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Home My WebLink About12-18-14 J 1505610143 REV-1500 EX`°2_,,, OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year File Number Bureau of Individual Taxes OEPARTMENTOFREVENUE PO aox.2so6o� INHERITANCE TAX RETURN 21 14 0312 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 03 23 2014 06 03 1928 DecedenYs Last Name Suffix DecedenYs First Name MI RUE CLAIRE A (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 OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1. Original Return � 2. Supplemental Return � 3. Remainder Return(Date of Death Priorto 12-13-82) � 4. Limited Estate � 4a. Future interest Compromise � 5. Federal Estate Tax Return Required (date of death after 12-12-82) � g Decedent Died Teslale � � �qttacheCopy�of Trusd�a Living Trust � e. Total Number of Safe Deposit Boxes (Attach Copy of Will) � 9. Litigation Proceeds Received � 10.beiween P2 3i�1 a d�t(Da95�f Death � ��.Election to tax under Sec.9113(A) T (Attach Schedule O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number MARK A MATEYA 717 241 6500 REGISTER OFr�AC;LLS USE ONLY C� '�j � � � rn First Line of Address � 0 � G-�j � 55 W CHURCH AVENUE � s �, c' � � ;;� r,. r- ►-� �,,� r.-� Second Line of Address r'" ,�.- t"�i Un ;..� � � -;.,� .:. �,� '.', �...� �� '._� r- r e. --�� 4TEF,�ED ..�- � City or Post Office State ZIP Code :� �7 , c:� CARLISLE PA 17013 •� �' W `J rn _� r �,� c7 . o� CorrespondenYs e-mail address: mam mateyalaw.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 ar er than the personal representative is based on all information of which preparer has any knowledge. NATUR P SON RES ONSIBLE F FIL G�2 UR � DAT� � . � � � Monica C Dils ��'��t�``� , A 55 N Hanover Street Carlisle PA 17013 SIG TURE�OF PREPAR�R OTHE�TH -REPRESENTATIVE DAT �„�,��.� � �� Mark A. Mateya Z r� �;�{ ADDRESS 55 W. Church Avenue, Carlisle, PA Side 1 �� 1505610143 1505610143 i � 150561D243 REV-1500 EX DecedenYs Social Security Number DecedenYsName: RU@� Claire Adelaide RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2. Stocks and Bonds(Schedule B)............................................................................. 2. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 22 ,433 . 7 6 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 104 , 8 65 . 12 7. Inter-Vivos Transfers&Miscellaneous�n,-Probate Property (Schedule G) U Separate Billing Requested............ 7. g. Total Gross Assets (total Lines 1 through 7)........................................................ 8. 127 ,298 . 88 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 17 , 425 . 72 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 17 . 7 5 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 17 , 443 . 47 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 1 O 9� 8 5 5 . 41 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. 1 O 9, 8 5 5 . 41 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 '7 2 � $5 5 . 41 15. 0 . 0 0 (a)(1.2)X.00 16. Amount of Line 14 taxable 3 7 �� . �0 16. 1 , 6 65 . �0 at lineal rate X .045 17. Amount of Line 14 taxable 0 . 0 0 17. � . 0 0 at sibling rate X.12 18. Amount of Line 14 taxable � . 0� at collateral rate X.15 0 . 0 0 18. 19. TAX DUE................................................................................................................ 19. 1 , 665 . 00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. � Side 2 � 1505610243 1505610243 � REV-1500 EX Page 3 File Number 21-14-0312 Decedent's Compiete Address: DECEDENT'S NAME Rue, Claire Adelaide STREET ADDRESS 1107 Maple Street CITY STATE ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 1,665.00 2. Credits/Payments A. Prior Payments 1,498.50 B. Discount 78.87 Total Credits(A +B) (2) 1,577.37 3. Interest �3� 4. If Line 2 is greater than Line 1 + Line 3,enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2,Line 20 to request a refund 5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) $7.63 Make Check Pa able to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOL.LOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred:............................................................................... ❑ � b. retain the right to designate who shall use the property transferred or its income:.................................. ❑❑ � c. retain a reversionary interest;or............................................................................................................... d. receive the promise for life of either payments,benefits or care?............................................................ ❑ 0 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without ❑ ❑ receivingadequate consideration?................................................................................................................... 3. Did decedent own an"in trust for' or payabie upon death bank account or security at his or her death?....... ❑ � 4. Did decedent own an individual retirement account,annuity,or other non-probate property which contains a beneficiary designation?.................................................................................................................. ❑ � IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994 and before Jan. 1,1995,the tax rate imposed on the net value of transfers to or for the use of the suroiving spouse is 3 percent[72 P.S.§9116(a)(1.1}(i}]. For dates of death on or afler January 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 siatute 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 stiil 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 decedenYs 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-1508 EX+(11-10) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, 8� MISC. DEPARTMENT OF REVENUE INHERITANCETAXRETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Rue, Claire Adelaide 21-14-0312 Include the proceeds oi litigation and the dale the proceeds were received by the estate. All property jointlyowned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Jewelry-Diamond Ring -Appraised value-See Attached 22,000.00 2 John Hancock Life Insurance-Refund on Long Term Care Insurance Premium 433.76 TOTAL(Also enter on Line 5, Recapitulation) 22,433.76 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10) Rev-1509 EX+(01-10) pennsylvania SCHEDULE F DEPARTMENTOFREVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Rue, Claire Adelaide 21-14-0312 If an asset was made joint within one year of the decede�Ys date of death,it must be reported on schedule G. SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT A. William Rue 1107 Mapie Street Husband Carlisle, PA 17013 B. C. JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY o�a pF DATE OF DEATH ITEM LETTER DATE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANKACCOUNT DATE OF DEATH DECD'S DECEDENT'S NTEREST NUMBER FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER.ATTACH DEED FOR VALUE OF ASSE INTEREST TENANT JOINT JO�NTLY-HELD REAL ESTATE. 1 A 06/07/2005 M&T Bank-Checking Account No. 17,135.25 50.000% 8,567.63 � 9839435600-Jointly held with William F. Rue 2 A 07/10/2013 M 8�T Bank-Savings Account No. 1,858.60 50.000°/a 929.30 � 15004221764126-Jointly held with William F. Rue 3 A Marathon Oil Corporation -Common Stocks 8,009.82 50.000% 4,004.91 ' jointly owned with spouse 4 A Marathon Petroleum Corporation -Common 10,726.56 50.000% 5,363.28 � Stocks jointly owned with spouse 5 A Real Estate -Jointly owned with spouse-PIN 172,000.00 50.000% 86,000.00 #04-23-0600-133-Assessed valuation-See attached TOTAL(Also enter on Line 6, Recapitu�ation) 104,865.12 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule F(Rev.01-10) REV-1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE F U N E RAL EXP E N S ES AN D INHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT OECEDENT ESTATE OF FILE NUMBER Rue, Claire Adelaide 21-14-0312 Decedent's debts must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER q, FUNERAL EXPENSES: See continuation schedule(s)attached 12,844.82 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(s)Commission Paid 2. Attorney's Fees Mateya Law Firm 3,500.00 3. Family Exemption: (If decedenYs address is not the same as claimanYs,attach explanation) Claimant Street Address City State Zi� Relationshio of Claimant to Decedent 4. Probate Fees 363.50 5. AccountanYs Fees 6. Tax Return Preparer's Fees 7. OtherAdministrative Costs 717.40 See continuation schedule(s)attached TOTAL(Also enter on line 9, Recapitulation) 17,425.72 Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Rue, Claire Adelaide 21-14-0312 ITEM AMOUNT NUMBER DESCRIPTION Funeral Ex eq nses 1 Hoffman Roth Funerai Home-Funeral Services 12,844.82 H-A 12,844.82 Other Administrative Costs 2 Cumberland Law Journal -Legal Advertisement for Estate 75.00 3 Parker Jewelers-Appraisal Fee for Diamond Ring 200.00 4 The Sentinel -Legal Advertisement of Estate 220.00 5 The Sentinel -Legal Advertisement 222.40 H-B7 717.40 Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98) Rev-1512 EX+(12-OS) SC H E D U L E 1 pennsyivania DEBTS OF DECEDENT, DEPARTMENTOFREVENUE MORTGAGE LIABILITIES AND LIENS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Rue, Claire Adelaide 21-14-0312 RepoR debts incuned by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Chapel Pointe-Assisted Living final expenses 17.75 TOTAL(Also enter on Line 10, Recapitulation) 17.75 (If more space is needed,additional pages of the same size) Copyright(c)2008 form software only The Lackner Group, Inc. Form PA-1500 Schedule I(Rev. 12-08) REV-1513 EX+(01-10) pennsyivania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Rue, Claire Adelaide 21-14-0312 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NAME AND ADDRESS OF DECEDENT NUMBER PERSON(Sl RECEIVING PROPERTY (Words) �$$$) Do Not List Trustee s I� TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116 a 1.2 1 Monica C Dils Child Specific Bequest 22,000.00 555 N. Hanover Street of Diamond Ring Carlisle, PA 17013 2 Jill Maye Child Specific Bequest 15,000.00 2034 Porter Road of cash Quakertown, PA 18751 3 William F Rue Spouse Residue of 1107 Maple Street Estate Carlisle, PA 17013 Total 37,000.00 Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate. NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev.01-10) LAST WILL AND TESTAMENT OF CLAIRE A. RUE I, CLAIRE A. RUE, of the 1107 Maple Street, Carlisle, Cumberland County, Pennsylvania,make this my will. I revoke any other wills or codicils to wills made by me. ARTICLE I. DISTRIBUTION OF MY ESTATE A. I give my tangible personal property to my husband, William F. Rue, ("my husband"), if he survives me by sixty (60) days. If my husband does not survive me by sixty(60 j days, I give my tangible personal property to my children, Jill Maye, Monica Dils and Jeffry Rue, share and share alike. Tangible personal property includes stamp or coin collections but does not include other money or stock certificates or other evidences of intangible rights or interests. Tangible personal property does not include any property that is held primarily for investment purposes or used in connection with any business in which I may be engaged or in which I may have any interest at the time of my death. B. I give the amount of fifteen thousand dollars to Jill Maye. C. I give my diamond ring to Monica Dils. C. I give the residue of my estate to husband, William F. Rue, ("my husband"), if he survives me by sixty (60) days. If my husband does not survive me by sixty (60) days, I give the residue of my estate to my children, per stirpes, in shares as nearly equal as possible, at the absolute discretion of my executrix. D. Whenever property is to be distributed to the descendants of a person(the "ancestor"), such property shall be divided into equal shares, one share for each then living descendant in the first generation below the ancestor in which at least one descendant is living, and one shaxe for each deceased descendant in such generation who has a descendant then living. Each share created for a living descendant shall be distributed to such descendant. Each share created for a deceased descendant shall be divided and distributed according to the directions in the two preceding sentences until no property remains undistributed. E. A person who has a relationship by or through legal adoption shall take under this will as if the person had the relationship by or through birth, except that a person adopted after Page 1 of 6 �_��C.A.R. reaching age twenty-one and descendants of such a person shall not so take. F. Any beneficiary or the legal representative of any deceased beneficiary shall have the right, within the time prescribed by law, to disclaim any benefit or power under my will and the interest so disclaimed shall be distributed as if such beneficiary had predeceased me. ARTICLE II. PROVISIONS FOR INTERESTS VESTING IN BENEFICIARIES UNDER AGE TWENTY-FIVE Notwithstanding the foregoing provisions, whenever any interest in my estate vests absolutely in a beneficiary under age twenty-five, my Trustee shall retain the interest upon a separate trust or together in one trust with other beneficiaries, as my Trustee decides at his or her discretion, and pay to each beneficiary as much of the net income or principal according to the following: A. My trustee may distribute to and among my issue, or any of them from time to time, all or any portion of the net income and such portions of the principal as my Trustee, in his absolute discretion, may deem advisable. Such distributions of income and principal may be made in such proportions among my issue as my Trustee, in his absolute discretion, may deem advisable, without regard to equality, and the pattern of any distribution of income or principal need not be followed at the time of any other such distribution. Any of the net income not distributed by my Trustee in accordance with the foregoing provisions in any calendar year shall be accumulated and added to the principal of this trust. B. My trustee shall distribute to each beneficiary upon his or her twenty-fifth birthday his or her share of the trust. C. If a beneficiary dies before reaching the age of twenty-five years,his or her interest shall constitute a part of the beneficiary's estate. D. This trust shall terminate upon the earlier to occur of the following events: (1) At such time as all of my living beneficiaries sha11 have attained the age of twenty-five years; or (2) At such time as there is no beneficiary of mine then living. E. Upon termination of this trust in accordance with the provisions of subparagraph D hereof, or if either of the events specified in subparagraph D has theretofore occurred, the balance of the principal then remaining shall be distributed to my issue, per stirpes. Page 2 of 6 �� ,✓i,C.A.R. e t ARTICLE IIL PAYMENT OF EXPENSES AND OTHER CHARGES I desire a modest Christian funeral. I wish for my remains to be cremated. I direct my Executor to pay my funeral and burial expenses (including the cost of a monument or marker over my grave). I direct that my ashes be interred at Fort Indiantown Gap, Pennsylvania (or the family plot in New Jersey), with my husband. The estate, inheritance and similar taxes assessable on my death (including from those assets not passing under this Will) shall also be paid as a cost of administering my estate. My Executor shall not request any beneficiary to pay any part of such tax. ARTICLE IV. MISCELLANEOUS PROVISIONS A. Spendthrift Trust. To the extent permitted by law, neither the principal nor income of any trust shall be liable for the debts of any beneficiary or, except to the extent otherwise specifically provided,to alienation or anticipation by a beneficiary. B. Matters of Interpretation. For simplicity, I have expressed pronouns and other terms in one number and gender,but where appropriate to the context these terms shall be deemed to include the other number and genders. The bold headings are for convenience and shall not affect interpretation. ARTICLE V. APPOINTMENT OF FIDUCIARIES AND POWERS A. I name Monica Dils to be my Executrix. Should she fail or cease to act, I name Jill Maye to be my Executrix (hereinafter `Bxecutrix"). I name Lauren VanDerveer, presently residing in Lebanon,New Jersey,to be my Trustee. If administration of my estate or trust should be necessary in any jurisdiction where my Executor or my Trustee is unable to qualify, or if my Executor or my Trustee deems it necessary for any other reason, I give to my Executor and my Trustee the power to designate any individual or corporation with trust powers to serve with my Executor or my Trustee or in my Executor's or my Trustee's stead. I request that no security be required of any Executor or Trustee, including an Executor or Trustee named pursuant to the preceding sentence. References in my will to my "Executor" and my "Trustee" are to the one or ones acting at the time, except where otherwise specifically provided. B. Any corporate Executor or Trustee shall receive for its services the compensation Page 3 of 6 �.� C.A.R. � for which it is willing to undertake similar services for others at the time such services are rendered, as evidenced by its published fee schedule in effect from time to time, unless it is willing to agree upon a fee that is less than its customary fee. Any individual who serves as Executor or Trustee shall be entitled to receive reasonable compensation for his or her services and, whether or not such individual receives compensation, shall be entitled to be reimbursed for expenses incurred for such services. C. I grant my Executor and my Trustee the powers set forth in 20 Pa.C.S. §§ 3311— 3360 and 20 Pa.C.S. §§ 7771-7780 respectively. In addition, my Trustee may merge any trust under this will with any trust having the same trustee and substantially the same dispositive provisions. If at any time after my death the size of any trust under this will is so small that, in the opinion of my Trustee, the trust is uneconomical to administer,my Trustee may terminate the trust and distribute the assets to the person or persons authorized to receive the trust income in such shaxes as my Trustee may deem appropriate. No Trustee who is also an income beneficiary of the trust at issue shall exercise any discretion granted in the preceding sentence. My Executor and my Trustee may distribute tangible personal property passing to a minor to any adult person with whom the minor resides, and that person's receipt shall be a sufficient voucher in the accounts of my Executrix and my Trustee. D. It is my desire that my Executrix or alternate Executor consult with Mateya Law Firm in the handling of my estate,they being familiar with my affairs. THIS SPACE LEFT BLANK INTENTIONALLY Cy��C.A.R. Page4of6 ' ' m ARTICLE VI. DEFINITIONS The following definitions shall be applicable to all of the provisions of my Will except where otherwise specifically stated: 1. The use of the masculine shall include the feminine or neuter and the use of the singular shall include the plural, and vice versa. 2. The term"estate,"where appropriate, shall include any trust hereunder. 3. The term "minor" shall mean an individual who has not attained the age of twenty-one years. � � Executed this �•�`"day of x.� 2,�" ,2013. ��-�- �_ ��- Claire A. Rue Signed, sealed, published, and declared for and as her last will and testament by the testatrix in our presence, we all being present at the same time; and we, in her presence and at her request and in the presence of each other, have subscribed our names as witnesses whereof, all on the date last above written. � � �/�� oF �5 (� G� �. ��-�� v¢ 1�!� � ' ,�/ OF S .5 G��a.�;� r/� (;�,�J.e . ��;z C�,.3�' r�,� � �U/ � , Page 5 of 6 �Y��C.A.R. �i COMMONWEALTH OF PENNSYLVANIA CUMBERLAND COLTNTY, to wit: Before me, the undersigned authority, on this date personally appeared Claire A. Rue, and � / � ` ��-- � �d��,��;��-��',r��,�. known to me to be the testatrix and witnesses, respectively, whose names are signed to the foregoing instrument and, all of these persons being by me first duly sworn, Claire A. Rue, the testatrix, declared to me and to the witnesses in my presence that said instrument is her last will and testament and that she had willingly signed and executed it in the presence of said witnesses as her free and voluntary act for the purposes therein expressed, that said witnesses stated betore me that the foregoing will was executed and acknowledged by the testatrix as her last will and testament in the presence of said witnesses who in her presence and at her request and in the presence of each other did subscribe their names thereto as attesting witnesses on the day of the date of said will and that the testatrix, at the time of the execution of said will, was over the age of eighteen years and of sound and disposing mind and memory. Sworn and acknowledged before me by Claire A. Rue,the testatrix, A�.� �� F � � witness, and�J6��L.1� ��'�T�- ,witness,this.J�ay o�' � 3 '�� ,2013. ��--�-- �� , l Claire A. Rue �G�''�� - �� Witness �� r�i� � � � /�� Witness �-��r.��.�� . C� ? � Notary Public _ ��kg, , ,, __� , �, My commission expires: �'��' '=��/'� � ''"- -� Page 6 of 6 �� .C.A.R. 06/20/2014 07:40 7172416272 DILS PAGE 03 . �razsa � Parker Jew�le�-s 30q E Street Ca�i�,s�e, PA I 7013-X 326 (71'�) 249-3531 . Apri) 10, �014 TC? WH�M IT MAY CONGERN: We aertify tha#we have carefuEly examined the following fisted and des�rybed articles, the prop�rty of: Moni� C�ifs 555 N. Hanaver Street CarGsle, PA 17013 1n our professiona! opittlon we have listed the value for insurance vr other purposes at the current ret�il vafu�, exGluding any a�ci all t�xes. tn makin� this�ppraisal,we�Q, � agree to p�rchase or replace the ar�cles. Ladies platinum diamond engagement ring. �'he round brilliant cut cente� diamand is set in faur prongs wefghing apprdxirrtiat�ly 1.75 car�t, is of VS1 clarlty and L colvr. 7he bar�et tapered baguettes, one on each side c�f center stone, weigh approx�mat�ly .i8 carat each, is Qf VS1 clarity and H calor. Total dfamond weight af ring is apprpximat�ly 2.#1 �arat. InsurarlCe F�eplaCement Cvst: $22QOO.OU excluding tax�s. 7he abc�ve appraisal is mad�Wlih the underst�nding that the appr�iseC assUmes r�o liability wi1t� respeCt to any �ctian th�t m�y be taken on the basis Qf thls appraisaL �x�/ _ ��J -- Z��,� C. Tham�s Parker Date �I e r � Pro e rt a Cumberland County, PA � � �� r�r� ; __ �'�,� ,�.,-_ ,�� . . fr " ,`"'��-� " �' �` , f � � � � 7 �. ;'�, y't�ti ' �i x �� `�l �r� i ,� �t� � ��:� x ' ��'J�,� �?{}� r��'' � 1 � � .�,�>.,. ..4��`" � r � , r��,� � � vV�� . �y '� `� � .`. j �r ^ �l�. i ,� .�„ . ''y�...;.: .��-`+'` . -.� r.�� -. _). i . ��,y-,�...; . . 1" \ t� ��,,y �V�} ._'�'L 1 �� r� �.^ l � ,� . y.� .-y.�:�y � j,k �k�. � , , � . . r . .v,. , . �� . � _ }.,... '�`,,� . . 4� ' � �... • .y,r . .�` ^, tiri � .- � �, �,J - -- �.�. ,� : . � x. � �� .k' '"' ..'. . r �. �' „- �.+. �`^ `'Yt. .� 5 . � • � .. 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Tue Apr 1 2014 02:55:01 PM. 1107 MAPLE STREET PIN: 04-23-0600-133 Deedbook: 0034I-00990 Owner: RUE, WILLIAM F & CLARE A Land Use Code: 101 Property Type: R Acreage: 0.3 Square Feet: 1427 Taxable Status: T Clean & Green Status: Land Assessed Value $: 40500 Building Assessed Value $: 131500 Total Assessed Value $: 172000 Sale Price $: 109500 Sale Date: Thu Jan 4 1990 07:00:00 PM Year Built: 1972 Municipality: CARLISLE BORO 3RD WRD Height in Stories: 1 Type of Dwelling: DETACH Primary Exterior: Aluminum Basement Percentage: 100 Air Conditioning: NO Total Rooms: 6 Bedrooms: 3 Full Bath: 2 Half Bath: