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05-08-13
1505610105 REV-1500 EX(02-11)(F" OFFICIAL USE ONLY PA Department of Revenue pennsytvania Bureau of Individual Taxes County Code Year File Number PO BOX 28o6o1 INHERITANCE TAX RETURN '- "m'1 t'1� r lo�4 Harrisburg,PA 17128-06o1 RESIDENT DECEDENT ' �� _ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 09/25/2011 06/03/1936 Decedent's Last Name Suffix Decedent's First Name MI [- .__ .... ._ _-__. .__.__.........._._..._� Miller � i Leroy � J -----_ ---__i I_-____ (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI r Spouse's Social Security Number t__.__.__.._._-___________ _._._.._._.._i THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW Oil 1.Original Return O 2.Supplemental Return O 3. Remainder Return(Date of Death Pnor to 12-13-82) O 4.Limited Estate O 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Return Required death after 12-12-82) m 6. Decedent Died Testate O 7.Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) O 9.Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number .. __._ .—� �.__.. IN C Wolf, Esquire (717)@4 4436 ` ' ICI M _ _ .. L - _.__.. .. _. _. (2 } G "I$TFW_L SKO0 O --t C� ml rrl CO Z:3 First Line of Address G^ 77 .____.___-._.._.,._._._...._______...__....._-........ Wolf&Wolf r, Second Line of Address - �-- 10 West High Street r { o City or Post Office State ZIP Code DATE FLED Carlisle PA ( :17013 Correspondent's e-mail address: nathancwolf @embargmail.com Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of amparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATU OF PERSON RESPO BLE FILING RETURN DATE �-2�/s ADDR IESS 125 Blain McCrea Road, Newvi e, PA 17241 SIGNATURE OF AN REPRESENTATIVE DJ✓A�TE �Ft4 RRESS 10 West 'gh StrecGrllsle, PA 17013-2922 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505610105 1505610105 _J 1505610205 REV-1500 EX(Fl) Decedent's Social Security Number Decedeors Name: Leroy J. Miller RECAPITULATION 1. Real Estate(Schedule A). . . .. . .. .. ....... . .. .... . . .. . . .... . . . ... 1. 200,000.00 2. Stocks and Bonds(Schedule B) . ... .. . ....... . .... . .. . ... . . .... .. . .. .. 2. � I 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. 4. Mortgages and Notes Receivable(Schedule D).... . .. ..... .. . .... . . ... . .. 4. ! 3 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E).... ... 5. m 9,767.7 6. Jointly Owned Property(Schedule F) O Separate Billing Requested ... . ... 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested... .. . .. 7. 135,000.00 8. Total Gross Assets(total Lines 1 through 7)... .. . .... . . ...... .. . ..... ... 8. 344,767.79 9. Funeral Expenses and Administrative Costs(Schedule H). . . ....... . ..... ... 9. 38,181.45 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule I)..... . .... . .... 10. 35,600.74 11. Total Deductions(total Lines 9 and 10). ...... . . . .... . . . .. .... . . . .... ... 11. 73,762.19 ## 12. Net Value of Estate(Line 8 minus Line 11) . ... . .... .. .. .. .. .. . .. .... .... 12. 270,985.60 I 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) ..... .. ........ . . .... . .. 13. 14. Net Value Subject to Tax(Line 12 minus Line 13) .. . .. ..... ... . . . .... . ... 14. 270,985.60 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 ""- -"-" --__-" -__--_1 (a)(1.2)X.0_ 15. 16. Amount of Line 14 taxable at lineal rate X.0 45 238,293.72 16, 10,723.22 17. Amount of Line 14 taxable at sibling rate X.12 17. 18. Amount of Line 14 taxable _ ___..__..._--------__32,691.88.1 4,903.781 at collateral rate X .15 18. ... . . 19. TAX DUE ... . ..... .. .. ..... . . ........ . ....... . . . . 19 15,627.001_._I 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 091) Side 2 1505610205 1505610205 J REV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Leroy J. Miller STREETADDRESS 42 Pipeline Road CITY STATE ZIP Nevvville PA 17241 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 15,627.00 2. CreditslPayments A.Prior Payments 17,189.45 B.Discount 781.35 Total Credits(A+B) (2) 17,970.80 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. Fill In oval on Page 2,Line 20 to request a refund. (4) 2,343.80 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) Make check payable to: REGISTER OF WILLS, AGENT. r PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred.......................................................................................... ❑ b. retain the right to designate who shall use the property transferred or its income ............................................ ❑ c. retain a reversionary interest .............................................................................................................................. ❑ d. receive the promise for life of either payments,benefits or pre?...................................................................... ❑ 2. If death occurred after Dec.12, 1982,did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................................. ❑ 3. Did decedent own an'in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation? ........................................................................................................................ ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. a For dates of death on or after July 1, 1994,and before Jan. 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent(72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)). • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent 172 P.S.§9116(a)(1.3)].A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1502 EX+(11-08) �i pennsylvania SCHEDULE A DEPARTMENT OF REVENUE #r�7' wneRITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF FILE NUMBER Leroy J. Miller 21-11-1099 All real property owned solely or as a tenant In common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant fads. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's Interest if owned as tenant in common. VALUE AT DATE - NUMBER OF DEATH DESCRIPTION 1• Vacant Land-Pipeline Road(Sold at Auction)-HUD Attached 40,000.00 2 Mountain Land-Blain McCrea Road Sold 3/13/2013-HUD Attached 160,000.00 TOTAL (Also enter on Line 1, Recapitulation.) $ 200,000.00 If more space is needed,Insert additional sheets of the same size. REV-15o8 EX+(o8-u) [ .`] pennsylvania SCHEDULE E � ' DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Leroy J. Miller 21-11-1099 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ACNB Bank Account No.124540 2,101.42 2 Centurylink Refund 10.59 3 Net Proceeds of Personal Property Sold at Auction(See attached) 6,061.40 4 Oak Dresser(Purchased by Daughter) 260.00 5 Remington Rifle(Purchased by Daughter) 500.00 6 Argus Reimbursement for prescription 20.30 7 Nationwide Insurance Refund 131.25 8 Adams Electric Cooperative Patronage Checks 87.73 9 Cumberland Valley Memorial Gardens-Burial Plats sold privately 595.00 IEEE] I I TOTAL(Also enter on Line 5, Recapitulation) LL 9,767.79 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+ (08-09) pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Leroy J. Miller 21-11-1099 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE INCLUDE RARE AN FE TRANSFEREE,THEIR THE FOR R AL ESTATE.AND NUMBER THE Dare orlapNSFEa.ana cxa covv of Txe oEEO roR REU ESraTE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1. 142 Pipeline Road,Nevvville PA 17241 135,000.00 l 100 135,000 00 Life Estate to Pauline Flckes,former spouse of decedent k Ivalue given is per appraisal(attached)(Sched K is attached) , Children are residual beneficiaries J . ( 3 I Q I • E 1 t I , � I _„. 4 3 1 S I L.:.._uy m� 8 t f [ � I TOTAL(Also enter on Line 7 Recapitulation) 4 l.,-_ 135,000:00({ If more space is needed,use additional sheets of paper of the same size, REV-1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Leroy J. Miller 21-11-1009 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' lFogelsanger Bricker Funeral Home 784'5"T 50 'Spring Hill Cemetery 600 00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: 17,240.00 Name(s)of Personal Representative(s) Harvey J. Nlckey "�`' Street Address 125 Blain McCrea Road city Nevvville state PA ZIP 17241 Year(s) Commission Paid: 2013 14,100.00 Z. Attorney Fees: 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) x,,,,�, �,q,,. Claimant - - Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 293.50 S. Accountant Fees: � 6. Tax Return Preparer Fees: l: A Z• Cumbedand Law Journal Legal Advertising 75.EO a ;The Sentinel Legal Advertising 16 s Sovereign Bank Estate 25. Checks 95 ` ...__.� 'g lop Register of Wills-Inheritance tax return 15.00k T __,. _. ._._.._.,. _ — -,---- - -`[Tel .. _ .._ 1 t ot from Continuation of Schedule(See attached) j i�:5,263.70 tz? 3Reserveforoutstandingexpenses 1,000.00 TOTAL(Also enter on Line 9, Recapitulation) $ 38,181.4 55 If more space is needed,use additional sheets of paper of the same size. SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER LEROY J. MILLER 21-11-1099 CONTINUATION PAQE OF ADMINISTRATIVE COSTS 1. S.W. Barrett Real Estate and Appraisal Services $ 625.00 2. Real Estate Commission to Auctioneer for Pipeline Road Property $ 800.00 3. Real Estate Commission to Century 21 for Pipeline Road Property $ 1,200.00 (Note: Property was subject to listing contract at death of decedent but was sold at auction after death, this commission was negotiated to release from obligation under the listing contract) 4. Transfer tax for Pipeline Road Property—See HUD-1 $ 400.00 5. Recording costs to Recorder of Deeds $ 27.50 6. Real Estate Taxes on Mountain Ground paid for 2012 $ 58.93 7. School Taxes on Mountain Ground paid for 2012 $ 356.23 8. Interest Charges paid on Home Equity Line of Credit $ 183.12 9. Transfer tax for Mountain Ground (See HUD-1) $ 1,600.00 10. Prorated tax for Mountain Ground for 2013 (See HUD-1) S 12.9 Total $ 5,263.70 REV-1512 EX+(12-08) Jpennsylvania SCHEDULE I ww DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Leroy J. Miller 21-11-1099 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,Including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 W&T Bank-Home Equity Line of Credit 35,408.67 2 Direct N-Final bill 4 3 Adams Electrical Cooperative 83.09 a Adams Electrical Cooperative 7.43 Centurylink(Final Phone Bill) 6 99 I _ . F I i L i i I , i i • i L.� --- — --- --- TOTAL(Also enter on Line 10, Recapitulation) $ --35,600.74 If more space is needed,insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE - INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Leroy J. Miller 21-11-1099 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS(Include outright spousal distributions and transfers under Sec.9116(a)(11).] 1. iBrenda Miller 42 Pipeline Road Newville,PA 17241 1Daughter 50%of Residue' 23 IBarbara Kieffer 320 Falling Springs Rd Landisburg PA 17040 3Daughter E 50%of Residue «.. _. { 3i Pauline R. Fickes 42 Pipeline Road Newville PA 17241 i jFormer Spouse I $32,691.88 C E( E `.•___i t._._........__•_-_......_.._._...,.._,. ,....._._.................._.........�,..... ] ! _....-...._.-........__.__._ I k.: "rwrx,.--r-r.+c"acn°si' pF7 LJI} I i _ . ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II 'NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: I i! °) i I � m B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1 I I i i TOTAL OF PART II — ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET If more space is needed,use additional sheets of paper of the same size. REV-1514 EX+(4-09) pennsylvania SCHEDULE K fT DEPARTMENIOFREVEXUE LIFE ESTATE, ANNUITY Bureau Individual f Tarts PO Sox of &TERM CERTAIN Harrisburg PA 17u8-o6o1 (CHECK BOX 4 ON REV-15oo COVER SHEET) ESTATE OF FILE NUMBER Leroy J. Miller 21-11-1099 This schedule should be used for all single-life,joint or successive life estate and term-certain calculations. For dates of death prior to 5-1-89, actuarial factors for single-life calculations can be obtained from the Department of Revenue. Actuarial factors can be found in IRS Publication 1457,Actuarial Values,Alpha Volume for dates of death from 5.1.89 to 4-30-99, and in Aleph Volume for dates of death from 5-1-99 and thereafter. Indicate below the type of instrument that created the future interest and attach a copy of it to the tax return. O Will ❑ Intervivos Deed of Trust ❑ Other LIFE ESTATE INTEREST CALCULATION NAME OF LIFE TENANT DATE OF BIRTH NEAREST AGE AT TERM OF YEARS 666 DATE OF DEATH LIFE ESTATE IS PAYABLE Pauline R. Fickes 09/09/1940 71 ®Llfe or ❑Term of Years ❑Life or ❑Term of Years ❑ Life or ❑Term of Years ❑ Life or ❑Term of Years ❑Life or ❑Term of Years 1. Value of fund from which life estate is payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 99,591.33 2. Actuarial factor per appropriate table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.22785 Interest table rate- ❑ 3.5% ❑ 6% ❑ 10% ®Variable Rate__2_0_0/6 3. Value of life estate(Line 1 multiplied by Line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 22.691.88 ANNUITY INTEREST CALCULATION NAME OF LIFE ANNUITANT DATE OF BIRTH NEAREST AGE AT TERM OF YEARS kkk DATE OF DEATH ANNUITY IS PAYABLE ❑ Life or ❑Term of Years ❑Life or ❑Tenn of Years ❑Life or ❑Term of Years ❑Life or ❑Tenn of Years 1. Value of fund from which annuity is payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .$ 2. Check appropriate block below and enter corresponding number . . . . . . . . . . . . . . . . . Frequency of payout-❑ Weekly(52) ❑ Bi-weekly(26) ❑ Monthly(12) ❑ Quarterly(4) ❑ Semi-annually(2) ❑ Annually(1) ❑Other( ) 3. Amount of payout per period . .. ... . . .. . .. . ... .. . ... .. . .... ... .. .. ... .. . .. . . .. ..... . .$ 4. Aggregate annual payment, Line 2 multiplied by Line 3 . .. . .. .... .. . ... . .. .... .. .. ... . . .. . S. Annuity Factor(see instructions) Interest table rate-❑3.5% ❑ 6% ❑ 10% ❑ Variable Rate % 6. Adjustment Factor(See instructions.) . . ... . .. . ... .. . .. . .. . .. .. .. .. .. . ... .. . . . .. ... . .. . 7. Value of annuity-If using 3.5, 6,or 10%, or if variable rate and period payout is at end of period,calculation is Line 4 x Line 5 x Line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . .$ If using variable rate and period payout is at beginning of period, calculation is (Line 4 x Line 5 x Line 6) + Line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .$ NOTE: The values of the funds that create the above future interests must be reported as part of the estate assets on Schedules A through G of the tax return.The resulting life or annuity Interest should be reported at the appropriate tax rate on Lines 13 and 15 through 18 of the return. If more space is needed,use additional sheets of the same size. SCHEDULE K LIFE ESTATE, ANNUITY AND TERM CERTAIN ESTATE OF FILE NUMBER LEROY J. MILLER 21-11-1099 EXPLANATION PAGE FOR VALUE OF FUND Per directions given by Department of Revenue, the total value of the fund for the life estate was derived by using the appraised value of the real estate and subtracting the outstanding balance of the Home Equity Line of Credit secured against the property as of the date of death. The property has been listed on Schedule G and the line of credit balance has been included on Schedule I with supporting documentation for each. co LAST WILL AND TESTAMENT I, Leroy J. Miller , of Lower Mifflin Township, Cumberland County, Pennsylvania, do hereby make, publish and declare this to be my last will and testament, hereby revoking all wills heretofore made by me. 1. I direct my personal representative to pay all of my debts, funeral and administrative expenses as soon as convenient after my demise. I direct that all inheritance taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property, whether or not such property passes under this Will, shall be paid by my personal representative out of my estate. 2. I authorize and empower my personal representative to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefore,in fee simple, as I could do if living. My representative is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said representative. \� 3. I bequeath the sum of ten thousand dollars ($10,000.00) to my former wife, Pauline R. Fickes, provided she shall survive me by thirty (30) days. 1 4. My children may purchase, prior to public sale, any items of personal property that they choose, at a price agreed upon with my personal representative. Thereafter, I direct that all remaining tangible personal property owned by me at my death shall be sold at public sale by my personal representative, and I further direct that the net proceeds thereof shall be administered and distributed as part of the residue of my estate. 5. If my former wife, Pauline R. Fickes, has not ceased residing in my residence at the time of my death then she shall be entitled to a life estate in the residence and shall have the right to dwell in the home and make use of the outbuildings and the parcel of land upon which the house is erected (hereinafter referred to as "the Property") for the remaining days of her life, in accordance with the conditions set forth herein. Pauline shall be responsible for the payment of any taxes assessed by any taxing authority upon the Property when due and such amounts shall not be permitted to become delinquent or Pauline's life estate shall terminate. Furthermore she shall be responsible for obtaining and maintaining a policy of homeowner's insurance on the Property listing my daughters, Barbara L. Keiffer and Brenda L. Miller as loss payees on said policy. Said insurance policy shall provide for coverage no less than the appraised value of the Property at the time of my death. Pauline shall likewise be responsible for maintaining the Property and for making the monthly payments due on the Home Equity Line of Credit loan for whatever balance is owed at the time of my death. If Pauline fails to ob 1\ obtain or maintain such insurance coverage, she becomes more than 30 days delinquent on the payments on the Home Equity Line of Credit loan or fails to maintain the Property in good �y condition then this life estate shall terminate if not corrected within 10 days of being given U written notice by my daughters to cure the defect. If Pauline is no longer able to live on the J Property due to medical needs or by her own choice for longer than 90 consecutive days, she shall forfeit her life estate and that right shall terminate. 6. Notwithstanding the foregoing, my daughters shall be entitled to take title to the J , Property upon my death as tenants in common. It is my specific wish that if my daughters continue to own the property subject to the life estate provided for herein. I direct that whichever of my daughters may be residing in the Property shall be responsible for the payment of any taxes assessed by any taxing authority upon the Property when due and such amounts shall not be permitted to become delinquent. Furthermore she shall be responsible for obtaining and maintaining a policy of homeowner's insurance on the Property listing both of my daughters, Barbara L. Keiffer and Brenda L. Miller as loss payees on said policy. Said insurance policy shall provide for coverage no less than the appraised value of the Property at the time of my death. If one of my daughters is residing on the Property, she shall likewise be responsible for maintaining the Property and for making the monthly payments due on the Home Equity Line of Credit loan for whatever balance is outstanding at the time of my death or upon termination of the life estate of Pauline R. Pickes. If any of the conditions set forth in this provision is not adhered to, then my daughter who is not residing in the home, at her sole discretion shall provide written notice to cure the deficiency to my daughter residing on the Property and if the situation is not cured within sixty (60) days of her receipt of such notice, then my daughter who has provided such notice shall have the right to cure the defect and shall be authorized to list the property for public or private sale and shall not be required to initiate an action in partition or other judicial action to sell or dispose of the property, provided that \� the net proceeds of such sale shall be divided equally between my daughters, after the cost of `�' curing any defective condition has first been reimbursed to the daughter who has incurred such Aexpense. 7. I direct that,with the exception of the Property specifically identified previously herein, all of my real property owned by me shall be sold at public or private sale by my \. personal representative, and I further direct that the net proceeds thereof shall be administered and distributed as part of the residue of my estate. Provided however, that either or both of my daughters may purchase any of my real property from my Estate for its appraised value, or may r take their share as an in-kind distribution provided sufficient assets exist in the estate to satisfy \y the debts of the estate and in accordance with all provisions of this Will. l 8. I give, devise and bequeath all of my estate of whatever nature and wherever situate to my daughters, Barbara L. Keiffer and Brenda L. Miller, provided, however, that should either of my said daughters fail to survive me by thirty (30) days, I devise and bequeath her share of my residuary estate to her issue,per slirpes, living on the thirty-first day following my death, and in default of such then living issue, such share shall be added to the share for my other daughter, or her issue, should she also fail to survive me by thirty (30) days. 9. I hereby nom hate and appoint Harvey A. Nickey, of Newville, Pennsylvania individually, to be my personal representative of my estate, to serve without bond. If Harvey A. Nickey cannot or does not serve, then I appoint Barbara L. Keiffer and Brenda L. Miller, to be my substitute co-personal representatives also to serve without bond and to serve jointly or individually, if one of them cannot, does not, or ceases to serve. 1 10. I suggest that my personal representative retain the services of Wolf&Wolf, Attorneys at Law of Carlisle, Pennsylvania in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this _Z day of f 1 L 2011. r ✓_ � /�1� �t (SEAL) Signed, sealed, published and declared by the above-named person as and for a last will and testament,in our presence, who at said person's request,in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. ACKNOWLEDGMENT AND AFFIDAVIT WE, Leroy J. Miller , Stephanie L. Hamilton and Sharon A. Barker, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his last will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses,in the presence and hearing of the testator, signed the will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. Leroy J. Miller Stephanie L. Hamilton Sharon A. Barker COMMONWEALTH OF PENNSYLVANIA : : ss: COUNTY OF CUMBERLAND Subscribed, sworn to and acknowledged before me by Leroy J. Miller, the testator herein, and sub ribed and sworn to before me by Stephanie L. Hamilton, and Sharon A. Barker,witnesses, this day of July, 2011. otary lic COPWONVVEALT11 OF PENNSYL VA,91A Mo?aria.5^sl Nathan C.VVOI;,Nrrtry Public CnA.iilSf?7orc,(;rAn'.Cac-`rafif}++pUf�i)' ' l Glnmission Expires RprR 19,nf2 Member,Petinsv lvan!;�Association ofof RCtraneA A. US Department of Housing&Urban Development THE INFORMATION CONTAINED IN BLOCKS E,G,H,I AND LINE 401 IS IMPORTANT TAX INFORMATION AND IS BEING FURNISHED TO THE IRS. IF YOU ARE REQUIRED TO FILE A RETURN,A NEGLIGENCE SETTLEMENT STATEMENT PENALTY OR OTHER SANCTION WILL BE IMPOSED ON YOU IF THIS ITEM IS REQUIRED TO BE REPORTED AND THE IRS DETERMINES THAT IT HAS NOT BEEN REPORTED. B.Type of Loan 1.FHA 2.FmHA 3.Conv. Unins. 6.File No: 17.Loan No: 8.Mortgage Ins Case No: 4.VA S.Conv.Ins. C.NOTE: This fans is furnished to glee you a statement of actual settlement mats. Amounts paid to and by the setuament agent and shown. Items marked ROC were Paid outside the Ina; they ere shown here for Informa5onal Du ses and are not Included In the totals. D. Name and Address of Buyer: E.Name and Address of Seller: F.Name and Address of Lender: George E. Blessing Estate of Leroy J.Miller,dec. Na Rebecca A.Blessing c/o Harvey A Nlckey 200 Blain-McCrea Road 125 Blain McCrea Road Newville PA 17241 Newvllle PA 17241 ' G.Property Location: H. Settlement Agent: I.Settlement Date: WOLF&WOLF Pipeline Road Place of Settlement: December 7,2011 Newvllle,PA 17241 10 WEST HIGH STREET CARLISLE PA 17013 J.SUMMARY OF BUYER'S TRANSACTION: K.SUMMARY OF SELLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 101. Contract Sales Prce 40,000.00 401. Contract Sales Prce '40,000.00 102. Personal Pro 602. Personal Property 103. Settlement Cho to Borrower Ilno 1400 612.00 403. 104. 404. 105. 405. Adjustments for items paid by Seller In advance '. Ad ustrnenta for Items paid by Seller in advance 106. G frown Taxes 1/12011 TO 12/312011 8.84 406. Olyfrown Taxes 8.84 107. County Taxes 407. County Taxes 108. Schod Taxes 7/12011 TO 6/302012 430.92 408. School Texas 430.92 108. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 1 41,051.76 420. GROSS AMOUNT DUE TO SELLER -213176 200. AMOUNTS PAID BY OR FOR BORROWER: 500. REDUCTIONS IN AMOUNT DUE SELLER: 201. Deposit or Earnest Money 5,000.00 501. Deposit 5,000.00 202. Principal amount of new loan(s) 0.00 502. Settlement dra es to Seller line 1400 2,400.00 203. Exlstl loan(s)taken subject to SM. Etdstl loan(s)taken subject to 204. 504. Pay,off ent mortimae loan 0.00 205. SOS. 206. 506. Payoff second mortgage 0.00 207. 507. 208. 508. 209. Wit. Ad uatmants for Items unpaid by Seller Adjustments for Items unpaid by Seller 210. Cityfrown Taxes 510. CI ?own Taxes 211. County Taxes 511, County Taxes 212. School Taxes 512. School Taxes 213. Water/Sewer 513. Wahu/Sewer 214. 514. 215. 515. 216. 516. 217. 617. 218. 518. 219. 519. 220. TOTAL PAID BYWOR BORROWER 5,000.00 620. TOTAL REDUCTIONS FROM SELLER 7 00.00 300. CASH AT SETTLEMENT TOIFM BORROWER 800. CASH AT SETTLEMENT TO/FM SELLER 301. Grass amount due from Bonower line 1201 11 41 051.76 601. Gross amount due to Seller 40 439.76 302. Less amounts Paid b/for Borrower Ism 220 5 000.00 802. Less reductions from Seuer line 620 5 000.00 303. CASH X FROM _TO BORROWER 1 35.051.70 803. CASH _ FROM _PTO SELLER 1 35,439.76 1 haw carefully reviewed this Settlement Statement and to the best of my knowledge and belief,it is a true and em nsta statement of all receipts and disbume nanta made on my amount or by me In this transaction. I fuller certify that I hive received a copy of this HUD-1 Settlement Statement. 1 direct and authorize the Settlement Agent to make the dishibut ons Indlmted for my account remgnWng that the Settlement Agent Is not responsible for the accuracy or validity of the disbursement amounts or the completeness of charges made by others. Any Interest earned oo funds deposited with SeMoment Agent hereunder may be retained by Settlement Agent - 1_„� ��>�' � BUYER George E. Blessing SELLER FjOvey A., ickey,Executor of the Estate of .Ceroy J. Miller,deceased 1 BUYER Rebecca A. Ble ing SELLER To the best of my knowledge,the HUD1 Settlement State nenl which awe prepared Is a true&accurate amount of the furls whlch were moot ed and havehvlll be disbursed by the undersigned as part of the seWemant M this transaction. SETTLEMEN c5i T NATHAN C.WOLF DATE i L.SETTLEMENT CHARGES Page 2 FTPA3-HUD-1 REV. 4190 700. TOTAL SALES/BROKER'S COMMISSION: PAID FROM PAID FROM BASED ON PRICE $ 40,000.00 @ 3% = $ 1,200.00 BUYER'S SELLER'S Division of Commission(line 700)as follows: FUNDS AT FUNDS AT 701. $ 1,200.00 to Century 21 A Better Way SETTLEMENT SETTLEMENT 702. $ 0.00 to 1,200.00 703. Commission aid at settlement 8007 ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Origination Fee % to 802. Loan Discount % to 803. Appraisal Fee to 804. Credit Report to 805. Lender's Inspection Fee to 809 Commitment Fee $ to 811 Processing Fee $ to 812 Yield Spread Premium 813 service Released Premium 814 815 816 828 900, ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901, Interest from to t da X da 902. Mort a e Insurance Premium for 0 Month to 0 903. Hazard insurance Premium for 0 Year to 904. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance Months 0 $0.00 per month 1002. Mortgage Insurance Months @ $0.00 per month 1003. City/Town Taxes Months @ $0.00 per month 1004. County Taxes Months Q per month 1005. SchooiTaxes Months @ $0.00 per month 1006. Months @ per month 1007. Aggregate Adjustment 1100. TITLE CHARGES 1101. Settlement or Closing Fee To Nathan C.Wolf,Esquire $150.00 1102. Abstract or Title Search To 1103. Title Examination TO 1104, Title Insurance Binder To 1105. Document Preparation TO 1106, Notary Fees To 1107. Attorney Fees To Nathan C.Wolf Esquire POC includes Item numbers: 1108. Title insurance To includes Item numbers: 1109 1109. Lender's Coverage $ 1110. Owner's Coverage 1111. Endorsement Fees 1112. Overnight Mail Expenses TO 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording: Deed $62.00 Mort a e $0.00 Other $0.00 62,00 1202. Local Transfer Tax Deed $400.00 400.00 1203. State Transfer Tax Deed $400.00 400.00 1204. 1205, 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Auctioneer Commission to Gary L. Mentzer 2%of Sale Prioe 800.00 1302, to 1303. to 1304 to 1305. to 1308. to 1400.TOTAL SETTLEMENT CHARGES enter on lines 103,Sec.J and$02,Sec.K 612,00 2400.00 aO1JOttATgN OF BELtaR'8TA%➢ATER A)ENi1FCAiroN NUMBER:SELLERIB REOVUiE0 aY4W TOPAONDE EbET!{EwrHT ARENTWmIH OORNEGT TAIfPAYER mEMiFIG.TION NUAgER.6THE OOPoIECI'TA%PAYER IJal1'IFKATpN MUMaen W NOTPRGNpED,BEUFR MAYBE BUBlECTTO CML OR CWMMAL PEIULl�B e.W08E0 BY tAW. rfEM E,WMIOI LOMA818 TMq INFOftlMTKK18H0Ulll BE CNECKEO fORACWMLY.UNDER PEH411FS OF PERxmY,l CEItrIFY THAT THE TAH SN(WM N TN19 STATEMENT 6 MY WRI✓ECFTNV'AVER IOaOFIFATgN N{1A®ER, WARNING:R IS A CRIME TO KNOV NGLY MWE FALSE STATEMENT TO THE UNITED STATES ON TWS OR ANY SIMILAR FORA?.PENALT1Es UPON CONVICTION CAN NULIDEA FNEANO IMPRISONMENT.FOR OEMLS SEE TITLE 18 US CODE SECTIONS 1001 AND 1410, Any Interest earned on funds deposited 1Nth Sadlemem Agent hereunder may be retained by Settlement Agent �ee..oF ma'sII� II o° ovs.R.o..Iw asm�l aG9 �Illlllf �_ A. Settlement Statement (HUD-1) ai,~a.vee B.Type of Loan 1 �FHA 2 RHS ',6.File Number 7.Loan Number 8.Mortgage Insurance Casa Number. 3. Conv.Unlns.; 3496.33 1043&03 r�1 . 4. u VA 5. Conv.lm. i i C.Note: m+m,,.mnniraemdnrwarea�ea NSmm armrnry mss u,evu raa m.,agn...m.m.n.Mxw.nerd come _-__.._. ___ 'm.a<r,•..au eon.n r+�ar a.r...n w.n I..w nemevn ww...m u.,n�wae n m.vm D.Name and Address of Bonower E.Name 8 Address of Seller F.Name and Address of Lender. Jason A.Davis,a marred man d Estate of Leroy J.Miller I Cornerstone Federal Credit Union James J.Kemoschak,a mantled man 5 Eastgale Drive P.O.Box 7181 Carlisle,PA 17013 1 1 G.Property Location: H.Setlkmenl A;M Name: (717)241-4436 I.Settlement Date: - - -- Blain McCrea Road,Newvllle,PA 17241 Nathan C.Wolf,Fsqulre 03!132013 Lower Mifflin Township,Cumberland County,PA Tax Parcel#15-03-0057-001815-03-0057-032 PtawofSettlement 10 West High Street,Carlisle,PA 17013 100. Gross Amount Due From Borrower 400. Gross Amount Due To Seller 107. Contract sales price 160,000.00• 1401. ConfraG sales price 160,000.00 102. Personal Property 1 1402. Personal Property I 103. Settlement charges to borrower Qine 1400) 3,513.41 1403. i 104. 1 1404. -'-___- 105. 1 1405. -- Adjustments for Items paid by seller In advance 'Adjustments for Items paid by seller in advance 106. City/town taxes to ;406. CByROVm lazes to 107. County taxes to 1 1407. County taxes to 108. Assessments to I .408. Assessments to `- 109. School Tax 03113/13 to 06/30/13 i 106.36 :409:School Tex Mara to 0&30tl3 106.38 110. Garbage Fee , 410. Garbage Fee 111. - 112. 1412. -- --�- 120. Gruen;Amount Due From Borrower 163.619.78 420. Gross Amount Due To Seller 160,108.38 200. Amounts Paid B Or In Behalf Of Borrower 500. Reductions in Amount Due To Seller 01. Deposits or earnest money 5.000.00 501. Excess deposit(see Instructions) _ 02. Principal amount of new loan(s) I 128.000.00 502. Settlement charges to seller(line 1400) - 1,600.00 03. Usting loan(s)taken subject to I : 503. Existing loans)taken subject to 04. 504. Payoff of first mortgage ban - - - 05. I 505. Payoff of second mortgage ban 06. 506. 07. 507. 08. j 508. -- 209.Adjustments for Items unpaid by seller Adjustmema for items unpaid by seller 70. CByltown taxes to :510. CByAown taxes to - - -- 11. County taxes 0101113 to 03I13113 I 12%tl ;511. County taxes 0101f13 to 0113rt�' 12.92 12. Assessments to ; 1512. Assessments to 13. School Tex to 1 '513. School Tax to 14. -------- . _....___ 914. - 15. . :515. 16. - 1 :516. i 217. I ;517. I 18.. - i 1518. I 19. • .519. -------- 220. Total Paid ByfFor Borrower 133.012.92; ;620. Total Reduction Amount Due Seller 1,612.92 1300. Cash At Settlement From7To Borrower 1 .600. Cash At Settlement TofFmm Seller 301. Gross Amount due from borrower(line 120) i 163,619.79! :601. Gross Amount due to seller(line 420) �60.i06.38 02. Less amounts peld bydor be.,(line 220) 133,012.92; 1602. Less reduWons In amt.due seller(line 520) ( 1,612.92)' 1303. Cash O From �TO Borrower S 30,fi0B.87 I iS03 Cash I X('To From Seiler S 158,493.46 The Public Reporting Burden for this collection of information Is estimated at 35 minutes per response for colle",re a1M mSoNng me data. This ege7rrcY may not tolled this in motion,and you are not required to w plele th form,unkxi d dnPlays a eurren •valid O control number Now, dentlellIryty Isamu dish um In mandatory. TTb b designed to provide vie pames to a RESPA Va n dh Information during Me settlement Borrower Jason A De !Se ller to of J. at Bononer James J.K 4;_p0VfmK Seller The HUbl tbabueaM emmte aomunl ofNathansifa4n. lf,Eqush de smm d axadance vAN tlrb ara2mmt - Nathan C.Wolf.Esquire Settlement Agent Dale l5 �t a.q t as rnx4r Sculement Charges 701. to n DMsion of commission Oine 700)as follows: $ ,, 702. $ to enhe 703. Commission paid at settlement D,Dp 800. IfirMAPa'b I e-t0c'o p-RjV.WyitLd4Ln - ! 801. Our odglnation charge $ 0.00(from GFE#1) "v34??f+3;';i;•"7"�,a':-;-:7"',;'d 802. Vour credit or corgis(poiMS)far Na specific interest chosen 803. Your adjusted origination charges (from GFE#A) _ 804. praise e o Cornerstone Federal Credit Union (from GFE#3) 325.00 - 805. Crildit repo to (from GFE#3) - ... -.._--... 806. Tax se cis to (from GFE 93) 807. Flood mr1iftation (from GFE#3) --._. ..____ ._..._._._..... i 808. .___.-. .....___-.._.._.. 809. 810. 900. It'eols'rRe dlrod ' LenBerto 8 +nA n n. tY+- 907. Daly interest charges from to Y /day (from GFE#10) 9G2. Mortgage Insurance premium for months to (from GFE#3) 803. Homeovmers insurance for years to u6b eserves De ' sited th de .'.° 1001. Intlial deposit for your escrow a=unt (from GFE 09) 0.00 1002. Homecvmers Insurance months per moO $ 1003. Mortgage Insurance months S per months fv°%::.<'% . �,:M ;�1,Yt ;rv•,;"2; 1004. Property lazes momhs®S per month s 1005. montht®S per month S 1006. months®S per month S 1007. - months®S per month b ,5 ^=%;r3a`':?:-=:"u^"J&c"i°hs%%a_:i 's 1008. Aggregate Adjustment -s 700 . O'+Gha es1 ., 1101. TNe services and lenders this Insurance (from GFE 04) 1,350.00 1102. Settlement or ciosing fee b 1103. Owners tale Insurance 160.00 (fmm GFE#5) -- --__.-! 1104. Lenders floe Insurance S 1.040.00 1 -- - 1105. Lenders ittle policy limit $ 128,000.00 11G6. Owners thie policy um8 $ 160:000.00 1107. Agents portion of the total We Insurance premium $ F(>?r*?'ts f�: -,^:f,•{r�4m 4-+� 1108. Underwrttees pardon of the total We Insurance premium $ =?aTfr F-v'-_J;'(:P-..... 1109. ErMomemenu,100MOO1900 150.00 � -Ti,10. 1177. - 0 Ga e e eeotdingran Trans er C` 'e 1201. Govemment recording charger'Recorder of Deeds (ft.GFE R/) .172A0 0.00 ; 1202. Deed$ 72.00 Mortgage$ 100.00 _ Releases 5 '}.- 1203. Transfer fazes Recorder of Deeds (ham GFE 08) I 1,600.00 _ .. 1,600.00 i 1204. CayrCauntytax/smmps Dead$ 1.600.00 Mortgage$ 1205. State tex/stamps 'Deed$ 7.600.00 Mortgage 1206. 1207. -,:tr''.x�.'FI•:<.�-gYil:�'f...- "^1��.a^..,'C - 300. ddf[lo - IFSe em CG arges 1301. Required services that you can shop for (from GFE#6) rr'!:; ^_ia.e c:•., ;;� 1302, 2013 Coumyrrownship Real Estate Tax to: Sherry Winter,Tax Collector 66,41 . 1303. 1304. .___..... -. 1305. 1306. 1307. 1308. 1309. ,+ + R 13.41 �+1,6W.DD- van amav a au+c n eone.v -wa aaem aaao ywsa aw.aeemxn.ee eeme wse2a3 wmn / +-•w a-w- o �V39.� n4N. Dom"arisomoJ Goo`�7.a ft imate-GF�)at`nd S3UD=7 Cryalges ' dD-1 Charges That Cannot Increase HUD-1 Una Number Our origination charge # 801 0.00. Your credit or charge(points)for the specific Interest chosen # 802 Your adjusted origination charges # 8030.00 Transfer taxes # 1203 3,200.00 1,600.00 Charges That In Total Cannot Increase More Than 10% Gavemment recording charges # 1201 256.001 172.00 Appraisal Fee If 325.00 325.00 �_._.. # -If 581.00: 497.00 Increase between GFE and HUD-1 Charges $4.00 or- .14.46% Charges That Can Change ., _ Initialdepoaftoryourescrowaaount # 1001 0.00 Dalyimerestcharges # 801 1 tlaY Hanhmmees insurance # 903 Tine Services # 1101 -- 7,250.00— -- -- Owner's Title Insurance # 160.001. ._.J # Loan Terms Your Initial loan amount Is $ 128,000.00 Your loan tam Is 15 years Your Initial interest rite is 4.750 % Your Wbl monthly amount owed for prindpal,interest $ 995.94 Includes and any mortgage Insurance is Principal Interest Mortgage Insurance Can your Interest rote rise? rD No D Yes,it can rise to a maximum of %. The first change we be on and can change again every after . Every cange date,your Interest rate can Increase or decrease by %. Ova the fife of vie ban,your Interest ram Is guaranteed to never oe rower man %or higher than %. Even M you make payments on tlme,con your ban balance rise? r$ No r— Yes,it can rise to a maximum of 5 Evan if you make payments an gme,on your month y $! No C Yes,the that Increase w111 W on amount owed for principal,Interest and mortgage Insurance rise and the monthly amounts owao on rise to 5 The maximum it can ever rise to Is S Does your loan have a prepayment penalty? $ No-: Yes,your maximum prepayment penally is$ Does your loan haw a balloon payment? $ No_i Yea,you have a ba con payment of S due in years on $i You do not have a mommy esc payment or hems sucih as pmpeny taxes Total monthly amount owed Including eacow account payments and homeowmees Insurance. You must pay these Items directly yourself. You mane an addlional monthly escrow,payment of 5 the resab In a total initial monthly amount owed of$ This Includes principal,MteresL mortgage Insurance and any hems checked below. Propeny oxen [j Ho neovmees Insurance Flood insurance Note: If you have questions about the Settlement Charges and Loan Terms listed on this form,please contact your lender. v,.,aa.emenmaw ns.ana rvo-h L.� ACNB BANK Statement Date: 10/16/11 Account* 124540 —"*********AUTO**5-DIGIT 17241 94 0.9920 AV 0.340 1 194 Page 1 h��It6��L�L61��luJlLhd���LLL1,6�J��h�LILLJ 803 LEROY J MILLER 42 PIPELINE RD NEWVILLE PA 17241-9759 check out our low rates on home equity lines and loans! use the funds for any needs you may have --- pay off high interest bills, build your dream kitchen or pay for tuition. visit acnb.com or stop by one of our offices today. Equal Housing Lender. Equal opportunity Lender. Member FDIC. RELATIONSHIP CHECKING Account# 124540 Account Summary Beginning Balance Activity Ending Balance Previous Statement Balance 09/15/11 $2,518.90 + Deposits and Other Credits 1 12,000.00 -Checks Paid or Other Debits 4 417.48- -Service Charges .00- + Interest Paid .00 Ending Balance $14,101.42 Days in Statement Period 31 Account Detail Date Activity Description Deposits/Credits Checks/Debits Balance BEGINNING BALANCE ,, 2,518.90 09-19 CHECK#4613 200.00 2,318.90 09-20 CENTURYLINK BILL PYMT 63.31 2,25539 SERIAL NUMBER:4611 0000000000000314317208 09-22 ADAMS ELECTRIC D ELEC PAYMT 85.81 2,169.78 LEROY J MILLER 09-23 DIRECTV CHECKPYMT 68.36 2,101.42 SERIAL NUMBER:4612 �--- 006105144 09-26 CUSTOMER DEPOSIT 12,000.00 14,101.42 10-16 ENDING BALANCE 14,101.42 acnb.com •acnbbusiness.com•P.O.Box 3129,Gettysburg,PA 17325•Phone 717.334.3161 •Toll Free 1.888.334.ACNB(2262) Page 2 124540 Checks Paid Indicates skip in check number Check# Date Amount Check# Date Amount 4613 09-19 200.00 Total Number of Checks: 1 Total Amount of Checks: $200.00 Overdraft Charges/Refunds Summary Description This Cycle YTD Total returned item fees .00 .00 Total overdraft fees .00 .00 Total fees charged .00 .00 Description This Cycle YTD Refund of returned check fees .00 .00 Refund of paid check fees .00 .00 Total fees refunded .00 .00 END OF STATEMENT CENTURYTEL, INC. Document / Date ATTN: Controller's Group 2001052708 / 12/12/2011 -1/= P.O. BOX 4065 , zl MONROE, LA 71211 Your vendor number WA 1-877-386-7151 500000 CenturyLink- Document Invoice Date Gross Amount Deductions Net Amount Text Payment is made on behalf of EQ United Tel-PA, T856. 1900051660 3143172080 12/08/2011 10.59 0.00 10.59 Refund Questions? Call 1 888 723 8010 Sum total 10.59 0.00 10.59 I I i txayment dacl{ment Check numb 17ate CutrnGy Rayment arrteurtt A0145�7Q.B Qf3D36i8694' �1J2b11 UST? 0ii54* FINAL SMMEMENT Data OWN Dare of --Cashie, C%ther PROCEEDS OF SALE: Cash— — ......... . S— Checks---------.-.._._..... ... Other................ --------------- -- ----------- .............. ......................... ------- --------------:.— --...-......... ... ------- ............ Miscellaneous (See attached list).._ ......... ........... TOTAL PROCEEDS OF SALE...-_............... ............$ LESS SELLER'S SALE EXPENSE: Auctioneer's Fee ........ ...... ...... Other Seller's Expenses V0 Advanced by Auctioneer., y cc Miscellaneous (see attached Hs-,)----- ---------- -- DEDUCT TOTAL SELLER'S SALE EXPENSE.......$ C, yp TOTAL NET PROCEEDS 'TO SELLER___$ 6�0 1, (or we), the seller of goods, merchandise, and/or prope-.-t, sold at pubiic auction on above date and location, acknowledge and accept *his settlement of proceeds of sale. 1 (or we) agree to accept all re- sponsibility for providing rnerchantable title to all goods, merchandise, and/or pro arty sold, and for delivery of title to the purchaser. (Date) t-1 Aeller's 51gnature) -Z�--2. Auconiaer�ftrCa, (Sefler's Signature) ��✓� cf�c� cam, �gr��� �n� �''�� l +I ��( 2►" r�Gr'L�ase� �t�iaw� 7'a pttbilG Sc /C -rl'" O"n -714t, ova T., ffii e A 0 0, ,se ���✓, GVitk\ M I P-ra?n Pat, rt, , Pk,iG, ew �6 U. 00 Iw J �/ -y- � a bt u dal�a / t�r11 5 Gce taco �� �s 7G b� taker, � k ev, 60P/ Personal Property Appraisal Date: /O .10 This appraisal is made for the owner,or agent of owner,of the item(s)listed herein for the purpose of Address C Location�itemJs - Address �oj S— ollinl City,��i�s2a 1 State �_Zip i71 yJ �3 Phone27 – .,9� As appraiser(s), I(We)assume the item(s)listed herein to be authentic,and based upon that assumption,I(We) am/are of the opinion that current fair market value is: Lot No. Quantity Description of Items) . Value Date ///7—//on this date Me have personally inspected and appraised the item(s)listed herein and the price(s)given represent my/our opinion of current fair market value.The undersigned appraiser makes no vim may as to the authenticity,origin, condition,provenance or quality of any item listed and evaluated herein. This estim ate of value must not be considered an offer to buy or sell any item(s)listed-Further,appraiser does not have present or wntmnplated interest in any items herein. Principal Appraiser(written signature) �aAJM� Name: Gary L Mentzer AU 1628L Pkf9e:(717) 776-7447 Address: 505 Shippensbtre Road City Newville State_PA Zip 17241 P ( rc/kac- r-, R reewi evvt SnAnba,,a kIA6"' ,40Ghc4Se� pPrdY To P4blrc Sale lAe f\crocy J. ra filer esfate, Cane PevonlylglovN plc/ -AO 30-d6 Ser 3��5'`f� (o 1"al^ Toe offal/ar5 . / IA rs /s 7o be �CC E✓L /`dth �12✓' cS�c4 r �h e, egtr�,e, lqo r�e y /r1t el Exow LAC Pax copy 4 Reimbursement1- Check\ A R G U SM `36-1870/1012 0 Pay to the order of: Check No: Check.Date .: Dollars Cents o MILLER ,LEROY J. 1148340 Oct Ober 69, .2011 VOID AFTER 180 DAYS TWENTY AND 30/100 DOLLARS ***** COMMERCE BANK, NA KANSAS CITY, ST. JOSEPH . IIIIII II III �IIVII AUTHO IGNATURE 110000 1 148 3 40116 I: 10 12 18 70►.l: 4 30000 46 LIi' j II II�III( III i I III 00535. LEROY JOHNSON LEROY JOHNSON ^ MILLER MILLER 42 PIPELINE RD 42 PIPELINE RD + , NEWVILLE NEWVILLE PA 17241-9759 PA 17241-9759 0 0 lri n Policy Number: 5837A 866396 Check Number: 58476176 m Refund Amount: $ , "`131 '25 Check Issued: 11-03-2011 N O O This refund was issued for the following reason(s): Your policy has been cancelled. This check is to refund you what we owe. - r MWo ' LW i Q If you have any questions, please contact,your iNationwide representative. Agent Name: AL SHOEMAKER ' a Agent Phone Number: 717-776-7229• Agent Number: 0025005 i Detach Stub Before Cashing And Keep For Your Record T_ N T Q Ll c N ;. ... E co .• z a£i Z zm<n I m m y Og 0 N I N N QN,I : co W X to U W : r m Im m Q I N C U U a ai r t0 d a�.�i — c N L6 d M U N Oa V = ro i W N C •`o ll�N4. �y N TO OI N E h C N xa N9 0� - Z O Eba w z + > o Comm 7Q W wQN F U mno N m� F_ Q U QQ.C7 I�+1w u� W 'i NZ f C w z ~ U a0i >EZa = -ac o J W WC HWNW Lu 2 Q S RETAIL INSTALLMENT CONTRACT AND SECURITY AGREEMENT r Burs 1 1 y' - f / t1 !' f_ r ; r E_`:, F.1. 7 Pnnn :- Address.' Seau city Srtle IIP sage;;_Cumberland.Valley Memorial Gardens R.D. #5, Box 105, Carlisle, PA 17013, 243-3541 uamaen In,Aagreemahl,the words,hme,mine and rater to each and UI ofmosssigning as Buyer or Co euyer.the words•o)_u,1.or and yours refer to Geller and to Seller i Assignee. You ready sell me the goods andlor Services described in this agreement,together with allot its accessories and equipment(the"Glade1 on Ina erms spNled OUI on this agreement,including IM1giO On the reverse side, Ouamlty Desnptinn ae s mmt Teorri To'Pay for he Goods.t Promise to pay you the total at payments slated below,in accordance with the repayment schedule also shown below. ANNUAL PERCENTAGE FINANCE CHARGE Amount Financed Total ofPayments mall SalePolla RATE - The dalla,amount the credit The amount of credit The amount I will have The fatal coal of pur win cost me provided to me or on avid after 1 have made these on credo,indud The cast of my credit as a yearly rate. my behalf. all payments as acted in9 down payment of uletl. S My payment scM1CQule will gait Number of Payments Amount of Payment When Peymenb are Due huseleard, Credit life insurance and credit disability insurance are not required to obtain credit,and will not be provided unless I sign and agree to Pay the additional code. Type I Premium Signature Credit Life I went trees lire maarance.Sq a. Credit Life and Disability I want credit life and dia uhly insurance.So natum Security:I am giving you a security Interest in: 1.The Goods being purchased(the 'Collateral"1. 2.Any money,deposit balances or other property of mine In your possession Filing Fee.:$ Leta Charge:If a payment is late.I will be charged five 15%)percent of the payment,or Five(S5 01 Dollars,whichever is less. Prepayment:If I pay off early,I may be entitled to a refund of part of the finance charge. The remainder of this agreeme at nt Includes any additional information about nonpayment,default,any required repayment in full before the scheduled de,and pre Pay merit refunds and enal tie z. ITEMIZATION OF AMOUNT FINANCED:$ (1)Cash Price is 12)Total Down Payment S Payments are to be made at any office of (3)Unpaid Cash Price Balance IS lal Credit LilelDisabiliry Premium S (5)Amount Paid to Public Officials f Cash Down Payment S _ Prepayment Of Whale Comrad.Even though I..sun'I pay more than the fixed installments,I have Me right to prepay the whole outstanding amount of this contract at any lime.If I do,or if this loan is refinanced—that is,replaced by a new agreement—you will refund the unearned finance charge.However,where for Lint of the credit is less than$t 00,no refund need be made.Where the unearned finance charge amounts to less than the minimum service charge permitted .near the Pennsylvania Goads and Services installment Sales Act,there may be retained an amount equal to the minimum service charge of 701 at month for mididne on of six months. DefauR.I'll be in default: t.lf I don't pay an installment on time;or 2.If any Other Creditor tries by legal process to take any money in your possession;Or 3.If bankruptcy proceedings are filed by me or against me. a.If I should die;or 5.If I should fail to pay any other loan or liability to you when due;or 6.If I should break any promise under this agreement. You Can then demand immediate payment of the unpaid balance of this contract You will also have Other legal rights,for instance,the right to repossess.sell,and eP01y security to the debt awing under this agreement and any other debts may then awe you. bregulo Payments.You can accept late payments or formal payments,even though marked"oeymem in full;'without losing any of your rights under this agree- nt. m Delay In Enforcement.You can delay enforcing any of your rights under this agmemeot winner losing them. C011ectian Cosn. If I'm in doo It under this agreement,I also agree to pay collection fees of 20%of the amount due,as well es any other collection vests and/or court costs. Information about CedR Insurance.If creep life insurance is requested,the insurer will be: ❑ ❑Omer identify) If credit disability insurance is requested,the insurer will be ❑ ❑Otter Identify) Notice Required Under State Law: NOTICE OF PROPOSED CREOIT INSURANCE The Signans)of this agreement hereby trials)notice that group credit life insurance coverage anchor group credit accident and health insurance coverage will be applicable to this agreement if so marked and each such type of coverage will be written by the insurance company named This insurance,subject to acceptance by the insurer covers only the person signing the request for such insurance.The amount of charge is indicated for each type of credit insurance to be purchased.Thetford of insurance will commence as of the date the indebtedness is Incu:,ed and will expire On the original acheduledtmnturity date of the irMebtin n tabSubpat to accept _ ante by the insurer and within 30 days,there will be delivered to the insured debtor a certificate of insurance more fully describing the insurance.In dre even%of prepayment of the heretedness,a refund of insurance charges will be made where due. Buyer.If I'm signing this agreement as a Cc Buyer,l agree to be equally responsible with the Buyer.You don't have to notify me that this agreement 1,8901 been paid.You Can Change the terms OI payment and release any security without notifying or releasing me from responsibility on this contract. Additional Provisions.All of the additional promises and agreements on the reverse side of this agreement are binding on me just as though they were printed here on the front. 1, COPY RECEIVED, THE BUYER ACKNOWLEDGES RECEIPT OF A COMPLETELY FILLED-IN COPY OF THIS AGREE- MENT. NOTICE: ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS SUBJECT TO ALL CLAIMS AND DEFENSES 'WHICH THE DEBTOR COULD ASSERT AGAINST THE SELLER OF GOODS OR SERVICES OBTAINED PURSUANT ' 'HERETO OR WITH THE PROCEEDS HEREOF. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER. NOTICE TO BUYER: DO NOT SIGN THIS CONTRACT IN BLANK—IT IS PROHIBITED BYLAW.YOU ARE ENTITLED TO AN EXACT COPY OF THE CONTRACT YOU SIGN. KEEP IT TO PROTECT YOUR LEGAL RIGHTS. YOU THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSI- NESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Cumberland Valley Memorial Gardens _(SEAL) (SEAL) ISellerl lauyen S.W. BARRETT REAL ESTATE AND APPRAISAL SERVICES File No.11-0304 APPRAISAL OF f � T :K r LOCATED AT: 42 Pipeline Road Newville,PA 17241-9759 CLIENT: Wolf&Wolf,Attorneys At Law 10 West High Street Carlisle,PA 17013 AS OF: September 25,2011 BY: Stan A.Skowronek PA Certified Residential Real Estate Appraiser S.W. BARRETT REAL ESTATE AND APPRAISAL SERVICES File No.11.0304 1211312011 Wolf&Wolf,Attorneys At Law 10 West High Street Carlisle,PA 17013 File Number: 11-0304 In accordance with your request,I have appraised the real property at: 42 Pipeline Road Newville,PA 17241-9759 The purpose of this appraisal is to develop an opinion of the defined value of the subject properly,as improved. The property rights appraised are the tee simple interest in the site and improvements. In my opinion,the defined value of the property as of September 25,2011 Is: $135,000 One Hundred Thirty-Five Thousand Dollars The attached report contains the description, analysis and supportive data for the conclusions, final opinion of value,descriptive photographs,assignment conditions and appropriate certifications. Respectfully submitted Stan A.Skowronek PA Certified Residential Real Estate Appraiser Summary Residential Appraisal Report File NO. 11-0304 The purpose of this appraisal report is tu provide the client with a credible opinion of the defined value of the subject property,given the intended use of the appraisal, ClientNamail,, died User Wolf Attorneys At Law E-mail N/A Client Address 10 West Hill Street Ci Carlisle Stale PA Zi 17013 Additional Intended User s The Intended User of this a raisal report is the Client. No additional intended Users are ermined without the ermission of the a raiser s. Intended Use The Intended Use is to evaluate the ro ert that is the subject of this a raisal to rovide the Client with an accurate and adeguately supronefift opinion of value. c Neviville stare PA zi 17241-9759 Pro r Address 42 Pi cline Road county Cumberland Owner Oil Record Muller Lero J. Le al oescri Lion Deed Book 34L a is 1047 Tax Year 2011 R.E.Taxess 1997.00 Assessor's Parcel# 15-03-0059-012 Ma Reference 03.0059 Census Tract 0130.00 Nei hbornootl Name Lower Mifflin towns hl Pro a R'hBA raised X Faesim le Leasehold Other describe M research did X idnotrevealan mr seleembansteaof thesuti ecl ro er for the three ears riorto the eflecibe dale o(misa raisal. Prior Saelrransfer. Data 0 312 311 9 9 0 Price$1. Sources Courthouse Analysis of prior sale at transfer history of subject property(and comparable saes,it applicable) No riot transfers of the subject within the ast36 months nor were there an prior transfers of the com arables within 12 months of their sale date. Offerings,options and contracts as of the effective data of the appraisal None noted NNBhBarlrootl CNadcteristics One-unit Haman9Tearol One-Uniteousing Present Lendua 15% Location Urban Suburban X Rural Pm er Values Inneasin X Suable Declining PRICE AGE Ulm usill 0% Built-U Cver75% X 25-75% Under 25% Demard5u Shod e X In Balance Over SU 8000 rs Muth Fa Growth Ra id X Stable Slow Markegn Time Untler3miha X 3-6Irmo Over6mms 110 Law 20 Mu1GFami 0% - Neighborhood Boundaries The subject is bounded on the north b Pi cline Rd on the east b 140 plea 45 Omer Vae 85% • Oakhill Rd on the south b Walnut Bottom Rd and on the west b route 233. The sub act Is located otl scription alon a rural secontla road Brown at homes of va in size st is and ualit . It is Neighbolho De within reasonable driving distance to ammenities such as schools sho in and ammenities. Market Condifions(including supportfm the derveconclusions) See Attached Addendum Dinrensions 435.8x200 Area 2 Acres tutu shape Rectangular Vew Open count 5 iXC Zonin Classificabon A Zonin Descri tion A rieultural Zonin Com Hance X Le al Le al NOnconformi GrandfaU led USe Nozonin illegal describe Is the highest and bear use of the subleu Property as improved(or as proposed per plans and specimcia s)me present use? X Yes No Ii Np,describe. off-shem rov¢menl5—Ty a Public Privale Public IXM1er tl¢eclibe X lxillaes Public Other describe X Well Street Macadam Elecbici X a Can Sanity sewer X area Septic Alle None sub ert is not riinaa sweceal FEMA Flood hazard area w moo rit42041C0015Eldated 03116120091Zone X on marketability. e L DESCRIPTION. FOUNOA110N EXTERIOR DESCRIPTION maRrals INTERIOR - mafsliefs GENETW units X One OneetlPta.pnd Concrete Slab Qaw15 ace Foundadonwatls Cone BIkIAv Flood Cr Win IIAv #of stories 1 X Full Basement Partial23 , t RoofS enorWalls Cond AV Walls D alllAv Toe XDet. Al. S-DetlEntl Unit BasementMea 1232s ,b. Roof Surface COT o9h IelAv TrirruFinisI Vin IlAv X Existin Pro used Under Consl. Basement Finish 0% G Uhl&Downs outs Aluminurl Bath Fem Vin l/Av Deal(Style)1 Sto OuSMe Ent iExb sum Pum Wintl.7 a Wood FramelAV Bath Wainscot D ail/Av storm Sa uninmlated YesIAV Car store a None Year RJR 1968 Screens Yesi XDrivewe #ofems 2 Effective a Yrs 25 Woodsiove s# Driewa Surface Stone Attic None Hearin FWA X FNJ X Radiant Amenities X Gare a #af Cars 2 Dm Stair Stairs Other Fuel Oi1188 X Fire laces#1 Fence Car prt #oi Cars Porch Fem X Spume Conlin CenUal All COntlitionin X ..... Deck Ad X Oet. Built Finished Heated Intlbitlual Other Pool Other A liances X ReV erator X Ran cloven Dishwasher Ois oral Microwave I Washm!VDtel Other 2825 vu,Feetot Gross Llvi Area Above Grade Finishedareaabove radecunmins: 5 Rooms 3 Bedrooms 1 Bam s Additional Features Covered patio.16x20 a ui mart shed. 22x24 detached are e.Smaller older outbuildin s not valued due to condition. NOTE' Some water around the Pei Pill eter of the basement. Commentsonme Improvements Improve I mts are in averse condition with no h sieal or functional inade uacies noted. _ PioEWd Wm•PSGMrr,as2o6AR]vxx EW.eL.sun ltuslmm gPyMOA0SA10(gPAR IaeMINPPIps A%,.WReeppMMlaIVM gDWa WP �oiMfvx PaW toldp5 e510ffi0 ADDENDUM Client: Wolf B Wolf,Attorneys At Law File No.: 11-0304 Property Address: 42 Pipeline Road Case No.: City: Nemille Slate: PA Zip: 17241-9759 Neighborhood Market Conditions Ust/Sale ratio approximately 98%.1 have considered relevant competitive listings and/or contract offerings in the performance of this appraisal and in the trending information reported in this section. If a trend is indicated,I have attached an addendum providing relevant competitive listing/contmct offering data. Local multi-list data indicates stable market in the past calendar year with no appreciation in the subjects market area,with an average marketing time of 90-180 days. Economic trends and lending rotes have remained favorable. Sales concessions are occuring more frequently; however,there is no known prevalence of unusual seller financing concessions or buydowns. There are new homes under construction in surrounding developements,as well as resales available in the neighborhood. Addendum Page 1 of t Summary Residential Appraisal Report F*W11-0304 FEATURE SMELT COMPARABLESALa N0,1 COMPARABLESALEN6.2 COMPARMU SALE NO.3 42 Pipeline Road 163 Oak Hill Road 115 Farm Road 1489 Creek Road Address Ne"We PA 17241 Carlisle PA 17015 Newvlila PA 17241 Carlisle PA 17015 Pro 10 " 8.10 mites ESE 10.84 miles SSE 5,00 miles ESE Safi Price s -v w. $ 135000 5 139,900 - s;. t + s 134,000 Sale PaMOMMSLN.Ance $ 0.06 sq.A s 100.45 .R --•s.. 5 tY0.8fi .k .e-.a "+ . a 128.35 .a --Se- Daa sax Inspection ' " CPMLS 10204679 CPMLS#10207680 CPMLS#10208700-DOM 121 vedcadwl sources Courthouse.-: Courthouse Courthouse Courthouse VALUE AIUUSTMENTS DESCRIPTION DESCRIPTION 411 DESCRIPTION .s DESCRIPTION s SafiaFruncNq NIA ,'; $5,000 Cl.Cats $3,000 Cl.Cate None,Conv Concessions l- Other DOM 4 Other DOM 5 DOM 121 Dace ofSariniOe NIA - x- 03/2112011 0612312011 10/1512011 location Rural Rural Rural Rural Lexwholitl ee Fee Slip le Fee Simple Fee Simple Fee Simple Sae 2 Acres m/1 1.29 Acres mil 3,55D .46 Acre mll 7,700 1.00 Acre 5 00o VON Open courrinf, Open Country Open count Open country n S 1 Story 1 Story 1 Story 1 Story aitonsinxdpn Averse Averse Averse Average .' AcharlAge 143 Years 27 Years -5,000 25 Years .5 000 23 Years -5 000 Cowft Averse Averse Av Good-S% -6.995 Av Good-5% -6,700 AbaE Grade TN aCS T"laranti area rvY a6rs atlz lap Na. • RWOCauN 5 3 1 5 3 1 5 2 2 -S 000 5 12 1 1 qvzLMyApa30.O0 1,232 ef.it 1,344 .R -3,360 1,262 sq.it 0 1,044 sq.R S 640 Ba"WO&Finished Full Bsmt Full Ssmt Partial Bsmt 0 Full Bsmt • RownfloavOrade Unfinished FamRm/GmRm -3000 FamRmlGmRm -3000 Unfinished Firwho l Averse Averse 2Bedroom 2,000 2Bedroom 2000 Hea6 HWBB/EBB/Na FWAIaC -4000 ESSMOne FWAICA .4,000 EMrc ERdem6ems Typical T ical T ieal T Ical Gae r 2 Car Gerona None 10,000, 2 Car Gera e 1 Car Garage U00 Po CIVROD0eck Cow'd Patio Porch/Deck 1 -2,000 Deck 1 000 Patio 4,000 Equip Shed/IFP Fence 3,000 1 F 3000 None $000 tkn a r,. •.^.r 1 1. X- is $to X . S 6 295 X+ S 7 940 Adjusted Sae Price ;, :.,^r _v NOAdi. .0.6% NO Add -4.5% NelAO. 5.9% of Co ab65 sf'�''.*2,LS G=A4 25.M1% S 134196 Gmss 2d.1% S 133605 C+os 29.4% 3 141,940 summa olSaks den Opinion of value range Is$134000 to$142,000. Surplus acres a adjustments are made at $5,000 per acre. The condition adjustments result from a review of the com arables Interiors via the"virtual tour"feature of the Central Penn Multi-List system. The rural location of the subject and the current slower market required an expanded search area. Comparable#3 Is included sines the contract date of 0 812 512 011 preceded the date of this appraisal date. No closing cost adjustments are made since the com arables sold at list price.These are the best sales com arables known to be available. COSTAPPROACHTOVAtOE'""{ `.f i e'•w..+m•.e:.Y. - 4fi:'1.+�'sAt..•5'.-.:F..'a"•.^_K_.nF"• .�.'.p4`aTY✓r.:..d'n.sR w:..:y iN.r' SovaUecamrenu A review of vacant land sales within the subjects market revealed sales ranging from$16,000 to$17,000 per acre. Subject acres e 2 518 500= $33,000. Opinion of value for the subject site-$33,000. ESTIMATED REPRODUCTION OR REPLACEMENT COST NEW OPINION OF SITE VALUE........................................aS 33,000 ^,rWtwoimsdam FL S ,............S 0 • m' homfatsaMce Eflecli,Cdatit,1009datd sq.Fl 0 s .......... 0 Commenaan US Approach(Crew Oft areaakulatipn£dCredLaOn enc Cost Approach deemed a poor Indicator of value. The GwOrenCanpon 0 Soi ......_....=S 0 • Estimated RemolninA Economic Life- 35 years TWIESerate UfCo9'New ...........,=s 0 Len Physical I rundew I Excraw ed9bn -$( 0 DearedwerICtrAothirplovemat;............_..................=S 0 'Ash'VeYreof Ske .........,---.,,_..,........_.=Y INDICATED VALUE BY COST APPROACH........... =s NIA INCOMEAPPROACNTOVALVE `'sr•.._,, y,.,'�an. "F+f..'arP�;.%r« :.♦�:aGCx 2st s-..::�WT.,.r• =fY ''. h'-zayrg,•,•,-1+V`<Di>l, ..✓'. Eswrmied MOn Maket RINrts NIA xcran Remweir r N/A =s NIA nackatedVaireceirtrowereAgoroach • Summered lnronlO Approach including suppon an Owner remand GRM) NIA Inoicwea VNue : sweseom ansonA rotces'I350OG CattApproach(ndevOoperelt N/A fnmmeA roach tdeveia sNiA The Market Data Anai is supports my opinion of value for the subject. The Cost Approach was not deemed an appropriate indicator of value and therefore was not Included herein.The Income A Broach was also deemed inappropriate for this analysis. aThkapparSalkmatk X 'as s' mojectotanpetbn per plans and specifications an@e be9sol a llypa(he6celmMliM profile hglaemen6 have been mnyttwed, 110:am par laao^kR repeisa aaerathe on On bags of a aypahetkai caffixt,dal are mla4s a afthatbn;hate been canplead (,]9roleam me k4aMn0: The property,has been appraised in current condition. This is for the clients use only. Sued ea the scape of work,assumptions.Iimidnacasdiaaes arMappreisa's aerdfkniion,mY(aur}dpinbn ofthede0nedwiu¢"a real property {hatia Ma subject Otfhisteportiss 135,000 argot 0912512011 ,which is that effective done ofthis appraisal. RofKk'+eMd}!e 0.`]LtRlsO+6tm RNMn41MeAb.NINS dImp600F.a41btYLNRyanaeM �yDw nardi hpAa'<)a.wpwporrAwrw+�aa> SaM-am^.+o'.«� S.W.Barrett Real Estate&Appraisal Services Fie NO. 11-0104 Scope of Work,Assumptions end Limiting Conditions Scope of work is defined in Me Uniform standards MPlMeSSbnal Appraisal Practice As-the type and Strom of research and analyses In an assignment'In short,scope Mwork Is simply what the appraiser did end did nor do during the course of me assignment R Includes,bun ISM limited m:min eldent lowhmh Me propertyis Identified and Impacted,the type and extent of dam researched,the type and eadent Marsilius applied toarriventopMons or concluslons. The scopeal Mis appraisal and ensuing discussion In this repmtare spec fKmMe needs Mme client omeridentmed intended users and of me Intended use M the repent This report was prepared forme We and excluedsc use M the client and other Identlged intended users for the identified Intended use and its use by my ocher parties Is prohtbbed.The appraiser is rM responsible for unnuMOriteci use Mthe report The appraisers certification appearing in this appramed report is subjectmme following conditions end to such other speciflccondidms AS;are smforth hymn appraiser In the report All fa m ucrdfnaty assumptions and hypothetical conditions are stated In me reponand mighthave entered the assignmentresubs. 1.The app llser mines no responsMalylor mercers of a legal mmIn&fleeling the proper appraised in arm teem.tar does Me appraiser tender any opinion as Oft(Me,which Is assumed he be good and markemble.The proper B appraired as Mmgh under responshL ovmershb. s 2.Any sketch in this report may grow appfodmsm donensKnsam Is Induced anymassist damage,In twoming the property.The appraiser has made m SuNey ed the promr. 3.The appraiser is fait repaired to the tesYmmrym appear In cam bemuse of having made rile eppfasid vath reterence to Me pmperin Master.uNessanangemem5 hone been prevomy made thereto.' a.Nether at tit any penal the doment 01 this intent capyor Other media the a:(including andlSUns as Oft propMtylene,the Man%mvie appraisal,molestation dosimeters, an the film SAM which the 9ppre'aer is connected).Shan be used Im any purposes by anyone borne diemard other Intended amts as oemfed in"report mr shear II be conveyed by anyone tame pudic sough amerYsngt puMirelationmt neve,sales,or other meci without Mat iben material de appraiser. 5.Tor aptri tser won midicbu Me mmlemsar dreappralsal tepoaunless requited byappfceble law of as sheered In me Uniform Standards Of Professional Appraisal Practice. B.mdmamen,esfknwvs and opinions MnShe l la the appraiser,and ornramnd M de mpuM1 were obmmee from sourcesornsoered reliable and beliued m be lore and tuned. Now war,m Iesponsffi%lot acmm icrof sued hemsnankhee to the woralm Is resumed bythe appraiser. 7.The appmew centuries Mat Mere are an hidden of unapparemconalmonsal On plopeM,SubuO,of Structures which wad lenclel0 nine or IessyaWble.Tor appal er essumes m iesponsmiay lof Such comithns,m tm engneermg or MOM,Mich mghl4lequked m diuorer such meals.Thkappralul k rat en¢maonmenMl asSeamaMal the properentl shad rat be consdered as Such. B.The appraiser speciames in On val iadaol real ptnpeay and is rate lime ospedot taking contractor,sbummal ergthem,or Shy expert unless othemise noted.The epptaBen did mtcommtthe mmnsae type of fie obsinationsmtle rind otemed to Seek am decmel amperdemds TTe viewing of 0th propefq•am arly knprov MMIS lm pmpouS m deveopap an opalon at Me defined value of the proper,gran tie intended vu of this assignment Sts wntslegaldmgcomiaonalebaudmwdamabufvatonsany.The appraiser clams m syedaf expense legafdug L mosilcWmg.W nor Imied m:dundeann sedlenint invariant moisMe Mobdmswooa destraft(m ofhet)insects,pest Mesttmort radon gas,Lad based paint mad ar emtrmmemal Bees.Unlessodwraim Imiated,medankal rystemswefe WaetivaW of tasted. This appraisal Interisland rat be used M dislou the condition of Me proper in Selamsm tie amsemehmsence mdekctS The diem Is invited and emaxaged m employ mearied expens to MS9ad am addiessareas of orreem.t nelparm conditions are disevered,are opinion of vaW mAy be affected. Unless otherwise noted,Me appraiser assumes the components thatconsdtutethe subject property improvements)are fundamentally sound and in warutngorder. Arvesing arms paper"the appraserwss YntlmoireeQyoburvabfefrees.UnlessothmwlumMd,avksoMmaMspaceweus temta0.YSUd.meepprrBerad ratmar Wftre,0mco ingsmotheraemvmatnmyiesMd*MLMgoftheproper. 9.Appratm6 dmMngI model dmihions mbNd mormpletoa of mwpia0Upl91n,lepnnsor SemaOa we basin on Me assamplan that Such completion.monarch at Opals win be cannomenfy permitted. 10.Unless the intended use mina appraisal specifically includes issues at proper immame overage,this appraisal shad an be used lot Sum purposes.Reproduction of Replacement costfgures used in the coRamprmm are tar mlumon purposes ay,gWfl the intended rue mere assiglmim The Oefillbn al Vahie used in mis essignmem isunldefy la Oe MdRental i the definhion m Insllable VaW Or proper InarOme WRrapau e. 1L The Act General purpose Appraisal Repot(GPAR^)is not Intended for use in oransactiona thatrequlre aFannIe Was IOOa/Freddie Mac 70 form, alsoknownas Me Unif mRe3Mendal Appraised Repm(URAR). Additional Comments Related To Scope GI Wank,Assumptions and tmniting Conditions None easm,a+ota mvsasuam,...nwwe mxmwra'temvvose..... .mw_uweu I a�saa (maa�lOnwa nrpme mrlew �P j �,�. Fda1h. 11-0304 Appraisers Certification The appraiseds)unifies Nat More best of he appraiser's krwsvedge and belief: 1.Tho smmmeMaol con mnmkre0 b thin report Me true Mtl mrnL 2.The reperled analyses,opinions.am condos tm are united only by the reported assumptions and ILmdng crtndNana am we the appmimm mmmi.Lnpamal,am Unbiased professional analyses,oanbns,and conclusions. 3.Unless ahemfa surfed,the appraiser has an present or prospenNe Interest in the property that IS the SM00of Mis nyml am has no personal Infest with respect Ne paNes hhowd. 4.The appraise,has no bias YAM respente de property that Is(he abien or NS report or to the pad'es Nwlmd with MIS assign at 5.The appraisns engagement In this asslpneennyas nptcordipfrtupon dewfoping or iepoftN pedennined resins. S.The appraaa5 compertation for Went"NS aWipnmeMh net mntbtpern upon the development or repomy of a ptedmontand Value or diecdon invatue Nat mvmsthe cause of Ne dent the ammntm the value o ninfon,the atRmmaMma stipulated ream,or the oaunence of a absegueMevem dhedy rested to to Intended use of Nis appalml. i.T1e oppralsefs anaysm opinions,and conctusionsvere desefoped,and Ods report has been prepared,in conbrmitywith Me Uniform Stamnds at Prolessionel Apps®I Ptadoe. a.Unkssothemhe noted•the appraiser hasnede a personal Inspection of the pppefythet tithe ablen at ft tenon 9.Unless wtee befow,nor one provided sgnifima reef property appahal assl9ence a the eppra'ser doping NScerinmiion.Signlfimm real propeayappra®I asshsnce pnouided by Additional Cerdfcatims: None Deffnitionet Value: Nummetvar.re ❑ohervaim: Sauce of DennbM:USPAP The most probable price in terms of money which a property should bring In competitive and open market under all conditions requisite to a fair sale,the buyer and seller,each acting prudently,knowledgeably and assuming the price Is not affected by undue stimulus. ADDRESS OF THE PROPERTY APPRAISED: 42 Pipeline Road Newville,PA 17241.9759 EFFECTfvE DATE OF THEA➢ LIAL:September 25,2011 APPRAISED VALUE OF THE SUaIECr PROPERTY s 135,000 APPRAISER \ /� SUPERVISORYAPPRAISER signature: ` T�0,• L((1.4� Sgnature: :S7:�L U 71 -� Name: Stan A.Skowronek Nave: Stevon W.Barrett.SRPA.SRA.ASA SmoCenaationa RLOO1572L statecemgcationd GA000298L or License a or License s of Our(desaNe): Slate a: state: PA sate: PA Enpiation Dap C1 UrMempn a License: 06/30/2013 ExptrMbn Durenf Certnicationur Ucense: 06/3012013 Dateof Sgnemre: 12/1312011 Dm OfSipnamream Report 1 211 312 011 Dateof Poop"Vomnir 1210712011 DMe of Papery Viewing: 0 912 512 011 Degree a popenyvkwhV: DepeeapapeMateynp: ❑7( mterbnaro Enenbr ❑Emfbr tiny ❑Od natpersmelyviex ❑X stef on am Ewedor ❑EMedor Ony ❑Dld"Personaayview nmra.wen n..swarm...wmm. marmaep.osaanowmrwe�ewaesem tewteavewa agate: ka.w.IUman,mwuom vacs ry sum o.-do.v.+y.r«��-+. S.W.Barrett Real Estate&Appraisal Services WOLF & WOLF ATTORNEYS AT LAW NATHAN C.WOLF 10 WEST HIGH STREET STACY B.WOLF CARLISLE,PENNSYLVANIA 17013 PHONE wolfandwolffla embaMmail.com FACSIMILE 717-241-4436 717-241-4437 December 27,2011 Fogelsanger-Bricker Funeral Home,Inc P.O.Box 336 112 West King Street Shippensburg,PA 17257 Re:Estate of Leroy J.Miller Dear Sir or Madam: I represent the above-referenced estate and have enclosed check#510 for payment of the outstanding funeral bill. Kindly forward a receipt for payment at your earliest opportunity to my office at the above- address. Thank you for your cooperation and attention in this matter and thank you for your patience in the processing of this payment. Ve urs, Na an C.Wolf Enclosure ��r`r t fib �' ✓:a k�_ �� " � - �}�.,y�,,�N �'Y,W�Q y2♦� 1 Ik �y air ,M . s° c I g £ v 2°d V I Al ANNA M NICKEY 50-82aai o 461 HARVEY A NICKEY PH.7127766195 /J �-y_ 125 BLAIN MC CREA RD, Dnre 7 NEWVILLE,PA 1TT 1-8723 PAY TO SPPJnp $6/1007—,o®° r�itoaoncr for 'o St MEMBERS P' 1: 2313822411: 004 1 4 594 21. 1• 0461 G7 _hy?S i bpe NORMAN H.BRICKER,F.D. 112 West King Streel^V.O.Box 31fi-"Shjppenshmg,Pennsylvania 17257•Phone(717)532-2211 RECEIPT FOR PAYMENT GLENDA FARNER STRASBAUGH Receipt Date: 10/18/2011 Cumberland County - Register Of Wills Receipt Time: 15:50 :59 One Courthouse Square Receipt No. : 1067348 Carlisle, PA 17013 MILLER LEROY J Estate File No. : 2011-01099 Paid By Remarks: WOLF & WOLF CJ ------------------------ Receipt Distribution ------------------------ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 210.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.D SHORT CERTIFICATE 40.00 CUMBERLAND COUNTY GENERAL FUN Check# 3327 $293.50 Total Received. . . . . . . . . 5293.50 �YDZFI CUMBERLAND LAW JOURNAL g �TOX 32 SOUTH BEDFORD STREET "Z�� CARLISLE, PA 17013 Talc: (717)249-3166 Pox:(717)249-2669 03 4 a November 18, 2011 �y Cumberland Law Journal is published every,Friday by th Bar Association and is designated by the Court of Common Pie6jta�j' a publication for Cumberland County and the legal newspaper for notices. o h qn J TO: Nathan C.Wolf, Esquire $ " u RE: Leroy J. Miller Estate ;� y h . t � N 1 Legal advertisements must be received by Friday Noon. must be paid in advance. Make all checks payable to: Cumbe a Advertisement inserted on the following dates: I November 4, November 11, and November 18, 2011, Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 0 .00 Total Amount Due $ 75.00 Payment received by The Senfi 1el WOLF&WOLF ATTORNEYS AD NUMBER PAGE NO. um berii n k.com 10 WEST HIGH STREET 404135 1of1 CARLISLE,PA 17013 7172414436 BILL DATE SALESPERSON.- 11125111 wOlfc rjutve sN�wa xavcwwr START DATE STOP DATE 11110111 11124/11 AD NUMBER I AD DESCRIKoN I CLASS LINES 404135 EXECUTOR'S NOTICE LETTERS TESTAMEN 10 PUBLIC NOTICES 1 30 . 2 cols Publication Insertions Rate NetAmount Gross Amount 3 THE SENTINEL-LEGAL 3 LGL $159.30 TOTAL AD CHARGE $159.30 3 MOBILE SITE MOB2 $2.00 3 PROOF OF PUBLICATION 01PRF $7.00 Purchase Order Est.LeroyMiller PAY THIS AMOUNT $168.30 $20]�961* •AFTER THE SENTINEL Thank you for advertising with The Sentinel! Deadline for C/o LEE NEWSPAPERS in-column legal ads is 4:00 p.m.two business days prior to PO BOX 540 date of insertion.For questions,call(717)240-7130. WATERLOO IA 50704-0540 Rewm enr.POrrron w#n rwnPermenr Legal THE SENTINEL ❑Check# ❑Credit Card Ad Number 404135 c/o LEE NEWSPAPERS ❑ ® ❑ ® ❑ ® ❑ Billing Data 71/25/17 tilettitile PO BOX 540 WATERLOO IA 50704.0540 Acct#: Amount Due $ 168.30 Ems.Data m m Name on creo t can! $ sigramre ReeeameWoInach,,ablate: THESENTINEL f 0002M THE SENTINEL - k]dE WOLF&WOLF ATTORNEYS Go LEE NEWSPAPERS 10 WEST HIGH STREET PO BOX 742548 - CARLISLE,PA 17013 CINCINNATI ON 45274.2548 2154020000000404135D0000000000000020196000001683b8 LO �W Q�r Wt Z x� V�c� ni ¢Z got a ° S.W. BARRETT REAL ESTATE AND APPRAISAL SERVICES Pik No.11-0304 {yy44t, 00 n >it r �lM t-y ry� r'. v r'>Zm 12/1312011 1e1 " -r �sm� x, File Number:11-0304 m34: y v N r Wolf&Wolf,Attorneys At Law •`tj,Jb 1^ 4 FC•: ~ S t'. 10 West High Street •' � 4• . Carlisle,PA 17013 1 � z o 4 Invoice# 11-0304 t�X' `9 Order Date: 1111612011 Reference/Case#: �f PO Number: 0 0 69 42 Pipeline Road ® Ne"1110,PA 17241.9759 (Zj eT. 1 cn Appraisal Services 1��Ti• c W $ 350.00 Invoice Total $ 0.00 State Sales Tax @ (S ) Deposit (s ) Deposit $ 350.00 Amount Due Terms: Payable Upon Receipt-Please,reference the 1110 number Please Make Check Payable To: S.W.Barrett Real Estate&Appraisal Services 505 South Hanover Street Carlisle,PA 17013 Fed.I.D.#: 236646.804 YOUR SINGLE SOURCE HA Professional,Efficient Service NK YOU S.W. BARRETT REAL ESTATE AND APPRAISAL SERVICES File No.11-0305 INVOICE*"""**"'" File Number:11-0305 0110412012 Wolf&Wolf,Attorneys At Law 10 West High Street Carlisle,PA 17013 Invoice 4: 11-0305 Order Date: 11116/2011 Reference/Case# PO Number: Railroad Blain McCrea Road Newville,PA 17241-8723 Appraisal Services $ 275.00 Invoice Total $ 275.00 State Sales Tax @ $ 0.00 Deposit ($ ) Deposit ($.............� Amount Due $ 275.00 Terms: Payable Upon Receipt-Please,reference the file number Please Make Check Payable To: S.W.Barrett Real Estate a Appraisal Services 505 South Hanover Street Carlisle,PA 17013 Fed.I.D.#: 236646.804 YOUR SINGLE SOURCE—Professional,Efficient Service THANKYOU WOLF & WOLF ATTORNEYS AT LAW NATHAN C.WOLF 10 WESTHIGH STREET STAGY B.WOLF CARLism,PENNSYLVANU 17013 PHONE wolfandwolRembargmail.com FACSIMILE 717-241-4436 717-241-4437 December 14,2011 Mr.Gary L.Mentzer Auctioneering Service 505 Shippensburg Road Newville,PA 17241 Re:Estate of Lemy J.Miller Dear Mr.Mentzer. Enclosed,please find check No.505 in the amount of$800.00 for your commission of the Pipeline Road property in the above-referenced matter. If you have any questions,please feel free to contact my office. Very tr o s, a an C.Wolf NCW/slh Enclosures � -- •°—=�> Y� of w O O fn CP N. 4 a Fyn i e X 4CO O*Q omr m o Y , n Y f � -. YA o M. e c' o fA e y N N i t Li WOLF & WOLF ATTORNEYS AT LAW NATHAN C.WOLF 10 WEST HIGH STREET STACy B.WOLF CARLISLE,PENNSYLVANIA 17013 PHONE wolfandwolfRembaMmmail.com FACSm 717-241-4436 717-241-4437 December 14,2011 Ms.Janice Kimball Century 21—A Better Way 398 East High Street Carlisle,PA 17013 Re:Estate of Leroy J.Miller Dear Ms.Kimball: Enclosed,please find an original settlement statement,as well as,check No.504 in the amount of$1,200.00 representing your firm's commission of the sale of the Pipeline Road property in the above-referenced matter. If you have any questions,please feel free to contact my office. Thank you for your assistance in this matter. Very urs, N C.Wolf NCW/sEa Enclosures i ya ai0nOS r m ru � � r� � ynFl-nty31 � S Y 0 r � D a CUMBERLAND COUNTY RECORDER OF DEEDS RECEIPT Inv Number:98191 Invoice Date: 12/0912011 9:30:08 AM RECEIPT Reg/Drw ID: 0301 Customer: Last Change: Recelpt By:COUNTER By: KW WOLF Chgtt Charge/Payment/Fee Description Amount Inst0/Inst Date Municlpa� 1 AGREEMENT $27.50 201134250 LOWER MIFFLIN Grantor-MILLER,LEROYJ 12/09/119:30:27 AM TOWNSHIP Grantee-FICKES,PAULINE R Total Pages:4 Return Via-PICKUP PARCEL IDENTIFICATION NUMBER 15.03-0059-012- Fee Detall: COUNTY RECORDING FEE $71.50 IMPROVEMENT FEE-COUNTY $2.00 IMPROVEMENT FEE-RECORDER $3.00 PARCELS FEE $10.00 PER NAME FEE $0.50 STATE WRIT FEE $0.50 TOTAL CHARGES $27.50 PAYMENTS CHECK:502 $27.50 TOTAL PAYMENTS $27.50 AMOUNT DUE $27.50 PAYMENT ON INVOICE ($27.50) BALANCE DUE $0.00 Date:Dec S.20119:31:43 AM Page 1 • ♦ �s 1�r2 o; �• a 15 ESTATEyOK�LrEROY JMILLER P, rY b-P -AI I HARVEY A ,icK&REXEO sire _( : L F &MUF ATTORNEYS�iaT LAW %WO r )pgOLVliIGH"x5Y L�ry,r, �u,.r�iY OnTE°L—l' x )dr� � 5 OPO¢�HO(F •F�., i r`i-'`.4sl�r rd�,,1'�Fe.x t'ZL i{r 1� �.kv z� ,�9ovPPe��rF.ye,L�g �07�,1,r•�{{.�i,�.� t yb4ARPOPT+E; NOE ItOUP52fj 3 c' �HM��v-+•�i ':C�n t •✓ 'WyY �xlxcr? D Cumberland County Pennsylvania TAX COLLECTOR COPY-RETURN WITH PAYMENT FOR PROPER CREDIT BIII No:584 MILLER,LEROY J RR BLAIN-MCCREA ROAD Bill Date:311/12 Control No: 1516000068 42 PIPELINE ROAD Acres 16.18 MAP NO:15-03-0057-032. NEWVILLE,PA 17241-9759 LAND APPROX 16 ACRES Assessed Value: Preferred Land:1,600 Improvement 0 Total:1,600 Discount Face Penalty Payable To: County RE 1.802 $2.88 53.04 $3.34 SHELBY L WINTER County Lib .143 30.23 80.23 $0.28 529 SHED ROAD(TWP BLDG) TAX AMOUNT DUE $331 $3.27 $3.68 NEWVILLE,PA 17241 It Date Of Payment to On 3/1H 2 thru 400/12 511112thru60D/12 711112 or Later PHONE(717)776-7854 III��11�Ii1 m��llf 90�II9II".dlt�I����I� Payable To: SHELBYLWINTER Offi"Hours:WEDNESDAY IOANL2PM 86PM-8PM B91 No: 684 529 SHED ROAD(TWP BLDG) MARCH,APRIL,JULY d AUGUST BO Dab: W/12 NEWVILLE,PA 1]241 OTHER TIMES BY APPOINTMENT ONLY Control NoASI 50DO069 PHONE(717)7767854 CASH ONLY AFTER 12/15/12 MAP NO: 16-05 4)067-032. Assessed Value: Profmred UM:i,80D Imprevomerd:0 Total:l,ODO Desc: RR BLAIN-MCCREA ROAD Acres 18.18 OlacouM Face Penalty 91���1n�R1111�m1ILRARB�NBD¶ABPIPIBROXX IB ACRES County RE 1.902 WAS 83.04 53.34 15 1II101111t11 II:lIlI011IIIII�IEBII1I CTAX LMOUNT DUE 743 $3.� $3.22'73 83.69 ,SIAO FEE FOR ADDITIONAL RECEIPTS I if Date Of Payment Is On 311/121hm 400/12 5f1/l2thru Sr3OA2 7/1112 or Later Tn fip. r] NaaEN,LERROA RRIINE ROM NENNI.LE.A tYHt.%Y TAXPAYER'S COPY-KEEP THIS PORTION FOR YOUR RECORDS SHELBY L WINTER 529 SHED ROAD (TWP BLDG) NEWVILLE, PA 37241 TE11P - RETURN SERVICE REQUESTED een2 .604 KILLER, LEROY J 42 PIPELINE ROAD NEWVILLE, PA 37241-9759 I,r,111,x,1,,I,I,I„I„x1114„I,,, I,I„I IWJI����11I�I III 11 1191 0Ell ese21.6e4 Cumberland County Pennsylvania TAX COLLECTOR COPY-RETURN WITH PAYMENT FOR PROPER CREDIT 8111 No:585 MILLER,LEROY J RR BLAIN-MCCREA ROAD Bill Oate:3/1/12 42 PIPELINE ROAD Acres 46.11 Control NO: 1516=26 NEYJVILLE,PA 17241-9759 LEWD APPROX 46 ACRES MAP NO: 15-03-0057-001. Assessed Value: Preferred Land:26,100 Improwmant:1,700 Total:27,800 Dleoount Few Penaky Payable TO: County RE 1.902 $51.62 552.88 SSB,17 SHELBYL WINTER County Wb ,143 $3.90 83.96 54.38 529 SHED ROAD(TWP BLDG) TAX AMOUNT DUE $66.72 566.86 562.66 NEWVILLE,PA 17241 Il Data Of Payment Is On 311/12thru4=2 51V12 thru WOA2 711112 or Later PHONE(717)776-7854 1��1�112�I�11�1[➢Q���I�Inll➢1111 ��`�—a jzW° 6'2S5- Payable TO: SHELBY WINTER Of8ro Hours:WEDNESDAY t0AM2PM 86PM41PM Bill No: 688 529 SHED ROAD(TWP BLDG) MARCH,APRIL,JULY 6 AUGUST BIII Dab: 311112 NEWVILLE;PA 17241 OTHER TIMES BY APPOINTMENT ONLY Control NO:1575D00D28 PHONE(71T)7767854 CASH ONLY AFTER 1711692 MAP 110: 16-03-0067-001. R BLAINMCC ABSVaeed Value: Preferred Land:26,100 Im 1,700 Totac 27,800 Dees: RRBWN-MCCREA ROAD �ISODUIn5 Acres 48.11 LNSmum Fero Penalty I�BI(�II�B11111 APPI�RlOX M ACRES County RE. 1.802 551.82 55268 558.17- IIIIIIIWIIIIIIIIII;N1�0111�11110][111 County AX AMOUNT DUE td3 $66.13 S66A_GS 0246 51.00 FEE FOR ADDITIONAL RECEIPTS I If Data Of Payment Is On 39/12 thru 401112 SIV12 thru 6OM2 711112 of Later Ta M1�r MILLER LEPOYJ Ja PMEW NEMNl1E PA PA$n f]1Jf-0]W r TAXPAYER'S COPY-KEEP THIS PORTION FOR YOUR RECORDS SHELBY L WINTER 529 SHED ROAD (TWP BLDG) NEWVILLE. PA 17241 TEMP - RETURN SERVICE REQUESTED - e e mon.aes MILLER. LEROY J 42 PIPELINE ROAD NEUVILLE. PA 17241-9759 ®9�I�191�1���911��111�1�1�1 06127°15 1mer LwMIER,rAXCOUECroR 11111111111 .081No: 584 2012 Statement of Real Estate Te>RS Control No:015-000596 Bit Date: 7/07/2012 a.vevve4P fv n �t Niaeral nraa +rNdE .1l . 26,1001 1.700 0 27 e00 BIG SPRING S.O. D19couM I. Penney SHELBY 2 ED WINTER eetm .eaa164ov .81236400 - - :• ad• 528 SHED ROA 7i4l BLDG) awmc a 336.85' 3{3.72 378.09 NEWVILLE PA/7247 TempRelum Service Requested TAX AMOUNT DUE—> f336:e5 4343.72 5378.09 13p: ASSESS140-15000026 4 MAP NO: 15430057-001, I If Paid On or After -7"U"121 9/01/2012 11/01/2012 RR BLAIN MCCREA ROAD : if Paid On or Before .,-sj31j2..1 10 31 201] 12/,112012 ACRES 46.110 DEED 0034UO1043 PHON -M7)T767B54 CASH OR MONEY ORDER ONLY AFTER DECEMBER 152012 IF TAXES ESCROWED FORWARD BILL TO YOUR MOUNTAIN 10+ACRES WITH MORTGAGE COMPANY MILLER LEROYJ .7m 42 PIPELINE ROAD NEWVILLE PA 17241 mz WEDNESDAYS OF JULY S AUGUST AND ve: AUG24531-OCT 3I-DEC 286-6PM CLOSED911 OA 4;1 0/5 7 251 2/21-27 OTHER TIMES BY APPOINTMENT ONLY yymm E Relm 881 wH_ddressad 618mlJed emebpe. ez llector nature ate a Amount Paid Erldosa a seXa H¢eY1wm1F2LTAx crouPCron — Bill No: 585 2014 Slatemem of Real Este{¢Taxes Control No:015-OD0597 Bill Date: 7/01/2012 Aeaeseed Ika[ezrM 1,60 l�rev6ffin0 N3nexea 1bG1 6vN3E BIG Val--a SP - 3 s0o 0 0 1.600 a BIG SPRM08A. Olxeunl Face Perm SHELBYL WINTER Ratae .01236400 2% 10 529 SHED ROAD A 17241 P BLDG) SC[004 R 19.38 19.78 21.76 NEW VILLE PA 17241 Temp-Realm Service Requested TAX AMOUNT DUE 519381 419.76 421.76 rs: ASSESS.NO-15000069 MAP NO: 15-03-0057-M If Paid 00 or After 7/o1/a0n} 9/eI1212 11/01/2012 RR BLAIN MCCREA ROAD If Paid o0 or Before 4�q ot23 10 31 2012 a] 3a ]Ole ACRES 16.180 DEED 0034U01041 PHONE(717)778.7854 CASH OR MONEY O1tOER ONLY AFTER DECEMBER 1S M12 - IFTAXES ESCROWED FORWARD BILL TO YOUR MOUNTAIN 10+ACRES VACANT LAND MORTGAGE COMPANY MILLER L.EROYJ 42 PIPELINE ROAD NEWVILLE PA 17241 , m¢ WEDNESDAYS OF JULY 5 AUGUST AND au3s: AUG24&31-OCT 31-DEC 28"I'M CLOSED9/1 0.142 0/5-12&12121-27 OTHER TIMES BY APPOINTMENT ONLY 4 Rehm&11 wits Pa eM.For a ReceipL Tax Collector Sip awn, A t P lo Enclose II old 3n3sa6d stamped enrvelopp. X Nee ec/IIc A:571rr, 35-G . 0- 3 -31Ay 8-31-/2 fiJaAe them pagob/t To Sllel �. (rJrhla✓ — ANNA MNICKEY w-aatiau 465 HARVEY A NICKEY PH.717-7766195 115 B1AIN MC CREA RD. NEWVTLLE,PA 17291-8M ( rnvro �'T �C2 nk I $ 78.i s PAYTO �'/ P!U/nfh Rd Ov Ixtu.tas a C �ist MEMBERS I" . nterwo%1DlsfySo171yQ�9g L,J.M. ^P 1: 23331322411: OO417591. 2L,v 046 --""-� — -mane Uharge Y I'D $672.76 ANNUAL PERCENTAGE RATE 2.6216% �I HOME EQUTIY LIVE OF CREDIT FINANCE CHARGE AND BALANCE SUMMARY i II RATE BASE TOTAL II Previous Balance(08121/11) $35,631.20 $35,631.20 +Advances Q Debits $0.00 $0.00 II -Payments&Credits $300.00 $300.00 +FINANCE CHARGE $77.47 $77.47 •Lire Insurance Charge $0.00 $0.00 Il +Lam Charges $0.00 $0.00 I; +Other Charges $0.00 $0.00 �! New Balance $35,408.67 $35,408.67 l �I Periodic Rate 0.0075342% i�Corrcganding ANNUAL 2.7500%(") .I i) PERCENTAGE RATE (Average Daily Balance S35,459.93 II FINANCE CHARGE $77.47 II Due to Application of Periodic Rate � ' -' Pkne See line'' M ' ImlY�el{'oMMn �Br5TM1 ©M&TBank P.L�rMr, ra Y {uo�LZ7n 4�O1€ILAYiODUL e3Sr) 65 7;7 47 STATEMENT PERIOD 08/22/11 09119111 ACCOUNT NUMBER" 12044450272404998 LEROY J MILLER - 42 PIPELINE RD TOTAL AMOUNT F,NCLOSED IS $ 9.UO NEWVILLE PA 17241-9759 Please make checks payable to: MBT BANK Please return this stub with your P.O. BOX 62146 payment.Thank you. BALTIMORE, MD 21264-2146 i:5 1 20-00 00t: 444 50 2 7 240499811' � .. m � P t, W � N ti h y N m v.E Q N �: N Ir ai m e w l P IL Q � CO p VV l o O r � c N r � P C a 5 O^ wl, J W W^ u U WNW QN � Jvl2 p" LL U vFio Q= TBank , WRAW STATEMENT PERIOD ACCOUNT NUMBER 09/20/11 10/20/11 12044450272404998 Home Equity Line of Credit Account Summary Billing Date 10/20/11 Current Due Date 11/14/11 2510 Days in Billing Period 31. LEROY J MILLER Amount Billed This Statement $ 105.12 42 PIPELINE RD Over Credit Limit Amount $0.00 NEWVILLE PA 17241-9759 Past Due Amount $000 Draw Period Expiration Date 06/20/17 Credit Limit $ 50,000.00 Available Credit $ 2,669.33 Finance Chug,Y'I'D $750.23 ANNUAL PERCENTAGE RATE 2,8026% HOME EQUITY LINE OF CREDIT FINANCE CHARGE AND BALANCE SUMMARY RATE 1 BASE [+FINAN us Balance(09/19/11) $35,408.67 $35,40 ances&Debits $ 12,000.00 $ 12,000.00 ments&Credits $ 78.00 $78.00 CE CHARGE $ 1 05.12 $ 105.12 +Life Insurance Charge $0.00 $ 0.00 +Late Charges $ 0.00 $0.00 +Other Charges $0.00 $0.00 New Balance $47,435.79 $47,435.79 Periodic Race 0.0075342% Corresponding ANNUAL 2.7500%(--) PERCENTAGE RATE Average Daily Balance $45,008.44 FINANCE CHARGE $ 105.12 of Due to Application Periodic Rate ee.rn s.n Rewn,stm m.anw.dimn of rnaom. uotTM See Reverse Sltle of Page 1 for Expiana0on of Footnotes L128(6MO) O o � = 9m3�o2 G o - a = m ga o r ee o - OO = Is j 01 Ell r = � = oo _ e i Efl Hy ' 2 � e o o.•: 77§ § \ 0 | ! / $ . \ - . � e §£ §7 o » ° / � } / \ > ° ]# \ ! ( ) q ~r > 0 % ( \ \ \78) } � B/ ) . al � k � B / N! : q| } g § / / ( c @ Please detach the above portion and return with your payment. ~~V„�,• Motor Typo Previous Present Muaiplisr KWH Flooding Account#: 2019802900 Raotlin, Roadin Uaod TYPO Name: LEROYJ MILLER EST Kern 36787 36199 1 12 Actual Reading Dates: 11130/2011 TO 121982011 Rate: ASW31 RESIDENTIAL W/WTR HTR SERVICE SaMIC0 LOc:42 PIPELINE RD NEW VILLE BILLING DETAILS BASIC CHARGES NOWBASIC CHARGES Energy supply prices and charges are set by your electric generation supplier.Yourcunent price to compare is$0.0659. Adams Electric Cooperative Inc. 888(1326732 1338 BgIelville Road Gettysburg,PA 17325-1055 ENERGY SUPPLY: Energy charge 12 kwh Q .0685 0.82 Load control credit 41.82 TOTAL ENERGY SUPPLY 0.00 DISTRIBUTION: Access charge 5.15 Distribution charge 12 kwh® .0190 23 $.um'y light type 6 1® 10.25 2. TOTAL DISTRIBUTION �7.43i TOTAL BASIC CHA RGES holieays item Adams Eectric Cooprativo!This y season,consider me gm of electricity for another et,For more information on how to purchase a gill certificate,please call"82324732. ACCOUNT SUMMARY Rov Month NOV 2011 Previous Balance: 83.09 Payments Received: 0.00 �'rody Membership/Deposit#nt -5.00 6328 past 12 Balance Forward: 78.09 months Total Basic: 7.43 Averogga Total Non-Basic: 0.00 manthry S27 Sales Tax: 0.00 K ACCOUNT BALANCE 55.52 for Post st 12 1 S I j months �iTbv PAYMENT DUE- IMMEDIATELY 85.52 al VA A®®'� CenturyLink- P.O.Box 1319 Charlotte,NC 28201-1319 Account Name: LEROY J MILLER Page: 1 of 7 Account Number: 314317208 Bill Date: Oct.04.2011 Contact Numbers Current Charges Summary Detail Page Pay Online wwvr.cenwryMk.com(myacmunl a CenwryUak Local Services 3 46.97 Pay by Phone Third Party Providers 5 50.02 1-866.712-1996 Customer service Total Current Charges 96.99 1800786-3500 Customer Service Hours Mon-Fri B&m..7 p.m. Repair Service 1-800788-3600 ANNA M HICKEY w-Lmu73u 468 HARVEY A MCKEY pp rH.717-7766195 175 BLAIN MC CREA RD. . NEWVLLLF.PA 177478713 / . Q/ TY PAY TO G n in y $76./00 st 6 Tl1I!ORUFAOF Y)'�rlt�vcia9tlC. 0 8 c' MEMBERS 14 /G/ 1: 23L38224 >,t: 00417594241r Previous Balance Payments It Ads Balance Forward Currant Charges Amount Due Date Due 63.31 I 63.31 C8 I 0.00 I 98.09 I. 96.99 I OM.31,2011 The Due Date On Thte 8111 89111.1 t.Current Charge. Onl _ a .. .., .. 1111 .. . Y "'PLEASE FOLD,TEAR HERE AND RETURN THIS PORTION WITH YOUR PAYMENT" PLEASE REMIT PAYMENT TO: 'III-1111 II IHII"il'III ,1�1�II'��'1"'I'1���I'1�'�I�"111111' Account Number: 314317206 P.O.Box 1319 Charlotte.NC 28201-1319 Amount Due By Oct.31,2011 96.99 AV 01 066663 646116232 A"5DGT LEROY J MILLER 42 PIPELINE RD NEWVILLE.PA 17241-9759 III,I,II'�II'�II'�7�1111�III,111111"'llll'1'111'I"I'I�'11�11 FOR CHANGE OF ADDRESS OR PAYMENT AUTHORIZATION: El Plea se check here and complete reverse.Thank You. 0000314 317208 3 00000000000000 0000 000 010134 110000009 699 22000000