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Home My WebLink About01-0048 )t,-d-OI-1 REV-1500 EX + (6-00) OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA REV-1500 DEPARTMENT OF REVENUE DEPT. 280601 INHERITANCE TAX RETURN FILE NUMBER HARRISBURG, PA 17128-0601 RESIDENT DECEDENT 21 2001 0048 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER Kcx:lns , PhylliS A. 184-36-7258 DECE- DATE OF DEATH (MM-DD-YEAR) I DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 12/15/00 09/13/1920 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER ~ 3. Remainder Return CHECK 1. Original Return ~' Supplemental Return B (date of deatl1 prior to 12-13-82) APPRO- 4. Limited Estate 4a. Future Interest Compromise 5. Federal Estate Tax Return Required (date 01 death after 12-12-S2) PRIATE 6. Decedent Died Testate 7. Decedent Mai.,tained a Uving TNst 0 8. Total Number of Safe Deposit Boxes (Attach ccpy of Will) kAnach a copy of Trust) BLOCKS 9. Litigation Proceeds Received 10. ~ouSal Poverty Credit (dale of death between 0 11. Election to tax under Sec. 9113(A) , -31-91 and 1-1-95) (Attach SehQ) jjjl~$~~M!!$jlll$pbM!!UITl$p;AlWPQIlIlIl$!lQt,iPIl~.~j:;b~fjpijlttiAlifAXI!-ll@RMArjQN$Il!lllk\1llSQIi'iI$Q-ij;!:i'tbi NAME COMPLETE MAILING ADDRESS COR- David H. Stone, Esquire 414 Bridge Street RE- FIRM NAME (If Applicable) New CurIDerland, PA 17070 SPON DENT Stone LaFaver & Shekletski TELEPHONE NUMBER (717) 774-74:35 50,000.00 OFFICIAL USE ONLY 1. Real Estate (Schedule A) (1) 2. Stocks and Bonds (Schedule B) (2) 647.48 3. Closely Held Corporation, Partnership or Sole.Proprietorship (3) None 4. Mortgages & Notes Receivable (Schedule D) (4) None 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 270,728.94 6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested (6) 58,694.66 RECA- PIT'ULA- 7. Inter-Vivos Transfers & Miscellaneous TION Non-Probate Property (Schedule G or L) (7) 1,783.43 8. Total Gross Assets (total Lines 1-7) (8) 381,854.51 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 118,271. 96 10. Debts at Decedent, Mortgage Liabilities. & Liens (Schedule I) (10) 8,007.44 11. Total Deductions (total Lines 9 & 10) (11) 126,279.40 12. Net Value 01 Estate (Line 8 minus Line 11) (12) 255,575.11 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax (13) None has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (14) 255,575.11 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal lax rate, or transfers under Sec. 9116 (a){1,2) X .0 (15) TAX 16. Amount of line 141axable at lineal rate 0.00 X.o 45 (16) 0.00 51,115.03 - COMPU- 17. Amount of Une 14 taxable at sibling rate X .12 (17) 6,133.80 TATION 18. Amount of Une 14 taxable at collateral rate 204,460.08 x.15 (18) 30,669.01 19. Tax Due (19) 36,802.81 20. ~ IQjj~IlKHSll!-If!YQj)Ail~ij~&ijim~@II~"'j)QF#!iI@jijj!!~!\m~!IT1 '::':::',*,ee'$Ul'ie;:TQAN$Wa;'i!i~J;iQQm!Ql'I$:PM!;IA~e;J,A1'I!lt!'!al!ill'iQI~iMAl!'i!% o PA15001 NTF 29755 Copyright 2000 GreallandlNelco LP . Forms Software Only PA REV-1500 EX (6-00) d C Page 2 Dece ent's omDlete Address: STREET ADDRESS 375 Clarermnt Drive CITY I STATE I ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 36,802.81 45,000.00 1,840.14 Total Credits (A + B + C) (2) 46,840.14 3. Interest/Penalty it applicable D. Interest E. Penalty 5. TotallnlerestlPenaity (D + E) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Une 20 to request a refund It Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of line 5 + 5A. This is the BALANCE DUE. Make Check Payable 10: REGISTER OF WillS, AGENT (3) 0.00 4. 10,037.33 (4) (5) (5A) (5B) :':_:::..,:::::,:::'j.\}I::;j:I1:{U/?HJ?UJUU}}}}tYHIJ?iIJ(:::nt}}:Jj:I::;~H;::I~n::n:u::::::::::~:tIUI:;:U:::t:::::!;:I:HnUUIT\l:n::UII::[:HI PLEASE ANSWER THE FoLLOWING QUESTIONS' BY PLACING AN 1. "X" IN THE APPROPRIATE BLOCKS Yes No ~ I B ~ Did decedent make a transfer and: a. retain the use or income ofthe 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? . . . . . . . . . . . . . . . . . . . . . . 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ............ . . . . . . . . . . . . . . . . . . . 3. Did decedent own an "in trust for" or payable 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. Under penalties of perlury-, I deelare that I have examined this return) including accompanying schedules and statements, and to the best of my knowl belief, It is true, c reet d complete. Declaration OT preparer other than the personal representative is based on information of who re arer kno . SI NATURE PE R IBlE FOR FILING RETURN DATE v't)~, ~ D DATE I AODRESS 414 Bridge Street, New Cl.nTberland, PA 17070 :::{~::~t~~tt:(}/t?/::::it{(t:)::tt)t}\})\\~//:t):u:(?}t{?tJ/?{~::~:~~:~::::t)t}}))/:())\)t)\t\I/\)\)t)JY{/Htt)\t)\)t)))){)\t\::)\)t}}tt)~~::~::,::~?UJ\tt\t:':':::'''' For'dates of death on or' alter July ';, 1994"ai,ci before januarY''''' 1995. the tax 'raie {miiosed on' the nei value'cii transfers to' or io'r the use of the surviving spouse'i's' 3oio .' [72P.S.69116(a)(1.1)(i)J. For dates ot death on or alter January " 1995, the tax rate is imposed on the net value of transfers to orlorthe use 01 the surviving spouse is 0% [72 P.S. 89116 (a) (1,1) (ii)) The statute elM!'; nIlt AXAmnt a transterto a surviving spouse trom tax, and the statutory requirements for disclosure ot assets and filing a tax retum are still applicable even it the surviving spouse is the only Oeneficiary. For dates of death on or alter July " 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one 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% [72 P.S. 89116(a)(1.2)). The tax rate imposed on the net value of transfers to orlorthe use of the decedent's lineal be.neficiaries is 4.5%, except as noted in 72.P.S. ., !i 9116{1.2) [72 P,S. %9116(a)(1)J The tax rate Imposed on the net value of transfers to or for the use of the decedent's Siblings IS 12% [72 P.S. Ii 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. o PA15002 NTF 29756 Copyright 2000 GreatlandlNelco LP - Forms Sottware Only Estate of: Phyllis A. KcDns 21-2001-0048 The following person(s) are signing the retuxn as representative(s) of the estate: David H. Stone 414 Bridge Street New C\JrrU:)erland, PA 17070 REV-1502 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Phyllis A. K=ns SCHEDULE A REAL ESTATE FILE NUMBER 21-2001-0048 All real property owned solely Of 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 which Is Jointly-owned with right 01 survivorship must be disclosed on Schedule F. ITEM NO. DESCRIPTION VALUE AT DATE OF DEATH 1 23 Creekside Dr. property l=ated in the Township of East Pennsboro, CUrrtlerland County, PA by deed dated August 22, 1961 and recorded in CUrrtlerland County Deed Book H-20, Page 322, granted and ccrrveyed unto Paul R. K=ns and Phyllis A. K=ns, husband and wife. The said Paul R. K=ns died February 19, 1979 thus vesting title in Phyllis A. K=ns, the decedent. The said property was sold to Jonathan B. Leiby on July 17, 2001. 50,000.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 50,000.00 7 CPA21 NTF 10904 Copyright Forms Software Only, 1997 Nelco, Inc. REV.1503 EX + (1.97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Phyllis A. Koons SCHEDULE B STOCKS & BONDS FILE NUMBER 21-2001-0048 All property Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NO. DESCRIPTION VALUE AT DATE OF DEATH 1 EE $500 U.S. Savings Bond issued 2-87 joint with RCXTaine Shetter who has predeceased decedent (see attached) 539.60 2 EE $100 U.S. Savings Bond issued 6-87 rrade joint with Michael Myers who has predeceased the decedent (see attached) 107.88 7 CPA31 NTF 10905 Copyright Forms Software Only, 1997 Nelco, Inc. TOTAL (Also enter on line 2, Recapitulation) S (If more space is needed, insert additional sheets of the same size) 647.48 REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Phyllis A. Koons SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER Include proceeds of litigation & date proceeds were received by the estate 21-2001-0048 All prop. Jointly-owned with right of survivorship must be disclosed on Sch. F. VALUE AT DATE OF DEATH ITEM NO. DESCRIPTION 1 Cash on hand 7 CPAB1 NTF 10908 Copynghr Forms Software Only. 1997 Nelco. Inc. TOTAL (Also enter on line 5, Recapitulation) (If more space is needed, insert additional sheets of the same size) 45.44 6,632.15 0.81 0.00 371.80 0.16 133,442.38 289.62 1,133.77 0.53 121,775.71 491.68 5,571.86 4.08 328.71 0.24 0.00 0.00 640.00 $ 270,728.94 2 Mellon Bank-Checking Acct. #302-106-2132, Prine. $6,632.15, Int. $.81 Interest on al:ove item accrued 28 of decedent's death 3 PNC Bank-Estate Checking Acct. #50-02138014 4 Allfirst-Savings Acct. #8700490172299, Prine. $371.80, Int. $.16 Interest on above item accrued as of decedent's death 5 Commerce Bank-Savings Acct. #616159276, Prine. $133,442.38, Int. $289.62 Interest on above item accrued as of decedent's death 6 First Union National Bank Acct. #3069960288188, Prine. $1,133.77, Int. $.53 Interest on above item accrued as of decedent's death 7 PNC Bank-Savings Acct. #5003156783, Prine. $121,775.71, Int. $491.68 Interest on above item accrued as of decedent's death 8 PNC Bank-Savings Acct. #5130123685, Prine. $5,571.86, Int. $4.08 Interest on al:ove item accrued as of decedent's death 9 Waypoint Bank-Savings Acct. #100027578, Prine. $328.95, Int. $.24 Interest on al:ove item accrued as of decedent's death 10 Commerce Bank-Estate M:>ney Market Acct. #61-6191798 11 PNC Bank-Estate l'bney Market Acct. #50-03537682 Total from continuation oaoe (s) Page 2 Estate of: Phyllis A. Koons 21-2001-0048 S01EDULE E -- Cash, Bank Deposits and Miscellaneous Personal Property Item No. Description Value at Date of Death 12 Miscellaneous personal property sold at auction 100.00 13 Cumberland County-overpayrrent 240.00 14 U.S. Treasury-tax relief refund 300.00 TOTAL. (Carry forward to main schedule) . . . . . . 640.00 REV~'509 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Phyllis A. Koons SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER 21-2001-0048 If an asset was made Joint within one year of the decedent's date of death, It must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT See Schedule attached JOINTL V-OWNED PROPERTY: lETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH Include name of financial institution and bank ITEM FOR MADE account number or similar identifying number. DATE OF DEATH DECD'S VALUE OF JOINT NO. TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1 A various 104 E & EE U.S. Savings Bonds 107,929.06 50% 53,964.53 joint with various individuals (see attached) 2 B 03/27/85 PNC Bank-Cert. of Deposit 2,022.72 50% 1,01l.36 #21001021981 made joint3-27-85 w/Dana Heaps "3 C 06/06/87 PNC Bank-Cert. of Deposit 2,002.41 50% 1,001.20 #21001031677 made joint 6-687 w/Jonathan Darr Heaps 4 D 02/27/87 PNe Bank-Cert. of Deposit 2,025.95 50% 1,012.97 #21001031675 made joint 2-27-87 w/Mandy Heaps 5 FA 06/06/87 PNC Bank-Cert. of Deposit 2,082.09 33.333% 694.03 #21001031676 made joint 06-06-87 w/ 1helma Heaps and Roy K. Heaps 6 A 03/11/85 PNC Bank-Cert. of Deposit 2,021.15 50% 1,010.57 #21001021980 made joint 3-11-85 w/ Roy Heaps TOTAL (Also enter on line 6, Recapitulation) $ 58,694.66 7 CPA91 NTf 10909 (If more space is needed, insert additional sheets of the same size) Copyright Forms Software Only, 1997 Nelco. Inc. Estate of: Phyllis A. KOons 21-2001-0048 SaJEDULE F -- Jointly-CMned Property The following states the name, address and relationship of each surviving joint tent ant : Narre/Relationship Address A. Roy Heaps nephew B. Dana Heaps nephew's wife C. Jonathan Darr Heaps grandnephew D. Mandie Heaps Benge grandniece E. Thelrra Heaps sister 869 Ba=ens Village Lane Roanoke, VA 24019 869 Ba=ens Village Lane Roanoke, VA 24019 869 Ba=ens Village Lane Roanoke, VA 24019 12-A Stirrup Court Cockeysville, MD 21030 c/o Roy Heaps 869 Ba=ens Village Lane Roanoke, VA 24019 REV~1510 EX + (1.97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Phyllis A. KcDns SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER This schedule must be completed and filed jf the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. 21-2001-0048 DESCRIPTION OF PROPERTY %OF EXCLUSION ITEM INCLUDE NAME OF THE TRANSFEREE, THEIR DATE OF DEATH DECD'S (IF TAXABLE VALUE RELATIONSHIP TO DECD & DATE OF TRANSFER. NO. ATTACH COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST APPLICABLE) 1 MetLife Life Insurance-Armuity 1,783.43 100% 1,783.43 Contract No. 000704784RB with beneficiary as Thelrra Heaps TOTAL (Also enter on line 7, Recapitulation) $ 1,783.43 7 CPAOl NTF10910 Copyright Forms Software Only, 1997 NelcQ, Inc. (If more space is needed, insert additional sheets of the same size) REV:1511EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Phyllis A_ Koons SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2001-0048 Debts of decedent must be reported on Schedule I. ITEM NO. DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 John Sullivan Funeral Harre-funeral expenses 4,469.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 18,317.00 Name of Personal Representative(s) David H. Stone Social Security Number(s)/EIN No. of Personal Representative(s) Street Address 414 Bridge Street City New Cumberland State PA Zip 17070 Year(s) Commission Paid: 2001/2002 2. Attorney Fees Narre: David H. Stone, Esquire 18,317.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 0.00 Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 314.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 See Schedule attached Total frcm continuation page (s) 76,854.96 TOTAL (Also enter on line g, Recapitulation) $ 118,271.96 7 CPA11 NTF10911 Copyright Forms Software Only. 1997 Nelco. Inc. (If more space is needed, insert additional sheets of the same size) Estate of: Phyllis A. KaJns SCHEDULE H, PART B -- Administrative Costs Item No. Description 7 Cumberland Law J=nal-advertising grant of letters 8 The Patriot News Co. -advertising grant of letters 9 Bridge Street Realty-appraisal fee on property 10 East Pennsboro-sewer services at property 11 PP&L-electric services at property 12 Pinker & Assoc. -medical expense of decedent 13 PP&L-electric service at property 14 Jane E. Biddle, Treasurer-real estate taxes 15 New Cumberland Insurance-insurance on property 16 PP&L-electric services at property 17 New Cumberland Insurance-insurance on property 18 Jarres Gorden-cleaning hcuse for prep. of sale 19 Gorden's Lawn Service-hauling trash for prep. of sale 20 Donna Gorden-cleanup and repairs for prep. of sale of property 21 PP&L-electric services at property 22 Kelly Financial Serv.-prep. of decedent's incare tax retUTIlS for 2000 23 PA Dept. of Revenue-payrrent of decedent's 2000 PA incare tax 24 U. S. Treasury-payrrent of decedent's 2000 Federal Incare Tax 25 East Pennsboro 1Wp. -sewer and trash at property 'IOTAL. (Carry forward to rrain schedule) Page 2 21-2001-0048 Arrount 75.00 93.81 300.00 87.75 8.58 14.07 8.55 170.85 287.00 2.99 239.13 500.00 450.00 849.88 6.78 219.50 249.00 69,159.00 87.75 72,809.64 Estate of: Phyllis A. Koons SCHEDULE H, PART B -- Administrative Costs Item No. Description 26 PP&L-electric service at property 27 PNC Bank-check charge 28 Gingrich' s-services for fixing bathrc:x:m fixtures 29 PANC-water service at property 30 PP&L-electric service at property 31 New Cumberland Insurance-insurance on property 32 PANC-water service at property 33 PPL Utilities-electric services at property 34 East Pennsl:oro Twp. -sewer and trash at property 35 Settlerrent costs on sale of property ($2,663.08) less reimb. on taxes ($796.04) 36 Claude Wolfe & Assoc.-advertising fee on sale of property 37 PANC-water service at property 38 PANC-water service at property 39 PPL Utilities-final electric services 40 Reserve for filing First and Final Acct. and closing expenses TOrAL. (Cany forward to main schedule) . . . . . . Page 3 21-2001-0048 Arrount 7.22 27.70 525.02 32.29 7.13 144.00 10.82 6.95 87.75 1,867.04 294.25 10.38 9.05 15.72 1,000.00 4,045.32 REV-1512 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Phyllis A. K=ns Include unreimbursed medical expenses ITEM NO. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-2001-0048 DESCRIPTION AMOUNT 1 Clarermnt Nursing-November payrrent and rredical expenses 4,746.61 2 Clarermnt Nursing-L.ecember payrrent and rredical expenses 2,569.53 3 David H. Stone-power of attorney services fram 10-00 to 12-15-00 633.50 4 Physicians for Worren's HH-consultation services 30.99 5 Mobile X-Ray Irraging Inc. -services rendered 26.81 7 CPA12 NTF 10912 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 8,007.44 Copyright Forms Software Only, 1997 Nelco,lnc REV-1513 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES Phvllis A. KcDns No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 'Ihelrra Heaps c/o Roy Heaps 869 Barrens Village lane Roanoke, VA 24019 2 Roy Heaps 869 Barrens Village lane Roanoke, VA 24019 3 Dana Heaps 869 Barrens Village lane Roanoke, VA 24019 4 Mandie Heaps Benge 12-A Stirrup Court Cockeysville, MD 21030 5 Jonathan DarT Heaps 869 Barrens Village lane Roanoke, VA 24019 FILE NUMBER RELATIONSHIP TO DECEDENT Do Not List Trustee(s) sister nephew nephew's wife grandniece grandnephew 21-2001-0048 AMOUNT OR SHARE OF ESTATE 51,115.03 51,115.02 51,115.02 51,115.02 51,115.02 ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 17 AS APPROPRIATE ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE None B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS None 7 CPA13 NTF 10913 TOTAL OF PART 11-- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) Copyright Forms Sol1ware Only, 1997 Nelco, Inc. 0.00 STONE.LAFAVE~& STONE ,.:,~~i.;:>~.,~"_. ,'.~.-D~~~!~i[:::';~~r~tr~~fl;f~;~;:~:~:::~~ijZ~J~~~~t~~:;:... . ~~~t"~f: LAST WILL AND TESTAMENT OF PHYLLIS A. KOONS I, PHYLLIS A. KOONS, of East pennsboro Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I direct that my Executor hereinafter named shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease. ITEM II: I devise and bequeath all the rest, regidue and remain- der of my estate, of every nature and wherever situate, in equal shares to the following named persons who survive me: my sister, THELMA HEAPS, my uephew, ROY HEAPS, my nephew's wife, DANA HEAPS, my grandniece, MANDIE HEAPS, and my grandnephew, JONATHAN DARR HEAPS, as survive me. Should any of the above named persons predecease me, their share shall lapse and shall be added to the cthar shares created in the Item II. ITEM III: The share for my sister, THELMA HEAPS, shall be held by ROY HEAPS ~~ Trustee, IN TRUST, for the following uses and purposes: A. The Trustee shall pay the net income therefrom to my sister, THELMA HEAPS, for her life in such periodic installments as Trustee shall find convenient but at least as often as quarter annually. Page 1 of 4 B. As much of the principal of this trust as Trustee may from time to time think advisable for the support of my sister, THELMA HEAPS, or during illness or emergency shall either be paid to her or else be applied directly for her benefit by the Trustee after taking into consideration her other readily available assets and sources of income. c. The Trustee may apply the net income of this trust for the support of my sister, THELMA HEAPS, should she by reason of age, illness or any other cause, in the opinion of the Trustee, be incapa- ble of disbursing it. D. Upon the death of my sister, THELMA HEAPS, this trust shall terminate and the then remaining principal and any accumulated or undistributed income shall be distributed to ROY HEAPS, or in default thereof, to his issue, per stirpes. ITEM IV: I appoint DAVID H. STONE Executor of this my last will. ITEM V: No fiduciary acting hereunder shall be required to post bond or enter security for the faithful performance of his duties in any jurisdiction. IN WITNESS WHEREOF, I, PHYLLIS A. KOONS, have hand and seal this ;;J.. c;-JA day of J G "~'-"'--6~ hereunto set my , 199i. ~. /l.. /t:'~ KOONS SIGNED, SEALED, PUBLISHED and DECLARED by PHYLLIS A. KOONS, the Testatrix above named, as and for her Last Will and Testament, and in Page 2 of 4 the presence of us, who at her request, in her presence and in the presence of each other, have subscribed our names as witnesses. ,{L~~J&ru 'nJ. /")rr-ke.~--?( /J' Witness J >/CUJ (u/yn.('-<..4&7Ld__ /l/'-t Address ",-,/ , rc; a"-fL 7l . Witness '--.-' ., v~ ....-<.4 C-f.l-I1;:)- ~.< / / / ~.!..-".t:,l_- :_<"'''-,)>I--<.._.'_I,'.t~.1~ . . /-? . Address COMMONWEALTH OF PENNSYLVANIA: 55: COUNTY OF CUMBERLAND : I, PHYLLIS A. KOONS, the Testatrix whose name is signed to the attached or forQgoing 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. ~#~~ , PHYLLIS A. KOONS Sworn to or affirmed to and aCknowled~d before me by PHYLLIS A. KOONS, the Testatrix, this cfl9 -th day of V'..../lJ ' 199:l,. ~/1WJ7 / X K.Cb~ Notary Public NOTARIA.L SEAL CONSTtiNCE l. !{'\.RU. ~Jolary Public NeVI Gi.:fI1b8;!anli, 1'/\ Cumberlood Co. My Commission Expires I\priJ 13, 1999 Page 3 of 4 COMMONWEALTH OF PENNSYLVANIA : : 55: COUNTY OF CUMBERLAND . . We, ~fil.L 'J11 /C/#-a-L;;'q- and ')'(""'/' ~/-:.., ':;(-,-~ <"_Ld- ' 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 signed the will as witnesses; that to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. . J).A-uAU(' m ~~{ //1 <;" *h~;~s t/ /i/ I I - a~f~ -tJ. :31'-'-~ ".n",-()- witness ' Sworn to or affirmed to and acknowledged before me by DL"/VM'~ /l1, II-rrH-c..;ruG- and No "~ ~. J.."o kp'j' witnesses, this :Jqr:J, day of ~U'>v'\ , 1991.. v I) 6 ~4iz4-<.U X K~ ' Notary Public , NOTARIAL SEAL CONSWlCE L. KARL!. Notary Public New Gumbeiland. PA Cumberland Co. My Commission Expires /lpri113. 1999 Page 4 of 4 relded\Koons.exe\6_01 DEED . / -Ii.. \::u.J ~ THIS INDENTURE made the/~ day ofor -U- in the year 2001, between DAVID H. STONE, Executor of the Last Will and Testament of PHYLLIS A. KOONS, late of East Pennsboro Township, County of Cumber- land and Commonwealth of Pennsylvania, of the first part, hereinafter called the Grantor, -AND- JONATHAN B. LEIBY, of the second part, hereinafter called the Grantee; WHEREAS, the said Phyllis A. Koons became in her lifetime seised, as of fee, of and in to a certain tract of land, together with the improvements thereon erected, situate in the Township of East pennsboro, County of Cumberland, and Commonwealth of Pennsylvania, and more particularly described hereinafter; and being so thereof seised, died on December 15, 2000, having first made her Last Will and Testa- ment in writing dated January 29, 1998, duly probated and registered in the Office of the Register of Wills of Cumberland County on January 10, 2001, wherein and whereby she appointed as Executor, the said David H. Stone, to whom Letters Testamentary were duly issued by said Register of Wills on January 10, 2001, wherein and whereby said premises hereinafter described were not specifically devised, all as -1- in and by said Will and the records of said Register of Wills more fully appears; NOW THIS INDENTURE WITNESSETH, that the said Grantor, for and in consideration of the sum of Fifty Thousand and NO/I00 ($50,000.00) Dollars, which has been paid to him by the said Grantee at or before the sealing and delivery hereof, receipt whereof is hereby acknowl- edged, has granted, bargained, sold, aliened, released and confirmed, and by these presents does grant, bargain, sell, alien, release and confirm unto the said Grantee, ALL THAT CERTAIN lot of land situate in the Township of East Pennsboro, County of Cumberland, Commonwealth of Pennsylvania, more particularly bounded and described as follows: BEGINNING at a point in the center line of Possum Hollow Road, now known as Creekside Drive, at line of lands formerly of Charles Bretz, Jr., now of Craig and Twila A. Hawbaker, (said point erroneously set forth in deed of prior record as being 38.63 feet measured in a westerly direction along said line from the center line of S. Enola Drive); thence by said center line of Possum Hollow Road South 70 degrees 06 minutes West 88.10 feet to a point; thence by line of lands of Charles Bretz, Sr., North 16 degrees 45 minutes West 98.50 feet to a point; thence by lands of Mrs. John Goodling North 67 degrees 00 minutes East 83.95 feet to a point; thence by lands of Charles Bretz, Jr., South 19 degrees 16 minutes East 102.54 feet to a point in the center line of Possum Hollow Road, the place of BEGINNING. BEING Parcel No. 09-16-1050-090. BEING the same premises which Roy J. Darr and Grace A. Darr, husband and wife, by their deed dated August 22, 1961, and recorded August 23, 1961, in the Office of the Recorder of Deeds in and for Cumberland -2- County, Pennsylvania, in Deed Book H-20, Page 322, granted and con- veyed unto Paul R. Koons and Phyllis A. Koons, husband and wife. Paul R. Koons died February 19, 1979, thus vesting title in Phyllis A. Koons by operation of law. 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 Phyllis A. Koons, 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 de- scribed, 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 Grantees, to and for the only proper use and behoof of the said Grantees, forever. And the said Grantor, for himself and his respective heirs, executors and administrators, does covenant, promise and agree to and with the said Grantees, their heirs and assigns, that he, the said Grantor, has not heretofore done or committed any act, matter or thing -3- ~ 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. /! ftI(/~/{/;', x:? f./'-ta ) Witness (SEAL) " xecutor of J the st Will and Testament of PHYLLIS A. KOONS COMMONWEALTH OF PENNSYLVANIA: COUNTY OF ~~~ SS: On this, the / c:, 'f/;' day Of~ ' 2001, before me a Notary officer, personally appeared DAVID H. STONE, Public, the undersigned Executor of the Last Will and Testament of PHYLLIS A. KOONS, 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. ,'7(n J f '7fJ. Vj~ u k,-, Notary pubac - 4 - r-~.' NOTAFlIAL SEAL I /\'An 11. LUCKEY, NolaIy Public I ~ Cumll9rland Bora. Cumberland Co. . My Commllililan Exlllres MarI:h'D.llQlII I~ I hereby certify that the precise address of the Grantee is Attorney for -5- Savings Bond Calculator Page I of4 ~ Instructions Close Window 112 ....... / I~ooo . 1"1 1...- ..-m Series Denomination Serial Number Issue Date ~------~- IEB()nds.. lllii!l $11})O~t::l I........................ [,./1 !:~ .. # Bonds Total Price Total Interest Total Value YTD In --~----- .. 105 $48,700.00 $60,102.02 $108,802.02 $4,67 Issue Issue Interest Next Final Serial Number Date Series Denom Price Interest Value Rate Accrual Maturit ---------- -- -- M201011621E 08/1976 E $1,000 $750.00 $3,466.40 $4,216.40 6.00% 02/2001 08/200 M103066941E 04/1974 E 1,000 750.00 3,724.00 4,474.00 4.00% 04/2001 04/200 C495068576E 02/1969 E 100 75.00 474.08 549.08 NA 02/199 X1356439EE 10/1987 EE 10,000 5,000.00 5,576.00 10,576.00 4.00% 04/2001 10/201 X1356438EE 10/1987 EE 10,000 5,000.00 5,576.00 10,576.00 4.00% 04/2001 10/201 V1047728EE 01/1987 EE 5,000 2,500.00 2,896.00 5,396.00 5.50% 01/2001 01/201 V1046428EE 01/1987 EE 5,000 2,500.00 2,896.00 5,396.00 5.50% 01/2001 01/201 V1046429EE 01/1987 EE 5,000 2,500.00 2,896.00 5,396.00 5.50% 01/2001 01/201 V1402900EE 02/1987 EE 5,000 2,500.00 2,896.00 5,396.00 5.50% 02/2001 02/201 . V1046427EE 01/1987 EE 5,000 2,500.00 2,896.00 5,396.00 5.50% 01/2001 01/201 V1047729EE 01/1987 EE 5,000 2,500.00 2,896.00 5,396.00 5.50% 01/2001 01/201 M22388757EE 03/1988 EE 1,000 500.00 536.80 1,036.80 4.00% 03/2001 03/201 M20844817EE 01/1987 EE 1,000 500.00 579.20 1,079.20 5.50% 01/2001 01/201 M13956898EE 03/1986 EE 1,000 500.00 748.40 1,248.40 4.00% 03/2001 03/201 M14489072EE 04/1986 EE 1,000 500.00 748.40 1,248.40 4.00% 04/2001 04/201 M13956897EE 03/1986 EE 1,000 500.00 748.40 1,248.40 4.00% 03/2001 03/201 M25235651EE 03/1988 EE 1,000 500.00 536.80 1,036.80 4.00% 03/2001 03/201 M25235652 EE 03/1988 EE 1,000 500.00 536.80 1,036.80 4.00% 03/2001 03/201 M 20844820EE 01/1987 EE 1,000 500.00 579.20 1,079.20 5.50% 01/2001 01/201 M15682112EE 04/1986 EE 1,000 500.00 748.40 1,248.40 4.00% 04/2001 04/201 M28235488EE 10/1988 EE 1,000 500.00 516.40 1,016.40 4.00% 04/2001 10/201 M43870264EE 02/1992 EE 1,000 500.00 326.80 826.80 6.00% 02/2001 02/202 M25235654EE 03/1988 EE 1,000 500.00 536.80 1,036.80 4.00% 03/2001 03/201 M20844821EE 01/1987 EE 1,000 500.00 579.20 1,079.20 5.50% 01/2001 01/201 M15682114EE 04/1986 EE 1,000 500.00 748.40 1,248.40 4.00% 04/2001 04/201 M13956896EE 03/1986 EE 1,000 500.00 748.40 1,248.40 4.00% 03/2001 03/201 M14489071EE 04/1986 EE 1,000 500.00 748.40 1,248.40 4.00% 04/2001 04/201 http://www . pub licdebt. treas. gov / serv let/SBCPrice 5/11/01 Savings Bond Calculator Page 2 of 4 M28235489EE 10/1988 EE 1,000 500.00 516.40 1,016.40 4.00% 04/2001 10/201 M25235653EE 03/1988 EE 1,000 500.00 536.80 1,036.80 4.00% 03/2001 03/201 M43870265EE 02/1992 EE 1,000 500.00 326.80 826.80 6.00% 02/2001 02/202 M25235647EE 03/1988 EE 1,000 500.00 536.80 1,036.80 4.00% 03/2001 03/201 M20844819EE 01/1987 EE 1,000 500.00 579.20 1,079.20 5.50% 01/2001 01/201 M25235648EE 03/1988 EE 1,000 500.00 536.80 1,036.80 4.00% 03/200 I 03/20 I M43870266EE 02/1992 EE 1,000 500.00 326.80 826.80 6.00% 02/2001 02/202 M43008549EE 04/1991 EE 1,000 500.00 376.80 876.80 6.00% 04/2001 04/202 M20844818EE 01/1987 EE 1,000 500.00 579.20 1,079.20 5.50% 01/2001 01/201 M43008550EE 04/1991 EE 1,000 500.00 376.80 876.80 6.00% 04/200 I 04/202 M25235650EE 03/1988 EE 1,000 500.00 536.80 1,036.80 4.00% 03/2001 03/201 M25235649EE 03/1988 EE 1,000 500.00 536.80 1,036.80 4.00% 03/2001 03/201 '::5' Ol"t D14354766EE 02/1987 EE 500 250.00 289.60 539.60 5.50% 02/2001 02/201 D29782887EE 02/1992 EE 500 250.00 163.40 413.40 6.00% 02/200 I 02/202 D21755512EE 02/1990 EE 500 250.00 215.20 465.20 6.00% 02/2001 02/202 DI9059664EE 10/1988 EE 500 250.00 258.20 508.20 4.00% 04/2001 10/201 D24084433EE 07/1989 EE 500 250.00 229.20 479.20 6.00% 01/2001 07/201 D29824321EE 04/1992 EE 500 250.00 163.40 413.40 6.00% 04/2001 04/202 D29824322EE 04/1992 EE 500 250.00 163.40 413.40 6.00% 04/2001 04/202 D24084432EE 07/1989 EE 500 250.00 229.20 479.20 6.00% 01/2001 07/201 D21755513EE 02/1990 EE 500 250.00 215.20 465.20 6.00% 02/200 I 02/202 D18001328EE 10/1988 EE 500 250.00 258.20 508.20 4.00% 04/2001 10/201 D 19059665EE 10/1988 EE 500 250.00 258.20 508.20 4.00% 04/2001 10/201 D6571903EE 10/1984 EE 500 250.00 425.60 675.60 5.32% 04/2001 10/201 D6571902EE 12/1984 EE 500 250.00 412.40 662.40 5.18% 06/2001 12/201 D19059666 EE 10/1988 EE 500 250.00 258.20 508.20 4.00% 04/2001 10/201 D29782886EE 02/1992 EE 500 250.00 163.40 413.40 6.00% 02/2001 02/202 D21755514EE 02/1990 EE 500 250.00 215.20 465.20 6.00% 02/200 I 02/202 o 16077268EE 04/1987 EE 500 250.00 289.60 539.60 5.50% 04/2001 04/201 D21755516EE 02/1990 EE 500 250.00 215.20 465.20 6.00% 02/2001 02/202 DI6176140EE 03/1988 EE 500 250.00 268.40 518.40 4.00% 03/200 I 03/20 I D41330589EE 05/1994 EE 500 250.00 97.40 347.40 5.26% OS/2001 OS/202 R112776307EE 07/1994 EE 200 100.00 35.28 135.28 5.36% 01/2001 07/202 546574EE 10/1984 EE 200 170.24 270: 5.32% 04/2001 10/2 RI85 73EE 10/1984 EE 00 0.00 170.24/170.24 5.32% 04/2001 I 720 RI85465 E 10/1984 EE 200 100. 0 170.2 270.24 04/200 10/20 RI8546571E 10/1984 200 100.00 17 .24 270.24 04/2 01 10/2 I RI8546575EE I 4 EE 200 100.00 0.24 270.24 5.32% o 2001 10/ I http://www .publicdebt. treas.gov/servlet/SBCPrice 5/11/0 I Savings Bond Calculator Page 3 of 4 RI8S46579EE 101. 4 200 100.00 0.24 270.24 5.32% 04/2001 101. RI8546578EE 0/1984 200 10 .00 170. 270.24 5.32% 04/20 10/201 R18546577 10/1984 200 00.00 170.24 70.24 5.32% 04 001 10/201 RI8546 EE 10/1984 20 100.00 170.24 270. ~ 5.32'Y< 4/2001 10/201 R 46580EE 10/1984 :0 4 0 00 10/201 R127769371EE 10/1995 EE 200 100.00 24.80 124.80 5.41% 04/2001 10/202 R80157956EE 04/1992 EE 200 100.00 65.36 165.36 6.00% 04/2001 04/202 R127754661EE 10/1995 EE 200 100.00 24.80 124.80 5.41% 04/2001 10/202 Rl12776308EE 07/1994 EE 200 100.00 35.28 135.28 5.36% 01/2001 07/202 R13642323 7EE 09/1996 EE 200 100.00 18.80 118.80 5.15% 03/2001 09/202 R127769372EE 10/1995 EE 200 100.00 24.80 124.80 5.41% 04/2001 10/202 R127754662EE 10/1995 EE 200 100.00 24.80 124.80 5.41% 04/2001 10/202 RI8060746EE 12/1984 EE 200 100.00 164.96 264.96 5.18% 06/2001 12/201 C133558740EE 02/1987 EE 100 50.00 57.92 107.92 5.50% 02/2001 02/201 C480697392EE 07/1994 EE 100 50.00 17.64 67.64 5.36% 01/2001 07/202 --:}o (<t C142292081EE 06/1987 EE 100 50.00 57.88 107.88 5.20% 06/2001 06/201 C136198641EE 04/1987 EE 100 50.00 57.92 107.92 5.50% 04/2001 04/201 C118766877EE 05/1986 EE 100 50.00 74.84 124.84 4.00% OS/2001 OS/201 C75024412EE 08/1985 EE 100 50.00 77.32 127.32 4.00% 02/2001 08/201 C75024414EE 08/1985 EE 100 50.00 77.32 127.32 4.00% 02/2001 08/201 C337565341EE 04/1992 EE 100 50.00 32.68 82.68 6.00% 04/2001 04/202 C95019326EE 12/1985 EE 100 50.00 77.32 127.32 4.00% 06/2001 12/201 C308634937EE 04/1991 EE 100 50.00 37.68 87.68 6.00% 04/2001 04/202 C543946024EE 10/1995 EE 100 50.00 12.40 62.40 5.41% 04/2001 10/202 C544006032EE 10/1995 EE 100 50.00 12.40 62.40 5.41% 04/2001 10/202 C17127949 5EE 08/1988 EE 100 50.00 51.64 101.64 4.00% 02/2001 08/201 C308634938EE 04/1991 EE 100 50.00 37.68 87.68 6.00% 04/2001 04/202 C480697391EE 07/1994 EE 100 50.00 17.64 67.64 5.36% 01/2001 07/202 C74508612EE 03/1985 EE 100 50.00 79.88 129.88 4.00% 03/2001 03/201 C75438037EE 03/1985 EE 100 50.00 79.88 129.88 4.00% 03/2001 03/201 C361623208EE 07/1992 EE 100 50.00 30.24 80.24 6.00% 01/2001 07/202 C308634939EE 04/1991 EE 100 50.00 37.68 87.68 6.00% 04/2001 04/202 C171273060EE 10/1988 EE 100 50.00 51.64 101.64 4.00% 04/2001 10/201 C171279521EE 10/1988 EE 100 50.00 51.64 101.64 4.00% 04/2001 10/201 C75024415EE 09/1985 EE 100 50.00 77.32 127.32 4.00% 03/2001 09/201 Ll88478492EE 09/1985 EE 50 25.00 38.66 63.66 4.00% 03/2001 09/201 Ll87180860EE 09/1985 EE 50 25.00 38.66 63.66 4.00% 03/2001 09/201 Ll87180859EE 09/1985 EE 50 25.00 38.66 63.66 4.00% 03/2001 09/201 http://www. publicdebt. treas.gov/servlet/SBCPrice 5/11/01 Savings Bond Calculator Ll87180858EE 09/1985 EE L562832373EE 12/1997 EE ~kl -iF (Sends 73 q-s- 00S-IG=4S) 105 - 1:;1 " q, /0 50 25,00 50 25.00 -tow ~ (( ce. 47, fCtuc lftfl60-~ (Y<:;,ll:O.'.. -.~:oo) ~ 4-7,(cu'" ! ' /4 \',70lJ - JC2~'- f I lI1,10u,lvW_ \ \ If7,ICit hltp:llwww ,publicdebt. lreas.gov Iservlet/SBCPrice ; / , 38.66 3,66 Page 4 of 4 63.66 4.00% 03/2001 09/201 28.66 5,54% 01/2001 12/202 .. Note NI Not Issued NE Not Eligible for Payment ME Matured (Exchangeable f MN Matured (Not Exchangea +okJ If'\W~st S S' /,r '/li .J l./ ..J .->l., . T 5 gj-3Cf-9-:(;;-d-. " , f.q() (0- O;:L , I 0( I rO;J. Yu 5't{399,6;J.. I ] Y7 ,'-IS' "': 5Y, Cs~ IV ./ / //,/ -1-0 hI Va...eu e P[j. 1ft - f /C5,ISj,f'-l t-Gfo-, 0 qEL~;L 1025, Y'O.:l .02- d- 70 ':2- t(o lOb, O'1Cf. Ie ), - ?'I? ~S,l ..-.- '--- -."- It 5 Is- . !U , ,). 1 5/11/0 I Savings Bond Calculator Page I ofl Instructions Close Window .-m 112, / 12QOO_~_ I ~ Series Denomination Serial Number Issue Date IE~~()fl~_S~_ji $1100 _ .:1 L ____/L__ .-m # Bonds Total Price Total Interest Total Value YTD In .----.-- -~ -,-~- 11 $1,050.00 $1,726.92 $2,776.92 $108 Issue Interest Next Final Serial Number Issue Date Series Denom PrIce Interest Value - Riie~ Accrual Maturit ._..~ -.--- ~-._- C75024413EE 08/1985 EE $100 $50.00 $77.32 $127.32 4.00% 02/2001 08/201 R18546580EE 12/1984 EE 200 100.00 164.96 264.96 5.18% 06/2001 12/201 R18546579EE 12/1984 EE 200 100.00 164.96 264.96 5.18% 06/2001 12/201 R18546578EE 12/1984 EE 200 100.00 164.96 264.96 5.18% 06/2001 12/201 R18546577EE 12/1984 EE 200 100.00 164.96 264.96 5.18% 06/2001 12/201 R18546576EE 12/1984 EE 200 100.00 164.96 264.96 5.18% 06/2001 12/201 R18546575EE 12/1984 EE 200 100.00 164.96 264.96 5.18% 06/2001 12/201 R18546574EE 12/1984 EE 200 100.00 164.96 264.96 5.18% 06/2001 12/201 R18546573EE 12/1984 EE 200 100.00 164.96 264.96 5.18% 06/2001 12/201 R18546572EE 12/1984 EE 200 100.00 164.96 264.96 5.18% 06/2001 12/201 R18546571EE 12/1984 EE 200 100.00 164.96 264.96 5.18% 06/2001 12/201 ... Note NI Not Issued NE Not Eligible for Payment ME Matured (Exchangeable f MN Matured (Not Exchangea http://www.publicdebt. treas.gov/servlet/SBCPrice 5/18/01 ES-c,dx o[ PhOills KUO'Ii \0 +0-\ BO'f\ds -Fo (" T akJ t: poy\ds ..:.------;- ! b L/ ~t% 05 +~_I- '3 I trio) q 3 t / I ; 10 Lj 101-,,) ~ ,-( V I (:'/' ('\ .j ......... \...,. . _~ -.J Y ~750. (JD (4.1.7()J t IOSO) l.{({7SCJO'}D ~ I ' "-n \G~ ~ I,-.r, \ J ,v Jl- '-{~,ISO IQid ~ieA~.Yt ~ sri ll(j c~ <oDt~-,J:"'A lO~J Vcd-ue- - .. ( t '1 ?,~'l- c, tto ~S7~, 5 (I ~ ) ~ I~OWbJ. 5'?,"3i19 b;J..TI/J-b,q.)..)- 1"')..//(".'1), Go 1)...f.,,5''1 - - _ 10'l, g71.5'! 5':),o$"~. \~ 1-- i11/,,'lJ--' LCi T76 C' ) I I to 105 15' I tY . -t J 77(,.-.9:;. IO-~7 >-fc _... . II SERIES EE 1!~~!t!,~t"8"t)'~~4!lJ'4>:Jl!l'.iUMEL\.>. y~~ b,,~;!!U,"UJ !t@J"t~:n.@J INTlElutS.T CI.A,S.ES so VtAI'll1 fROM ISSUE DATE 184 36 7258 05 1994 : :, ~PHYLLIS A KOONS .FRS P I'iT : 05-23-94\ .' \'&.\l\It1.~OIENT'. . , ' , ' , DATu_a.TAM" , 23 CREEKSIDE DR ENOLA PA 17025-2916 1...11I...11I..... I .1.1,1...1.11.1....." .11.. ..1.1..11...1.11 OR !CHARlES BRETZ ' " ' , RDS,M 031312738-0017,0776666 050994 001 , '. J' II , II"' . :. , . \;,. ,0> "1 . ~ ' ...." I III ' ' I,: ' ~~\" ""D't1330589EE I:OOOOEiOOO ?I:O'; II qoo~'i'iO Saqu" b1l41'330589 ~~ S~RIES EE II '.~ SERIES EE . - -- '-'~' -------- mBl~~.~ AT THE MATURI'lYHEREOF WILL PAY '!l\}J@~~TW~~RM~ ISSUE: DATE: WHICH IS THE FIRST DAY OF To Phyllis A. Koons 184-36-7258 23 Creekside Dr. Enola, Pa. 17025 or Charles or Thelma Bretz December 1984 -1i.l0Nf~~=::: _-~-!~."-l-- ccu~' llanl1. N.& \, 11' 1.~ll'oIl) AOIENT" ' : : OE'C ''';''''- re4 ,:' ENOt:Ao' Fl{' .. W)'_A OFFICe: RiB 060 746 EE ....._.........-._... ." "........_M:r...__. ...._~~-:::.._n ..... '.' ....~~ >. /!~ _'.0''''' s.._.,.,....r-.? ~~-D>~.~ ""J THE MATURITY Hl:REOF WILL PAY ~~1JUQ)~1~~ Phyllis Koons 23 Creekside Drive Eno1a.Pa. 17025 184-36-7258 August 1985 -1~\04;:: :: : _-~-'v'i:;;..i - - ,~'" O'I'~;ir aJ:' ' !,,"i1Jo.oulli ~w-(..': tAl/fiB'" OT198fi' L "Ris8liiG~ ~~ C75 024 415 EE or Charles Bretz .M._._.............. ,......._.......__. -......."'......... . : ............"'"........ _..__.,.,.._..:.. 5J. .J '?../!.~ .__ s..-"...........:::;? , . I II III :.u _ III. _ _ 11001 ~~JlJl!Ul~JJ!lIDJJQJ.f~:!1~.\. IJl'@.j'~.1'~lIi'i""'-\'D.til IHTE'Ul:ST' CaASlra ao YIEAlta "'PM ,SSUI: "AT. SERIES EE 184 36 7258: i;;1: , ,./ 1121 I :9971 7b PHYI.LIS KOONS ., " " FRB PI:n I. ., :12-15-97\ 23 CREEKSIDE DRIvE '1 I' : '"'''10''''' .. ENOLA PA 17025-2916 : : 1...11I...111.....1.1.1.1,..1.11.111...11.11..,.1.1..11.,.1.11 '. .onn...... ' " OR 'CHARLES BRETZ' ., P ,I " . 'RDS-M 031312738-0017 0806121 120397 001 O~62832373 :.;', II I ' F' ,i. . n ;~J.t Ui;: L5b2832313EE I:OOOO'WOO?I:O:i H.?05~28i23?3n. . ..._...... .' .. . V J ll) , (I ./ ~y '7 (, . \ 1J.~3" . L/ k f' <;0 (., I I I ~ v (\)I ~y v lo\ 17q ./ C!7 /'." ~ 'C __J It . II W :.., _ w: _ . -- = . SERIES EE 1lIml~!l!lfiI..HJ~tjC!V'alHlRl~ {DE~.Ame;;D0y.MmJt 184-36-7258 10 1988 To Phyllis A. Koons 23 Creekside Dr. Enola, PA 17025 OR Ruth Gebhard ,.I_ILm '. , ' pc:r~I198a kAARISBUr. ,:' .~isbur:i-'-" ~ jl.~_~ ' 'Cll12l9521EE 1:0000.,000 ?I:O... * 0 l? l2?., 5 2lll' II '. '" w :.. t _- W t _ 1lIml~!l!lfiI..HJ~tjQU'a_.JMl ~:If~~'i'iii)i0Tnti.~n8\ 184 36 7258 10 1988 To Phyllis A. Koons 23 Creekside Drive Eno1a. Pa. 17025 or Linda Himes t'q.lli' lIonli, H~ , ' : 1..U'NOAGtNT"S " O~T .:".4,,1r;oq; , ENpLAI p~,:' ENOLA- O'l"P'ICE A E~ 'Cll12l30bOEE 1:0000.,000 ?I:O... g 0i'7~U? :101;011' " " '" tel:.. I \I:_-_-:.f _-: II' ~u~ (fOl!ffi.!ill>~~@4'6111m1~ ~fi:~omm)liJJO'RJt.).'Il9\ SERIES EE INTEREST CEASES 30 n:AR5 !'ROM ISSUE DATE 184 36 1258 04 1991 7;, PHYLL IS KOONS 23 CREEKSIDE DR ENOLA PA 17025 F~B PHfL FI S'C AGT US, , I.SUlNGAGINTS APR 24 1991' . O..TINO.T.....,. , OR "ILDRED HOKE C-O-30B-634-939-EE ~9110700D5Z0 005 51813 RA A ~_1'-o~ C308b3Y-939EE 1:0000.,000 ?I:O... g lO :1081; :1...., HII' ..___.__.__'m______. 60,1~ v l./" 1;)-~.':?'6 1)-92'1'; II'IIIW:>I. _- . \1:_ _~ . SERIES EE ''';, OR, ,pAl SY 8~N~~b1~lal.xi~;tZ08_EE 892216000519 ,Q09'~31732. ;~-A RA ":';~'O~-~~~O~:?~~gtJI~~?~ ~-~~~clI'C 3 bIb 2 3 2 0 8 E E III v ,~ SERffiS EE ~mmtmJ~~<<m~~mm~ ~~~D1DmlDJr)TlM'!D 184 36 7258 i,l! r.~ ,'JC;~(: ...... 'ci -"6' PHYLLIS KOONS To Z 3 CR EE KS I DE OR ENOLA ~--, PA 17025 , ---- _ --- -.---.-.-. .----...-- I II ~W!rlJtm)~.~ AfTHI. .....TURITY HUl:OFWILLP"'V @ml~~~ ~lfl-;) Phyllis A. KOons 184-36-7258 23 Creekside Drive Enola, Pa. 17025 or Donna McBride -----o-=e..' ......_........__0. ---"'TIll'" ," ,,~""__.._. --.--- . '.. ~ > /!~ -.... ~...~ ".1111,I:..1_- w._ ~l!mlIm>~.~ AT THII M,.,TURITV Ifl!ItIOf' WILL PAY @ml~.!m~ ~lfl-;) Phyllis A. KOons 184-36-7258 23 Creekside Drive Enola. Pa. 17025 or Jeff or Dawn Schmidtt --.--.----.-- _.___....noon ,.____"_ __._.._ . ....... 5L" > /!~ __ .r..-.,~*w..:::;; INTEIlEST CI!"'lII:S 3Q Ya,..". . '-1II0M ISSUE DATI!: 07 1992 -. _ _.....c. Fifs PH'Il FI SC AGT US" , "'UINOIO.CiIUITI . AU:G 04 199~ ll"TI..O.T.....P J " ~._--~ ISSUE DATE WHICH IS THE FIRST DAY OF ____M~rch- 1 OQ~h 1~~__.::~1iI ~ UUftv. R~. , ' , ,......--"..,... . MAR oi...1.,.\985 .: , ' E~I,-A. ~Il<" ENOLA 'o-FFICE C75438037 EE nM~r.r:-h_l oo~ _ u_ ,~t-:___~~"""l ~ 8anfi. N:A. : ,-..- AGENT" " ~A~T':1. .WQR5 EN~LA., M ENOLA oFl"lCl C74 508612 EE ii W. fci.o / ~~ - i ~ .... , .J _ '- '''-~ ~ II till W :... _- ~WIJI~~u~~~ !1l~~ To Phyllis Koons 23 Creekside D~ive Enola. Pa. 17025 or T~acy Fogal 184-36-7258 AUGUST 1985 . -~ttii.: -- ---- 0-- - IVI!:.....-I-- . " , qoilt" laDle' and TI1.'St Co ", , . , , '.......NO ..CSIENT'8 ' AU,? ~n_~ , , ' lIAR';.iS.04i<!~L <,A." ~EUlES EE ~, I -'=:=';':~.. . :::-:.::::::::::.::::-. L 187 180 859 E E _.._...""....,.._. . :::: . 5) ~ >. ~__ _'001 .......,..,*~ ~~r?~~~_. Jf!~5~~~~~~~ ! 11 ATfHEMATURITYHt:RrofI"WIU.PAY -. ~ , !!I~..1,!(,~ Issu~A1Y" . WHICH IS n'f FIRST DAY Of To Phyllis Koons 23 C~eekside D~ive Enola.Pa. 17025 184-36-7258 103. 10 G / :1'; I ~~ i SE'I~~S EE -'=:::::'';':~~'.:'''' ':::\''::::-':;:':::::-' ~ -..............-.. .' ~> /.. 0,' .......""",.. .~",...;;..:;:;J40..- .' ..~.~- .. '- ~'-'M_'.' -'M. _...~...~. ~_.~..~__-_ # .~"'._.._._~.~~.._~._ _.."'.....,.,."&..__....._...:.. o~ Ch~is FOijal , _.^__...~_A..._ !:. "Au,gllst HI~. Doup11In ~'-"'->:T "nk und ,,0Ii. ':.. ~AU~] :::~ms k.~li"rl L 187180860 EE ~.~"~-'~ --...,.- ."...~.."_..,.'.-..~... "."........ ..'.~~a;".-.... ." .~..._,_.~ ...,...,lE OR Kyle Fogal Q~ONT"" . . . 19B5 . - - - ___.IY'EA"" ccNB Banli, NA , 1.8VINO "OENT'S SEP 1"8.19t\5 ,.,' CAMP'llfU.-PA ~ . ClIIilBIQtyMaUOIl, i "''=:=:,';':~'f., . ...... j:::~''::~::;:~';::~'' L 188 478 49 2 E E I' ._, ........,.".......... '. ~ > /L_ ~ ~ ........- ~-*'''''''-'''''/ ,~~.~"". ..~ .~_",.. ._. _ "0_.".' ____,~... _. OM '_.0"_ .___ .,...._~ 8EliIES EE ___. .."_..__..._.^....__, '.,'. ....-......._......,.'. _, ....,_. .,''''~,~.._,...o.....~-.. "'.." j~ <01.lolf v v /l)llDll j '!lUft~~~!!l!t~I~l''}!!l!!mrlr1}.l. @~~ lli~!!!i!t~W !W!!!!h\:J!~ SERIES EE INTE~EST CEASES ~O YEARS ,,,OhlI59UI[ D"TIt. 184 36 7258 07 1994 7;,PHYLLIS KOONS FRB PITT /08-03-94'. : 188U''1''O!..rs ", 23 CREEKSIDE DR I , ENOLA PA 17025-2916 " 1...111.. .111"'..1.1,1.1...1.11.1...., II ,II.." I, I., II." I, II ~.OR ~DONAlD FOGAL I \RDS~A 031300834-0000 0000000 072894 004 0480697391 ! . ,:; ..~rl III · f' ,; ~~;~~ 'Clf80b91391EE I:OOOOgOOO'i'I:OI, . 201,~~'~~jtj ~II' QAn"O.T"~" W\at.. _-: -- 'JlI.m:~gJ,m!lf!ll~~tm~~mmM\ ~~ U'i!FftlltMtJ ~(r)]nlo11l.Ml 184 36 1258 SERIES EE INTER,"ST CEASII:S sa VI;:A"S 'RON ISSUII Olon: 04 1991 7;, PHYLLIS KOONS 23 CREEKSIDE OR ENOLA PA 17025 FRB PHIL FISC AGT US'., , ,...."'.O..O!..r-. , AP:R 24 19q~ O...T'..O.T.....' OR DONALD FOGAL C-0-30B-634-938-EE B91107000520 004 51813 RA . 1..~.;Z"..::f:-) C 3 0 8 b 3 If 9 3 8 E E 1:0000 'moo 1'1:0 I. m 00 :108 b :1 1."1 :1811' -- _.._ ,.__ - _. "n_ '_ ,~ - - ~ ~ '''''"1_- "'_- '!lI.m:U'Dlm!lI!m).!lRJIltm~tlHmM ~ltiiipii8ii)i~I1iI~1Jfj) SERIES EE 184- 36-7258 08 1988 lbPhyllis A. Koons 23 Creekside Dr. Enola, PA 17025 or Sharon Fogal II, , , I\UG.'2'2'ygQ~ '. O..TlNO.T...." HAR,RISBUflc..,.r Ham'burl Hit-Olll" 1:0000"10001'1:01. .jl...~' Cll1219lf95EE m 0~?~2?"l1."l511' _~ _,. - u__ _ __ . I W :.. t _- '.Im:~J8II~QU~ AT THE MATUI'lITV HEREOF WILL 'AV ~.M'wm~~ In Phyllis Koons 23 Creekside Drive Enola, Pa17025 or Dawn Fogal 184-36'-7258 AU~Y$j;_ '-935. _ _ __ Dauphi;~ nep~;i" ~ ~~... Baijkp'ml,!!~~! .~. .. ; AUG:;; 1 " ,",.".1 llARiilS3URIUA - - --! - ~-~ '."".'-'""~'''''.''''. ."..."...."....".. L 187 180 858' EE t . SEUlE" EE .....~:::.:::~.'::... .... .....~~~L6- ~ ~L~.-., '-'.....'~~~'""..-.,_"_..-...,...,~..,.........'u"......-~'.__'.,., ..... ......a:-.:a;a;'"'...-.-ao.,a<.--"""a:cao&;a;a;o...U.ola."~~;,~~.-~-.,.................:........~..............~~ IJ-L\~o Cr ' -.JJ iJ \ [1-J ,/ v \ ' tJ '. '" w :ot, ...- 'w: _ _- ~ 'I _-': I . ," " ,,,,,',,'''' ". I ~~,~tl\.~;, ~mr~I(a;!rmm)~~~~"II!IDY~ 'tl\}i<2i 11Il~\I~~y(,mn..\'U61 SERIES EE INTI!:IU!:I!lT CEASES :10 YEA"S ""OM 'SaUl!: DATE 10 184 36 7258 1995 ~"'1 _7:h..l~ ');.-- 7bPHYLLlS A KOONS ""RB PITT ,'11-07-95 23 CREEKSIDE DR , : "'.''1'.'"'' ENOLA, u 'PA 17025-2916 ; ,."..".., 1",IIII"III"",I.I.I.I",I.II.II"ull.II",.til.".U,_..'.1.11 \ OR HELEN GAINOR, I, J 1 .i. , " RDS-A 031300834-0000 0000000 110295 003 012775466 _ ' ~;J.l Lil J: 'R12llSlfbb2EE 1:0000'10001'1:05.,1'010 IT?'S'i:t.l; 211' ' _. I I 1!I~~~~~~~'Ill~l!M\. mm~D1mD)D.0TlM~ ,- ! -::j--~ 184,36J72!l__ _' ,-, "ee, Phyllis A. Koons 23 Creekside Drive --- , Enola, Pa 17025'\ OR Quentin HeapS---, To ~-~-~:--' ---------~---- --~- " 'I '" W :.. f ,...- . ,,: _ _-. t. _-':,. I SERl.ES_EE ,s~u<;. .........! =- "'....'c,.;- ,.>; ::"_ . .03 1288 1 l. -!'~" lij,i\lil70'l BAWt", '. " ,..u,..O'...OI[..T'"t , , MJl:!~ 3,M98B: , : '. ", HARRitslJRG.- FA . Har;isbur. f.uI.OIb '~jl..",~' DlbllblLfOEE 1:~O~_o_~~o~'i'I:o_:_Ul 00 H, 10 7~~~~~ (Jt; Pc ,I \ ~)l.\o i '::.- , . -~ ) . ~ ,,) It '. II Ill:... _- ,,:----" --":1 ~~"'.Rm.@)_!lR~f!1f~tmu~ '!l.'\}j<~IU{~I~~I~(f)'nl"MJSl SERIES EE INT~"I:.ST CEASES 10 TEAl'S "'''OM ISSUE DATE 184 36 7258 10 1995 .rnPHVLLIS A KOONS - ~ - ~ ~~ FRS PITT : 11-08-95' , ISiUINIAQ'UH"S . 23 CREEKSIDE DR ENOLA ~--- PA 17025-2916 : 1...111...111.....1.1.1.1...1.11.1.....11.11..."'1;;11;.1.11 ' ,^',", ..."" OR MARV LOU KENNA' .. :1. 1 J .~ ..j . , RDS-M 031312738-0017 997.7459 1027~5 OOL-~__.~}' Or27769372 , - . J:! I - , "I ~ - - -~;~! ~J..U ~ R1211b9312EE ':000_~_'10D~~:~S II 100 10 2?'?~,~ 211. _._ ^, v .. 'f W w:", ",tt\!" SERIES EE ,It__." _-II tt ~OO~!ffi!!@)~f!1f~jtmu~ ~~IU'(ilo'P'!m!!>l!(l)Y'MY~ INTEREST CllASE. SO TEA". ""0/01 ISSUE DATE 184 36 7258 10 1995 ..:: .~.; T ~ 7;,PHVLLIS A KOONS FRS PITT :11-08-95'" ," lli''''''1AG.un'. ~ , ' " O...TlN.ST....." I 23 CREEKSIDE OR . ENOLA ""PA 17025-2916 1...111...111"...1.1.1.1...1.11.1;....11.11......1..11...1.11 OR MARY LOU KENNA . RDS-M 031312738-0017 0977459 102795 001 , ' 'B' ~~~~~ 'CSLfLfOOb032EE ! .:0000'100071:01., = 2051.,1.,001;0:1 211. '. '1 -~ . , . , , . 05'44006032 ' ./ " '. "":'" w: _ __ - . I '!llj~~~...!Ulcm.w1lmmll\ 'il\"J@) 1:I11~ft'mm>m;m1t.\flSl J= ,]ll r-"""l SERIES EE INTEREST CEASeS aD VilA". ""OM tSSUII DATlE 184 36 7258 09 i 1996 ,- -, ~ -~ ~ .rnPHVLLIS A KOONS ':".j ,'X~~~f Flis P ri"')': ,09-23-96 ... " '.."'T.....IlNT.. : , , , , 23 CREEKSIDE DRI:E~~lc~ ENOLA '\. .... r'l;~An 171025-2916 1...111...111.. ",1.1 .1.1..;t.II.I"...II.lI~...1.I..If;;.J.1I OR MARY LOU KENNA1!'!'. "I l " ", " RDS-M 0313.1:!L~8-0017 lJ3~052 091.lM1kJ)(J1___ OI3b423237 . . , ': 'If' '1 !1 ~n -~JJJJ.l Lll" R13bLf2323lEE 1:0000'1oorJ?~:(j"5 11100 1o,if:-~23 2:1 711. IJII'TINO.T".... &).. '{o fl/: ? ., . III w:" 1_,_ / v-- \I : _- _. 'I _-' l I ,. ~ ~ 'I' ~~.~'.'::i I ~ffilj; ~!r~)J!~~~~fm'~~~eli~ ~~!!m!!Y.~!!.!l!!;(<l'JIn..~~ 184 36 7258 SERIES EE INTEREST CEASES 30 YEAIII5 '''0101 ISSUE DATE 10 1995 Tn PHYLLIS A KOONS FRS PITT : 11-07-95 . ISIVINtAGEhlr. 23 CREEKSIDE DR . ENOLA '-PA 17025-2916 1...III,..III.....I.I.I.I...I.II.I.....II.II....lil..11...1.11 OR CHARLOTTE OYLER ' RDS-A 031300834-0000 0000000 110295 003 D...T'''IO.U'.... 05-4394602' ':0000 ~ooo 71:0 ~ "~~02~1I~5 ~.~~~~.~_~ ~E.~. . ~i~~. '.I.," "'.~.:~ 1,,,.....-' \I: _- _. .. ... = I II ~u~ (~~!ffi!ml~<<m~mmA (!!~~ ~D'!mnlIJtmmg 184 36 7Z5B SERIES EE INTEREST CEASES 30 YEARS "ROM ISSUli: DATIE: Oft 1991 7;' PHYLLIS KOONS 23 CREEKSIDE DR ENOLA PA 1702" f'~B PHfL FISC AGT US. 1.IU'NO,o,Ol..T', APR 24 1991 D...T1..0IT....... OR DONALD OYLER C-0-308-634-937-EE 891107000520 003 51813 RA .-~_L,!;-) C308b3lf93lEE ':0000 ~ooo 71:0 ~ :.:: ~o :loa r, :I ~ ~:I 711' - . Ybs ;1 \/.:1 1\ v 1~7.i~: i~ .. . w 'w ~.., - ~ \I: _- _-. - '" r-- _-' : I . .- SERIES EE 'fJlliI!ll!~~JlJ~~~.ilm\~'!Ij~~.!M.U!f~.l ". H.l""n"""~"'"l<""'ccMY :uI~~1l m~!!l'la~t).MllI~~~ 184-36-7258 02 . 1990 To Phyllis Koons ~..... I 23 Creekside Drive " " Q I .;; Enola, Pa. 17025 i fEe,,"l:'" '-; il', or "'e:NOLA.:I"'\ ",,':'Charlotte Oyler ./ 11 i~ ~ i " !~ ,.I:o~oo qooo ?I:o I:, ., 00 2 ~? 555 ~ 1:,11" 11D-Bl~~.~ ,""T 1"1. MATURITY HEREOF WIll. PAY Q1ml~t..1~:I!@Ji~ PHYLLIS A. KOONS 184-36-7258 23 CREEKSIDE DRIVE ENOLA, FA 17025 OR DEf'RM1<ER ~.1~~.. '~~_':i:i'i:o ' dC 'f ~ " IO....t~. ~c--:ah 'l~.f C95 019 326 EE CHARLOTTE OYLER '...._........._.""'..0..... . "........-.'""'...--. -..........,......... ..... ...................."" _.._onoo....,....... .::: ~ '!- ?___A.._ ._....,... __".,..,...'::;7 . w w :... _- ". -... - C :-:r I;, j J , .~: C. v ~OOl!~m~j)~!lHJ!l<<m~:lt.~~ ll~m~ilIMi@l'n':RJ i 184-36-7258 I ,! SERIES EE I s ~ IE. ') / . I 04 1987 To Phyllis A. Koons 23 Creekside Drive ",Enola, PA. 17025 CO"" . -:--J .- ,'I.,;l' , I 1",.' '. ',,', ,- , ' , ...ull'OaAOf.....T1 " !Af'~R ? '{ lOP" : '. ll...l'jHq.T".... , 1,' OR I' Charlotte Oyler i I 'c.a.~..'t', ,.... . " u..c~q_'f ..': , '...------~ !;' ~ )L_~.-~=" OlbOll2b8EE . 00 ~bo?? n81l" ! ' , I:ooooqooo ?I:ob I '.n... _ -' v 135, ~j ~OO ~~~JlJ~j)I9~!lH~<<m~~!R'l!m. 'tl\1'J@l~UUlUj)Dl!!mu....ll'il 184 36 7258 SERIES EE INTEResT CI:".C. ao yeA.. ,,"0M ,saull 0""11 . 07 [ 199~ ',- [, !,,": ToPHYLLIS KOONS F~B PItT :08-03-94'., .. 1..UI'7 AGINT" , , ' , : '. tl"''''USI''''''''' , ,- 23 CREEKSIDE DR ENOLA PA 17025-2916 1...111...11\.....\.1.\.\...\.11.\.....11.11....1.1..11...1.11 ':1' \OR CHARLOTTE OYLER fRDS-~. 03130~834-0000 0000000 072894 004 , .,., I I I ~&.x::: Rl1211b308EE 1:0000 qooo ?I:o 5 . ~o ~'~7?"n =10811" 'Iin2'176308 \.....- \-{C, S "iJ ,~ v' ?~ l1~ .. ,",,:,,, .-- w; _ .... 'I _"': f , t ,',:.:,1::',.\~~ m~1Uil.1mB..lll~cm~'t111Q~ .ITtlI....''''''.........Q...,....u UI..m~D'IImtJ~nlWmJ 184-36- 7258 SERIES EE 02 1990 To ~J.anV.-.RA FE 6"'1 '2"~90 \ E~~~:~ p~ ENOLA PFFICE Phyllis Koons 23 Creekside Drive - Enola. Pa. 17025 or ..___ Dana Heaps " r.:: iJ'''-- .l. .L :) I~ .,' ]):,~., 021lS551lfEE I:O~~~~~OO_?I:Ob. O--;.2"'~555.""'. ___ ~~ : I ,. ., " '" w :... ,_- . I llI.m.:~~(!U>~lmrll~ , ~ ~ Dfim~ t . -....._''".--~-.,..l-,,~{~.,~~ ( 1 8 ~ 3!> 72 5 8'1'\\ k~' 02. ; ~i ,,~ iM~'''O~NO..~.:l:~'":'1~~j~_",;.. .~,' ~. \ : I '"' " '-",.~~ ~ To P~Yll~~ A KOONS ~_~:;:" 23 C' t:::I<SrOE'.DRJ.~. ENOLA . .\' '.j<~,PA 17025 I .. , " ~ ";:': ~~t;RJJW.i" 1 ~ )c..;.;,,;:E_. i~ / T'" .> ~, " " '(I .:\.;'''~,~ .~:i~ -'.........-'cc. i2 OR DAN,A "HE4"PS,' ,,,Ii':: ~ 1 ~ ., . .--,.j - l)!'- ~-782-866-EE < 'HZ0500?ltln 1:;lf~51,j3l3:, 'l.A ~ , '.,l..:::t.~'jt:~!J,'!"; . - ~.1,--~ D 2 918 2 8 8 bEE J I:0000'1000?I:Of, .?002'1?B2BBb'" '.. d j SERIES EE II'tTEItIlST CEASES 30 YEA"S "ROM ISSUE OATE 1992 f;li., PHfl FIS'C AGT US', I.SUINClACl!:NT'S FER 24 1992; D...T'NO.T.....P v 'i (CJ~(,l-lO I II '1 \"" , \.,_ i l' " " ( ;11 , . l.'-l~~~o.:\\.'\W'~'I7.-~~..r' ....~.. -. ~I~ t"~~\\~~i:W"iES~.I':,0';),~' ~\'",")":;~J '_'" ":. -". -'''.'-::,''Iiai! SERIES EE ' 1::;C'- f-" . . -. ! I . 1988 03' 7;/ Phyllis A. Koons 23 Creekside Drive Enola, Pa. 17025 , Ii" ";' . ~~ K. He~s . NiAR,.1,o4.ffj88; r ,I I ,. I" " , "0 i !; , "EN.OLA P . ~ J!' '12 ' . i ,.A ~,. ;: ~ ; :' I! I II ~l ,J ' ,II! , \ I \ I :.,. E:NOLA OP'P'ICe: .t \ '~)l...~'" "M25235bLt9EE I:OOOO~OOO ?I:O? . 0025 2:l5,~ l, qll" ~(?N~ lltinll,NX " '''.'''''G.-.O''''l'. . ..__._-~- (- - . ." w:..) _ '<:': _- l I .. ~. -- - 'ilmtt!'mm~~<m4>!'-Im'-~ .., IN( ...,,,,,,nr"'~IOf"""'''''Y {!,!,~'l1Ilf.jll5~!!lWt1lllNltSI I', 184'.36" 725~ J ,Jr.}. "---'-' -,- ,,----.-- I SERIES EE I;,," r I i 03 I 1988 I v- I' . " 'I:; aD: I D; (,0 I '..1 Phyllis A. Koons 23 Creekside Drive"', En01a, Pa. 1702~ j '.ll 'or .~ J'1 " 11. Dana K. Heaps I I I' .- I i! EIiOLA, ~^' ENOLA -o1<FICE 7;' t'9-i1i Ban". 'R.I. . . ,', .111.111.............,... " ..' MAR..i.t1..J98B . , , , I. , f " ,. -;' . " I \,', ~)l,.~" M25235bSOEE I:OOOO~OOO ?I:O? . 002 52 ~ 51; 5011" ./ ):( l, . '\Q) ~'7b,<{2J -. ~ -.- 1J1l1All!~...Dl~.J!lOO~~Jml~ ~'W.m!J'I~fi.{.jlllJ!."lSI 184 36 1258 0.10 He}! INTEIIIEST CIt,.,Sltfl 30 YEA'UI ""ON ISSUE DATil: 70 PHYllIS KOONS 23 CREEKSIDE DR ENOLtt PA 11025 flU PHIL. FISC AGT US. . ISSIJINo...aIlNT'1 " A~R ZIt lqq~ ll.."""O.,......,. OR DANA HEAPS , M-O-Olt3-00e-S50-EE B'Hl0100o.520, 002 51813 RA. . ~ ~].':"!::-'I MLt3008550EE l:oOOOqOoo ?I:O? 6qOol, ~ooa 55011" ~ ,.. 0'6. ~t)1 :; I 'I ~ " , ; {, " .,,"':... u' - - ... -- - SERIES EE I~,~, I j. l' 'flIlIAl t!~m~j)~~OO~:!1I!nlm.\ .0,1 .~t 'U""""1'V H("'t'" Wh.L''''T ~~~~JWflUJl!@l"~)''9~ 184 )6,}258~ I .f.;. 1 110 I 11988! y;, r Phyllis A. Koons 23 Creekside Drive Enola. Pa. 17025 I or ~ I Dana Heaps I ' P f' , I ,;~ .J , !,"".' 'I r"". J ! I , . : ~ ~ " ~1mI.fU. , '..."'00 AOil'""rs " O~T ;:'o~ntQBR-1 Ii . EN<:JU,' IIA"': . ENOLA' o..,iC:II .'~,;~"~:.: 0190S9bbbEE " .. . ;"; . I:OOoOqOOo ?1:01; , '-..u~').1~ I Phyllis A. Kv ,us 184-36-7258 23 Creekside lJr. Enola, Pa. 17025 or Dana K. Heaps . , SERIES EE ..-_......0__._... "......__...._..... .-.....<1..._,,_ ", . ,,0_.....-.....00 ...._..._..._. ~ 'L.-'!'- ._'''oG'''''' s.._.,.~.."..::;? _ f'\c~of006~ - , 0"4_ t~____~~~~ ,/ " ''i\..... , '''on~.' : tem..""',,- " , ' , ~J , ~~o""" ',- DC\} I; ,: ~', ..,' ",r-- '~.jI.'f"\r \.1' of" 06571'902 EE \,/'1 . o.t . v 1lI.!B1!mBt>~J!l_~ JoT nnE ,,,.It.TUflrTVHEflEOfWlI..LMV lP.NMl~~1!ejlj):wml~l!l ~ ISSUE DATE W"IC" \S 1\U. fiRS' OAl Of SERIES EE T."_._'O'-.'UT""8>::.: ........_.0<....._..,.. ---.:==~...". ~ ,."._~~......: >. ,q-~ ._'",,''''' s.._.,.w""1i<w~ ~:l,W,-- CCNB llanll !'I.it , '..U''''dI AOir"'T. , : D,L I~T?f OT1984 rdlol.Ai-PA ENOLA OFFICS: 06571903 EE I \au ')..1.\ , Phyllis A. Koons 184-36-7258 23 creekside Dr. Enola, Pa. 17025 or Dana K. Heaps . :01 .,...//\\"'1... . , V:"'...- "" - .:- r' "I' 'I '1"::;1----' ~~~~J1J~!9. ~OO~:llm,~ .. :. .' ."........,....." MI'lJ-OO"'U.M" ':..'/~." , ~W~~~l1n>IlJ.mtA.''USI . fi84-36,,7'7,2581 i~' ., SERIES EE I', SU E I)!,,, ~ OHI<"I"'....I, '" 101 I ! 1987 i To Phyllis A. Koons 23 Creekside Drive' , Enola, Pa. 17025 tc;NlfB~nk;' /;loA. ,,' , , " ' OR Dana K. Heaps I I , "'UlN"""E..r', " ~AN 2 8 1987 " O..lINO".....1oI? " CAMP 1111.1.. PA Capital CUy r,iali 011. i I .A fi..~' M208LfLf818EE . 00 20Bl,l,B ~BII" 1:0000 [WOO 1'1:0 l' s J-i '(c, " . r 'llOOl~l!ljg~tm~-.m~ ' I 'SERIES EE '. " UUU11RBij;A~ijii.nnA'U& " i IS':,>UEOATE' ~ ",i'llB'. 3iLI2~1I] ;~~';t '. : ',' f~ '~~'rf~~;];; . I ' '" 1 S()C 5~CIr>'" ", N" ~~! .. ~"/ . I I R FH"tLLIS A. KOOr.[' ;11 '. "0"'( ..-\-:.:", \' "23 CR EEKStOE OR', i" , .tRB PHit.-ft.. .;:~~,,;~NOL". PA. 17ii~s II' FI,SC".~.;""S'.1 "".t" 'l! I I \. ! ' , ~t.:(:.;:..",';, ' .' "';":;':,f~'B O,,9t'UuT,1,P981 j,.i<i':'1.t~~,,~:, - ---- .' . ._.._.___.___u.... \, I ,,-, ,,' ~: .~-()'.,~;. ,.', ';\:. -.,. ';".-', <.- -;~. \, /:'r"lt~!'Ofl' ibANA K.H~Elips:';" I. ~ II ,11' ';, . ""..c,.-, '.' ;" i. ",' II I' f' ,IIWio01 T,O ~7:S' 1,2.?i -EE{;{,:i 0 'r' . r ,,\:00iM.1 I'tDj}C'~ )t.._~o a~. 0', IV lOLf-1129EE I:OOOOcIOOO 1'1:08 . 000 l:01, l' l' 2"111" c/ ...-- 1.17' . f(2) ~.:2 .&3 ~ .::~;""~' :to.. '", '.... / .. IV"':';' _- _ w:_ _. _-~I II SERIES EE 23 CREEKSIDE DR ENOLAPA 17025-2916 "I,IIII."III",II,I,I,II,I,II,I,illlll,II,,"I,I.,III;I,11 OR" ROY K HEAPS . . , RDS-A 031300834-0000 0000000 110295 003 .:: 3LLttt J! J ~:_~~_ . . :_~old~ l~.: Rl211SlfbblEE 1:0000 '100~'71:05 BbO ~2?-?Si: b b ~II' 1lI1f8j~....D~~<<m'~:Mmr~ 1l\'j@IUf",nUp.D) DJ~nn..\n~1 184 36 7258 TnPHYLLIS A KOONS .~, ~v INTl!:IU!:ST CEASES 30 YI!:AItS '''OM ISSUE DATI: 10 1995 FRB PIT'T .'11-07-95' . 1"UliAOE"r" DAT'NO IT"'M~ ii121754661 " . v w:" I w: _- _ ~ '. _-": I " SERIES EE 1lI~ ~m!ill>~~<<m'4.j111mIM\ ~~~lJi)mml!!(oTm.~'UlSl 18. 36 7258 Tn PHYLLI S KOONS 23 CREEKSIDE DR ENOL4 PA 17025 INTEREST CEASES 30 V!tAI'tS PIIIIOM ISSUE DATI!: 04 1992 FRa PHIL FIS'C AGT US. .- ISIU'NO,o.GENT"S APR 30 1992: " DATINGIU....P OR ROY HElPS ' C-0-337-565-3.1-EE 892113000792 011 51813 RA .=~]''":'.!:-'-; C. 331SbS31f lEE 1:0000 '100071:0.. 703375 b 5 31, ~II' - ---:~~- ~!'''' f;:~"";~""'0" '''~?l#JIIi\m,{l'1li~'i1~jl~'P;~\i:>~~~'~':_ iif'Ttl}Jl'''io~'' ,....... 'c , ~~~;~J~~~~9J~~~!J~m4f64\ 'SERiE~ EE ~l~i .... ~~~~W]Uj)'lt1tA.'1tS~ INTEREST CE.....Se:S SO YEA". '\ ~i' 184 36 725 B - ,.~o~ Ul5UE 0;;91 I ./ J7(; 7b PHYLLIS I(OOl~S Z3 CREEKSJ()E OR ENOLA. PA 17025 F'R 8 P H'B. FISt AGT US'. ,,'UINO,,"l[NT", AP:R 24 199_ " ll...T'ItO.T....." "ORI .ROY HEIIPS '.! ! ,'I "'-0-0"'3-00S-549-EE , 891107000520. 001 51813 : IRA.. " ,",'c/llj'l ~=7.~11'r:' . ,:0000900071:0 7 8ao'D;:~;[joa Sa-qll' M't3008Slt9EE W V. . -- tlI.m:~~~OO~11Dt1~ ~~"'.@>~llTt.1'1tSI SERIES EE INTERlt5T CE"St;S so '1'1......... ..1II0M ,SSUI: D.....TI[ 1810 31> 725A 02 1992 To PHYLLIS A. KOONS 23 CREEKSIQE ORiVE . ENOL A PA 11025 f'R!I PHIlo. FISC ".~lH...US '., FE~ 2,,~,...J.?9~ OR! ROY HfAI'S M-O-043-810-266-EE !l91Q5000101l 008 51~ '7 RA. Mlt38102bbEE ':0000900071:o? 87~'C;~!B~ ~bbll' v' ,- '6'J' ',f (; ,,/ , ~> ,,"'~ 'I~.'.'-' "I, r ,~ . , 7 " -->-P ~~) ~~"~- t/ ~ >-' {l . "w:ot)- ,,: __.: ,--,"C" _ ,.. 1!HlI~ ~~~J~!!tj)!!a~!Jl~~~,N.1l!(l!UM.!!J.:,. '!l\}j(!> !!ll~:!!~~~U) !!tll~I~~r,"!J SEIUES EE INTEREST CEASES .10 YEARS fROM ISSUE DATE 18<1- 31> 1258 0<1- 1992 7;, PHYLll S KOONS 23 CREEKSIDE OR ENOLII PA 17025 FR6 PH lL FISC AGT US ,SS,,,NG"GE"'5 APR 30 199Z o"n"G St",... OR ROY HEAPS R-0-080-157-956-EE 892113000192 010 51813 RA A j, ~'::::~7,.~:"') ~~~.~~~? 9~~.~~.:,:~. :..._ a- 0 08 0 ~ S 79 5 bil" R801S19SbEE .",,:.. - ,,: - ~ -" t . II 'IJl.!il~1i.~!ffi~g)!jiIJm~cm*!!ID~ '!l\rJ@lIU""'J!!l~~~nl~,)1m""~I~J SERIES EE IN1"ltIIl~ST CEASES .10 YEA". ",,"OM '.SU. D"'TE 184 36 7258 10 1995: I i ToPHVLLIS A. KOONS FRB PITT :11-08-95 ' :' 'SSWY"Gr:'lTS , 23 CREEKSIDE DR ENOLA PA 17025-2916 1...III.,.III"",I,I,I,I".I,II,I.".,II,II".,I.I,.ll".'.I! ,OR ROY K HEAPS '. .' ,RDS"M 031312738-~017 qg7-~59 lC2795 001 012,769371 · ,;:\ I! f ' , 7.0'~ I/..~ ' R1211b9311EE ':000090007':05 890 ~'2"?'?'~'~ 3? ~II' - . -. -" ..-." . - 0"1"'10SU...,. ../ , '1.\P~ \\JJ ; , , .- . I J II ' . , I I V',; t)o(b~ ~ (}~ (j ~ ! II 'I ii ] , uj 03 7;' Phyllis A. Koons 23 Creekside Drive ~'IJ.;nt. R.-. . . . ' MARs.uING AOENnl '~ , 1 4 lqAq; \ OATI"''' .T.....~ E:NOLA; PA': ENOLA,QFFICE k~' I I ~ "l ') ~ · .)l..'J~" M25235blf8EE I:OOOOqOOO 71:0 7 _,DO 2~ 2 ~S~1,8~~__.__ .. _ ____ .: - - "- 1l!mlDmnJ)~QD~8JJI~ I ~ ~H~m"Ri;iif~M"'~l L ;84~ 36 - 7~58] }:;j <," ",C, "'1 In',, I iSERIES EE" ISSUE 0",'1 r.: 1 "'Ie'" \' "if' \11~) H" f 'j, !10"! 1'19881 To r Phyllis A. Koons 23 Creekside Drive Enola. Pa, 17025 ii' or I I Roy K. Heaps 'I .' I' t I :i '--~ : '1 i! Ef'JOLAIF!A" ENOLA OJI'FlClt ," tcNB ~n", ~ -,.-~. '''.U,,,OAOItHY'. , /- l "-"!~'I ;'" : ~l': OCT,.;:-..4.J98a 1'." . I' I r. ' .:~. I I I I; 'i /1.:'J~;';' '019059bb5EE I:OOOOqODO 71:OE.G ODloqO 5%~511.. .. . II -,y'w:... ,.:.v~ ~; _- :. .: ~ t 't\I.rnl ~~llJ.!~tlJ~~~~~'4<:!lli~~:l. ~T '"< ...,......... ~.~.O' "U~ ...~ -!pj\~ ~~~WJf;lnJI..(~1.1~"y~ SERIES EE '184 36 7258 10 1988 70 Phyllis A. Koons 23 Creekside Dr. Eoola. Pa 17025 HAMtL TOti BANIt ocr"TTi988 : , O"T,NO .T....~ OR Roy K. Heaps *'iWIIll/J'~$<l; L G1f.' '--... 1:0000 ~~ D18001328EE . ~~"~J;~:_ U 2 BII' I II " :.. I _- t.t 'w _- _ t .... -" '!1lJ1lJl tm.IDillJ>~J)~~(!Ij~~'j1,gm~.l UI~mi"te~i;ili~m~~'I*~ 1184-36-7258 I SERIES EE 02 1990 70 Phyllis Koons 23 Creekside Drive . Enola. Pa, 17025 or Roy K. Heaps :1" . ~.w...u. FE~'T2"'1999 \ O"T'''C STAN" : ENOLA, PAl' 2NOLA .OFFICE " " I" . .,. , 1 , . r '. I:OOO~ ClOOO 71:0 E. . {'~v;~ ~ ~ ':\'11' D21l55513EE '!tg~~.J.lHJt>f!lM.~QI~1~1t1ft SERIES EE . mu.ID'i\iiOiii~lli!mtt..'1J& . < lSSIIF;: DAi!' f, . ~~5~6 ~25iJJ ;fI~'l\ ': i C~ir'K~~ij ii ~FHy~O~~O~"';"OKOONS H~\i . .,.," "''.!:'. .7023 CREEKSIDE OR;,"'",. " .' pRe PHILA '. '. .... "I ENOLA, PA 1101..1.".'....'1'. '. .fi1SC A\;T ..US., k. "a-~~\',' ;i"J'11 ! I ,..uINaMlOfTI .;,,: ~c,' :""';";;>-.,\,,1 ) ~ j: . "'~~;;'"".A;N '2 6 /'1"'8-; ~ .,;;:.~\.j\,,^ I' J"j' "'1 'J'" '. "l i.'''''' .'c . '7 \ J e!'rr',~_' ,il ,Ill.,' !, [,:,. I,,, 'i J""'_..,l ~l;';;' <_.ATI....'rA,~. 'i k~"'''''''') .. . ''--I .-=~~""~~. . .~',."li'.,'''''\\.)-r.\i'.}, i' 'i . "'i.lJ ~.\. ~. ",I, ,r,......-..."'Tc.."""."-'""J. j . ',.{f;""I1't1 ".'.. "~" "'!'!\,' ....\."...I,..,...fj,.I:..'.<<l~~l~TI~;. il~~ t~lt.il2,~W~il~~~f.l.-- f;:'.'~~.~"""".'oi.0~b':::.;' i.'~.~."E"...':,:.'E'.i..,ti\~. 4" ,'. _~,l'J.- ..m....",--.. ..,'. ~--:C"'f-::-t~;L 1".I,E:n!f t~ . "f"" \ ..",,,<,,'H.,<<,,,,_: ,.Ilw.Iw'Jl'.....~,.) 1",_" "'I,~ ,",","f ,.."t..~ l:{,~\';\~I:p600Cjoo071:oB . In 000 ~ol,bl, 2?i1i >;i\; '\ili';,L~ .",..:... :' ..... ---, Wi: _- _ II . I . " w ~.. t r I \ ~ ., -. . .... ,~. VSERIES EE ,> . \ .. ISSIIEOA'TF. .. ,'. "".. HIS " [" < H, ~>r . '" 101'1 \1987'1 v' ,~dlil'lici;,k.. N.A. : " /- , ,..u,...,"OIE..,.'.', '0 : J~~O~^.~ 18s'r I ~ .~ G gtm~lmJl~ ""101 ....,,'~,' ......:...-.,~~....,. '("1 ;\1" M Phyllis A. Koons 23 Creekside Drive Enola. Pa. 17025 OR Roy K. Heaps '-. CAMP IWL;h C.PU.LGil,,'cil ft ,:ooooCjOOO 71:0 7 ~ ft,,,~... . M208ltLf819EE .00 2081,1,8 ~Cjll" "w~... w: _ _ 114m11!~_.m~~~~~:!llimmi UIl\"~'I\llt~!J)UI.JIlt.\'ftS\ fiB ~--3 6 723 81 ~~1. -- - ~oc ,.. r; 'E.... 'v NO f~\::::;.._,.. '" I 7h PHrLLI S A. KOONt'\';,) 23 CR,:EKSIl E Or.....'" ,";-~) LA, P A. 11111&1 l' ;'." L__JllT J L 'I ;...."'.. ~i-...,.":,,,....',...f'........-:----- ._--.w.... ..' ",';',V".Ofli IIROY 1{...lltiA~S'...'M. '" ~ · I, .' II [ .1 I ".\ V-iOIlD'I1.'l-02-900-i:'E ,i : ) i~~2~1;9 inn~~Jtl!'::- _~ r ~ '~;:;:', I.. 1:0000CjOOO'~;:08 . ~O"~'"~'O 2 CjOOIl" SERIES EE 1':;SUE OATfc '.' 'I' _'1 ,~; 11.. FIr", r f'" , Of I,~,~I 1~?81] ,FRB PH'tU. FI SC AGT US. , "'U'IOcJAOllOT" '. '"^R 10 1981. I' D"TI". 'T"MP . ;.' ;" ;.' " ~ ~, k~_.. Iv lit 0 2 900 E E ' -~----._---------- ---_..__..__._._~--------------- ~ S' v>~ '6-' 0' C v ~ 6' 'C 2 SERIEsEE 1 ~ II [' ',' I r: .v'"'' , , ,,~. I 03 j : 1988 I ...;......-. . 7;1 Phyllis. A. Koons i 23 Creekside Drive ' Enola, Pa. 17025 ' . or . Roy K. Heaps I I M~R i:{!~9'A ,i ENOL.... p... .... ENOLA OF:FICE: ttNf":'" " i """II, IiI.X. " ; ~ r'i, . ~ 1 t1 j ~ J' ,.. r . I " ""J I I I ' ; ;;L.~;,:, 'M25235bltlEE .~'O'2'~'2'~ 5 b 1.711" 1:0000 CjOOO 71:0 7 v' ~ Qy~ fc ~ ~ b. \>() ~:&..\.;~ v S' S ~. .i/3 It '''' w :... _- rmrn:lLlQII.!!D~lB8l.-IIlIH'(~ ~~~ 1184 36 1~58 ! ,~:y oOcsu:....,,"O ~..~7;" . PHYL' IS to KOONS '::,~;7 '., '.' n CRSEKSIDE DR..}":':;, ,,' (NOLA, PA 11025',~,c1.':'1 w.... !!.-Jj ". ,1~~~~~ c.~.;ilt~1i~ "'~2" '. ~'::";":O'Rt;JONATHAij"'D-~H::AES J J IT' , fi,. J L";'L;;:;;;;;;;; . v.;o'7,o.:d1--(l'l:6-\2"!.;:g~__.:'.'..: . .'- K. ~:'I:" ~ .. , " . ( ,c' ~! '1 "1 ~- ~l,~ ~' ~'''l f ': ~. ~ !,! ~ !:l ! ...'.... ..............'.......,..-!......................:.....~.. ,ij:_O..~O,].. f,;; l"'~\lj:;",:. >. Gr~:..L:.c,. V 1 0 If b If 29 E E :~ ,_.,,~'~?fW~\~}.,_.<~'!,,-y.:::~.~ . '0' "hmU ,.... .~-..~ -~,.' :O,~.:!'~..;.'2~\~,,'i.:'.' ':0000 'i000 71:08 mOOD .0 l, b l, 2 'ill"' . v ,,: - 'I ...- 1!I.m lLlQ{(lB...H>~Jj.4mm1~ ~J!A:~~ SERIES EE INTEREST CE....ES 30 YEAftS ..IItOM ISSUE DATE 184 31> 72~n 02 1992 To PHYLLIS A KOONS 23 Cqf~~SIDE )QIYE ENOLA PA 17025 ~~B PHr'L F I ~C "A,~. T..,I,I.S F E $ 2/tTING .A..~ 9 2 ' OR JO~ATHAN HEAPS' ~-O-043-870-265-EE 892050001072 007 51813 RA .A~2.....~ Mlf38l02bSEE 1:0000'i00071:O?,gbOOl,187D,,2bS,,"1 . .... II , w" :... _- ,,: - _. SERIES EE , ~ .:. ~. <:: :') ,:. -,' ~~ ....,,,c:; .'.f., T.'Y,,'yv' 101 r- l1987 ~ Fife PHILA FISC AGT US" " t"UINOAOINT"' .. . JA:N, 26 1981 GATING .T.....~ , , , . ..... .:t:::~J-'~~l'~ '""l/......,.,\...,..', ,"'". ". - -t:' n:.,.... ":lI"'U' ',~., '-".,-,,', ~.~ ~1'S'~--~:~'\n:'7'1Y.-'.""-' :,' ,.",,- :,....~...l . ~~{~;h',~~-:~";i;r~f"~~r~.It*!;~;;'!:Slfft\jf\li.H~~u. II~ . '" W ;., I ~~ ~: V w; _- '.~f:' ~ '!u r-'~ I J~1r.')' ~"~\\\~U~~~W~~I.Vi1~t;~~~:~~j1~i.UlJ,,~:'l~;~~~':j:;8Z;.' ',..Il:'P"': ~\l\'l~;,io,~!I!'f!.:4"'-.,r.~/'~"'.". . r. ~. :'..... .~....:.:..._..,' . ......' ,. ". ' . ! '~ ""I I ., ~~~'f~~\'~~~~~~,~~,~~J";)~~'-ml!g'" SERIE;S EE ' 1'~,,'~I~;L~\\~. !H!W1i~~~.wI!.l'!:I'M:!}Ml I .'-.....,. Phyllis A. Koons 23 Creeks ide Drive .d:, Eno1a, Pa. 17025 i or Jonathan Darr Heaps 'E;:NOl.A. ~A :'f ,Iii I '\i':.' i' 5 ; ENOLACVi'leS ,,;!\ :::i~'; 11,11" !1~:;?::_~;:'~'M2S23SbS3EE \ 1:0000"l000 71:0 7 _fa 0025 2:1_51; 5~1I' , \ I , J, , , I ';'., " , I , j , , j I , " 184 36 7258 ' 1,.1 1988 03 7;1 t"~:J IicMI, n , ' '''!IU'~G...cun'$ v \'" MAR..J. :t'ylR~ 03/ b " , , I ,. , - 1l00l[~m1~~~~~'6-:il1qJI0ll\ Q~~"I!l:Q~ml6."l8I J 'r!~1' c'- "--,:/- 'S~:;lJE: ,0,,1 r: i I ""'("1' '>lr"R';' .,. , [184 -~~:i;5~-J . , 11~\ \-19881 v r- ., Phyllis A. Koons '; i .....,... -B.iii,j---_,. 23 Creekside Drive '" ........ '.. J " " '::';~:.~1 Enola, Pa.. 1702~! ~ 'nU'OllJAOfNH " or i , :. ,.,' Op .:,.~..1\'l88: Jonathan Darr Heaps ' , ' ,I ',' I ~ "i' '" "1 Ii ~ " ", ;:; '; El\IOLA. PA/ ',~,'_" ....' "I ENOLA-OF-FICE ::: ~ ~ "~I II I r !~ ~. ' Ji_Wd::;; :M'282354-S'IEE 1:0000"l000 71:0 7 . 00 2Bn_~1,8"l1l' _ 7" /0, '", " w :... _- . -- '!lI..rnJ Um1~j)fjlJ1.I~g~j1IHDIOll\ A.TMI..IUlt'.....niOl'WlIJ,...... U1.m~OO111I6.\)If?1 SERIES EE v 184 36 7258 07 1989 y, ,~ I,y I d 7h Phyllill KOonll 23 Creekside Drive Eno1a, PA 17025 !MiIUlIII Mn., :j '.'UINOAOINT'. " " ' jUl?"NH98~ , , OR Jonathan Darr Heapll H,;,1RIS6UB":PA Har..-.ra EaIl-OIIoo A 1-.<;':1:d,~~ ' D2lt08lt Lf 32EE 1:0000"l000 71:0(; Q 1,00 21,081,1, ~ 211" -9 . w,,:.. _- ,- - -- '!lI.m~...D~..Jjlg~~1~q~ mm JtQDM.'ftSl 18~ 3& 7258' ~'J SERIES EE INTEI'lIEST CEASES '30 YEA". "ROM ISSUI: D...TI: 04 19921 v 10 To PHYLLIS KOONS 23 CREEKSIDE DR ENOlA 'I PA 11025 FR B PH'It. FISC AGT US'" : ISII""OlG "OENt" , A~R 30 1992 " P...TING.T....'.. , , o~ JONATHAN g~~!O~~~~~.-322-EE 8921l~000192 . 009 5lt~ "l ' RA D29824- 322EE 1:0000 "l000 71:0 I; . bo'[;'2q'B~ 3 2 211" '{l~.n~mmj)~ !M!l-m~i.!Rmml ~~g'J\lfiji'i~~iniwi:JII~"t~ i I l~1~4-=~~7i~58~'J jrl=~ I ~"( ." (J N' t I I , \~'~ Tn Phyllis A. Koons ' ",.) I ' Dauphin' bepoil~, I ' ~ ],. I f r , :: ,-,:.".' 23 Creekside Drivel I I I' Bank and TlllsI (0." . ':"7'\' &01a, PA 17025, , ., 15'~:~~'\ OR I 1 I.: i 1_. .,",':'IAP'R .1:9:;Q~6 ,:; ~;'~'r1~Jqllathan DarrSH~aHB., ~; II il .~ :'", ... .: , _, II II, ,'; II~; , " _' ., I " !JAIiRISBURGrPA' "nl~' 11111l~I'-i ~~~.\II:"'" : '.- ,"\(-:'0'"'' 1 '.., L. I .' )t'J~" \ '1,MllPt89011EE 1'':-~'I:OOOOCJOOO'i'I:O'i' . OOll.l.a.CJOHu' " . ,l I MI , , , I j I I - , , , , i , , J I II 'I I l (I ~~\% ~ SERffiS EE ~" '-~ SERIES EE 'ISE61~s"EE~ I ~., 'J.;\,\Ci-I,~ ,>'IF; m~'," . 'AY,{H .' ': . 64] " ~986:\ ' ,. .,,;, - - . v / -r!~) -; ( ,,"'t... " ;nSERIES,EE, '\ I' i IS':; U E (0 Jl,:r E . i , . ; " "j>;,cl-r".TAi:FIfl"" ",,,',y,)f" , " ' ~: it. G9~6 'j ....- ll.g~~~~~11H1lIW\ A'f1llll._IU..'I"'_......,,,. <<!!ml~DJmn4:~1S1 [~84 36 7258'1 i~; l( . ".' "., dO' ,n " ,. ~ _ ..,.' Tn Phyllis Koons (,"if 23 Creekside Dr. f II' ,-" \,' - - . Enola, Pa. 17025, I" 11 : ,.."'..~...1\&6 ' .~ 'I I \ \ :{,T<,,:," MA~t,l?"M~" " OR Jonathan Darr Heaps, .,' ',"~ ' ,', L ~A I \ t; ,\ M q II tl ~ " f . - CA~JP 1_11.. ," 011 1- ..1:.. ", ~ ~. t4al1 . : !i:"1~ .~' ~ Cnp~tal"1.::it$' :,:" J iii' tl. ' ~')i;.~::" :Mr1395b89bEE I:OOOOCJOOO'i'I:O'i' .,O~'~'~~'5f:,a~f:,II. . ... .... . i . . ANlCt ,,;a:: ~a, ", ~ A G -- .. - - . - - - I I '!lI.!iJjllmalEJfjlJmBJj<<m~ AT tHE NATUP.lTY HEREOf 'fl\\.\. ""'Y ~'1'.Al!>'I!Llt~~ne!Ji))!!t.~l'1U.~ ISSUE DATE WHtCH IS THE rlRST O"Y or December 1984 Phyllis A. Koons 184-36-7258 23 Creekside Dr. Eno1a. Pa. 17025 or Jonathan Darr Heaps - 'iioNT"'~ : :: : : : .-'-vi;;"-l - - _ llan~, t:lA, , '."UIN(J "'''€:NT. ' :,0[" ~ : V " ~t:"T"""",' / , . , . '~!CL.t\l.~Jio!j. ENoi..:A'ClFF'C~ ....._._.~-.-......""'."..."'-""'.~-~... .".-.::::::"'" . ........ ,.".~~= ~/!~ __'0<;"'" '-' _.,.r..,,__~ . R18 546 580 EE . ... ... mlmQmlM~.~ AT THIE MATURITY HEAIEO,. WILL PAV ~~1\'J!D~UM~ ISSUE DATE WHICH IS THE fiRst o"y OF Phyll is Koons 23 Creekside Drive Eno1a.Pa. 17025 A!I.,$}. .1.985. __ __. D-.~ IVIE....I . eprir-_ "n~/an4 Trust c.. .... , 1__.....ENT... ' 'AlJ~ 5~,;;:-'ms' ) - .. /!AIRlsIIIR!i, fA..... ,/ .1.84-36-7258 /),/ or' Jonathan Darr Heaps .... _.==~::~~:~~~;"A:~ C 7 5 024 414 EE --- ~ Si<-7~"';".:::;J . " l . tWVNI _- ". - I~ :' I . ~.llilt!~mmJJ~Jcm~:!1~m~ ~t''''''''~''''''T'f''''"''''.'''.''Y ~~ '!l!!W!iS~'I!lJj.{'lIl,,~'<<;S1 SERIES EE 184-36-1258: 86 v I " 04 f I /0PR'~':" '" , " /) "If.: o Tn PHYLLIS A. KOONS 23 CREEKSIDE DRIVE ENOLA, PA 11025 ,~OMMON\"r' ; tkniONA"!' , ," . .~ . OR , ltr.wl OATING,"''''''' , ".... h~V ~qClol ~~ll~ ~,~~Ii... " ( JONATHAN DARR HEAPS , ~~ M1Sb8211QEE I:OOOOqOOO'i'I:O'i' . ~O.t;;'~8 2. .1.11" --- -----~- ----~--._-----~---.----------_.--_._----.. -,~- ~- ~.mWmlOOl~Q'-f'~1IJnlM\ ~~imi~"J~Jlt"\)t8, . [184 36- 72~ ,[[I~M Ll&\ " ~~~Il ,,''';;~~C..~''P'''''O f'. ,.',~.~ "or",H ' "A~ PHYLLI S Q KOONS r"CtI ' , To 23 CREEKS IDE DRIvrl'" F'R.S"PHILA -NOLA PA 17025 ' FISC AGT US\, ::i;;;;, t.. r I ....1 r ' ..,,,u,m " e' 1';'/1'1," ~ i '1,'" \ 1,,~qC:,T ~~"";tt..?81: . !'.,I}-~ifft,',...~;~ ..::._---,..;....,'._,' cL...:_.:----.... ,-'i' ".- ,\ ! , .(1{~:t':;';l~'PI. '1l.IJNA TH~,.-IH~AP.Sl'r'l ~i... ..,II:..'.!::;, '. :-'" .-/ ! : " Iii, X"'lJ:!;Oql-356"~39-EE ~'r .-.- . ',i c..I. clbB ~ II jNnd'(;~ 1-\~jJ:J~::1 :.~_ IX 135 b Lt 3 9 E E \\ I:OOOOqOOO 'i'1:Oq II 000_.351:.1. 3qn'. '_ . Inn';. - "'SERIES EE, r 'ISSUE DA rE :J v WHICH 1<; H+I: flfl~" n....( Of' ,C;; 10' '6 1/ . , , /, /. J: " : i I . III W :... ._- ,'" ': w: _- _ 'tlOOldlli_.ID~Ji Mlcm~:!mw~ ~. .~. ....'u~" .....lor .'L'-U~ ~~a~''',\$!!!>~III''!.'Ugl ! 184-36-7258 \ · ';1 , / SERIES EE ,J" I ~ '; I J L r ' ! r 01 11987 I v' Tn Phyllis A. Koons 23 Creekside Drive Enola, Pa. 17025 l#rm e-i, l\.A. :J A'~i.a:.ig87 '-,U\",P \Tt.jI~ C$~!\:.t\:j~.,! ...::~; C~(. , V I ()\ ...-: I / OR Jonathan Darr Heaps 1:0000 ''lo00 'i'1:0? .. F~ M208Lt4-821EE * 002081.1.82.11" -.. - -- -... .---- - -- - SERIES,EE -/ 184 ,",,1 03 I : 1988 7;' ,- Phyllis A. Koons' ;1 23 Creekside Drive i" Eno1a, Pa. 17025] I or" \, 11) 1 Jonathan Darr Heaps .'.; I ! . , , I .' jo~ I , , ~1li\'ij1l,.~~ .' f1lllU'.....-.<ot:.."I." " . f"F~R..;l".4.Jpq~ F;~!OLI\. PA' r-r,I(JI' ,- '-irle!!: ... l' }\~ , ;1~" ,'. , ' ._~~,._~' M2S235bSQEE 1:0000 ''lO00 'i'1:0? * 00252:l 51:. 51.11" II ~; "hl.l\\' , J 1'71 " !.:'.it SERIEsEE' . -00 "'IW~:..t.: \1;. v: _-:. r-.: ; -, ... i ': v '!lruJ.ID ~~Bj)~j).~J!lOO~~1lI'.m~ AT THt .....TURITY HEREOf WILL ~AV '!l\}~~~~1F.l'Q)l!0I'l~U~ ISSUE DA TE WHICH IS THE FIRST D...~ OF Phyllis A. Koons 184-36-7258 23 Creekside Dr. Enola, Pa. 17025 or Jonathan Darr Heaps ',~~~,.,4.'la4. CCHB'Book, N:t\.., , ' , , " , 1.IaU'........'n:"''j-1' ULI' ~ 1'" , L:.V:) :" .,1 : " OATI".o .T......,. , ENOL-A. PA,': ENOLA: QFFfCE ............-.p_......"'......""'...__o _.._:::':~T1 ":',,_:'_: ".'noo~:~.;> '/!~ _....... . ~"""'w-":;1 . R18 546 576 EE . '" \I :... _- , I' I .: [' I , i I i ./ :11 i 'Jl)\ , ~ ! SERIES EE [ij) /: II J lA'\ ~ ~ ~,~ SERlliS EE w: _- _ :~.... '!lH-Bl~-Df!m.!lRJ!lOO~ AT HIE MATURITY HEREOf WILL MY 1l\}~I:I~~I~P.~!!0Ilil~U~J ISSUE DATE WHICH 1$ THE fIRST DAY or Phyllis A. Koons 184-36-7258 23 Creekside Dr. Enola, Pa. 17025 or Jonathan Darr Heaps December 1984 -\i.lONTH-\: : : ~ ~ ~-~-..-i:""l- - ~~llllook'-\>\' r leaVING AO""'T.. :\ U\7.C;...-.:: , .. t~}\. 'ut!<?V;.' I ' ENOL-'" r;:f R18 546 577 EE ''''_._'0''''''''.''''.' :_'_.,:' 0"..."_.""..._",,,0 ~..._.:~:.'~:~~" ~ ....~2..~.; >. A.~ ....''''','''' s.._')......~'::;1 . . " ~... .. ~.m:lmIIjg)~_~ AT THE ....ATU'"TY HE~OF 'HII..I.. '''''f 1l\}~I!llf~QIfl!D):t!l!n~'!l~ ISSUE DA TE WHICH IS THE rll'lSt OAT or To . Phyll1s A. Koons 184-36-7258 23 Creekside Dr. Enola, PaT 17025 or Jonathan Darr Heaps . T'\c~~~I;. 1 po,. I~~~___,~ . ~61il IIiiii'!!. -n.n. I '....'NO "'OENT" ' , ' i'~ f: :...;;,. ..4-)(:\1\': '- " ":'>',...:"".1' 1" ..-.....{ 1._; ...L.....-..... 1:::1-1'':'' _ - QlTIU', '--'_.~..~-...., ."....-....-... ....,'.-...."0'..... ... ..... ....O""'~..""'~,..". ."'-"".'''-'' . ~ > /!,- -,""''''' .' s.._'Y....;;...'::;1 . R18 546578 EE . /. ~v~ ~~ ~.~ SERIES EE '" III: I .. III t ..- _ _.. I I "I. ~ ..,.:9.............._ ~..ml1m(lJlID>f!ilg.f.JBJj)OO~jt~:\. ....1 nu: MAtURITY HEREOF WltILl.. 'A'I' ~}J@> l:lili'~.mU~Ill~i)Jl!@lG1U.\)I)9j Phyllis A. Koons 184-36-7258 23 Creekside Dr. Enola, Pa. 17025 or Jomathan Darr Heaps T'\c~~mhc.r .19.84. . ~~~_!VE"''''I , , :h:Nli Bon!i, 1\A. " 'SSUlNO AOENT" " . D' L',~' \ " eCr'"""T..........' ;".' . '. , '--"-'~.'-'-.'. ."....-.... ".'"'' ......"'-~, '0'''''' ... ""0'"' ,., ""0 ."'0' '--C\.. ...........,.._. .-0";:'" > A_ .....-.;".. .r..-_.,..,....r.....'Y/ 'tNOL.fc:'P.f', ENOL" ()I'-'~ Ri8 548 579 EE -jl ~ ~Co .~ ~G.:?::;' ...........- ~(:3.l{O ~ . . '" tel Nt _ ,,: -- - - . v 'mm~~j!)~cm4~mmM\ ~'''lIll'~~~ SERIES EE IHTII!:II.II!:ST (:I:AIlEIl 30 Y'ltA"''S ,.,IOM ISSUE DATI!: 1 S.. 30 725il 02 1992 . To PHYLLIS A KOONS 23 CRE=~SIOE DRIVE ENOLA ,,-'--"PA 17025 FRil PHIL FIS'C AGT US', .. II1IUII<lOAGlI:NT'S FE;} 24 1992 o...rIN...T....... DR "'A~'[)Y HEAPS ",:l 1 ) M-O-043-a7D-264-EE 1l92,)5~OOlc-72 oo_~ 5_1~.l~R.: MLt38l02bLfEE ':0000'i000 71:0 7 85001, 3B 70 21;,1,u" II I..,,,:.. t _- _- , I w: _ '!lImllLiQI!lB..1!>~cm.mmu:<<m:&. ~!!m~.!I'l""")~ j. " 18~ 36 1258 ;~~, _< 'cite. c',,,. ;'", "u' ~!>____ '_' ____.0::-._. ~ SERIES EE INTE"EST Ct....IE. 30 veA"S ""0'"' ISSU!l: DATE Oft 1992 '-~---_._._- To PHYll IS KOONS 23 CREEKSIDE OR. ENOLA 1j~~ :~'f' PA 17025 FR8 PHi'!. FI S': AGT US" " 1..UIN<ilA'IIllENT'. " APR 30 199~ .. DATIN".T""" . _.~.'. "J.~" -.. ',;",1-,,';' . , . '1i",,~-'.::~~.7- _...~ .... - ...._~ - __"n_ _ OR .~ANDY HEAPS .:1, ~ ~ ... O-Q-QZ9-824-321-EE ., 892113000792 '0.08 --:- 51813" ,~ RA . ' -.~~,,L,, .~...-....w-;--- ) . ':0000 'i000 71:0 I;, m 5002 'iB 21, 3 2 ~U" ~.-~~ D2982Lf321EE II l... ~1!!Ij; ~~~J~~~~~!1'JJ(W~:!\mmM\ ~t '"t """'~'I~'''.'''' "'LL'''''" ~!lli1\lmJ(~~\'l(lll!!.(i)l'lt~'n,g1 SERIES~EE'~ ,; co ~ 6' ~c_ ,/ \ r@.m1~~~!~.fti~~~~-:,. ~r~IJ~lfJS~Il\:!W 1'.I!:III~lt.s\ , L~8lt 3~1258] irL=l 50'"' ,;0 <;;.C..P rON" ~t-~'-'.l.~ JL.'-"" ''''':''''.'_ M PHYLLI S A I( OONS r-'-~~l ,;+ ~~o~:;E~iID. i7g~~.J,'~,.X'f'.. FI~&~~!:!~~~~ .', ,:;,r,:" Ldil'~".'J l',lc';'OC,! ~~"...!:.?81: " f~ ~ ':1::''- O~I ,iIN~ ~D~ rf4~~;~~~:K';r:-'3!l tEE, "II 'I!' ,,' , t 'D18'h~~f, IlfJ\l'b8c~i-;-= I1)iJds1d-~ ~,; :,IX135blf 38EE I:OOOOCJOOOI'I:OCJ . 000 ~ :151;1, :18"' 184 36 7258 1988 10 7h Phyllis A. Koons 23 Ilteekside Drive Enola, Pa. 17025 or Mandy Heaps I I :i . QCT,.;:. ~J98~ 'E~OLA. PA ENOLA OFFICE '~ llanli. N-~ "'SU'No,,aun's " , , ~ . e, ' j!:..-~'" M282351f88EE 00282 :l5I,BBII' n. _._ - . -- 1:000090001'1:0 I' ,,\It... - . Wt_-- . SERIES EE\ IS31lC Ol>.TE \ "rl-l ,e; 'H' ""', r I ~, UF' lial ,"";;';;' "w:... _ SERIES EE " ISSUE- DA,1'E , H'(H IS 11,r fln'.;-r. (lAV Of' I.~,~ \ ~~B i 'tlI.m~-D~cm'ft1.m11m\. lmV4mii~iiDiDillmA.'<<8\ [ ',3_6,,"',~2581 in:: 1: 1B,~ __ ,. . I<..",r'" NO ,L H. ',. M PHYLLI S ,. KOONS \' 23 CREEKSI) E DR.... ",: EN) LA. PA 113 ~;:),. i i' _,,' . '{~';" I,. J. : /":\.V: . '~. ..J! .\, L t-", ~ '.' '-, '. " . . , ~ I "V,: OR! ,lIMA NOY 1(1'\ \fi: lipS " .\ ~ ~ Ii . l \. .1" ,', ,I V,O~DJ1-0 lt6-lt28,~E ,! I,rr, 't,"""I',l',i'," r" I' "1 ~ "., I ,Ii""'''',' I,E01'035 . I~O(JCIL'F~' 'T" V lOlfblf28EE 1:0000 CJooo'?I:'DB . o~~..~;... I; I, 28"' -_._~ ,FRB PH-IU FISC AG,T US.. , ...'.IINO "'.~..T'. . , JAN26 1'381 \ D...TIN..,........ , , , '. " -. - ~. u 'tlI.m UJ.RlR-D@l4YJjleJj(W~:!JHJJIl9l\ "r'IOt....".'"'YMUIO'...U.."v UI~umwIDmlJl>>-Jllll""U81 184 36 7258 SERIES EE 07 1989 Mp hyllh Koons 23 Creekside Drive Enola. PA 17025 ..Ii Tlllt -i9f., : 1..un.jOAOlNf', " JUL .1'fH98S': . . . , OR Mandy K. Rea~s H"RIlISlll,lltG, 'PA li..1rf"tleurg Eaft.OIII'ec ~ L~_J.i._'f:."") D 21f 0 8Lf Lf 3 3 E E .500 21,0BI,I,:I :III' , , 1:0000 CjooO 1'1:0 I; v 1> "s ~ 6' v ~, V,-S' b c ( ,/ f~ '<v, ( . .IIW:... _-' ~,W: _-.: .....;-: -: : I " ~~j;Y~~~~~.l!J~~gJ.h~:Jlm~ ----SElUES EE @~~1\lfi.;i'i;;i~~"ii>"OOmLI,:n81 L 184-36-72513 7;' PHYLLI SA. KOONS 23 CREEKSIDE DRIVE ENOLA, PA 17025 OR MANDY K. HEAPS 04 86 ! ! ~~OKJi.~',. i ,.t-.iA1!\>1)\~ ,,:~ , " '. ,........0.0"..'.. , ritp'l( ,L) ,~_j ~ jl.lltl...n.",p . , , ltn*'tlif' ~'P"'h! 9.{/ice "HAiI1lil\1l\G;' 1>4 ~~ M15b82112EE ,:000090001'1:0 I' . O'O...t~E:B 2 . .211" _- I II . . CAM~ Ji/l.L; PA Capital City Mall ott. , .~~.,:; M208LtLt820EE AI 0~"2'~;'~..a Wil" ,,: -- - {. ~..llil~mOOJ ~tm'~'lpllml_ @W~'I\If!.i;;;i' 1DW~IlA'n8\ ~~4~i6_;!2 _s.~ ]~1.:.. ',c,C$lC'''''U'N. H 7;' Phyllis A. Koons' .,':(1 23 Creekside Drivel' ,:(-;<, Eno1a. Pa. 17025' j h'~~,i', il.':' ~_! ' ':,1.1,\"". OR i I""" 'M'In~.y K. Heaps.. .:i. ,I (!I'H~' :' II( ~ ! ! \ 1:000090001'1:0 I' .J : SERIES. EE. ..... IS5U.E ;DA';rE. .';I-llL'-\">fHr:r" 'l'-'''''<'' I?,;) 11;~_?J ,tCNB 8""k:'~.A. : "."IJ'''.'''cJJN''. " ~~JA*,.g.'8' 1987 " . 1\ .~... :' : I II . IUW:." :'~ Wit'-- ~~ tilF~.ffi~tll~!).!le~(9.!'4-:Jlmmf~:l. A.......Af....."..............'.....AV @!l'~~~!!l!!-(.llJlA"t81 , 184 36 7258 I ., 1 7;' I Phyll:.1s A. Koons ii 23 Creekside Drive " Eno1a, Pa. 17025; I I' or 1'1 '\ 1" Heaps'" .. .;) ,..:, ., I:' - SERIES EE , , I 03 1988 .-;,.:'; I, ',.' ~.!;~ , ' , ' , IS8UINO",01t..T-. .. - .t~~AR .J..4.JgAA,: ENOI,A, f'....: ENotA.OI"i'ICEt " Jl".~'" M25235b52EE m 0025 ~ l 51; 5211" - . - "..- ~ -.. - I ; ~F~ "M25235b51EE ~ 00 ~ 5 ~ lSb 5 ~II" ---. -. . - -- 1:0000 qOOO 1'1:0 I' .. 'I W v~.. J ,- '" w: ._- _- ~I ,,- to- - t , '.-., f ~l!lI'JJ ti~..ffi~w~~.Je~WJ~~@.!OO~!J\:l. .".....A'U.'.V....'O...'cc..v @~t!l 'l\lff.~'~~!!@.1II~~'U81 !84 3~,7258J ":) 7;/ f- -. Phyllis A. Koons' 23 Creekside Drive " Enola. Pa. 1702~' or Mandy K. Heaps I I " ;,~ ; \"1 .'. '1'" I; I l' ' .....n 11'''' 1:000090001'1:0 I' SERIES EE r s ~ - LJ f- 103: 119881 ~O'\fl ~~lDt , ",!!Iu"": "'<l~"T.'" " tM,R 1 4 1qR~ ,'0.""05''''''. . "ENOI.A. p~ ENO"'!>. .OFFICe: ".(J' / ./ / ~I., ~-' '>: o l-~ /'0 ).9 '~ o ./ :/oJ ". .L. ;}-- '.. vi ,/0..3(.. .f1 ( . '!..o I.' W \,J ::t", ~ l \iI t _- _- " ~";'":"'I ..,. r'~ ,- , ~~, " '..~~",~,..~..........,.....~,._..~.._............._....,..........,-..... _,0... ,'_ .,.................................~ ~, _, .. ~UiI.IDl&~!1tJl.!;~~!~~~~JJiI!!Jt.m.);. '!l\}J~ l:!i!~~Uilj)DJ~'lL.~l~~l m 184..36 -7258 r" Phyllis AI Koons 184-36-7258 23 Creekside Dr. Enola, Pa. 17025 or Mandy K. Heaps ~~~ ISSUE DA t"E WHICH IS THE fiRSt DAY OF December 1984 ~\;..o,,""...~\ - : = = :- -,-vi;.;\" - c;:CN$ 1l::m11, 'bi;.<;,;. , '.aU'",'" MllE.......... l' lEI' ,. '~r): , l:l..,.-lEb aTAMt, , . ENClLA,PA ENOLA' OFt-'ICE S,ERIES EE '"'._.'...'0"""'.."1.'.... ",,"."_0><'''_.''0 _.........~''',.,.." .' .,n",,'".''''~''''''' ........,...........,....... ':: ~'!...LA_- .-....... ~-" - ~ R18546575 EE -- 'mB~~-~ "T.,..I lIIATVfllTY HE:AIEOf WILL PAY ~ ~n10 10 Phyllis Koons 23 Creekside Drive Enola. Pa. 17025 or Mandy Heaps __......0_....... ........_OCI'...__O _._".~. . ...,. ..~~ > /!~ _.......=..~.._. ~.t_~ ISSUE DATE WMIOI IS t\o\~ FIRSt D"" OF k. August 1985 ..: Di,ii'-~""- 1Iin~:on~ T,US' (0. '--. , ,._ MlENT' 'AU~ 5~T_l005 l!ARRlSllIlG"PA. .,' v '1'U "';;"11 '']J '. v' I J...r , . :~ -- Phyllis Koons I ,." ..,r.:':l 23 Creekside Dr.: I :!:J I I' , '.IMI.......CIf1'. " I t'~.' ~::\Enola, Pa. \17025 I:' I I ;'~'. ~EtllJ98~ ..1'.1(/', :'::, OR ~ndy Bel\p!! ~ ,'t1 F I r. . ([i',' (:~p au,\.,~A , l I I liiNii. ',: ~ .' Cepltaicut....OIL I :.:::~; 1IIIlI II ,,', m ;ZL~: ~;: :M11395b891EE ." l:oooo'mOO'i'I:O'i' . 00 B"l S1;8"l 711" ' , ~WJIilR-D~QB~fM\ ...'1"'...._"'.....111'.........." Q!mI Umlll4'fiSl ,'1 L 184.:.<.~.258 I }!t1 To ~ :' 'i' III -- 1lDMl~mID1J g(w~:Jlm.~ ~~T.lfIQ!i' ~.D>OOlI1"NtS\ ..," ' 'h~~~~;L~~8=] ,~:'ll. , ;To ,.'PhylliS A. Koons f f;i 11 n-lliIIlli''1It . : In~"-' lit III'V~ ,~ " "".' 23 Creekside Dri VeT" .' " Bali and 1rat t';" !p'~~o1a, PA 1~025 I \ ,L J ; '^ " 'UU'NOJlOENU " . p.hA.'~~"';\ OR . .'.'.' I" I" >:/APR ,1...9,,1986 ,: 'l>;;X''''~and~ K. Heaps"C , ,'. ," , I.':'~";""' 'I. ,. r, l' ,., ,,~~ II" , ,l '. ',I 'i .'i:".;;, 'I" ~ ~ '. !;rJ; ;~ v '1 I.' ,.', 'i" it J!AiRI5BU8G,'" ;' 1;"""'1 I.! ' F~'''"M144890l2EE . 1:0000 "lOaD 71:0 'i'_.o~'~"~'~'B"lo 7 2..., ,., ,~ . "w:.. ,_- \ C75 024413 EE , ':SERIES EE, '';'.-;.U(. 'l,1l,rE ' ',,,r, "; H'f "'," ,.~ ~' I '1986 c<;mi s~";A: ~"~~~U~~alkE " i ',' ~tt'c"lsT~rnfl';;.~tu.'<.)f' I I r- "'1 I l~-'::- -] '.; l(),4 ' '. i~~6 . , ."C" '.".., L- / Y>r: ''CP ~ ~ ~ I I .' ! ( II ,,~~; ~ i' , I SERIES EE "~I"\lt~'': ~ \I~': _-. ., .,.__................,,~~ ~Jl.mll!lJl1IjE...D~J~tm~j\~i "'T THE aolATURITYHEREOfI'l'ILL'''''' 1l\}J@> .1:li\r~@ljllF.lllJ)y,(inm.<~nsJ ~, ISSUE DATE WHICH IS THE fiRST DAY or Phyllis A. Koons 184-36-7258 23 Creekside Dr. Enola, Pa. 17025 or Mandy K. Heaps ',~,r",:\~ <;CNB Ilanli, N.R. , . b~~:~:::l~AJ \/ . ' 'i!:N~LA., pi ENOLA'OFFIC't .__.......0.-.""'.' ..... 0._..._""'...._."". _."""""0""" ", ...0001.....""..,..'" _._....~,._ .: ~ >. /f_ __.IoOT"" s.._"",.~? R18 546 571 EE o~ '!lD-BlUlImD~.~ AT nil, MATUfUTY HEREOFWIU. MY W~~g!~~!DJ~~lCIWU~ ISSUE DATE WHICH 1$ THE FIRST DAY or To. 18 Phyll1s A. Koons 4-36-7258 23 Creekside Dr. Enola, Pa. 17025 or Mandy K. Heaps '~:~' etNB Banli. 'N.A. . . . . , ,.....,...O..GOI:"'~ I : Ole r:; 1qf:i4 . / '. 134T,Hllit.T.........., V . ' "I';NOLA. ,P/\ ENOLAOFFICE ...._.-.....-......_....... ......._........._.""0 _.......c.......... .........__......"'. m ~ .....~..._..._ '. AJ....-l >. /!.- ..........T"" .- .J;,._"....._'::;7 R18 546 572 EE . .... _' ...11...:..1_... v:_-_- , _- " , , . -~.","".......,~,"_... .... .... . . . ~,~v.~" ~JmWWj{f~!~___!!~~ 1l\}M>l_~.il!~I~lF.l~!!.'(j)'J'IU.~ I' i I " I I\'P -\' : )~ ! SERIES EE ~~ .-\ :1 ~>J : " I , I ~~ SERIES EE '" ISSUE DATE W~ICH IS THE FIRST DAY OF To Phyllis A. Koons 184-36-7258 23 Creekside Dr. Enola. Pa. 17025 or Mandy K. Heaps ,{a~F: ~a.4-' . , . t'q-lll 90nl', NR.\ , '.....'NG ",Ql!:NT" ' D:~ C ofJ'- oT8f)4": V niC>LA.,f'A' ENOLA OFFICe: '"'-"-'~.'~'.".." '"'''''-''''''''"''' _.........'.~T..." in: '''O''''~''OI f5 ........~''''...T........ .._'. ,.;C/~>. -- ._.toG'''" ..r.._.,......1i-"'" R18 546 573 EE o w: _- '!lIml~J~OO~ AT THE MATURITY HEREOF WILl.. MY 1l\}M>.I:lLUmUlF.l~!!.'(j)Tm,..\II~' ISSUE DATE WHICH lS THt fllilST DAY OF Phyllis A. KOons 184-36-7258 23 Creekside Dr. Enola, Pa. 17025 or Mandy K. Heaps ,,~~F!-4.~4 ~tNB Ban!:. i'm. , . : O~'o"':'-:_'.'NT'O ': , ""I 1("'(-'1 , INlaI.TAM~I'" . ' . , . . E"!OLA,. P?\ ENOl.A 'orne" / .__.....0_............._......._..... __..::=::~"''' ~ ,.".""~.: >. A_ -:-'- . s.._"",..r-'::;J R18 546 574 EE . , I ___~q- :i ~'; ,.......>.... <:r:: <oW '" ...::t,' '0 '~ en '''- w ... 't'-l!: '0. C q-" --.l C( ~ -, C ~ W g" Q ......::' ~ ~~ ~ ~ ~..q- ......:: -2 u~ r (5 ~m 'M " 0. 'ln, Ilr: Ej E a:i\~~! ~,'-I ~c..o <<,~ "" -, ill :~ ~ ~.. -...- ,- ----- 0 (Y) o rl ~ ~. \~J.~~'T~:':'::.:j"(' , ~''''~(;~;.'-o :~: :':. to',~ .:' t":'Q 1:'-' -. ~1:::2-"'-~oq, ;c ~ .. 0\ I ~ ~ ':\'~i J.. 1<l f Ql!.,;,-t L~!: ~ m:1i!n.1 .\,- Y":ILJ~\I. '~ c __-' :),::1 ::I... _ .! -' Z L~ .u.l ~ !VJ~':j'. ~:- ai- i., -.':~: . (I/Jr :'~ '1:110 - oM ;l" )_U,~" _ ..... '~ lIlIUiIIJ"r- ~ \ lOA!:." --~..' ~ ' ~ ~ ,:1 - ----' -a:: '- ,- .. c::[ , w ~ .;., rl I.... N ill rl .---l o rl o N ~ - . ~- co Iii "I U\ " \ .. N r~J ',. r "1 > r- l::~1 . < I II,~ Jj , L ~ ~: '" :!I,JI III .. ""' j. \; . 1t "~ "I ' co . ii' ; Il~ .-I 'J I!I ~ ' i. '" U\ t~; ~ ' I, '" N -: I, 0 r- . . ~r , '" .-I .1' tI] III c Iii ." r:l ~ 0', 0 III ~i o ~ 'M '" ~i~ ~'M a g- ilt , ~~lO tI] . s > ~ ill- --= ~ '" !llI! . 0 ,.' ! ~I :I: --= r- ~ 'il j! '" Ql '" ' .-I Ill'o r 'M'tl C <1l '/'1; U~i :I:!j .-I'M C ~ /'1 . Ie! J .-I"'''' Ii r m I :>.~~ '" ..<:: '" e<:: ~) ~ '" ~ J.. r:l '0.-1 . .u;:S . '" 0 '" J.. ""'~ J.. J.. ~~i!3~ ::;: NO::;: ,~ -- . - - . - _. ..: t -. ., .~ ... . '{lH-R~~Jj.~ AT THE MATURITY HEREOF WIll.. 'AY @ml~~"l@) ISSUE: OAl"E: WHICH 15 THE FIRST DAY or 184-36-7258 AU9ust 1985 Phyllis Koons 23 Creekside Drive Enola .PA. 17025 -IWONT-~.tl- :: : _- -Cvi.AIlI-'- - r.e!I~J-V_! \1; i r.lVj, a. ' ., ',' pt ,'I " 1 '" , t..- AOCI-IT"e " tlll!" i '~, : ~,:l'Qo,~"'_-,c.,.,' , ' ~ '~> .."t' ,;" '~ 1.~~~lUiW' , , " . C75 024 412 EE or Thelma Heaps --.--.---'.-. __:~-.:~_ft . :.:,". ft._~__~:~>.~_ ._ s..-.,""~ ~ ..~.. " '\;\\;SE' R' IE"S' ;v.E ..-.......... -', \" ,\~I.\', .~ \;: l!III!1Wl8\ ""'; ",ISSUE ,O"\T'i, t ..... ' \ f \ i_'l~HICI:'I"r~_~t,,,,~~!j,('(,,)! '-\ ~[1[ , ':: :6\] ,~~98CI _,"~,.' '--;:;,::,,,;:, I .,i.,,- r;-:-'I' , " ~'"' ~.mlDmIg ""-' ',"'.............. C!!ml , [i~~c ?~~.n~8 :J 'fi '! .1 I l ' rJ ~ """"r""'. \ I C<;:NB BANK: 'N..... :, . ' , , MAiiii.J98$ " . .. " II';{' ,i' ~At4P HILl-;~A ..." ,. !,." Capital City-Man Off. , I (l)&:~:;';:M\139Sb898EE "0;'~;';5bB~B"" ',' , . n" ,,, 1 .ff I:OOOO~OOO 71:0 7 II 11..,\t:." - "i:'; _" SERIESEE I',; ,~UE !!ATE WIII(" ,1,"I.:';"'jr[''\, 101 i : 1987 i n Phyllis A. Koons 23 Creekside Drive Enola, Pa. 17025 CC~l8-naidi._N.A. OR Thelma A. Heaps : J A'fl"'2'.Sn1987 , , " O...TINa.u'.... '. r~MP !I!LI, PA Capl\al lily }~,n' "Ii, 1:0000 ~OOO 71:0 7 " ft..~. M20SY-Y-SIlEE m 00 20B....B ~ 711" _ H __ _ __ _ _ _ -____ um:~~u~~UJBtlBlll SERIES EE .,' . ~~e1i'lnl4.~8\ ,,",~;,'~),~,,~,~,T";,O' \ G8",J.,~~~' ,~l ". \ G'll \l~ft1.J " ~~~~~1 : r '7lJ PHYlLIS A. KOONS hd: ,,---.---- , 23 CREEKSIJE OR.'-'." /l=Ra PHIl,. eX:". ENIl LA, P A. 1 70~~ II F I;SC..M:-T..'WS', f " r. ~"'" ' "---,":;'-. - J l' .., j::-:':!:;'~';",,', ;'fi "I~~~_J \'7:5::1.~:)" Fe\~ .~uf~lp1J8j ~,;!,,(<~~ ilTHEI.HAfArHE~PS 'Ill '.', i 1\' , , "-'--/1' f,' ,c'.", .i" II I' V rl',,:Oi001lo,u-V,e..EE," 1 i,'" ; I ',' - . .. ' b ' ',' . a:.- ~ H t," VI 0 Y-ll2 8 E E " DOL 01 IIIODC A /"-.'........ ' " 1:0000~000 71:0B . 000 ~O.. 77 2BII" '. vi 1J..7 3 . v / '..lf1' (9. '~ () ./ 1/ ~ '''; o t/ S) ~. .~ " SERIES ~E- II , 1lI~ liiJ~.w.IDj)~J1m~(!M'~!!lI.!~ U...I....U..'........."'..WI..L..~ ~~cl' .'''f(J...(YiS~n>!!Jtfll''~<ltgl [18~36- 7258 ~-I rl~ 1 ),..~ :;:re' ~ru;;; ~-- 1" " r~\I' :,~. To Phyllis A. Koons 7 , . ~d :- 23 Creekside Drive 1IJ\,rpnVI \lnNlt,,, ~ ':, Enola, Pa 17025 I . :' ,no,........ -.., , '" I~:;.' .')OR , I I i _ __ ' . MAR 2"..2.19.88: , r" '~.:, 'Thelma A. Heaps," , ,,' '. " '''''':j~l'; 'II 1\ I r, ~ \.~. r: I II IH~," ".HA~Tl'~.BURq.,p'A , ' , 'nn ,,* ~,. --" :... .. I ,.," .' J~_ u "f :.. tlarrisburr fas-t-offTe:, ;~ ~; "_::.:::;~IJ~.(S,,~_,lIl'" IlfiJrkl.J::U:,t1 23881S1EE' I ';, ~'I:OOOOqOD?'i'I~O'i' . 002 BBB 'i'S 1'1'. .:' f IS',UE 1',\TE '~"IC." 11'1'.''''1[>.'1)' I ~~ I 119~8- ! (' \....1... I \.':e' I"_l {i\\' \' "\J:'" \I: _ _ ; I ~"' -- ..-- '(lI.IBI~U\H...D~(!M'4!11Qm, .",.......'Ullt""_QI'w.....,.... ~~"Mi1181 G~4n-;~~.12!5~-jO;1; .,r.c ,,"C. c,,~ n' t,e , .. t.'< r.'.~'1 To Phyllis A. Koons "';,' I ' .. . 23 Creekside Drive: c"', ~ llaiil;-~ " ~;t.1\1, Enola, Pa. 1702~ i 'jt, ! 1 " I.......u..rfln " tt;';\:~~~,;\~~ H ~_.JI,:'" j" :: OpT .:::.A..19R8! ~;i,;i,l';";:)II'\ eap: rOR' ~ I' II f I1:L' ,:: " D\OLA, PII/ , .1 . ;" , . .~I~lr ,." !' . ENOLA'OFFICIt !J' .. r II ". I I \' ~ n '1 j in" !'t I \ \ I ~., . r I .' n""lJ ....., ft.,~"~nD190S9bbltEE l:oooo<mOO'i'I:Db. .00 l."lOS"lbb~"... .... ,. . SERIES EE ISSUE. u..,-;rE, , "'111<:" ,<, Till!: r; ",~ T D" V 0' '[---'.1 10 , ',-.;;;;,.,' I{~~~i '.\ - ~, ! I \. '" t.. _ \I SERIES EE w.mli~.mm~~Q.lJ~i!IDJ!m~ UI~Mlliiij'i.ill;t;I.~lll"~~JJ}} 11B4-36- 7258 ! 1990 02 Phyllis Koons 23 Creekside Drive Eno1a, Penna. 17025 or Thelma Heaps iJ I To teNIl "'nli. N,X,: , ' 1..U1NOAOr,.T', " ij FE'e 1"2.'1000/ ENOLA,PA' ENOLA OFFICE D211SSS12EE "j ., , : '. t \ I ~ ~ ~ '. a:.....~,.. I' '. . /~'~."~.,~.; ~ 5 S I. 211; ':0000"l000 ?1:Ob \ '(lI.IBI1RtlR...D~"cm!#MBm04.\. SERIES EEj ~ A.I!~.DDHJ)".an. '.~a, INTIEItIST CEASIE. ...0 t.'. ' "".....,. ',:1. ~ ~ ~ ""OM'''il.D...t';-'lIl.!.;:~~l< . J'~, ' '. ' ~ tt .' , 184 3& 7258 ;rJ;1;!021 H9,~'';l'J ,} '"" PHYl;l'I"S"'''.'"''KOONS f"..'~.",i ": IJ~ ';AY~:~f, I" ~. ---~~. ,'''-' I {',t;, Q.23 CREEKSIDE 'HI\!E". . . F.1(e 'Plfi1\:\ :;:, .:J~~"ENOLA . I i I! PA 17025 . FI~,t ,.~::L,,~,~'\~; 1'1" '. t." FEe 24 199j!:" ~l;'~:~'~'~,'.;} ~"_.~ L.:_ I,; ____.- , '.. o~TI~.nTA:" ~";/... 1" ,I . . " , , ,f'l, ,,' "", AI~ OR'I TI1ElHA ilEA. p.s "'. '1 17 ~ Ii.' '. ",.f .';, I ' ,1 l1-0-l:iZ:9-782-687-EE" '.,..,c.{' r J ~ !\(H,)5000t07~ nOp,' 5181p"'\ I RA ',' i;'" ' " " I II ni' 'I 1 ! I ,,' ~_l....~I'" "D291828851~EL 1:0000"l000 ?1:Ob .BOo 2"1?B 2Ba I'll" . l,it..U v/ I03~ .J(.> / SC$ ,~. \. ,,/ Lt6S ~( J v ~ YI.s 'ft: \ ") 5 )..ll -/ v /~y. try I II '. \II W :... W:.. _ _- : t 1f!I.m~!RlIml_!mW~~ '!l\y~~ftHDlD01IIlt).USl SERIES EE INTIEIU;ST C.E....~S 30 YEA". I'ltOM ISSUE DATE 184 36 7258 07 1994 , ~ ToPHYLLIS KOONS FRs PITT, ,'08-03-94 ' 23 CREEKSIDE DR ;' "'"'f....r. '., ". ENOLA~-PA 17025-2916 ' ' " Il..TlHa.T....' , . '.I...III"'III.."'I,'.I,I...I.II.I.....II.II....lil..II...I.1I " OR SHIRLEY MYERS ' , RDS-A 031300834-0000 0000000 072894 004 0112776307 ; .' -;;~ 'i; _ .: J ! ' : I:OJ~O~~"O~~ ?I~~:~' B~1;~ 10 ?II~ 112llb 30 lEE If -, "":" I , - "t _ _-. ' 1!D~~!RlOOl~W~fmu~ .."..I....f\IlIl"'.....-........~ W~ IJJl~DtmDlDftTlJUg 184-36-7258 SERIES EE 05 86 To PHYLLIS A KOONS 23 CREEKSIDE DRIVE ENOLA PA 17025 ~O"'!I1O!~':,~: 1.':'71 .~t.'i.".' ',- OR SHIRLEY MYERS j ,,-; , ' l". t-, \j'u:/& "(l.I.M~~ ,': ~ ~Pt~. * ~-''''''7 , OAn..a.T....' , , ~lo:l\~~ \J rr~~" I:OOOOliOOO ?1:Ot. , . 1 . I D)t.-~ C118lbb8llEE i O~~B?bbB??~ I 1 I I J II v\&:-u .: \ai:_-:. -~-_-: I It 1!I.ti~~~.ID~J>~J4m~~1~UI~.l <1!Ht u:':::':i:.,.m.;j~i~'m..\9~ SERIES EE 184-36-7258 04 1987 Tn Phyllis A. Koons 23 Creekside Drive 'Enola, PA. 17025 co"':;."-----, tV.f!(.:, , I....u'..a..o...r. . "PR. ') c- In''?: f.\ A~j.lClI't...:,;li),' -OR Ricky Myers ~ha~~(l. , " jjAl\1t1$1IlIlt~-PA I:OOOOCJOOO 71:0.. , , fa jl..-~ . C13b198bttlEE m o 1o:iE.1098E.l, Iou" - - v ~ :..> '?- '1 . I ! 'i ,;",;~ ~')-(.\~ - ,:l l' , i I SERIES EE 1184-36-7258 ' 06 1987 Tn Phyllis A. Koons 23 Creekside Dr. Enola, Pa. 17025 ...--.---'..---- (c;;-~i'Chae 1 M:e~'-de Ceqs.eJ.. '--- de ced~ t \ ,"OlW-ONWmtlt : NA1\Ot-\N.~, , ,s,,,,..G..O"Ol-' ' :" tJ~o24 ~8~7 ".tl"rret o';~c. Str'ziw:O,f'{:Y' _,' . , 'l"P,p.lScunG. P.... 1:0000900071:0 l, 6ft fi"J~ Cllf2292081EE I . 0101,22'120810"" w .: 'ijlm U~~Jlj~J>~E~4m~j!ll.!~.l ~~lltle~!!WlllOO"I~~1<!J SERIES EE INTIU'lEST CEASES 110 YIA". ."ON 'SSUE DATI: 184 36 7258 i I 07 I 1994 m PHVll IS KOONS FRB PItT ,'08-03-94" , ,..11'..\...0."".. " 23 CREEKSIDE DR ,':ENOlA , P'A 17025-2916 ~', 1..,111,..111.....1.1.1.1.. .1.11.1.....11.11....1.1..11...1.11 ;OR' IWIlLIAM HYERS \ RDSJA 031300834-0000 0000000 072894 004 \ r 1\ ~: \~ I'. i I ( , r. ,.., I II I. ~~. Clf80b91392EE l:aOOOCJ00071:Oa.. . 30l,~O-~~? 3'1211" D.."N"'.T....." 0480'697392 I W '" :.., . w. - -- SERIES EE '!11m u~m~J>~JmRJjj4m~:!m"ICA ..~,Mt ...''''''UMlA€......LL.... ~u JfI~01!!mm>U~IUI."-J1!\!l " 184 36 7258 , , I 02 1987 m Phyllis A. Koons 23 Creekside Dr. Enola, Pa. 17025 t<;Nll-lkiiili,' ~ , ' , ' fE'~:,rr!381 '. ~AMP 111L1" p,,' i;apilJt ~~i );;211 'ull. OR Lea Ann Myers I:OOOOCJOOO'i'I:Oa. A.jl'J~-' C133558lttOEE _ 0103:iSS8?l,01l" v <'0 '/ 'f" j v ('7.fc' , ,/ ~/ -,9 a( /' "- cJ .11 'w II .. I ~ Ill:'" _- "':__:'1 _-:1 It SERIES EE 1!If~ ~!tm!g)~cmA'Mlml~~ "T"""~fUll"Y"'''O'''''..L''''' :R!m~.mt!l"IDBn1Wl81 184-36-7258 ;j- .- , . Tn Phyllis Koons 23 Creekside Dr. Enola, Pil,..--Llg25 ~~~ine shet~:7 -_._".'-.__.~ "',,,:: "~F~ I:OOOOClOOO ?1:Ol;u* O~!a. ~5~ 1:1;11', ~ dl.-UUL4CLtL " -,J. - . +- .,~~, ...."'" ';.' :!~ 02 1987 coit\:ONWEA1r:; ,; NATiONAL ;1-\~r:. " 1I11UU<tGAGIENT'1I ' {FEH'9'';' ';~:', ~.t~~;.-b::!'.!: ~~:-:~.Q' c..._ H/..~hl::::':::G. P:: DIY-3SY-lbbEE ~~ ~ P.O. Box 7899 Philadelphia, PA 19101-7899 Mellon Bank January 29,2001 Stone, LaFaver & Shekletski Attorneys at Law 414 Bridge Street POBox E New Cumberland, P A 17070 Estate Of Phyllis Koons Date of Death: 12/15/2000 SSN 184-36-7258 Dear SirIMadam: In accordance with your request, the attached information sheet has been provided in the above decedents name as of his/her date of death. For IL or LC accounts, contact our Loan Department at 1-800-537-5591. For all other inquiries, please call (215) 553-1585. Sincerely, .. ~;';),f.;;., ,-.kL ~lon Bank, NA Deposit Support Services 199-5355 Page I of 2 . @ Mellon Bank Monday, January 29,2001 Account Number Account Title Phyllis Koons 302-106-2132 Date Opened: 07/20/1976 Principal Balint from Last as of DOD Posting to DOD $6,632.15 $0.81 Account Type: DO Account Bal YTD Int to as of DOD DOD $6,632.96 $236.39 Page 2 of 2 FEB-12-2001 16:28 PNCBANK CIF DEPARTMENT 412 705 0057 P.01/03 GPNCBAN< Decedent Reporting Firstside Center 500 First Avenue, 4111 Floor Pittsburgh. PA 15219-3128 ISCP February 12,2001 Stone LaFaver & Shekletski Attn: David H. Stope 414 Bridge Street PO Box E New Cumberland, P A 17070 RE: Estate of Phyllis Koons, Deceased SSN: 184-36-7258 EIN: 25-6752475 000: 12/15/2000 Dear Mr. Stone: Please find the date of death balances you have requested listed below. CERTIFICATE OF DEPOSIT #21001021981 Established 03/27/1985 PHYLLIS A KOONS DANA HEAPS 000 Balance: $2,000.00 -t $22.72 accrued interest #21001031677 Established 06/06/1987 PHYLLIS A KOONS JOHNATHAN DARR HEAPS ODD Balance: $2,000.00 + $2.41 accrued interest Page 1 of3 A mem~r of Th~ PNC Financial Sc:rvi~ Group PNC B~nk N.A. Pillsbur{J/1 PcnnWlv:Jnia 15265 FEB-12-2001 16:28 PNCBANK CIF DEPARTMENT 412 705 0057 P.02/03 0PNCBAN< #21001031675 Established 02/27/1987 PHYLLIS A KOONS MANDY HEAPS 000 Balance: $2,000.00 + $25.95 accrued interest #21001031676 Established 06/06/1987 PHYLLIS A KOONS THELMA A HEAPS ROY K HEAPS 000 Balance: $2,038.71 + 43.38 accrued interest #21001021980 Established 03/11/1985 PHYLLIS KOONS ROY HEAPS DOD Balance: 52,000.00 + $21.15 accrued interest SAVINGS ACCOUNT #5003156783 Established OS/25/2000 PHYLLIS KOONS DOD Balance: $121,775.71 + $491.68 accrued interest #5130123685 Established 12/05/1984 PHYLLIS KOONS 000 Balance: $5,571.86 + $4.08 accrued interest Page 2 of3 A member of Th~ PNC Finant':i;,1 Services Group PNC Bonk N.A. Pittsburgh Pcnnsvlvtlnia 1 S2Eif, FEB-12-2001 16:29 PNCBANK CIF DEPARTMENT 412 705 0057 P.03/03 GPNCBAN< Our oftlee only provides date of death balances for IRA's, CD's, Checking and Savings accounts. We do NO Fmancial Transactions or Statement Orders. For Furtber informadon please call1-80Q.4-BANKER or your local PNC Branch and ask to speak with a Financial Services Representative. Page 3 of3 A member of The PNC Financial Scrvil:tli Group PNC Bank NA PittSOLJrgh Penns.ylvania 15265 TOTAL P. 03 !l allfirst Allfirst Financial Center -'LA., Po. Box 900 Millsboro. DE ] 9966 January 30,2001 Stone LaFaver & Shekletski Attomeys At Law 414 Bridge Street P.O. Box E New Cumberland, PA 17070 RE: Estate of Phyllis An!! Darr Koons iI~\i:e oi Leaih: DCt:i.:ulDer 1"::-, 2QOO Social Security Number: 184-36-7258 Dear Mr. Stone: In response to your request, please be advised that at the time of death, the above- named decedent did have on deposit with this bank the following account. 1. Account Type........................... Savings Account Account Number....................... 8700490172299 Ownership (Names ofl.............. Phyllis Ann Darr Koons Opening Date..... ......................01/01/68 Balance on Date ofDeath.........$371.80 Accrued Interest $ .16 Total............. ...................... ....$371.96 This letter does not include any accounts in which the deceased may have been listed as power of attorney, custodia.'1 of uniform transfers, repn"!'J.:'ntative payee, or ttustee under a written trust agreement. For any additional information on these accounts, please contact our branch at: 213 Market Street Harrisburg, PA 17101 Phone: (717) 255-2072 Sincerely, (AaJ111J../ Ua{fLljlfh-- Charlene Warrington, Assistant III (302) 934-2722 Commerce t:1Bank.. :7 September 4, 2001 Stone Lafaver & Shekletski Attorneys At Law 414 Bridge Street POBox E New Cumberland, PA 17070 RE: Estate of: Phyllis A Koons Social Security #: 184-36-7258 Date of Death: December 15, 2000 Dear Sir/Madam: In reference to the letter regarding the above mentioned Estate, we would like to inform you of the information that we have researched and found. Type: Savings Account #: 616159276 Date Opened: 9/25/97 Primary Owner: Phyllis A Koons Power of Attorney: David H Stone Date of Death Balance: $133,442.38 Accrued Interest: $289.62 If there are any questions or additional information that is needed, please feel free to contact me at (717) 795-7118 ext. 3151. Sincerely, \ " ~ r\ '---,r-v--\ ,.r,-,,<___'-* r' 1(<-'1'?,> v Wanda J. Morris elF Associate Commerce Bank, N.A. P.O. Box 8599 100 Senate Avenue Camp Hill, Pennsylvania 17001-8599 F~N" Reference 10: 136459 First Union National Bank Attn: Account Verifications POBox 40028 Roanoke VA 24022-7313 February 7, 2001 STONE, LAFA VER & SHEKLETSKI PO BOX E NEW CUMBERLAND, PA 17070 SUBJECT: Verification I Confirmation of Account and Balance Information provided for: PHYLLIS A KOONS (SSN# 184-36-7258) Date of Death: December 15, 2000 DeDosit Account IDformation Account Type Account Number Date of Death Balance Average Balance. Date Opened Maturity Interest Accrued YTO Date Date Rate Interest Interest Paid Closed SAVINGS 3069960288188 $1.133.77 12/1/1987 $0.53 $10.48 LEGAL TITLE: PHYLLIS A. KOONS '" Due to system limitations, we can only provide a twelve month average balance on depository accounts. '" Date of death balance does not include accrued interest. '" If date of death occurrs on a weekend or a holiday, date of death balance does not include any transactions that were made during that time period. J Sign ture of Depository Representative February 7. 2001 Date Julia Sorrells Depository Representative Servicenter Associate Title (540)563-7323 Phone Number sss;tkw ~O'032 ~IWaYRqint LOOK FOR US, WE'LL GET YOU THERE. JANUARY 17,2001 STONE LAP AVER & SIlEKLETSKI 414 BRIDGE ST POST OFFICE BOX E NEW CUMBERLAND P A 17070 The information which you requested on the PHYLLIS A KOONS DECEASED (Social Security Number 184-36-7258) is as follows. Account Number(s) 100027578 Class of Account SAVINGS Date Opened 010171 Princi pal Balance 328.71 Accrued Interest .24 Balance at Date of Death 328.95 Account Ownership SOLE Name of Joint Owner, if any GRACE A DARR Date Ownership Was Established 010171 Additional Information Requested PLEASE COMPLETE W-9 Siocerely, ~/f:/ ~1lv'v Kathy L. Iya.ng 0 8enior ~03S REp. P.O. Box 1711. HARRISBURG, PENNSYLVANIA 17105-1711 Toll Free J-B66-WAYPOINT (I-B66-929-7646) . www.waypointbank.com Metropolitan Lite Insurance Company Annuity Administration Operations 12902 East 51st Street, PO Box 22053 Tulsa, OK 74121-2053 MetLife RE 000704784RB Phyllis Koons, deceased DAVID STONE ATTY 414 BRIDGE ST NEW CUMBERLAND PA 17070 Dear Mr. Stone: Thank you for notifying us of the death of our payee, Phyllis Koons. On behalf of MetLife, please accept my condolences. For us to pay the death proceeds on the above listed contract, please send us the following: 1. The Contract or completed Lost Contract/Certificate Affidavit 2. A copy of the death certificate. 3. A claimant's statement filled out by the beneficiary Thelma Heaps. If Thelma is not living the contingent beneficiary is Roy Heaps. The date of death value on the above contract is $1,783.43. Upon receipt of the above information, we will process the claim. If you have any questions or concerns, please contact our Customer Service Center at (800) 635-7775. Sincerely lIidMia ~eet4te44 Victoria Heustess Annuity Benefits October 11, 2001 tOMMONWEALTH LAND TITLE INSURANCE COMPANY A. Settlement Statement B. Type of Loan l.[]FHA 2.(]FmHA 3.(]Conv.Unins. 4. {]VA 5. [X]Conv. Ins. e.Note: This form is furnished to give shown. Items marked II (p.o.c)" were paid the totals. D.Name and Address of Borrower Jonathan B. Leiby I 6.File Number I you a statement of actual settlement costs. Amounts paid to and by the settlement agent are outside the closing; they are shown here for informational purposes and are not included in U.S. Department of Housing and Urban Development OMS No. 2502-0265 Title Insurance No.D304614CP !7.Loan Number I 615883786 la.Mortgage Insurance Case No. I IE.Name and Address of Seller I David H. Stone, Executor of the Estate I of Phyllis A. Koons, deceased I I I I G.Property Location 23 Creekside Drive Enola, PA 17025 East Pennsboro Township, CUmberland County. PA J. SUMMARY OF BORROWER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: lOI.Contract sales price 102.Personal property 103.Settlement charges to borrower (line 1400) 50000.00 3424.64 IF.Name and Address of Lender First United Mortgage Services, Inc. 4931 Carlisle Pike Mechanicsburg, PA 17050 H.Settlement Agent COMMONWEALTH LAND TITLE INSURANCE COMPANY place of Settlement 17 SOUTH MARKET SQ. SUITE 2-A, HARRISBURG, PA 17101 Linda K. Trively LKT K. SUMMARY OF SELLER'S TRANSACTION 400. GROSS AMOUNT DUE TO SELLER 401.Contract sales price 402.Personal property 403. jI.Settlement Date July 17, 2001 50000.00 79.77 Adiustments for items paid bv seller in advance 106 . City/town taxes 07/17/01 to 12/31/01 107 . County taxes to 108. SCHOOL TAX 07/17101 to 06/30/02 109.REFUSE/SEWER 07/17/01 to 09/30/01 79.77 645.09 71.18 Adiustments for items paid by seller in advance 406.City/town taxes 07/17/01 to 12/31/01 407. County taxes to 408 . SCHOOL TAX 07/17/01 to 06/30/02 409.REFUSE/SEWER 07/17/01 to 09/30/01 645.09 71.18 120. GROSS AMOUNT DUE FROM BORROWER 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER 201.Deposit of earnest money 202.Principal amount of new loan(s) 203.Existing loan(s) 206. 54220.68 5000.00 47500.00 420. GROSS AMOUNT DUE TO SELLER 500. REDUCTIONS IN AMOUNT DUE TO SELLER 501.Excess Deposit (see instructions) 502.Settlement charges to seller (line 1400) 503.Existing loan(s) S06.Deposit or earnest money with seller 50796.04 2663.08 5000.00 Adlustments for items unpaid by seller 210.City/town taxes 211.County taxes to to Adlustments for items unpaid bv seller 510.City/town taxes to SII.County taxes to 220. TOTAL PAID BY/FOR BORROWER 300. TOTAL AT SETTLEMENT FROM/TO BORROWER 301.Gross amount due from borrower (line 120) 302.Less amounts paid by/for borrower (line 220) 303. CASH ([XX] FROM) (( ] TO) BORROWER 52500.00 54220.68 52500.00 1,120.68 520. TOTAL REDUCTION AMOUNT DUE SELLER 600. CASH AT SETTLEMENT TO/FROM SELLER 601.Gross amount due to seller (line 420) 602.Less reductions in amount due seller (line 520) 603. CASH ([XX] TO) ([ 7663.08 50796.04 7663.08 FROM) SELLER 43,132.96 FORM 911 (4-88) HOD-l (3-86) RESPA, HB4205-2 D304614CP L. SETTLEMENT CHARGES Paqe 2 of Form Approved OMB No. PAID FROM BORROWER'S FUNDS AT SETTLEMENT 701.$ 702.$ 700. TOTAL SALES/BROKER'S COMMISSION based on price $ 50000.00 @ Division of commission(line 7001 as follows: 3.00\ '" 1500.00 to Claude wolfe & Associates to 703.Commission Paid at Settlement 704.$ BOO. ITEMS PAYABLE IN BOl.Loan Origination Fee B02.Loan Discount to CONNECTION WITH 1.37 \ 1.62 \ B03.Appraisal Fee B04.Credit Report BOS.Lender's Inspection Fee BOB.Administrative Fee B09.Document Prep. Fee B1D.OVernight Mail Fee 811. Flood Fee LOAN to First United Mortgage Services, Inc. to Interfirst, A Division of ASN AMRO to First United Mortgage Services, Inc. to First United Mortgage Services, Inc. Interfirst, a Division of ASN AMRO First United Mortgage Services, Inc. First United Mortgage Services, Inc. First United Mortgage Services, Inc. 1500.00 [POC $225.00] [POC $45. OOl 653.13 771.88 275.00 175.00 29.00 10.00 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901.Interest from 07/17/01 to 08/01/01 @$ 7.92 /day 901.1 Interest from to @$ /day 902.Mortgage Insurance Premium for mo. to First United Mortgage Services, Inc. 903.Hazard Insurance Premium for yrs.to First United Mortgage Services, Inc. 118. BO 3a.34 1000.RESERVES DEPOSITED WITIl LENDER 10Ol.Hazard insurance 2 mo.@$ 19.17 per mo. 1002.Mortgage insurance mo.@$ 22.17 per mo. 1003.City property taxes mo.@$ per mo. 1004.County property taxes 6 mo.@$ 14.53 per mo. 100S.SCHOOL TAXES 1 mo.@$ 56.3a per mo. 100a.Aggregate Accounting Adjustment B7.18 56.38 -91.82 1100. TITLE CHARGES 1101.Settlement or closing fee 1102.Abstract or title search 1103.Title examination 1104.Title insurance binder 1106.Notary Fee {includes above items No.: 1108.Title Insurance (includes above items No. : 1109.Lender's coverage 1110.0wner's coverage $ $ ll12.ENDORSEMENT PA 100 - CO. 1113.ENDORSEMENT PA 300 1114.ENDORSEMENT PA 900 (ALTA a.ll 1115.EXPRESS MAIL to to to to to Linda K. Trively ) to COMMONWEALTH LAND 1101 - 1104) 47500.00 50000.00 to COMMONWEALTH LAND TITLE to COMMONWEALTH LAND TITLE to COMMONWEALTH LAND TITLE to COMMONWEALTH LAND TITLE TITLE 15.00 2502-0265 PAID FROM SELLER'S FUNDS AT SETTLEMENT 1500.00 1****************1************** 52a.7S 1****************1************** 1****************1************** 1****************1************** 50.00 50.00 50.00 15.00 1200. GOVERNMENT RECORDING AND 1201.Recording fees: 1202.City/county tax/stamps: 1203.State tax/stamps 1204.RECORDING/Assignment Deed $ Deed $ Deed $ TRANSFER CHARGES 29.50 Mortgage $ 500.00 Mortgage $ 500.00 Mortgage $ 47.50 Releases $ 1300. ADDITIONAL SETTLEMENT CHARGES 1303.2001/2002 School Taxes to Jane E. Biddle, Tax Collector l400.TOTAL SETTLEMENT CHARGES (entered FORM 912 (4-88) on lines 103. SECTION J AND 502. Section K) See page 3 for certification and signatures 77 .00 500.00 16.00 3.424.64 500.00 663.08 2.663.08 . Page 3 of Form Approved OMS No. 2502-0265 Title Application No: D304614CP CERTIFICATION I direct and authorize the Company to make the distributions indicated for my account on the attached HOD-I Settlement Statement, recognizing that the Company is not responsible for the accuracy or validity of disbursement amounts or the completeness of disclosure of charges made by others. Disbursements made hereunder are guaranteed by the Company. Funds deposited with the Company in connection with the settlement are not held in trust, and interest or other valuable consideration may be earned and retained by the Company on such settlement funds ~~:ved a /" I have carefully reviewed the HUD-I Settlement Statement and to accurate statement of all receipts and disbursements made on my copy of the HUD-l Settlement Statement. /~> ~ the best of my knowledge account or by me in this and belief, it is a true and transaction. I further certify Borrowers ~1 o '4'oj 0, ~ ~ \ ~ P-'Y'W~-~ ;;'6 ~t.. ? ' <t 1'\"'1/(,. <I:~-./. Address Address I have prepared is in accordance with a true and accurate account of this transaction. I have caused or this statement. Date 7//01 I WARNING: It is a crime to make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code Section 1001 and Section 1010. Form 471 (Rev. 11/87) Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy Kirk S. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: 429 6/29/2005 Phvllis A. Koons 21-01-0048 DAVID HSTONE 414 BRIDGE ST ,k NEW CUMBERLAND, PA 17070 4.00 Total $4.00 Qty 1 Fee Description Short Certificates Fee Total: $4.00 Checks should be made payable to the Register of Wills. Terms: Net 30. Please retum one copy of this invoice with your payment. Thank you. Blare of Phyllis A. Koons also known as phyllis D. Koons PE:TITION FOR PROBATE and GRANT OF LETTERS 0>\ - 01- 46 No. To: Register of Wills for the _ Deceased. County of rt lmhPr 1 rinn in the Social Securiry No. 184-16- 7258 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who islmre 18 years of age or older an the executor in the last will of the above decedrnt, dated January 29 and codicil(s) dated named , 19 98 (state relevant circumstances, c.g. renunciatti"n. l2~~Rh 01 ~xecutor, etc.) Decendent was domiciled at death in Cl]mberlanp..._~ 0.. County, Pennsylvania, with h~r last family or principal residence at 175 Claremont Drive, Middlesex Township, Cumberlan~ County, Pennsylvania . (list street, number and muncipality) D~cer!dent, then 80 years of age, died December 15 ,~ 2000 at rl rlremont Nursinq & Rehab, Middlesex Two.. Cun.1Qerland County, PA . Except as follows, decedent did not marry, was not divorced ~nd did not have a child born or adopted after execution of the will offered for probate; was not the vi[,~a~: (;f a killing and was never adjudicated incompetent: -'_ Decendent at death owned property with estimated values as follows; (If domiciled in Pa.) All personal property (If not cionliciled in Pa.) Personal property in Pennsylvania: (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: 23 Creekside $250.000.00 $ $ $ 25,000.00 Dr ., East Pennsboro Twp., Cumber land County, PA WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codiciI(s) presented herewith and the grant of letters testrlTTlPntriry (testamentarY; administration c.t.a.; administration d.b.n.c.t.a.) theron. ~ c- ~. ~ i u c u "'- :-E ~ . -' - ~1 I, l ~ ~ ~ c:......::_~ H,' stone ~o ;:g E~ u'- :: o. C; c ClO Ci5 414 Bridge street New Cumberland, PA 17070 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } S8 COUNTY OF nThffirnT.A~ The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tarive(s) of the above decedent petitioner(s) will ell an y admi ste the estate according to law. affirmed and subscribed 10TH day of X~2U01 .,,-J Cf) 00' :: ~ ~ ~ ~ 2 Register l~-~ot-( No. 21 - 01 - 48 Estate of Phyllis A. Koons, a/k/a Phvllj~ D. Koons , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW JANUARY 10, .~ 2001, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated January 29, 1998 described therein be admitted to probate and filed of record as the last will of Phvllis A. Koons a/k/a Phyllis D. Koons and Letters Testamentarv are hereby granted to David H. Stone Lfrf~(!.ik~~. ~..", ,/ (<=~:i~IS - .. ~/,))~,~~ David H. Stone #39785 AlTORNEY (Sup. Ct. 1.0. No.) 414 Bridge st., New CUmberland, PA 17070 ADDRESS FEES Probate, Letters, Etc. ......... Short Certificates( 1 ~ . . . . . . . . . . Renunciation ................ X-Pages JCP $ 270.00 $ 30.00 $ ~.uu $ S.OO TOTAL _ $ .314.00 JANUARY 10, 2001 ..... ........ .... ............. ..... (717) 774-7435 Filed PHONE Mailed letters to attorney on 1-10-01 ih lS is to certify that the infornlation here given is correctly copied ft'om an original c~rtificate of death du:)~ flIed with me as I . Co '11 b Lo""varded to the Stat e Vital Records Office for pernlanent tIlIng. I.ocal Registrar. The origina certlIlCate Wi e II ~ ~ WARNING: It is illegal to duplicate this copy by photostat or photograph. No. "",11111""",//"-,, ,llf~ "\.\\\ OF pC;;'." II'. ~ \.. t' --------.. l:1( 4' '-:.. lll~Y . .' ~~~ ~~~/ .~.~.... \~\ ~~::iE' .'.:...... . ,.~~ ~ c::I: '~.,f . '. .i: ~ ~~', ,'j~' .' ~ " \ - -~.', i S \~ * ~ ',. ' . ", . ~ * $ '\ a.\ ~"".' /~l "::. ~" .... /~ ,I ~ :.tjJ~_ /'~'r' III ---',:<!MENl \\~ ~ fll~\.1 "'""/'J///////1IIJIJIJJ' I ,-') -~ U;,,~ k~~ Local Registrar Fee for this certificate, 52.00 P 7021910 ore 1 b 2000_ Date c3 An. :lJI7 COMMONWEALTH OF PEN"SYLVANIA · OEPARTMENT OF HEALTH · VITAL RECORDS CERTIFICATE OF DEATH HAM( OF DECeDENT IF.., ModrlIe. U... ,. AGE 4\.'" ~ l1.i.../.J D. sex t.- e.male STAfE fU MlM8EA SOCIAL seCURITY NUMBER J.184 - 36 -7258 DAlE OF DEATH ,Monf\. O'y......., ~ toy end PUCE OF DERH lCNdo friV.... - .... ""'ocloOf~ Ilf' Qlher ... SIIIe ar Fareogn CounIrvl HOSPITAl.: OTHER: .dInt 0 E~ 0 D04 0 N\nIng JlC1 7.cnola, rpa ... HarM ~ FACIlITY NAME (II nollnll'Ulon. ~ sire<< IIlCI number. c. Dee 15, 2000 ~o , !NFOMWn'S NAMI (TypeIPm) 7<0 E~ ,2. 13. (0-'2) U k. 17L'" rp e.nn/.J 1)1 v an.i... a DId dec:edenl _In. toowIaNp? 11c1.o :t..ndec:=-=or MOTtiE...S NAME IF.... Modele. M8ldIn Surname) MARITAl. STATUS. M-*I "-Murled. ~. 0IY0rced (SpecIfy) 14. W.i...dow II 17c.1iI "'.dec:edentheclln M j rI rI J () A () Y I/!Jn I '-9 375 Cla~emont D~.i...ve ,.. C a~li/.J 1 e., rp a .....HEA.S NAMe IF.... Middle. la..) Cumbe.~land 1 ?It. ~ " ~~aee Da~~ 1NF0000000S MAlUNO AODAESSCSlr....~. St8Ie.l1p Code) . 69 Ba~~en/.J V.i...lla eLane, 7<oanoke., Va PlACE OF DISPOSmON. N_ or Cemetery, Cr_lory lOC.cnoH . CiIy(Town. St.... Co Code ar 01'* PIKe Hill rpa ~ATI CAUSIIF.... ~ar condollcw\ ._....-nv on cMaIh.- a. c~ V \' DUE 10 COR AS ACONSEOUENCE OF): 2t. I Appoxima'lI 11nl__~ : oneM end dedi I I I PART II: ~~.. CIDftdIIIoM ..:11...........10 immadIaIe -.ii-. ,.... UNDIM.YINQ _c..-.o-ar.... --.........., ..,.,.... .'..-no.,..... LAST lb. c. d DUE 10 COR AS A CONSEQUENCE OF): DUE 'IOCCA AS ACONSEOUENCE Of): ~VMS AN AUTOPSY W(AE AUlOPSY 'INOINOS MANNER OF DEATH ="AFOAMEO'r ""1LA8lE PNOA 10 - COMP\.nlON OF CAuse fit 0 OF DEATH? Natural HomIdda -- AcCldenI 0 Pendng llwestlgallon 0 -- 0 No~ ....0 No 0 SuIcIde 0 Could IlOI be detennlMd 0 DATe OF INJURY IMonIh 0.,. -... TIME OF INJURY INJURY /(f 'NOAK? DESCRIBE HOW INJURY OCCURR€O. '1ft 0 No 0 ... M. PlACE OF INJURY. AI '-. 1_, ...... IKlory. ofIlc. building. ale. eScleolv) ... 21b. 21. JOe. a"'.IfA.Ct-ecll oroiy <.'f'f'1 oaATWYING PHVSICIAN CF'hy1lCoan cerlolyong c:auM 01 dnIh whar anolher ~.., has prOl'OunCed ..... ana cClfftClleled Item 231 T. ... ..... of III. llnowtedge. de.... oeeurrad due Iolhe c_(s) IInch"a~' .. .latlld. . . . , . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . ~ .PAONQUNCJNO AND CERTI'VING PHYSICIAN~1lII\1loIh Pfor>our'C"'O oealh oIodcefklylnqlOcauwol MaiN I r........ of "'Y k__...,.. d..'" occurred...... ....... de,.. IInd plec., IInd due 10.... ClluH(.) IIIICI ","nner.. .ellllld.. . . . . . . . . . . . . . . . . . . . . . . . . .~ ..000Al fXAMINEA/CORONER K e.nn e.th 7? /I a~m On",- b..I. o1..aminatlon anctlOf Inva.Ugallon.ln my opinion. dnlh occurred al Ihe lima. dale, and place. and due to lh. CIIUI.CS) and )," Man_ aa alatlld.. . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 32.1 83 0 ~ 0 0 d Hop e 7< d., En 0 1 a , <P a -l RE~RS SIGN~O ~ DATE FllEDfMOfflh Day ....all " .. At'..rlr/ ( t.~~~ ~/dl/L(I >>t7~.. /C ~t:;ffd /6-c:2c://- r; '\, . BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION 'DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT DAVID H STONE ESQ STONE ETAL 414 BRIDGE ST NEW CUMBERLAND l)2 Hl-l< 29 n .-1 .~ .-.) ~' .) .. ,..~~ L~ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN *' REY-U07 EX AFP (01-02) 04-08-2002 KOONS 12-15-2000 21 01-0048 CUMBERLAND 101 PHYLLIS A \'.' PA~Ul~07;0 Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV: i 6"ifj-ix--AFP--foi-:02i-------...--iNifERI'T-ANc'E-- TAX--STAfEM'E-tiT-ifF-AC-couiff--...---------------- -- --- ESTATE OF KOONS PHYLLIS A FILE NO.21 01-0048 ACN 101 DATE 04-08-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-11-2002 P R I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... PAYMENTS (TAX CREDITS): 37,847.99 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 03-15-2001 AA478155 1,892.40 45,000.00 03-22-2002 REFUND .00 9,044.41- TOTAL TAX CREDIT 37,847.99 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 II IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) c /6-02C;/- 7' BUREAU OF INDIVIDUAL TAXES '," INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG I PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX Fit:. DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-18-2002 KOONS 12-15-2000 21 01-0048 CUMBERLAND 101 DAVID H STONE ESQ STONE ETAL 414 BRIDGE ST NEW CUMBERLAND .02 APR-1 :01 *' REY-15li7 EX iFP (01-02> PHYLLIS A l~,~-l PA~um170 Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-Y-=is4"j-Ex--AFP--col-:02i--NOy-iCE--oF-i-NHEifiTAiicE-Y-A)rA-PPRjrisEMENT~--ALi-owAircE-oR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KOONS PHYLLIS A FILE NO. 21 01-0048 ACN 101 DATE 03-18-2002 TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 1S. Allount of Line 14 at Spousal rate (lS) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 .00 X 045 = .00 16,275.76 X 12 = 1,953.09 239,299.33 X 15 = 35,894.90 (19)= 37,847.99 (1) (2) (3) (4) (S) (6) (7) 50,000.00 647.48 .00 .00 270,728.94 58,694.66 1,783.43 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitab1e/Governllenta1 Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 118,271.96 8,007.44 (11) (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. (8) 381,854.51 126.279 40 255,575.11 .00 255,575.11 . '" .,,_n' Kt:l,;t:~""1 I (+J AMOUNT PAID DATE NUMBER I INTEREST/PEN PAID (-) 03-15-2001 AA478155 1,892.40 45,000.00 TOTAL TAX CREDIT 46,892.40 BALANCE OF TAX DUE 9,044.41CR INTEREST AND PEN. .00 TOTAL DUE 9,044.41CR . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDITIIII (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) est\rel\KOONSrelease ,il i IN RE: ESTATE OF PHYLLIS A. KOONS,: a/k/a PHYLLIS D. KOONS, LATE OF THE TOWNSHIP OF MIDDLESEX, CUMBERLAND COUNTY, PENNSYLVANIA IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-01-0048 RECEIPT, RELEASE AND WAIVER OF ACCOUNTING KNOW ALL MEN BY THESE PRESENTS, that THELMA HEAPS, by her attorney-in-fact, ROY HEAPS, being one of the beneficiaries under the will of PHYLLIS A. KOONS, a/k/a PHYLLIS D. KOONS, do hereby acknowl- edge that I have received all sums of money and property due me by virtue of the death of Phyllis A. Koons, a/k/a Phyllis D. Koons, in full satisfaction and settlement of all of my rights and claims under her estate. I further declare, intending to be legally bound, that I hereby waive my right to require the filing of a First and Final Account and Proposed Schedule of Distribution in any Court of Common Pleas having lurisdiction over the same, and I acknowledge that I have had an opportunity to examine copies of the books and records of the said estate, and I agree to the final distribution of the estate without further formalities, and with the same force and effect as if a First and Final Account and Proposed Distribution had been filed in a Court of Common Pleas of Pennsylvania having jurisdiction over the same and duly audited and confirmed. est\rel\KOONSrelease IN RE: ESTATE OF PHYLLIS A. KOONS,: a/k/a PHYLLIS D. KOONS, LATE OF THE TOWNSHIP OF MIDDLESEX, CUMBERLAND COUNTY, PENNSYLVANIA IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-01-0048 RECEIPT, RELEASE AND WAIVER OF ACCOUNTING KNOW ALL MEN BY THESE PRESENTS, that I, JONATHAN DARR HEAPS, being one of the beneficiaries under the will of PHYLLIS A. KOONS, a/k/a PHYLLIS D. KOONS, do hereby acknowledge that I have received all sums of money and property due me by virtue of the death of Phyllis A. Koons, a/k/a Phyllis D. Koons, in full satisfaction and settlement of all of my rights and claims under her estate. I further declare, intending to be legally bound, that I hereby waive my right to require the filing of a First and Final Account and Proposed Schedule of Distribution in any Court of Common Pleas having jurisdiction over the same, and I acknowledge that I have had an opportunity to examine copies of the books and records of the said estate, and I agree to the final distribution of the estate without further formalities, and with the same force and effect as if a First and Final Account and Proposed Distribution had been filed in a Court of Common Pleas of Pennsylvania having jurisdiction over the same and duly audited and confirmed. AND THEREFORE, I, JONATHAN DARR HEAPS, do by these presents, remise, release, quitclaim and forever discharge the Executor, his heirs, successors and assigns, from the acts of the Executor as afore- said, and of and from all actions, suits, payments, accounts, reckon- ings, claims, and demands whatsoever, for or by reason thereof, or a0Y other act, matter, cause or thing whatsgever, and I do hereby consent to the discharge of the said Executor. IN WITNESS WHEREOF, I have hereunto set my hand and seal the g-",{ day of ~/y \.,/A ~'Q~~~ Fss , 2002. ~~~~ ~ /' JONATHAN DARR HEAPS -" COMMONWEALTH OF VIRGINIA SS: COUNT:nO:his, the ~ daY.~JI OOj~ , 2002, before me a Notary Public, the under::g::O::::::O, personally appeared JONATHAN DARR HEAPS, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowl- edged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hand and the day and year first above written. J -2- J IIit .ll' ....tF;.*,_W',..""',;~~..""""".M_;_~-",.,~~......."'.,..."'_...~,"'_ ~. est\rel\KOONSrelease '\ I . I IN RE: ESTATE OF PHYLLIS A. KOONS,: a/k/a PHYLLIS D. KOONS, LATE OF THE TOWNSHIP OF MIDDLESEX, CUMBERLAND COUNTY, PENNSYLVANIA IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-01-0048 RECEIPT, RELEASE AND WAIVER OF ACCOUNTING KNOW ALL MEN BY THESE PRESENTS, that I, DANA HEAPS, being one of the beneficiaries under the will of PHYLLIS A. KOONS, a/k/a PHYLLIS D. KOONS, do hereby acknowledge that I have received all sums of money and property due me by virtue of the death of Phyllis A. Koons, a/k/a Phyllis D. Koons, in full satisfaction and settlement of all of my rights and claims under her estate. I further declare, intending to be legally bound, that I hereby waive my right to require the filing of a First and Final Account and Proposed Schedule of Distribution in any Court of Cornmon Pleas having jurisdiction over the same, and I acknowledge that I have had an opportunity to examine copies of the books and records of the said estate, and I agree to the final distribution of the estate without further formalities, and with the same force and effect as if a First and Final Account and Proposed Distribution had been filed in a Court of Cornmon Pleas of Pennsylvania having jurisdiction over the same and duly audited and confirmed. I- I AND THEREFORE, I, DANA HEAPS, do by these presents, remise, release, quitclaim and forever discharge the Executor, his heirs, successors and assigns, from the acts of the Executor as aforesaid, and of and from all actions, suits, payments, accounts, reckonings, claims, and demands whatsoever, for or by reason thereof, or any other act, matter, cause or thing whatsoever, and I do hereby consent to the discharge of the said Executor. IN WITNESS WHEREOF, I have hereunto set my hand and seal the 8 day of , 2002. ~4 DANA HEAPS .. COMMONWEALTH OF VIRGINIA SS: COUNTY OF On this, theL day , 2002, before me a Notary Public, the undersig personally appeared DANA HEAPS, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have my hand and seal the day and year first above written. -2- est\rel\KOONSrelease IN RE: ESTATE OF PHYLLIS A. KOONS,: a/k/a PHYLLIS D. KOONS, LATE OF THE TOWNSHIP OF MIDDLESEX, CUMBERLAND COUNTY, PENNSYLVANIA IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-01-0048 RECEIPT, RELEASE AND WAIVER OF ACCOUNTING KNOW ALL MEN BY THESE PRESENTS, that I, MANDIE HEAPS BENGE, being one of the beneficiaries under the will of PHYLLIS A. KOONS, a/k/a PHYLLIS D. KOONS, do hereby acknowledge that I have received all sums of money and property due me by virtue of the death of Phyllis A. Koons, a/k/a Phyllis D. Koons, in full satisfaction and settlement of all of my rights and claims under her estate. I further declare, intending to be legally bound, that I hereby waive my right to require the filing of a First and Final Account and Proposed Schedule of Distribution in any Court of Common Pleas having jurisdiction over the same, and I acknowledge that I have had an opportunity to exarnine copies of the books and records of the said estate, and I agree to the final distribution of the estate without further formalities, and with the same force and effect as if a First and Final Account and Proposed Distribution had been filed in a Court of Common Pleas of Pennsylvania having jurisdiction over the same and duly audited and confirmed. ~:G',"N"""":""",'_'":""_,',',.";'"",,"-,,4-i~~"~",,,,,,_:,,"",~":~",,:........~;~,,,...,~i;:~~~.,___~""Il'~~ AND THEREFORE, I, MANDIE HEAPS BENGE, do by these presents, remise, release, quitclaim and forever discharge the Executor, his heirs, successors and assigns, from the acts of the Executor as afore- said, and of and from all actions, suits, payments, accounts, reckon- ings, claims, and demands whatsoever, for or by reason thereof, or any other act, matter, cause or thing whatsoever, and I do hereby consent to the discharge of the said Executor. IN WITNESS WHEREOF, I have hereunto set my hand and seal the --r--' I ~V.G.,i ) 4f/~~~d// Wltness j J~ I" day of , 2002. I .~ ///',' /' ,", . ;/tfltdx II .~ MANDIE HEAPS BENG STATE OF MARYLAND SS: COUNTY OF ~ On this, the 1& -If) day of "" }u1j , 2002, before me a Notary Public, the undersigned officer, personally appeared MANDIE HEAPS BENGE, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowl- edged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and seal the day and year first above written. l/ ;)bt- I /~7~ /J~ ~/ Notary Public / €;p,: :}. /1'1/ -2- ,. ., 4 !J L/ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Phyllis A. Koons Date of Death: December 15, 2001 Will No. 21-01-0048 To the Register: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes ~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: (a) Did the personal representative file a final account with the Court? Yes No X (b) The separate Orphans' Court No. the personal representative's account is: (if any) for N/A (c) Did the personal representative state an account informally to the parties in interest? Yes~ No Date: (d) Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and.1Y e attached to this report. _'I ") 3 I. f L ~ -\) ~ v \ i _.~H/~ 414 Brlage Street New Cumberland, PA 17070 717-774-7435 Capacity: Personal Representative X Counsel for Personal Representative --- Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 ". .. Date: 11/05/2002 DAVID H STONE 414 BRIDGE STREET NEW CUMBERLAND, PA 17070 RE: Estate of KOONS PHYLLIS A File Number: 2001-00048 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 12/15/2002 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, MARY C. LEWIS REGISTER OF WILLS cc: .j File Counsel Judge COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND l J 55: David H. Storie, being duly sworn is the Executor according to raw, deposes and says that he of the Estate of Phyllis A. Koons late of ---MiddleJ3_ex--T.ownsh4L______ , Cumberland County. Pa.. deceased and that the .th.. . t d b David H. Stone, th.d Executor WI In IS an ,"ven ory ma e y _, e sal of the entire estate of said decedent, consisting of all the personal prop~rty and real esta.... except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the lnve tory represent it's fair value as of the date of decedent's death. j' I l and subscribed before me, 19 ~/ " 414 Bridqe Street New Cumberland, PA 17070 J Address Date of Death 15 12 2000 Day Month Year INSTRUCTIONS r. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. >- ." C/) G) 00 I- W ~ ~ c:: I- lU qt >- w < 0 Q) 0 a:: a.. I- 0 ~ u 0 V') ~ E-i Q) G 0 0 w w C C' >- I J: a:: lU G) M f- a.. LL . ~ a. c I- ...J '" ... 0 Z < 0 ~ OJ a.. 0 LL ..J == I i W 0 < w C/) .;.. < M Ii > z c:: C/) OJ - N Z 0 .r-! ~I c II C ,..-i :J ci Ii V) z ,..-i 0 c:: U z I w < :>t ..,. a.. .!:: ~I ." ! Pol c lU I ... "i: \ 0 Q) ..c ." ~ II Q) E - ...! 0 '" :J 0 !I ..J U u: CD Inventory of the real and personal estate of Phyllis A. Koons deceased Inventory Estate of Phyllis A. KOons Fvam 12/15/00 To 10/18/01 Description Accrued Interest Cash on Hand Cash on hand Checking Accounts Mellon Bank-Checking Acct. 0.81 Savings Accounts "A J l.fi.rst -Savings Acct. "- ..,,,. V..l.O Camerce Bank-Savings Acct. 289.62 First Union National Bank 0.53 PNC Bank-Savings Acct. #5003156783 PNC Bank-Savings Acct. #5130123685 491.68 4.08 WaYPJint Bank-Savings Acct. 0.24 Federal Notes and Bonds EE $500 US Savings Bond EE $100 US Savings Bond Residences 23 CXc21:cide IZ., Enole: property Misc. Personal Property Miscellaneous personal property Reflli1ds Cumberland County-oveIpayrreI1t u. S. Treasury-tax relief refund Value 371.96 133,732.00 1,134.30 122,267.39 5,575.94 328.95 539.60 107.88 240.00 300.00 Total 45 44 6,632 96 II I I I I 1 I , I I I I 263,41 .54 .00 5 0.00 321,3 6.42 ====== ====== :n 0 g ." 0 Z 0 ~ J;> ~ ~ ~ ~ m ~ m rn ; ....~ ;. 0 -r'O (/) ~ -n ~ '."TI ~ @ fOo ~ ~ w.'" 00 ",rn '0 ....,:~ C)rn ...,.0 ~ ....~ ~ O~ ....;. tn~ (J~ om tJ'm ,..~ rn tn ....... ~ "- "13~ ('1 t\l 0 N '1'. g t 0 0 :r. . 0 0 -<:P 0 0 0 ...... \"fn r-l .... ~--- bl (;'\ :D '11 :0 ~ ~ ~ ~ ~ ~ ~ ~ ~ -\ S f=:. ~ a c ~ -0 ~ 0 t.n " -, \ \ -n % :t: (Tl :!1 rn ~ 'm~ Z~ f'j ~ ~ j," OJ rn \ rn Z. rJ JJ ." <) 0 ,-, :JJ ::" s ::> ~ (') '6 .t,... ~ cc Z ~1"\ 01 t;1 Z ~ oJ f""., ... \ r;J (t- -...! 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