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Home My WebLink About01-0503 ...... PETITION FOR PROBATE and GRANT OF LETTERS No. To: Register of "Bllsior ihe d Deceased. County of urn er an in the Social Security No. 201-18-8359 Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut ors in the last will of the abovN'~dent, dated March 21 and codicil(s) dated >- 21-01-503 Estate of Pauline Y. Green also known as named , 19~ ~d ~ E. 'rcw :r..., ~t. -,~e.c.. tv'c....,.. tI,..'u(. A...,..,+ G. J91'. (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in c'umherland County, Pennsylvania, with h er last family or principal residence at 57 S. 39th St. _ Camo Hill_ PAl 7011 (witM)fAl TOMaN"" ~\ - (list street, number and muncipality) Decendent, then _ 74 __ years of age, died May 9 ,~~ 2001 , ~ Carolyn Croxton Slane Hospice Residence Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) !-JI personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: Sl S. 3,~ ~t., lAJlIlI\~ '-tUr'-, i>A ,).0" ~. 000 . 00 $ $ $ $ i Do. 00 o. 00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentarv (testamentary; administrationc.t.a.; administration d.b.n.c.t.a.) theron. - .e GJ CJ C GJ :2~ "'- GJ'" ~~ -g.g ~.= 3~ GJ '- =0 <<i c tlO Ci3 ~)~. ~..",,)::nr:: Meade E. Green, III 616 Belle Vista Drive F.nola, PA 1702S f4de i~Grd~ 1926 Princeton Avenue c'amp Hill, FA 17011 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } 58 COUNTY OF Cumberland The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. ~j!: ~~:-~ affirmed and 22nd ~ OQ' ::s ~ - =: ~ ~ / b-c:2.!1c:2- 7 ~o. 21-01-503 Estate of Pauline Y. Green , Deceased DECREE OF PROBATE AND GRA~T OF LETTERS AND NOW MAY 7.5, 2001 19_, in consideration of the petition on the reverse side hereof, .satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated March 21 , 1988 described therein be admitted to probate and filed of record as the last will of \ Pauline Y. Green and Letters Te~tRmpnt;:)ry are hereby granted to Meade E. Green, III and Ronald Lee Green FEES ~"1~(2?;1!:.N~~ ~h4?.cJ 4.uy R stcr of Wills ~MAc. "'. ~......,. Debra K. Wallet, Esq. (23989) Probate, Letters, Etc. ......... Short Certificates( ).......... l.{-pag~s. KeI1unclatlon ................ JCP $ 235.00 18.00 $ ll. UU $ $ TOTAL _ $ 270.00 . . . . . . . . Mt\~ . ?2.,. . f9.o.~ . . . . . . . . . . . . 5.00 ATTORNEY (Sup. Ct. LD. No.) 24 N. 32nd St., Camp Hill, PA 17011 ADDRESS Filed (717) 737-1300 PHONE l-!1f\~.R()~ RJ:::V C\/R(, This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local R~gistrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. t~4L . Local Registrar . m 11 Fee for this certificate, $2.00 p 7386425 ~I I~ I ~OO( Date 21-01-503 Hl05.143Aov.2/87 COMMONWEALTH OF PENNSYLVANIA a OEPARTMENT OF HEALTH a VITAL RECOROS CERTIFICATE OF DEATH TYPEJPAINT IN PERMANENT BLACK INK w ~ C Z GIl.$,;"! UNDER 1 D.<I\' HourI ! Iollnul.. STATE FIl.E NUMIlER SOCIAL SECURITY NUMBER 3. ;'01 -'f q 2cc,/ DATE OF BIRTH tMOnlh. Oa~. 'fear) elflT~ (C,ry and Stale or fOfe'9fl Cou(tuy) r. t/NIDN ~.. ="",0 .... 'DilWfli;'" DECEIlENT'S USUAl OCCUPoQ1ON (~j':orto~.:!'::""::::~:'r .".. In~tnAK-Ep... 1111. DEceDENT'S MAIlING ADDRESS (SIr... CilyllOwn. Stale, LIIl Co<l81 57 S 39W. :;rr. 11. (!1tH-if lIit..L- I fA. /1DII FATHER'S NAME (First, "''''''''' lasl) II. tne~~' fE.cfZ.S INFORMANT'S NAIotE (T ypwPrint) . Ki>NALb /..... GfHiE,J METHOD OF DISPOSITION IlunalIRl Cremation 0 Ramoval 'rom Slota 0 Olhar (Spacllyl .... RACE. Amancan I...an, _, Whil.. ale. ISpecoIy) /Nil '-rt= SURVIVING SPOUSE lit Wile, !;JIve maiden Nmel 1'. Hit rnPl>€N lWp CJly- IlJ~ ca" c; ...C.....C- L..". 7 DUE 10 lOR AS A CONSEOUENCE OF):., . ')/;lo1a~ DUE 1O(ORASA CONSEQUENCE OF): . /...... I Approxomata !=:.,~; I I I [ : DUE 10 lOR AS A CONSEQUENCE OF): WERE AUTOPSY FINDINGS AlIAlU.SlE PRIOR 10 COMPlETION OF CAUSE OF DEATH? MANNER OF DEATH DATE OF INJURY (Mohon, Day, Yearl TIME 01' INJURY INJURY fq WORK? DESCAlllE HOI(oIINJURY OCCURRED. Na'~aI Ij] o o Homicide o o o PLACE 01' INJURY. AI horna, larm, IIr"', lac:lOry, offic:a llu-.g, Ole. (5pec"yl 300. v.. 0 NoD Accidenl Pending Investigaoon Va. 0 No 9l Yaa D 2". 281>. UftTWlEII1Ch.... only ""'" .CERTIFYING PHYSICIAN ~PnySK:.anCerblVang cause of death wheo anothet phvSlClan has pt'Of1ounced dealh ana comolelet1l1em 23) To 11M bur o. my knowledge, death OCC....,. due to the cauU(.. and manner.. .t.ted. . . . . . . .. .................. Could not " delerm.ned M. JOe, NoD Suicide 21. ~ li1 ~ ~ . PRONOUNCING AND CERTI"YING PHYSICIAN (PhVSlC..ul 00ltl plonount11"MJ OOdtn dno CeflllYII1g 10 .;.lYse 01 OOdlt'll To the bMt: of my knowtedg., dea'" occ;urred., &he lime, date, and place, and due 10 Ihe c.....(.) Ind manne, II a..ted. . 'MEDICAL EXAMINER/CORONER On - b.... oI.xamlnaUon and/or Inwa.lIllalion, In my opinion, d..lh occurrad 01 tile 11m., dala, and placa, and dualo Ilia cauae(a) and _nn.... alated.,. . . , . . . . , .. . . . . . . . . .. . . . . . . .. . ... ... .. . , , . . . .. .. .. . . . .. . . , . . .. . . . , . , . . . . . . . . . . .. .. . . . . .. .. . . . .. , 31.. REGIST ~I l b2 I t ~ GOOf) i Il'*l[ I"~ ~,; 'J;--, .. ,,-- ~r""r- ~!~~n(;;., .il o 3&. _ .. .,; /It< ~ I LAS T W ILL A R D 21-01-503 T EST A MER T o F P A 0 L IRE y . GREER I, PAULINE Y. GREEN, of Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this to be my Last Will and Testament and hereby revoke all other Wills and Codicils, if any, that I have made. FIRST: I direct that my body be buried in the military park at Fort Indiantown Gap in the plot to which my husband, MEADE E. GREEN, JR. is entitled by reason of his military service. SECOND: I give, devise and bequeath all of my Estate, of whatever nature and wherever situate, to my husband, MEADE E. GREEN, JR., of Camp Hill, pennsylvania, so long as he shall survive me by thirty (30) days. THIRD: Should my husband fail to survive me by thirty (30) days, I give, devise, and bequeath all of my Estate, of whatever nature and wherever situate, in equal shares, to my sons, MEADE E. GREEN, III, of Enola, Pennsylvania, and RONALD LEE GREEN, of Camp Hill, Pennsylvania, so long as each shall survive me by thirty (30) days. Should either of my sons fail to survive me by thirty (30) days, but be represented by children then living, then these children shall take, ~ stirpes, the share to which my son would have been entitled if then living. ACKROWLEDGIIERT Commonwealth of Pennsylvania County of Cumberland I, PAULINE Y. GREEN, Testatrix, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. {i?~~f~<' / Sworn or affirmed to and subscribed before me by PAULINE Y. GREEN, the Testatrix, this ;?J$t day of , 1988. ~JL~ , ." miMON E. BEAVER, NOTARY PUBLIC ConI1\i$sion Exptes May 8, .1988 ~PA ~=-":nCwnlY f-- BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYL VANIA CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Pauline Y. Green Date of Death: May 9, 200 1 Will No. 200 1-00503 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on July 26, 2001. Name Address Meade E. Green, III 616 Belle Vista Drive Enola, P A 17025 Ronald Lee Green 1926 Princeton A venue Camp Hill, PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: July 26, 2001 ~ .&-41\4.. ~ . WM.vwt-" Debra K. Wallet, Esquire 24 N. 32nd Street Camp Hill, ~A 17011 (717) 737-1300~ .... Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT RONALD LEE GREEN & MEADE E GREEN 1926 PRINCETON AVENUE CAMP HILL, PA 17011 -------- fold ESTATE INFORMATION: SSN: 201-18-8359 FILE NUMBER: 21-2001- 0503 DECEDENT NAME: GREEN PAULINE Y DATE OF PAYMENT: 08/14/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 05/09/2001 NO. CD 000150 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $4,500.00 I I I I I I I I TOTAL AMOUNT PAID: $4,500.00 REMARKS: RONAD LEE GREEN & MEADE E GREN CHECK# 109 SEAL INITIALS: CW RECEIVED BY: MARY C. LEWIS REGISTER OF WILLS REGISTER OF WILLS PHONE: (717) 737-1300 .Law tDffiae1L of DEBRA K. WALLET 24 N. 32nd STREET CAMP HILL, PA 17011-2917 Email: Walletdeb@aol.com FAX: (717) 761-5319 February 8, 2002 Mary C. Lewis, Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Pauline Y. Green File No: 2001-00503 Dear Ms. Lewis: Enclosed are an original and one copy of the Pennsylvania Inheritance Tax Return, one copy of an Inventory of the Estate, and one copy of a Status Report Under Rule 6.12 for filing in the above-captioned estate. I have also enclosed a check in the amount of $25.00 representing the filing fees for the tax return and the inventory. I have enclosed three copies of the first page of each to be stamped in and returned to me in the enclosed pre-addressed envelope. Thank you. Sincerely yours, ''UL~ K. CDcJLQQJ-/rnJ) Debra K. Wallet DKW/mml Ene. cc: Meade Green, Co-Executor Ronald Green, Co-Executor '" COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND 1. J 55: Meade E. Green, III and Ronald Lee Green being duly sworn according to law, deposes and says that thEY' are Co-Executors of the Estate of PRll1 inp Y Grppn late of ~mp__!fi1l-___ _________________ . Cumberland County, Pa., deceased and that the within is an inventory made by MPROP F ~rppn} TTT .qno RonR loT PP ~rppT). the said Co-F.xeclltorl=; of the entire estate of said decedent, consisting of all the personal prop~rty and real estate. except real estate outside the Commonwealth of Pennsylvania, and that the figures opposite each item of the Inventory represent it's fair value as of the date of decedent's death. +:i~IA.arLA R 1 -p --=tYinn (a -fY). 0\ 0flJVl t9'"~Oa.:t ~on1./~,,~^.~roY f2Lt Jd~ Executor. Administrator Sworn and subscribed before me, 616 Belle Vista Dr. 1926 Princeton Av. Notarial Seal Mary M.loper, Notary Public Camp Hill Bora, Cumberland County My Commission Expires Oct. 27, 2003 Member, P~sylvania Association ot Notaries Day Enola, PA 17025 Camp Hill, PA 17011 Address Date of Death 05 2001 Month Year INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty a ("; 4. See Article IV. Fiduciaries Act of 1949. ~ ~ R3 tr o. r :0 en ~o? .,., rrt CD N ..'0 \''-.) (~j N >- -0 CD I- W Z lit ~ ~ I- IU W < ~ CD a.. I- ~ u CD 0 en ~ CD 0 W W 0 Q 0- >- I O! IV CD .... a.. ....-I a.. c Z I- ...J LL lU ... ...J < 0 ~ ....-I a.. 0 LL :a: W 0 < W .r-! > O! ~ ~ >- < Z z - Z 0 Q H ~ c H :lI <> en Z 0 O! P 0 Z w < < U ~ a.. P-i '"'0 c IV - L: 0 CD ...0 ""0 ~ CD E - ..! 0 IV ::J 0 ...J 0 u: CD 'Inventory of the real and personal estate of Pauline Y. Green deceased 1. Real Estate located at 57 S. 39th St., Camp Hill, PA 17011 92,500 00 2. Waypoint Bank P.O. Box 1711, Harrisburg, PA 17105-1744 Money Market Acct. #0505002646 Certificate of Deposit #2300013251 3. Allfirst Bank 3045 Market St., Camp Hill, PA 17011 Checking Acct. #00385-3997-7 4. 1991 Pontiac Firebird 5. Ensminger Auctioneers (proceeds from auction of household items) 6. Personal Property taken by family 7. Hospice of Central PA refund 8. State Farm Fire & Casualty Co. refund 10,446 06 16,580 65 987 42 5,000 00 3,302 45 3,320 00 5,040 00 183 31 TOTAL 137,364 89 ~ - ..... '--- :-- ';~~I ~. <<"~ .,. 'S~~; l=-+ (J ~.~ <?~: ~ ""'" -,. -- ~.~ -5A!'6< I- l! \ \ '. -...... \ k" . c,") ~o /, \ .,,:' "'",' :.:.:,-,..:..." ~ 0'\. 4.. ~ 1 (t ~ .0 ~ ~~~ $:) \A ., /~ <\ r:;t, '-" ~ /1 :3 "~: .~.. ~ ~. '.'::.~ .....~ ;,~ '..~ :....~ ":.~ '';;:' . .:~-: '- :. .....-: . . . ..;.. "'~ 1) o S -- ;....- ~. '0 v -: - - -::;; ~ ~. - ,') i'.\ j~\.,.. :.,) . \"'\ , . '(fr- .f>) : " ..., '..~) :'~)~, " ". '. f. ,. --: -,. ~ ..~, .-.} ,...... , , , "" " '~ " ~ ~, .. ~: /; .... REV. 15110 EX. {14II1 : :~.. ./ REV -1500 I / 6- :23u:2~' 7 INHERITANCE TAX RETURN 1,F1LENUM;~R 01 00503 RESIDENT DECEDENT . ________ COUNTY CODE YEAR _. NUMBER -I-~~e;~~ ;~~~~~y -NUMBER - THIS RETURN MUST BE FILED IN DUPLICATE WITH THE , REGISTER OF WILLS -. ---+~-----_. I SOCIAL SECURITY NUMBER D--T"Remainder--Return (dateOfdealhprlOrI012-13-82)----- o o *' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT,280601 __ ._________~_~RISBURG, PA 1712~0601 ::J C; - t':"- 5. Federal Estate Tax Return Required 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUNO OF AN OVERPAYMENT. [gI- 1. Original RE;;---;;---- . -D--2-S~pplemental Return -. ~- ------- w ~ ~ I/J D 4, Limited Estate D 4a. Future Interest Compromise (date of death after ~g:~ 12-12-82) 13 ~ 9 [gI 6. Decedent Died Testate (Attach copy D 7 Decedent Maintained a Living Trust (Attach 8::llJ of Will} copyofTrust) <t D 9. Litigation Proceeds Received D 10. Spousal Poverty Credit (date of death between _~_ 12-31-91 and 1-1-95\ .THIS SECTION MUST BE COMPLETED. ALL COInlESPONDENCE I\II[jCONFIDENTIAL"T~INFORMATjpNSI_IOULDBEOIREC"TEOtO:. NAME ,COMPLETE MAILING ADDRESS r' Debra K. Wallet .. ,--- ______ ' IRM NAME (If applicable) L Offi f b K 11 24 North 32nd Street aw leeso De ra . Wa,".~ CampHill,PA 17011 TELEPHONE NUMBER : 717/737-1300 "r 1. Real Estate (Schedule A) ~ % W o w u w o DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ! Green, Pauline Y. I bATE OF DEATH- (MM-DD-YEAR} i 8. Total Number of Safe Deposit Boxes Copyright 2000 form software only The Lackner Group, Inc. , '>> BE SURE TO ANSWER ALL QUESTIONS ON'I1EVERSE SIDE 'ANa RECI_IECK MATH << 'I DATE OF BIRTH (MM-DD-YEAR) 0510912001 0612311926 D 11.Election to tax under Sec. 9113(A) (Attach Sch 0) ,L.'l -n <T1 en ~ N -'0 ;'..j ':.":1 N 137,364,89 (11) 18,712.84 118,652.05 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST AND MIDDLE INITIAL) (12) (13) (14) 118,652.05 .~ ~% Ww ~o ~% 00 U. (1) 00 =' 92,500. cr SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) ...------ % 118,652.05 .045 (16) 5,339.34 0 16.Amount of Line 14 taxable at lineal rate x ~ -. ------ ~ (17) . 17.Amount of Line 14 taxable at sibling rate x .12 ~ 0 u ~ 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) ~__~?]_~.9.34 2. Stocks and Bonds (Schedule B) (2) (3) (4) (5) (6) (7) None None None 44,864.89 None None (8) 13,235.42 5,477.42 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) % o ~ ~ ~ ~ ~ < u w ~ 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6, Jointly Owned Properly (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 57 South 39th Street CITY Camp Hill r STATE PA 'ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 5,339.34 4,500.00 .-- 236.84 Total Credits (A + B + C) (2) 4,736.84 3. InteresVPenalty if applicable D. Interest E. Penalty Total InteresVPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00 602.50 602.50 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; ...................... ......................... . ~ ~ ~: ~::::~ :h~e~~~~i~~~~s:~~e~~es~~~.~~~~~.~.~~..t.~~ :.~~:.~~.t~.~~~~~~~~~~~.~~.~~.~~.~.~.~~: .:.:..:.::..':.:: :. .. .. . .. .. ~ d. receive the promise for life of either payments, benefits or care? ............................... . .. .. .. .. .. .. ~ 2. ~~:i~~~90~~~~~~t::n~i~~~~i~~? ~.~.'. .~.~.~.~.'..~.i~. .~.~~~~~~~. ~~~~~~.r. :.~~:.~~ .~~~~~~.. ~n.~ .~~.~~ .~~ .~~~~~. .~~~~out . 0 ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ........ 0 ~ 4. ~~t~~~:~e~~~~~i:~1 ~~~~~:~i~~t~~~~~~~. ~.~~~~~: .~~.~.~.i.~~. ~~.~~~~~. ~~~~~~.~.~~~~.:.~~:.~rty Wh.i.~~............ .... ..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. Under penalties of perjury, I declare that I have examined this retum, including accompanying sChedules and statements. and to the best of my knowledge and belief, it is true, correct and complete. Declaration .ereparer ot~er th~~ the perso0.~1 representative i~__b!3~ed on all information of which preR?l!er ~_as any knowle_dge. __ ____ _ ______ SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS (t, 0. ~ 616 Belle Vista Drive 'C.. Enola, P A 17025 ' PERS N( RESP07iS Bl FI )JiG RETURN --- ---A[iDRESS - --- ~ 1926 Princeton A venue ~.A- ___ . Camp Hill,PA 1701117Q~ NATURE OF PR PAREROT THAN REPRESENTATIVE ADDRESS DATE d..J- ra IOJL ~- ~)~-~ DATE Street 17011 ~hl For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. ~9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)l. The statute does not exemoa transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. ~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%, except as noted in 72 P.S. ~9116 1.2) [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% [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. *' SCHEDULE A REAL ESTATE ! I , I I FILE NUMBER 21 - 01 - 00503 COMMONWEALTH OF PENNSYLVANIA INHeRITANce TAX RE11JRN RESIDENT DeCEDENT ESTATE OF Green, Pauline Y. 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 seiler, neither being compelled to buy or seil, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH 92,500.00 57 South 39th Street Camp Hill, P A 17011 (based on 7/3/01 appraisal- attached) TOTAL (Also enter on Line 1, Recapitulation) 92,500.00 , . File No. 0001458 Page #1 ROBERT ENSMINGER APPRAISERS PRESENTS APPRAISAL OF REAL PROPERTY LOCATED AT: 57 S 39th St Record Book 15H, Page 51 Camp Hill, PA 17011-4204 FOR: Estate of Pauline Green cia Ron Green, 1926 Prlnceton Ave., Camp Hill, PA 17011 AS OF: 7/312001 BY: Roberl A. Ensminger Pennsylvania Cerlified Residential Appraiser Certificate Number RL-000952-L ROBERT ENSMINGER APPRAISERS PHONE 717-652-4111 3557 ELMERTON AVENUE FAX 717-541-9444 HARRISBURG, PA 17109-1132 e-mail: lhreecomps@panetwork.com Fonn GAS- 'TOTAL for Windows" appraisal software by a la mode, inc. -l-BOO-ALAMOOE . Robert Ensminger Appraisers IFlle No. 00014581 Paoe #21 FileNo. 0001458 Pro~rlv Address 57 S 39th St Cm, Came Hill StatePA ZiD Code 17011-4204 L"';"-Descnntion Record Book 15H Pane 51 Counlv Cumberland Assessor's Parcei No. 10-21-0275-323 Tax Vear 2001 R.E. Taxes $ 1 500.00 Sneeial Assessments $ 0.00 Borrower Cunent Owner Estate 01 Pauline Green OccuMIII: n Owner n Tenant IXI Vacant . P~hts--;;;;;-raised !Xl Fee Simnle ['l Leasehold Pro'ect Tv";'T TpUO Condominium fHUIJNA on~1 HOAS 0 /Mo. N.~bomoodorPrQiectName Ha,;;;;(jen Gardens M,n Reference ADC 19-J-2 Census Tract 0113.00 Sale Poce T N/A Date of Sale N/A Oescnntlon anitamount 01 loan chame"'ancesslons to be n,lri... seller 0 Lender/Client Estate of Pauline Green Address clo Ron Green 1926 Princeton Ave. Came Hill PA 17011 Annraiser Robert A. Ensmi';;;;'r Address 3557 Elmerton Avenue Harrisburo. PA 17109-1132 Location DUrban [g] Suburban 0 Rural Prodomlnant Silt Ilmlly holll!1!lI Preo.n1lond IlII 'I(, LInd UIe ohonge Buill up [g] Over 75% o 25-75% 0 Under 25% occuPlncy ~Ri AGE One family 75 [g] Not likely o Likely (000) (yrs) Growth rate o Rapid [g] Stable o Slow [g] Owner 85 Low 20 2-4 family 2 o In process Property values 0 Increasing [g] Stable o Declining o Tenant I ~ Hfnh 60 Mulll-family 3 To: Deman<l'supply g Shortage ~ In baJance R OVer supply ~ ~acant (0-5%) .,', predominant~ Commercial 15 Marketi~ time Under 3 mos. 3-6 mos. Over 6 mos. Vac'/over 5%; 100 45 Vacant 5 Note: Race and the racial composition of the neighborhood .r. not .ppr..... factors.. Nelghbomood boundaries and characteristics: MSA #3240. . Factors that affect the marketability of the properties in the nelghbomood (proximity to employment and amenilles. employment stability, appeal to marl<et, etc.): . The subiect is located in Hamnden Townshin. There are manu larne emnlovers in the area and emDlovment stabilitv is verv noed as evidenced by-the below averan-e unemelovment rate. Access to malar emnlovment centers and renional shoooino mails is orovided bv the Canllai Beltwa" and the Interstate Hiohwav sYStem. All amenities are available wllhin a short commutinn distance. Market conditions in the subject nelghbomood (",,!Od'ing support lor the above conclusions reialed to the trend of property values, demarK\'supply, ;nj marketing lime -- such as data on competitive properties lor sale in the nelghbomood, description of the prevalence of sales and financing concessions, etc.): General marketin".conditions in the area are rated noad as of the date of this annraisal. Tvnicalloan discounts are three noints and are I neneral'" naid b" the borrower wllh no oarticioation or hele from the sellers. Interest rates have been lairlv stable and all tvnes of financinn are available in the rnarketnlace. - Projeot Inlormlllon for PUDo (If appl~ab~) - - Is the developerlbuilder In control of the Home Owners' AssociaJlon (HOA)? UVes UNo . Approximate total number of units in the SUbject project Approximate total number of units lor sale In the subject project Desenbe common elements and recreaJional Iacllilles: Dimensions 60 x 120 mn Topography Baslcallv level Site area 0.17 Acres Comer Lot 0 Ves [g] No S~e Averaoe lor the area Specilic zoning classilication and descnption Residential Suburban Shape Rectannular Zoning compliance [g] Legal 0 Legal nonconforming (Grandfathered ose) o Illegal o No zoning Drainage Averane for the area HI"hest & best use as Im"roved: Rf Present ose "n" other use I.xnlainl v~w Aversae for the area Utlllllel Publ~ Other Off-alte Improvement. Type Public Private landscaping Averaae for the area Electricity [g] Street Aspha" [g] 0 Driveway Surface Asnha" Gas 0 Curb/gutter Concrete 0 [g] Apparent easements Tveical utilltv Water [g] Sidewalk Concrete 0 [g] FEMA Special Flood Hazard Area OVes [g] No Sanitary sewer ~ Street rrghts Sodium Vapor ,~ R FEMA Zone X Map Date 01/05/1996 Storm sewer A!;,v None FEMA M'" No. 420360-0010C Comments (apparent adverse easements, encroachments, special assessments, slide areas, Illegal or Iega/ nonconforming zoning use, etc.): There are no annarent easements encroachments or other conditions which would have an adverse effect on the value. A titJe search which is beyond the scone of this annraisal has not been conducted to discover an'll adverse conditions associated with this DrODertv. GENERAL DESCRIPTION EXTERIOR OESCRIPTlON FOUNOAllON BASEMENT INSULAllON No. of Units 1 Foundation Concrete Block Slab Partial Area Sq. Ft. 816 Roof 0 No. of Stories 1 ExleoorWaIIs Faux Brick Crawl Space N/A % Fln~hed 75 Cernng 0 Type (Oet/Att.) Detached Roof Surface FiberalasShlnale Basement Partial Ceffing Suscended Walls 0 Design (Style) Ranch Gutters & Dwnspts. Aluminum Sump Pump None Walls Knottv Pine Floor 0 Existirg'Proposed Exislinn Window Type Double Hunn Dampness No evidence Floor Camet None 0 A'l' (Vrs.) 45 est. Storm'Screens YeslYes Selt1ement No evidence Oulslde Entry None Unknown 0 EffectlveAn,lVrs.1 15 Manufactured House No InIestaIJon No evidence ROOMS Fover LiviM OinlM Kilchen Den FamllvRm. Rec. Rm. Bedrooms #BaIhs Laundrv Other Area So. Fl. . Basement 1 816 Levell 1 1 1 2 1 1056 . Level 2 g . Fin~hed area lbov. nralle contains: 5 Rooms' 2 Bedroom's\' 1 Bath sl' 1 056 ~ uare Feet of Gross L1VIM Area INTERIOR MateriaJ&lCondftion HEAllNG KITCHEN EOUIP. ArnC AMENIllES CAR STORAGE: . Floors Camet/Averane Type FWA Refrlgeralor 0 None 0 Fireplace(s) # 0 None 0 Walls Plaster/Averane Fuel Oil RilIWOven [g] StaIrs 0 Patio 0 Garage # of cars TnnVFin~h WoodJAverane Condition Poor D~posaJ 0 Drop StaIr [g] Deck 0 Attached Bath Floor Carn~t/Avera"~ COOLING D~hwasher 0 Scuttle 0 Porch Stoop 0 Detached Bath Wainscot Ceramlc/Averane Central Yes FarVHood 0 Floor [g] Fence 0 BuiD-ln Doors 2 PaneVAvn. Other None M~rowave ~ Heated R Pool R Carport 1 Condftlon Poor Washer/flrver Fin~hed Orivewllll 1 Additional teaJores (special energy effJc~nt items, ele.): Storm units. Condition of the Improvements, depreciaJlon (physical, functional, and external), repairs needed, quality of constroction, remodell"ll'additions, etc.: The fumace has a cracked heat exchanner and central air conditioner Is not In workinn condition. Several cracks were noted In the exterior brickwork The shed attached to the house is rolllnn from excessive moisture many lIems hanninn on the wall will necessllate renaintinn the entire house. The roof annears to be in "ood condition with no evidence of leaks on the interior. Adverse environmental conditions (such as. but not Umiled to. hazardous wastes, toxic substances, etc.) present i1 the Improvemenls, on the site, or in the immed'1a!e v~lnity of the subject property.: No adverse environmental conditions were noted on the date 01 insceotion however the acoraiser is not an evnert in the environmental sciences. All concems should be addressed bv a erooerlv oualified excert. UNIFORM RESIDENTIAL APPRAISAL REPORT Freddie Mac Form 70 6193 PAGE 1 OF 2 Fannie Mae Form 1004 6193 Form UA2 - 'TOTAL lor Windows' appraisal software by a fa mode, inc.-1-8oo-ALAMODE . IFlle No. 00014581 Paoe #31 UNIFORM RESIDENTIAL APPRAISAL REPORT FileNo. 0001458 ESTIMATED SITE VALUE . ..................... .............................- $ 27 500 Comments on Cost Approach (sllOh as, soorce of cost oslinale, site valoe, ESTIMATED REPRODUCTION COST-NEW-OF IMPROVEMENTS: square foot caJculallon and for HUD, VA and FmHA, the estimated remaining Dwelling 1.056 Sq. Ft. @$ 60.00 - $ 63,360 econom~ life of the properly): The Marshall & Swill Residential Cost 816 Sq. Ft. @$ 20.00 16.320 Handbook alan with local coslfaclors rovided b local fiances 3.500 contractors were used in the com fetion of the cost a roach. 10.00 - 3,720 Ph ical de reciation is based on the a en~e method where . _ _.....................= $ 86,900 de reciation = effective a e I economic life. Unless otherwise Functional External noted total economic life is 60 ears. Functional obsolescence I =$ 21 725 ~ an is s ecilicall noted is the cost to cure or the excess cost ....Ro\lnd..d.... . =$ 65200 of su erade uacies. There is no economic obsolescence. .............. =$ 2 500 ............... _ 95,200 COMPARABLE NO.3 4610 N. Clearview Dr. Cam Hill 0.77 miles Avera e Fee Sim Ie 0.17 Acres Avera e Ranch/Avera e FauxBricklAv . 45 est. Below Avera e Total : Bdnns: BaIhs 5 : 2 : 1 1056 .R. Part Basement Ree Room Avera e OFWAlCentral Storm Units Ca art Stoop None None OESCRIPllON Conventional 200M 9/15/2000 Avera e Fee Sim Ie 0.30 Acres Avera e Ranch/Avera e Vin IIAvera e 40 Above Avera e Total : Bdnns: BaIhs : 6 : 3 : 1.5 : 1388 . Ft. : Full Basement Rae Room Avera e GFWAlCentral Thermo snas Car art Deck Gas Fire lace None -500 + - $Adus!. DESCRIPllON Conventional 700M 6/27/2001 Avera e Fee Sim Ie 0.17 Acres Avera e Ranch/Avera e BricklAvera e 41 Above Avera e T etal : Bdnns: BaIhs : 6 : 3 : 1.5 : 988 .Ft.: Full Basement Sm. Rec Room Avera e GFWAlNone Storm Units None Patio None Fence + - $Adust. DESCRIPllON Conventional 142 OOM 11/1712000 Avera e Fea Slm Ie .15 Acres Avera e Ranch/Avera e BricklAvera e 35 Avera e Total : Bdrms: BaIhs : 5 : 3 : 1 1056 .Ft.: Full Basement Rec Room Avera e GFWAlNone Storm Units Ca art Deck None None -1500 -1000 -12000 -12000 -1,000 -3300 -1,000 -1,000 +700 o +2000 -1500 -1,500 -1500 +1000 -500 + -IAdus!. -1000 -6 000 o -1,000 +2000 -1,500 7500 90 600 ITEM SUBJECT COMPARABLE NO.1 COMPARABlE NO.2 COMPARABLE NO.3 Date, Plice and Data No sales past yr. No sales in the last year other No sales in the last year other No sales in the last year other Source, for prior saJes than reported above. than reported above. than reported above. wllhin ear of raisaI Public Records Benchmark Ima in Benchmark Ima in Benchmark Ima in AnaJys~ of aJrf current agreement of sale, option, or I1stir9 of subject properly and anaJys~ of aJrf prior saJes of subject and comparab~s wllhln one year of the dale of appraisal: There are no known a reements of sale or Iistin s of the ro e at the resent time. $ art of this re art. 92 500 Final Reconciliation: Three traditional a roaches were considered in the a raisal rocess. The cost a roach usual determines the u er limit of value and the income a roach was not com leted due the few number of rentals in the area. The market data a roach to value is considered to be the most accurate means of achievin the market value and has been heavi relied u on in the final valuation. . The purpose of th~ appraisal ~ 10 estImale the market value of the real properly that ~ the subject of th~ report, based on the above conditions and the certification, conti1gent and limiting conditions, and market value definition that are staled In the aItoched Fredd~ Ma: Fann 4391FNMA form 1 oo4B (Rev~ed 6/93 ). I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE REAL PROPERTY THAT IS THE SUBJECT OF THIS REPORT, AS OF 7/3/2001 (WHICHISTli ... .OF NSPEVI..ANO E EffECTIVE DATE OF TliIS REPORT) TO BE $ 92,500 APPRAISE: ... .......................Y. ....... .., ...... .... SUPERVISORY APPRAISER (ONLY IF REQUIRED): S' nature . ....,. SlonaJure 0 Did o Did Not Name Rob rt Name Inspect Properly Date RePOrtSIo!1ed' '711:212001 Dale Re ort S' nod SlaIe Certif~ation # RL-000952-L Stale PA Stale Certification # Or SlaIe L~ense # SlaIe Or SlaIe L~ense # Fredd~ Ma: Fann 70 6193 PAGE 2 OF 2 Form UA2 - 'TOTAL for Windows' appraisal software by a Ia mode, Inc. -1-BOQ-ALAMODE Stale Stale Fann~ Mae Fann 1004 6-93 8o"ower/CI~nl ProMI1v Address 57 S 39th SI Citv Camo Hill Countv Cumberland Stale PA r.. Code 17011-4204 lender Estate of Pauline Green Supplemental Addendum IFlle No 00014561 PaDe #41 Fi~ No 0001458 " Every effort has been made to conform to FNMA & FHlMC guidelines, and in most cases, an even stricter interpretation of guidelines found common to most investors in the secondary market. Since every property can not be compared to "ideal" sales, the appraiser must choose sales from the market search which meet investor underwriting standards and guidelines established by the professional association of which the appraiser is affiliated. The appraisal has been completed without the benefit of a complete legal description. The size and shape of the lot have been determined from information obtained from tax maps, available plot plans, multi-list services, developers plans, and/or surveys. lot and block numbers are not commonly available in this area. A title search, which Is beyond the scope of this appraisal, is generally necessary to determine lot and block numbers, plan book pages, adverse easements, encroachments, deed restrictions and/or special assessments. Without a full title search, the estimated value stated herein could be adversely affected, if at a later date any adverse conditions are discovered. The appraiser is not an expert in the environmental sciences. The appraiser is not aware of the existence of RADON GAS and/or RADON DAUGHTERS, lEAD BASE PAINTS, lEAD IN THE PLUMBING FIXTURES AND PIPES, ASBESTOS, UREA-FORMAlDAHIDE FOAM INSULATION, SICK BUilDING SYNDROME, PETROLEUM lEAKAGE, AGRICULTURAL CHEMICALS, OR OTHER HAZARDOUS SUBSTANCES, and does not possess the knowledge or equipment necessary to test for such items. If testing by qualified technicians indicates unacceptable levels of any hazardous substance or condition, the appraised value may be adversely affected or voided. Digital photographs have been used in preparing this appraisal report. The photographs have not been retouched, air brushed or altered in in any form. Occasionally, it is necessary to enhance the photographs to compensate for lighting conditions. This usually occurs in bright sunlight that casts deep shadows. The actual photograph is not altered but is lightened to allow the reader of the report to see objects in the photographs more clearly. Digital maps are used in preparing appraisal reports. The mapping program automatically determines the location of the subject property and the comparables sales, determines the distance between the subject and the comparable sales and automatically places the distances in the appropriate place on the appraisal form. The actual placement of the subject and comparables may be exact, but are close enough to allow the reader to find the properties within one-tenth of a mile of the actual location. Digital floor plans are used in appraisal reports as necessary. Exterior dimensions are to scale and are based on actual field measurements. Interior details may not be complete and are not to scale. They are provided only to help the reader visualize the interior of the p'roperty and the general layout of the home. The program calculates the square footage of the home based on the exterior dimensions and places the results in the proper sections of the report. All calculations are detailed on floor plan pages. Form TADD - 'TOTAL for Windows' appraIsaJ software by ala mode.lnc.-l-600-ALAMODE Subject Photo Page Borrower/Client Property Address 57 5 39th 5t City Camp Hill Lender Estate of Pauline Green County Cumberland Stoia PA file No. 000145B Page #5 Zip Code 11011-'1204 SubJect Front 57 5 39th 5t Sales pnce Gross Living Area Total Rooms Total Bedrooms Total Bathrooms Looatlon View Sile Quality Age Fonm PIC3x5.SR - 'TOTAL for Windows' appraisal software by a la mode, Inc. - 1-BOO-ALAMOOE N/A 1,058 5 2 1 Average Average 0.17 Acres FauxBrlcklAvg. 45 est. Subject Rear Subject Street Subject Photo Page Borrower/Client Property Address 57 5 39th 51 City Camp Hill Lender Estate of Pauline Green County Cumberland SlaIe PA File No. 0001458 Page #6 Zip Code 17011-4204 Subject Front 57 5 39th 51 Sales Pnce Gross L1~ng Area Total Rooms Total Bedrooms T atel BatlIrooms Location View Site Quallly Age Form PIC3x5.SR - "TOTAL for Windows" appraisal software by a la mode, Inc. - 1-800-ALAMOOE N/A 1,056 5 2 1 Average Average 0.17 Acres FauxBricklAv9. 45esi. Subject Rear Subject Street Comparable Photo Page Borrower/Client Properly Address 57 5 391h 51 City Camp Hill Lender Estate of Pauline Green County Cumberland State PA File No. 0001458 Page #7 Zip Code 17011-4204 Comparable 1 206 E. Clearview Dr. Prox. to SUbject 0.66 miles Sa~ PrIce 115,900 Gross living Area 1 ,388 Total Rooms 6 Total Bedrooms 3 Total Bathrooms 1.5 Location Average View Average S~e 0.30 Acres Quality Vinyl/Average Age 40 Comparable 2 4618 Hampden Ave Prox. to Subject 0.72 miles Sale Price 104,900 Gross Living Area 988 Total Rooms 6 Total Bedrooms 3 Total Bathrooms 1.5 Location Average View Average S~ 0.17 Acres Quality Brick/Average Age 41 Comparable 3 4810 N. Clearview Dr. Pro~ 10 Subject 0.77 miles Sale Price 98,100 Gross Living Area 1,056 Total Rooms 5 Total Bedrooms 3 Total Balhrooms 1 Location Average View Average S~ .15 Acres Quality Brick/Average Age 35 Form PIC3x5.CR - 'TQTAL for Windows' appraisal software by a la mode, Inc. -1-800-ALAMODE IFlle No. 0001458I-P~ Building Sketch (Page - 1) Bo"ower/Cr~nl pron."tv Address 57 5 39th 51 Citv Camo Hill COUnIv Cumberland Stale PA Zin Code 17011-4204 lender Estate of Pauline Green 20.Dr 12.[]r J.4.[]r 34.0' 3b.0 2 4 .[]' 24.0 24.[]' 34.(]r 34.(]' SKETCH CALCULATIONS EJ U , 20.[] x 12.[] .. 240.0 A2 , 34.0 x 24.[] . Alb.a " first floor ]'[]Sb.[] A3 , 3"1.[] x 211.0 = Alb.[) " Basement ~lb.O Total Living Area 1056.0 D A4 , 15.5 x 2"1.[] .. 372.0 Caropl"'t 372.0 Total Garage Area 372.0 D A5 , 13.[] x 7.S .. 97.5 Storage Area 97.5 Total storage Area 97.5 Form SKT.BIdSkJ - 'TOTAL for Windows' appraIsaJ software by a Ia mode, Inc.-l-800-ALAMODE . File No. 0001458 Page #9 Location Map Borrower/Client Property Address 57 S 39th St CIIy Camp HIli Lender Estate of Pauline Green Counly Cumberland State PA Zip Code 17011-4204 1It-i!! ., --' :\......'..-\,~ , I \ \' . <, '. .\ I, _J.'--~ "II "'.... ."'.... ~I'I' ~ '~"I ../, ill - I, ' ~~~ ti!......~- Ii '. <t, " ... F..If. '- -;'- ,ei rJcl~ '. ~.Y' i/ "I ! n__'.___'. ,!"../ /. .. ", '/--':--- . ..... ....~.s, """""'"',.....,,.1 ", . -.F i..c" ~ '. /-.:) '..\'\ ~"I ....'!, '.....\ ~~ '( (\ ~ ! '\ .~ -'-J. \' ~ ~. ....11 " Form MAP.LOC - "TOTAL for Windows' appraisal software by a la mode,lnc. -1.800.ALAMOOE . IFlle No. 00014581 Paoe #101 Borrower Fi~ No. 0001458 Pro~rlv Address 57 S 39th St c.; Camn Hill Countv Cumberland Stale PA liD Code 17011-4204 lender Estate of Pauline Green APPRAISAL AND REPORT IDENTIFICATION This appraisal conforms to llIle of the following definitions: [gj Complete Appraisal (The act or process of estimating value, or an opinion 01 value, performed wnhout Invoking Ihe Departure Rule.) o Limited Appraisal (The act or process of estimating value, or an opinion 01 value, performed under and resunlng from Invoking Ihe Departure Rule.) This report is llIle of the following types: o Self Contained (A written report prepared under Standards Rule 2-2(a) of a Complete or Limited Appraisal performed under STANDARD 1.) [gj Summary (A written report prepared under Standards Rule 2-2(b) of a Complete or Limited Appraisal performed under STANDARD 1.) o Restricted (A written report prepared under Standards Rule 2-2(c) of a Complete or Limited Appraisal performed under STANDARD 1 tor client use only.) Comments on Standards Rule 2-3 I certify that, to the best of my knowledge and belief: . The statements of fact contained in this report are true and correct. . The reported analyses, opinions, and conclusions are limited only by the reported assumptions and limiting conditions, and are my personal, impartial, and unbiased professional analyses, opinions and conclusions. . I have no present or prospective interest In the property that Is the subject of this report, and no personal interest with respect to the parties involved. . I have no bias with respect to the property that is the subject of this report or the parties involved with this assignment . My engagement in this aSSignment was not contingent upon developing or reporting predetermined results. . My compensation for completiryg this assignment is not contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value opinion, the attainment of a stipulated result, or the occurrence of a subsequent event directly related to the intended use of this appraisal. . Myanatyses, opinions and conclusions were developed and this report has been prepared, in conformity with the Uniform Standards of Professional Appraisal Practice. . I have made a personal inspection of the property that is the subject of this report. No one provided significant real property appraisal assistance to the person signing this certification. (If there are exceptions, the name of each individual providing significant real property appraisal assistance must be staled.) Comments on Appraisal and Report Identification Note any departures from Standards Rules 1-2, 1-3, 1-4, plus any USPAP-related issues requiring disclosure: This is a Summa'" Annraisal Renort which is intended to comnlv with the renortinn renuiremenls set forth under Standards Rule 2-2(bl of the Uniform Standards of Professional Practice as nromonulated bv the~aisal Foundation. /J.s such it renresents onlv summarv discussions of the data reasoninn and anal~~es that were used in the aDDraisal Drocess that were used to develoa the aaaraiser's aainion of value. Sunnortinn documentation that is not nrovided with the renort is retained In the annraise(s file. The deDth of discussion contained in this reoort is ;;-ecific to the needs of the client for the intended use stated below: The annraiser is not resDonsible for unauthorized use of this renort. To develon the oninion of value the annraiser nerformed a comnlete annraisal nrocess as defined bv the Uniform Standards of Professional C;;:;;;;-raisal Practice. This means that no denartures from Standard 1 were invoked. Standard 1 establishes the criteria for the develoDment of a real nron;;;;;- annraisal. PURPOSE OF THE APPRAISAL: The nU~ose of this annraisal is to estimate the fair market value of the subiect. FUNCTION OR INTENDED USE OF THIS APPRAISAL: The intended use of this renort is to assist the client to establish a value for estate tax numoses and as a nuide for a most nrobable sales nrlce should the nron;;;fu be nlaced on the market for sale in as is condition. ;~~u~:::::r.~~...... Dale Signed: 7i12/20of..........'."."."...... '..,......'..'.'.......,"...,.,....."'...'. Stale Certification #: Rl-000952-l or Stale l~ense #: Stale: PA Expiration Dale of Certification or l~ense: 06/3012003 SUPERVISORY APPRAISER (only If requIred): Signalure: Name: Dale Signed: Stale Certification #: or Stale L~ense #: Stale: Expiration Dale of Certification or l~ense: o Did o Did Nollnspect Property Robert Ensminger Appraisers Form ID2 - 'TOTAL for Windows' appraIsaJ software by a fa mode, Inc. -1-8OQ-ALAMODE " . IFlle No. 00014581 Paae #111 DEFINITION OF MARKET VALUE: The mast probable price which a property should bnng In a competitive and open market under all conditions requ~ie to a fair sale, the buyer and seller, each acting prodenlly. koowJedgeab~ and assuming the price ~ not atfecled by undue stimukJs. Impllcl In this def~itIon ~ the consummation of a sale as of a specified dale and the passing of lIlJe from seller to buyer under conditions whereby; (1) buyer and seller are lyp~a1~ motivated; (2) both parties are wer iltonned or well adV~. and each acting In whal he considers h~ own best Inlerest; (3) a reasonable time ~ allowed for exposure in the open market; (4) payment ~ made In tonns of cash In U.S. dollars or In tonns of financial arrangemenlll comparable thereto; and (5) the price represents the nonnal consideration for the property sold unaffected by special 01 crealive financing or sales concessions" grarrted by MYone associaled with the sale. "Adjustments to the comparables must be made for special or creative financing or sales concessions. No adjustmenlll are necessary for those costs wh~h are nonnal~ paid by sellers as a resul of lradilIon 01 law in a market area; these costs are readi~ ldenlflable since the seller pays these costs In virtual~ aD sales transactions. Special 01 creative financing adjustme'" can be made fo the comparable property by comp~ns to financing tonns oftered by a third party Inslllutional lender thai ~ not a1reat{ involved in the property 01 transaction. Any adjustment should not be calcuialed on a mechan~a1 dollar for dollar cost of the financing or concession but the dollar amount of any adjustment should approximate the market's reaction to the financing or concessions based on the appraise(s judgement. STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERTIFICATION CONTINGENT AND LIMITING CONDITIONS: The appraiser's certification thai appears In the appraisal report ~ subject to the following conditions; 1. The appraiser will not be responsible for matters of a legal nalure thai affect either the property being appraised 01 the lIlJe to I. The appraiser assumes thai the lIlJe ~ good and marketable and. thereto,e, will not render any opinions about the lIlJe. The property ~ appraised on the bas~ of I being under responsible ownership. 2. The appraiser has provided a sketch in the appraisal report to show approximate dlmensions of the Improvements and the sketch ~ InckJded o~ to assist the reader of the report In v~uaJizing the property and understanding the appraiser's detennlnation of lis size. 3. The appraiser has examined the available flood maps thai are provided by the Federal Emergency Management Agency (or other data sources) and has noted in the appraisal report whether the subject site ~ located in an Identified Special Flood Hazard Area. Because the appraiser ~ not a SUrveyOl. he or she makes no guarantees, express or Implied. regarding th~ detenninalion. 4. The appraiser will not give testimony or appear In court because he or she made an appraisal of the property In question, unless specllc arrangements to do so have been made beforehand. 5. The appraiser has esllmated the value of the land In the cost approach It lis highest and best use and the improvements III their contributory value. These separate valuations of the land and Improvements must not be used in conjunction with any other appraisal and are invalid I they are so used. 6. The appraiser has noted in the appraisal report any adVerse conditions (such as, needed repairs, deprecialion. the presence of hazardous wastes. toxic substances, etc.) observed duong the Inspection of the subject property or thai he or she became aware of durilg the nonnal research Involved In perfonning the appraisal. Unless othelW~ stated in the appraisal report, the appraiser, has no koowledge of any hidden or unapparent conditions of the property or adVerse environmental conditions (Including the presence of hazardous wastes. toxic substances, etc.) thai would make the property more 01 less valuable, and has assumed thai there are no such concfdions and makes no guarantees or warranties, express or implied, regarllng the condition of the property. The appraiser will not be responsible for any such condillons thai do exist or for any engineering or testing thai might be required fo discover whether such conditions exist. Because the appraiser ~ not an expert In the field of environmental hazards, the appraisal report must not be considered as an environmental assessment of the property. 7. The appraiser obtained the infonnation. estimates, and opinions thai were expressed in the appraisal report from sources thai he or she considers fo be reliable and ber""es them to be bue and coneel. The appraiser does not assume responsibilly for the accuracy of such lems thai were fum~hed by other parties. ~ B. The appraiser will not d~ciose the contents of the appraisal report except as provided for in the Unifonn Standards of Professional Appraisal Practice. 9. The appraiser has based h~ 01 her appraisal report and valuation conclusion for an appraisal thai ~ subject to salisfactory compJetion, repairs, or alerations on the assumption thai compJetion of the improvements will be pertonned In a workmanlike manner. 10. The appraiser must provide h~ or her prior written consent before the lender/client specified in the appraisal report can d~ibute the appraisal report Qncluding conclusions about the property value, the appraise(s ldently and professional designations, and references fo any professional appraisal OIganizations 01 the finn with wh~h the appraiser ~ associated) to arryone other than the bonower; the mortgagee or lis successors and assigns; the mortgage insurer; consulanls; professional appraisal organizations; arry stale or tederal~ approved financial insllution; 01 arry department, agency, or Insbumenlally of the United Stales 01 arry stale or the District of Columbia; except thai the lender/client may d~ibute the property descrtption section of the report on~ fo data collection or reporting serv~e(s) without having to obtain the appraise(s prior written consent. The appraise(s written consent and approval must also be obtained before the appraisal can be conveyed by arryone fo the public through adVe~ing, publ~ reialions, news, sales, or other media. Fredd~ Mac Fonn 439 6-93 Pagelof2 Fannie Mae Fonn 10048 6-93 Robert Ensminger Appraisers Fonn ACR - 'TOTAL for Windows' appraisal software by a Ie mOlle. inc. - 1.BlJO.ALAMOOE ,< . IFlle No. 00014581 P.oe #121 APPRAISER'S CERTIFICATION: The Appraiser certifIeS and agrees thai: 1. I have researched the subject market area and have selected . minimum oIlhree recent saJes 01 properties most similar and proximale to the subject properly for consideration in the saJes compllison anaJys~ and have made a dollar adjustment when appropriate to relIect the market _tIon to those noms 01 s1gnlfJcant variation. n. signif~anl ftem in a comparab~ properly ~ superior to, or more favorab~ than, the subject property, I have made a negative adjustment to reduce the adjusted saJes price 01 the comparab~ and, if a significant ftem in a comparab~ properly ~ interior to, or ~ss favorab~ than the subject properly, I have made . positive adjustment to Increase the adjusted saJes price 01 the comparab~. 2. I have laken into consideration the ""'tors thai have an Impact on value In my development 01 the estimate 01 market value In the appraisal report. I have oot koowing~ withheld any signif~anl information nom the appraisal report and I bel~ve, to the best 01 my koow~dge, thai all statements and Information in the appraisal report are fiee and conect. 3. I stated in the appraisal report on~ my own personal, unbia<led, and professional anaJys~, opinions, and conclusions, which are subject on~ to the contingent and Iimifing condftions specif~d '" th~ form. 4. I have 00 present or prospective Interest in the properly thai ~ the SUbject to lh~ report, and I have 00 present or prospective personal interest or bia<l with respect to the participants in the transaction. I Did oot base, efther partial~ or complele~, my anaJys~ ancl'or the estimate 01 market value in the appraisal report on the race, color, relllJion, se~ handicap, familial status, or national origin 01 efther the prospective owners or occupants 01 the subject properly or 01 the present owners or occupants 01 the properties In the viclnfty 01 the subject properly. 5. I have 00 present or contemplated future Interest In the subject properly, and nefther my current or future employmentoor my compensation for pertormlng lh~ appraisal ~ contingent on the appr~d value 01 the properly. 6. I was not required to report a predetermined value or direction in value thai favors the cause 01 the cl~nt or any related party, the amount 01 the value estimate, the atlalnment 01 . specif~ resu~ or the occurrence 01 a subsequent event In order to receive my compensation ancl'or employment for pertormlng the appraisal. I did not base the appraisal report on a nequesled minimum valuation, a specif~ valuation, or the need to approve a specific mortgage loan. 7. I pertormed lh~ appraisal in conformfty with the Unnorm Standards 01 Professional Appraisal Practice thai were adopted and promulgated by the Appraisal Standards Board 01 The Appraisal Foundation and thai were In place as 01 the effective date oIlh~ appraJsal, with the exception 01 the departure prov~lon 01 those Standards, which does not app~. I ackoow~ thai an estimate 01 a reasonab~ time for OJqlOsure In the open market ~ a condftlon in the definftlon 01 market value and the estimate I developed ~ consistent with the marketing time ooted in the neighborf1ood section 01 ~ report, unm I have oIherwM stated in the reconciliation section. 8. I have personal~ Inspected the interior and exterior areas 01 the subject properly and the exterior 01 all prope~s lISted as comparablec In the appraisal report. I further certfty thai I have ooted any apparent or koown adverse condftlons In the subject Improvements, on the subject sno, or on any site within the immediate vicinfty 01 the subject properly 01 which I am aware and have made adjustments for these adverse condftlons In my ~~ 01 the properly value to the extent thai I had market evidence to support them. I have also commented about the effect 01 the adverse condftlons on the markelabllfty 01 the subject properly. 9. I personal~ prepared all conclusions and opinions about the real eslate thai were set forth In the appraisal report. n I rel~ on significant professional assistance nom any individual or Ind'lVlduals in the pertormance 01 the appraisal or the preparation 01 the appraisal report, I have named such Ind'lVldual(s) and OOclosed the specific tasks pertormed by them In the reconcUlallon section oIlh~ appraisal report. I certfty thai any individual so named ~ qual~ to pertorm the tasks. I have oot authorized anyone to make a change to any ftem In the report; therefore, if an unauthorized change ~ made to the appraisal report, I wm lake 00 responsibllfty for ft. SUPERVISORY APPRAISER'S CERTIFICATION: n a supelV~ory appr~r signed the appraisal report, he or she certifIeS and agrees thai: I directly SUpelVM the appraiser who prepared the appraisal report, have rev~wed the appraisal report, agree with the statements and conclusions 01 the appraiser, agree to be bound by the appraiser's certifications numbered 4lhrough 7 above, and am laking fuU responsibllfty for the appraisal and the appraisal report. ADDRESS OF PROPERTY APPRAISED: 57 S 39th 51. Camp Hill. PA 17011-4204 APPRAISER: ~~~re~Obr?Jd!~~ Date Signed: 7/1212001 Slate Certif~ation #: RL-000952-L or State License #: Slate: PA Expiration Date 01 Certification or license: 06/3012003 SUPERVISORY APPRAISER (only If required): Signature: Name: Date Signed: Slate Certification #: or Slate license #: Slate: Expiration Date 01 Certification or license: o Old 0 Old Not Inspect Properly Fredd~ Mac Form 439 6-93 Page2012 Fann~ Mae Form 1004B 6-93 Form ACR - 'TOTAL for Windows' appraisal software by . Ia mode, Inc. - 1-BOO-ALAMODE *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Green, Pauline Y. I FILE NUMBER , 21-01-00503 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER I Waypoint Bank P.O. Box 1711, Harrisburg, PA 17105-1744 VALUE AT DATE OF DEATH DESCRIPTION Money Market Account #0505002646 10,446.06 Certificate of Deposit #2300013251 16,580.65 2 Allfrrst Bank Checking Account #00385-3997-7 3045 Market St., Camp Hill, PA 17011 987.42 3 1991 Pontiac Firebird (based on proceeds from actual sale) 5,000.00 4 Ensminger Auctioneers (proceeds from auction of household items - see attached list) 3,302.45 5 Personal property taken by farrtily (see attached appraisal) 3,320.00 6 Hospice of Central P A refund 5,040.00 7 State Farm Fire & Casualty Co. refund 188.31 TOTAL (Also enter on Line 5, Recapitulation) 44,864.89 Appraisal of specific personal property items Estate of Pauline Green July 3, 2001 JUl19 2001 Sofa $ 100.00 Oak secretary $ 400.00 Oak table & 4 chairs $ 400.00 Elain Docket watch $ 80.00 Clock $ 60.00 Trunk $ 40.00 Inaraham mantle clock $ 90.00 Enalish teacot $ 15.00 Blanket chest $ 100.00 Trunk $ 40.00 German arandfather clock $ 1,000.00 Rockina chairs $ 175.00 sewina machine $ 80.00 Inaraham clock $ 65.00 Pine table/bench $ 100.00 Cookoo clock $ 175.00 Alabaster clock $ 25.00 Dresser & chest of drawers $ 250.00 Curio cabinet $ 125.00 yMd~~ ,...--~ . . Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement Seller: GREEN ESTATE 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty -------------------------------------------------------------------------------- 1 FLAG 2 GLOBE, BASKET, ETC. 3 DRY GOODS 4 CLOCK 5 9 POINT RACK 6 TEA SET, ETC. 7 CUTTING BOARD, TRAY, TOASTER 8 BRASS KEYS 9 MEAT GRINDER, ETC 10 HENS ON NESTS 11 TEAPOT, SUGAR CREAMER 12 HAND PAINTED BAVARIAN DISH 13 VA ROSE H/L CHINA 14 TUREEN & LADLE 15 POTATO MASHER 16 VASE, ETC. 17 BOX LOT 18 PICTURES & FRAMES 19 JEWELRY 20 COVERED DISH, ETC 21 MARX TRAIN TRANSFORMER 22 MASHERS, 23 LOT, KIT ITEMS 24 LOT - PITCHER, HOBNAIL 25 BROWN JUG 26 BIGGER BROWN JUG 27 ALARM CLOCK 28 BABY BEN 29 MIRROR 30 6 GAL CROCK - AS IS 31 JEWELRY 32 GINGER JAR, VASE 33 LEAD CRYSTAL VASE 34 CURVED DISH 35 RUSSIAN SPICE JAR 36 CRYSTAL CREAMER 37 CRYSTAL LOT 38 HALLS AUTUMN LEAF SET 39 BIBLE 40 CHINA 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Page: Total 5.00 1.00 1. 00 1. 00 5.00 1.00 6.00 1.00 4.00 8.00 1. 00 8.00 6.00 7.00 2.00 1.00 6.00 6.00 60.00 1.00 7.00 5.00 7.00 5.00 7.00 15.00 10.00 12.50 20.00 20.00 20.00 6.00 5.00 35.00 4.00 4.00 6.00 75.00 1.00 20.00 09:32:27 09:33:41 09:34:32 09:35:01 09:35:18 09:36:11 09:37:10 09:37:29 09:38:01 09:38:40 09:39:03 09:39:28 09:40:04 09:40:23 09:40:51 09: 41: 19 09:41 :59 09:42:29 09:44:26 09:44:50 09:45:35 09:46:12 09:46:44 09:47:22 09:47:55 09:48:17 09:48:54 09: 49: 1 2 09:50:12 09:50:52 09:51 :30 09:52:13 09:52:48 09:53:41 09:54:18 09:54:46 09:55:13 09:56:57 09:57:40 09:58:21 Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement Seller: GREEN ESTATE 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty Page: Total 2 -------------------------------------------------------------------------------- 41 OWLS 42 OWLS 43 OWLS 44 DEPRESSION GLASS CAKE STAND 45 CARNIVAL GLASS BOWL ? 46 3 PIECES OF PINK GLASS 47 OIL LAMP 48 GOBLETS - 6 49 OIL LAMP 50 MUGS 51 JEWELRY BOX 52 PICTURE 53 JEWELRY 54 BOX LOT 55 BOX LOT 56 MICHTERS MUG 57 OIL LAMP 58 MISC LOT 59 OIL LAMP 60 BOX LOT 62 BOX LOT 63 MISC LOT 64 BOX LOT 65 STEINS 66 BOX LOT 67 SET OF DISHES 68 OIL LAMPS 69 WILLOW WARE 70 HOOK AND LADDER TRUCK 71 OAK SHELF CLOCK 72 OIL LAMPS 73 MISC LOT 75 BOX LOT 76 1992 HESS TRUCK 77 HUMIDIFIER 78 STONE WARE 79 COMPOTE 80 BOX LOT 81 SAW TABLE 82 PITCHER 83 LINCOLN LOGS *** Not sold *** *** Not sold *** *** Not sold *** 1 1 1 1 1 1 1 1 1 1 1 1 1 1 *** Not sold *** 1.00 2.00 1.00 12.50 2.50 10.00 2.00 1.00 10.00 1. 00 25.00 6.00 4.00 1. 00 3.00 5.00 9.00 1.00 1. 00 1. 00 1.00 15.00 75.00 8.00 35.00 32.50 140.00 1. 00 1. 00 4.00 9.00 3.00 1. 00 1. 00 7.00 4.00 10.00 09:58:51 09:59:26 09:59:59 10:00:57 10: 01: 32 10: 01: 59 10:02: 18 10:02:45 10:03:21 10:04:04 10:04:40 10:05:06 10:05:32 10:06:09 10:06:50 10:07:55 10:08:25 10: 1 0: 07 10: 10: 38 10: 1 1 :28 10: 11 :56 10:13:38 10: 14: 43 10: 15: 22 10: 16:04 10: 17: 1 0 10: 18: 16 10:18:44 10: 19: 1 0 10:20:45 10:22:04 10:22:39 10:23:02 10:23:37 10:24:21 10:25:05 10:25:45 , ' Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement GREEN ESTATE Page: 3 Seller: 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty Total -------------------------------------------------------------------------------- 84 CORNER SHELF 13.00 10:26: 14 85 TOASTER OVEN 2.00 10:26:38 86 'THE FIRST HESS TRUCK' 22.50 10: 27: 17 87 TRAY LOT 1.00 10:28:02 88 2000 HESS TRUCK 7.50 10:28:43 89 WILLOW WARE 2.00 10:29: 13 90 BIG POCKET WATCH 30.00 10:29:52 91 HESS TRUCK BANK 17.50 10:30:32 92 FIGURINE 1.00 10: 31: 25 93 MISC LOT 1. 00 10: 31: 54 94 BOOKENDS 55.00 10:33:09 95 TRAY LOT 2.00 10:33:42 96 ICE BUCKET, LAZY SUSAN *** Not sold *** 97 OIL LAMP, PUNCHED TIN 3.00 10:34:23 98 4 PIECES *** Not sold *** 99 LAZY SUSAN, ETC 1 2.00 10: 35: 17 100 SPITOON 1 1. 00 10:35:33 101 HESS TRUCK 1991 1 17 .50 10:36:31 103 HESS BANK 1 15.00 10: 37: 31 105 BOOM BOX 1 3.00 10: 39: 14 106 BOX LOT 1 5.00 10:39:48 107 CALCULATOR 1 1. 00 10:40:21 108 GOLF BALL 1 1. 00 10:40:44 109 BERRY SET 1 4.00 10:41 :09 110 MYSTERY BOX 1 6.00 10: 41: 55 111 ROBOT COMMADO 1 140.00 10:42:54 113 MICCHTER'S LIBERTY BELL 1 4.00 10: 44: 15 114 ZENITH RADIO 1 1. 00 10:44:39 115 TOW TRUCK 1 2.00 10:45:37 116 SLOT MACHINE 1 12.50 10:46:30 117 FLOCK OF OWLS *** Not sold *** 118 MISC LOT 1. 00 10:47:33 119 3 PLATES 5.00 10 :48: 11 120 PIANO BABY 50.00 10:48:40 121 COOKING ITEMS 1.00 10: 48: 59 123 PAIR OF CLOCKS 20.00 10:50: 18 125 DRESSER SET - HAIRLINE *** Not sold *** CRACK 126 ANNIVERSARY CLOCK 4.00 10: 51: 44 128 HELMUT & SHIELD 1. 00 10:52:43 129 HESS TRAINING VAN 60.00 10:53:28 , . Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement Seller: GREEN ESTATE 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty -------------------------------------------------------------------------------- Total 130 HESS TRUCK BANK 132 PLAYSKOOL TOY 133 HESS PATROL CAR 134 FIRE TRUCK BANK 135 PLATES 136 PICTURE 137 LAMP 138 WINE COOLER 139 CRAFTSMAN BLOWER 140 B&D HEDGE TRIMMER 141 MIRROR 142 MIRROR OVAL 143 MIRROR 144 MISC LOT 145 WAGON & BLOCKS 146 MISC LOT 147 3 PICTURES 148 CONDIMENT SET 149 ELECTRIC JUICER 150 MILK GLASS MILK SET 151 PICTURES 152 BUTTER DISH & KNIFE 153 PLANT STAND 154 MISC LOT 155 STAND 156 VASE 157 JUGS 158 CROCK 159 HATS 160 OIL LAMP 161 NEW HAVEN CLOCK 162 OIL LAMP 163 OAK PLANT STAND 164 PICTURE 165 CAST IRON PLANT STAND 166 HIGH CHAIR 167 OIL LAMP 168 QUILT RACK 169 ROCKER 170 CHAIR 171 TABLE *** Not sold *** *** Not sold *** 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Page: 4 10.00 10:53:56 1.00 10:54:48 10.00 10:55:18 22.50 10:55:49 1. 00 10: 56: 15 3.00 10:56:55 15.00 10:57: 18 17.50 10:58:42 5.00 10:59:06 4.00 10:59:54 4.00 11: 00:23 4.00 11:00:43 1. 00 11 :01 :39 7.00 11: 02: 30 2.00 11: 03: 05 5.00 11:03:31 15.00 11: 03: 59 1. 00 11: 04: 47 4.00 11: 05: 09 6.00 11: 05: 37 4.00 11:05:57 13.00 11 :06:46 12.50 11 :07: 18 1. 00 11:07:39 9.00 11 :08:21 10.00 11: 08: 40 1.00 11:08:53 2.50 11 :09: 12 45.00 11: 09: 59 15.00 11: 10: 17 5.00 11: 1 0:44 10.00 11: 11 :25 20.00 11: 11 :50 10.00 11: 12:33 1. 00 11: 12: 53 5.00 11: 13: 18 25.00 11: 13: 57 2.00 11: 14:26 27.50 11: 15: 05 . . Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement GREEN ESTATE Page: 5 Seller: 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty Total -------------------------------------------------------------------------------- 172 BEAR ROCKING CHAIR 1 5.00 11: 15: 36 173 TWO SMALL CHAIRS 1 2.00 11:15:54 174 FLOOR LAMP 1 8.00 11: 16: 48 175 SLED, FOOT STOOL 1 1. 00 11: 17:07 176 1995 HESS TRUCK 1 10.00 11: 17:48 177 CHAMBER POT 1 1. 00 11: 17: 54 178 COVERED DISH 1 2.00 11: 18:20 179 OIL LAMP 1 37.50 11:18:55 181 MISC LOT 1 1. 00 11 :20:09 182 SPINNING WHEEL *** Not sold *** 183 LAMP 1 4.00 11 :21 :09 184 WINE RACK 1 2.00 11 :21 :32 185 MAPLE TABLE 1 17.50 11 :22: 18 186 LAMP 1 20.00 11:23:00 187 98 HESS REC VAN 1 10.00 11: 23: 25 188 LAMP 1 5.00 11 :24: 10 189 COOKWARE 1 10.00 11 :24: 59 190 FLOWER VASE 1 1. 00 11: 25: 17 191 POTS AND PANS 1 6.00 11:26:00 192 SPINNING WHEEL 1 1.00 11 :26:09 193 HESS TRUCK 1 7.50 11:26:27 194 99 HESS TRUCK 1 10.00 11 :26: 54 195 CRACKED CROCKS 1 1. 00 11 :27: 09 196 HESS EMERGENCY TRUCK 1 5.00 11: 27: 45 197 BOX LOT 1 1.00 11 :28:08 198 OIL LAMP 1 4.00 11: 28: 33 199 OIL LAMP 1 11.00 11:28:56 200 HUMMEL TIN 1 13.00 11 :29:50 201 MISC LOT 1 3.00 11:30:22 202 RESCUE TRUCK 1994 1 5.00 11: 31: 03 203 97 HESS TRUCK AND RACERS 1 8.00 11: 31: 32 204 OIL LAMPS 1 2.00 11: 31: 43 205 LAMP 1 1. 00 11 :32:01 206 BOX LOT 1 15.00 11: 33: 01 207 COMPOTE *** Not sold *** 208 MOTORCYCLE 105.00 11:36:07 209 SCARVES AND HANKIES 1.00 11: 37: 42 210 BOX LOT 1.00 11: 38: 17 211 TRAYS 22.50 11:39:22 213 OIL LAMPS 3.00 11: 41 :29 214 SPONGE WARE BOWL 5.00 11: 41: 52 Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMER TON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement Seller: GREEN ESTATE 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty -------------------------------------------------------------------------------- 215 LEFTON WARE 216 FLATWARE 217 OIL LAMP 218 GLOVES AND SOCKS 220 CAN OF DRILL BITS 221 MILK GLASS LAMPS 222 OIL LAMPS 223 MISC LOT 224 LAWN MOWER 225 ILAMP 227 LITTLE GOLDEN BOOKS 228 DOLLS, MISC LOT 229 BOX LOT 230 CURTAINS & DOILIES 231 GLASSWARE 232 BOX LOT 233 BOX LOT 234 KITCHEN LOT 235 BOWLS & MUGS 236 LAMP 237 OIL LAMPS 238 CLOCK 239 SUN DIAL 240 OIL LAMPS 241 CANDLEABRA 242 BOX LOT 243 BOX LOT 244 LAMP & LOT 245 ELECTRIC PUTTER 246 FIGURINE 247 MISC LOT 248 BOX LOT 249 ORGANIZER 250 ORGANIZER 251 ORGANIZER 252 BASKET LOT 253 ENAMEL WARE 254 BOX LOT 255 BOX LOT 256 TOY LOT 257 KITCHEN LOT 1 1 1 1 1 1 1 1 1 1 1 1 1 1 *** Not sold *** *** Not sold *** *** Not sold *** 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Page: Total 1. 00 1. 00 4.00 2.00 5.00 1. 00 4.00 1.00 40.00 5.00 7.00 2.00 2.00 2.00 5.00 1. 00 3.00 7.00 6.00 5.00 25.00 2.00 4.00 22.50 1.00 1. 00 5.00 1. 00 2.00 8.00 5.00 5.00 5.00 5.00 1. 00 1.00 3.00 4.00 6 11: 42:22 11 :42:46 11: 43: 09 11: 43: 37 11 :44: 33 11 :44:48 11 :45: 18 11 :46:09 11 :47:38 11: 48: 15 11: 50: 18 11: 50: 36 11 :52 :06 11:52:48 11:53:50 11 :54: 16 11: 54: 50 11 :55:38 11: 56: 18 11: 57: 08 11:57:54 11: 58: 18 11 :59:21 12:00: 1 0 12 :01: 09 12: 01: 33 12:02: 13 12:02:52 12:03:35 12:04:08 12:04:24 12:04:35 12: 05: 16 12:05:50 12:06:27 12:06:45 12:07:22 12:08:19 Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement Seller: GREEN ESTATE Page: 7 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty Total -------------------------------------------------------------------------------- 261 B&D JIG SAW 1 7.00 12: 12: 11 262 B&D DRILL 1 2.00 12: 12: 47 264 CRAFTSMAN DRILL 1 10.00 12: 14: 01 271 CASH REGISTER 1 30.00 12: 19:26 276 SETH THOMAS CLOCK 1 6.00 12:22:50 277 MIXER 1 1.00 12:23: 18 278 PERFUME BOTTLES 1 10.00 12:24:09 279 DOLL 1 5.00 12:25:31 280 MISC LOT 1 9.00 12: 26: 15 281 GOLF CART 1 2.00 12:26:53 282 DRILL 1 2.00 12:27:29 283 THERMOS BOTTLE 1 4.00 12:28:06 284 PAD SANDER 1 7.00 12:28:46 285 PLANE 1 6.00 12:29:11 286 TOOL LOT 1 12.50 12:30:03 287 TYPEWRITER 1 5.00 12:30:43 288 1/2 INCH DRILL 1 20.00 12: 31: 31 289 SOCKET SET 1 8.00 12:32:15 290 FIRE EXTINGUISHER 1 1.00 12:32:58 291 BURGER MAKER *** Not sold *** 292 DRESSER SET- BOWL & PITCHER 1 3.00 12:33:44 293 MISC LOT 1 5.00 12: 34: 41 294 MISC LOT 1 3.00 12:35: 14 295 CHRISTMAS ITEMS 1 1. 00 12:35:42 296 OIL LAMPS 1 2.00 12: 36: 1 0 297 MISC ITEMS 1 16.00 12:36:50 298 ROUTER 1 17.50 12:37:32 299 MISC LOT 1 1. 00 12:37:54 300 DRESSER SET 1 26.00 12:38:30 301 TINS 1 1.00 12:38:56 302 CLOCKS 1 5.00 12:39:29 303 GLASS WARE 1 7.00 12:40:05 304 VASE 1 17.50 12:40:33 305 MISC LOT *** Not sold *** 306 CANE 8.00 12:41: 36 307 MISC LOT 1. 00 12: 41: 58 308 PLANTER 1. 00 12: 42: 12 309 OIL LAMPS 2.00 12:42:32 310 HOLSTER 12.00 12:43:06 311 OIL LAMPS 5.00 12:43:55 312 STOOL 11.00 12:44:24 Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement Seller: GREEN ESTATE 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty -------------------------------------------------------------------------------- Total 313 MISC LOT 314 MOTORCYCLE PARTS 315 2 PIECES 316 MISC LOT 317 BASKET 318 MISC LOT 319 LAMP 320 FRED & BARNEY 321 RED WARE 322 NAILS 323 MISC LOT 324 MISC LOT 325 PUNCH BOWL 326 B&D CIRCULAR SAW 327 MISC LOT 328 ICE TONGS 329 PIG 330 LAMP 331 HANGER 332 MIRROR 333 TOOLS, ETC 334 CLOCK 335 MISC ITEMS 336 BOW & ARROW 337 DIRT DEVIL 338 BAR LAMP 339 BASKETS, ETC 340 SHELF 342 TERRA COTA 343 ROASTING PANS 344 ROASTING PAN 346 TINS 347 MISC LOT 348 OIL LAMPS 349 MISC LOT 350 BREAD BOX 351 EXTENSION CORD 353 CORDLESS DRILL 354 TIN LOT 355 MISC LOT 356 BARREL *** Not sold *** *** Not sold *** 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Page: 8 1.00 12:44:48 1. 00 12:45:29 20.00 12:45:55 1.00 12:46:29 1. 00 12:46:55 12.00 12: 47: 18 1.00 12:47:44 12.50 12:48:54 5.00 12:49:49 1. 00 12:50:37 1.00 12: 51: 1 0 10.00 12:52:27 4.00 12:53:00 2.00 12:53: 18 10.00 12:53:43 1. 00 12:54:08 1. 00 12:54:24 1.00 12:54:36 2.00 12:55:07 1.00 12:55:32 5.00 12: 56: 19 4.00 12:56:49 12.50 12:57:37 1. 00 12:58:28 1. 00 12:59:32 12.50 13:00:17 3.00 13: 01: 39 4.00 13:02:06 2.00 13:02:25 15.00 13:03:52 3.00 13:04:20 1.00 13:05:29 5.00 13:06:08 1. 00 13: 06: 1 5 4.00 13:06:39 8.00 13:07:53 2.00 13 :08: 1 5 2.00 13:08:57 3.00 13:09:20 .' Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement Seller: GREEN ESTATE 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty -------------------------------------------------------------------------------- Total 357 UMBRELLA 358 BOX LOT 359 BOX LOT 360 MIRROR 361 MIRROR 361 BOX LOT 364 GOLF CLUBS 365 LUGGAGE 366 SUITCASE 367 BASKETS, ETC 368 GLASS TOP TABLE59 369 FAN 370 OAK ROCKER 372 MISC LOT 373 END TABLE 375 LITTLE ROCKING CHAIR 376 SAFE 377 BOX LOT 378 BASKET LOT 379 MORROCA 381 MISC ITEMS 382 BOX LOT 383 BRASS PARTS 384 LANTERNS 385 MILK JUGS 386 MISC ITEMS 387 KITCHEN LOT 388 TOASTER 389 WOODEN ITEMS 390 CHAIRS AND BEARS 391 SPONGE WARE 392 MISC LOT 393 KITCHEN STUFF 394 CASH REGISTER TOM THUMB 395 BOX OF TINS 396 COKE COOLER 397 END TABLE 398 DUNCAN PHYFE TABLE 399 BOWLING MACHINE 401 ROUND COFFEE TYABLE 402 CSABINET *** Not sold *** *** Not sold *** 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 *** Not sold *** 1 1 1 1 1 Page: 9 1.00 13:09:38 1. 00 13:10:28 4.00 13: 11 :28 10.00 13: 11 :46 2.00 13: 12:08 4.00 13: 12:46 3.00 13: 14: 18 11.00 13: 14: 44 1. 00 13: 15: 11 1. 00 13: 15: 55 25.00 13: 16:41 3.00 13:18:34 22.50 13: 19: 25 4.00 13:20:27 4.00 13:20:51 7.00 13 :21: 37 1.00 13:22:11 1. 00 13:22:57 26.00 13:25:24 1.00 13:26:53 1.00 13:27:22 5.00 13:27:47 6.00 13:28:11 2.00 13:28:32 1.00 13:28:54 1. 00 13:29:04 1. 00 13:29:49 1. 00 13: 30: 1 0 3.00 13:30:31 1.00 13 :31: 17 1.00 13: 31: 31 6.00 13:32:05 1.00 13:32:46 5.00 13:47:48 15.00 13 :48: 11 100.00 13:48:42 65.00 13:49:37 25.00 13:50:07 .' Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement Seller: GREEN ESTATE 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty -------------------------------------------------------------------------------- Total 403 DEACONS BENCH 405 BUREAU 406 HUTCH 407 DROP LEAF TABLE 408 CHAIR 409 CHAIR 412 CURIO CABINET 413 GOLD CHAIR 414 ROCKING CHAIR 425 TV 426 ZENITH TV 427 VCR 428 DRESSER 429 SOFA BED 430 WASHSTAND 431 WICKER SET 432 DOUBLE BED 433 KING SIZE BED 434 MAPLE DRESSER & NIGHT STANDS 435 COOLER 436 MINK STOLE 437 BOX LOT 438 BOX OF OWLS 439 EDGER 440 EDGER 441 BAR STOOLS 442 CHAIR 443 BENCH 444 SMOKING STAND 445 ASH TRAY 446 HOBBY HORSE 447 LEAF EATER 449 TOOLS 451 SNOW SHOVEL 452 BUCK SAW 453 TOOLS 454 RAKES, ETC 455 BENCHES 456 END TABLE 457 STEP LADDER 1 1 1 1 1 5.00 2 1 1 1 1 1 1 1 1 1 1 1 1 1 *** Not sold *** 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Page: 10 45.00 13:50:33 110.00 14: 12: 33 70.00 14: 12:39 130.00 14: 12:51 10.00 14: 12: 56 10.00 14: 13: 14 25.00 14:13:55 5.00 14: 14:02 10.00 14: 14: 08 20.00 14: 16:06 40.00 14: 16: 17 25.00 14:20:21 5.00 14:20:35 50.00 14:20:46 10.00 14:20:56 37.50 14:21 :01 10.00 14: 21: 09 10.00 14:21: 14 80.00 14:21 :28 1. 00 14:22: 12 1. 00 14:22:43 1.00 14:23:53 15.00 14:25:37 1. 00 14:26:00 17 .50 14:26: 41 20.00 14: 27: 17 7.50 14:28:01 25.00 14:28:48 5.00 14:29:26 1. 00 14:29:56 6.00 14:30:39 4.00 14: 31: 35 2.00 14:32:46 7.00 14: 33: 13 2.00 14:33:47 2.00 14:34:07 5.00 14:34:43 5.00 14:35:13 12.50 14:36:07 .' Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement Seller: GREEN ESTATE 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty -------------------------------------------------------------------------------- Total 459 COKE BOTTLES 460 BOX LOT 461 GUN RACK, ETC 462 PIPE WRENCHES 463 CHENILLE BED 463 DECLARATION OF INDEPEN 464 COOLER & SYCLE 466 NAVY UNIFORM 467 LEVEL 468 TOOLS 469 STAPLER AND STAPLES 470 BOX LOT 471 VICE GRIPS 472 BOX LOT 473 MAGNETIC DUSTER 474 HORSE RACE 475 CORDLESS PHONE 476 BENCH 477 LAMPS 478 RUG 479 DART BOARD 480 COME ALONG 481 MISC ITEMS 482 ELECTRIC HEATER 483 MISC ITEMS 484 FLAT WARE 485 ROCKING CHAIR 486 TEXAS LONG HORN 487 TABLE 488 HIGH CHAIR, CHAIR 489 RUG 490 RUG 491 RUG 492 SCHOOL DESK 493 CHAIRS 494 SMOKING STAND 496 BASKET 497 MICKEY MOUSE 498 RUGS 499 RUG 500 4 WHEEL DOLLY *** Not sold *** *** Not sold *** *** Not sold *** Page: 11 1. 00 14:37:45 4.00 14:38:23 6.00 14: 41 :42 2.00 14: 41: 07 1. 00 14:42:30 1.00 14:42:59 1. 00 14:44:34 1. 00 14:44:55 2.00 14:45:28 4.00 14:45:46 5.00 14:47:27 5.00 14:47:51 1.00 14:48:35 1. 00 14:49:08 4.00 14:49:31 1.00 14:52:20 17.50 14:54:53 1. 00 14:55:06 10.00 14:55:49 6.00 14:56:08 5.00 14:56:40 1.00 14:57:03 1. 00 14:57:38 3.00 14:58:08 12.50 14:58:37 17.50 14:59:13 1. 00 14:59:45 7.50 15:00:44 5.00 15: 01: 05 6.00 15: 01: 36 5.00 15: 01: 53 4.00 15:02:23 1. 00 15:02:45 1. 00 15:03:32 5.00 15:03:57 1.00 15: 04: 41 4.00 15:05:09 1. 00 15:05:30 " . Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement GREEN ESTATE Page: 12 Seller: 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty Total -------------------------------------------------------------------------------- 501 TABLE 1 2.00 15:05:46 502 TV TRAYS 1 1.00 15:06:19 503 RUG 1 2.00 15:06:35 504 SHIP 1 1.00 15:06:49 505 BENCH 1 5.00 15: 07: 17 506 PICTURES 1 3.00 15:07:43 507 PICTURES 1 5.00 15:08:26 508 PICTURES 1 1.00 15:08:34 509 PICTURES 1 1.00 15:08:48 510 RUG 1 1.00 15:09:23 511 RUNNER, SHORT RUG 1 1. 00 15:09:42 512 RUG 1 1. 00 15: 1 0: 03 513 RUNNER, SHORTER RUNNER 1 4.00 15: 1 0: 31 514 45 RECORDS 1 1.00 15: 11: 08 515 RECORDS 1 9.00 15: 11: 23 516 BEDSPREAD 1 4.00 15: 12:22 517 BRAIDED RUGS 1 3.00 15: 12:50 518 RUG 1 5.00 15: 13: 12 519 RUNNER 1 1.00 15:13:28 520 HOCKEY STICK 1 1. 00 15: 13:51 521 BASKETS *** Not sold *** 523 DOLL 1 1. 00 15: 15:36 524 MISC LOT 1 5.00 15: 16: 33 525 GAMES 1 1.00 15: 17:38 526 BASKETS 1 1. 00 15: 18: 05 527 RAT TRAP & SCALE 1 1. 00 15: 18:20 529 CLAMP ON LIGHT 1 1.00 15 :21: 17 530 CAKE PLATE 1 1. 00 15: 21: 37 531 CAKE PLATE 1 3.00 15:21 :53 532 GLASSWARE 1 1. 00 15:22:28 533 LAMP 1 1. 00 15:22:42 534 TIN CANS 1 1. 00 15:23:02 535 EXT CORD 1 1. 00 15:23:21 536 TABLE COVER, LAMP 1 1. 00 15:24:33 537 SAIL FISH 1 5.00 15:26:21 538 IRON 1 1. 00 15:26:37 539 AFGHAN 1 1.00 15:28:06 540 MIRROR 1 4.00 15:28:47 541 PURSES 1 17.50 15:29:27 542 PICTURE 1 4.00 15:29:56 543 HAT RACH, ETC. 1 3.00 15:30:26 .. Date: 10-12-2001 ENSMINGER AUCTIONEERS SINCE 1836 3557 ELMERTON AVENUE HARRISBURG, PA 17109-1132 717-652-4111 FAX 717-541-9444 TOLL FREE 800-322-3203 Settlement Seller: GREEN ESTATE 57 S 39TH ST CAMP HILL PA 17011 Item Description Price Qty -------------------------------------------------------------------------------- 544 BASKETS 545 DRY GOODS 546 DRY GOODS 547 DRY GOODS 548 PILLOWS 549 TREE 550 IRONING BOARDS 551 ELECTRICAL STUFF IN JAR 552 SHEETS, ETC. 553 HAT 554 QUILTED BEDSPREAD 555 SAW HORSES 556 WALNUT FRAME 557 SMOKING 558 PLASTIC BENCH 559 BIRD BATH 560 BARREL 561 DUCK 562 LAWN FURNITURE 563 PLOW 564 PILE 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Items: 510 Amount: Commission at 10.000% 434.65 ADVERTISING - PATRIOT NEWS ADVERTISING - THE GUIDE ADVERTISING - THE GUIDE TENT RENTAL (LABOR - NO CHARGE) ADVERTISING - SIGN 197.25 118.50 118.50 135.15 40.00 609.40 Less adjustments: Net due to seller: THANK YOU FOR CHOOSING ENSMINGER AUCTIONEERS Page: 13 Total 1.00 1. 00 5.00 1. 00 1. 00 1. 00 4.00 7.00 2.00 1. 00 7.00 1. 00 5.00 1.00 1. 00 3.00 1.00 1.00 25.00 20.00 4.00 4,346.50 -1,044.05 3,302.45 15:33:13 15: 34: 1 0 15:34:56 15:35:57 15:36: 10 15:37:55 15:38:27 15:38:57 15:39:33 15:40:08 15:41 :22 15: 43: 13 15: 44: 17 15:45:15 15:46:37 15:46:59 15:47:27 15:47:47 15:48:35 15:49:46 15:50:38 *' SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ! I \ I FILE NUMBER i 21-01-00503 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ReSIOENTOECE:OENT ESTATE OF Green, Pauline Y. Debts of decedent must be reported on Schedule I. ITEM I NUMBER' A. I FUNERAL EXPENSES: I ,Neill Funeral Home I 3401 Market St., Camp Hill, PA DESCRIPTION AMOUNT 5,519.00 17011 ,. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Social Security Number(s) I EIN Number of Personal Representative(s}: Street Address City Year(s) Commission paid Attorney's Fees Debra K. Wallet, Esq. State Zip 2. 3,500.00 3. Family Exemption: (1f decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees 320.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs PA American Water Company (water) 39.99 Hampden Township (sewer) 98.00 Total of Continuation Schedule(s) 3,758.43 TOTAL (Also enter on line 9, Recapitulation) 13,235.42 .' *' Schedule H Funeral Expenses & Administrative Costs continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Green, Pauline Y. I FILE NUMBER 21 - 01 - 00503 Robert Ensminger Appraisers (appraisal of house) 250.00 Advance Auto Parts (parts needed for car in order to sell) 101.81 Lawncare 130.00 Middletown Ice & Coal Co. (furnace & air conditioning repair needed for sale of home) 3,147.50 PP&L (electric) 79.12 Photocopies, postage, notary, etc. 50.00 I Page 2 of Schedule H ." '* SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANce TAX RETURN RESIDENT DECEDENT ESTATE OF Green, Pauline Y. . FILE NUMBER I 21 - 0 I - 00503 Include unreimbursed medical expenses. - -- -~~ ------------ ----------- ITEM DESCRIPTION AMOUNT NUMBER I Verizon (telephone) 15.51 2 PA American Water Company (water) 19.68 3 PP&L (electric) 33.19 4 medical bill paid by Mr. Green 9.04 . . 5 Hospice of Central P A 5,400.00 TOTAL (Also enter on Line 10, Recapitulation) 5,477.42 " *' SCHEDULE J BENEFICIARIES I L I FILE NUMBER I 21 - 01 - 00503 I RELATIONSHIP TO ; AMOUNT OR SHARE ~o~~;~~:(51_~____ OF ESTA~____ i COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Green, Pauline Y. NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Meade E. Green, III 616 Belle Vista Drive Enola, PA 17025 Son 50% I , , I 2 Ronald Lee Green 1926 Princeton A venue CampHill,PA 17011 Son 50% I Enter dollar amounts for distributions shown above on Jines 15 through 17, as appropriate, on Rev 1500 cover sheet i II. jNON-TAXABLE DISTRIBUTIONS: ;A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT I BEING MADE I lB. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS i I I TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET' i LAS T W ILL T EST A " E N T AND o F P A U L I N E G R E E N y . I, PAULINE Y. GREEN, of Camp Hill, Cumberland County, pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this to be my Last will and Testament and hereby revoke all other wills and Codicils, if any, that I have made. FIRST: I direct that my body be buried in the military park at Fort Indiantown Gap in the plot to which my husband, MEADE E. GREEN, JR. is entitled by reason of his military service. SECOND: I give, devise and bequeath all of my Estate, of whatever nature and wherever situate, to my husband, MEADE E. GREEN, JR., of Camp Hill, pennsylvania, so long as he shall survive me by thirty (30) days. THIRD: Should my husband fail to survive me by thirty (30) days, I give, devise, and bequeath all of my Estate, of whatever nature and wherever situate, in equal shares, to my sons, MEADE E. GREEN, III, of Enola, pennsylvania, and RONALD LEE GREEN, of Camp Hill, pennsylvania, so long as each shall survive me by thirty (30) days. Should either of my sons fail to survive me by thirty (30) days, but be represented by children then living, then these children shall take, ~ stirpes, the share to which my son would have been entitled if then living. ~ FOURTH: If any portion of my Estate shall be payable to a beneficiary who is less than eighteen (18) years of age, my Executor may pay such share to the parent, legal guardian, or other person maintaining said minor or may deposit such share in the minor's name in a savings account in a savings institution of the Executor's choosing, payable to the minor at majority. FIFTH: All interests of any beneficiary in the income or principal of this Estate, while undistributed and in the possession of my Executor, even though vested and distributable, shall not be sUbject to attachment, execution or sequestration for any debt, contract, obligation or liability of any beneficiary and, furthermore, shall not be subject to pledge, assignment, conveyance, or anticipation. SIXTH: All inheritance, estate, and succession taxes (including interest and any penalties thereon) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. SEVENTH: I nominate, constitute, and appoint my Husband, MEADE E. GREEN, JR. as Executor of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability of MEADE E. GREEN, JR. to act for whatever reason in this capacity, then I nominate, constitute, and appoint my sons, MEADE E. GREEN, III, and RONALD LEE GREEN, as Co-Executors of this, my Last will and Testament. I direct that no representative named above shall be ..,- ...' required to post security for the faithful performance of his duties in any jurisdiction insofar as I am able by law to relieve him of such obligation. Any of my representatives shall be entitled to reasonable compensation for the performance of the duties set forth here. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~fsrday of March, 1988, on this, the third of three typewritten pages. I have also signed the left-hand margin of the first two of these pages for purposes of identification only. UZL~AL-J PAU N Y. GREEN SIGNED, PUBLISHED, and DECLARED by the Testatrix, PAULINE Y. GREEN, as her Last Will and Testament, in the presence of us, who at her request, in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. .....0 Vrlo.. ~. 1..lGU.v.:f- <(\q I\l\t~,'e"'''bI..: OIlrNA/I~b~.~.. ltOSS- ~~Jq)~ (?'?(:)s- ,J2JA~~ c1J~jM-' 1'7 I , A C K NOW LED G MEN T Commonwealth of Pennsylvania County of Cumberland I, PAULINE Y. GREEN, Testatrix, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~' AALL ~if,~ / u Sworn or affirmed to and subscribed before me by PAULINE Y. GREEN, the Testatrix, this ;?J~t day of .::ttt44- , 1988. ~) L ~4.w;v , - GHAAON E. BEAVER. WOTARY PUBLIC My COOlmiSsilln E;qjres Ma:t a, 1$lll H8rrlst\JI9, PA ':::.-'. n Cwrlt'J A F F I D A V I T Commonwealth of Pennsylvania County of Cumberland We, ~bro... 'l. W~\\(r and fVa.tJC-'i l. t.M",,,,,d , the witnesses whose names are signed to the attached instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that PAULINE Y. GREEN, executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that, to the best of our knowledge, the Testatrix was at that time 18 years of age or older, of sound mind, and under no constraint or undue influence. ~,u" It 1(. tJa.LI..t.I- '-1(~ -d~~ Sworn or affirmed to and subscribed to before me by ~...... J(. W..}Ie;f- and LVAJt'1 J... )JJtIll1'te,/ this ~I st day of '"-1YJ1LVA... , 1988. , witnesses, ~ L ~l~ SHARON E. ~ NOTARY PUBLIC Myecr-'TslonExpllesMay8, 1900 Herrfsllug, PA -:;_~ n CWIly COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT WALLET DEBRA K 24 N 32ND ST CAMP HILL, PA 17011 -------- fold ESTATE INFORMATION: SSN: 201-18-8359 FILE NUMBER: 2101-0503 DECEDENT NAME: GREEN PAULINE Y DA TE OF PAYMENT: 02/12/2002 POSTMARK DATE: 02/08/2002 COUNTY: CUMBERLAND DATE OF DEATH: 05/09/2001 NO. CD 000852 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $602.50 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: DEBRA K WALLET ESQUIRE CHECK# 116 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $602.50 MARY C. LEWIS REGISTER OF WILLS -"f-. Sv STATUS REPORT UNDER RULE 6.12 Name of Decedent: Pauline Y. Green Date of Death: May 9. 2001 Will No. 2001-00503 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes No X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: April 30, 2002 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informal.ly to the parties in interest? Yes No d.Copies of receipts, releases, joinders an~ approvals of formal or informal accounts may be filed with the Cerk of bfte O~PQans' Court and may be attached to this report. ~,,":I , '~f.. C-..j Date: 2/S!tr2 N ~....1;'. t.J.u.k Signature co w.J l..J- N P 3 ~~ 56 Debra K. Wallet, Esq. Name (Please type or print) 24 N. 32nd St., Camp Hill, PA 17011 Address ( 717) 737-1300 Tel. No. Capacity: Personal Representative X Counsel for personal representative (MAH: rmf/AM3) '\r. / 6-~ Q:2 ___3 ;:J - 7 BUREAU OF JNDIVIDUAL TAXES INHS1ITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN .02 APR-1 (}12 :49 DEBRA K WALLET DEBRA K WALLET LAW OFC 24 N 32ND ST C:f;;, CAMP HILL PA 1 ~l([nb;; 03-25-2002 GREEN 05-09-2001 21 01-0503 CUMBERLAND 101 * REY-1547 EX AFP lOl-D2l PAULINE v Allount Rellitted (1) (2) (3) (4) (5) (6) (7) 92.500.00 .00 .00 .00 44.864.89 .00 .00 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-Y=is4-j-i3f-AFP--Col-':ozi--Ncffici--oF-i-titiiifiTAifCE-TAjrjrpPRA-isii'-ENT~--Aii-oWANCE-CrR-------------- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GREEN PAULINE V FILE NO. 21 01-0503 ACN 101 DATE 03-25-2002 TAX RETURN WAS: ( ) ACCEPTED AS FILED ( X) CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Hortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to T.x I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. AIIount of Line 14 taxable at Coll.teral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: (9) (10) 10,087.92 (8) (19)= NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 137,364.89 15.565 34 121,799.55 .00 121,799.55 .00 5,480.98 .00 .00 5,480.98 rA'"~NI KC,"C.Lrl (+J AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) 08 14 2001 CDOOO150 .00 4,500.00 02-08-2002 CDOO0852 .00 602.50 INTEREST IS CHARGED THROUGH 04-09-2002 TOTAL TAX CREDIT 5,102.50 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 378.48 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 3.66 TOTAL DUE 382.14 · IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. 5.477.42 (11) (12) (13) (14) .00 X 00 = 121,799.55 X 045 = .00 X 12 = .00 X 15 = ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) REV-1470 EX ~6-aa) .. '* INHERITANCE TAX EXPLANATION COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OF CHANGES BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME FILE NUMBER Green, Pauline Y. 2101-0503 REVIEWED BY ACN Daniel Heck 101 ITEM SCHEDULE NO. EXPLANATION OF CHANGES H 8-13 Repairs to the real estate are only allowable deductions when the real estate has been sold. ROW Page 1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 001024 DUPLICATE WALLET DEBRA K 24 N 32ND ST CAMP HILL, PA 17011 -------- fold ESTATE INFORMATION: SSN: 201-18-8359 FILE NUMBER: 2101-0503 DECEDENT NAME: GREEN PAULINE Y DA TE OF PAYMENT: 04/02/2002 POSTMARK DATE: 04/01/2002 COUNTY: CUMBERLAND DATE OF DEATH: 05/09/2001 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $382.14 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: DEBRA K WALLET ESQUIRE CHECK# 117 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS $382.14 MARY C. LEWIS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. ZIS0601 HARRISBURG, PA 171Z8-0601 ~\.- " t:hl~Ol\-~'r';~:, - \ . ~ ; .71:\ '\SL \\?t:[ 7- DEBRA K WALLET DEBRA K.~ WAL ~~T LAW OFC ~:M~ ~~~~r~t PA17011' CUT ALONG THIS LINE ~ Itonald Lee Green, Co-Executor !:state of Pauline Y. Green 926 Princeton Avenue :amp Hill, PA 17011 Rec> -. "'6 of l'_' .02 f\PH - 2 G \ -' C1 (.' ,', '..I~~'~ Clitnt,\ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE MAR 25 2002 '* NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX REY-1547 EX AFP (11-02) '"' -/ 1 _"... f_J ./_1_, DATE 03-25-2002 ESTATE OF GREEN DATE OF DEATH 05-09-2001 FILE NUMBER '\.LNJmfll l1JlD~" COUNTY CUMBERLAND ACN 101 v PAULINE Allount Rellitted .38~. \4- MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 RETAIN LOWER PORTION FOR YOUR RECORDS ~ as-.......~ " . , \ r\ (. ,.:'\. . . ;-:'.'\ I .." F'~' \ ,." - lor _ ~- r."~,'';''ii.~.'" . _ ...-......,n""~',3 ~ ~ Mary C. Lewis, Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 1701~+:S~01 0:2 I , II J , "II , r II 1'1 , ., J " J J " III. . , 111 II, t , t " , 1",,11 , .,11 , " , r. /6-t23c2- 7 ~. BUREAU OF INDIVIDUAL TAXES ~ INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT * REV-1U7 EX AFP lOl-02) DEBRA K WALLET DEBRA K WALLET LAW OFC 24 N 32ND ST \.;~-.'i CAMP HILL PA 1 flllldY .02 f;1'JD 20 [) -:) .1 9 1\ 1\./ _; .! _ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-22-2002 GREEN 05-09-2001 21 01-0503 CUMBERLAND 101 PAULINE Y Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 NOTE: To insure proper credit to your account~ subllit the upper portion of this forll with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV :i61fj-E)r-A~:p--(oi-:021-------.j(.--iNifERiTANCE--fA)r-STA-fEME-tif-ifF"-Aifcouiff--...---------------- ----- ESTATE OF GREEN PAULINE Y FILE NO.21 01-0503 ACN 101 DATE 04-22-2002 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE~ APPLICATION OF ALL PAYMENTS~ THE CURRENT BALANCE~ AND~ IF APPLICABLE~ A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-25-2002 P R I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... 5~480.98 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 08-14-2001 CDOOO150 .00 4~500.00 02-08-2002 CDOO0852 .00 602.50 04-01-2002 CDOOI024 3.17- 382 . 14 TOTAL TAX CREDIT 5~481.47 BALANCE OF TAX DUE .49CR INTEREST AND PEN. .00 . IF PAID AFTER THIS DATE~ SEE REVERSE TOTAL DUE .49CR SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $l~ NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)~ YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) C/ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Pauline Y. Green Date of Death: May 9, 2001 Will No. 2001-00503 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informal,ly to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and' approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: 8/7/02 \.!J1JIu, k. ~~ Signature Debra K. Wallet, Esq. Name (Please type or print) 24 N. 32nd St., Camp Hill, PA 17011 Address ( 717) 737-1300 Tel. No. (MAR: rmf/AM3) / IN THE ORPHANS' COURT DIVISION OF THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY , PENNSYLVANIA ~ ESTATE OF PAULINE Y. GREEN, DECEASED No. 2001-00503 APPROVAL OF ACCOUNT, WAIVER, RECEIPT, RELEASE AND AGREEMENT OF INDEMNITY The circumstances leading up to the execution of this instrument are as follows: 1. Pauline Y. Green died on May 9, 2001, leaving a Will dated March 21, 1988, naming Meade E. Green, III and Ronald Lee Green as Co-Executors. 2. Letters Testamentary were granted to Meade E. Green, III and Ronald Lee Green by the Register of Wills of Cumberland County on May 23, 2001. 3. It is the desire of the Green heirs that the Estate be distributed without the formality of a court proceeding in order to save the expense, publicity, and delay incident to such court proceeding, and the Co-Executors are willing to make such distribution upon the execution of this instrument. 4. An account of the administration of the Estate of Pauline Y. Green has been prepared by the Co-Executors. A copy is attached hereto as Exhibit A. 5. In consideration of the foregoing, each of the undersigned hereby: A. Represents and warrants that he has read and understands this instrument and that the facts set forth above are true and correct to the best of his knowledge, information and belief; -1- B. Declares that he has examined the attached account of the administration of the Estate and the attached schedule of distribution; that he finds them to be true and correct in all particulars; that he accepts and approves them as if they had been duly filed, audited, adjudicated and confirmed absolutely by the Orphans' Court Division of the Court of Common Pleas of Cumberland County, and as if the amounts shown as distributable had been duly awarded to him; C . Waives the filing and auditing of the account of the administration of the Estate in the Orphans' Court Division of the Court of Common Pleas of Cumberland County, and agrees that the Orphans' Court Division of the Court of Common Pleas of Cumberland County may by its decree confirm the account and approve the schedule of distribution; D. Requests the Co-Executors to make distribution of the principal and income in accordance with the schedule of distribution, and effective upon delivery to him of the amounts shown as respectively distributable, acknowledges receipt of such property; E. Agrees to refund to the Co-Executors any amount which may at any time be determined to have been an erroneous distribution to him, regardless of the cause of such erroneous distribution, even if attributable to negligence, and agrees that any period for the limitation of actions for the collection of any erroneous distribution shall commence only at such time as the Executor shall have obtained actual knowledge of such erroneous distribution and that in no event shall the period for collection of any erroneous distribution be less than two years after the actual discovery thereof; F. Absolutely and irrevocably remises, releases, quitclaims and forever discharges Meade E. Green, III and Ronald Lee Green, individually and in their capacity as -2- I Co- Executors, from any and all actions, suits, payments, accounts, reckonings, liabilities, claims and demands relating in any way to the administration of the Pauline Y. Green Estate; G. Agrees to indemnify and hold harmless, to the extent of the funds received by him/her hereunder, Meade E. Green, III and Ronald Lee Green, individually and in his capacity as Co-Executors, from and against any and all claims, loss, liability or damage (including legal fees and costs in connection therewith) which he may suffer or to which he may be subjected by reason of his administration of the Estate, the settlement of his Executor's account and the distribution of the assets of the Estate without having the formal approval of the Orphans' Court Division of the Court of Common Pleas of Cumberland County, including, but not limited to, any liability for any federal estate tax, Pennsylvania inheritance tax or any other death taxes, together with interest and costs incidental thereto, relating in any way to the Estate; and H. Declares it to be his intention that this instrument, consisting of three pages, shall be governed by the law of Pennsylvania and shall be legally binding as an agreement under seal upon him and upon his heirs, executors, administrators and assigns. Executed on Ilt \'1 2> \ , 2002. 3rkJ ~ V It, . MEADE E. GREEN, III . (Seal) R{2~d- - (Seal) -3- BEFORE THE REGISTER OF WILLS, CUMBERLAND COUNTY, PENNSYL VANIA No. 2001-00503 FIRST AND FINAL ACCOUNT OF MEADE E. GREEN, III and RONALD LEE GREEN, Co-Executors For ESTATE OF PAULINE Y. GREEN, Deceased Date of Death: May 9, 2001 Date of Co-Executors' Appointment: May 23,2001 Accounting for the Period: May 23, 2001 to June 30, 2002 PURPOSE OF ACCOUNT: Meade E. Green, III and Ronald Lee Green, Co- Executors, offer this Account to acquaint interested parties with the transactions that have occurred during their administration. The Account also indicates the proposed distribution of the Estate. It is important that the Account be carefully examined. Requests for additional information or questions or objections can be discussed with: Debra K. Wallet, Esquire 24 N. 32nd Street Camp Hill, PA 17011 I.D. #23989 (717) 737-1300 EXHIBIT A Proposed Distribution to Beneficiaries PRINCIPAL Receipts Less Disbursements Debts of Decedent Funeral Expenses Administration Expenses Federal and State Taxes Fees and Commissions Principal Balance on Hand INCOME Receipts Income Balance on Hand Balance Before Distributions Distributions to Beneficiaries 5 Combined Balance on Hand SUMMARY OF ACCOUNT Page Current Value Fiduciary Acquisition Value 6 $17,584.75 2-3 $137,723.79 3 3 3-4 4 4 $5,477.42 5,519.00 4,742.44 5,484.64 3,500.00 24,723.50 $113,000.29 4 $121.44 121.44 $113,121.73 95,536.98 17,584.75 RECEIPTS OF PRINCIPAL Assets Listed in Inventory: (Value as of Date of Death) Cash and Bank Deposits: Waypoint Bank P.o. Box 1711 Harrisburg, PA 17105-1744 Money Market acct. #0505002646 $10,446.06 Certificate of Deposit #2300013251 16,580.65 Allfirst Bank 3045 Market Street Camp Hill, PA 17011 Checking acct. #00385-3997-7 987.42 Tanfdble Personal Property: 1991 Pontiac Firebird $5,000.00 Ensminger Auctioneers (proceeds from auction of household items) 3,302.45 Personal property taken by family 3,320.00 Realty: 57 South 39th Street Camp Hill, PA 17011 Refunds: Hospice of Central P A refund $5,040.00 State Farm Fire & Casualty Co. refund 188.31 TOTAL ASSETS LISTED IN INVENTORY: 2 $28,014.13 $11,622.45 $92,500.00 $5,228.31 $137,364.89 Receipts Subsequent to Inventory (Valued When Received) 06/14/01 Misc. small refund cks. $56.61 07/14/01 State Farm Homeowner's refund 245.00 10/01101 City/Town Taxes pre-paid by 57.29 by decedent as shown on settlement sheet for sale of real estate TOTAL RECEIPTS OF PRINCIPAL: $358.90 DISBURSEMENTS OF PRINCIPAL Debts of Decedent: V erizon (telephone) P A American Water Co. PP&L Dr. Joseph Cardinelli Hospice of Central P A Funeral Expenses: Neill Funeral Home 3401 Market Street Camp Hill, PA 17011 Administration Expenses: Probate Fees P A American Water Co. Hampden Township (sewer) Robert Ensminger Appraisers (appraisal of house) Advance Auto Parts (parts needed for car in order to sell) $15.51 19.68 33.19 9.04 5,400.00 $5,477.42 $5,519.00 295.00 39.99 98.00 250.00 101.81 3 $137,723.79 Lawncare 130.00 Middletown Ice & Coal Co. (furnace 3,348.21 & air conditioning repair needed for home) PP&L 79.12 Photocopies, postage, notary, etc. 50.00 Reserve for Filing of Account 10.00 Settlement costs from settlement sheet 77.00 School taxes from settlement sheet 263.31 $4,742.44 Federal and State Taxes: PA Inheritance Tax $5,484.64 Fees and Commissions: Debra K. Wallet, Esq. - Atty. fees $3,500.00 RECEIPTS OF INCOME Interest Waypoint Bank CD interest Waypoint Bank Money Market interest $105.00 16.44 TOTAL RECEIPTS OF INCOME: $121.44 4 DISTRIBUTION TO BENEFICIARIES TO: Ronald Lee Green 1926 Princeton Avenue Camp Hill, P A 17011 12/13/01 57 S. 39th St. property Personal Property Meade E. Green, III 616 Belle Vista Drive Enola, P A 17025 Personal Property TOTAL DISTRIBUTION TO BENEFICIARIES: 5 $92,216.98 1,660.00 1,660.00 $95,536.98 PROPOSED DISTRIBUTION TO BENEFICIARIES TO: Meade E. Green, III 616 Belle VIsta Drive Enola, P A 17025 Income Distribution Distribution of Remaining Assets $121.44 $17,463.31 TOTAL PROPOSED DISTRIBUTION TO BENEFICIARIES: 6 $17,584.75