl t-1 ~ a-m ~ {~ Q ~ Q ~~ ~- ~~~~ ~ rnrn~m ~ ~°l z °e~~cNa rnv m ~ ~~ {~{~} ~{~ ~~'{~? ~ ~ moo- ~~ ~ ~ c~i~cAnO~-~ ~ aoa ° o~A -,~ ~ m m r+ ~ Q ~ ~ .-+ c> o ~ ~ ~ •~ z z7 ~ cn -+ r -v ~ to ~ m ~ ~ o Q ~?~ ~H ~~d ~ m o ~ ~~{~D x zg~v ~ DrD rn N ~ {m \ o C r±0 ~ ~ .. ~-RJ ~~;1 ~ ~ ~ NNO N N N CDO ~ ,--~ , r~ ~ _ ---i ~ C71 Cal ~ N ~ ~-CD ~i! Y D~W~ CD D -~ OCJI -`L ~r 3 ~~ ~ ~. -~~ s . ~!'~ ''S v/~~~, ~~~ ~~~~ ~. ~~. \id 3 ~ I'9 iI ~ Q ~ Cm~ ~ ~I~i D ~H~--{{Yi ~ L' ~ ~ ~~'~~ ~~Vl ~~ ~ Y ~ 1..~ ~ it: ~ 1J }„} T ~ ~ ~' ~ cfl ~ .°~ ~ \ t> o 3 ~ (4 (n n.~~ (D ~ ~ .~+~0 ~ ~ "~S -,.< o o m~ LU iU ~- ~~ ~ C7 `C .-F CD O ~ ~ -'- O f7 ~ W ~ ~- ~ ,-F ~ ~~ ~~~ ~ ~ ~~ H~ ~~~~ ~~~~ ~ ~ ~ '~ ~ ~J ~ ~1 H V 1ti ~ © m ~E ~E ~ o~ ~ T7'i<+D~C ~ OZ3~{ ~ < ~T'i rQJ Z ~ z~m+•r-~ ~ r~ om ~ tl)A~~ ~ -+{z~ ~ Z D 3 '0 ~F Rl ~ N ~ ~T1 Z ~ ~7 G • G ~ [n Tl C7 zJ ~ ... fC'r! 3 m ~E Cn ~ ~ D r" ---r r~i-i,3-~m_ o CEO +r-1~' Z\t3~-OC~i ~ t'~i O H ~7 °zc~ cz c~->z° o ~{-'~ZiODH ~D-+sH~zm `"-` ~ H ~ i'~l ~ ~ Z _~ CJ> O H U; m H +-' 1~-'.rzi m Tl GJ fTl Z C!3 to H \ X :!> T f~T'1 ~ O ~ Z3 -~ N rn m o ~ O z n N ~~ O -- CD A ~ ~ ~QNT ~ Oco ~~ Cal ~ \ ~~ O ~ ~ r.J ~ *--~ b C X ---i X c~z aX ~X O X c~Slc~st Nrn N3--~{!)C!? o~am°-° ~ C7 ~ -1 D D 3> r a x fl L3l CSf O A -i co ~ cc3 ~ D CQ tD O Lfl Cfl ~ C.SI w ~~~~ 20NA00 ~L~3~X+°-~ ~ O ~ ~1 Z7D ~c7 Fc +~'{~ "3D <R~7 b~ ~3 '7i T7i D ~ r 3 A ~ D W Y T7 O T'+-1 C,J Z7 ~ ANN .A tsi CD O D +1 {n N rn ~O ITl[Sl ~'1 ~ c->A m~ F~ c ~ QO \ n C.Ti C31 N to ~ N ~ ~ 3 -i O Cr mOo D(7 DT7 TTi !~-~ 7°~ =rn ~H m~ ('r'i 1"'1 ~ C7 ~ _ ~!'~ ~ D ~i CAS! +.-~ CD O ~ c~ii N -~ ~ ,+~ I~ ~J ~~ 0 0 ~ A O ~ ~. < ~°=cc m C? O ~ = CX co D~ ~ c~ 3 ~ m~ m ~ -_ =X Q-~~ =o ~~ CC ~ ~ ~ ~ ~ O ~m ~ TJ ~ _ ' l 1 ~ ~ tD ~ ~ ~E ~7C ~ D >-~ = r' ' 3 ~ ~ O - OX ~ x OD~ r_' v ~ ~L70 i!i O ~ Z T ~/n~ ~ ~ } r~ L i O { Iii ~ f ~ G'i - -c r-+ [ ~ T ~ T, ~---a ~ -G i o-- ~C~ mC37 DZ V! ~ . -~ r LD Q r ~ ~ ~ ~ ? - ~ m ~! 1l ..~~ ~ m ~ sF H G T} ' 7 z ~:e }..+ ~„ 3 . ~ O w ~~ tai Q~ S Z f'7"! C.:: r f ~ .v ,. s i ill =_ ~. y~ .•y ~,,,' ~ C!) x _ ~ A O - ;-f :.J GJ 3 -~ ~ . ~ ~ r 7CvJ - - O' ti J J ~ ~ r L.. t7 O _ -- _ :. ~ ~ -< h -< O ~ CD (!:. ~ ~ " -i a f e T l T 7 1' 114 iT7 W ~ ~ •. ~_ ~ n x --~ ri ~ CJ - - O --{ D C` - _ ~ rr C c -- x H ~ T i! O ~ CT `C r* M j ~ ~ Z O _ 1 ~~T7 .._. ~ ~~' ~ ~ ~ 61 t7 -~ D -~ ~ Op p~ ,~ ~y ~^ ~ m lii~ ~ ~ p ~ ~ ~ c ~E ~E N3 C -~ r z ~ N ~ D D~ ~ - '2 \ - ~ ~ Q ~~ ~ ~ ~~ c ~ ~ ~ ~ a ~ ~~,~~ ° ~~ ` ~ ~ y m ~ ~ ~ T N rF O - -", ~ -C 1--i 1i~ - ~ ~ ~ ~ ~ Q ~ Y 1 ' 1 L i..~ O 1 ~ ^-+z ~. ~r N ~ y D ~ ~ ~' H - O C7 O ~ SOD ~ ~ ~ cn~ ~ ~ ~ - a~ o ' a cn ~+ -~ m ~ ~ ~ ~s ~- A ~,~ - a , o c.r~ Q~ ~ ~. ~ m ~ ~ ~~.~ ~ r, 3 N m c~ mm ~ ~ ~ ~ CX C Dp -~i ~~ ~ C} 3 ~ ~ ~1 ~ ~_ =x ~ =o ~o cn ~ ~ CC ~ ~ Q ~~ ~ ~ ~~ ~ R' m X ~ n3 m 'm' o r~~-+c~n ~~ ~ ~ c~ ~ ~ _~"'~ ~ m~~c + -~ coo ~ n ~ c~ °ox ~~ BOO o acs _ ~ ~ ~ cn ~ ~ ~ Q '~ -f o ~ ~ ~ '1 ~ ~ ~ z m ~ o z ° ~ ~ ~ ~ ~ m m ~ H ~ m cn .-+ ~ ~ ~ ~ ~ ~ -, < c ~-~+ ~ -~ ~-+ m t sr - c i> .~ ~J ~ ~ Q ~ Q , a ~ ~ H "(~ z '~ - z z r -c ~ ~--a a w ~ ~ w tsa ~o b c r*~ z 3 c > w = ~ r c~ m cs ~ m ~D - ~3~Z ~ rnm~m o ~m~ ~ ~ Nrn -'z ~~ rziv ~ ~ ~~ ~n /l~~ WVl }~ ~ ~ T ~~ `~' ~ D ~ ~ ~ O0.-+ ~ DD C ~ ~ O ~ N ~ {Zt7 D H~v; O ~ c ov i° r~ ~ o ~m m v: m ~ ~~~ i ~ h 7~~ ~ = '~ ~ z z ~ ~ _ ° m~ m o ~ m` m O ~ ~ V~ `{ ~ V~„~ ~~O _~ D~ a= ~E DZOC U.% c n < O ~ o ( 517 c n ~ w Ol ^ r3 1 ~ ~ ~1~ ~ ~ h ~~~~ Z m - ~ D m ~ f ° ~ p ^ p Q ~ ~~ G m ~ ~ ~ Z~p~ ~t is ~ ~ X ~ ~ ~N`C `~ i~].L }-~/ ~„ ~ ~ ~ _ O ~ U ~ Y ~z AD O ~ O ~ ~ C = G I \ _- 7 11 Z.;. S ~ ~E Z7 O • a m ~ ~J ca - D ~ ~ - Z V ~- m l J ~E L7 ~3 -i Ul C31 O CS! t3l ~ CD m ~ ~ N ~ to ,-+ ~ m ~E S ---a - - r-~ d'7 .m ~ rTso -ioo oo 0 0 3 •-+ ~ D x n ts4 ~; v t~ ~ cn T Y D C X C O W W D~ ---i tD ~ rn ~F r --n ~ X (!? N W W (!) N O 07 ~ S 111 x HS 2X 7C3-~3~ L~~L.?NNNN SrJ Z7O Q~~ '7 ~ {7D z73m ~ X n"1O@ \N0~~7w ~t3~ H T~'1O L I ~ yF O C m H O ~ i'~ X t7 3 +-~ ~--~ ~i X W W X t,J m O ~- tD ~ ~E :U Z D W --~ -'. S f +--~ O X D m - ~ C0 :+7 ~ CO W ~7 0 3 ~ CD lD /-yy / /-~~ / < ~ D { C ~ 3 O~ ~ ~ °W W ° O ZD ~ ~ ~~ ViJ t Tlr 7\ +--•C7( Tl ?~X ~ ~ JCfl L X {? ~ D _ ~ O ~ ~ TT ~ ~ Z ~ C ~ 0 j ~ ~ O H ~ ~ rn rn N ~ m r C3 fl H7 "~ ~~ ~ ~X 7 3.2 X LJ W ~ T 7'1 1'f ~ HZmr OZm DZ CS'I~i Om \ \ \ ~l TJ~ m m ~ }--~ '~ Z --+ H ~ ~ ~ O ~~ a1 Ul C m S~ f ~ CO W ~ N O O +~ ~ O N ~ Q i `G -r• ~~ ~ ~ m ~m ~ ~ r ~ rn Z ~r~~ ~~ O ~ (D ~ m D i rl iflD C SI~ 31 t I=mo O ~ ~ ~ A ~ ~ ~~ ~ ~ O{ ~ OD -I L~D O O I dl --~ O iXI T I -t Oi {nCT 'll C"i ~ ODC ~ ~ ~ ~ ~ TT ~AJ {Z H ~{ ~ ~ ~ ~ ~ ~ m S~ N L1 ~E -i T i;7Zm CO ~SDm N- 3m~ Z f~ n ~ .-+~ ^d ~ =D= I rzcr~ o \~~ omrcno W rn zm r'r7 = m o ~ ~- ~ ~ Dzoc cn - < m +--~,~ cry -; rn Nero ~ ° ° ~ n ~ r+ w H~} ~ z ~0 3 ~ --, m v rn cn~~ c~ c-~ -~ D ~ 3 W t v co mm \ m o ~ >4 m z~cn off \~ D Dr co c_..3o ro N\ {c~ O ~ ~ >F N 3 fl H !- r z N 7L X W ffJ r D +-~ T Lt o ~ ~ N'1 rt Omz <!?m~f-+HH O O LL'i D h C ~1 1~ tS4 ` 3 (/> •- lI1 T ~E G ---; O C!? O CI: m \ { H N~ m V ~ V 1--I V r-~ ~ ~0 o ~ ~ ~ ---oom rnoN-o rn ~ I o o cc ~ ~ ~("} ~ m3 ~lmSG1--I N~ CJW C,) N ^ 61 CSl~ < v ~ ~ ~ • O -~ ~--• Z~ ~t ~! N C.S7 W ~ ~l t ~J .. ~- o ~ cn ~ -+ N m -~ ~ co X1 coo ~s cs! o W W c~ o vi r+ ill ~ _ -~ cn . ce rn c~ ~. m x m c -~ cQ ca cst ~ ~ cat cc cfl o c.s4 ri YE C D A A ~-+ :.J W G Q7 +~ ~ N Z 3 m c~ z a c~3 [[ ~ z~ ~ ~..1~ ~ ^-I -1 ~~[~ ^~ ~~{~ ^~ [ T~~ D JV ~ ~i : m~ IT1 Z D I I i ~ ~ ~ ~ „I ~ ~ ~ ~- ~ Q m ~ ° c~ ~ \ O ~- o ~ ~~ Q~ ~ m m J~ ~ -+,-c ,-+ o ~ ~ ~ ~,< o ~~ ~- ~ ~ ~ ~- ~~ o ~ ~i ~ _~ 7 •C Y-f m o ~- ~ ~ U7 ~' •~ ~- a c~ ~ ~ ~ 9J ~ - m m =H-~ ~~rn ~ rn~~ H Ti `~^~ ~~ a ~~~~ ~ ~ '~'~{f} ~ ~ _ H Q ~ ?; 0 m ~ ~ ~D ~ ~°zam ~ m <+-~ c ~ Dm~-< ~ °HWO HzmrZ- ~ z-a H ~ - z z ~ mrT ~m ~ v~icDi>o~ ~ --~-`z~ ~ = D = 4 ~ D Z O C z o 3~ Y m ~ N 3 0 H O m Z ~ Z (~ ~ '~ O -~ O to ' c -~ -~ ~ cn ~ c~ ~ t7 i7 m ~ m 3 Y ~ '~ ~_ ~3m -rni~_ C o ~\3 zom ozm r-cv H o o~m~ -m-~cncm to-,~zm r z cn ~ C/3 C H m z z~ cn r' t!? r ~ -! ~ ~ _ O ~' '~ ; ~ r cry ~ i--4 - ~ T, f-, i z _. ~'' '~ ~,~,.,~.,u,,,~ N.._.-...._...__.._ o~°""-. X-~~~ ~~ ~ o!!e=;.~~,~».~~ v 1 MpIIXMYMMYYXWMIi rnl;l;;;w ~.I,~ °co=-'I°= \:YY.Y~III~N~ a-~~rr~~~~~~~~~~ coy-~„,wm,,,.,:;w,.,,T~. \ ~_~N~,~.,,,.,,,~ YNIIYYIYIXIIIIYIIINMNes ° ~.M~N..a,NNN.w,~~ flYMRYnMMMMWINMNNNYi N;"^NU:,NMYYI~ ONIIItIWMNIXii111N0~~~~ -~IIIY;III~ W wwYwwwx~uuxulwlr ~1XIaIlnwpwnnXxlml~ YYNYwYUlwxxuxwnnNYe .............-..... _ ~X =x oX o X mX ox ~v onc.si F-` s. njrn ;~~o~c cJS~'~'iam°-~° ~ m r cry o r--~ Z7 -4 c~ c~ -~ D a D r ~ X.-~ ~-+ X1 r-+ W W W ~! ~J O ~! --I a~ a'> o rn ;~~~ ~ ~ Imo ~ mo ~ mom i ~m t~ r~ I r~ i cr mr i ZD~cD D~ .Dorn om i rcmc;cm i r z 3 v z 3 4 ~m-~ ~m ~ m z~ z ~ c3i~ ~-o ~ i W ~.~ :,~ i T3 Q1 C ~ : o rn >~, i~ ~ C ~ i D cS1:0 i.Sl I j i Ti Il~ c ~ I r I i 1 X1 I Z7 X-i r N I m CSl I CO ' ~ O i ~.i I z N I csa ~N ~z-,° ~0 o coo a~ ~ ~o 4 C31 cfl ~~ ~ co O co \ O0. \ ~ ° ~! ~• O ~~ mo° 3° D n za ~~r° ~cra mr n m = ~~ ~m rr~ r 3 m m -~ c~ -~ ~ (rj C.Ft +-~ i ~! :fl O o cs; ~ ~ ~^ YYYYYY C ~ ~ s n~lull~~l nnnml~lt IICI ~N INIIIIIII~I~t YNINIII~Q 111111 Olllhpp '~hnNlll Ih6unlll ununl~ uumnll ~'1~,111 u41'IIC~pV III,IIIIIII, 'll~lll"III I IINN INIMII ~IIIII,~I pNll tll4ntllll II II IIIIIN luunnal u Ilylllllly IYIIIIII II IIIIIINIIIIM mmlu l Inllin ~~~~~III q.I"~,~~ Intl I,, I +nII~XXI~I "" NIII >~ OMB Approval No. 2502-0265 „`~III~l!II#~ A. Settlement Statement HUD-1 °~,~ Il~lllllc ° ~ ~ FINAL dW OE+[:~ e ~ ~ ~ . ^ FHA 2. ^ RHS 3. X^ Conv. Unins. 1 6. File Number: 7. Loan Number: 8. Mortgage Insurance Case Number: . 12-1735GC 1351257249 4. ^ VA 5. ^Conv. Ins. C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agents are shown. Items marked "(p.o.c)" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. D. Name & Address of Borrower: E. Name & Address of Seller: F. Name & Address of Lender: Karen A. Pyryt The Catlin Family Irrevocable Trust United Wholesale Mortgage 523 Ellencroft Road, Lewisberry, PA 17339 4 Cornell Drive, Camp Hill, PA 17011 555 S. Adams Rd, Suite 200, Birmingham, MI 48009 G. Property Location: H. Settlement Agent: I. Settlement Date: 11/30/2012 4 Cornell Drive Guardian Transfer Corporation Disbursement Date: 1'V30/2012 Camp Hill, PA 17011 4075 Market St., Camp Hill, PA 17011 Lower Allen Township 717-909-0700 Place of Settlement: TitleExpress 4075 Market Street, Camp Hill, PA 17011 Printed 1'V30/2012 at 10:26 am by JMG 100. Gross Amount Due from Borrower 101. Contract sales price 167,900.00 102. Personal ro art 103. Settlement charges to twrrower (line 1400) 6,103.95 104. - 105. Ad'ustments for items aid b seller in advance 106. Cityltown taxes to 107. County taxes 11/3012012 to 1213112012 63.23 108. School taxes 11/30/2012 to 06/30/2013 911.84 109. Sewer O/IVID 11/3012012 to 12131/2012 19.13 110. Refuse OlNlD 11130/2012 to 12/3112012 18.77 111. 112. 120. Gross Amount Due from Borrower 175,016.92 200. Amounts Paid b or in Behalf of Borrower 201. Deposit or earnest money 1,000,00 202. Principal amount of new loan(s) 60,000.00 203. Existin loa s taken sub'ect to 204. 205. 206. 207. 208. 209. Ad'ustments for items un aid b seller 210. Cityltown taxes to 211. County taxes to 212. School taxes to 213. 214. 215. 216. 217. 218. 219. 220• Total Paid b Ifor Borrower 61,000.00 300. Cash at Settlement fromlto Borrower 301. Gross amount due from borrower (line 120) 175,016.92 302. Less amounts paid by/for borrower (line 220) 61,000.00 303. Cash ^X From ^ To Borrower 114,016.92 ...- . _-._ .._~_..... _°--..._...._ __..__._„ .., ,..,.,,..o,,.., .., o,.~~ ~p.o.. o. ,,, ..~.~[,,.o, w, ,oawu~e [w wuouory, rev[evnnp, po rq a e a. is epency may wee [s n ortna on. ^ you ere no raga o r^ this lorm, unless it displays a currently valltl OMB wntrol number. No confidenllelity Is assured; Ihls dlsdosure Is mandatory. Thls Is deslpned la provMe the parlles to a ItESPA wvefed transedbn wNh Inlonnelbn dudnp the settlement process. 400. Gross Amount Due to Seller 401. Contract sales price 167,900.00 402. Personal ro art 403, 404. 405. Ad'ustments for items aid b seller in advance 406. Cityltown taxes to 407. County taxes 11/30/2012 to 12/3112012 63.23 408. School taxes 1113012012 to 06/30/2013 911.84 409. Sewer OIN/D 11 /30/2012 to 12131/2012 19.13 410. Refuse O/N/D 11/3012012 to 12/31/2012 18.77 411. 412. 420. Gross Amount Due to Seller 168,912.97 500. . Reductions In Amaunt Due to Seller 501, Excess deposit (see instructions) 502. Settlement charges to seller (line 1400} 12,008.00 503. Existin loa s taken sub act to 504, Pa off of first mort a e loan 505. Payoff of second mortgage loan 506. 507. 508. 509. Ad'ustments for items un aid b seller 510. Cityltown taxes to 511, County taxes to 512, School taxes to 513. 514. 515, 516. 517. 518. 519. 520. Total Reduction Amount Due Seller 12,008.00 600: Gash et Settlement tolfrom Seller 601 ~ Gross amount due to seller (line 420) 168,912.97 602. Less reductions in amount due seller (line 520) 12,008.00 ti03. re Cash Q To ^ From Seller ~ 156,904.97 _e See attached addendum for additional information Previous editions are obsolete Page 1 of 4 HUD-1 700. Total Real Estate Broker Fees. $ 10,299.00 Paid From Paid From Division of commission Iine700 as follows: I Borrower's Seller's 701. $5,262.00 to Howard Hanna Funds at Funds at 702. $5,037.00 to ColdweB Banker Homestead Group Settlement Settlement i 703. Commission paid at settlement 9,299.00 704. Earnest Money Deposit to Howard Hanna $1,000.00 P.O.C. B' 1,000.00 705. Broker Fee to Coldwell Banker Homestead Group 300.00 800. Items Pa able in Connection with-Loan 801. Our origination charge (Includes Origination Paint 1.906% or $1,143.60) $2,038,60 (from GFE #1) 802. Your credit or charge (points) for the specific interest rate chosen $-1,066.20 (from GFE #2) 803. Your adjusted origination charges (from GFE A) 972.40 804. Appraisal fee to FNMA Waiver (from GFE #3) 75.00 805. Credit re rt to from GFE #3 806. Tax service to from GFE #3 807. Flood certification to Corelo is Flood Services (ftom GFE #3) 12.00 808. to 900. Items Re wired b Lender to be Paid in Advance 901. Daily interest charges from from 11130/2012 to 1210112012 @ $5.75341day (from GFE #10) 5,75 902. Mortgage insurance premium for months to (from GFE #3) 903. Homeowner's insurance for 1 ears to Erie Insurance (from GFE #11) 410.00 904. months to from GFE #11 1000. Reserves De osited with Lender 1001. Initial deposit for your escrow account (from GFE #9} 937.80 1002. Homeowner's insurance 3 months $ 34.171month $102.51 1003. Mortgage insurance months $ O.OOlmonth $ 1004. Property taxes months $ 0.00/month $ 1005. County taxes 10 months $ 60.261month $602.60 1006. School taxes 6 months $ 130.211month $781.26 1007. Aggregate Adjustment $-548.57 1100. Title Char es 1101. Title services and lender's title insurance from GFE #4 905.00 30.00 1102. Settlement or closing fee to $ 1103. Owner's title insurance -Title Resources Guaranty Company from GFE #5 560.00 1104. Lender's title insurance -Title Resources Guaranty Company $905.00 1105. Lender's title policy limit $60,000.00 Lender's Policy 1106. Owner's title policy limit $167,900.00 Owner's Policy 1107. Agent's portion of the total title insurance premium $1,204.00 io Guardian Transfer Cor oration 1108. Underwriter's portion of the total title insurance premium $261.00 to Title Resources Guarant Com an 1109. to $ 1110. to $ 1200. Government Recordin and Transfer Char es 1201. Government recording charges $ {from GFE #7) 160.00 1202. Deed $62.00 Mort a e $98.00 Release $ 1203. Transfer taxes $ (from GFE #8) 1,679.00 1204. CitylCounty tax/stamps Deed $1,679.00 Mort a e $ 1205. State Taxlstamps Deed $1,679.00 Mort a e $ 1,679.00 1206. Deed $ Mort a e $ 1207. $ 1300. Additional Settlement Char es 1301. Required services that you can shop for (from GFE #6} 87.00 1302. Notary fee to Guardian Transfer Co oration $25.00 1303. Courier/wire/e-doc fee to Guardian Transfer Co oration $62.00 1304. to 1305. to ' ~ ~ ' ~ ~ ~ ~ ~ 6,103.95 12,008.00 "Paid outside of closing by (B)orrower, (S)eller, (L)ender, (I)nvestor, Bro(K}er.'*Credit by lender shown on page 1. "'Credit by seller shown on page 1. See attached addendum for additional information Previous editions are obsolete Page 2 of 4 HUD-1 Com arison of Good Faith Estimate GF and HUD=1: Char es Char es That Cannot Increase HUD-1. Cine.Numbe~! Our origination.charge # 809 Your credit or charge{points)#orthe'specific interest rate chosen # -802 Your adjusted origination charges' _ # 803 Transfer taxes # 1203 Char es That in Total'Cannot Increase More Than 10% Government,recordingeharges #.1201: Appraisal fee #804 Flood certification # 807 Title services and lender's title insurance # .11Q1 Owner's title insurance -Title Resources Guaranty Company # 1103 CPL, END # 1109 , Documentprep # 1112 Notary fee # 1302 Couriedwirele-doe fee # 1303 - . ~. ~• ~ ~ Char es That Can Chan e Initial deposit for your escrow account #.1001 Daily interest charges from #901 ' $5.7534Ida Homeowner's insurance # :903 ~ ' Loan Terms Good Faith Estiimate- HUD-1 2,038.60 2,038.60 -1,066.20 -1,066.20 972.40 972.40 1,679.00 1,679.00 Good Faith Estimate HUD-1 175.00 160.00 475.00 75.00 14.00 12.00 1,235.00 905.00 250.00 560.00 225.00 0.00 100.00 0.00 40.00 25.00 90.00 62.00 2,604.00 1,799.00 $ -805.00 or -30.9140% Good Faith Estimate HUD-1 3,300.00 937.80 5.75 5.75 0.00 410.00 Your initial loan amount is $60,000.00 Your loan term is 30. years Your initial interesTrate Is 3.5000% Your initial monthly amount owed for principal, .Interest, and any mortgage $269.43 includes insurance is ^X Principal X^ Interest ^ Mortgage Insurance Can your interest rate rise? ^X No. ^ Yes, it can rise to a maximum of %. The first change will be on 1 ! and can change again every years after ! / .Every change date, your interest rate can increase or decrease by %. Over the life of the loan, your interest rate is guaranteed to never be lower than % or higher . than %. Even if you make payments on time, can your loan balance rise? ^X No. ^ Yes, it can rise to a maximum of $ Even if you make payments on -time, can your monthly amounf owed for' ^X No. ^ Yes, the first increase can be on ! / and the monthly principal, interest, and mortgage insurance rise? amount owed can rise to $ The maximum it can ever rise to is $ Does your loan have a prepayment penalty? X^ No. ^ Yes, your maximum prepayment penalty is $ Does your loan have a balloon payment? ^X No. ^ Yes, you have a balloon payment of $ due in years on / / Total mohthty amount owed including escrow account paymerts ^ You do not have a monthly escrow payment for items, such as property taxes and homeowner's insurance. You must pay these items directly yourself. ^X You have an additional monthly escrow payment of $224.64 that results in a total initial monthly amount owed of $494.07, This includes principal, interest, any mortgage insurance and any items checked below: Q Property taxes ^X Homeowner's insurance ^ Flood insurance ^ ^ ^ Note: If you have any questions about the Settlement Charges and Loan Terms listed on this form, please contact your lender. See attached addendum for additional information Previous editions are obsolete Page 3 of 4 HUD-1 1 THE TLIN FAMILY I REVOCABLE TRUST .,. The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused or will cause the funds to be disbursed in accordance with this statement. SETTLEME GEN Y 11 ~~Z,~~ DATE WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE TITLE 18: U.S. CODE SECTION 1001 AND SECTION 1010. See attached addendum for additional information Previous editions are obsolete Page 4 of 4 HUD-1 HUD 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 I further certify that I have received a copy of the HUD-1 Settlement Statement. Itemization of Line 1101 Name of Borrower: Name of Seller: File Number: Karen A. Pyryt The Catlin Family Irrevocable Trust 12-1735GC Prepared 11/30/2012 at 10;26 am Note: This page displays an itemization of the charges shown on line 1101 of the HUD-1 Settlement Statement. This page accompanies but is not a part of the HUD-1 Settlement Statement. If a discrepancy exists, the information on the HUD-1 Settlement Statement applies. 1100. Title Charges Total Charge Borrower Seller 1101. Title services and lender's title insurance to Notary Fee- Sellers io Guardian Transfer Cor oration $ 20.00 20.00 Tax Cert Reimbursement Fee to Guardian Transfer Cor oration $ 10.00 10.00 1102. Settlement or closing fee to $ 0.00 1104. Lender's title insurance -Title Resources Gto Title Resources Guarant Com ~$ 905.00 905.00 1109. to $ 0.00 1110. to $ 0.00 Totals: 3 935.00 0.00 905.00 30.00 SellerlLender credits shown on a e 1 POC=Paid Outside Closin CR = LenderGredit See attached addendum for additional information Previous editions are obsolete Page 1 of 1 HUD-1 PA REV-1500 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES and LIENS p~s~,x .I - `/ HAR4lD B. CAT~tN OB•6i ao-as~:~ $ 1" S ~ V JAME6 T. CATUN // ~ CORNELL ORrvE c1nTE~~ .~ CA-~eP HILL. PA ~ 701 t ~ _ rwY ru i~u ~ ' //~/~.ll~~,~/ ~A ~ 4~ TBan1C ~~ ~prr~rr ono /~ ~ ~ ~_ 1/CM0_=J ~•O ~__ ~ ~ ~:Q 3 i 30 29 5 Si: 2 204 5 X11'8 l58 Check #8158 Paid :05/22/2012 Paid :05/22/2012 ;42.47 ~ Check #5158 HAROLD B_ CATUN DB-&a ~~~~ 8 ~ ~ 9 JAMES T. CATKIN / 4 CORNELL DRIVE DATE ---~~ .~/ _ CAMP HILL, PA 17071 ~~ ~~ ////// PAY TO THr~ ~ di~'/ 7iri . L/~-~~ ~~) ~ ~6, ~~ . oxnmor ~~ .~ .. /~,~ ~ '- ~DULLARS 8 C f~a 1V~ Baal1C «irrr-.ewk, ••- G:f/ 1:033302R55~' 2~D4 551r<>8L59 - ~ 8 ~ L - r ~ m m r - m ~+ n m ~ ~m V ~ ~ = n m v o i 3 ~ y m "~ a r ~ -~ • :~ ~ O m O _ ;~ _ ~ Z •' l N - ~ '..~ W a ~+ w (42.47 .~. .~ .F_.. $~ •~.sL~4~~120094 ~• BNYMF~.~J -. - . =...~3w~ 8¢6pQS13 ~:- :pBS ENQ C~hAtt= -_ - . ~~s$~F~ ff.`s' 1~ ~1 - v __ _ _ - "~~ -- - Y _ ..~. .~ ~ .. I~ _ 9 ____--_-T -- Check #8159 Paid :05/23/2012 ;40.16 i -- 'o-a~e„a B 16 Q HAROLfl 8, CATE.IN os-sa ~u v a JAMES 7. CATUN 4 COFiNELL DRIVE ~~_ ' CAR1P HILL, PA 77011 . ( r~Y 70'1 I II/ /~YL/"'/] ~,~ -- -' ... _ _ ---~ E C~;.DCROF _ - pp } I' i ~ ~ ~~jnOLLnRS LI ........ Y ~, ~ /AIM&TBanlc N{Mnwh~Mr . - I ~:03L8Q2955~: 22046 511.8L6Q Check #8160 Paid :05/24/2012 =9.54 L: 8162 ~ t1AROLD B. CATUN oe•sa / JgM£S T. CATUN vn>E Sag Ft'/ ~ CpItPtELI ARIVE G,,A1MP HILL.P11 17011 ~ b . fn7TOTM~~~ S Y/~ . rs-l _ ~ A/1 /rt.!'~ ~ ~ ~~~ ~( . mA = ~nIDER t7F ;~ ~ g ,_y , _ LLA[ZS a C~ ,~ 1 ~ M Bank i ~- uL~q .~.--+..~ ~:0 313[] 29 5 5~: 2 20w 5 5~'$ 16 ~ ~'Q00000 S~. ~B~' .: AG.COUNT `: ' .PAGE: 000000022046755 3 OF 5 Check #5159 Paid :05/23/2012 ;90.16 • • :LCL 7 ~ - ~„ 0 ~, • , m ~ n ~b .t _ . Check #8160 Paid :05/24/2012 59.84 . ~. ',.. 156T3 1~3~ ~~ - ; . ~~ ~ ~ tom' Tn~~-t ~4 i`'~~':'~ ._._ ~~'•~f ~ $ n` ~ '; C ..~ ~ . e. .ai,.~ t s-~ra!-R. ~ ~ ~ ~ a T~ ~~~i~~~~~T~ .r _~7 m _ -_ _ o ~ r7 _ S p ~ __ !D ~ i. ~I J _ - _ -- _ - rhprk its162 Paid :06/04/2012 ;54.38 Check #8162 Paid :06/04/2012 554.38 ~ M&TBank ,. ACCOUNT NO .; ACCOUNT: TYPE.: 22046755 RELATIONSHIP CHECKING WITH INTEREST .- ;~ ,,, -, ., : - . _: STAT.E~IENT. `:PERIOD PARE MAY.19-JUN.18,2012 1 OF 5 00 0 06113M NM I17 2862 HAROLD B CATLIN JAMES T CATLIN 4 CORNELL DR CAMP HILL PA 17011-7637 INTEREST EARNED FOR STATEMENT PERIOD 0.17 INTEREST PAID YEAR TO DATE 1.03 wr~r~nllf.IT ['lIM6AADV HIGHLAND PARK OTHER CURRENT ENDING BEGINNING ~; :BALANCE D.EPOS.LTS:$': `:':OTHER ADDITIONS_ CHECKS `PAID SUBTRACTIONS INTEREST. PD BALANCE N0. AMOUNT N0. AMOUNT N0. AMOUNT 21,980.62 2 3,027.34 10 13,096.03 1 42.74 0.17 11,869.36 ACCOUNT ACTIVITY .. . ITS; INTEREST DEPOS CHECKS &.OTHER:.: DA LY:: POSTING <DATE:<. ~ ...~ TRANSi1CTION DESCRIPTION ~ OTHER ADDITIONS- . . SUBTRACTIONS < BALANCE 521,980:62 05-19-12 BEGINNING BALANCE 42.47 21,938.15 05-22-12 ~ CHECK NUMBER 8158 40.16 21,897.99 05-23-12 CHECK NUMBER 8159 9.84 21,888.15 05-24-12 CHECK NUMBER 8160 06-01-12 BENEFITS PENSION ~ 1,785.34 O6-O1-12 US TREASURY 303 XXSOC SEC ~~~ 1, 242.00 24, 915.49 06-04-12 CHECK NUMBER 8162 ~ 08161 / / /~~ ~ / ~f 5 42.74 24,818.37 - 06 04-12 ON ARC CHECK PYMT VERIZ 0000000000 .~ 1, 00.00 23,318.37 06-05-12 CHECK NUMBER 8163 300.00 23,018.37 06-07-12 CHECK NUMBER 8165 06-12-12 CHECK NUMBER 8167 8,744.68 06-12-12 CHECK NUMBER 8166 2,225.00 79.50 11,969.19 06-12-12 CHECK NUMBER 8164 100.00 11,869.19 06-15-12 CHECK NUMBER 8168 869.36 11 06-18-12 INTEREST PAYMENT 0.17 , 511,869.36 ENDING BALANCE . ,. ~ ... ~HECKS:PA:ID SUMMARY ................... 8158 ..... 05-22-12 42.47 8159 05-23-12 40.16 8160 05-24-12 8164 06-12-12 9.84 79.50 8162* 06-04-12 54.38 8163 06-05-12 8166 06-12-12 1,500.00 225.00 2 8167 06-12-12 8,744.68 8165 06-07-12 300.00 , 8.68 06-15-12 100.00 ANNUAL PERCENTAGE YIELD EARNED = 0.00 I ,~ ~t v :~i~