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HomeMy WebLinkAbout02-1099PETITION FOR PROBATE and GRANT OF LETTERS Estate of i- ~/t ~~ ~ ~~ ~ L~' S also known as Deceased. Social Security No. ~ = -Z~~ -~~;~, Your petitioner(s), who is/are 18 years of age or older an the execute, named in the last will of the above decedent, dated WtA~+2c;r-~ ~ ~~ Z~;c%'.~. 19 and codicil(s) dated ' (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Gf.~,l,`Vl, _(., " ~7 County, Pennsylvania, with h~t,~ last family or principal residence at ~~_'~° (,~,t. ~-F-k ~~ (list street, number and muncipality) O Decendent, then ~_ ears of age, died (~-~ ~~ ~1 19 ~~> ~= at _ ~-f~-~'r~cSP~,t(~c- 117 tTA-z_. ' Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: `~'~ ~~ (If domiciled in Pa.) All personal property $ ~~~~~ (7 ~ pct.; (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pe~tnsylva a . $ (2~ ~'~ ~i situated as follows: ~w (J~ ~ ~~ `~ ~~'(~ f~ d~ ~ C~frt livl t'~''_(.~) ~ The petition of the undersigned respectfully represents that: No. _ oZ ~"~~'"~0 ~ 7 To: Register of Wills for the County of ~lmharl an~3 in the Commonwealth of Pennsylvania WHEREFORE, petitioner(s) respectfully. request(s) the robate of the last will and codicil(s) presented herewith and the grant of letters '~~=~1 t~ ~'~~r-i~~-r-/ (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. ~C v -o ~. ~~ ~ C -~ o Na ~.. a o m c ' on O ~ J Gf. ~~a ,~ , .Lt !'Y)~3 ~=~L_~ eel. ~~ l-~o ~6 ~/~ / , C,~ ~ ~ i y nL ; (j ~ J OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ ss COUNTY OF Cwnberland The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well~nd truly administer the estate according to law. Sworn to or affirmed and subscribed x ~G~ d ~ . ~~ ~-- ~ before me this 4th day of ~' December ~ 2002 , f a Donna M. Otto, lst Deputy e ister x ~ No. 21-2002-1099 Estate of Ruth s. Miles ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW December 5th, ~ ~ 2002 in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT [S DECREED that the instrument(s) dated March 6th 2002 described therein be admitted to probate and filed of record as the last will of Ruth S. Miles ; and Letters Testamentary are hereby granted to Alfred D. Miles and Dorothy M. Baiza FEES Probate, Letters, Etc. ......... ~ 305.00 Short Certificates(19 .......... ~ 30.00 ~~~n .3•-extra. Pages ~ 9.00 JCP ~ 10.00 TOTAL $ 354.00 Filed .December .5th,. 2002 . .............. i~~ ,~~ Register of Wills ~~/~L/ Donna M. Otto, lst Deputy ATTORNEY (Sup. Ct. LD. No.) ADDRESS PHONE MATLED LETTERS TO EXECUTRIX DOROTHY M. Miles address on December 5th, 2002 iris i, .. ' ..r, ~.., ~,~'en fs correctl~~ coy?ec~ from an ~u~;inal ~~1L i~!< ,,_ ~,1 .~ ,._, a _,. ` . "L.,_ 1' .. -, .•' -Jv o, I'C IY i. ~.r<icC~. LO C~"1C. Stare ~'il,.! ~~I C!-Irl~± ~~ ji'vi / - - ~,~°. _a. ~; £:~ il~e~ I tea r~L~~li~:~te this ee~Y t;y here ,tat e:° 1<~ I(~ ,, ,. ~ ~~447.0.__6. „~~~~ ~ N ~r ~~~~~ - ~'~/ Gf" w"~ ~ - ~ -, °~°~r t ~4~~-: ~~)af/ .. ~~~'•. (. NOV 2 2 X002 ~ Rev .;~s7 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH r,mc ~,r ueueucnl lr~rs. Mioae, Last SEX SGCIAL SECURITY NUMBER ~pgTE OF DEATH ,MCnm. Oay. -read Ruth S Miles . :. female 7. ~ - Z(~ -Gp(a~j L. November 22 2002 AGE L h B , ( ast m oayl UNDER t YEAR UNDER I DAY GATE OF BIRTH SIRTHPUCE;Gry and PLACE OF DEATH ICneck on,y °ne --,ee ~nsvuclrorw nn «bei vdel Monlne , Days Hours , Minute IMOnm. Day. 'reed Seale «FCregn COUnuyl HOSPIUU OTHER: - October 8 , , , 8 f3 Vra. ~ Inpalienl ^ ERIOuIpa,ient U ppA ^ Nunn,q DIM, Home ^ is~,,y,^ ^ Readenu s s 1913 , A olio PA . . , ee• • C, )LINTY Of DEATH CITY, BORO. TWP OF DEATH FACILITY NAME pf not invnun°n. give streal and numbers WAS DECEDENT OF HISPANIC ORIGIN? RACE -Amerman I„than &ack Wne t , , s. e c. No ^ 10s ^ 11 yea. specdY Cuban. ISPecMI Dauphin Harrisburg Harrisburg Hospital M.ait~r, puertdRican ad . , . white en. 9e. ea. 9. _ to. DECEDEM'S USUAL OCCUPATION KIND OF BUSINESS/INDUSTRY WAS DECEDENT EVERIN DECEDENT'S EDUCATION MARITAL STATUS~Marnad SURVIVING SPOUSE (Give kuW dw«k done tl«mg mov U.S. ARMED FORCEST S , one ni est rase can fed Never Married. Widoweq of waking N19; M red use renred) III w'I• V'"• maalen name) Elementary/Secondary Coaega Divorced ;Speciry) Education ~`^ "°^ (D., 2) ,,.«Dr, • ,,, Teacher „b 5 . . „_ ,,. „• widowed ' DECEDENT S MAILING ADDRESS (Street, Ciry/TOwn, Slate. Zip COdel DECEDENT'S Penns _ lvani y a ACTUAL 17e. State Did 17c.^ yea, Wceded lived in 336 Sixteenth Street RESIDENCE decsd,nl MD. ISee insrucl,m, pve m a pre Plne",dal Cumberland 'dwn,ni ,a ew um er an PA 17070 p? No.dxededlived I7b c ^ . ddnry t70. wpnmedaalkme,dl New Cumberland , ' °~ ,~,° Fr,TMER S NAME (First M,ddle. Last) MOTHER'S NAME IFusI. M,ddle. Maiden Surname) ,b, Dean Cannon Sawyer ,s. Kathr n Narcissus Jones ' INFORMANT S NAME (Type/Prinq INFORMANT'S MAILING ADDRESS 1SVeeI. GrylTOwn, Stale. Zip Cale) sr.. Dorothy M. Baize sob. 330 W. Sixteenth Street ew Cumberland PA 17070 M 7HOD OF DISPOSI7 O N , t L , DATE OF DISPOSITION PLACE OF DISPOSITION - Name al Cemetery, Crematory LOCATION - Ciry/TOwn, Stets, Zip Code A ^ (Harem Da Year) B O ^ , y, uriaY~J Crematgn or ltwr PWce Removal Irom Slald li ^ a s l ^ • 2.~a dn Mrl pa°ay s70November 25, 2002 s~olling Green Memorial Park aower Allen Twp PA 17011 ' i+ . , Sn;NATURE OF FUNERAL SE I ICENSE OR PERSON AG i ING AS SUCH LICENSE NUMBER NAME AND ADDRESS OF FACILITYl7ar t heMO re FH FY G S Inc , . see. - ssb. FS 012 849 L •ssd.p,0. Box 431 New Cumberland PA 17070-0431 C r omplete items 23a-c only wMn Tp Ine Gast of my knowhytlge, dealn occurred aI the lime. dale and place sated. LICENSE NUMBER DATE SIGNED Pl~ysieianond available alnme of r n ISignan,~e and Tine) cniuly puse of death. IMOnm. Day Ywrl • ~ `,, YL. Y7b. 37c. Items 2a-28 must M completed Dy TIME OF DEATH GATE PRONOUNCED DEAD (MOnm, D ,Year) WAS CASE REFERRED TO MEDICAL E%AMINERICORONERI peg son wta) pmnouncea death. ^ y ~ No~ M. :s. /~ .??2 OZ yes i / s.. n . 37 PART L Enter Ina diseases, injuries or compncations which caused Ine death. Oo raI enter the mode of dying, such as ardiac o espiralory arrest. snuck or neap lailure. i Appraaimab PART 11: Other sgnifkaM rnndiYOna conlriDutirg to Malh List only one cause on eaUr line Dut ~ , . ~ interval between real resunmq m IM ur,hrlying cause green n PART I. onssl arW deem IM MEDIATE CAUSE IF,nal ~~ ~ , I ~q i ~~.easea eondilion ( A ~ , ~ ~ e / - ` ~ l ~,.`` iV O.`r~`' / ...umg.n deaml-~ a. ~Q eCi,(~ ~ , DUE TO (OR ASACONSEOUEt~E OF): - ~ -- Se.,uentially N,I COndhwns b. U r d a ny, leading m immedwle DUE TO (OR AS A CONSEQUENCE OF): - - _ I .use. Enter UNOEALYINO ' Cl. USE (D,sease « mWry c - Wm initialed evergs DUE TO IOR AS A CONSEQUENCE OF): I .e... rpmg n seam) LAST d W. S AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH DATE OF INJURY TIME OF INJURY INJURY AT WORKT DESCRIBE HOW INJURY OCCURRED PE :iFORMEDT AVAILABLE PRIOR 70 . . (MOnm. Day, Year) COMPLETION OF CAUSE OF DEATHT Natural ~ Hom,cWe ^ cudenl ^ Pendirq Investigation ^ Ves ^ No ^ 30e. J°b_ M. 70c. 700. y. s ^ No ~ Yes ^ No ^ Sukide ^ Coub rot M determined ^ PLACE OF INJURY - AI nam I t e. ,,. m, street. agory, office LOCATION (Sheet. C~ry/IOwn, State) DWlding, eft. ISPecAY) Ze 29D. 29. JOa. 70f. CE.iTIFIERICheck only one) 'CERTIFYING PHYSICIAN IPhys,aan cerulymg cause of death when another pnys,c~an has ponouncecl Beam area <ompleled hem 231 SIGNATUREA ITL C IFIER To Ine Mel of my knowledge, death o<CUrred due I° IM cauae(al aM manner ae staled ..................................................... 7 ~.lJ ~- • 71b. v-` - ~ PRONOUNCING AND CERTIFYING pHYSICIANIPnysK~an bum pr°nounang death andcMily,ng,o cause of tleaml LICENSE N MBER //~~ am/ DATE SIGNEDIMrnm, Day. year) Ta IM heal of my knowledge, deals txeuned al tree Ilme, date, and plan, and due to IM cau,ele) and manner a„taled .......................... ^ ~ J 71e. ~'I O 3 (~ _ 710. ~ ~ ~ 7" - O Z . NAME AND ADDRESS OF PERSON W MO COMPLETED CAUSE OF DEATH _ MEDICAL EXAMINER/CORONER On the besie of sxaminetlon and/or Invesllgati. .n my opinion, death occurred al the lime data and lace antl due to the ca d (Item 271 Type Ix Print .E L .U O ~L ~ ~ I ~ 1~ T7 \ s 1 ?J r ~ y~ P '- ~ ~ , , p , use(s) an manner as stated ......... .. ... .... .... .. ....................................... ^ • a•l.1 ` ~ I3 C ~ t e 'Y .... ..................... ...... _ ( ~y REGISTRAR'S SIGNATURE AND NUMBER DATE FILED(MOnln Day. Year) 77 - -- ~ 7a. l L 2 2/L V ep\wi '_ls\MILESru Y_h\3-02 LAST WILL AND TESTAMENT OF RUTH S. MILES I, RUTH S. MILES, of the Borough of New Cumberland, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I direct that my Co-Executors hereinafter Warned ~irall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease from the residue of my estate. ITEM II: I devise and bequeath all the rest, residue and remain- der of my estate, of every nature and wherever situate, as follows: A. 25o to my son, ALFRED D. MILES. B. 25o to my daughter, DOROTHY M. BAIZA. C. 25o to my daughter, JANET M. GYEKIS. D. 5o to my granddaughter, AMANDA MILES. E. 5o to my granddaugher, ALEXI MILES. F. 5o to my grandson, KETO GYEKIS. G. 5o to my grandson, RAED GYEKIS. H. 5o to my grandson, CARLOS BAIZA. ITEM III: I hereby nominate, constitute and appoint as guardian for any minor who may take a share under this will or otherwise, the parent of said minor and with respect to which I am authorized to Page 1 of 4 appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. ITEM IV: I appoint my son, ALFRED D. MILES, and my daughter, DOROTHY M. BAIZA, Co-Executors of this my last will. ITEM V: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his/her duties in any jurisdiction. IN WITNESS WHEREOF, I, RUTH S. MILES, have hereunto set my hand and seal this _~°~ day of ~'~~r`~~~-~`~'1 2002. ~j ~ RUTH S. MILES Page 2 of 4 SIGNED, SEALED, PUBLISHED and DECLARED by RUTH S. MILES, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, in her presence and in the presence of eat, other, have subscribed our names as witnesses. r~ Wltnes '~~-''' Witness COMMONWEALTH OF PENNSYLVANIA: . SS. COUNTY OF CUMBERLAND . t° ~t j Address Address I, RUTH S. MILES, the Testatrix whose name is signed to the at- tacked or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. -~. ~ , , // Y ~~ /1 RUTH S. MILES Sworn to or affirmed to and acknowledged before me by RUTH S. MILES, the Testatrix, this -~ day of _ ('~~ ~ 2002 . NOTARIAL SEAL CAROL L. TROXELL, ~io~ary Pubiic New Cumberland i3oro. Cornberland C©. My Commission Expires Gec. ~7, 200a ,-,. _ ~ ,~ Notary Public Page 3 of 4 COMMONWEALTH OF PENNSYLVANIA . SS. COUNTY OF CUMBERLAND W e , _-' ~ ~-mot..' ` ~ 4~ .5 ~-Z ~~-~" and / ~ n ~c ~"~ ~7' ~,t.~ ~.~,,<-, _~ the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her last will; that Testatrix signed wiiiingiy and that site executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. _. ~~ 1 Wi~ess ,~~ .1..~-.. Witness Sworn to or affirmed to and acknowledged before me by witnesses, this ~ y , _~ da of r~7~C~~ 2002. ~~ ~~ .:._ -- ---- NOTARIAL ~EAI_ ~ Notary Public CRROL L. TROXELL, laotary Pub~lc New Cumberland 6oro. Cumberland Co. ~ My Commission Expires Dec. 27, 2(105 Y Page 4 of 4 CERTIFICATION OF NOTICE UNDER RULE 5 6 (al Name of Decedent: Ruth S. Miles Date of Death: 11 /22/02 Will No: 2002-01099 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court tules was served on or mailed to the following beneficiaries of the above-captioned estate on Ruth S. Miles (attached additional sheets, if necessary). Name Address Alexi_Miles 1490 Brandt Avenue. New Cumberland. PA 17070 Amanda Miles_ 1490_Brandt Avenue. New Cumberland. PA 17070 Carlos Baiza 330 16th Street. New Cumberland, PA 17070 Raed Gyekis 7069 Reunion Circle. Fountain. CO 80817 Keto G ekis 107 Woods Trail Delton MI 49046 Janet Gyekis Box 213 Hurley Hill Road. Morris. PA 16938 Alfred Miles 1490 Brandt Avenue. New Cumberland. PA 17070 Dorothy Baiza 330 16th Street. New Cumberland. PA 17070 Notice has now been given to all persons entitled there to under Rule 5.6(a) except Date: /~'~ ~`~ /~ Signature Name: Dorothv Baiza Address: 330 16th Street New Cumberland. PA 17070 Telephone: 717-774-4227 Capacity: x Person Representative Counsel for Personal Representative CERTIFICATION OF NOTICE UNDER RULE 5.6 a Name of Decedent: Ruth S. Miles Date of Death: 11/22/02 Will No: 2002-01099 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court tules was served on or mailed to the following beneficiaries of the above-captioned estate on Miles (attached additional sheets, if necessary). Ruth S. Name Address Alexi Miles 1490 Brandt Avenue New Cumberland PA 17070 Amanda Miles 1490 Brandt Avenue New Cumberland PA 17070 Carlos Baiza 330 16th Street New Cumberland PA 17070 Raed G ekis 7069 Reunion Circle Fountain CO 80817 Keto G ekis 107 Woods Trail Delton MI 49046 Janet G ekis Box 213 Hurle Hill Road Morris PA 16938 Alfred Miles 1490 Brandt Avenue New Cumberland PA 17070 Doroth Baiza 330 16th Street New Cumberland PA 17070 Notice has now been given to all persons entitled there to under Rule 5.6(a) except ,% c ;~ Date: ~~ ~/ ,~~~' '~ >?~~ Signature Name: Dorothy Baiza Address: 330 16th Street New Cumberland PA 17070 Telephone: 717-774-4227 Capacity: x Person Representative Counsel for Personal Representative ~~lD~-7 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 DOROTHY BAIZA 330 16TH ST NEW CUMBERLAND COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REV-1547 EX ~FP (O1-DS) DATE 05-05-2003 ESTATE OF MILES RUTH S DATE OF DEATH 11-22-2002 FILE NUMBER 21 02-1099 COUNTY CUMBERLAND ACN 101 PA 17070 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~ ---------------------------------------------------------------------------------------------------------------- REV-1547 EX AFP (01-03) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MILES RUTH S FILE NO. 21 02-1099 ACN 101 DATE 05-05-2003 TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: (1) 125 ,000.00 NOTE: To insure proper (2) 171 , 709 .22 credit to your account, (3) .00 submit the upper portion (4) .00 of this fore with your [5)_ 21, 397.19 tax payment. (6) .00 (7) 87, 752.12 (8) 405,858.53 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) (q) 1 0,519.7 6 10. Debts/Mortgage Liabilities/Liens (Schedule I) [10)_ 3.094.62 11. Total Deductions (11) ) .614.8 12. Net Value of Tax Return (12) 392,244.15 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax (14) 392,244.15 NOTE: if an assessment was issued previously, lines 14, 15 andior 16, 17, 18 and 19 will reflect fiigures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate [ 15 ) . 0 0 X 0 0 _ . 0 0 16. Amount of Line 14 taxable at Lineal/Class A rate [16) 392,244.15 X 045. 17,650.99 17. Amount of Line 14 at Sibling rate (17) .00 X 12 - .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) •00 X 15 - .00 19. Principal Tax Due (lq)= 17,650.99 TAX CREDITS: DATE ~ NUMBER I AMOUNT PAID 02-24-2003 I CD002220 INTEREST/PEN PAID•00 16,768.45 PAYMENT MUST BE MADE BY 08-22-2003*. TOTAL TAX CREDIT 16,768.45 SALANCE OF TAX DUE 882.54 INTEREST AND PEN. .00 TOTAL DUE 882.54 * IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU MAY BE DUE A REFUND. SEE REVERSE STnF nF THTC cnow cno TucTOnrrrnuc . COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION DEPT. 280601 INHERITANCE TAX HARRISBURG, PA 17128-0661 STATEMENT OF ACCOUNT REV-1607 E% ~FP (01-03) ~ r {.~- , _ DATE 05-12-2003 ~~(~ ,~ _ F ESTATE OF MILES RUTH S DATE OF DEATH 11-22-2002 FILE NUMBER 21 02-1099 DOROTHY BAIZA .03 ~~Y ~ ~ ~1Q ~~~ COUNTY CUMBERLAND ACN 101 330 16TH ST Amount Remitted NEW CUMBERLAND (,P~~17070 __~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS -~ ---------------------------------------------------------------------------------------------------------------- REV-1607 EX AFP (01-031 ~~~ INHERITANCE TAX STATEMENT OF ACCOUNT *~~ ESTATE OF MILES RUTH S FILE N0. 21 02-1099 ACN 101 DATE 05-12-2003 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 04-28-2003 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): 17,650.99 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID (-) AMOUNT PAID 02-22-2003 CD002220 882.55 16,768.45 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. * IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN 51, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 17,651.00 .O1CR .00 .O1CR COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 1 7 1 28-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 002220 BAIZA DOROTHY M 330 16TH STREET NEW CUMBERLAND, PA 17070 fold ESTATE INFORMATION: ssN: 2o2-2s-oos5 FILE NUMBER: 2102- 1 099 DECEDENT NAME: MILES RUTH S DATE OF PAYMENT: 02/25/2003 POSTMARK DATE: 02/24/2003 couNTY: CUMBERLAND DATE OF DEATH: 1 1 /22/2002 ACN ASSESSMENT AMOUNT CONTROL NUMBER 101 ~ 516,768.45 TOTAL AMOUNT PAID: REMARKS: ALFRED D MILES C/O DOROTHY BAIZA CHECK#132 SEAL INITIALS: CW DONNA M. OTTO RECEIVED BY REV-1162 EX(11-96) 516,768.45 DEPUTY REGISTER OF WILLS REGISTER OF WILLS (.~t.(/<Le.- ~-0 - ~...e6 ;) d~. f.f r,-., 0......- ~X~ d~A.-L@"D -t.A~.:) ,.keY 7rn{llkt./v ./ ~ tal JntoV7(?~ ,,--.:le6 ~'f- ----cf{b if-i/~i.<H~e~ ;, C~ . ~!c~hc, ~~t~ d. / - 0;)- Jd97 . c} 'fl' . /7-M6~1 ..- c...-:-- REV-l500 EX (6-00) REV-1500 OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TA)CRETURN DEPARTMENT OF REVENUE FILE NUMBER _Lf:L9- q DEPT. 280601 RESIDENT DECEDENT c;t L -DaL HARRISBURG, PA 17128-0801 COlMY CODE YEAR ....BER DECEDENTS NAME (LAST, FIRST, AND MIDDLE INrTlAL) SOCLl\L SECURrTY NUMBER I- Z MILES RUTH S 202-26-0065 W DATE OF DEATH (MM-DD- YEAR) DATE OF BIRTH (MM-DD- YEAR) THIS RElURN MUST BE RLED IN DUPUCATE I'olTH THE C W 11/22/2002 10/08/1913 REGISTER OF WILLS 0 W (IF APPLICABLE) SUR\1\1NG SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INrTlAL) SOCLI\L SECURrTY NUMBER C w IZI 1. Original Return 0 2. Supplemental Return 0 3. Remainder Return (dale of death prior 10 12-13-82) ~~cn 0 4. Lim~ed Estate 0 4a. Future Interest Compromise (date of death after 12-12-82) 0 5. Federal Estate Tax Return Required ,,0:>: w"-" IZI 0 ~ 8. Total Number" Sate Deposit Boxes ",00 6. Decedent Died Testate (Attach copy of WII) 7. Decedent Maintained a living Trust (Attach copy of Trust) "o:~ ,,-a> "- 0 9. Lijigation Proceeds Received 010. Spousal Poverty Credit (date of deathbelween 12-31-91 and 1-1-95) 011. Election to tax under Sec. 9113(A) (^,,<h S<h 0) <( t-- ......:r/ilI$!!~lC!N!.,l.l$r!i!!!Ii'!:1a ~P;AI..li!COAAIi!$Po_~~~P'COlilI1J~IAllmr~!!I:I!i;llRDTlOlil'!!!li;llg!i!!!Ii!Il)l~C~P!:rOiim!i! z NAME COMPLETE MAILING ADDRESS w c DOROTHY BAIZA 330 16TH STREET z 0 FIRM NAME (If Ap,((cabo) "- NEW CUMBERALND, PA 17070 '" w 0: 0: TELEPHONE NUMBER 0 " 717-774-4227 1. Real Estate (Schedule A) (1) 125,000.00 OFFICIAL USE ONLY 2. Stocks and Bonds (Schedule B) (2) 171,709.22 3. Closely Held Corporation, Partnership C( Sole-Proprietorship (3) 4. Mort9ages & Notes Receivable (Schedule D) (4) 5. Cash, Ba1k Deposits & Miscellaneous Personal Property (5) 21,397.19 Z (Schedule E) 0 8. Jointly CNlned Property (Schedule F) (8) ~ o Separate Billing Requested ::J 7. Inter-Vivos Transfers & Miscellaneous Noo-Probate Property (7) 87,752.12 I- (Schedule G or L) ii: 8. Total Gross Assets (total Lines 1 - 7) (8) 405,858.53 <C 0 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10,519.76 W 0:: 10. Debts" Decedent, Mort9age LiabilRies, & Liens (Schedule I) (10) 3,094.62 11. Total Deductions (total Lines 9 & 10) (11) 13,614.38 12. Net Value of Estate (Line 8 minus Line 11) (12) 392,244.15 13. Charitable CM'ld Governmental Bequests/See 9113 Trusts fC( which an election to lax has not been (13) made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 392,244.15 SEE INSTRUC1lONS FOR APPUCABLIE RATES Z 15. Amount of Line 14 taxable at the spoosallax 0 !ci: rate, or transfers under Sec. 9116 (a)(1.2) X .0_ (15) I-' 16. Amount of Line 141axable at lineal rate 392,244.15 xo-.!2 (16) 17,650.99 ::J ll.. 17. Amount of Line 14 taxable at sibling rate X .12 (17) ~ 0 18. Amount of Line 14 taxable at rollateral rate X .15 (18) 0 ~ 19. TaxOue (19) 17,650.99 200 I'C\olI!!~ti(ifflii~I!!.!!".'\'G!:I':A:iiI.l!!iilli!QllI!!!!l"!iilGA'liit!!~Il'~!~!!ilMi!f~l!"~!l'iMef.l!!ll _,.n""",,,'"'"''' STFPA42021F.' > > BE' $URJii TO ~SwaVJ;1. QueSTIONS Olil RI!II'ERSeSIDE! ANp.RECHI:'O'K I'M.Ttl'< '" ...0.;<,,,>,;:;;\);) ""'<>i1'i'X/;,\\ny< Decedent's Complete Address: !TREET ADDRESS 3 3 6 SIXTEENTH STREET CITY NEW CUMBERLAND I STATE PA I ZIP 17070 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 17,650.99 882.54 Total Credits (A + B + C) (2) 882.54 3. InteresUPenalty if applicable D. Interest E. Penalty TotallnteresUPenally (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 Is greater than Une 2, enter the difference. This is the TAX DUE. (5) 0.00 16,768.45 A. Enter the interest on the tax due. (5A) B. Enter the total ofUne 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 16,768.45 PLEASE ANSWER THE FOLL01MNG QUESllONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS t. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred; ........................................ D b. retain the right to designate who shall use the property transferred or its income; . . . . . . . . . . . . . . .' D c. retain a reversional)' interest; or ........... ....................... ......... D d. receive the promise for life of either payments, benefifs or care? ..... ........... . . . . . . . . . . D 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D 3. Did decedent own an "in trust fo( or payable upon death bank account or security at his or her death? D 4. Did decedent own an individual Retirement Account, annuity, or other non-probate property which contains a beneficial)' designation? ................. ........................... IX] D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penanies of pe~ury, 1 declCl"e that 1 have examined this return, including accanpanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all informatioo of which preparer has any knowledge. ,GNATU PERSON R PONSIBLE FOR FI G RETURN AT .Ct.A_ / Q l 330 16th STRE T NEW CUMBERL NO, PA 17070 SIGNATURE J~R THAN REP ESENTATIVE ADDRESS No IX] [Z] [Z] [Z] IX] IXI DATE ,;J, I ;UJo3 For dates of death on or after July 1, 1994 and before Janual)' 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (ill. For dates of death on or after Janual)' 1, 1995, the tax rate imposed on the net value of transfers to orforthe use of the survivin9 spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutOI)' requirements for disclosure of assets and filing a tax retum are still apphcable even if the surviving spouse is the only beneficial)'. For dates of death on or after July t, 2000: The tax rate im posed on lhe net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)j. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9118(1.2) [72 P.S. ~9116(a)(1)]. The tax rate imposed on the net value of transfers 10 or for Ihe use of the decedent's siblings is 12% [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. STFPA42021F.2 REV-1502 EX + (1-97) (I) COMMON\'\'EAlTH OF PENNSYLVANIA INHERITANCE TM RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER RUTH S. MILES 2002-01099 All real property owned solely or as a tenant in oommon must be ..ported alfair market value. Fair market value i. defined a. the poce at which propar1y would be oxthar1Qed belweon a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevcrlt facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 125,000.00 Single One Story Block and Stone Dewelling House known as 336 16th Street, New Cumberland Boro, Cumberland County, New Cumberland, PA. More fully described in Oed Baad 17, Volume Z, Page 399, Recorder of Deeds Office, Cumerland Canty TOTAL (Also enter on line 1. Recapitulation) $ (If more space IS needed, insert additional sheets of the same size) 125,000.00 STFPA42021F.3 FEE 07 '03 02:40PM HOOD, LIGHT& GEISE P.4 ._14.: APPRAISAL REPORT of 336 16TH STREET NEW CUMBERLAND, PA 17070 PREPARED FOR: DOROTHY BAIZA A80F: JANUARY 10. 2003 PREPARED BY: Performance AppI'BiHI Z23!1 PACKARD CIRCLE HUMMELSTOWN. PA 17036 10' 717-11611-9099 IF' 717-668.9067 . Mcs.~ .'.1....7,.. I' ..#.0; FEB 07 '03 02:39PM HOOD, LIGHT& GE~SE P.I Certificate of Appraisal Dale JlIIIlIIly 24, 2003 Name NallCY Miles The cncloocd.ppzaiIal report lias bI:cn unclettaI<milo. delenDine a rvplll'Cll'ent VlIIue for tile ltellll deson'bcd hereiD.1lach item bas bc:cII.,.....;n.q to tl1e beat of my ability to detenuiml replacement \'lIIUli O1I1y. For purJlOSClI other than this, the procedures, wordini, 8lId vallie WOIIlcl be clillQrcnt Tbls rvport or copieo of it may not be 1IICd for IIIIy JlUIlll* .". lII\)'01IC other than the above IIIllIeIf, IJId II I\IdI, may cmIy be 1IIed ill ill entiJCty aDd with lhiICOYerleltcr. This """,rt or copieI of lhiI report cIO llOt csny with it .ny righU for publication wiIbout prior 'Mi\tCll conaenl. The cIetailcd dcscriplioll of the g\lIIIS or jewelry is Cor the solo pIlIJlIlIC ofldentificatioll in order to dcIermiae tho puamcIen fur val1llli0ll. The deacriplioa is buccI upon &radilIi. ecIuGtlIOl'Il tcQbIlIques 8lId gemolopc:al eqwpmellt available to Fox Dca BDterpriHa, lDl;. The deoaiplion may \'II)' ftom other dcal:riplions of the ilCml due to di1I'ercnt @Jading tcdmiqul:a, cqaipaletlt or teCllM1ogicalb.t>o,..'eIIIIlIIlI in tile iDduIUy. Tbll wei,chts of alIl1t1ll111led s_ '10 ~1Iima1ed"" fonmala. MounIinp may mtriet """"".-tiOl\ of cIetaila of tile gemstom:; lUlieu it Is SIJIl:Cl that tile atom:s _l'CIIIlMd IIld gqdlld.. ltI-oenu I8'rilII to IlOlor lIIlIfor ilIlcma1 purel1eIS arc pmviaioual. If.. iIem is IIIIIbd willi the ftlol;"P"" of tile 1IIeCa1, tile value is build 0II1bat IIIIrkiIIC UDk:u odicnriIe Itatc:d. lfthao: 11M markin& 011 the iteIn, tho ~ uaed to ClItimatc tile meIal oantmt is tile ~ 8lId ~ of the ~ II welIlIlIDy leItilIg II lIOkld. ., FEE 07 '03 02:39PM HOOD, LIGHT& GEISE P.2 CertllIeate of Appraioal 1. Unless 0IhcrwiIe stated tbiJ appraisal is DOt an off~ to buy the appraised ill:ms at this or any time. 2. SalC5 taxes are not Incluclccl in appqiIcd values unless 10 nollld 3. Any filUl11cialinterest ID the items 8ppllIised, or any other pertiDe1ll p:notW or fInoncialinterest tbat might be or appear to be Improper will be clearly rcvcaled ID this report. 4. PoIllelsion of this report does DOt ptO\'icle title 10 the ill:ms appraised. Appraisal values an: based on the appraiscr'sll5\l11lPllon of whole ownership. This appraisal procelS cIoes DOt cIiIQovcr liens, CJICUIIIbtances or fractioaaI iDtemlI, but if any are kaoW1t they wlIl be DOted. S. Appnisal valuco anl the llJlP8l-'s bcot judgmeat and opIDioII aDd Ill: based DII wrrent maDI:t inforrnstlon. Palll or Nl1ue values will be clearly marked as 1III:Il. 6. Umen expressly IllIled. the l1ODditlon of the items appraised arc gtJOd fur t!Iclr type wllh serious cldiciencies and repainllIIIIc:d. Onti.nary wear and tear conunon to 1his type is not usually noted. 7. Poneslion of this report, any poniott of this report, or any copy lIlaeof cIoes not Inc1udt the riaJrt uf publication wltbout this apptaisal firm', written CODICIl\. PIlblic 11M of the _ oflhe appraiRr, appraisal firm _, OC iD1brmation -'-in the llJlP8lsal ill not pated. Ute of1his report in admlisi1t& is DOt pcrmi\llXl. 8. No ehange. may be lIllIdc to this repotl, by anycne oIher then the apprailers who have Iigucd this report. 9. The liulitcd owner of this appraiasl15 the party fur wbom the work was pedormcd. 10. The iDformatlOllin this report is ~lal. 11. Thitd partico may ICly OIl the iIIforation In lhis report for lhe dI:fiIIed P\IlPllIC and fundion oIIIy. Thitd parties rcqulriDg tIIIlher iJlformatioa thin what is in the report _ obtain the written permission of the 0WIIeI' oftbe appniJa1 bd'ore we cIiIcua the appraisal with them. 12. Periodic review of appralsaI val... is ftlq\IiIed due to __ flugualioD. Tbe appraiser docs not takl: on the reJPCIISI'bilily Ie advise clicAlJ when values baYe cIIanFs. CIienls must establiIh tbcir lIWII appraisal value miew JIlX:ds. 13. Hypmhc:tical appnHail will be so DOted. 14. AppraiIIal fee5 arc bued 011 tiDu: &lid arc not .......ti.... on velue or ouk:ome. 15. Testimony, cIepolitlonl, bIlariDp Dr court ~nce arc not raplIed by I'ClIIIIOIl of m~ thi. report. ArrJnFmentJ for thcac matters must be made iJ114Y11nce and In oo<XIOIda..- with our Ibm pcevalIiJlI hourly rates. 16. The JtlITCIIIcnlII made in this report arc 1rUe and comet. 17. Tbe appraiseR hIM made a pmcmaI, p\IyIicaI inIpedioa of the abjects ~ iJ1 this repor\ UII1en specified to the ccauary. 18. Any signlfiCll\l appraiu!lUiJtance by another party will be so notecI. 19. The repor\cd analyJiJ, opiII1om &lid conclusiOllJ are 1imi1cd only by the reported IIJ\IIItjlIlolI and limitiD& conditions. ... _. ....y....---v _ irdbnaation. - .-r....-, -- . - -- -- _ ..._ --r-." """ _ _w."J. 23. Stoneo; that Ire set can only be eatimallxl for ~ghl, QOlor, cuttiDg and cl8rity. MoullliIIgJ ~ exact grading of 1Ionc5. We note wilen stOIle8 have been C""mht<!d "loose" or "UIISel" llId tIlat c;ertlin characterillics are ClIICI. DI8JI1OlId grlding reports ue III8CIe only on UIISel diamollds. Appnis8lJ are made routinely on mounted dilll'llOlldl althouah Ibm II I decIe8se in the acwracy of the work procIuQl. 24. Colored IIOMI Ire valued by Iize, IilIpe, proponlOll, rarity . color 8IIlI cl8riIy. Color i. tbe - important factor. OIA tenninolo&y if 1IICd in the dcscriplions in our appniI8lI. 2S. Unl... otherwlle stated, all COlollld stones 1IIted on tbl8 rwport bavIl probably been IUbjected to . ltable and poa;ibly undetectable QOlor Ol1banccment pnx:e". Market values are beled on I1Ie8e univenally Jl*bced and acc;eptcd procenes and are tablI inIo accowu by tbe appniIer. 26. The follawing Gia laboratory equlpmen1 is usc4 in our cdIice. WIwn _.....iaIe we haw iDdiClll8d tht equipment uRd in IhiI n:porl aIId the results obllIincd, BiAocular mWoocope lOX - 60X Loupe lOX Diamond sradini 1ight Penlieht PolarilWJlO Ultmiolet light- shortl1ong BlIIam:e Soale S OIA "_ diamonds" Rdi'lctomeler Dicluo8c:opc: Gold "'sting acidI S~ gravity JIqgidIi Table PJI&C Hot point Spectnlscopc Monocblolllatic light .' FES 07 '1213 1212: 41PM HOOD, LIGHT& GEISE p""'rm...... Approl.., UNIFORM RESIDENTIAL APPRAISAL REPORT P.6 'lIe No. lC261102 I!ITIMAUO SITE VALUE, , ,. . ............,...... - . I Commenll gO Coet Appro.ett lauch u source of cost ESTIMATED "EPRQDUCTION COST-NEW OF IMPROVEMENTS: _etimete, elte v~uo. &qu.rt foot CllcuJltian.,o' for MUD. Dwelling 1.m lkI.Ft.@I, ~'T 9J " . IU "_ VA, lIOd FmHA. the ..tlmlted rMlalninl ROnOmiC lift Of I r\~\aJwod I!~ ~"'''.Il' Il.I2 - 51.011 the property): ADIlliallOll lJfIIarelliflrl!DlJet . ~.1l' .~' loIlIWI..i.a aeregelC...pOt1 ___ Sq. Ft. . . n ~5 - !t.1l1 -" Tot" IItlmeWd Cott New .... ..... ..""" - . tn.Hl "" ..tlva ...~ Ph"i~ I~U~I:utftOel -11 t Mnie.1 Iii ,... ll' 8 D~eci8Uon !l5 m . . !l5.m , cLiflit ~tedVllueof ImPnlvwmmtl........ ""H . . '" , I ~u. II H ''''1_ "AI-j." Vallie of Site Impl'O'o'8mont1. .....".,.... '. - . 't"ftln'~" P'AR - . 1t~~lCllfCI~' TEM " m lU,lllttMt '0( toohdp Stmt IOl~l'oIllOeIkoicI U05mllllt~'1IIVI _._^. rlllld ....OIIIlfrlaM . . .. 11' teQ '""" rill . ........ 11ISllKt10l1.nd lILS,mlleportelllll 1lLI, sm lIpofil md ILS,S1I8!ltporUUld .., "00' rllll!lh l:aurtMull bl!Il] I e..o..h Court c.-.'illlMiIIl , CoIInItiorlll '" tonftJIt1oOfl -- 32'." ,~ D O.K. 50,0. ..ISMlfT 0 . 0 ...., '"" , 10 ... - ,u~. . . .Uk'" . .. 'n'_ 'n,_ . , .....,-.- b~"/I.....ltI.. , YIIlvllAftlHe lrt,kiAl M.,... IIJetiAlmo/.lNnR "am , III ".......CP_ -- . i ,.", ., _8 ~.. ... ."M um "." --... ,...... 1'u11hHlllllt rull__t Ml"'-'ftt FlIU__1It C --.... r.uI- Jill ... Infift' ~ . .- . .~,.... II ...~, I !iailar I , . '''''''' '-M.....,000ck. Cptflfr_hrcll GFt'Drdllt09.Pltl11 -,.. \lptl\ rr. rordl UPvrdl i "till -~oao <.l ";_"8 - ..~, - ."M ,,,,,",. ~ _._. ""'" liti.. . __In.... A"r_llt~ft '..,n . --, ~I+ . ,..... ~, + n-I. . n-J. ..... .......tMI.....1'tlao ," 11.'" t ... It..... -L .. :::1. ,,- , .... ,.... m_ .... ,n.... . ",- - "'M" c_.9Ill;llln~""""tho"'*lH1~'''~.'''''''''''''_r. cd iOld M'" iClllt'llr All wI ... Ill' ,du. aM. .i ".." . ra..h1Uo.lt.jtmflllllNrllf. -" ..Ili.'f_.ndt'- ~ M 1dH1. _I. I nod u.. boditflld tllllll l~ lINt .,.IIDl. f.-..11 1ollIl...... Ucllllfi"" tIII.IU- , -" -....... ...... n'''' OUlUFcr '. . O".........lJMI lD.dor ....... 10 Prior Io.rlor ......""IIIiII... IIl"Jut" $tlnlCltld "1..lIottd Sllf11lot1d wIIliII,...,........... ..._~.~ I~_...- .- ......".oI__~......,-'""...IilIt...............--................""~M1N.I~_""'""""'__~".,.....".....-.: 1- '~tb - 'M .... .. ~fot ...h'.h -.cATID y~ ~ ~ oa..r..... ~.. 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'._, .J.... "_2].~u'.Uft . bht. I>f On'~ t. II.,. ta. ", .... ,. ~_.IloMboIIIl nn. ,nT, I" _ ",-" ......1 """_I ~ o.c.., o-.lIIll,..,.,. .~ !iJ "1IlI_ 0.."" ..--.... 1_ 1.,-,,-.,"- It[......,~ ~& - ........................................--........... ~..Hurod"........._,..~ Th .1 bardlrMlfllltbol""rthb ...~.._. .....- S!. '''.WlII&c to ft t"flho M;;::- ~ F""'"'..III",ICI.I"'...........,ol"....,..-ln""'...............~'--'""""'.....--.~I.IIIYty..,...............l&.I~ I _. ....~ ,. ...~ ,. Ad"''''' .. ... .... ".... '-'1. .-...... . . ~ -" --:=;:;- "1'~ .... I~'~ r1&nd!l> :-._ --.il ',.. ..IR...... o .t. .,.::1."" n.!udl ..... . ""........ Iri '''''...Iolw....n.'''';'"'-' 1Itfl .1n .1 .. tilt o,.l.m. E I . 1..._. p~..~_ .._t'l ...........l.t.. .In" . .... -;: lonni.taker l~"" lviII"p -- ,. fA >I, . . to" _. . , J -~ . lJ~',cWd -;, 'l'U ........ ..... - --- .I"". ulllIftn.. - -,"'" -.... .- - .... " ...- ~-- I INetlihly Dtw, ,1....... T;'''" . ...... to T_ V_I 10-5" - r;; '-...-- On....... 7B 2"'1~ .1: MI*i~_ -;> """ 0..,,,. - .._-- -," - Ma_C_flilqln,.,._~.........."'-tIlInc.......t...-f.,.""'__..___..tIol"'I""vtI\ll"_I'~~;_~~~~tiIM.. -"...._.~... ~1iIl<oe~let..In....~~.I...~.,_....rollllnclne--....nr.J: ctM fltNatlI:I's "'~~~I I. ..,-..\ ..tal. ...tbot. !hi- .... t' oninf . 't-hl..tI.. 1 lit t~h . ........ Q .................. 1If.........1-'-""'.. ~ t_.,.....c-.lat.......O-"~It<<MI' U.,... U'" =' Apprn.....U1'*__'.,.....ln..SoltiIA~ .n. .............IdIl__.,IIIl'-IIr...~......."""' 1/1 a. n : '/1 ~1'" 7' .... 11M '2 .r.~1 U Nt l!lIlUtMuD ftalrlll. ~,LIt Dv. IIJ NIl ~"'-'I""rlC","""'1IIt/II'iftiIn ft ___Ii]..... 0....____ 0_ 0,,_ MitI'lIIt....WH.""'-" liJ"-I~" OOIlltr_""*,, ./1 ~- Public c- Ii] ~,_._'" !Ite1rjejty G.. w.... I ~an.~. Sewer - b.,... Stret1 .tlllLalt CWWGutt<< r.-tfo Ifftwalk CMctllh Strmligtnc .[curvV.cl>r I....... _ T__ ... ,...lalnflnl ..... ~ VIow 1MIdt9pl"l -..- __, Type Pubfic PriY... F!MA Speclallllood Hal_iii ArM 0 Ya ilNo PIMA:lane c Map Oatw2'Wll .~~ ;- ..; c_a~.........._tl,___...."..IfllICliIl--.-'*_............_IIOIfotIIIlnIIOlIIIlO.-....t. I., _.....~~.._ ...... ... _. GrNl"AL DESCRIPTION No. of Unill 1 No. of Itori.. 1 " Ty~IOe1./Att.) t: DniOtllStvle' ...~.... Ii 1~~._.4 hiltlM I ~_'V~.l_. . . i!! ~ ! ~ ~ " . .iIMd.... INTERIOR ~"'IC""""" Floor. "., ->. V!.n'l/a.. W.... Trimlfinisll ...:. ......... ....w-.- ""~-"llrl.l.~ Doon ~~ " EXTERIOR D!SC"II'TION FOUNDATION Foundation f'f' .1..~t Slab .. Extwior W.n. ~- I Y1llVl CrIwI Space ... Rvof lurf," rr-. ShiM!, UUMlent ...... ~ .. SimP Pump .. W-., Typo ....... ._ __ " 8totmI8creent YHIYU s.w.m.nt 1ft blllMleli ___'-- tIoo .... BASeMENT -So.". .... "PInished - CtlI"" _rIll W.... FIOO< ,,-, ~enlry INSULATION Roo' Ceilino anrMr WillS mrllll! FIQQC Aftr_ .... -. ~ ,....-. l I'" ""'".,. . .... H!ATINO KITCHEN EaUIP. .me _NITI" CAR STORAGE Type .....",...... ~ - ~ fnptNef,t '1 Gal ~ NonoO 'uti .......~. AonooIOwn Stalirl .... III a... 'lie.. I.. Int.- - OrclJllllir p..,. IIA _1..l:OL- COOUNG tMhw_,r - """" tIltI!F_ -- c.mral rn F_... - ...... .,. c::"e= Cthor ...; Microwave ~~ Ff .... IIA 1_, "'__ w ~fMCun.f.""~,.._.,'*'-i"""._I, it Nil d---" ".......w... .... ...... I_I fI ~ ~n-'__~CIolIYIIcIL"""._.............................,...-.-...... Jld".J' ....1 TIlt i "':';:"~~ t.... inttrll>t 'M .ha ......riM. ""- .....,_ flooc 1 ;~;. .-;: .....-..., ,] "[ I -"......-,.,--"'''".~,-...........--.__......_.~...__.._....._._...._ .....,.,.. r'O ~......~ tiClll c. .... ~ ~,~ -- ....-,- lnfl>mtl. . ILJ. i.;;;;;;" ._-;;;;;;;:;; ntll 0ClIld1 ~ ~a.'_'" H'l'.ntJ ~1-':I _M__I_.... P.U rEg 07 '03 02,.5PM HOOD, LIGHT& GEISE performance APpraisal. -:::::::::--" 1i~No. 1:~;: !l.~1:::: ~::. "Il" ~_ ......ty _-'-"''' .nd \..tnllaI' aaJ.S. /5 ! < . ~. ,,-- MClS.""'..........n.11OOt1 \1'..1...."'.' -"" FES 07 '03 02:44PM HOOD, IGHT& GEl II< . .n . CO" d . . 'T.'.~....' "'\~-'r..~,~::,. ....... P.l'fonMne. Appraisal MC5.~t5WIiefI".ICl~flDgJet7.'7N P.W C<lIIIIlIullI!. '1 .......... t2 ~LI'I3 " I.. ... .... ..r ,...'- :.... .'. ,u...~, .....,...,'"u,j,... ''>d ~":"'}~'!_t,~ .l'~ FEE 07 '03 02: 44PM HOOD. LIGHT& GEISE SKETCH/AREA TABLE ADDENDUM cA. No ..... "~ --.. L -~~:..... -;;;: .. Duo W 20.00' Duo E 50.00' a ~ .. j ~ ~ .42 Acres Due E 3.00' a III M '6' ~ ; ., ! " !l ,; \!! .. A DuoE 22.00' DueW 50.00' c_ hlt,...t .n. 'el~i" ., . .-i., ~. .~. ,.act 6....1~.& _r ..... ... ,..... sa 1.110... ~. 0.. '..1., . .i...... ot '..10 1'.." aaC" ... ....., . .1...... ..1 "..00 '..t: ....vI ~ ...., . .1.C.... 01 '0.1' r..., u.n. IN. Jrol'lh, . ',U...ao .. UI". ....t to p.t., .f "_l..ia" ..1. '1'0.' .....,.,.. Do.. acr.. (&'110." ..,..) 0.1: 1.... "I'I .1' 1.... ,.rl..,.~ . .).... r... w. .'..tll0..t ..... .. c1...ro. AlICht..al loot. ....1..".. .t . ..1.. II tlui .....t ihoerllld _,. ..~. u.c h.... .. fOl).....' '..wel a.a W..C, . ~...... a. 1..00 ..." ,a..e. IN. .~~. . 0'0'''00 .f lfl..D 1'..'; """C' .". ..... . dtou-... of J." P..', YaRe' he '_'~f . .u........ .1' :I,'CI,OO '..t., ~C. ... ..... . .,...... Of 21." '.0', c.w.c. ... "~t'. . ~.C.AeO .. Jfl." .... .. poi.. .f ~l..I.., ~.ld _r... coat_lai.. a..a aor.. (till," _.f~.l .f t.... ~,. .. 1.... ..~s..... . ,..... r..t .. ,i,,'.I.... err.. .f ~10..r.. .' --- 'if No JC2l1fOZ PO'''' .42 Acres + .20 Acres .62 Acres P.9 8eIIlI: taU -- FEE 07 '03 02:43PM H()()D, LIGHT& GEISE SKETCH/AREA TABLE ADDENDUM P.8 C No AddNn au 11th I1mt -- 1!I0lftMW E'" vfRuth I, MiIH lAndoIIC.... ..... _~ R._ fie No ICft170I c;...,6.Q1IIl1lCl _ PA 1mt uc_ ,..... 1DI........Cir*.HUo....~_...N. 1"" .0' Bedroom Bedroom ~ '" N Bath Bedroom 4.0' '" cri . Kitchen Living '" Dining lil Room Room 1 Car Sitting ~ Room Garage 13.0' 12,0' 11.0' Co~ Ie*: 1~11 KAt 1'1..., n.- tIp 0.- rz_ ...... - .. 1CU"""" 1111.00 n4.00 .,u.oo 10..00 ISt.GO .u.oo Punn_ 12.0 It tz.O n.o:& '0.' 11.' a: "'.0 11.0.. sa.o '04.00 JIO.OO ,111.00 10.. GO - TOTAL LIVABLE (rounded) 1838 4 Area ToW! (rounded) 1838 ---- --- FEE 07 '03 02:43PM HOOD, LIGHT& GEISl Estate af Auth 8. w'lee t!'S5 '!fi. 11th street dand c.Q.u.~rlaDd ~ ..... .u ro P.? ,.% 7 FRONT REAR STREET SCENE FEB 07 '1J3 \J2'5flP1'l HOOD. UGHT& GEISE P.17 I 17 <1fl9 __'IG( or lilt' 6001\ ~ flAGi .}iJ CUll'" ijr COU.,IS .. . 0.:"'''';;:':", ~&&b ~:Ul,...... ~~~ ~...,..._~~Z ~0M1T l'lO~IT""" MADE THE 19th ~., ./ August ;. ,., ,,.i' of tl,U' wnl 'I"" tAnH_"" ff,hJ,. IttfHd,..." fiftY-leven, RI':TWEEN CORA .... PAll1.IN, singh person, ROIlERT H. POTTS aIld PAll1.INE H. POTTS, hI. _Ife, of the Borough of Ne. CUmberland, Cumberla"d County, 'onnsylvaIlla, P."Uu of the first part,--.-........-----.-.-.-..... =~~"I=-~ "'-Aft tMl tEbti) G'f"((tI((,,., . .,001 VI/lNA1. C. JULES and RUTH S. MILES, hit wife, of the Borough of New Cumberland, Cumberland County, Pennsylvania, partie. of the .econd part, (;mlft,., .: K'ITNA'SSI:r:H,p..u.,,,..;d,,./;." "I NINETEEN TIlOUSAND FIVE HUNDRED ($19,500 l . .~--..--_....-........___________________________ lh,llu/'1<. iH ""mrl plfif/. ,.,. t'f'N'I',lt "'/&"''''4 ;/f 1r",..,.t,tI "rIO,IIH"",,,,,,'. ,,,,, <~"itl ql"'"""" ,1.. """""H II'YfHI ",,,1 "''''1~71 '" ,,,,- ,."id ""ud,."" their t\.lrs and. a"sigfts forever, ALL that certain tract or parcel or land .Ituate In tho Borough of New Cu.,berllllll, County of CUlIlberlw and State of 'ennsylvanla, roore particularly bounded and described 0$ foliO", to wit. BEGINNING at an Iron pin In tho Southern line of SI_teenth Street In the division line bet...n Lot. Nos. S and 6, Section "E" on the Plan"ot Lots herelnarter ..ntlon8d; thence South..r41y along oald division Iln. three hundred sixty-five (36S) feet to an Iron pin on the North.rn I1ne or Lot No. 33 on sold PIaIl; thence Eastwardly .Iong the Northern line of Lot No. 33 fifty (SO) r..t to an Iron pin; thence Northwardly through tho .,Iddlo of Lot No. S three hundred sixty-rive (36S) feot to tho Southa.n line of Sixteenth Stroet; end thence We.twardly Iloftg the Southern line of Sixteenth Itre.t fifty (SO) reet to an Iron pin, the place or IlEGINNIl<<i. BEIJIG Tiff WESTERN HALF PART of Lot No. S, Section "E" on th.. PI.n of Hillside recorded In the Offlc. for th. Recording or Osed., etc., In and for CUlIlborland County, In Plan Book I, Page 7S. IlAVING TlffREON ERECTED.. single one story block aIld stone dwelling hou.. known and numberod a. pre.,l.e. NO. 3}6 west Sixteenth Street, New.cullberland, Penn.ylvanla. BEING the SAME pre.,l.e. WhiCh Willi... J. and Florence L. Crabtree by their deed dated AUgust 29, 19S2, and recorded In Deed Book IS-B, Page 416, granted and conveyed unto the grantor. here In. 1I\I8\K11 Bf REI CUM3ERaMD REAL ESTATE TI:AN:iFER TAX t4.'; . ,.c...., ''''/ Amount $. ..:r:""'M.....--D:l..O . .. 1..'( ~::.&!i:. ''b " ,,)"........ ,"'(~... ...'" -J.. (.'.~' ' .,..c. . '- t., '(",. "--.......- '._---_..-,...~.... , AQ(Nr FEE 07 '03 02: 5ef'M HOOD, LIGHT& GEISE Performance Apprel.e' P.16 . CURRENT SALES CONTRACT ~ TIM subject prop.l1y is curremly not under contract. The contract Indlor Hcrow ;rl5truc~iont wore not ......Hable for review. The unavailability of the ~ntrKt Is 1l'~lained 1m, in the .ddenda HCtion. o The contrlet andlor Merow ;nwuctions ~ r....lew~. TM following S\m1mtri2u ttM! contreet: COl1traet Date Am.ndrMnt Oat. ContraetPrin 10'''' HI.. HI.. ./A MIlo. B ThII conltact indic;.~.d that personal property wac not inc:lud.d In the ..... The contract indicIrtH thllt 11ftSO":1l property w.. Includ9d. It COru:iSlt'd of , ldilnltW contrlbutoty v.l.... Is . -0- Ii] PeRo~ pr'09Il'rtv .". not included in the final..... utlrn.te. o '-non" property waa Included In ttMr tM vatu. estimate. D The contr.ct Indicated no flMnclng concnaiol'll Ct other iM:tftll....I. o Th8 conhll!;t indleated the following cancn.ivnt 01' inoentiv..: o If eonculion' or irtCemivu 8)1;1"- the compM"lbl.' weN checked fa s1miliar COMnIione end appr~ MfiusUMnU were mtdt, it If .ppliQbl... 10 thlt thll' flMl.....UI' cooncIuciGns it in compli.nce wim the MIItet VelUll' defiMd~. _)Y!~..BIS~",Q.,!sa~!.~. ~ momh.. I' concldemi . reuonlblt mlrll..unv. ~ 1ar 1hIl' tubtK1 property bIInQ on tkA t.VI:lical marketina "!'locl (or .imi1&r llI:teHrtle_ ift th. aub1.ct MiahhorhoOlll that ftZe coll 1M-liet. . .... ADDITIONAL CERTIFICATION The' Appr.;.... certirl'll'. .nd agrft'l that Il) The .nlly"ec. opinio/W, and conc:luwnc w.... d.v.toped, tnd tI'lls re90ft w..~, In wnformitv with the Uniform StlndanII of Itroteuionel ~.... PfK1iee("USP"''''. snd in eccOfdenG. with the '~latloM deYlIGpecI by the L......'. Fect.aI Rqu!etwv A~ lI& rllCl~irtcl by MfA. ~ thlt 1M OtPII1U,. Pl'ovition, of the USP da not IPPl'V. (21 Thei, ec~en..~n III not contil:lOlnt upon the ~ of .r=llfrmiMCI v4llwe If dirHdon itl v..... dllIt tevor'll the c..... of thI' ..llent, ttt. .mount the v. ue Htimltt'. tl'it at1IinrMnt of stlpU.t nlSU t. Of the DCCUn'eftCe of a ~ nmt, l" ThIs appr.iul ulignrMnt wn not bMecI on . requnwd mInimum ...~, . Ilpeclfie val\lltlon. or the uprvv,1 at . loin. ADDITIONAL (ENVIRONMENTAL) LIMITING CONDITIONS The valul estimated is bHed on tM ~ptIon thIIt the property ill not rwvatiYlly .fftG'ttd by the exi.-. of halfdcM llubtttMn or cMt.irMnUll ttnYfrOflmtr'ltlll concftticn, 1MtI.... othIrwiM ..tsttd In 1I'IiI report. The.,..... is not an apart In tM iMtnUtintlon of ~ suHtlnCn 01' dlulmental .nvironmentsl eonclitiona, ThiI tPl),.....,'. routi". Inspeotion of and inquIriM 8bout!he.uIliKt property dN not develop any IMormnon that: Imflllatsd fI1lV IppIIent ,1g"lfi,*" tlaaMI lubSt.ncM or dnlmenttllllYironrnenbl conditiOflI whkltl would ,fflGt 1M prOf*ty' nltllati....I" unldl othtfwtH I1Itltd In thIs,..port. rt i, poI,ibtlthlt we.. and InIpeottons..... by . q\lllifild harlfCklu. .ubmncs and environmental .ltPfIt would ,........ the hlttence of huerdo... sukttll'lou or detril'tlMtli InVironrMIIWI wndiIioM: on or M'IlUnd d1C property 1het ADDITIONAL COMMENTS '1'he .ubject ia Dot under ccmtraet foC' .al.. An apprabf.l 18 needed fo:r ..tate tu pIIZ'pO.... APP.IilAISER'S SIG . _0 ORE 1& LICENSE/CERTIFICATION -4 j CJ.f<.,} J Appmnr'l S~. !ftKIfvw Date l/tO/OJ Dsta JJNpwtd 1/21/0J "W......IlI!t~ .~ PI1ane' (717) III...IG" ..~.... . U-L . T~:;;" -U130 CO.SIGNING APPRAISER'S CERTIFICATION o Tht- CO'lianl", sppralur h.. persoMIIy irwpec1ed 1M sub;m: property, both inalde and out. and hn rn.s.... extwiOl' IIWJIeCtIon of sll coml*'*..... litted in m. report. The ftPOrtwn Pnl'Plted by me sppt..... urtdef dirwct IUPIIVIMn vf the cHignlno"""", Ttw ~SI"1ng urxei.., ~ rwponlibility fOf the corantI of ttMr repottlndudinv 1M VIlue ClOnClIunInI _111. limiting conditions. and confirms th.1t the c:ertifleadons w, MY' to N co-tigr1mg .*11I11I'. ~,.". .......,.' _..",.. not ......1Iy 1._Ih"_ .,... _ _v oM: "h not Inspect8d the .xteriO!' of the .utrjKt property and .. compatbll ..... lilted In'" ~ h.. inspected the exmlor Of the subject property Met all ~1bII ... IiI1ed In thI rwpart. The fepott w.. ~ by thll appr'IiHr ~.,., cfinc1 M4*vt.icn of 1M C01Ignlng""". The C04IQnIno ."",alMI' IOO8P1s rlllponsiblllty for the contsnw of 1ht repor1, including the """ coneMionI WId 1M IlmMIng oonditienI. and conflll'IM tt11t tN ..uficltiOns ."ply fufly to the co-.IgnlIlflIOPI'.... wtth the unption of tht' ~ ~ phplcll.~ticM_. The abow deKrIbw tM t.vtI of i~pectiOn Mtfonnlld by the co-siogninclllJlpr..... o The co...lgning 'PJH"Ilnr', levll of intp*=tion. Invofwment: In the sppr'.... PfoctW and cettIftN1kK1 .. oov.red eltlwhefe In the ......d. HCIUon of tNi .pp..1i.... . CO-SIGNING APPRAISER'S SIGNATURE 1& LICENSE/CERTIFICATION Co-Signing Apprlilll'l". Sign.wr. effective EMI ./A 011.~ ./a. CooSigning ~ N~. If/A IIhoM , ./A - \" . ,_MSA MC'..OloWa..MACl~IfOOI",."n FES 07 '133 02:48PM I-OOD, LIGHT& GEISE Performance Appraisal. P.1S ~e No. JCl61702 MULTI-PURPOSE SUPPLEMENTAL ADDENDUM FOR FEDERALLY RELATED TRANSACTIONS 3 C~MV' o fIQ Mul~rpose Supplemanl. Addend\ll1l for Fedorelly 1II"'.1d TrenleetioM w.. dntgnMI 10 provid. Ute .ppr....r with e eonwnienl We)' 10 comply with ,,- current lIppmel lrIanOwdI .nd ,.quirerMl"llll of the F.d..... OepoelIIMur...c. CI1fJ)ONtionfFDICI.UW Office of the . Inrr"l TM nff; "I Thrift . 1M lIal . TC 1M ....,..... ~ . bd .........11.. _ .... """'......... CWr.... M ._..__....._......__......___. ~."~'4'l.$~~~~~i:if.t~A"r,.,,.:f.1f'>~'Ff!.~~,...'!";t?f~~:;t;{~~~q; ;'10~."".....;-{.;4.rrB{;tF'>;'il'Jff:.'1J~~..,~:l:'~-"..~i'':0~i it;"'''; "'~ -'" 't'l"'''' 'i-~, f\~l'. 't<oo". ~ .\' -, .i.T~l~:).W:_.^.i~>t,.tvjJ2t..~>"'~'f';i~'I'"<' ':"-Y::'1'<t't w.,.o~ ~~%~'~M....~~....,....~-@:""'2..""..,["b *ft'l.:M-1'thtidA7', t.;ih"'*',-!...._--.m~;ttif,:~<'4c;tt"'.:.;.~Mrd''.1.lh:.-.,.~ The lIUrpon of 1M epstrNaI i, to .nimal. the fnIIlbl"lIIue of the IlUbject propafty _ cMfiMd herein. Thlt hmc;tl&n of the ........,. 10 ..sin 1M atrow-rtal"MCIl.emMr in .".Iullllng the ,ubjael proparty for tanding puroOHe. ThiI il a Fadatally rellWd tl'MHCdon. ~- '"'wtf:.~--~~m!f;~>n~~:w'~,~:;.f~"iif'~::-~$4?~r"*:"w~f7~~~-4~~i1'&~~;:~~fM"~t;.\~ ::t;;":"''t! '\i,~f '...., ~.. .t"~'-',.;:,("'''.,'~v....'.~~oc/,';:~~~ ~',~iJif:t{-""," rt'; -" _~7; m ' _i,tJl)! ~::.;M~~,.~~~'i!\...1...-""'/I,>..t;h~...t..,,..^~~be,,,^,~ ,;:.,...'t.~'~A.". ~\Wi;~,~,~'<:-~~~,.$~~ " Iil The 8I'Prai.. 'S b...d on tha intorm.non lJathered by \he appreinr f,um public; r.carde. om.r idenafled lOUrcel, Inspec1ion of the eubJKt prope"y.nc:I neighborhood, .nd Icleotion of eomperable nl.. within Itw subject mtlfb'ar.a. Tha origlnllllvun:e of Uta c;om- parabl.. ie shown in thtl' Det. SO\.lfr;e locrtilm of the marbt grid a10"" wi.... tfta ,ouru 01 oonfirmMion, if BVaiIabl.. The origlMl ~"ce .. pr..el'll~ 1irl't. The ,oure.s end dal. are comrldered reliabla. When cordlic;ting information wa. provided. (he source deemed med tel'" h.. ~n u..d. DMa beli.....d 10 b. \lnreliUl. w... I'lOI iftOklded in tfta report nor \lsed .. . baliC fllr the value c;oncluslon. Iil The Reproduetton Co.. ,. ba..d on U. KaPllha11. .. "'ift Valuat:,iml ..----.. ",ppI&lMntM by the 1lPP,a1nr', knOwledga. of Ittlloc. maril.et. fi]1'hysio;a1 deprecielion hi b...d on ttM lellmaled affeetiva -0- 01 tM.ubjacl properlY. Funotfonal Ind/or eJltarMl dapreciation. II proll.nt. ia IPMificeIy actdre"~ In the eppr.sai report or otIwr addend,. In .."mating the aha VIIIu.. tM -,pni..r hili reI_ on pa" eonal knowledge of the local m8rtel. TN. kl'lOwfedve il baed on priM andkrr ~rr'hI .nalvei. ot e1ta ..... and/or "If~on 01 tic. ...... trvrn .... 01 improwd prop.rties. iii The sul;ljKl property ie ktoated in an .,.. Of primerity ewMl'-~ a1""e '..ooy rufd.ncn .M th. Incame Approech i. not eorrsl- derad to b. rneenil'll1ful. For!hia ruson. tha Income Appro~ w.. not used. o The Istimated M8rket "eM and GrOft Rm Multlpli.r ulilihd In u.. lncomo AIIpro~h are based on the appr...". knowf"',1 or the subjecl rn.rbt .,.a. Tha reng! knawledua is baed on prior W/or c;urr.nt ,.ntIII rete luMV'I of ruielllnti. p,oPanln. The Grou "ent Muftiplrar is bllUd on prior "'or cunoM analylie or prloe..nd mertl.et rat.. for ,..;d.nII1111 proptrtiH. o For income pnMIudng propal'lle.. eeNal rente, vecanvi.. Iftd expenees hllW .....n rlPon~ and enalyted. They hew b.." used to project future ,,",", 1f8Cenc;i.. end opanHI. Aecordlng ~ tJw -.l-t..I._li.~ _rwi_ ..........u the subjact pnlP<<'r. ~ Me not been.".,.. for .tI. in It'Ie palf 10 day.-. ill ......,..rr..lf for Hie for' wee""'" for.. within tha pHI: 10 daye tor t o Offwring infol'l'Ntlon_ ~ in lhe fine! roconUieUon of \OM o Offwing intofMOon'" JlOt............ in tfMl finti reeonoi&etion of Vll'wt o ott.rfnv information.... Mt......... The ra..one for UMVIlleblity end' the eIepS bIk.n by Uta epptllitcrr ere explained later in lNa ....ndurn. AeconMng to the MIbJeol prapel'ty: ~ ... ftlit "..r_f" In 1M pat Iw9IWI monthi' .... net""""" in Ihe past 3t mO""'I. __ .__~,.... .n the pbt tvnl.,. montM _~ In the pat 3' moMhl. All prior a." which hIVe occurred in the PHt lwei.,. moMfw are listed below md ,aconell<<i to ma app,..ed qfuc. aRMr in the rt" .... SUbject p,operty .. ngt..... in e FEMA 'pecI" Flood ....ard Am. ~ . MA amaO l' The community' ............ in 1tr. N.doMl l'lood lnaurenc. Pratrern. The community'" not perkipIte in the NnioMl fIlood Insur..u ProgrM1. h I. c;ov.racl try .,..,.., progr.m. It .. oo",'n try ... .m....._..~. prGQrem. _MeA Mea. fl;.........,. '"', II'.' nl.nll ITS l'J7 '03 l'l2:4BP11 HOOD, LIGHT& GEISE Performance Appraisal, P.14 APPRAISAL REQUIR!MENTS MANDATED BY F1RREA I ctlrtify th. ttM .....fIlis.. conl'onM to the Uniform It"rd. of I'rvfHtianel Aptl,.... Pnictlc. (UIPAP! pfVmulptW by 1h. App...... ,..ndarGi. lv.reI Of ttle Appreiul Powndatlon. The subject 0 u.J [jJ (it not) IlsWd for ..... the Iietihg pric. .. t ptlriodofthesubi-et"".,.nyie 3. 6 Mnth. VIA . My ~ of the 'htOnllbl. rMtk"nv If D IlpProHh to "'loll.... nctC 101'.. the "nowlng tt .n .,..M8tion why it w.. not c........... Cost: MIIfk.t: Incomt: Th. tM_ ......eh fs NIl! consider'" , tIt,1 ~abl. h'ltie.ator ef "(1M '-eIUll. the tYDit:;It m1rehau.. ta liar. f..t.,...tM 'ft ft!. _n{t;.. the Dl"ClMrtv eentalne tl'l.. tlla 1_ it _v ~.. TIw tlppr...1 ..~,....nt 0 1.._1 [i]lw.. MtJ b...w on r.qu.cwd minimun'l or.,.ana wlulltioft or on the appt'OYIIl or . I..n. I 0 (MYel (iJ ,.,..,. nol fiMnol" inc.t*fl in tho 10." tr.n,.ction and do "0\ ~ to btnetit In any "'-v' from th. VeN' pieced on m. P"""ftV. I 0 (twInl [i] u.w na1) InoIud-d. lap.do .....llTIIInt of ~raoNl~. filCtufet. or Intlngitl'-I~ which .r. .neched to or Ionted on tIw rnI prvpfrtv. Thele items 0 Idol l1J (do noU tfflCt ttw fNrk.t nIu. at the ""property. Any GrHtiw nNlnci" or .... llOfIOtIMio", tt18t IN known to the tppNi." Mw lM,n ~ in tM """In,.I.. of thl. .,..,..111. In ,.,rforming "" ~...... I w.. not "e to NNW ttII: M,a Gnnrl N/A if i",",e.", The .'11 ItIrM .hINd bl obtaMd by the I"r whln reviewi,. tM Ippr.u1 ftI)Oft, Thi, IPPNiHf wn doni with In .... it" I1IlIrktl ytIUI. ThI1 Is thl velUI of the "raplrty In Ita: ourl'lftt phyalclll condition encIlUbtMt to tht nn1"1 In .". . of tM GUfPlnt dtte ." .....u.. I OIrtifytMt.~'_ ......ri.........,.... ~V" - -........... ........... ..........n!. _ _ Q A ..~ ,...."" ,. lOG' DATI' Lym I. aliter, 'A C.rtiffed .L.OO1441'L ~ -... Met.~TXn", 1I1......nu FEE 07 '03 02:46PM HOOD. LIGHT& GEISE Performance Appraisal. P.12 ~Ie two JC2U 702 DE"NITION Of MARKET VAWE: T'" moet prob8ble prie. which, pf'C/Plll1V lhould bli", in, ~titi... end CIptIn l'Nltet IIMor all conditions Nqui~. '0. 'eir ,,,", me tN.,.r Met IoII.r, 'W1 -=ttng prvdllntly, knowlNvNbIV Ind auuming the priGo i, not "'mN by undue "timulU8. Implicit in thil _nniaCln i. tht COMumrntltian of . .... n "" ., ",.elftN ew. end tt'll p.ning or ti'llo from ....t tQ ~r under conditio"'" whtlrobv: 111 tKIyer .nd .....r.N lYPiOlfty motiwtM; (2) both pertl.. 'N well informed or will N'MId, end NOh ICting in whet M con.d." hi, own bon intlrw.t; II) , rHlOMbl. tirne it ,IIOW" for npotUre In ltl...n mIIrklt; 141 Ply. IMnt Is mede in term. of o.sh in U. S. doU.. or in terms I1f Jinenci.. lff'a""""nt9 e.""..-.bIt therlto: and I'" the pri... repl'Ultr\tI tht nomwl eOMider.uon fot thl PtOll'rty.otcI unefhx:led by 'Pleilf or erwlti.... finenel", or ..... eoncneIone- grwMd by III'I'fOM n. '~I1N with the ..... Ad;v.tmI~ to the Cornpt;reblll must be madl for ~t1 or eNlltiw fI",nei", or HI.. eonMntons. No ~ntI .. ~ry for thol. com which .r, narPNlly paid by...." .. . rnult of tlWfttton or tow in . markl! 8ft.: thin COttI If. fHlIly ilhnlifilbl, 'IinctI the ....r ~ tho. cosh! in Yimally .1 HI.. _enHeCions. Sptciel Of crHti.... fiMflClng NI'""".n'l CIft " ..... 10 ltll eomptlI'lIbI, property by c~rl.o", to fiMrtelnl term. crffertcl by . \hird party inl'ti1u1lonel tender tMt II no! llruc1y invorv.d In the property or n-.nlledon. Any IIdjuetment lhotllcf not be n1cul.m:l on. moohtnioel doIIer tor dollar COlt: cf m. fiMMlng Of CClnnnlan, but ltl. doIl~ MIOUnt of .nv IICfjuetmont IhtMd epproxImnIltl. ""rUt', tHOtion tv the finM\C1nt or ~ncn..", buM on IhI IpP_ rllnr'a judgm.m. STATEMENT OF LIMITING CONOmONS AND APPRAISER'S CERTIFICATION CONTINGENT AND LIMITING CONDmONS: Th. .,prol..,.." certifielltion th~ ,pp"" in tM llJIprai5a1 report it IUbject to ""' fo'laWlng condition.: 1. ThIt epprli..r will not be ,.",anlible for mitt",. of .,... nllurl thet aff.ct either IIHI Pf'9P.rty being opprlllnd or the tide to It. The OJIIpni.., II",,"" th.t!tle title i. 1I0od .nd merketmlt 1Ind. thereforw. wiM not rend" MY opIhiOM ebOUt the tltl.. Th. prop.nv I.-W- qlnd 0" the belli of it bling und.r rnponeibl. OWl'llflhlp. 2. TIlt .,.aiMr hn Dro~ed , .keteh In thl 119Pf'" ,.,on to show IPSIfOXinwte d1mensionl of the iMprowmenu. .nd 1M.ketch iI lnctvded only to ..ist the rwed", of the report in _alifina tM """.rty.nd undlfetllndlnll tM IPprti.,,'. d.termlnation 01 ib ~ile. a. The IIIIPr"..r hn nMIIned the .Vflilllbll tIoOd rntpS the! .,. praYincl by"" Fed". I!lTMIfOIney MlnllPmlnt ADlney (or other dMa UUfCftJ end "" "ottod In "" lPP,triltl report whether the ~jIct IIiM i. toe.. in .n K1_nti"_ IpeeI. 111000' HtUfd "',... "CIU.. the ."...r II rwt. IUrveyor. he or.hI mekn l'IO guarantee.. upren or Impli",. "prding thI!I det.rmlneUon. 4. The opprliMr wltl not Pw tMthtony or appMr in court beeOUM ... or ... INCM an .pr'" of thl property in .....n. vnlon IpICino .r....,.,.nt'I to do 00 MVIi b.1tr\ mad. blforehlnd. 5. Tho IiPPrli..r hII. ..tirneted the vah.r. Qf the I,nd in tht cost tIPPtO~ at ice highest M1d bat uiM M1d thl impl'Overntr1tI et !MIr oofto 1rIbvtory YIh.I.. TheI. ItpOIM. voIulltlons of thllolld end ~nte ~ not b. u.Od In cofljunnan with eny ather .."..... .nd .. IIIVIIIW " they 11'0 .0 u.ed. .. The "",r..n- hila notM in tt'le 'PpreiHl report Irt'f ad",.. Gollditlorll lauch n. MedICI NPeirs, d""teeilt'rOn, tho presenee of hIzII'- dova weo,.., \oxio Matence., Gte.) ob"rvect durintl tht lnepeotion of.... M;.ec p~l1y or th.t hi or .hI b~. 'WIIO of dutlncJ th. normal "'leVOh invafV*d in ptrtormlnll tho ""''''1.. UnOl. Dtherwi.. NtH In thllPPl'lIisall'lllOrt. 11'11 IOllfli." till no lenow. Itdglll1f ony hidden Of UnllPPINnt COndltiOM of the property" _veTl. t'fMronrntntlll condition. llnotuding tht "",nee or I'IItIf'dClUl wen.., tuic II&Ibftllnetll. etc,1 thlt would mak_ the propMt'f moAI "I... volubl., .,., !wi "lUrntef ttwc me,. ." no lUeI'I eonc:lltioM .nd ftIIkn no DU.,.,m... or ".rr.rtti.., expren or implied, NfII'IIi"l tl'tl condition of tho proptl1y. The 1IJP!'Ii..r wi. not ", l'IlIJO"" tibIe for '"V .uoh condhSahS that do eJWt or for .ny "'Iine.ring or tMtinll tMt rNght be reqy!m 10 dlllCOYllr whether tuoh oondhiorttI .x1st.. BlctUM the .,rei..,. ,. not .n expln in thl field of erMl'OlIl'hOntII Nprd', the WAi.. re,ort muft not be conr;iitttd It.n .nwIl'Onmenc.!.n.......n1 of thl' prop.rty. 7. The .rli.., obtained 1'''' information, ottimetu, end gpiniOnf thet .If. Ixpre..ed in the IIlprliHl report from HUran thIt hi Of __ eontNtl'l to be ...Ii"', tlld bIIi.vn them to be tN..nd "nnt. Th.."....., dOft IMlt ...1omI '-'POnelbillty for thllIOOUfICy of IUDh Itoms chat ilWWI furftistred bY' ott'Ier petti... I. The eppreIMr wid not dilelou the cont*- of the "".... NPOrt .xctpt.. provided for in to. Uniform 8WMfa'" of Prof"MnII Appr." .-reotico. I. The eppniHr hH "n.d hi. or her epJIrllisol ~ INI M1u.cton oDnClkleion for '" lIJIH'aiHl that is .ub;tct to Mtiatectory eomp- letion. NpOir., or lIIternoM QI1 th. luumption that complotion .f the lrnpl'OYOmlntl wm b. performed in I wartllMllllt. ""n"'t. 10. The "",r...., mY.t prvYid. hi. or her prior writIonconMn!MfoN th. IIndo"oII.". ....aiflld In the 'PD.'" roport dndilttlibutl tho .""..... report linduding conglu.iont about the property ....a.. ... ........,... khnttty end proftttiOrtll dttiGnltiOlll, ond ref.ronc" t. .ny pnrfwpionlli Ippr...e1 orvetlilotions or the- firm with which tftc .,p,...r II ...od.teclJ tv anyo'" othtt' th'" l1li borro""; the mor1'pfft or It. IUCRClOrl M'Id ...g....; the mortga" insu,." CDlII\fttms: pro*siantlllllP,.... orpniHtions:; .,y .,.,. or federally tpproYed finllnci'" lnatinnloR; Of 10' deportment. ...noy, or lnetN'MntalitV of 'eM Unittd .... or ...,.UIte or ttw Diltrict of CoIumbio; ..ICe. thlt thl lendor/uIIerrt mIV dlstribute- the property ....erlption Netion of the "pOR only to dIU! oohctlon or ,..rtil'lG ..rvIee'S) without hDYill9 to ob\oin tM ..rei",', priqr written COllllf'lt. The apprei.."o written "Mem: ,nit .,rO'WII mult 1110 be obtIinDCI before the tpl'rei.., CD" b. aonwyod by onyo", to U. public throulh _ytIrtieing, public Nl1tloM, ftewt, .11.., Dr other r'Mdil. ......._~......., ~..--.. TJt ,.., 111.'....17" Me9...."'~ '-' 101" FtNW.... '- tOlMl ..., FEE 07 '03 02: 47PM HOOD, LIGHT& GEISE Perform.nee Apprelael P.13 APPRAISER'S CERTIFICATION: n. ~pl'li.... unifi" .nd..... tht: 1. 1 h..,. rweWQhrt<I the lubject IMI'ket ..... lInct hrit selected a minimum of thr.. tKWrrt .a'a. of prOpertitll mor;t .!mil:ar.nd ptDXirnne to the subjlct property for conlidlration in tha ..... eomp...iton .Nlvli. n h.", mldt a dofl.r adjUlltmafll wnen ~opriltwl to Nf'Ilr;t the mark'" re~n 10 thOH..". gf Iigr1lflcant variation. If. lignlflelllllttm in 1I comparable property je SUpai'- ior to, or more f.vorable thin. tM ,utlj.ct prapeny. r haw made I ntOiltlV' adjyt't1Mftt to reduce"" _untd .....1 pritt of the compo Ir.tl6l. and if a .iQf'lifieant I." in a compwllM property it infwfor ,g. or lHe favur.rM th.n me.w;rcn propm.,.. I t\an mo a pos- itive .cljuItrnam to me,.... the adj\I$~ .al.. price of the compa,..b1.. 2.1 hava tak.n into consiHrnlon the fKtorI thlt have an impact on vallll in my dewfopmrnl of tM atim~ of markll v.lu. in the lPPl'aihl report. I have nOt krlOwlngly withheld Iny ligJ'lif'.c.m Informetion from the IppraiHI rwpon. and I ~11Yl!, to tn. bill of my knowledge. thttllll .tatemmw MCl information In tht .,praiN! report III' true Ind corteCt. 3. I eteNd in thI' aPt:lr.ilaI ,.port only my own Pll'IOflIl. unbi.,", .nd PfOrenion.1 11'\I1yI1I. gpIniOM. .nd liiOOlOlulioN, whICh Ire SIJb. JIGt only to the contingen1 ~ limiting condiflDnl: ..,.cIfiId In this fvrm. 4. I have no prnanl or procpKtive interllt in the property ,hat i. the subjRt tv thit repott. and I hive no pram' or prolPICliYe pl'r- ~ intef"' or bias with reqlKt 10 thI' ptrtiCiJJantlln the nnlKtion. I dfd not Ita... either pantIIIy or eompllJtlllV. my.nalve. .t\dJor the "timete of mlrket velu.ln thI appraiql repon: en the race, cotor. ,.rJgIUfl. AX. hlndicep. f,",lielllatUI, or natibnal origin of eithlr the ptoapective ow".r, or UCCUPllnlS of 1hI' 'l.l~ propwty or of the pml'nt owners Of OCQUpentl or th. propel1ies in tI'lI \"k:init1ofthe SUbJect property. 5. I ha~ no pruent or contemplated future jn~1 in the .l.lb;l'cl proJIerty. .nd neither my CurtWlt or hrtur. .mploYrTlI'nt nOf my compan~lon 10r ~ormil'\g thil lppl"iSlIII c:ontfngent on thI apprili.ed val....e Of th. propmy. e.l wn not r'Quirld lO rC9Ol1' PNdetarmined ....lQ or direction in ValUCI thai favorl the caus. of the dient or eny ralawd plll1y. the .mounl of th. valu. nlimaw. the ilUainmanl of . tpeeific rllult. or the ocamanGe of I IU~u.nt avenl in order to f'Kalv. my compenlltlon .nd/or empfoYlMnt for p.rformi.,; eM .pprei.... I did not be.. tht .pprlltal ~ on I f'lQUHted minimum vlluation. a IpeCiflc wtuation, or 1M need 10 ~ . fPlGirlc rnortpgIloan. 7. I performed th. apprail" in DOnformity with 1ha Uniform &tnardl 01 Prof.ion.1 Appr.... PI'~ that w.re adopted Ind pro- rrt\iIgIted by the Apprli..r Standardl "d of The ~lIiHl Found.tion tI'\d tt\tt wwe in piece.. of 1ha .fftotlve dm of thll apprliHl. with the ~ion or the dl'J*'tt,n provtabl of Ihott Sbndardl. which don l'W)t 8pp/y. I acknow4edte that '" nfimrw 01. rnaon. aRM timt fvr .X!)Qt.... in tt'II open mll'klt I' . condidon In the definition of mark'" v"~ Mtcf tM Htirftate I Clevtltapad II uunMtam: with 1M mwketing tima notH In the neighborhood HC110n of thia ,.ort. urnu I haft otharwiM MdId In _ reconcilittlon MCtIon. .. r hIva pvson.1y inlpeQWd d'It interior ~ exterior 1m' of the IUbjKt Pl'oplrtV Ind the NWiGr of .N propWtiH IistM n comper- .bln In the lDD(.isal Nport. I ful1h... Wlify that I have nowd .,., apPtNnt or known""" concIttunIln UIt lubjICt irrll'fO..m....b. on the sub,,"t elw.Of' on any elN within the ilfllNCSim vicinity of 1fle Illb;ect ~ of whil;lh r 1m .w.re and hawe midi ICfjuItrMmt fof thna ......... ooncIiti~ In my analylil: gf the lWOI*tY VlIUClIo the extent thIt I had marIwt..,r-.,. to support theM. I hlVe..o commentlld .bouIme I'ffect of the acfnr.. candiWnl' 0I"l 1M marketlbility of the tubjeet~. 8. I personally preparwd .. cDrlQlYliona and opinIonIlIboll1 the r.a1 I'I1Ite 1tIIt w.... H'l forth in the tppftiHf rapon. If I mied ur'l fig_ nifiQetlt pro....1on1l neisl.net from ....V Ittdfwldu.1 or individulls in the pwformancw of tht ...... Of tM pre~on of 1M .ppr.l..l report. I han named ,uch indMdulI{s' and dilelOHd the apeclfic 1Uks perf'on'Md by them in thw rKOnOiIie1ion section 01 tM apPfalql rapott. I certify that any individullao narnecr i. qualified to ~ the talks. I h." not MfthorInd anyon. to makt _ d1tnga to any itlm in the report; thtN'9fore. if an ~ QIl.nga II ..... to the ~I report, I will take no rnponIibHlty for It. SUPERVISORY APPRAISER'S CERTIfICATION: If. IUJMll'VllorV appr.i.. ..... tM apptlilel' report, he Of 8M omitin ....d ..... 11181; I dirtCtly 'uparvlSe the IIPC)(.... who ~ the ....1Ii1111 report. haY. miewed the IpprelUI rwpart. .... wtth the &UtIIl'rIantI "~nc;luIionc 01 the 1pIW..... .... to be bound by 1M AppraiHr'S ~ numberM 4 UYougt17 abov.. and .m liking full '"fIOrIlibir;w fof 1M apprelul and the ..,.... ~. ADDRe86 OF PROPERTY APPRAISED: US 15th ;;.-: Ad...Op,O C.....nod: ~ Itm Carclficlltion No.; RL-OOU.....1, Or Bt-. UHnII No.: w/A 8tnt: PeDD.avlvuia !xpIrltlon 0'" of Certlf'ica1lon or Liea",a: .J'IIfta ~a. 2001 Itre.t. ... C~claad." 17070 &UPI!RVI80RY APPRAISER Ionly' _,: Signlture: Name: MIA Dm aitMd: W/A StlW CI'r1ificmSon No.: W/a. or SWiI L.IcMtH No.: 8/16 811l1: Ria EA!.lr.tkm.2fta of Cor1ffIcation or ue.n..: U Did U DIcI Not InsptCt the PrOI*tY X/A ~MooC!I'emI,"'.N ~..DIftol.n"'oICl~lItltOOl'".nn MI;'''''l,.et ""2..2 ,..........."......1...." REV-1503 EX + (1-97) (I) COMMON~AlTH OF PENNSYlVANUI INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF RUTH S. MILES FILE NUMBER 2002-01099 All property jointly_ned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 1. 521.1 shares Talisman Energy Inc VALUE AT DATE OF DEATH 521. 10 2 1,090.300 shares Legg Mason cash Reserve Money Market 1,090.30 3 406.6956 shares UGI Corporation 15,568.31 4 ING -Polcy #186653 17,080.15 5 Hartford - Policy #186653 69,697.24 7 All American (Delaware Medallion) Policy #MN00409202 67,752.12 TOTAL (Also enter on line 2, Recapitulation) $ (if more space is needed. insert additional sheets of the same size) 171,709.22 STFPA42021FA . JAN. -U~ U3(IHIiI JU.5U LEGG MASVN IiAM~ HILL rEL:717137U~UU r. UUl G. David Bias Legg Ma60Il Wood Walker Ruth S. Miles Date of Death Values. 111Z2/02 3.) A1IAm8l1C8 (Del8Ware Medallion) - Policy #MN00409202 Values $ 17,080.15 $ 69.697.24 $ 67,752.124t $ 521.10 $ 1,090.30 HOldinas: 1.) ING - Policy #C112848-AV 2.) Hartford - POlicy #186653 4.) 521.100 Shs Talisman Energy Inc. 5.) 1,090.300 Shs. I.8gg Mason Cash Reserve Money Market 1 ~~ -.sJ F" ..: ~ .. The foregoing Information was prepared from sources bellaved to be reliable bulls not guaranteed as to accuracy. It should be call1fully reviewed lII1d compared with your L.egg Mason monthly statements. Any questions should be referred to your Investment Executive or the Branch Manager. Page 1 .~,\. Mellon Investor Services ,"\.':i\:,t':J.'~;":" Page 1 'ofZ' My Holdings Account Status For assistance call 1-877-978-7778 9:00AM-7:00PM Monday thru Friday Eastern Time (US & Canada) Account Key: MILES----RUTHSOFOO DOROTHY M BAIZA EX EST RUTH SMILES 330 16TH STREET NEW CUMBERLAND PA 17070-1315 UGI CORPORATION Your Account Status: Certificate Shares + Book-Entry Shares = Total Shares Share Price' Estimated Market Value o 406.6956 406.6956 'Share Price for CUSIP: 90268110 as of close of business: (Share Price provided by Interactive Data Corp.) CHASEMELLON SHAREHOLDER SERVICES "- Page 1 of! Price Information Is Not Adjusted to Reflect Any Split Activity (Source: Tradeline.com) Begin Date :111/22/02 End Date : 1~1!22/02 - Cusip: 90268110 Symbol: UGI 52-Week Hi: 41.8300 52-Week Low: 25.6700 Date High Price Low Price Closing Price 2002-11-22 38.5500 37.8900 38.2800 Terms and Conditions Copyri~ht 2eOO Chast:!f\.1t:!~I,?~__~.~~_r~~.?I5J.~~~t:!~~_~--,-!:_.!:~:.~I~_.~~~tt> reserved. 3!?:tlr 15/4 X '/()'.l..9St.. SJh~ js,S'll".31 REV-1507 EX + (1-97) (I) COMMON~LTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE D MORTGAGES & NOTES RECEIVABLE ESTATE OF RUTH S. MILES FILE NUMBER 2002-01099 All property jolntly_ned with the right 01 SUlVlVOlShip must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION 1. n/a VALUE AT DATE OF DEATH TOTAL (Also enter on line 4. Recapitulation) $ (It more space is needed. 'nseri additional sheets of the same size) Sl"FPA42021F.8 REV-150a EX + (1-97) (Il COMMONV'JEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF RUTH S. MILES FILE NUMBER 2002-01099 lodude the proceeds of lijigalion and the dale the proceeds were received by the estale. All property jolntly-owned with the right of survivorship must be disdosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PNC Bank checking Account #5140041387 6,506.24 2 PNC Bank Account #5003758856 3 CD'S Accrued Interest 9,174.60 20.60 3 1989 Pontiac Station Wagon 465.00 4 Household Effects 4,000.00 5 Sears - Refund on Curtains 180.15 6 Cash in House 149.85 7 Wedding Ring - Appraised Value 900.75 TOTAL (Also enter on line 5, Recapitulation) $ (If more space IS needed, insert additional sheets of the same sIZe) 21,397.19 STFPA42021F.9 Page: 1 Document Name: untitled STMT CO ACTION PROD CODE DDA STFD lOOP PAGE 7 ACCOUNT 1 THF TRANSACTION STATEMENT FORMAT 03/01/03 10.41.18 MS 50852 ACTION COMPLETE SEARCH FROM 02/10107 THRU 02/12/31 5140043187 SHORT NAME MILES RUTH S ACTN POST EFFECTIVE TRACE ID * 11/15 027555800 * 11/18 028335697 * 11/19 027341917 * 11/19 029693904 * 11/20 028583610 * 11/21 024091330 * 11/21 029044738 * 11/25 00020023292777413 PF: 4-TOP 5-BOTTOM 6-INQ 7-SB I' CHECK NUMBER TRAN AMOUNT D/C DESCRIPTION 9472 16.00 D CHECK 9472 REFERENCE NO. 027555800 9480 140.00 D CHECK 9480 REFERENCE NO. 028335697 9479 450.00 D CHECK 9479 REFERENCE NO. 027341917 9481 284.17 D CHECK 9481 REFERENCE NO. 029693904 9482 36.93 D CHECK 9482 REFERENCE NO. 028583610 9486 1,600.00 D CASHED CHECK 9486 REFERENCE NO. 9484 37.08 D CHECK 9484 REFERENCE NO. 029044738 40.72 0 6901084004WS ELEC BILL PP 8-SF 9-ASUM 10-TRIG 11-CUTO 12-XTFD BALANCE 9,095.14 8,955.14 8,505.14 8,220.97 8,184.04 6,584.04 024091330 6,546.96 C; 506.2V -STSM Date: 11312003 Time: 10:42:06 AM Page: 1 Document Name: untitled STMT CO ACTION PROD CODE DDA STFD lOOP PAGE 1 ACCOUNT 1 THF TRANSACTION STATEMENT FORMAT 03/01/03 MS 50852 ACTION COMPLETE SEARCH FROM THRU 5003758856 SHORT NAME MILES RUTH S 10.41.46 ACTN POST EFFECTIVE TRACE ID * 10/21 TEL 040 0011401 0314 BRANCH DEPOSIT * 11/12 I-GEN102111200002248 INTEREST PAYMENT * 12/12 I-GEN102121200002162 INTEREST PAYMENT 12/17 I-GEN102121700000001 INTEREST PAYMENT 12/17 PH01551 12/18 TEL 040 0011619 0093 WITHDRAWAL CHECK NUMBER TRAN AMOUNT DESCRIPTION 3,000.00 TEL 10.91 D/C BALANCE C 0400011401 C 9,174.60 0314 9,185.51 9.14 C 9,194.65 .55 C 9,195.20 OUTSTANDING .00 ITEM CLOSE 9,195.20 TEL D 9,195.20 D .00 0400011619 0093 t~, PF: 4-TOP 5-BOTTOM 6-INQ 7-SB 8-SF 9-ASUM 10-TRIG 11-CUTO 12-XTFD -STSM nnte: U"1I?OO"1 TimC': 10:4/:"15 AM KeIIeJ"'" ...11 11Ie Trusted Resource New Car PriCinll BlIlllIaCar Inc<lrttlve. Quality Ratln\lli Own_kip Cost F.-., Prlc:eQu<>te BIIY a uS<lll Car Sell Your Car Motortyde. Fi...ndnll In$uranCE! LillfHln Chel;k Car Ileview$ Car ~ieW$ Decision Guide. Advice Aboulkbb K!>ffie Kelley Blue Book FRE!E Emllil Research Updallls Shopping for a new car? Sign-up to receive the information you need from the source you trust. Learn more I. Enter amaH address ISign up now!t Blue Book Trade-In Report Pennsylvania. February 21. 2003 1989 Pontiac 6000 LE Wagon 40 Engine: V6 2.8 Liter Trans: Autamatic Drive: Frant Wheel Drive Mileage: 100,102 ElLJYi'INewCaI Elu_y a Used Car List yaur Car For Sale 011line Free Leman Check /'I_uta LaansJram 3.990/LAPR Insurance QUote Warr_antv Quate Payment CalcLJlatar Sellyour Caron eBaYrv10tars Equipment Air Canditianing Pawer Steering AM/FM Sterea Third Seat Consumer Rated Condition: Fair "Fair" canditian means that the vehicle prabably has same mechanical .or casmetic defects, but is still in safe running canditian. The paint, bady and/ar interiar need wark ta be perfarmed by a prafessianal in .order ta be said. The tires need ta be replaced. There may be same repairable rust damage. The value .of cars in this categary may vary widely. A clean tiJlehistpry is assumed. Even after significant recanditianing this vehicle may nat qualify far the Blue Baak Suggested Retail value. Trade-In Value $465 Trade-in value represents what yau might expect ta receive from a dealer far this cansumer awned vehicle. Keep in mind that the dealer must then absarb the cast .of making the vehicle re Certificate of Appraisal This is to certify that we are engaged in the antique and jewelry business, appraising diamonds and gemstones of all descriptions. We have carefully examined the following listed items and described these articles which are the property of: NAME_Nancy Miles ADDRESS_1490 Brandt Ave. New Cumberland, PA 17070 Description Value One ladies diamond wedding band set (. soldered together). The engagement ring is UK white gold with a round brilliant center diamond .25 ct. with two small round diamonds to both sides of the center stone. The wedding band is 14 K white gold and has four round diamonds. Total diamond wt is .25 center stone and .20 additional side stones. (.45) The center diamond is mounted in afour prong -setting, the clarity is S12 and color range JK, Size 8 $975.00 The above appraisal is made with the understanding lhallhe Appraiser assumes no liability with respecllo any action that may be taken on the basis of this Appraisal. &ft;.,;,~.;r.;;.... Marla P. Tretina, Graduate Gemologist! Appraiser f.....,. fM .eoas' Date REV-151Q EX + (1-97) (I) COMMONMALTH OF PENNSYLVAN~ INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF RUTH S. MILES FILE NUMBER 2002-01099 This schedule must be completed and filed ilthe answer to any of questions 1 through 40n the reverse side oflhe REV-l500 COVER SHEET is yes. OESCRIPTION OF PROPERTY %OF ITEM INCLlDE TI-f ~E OF Ti'E TRANSFEREE, HEIR RELATIONSHP TO DECEDENT /MJ Ti'E DATE DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE NUMBER OF TRAASFER. ATTACH A COPY OF TI-E DEED FOR REAL ESTATE. VALUE OF ASSET iNTEREST (IF APPliCABlE) 1. All American (Delaware Medallion) 87,752.12 100% 87,752.12 Poley #MN00409202 TOTAL (Also enter on line 7, Recapitulation) $ 87 752.12 (If more space is needed, insert additional sheets of the same size) STFPA42D21F.11 ~ DELAWARE ~ Medallion Allmerica Financial Ufe Insurance and Annuity Company VeraVest Investments, Inc. TRANSACTION CONFIRMATION 3 Confirmation Date: 01/06/2003 Transaction Type: Death Benefit Transaction Date: 01/06/2003 Variable Annuity Case/Contract Number W/409202 Date of Issue 03/09/1998 Type of Plan Non-Qual if ied Annu; tant RUTH SMILES . UNIts ...... VAI,U{ AS Of ~~. ..... ~.AcrION..l>ATE ~ ....- -.. ....- - ~ - .... ~ - ~ 5 ~ RUTH SMILES 336 WEST 16TH ST NEW CUMBERLAND PA 17070 Your financial Representative is: GLYNN D BIAS 5134 LEGG MASON FINANCIAL 0250 PO BOX 8853 CAMP HILL PA 17001 Delaware VIP LarGe Cap Value Series Delaware VIP Small Cap Value Ser ies $32,332.35- $2.252673 14,352.8832- 14,352.8832- NONE $9,472.98- $2.083495 4,546.6777- 4,546.6777- NONE Delaware VIP High Yield Series $26,241.27- $1.213563 21,623.3304- 21,623.3304- NONE TOTAL DEATH BENEFIT FEDERAL TAX WITHHOLDING OIECK AMOUNT $107,445.67 $3,833.22- $103,612.45 We confirm to you as agent for the Principal Underwriter, Allmerica Investments, Inc. Values are as of the transaction date. Your current value may differ. IMPORTANT: Please review this Transaction Confirmation carefully. Report any discrepancy within 10 days of receipt to Customer Service. 05-00852 2 OF 2 i If ,~ REV-1511 EX + (1-97) (I) ESTATE OF COMMON~lTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS RUTH S. MILES FILE NUMBER 2002-01099 Debts of decedent must be reported on Schedulei. ITEM NUMBER A. FUNERAL EXPENSES: 1. B. 1. 2. 3. 4. 5. 6. 7. 1 2 3 4 5 6 7 8 9 DESCRIPTION AMOUNT Parthmore Funeral Home & Cremation Services -Funeral Service 6,899.80 2 Parthmore Funeral Home & Cremations Services - Flowers 155.00 3 An Olde Towne Florist & Greenery 7.95 4 Baughman UM Women - Food 137.18 ADMINISTRATIVE COSTS: Personal Representative's COO1missioos Nameo!P..sonalRepresen\alive(s) Dorothy Baiza & Alfred Miles Social Secur~ Numbe~s) I EIN Numbero! P..sonal Represenlative(s) 161-34 -4227 & 165- 38 -215 6 street Address 330 16th Street & 14 90 Brandt Avenue CityNew Cumberland statepa Zip 17070 Year(s) Commission Paid: Attorney Fees Family Exemplioo: (If decedenfs address is not the same as daimant's, attach explanation) Claimant street Address 1,200.00 City Relationship of Claimant to Decedent state Zip ProbaieFees Register of Wills 354.00 Accountant's Fees Hamilton & Musser, CPA'S 500.00 TaxRetumPreparer'sFees Hamil ton & Musser CPA IS 135.00 Zimmerman's Landscaping - Lawn Care Expense 11/23 UGI Ultiities - Repairs Amozon.Com -Probate Kit Bank Charge Thank You Cards and Stamps Hasko's Appraisal for Wedding Ring UGI Serivce Fee Pennyslvania Water - Utility Performance Appraisal - House Appraisal Total of Continuation Schedule 35.00 109.00 37.07 93.49 27.49 53.00 99.00 14.30 275.00 387.48 STFPA42021F.12 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additionai sheets of the same size) 10 519.76 REV-1511 EX"'" (1-97) (I) COMMONv.;ALTH OF PENNSYlVANVI INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISlRATlVE COSTS ESTATE OF RUTH SMILES FILE NUMBER 2002-01099 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. FUNERAL EXPENSES: 1. DESCRIPTION AMOUNT 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Name of Personal Representative( s) Social security Number!s) I EIN Number of Persooal Representative(s) Street Address State Zip 2. 3. City YeiM(s) Commission Paid: Attorney Fees Family Exemption: (If decedent's address is no! the same as daimant's, attach explanation) ClaimCW1t Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees 5. Accountanfs Fees 6. TaxReturn Preparer's Fees 7. 10 11 12 13 14 15 Continuation of Schedule H-B7 Pennsylvania Power & Light Verizon - Telephone Expense UGI - Utility Expense United Water of Pennsylvania - Utility Expense Pennsylvania Power & Light - Utility Expense Verizon - Telphone Expense 34.44 20.89 259.09 14.83 37.37 20.86 TOTAL OF CONTINUATION 387.48 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) STFPA42021F.12 ~'i":' - A Family Tradition Of Caring PARTHEMORE Funeral Home & Cremation Services, Inc December 4, 2002 . Ms. Dorothy M. Baiza 330 W. Sixteenth Street New Cwnberland, P A 17070- 1303 Bridge Street The Funeral Service for Mrs. Ruth S. Miles P.O. Box 431 . . Neb 1 d PA 17070We sincerely appreciate the confidence you have placed in us and will contmue to asstst you in ew urn er an . PI fi I fr 'f ha ., d thi (717)774-7721 every way we can. ease ee eetocontactusl you veanyquesttonsmregar to s statement. (Fax) 774-5546 THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. Bruce R. Parthemore, Pre-Need Coordinator. CPC Total Total Cost ........... History 11/2212002 Paymen~ Check #7698- Thank you! TOTAL AMOUNT DUE, . ; . www.parthemore.com Gilbert W. Patthemore, Founder Gilbert J. Parthemore, Supervisor Stephen K. Parthemore, CFSP Professional Memberships: NFDA . PFDA DCFDA . CCFDA G .............,()nW<1/a.< ~ The Rule You Know, The People You Trust Facility,Staff, and Eqnlpment Traditional Service . . . . . . . . . . . FUNERAL HOME SERVICE CHARGES SELECTED MERCHANDISE: Solid PopIarCaskel. . . . . . . . . . . . . . . . . . . . . . THE COST OF OUR SERVICES, EQUIPMENT, AND MERCHANDISE THAT YOU HAVE SELECTED $4565.00 $4565.00 $2190.do $6755.00 Cash Advances Certified Copies of Death Certificale . Clergy Honorarium Organist,....... Hairdresser. . . . . . . Death Notice, Harrisburg Patriot TOTAL CASH ADVANCES AND SPECIAL CHARGES. $40.00 $100.00 $75.00 $35.00 $334.80 $584.80 '. '. $7339.80 The statement is nel and payable in full on or before December 22, 2002. b I ~ The unpaid balance over 0 days is subjected to a 1.25 % service charge per month - 15.??oo % per anniiiiif It ;G ~ ':1.llrH. 3)~ ~'" ~. . 1 -. ",s~ ~. " . eK~~ o . 1t\Pl\~ <tOO .C ~'..1"..'. .s. 0'0 .. . Q . ~\9..0'\ll.- ~"'- V .ic.ot\~~~. . '. .... 0 r Q '. .h.CX\ . ~O<N ~\~jJ'W . ~ 'CP0 1..9;\ ~ ~ \VU' .s.'lt-.I..Sl-I("Q~ ~ ~ Mrs. Ruth S. Miles Page 1 - ..:.. ~-~'~~l7~:~rt~:::;\:'.;;.~: ~""/<< --.:::" - ~- ~ 0" :-2::- ~ ~ A Family Tradition y Caring ~ - PARTHEMORE Funeral Home & Cremation Services, Inc. January 2, 2003 , 1303 Bridge Street P.O. Box 431 New Cumberland, PA 17070 (717) 774-7721 (Fax) 774-5546 www.parthemore.c.om .\ 1 Gilbert W. Par1.hemore, Founder Gi\bert J. Parthemore, Supervisor Stephen K. Parthemore, CFSP Bruce R. Parthemore, CPC. Pre~Need Coordinator Professional Memberships: NFDA' PFDA DCFDA' CCFDA G~ Tht! Rille YOII Know, The People You trust ~~~ Mrs. Dorothy M. Baiza 330 W. Sixteenth Street New Cumberland, PA 17070 Dear Mrs. Baiza; We have received an invoice for the following for the services of Ruth S. Miles: Flowers, Casket Spray Total Due. We are happy to assist you. Pleas call if you have any questions or we can help in any other way. ~ Thaok yo,. 1;';/ '\:i' Sincerely, ~$o\.C~ Kelli L. Clingan ~ . .- -,' ,." ~ '.' .'.~ ,'- ' ~--- -~ .,,~'~~,; :::'-~' .;-:, ""...;.-:-..,- . ",'- . ,~"" ',. ,f, : ~ 7::;;~~;~:f;}:~~f,' , '. ~', :-;~{:~~~/~{;~:. klc ,'.:,<"-,.',~ ", - ;;',.<'<:";:.:' '~,:: or:'>:'. , (I/z # 1/'0 ~:. ~ . " ,- ,~--" -::... .' ,", ;., . ~ -~ - ~ . ..c', 11/25/02 000016017 ARRANGEMENT,GENERAL Occasion: Miscellaneous RUTH MILES $7.50 $0.00 $0.4 $7.95 ( ~5 -,~.,---- ~ ~/ OJ (',K tI /11 ",\;.;'/;.~:" (' An~idC Towne Florist"& Greenery. 717174.1260 ,10';' page lor t, t;\,j'\ ,'\:~, "<'..~_, ~.&:_~~,:,,~,:!;~~::!.~,~~.i.*4"'" JANUARY SPECIAL _ ONE DOZEN SWEETHEART ROSES ARRANGED IN A BASKET WITH ACCENT FLOWERS, GREENS AND A BOW $20.00 - DELIVERY EXTRA VISIT US AT OUR WEBSITE - www.oldetowneflorist.com C2000 OFPJAF O2OHO . . .' c ....r... RECEIPT FOR PAYMENT ------------------- ------------------- Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Recetpt Date Rece~pt Time Receipt No. 12/05/2002 12:46:06 1031325 MILES RUTH S File Number 2002-01099 Remarks BAIZA DOROTHY M SK ------------------------ Distribution Of Receipt -----------------------_ Transaction Description Payment Amount Payee Name PETITION FOR PROBA SHORT CERTIFICATE EXTRA PAGES JCP FEE 305.00 30.00 9.00 10.00 CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN CUMBERLAND COUNTY GENERAL FUN BUREAU OF RECEIPTS & CNTR M.D Check# 7711 Total Received......... $354.00 $354.00 ~11 t:P fJ (JY~ < .- Zimmerman's Landscaping P.O. BOX 73 Etters, PA 17319 (717) 731.6090 Bill To: Mrs. Miles 336 16th Street New Cumberland, PA 17070 Bi II Number:1069 Date: December 10, 2002 Date Description Quantity Price Each Tax I Amount 11/2/02 Leaf c1ean.up 1.00 35.00 35.00 11/9/02 Leaf clean-up 1.00 35.00 35.00 11 /23/02 Leaf clean. up 1.00 35.00 35.00 _..._-~------- --- Sub-Total $105.00 State Tax 6.00% on 0.00 /A // ~.v~ "- Total I ( $105.00 ~ ../ ;Pc( 1~7/0~ o - 30 days 31 . 60 days 61 . 90 days > 90 days .~ Total $105.00 $0.00 $000 $0.00 , ,!;10'i nn I. .' C_.. _ Q ~; ..;::~~;::t~ ...., .i;.~ II w'"'''' Service for: RUTH SMILES 336 16TH ST S.Nice Work Bill Work Performed on December 7,2002 Labor ................................................................................. 18.00 Malerial ............................................................................ 91.00 Total.................................................................................. $ 109.00 Pay this amount on or r~ belo", Janual'j 3.2003 ............................................... .~ -<<- 1/ ~ 146~ 'l"-o '-.) Questions? Call 717.232.1811 or wrile to UGI at PO BCX 13009 Reading. PA 19612-3009 CPT 213160285001331336 ,. " t. '::. :. !.I_Qufram UGI . Help prevent pipeline damage, accidents and service disruptions. If you see someone digging near your home please call UGI. i~ - II you pay at a payment agent please take your entire bill. Make check payable to UGI. Keepthis partlor yourreco~ds. Important Information la on the back of thla bUt . , ;\ ~. "' ;. ~. 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LEIlOYNE. M 17043 vr,\ (717) 137-33$9 Rostlter 14 T....actton 14290Jl C.lhllr 110747786 12/21/02 4:35PM :i 4.99 .30 5.29 5.29 5.29 .00 Ii !1t ~ i .s~j lD i"'i;i!1;; .cc ...c: 0 :.~:.~t:; '" ::I " C .. .Q So ~ l~: b~ II li. I i~ ~r i lIt... Is It It- ! 'E '!f ~l,j "'-i:: "lli o;.cn~. k-got '3~ () ih~ ~ 1;;~.... "l>5! :rt~n j G"'~ ~~.1l'd d _....'1'... 5-l! "'!'" _In . lnt......t Rlfllll at RitoAld.coo ~~ 8.- ..-I~ rx~ powered by dr\lgstore.coI 0';' !1a:;; II' 1-800-RITEAID for CUltO", IIrvlel I~f-" I." :,..8~d ~::::-;:h~iiu ! RITE REWARO SAV1NGS CUltQlllr 10; DDOD124~404 1 Tl'M III COUNT BARK BLUe ST ~ S~--.,gfg ~ a ~~' <> ... _<p () -l- ....... 4.95T - ~ - - Subtotal Tax Total ... .. 0.... () 85k '" o 0 .... ... ..,. ", t; ~ a ~ -''J< >WJ....... PAVMENT Tondlred C.~h Ch."", CASH .. .... --" tIl~b _ _ 0 ~ ;:; jj , ", ," ,.....,.- . . ,-~. " . ~.. - ., - Performanc;e Appraisal 2235 'ackazd Circle FILE NUMBER 1 I_lata"", PA 17036 III 3C261702 .., I N Att.ntion: POl"othy aaiza V Dorotlly Baisa 0 330 15th StA.t I lI.v CUmI:l.rlMd, PA 17070 C E - #.r . I ~.. . II Office 0. 0... A>... A _c.._ ~r- . '_TaID_ "'-- /21/03 /10/03 l.M NILIS 45-0413032 17171 566-POPP Purc:~I_l8orrow.r Batate of Rutll I. leil.a z Property Addrell 33& UtIl BI:ret!tt. Unit_ >-" ..- cny lIev ClllIh<trland Subdivision Billaido iii!;; ~~ County Clllllberland Stile 'A Zip 17070 :f~ LeIlal o...riptJon De.d look 17 Vol_ .. , 'Re UP u__ , 05-23-0541-160 Appt-alHl F.. Amou"' ..... . . . . . . . . , , . . . . . . . . , . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . 275.00 z Mall or HlndlirlR FocI . . . , .. . . C Acldit_ Cl\orpa \ .. . . w- oo . w!c Adlfitlonll Chlry.. 2 .,. . .. , c:;! >0: Add~ionll Chcgn 3 .,. .. . , ZO -~ al'" TI. ................. 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . 0 . . . 0 0 . 0 . 0 0 0 0 . . . . . . . . Thenk you for your business I T...._.._. 215.00 FEE 07 '03 02:40PM HOOD, LIGHT& GEISE INVOICE Po3 Pl.... d.tach .nd include the bottom pol1lon with your ~nt . . . Thank you ! ~ REV-1512 EX + (1-97) (f) COMMON""AlTH OF PENNSYlVANo\ INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FilE NUMBER 2002-01099 ESTATE OF RUTH S. MILES Include unreimbursed medical expenses. ITEM NUMBER 1. 2 10 11 12 13 14 DESCRIPTION AMOUNT 250.00 Baughman UM - Church Pledge Sears - Credit Card 243.74 3 Wesley Mixed Christmas Candy Order 69.00 4 Pennsylvania Power & Light 48.20 5 UGI - Utility Expense 107.00 6 Bankcard - Credit Card 93.49 7 Northern Exterior Contractor - Contracted Repairs 1,465.00 8 AT & T - Utility 39.06 9 Verizon - Utility 15.75 United Water of Pennsylvania 21. 20 Zimmerman Landscaping 11/2 & 11/9/02 70 Commonwealth State Employees Retirement-Return Partial Payment 590.25 UGI - Final Contract Plan Payment 45.00 Comcast - Final Cable Bill 36.93 STF PA42021 F.13 TOTAl (Also enteron line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 3,094.62 PPL Electric Utilities Electric Service For: RUTH SMILES 336 W 16fH ST NEW CUMBERLAND PA 17070 Ouestions about Jliis bill? Please contact us by Dec 19 at 1-800-342-5775 or write to: Customer Service 827 Hausman Rd. Allentown, PA 18104-9392 www.pplweb.com ppl . " Page 1 f Electric Use This graph shows your electric use over the lastB months. rypes of Meter Readings: Actual - Estimated - Customer D :pw-:.B_iU:A(;".QOWlfNiimbet::;::;', 69010-84004 Summary Page Balance as of Dee 4, 2002 CharjLes: TotafPPL ELECfRIC UTILITIES Charges Total Charges ijtQm .~wt,O\tP~~~,,~ Account Balance $0.00 $ 48.20 $ 48.20 -------mm-_m________m_____m________m_____m______mm_~~~~~_~~~~~!_~~~~_~~~!_~~_~~_~~~~___~__________ fJ~ )~?!Od_ KWH - Average Per Day Meter Reading Informatiou 48 eter 5 40 Dec 4 Actual 27534 Nov 1 Actual 27038 32 33 Da s Ille --;m Average - Dee 2001 2002 24 Temlleralure 49F 41F KW Per Day 14 15 16 Yearly Use: Total A vel'a~e 8 Use Month y Jan 2001 - Dec 2001 7155 596 0 Jan 2002 - Dec 2002 8818 735 DJFMAMJJASOND 2001 Months 2002 -'.-:", 4u~ I~ '''$SEAVIC{ Billing Summary tor S.rvlc. tII: RUTH SMILES 33616TH ST NEW CUMBERLNO PA 17070 Rate Classification: Residential Heating Billing P.rlod: 11/13/2002 to 12/16/2002 (33 days) Estimated Read Questions? Call 717-232-1811 or write to UGI at PO BOX 13009 Reading, PA 19612-3009 . Your current UGI charge. include State taxes totaling $ 7.91. CPT 2131602850011 Past Bill Information - UGI Utility The account balance on your last bill was ................ Thank you for your payment of ........ ......................,.. Vour balance as of 1211812002 ..... ............................ Q ~_..:~~:;:-;:?ts;~:.:;.." ..,."c .r_,. ,._'" :: :~_--;~.::';~~~;?-:::~:.- '::~ 7:,:" $-1~~:~~ ~ Current Bill Information .. UGI Utility Customer Charge .............................................................. 8.55 Commodity Charge (251 CCF at $0.63139) ............ t58.48 Distribution Charges (First 50 CCF aI$0.36700) ... 1 B.35 Distribution Charges (Next 201 CCF at $0.30249) . 60.80 PA State Tax Surcharge .................................................. -0.40 Total Current Charges - UGI Utility ............................... 245.78 Budget Billin~ Amount .................................................... 107.00 ~ .. UGI Utility c arg.s ow.d this bill.................................................................................., ~$11l7;OD Total Amount Du. by (01/13/2003)..........................................._............................... ~ / fl{__ ~7Io~ 9.60 B.64 7.68 6.72 5.76 4.80 3.84 2.88 1.92 0.96 0.00 Av.rag. CCF P.r Day . .. . . . . . DJFMAMJJASOND 2001 Months 2002 . = Estimated Usage Average Last Vear This Vear CCF /day 4.58 7.61 Daily temporatu," 48'F 35'F Meter Inlormation - N.xt Read Oat. January 16,2003 Meter Number Previous Reading Present Re.dlng 1077025 5050 (company) 5301 (estimated) CCF Uaad 25t M....g.. lrem UGI 'Vour current price loC<lmpare is $ 0.60293/CCF. 'Vour total annual usage is 1,405 CCF. Vouraverage monthly usage is 117 CCF. 'Vour annual budget year began with February 2002. To date you have been billed $ 1,252.00 To date you have used $ 1.133.89 ..'. - . Help prevent pipeline damage, accidents and service disruptions. If you see someone digging near your home please call UGI. /j ( / " /) \ /' /{ I, ~'\, ' ! /'< "'1 ." >- (.Y \.!. 0/,' . ~ ~/'. ',- .,:le ,; ..z ,. . <".,' "" e<,,~ (,> -~ --. Keep this part for your reC<lrds. Important Inlormatlon Is on the beck 01 this bill. \Al8lJ OII,.,IIJ()II A~llil".oltl $5.000.00 $4.959.45 OECEM6ER 2002 STATEMENT \"'lWm l.J<\l.. ,......., "'''I~"..",r.. "IQ,,,......,, ,. ,'~,.. ................... 12/'6/02 $15.00 01/15/03 Poll:lng - Tran.actlons Charges Credits (eA) PAYMENTS AND CREDITS 12/13 B533 MC PA YMENT - THANK YOU PURCHASES AND ADJUSTMENTS 12/07 09/13 2747 MC C COAKl-EYS REST ANO PUB N CUMBERl-Q PA TOTAL FOR BILLING CYCLE FROM 11/16/2002 THROUGH 12/18/2002 93.49 CR ('~~O~? . . $40.55 ~ p<<- j~j7/ 6d- $83.49 CR e~ c/. ~-b~ J/-3/D3 IMPORTANT NEWS ENJOY THE CONVENIENCE AND Fl-EXIBIl-ITY THE ENCl-OSEO CHECKS OFFER-- OR CONTACT US AT WWW.IBSCASH.COM OR 1-888-5'5-3309. SAVE TIMEI BIl-l- YOUR MONTHl-Y SERVICE PROVIOERS OIRECTl-Y TO YOUR IBS CREOIT CARO. VISIT WWW.PNCNETACCESS.COM FOR UP-TO-THE MINUTE ACCOUNT INFORMATION. SUMMARYO'TRANSAcnoNS TOTAL MINI"UM PJliIl!NT DUE ~OUss.t.-nC41 (-) Payments (+)Cuh tot") Purc:huu and {+~odIC Rate ~r.ill:8r~ (-IN_Bal.-n~ Put Ou. Amount .....".......... $0.00 Md Credits ""'an... Adlutlm.m. FI CE CHAROEB Total Cunent Pay..._ .................. $15.00 $93.49 $93.49 $0.00 $40.55 $0.00 $0.00 $40.55 Total Minimum Payment Du....................................... $15.00 Cash Advances A. BAl-ANCE TRANSFERS. CHECKS.O.024383%OLY 8. ATM. BANK.."..".."". "0.035534% Ol-Y C. PURCHASES.................. '0.035534% OLY 8.90% 12.97% 12.97% $0.00 $0.00 $0.00 FOR YOUR SAnSFACTION. EVERY HOUR. EVERY DAY For Customer Salisfaclion and up 10 !he milule IIltornated ilformalion includUlg, balance, aveiabkl Cfedi~ payments received, p8yments due, due ~menl address infamation, or 101~esl dupicate slalemenls, cal1-B -6n9 For TOO (T~04Mce1a 1he000008$1ialarlce, 0811-800-346-3178. Mail payments 10: BANKCARD SERVICES, P.O. BOX 15019, WILMINGTON. 01 1988&5019. Biling f9lls are preservad only bywriltlrl inqury. Mailblingin",iies,usilg formoo.the~8Rdolher~tG: ~<;&\~ SFRVIC 0 ROX 150?6 WII MINGTON 01 "NANCE CHARGE SCHEDULE CaIegooy PlNlocllcRllte CorrespondIng Annual Percentage R.m Balance SubJect to FInane. Charge FOR THIS 8IU.JNG PERIOD: ANNUAL PERCENTAGE RATE......___. SEE ABOVE PlEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. 2396 5490 9990 1760 2219 53G Y 2MW 11030000 00 PAGE 1 OF 1 , '.'. , , Northern Exterior Contractor IOOYoci<Rood 1-800-267-0333 SOd' D f' W' d New Cumberland. Il\. Jm) _ _ ~ lllg - .1.,,-00 lUg - In ows :d:~n~~J-~~~~--s~--------------------------------- CitY--1J7.J.i.I!..i{?!-=-t!:?!:ti~=?!-==========3tat~-~!l.-~Yhon~2LY::'~2.P~ (}!lIV1Llle! (llftl f(;~ lv, .. J_ ~ 1/ /.!- /6/JUc:. ()./ Ihif no u!(!' c) ;i/V f -II} WI:::' W SI j f~ tJ,u '--f'r; IE >/'he If>A c:..-.,{ pU,q if d r,ellV r-7 Gle-./to OIV . ;::[,vs JIJ tI Iv f.5V<-J LAJ ot) . . ( . . A IE ,6ilJ (!.IC. '. ~ d ~ bit) (/Ic tAl 11/ tI I~ -I flJJCJI IAJ . Ifl . i/1. ;6,K}G/c {A.I/~ c1at-V S . d s'/c#, S l'J/V ..,.ne , cf). ~ f:h:rt 1 10./ t-~ W" 0 . I -Ii.I tY1. :;;.J-/V d J.J'.. aD' ~J /7 .JeJL, jA.)flV OC"'; I.IfJII jA.J1""1! 4v (. v tAl" Iltiw\ ---I-tZ. &:6 IfI../ .;ht;? l3/Jct:. (1/50 ~ It t4-il t>>iA/d,;,'<.,I IN ";))1: bl1c.R. U/uk ~ d /J vel fJlJ/k.j I8IJC K d t%V /,.t1(}?1' )?fJtl5t!_ 0:otL {}4/o../;'l'-. DoO~ tJ / /11" hoa.5 e /up/JIL qtl!l~SYJ~ tf -~ ~ /<::9--/ /I,?-/ I O.:L K'O\JF- 1:- ~__~b~ \ Ot- f\ ''-. .'. ~""'L... '" .". - " - ICf6S' '0(; IJ/lwoul q';&~8d The undersigned Homeowner(s) hereby accepts' the above proposal to furnish all labor and material necessary to trnish and install the above items on the premises of the HomeOYlIler(s) located at and agreJt}pay}f<)rtIiemE-ft~~r&irdworlCthesum-ol$-=--=-~:k~g-=-TF-=--=--=--=-:p8yable as fullows: $_l...Yl,P..!2.:,'':.____________ with order as dePOSit and balance of $___~y-_--_---payment to be made upon completion of work:. Nor1hern Exl<<ior .ball DOl be liable lOr any damaie to the interior of the building. The lIDdersigDocIagrcos, that if this c:oll1acl is cancdlod by him o. them fe. 8J: _son ~ to pay to Nor1hern Extcrioc a JllIn of money equal to ten peroeat (1Q'fo) of the cootac\ pri<:e h...... agrwl to be paid. as liquidated damages without proof of loss or dam~. This COfltaot oonstitut<>s the CIlti", undccstanding of the pan;.,. and 110 od= UDdetatanding. c:olIatccal. or oth<<Wisc, &hall be binding imIess in writing. signed by both parties, and this COlJlract shall not bocome ef:fective DO< binding UPO" Nor1hern Exterior unless and until same has beeo a<<eptod in wriling by an offioer of Northtrn Exterior. 'flo~~~~.;:.ljtf~~~rLR~~-=--=--=--=--=-~-=.:-=--=--=--=--=--=--=--=---=--=---- Contractor: John F. Manning Jr. ~~~ r, / /fti/ tIl--- Customer Service: 1 800 222-0300 Text Phone (TTY): 1 800833-3232 Internet Address: www.att.com Oct 20-0ec 19. 2002 Customer 10: 717 774-7302 Page 5 of 6 ~ATs.T ~ ~ -'~ Your AT&T Statement ~ATs.T , . .... j October 20-December 19, 2002 #BWNCJFM #07080860694012# D SOSSA V1 O.278837AB212S'oSDGT 1",111",111",\",111"""11"11.",11.1,1",11,11,,,,.1,11 RUTH SMILES 330 16TH ST NEW CUMBERLND PA 17070-'315 Customer 10: 717 774-7302 Page 1 of 6 Customer Service: 1 800222-0300 Text Phone (TTY): 1 800833-3232 Internet Address: www.att.com ~Z ~ ::~ Summary of charges n ' ~- Extr.lI EXlml Imagine being able to...Make as many calls as you wan\. Talk as long as you want. Whenever you wan\. With AT&T Unlimited you can! Continued.. i Previous balance... ................ ...................46.41 Payment received Nov 13 . Thank you ............................. -46.41 AT& T One Rate" Calling Card Plan....................p 4 ............2.00 Al&T One Rate'- Off.Peak 11 Plan calls..............p 4 ..........30.05 AT&T Local Toll Service Plan calls......................p 5 ............0.63 . ...................................p5 ............1.57 Taxes and surcharges ....... ...............................p 5 ........... $39.06 January 13, 2003 Vi(/~ / ~CU ~d~ ~,~ '26 ~~0~ '-V) /Q~~ to ~ ~,~ 6. ~ z~-( s ~"'~ .~ J Date due ~ , .; ~ , " ., .~ 'I .~ 1 .~ . " . , ., -.f j i; , ., ~ 1 .~ This statement includes charges from the last two months. '; .- " Continues on bacl~~.. -.r- Important information about your telephone service Effective November I, 2002, AT&T revised Section 7 of the AT&T Consumer Services Agreement (CSA). Among other revisions to Section 7, called Dispute Resolution, AT&T made a change related to the time period within which a claim or dispute must be brought. Also effective November I, 2002, AT&T made clarifications to Section 4, called Limitations of Liability, and Section 8.1., called Governing Law. To review the revised Agreement', please visit hltp:/lwww.alt.com/serviceguidelhome. or call 1-888-288-4099 to receive a copy of the CSA. Continues on back ~. '.:. ~ ~ Verl7QIJ J:hlhng VaLe III i.JIVi. Account 717774730259458 Y Page I of 6 RUTH SMILES 336 16TH ST NEW CMBRLND PA 17070-1315 1...III...III.IlIIllIllIl.Il.IIIlIl.IllIl.I.IIl.II..IIIl.II..1 To enroll in the Verizon Direct Payment Option please read and sigll the agreement on the reverse side of the paymentfarm below. Account Summary Amount of Last Bill Payments through Nov 27 Balance Current charges VenzonCharges Current Charges Total Amount Due by Dec 23 5. 69CR .00 5.69CR ~.:<t4...n.. . ~ Pee /~t/():l.. Please w!ife in 3~o!l~ !n~~!.d and send this coupon with your check or money order in US funds to add~ below. Total amount due A late payment charge of 1.25% may ap'ply to any ba I ance carr i ed forward to next month's bill. Manage your account online at www.verizon.com For Spanish speaking customers: Si usted no entiende 0 tiene alguna pregunta sobre esta factura Ilame al 1 800-479-0305. PreQ..untas sobre pagos 0 arreglos de pago lIame al 1 800-834-0709. $15.75 . .<t;;rfJ}~~~;;1':: -...;:. ., -. '. '". . !--USlOmer ACCOUnllr110rmauon For Service To: Ruth Miles 336 16th 51 Account Number: 24-0621227-0 Premise Number: 24-0367374 vlrlrng ;:,ummary -Prior Balance------.--------- Balance from last bill Payments prior to Oec 05, 2002. Thanksl Total prior balance, Dec OS, 2002 --------Current Water Charges--------- Service Charge Water Volume ($.005277 x 1,800) STAS PAWC Water 0.24% OS/- PAWC Charge 0.73% Total water charges, Dec OS, 2002 --------Other Current Charges---- H20-Help To Others Total other charges, Dec 05, 2002 Billing Period & Meter Information Billing Date: Dec 05,2002 Billing Period: Nov 01to Dec 03 (32 days) Next reading on/about: Jan 02, 2003 Rate Type: Residential Meter readings in current billing period: Meter Number N041109162 is a 5/8-inch meter. Present-actual 232000 Last-actual 230200 Gallons used 1800 ----------AMOUNT DUE --------_.------ 00 not send payment. Total Amount Due from your bank account on Dee 26, 2002 Water Usage Comparison Monthly usage in hundred gallons. 2 8 , FMAMJJ ~~r~~p ASOND2 U8C08R gptvc~ D J . . c n $19,59 -19.59 .00 10.50 9.50 .05 .15 20.20 1. 00 (,~ --' 00 '~ \ $:?1.201 will be deducted ;Z J */0 d-- Messages to you from Pennsylvania. American .. Pennsy'vania~American reminds its customers to use water wisely. . At Pennsylvania-American, our customers are our top priority. Please let us know how we can serve you better. . RESIDENTS: A VOID COSTL Y SERVICE LINE REPAIRS... To leam how you can protect yourself against unexpected and cosily service line repairs, call (866) 430-0819, and ask about the Water Line Protection Program. Your peace of mind is worth it. . Effective October 1,2002, the Distribution System Improvement Charge (DSIC) has increased from 0.32% to 0.73% This charge funds replacement of water distribution facilities. . Sign up for American Water's automatic payment plan. Through electronic transter, you can take advantage of this convenient way to pay your bill automatically on the day it's due. No more checks, stamps, or late bills! Call the 24-hour Customer Service Center to request an application_ You will need your Account Number when you call_ Just press 1 lor the option to hear about Account and Billing Information, then choose the option to request an application for automatic payment. Fill out the form and mail it back to us. It's that easy! . PAWC's H20-Help to Others Programs provides assistance to IInancially-troubled customers through grants, service charge discounts and installation of water-saving devices. To IInd out if you qualify or if you would like to knowhow you can help a family in need pay their wa/erbill, call (888) 282-6816 or PAWC's call center/isted at the bottom of your bill_ .' Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing impaired Customers TOO 1-800-300-6202 (24 Hours) Visit us on the INTERNET: www.pawc.com @~ A'M 11317 :;}~;~f!1J~~].~j:;1";j';~;$'~~':~:"!I,,i:"':~~j"'~;<S'.':::" <:ST-?~:':.. " ..' .':',:,.~~". . ~ .. Zimmerman's Landscaping P.O. BOX 73 Etters. PA 17319 (717) 731.6090 Bill To: Mrs. Miles 336 16th Street New Cumberland, PA 17070 Bi II Number:1069 Date: December 10, 2002 Date Description Quantity Price Each Tax Amount 11/2/02 Leaf clean-up 1.00 35.00 35.00 11/9/02 Leaf clean-up 1.00 35.00 35.00 11/23/02 Leaf clean-up 1.00 35.00 35.00 ., , ... '-'- - Sub-Total $105.00 State Tax 6.00% on 0.00 ~^ r--. // -,.v~ Total I( ,$105.00 ""',,:"," "~i';' ./ . '. . ( /~~d- ." 0.30 days 31 . 60 days 61 . 90 days > 90 days Total $10500 'j;n nn ctn nn <t' ('If::" "0 $000 @omcast~ o,Jo!.l.U Account Number Date Due Total Amount Due $36.93 0502048018001 1/04/03 MRS VC Mll.ES How to reach us... ~ Yau can reach our Customer Service Department at (717) 540.8900 24 hours a day, seven days a week For scrv ice al: 336 16th Sl New Cumbo Pa 17070-1315 ~ Www.eomculooom Office Location: 3800 TriodIe Rd.. Suite B Camp Hill. PA ] 7011 Summary of Charges Billed from 11118102 to 01/17/03 Total Due 36:93 3693J<r. 34.95_.._ ~ J)etail of charges on back Previous Balance _ P/lYments (indl!lkls PllYnients received by ] 2/09/02) Mootb.ly ~ervices WWI.1lion Char~es IaM.S..&L=__ ___ f J:IIews from Comcast '11 IAN K YOII FOR PA YlNG YOUR BILL ON "fiME. Your prompt attention is appreciated. For your /?; converuence, we now accept regular and alllomatic monthly credit card payments and direct debit. ~ /~o/6c( , ~) q~~, /tJj ~ ,t ~~f!; O~'jf -_..-.._----_._~.__......-.--.-._-_.....-......~....~.._--_._-_.-...-...._.--_.._--~..~~~~. .-;; .......,..- , - REV-1513 EX... (9-00) COMMON\'VEALTH OF PENNSYLVANIA INHERrTANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF RUTH SMILES NAME AND ADDRESS OF PERSON(S) RECEIVING PROPER1Y TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)) Dorothy Baiza 1. 330 16th Street New Cumberland, PA 17070 2 Alfred Miles 1490 Brandt Avenue New Cumberland, PA 17070 Janet Gyekis Box 213 Hurley Hill Road Morris, PA 16938 Keto Gyekis 107 Woods Trail Delton, MI 49046 Raed Gyekis 7069 Reunion Circle Fountain, CO 80817 Carlos Baiza 330 16th Street New Cumberland, PA 17070 Amanda Miles 1490 Brandt Avenue New Cumberland, PA Granddaughter 5% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE NUMBER I. II. STFPA42021F.14 3 4 5 6 7 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. FILE NUMBER 2002-01099 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE Share of Residu Daughter 25% Share of Residu Son 25% Share of Residue Daughter 25% Share of Residue Grandson 5% Share of Residue Grandson 5% Grandson Share of Resdue 5% Share of Residue TOTAL OF PARTII- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) REV-1513 EX + (9-00) COMMONVv'EALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF RUTH SMILES FILE NUMBER 2002-01099 RELATIONSHIP TO DECEDENT NUMBER NAME AND ADDRESS OF PERSON(S} RECEIVING PROPERTY Do Not list Trustee(s) I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)J Continuation of Schedule J 1. AMOUNT OR SHARE OF ESTATE 8 Alexi Miles 1490 Brandt Avenue New Cumberland, PA 17070 Share of Residue Granddaughter 5% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) STFPA42021F.14 WHEREAS, on the 5th dated March 6th 2002 was admitted to probate as the last will of MILES RUTH S (LAbl, ~lKbl, M1UULb) late of NEW CUMBERLAND BOROUGH CUMBERLAND County, who died on the 22nd day of November 2002 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to BAIZA DOROTHY M and MILES ALFRED D who have duly qualified as Executor (rix) and have agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 5th day of December 2002. Register of Wills of CUMBERLAND County, pennsylvania Certificate of Grant of Letters No. 2002-01099 PA No. 21-02-1099 ESTATE OF MILES RUTH S \LAbl, "lKbl, M1UULb) Late of NEW CUMBERLAND BOROUGH LUM~~KLN~U CUUNlt, Deceased Social Security No. 202-26-0065 day of December 2002 an instrument * *NOTE* * ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) LAST WILL AND TESTAMENT OF RUTH S. MILES 21-2002-1099 I, RUTH S. MILES, of the Borough of New Cumberland, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I direct that my Co-Executors hereinafter named shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease from the residue of my estate. ITEM II: I devise and bequeath all the rest, residue and remain- der of my estate, of every nature and wherever situate, as follows: . A. 25% to my son, ALFRED D. MILES. B. 25% to my daughter, DOROTHY M. BAIZA. C. 25% to my daughter, JANET M. GYEKIS. D. 5% to my granddaughter, AMANDA MILES. E. 5% to my granddaugher, ALEXI MILES. F. 5% to my grandson, KETO GYEKIS. G. 5% to my grandson, RAED GYEKIS. H. 5% to my grandson, CARLOS BAIZA. ITEM III: I hereby nominate, constitute and appoint as guardian i. for any minor who may take a share under this will or otherwise, the parent of said minor and with respect to which I am authorized to Page 1 of 4 f ....:'~ -..:;-..-....----;7.--" appoint a guardian and have not otherwise specifically done so, provided that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. ITEM IV: I appoint my son, ALFRED D. MILES, and my daughter, DOROTHY M. BAIZA, Co-Executors of this my last will. ITEM V: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his/her duties in any jurisdiction. IN WITNESS WHEREOF, I, RUTH S. MILES, have hereunto set my hand and seal this (~ day of ~~ , 2002. t;A ~1 J /1l~ )!C<t/ RUTH S. MILES Page 2 of 4 SIGNED, SEALED, PUBLISHED and DECLARED by RUTH S. MILES, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, in her presence and in the presence of e have subscribed our names as witnesses. ;J~{' U(G(/kh:Ji.un < a, Address i2:~ 'm ~ }fv-~~ fJl3- Address COMMONWEALTH OF PENNSYLVANIA: SS: COUNTY OF CUMBERLAND I, RUTH S. MILES, the Testatrix whose name is signed to the at- tached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. ~,U/c)7 lJ0J~ RUTH S. MILES Sworn to or affirmed to and acknowledged before me by RUTH S. MILES, the Testatrix, this (, day of ~c~ , 2002. ... NOTARIAL SEAL CAROL l. TROXEll, Notary Public New Cumberland Boro. Cumberland Co. My Commission Expires Dec. 27. 2005 ~~~..~Jw-- Notary Public 1 Page 3 of 4 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND We, OAJ-O t-\ _ .fTbtU':' and TiNl rn _ ]U/ ~ the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her last will; that Testatrix signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue inflU~ifL W~ ess , -- ~h=m~ Sworn to or affirmed to and acknowledged before me by ~1)4_,~ witnesses, this 6 day of and NOTARIAL SEAL \ CAROL L. TROXELL. Notary Public Nlm Cumberland Boro. Cumberland Co. My CommissIon expires Dec. 27, 2005 I 1'14ecn , 2002. C'~~~~,JJ~ Notary Public Page 4 of 4 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/01/2004 BAIZA DOROTHY M 330 16TH STREET NEW CUMBERLAND, PA 17070 RE: Estate of MILES RUTH S File Number: 2002-01099 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 11/22/2004 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: ~R{ D1-l ~ f'--.l ( (;;5S Date of Death: J J r Q~ ;). OO..:L I Estate No.: dDD:;)- o/Der1 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. ~te ~hether administration of the estate is complete: YeS'q} No 0 2. lfthe answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. ~ t~ personal representative file a final account with the Court? YeS'EJ No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest?~ No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date:lqo? J /L2-<:; /f2t!nL;f m ~ J)(){~J:Jn-lY M. BAIzA Name . 330 /bf!> U Ad~r.ss 1 ",,50 ~m86eL--A."'D PA / ON ) <'-J I - Telephone No. 7//--71<1 ~tf-~/ () capaci~ Personal Representative o Counsel for personal representative '- " Vi; RECEIPT AND RELEASE I, the undersigned, being a specific devisee under the Will of Ruth S. Miles, late of New Cumberland Borough, Cumberland County, Pennsylvania, do hereby acknowledge receipt from Dorothy Baiza, Executrix under the.WiII of said decedent, of $8987.63, which represents the specific bequest given to me under the Will of Ruth S. Miles, deceased, and I do therefore hereby release, acquit and forever discharge the aforesaid Executor of and from all suits, actions, claims and demands which I had, do have or may have against the Executor and the estate of said decedent. IN WITNESS WHEREOF, I, the undersigned, intending to be legally bound he~ have hereunto set my hand and seal, this ..2-c<? day of tJ ' A.D. 2005. WITNESS: -k'-~ ~ RECEIPT AND RELEASE I, the undersigned, being a specific devisee under the Will of Ruth S. Miles, late of New Cumberland Borough, Cumberland County, Pennsylvania, do hereby acknowledge receipt from Dorothy Baiza, Executrix under the Will of said decedent, of $8987.63, which represents the specific bequest given to me under the Will of Ruth S. Miles, deceased, and I do therefore hereby release, acquit and forever discharge the aforesaid Executor of and from all suits, actions, claims and demands which I had, do have or may have against the Executor and the estate of said decedent. IN WITNESS WHEREOF, I, the undersigned, intending to be legally bound hereby, have hereunto set my hand and seal, this :z. 5 . day of 0CW\. , A.D. 2005. WITNESS: IV!. Y1Jn t (~~( ~~'. ... c:-', ,,/~ Keto Gyekis RECEIPT AND RELEASE I, the undersigned, being a specific devisee under the Will of Ruth S. Miles, late of New Cumberland Borough, Cumberland County, Pennsylvania, do hereby acknowledge receipt from Dorothy Baiza, Executrix under the Will of said decedent, of $8987.63, which represents the specific bequest given to me under the Will of Ruth S. Miles, deceased, and I do therefore hereby release, acquit and forever discharge the aforesaid Executor of and from all suits, actions, claims and demands which I had, do have or may have against the Executor and the estate of said decedent. IN WITNESS WHEREOF, I, the undersigned, intending to be legally bound h~. r b ~~e hereunto set my hand and seal, this -'20 day of , A.D. 2005. / WITNESS: (' - ;(jt~/n. S~ .~. ~~7. ,U ~ /7. - '-- . RECEIPT AND RELEASE I, the undersigned, being a specific devisee under the Will of Ruth S. Miles, late of New Cumberland Borough, Cumberland County, Pennsylvania, do hereby acknowledge receipt from Dorothy Baiza, Executrix under the Will of said decedent, of $40,641.04, which represents the specific bequest given to me under the Will of Ruth S. Miles, deceased, and I do therefore hereby release, acquit and forever discharge the aforesaid Executor of and from all suits, actions, claims and demands which I had, do have or may have against the Executor and the estate of said decedent. IN WITNESS WHEREOF, I, the undersigned, intending to be legally bound here y have hereunto set my hand and seal, this .r20 day of '(;(,\ . , A. D. 2005. WITNESS: r\ /''-:1. ,-~~ ;-h,/ lU~.A-/ f' ' c~ 61 \ - RECEIPT AND RELEASE I, the undersigned, being a specific devisee under the Will of Ruth S. Miles, late of New Cumberland Borough, Cumberland County, Pennsylvania, do hereby acknowledge receipt from Dorothy Baiza, Executrix under the Will of said decedent, of $8987.63, which represents the specific bequest given to me under the Will of Ruth S. Miles, deceased, and I do therefore hereby release, acquit and forever discharge the aforesaid Executor of and from all suits, actions, claims and demands which I had, do have or may have against the Executor and the estate of said decedent. IN WITNESS WHEREOF, I, the undersigned, intending to be legally bound he,.. ~~:e hereunto set my hand and seal, this 7/) day of , A.D. 2005. I WITNESS: ri '\-.- ;5 ~~Ol),,'./~ V ' ( nttz;(; RECEIPT AND RELEASE I, the undersigned, being a specific devisee under the Will of Ruth S. Miles, late of New Cumberland Borough, Cumberland County, Pennsylvania, do hereby acknowledge receipt from Dorothy Baiza, Executrix under the Will of said decedent, of $40,641.04, which represents the specific bequest given to me under the Will of Ruth S. Miles, deceased, and I do therefore hereby release, acquit and forever discharge the aforesaid Executor of and from all suits, actions, claims and demands which I had, do have or may have against the Executor and the estate of said decedent. IN WITNESS WHEREOF, I, the undersigned, inten ing to be legally bound hereby, have hereunto set my hand and seal, this ~ os- day of ~~ ,A.D. 2005. WITNESS: d<rth ~cfJ [hiYjj!JL J~~-~ RECEIPT AND RELEASE I, the undersigned, being a specific devisee under the Will of Ruth S. Miles, late of New Cumberland Borough, Cumberland County, Pennsylvania, do hereby acknowledge receipt from Dorothy Baiza, Executrix under the Will of said decedent, of $40,641.04, which represents the specific bequest given to me under the Will of Ruth S. Miles, deceased, and I do therefore hereby release, acquit and forever discharge the aforesaid Executor of and from all suits, actions, claims and demands which I had, do have or may have against the Executor and the estate of said decedent. IN WITNESS WHEREOF, I, the undersigned, intendj~ tg be legally bound h~, have hereunto set my hand and seal, this / u r:. day of 'n ", , A.D. 2005. , WITNESS: ~-m- hy~ ! ~ r,)_ g ,~",{qK'1 f n .;:)-<~~ Dorothy M. BaiZf"' . 0 RECEIPT AND RELEASE I, the undersigned, being a specific devisee under the Will of Ruth S. Miles, late of New Cumberland Borough, Cumberland County, Pennsylvania, do hereby acknowledge receipt from Dorothy Baiza, Executrix under the Will of said decedent, of $8987.63, which represents the specific bequest given to me under the Will of Ruth S. Miles, deceased, and I do therefore hereby release, acquit and forever discharge the aforesaid Executor of and from all suits, actions, claims and demands which I had, do have or may have against the Executor and the estate of said decedent. IN WITNESS WHEREOF, I, the undersigned, in~~.nding to be legally bound here~ve hereunto set my hand and seal, this Vl,~ day of , A.D. 2005. WITNESS: 9t0u-t'-fn - Bo Jw> I . Cumberland County Reglster ur W~~~~ One Courthouse Square Carlisle, PA 17013 phone: (717) 240-6345 Date: 10/11/2005 BAIZA DOROTHY M 330 16TH STREET NEW CUMBERLAND, PA 17070 RE: Estate of MILES RUTH S File Number: 2002-01099 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 11/22/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge \...-G-'