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07-17-15 (2)
Jpennsylvanla 1505618627 3M464710.000 DEPAR NIEN70F REVENUE a(03-14)(TP) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 21 14 1063 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 10172014 03131929 Decedent's Last Name Suffix Decedent's First Name MI ELLIOTT BETTIE R (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 0 1. Original Return 2. Supplemental Return 3. Remainder Return(date of death prior to 12-13-82) F-1 4. Agriculture Exemption(date of 5. Future Interest Compromise(date of 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) 7. Decedent Died Testate 8. Decedent Maintained a Living Trust 9. Total Number of Safe Deposit Boxes (Attach copy of will.) (Attach copy of trust.) 0 10. Litigation Proceeds Received 11. Non-Probate Transferee Return F 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) 13.Business Assets F-1 14. Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number CRAIG A - HATCH, ESQ - 717-731-9600 First Line of Address 2109 MARKET STREET Second Line of Address City or Post Office State ZIP Code CAMP HILL PA 17011 Correspondent's email address: C-H A T C H a9 H H G L L P - C O M C cr7 M REGIST F=LLS USE�INLY G7 O' REGISTER OF WILLS USE ONLY S n fco DATE FILED MMDDYYYY � A r F- rY1 rn M C7 C7 DATE FILED STAN r" PLEASE USE ORIGINAL FORM ONLY Side 1 IIIIII IIIII IIIII IIIII IIIII IIIII ILII IIIII 11111 11111 IN IN 1505618627 1505618627 J 1505618635 REV-1500 EX(TP) Decedent's Social Security Number Decedent's Name:ELLI0TT BETTIE R RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. *0 . 00 2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . 2. $501109 -60 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) , , , , , 3. $4231000 -0 0 4. Mortgages and Notes Receivable(Schedule D), , , , , , , , , , , , , , , , , , 4. $0 . 00 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E), , , , , , 5. *371l38 .8 4 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested. . . . . 6. $709 • 59 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) El Separate Billing Requested. . . . . 7. $3261345 -15 8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . 8. $837,303 -18 9. Funeral Expenses and Administrative Costs(Schedule H). . . . . . . . . . . . . 9. $14-1453-30 10. Debts of Decedent, Mortgage Liabilities and Liens(Schedule 1) . . . . . . . . . . 10. *31248 •53 11. Total Deductions(total Lines 9 and 10). . . . . . . . . . . . . . . . . . . . . 11. *17-1701 . 83 12. Net Value of Estate (Line 8 minus Line 11) , , , , , , , , , , , , , , , 12. $8191601- 35 13. Charitable and Governmental Bequests/Sec.9113 Trusts for which an election to tax has not been made(Schedule J). . . . . . . . . . . . . . . . 13. $0 .00 14. Net Value Subject to Tax(Line 12 minus Line 13). . . . . . . . . . . . . . . . 14. $819-1601- 3 5 TAX CALCULATION- SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers uer Sec.9116 (a)(1.2)X.orlCi- $0 .00 15. *0 .00 16. Amount of Line 1.49xable at lineal rate X.04- $8191601 . 35 16. $361882 .06 17. Amount of Line 14 taxable at sibling rate X.12 $0 . 00 17. $0 . 00 18. Amount of Line 14 taxable at collateral rate X.15 $0. 00 18. $0. 00 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. $36,882 - 06 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ERD Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the person responsible for filling the return is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE KAREN E . E LIOTT-THORP, EXR • / �/S ADDRESS 1240 N . UTAH STREET ARLINGTON, VA 22201 SIGNATURE OF PREPARER OTHER THAN PERSON RES SIBL �. THE RETURN DAT CRAIG A • HATCH, ESQ • 7/4G 1V/_ ADDRESS 2109 MARKET STREET CAMP HILL, PA 17011 Side 2 1505618635 J 3M464810.000 REV-1500 EX(TP) Page 3 File Number Decedent's Complete Address: 21 14 1063 DECEDENTS NAME LLIOTT BETTIE R STREET ADDRESS 47 HEMLOCK CIRCIF CUMBERLAND CITY STATE ZIP NEWVILLE PA 17247 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) $36,882 - 06 2. Credits/Payments A. Prior Payments $421000 - 00 B.Discount $11844 -10 (See instructions.) Total Credits(A+B) (2) $431844 - 10 3. Interest (3) $0 .00 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) $61962 -04 5. If Line 1 + Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) $0 . 00 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ b. retain the right to designate who shall use the property transferred or its income . . . . . . . . . . . . . . ❑❑ c. retain a reversionary interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments,benefits or care? . . . . . . . . . . . . . . . . . . . . . . ❑ FXI 2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ FRI 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death? . . . . FXI 4. Did decedent own an individual retirement account,annuity,or other non-probate property,which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 ❑ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994, and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For-dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116 (a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. e For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a step-parent of the child is 0 percent[72 P.S§9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. 3M4671 4.000 REV-1503 EX+(8-12) Pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER Bettie R. Elliott 21 14 1063 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Two (2) Series EE U.S. Savings Bonds $30,000.00 2 10 Shares MetLife stock DOD High $49.14 per share; DOD Low $48.30 per share; DOD Average $48.72 per share. $487.20 3 312 Shares Manulife Financial Corp. stock DOD High $20.28 per share; DOD Low $19.62 per share; DOD Average $19.95 per share. $6,224.40 4 275 Shares MetLife stock owned by decedent's pre- deceased spouse, Charles Elliott. DOD High $49.14 per share; DOD Low $48.30 per share; DOD Average $48.72 per share. $13,398.00 TOTAL (Also enter on Line 2,Recapitulation) $ $50,109.60 2w4696 2.000 If more space is needed,insert additional sheets of the same size REV-1504 EX+(9.12) SCHEDULE C pennsylvania CLOSELY-HELD CORPORATION, DEPARTMENT OF REVENUE INHERITANCE TAX RETURN PARTNERSHIP OR RESIDENT DECEDENT SOLE-PROPRIETORSHIP ESTATE OF FILE NUMBER Bettie R. Elliott 21141063 Schedule C-1 or C-2(including all supporting information)must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM NUMBER VALUE AT DATE NUMBER DESCRIPTION OF DEATH 604 King Street, Inc. 20 shares of real estate investment partnership. See attached copy of valuation report. $423,000.00 TOTAL(Also enter on line 3,Recapitulation) $ $423,000.00 2w4697 2.000 (If more space is needed,insert additional sheets of the same size) REV-1508 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENTOF REVENUE CASH, BANK DEPOSITS& MISC. INHER1TANCE TAX RESIDEW DECE ENTTURN PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Bettie R. Elliott 21 14 1063 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH I. Burke & Herbert Bank Checking Acct. No. 131028448 $5,792.02 2 ACNB Checking Acct. NO. 2219506 $7,510.42 3 ACNB Money Market Acct. No. 1633295 $5,829.54 4 Pennwood Financial Group TCA Acct. No. 4057909326 $17,610.88 5 John Hancock Insurance Co. long—term care insurance premium refund $395.98 TOTAL(Also enter on line 5,Recapitulation) $ $37,138.84 2w48AD 2.000 If more space is needed,use additional sheets of paper of the same size. REV-1509 EX+(01-10) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Bettie R. Elliott 21 14 1063 It an asset became jointly owned within one year of the decedent's date of death,it must be reported on Schedule G SLRVIVINOJOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A Elliott-Thorp, Karen E 1240 N. Utah Street, Arlington, VA 22201 Daughter JOINTLY OWNED PROPERTY: ITEM LETTER DATE DESCRIFION OF PROPERTY %OF DATE OF DEATH FOR JOINT WDE INCLUDE NAIVE OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMLAR DATE OF DEATH DECMn'S VALUE OF NIMBER TENANT JOINT IDENTIFYINGNUM3ER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALLE OF ASSIET INTIERIEST DECIDENT'SINTEREST 1 A 12/17/1979 Virginia Beach Schools Federal Credit Union Prime Share Account $1,419.17 50.0004 $709.59 TOTAL (Also enter on Line 6,Recapitulation) $ $709.59 9w46AE 2.000 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+(08-09) pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Bettie R. Elliott 21 14 1063 This schedule must be completed and filed if the answer to any of questions I through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM MLDE rtE WME OF Ti-E TRANSFEREE,nVR RELATIOWHP TO DECEDENT AM DATE OF DEATH %OF DECOS EXCLUSION TAXABLE NUMBE TW DATE OF TRMSFER A7TACH A COFY OF n�DEED rOR REAL ESTATE. VALUE OF ASSET INTEREST OF APPUCABLE) VALUE MetLife Insurance Company Annuity No. 7700031464 Owner/Annuitant: Bettie R. Elliott Beneficiary: daughter, Karen E. Elliott-Thorp $229,926.78 100.0000 $0.00 $229,926.78 2 Baltimore Life Companies IRA No. 50000000766 Owner/Annuitant: Bettie R. Elliott Beneficiary: daughter, Karen E. Elliott-Thorp $18,783.18 100.0000 $0.00 $18,783.18 3 MetLife Insurance Company Total Control Acct, No. 4057909326 Beneficiary: Karen Elliot-Thorp $17,635.19 100.0000 $0.00 $17,635.19 TOTAL(Also enter on fine 7,Recapitulation)$ $326,345.15 If more space is needed,use additional sheets of paper of the same size. 9W46AF 2.000 REV-1511 Ex.(08-13) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Bettie R. Elliott 21 14 1063 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1, Eggers Funeral Home, Inc. funeral goods & services $1,251.13 B. ADMINISTRATIVE COSTS: I Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2. Attorney Fees: $5,000.00 3. Family Exemption:(if decedent's address is not the same as claimants,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: $595.50 5. Accountant Fees: 6. Tax Return Preparer Fees: 7, 1 Enterprise van rental to move personal property $197.32 Total from continuation schedules . . . . . . . . . $7,409.35 TOTAL(Also enter on Line 9,Recapitulation) $ $14,453.30 3W46AG 2.000 If more space is needed,use additional sheets of paper of the same size. Estate of: Bettie R. Elliott 21 14 1063 Schedule H Part 7 (Page 2) 2 Executor's expenses for travel from Virginia to Pennsylvania to handle estate matters (excludes mileage). $376.99 3 U.S. Postal Service postage $26.80 4 Executor's mileage for round-trip travel from Virginia to Pennsylvania to handle estate matters. $1,708.63 5 Huey & Associates accountant fees tax consultations $590.00 6 FedEx Office photocopying fees $19.43 7 Valuation Services, Inc. fee for valuation of 604 King St. , Inc. $2,687.50 8 Ira S. Saul, Esq. legal services $2,000.00 Total (Carry forward to main schedule) $7,409.35 REV-1512EX+(12_12) SCHEDULE 1 pennsylvania DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES& LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Bettie R. Elliott 21 14 1063 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Huey & Associates accountant fees balance owed for decedent's 2013 income tax preparation $850.00 2 Green Ridge Village final residence fee $2,281.97 3 Century Link phone service $116.56 TOTAL(Also enter on Line 10,Recapitulation) $ $3,248.53 2w46AH 2.000 If more space is needed, insert additional sheets of the same size. REV-1513 EX+(01-10) SCMEDULE J Pennsylvania DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Bettie R. Elliott 21 14 1063 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] 1. Karen E. Elliott-Thorp 1240 N. Utah Street Arlington, VA 22201 All of Residue: $819,601.35 Daughter $819,601.35 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. it NON-TAXABLE DISTRIBUTIONS A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ $0.00 9W46AI 2.000 If more space is needed,use additional sheets of paper of the same size. DEATH CERTIFICATE LAST WILL AND TESTAMENT S / jjr LAST WILL ANIS TESTAMENT OF BETTIE R. ELLIOTT 1, BETTIE R. ELLIOTT, now of 47 Hemlock Circle, Newville, Cumberland County, Pennsylvania, 17241, do publish and declare this to be my Last Will and Testament, hereby revoking all other prior wills and codicils made by me. FIRST: Family Back round and Appointment of Executor. (A) Family and BacLground Information. I am not currently married. My child is KAREN E. ELLIOTT-THORP. Throughout this Will, KAREN E. ELLIOTT-T1iIORP, will be referred to as "my daughter" or"my child". The word "issue" will include my daughter as well as my other descendants. (R) Appointment of Executor. I appoint as my Executrix and Successor Executor (all hereinafter referred to as Executrix or Executor)under this Will, the following named persons to serve without bond and without being required to account to any Court: Executrix: My daughter, KAREN E. ELLIOTT-THORP. Successor Executor: My son-in-law,JOHN M. THORP. SECOND: Funeral and Last Illness Expenses; Taxes. (A) Expenses of Funeral and Last Illness. I direct my Executor to pay my funeral expenses and the expenses of my last illness from my estate. (113) 'faxes. I direct my Executor to pay any and all estate, inheritance, succession, legacy, transfer and other death taxes or duties, by whatever name called, including any and all interest and penalties thereon, imposed under the laws of any jurisdiction by reason of my death, upon or with respect to any and all property included in my gross estate for the purpose of such taxes, whether such property passes under or outside of this Will, out of my residuary estate, without being prorated or apportioned among or charged against the respective devises, legatees, beneficiaries, transferees, or other recipients of any such property or charged against any property passing or which may have passed to any of them. The Executor shall not be entitled to reimbursement for any portion of any such taxes from any such person. THIRD: Tangible Personal Prope . Except for those items excluded below and those items enumerated in the Letter of Instruction, I bequeath to my daughter, KAREN E. ELLIOTT-TII®RP, living at the time of my death, all tangible personal property, including but not limited to clothing,jewelry, heirlooms, furniture, personal effects, motor vehicles, and all other similar articles, which I own, and the insurance thereon, to be divided as they may select in as nearly equal shares as is practical. If my daughter, KAREN E. ELLIOTT-THORP, should predecease me, I bequeath her share of the tangible personal property of my estate to her husband, JOHN M. TI- ORP, to be shared with my grandchildren. If there is any disagreement as to distribution, I direct my executor to make such distribution. The decision of my executor, LAST WILL AND TESTAMENT OF BETTIE R. ELLIOTT PAGE 2 shall be final and binding. Any items not selected or any items which my executor considers unsuitable for my grandchildren may be distributed or sold in the sole discretion of my executor and, if sold, the net proceeds therefrom shall be added to the residue of my estate. Tangible personal property shall not include: (1) any and all property used by me in any business, (2) cash on hand or on deposit in banks, (3) stock or securities, (4) any type of evidence of indebtedness, and (5) any life, health or accident insurance policies. Notwithstanding any other provisions in this Article THIRD, I may leave a separate, dated and unsigned Letter of Instruction, which I shall place with my Will, containing directions as to the ultimate disposition of certain of the property bequeathed under this Article THIRD, and such Letter of Instruction shall determine the distribution of such items, FOURTH: Residuary Gifts. (A) I give, devise and bequeath all the rest, residue and remainder of my estate, of every kind and character, real, personal and mixed, tangible and intangible, and wherever situated, including any lapsed or renounced legacies or devises (and including any property over which I may have a power of appointment), to my daughter, KAREN E. ELLIOTT-THORP, per stirpes. If KAREN E. ELLIOTT-THORP should predecease me, I give, devise and bequeath all the rest, residue and remainder of my estate, of every kind and character, real,personal and mixed, tangible and intangible, and wherever situated, including any lapsed or renounced legacies or devises (and including any property over which I may have a Power of Appointment), to the Trustee hereinafter named, in separate and equal trusts, one for each of my grandchildren, EMMA K. THORP and DAVID E. THORP, for the following uses and purposes: (1) To accumulate the net income and to expend and apply so much of the net income, accumulated income, and principal of this Trust as the Trustee, in its sole and absolute discretion, deems advisable for the health, maintenance, support and education(including vocational and college education, both under graduate and graduate) of my grandchildren, EMMA K. THORP and DAVID E. THORP, after taking into consideration their other readily available assets and sources of income, or during illness or emergency. The Trustee may apply the net income, accumulated income, and principal of this Trust for the health, maintenance, support and education of my grandchildren should they, by reason of age, illness, or any other cause, in the opinion of my Trustee, be incapable of disbursing it. The Trustee shall expend the funds as equitably among my grandchildren as is practicable but not necessarily equally having in mind that the main purpose of this Trust is to make possible an adequate standard of living and education for my grandchildren. LAST WILL AND TESTAMENT OF BETTIE R. ELLIOTT PAGE 3 (2) During the minority of the grandchild, which I define as not having attained the age of twenty-five (25)years, to pay any part or all of the income to, or to accumulate any part or all of the income for the benefit of the grandchild, which in the sole discretion of my Trustee is determined to be reasonably necessary for the grandchild's health, education, support and maintenance. Any income not so paid shall be added to the principal of the Trust. (3) After the grandchild has attained the age of twenty-five (25)years, to pay all of the income to the grandchild in such periodic installments as the Trustee shall find convenient but at least monthly. (4) To pay to the grandchild at any time or times prior to the termination of the grandchild's separate trust, such sums from or any part or all of the principal as my Trustee may, in its sole discretion, determine to be reasonably necessary for the grandchild's health, education, support, and maintenance, including the costs of vocational and college education, both undergraduate and graduate, and the expenses of any illness or accident which may affect him or her. (5) To pay to the grandchild, upon their attaining the age of thirty(30), one-half(1/2), cumulatively, of the initial principal of his Trust. (6) To pay to the grandchild, upon their attaining the age of thirty-five (35), the entire principal of their Trust remaining at that time. (7) Upon the death of a grandchild prior to their thirty-fifth (35th) birthday, the Trustee shall pay the then-remaining principal, if any, to the predeceased grandchild's then-living issue, or if the grandchild has no such issue, to my then-living issue,per stirpes,provided that any distribution to my issue shall be added to the grandchild's separate trust if a trust is then in existence. (C) Distributions During Administration. Prior to final distribution of my estate, the Executor, in his discretion, may make partial distributions to one or more beneficiaries or Trusts. As a consequence, the Executorship and any Trusts created under this Will may exist contemporaneously. A distribution may be made subject to any indebtedness or liability of my estate. FIFTH: Spendthrift Provision. No beneficiary shall have the power to anticipate, encumber or transfer his or her interest in the estate or any trust estate in any manner other than by the valid exercise of a power of appointment. No part of the estate or any trust estate shall be liable for or charged with any debts, contracts, liabilities or torts of a beneficiary or subject to seizure or other process by any creditor of a beneficiary. r LAST WILL AND TESTAMENT OF BETTIE R. ELLIOTT PAGE 4 SIXTH: Appointment of Trustee and Successor Trustees. (A) I nominate, constitute and appoint my son-in-law, JOHN M. TI ORP, to act as Trustee of all Trusts created by my Will. ; (I3) The Trustee may resign from the-Trusts.without the necessity of.any Court proceeding if at least thirty (3 0) days written notice is given to each beneficiary (including a beneficiary's natural or legal guardian or legal representative, in the case of a beneficiary under a legal disability) who might then be entitled to receive a distribution from the Trust.Estate. Upon the death,resignation, removal or incapacity of the Trustee, then a'Successor Trustee may be appointed by a majority of the beneficiaries who might then be entitled to receive a distribution from the Trust Estate, provided that the Successor Trustee is a financially sound and competent corporate trustee. A Successor Trustee may be.any bank or trust company and may be domiciled anywhere. Any Successor Trustee thus appointed, or, if the Trustee shall merge with or be consolidated with another corporate fiduciary, then such corporate fiduciary,'shall succeed to all the duties and to all the powers, including discretionary powers, herein granted to the Trustee. . SEVENTH: Powers of Trustee and Executor. In addition to the powers and duties as may have been granted,elsewhere in this Will, but subject to any limitations stated elsewhere'in this Will,the Executor and Trustee (when applicable) shall have and exercise exclusive management and control of the Estate or Trusts, respectively, and shall be vested with the following specific powers and discretion, in addition to the powers as may be generally conferred from time to time upon them by law: (A) In the management, care and disposition of the Trusts or Estate, the Trustee and Executor, respectively, shall have the power to do all things and to execute such instruments as may be deemed necessary or proper, including the following powers,,all of which may be exercised without order of or report to any Court: (1) To sell, exchange or otherwise dispose of any property at any time held or acquired hereunder, at public,or private sale, for cash or on terms, without advertisement, including the right to lease for any term notwithstanding the period of the Trust; and to grant options, including any option fora period beyond the'duration of the Trust; except that, in lieu of any binding shareholder,agreement or buy/sell agreement to the contrary, the Executor and Trustee shall not be permitted to sell the: stock or any'other ownership' interest in any business owned by me, or my spouse, or held in trust, at my death,without first offering the same for sale to mi grandchildren, or without next offering the same to the corporation or business,represented by,such ownership interest for redemption. T {2) To invest and reinvest all or any part of the Trust Estate in any common or preferred stocks, shares of investment trusts and investment companies, bonds, debentures, mortgages, deeds of trust, mortgage participations, LAST WILL AND TESTAMENT OF BETTIE R. ELLIOTT PAGE 6 (9) To register any stock, bond or other security in the name of a nominee, without the addition of words indicating that such security is held in a fiduciary capacity, but accurate records shall be maintained showing that such security is a Trust or Estate asset and the Trustee or Executor shall be responsible for the acts of such nominee. (B) Whenever the Trustee or Executor is directed to distribute any Trust principal or Estate assets in fee simple to a person who is then under twenty-one (21) years of age, the Trustee or Executor shall be authorized to hold such property in Trust for such person until he/she becomes twenty-one (21) years of age, and in the meantime shall use such part of the income and the principal of the Trusts or Estate as the Trustee or Executor,respectively, may deem necessary to provide for the proper support and education of such person. If such person should die before becoming twenty-one (2 1) years of age, the property then remaining in trust shall be distributed to the personal representative of such person's estate. (C) In making distributions from the Trusts or Estate to or for the benefit of any minor or other person under a legal disability, the Trustee or Executor need not require the appointment of a guardian, but shall be authorized to pay or deliver the same to the custodian of such person, to pay or deliver the same to such person without the intervention of a guardian, to pay or deliver the same to a legal guardian of such person if one has already been appointed, or to use the same for the benefit of such person. (D) In the disbursement of the Trusts or Estate and any division into separate trusts or shares, the Trustee or Executor shall be authorized to make the distribution and division in money or in kind, or both, regardless of the basis for income tax purposes of any property distributed or divided in kind, and the distribution and division made and the values established by the Trustee or Executor shall be binding and conclusive on all persons taking hereunder. The Trustee or Executor may in making such distribution or division allot undivided interests in the same property to several trusts or shares. (E) The Trustee and Executor shall be authorized to lend or borrow, including the right to lend to or borrow from my estate or the estate of my spouse or any trusts which I or my spouse may have established during life or by will at an adequate rate of interest and with adequate security, and upon such terms and conditions as the Trustee or Executor shall deem fair and equitable. (F) The Trustee and Executor shall be authorized to sell or purchase at the fair market value as determined by the Trustee or Executor, any property to or from my estate,the estate of my spouse, or any trust created by me or my spouse during life or by Will, even though the same person or corporation may be acting as Executor of my estate or the estate of my spouse or as Trustee of any of my other trusts, (G) The Trustee and Executor shall have discretion to determine whether items should, LAST WILL AND TESTAMENT OF BETTIE R. ELLIOTT PAGE 7 be charged or credited to income or principal or allocated between income and principal as the Trustee or Executor may deem equitable and fair under all the circumstances, including the power to amortize or fall to amortize any part or all of any premium or discount, to treat any part or all of the profit resulting from the maturity or sale of any asset, whether purchased at a premium or at a discount, as income or principal or apportion the same between income and principal, to apportion the sales price of any asset between income and principal, to treat any dividend or other distribution of any investment as income or principal, or apportion the same between income and principal, to charge any expense against income or principal or apportion the same, and to provide or fail to provide a reasonable reserve against depreciation or obsolescence on any assets subject to depreciation or obsolescence, all as the Trustee and Executor may reasonably deem equitable and just under all the circumstances. (H) If at any time the total fair market value of the assets of any trust established or to be established hereunder is so small that the corporate Trustee's annual fee for administering the trust would be the minimum annual fee set forth in the Trustee's regularly published fee schedule then, in effect, the Trustee in its discretion shall be authorized to terminate such trust or to decide not to establish such trust, and in such event the property then held in or to be distributed to such trust shall be distributed to the persons who are then or would be entitled to the income of such trust. If the amount of income to be received by such persons is to be determined in the discretion of the Trustee,then the Trustee shall distribute the property among such of the persons to whom the Trustee is authorized to distribute income, and in such proportions, as the Trustee in its discretion shall determine. EIGHTH: Rights and Liabilities of Executor and Trustee. No bond or other security shall be required of any Executor. This instrument always shall be construed in favor of the validity of any act or omission by any Executor or Trustee, and any Executor or Trustee shall not be liable for any act or omission except in the case of gross negligence, bad faith or fraud. Specifically, in assessing the propriety of any investment of a Trust,the overall performance of the entire Trust shall be taken into account. Each Executor and Trustee shall be entitled to receive reasonable compensation for services actually rendered to my estate or to my Trusts, in an amount the Trustee or Executor normally and customarily charges for performing similar services during the time which he/she performs the services. Prior to final distribution of my estate, the Executor, in his discretion,may make partial distributions to one or more beneficiaries or Trusts. As a consequence, the Executorship and any Trusts created under this Will may exist contemporaneously. A distribution may be made subject to any indebtedness or liability of my estate. NINTH: Tax Elections. (A) In determining the estate, inheritance and income tax liability relating to my Estate, the Executor's decision as to all available tax elections shall be conclusive on all LAST WILL AND TESTAMENT OF BETTIE R. ELLIOTT PAGE 8 concerned. In accordance with IRC Section 2632(a) and without regard to whether a Federal estate tax return is actually filed, my Executor shall allocate so much of the Federal Generation Skipping Transfer (GST) exemption amount as will fully exempt any generation skipping transfer which may occur under this Will. (B) The Executor may, in its discretion, determine the date as of which my gross estate shall be valued for the purpose of determining the applicable tax payable by reason of my death. (C) The Executor may, in its discretion, decide whether all or any part of certain deductions shall be taken as income tax deductions (even though they may equal or exceed the taxable income of my estate and whether or not claimed or of benefit on my estate's income tax return) or as estate tax deductions when a choice is available; and in the event that all or any part of such deductions are taken as income tax deductions, no adjustment of income and principal accounts in my estate shall be made as a result of such decisions. TENTH: Definitions and General Provisions. (A) Survival. Any beneficiary who dies within sixty (60) days after my death shall be considered not to have survived me. (B) Captions. The captions set forth in this Will at the beginning of the various articles hereof are for convenience of reference only and shall not be deemed to define or limit the provisions hereof or to affect in any way their construction and application. (C) Children. As used in this Will, the words "child" and "children" shall include persons who are legally adopted and the issue of said persons, whether born in or out of wedlock, so long as any person barn out of wedlock is acknowledged in a written instrument executed by the one of their natural parents who is a descendant of mine to be the child of said descendant. The word "issue" shall include descendants of all generations including adopted persons. A posthumous child shall be considered as living at the death of his parent. Except for discretionary distributions which may be made unequally among a group of persons and distributions pursuant to a valid exercise of a power of appointment, in making a distribution to the children of any person, the property to be distributed shall be divided into as many shares as there are living children of the person and deceased children of the person who left children who are then living. Each living child shall take one share and the share of each deceased child shall be divided among his then-living descendants in the same manner. (D) Code. Unless otherwise stated, all references in my Will to section and chapter numbers are to those of the Internal Revenue Code of 1986, as amended, or the corresponding provisions of any subsequent federal tax laws applicable to my estate. �` 7 LAST WILL AND TESTAMENT OF BETTIE R. ELLIOTT PAGE 9 (E) Other terms. The use of any gender includes the other genders, and the use of either the singular or the plural includes the other. (F) Powers of Appointment are Exercised. By this Will I exercise any and all Powers of Appointment which I possess at the time of my death. IN WITNESS WHEREOF, 1, BETTIE R. ELLIOTT, the Testatrix, have to this my Last Will and Testament, typewritten on ten (10)pages, including the Acknowledgment and Affidavit, set my hand and seal this t 1` ` day of March, 2010. BETTIE R. ELLIOTT Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who have hereunto subscribed our names at her request, as witnesses hereto, in the presence of the said Testatrix, and in the presence of each other. Each of us further declares that he or she believes the Testatrix to be of sound mind and memory. The preceding instrument consists of this and nine (9) other consecutively numbered typewritten pages including the Acknowledgment and Affidavit. J --- / `� residing at (print name) residing at (print nam ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF CUMBERLAND : The Testatrix and the witnesses whose names are signed and subscribed to the attached or foregoing instrument, being first duly sworn and qualified according to law, do hereby acknowledge, depose and say to the undersigned authority, that the Testatrix signed and executed the instrument as her Last Will in the presence of the witnesses; that she signed it willingly or willingly directed another to sign it for her; that she executed it as her free and voluntary act for the purposes therein expressed; that each of the witnesses were present and saw the Testatrix sign and execute the instrument as her Last Will; that each subscribing witness in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of their knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence, Testatrix l � Witness r Witness Sworn to or affirmed, subscribed to, and acknowledged, before me by the above-named Testatrix and witnesses, this /Z4 day of March, 2010, COIv1(>/iQNWEAL�ii OF PENNSYLVANIA Notary ub zlzl c .� Notarial seat My�'ommission Expires: Teri L.Walker,notary Public ` Lemoyne Boro,Cumberland County My Commission Expires Jan.20,201' 1`,>:ember,Pennsylvania Association of Nots.;les CERTIFICATE of GRANT of LETTERS COMMONWEALTH OF PENNSYLVANIA SHORT CERTIFICATE COUNTY OF CUMBERLAND Of C lui 1, LISA M. GRAYSON, ESQ. Register for the Probate of Wills and Granting 0 Letters of Administration in and for Ver CUMBERLAND County, do hereby certify that on the 7th day of November, Two Thousand and 1750 Fourteen, Letters TESTAMENTARY in common form were granted by the Register of said County, on the estate of BETTIE R ELLIOTT late of WEST PENNSBORO TOWNSHIP (First,Middle,Last) in said county, deceased, to KAREN E ELLIO TT-THORP (First,Middle,last) and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 21st day of December Two Thousand and Fourteen. File No. 2014- 01063 PA File No. 21- 14- 1063 Date of Death 1011712014 S. S. # Register`Of AfA Deputy NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL PA REV-1500 SCHEDULE B STOCKS and BONDS t r io Manulife Financial For your future- Within Outside 022576 Innitl�l�l��t�ill��l��hi!i��ttlu�ftilitl�inl�Illfi�llll�luit ���<:� BETTIE R ELLIOTT 47 HEMLOCK CIRCLE NEWVILLE PA 17241-9482 l Af Manulife Financial Corporation - Dividend Payment Manulife is required to transfer personal property to a state government if it is abandoned or unclaime be considered abandoned if checks are uncashed or returned as undeliverable mail and there has bei Therefore,we urge you to keep your address up to date and cash all dividend checks received. You 1 verifying your account information to Computershare by phone,mail,email or via their website. Dividend Confirmation Payment Date Class Description ParticipatingDividend Gross Shares/U*s I Rate I Dividend($) 19 Sep 2014 COMMON 3120, $0.141166 44.04 Year-To-Date Paid -" 118.09 1 U D C 00iCD70003 i R OOHXDA 12/18/2014 Manulife Financial Corp.,CA:MFC Historical Quote-(TOR)CA:MFC,Manulife Financial Corp.Stock Price-BigCharts.com fflCharts From MarketWatch ea:mfe Basic Chart Advanced Chart Interactive Chart Home Quotes News Industries Markets tt'-to: [a i,;a ,, BigReports MarketWatch Search Enter Symbols or Keywords -� This Historical Quotes tool allows you to lookup a security's exact closing price. Simply type in the symbol and a historical date to view a quote and mini chart for that security. ► Enter Symbol: ca:mfc Enter Date: 10/17/14 C Daily 22 21 20 19 Oct Nov u ' 1. Top 5 Stocks to Buy 6. Hot Penny Stocks 2. #1 Stock to Buy Now 7. Stocks on the Rise 3. 10 Best ETFs to Invest In 8. Stocks to Buy Now 4. 2014 Best Mutual Funds 9. 2014 Best Rated Cars 5. Dividend Stocks to Own 10. Top 10 Places to Retire Find a broker 0 Ameri#rade t5t 1pFii�AllCp�1lUIISWUMr ; iktwkewatehBmkorcent- Home I About I Job Opportunities I Contact Us I Feedback I Help Copyright 2014 fvlarketWatch,Inc.All rights reserved. By using this site,you agree to the Terms of Use,Privacy Policy,and Cookie Policy. Intraday Data provided by SIX Financial Information and subject to terms of use. Historical and current end-of-day data provided by SIX Financial Information.Intraday data delayed per exchange requirements.S&P/Dow Jones Indices(SK from Dow Jones 8 Company,Inc.All quotes are in local exchange time,Real time last sale data provided by NASDAQ. Wre Information on NASDAQ traded symbols and their current financial status. Intraday data delayed 15 minutes for Nasdaq,and 20 minutes for other exchanges. S&P/Dow Jones Indices(SM)from Dow Jones&Company,Inc. SEHK Intraday data is provided by SIX Financial Information and is at least 60-minutes delayed. All quotes are in local exchange time. http:/Armw.bigcharts.com/historical/default.asp?s"b=cao/a3Amfc&cioseDate=10%2F17%2F2014&)c--35& 31 r, I Within Outside _ '"" AUTO"ALL FOR AADC 170 00002710095554 095554 _ 111�llllllll�llllr��llllo�lhlll�u�nllu�l�lunnlllllll�lll BETTIE R ELLIOTT 47 HEMLOCK CIR NEWVILLE PA 17241-9482 MetLife Policyholder Trust- Dividend Distribution Attached is your third quarter Dividend Summary and check.You can elect to have your dir To participate,please complete the enrollment form on the back of this statement and return i also enroll by calling 1-800-649-3593,and at the main menu say"Direct Deposit"or Press 5.Pleas Dividend Summary Record Payable SecurityTotal Trust Dividend Current Deduc erests Date Date Description I Into I Rate I Distribution I Amoun 06 Feb 2014 13 Mar 2014 TRUST INTERESTS 10 $0.27500 2.75 09 May 2014 13 Jun 2014 TRUST INTERESTS 10 $0.35000 3.50 08 Aug 2014 12 Sep 2014 TRUST INTERESTS 10 $0.35000 3.50 Year-To-Date Paid 9.75 IMP 1 U D C 003SSPOOI9/R OOHXDA-PP ,omputershare + W� l , L Computershare PO Box 30170 College Station,TX 77842-3170 IMPORTANT TAX"RETURN DOCUMENT ENCLOSED Within USA,US territories 6 Canada 800 649 3593 s✓ Outside USA,US territories b Canada 201 680 6578 _ *'**•'***•'**AUTO*•3-DIGIT 1721 00006710000002 0 7 b 8 2 2 Hearing impaired(TOO) 201 6B0 6611 1111Ii11111'Irnti�it111111'tllihltll'nIlI11111I�II(IIIir1"t1 www,compLitershare.com/metlife Recipient CHARLES M ELLIOTT 47 HEMLOCK CIRCLE Holder Account Number NEWUlLLE PA 17241 00015578891 I N D Record Date 07 Nov 2014 Check Number 0021593945 Please see reverse for important information. 001 CS0005.DomL0g*1L•TL_PCI.METL.225607_740751076822/076S22r MetLife, Inc. - Combined Dividend Payment/2014 Tax Form 1099-DIV Corrected(f checked) Account Number 00015578891 Form 1099-DIV-Dividends and Distributions 2014 Copy$-For Recipient Recipient's ID No.ending in *'"-**-9360 Payer's Federal ID No. 51-6516987 This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return,a negligence OMB No. 1545-0110 penalty or other sanction may be imposed on you If this Income Is taxable and the IRS determines that it has not been reported. Department of the Treasury.Internal Revenue Service Recipient CHARLES M ELLIOTT 47 HEMLOCK CIRCLE NEWViLLE PA 17241 1a Total Ordinary Wb Qualified3 Nondividend 4 FEDERAL INCOME s Forelgn Tax 7 Foreign Country a Cash Liquidation Dividends($) Dividends($} Distribufions($) TAX WITHHELD t6) Paid($) or U.S.Possession Dislri.($) Payer's Details 364.38 364.38 0.00 0.00 0.00 COMPUTERSHARE INC AS CUSTODIAN OF THE METLIFE POLICYHOLDER TRUST PO BOX 43078 PROVIDENCE RI 02940 Farm 1099-DIV(Keep for your records) MetLife Policyholder Trust Annual Statement Prior Year Distribution: 277.77 Record I Payable i Security Total Trust Dividend I 0urrent Tax Net I Totat Stock Price Date E Date ( Description Interests Rate( Distribution Deduction Dividend Market Value as of Amount(5) (5) Record Date 06 Feb 2014 13 Mar 2014 TRUST INTERESTS 275 $0,27500 75.63 0.00 75.63 13,362.25 48.59000 09 May 2014 13 Jun 2014 TRUST INTERESTS 275 $0.35000 96.25 0.00 96.25 14,107.50 51.30000 08 Aug 2014 12 Sep 2014 TRUST INTERESTS 275 $0.35000 96.25 0.00 96.25 14,217.50 51.70000 07 Nov 2014 12 Dec 2014 TRUST INTERESTS 275 $0.35000 96.25 0.00 96.25 15,017.75 54.61000 Year-To-Date Paid 364.38 0.00 46UTX M E T L + 103SSP00201 R 0110Wa_TRUST PP F 12/18/2014 MetLife Inc.,MET Historical Quote-(NYSE)MET,MetLife Inc.Stock Price-BigCharts.com V '�►v Charts From MarketWatch R Discover more ') feet Basfc Chart Advanced Chart Interactive Chart Home Quotes News Industries Markets ieAzc lr];/13;!;rs BigReports MarketWatch Search Enter Symbols or Keywords This Historical Quotes tool at lows you to lookup a socudly's exact dosing price. Simply type in the symbol and a historical date to view a quote and mini Chart for that security. ' Enter Symbol: met Enter Date: 10/17!74 MET Del ly 4111J44""' 54 vt 52 J,llfrl 50 48 (xr, y, ] Oct 1. Buy MET Stock 6. Stocks to Buy Now 2. MET Stock Report 7. 2014 Best Rated Cars 3. MET Stock History 8. Stocks on the Rise 4. 10 Best ETFs to Invest In 9. Top 10 Places to Retire 5. 2014 Best Mutual Funds 10. Top 5 Stocks to Buy Find a bnoker ^^ N Ameritrade I_ � �f Marke-Na h Broke#Centro r ^t r' Hr� ... .t"'w•-"? ;-*+{'-"#,.....r 'sw-w.'-_. ,-. <":T. .-..�.' �� Y.... :!� �..- �^T'^"�'^.. �.,- ...y.,;.y._.,..s'Ylr •� ,.. ' ti. .. . Home I About I Job Opportunities I Contact Us I Feedback I Help ^ Copyright 2014 MarketWatch,Inc.All rights reserved. By using this site,you agree to the Terms of Use,Privacy Policy,and Cookie Policy. Intraday Data provided by SIX Financial Information and subject to terms of use. Historical and current end-of-day data provided by SIX Financial Information.Intraday date delayed per exchange requirements.S&P/Dow Jones Indices(SM)from pow Jones&Company,Inc,All quotes are in local exchange time.Rept time last sale data provided by NASDAQ. More information on NASDAQ traded symbols and their current financial status. Intraday data delayed 15 minutes for Nasdaq,and 20 minutes for other exchanges, S&P/Dow Jonos Indices(Sfv1)from Dow Jones&Company,Inc. SEHK Intraday data is provided by SIXFinan el information and Is at least 60-minutes delayed. All quotes are in local exchange time. http:/Mm.bigcharts.com+historical/default.asp?symb=met&cloSeDate=10a/o2F17%2F14&)C--0&yv0 "' PA REV-1500 SCHEDULE C CLOSELY HELD CORPORATION, PARTNERSHIP or SOLE-PROPRIETORSHIP Valuation of 20 Shares of Common Stock in 604 King Street, Inc. Owned by the Estate of Bettie Elliott As of October 17,2014 Prepared By: VALUATIONS ERVICES INC. 3000 Wilson Boulevard, Suite 220 Arlington, Virginia 22201 TEL(571) 447-5400 FAX (703) 522-2146 www.valuationservice.coin Valuation Services, Inc. Valuation of 20 Shares of Common Stock in 604 King Street, Inc. Owned by the Estate of Bettie Elliott As of October 17,2014 TABLE OF CONTENTS A. EXECUTIVE SUMMARY B. SUMMARY VALUATION REPORT C. LIMITING CONDITIONS Valuation Services, Inc. A• EXECUTIVE SUMMARY Valuation Services, Inc. EXECUTIVE SUMMARY VALUATION OF 20 SHARES OF COMMON STOCK IN 604 KING STREET, INC. Valuation Date: October 17, 2014 Owner: Estate of Bettie Elliott Valuation Method Used: Net Asset Value Method Background of the Entity: The Entity was formed on February 26, 1996, pursuant to the laws of Virginia. The Entity owns a 2,932-square-foot retail property located in Alexandria, Virginia. Net Asset Value of the Entity: $1,253,643 Valuation Discounts Used: 10% for minority interest/lack of control and 25% for lack of marketability/liquidity Effective Overall Discount: 33% Factors Considered for Lack of The owner of the Interest would not have the ability to Control Discount: unilaterally control the (i) day-to-day management of the Entity, (ii) the initiation of a sale of the Entity's assets, (iii) the cash distributions, or (iv) the dissolution of the Entity, but would have veto power over major decisions. Factors Considered for Lack of In addition to the general lack of marketability attributes Marketability Discount: related to owning an interest in a private entity, below are the specific factors considered in establishing the lack of marketability discount for the Interest: Negative: (i) historical cash-on-cash return to the Interest, (ii)costs associated with selling the Property, (iii)size of the investment, and (iv) S corporation status of the Entity. Positive: (i) lack of debt and (ii) full occupancy of the Property. Fair Market Value of the Interest: $423,000 Valuation Services, Inc. B. SUMMARY VALUATION REPORT 0 VALUATIONS ERVICES INC. 3000 Wilson Boulevard,Suite 220,Arlington,VA 22201 P 1571.447.5400 F 1703.522.2146 www.valuationservice.com April 22, 2015 Karen Elliott-Thorp Executrix for the Estate of Bettie Elliott 1240 N. Utah Street Arlington, VA 22201 Dear Ms. Thorp: Valuation Services, Inc. ("VSI") has been requested to determine the fair market value of 20 shares of common stock (the "Interest") in 604 King Street, Inc. (the "Entity") owned by the Estate of Bettie Elliott as of October 17, 2014 (the"Valuation Date"). It is our understanding that the Entity owns and leases a 2,932-square-foot retail property located in Alexandria, Virginia (the "Property"). This summary valuation report has been prepared to determine the fair market value of the Interest for estate tax reporting purposes. This summary report was prepared in accordance with the Development and Reporting Standards as promulgated by the National Association of Certified Valuators and Analysts ("NACVA"). Attached to this summary report are the limiting conditions, either imposed by the terms of the assignment or by the undersigned, affecting the analyses and conclusion of value contained in this summary report. The list of limiting conditions is an integral part of this summary report and should be read in conjunction with this summary report. 1. Reviewed Information In connection with this valuation, discussions with a representative of the Entity were conducted to obtain information on the Entity's background and operations. In addition, the following information and documents were reviewed as part of our valuation analysis: • Articles of Incorporation of 604 King Street, Inc. dated February 26, 1996(the"Articles"); • Bylaws of 604 King Street, Inc. (the "Bylaws"); • Commercial lease agreement between the Entity and George R. Viteri Export Co. dated February 1, 2007 (the "Lease Agreement"); • Real estate assessment of the Property from the Office of Real Estate Assessments of the City of Alexandria, Virginia detailing the tax assessed value of the Property (the "Real Estate Assessment"); WASHINGTON,PC • NEW YORK CITY • MIAMI,Fl Valuation Services, Inc. • Form 1120S U.S. Income Tax Return for an S Corporation for the Entity for the years ended December 31, 2010 through 2013 (the "Tax Returns"); • TD Bank account statement for the Entity as of October 31, 2014 (the "Account Statement"); • Data on sales of comparable real estate properties in Alexandria, Virginia, provided by Sapperstein & Associates, LLC; and • PwC Real Estate Investor Survey for the 4t" Quarter 2014 ("PwC Survey") to obtain capitalization rates and general information about the real estate market. 2. Valuation Method Used In determining the fair market value of the Interest, the Net Asset Value Method was used. Under this method, the fair market value of the Interest has been derived by first determining the net asset value of the Entity as of the Valuation Date. The net asset value of the Entity is primarily a function of the fair market value of the Property. Next, a computation has been made of the pro rata portion of the net asset value of the Entity that would be allocable to the Interest. In determining the fair market value of the Interest, taken into account was the fact that the Interest (i) does not have unilateral control, but has veto power over major decisions, (ii) has limited liquidity and is not easily marketable, (iii) is subject to certain restrictions on transferability, and (iv) has other unique characteristics which would affect its value. 3. Standard and Premise of Value The standard of value utilized in determining the value of the Interest was "fair market value." For purposes of this summary report,the term"fair market value"of an interest in a private entity is defined as that price at which the interest would trade between a willing buyer and a willing seller when the former is not under any compulsion to buy and the latter is not under any compulsion to sell, both parties having reasonable knowledge of relevant facts. Therefore, both the willing buyer and the willing seller must take into account all the relevant, known, knowable, and reasonably foreseeable facts as of the date of valuation. In addition,it is implied that the buyer and seller would aim to maximize profit and/or minimize cost in the setting of a hypothetical sale price. Consequently, in determining the fair market value of the Interest, equal consideration has been given to the viewpoint of both the hypothetical seller and buyer. Moreover, the valuation of the Interest is under the premise of value in continued use, as part of a going-concern business entity. This premise assumes that the management of the Entity is operating in a rational way with a goal of maximizing ownership value. This valuation premise was considered appropriate based on our analysis of the Entity's business. 4. Background and Overview of the Entity and the Property The Entity was formed on February 26, 1996 pursuant to the laws of Virginia. The Entity is an S Corporation and is,therefore,not subject to corporate income tax.As of the Valuation Date, the primary asset of the Entity was the Property, a 2,932-square-foot retail property located at 604 King Street, Alexandria, Virginia. 2 Valuation Services, Inc. According to the Lease Agreement, the Property is fully leased by one tenant whose lease continues until March 2017. The tenant at the Property is George R. Viteri Import Export Co., t/a Raul's of Oldtown, who operates a men's clothing store at the site known as "Raul's Menswear." The tenant may choose to extend the lease for an additional three years by giving the landlord written notice 180 days prior to the expiration of the Lease Agreement. The following is a picture of the Property: The Property is located in the Old Town neighborhood of Alexandria, Virginia in the southeastern area of the city, and is approximately six miles south of Washington, D.C. The Property is within walking distance of the King Street Metro station,which provides access to the blue and yellow lines. The following is a map that indicates the approximate location of the Property: 3 Valuation Services, Inc. 414050:1 st ., �tir�t�r,tst nr St E WO'St r t:t rn0en 5t z C) o:o,rc L7 r w a E Ft�sen on: x c3 2 c 4! r+it wast t N �� �Sr .Q ` Uus�+,St t'nnceas Sy L, n j n Queen St � ii SA �n>Man St Uuer7 Sr � ©King Street Metro ` z z �40 Ca,'rkroq St tRa,cc St " T604 orpCdo Facto Y King St � comer � } I J .tAf131eII0r1�1.� � _ v x lA4lrre S V Woe St N52h-St t WWfe St m zi fi, 'krS S2 S H J rLy ` c% C p} R 42 E N According to the Real Estate Assessment, the tax assessed value of the Property was $1,202,677 during the 2014 tax year. 5. Financial Information Based on a review of the Tax Returns, the following is a summary of the results of operations for the Entity for the years ended December 31, 2010 through 2013. Ren(al Operating Net Operating Other Net Cash Year Income Expenses Income EApenses Income Distributions 2010 $ 79,391 $ 17,062 $ 62,329 $ 7,052 $ 55,277 $ 66,000 2011 86,950 17,756 69,194 6,889 62,305 65,890 2012 89,862 17,547 72,315 6,719 65,596 66,000 2013 93,845 21,954 71,891 6,719 65,172 73,640 Rental income is comprised of the gross rents from the rental of the Property. Operating expenses of the Entity include insurance,real estate taxes, repair and maintenance expenses, legal and professional fees, and other miscellaneous expenses related to the Property. Other expenses consist of depreciation expense on the Property. 4 Valuation Services, Inc. 6. Other Assets and Liabilities According to the Account Statement, the Entity had a cash balance of $19,643 as of October 1, 2014.1 Based on discussions with a representative of the Entity, as of the Valuation Date, the Entity had no other assets or liabilities besides those previously discussed and those incurred in the ordinary course of business. 7. Ownership Structure As of the Valuation Date, the ownership structure of the Entity was as follows: Number of Shareholders Shares Owned Peg Elliott 10 Estate of John Elliott 10 Estate of Bettie Elliott 20 Total 40 8. Management At each meeting of the shareholders, every holder of shares then entitled to vote may vote in person or by proxy, and shall have one vote for each share registered in his or her name. The business and affairs of the Entity are managed and controlled by a board of directors of at least one but not more than four directors, who shall be elected annually by the shareholders at the annual meeting. The number of directors to serve shall be designated by the shareholders at their annual meeting. Each director shall hold office until the election of his or her successor. Any director may resign at any time. Vacancies occurring among the directors may be filled by the affirmative vote of a majority of the remaining directors. 9. Valuation of the Entity and the Interest The fair market value of the Interest was calculated based on the Net Asset Value Method. Under this method, the first step in determining the fair market value of the Interest is to calculate the net asset value of the Entity and then to allocate the proportionate share of the net asset value to the Interest. After determining the net asset value of the Entity that would be allocable to the Interest, valuation discounts, to the extent appropriate, are applied in establishing the fair market value of the Interest. "Valuation discounts"relate to the existence of risk factors that serve to adjust the value of a fractional ownership interest below its proportionate share of the value of the private entity's underlying assets. Based on the examination of risk factors related to owning the Interest, For purposes of this report,it has been assumed that there was no material difference in the cash balance of the Entity between October 1,2014 and the Valuation Date. 5 Valuation Services, Inc. appropriate valuation discounts have been estimated and applied in determining the fair market value of the Interest.The assessment and application of these valuation discounts is discussed later in this report. Based on the documents reviewed, VSI has calculated the pre-adjusted net asset value of the Interest to be approximately $626,822. This amount was calculated by taking the following steps: I"Step —Determine the Fair Market Value of the Property — To calculate the net asset value of the Interest,the fair market value of the Property must first be determined. To determine the fair market value of the Property, VSI estimated the Property's future income stream and applied an appropriate capitalization rate based on industry resources. The projected Year I net operating income was used as the basis for the Property's income stream. The following is a discussion of the components used to estimate the fair market value of the Property: • Year I Net Operating Income—Based on the Tax Returns,the Entity's net operating income for 2013 was determined to be $71,891.2 In order to arrive at the Year I net operating income, the 2013 net operating income was increased by 3.00%.This 3.00% growth rate is in line with the historical average rate of inflation. Accordingly, the Year I net operating income of the Property was calculated to be$74,408 as of the Valuation Date ($71,891 multiplied by 1.03). • Capitalization Rate—6.00% —Investors who want to acquire real estate similar to the Property would take into account the Property's size, location, age, and general physical condition when determining the risks and associated returns of real estate ownership. The Property is a 2,932-square-foot retail property located in Old Town, Alexandria. According to the Real Estate Assessment, the Property was in good condition as of the Valuation Date. The Property is located on King Street with good retail frontage and has high foot traffic in the surrounding area. According to the PwC Survey, the overall capitalization rates for the 4'h quarter of 2014 for the National Strip Shopping Center market ranged from 5.00%to 10.00% with an average of 7.05%. After considering the size, location, age, and physical condition of the Property, a capitalization rate of 6.00%,which is below the average of the range as reported by the PwC Survey, was determined to be appropriate. The concluded capitalization rate is then divided into the projected Year I net operating income for the Property. This results in an estimated fair market value for the Property of $1,234,000 as of the Valuation Date, shown as follows:3 1 For purposes of this analysis,it was assumed that there was no material difference in the trailing 12-months N01 for the Property as of December 31,2013 and the trailing 12-months N01 as of the Valuation Date. 3 This amount has been rounded to the nearest thousand. 6 Valuation Services, Inc. Projected Year 1 Net Operating Income $ 74,048 Capitalization Rate 6.00% Fair Market Value of the Property $ 1,234,000 Additionally, VSI received data on sales of comparable properties in Alexandria, Virginia. This data indicates that comparable properties have sold for $257 to $483 per square foot. By dividing the fair market value of the Property ($1,234,000)by 2,932 square-feet, the Property was valued at$421 per square foot as of the Valuation Date, which is in line with the comparable sales data. 2nd Step—Adjustment for Other Assets and Liabilities—The next step in determining the net asset value of the Entity is to adjust for the other assets and liabilities, if any, that are held by the Entity as of the Valuation Date.As previously mentioned, according to the Account Statement, the Entity held $19,643 in cash. After adding the cash balance, the net asset value of the Entity was determined to be $1,253,643. 3.d Step — Calculation of the Allocable Amount to the Owner of the Interest — To determine the net asset value of the Interest, the net asset value of the Entity allocable to the owner of the Interest must be determined. This calculation entails multiplying the net asset value of the Entity ($1,253,643)by the pro rata ownership interest represented by 20 shares of common stock (i.e., 50%). Based on this computation, the net asset value of the Interest has been determined to be $626,822. Summary of the Net Asset Value Calculation of the Interest—The above-mentioned steps have been summarized in the following table: Fair Market Value of the Property $ 1,234,000 Plus: Cash 19,643 Net Asset Value of the Entity $ 1,253,643 Net Asset Value of the Interest $ 626,822 Application of Valuation Discounts—After determining the pre-adjusted net asset value of the Interest as shown in the calculation above, valuation discounts are applied in order to establish the fair market value of the Interest. In general, the application of valuation discounts would be warranted because a hypothetical investor considering owning the Interest would not directly own the Property and other assets held by the Entity but would own a fractional ownership interest in the Entity that owns the Property and other assets. In our opinion,the hypothetical buyer 7 Valuation Services, Inc. and seller of the Interest would not disregard the organization of the Entity but would take into account this structure and the bundle of rights attached to the Interest when determining the fair market value of the Interest. The overall investment risk profile associated with owning the Interest is greater than the risk profile of owning 100% of the Property directly. In general, the nature of the partial, indirect ownership of the Property would potentially affect the pre-adjusted net asset value of the Interest. There are also a number of other risk factors to consider. Most of these factors fall under one of two valuation discount categories — i.e., the minority interest/lack of control discount and the lack of marketability/liquidity discount. The following is a brief discussion on the lack of control and the lack of marketability/liquidity discount and their applicability in determining the fair market value of the Interest. Minority Interest/Lack of Control Discount— Investments are generally perceived as less risky if the investor has the right to control a private entity's future course of action. All things being equal, a controlling interest typically commands a higher price than a non-controlling interest. As a result, when valuing an ownership interest in a private entity under the fair market value standard,the valuation professional must consider the control attributes(or lack thereof)that are attached to the investment. Depending on the specific facts and circumstances,the impairment of value related to control can be substantial. By making a downward adjustment to account for this risk, the expected rate of return on the investment is increased over what it would otherwise be if the discount were not applicable. Based on our experience, Tax Court cases, and various other studies,discounts for this lack of control factor have typically ranged from 0%to 25%. These cases, studies, and empirical support for control discounts are not included in this report. In the case of the Entity, the owner of the Interest would own 20 out of 40 shares of common stock, or a 50% common stock interest, in the Entity. In order to determine the control attributes of the Entity and the Interest,reference has been made to the Virginia Stock Corporation Act and the Bylaws.According to the Bylaws,every shareholder shall have one vote for each share registered in his or her name and is entitled to vote on each matter discussed at a shareholders' meeting. Additionally, typically in S corporations, a majority vote by shareholders is required to adopt an amendment, plan a merger or stock exchange, plan an entity conversion, dispose of a corporation's assets, and dissolve an entity, among other things. In the instant case, the owner of the Interest would have an ownership interest in the Entity with two other owners, each of whom owns 10 shares of common stock, or a 25% interest, in the Entity. For purposes of this valuation, it is assumed that majority consent of the stockholders is required to take all actions of the Entity. Therefore, by virtue of owning 20 shares of common stock, the owner of the Interest would be able to veto or block major decisions of the Entity. Based on the specific control attributes related to the Interest and ownership structure of the Entity, it is our professional opinion that the lack of control discount should be near the mid- point of the 0%-to-25% discount range mentioned earlier. For purposes of this report, a 10% lack of control discount was determined to be a reasonable and supportable discount to apply to the Interest under the fair market value standard. Lack of Marketability/Liquidity —The concept of marketability deals with the liquidity of a fractional ownership interest in a closely held entity—that is, how quickly and certainly it can be converted to cash at the owner's discretion. According to the International Glossary of Business 8 Valuation Services, Inc. Valuation Terms, marketability is defined as "the ability to quickly convert property to cash at minimal cost." With respect to investment characteristics of assets, the term "marketability" and "liquidity" are sometimes used interchangeably. The lack of marketability valuation discount relates to the degree of difficulty that an owner of a fractional interest in a private entity would generally encounter if trying to sell the interest to realize the cash value of the investment or if attempting to value such an interest. Fractional ownership interests in private entities are difficult to sell because: • They are complex investments that are difficult to price; • There is a limited pool of investors who purchase such interests; • There is no organized exchange that efficiently prices or sells such interests, and thus the interest cannot be converted easily to its cash equivalent value; and • Information on the private entity and its assets is limited or not made available to the general public, and a substantial amount of time, energy, aggravation, and cost is expended in performing the necessary due diligence in order to properly determine whether the interests are a worthwhile investment. Specific Negative Factors — In addition to these factors, other features specific to the Interest were considered in estimating the lack of marketability (liquidity) valuation discount. The factors that would serve to increase the lack of marketability (liquidity) discount for the Interest are as follows: • Historical cash-on-cash return to the Interest; • Costs associated with selling the Property; • Size of the investment; and • S corporation status of the Entity. Historical cash-on-cash return to the Interest — Based on our professional experience, probably the single most important criterion in establishing the lack of marketability/liquidity discount of any fractional interest (whether buying or selling) in a private, closely held entity or trust is the related cash flow or earnings stream to be realized from the investment. Investors depend heavily on the information regarding the level of historical and projected cash flow distributions generated from an investment in determining the fair market value. In general, a fractional interest in a private entity that is projected to produce a smaller defined stream of current cash flow, no cash flow, or a less certain stream of cash flow, would be considered risky relative to an investment that is expected to generate meaningful cash flow in the near future (assuming that all other factors are considered equal). Investors (both buyers and sellers) place great significance on the assurance, predictability, and immediacy of cash flow. Investors generally require higher rates of return if the historical and projected levels of cash flow distributions generated from an investment are low. Because it would be generally difficult for an owner of a fractional interest in an entity to realize the cash value of the investment, many investors would place emphasis on the entity's potential cash flow that would be distributable, at least on an annual basis to its owners. In trying to determine fair market value, investors rely heavily on information regarding the historical and projected levels of cash flow distributions generated from a potential investment. 9 Valuation Services, Inc. Generally speaking, an interest in a private entity with a history of making distributions to its members is more marketable than an interest that makes no distributions or has a history of making unpredictable distributions. If a private entity makes little or no distributions, the holder of the private interest is dependent entirely on some future ability to sell the interest to realize any cash return at all. In the instant case, as shown in the following table, the Entity made the following cash distributions over the last four years: Year Distributions 2010 $ 66,000 2011 65,890 2012 66,000 2013 73,640 Average $ 67,883 According to the table above, the average cash distributions paid to the shareholders over the past four years was $67,883. Based on (i) the average distributions to the shareholders of the Entity ($67,883) and (ii) the net asset value of the Entity as calculated in this report($1,253,643), the average cash-on-cash return was calculated to be approximately 5.41% ($67,883 divided by $1,253,643). In general,investors who acquire fractional interests in real estate entities emphasize the importance of having consistent, reliable, and predictable cash flow. Based on our experience, many investors interested in closely held, illiquid real estate fractional ownership interests in entities whose real estate produces good, reliable and consistent cash flow, were willing to accept cash-on-cash returns in the 6% to 10% range. A 5.41% cash-on-cash return would be considered a slightly unfavorable cash-on-cash return to the owner of the Interest given the risks involved.4 Accordingly,based on the aforementioned,the slightly unfavorable historical cash-on-cash return to the owner of the Interest would serve to slightly increase the lack of marketability discount associated with owning the Interest. Costs associated with selling the Property—The transaction costs associated with selling the Property would have to be considered by a prospective investor of the Interest. Such total fees could represent 3% to 6% (or more) of the value of the Property, or approximately $37,020 to $74,040. These costs would reduce the amount of proceeds available to be distributed to the owner of the Interest upon a sale of the Property. I Given the slightly unfavorable cash-on-cash return associated with the Interest,many potential investors would seek out alternative investments, such as publicly-traded REITs.The average dividend yield for publicly traded REITs in the U.S. was 3.45%as of the Valuation Date.While this return is lower than the return on the Interest,investments in publicly-traded REITs are highly liquid and provide predictable cash flow. 10 Valuation Services, Inc. Size of the investment—The size of the investment necessary to own the Interest would be a factor that would negatively impact the marketability of the Interest. The net asset value of the Entity allocable to the Interest was $626,822 as of the Valuation Date. This high-dollar amount would reduce the potential pool of investors who are both interested and financially capable of investing in an ownership interest of this size. A fractional, non-controlling interest in a private entity with a pre-discounted value of approximately $626,822 would be considered a large ownership investment, and there are not many potential investors who could afford this type of investment. Even after investing this large amount, the owner of the Interest would not be able to control the Entity. The large amount of funds needed to invest in the Interest would limit the marketability of the Interest and, accordingly, would increase the overall risk associated with owning the Interest. S corporation status of the Entity — A risk factor that would reduce the marketability/liquidity of the Interest is the Entity's S corporation status. S corporations benefit from both the corporate characteristics of limited liability and the income flow-through attributes of a partnership; however, as will be discussed below, an S corporation must adhere to several requirements in order to maintain its S corporation status. The main advantage of electing S corporation status is the avoidance of income taxes at the corporate level. Despite this tax advantage, as mentioned above, S corporations are subject to certain requirements that must be met to maintain its S corporation status. These requirements would likely be considered factors that would serve to reduce the pool of potential investors for the Interest and would, therefore, reduce its marketability. The following are the general requirements for maintaining an S corporation: • S corporations can have no more than 100 shareholders (while C corporations can have an unlimited number of shareholders). • S corporations cannot have non-U.S. residents as shareholders (C corporations do not have this restriction). • Shareholders of S corporations must be individuals, with the exception of estates, certain trusts, and other S corporations (C corporations are not subject to these same restrictions). • S corporations can have voting and non-voting stock, but cannot have different classes of stock that share disproportionately in distributions and liquidation proceeds (C corporations can have multiple classes of stock that share disproportionately). The limitation on the number and type of shareholders could reduce the Entity's access to capital and hinder its potential growth. In addition, the requirement that an S corporation can only have one class of stock based on economic rights would further reduce the company's ability to raise additional capital (e.g., through the issuance of preferred stock). A C corporation, on the other hand, would have fewer restrictions in raising capital because it would be able to issue additional stock (either same class or different classes) to existing shareholders or new shareholders (with no restriction as to the type of shareholders). 11 Valuation Services, Inc. If the requirements above are not met, among other things, the S corporation status would be lost, and the entity's shareholders would potentially be subject to an income tax liability. These requirements could create additional barriers for many businesses as well as the need to monitor the company's compliance with the above requirements to avoid terminating the S corporation status. The possible issues created by the above requirements would shrink the pool of potential investors for the Interest and would serve to increase the lack of marketability discount associated with the Interest. Specific Positive Factors—In addition to the specific negative factors, VSI identified the following positive factors associated with owning the Interest that could warrant a decrease in the valuation discount for the lack of marketability. The factors that would serve to decrease the lack of marketability/liquidity discount for the Interest are as follows: • Lack of debt; and • Full occupancy of the Property. Lack of debt—As previously mentioned,the Property was not encumbered with a mortgage loan as of the Valuation Date.With no debt,there is more management flexibility and less concern over vacancies and unexpected capital expenditures. All other factors being equal, an investor would rather own an interest in an entity with little or no debt than own an interest in an entity whose assets are highly leveraged or has onerous debt terms. This factor would decrease the risk of owning the Interest and thus decrease the lack of marketability discount associated with the Interest. Full Occupancy of the Property—As of the Valuation Date, the Property was 100% leased and occupied by a single tenant whose lease lasts until March 2017 with an option to extend the lease for an additional three years. This occupancy rate is a favorable factor. Investors typically view a fully leased and occupied property as evidence of a strong market and successful property management. All things being equal, an investor would prefer to own an interest in an entity that owns a fully leased property rather than one with high vacancies. Therefore, the high occupancy rate of the property is a positive factor that would serve to increase the marketability of the Interest. Conclusion — In our professional experience, fractional, non-controlling ownership interests in private entities usually warrant valuation discounts for lack of marketability(liquidity) ranging from 20% through 40%, or even higher if the overall risks associated with owning the Interest are substantial. After considering the negative and positive factors associated with the Interest, a 25% valuation discount for the Interest related to the lack of marketability/liquidity was established. After determining that the net asset value of the Entity that would be allocable to the Interest was $626,822, the valuation discounts discussed earlier have been applied sequentially. As shown below, the fair market value of the Interest has been calculated to be $423,000.5 5 This amount was rounded to the nearest thousand. 12 Valuation Services, Inc. Net Asset Value of the Interest $ 626,822 Less: Minority Interest/Lack of Control Discount 10% (62,682) Value of a Non-Controlling, Marketable Discount 564,139 Less: Lack of Marketability/Liquidity Discount 25% (141,035) Fair Market Value of the Interest $ 423,000 13 Valuation Services, Inc. 10. Conclusion In our professional opinion, the fair market value of 20 shares of common stock in 604 King Street, Inc. owned by the Estate of Bettie Elliott as of October 17, 2014 was $423,000. The fair market value of the Interest reflects an effective overall valuation discount of 33%. Sincerely, Craig 5Stepp son, CPA, CVA Managing Director Alex Dudley Analyst 14 Valuation Services, Inc. C. LIMITING CONDITIONS Valuation Services, Inc. LIMITING CONDITIONS This valuation was commissioned for the sole purpose of valuing the Interest for estate tax reporting purposes and is intended for no other purpose. The issuance of this report is intended for no other purpose. This report is not to be copied or made available to any persons, without the express written consent of VSI. It is agreed that any user of this valuation who uses it contrary to this prohibition indemnifies VSI, its officers and directors, and the author(s) of this report and holds them harmless of and from all claims, including attorney's fees, arising from said use. Consistent with the Internal Revenue Service Revenue Ruling 59-60, it is our belief that "a ... valuation is not an exact science." Therefore, the reader of this report may disagree with the valuation, and the amount of that difference may be significant. VSI assumes no liability whatsoever for these differences in opinion. Our compensation for making the attached report is in no way contingent upon the value reported. This summary valuation report was prepared in accordance with the standards developed by NACVA. For purposes of this valuation, the fair market value of the Entity and the Interest is defined as that price at which the Entity or the Interest would change hands between a willing buyer and a willing seller when the former is not under any compulsion to buy and the latter is not under any compulsion to sell, and both parties having reasonable knowledge of the relevant facts. The fair market value of the Entity and the Interest is based on facts known, knowable or foreseeable as of the Valuation Date. Any facts that were not known, knowable or foreseeable as of the Valuation Date were not taken into account. Any facts occurring subsequent to the Valuation Date could have a significant impact on the future value of the Interest. It is our understanding that no current real estate appraisal was available for the Property. In order to value the Interest, however, VSI needed to derive a value for the Property. The value of the Property was computed using an income-based approach. The value of the Property is merely an estimate and is only used to establish the fair market value of the Interest. VSI is not an MAI certified real estate appraisal firm. If the actual value of the Property was materially different from our estimate, the fair market value of the Interest would be impacted. VSI assumes no responsibility for any changes in the fair market value of the Interest due to any change in the value of the Property. Public information and industry and statistical information that were used in this report were obtained from sources that are believed to be reliable and accurate. VSI makes no representation as to the accuracy or completeness of such information and have not conducted any procedures to substantiate the information. VSI, its managing directors, and its staff have no present or contemplated financial interest in the Entity or the Interest. Our fees for this valuation are based upon our normal hourly billing rates, and are in no way contingent upon the results of our findings. We have no responsibility to update this report for events and circumstances occurring subsequent to the Valuation Date. 15 Valuation Services, Inc. All information furnished by the client and from other sources is believed to be reliable, but no responsibility for its accuracy is assumed. The authors of this report take no responsibility for information that has not been furnished. VSI has made no formal survey of the Property. It is assumed that there are no hidden or unapparent conditions of the Property's subsoil, or structures that would render them more or less valuable. No responsibility is assumed for such conditions or for engineering that may be required to discover such factors. It is assumed that there is full compliance with all applicable zoning and use regulations and restrictions. It is assumed that utilization of the land and improvements is within the boundaries of property lines of the Property and that there is no encroachment or trespass unless noted within the report. Unless otherwise stated in the report, the existence of hazardous material, which may or may not be present on the Property, was not observed. VSI has no knowledge of the existence of such materials on or in the Property. However,VSI is not qualified to detect such substances.The presence of substances such as asbestos, urea-formaldehyde foam insulation, PCB transformers, underground storage tanks, or other potentially hazardous materials may have an effect on the value of the Interest. The value estimate is predicated on the assumption that there is no such material on or in the Property that would cause a loss in value. No responsibility is assumed for any such conditions. The fair market value of the Interest represents the opinion of the value as of the Valuation Date. Economic conditions change constantly, and therefore, the value of the Interest can change under varying economic conditions. It is assumed that all required licenses, consents, or other legislative or administrative authority from any local, state, or national governmental or private entity or organization have been or can be obtained or renewed for any use on which the value estimate contained in this report is based. The Interest is valued as though the Entity is owned and operated as described in the report, under responsible and competent management. It is assumed that none of the owners are subject to adverse circumstances that would pressure them to dispose of the assets of the Entity or their interests. VSI does not assume responsibility for legal matters nor does VSI render any opinion as to the title to the Property that is assumed to be good, clean, and marketable. VSI may be requested to give testimony or appear in meetings, depositions or court because of having made this valuation. If additional time is required after the completion of this valuation then all time will be charged at normal rates at the time the work is performed, including reimbursement of reasonable and customary out of pocket expenses incurred. Neither all nor any part of the contents of this report shall be conveyed to the public through advertising, public relations, news, sales, or other media, without the written consent and approval of the author, particularly as to the valuation conclusions. 16 Valuation Services, Inc. The valuation analysis herein considered various studies, statutes, case law, and other rulings that may be subject to change and, in many instances, subject to varying interpretations. VSI assumes no responsibility for such changes or varying interpretations. 17 PA REV-1500 SCHEDULE E CASH, BANK DEPOSITS & MISCELLANEOUS PERSONAL PROPERTY Burke & Herbert Bank At Your Service Since 1852 Date 10/16124 Page 1 ACCOUNT NUMBER 13102844E MS . BETTIE R. ELLIOTT MS . KAREN E. ELLIOTT, POA 1240 N UTAH ST ARLINGTON VA 22201-4820 l�t'O�t'��"���Itlli �1111�it�il�ll� �Illtltr��,tllf�trlt�tht�� C H E C K I N G A C C O U N T CONVENIENT CHECKING ACCOUNT NUMBER OF ENCLOSURES 2 ACCOUNT NUMBER 131028448 Statement Dates 9/17114 thru 10/16/14 PREVIOUS BALANCE 448 . 80 DAYS THIS STATEMENT PERIOD 30 4 DEPOSITS/CREDITS 8, 667 . 45 AVERAGE LEDGER BALANCE 3, 800. 15 6 CHECKS/DEBITS 3, 324 .23 AVERAGE COLLECTED BAL 3, 620 . 62 SERVICE CHARGE . 00 INTEREST . 00 ENDING BALANCE 5, 792 . 02 2014 Interest Paid . 91 ACTIVITY IN DATE ORDER DATE DESCRIPTION CHECK# AMOUNT BALANCE 9/18 PURCHASE RITE AID 03854 POP 10 . 00- 438 . 80 583 ARLI VA 9/18 PURCHASE RITE AID 03854 POP 18 . 99- 419 .81 582 ARLI VA 9/24 TAX REF IRS TREAS 310 PPD 2, 344 . 00 2, 763. 81 9/24 CHECK 584 295 .24- 2, 468 .57 10106 MarketplacAMAZON.COM CCD 25 . 45 2, 494 . 02 10/07 DEPOSIT 5, 298 . 00 7, 792 .02 10/08 Bank to Bank transfer 1, 000. 00 8, 792 . 02 Confirmation number 1008140014 10/14 Bank to Bank transfer 1, 000 . 00- 7, 792 .02 Confirmation number 1014140877 10/14 Bank to Bank transfer 1, 000 .00- 6, 792 . 02 Confirmation number 1014141472 10/15 Bank to Bank transfer 1, 000 .00- - ` 5, 792 . 02 Confirmation number 1015140048 SUMMARY BY CHECK NUMBER DATE CHECK# AMOUNT DATE CHECK# AMOUNT DATE CHECK# AMOUN`I 9/18 582 -See above- 9/18 583 -See above- 9124 584 295 . 24 * DENOTES MISSING CHECK NUMBERS Thank you for banking with us . t�p /�/ n PO Box 268,Atexandria,VA 22313-0268<24-Hour Automated Tetephone Banking:703.751.7701 •ToU Free:1.877.440.0800 MEMBER Customer Contact Center:703.684.1655,Ontine at burkeandherbertbank.com FDIC Account# 2219506 Statement Date 10M3/14 ACNBpoBox s1as Page 1of7 BANK aeuv,uu,opw1rszs 19 Temp-Return Service Requested Y|IUYQ1III lilt-III NI'll/y|/N�^U|1||//|'U|-III 'Y"|1Ul|||l 000155 1.4500 AV 0.381 TKUOOVl BETTERELLIOTT See page 2for 47HEMLOCK C|R important information NEVVV\LLEPA17241 about managing your account. Updates to Your Statement You may have noticed that your statement looks slightly different.We've made some minor modifications to the layout and envelope.As you'll see,your account information is still being provided in the same familiar format. In addition,your account terms and conditions disclosure is enclosed and this is effective on December 1,2014. For any questions, please call 1.888.334.ACNB. Thank you for banking with us. Your Accounts With Us Account Name Account Number Balance Esteem Checking 2219500 $7.510.43 Classic MMA Consumer 1633295 $5.829.54 Esteem Checking Account# 2219506 � Beginning Balanceun 00/10K14 $7.838.07 ' + Deposits &Other Credits $3.815.08 'Withdrawals &Other Debits $4143O� � . � � - SemioeCho es $OOO /��� | + Interest Paid $0.29 ' Ending Balance on 10/13M4 $7'51042 6 ------ | Days /nStatement Period 33 ' � Account Activity Date Description Deposits/Credits Checks/Debits Balance 09V1014 BEGINNING BALANCE $7.838.07 09x11/14 CHECK#2448 $10.00 $7.828.07 09/12/14 AARP AARP Q10.00 *7.818.07 co SERIAL NUMBER: 2440 'm 042547581830030 � 09/15/14 CBN PLGXPRESS DONATION s25.00 $7.703.07 ELLIOTT, BETT}E R 09/15/14 CHECK#2456 $300.00 $7.493.07 09/10/14 CUSTOMER DEPOSIT $3.50 $7.498,57 08/10/14 CUSTOMER DEPOSIT $90.25 $7.592.82 09/10/14 PUBLISHER CLEAR ACH $22�04 $7.569.88 SERIAL NUMBER: 2447 Total Control Account' Account No. 4057909326 Statement Period From 7/01/14 To 9/30/14 Page I of I 5H-301884-TCAIPGIB BETTIE R ELLIOTT Your Representative: RASMUS G DANIEL 47 HEMLOCK CIRCLE NEWVILLE PA 17241-9482 Branch servicing PENNWOOD FIN GROUP your account: 4905 TILGHMAN ST STE 200 ALLENTOWN PA 18104 Telephone: (610) 398-0100 Customer Service: (800) 638-7283 Beneficiary Election Recorded as of 09/1012009 Whether your Total Control Account (TCA) is new or was established many years ago, it's important that you keep in touch with us. Are you satisfied with your TCA, or do you have questions about your TCA? Have you recently changed your contact information? Send us an email by visiting www.mettife.com, and under Contact Us, click on Email Us, and complete the email form. You also may use our automated phone system to obtain your current balance, order more drafts, or order a beneficiary designation form. TCA SETTLEMENT OPTION EFFECTIVE ANNUAL YIELD 3.00% AS OF 09130114 Account Summary ............ ................... ................................... Beirtttg ..................... ............ .... ... a $22,664.38 ....................... Interest $146.50 Drafts $5,200.00- X .............. 10-88 DOD p, ............... ........................ . . .................. .......... ...................... Y T- 1"1- -1 ha, $476.73 Yep.. q $0.00 fAr.":10*,�-; 0 e. 1 7 De'd AW ................. .......... .............. .............. -- Transaction Details .......... ................ .................... ........... ........... ............ .......... .................. ........................ ................. date ............. ......... ............. ............. ................ -----------............ ------------- ........... ...... ri fi, ....... ------------ ............ ......... 7/31 Interest $57.04 8/4 Draft 0104 Central PA Hearing Aid So $200.00- 8/6 Draft 0101 Bettie R Elliott Estate A $2,000.00- 8/8 Draft 0102 Bettie R Elliott Easteem $3,000,00- 8/31 Interest $46.59 9/30 Interest $42.87 PA REV-1500 SCHEDULE F JOINTLY OWNED PROPERTY VIRGINIA BEACH SCHOOLS FEDERALfb CREDIT OUNION The Smart Financial Choice December 23, 2014 Law Offices of Halbruner, Hatch & Guise LLP 2109 Market Street Camp Hill, Pennsylvania 17011 Attention: Traci L. Sewpkovic Dear Ms. Sepkovic, Virginia Beach Schools Federal Credit Union would like to express our deepest sympathies for the family of Bettie R. Elliott. Please be advised Karen E. Elliott, joint owner effective 12/17/1979. Enclosed is a check for the total amount of, $1,419.17. Bettie R. Elliot's account is now closed. Sincerely submitted, Carla F. McCoy Vice President and Member Service Executive 0701 Bonney Road • Virginia Beach VA 23452 • 757.463.3650 • TF: B77.4VBSFCU -,.rbsfcu.crg] i smartfczans.orq] PA REV-1500 SCHEDULE G INTER-VIVOS TRANSFERS and MISCELLANEOUS NON-PROBATE PROPERTY Jan 12 2815 17:82:47 Via Fax -> 717 731 9627 MetLife Page 802 Mett fe P.O.Box 10342 Des Moines IA 50306-0342 M e t Lio f reft January 12,2015 LAIN OFFICE OF HALBRUNER HATCH& GUISE LLP ATTN TRACI L SEPKOVIC 2109 MARKET ST CAMP HILL PA 17011 RE: CONTRACT 7700031464 OWNER/ANNUITANT BETTIE R ELLIOTT JOINT OWNER NONE Dear Ms. Sepkovic: Thank you for your recent inquiry regarding the contract referenced above. Our records indicate that the date of death and the account value on that date are: Date of Death: October 17,2014 Date of Death Value: $229,926.78 Issue Date: October 7, 2009 Account Typo: Nan-Qualified Deferred Annuity Beneficiary: Karen E Elliott-Thorp Investment earnings January 1, 2014- October 17,2014: $4,344.11 No interest was earned since the contract was not invested in the Fixed Interest Account, The above reflects investment earnings on funds invested in the Separate Account. If you have any questions, please call our Customer Service Center at 1-800-63$-7732 Monday through Friday between 9:00 a,m. and 6:00 p.m., ET. Sincerely, Lisa McDaniel Annuity Representative-Post Issue Processing MetLife Annuity Operations and Services Metropolitan Life Insurance Company. MetLife Insurance Company USA# New England Life Insurance Company.First MetLife Investors Insurance Company ftJ The Baltimore Life COMPANIES December 24, 2014 Traci L Sepkovic Halbruner, Hatch & Guise, LLP 2109 Market St Camp Hill PA 17011 Re: Bettie R Elliott, deceased Policy No. SC000000766 Dear Ms. Sepkovic: In reply to your request I have the following information. I- Life Income with Cash Refund at Death 2. No Joint Owner 3. Issued January 15, 2011 4. Karen E Elliott-Thorpe 5. No change of ownership 6. $78,783.18 7. Interest was calculated at issuance of contract 8. No credits or loans Please have Karen E Elliott-Thorpe complete the enclosed Claimant's Statement. To expedite the claim you/she may fax 866 879-9867 or email clairnsfaxCa)baltlife.com the completed form. If you have any questions concerning the above you may reach this office at 800 628-5433, ext. 7711. Sincerely, Johanna Sullivan Claims Analyst The Baltimore Life Insurance Company 10075 Red Run Boulevard • Owings Mills,Maryland 21117-6050 (410)581-6600 • 1-800-628-5433 • www.baltlifexorn 0 MetLife Mef t i fe Total Control Account PO Box 6300 Scranton,PA 18505-6300 800-638-7283 January 14, 2015 Halbruner, Hatch& Guise, LLP Attn: Traci Sepkovic 2109 Market St Camp Hill, PA 17011 Re: Metropolitan Life Insurance Company Accountholder: Bettie Elliott Total Control Account#4057909326 Your Client: Karen Elliott-Thorp Dear Ms. Sepkovic: In response to your request for the date of death balance for the above referenced Total Control Account, the date of death balance is $17,635.19. The above account was opened on 8/17/2009. Please be advised the beneficiary on the account was your client Karen Elliott-Thorp. Payment has been issued to the beneficiary and the account is closed as of 11/24/2014. If you have any questions or require further assistance,please call our TCA Customer Service department at 800-638-7283, Monday through Friday, 8:00 am through 6:00 pm ET. Sincerely, TCA Administration Services Note:Metropolitan Life Insurance Company(MLIC)provides administrative services for Total Control Accounts established in connection with policies issued by MLIC or by certain of MLIC's insurance company affiliates. tca.0146.rev.03 PA REV-1500 SCHEDULE H FUNERAL EXPENSES and ADMINISTRATIVE COSTS 15 Big Spring Avenue NEWVILLE, PENNSYLVANIA 17241 F. CHARLES EGGER, Supervisor 717-776-3414 FRANK C. EGGER, Funeral Director November 3, 2014 Funeral Bill for Bettie R. "Betz"Elliott l Professional services Anatomical Gift Registry $775.00 G { t u� 10 Death Certificates $6.00 a piece $60.00 ti Sentinel obituary $416.13 l Total $1,251.13 RECEIPT FOR PAYMENT -------------------- LISA M. GRAYSON, ESQ. Receipt Date : 11/07/2014 Cumberland County - Register Of Wills Receipt Time : 13 : 24 :34 One Courthouse Square Receipt No. : 1079650 Carlisle, PA 17613 ELLIOTT BETTIE R Estate File No. : 2014-01063 Paid By Remarks : KAREN E ELLIOTT-THORP ci ------- ----------------- Receipt Distribution ---- -- ------------------ Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 90 . 00 CUMBERLAND COUNTY GENERAL FUN WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 50 . 00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 35 . 50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN ------- --------- Cash225 .50 Total Received. . . . . . . . . H25 . 50 Huey and Associates, P. C CERTIFIED PUBLIC ACCOUNTANTS 7101 WISCONSIN AVE,STE#1010,BETHESDA,MD 20814-4881 PHONE: (301)951-3744,FAX: (301)907-0149 13873 PARK CENTER ROAD#210,HERNDON,VA 20171-3249 PHONE: (703)437-6269,FAX: (703)437-6265 BILLING QUESTIONS PLEASE CALL 301-951-3744 January 8,2015 Billed thru: 12/15/14 Client ID: 10435 John Thorp&Karen Elliott INVOICE 14-2084 1240 N.Utah ST Arlington,VA 22201 For professional services rendered: Consultation with Rob Huey re:Bettie Elliott Estate 225.00 INVOICE TOTAL: $225.00 Previous balance $ 125.00 Payment—thank you $ 0.00 TOTAL: $350.00 All invoices are due upon receipt. Thank you for your prompt attention. Account(s)will be charged a finance fee of 1%with a minimum of$2.00 if not paid within 60 days. Unterprisel `xi �+� ' Ct� 1 !L�f it 4 1 r 16YVASPRI4 PAGE 1 of4 PO 7:SJ Alm - h:K F.4 TI: 7:dG AM •- 6:30 PK WE 7:3,) AN, 6:30 PH TH 7:SJ ref - '_;3� L't1....._FR, 7:30 AM - 6:2`0 FM SA 9:-i0 i i1 12:00 F14 qER OF VEHICLE: 914TERPRISE PAC C()r-AKIIV f: MARYLAND :'[;. r rie~D l ` :ANCHADDRESS: GT01 P,�,'f}n0 lltr ST, ARLING11044r VA, �:'CTSi:1'.� t70?I N RENTAL SOURCE# TYPE RETAIL REIAiI- 9199 ' RENTER DAY R r>EATOD 'A/14/cJ14 8:16 AN � THMP 1uz'N AT CHARGES IF DIFFERENT " VEHICLE 226,3'4/14515. ORIGINAL VEHICLE - COLOR LICENSE NO. MODEL -EOAR# MILE- IN BILL COMPANY AGE OUT ( TO ra ATTN: - PHONE EXT. - DRIVEN---_ - REFERENCE NUMBER- :ON9111(ki A`/OFUEl ♦a KEYS' LlVELAORELb .MBI r ADDITIONAL AUTHORIZED DRNER(S)•EXCEPT AS REOUIRED BYLAW.NONE PERMITTED WITHOUT OWNER'S WRITTEN APPROVAL. I O Q 1-EOUFST CVNNER'S PERINSSION TO ALLOW IO DTHL�'( DRIVE KriiI1TEi) 0, I AM ESPONSNBLE FOR IDER MY CONTROL H THEIR S WHILE THEY ARE ORIVE VEHICLE FOR FULFILLIFOR ME NG TERMS AND ON MY CONDITIONS (� Z OF THIS RENTAL AGREEMENT(AGREEMENT.USE?-VEHICLE BY AN UNAUTHORIZED DRIVER WILL AFFECT 0 ❑ MY UA61L ND RIGHTS UNDER THIS AGR�E �-- -_--^---• — •------. x.aNr ar o.,earrro g 'X .f��' CONIMION SAME ON RETURN Y.,No PERMISSIO TQ PERATE VEHICLE ONLY E�I'A E OF ENTAL AND THE FOLLOWING STATE(S)' JUT E 118 114 3181111 11, 71 8 F r N E 118 114 318 112 518 14 7!B F OPERATiON IN ANY OMER STATE OR COUNTRY WILL AFFECVOLR LIABILITY ANO RIGHTS UNDER REEMENT. TICE: THIS CONTRACT FRS, DRENTER wCLr`INE c�AL GE RENTERTFEE ONALCOLLISIONOA IN COLUMN GE j L�•1 i CDki $17.15/lltiY )R AN ADDITIONAL CHARGE, A RESPONSreKm SLEEP 6.1 RIGM•SEENOTICETOLEFT ANDP 1cx )ELISION DAMAGE WAIVER TO L COLLISION DNlAGE WAIVER IS NOT IN )VER YOUR RESPONSIBILITY FOR r-" ix �«=► .!� IMAGE TO THE VEHICLE. BEFORE aFxr><R OPTIONAL PERSONAL RENTER ACCEPTS OPTIONALpERsoNAL J ACCIDENr NSURANCE TAQ.SEE PARAGRAPH C. ACCIDENT INSURANCE A AT FEE SHOWN M FA 1 7J.M J 94y^. CIDING WHETHER TO PURCHASE S ca 4TDRCNT•sE�"PA'�AGRAPH,6 RENTER: _ 1E COLLISION DAMAGE ,WAIVER, ----- )U MAY WISH TO DETERMINE ''A' �C.-'P SAI =:cwNALsuPpLEIAENTAI. RENTER ACCEPi6 oPTK1NAl SUPPLEMENTAL $xNETHER YOUR OWN VEHICLE• P).SE PARAGRAPH 7. WBMTPROTECTIDN(6 ATFEESHO/N IN ISURANCE AFFORDS - YOUGauMNroRIG1T's "'DVERAGE'FOR DAMAGE TO THE ROADSIDE RENTER ACCEPTS OPTIONALRWIDSWE :NTAL VEHICLE AND THE AMOUNT pGRASWAKEs3' "°"(RA� sca(afro°RwcHT10NSEEo�"PTI"N'ntPRo°rx!cTsRENTEB X r F THE DEDUCTIBLE UNDER YOUR NOTICE rOLEFT AMPARAGRAPH 19 R'y'a $B•94,L Y WN COVERAGE. THE PURCHASE OF `x r•- � - �'" 1 " _ - - -- - - --- -IIS COLLISION DAMAGE WAIVER IS AWHICHCKNOWLEDGMENT ' DT MANDATORY AND MAY BE WAIVED. CONSISTS OF PAGES I THROUGH - • MA y your signature Renter acknowledges . .' :ceipt of.this notl - - •-- -- .____.._ _.____. . . . . ener.'X '� 1,114/2014 REPLAC M NTVEHICLE k }f DATE M �rja`Lt11A-I1Tp['F>t���l�`-�' w (°1 REP X _ L !�''��'y.��i EMPL. E716NY V1PGINIA f -trIAL TAX 4_.00XIFE ' T I WILL RETURN CAR BY: f� DEPOSIT(S):T VII"isnIt-T1 COLOR LICENSE NO. DATE TIME AMOUNT - IrAIDBY VLF t0.LO(-YL)AY MODEL - ECAR# 1 / ^ j�• ! I (y r r ili j1i(� 1 1./cc?1 8:0 AM $170._C rxatcxx::xx:xx.i�t1 i_/. /� a MILE- IN AGE OUT ADDITIONAL INFORMATION DRIVEN -- TOTAL CHARGES DLE AQHMTdBO K_ IOF IRra.,� -- — - r-._.- --._..._ aerfB, 7 0 O£ DEPOSITS QREFUNDS 0 0 �UZ O ❑� CLOSED BY %.OEM -.•CLUTCH o-usf.w CONOITpN GAMEON RETURN v No PAID BY CASH CHECK CHARGE OUT E•,118;ir4 3181 lr2-W8±SM4��/8 is RECEFTOF DATE I AMOUNT RECEIVED B' N E 1M 114"are 1n s1B W4 718 F *VLF is the Vehicle License Fee recovery, see Page 2,3.b.9 cASHR ( J VER IS AN AFFILIATE OF ENTERPRISE HOLDINGS INC,WHICH OWNS ALL RIGHTS TO ENTERPRISE NAMES AND MARKS. ® 0 ENTERPRISE RAC COMPANY OF MARYLAND,LLC,211 int�rpris IMP11 i t' — 16YVASPRI4 PACE 1 of � M I 11,111 IMP11 {1 #{ flip H IN ;Sty 7,2'il e,M &:310 Ph R" 7:3? �; k: .'i) F'i bit i:w'G "` t• z F''i 114 7:'K, Al'! - 6:3300 ;M c R 7;31) AM - i,:2�j P;i Sm. .:i ti; AN 1200 `r i 1 NER aF VEHICLE: Fj:T:;Fn%SE RAt Cnlf ,Iti'Y DFrEYivs �v, LLD. SIJ tANCH ADDRESS: 1{01 N RAINnLPH ST, A LIfbS ON, VA, 2 V„c 1.i i t/?S S .„ci2-79CC3 �71'r,�• RENTAL SOURCE* I.D.A RENTAL TYPE pr-,av I=All 000 NO tA iENTER trluu DAY - 24 114aI s PERIOD .RT CHARGES IF DIFFERENT ;'Eif:CLE ORIGINAL VEHICLE S7c 001 tt DOLOR ry LIC NSE i, Mj EJL% 'ECAR# IA MILE- IN BILL COMPANY ' ..LiS2E`E.tLLLfwFtG 77 TO !� AGE OUT r<.Ir.t� ATTN: _. �. _... PHONE _ EXT. - .. .. _ DRIVEN RE __ ~ FERENCE NUMBER:. LMAbAWDm " - u ADDITIONAL AUTHORIZED DRIVER(S)•EXCEPT AS REQUIRED BY LAW.NONE PERMITTED WITHOUT OWNER'S 0 011WRITTEN APPROVAL. en nTl= M-',Vr:gr-, =1C7KW:TTrn Q Q• (REQUEST OWNER'S PERM 53104 TO ALLOW o0 � W O WHO IS UNDER MY CONTROL AND DIRECTION TO DRIVE VEHICLE FOR ME AND ON MY BEHALF.1 AM RESPONSIBLE FOR THEIR ACTS WHILE THEY ARE DRIVING.AND FOR FULFILLING TERMS AND CONDITIONS y __• ��` z. OF THIS RENT L AGREEMENT AGREEMENT].USE OF VEHICLEBY AN UNAUTHORIZED DRIVER WILL AFFECT O MY LIABILITY NO R GHTS UNOER THIS AGREEMENT. - x.DENr CONDITION SAME ON RETUAR Yn W PERMISS G £O TO OPERATE VEHI EONLYItT TA OF�RAL AND THE FOLLOWING STATE(S)'UT EI E ,la 114 318 SB 314 118 F DCpOPERATIONIN OTHER STATE OR COUNTRY W LL AFFECT 0_ LIAAND RIGHTS UNDER THIS AGREEMENT. TIT-THIS CONTRACT FFR , RENTER DECLINES OPTIDNALCOLI.ISR} RENTER ACCEPTS OPTMALCOL ON DAMAGE ~~-- DAMAGE WANER(COW)AND ASSUMES DAMAGE WANEft AT FEESHUA•NIN MN TO t I..T)N $1 7.9'9IT-AY AN. ADDITIONAL CHARGE. A RESFONSI31LTTr.SEE PARAGRAPH s. RIGHT.s�ECDr naE To IT GRAPH 1s. gig;x LLISION DAMAGE WAIVER TO ooLLIS10NDAMAGEW TR4547RtJ9CE. - - __ -1 VER YOUR RESPONSIBILITY FOR :X w- .. T;_- �. { .{,.pf. ;, MGE TO THE VEHICLE. BEFORE RENTERDECLWESO. PERSONAL RENTERACCEPTEOPTiONAL RSONAL ,iiDlNG WHETHER TO PURCHASE ACCIDENT NSURANCE fP/1Q.SEE PARAGRAPH B ACCIDENT INSURANCE(PAI) SHOWN IN •}'', �{}�fT,}�;1Y (j COLUMN TORrft.SEE PARAGRAPH 18. gEffrER:X .. M COLLISION DAMAGE WAIVER , J MAY WISH TO DETERMINE RENTER DECLINES OPGDNALSUPPLEMENTAL RENTER ACCEPTS OPTIONAL SUPPLEMENTAL - - - - — - - --_ - ETHER YOUR OWN VEHICLE LIABILITY PROTECION( )SEE PARAGRAPH T. LIABILRYPROlECT10NISLP aTFEESIiOWNN :X t}AY URANCE AFFORDS YOU 1 �'` caLLtiNTaRGTrr.sEEPAInGRAPNIT. y - _ _,. _ . . _._ . dERAGE FOR DAMAGE TO THE RENTERDECLINEs flUROADSIDE RENTER ACCEPTS OPTIONAL ROADSIDE 4TAL VEHICLE AND THE AMOUNT PARAGRRAAPH3StSTANQE B.3� SEE INCOOLwaETO HT SEE VTP AT STs ROM x _. . �•.-- - . THE DEDUCTIBLE UNDER YOUR IT NOTICE TO LEFT AM PARAGRAPH 19, RIF i3,9?fI;AY "' N COVERAGE. THE PURCHASE OF X Y" �'�..F'TT _ _._ ._ __ S COLLISION DAMAGE WAIVER IS ACKNOWLEDGMENT ` HE _ 'MANDATORY AND MAY BE WAIVED. t •. •. FUEL t',}fn`i:�C :3,g4/GAii IIt1- tour si at etl e en e s nowledges . - . .+ .ipt of is notice: ' Iter: a '� r .. , r { DATE REPLACEtJ1EN VEH CCE OWNER I ' EMPL. V1R6iN'1A Rt NTAL FEE L'.{}t>`/P V 0 REP X f r f rf `." # ?;�.I+k',:1 VIR-INTA.71:;'WiAL_..T&)_4.Z•�I�}:'`,ii* T T 1WlLLRETUR TtBY: ' _AEPO31 _ V:h'Gct:In �!J£TTL TAX r4.GSlRR£�I COLOR LICENSE NO. GATE.I TIME-~�-« 'AMOUNT PAID BY •'--� A .'w• , V EL.f �?� ....f3ft. .. MODEL ECARN I i fiP?lFllllr� ,hl. 1157_f I .uvrvu•+vvs•w7t=d# f 1 J?2 f?,R1+u »_ _ .___. .-_- • t , BILE- AGE OUT ADDITIONAL INFORMATION DRIVEN ' [ •i:- �'' -t YG, r �•{ TOTAL CHARGES tvR.urzEcam AExrtR .. _... ,... .... .-.....--• •- z DEPOSITS 0 O < D REFUNDS OI • D� o . 0 ❑ g !OSED-BY xx Dw -.sawml O.M$sw. >ONEIMONSAMEONAETURN m No PAID BY CASH CHECK t CHARGE IBa.T. ta'' yrz.stat�aL?�,y RECETPfOF } DATE AMOUNT RECEIVED BY £ ,re ,ra 3a ,a rva 31a 116 F *VLF is the Vehicle License Fee recovery,see Page 2, 3.b.9 CASIIREFUNDi IS AN AFFILIATE OF ENTERPRISE HOLDINGS INC.:WHICH OWNS ALL RIGHTS TO ENTERPRISE NAMES AND MARKS 0 ENTERPRISE RAC COMPANY OF MARYLAND,LLC.,2014 @ewY1l|e. HA UZ41 Dining Room Server: BISTRO 210 Big Spring Rd Newville, PA 17241 Server: Linda Chestnut Elliott, Bettie ****3 TABLE Bistro SEAT 1 Data: 4 Line Number* l Elliott, Bettie ****3 Order Number: 1151 TABLE To Go SEAT ' 5� PH CD Date: l4 Ling Number: 1 * ~' ~'~` 'u«' Order Number: 1109 Transaction 215 12:10:26 PM (3) Lunch Spacial #2 $2.85 Transaction 103 Total : $2.85 Baked Scrod $18.50 ****m*mm**w***mmw**mw*m************wm*m*** Total: �l8 5O ' Total Paid With Decline - Min -$2.85 **w*wwww***w**w�mw���w*w*�*mw**wwmww*wm�wm Total Paid With Decline - Min -$18. 50' D8Clhl8 - Min Balance $482.35 Resident Charge Balance $0.00 Decline - Nin Balance $485.20 Resident Charge Balance $0 UO --------------- ---'Name— Print '' — --- ------- ' Print Name iSign Here _- --__--__ -_-_-_ Thank You! Sign Here Thank You! Dining Room 210 Big Spring Rd Dining Room Newville, PA 17241 ^� �' Server: a/ Newvil|e, PA 17241 Server: Rhiannu Paulus Elliott, Bettie ****3 TABLE Bistro SEAT 1 Elliott, Bettie ****3 Date: 14 Line Number: l TABLE A9 SEAT 3 Order Number: 1120 Date: 4 LfO8 Number: 1 Order Number: 1224 11:38:35 AN CO Transaction 142 06:13:32 PH (3) Transaction 298 Lunch Special Nl $4.35 Beef Pot Roast w/Gravy $18.00 Total: $4.35 Total : $18.00 Total paid With Decline - N|D -$4.35 Total Paid With Decline - Min -$18.00 **wm******mw***ww*mm*******mw**ww**m*wwm*m mww****w*ww*w*wmm***mw*w*****w*mm**m*****w Decline - Min Balance $460.00 Resident Charge Balance $0.00 Decline - NYO �d�dOCg �4����6 Resident Charge Balance $0.00 ---- --' ---- 'Print---- Name - —'Print --'-- ------------- ------- — ' ------- Sign Here "Yeez 00.4 1299 ; I�y MiNa, Ne,int illn, Ph 10241. 00T. WIELCOME VINQ14 7 :4140 PM W.*IL'-_-.ON BLVD BIP Q! MUM= 5000 WSON BLUD I ARLINGTON. UA ,D"40- 9313115 QW. DATE 11/15/14 1�13: 03 611 lull 71 ER PUMF # 04 PrInII&I $1.90i 144.87 PP.'OUJCT ! REGULR qux row! $00 GALLONS: 11).455 PRICE/G: 2.869 s0.00 IWEL SALE 30 .00 $4417 8010 V 1 SA XXXI-MMMAM5604 $44.E7 Akith #: i8077t_-_, Wto I so'co RE?f': 7 G,8 E;6 0 17 Wil Rf-_,St=- 000 00004XIME74 Tiin-fn I D: 00004 Sta-r---: 002711820 SITE" IEY 9313105 Ea-r-ri r-ebates W Aint y:ur feedhack! with BF, U i sa IF to Mut Ycur visit Ttak,E app 1 i ca t i o-i-i fCir :Lt c-axe to win a and Apply Toda,e, $1 1)(,� THANK YOU Myte ?-Card! HAVE A WE DAY 5 w -qer3 MeMi Every month! wE DO ERAKES FOR C.HE To wrIcIpale in: f complete rules, Q t2 ;mmolehWislens.coil jnvj:vLi :n Vice; :69083 469 KNUTE 'S Date.: 11/4/2014 Time: :35:110 Pm MARKET CROSS PUB Status: 8pp ru,)e, Card Type: Uisa Carc, Number: XXXY)-1;V)t Date: 1117/2014 Time: 3:28:08 PM Expiration Date-* X/XX/KX 1i SjjiFie/Manua I Sw i pe Status: Approved Sarver Name: 444 -- A Check Nui,,ber: 739494 Card Tab Number.' 6 Master Card Profit Cente r: 3 -- Oi, in, Card Nuwl2er XXXXXXXXXXXX1033 Perecons; I SWiP6/Ma;-.uaj: SW i PE, Caro Owner THORP/ Server NUE: 240 - Joe AMOUNT 64. :1 Check NuirbEr: 541519 GRATUITY O.r Check Name: TIP Tab Numbzr: 26 Profit Ciznter,: 3 - Dining Room Number Of Covers: 3 TOTRL Persons: I Rpproval: 105550 Card Ox�rplr: THORP/JOHN AMOU fl, 38.99 r Cody GRAT'JITY 0.00 TI? TOTA- Awroval: 0114118 Customer Copy KNUTE 'S Date 11/22/2014 Time: 6:28:18 PM KN U TE 'S Status: Approved Care Type: Uisa Datk: 11/25/2014 Timr-: 8:32:36 PM Carcl Number: XXXXXXXXXXXX5604 Status: Approved Expiration Date: X/XX/XXXX Carc, Type: Uisa Swipe/Manual: Swipe Carc Number: XXXX0,1gWXX5604 Server Name: 464 •- Ka i t!yns l w i ra i on Date, X/XVXX{X Cneck Number: 742484 S, ,.e/Manual: Swipe Tab Number: 3 5;,r•,i-sr Flame: 476 -- Melissa Profit Center: 3 - Dining Room Cneck Number: 742903 Per:.ons: 1 , 2 Tat.-, 14ti11jner: 4 Carc! Owner: THORP/ .JOHN Profit Center: 3 - Dining Room Peraons: 1, 2 AMOUNT 34.43 Carc, Owner: THORP/ JOHN GRATUITY 0.00 AMOUNT 25.06 TIP -v_------ GRATUITY 0..00 TOTAL TIP Approval: 985509 TOTAL Approval: 375227 �c CfJStofIIB r Copy �K �r C.-is-tonie r Camey �k VALUATIONS ERVICES INC. Invoice 3000 Wilson Boulevard, Suite 220, Arlington, VA 22201 Date Invoice# PI 571.447.5400 FI 703,522.2146 4/22/2015 4833 Bill To Karen Elliott-Thorp Executrix for the Estate of Bettie Elliot 1240 N. Utah Street Arlington, VA 22201 Project Bettie Elliott Estate Terms 30 Description Amount Determination of the fair market value of: 5,000.00 20 shares of common stock in 604 King Street, Inc.owned by the Estate of Bettie Elliott as of October 17, 2014; and 10 shares of common stock in 604 King Street, Inc. owned by the Estate of John Elliott as of May 28, 2014 Plus: Out-of-Pocket Expenses 375.00 Less: Retainer on Account -1,000.00 Total $4,375.00 Pay online at: https://ipn.intuit.com/2gfqixpx www.valuationservice.com V `SAn rQf1Ce_ M ru February 24,201511:40 Page:1 Receipt#:1077317866 ru P VISA#:XXXXXXXXXXXX6017 2015/02/2411:25 � _ f Qty Description Amount COry 4 t ', 'r'w ..xw x•1.0.". 4."`a. 'k� f�, .a r ^f L.. ...._ _._. 114 ES 51S White 8.5 x11 14.62 27 PNG B&W S/S 8.5x11 &8.5x14 3,51 t' .. _.. - .... .. ... ... SubTotal 18,33if % Taxes 1.10 " " " ' Total 19.43 The Cardholder agrees to pay the issuer of the charge card in accordance with the agreement between the Issuer and the Cardholder. - FedEx Office Print&ShipCenters `"' ` NORTH STAT10tJ POST Oi'FICE ARLINGTON, Utr.,-nia 4501 N.Fairfax tar. 222079998 Arlington,VA 22203 5165430137 -0094 (703)875.8017 01",° �t2O15 (800)275-8777 12:3/:35 Pt,t www,FedExOffice.com --------- SalEs Receipt. Product Sale Unit Final Tell us how we're doing and receive Description pty Price Price 20%off your next$25 print order iedex.com/welisten or 1-800-398-0242 CARL ISI E PA 17013-3323 Zone-2 $0.49 Offercode: Offer expires 6f30/2015 First-Class flail letter 0.40 oz. Please Recycle This Receipt EAPected Delivery: Thu 01115 15 Return Rcpt $1.35 (Electronic) Use label # 70142870000231232048 for inquiry on Rrturn Receipt ;Electronic). 6@ Certified $3.30 c ra.r:r.;_� i4Z87L'OU0231232048 Issue Postage: $5n 14 Total. _ $5.14 Pai . b-, Ca. , $5.15 Ch: ve Due: 40.0I e tratking or inquiries go to U' " or call 1-800-222-1811.. "1.. ".RTANT For Return Receipt (F-' t ,jnic), wait one day, go to USF• .cotn; select Track 5 Confirm; enter lab"! iIUNber(s); select 'Request Return R,icelpt (Electronic)'; enter vour name anu email address. Please maks: ,our- request O thin 60 days. In a hurry? Self-service kiosis offer quick and easy check-out. An, Retail A—,4�+.. i,.... L.... �TOMER USE ONLY EK 611130'.5133 US PRIORITY a IA' RVICt, EXPRESS TVA !IAENT BY ACCOUNT(if applicable) 56 Corporate Acct.No. Meral Agency Acct.No.or Postal Service-Acol.No, ,IVERY OPTIONS(Customer Use Only) ;IGNATUAE REOUIRED Now The mailer reust check the'Signature,RaqL4rad4 box Of th miler.1) 1 ),,V 121 z 11PO m the*ddmosee's xignahwo:OR 2)Purchases additional Insurance:OR 3)PiOrchases COD se�Z;OR 4) or oft'secure location wOW atternpting to obtain the addrosseirs signature on defivefy. ,ory Options No Saturday Delivery(delivered next business day) SundaylHoilday Delivery Required(additional fee,where avatlablia*) 1$ 3 10:30 AM Dialivary Required(additional fee,whorejyaj1yable*) 'RelertoUSPS.comlor local Post Office-for avail (PLEASE PRO" PHONE 1 7 7- e. )r pickup or USPS Tracking-,visit USPS.com or colt 800-22Z1 811. 100.00 Insurance Included. X. T014 ` '-__ "^n* wa/1ON ARLINGTON, Virginia 2220599985165430138— lZYZO/20g (800)275-8777 12:00:03 ~' 00 ^'^- '// x2 OO 8 Sales RT-7,00""aft— Description Sale unit Final NORTH WA11ON POST OFFrff Price Price ARLINGTON, Virginia PROVIDENCE R! 5165430137 -0o98 2.50 fdr-46 Env $1.40 12/13/2014 (8100475-8777 12:21:32 PM Expec Sales Rece-lPt P@ Cc 111 h Id 'rodUct Sale Unit USPS COE f-t i Fi ed 14a i It #. $3.30 rescription Oty Price Final 70140150000166150782 Pr i Ce PHILADELPHIA PA _ ISSU6pOStdoa; ====~ ,no'u 95 $4.70 -i»r/ty Mail Expreay 2-DayLOO 02. Total. ISPS Tracking 111. amz i i� u ' ' ' Cheduled 3:Wpm — '`~ }2/15/14 ��7udae $�—'� ~=� vuurant�° /Qnorure Ka/,ednj W- O,- - — Cc �Gue $16 95 95Ln '58 = ay: - r-9 ��35 ^o Postage_ � Certified Fee 061b� ~ po*marY T CarUHere!('00)l p »J� �, "ew~ �En*ormm°m"ep,=, cz anoact/on ,led Delivery Fee -90332021G cz `-in---� 12/20/2014 ^~''`°' Ln S 002219 ,_9 Total postage uFoes |wrry?6o/f-servioa u/ r o�f� -- -----'_'-------- �eok-uut. A/,y Re—tail � -------- �/ flow, cz _____--_-------'----\ Huey and Associates, P. C CERTIFIED PUBLIC ACCOUNTANTS 7101 WISCONSIN AVE,STE#1010,BETHESDA,MD 20814-4881 PHONE: (301)951-3744,FAX: (301)907-0149 13873 PARK CENTER ROAD#210,HERNDON,VA 20171-3249 PHONE: (703)437-6269,FAX: (703)437-6265 BILLING QUESTIONS PLEASE CALL 301-951-3744 March 2, 2015 Billed thru:2/15/2015 Client ID: 10435 John Thorp&Karen Elliott INVOICE 9: 15-198 1240 N. Utah ST Arlington, VA 22201 J"r For professional services rendered: CAAit 015A Preparation of 2014 Federal Form 1040,"U.S. Individual Income Tax Return",and related state income 750.0 tax return(s) Meeting with Rob Huey re estate planning on February 6,2015: 1 hour @ EITA" $365 f3LLt0jT 365.00 e.*- (Va + 9 .15 INVOICE TOTAL: $ 1,115.00 Previous balance $ 0,00 Payment—thank you $0.00 TOTAL: $ 1,115.00 All invoices are due upon receipt. Thank you for your prompt attention. Account(s)will be charged a finance fee of 1%with a minimum of$2.00 if not paid within 60 days. PA REV-1500 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES and LIENS Huey and Associates, P. C CERTIFIED PUBLIC ACCOUNTANTS 7101 WISCONSIN AVE,STE#1010,BETHESDA,MD 20814-4881 PHONE: (301)951-3744,FAX: (301)907-0149 13873 PARK CENTER ROAD#210,HERNDON,VA 20171-3249 PHONE: (703)437-6269,FAX: (703)437-6265 BILLING QUESTIONS PLEASE CALL 301-951-3744 October 30, 2014 Billed thru: 10/15/2014 Client ID: 10110 Bettie Elliott INVOICE 14-1542 c/o Karen Elliott 1240 N.Utah Street Arlington,VA 22201 For professional services rendered: Preparation of 2013 Federal Form 1040,"U.S. Individual Income Tax Return",and related PA income 650.00 tax return(s). Preparation of 2014 2nd quarter estimates. 75.00 Phone call with Karen Haynes regarding various tax issues. 125.00 INVOICE TOTAL: $850.00 Previous balance $0.00 Payment—thank you Uaoo TOTAL: $ 850.00 A All invoices are due upon receipt. Thank you for your prompt attention. Account(s)will be charged a finance fee of 1%with a minimum of$2.00 if not paid within 60 days. orn V WAN GREEN RIDGE VILLAGE Form PB-01 Alka PRESBYTERIAN SENIOR LIVING community 210 BIG SPRING ROAD,NEWVILLE,PA 17241-9486 QUESTIONS? CALL: (717) 776-8200 RESIDENT# I UNIT STMT DATE KAREN THORP 89 HC47 11/30/2014 1240 N UTAH ST RESIDENT(S) ARLINGTON,VA 22201 Mrs.Bettie R. Elliott TOTAL AMOUNT DUE $1,483.52 DATE DUE Upon Receipt DATE DESCRIPTION Days/ Units CHARGES CREDITS BALANCE Balance Forward 1,768.00 11/01/2014 Monthly Fee 11/01-11/24 1 1,395.02 3,163.02 11/01/2014 Monthly Fee 11101-11130 1 1,768.00 1,395.02 11/04/2014 Catering 1 83.49 1,478.51 11/04/2014 Sales Tax 1 5.01 1,483.52 RESIDENT# CURRENT OVER 30 OVER 60 OVER 90 OVER 120 TO MOU DUE 89 1,483.52 0.00 0.00 0.00 0.00 ,.r$S 1,4 t- 3ESIDENT NAME Mrs. Bettie R.Elliott FarmPB-01 Cyou have elected auto-withdrawal for payment,please do not remit funds.Your bank account will be debited on or around the 15th f the month. If you are interested in auto-payment,please contact the Business Office for more information. .Please contact Business Office at 717-776-8256 with any billing questions. _ CenturyLink, Account Number: 314265019 Page: I of 6 Bill Date: Nov.04,2014 Hello, BETTIE ELLIOTT Monthly Account Summary Previous Balance 52 95 Payments Received .00 Balance Forward 52.95 Current Charges(see below) 63.61 EasvAvToPcy Total Amount Due $116-56 Payment Due By Dec.02,2014 The Due Date On This Bill Applies To Current Charges Only Current Charges Summary a Packages m 46.95 Voice < 8.36 Late Payment Charge .66 rsi C Q Taxes, Fees,and Surcharges 7.64 C END RISING R/A--%Tl E Get High-Speed Internet and Unlimited Nation Total Current Charges $63.61 Y� Calling at a price that won't change for 3 years, 0 Ic .4 LA-,A-no j 7 3 years. 1 price. 0 contract. Need Anything? Cn'l 888.258.0362 Call us: Product,Services and Billing 1-800-201-4099 Repair Service 1-800-788-3600 Visit us: centurylink.com -"PLEAGG..FGL- ._TEAR HERE AND RETURN THIS PORTION WITH YOUR PAYMENT-- FOR CHANGE OF ADDRESS OR PAYMENT AUTHORIZATION: D ElPlease check here and complete reverse.Thank You. Account Number: 314265019 Amount Due By Dec. 02, 2014 $116.56 >024048 4682644 0001 008243 10Z CenturyLink BETTIE ELLIOTT 47 HEMLOCK CIR P.O.Box 1319 NEWVILLE,PA 17241-9482 Charlotte,NG 28201-1319 DOOO-ql426SO1970000000052952000DO0000110414000001165686000000 '� END OF ATTACHMENTS