HomeMy WebLinkAbout05-24-13 �
� 15�5610140
REV-1500 EX �°,_,°,
PA Department of Revenue OFFICIAL USE ONLY
Bureau of Individual Taxes County Code Year File Numher
Po aox zao6o� INHERfTANCE TAX RETURN
_ _ Harrisbura PA 17�28-0607 RESIDENT DECEDENT 2 1 1 3 0 2 0 7
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYVY Date of Birth mMOOYYrY
0 2 0 7 2 0 1 3 1 0 2 5 1 9 4 8
DecedenPs L.ast Name Suffix DecedenYS First Name MI
M c G R A W R A L P H S
Qf Applicable)EMer Surviving Spouse's IniormaBon Below
Spouse's Last Name Suffx Spouse'S First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1. Original Return � 2.Supplemental Return � 3.Remainder Return(date of death
priorto 12-13-82)
� 4. Limited Estate � 4a. Future Interest Compromise(date of � 5.Federal Estate Taz Retum Required
death after 12-12-82)
❑X 6. Decedent Died Testate � 7. Decedent Maintained a Living Trust _ 8.Total Num6er of Safe Deposit Boxes
(AHach Copy oF Will) (Attach Copy of Trust)
� 9. Litigation Proceeds Received � 10.Spousal Poverty Credit(date of death � 11, Election to tax under Sec.9113(A)
between 1231-97 and 1-1-95) (Attach Sch.O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONOENCE AND CONFIDENTIAL TA7(INFORMATION SHOULD BE DIRECTEDTO:
Name Daytime Telephone Number
M A R C U S A • M c K N I G H T , I I I 7 1 7 2 4 9 2 3 5 3
i � REGISTER OF WILLS USE ONLY �
�I —
First line of address C � �—
I R W I N 8 M c K N I 6 H T , P . C . "�I �
se� �.�
Second line of address � ..
6 0 W E S T P 0 M F R E T 3 T R E E T I ` �
City or Post Office Staie ZIP Code ��� -dA7E FILEO�.�
� �.. .--_._ T .—_—
C A R L I S L E P A 1 7 � 1. 3�= r �
,.
r:- `;, �
CorrespondenYS e-mail address:
Untler penalGes of peryury,l tledare ihat I have exami�d this retum,inclutling accompa'rying schedules antl sWtements,antl to Ihe best of my knowledge entl belief,
it is true,correc tl complete.Declaration of preparer oMer ihan[he personal representative is based on all infoimation otwhich preparer has any knowledge.
SIGNATUR ��E N RESP�NSIBLE FOR FIIING RETURN �n���
�A
ADORESS �
4 SOUT SEASO S DRIVE DILLSBURG PA 17019
SIGNAT F EPA THAN REPRESENTATIVE ATE
I �
ADDRES
60 W ST POMFRET STREET CARLISLE PA 17�1�3
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 1505610140 1505610140 �
/j
J 150561�240
REV-1500 EX
Decedenfs Social Secunty Number
oecedenrs Name: R A L P H S . M c G R A W
RECAPITULATION
i. Reai escace�scneduie n� �. 4 8 5 0 0 , Q 0
2- Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . 2 •
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) . . 3. •
4. Mortgages and Notes Receivable(Schetlule D) . . . . . . . . . . . 4. •
5. Cash,Bank Deposits and Miscellaneous Personal PropeAy(Schetlule E). . . 5 7 4 2 1 4 , 6 0
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . 6. •
7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property
(Schedule G) � Separate Billing Requested . . . ? 1 1 1 8 1 9 , 2 0
8. ToWI Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 2 3 4 5 3 3 , 8 0
9. Funeral Expenses and Administretive Costs(Schedule H) . . . . . . . . . . . . . . 9. 2 2 0 0 6 . 9 7
70. Debts of Decedent,Mortgage Liabilities,and liens(Schedule q . . . . . . . . . . . . . 10. � 4 3 7 7 . 8 1
71. 7oW1 Deductions{rotal Lines 9 and 10) . �� 3 6 3 8 4 . 7 8
12. Net Value ot Estate(Line 8 minus Line 11) 72. 1 9 8 1 4 9 . � 2
13. Charitable and Governmental BequestslSec 9113 Trusts for which
an election to taz has not been made(Schedule J) . . . . . . . . . . 13. .
14. Net Value Subject to Tax(line 72 minus tine 73) . . . . . . . . . . . . . . . . t4. 1 9 8 1 4 9 . 0 2
TAX CALCUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(12)X.0 _ 0 . � � 15. � . � Q
16. Amount of Line 14 taxable
at�inea�rate x .oa5 3 � 1 7 4 . 5 4 �6 1 3 5 7 . 8 5
17. Amount of Line 14 taxable
atsiblingrete X.i2 1 3 9 9 3 0 . 3 0 ?� 1 6 7 9 1 . 6 4
18. Amount of Line 14 taxable
at collateral rate X.15 2 8 � 4 4 . 1 8 �a. 4 2 0 6 . 6 3
19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 2 2 3 5 6 • 1 2
20. FILL IN THE OVAL IF YOU ARE RE�UESTING A REFUND OF AN OVERPAYMENT �
Side 2
� 150561024� 150561�24� J
REV-�500 EX Paoe 2 File Number
DecedenYs Complete Address: 2t �3 020�
DECFDENT'SNAME
RALPH S. Mc�3RAW
- — — - _�_-- -- —
------- ----- --- --
STREETADDRESS �
144 PROWELL DRIVE
__ . _- ------ ---- -- — --. .
CITY STATE ZIP
CAMP HILL PA 17011
Tax Payments and Credits:
�. Tax Due(Page 2,Line 19) ��) 2z 3r.�6 �z
2. Credits�Payments
A Prior Paymer+is 22.000.00
B.Discoun� 1 117.81
Total Gredits(A+g) (p) 23,117.81
3, Interest
4. If Line 2 is greater than Line 1+Line 3,enter the difference.This is the OVERPAYMENL (3)
Fill in oval on Page 2,Line 20 to request a refund. (A) 761.69
5. If Line 1 +Line 3 is greater than Line 2,enler the difference.Thls is the TAX DUE. (5) 0.00
Make check payable to: REGISTER OF WILLS, AGENT
�` „°°����_��.�°,��;: . �`�._ ,F�
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: ...................................................................... ❑ XQ
b. retain the right to designate who shall use the property transferretl or its income: ............................... ❑ QX
c. retain a reversionary interest;or ................................................................................................ ❑ 0
d. receive the promise for I'rfe of either payments,benefits or care? ....................................................... ❑ QX
2. !f death ocwrred after December 12,1982,did decedent iransfer propeRy wi[hin one year of death
without receiving adequate consideration? ....................................................................................... ❑ QX
3. Did decedent own an"in Wst for"or payable-upon-death bank account or security at his or her dealh? ......... ❑ Q
4, Did decedent own an individual retirement account,annuity or other non-probate propedy,which
contains a beneficiary designation?.................................................................................................. � ❑
IF THE ANSWER TO ANY OF THE ABOVE QUES'fIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
- -... , . .
�,.�, h��`�` w� _, �. _. ,. -_. _�� ?r . _- w �;.�r, �
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 requiremenis for disclosure of assets and
f ling 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)(12)].
• The tax rate imposed on the net value of transfers to or for the use of the decedenPs lineal beneficiaries is 4.5 percent,except as noted in
72 P.S.§9116(1.2)[72 P.S.§9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedenPs siblings is 12 percent�72 P.S.§9116(a)(1.3)].A sibling is defined, under
Section 9102,as an individual who has at least one pare�t in common wtth the decedent,whether by blood or adoption.
REV'-1502 EXt(12-12)
pennsylvania SCHEDULE A
�EPARTMENT OF REVENUE
iNHERirnNCE rnx aeruRN REAL ESTATE
RESIDENTDECEDENT
ESTATE OF: FILE NUMBER:
RALPH S. McGRAW 21 13 0207
All real property owned solely or as a Mnant in common must be repoded at fair market value.Fair market value is defned as the price at which property
would be exchanged behveen a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of ihe relevant facts.
Real property that is joindy-owned with right of survivorehip must be disclosed on Schedule F.
Attach a copy of the settlement sheet if the prope�ty has been sold.
ITEM Indude a copy ot ihe deed showing decedenPs interest if owned as tenanl in common. VALUE AT DATE
NUMBER OFDEATH
pESCRIPTION
1. 144 PROWELL DRIVE, CAMP HILL, PENNSYLVANIA 48,500.00
SOLD-SETTLEMENT SHEET ATTACHED
TOTAL(Also enter on Line t,Recapitula�ion.) $ 48 500.00
If more space is needed,use additional sheels of paper of the same size.
P°V-1 E08 E7(+(OF^p.`
� pennsylvania SCHEDULE E
�EYARIMENTOFREVENUE CASH, BANK DEPOSITS 8 MISC.
INH=RII4NCE TAX RETURN
R�si�ENroECeoENr PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
RALPH S. McGRAW 21 13 0207
InGude the proceeds of litigation and the date the proceeds were receivetl by the estate.
All property joinGy owned with right of survivorship must be disclosed on Schetlule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
�. CITIZENS BANK-CHECKING ACCOUNT#6222920539 6,75027
2. CITIZENS BANK-SAVINGS ACCOUNT#6253943864 843.78
3. 2008 HARLEY DAVIDSON -SOLD-CONSIGNMENT AGREEMENT ATTACHEp 15,000.00
4. PERSONALPROPERTY-APPRAISALATTACHED 32,527.00
5. SOVEREIGN BANK-CHECKING ACCOUNT#2331051917 5,941.15
6. SOVEREIGN BAtJK-SAVIfdGS ACCOUfVT#2334024730 12,881.17
7. CASH 271.23
TOTAL(Also enter on Line 5,RecapiWlation� $ 74 214.60
If more space is needed, use additional sheets of paper of the same size.
RE`J-150 FX�f0&091
- pennsylvania SCHEDULE G
°EP'H,""E"'°F RE"E""E INTER-VIVOS TRANSFERS AND
iNHERiTnNCerwcReruRN MISC. NON-PROBATE PROPERTY
RESIDENTDECEDENT
ESTATE OF FILE NUMBER
RALPH S. McGRAW 21 13 0207
This schedule must be completed and AIeU if ihe answer to any of quesfions 1 ihrough 4 on page three of the REV-1500 is yes.
DESCRIPTION OF PROPERN
ITEM INCWDETHENPMEOFTHEIRANSFEREE,THEIRRElATIONSNIPT00ECEDEMAND DATEOFDEATH %OFDECD'S EXCLUSION TAXABLE
NUMBER rr�onrEOFrnnNSFEa.nrrncHncowoFTMeoeeoFOaReuesrnre. VALUEOFASSET MTEREST i�FnrPUCna�e� VALUE
�. THRIFT SAVINGS PLAN 81,644.66 100.00 81,644.66
ACCOUNT#0605 7689 85535
BENEFICIARIES: KEVIN M. McGRAW
JOHN J. McGRAW
MATTHEW DeS71T0
JENNIFER SCHZWE
RiTE AID 401(k) 30,174.54 100.00 30,174.54
BENEFICIARY: JACQUELINE McGRAW
TOTAL (Also enteron Line 7,Recapitulation) $ 111 819.20
If more space is needed,use atlditional sheeLS of paper of the same size.
_ . _
RE`J-1511 EX�(10-09)
• pennsylvania SCHEDULE H
oeanRrmeNr oF REVeNUe FUNERAL EXPENSES AND
iNHERirnNCE r�REruRN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
RALPH S. McGRAW 21 13 �2�7
DecedenPs debts must be repo�ted on Schedule I.
�TEM
NUMBER DESCRfPTION AMOUNT
A. FUNERALEXPENSES:
t, RICHARDSON FUNERAL HOME 5,909.02
2 PCCW 317.00
B. ADMINfSTRATIVECOSTS.
1. Personal Representative Commissions:
Name(s)ofPersonalRepresenhative�s) KEVIN M. McGRAW 3,300.00
StreetAddress 4 SOUTH SEASONS DRIVE
Ciry DILLSBURG State PA Z�p 17019
Year(s)Commission Paid�.
p. nttomeyFees: IRWIN & McKNIGHT, P.C. 7,750.00
3. Fami{y Exemptiorc(If decedeM's address is nNthe same as claimanYs,attach explanation.)
Claimant
StreetAddress
CiTy State 21P
Relationshlp ot Claimani io Decedent
4. Probate Fees, REGISTER OF WILLS 143.50
5 Accountant Fees:
6. iaxRetumPreparerFees: PATRICIAA. ROSENDALE, CPA 485.00
INCOME TAX RETURN & FINAL FIDUGIARY TAX RETURN
�. CLOSING GOSTS ON SALE OF REAL ESTATE 530.00
8. ROY D. GOTTSHALL-APPRAISAL ON PERSONAL PROPERTY 190.00
9. CUMBERLAND LAW JOURNAL- ESTATE NOTICE 75.00
10. SOVEREIGN BANK-DATE OF DEATH VALUATION 20.�0
11. THE SENTINEL- ESTATE NOTICE �89.54
12. WlLLIAM R. DOSIAK PLUMBING- PLUMBING REPAIRS TO REAI ESTATE �50.00
13. REGISTER OF WILLS- SHORT CERTIFICATES 20.00
14. RONALD D. FREEDMAN -BROKER FEE 500.00
15. S.W. BARRETT REAL ESTATE-APPRAISAL ON REAL ESTA7E 375.00
16. APPALACHIAN HARLEY DAVIDSON - HARLEY DAVIDSON 53.00
17. APPALACHIAN HARLEY DAVIDSON - DEALER CONSIGNMENT COMMISSION 1,50�.��
18. APPALACHIAN HARLEY DAVIDSON - REPAIRS 319.91
TOTAL(Also enter on Line 9,Recapitulation) S p2 006.97
If more space is needed,use addi6onal sheets ot paper of the same size.
_
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
RALPH S. McGRAW 21 13 0207
DecedenYS Name page 1 File Number
Schedule H -Funeral Expenses 8 Administrative Costs - 67.
ITEM
NUMBER DESCRIPTION AMOUNT
19. BIS HOME INSPECTION SERVICE - INSPECTION OF REAL ESTATE 180.00
SUBTOTAL SCHEUULE H-67 18�.0�
REV-1512 EX+(12-12)
� pennsylvania SCHEDULE I
°Ep"'�'"'E"T o`RE"E"°E DEBTS OF DECEDENT,
wHERiTnNCerarReruaN MORTGAGE LIABILITIES&LIENS
RESIDENT DECE�ENT
ESTATE OF FILE NUMBER
RALPH S. McGRAW 21 13 0207
Report debts incurted by the decedent prior W death that remai�ed unpaid at the date of death,includim�unreimbursed medical expe�es.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. NEW CUMBERLAND FEDERAL CREDIT UNION - MOR7GAGE 10,777.06
PAYOFF -SETTLEMENT SHEET ATTACHED
2. NEW CUMBERLAND FEDERAL CREDIT UNION -MORTGAGE PAYMENTS 833.91
3. VERIZON -TELEPHONE 110.34
4. DISCOVER -CREDIT CARD 138.48
5. PP&L - ELECTRIC 181.86
6. UGI - UTILITY 378.24
7. COMCAST-CABLE 2�-17
8. PENNSYLVANIA AMERICAN WATER-WATER 94.36
9. HAMPDEN TOWNSHIP-SEWER 155.10
10. HOSPfCE OF CENTRAL PENNSYLVANIA-NURSING 1,500.00
11. T MOBILE -TELEPHONE 111.86
12. CHASE CARD SERVICES -CREDIT CARD 46.43
13. CITIZENS BANK- CREDIT CARD 30.00
TOTAL(Also enter on Line 10,Recapitulation) $ �4 377.81
If more space is needed,insert atlditionat sheets of the same size.
REV-1513 EXi(01-101
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
RALPH S. McGRAW 21 13 0207
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
� TAXABLEDISTRIBUTIONS [IncludeouMghispousaldistnbutionsandiransfersunder
Sec.9116(a)(L2).)
1, ALAN DIERINGER Collateral 10.00
CIVIL WAR
PAINTING
2. MARGARET DIERINGER Collateral 20.00
MISCELLANEOUS
PERS PROPERTY
3. NANSY TSANG Collateral 55.00
ORIENTAL SCROLL
4. KRISTEN A. McGRAW Collateral 200.00
PIANO
5. KEVIN M. McGRAW Sibling 69,965.15
1/2 REMAINDER
33%TSP PLAN
6. JOHN J. McGRAW Sibling 69,965.15
1/2 REMAINDER
33%TSP PLAN
7. JACQUELINE McGRAW Lineal 30,174.54
401(K)
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
[I. NON-TAXABLE DISTRIBUTIONS:
A,SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN,
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
t.
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.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
RALPH S. McGRAW 21 13 0207
DecedenPs Name page 2 File Number
Schedule J -Beneficiaries -1
RELATIONSHIPTODECEDENT AMOUNTORSHARE
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee�s) OF ESTATE
I TAXABLEDISTRIBUTIONS pncludeoutrightspousaldistri4utbnsandtransfersunder
Sec.9716(a)(12).]
8. MATfHEW DeSTITO Collateral 13,879.59
17% THRIFT SAVINGS
PLAN
9. JENNIFER SCHZWE Collateral 13,879.59
17%THRIFT SAVINGS
PLAN
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Will of Ralph S. @�AcGraw ° o q � � �
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'0 � (11 N �
I,Ralph S.McCrraw,a resident of Camp Hitl,Cumberland County, State of Pe y lvania,
declaze that tl�js is my will.
1. Revocatiou.0 reveke all wills that I have previously made.
\
2. Marital St `�.I am single.
� J���, `��
�.Spe ' c Gifts.I make the following specific gifts: �
- ' I leave my Civil war painting picture above my fireplace to Alan Dieringer or,if he does 10
not survive me,to Margazet Dieringer.
I leave some miscellaneous items that will be boxed and designated for 1vlargaret
Dieringer or,if she does not survive me,to Alan Dieringer.
I leave my oriental scroll to Naaey Tsaug or,if she does not survive me,to Nancy's
mother.
I leave my piano to my niece Kristen A.McCttaw or,if she does not survive me to my �Q 0. v�
brother Kevin M. McCrraw.
I leave my guitars,instruments to my bmther Kevin M.McGraw.
I leave my original oriental gainting to my bmther John 7.McGtaw
4.Residuary Eatate.I leaue my residuary estate,that is,the rest of my property not
otherwise specifically and validly disposed of by this will, including lapsed or failed gifts,
to my bmthers 7ohn J. McGraw and Kevin M. McGraw or,if they do not survive me,to
their xespective spouses Kathy(Cope)McGraw andlor 3ulie A. (Gaumer)McGraw. -
5.Beneficiary Provisioas.The following terms and conditions apply to the beneficiary
clauses ofthis will.
A. 45-Day Sutvivorship Period.As used in this will,the phrase "survive me"means
to be alive or in existence as an organization on the 45th day after my death.My
beneficiary, except any alternate residuary beneficiary,must survive me to take
property under this will.
B. Shared GifYs.If I leave property to be shazed by two or more beneficiazies,it shall
be shared equally by them unless tlris will provides otherwise.
ff any beneficiary of a shared specific gift left in a single paragraph of the Specific
Gifts clause,above,does not survive me,the gift shall be given to the surviving
� , �,�� �
' i /,
% �
beneficiaries in equal sb�s.
If any beneficiary of a shared residuary gift does not survive me,the residue shall be
given to the surviving residuary beneficiaries in equal shares.
C. Encumbrances.All property that I leave by tlris will shall pass subject to any
encumbrances or liens on the property,
6. Eaecutor.I name my brother Kevin M.McGraw as executor,w serve without bond. If
he does not qualify,or ceases to serve,I name my brother John J.McGraw as executor,
also to serve without bond.
I direct that my executor take all actions legally permissible to probate this will,
including filing a petition in the appropriate wurt for the independent administration of
my estate.
I grant to my executor the following pow•ets,to be exercised as the executor deems to
be in the best interests of my estate: ,
A. To retain property,without IiabiliTy for loss or depreciation resulting from such
retention.
B. To sell,lease,or exchange properiy and to receive or administer the proceeds as a
part of my estate.
C. To vote stock; convert bonds,notes, stocks,or other securities belonging to my
estate into other securities; and to exercise all other rights and privileges of a person
owning similaz property.
D. To deal with and settle claims in favor of or against my estate.
E. To continue,maintair►, operate,or participate in any business which is a part of my
estate,and to incorporate,dissolve,or otherwise change the form of organization oF
the business.
F. To pay all debts and taxes that may be assessed against my estate, as provided
under state law.
G. To do all other acts which in the executor's judgment may be necessazy or
appropriate for the proper and advantageous management,investment,and
distribution of my estate. These powers,authority,and discretion aze in addition to the
powers, authoriTy, and discretion vested in an executor by operarion of law,and may
be exercised as often as deemed necessary,without approval by any court in any
jurisdiction.
Signature
I subscribe my name to this will tlris ,�/'� day of
�� � 2 o i 3 ,at�v"�r d�- l a,�.�,
(co ty), State o _ ��P`�� s y�� � �c ,I declare that it is my will,
that I sign it willingly,that I execute rt as my free and voluntary act for the purposes
expressed,and that I am of the age of majority or otherwise legaily empowered to make a
will and under no constraint or undue influence.
�,�
�
Signature ,`�;16'� f/�
--�--
Witnesses
On this c�-I � day of Q,,�I�cc3-�u� _, �-9 I �
02aQ� 5• Y1ftcG�l�hetestator,
����`-� declared to us,the
undersigned,that this inshvment was his wili and requested us to act as witnesses to it.
The testator signed this will in our presence,all of us being present at the same time. We
now,at the testator's request,in the testator's presence and in the presence of each other, -
subscribe our names as witnesses and each declaze that we are of sound mind and of
proper age to witness a will. We further declare that we understand tlris to be the
testator's will and that to the best of our Imowledge the testator is of the age of majority,
or is otherwise legally empowered to make a will, and appears to be of sound mind under
no constraint or undue influence.
We declaze under penalty of perjury that the foregoing is true and correct,this
a-I '� day of ww.. o ,sZCJ1-3 , at �V-�v�-�ChQ.o�,�-v�
(county), State of t Q��-t �
Signed, sealed, published and declazed by the above-named Testator, as and for his Last
Will and Testament, in our presence, who, at his request, in his presence and in the presence of
each other have hereunto set our names as subscribing witnesses.
,
�
5
Wi �► �
� Wit� ess 2 �
Signattue
l'SC�,re� S. S�'=
il1o� / r� �.�
Typed or printed name Typed or printed name
C�r) L2�. f'�,�� �vr� LPU � �n�,6- �re-e-�
Residin/g at �Siding at
(� �� � �U(3 G� r 2 �� /7��3
City, State,zip Ciry, State,zip
Witness 3
Signahue
Typed or printed name
Residing at
ACKNOWLEDGEMENT AND AFFIDAVIT
�'VE, RALPH S. McGRAW, KAREN S. NOEL and TRACI D. SMITH.
SCHWALM, the Testator and witnesses respectively, whose names are signed to the foregoing
instrument, being first duly sworn, do hereby declaze to the undersigned authority that the
Testator signed and executed the instiument as his Last Will and that he had signed willingly,
and that he executed it as his &ee and voluntary act for the purpose herein expressed, and that
each of the witnesses, in the presence and heazing of the Testator, signed the Will as a witness
and that to the best of theu knowledge the Testator was, at that time, eighteen yeazs of age or
older, of sound mind and under no consh�aint or undue influence.
��'Y��, S/'�r� J
� P S. GRAW
Q
N S.NOEL
/
TRACID. S TH
COMMONWEALTH OF PENNSYLVr1NIA :
: SS:
COUNTY OF CUMBERLAND
Subscribed, sworn to and acknowledged before me by RALpg S, McGRAW the
Testator herein, and subscribed and swom to before me by KAREN S. NOEL and TRACI D.
SMITH, witnesses, this 21$`day of January 2013.
1
CAMMONWE/ILTH OF PENNSYWANIA
Notarial Seal
Martha L.Ncel,Notary Public .
Can�sle 6oro,amberiand Counq taYy P 11¢
My 4LmmL�lon Expires Sep[.18,2015
. . .. . . IY BF NBTMIES
A. Settlement `�tatement U.S.OepaNnent of Housing and Urban Development
� .• 6.Ty�of Loan OMB A roval No.2502-0265
1. pFNA 2. pFmHA 3. OConv.Unins. 6.File Num6er Z Loan Number B.Motlgage Insurance Case Number
4. ❑VA 5. Conv..lns. 73178
C.NOte: i�m���yp.o�.pwenwao�n�°em.cu.xq;'u:yyeinw`�'�'n:n�inroi°m��.uo�p��pwe:.�eennoim9we:ei�meiow: Ti�eEx ressSel�lemenlS em
WPNNING:IIIa �ImeloFnoMrqy yglnvblemmRbWUniNtlSW�unNiw�anyutlie�eYnilarlqm.Penaltlmupon P �
�m�wo�r.���we,.e�„�a�me� r �n c s Pnnte005N32013a10924K5
D.NAME OF�90RROWER: Bfute Bantr and Pemela Beniz
noDRESS: 529 Lam Post Lane Cam Hill PA 77071
E.NAME OF SELLER' ESfate Of Relph S.McGIaW
ADDRESS: 744 ProWell Dfive Cam Hill PA 77011
F.NAME OF LEN�ER�. �
ADORESS.
G.PROPERTVA00RE55: 744 PfoWell Dr'rve,Camp Hiil,PA 17077
Ham en Townshi
H.SETTLEMENTAGENT: Keystane Land Trana(er,Ltd,Telephone:717-731-4200 Fu:717-737-1799
�PLACE OF SETTLEMENT: 3427 Merket SVeat Cam Hill PA 17011
I.SETTLEMENTDATE: 0 5103120 7 3 �
J.SUMMARY OF BORROWER'S TRANSACTION: K.SUMMARY OF SELLER'S TRANSACTION:
100.GROSS AMOUNT DUE FROM BORROWER 400.GROSS AMOUNT DUE TO SELLER
701. Coniractsales nce 48500.00 401. CoMractsales nce 46500.00
102. Personal o erl 402. Personal ro erl
103. Seltlement char es to 6ortower line 140� 7 766.50 403.
704. 4pq.
105_ 405.
AdusMmts for Hems id b seller in aEVanee AC uslmenLs fa ilems aid b saller in advance
106. Ci�ttmvn laxes 4W. C' /lawn�axes
10Z Coun taxes 05103N3W77137N3 179.37 4W. Coun tazes 0903N3to1?131173 779.J1
�Oe. SchooiTaKes 05103N3to06130N3 746.90 4�8. SchaolTa+�es 05103N3to06130N3 746.80
109. Sewer&Trasn 05103N3to06130N3 25.Ofi 4p9. Sewer&Trash 05103H3to06130H3 25.06
ito. 410.
171 411.
112. 412.
120.GROSS AMOUNT OUE FROM BORROWER 50 017.77 420.GROSS AMOUM DUE TO SELLER q8 851.27
200.AMOUMS PAID BY OR ON BEHALF OF BORROWER 500.REDUCTIONS IN AMOUNT DUE TO SELLER
2�1. Oeosilareamesimone 10000.00 5p1, Excess osiCUeinsWCtions
2�2. Princi al amount of new loans 502. Setllement char es m seller line 7400 530.00
203. Existin loans takensub�ect�o 503. Exislin loans Wkensu6"cl�o
Z�4- 504. Pa fl of First Mo e Loan 70 777.06
. New Cumherlantl FCU
205. 505. Pa Hotsecondmat a elaan
�6_. 506.
z4�� SW. InheriGnce Tax Escrow 1 688.00
Ke stoneLandTransier Ltd
2a8. 5pg.
209, 5pg.
Ad'ustments for Nems un aid b seller Ad'ustments for items un aid seller
210. Ci�/lmvn Wxes 510. Ci�tlmvn i�es
211. Coun! taxes 511. Count laes
212. SchoolTaxes 512. SthoolTaxes
213. 513.
2�4. 514.
215. 515.
216. 516.
217. 517.
218. 518.
2�9. 519.
2Y0.TOTAL PAID BYIFOR BORROWER 10 000.00 520.TOTAL REDUCTION AMOUM DUE SELLER 12 995.06
300.CASH AT SETTLEMENT FROM OR TO BORROWER 600.CASH AT SETTLEMENT TO OR FROM SELLER
301. Gross amount tlue from 6ortower line 120 50 017.71 fi01. Grass amount tlue la seller line 420 48 857.27
302. Less amounts aiA b Mor bortovrer line 220 70 000.00 fi02. Less reduction amowt due seller line 520 12 995.06
303.CASN FROM BORROWER 40 017.77 603.CASH TO SELLER 35 856.21
SVBpSTINiEFOftM10995ELLER$iRIEMEM'.ilielnlo�mationco�laneO�enlnlslmpJtlBnt�BnlnlOrme�bnan01e0eNglumlNe0laNalnpmalflewnueSaMU.Ilywa�era4�n01olilea�HUm,
4ne�d01a0avewnleGlule^IM�fiiose oceeJShc�ualnnaec4on'sileml9RpYirtCbOenpoMEan01�eIR5EBlelminl9NBIIIMenalhenrepo�BO.li�aLOnVxI3aIB6Pn[eEescnEO�On
numEeryou1meybelsub�eello[INIOBCrNnnal�p¢nalYesimapo50ELyDIaw. nEarpanalties O�u�luYfIHIM1aIPenum0er5�MOVm'onNbs�alem,���im�mpAn4eyuurcamcl�axpayxi0entifiwtion
�Y. Y yCOneclWpary�iCen4fiu�bnnumEe�.
T _ .. _ _____SEILERIS)SIGNRTIlREI51:____ ,.__ __
SELLF.R�S�NEW ANILING nOW1E55-.
SELLEP�S�VHONE NUMBERS: _�X). �yy�
",i.�EPARTMENT OP HOUSING AN�URBAN DEVELOPMENT File Number.73N8 PAGE 2 � �
SET7LEMENT STATEMENT iine�c ress seNement s stem Pnntetl 05103YLo13 at 0924 KS
. ,. � L. SETTLEMENTCHARGES
100. iC'�TAL SALESBROKER'S COMMISSION bas¢tl on nce f4B SOO.00= PAIO FROM PAID FROM
BORROWER'S SELLER'S
Uipisi0ri 0f cOmmi55i00 1ip¢70O 25f0110w5: FUNOS AT FUNDS AT
���- �._-___. __ _ b Re1MaxRea ASSOGI2�25IOF SETTLEMENT SETTLEMENT
702. �0
703. Comm�,ssion aitla�Settlemenl
800.REMS PAYABLE IN CONNECTION WITH LOAN
801. Lmn Gryina0on Fee _ y,
802 LoanOiscoun� _ �
803. A raie�al Fee
804. CredilR�otl__
8�5.
80fi _. .-'__'-
807. �----'-'
808. ._-. _.___
805. �'-�--�
eio. -----
61t -
900.ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE
901. Interes� Fmm to O$ /tla
902. Mo� a elnsurancePremium for to
903. HazaN Insurance Premium for �p
saa.
sos
7000.RESERVES DEPOSITED WITH IENDER FOR
10�1.HazaN Insurance mo. /mo
tOD2.Motl a e Insurance mo. /mo
iW3.Ci� Pro etl Ta�c mo. /mo
1004.Count Pm etl Tax mo. ��q
1005.Schooliaxes mo. Imo
1009.A r ate Anal is AtlLS�ment 0.00 0.00
1100.TITLE CHARGES
1101.SetliemenlorClosin fee
1102.Abstrac7 or Tille Search
1103.Ti�le Examinalian
7704.Title Insurance Binder
1105.�owmenl Pre aralion
1106.Nata Fees to Kristen D.Shive 10A0
11 W.A�s fees
includes above ilems No:
11oe.Tiuelnsurance to FirelAmericanTitlelnsuranceCom an 679.50
inGUdes above items No:
1109.Lenders Policv �
1110.Owners Polic 48 500.00 �679.50 ��
ttii -1
m'�----
1113--
7200.GOVERNMENT RECORDING AND TRANSFER CHARGES
1201.Recordin Fees�eed 62.00 �Mwt a e �ftelease$ 82.00
1202.Ci�/Count tarJs�am s Deed 5.00 �Morl a e 485.00
7203.Stale Taz/stam s Deed 5.00 �Mo a e 485.00
1204. Deetl -MOtl a e
1205.
1300.ADDITIONAL SEITLEMENT CHARGES
t30t Tar Cen�caian Fee to K stone Land Tranahr Lttl 10.00
1302.Ovemi hf Delive Fee-Pa oR �o Ke stone Land Transfef Ltd 25.00
7400.TOTAL SETTLEMENT CHARGES enteron lines i�3 Section J and 502 Sedion K 1 766.50 530.00
Hp0 CERTFIGTION Oi BUYER ANO SEIIEF
Irydvec3relYlly�¢vi! tlYMH110-i5atl1lmen�518k n1YnEbNpbelWmyknOwINOBYpEeIIBf�llf leue Ea 1¢Slslemen1o1811recelpk3�Ei6CU enbmaOeOn�nyaccoun�
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UNIiE�STATE50NTXI50RRNYSIMRAPFORM.PEN9lTIE5UPoNCOM/ICTION ypn. �aveu EO�xiIIGU NeNnO pB015EU�seOinB[[oNanCewlNll�ISSlalamnl
UPNINCWOEAFMEqN01MPqI50NMEM.FOP�ETRIL55EETIREIB'. ��
$.COOE SECTION 1001 qNOSELT�ON 1010. //� /�
l
SETlLEMENTFGEM. __ ppTE�
��" ir������� �����N OneCitizensDrive
• ROPll2
Riverside,RI 02915
March (9, 2013
Irwi�n &McKnight, P.C. ����'�����
West Pomfret Professional Building �l n :
60 West Pomfret Street ��� F � '-�- �
Carlisle PA 17013-3222
BIi�IIN 5:iNa'�IViGFfx
iAl�!O•Flnc£
Estate of Ralph S McGraw
Date of Death: Feb 07,2013
SSN:
Dear Sir/Madam:
In accordance with your request,the attached information sheets have been provided in the above
decedent's name as of hisiher date of death.
Ownership on each account has not been changed within one year prior to date of death. There was also
❑o accounts closed within one year prior to death.
For]nstallment Loans or Line of Credit accounts,contact our Loan Department at 1-500-708-6680. For
all other inquiries,pfease call 877-579-2667 option 2.
S incerely,
�J� 'w- uuAN
Kristen B.Correia
Decedent AccountProcessing
REF#: 585632
�� �������� ���� �
d
Account Number 6222920539
Account Title Ralph S McGraw
Date O ened 8/26/2008
Account Ty e Checking
Principal Balance as of DOD $6750.26
Interest from Lasc Posting to DOD $ Al
Account Balance as of AOD $6750.27
YTD Interest to DOD $ 2p
��t �������� ��r����
0
Account Number 6253943864
Account Title Ralph S McGraw
Date Opened 8/26/2008
Account Ty e Savin s
Princi al Balance as of DOD $843.78
Interest from Last Posting to DOD $ .00
Account Balance as of DOD $843.78
YTD Interest to DOD $ .03
� ��,�,�
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I�U�3 t
Amoewt Due
Account#
Good Tfi�
2. This consignment agreement is for a period of 30 days. Prior to removing the vehicle from
dealer's premises before expiration of t1vs�,agreement, for any reason, I will pay the dealer
10% of the net consigned amount ($ � �6L o "- )plus repair-reconditioning costs, as a
fee for displaying and making my vehicle.available for sale.
3. A clear title to velucle has been given to dealer and dealer acknowledges receipt of same. I
also agree to sign the following Power of'Attorney, allowing the Dealership to handle any
and all Title related dealings. �
I certify there are no other liens or encumbrances against this vehicle.
1�\St a..l �Gl'l'r'/��a., �
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�
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� Marcus A. McKnight, III
z
' Irwin & McKnight
� West Pomfret Professional Building
� 60 West Pomfret Street
� Carlisle, PA 17013-3222 ����tl���
�
� RE: Estate of Ralph S. McGraw M�R � Q ���� �,
m Date of Death: 02l07/2013 ��z��r�u�Nicls�l�t��
j {����o�F!.r,�s
_
� Dear Marcus A. McKnight, III:
3
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� Per your request, enclosed please find the account information as of the date of death
sfor the above-named decedent. For your information, accrued interest is not included in
� °.n� c;aE<: t;s cleath balance.
° Please feel free to contact me if I can be of any further assistance.
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� Ve ruly yours,
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e Specialist
3 617-514-5189
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Sovereign Bank
ESTATE OF Ralph S. McGraw
SOCIAL 5ECURITY#: 163-40-2927
DATE OF DEATH: February?,2013
Account#: 2331051917 Type: Checking Open date: 8/23/2003
In the name of: Ral�h S McCrraw (Kevin M McGraw POA)
Date of Death Balance: $5,941.15
Int.(YTD)from 1/1/2013 to 1/22/2013 $0.05
Accrued interest to date of death: $0.03
Other Info: Account closed on 02J20J2013.
Account#: 2334024730 Type: Savings Open date: 12/6/1982
In the name of: Ralph S McGraw (Kevin M McGraw POA)
Date of Death Balance: $12,881.17
Int.(YTD)from 1/U2013 to 1/2/2013 $0.55
Accrued interest to date of death: $0.12
Other Info: Account closed on 02/20/2013.
Page 1 of 1
*
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� Thrift Savings Plan � '' � " �
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03365970 973808DQ 04/13 � � � � 1
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THE ESTATE OF RALPH 5.MCGRAW � Accou�� Numb4r.
'�` 144 PROWELL DR
CAMP HILL, PA 17011-1449 0605 7889 dS836
De�of 6irth: 10f281t&1B
RetirementGoverage: FERS
EmploymentS}etus: Daceased, dated
02/072013
Here's how the value of your TSP account
has chang�4.- _ ._ -- --- 'forn--Persanal RateofRetnm
Value on January 1, 2073 Seo,537.37 � I�st 72 Months
Contributi�ns and Add'Itions $0.00
Withdrawals end Deductions T � $O.DO — 1.39%
investment Gain (or Loss) $�
Value o� March 31, 2013 ��� Sa�,BM_66
QuestionsF www.tsp.gov
ThriflLina: t-TSP-YOU-FRST
1-677-988.3778
Your account balance distribution OUtslde U.S.and Canada:404-233-4400
TDD: 1-TSP-THRIFT5
7-877-047�1385
�j L 2040 0°b � G Fund 700%
L 404o u% K Fund o% Call the ThriffLine and apmk to a
� Parlicipant Servir�Representative to
correct errora on your ameement
� L 2�0 �% � C Pund 0%
� � 2020 0°k � S Fund 0%
� L Income �°� � I Kund 0%
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Retineent Account Srm�narfr
E RITE AID 401(K)PLAN January 1,2013 to March 31, 2D13
c/o t.aowe Price,Po Boz 173as Conlrel Ua--rps.lrowepriee.eom or Mubfle—www.IroWeprfce.mobi
Balumore Mo 21297-i349 1-8U0-922-9845(M•f 7 a.m.-10 p.m.Eastern Time)
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�i Harris6utg PA 1�111
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— r 9ther8redits,�•----__._.,.__._ _�_ _ .__ _.... 53�10�.�d. ... _ _�_ .._. ---..,. ..,
- Fees SU.DO 19.7% Stocks
� � GaInlLoss 572.30 � T
� Ending Balfnce S3U,174.54 � 46.6% Monay MarkeVS[ahle Valu�
Vested Balance $30,174.54
PetceMages are rounded
H youWe reilred or changed jobs,you have some important decisians to
make about your retlrement savings. T.Rowe Price can help. To talk AssetAllocation shows how rhe mnney you've previausly invested Is
through your optlons and help determine what makes the most sense dlshi6uMd over difierentlnvestment cateyories.
foryou;call 7-BBB�4q6-4226. Orvisitthe We�site at
htlp:/lrpa.lrew�priea.comldbtr3ellona
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Dab necessary ro yenerate an Es6mated Monffity Income at
Rerirement torthis accountls not cumeoHyavailable. This esrimate will
We have/ust started hacking yo�r account. You'll see a graph depicNng be avallable after 12 monfbs of activiry on youraccount. If you'd llke m
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use the myAeNremenNncome calculstoi
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,� Richardson Funeral Home
� 29 South Enola Drive
Enola, PA 17025
Michael G. Murray FD�Owner
717-732-0587
Kevin M. McGraw
4 South Seasons Drive
Dillsburg, PA 17019
For the services o£ Ralph S. McGraw
Total of Professional Services,
Facilities and Automotive
Equipment-------------------------------------------------- $4210.00
Charge For Merchandise Selected:
Casket: Haven Line,Dalton 20ga. Basic
Silver exterior,white crepe interior------------ $ 1063.00
Cash Advanced:
Newspaper Notice--------------------------------- $ 211.02
Clergy Offering------------------------------------$ 125.00
Flowers---------------------------------------------- $ 200.00
Organist--------------------------------------------- $ 100.00
Total of Balance Due: $ 5909.02
Kevin:
If you have any questions pertaining to the bill,please
Call me.
Thank You,
i�-�'Jsa•//�.
Michael G. Murray
— ____
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Mechanics6urg,PA�
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WILLIAM R. DOSIAK
� PLUM8ING & NEATlNG
UCENSED &INSURED-MASTER PWMOER �
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Hoepice of Central Pennsylvania lnvoice
1320 LingleeLOwn Road .
Harrisburg, �v�' znao InvoiceNumber
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4665
Voice: , ;; :i : .
Invoice Date.
717-732-1000 i �/28/13
F�• 717-234-0384 !' .
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Resident: � '
Ralph McGraa �",'��' "
C/O Kevin McGraw ! ,�:�
4 S. Seasprl6 nrive
A:.11eburg, PA 17019 ,
R85)de�,t Z�: McGrawR
-. .. -----°......... . .,�— --
� Due Date
� Payment Terms _�� � V
� Ne[ 16 Days . 3/15/13 �
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Descripti0n Amoupt
---• — -..__�.......--• �---•.--.
----�------
�Residencial Care - Februaty a-7, 2D13 �� � ��1,500.00
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Please note our new o�ce address -- 1320 Linglestown Road, Ha�n-iisbur
PA 17110
TotallnvoiceAmoun i, soa.00
Check/Credit Memo No Payment/Credit Appliec
TOTAL i,soo.00
Thankyoufor choosing Hospice oJCentral Pennsytvania
� Invoice
�� �'$ CRI Date Invoice#
� ., w�ME';INSPECTION.
_, S��C�' 3/7/2013 1130
�,
706 Somerset Drive ����`
Mechanicsburg,PA 17055
,.
Realty Firm y0 Advisor ' °' a
�;�„�
Client Name
Kevin McGraw
Description Amount
Partial inspection of property-shvctural analysis,mof,drainage,and related items with report - 4 I80.00
hours at$45/Iv including report time
For structural opinion of 144 Prowell Drive,Camp Hill,PA 170ll perfomied on Fe6ruary 27,2013
'
Total $,80.00
r�
" _____= Transaction Receipt =_____
APPA�A�NIAN HAqLEY DAy1DSON
6695 CqRLIS�E pIKE
MECHANICSBU0.G, Pp 17050 � ��t�
717-766-9366
Merchant: 0016 ,,J�/ � ���,G�
�ate: 3/28/2013 3:46:13 pM �� •" /Y/
Account Y: )pppppp��3043 O��� �"=�
Ca�d Typo: VISA w/
s�Tran ID� aeb2830877116649 � " �� /1 �D�/' �e
Auth �: 071112 •, nJ�,/d '/
AP /o��OVG� ,�C�" c �r
amount: !
,��s h«��o,� ��
s3.00 —.. P��or � /l�
Sale ppproved S2/�s
�/o� 6e�r s�l ���
I AGREE TO PAy THE ABOVE AMOUNT PURSUANT
i0 TME CARO ISSUER AGREEMENT.
MCGRAW/KEVIN M