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Home My WebLink About05-06-13 (3) J 15fl561�343 ��w�� E7St�-14}� OFFICIAL USE ONIY PA Deparhnenl of Revbnue psnnsyWanle ceu,q cm. vw na wum.r Burgeu of IndiWdusl Ta�ma ^°�R��^^a�'°� Po eox.zs0�i IP7HERITANCE TAX REftiRN 21 S2 4909 HarristwrS,Pn �7�ze-ptot RESfDENT DECEDENt ENTER DECEDENT INFORMA710N BELOW Sociat Securily Numder Date of Dpath Date M BKth � as os soz� �o si i�so Oecedenfs Last Neme 9ufi�c peceden('s First Name MI JdNISS H�2TJ71MIN A (MApplicable)EM�ar$univing Spouss'#InFumadon Below Spouse's Laet Nemd Suffa Spouse'e First Nams t�d Spouen's Sw�a!5ecurUy Numbur THIS RETURN MU9T BE flLEQ IN OUPLICA7E NMTH THE REGISTER{?F WI�LS FILL IN APPROPRIATE OVALS BELOW � X� 1. OripinN Retum � 2 ^ui�emeMel fMum � a. Re�+a�na«r�+toaro a o�an P�1w a�x-t3�2} � 1. Limitad EetaW � 1a.��aaean� Y-12-BQ! ❑ d. fede�ai Eeiak Tex RMUm ReQWrod � �� (MUtl+CaPYaK�} Q 7. � y�y��a4bmATnx�t 0 B. Td91tANntlBrotSe(808pce%BoxM � p, IJtlpsllon ProceeAsRla9ivetl � 10.�P��w"�{��tl1 ❑ 11�l�SchedWe OJ Sqc.8119W) CDRRESPOND£Nt-TNtB SECT1CiR tifMi�COMPttTE6.Jtti� !U�CEN+H�i�EMi'#tl TAX INFORtIU4TI0N&WUtO 8E ONtEC'IED T4: ttams payHme TsMpNons Nunbsr �IR�C A MATEYA 7�7 241 $SOQ � � qtEG�§TER qF3�iLLSd76�NLY �T z c� —c cn � i> r _..� r.� Efwt tt�w ofAddrass .:� �'; r:-� r��i :n :'� �} ,,.,� C, 55 i�T CHtJRCH AVENUE ' x �, � ' c- .v ^� -rr -r Second Une of Addross � `� ',. � -t :i �,, = c'� °d _. i"T dA FI � Clty or Past OtNCa SaEe ZIP Cade F..., -�,� CARLISZ.� PA 1TQ13 cone.po�nr.e-�we.aan..• mam�mateyalaw.cam �14��oon"i�q�aM.�OacNMion��tMUetlro � ie onM� . . Mwt�id�prep�waMk�k�o�anpe.�. BKiNA7Wi OFPE N WC � s �',� � � �-r�....� $h«��E�s�� 3/� ad� 3 � 12 M le Lane IIM PA 'f241 SIONAT OF RQT RRMN NTATME pJ�T � . �tlatk A.M�ra S- � l� no�ae 66 W.Chue�ctf Avanue Caelisie PA Slde 1 � 15U561Ii343 15U56�0143 � PA Inheritance Tax Return Signature of Additional Fiduaiaries ESTATE QF FlLE NUMBER Jones,Benjamin R 21-12-0909 Under pena�iea of perjury,I dectare tlret I have e�nines!�retum,ioduding ar,�mpanying schedules and statements,and to tRe�of my knrnuledge and belief,it is troe,corred end complete.6eciaratlon o(preparer Mher than the peisonai represeMative is based on all informetlon M vfiich preperer hea any ge. $��t8tU1?4#2 Name cem o q��f as o � t Rd naaressx Ciyl,StetB,Zlp Kutrtown PA 19Sa0 Da#e ��i '�4'� /� � 1505610243 REV-1500 EX RECAPITULATION 1. Real Estate(ScheduleA)....................................................................................... 1. 182 �000 . 00 2. Stocks and Bonds(Schedule 8)............................................................................. 2. 8E , 436 . 88 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages 8 Notes Receivable(Schedule D)........................................................ 4. 5. Cash, Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 177 � 92 9. 97 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers 8 Miscellaneous�{oq-Probate Property (Schedule G) U SeDarate Billing Requested............ 7. 4 F)� 0 65 . 0 9 e. 7oWl Gross,4ssets(tota�Lines 1 through 7)........................................................ 8. 494 , 431 . 94 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 32 , 072 . 36 10. Debts of Decedent,Mor�yage Liabilities and Liens(Schedule I)............................ 10. 5�477 _ 86 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 37 �550 . 22 12. Net Va�ue of Estate(Line e minus Line 1�).......................................................... �2. 45 6, B B 1 . 72 13. Charitable and Governmental BequastslSec 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)............................................... �q. 45 6� 8 B 1 _ 72 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable � at the spousal tax rate,or transfers under Sec.9116 (a)(t.2)X.00 15. 0 . 00 16. AmountofLinel4taxable 456 881 . 72 16. 20 at linea�rate X .Oa5 r ,559 . 68 17. Amount of Line 14 taxable at sibling rate X.12 0 . 00 17. 0 . 00 18. Amount of Line 14 taxable at collateral rate X.15 0 . 0� 18. 0 . 0 0 19. TAXDUE..._...._..._.................._..................................._.................___......._....... 19. ZO , 559. 68 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. � Side 2 � 1505610243 1505610243 J REV-1500 EX Page 3 Fite Number 21-12-0909 DecedenYs Complete Address: DEGEDENT'S NAME Jones,Senjamin R STREETADDRESS - 416 Appletree Road CITY � STATE ZIP Camp Hill PA 1T011 Tax Payments and Credits: t. 7ax Due{Page 2,line 19} {i} Y0,55S.68 2. Credits/Payments A. Prior Payments 18,725.00 8. Dismunt 9$5.55 Total Crediks(A +g) (2) 19,71p.53 3. Interest (3) 4. !f Line Z is greaterthan Line t +line 3,enter the difference. This is the OVERPAYMENT. (4) Cheek box on Page 2,�ine 20 W request a�efund ` -"— 5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 849.15 Make Check Pa able to: REGISTER OF WILLS AGENT. PIPASE ANSWER THE Ft}llBWING QUESTIONS BY PUIGIFtG AN"X"IN T}iE APPRdPRiATE BLOCKS 1. Did decedent make a transfer and: Yea No a. tatain the use or income of the property transferred;-......_.................................._..........._...._............... r � b. ratain the right to designate who shaii usa the propedy transferred or its income:............................ ..... � � c. retain a reversionary intereet or .....,,.. . . .,.... .., x d. receive the promise for 6fe af edher payments,benafits or care?.._. ._. ......_. ._...... x P. if death occurred after Dec. 12, 1982, did decedent hansfer property within one year af death without receivingadequatecqnsideration?......................................................._...........,........................................_..... ❑ � 3. Did decedent own an"in trust far" or payable upon death bank account or security at hia or her death?.._... Ox ❑ A. Did decedenf own an individuai retirement acconnt,annuity,ar other non-probate property which contains a beneficiary designa#ion2...._..........._.............................................................................................. � ❑ IF 7HE ANSWER TO ANY OF THE ABQVE QUESTIONS IS YES,YOU MUST COMRLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July t,1994 and befote Jan. t, 199b,the tax rate impasetl on the net vaiue af transfers to or torlhe use of the survrvirg spause is 3 percent(72 P.5.§9116(a)(1.7)(i)]. Foi dates of death on or after January 1, 1995,the tax rete impased on the net value of transfers ta or for the use of the aurviving spouse is 0 percent [72 P.S.§9N 6(a}(t.t}(ii)j. The statute does not exempt a transfer to a surriving spouse from tax,and the statutary requirements far disdosure of asseks and fi{ing a t�ref�m are sfiil applicabie even'rf the surviving spouse is the oniy beneficiary. For dates of death on or aRer July 1,2p00: • The tax rate imposed on the net value of trensfers from a deceased chiM 27 years at age or younger at death to or for the use of a natural parent,an adoptire parent,or a stepparent of tt�e chikl is 0 percent[72 P.S.§9116{a){12)j. , The tax rate imposed on the net value of tranafers to or for the use of the decedenYS iineai beoeficiaries is 4.5 percent,except as nated in [72 P.S.§9118(a)(1)1. . The tax rete imposetl on the net value of trensferss to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A si66ng is defined untler Section 9162,as an individvai whp has at least one parent in common with the decedent,whether by btood or sdaption. Rev-1btl2 EX�(07�70) SCNEDULE A pennsylvania REAi. ESTATE DEPARTMENTOFREVENUE INHEftI7ANCE TAX RETURN RESIDENT DECE�ENT ESTATE OF FILE NUMBER Jones, 6enjamin R 21-12-0908 All real property oWntltl eolaly or e!a tenant in Cammon must b9 YapokeE et/qir merkat valua.Feir merket velue ia defnetl B8 Ne pnce at wfiiEh propeNy wuultl ba ezchen8�behveenewillinpCUyerenEawilli�p eeller,neiMe�beirgcompglletllobuyo�eell,boMhevingreasonebleknowletlBeo(therelevantfects. Reel proparry thet Is Joiritlyowned with tlght ol auMVOnhip muat be tliecloeed on echsdule F. Att�Ch a copy at tMe bttlement at�eet Nfhe property FNS been aoitl Inclutle a eopy a(Ihe tleed nhowing decetlanl'a iMereal if ownetl ae tenant in common. ITEM VALUE AT DATE MUMBER DESCRIPT(ON OF DEATH 7 7st Advantage Settlement Services-Sale of real estate located at 416 Appletree Road,Camp 782,000.00 Hill,PA-See attached Settlement Sheet TOTAL tAlsa enter on Line 1,RecapitulaGOn) 182,040.OD pf more space is needed,aaaitional pages of the s&me size) Copyright(c}2010 form softvrare oniy The Lackner Group,ina Fonn PA-160Q S�eduW A{Rev.Ot-14} Rev-1btl3 E%+�e-99) SCHEDUtE B ST4CKS & BONDS COMMON WEn�iH OF PENNSYwarvlA WHEPoTM'CETAXqETtIRN ftESiOEARRECEOEPR ESTATE OF FILE NUMBER Jones, Benjamin R 21-12-Q909 All propMy jointlycwnatl with ripM of eurvivonhip must ba AiacloaeE on Sehetlule F. ITEM CUSIP VALUEATOATE NUM6ER NUMeER DESCRIPTIpN UNIT VALUE pp pEATH 1 4 shares of RiteAid-Common Stack Certifiaate#CM12$296 1.17 4.68 2 Letart Trust-investment accaunt No. 20404711406 73,659.84 3 U S Savings Bonds-Sea Attached Redemptiqn Calculations 74,772.40 TOTAL{Aiso enter an�i�e 2.Recapitulation} 88.436.88 . Q(more spsce is needed,adtlitionel pages a(the same size) Copyright(c}2002 fortn software only The Lackner Group,Inc. Fortn PA�16Q0 SChedule B{Rev.fi-98) Rev-160B EX+�N-i0) SCHEDULE E pennsyivania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE INHEftI7ANCETAXRETURN PERSONAL PROPERTY RESI�FNT DECEDENT - ES7ATE OF FILE NUMBER Jones, Benjamin R 21-12-09Q9 IACWtle eM G��s of IiUBSGO�ena the tlsta{ha vroceeCS ware raceive�M ihe astete. All proparty�oindyownetl wltlr Me tlght M eurvlvoroMp muat Os tlixlnaatl on achsdu�a F. ITEM VALUE AT dATE NUMBER DESCRIPTlQN OF DEATN 1 Auer Cremation Services of Pennsylvania-Pre•Paid cremation services 7,035.00 2 Capitai Araa investment Ciub-Membership in investments 23,887.77 3 Merrill Edge-Investment Account No. 5F4-87167 27,OS9.93 4 PSECU-Reguiar Shares Accou�t Na. 4177-01 21.184.d7 5 PSECU-Checking Account No. 0777-Q4 61,314.79 S PSECU -Maney Market Account No. 0177-07 2.83 7 Sovereign 8enk-Checking Account Na. 7110970$9 1,244.81 8 Sovereign Bank-Certificate af Deposit•Account No. 2335646376 13,689.57 8 3avereign Bank-Interest an Certifcaba af Deposit No. 233554&376 376.87 1Q Kutrtown Auto-Praceeds from sale af automobile 7,500.00 71 7st Advantage Settlement Services•Refund of funds tor recording POA at s�ttlement 35.50 ^!2 Apria Healtheare-Refund for orerpayment an aacoun# 29.4fi 13 AT&T-Refund on Aacount 3.47 14 The Patriat News-Subscriptian Refund 7.75 t5 PA Sffite Empioyees'32etireme�t System-State Empieyee's retirement 827.81 TOTA�{Aiso snter on�ine 5,Recapitutatian} 177,929.57 (If morf Bpdce is neetled,additional peges of th0 9ame size) CoRYright(c)2010 form software oNy The Lackner Group,Inc. Forttt PA•1600 Schetlule E{Rev. 11-10} Rev-0610 EX+(OB-0B) SCHEDULE G pennsyivania lNTER-VIVOS TRANSFERS AND DEPARTMENT OF REVENUE INHERITANCETA%RETURN MISC. NON-PROBATE PROPERTY � RESItlENT DECEUENS' ESTATE OF FILE NUMBER Jones,Ben]amin R 21-12-09Q9 This schetlWa muel be mmple�etl er�d(deC Hihe answer lo any otqueslions t ihrough 4 an Oege threa of Ihe REV-t500 ie yes. ITEM DESCRIPTION pF PROPERTY pATE OF DEATH w oF oeco•s �%CLUSION TAXABLE NUMBER THE�ATEOFTftANSP�ER.SATTAGNAECOPY6FT�MEDEE6F6RR£AIESTATE. VALUEQPASSET �NTEREST (�FAPPtICAetEJ VAL.UE � PSECU-TraditionaiiRA -ACCOUntNo.Ot77 31,288.12 31,288.12 2 PSECU-Trad'rtianallRAAtcountNo. 9133t52232 14,776.97 14,Tt6.97 TOTAI{Also entsr on Line T,Recapitula#ion} d6,p86.09 (If more Spece is neadetl,atltliUOnal pages of the aeme size) Capyright(c)20p9 form soTtware only The lackner Group,Ina Fortn PA-75UU Schedule G(Rev.a8-09) REV-1677 EX«��0-0B) pennsylvania $CHEDULE H DEpARr�,T�R�N�,E FUNERAl. EXPENBES AND INHERITANCETAXHETURN ADMINISTRATIVE COSTS RESIQENTDECEDENT ESTATE OF FILE NUM6ER Jones, Benjami� R 21-12-0949 Decedent's debts must be reported on Schedule I. iTEM DESCRiPTION AM6UNT q, FUNERAL EXPENSES: See eantinuation schedule(s)akkached 9,124.ae B. ADMINISTRATIVE CQSTS: t. Personai Representative's Gommissions Name af Petsonal Representative(s) Street Address City State ^ Zio Yea�{s}Gpmmission Paid 2. Attflmev's Fees Mark A. Mateya '�>>p�� 3. Family Exemption: (If decedent's address is not the same as claimanfs,attach explanation) Ciaimant Street Address Ciry State Zio Reiatianshio flf Glaimant ta C}ecedent 4. Probafe�ees 4g�� 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1��45+4•3$ See continuation schedule(s)attached TOTAI{Also eMer on Iine 8,RecapiWiafion} 32,0T2.36 Copyright(c)2409 fortn saftware only The Lackner Group,Ina Fortn PA-1500 Schedule H(Rev. 10-09) SCHEDULE H FUNERA� EXPENSES AND AdMINISTRATlVE COSTS cantinued ESTATE OF FILE NUMBER Jones, Benaamin R 21-12-0909 ITEM NUMBER DESCRIPTION . AMOUNT Funerel Exoenses 7 Atter Puneral Luncheon 615.98 2 Auer Cremation Services of Pennsyivania-Cramation Services 2,527.2Q 3 Jackie&daughter Flower Shbp-Plowers for Funeral 111.30 4 �udwick Furreral Homes Inc-Memorial Service Fees 5.$T0.60 H-A 9.124.48 Other Administrsrtive Costs 5 Cumberiand County Recorder-Reaity Transfer Tax-See a#tached Settlemertt Sheet i,a2a.00 6 Cumberland County Recorder-Fee for recording Power of Attomey document-See 35.50 attached Settlement Sheet 7 Cumberlend Law Journal-Legal Advertisement af Estate 76.00 8 Mateya I.aw Firm-Fee for Deed preparafian-See attached Settlement 3hest 158.60 9 Notary Fee•Incurred at real estate closing-See attached Settlement Sheet 70.00 10 ReMax-12eaI Estats Commissian paid at seftlement-See attached Settlement Sheet 9.108.00 11 The Sentinel-Legal Advertisgment 283.88 H-87 17,454.38 Copyright(c}2002 form software oniy 7he Lackner Group,Ina Form PA-1500 Schedule H{Rev.6-98) Rsv-161Y EX+�73-08) SCHEDULE 1 pennsylvania DEBTS OF DECEDENT, DEPARTMENTOFREVENUE INHERITANCETAXftETURN MORTGAGE LIABILITIES AND LIENS RESIDENT�ECEDENT ESTATE OF FILE NUMBER Jones, Benjamin R 21-12A909 Report tlebb incumE by tha EeeeEaM prior b tlsat�Met remainW unpaiA at tha tlab o1 tleaM,inelutling unnimbunetl metlieal eipenees. ITEM � VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 1 st Advantage Settlement Services-Payment of 2012 real estate taxes which were credited 2,389.55 to seller on HUD -1 but never paid 2 AT&T-Telephone service 36.63 3 AT&T-Telephone service 5.58 4 Bank of America-Credit Card Account No. 5680 296.79 5 Borough of Camp Hill -Sewer bill 165.00 6 Camp Hill Borough Sewer Authority-Sewer 3rd Quarter-See attached Settlement Sheet 7.17 7 Camp Hill City Taxes on Real Estate-City Real Estate taxes from 9/27/72 to 12/31/12-See 247.47 atTached Settlement Sheet 8 Cumberland County School Taxes-School Taxes paid from 09/27/12 through 6/30/13-See 1,813.44 attached Settiement Sheet 9 PA Dept of Revenue-2012 Pereonal Income Tax 171.00 10 Pennsylvania American Water-Water service at residence Account No. 24-0649109-8 74.'78 11 Pennsylvania American Water-Water service at residence Account No. 24-0649109-8 29.56 12 PP&L Electric Service-Electric service at residence 6/22H2-7/24/72 207.57 13 PPL Electric Utilities -Electric bill for residence;Account No. 60370-76007 99.32 TOTAL(Also enter on Line 70, Recapitulation) 5,477.86 (If more space is needed,additional pages of the same size) Copyright(c)2008 form software only The Lackner Group, Inc. Form PA-1500 Schedule 1(Rev. 12-08) REV-06tI EX+�Oi-0q) pennsylvania SCHEDUt.E J DEPARTMENT 6F REVENUE INHERITANCE TA%RETIIkN BENEFICtARIES HESIOENT DECEDEN7 ESTATE OP FILE NUMBER Jones Ben"amin it 21-12-0909 RELATIONSHIP TO NAME AND ADDRESS OF SHARE OF ESTATE AMOUNT OF ESTATE NUMBER AERSON(SYRECEIVINGPROPERTY DECEDENT {yyaros} {$$$) � TAXABIE 61STRlBUTIONS [indude outrigM spousai diatribuhons,and transfers under Sec.9118 a 12 Sharon E DeVore Chiid 235,440.86 12 Maple Lane Newvills, PA 17247 Cathy G Janes Ghitd 233,440.$6 45 Dietrich Valiey Road Kutrtown, PA 19530 Total 466,881.72 Enter dollar amounts for disfributit�ns shown above on lings 15 ttrrou h 18 on Rev 15Q4 cover sheet as a ro riate. NON-TAXABLE DISTRIBUTIONS: II. q.SPOUSAL DISTRIBUTIONS UNDER SECTION 911 J FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHRRITABLE ANC7 GOVERNMENTAL OISTRiSUTipNS TQTAL OF PART II -ENTER TOTAL N6N-TAXABLE DISTRIBUTIONS QN LINE 73 pF REV-1500 COVEI2 SHEET Copyright(c)20Y 0 form saflware only The Lackner Group,Ina Form pA-7500 Schedule J(Rev.01-10). rnmrr �.. . ...a. v� .. . _. CUIJ'Cr `'r' �,q'!i l j ___ �_�_ _ ��I2dUG 17 pp� �; �r�ST WILL F1ND TESTAMENT OF *�� '� `� � ` � BENJAMIN R. JONES � 4RPHAN S (;OUpr CUMBERLAND{{�„ pq 2, BENJAMIN R. JONES, of Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind, do hereby make and declare this to be my Last Will and Testament, and 2 do hereby revoke and make null and void all prior Wills and Codicils made by me at any time heretofore. ITEM I. 2 direct that all my legally valid debts funeral and administration expenses, and inheritance and estate taxes incurred on account of my death shall be paid by my personal representative out of my residuary estate as soon after my death as practicable. ITEM 22. 2 give, devise and bequeath all of the residue of my estate of every nature and wherever situate to � my wife, ELIZABETH F. JONES, if she survives me by thirty (30) days. Should my said wife not be living on the thirty- first day after my death, I give, devise and bequeath all of my estate of every nature and wherever situated to be divided equally among my children, or their issue per stirpes. ITEM III. I appoint my wife, ELIZABETH F. JONES, as Executrix of this my Last i4i11 and Testament. In the event of the refusal or inability of my said wife to serve or continue to serve as my Executrix, 2 nominate and appoint my daughters, SHARON EL22ABETH RHOADS and CATHERINE C. JONES as my Successor Executrices. ': '� :�� (SEAL) - � / �__. R : � ITEM IV. 2 direct that my Executrix and Successor Executrices shall not be required to give bond or post any other security for the faithful performance of their duties in any jurisdiction. ITEM V. My Executrix and Successor Executrices shall have the following powers in addition to those invested in them by law and by other provisions of my Will applicable to all property, whether principal or income, exercisable without Court approval, and effective until actual distribution of all property: A. To retain any or all of the assets of my estate, real or personal, in their sole discretion. B. To sell at public or private sale, to exchanqe or lease, for any period of time, any real or personal property, and to give options for sales, exchanqes or leases, for such prices and upon such terms as they deem proper. C. To make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as they may determine, and at valuations finally to be fixed by them. IN WITNESS WHEREOF, 2 have hereunto set my hand and seal to this my Last Will and Testament, consisting of two (2) type- F�j �,• written pages, this � day of �-.-��"/G,�,.�!.^-` , 1978. � � ,,,�,�_� ,o' � .:� .:c_,�.,`.�. (SEAL) 'Ben a" in R�: s � . . '�:, :Y�� '4:4�� `�ti'y^ i n. '..'� �v,� A i .'t. •1 • [ k h ` we. tne .�nas��'gnotl', .h�re�y;._'�� o :� ., , Wil1 was signed, sealed, �ublinhed and declared� by�t'[ig '�'�ry.. abOV�-named Testator, Bpnjamin R. Jor��.=. , as �md [or t:i�, ��La ': 69iII and T2stament, in the oresence c,E u= >�i�� . � M}; request and in his presence and in the. �;r .., . . � , ,�� ""'` Ti other, hava hereunto set aur hands ar•.d s,-1 . year above written, and we certify that at: tic � ' le: execution thereo£�, the said Testator was �f ;.- _ ... . . - dispasing mind and memory. � � � ,� � .... ,.o. � " . J � �"/LCu,:tiA.r_'�.t'.�.,. �,.r.%�r,�$�.� j!1� Residing at �;; , �o�,.�,,�'�.,�`�,'r.;,, .r_ _ . . . . . ._ _..... . ✓ f7 � �� r-tWdd.� �""'r�y� xesiding atf� i _w j ' ?: _.r1�� 0. r �7pr/ � � � e�: , 1`z ' ..�. * s:, ,�_ �,t „t.: � s ,;,4: # � t � �E M S; Mt� �vl<,��s r r,:;�� y.,,.,.«� w;: w i 7 ! ;: 3: � � a",°` � , �y �, t s�:s '� � '�a"," ,� �"�".:y t"^;,i g �li�s i d �3; 4t �r,��2� `m b� 4 �,�. ..� a xi;,t �. � , -i '�"" , . � 4 db < ., rt°:'. L x ., .. . � , - .., . >. , . ,x m��,. �'.. o't , .. . . ... 'r:: �''J _ . � �� A. Settlement 5tatemer�t HUD-1 °r"g�'P'°"a'"° zboaozas �I��,�� ( ) . L�Y]FHA 2.Q RHS 3,[]Conv.Unins. s.File Number. 7.Loan Number. S.Modgage Insurence Csse Number: 72303 770Q377205 dA&1410869203 4.[]VA 5.(]Conv.Ins, . C.Note:This fortn is furnishatl ta give you a stntemant bi actual settlement wsts.Amounts peltl to antl by tna sflttlement egeM9 ate shovm It¢ms tnarked "(p,o.c}"were paid auiside tha ciasin9;they ere shawn here tarinformetion�i puryoses an0 aro nat includeC I�7 the tof2ls. O.Name&Address of Bortouzc E.Name&Address of Seiler. F.Name&Address of Lender: 9radiey A.Raab B�farttin Jares PAaRgage Neiwo�C,inc. . � 30A Fennsylvania Ave,Gamp H�II,PA 17011 55 West ChUrCh Avenue,Cadisle,PA 17�13 3flQ Rosewecd Orive,D�vers,A4A 01923 G.Property Location: � Fi.SettiemeM AgeM: I.SettiemeM Dato:09i27l2012 - 416AppletreeRoad � 15tAdvanWgeSetllementServic�alnc. DisbursemeniDBte:q9f272012 - Camp Hiii,PA 170'i 1 6375 Mercury Drive,Suite 102,Mechanicsburg,PA 17050 Camp hli}I Botough Telephone:717-59?-R55 fax:717-591-7156 PIaCe af SBttiemenY. Ti�e ess � 6375 Mercury Ddve,Suite 102,Mechanisshurg,PA 17050 Printe 09/27/2012 at 71:50 am by ED s � 100. Groas Amaunt Due hom Bonower �� 40tl. Groae Amaunt Due to Seller � __.�_,_._ . . 1Qt. CpnVactsalesprica 582,-090.W -0ffi. Cor,iractsaf�price 182.000.00 1Q2. Parsonal ro �..-.��.�.� ,�,p.-...-_ . _-' . 542. Persrn,��ro,e � 1�3. 5etllement charges ro borrower(Iine 1400) 10,874.84 403. t64. 404. 1Q5. d05. � . Ad uatmenb for items aid b seller in advance Atl'ustments tcrltema �d sdMrin adva�xe 108. City/trnmt2xes OBYY7(2012ta12f3112012 247.4I 406. City/lvantx�es �812712012to12[31(2�12 247A7 i07. Coonrytaxes tp A07. Caunty�axeS to 198. SchaolTaces 09t27l2012tfl�f,iqt2413 1,813.b4 608. SchoIXTarss 09I2712012to08f.iD72013 1,873.d4 109. d�9. � - 110. 410. t�i. Sewer3Ni�uarfer Og�EiI2052io69130i2012 7.17 d11, Sewar3rd�uatler 09127120121009/3012012 7.17 f12. bt2, 7P0. GroesAmount�uaftom8ormwer 794,943.42 4t0. GrossMwumDueWSeita �84�d68A$ 200. AmouMe Peld b or in Behelt pf Borrower SOA. ReducUa�s In Amount Dua to Sellst Zilt. Depos(tweameyyrtroney S,OW.06 Wi. Ercesstleposit(seeinstructionsJ 2Q2. Ptincip�amOUntW�v3oaM,$) 17$,�3.� 502. Setfiemen#dimgaStaSe�Iet(tinet§Q�j � 11,11550 203. Existin ba s takensubectm SQ3. E�dst s fakensu 'ecttc 204, 504. Pa oHC49rstmoA a eloan 205. 505, Peyoff d second mortgage loan 2IX'r. �. zm. su7. 208. 508. 209. 509. Ad uatments forNems un d seller Ad ushnmrta fur Hems un ald aNter 210. ityltovm Wzes m 57�. Gtyttovm taxes to 211. Counrytazes to 511. CoUntytazas to 212 SdrodTaxes to 5?2. SchoaiT�as to 213. 543. 214. 514. 215. SellerASSist ),000.00 515. SellerASSist 7,000.00 � 218. 518. 217. 6t7. 218, 51& 219, 519. 220. TotnEPaidb Har6orrawer i�� TntalRaductlanAmouMDUeSeiler 18,115.50 340. Cash:dSe@(emenkhamlMBorrm+�r bW. CaehatSetNert�IttoRmmSellar 3p�, Grossamounttluefrombotrower(Iine120) 194,843.02 6�1. Grossartwuntduemsaller(IineA20) 184,068.08 3p2, Less amounts paid byRor borrower ping 22p) 190,703.00 &p2, tess retluc6ons in amouM due seller(line 52p) iB,115.50 083. Cesh QX From ❑ 7oHorrower d,2M.02 603. Cash Q To Q FromSefler 165,952.58 . Td�qm.ur4nPpb�iry'�n�mMY��B��ImryM�.HnronMmtl�AYNa�APUb��tblun6rti�MUery.iIYM1EeNO��oqo'M�N�qXlpb�ftEBp/�tmMlnnNpMM IMequlknpNrylb enu.m�m w�.ss Previous editlons are obsolete Page 1 of 4 HUD-i ' 76t�. fiatatRealEstateBrokerFees 59,100.06 paid From Paid From � nivisiaootcommissiw Iine700 esioliows Borrow2�'s Seller's 7�� $4,375.00 (o Rel axlStAdvantage Furtdsat Pundsat ��Z- $d,725,D6 to Co1dWeli6enkefHomest9adGroupSetetl Settlerl'16nt SettIeRIORt 7G3. Canmisslon paid 2i set�etrertt 9,100.00 704. Gommission �o RelMav7stAdvantage 5g5. 800. ftems Pa eble in Conneatian with Laan d0?. Ouroriginationcharge (InoludesOnginationPoini0.000Yoor$�AO) $974.W ( mGFE#1) 8C2. Your credit a charge tp�ints;for the specitlC i�terest rate chosen {fram GFE#2) 803. Vourudjustedoriginafioncharges (from FEA} 974.9q � 8G4. hppraisal tee to ers A raisal Servica Ina (from GFE#3) 440.W � 8J5. Gre�it repart to Birchwvod CretlN Services inc (ram FE ft3} 66.W 806. Taxse�iice to tromGFEp3 807. Flood aenifCation ro LPS National Flood {(rom GFE#3J 10.00 � 3f8. FNMA L�I Uptlate to 6rchwood Cretlit Services inc (�fom GFE M3) S.Op � P00. ftems R uired b Lenderta be PaW in Advance 90t Dailylntereatchargesfrom fmm�912tl2012tot9N12012QSN.}d�Nday {romGfE iGj 88.56 902. Mortgage Ins.Premium for monlhs to Mort e e NeN+ork,Ine. ( om GFE R3j 3p73.53 903. Nom�wnersinsu2nce tort2 manlhstoErielnsurenceF�chan e ihomGFE#11) 631.00 904. months to tmm GFE#it }0 0. Reserves De o itetl wilh n er �10p1. initialtlepositforyourescrowaccount (homGFE�l9a 983.85 !002,Homeownets insUrance 3 mDnihs $ 52.591month 3157.74 � 1 W3.Matoage lnsu2nce mpnths $ 181.37imonfh £ . 1044,CityProPertyTax 8 rtmnihs $ 80,23Imont� $641,84 � iDO5.GountyPropertyT� manths $ 0.00/moNh 8 . - 1W6.5chodTacas A monihs $ 195.i51month $�Bd�� 79QI.AggregateA'yustment frS96.33 - tt00.TltleCha us � 1�Ut Tlue services antl iendera tide inxurence (tmn GFE#4 1,2590 1102. Settiemenirndosingiee �o $ t 103.Ou�aers t'rtle tnsuranca from GFE#5 16.D0 1194. Lender's Utle ineuret�ce 81,526SfJ 1105. Lender'stitlepolicylimitS178,703.00 Lender'sPolicy . 1108. Owner's titis policy limit$182,000.60 Owners PWicy t147.Agents pallon o'the iWal iide inaurance premium $i,241.06 � � 1108.Underwdte2spoftiooa(thet0t�d11eln5uranrzpreMvtn 5294.G4 1109. ?510. Notary foTineFW�erton 10.00 tt9t. TazGeNticafionFree fatstAdvsnia 9SeNemaniS 7112. ta $ 120Q.Government Recordin end Trensfer Ch ea � 1261. Qovernmentrecordingcherpee 9 ((rumGPE#7) 134.Op i2p2, peed$62.00 Mort a e$72.00 Release$ 7203,Trensfertaxas $ {#romGPE#8} 1,8ffi.W 12tl4.CltylCounty tevlatampa Deed$1,924.� M $ 1205. StateTax/stamps � Deedf1820.00 Mort e$ 1,870.90 f206. Deed S Mort e$ 1207. R�wtl Puver M Attomey 35.50 1309.AddRiona13ettl9mentCha es 1301.Requited sarvices that you can shop fo� (from GFE M6) 4 0.00 t362.Sa!vey to $ 1303. fa 1304. Home Warranty to Home War�anl otAmaAca 5420.00 t3�i5.Oeed PreParzti�n to Ma� a i.en Firtn 150.00 •�t � . � 4,874.94 11,115.50 'Paicf outslde 9f ebsing bY(6p�rrorist,(Sjeiiet,{l}e�tda,{I)nvestw,Bro(Kjer.°Cre�t 6y Ier�dersh7vm qn page 1."'Cred'it by seqer shovmon page i. Prevtous edit�ons are otfsoleTC Page of 4 NUD-1 _ _ _ _ ,i 1��, Calculated Value of ITour Paper Savings Bond{s) Page 1 af 3 Calcutated Value of Yaur Paper Savings Bond{s) Calculator Results far Redemption Date Q9/2012 Tota! Price Tata)Value Totai Interest YTD Enterest $4,037.SQ $14,722.40 $10,684.90 424.31 eonds: 1-106 of Id6 Issue Next Ffnal Issue Interest Serial # SeriesDenom pate Accrual Maturity Price fnterest Rate Value Note CO223808735EE EE $100 10J1990.20J2012 1OJ2020. $SOAO: $9$.08' 4.00% f14$.08 CO263789453EE EE $100 09/1990 03/2p13 09/2020. $50.00 $101.04 4.00% 5151.04 CO259475175EE EE $S00 OS/1990 02/2013 OS/2020 $50.00 $101.p4 4.00% 5151.04 CO242956773EE EE $164 07j1440 Q1j2013 4?J2026 $50.04, $id2.04 4.40% _#151.04 _ ..._ __. _..... ... . ... . .__. . ._... .,.. CO242935801EE EE ' $160,46J1990:12J2012 06j2020, $50.00, $101.04 4.00% �151.04'. _ _ _ CO242920862EE EE $100 OS/1990,11/2012 OS/2020. $50.00 $101.04 4.00%. ;161.04' CO242905848EE EE $100 04/1990 SO/2012 04/2Q20 $50.00 $101.04 4.Op°!o #151.Q4 , CO242&90567EE EE $140 63J199Q.03J2013 03J2020 $50.40 $SO4.0$ 4.Q0°!o-, �154.4$ CO226769401EE EE $S00 03J1990.03J2013 03J2020 $50.00 , $104.0$'. 4.00%. ;154.08 CO226754141EE EE $100 02/1990;02/2013 02/2020 $50.00 $104.08' 4.00°/a' f154.08 CO225738711EE EE $lOQ O1/194Q O1f2013 O1f2020 , $50 AO $104A8 4.OQ°la $154.08'� CO225723215EE EE . , $104 22J1984,12J2012 1212419 $50.40, $104A8 4A0°la . #154.68, CO226?07633EE EE ' $500.11/1989,11/2012 11/2019 $50.00; $104.08. 4.00%, ;154.08. CO22669155EE EE $100 10/1989 10/2012 SO/2019 $50.00, $104.q8' 4.00% ;154.08, CO211dQ9785EE EE $100:49f1489 43J2413 44J2014 $50.00, „ $1Q?.i6 4.44%�� $15T,18; C4226994144EE EE $100 OSJ1989 42j2413 OSJ2019 $50.00 $107.16 4.00% #157.ib CO21p97905EE EE $100.07/1989,01/2013 07/2019 $50.00. $107.16 4.00% $157.16 CO21p965098EE EE $100.06/1989,12/2012 06/2p19 $50.00, $107.16 4.00% $157.16, C6196172354EE EE $100 45f1984;11f2p12 OSf2019 $54A0 $lOZl6 4.40%a $157.1fi C6196159440EE EE � $lOD-04J1989'itiJ2012.04J20191 $50.00 $307.ib 4Ad°lo fi57.lfi' C019B146691EE EE $100 03/1989 03/2013 03/2019 $50.00 $110.32 4.00% ;160.32 C0196133898EE' EE $100 03/1989103/2�13 03/2019 $50.00 $110.32' 4.OQ°lo ;1$0.32' C0196121255EE EE $i64 62j19&9 02J2013 42J2019, $54.04 $110.32 4.40% $160.32j C0196108291EE EE $100 OiJ1989 OSJ2013 OSj2019 $50.00 $110.32 4.00°!0 #180.32 C0179591252EE EE $100 12/1988 12/2012 12/2018 ,.$50.00 $110.32 4.Op% #SBp.32 C0179577882EE'. EE $100 12/1488 11/2012 11/2Q18 $50.00 $110.32 4.00% �1$0.32 C0179564539EE EE $144 14f19&8,1OJ2012 1OJ2018 �SOAO $110.32 4.00°l0 $160.32 _ _ .. C0179537355EE EE _ $100 09J1988,03/2013,09j2018 $50.00 $113.52 4.00% $163.52'. , C0174538774EE EE .� �$100 0$/1988_02/2p13_0$/2p18 $50.00 $113.52 4.00% .�163.52 C0119527755EE EE $Y00�.07/19$8.Oif2413�.07f2018�:. $50.40 $113.52 4.00°!0 �153.SZ: . ._ ....... ..... . .... . ........ . ...... . ._ .. . ..... . . _... _._. . ._... CO1b4773776EE' EE $Sd4':Q6J198& 12J2012 46J2418 $50.00 $113.52 4.00% ;1$3.52' _ _ _ C0164764463E8�. EE . , $100 OS/1988:11/2012 OS/20i8 $50.00; , $113.52 4.00% �183.52'��. C0164755229EE EE � $100.04/1988:10/2012, 04/2018 $50.00. $113,52 4.00% #163.52� ...... .. .... ....... _.. .. . ..... .. ....... ...... . ........ .. .. .... ... . ..._. . C4164�46231EE EE $iQ0'�03/1988.63j2013 03J2018 $SQ.44 $116.$0 4.OQ°/a �16$.8Q CO1fi1416526EE ' EE $104 03j1988 43J2413 03J2418 $50.44 $lifi.80 4.Od°!o- $1fi6.80 C0161407739EE EE $100 02/1988 02/2013 02/2018 $50.00, $116.84 4.Op% ;166.80, C0154132519EE EE $100 O1/1988 O1/2013 O1/2018 $50.00 $116.80 4.00% �166.80'. C01154123236E EE $104 12f1987 12f2012 12J2017 $5Q.Q0 .,, $116.80 4.00% $168.86'�.. C6154114655EE EE � � $760 llj1987 11J2012. 11f2017. $SO.Q6 $116.80 4.OQ% $166.86' ,. C01541p4620EE EE $100 10/1987 10/2012 SO/2017 $50.00 $116.80 4.00°/n �186.80 „ C0154085450EE EE � $100 09/1987 03/2p13 09/2017 $50.00 $120.12 4.00% ;170.12 K72924553EE EE $75 0$J14S7-02J2013 48J2017 $37.50 $96.09 4.44°Jo �127.54 ._ _ _ K7292191fiEE EE $75 07{1987;O1J2013.07j20ll $37.50 $90.09 4.Q0% $127.59 K72919358EE EE .. , $75 06/1987 12/2p12 06/2017 $37.50 $90.09 4.Op% $127,59 K72916814EE EE $75�05/1487'�11/2012' OS/20ll. $37.50 � $90.09 4.00% �12R54 K58439535EE EE $75 04)198J SOj2Q12 44J2417 $37.54 $96.69 4.46°l0 $227.54 _ Kb$442216EE�. -EE � $75 04j1987�1OJ2012 04J2017 �$37.50 � $90.Q9. 4.00°/q. ;127.59�� . http:l/www.treasurydirect.govlBC1SBCPrice 9/5/2012 � Calculated Value of Yauz Paper Savings Band{s} Page 2 of 3 K67238893EE EE $75 Q3J1987,43J2013 43J2fl17 $37.50 $92.64 . 4AQ°fo $230.24! Kb7235950EE EE ' $75 02ji987,02J2013,02J2017 $37.50 $92.64 4.00% $i30.14 _ K67233421EE EE $75 O1/1987 Oi/2013,01/2017_ $37.50 �92.64' 4.00°/n ;i30.14_ .. K672306441 EE . $75'12/1986'�.12(2012 12/2016 $37.5Q�� $92.64 4.00°!0 ;130.14'�, K66093845' EE $?511Ji9$6 ilj20i2 i1J2616 $37.50 $92.64 4.04°l0 $I30.14' K66091017 EE � $75 10/1986.10/2D12 10/2016 $37.50. $107.25 4.Op% 5144J5 K66088153 EE , $75 09/1986,03/2013 09/2016 $37.50 $110.13 4.Op% 5147.63. K660&5378 EE ' $75 08J1986 Q2J2613 08j2016 $37.50 $114.13 4AQ% #147.63', K66082819 EE $75.07J1986 O1J2013 07j2016 $37.50 $114.13 4.00% $147.83! K63192663 EE $75,06/1986 12/2012' 06/2016 $37.50. ,,, $110.13, 4.00% $147.63 K63190400 EE $75 OS/1986,11/2012 OS/2016 $37.50_ $110.13, 4.00°/a �147.63. K63188084 EE $75 04j148b;14f2012 04f201b $37.50 $i1p.13' 4.4p%a #147.63 ,_ K63185724 EE $75 04j1986,1OJ2012 04j201b $37.50', $110.13 4.d0°la ;347.63, K63183356 EE $75 03/1986 03/2013 03/2p16 �37.50 $113.10 4.00%0 $150.60; K56857065 EE $75'A2/1986 02/2013 02/2016 $37.50 $113.10 4.00°l0 �150.60 K5685463& EE $75�41J1986 OSJ2013 41j2416 , $37.50 $113.16'� 4.40% #150.fi4��.� K5b97b623 EE $75 12J1985 12J2412 12f2015 $37.50 $113.16 4.00% ;158.b0 K56744051 EE $75 11/1985i11/2012 11/2015 $37.50 $113.10 4.00°Po $150.60 KS6725665 EE $75 lp/1965 LO/2U12 SO/2015 $37.50 $113.10 4.00°fa ;150.60 _ . KS6723050 EE $75 09J1985 Q3J2013 49j2015 $37.50 $116.16 4.Q0°/a $153.60 K56720515 EE $75 O8J1985 02J2013 08J2015 $37.50 $116.10 4.Op°!o $153.60' K55956478 EE $75 07/1985,01/2013 07/2015 $37.50 $116.10 4.00°/a 5153.60j K5S45391$ EE � $75 06/1485,12f2012 06f2015. $37.SQ $116.10. _4.QQ°/a'_ �iS3.64' E214220054 EE $56 0511985 i1J2012 OSJ2015 $25.00 $77.40 4.00°l0� #102.40 L214206965 EE $50'04/1985 1 p/2012� D4/2015 $25.00 , $77.40', 4.00% S1d2.40 „ . L20$256211 EE $50 03/1985 03/2013 03/2015 $25.00 $79.44� 4.00% ;304.44 , L24$242811 EE $Sd 02f19&5,02f2013 42j2015 $25.00 $79.44 4A6% �104A4, L20d$9b280 EE $50-A1f1985 61f2013 d1J2025 $25A6 $79.44 4.d0°/a �104.44 _ L200882346 EE ', $SO i2/1984'12/2012 12/2014 $25.00 $79.44 4.00°/a 5104.44 L195491493 EE $50 11/1984 11/2012 11/2014 $25.00 $79.44 4.00% _ s104.44�. _ L1932276fi5 EE $50 16JiB84 14f2012 1OJ2014 $25.00 $79.44 4.44% $104.44:_ �L193213470 EE � $50 10/19$4,IOj2d12 1OJ2014 $25.00 $79.44 4.00°!0 ;204A4.. L185578689 EE . , $50 09/1984,03/2013 09/2014 $25.00 . $81.54 4.00% � 5106.54'��. L1$5564288 EE ', $50 08/1984 02/2Q13 08/2014 $25.00 $81.54 4.00% $l06.54 .. L181641859 EE � . $56.47J1984 OSJ2013 47f2014 $25.40 ._�81.54 4.60°to _#108.54 L181628568� EE $50 O6J1984 12J2012 06j2014 $25.00 $81.54 4.00°!0 #104.54 . . ..... .. . .,... _ . .. . . . .. . . .. ,. .. . . ._ , L174140186 EE $50 05/i984,11/2p12 OS/2014 ,.$25.00, . . $81.54 4.00°/a, ;106.54'�, �L174128734. EE $50 04/1484 10/2012 04(2014 .�25.0� �$81.54 4.Op°lo ;1p8.54'�. L16436$346 EE $50 03J1984'63J2413 03f2p14 $25.46 $83.66 4.00°l0 $108.88�. ,.. L164355918 EE� $50.02f 1984 02J2013 02J2014 $25.00 $83.66 4.Oq% #10$.66� , L16D038519 EE�� $50 O1/1984 O1/2013 O1/2014 $25.00.. $83.66 4.Oq% �108.66�. L15424&475 EE $50;12fi983.1Zf2612 12f2013 $25.00 $$3.66' 4.00% �308.68 1146342J21 EE $SO�llJ19$3,11J2012 11J2013 .$25.OQ $83.66 4A0°lo S10$.$5j. L1R9513994'�. EE $SO 11/1983 11/2012 11J2013 ,$25.00' , . $83.66 4.00%'. �10$.66'� L147514076 EE $50 10/1983 10/2012. 10/2013 $25.00 $83.66' 4.00% �1d8.66 , 1144850418 EE $SQ 04f1483A3f2013 Q4j2Q13 $25.40 $85.84. 4.40°1a #110.84 _ _ _. . 1144$37215 EE �� $56��.08J1983_02j2013:48J2013 $25.00, . $85.84� 4A0°Ja .. $316.84��. ___... _.. ... __. . . . .... .. . .. . _ .. ... ... ...... , L12$945721. EE ; $50.07/1983.01/2013 07/2013 $25.00,. . $85.84 4.00% ;1i0.84'�. L128934284 EE $50 06/1983 12/2012 D6/2013 $25.00 $85.$4 4.00°/a_ � �il(1.84: L12$923832- EE $50 45j1983�11f2012 OSJ2013 , $25.OQ $$5.84, 4.44°l0 �130.84'. ,. L120549697 EE $50�04J1983 1Oj2012 04j2413 $25.00 $87 06 4.00°l0 $112.46 L120539026 EE � $50 03/1983 03/2013 03/2p13 $25.00 $8$A6. 4.00% �f113.06 L120526328 EE $50 02/1983 02/2q13 02/2013 $25.00. $112.42 4.00% ;137.42. �110864713$ EE $50 OSj1983,O1j2013 OiJ2013 $25.00 .$112.42 4A0% $137.42 L10$b72954��. EE $50 12j1982.12j2012 12j2012 $25A0 $112.42 4.00°Ja. ;137.42: L108684328 EE $50.12/1982 12/2012 12/2012 $25.00, $112.42 4.00%��. $137.42; L102136812 EE �� $50 11/1982 11/2012 11(2012 $25A0 $112 42, .4.00% �'.13T.42; . 1102125753 EE $50 24j2982 iQJ2012 14/2Q12 $25.46 $119A2 4.60°fo- #144A2 ..-L102112848 EE , $50.09/1982 09J2012 $25.00, $121.40,; #146A0 MA Totals f4r 106 Bpnds f4r437.50 $10,684.9q 514,722.40' �votes NI NotIssued http:llwww.treasurydirect.govBC1SBCPrice 9I5I2012 � Caiculated Value of Yaur Paper Savings Bond{s} Page 3 of 3 NE Not el�gible for payment P5 Indudes 3 month interest penaity MA Matured and not eammg interest http:llwww.treasurydirect,govIBC/SBCPrice 9/512012