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Home My WebLink About02-07-14 (2) __ _ __.___ �_ __ _ ____ —:� __ _ � 1505610140 REV-1500 EX (02-11)(FI) �� • PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 1 3 0 6 1 ? HaRisburcZ,PA 17128-oso� RESIDENT DECEDENT _ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 0 5 0 8 2 0 1 3 0 7 2 0 1 9 2 0 Decedent's Last Name Suffix Decedent's First Name MI D 0 U G L A S D 0 R 0 T H Y P (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER QF WILLS FILL IN APPROPRIATE OVALS BELOW � 1.Original Return � 2.Supplemental Return � 3.Remainder Return(Date of Death Prior to 12-13-82) � 4.Limited Estate � 4a.Future Interest Compromise(date of � 5.Federal Estate Tax Return Required death after 12-12-82) � 6.Decedent Died Testate ❑ 7.Decedent Maintained a Living Trust 0 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) � 9.Litigation Proceeds Received � 10.Spousal Poverty Credit(Date of Death � 11.Election to Tax under Sec.9113(A) Befinreen 12-31-91 and 1-1-95� (Attach Schedule O) CORRESPONDENT•THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number D A V I D H S T 0 N E � E S Q U I R E ? 1 ? ? 7 4 7 4 3 5 �ISTER OF WI�USE�N� � � � � � � � � First Line of Address '� � � C�► tra � 4 1 4 B R I D G E S T R E E T � � � -.] � Q � Second Line of Address � ` � "U � '� � � � � � � � � � DATE�LL,ED ""'"" � City or Post O�ce State ZIP Code ` � � � � �. N E W C U M B E R L A N D P A 1, 7 0 ? 0 � Correspondent's e-mai�address: D S T 0 N E a S T 0 N E L A W•N E T Under penalties of pery'ury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is , rrect a complete.D 'on of preparer other than the personal representative is based on all information of which preparer has any knowledge. SI NA7 PERS RE N BLE FOR F ING RN DATE � � — A ESS LE TR T ANNVILLE PA 17003 IGNATURE O �R AR R 0 E THAN REPRESENTATIVE DATE 2� A 414 BRIDGE T EE NEW CUMBER�AND PA 1?070 PLEASE USE ORIGINAL FORM ONLY Side 1 � 1505610],40 1505610140 � 1505610240 REV-1500 EX(FI) Decedent's Social Security Number oecedent'sName: D0R0THY P • DOUGLAS RECAPITULATION �. Real Estate(Schedule A) . . .. . .. .. . . . . . . . . . .. . . ... . . . .. . . .... . . . .. . . �. 1 3 9 1 0 0 . 0 D 2. Stocks and Bonds(Schedule B) .. .. . . .... .. . ..... . . ... . .. . . ........ . . 2. 8 8 5 7 3 . 6 4 3. Closely Held Corporation,Partnership or Sole-Proprieto�ship(Schedule C) . .. . . 3. • 4. Mortgages and Notes Receivable(Schedule D) .. ..... .. .. . .. . . . ... .. . .. . 4. • 5. Cash,Bank Deposits and Miscellaneous Pe�sonal Property(Schedule E).. .. . . . 5. 1 2 3 4 9 . 6 3 6. Jointly Owned Property(Schedule F) ❑ Separat�Billing Requested .. .. . . . 6. 1 6 9 � 3 � . 1 9 7. Inter-Vivos Transfers&Miscellaneous N�Probate P'roperty (Schedule G) Separate Billing Requested . .. . . . . 7. • 8. Total G�oss Assets(total Lines 1 through 7) . . . . . . . . . . . . ... . .. . . . . .. . . . 8. 4 0 9 0 6 0 . 4 6 � 9. Funeral Expenses and Administrative Costs(Schedule H) .. . . . .. . . .. . . . . . . . 9• 1 6 7 9 4 . 5 4 10. Debts of Decedent,Mort a e Liabilities,and Liens Schedule I 10. 1 � ? 8 4 . 4 6 9 9 ( ) . . .. . . .. .. . .. 11. Total Deductions(total Lines 9 and 10) . . . . . ..... . . . . . .. . . .. ... ... . . . . 11. 2 7 5 ? 9 . 0 � 12. Net Value of Estate(Line 8 minus Line 11) . ... . ... . . . ... . ... ... .. . ... . 12• 3 8 1 4 8 1 . 4 6 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) .. .... . . .. . . . . •• . .. . . . 13. • 14. Net Value Subject to Tax(Line 12 minus Line 13) .... .... . .. . .. . . .. .. . 14. 3 8 1 4 8 1 .. 4 6 _.. -.-•' ' TAX CALCULATION-SEE INSTRUCTIONS FQR APPUCABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfe�s under Sec.9116 (a)(1.2)X •0 � . � � 15. 0 . � � 16. Amount of Line 14 taxable at�inea�rate x •0 4 5 3 8 1 4 8 1 . 4 6 �s. 1 ? 1 6 6 . 6 ? 17. Amount of Line 14 taxable at sibling rate X.12 0 . 0 0 17. 0 . 0 0 18. Amount of Line 14 taxable at cullateral rate X.15 � • 0 � �g. 0 • � � 19. TAX DUE . . . . . . . .. . . .. . . .. . . .. . .. . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . 19. 1 � 1 6 6 • 6 � 20. FI�L IN THE OVA�IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT � ' Side 2 � 1505610240 1505610240 J REV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: 21 13 061? DECEDENTS NAME DOROTHY P • DOUGLAS STREET ADDRESS ' 1184 LETCHWORTH ROAD CITY STATE ZIP CAMP HILL PA 17011- Tax Payments and Credits: �• Tax Due(Page 2,Line 19) (1) 1?,16 6•6 7 2. CreditslPayments A.Prior Payments 17,0 0 •0 0 B.Discount 8 9 •?4 Total Credits(A+B) (2) 17,8 9 4 •7 4 3. Interest (3) 0•0 0 4. If Line 2 is greater than Line 1+Line 3,enter the difference.This is the'OVERPAYMENT. Fill in oval on Page 2,Line 20to request a refund. (4) ?2 8•0? 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is theiTAX DUE. (5) 0•0 0 Make check payabl� to: REGISTER OF WILLS, AGENT ^r#��,.., r e�.� r �t,� i'�@ +��y. ;6 � G� ..o:.,� �,,��,� �»"� � �'"' .:�... �;.g,�' �ti y Aa� W.�y,ry.f `` _.9' ::;y . �..�., u. '1'��.r.'�k S�......... ... ... . 'A . „�,:�''. .��.,�x.,� x'VW.•�.. ..,. .. , .... . ... . . , .,x... .a ..., < .. , .�,, ... . �:,ts 3 . ,. . , . ,. . . ..... . . . . >_n� �k PLEASE ANSWER THE FOLLOWING QUES�'IONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred ...................................................................... ❑ � b. retain the right to designate who shall use the pro�erty transferred or its income ............................... ❑ � c. retain a reversionary interest ..................................................................................................... ❑ � d. receive the promise for life of either payments,bet�efits or cace? ....................................................... ❑ � 2. If death occurred after December 12,1982,did dece�ent transfer property within one year of death without receiving adequate consideration? ...........:........................................................................... ❑ � 3. Did decedent own an"in trust for"or payable-upon-d�ath bank account or security at his or her death? ......... ❑ 0 4. Did decedent own an individual retirement account,ahnuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. � ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MU$T COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. �'�r.;n �'��.d»,�'�x��3�, � �'� k 3°t X�k�k�c '�k�"`�•�§ y��'� ri�� .�a��"�� _..� F ��„+3s�"�;�'"�,,.}��`^'�'^,'r�,�.`�*�y� �' � ->,�H. .. . . .. 'Y >, r-'.?,. '�.,�a �<•'� t�'I- �'.'_ _,....�...s.. ..,..` v ..t� ��r. s,�.c,.�,�.x',� ..�x��. � ��>.<._...;�,,A�5.,erkw,r_ ��.... .. .... ... . �s .'+. ,... .« ..,... . For dates of death on or after July 1,1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse i= is 3 percent(72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1�(ii)].The statute does not exempt a hansfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the suroiving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an adoptive parent or a stepparent of the child is O percent(72 P.S.§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[�2 P.s.§9116(a)(1)�. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)j.A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1502 EX+(12-12) pennsylvania SCHEDULE A DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: DOROTHY P • DOUGLAS 21 13 061? All real property owned solely or aa a tenant in common must be reported at fa�r market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a wiliing seller,neither being campelled to buy or sell,both having reasonable knowledge of the relevant facts. Real properly that is jointly-owned w�h right of survivorahip must be diaclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1 Property located at 1184 Letchworth Rd� Camp Hill , 139,100•00 Lower Allen Twp, Cumberland County� PA at assessed value $139,100 times CLR (1•0) TOTAL(Also enter on Line 1,Recapitulation.) � 13 9,10 0•0 0 If more space is needed,use additional sheets of paper of the same size. REV-1503 EX+(8-12) pennsylvania SCHEDWLE B DEPARTMENT OF REVENUE �+ p INHERITANCE TAX RETURN STOvKS a BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER DOROTHY P • DOUGLAS 21 13 0617 All property jointly owned with�ight of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 • 1289 shares PNC Financial Servi+ces Group Inc stock 88,573•64 a �68•?15 each TQTAL(Also enter on line 2,Recapitulation) s 8 8,5?3•6 4 If more space is needed,inse�t a�ditional sheets of the same size REV-1508 EX+(OS-12) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. RESI ENT DECEDENT URN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: DOROTHY P • DOUGLAS 21 13 0617 Include the proceeds of litigation and the date the proceeds were received by the estate. Ail property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1• 2012 Ford Focus sold to Klick Lewis dealership 11,600•00 2 Blue Cross-refund 217•63 3 United States Treasury-refund on 2012 1040 return 532 •00 TOTAL(Also enter on Line 5,Recapitulation) � ],2�3 4 9•6 3 if more space is needed,use additional sheets of paper of the same size. REV-1509 EX+(01-10) pennsyivania SCHEDUL.E F DEPARTAAENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: DOROTHY P• DOUGLAS 21 ],3 061? If an asset was made jointly owned within one year of the decedent's date of death,�must be reported on Schedule G. SURVIVING JOINT TENANT{S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A. JOHN S DOUGLAS, JR 945 E• MAPLE STREET SON ANNVILLE, PA 170�3 B. c. JOINTLY•OWNED PROPERTY: LETTER DATE DESCWPTION OF PROPERN 96 OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENTS VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST �. A. 1z�5�oa M&T Bank-Cert of Deposit #3100392- 25,114 •00 50• 12,557•00 0510631 joint w/John S Douglas Jr Prin �25,08?•87, Int $26 �13 2 A 1o2�ioa M&T 8ank-Cert of Deposit #3100392- 1,607•?3 50• 803•8? 0510962 joint w/John S Douglas Jr Princ $1,605•63, Int $2•10 3 A 2/4/p9 M&T Bank-Cert of Deposit #3100392- 1,504 •51 50• ?52•26 0513114 joint w/John S Douglas Jr Princ �1,503•?6, Int � •75 4 A Lo3o�oo M&T Bank-Savings Acct #1500419816- 11,1,600 •63 50 � 55,800�32 0142 joint w/John S• Douglas Jr Princ �111,595•74, Int $4 .89 5 A �12aia6 M&T Bank-Checking Acct #42709326 4,948 • 40 50• 2,474 •20 joint w/John S • Douglas Jr Princ �4,948•38, Int �•02 6 A d/3/09 M&T 8ank-Cert of Deposit #3100392- 1,419•59 50• ?09•80 0513172 joint w/John S Douglas Jr Princ $1,416 •91, Int $2•68 7 A 7/8/09 M&T Bank-Cert of Deposit #3100392- 2,011•1? 50• 1,005.59 0512950 joint w/John S Douglas Jr Princ $2,007•01� Int �4 •16 8 A 1227/01 Morgan Stanley Acct #341-899624- 169,429 •98 50• 84,714 •99 101, joint w/John S Douglas Jr �169,429•98 Various bonds and bond funds tSee attached list) 9 A Various 36 E Bonds in decedents name "or" 20,438•32 50• 10,219•16 John S Douglas Jr (list attached) TOTAL(Also enter on Line 6,Recapitulation) � 16 9,0 3?•19 If more space�s needed,use additionai sheets o�paper of the same size. REV-1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERiTANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER DOROTHY P• DOUGLAS 21 13 0617 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTlON AMOUNT A. FUNERAL EXPENSES: 1- Auer Cremation Serv-cremation services rendered 695•00 2 Auer �remation Serv-addl expenses 1,050•00 3 Rolling Green Cemetery-mausoleum space 1,346•00 4 Catering for luncheon 8?4 •50 5 Pastor, organist, sexton, etc 400•00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representa6ve(s) Sueet Address City State ZIP Year(s)Commission Paid: 2 . AttomeyFees: David H Stone, Esquire 10,000•00 3, Family Exemption:(If decedenYs address is not the same as claimant's,attach explanation.) Claimant Street Address City State ZiP Relationship of Claimant to Decedent 4 • ProbateFees: Cumberland Co Register of Wills 358•50 5. Accountant Fees: 6• TaxRetumPreparerFees: Shoop CPA-prep of 2012 returns 235•00 7- Cumberland County Law Journal-adv grant of letters ?5•00 2 The Sentinel-advertising grant of letters 189•54 3 Storage unit a �120 x 8 960•00 4 PA Dept of Revenue-tax due on 2013 PA40 311.00 5 Register of Wills-add ' 1 probate fee 50•00 6 Reserve for closing expenses 250•00 TOTAL(Also enter on line 9,Recapitulation) S ],(,,7 9 4 •5 4 if mo�e space is needed,use addi�onal aheets of paper of the same size. REV-1512 EX+(12-12) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT� INHERITANCE TAX RETURN MORTGAGE LIABILITIES&LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER DOROTHY P • DOUGLAS 21 13 061? Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbu�sed medical expenaes. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1• Kindred Place-services rendered 682•94 2 West Shore EMS-services rendered 213•84 3 State Farm Ins-auto insurance 429•64 4 Luthercare-services rendered 1,277•52 5 State Farm Insurance-home insurance 417•00 6 EMS-services rendered 1,001•62 7 Apothecary-services rendered 95•00 8 Country Meadows-nursing home services 4,559•41 9 Real estate taxes on property for 2013 2,107•49 TOTAL(Also enter on Line 10,Recapitulation) S 10,7 8 4 •4 6 if more space is needed,insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J pEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: ` FILE NUMBER: DOROTHY P• DOUGLAS 21 13 061? RE�ATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [Include outr�'ght spousal distribubons and transfers under Sec.91 f6(a)(1.2).j 1 JOHN S DOUGLAS JR Lineal 381,481•46 945 EAST MAPLE ST ANNVILLE PA 17003- ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II, NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1• B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS; 1• TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. S If more space is needed,use additional sheets of paper of the same size. t � � 1 ` � LAST WILL AND TESTAMENT OF DOROTHY P. DOUGLAS I, DOROTHY P. DOUGLAS, of Lower Allen Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. I�I: I devise and begueath all of my estate of every nature and wherever situate to my son, JOHN S. DOUGLAS, JR. Should my son, JOHN S. DOUGLAS, JR. , fail to survive me, I devise and bequeath all of nty estate, of every nature and wherever situate, in equal shares to his issue, per stirpes. ITEM II: I appoint my son, JOHN S. DOUGLAS, JR. , Executor of this my last will. ITEM III: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his duties in any jurisdiction. IN WITNFSS WBSREOF, I, DOROTHY P. DOUGLAS, have hereunto set my hand and seal this �'� day of c , 1994. . � DOROTH P. DOUGLAS , Page 1 of 3 . � v � . SIa�FD, SEALED, PUSLIS8I�D and DI�CLARED by DOROTHY P. DOUGLAS, the Testatrix above named, as and for her Last Will and Testament, and in the presence of us, who at her request, in her presence and in the presence of each other, have subsctibed our names as witnesses. , _ � P C � Wi ees � � Address .- ; � , � . . � '� _-�-v- " ��-u.( �. • _ .� W t � ss Addres s %� COMMONWEALTH OF PENNSYLVANIA: :SS: COUNTY �F CUMBERLAND : I, DOROTHY P. DOUGLAS, the Testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law do hereby acknowledge that I signed and executed this instru- ment as my last will; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein contained. . ` ,�- ��/ DORO Y P. DOUG Sworn to or affirmed to and acknowledged before me by DORO�HY P. DOUGLAS, the Testatrix, this I�-� day of �1 , 1994. Notary Public Page 2 of 3 T � il�,ARL�!. SEaI C�"1STA��CE L. K,;,�:, _:�.:�"..-^,'f �'!,�Sl.IC ►` /�r.Rrcnr.:��1 } ,�c - .• �,, j+ i�I�� 4�i'IaJ.�:t4K.tiY/ �."� :ili:'�.i{.�.w111�1t� y0� MY C�i£5�I{��d EXPIRcS P.t�?i� 13, 1915 - " '' i � r I COMMONWEALTH OF PENNSYLVANIA : :SS: COUNTY OF CUMBERLAND : � We, � and � < < � • � . the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her last will; that Testatrix signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix siqned the will as witnesses; that to the best of our knowledge, the Teatatrix was at that time eighteen or more yea=s of age, of sound mind and under no constraint or undue influence. a Wi ness ` � Witness Sworn to or affirmed to and acknowledged before me by � ~ .5�,�,� and -.:.� + -- � witnesses, this �_ day of _ , 1994. .� , Notary Public Nor�aara� s�a� C�Jhl�T�NCE L. XAP,E.I, 1°��TA�Y PUS!IC NEW CU�;C£�:Lr�`��, PA CL`�SBERLAF�O C0. Page 3 of 3 MY COM�;iSSiO� EXPIRES APkiL 13, 14�5 PropertyMapper-Cumberland County, PA Page 1 of 1 �yH �� d � �' �}l1NTY `` �",� �� '�.`' � � � , ; �� '� , ';� �.� �;. ,.�'= �i � � .�;�,;. „ �'!�,- (3 % ,�M"If � ,' f ��/� � �r � f Y �� ,,.� ��t ,t jf � R Y � `��, 4�.� r._..� .�` I� ,�. �. ! ; ° /�► � �i . j �q �` '�� . � `.� ( a:�,i .�Y T' , �. � � ... .�. :. .�.�-. 1` . . : .,..�� ... ,,' ., s�..,.��... 1 '�,,.'` 1r1 ''-?t r . � ,tify;, i . � { .1 y�� .t'� ^� .� �-'_ � �� } �S � �D. t °l '.�` ,�� ''4y �_ '`{'+,� ' ,i'" ; 9' � ! -+.. � - f 1 '� i ��w' 1 ,�,i't � �i 1 J�`t` f?7.. ! t � `i }�1 i, t �� S i } `< .�J.� ' (, r•, �� •,\' ':�� '�.- ? `f=1 ��Y� � ' :'� � � �� „7 i �'.. `, ` y �.• t f .�� i . _�y ,/ '. � �' �t i n'" . � . � � i ^ �� ' � w f�� i � i ..L, '�' . � � ;f."" Y 1�, r� �) � i, r \'f' '',`i� i �+f'}�a '+ , t 4i ,,,,��t y�� .P ,y ,' �S ^t. 1,�_ `�� ` ~J` ';I i �, �,^ . � � ' ,.�'��`.M � 1,' 'r `�`� , � ''. Y' ,/ � n �, ''yrf-.� . ,:'�,� � ,� ir' '-�'�`' `, �''r ��. ' i.. � '`'� � *l `�`,/'(,,h��j t ', t'�M1 i . i '�.� + `�JYµ�'- ��N� ; ��„� _ "•L:��`i. 1C 1� �� <� s i �� 10�i ��,�"��` � 221S16i.93601�390031.101335 W r http://gis.ccpa.net/PropertyMapper/ 5/10/2013 � �ua�. x c�,aooroao - raya � vL � ROBERT P. ZIEGLER RECORDER QF DEEDS � � .w... CUMBERLAND COUNTY '' �� , .,. 1 COURTHOUSE SQUARE : . r'� �� CARLISLE, PA 17013 ` � ��'�� 717-240-6370 ! �` - _ � �: .� �R � t � —...�-.....--wm�s.;.!!��.. ..w .,; . Instrument Number-Z01337853 Recorded On 11/26/Z013 At 9:28:13 AM *Total Fages-5 *Instrument Type-DEED Invoice l�Tumber- 152094 User I'D-MBL "Grantor-DOUGLAS,DOROTHY P "Grantee-DOUGLAS,JOHN S JR *Customer- SIMPLIFILE LC E-RECORDING "FEES STATE wRiT TAx �o.5o Certification Page 3TATE JC3/ACCESS TO $23.50 ' JC.TSTICE DQ NOT DETACH RECORDIN(3 F�ES — $12.50 RECORDER OF DEEDS PARCEL CERTIFICATION �is.oo This page is now part gEE� of this legal document. AP'FORDABLE HOUS INC� $11.5 0 COUNTY ARCHIVLS FEE $2.00 ROD ARCHIVES FEE $3.00 WE3T 3HORE SCHOOL $0.00 DI3TRICT LOWER ALI�EN TOWNSHIP $0.00 TOTAL PAID $68.00 I Certify this to be recorded in Cumberland County PA v �~ � . 0 RECORDER OF DEEDS r�o *-Informatlon denoted by an asterisk may change during the verification procesa and maJ not be retlected on this page. _ _ _ - -- � f ------ .. -----�--- --�- - -- - _ _- _ � 7.:1REIDED-Douglas.Dorothy-t 184 Letchworth Road 'taa Parcei#:13-23-0S�S-O51 Address:1184 Letchworth Ro�d Camp Hill,PA 17011 � CERTIFIED PROPERTY IDBNTIFICATION NZJb�ERq DEED 13-23-0545-051 - LOWER ALLgN TP �� CC(3I8 REOI3TRy 11/26/2013 BY DC � THIS INDENTURE made the �� day of �d��'`�� , in the year 2013, I between JOHN S. DOUGLAS, JR., individually and as Executor of the Last Will and Testament of DOROTHY P. DOUGLAS, late of Lower Allen Township, County of Cumberland, and Commonwealth of Pennsylvania, of the first part, hereinafter called the Grantor, � , -AND - � ! JOHN S. DOUGLAS, JR., and SUSAN M. DOUGLAS, husband and wife, of the � second art h � p , ereinafter called the Grantees; WHEREAS, the said DOROTHY P, DOUGLAS became in her lifetime seised, as of fee, of and in a certain tract of land, together with the improvements thereon erected, situate in Lower Allen Township, County of Cumberland, and Commonwealth of Pennsylvania, and more particularly described hereinafter; and being so thereof seised, died on May 8, 2013, having first made her Last Will and Testament in writing dated May 17, 1994, duly probated and registered in the Office of the Register of Wills of Cumberland County on May 30, 2013, wherein and whereby she appointed as Executor, the said JOHN S. DOUGLAS, JR., to whom Letters Testamentary were duly issued by said Register of Wills on May 30, 2013, wherein and whereby said premises hereinafter described were not specifically devised, all as in and by said Will and the records of said Register of Wills, recourse thereunto being had, appears: NOW THIS INDENTURE WITNESSETH, that the said Grantor, for and in consideration of the sum of ONE and NO/100----------($1.00)----------Dollar, which has been paid t�o they by the said Grantee at or before the sealing and delivery hereof, receipt whereof is hereby acknow�ledged, has granted, bargained, sold, aliened, released and confirmed, and by these presents does grant, bargain, sell, alien,release and confirm unto the said Grantees, ALL THAT CERTAIN lot of land situate in the Township of Lower Allen, County of Cumberland and State of Pentisylvania, more particularly bounded and described as follows, to wit: BEGINNING at a point on the northern line of Letchworth Road on the dividing line between Lots Nos. 25 and 26, Block "J", on the hereinafter mentioned Plan of Lots; thence in a northerly direction along said dividing line one hundred sixteen and four tenths (116.4) feet to f Columbus Street; thence in an easterly direction along the southern line of Columbus Street � fifty five and three one-hundredths (55.03) feet to Lot No. 27, Block "J", on said plan; thence in a southerly direction along the western line of said Lot No. 27 one hundred fourteen and fifty six one-hundredths (114.56) feet to Letchworth Road; thence in a westerly direction along the northern line of Letchworth Road fifty five (55) feet to the point or place of BEGINNING. �1„ � � �'.��• .. _�_��•_�_ _�� _� � � f I BEING Lot No. 26, Block "J" on the Plan of part of Blocks "J" and "L", Highland Park, Lower Allen Township, Cumberland County, Pennsylvania, recorded in the Cumberland County Recorder's Office in Plan Book 4, Page 89. � HAVING THEREON ERECTED a single one story frame dwelling house. � BEING the same premises which N.P. Ninneman and Naomi B. Ninneman his w' Deed dated July 26, 1950, and recorded July 26, 1950, in the Off ce of the Recorder of D � bY of Cumberland County in Deed Book 14-K Pa e 427 eeds , g , granted and conveyed unto John S. Douglas and Dorothy P. Douglas, his wife. John S. Douglas died on APRIL 4, 1994 thus by operation of law vesting title in Dorothy P. Douglas,deceased. � TOGETHER with all and singular the buildings, improvements, ways, streets, alleys, passages, waters, water-courses, rights, liberties, privileges, hereditaments and appurtenances whatsoever, thereunto belonging or in any wise appertaining and the reversions and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, property, claim and demand whatsoever of her, the said DOROTHY P. DOUGLAS, at and immediately before the time of her decease, in law, equity, or otherwise howsoever,of, in, to or out of the same. TO HAVE AND TO HOLD the said lot or piece of ground above described, with the buildings and improvements thereon erected, hereditaments and premises hereby granted or mentioned, and intended so to be, with the appurtenances unto the said Grantee, to and for the only proper use and behoof of the said Grantee, forever. AND the said Grantor, for him and his respective heirs, executors and administrators, does covenant, promise and agree to and with the said Grantee, his heirs and assigns, that he, the said Grantor, has not heretofore done or committed any act, matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged, or encumbered in title, charge, estate or otherwise howsoever. IN WITNESS WHEREOF, the said Grantor has hereunto set his hand and seal the day and year first above written. � Signed,,� e , "d D 1' ered : i�n t , �'�,," �ie Pre ce . , .� ��t -..,,\�� : _ ' ` (SEAL) Witness �6�--��A� : �` HN S. DOUGLA , JR., individually and as � � Executor of the Last Will and Testament of : DORQTHY P. DOUGLAS � i�� I � � ..2„ � � � -----• ,. -----•--- --�- - -- - _ _ _- - - - � COMMONWEALTH OF PENNSYLVANIA : : SS: COUNTY OF C,v'-�� . Un this, the ��` day of ��V-�'��'� , 2013, before me a the undersi ned officer Notary Public, g , personally appeared JOHN S. DOUGLAS, JR., individually and as Executor of the Last Will and Testament of DOROTHY P. DOUGLAS, known to me or satisfactorily proven to be the person whose name is subscribed to the within instrument, and ! acknowledged that he executed the same for the purposes therein contained. � IN WITNESS WHEREOF, I have hereto set my hand and notarial seal. , COMMONWEALTH OF PENNSYLVA�!!A . NOTARIAL SEAL �.� JENNIFER A. MEARKLE, �Jotary Pubiic Notary Public New Cumberiand E�oro.Cumberland Co. My Commission Expires July 7, 2016 � � � I hereby certify that the precise address of the Grantees is 945 E. Ma le Street Annville. PA 17003. = �, DATE: ��- l3 Attorne �� /�� .J � � � � 3 � — -- - — _ _ EV-183 EX(04-10) -----• .. -----•--- -`'- - -- - pennsylvania R EALTY TRAN S F E R TAX State Tax pa,d ECORDER'S USE ONLY OEPARTMENT OF REVENUE S TAT E M E N T Q F VA L U E �� Book Number Bureau of Individual Taxes Page Number PO BOX 280803 Hamsburg,PA 17128-0603 See reverse for instructions Date Recorded �omplete each section and file in duplicate with Recorder of Deeds when(1)the full value/consideration is not set forth in the deed, (2j the � eed is without consideration or by gift, or(3)a tax exemption is claimed.A Statement of Value is not required if the transfer is wholly exempt om tax based on family relationship or public utility easement. If more space is needed,attach additional sheets. . ►. CORRESPONDENT -All in uiries ma be directed to the followin erson: ame Telephone Number: �avid H • Stone, Es�uire 71???47435 failing Address � �City 14 B r ' r�e t f state ztP code New umb lan pq . 7 7 t. TRANSFER DATA C. Date of Acce tance of Document rantor(s)ILessor(s) Grantee(s)/Lessee(s> ohn �. ,p��91as, ,�r., indivdi��llr,�g.__as Executor of t,}lg„_� John $• DOU Ir35 �ailing Address �� ,�, S��p� Mailing Address 45 E • Maple Street rr�n�-�- 945 E • Ma le S�reet y -p �t i State i zIP Code ��ty State ZIP Code nn ' pq r �. REAL ESTATE LaCATtON 7 0 0 3 A n v i 1 e P A 1 treet Address 1 City,Township,Borough 184 Letchwor h _Road �Lower Allen Townshi� �unty i School District �Tax Parcel Number i h - - _ . V�►�UATION �ATA -WAS TRANSACTION PART OF AN ASSIGNMENT OR RELOCATION? ❑Y Q N A c t u a t C a s h C o n s i d e r a t i o n 2. O t her Consi deration 3. Total Conside�ation � + 1 •00 Count Assessed va�ue �� 1 D 0.�_..____�.__ _.— _--- 0• 0 0 = y �� I 5. Common Level Ratio Factor 6. F a i r M a r k e t V a l u e 3 1,1 � .0� x 1•00 = 1 , . . EXEMPTtON DATA . Amount of Exemption Claimed 1 b. Percentage of Grantors Interest in Real Estate 1 c. Percentage of Grantor's Interast Conveyed --_-__ _ � 139,1D0..00 100� • , ._._.__ 10 0 i Check Appropriate Box Below for Exemption Claimed. � Wilf or intestate succession. D o r o t h y P . D o u g 1 a s 21-13- 7 ❑ Transfer to a trust. (Attach complete copy of trust agreement identifying all beneficiaries.) tEstate Fite Number� � ❑ Transfer from a firust. Date of transfer into the trust If trust was amended attach a copy of original and amended trust. ❑ Transfer between principat and agent/straw party. (Attach complete copy of agency/straw party agreement. ) ❑ Transfers to the commonwealth, the U.S. and instrumentalities by gift, dedication, condemnation or in lieu of con- demnation. (if condemnation or in lieu of condemnation, attach copy of resolutior��.) ❑ Transfer from mortgagor to a holder of a mortgage in default. (Attach copy of mortgage and note/assignment.) ❑ Corrective or confirmatory deed. (Attach complete copy of the deed to be corrected or confirmed.) ❑ Statutory corporate consolidation, merger or division. (Attach copy of articles.) ❑ Other(Please explain exemption claimed.} ___________�_ der penalties of law,I decla t t I hai e examined this statement, including accompanying information and to :best of my knowle e and ["f, it" true,carrect and complete. ' �nature of Corr�,as or on le P Date �"/ - .ILURE TO C E T S F-�. RM ROPERLY OR A ACH REQUESTED DOCUMENTATION MAY RESULT IN ►E RECORDER'S REFUSAL TO ECORD THE DEED. . -- _ _ PNC Financial Services Group Inc., PNC Historical Quote - (NYSE) PNC, PNC Financia... 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By us�ng this s4e.you agree to lhe Temn ot Use and Privacy Pdiey(updateC YO/18R01 t). Hislorical end current end.o%day data provided by SIX Financ�al lnformation Intraday data de ay d per e�angefx q'ueementsf SSP/Dow,lonss Inai es(M)hom poyv Jones 3 Co data prov�ded Dy NASDA�. ^�P�^Y.��c.All quotea are m locat exchange time.Real ums last sak Mwe�nformadon o�NASOAQ Gatled tyrtibok and their currenf financ�al status. IntraCay data Aelayed 75 mnutes tor PJastlaq,and ZO rtxnuces tor other gxchanges. S8P1p�,Nr Jones indices(SM)}rom pow Jones 8 Company,Inc. SEHK intraday tlata is provitled by SIX Financial Informaoon and fs et least 60-mmutes delayed. All quotes are m Ixal exchange tima. http://bigcharts.marketwatch.com/historical/default.asp?symb=pne&closeDate=05%2F08... 7/18/2013 .. _ �••.s.. i-� .. - - - - _ _ ""� _r ,� . J""v r<< i��,��f.,�. ,,,�t7N'nJ ,�,.). , J G G r�� i� 898 E.Main 3trest srar�., . !,�� . �:�� /. r;/ Mrn►ilie,PA 170Q3 �:��,n�s�-,a�, �],� v ,,i�"� �;� d.b.a.Annville Auto Center Fax:��7)8s�-as�o rC7 I��);_;:, `,. www klicklewis.com ��. �eus. a�e�w am�wR nE wuox�,c: n,►rE sTOC.�c No. O NEYY a O USED O PROaRAM O CAR O TRUCK �� I��7 �`� '� SELLING PRICE OF VEHICLE �' -" )It''1� ��' ' �1�� caoR � � rRiM f/(�c7t� �- � ��s U � .t v'" � � f„� PERSpNAL CUSTOMIZATION `.� � � C � U / l ��. � ��,�� wARr�rY �� ; �. � � caoa �� SUBTOTAL va� r,n.E,uo. �� FACTORY REBATE � � 1 ��c C ��,:,_� � a"`""cE � � � l. ,' , o� ��' � �� CASH PRICE �f �� . °O�M� ��, LESS TRADE ... 8�1L,ANCE �,F1�IC�RY�IN�Ifl�rfir.n,.taaory wartanh�.N oru,s w�s S/�LES TAX �'� ��a .� Th°i°N°`�10b�°� PA.TRANS,ASSI3TANCE TAX �.ia�r a�wu•��x�,dr��,r�d w+r►anli►oi�nfablYly or illnsn I�cr a psrficut�r Purposs,and ths eeNsr �""s"N`"°'auu'°�tes a�'o�sr aerson�o axxn�ror n sny ua�, TITLE FEE ��or�cHon wilh tl�.sw a ihl.lMnwtsna. 0 wEO caue�ANT1�-t�,.d a►ts oowroe by a Nmwsd wenarny aet�d UEN FEE �e•vMw mcur�.va,m.y oea�n s n�c,cpy a,r,y appucad.�y PLATE FEE o �►s�s-n�s Momtt v�is so�n•�►s�s•wrn�otrra�w�utwwnr REti18TRATION/TRANSFER FEE EITMER�kPRESSEEI OR IMPLIEp.TNE PURCHASER WILL BEAR THE ENn��r�oF�wuR��a��r��cn�,�,�,n oe�cT n�u►T DOCUMENTARY FEE PRE8ENTlY EXt8TS pR TbA�.#IAY ,��UR IN THE VEHICIE. PURCHA$ER'3 .�"".�-^ $UBTOTAL SIONATtJRE x �EPOSIT ON ORDER us�c�ewtr�ts owo�:�a�o�u►noN rou s�oN rn�. �� T CASH ON DEUVERY �aaurnot�oN trr�a w�oow�ov�s,wr coNr�►Ry ��T��. SUB TOTAL �► �w►. cvM�itnoo�ls � v�cu�os us�oos. u u�aeN�►c�qu�, vE �,t q.For�u�p � u v�rr�.0 PAYOFF ON TRApE ��"ae�uuR�o o�u v��c o�A� ��FINANCED CONTItA�yq�� EN CON7RARip CONTEMIDA EN EL �womons oR oe�noNs N��P�►��phsmsnt ar reluse b take ��ex�q Pe►mpfsd bY law,Y'ou shaN,at au�� PURCHA3ER'3 FNI.R�TITUTON AMOUNT SK3NATURE x ��Y�dmowNdp�s b Ih�abow cl�ps. � ADDRES3 TERM B�eSroes that fh�Agreemer►t lncludes all of H�e terms snd conditions on the front and bedc side thereof,that this Agreement cancels and suPersedss snY P�a9reeme�t.'rnduding oral agreements,and as of the date below comprisea,with any retail instaNment sale oontract,the �P�ete and exdushne statement of the temns of the agreement relatln to the su :his Agreement,adc 9 bject matters covered by this Agreement.Buyer,by signing �9es that he has read its temns and has rec:eived a tnie copy of this Agreement. rn��9reement is n�bi�dMg upon either Dealer or Buyer untli signed by an autho�ized pealer �EL THIS AC3REEMENT AND RECEIVE A FULL REFUND ANY TIME BEFORE RECEIPT OF A OPY OF THE AGREEMENT SIGNED BY N' 4N AUTHORIZE�DEALER REPRESENTATIVE BY GIVING WRITTEN NOTICE OF CANCELLATION TO DEALER. ❑BUYER ACKNOWLEOGES THAT IF THIS BOX IS CHECKED,THIS AGREEMENT CONTAINS AN ARBITRATION CLAUSE. 3UYER HAS READ ALL PA�g.OF THI�GREEMENT AND AGREES TO ALL TERMS AND CONDITIONS IN THIS AGREEMENT. � 3UYER SIGNS X r .J -�'� � ' - _ j SC�c s� DATE i �y�-_� �GER`S APPROVAL;�, ,; (Musf Be AoceDbd By M Aulhod:ed RePro+sntaHve d fhe Deabr) �O-BUYER SIGNS X DATE 499 Mitchell Road,Millsboro,DE 19966 Adjustment Services Phorre 888-502-4349 P ax (302)934-2955 Stone LaFaver& Shekietski J�e 2s,2oi3 Attorney at Law 414 Bridge Street P.O.Bog E New Cumberland,PA 17070 Re: Estate of Dorothv_gl� Social Securitv• 188-12-4084 Date of Death•Mav 08,2013 � � Dear Sir or Madam: P�'Y°�'�9ui�'Y on Jwle O5,2013,please be advised that at the time of death the deposrt wrth this bank the follo�ving: � above-named decederrt had on 1. 7ype ofAccount Checking Accourlt Accow�t Number 42709326 �wriership(Nmnes o,n Dorothy P.Douglas John S.D�ouglas Opening Date 11/28/1986 Balance o»Date of Death $4,948 38 Accrued Irtterest $ .02 Total ..____..---______�......__..__._......_..__...._..__..._.._____....__. _.___.___ $4,948.40 - �� 2• Type of'Account Savings Account Accaunt Number 15004198160142 Owrlership(Nrnnes o,� Dorothy P.Douglas Johre S.D�ouglas �perting Date 10/30/2000 Balance or!Date ofDeath $III,S95.74 Accrued Irrterest $ 4.89 Total . .................................................................................................................................... ..$111,600.63 3_ Type of Account Certificate of Deposit Account Number 31003920513172 Dorothy P.Douglas Ownership(Names o� John S. Douglas,Jr. Opening Date 08/03/2009 Balance on Date of Death $ 1,416.91 Accrued Interest $ ��68 _ _ _ __ _ _ _ ._ _ ____ _ _______ Total $1,�119.�9 4, T�pe of Account Certificate of Deposit ,�ccount Number 31003920513114 Dorothy P. Douglas Ownership(Names o� J�hn S. Douglas,Jr. Opening Date 02/04/2009 Balance on Date of Death $1,503.76 Accrued Interest $ '75 ___ ______ ___ __ _ __ ___ _____ _ Total $1,504.S1 5. Type of Account Certificate of Deposit Account Number 31003920512950 Dorothy P. Douglas Ownership(Names o,f} John S. Douglas,Jr. Opening Date 0?/OS/2009 Balance on Date of Death ,�2,007.01 Accrued Interest $ �.16 __ _ _ __ __ _ Total $2,011.17 6• Type ofAccount Certificate of Depasit Account Number 31003920510962 Ownership(Names o,f} Dorothy P.Douglas John S.D�ouglas,Jr. Operting Date 10/27/20� Balance ori Date of Death $1,605.63 Accrued Interest $ 2.10 Total _...._......_....__....._...._.._.......... ......_...._.._........_..........................._...._._.............__. $1,607.73 7• ?j�pe of Accm�nt Certificate of Depo�sit Accou»t Number 31003920510631 Owrtership(Names of} Dorothy P.Douglas Johri S.D�uglas,Jr. Opening Date 12/OS/2008 Bulartce o»Date ofDeath $2S,087.87 Accrued I»terest $ 26�j Total ..................._................................................. ................................................................... ,S 25,114.00 For any additiooal ioformaHoO on t6e al�ove accounts,including ownership nnd any ch�nges,ciosures and/or reimbureement of fn�da, Pka�e cali the H�nd P�rk at 717-737�322. We were a�bk to locate any s�fe deposit boz for the above-mentioned deceden� 'ILis ktter das not iadude auy accounfa io whic6 the da�sed may have bern�Skd aa Power af Attorney,Cuatodi�n of U�farm Traoaiers, Represenhitive Paye�or Tn�alee under�W�itt�en Agr+eement S1t1CC1��, v��M�� Adjushnern Services Wealch Management 214 Senate Ave 7rh Floor Camp Hill,PA 17011 teI 717 730 1800 organ Stanley fax 717 730 1894 coll free 800 237 1700 August 8, 2013 DAVID H. STONE, ESQ. Stone Lafaver& Shekletski 414 Bridge Street P.O. Box E New Cumberland, PA 17070 RE: Estate of Dorothy P Douglas —Account#341-899624-101 Date of Death: 05/08/2013 Dear Attorney Stone: Dorothy P. Douglas and John S. Douglas, Jr. have a joint account at Morgan Stanle . The account was opened on 12/27/2001. y I have enclosed the Unrealized Gain/Loss detail report which shows t basis prices as of 05/08/2013. They also had $589.65 credit balanc he updated cost e as on 05/08/2013. if you have any questions, please do not hesitate to contact me at 7 - - 17 730 1851. Sincerely, �.G�. Ann M. Dunkelberger Sr. Client Service Associate Enciosure This information and data is being provided at your request and is from sources considered reliable,but their accuracy and completeness is not guaranteed. tt has been prepared far illustrative purposes only and is not intended to be used as a substitute for the transaction statements you receive from Morgan Stanley. Morgan Stanley Smith Barney LLC.Member SIPC. ,_.r � o N M O 0 N N N � O p � 00 O� N N tn �`- � O N � \ O �vj O O O O � p O O O Uj c'�j O O O � , o d' � N O A E'"' � � a E-' E-� E� E� E- E-� F F E� F E-� E-� E-� � � �n �n a a a .a a a a a a a a � � Z E-+ °o � rn �° � o ° N c°�v �°pi, a�o rt°i, � � o� �n .=� c� '� a Q� �7 N �--� ,f�'' uj N 00 O O O N d„ � V tn M O� 00 O f.V� O �D tn N O N � � � � M � ff3 N � � N M �} ,..a � � i � � � � � a � � � Q� E"' 0 ¢ � Oa � � y A � WQ � p� � ..a � � � p a a� rn o M rn rn oo �o rn rn c� oo .-� �o � � c•� � (� � W �c o0 0� �n o o � � � �n o � � ,� �, c � � � a � � °c�`. iOO � � � c�i �ri ao •-+ vi a; ,-. 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L743407387E: E $50 12/1968 12/1998: $37.50 $237.06 �27'4.56� MA _ . _ _ L717155263E' E $50 02/1968 02/1998: $37.50: $225.06' �262.56� MA L758225890E' E $50 09/1969 09/1999 $37.50 $232.54 � . R39809252E; E $200 O1/1968. O1/1998 $150.00 $900.24 #270•04' MA �1,OS0.24: MA R39f309254E E $200 O1/1968 01/1998 $150.00 $900.24 $1,050.24', MA _. ,. R40992184E' E $200 09/1969: 09/1999` $150.00' $930.16 �1,080.16' MA CR39809253E E $100 04/1972; 04/2002; $75.00, $429.76: $504.76 MA E $20Q O1/1968 O1/1998 $150.00 $900.24 $1,050.24� MA R39809251E E $200.01/1968 O1/1998 $150.00 $900.24 $1,050.24 MA K284626E E $75 O1/1968 01/1998 $56.25 $337.59 #393.84' MA C485839673E E $100'O1/1968: 01/1998 $75.00 $450.12 #525.12: MA C485839672E E $100'01/1968 O1/1998 $75.00. $450.12 K284611E: E $75 09/1965 09/2005 $56.25 $495.84: �525,12; MA, �552.09° MA K284609E E $75 09/1965 09/2005 $56.25 $495.84 �552.09' MA K284610E� E $75 09/1965 09/2005 $56.25 $495.84 $552.09: „MA K2817b7E E � $75:01/1965 01/2005 $56.25 $646.08: . �702.33' MA K284605E E ' $75 08/1965 08/2005_ $56.25 $492.99 �649.24: MA K284612E; E : $75 10/1965 10/2005� $56.25 $495.84 �552.09; MA L646806755E E $50 04/1965 04/2005 $37.50: $394.04; $431.54; MA L64680b892E:. E $50 05/1965' OS/2005 $37.50„ $394.04 � �431.54� MA L655102293E; E $50 06/1965: 06/2005: $37.50' $334.44� �371.94;.:MA L642735245E� E : $50:03/1965 03/2005 $37.50 $394.08: � #431.58' MA �.621591885E� E $50 04/1964 04/2004 $37.50 $418.04 $455.54; MA w 1621591730E' E $50:03/1964 03/2004 $37.50 $418.08: $455.58� MA K192129E E $75 12/1964 12/2004 $56.25 $646.08 $702.33. MA .. .,. L637255025E' E $50 11/1964 11/2004 $37.50 $427.72 �465.22: MA L633705916E E $50 10/1964 10/2004 $37.50 $427.72 �465.22- MA L628357196E E $50 07/1964 07/2004 $37.50 $421.08 �458.58; MA. K192124E E $75 08/1964 08/2004 $56.25 $638.31 � �694.56' �A ' K192121E E $75 06/1964 06/2004 $56.25 $631.62 �687.87 MA K192117E E $75 OS/1964 OS/2004 $56.25: $627.06 � �683.31, MA : K281765E: E $75 12/1964 12/2004 $56.25 $646.08 $702.33 MA K192125E E $75 09J1964 09/2004 $56.25, $641,58 $697.83 MA Totals for 36 Bonds 2 268J5 18 169.57 20 438.32° Notes NI Not Issued NE �Not eligibie for payment ( .PS Incfudes 3 month interest penalty _ �MA �Matured and not earnin interest http://www.treasurydirect.gov/BC/SBCPrice 6/7/2013