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HomeMy WebLinkAbout04-0996 PETITION FOR PROBATE and GRANT OF LETTERS To: · -- ~ Register of ~ills for the SocialSecurityNo. /~ Dece~ed. County of L~Oe~I~ ni the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/arc ~8 years of age or o/der an the execu~ in the last will of the above decedent, dated q/~/0~ and codicil(s) dated -' _ named (state relevant circumstances, c.g. renunciation, death of executor, etc.) ~ecendent was domiciled at death in ~[Ar',qb ~r]~ ~ h. > _ last family or orincinal ~-,.~;a~.~,~ . _')z -,.~ ~ · _ ~ou ty, Penn ylvania w' ............ a, ~ 5 rm a ~th ~ ~VO~ lth (list street, number and muncipality) Deqendent, then ~ ~/ years of age, died~._~_P0ber 2___5 -, ~, Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted .after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: _ Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of th" t ...... . .... .~: ~ presented herewith and the grant of letters 7 ~$.% ~ . ,- ,-~ wm anll~ coaicu(sFl theron. (testamentary; administrat~io ' -- n c.t.a, admin strat o~.d b n c t a ) 7 Sworn to or affir~c~,d and subscribed before me this ~ -- __ day of OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 3 · COUNTY OF (_Z,o-,-,,-,,'~:~,.~.%.,,..,~ f 8~ The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represem tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Estate Of N',~q~,B~-~ ~'. ,,~r~a ~^ _, Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW -~,)''>'qm'c''kt:~'- ~ ~ q7o'4.. ~__~-, in consideration of the petition on the reverse side hereof, satisfactory oroof having been presented before me, IT IS DECREED that the instrument(s) dated G/! cd. ~__ iilof __; and Letters ~ ~~e~:~-- ~ are hereby granted to *"~x~, _ C~ ~' . ~ .' -- . FEES Probate, Letters, Etc .......... _$_$_~O0- Short Certificates( ) ...... $ ~-'3'~ t'~ TOTAL \-~_ ~- .;.a. ooq ...... Filed ............................. Register of WilB '~'~'~ - ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE '":* :< ce"'-'? ' -.,* ,'.,...,,;m;:V;on here g~ven is correctly copied from an original certificate of death duly filed with me as Local RegJslmL 7hr o~gJ:al czrlJl]cal3t will be forwarded Io the Slate Vital Records Office lbr permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph, Fec tor ~!liS certificale, $2.00 P 10783412 No. OCT 2 7 2004 DH/e COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH Yrs. N. Middleton ~,~p. Distribution 2620 spring White 2004 1 =3) 17013 Michael E. Klein, ~ N. 12th St., Lemoyne, a 17043 Lasf Will and Tesfamenf of ~larlin E. ~;heaffer I, Marlin E. Sheaffer of 2620 Spring Road, Carlisle, C~m~erland County, Pennsylvania, being of sound and d~sposingmind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. ARTICLE Z BENEFICIARIES The names of my children are Timothy M. Sheaffer, Linde K. Sancenito, Rhonda A. Brunner and Randal Zimme=man. The name of my grandchildren. All references in this Will to "my children,, or "child of mine', are references to my above-named children. ARTICLE TWO -,- ~.PAIeMENT OF DEBTS AND EXPF.,NSES last ~.a~rect_the payment of the debts and expenses of]~my conv.n 2 ' Tbmy '2't'" .con -ft.r my de. th Y y e do,~. ARTICLE THREE DISPOSITION OF PROPERTy A. Specific Bequests. -y 'qu''th. to .. ~kard colle~[~''`'~' ~e oak dining room set and my 2. I give, devise and bequeath to Randel A. Zimmerman $1000.00. I have previously given to him my 1985 Ford Bronco so he will understand why I have not left him an automobile in this will as I have done with his brother and sisters 3. I give, devise and bequeath to Rhonda K. Brunner $1000.00,my 1970 Pontiac end the four aluminum wheels and the torque wrench that are located in its trunk. 4. I give, devise and bequeath to my son Timothy Sheaffer my 1996 Ford Explorer, all my golf clubs with their bags, my guns and my air cleaner. I also give, devise and bequeath to Timothy my lawnmowers and my snowblower with the understanding that they are to bo used by my grandsons ~chael and Timothy Sheaffer for their lawnmowing and snowblowing business. 5. I give, devise and bequeath to my granddaughters Nicole and Shandi Sheaffer my 13', color television and my Sony radio. _~. I give, devise and bequeath to my grandsons Michael end TLmothy Sheaffer my fieldglasses. 7. I give, devise and bequeath to the Huntsdale Church of the Brethren $3000.00. 8. I give, devise and bequeath to the Salvation Ar~y, Carlisle, Pennsylvania, $1000.00. B. Residuary Estate remai~Z~Voe~ md~Vei~a~ed ~c?e~_all_the rest, residue and · , ~a r~a~ cna personal to my y cnxAaren do not want shall be given to the SalvationArmy in Carlisle, Pennsylvania. If a child of m~ne does not survive me, such deceased child's share shell be distributed in equal shares to the natural and legally wm~un=a=~on. If a child of mine does not aren, if any, or to their respective natural or legally adopted children by right of --~ ~uu=seu cni~aren are survived by natural or legally adopted children, my residuary estate shall be distributed to my heirs at law, their identities and respective shares to be determined under the laws of the C°m~onwealth of Pennsylvania, then in effect, as if I had died intestate at the time fixed for distribution under this provision. ARTICLE FOUR TAXES I direct that any and all inheritance, estate and transfer taxes imposed upon property making up my estate passing under my Will or otherwise, shall be paid out of the principal of my residuary estate prior to its distribution to my heirs. ARTICLE FIVE EXECUTOR, S POWERS In addition to the powers and authority conferred b~ law or necessary and appropriate for proper a~nistration, I authorize my Executor, in his absolute discretion: 1. To retain in the form received, and to sell either at public or private sale any real or personal property; To mease, mortgege or othe~ise encl]m~er any real or personal property that may be included in my :n'.- i iL cut order of court or notic, to .y ~O inves~ and reinvest in all forms of property; o exercise any options or rights arising from ownership of investments; and T~ compromise claims without Court approval and without the consent of any beneficiary. ARTICLE SIX NOMINATION OF CO-EI~CUTORS I nominate, constitute and appoint my children Rhon A. Brunner and Timoth,- M ~ ..... ' da J · o.,~a=~er ~o serve as Co- serve as Co-Execueo~ ~ ~u or are o~erwlse unable to ..... · ~ nominate, constitute and a ~Y. da~ghter Landa K. Sencenito to serve as so~- -- pp- nt a nerany relieve mv E ~ . -~ m xecu=or(s} from the necessity of posting security in connection with his duties as such any jurisdiction in which he~th ...... n · - ~x may De Called to act xnsofar as I am able to do so by law. ARTICLE SEVEN A. . MISCELLANEOUS PROVISIONS part of this Wi~ =-- · - ? considered as forming a ~ ~. ln=erpre=ing its provisions. All words used in this Will in any gender shall extend to and include all genders, and any singular words shall include the plural eXpression, and vice versa, specifically including t'child" or "children,,, when the ~o~tex~ or ~acts so regu~re, and any pronouns shall be ~a~en =o rezer to the person or persons intended regardless of gender or nl~,~er B. Thirt~ Day Survival Re~m~l. For the purpose of determining the appropriate distributions under this Will, no person shall be deemed to survive me unless such person is also surviving on the thirtieth day after the date of my death. C. ~,~a~, Fl~,~r~.' '° fLduciary who is a natural a~sence of fraudulent conduct or _b_~d f~t~' be .1,able ~ndivLduelly to any beneficia o mX esuar~, an~ m e - · ry f ......... Y. state shell LndemnLfy such natu~-I ~ ~penses an connection with or arising out of that fiduciary, s good faith actions or non-actions as the fiduciary, except for such actions or non-actions which constitute fraudulent conduct or bad faith. llt:::nbegn--t r-gnir., th.t th. or among two or more beneficiaries, the specific items of pro err comprising the respective shares she~ suoh~eneficiaries if th ..... ,4 ~ ae=ermzned by Co-ExeCUtor. -2 u~n agree, and if not, by my IN ~ITNEsS WHEREOF, I have sUbscribed my name below, this ~day of September, 2002. · eafke~/ We, the undersigned, hereby certify that the above instrument was signed in our sight and presence by Marlin E. Sheaffer, the Testator, who declared this' instrument to be his Last Will and Testament and we, at the Testator, s regnest and in the Testator, s sight and presence, and in the sight and presence of each other, do hereby sUbscr/be our names as witnesses on the 7re shown ~ove. .itn... sign. tn. State Witness Signature Name City State AFFIDAVIT C0~0NWRALTH OF PENNSYLVANIA : COUNTy 0FCu~erland : I, Marlin E. Sheaffer, the Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to ~aw, do hereby acknowledge that I signed and executed the instrument as my Last Will, that I signed it willingly and as my free and voluntary act for the purposes PETITION FOR PROBATE and GRANT OF LETTERS Estate of' Pl~Y /[o ~, ~'/~f~f~gr' No. also known as To: Deceased. Social Security No. /~'/- ~- qd3'.R The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executa/-~ ~- ~ in the last will of the above decedent, dated q/q] 0.9. and codicil(s) dated Register of Wills for the County of [!k~nber~d Commonwealth of Pennsylvania in the named (state relevant circumstances, e.g. renunciation, death of executor, etc.) i, er ~ . . Decendent was domiciled at death in ~ Ott~ 6 I~- ~ ~ Couloty, Penn.~ylvama, wtth last family or principal residence at ~,.2d ~flr;~ {doacJ~, ('f-r ]t~Oe.. VA ~o ~ (list street, number and muncipality) Deqendent, then ~/ years of age, died ~, ~/a0 ~)er- ~-~ ,1.~ at Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will an~ codicil0Ig~ presented herewith and the grant of letters ¢ e'5 ~ a r~,0,~ ~-~ ,. ~ ~ ~ (testamentary; administration c.t.a.; administrationld.b.n.c.t.a.) OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 3 COUNTY OF ~--5ox,~&a_t.~\c~.,~ f ss The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or af~7~c~d and subscribed before me this day of No. ~ I- ©'g - qct ~ Estate0f ~CXc~''g~'~ ~"-,~a~/4~e~. DECREE OF PROBATE AND GRANT OF LETTERS , Deceased the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated described therein be admittec[ to probate and fried of record as the last will of. and Letters -~ ~r-~.~--~ ...~.-,-~., are hereby granted to -~ g.~ q~"~ ~0 , in consideration of the petition on FEES Probate, Letters, Etc .......... .~Oe. OlD Short Certificates( ) .......... $ I%. 0~ TOTAL $ ~ ~- ~ Filed . 3}2 ~i .~ .................. ATFORNEY (Sup. Ct. I.D. No.) ADDRESS PI-IONE ~1 his, is !o certify that Ihe information here given is correctly copied from an original certificate of death duly filed with me as I :}c:tl Kegistrar. The original certificate will bc forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 10783412 Local Registrar OCT 2 ? 2004 No. Date C~TIFICATE OF DEATH Distribution Joshua Sheaffer I~. Hattie Sheaffer la.~. 100 Clearvie~ Drive, Carlisle, Pa 17013 Hoffn~n-Roth Funeral Home Las W;ll anti esfamen l arlin E. Sheaffer I, Marlin E. Sheaffer of 2620 Spring Road, Carlisle, C,,m~erland County, Pennsylvania, being of sound and disposing mind, ~or~ and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. ARTICLE I BENEFICIARIES The names of my children are Timothy M. Sheaffer, Linda K. Sancenito, Rhonda A. Brunner and Randal Zimmerman. The name of my grandchildren. All references in this Will to "my children" or "child of mine" are references to m~ above-named children. ARTICLE TWO ~ ~ PAYMENT OF DEBTS AND EXPENSES ~ ~, I direct the payment of the debts and ox~nses of; my ~ last illness from my estate as soon after my death as ' i~ conveniently may be done. .] ARTICLE THREE !; DISPOSITION OF PROPERTY A. Specific Bequests. 1. I give, devise and bequeath to Linde K. Sancenito my 1991 Ford Thunderbird, the oak dining room set and my tankard collection. 2. I give, devise and bequeath to Randal A. Z4-~rman $1000.00. I have previously given to him my 1985 Ford Bronco so ho will understand why I have not left him an automobile in this will as I have done with his brother and sisters. 3. I give, devise and bequeath to Rhonda K. Brunner $1000.00,my 1970 Pontiac and the four al--inum wheels and tho torque wrench that are located in its trunk. 4. I give, devise and bequeath to my son Timothy Sheaffer my 1996 Ford Exl~lorer, all m~ golf clubs with their bags, m~ guns and my air cleaner. I also give, devise and bequeath to Timothy my ~awnmowers and my snowblower with the understanding that they are to be used by my grandsons Michael and Timothy Sheaffer for tho4r lawnmowing and snowblowing business. 5. I give, devise and bequeath to my granddaughters Nicole and Shandi Sheaffer my 13" color television and my Sony radio. 6. I give, devise and bequeath to my grandsons Michael and Timothy Sheaffer my fieldglasses. 7. I give, devise and bequeath to the Huntsdale Church of the Brethren $3000.00. 8. I give, devise and bequeath to the Salvation Army, Carlisle, Pennsylvania, $1000.00. B. Residuar~Estete I give, devise and bequeath all the rest, residue and r~nminder of my estate, both real and personal to my children in equal shares with the understanding that anything that my children do not want shall be given to the SalvationArmy in Carlisle, Pennsylvania. If a child of mine does not survive me, such deceased child's share shall be distributed in equal shares to the natural and legally adopted children of such deceased child who survive me by right of representation. If a child of mine does not survive me and has no children who survive me, such deceased child's share shall be distributed in equal shares to my other children, if any, or to their respective natural or legally adopted children by right of representation. If no child of mine survives me, and if none of my deceased children are survived by natural or legally adopted children, my residuar~ estate shall be distributed to my heirs at law, their identities and respective shares to be determined under the laws of the Commonwealth of Pennsylvania, then in effect, as if I had died intestate at the time fixed for distribution under this provision. ARTICLE FOUR TAXES I direct that any and all inheritance, estate and transfer taxes ~m~.osed upon property making up my estate passing under my WAll or otherwise, shall be paid out of the principal of my residuar~ estate prior to its distribution to my heirs. ARTICLE FIVE EXECUTOR' S POWERS In addition to the powers and authority conferred by law or necessar~ and a~ropriate for proper a~nistration, I authorize my Executor, in his absolute discretion: 1. To retain in the form received, and to sell either at public or private sale any real or o o personal property; To lease, mortgage or otherwise enc,,-~er any real or personal property that may he included in my estate, without order of court or notice to any beneficiary; To invest and reinvest in all forms of property; To exercise any options or rights arising fro~ ownership of investments; and To compromise claims without court approval and without the consent of any beneficiary. ARTICLE SIX N~INATION OF CO-EXECUTORS I nominate, constitute end appoint my children, Rhonde A. Brunner and Timothy M. Sheaffer to serve as Co- Executors, if living and able to serve as same. If both Rhonda and T/mothy are deceased or are otherwise unable to serve as Co-Executors, I nominate, constitute and appoint my daughter Linde K. Sancenito to serve as sole Executor. I hereby relieve my Executor(s) from the necessity of posting security in connection with his duties as such in any jurisdiction in which he/they may be called to act insofar as I am able to do so by law. ARTICLE SEVEN MISCELLANEOUS PROVISIONS A. P&ra~r&ph Titles and Gender. The titles given to the paragraphs of this Will ere inserted for reference purposes only and are not to be considered as forming a part of this Will in interpreting its provisions. All words used in this Will in any gender shell extend to and include all genders, and any singular words shall include the plural expression, and vice versa, specifically including "child" or ~children," when the context or facts so require, and any pronouns shall be taken to refer to the person or persons intended regardless of gender or B. Thirt~ Da~ Survival Rec~uirement. For the purpose of determining the appropriate distributions under this Will, no person shall be deemed to survive me unless such person is also surviving on the thirtieth day after the date of my death. C. Liabilitz of Fiduciary. No fiduciary who is a natural person shall, in the absence of fraudulent conduct or bad faith, be liable individually to any beneficiary of my estate, and my estate shall indemnify such natural person from all claims or expenses in connection with or arising out of that fiduciary's good faith actions or non-actions as the fiduciary, except for such actions or non-actions which constitute fraudulent conduct or bad faith. Beneficiar~Disputes. If any bequest requires that the bequest be distributed between or among two or more beneficiaries, the specific items of property comprising the respective shares shall be determined by such beneficiaries if they can agree, and if not, by my Co-Executor. IN ,~TNESS WHEI~EOF, I have subscribed my name below, this ~-~y of Sept---~er, 2002. . ~ d~ ,/ Testator Signature We, the undersigned, hereby certify that the above instrument was signed in our sight and presence by Marlin E. Sheaffer, the Testator, who declared this instrument to be his Last Will and Testament and we, at the Testator's request and in the Testator's sight and presence, and in the sight and presence of each other, do hereby subscribe Witness Signature Name city State our names as witnesses on the d~te shown, above. S~te U AFFIDAVIT CO~)N~EALTH OF PENNSYLVANIA : COUNT~ OF ~,~erland : I, Marlin E. Sheaffer, the Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will, that I signed it willingly and as my free and voluntar~ act for the purposes Testator Signature Marlin E. Sheaffer Subscribed, sworn to and acknowledged ~efore me by Marlin E. Sheaffer, the Testator, this-- ~day of Sept-m~er, 2002. I ~"..L~.NK:SHAuUs..^~ ...... ~'o~c.~rv Publi= L~¥ ~m~0n ~ D~"'~ I '=,~ ~FIDAVIT C~~TH OF P~S~IA : CO~ OF C-m~erland : ~e wi~esses, respectively, whose n~s are si~ed at~ched or foregoing instment, being first duly swo:n, ~ her~y ~clare to ~e ~rsi~ed au~ority that Tes~tor ~rlin E. Sheaffer si~ed and executed ins~nt as his Last Will and Test~nt and ~at he si~ed willingly, ~d ~at he exerted it as his free and volunta~ act for ~e pu~oses ~erein e~resse~, mach of his wi~esses, in ~e presence and ~e hearing of ~e Tes~tor si~ed ~e Last Will an~ Test~nt as wi~esses ~d ~at to ~e best of ~eir knowledge Tes~tor was at ~at t~e eighteen (18) years of age or ol~r, of sound ~nd and un~r no constraint or undue influence~ S~scr~, sworn to ~d a~owledged before witnesses, this day of Se~t~er, 2002. CERTIFICATION UNDER NOTICE UNDER RULE 5.6(a) Name of the Decedent: Marlin E. Sheaffer Date of Death: October 25. 2004 Will No. 2004-00996 Admin. No. 21-04-0996 To the Register: I certify that notice of estate administration required by Rule 5.6(a}(2} of the Orphan's Court Rules was mailed to the following beneficiaries of the above-captioned estate on January 27.2005. Name Address Rhonda Brunner 5067 Spring Road Shermansdale, PA 17090 Timothy Sheaffer 100 Clearview Drive Carlisle, PA 17013 Randal Zimmerman 434 West Shady Lane Enola, PA 17025 2930 Neffs Laurels Road Schnecksville, PA 18078 100 Clearview Drive Carlisle, PA 17013 Linda Sancenito Timothy Sheaffer (grandson) Michael Sheaffer 100 Clearview Drive Carlisle, PA 17013 Nicole Sheaffer 100 Clearview Drive Carlisle, PA 17013 Shandi Sheaffer 100 Clearview Drive Carlisle, PA 17013 Huntsdale Church of The Brethren 170 Church Road Carlisle, PA 17013 Salvation Army 125 S. Hanover Street Carlisle, PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: January 27, 2005 f(eJt:xt!Ll-at~ , ~ Name: Kathleen K. Shaulis. Esa. r",' ,. ,,~ Address: 44 South Hanover Street Carlisle. PA 17013 Tel~:(717\243~55 I'.' " Capacity _ Personal Representative ---1L Counsel to Personal Representative '" 0-- NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND In re Estate of Marlin E. Sheaffer, deceased No. 2004-00996 TO: Rhonda Brunner 5067 Spring Road Shermansdale, PA 17090 Please take notice of the death of decedent and grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: You mav be named as a beneficiarv under Mr. Sheaffer's Last Will and Testament. Name of the Decedent: Marlin E. Sheaffer Last Known Address: 2620 Spring Road, Carlisle, PA 17013 Date of Death: October 25. 2005 Place of Death: His residence at 2620 Spring Road, Carlisle, PA 17013 County of Grant of Original Letters: Cumberland Decedent dies X testate intestate A copy of the will_ is _X_ is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address T e1eohone Rhonda Brunner 5067 Spring Road, Shermansdale, PA 17090 Timothy Sheaffer 100 Clearview Drive, Carlisle, PA 17013 (717) 422-6851 Name(s), address(es) and telephone number(s) of all counsel Name Address Telephone Kathleen K. Shaulis. Ese. 44 South Hanover Street Carlisle. PA 17013 (717) 243-6655 Date: Additional information may be obtained from the undersigned. ~ Januarv 27. 2005 Signature: ~ Name: Kathl K. Shaulis. Ese. Address: 44 South Hanover Street Carlisle. PA 17013 Telephone: (717) 243-6655 Capacity: _ Personal Representative -L Counsel for Personal Representatives '---., C_.' NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND In re Estate of Marlin E. Sheaffer, deceased No. 2004-00996 TO: Timothy Sheaffer 100 Clearview Drive Carlisle, PA 17013 Please take notice of the death of decedent and grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: You mav be named as a beneficiarv under Mr. Sheaffer's Last Will and Testament. Name of the Decedent: Marlin E. Sheaffer Last Known Address: 2620 Spring Road, Carlisle, PA 17013 Date of Death: October 25. 2005 Place of Death: His residence at 2620 Spring Road, Carlisle, PA 17013 County of Grant of Original Letters: Cumberland Decedent dies X testate intestate A copy of the will_ is _X_ is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Teleohone Rhonda Brunner 5067 Sorina Road. Shermansdale. PA 17090 Timothv Sheaffer 100 Clearview Drive. Carlisle. PA 17013 (717) 422-6851 Name(s), address(es) and telephone number(s) of all counsel Name Address Teleohone Kathleen K Shaulis. Esa. 44 South Hanover Street Carlisle. PA 17013 (717) 243-6655 Date: Additional information may be obtained from the undersigned. \ ./.1 / I " ) Januarv 27. 2005 Signature~-~ Name: Kathl n K. Shaulis. Esa. Address: 44 South Hanover Street Carlisle. PA 17013 Telephone: (717) 243-6655 Capacity: _ Personal Representative -----X- Counsel for Personal Representatives NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND In re: Unda Sancenito 434 West Shady Lane Enola, PA 17025 Please take notice of the death of decedent and grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: You mav be named as a beneficiary under Mr. Sheaffer's Last Will and Testament. Name of the Decedent: Marlin E. Sheaffer Last Known Address: 2620 Spring Road, Carlisle. PA 17013 Date of Death: October 25. 2005 Place of Death: His residence at 2620 Spring Road, Carlisle, PA 17013 County of Grant of Original Letters: Cumberland Decedent dies X testate intestate A copy ofthewill_><- is _ is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address T eleehone Rhonda Brunner 5067 Serina Road. Shermansdale. PA 17090 Timothv Sheaffer 100 Clearyiew Drive. Carlisle. PA 17013 17171422-6851 Name(s). address(es) and telephone number(s) of all counsel Name Address Teleehone Kathleen K. Shaulis. Eso. 44 South Hanover Street Carlisle. PA 17013 17171 243-6655 Additional information may be obtained from the undersigned. . Date: January 27. 2005 Signature~tlcLu~ A-!l/...t<.J_....A..) Name: ~~n K. Shaulis. Eso. Address: 44 South Hanover Street Carlisle. PA 17013 Telephone: 17171243-6655 Capacity: _ Personal Representative --L Counsel for Personal Representatives NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND In re: Randal Zimmerman 2930 Neffs Laurels Road Schnecksville, PA 18078 Please take notice of the death of decedent and grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: You mav be named as a beneficiary under Mr. Sheaffer's Last Will and Testament. Name of the Decedent: Marlin E. Sheaffer Last Known Address: 2620 Spring Road, Carlisle, PA 17013 Date of Death: October 25. 2005 Place of Death: His residence at 2620 Spring Road, Carlisle, PA 17013 County of Grant of Original Letters: Cumberland Decedent dies X testate intestate A copy of the will _X_ is _ is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address T eleohone Rhonda Brunner 5067 Sorina Road. Shermansdale. PA 17090 Timothv Sheaffer 100 Clearview Drive. Carlisle. PA 17013 (7171422~851 Name(s), address(es) and telephone number(s) of all counsel Name Address T eleohone Kathleen K. Shaulis. Esa. 44 South Hanover Street Carlisle. PA 17013 (717124~55 Additional information may be obtained from the undersigned. Date: Januarv 27. 2005 Signature:"-t;;,~i.~~~ Name: Kalhl n K. Shaulis. Esa. Address: 44 South Hanover Street Carlisle. PA 17013 Telephone: (717124~55 Capacity: _ Personal Representative -L Counsel for Personal Representatives NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND In re Estate of Ma~in E. Sheaffer, deceased No. 2004-00996 TO: Timothy Sheaffer (grandson) 100 Clearview Drive Ca~isle, PA 17013 Please take notice of the death of decedent and grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: You mav be named as a beneficiarY under Mr. Sheaffer's Last Will and Testament. Name of the Decedent: Ma~in E. Sheaffer Last Known Address: 2620 Spring Road, Ca~isle, PA 17013 Date of Death: October 25. 2005 Place of Death: His residence at 2620 Spring Road, Ca~isle, PA 17013 County of Grant of Original Letters: Cum~and Decedent dies X testate intestate A copy of the will_ is _X_ is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address T e1eehone Rhonda Brunner 5067 Serina Road. Shermansdale. PA 17090 Timothv Sheaffer 100 Clearview Drive. Ca~isle. PA 17013 (717) 422-eS51 Name(s), addressees) and telephone number(s) of all counsel Name Address Teleehone Kathleen K Shaulis. Esa. 44 South Hanover Street Carlisle. PA 17013 (717) 243-6655 Additional information may be obtained from the undersigned. , Date: Januarv 27.2005 Signature: %f:/...Lu~~ Name: ~n K Sh~ Address: 44 South Hanover Street Ca~isle. PA 17013 Telephone: (717) 243-e655 Capacity: _ Personal Representative ---.lL. Counsel for Personal Representatives NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND In re Estate of Marlin E. Sheaffer, deceased No. 2004-00996 TO: Michael Sheaffer 100 Clearview Drive Carlisle, PA 17013 Please take notice of the death of decedent and grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: You mav be named as a beneficiarY under Mr. Sheaffer's Last Will and Testament. Name of the Decedent Marlin E. Sheaffer Last Known Address: 2620 Spring Road, Carlisle, PA 17013 Date of Death: October 25. 2005 Place of Death: His residence at 2620 Spring Road, Carlisle, PA 17013 County of Grant of Original Letters: Cumberland Decedent dies X testate intestate A copy of the will_ is _X_ is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Teleohone Rhonda Brunner 5067 Sorine Road. Shermansdale. PA 17090 Timothv Sheaffer 100 Clearview Drive. Carlisle, PA 17013 1717\422-8851 Name(s), address(es) and telephone number(s) of all counsel Name Address Teleohone Kathleen K Shaulis, Esa. 44 South Hanover Street Carlisle, PA 17013 1717\243-6655 Date: Additional information may be obtained from the undersig.ned. ~ Januarv 27. 2005 Signature:~.J~ Name: Kathl n K Shaulis. Esa. Address: 44 South Hanover Street Carlisle. PA 17013 Telephone: 1717\243-6655 Capacity: _ Personal Representative ----1L. Counsel for Personal Representatives NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS. COUNTY OF CUMBERLAND In re Estate of Marlin E. Sheaffer, deceased No. 2004-00996 TO: Nicole Sheaffer 100 Clearview Drive Carlisle, PA 17013 Please take notice of the death of decedent and grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: You mav be named as a beneficiarY under Mr. Sheaffer's Last Will and Testament. Name of the Decedent: Marlin E. Sheaffer Last Known Address: 2620 Spring Road, Carlisle, PA 17013 Date of Death: October 25. 2005 Place of Death: His residence at 2620 Spring Road, Carlisle, PA 17013 County of Grant of Original Letters: Cumberland Decedent dies X testate intestate A copy of the will _ is _X_ is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Teleohone Rhonda Brunner 5067 Sorina Road. Shermansdale. PA 17090 Timothv Sheaffer 100 Clearview Drive. Carlisle. PA 17013 (717) 422-6851 Name(s), address(es) and telephone number(s) of all counsel Name Address Teleohone Kathleen K Shaulis. Esa. 44 South Hanover Street Carlisle. PA 17013 (717)243-6855 Additional information may be obtained from the undersigned. . Date: Januarv 27.2005 Signature: '--1it-A/j.L....J~J Name: ~nK.-Sh~uliS. E . Address: 44 South Hanover Street Carlisle. PA 17013 Telephone: (717)243-6855 Capacity: _ Personal Representative --.2L Counsel for Personal Representatives NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS. COUNTY OF CUMBERLAND In re: Shandi Sheaffer 100 Clearview Drive Carlisle. PA 17013 Please take notice of the death of decedent and grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: You mav be named as a beneficiarY under Mr. Sheaffer's Last Will and Testament. Name of the Decedent: Marlin E. Sheaffer Last Known Address: 2620 Spring Road. Carlisle. PA 17013 Date of Death: October 25. 2005 Place of Death: His residence at 2620 Spring Road. Carlisle, PA 17013 County of Grant of Original Letters: Cumberland Decedent dies X testate intestate A copy of the will _ is _X_ is not attached. Name(s). address(es) and telephone number(s) of all personal representatives appointed Name Address Teleohone Rhonda Brunner 5067 Sorina Road. Shermansdale. PA 17090 Timothv Sheaffer 100 Clearview Drive. Carlisle. PA 17013 (717) 422-6851 Name(s). address(es) and telephone number(s) of all counsel Name Address Teleohone Kathleen K. Shaulis. ESQ. 44 South Hanover Street Carlisle. PA 17013 (717) 243-6655 Additional information may be obtained from the undersigned. Date: Januarv 27. 2005 Signature: '-1:1rM,,~~~ Name: ~UIiS. f........, Address: 44 South Hanover Street Carlisle. PA 17013 Telephone: (717) 243-6655 Capacity: _ Personal Representative ---2L.. Counsel for Personal Representatives NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS. COUNTY OF CUMBERLAND In re: Huntsdale Church of The Brethren 170 Church Road Carlisle, PA 17013 Please take notice of the death of decedent and grant of letters to the personal representative named below. You may have a beneficial interest in the estate as follows: You mav be named as a beneficiarY under Mr. Sheaffer's Last Will and Testament. Name of the Decedent: Marlin E. Sheaffer Last Known Address: 2620 Spring Road, Carlisle, PA 17013 Date of Death: October 25, 2005 Place of Death: His residence at 2620 Spring Road, Carlisle, PA 17013 County of Grant of Original Letters: Cumberland Decedent dies X testate intestate A copy of the will_X_ is _ is not attached. Name(s), address(es) and telephone number(s) of all personal representatives appointed Name Address Teleohone Rhonda Brunner 5067 Sorina Road. Shermansdale, PA 17090 Timothv Sheaffer 100 Clearview Drive. Carlisle. PA 17013 (717) 422~851 Name(s), address(es) and telephone number(s) of all counsel Name Address Teleohone Kathleen K. Shaulis. Esa. 44 South Hanover Street Carlisle. PA 17013 (717l24~55 Date: Additional information may be obtained from the undersigned. J Januarv 27.2005 Signature: ~~<-b Name: Kath n K Shaulis E . Address: 44 South Hanover Street Carlisle. PA 17013 Telephone: (717) 24~55 Capacity: _ Personal Representative ---1L. Counsel for Personal Representatives COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SHEAFFER TIMOTHY M 100 CLEARVIEW DR CARLISLE, PA 17013 -------- fold ESTATE INFORMATION: SSN: 181-32-4632 FILE NUMBER: 2104-0996 DECEDENT NAME: SHEAFFER MARLIN E DA TE OF PAYMENT: 02/28/2005 POSTMARK DATE: 02/28/2005 COUNTY: CUMBERLAND DATE OF DEATH: 10/25/2004 NO. CD 005000 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $6,000.00 I I I I I I I I TOTAL AMOUNT PAID: $6,000.00 REMARKS: PYRAMID LAND TRANSFER CHECK#10875 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS REV-'500EX (6.OOl \J' CO"'-lONWEAlTH OF PEI\lIISYLVANIA DEPARTMENT OF REVENUE DEPT. 280001 HARRISBURG. PA 17128-0601 ~,,::"" ;;\35.(C c' "" -P::\ 0.00. CD A'\=)D 6:> cO REV-1500 FILE NUMBER 21 04 INHERITANCE TAX RETURN RESIDENT DECEDENT 996 COUKrY CODE YEAR ......ER I- Z W Q W (J W Q DECEDENTS NAME (LAST, FIRST. AND MIDDLE INITIAL) Sheaffer Marlin E. SOCIAL SECURITY NUMBER 181-32-4632 DATE OF DEATH (MM-DD-YEAR) 10/24/2004 DATE OF BIRTH (MM-DD-YEAR) 01/04/1936 THIS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST, AND MIDDLE INITIAL) ~ ",:!Ii:! fdft.> ''is u.... .. .. ~ 1. Original Return o 4. Limited Estate o 6. Decedent Died Testate (AltadI cq:Jy d Wi) o 9. Litigation Proceeds Received o 3.RemainderReturn(dateof~priorto12-13-82) D 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. Eled:ion to tax under Sec. 9113(A) (Altad'lSchO) o 2. Supplemental Return o 4a. Future Interest Compromise (dale 01 de&1h aIt1r 12-12-82) o 7. Decedent Maintainecl a Living Trust(Altadl~ofTrusI) D 10. Spousal Poverty Credit (clill801clila1h beIwe8'I 12-31-91 ard 1-1-95) ... z W Q Z Q .. .. W II: II: o U NAME Kathleen K. Shaulis,Esq. FIRM NAME (If ~icmleJ Shaulis Law Office TELEPHONE NUMBER (717) 243-6655 COMPLETE MAILING ADDRESS 44 South Hanover Street Carlisle, PA 17013 (1) (2) (3) (4) (5) 135,000.00 0.00 0.00 0.00 20,065.85 I'.J z o ~ ;:) l- ii: <I( (J w a: 1. Real Eslate (Schodu~ A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly ONned Property (Schedule F) D Separate Billing Requested 7. Inter*Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G Of L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductlonl (total Lines 9 & 10) 12. Net: Value of EItate (Line 8 minus Line 11) 13. Charitable and Governmental 8equestslSec 9113 Trusts for which an election to tax has not baan made (Schedute J) 22,642.50 132,423.35 4,000.00 ., (6) 0.00 0.00 (7) r.,.') C'..:l 155,065.85 (9) (10) (B) 21,976.43 666.07 (11) (12) (13) 14. Net Value Subject to Tax (Line 12 minus Line 13) 128,423.35 (14) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ~ I-' ;:) 4. :E o (J ~ 15. Amount of Line 14 taxable at the spousal tax 0.00 rate, or transfers under Sec. 9116 (a)(1.2) x.O~ (15) 16. Amount of Line 14 taxable at lineal rate 128,423.35 x.O 45 (1B) 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (IT) 18. Amount of Line 14 taxable at collateral rate 0.00 x .15 (lB) 19. Tax Due (19) 0.00 5,779.05 0.00 0.00 5,779.05 20[!] CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Decedent's Complete Address: STREET ADDRESS 2620 Sprina Road CITY Carlisle I STATEpA I ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 5,779.05 0.00 6,000.00 0.00 Total Credits (At 8 t C) (2) 6,000.00 3. InleresVPenally if applicable D. Interest E. Penally TotallnteresUPenally ( 0 t E ) (3) 4. If line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 0.00 0.00 0.00 220.95 A. Enter the interest on the tax due. (5) (SA) 5. If Line 1 + Line 318 greater than Line 2, enter the difference. This is the TAX DUE. 8. Enter lhe total of Line 5 t SA. This is lhe BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did dacedenl make a lransfer and: Yes No a. retain lhe use or income of lhe property transferred; .......................................................................................... D [iJ b. retain lhe right to designate who shall use the property transferred or its income; ............................................ D [iJ c. retain a reversionary interest; 0(....................................................................,.......................,.......................,.,... 0 [!] d. receive lhe promise for life of eilher payments, benefits or care? ...................................................................... D [iJ 2. Ifdealh occurred after December 12,1982, did decedent ~ansfer propertywilhin one year of death wilhout receiving adequata consideration? .............................................................................................................. D [iJ 3. Did dacedent own an "in Wst fo~ or payable upon dealh bank account or securily at his or her dealh? .............. D [jJ 4. Did dacedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneiciary designation? ........................................................................................................................ D [iJ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. lk1der penalties of peljJry,l decl<n IlaII teve exarrined Itis reUn. ildudng ~ sdledJles em stalements, and 10 the best of my knowledge em belief, it Is true, conecl: and complete. DedaraIion ofprepenlfoth<<ttan Ihepersonall8pl1lSentalive is based on al ilfamationof..mlchpreparerhas anyknovotedge. SIGNATUREO~N RESPOf),LE F~~ ADDRESS I,)J",., 15 ' 100 Clearview Drive, Carlisle, PA 17013 SIG TURE R OTHER RE R SEN TI DATE ;( jag/rJr;;- 5067 Spring Road, Shermansdale, PA 17090 DA os- ADDRESS Shaulis La Office 44 South Hanover Street Carlisle, PA 17013 _, _'".~ "H ,', For dates of dealh on or after July 1, 1994 and before January 1, 1995, lhe tax rate imposed on Ihe net value of transfers to or for the use of Ihe sUlViving spouse Is 3% [72 P.S. ~9116 (a) (1.1) (ill. For dates of dealh on or after January 1,1995, the tax rale imposed on the net value 01 transfen; to or for the use of lhe sUlViving spouse is 0% [72 P.S. ~9116 (a) (1.1) (iill. The statute does not examo! a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a lax return are still applicable even if the surviving spouse is the only beneficiary. For dates of dealh on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one 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% [72 P.S. ~9116(a)(1.2)]. The lax rate imposed on Ihe nel value of ~ansfers to or for lhe use of lhe decedent's lineal beneieiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(I)I. The tax rale imposed on 1I1e net value of lransten; to or for the use of the decedent's siblings is 12% [72 P.S. ~9116(a)(1.311. A sibling is deined, under Seclion 9102, as ,n individual who has alleast one parent in common with the decedent, whether by blood or adoption. ""'1 , Decedent's Complete Address: STREET ADDRESS 2620 SprinQ Road CITY Carlisle I STATE I ZIP PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 line 19) 2. CreditsiPaymenls A. Spousal Poverty Credit B.PriorPaymenls C. Discount (1) 5,779.05 0.00 6,000.00 0.00 Tolal Credils (A+ B + C) (2) 6,000.00 3. InteresllPenally "applicable D. Interest E. Penally TolallnteresllPenally ( 0 + E ) (3) 4. If Line 2 is greater than line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 10 request a refund (4) 0.00 0.00 0.00 220.95 B. Enter thalalal of line 5 + SA. This is the BAlANCE DUE. (5) (SA) (5B) 5. If Line 1 + line 3 is greater than Line 2, enter the difference, This is the TAX DUE. A. Enter the interest on the tax due. 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: Ves No a. relain the use or income of the property transferred;.......................................................................................... 0 ~ b. relain the right to designate who shall use the property transferred or ils income; ............................................ 0 ~ C. retain a reversionary interest; or..............................................................................,.........,.......,.....,................... 0 [!] d. receive the promise for I"e of either paymenls, benefils or care? ...................................................................... 0 ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideraUon? .............................................................................................................. 0 [!] 3. Did decedent own an "in trust fo~ or payable upon death bank account or securily at his or her death? .............. 0 00 4. Did decedent own an Indi~dual ReUrement Account, annuity, or other non-probate property which conlains a beneficiary designation? ........................................................................................................................ 0 ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FilE IT AS PART OF THE RETURN. lh:Ier peMties of peIjury, I decIin flat I have exani1ed!tis relLm. i1cIuci1g accompanying schel1l1es and statements, and 10 the best of my JmowIedge a1d belief, II is true, correct and ccmpIete. OedarafuJ rI preparer olher lhan Ihe personal rep-esenlative is based on al infamalion ofM'ich rerhas any kl'lCl'Medge. SIGNATURE OF PERSON RESPCNSIBLE FOR FILING RETURN . l L'i ,/ ,! L()'\A'f-1i . <.__(7Iti/.-v>-t.U DATE 'f-2CJ.(iS- ADDRESS 100 Clearview Drive, Carlisle, PA 17013 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE 5067 Spring Road, Shermansdale, PA 17090 DATE ADDRESS Shaulis Law Office 44 South Hanover Street Carlisle, PA 17013 ..-l , For dates of death on or after July 1, 1994 and before January 1, 1995, the lax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. S9116 (a) (1.1) (i)!. For dates of dealh on or after January 1, 1995, the lax rale imposed on the net value of transfers 10 or for lhe use of the surviving spouse is 0% [72 P.S. S9116 (a) (1.1) (ii)!. The statule does not exemot 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 dales of death on or after July I, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger al death 10 or for the use of a nalural parent an adoptive parent, or a stepparent of the child is 0% [72 P.S. S9116(a)(1.2)]. The lax rate imposed on the net value oflransfers to or for the use of the decedent's lineal bene6claries is 4.5%, except as noted in 72 P.S. S9116(1.2) [72 P.S. S9116(a)(I)]. The lax rate imposed on the net value of transfers la or for the use of the decedent's siblings is 12% [72 P.S. S9116(a)(1.3)!. A sibling is defined, under Section 9102, as an individual who has al least one parent in common with the decedent, whether by blood or adoption. REV-1502 EX+ (6-08* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDUU A REAL ESTATE ESTATE OF Marlin E Sheaffer FILE NUMBER 21-04-0099' AI real property owned solely or u a tenant in eonvnon must be reported at f. market value. Fair rmrkeI: value is defined as the price at w.tich property would be exchanged -. . wiIIOlg buyer and . willing sollor, _ being c:on.,.led" buy or soil, _ having ........- knoiMadge 01 tha ralevar< fads. Raal proparty which Is jolnUy-owaed with right 01 su..;",rship must be dlsdossd on SdIsdule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH ,. 2620 Spring Road, Ca~isle, PA 17013 Legal Desaiption - See attached. 135,000.00 TOTAL (Also entar on lina 1, Racap~ulation) $ (If more space is needed, insert adcfltional sheets of the same size) 135,000.00 REV.'S08 EX. (....) .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Marlin E. Sheaffer FILE NUMBER 21-04-0996 Include the procoods of IltigaIion and the dIIIethe procoods MIO_ by the_. AU property jolntly-owned with right of lurvivorship....st be disclosed on Schedule F. ITEM NUMBER 1. 1996 Ford Explorer 2. Ford ThlJ1delbird DESCRIPTION VALUE AT DATE OF DEATH 5 M+ T Checking account 3,180.00 1,100.00 1,000.00 1,437.75 13,348.10 3. 1970 Pontiac LeMans (salvage - does not run) 4. Personal Property TOTAL (Also enter on line 5, Recapnulation) $ (If more space is needed, insert acIditionaI sheets of the same size) 20,065.85 REV-15" EX. (12-99. COMMONWEALTH OF PENNSYLVANIA INiERITANCE TAX RETURN RESIDENT DECEDENT SCHEDUU H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Marlin E. Sheaffer FilE NUMBER 21-()4-0996 DebIs of _ muot be IlIpOrIllcI on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT ,. FUNERAL EXPENSES: Hoffman Roth Funeral Home, Cartisle, Pa 17013 Orris Holding- Curnbet1and Valley Mern Gardens, Cartisle, PA 17013 6,376.46 2,247.00 B. ADMINISTRATIVE COSTS: ,. Personal Representative's Commissions Name of Personel Rep.....tative(s) Timothy Sheaffer Rhonda Brunner Social Security Nurmer{s)JEIN Number of Personel Representalive(s) Streel Add.... See page 2 of Rev 1500 0.00 City Year(s) Commission Paid: 0 StaIa Zip 2. AIIomey Fees 1,020.00 3. Family Exef1l)tion: (If decedenrs address is not the same as claimant's, attach explanation) 0.00 Claimant Street Address City State . Zip Relationship of Claimant to Decedent 4. Probate Fees 245.00 5. Accountant's Fees 6. Tax Retl.m Preparer's Fees 7. legal Advertising - The Sentinel and Cumbet1and County Law Journal B Patriot News Classified ad - sale of the home 9 Yorl< Waste Disposal 10 PP&l TOTAL (Also enter on line 9, Recapftulation) (If more space is needed, insert additional sheets of the same size) 219.29 210.56 38.52 870.17 185.17 225.00 $ 11,637.17 11 Sewer and water 12 Real estate appraisal - Dive!sffied SCHEDULE H (continued) Estate of File Number Marlin E. Sheaffer 21-04-00996 13. Dehart's Auction 1544 Holly Pike Carlisle, PA 17013 Commission- Sale of Household Gelf Reimbursement- Advertising 480.46 280.00 14. County real estate taxes 48.90 15. Ebner's Associates Real Estate Commission 16. Real estate transfer tax 17. Sewer and water final 18. Buyer's assistance for sale of house 4050.00 1350.00 79.90 4050.00 Total this page Total both pages 10,339.26 21,976.43 REV-1512 EX+ (12"') .. COMMONWEAlTH OF PENNSYLVANIA NHERlTANCE. TAX RETURN RESIDENT DEC8JENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE UABIUTlES, & UENS ESTAlE OF Marlin E. Sheaffer FILE NUMBER 21-()4-lJ996 Report _ Incurred by the decedent prior to _ which ..malned ..pald as of the dale of _. including ...._rood medk:al..po..... ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. AT&T 22.23 2. Andorra Radiology Holy Spirit Hospital 229.84 3. 414.00 TOTAL (Also enter on line 10, Recap~ulation) $ (If more space is needed, insert additional sheets of the same size) 666.07 REV-1St:! EX+ (9..00) .. COMfK)NWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE Of Martin E. Sheaffer FilE NUMBER 21-04-996 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADORESS OF PERSON(S) RECEIVING PROPERTY Do Not Ust Trustoo(s) OF ESTATE I TAXABLE OISTRIBUTIONS pndude outright spousal clstributions, and transfers under Sec. 9116 (a) (1.2)) t1Jt 61 rt~l J.,"'1lf' 2. Timothy Sheaffer, 100 Clearview Drive, Carlisle, PA 17013 Son 3 Randal Zimmerman, 2930 Neffs laJreI Road, Schnecksville, PA 18078 Son Y4 If- r<:-~~'Y 4 Rhonda Brumer, 5067 Spring Road, Shermansdale, PA 17090 Daughter Y'/-of;. ~ 5 Linda Sancenilo, 434 West Shady lane, EnoIa, PA 17025 Daughter 'it j:- re~~ ENTER DOlLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II NON- TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ElECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAl DISTRIBUTIONS 1 Salvation Army, 125 S. Hanover Street, Carlisle, PA 17013 1,000.00 2 Huntsdale ChUlCh of the Brethen, 170 Church Rd., Carlisle, PA 17013 3,000.00 TOTAl OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 4,000.00 (If more space is needed, inserladditional sheets of the same size) SCHEDULE A INFORMATION ALL THAT CERTAIN piece or parcel of land situate in North Middleton Township, Cumberland County, Pennsylvania, bounded and described as follows: BEGINNING at a point long the western side of Pennsylvania Route No. 34, at a point at the northeastern corner of Lot No. 128 on said Plan; thence North 77 degrees 27 minutes 30 seconds West 150 feet to a point; thence North 12 degrees 32 minutes 30 seconds East 100 feet to a point; thence along Lot No. 130 on said Plan, South 77 degrees 27 minutes 30 seconds East 150 feet to a point; thence along Pennsylvania Route No. 34, South 12 degrees 32 minutes 30 seconds West 100 feet to a point, the place of beginning. BEING Lot No. 129 on the Plan of section 1 of Kingsbrook, as recorded in the Office of the Recorder of Deeds of Cumberland County in Plan Book 23, Page 87. HAVING thereon erected a dwelling house then known as 422 Spring Road and now known as 2620 Spring Road. BEING THE SAME premises which Marlin E. Sheaffer and Marilyn F. Sheaffer, his wife, by their deed dated September 18, 1984 and duly recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania, in Deed Book Vol. X30, Page 289, granted and conveyed to Marlin E.Sheaffer. WHEREAS Marlin E. Sheaffer and Marilyn F. Sheaffer were divorced on October 11, 1984 and Marlin E. Sheaffer departed this life on October 25, 2004. SCHEDULE E INFORMATION r! M&I'Bank 499 Mitchell Road, MiIIsboro, DE 19966 Mail Code DE-MB-12 Phone (888) 502-4349 Fax (302) 934-2955 December 1, 2004 Law Offices of Kathleen K. Shaulis, Esq. 44 South Hanover Street Carlisle, Pennsylvania 17013 Re: Estate of: Marlin E. Sheaffer Social Security: 181-32-4632 Date of Death: October 25. 2004 Dear Sir or Madam: Per your inquiry dated November 17, 2004, 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 Checking Account Account Number 77362500 Ownership (Names of) Marlin E Sheaffer Opening Date 11/28/78 Closed 11/9/04 Balance on Date of Death $13,347.26 Accrued Interest $ 0.84 Total $13,348.10 Please be advised, there was no safe deposit box found for the above decedent. For further account information, regarding ownership, closures and/or reimbursement of funds, etc., please call the Dewill Office # 315-44500411. Sincerely, .~~~~ Nancy Clagett Records Management Kelley Blue Book - Private Party Pricing Report - Ford, Explorer "..'" ..'.' , '." . Kelley BlueBook THE TRUSTED RESOURCE " . kbb..... HC.1ME NEW CARS alf;;I:4.."'-1.t:. :':lillh advertisement Page 10f2 : . Qulcl< IlMlerPJice QuOflJ REV:EWS is RATINGS .;DViCE Fi'iA t,,"U,rr;jll~Itr.ilr,::,~ /~ ~ DRIVE T!l A MILLION III!lImE ;;. t. "' '"" '. E\lENT ENDS MARC r.L.lr.~: "'C-f, GEL'd~ BLUE BOOK PRIVATE PARTY REPORT Pennsylvania. March 1, 2005 1996 Ford Explorer Sport Utility 20 . , r ~ =f} - C"'- - ~, . Search Listinqs for .ThL,,~ar ldstYQ~r.~W.foLS9Ie Online Quick New Car Price Quote Ere>!".8eGg[dC heck Auto Loans from 4.09% APR LnJi.ural1c.!" Quote Print "For Sale" sign paYment c;alculator Engine: V6 4.0 Liter Trans: Automatic Drive: 4 Wheel Drive Mileage: 83,000 Equipment XL Air Conditioning Power Steering AM/FM Stereo Cassette Dual Front Air Bags ABS (4-Wheel) Consumer Rated Condition: Fair "Fair" condition means that the vehicle has some mechanical or cosmetic defects and needs servicing but is still in reasonable running condition. This vehicle has a clean Elk historv , the paint, body and/or interior need work performed by a professional. The tires may need to be replaced. There may be some repairable rust damage. Private Party Value Search Local Listinqs for Thi~.9J: $3,180 Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation pu rposes. Get a Used Car Trade-In Value Get Invoice & MSRP on New Cars Get a Pers.Qn to Person Auto Loan l.~.II.........l,l.l. M~n,l.n,; A11n,,,, 1m Hr?1rhh DA .'n,)Ll()Ll'PA()Lll~17()n'+n~7??'Fnrr1'1C)C)h BLUE BOOK )i?[Hh U\adl Quickly brov 600,000 USE to find exacJ YOll want. --.I adv Enter a to Gel I Enter a VI Ol! The mo cnll ,/1 n()()~ Kelley Blue Book - Private Party Pricing Report - Ford, Thunderbird .,...c::a ."'~,..' Kelley BlueBook THE TRUSTED RESOURCE .. kha.com HOME NEW CARS a'f;U-.lIf,1;f;:. "iD advertisement Page I of2 'j > Qulclc Dealer P.... QuOle REVIEWS Ii R.UING,:, .l.,')V!CE FiN}. ~"fJ:'T(";;II~(ll'.TIr;'l,~ Find Out NJ Enter a VIN to get star! I Enter a VIN BLUE BOOK PRIVATE PARTY REPORT Pennsylvania. March 1, 2005 1991 Ford Thunderbird Coupe 20 DI' ~-~ j) ~!. . ''''''''''1'' :":::';'" ... ..... .,..:.~':.::<":\<:: "',,:,>:'.,,0.i;.,.3 Search Listinas for This Car Ljst Y o!l[J::,aLEoL5.?a te Q n line Quick New Car Price QJ!gle free Recgr<:! Check Auto Loans from 4.09% APR lOJ>l,ll.,mce Quote Print "For Sale" Sian paYrTIentc:;alculator Engine: V6 3.8 Liter Trans: Automatic Drive: Rear Wheel Drive Mileage: 73,000 Equipment Air Conditioning Power Steering AM/FM Stereo Cassette Consumer Rated Condition: Fair "Fair" condition means that the vehicle has some mechanical or cosmetic defects and needs servicing but is still in reasonable running condition. This vehicle has a clean title historv , the paint, body and/or interior need work performed by a professional. The tires may need to be replaced. There may be some repairable rust damage. Private Party Value Search Local Listinas for This Car $1,100 Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes'the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. Get a Used Car Trade-In Value ~et Invoice & MSRP on New Cars Get a Person to Person Auto Loan l..~_.I/"'H'H' ',1..1.. ^~_n,....n,; r1un"" 1r~ n.?1rhh PA '~?O{){)4'PA{)41 A?17{)1 "+nA?7??'F'm1'1 QQl BLUE BOOK Ssrnr u"a I Quickly brm 600,000 USE to find exacl you want. adv Enter a to Gel I Enter a v] Oll The mo c.t"U' ,/ln{){)~ Build and Price a New Car - NADAguides.com Your friend in the business. flodogiJido!f,com March 01, 2005 Autos . Motorcyde. . Boats . Classic Cars . Recreation Vehicles . Manufacturod Homes -4:J ~ Passenger Car 1970 Pontiac Lemans 2 Door Hardtop Original MSRP: $2,906 Low Retail Avera98 Retail Hiah Retail Base Price $1.550 $3.150 $4,325 Options $4,758 10% 10% 350/255 HP va Engine $3,465 TOTAL PRICE Other Vehicle Information Weight: 3491 Low Retail Value This vehicle would be in mechanically functional condition, needing only minor reconditioning. The exterior paint, trim, and interior would show normal wear, needing only minor reconditioning. May also be a deteriorated restoration or a very poor amateur restoration. Most usable "as-is", Note: This value does not represent a "parts car", Average Retail Value This vehicle would be in good condition overall. It could be an older restoration or a well- maintained original vehicle. Completely operable. The exterior paint, trim, and mechanics are presentable and serviceable inside and out. A "20-footer". High Retail Value This vehicle would be in excellent condition overall. It could be a completely restored or an extremely well maintained original vehicle showing very minimal wear. The exterior paint, trim, and mechanics are not in need of reconditioning. The interior would be in excellent condition. Note: This value does m;tt represent a "100 Point" or "# 1" vehicle *. .. "100 Point" or "# 1" vehicle is not driven. It would generally be in a museum or transported in an enclosed trailer to concourse judging and car shows. This type of car would be stored in a climate- regulated facility. ADVERTI:l;INGO ial~ \ WANT UP TO $1,000 ~e~U ' MORE FOR YOUR CAR? J GO 10 WWWMf:{;lJlIlRS_CO!'IJ/NIlOIlOUHl t.............II..'n..~. ....."'r1"'......;;I..." .....0......../HH/~r1""'U7T''''''t.'1l1tlO! <:llO!nv?T T=l_l ,)-1-'?n1'?-n-n-n&.wS~c.=1?&wPr=1 Page 1 of2 ,/1 /?oo~ ...- )NSIGNOR'S NAME -riM" S,4l'A-...,Q:;..L.; lORESS lac) CI('A~ lite' LJ D~, CaR 11'-1-(' j / L/~.Il- 4.?S:S /701 ~- //7 S- 1 ) EET# OF_TOTAL SHEETS consignor) hereby commission you to sell the Items listed above & on ~ attached sheets to the hil1'est bidder by public auction. I certify that m the owner of the above listed items and have aood title and the right sell them. I certify thet the items Ilsled are free fTom all Incumbrances. !:free 10 accept all resp60sibillty for provkfing good title anti for delivery tiUe to the purchaser. Ills agreed that the consignee Is not responsible the loss 01 any Item due to fire, theft, damage. etc. I understand that % commission will be deducted from the gross sales my Items. "No Bid" items will be disposed of at the discretion of the ctfoneer/AuctIOn House. Paymeirt.wi" ,be made to the consignor within ~'":~'-~ Date 'd-~~\.\' . SIgnature Date Auctioneer/AUctIon Staff Signature "CONSIGNOR'S SETTLEMENT COpy "..- ,",,< .< '" '" ::-t< ~'1" . --;:,~~,} t, .9..1 T -E- I d.hP' \ ~ ..s:s SCHEDULE H INFORMATION tI.. , 0 ~ cfu:1t" 7/xLuA/J/Y'd C0 ~/,-,/ckHY:Ihd. CiIuJ/kj ~ U/Y'- !:5()/G{) k ddI_ Funeral rvlces /Y)!J rf) ~, A 1//)1.. l', #--,,) qt, - N,m. ,( 0&''''. !::J..eflecK' cW~~~,. " ){),!$-' .j I~~ ORIGINAL 2861 ACCT, NO, o CREDIT CARD o OTHER ~, I ';-;ftOlj 9'1,.-- LAST 8ALANCE D'N'TEREST o ~MENT SUB TOTAL CREDITS LESS PAYMENT NEW BALANCE 10015 $ 09'l&-'-I/P --------.- 6a37!:JU $ lai,q~ ..lr z o ~ ::> a: o .. ;!; a: ::> o > a: o .. c . 0. . ._ c -0. o . .- - . ~ ~ . , ~ 0. - . 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SHAUUS, ESQ. 44 SOUTH HANOVER STREET CARLISLE, PA 17013 PHONE(717)243~655 FAX (717) 243-6618 December 13, 2004 Invoice submitted to: Rhonda Brunner 5067 Spring Road Shermansdale, PA 17090 11/5/04 11/16/04 11/17/04 12/10/04 12/13/04 12/13/04 and Timothy Scheaffer 100 Clearview Drive Carlisle, PA 17013 Re: Estate of Marlin E. Scheaffer File No. 21-2004-00961 Hrs/Rate Amount Office consultation .5 hr/$150 hr 75.00 Arrange Advertising .5 hr/$150 hr M+ T Letter 000 Val. for Bank Accts .3 hr/$150 hr 75.00 45.00 Prepare conditions of sale + fax to DeHart Auctions .5 hr/$150 hr 75.00 Reimbursement for Sentinel Advertising N/A 144.29 Reimbursement for CC Law Journal N/A 75.00 Balance 12/31/04 $489.29 THE LAw OFFICES OF KATHLEEN K. SHAULIS, ESQ. 44 SOUTH HANOVER STREET CARLISLE, PA 17013 PHONE (717) 243-6655 FAX (717) 243-6618 Invoice submitted to: Rhonda Brunner 5067 Spring Road Shermansdale, PA 17090 and Timothy Sheaffer 100 Clearview Drive Carlisle, PA 17013 Re: Estate of Marlin E. Sheaffer File No. 21-2004-00961 Hrs/Rate Amount 2/22/05 Preparation of Deed For settlement 2/28/05 Attend settlement 1.0 hr/$150/hr .5 hr/$150/hr 150.00 75.00 Balance 2/28/05 $225.00 THE LAw OFFICES OF KATHLEEN K. SHAUUS, ESQ. 44 SOUTH HANOVER STREET CARLISLE, PA 17013 PHONE (717) 243-6655 FAX (717) 243-6618 Invoice submitted to: Rhonda Brunner 5067 Spring Road Shermansdale, PA 17090 and Timothy Sheaffer 100 Clearview Drive Carlisle, PA 17013 Re: Estate of Marlin E. Sheaffer File No. 21.2004.Q0961 Hrs/Rate Amount 4/28/05 Preparation and filing of Inheritance Tax return, Releases and family agreement for beneficiaries, filings to complete estate 3.4 hr/$150/hr 525.00 Balance 4/28/05 $525.00 t RETAIN THIS PORTION FOR YOUR RECORDS REMITTANCE ADDRESS I BILL TO THE SENTINEL - LEGAL LAW OFFICES SHAULIS, KATHLEEN 'C P.O. BOX 130, CARLISLE, PA 17013 AD NUMBER I CLASS SALESPERSON BILLING DATE LINES 276739 10 PUBLIC NOTICES 28 12/08/04 38 * 2 AD DESCRIPTION START DATE STOP DATE EXECUTORS' NOTICE LETTERS TESTAMEN 11/18/04 12/02/04 PUBLICATION INSERTIONS RATE NET AMOUNT GROSS AMOUNT 3 THE SENTINEL - LEGAL 3 LGL 137.94 TOTAL AD CHARGE 137.94 3 PROOF OF PUBLICATION 01PRF 6.35 DAYS RUN PURCHASE ORDER PAY THIS AMOUNT 144.29 173.15* Est.M.Sheaffer . AFTER D 1/D7/D5 MESSAGE: Thank you for advertising with The Sentinel. Deadlines for in-column legal advertisements: Monday is Friday at 11 a.m.; Tuesday is Friday at 4 p.m.; Wednesday is Monday at 12 Noon; Thursday is Tuesday at 12 Noon; Friday is Wednesday at 12 Noon; Sunday is Thursday at 12 Noon. If you have any questions regarding your Legal bill please call Tammy Shoemaker 243-2611, ext 203. Fax your legals to 243-3754, attention Tammy Shoemaker You can also EMAIL your1egaltoClassifiedads:classified@cumberlink.com Please send a cover letter including your name and address as an attachment PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Tammy Shoemaker, Classified Sales Manager, of The Sentinel, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13th, 1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following date(s) November 18, 25, and December 02,2004 COpy OF NOTICE OF PUBLICATION EXECUTORS' NOTICE Affiant further deposes that he/ she is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of pu;rcation are true. =.JClUt1 t 11 Letters Testamentary on the Estate of MARLIN E. SHEAFFER, late of the Township of North Middleton, Cumberland County, Pennsylvania, deceased, have been granted to the undersigned. All persons knowing themselves to be indebted to said Estate will make payment immediately, and those having claims will present them for settlement. Timothy M. Sheaffer Rhonda A. Brunner 100 CleaTVlew Orive Carlisle, PA 17013 Kathleen K. Shaulis, Attorney 44 South Hanover Street CarliSle, PA 17013 Sworn to and subscribed before me this 08th day of December, 2004 (/1f1..;tr/{~A' ;f {(YLLic Notary pufi'c . My commission expires: C) j; J.Jf COMMONWEALTH OF PENNSYLVANIA Notarial Seal Chnstina L. Wolfe. Notary Public Cartisle Bora, CumbettaniI County My Commission Expires Sepl1. 2008 Member, PennsylyaniaAsSOClstion Of Notaries 4 CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 DECEMBER 10, 2004 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: Kathleen K. Shaulis, ESQUIRE RE: Marlin E. Sheaffer, 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: November 26, December 3,10,2004 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment Received $ 75.00 Total Amount Due $ 0.00 ------ -------- Payment received November 29, 2004 by Beckv H. MorgenthallExecutive Director PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND 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, V1Z: NOVEMBER 26, DECEMBER 3,10,2004 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. Sheaffer. Marlin E.. dec'd. Late of the Township of North Middleton. Executors: Timothy M. Sheaffer and Rhonda A. Brunner. 100 Clearvtew Drive. Carlisle. PA 17013. Attorney: Kathleen K. Shaulis. SWORN TO AND SUBSCRIBED before me this 10 day of DECEMBER 2004 NOT ARiAC SEAL LOIS E. SNYDER, Notary Public Cai"iiG!e Bore. Cumberland County I MyCommission Expires March 5, 2005 ([be patriot-News Now you know OFFICE RECEIPT o Harrisburg......... .255-8100 )a:Sarlisle...... .... ......249-2006 o Lebanon.............272-3759 p Perry County......582-2193 o Palmyra..............832-2090 0 West Shore.........975-9775 :::/(~:;~~z;t;~~~~Q': Street ......../..fO......c~...I-k1.................... ::~~~ii;;:::Lrii:if;J AMOUNT PAID................'-4..J::lO':~.?.~...................................... PAYMENT FOR o Patriot-News_ R ~unday lat~t-News <s( )cOther ..~...hif....tr../J... VI Cj FORM OF PAYMENT I:) Cash 0 Visa 0 Discover ;ff:::. ~c~ l ~a.,J. 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Eli~ U.i~ '-,0 ~ :l,~l~~ 01 ~ :;; .c U ~il~ ,.,,- ... u .<{ - 0 c: 0 eo ~"- ""- u "- UI ~ ~ ~ ~ .~.~ (l) E >. (I) ~ E iil =:: :;;, .... Q) >.::::1 <U "" Q) ..... <U :c c :: ..... D-a.<{~~~ N '" a> '" N III . 00 M '" o <5 ~ o e o ~ - ., al <{ ,.,'" ~ ~ a. a. .!l ~ c ~ " c ~ -- -!ql --,. , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 0: 0: , , , , , , , , , , , , , , , , 0' 0: , , , , , , , , , , , , , , , , , , 0: 0' , , , , , , , , , , , , , , , , , , , N' "': , .,: r~ ' , , , , , , , , , , : PPL Electric Utilities Electric Service For: MARLIN SHEAFFER 2620 SPRING RD CARLISLE PA 17013 Final Bill Questions about this bill? Please contact us by Mar 16 at 1-800-342-5775 or 484~34-4900 or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplweb.com " , ',., ' '...\.-.::.l./ ~ ppl :~~~: . - Page 1 ::::::::::::::I::i:::':::Y~w:Bm:ACQoWitNim1ij:~;f::::':':..'. . 60401-20005 ..:w "-'1'"""'" j~ \u~ \ Summary Page Balance as of Feb 23, 2005 Char~s: TotarPPL ELECTRIC UTILITIES Charges $ 354.48 Total Charges $ 461.60 ~m.t~t't.'ft_~.~I)_.' '~~~i1~1!'1 ~~~~~'?c~fm~~~~.f~,"(;~,_,,~- x" _ ,"'" ,ifu~~t~~~4"t'~i1 Account Balance $ 461.60 $ 107.12 Electric Use This graph shows your electric use over the last 13 months. Types of Meter Readings: Actual _ Estimated 1'1111 Customer D 90 KWH - Average Per Day Meter Reading Information 75 Actual 22619 Actual 21075 60 KWH Hilled ---r544 45 Average - Feb 2004 2005 TWAjrature 28F 34F K Per Day 41 59 30 Yearly Use: Total Avera~e 15 Use MOllth~ Mar 2003 - Feb 2004 13736 114 0 Mar 2004 - Feb 2005 13589 1132 MAMJ JASONDJFM 2004 Months 2005 Other important information on back .. " , ',I, ' '''..,1.. P'p':"ff: . " " ~ Page 1 Q\l1:: ,I hill.@iUit ,i.Uii~:i!iij:"':':':"" PPL Electric Utilities 60401-20005 ..........-.,...<"-,,..,.... .. Summary Page Balance as of Oct 28, 2004 Electric Service $0.00 Charj@s: TotarPPL ELECTRIC UTILITIES Charges $ 74.98 Total Charges $ 74.98 ~_._.. .. ;; '-: _ _::, " 'i~' ,'<: ,', _ " ',:': " ","" , ' , -. - "_ " ..,' ~, ,-",',v_' " ' - of'_ . q " " '-:", " . .,,,.o_~ Account Balance $ 74.98 For: MARLIN SHEAFFER 2620 SPRING RD CARLISLE PA 17013 1/ * qS \1/7.~ 10'1 Ouestions about tfiis bill? Please contact us by Nov 18 at 1-800-342-5775 or 484-634-4900 or write to: Customer Service 827 Hausman Rd. Allentown, P A 18104-9392 www.pplweb.com Electric Use 72 KWH - Average Per Day Meter Reading Information e er 60 Oct 28 Actual 14879 Se!>29 Aclual 13482 48 29 Da s KWH B ned --rn7 36 Average - Oct 2003 2004 T WlI4rature 52F 54F K Per Day 42 48 24 Yearly Use: Total A vera~e 12 Use Month r Nov 2002 - Oct 2003 13926 116 0 Nov 2003 - Ocl2004 12074 1006 NDJFMAMJ JASON 2003 Months 2004 This graph shows your electric use over thelast 13 months. Types of Meter Readings: Actual _ Estimated !%1l"d\ Customer D PPL Electric Utilities Electric Service For: MARLIN SHEAFFER 2620 SPRING RD CARLISLE PA 17013 Ouestions about this bill? Please contact us by Dec 20 at 1-800-342-5775 or 484~34-4900 or write to: Customer Service 827 Hausman Rd. Allentown, P A 18104-9392 www.pplweb.com .' , , ~ I , , "':'~I::I:';> pp ::=:: . " . . '. . Summary Page Balance as of Nov 29, 2004 Page 1 ':::::::::::::::;::::::::Y~w::BiltA~~~i:tJ~j:~:::::::::::..;..... 60401-20005 ::::::::::::;:;:;::::::U:se:whlili::t'ailliiit:&:wtWiii{:;:::;:';':'"". $ 74.98 Char~s: TotafPPL ELECTRIC UTILITIES Charges $ 75.94 Total Charges $ 150.92 ~~!t~'1f>>._ Account Balance $ 150.92 /%~~ 160.<rC Electric Use This graph shows your electric use over the last 13 months. Types of Meter Readings: Actual _ Estimated m Customer D 72 KWH - Average Per Day Meter Reading Information \'Ieter 16476 60 Nov 29 Actual Oct28 Actual 14879 48 32 Da' s KWH Billed ----m7 36 Average - Nov 2003 2004 Temllerature 49F 49F KW Per Day 27 50 24 Yearly Use: Total Avera~e 12 Use Month 7 Dec 2002 - Nov 2003 13409 111 0 Dec 2003 - Nov 2004 12924 1077 DJFMAMJJASOND 2003 Months 2004 Other important information on back ~ PPL Electric Utilities Electric Service For: MARLIN SHEAFFER 2620 SPRING RD CARLISLE P A 17013 Questions about this bill? Please contact us by Jan 19 at 1-800-342-5775 or 484-634-4900 or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplweb.com .' , "" I "...# I pp":'lli: . '. '. . Page 1 . ". ..., ....< .'\'0... Bill Mootlnt.Numbei . ...,.. . .... 60401-20005 .".""'aii: Summary Page Balance as of Dec 29, 2004 $ 0.00 Char~s: TotarPPL ELECTRIC UTILITIES Charges $ 32.14 Total Charges $ 32.14 I~~. Account Balance $ 32.14 j * tot Electric Use This graph shows your electric use over the last 13 months. Types of Meter Readings: Actual 11III Estimated P%iZU Customer D 90 KWH - Average Per Day Meter Reading Information ~-"ter 75 Dec 29 Actual 19062 Nov 29 Actual 16476 60 30 Davs KWH Btlled 2)gO 45 Average - Dec 2003 2004 T emmrature 36F 35F KW Per Day 72 86 30 Yearly Use: Total Avera~e 15 Use Month ~ Jan 2003 - Dec 2003 15056 125 0 Jan 2004 - Dec 2004 13048 1087 JFMAMJJASONDJ 2003 Months 2004 Other important information on back ... rnUM. Diversified Appraisal Services 35 E. High Street, Suite 101 Carlisle, PA 17013 Phone: (717) 249-2758 Fax: (717) 258-4701 Tax ID Number 206-36-6731 INVOICE DATE REFERENCE 011905S Jan, 20 2005 TO: Estate of Marlin Sheaffer DESCRIPTION AMOUNT 2620 Spring Road Carlisle, PA 17013 Received payment 01 $225.00 on January 18, 2005 SUBTOTAL , , Rate % ADJUSTMENT : SUBTOTAL : , , Rate % ADJUSTMENT : , SUBTOTAL : TOTAL $ Diversified Appraisal SelVices Form 02NIN - "TOTAL for Windows' appraisal so1tware by a la mode, inc. - l-BOO-ALAMOOE !~~ .' ^,.i, ",'- . ~ ',,-~ .'-',," -, "',; "'" ",.:<,' ~ ','" ";'f., ;~ ,~:,~:.l~" . "',-" , '-j' .-~_'t~.' ," ..... ,l ement" _ el'"': 6607..,. "i .717-422.-&853 :.', 100CLEAR:01EW DR. CARLISLE'PA 17013 ".., .SL' Item '-- '" -:..'._-,-- . ~"_be ict'l ption Qty , , . . -, '. -', . ----------------------------------------------------------------------------- Total ,: - - ~ SHOP VISE STAND MOWER 2. RUGS. CAR RAMPS SPREADER SHOVEL/PITCH FORK. AXE/FORK/TREE TRIMMER 4 PPLASTIC,CHAIRS SHUTTERS 1 LIGHT:, 1 MISC CRAFTS','. 1 BOX LOT' CHClICE' 1 BOX LOT ;2 BOXES' 1 GROCERIES '" " ',: 1 RUNNING 'BO~lRI?S' .,', , 1 ALTENATOR/COME~ALONG, 1 :.:>_r:.!-:~'~.;~ '_ . EDGE_R, ,-:._.~'.:'~.,~~ ~,;.-/' -~, _ .:'~ ; '''- 1 . .,....:. , 'BOX'LOT CHOICE 1 " , _-- ~... j' - - "- , ':- "" - .. -;]i:"", . -," ,-- .' . "~I ", , -. "BOX- LOT : CHOICE ", 1 . .... :~i\~i~~~~,:~:,'!g}::tg~~g~g~~il( , . ~ . .,~:;.::.;',..:,,'.\,...:.',.~...: =..~;:~g~~tgrg~g~g~ N :. ....~ .~ " .,(,":"',Bci(ioT!CHOlcE ,. " 1. ....r,'- BOX,LOT.CHOICE '. 1 i~}.e'~' .BOX:LOTJCI-iOICE':t:"L 002 ,: 'i'; ;'.;,...~~'~:.:g~tg~~fg~~.ig~~{h; .~~,,:' \~,1:, ;';'c',.,. ;1. ~el< ~'''''- r~: ::'" , '~.' h,':' . .--V';;'...' BOX 'LOT';CHO IC'E '1",,<,, ''-'. ,.. ;.., ~', . "".1 :n".".' ,-=-' . ',-=- "'''' ." ,.,.h "",.' )<., <" ~~),_fl'''''''~'' ~'1~ ,!-."II"I," i'L.,;. '-,~...:,I..:,I. . ";;'~:;',,: ,>::_::, '<BOlt Lo'T,rCH01CE :i,,";",. i'~ .:., ~, ,,; .,<' "'{ 1210 .. \"2 '" 2 00 ,,' ,; ~':~:{;""~'!,/X..~:-'~''-~ > (" ---;:t!:...--.'~_e~ =~~ ~~ "J,':, "' ',~~'.. ~y'~ 0 <'t' . ',. ;,-",":"',\):-"il,BOX.LOT.CHOICE:r,;,-..", ,,'...' " '..' ",,'~'1. ..,.>,'-";.1.00 \~f '~""',f~,.~~ ;J , ' ~<"",'^~ ."', ,. .," , ~'~~~-.~.~/,~~~,.~~--;.,~;:.-:...BOX:L;OT.:CHOICE)""~t;~:d '{c.v:;:~~::>~, _,~~~,,~: _ ~1.00 :~~+:/2 ,'~": '2.00 :;,s,...,-;. "t~ .~t.?"'~ ";-li~."1I._>.~~-'~'jBO.X~;..'~L. T>'C'H~O . + ,''' ;...."~,_ ;.' ";--:.."', ":}"~';-:, ,"-;"'/;~./'"~~ ::~ -;-~ ~. ~ ~ .,'i ~:.." . '. . ~~" : ,F;;:::.:~ ..:....'o.,~-;~~'~-:~, ....;: ,0 _.,,! ^' .>-.} C~ :~~ ' (3~,;:I;'c<,"," "/:.;.~ :t.:1 J""~:~ _).::' ',~: " / . ~'i 1. ': ,,' - ~ ~] . ~0 "-'..,,. ".,'....~4;;.--~" SOX LOT"CIjOICE"'" -- C"'" - . "'c' r,",,, "," ",'.1. {~.. ""1 . -. 0 5000 : .~-~,-,~{J.i~h}j:<:::_:,:-~";-' . ~ ""':~' ...' 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",'.J> ^,~f< -\",,.. ...,.-, '.l"=''''' "i:~' ~~i"~""'^ f"f.... ;<,... ..~.>....~'" "1-"""-' 'eJ.-.' -",' y. "",.,~~-->.. , 'r'. ~ ", , -"~', ''-J BOX 'LDT' CHOICE:P- . .,', '," '.' " " ,"", " , "'-, '1' i"''':, 0 '5000 ,'. '\~,~:, . ::'" \.;;,,<:: ;'~';~::'~::~~i:j3bj(/L'tii:?cH(fI.t~'E ~~~. -.i~"~;::';/i,:~r~.:}. !_~B;.<~;,~':~ . . ~:,' ~: " ,!~,~ - ':, '-:f"l--~-~\ -. .,' ,::0 ;'5000 :~'!"':'" . Price - 1 1 1 1 1 1 1 sold *** ,"'~ I., "1'~" . '?~~~t~,:f% ,.,...."'.";'li- <i!tI;;.'.::~ ',i, __ .I:" 'Page: :1 "'/.'.;;, ;.,/-.;.-,:,' _,.~;~)i,;- , , 1. 00 4.00 12.5121 3.00 0.5000 2.00 6.00 '3.00 0.5000 0.5000 1.00 0.5000 0. 51Z100 17.50 3.00 0.5000 5.00 5.00 4..00 ," *~ . - -;,~;-.':~: >'-,:.-::, ,.-' -";-' " ,:;. .' ~/i.:::~~~';,~~,~~:.:::,' .,-, '1"'-10-"'004." V" . .$ ,', " 1;..., '.' ~, '. " , '- .... ";;;;liiJ"';" ~-... "..... n, l' ~{,f"" .", .~ \~ ~ '\ ~.. ~ -J; <f -->"H,,,;-l ' -"' < , ~~.: -~".~4nt1i'\~~'>;~"~I"o':'t;,~.~;~>,:1~J;. ~~~}~~.'>>;;("'~~;.,,~ ~-:~-..',,~ d~~'::~~~:'..~ _'./' : ,,. ~'... > :" E. ',. ,~ :~, ~, N'DEHART' g';ilu'cTION ". """% ~ '., .,$':' ,>, .f : ': - :,'. ::?;~1~{J>:!i~~~~~~~~:1~~~Di~B~~~~;~~~~0:1;:j'/~~~;.;}it. '/(;', .717....:258""5858 '. : 717-258.,..5882 :; ':~'. . - ~- ..~~;.:" . -~~;;,;;,..~}., :'-,_~.': _ :~:~).'-:- .': ',''''- ;;,;:..;,;;"'~--"LtJ; \ .".;,:,;~: ";.'..;" ;\::~< '~""J,:,)~-~-:.' :~,." , ,;:~. ,', -"'. . ';.TIMSHEAfFER ;~j:~;;::;::". J ,'- 7i?'~~22-&853 ",".",<:;,/>.._, -';, ~~ ,.... : ~,.::~" :"',','--'~;-'~:',::,,~,<':":::-<';: -, -, ,,' ":100 CLEAR' VIEW' DR. CARLISLE. PA: _17013 lement, e": &&07 Item 'Descrlptlciri ~'t"'ice ' Qt'y '. Y,- '. , , ~ ,:.,.. !,'(}~:, 'Page: Total CHOICE 8 'BOXES & BOXES VIDEO CAMERA-ASIS 1 -- ---------------------------- - ---------- ----------------- -------------------- 0.51210121 . BOX LOT BOX LOT BOX LOT HITACHI PICTURE GOLF BALLS CUB CADET P-J?ru!-Pt'J) BLOW UP RAFT LOWES TRACTOR COMFORTER AND SHEETS SLEEPING BAG DEER ANTLERS BED LI NENS ROTOTILLER VIDEOS STACK LIGHTHOUSE RUG COFFEE' POT .PIPE VISE . RUGS -4 VIDEO~. ., <,.", .. WHEELBARR'OW .:: -.;' .1 '. =:'(.~.~IOCS~T.~U'R~E. .MA~~P~:~(~ <;:. -::~f ~ . _, ':;.- . -<:~_\---"~'~:'~"',%_;,~~-.. .',~'~:'-;' ,;_~:~.,'.'.~>;,:~,/:::' , . ..~~~~~~~gu,~~:;... ,:/<;i'~\(," , . -'. ," ." ' ""'.. ' ". ,< ~ ,r.;" '{ _...,::' '\ , ~, " , " . BEER :STEIN r;.. .:. ....,....;. "."'" _ ,," '.",' *** Not sold *** -, 1 1 1 1 1 1 1 1 1 1 1 1 5.50 2' 1 1 1 1 *** ***'.Not'sold "~l.:- ';'-' 1 .: i. 1.. 1 1 1 r .1'<....: -1\>: ~; ,- ' .- . ~~, ""f ':: -',-'--< :""'".-/ , "'\~, '~- , *' 't,. ;';,0 "," 'C-_~i_~:,~~(. :'.V "<1.,,<,0 ...;' "",' ," , .'-_. " .".~__. ',r. ~, .:_':'_. :":'C;,,:. < -":. ' ~__:,;~:~ ~~,; ~i1:,.> \:i~:\ ~;~:1~;;;~~<~~~ '"";'..: "'. ,:_=. . :f"~',-;"':i!l "'" ',,'" ,- ".:;-;.. _ _ ";',i~-~::-':C' ~,~ ., ~ ::1."; 0.501210 12.00 0.500121 1. 121121 -30121.00 ,4.0121 110.0121 10.0121 2.0121 &.121121 2.1i.10 20.0121 11.0121 15.1))0. 2.00 9.00 5.121121 10.00:.....: 0.5000 :.y 11: ~~;;;tj~~' 10.00. ,,' ..... .' '..:4:.~ 0'0,':\~r~~~{~l ~,Af. 00.: ,.' . ',1Ji;"... }, c::' Od-" ~~>;.;\t ;t,~!.::?'~., ~""' tJ. "'-'ILl tlOj.'!, \ .-.":',' ~fll;~,; . 1210 200ft" ;;",,-,'" ":'\~i~'~:' ;,' ;>\i<':1"~~~f~, ..,':" c:n;~~~".' . .- . ..- .'! .I,~}.:::... ;~;;~t~~?~.r ;1'" -..j-' .:, '.... . " " ~: ". ~ '-.\' ~, oj " '~r ';~. ~'~'i' .,; ":1/, :~'i.,:,,\ ,'W- -"- "';:::\> " -~:~:i:-'::~"~~~;~~>_''''''/ ~'- ',,' .,'J,."",,:,,:," - ;:,: -'....~ . ";'.> ::,,;~_:.;.:.:~:_'c' . "0"'" .-<','.'"' <,/7' , "'., -".... -"";."":". 'C \. -.~V ;c ,'if;:;::;',i , 'C'" ';j~'-:f -;-~~'" . ,,,,-' ','.lj' ~', < ',. .,100,CLEAR CV1EW'DR. CARqSLEPA1701,~ " C',." __ " ,',:.,.,) -.;\,.-,." '" 7,17,,,0422-,:'&853. . " "';~ _ :'g~' ',~_"< ,0' , :.V._ - ."~-- P~ge L".,-.i~~~? -..,- --.-" -"-..,, ,-',',-:c'- ., ~" .><<,' ',> . <,'.:'~ "", ; 'i: ,Y'"" L',- ".," _ ____--:_-:"-_____"7--:~_~'";_-"":'",---~_:'-~'"7---------"":"'---.;-:-7""-~--------:---:---------~----- --:---~~~-~ - - -' - - ' - -', . .It"m D~~cY'iptl.' oT"l , . -<':.."." Pl''':i~e Qt;y Tota~ ***Not.so1d 1 3.00 1 170.00 1 120.00 1 35.00 1 1. 00 1 &5.00 1 30.00 1 2.0121 1 130.00 1 ,30.00 1 2.00 *** 1 70.00 1 40.00 1 25'!'1?10 1 4.00 *,** __.~c-_ " 7.00 - >~" ' "'C> 12,00 "' SUITE iHH Not sold SUITE ,-i,,~:-. --,--'-"- '. - , ~ ,,, -' '._--, ""'---'--;'-~'7-':' .-c~:;:"...~~-, '-~: . c<-~. ProvKluslKlilionsoroabSo!ele ",,", "...~ ,,---, A Settlement Statement U.S. Department of Housing and Urban Development e, Tune of Loan QMB Anoroval No. 2502-0265 rexoires 9/30/2006\ 1.0FHA 2, OFmHA 3. OCOIlV. Ullins, I 6. FHe Number ! 7. loan Number ! 8. Morlgage Insurance Case Number 4. nVA 5. neonv. Ins. PYS05.0006RCS C. Note: u~ ':w;.sed_~7;o,e/w~~: :ai~ ~~I:i~;:nlh~ ~IoS"'~~lhl::I=~~o:~se,.zr';:~~~al~ ~r:';'~!=~~~\ ~oea~~:~~~ IhO IOlals I TitleExpress SetUement System ~:~l~G~'~~:,r:~ ~?n~~;r:~:~~~:~~ F"~~;=~s'~~~~I~nl~.S~<ltc-od~~~~fon 1'Eo1:d~~orml~ooallles ~n Prinled 02/2812005 at 10:35 RLM O. NAME OF BORROWER: Timothy M. McCreary ADDRESS: E. NAME OF SEllER: Estate of Marlin E. Sheaffer ADDRESS: F, NAME OF LENDER: American Brokers Conduit ADDRESS: !?20 BroadhoJlow Road, Mellvllle NY 11747 G, PROPERTY ADDRESS: 2620 Spring Road, Carlisle, PA 17013 North Middleton Townshio H. SETTLEMENT AGENT: Pyramid Land Transfer, Telephone: 717.960.1122 Fax: 717.000.1123 PLACE OF SETTLEMENT: 5S_W. Church A~e~arllsle, PAJI013 I. SETTLEMENT DATE: 01/1812005 J. SUMMARY OF BORROWER'S TRANSACTION: K, SUMMARY OF SELLER'S-TAANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 400, GROSS AMOUNT DUE TO SELLER 101 Contraclsalesnrice 135000,00 401. Contract sales orlce 135000,00 102. PersQ{Ja/Pro-:'''"'' 401 PersonalPronerl" 103, SeU\ementcharnes 10 borrower line 14QO 5841.43 403 104. 404, 105, 405, Ad'uslments for items paid by seller in advance Adjustments for items naid by seller in advance 108, School Taxes 01/18/051006130IOS 395.16 4DB. SchooJTaxes 02/28105'o06/30/0S 39S.16 109. 409. 110 410. 111, 411. 112. 411. 110. GROSS AMOUNT DUE FROM BORROWER 141137.S9 410. GROSS AMOUNT DUE TO SELLER 13539S.16 100. AMOUNTS PAID BY OR ON BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. Oenosil or earnest mon;- 1 000.00 501. Excess ~i1lsee inslruclion;l 101. PrinCj"al amount 01 new loans 108000.00 502, Sell\ementcharnes to seller Iline 1400 11704.90 203. Exist\nn\oa~i;\lakensubieclto 503. ExisHnnJoanlsllakensubiectto 204. 504. Payoff of Firsl Morl"a"e Loan 205. 505. 206. SeUerAssist 40S0.00 506. Se\lerAssisl 4 OSO.OO 207. 507. 108 508. 209. 509. Adjustments for items unpaid bv seHer AdJustments for items unDaid bv seller 211. Coun~axes 01101/0Slo01/18IOS 48.90 511. Counlvlaxes 01/01/051002l28/0S 48,90 213. 513. 214. 514. 215, 515. 116. 516. 217 517. 218. 518. 219. 519. 110, TOTAL PAID BY/FOR BORROWER 113098.90 510. TOTAL REDUCTION AMOUNT DUE SELLER 15803.80 300. CASH AT SETTLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM SELLER 301. Gross amount due from borrower (line 120\ 141137.59 601. Gross amount due 10 seller tUne 4201 135395.16 301. Less amounts naid b~/lor borrower line 220\ 113098.90 602. Less reduction amount due seller 'line 520\ 15803.80 303. CASH FROM BORROWER 18138.69 603. CASH TO SELLER 119591.36 SUIlSTlTUTE FORM HI99 SELLER STATEMENT: The ",(,,",:,~lionconlelnod herein is mponaot I"" infO/malion and I. being ',:,,",shed 10 Ihe Inlornal R""""ua SaIVice_ It you are reqlJired to fila a (alum ~~e~gv"~=;;'~I~a'G:~~;:;~O~I~I~~lr':.,~~~II.'tem ;a re'luwad to be re(>Ql1"d and ll1a IRS dalOllm.,ulhal ~ n.llnolboooreportad. Tho Conl/aclSalu PrK:odUctibadon . SELLER INSTRUCTIONS, It lhis ;aal aslolewas your ptindpel resO:loncB.lflla Fom> 2119. Salo Of Exehllnoe ot Prloclpal Raildaoco, lQl any Illllo. w~h your Incoma lao/elum' t<ll" Dlhar lfaosoc1loo1 romplatalhe~pllcoblopartsoIF<)/m4797.FllIm6252ordJorSchadulau(Fonnl040), . . You ara required by law to p/ovldalha .~tUemer.l age:nl (Fad, Tu 10 No: l_with ~ CIIIIaellUp&yor idBfllirlC8l/on numbar. fr")'OIl 00 nol provide yoor<>:Jl'ttJdlalf""j'8fldoolil~a!ilYl numbor, you may be lubjecllo eMI III criminal panaitlo, ""poSOd by law, Unci... paO"lIle. or P\IrJury. I cerlilylllllllhe number shown on lIli. Ilalamenl iI my CDlreellaopoyer idantiricalioJ\ numbal. T1" SEllER(SjSrGNAruRE(S/: SEllER{Sl NEW MArtING ADDRESS Provi<Jusodilio"....,6a11.0i6w U.S. DEPART'v1ENT OF HOUSING AND URBAN DEVELOPMENT SE"TLEMENT STATEMENT ''''''' nv....' \"'.....j ,~, .,..,,~~~~ ~~_~.. File Number; PYS05.0006 PAGE 2 I TilleExnress Seltlement Svslem Prinled 02128/2005 a110:35 RLM L. SETTLEMENT CHARGES PAID FROM PAID FROM 700. TOTAL SALES/BROKER'S COMMISSION based on nrice $135 000.00 (a) 3.000 = 4 050.00 BORROWER'S SELLER'S Division of commission {line 7001 as lollows: FUNDS AT FUNDS AT 701. $ 4050.00 10 Ebener & Associates SETTLEMENT SETTLEMENT 702. $ to 703. Commission naid at Seltlemenl 4050.00 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. LoanOrininalionFee %Commonwealth Fundina Grouo 540.00 802. Loan Discount % 803. Appraisal Fee to Commonwealth Fundina Grouo 275.00 804, CredilReoorl 805, Lender'slnsneclionFee 806. MlnBrokerFee _10 Commonwealth Fundina Grouo 39.00 807 ProcessinnFee /0 Commonwealth Funding Group 100.00 808. Commitmenl Fee 10 American Home Mortaaae Acceotance LR 480.00 B09, TaxServJceFee 10 American Brokers Conduit LR 75.00 810, Flood Hazard Fee 10 American Brokers Conduit LR 15.00 811, BrokerPremiumPOC 10 $1 OBO.OO to Commonwealth Fundinn Groun 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901, Inleresl From 02/28/2005 to 03/01/2005 (fill 18.0000/da' 1 Daus LR 18.00 902. Morl'ane InsurancePremiurn for to 903. Hazard Insurance Premium for 10 312.00 9il4. 905. 1000. RESERVES DEPOSITED WITH LENDER FOR 1001. Hazard Insurance 3 mo. (fil I 26.00 fmo LR 78.00 1002. Mon 'anelnsurance mo. (Q) $ /mo 1003. CilvProno:>rl\lTax mo. (fill /mo 1004, Countv Prooerlv Tax 13 mo. (Q)~ 25.651mo LR 333.45 1005, School Taxes 10 mo.(fil$ 97.72 {mo LR 977.20 1009, AnorP.flale Analvsis Adiuslmenl 10 American Home Mta Acceotance LR -206.97 1100. TITLE CHARGES 1101. Selllement or closinn fee 1102. Abstract or liIJe search 1103. Tilleexaminalion 1104. Title insurance binder 1105. Documenl Prenaralion 1106. Nota Fees 10 Pyramid Land Transfer LLC 14.00 1107. AlIornev'sfees to Kathleen K. Shauf(s ESQ. 225.00 !includes above ilems No: _. \ 1108,Ti(felnsurance to Ptiramid Land Transfer LLC 1033.75 lincludes above items No: 1109, lender'sPoIic" 108000.00 . 1110. Owner'sPo!i~ 135,000.00 .1,033.75 1111. End 100 End300 End900 to Puramld Land Transfer LLC 150.00 1112. Down Load Fee to Pyramid Land Transfer LLC 50.00 1113. ClosinnServiceLelter to Pvramid Land Transfer LLC 35.00 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recordinn Fees Deedt3B.50 . Mortaaoe 170.50 . ReleaseS 109.00 1202, CilvfCounfv faxfslamns Oeoo 11 350.00 . Morta",.1 1 350.00 1203. Slate Taxlslamos Deed11350.00 . Mortnaoe$ 1350.00 1204. 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survev 1302, Pesllnsoection 10 Bowers Pest Control 35.00 1303, Wire Fee to Puramid Land Transfer LLC 10.00 1304. Airborne Fee to Pvramld Land Transfer LLC 20.00 1305.lnheritanceTaxPavment to Renister ofWiUs 6 000.00 1306. Final WalerlSewer to North Middleton Townshlo Authoritv 79.90 1307. 1308. 1400. TOTAL SETTLEMENT CHARGES lenler on lines 103 Section J and 502 Seclion K\ 5842.43 11704.90 HUDCERTlflCATION Of BUYER AND SELLER I hlWe carolully r6vieWfld 100 HUD.j Sellleman! Sta!amo"l ond 10 Iho best or my krlow1odge Md beliel. ill_ e 1f"6 600 aeCIJralo _Ielem""t of ell receipts and disblJr;om6nt_ rn6d1l 00 my 0000..,1 or by m6 on IhlS IfarlSAdlOfl. I rurth6f ~ar\,Jy thai I hava reee",eCl a copy 01 lho HUD_1 SeltlamMISlolement - .~ .-;:?P' __________ romoUryM.MCl".reary ~ Esrare"IMarlrnE,S/lOoIfBr l /lthLl/2l3u~ WARNING: IT IS A CRIME TO KNOWNGL Y MAKE fAlSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR fORM. PENALTIES uPON CONVICTION CAN INCLUDE AflNE AND IMPRISONMENT, fOR DETAilS SEE TITLE 16 U,S.COOE SECTION 1001 AND SECTION 1010 ,~" !J>D~" I .1 Sll1llBmanl SlRlemont which I hew prep....ed i. a lNa Bod BCC~role aCCOU<lt '" lhi.tran'a<:lIan (l{\IIillc.ausaJhelundsJDbll' aodlllacc:orClarx:owilhlllisslalem6nl, . 1- :;.40')' av:_ SCHEDULE I INFORMATION Your AT&T Statement October 9-November 8, 2004 ~ATS.T #BWNCJFM ** 0091715382210110 D 0113575AT10.292B500A72066 300 1",111",111"""11"11,1,,1,1,,,1,1,1,,11,,,,1,111,"11,,,1 MARLIN E SHEAFFER 2620 SPRING RD CARLISLE PA 17013.8756 Customer 10: 717 249-8968 Page 1 of 5 Customer Service: 1 800 222-0300 Text Phone (llY): 1 800833-3232 Internet Address: www.att.com 1"111111",,111,1,11111,,.111,111,,1.1,111,,1,11,111.1,11.1,111",,1111 Summary of charges ~-:.. Extral Extra! Give our troops AT& T CyberZone Holiday Gift Cards - the gift that helps bring them closer to their family and friends this holiday season. Previous balance.... ......................... ...... ... ............................. .13.72 Payment received Oct 21 - Thank you .............................. -13.72 AT&T One Rate" Plan calls .................................p 4 ............6.70 Other charges and credits ....................................p 4 ..........12.73 Taxes and svrcharges ..........................................p 5 ............2.80 Total amount due Date due $22.23 November 22, 2004 V' ~ q3 It ( -z.C{ l tr~ . --- - =" =~ =~ -- =- ~ - HOLY SPIRIT HOSPITAL 503 NORTH 21 ST STREET CAMP Hill. PA 17011-2288 11111111~~IIIIIIIIIIIII~~IIIIIIIIIII~llllllllllllmllll1IIIIImlllll JAN 22 2005 Date of Service: 09/29/04 Patient Name: Account Number: Patient Responsibility: MARLIN E SHEAFFER 24078354 'v if /0( 1",111,.,111...,.,11,.11,1"1.1,,,1,1,1..11..,,1,111,..11,,.1 4407 0 AT 0.292 MARLIN E SHEAFFER TR00016 2620 SPRING RD CARLISLE, PA 17013-8756 Dear Patient/Guarantor: Payment has not been received in response to our recent requests. Your account is now past due. Please remit payment in full, or contact our Patient Financial Services at (Toll Free) 1-877-254-9239 if you have any questions. If you have already paid the balance, thank you, and please disregard this letter. Sincerely, Patient Financial Services If you have multiple accounts, please indicate the account numbers and the amount applied to each on your check. Payments received without an account number may be applied to the oldest account. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _If.!'"1~e!!t.!l~~I!e:!.dt~e,:!,~~d!:~e,!S!:~~ell~dJ1Es}.!:tt;;r_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. ru COli cor n............. ........ ......_._.. ...._.. .._.._ _ _..~._u_ STATEMENT DATE ACCOUNT NUMBER PATIENT NAME LOCATION OF SERVICE 11/26/04 ARA-7403765 MARLIN E SHEAFFER CARLISLE HSP OP DATE DOCTOR CODE DESCRIPTION AMOUNT 07/12/04 CHARLES LOH MD 70491 CT NECK/SOFT TISSUE ENHANCED 216.00 07/12/04 CHARLES LOH MD 71260 CT THORAX ENHANCED 194.00 08/10/04 0200 MEDICARE PAYMENT -49.55 CK105751268 08/10/04 9200 MEDICARE WRITE OFF -132.06 08/16/04 0300 COMMERCIAL PAYMENT -12.39 CONTINENTAL GENERAL 11/26/04 0200 MEDICARE PAYMENT -55.36 11/26/04 9200 MEDICARE WRITE OFF -146.80 YOUR I PORTIO ONSIBL SURANCE COMPANY HAS PAID THEIR OF THIS BILL. YOU ARE RESP- FOR THE BALANCE DUE. V.l (;fi~cf( ( ~-'~ DIAGNOSIS 784.2 This Billing office is open 8:30-4:00. If you have questions concerning your Bill, please call 800-748-2413. ANDORRA RADIOLOGY ASSOC PC PO BOX 892 CONCORDVILLE, PA 19331 Tax 10 #; 233016413 STATEMENT "nil.' 'UI 11111 11111 1111I ,tli(,l.1I 11'., 11111 11111 1m 1111 ,'u""r- r'1o...."r"""~C e-In~ 1:'1"\0 III.lDnCT^tJT RII liMn It\u=nl::II\.''ATlnN ACCOUNT NUMBER ARA-7403765 STATEMENT DATE 11/10/04 DATE DOCTOR 07/12/04 CHARt.ES LOH MD 07/12/04 CHARt.ES LOH MD 08/10/04 08/10/04 08/16/04 v ~ L\ \\/"ti1( ~ DIAGNOSIS 784.2 CODE 70491 71260 0200 9200 0300 WE BIL THEY CALL U AMOUNT 216.00 194,"00 -49.55 PATIENT NAME LOC"'TION OF SERVICE CARLISLEHSP OP MARLINE SHEAFFER DESCRIPTION CT NECK/SOFT TISSUE ENHANCED CT THORAX ENHANCED MEDICARE PAYMENT CK105751268 MEDICARE WRITE OFF COMMERCIAL PAYMENT CONTINENTAL GENERAL D MEDICARE FOR YOUR SERVICES BUT NOT RESPONDED TO US. PLEASE SO WE MAY RESOLVE YOUR ACCOUNT. -132.06 -12:39 Thi.s Bi:1J.i:ng . oUi:ce i:~ open 8: 30-.4 : 00. If y?u."h~yequ..sUon"concermngyour Bi:ll ," pleasecal1800"'-748-2413. ANDORRA RADIOLOGY ASSOC PC PO BOX 892 CONCORDVILLE, PA 19331 Tax ID #: 233016413 STATEMENT 1~11111~!III~llllnllll~~IIIMII~1111I1 SEE REVERSE SIDE FOR IMPORTANT BILLING INFORMATION 1015 naTA ?111r's;l?1( SCHEDULE J INFORMATION , 1" t,\ ,"c?rtli\ thclt the mfonnl.ulOn herc gi\'cD is correctly copkd from an original certificate: of death duly filed with me? as "'ct! Re~i;trar. The original certificate will be forwarded tll the State Vital Records OfC,ce for permanent C,ling. T'Y?~::>'l.I~1' " PEiOl..I,l"'~f.~T 1lI,.l.Cl<I>ll< " . ~ ~ . . "' '" " .- ~ " " '" WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate. 52.00 TI~ ~~o:~~Qu.~ \\\\\\'(~\j"'Orpl~-...~ ,i;;;;~~' <'. , '1'.1')-, is;, "''l,'"~''' '::<;. !~;'- - -'.=: "..:;'- ~\ ''==l '.'. ..~ '-' l'-"~~~' .",. . >>, ,"....-=,. " ~ * "~ -~~-'/ *1 , A~-',",,~' ~,' \.~, .,- >.:-.- ':.- ~'-"~ ~_~ ~~l -<9rl,fENi ~,'<l "", ~..",,,,,j,,,,,,,JII"" n tl? I '...1 '.J i ~ .J OCT 2 7 2004 Date l\O. I'iIC510R~.2"'81 COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH sun ',,"~1<U"'8~~ NA'.I;; OF CE:::EOENT [fi...~ M~~le. ~"'J '" SOC:."~SECtJRIl'YNtJMaER O"'TEO~ Ov'1'l'i (.'k~:/I.O.y. Yeor) .. O::t. 25 2004 , "'CElU,'8rt':ay) 2. Male 3. 181 - 32 - 4632 ". CEOF = l'l--l O'ecI:~" ~...ui~"r\J~"" MOVf1""'-: ".......0 ... FACI~1T'l' NA.I,IE (If ~", i~ati",tion, gr.e .~"t .~4 ~u"'boo,) A_......rn ~:.,,) 0 AACE.Jo.JI'I..rlOlnIn4ian,a'..... Whl.,01 (S~.city) BIRTJooII'\..lCE(CHya~4 Sla'ecrFQt.,gnC....~lly) 1.68 Y~. CCW~l'YOF C!O.o\TH 7.Carlisle I PA ~I 2620 Spring Ro. ... ~1tite Cumberland ... MAAlT.oJ. STATUS. lolaml4. N.~".'-Ian1..4.W"'.,..."d. O~(S~ecity) u. widowed SURVlVINcs"otJse 1...;...;;-....0.4.........) AS OECECENT EVE.RIN tJ.S.AA.\tECFORCES? yuQ NOD " KINO OF 9tJS1NESSI INOUSORY CECECENTS tJSUA~ OCCtJ"'" .:ON (0-.._01......_.."""9..0.. ..~"..,"'"""'...""""'I ,1L Laborer lID. Distribution OEcEoe...rs......I\.INGAOORaSS[s:t..~CI1YfT"....,.S'"'e.Zi"Co<:.) DeceOENTS ACTlJA~ RfsrOENCE (Sui~a:ruc~o"" :l<l o~~."i~.) 17..Q9Yu.4.Col<lootllvo<lin FA 1\l.....,..-.rn Miilillor.....n .... l7o.StalO o. 4.col<l",,1 h."a bl""'~ip? C1"fIbon>. ~ , . < , < 2620 spring Rd. lCarlisle, Pa 17013 FATHE.:rS AAI,U; (F"rnl 1.l1d<;:1., LI-SI! 11 Joshua Sheaffer INFCR.'.l.....~rSNJo.ME fTypeJPMl) 2QL M. Sheaffer .'olETt-<OO OF CIS"OSIT1ON Burial [iJCternatl"" [llomoval/romSl.It. 0 Oll'l"'ISpd'y) 0 2'D. 2004 p FWNEFW,. S ;WI e I ~i7/e ~R "VlSON Jo.CTlNG AS SWCl'I LICE....SE NUIolBEA _ ZZL ....t..~. 22lI. 01 144 Comlli" 1 u..... 2~.., onty ..~... cer"ltl''''; 1'o::'e ~st of m .."".,.lo<l;... dull'l ~lTod It :r.I/O'ne. dall an4 pia.::. S::Olo<l. ~~':."::::::.llIe .1 11m. of~..e. (II (S..~atIJ'" ""d"'~..) ". TIME OF OEA~ : 00 am QATE "RONOUNCEO OEAO (Monti.. O.y. Y..,} H t.I. n Oc:tlber 25. 2004 21b. 2~.:. W,l,S CASE REFERREO TO A '-IEOICJo.l e.x,.tJ.lINERICO;:l.QN 21. VuO No :~pl<l~I. 1'Jo.'UU: Ol71....~nillanl=.~J""'!l'ituc..gUldUCl1.1)u1 :in'e<"V1lI~.lW,"" nol"'S<I!lirlgln~."",,"lIyII'gcollS.li;.,.enln",o.,RTl .onMla~d~u" l1d. 0 :'u.,~e~~~:-j:: or 1T~. COIJ"i'< CUmberland l.IOTl-4E;:l.'SN.o\ME(F"...~l.I;':c!..Ma<.nS""'a"..} n. INFCR~v,....rs MAI~ING .ou::c~ss (SlrMl CltyfT=-. Slate, Zlp Co4.j 24~ 100 Clearview Drive, Carlisle, Pa 17013 F>l..ACE ~ OISPOSITlQN. Na"'. ofComeI.'l'. CrlmatO'l' lOCATION. ~fT=-. Slato. Z;p Cod. ",Oll'le'''Ia'::' CUrrberlana Valley 21.:. Memorial Gardens NJo.ME....jOAl:ORESSOF fACIUTY u~ 21 N. Hover \.ICE....SENtJMElE;:l. l1cf. Carlisle, PA 17013 Hoffman-Roth Funeral Home St. lisle Pa 17013 OATES;CNEO (MotlIll.OIY.Yu') 27. ".UU I: .......... ~1..._..I.l~~"" ............ _;.~ ........ "'" ......... 0.... ,~",_ ...... .....,.~~. ....~" .-dl.. ......."'<0<1 .,....~....... ......../00,.... u".oIt'_..........~I..... ~...,liaay!lotQll<'l4ido~s ['.' ,f.,.,.~"'ll!:l"onma<llat. cauH.E"lltUl(OIERL.YlNC CAUSe: [CilIUI Ofr..i..,.,. :.allrtil!al'"".....ts ....~P.ltlgc:tl~uIf>JLAST d. WERE "'UTO"SY FiNOING$ AV"ltAS~~ "~O~ TO COMi>'.El'10NOF CJo.tJSE OFOEA.l'l'l1 CU~TO(e">.s...ee,.uO\;E.'OCtc'~ Ou TOlOA>.s..eo..uO<.JII...elIC'~ T<l.liCFIN..1.lFlY tN.JIJI'I.Y AT WO~K? OESCRlilE HOW 1/oCt.:RY OCCURREO. OJo.TEOF lNJ\JRY 1........0....00t\ o o o :~:EROF;rTH "'<cic:~t ~ o ~otnicId. "~Q"'gl...n~.lion CoYId ~Ol~. d.I.".,._iroo<l YuD NoD 3C=. 3Ca. lOD. l.l. "v,cE OFINJtJRY .,l,J,~",m.. fa"", 1l;'M~r.~. ~I ~-(~.-<y) 10.. YuO ~o SukXl. " Z W o W U W o ~ ~ Z UL 21b. CE;:l.TlFiER(Ct'\ecIt~""..) t~~~~~or:~;~~~.!fg~l..:;:~~ ~i:;'~,r"d"~: ~;}:':~:~:I:)i;;; J=~~a:lh:~f.:I~~~~.~.~~~..~~.~~~~~.i:~.~~L................ 0 " ',,";OfolOUNcrNG ANO Ce:iOl.TlFYlfolG PHYSICI.I.N (l"l'ly.ician bolf> """""",,c;~ll dull'l ""d eOf':il'ying to COU" o/dulf>) TOI/I.IMeIO''''l'........lo<lg..d..lIIoc''''n.cfalU..lIm..dall....dpla=...nddu.loll'l..a.....(.) a..cf rnan...'...bll.cf..... ...e:OCJo.l..f.X.,IJ.IlNERJCOiOl.ONER 0.. 110. bull o'......InoU"" ....u....ln~..UgaUG... I.. mt Gpl..I...... cfeath ...~u....d II \h. Urne, dat., I~d plae., I..cf du. 10 lh. ~"'(Il- 31L"'""".'...blto<l............................................................................................................................................................0 IlEGLSTR.A.'I..SSIGNJo.TUREANONUMaeR t:\. ~'=--~ ~ 11d.1\ 01 Last Will and T estam.ent of Marlin Eo Sheaffer I, Marlin E. Sheaffer of 2620 Spring Road, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. ARTICLE I BENEFICIARIES The names of my children are Timothy M. Sheaffer, Linda K. Sancenito, Rhonda A. Brunner and Randal Zimmerman. The name of my grandchildren. All references in this Will to "my children" or "child of mine" are references to my above-named children. ~- ._,:1.? :-::,-,.(h <:; 0 '.!.9 .G>_ ,--) -~. ~ ARTICLE TWO PAYMENT OF DEBTS AND EXPENSES _, I direct the payment of the debts and expenses ofJ my last illness from my estate as soon after my death as conveniently may be done. ARTICLE THREE DISPOSITION OF PROPERTY Specific Bequests. 1. I give, devise and bequeath to Linda K. Sancenito my 1991 Ford Thunderbird, the oak dining room set and my tankard collection. 2. I give, devise and bequeath to Randal A. Zimmerman $1000.00. I have previously given to him my 1985 Ford Bronco so he will understand why I have not left him an automobile in this will as I have done with his brother and sisters. 3. I give, devise and bequeath to Rhonda K. Brunner $1000.00,my 1970 Pontiac and the four aluminum wheels and the torque wrench that are located in its trunk. 4. I give, devise and bequeath to my son Timothy Sheaffer my 1996 Ford Explorer, all my golf clubs with their bags, my guns and my air cleaner. I also give, devise and bequeath to Timothy my 1awnmowers and my snowblower with the understa~ding that they are to be used by my grandsons Michael and Timothy Sheaffer for their lawnmowing (! ;:) ...,., A. 4~(~ ~--,._-_.~-~_.-..-..-..,.,.,.""...-,- and snowb1owing business. 5. I give, devise and bequeath to my granddaughters Nico1e and Shandi Sheaffer my 13" co1or te1evision and my Sony radio. 6. I give, devise and bequeath to my grandsons Michae1 and Timothy Sheaffer my fie1dg1asses. 7. I give, devise and bequeath to the Huntsda1e Church of the Brethren $3000.00. 8. I give, devise and bequeath to the Sa1vation Army, Car1is1e, Pennsy1vania, $1000.00. B. Residuary Estate I give, devise and bequeath a11 the rest, residue and remainder of my estate, both rea1 and persona1 to my chi1dren in equa1 shares with the understanding that anything that my children do not want sha11 be given to the Sa1vation Army in Car1is1e, Pennsy1vania. If a chi1d of mine does not survive me, such deceased child's share sha11 be distributed in equa1 shares to the natural and legal1y adopted chi1dren of such deceased chi1d who survive me by right of representation. If a child of mine does not survive me and has no chi1dren who survive me, such deceased child's share shall be distributed in equa1 shares to my other chi1dren, if any, or to their respective natura1 or 1ega11y adopted children by right of representation. if no chi1d of mine survives me, and if none of my deceased chi1dren are survived by natura1 or 1ega11y adopted chi1dren, my residuary estate sha1l be distributed to my heirs at law, their identities and respective shares to be determined under the 1aws of the Commonwea1th of Pennsy1vania, then in effect, as if I had died intestate at the time fixed for distribution under this provision. ARTICLE FOtJR TAXES I direct that any and a11 inheritance, estate and transfer taxes imposed upon property making up my estate passing under my Wi11 or otherwise, shall be paid out of the principa1 of my residuary estate prior to its distribution to my heirs. ARTICLE FIVE EXECUTOR'S POWERS in addition to the powers and authority conferred by law or necessary and appropriate for proper administration, I authorize my Executor, in his abso1ute discretion: 1. To retain in the form received, and to sell ei ther at pubHc or private Sa1~;y ~a~ orc) /J 1// ~/.(p#,!- f..ftfi1/~ persona1 property; 2. To 1ease, mortgage or otherwise encumber any rea1 or persona1 property that may be inc1uded in my estate, without order of court or notice to any beneficiary; 3. To invest and reinvest in a11 forms of property; 4. To exercise any options or rights arising from ownership of investments; and 5. To compromise c1aims without court approva1 and without the consent of any beneficiary. ARTICLE SIX NOMINATION OF CO-EXECUTORS I nominate, constitute and appoint my chi1dren, Rhonda A. Brunner and Timothy M. Sheaffer to serve as Co- Executors, if 1iving and ab1e to serve as same. If both Rhonda and Timothy are deceased or are otherwise unab1e to serve as Co-Executors, I nominate, constitute and appoint my daughter Linda K. Sancenito to serve as s01e Executor. I hereby re1ieve my Executor(s) from the necessity of posting security in connection with his duties as such in any jurisdiction in which he/they may be ca11ed to act insofar as I am ab1e to do so by 1aw. ARTICLE SEVEN MISCELLANEOUS PROVISIONS A. Paragraph Tit1es and Gender. The tit1es given to the paragraphs of this Wi11 are inserted for reference purposes on1y and are not to be considered as forming a part of this Wi11 in interpreting its provisions. A11 words used in this Wi11 in any gender sha11 extend to and inc1ude a11 genders, and any sinqu1ar words sha11 inc1ude the p1ura1 expression, and vice versa, specifica11y inc1uding "chi1d" or "chi1dren," when the context or facts so require, and any pronouns sha11 be taken to refer to the person or persons intended regard1ess of gender or number. B. Thirty Day Surviva1 .Requirement. For the purpose of determining the appropriate distributions under this Wi11 , no person sha11 be deemed to survive me un1ess such person is a1so surviving on the thirtieth day after the date of my death. C. Liabi1ity of Fiduciary. No fiduciary who is a natura1 person sha11, in the absence of fraudu1ent conduct or bad faith, be 1iab1e individua11y to any beneficiary of my estate, and my estate sha11 indemnify such natura1 person from a11 c1aims or expenses in connection with ~d#rN-- or arising out of that fiduciary's good faith actions or non-actions as the fiduciary, except for such actions or non-actions which constitute fraudulent conduct or bad faith. D. Beneficiary Disputes. If any bequest requires that the bequest be distributed between or among two or more beneficiaries, the specific items of property comprising the respective shares shall be determined by such beneficiaries if they can agree, and if not, by my Co-Executor. this IN ~TNESS WHEREOF, I have subscribed 1~^a.ay of September, 2002. my name below, We, the undersigned, hereby certify that the above instrument was signed in our sight and presence by Marlin E. Sheaffer, the Testator, who declared this instrument to be his Last Will and Testament and we, at the Testator's request and in the Testator's sight and presence, and in th~ sight and presence of each other, do hereby subscribe our names as witnesses on the date shown above. '7 Lu~ '+UWL . VlHdt.iECf! (-jJf:LL~ /-'f3'ln/,yrC'/ .\(Jr,Aud (-fA ii(}(J1 U' , bl1~ C "'~5 jl. ...j.:, CA.,.L:'I<z, PA Testator Signature Witness Signature Name City State Wi tness Signature Name City State 170' S AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumberland I, Marlin E. Sheaffer, the Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will, that I signed it willingly and as my free and voluntary act for the purposes 'l#~/ ~ expressed in the instrument. ~ p ~ . Testator Signature ~ ?- LA ~ Mar~in E. Sheaffer . Subscribed, sworn to and acknow~edged before me by Mar~in E. Sheaffer, the Testator, this tJ..t;l'v day of September, 2002. "'--"""~;:-'-"':.-.... ,...........- .'r'.... -'__""""_1,_", KATHlEE NOTARIAL: SEAL'- ..- Carlisle ~r:~~~~~il~~Y Public .My Commission Expires Dee #]n2003ty " AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF cumber1and .~ We, _~.ClJt' nc- ~ (6se1\, and Jet i'YI.C-S 1Z. S~iA \IS the witnesses, respective1y, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby dec1are to the undersigned authority that the Testator Mar1in E. Sheaffer signed and executed the instrument as his Last Wi11 and Testament and that he signed wi1ling1y, and that he executed it as his free and vo1untary act for the purposes therein expressed, and that each of his witnesses, in the presence and the hearing of the Testator signed the Last Wi11 and Testament as witnesses and that to the best of their know1edge the Testator was at that t~e eighteen (18) years of age or older, of sound mind and under no constraint or undue inf1uenc1 WITNEssft;J;' W~ residing at'/e7~~?/ JiJi/':lJd /7007 WITNESS }~/l...:JJ~ residing at CJl>~. r; 1701 '3 s~cribed, sworn to and acknow1edged before me by Vo. len e. F Cbsc II ,and Sames R, Sha ( \ll$.. , the witnesses, this qifl day of September, 2002. ~~~L,~') ~tfry PubHc (ji-- t -', :\;[)T,t.R!tlL ,"::-.. KA,I HLEP" !( ~.;~:.~; ~~,:",l 1 " ,. ' . I..H.-,/d J~ " . I Carnsle B.Jr~ r".....~'.~- r4GI(;;r}, PU~"lr ! ~\j ... ,"" v..JmJc..!'I"'.....j 1" J! " I t I)' l..,a;;:m;~:c:;"-"" ",.." 'd:U\..i l.o)""'t\, - I ',-"fUI, c)U"'Ii~" D '-'II" ~_ OJ::'S r e" 22 '"':V-,,, '"'. ','::"i;';,J I -...; #~~ STATE OF PENNSYLVANIA COUNTY OF CUMBERLAND SHORT CERTIFICATE I, GLENDA FARNER STRASBAUGH Register for the Probate of Wills and Granting Letters of Administration in and for CUMBERLAND County, do hereby certify that on the 3rd day of November, Two Thousand and Four, Letters TESTAMENTARY in common form were granted by the Register of said County, on the estate of SHEAFFER MARLIN E , late of NORTH MIDDLETON TOWNSHIP fLast First Middle) in said county, deceased, to SHEAFFER TIMOTHY M (Last, First, Middle) and BRUNNER RHONDA A (Last, First Middle) and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 3rd day of November Two Thousand and Four. File No. 2004-00996 PA File No. 21-04-0996 Date of Death 10/25/2004 S. S. # 181-32-4632 Wills p..v... ~. NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(' 1-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT SHEAFFER TIMOTHY M 100 ClEARVIEW DR CARLISLE, PA 17013 _nn___ fold ESTATE INFORMATION: SSN: 181-32-4632 FILE NUMBER: 2104-0996 DECEDENT NAME: SHEAFFER MARLIN E DATE OF PAYMENT: 02/28/2005 POSTMARK DATE: 02/28/2005 COUNTY: CUMBERLAND DATE OF DEATH: 10/25/2004 NO. CD 005000 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $6,000.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: PYRAMID lAND TRANSFER CHECK# 10875 SEAL INITIALS: VZ RECEIVED BY: TAXPAYER $6,000.00 GLENDA FARNER STRASBAUGH REGISTER OF WillS Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: 347 5/5/2005 MARLINE. SHEAFFER 21-04-0996 KATI-ILEENK. SHAULIS, ESQ 44 SOUTH HANOVER ST JA CARLISLE, PA 17013 35.00 Total $35.00 Qty 1 Fee Description Additional Probate Fee Total: $35.00 o,ecks should be made payable to the Register of Wills. Terms: Net 30. Please return one copy of this invoice with your payment. Thank you. STATUS REPORT UNDER RULE 6.12 Name of the Decedent: Marlin E. Sheaffer Date of Death: October 25,2004 Will No. 996 of 2004 Admin. No.: 00996 of 2004 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above- captioned estate: 1. State whether the administration of the estate is complete: Yes _X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the court? Yes No - - b. The separate Orphans' Court No. (if any) for the personal representative's account is : c. Did the personal representative state an account informally to the parties in interest? Yes X No. d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to his report. Date: 1> ,.. ( 1- --O~ t(~~ Kathleen K. Shaulis 44 South Hanover Street Carlisle, PA 17013 (717) 243-6655 = C'.) C".~--'J L__ t.:; c.' . L. ,. (~.~ ,-- ('-) ( . l..',i r:,: Capacity: Personal Representative _X_Counsel for Personal Representatives ('..1 ( ", , '-. 1,-"'"":. L.:> c.::.:..:.l ('-.' c: cfi '" ". ... IN RE: ESTATE OF MARLIN E. SHEAFFER, DECEASED Date of Death: October 25,2005 Will No. 996 of 2004 RECEIPT AND RELEASE The circumstances leading up to the execution of this instrument are as follows: 1. Marlin E. Sheaffer died on October 25, 2004. Testamentary Letters were granted to Timothy Sheaffer and Rhonda Brunner, children of the Decedent and Executors of his Last Will and Testament dated September 9, 2002. 2. Pursuant to his Last Will and Testament, specific bequests were left to the following persons and organizations: a. Linda K. Sancenito - a 1991 Ford Thunderbird, the oak dining room set and a tankard collection. b. Randal A. Zimmerman - $1000.00. c. Rhonda K. Brunner -$1000.00, a 1970 Pontiac and the four aluminum wheels and the torque wrench. d. Timothy Sheaffer- a 1996 Ford Explorer, golf clubs with their bags, guns, air cleaner, lawn mowers and snowblower. e. Nicole and Shandi Sheaffer - 13" color television and Sony radio. f. Grandsons Michael and Timothy Sheaffer - field glasses. g. Huntsdale Church of the Brethren - $3000.00. h. Salvation Army, Carlisle, Pennsylvania, $1000.00. 3. Pursuant to his Last Will and Testament, the following people were named as residuary beneficiaries, each of whom is entitled to receive an equal 1/4 share of the decedent's estate as indicated: Timothy Sheaffer 100 Clearview Drive, Carlisle, PA 17013 Randal Zimmerman 2930 Neffs Laurel Road Schnecksville, PA 18078 Rhonda Brunner 5067 Spring Road Shermansdale, PA 17090 Linda Sancenito 434 Shady Lane, Enola, PA 17025 4. An informal Accounting of the Administration of the Estate has been prepared by the Executors, and is attached hereto as Schedule "A." .. ,. ..... 5. In consideration of the foregoing and intending to be legally bound hereby, Timothy Sheaffer, Randal Zimmerman, Rhonda Brunner and Linda Sancenito: A. Do hereby waive an audit of an account of the administration of the Estate of Marlin E. Sheaffer, deceased, by the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania; B. Do hereby declare that they examined the attached informal account of the Estate of Marlin E. Sheaffer, deceased, that they find it to be true and correct in all particulars; that they accept and approve it with the same force and effect as if it had been prepared and duly filed with, audited, adjudicated and confirmed absolutely by the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania; C. Do hereby acknowledge that Timothy Sheaffer and Rhonda Brunner, Executors, have distributed the assets of the Estate of Marlin E. Sheaffer, deceased; D. Do hereby absolutely and irrevocably remise, release, quitclaim and forever discharge Timothy Sheaffer and Rhonda Brunner, Executors, their heirs, executors, administrators and assigns, of and from any and all action, reckonings, liabilities, claims and demands relating in any way to her administration of the Estate of Marlin E. Sheaffer, deceased; E. Do hereby indemnify and hold harmless Timothy Sheaffer and Rhonda Brunner, Executors, their heirs, executors, administrators and assigns, from and against any and all claims, losses, liabilities and damage which they may suffer or to which they may be subjected by reason of their administration of the Estate of Marlin E. Sheaffer, and the distribution of the estate without an account or the approval of the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, including but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other death taxes, together with interest and costs incidental thereto, relating in any way to the estate; and F. Do hereby declare it to be there intention that this instrument shall be legally binding upon them and upon their heirs, executors, administrators and assigns. Witness: Date frS/OS- Date , ,. - ESTATE OF MARLIN E. SHEAFFER, DECEASED ASSETS Real Estate Cash, Bank Deposits, Personal Property Inheritance tax refund 1 135,000.00 20,065.85 220.95 Total Assets 155,286.80 DISBURSEMENTS Funeral expenses Executor's Fee Attorney's Fees Probate Fees, Petition, Short cert. Legal Advertising Inheritance Tax Filing Fee Inheritance Tax Advertising for sale of home York Waste Disposal PPL Sewer and water Real estate appraisal DeHart Auction Commission DeHart Auction Advertising County real estate taxes Ebner's Associates Real Estate Commission Real estate transfer tax Sewer and water final Buyer's assistance for sale of house AT&T Andorra Radiology Holy Spirit Hospital Randal Zimmerman - specific devise Rhonda Brunner - specific devise Huntsdale Church of the Brethren- specific devise Salvation Army, Carlisle - specific devise Distribution of Personal Property TOTAL 8623.46 0.00 1020.00 245.00 219.29 15.00 5779.05 210.56 38.52 870.17 185.17 225.00 480.46 280.00 48.90 4050.00 1350.00 79.90 4050.00 22.23 229.84 414.00 1000.00 1000.00 3000.00 1000.00 6717.75 41154.30 NET ASSETS! EXPECTED DISTRIBUTION RESIDUARY ESTATE $114,132.50 EXPECTED DISTRIBUTION PER RESIDUARY BENEFICIARY $28,533.12 THE LAw OFFICES OF KATHLEEN K. SHAUUS, ESQ. 44 SOUTH HANOVER STREET CARLISLE, PA 17013 PHONE (717) 243-6655 FAX (717) 243-661 8 EMAIL: JRs037CARLISLE@SPRINTMAIL.COM RECEIPT Received on behalf of Salvation Army of Timothy Sheaffer and Rhonda Brunner, Executors, the sum of one thousand dollars ($1000.00), being in full the legacy bequeath to the Salvation Army in the Last WiU and Testament of Marlin E. Sheaffer, deceased, dated SeP~ 9, 2002. (/ ~ Date: ~ {Lu,~ rf-005 ~.___ tLtQCl~ o M4>r Colin DeVault The Salvation Army, Inc. Citadel Office 125 S. Hanover Street Carlisle, PA 17013 THE LAw OFFICES OF KATHLEEN K. SHAUUS, ESQ. 44 SOUTH HANOVER STREET CARLISLE, PA 17013 PHONE (717) 243-6655 FAX (717) 243-6618 EMAIL: JRs037CARLISLE@SPRINTMAIL.COM RECEIPT Received on behalf of the Huntsdale Church of the Brethren from Timothy Sheaffer and Rhonda Brunner, Executors, the sum of three thousand dollars ($3000.00), being in full the legacy bequeath to the Salvation Army in the Last Will and Testament of Marlin E. Sheaffer, deceased, dated September 9,2002. Date: %' - e(, -0 S- 1~~~ The Huntsdale Church of the Brethren 170 Church Road Carlisle, PA 17013 BUREAU OF INDIVIDUAL ..TAXES.~", INHERITANCE TAX DIVISION '. PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT REV-1607 EX AFP (03-05) ': ~ ',) DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-29-2005 SHEAFFER 10-25-2004 21 04-0996 CUMBERLAND 101 MARLIN E KATHLEEN K SHAULIS ESQ SHAULIS LAW OFFICE 44 S HANOVER ST CARLISLE PA 17013 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ...... RETAIN LOWER PORTION FOR YOUR RECORDS 4-- REV-1607 EX AFP (03-05) --------------------------------------------------------------------------- *** INHERITANCE TAX STATEMENT OF ACCOUNT ... ESTATE OF SHEAFFER MARLIN E FILE NO.21 04-0996 ACN 101 DATE 08-29-2005 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 07-11-2005 PRINCIPAL TAX DUE: 5,779.05 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 02-28-2005 ........, CD005000 .00 6,000.00 08-12-2005 REFUND .00 220.95- TOTAL TAX CREDIT 5,779.05 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J RK.