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HomeMy WebLinkAbout03-01-13 (2)15U567,Ob43 REW-'1500 °~ ta,.,e, ~- PA DepaHment of Revenue OFFICIAL USE ONLY pnnnsylvanla counyGode vau KrnNUer6ar Bureau <K lndividusl Taxes °°'"^-R°'*e"tlNi PO 80X.280801 INHERITANCE TAX RETURN 20 06 0266 Hanisburg, PA »~~-osoi RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Seanity Number Date of Death Date of Bktl, 198 26 8835 01 31 2006 09 05 1939 Decedent's Last Name CIIBBLER Suffix Decedent's First Name CAROLS MI A (if Applicable) Enter Surviving Spouss's Information Below Spouse's Lask Name SutBz Spouse's Fkst Name Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW Q 1. Odgirtel Return A. Limited 61~e ® g. Dor:danl Q1ad Tapeb (Aaaeh Copy of YNa) 9. Lltlgatlon Proceeds Received MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 2. Supplamanlal Relum ~ 3. pmnafrderRelum idols of death prior b 12.13-~) 4e. Ftqure tot&n«'e, 5. Federal Est~a Taz Return Requked (dab of death aaor 2.12F!) T, ~~aep~Mi~C~aa~d)Ia tLdNafnpp Trust g. 7alet Number of Safe Deposit Boxes 10.6h6veex PY72-3,~1 andtt-1~96~dwlh ~ ,,.~ sch 0)~arse. B11alA} CORRt.SPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SNOIILD BE DINECTEO TO: Noma Daytime Telephone Number JEFF R LAWRENCE 717 6~2 4656 ` ~ RECiIST~ f7WW1LLS ~ ON~I- mar ~ -~•1 F1rst Iine of addreas A~~ f' ~ 230 YOREC STREET ~ ~ cr; ~ o Second Iine of address :' ©n a ~ ~ n O -rl ..:j ~ it r Post Offi G7 ~ F,. r'- ~DA~E FILED ~ y o ce State ZIP Coda t1? HANOVER PA 17331 Correspondent's s•rrtail address: 1505610143 15D5610143 J 230 York Sheet, Hanover, PA 17331 Side 1 15asb~a~43 REV-1500 EX Decedents Name: Cobbler, Carole A. Decedent's Social Security Number 198 26 8835 RECAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 2. Stocks and Bonds (Schedule B) ............................................................................. 2. S3 , 273.44 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages 8 Notes Receivable (Schedule D) ........................................................ 4. 5• Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... 5. 137 , $$ $ . 7 $ 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers & Miscellaneous t~q Probate Property Se arate Billin Re uested h l S G p g q ............ ) u ( c edu e 7, S. Total Gross Asaets (total Lines 1-7) ..................................................................... 8. 1 ~~. , 2 62.18 9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. ~ , $$ 3.00 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 2 , 40$ . 83 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 9 , 351.83 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 1p, 181 , 910.35 13, Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............................................... 13. 14. Net Value SubJect to Tax (Line 12 minus Line 13) ............................................... 1q, 1$ ~, ~ ~ j, Q , 35 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 15 0 00 (ax1.2) X .00 . . 16. Amount of Line 14 taxable 181 910.35 16 8 97 185 at lineal rate X .045 ~ . r • 17. Amount of Line 14 taxable at sibling rate X .12 0.00 17. 0.00 18. Amount of Line 14 taxable 0 00 18 0 00 . at collateral rate X .15 . . 19. Tax Due .................................................................................................................. 19. 8 , 1$5.97 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Side 2' 15~561t1243 15115610243 J REV-1500 EX Page 3 Decedent's Complete Addlress: Flle Number 20-0B-0268 DECEDENTS NAME Cubbler, Carole A. STREET ADDRESS 280 Neil Road CITY Shippentaburg STATE PA ZIP 17257 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest 0.00 4, If Line.2 is greater than Line 1 + Line 3, enter the difference. This is the OVHRPAYMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. Make to: REGISTER OF WI (3) (4) (5) 10,730.79 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 :............................................................................... ^ O b. retain the right to designate who shall use the property transfemed or its income :.................................. ^ ^x c. retain a reversionary interest; or ............................................................................................................... ^ ^ d. receive the promise for life of either payments, benefits or care? .......................................................... x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without ^ ^ receiving adequate consideration? .................................................................................................................... x 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ^ Q 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 i posed on the net value of transfers to or for the use of the surviving spouse is 3 percent (72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate Imposed on the net va~ue of trensfers to or for the use of the surviving spouse is 0 percent p2 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a survivin~ spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are stilt. applicable even if the surviving spouse is thei 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 y ars of age or younger at death to or for the use of a natural parent, an adoptlve parent, or a stepparent of the child is 0 percent (72 P.S. §9116 (a) (1 ~)]. . The tax rate imposed on the net galue of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. . The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116 (a) (1.3)). A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. (1) 8,185.87 0.00 2,544.82 Total Credits (A + B) (2) Rw-1503 EXi (8-98) SCHEDI~LE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Cubbler, Carole A. 20-06-0266 All property Jointly-owned with rlpM of survlvolsh{p must bediaclosed on Schedule f. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 100 Shares -Procter 8 Gamble Co. Com (PG) * 5,783.00 2 20 Shares -Dow Jones 8: Co. Inc. Com (DJ) * 786,00 3 273 Shares -Exxon Mobil Corp. Com (XOM) * 16,614.78 4 453 Shares -General Electric Co. Com. (GE) * 15,755.34 5 52 Shares - BP Amoco PLC Sponsored Adr. (BP) * 3,584.88 6 53 Shares - 3M Co. Com. (MMM) * 4,011.57 7 60 Shares - Wyeth Com. (WYE) * 2,911.20 8 76 Shares -Coca Cola Co. * 3,182.12 9 Accrued Interest 51.80 and Ex-Dividends S736.81 * 138.61 10 Federated Money Market Fund * 525.94 11 * See Orrstown Financial Advisors statement attached TOTAL (Also enter do Line 2, Recapitulation) 53,273.44 pr more space Is neetletl, atltllUOna1 pages oPthe same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Fonn PA-1500 Schedule B (Rev. 6-98) Rev-7508 t.X* (6-98) coMrtoNwFn~rNOFpENNSnvANln INHERITANCE TA%RETURN RESIDENT DECEDENr SCHEDULE E CASH, BANK DEPQSITS, & MISC. PERSONAL Ph`tOPERTY ESTATE OF FILE NUMBER Cubbler, Carole A. 20-06-0266 Include the proceeds df GtiOafion and the date the proceeds wore received by the estate. All property Jointlyowned with the rlpM of eurvhrorshlp must be dlselesed on schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 1998 Mercury Grand Maruis GS Sedan 4D (Fair Codition) -See Kelley Blue Book value 1,900.00 attached 2 CMS -Refunds 115.92 3 Household Furnishing -See Appraisal from Martin's Auction Service 9,135.00 4 Life Insurance (name of insurance company is unknown) -Claim proceeds 2,ipg,gy 5 Orrtttown Bank -Checking Account #103001071, Principal x14,337.69, Accrued Interest 5.40 14,338.09 (See letter attached) 6 Orrstown Bank -Checking Account #109001626, Principal 5109,578.70, Accrued Interest 109,756.83 x180.13 (See letter attached) 7 Final distribution from Estate of Anne Vold (decedent's mother-in-law) 634.28 TOTAL (If more space is needed, additional pages Copydght (c) 2002 form software only The Lackner Group, Inc. enter on Llne 5, Recapitulation) ie same size) 137,988.74 Form pA-1500 Schedule E (Rev. 6-98) REV-1181 EX+t10-08) COMNIf~~L:CEDENVAN IA SCHEDIrLE H FUNERAL EXPENSES 8 ADMINISTRATIVE COST: ESTATE OF FILE NUMBER Cubbier, Carole A. 20-06-0266 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT A. FUNERAL EXPENSES: See continuation schedule(s) attached B. I ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) 7,280.00 Street Address City State Zio Year(s) Commission paid 2. Attomev's Fees Mooney 8 Associates 5,633.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zio Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs ! 30.00 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 6,943.00 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Cubbler, Carole A. 20-06-0266 ITEM NUMBER DESCRIPTION AMOUNT Funeral Exoenges 1 Aurand Funeral Home -Funeral bill 1.280.00 H-A 1,280.00 Other Administrative Costs 2 Register of VYiils -Filing fee for return 8 inventory 30.00 H-B7 30.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 t3Xr (t2-0tl) scHEau~E ~ DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8 LIENS COMMONWEALTH of RENNSV~vANw INHERITANCE TAX RETURN RESIDENT OECa]ENT ESTATE OF FILE NUMBER Cubbler, Carole A. 20-aB-o2ss Report MIMe Ineumd by the decedent prior b death that remained unpaid at the dW of death, Including unrolmburssd mlWidlcal expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Andrew Martin (Appraiser) -Household furnishings appraisal fee 50.00 2 AZ Oncology Associates -Medical bill 177.17 3 Baxter Wellmon D.O. -Medical bill 10:05 4 Dr. Edmund Krasinski -Medical bill 10.47 5 Foothills Pathology -Medical bill 16.78 6 House cleaning for memorial service 326.48 7 IRS - 2006 Fiduciary tax and interesUpenalty 532.51 8 Northwest Hospital -Medical bill 1.73 9 Orrstown Bank -'Bank fees 20.00 10 Pedersen -Medical bill 63.32 11 Southern AZ Anesthesia -Medical bill 46.36 12 Southwest Ambulance -Ambulance bill 58.05 13 Stoughton Medical Office -Medical bill 16.43 14 Surety Acceptance Corp. -Medical bill 1,037.97 15 Tucson Heart Hospital -Medical bill 41.51 TOTAL (Also enter on Line 10, Recapitulation) 2,408.83 (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule i (Rev. 12-08) REV-1513 E7(4 (11-0B) SCHEDULE J coM~~~~eE~ANIA BENEFICIARIES ESTATE OF FILE NUMBER ~uoDler, c:arote A. 20-06-0 266 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER pERSON(Sl RECEIVING PROPERTY DECEDENT (Words) ($$$) I TAXABLE DISTRIBUTIONS [include outright spousal • distributions, and transfers under Sec. 9116 a 1.2 Christi Cubbler Daughter 50°~ residue 2404 East Long Shadow Place Tucson, AZ 89718 Steven George Cubbler Son 50% residue 8033 Reagan Circle Augusta, GA 30909 Total Enter dollar amounts for distributions shown above on lines 1 5 throe 18 on Rev 150 0 cover sheet as a riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) t, CAROLE_A. CUBBLER, of"804 Forbes Road, Carlisle, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously !.made by me. ITEM ONE: I direct that all my debts and funeral expenses, including. my gravemarker shall be paid .from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM TWO: I give, devise and bequeath my entire estate, real, personal, and- ',.mixed, and all insurance thereon, wherever situate, to my husband GEORGE W. CUBBLER, if he survives me by 90 days. In the event that my husband does not survive me by 90 days, I give, devise and bequeath my entire estate to my children CHRISTI LYN and STEVEN GEORGE, equally, share and share alike, per stirpes. ITEDi THREE: I appoint my husband GEORGE W. CUBBLER Executor of this my last :will. Should,my husband fail to qualify or cease to act as Executor, I appoint my daughter CHRISTL LYN CUBBL~Rto act as Executrix with the same 'rights, powers and duties. ITEM FOUR:. L appoint my daughter CHRISTI LYN CUBBLER guardian of any property which passes to any person under the age of 21 years and with respect to which I am authorized to appoint a guardian and_have not otherwise specifically done so. Said guardian shall have the power to use income from time to ime for_the beneficiary's education, support and we'ifare without regard to his or her parent's ability 'to provide for such education, support or welfare, or-to ` make payment for these purposes, without .further responsibility, to the \,j beneficiary or to the beneficiary's parents or to any person takigg care of ,., '.the beneficiary,. Said guardian shall administer .the separate and equal share of each beneficiary until he or she becomes 21 years of age, at which time the share of each beneficiary remaining in .the guardianship account shall be paid to said beneficiary in full. In the event of .the death of any beneficiary after my decease and prior to .reaching the age of 21 years, his or her share ~, shall be distributed equally to the surviving children or child to be adminis tered in accordance with this guardianship provisions. .Should she. fail to qualify or cease to act as guardian, I appoint CCNB to act as guardian .with `t the same rights, powers and duties. w ITEM FIVE: All estate, inheritance, succession and other taxes, imposed or payable by reason of my death, and interest and penalties thereoa, with respect to all property comprising my gross estate for tax purposes., whether or not such proper y passes under this will, shall be paid out of the principal '~'~ of my residuary estate., without .apportionment or right of reimbursement. ITEM SIX: I direct that my personal representative or guardian shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM SEVEN: In addition to the rights and powers given to the fiduciaries by law or elsewhere in this will, I give to my Executor during the full time necessary and for the administration of my estate the following rights and powers to be exercised in his sole discretion. A. To retain any real or personal property which may at any time form a part of my estate so long as he or she deems it advisable. B. To invest in any real or personal property without restriction to legal investments. C. To repair, alter, improve or lease for any period of time any real or personal property and to give options for leases. PAGE ONE OF THREE PAGES D. To sell at public or private sale, for cash or credit, with 'or without security to exchange or o partition real or personal property and-to give options for leases. E. To make distribution. in kind.. F. To compromise claims. IN WITNESS WHEREQF, I have hereunto set my hand this ,~ %~day of ~~/`~L~Er`~ 1984. COUNTY OF CUMBERLAND CO?IMONWBAI.TK OF PENNSYLVANIA ,' '{ SS The preceding instrument, consisting of this and two other typewritten pages each identified by the signature of the Testatrix was on the day and date thereof signed, published and .declared by the Testatrix therein named as and for her last will, in the ..presence of us, who at her request, in her ,presence and in the presence of each other have subscri,~ya r names. 4..Y 4/~MTiM.vl..a+~lin1Y+~4~.i ' F 4 ; ~- We ~~~~ - `,~~ ~} and ~"~-S ~ C• I`r~V witnesses whose ' names are signed to the a~tached or foregoing instrument being duly qualified according to law, do depose and say that we were present and .saw the Testatrix sign and execute the instrument as her last will.; that she signed willingly and. executed it as her free and voluntary .act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge, the Testatrix was at the time 18 or more years of age of .sound mind ;$er no constrain'- or undue influence. .~ Sworn and subscribed r~ to before !!me -_this ,~~ day of ~ d'TyG~I~t~ 1984. .ll l r otcar}' Pub•li 4 North Hanov:~r St. Catible, Cumberland Gry., PA 17rH3 My TMw Expire febr Z3, 19tf PAGE TWO OF THREE P'AGBS r, I, CAROLE A. CUBBLER, whose name ie signed to the attached instrument, having been duly qualified according to law, da hereby acknowledge that I signed and executed the instrument as my last will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ;; tJx.E 7~. '• E , Sworn end affirmed o and' acknowledged before me this~~' day of ~bY7i0~ 1984. Notary Public F. BYERS, Notary. Put-Hc Address: 4 North Hanovar St. Ca~ler Cumbeirland Gy., PA 17013 My Commission. expires Mr Tenn ~~ hb~ $3,1987 CO1~II~ONWEALTfI OF PENN3YLVANIA SS COUNTY OF CUMBBRLAND _,..._ r.,,,r ,....,~....... ~, , .,.,.. ~- ~: ,, C:iN; A~ i 6q ~ "t: ~: 52, . ,. ~ + :~ :8 '7H . . ,' '20 273 I ?153 ,. ' I >~ . .. ~1a4 ~•. '53, '@P ;, :~ P GA r i x ` +, { ~:, , ,. v ~ y .f :" ._ '~. .. f t$ ~.:' ( ~ - ~ r''~~::py VJY~ may. ~y~y~~J . ~ - ~y{~ ~ I } 1 R ~Y I N3 1 ~ ` ' i ~ .T{IY~ ; ~i~. w e ~ ~ • ~ z- ~~ ~~r ~~+~i u_ II"I~ , y y { ~ ~yy ~ y ~ y Tw\N~1MR 1~ ~ y ~ y~ ~~A~~ ~ `..y Yl~N ! f S ll ,. ~ a t ~~~~ t ~ ' » ~ - > :~ L ~I~jCIPAL ~ASl4 ° .: :; ~ O~OQ p ~ j ~ 4100 `, r , .. ~ [xi<1k%CdS~N ;, ~ . . e 110 O.iYO r ,. ~ ,. ... ~ . ,. U , ~ :: . 1 h''~~y/.~,~ ss~~vv . ~FY~TI~ ~ ` ': f . r` ~A11tE0141DNEY A+IAf~T F).iNb- 1000' x SRB.>1~k 615.4 24 4 st ~ - c ; ~ f :. '.M: ~,: , ,Rl y~ !!y~y~{yyu~1 S//.y~~~~NM,, ~JY. VAaL~,~YYlR~ ~~ : ' Y ~ .. ;: ,. ~~ ,:..` , MiNi1DN 8`1'OCK ~. :.. r. ,- PGQ.p.CCi BB.940 331344n- . 3,58488 111 J11 F+d~i80 ADF~, .. 41830 j3.21944 :-~ + ' 3.#82:12 94 ~.9E3 ;,, , ; ~ _ ~VVJdNES:~COjN~r:: ~ .. $9300 .. 76b,24 x6~do .. ,.. 20 ;~ 2.64 ,` .. i',ty~l-u~bl~ILFAi4P ,. 80.060 , 18,97'21f„` 18,8~78~ ,• 34q -' >` . , 2i0 ~N6FWLEkE~C.Ci ~:: .; ,, :. 347B0 ~19,biB;72 ~; 15,765,34 ~. 453 ~- 289 (~CTFR 6 Q~AMBL,E L0 67 $30 S.,3i 9.00 6,76800 - : .,. ;, 124 2 !6 M;tA . ~ 76 680 4,874 43 - 4,01.1 G7 - 9$ ,' 243 i a''Etkl .. ~ : ' ~ ae 620. 2,437,Q0 ~ a,olrt.~o ,,. ed ;: `: ~ . : !!N. CeOMM9N $TOGK ' : 61i7~9~! 0 : , `b2.$QR,>4y 1 ~ '. 2.49, . tAL E~Uh1~3 . ' . ~ ,. - 2.749 90 =' , b2„QO><94 .304 ;. 244 . -DIVIDENDS ,_ 138.8} GCRifEti 1NLERf=yT.: j Q0 . AMDTOTAL '.S3,2os,W , SS,2'73,44 ~ '. S,aa3 251. (' '~ `:Fags ]?; t ,., .i ~:04a3,2b00/fY:Y17;1y1'11/0'H3 ,fSC DC ~ F 3 yv YO7 TO % Kelley Blue Book -Private Party Pricing Report -Mercury, Grand Marquis mET _ _..__... __... .. -1Ykmsr 1996 Mercury Grand Marquis GS Sedan 4D BLUE BOOK PRIVATE PARTY VALUE Page 1 of 2 Clow window x ~,~. SEND 'O ~ICINTFR ~ advertisement Condition Value Excellent ;2,680 Good ;2,330 +~ Fair ;1,900 (Selected) Vehicle Details Ergi,to: V8 4.6 liter Tranaminion: Automatic DrlretraM: RWD Mll~apas 130,695 Selected Standard Equipment Alr Conditbning Tlit Vltieel Cassette Power Steering Cruise Control Dual Front Air Baps Power Windows AMJFM Stereo Power Seat Power Door Locks Blue Book Private Party Value Private Party Value is what a buyer can expel to pay when twying a used wr from a private party. The Private Party Value assumes the vehk:le k sold 'AS Is' and carries no warranty (other than the continuing factory warranty). The final sale pace may vary depending on the vehkk's actual rnndRbn and bcal market eorbitkxe. This value may also tx used to derive Fair Market Value for insurance and vehicle donatton purposes. Vehlde condition Ratings Excellent •, .., :, , ;2,680 "Excellent" condition means that the vehicle looks new, is in excellent mechanical condition and needs no recorlditloning. This vehicle has never had any paint or body work and k free of rust. The vefilcie has a clean title history and will pass a smog and safety inspection. The engine compartment is clean, with no fluid leaks and is free of any wear or visible defects. The vehicle also has complete and verifiable service records. Less than 5% of all used vehicles fail into this category. Good http://www.kbb.com/kb/lci.dl l/kw, kc.ucp?kbb.PA;~A041;& 17257&pop;817134&;;ucp;8c... 6/17/2006 Kelley Blue Book - Frivate Party Pricing Report -Mercury, Grand Marquis Page 2 of 2 :i";',.. ;2,330 "Good" condition means that the vehicle is free of any major defects. This vehicle has a clean title history, the paint, body and Interior have only minor (If any) blemishes, and there are no major mechanical problems. There should be little or no rust on this vehicle. The tires match and have substantial tread wear left. A "good" vehicle will need some reconditioning to tie sold at retail. Most consumer owned vehicles fall into this category. J Falr (selected) ;1,900 "fair" condition means that the vehkle has some mechancal or casmetk defects and needs servklnp but Is still In reasonable running condition. Thk vehicle has a clean title history, the paint, body and/or Interor need work performed try a professional. The tires may need to be replaced. There may be some repairable rust damage. Poor N/A "Poor" condition means that the vehicle has severe mechanical and/or cosmetic defects and is in poor running condition. The vehicle may have problems that cannot be readily fixed such as a damaged frame or a rusted-through body. A vehicle with a branded lifts (salvage, flood, etc.) or unsubstantiated mileage Is considered "poor." A vehicle in poor condition may require an independent appraisal to determine its value. * Pennsylvania 06!17/2006 2006 Kelley Blue Book Co., Inc. AN rights reserved. May-Jun 2006 Editk)n. The speclRc Information inquired to determine the value for this particular vehkle was supplied by the person generating this report Vehicle valiiatlons are opinions and may vary from vehicle to vehrcle. Actua! valuations wiH vary based upon market conditions, specrNotlons, vehicle condition or other perticular circumstances peKlnent to tMS particular vehkle Or the transactron or the parties to the transaction. This report is intended for the individual use of the person generating this report only and shall not be sold or transmitted to another party. Kelley Bhre Book aswmes no responsibrhty for errors Or Omissions.(v.06057) http:llwww,kbb.comJkb/ki.dWkw.kc.ucp7kbb.PA;;PA041;& l 72578cpop;8171348c;ucp;& 1... 6/17/2006 MARTIN'S AUCTION SERVICE :.. _ Andrew :~_ . ~:.... • . Shippensburg; PA. ` . _ .. ,....... ~ ~ ~ { ~ ~ ~, ~ r~: ;.~,,. _~..~ .: 717-532-5382 ....... . ~.; L! '.... . ~ Date: 3/31/06 Appraisal for: Estate of Carole A. Cubbler Items in: ~ . . • . ~--- -°----- Living room /Dining room.... ..................$4,860.00 -- I~itchen & Laundry area .............................700.00 garage ..................................................110.00 Downstairs bedroom ...............................1,075.00 Upstairs hall area .....................................300.00 Bedroom # 1 ............................................830.00 Bedroom #2 ............................................580.00 Attic area....... ` ..... .......:.....:....... ..............350.00 oms ................:.................................195.00 Rifle 22ga. magnum ..................................135.00 Total estimated value of H.H. goods & Antiques as of 1-3l-Ofr $9,135.00 i ~ -..., . _...~........ _. .. _.. _ ~..--- a - L~~•~'-~- ~ r~••,•~ Lic # PA 2826E d Hof March ~1, 2012 Mossy 8c Associates:Attorneys at Law .. . JeffR Lawren+ee, Esquire.. . 115 Carlisle Suet New Oxford,,PA 17350 Fax: b32-3b12 ~ ; .: Re: Esta#s of Carole .A. Cobbler :;: Social Setx+nity Number 159-32~-b848 I7a6e ofDeath 1t31/ZOOb . 1T IS HF.REB'Y CBRTIPIED TIiAT THB A$bVE NAMED DI~CBDENT HAD THE . 1~'.OLI~OW1NG ACC(}UNTS WITH C3RItS'TOWN BANK: . CH E CI C II V G~ C C O Ul Vi ' Antxo.- 1o3oo1a~1 hcornmt'Typc- Ceuriugo C1ab Chcckiug bats Opened- b/19/1999 Joitrt Account (natne/tia#e} No Balance- 514,337.9 _ N ~ , Acquod Interest- $0.40 ~..... •,. ~ . A.acount No: 109001626... Account Type- Money Makor Checkuig Date Opened- 4/3/2002 .. ._° :. . ,, Joint Account (nameJdate)- No Dnlancxr $109,576.701 Accrued Interest- $180.13 Best Regards, ... ~ . ~~ ' J' l R Wortbiagton ....,"' `' Delwsit Processing Clerk ' 2695 Philadelphia Avenue GnkUTIbBlStlUfQ,:~A '17291 .... ' 't.868.QRR8'L01NN .