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HomeMy WebLinkAbout11-06-14 (2) J 1505610140 REV-1 500 EX (02-11)(FI) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 1 4 0 4 8 7 Harrisburg PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 0 2 1 9 2 0 1 4 0 1 0 1 1 9 4 2 Decedent's Last Name Suffix Decedent's First Name MI L A U G H L I N R I C H A R D H (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI L A U G H L I N RACHEL M Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 0 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) 0 6. Decedent Died Testate [j 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 0 11. Election to Tax under Sec.9113(A) Between 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 TO: Name Daytime Telephone Numbers ` SUZANNE M . TRI NH 71 7c264 �_60� T a REGI�41R_UF rLLS USE ONLY .. rtµ JrTt CID First Line of Address :ZCD r? 1 4 NORTH MAI N STREET ' Second Line of Address ' F— r-- rr S U I T E 2 0 0 Cn City or Post Office State ZIP Code x n DATE FILED C H A M B E R S B U R G P A 1 7 2 0 1 Correspondent's e-mail address: StrinhCaD_zullinger-daVIS.Com Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGN E OF P RSONESPONSIBLE FORFlLjf4G RETUR LDAJE ADDIRPESS 15 LAUGHLIN LANE NEWBURG PA 17240 SIGN RE OF PREPARER OTHTHAN PRESENTATIVE `j A AD RES 14 NCKTH MAIN STREET, SUITE 200 CHAMBERSBURG PA 17201 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610140 1505610140 J 1505610240 REV-1500 EX(FI) Decedent's Social Security Number Decedent's Name: RICHARD H. LAUGHLIN RECAPITULATION 1. Real Estate(Schedule A) ... . .. . .. . . .. . . . . . . . . . .. ........ . . . . . . ... . . 1 6750 . 00 2. Stocks and Bonds(Schedule B) . .. . . .. .... .. .... .. . . . ........ .. . . .. . . 2. 2 1 3 7 • 0 8 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. 4. Mortgages and Notes Receivable(Schedule D) .. . . .. . . . .......... . . . ... . 4. 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)....... 5. 3 $ 1 7 • 3 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) ❑ Separate Billing Requested . .. . ... 7. 8. Total Gross Assets(total Lines 1 through 7) . . . .. . ....... . . . . . . ........ 8. 1 2 7 0 4 • 4 6 9. Funeral Expenses and Administrative Costs(Schedule H) .... . . ........... . 9. 6 4 4 1 . 5 0 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule 1) .......... . . . 10. 11. Total Deductions(total Lines 9 and 10) . ... ... ........ .. . . ......... .. . 11. 6 4 4 1 . 5 0 12. Net Value of Estate(Line 8 minus Line 11) .............. . . . ....... . .. . 12. 6 2 6 2 . 9 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. 6 2 6 2 . 9 6 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)x.00 6 2 6 2 . 9 6 15. 0 . 0 0 16. Amount of Line 14 taxable at lineal rate X.0_ 0 - 0 0 16. 0 . 0 0 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 collateral rate X.15 0 . 0 0 18. 0 . 0 0 19. TAX DUE . . .......... . . . ........ .. . . . .......... .. . .. ..... ... . .. 19. 0 . 0 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Side 2 1505610240 1505610240 REV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: 21 14 0487 DECEDENT'S NAME RICHARD H. LAUGHLIN STREET ADDRESS 15 Laughlin Lane CITY STATE ZIP Newburg PA 17240 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 0.00 2. Credits/Payments A.Prior Payments B.Discount Total Credits(A+B) (2) 0.00 3. Interest (3) 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 20 to request a refund. (4) 0.00 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 0.00 Make check payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: . Yes No a. retain the use or income of the property transferred ...................................................................... ❑ ❑X b. retain the right to designate who shall use the property transferred or its income ............................... ❑ 0 c. retain a reversionary interest ..................................................................................................... ❑ 0 d. receive the promise for life of either payments,benefits or care? ....................................................... El0 2. If death occurred after December 12,1982,did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ❑ 0 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ 0 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. ❑ IR IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 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 transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving 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 0 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[72 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)].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: RICHARD H. LAUGHLIN 21 14 0487 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. One-fifth interest in vacant mountain ground situate in Hopewell Township, Cumberland 6,750.00 County, Pennsylvania, containing 6 acres and 68 perches, neat measure, sold to Lee H. Laughlin for purchase price of$6,750.00. No settlement sheet was prepared for the sale of the saie real estate. A copy o the deed of conveyance showing the purchase price and a copy of the check from the buyer payable to Richard H. Laughlin Estate in the amount of$$6,750.00 is attached hereto. TOTAL(Also enter on Line 1,Recapitulation.) $ 6,750.00 If more space is needed,use additional sheets of paper of the same size. REV-1503 EX+(8-12) pennsylvania SCHEDULE B DEPARTMENT OF REVENUE STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER RICHARD H. LAUGHLIN 21 14 0487 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. U.S. Series E and EE Savings Bonds as shown on attached inventory 2,137.08 TOTAL(Also enter on Line 2,Recapitulation) $ 2,137.08 If more space is needed,insert additional sheets of the same size REV-1508 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: RICHARD H. LAUGHLIN 21 14 0487 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Refund, AT&T 17.38 2. Items appraised by Terry L. Shetter, with copy attached 3,800.00 TOTAL(Also enter on Line 5,Recapitulation) $ 3,817.38 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+(08-13) pennsylvania SCHEDULE DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER RICHARD H. LAUGHLIN 21 14 0487 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Dugan Funeral Home, funeral expenses 5,248.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Years)Commission Paid: 2. Attorney Fees: Suzanne M. Trinh 1,000.00 3, Family Exemption:(If decedents address is not the same as claimants,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: JCS fee 23.50; automation 5.00; letters 30.00; will 15.00; short certificates 143.50 10.00; additional probate fee 30.00; filing return 15.00; filing inventory 15.00 5 Accountant Fees: 6. Tax Return PreparerFees: 7. Terry L. Shetter, appraisal fee 50.00 TOTAL(Also enter on Line 9,Recapitulation) $ 6,441.50 If more space is needed,use additional sheets of paper of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES RIES INHERITANCE TAX RETURN C Cf li F1 C�7 RESIDENT DECEDENT ESTATE OF: FILE NUMBER: RICHARD H. LAUGHLIN 21 14 0487 RELATIONSHIP 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 outright spousal distributions and transfers under Sec.9116(a)(1.2).] 1. Rachel M. Laughlin Spousal 15 Laughlin Lane entire estate Newburg, PA 17240 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. $ If more space is needed,use additional sheets of paper of the same size. JRZ 5.1 laughlin. 1 November 10, 2010 C')O C> M M CO Cn LAST WILL AND TESTAMENT C-7), f-, C-) C> �;j. Z3 C) M I, RICHARD H. LAUGHLIN, of 15 Laughlin Lard, NewtYtrg1,,O Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be my will, hereby revoking any and all former wills and codicils thereto by me heretofore made. I. I direct that all my just debts and funeral expenses, including all expenses of my last illness, shall be paid from my estate as soon as practicable after my decease as a part of the expense of the administration of my estate. I give, devise and bequeath the residue of my estate of every nature and wherever situate to my wife, Rachel M. Laughlin, providing she shall survive me by thirty days . Should my wife, Rachel M. Laughlin, predecease me or die on or before the thirtieth day following my death I give, devise and bequeath the residue of my estate of every nature and wherever situate as follows: A. One-half thereof to my son, Richard H. Laughlin, II, provided however, should my said son predecease me or die on or before the thirtieth day following my death, his share shall be distributed to his issue, per stirpes, living on the thirty-first day following my death; B. One-fourth thereof to my grandson, Richard H. Laughlin, III, provided however, should my said grandson predecease me or die on or before the thirtieth day following my death, his share shall be distributed under subparagraph C herein; C. One-fourth thereof to my granddaughter, Erin E . Laughlin, provided however, should my said granddaughter predecease me or die on* or before the thirtieth day following my death, her share shall be distributed under subparagraph B herein; D. In the event both of my grandchildren predecease me or die on or before the thirtieth day following my death, their shares shall be distributed to my son under subparagraph A herein. IV. In the event that anyone entitled to a share of my estate shall be under the age of twenty-three years at the time for Page 2 distribution to such beneficiary, I constitute and appoint Farmers and Merchants Trust Company of Chambersburg, Chambersburg, Pennsylvania, as trustee of any property which passes either under this will or otherwise to said beneficiary. Said trustee shall in the trustee' s sole discretion and without order of court, use principal as well as income from time to time as may appear to be necessary for the beneficiary' s welfare, comfort, medical care, recreation, support and education, without responsibility to the beneficiary or to any person taking care of the beneficiary; and the remaining balance in the hands of said trustee shall be distributed to said beneficiary when the beneficiary attains the age of twenty-three years. If such beneficiary dies prior to attaining the age of twenty-three years, said trustee is authorized in the trustee' s discretion to pay part or all of the beneficiary' s funeral expenses and the remaining balance in the hands of said trustee shall be distributed to the beneficiary' s personal representative. In the event the funds held by the trustee for any beneficiary become in the opinion of the trustee too small for proper and efficient administration, the trustee, in the trustee' s sole discretion, may deposit such funds in a savings account in the name of the beneficiary. V. Any fiduciary under this will shall have the following powers in addition to those vested in them by law and by other provisions Page 3 of my will applicable to all property whether principal or income, including property held for minors, exercisable without Court approval, and effective until actual distribution of all property: A. To retain any and all of the assets of my estate, real or personal, without regard to any principle of diversification of risk. B. To invest in all forms of property including stock, common trust funds and mortgage investment funds without restriction to investments authorized for Pennsylvania fiduciaries as they deem proper, without regard to any principle of diversification of risk. C. To sell at public or private sale, to exchange or to lease for any period of time any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. D. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. E. To compromise any claim or controversy. F. To distribute in cash or in kind or partly in each. G. To hold property in their names without designation of any fiduciary capacity or in the name of a nominee or unregistered. Page 4 VI. The interest of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation; and the principal and income shall be paid by the trustee or guardian directly to or for the use of the beneficiary entitled thereto, without regard to any assignment, order, attachment or claim whatever. VII. I direct that all taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. VIII. I appoint my wife, Rachel M. Laughlin, as executrix of this my will . Should she predecease me, fail to qualify or cease to act, I appoint my son, Richard H. Laughlin, II, as executor of this my will . Should both my wife and my son fail to qualify or case to act, I appoint Farmers and Merchants Trust Company of Chambersburg, Chambersburg, Pennsylvania, as executor of this my will . Page 5 IX. No bond shall be required of any fiduciary hereunder in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my last will and testament, consisting of seven typewritten pages, the first five of which bear my1day signature in the margin for the purpose W , of identification this of 2010 (SEAL) Signed, sealed, published and declared by the above-named testator as and for his last will and testament in our presence, who in his presence, at his request and in the presence of each other have hereunto set our hands as attesting witnesses . ?A We, RICHARD H. LAU'GHLINr h6m) kn 0h a Uts and �te P-N- M I the testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the Page 6 instrument as his last will and testament and that he executed it as his free and voluntary act for the purposes therein expressed and that each of the witnesses, in the presence and hearing of the said testator, signed the will as witnesses and to the best of their knowledge, said signer was at that time eighteen years of age or older, of sound mind and under no const� int or undue influence , esta o Witn'ess �{{ O* witness Subscribed, sworn to and acknowledged before me by the above-named signer and subscribed and sworn to befyo by the . above-named itnesses this day of 0\14 M r 2 A& Q Notary Pub is U U Cor .,IMONW �L OF PEIIN motarizi sem Angela M.Schaeffier,Notary Public ,j.ppensbuyg sora,Cumberfatrid County rzxpires May IS,2011 PennsY,'Mnla A5t.uc'tju;,cif notaries Page 7 MAX 00UNIH Tax Para1 Number: 11-07-0495.002 THIS DEED MADE this LL�day of July,2014. BETWEEN Rachel M. Laughlin,Executrix, of the Estate of RICHARD H. LAUGHLIN,late of the Township of Hopewell,Cumberland County,Pennsylvania, GRANTOR AND LEE H.LAUGHLIN,adult individual,of 41 Turnpike Road,Newburg,Pennsylvania, GRANTEE WHEREAS,RICHARD H. LAUGHLIN died on February 19, 2014, seized of certain real estate situate in the Township of Hopewell,Cumberland County,Pennsylvania;and WHEREAS, the Will of RICHARD H. LAUGHLIN dated November 16, 2010 was duly probated in the Office of the Register of Wills in and for Cumberland County, Pennsylvania, on May 19, 2014, and Letters Testamentary were granted to Rachel M. Laughlin, the above named Executrix;and WHEREAS, Section 3351 of the Probate, Estates and Fiduciaries Code (20 PS. 3351) confers upon Executors the power to sell at public or private sale any real estate not specifically devised;and WHEREAS,the hereinafter described real estate was not specifically devised; WHEREAS,the Executrix is not required to file any bond to secure faithful performance of her duties; and WHEREAS, the parties heretofore entered into an agreement for the sale and purchase of the hereinafter described real estate. WITNESSETH,that in consideration of the sum of SIX THOUSAND SEVEN HUNDRED FIFTY AND 00/100($6,750.00)Dollars lawful money of the United States,to her in hand paid the receipt whereof is hereby acknowledged,the Grantor does hereby grant and convey,the undivided one-fifth interest to the said Grantee: ALL the following described real estate lying and being situate in Hopewell Township, Cumberland County,and Commonwealth of Pennsylvania,more particularly described as follows: BEGINNING at a chestnut tree; thence by lands now or formerly of William Keeseman's heirs North thirty-three and one-half(33 %2) degrees West twenty-eight and six tenths(28.6)perches to a hickory;thence North thirteen and one-half(131/z) degrees East fourteen and five tenths(14.5)perches to a post;thence South seventy- three and one-half(73 1/2) degrees East fifty-four(54) perches to a hickory;thence by land now or formerly of A. C. Book South sixty and one-half(60 %2) degrees West forty-five(45) perches to the place of BEGINNING. CONTAINING six (6) acres and sixty-eight(68)perches,neat measure. BEING the same premises which Mary E. Laughlin, Executrix of the Estate of Arthur H. Laughlin, and Hughie D. Laughlin and Dorothy M. Laughlin, his wife, Richard H. Laughlin and Rachel M. Laughlin, his wife, and Lee H. Laughlin and Jeanette A. Laughlin, his wife, by their deed dated November 1, 1977, and recorded in Cumberland County, Pennsylvania, at Deed Book "N,"Volume 27,at Page 593,conveyed an undivided one-fifth interest in the above-described real estate to each of the following persons;Hughie D.Laughlin,Richard H.Laughlin,Lee H.Laughlin, Daniel G. Laughlin, and Janice M. Chamberlin. The said Hughie D. Laughlin died May 27,2003 leaving his undivided one-fifth(1/5) interest to his wife, Dorothy M. Laughlin. The said Dorothy M Laughlin died August 25, 20129 at which time her undivided one-fifth (1/5) interest was transferred to Lee H.Laughlin,Daniel G.Laughlin and Janice M.Chamberlin. The undivided one- fifth(1/5)interest of Janice M. Chamberlin was transferred to Lee H.Laughlin by Deed dated July 20, 2013 and recorded in the aforementioned Office of the Recorder of Deeds, at Instrument Number 201332148. The undivided one-fifth(1/5) interest of Daniel G. Laughlin was transferred to Lee H. Laughlin by Deed dated July 20, 2013 and recorded in the aforementioned Office of the Recorder of Deeds, at Instrument Number 201332149. The said Richard H. Laughlin died on February 19, 2014, with Letters Testamentary having been granted in Cumberland County, Pennsylvania to Rachel M. Laughlin, Executrix of the Estate of Richard H. Laughlin on May 19, 2014, who is the Seller of the undivided one-fifth (1/5) interest of mountain ground described herein owned by Richard H. Laughlin now deceased. It is the intent of this Deed that Lee H. Laughlin shall now own a full 100%interest in the above-described tract of land. 2 AND Rachel M.Laughlin,Executrix of the Estate of RICHARD H.LAUGHLIN,deceased, do covenant, promise and agree to and with the Grantee, his heirs and assigns, by these presents, that she, the Executrix of the Estate of RICHARD H. LAUGHLIN, deceased, has not done, committed, or knowingly or willingly suffered to be 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 Grantor does hereby set her hand and seal the day and year first above written. ESTATE OF RICHARD H.LAUGHLIN WITNESS: VIA By: KC.-. IRAchel M.Lau ' , Ex'ecu ' COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND On this,the Oday of July, 2014, before me,the undersigned officer,personally appeared RACHEL M. LAUGHLIN, Executrix of the Estate of Richard H. Laughlin, known to me (or satisfactorily proven)to be the person described in the foregoing instrument,and acknowledged that she executed the same in the capacity therein stated and for the purposes therein contained. In Witness Whereof,I hereunto set my hand and official seal. {Seal} Notary Public NOTARIAL SEAL TR IA L BAILEY Notary NO'- SHtppENS6URG BOROUGH gyeCUMSERss Sep LANND COUNTY 4. My Commission Ur 3 CERTIFICATE OF RESIDENCE I do hereby certify that the precise idence and complete;9st office address of the within named Grantee is 4 TAMMY SHEARER RECORDER OF DEEDS CUMBERLAND COUNTY 1 COURTHOUSE SQUARE CARLISLE, PA 17013 _ s. 717-240-61370 Instrument Number-201416682 Recorded On 7/30/2014 At 11:15:12 AM *Total Pages-5 *Instrument Type-DEED Invoice Number-165595 User ID-KW *Grantor-LAUGHLIN,RICHARD H *Grantee-LAUGHLIN,LEE H *Customer-LEE LAUGHLIN *FEES STATE TRANSFER TAIL $67.50 Certification Page STATE WRIT TAX $0.50 STATE JCS/ACCESS TO $33.50 DO NOT DETACH JUSTICE RECORDING FEES - $11.50 Thisnow a e is art RECORDER OF DEEDS P g P PARCEL CERTIFICATION $15.00 of this legal document. FEES AFFORDABLE HOUSING $11.50 - COUNTY ARCHIVES FEE $2.00 ROD ARCHIVES FEE $3.00 SHIPPENSBURG AREA $33.75 SCHOOL DISTRICT HOPEWELL TOWNSHIP $33.75 TOTAL PAID $212.00 I Certify this to be recorded in Cumberland County PA RECORDER OF DEEDS *-Information denoted by an asterisk may change during the verification process and may not be reflected on this page. OOGN7H 1111111111111 IN 1111111 raj t�s�{ t7 RI.'%.4Ci,}.'t3 Lu .nU { C7�-• �e3 a�y �.�`. �_ �� .;,� t�Lt tai vi i-u 03 ru " 41 a i im .Oulated Value of Your Paper Savings Bond(s) Page 1 of 1 Calculated Value of Your Paper Savings Bond(s) Calculator Results for Redemption Date 02/2014 Total Price Total Value Total Interest YTD Interest 387.50 $2,137.08 $1,749.58 $2.88 Bonds: 1-14 of 14 Issue Next Final Issue Interest Serial Series Denom Date Accrual Maturity Price Interest Rate Value Note _Q6213012754Ei E ` $25;11/1977 l 11/200T $18.75; $109.34; : 128,094 MA .9§213003101E:'_._E'_: $25+11/1977 ....... _ ....1..1../....2....007 $18 75 $109 34 y..... ...... $1..28 09; MA 96226376248E: E $25 12/1977:.-.....,._. 12/20071 $18.75 $109.70L' v $128 45 MA - Q6226386762E - E :._......$25.,.12/1977;.... : 12/2007: $18.75;._-.... 109.70;. $128.451 MA Q6226393057E E ____.._ ..._$25 12/1977: : 12/2007; $18 75 X109 70; _ _ 128 45 MA Q6233927146E E $25 01/1978 . ..;.:....0.-.1-../.-.2..-0-.-..0--..-8-..-.-.i----------$-1--8--..7--5-- 18 75-j:--.-.---------$.-1.--0---9-.-.-.-.7-...0..; $128.45: MA Q6233936741E - E.....;- $25011197801/20081 $18.75; $109 70„ _-.._...._....;.._-._$128 451 MA Q6233949795E._..--.E.--;....._...$25,02/1978;...... .._.... _..._;.02/2008:- $18 75..._.-..$109.7.0:. $128.45;.MA. Q6233960326Ey „E $25}02%1978 02/2008, $18.75k $109.70 $128 45 MA ... .. Q6233969846E E i $25:03/1978:.. : 03/2008; $18 75, $89.79; - $108.54: MA _C2072343119Eµ E $100.011979* 01/2009ro $75 OOm $358 121 x.._.$433 12 MA. ....... I L2110904934E E $50x0171979 : 01L2009:--.-..-.$3. 7.50.i.......$--1--7--9-----0-- 179,06{ $216,56; MA i K98686347EE i EE $75 12/1995 606/2014: 12/2025+ $37,50 $37.951.12W $75.45 __.._ ... __ . 061646965EE EE $100:08/1992 08/2014 08/20221 $50 00 $98 08 .4------------- _148.081 Totals for 14 Bonds:$387.50:$1,749.58 i $2,137.08; I Notes NI i Not Issued . ......--------------------------------------------------------------------------------------Not_eligible for payment . .. ------- P5 ;Includes 3 month interest penalty MA ;Matured and not earnin g interest Terry L. Shetter, LLC A acrumeerIAppra4a l Service 365 Musser Road, Shippensburg, PA 17257 717-264-3885 Appraisal for: Estate of Richard Laughlin Date: 9-23-14 ITEM APPRAISAL VALUE 1983 Yamaha 432 Scooter 600.00 1977 Moped 100.00 1978 Yamaha 100 cc 800.00 1998 utility` 500.00 2011 trailer(5x8) 600.00 1979 aluminum boat 200.00 1987 Polaris 4-wheeler 1,000.00 TOTAL: $3,800.00 APPRAISAL FEE: $50.00