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HomeMy WebLinkAbout08-31-15 (2) , , J 1505614134 EX(03-14)(FI) REV-1500 OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOx 2soso� INHERITANCE TAX RETURN 2 1 1 4 1 2 1 2 Harrisburq, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1 2 1 2 2 0 1 4 1 0 1 9 1 9 2 5 DecedenYs Last Name Suffix DecedenYs First Name MI R a s p C h a r 1 e s 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 � 1.Original Return � 2.Supplemental Return � 3. Remainder Return(date of death Prior to 12-13-82) � 4.Agriculture Exemption � 5. Future Interest Compromise(date of � 6. Federal Estate Tax Return Required (date of death on or after 7-1-2012) death after 12-12-82) Q 7. Decedent Died Testate � 8. Decedent Maintained a Living Trust 0 9.Total Number of Safe Deposit Boxes (Attach copy of witl.) (Attach copy of trust.) � 10. Litigation Proceeds Received � 11. Non-Probate Transferee Return � 12. Deferral/Election of Spousal Trusts (Schedule F and G Assets only) ❑ 13. Business Assets ❑ 14.Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number W a y n e F • S h a d e , E s q u i r e 7 1 7 2 4 3 0 2 2 0 First Line of Address 5 3 W e s t P o m f r e t S t r e e t Second Line of Address City or Post Office State ZIP Code C a r 1 i s 1 e P A 1 7 0 1 3 Correspondent�s e-mau adaress: Waynefshade(cr�,comcast.net ..�, __ . ..—_. __ _.._...t4:3 —.__. . _._-, REGI�R OF WILLS�ONL-�j � , i � '�S n REGISTER OF WILLS USE ONLY "� , '.. ��. .;77 ' c.'� '..� c.� _�, _ DATE FILED MMDDYYYY ' r r; `' ,.--, c:�`7 ; _;7 , _ , , , � , � . ,._ y . � � � � � �-� -- , � , ---- ! ._. �_ �_ _ ,:�� �� � � �� ' 'ra -; � DATE FRBD SF�P �1 .--- - -- - -- - �--___ , �v � r�-� r�� �:; :� � � '�� PLEASE USE ORIGINAL FORM ONLY Side 1 (II'I�I IIIII�IIII'llll(IIII IIIII IIIII�IIII IIIII IIIII IIII IIII � 1505614134 1505614134 , � � 1505614234 REV-1500 EX(FI) DecedenYs Social Security Number �ecede�t's Name: C h a t^1 e S R • R a s p RECAPITULATION 1. Real Estate(Schedule A) 1� 2 5 9 1 6 3 . 0 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. 1 0 3 2 5 1 . 4 2 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . . . . . 3. • 4. Mortgages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . 4. • 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . . 5. 6 7 � 3 1 6 . 8 6 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. • 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property 3 5 1 . 0 � (Schedule G) � Separate Billing Requested . . . . . . . 7. 8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 1 � 3 3 0 8 2 . 3 3 9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9• 8 7 3 5 3 . 6 6 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . . . . . . 10. 1 2 � 3 9 . 4 8 11. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 9 9 3 9 3 . 1 4 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12• 9 3 3 6 8 9 . 1 9 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) . . . . . . . . . . . . . . . . . . . . . . 13. 5 � 3 8 4 4 . 6 � 14. Net Value Subject to Tax(Line 12 minus�ine 13) . . . . . . . . . . . . . . . . . . . . . . 14. 4 2 9 8 4 4 . 5 9 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.0 _ 0 . � O 15. O . � 0 16. Amount of Line 14 taxable at lineal rate X.0 0 . � � 16, � • � 0 17. Amount of Line 14 taxable at sibling rate X.12 � . 0 0 17. � . � � 18. Amount of Line 14 taxable at co��atera�rate X.15 4 2 9 8 4 4 . 5 9 �s. 6 4 4 7 6 . 6 9 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 6 4 4 7 6 • 6 9 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ❑ Under penalties of perjury,I deciare 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 filing the return is based on all information of which preparer has any knowtedge. SIG URE OF PERSON RESPONSI FO FILING RETURN DATE 8�3�-� ADDRESS 104 Windru Lane Mechanicsburq PA 17055 SIG TURE OF PREP THER THAN PERSON RESPONSIBLE FOR FILING THE RETURN DATE �� /��i�-L g-3/-/� ADDR S 53 West Pomfret Street Carlisle PA 17013 I IIIIII IIIII IIIII IIIII IIIII'llll IIIII'I�II IIIII IIIII'lll IIII Side 2 � 1505614234 1505614234 � REV-1500 EX (FI) Page 3 File Number � Decedent's Complete Address: 21 14 1212 DECEDENT'S NAME Charles R. Rasp _ -----_ _- ---- STREET ADDRESS 821 Cranes Ga�Road _- - -_ _ _ _- -- _--- --_ _ _ _ - --- _- --i.- __ CITY � STATE i ZIP Carlisle ' PA I 17013 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) �1) 64,476.69 2. CreditslPayments A.Prior Payments _____ 60,000.00 __ -- B.Discount 0.00 (See instructions.) Total Credits(A+B) (2) 60,000.00 3. Interest (3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. Fill in oval on Page 2,Line 20 to request a refund. (4) 0.00 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 4,476.69 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 ............................... X c. retain a reversionary interest ..........................................�......................................................... ❑ � d. receive the promise for life of either payments,benefits or care. ....................................................... 2. If death occurred after Dec.12,1982,did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... X❑ ❑ 3. Did decedent owre an"in trust for"or payable-upon-death bank account or security at his or her death? ......... ❑ ❑X 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?.................................................................................................. ❑ � IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the 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 ta�c,and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For tlates of tleath 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 decedenYs lineal beneficiaries is 4.5 percent,except as noted in [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)].A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-15Q2 EX+(12-12) , pennsylvania SCHEDULE A DEPARTMENT OF REVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Charles R. Rasp 21 14 1212 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or seli,both having reasonable knowledge of the relevant facts. Real property that is jointlyowned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedenYs interest if owned as tenant in common. VALUE AT DATE NUMBER OFDEATH DESCRIPTION 1. Net proceeds of sale of house and lot of ground known and numbered as 821 259,163.05 Cranes Gap Road, Carlisle,North Middleton Township, Cumberland County, Pennsylvania, with improvements thereon erected, and more particularly bounded and described in Cumberland County Deed Book "N", Volume 36, Page 581, valued in the amount of the net proceeds of sale thereof to an unrelated third party. TOTAL(Also enter on Line 1,Recapitulation.) S 259,163.05 If more space is needed,use additional sheets of paper of the same size. REV-15o3 EX+(8-12) , pennsylvania SCHEDULE B DEPARTMENT OF REVENUE INHERITANCETAXRETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER Charles R. Rasp 21 14 1212 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH �. Pru entia , account PRU-076490 103,251.42 TOTAL(Also enter on Line 2,Recapitulation) $ 103,251.42 if more space is needed, insert additional sheets of the same size REV-1508 EX+(08-12) , pennsylvania SCHEDULE E DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC. INHERITANCE TAX RETURN RESIDENTDECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Charles R. Rasp 21 14 1212 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 �, Pru entia , IRA istri ution 4,098.37 2. Prudential Annuities Service, IRA account# E0390582 46,358.24 3. Orrstown Bank, checking account# 1430000124 3,284.24 4. State Farm Bank, checking account# 2017306973 466.20 5. State Farm Bank, money market account# 1012296746 29,405.48 6. 1930 Indian motorcycle 38,000.00 7. 1948 Indian motorcycle 30,000.00 8. 1999 Excelsior motorcycle 6,000.00 9. 2013 GMC Sierra pick-up truck 19,367.40 10. Highmark, prescription insurance premium refund 47.10 11. Sirius Radio, refund of unused portion of subscription 118.92 12. OnStar, refund of unused portion of subscription �•32 13. Cetera Advisor Networks LLC, account#4N2-718548 488,717.22 14. Ally, vehicle loan payoff refund 2.31 15. State Farm, refund of automobile insurance premium 187.55 16. Citizens Bank, refund of credit card 97.30 TOTAL(Also enter on Line 5,Recapitulation) $ 670,316.86 If more space is needed,use additional sheets of paper of the same size. • Continuation of REV-1500 Inheritance Tax Return Resident Decedent Charles R. Rasp 21 14 1212 DecedenYs Name Page 1 File Number Schedule E -Cash, Bank Deposits, & Misc. Personal Property ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 17. Rowe's Auchon Service, net procee s o sa e o persona property 3,057.11 18. CenturyLink, telephone service refund 25.21 19. Prudential, credit balance 7.40 20. Advanced Disposal, refund of refuse payment 20.99 21. Pennsylvania Department of Revenue, income tax refund 76.00 22. United States Treasury, income tax refund 814.00 23. Grundy Worldwide, motorcycle insurance premium refund 156.00 24. National Disabled Veterans Foundation, cash 2.50 SUBTOTAL SCHEDULE E 4,159.21 GRAND TOTAL SCHEDULE E (Also enter on Line 5,Recapitulation) $ 670,316.86 REV-1�10 EX+(OS-09) . pennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Charles R. Rasp 21 14 1212 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLUDETHENAMEOFTHETRANSFEREE,THEIRRELATIONSHIPTODECEDENTAND DATEOFDEATH %OFDECD�S EXCLUSION TAXABLE NUMBER THEDATEOFTRANSFER.ATTACHACOPYOFTHEDEEDFORREALESTATE. VALUEOFASSET INTEREST (IFAPPLICABLE) VALUE 1. Westmmster Cemetery, Inc., 3 uria p ots 1,425.00 100.00 1,425.00 0.00 Audrey M. Seburn, no relation, August 20, 2014 2. Interment and entombment expenses at 1,926.00 100.00 1,575.00 351.00 Westminster Cemetery, Inc. Audrey M. Seburn, no relation, August 20, 2014 TOTAL (Also enter on Line 7,Recapitulation) $ 351.00 If more space is needed,use additional sheets of paper of the same size. REV-1�11 EX+(08-13) , pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Charles R. Rasp 21 14 1212 DecedenYs debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: �. Hollinger Funeral Home & Crematory, Inc., funeral expense 13,313.30 2. Westminster Cemetery, memorial plaque 499.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Audrey M. Seburn 35,���.�0 StreetAddress 104 Windrush Lane c;�y Mechanicsburg state PA ZiP 17055 Year(s)Commission Paid: 2016 2, a,nomeyFees: Wayne F. Shade, Esquire 35,000.00 3, Family Exemption:(If decedenYs address is not the same as claimanYs,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: Register of Willis of Cumberland County 725.50 5 Accountant Fees: 6. Tax Return Preparer Fees: Kllriglei'8L ASSOC1ateS, P.C. 1,310.00 �. Cumberland Law Journal, advertise Letters Testamentary 75.00 8. PPL, electric service 165.69 9. CenturyLink, telephone service 44.28 10. Diversified Appraisal Services, real estate appraisal 375.00 1 l. Robert T. Sholly, motorcycle appraisals 150.00 12. PPL, electric service 208.97 13. PPL, electric service 194.69 14. PPL, electric service 59.72 15. The Sentinel, advertise Letters Testamentary 190.54 16. Advanced Disposal,trash removal 41.97 TOTAL(Also enter on Line 9,Recapitulation) $ $'7,353.66 If more space is needed,use additional sheets of paper of the same size. REV-1512 EX+(12-12) . pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT� INHERITANCE TAX RETURN MORTGAGE LIABILITIES 8� LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Charles R. Rasp 21 14 1212 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 �. Green Ridge Village, nursing home care 6,574.06 2. Quantum Imaging and Therapeutic Associates, medical expense 136.20 3. Darryl K. Guistwite, D.O., Inc., medical expense 220.75 4. Carlisle Medical Group, LLC, medical expense 28.91 5. Citizens Bank, credit card account# 5240380008224680 345.40 6. Ally, loan payoff on 2013 GMC Sierra pick-up truck 2,632.40 7. Carlisle Medical Group, LLC, medical expense 27•22 8. Darryl K. Guistwite, D.O., Inc., medical expense 84.49 9. Mobilex USA, medical expense 7.53 10. Carlisle Medical Pathology, PC, uninsured medical expense 48.34 11. Carlisle Medical Pathology, PC, uninsured medical expense 60.71 12. Cardiology Diagnostic, LLC, uninsured medical expense 5.07 13. McKesson Patient Care Solutions, uninsured medical expense 68.40 14. Audrey M. Seburn, personal care 500.00 15. United States Treasury, estimated income tax 900.00 TOTAL(Also enter on Line 10,Recapitulation) $ 12,039.48 If more space is needed, insert additional sheets of the same size. • Continuation of REV-1500 Inheritance Tax Return Resident Decedent � Charles R. Rasp 21 14 1212 DecedenYs Name Page 2 File Number Schedule I -Debts of Decedent, Mortgage Liabilities,8� Liens ITEM NUMBER DESCRIPTION AMOUNT 16. Pennsy vania Department o Revenue, estimate income tax 400.0 SUBTOTAL SCHEDULE I 400.00 GRAND TOTAL SCHEDULE I (Also enter on Line 10,Recapitulation) $ 12,039.48 REV-1513 EX+(01-10) , pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Charles R. Ras 21 14 1212 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 [inciude outright spousal distributions and transfers under Sec.9116(a)(1.2).] �. Audrey M. Seburn 429,844.59 104 Windrush Lane Mechanicsburg, PA 17055 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. II. NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: �. Williams Grove Old Timers, Incorporated 288,922.30 P.O. Box 688 Mechanicsburg, PA 17055 2. Alzheimer's Disease and Related Disorders Association, Inc. 71,640.77 2595 Interstate Drive Harrisburg, PA 17110 3. St. Jude Children's Research Hospital 71,640.77 501 St. Jude Place Memphis, TN 38105 TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ SO3,844.60 If more space is needed,use additional sheets of paper of the same size. • Continuation of REV-1500 Inheritance Tax Return Resident Decedent 'Charles R. Rasp 21 14 1212 DecedenYs Name Page 3 File Number Schedule J -Beneficiaries -26 II. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 4. Hospice of Central Pennsylvania 71,640.76 1320 Linglestown Rd. Harrisburg, PA 17110 SUBTOTAL SCHEDULE J•2B 71,640.76 4 Previous etlitions are o6solete fartn HUD-1(3186)ref Handbook 4305.2 A. Settlement Statement U.S.Department of Housi�g and Urban Development e.T e of Loan OMB roval No.2502-0265 FINAL 1. ❑FHA 2. ❑FmHA 3. ❑Conv.Unins. 6.File Number 7.Loan Number 8.Mortgage Insurance Case Number 4. VA 5. Conv.lns. 20151KEEN a o grve you a s a e w emen ws s pai o an en a are s n. C.Note: i�,:m„i�a=�y.o.Gp�rere��a«,�w.u,e oba�;u�ar,u,o,„„n;,a+o,;,,rom,arw,p,r�,s e,w�„mi;��ae„u,a,rna�. TifleEupress Settleme�t System WAfiNMG:It is a aime to Wwwingly make talse stetemeMs ta the Uni[ed States on lhis or any other similar torm.Penallies upon conviclion can incAutle a fine and im risonmenL For delails ue:Tdle 18 U.S.Cotle Seciion 70D7 antl Sectbn 7010. D.NAME OF 80RROWER: Elkabeth A.Keen ADDRESS: 871 Cranes Ga Road Carlisle PA 17013 E.NAME OF SELLER: Estate of Charles R.Rasp ADDRESS: clo Audre M.Seburn 104 Windrush Lane Mechanicsbur PA 17055 F.NAME OF LENDER: ADDRESS: G.PROPERTY ADDRESS: 821 Cranes Gap Road,Carlisle,PA 17013 North Middleton Townshi H.SETTLEMENT AGENT: Baric Scherer LLC PIACE OF SETTLEMENT: 19 West South Street Carlisie Penns Ivania 1T013 I.SE7TLEMENT DATE: 02(1612015 J.SUMMARY OF BORROWER'S TRANSACTION: K.SUMMARY OF SELLER'S TRANSACTION: 100.GROSS AMOUNT DUE FROM BORROWER 400.GROSS AMOUNT DUE TO SELLER 101. Coniract saies rice 261000.00 401. Contract sales rice 261 000.00 102. Personal 402. Personal ro 103. Settleme�t char es fo bonower line 1400 4 394.00 403. 104. 404. t 05. 4D5. Ad'ustments for items aid b seller in advance Ad'ustrnents for items aid b seller in advance 106. Ci lrown taxes 406. Cit ftown taxes 107. Coun taxes 407. Coun taxes 108. School Tax 408. School Tax 109. Schoolt�ces 02N6N5to06f30/15 855.21 409. Schooltaxes 02116115to06/30115 855.21 17�. 410. 111. 411. 112. 412. 120.GROSS AMOUNT DUE FROM BORROWER 266 249.21 420.GROSS AMOUNT DUE TO SELLER 261855.21 200.AMOUNTS PAID BY OR ON BEHALF OF BORROWER 500.REDUCTIONS iN AMOUNT DUE TO SELLER 201. De it or eamest mone 501. Excess D it see instructions 202. Prind al amount of new loans 502. Settlement char es to selier line 1400 2 620.00 203. Existin loan s taken sub'ect to 503. Existin loan s take�sub' to �4• 504. Pa off of First Mo Loan 205. 505. Pa off of second mo a loan 206. 506. 207. 507. 208. 5p8. 209. 509. Ad'ustments for items un aid b seller Ad'ustmerits for items un aid b seller 210. Cit ftown taxes 510. Ci ftown taxes 211. Coun taxes 07101115to02116175 72.16 511. Coun taxes 01l01H5to02f16115 72.16 212. SchoolTax 512. SchoolTax 213. 513. 214. 514. Z15, 515. 216. 516. 2t7. 517. 218. 518. 219. 519. 220.TOTAL PAID BYIFOR BORROWER 72.16 520.TOTAL REDUCTION AMOUNT DUE SELLER 2 692.16 300.CASH AT SETTLEMENT FROM OR TO BORROWER 600.CASH AT SETTLEMENT TO OR FROM SELLER 301. Gross amouni due from borrower line 120 266 249.21 601. �ross amount due to seller line 420 261 855.21 302. Less amounts aid b ffor borrower line 220 72.16 602. Less reduction amount due selier line 520 2 692.16 303.CASH FROM BORROWER 266177.05 603.CASH TO SELLER 259163.05 t Previouc etlRians are obsolete form HUD-7(3/86)ret HarWbaok 4305.2 U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT File Number:20151KEEN FINAL PAGE 2 SEITLEMENT STATEMENT Tit�eEx ess Semement S stem L SETTLEMENT CHARGES PAID FROM PAID FROM 700.TOTAL SALES/6ROKER'S COMMISSION based on rice$261 000.00= BORROWER'S SELLER'S Divisiot�of commission Iine 700 as follows: FUNDS AT FUNDS AT 707. to SEITLEMENT SEITLEMENT 702. to 703. Commission aid at Setllement 800.ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Ori ination Fee °h 802. Loan Discount % 803. A raisal Fee 804. Credit Re rt 805. 806. SW. 808. 809. 810. 811. 900.ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. Interest From to Ida 902. Mort a e lnsurance Premium for to 903. Hazard Insurance Premium for to 904. 905. 1000.RESERVES DEPOSITED WITH LENDER FOR 1001.Hazard Insurance mo. $ /mo 1002.Mort e Insurance mo. /mo 1003. i Pro Tax mo. Imo 1004.Coun Pr Tax mo. Imo 1005.SchoolTax mo. Imo 1009.A r ateAnal sisAd'ustment 0.00 0.00 1100.TITLE CHARGES 1101.Settlement or Closin Fee 1102.Abstract or Ti�e Search 1103.Title Examination 1104.Titie Insurance Binder 1105.Document Pre aration 1106.Nota Fees 1107.Attome's fees to Baric Scherer LLC 1705.00 indudes above items No: Attorne s Certification 1108.Title Insurance indudes above items No: 1109.Lenders Cove 1110.Owner's Cover e 1111. 1112. 1113. 1200.GOVERNMENT RECORDING AND TRANSFER CHARGES 1201.Recordin Fees Deed 79.00 Mort e �Release 79.00 1202.Ci lCoun taxlstam Deed 2 610.00 •Mort e 2 610.00 1203.State Tax/stam s Deed 2 610.00 �Mort a e 2 610.00 1204. Deed �Mort e 1205. 1300.ADDITIONAL SETTLEMENT CHARGES 1301.Tax Certificatbn to Baric Scherer LLC 10.00 1302.2014 Coun liownshi Tax Bill to Melanie Strickland Tax Collector P.O.C. 5T2.59 Seller 1303.2014 School Tax Biil to Melanie Strickland Taz Collector P.O.C. 2 312.24 Seller 1400.TOTAL SETTLEMENT CHARGES enter on lines 103 Section J and 502 Section K 4 394.00 2 620.00 � . HUD CERTIFICATION OF BUYER AND SELLER � I have carelully reviewetl tha HUD-t Settlement Slatement and to the best of my knowledye and belief,it is a true and aaurate atatement of all receipls and tlisbursements made on my account w�by.ema in this lanseIXionp.I furthar certify that I have receivetl a wpy o(the HUD-1 Setllemenl Statemerri. Efz�Q�CEen�h-k � �3 ___ �•. �`� ^ �� -�' '2 : ��� "',?3.��'�� 58eo` s . � WARNING R IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS 70 7HE The HUD-7 Setllement Statemenl whiM I have prepared is a a and xwrete acrount d Nis UNITED STATES ON THIS OR ANY SIMILAR FORM.PENALTIES UPON CONVICTION Vansaction.1 have caused a wip cauae ihe funds to be dis d in atcordarxe wNh ihis atatemeM. ' CAN INCLUDE A FINE AND IMPRISONMENT.FOR DETAILS SEE T(TLE 18: U.S.CODE SECTION 1007 AND SECTION 1010. - .y� 'J � SE7TLEMENTAGENT: DATE: � � Pruco Securitiss,LLC ''�'��„�j ���������'p��i�� COMMANOServiceCen;er PO 6ox 145533 Cincinnati,OH 45250 (800)235-7837 �vwwvw.prude�tial.com 2%Ji I J Robert P. Yackin "l he Yrudential Insurarrce Company of Anierica 1�(1 Corporate Center Drivc, Suitc I OS ������}..{ill, PA 17011 Rc:Account#PRU-XXX49Q Charles R Rasp DECD t3ear RoUert P.Yockin, F'er y�a�ar request.w��re coniirming thc balance an d�e abovc-r�f�crcncecl Pruco Securities In�°estor Ace�unt. Gur records indicate that as of i?tt?114,the valuc ot'this<tccount w1s: Investment Shares Price Value MHCAX 10,470.023 5.69 $59,574.43 OPATX 4,062.605 10.75 �43,673.00 Mc�ney MarkeaTree Credit Si.99 TotaE Portfolio Value S103,251.�12 If��ou have any questions or«eed additional informatic�n.Ealease contact the C�MMAND Service Center at(800)2i5-7637. Customer Ser�ice t2epresentatives are available to assist yc�u bet�vecn 8:3�a.m. and 7 �.m. E;T, Monday throus;h Thursday,;�nci between 8:3U a.m.and>:.>0�.m. ET Friday. Sincerely, I'hili��VuUds Registered I'rincipa! Pruco Cornmand Operations Pruro Sectiriti�s, LLC AJ Registered Principat of Pruco Securities,LLC(Pruco). Securities products and services are offered through Pruco.The Prudential Insurance Company of America,Newark, NJ and Pruco are Prudential Financial companies.1-800-201-6690 . 0000�2so� I I I I I I I ' � Prudential Pruco Llle Insurance Company �jheL►k Stafement A Prudentlal company PrudeMlal Annulty Services,P.O.Box 13868 PhUadelphla,PA19178 Date: DECEMBER 11 2014 3731415842 CHARLES R RASP Owner: CHARLES R RASP 821 CRANES GAP RD CARLISLE PA 17013 Annuitant: CHARLES R RASP Contract #: E0390582 Product: SP III Bns Basic Market Type: IRA Page 1 of 1 ;:�;: :.; :;.�;u;':;:::::;:�:;::;2:::::#'.:;::::;ii:::::::`:;:.';;<::;::::::::::::::::::::::::::::::::;:�:ii''.::::;v:::::�;:�;;;::;::;;::i^;�:::;:;?;::::::;::;:r:.,>�:;;::.f;::;;;:::::;>::F;:�;;{?;:::::;::::;;::;>'.:i:�;;:::;:;;;:;.;;.;ykk:�<?i::.>5::;:;:;::;:.;i:<;.:<:`:''F's`�:ii:�:r�::;:;;;>'::;:`:;`:�`2i;:::``::;`:;;:':`:�=r?:;<?:5;:::`�;:?':::::::;:>;::�:::.:.:. •>: >::: l���a�►eanx�qu�aGlavrs�Fis�ts�cc�tacFy�'�glatet�dR�rs�sa�#athi�,RB��ti�'�+�EliCl�t�+�:<;.; �:.�::::,,:.:;.:�:::;.;:::..: .;:...:.:.:::,<.;;:::. .. . ....:: ..:.:. ..:..: : .....::�.:.:.:::::..:::>:::::::::::::::::.;:::.::::.;:.::.�:::�:::.::,::..�::.::::::.::::.,.::.:;:;:::..::.;;;.�;:.;:..,.�.:;.;. <:f�:, <:;:�tt .��4t� .•,�6:ar: :• �he;� :::,::: ...... .... . . .... . , ..:: :�e�ti'rtce::t:et�f�x:::�,E:�': ... :.................::,.::.�.:::.::.:::. ::::::::.:.::. ,....,:,:::::::::...... ..,,,::.:::�:.;:;.;.,;..;;;.::::::.•.. ::...:::.:. ....:..........:...........:..........................................._ ..�8 a'Z888.;:;.:;:.;;:.;:�;::::;;::;>:.>•::;:<:;s:«<:>:>;:;•;:.;:>;:;::o-:>:;r:::»:�>:::»<»>:<;:::s>;:.::::a:.;::;:::<:::>:»s>;>:<::<>::;:<::::..::.<: ................................................................................................................. The attached check has been produced to comply with IRS Minimum Distribution requirements for your tax-qualified annuity contract. All or part of the gross distribution may be taxable. You may wish to consuft your tax adviser about this matter, as the Company cannot offer tax advice. For fund-level detail of this transaction, please refer to the confirmation that you received separately. Financial Breakdown Information GROSS FUND WITHDRAWL AMT 4098.37 NET AMOUNT OF CHECK 4098.37 (VPAS Cycler ) PLEASE DETACH CHECK-KEEP STATEMENT FOR RECORDS � ' ' ' ` ` "' ' ' ' ' ' � 3731415642 Prudential "'� e �"�T��"��'' A Ptudantial compeny Waehovia Benk,Nationnl Asaoclatton Prudentlat Mnuity Serviees Sevanneh,fiA 91401 64-975 P.O.Boz 19888 . 612 Phlladelphla,PA 19178 SP I 1 I Bns Bas i c Contract No. EO 0 82 Pay: *� 0 AN - A DE �� TO tl1B Please eaeh withtn 180 days Dollars Cents orderot: CHARLES R RASP��������*�����*��*�����*�* �,, 821 CRANES GAP RD*���***����*�*��*���*** ��� ��' CARLISLE PA 17013 � co�ou ���� �,� � - — i�' 373 14 i564 2�i' �:06 L 209756�: 2079900087880��' � Prudential Annuities �� py�']7(��'y��i�1 A Business of Prudential Financial,Inc. 1 1 l.�i.[ 1l 1 P.O.Box 7960 Philadeiphia,PA 19176 (888)778-2888 1"fY:(800)6547637 www.prudential.com ESTATE OF CHARLES R RASP Re: Charles R Rasp 821 CRANES GAP RD Contract Number: E0390582 CARLISLE PA 17013 January 16, 2015 Dear Executor or Executrix: Thank you for your inquiry on the above contract. The contract value as of date of death December 12, 2014 was $46,358.24. If you have any questions,please call the Prudential Annuity Service Center at(888) 778-2888. The Service Center is open Monday through Thursday between 8:00 a.m. and 7:00 p.m. and Friday between 8:00 a.m. and 6:00 a.m. Eastern time. If you are using a telecommunications device for the hearing impaired,you may call (800) 654-7637, Monday through Friday between 8:00 a.m. and 8:00 p.m. Eastern time. Sincerely, Annuity Service Center Prudential Financial Variable annuities are issued by Pruco Life Insurance Company(in New York,by Pruco Life Insurance Company of New Jersey).Both companies are located in Newark,NJ.Variable annuities aze distributed by Prudential Annuities Distributors,Inc.,Shelton,CT.Fixed annuities are issued by The Prudential Insurance Company of America. All are Prudential Financial companies and each is solely responsible for its own financial condition and contractual obligations. [Page 1 of 1] o�.STo� B� A Tradition of Excellence February 18, 2015 Wayne F Shade Attorney At Law - 53 W Pomfret St Carlisle,PA 17013 Fax 717-249-0017 Re: Estate of Charies R Rasp . Social Security Number 196-14-4115 Date of Death 12/12/2014 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD THE FOLLOWING ACCOUNT WITH ORRSTOWN BANK: CHECKING ACCOUNT Account No- 143000124 Account Type- 50+Int Check Account Title- Charles R Rasp Date Opened- S/16/2002 Joint Account(name/date) None Balance- $3,284.24 Accrued Interest $0.02 Best Regards, Carmen R Jones Deposit Processing Specialist 2695 Philadelphia Avenue• Chambersburg, PA 17201 02/18/2015 3:44PM [Job No. 6413] C�j0001 � :. StateFarmBank° State Farm Bank P.O. Box 2316 Bloomington, Illinois 61702-2316 January 8, 2015 Wayne F. Shade Attorney at Law 53 W Pomfret St � Carlisle, PA 17013 Re: the estate of Charles R. Rasp, deceased Dear Wayne: We recently received your request regarding the account holder listed above. Our records indicate his date of death as 12/12/2014. Below is a list of ali State Farm Bank deposit accounts owned by Charles R. Rasp, along with the date of death balances and interest earned by (but not paid to) the accounts, as of that date. Account No. Tvpe Balance Interest ENP 1012296746 Money Market $29,405.48 $12.69 2017306973 Checking $466.20 n/a —non-interest acct. Both accounts were held in Charles R. Rasp's sole ownership with no beneficiaries listed. If you have any questions, please contact State Farm Bank toll-free at 1-855-540-7670. Sincerely, State Farm Bank Operations Center MEMBER � FDIC Home Office, Bloomington, IL LENDER Appraisal for the estate of: Charles Ray Rasp 821 Cranes Gap Road Carlisle, PA 17013 1930 101 Indian Scout VIN EGP2280 (blue) $38,000 1948 Indian Chief Rainbow VIN CDH1642 (red) 30,000 1999 Excelsior VIN 5EH1 HCX03XB000994 (green/black) 6,000 This appraisal is based on the best of my knowledge. � Robert T. Sholly, Good OI Boy Country Auction January 19, 2015 Cc: Williams Grove Old Timers, Inc. Cc: Wayne F. Shade, Attorney at Law Cc: Audrey M. Seburn, Executrix of the Estate � Cc: Robert T. Sholly, Good Old Boy Country Auction Haidmc�s by Investor � � _____� _._ _.____. .,,,,,__ , ._.._.. __________._._.. Charies i2 Rasp Bradley Gerfach Combined Account Pbrtfotio 821 Cra�es Gap Rd . Date: 1 211 2/201 4 Carlisle,PA 17013 427 Village Drive Created:0112i12015 Carlisle,PA t7015 717-240-OH03 Charles R Rasp Acct Name:CHARLES R RASP $21 CRANES GAP RD CARIISLE PA 17013-9633 Acct No:4N2718548 AcctType:fndividual ltssec Name ` . Ticker �anttty' t?�rt�se��} �,\'��i�<{S� �., . . � , y, �.., ..U.,c �_, .., ... � . �,w , ,a . . � ...,,. � 3-D SYS CORP DEL�OM NEW � � ODb �200.OQ � 34.00 6AQQ.00 ABBOTT lABS COM A8T 150.00 43.89 6;5S3.5d ADVENT GLAY GBL CONV SEC INC COM BENE iNTER AGC 50Q»p0 6.16 3,0$0.00 BLAGKROCK CREDiT ALL!NC TR IV COM BTZ 171.OQ 13.03 2,228.13 BIACKROCK MUNIYIEID PA INSD GOM MPA 311.00 '14.57 4,469.07 BROKERAGE MONEY MARKET 17,84A.T2 t.Q6 17.844.72 CAMPBEII S4UP C4 C4M CP8 305.Ot2 4�;75 33.343.75 CRPSTONETtfRBiNE CORP COM GPST 1,000.00 O.Tt 710.00 CASH 118.63 , 1 A4 118.63 CQCA COLA GO COM KO 200A0 40,$f 8.182.Q0 GOMCABT CORP NEW Cl A CMCSa 200.00 55.35 11,410.00 E DIGITAL CORP GOivi EDIG SQp.40 0.04 22.04 ENEi2GY TRAIVSFER PR7NRS L P UNIT LTD PARTN E'i'P 145.q0 60.55 8,781.20' ERBA�IAGNOSTICS COM ERB 1,000.00 2.85 2,850,00 FEDERA't�D HIGtE lNCOME SONO FU1V�#3i7 FHIIX 4,917.11 7:43 36,534.11 FEDERATED HfGN ING4ME BOND B FHBBX 2,53$.61 7:42 16.821.61 FRc7NTiER COMMUNiGATIdNS CORP COM FTR ' 36AQ '' 6:28 226.36 GENERAL ELECTRIC CO CQM GE 250.00 24,89 6,222.50 GLAXOSMITNKLINE PLC SPONSOF2ED ADR GSK . 350.00 ' 42:42 94,E47.00 GLOBAL SR ENTERPRiSE5 INC COM GSET 1.p0 8�51 9.51 tiANCOGK JOHN PFD INCOME fit7 SH BEN 1NT NPt 21$.40 20:26 d.4t&,66 HONEYWELL INTI iNG COM HON 140.00 95.$$ 13.d2320 IROBOT CORP CpM' 1R87 4{30.bQ ` 34:03 3,403.60 ISHARES MSCi SRZ CAP ETF EWZ 10p.40 35.85 3,5E5.(10 JOFiNSflN�JOHNSQN CflM 3NJ 1QO.Op 104;43 10.443.00 KRRFT FOODS GRUtlP INC GOM KRFf 5Q.00 59.22 2,961.00 LRTIPt AMERICA-CtASS A Mpl7X 279.94 45.34 12,692:4$ ULLY EU&CO COM LLY 285.04 &9.55 19,$21.75 I�compiete it preseMed without accompanying disc�osure pac�es Page 1 at 3 Noidings bY investar__ _�.�_�_._._. . _,______________�_____�_.._._...._._. __��,_,.___..�__.__- --...�...__. Charies R Rasp 8radiey Geriach Combined Account PorNolio 821 Cranes Gap Rd . Date: 12/12l2014 Carlisle,PA 97013 427 Viilage Drive Crea2ed.0112�t2015 Cariisie,PA 17015 717-24Q-0$�3 A380�NdtY19 TlCk9r Qkt8tt1�1Y �G�;�} ���tt9("�} MAGELLAN MIDSTREAM PRTNF2S lP COM UNIT RP lP MMP 310.4t} �: 77.44 24,006.40 MARKE'f VECTORS Ei`F TR AGRIBUS ETP MOO 50.00 52.$3 2,64fi.50 MEDTRQNIG INC COM MDT 125.OQ 72.52 9,0&5,00 MtCRtJSOFT CORP COM MSFT 300.4U 46.95 14,Q85.00 MONOEIEZ INTL INC CL A MDLZ 150.OQ 37.23 5,584.50 NUVEEN QUALITY PREFERREO INGbME 3 JHP 200.Q0 6.40 1,679.60 PAClFIC-CCASS A MDPCX 706.8a "E6:78 11,860:t? PIMCO INGOME A PONAX 3',A46,84 12;39 42,707.55 POWERSHARES QQGt7t2UST UNtT SER 3 QQQ iSQAO i02.6T 15.400.50 PROCTER 8 GAMBIE CO COM PG 3fl0.Q4 89.Sb 26,885.00 RBS CAP FDG TR V�'FD TR 5:90°/a G7'D RBS.PftE 145AQ 24,29 3»522.d5 SKYWORKS 5C71UT10NS ING COM S1NK5 300.00 69.10 20.T30.Q0 SOUTHERht CO COM SO 250.00 Q7z92 �11,980,00 SPQR SERIES TRUST S&P DIVtb ETF SdY 175.t30 78.Sd 13,797.Q0 SPRCNT NEXTEL GORP 24.�OO.QQ 81:00 21.003.75 WAIGREEN CO COM WAG 350.40 74.50 26,d75.00 WEl1,S�ARGO ADVRNTAGE INCC3ME OPPOF2TUNITlES PD COM E/ip fiOQ.Op ' 8.45 5,070.OQ SN3 Account Total 5488,717.22 Imestar Totai 5488,71 T.22 incompiets rf presentad w+ihaut accompanying discbsure pages Page 2 of 3 Noldings bY investar _.._ ____. . . .---____ _____ __._._..._. _____�____--------__.__----------- Charies R Rasp Bradley Gerlach Combined Account PorNoiio 821 Cranes Gap Rd . Date: 12l12/2014 Carlisle,PA 17013 427 Viilage Drive Created:01/2112015 Carlisle,PA 17015 7t7-240-0803 DisclosurQ: RQgistered Representative of and securities oHered through Cetera Advisor Nelworks LLC,mamber FINRAtSIPC..is not affiliated with Cetera Advisor Networks ILC. Securities andlor Advisory Services offered through Cetera Advisor Networks LLC("the Firm'),member SIPC/FINRA. This report is being generated as a couResy and is for infortnational Purposes only and is not intended,in any manner,as an official brokerage or mutual fund statament.This report is not to be used as an official books and records statement of the Firm.Please contact the relevant product sponsor If you have any questions about the statements. Values are as of 12/12/2014.We believe the sources to be reliable,however,the accuracy and compietenoss of the information is not guaranteed. In tho event of a discrepa�cy,the sponsors valuation shail prevail. Data reflected within this report may retiect data heid at various custodians and may not be cavered under 51PC. The Firm's SIPC coverage only applies to ihose assets held at the Firm. In addition,certain other reported entilies may be SIPC members thai provide coverage for assets held there.You should cantact your financial representative,or the ather ontity,or refer to the other entitys statement,regarding SIPC coverage. Assets reflected on this report that are not held at the Firm on your behaif are not part of the Firm's books and records. DATA DISPIAYED ON THIS SITE OR PRINTED IN SUCH REPOR7S MAY BE PROVIDED BY THIRD PARTY PROVIDERS. Performance data quoted represents past performance and does not guarantee future results.The investment return and principal of an investment will ftuctuate so that an investor's shares when redeemed may be worth more or less than original cost.The values represented in this report may not reflect the true originaf cost o(your initial investment. Cost basis information may be incomp{ete or may not accurateiy reflecl the methodology used by a particular client. Ciients should consult with their tax advisor. For fee-based accounts o�ly:The data may or may not reflect the deduction of investment advisory fees.if the investment is being managed through a fee-based account or agreement,the retums may be reduced by those appticable advisory fees.The information contained in these reports is collected from sources believed to be reliabie.However,you shouid aiways rely on the officiai statements received direcUy from the custodians.if you have any questions regarding this report,piease call your representative. 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Seburn ' 104 Windr�u5h L��ne h1echanicsburg RA 17C�5S Item Descr�ipt ian F�r�ic� G!ty Tota1 -- � brown affice chairs � �+�. �� - Green nffice r_hair f 8. 0Q� -- Yellow/black/�lumin�_�m chair- � 1�- �� - D��nisl�-style lamp 1 �+5. tD0 - Ster��o i 1�Q�. �0t� - Drexel der_lar-at ian 1 ���• �� �ideboar�d Item� : 6 �maunta E20. 0� Cammission at 3�. tDtZi�'/. `17. Q�� Less ad.j�.xstmen•t� : -c:17. 0�i Net d��te to s�ller-: 4�3. Q�� Thank ya�_� far ya�_�r, b�_ifain��� ! ,I %� 6��'� � �..�3 a �,�'� � � , ,�� '� �, ,��,s�,� �.�:�� �_� �e LAST WILL AND TESTAMENT I, CHARLES R. RASP, of the Township of North Middleton, County of Cumberland, Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish anct declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at anytime heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my personal representative or representatives, hereinafter named, as soon as conveniently � may be done after my decease. I further authoriz�my personal representative to expend funds from my Estate in such amounts as my personal representative shall consider appropriate, for the disposition and memorial of my remains. SECOND. I give, and bequeath my motorcycles as an unrestricted gift unto the WILLIAMS GROVE OLD TIMERS, INCORPORATED, its successors or assigns. THIRD. I order and direct that all the rest residue and remainder of my estate, real, personal and mixed, whatsoever and wheresaever situated be divided into four equal shares and distributed,a�ollows: ___ (a) the first of said shares unto CECELIA WARNER; (b)the second of said shares unto ALf DRF;Y M. SEBtJRN; WAYNE F.SFIADE (c) the third of said shares unto the WILLIAMS GROVE OLD TIMERS, Attorney at Law 53 West Panfret Street Carlisle,Pennsylvania ��0�3 INCORPORATED, its successors or assigns; and � f (d) the fourth of said shares in equal shares unto the St. Jude Children's Research Hospital of 501 St. Jude Place, Memphis, TN 38]O5, its successors or assigns, the ALZHEIMER'S DISEASE AND RELATED DISORDERS ASSOCIATION, INC., SOUTH CENTRAL PENNSYLVANIA CHAPTER, its successors or assigns, and the Carlisle, Pennsylvania, office of HOSPICE OF CENTRAI, PENNSYLVANIA, its successors or assigns. If either CECELIA WARNER or AUDREY M. SEBURN should fail to survive me as defined herein, I give, devise and bequeath her share unto the one of them who � shall survive me. If both of them should fail to survive me, I order and direct that their shares be divided equally between the remaining two shares under this Item Third of this, my Last Will and Testament. FOURTH. For the purposes of this my Last Will and Testament, a person shall not be deemed to have survived me unless he or she shall have survived me by more than ninety (90) days. Provided, nevertheless, that if either CECELIA WARNER or AUDREY M. SEBURN or both of them should die within ninety (90) days of my death, I order and direct that their reasonable funeral expenses be paid from the residue of my estate. FIFTH. I order and direct that any estate, inheritance or similar tax due as a result of my death with respect to any property passing as a result of my death, shall be paid WAYNE F.SHADE Attomey at Law 53 West Pomfret Street Carlisle,Pennsylvania 17013 -2- from the residue of my Estate before its division into shares and prior to distribution as an expense of administration and that no part of the taxes should be prorated or apportioned among the persons or beneficiaries receiving the taxable properly. It is my express intention that all inheritance taxes imposed �is a result of my death be paid from the residue of my Estate whether or not the property passes under my Last Will and Testament. My personal representative shall have full power and authority to pay, compromise or settle any such taxes at anytime whether with respect to present or future interests. C� SIXTH. Any and all decisions, determinations or actions made or taken by a personal representative hereunder, if made in good faith, shall be final and conclusive on all persons who are or may become interested in �ny Estate. No fiduciary acting under this my Last Will and Testament shall be liable fc�r any error in judgment or for any depreciation or reduction in value of any Estate assets at anytime, in the absence of willful default. SEVENTH. I order and direct that, upon my death, my funeral services be arranged through GIBSON-HOLLINGER FLJNERAL HOME, INC., its successors or assigns. LASTLY. I nominate, constitute and appuint AUDREY M. SEBURN, to be the Executrix of this my Last Will and Testament, but if, for any reason, she should fail to WAYNE F.SHADE Attomey at Law 53 West Pomfre[Street Carlisle,Pennsylvania 17013 -3- • qualify as such Executrix or decline or cease so to serve, I nominate, constitute and appoint my legal counsel, Wayne F. Shade, Esquire, and ORRSTOWN BANK, its successors or assigns, as the successive alternate personal representatives hereof, all to serve without bond. IN WITNESS WHEREOF, I, CHARLES R. RASP, have hereunto set my hand and seal to this my Last Will and Testament which consists of six (6)typewritten pages to each of which I have affixed my signature, this 27th day of December, A.D. Two Thousand Six (2006). ��'�1�2�'�f��/r��.� (SEAL) Charles R. Rasp The preceding instrument, consisting of this and five (5) other typewritten pages, each identified by the signature of the Testator, v��as on the date thereof signed, sealed, published and declared by CHARLES R. RASP, the Testator therein named, as his Last Will and Testament, in the presence of us, who, at his request, in his presence, and in the presence of each other, have subscribed our names as witnesses hereto. ---- G�(/� ����.___ �. � WAYNE F.SHADE Attorney at Law 53 Wes[Pomfret S[reet Carlisle,Pennsylvania 17013 -4- .� Acknowledgment COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) I, CHARLES R. RASP, the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by CHARI,ES R. RASP, this 27th day of December, 2006. Charles R. Rasp ���•.� Notary Pu ic �QS6;P:9fS11VV�AL.TH OF PENfMSYLVAPdlA NOTARIAL SEAL CONNIE J.TRITT;Notary Public Affidavit Carlisle E3oro.,Cumberland County �y Commi�sion Expires October 5,2008 COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF CUMBERLAND ) We, Helen H. Shade and Leonard W. Tritt, the witnesses whose names are signed hereto, being c��y qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instru�nent as his Last Will and Testament; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that, to the best of our knowledge, the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue WAYNE F.SHADE Attorney at Law influence. 53 West Pomfret Street Carlisle,Pennsyh�ania 17013 -5- .� � � ', Sworn to or affirmed and subscribed to be fore me by Helen H. Shade and Leonard W. Tritt, witnesses, this 27th day of December, 2006. G�C/a',cl'x,�-.����� �� �• . /•�,�.� �� Notary Pu ic P'('' '�rE.1'e➢'e°�/4�Al.Tt-��DF'PER+�v:�'rb.Y�"�S:i�, ` NOTARIAL SEAL �� CONRIE J.TRITT,Notary Public Carlisle Horo.,Cumberiand County My Commission Fxpires October 5,2008 \ "_" -- WAYNE F.SHADE Attomey at Law 53 West Pomfret Street Carlisle,Pennsylvania 17013 -6-