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Home My WebLink About05-24-13 (3) 1 15�5610105 J REV-1500Ex�°�."„`°-� PA Department of Revenue Pennsylvania �FFICIAL USE ONLV Bureau of Individual Taxes °'""`" County Code Year File Number Posoxzso5oi INHERITANCE TAX RETURN `„�"j� Harrisburq,PA 1'J128-o601 RESIDENT DECEDENT �� . 1i�'� /r} ENTER DECEDENT INFORMATION BELOW SoCial Security NUmber Dete of Dea[h MMDDYYYY Date of Birth MMDDYVVV 08/24/2012 10/18/1925 DecedenPs Last Name Suffx Decedenfs First Name MI ARMS IDA Z (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI N/A Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW �p 1.Original Return p 2. Supplemental Return O 3. Remainder Retum(Date of Death Priorto 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise(date of O 5. Federel Estate Tax Rewrn Raquired death after 12-12-82) � 6. Decedent Died Testate O 7. Decedent Maintained a Living Tmst ? 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Tmst.) O 9. Litigation Proceeds Received O 10.Spousal Poverfy Credit(Dale of Death O 1 L Election to Tax under Sec.9113(A) Batween 1231-91 and 1-1-95) (Atlach Schetlule O) CORRESPONDENT- THIS SECTION MUST BE COMPLE7ED.ALL CORRESPONDENCEAN�CONFIDENTIAL TA%INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number James D. Cameron, Esq. (717) 236-3755 � ::$EQ16TER OF YFlRLS US�,�NIN �' - .. � First Line of Address . --. . � � 1325 North Front Street --- . r> Second Line ofAddress . -. "--� - - 3 City or Post Offce State ZIP Code � oA�E FILEO.,�,: ��+ .. _. . . .. . ,.. . � 'T Harrisburg PA 17102 � � �`7 CorrespondenYs e-mail address: jdCesq@IoCalnet.COm Under penal[ies of perjury,I declare that I have examinetl lhis reWrn,inclu4ing accompanying schedules and statements,and to the best of my knowledge and belief, it is true,corract and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowletlge. SI AT E OF PERSON RESPO FOR FILING RE6%�'/LGC� DATE�/� /G�/� a!C! � Y A�SS � 260 Stoney Creek R d, Dauphin, PA 17018 SIGNATU O PRE RER O ER THAN REPRESENTATIVE OATE � . .S�L-✓�..-� �o-.� Z S. Z��-S ADDRES�— 1325 North Front Street, Harrisburg, PA 17102 PLEASE USE ORIGINAL FORM ONLY Side 1 � 1505610105 1505610105 J %� `� � � � J 150561�205 REV-15Q0 EX jFi} DecBdent's Social SeCUrity NUmber DecedenPs Name: �CJB Z. Afl'Y1S RECAPITttLATiON i. Real Estate(Schedule A). . . . . . .. . .. .. . ... . . . ... . .. . . . .. . .. .. . .. . ... . . 1. 127,20175 z. stocks and 6ands{5chednie B) .. . ......_............................ 2. 2,354,30$.55 3. Closely Heid Corporation, partners6ip qr Sole-Proprietorship(Schedule C) .. . .. 3. � 0.00 4. Morfgages and Notes Receivabie{Schedule D)........................... 4. O.DO 5. Cesh, Bank Clepbsits and Miscellaneous Personal Prnperty(Schetlule E}. . .. . . . 5. 44,4$224 9. Jointly bwned Property{Schedule F) O Separate 8iiling Requested .....,. 6. �.QQ 7. inter-Uvos Transfers&Miscellaneous Non-Probate Property � (Sohedule G) O Separete Billing Requested.. . .. .. . 7. 0.00 8. ToWI Gross Assets(toWl Lines t through 7}............................. S. 2,$25,993.54 9. Funeral Expenses and Administrative Cnsts(Schedule H). . .. . . . . . . .. . . .. . . . 9. 81,193.85 10. Debts of Decedent,M4rtgage Liabilities and Liens{SchedWe i).......... ..... 10. 5,1�53.35 11. ToCal Oeductions(total Lines 9 and 10}. . . .. . . . . .. . . . . . . .. . . .. . .. .. . .. . . 11. 86,�47.20 '12. Net Yaiue of Estate{Line 8 minus�ine 11) ...... ..._................... 12. 2,439,f4$.34 �3. Charitabie and Govemmental BeqoestaJSec 9it3 Trusis for whlch � an election to tax has not been made(Schedule J) . . . . . . . . .. . ... . . ... . ... . 13. 408,17170 14. Nef Value Subject to Tax(Lioe'I2 minus tine 13) ............_.......... 74. 2,031,41d.$4 - TAX CALCULATIpN•SEE INSTRUCTIONS fOR APP�ICABLE RATES 15. Amount of Line 14 taxable al the spous;+l tax rate,or transfers ander Sec.9116 (a}(12}X.0__._ - 75. D.00 i6. Amount of Lin�14 taxable . �� - - � � � at lineal rate X.0_ 16. 0.00 77. Amount of Line 1A taxabie . . -. - ..... . .. ai sibiing rate X.'12 �7_ 0.00 18. Amount of Line 14 taxable �� -��-- � � " "�� alcnllateralrate X.15 2,031,474.64 �g 304,721.20 . i9. nixDUE . __.... .._ ._...........__ .. .. . ... . . . ......._.. . 19. 304,T21.20 20. FI��!M THE OYAL IF YQU ARE REpUE571NG A REFUND OF AN OVERPAYMENT Q s�ae z � 15D5610205 1505610205 � REV-1500 EX(FI) Page 3 File Number DecedenYs Complete Address: DECEDENT'S NAME Ida Z. Arms STREETADDRESS � � � � � 14 Country Club Place West CITY .. -. _.._ .. _. .. . . . STATE ZIP _. _ .... _ .. Camp Hill PA 17011 Tax Payments and Credits: 1. Tax Due(Page 2,line 19) (t) 304,72120 2. CreditslPayments A.Prior Payments 275,000.00 B.Discount 13,750.00 Total Credits(A+g� (2) 288,750.00 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enler lhe difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 +Line 3 is grealer lhan Line 2,enter lhe diBerence.This is lhe TAX DUE. (5) 15,97120 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or inwme of the property transferred..........................................................................__.._........ ❑ � b. relain the right to designate who shall use lhe property transferred or its income ......._.._............................... ❑ � c. retain a reversionary interesl .............................................................._............_............._................................. ❑ � d. receive the promise for life of either payments,benefts or care?............................._................._.................... ❑ � 2. I(death ocarred after Dec. 12, 1982,did decedenl transfer pmperty within one year of death withoutreceivingadequaleconsideralion?..._....._....._..............._.._._......................................................._....._... ❑ � 3. Did decedent own an"in trust for"or payable-upon-dealh bank account or security at his or her death?..........._. ❑ � 4. Did decedent own an individual retirement account,annuity or other non-probate property,which containsabenefciarydesignalion? ............................._......................_..................................................,.............. ❑ � IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate 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 dales of death on or after Jan. 1, 1995, the tax rate imposed on the nel 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 lransfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and fling a tax return are slill applicable even if the surviving spouse is the only benefciary. For dales 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 decedents lineal benefciaries 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 lhe decedenfs siblings is 12 percent[72 P.S. §9116(a)(1.3)].A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV4502 EX+ (1242) j�i� pennsylvania SCHEDULE A TiT DEPARTMENTOFREVENUE ,NHER„AN�ETAxREr�aN REAL ESTATE RESIDEM'DKEDENT ESTATE OF: FILE NUMBER: Ida Z.Arms, deceased 21-12-0983 All real property owned solety or as a tenant in common must be reported at tair market value.Fair market value is defined as the price a[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 facts. 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 mpy of the tleed showing tlecetlenPs interest if owned as tenant in common. VAWE AT DATE NUMBER OF DEATH DESCRIPTION i Real estate situate at 14 Country Club Place West,East Pennsboro Township,Cumberland County, Pennsylvania,more particularly described in Cumberland County Deed Book"N", Volume 35, Page 412(net proceeds of sale)(please see attached) 127,201.75 TOTAL(Also enter on Line 1, Recapitulation.) $ 127,201.75 If more space is neetled,use additional sheets of paper of the same size. HEVa5o3 EX+(��z) �pennsylvania SCNEDULE B oEVnalmENroFUEV[rvuE INHERITANCETAXFEfUFN STOCKS & BONDS RESIDENTDECEDENT ESTATE OF FILE NUMBER Ida Z. Arms, deceased 21-12-0983 All property jointly owned with right af survivorship must be disclosed on Scheduie P. ITEM VAWE AT DATE NUMBER DESCRIPTION OF DEATH 1' Edward Jones investment account number 896-07485-1-8 lease see attached (P ) 252,507.44 2 Vanguard investment account number 09848244511 (please see attached) 1,370,810.51 3 Wells Fargo Advisors account number 1186-3599(please see attached) 730,991.60 TOTAL(Also enter on Line 2, Recapitulation) § 2,354,309.55 If more space is needed, insert additional sheets of the same size REV-i5o8 E%+(o8-�z) � pennsylvania SCNEDULE E �i� oePnarnenroFaevervue CASH, BANK DEPOSITS & MISC. tNHearrnrvcernxaeruaN PERSONAL PROPERTY RESIDENT DECE�ENT ESTATE OF: PILE NUMBER: Ida Z.Arms, deceased 21-12-0983 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right af survivorship must be disclosed on Schedule F. REM VALUE AT DATE NUMBER DESCRIPl70N OF DEATH 1. Miscellaneous tangible personal property(appraised value--please see attached) 1,835.00 2. 2010 Toyota Corolla,VIN 2T16U4EE3AC505384(please see attached) 12,216.00 3_ PSECU,PO Box 67013, Harrisburg,PA 17106--share account S1 1,279.64 4, Accrued interest,PSECU share account S1 0.13 5. PSECU, PO Box 67013, Harrisburg, PA 17106—share account S4 129.41 g. Accrued interest, PSECU share account S4 0.01 7. Susquehanna Bank,PO Box 1000,Lititz, PA 17543—checking account number 148024416 20,947.03 g_ Accrued interest,Susquehanna Bank checking account number 148024416 0.17 g, Comcast(refund on account) 1.93 10. State Farm Mutual Autmobile Insurance Company(refund adjustment) 100.00 ��. State Farm Mutual Automobile Insurance Company(refund of unused premium) 186.06 �Z. Thrivent Financial for Lutherans(refund of premium--long term care policy) 1,141.86 13. United States Treasury(refund per Form 1040,tax year 2012) 6,645.00 TOTAL (Also enter on Line 5, Recapitulation) $ 44,482.24 If more space is needed, use additional sheets of paper of the same size. uewisn ex+�ia-u�� ; pennsylvania SCHEDULE H �� oeaAarnenroFaeveNUe FUNERAL EXPENSES AND wnea�TaNCernxaFruaN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ida Z Arms, deceased 21-12-0983 Decedent's debts must be reported on Schedule I. ITEM NUMBER �ESCRIPTION AMOUNT A. FUNERALEXPENSES: 1' Neumyer Funeral Home,Inc.(balance due--please see attached) 139.02 z. Evans Cemetery Memorials(inscription on gravemarker) 135.00 e. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal flepresentative(s) Street Address . _ _.. .. . . . . . . . . . . ._ . . .. . City . . State . ZIP Year(s)Commission Paid: �� Attomey Fees: 75,780.00 3. Family Exemption: (If decedenf's address is not the same as daimant's,attach explanation.) Claimant Street Address . City . . . .__ . ._ _ State .. ZIP. Relationship of Claimant to Decetlent 4. Probate Pees: 973.50 5. Accountant Fees: 6. Tax Return Preparer Fees: � Cumbedand Law Journal Qegal advertising) 75.00 a. The Paxton Herald(legal advertising) 48.00 s. Register of Wills of Cumberland County(purchase additional short certificates) 12.00 io PPL Electric Utilities(electric service--14 Country Club Place West) 65.60 i�. Pennsylvania American Water(water service--14 Country Club Place West) 40.29 (please see attached continuation sheets) TOTAL(Also enter on Line 9, Recapitulation) $ 81,193.85 If more space is needed, use additional sheets of paper of the same size. Estate of Ida Z. Arms, deceased No. 21-12-0983 SCHEDULE H (continued) 12. PPL Electric Utilities 64.10 (electric service-14 Country Club Place West) 13. Justin Shover 110.00 (lawn/leaf maintenance-14 County Club Place West) 14. East Pennsboro Township 303.60 (sewer and trash service-14 Country Club Place West) 15. Justin Shover 100.00 (lawn/leaf maintenance-14 County Club Place West) 16. PPL Electric Utilities 20.07 (electric service-14 Country Club Place West) 17. Pennsylvania American Water 18.32 (water service-14 Country Club Place West) 18. Pennsylvania American Water 9.36 (water service-14 Country Club Place West) 19. Erica S. Taylor 150.00 (appraisal fee—tangibie personal property) 20. PPL Electric Utilities 43.47 (electric service-14 Country Club Place West) 21. Pennsylvania American Water 14.17 (water service-14 Country Club Place West) 22. Service Oil Company 441.49 (heating oil-14 Country Club Place West) 23. East Pennsboro Township 138.00 (sewer and trash service-14 Country Club Place West) 24. Pennsylvania American Water 28.20 (water service-14 Country Club Place West) 25. Justin Shover 80.00 (snow removal-14 Country Club Place West) Estate of Ida Z. Arms, deceased No. 21-12-0983 SCHEDULE H (continued) 26. Justin Shover 80.00 (snow removal-14 Country Club Place West) 27. Joseph M. Greer Construction 85.00 (repairs-14 Country Club Place West) 28. State Farm Insurance Company 308.00 (homeowner's premium-14 Country Club Place West) 29. Pennsylvania American Water 29.83 (final bill, water service-14 Country Club Place West) 30. PPL Electric Utilities 100.99 (final bill, electric service-14 Country Club Place West) 31. Service Oil Company 56.84 (14 Country Club Place West) 32. UnitedStatesTreasury 1,194.00 (tax due per Form 1041, tax year 2012) 33. PA Department of Revenue 550.00 (tax due per Form PA-41, tax year 2012) REV-tsi2 ex+ �iz-tz� �,�jpennsylvania SCHEDULE I Ril oEanarMeNroFaEVErvuE DEBTS OF DECEDENT, �NNeaRnnceTnx aeruRr� MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ida Z.Arms, deceased 21-12-0983 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 PPL Electric Utilties(automatic debit from decedenfs checking account) 77.67 2. Verizon(fnal bill fortelephone service at Messiah Village) 52.38 3. Justin Shover(lawn maintenance--14 Country Gub Place West) 150.00 4. East Pennsboro Ambulance Service(medical expense not covered by insurance) 98.00 5. Venzon(automatic debit from decedenPs checking account--14 Country Club Place West) 77.30 6. Messiah Lifeways at Messiah Village(balance due on account) 3,903.00 7. United States Treasury(Form 1040 estimated paymenF-tax year 2012) 455.00 8. PA Department of Revenue(Form PA-40 estimated payment—tax year 2012) 340.00 TOTAL(Also enter on Line 10, Re[apitulation) $ 5,153.35 If more space is needed,insert additional sheets of the same size. REV-1513 EX+ (O1Q0) �,�` pennsylvania SCHEDULE J oErnarnENr o'rkEVErvuE mnea�rnNCe�nx neruarv BENEFICIARIES RESIDENT�ECEDENT ESTATE OF: FILE NUMBER: Ida Z. Arms, deceased 21-12-0983 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRE55 OF PERSON(S) RECEIVING PROPERiY Do Not List Trustee(s) OF ESTATE I TFXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers untler Sec.9116(a)(1.2).] 1. Please see attached. 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: 1. 8. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. Please see attached. 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. Estate of Ida Z. Arms, deceased No. 21-12-0983 SCHEDULE J (continued) I. Taxable Dist�ibutions: Name/Address Relationship Amount or Share Margaret Shafer niece Tangible personal 13910 Thorn Twp Road 37 property and 28% Thornville, OH 43076 of residue Kenneth E. Arms nephew Tangible personal 510 Stoney Creek Road property and 28% Dauphin, PA 17018 of residue Susan Arms niece Tangible personal 260 Stoney Creek Road property and 29% Dauphin, PA 17018 of residue II. Non-Taxable Distributions: B. Charitable and Governmental Distributions Reading Radio Service of the Tri-County Association for the Blind $10,000.00 1130 South 19`" Street Harrisburg, PA 17104 Trinity Evangelical Lutheran Church $20,000.00 2000 Chestnut Street Camp Hill, PA 17011 Alumni Scholarship Fund of Halifax High School $10,000.00 c/o Dean Kerstetter, Treasurer 137 A Palmer Drive Halifax, PA 17032 F.M. Barrick Library Fund of Halifax High School $10,000.00 3940 Peters Mountain Road Halifax, PA 17032 Foundation for Indiana University Of Pennsylvania 15% residue G1 Sutton Hall Indiana, PA 15705 c� o �� LAST WILL AND TESTAMENT ' OF IDA Z. ARMS I, lDA Z. ARMS, presently residing and domiciled in East Pennsboro Township, Cumberland County, Pennsylvania, hereby declare this to be my Last Will and "1'estament, and I hereby revoke any and all prior wills and codicils previously made by me. [TGM l: All my personal effects, clothing, furniture, furnishings,jewelry, automobiles, other tangible personal property of every kind, aud insurance thereon, I give to my brother, K�NNETH F,UGENF, ARMS, and his cl�ildren, KENNETH EDGAR ARMS, MARGARET ARMS SHAFER, and SUSAN ARMS, to be divided among them as thcy may agree, or, if they are unable to agree, as my Executrix shall decide. Notwitlistanding any statutory provision to the contrary, I specifically intend I'hat each beneficiary under this Item I shall be respousible for any packing, shipping, or other moving costs incurred with regard to any item of tangible personal property which he or she receives hereunder. 1"CEM II: Specific Bequests. I Itereby make the following specific bequests: A. I give and bequeath the sum of'I'en Thousand Dollars ($10,000.00) to the RADIO READING SERVICE OF THE 'PRI-COUNTY ASSOCIA'I'ION POR THE [3LIND, Harrisburg, Pennsylvania. I3. I give and bequeath the sum of Twenty Thousand Dollars ($20,000.00) to CRIMTY FVANG�LICAL LUTHERAN CHURCH, Camp F�ill, Pennsylvania. C. i give and bequeath the sum of Ten Thousand Dollars ($10,000.00) to the ALUMNI SCHOLARSHIP rUND OF HALIFAX HIGH SCHOOL, Halifax, � Pennsylvania. D. [ give and bequeath the sum of Ten Thousand Dollars ($10,000.00) to the F.M. }3AI2RICK LIBRARY FUND OF HALIFAX HIGH SCHOOI.,, Halifax, Pennsylvania. 11'GM [II: All tl�e rest, residue, and remainder of my estate I give, devise, and bcyueath as follows: A. 7'wenty-one percent (21%) to my brotl�er, Kt;NNETI I EIJGF,NG ARMS,per s�irpes. I3. "I'wenty-two percent(22%) to my niece, SUSAN ARMS,per stlrpes. C. 'Iwenty-one percent (21%) to my niece, MARGAR�T A. SHAFER,per s1ir��es. While I m�derstand that she is not obligated to do so, it is my desire that my nicce, Margaret, confribute forty percent (40°/o) of this gift to any such tuition assistance accounts (529 plans) which have been established for the benefit of her children who are living at d�c time of my death, to be used for the post-secondary or graduate education of her children. ll. 'I'wenty-one percent (21%) to my nephew, KF,NNE'I'H F,DUAR ARMS,per rli�1�es. While 1 understand that he is not obligated to do so, it is iny desire that my nepl�ew, Kenneth, contribuYe forty percent (40%) of this gift to any sucl� tuition assistance accounts (529 plans) which bave been established for the benefit of'his children who are living at the time of my death, to be used for the post-secondary or gracluate education of his children. G. Pifteen percent (15%) to the FOLTNDATION FOR INDIANA iJNIVERSITY OF YGNNSYLVANIA, to be used in accordance with the eudowment agreement between myself and the Foundation which is in effect at the time of my death. � 1"I�GM IV: Should any of the gifts in Item III, above, fail for want of an included bcneticiary (for example, should my niece, Susan, pre-decease me leaving no issue), then the said gift shall be divided,pro-rata, among the family members who benefit from the other gifts in Item III.A, III.B, III.C., and TII.D., above. I"1'�M V: If any income or principal shall be payable to any person who has not attaiued the age of twenty-one (21) years at the time of my death, or who, in the discretion of my Gxecutrix, is incapacitated for any reason, then I direct that his or her sl�are shall be paid, instead, to my hereinafter-named Trustee, to be held in trust, nevertheless, for tl�e benefit of any sucl� person. Trustee shall be entitled to apply any sucb principal and income for the health, maintenance, support, and education of any such person, without the appointment of a guardian and without any authority of court. I rustee may directly apply any such principal and income, or Trustee may pay income and principal to the parent or other]5erson in charge of any such person, or to a guardian, or to a custodian under the Uniform Gifts to Minors Act or the Uniform I ransfers to Minors Act. ns to education, 'Crustee shall pay no more than he or she deems necessary, taking into consideratiou all financial resources available to any such persai, including but not limited to, financial aid programs and employment. Trustee shall make no payments on behalf of'any such person which would reduce any financial aid to which he or she would otl�erwise be entiCled, or which would disquaGfy him or her from receiving any such aid. IYtistee may directly apply any such principal and income, or 7'rustee may pay income and principal to the parent or other person in charge of any such person, or to a guardian, or to a custodian under the Uniform Gifts to Minars Act or the Uniform 'I�ransfers to Minors Act. '1'rustee shall distribute the remaining principal, and any accrued or undistributed income, to tl�e said beneficiary upon the attainment by him c�r her of the age of twenty- one (21) years, ar upon the termination of incapacity, outright and free of all trust. If any such beneficiary dies prior to attaining tl�e age of twenty-one (21) years, l rustee shall pay his or her share to his ar her surviving siblings, or, if no surviving siblings, to l�is or her issue,per stdrpes, upon the terms and conditions contained herein. ITGM VL No interest iu income or principal of auy trusl created hereunder shall be assignable by a beneficiary or available to anyone having a claim against a beneficiary before actual payment to a beneficiary. ITGM VII: All estate, inheritance, and other death taxes, togeCher with any interest and peualties thereon, payable with respect to any interest passing under this my I,ast Will and Testament or otherwise, shall be paid out of the principal of my residuary estate without apportioi�ment. It is my specific intention that all inheritance or estate taxes payable upon any bequest to a non-charitable beneficiary shall be paid from the residuc of my estate before the division stated in Item III, and that no such tax shall be apportioned against the share of any non-chazitable beneficiaiy. I understand that this procedure will reduce the amount which would otherwise be received by any charitable beneficiary; nevertheless, it is my intention that all inheritance and/or estate taxes be paid prior to the calculation of the percentages set forth in Item III, above. I'r�M V IIL• I appoint my niece, SUSAN ARMS, as Executrix and 1'rustee of this my Last Will and Testament. I direct that my Executrix and Trustee shall not be required to furnish security in any jurisdiction. t1�my niece, Susan, is unwilling or unable to serve, then [ appoint my nephew, K13NNGTf I FUGAR ARMS, as my Executor and Trustee, to serve without bond. If both my niece, Susan, and my nephew, Kenneth, are unwilling or unable to serve, then t appoint Susquehanna Bank as my Executor and as my 7'rustee. 1N WI"CNESS WHEREOF, I have hereunto set iny hand and seal, this 21�' day of July, 2008. n _a ,..� - ��--- C��2,,..v� �SEAL) IDA 7,. ARM� WI'1'NLSSETH: "I'he foregoing instrument was, on the date stated above, signed, published, and declared by IDA Z. ARMS, the Testatrix named therein, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of one a have subscribed our namcs as witnesses thereto. - ��--- �-�i �' C�t�,cnr�-- W tnes Witness l3?S /��(� �i��,�� rcel 13� � ��Lr�"-.f�`Le�.�' Address Address �--�-r�.�;s �� 7/�2- �� 2�CGc(� / /U�- nddress Address Q' ACKNOWLEDGEMENT Commonwealtli of Pemtsylvania ss. County of Uaupl�in . AND NOW, tliis 21 s` day of July, 2008, I, Yhe Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do I�creby acknowledge that 1 signed the instrument as my Last Will and Testament, that I sigi�ed it willingly and as my free and voluntary act for the purposes expressed therein. �-��.:. ;,� , ��ti,�.,,� �---- - tl�n z. naMS � Sworn to, subscribed, and acknowledged before me by [DA 7. l�RMS, the festatrix, known to me, this 215`day of July, 2008. l��!4-l.'�Ll�i(=--��);%(� `' Notary Yublic � My Commission Expires: ��Ot�4P�:CNVVI-AL�i H OF PF.NNSYLVAPJIA -�-'� �lol n ll S.al �h n��ri C 4nt Plntary Public ityOfN�msb�ru f�mphinCounty ';V1yf< nm9,r�n� �{nr Iuly20 2010 , , ,�� :'tlon nf�IOlaries AFFIDAVIT Commonwealth of Peunsylvauia : ss. County of I�auphin . nND NOW, this 21�' day of.Tuly, 2008, we, .IAMI;S D. CAMI;RON and CYN�I�I Iln L. CAMGI20N, the witnesses whose names are signed to the attached or I<xcgoing instrument, beiug duly qualified according to law, do depose and say that we were present and saw the TestaLrix sign and execute the instrument as her Last Will and festament; tliat she signed it willingly and executed it as her free and volimtary act for the purposes Ulereiu expressed; that each of us in the hearing and siglrt of tlie Testatrix signed the Will as a witness; and that, to the best of our knowledge, Hle "festatrix was at that time al lcast eighteen (18) years of age, of sound mind, and under no constraint or undue inlluence. t�"— -��y ��'iL '\...°=--� Wi ness W�� .----. ss - ------------- Sworn to and subscribed before me by JAMES D. CAMERON and CYNTHIA L. CnMERON, the witnesses, known to me, thi� 21s` day of July, 2008. � � ( � , _...(. ��X\ , �. . Notary P�tblic �� ! � My Commission �xpires: COMMODdV�iEral.11�l UF PL-NM��YLVANIA . _n�o4 rr,i �� ..._ �hana R f� Y r iVO��y f'ublic . �ity Of Ham i��r„ u,ui�n��ro��q� �4�Con�inds�.on F pic,..�July 20,2010 �dcn•hn ~i.n�j�.,6•l�i�A. qylr-j�!iOfl ql��O�FIf�P.6 . 1 485��041046 �� REV-485 EX(OS-04) SAFE DEPOSIT BOXINVENTORY PA Department of Revenue PLEASE USE ORIGINAL PORM ONLY Social Secunry or Death Certifcate Number Date of Death Counry Code Vear File Number � � -----� I- ---i , -- --------- _ � 206-32-4901 j 08/24/2012 II 21 I 12 ' 0983 � -- —— _ � __ :_ I — — -- i DecedenYs Last Name � Suffix First Name MI _ .- ----- - . _ __—_.— � ARMS ------ -- ---� L _—_ � �.IDA -- __ -- � �._�..;. ADDRE33 OF DECEDENT STREET. � � qN: � STATE: ZIP CODE: 14 Country Club Place West Camp Hill PA 17011 � NAME AND ADDRE3S OF PERSON REDUESTINO THE OPENIN6 OF THE SAFE�EPOSIT BOX ', "°'ME' Estate of Ida Z. Arms, Susan Arms, Executrix � STREETA�DRE55: CIN: STATE: ZIPCODE: I 1325 North Front Street Harrisbur PA 17102 � NAME,ADDRESS AND RELATIONSHIP(IF AN1�TO DECEDENT,OP PERSON(9)PRESENT AT THE BOX OPENING '�, a. NAME'. RELATIONSHIP: Susan Arms Executrix/niece I STREETADDRESS: CITY: STATE: ZIPCODE: 260 Stoney Creek Road Dauphin PA 17018 b. NAME: RELATIONSHIP: James D. Cameron, Esq. Attorney for Estate � i,, STREETADDRESS: GTY: STATE: ZIPCODE: i 1325 North Front Street Harrisburp PA 17102 �'. c. NAME: RELATIONSHIP: I �; STREETADDRESS: CITY: STATE: ZIPCODE: NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED I NAME: � ' Susquehanna Bank � STREETADDRESS: CITV: STATE: ZIPCODE � 201 St. John's Church Road Cam Hill PA 17011 � NAME OF PERSON MAKING LAST ENTRV �� DAT AND TIME OF LAST ENTRV � s.,bu• H., ,� ,�., ( � �-�.�14W �� 5 � /�i✓v� �;�r'Aa..D..l 9 // /�Z /Z��J i`q � : OATE F Cp NTRACT TO RENT BOX • NUMBER OF BOX 1 TITLE UNDER WHICH BOX IS RE�UESTE� 8 �/u 57 r�3 �� z, f��.�-�. i NAME AND ADDRESS OF PERSON(S)HAVING ACCESS TO BOX �� a. NAME: b. NAME: ', Ida Z. Arms �'�. STREETADDRESS: STREETADDRESS: � I 14 Country Club Place West '�, G7Y: STATE: 21P CODE: CITY: STATE: ZIP CODE: Cam Hill PA 17011 NAM�ND TITLE OP EMP YEE TAKING THE IN ENTORY � MCfi �. VN V'0.^ ^ ' i WAS A WILL IN THE BOX1 ❑ YES � NO N yea, a. Uete of wlll: ��, b. Name and addresa of pernonal rapresentMlve,If namad In the wlll NAME: � STREETADDRESS: CITV: STATE: ZIPCODE: i i e. Name and addreas ofattorney,If any NAME I � STREETADORESS. CITY: STATE: 21PCODE: , _...._. _. _._. . .._.. .__..._. __._ ...._.. ________ —______ .... .._.__- _ ...__.___—__—.� L 48500041046 4850D041D46 J REV-485EX SAFE DEPOSIT BOX INVENTORY Page ot_ INSTRUCTIONS (1) Cash: Report total oniy. (2) Stocks: List in detail every common or preterred certif cate,warrant or other rights found in box. Stocks are to be designated by name of wmpany,certificate number,date of certifwte,name in which stock is registered,and number of shares and cless of stock. (3) Obligatlons of U.S. Government: Number of items, date of Issue, faca value, names In which registered and type of ownership, i.e.,jointly held,payable on death, etc. (4) Bonds: Oesignate by name, amount serial number.or other designation. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State name of depositor, number of book, last date appearing in book, name of bank and branch, and balance. (6) Jewelry,Colns,Stamps, ManuscripW,etc: List and describe as fully as possible. (7) Deeds,Mortgages,Current Insurance Pollcles or other evldences of indebtedness: List and describe as fully as possible. (8) All other contenSs. . (9) Relurn completed fortn to: DEPARTMENT OF REVENUE INHERITANCE TAl(DIVISION DEPT.280801 HARRISBURG,PA 17128-0801 ITEM ITEM DESCRIPTION NO. l. !N Lo�.. U�b 1�u. �,k:.� : �e�o•9r.�� G.A.�. �. '�D (3..1� 3.c' . �/z �.4� �'w,•. L� r' s. Ca. • Prl. e 2�9\�53 " F�e, �..I. 2 omn �� `.�. L.� I7.i1a�LL.so..� ��t�'�vC.�� 2m...w..l 7 ' S�' , 1cP.s.., Ll,olc�•�e. 1. �130�/'2111" �cc �c.i. �/S913 y 1� ��•Dfl'%; �il.l�•�,Ic, ,LT+'Ne ; Ur.v ,�tl3vy££3AGSo 38 ' zao 7'e d... SJ��• :scell....�.,: .�IJ - cn oC �o v�.l��. I CERTIFV UNDER PENALTY OF PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COPY OF CORREC7AND COMPLETE T THE BEST OF MV KNOWLEDGE AND BELIEF. SAFE DEPOSIT BOX INVENTORY: 51 A RE SIG E P AME � PRWTNAMEANDCHECKAPPROPRIATEBOXBELOW: Susan Arms Susan Arms PRINTTITLE DATE CHECKAPPROPRIATEBOX: Executrix � (^� ��ewtoQMx) ❑Administretar(triz) /O � /(� ❑Estete RepreaentaUve ❑Jolnt owner of ae(e tlapoait box NOTE:Attach additional 8'/:"x 11"sheat(s) if necessary or use duplicates of this page of form. The Depariment Is autlwnzed hy law,42 U.S.C.§405(c)(2)(C)Q],lo require disclosure of Sodai Secunry numhers in connection wkh administenng state pz laws.The Department uses the Sodal Seanty number to Identify the decedenl and personal representatives of the estate.The Commonwealth may also use the Information in exchange of tau Information agreements with Fede21 and local taxi authonties.The state law mhibits the Commonwealth's ersonnel fmm disclosin confidential tax Infortnation ezce t for ofidal oses. � 48S�fl041a46 REV-485 EX(Q5-OA} SAFE DEPOSIT BQXfNVENTORY PAOepaMtento#Revenue P6EA8E U$E ORI61N/l!FORM ONLY Social Secunty or Oeattr Certificate Number Date of Death County Code Year File Number 206-32-4901 p8/24/2012 21 12 0983 Deaeden!'s i.ast Name �� 3uffix Firek Name�� - � � MI ._... _.. . . . ,.. ._ . . _ .. . . .._. _..... ._... ._. _ .. . ..... . ._... ARMS ' IpA Z . _ QADORESSOPDECEDENT STREET: � C4TY:� � �� STATE ��ZIPCbDE: Camp NiII PA 17017 � NAME ANO ADDRE53 OF PER9dN REQUESTING 7HE OPENING OP THE SAFE DEpO&I7 BOX � . "°'MEiEstate of Ida Z.Arms Susan Arms Executnx - ----.. .. -`-- - --_._._ _ _ _..--- _ ----- - � STREETA40RESS: CITY: STATE: ZtPCODE: � 5325 North Front Street Harriskrurq PA 17142 � NAME,ADDRESS AND RELATIONBHIP QF ANV)TO DECEDENT,OF PER90N(S)PRESENT AT THE BOX OPENING ' � a. NAME: RELATIONSHIP: � Susan Arms Executrix of Estate ----__ __ _ __- --___ _ __—__ � STREETADDRESS:� C17Y: � � STRTE: ZIPCODE: 260 Stoney Creek_Road __ ,. Dauphin . _ PA 17018_ _ � b. NAME: RELATIONSNIP: James D. Cameran, Esq. __ Aktomey for Estate __- . - -- _ __ --_ �_ _ _ --_..._�_.�_ STREETA�DRESS: CtFY: � � STATE: ZtPC6DE: 1325 North Front Street _, _ Harrisburg _ __ PA 171 p2 _._ _. _ —_ _.__ _ _ __ - - c. NAME � REL4TIONSMIP: � _,�o�cG__�. }�1'MS ._.___ . ._ . _____.._. ._ _ _. __ SISt@(If1-18W_&�OICit OW�3E(Of B4X._-__-__. STRpE/�E�T�A�`�DRESS: ��'+.� CIN: 5��J/{�p'T�E: ZIP�CO1'D�E�f:.� J1r.c� 1/-�/Ih150/1 �.u+//^.�CF �3Jv�l�M1 V-._-_.CG�G� NAM¢AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE OEPOSIT BOX IS LOCATED NAME: Susquehanna_Bank __ ..._._ _. ... __ ____.__ _ -- — ---- ' STREE7AbDRESS: �� CITY STATE: ZIPCp�E: ' 800 Peters Mountain Road Dau hin pA 17018 , NAM F PERSON MAKMG LAST EF3TRY DATE AND TIASE Of LAST ENTRY � �� n �y B. �✓'r5 S'/O-/'2» DATE OF CON RACT TO RENT BOX NUMBEpRP F 60X . 1 TI LE UNDER WHICH BOX IS REQUESTE.D /� �{^ ' � � Z �7 ! (O (,� Y.ec✓�-.�^.� �nt.�n+�/r.w.a ��i« .�J Je�2't �� NAME AND AD6R�SS OF PERS4N(S}HAVING ACCESS TO BOX n^Srlr.'� a. NAME ^�. b. NAM�+Eyr: /� � (� ' \ �' __ y�O�S�'_ 4HMS___ .._._.._ . . _ ._...!„V�Ln /J-J`F�S �;�/J� J.._____. STRE�E+^TRDORESS ty�� . � STREETAD/ORESS:�!$+� /' j (jq � '. .. Jt�JO ....�n.e;'�:h_._.L!•J�'. �L.�L�J .?N'}Q� (..J'♦rCi� ICS»f _._. . _ . __... _ __ _ _ _ ._'. _...___. CITY: STATE: ZIP CODE: CITV: STATE: 21P CO�E: 4 ,. L„�., /70/� �`cu., �,ti 1�1� 1%/c�D' NAA7E AND TfTLE O{F'"EMPLOY{EE TAKING TH�yE IN(�Y�E�N�TORY �,...- f �"'J��+� YCi�f" � ��tJ` JO"'{L � NNt� � i�4yhG/p--ri �•��.{� �F� WAS A WILL IN TH�BOX9 � YES ❑ NQ If yes, e. �ate of wi1L• � _.. _.__ .'_._.. .. . . ._ . __. ..._._.._.__._- b. Name end atltlress of personal rapresentaRlve,it named in the will � � r,�uE: �?'11 aC ,S°NU g. �~,�s (�.1. r1E<.r-.'�.:� _ __ .--- _ _ ... _ .. STREETADDRESS; � � CIN: ��STATE: ZIPCODE: __.. . __... . _. . .... _._'__._.... . ...,._ .._. _ . ____.. ......__. .____._. , _ u Name and address af atterney,it any NAME: ' _ _._.____._- . .. . .. . ____.__ . ___........ ....... .. ._ ....,.__._ ..____._ ....__._. �. STREETAD�RESS � GTY: STATE: ZIPCODE: � 485�t1041�46 485C1l�D41�46 J REV-485 EX SAFE DEPC}StT BQX INVENTORY pa�e °f INSTRUCTIONS {1} Cash:ReporC cotal vnly. (2} Stocks:List in detail every common or preferred certificate,warrar,t or ath.ar rights found in 6ox.Stqcks are to be designated by name of company,certificate number,date of certifcate,name in which stopk is registered,and numqer of sharea and class of stock. (3) Obligations of U.S.Government: Number of items,date of issue,face velue, names in which regislered and type of ownership, i.e.,JoinEly heid,payabie on death,sfC, (A) Bonds:Designate by name,amount,serial number,or oti�er designa8on.(Bearer 6onds} (5) Bank and Savings and Loan Passbooks: State neme of dapqsitor,number of book,last date appearing in b4ok,name of bank and branch,and balance. {6} deweiry,Coins,Stamps,Manuscripts,ekc:List and describe 2s fuily a&possibie. (7) Deeds,Mortgages,Cumenk Insurenoe Policies or other evidtrnces of indebtedness:list and describe as fuily as possible. (8) All other contants. {9) Retum compieted form to: DEPARTMEN7 qF REVENUE INNERITANCE TAX DIV13I6N DEPT.280S6t HARRISBURG,PA 17728-Ofi01 ITEM 17EM DESCRIpT10N NO. __ . ... ... _____ .. _._... ___. ___. ._._ ._. . . _ . ______ l U 3 5,.,.,.r.c 3>-,,� G Y7 "7 y.�9sZY�Gr£ o.�,� . _$,,��., ri9. a4r,..s _ _ '�Soc» �ce._ . — - -- _ .. z ,. .. .. Ly8�K33 /7S'£L Q�,� S'�sA.. _!!'I_ Aw-.^s_ _ �SSo°= �� ____ _ _,_ _ . .. .. . .. ,,, 3 LsozYLP�9t__E� _._rz,.,...� '..._S.,f..,_._.?�. ,�,^.•-s � So--_ �_�.._._ _ __ . _ n � � - .. .. .. ......_ �.SZ�/t��_5�...G� ._,.p.�"'„"...,..ScSs,. �1. HYM.S `�+ �Po-�. . �C4_"'""' �' _.._..._C SoY"7?�2 5`Z££ ow-.� �.__S,,sr.., _A!.-,s �IaQ>.. _�"` __._ -- c.� ,�,�s«r��.��, a�� w�vs oG �� ,G _ _ _ _— __ _ _ — __ � � - _ -__ I _ - - . . _l __ . _. � __ _ � I CERTIFV UNDER PENALN OF PERJURV THAT THE ABOVE RECdRU IS PERSON RECEIVING COPY OF CORRECT ANp COMPLET THE BEST OF MY KNpWLEDGE AND BELIEF. SAFE DEPQSIT BOX INVENTORY: StGNATURE 31� TURE PRINTNA� �/+� � � NT AM�EA�N}O/C�HE A ROPRIATE80kBELOW M'��1n � �� /I ..�G Nu'-A ��„l...lwM C%�tl� ...��.j.17��4.4_.-�-��'"" __�S17N 1�1�WlS Y G.- , _.' __ . _ ._.. . ._..._ ARINTT(TL£ , ,t /�H �^t A� DATE Ct�CNAPPRpPPoRTEB %: �� y t�_ tS-/ S1. A.t, � ❑Exewmr(alx) ❑nd �wttrtxf . /YP� �EsUle Reprgsenteliva �Jdnt owne�of xafe Eepoeq kqx NpTE:Attaah addifianal 8'h°x 11"sfieet{s) if necessary or use duplicates of this page of form. The Dep�mr�ent is auGmrized by iaw,d2 U.S.C.§405{c}t2j{C}(i),ta require disciosure of Sodai Searily nn�ets irr�tlon wiih administermg s�te tatclaws.The Depazn�en#usws Ghe Soaai Security number ro identify the decedent arni personat representatives of tha esiate.Thc Cammonweahh may aiso use ihe intormatian in exchange of t�informatlon agreemants with Federal and lowl taxing authorities.The state law prohibits the Commonwealth's personnel from diulosing confidential tax infortnatipn except for o(fiqiel pmposes, a, �h� �� A. Settlement Stat�ment (iiUD-1) oMBAPP�o�a�NO.Z5o2�oZe5 FINAL 1.�FHA 2.Q RHS 3.Q Conv.Uninn. 8'F�le Numhar 7.Losn Numbar: e.MoriBage Insurance Case Number: 13-0222GC Y7W832I� � 446�16335547IX3 4.❑VA 5.❑Conv,lna. � C.Noto:Thie brm le tumished m qNe yau a statemanl of eclual aetUement coeta Amounh peid�o and by ihe settlement eyente en shovm Iteme merked "(p.o.c)'wero peld outslde tha clo�ing;thsy are ahown here Wr InPomipllonel pu�poaea orb aro rwt InUUded in the lotah. � D.Name 8 Address of Borrower: E.Name 8 Addreas o/Seller; F.Name&Addreea of Lender: ��T�� The Eslate ot Ida Z Arma,Sueari Amu ExewNx GMH Mortpepe Services,LLC 14 Counhy CIU6 Place West,Camp Mill,PA U017 GO Jamee Cameron,Esq,1326 N,Fmnl St., 10 CamDUa Blvd,NsMwm Square,PA 19073 Hartlabury,PA 17102 �.Property Lacatiorc H.SeltlementAgenl: I,SettlameM Deta 0 3/1 62 01 3 74COUn1ryCIubPleceWest GuardlanTrenMerCorporetion DiebureemeMData03�15l2013 Cemp Hill,PA 17011 4075 Markei SL,Camp HIII,PA 17011 EastPenneboro Townahip 717-908d7C0 � �Plecsof8erilement: TMIaExpresa 4076 Markel SUeet,Gemp HIII,PA 17011 Pdnted 03/13/2013 at 1:43 Dm by SLC $' I i 'p !G . 0. Contreot�Nesp ce 140, . 1. Contra�tsdeap ca � .Op 102. Peroonel 0 402. Paraonal m eil 103. Settlemenlcherga�to6artwverQlne1400) 8,73876 403. 104. � dpq. 106. 405. Ad u�tlnmb for Nem� Nd 6 �elter In advanca Ad uetmenb for keme eid sellar In ativanae 108. CflYArnm ta+ces lo � 408. CllyAown larzes lo �� 107. Counrylaxee 03NW20131017/31M013 400.3A 407. Cwnrytexee 03H51207 3 10 11/31f2013 400.38 _ 108. Sdwdierzes 03l15/t013ro08/.i012013 445.78 408. Schadtacea 03Hbf20131o06f302013 446.78 . 1�: SexrerlRefuse 03N5R0131o031312013 26,07 409. SexeqRetuee 03115120131o0:U31f2013 28.OZ ��, N0, 410. 117. 41L 112 412. ��. 130, proNpmqmt�uofromBortoxrr 747,806.88 �zo. o�a�anoumou.toseuer � � +w,8T227 . �� ' . ..� - I 1A1. pwltaeameetmoney .2, 1. Exceeedepoat eee naWCtons 202. Pdndpal emount of new loen�s) 137.484.00 . 502. Settlement ch ec to eelier(Yne 140a) 8,870.48 203. Edctl loe s lekenaubeclto W3. Er1s11 e lekeneubectb �� 504. P offlret loan� � 2Qi`� � 606. PayoflolaemMmorfgegeloen 208. S�IazPSSlatmice S,OOO.OD WB. SellerAesielance � 5,OW.00 � � 207. WL � - � 208. 508. 209. 60g. Ad wmund kr Ihm�un eltl 6 �Nlar Ad �Imenb for 14m�un eW tMlei . 7 . Gity laxee �0 5 0. I�Y tazeb to . 111. Counrytazes l0 611. CaunTyfmcea to 212. Sdroollaxes b 612. Sdiooitm�es to 213. 513. 214. 514. � 215. 5t5. � � 218. � 516. ' 117. 517. . . 278. . . . 518. . 218. 578. � �0. ToWPYtl rBortov,ar 744p8A00 72U. 7ay�tlqetlonAmountoueeeller t7�910.49 `i �,4•, 301. GiossamowtEUerom6ortovrer(IIne120) n 147,BOB.88 gp�, GrueeamountEuekseflerpina120 140,872.23 � 302. �.eea e�rounq paltl bylla tprrower Qlne 220) 144,464,00 602. Lase reductlore In emounl dJe 9eller"(Ilne 520) 13 670.18 70.�. C�sh � From ❑ ToBOmowr 3,140.88 607. Ca�h ❑X 70 ❑ FmmSeller 127,t01.73 W1�.�� a�AMIMEOMlm'WnnO�.NepnMSIYYyYmi�qNlbbwrYinnYV�.MtMlpMbpeNl�WpW�leipHVAOrMYUntlM Fbm�Wnviql�� Frevlous e itlons are o so ete � age o HUD-1 4` . � S �:: �7 1. ��375.W �o ColdwNl Ban er anestOadGmup. . , � �.•.. r�', `u;;: 70 , 575.W toCol enkerHOmeste GrauD . "�tr 703, Gcmmubnpa steeWarmnt � P .CO 6d60.00 ��80 .� woA�neUnndiar8e nolutleeOAglnetlm oMtU.000%or , 0) 5. rom . arcredttoroherye(poin45) eepedAClnterestralechosen 1, 6.00 lM1Om #E) our gin on chargas 5 . . A�zfsei�e W MaatA Fden ementLLC ( GP Xi <50.04 . ��eD� toGedltPWe � .7 808. Tax eeMce to from 6FEt3 807. Fbod cat�Icatian to from GFE N3 8�, W : ��..� .� : - :� ....,4'C: ;... .� . . ' . . .. �.. � ;� is ' 901. Deltyintareelaheigee mm hom 11 3W01l011 � 13.1B15de � (from N10) 24. . Matgapen4uran�eDramlum for monNBtoHUD 2,36 . . o I�surance tw }p it) 904, m�UM� � franC,FE#71 'u� v �� . . . . Y.. .. i�e 1001�IMtleldepoeltfayaureecra,vaccouM � (framGFEq9) 1,096�63 tOtl2.Haneownefeinaurance 3��e 10.87AnanN 5722.Oi SQQ3.Mhtgagak�sura� mon?ha . 133.:WmonN # 106M1.PmP�h'i� maiMa � O.ONmamh S 10tlG,Cauntytm.ea 2 monthe $ 38.791monU E77.5U 100F.Sdwol teRes 10 montha 125.551monM St�258.60 iQ67.A��epeteAd im�mt � #368.3& ti� 'it •x'�^�v�� 5a- 'p;. - , INes BandlenTe a neieance 'trpmOFE#4,. . . � 1, 07.00 1102.SeWementofdus6ptee �a $ tt03.trM+etaq�ineurance-TI�Reuurcea4uerenlY�'T- immCa�E�6 l9.QD i16d.t.endets�I�auran�-T�ei7emwcenG�iflraMY�o�R�Y 51.315.00 � . t1tl5.LeMerelNlapolc/IimitE737,48A.00 Lendef9PMlq � � 11p6,OxnefEtlUepalkylYNiS140,000.000wnefepolcy . . 1107.AganPapadanWthetme;tltlei�rancepremlum � 54,082.54 bGu�CanT�amt� atias 1108.UiMeiwAleta pq�tlon of the lofal UUe Inaurance premlum $26250 to TIAe Resources Guarant Com an 1709.Nolary Fee m Guerdlarl Transfer %0.90 ina, a E 1111.RelmbmennnlWtaccenfm taOUeklenTransfer tO.qG ai �t201,Gavemmanirecor�nqchergea � $ (fromCaFEF7j 164.00 1202,Deed 200 �Morl aSip2.00 Releesa 12ai,Trenafer fe�n 5 (from GFE#8) 7,400,00 12f14.t�1�{Y�lstam(n � ➢eed$t406.� eS t2rh,5WieTmlatamPB DeedSi400.b6 e � f,400A0 ��' DeedS B BS � 12p7. 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O O O O O O O O O m � O O O O O O O O I � � � C � CD W � N O � 0 N A � � � � A N �j V O � p � R � � � g � o � g � � � � � s � o g � e � � - � �' _ a m 3 a NN j 1� �`$ NN V tT _ONi fpT� � O � O �p Ny N N N O V {Ap �(p � d ` Vp V WC J N � A � J�a �pO N O Op O O OGo W N m O O � � Y N fT O O (NT � O p O O S O � � O � � (�l� �D ro � � -- _ O _ � � ' b o � � 0 o a o 0 o a o o b N o a o 0 0 � O W O A N N N IU O � N � �N � � ° � o � a $ � � � a a a� a� a� a � a I � ¢ R 3 � `� � D ` O � ' I ; � � � � � � � � � � � � � � � � � � _ _ � I ° o y � N Page > 1 of 1 ' Vanguard� Ida Z.Arms C/O Susan Amrs Flagship Services:800-345-1344 1325 N Front St Daniel Vasile extension 14642 Harrisburg, PA 17102-2629 Total report value: $1,370,810.51 (Tofal report value includes any accrued dividends.) � Nara� '� `S'�fy" sy�h � �n d. r ,�a � �a r•� � �,, Num�b,er Qp�M� `,,��rare�. '�;�;�t� ' �Vg�{t�� iw�end's�, LifeStrategy Growlh Fund 0122-09848244511 03/12/1997 4,132.124 $23.07 � $95,328.10 - PA�LTT9X-Exetthpt%ft�frYiir�91 �..:�. . �0677-48��4�8*�S"�1',.1 .�8`I,�`,;` .� ` , �2"�;��1,�� vt`$'11:�3�' `�-�2�'�,'�I��`l��°.' ' `$�'S``f��4`&� Total Stock Mkt Idx Adm 0585-09848244511 01/13/2011 1,050.190 $35.18 $36,945.68 - Lorig-Te�mTax-�xerrrptHtlm 0549�'i198`NE�151'1- 1��I'I�lJ��Y$�� 1�^;9!b$.'Y�'t' -$1f�4f ,s ',�'q�r9��i;. $�$�'J;�ib` Energy Fund Admiral 0551-09848244511 OS/01/2005 1,933.061 $112.74 $217,933.30 - [7iultler�d'�Y�roWth I�tm� 0057w� �`�'. 9�R�Y5�'y' P�f�� 1�ltvt:l�,�4` "$5��8'� ,. .i . . ., , £ x,:� PA Tax-Exempt Money Mkt 0063-09848244511 OS/04/1988 229 147.260 $1.00 e$229 147 26 $1.51 Inter_T�im Tax-Exempt Adm �2�_-098Nb24�5T�:1 05/1�SI2�08 13;2�B;II6Q $1q.3� � `$"1''�'qkQ0�;19k �`:44-�. Totals $1,369,424.68 $1,385.83� ------------------------�----------------_..------ 'Doesn't includa accrued dividends. �� 1916205457 OS/17/2013 11:55:54 Wells Facgo Advisora,LLC 'Iel 717-761-7344 Three Lemoyne Drive Fax 717-975$426 Lemoyne,PA 17043 800-468-8685 ' � • • September 14, 2012 Tames Duryea Cameron Attorney At Law 1325 '.Vorth Front Street Harrisburg, PA 17102 RE: Estate of Ida 'L Arms Dear Attorney Cameron: Listed below is the date of death value�s for August 24, 2012 for lda Z. Arms: Shares Company High Low Close 9760.9790 Blackrock Muni $15.85 $15.68 $15.85 1124.4110 CapitalIncome $52.68 2241.7030 Eaton Vance $14.58 $14.37 $1437 9894.557 Franklin PA Fd. $11.04 400 IBM $198.11 $194.20 $197.77 1636.6180 Mutual Shares $22.27 2750.6430 Nuveen High Yld $16.81 6758.1410 NuveenMunMkt $I432 $14.27 $14.30 2927.233 Oppenheimer PA $11.44 5349.0830 W/F Asset Allocation $12.24 10 PIMiT# 183 NAV $280.12 per unit $2801.20 Ylus .59 acerued interest per unit $5.90 10 Van Kampen Intermediate # 2 NAV $593.70 per unit $5937.00 Plus .79 acerued interest per unit $7.90 Money Market Balance $10,723.52 � lf I can be of further assistance, please give me a call. � Sinc ely, � 1 ' \ � yn K. Neff �� Senior Client Associate" � MemberFINAA/SIPC Susque�anns September 19,2012 Susquehanna eancshares,Inc. 26 North CedarStreet P�O� Box 1000 � ��r�� Lititz, PA 77543-7000 — � � � Te17.800.311.3182 JAMES DURYEA CAMERON � y �O�Z Fax 717.625.4478 1325 N FRONT STREET �� " HARRISBURG PA 17102 --°.-..-•-------------� RE: Ida Z Arms Estate DOD: 8/24/12 SS#: XXX-XX-4901 Tracking# 290342 To Whom It May Concern: In response to your letter of September 13, 2012, here is the above customer account information as of August 24, 2012. • Account Title: Ida Z Arms • AccountType/# Checking 148024416 • Date Opened/Maturity 11;2/OS • Interest Rate: .OS% • Account Balance*: $20,947.03 • Accrued Interest: $.17 • YTD Interest: $6.74 *Account balance does not include accrued interest. � There is a safe deposit box# 1]0501039 in the name of the decedent located at the Camp Hill Office. � There is a safe deposit box# 109200160 in the name of the decedent located at the Dauphin Office. If I can be of further assistance, please feel free to call. Sincerely, �<'� �. � Dawn M Berrier Deposit Research - Reporting Department Lead 1-717-625-6546 DMB/aed PSEC� 09,18,Z�12 D, SEP 2 1 ZO1Z James Duryea Cameron Attorney at Law I;2J N. Pront SL """"'."""'_"'._. Han�isbw'g, PA 17102 � Re: IDA 7, AIZMS, Deceased. � � � PSF.CU Reference#2470551791333 Dear Attorney Cameron: The above referenced person has an account with PSECU which was opened on August 6, 1990. The Share accounts are individually held by IDA Z ARMS. The Visa loan is individually held. Ms. Arms did not have a safe deposit box with us. The following are the Date of Death Balances for IDA Z t1RMS's account with PSECU: Accouut Date of Death Balances Interest—August 1-24 Shares: (SI) Savings $1,279.64 $0.13 (S4) Checking $129.41 $0.01 Loans: (L9) Visa Loan $565.63 If the Estate has sufficient funds to pay o£f the decedenYs Visa, please remit a check for $543.14 made payable to PSECU. If there are not sufficient funds to pay off this loan, please submit a letter of insolvency along with supporting documentation such as a final inheritance tax retum and financial accounting. � Please provide us instructions on closing the decedenYs account. If you have any questions, please contact me at(717) 234-8484 or toll-free at(800)237- 7328, press 6, extension 3120. Sincerely, ��.�,-�� 'Sandy Fa�ley Member Service Representative PSECLi Pennsylvania State Employees Credit Union 1 Credit Union Place, P.O. Box 67013, Harrisburg, PA 17106-7013 • 800.237.7328 • »psetu.cOm THIS CREDIT IINION IS FEDERALLY INSURED BY THE NATIONAI CAEDIT UNION ADMINISTRATION.EOt1AL OPPORTIINITY I.FNOFA. Appraisal Report Estate of Ida Z. Arms, Susan Arms,Executrix 14 Country Club Place West Camp Hill, Pennsylvania 17011 Prepared for: James D. Cameron, Attorney 1325 North Front Street Harrisburg, Pennsylvania 17102 (717) 236-3755 File#Arms Prepared by: Erica Shea Taylor, Auctioneer& Certified Appraiser, C:A.G.A. Classic Edge Auctions &Appraisal Services PO Box 416 Hershey, Pennsylvania 17022 (717) 587-8000 Member: Certified Appraisers Guild of America Table of Contents Title Page 1 Table of Contents 2 Suminary 3 Analysis 4 Conditions of Appraisal 5 Certification 5 Purpose of Report 6 Method of Valuation 6 Definition of Value 6 Basis of Appraisal 6 Description 6 Appraiser Qualifications 7 Value Listings Appendix A Page: 2 of 9 Summary On November 19, 2012, at the request of James D. Cameron, I personally inspected the assets of Estate of Ida Z. Arms, 14 Country Club Place West, Camp Hill, Pennsylvania. Value Fair Market Value The Fair Mazket Value for the property in total is: $1,835.00 This is not the appraisal report. The appraisal report must be read in its entirety. Page: 3 of 9 Analysis Condition All items are assumed to be in very good condition, unless otherwise noted in Appendix A of this report. Page: 4 of 9 Conditions of Appraisal The vatue stated in this Appraisal Report is based on the best judgment of the appraiser given the facts and conditions available at the date of the valuation. The use of the report is limited to the purpose of determining the value of personal property for Estate Tax purposes. Any additional research or testimony required by the client or the court will be billed at the current rates. Disclosure of the contents of the report is governed by the Standards and Practices oF the Certified Appraisers Guild of America. Certification of Report Neither Erica Shea Taylor, Classic Edge Auctions &Appraisal Services nor any of its employees have any present or future interest in the subject property. No prohibited fee was assessed for this report. Erica Shea Taylor of Classic Edge Auctions &Appraisal Services has successfully completed the personal property appraiser certification program with the Certified Appraisers Guild of America and is a member in good standing. This report was prepared in accordance with the Uniform Standards of Professional Appraisal Practice and with the Standazds and Practices of the Certified Appraisers Guild of America which has review authority of this report. Erica Shea Taylor has personally examined the subject property. The statements of fact contained in this report aze true and correct to the best knowledge and belief of the appraiser. �� By: Eri She Taylor, C.A.G.A Classic Edge Auctions & Appraisal Services Page: 5 of 9 Purpose of the Report The purpose of this report is to determine the value for Estate Tax purposes for James D. Cameron, Hanisburg, Pennsylvania. Method of Valuation The method of valuation used for this appraisal is the Fair Mazket Value. Definition of Value Fair Mazket Value Under the United States Treasury regulation 1.170-1c Fair Mazket value is defined as: The price at which the property would change hands between a willing buyer and a willing seller, neither being under compulsion to buy or compulsion to sell and both having reasonable knowledge. Basis of Appraisal Valuation Date The date of valuation for determining the value estimation is August 24, 2012. Date Appraisal Conducted This appraisal was conducted on November 19, 2012. Limitations of Propertv There were no limitations on use or disposition of this property. Description An itemized list with descriptions is in Appendix A. Page: 6 of 9 Erica Shea Taylor, Auctioneer & Certified Appraiser, C.A.G.A. Classic Edge Auctions & Appraisal Services PO Box 416 Hershey, Pennsylvania 17022 (717) 587-8000 Education & Special Trainin¢ Mrs. Taylor successfully completed the personal property certification program with the Certified Appraisers Guild of America (C.A.G.A.) in 2002 and has taken classes in Appraisal Studies at New York University. Erica Taylor completed the Uniform Standazds of Professional Appraisal Practices (USPAP) course in conjunction with the Appraisers Association of America. Mrs. Taylor holds a Bachelor's degee in Arts Management from Lebanon Va11ey College where she studied art history and business management. Erica Taylor is a 2001 graduate of the Harrisburg Area Community College Auctioneer's Program and has been a licensed Pennsylvania auctioneer since 2001. Mrs. Taylor placed in the top ten during the 2004 and 2006 Pennsylvania State Bid Calling Contests held at the State Farm Show. She has also been an active member of the American Business Women's Association, Harrisburg Young Professionals, National Auctioneer's Association and American Mensa. Mrs. Taylor has worked as a tour guide and exhibit worker at the Suzanne H. Arnold Gallery at Lebanon Valley College. She also worked as a personal property appraiser, auctioneer and consultant far Cordier Antiques & Fine Art, Boltz Auction Company, and Fortna Auctions. Erica Taylor owned and operated Classic Edge Auctions & Appraisal Services in Hershey, PA from 2003-2009. She currently works with Kerry Pae Auctioneers as a full-time auctioneer and personal properry appraiser. Page: 7 of 9 Appendix A Fair Market Value Family Room 1. $220.00 Contents of Family Room, including: -Panasonic cassette player, tumtable, TEAC CD player(model: #PD-D2200), speakers ($35.00) -Panasonic color television ($10.00) -Formica television stand and side table ($10.00) -Glider rocker, light oak finish ($25.00) -Hexagon-shaped side table ($10.00) -(2) Formica bookcases ($25.00/pair) -Burgundy upholstered chair($35.00) -Sofa, blue upholstery($45.00) -Miscellaneous prints, paintings, lamps, books, CD's, cassettes and records ($25.00) Master Bedroom 2. $275.00 Contents of Master Bedroom, Including: -Sleep Nuxnber mattress, queen size, approx. 5 years old ($150.00) -Maple headboazd ($25.00) -Dresser with minor and chest of drawers, unmatched ($75.00) -Miscellaneous items: side chair,print of church, waste basket, radio ($25.00) Bedroom#2 3. $230.00 Contents of Bedroom#2, Including: -Bedroom suite by Kling, includes twin bed, nightstand and dressed, cherry($150.00) -Oreck XL vacuum cleaner($35.00) -Set of silverplated flatwaze and miscellaneous serving pieces, Community Plate ($25.00) -Miscellaneous items, including: prints, blankets and vases ($20.00) Page: 8 of 9 Dining Room/Office 4. $300.00 Contents of Dining Room/Office, Including: -Cherry kneehole desk with plank seat chair($65.00) -Formica dining table ($20.00) -Costume jewelry, including: gold-filled cross, brooches, pendants, sterling silver pendant and chain($35.00) -Solid gold wedding band ($125.00) -1992 American Silver Eagle coin, 1 troy ounce pure silver($35.00) -Miscellaneous items, including: lamp, 2-drawer filing cabinet, prints ($20.00) Kitchen 5. $75.00 Contents of Kitchen, Including: Corningware, plasticware, pots, pans, glassware, everyday dishes, utensils, GE microwave (white) and various kitchen items. 6. $45.00 Formica Drop-Leaf Table and(2) Chairs Basement 7. $590.00 Contents of Basement, Including: -Glider rocker with ottoman($25.00) -Vinyl covered ottoman ($5.00) -Lamp table ($5.00) -(2) Small side tables ($10.00/pair) -(2) Quilt racks, contemporary ($40.00/pair) -(8) Hand-made quilts ($350.00/lot) -Pro-Form Crosswalk 397 treadmill ($45.00) -GE chest freezer($50.00) -Craftsman 3.Ohp 8 gallon weUdry shop vac ($20.00) -Miscellaneous items: household items, coolers, blankets, ironing boazd, holiday items ($40.00) Shed 8. $100.00 Contents of Shed, Including: Trash cans, spreader, bird feeders, Toro Power Sweep electric blower, 16" hedge trimmer, miscellaneous garden tools, Black& Decker 1.Shp trimmer, hoses, wooden step ladder, wheelbarrow. $1.835.00 Total Page: 9 of 9 Kelley Blue Book Page 1 of 2 ' Ketley Blue Book The Trusted Resource' "tl il � ��4 - ..�.�= �� F�ry Ca�TOYOTA� � '��y,��I yc �� w�� i �� . �±5 ri t��.,. ty,:,. aa.�enisemem wny aes+ Your Blue Book�Value 2010 Toyota Corolla Style:Sedan 90 Mileage:10000 Private Party Value Vehicle Highlights - ---___---- -----._ ...______ i Excellent � � MPG City 26/Hwy 34 � Max Seating:5 ' $12,666 � � Doors:4 Engine:4-Cyl, 1.6 Liter .... e�' oa�'_._�. �12�21O � �� Drive[rain:FWD � Transmission:Automatic,45pd w/Overdrive I � Good -�� EPA Class:Compact Cars Body Style:Sedan � 6 ; ; � Country of Origin:]apan Country of Assembly:Uni[ed States � Fair � l.._______—�_._'_.�'_' _�—___ —__...........__ .�___-_ $10,716 I..__._----,_i Your Configured Options Our pre-ulectetl optlons,base0 on typical equipment Por[his car. lOpCions[ha[you atltletl while mnfiguring this car. Engine ComfortanOCOnvenience Lighting 9-Cyl,LB Liter Air('nntliHonirg Daytime Running Lights Transmission Stcering Wheels a�M Tires Automatlq 9-Spd w/OverGrive Power Steering � Steel WM1eels Drivetrain Tilt Wheel � FWD EncerbNment an0 7nstrumenbtion Braking antl Tac[ion AM/FM SMreo T2ction Con[rol MP3(Single qsc) Stabitiry Conhol Safely antl Secutlry ABS(9-Wheel) Dual Air Bags Sitle Air Bags F8R HeaE Curtnin Air Bags New Cars You Might Like .rtf . � 2013 Toyolz Corolla J�� !�. �i 2013 ForG Faus 2013 Dod3e Dart http://www.kbb.com/toyota/corolla/2010-toyota-corolla/sedan-4d/?pricetype=private-party... 5/23/2013 Kelley Blue Book Page 2 of 2 Glossary of Terms RNley Blue Bookp Trade-in Value-TTis Is the amount you[an expeR[a receive when you tratle In your car to a dealec This value is de[ermined basetl on the style,mri0i[ian,mileage antl options inelcaree. KeJley Blue Bookp Grivate Party Wlue-This is the sfarting point Ior nego[iation of a usetl-rar ule between a pnva[e buyer aiM seller.This is an"as is"value that tices not intlude any warranties.The fnal pnce tlepentls an Me car's aQUal mntlitlon antl larzl market faQOrs. Excellent ConGition:3%o!a0 cars vre value meet this criteria.This car looks new an�is in excellent mahanical contlitiort R has never had pain[or batlywork an0 has an interior anG boGy free of wear antl visi�le tle(ects.The car is msCfree and tloes not neetl recontlitlonirg.IL5 tlean engine mmpartment is free a(�uitl leaks.It also has a tlean tlHe history,has mmplete antl veriFlade service remrCS antl will pass safety antl smog InspeRlon. Very Good ConEdion:23%of all wrs we value meet lhis ciiteria.This car has minor vrear or visible tlefects on ihe botly antl in[erior but Is In excellent mechanical mnai[ion,requinng only minimal recontlitioning.It�as IiMe to no pain[antl botlywork antl is Gee of rusC Its clean engine mmpartment is bee of Fluitl leaks.The tires matcb and have]5%or more o([reatl.It also has a clean tiHe history,with mwt service rxortls available,antl will pass safery antl smog inspection. Goatl Contlition:59%of all cars we value meet this criteria This�'zr is free o!major mxhanical pmblems bu[may neetl some reconGiboning.I6 paint and botlywork may require minor Nuc�-ups,with repairable msmetic tlefeQS,anG R5 engir�e mmpartmerR may have minor leaks.There are minor botly scrah�es or tlings anG mirqr iMerior blemishes,W[no mst The tires ma[ch anG have 50%or more of heatl.1[also has a clean[iHe history,wilh some service recortls available,antl will pass salety aM smoq inspec[lon. Fair Contlition:l8%o!all rars we value meet this critetla.ihis car has wme mechanical or rosmetic tlefeRS and neetls servicing,but is s[ill In sa/e mnninq condition and has a tlean tltle his[ory.Tlie pain[, botly aM/or inte�ior may neetl prolessional zervicing.The tires may neetl replacing and there may be same repairable rust tlama9e. Oc 1935-]013 KPII¢y BILp 2Wk CO.��InC.All�ig�LS rt52rv¢4. ZJ 20I3 Kelley 61ux goUk CO.�fnC.Hll ilghf5 iesxrve0.5/1]/2013�5/23/3013 EOMOn(ai GennrylvanAlJ011.The spetlflc In/oimaGOn ieQUVpO M Oe[aimine Ne value{o�lA�s pertlo�lai rehltle wD55u0P�IP0 Cy Ph¢p¢50n qenei9tlng(�h report Velrlde vnluatlons a�e opinlws and may vary%om ve�/cle tn velrlGe.RcNal valuaflons wlll vary Ga5e0 upon meike[[OnOI[lons,50eCIfiCDGoM1S,vPlilflP PonCI(lo�Or OM¢i pdN[uld�tl2umsfdnC25 pPrtlnen[ f0 tll2D��CUl9r v¢hldp oi Ne hansaction o�[�e partles N Ma LansaQlon 1)rls�eport I5 infen0e0/oi[�e InJivldual�rs'e olNeOeSo�qGn¢rdfln9 t1�5 �epoit only anJ s�all iio[De 5n10 or[ranSmitCeO t0 eno[Irerpnrty.MPIIPy Blu¢900k Dn'wne5 no resyons1611Ry/oi e�ors o�om/slons.(v.l]OS3J http://www.kbb.com/toyota/corolla/2010-toyota-corolla/sedan-4d/?pricetype=private-party... 5/23/2013 �� 1334 N. 2nd Street Harrisburg, PA 7 J102 � Phone: ("717)233-7814 Fax: (717)233-63I4 Kenneth D. Horst, Supervisor Susan M. Arms September 13,2012 260 Stoney Creek Road Daophin, PA 17018 The Funeral Service for lda l. Arms We sincerely appreciate the confidence you have placed in us and will continue to assist you in Every way we can. Please feel free to contact us if you have any questions in regard fo this statmenY. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES,FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHAND[SE THAT YOU SELECTED WHEN MAKMG THE FUNERAL ARRANGEMENTS. Summary of charges for the funeral of.•Lda Z.Arms l.Professional Services of Funera]Direcror and Staff Graveside Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $495.00 Hearse(Caske[Coach) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $280.00 Direct Cremation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,575.00 2. Merchandise as SelecteA: Acknowledgement cards $25.00 Memorial folders $75.00 Granitone Urn Vault $475.00 Total of inerchandise sclected 575.00 Total of Professional Services and Merchandise Selected 2,925.00 3. NomFuneralHomeExpenses Opening G�av.e-Shoop's Cemetery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $495.00 Clergy/MassOffering. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $125.00 CertifiedCopiesoftheI]eath.Certificate. . . . . . . . . . . . . . . . . . . . . . . . . . $30.00 Cumberland.Co_Coronec Gremation Aufhori[y. . . . . . . . . . . . . . . . . . . . . $25.00 'Tolal ofNon-Puneral Ilome Expenses 675.00 Total of Professional Services,Merchandise and Non-Funeral Home Charges 3,600.00 Contract Price 3,600.00 History Account Adjustment-Newspaper-obit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $130.02 Account Adjustment-Pre arrangement Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . $27936 Discount-Adjustment.for Pre Arzangement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $558J2 Payment- llnitylnsura�ce Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,365.64 Account Adjustment-9 Certified Copies of Death @$6 each . . . . . . . . . . . . . . . . . . . $54.00 � � TOTALADJUSTMENTS -3,460.98 YISA CUxaENT BALANCE DUE 139.oz A late charge of 1.5%per month amounting to 18%per year will be applied b Ihe unpaid balance beginning 3o days fmm lhe tlate of ihe Nneral service contract.