HomeMy WebLinkAbout09-09-13 (3) � �5�561D143
�EV-�5oa IX��_,,, �:;�
PA Oepartmant of Revenue penns IvaNa OFFICIAL USE pNLY
Bureau cf Individual Taxes y caunty Coas va.r Firo r+�esr
un,�ewurtwuvvuc
ao aoxzsoso� tNHERYfANCE TAX RETURN 2y 12 d125
Harrisburg,PA 17128-0601 REStDENT DECEDENT
ENTER DECEDENT INFORMATION BELQW
� Social Security Numher Date of DeSth Date of Birth
01 Z2 2012 d5 21 19b3
DecedanPs Last Namd SuHix pacedenPs First Nama MI
HUNTZ BERNETTE L
(If Applieable)Enter Surviving$pouse's Informatlon Below
Spouse's last Name Suffuc Spouse's First Name MI
Spouse's 5ocial Securfty Number THI3 RETURN MUST 8E FILED IN pUPLICATE WITH 7WE
����sr�R o�w���s
FILL IN AGPROPRiATE OVALS BELOW
�X! t. Original Retum � 2. Supplemen�al Relum G g. Remeinder Ratum(Date M OeaM
Ptlorro 72-19-82)
�.� ._, d. limitad Eatate � 4a.��a�����+2_"��} � 5. F@dCrai EdWU 78u R�um Re9tnretl
r� 8. 4�cwant Diatl 7ermle � poutla Melnawd a Lrvinp iruxt
(pnacn copy ot Wi�p ❑ ' (a1bM�opy o�7run) .....-- 8. Total Numbal'o�Safe Depo9it Bwces �
�? 9. ldigationProceeGSRecplveG (�1 10. �t�a1�� t'I.F�tion�t8ftundetSeC.Sti3(A}
'_ v e��i�i� m� -�3 ❑ (Attach Sch�ip O) :rJ
�� ➢'l
CORRESPONDENT�7HI5 SECTqN MU57 BE COMPLE7ED.ALL CORREBPONOENCL°AN�CONFIDENTIA XJ�IPORMATO�SH �Y DIRECTED T0:
Name Q�a�Teiep Nu: r��
' JEFFREY R 80SWELL ESQUIRE 'f�'7`-'_236 9'379 ',;;
:J jy �� �i°x
#�4CSj�OF Wl�LS t�S,E�NIY
i. -;
C]� 4..., r.� _..c� . � ._..
First Line pf Atldress r,r ' � � � �' :
315 N FRQt7T STREET � r ' , �.� ,
Second Une of Address � � t�-` �G J �`�t .
i
City ar Post Oftlee DATE FILEO '
� Sqte ZIP COde
HARRISBURG EA 17101
correspanaenes e�mai�address: lbaswetl�btpalaw.aam
itiewe��amiW�mrvipkte�Dedera��a examinW��en�4�'e��Parson8�arep�ree�enmliveisbaead�onaeWaiMO�rm�a4orai'atwhi�Drep�irmrhe eny�eetlpe.bellef,
SIC+PMTURE QF N AEBP(Nh5 �� �� DA7E �
131���
' James L. Huntz �;�
ADDRESS 1 Rupley Roa !
Gamp AiI2 , PA 170I2
SKKtATiMEOFFREPARFR ERTNANREVRESENTATIVE DATE
5�,,,{�Y../�l. JeffreyL. Boswell, Esqulre $�3o-�,oii
AOQRESS
i 315 N. Fron#Streef,HarMstwrg PA 1710i
Side 1
� 15056ZQZ43 15�561�143 � i
�� �
i
PA tnheritance Tax Return
Signature of Additional Fiduciaries
ESTATE OF FILE NUMBER
Huntz, Bernette Lynn 27-12-0125
Under penaflies of penury,i deGare that i have examfned thts retum,includi�g accompanying scheduies and ststements,and to the bast of
my knowledge and belfef,it is true,correct and complete.Dedaretion pf preparer ather then the personal representative is based oo all
informatipn pf which prepa ar bas any knowledga.
.�fl�[idfUt'#� � ��Q- .
Name Jacqueline Tr.--B���nk
' Addressi 503 S�hley �ve�tte
Addresa2 �rederick,'
City�Statg�Zip — .
Da#e �'�J�
i
�
i
i
i
}
f 1505610243
�
REV-1500 EX
Decedent's Soeial Secunty Number
°�^�'•N�^•: Huntz, Bernette Lynn
--..---- _-- --
RECAPITULATION
1. RealEstate�ScheduleA)....................................................................................... 1. 3ZG,278 . 87 �
2. Stocks and Bonds(Schedule B)............................................................................. 2. 939. 97
3. Closely Held Corporation,Partnerehip or Sole-Proprietorship(SChadule C)......... 3.
` 4. Mortgages�&Notes Receivable(Schedule D)........................................................ 4.
5. Cash,Bank Deposits&MisceHaneous Pereonal Property(Schedule E)............... 5. 622 �402. 82
6. Joi�tly Owned Property(Schedule F) ❑ Separete Billing Requested............ 6. 1 , 030 .23
7. Inter-vvos Transfers&Miscellaneous -Probate Property
(ScheduleG) � SepareteBillingRepuested............ 7. 5, 095. 09
8. Total Groas Asseb(total Lines 1 through 7)........................................................ g. 955, 746. 98
----._.. __.._____....--- �
9. Funerel Expenses and Administretive CaSts(Sehedule H)........._......_................. 9. 1$$,40 6. 04 '
� 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 2 6�S O S . 93
11. ToWI Deductlons(total Lines 9 and 10)................................................................ 11. 17 9, 911 . 97
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 775 , 835 . O1 �
73. Charitable end Govemmental Baquests/Sec 9713 Trusts forwhich ��
an elaction to tax has not been made(Schedule J)............................................... 13. �
1a. Net value Sub)ectto Tax(Line 12 minus Line t3)............................................... ta. 775� 835. O1
TAX COMPUTATION-SEE INSTRUCTIONS FOK2 APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rete,or �
� transfers under Sec.9116
(a)(1.2)X.00 15. 0 . 00
16. Amount of Line 14 tazable 0 . 00 16. 0 . 00
at lineal rate X .045 '
17. Amount of Line 14 taxable 775 8 '
atsiblingratex.i2 , 35 . 01 1Z 93� 100.20
18. Amount of Line 74 taxable
at collateral rate X.15 0 . 0 0 18. 0 . 0 0
19. TAXDUE................................................................................................................ 19. 93�1��.20
" 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OP AN OVERPAYMENT. � ',
i
Side 2 '
� 1505610243 1505610243 � �
I
�
�
�.
� i2EV-1500 EX Page 3 Flie Numher 21-12-0125
Decedent'�Complete Address:
DECEDENT'S NAME
Huntz,Barnette ty�n
.._.___...--��__.__-----'--- --._ ----
----- . .... ... ----
S7REETACIDRESS
706 Linwood Street
_._�---_. - —_—__._._ ---.__ __ .�_
CITY STATE �ZIP
New Cumbertand I FA 3707p
«
Tax Payments and Credits:
9. Tax Due tPage 2,Eine 19} {i} $3,106.20
2. Credits/Paymen4s
A. Prior Payments
B. Discount 6.60
Totai Credits(A +B) i2) OAO
3. interest (3? 2,528,57
4. If Line 2 is greater than Line t+Line 3,entertha differenca. This is the OVERPAYMENT. (4)
Chxk boz on Page 2,lieie TO to requesf a refund ����--- ������—
g, if Line 1+Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) �J�,sQ$,77
Make Check Pa eble#o: RECa1STER OF WlLLS AGENT,
�
PLEAS€ANSWER THE FOLLOWING QUESTl4NS 8Y PLACIWCa AN"X"IN TFIE APFRQPRIATE BLQGKS
1. Did decedant make a transter and: Yes No ,
a. retain the use or income qf the Property trensferred:............................................................................... ❑ :�
b. rtsta3n the r�ht to tlasignate who sha11 use ihe pro�rty transferrad or fts incoma[..........................._..... �
c. rotain a revetsionary(nterest:oc............................_.........._.._................._._.......................................... x .
d. receive the promise for life of either paymenGa,benefks or care7............................................................ x
2. If deakh occurred aftar Dec. i2, 1982, tlW tlecedent transfer proparty within one year pf death withaut
receivingadeGUetecanssieratio�?._......................_..._....._.__..........----...................._.................._.........._, ❑ �j
3. �id decedeM own an'ia trust fpr' or payabie upon death bank account or security at his or het death?..._.. ❑ � ;
4, Did decadent own an individual retirement account,annuky,or othar nan-probate property which �,
. contains a beneflciary designaUon7........................................................................._...............,.........._........... 0 ❑ .
IF THE AN5WEit 70 ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COpAPIETE SGHE6ULE G AND FILE i7 AS PART i7F THE RE7URN. �
Far detes of death on or after Juy 1, 1994 and bekre Jan.1, 1995,the tax rate imposed on the nat value of translers to or ta�the use aithe surviving �
spause is 3 parcent[72 P.3.§4118{a}{t,t){f)]. �
For dates of de8th on w after Januaty 1,i 895,Vre tax rate impoSed on the�aT vaiue of transfers to ae for the use of the surviving spou6e is 6 percent .
[72 P.S.§9178(a)(1.1)(ii)j. 7he statute does not e7cbmpt a trunster to a surviving sDOUSe from tau,and the statutory requirements kr disclosure of :
assets antl flling a tax return are still applicable even if the surviving spouse is the only beneficiary. ',
For dates af tleath on or aftar July t,2006:
•The tax rate tmposad an the nat vniue of transfars trom a deceased chikl 21 qears of sge or younger at death Yo or for tFie use of a nsturai parent,an .
edoptive parent,or a stepparcnt of the chifd is 0 percent[72 P.S.§9716(aj(12)]. ��
. The tax reM imposed on the net velue of tranafera to or for the use of the decedenPs Iirreal bene8ciaries is 4.5 percent,except as noted in I
E�z as.§az�a te}U!b i
' .The tax rete imposed Cm ttre net vaWe of trsns#ers to orfor tho use af the 88csdeM's sibiings is 12 percent[72 P.S.§9116(aj{1.3}). A '.
afbiing is deflned untler Section 97q2,es an indfviduai who has at least one parent in common whh the decedent,whether by blootl ar adoption. �
i
a«-�eox ex:�m-�o�
SCHEDULE A
pennsylvania REAL ESTATE
DEPMTMENT OF REVENUE
INHERRANCE TA%RETURN
RESI�ENT DECEOENT
ESTATE OF FILE NUMBER
Huntz, Bernette Lynn 21-12-0125
AII ro�l Prop�rty ownM wblyer u�bnant in cOrtme�nmat 61M1pubtl at falrmWY[vtlua Feir mHl(N vBlw b aalnstl u tl�e yke tlwhklipopa nY vrou�be
azcliarpaC ONVnsn a wAWq EN'x W e wIIII�B�eMr,nrour Oainp mmp�MC to b+Y nae1,bdh heWn7 raaeanebb knowbEpe of Ne nlevmt facb.
R�N prapxty Na�Is pintlywmW WM ripht of aurvivorship mu�tES tllseloaaG on ae�aCUls F.
� Attac��eopy M M�settluMnt sh�rt IItM PropeM1y�as Essn aoltl
Includ�a capy ef M�tlqtl ahowinp Wc�tlmPS InUnrt IfownW u tmantin common.
ITEM VALUE AT OATE
NUMBER DESCRIPTION OF DEATH
1 Real Estate-706 Linwood Street,New Cumberland,Cumberiand County, PA 17070 195,815.44
(5194,000 plus adjustmants of 57,815.44)-see Settlement Statement(HUD-1)attached-
SettJement date:Auguat 24,2012
2 Real Estate-4091/2 4th SVeet, New Cumberland,Cumberland County,PA 7070(5129,900.00 130,463.43
plus adjusUnents of 5563.43)-see Settlement Statement(NUD-1)attached-Settlement date:
June 24,2013
TOTAL(Also enter on Line 1,Recapitulation) 326,278.87
�
� (It more apaca is neoCed atltliUOnal payes of ihe aeme sire)
Copyright(c)2010 form sottware onty The LaUcner Group,Inc. Fortn PA-1500 Schedule A(Rev.01-10)
. Rav4500E%a(e-9E)
SCNEDULE B
STOCKS 8 BONDS
co,w�owv.EU.TM or vsrvNSnv,win
INIff0.1TM10E TNf RETIIRN
XElIGEMpEGEDENT
ESTATE OF FILE NUMBER
Huntz,Bernette Lynn 27-12-0125
All pmp�rry lo��tlyownad wiM right o(wMVOnhip must badiwlosed on SclisEUis F.
♦
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
7 U.S.Savings Bonds 93g,g7
�
i
i
TOTAL(Alao entar on Line 2,Recapitulation) 939.97 I
Qf more tpeC6le neStlBQ a0tli6onel pegea W Ma SBmB alZS) !
Copyright(c)2002 form software only The Lackner Group,Ina Form PA-1600 Schedule B(Rav.6-98) �
I
I
I
n.v-isae ez.���-�o�
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMEM OF REVENUE
INMERRANCETAXRETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Huntz, Bernette Lynn 21-12-0125
Indutls Ne pacaeCs dl4oetion rW Ns Mle IM prouetl�wers recelvetl by the salets.
All pnpsrty fointly-ownatlwiN Me Aqht dsunlvoMip must Ee Glselosed on sehsdula F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OFDEnTH
t Members 1st Federal Credit Union-checking account no.47521•12 16,747.48
2 Members 1st Federal Credit Union-savings account no. 105523-00 5.00
3 Members 1st Federal Credit Union-checking account no.105523-11 3,207.91
4 Members 1st Federal Credit Union-invesUnent savings account no. 105523-OS 9,238.05
5 Personal Properly -per attached Summary Appreisal Report prepared by ibis Appreisal 13,798.00
3ervices, dated April 4, 2012
6 Erie Insurance -premium refund 269.00 �
7 Ede Insurance-refund 1,087.00 �
8 GMAC-opt product premium refund 39.80
9 GMAC-tax escrow refund 1,697.94
10 GMAC-mortgage refund 1,174.15
11 Highmark-medical expense refund 1,655.43 i
12 John and Sherry Dye-loan repayments-03/07/3012 W 04/79/1013 2,500.00
13 PA American Water-refund 90.27
' 14 Penn State Hershey-refund 30.00 �.
15 Service Oil Company-refund 604.47 �
16 Verizon Wireless•refund 43,�g '
i
Total of ContlnuaUon Schedule Sea attached page �'
TOTAL(Also enter on Line 5, RecapilulaUon) 622,402.82 i
pf more space is�reetleC,aEOftbnal pages oT the aame alze) ��
Copyright(c)2010 fortn soflware only The Lackner Group,Inc. Fortn PA-1S00 Schedule E(Rev. 11-10) I
i.
�
aw.+saa�c.�»-�ay
SCH�DULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPAtiTMENT OF HEVENUE
IN#tERiTANCETAXRENFN PERS4NAL Pl24PERTY
RESItlERRDECEOENT confinued
ESTA7E OF FItE lJUMBER
Nu»tz,Sarnette Cynn 21-12-0125
ITEM DE3CRtPT60h! VRLUE A7 DATE
NUMBER OFDEATH
17 Allianz-annuity 3,579.66
18 Highmark 48'1(k) -Account�1D4752 7683199 06S 092438 6517A2 343.417.67
19 Highmark Retiremen!Plan -Legacy 8enefit -Reference#1•1253467185 206,678.58
28 Highmark Retireme+rt Plan-Retiremant Accumulatian Account#1-1253d67185 6,d21.11
21 Memherx ist Pederal Credit Union-!RA savings account no.47521-10 10,10$.13
i
TOTAI.(Also enter on Linp 5,RecaqiCulationl 622,402.82 '
i
Copyright(c)2010 form software only 7he Ladcner Group,Inc. Fortn PA•1800 Schetlula E(Rev. 11-70) ,
Rsv-160B EX+(o1�1a)
pennsylvania SCHEDULE F
DEPMTMEHfOFREVENIJE JOINTLY-OWNED PROPERTY
INHERRANCETAXftETURN
ftE31DENT OECEDENT
ESTATE OF FILE NUMBER
Huntz, Bernette Lynn 21-12-0125
If an put wu maEs Jolntwlthln ona ywof N�tlaptl�nYS tl�q W ExM,It mu�t Es nportatl on�c�etlul�G
SURVIVING JOINTTENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Jacqueline L. Brink 503 Schley Avenue Sister
Frederick, MD 21702
B.
C.
JOINTLY OWNED PROPERTY:
� DESCRIPTION OF PROPER7Y oh OF DATE OF DEATH
ITEM FOR�JOIN DMADE NUMBER O SEMIUR IDENTIFY NGINUMBER ATfqCMK E0o OR DATE OF DEATH DECD'S DECEDENTS IMEREST
NUMBER TENANT JOINT JOINTLV-HELDREALESTATE. VALUEOFASS INTEREST
1 A 06N0/1996 Members 1st Federal Credit Union-savings 2,020.75 50.000°/a 7.010.38
accountno.47527-00
2 A 06/10/1996 Members 1st Federel Credit Union- 39.69 50.000°h 19.65
investrnent savings account no.47521•05
TOTAL(Also enter on Line 6,Recapkulation) 1,030.23 �
(If rtrote spece is neetleE,adtlitlorel peyes W Gw aame size) I
Copyrighl(c)2010 form software only The Laekner Group,Inc. Fortn PA-1500 Schedule F(Rev.01-10)
i
Rw-1570 EX+(OB-0e)
SCHEDULE G
pennsylvania lNTER-VIVOS TRANSFERS AND
DEPARTMENT OF REVENUE
INHERITANCETFXRETURN MISC. NON-PROBATE PROPERTY �
RESIOENT DECEDENT
ESTATE OF FII.E NUMBER
Huntz, Bemette Lynn 21-12-0125
�
Tliis ac�etluk mwl bv compleletl entllletl tl qw mswer lo ury af questiana 7 ihmu0�<on pnpe IMSe ol Ne REV-1500 ia yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
NUMBER THEDATEOFERA�N�ERSATfACFITACOPVOFTTHEDEEOFOaR�EES'rniE. VALUEOFASSET INTEREST (IFAPPLICABLE) VALUE
1 Members 1st Federal Credit Unfon-Roth IRA savings 5,095.09 700.000% 5.095.09
accountno.47521-12
TOTAL(Alao enter on Line 7, Recapitulation) 5,095.09 I
Q!rtare speca is neetletl,e0ditlonel pega W tl�e same size) I
Copyright(c)2009 form software only The Lackner Group,Ina Form PA-1800 Schedule G(Rev.0&09) i
i
I�
REY•tbtt IX�(i0-0D)
pennsytvania ��H�DUL� H
OEPARTMENTOFREVENUE FUNERAL E�XPENSES AND
IRESWENTDECEOENTURN ADMtNISTRATIVE CdSTS
ESTATE OF PILE NUMBER
Huntz, Bemetta Lynn 21-12-0125
DecedenPs debts mast be re�r�d on ScheduEs f.
h
ITEM DESCRIPTION AMbUNT
MB
A. FUNERA�EXPENSES:
See eantlnnation schedule{sy attached s,4Q7,92
B. ADMINISTRATIVE COSTS:
t. PersonaiReprese�txtive'sCommias7ans - �
Name of Personal Representative(s)
Jacqueline L. Brink James l..Huntz
, Screec nadress 503 Sehtey Avenue
City Frederick state MD zia 21702
Year(s}Commission Paid 2013 Waived
z. anomav�s Fees Baswe!!,TEntner&Ficsofa a5,65o.08
3. Family Facemption: (IP decedant's address is nat tBe same as claimanPs,atlach e�lanation)
C7ail»8ttf
Streat Address
' City Skate Zip .
Re(ations�ia af Ciaimant to OeCedeM �
4. Probate FeeS Cumberlend Caunty Reglater of Wllls 625.50
5. AccountanPs Fees �'.
6. Tau Retutn Pteparet's Fe95 �pgWg��,�ntr�er 3 Piccoia 2,800.80
i
�
� � 7. ptherRdminbtrativeCoats 95,922.62 �
See aont�nuat9an schedale{s)attached
TOTAL(Alsa enter on Itna 8,RecapEtukaUon) f 55,406.44 j
I
Copyright(c)2009 form sofiware only Tbe Lackner Group,Inc. Form PA4800 Schedule H(Rev. ip-p9) i
I
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
� ESTATE OF FILE NUMBER
Huntz, Bernette Lynn 21-12-0125
ITEM
NUMBER DESCRIPTION AMOVNT
Funeral Expenses
1 Jacqueline Brink-reimbursementtor funerel expenses•706 Linwood Street and 4091/2 4th 1,181.92
SVeet
2 Musselman Funeral-funeral 7,226.00
H-A 8,407.92
Other Administrative Costs
3 Ace Homecenter-replace porch urns 63.58
4 Albert Hughes-Remax-4091/2 4th 3treet 650.00
. 5 Bear Necesaitles-painfi�g-706 Linwood Street 3.425.00
6 Beer Necessities-painting-706 Linwood Street 2,100.00
7 Bear Necesaities•complete painting-706 Linwood Street 750.00 I
8 Boswell,Tintner&Piccola-disbursemenffi 265.47
9 Boswell,Tintner 8 Piccola-closing coste 750.00 � ��.
i
10 Brenda Pankake-cleaning propertiea-409 7/2 4th Street 315.00 ���:'
11 Brenda Pankake-clean properties-409 7/2 4th Street 100.00 .
12 Cumberland Law Joumal-legal advertising 75.00 �
13 Erie Insurance•insurance-409 1/24th SUeet 795.00 �'�
`
;
I
Copyright(c)2002 form sollware only The Leckner Group,Ina Fortn PA-1600 Schedule H(Rev.6-98) �
�
I
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Huntz, Bernette Lynn 21-12-0125
ITEM
NUMBER DESCRIPTION AMOUNT
14 First National Bank-checks 8.63
15 First Nat3onal Bank-checks 1.30
16 First National Bank-checks 20.46
17 Floor-it Flooring-carpet-409 1/2 4th Street 450.00
18 PreeFlow-sewerlinecleanout-4091/24thStreet 225.00
19 Frysinger Auto Repatr-flx flat tires 182.79
20 GeorgeDflks-winterizing-4091/24thSVeet 150.00
- 21 George Dilks-dewinterize 4091/2 4th Street 90.00
22 George Dilks-seal floor drein and install washer drain-4091/2 4th Street 290.00
23 Healthport-medical records 64.78
24 Healthport-Holy Spirit medicai records 116.39
25 Ibis Apprelsal Service-personal property appraisal 637.50
26 Jacqueline Brink-reimbursement for trevel-probate and�O6 Linwood Street 543.90
27 Jacquefine Brink•travel expenses•706 Linwood Street and 409 1/2 4th SVeet 810.70
28 Jacqueline Brink-travel expense 1,036.75
29 Jacqueline 8rink-travel expense �ZZ�0
30 John's Carpet Cleaning-clean carpet-4091/2 4th Street 227.90 '
Copyright(c)2002 form aoftware only The Lackner Group,Ina Form PA-1S00 Schedule H(Rev.6•98) ,
¢
SCH�DULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
�
ESTATE OF FlLE NUMBER
Huntz, Bemette Lynn 21-12-0i25
ITEM
NUMeER DESCRIPTION AMOUNT
31 Journal Pubiications-tega!advertising 212.06
32 Joy Daniels Treal Estate Group-contract-706 Linwood Street 395.00
33 leggetts-repairs-d08'Et2 4th S#reet 5fi0.00
34 Manor Care-medical records 100.06
35 Metro-Myer Eiectrica!-repairs-d891/2 dth Street qOp.pp
36 New Cumbarland Barough-l.inwood aewerltrash ��g,yq
37 NewCumbedandBorough-4p91/24th$treetproperty-sawer/trash 249.70
" . 3& New Cumtuat9and Borough-LEnwoad property sewerHrash j gg,�;
39 New Cumberland 9orough-Linwood and 4091/2 4th Strent properly-sewer/trash 244.52
4d New Cumberland 8orough-tinwafld property-sewerttrash pgp,qg
41 Naw Cumberland Borough-4p8 7!2 4th Street proparty-sewedtrash 242A0
42 N�w Cumbertand Horough-4091/2 4th Street property•sawerttrash 23p.48
. 43 NewCumberiandBOrough-4081124th8treet-sewerltrash ggp,qg
44 PA American Water.Linwood property-2/27/2012 to 9/1112p12 341.81
AS PA American Wafer-A89 it2 4#h Street proparty_212712 4 7 2 ta 07ti3t2013 617.64
46 ppL Electric UtiliUas-LMwood Properly-02/27/2412 to 08H 7/2012 7,000.63
47 Ppl ElectHe Utilittes-AD91i2 4th Streat property-08/t9/2012 to D7/03/2013 1,759.10
�
i
t
i
Copyflght(c)2002 form safiware only The Lackner Group,Ina Form PA•1600 Schetlub H iRev.6•98) ,'
'
i
l
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF PILE NUMBER
Huntz,Bernette Lynn 21-12-0725
ITEM
NUMBER DESCRIPTION AMOUNT
48 Real Estate-706 Linwood SUeet,New Cumberland,Cumberland County,PA-see Settlement 52,650.76
Sheet(HUD-1)line 602 attached
49 Real Estate-4091/2 4th Street,New Cumberland,Cumberland County,PA-see Settlement 14,588.00
Sptement(HUD-1)attached
50 Redline Computer Service-remove television equipment gq,7g
51 Ron Freedman-mowing•4091/2 4th Street 30.00
52 Ron Freedman-mowing-409 1/2 4th Street 25.00
53 Shane Boulder-remove items from house-706 Linwood Street 800.00
54 SpeedyRooterCapitalPlumbing-repairs•4091/24thStreet �65.00
55 SpeedyRotor-sumppump-4097/24thStreet 365.00
58 Trout Squared Contractors, Inc.-repairs-4091/2 4th Street 250.00
57 Trout Squared Conkractors,Inc.-repairs-4091/2 4th Street 392.50
58 Troy Kudose-repairs �p��
59 Troy Weedon-house repairs•706 Linwood Street 300.00 I
60 Troy Weedon-repaire-4091/2 4th 3treet 270.00
61 UGI-Linwood property-07H6/2012 to 9/11/2012
37.11
62 UGI -409 1/2 4th Street property-71/27/72 to 07N 3/2013
527.18
63 USPS-postage q�r Op
Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1600 Schedule H(Rev.E98) I
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Hunfz, Bemette Lvnn 21-12-0125
ITEM
NUMBER DESCRIPTION AMOUNT
64 Verizon Wireless 788.26
65 Wells Fargo Card Services-repairs-409 1/2 4th Street 1,023.59
66 Wells Fargo Card Services-repaira-409 1/2 4th Street 355.75
87 Wella Fargo Card Services-repairs-4091/2 4th Street 603.67
68 Wells Fargo Card Services-repairs/supplles 309.00
69 Wells Fargo Card Services-repairs-4091/2 4th SVeet 779.78
H-67 95,922.62
,
'
I
Copyright(c)2002 form saRware only The Lackner Group,Inc. Form PA-�600 Schedule H(Rev.E98) f
i
I
I
. a..-ys�zex.{ix.oa>
SCHEDULE 1
pennsylvania DEBTS OF DECEDENT,
OEPAF7MENTOFREVENUE MORTGAGE LIABILITIES AND �IENS
INXEftiTFNGE TAX RETURN
RESIDENT DECEDENT
ESTAFE qF FILE NUMSER
Nuntr,Bernefte Lynn 24-i2-Oi25
R�poet dabta 4neurrsC bYtlw dassA�ntprlwto tlaath tlratmmaimC�nP+b Kttw�at tleatlr.Inatutlln4 wrNmbuisatlmetlful axps�vp.
i7EM VAIUE RT 6ATE
NUMBER DESCRIPTION OFDEATN
t CapitaiCaMiovascularAssoc. 25.SQ
2 Capital CardiovascularAsso¢. 7,20
3 Cen#srfcr Kidney disease 148.OQ
4 Cumberland Goodwill Fire Re�cue EMS 1,653.43
5 Darryt Geistwhite,D.O. 11.80
6 GMAC-mortgage payments-02123l2012 fo OBfSl2012 6,872.50
7 Hazen Elder Law-pre�eath subscNptian fee 338.$0
& Hoiy Spirit Hospiffii-emergency room 75.60
9 Holy Spidt Hoapital 573.86
10 Jackaan33egelbaum .fs`astroen#ic t3d.50
11 Manor Care Health Services-haircut 6.50
12 Manor Care Heaith Servlces 214.31
I
13 MSHMC Physicfans-Hershey Mad 30.00
14 MSHMC Physicians 30.00
95 PA Department of Revenue-4Q-i�A-2011 Sfate tncome 3ax dQ2.60
16 Quantum Imaging 9.00
17 3coft Rider-retum af securFly deposit•d09112 dtfi Streat 925.OU '
i
i
i
Totat M ConNnuaflon Schedule Seo aqeched paga `
TOTAL(Also enter on Line 1 p,Recapitulation) 26,508.93
(N�rtme apece�a needea�a��pa�a aa�e smne sir�} t
Copynght(c)20(78 fovn sofiware only The Lackner Group,Inc. Fortn PA-0&OD Schetlufe I(Rev. 12-08) ,
�
.
Re.-isu ex.��z-oe�
SCHEDULE 1
pennsyivania DEBTS OF DECEDENT
OEPARTMENT OF REVENUE �
INHERITANCETA%RETIIRN MORTGAGE LIABILITIES AND LIENS
RESIDENT OECEDENT
continued
ESTATE OF FILE NUMBER
Huntz, Bernette Lynn y�_�y.p�y5
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF D�TH
18 Spirit Phyaicians-Holy Spirit 72.00
19 U.S.Treaaury-1040-2011 Individual Income Tax Return 6,677.00
20 Verizon Wireless-phone 80.58
27 Verizon Wireless-phone 85.58
22 Verizon Wireless 9.49
23 Wells Fargo Card Servicea•property repairs-706 Linwood Street and 409 1/2 4th Street 6,907.63
24 Welis Fargo Card Services-repaira-409 1/2 4th Street 107.09
25 West Shore EMS 1,155.56
�
i
i
I
TOTAL(Also enter on Line 10,Rewpitulation) 26,506.93 i
i
Copyright(c)2008 form soflware only The Wckner Group,Ina Fortn PA-0600 Schedule I(Rev. 12-08) i
REV.16ta E%a(Ot.tQ�
pennsylvania $CHEDULE J
DEPAR7MENT OF REVENUE
INHERITANCE TpX ftE7URN BENEFICIARIES
RESI�ENT�ECE�ENT
ESTA7E OF FlLE tdUMBER
Huntz Bernette L nn 21-12-0125
MAMERN�ADDRESS4F RELATltSNSNiPTp SHAREOFESTATH AMOUNTt7FESTATE
NUMBEft PERSONtS1 RECEIYING PROPERTY DECEDENT Mtp�s} ($5$}
� TAXABLE DISTRIBUTIONS [include outright epousal
disMi6uhons,and trensfers
under Sec,91 TB a t2
Jacq�eline L.Brink Sister 33.333%of
503 3chley Avenus residuary estate
Frederick,MD 217p2
James L. Huntr Brofher 33.333%of
601 Ruploy Road , residuary estate
Camp Hill, PA 17q11
Shtriey Suro Sister 33.333°l0 of
Go Jacquelina L, Brink residuary estate
503 Schley Avenue
Frederick,MD 217Q2
Total
Enter tlWiar amaunts far d�fibuUoas ahown ebove on lines 15 ihrou h 18 on Rev 1566 coror sheet as riate.
NON-TAXABtE aiSTRI8UTt4NS: .
II. A.SPOUSAL DISTRIBUTIONS 11NDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
8.CHARfTABIE RNp GQVERNMENTAE DiSTRIBEtTIONS
�
I
i
T4?Al OF PAR7Ii-ENTEft T6TAL NqN-TAXA6�E DlSTRIBUTIONS 6N IINE 13 PF REV-15W CPVER SHEE
Copyright(c)2010 form soilware onry The Ladcnar Group,Inc. Fortn PA-1800 Schedule J(Rev.07-10) i
i
�
Form Approved
Social Securiry AdministraGon OMB No. 0960-0101
CLAIM FOR AMOUNTS DUE IN THE CASE OF A DECEASED SOCIAL SECURITY RECIPIENT
PRINT NAME OF DECEASED SOCIAL SECURIN NUMBER OF DECEASED
Bernette Lynn Huntz 206-36-8833
If the deceased received benefits on another person's record,print NAME OF THE WORKER
name of that worker N/A
The deceased may have been due a Social Security payment at the tlme of death. The Social Sacurity Act provldes that
amounta due a deceased may be pald W the next of kin or the legal repreaentative of the estate under prioritiea eatabliehed
in the law.To help ua decide who should receive any payment due,pleaae COMPLETE THIS EN71RE PORM and RETURN it to
us in the enclosed envelope.
This Gaim for the amounts due from the Social Security Administration is being made on behalf of the family or the estate of
Hernette Huntz Whodiedon 12th dayof January 2012
(name of deceased) (month) (year)
and who lived in the state of pennsylvania
PRINT NAME OF APPLICANT RELATIONSHIP TO DECEASED�dow,Son,Legal
Representative,etc.) �
Jacqueline L. Brink Personal Representative
THE FOLIOWING ARE THE NEXT OF KIN OR LEGAL REPRESENTATIVE OF THE DECEA3ED NAMED ABOVE:
�. NAME OF SURVIVING WIDOW(ER) ADDRESS OF SURVIVING WIDOW(ER) (Pleaae print house number,
(Please prinL If none,stata"NONE') street,apt.number,P.O.Box,rural route,Uty,state,antl ZIP code)
� None N/A
ENTER SOCIAL SECURITY NUMBER(S)OF WIDOW(ER) N/A
NAMED ABOVE.
WAS THE WIDOW(ER)NAMED ABOVE LIVING IN THE ❑ YES If"YES", then ❑ NO
SAME HOUSEHOLD WITH THE DECEASEDAT THE TIME SKIP items 2,3,4,5 and
OF DEATH7 SIGN at bottom of page 2.
WAS HE OR SHE ENTITLED TO A MONTHLY BENEFIT � YES If"YES",then � NO �,
ON THE SAME EARNINGS RECORD AS THE DECEASED SKIP items 2,3,4,5 and (Go on to kem 2) ��
AT THE TIME OF DEATH7 SIGN at bottom of page 2. �.
2, ENTER NUMBER OF LIVING CHILDREN OF THE DECEASED. INCLUDE ADOPTED CHILDREN AND NUMBER �I
STEPCHILDREN; INCLUDE GRANDCHILDREN AND STEP-GRANDCHILDREN IF THEIR PARENTS ARE �'�.
DISABLED OR DECEASED; OR IF THEY HAVE BEEN ADOPTED BY THE SURVIVING SPOUSE OF THE '���.
OECEASED. IF NONE OF THE ABOVE,SHOW"NONE"AND GO ON TO ITEM 4. ��.
PRINT NAME AND COMPLETE ADDRESS OF EACH CHILD '��
Remarks{If you need more space for explaining any answers to the queslions,attach a separete sheet.) '.
NAME OF CHILD ADDRESS OF CHILD(Include house number,street,apt. number,
P.O.Box, rural route,city,stete,and ZIP code) �,
None x/a ,
RELATIONSHIP TO DECEASED(Grandchild,stepchild,etc.) SOCIAL SECURITY NUMBER OF CHILD
. N/A N/A ',
NAME OF CHILD ADDRESS OF CHILD(Include house number,street,apt.number,
. P.O.Box, rurel route,city,state,and ZIP code) �
None N/a ''�,.
RELATIONSHIP TO DECEASED(Grondchild,stepchild,etcJ SOCIAL SECURITY NUMBER OF CHILD ;
N/A N/A i
Form 33A-1724F4(01-2010)EF(10-2012)Use Prior Edkions Page 1
I
. �
V a q ��.�¢ � qNB Approwl Na.250t-0265
S
_` �f A. Settlement Statement (HUD-1) COPVe%�`
4xoaF �
B. rypa ot Loan
7.�FHA 2.�RHS 3.QX Com.Unns. B. Fie Numbar: 7. Loen Numbec B. Martgage Inwrenae Cax Number
a.❑w. s.❑corN.i�. mizmsu.aFO �ocpcxxaaee
C. Note: Thu krm a M1imialredM A�la+e sfefemenf d acfuel sottbmorrt wAS Artauntrpeid b arM by the sattbmeM egeM xe shawn.
Ibms marlatl'(P.o.a)�xrore P�oufa0a fhe daIDiq:NnYan ahown Mie/w"rMwmefbnelW�s eM ero nof iro'uded'n tlie tWak.
D, Name arMMNress o/Borrower. E. Name antl P4Aress of SeNer. F. Name andPddreee of Lender
Joshue L R�B�erl Eetete d BemNla Lynn Huntz Walk Fergo Benk N.A.
� KoyA.Bowen-RirreheN 70fi LlnxooE S[reet 800 WaMu!SUeel
318 RosemoMA`enue New CumbarYnE,PA 17070 Des Moines,IA 50309
New CumbeMM,PA 17070
G. Praparty Laslion: H. SettbmeMPBeM: I. Settbmarit Date:
706 Llnwoo0 Streel Central Pem 4nE TrenNer,LLC
New CumbarlgnQ PY177070 2793 qd Post RoaE,Sute 201 A�gus124,2012
CumberlaM CouMy.Ponn8yNaniO FIBrtYEUrg,PA 17110 P�. (7771895Ji88
Plaoe ot Setflement: �
2793 qtl Pos1 Roed,Sutle 201
Herrebu ,PA 77770
J. 9umm�ry of BomwMt twnuUlon K Summary of SslNfa tranasUbn
700. GroesAmouMDUehanBOrrvxer. �00. CxaosPmouMDuetoSeNer.
107. Con4WNW ' 199000.00 �07. CoMratlaales im 180000.00
102. Poreanal 402. Pononal
103. $BplproM CM M BMlONer LYb 7d00 8 809.71 403.
10a: 406.
105. 405.
M �tmenbforkwn� �IE SNNrInWvanq AtlutUnmt�foridm� ED SalNrinadvana
106. MUNICIPPL OB2&12 to 01N7/13 Z50.88 406. A%1NICIPAL 0fl2Y72 lo Oi/07/13 250.98
10Z Cou Tms OB25/12 to 01N1M3 122.39 107. Cou Te�n O8/'15/12 ta Ot/01/13 122.39
108. Sdwd OB25/12 to 07q1/13 1.442.U9 IOB. Schoal OBY2&12 to W/Oilt3 1 M2.09
109. 409.
110. N0.
717. 411.
112. 412.
730. Groas Nnount Dw hom Bonowx 202,425.15 �ZO.6rou Amounl Dw W S�IMr 795.875 M
200. MnauM�MW 6 w In B�haM o/Bortowar E00. Raductlons In Amount Dus SNhr:
207. weafneal 2750.00 W1. FxmaBO eeeiMbudimre
202: R l amouM of new b s 174 800.00 502. SatlkmeM div s to Se4er Lka 1400 15 263.18
203. Eril Iwn s talmn �to 503.�FxW ba s bken ' to
200. UerTOlenme 14.45 � 504. PayaRFMxtMOrt toGMACMoh 37,318.%
205. 505. SemiM M
ZO6. 508.
Z07. 5p7. dieb.as ataeds
208. 5�.
208. Sebr 5000.00 509. SelerHe 5000.IX
M wtmenb lor kem�un ea1Nr M uatmmH tor luma un altl b Ssller
270. MUNICIPPL to 510. MUNICIPPL to
277. Taxs l0 511�. Cou Tazes lo
272. $qqd� to 512. Stl1od lo
273. Traeh d Sewer 3N wMx O7Ai112 to 0&25J74 88.89 513.Trash 8 Sewer 3rG uertx 07/U7/12 ro 08/25/12 68.85
274I 514.
275. 515.
218. 518.
277. 517.
278. 518.
278. 519.
YiO. TotNPaq IlorBOrtow�r 182.433.34 530. ToWRMUCGOnAmountDwSNlsr 52,BW.7E
]00. Ceh rt BatlNmwH hantto Bomwer 9pp. Cah R settbmaM tolfmm SNlsr
301. Cxoes emouM 0ue han 8ortoxer ip 120 202 425.15 601. Gror emou�rt due W Sebr ine 420 785 815.4
302. Lep pnourtl itl Barawer ine 220 ( 182.433.34 802. Lees�edudioM Oua Sebr irre 520 ( 52.650.7f
301 Cash %�F�om � To Bomw�r 78,887.81 l03. Caah X❑To � Fmm Sellx 113,186.Bf
•wdmie�adw�aq�ro+l�:�+�/s�.i�r(4.>�+!aerYl�)
. The unaersqnea nereM eda�oxbape rempt a e aSi� Nua mpy ol mn ctalemam S any enaa�mema rererrea m nerein
-. BWYOxM �. $p�g� .
. ',iu�L,R n Y14' �eb W Bam �:Lynn Muntz : ':
G
, .BW:' ' W I/ . . '�F
n TN+k' '0H"�y !�G�`�d ,
�
.'Settleme�rt Cha es
' PatlFmn PekFmn
Oi.ison ol wmmission(kro 700)aa bbwz' g��s Sebrs
707.8 5,670.00 to Inate Rea Fwqs et Fuvk e�
702.E 5,670.00 to Joy Denkb Reel Eetate Group 5��^181+ ���°"1Brt
]03.Commissbn aitl e�eettbmant »�0'
]pC.
kr:$�':R &� ,s�',
807�Our ar' inalion char e 885.00 hom GFE#1
802.Vour aed'p or Mar e inb la ihe ' interesl rate ch hom GFE#2
803.Your ad sle0 or' ination char from GFE kA 665.00
BO4. raiaal he to RELS Valuel'pn from GFE M3 295.00
805.Credt Re ort lo RELS Cred'd hom(iFEl13 44.00
806.Taz service to hwn GFE If3
807.FboG certi&atbn M fran GFE#3
� gpq_ franGFE7p
gpg, from GFE#3
810. hwn GFE M3
Btt. (han GFE%3)
Sw�yT,'' sn3. , :;:'r
907.Dai interesidiar ashom 082I/12 to 09N7/12 8 E17.3�OWO/d fromGFE#10 t3BJ2
902.Mortgage Inaunnce premium for monllu�a (han GFE M3)
903.Hamernnrrefslnsurenrefor 7.0 nlo Erielieurenm (�romGFEpit) 7�9.00
gpp. ((fom GFE#71)
gp6 (from GFE Mt1)
1 ../. '�
�1007.Intlel tlaposA(or yar eevax aanuM (from GFE M9) 866.49
1002. Homeor.nafs inwrenm 3.000 monlM S SB.OB per manth $ 177.24
7003.Mart wwurance monlhs S r moMh E
1001.Pro la�s S 611.96
School manihe $ f month
Coun Tawes 7.000 monlha . E Y8.94 manth
MUNICIPAL 7.000 montM � S 59.74 r moM11
1005.
7006. School 3.000 monihs 5 141.50 par nwnlh $ 426.50
ipp7, monlhs 3 px marth E
7008. E
1009. r ate S -35321
7101. T[b aeruims and 6MM'a tlk Faunnm (from GFE%1) z�...�1,579.W 20.IX
11a2. Senlamenla ' (ee 5
1103. O+mefs tilk�auranco lo FiYAmerinn TXb Inturan�a Conpnny (hom GFE%5) 95.00
1704. LeMeYS lib eroura�la FiatNneiran TBIe Inwrenm Canpe�ry $ 1,425.00
1105. LentleYa tilb po' fmi 3 174.800.00
1108. Qvner'stllb ' ImN S 18C.000.00
�107. l�enfs portbn ot the folal t1b hwrerwe premium to CeMral Pann Lentl Tra�Mer,LLC E �,292.00
1108. WMerwriler's poMbn o/ihe lotal tpb inwranm remum to FhalAmerken Tdla Insuranfe Company S 228.00
7709. DoameM Prep Fee lo BosweA § DEEO 150.00
1110. b
1111. $
1112. 5
1113. S
a:r,
1201.Go�emmen�recorE m ro cu�,�exrm Remrder of Deeds hom GFE• 158.00�� �
1202.Oeetl S b�.� M S 98.W Rebasea E ONer E
1203.Tranebrism6 to CumbeiYrMCauMyReootCerofDeeES ((romGFE�18) 1,900.00
1204.C /Cou tex/ele DeeE S 1 9A0.00 S 1 940.IX
1205.Sute oeetl E 7 8w.0o S
12(I6.
72W.
�u-
1301.Reyutetl aeMOas at nn alap for (hom GFE N8) � 119.00
1302. HanaPNOOtl lmpedbn ro Inapetlion CenOer $ P.O.C.5320.00(e)'
7303. 201?20735diodTaxM M RabilGepere111 S 1.BW.&
1304. Reluee 3rtl aNer b NeW CumMMM h $ 38.BC
1305.SewertlueMN"JUne M NewGmEehntlBOraqh S 78:64
1306..TaxS0lVkeFee� W.4VaAf�FargnReYFENNPTez: E 100.00 ��.. _�;:.
13U7. Fbod ¢wCUt'�. ,• . b _ 'F F � � S 19.00 . . ,,.. �..
•wamtsaaqucWeaia�.(a�..wM131�.ei�(Uuliiiiyv�(i�����. �. �:�i n
d��a+�aoa�an..Wm.i[+.�b+'hrrun+V*�q«.mnp+�ewiurosaaaw+...� /� . ..
iA
f�.ompatlson of Good Failh 6timrte(GFE)antl NU�-1 Cbaryw � GooE Falth Eetimate NUD-7
Cha sa That Cannot Incree�e HU0.1 Lln�NumMr " �
OurarigMatnnchafge NB01 665.00 fi65.00
Vour a0justM origination rharges p 803 i fi65.00 H85.00
Trans(er�alres N1203 1,910.00 1,940.00
Charyas Thffi In Totnl Cannot Increase Nbre than 10X � GooG Faith 6timata NUD-1
Government recording fhargas M1201 '� 180.00 158.00
Appraisaltee M B00 � 380.00 295.00
Cred4 repotl %&15 ��� 23.32 46.00
TazSerWmFee N1308 �� 100.00 100.00
Fiootl Cert Lik af Loan M1307 � 19.00 19.00
Tatal ]02.32 fi18.00
Iriveaae belween GFE nnA HU61 Charges S -86.32 w -1229&
Chargea Thrt Can Change Good Falt�Estlmne HUD-t
Initul depwX for your exrow aaouM *1001 BC9.94 Bfifi.49
Daiy inlarest Nargas % 901 S 17.390000/Eay 294.78 138.72
HomeavnafaNwrerKe M 803 60000 709.00
TXIe aervuea eM lendafstdb nsure�we #7101 1,530.00 1,579.50
Qvrier'stillanwrenceWF'rStNner'rsnTibinaurenmCanpem/ k1103 7000 9500
Loan Terms
VourinHlal loan amount ia E 174,600.00
Vour loan lerm Is 30.00 yeara
Your Inklal intamt nb la 3.@W%
Your initial monthly emount owed for princiDSl,Intsrast anA S Bb7.57 intlutles
any mortgape Inaurance Is Q Prmdpal
Q In�eresl
. Q Morigaga Irpurance
Can your Ints�aat rats N�a? �X No � Yes,N wn riea lo e ma�dmum of %. TM flrk
dunpe wi De m_anE an chanpe again every_monMa aller
. Every Merge Eale,your irilaeal rele wn invaeae or decease
by %. O.er t�e Ne W the ban,your iMerest nte i g�aranteed
lo newr 6e bxer then %or higher ihen %.
Even N you mab paYmen4 on tlma,un your ban balanea rb�9 �X No � Yes,il nn r�e to e mavimum of S
Evan M you mab prym�n4 on tlme,can your moMhty �X No � Yes,Iha frsl'mveaae�sn be on_eM the moMhy
amount owW for pdnUpal,IntenR,and mortppe In�uonea rbs7 amouM owed tan r'sa to E
The mazimum M wn ever r6e lo s S
Does your loan hava a pnprymant penaMy7 �% No � Yes,your me�mnum prepeymeril penaMy b E
Doea yaur lo�n hava e balloon paymanl9 Q% No � �ss.yuu have e baloon paymerR of S
dua n_years an
Total monthy amounl owsd Ineluding asorow account prymsnb ❑ Vou da not he�e a monlhy exrow paymenllar items,auch es property
la�mc end Iwmeawrrer's inwnnoe. Vou muat pay ihese Yems dietly
punef.
�X rou he�e an edtlkional moMny eacraw peymam a 3288.8b tnel rewb
h a Mtal Iniol maMhty amounl owed ol E1,156.43. T�iv ntlutles
prindpal,Mereal,any mortgage inwrance and any iems diedetl babw:
QX Propertytazes �% Hqneowner'snwrenm
� FbaE inwranae �% Sdiool Tazes
❑ ❑
Nqe: If you hare arry quepum eboul the Sepbment Charpea an0 Loan Temq AsteG on iho farm,pbaee conla�t your bntler.
..� . . . .?p�
I��
r -
HUD-1 Attachment
BortoweKs�:.bshua L. Rinehart and Kelly A. Selle+s�: EsWte of Bernette Lynn Huntz
Bowen-Rinehart,husband and wife
318 RosemontAvenue 706 Linwood Street
New Cumberland, PA 77070 New Cumberland, PA 17070
UnMr:Wells Fargo Bank, N.A.
SettlamemApent:Central Penn Land Transfer, LLC
(717)695-3186
Place asenNms�n:27g3 Old Post Road,Suite 201
Harrisburg, PA 17110
_ Setdama�rtData:August24.20�2
Propsrly Locatlon:708 Linwood Street
New Cumberland,PA 17070
Cumberland County, Pennsylvania
Adjustmenffi For Items Unpaid By Seller(Seller Debit)
Deacription AmouM FromlThrouph Pronted Amount
Trash &Sewer 3rd quarter 11524 07I01/12 through09130112 68.89
Total Line 2131513 68.89
Selier Loan Payoff Details
PayoH First Matgage to GMAC Mortgage
Loan Payoff 32,318.69 As of OB/29/12
Total Additional Interest -5 days @ Per Diem
Total Loan Payoff 32,318.69
Adjusted Originatlon Charge Details
Originatlon Charge
Origination Charge 665.00
to Wells Fargo Bank, N.A.
Tolal S 685.00
Orlginatlon CreditlCha�ge(poiMS)for the speelfie IMerest rate chosen
Total S
AdJuatad Originetlon Cha�ges S 885.00
� Reserves Depoaited with Lender
Homeowner's Insurance �77.2q
3.000 at 59.OB per month
County Taxes 202.58
7.000 at 28.94 per month
MUNICIPAL 415.38
7.000 at 59.34 per month
School 424.50
3.000 at 141.50 per month
Aggregate Adjustment -353.21
Tdal 5 886.48
' HUD-1 AttaehmeM- Continued
Electronic Document Retrieval 25.00
to Centrel Penn Land Transfer, LLC
Wire Fee 15.00 20.00
to Central Penn Land Transfer, LLC
Overnight Delivery Fee 14.50
to Central Penn Land Transfer,LLC
Closing Protection Letter 75.00
to FirstAmerican Title Insurance Company
Notary Fee � 25.00
to Jeanette l. Pennington
LendeYs fitle insurence 1,425.00
to FirslAmerican Title Insurance Company
Total S 1.579.50 S 20.00
Owner'sTklelnaurance BORROWER SELLER
Owner's Policy Premium 95.00
to FirstAmerican Title Insurence Company
Total S 85.00 S 0.00
Lender'sTltlelnsurance BORROWER SELLER
Mw alw�hown�EOVS In Title Sarvkee anE LsnO�YS Tkls Insunnea Deblla
Lender's Policy Premium 1,275.00
to Frst American Title Insurence Company
Lender's Endorsement Charges 150.00
Endorsement Endorsement Charge
ALTA Endorsement Form 8.1 (Environmental Protection 50.00
Lien)
ALTA Endorsement 100(Restrictions No Apparent 50.00
Existing Violatlon)
ALTA Endorsement 300(Mortgage Survey Exception) 50.00
� Total S 1,425.00 S 0.00
�rp+FCrnq� -. ` . OMBApRrovaiNo.2$�2-0263
�'�"� A. Setfiement Statement(NUD-1)
hkxeNe�
B. Type of Loin
1.�FHA 2.[]RHS 3.QGamtlln'vu, 6. FIeNw�er: 7_ LoartDAaM� 8. Mar�7epeinwranceCaseNUmber.
4.QUP 5.[]COincire. piJ(W676PFD 4]5876B9W �48-17792t2
C. Nate: Thisk+rtntrM1xnialKdfa9�.W�astelM�enfd4tYUM9PNlemerNOPBfaMaanftPa,dbendbylllnaeCkmetltAT�+�amnM:m.
#ansmerJcW YV.o.c)'wero pa7oufs�U�e�;9roYala afwnn hen Ifx{Manm7onNPwPo.9eaeMers naf hWdeA k�Me lotels.
D. NmneandPtldreseot8om�wer: E. NameendPdAressMSeAar. F. WmeantlAdaressotLendnr.
Aknae N,Heu»r F_+iMa o!Betnette l�m Hu�Rt WelsFargo Bank,NA
S19Ch8mbersSfreet 4WaBemepOL}n�Fkt�l POBoxiW518
q3erFn,Pa'l�tt3 409 12 FouM uYroet FbfenCe,SC 2950Y-0515
New Cumberknd,PA17070
G. PropertyLpafbn: M.SeLLpmatdRpMt: I. SanbmenlDele:
d0912 FourtA SVeet CerMal Penn{an4 Tre[�s(er,Li.0
Newb„t�tiarfand,PAt70J0 2@00Marl�tSlreet Ju�e24.2vt3
CumbeApM CourRy,PermsyNanta Camp H�,PA 17bit Ph. (I177fi9�3166
PiareMf3eWamari:
3800 A�rY2!SlfeaS �
Ca H�1 PA47W5
,1. 8ummary at Borrowefa twnsaetion K $tiiM1mOry Gf 8e68ta#nnsaGtion
� if�. GYoSSAmowtQuelmmBwraver. 4W.GressBmwMfkpMSeOer. '
t0f. CorAradsaks ke iZ9900.00 4Q7.Cn�#reC1wM, kr�e.., .,_, _. 229�.0�
102 Pernwwi � 402 Porwntl .g?.�._._._.,,_._.�
103. SetlbmeM roBOrcower linet4W iG318.73 a63.
104. 4Q4. ,�.r_.�,_.-._..--_.�.._, �� . .
705. RMrebpmount 75276.W �05.
Od atm�tftsfoiRems Itlb SelietinlldvqnW - Muatmmtlforpbmt dC 9elktinadvance
106. G ownTeus W A06.C amTmms to �
70]. Caun Tams 0825l73 b 41N7774 530.f16 Atl7. T�ea 0672&93 to Oittri7t4 630.08
106, fxhaol 092&73 t0 97Po7/78 28.30 4oe.sawa OBf'dY13 M OROif43 28.50
108_ 2iEWSevmrPai10825l13too�7Atf13 5.� 4W.2WOV5exerPek10825H3tp07A1M3 5.05 ,.
i10. # .
7fl. Mt.
H2. �12
120. GrouAmounCOwhomBortower 755,99&68 42Q.QOasAmous�tWetoBNNt 130.483.A3
1DO. AmounWpaiEb arinBehalfofea�rower bQD.RaAUCtWnslnlunountDUe3NSer.
201. Oe St m eemast mon 10W.00 501. Eues aea kwbix7bna
202 " amoixrt M new 6a s 142 831.60 502. SeWanleM fi b^uetlNr lha 140A 9.598.00 ,
N)3. talmn to s takqn 1U 30
ZOq. e6WFeaCratl[ 65.W 9W.p fkst
205. i„en�Ser Ten Fi�v'vke Fee CreGd 1 W.W e
20&. btl8.
207. 367. �bts.as a
208. W8.
208. £�eiefASect 5000.00 609.SBkMAESet 5.W9.W
ld ustments ter&ems un tria 6 SeIMr � /d 9fmanlslof(tMna un ald b Seikr
210. Q o�M�Tanes ttl SlQ. awnTmEJ M
271. Cou Ta�s to 6ri.Co 7ezes b _
F72. Schaoi to 512.3tlqol tu
213. 313.
214, bi4.
275. SiS
216. 516.
217. 51T.
E78 518.
219. � 518, -
120.TotalPNtlb dor8otma'M 948996.00 52A 76tilROduEtlontYfmulli�DUeBeikf 14,598.Otl
90tl. Cash e!Setlbment fromfta eoerowar 6GR pah af seMiamxittoRrom
361. (3fos9emvuMtlueFpmBon'owar fie120 135998.9fl fiUf. Cra9ean+auntduebSNtt IneA20 t3o.a53.4S - •
302 Lexi empurd ' byvtor 8orroxer R�e 720 � ( 1i8 p0 E02. tes�atlud'nrm tlw 8elar Na ( 14,598.
303.Ceah �% irom � To eorrewer 7,002.88 60.9. Cah X�Ta � From SaRer 115,865.4J
�aVaMbAdoqlBMivnwrtel.We(sl.letln'IV.a W�OOab(i)
The untlersi9��d l�erea/f����9�e/receilM W a comPk��/oFMis eWiemMt d arry Nhd�meMarebned b hereF
�fOi"C� 1�6YIYV8, /V��....� Seiler Eeta L �pll
Afiee N_t4eoser
. aY
. e l l4� -PAP{.� .
. i'i.m�m,��xarp.�.�.��aem�iunur:rmm+s+u�q��9'«.��a�xm.��.'rxie�°ar�w�<�ai'.�.:sio�w�+a�wntrmsme+'.pe+�enes
y.w.r..
Page 1 M 3 N��
(2d13tl4974.PF W2ot3o497e.aF Cve4)
E.,.SattlemeM Cha � -
PeidFRm PNdFmm
wmnf (!ne ea � 8anwcts SeAer'a
741.f4.�T.W io RemexRee� ASwSiaiee Fur6x FWCm
7025 3.747.00 b JaYGenrh�ReekEStaleGroW Sett�ertat SetikrcwN
7I7.C inab eM �
7{}d.BlotafFea i0 JoyOenkbReatEaealeGrMip 39S.0o
i.0ur 'Inatbn du S 7 015.
. YoVr q�� kA6 Wrihe tnteles(t E
3 Vour u 'net £ 1
bei tn R Lal n p
BOS.CmC1Re to RE4SCredt hamGfE P.O.C. it.8
T eerMe m E
T F cert� ' ff0�1
B.F 11 ian ta ElSYeNat So .00
fr
810. ��
811. ���p?
9Qi.0 5dereattli � 8om QBf2Gt3 m 67Nttt3 7 SY2.72DWqJd m(3FEi1 $q.py
892.Mptg Msurenee � tum(or manitiaWDe MHUD (ttanCrFEA:i} 2,-0;$.56
903.Haneownp'¢insura�efor 1.Oyeeesfo ErieSawra (hanGiFE{17 1,3p5.pp
�4. (frqm(�ftt}
�5. (hao OFE�/11 .
1007.Inkalda for avssuowacmuM frm�GFEA'9 1,81263
10q2 Homeowner'sMuranoe 4.000 mmlhs S 198.75 per mmth Y �35.00
4003. 8i9rance maN�s y r monN
1004. La1ss 519.54
Caun Tazw � 8.00o manl�s 9 88.39 er rtrordh
St3moi � rrmMhs E maMh �
1006.Sdiooi t3.600 manths � § 132.70 per moMh P 1,71].8D
7907. mflnlhs = mmth S
10q8. j
tOD9. f •75931
1101. TU¢lervkeseMbMleYSt[tYxurBnre � (ROmGFENC 5,454.W 10.00
it�sau�,m�t«ao�t, tro
1103. l7xnefa We bamance to Ft9Amer�an Tkle Inwro�e Cmpas+ry (�E
770d. LeMmYetYkln6uranmtoFtrstAmariran7lklns�rnnce am/ $ 1,265.D0
1t05. leMNt'sNIN btd 5 t41,89i.00
11W. CNma's818 inN 3 129.9�O.OQ
ttq'!. enCS o1MefWaifdkheuranm mium WCeMrelPennLandTre�er4LC S 1,a75.25
1109. tlMatwrieYs h0ithebtaiNblrmtte�premium bF(retAmetipnTHelnmUance S 988.75
7109. OeeE M 9oswn6 Tlnlner&Plrcola S 245.�D
t�o. x
n11. E
xtz. S
ti»a.
1261.Gbve�mrorX reard ch to Cum6eAaM Coun RewNa of Dsetla fian GFE 188.90
1202.C7eed 83.66 S t05.00 Reieasen t C1icv S
7203.Tramferlmma ' M Cum6er6�WCOU RemrdarIXCM.eds (IlanGfERe} . i .�
720i.C /CUU Deetl 1.2D8.00 Mut S 1 99.0�
1205.9tMe Oeea 5 3294.W e
1206.
1 7.
i i.aewY,aa e,m rou wn�, m. i .00
13Q2.Nane i to tnspettin�Centet P.O.C.E415. By'
' 1303.Fbadl,YeMlnan m WeAeF ofWNBeMCes t 19.ao
130d.T6xSeINaeFee fa VJFREESTTAXSVCS �104,00
1305_ $
�osaata�eewiaA�..��iW,mwts�.�a�i.o�r^rW1T1
�'�NieblQMiN'wnR W 9P�ailmJe4A��F�dOivnpa�tMXdpT3856N8ifinp9 .
CAMM�PB(mL]11dTfb1ffiBf�llC E{OB1118n1AQ0 ��-
Paga 2 013 HU0.1
{ZO?30dBI8.PFb20t308678.fFC✓s�7
I
. , . , . .._ . . .. _.. .. .... ... . .. .. . . ....._ _. .._.... ... . _._ ._... _. . _. I
. Canparisen of GcaC PoNh Estimate(i�E)a/ �Ub.1 Charges � Goad Fakh Estimate HUO-t
Ch pThrtCannatincmase ��-' HUD-0L7naNumber
dror�jinatbnMarge.,._��i, u 8oi 1,075.00 1.41&tl0
Yaa' usl4dINigc�etantltaryes _._,_ A W5 1.074.00 7,015.00
T�enskrlvzs tl1203 - z,820.00 1299.Cp
Charyea7hatlnTOtalCannatMUeasaAMrethanlUX GoqdFaBhEStimate Hl3p-7
Govammenl rxurEng charges p12Q1 784.06 '�.�'—.��ieB.00
MYaisaifes � # BOA 985.W � . 835.Q0
CredtrRWrt 0 805 t1.68 —..—..—'—tibB
Fhai��C'nn._,_..____._.___._._. % 808 —�. 7W.W
MartgegeMSUrancePremum K 9�2 2.458.56 2.458.%
Fbod LiTe af Loan k1303 78.00 19.00
Tax:'icMCeFee kYdG4 fW.06 iPO.fro
�� Tobl 973972 3@yppQ
� inaease Ueiwaen GPE end HUa�i C�arges $ -46.00 or .123
Chalpe9 That Can ChBnge Crootl Fakh Ectimate HUD-t
Indiaideposdloryoureeuawecoourk #itl�t 2,80652 1.912.83 �
OaPjinterestUlarges q gp1 5 a272W90kiay 38.ib 89.00
tlomewvneYSineurance /F 9�3 1,3a9.a6 i.305.o0
TIIIE ACN{�58nd i0nd¢P6 iif¢iniWenCN 61101 1,6�3,J7 1,453.50
ChY�lstdk'nsuren4uipFtfStAmerfpnTitk:�n5�renceCOmP�nY #1103 t�.pp
toan Te�ms �
Vour IniGal Ioan amuont is g f42,93t.00 �
Youriaantmmis y���� 30.tl0yaazs yV
Ynur7nuialinterest2tels 32500 h i .
Yourinitiei monlfiy�mount owed for pdnUpal,interest and F 778,09 hrludes � �
any moRgage insurence is Q pr��
Q INerest
�]X MoAgaga lmuranee
Can your interast tste riae7 QX No � Ye&K can riae b a m8ldmUm ot 'b. Thp IMsE
rhanga wiq be on�aM can Ma�pa again evury_months eMer
— �Y�S�Oetlate�Yw�intereattelewntiaeasearCeaease
bY %.UetlhBHeIXMBbM�.T�FQ8te4.traleiS9uBrerM1eed
to pe�e�be bvrer Ihan %Oi h�lfer ihen %.
Cv4n H Y�make paymenSS on thtfe.cen yovr}oan balanEe�e7 [�X No [� Yes,il pn ree ta a mo�}num u/S '
EvenMyuumaKepaymenfaontime,canyourmonthty �X No � YPS,ttielltqikrweacenbea+,arMthertwrtthy
amountpWedforpiinqip�at,Interaet,pndmortBagelmUrancellap? emtluMvNedEenfpela$
Th&11181(rtlWn�fLYI BYBf f{SC�0$$
Ooesyourlaanheveeprspaymmtpenalty7 (�% Ho � Ye4yaKme�§IxmiWaWymenipena4yk3
DoeayouthanhaveaNtlioan0�ant9 Q% No ❑ Yea,youhawahalponpn}mieMMS
� tlw H�years on_
Toblmonthtyamou'kowedindudingercrowaccountpeyma�ts ❑ Youdo�MteB��Nta'yestrwipayme,atforidis,f�a6pope�ip
tamaendho�mowaer'ehwrsrca Yaumuetyrytheae�msdteGly
ynumeP.
Q vauhmeanasMAianalmaninNesaov+P�Y�tdt327.44tfiatmau&:
" fi a tola�(nlial moMhy amaU�k awbd d E7,10.i.63. This hMludea
�(lll�G3I�IME(fN.el'!)TOf6�d9b Y19VI8112 OIN�811y�!III!dIGt�E�CAY:
. (k] Procerb�s (k� Hareavnm'aMUUance .
' ❑ F�a���Mx Q saroa
❑ C7
Ncde: H yau he�e atry queatbns aboul Ne 5Hlkmmf Charge9 anA Loan Temis Ysledl at Ihb(otm,pHase aonlaii ypur kMer.
I
i
I
' � Poge 9 d9 t1t36-t �
- � ' (201�4H79.PFWt0730497fiPFOrBa)
_�_ �:.�-.,.� -,�- : --:-,,,.�,�., ,...�,_�
�-�r,..a.�-Ra_...�
. , , ,
< <
SUMMARY APP�2AISAL REPORT
PERSONAL PROPER'�'Y ESTATE
Personal Property of the Estate of
Bernette Huntz, c�ceased
706 Linwood St.
New Cumberland, PA 17070
d.o.d. (date of death) January 12, 2012
Cl ients:
Jacque Brink, Co-Exe�utrix
Jim Huntz, CaExecutor
&
Jeffrey R. Boswekl, Esq.
Boswell, Tintner'`� Piccola
315 North Fror�t St.
Harrishurg, PA 17101
Effective Date ofA�+praisal:
d.o.d. January 12, 2012
Date of Repott:
April 04, 20�2 -
By:
I�is A�rais�a�
Sexvic�s
I¢S/v.'I�f(C7IHRMSI�
. � . P.QBO�%'2¢ . �.
, . C�is�y PA 1�vr3
(717)243.3474
. info@ibisappraisaM.crnn
. .. . . �cv�vw.rbisappraisa/s.cam . � . . . .
�
_ �6is/�PPraisal �jervices . �''a�ae I o�36
, , , , ,
TABLE OF CONTENTS
Table of Contents 2
Appraisal Scope of Work 3
Appraisal Extraordinazy Assumptions q
Appraisal Hypothetical Conditions q
Appraisal Summary 5
Digital Photograph& CD-ROM Instructions 6
Personal Property Listing �
Appraisal Summary (Copy) 30
Glossary 31
Appraisal Certification 32
References 33
Privacy Notice 34
Statement of Qualifications 35
�6is APPraisa� �jcrvices Page 2 of 36
, , , , , .
APPRAISAL SCOPE OF WORK
I hereby certify that, upon the clients' request for the appraisal of personal property of the
Bernette Huntz Estate (d.o.d. January 12, 2012) 706 Linwood St. New Cumberland, PA 17070. I
have appraised the estate personal property to determine the Fair Mazket Value for the purpose
of the administration estate and estate ta�ces. The effective date is, as of the d.o.d. January 12,
2012 and reported on April 04, 2012. The clients in this estate appraisal aze Jacque Brink, Co-
Executrix, Jim Huntz, Co-Executor and JefFrey R. Boswell, Esq. The intended users of this
appraisal aze Jacque Brink, Co-Executrix, Jim Huntz, Co-Executor and Jeffrey R. Boswell, Esq.
and any other person(s) authorized by the administrators of this estate.
The date of inspection was Mazch 17, 2012. I have personally and physically inspected the listed
personal property. The personal property was found to be in good to excellent condition, unless
otherwise noted.
The information and values contained in this report aze based upon my experience as an
appraiser and other reliable sources using a Sales Compazison Approach to determine Fair
Mazket Value. [Fair Mazket Value is used in divorces and estates in the state of Pennsylvania.] A
mazket data analysis with compazable sales transactions was used to reconcile the quality and
quantity of data. Values aze reported piece-by-piece, and/or as a whole. All values reported have
been determined with consideration to the condition of the item, market conditions, and salability
factors. All analyses, notes and paperwork are found in the workfile.
I�is Appraisa�
ervi es
Acyssa� o� A AM
�irector
. �6is APPraisal �jervices Pagc 3 of 36
. , , , � ,
APPRAISAL EXTRAORDINARY ASSUMPTIONS
c�? There were no extraordinary assumptions used in this appraisal.
APPRAISAL HYPOTHETICAL CONDITIONS
c� There were no hypothetical conditions used in this appraisal.
�6is APPraisa� �jerviccs Paee 4 0�36
APPRAISAL SUMMARY
It is in my opinion, that as of the date of death: Januazy 12, 2012 and reported on April 04, 2012,
the Fair Mazket Value of the Bernette Huntz Estate (d.o.d. January 12, 2012), 706 Linwood St.
New Cumberland, PA 17070:
(Thirteen Thousand Hundred Seven Hundred Ninety Eight Dollars and Zero Cents)
($13,798.00)
I�is Ap�raisa�
erv' es
r
ACyssa G. . Go , ISA A�iYI
�Director
The renort must be read in its entiretv The Annraisal Summarv ONLY is not the
annraisal renort.
j6�sAPPraisa� �jerviccs Pav�,e 5 0�36
. . . , ,
DIGITAL PHC?TOGRAPH & CD-ROM INSTRUCTI{}NS
Ibis Appraisal Servioes has provided you with a CD-ROM that houses all of the digital
photographs of all of the items appraised. 1"he CD-ROM alsa cantains a saved copy of the
appraisal report. This CD-RQM may be kep# with the paper capy of the appraisal report or kept
off-site, such as a safety deposit box.
Tha phowgraphs are saved in the JPF,G piciure format, meaning that all of the file names end
with a ".JPG".
The file names conespond ta the written appraisal repart's Corresponding Photograph File that is
included at the end of each itern appraised.
Getting started with your CD-R(3M
1. Insert the CD-ROM into your cornputer's CD-ROlvf Drive. If you da not have a cornputer ar
aecess to a CD-RQM Drive—a copy store, office supply stare, ar publie tibrary will be able ta
help you view andlor print your pictures.
2. Your computer may contain one or several different software prograrns that will allow you to
view your pictures. Examples af thesa programs are Draw, Pho#o Editor, Pieture It! Express,
Fhoto Suite, My Pho2o Center, Phota Studio Lite, Photo Shop Pro, Picture CD, or Photo
Deluxe. The pro�ram that is included with a digital camara is another wav to view vour
ip ctures.
• SeTect the program for viewing photographs and open the program.
3. Click FILE, and Click OPEN.
4. Use the Puil-Dawn, "Look in" Menu and select the D Driva @:} ar whichever drive is
designated as your CD-ROM(sometimes this may be the E Drive (E:)on your computer).
# NOTE
+ Your CD-ROM Brive is designated with a small CI}-ROM graphic ieon or a oartoon
rapresenting the drive.
+ The drives of your computer can be found under My Computer section o£the Pull-Down
"Loak in'" Menu. Common Drives are: A Drive {floppy disc drive), the C Drive {hard disc
drive), the D Drive (CD-ROM Drive), and the E Drive (sometimes CD-ROM Drive;
sametimes an external drive, like a CD-ROM Writer, Zip, or Jazz Drive).
5. Dauble-click on the photograph yau wish to view.
��ri.z ApPraisa( �jCIVICCS Pagc 6 oF 36 �
I
PERSONAL PROPERTY LISTING
1 Potterv. Selection af modern decorative pottery bowls and � $$0.00
conTainers. �
« �:.
Location: Televisipn Room.
Carresponding Digztal Photograph Files: img 8372-
img_8374.JPS
2 Plant Stands. Three modern iron plant stands. $34.00
Lacation: Television Room.
Corresponding Digital Photograph File: img_8378.jpg
3 CD Plaver. JVC CD player and speakers. Model: FS-SD94Q. $140.04
Lacation: Television Room.
Correspondzng Digztad Photograph Files.• im�*_8375 &
img_8376jpg
�
4 Pa,per Shredder. Boston paper shreddar. $S.Od
Laoation: Televisian Room.
C'orresponcting Digitad Phatograph File: img 8377 jpg
5 Living Roam Suite. Modern plush living room suite with $175.00
piush sofa and two rnatchin�plush chairs.
Location: Television Room.
Corresponding Digztad Photograph Tiles.• img 8379&
img_8380jpg
6 Plant Stand. Modern waod and metai plant stand. $5.00
Location: Television Room.
Corresponding Digital Photograph File:plantstandl jpg
�
�bius J�ppraisa�Scrviccs f age�o�36
'7 Jardiniere. Modern ceramic jardiniere. $15.00
Looation: Television Room.
Correspancling Digital Photograph File:jardinl jpg
$ � � TV Trav. Modern collapsible TV table. $2.00
�,,�\ ,� Laoation: Televisian Room.
Corresponding Digttal Photograph FiZe; img_8382 jpg
9 Caroet. Modern machine-made carpet. Made in China. $100.00
Maker: Kas. Collection: Emeralfl Collection 9022. Color:
Ivary Tropical Border. Size: $ft. x 1 Ift.
Lacation: T"elevisian Room.
Carresponding Digital Photograph Files.� img_&383 c�
im 8384.'
10 � End Table. Modern mahogany octagon-shaped end table. $40.00
Location: Television Room.
Carresponding Digital Photograph File: img_8385 jpg
11 Perfiune Battle. Bahemian blawn perfume battle. Missing $35.00
� stoppar.
Location: Television Room.
Cvrresponding DigiCal Photograph File: img_8387.jpg
� �6is J��Praieal �jcrviccs Pa�e 8 0�30
. , , � , .
12 Vase. Modern clear pressed glass vase. $2.00
Location: Television Room.
Corresponding Digital Photograph File: img_8388 jpg
13 Potterv. Selection of modern decorative pottery bowls and $30.00
containers.
Location: Television Room.
Corresponding Digital Photograph File: img_8389 jpg
14 Plant Stands. Three modern metal plant stands. $30.00
Location: Television Room.
Corresponding Digital Photograph File: img_8390.jpg
15 Plant Stand. Modern wood plant stand. $25.00
Location: Television Room.
Corresponding Digital Photograph File: img_8391.jpg
16 Entertainment Center. Modern entertainment center $185.00
Location: Television Room.
Corresponding Digital Photograph Files: img_8392 &
�„�
img_8393.JP%
17 Vase. Modern art pottery vase. Maker: Dietrich. $10.00
Location: Television Room.
Corresponding Digital Photograph Files: img_8393 &
img_8394jpg
�bis APPraisa� �jerviccs Page 9 of j6
18 Television. Modern color television. $45.00
Location: Television Room.
Corresponding Digital Photograph File: img 8397.jpg
19 Stool. Twentieth century wood stool. $3.00
Location: Garage.
Corresponding Digital Photograph Fdle: stooll.jpg
20 Pot& Warmer. Command Performance pot and buffet $45.00
warmer.
Location: Television Room.
Corresponding Digital Photograph Files: img_8398 &
img_8399.jpg
21 Decanter& Glasses. Yugoslauia clear glass decanter and four $35.00
matching glasses.
Location: Television Room.
Corresponding Digital Photograph File: img_8400 jpg
22 Pitcher. Clear glass pitcher. Maker: Krosno. $10.00
Location: Television Room.
Corresponding Digital Photograph File: img_8401.jpg
�6isAPpraisa� rjcrvices PaPe lOo�36
23 $axes. Set of five graduated decorative storage boxes with $15.00
floral fabric.
Location: Television Room.
YM
Carresponding Dzgital Photograph File.• boxesl.jpg
��
24 Do11v. Madern eoliapsible dally. Maker:Magna GarC. $15,Q0
Location: Television Room.
Carresponding Digital Photograph File: doClyl.jpg
25 Dinin¢Set. Madern rattan and glass dining set with dining $320.00
table and four matching chairs.
Location: I7ining Room.
Corresponding Digitat Photograph Files.• img_8�102 &
img_8403jpg
26 Print. Framed and matted print. Artist: Thelma Leaney Butler. $5.00
Dated: 19$6. Snbject. Thatched-raof cottage.
Location: Dining Room.
Corresponding Digital Photograph Files.• img_8404 Bc
img_840SJpg
27 Printer. HP Hewlett Packard OfficeJet 7310 All-in-One $25.00
printer.
Lacation: Dining Room.
Carresponding Digital Phatograph Files: img_8407 r.�
1mg 84081P8
�6is f�PPraisaj �jervices pa�o 1 7 0�36
I
I
2$ Printer. HP Hewlett Packard OfficeJet 6500A Plus printer. �$'75.00
Lacation: Dining Room.
G'orresponding Digital Photograph F'iles: img_84�9&
img_8411jpg
29 Notebook Base. HP Hewleti Packazd xb2000 Noteboak $15.00
Expansion Base.
Lacatian: L}ining Roam.
Corresponding Digital Phatograph Files: img_8412 &
img_8413jpg
30 Armaire. Modern cherry wood armaire that opens to a mini $200.Qd
office.
Looation: Dining Room.
Corresponding DigitaZ Photograph File: img_8�1I4 jp�
�
31 Paper Shredder. Executive Machines paper shredder. Model: $8.00
EPS-825X.
Location: Dining Room.
Corresponding Digital Phatograph File: img 8415 jpg
32 Vacuum. Hoaver Wind Tunnel upri�ht vacuum. $44.4Q
Location: Dining Room.
°;r Corresponding Digital Phatagraph File: img_8416 jpg
�6is ApPraisa� �jerviccs Pav�e I 2 0�3b
33 Baker's Rack. Modern metal baker's rack. $125.00
Location: Dining Room.
Corresponding Digital Photograph File.• img_8417.jpg
34 Kitchenwares. Selection of miscellaneous kitchenwares $45.00
including glasses, cups, Corning Waze, Tupperwaze, flatware,
serving pieces.
Location: Kitchen.
Corresponding Digital Photograph Files: img_8418,
img_8419, img_8426 & img_8428jpg
35 China. China service for fow. Maker: Gibson. $35.00
Location: Kitchen.
Corresponding Digital Photograph File: img_8420.jpg
36 Bowl. White Fenton Silver Crest pedestal bowl. $25.00
Location: Kitchen.
Corresponding Digital Photograph File:fentonl jpg
37 Bowl. White Fenton Silver Crest pedestal bowl. $15.00
Location: Kitchen.
Corresponding Digital Photograph File:fenton2.jpg
38 Bowl. White Fenton Silver Crest pedestal bowl. $15.00
�,�=� Location: Kitchen.
Corresponding Digital Photograph File:fenton3.jpg
��6is/��+Praisal �jervices Page 13 0�36
�
39 Vase. White Fenton Silver Crest vase. $40.00
Location: Kitchen.
Corresponding Digftal Phatograph File:fenton4 jpg
40 Sugaz Bowl &Bowl. Matching modern art pottery sugar bowt $20.4Q
and serving bow1. Maker: Dietrich.
Location: Kitchen.
Cc�rresponding Digitat Photagraph Files: bow1l &
su arl.'
41 Bowl. Blue and whita modern ceramic bowi. $I O.Q{}
Location: Kitchen.
Corresponding Digital Phofagraph Fzle: bow12 jpg
42 Cake Plate. Twentieth century Fenton milk glass cake plate $54.00
� with ruffled edge.
Location: ICitchen.
Corresponding Digital Phatagraph File: cakel jpg
43 Bowl. Mid-twentieth century blue opalescent serving bowi $45.OQ
with ruffled edge.
Location: Kitchen.
Carrespondfng I�igitat Photograph Fite: apa11 JP8
44 Tnaster Oven. Modern Bistra toaster oven by Wolfgang Puck. $S.QQ
Location: Kitchen.
Carresponding Digital Photagraph x'ile: img__8424.jpg
45 Mixer. Modern Kitchen Aid mixer and chopper. $25.d0
Lo¢ation: K.itchen.
Corresponding Digitad Photograph File: img_8425 jpg
�6isAPeraisa�,�jervfcos Pav� 140�36
46 Siow Cooker. Modern Kitchen Elements slow cooker. $5.04
Location: Kitchen.
;, Corresponding Digital Phatograph File: img 8427.jpg
4? Stained Glass. Modern stained glass window witlk cat moti£ $15.00
Location: Kitchen.
Corresponding Digitad Photugraph Fzle: img_8429.jpg
I
4& Coffee Maker. Modern Keixrig coffee maker. $40.00
I,ocation: Kitchen.
Carresponding Digital Photograph File: img_8430 jpg
I
49 Pressure Cooker. Caoks& Chefs modern pressure coaker. $5.00
Locarion: Kitchen.
Carresponding Digital Photo,qraph File: img_8431.jpg
50 Corner Cupboazd. Modern hard wood corner cupboazd with $20Q.00
ane nine-pane daar over one blind floar.
Location: Master Bedroom.
Corresponding Digitad Phatograph File: img_8433 jpg
,;
�bis/�PPraisal �jervices Pave I 5 of 36
�
51 Coffee Table. Modern glass and wood coffee table. $I S.Q4
Location: Master Bedraom.
Correspondzng Digrtal Photagraph File: img_8432.jpg
52 Chest. Twentieth centucy hard wood with five drawers. $65.00
Looation: Master Bedroom.
C'orrespanriing Digrtai Photagraph File: img 8434 jpg
53 Lanan. Modern reproduction stained glass lamp, $30.00
Location: Master Bedroam.
Corresponding Digitat Photagraph File: img_8435.jpg
54 Fan. Electric free-standing Airtech fan. $10.04
Locatian: Master Bedroam.
Corresponding Digital Phatograph Fzle: img $436 jpg
55 Carnnuter Screen. levia carnputer screen. Model: Olevia $65.00
323-51 l.
Location: Master Bedroom.
Corresponding Digital Photograph Files: img_8437&
img_8438jpg
�bisJ�PPraiSal,�jcrviccs Page 160�36
�
L __ ..
56 Sofa Table. Modern side table with fatix green marble top and $45.00
mahogany base.
Location: Master Bedroam.
Carrespondzng Digital Phatograph File: img_8441.jp,�
57 Clack. Twentieth century inlaid mantle clock. $4�.00
Lacation: Master Bedroom.
Carresponding Digitai Photograph F`ites: img_$439 c�
img_8440.jpg
5$ Floor Lamv. Modern floor lamp with stained glass shade. $35.00
Location: Master Bedroom.
Corresponding Digztal Photagraph File: img__8442 jpg
�
i
59 Trash Can. Modern wicker trash can. $2.OQ
Location: Master Bedroam.
Correspondrng Digrtal Phatograph File: wickerl jpg
b4 , ' Bed. Modern haspital bed. Maker: Okin. Madet: Qkimat 2. $450.00
� ���fi� ��`°�" � Location: Master Bedroom.
� "�ww.ac,�a„awe.„,
c.,,,�,,,,.""*'� Carrespanding Digital Photograph File: img_8444.jpg
.:�.w+.,m.ua.x
�. �e t�� S ...
,
�: .. . ... . �. .h. .. ....... . ...
�6is�PPraisa� �jerviccs Page t�o�36
61 �=_;"=� Clock. Rhythm mantle clock. Battery operated. $5.00
"`�„ Location: Master Bedroom.
Corresponding Digital Photograph File: img 8445.jpg
62 Clock. Ansonia mantle clock. $45.00
Location: Living Room.
Correspondfng Digital Photograph File: img_8452.jpg
63 Lamn. Modem reverse-painted table lamp. $35.00
Location: Living Room.
Corresponding Digital Photograph File: img_8446.jpg
64 Pedestal. White-painted pedestal/plant stand. $15.00
Location: Living Room.
Corresponding Digital Photograph File: img_8447 jpg
65 China. Several modern ceramic serving pieces with floral $35.00
motif.
Location: Living Room.
Corresponding Digital Photograph Files: img_8448 &
img_8449jpg
�6is APPraisal �j- erviccs Pa¢�e I 8 of Tj6
. _
66 Pitcher. Mid-twentieth century pitcher with transfer-printed $5.00
rose motif.
Location: Living Room.
Corresponding Digital Photograph File: img_8450.jpg
67 Sofa Table. Modern mahogany sofa table. $50.00
Location: Master Bedroom.
Corresponding Digital Photograph File: img 8453.jpg
68 Lamns. Two modern ceramic oriental-style table lamps. $40.00
Location: Master Bedroom.
Corresponding Digital Photograph Files: img 8454 &
��_� img_8458.jpg
69 Plant Stand. Modern metal and wood plant stand. $5.00
Location: Living Room.
Corresponding Digital Photograph File: img_8454a.jpg
70 Clock. Modern Small World Rhythm wall-mounted clock. $75.00
Location: Living Room.
Corresponding Digital Photograph Files: img 8455 &
img_8456.jpg
�6is AP�raisal �jerviccs Pa c 19 0�36
g
71 Narman Raokwell. Small collection af Norman Rockwell $35.00
ceramic plates and figurines.
Location: Living Room.
Corresponding Digital Photograph File: img_8457a.jpg
72 Iron. Euro Pro EP 8000 clothes iron. $40.0�
Location: Livin Raom.
73 Curio Cabinet. Modern mahogany glass curio cabinet with $135.00
twa glass doors. �
Lacation: Living Room.
Correspondrng Digital Photograph File: img 8457 jpg
i
74 Side Table. Modern glass, wood and metal side table. $10.00
Lnaation: Living Room.
Corresponding Digital Photograph File: img &�5&a jpg
75 Coffee Table. Modern glass,wood and metal coffee table. $15.Q0
I,ocation: Living Room.
Carrespondzng Digital Photograph File: img_8459 jpg
76 I,etter Holder. Twentieth century oak letter holder with one $15.00
small drawer.
Lacation: Living Room.
Corresponding Digital Phatograph File: img__8460.jpg
( '
, �
I �
�6'`�APPraisa� `j' ervices Page 20 oF 36
71 Mirror. Twentieth century gaTd gessa oval minor. $30.00
Location: Living Room.
Corresponding Digital Photograph Frle: img__8461.jpg
�8 Cabinet. Srnall modem wall-hanging jewelry cabinet. $10.00
Location: Master Hedmom.
Corresponding Digital Photograph File: img__8471.jpg
?9 Vanitv Table. Twentieth century lift-top oak vanity table with $lO.QQ
one drawer.
'- Location: Master Bedroom.
> Corresponding Digitad Photograph File: img 8472 Jpg
86 � Stereo. NC portable stereo. Madel.PC-XC60. $45�4Q
Lacation: Master Bedroom.
Carresponding Digital Photograph File: img_8473 jpg
81 JeweIrv. Selection of costume jewelry. $20.40
Location: Master$edroom.
Corresponding Digital Photograph Fzles: img_8474 &
im,g 847�jPg
�
�6��APPraisal �jcrvicr.s Pa�e 2.i oF 3 d
I _ �
82 Cabinet. Modern two drawer cabinet. $5.00
Lacation: Master Bedroom.
� Corresponding Digitat Photograph Fi1e: img_847b.Jpg
83 Candlestand. Modern mahogany candlestand table. $45.00
'�`` Lcroation: Master Bedroom.
Correspond�ng I?Igital Phatagraph Tfte: img 8478 jpg
�
84 Bed. Mid-twentieth century full-size bed with cannonball $120.00
finials.
Lacation: Master Bedroom.
C.orresponding Digital Phatngraph Files: img_8479 &
img 8480jpg
I
85 Furniture Sat. Modern pine and table with one drawer and one $2SS.00
chest-on-chest with one drawer over two drawers over four
single drawers.
Location: Master Bedroom.
Corresponding Digital Photograph F'iles: img 8481 &
im�_&484jpg
86 Chair. Modern piush recliner chair. $45.00
I,ocation: Master Bedroom.
Cvrresponding Digital Photograph File: img 8482
�
I
�Sis AP�raisal Scrviccs Pagc 22 0�36
$7 Fan. Modem free-standing fan. $10.4Q
Locatian: Master Bedroam.
Corresponding Dzgztal Photograph Fzle: img_$483 jpg
88 Chest. Twentieth century European-style chest-on-chest with $40.00
six drawers.
Location: Master Bedroam.
Corresponding DigiCal Photagraph F"zle: img_8485 jp�
89 Lo�Holder. Mid-twentieth century rnetal and pleather log $15.00
holder.
Lacation: Master Bedroam.
Carresponding Digital Phatagraph File: img_8486 jpg
90 Cabinets. Three-part particle board cabinets. $15.06
Looation: Master Bedroom.
Corresponclzng Dtgital Photagraph Fi1e: img_8487,jpg � (
91 Birdcaee. Modern white-painted decarative birdcage. $20.00
Location: Master Bedroom.
Carresponding DigitaZ Photagraph File: img_8488.jpg
I i
�bis�PPraisal,�jervicas pa�e 2.3 oF 36
I
92 , Desk. Modern roll top desk with one central drawer flanked $150.00
by four drawers.
Location: Bedroorn l.
Correspondzng Digrtal Phatograph File: img__8462.jpg
,.�c.
93 Stereoscone. Modern electric stereoscope/miaroscope. $45.00
Location: Bedroom 1.
Carresponding Digital Photogragh Fzle: Bmg_84b6 jpg
94 Bookcase. Modern oak veneer, particleboard bookcase. $25.00
Location: Bectroorn l.
Carrespondzng Digital Photagraph File: img__$464 jpg
95 Floor Lamn. Modern brass floor lamp. $25.00
Lacatian: Bedraam ].
Corresponding Digztal Photagraph Frle.• img_8A63.jpg
96 Chair. Mid-twentieth cantury side chair with plush seat. $35.00
Location: Bedroom 1 Closet.
Carresponding Digital Photograph File: img__$467 jpg
�
�6�s/�,PPraisa�,�je�vlces Page 24 of g 6
I
I
. . . . . .
9? File Cabinet. Four-drawer matal vertioal file cabinet. Maker; $3S.Q0
Kingswood.
Loaation: Bedroom 1 Closet.
Cnrresportdzng Digitad Photograph Fite: img_&46&jpg
98 Bedroom Set. Modern cottage-painted bedroorn set. Set $300.00
ineludes chest and lingerie chest.
Location: Bedroom 2.
Corresponding Digital Photograp/x F"iles: img._8489 &
img_8�4QJP8
99 Hair Stviin,�5tation. Modern plastic portable hair styling $35.00
stakion. Maker: Sa1lyMate.
: Location: Bedroom 2. �
Carrespondzng Digztal Phatagraph Fzles: img 8491 &
img_8492.Jpg
100 M�azine Rack. Modern hard wood magazine rack. $10.00
_; Location: Secand Floor Bathraom.
Corresponding Digifal Photagraph File: im�?_8470.jpg
101 Cnntainers. Selectian of plastic containers. $340A0
Lacation: Basement.
Corresponding Digztal Phatar;raph File: img,_8493.jpg
�
�bis APP�aisai `jervlces Pagc 25 0#36
. . . . , .
102 Craftine Sunplies. Selection of crafting and arts & crafts $150.00
supplies.
Location: Basement.
Corresponding Digital Photograph File: img_8493.jpg
103 Dehumidifier. Modern LG dehumidifier. $50.00
Location: Basement.
Corresponding Digital Photograph File: img 8494.jpg
104 Bench. Outdoor plastic storage bench. $45.00
Location: Outside.
Corresponding Digital Photograph File: img_8495.jpg
105 Flower Pots. Three terra cotta flower pots. $45.00
- Location: 0utside.
Corres ondin Di ital Photo a h File.• im 8496. '
106 Pumpkin. Lazge outdoor pumpkin decoration. $25.00
Location: Gazage.
Corresponding Digital Photograph File: img_8498 jpg
107 Vase & Jazdiniere. Outdoor decorative ceramic lizazd vase $150.00
and jazdini8re.
Location: Gazage.
Corresponding Digital Photograph Files: img_8500 &
img 8503.jpg
�6is APPraisa� �jervices Pa�ve 26 0�j6
._... . _.... ._. .
108 Gazden Porter. Modern metal gazden roller and porter. $35.00
Location: Gazage.
Corresponding Digital Photograph File: img_8501 jpg
109 Jardini�res. Three modern ceramic jazdinieres. $45.00
Location: Gazage.
Corresponding Digital Photograph File: img_8502.jpg
110 Statue. Modern metal Fairy statue/bird feeder. $15.00
Location: Gazage.
Corresponding Digital Photograph File: img 8502.jpg
111 Wagon. Modern plastic garden wagon/cart. $8.00
Location: Gazage.
Corresponding Digital Photograph File: img_8504 jpg
112 Seed Snreader. Modern seed spreader. $8.00
Location: Gazage.
Correspondixg Digital Photograph File: img 8505 jpg
113 Wheelbarrow. Modern metal wheelbarrow. $5.00
Location: Garage.
Corresponding Digital Photograph File: img_8506.jpg
�6is/�PPraisa� �jerviccs Pagc 2J o�j6
114 Jazdinieres. Two modern ceramic jardini8res. $30.00
Location: Garage.
Corresponding Digital Photograph File: img_8507.jpg
115 Snowblower. Atlas walk-behind dual-stage snowblower. $195.00
8hp/27in. Serial Number: HMSK80 1554805 (D) 4117R.
Location: Garage.
Corresponding Digital Photograph Files: img_8509-
img 8511 & img_8513 jpg
116 Plant Stand. Modern copper metal plant stand in the shape of $35.00
a bicycle.
Location: Gazage.
Corresponding Digital Photograph File: img_8514.jpg
117 Vase. Modern ceramic outdoor vase. $10.00
Location: Gazage.
Corresponding Digital Photograph File: img_8514a.jpg
118 Leaf Blower. Modern Black& Decker VadN'Mulch leaf $30.00
blower and vacuum.
Location: Gazage.
Corresponding Digital Photograph File: img_8515.jpg
�6is APPraisa� �jervices Page 28 0�36
119 Lawn Mower. Modern bladed push lawn mower. $40.00
Location: Garage.
Carresponding Dig%fa1 Phatograph FiZe: img_$51b jpg
�
;....
t 20 Urns. Two twentieth century cast iron outdoor urns. $70.00
Location: Garage.
Carresponding Digital Photagraph File: img 8517.jpg
121 Vehicla. 2Q06 Dodga Granfl Caravan SXT. 73;000 miles. $7,400.40
VIN: 2D4GP44L86i{628203. Front wheei drive.
Location: Outside.
Correspanding Digitad Photagraph F'iles: img_&SI$c&
img_8519JF'S
Total $i3,748.fld
��is�1,�Praisal,�jcNICC% Pag�29 0�36
_ _
APPRAISAL SUMMARY (COPY)
It is in my opinion,that as of the date of death: January 12, 2012 and reported on Apri104, 2012,
the Fair Mazket Value of the Bernette Huntz Estate (d.o.d. January 12, 2012), 706 Linwood St.
New Cumberland, PA 17070:
(Thirteen Thousand Hundred Seven Hundred Ninety Eight Dollazs and Zero Cents)
($13,798:00)
Ibis Ap�raisa�
rvice
ACyssa G. o , ISA A�(
�Director
The renort must be read in its entiretv The Annraisal Summarv ONLY is not the
apnraisal renort
�6is/�Peraisa� �jcrvices Pa¢c j0 0�j6
GLOSSARY
Extraordinarv Assumption. An assumption, directly related to a specific assignment, which, if
found to be false, could alter the appraiser's opinions or conclusions [USPAP].
Fair Market Value. The price at which a property would change hands between a willing buyer
and a willing seller, neither being under any compulsion to buy or sell and both having
reasonable knowledge of relevant facts [IRS Regulation Section 1.170A-1(c)(2)].
Fair Mazket Value Expanded. Fair Market Value is not to be determined by a forced sa1e...nor is
the Fair Mazket Value of an item of property to be deterred by the sale price of the item in a
market other than that in which such an item is most commonly sold to the public...taking into
consideration the location of the item where appropriate. [Treasury Regulation § 20.2031-1(b)].
Hwothetical Condition. That which is contrazy to what exists but is supposed for the purpose of
analysis [USPAP].
Renlacement Value. The term replacement value refers to the amount that an entity would have
to pay, at the present time,to replace any one of its assets [Wikipedia].
Sale Comnarison Annroach. This approach compazes an object property's chazacteristics with
those of compazable objects that have recently sold in similaz transactions [Wikipedia].
�bis/�PPraisa� �jervices Page 3 I o�36
. . . . . .
CERTIFICATION OF APPRAISAL
I certify that,to the best of my know3edge and betief:
- The statements of fact contained in this report are true and correct.
- The reported analyses, apinions, and conclusions are limited only by the reported assurnptions
and limiting canditions and are my personal, impartiat, and unbiased professional analyses,
opinions,and conclusions.
- I have no present or prospective interesC 'rn the properry that is the subject of this report and no
personal interast with respect to the parties involved.
- I have no bias with respect to the property that is the subject of t6is report or to the parties
involved with this assignment.
- My engagement in this assignment was not contingent ugon develaping ar repoRing
predetermined results.
- My oompensation for cnmpleting this assignment is not contingent upon the development or
reporting of a predetermined value or direction in value that favors the cause of the olient, the
amonnt af the valne opinion, the attainment af a stipulated resukt, or the occurrence af a
subsequent event directly related to the intended use of this appraisal.
- My analyses, opinions, and conclusions were developed, and this report has been prepared, in
canformity with the Unrform Standards ofProfessionairfppraisal Praetice.
- I have made a personal inspection of the praperty that is the subject of this report.
- No ane provided sign'rficant personal prpperty appraisal assistance to the person signing this
certification.
This appraisal was based upon the following assurnptions, lirn'rtations, and conditions:
1. T"he infarmation contained in this report was gathered from sources considered reliable, persanal
examination,researoh of authenticity and comparable sales and/ar auction prices.
2. No responsibility is assumed for mstters that are legal in nature, including, but not limited to: the
representation of others concerning the value,authenticity,eondition,origin,or provenance of an item
appraised.
3. 'the appraiser assumed that a normal and careful exarnination of the property was suffioient to
datermine 'rts quality and condition and that no extraardinary examination procedures were to be
utitized, unless these were specially requested and the expendittue of funds therefare authorized.
A. The appraiser's court attendance and expert testimony report, if required, are not inoluded as part of
this report. The appraiser does have the right to refuse testimony.
It is the firm belief af the appraiser that the information furnished in this appraisal report and the
conclusions drawn from this information are true and correct,but they are noY guazanteed.
I is A praisa
rvice
ACyssa L. . ney, 5.51 A�Y[
�Da'rector
� �
(�is APPraisal,�jcrvices Page �2 0�3 6
• . . . . .
APPRAISAL REFERENCES
Art Fact. http://www.artfact.com
Cordier Antiaues& Auctions. 2151 Market St. Camp Hill, PA 17011. 717- 731-8662.
http://www.cordierantiques.com
Cra_ig's List. http://www.craigslist.com
Decode This. http://www.decodethis.com/
eBav. http://www.ebay.com
Edmunds. http://www.edmunds.com
I.R.S. Publication 561: Determinine the Value of Donated Propertv. http://www.irs.gov/pub/irs-
pdf/p561.pdf
Kellev Blue Book. http://www.kbb.com
Morohv Auctions. 2000 N. Reading Rd., Denver, PA 17517. 717-335-3435.
http://www.morphyauctions.com/
Nada Guides. http://wwwnadaguides.com/
Pook& Pook. 463 East Lancaster Ave. Downingtown, PA 19335. 610-296-4040.
http://www.pookandpook.com
Prices for Antiques. http://www.p4a.com
Terapeak. http://www.terapeak.com
Treasury Re�ulation & 20.2031-1(b1. Title 26: Internal Revenue. Chapter I: Internal Revenue
Service, Department of the Treasury (Continued). Part 20: Estate Tax; Estates of Decedents
dying after August 16, 1954. Sec. 20.2031-1: Definition of gross estates; valuation of property.
U.S. Treasurv Reeulations Section 1.170A-1(c)(2): Charitable etc Contributions and Gifts•
Allowance of Deduction. http://www.taYalmanac.org/index.php/Reg._1.170A-1
Uniform Standards of Professional Anpraisal Practice. http://www.appraisalfoundation.org
Wikipedia. http://en.wikipedia.org/wiki/Replacement_value
Worthpoint. http://www.worthpoint.com
Yakaz. http://for-sale.yakaz.com/
j6�sAPPraisa� �jervices Pa�ve 3j o�36
. , . . . .
PRIVACY NOTICE
Pursuant to the Grarnrn-Leach-Billey Act of 1999, effective July 1, 2001, appraisers,
alang with a11 providers of persanal financial services are now required by federal law to infarm
their clients of the policies of the Firm with regard to the privacy of client nonpublic personal
inforrnation. As professionals, we understand that your privacy is very important to you and are
pleased ta provide yatz with this informatian.
In the course of perForming �ppraisals, we may collect what is known as "nonpublic
personal information" abont you. This infarmation is used to facilitate the services that we
provide to you and may include the information provided to us by you directly or received by us
from others with your authorization.
We do not disclose any nonpublic personal informatian obtained in the course of our
engagement with our clients to nonaffiliated third parties, except as necessary or as reqixired by
law. By way of example, a necessary disclosure wauld be to our independent cantractars, and in
certain situations, to unrelated third party consultants who need to know that information to
assist us in providing appraisal services to you. All of our independent contractars and any third
party consultants we engage are informad that any informatian they see as part af an appraisal
assignment is to be mainiained by strict confidence within the firm. A disclosure required by law
wonld be a disclosure by us that is ordered by a court of competent jurisdiction with regard to a
tegal actian to which you are a party.
We will retain records relating ta professional services that we have provided to you for a
reasonabie time sa that we are better able to assist yau with your needs. In arder to protect your
nonpublic personai information from unauthorized access by third parties, we rnaintain physicai,
electronic, and procedural safeguards that cornply with our prafessional standazds to insure the
security and integrity af yaur infarmation.
��is APPraisa�5ervicoa pagc 34 of 36
. . . . . .
STATEMENT OF QUALIFICATIONS
Alyssa L.W. Loney, ISA-AM
PRESENTLY
Founder of Ibis Appraisal Services. Owner and Director. October 2001- Present. Responsible for
the management and direction of Ibis Appraisal Services. Conducts extensive on-site and in-
house appraisals, valuations, assessments, and analyses of personal and cultural property.
Conducts research on all objects considered personal and cultural property. Performs appraisals
for divorces, estates and insurance. Performs in the service of law firms, banks, insurance
agencies, universities, library, museums, churches, non-profit agencies and the general public.
Responsible for the development of policies, guidelines, public programs, and standards for Ibis
Appraisal Services. Takes an active role in promoting ethics in appraising. Warks with local,
state, national and international agencies to prevent and uncover appraisal and personal/cultural
property fraud. Member of Institute of Appraisal of Personal Property, American Society of
Appraisers, International Society of Appraisers, and Professional Coin Grading Service.
PROFESSIONAL COURSE COMPLETIONS
ISA Course Completions
- Core Course in Appraisal Studies
- Antiques & Residential Contents
USPAP Completions
- 2002 Uniform Standazds of Professional Appraisal Practice
- 2009 Uniform Standards of Professional Appraisal Practice (takes 15hr course, rather than
update course)
Archaeolo¢ical Resources Protection Act Course
- American Antiquities Act of 1906.
- National Historic Preservation Act of 1966
- Archaeological Resources Protection Act of 1979
- Native American Graves Protection and Repatriation Act of 1994
PROFESSIONAL ACCOMPLISHMENTS
# State Historical and Underwater Archaeologist for the State of Louisiana.
# Attended the Conservation of Indian Artifacts Symposium sponsored by the Smithsonian
Institution and the Tunica-Biloxi Indian Reservation, Marksville, Louisiana.
# Director ofthe West Virginia University Historical Costume Museum.
ala Reseazch Archaeologist/ Artifact Instructor for CADW (Welsh Historic Monuments)/
University of York, England.
� Reseazch and Preservation Specialist for the Maryland Historical Trust.
� Presented and published works for national and international organizations including the
Society for Historical Archaeology, Middle-Atlantic Archaeology Conference, Southeastern
Archaeological Conference, Louisiana Archaeological Society, and the Maryland Historical
Trust.
�6is APPraisa� �jcrvices Pav,�c j 5 0�j 6
' . • . .
EDUCATION
B.Sc. Historical Textiles and Clothing, 1992, West Virginia University, Morgantown,
West Virginia, United States.
M.A. Archaeology, 1995, University of York, York, England.
�bis APPraisal �jerviccs Pa¢✓e 36 0�36
_
_
Calculated Value of Your Paper Savings Bond(s) Page I of 1
Calculated Value of Your Paper Savings Bond(s)
Calculator Results for Redemption Date 01/2012
Tatal Price Total Value TotalInterest YTD Interest
250.00 939.97 689.97 0.00
Bonds: 1-5 of 5
Serial # Series Denom Issue Next Pinal Issue Interest I�terest yalue Note
Date Accrual Maturity Price Rate
C298385908EE;_ EE ' $100T12 1979T-----_- �-1 2/20011-- $25.00I_$121.90T--_--_0-,;146.90T MA
- -- , ;__ $50 �
12/1981_ -- '
MA
, - - -
---- - _-
04/1991 04/2012' 04/2021 $50 00 __ $92.36� 4_00/o��142.36r _
R71906258EE EE I $200r04f1991r04/2012, 04/2021' �100 00�_�184 72r_ 4.00%;�284 72'
-
K060287930EE� EE I__ $75_04/1986_04/2012' 04/2016,__$37.50._$107.25r_ 4.00%,;144J5, _
- .
Totalsfor5Bonds; 250.00� 689.97; ; 939.97;
Notes
NI !Not Issued
-- -- - ---9__-- ---------- ------ - ---
NE_.NOt eli ible.for payment__
- - _.
P5 'Includes 3 month interest penalty_
MA ;Matured and not earnin interest
http://www.treasurydirect.govBC/SBCPrice 3/26/2012
� (�aJ 2����20��-
�
MEMBERS 1"
�ne�uc ctce�rr uenoN
SAVINGS ACCOUNT
Account Number/Suffix 47521-00
Date Account Established 02/15/1985
Principal Balance at Date of Death $2,020.60
Accrued Interest to Date of Death $,15
Total Principal and Accrued Interest $2,020.75
Name of Joint Owner Jacqueline Brink
Date Joint Ownership Established O6/10/1996
IRA SAVINGS ACCOUNT. �
Account Number/Suffz 47521-10
Date Account Established 03/15/1985
Principal Balance at Date of Death $10,10722
Accrued Interest to Date of Death $,g1
Total Principal and Accrued Interest $10,108.13
Name of Beneficiary James Huntz
ROTH IRASAVINGS ACCOUNT:
Accaunt Number/Suffix 47521-'12
Date Account Established 07/08/2009
Principal Balance at Date of Death $5,094.63
Accrued Interest to Date of Death $.46
Total Principal and Accmed Interest $5,095.09
Name of Beneficiary James Huntr
CHECKING ACCOUNT:
Account Number/Suffix q�5y�.��
Date Account Established 03l10N 987
Principal Balance at Date of Death $16,747.02
Accrued Interest to Date of Death $.46
Total Principal and Accrued Interest $76.747.48
Name of Joint Owner None
INVESTMENT SAVINGS ACCOUNT:
Account Number/Suffix 47527-05
Date Account Established O6/10/1996
Principal Balance at Date of Death $39.69
Accrued Interest to Date of Death $.p0
Total Principal and Accrued Interest $39.69
Name of Joint Owner Jacqueline Bnnk
Date Joint Ownership Established O6/10/1996
VISA ACCOUNT:
Account Number 4672090000242347
Date Account Established OS/09/1997
Principal Balance at Date of Death $-80.00 .
Joint Cardholder None
EM RS 1ST FEDERA�ED�,Tjt71r10�
YI�.L�I
Danielle A.Kline
Lending Insurence Support Specialist
February 13,2012
Estate of: BERNETTE L.HUNTZ s
Date of Death:01H2/2012
Socfal SecuNry Number.206-36-8833 �/�
Z �
SOOO i,ouise Drive • P.O. Box 40 • Mechanicsburg, Pennsylvaiva 17055 • (800) 283-2328 • wwwmemberslstorg
_ _
S't
�
MEMBERS 1°�
FEDBRAL CAHDIT UMON
SAVINGS ACCOUNT:
Account Number/Suffix 705523-00
Date Account Established 12/09/1988
Principal Balance at Date of Death $5.00
Accrued Interest to Date of Death $.00
Total Principal and Accrued Interest $5.00
Name of Joint Owner None
CHECKING ACCOUNT:
Account Number/Suffix 105523-11
Date Account Established 12/09N988
Principal Balance at Date of Death $3,207.81
Accrued Interest to Date of Death $.10
Total Principal and Accrued Interest $3,207.91
Name of Joint Owner None
INVESTMENT SAVINGS ACCOUNT:
Account NumbedSuffix 105523-05
Date Account Established 03/07/1995
Principal Balance at Date of Death $9,237.21
Accrued I�terest to Date of Death $.84
Total Principal and Accrued Interest $9,238.05
Name of Joint Owner None
VISA ACCOUNT:
Account Number 4287590001055231
Date Account Established 05/09/1997
Principal Balance at Date of Death $.00
Joint Cardholder None
� E ERS i5T F�CREpIT UjJIqM�
� v � �
rt�Y� �.��1�..--
anielleA. Kline
Lending Insurance Support Specialist
February 13,2012
EsWte of: BERNETTE L.HUNTZ
Date of Death:01NL2012
Soclal Security Number:20636-8833
SOOO i.ouise Drive • P.O. Box 40 • Mechanicsburg,Pennsylvania 17055 • (800) 283-2328 • www.memberslst.org
—_
�.._ �� �� s � ` �'�' " ���"� a €. _ .
y !''
f a � �, x�,�, �, � �� .� , '��_ � ,� �
< � � rf� I
� � r �� ��� � �� �h �
�; -. �,� z� ��' �� � 1 � � � �.,�-4r�'ts„ `
_ '. r � . �X Y."" � X=s� `',}� � �5 ,:.�i ��4,� z�.��'`$�Y� A-�,w 4.e�:
y �, _
> "'i�-�1 ,.A,`rv`. E,? �. '- �_. '. ` , ; : � r '�;�'pt N ,..� s
. , .. ��. � `: ,-
. . .. . . { � f � �.;i.-i: � .l. n?N3, , . ! .: �}
. M. .. . . � .. � .k
PAl' . ^ .�'�` � fI.'`.f�G�T.� ,
t, x^a c �x � '�' � �
.� a� ��� � �� � � � �
: "� , , ^x?� a .,' . . .
� ,� .'� v,`d� .
S � �� 3
�j, t� t� +„,� .
roTHE BERNETTEHUNTZ � � �r�'�'���r�"��.���`�����'��r����"t'i��ai���tfi�lfi��`��t�� `�
ORDeR 706 LINWOOD STREET �r ��'���a ��,r���� ���rf y ���ill r ,rw G( E,,; , -«
o� NEW CUMBERLAND, PA 17070 � �7g ;" �� ��� �� � �����
� � , � t� � i, ��,
{: , ,<;
� �� '
r
�r � � � ,
,tN' » 'r �
�Y�:
_.�j� �r p� . . r. y . �e�'},ifs,
ii'00068 3 L 78 3n' i:04 l 20 3B 24�: 96000 188 54i�'
A����11Z � i�l No. 6831783 �
P.O. $ox 59p60 Check Date: 3/21H2 ,�3I��
Minneapolis,Minnesota 55459-0060 Vendoe OQ000661147
� 1-800-950-1462
BERN�7'TE HUNTZ,708 LINWOOD STREET,NEW CUMBERLAND,PA 17070
Poliey Number DeacrtpGon Date Gross Amount Diswunt Amount � Mmt Amount Pa
00000661197 Gross Amount 03/21/2012 $4,263.87 $O.Q�O $4;263.8
00000661197 Federal Tax Withholding 03/21/2012 -3689.22 $0.0�0� . �� -$684.22
�
`l'
(
fi
! ae� r � i
s
{x� a t� �� V�,u�,�@�r t� " .
.ke �.a � s. . Y M .
ry, '.A+�: P� f::Y P AS j� r 0 { � � �� � � 11a ra �y�
;x .r'��d5'
,
� sxx � �"�rv��v� E�� {�,!,e . ,+ a
k k ,m\a -�nn A� J j�5� ro 1� T�.
�
,
i� �
. n�...:,.. w�,..s.. . .. „ � t .. ,vxAw.,rcEJ� ,• >-. . �G°. 'K+�"PhL�"`,�Pew ,�.�mia a�".$^� ,..' „ .
__ _ _
I11VI1MAKA 11V V GJ 11Y1L1`11 ra.�iv . .. . ... .. .. ... ... . . . -- .
Statement ��GH�''�Km
April 1,2012-June 30,2012
>00450 76B3200 ❑01 ❑92036 651742
BERNETTE L HUNTZ �
706 LINWOOD STREET
NEWCUMBERLAND PA 17070 Scacus: TERMINATED
Account Information
Have you named a beneficiary7 Your bmeficiary is the perzon who will inherit your retirement plan actount,so it's important that this information Is on
file and up to date.8e surc to namea beneHciary for acFrplan you paiticipue In. _
MYBALANCE �
SeginnG{gFk��e 5343,417.67
Chan�e This Period •5343,417.67
Eiidli5��elaiue . . . . Z0;00
Vested Balance 50.60 -
PERSONALIZED RATE OF RETURN
Statement Period 0.42%
Ywr To Date 0.91%
12 Months 1.35%
MY CONTRIBUTION SUMMARY
No co�tributlons for reporcing ptriod.�
Your tocal aher ux contributions to date.are 50.00
MY MONTHLY ANNUITY(LEGACI�PAYABLE qT AGE 65 MY RETIREMENT PLAN BALANGE{CASH BALANCE?
}Iigb�r►c RA�1+�6hCAt� S4.OS078 Hljhmvk RetlramentPfan '. �fifs�er ;Y�'ru=0r#
Begfnnfng Balance s6.278.�7 56.276.7
Interest 547.09 $47A
Endin�Balanca 56.,325.86 S6�,325.8
Pleasn veNfy this Fln�ndal info�nation and tall your plan's toll-free number with any�questions within 30 days of receipt. I(we do not hear irom you,w
will aszume the information on this sUtement is corrett. My correcUont will be reflected on a subsequent statement.
PAGE 1 OF 3
y� For information visit us on the web at
(������ �www.myfd�Ihtuk.neL or cap
1-dS6-HM�446
HO10 W450�76ai200�000900�00t 349 p000710Q002
�� _
"�i--{lu-GHMMK�
Highmark Retirement Plan
Pensian Options
Retain this document to setect yoar pensipn benefits and selecf the farm of yaur benefit payrneots under Yhe HigMmark
Retirement Plan. Review all stated Beneficiary Information far accuracy. Because your chaices on this form roay affect your
taxes,you may want to eonsult a tax or Cnancial advisor.
Bene�ciary Information
Nantec � Estatc E3f$er��eYte NunEZ Social 5ecurify Num6er: Not C)n File
Date of Birth: s\'lA Relxtioaship: Other
Since you are eligible for a Legaey Benefit and a Rekirement Accumulatino Account(RAA) balance,you may tske your
d3stribvtion as a tump sum adly.
Xou must select one pf the ootiane on the followine naees:
I}Elect a tump sum optinn based on t6e combined vatues oC yaur Gegacy Benefit and RAA balance as of the Be�refib
Commencement Date.
Qptton 1:Errtire va#ue of your RAA Calance payabie as a Lump Sum and defer Legacy 8enetit —�
Note:A separete Retiremerrt package wiH be prepared whe�fFie dis#rlbutlo�af the i..egacy 6enefft commences
Lump Sum Payment(as oi the Benefit Commencement Date stated above) �
tump {See accampanying Expianetlon ot Per�sion OpNo�s
Sum fa detaiis of the features of fNs Optipnet Form of Single Sum Paymsnt
Paymeni Payment.)
✓ Lump Smn Payment: $2p6.678.K8
Beneficiary Signature(s)
ELECCI4N OF Ffl�tM 4F PAYi�iENT As a Beneficiary in the F#ighmark Retirement Plan(the"Ptan"},I understand that t may be
,eligible for a pension benetit Gom the Plan. I understand that comple[ion of the form5 in [his Benefit Na[ice and Elec[ion Peckage �
� does no[gusran[ee my entitlement to benefits under the Plan, and my rights ur benefits, if any, will be contingent upon the terms and
conditiass ofthe laws and (egal dc�cuments on which the plan is based. I also andarstand that the infonnation formulafed in this
paokage is subject to these tegal documents, including bui not iimited to the Plan documeni,which witt govem in case of difference or
error. I understand[hat the benefit amounts included in this package are only an estimate of my future benetits and are not intended to
provide an exact calculation of my pension benefit. 1 understand that my estimated benefi[was ralculated based upon a variety of
factors iacluding tength of emplayment, the p(ads fundiag status and certaia actuarial assumptions.To tha extent that any of these
factors shonld change, T understand ihat the benefit arnounts may ahange. I hereby elect to have my peasion benefits under the
Pla�n paid to me(and to my spousc or other beneficiary,if applicable)in the Optional Form of BeneGt checked ahove or on the
previous page; or, if no such Optionat Form of Benefit is checked, f acknowledge that my benefit wi11 be paid in the Normai
Farm oI Bentfit described op tha first page. I also acknowledge that the 8enefit Commencement LTate stated and the form of
payment elected in this Pension Options Form cannat be changed after paymen[s have begun. i have reviewed the Beneficiary
Infnrma[ion and Benaficiary Infqrmation, and [ certify that they are complete and acourate. [ also certik'y that I have completed or
obtazned all other forms and docurnenu reyuired for the payment optias I hava elected,as indicatecf in the Pansia�Checklisf, and ihat
all information co�rtained in those documents is true,correct,and oamptete. I understand that i hava the right ta waii untit i am age 65
to begin receiving my pension benefi[ paymen[s, and 1 acknowledge that I have received the "Special Tax Notica Regarding Plan
Pa ments,"which explains the incvme tax withholding und rollover options available for the Lump Sum Payment optitrn.
If�,+�`/ j �.3- 3(0� '��f3`� �4lF�l�fl'`�3�1� ldf20f<L
ficiary�i¢ re S.Qei�! Se�u� ��_N�n ber���l Dat�h,�,�j�
` fl �`�,,;3Pa �'7�si t��`''
t a �c,�::� ��x
Address 325 North Front Street City Harrisburg, State PA ZIPCode 171d1
t��EF•�. ,,, �r _ � :r .
i IGH��I�RK�
Highmark Retirement Plan
Pension Options Form
Qpiian 9:tegacy Beneflt payaple as an Immediate Annui#y Plua the entire value af your RAA balance payable as a
Lump Sum
Optiona!Annuity Forms of Payrrfent(as of the Benefit Commencement Date stated a6ove)
CNECK (See acxompanying Expienation ot Pension 6ptbns Monthly Payment Monthly Payment to Your Baneficiary for
ONE ✓ for details of the features of these Optional Forms of for Your Life Life After Ydur Death
Payment.)
S[raight Life Annuit�: $3,22i}.37 N/A
5-y�ur Certain S Lifc Annuity: �3,t8S,91 N/A*
SO-vear Certain&Life Annuity: 53,041.HS N/A*
lump Sum Fayment(as of the Benefit Gomrrrencement Date stated above)
Lump (See accompanying Explanation of Pension Options
Sum for details ot tha feamres ot this Optinnal Form of Siogle Sum Payment �
Aayma�t Payment.)
✓ Lnmp Sum Paymenk: $(i,27$.77
n
Optlon 2:Lagacy BenefK and RAA balance combined payabie as an Immediate An�ulty
Optlonal Annuity Forms of Payment(as af the Benefit Commencement Date stated above)
GHECK {See acLOmpanying E�cptanatian of Pension Options �nthly Paymen# 6AOntfiiy Peymer�t to Your 8eneficlary fot �
for detaiis at tha feffiures of these ppUonai Farms ot �
� for Your l`rfe Life ANer Yaur Death
ONE payment.)
Strai�;h2 Life Annuity: 53.258.71 NtA
5•year Certain&Life Annuity: $3,223.84 N/A'�
10-year Certain&Life Annuity: �a3,3 28.64 NJA*
" Payable to beneficiary until end of guazantee pedod.
Optia�3:Endre vatue of your RAA batance payabie as a Lump Sum and defer legacy Benetit
Note:A separate Retlrerment package will be prepared when the distributlon ot tha Legacy Benefit commences
Lump Sum PaymeM(as of the Senefit Cammencement Oate sta#ed above}
Lump (See axompanyirg Expianation of Penslon Optlons
Sum fw details of the features of this Optianal Form of Single Sum payment
Payment PaymsnL)
Lnmp Sam F'ayment: $(,273,77
I���������'������"
Ot001PEN02208
Fe,rsri_2201�3 Pa�;e 2 0`21
,.,I'22-2(J-:,�