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Home My WebLink About06-24-13 1505611180 � REV-1500 ��°�-��F�� OFFlCIAL USE ONLY PA Department of Revenue Pennsylvania � DEPPRTMENTOINHERITANCE TAX RETURN �unty Code Year File Number Bureau of Individual Taxes PO BOX 280601 �1 ' � � ----_.___.._., ��b� PA 17128-0601 RESIDENT DECEDENT �� ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDWYY 02262013 12251937 Decedent's Last Name Suffix Decedent's First Name MI MYERS FRANCES S (Ii Applicabls�Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW Q 1.Original Retum Q 2.Supplemental Retum Q 3.Remainder Retum(Date of Death Prior to 12-13-82) 0 4.Limited Estate � 4a.Future Inte�est Compromise(date of Q 5.Federal Estate Tax Retum Required death after 12-12-82) Q 6.Decedent Died Testate Q 7.Decedent Maintained a Living Trust � 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) Q 9.Litigation Proceeds Received Q 10.Spousal Poverty Credit(Date of Death Q 11.Electi to Tax under S�9113(A) Betw�een 12-31-91 and 1-1-95� (Attac�' chedule O) � � � CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL C�tRESPON�NCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DI�TE�O: C-- ,� � Name Daytime Tel�o�I�nbe� � � ROBERT G . FREY 717243�,8� � ...�� `� � � � � � . RE �O�WILL&�SE 0,,,�Y� '� � �� ""} '"'- � �► �,� .�.�.. �J � First Line of Address --a --f C:r 6..�`""_, rt7 �'~''' C? C1? t� 5 S. HANOVER ST. �'' �► Second Line of Address City or Post Office State ZIP Code DATE FILED CARLISLE PA 17013 Corrsspondsnt's s-mail address: R F R E Y a�F R E Y T I L E Y.C 0 M Under penalties of perjury,I dedare that I have examined this retum,including accompanying 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 information of which preparer has any knovuledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS 5 SOUTH HANOVER STREET., CARLISLE, PA 17013 SI NATURE OF PREP RE O ER N EP ES NTATIVE DATE � ADDRESS PLEASE USE 01�1�31NAL FORM ONLY Side 1 � 1505611180 1505611180 J � . � 1505611180 REV-1500 ��1��FI) PA Depa�tment of Revenue Pennsylvania OFFlCIAL USE ONLY DEPPRTMENT OF RE�NUE County Code Year File Numbe� Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280601 �rr�sb��,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 02262�13 1225193? Decedent's Last Name Suffix DecedenYs First Name MI MYERS FRANCES S (It Applicable�Enter Surviving Spouss's Intormation Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW 0 1.Oriyinal Retum � 2.Supplemental Retum � 3.Remainder Retum(Date of Death Prior to 12-13-82) Q 4.Limited Estate Q 4a.Future Interest Compromise(date of 0 5.Federal Estate Tax Retum Required �ath after 12-12-82) �X 6.Decedent Died Testate 0 7.Decedent Maintained a Living Tnist � 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) Q 9.Litigation Proceeds Received Q 10.Spousal Poverty Credit(Date of Death 0 11.Election to Tax under Sec.9113(A) . Betw�een 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE ANO CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number ROBERT G . FREY 7172435838 � REGISTER OF WILLS USE ONLY First Line of Address 5 S. HANOVER ST. Second Line of Address DATE FlLED City or Post Office State ZIP Code CARLISLE PA 17013 Correspondent's e-mail addross: R F R E Y o�F R E Y T I L E Y.C 0 M Under pena�ies of peryury,I dedare that I have examined this retum,including accompanying 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 information of which preparer has any knovuledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS 5 SOUTH HANOVER_ STREET., CARLISLE, PA 17013 SIGN�qTURE OF PREPARER O ER THAN REPRESENTATIVE DATE � 7�'� Zai, ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 L 150561],180 1505611180 J 1505611180 � REV-1500 �t°�-"��F'� OFFlCIAL USE ONLY . PA Department of Revenue �n,�„�s,,ylV�a�a County Code Year File Number � Bureau of Individual Taxes INHERITANCE TAX RETURN � PO BOX 28�01 ; ��b��,PA 17128-0601 RESIDENT DECEDENT ` ENTER DECEDENT INFORIIAATION BELOW ; Social Security Number Date of Death MMDDYYYY Date of Birth MMDDWYY 02262013 12251937 DecedenYs Last Name Suffix Decedent's First Name MI MYERS FRANCES S (It Applicable�Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security N�unber THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPt�IATE BOXES BELOW � 1.Originai Retum Q 2.Supplemental Retum � 3.Rerr�inder Retum(Date of Death Prior to 12-13-82) Q 4.Limited Estate Q 4a.Futu�Interest Compromise(date of Q 5.Federal Estate Tax Retum Required death after 12-12-82) � 6.Decedent Died Testate Q 7.Decedent Maintained a Living Trust � 8.Total Number of Safe Deposit Boxes � (Attach Copy of wll) (Attach Copy of Trust) � 9.Litigation Prooeeds Received 0 10.Spousal Poverty Cred'd(Date of Death Q 11.Election to Tax under Sec.9113(A) � Between 12�31-91 and 1-1-957 (Attach Schedule O) � a CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORINATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number � ROBERT G . FREY 7172435838 { REGISTER OF WILLS USE ONLY � ; First Line of Address , i 5 S. HANOVER ST. Second Line of Address DATE FlLED City or Post Office State ZIP Code CARLISLE PA 17�13 CoRaspondent's e-mai�add ress: R F R E Y o�F R E Y T I L E Y.C 0 M Under penalties of perjury,I dedare that I have examined this retum,i�lud'mg accompanying schedules and statemeMs,and to the best of my knowledge and beGef, d is ,correct and c�m lete.Deciarafion of re rer other than the rsonal re resentative is based on aq infoRnation of which re rer has an knowled e. TURE�F PE SON RESPONSIBLE FOR FILING RETURN A� � / DRESS � 5 SOUTH H OVER STREET, CARLISLE, PA 17013 ; SI NATURE OF PREP RE O ER . N EP ES NTATIVE DATE � ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 � 1505611180 1505611180 � . 1505611280 � REV-1500 EX(�1) DecedenYs Social Security Number �ecedent'sName: FRANCES S MYERS RECAPITULATION 1. Real Estate(Schedule A).... ........... .. . .... ... ...... . ...... ... 1. 13 8 O O O. 0 0 2. Stocks and Borxls(Schedule B)... .. ... .. .. . .. .. ... .. .. . .. .. .. . .. 2. N 0 N E 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C). .. 3. N 0 N E 4. Mortgages and Notes Receivable(Schedule D). .... ..... .... ..... ... .. a. N 0 N E 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E).. .. 5. 8 3 6 8.0 0 ; 6. Jointly Owned Property(Schedule F� �Separate Billing Requested.. ..... 6. N 0 N E '; 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property � �s�r,ed�ie c� �Separate Billing Requested.... ... 7. 9 4 2 5.0 0 8. Total Gross Assets(total Lines 1 throu9h�. .. .. . .. .. .. . .. .. ... .. ... . 8. 15 5 7 9 3.0� 9. Funeral Expenses and Administrative Costs(Schedule F�..... . .. . .. ... .. 9. 1�3 O 4 .�� 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)... .. ... .. .. 10. 14 7.�� 11. Total Deductlons(total Lines 9 and 10).. . .. .. . .. .. . .. .. ... .. .. . .. .. 11. 17 4 51. �0 12. Net Value ot Estate(Line 8 minus Line 11).. ... .. .. . .. .. ... .. .. . .. ... 12. 13 8 3 4 2. 0 0 ; 13. Charitable and Govemmer�tal Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J). .. .. ... . . ... .. ... ..13. �•�� ; 14. Net Valus Subject to Tax(Line 12 minus Line 13). .14. 13 8 3 4 2. 0 0 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES �� 15.Amourrt of Li�14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.0 � 15. �•�0 16.Amount of Line 14 taxable at�inea�ratex.o 45 138342.0� �6. 6225.39 17.Amount of Line 14 taxable at sibling rate X ##�1 17. �• 0� 18.Amou�of Line 14 taxable at collateral rate X ###I 18. �•�� 19.TAX DUE... .. ... .. .. ... .. . .... ... .. .. ... .. ... .. .. . .. .. .. . .. .. .. 19. 6225. 39 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT � Side 2 L 15056],1280 150561128D � REV-1500 EX(FI) Page 3 File Number . 177-30-9039 Decedent's Complete Address: 21-13-0267 DECEDENT'S NAME FRANCES S MYERS STREET ADDRESS 1810 PINE ROAD CITY STATE ZIP NEWVILLE PA 17241 Tax Payments and Credits: 1. Tax Due(Page 2, Line 19) (1) 6225.39 2. Credits/Paymer�ts A.Prior Payments s3oo.aa 6.Discour�t 315.00 Total Credits(A+B) (2) 6615.00 3. Interest t3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in box on Page 2,Line 20 to request a refund. (4) 389.61 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0.00 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred....................................................................................... ❑ � b. retain the right to designate who shall use the property transferred or its income.......................................... � � " c. retain a reversionary interest.......................................................................................................................... ❑ � d. receive the promise for life of either payments,benefits or care?................................................................... ❑ � 2. If death occurred after Dec. 12, 1982,did decedent transfer prope�ty within one year of death ! without receiving adequate consideration?.......................................................................................................... ❑ � ' 3. Did decedent own an"in trust for"or payable-upon-death bank accour�t or security at his or her death?............ � � ` 4. Did decedent own an individual retirement account annuity or other non-probate property,which , � contains a beneficiary designation?.................................................................................................................... ❑ � IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)()J. For dates of death on or after Jan.1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent (72 P.S.§9116(a)(1.1)(ii)�.The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requiremer�s for disclosure of assets and filir�g a tax retum are still applicable even if the survivirx,�spouse is the only beneficiary. For dates of death on or aiter July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive pare�t or a stepparer�of the child is 0 pe�cent[72 P.S.§9116(a)(1.2)]. • The iax rate imposed on the net value of transf�s to or for the use of the decedenCs lineal benefiaaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)J. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined,under Section 9102,as an individual who has at least one parerrt in common with the decedent,whether by blood or adoption. REV-1502 EX+(01-10) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCETAXRETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Frances S Myers 21-13-0267 Ail real property owned solely or as a tenarrt in common must be reported at fair market value. Fair maricet value is defined as the price at which property would be exchanged betw�een a willing buyer and a wiHing seller,neith�being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Reai property that is jdntly owned with right of survivorship must be disclosed on Schedule F. ITEM �ach a copy of the settlement sheet if the property has l�en sold. VALUE AT DATE NUMBER Include a copy of the deed showing decedent's interest if owned as tenar�t i�common. OF DEATH DESCRI PTION 1. 1810 Pine Road, Nevwille, HUD-1 settlement statement attached 138,OOQ TOTAL(Also enter on Line 1, Recapitulation.) $ 138 000 If more space is needed,use additional sheets of paper of the same size. REV-1508 EX+(11-10) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. ��T N°�'E°,��RN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Frances S Myers 21-13-0267 Include the proceeds of litigation and the date the proceeds were received by the estate. . All propsrty jantlyowned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 M&T Bank Acct. NO. 8892233969 5,261 2 Personal property sold at auction,Auction No. 130423, net proceeds 1,103 3 Tax prorattion from HUD-1 Settlement Statement 651 4 Personai property sold at auction,Auction No. 13Q430, net proceeds 1,048 5 Erie Insurance, automobile insurance refund 265 6 Erie Insurance, Home owner's insurance refund 11 7 Refund 29 TOTAL(Also enter on line 5, Recapitulation) S 8,368 If more space is needed,use additional sheets of paper of the same size. i 3 � i 1 REV-1511 EX+(10-09) o SCHEDULE H ; pennsylvania DEPARTMENT OF REVENUE FUNERAL EXPENSES AND � RES DENT DECEDENTrURN ADMINISTRATIVE COSTS � ESTATE OF FILE NUMBER � Frances S Mvers 21-13-0267 � � Deceder�t's debts must be reported on Scheduls L , , ITEM j NUMBER DESCRIPTION AMOUNT � A. FUNERAL EXPENSES: � � 1. Hollinger Funeral Home 2,439 � � 2. Mt. Holly Church of God, Lunch 200 ! 3. Hollinger Funeral Home g,07p � � ,, � 3 k 9 � d 8 � � � � � � B. ADMINISTRATIVE COSTS: � � 1. Personal Representative Commissions: � � Name(s)of Personal Representative(s) � b � Street Address � � Ciiy State ZIP � Year(s)Commission Paid: � � ., � � 2. Attomey Fees: 2,500 � 3. Family Exemption:(If decedenYs address is not the same as claimanYs,attach explanation.) � � Clairrnant � � Street Address � City State Z1P � Relationship of Claimarrt to Decedent 1 � ; 4. Probate Fees: 354 � � 5. AccountaM Fees: � 6. Tax Retum Preparer Fees: 7. Expenses in connection with real estate sold 2,224 � 8. Ex ense of haulin ersonal ro ert to auction 231 P 9P P P Y 9. Advertising in Cumberland Law Journal and the Sentinel 286 � � ; � � � `� TOTAL(Also enter on Line 9, Recapitulation) S 17,304 � If more space is needed,use additional sheets of paper of the same size. j 7 � REV-1510 EX+(Og-0g) SCHEDULE G pennsylvania DEPARTMENTOFREVENUE INTER-VIVOS TRANSFERS & INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Frances S Myers 21-13-0267 This schedute must be completed and fi�d if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCIUDE THE NAME OF THE TRANSFEREE,THEIR R0.ATIONSHIP TO DECEDENT MID DATE OF DEATH °�6 OF DECD'S EXCLUSI ON TAXABLE NUMBER T�'�E DATE OFTRANSFER ATfACH A COPYOF 7}iE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST ��F�u�E� VALUE 1. Western 8�Southern Annuity 9,425 100.00% 0 9,425 0 0 0 0 0 0 a a 0 0 0 0 0 a 0 , o a 0 0 0 0 a 0 0 0 0 a a 0 0 0 0 0 a 0 a 0 0 0 a 0 0 a 0 0 TOTAL Also enter on Line 7 Reca itulation s 9 425 If more space is needed, use additional sheets of paper of the same size. REV-1512 EX+(12-08) pennsylvania SCHEDULE I DEPARTMENTOFREVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN RESIDENTDECE�NT MORTGAGE LIABILITIES &LIENS ESTATE OF FILE NUMBER Frances S Myers 21-13-0267 Report debts incurred by the decedenf prior to death that r+emained unpaid at the date of death,including unr+eimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Martinsburg Radiology 147 ; ; ; , � , ;, � � .� s a ; -f i a TOTAL(Also enter on Line 10,Recapitulation) a 147 K more space is needed,insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Frances S M ers 21-13-0267 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECENING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] � Dixie DeJesus 626 Coon Road,Aspers, PA 17304 Daughter 1/3 of Residue 2 Michelle R. Redding 1fi0 Rake Factory Road, Bigglervile, PA 173Q7 Daughter 1/3 of Residue 3 Brian C. Myers 62 Tervis Circle,Apt. 3, Martinsburg,WV 25404 Son 1/3 of Residue ENTER DOLLAR AMOUNTS FOR DISTRIBUl10NS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. ' II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II—ENTER TOTAL NON-TAXABLE DISTRIBU?IONS ON LINE 13 OF REV-15Q0 COVER SHEET. S 0.00 If more space is needed,use additional sheets of paper of the same size. Real Estate Expenses Parks Garbage, Dumpster 321 PPL 47 PPL Finat bill 55 Expenses from HUD-1 Settlement Statemerrt 1,801 ; Total Expenses of Real Estate 2.224 ; � � � a � � 9 � l -s A.Settlemerrt Statement(HUD-1) :i s ( ) 1.FHA Settlement Statement-U.S.De artment of Housin nnd Urban Devel ment Fortn US HUD-1 Pa e tJo. 1 ( )2.FmHA � 6. ile NumDer .Loan Number .Mortgage Insurance O 3:Conv.Unins. Case Number ( ) 4.VA ( )5.Conv.Ins. G This fortn is fumshed to give you a statement of actual settlement costs.Amour►ts paid to and by the settlement agent are shown. ttems marked"(p.o.c.j"were paid outside of the dosin ;tt►ey are shown here tof informational purposes and are not induded in tlie totals. D. Name and Address of Borrower: E.Name and Address of Seller. F.Name and Address of Lender: LEONARD N.HURST ESTATE OF FRANCES 5.MYERS N/A PAULINE B.HURST DIXIE L.DEJESUS 1795 PINE ROAD 1810 PINE ROAD NEWVILLE,PA 17241 NEWVILLE,PA 17241 G. Property Locatian H.SettlemeMAgent Settlemc�t Dabe: 1810 PINE ROAD,NEWVILLE,PA 17241 FREY 8 T1LEY A ril 29 2013 PENN TOWNSHIP Place ot sett�ment 10 A.M. CUMBERLAND COUNTY 5 SOUTH HANOVER STREET PARCEL NO. 31-12-0332-014 CARLISLE,PA 17013 t �- • _�--• -� • • �' � -� • • •.:•.,Ainn'�.;•;:.•.:,•:-;1'0:8'...,`::;.:;�>:;:i'i.i'>i::':�:'�i:�:'i<i%'i�i:�:`'i�>'�:�i`i�::�i:::�::�i:�i:;:�:�:::�:�>�:::i�i:�::�i:�::�::�`i�::�i:�:'i�:�:��:�:�'i:':::;. 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:;3o�::rasir:;....;�i>:;:':`.i'o:�riii��iac::>;:�;:;>;:�;::;;>;::;::�:::;:;:.:.::;:.>;:.:;;;;:;;;:� 135,218.47 sa�;East�i:E:I:��....t..l........p..:.:.:...:............................................... � .:.:...L?�,:•:::•.�.��.:�.:.�:,:..:...:.....,:::::...:..:�......::.:,:..:..•...::•.: .:..:..::..:....:.:.... --- -- -- ��___-�_�__� =s� -_s--�m:' _ � __�___� .._ �nitials Page 1 of 4 Initials � ; Huo-� ADDENDUM Additional Settlement Char es to Borrowe�: Additional Settlement Char es to Seller: Total to line 105 Q Total to Line 509 0 INFORMATION REPORTING ON REAL ESTATE TRANSACTIONS � THIS HUD SETTLEMENT STATEMENT COtJTA1NS IMPORTANT TAX INFORMATION(BOXES E,G,H,I,M AND LINE 401)AND IS BE1NG FURNISHED TO i THE INTERNAI REVENUE SERVICE. IFYOU ARE REC�UIRED TO FILE A RETURN,A NEGLIGENCE PENALTY OR OTHER SANCTiON 1MLL BE IMPOSED ON YOU IF THIS ITEM IS RE�UIRED TO BE REPORTED AND THE INTERNAL REVENUE SERVICE DETERMINES THAT IT HAS NOT BEEN REPORTEO. TAX PRO-RAT10N ADDENDUM DaU of Pro-Ratlon: Borrovwr Sellsr SCHCOL REAL ESTATE TAX Owes::::::::;:;�::<::�#:::;>�:;::::�;�::>::.;>.;:�;:;<:;;:;«;3;::::::::��::;:;::�::��;�:;::;: 1 to June 30 2013 A ril 29 20 13 fiom 1 20 2 � . . � P ............... ....................... � Schod Real Estate Tax-Face 52.207.37 :• .. P:o.a... . ,. ; School Real Estate Tax-PPr Dey S 6.04759 �i<�;�:>?'''�;3::?';:�':`•::�i�:i�>:;:>:�'>::�»?>�:�;�::��:i:�i�;:'•;:`;:''i�i�>;;s3:i;;� ASS SMEN7: ES ; ........ ........................... ............................................................................................. ......::::.....:.........:.:............... . ••:•:::;:;:;:::::;::::::�::>::•::•::•:::::•:::::>::•::•;>;::::•::•::•::::::•:>:;:::: t 5189,100.00 COUNTY b MUNICIPAL TAX Ows�:;;;::;:>:r;:>:;:>:�;::::::::;::::;:::�:::;:::>::::�>?:::;:::;:;:•;:>:>:>:':: t .::.:.:.:.•.:..�..�.:.:.::...:.................................................................................................................:•:•:�::::.:::•::��:•:•:•:•:•.:.�::,:::•:•:•:�:•:•:•:•:•::::�:.:�:•:•. from Janu 1 2013 to December 31,2013 �Y , ................. ..................... Co.8 Munic.Reel Estate Tax-Face 430.01 421.41 , Co.d Munic.R�1 Estate Tax-Per Dey t.18:>:::;�::::::::::.::>:;�::>:::::>;>::::;`::>::�::>::�;::::�:;::�:>:':;>::::::>:'::.;:.::::: a S t Sw 3 ttlom nt Me • : •:••.•:•:-::•.�.,..,....:.....:.:...:..:::.,..;.,..:.,-.;.;.,..,.,.,.::.:.,.:....•.......... ................................... ........... .................... �� Yes 108�408,110 6 410, School taxes P.O.C.or charged to Seller: x 210 b 510,214�514, Schod taxes P.O.C.or charged to Barower and 1303 for Co.8 Munic.P.O.C.or charged to S�ler: x Results of this Addend�an. Co.�Munic.P.O.C.or charged to Borrower Page3of4 499 Mitchell Road,Millsboro,DE 19966 Adjustment Services Phone 888-502-4349 F ax (302)934-2955 March 27,2013 : Frey & Tiley Attorney at Law 5 South Hanover Street Carlisle,PA 17013 Re: Estate of Frances S. M,� Social Securitv: Date of Death: Feb 26, 2013 Dear Sir or Madam: Per your inquiry on March 15,2013,please be advised that at the time of death,the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Number 8892233969 Ownership(Names o� Frances S.Myers Brian C.Myers(POA) Charles G.Myers Opening Date 12/06/2002 Balance on Date ofDeath $5,261.22 Accrued Interest $ .03 ............................................................................................................... Total $5,261.25 For any additional information on the above accounts,including ownership and any changes,closures and/or reimbursement of funds, please call the Mount Holly Springs at 717�86-3038. We were unable to locate any safe deposit box for the above-mentioned decedent. This letter does not include any accounts in which the deceesed may have been Gsted as Power of Attorney,Custodian of Uniform Transfers, Representative Payee,or Trustee under a Written Agreement Sincerely, Valarie Mercer Adjustment Services �� X��3�� €�a�� a��: u��.�u�;�u��. >�1B�i;Er ��'1P.3nSUF3:iC6 Gt_�u� (�G ct��tf�s.Fl. cfi?:P!'i'55:i� �� ir��i��i+. �� +�. ��!iV� I��i�n+eL� �r�sureE� ESTATE 4� FRAt�CES S �iiYERS : ��T��{VI�C1:RCL�A�'; 3 P��€cyho#des �ar�e: E�TATE C�F FRA�lCES S .�'. NIYERS MARTINSEURG �JV �5�� ;�,�' , .��::�. �'�s�icy Nur��e�-•< �t�12�fl138� �sa,�o�, �'c�licy Ty��: Priv�fe Passer�g�r Auta ��a.� Balance P�rio�to C�ncel�at�on: $�.q� f Cance��a�it�n Cr�di�. �2fi5.�0 CR. �in�( 8alan��: $�6�.�()GR Due Qate: � :.:............ .... , _ _ . A�€��C��e;... -..... .-;: ......::... �'-��.�4� . _. . R. * F�efund�he�k to�vl)�aw wi�h�n 15 d�ys Y�u w��e;prevtc�u�I� noti��ed that th�a�ove-�-�fie�e�:�ed palicy�v��u�d t�r�:inate or terf-r:i�a�e� e#fectiv� OAl23l�a'��: By thfs not��; �rve are con{irr�ing that yaur�c�lic� is ca�eell��, and any cov�rage prov�ded therein wi(i �erminat� or t�rrrs�ra#ed �n 04;29/2�13. ; Addit�oha� pr�mium p;ayr��n��nr€11 n�t result i€� the reinstatemen� of this ��licy. C�ntact yc�ur Agent ��yau n�ed assis��nce in obtaining rep�acement coverage. �R1E A��n# Agen�Numbei A�k7fi4� DtJUGL�S � GARf�iTY � 1756 �lEV�/1fILLE R� , � CRR�.1�L�, PA �7Q�5-7��1 4 �717� �43-34G7 : _, _ Puoenz : � ►J�'! 1,...t I�.r ii 3�t,tf.C.i!.(L„l�;,i ,l ��i�� ' �a�� a��: 44/3�1�a13 ; , � tAernbei Erie Ensura�;.e:�+;,ei�. iiK�r�e irs.FI. • E��ai F::1t�53a � ��a� ��.�� :�� Named Insured ; F�AN.CE� S'MYER� 62 TER1�l5 G#RCLE I�PT 3 P'olicy��ld`er 1Name: FRA�i�ES S MY�RS ; MARTINSBUR�� 1tV\,f 254�4 ��,�• Pcali�y �Iut��e�: ��Q�7023�4 :��.t;:�:t Po�icy T}�pe: l�Q�e Prot�ctor , _ �3n�aoe� 8atance Pri�rr�o Gancetta�ic�n: $459.5fl '�7�`� Can�e�lafiio� C��dit: �4�D.�0 CR �inai Ba�ance: $��.5� �R. �ue �at�;; .... ��aun� �u�.. �. � ; : - e , �� R �'Refu�� G�eek�a fflllov�witi�in 15 d�ys �(ou were pr�v��c�usiy nati#�ed trtat the above-ref�rer�ced �olicy would termir,atE or t�rrninated +��fective 0413412Q'�3. � By th�s ��t�ce;,;w� ar� conf�rmin�'that�rour policy is ca�c�(��d, ar�d an�� covera�e �rovid�d thereir: v�f�l� � t��minate or terminated on �413a1�0�3. ; Addit�canai pr�m#urn payrnents v�i�l �at result in the �e€nstat�m�nt of t�iS policy. : 3 C�ntact�rour A��nt if yau need assi�#an�e in obta€ning replac��e,��eo�erage. ERIE A�ent A�ent�l�mber AR�64� � _ _ _ � �C3U�C;AS E GARRITY 1786 NEWVILL:� RD E �RR�ISL�E, PA �70�15-74�� , __ _ _ � (717}243-3467 � � ;:;; .;:::::. .::.::::: ;.......:.::...:..:.. :;:.:.:.. ;..:;:::: ..:.:::;...:::;:;: ..::;:.:; .....:>:> .:::;::.:.... ;;;:...: ;.:.:;::.:...:...... .:......:;:.::....... . ..... ............. . .. . . ........ ...: .. :..:. : � . � � ; � s : . PCt14�J:7 � YINGLING AUCTIONSSRING 287 COLD SPRINGS ROAD GBTTYSBURG�PA/17325 PHONg: (711)334-1568 05/14f13 - - CONSIGNOR STATBMBNT - - PAGB 1 CONSIGNOR NOMBBR ; 25 AUCTIOA NUMBBR : 130423 NAMB . : DIXIB DBJBSUS 1626 COON RD ASPBRS, pA 17304 (117) 617-6910 PROD ITM INV UNIT TOTAL COMMISSION SBLLBR'S RBSgRVB ; CODB N0. ------ ITBM DBSCRIPTION ------- N0. QTY PRICB PRICB AMOUNT NBT AMOUNT AMOONT BIDDBR # ------------------------------------------------------------------------------------------------------------------------•---------- 2182 TRUCK CAP FOR A FULL SIZB 1 20.00 20.00 35� 7.00 13.00 ,00 292 TRUCK/BLACK IN COLOR 2183 BNGRAVING TOOL�RNIFB 1 2.50 2.50 35� .88 1.62 .00 274 2184 A% HANDLB(CflOICB) 1 1.00 1.00 35� .35 .65 ,00 352 2185 A� �ANDLB, PAIR 1 .50 ,50 35� .1$ .32 ,00 335 2166 TRAY LOT TOOLS 1 6.50 6.50 35� 2.28 4.22 .00 326 2181 BO% LOT LIGHTfSPRAY$R 2 3.50 7.00 35� 2.45 4.55 .00 310 2168 B0� LOT CHBM�TOOLS 5 1.00 5,00 35� 1.75 3.25 ,00 193 > 2189 BOX LOT BOORSrT00L 1 .50 .50 35� .18 .32 .00 232 2190 FLASTIC PIFB,PAIR 1 .50 .50 35� .18 .32 ,00 193 2191 TOOL:DRAW KNIFS, BAC� 2 5.00 10.00 35� 3.50 6.50 .00 315 2192 TOOL:S4CKBTS/DRILL�WRBNCH 4 22.00 88.00 35� 30.80 57,20 ,00 326 2193 PIPB WRSNCH 2 8.00 16.00 35� 5.60 10.40 .00 317 2194 TRAY LOT VISB GRIPS 1 7,00 7.00 35� 2.45 4.55 .00 326 2195 WR$NCH -SBT 1 7.00 T.00 35� 2.45 4.55 .00 193 2196 WRgNCHS 1 7.00 7.00 35� 2.45 4.55 .00 326 2197 CLAMPS 1 6.00 6.00 35� 2.10 3.90 .00 220 2195 BOX LOT TOOLS 1 7.00 7.04 35� 2.45 4.55 .00 292 2199 WRBNCHS 1 5.00 5.00 35� 1.15 3.25 .00 326 2200 WRBNCHS 1 3.00 3.00 35� 1.05 1.95 .00 366 2201 WRBNCHS 1 5.00 5.00 35� 1.75 3.25 .00 361 2202 TOOLS: WRBNCHS 4 2.00 8.00 35� 2.60 5.20 .00 193 2203 BBLT SANDBR 1 1.50 1.50 35� .53 .97 .00 326 2204 WRSNCHBS�LIGHT BULBS 2 1.00 2.00 35� .?0 1,30 .00 363 2205 TABLB LOT TOOLS 1 1.00 1.00 35$ .35 .65 .00 292 2206 BOX LOT TOOL BBLT 1 9.00 9.00 35� 3.15 5.85 .00 315 2207 BOX LOT HAMMBRS/SRILL SAW 2 10.00 20.00 35$ 7.00 13.00 .00 326 2208 BOX LOT TOOLS/DRILL 2 8.00 16.00 35� 5.60 10.40 .00 292 2209 BUFFBR�DRILL�BLBT SANDBR 3 5.00 15.00 35� 5.25 9.75 .00 291 2210 TOOLS 2 5.00 10.00 35� 3,50 6.50 .00 193 2211 BOX LOT WASHBRS 1 7.00 7.00 35� 2.45 4.55 .00 113 2212 BOX LOT BITS 1 3.00 3.00 35� 1.05 1.95 .00 193 2213 BOX LOT SCRBW DRIV6RS 1 2.50 2.50 35� .88 1.62 .00 315 2214 BOX LOT CHAIN LOT 1 1.00 1.Q0 35� .35 .65 .00 111 2215 BOX LOT SLBC�SANDBR TOOL 2 1.00 2.00 35� .70 1,30 ,00 193 CONTINUBD YINGLING AUCTIONBBRING 287 COLD SPRINGS ROAD GBTTYSBURG�PA�17325 PHONB: (117)334-1568 05�14�13 - - CONSIGNOR STATBMBNT - - PAGg 3 CONSIGNOR NO�BBR : 25 AUCTION NUMBSR : 130423 NAMB . DIXI$ DBJBSOS 1626 COON RD ASPSRS, PA 17304 (71?) 677-6910 PROD ITM INV UNIT TOTAL COMMISSION SBLLBR'S RBSBRVB � CODB N0. ------ ITBM DBSCRIPTION ------- N0, QTY PRICB PRICB AMOUNT NBT AMOUNT AMOUNT BIDDBR # -----------------------------------------------------------------------------------------------------------------•----------------- 2251 BOX LOT BOOKS�HARDWBAR 1 .25 .25 35� .09 ,16 .00 366 2252 GAS LBAF BLOWBR 1 42.50 42.50 35� 14.88 27,62 .00 321 2253 DBWALT JIG SAW-TOQL 1 42.50 42.50 350 14.88 27.62 .00 274 2254 SAW-ZAW,TOOL 1 10.00 10.00 35� 3.50 6.50 .00 313 2255 WBBD WACRBR-GARDgN TOOL 1 7.00 7.00 35� 2.45 4.55 .00 31? 2256 COMS-A-LONG 1 24.00 24.00 35� 8.40 15.60 .00 326 '; > 2251 COMB-A-LONG 1 16.00 16.00 35� 5.60 10.40 .00 197 2258 BLBC MOTOR flOYST 1 9.00 9.00 35� 3.15 5.85 .00 193 2259 B0� LOT HARDWBAR 1 9.00 9.00 35� 3.15 5.85 .00 366 2260 BAIT BOCKBT 1 6.00 6.00 35� 2.10 3.90 ,00 342 2261 SBBDBR 1 2.00 2.00 35� .70 1.30 .00 193 - 2262 TOOL: HgDGg TRIMMBR 2 1.50 3.00 35� 1.05 1.95 ,00 353 ; > 2263 TRAY LOT HARDWBAR LOT 1 2,50 2.50 35� .88 1.62 .00 232 2264 TABLB LOT HARDWBAR�TRIMMBR 1 .50 .50 35� .18 .32 .00 258 2265 LARGB LITTLBSTOWN VISB:TOOL 1 25.00 25.00 35� 8.15 16.25 .00 291 2266 SBT QF SLIVBRWBAR 1 2.00 2.00 35� .70 1.30 .00 218 2261 TRAY LOT T04LS 2 12.00 24.00 35� 9.40 15.60 .00 326 2268 PART CABNIBT�TOOLS 2 9.00 18,00 35� 6.30 11.70 .00 366 2269 BOX LOT BOORS 1 3.00 3.00 35� 1.05 1.95 .00 317 2270 TOOLS BIN�PARTS KIT 2 2.00 4.00 35� 1.40 2.60 .00 353 2271 FAN/BOg LOT BOOKS 1 2.00 2.00 35� .10 1.30 .00 292 2272 TRI-POD 1 1.50 1,50 35� .53 .97 .00 309 2273 TABLB LOT BOOKS 1 .50 .50 35� .18 .32 .00 193 2274 DOLL BABY-BLUB DRBSS 1 2.00 2.00 35� .70 1.30 .00 209 2275 DOLL -KBWPIg 1 22.00 22.00 35� 7,70 14.30 .00 320 2216 TOYS 2 4.00 8.00 35� 2.80 5.20 .00 292 227? IRON 1 6.00 6.00 35� 2.10 3.90 .00 79 2278 DISHBS 1 2.50 2.50 35� .88 1.62 .00 291 2219 MBTAL BAS�BT 1 2.50 2.50 35� .88 1.62 .00 79 2280 CARB STAND 1 2.00 2.00 35� .70 1.30 .00 3b2 2281 BAKING DISHBS 1 1.50 1.50 35� .53 .91 .00 304 2282 TRUCK-TOY 1 1.00 1.00 35� .35 .65 .00 313 2283 STACR �F BOOKS 1 2.50 2.50 35� .88 1.62 ,00 365 2284 CAT TP HOLDBR 1 1.50 1.50 3S� ,53 .91 .00 79 2285 BARING PANS 1 1.00 1,00 35� .35 .65 .00 258 CONTINUBD . - YINGLING AUCTIONBBRING 287 COLD SPRINGS ROAD GBTTYSBURG�PAf17325 PHONB: (717)334-1568 05�14�13 - - CONSIGNOR STATBMBNT - - PAGB 5 CONSIGNOR NUMBBR : 25 AUCTION NUMBBR ; 130423 NA�B . DIXIB DBJBSOS 1626 COON RD ASPBRS, PA 17304 (711) 6T7-6910 PROD ITM INV UNIT TOTAL COMt9ISSI0N SBLLBR'S RBSSRVB CODB N0. ------ ITBM DBSCRIPTION ------- N0. QTY PRICB PRICB AMOONT NBT AMOONT AMOUNT BIDDBR # ----------------------------------------------------------------------------------------------------------------------------------- 2354 TOOLSjGARDBN(ALI,) 1 1,00 1,00 35� .35 .65 .00 318 2355 KITCHgN STOOL,TURNS 1 1.00 1.00 35� .35 .65 .00 292 2356 LARGB TOOL BOX 1 35.00 35.00 35� 12.25 22.75 .00 373 2351 PUSH MOWBR W/BAG 1 . 32.50 32.50 35� 11.38 21.12 .00 327 � 2356 TR4Y BUILT ROTTO-TILLBR 1 160.00 160.00 35� 56.00 104.00 .00 370 2359 MgTAL CABINBT-GRAY 1 7.00 7.00 35� 2.45 4.55 .00 366 2360 TABLB & LOG ROLLBR 1 55.00 55.00 35� 19.25 35.15 .00 292 23b1 HBATBR 1 2.00 2.00 35� .10 1.30 .00 378 2362 FILS CABINBT-GRBBN 1 1.00 1.00 35� .35 .65 .00 3T8 2363 LARGB WHITB MBTAL CABINBT 1 1.00 1.00 35� .35 .65 ,00 258 TOTAL GROSS SAI,B AMOUNT 1,691.25 ACT�AL SALgS TOTAL 1,697.25 I,BSS COMMISSIOR 594.23 COMPLBTBD : YBS NO TOTAL NBT PROCBBDS 1,103.02 TOTAL ITBMS: 149 TOTAL DUB TO SBLLBR 1,103.02 AV8RAG8 ITBM COMMISSION AMOUNT 3.99 NQTB ; Thank You! > = BIDD$R OF THIS ITBM IS ON ACCOUNT. t�� . r• � � � Hollinger Funeral Home & Crematory, Inc. Eric L.Hollinger,Supernisor February 26,2013 Brian C. Myers � ; 62 Tevis Circle Apt.3 s Martinsburg,West Virginia 25404 ; The Funeral Service for Frances S. Myers: a � � iJ�ie sincerely appreciate the confidence you have placed in us and will continue to assist you in every way we can. Please 3 feel free to contact us if you have any questions in regard to this statement. ' THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES,AUTOMOTIVE EQUIPMENT,AND { MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. Professional Service Traditional5ervices $ 5150.00 5 Merchandise � Columbia Oversized 2595.00 Clark 12 ga Steel 1325.00 ' Memorial Package—Register Book, Memorial Folders, ; ; Acknowledgement Cards, Bookmarks Gift from Dave � � AT THE TIME FUNERAL ARRANGEMENTS WERE MADE,WE ADVANCED CERTAIN PAYMENTS TO OTHERS AS AN � ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES. Cash Advance ; � ' Certified Copies of Death Certificate(10@$6) � 60.00 Flowers 250.00 Sentinel Newspaper 159.04 Minister 125.00 ' Graving Opening 700.00 ` Granite Stone&installation 770.00 � Cemetery Equipment � 375.00 ; � < Balance $ 11,509.04 ; � 501 NORTH BALTIMORE AVENllE • M011NT HOLLY SPRINGS, PENNSYL�7ANIA 17065 • (717) 486-3433 • FAX(717)486-3215 www.hollingerfuneralhome.com WSFG 4/26/2013 10:32:52 AM PAGE 2/002 Fax Server Annuity Operations � Western & Southern Life PO BOx 2918 Cincinnati,OH 4520 t•2918 A member ct V��estern&Scutt�ern F,nanc�a�Gro�,p Ioli f ree 800.926.1702 f ax 513.629.1799 Apri126.2013 � BRIAN C MYERS 62 7EV1S CIRCLE APT 3 MARTINSBURG,INV 25404 � Dear Brian C Myers: Thank you for your request for information on the annuily c�ontracl. i hope the following contract infonnat�on is helpful to you. Annuitant: FRANCES MYERS Owner: FRANCES MYERS Contract Number: W0020696206 Gross amount of check: $9,424.97. Federai Taxes Withheid: $942.50 Sta1e Taxes Wilhheld:$282.75 Net Check Amount:$8,199.72. If you have any questions, please call our Annuiiy Operations Department at 1-800•926-1702: A representative will be happy to help you. � Sincerely, ,� �r �r�c�_ _ E�tr�ar... ` ��' Vemon Mclntyre Sr Case Consultani DC0331-0810 Westem-Southem Lite Assu�ance Company LAST WILL AND TESTAMENT OF FRANCES S. MYERS I, FRANCES S. MYERS, of Penn Township (mailing address: 1810 Pine Road, Newville, Pennsylvania 17241), Cumberland County, Pennsylvania, being of sound and disposing mind,memory, and understanding,do hereby make,publish,and declare this as and for my Last Wil1 and Testament,hereby revoking and making void any and all Wills by me at any time heretofore made. , 1. I d'uect my hereinafter named Exec�tor or Executors to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. I direct that my funeral services be conducted by Gibson-Hollinger Funeral Home in Mount Holly Springs, Pennsylvania,and that my body be interred on my burial lot located in Cumberland Valley Memorial Gardens near the Borough of Carlisle,Pennsylvania. 2. All the rest, residue, and remainder of my estate, real, personal, or mixed, and wherescever the same may be situate,I give, devise,and bequeath to my husband, Chazles G. Myers,his heirs and assigns,to the exclusion of my children,bom or unborn,pmvided my said husband,Charles G. Myers,shall survive me by a period of ninety(90)days. Should my said husband,Charles G.Myers,pred�cease me or fail to survive me by the aforesaid period of ninety (90)days, then in such event all the rest,residue and remainder of my estate,real,personal and mixed,and wheresoever the same may be situate,I give,devise and bequeath in equal shares to such of my children as shall survive me by a period of ninety(90)days, the share any deceased child would have received shall pass to such of his or her issue as shall survive me by a period of ninety(90)days,per stirpes:and if there be no such issue the same shall lapse and be added to the other share or shares,per stirpes. At the present tune I have three(3)children,Brian C. Myers, Michele R.Redding,and Dixie L.DeJesus. 3. I hereby nominate,constitute, and appoint my husband, Charles G. Myers, as Executor of this my Last Will and Testament,but should he predecease me or fail to qualify,then in such event I nominate,constitute,and appoint my three(3)children,Brian C. Myers,Michele R.Redding,and Dixie L.DeJesus,or any of them,as Co-Executors,and i further direct that none of them shall be required to post any bond to secwe the faithful performance of his or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on one(1)page this 27th day of March, 1998. � � i ,�`�c�t,,.,-c,c.�.Q 11 L ° .`/ (SEAL) Frances S.Myers ; Signed,sealed, published and declared,by FRANCES S. MYERS,the Testatrix above named, as and for her Last Will and Testament,in our presence,who, in her presence,at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. c\. �:, �...�� , � �r� `� � �- ,a _ o � � a �'� � N � - ,,,�...�, U ::'"� C o � V rr�"'4. �.. a � Up � x � z G � L!') W � J �i� w Ja � � � � � Qw Q � E a m W � c n � � � � V 1: Page 1 of 1 pages - .