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Home My WebLink About01-0900 PETITION FOR PROBATE and GRANT OF LETTERS Estate of" rt. 4ND7 h. gCh/""O/L No. ri\- 0\ - 400 also known as To: Register of Wills for the Deceased. County of in the Social Security No. / 7 0 ~ f, t-I: ~ :? &, 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 executOIl in the last will of the above decedent, dated at'!.. J 0 Ib Ft? J 0) 400 (\ and codicil(s) dated named ,19_ (state relevant circnmstances, e.g. renunciation, death of executor, etc.) County, Pennsylvania, with n1JJj,.J .....rr (list street, number and muncipality) Dece dent, hen y ars of age, died '\. <; ~ PIli rn.& c.. ^- at 12.. t1 (.A rn 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: #.Lf ~oo I ,~ Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All 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: $ do (Jot) $ f $ $/rJq lJ.,,)6~ en WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. - '" 'a:) (J s:: cu :2~ "'- CU'" et::g -g.g <<1-.0 3~ cu '- 50 tU s:: CI) 00 ff~~1!~i!ffA tANl~ J 7()S-O ~IUl rl -i,,!~ OATH OF" PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 58 COUNTY OF CUMBERLAND J 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. Sworn to or affirmed and subscribed ~ I ./I:; CJ1A '" ~ before me this " 15T day of . ~ I::l .... s::: ~ ~ No. 21 - 01 - 900 Estate of RANDY D BOYER , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW OCT..D..B..ER-1~____~_.___)U~2.O..U1-, in consideration c ...."e pt?ritior~. '.In the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated Or:TORFR, 1 (), . ?f1nn described therein be admitted to probate and filed of record as the last will of RANDY D. BOYER TESTAMENTARY LARRY V. BOYER and Letters are hereby granted to ~ FEES Probate, Letters, Etc. ......... $ 235.00 Short Certificates(5 ) . . . . . . . . .. $ 15.00 Renunciation ................ $ X-Pages $ 6.00 JCP TOTAL _ $ 261 :88 Filed ..... .Q~T9.B{R . J~. .<QOJ . . . . . . . . . . . ATTORNEY (Sup. C~. LD. No.) ADDRESS PHONE Mailed letters to Executor on 10-2-01 ..-., 0':-:'.20:-:' ~,::\. So''';'- ThIS is to certify that the information here given is correctly copied fran: an original certificate of death dul~ filed with me as Local Registrar. The original certificate will be forwarded to the State VItal Records Office for permanent filmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 p 7742543 No. "'l -/... 4f-./ //: r-,,'J C/' ~./ .if .~...#",____ /" /1.. AF,/ / ; {' /' r.<:-'i"-"2.~,,-~/~' ,.,./"'- !..A'./:;'" "..... L/ Local Registrar rJ SEP 2 6 2001 Date ,143 Rev, 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH e VITAL RECORDS CERTIFICATE OF DEATH SWE FILE ~R SOCIAL SECURITY NUMBER NAME 0# DECEDENT (for., "._. l"" SEX 2. Male. UNDER 1 OAr ....... ! ~ I I J. 770 36 /)() / 8lRTHI'I.ACE (CoIy aIld P\.-cE 0# DEArH ICt>edo lll1ly IlI'It .- __ ot1$uct.ooson _ ~ sw. 01 f Cl80QIl CounllYI HOSP\TAL; h InpatieoIlI2' E~ 0 0ClA 0 ,.1 0 Mtown, P A ... FACIlITY NAME (1l nol onsM\AIon. go...HI and number. H~~~b~g Ho~p~ta1 NUl DECEDENT EVER IN U.S, ARMED FOACES? 'IU 0 No 121 DECEDENT'S EDUCATION ~:rr 1J. 12. 77077 DECEDENT'S ACTUAl. RESlMHCE -- on_~ 1'a. Sla1a PA 1711. "--"-St...O 21c. _.... 24.28 _ becompleled br ~~wtlo~~. ....:.- 24. M. 21 ,...,.. 27. PART I: E_1Ile ........ injuries or c:ompIicaliona _ causad lhe cIa.th, 00 not ant., lhe mode LiII-,_ c:a.- on aacn 1iM. .jJ\t~J~~,-.J-0^j I b,' c. d ddl DUE 10 lOA ~ A CONSEOUENCE Of): DUE 10(00 AS A CONSEOUENCE OF): WERE AUlOPSY FlNOlNGS MANNER OF DEATH DATE OF INJURY ~PRIORIO (Uon.., Day. -I COMPlETlOH 0# CAUSE Nlllural III 0 0# OEAJ'H? Homicida Accidenl 0 Pending lnvnIigatlon 0 ..... 0 No (21 'IUD NofJ Suicide 0 Could ""'lie dalermltled 0 .- ~ ~ :I ....,. ~ IlL 2a. 21. c:srr1'lEA ICIledc lll1ly oneI 'c:srr..vwo PHYSICIAN (Physocoan cllflllytng cause d dea" __.._ phy&lC.an has plonounced deall> ana COInplelecl "em 231 To..._o.....--........_OCC__IO...c-C.._m._.._........................................,..... , .....ONOUNCING AND CERTIFYING I'HVSICIAN (f'hysaon IlOlIll>lonoutlCl/\Q de... aIld ceno/ylng to c..... or <leall>\ To'" - of "'Y ............. ....'" occ_.I ........ dale. _ ptece. _clue 10 tile cauMCa'lnd manfMIr la".led" , . . . , . . . . . . , . . . . . . . . . . . . .1IEDlCAL EXAMINER/CORONER On.........a ....aminallon andlcw Inv..'lgation.1n my opinion, doaUo occurred al UIe 11m., dlla.1fId piKa. and duo 10 UIe CIU"(.) IfId 31"-- I. aII'ed.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . REGISTRAR'S leJ1 /I~/I ~ wh~te. (1~6 MANTA&. STATUS . Married ~ .....lad. WIdowed. DillOIced ~ 14. V~vo~ee.d SURVIVING SPOUSE (M.... go....- NfMI Old cIececIeN ..... I -.hip' 17C.0 ...... cIececIeN........ 17..0 ~ac.:...=0I Sh~e.ma..Mtown dIy~ 7109 77709 21. I Appnlximalo '~~ : or.-_death I I I NoD "ART II: 0tMt IigniIIcanl ClllndiIiono ~ 10 death, but IlDI ruuIIing in... ~ c:auao givOII in FWn' I. Tlwe OF INJURY INJURY Ar WOAI(? DESCAlllE HOW INJURY OCCUFlflED, VIe 0 NoD 34. , LAST WILL AND TESTAMENT OF RANDY D. BOYER I, RANDY D. BOYER, of Shiremanstown, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last will and Testament, hereby revoking all other wills and Codicils heretofore made by me. FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, to my brother, LARRY V. BOYER, provided, however, that should he predecease me, then to his wife, MARY BETH BOYER. SECOND: In addition to all powers granted to them by law and by other provisions of this will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. ~ (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. THIRD: I direct that all inheritance, estate, trans- fer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. FOURTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distribut- able, shall not be sUbject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. FIFTH: I nominate and appoint LARRY V. BOYER, Executor ~ 2 of this, my Last will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said LARRY V. BOYER, I nominate and appoint MARY BETH BOYER, Executrix of this, my Last will and Testament. I direct that my Executor or Executrix, as the case may be, and their successors, shall not be required to post security or a bond for the perfor- mance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this IO~ day of Vthkv , 2000. RAN:h ~o~ ( SEAL) Signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~... /j [30 cZFL {{ , ~Ll~ Address Address 3 CERTIFICATION OF NOTICE UNDER RULE 5.6 (a) Name of Decedent: Randy D. Boyer Date of Death: September 24, 2001 will No. 21-01-0900 Admin. No. To the Register: I certify that notice of estate administration 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 October 22, 2001: Name Address Larry V. Boyer 1020 Turnbridge Lane Mechanicsburg, PA 17050 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None Date: October 22, 2001 x Personal Representative Counsel for Personal Representative Capacity: Register of Wills of CUMBERLAND County, Pennsylvania INVENTORY Estate of RANDY D. BOYER No. 21- 01- 0900 also known as Date of Death 09/24/2001 ,Deceased Social Security No. 170 - 36 -4536 Larry V Boyer, Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I /We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Name of James D. Bogar Esquire Attorney: 1.0. No.: 19475 Address: One West Main Street Shiremanstown, PA 17011 Telephone: 717/737-8761 Personal Represe~ntative _ /J Signature' ___1/ D.~ ar V B er Signature: Address: 1020 Tunbridge Lane Mechanicsburg, PA 17050 Telephone: 717/728 - 8888 Dated J I~ ),Lu 0';- I I Description Value C1 i"', . (See continuation page(s) attached) ( ~=: I (J.\ 1 ,.-., .....~ (Attach additional sheets if necessary) Total: 233,565.26 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc. Form #RW-7 (1992) Estate of: Date of Death: County: INVENTORY RANDY D. BOYER 09/24/2001 Cumberland CASH: Commonwealth of Pennsylvania - Salary and wage payments, leave payments (after date of death) PSECU - Regular Shares Account No. 0170364536 (S1), date of death balance $43,836.10, accrued dividend $75.13 PSECU - Regular Shares Account No. 0170364536 (S4), date of death balance $10,076.31, accrued dividend $6.17 U.S. Department of the Treasury - Federal Personal Income Tax Refund PERSONAL PROPERTY: 1994 Ford Ranger - Vehicle 10 No. 1FTCR15X4RPC1l351 2000 Lincoln L.S. - Vehicle 10 No. 1LNHM87A1YY878789 (sale value) Contents of home and personal property sold at private sale -1- 18,921.55 43,911.23 10,082.48 550.00 3,600.00 23,500.00 3,000.00 73,465.26 30,100.00 REAL ESTATE/PA: All those two (2) certain pieces or parcels of real estate, with one (1) parcel, being Parcel No.1, having erected thereon a dwelling house being known and numbered as 321 West Main Street, Shiremanstown, Pennsylvania. 130,000.00 TOTAL RECEIPTS OF PRINCIPAL............... -2- 130,000.00 233,565.26 ---------------- ---------- 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 JAMES D BOGAR ESQ 1 WEST MAIN STREET SHIREMANSTOWN, PA 17011 ___._n_ fold EST A TE INFORMATION: SSN: 170.36-4536 FILE NUMBER: 21-2001- 0900 DECEDENT NAME: BOYER RANDY D DA TE OF PAYMENT: 12/21/2001 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 09/24/2001 NO. CD 000676 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $23,826.00 I I I I I I I I TOTAL AMOUNT PAID: $23,826.00 REMARKS: JAMES 0 BOGAR ESQ CHECK# 11 2 SEAL INITIALS: AC RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS 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 JAMES D BOGAR ESQUIRE ONE WEST MAIN STREET SHIREMANSTOWN, PA 17011 n______ fold ESTATE INFORMATION: SSN: 170-36-4536 FILE NUMBER: 2101-0900 DECEDENT NAME: BOYER RANDY D DA TE OF PAYMENT: 06/06/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 09/24/2001 NO. CD 001258 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $323.10 I I I I I I I I TOTAL AMOUNT PAID: $323.10 REMARKS: LARRY V BOYER C/O JAMES D BOGAR ESQUIRE CHECK# 372 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS /? -/0 -/~ \ BUREAU OF INDIVIDUAL TAXES \, INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT 1 ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JAMES D BOGAR ESQ 1 W MAIN ST SHIREMANSTOWN '0:2 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 07-22-2002 BOYER 09-24-2001 21 01-0900 CUMBERLAND 101 JUL ;)S :1 9 * REV-1547 EX AFP (01-02) RANDY D PA 171111 Allount Rellitted ~. ~ ~ i. " i. \. ' i I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE1 PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ RE-v:i5~'-f-ix--AFP--f(ff':o2)--NOTici--oF-'rNHiifiTANci-T-Ai-APPRA-isii'-ENT~--Ati-oWAi'-ci-iri------------ -- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BOYER RANDY D FILE NO. 21 01-0900 ACN 101 DATE 07-22-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) 130,000.00 .00 .00 .00 103,565.26 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 111485.33 10.387.43 (11) (12) (13) (14) NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ALL 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. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: NOTE: To insure proper credit to your accountl subllit the upper portion of this forll with your tax paYllent. 2331565.26 ?1 87? 76 2111692.50 .00 2111692.50 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. .00 X 00 = . 00 X 045 = 2111692.50 X 12 = .00 X 15 = (19)= .00 .00 251403.10 .00 251403.10 r",nCN' IU::~C~r" I {+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-21-2001 CDOO0676 11254.00 231826.00 06-06-2002 CDOO1258 .00 323.10 TOTAL TAX CREDIT 251403.10 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 · IF PAID AFTER DATE INDICATED 1 SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $11 NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR)I YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) \, JAMES D. BOGAR '02 JU;'J -! ATTORNEY AT LAW ONE WEST MAIN STREET SHIREMANSTOWN, PENNSYLVANIA 17011 :35 e-mail mail@bogarlaw.com TELEPHONE (717) 737-8761 FACSIMILE (717) 737 -2086 t - ...., Ct j June 6, 2002 Mary C. Lewis Register of Wills Cumberland County Courthouse Carlisle, PA 17013 RE: The Estate of Randy D. Boyer No. 21-01-0900 Date of Death: September 24, 2001 Dear Mrs. Lewis: Please be advised that I will be representing the Estate of Randy D. Boyer, as above-captioned. Please feel free to contact me if you have any questions. As always, your time and consideration are greatly appreciated. Very tr ly i' ! /" i C~lD yours, R JDB/blw JAMES D. BOGAR ATTORNEY AT LAW ONE WEST MAIN STREET SHIREMANSTOWN, PENNSYLVANIA 17011 e-mail bogarlaw@ezonline.com TELEPHONE (717) 737-8761 FACSIMILE (717) 737 -2086 a:J '.'~ 0\ c::r December 21, 2001 N VIA~ BAND cDlELIVER;Y ~ ,tj. c]. , i~i Ma~(1)C. L,ew~s"C s:;: Reg:i.cgter ef w~b Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 RE: The Estate of Randy D. Boyer No. 21-01-0900 Date of Death: September 24, 2001 Dear Mrs. Lewis: I represent the Estate of Randy D. Boyer. Enclosed is a check made payable to the Register of Wills in the amount of $23,826.00, same constituting a prepayment at discount on account of Pennsylvania inheritance taxes in the above-captioned estate. The prepayment is determined as follows: $209,000.00 multiplied by 12% or $25,080.00, less discount in the amount of 5% or $1,254.00, resulting in payment of $23,826.00. Please provide me with the appropriate receipt in this matter. Your time and consideration in this matter are greatly appreciated. Very tru ~//,/r~\ 0 (/ -11M' i J ES D. JDB/blw Enclosure cc: Larry V. Boyer JAMES D. BOGAR ATTORNEY AT LAW ONE WEST MAIN STREET SHIREMANSTOWN, PENNSYLVANIA 17011 e-mail bogarlaw@ezonline.com TELEPHONE (717) 737-8761 FACSIMILE (717) 737-2086 October 22, 2001 Mary C. Lewis Register of Wills Cumberland County Courthouse Carlisle, PA 17013 RE: The Estate of Randy D. Boyer No. 21-01-0900 Date of Death: September 24, 2001 Dear Mrs. Lewis: Please be advised that I will be representing the Estate of Randy D. Boyer. I ask that you adjust your records accordingly. Please time stamp the enclosed copy of this letter and return same to me in the enclosed, self-addressed and stamped envelope. I note that the Last Will and Testament of Randy D. Boyer was probated by Larry V. Boyer, Executor. I was not involved with respect to the probate. Enclosed for filing is an original and one (1) copy of the Certificate of Notice under Rule 5.6(a). Kindly time-stamp the copy and return same to me in the enclosed, self-addressed and stamped envelope. Kindly advise if you require any additional information from me at this point. As always, your time and consideration are greatly appreciated. Very tr~~ ~. ~~:G JDB/blw cc: Larry V. Boyer, Executor (w/encl.) (Y -- - ;/ ,/ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Randy D. Boyer Date of Death: 9/24/2001 Will No. 21-01-0900 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 X b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally 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. Da te: 8/30/02 James D. Bo r, Esquire Name (Please. type or print) One West Maln St. Shiremanstown, PA 17011 Address (717) 737-8761 Tel. No. Capacity: Personal Representative (MAH:rmf/AM3) x Counsel for personal representative REV-1500 EX + (6-00) CAPB HpRL EplO CRAC KOTK ES C P o 0 R N R D E E S N T C o M P T U A T X A T I o N REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY il- /()- f( FILE NUMBER D E C E D E N T COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 21-01-0900 BOYER RANDY D. DATE OF DEATH (MM-DD- YEAR) COUNTY CODE YEAR SOCIAL SECURITY NUMBER 170-36-4536 THIS RETURN MUST BE FILED IN DUPUCATE WITH THE DATE OF BIRTH (MM-DD- YEAR) NUMBER REGISTER OF WILLS SOCIAL SECURITY NUMBER 1. Original Return 4. Limited Estate X 6. Decedent Died Testate 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a living Trust 0 3. date of death . Remamder Return prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total N umber of Safe Deposit Boxes (Attach copy of Will) (Attach copy of Trust) D 9. Litigation Proceeds Received D 10. Spousal Poverty Credit D 11. Election to tax under Sec. 9113(A) (date of death between 12-31-91 and 1-1-95) (Attach Sch 0) .......'TflIS.SEC'TION.Ml.ISrBE'c:QM~I1.E'TEPB.A.ijl'c:QRR.E$PONDENCi;'&JC:ONi#tDi:N'TIAI1..mA.Xi~QRMATIQNSHQULPBEPIREC:'TE[)'TQ~i' NAME COMPLETE MAILING ADDRESS James D. Bo ar FIRM NAME (If Applicable) One West Main Street Shiremanstown, PA 17011 TELEPHONE NUMBER R E C A P I T U L A T I o N / 3 -8 6 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (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/See 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) (1) (2) (3) 130,000.OQ None None (4) (5) None 103,565.26 (6) None 11,485.33 10,387.43 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20. ,':~Iil!;P~B~R~!f'X9P:MI;!R~~ .;'>'..~"'.BE:'SOREmQ,\NSW ... OFFICIAL USE ONLY -0- (8) 233,565.26 ( 11) 21, 872.76 (12) 211,692.50 (13) (14) 211,692.50 x .0 0 (15) 0.00 0.00 X .0 45 (16) 0.00 211,692.50 X .12 (17) 25,403.10 X .15 (18) 0.00 (19) 25,403.10 .~'A;'REfl.l~~.Qf'AN,,~V~R~#;YM~T". . $T1()N$QNR.I$"i:R.SE$jPEA.ND"'TQiR.EPHECJ<MA.THi.~."~i.'.....::.....,.. Copyright (c) 2000 form software only The Lackner Group. Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 321 West Main Street CITY T STATE I ZIP Shiremanstown PA 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) 25,403.10 0.00 23,826.00 1,254.00 Total Credits ( A + 8 + C) (2) 25,080.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E) (3) 4. If line 2 is greater than line 1 + line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 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. (58) . .~ake.,,~hec.k Payable to: REGISTER OF WILLS, AGENT :U'::::::i~:t'~~~~;~~~~:~~~~~::~:~:t~ci~I~~:;~G~~~~~l~:~1:i~~'I~~~~il:~~::~~I"I~r~~m~~'~::1~~;~'~~'~li~~~L6~~~.;:;';;;;: 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; . . . . . . . . . . . . . ~ ~~x b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or. . . . . . . . . . . . . . . . . . . . . . . . . . d. receive the promise for life of either payments, benefits or care? . . . . . . . . . 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m 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. 0.00 0.00 323.10 0.00 323.10 D D ~ ~ Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATU OF PERSON RES ONSI~E FOR FILING RETURN Larry V Boyer _ _ _~q?9_ _~':l!l_~~~9:.g~ _ ~_~~~_ - - - - - - - - - - - - - - - - - - - - - - - - -- Mechanicsbur , PA 17050 James D. Bogar Esquire One West Main Street --~-------------------------------------------------- Shiremanstown PA 17011 DATE V' /~Od ^- D E ( For dates of death on a r 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) Oi)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. 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 nalural 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. Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) REV-1502 EX +(1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER RANDY D. BOYER SS# 170-36-4536 09/24/2001 21-01-0900 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with riClht of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE DESCRIPTION NUMBER OF DEATH 1 All those two (2) certain pieces or parcels of real estate, with 130,000.00 one (1) parcel, being Parcel No.1, having erected thereon a dwelling house being known and numbered as 321 West Main Street, Shiremanstown, Pennsylvania. Parcel No. 1 was acquired by Randy D. Boyer by deed dated June 26, 1981 and recorded July 10, 1981 in the Cumberland County Recorder of Deeds Office in Deed Book "M", Volume 29, Page 256. Parcel No.2 was acquired by Randy D. Boyer by Statement on Claim dated July 16, 1999 and recorded July 19, 1999 in the Cumberland County Recorder of Deeds Office in Deed Book 204, Page 086. Copies of the deed and Statement of Claim are attached hereto and incorporated herein. The above-described real estate was sold pursuant to an Agreement of Sale for Real Estate dated October 29, 2001, a copy of which is attached hereto and incorporated herein. Final settlement took place on December 12, 2001. A copy of the Deed conveying said real estate, along with a copy of the Settlement Statement, are attached hereto and incorporated herein. The sale price of said real estate was $130,000.00. SCHEDULE A REAL ESTATE TOTAL (Also enter on line 1, Recapitulation) $ 130,000.00 (If more space is needed. insert additional sheets of the same size) Copyright (e) 1996 form software only CPSystems,lne. Form REV-1502 EX (Rev. 1-97) ~ r----- -, '. I I I ,I , I , i I I 1 I I l I I , II I ' - , , I I ; I t, \ I : , IL I'. - "'~"T_"N.rr."ty Deed. Short FfNm. Act of lS09. H.nry H.II. Inc.. Indiana, r., Utb i~ ;l)eeb, fir ';OROCC-r',rr l~~ .',. rHf. RECCROH :, ~..ros CUJ48ERL.1l,C ~,tl~l~rr PF.HH~Yl"'~I., JUt 10 10 4S AH 'Bl ---.) '") '}. \ 'I / I'A () .., MADE THE ""'" dOli of cI un,"-- of ol/r LOl'd one thollsand nine hund,'rd eighty-one (1981). in th~ 'JI('f'r BETWEEN RJINDY D. BOYER and JUDITH A. BOYER, his wife, of the Borough of Shiremanstown, Cumberland County, Pennsylvania, parties of the first part, hereinafter called the and RANDY D: BOYER of the Borough of Shiremanstown, Cumberland County, Pennsylvania, party of the second part, hereinafter called the Gralltors ) Grant.. WITNESSETH, that ;n c01lRidrration of the sum of One and No/lOa - - - - - - - - - _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ - - - - - - - - - - - ($1. 00) - - - Dollar'll, in hctnd paid, the rrc~i'Jt 1l'herrnf .., lirTPbll aekllow/t'df/ec[, thr setif/ fJ)"nnlt-,. s d" ht!rl"bll (Irani and convell to the said.. qr""tu . his heir-s and assigns, for his sole and separa te use and enjoyment with full-power to alienate, mortgage or otherwise dispose of the same by deed, mortgage or will to the exclusion of any right, title or inter-est of his wife herein. Al.l. that certain tr-act of land with the impr-ovements thereon erected situate in the Borough of Shiremanstown, Cumber-land County, Pennsylvania, bounded and descr-ibed in accordance with a survey made by Rober-t E. Stiffler on January 24, 1966, as follows: BEGINNING at a point at the inter~ection of the center- line of eighty (80) feet wide West Main Street with the easter-n line of fifty (50) feet wide Washington Avenue; thence along same North fourteen (14) degrees West, a distance of two hundred twenty-six and sixty-one on-hundredths (226.61) feet to a point; thence along line now or formerly of John Bruce Thompson and wife, Nor-th seventy-six (76) degrees fifteen (15) minutes East, a distance of eighty-six and fifty-four one-hundredths (86.54) feet to a point in line of land now or formerly of R. Wayne Woods and wife; thence along said line of land now or formerly of R. Wayne Woods and wife, South fourte~n (14) degr-ees E~3t. a distance of two hundr-ed twenty-six and sixty-one o~undredths (226.51) feet to a point in the center line of eighty (BO) feet wide West Main Street; thence along center line of eighty (80) feet wide West Main Str-eet, South seventy-six (76) degrees fifteen (15) minutes West, a distance &J(ll/29 F:',CE 256 c of eiKhty-six and fifty-four one-hundredths (86.54) feet to a point, the place of BEGINNING. CONTAINING eighty-six and fifty-four one-hundredths (B6.54) feet in front along center line of eighty (80) feet wide West Main Street and extending north therefrom along the eastern line of fifty feet wide \1ashington Avenue, at an even width, a distance of two hundred twenty-six and sixty-one one-hundredths (226.61) feet. HAVING THEREON ERECTED a one (1) story frame ranch type dwelling house and attached garage, known as No. 321 West Main Street, Shiremanstown, Pennsylvania. BEING the same premises which Roger F. Franson and Paula M. Franson, his wife, by deed dated July II, 1978 and recorded in the Office of the Recorder of Deeds for Cumberland County, at Carlisle, Pennsylvania, in Deed Book "Y", Volume 27, Page 75, granted and conveyed unto Randy D. Boyer and Judith A. Boyer, his wife, Grantors herein. THIS conveyance is between spouses and is, therefore, exempt from payment of Realty Transfer Taxes. UNDER AND SU8JECT to an existing mortgage at Cumberland Valley Savings and Loan Association, -dated July 211, 1978, _and recorded in the Office of the Recorder of Deeds for Cumberland County, at Carlisle, Pennsylvania, in Mortgage 800k 646, Page 146, in the principal sum of $32,BOO.00, which Randy D. Boyer, Grantee herein, agrees to assume and pay. ~ , AND the .aid g...."tors herebv cOI'mant and agree that they wilt warrant genera lly the In'opertv h~rebv cOPlveved. BfJGJ1{ 29 mE 257 " ' IN WITNESS WHEREOF, said y,'afttOJ's have hr.relln!o Bet their the day and yea.r first abo"e written. Ci'lllllrll. lii'ralro allo IlrlillrrrO ) ...............~~~=~~...........................e .' 1- ,i~ :~r ~rr.rnlr of .............n.~~!i/i~o~............. ~ ,. (~a~~~~:\ ::.......::::==:::;; handS and s,al S State of Pennsylvania l COllntyof Cumberland . (~B8' On Ih~.. Ih. cRt.- "idJ dllll of a Not1ll'Y Public in and for said state a ';;ounty the IIndersiyned office,', 'Personalty "'pp.ared RANDY D. BOYER and JUDITH A. BOYER, his wife, , 1981 ,h,fore "", k>lllwn to me (or satisfactorily proven) t" be the /,e,'sons ",ho.. names are sllbscrib,d 10 the lVithin in..tnl.ment, aftd acknowledged that the y euclltcd Ih. same for the pllrp08" therein contained. I' \.~lI"I....tl IN WITNESS WHEREOF. I h....llnlo sr.t 11111 hand an.d..otJidal seal. "'>:~,\\<I..,:'.&~:"',, ....~O...U~~~~\ MElISSA' C C''l..t~~ "''t-_:, -, SIri~m"';";W~,~~~~~~l:n~.~.~;~!'.N~. ~'~/r.l'fJq .lc~t~f .' My Comm;uion Exp".. Dee. 12, 1983 .1't'f<' D"'p,tJie~r,~ 'J::>.: .....0;-.. -,Ino.\ .,.' '. .';a, .}-).~ -lc;>" . ',...,.......~....,l... Slatc of }ss. COllnty of On thi... the day of .19 ) b~fort. nit, the IIndersign.d officer. p....on4lly appeared kll""'n 10 nl(' (or ,."ti,'flldoriI1l /11'0"'11) 10 b, Ihe persall whose ft"'IIIe ,,,,bscrib,d 10 th. wit.hiu in.ntrunumt, amd arkn(J1t'lcdu(~d that he execllted the 8,UU(! for thi' purpo8CII thrreiJt contained. IN WITNESS WHf:REOF. I hereunto set my hllnd and oflicial .eal. .....#.....................................n..........#n....::.:..............#...... ~ l\OO~29 PACE 258 Tille of Officer. -) ') :;: do' hereby ce,'lifl! Ihal the precise ,'esidenre und cOnlplele 1w..1 office address of the within named 9''<Inl... i. "3,t I tA!"f- ~ (;/. ~~_J", . (7C" ~ fO 19~/ :,;:~o:J!;;;:;;';;T........ ,. III ... 't:I.c: r t: I'll .,; l>:: 1- /:I C>:!o.l ~ Z <:..i t..l>- 0 ~ >-0 0 <Q -< ~ 0'" I-< <:) '" c ~ (Y) Pn .< c >- ~ ....":) :: c -< >-1-< Z c....a) ~ zc.... :> ~ =>..... ~ :J :~:::O:,,~ALZ;;;;:;:;:;;;:;(m_ }.. L / RECORDED on this .........../t.!.......... dUll of ../dP..............n.. A. D. 19.J!., in II.. nerol'der'. o(/irr of Ihe ..ai,1 Coltnly. in Deed IJook-JJ1 t'ol. ...c1..9........, Pour ...v?s:.4...... Giv~n "..rle,' my hll"d (lfld /II' St'al of Ihe said oUice, Ihe dllle llbot'" IVl'illcll. ......~~..~~~ Rero,'der. BDO?J129 PAGE 259 $1-.I1-.2\l?O -O'i.\(>. file # ~o t,/ v "-.(p q 13 Lo~~) J~ STATEMENT OF CLAIM We, RANDY D. BOYER, of the Borough of Shiremanstown, Cumberland Counly, Pennsylvania, do hereby affirm and declare that I have acquired title in fee by twenly-one years' adverse possession, to the foliowing described land situate in the Borough of Shiremanstown, Cumberland County, Pennsylvania, viz. BEGINNING at a point in the cenler of Simpson Ferry Road at the Southwest corner of other lands of Claimant; thence South 76 degrees, 15 minutes West, a distance of 25 feet along said centerline to a point in line of land of Mary Elizabeth Brown, formerly of Roy G. Harro; thence along said land of Brown North 11 degrees, 4 minutes West, a distance of 226.61 feet to a point in line of other lands now or formerly of Harro; thence along said lands, North 76 degrees, 15 minutes East, a distance of 25 feet to a point in line of lands of Claimant; thence along said land of Claimant, South 11 degrees, 4 minutes East, a distance of 226.61 feet to a point in the center of Simpson Ferry Road, the point of BEGINNING. Being a portion of thattracl of land conveyed by Ollis Orr and Rebecca Orr and Lyman Orr to Roy G. Harro by Deed dated October 17, 1940 and recorded in Cumberland County Deed Book "F", Volume 12, Page 426. Adverse entry was made upon made upon the land by Roger F. and Paula M. Franson on or about September 11, 1975, who continued in possession until about July 11, 1978, when they were succeeded in possession by Claimant who continues in possession to this date. BoOK 204 PAf,E "86 file # At the time of the said entry, the land herein described was owned by Roy G. Harre or his heirs and I claim adversely to them. WITNESS my hand this / G -IL- day of j'~11 ' 1999. ~~:~~~,t --! ('- CX:~,;I. lLl u} I. .--t ~~:~~~ ~ ~~ ~m ~ ~. 0::. c: -.J Cl Ow ~ ~ ~~ ~ a:: ~ 0) e;, r- Lf1 800r. 204 PAct 8'; file # COMMONWEALTH OF PENNSYLVANIA : ss. COUNTY OF CUMBERLAND ,/_~~ ~ ON this, the /UJ day of . r-- ,1997, before me, the undersigned officer, personally appeared RAND . BO~R whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained. IN .~~~~s whereof, I hereunto set my hand and official seal. ...~I\..u~'fJ.:.)j,~::~\ . .-~.. ....;~~~;_.t:~,>:>~'1:J . ..'i!) ,'l~;'\t:1}?:<...o ",[.."'1- ..J;l'r~~<;;}Y'" .. It~o. ........ .",.' ~ '. :i;f/!~:~.:~.~":'-' ~~'~.LL( lip-(clH_/ Nola Publi /' NOT ","IAI. BEAL TEflESA J. BunKHOlOER. Notary Pubtlc c..t&te. C~nd County, "A My~~resF~ CERTlFICA TE OF RESIDENCE I hereby certify that the residence of Claimant is: PA 17011 321 West Main Slreet. Shirmanstown el'!>""" !\ ':1 [I.u< ~ , ~J~~~j}~" .it1;,r -"liJi...,,/(., ,..l't.~ ',\-."," r. OJ" "i!1,t"l~~~~;r;\ Attorney for: () Qr""':J J.ICW:J.-- 800K 204 PAr.f 88 pr AGREEMENT OF SALE FOR REAL ESTATE THIS AGREEMENT is entered into this). q'1J~ay of U c1c;6fi,tf.- , 2001, by and between LARRY V. BOYER, Executor under the Last Will and Testament of Randy D. Boyer, late of the Borough of Shiremanstown, Cumberland County, Pennsylvania, hereinafter called "SELLER", AND BIBLE BAPTIST CHURCH, of 201 West Main Street, Shirema~stown, Cumberland County, Pennsylvania, hereinafter called "PURCHA.SER". IT IS MUTU~~LY AGR~~D AS FOLLOWS: 1. PRSMISES. The Seller agrees to sell, grant and convey to the Purchaser, and the Purchaser agrees to purchase and accept the conveyance of the following described real estate situate in Shiremanstown, Cumberland County, Pennsylvania, described as follows: All that certain piece or parcel of real estate having erected thereon a dwelling house being known and numbered as 321 West Main Street, Shiremanstown, Pennsylvania. A copy. of the legal description of said real estate is attached hereto, marked Exhibit "A" and incorporated herein. 2. PURCF~_SE PRICE. The Purchaser agrees to pay the sum of $130,000.00 to the Seller, as the full purchase price and consid~ration for the premises, payable as follows: $6,500.00 on the signing of this Agreement, receipt of which is hereby acknowledged; and $123,500.00 in cash unless otherwise herein provided at settlement of this transaction as scheduled and provided hereinbelow. 3. SETTLEMENT. Final settlement of this transaction shall be made at the Law Offices of James D. Bogar or any other mutually agreed upon location, and shall be made on or before December 14, 2001, at which time of settlement the Seller shall tender to the Purchaser a properly drawn and executed deed of special warranty, conveying to the Purchaser a good and marketable title in fee simple, clear of all liens and encumbrances, except easements or building and use restrictio~s visible on the ground or of prior record, title to be such as will be insured by a reputable title insurance company in the central Pennsylva~ia geographical area without exception or reservation at regular rates. Should Seller be unable to deliver such title, ?~rchaser shall have the option of either cancelling this Agreement of Sale for Real Estate and receiving back any monies paid as a deposit or accepting such title as Seller can give without offset, adjustment, or abatement of the purchase price. Time is 0: the essence 0: this Agreement of Sale for Real Estate. 4. T~~~SFER TAXES AND APPORTION~ENT OF REAL ESTATE TAXES, RENTS ~_~D EX?ENS~S. All realty transfer taxes shall be paid equally by the Seller and Purchaser, with Purchaser paying one percent (1%) and Seller paying one percent (1%). Curre~t real 2 estate taxes, utility charges and any municipal service fees or rents will be prorated at and to the date of settlement.. 5. POSSESSION. Seller shall deliver possession of the said premises to Purchaser at the time of final settlement. 6. CONDITION OF PROPERTY AND RISK OF LOSS. The Seller agrees that the property shall remain in substantially its present condition until date of settlement, and if it is not, the Purchaser may rescind this contract. Seller shall bear the risk of loss from fire or other casualty until time of settlement. 7. DEFAULT. Should Purchaser default in performing this Agreement, any sum or sums paid on account of the purchase price, by way of dcwn-payment or otherwise, shall be retained by Seller, either on account of the purchase money, the balance of which shall be recoverable in an action of asslliupsit, or as liquidated damages, as Seller shall elect, and in the latter case this Agreement shall become null and void. Should Seller default in performing this Agreement, Purchaser shall have the right of having this Agreement declared null and void and, further, having any sum or s~s paid on account of the purchase price, by way of down-payment or otherwise, returned in full or Purchaser, at Purchaser's option, can avail itself to any other remedies at law or in equity. 8. CONTINGENCIES. This Agreement of Sale for Real Estate is subject to and contingent upon the occurrence or nonoccurrence of the following events, as the case may be: 3 (A) Purchaser obtaining congregational approval by proper motion and vote, all in accordance with the Charter and Bylaws of Bible Baptist Church, said congregational vote and approval to occur on or before November 21, 2001. 9. SURVEY. If the Purchaser should determine the need for a current survey of the premises, the cost and expense thereof shall be borne exclusively by the Purchaser. 10. STATUS OF SEWER ~~D WATER. The property is served by public sewer and water. 11. MUNICIPAL IMPROVEMENTS. Seller has no notice of municipal improvements including, but not being limited to, sidewalk and curbing. 12. ZONING OR DE~D RESTRICTION. Seller warrants that the present use of the property violates no existing zoning ordinance or regulation or deed restrictions. Furthermore, Seller has no notice of any propcsed zoning change or change in use or restrictions. 13. INSPECTION/W~~RF~TY. It is understood that Purchaser has inspected the above-referred to property and is not relying upon any representations made by Seller or by Seller's agent(s). Seller agrees to sell and Purchaser agrees to purchase the above- descri~ed property "as is", there being no warranties, either expressed or implied, as to the condition of the property. Furthermore, Purchaser expressly represents that Purchaser has had ample opportunity to inspect the above-referred to property 4 and to investigate and have answered by third parties any questions Purchaser has regarding the property and the present condition of same and that Purchaser has not, in entering into this Agreement of Sale for Real Estate, accepted or relied upon any statements or representations made to Purchaser by Seller. 14. PERSONALTY. Seller agrees to sell and Purchaser agrees to purchase all personalty and personal property presently remaining at 321 West Main Street, Shiremanstown, Pennsylvania. The agreed upon sale and purchase price is $3,000.00, which amount will be paid by Purchaser to Seller upon the signing of this Agreement of Sale for Real Estate. Seller shall provide Purchaser with a separate bill of sale. 15. BROK~?S ~~D AGENTS. Seller a~d Purchaser both re~rese~t that they have dealt with no real estate brokers or agents in connection with this sale and that no brokers or real esta~e agent's commission is due any person on account of this sale. Each party shall indemnify and hold harmless the other par~y from the claim or demand of any broker or agent for any commission which any such broker or agent may claim to be due him or her as a result of this sale. 16. LEAD-BASED PAINT. Seller has no reports or records or knowle?ge of lead-based paint and/or lead-based hazards in the property. Seller warrants that the dwelling unit in question was constructed prior to 1978. Purchaser waives the opportunity to conduct a lead-based paint and/or lead-based paint hazards risk 5 assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards. For the performance of this Agreement and intending to be legally bound hereby, the parties bind themselves, their heirs, personal representatives, successors and assigns, as witness - their hands and seals the day and year first above written. WITNESS: ~, (SEAL) V. BOYER, E cutor of the Estate .d under the Last Will a~d Testament of Randy D. Boyer ,,"J! ~ -"~ ~ ''f--:ii~a {--{/ / -L..:.A~~ l /! I., BIB,""E B~?TI~ .c;nr.~H 11 Ai.t/;-~ By: l)t~_~\~l~ / DR. T~RR'~ E......~EBULSKE, Senior Pastor ( S E.n..:.. ) 6 Tax Parcel No. 37-23-2100-045A THIS INDENTURE, J.tDWE THE \"1. tIo\. day of ~'(.(.i.-",,",(;.<:v two thousand one (2001) BETvVEEN LARRY.V. BOYER, Executor of the Last will and Testament of Randy D. Boyer, late of the Borough of Shiremanstown, Pennsylvania, party of the first part, and BIBLE BAPTIST CHURCH, of Shiremanstown, Cumberland County, Pennsylvania, party of the second part: WHEREAS, the said Randy D. Boyer by his Last will and Testament, duly proved and recorded in the Cumberland County Register of wills Office, Pennsylvania, in Docket Book 21-01-0900, Letters Testamentary being issued on October 1, 2001, provided, in pertinent part, as follows: SECOND: In additional to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all property, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it... FIFTH: I nominate and appoint LARRY V. BOYER, Execu- tor of this, my Last will and Testament... NOW THIS INDENTURE WITNESSETH, that the said party of the first part, by virtue of the power and authority aforesaid, in said Will contained, and in consideration of the sum of One Hundred Thirty Thousand Dollars ($130,000.00) to it paid by the said party of the second part, at and before the ensealing and deliv- ery of these presents, the receipt whereof is hereby acknowl- edged, has granted, bargained, sold and conveyed, and does hereby grant, bargain, sell and convey to the said party of the second part, its successors and assigns forever: ALL THOSE TWO (2) CERTAIN pieces or parcels of land situate in the Borough of Shiremanstown, Cumberland County, Pennsylvania, being more particularly bounded and described as follows, to wit: PARCEL NO. 1 BEGINNING at a point at the intersection of the center line of eighty (80) feet wide West Main street with the eastern line of fifty (50) feet wide Washington Avenue; thence along same North fourteen (14) degrees West, a distance of two hundred twenty-six and sixty-one one-hundredths (226.61) feet to a point; thence along line now or formerly of John Bruce Thompson and wife, North seventy-six (76) degrees fifteen (15) minutes East, a distance of eighty-six and fifty-four one-hundredths (86.54) feet to a point in line of land now or formerly of R. Wayne Woods and wife; thence along said line of land now or formerly of R. Wayne Woods and wife, South fourteen (14) degrees East, a distance of two hundred twenty-six and sixty-one one-hundredths (226.61) feet to a point in the center line of eighty (80) feet wide West Main Street; thence along center line of eighty (80) feet wide West Main Street, South seventy-six (76) degrees fifteen (15) minutes West, a distance of eighty-six and fifty-four one-hundredths (86.54) feet to a point, the place of BEGINNING. CONTAINING eighty-six and fifty-four one-hundredths (86.54) feet in front along center line of eighty (80) feet wide West Main Street and extending north therefrom along the eastern line of fifty feet wide Washington Avenue at an even width, a distance of two hundred twenty-six and sixty-one one-hundredths (226.61) feet. HAVING THEREON ERECTED a one (1) story frame ranch type dwelling house and attached garage, being known and numbered as 321 West Main street, Shiremanstown, Pennsylvania. BEING the same premises which Randy D. Boyer and Judith A. Boyer, husband and wife, by deed dated June 26, 1981 and recorded July 10, 1981 in the Cumberland County Recorder of Deeds Office in Deed Book "M", Volume 29, Page 256, granted and conveyed unto Randy D. Boyer, the decedent herein. The said Randy D. Boyer died september 24, 2001. PARCEL NO. 2 BEGINNING at a point in the center of Simpson Ferry Road at the Southwest corner of other lands of Claimant: thence South 76 - degrees, 15 minutes West, a distance of 25 feet along said centerline to a point in line of land of Mary Elizabeth Brown, formerly of Roy G. Harro; thence along said land of Brown North 11 degrees, 4 minutes West, a distance of 226.61 feet to a point in line of other lands now or formerly of Harro: thence along said lands, North 76 degrees, 15 minutes East, a distance of 25 feet to a point in line of lands of Claimant: thence along said land of Claimant, South 11 degrees, 4 minutes East, a distance of 226.61 feet to a point in ,the center of Simpson Ferry Road, the point of BEGINNING. BEING the same premises which Randy D. Boyer, by Statement of Claim dated July 16, 1999 and recorded July 19, 1999 in the Cumberland County Recorder of Deeds Office in Deed Book 204, Page 086, affirmed and declared that he had acquired title in fee by twenty-one (21) years' adverse possession. The said Randy D. Boyer died September 24, 2001. Larry V. Boyer, Executor of the Last Will and Testament of Randy D. Boyer, by virtue of this Deed, conveys any and all right, title and interest of Randy D. Boyer, now the Estate of Randy D. Boyer, to the real estate specifically described in this Parcel No.2. TOGETHER with all and singular the rights, liberties, privileges, hereditaments and appurtenances whatsoever thereunto belonging or in anywise appertaining, and the reversions and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, property, claim and demand whatsoever of the said Randy D. Boyer at and immediately before the time of his decease, in law or equity or otherNise howsoever, of, in, to or out of the same: TO HAVE AND TO HOLD the said granted premises to the said party of the second part, its successors and assigns forever. A.~D the said party of the first part, does covenant, promise, grant and agree, to and with the said party of the second part, its successors and assigns, by these presents, that the said party of the first part, has not done, committed, or knowingly or willingly suffered to be done, any act, matter or thing what- soever, whereby the premises aforesaid, or any part thereof, is, are, shall or may be charged or encumbered, in title, charge or estate, or otherwise howsoever. IN WITNESS lVHEREOF, the said party of the first part has hereunto set his hand and seal the day and year above written. Sign~d, Sealed and Delivered .. i~ th:e Presenceot /'... J /) .I I)Q;; , :---kt:u,t. /. Jr; ,~ i ~ / \ I 'J - \ \ (SEAL) the COMMONWEALTH OF PENNSYLVANIA SSe COUNTY OF CUMBERLAND On this, the /J:Ci1 day of ZJtc.........L..v , 2001, before me, the undersigned officer, personally appeared Larry V. Boyer, Executor of the Estate of Randy D. Boyer, known to me (or satisfactorily proven) to be the person described in the forego- ing instrument, and acknowledged that he executed the same in the capacity therein stated and for the purposes therein contained. IN WITNESS wnEREOF, I hereunto set my hand and official seal. '7.t'-;LA./ "', /5 L.v-ti.~:u/ Notjlry Public My Commission Expires: (SEAL) I --- Not~nal SE...:!i JoanEO h - : Shire . ~ rcl ers, Notary ,o"Ci'c manstown I'la C . ~ . My C .. - re, umbenand Countv OmmlSSlon ExpIres ,"eb. 12, 2C02 ' Memo~~ ::Isnn , ' 3ylvanlt\ .'\;<:lr;LJi.<;t;on ">f ~ I . ..g '1n~~ ., ,. " ... 1\ ".J :." ;. ". .. ~.' ..t,:...--< nO., '" .. . .~ " ^ ..I 1'/ .)'. ~ 4 .., ... .. ,.,1 ~/ ..)... ".. .... . . ....,.... ....-: J-.,_ Co- . ::.~"'~T:~:; :l 0 n: . .~.. / .. .("j : c. . t ~~".""~':,. -',. ,\" -.4 ') . ~ '. \ )> ...~....~~:.. .'\.' ! , ..~ , -{ . { , CERTIFICATE OF ADDRESS I do hereby certify that the precise and complete post office address of the within named grantee is 201 West Main - street, Shiremanstown, PA 17011. ~~t,.-\..~L L1- 2001 ;Il~ Attorneytgent for C~\.o: COMMONWEALTH OF PENNSYLVANIA SSe COUNTY OF CUMBERLfu~D RECORDED on this day of , 200 -' in the Recorder's Office of the said County, in Deed Book , Page Given under my hand and the seal of the said office, the date above written. , Recorder. UI\llli l~lJ. 4.H'.(.~II...U.) Jf A. B. TYPE OF LOAN: . 1-DFHA 2.0FmHA 3. [ElCONV. UN INS. 4.0VA 5. OCONV. INS. U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 6. FILE NUMBER: 17. LOAN NUMBER: SETTLEMENT STATEMENT 0737-4 8. MORTGAGE INS CASE NUMBER: C. NOTE: This fonll is fllmished to give you a statement of actual se/l/emenl costs. Amounls paid 10 and by the settlemenl agenl are shown. I/ems ",arked "[POCr were paid au/side the closing; they are shown here for infonna/ional purposes and are nol included in Ihe lolals. , 0 3Ig. (BOYERSPFDf0737.4/41 D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: Bible Baptist Church Eslale of Randy D. Boyer Waypoint Bank of Shiremanstown Lany V. Boyer, Executor 235 North Second Slreet 201 W. Main Slreet 321 W. Main Slreel Harrisburg, PA 17105 Shiremanslown, PA 17011 Shiremanslown, PA 17011 G. PROPERTY LOCATION: H. SETTLEMENT AGENT: I. SETTLEMENT DATE: 321 W. Main Slreel Thrmas J. Ahrens Shiremanstown. PA 17011 December 12, 2001 PLACE OF SETTLEMENT One West Main SI. Shiremanstown, PA 17011 J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 101. Conlract Sales Price 130,000.00 401. Contract Sales Price 130.000.00 102. Personal Property 402. Personal Property 103. Settlemenl Charaes to Borrower lLine 1400 1,701.00 403. 104. 404. 105. 405. Adiustmell/s For I/ems Paid Bv Seller in advance Ad'uslments For I/ems Paid By Seller in advance 106. CountvfTwp Taxes 12/12/01 10 01/01/02 23.61 406. CounlvfTwp Taxes 12/12/01 10 01101/02 23.61 107. School Taxes 12112/01 to 07/01/02 757.76 407. School Taxes 12/12/01 10 07/01/02 757.76 108. Assessmenls to 408. Assessmenls 10 109. Sewer 121121011001/01102 5.22 409. Sewer 12/12/011001/01/02 5.22 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 132,487.59 420. GROSS AMOUNT DUE TO SELLER 130,786.59 200. AMOUNTS PAID BY OR IN BEtlALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. Oenosit or eamestmonev 6.500.00 501. Excess Deoosit See Instructions) 202. Princinal Amount of New Loan s 123,750.00 502. Settlement Charaes to Seller Line 1400) 1,30000 203. Existino loanls\ laken sub'ecllo 503. Existina loanls\ laken sub'ecl 10 204. 504. Payofl of firsl Mortgage 205. 505. Pavofl of second Mortaaae 206. 506. Deoosit or earnesl money 6.500.00 207. 507. 208. 508. 209. 509. Ad'lIs/men/s For I/ems UnDaid Bv Seller Ad'uslments For I/ems Unpaid By Seller 210. CountvfTwo Taxes 10 510. CounlvfTwo Taxes 10 211. School Taxes to 511. School Taxes 10 212. Assessments 10 512. Assessmenls 10 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BY/FOR BORROWER 130,250.00 520. TOTAL REDUCTION AMOUNT DUE SELLER I 7,800.00 300. CASH AT SETTLEMENT FROMfTO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER: 301. Gross Amount Due From Borrower Line 120 132.487.59 601. Gross Amount Due To Seller Line 420 130,786.59 302. Less Arnounl Paid By/For Borrower (Line 220) ( 130,250.00) 602. Less Reductions Due Seller (Line 520) ( 7,800.00 303 CASH ( X FROM) ( TO) BORROWER 2,237.59 603. CASH! X TOJ( FROM) SELLER 122.986.59 The undersigned hereby aCknowledge receipl 01 a compleled copy 01 pages 1 &2 of Ihis slalemenl & any attachments referred 10 herein. I HAVE CAREFULLY REVIEWED THE HUD-l SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF. IT IS A TRUE AND ACCURATE STATEMENT OF ALL RECEIPTS AND ISBU EMENTS MADE ON MY ACCOUNT OR BY ME IN THIS TRANSACTION. I FURTHER CERTIFY THAT I HAVE RECEIVE OP OF n I D- ET T STATEMENT. Borrower -----L- Seller of Shiremanstown . rry V. B er, Executor TO THE BEST OF MY KNOWLEDGE. THE HUD-l SETTLEMENT STATEMENT WHICH I HAVE PREPARED IS A TRUE AND ACCURATE ACCOUNT OF THE FUNDS WHICH WERE RECEIV 0 AND HAVE BEEN OR WILL BE DISBURSED BY THE UNDERSIGNED AS PART OF THE SETTLEMENT OF THIS TRANSACTION. <---- Thomas _ Ahrens Seltleme t Agent WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMEfJT. FOR DETAILS SEE: TITLE 18 U.S. CODE SECTION 1001 & SECTION 1010. HUO-' (3-86) RESPA, H64305 2 L. SETTLEMENT CHARGES 700. TOTAL COMMISSION Based on Price $ @. % PAID FROM PAID FROM Divisiall of Commission line 700! as Follows: BORROWER'S SElLER'S 701. S 10 FUNDS AT FUNDS AT 702. $ to SETIlEMENT SETTlEMENT 703. Commission Paid at Selllement 704. 10 SOO.ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Orici[nalion Fee % 10 802. Loan Discount % 10 803. Appraisal Fee to 804. Credit Report 10 805. Lender's Inspeclion Fee 10 806. Marloaoe Aoo. Fee to 807. Assumption Fee to 808. Document Preparation 809. Documenl Preparatian-Waypaint 10 Waypaint Bank 200.00 810. Courier Fee 811. 900. ITEMS REQUIRED BY lENDER TO BE PAID IN ADVANCE 901. Interest From 12112/01 10 01101/02 @ $ /day ( 20 days %) 902. Martaaae Insurance Premium for months to 903. Hazard Insurance Premium for 1.0 years 10 904. 905. 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance months $ per month 1002. Morloaoe Insurance monlhs $ per monlh 1003. CountyfTwa Taxes monlhs $ per month 1004. School Taxes months $ per month 1005. Assesslllenls months @ $ per month 1006. months t!ll $ per month 1007. months @ $ per month 1008. AlIfl.Escrow Adj. monUls i1i'> $ per month 1100. TITLE CHARGES 1101. SeHlernent or Closing Fee to POC 1102. Abstract or Tille Search to 1103. Tille Examination to Irwin Law OUices 124.00 1104. Title Insurance Binder to 1105. Document Preoaration \0 POC 1106. Nolarv Fees 10 J. Brothers POC 1107. AlIarney's Fees 10 James D. Bogar Law Offices POC (includes above ilem numbers.l1 0 1; 1105 1108. Tille Insurance to (includes above ilem numbers.ll03; 1104 - End. ) 1109. Lender's Coverage $ 1110. Owner's Coverage $ 1111. Support Lien Search James D. Bogar Law Offices 1112. 1113. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 27.50; Mortgage $ 35.50; Releases $ 63.00 1202. Cilv/County TaxlSlamps: Deed 1.300.00' Mortoaoe 1,300.00 1203. State Tax/Slamps: Revenue Slamps 1.300.00; Martoaoe 1,300.00 1204. Assinnment 01 Martoaoe to Recorder of Deeds 14.00 1205. Stipulation vs. Liens Prothonotary 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survey to 1302. Pesllnsnection 10 1303. Courier 1304. 1305. 1400. TOTAL SETTLEMENT CIlARGES (Enter on Lines 103. Section J and 502, Section K) 1,701.00 1.300.00 BV MIJlllllg ~"'!Iu 1 01 UIl5 slaltml(.'ul. lhe 51Y'ldlolluS iil:kllllwll..'tlyou l(Jell'''' 04 a COIIIJ,luled copy 01 pd!Jtf 2 ollhl5 Nolo page slalemOlll Cerlirred to be a true copy -;~ 4.- Thomas J. hrens Selllement Agent (0137.....'0731-41..' REV-1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RANDY D. BOYER SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY SSiI 170-36-4536 FILE NUMBER 21-01-0900 09/24/2001 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 1 DESCRIPTION PSECU - Regular Shares Account No. 0170364536 (S4), date of death balance $10,076.31, accrued dividend $6.17 VALUE AT DATE OF DEATH 10,082.48 2 PSECU - Regular Shares Account No. 0170364536 (Sl), date of death balance $43,836.10, accrued dividend $75.13 43,911.23 3 u.S. Department of the Treasury - Federal Personal Income Tax Refund 550.00 4 1994 Ford Ranger - Vehicle ID No. lFTCR15X4RPCl1351 (see attached appraisal) 3,600.00 5 2000 Lincoln L.S. - Vehicle ID No. lLNHM87A1YY878789 (sale value)(copy of Cumberland Valley Motors Trade-In Sheet attached) 23,500.00 6 Contents of home and personal property sold at private sale - (copy of Bill of Sale attached) 3,000.00 7 Commonwealth of Pennsylvania - Salary and wage payments, leave payments (after date of death)(see attached letter dated November 5, 2001 from Office of the Budget, Comptroller Operations, Commonwealth of Pennsylvania) 18,921. 55 TOTAL (Also enter on line 5, Recapitulation) $ 103,565.26 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-150a EX (Rev. 1-97) PSEC" the financial IinkTM October 31, 200 I Account # 0170364536 JAMES D BOGAR ONE WEST MAIN ST SHlREMANSTOWN, PA 17011 Dear MR BOGAR: The following is the status of RANDY D BOYER's account with PSECU as of the date of death. Joint Owner's Name Date Established Date of Death Date of Birth NONE 01.15.1978 09.24.2001 05.18.1948 Share(s) Regular Shares (S 1 ) Vacation Shares (S2) Checking Shares (S4) Share 55 12 Month Roth Certificate Balance $43,836.10 0.00 10,076.31 18.524,4 7 Accrued Dividend $75.13 0.00 6.17 78.87 Loan(s) Personal Ser/ice Loan (L 1 ) VISA (L9) Balance $ 0.00 0.00 Accrued Interest $ 0.00 0.00 The Non-IRA.. dividend earned from January 1,2001 through the date of death was 51,134.28: the IRA dividend earned during the same period was $821.17. We do not have safe deposit boxes for our members. If you have any questions. please call 234-8484 in Harrisburg or our toll-free number, (800) 237-7328. At the menu prompt. enter 6 and then extension 2227. Slncerely~ -I , - -. " ...,.r: ~~- '(L '- I ~;-' ... / Meacie Fairfax Member Service Represemative Finance Suppon Unit PENNSYLVANIA STATE EMPLOYEES CREDIT UNION Main Acdress 1 Credit Union Place. Harrisburg. PA 17110-2990 . (717) 234-8484 . (800; 237-7328 Mailing Address PO Box 67013. Harrisburg. PA 17106-7013 . (717) 777.2100 ITOO) . (80m 472.:967 (TOO) Web Address: www.psecu.com Savings federaily Insured up to $100.000 by the National Credit Union Administration. Dee 18 01 11:01p HERITAGE MOTOR SAL}:.S, me' 2705 s. Front Street Steel ton. PA 17113 939-1~3e To whom it may concern: p.2 r have examined the 1994 Ford Ranger truck with shorr bed and extended cab. The title indicates that this vehicle was wrecked as a total loss and reconstructed. The VIN is 1 FTCRl SX4RPC 1 1351. The fair market value as of September 24,2001 is $3,600.00. r---.-'" I ,",0 r Ai1;AL sr:-.; I 1C;;:;iYH M P^\'lJ"~IK ,;" .. L. , " "" ',' . "lat:1ry ;'>"O:IC ! .1' ;:Ior, r.;un'). C:l\JDt~I"-;;,",UMy 1_.. ':l:: .::;'::':"2~~:~~~,r""(l~ I !4t~C." (j, ~Cr::2' .4 /J1 /.c / ;j/ ///cvldZ (al-<1.:- ({ 1/ . Mr, ,Mark Pavuslk Owner Heritage Motors 3-=;=:: ~:T,( -OME PHONE DNEW D TRUCK D USED D DEMO DCAR ~,A :':::;V ",..~'.GE ;-:c:< . ,'i,>,PPANi'Y: -. E NFORM.omON 'I1:)lJ SEE ON nlE WlNOOW FORM FOR nllS VEHIClE IS PART OF nllS CONTRACT. .,.,.: RM.omON ON nlE WlNOOW FORM OVERIlIOES ANY COPmlARY PROVISIONS IN nlE CONTRACT OF SAl..E. :c ~-:RY : ~-':~jS: : ~ 'L.::?'i :NS7AL:_=D : :-';::-JS: ::::: -::;~C,t:.N"LLCWANC:: ,j,! It. :~: =':R '0 JAYS ONLY) ~ I SUBTCT~l i s I l-z3?CO!- I TAXABL~ AMCUN7 i $ ~ ", SAL=3 TAX - -_= ::lCE?/I.RAT:CN AND PTA TAX ===3: TE~~P. TRANSFE~. UPGRADE PAY.CFF AMOUNT (DUE ON TRADE) I (INC:'UD,ING I SAL.:S -AX) TOTAL DUE I $ IREFUNDABL.: AT OPTION OF DEALER) .=::\/'C:: - >~E=\.1ENT :::-;AL ::>A,Y~AENT - :N JEL:'1E::iY SUBARU DOeGe VOLKSWAGEN . . ~ CUMBERLAND VALLEY MOTORS 6714-20 CARLISLE PIKE' MECHANICSBURG, PA. 17050 PHONE' (717) 697-9448 ADDRESS CITY STATE ADDRESS CITY STATE ZIP PER DIEM $ DATE GOeD UNTIL / AlC NO. / AGENT ADDRESS OF AGENT CITY I STATE I I 'OXP'?E I / 17;ME I~A-- ..., I;:: 80DILY (CEDUC-nBL:) INJURY s (DE:::UC71BL::) P"lCP s DAMAGE PCLICY NO. . POLICY DATES: EF==C71VE VERIF:ED 8Y / TYPE OF COVERAGE COLLISION: S COMPREHENSIVE, S USE OF 'iEHICL: 8USINESS C '1EHIC:': SAFETY i=EATURES: PLEAS1.:f'E ~ SC7H C P~SS;'1E"ESTRAIN7S C I-fE".,. ALARM c CABS CJ .l,IR 9AG ~ W C R c-; CA ACV The front and back of this Order comprise the entire agreement affecting this purchase and no other agreement or cmce's:anding of any nature concerning same has been made or entered :rto. or will be recognized. I !'lave reaa the matter printea on :he jac:~ 'ler~ci 3nd 3gree to it as a part of this order the same as ,\ it were ::mnted abcve -ny signature. I certify that I am of iegal age. and 'lereby acknowlecge :eceiat of a CODY of thiS order. THIS ORDER SHALl. NOT BECOME SINCING UNTiL !~C. CE?TEJ BY DEALER OR HIS AUTHORIZEJ RE?RESE"T':'TIVE AND IN THE =:VENT OF A TIME SALE. DE,~L=R SHALl. NOT 2E C8L!GATED TO SELL UNTIL APPROVAL OF THE TEC::MS HEi=1ECF IS Gi'jEN BY A BANK OR FiNANCE COMPA,NY WILLING TO PURCHASE; ::lE7AIL INS7ALL. MENT CONTi=iACT BEiWEEN THE ~.c.,RT:ES '-iE?ETO S;'SED ON SUCH TE:=iMS. Furthermore, I agree that the abcve descricec '/eh:cie being traded is subject to reaopraisal at the time of celiver; anc if it has accrued excessive mileage, suffered mechanical deterioration. or if oares/accessorles have been replaced (including tires), thiS reacDralsai may alter the trace.in allowance as shown here. I agree to be hele liable if the lien payoff amcunt sho',vn above's not confirmed by the participating bank. In the event of cancellation or breaci'l of thiS agreemer.t by ~he buyer(s). the dealer shall be entitled to retain as liquldatee damas;es. the sum of $---. . Buyer !'las read and acknowledges ail of the above provisicns. PURCHASER JA~E I PURC:~ASER '11 ...,-.,c BILL OF SALE KNOW ALL MEN BY THESE PRESENTS, that, in consideration of Three Thousand Dollars ($3,000.00) and other good and valuable considerations, LARRY V. BOYER, Executor under the Last will and Testament of Randy D. Boyer, late of Shiremanstown, Pennsylvania, hereby grants, bargains and sells certain assets, being more fully set forth in that certain Agreement of Sale for Real Estate dated /~/Xf/j~tl , by and between BIBLE BAPTIST CHURCH, its successors and assigns, to its own use and behoof forever, including specifically but not limited to, all existing furni- ture, furnishings and contents located at real estate being known and numbered as 321 West Main Street, Shiremanstown, Pennsylva- nia. The said LARRY V. BOYER, Executor under the Last Will and Testament of Randy D. Boyer, does hereby warrant and covenant that the aforesaid assets are free and clear of any and all encumbrances. IN WITNESS WHEREOF, the party hereto has executed this Bill -:..- 1J~ day or CC+(bf;'2- ,2001. .c{Aj COMMONWEALTH OF PENNSYLVANIA 55. COUNTY OF CUMBERLAND On this, the 2> .,t-I'--day of (.... + .-, _ '" ,'t)~ i~'- , 2001, before me, the undersigned officer, personally appeared LARRY V. BOYER, Executor of the Estate of Randy D. Boyer, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. I I" ~ ~ '- -- i I, \.-/ :...~ ~ vl- ,/ --,':"- ,.,;. -- ~ ( SEAL) Notary Public My Commission Expires: _ ::>atiicia A ~~arial Seal O'W ";....3'1Stow~ Boster, Notary Public '. '~m' ro, Cumberla d Coun . ~v ..m'ssion i::xp' n ty -"- - Ires Apr. 14, 2003 .~ ~ COMMONWEALTH OF PENNSYLVANIA OFFICE OF THE BUDGET COMPTROLLER OPERATIONS November 5, 2001 Larry V. Boyer 1020 Turnbridge Lane Mechanicsburg, PA 17050 BUREAU OF COMMONWEALTH PAYROLL OPERATIONS P.O. BOX 8006 HARRISBURG, PA 17105-8006 FAX: (717) 772.3104 Dear Mr. Boyer: This letter explains the payment(s) that you have received on behalf of Randy D. Boyer. Please note that the total "GROSS" of $21 ,402.16 will be reported to the Internal Revenue Service via "1099 Misc" for the ESTATE OF RANDY D. BOYER 25-6794605 at the end of the year. Please keep this letter with your tax information for filing purposes. SALARY / WAGE PAYMENTS (PAY DATE AFTER DATE OF DEATH) i , DEDUCTION I PPE DATE PAY DATE TYPE PAY HOURS GROSS AMOUNT* NET 9/14/01 SALARY 75.00 $3,058.50 9/28/01 I 10/26/01 SALARY 45.00 , $1,835.10 $1.217.71 $3,675.89 i I I i i I , I ! I "EXPLANATION OF DEDUCT!ONS TAKEN FROM PAYMENTS: Social Security $303.40 Medicare 570.96 $843.35 net for a conversion pay liability Mr. Boyer owed to the commonwealth. The earnings statement for this payment is enclosed. E-d dSZ:L.O to L.O f\OI-J Page 2 LEAVE PAYMENTS (PAYMENTS AFTER DATE OF DEATH) DEDUCTION LEAVE TYPE PAY DATE HOURS GROSS AMOUNT* NET ANNUAL 329.82 $13,450.06 SICK I 52.50 $2,140.95 PERSONAL I 11/2101 22.50 $917.55 $1,262.90 $15,245.66 I *EXPLANATION OF DEDUCTIONS TAKEN FROM PAYMENTS: Social Security $1,023.53 Medicare $239.37 The earnings statement for this payment is also enclosed. The statement with no earnings is merely an adjustment to the leave balances. Should you have any questions regarding this letter, please contact Mr. Edmund Brenner, at telephone number (717) 772-5368. Sincerely, /' / 1 , "jjr~/;0.' '.I.///I}I ,/tJ))! i !) ,,7 / _ " , ",./. _ ' I "- 'I ,. ! - .~ - \..... , / ,# /' ~ "', / ..:....-\ MatgarefReidlinger, Chief :/, Special Pay Processing Section ......,.,/ ,.,/.......,.'n Tn ,n "nu REV-1510 EX +(1-97) SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RANDY D. BOYER SSfJ 170-36-4536 09/24/2001 FILE NUMBER 21-01-0900 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. ITEM NUMBER 1 DESCRIPTION OF PROPERTY RELAW8~M~(~ t~'b~~~5~M..tJjJM~1:fIl~EJF t~~~SFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. Datek - Account No. 694-6457 DATE OF DEATH VALUE OF ASSET 3,310.27 2 Jacob Internet Fund - Account No. 152-152-1520049474 141. 37 3 PSECU - Share 55 12 Month Roth Certificate Account No. 0170364536 NOTE: Exclusion is claimed pursuant to 72 P.S. Section 9111(r). Decedent was under the age of 59 1/2 years. Furthermore, decedent before his death did not otherwise have the right to possess, enjoy, assign or anticipate payments. 18,603.34 % OF DECO'S INTEREST 100.00% 100.00% 100.00% TOTAL (Also enter on line 7, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems. Inc. EXCLUSION (IF APPLICABLE) 3,310.27 141. 37 18,603.34 TAXABLE VALUE 0.00 0.00 0.00 0.00 Form REV-1510 EX (Rev. 1-97) . . D A-Y"EK tJP.o. Box 1224 ~. . Bensalem. PA 19020 . 1 ..MEMBER NASD/SIPC ONLINE FINANCIAL SERVICES. LLC Please do not send deposits or correspondence to above address. CS-101591922 ACCOUNT STATEMENT For the Period 06/30/01 - 09/30/01 (EMAIL)support@datek.com (TELE) 1 (SOD) U2-Datek (WEB) www.datek.com PLEASE RETAIN THIS COPY FOR YOUR RECORDS 1...111...111'111..11.. .11.11....11.. .11...11...1.1...11..1.11 Randy Boyer 321 West Main Street Shiremanstown PA 17011-6333 g . UserName: Account Number. Account Type: Account Title: BOYER59489 694-6457 Roth IRA Randy Boyer 00001124 II ,_ f~iF f t'i7 /.Accog~m.::~.Q.MMABX.i Trade Date Cash Balance: Settle Date Cash Balance: Long POSition Value: Short Position Value: Total Account Value: . ............:.:......:.;.-/::::::.,:.;:;::::: ve.":R ."".0 0 ""rE. .. ;.;.;.: ...:.:.:.:.:.:.::::::::;::::::::::::.;.::::::::::::;;::::::::;::;::::;:;::::::;:::-:;:::::::;:.;...... ... .... .:. :..::;;';:'~;::':';'::::::;.:.:: ;.~;:~::;;;~B;i;;:~~;:;t:;:::.:~d;;.;;;::.:.;::.):::}~:~t~}~:~:(~}fltIrt~~ttti:\~:i:\t:\i:i~t~t:::}~~~:~:ttt~~~~t~~{;~~}:~:~:~t:~:~t:~:~:~:~~~ ...-....'...- .. ..............'-... ....,....... ..... . .... ..d... ................. . ............... $ 3310.27 3310.27 3860.00 0.00 7170.27 Credit Interest $ 66.25 0.00 0.00 :.::: Debit Interest (Margin): ... Dividends: PORT.~F~.~:~Q:\:;~:.q:M:~~:~y:...~~:~:6t.::~t~;~~g~::h9/~io;(i~?::' ": :./;\:%?:(~>/'?H</}."':" ..........:...-..:.:::.:::.:::::....:-:-:.:-:.;.:-:.:...:-:.:-:.:.:.: ::-:.. TYPE QUANTITY SYMBOL SECURITY DESCRIPTION I ...- "........... , . . . . . . . . . . . . . . . . . ................... ... ... .......... ..,............ .......,.......................... . ..............................................................'................................. ............................................................................. 500.0000 RAD RITE AID CORP COM IMARKET PRICE/SHARE' MARKET VALUE I CUSIP I 7.720000 $ 3860.00 I 767754104 I TRANSACTtOf'.fHISTORY .. .'" -- . --. ..... MARKET PRICE/SHARE! ~.occcoo 3291.88 6.35 6.30 5.74 TRADE DATE'SETTLE DATE I TRANSACTION DESC~IPTION I CASH ACCOUNTS - TYPE 1 06/30/01 I 06/30/01 OPENING BALANCE 07/17/01 07/17/01 CREDIT INTE~EST (06/16/01 - 07/15/01) 08/16/01 I 08/16/01 CREDIT INTEREST (07/16/01 - C8/15/01) 09/17/01 09/17/01 CREDIT INTEREST (08/16/01 - 09/15/01) --9~/30/01 ! 09/30/01 ICLOSING BALANCE 0.000000 $ 0.000000 0.000000 0.000000 ~ ~~ \,i.vv 33iC'.27 Effective September 2001, each monthly statement period will begin on the 1st calendar day of the month and end with the last calendar day of the same month. Please contact C~stomer Support at 1-800-U2-0ATEK or support@datek.com with any questions. SEE REVERSE SIDE FOR ADOITIONAL EXPLANATIONS ANO CONDITIONS. Clearing Through iClearing LLC Member NASD/SIPC. ~_? PAGE 1 OF 1 \ .-' . .DATEK '-....J B~~;al;. ~P~\9020 , NMEMBER NASD/SIPC ONLINE FIHAHCIAL SERVICES, LLC Please do not send deposits or correspondence to above address. TRADE CONFIRMATION IC-101428565 Date Processed: October 24, 2001 (EMAIL)support@datek.com (TEL:) 1 (800) U2-Datek (WEB) www.datek.com PLEASE RETAIN THIS COpy FOR YOUR RECORDS UserName: BOYER59489 1...111...11111.11.11...11.11.11.11...11...1111.1.1...11..1.11 Mr. Randy Boyer 321 West Main Street Shiremanstown PA 17011-6333 D Account Number: 694-6457 Account Type: Roth IRA Account Title: Randy Boyer 0D0a1.n 10ttZ PAGE 1 OF 1 SELL 500.0000 RAD 6.200000 0.00 0.11 3099.89 10/24/01 10/29/01 0 1 RITE AID CORP COM A $2 postage and handling fee was applied to this confirmation. The fee is charged on a 'Jer-account basis each day that one or multiple trades are executed. You can avoid this fee iJY signing up for electronic trade confirmations. ---------------------------------------------------------------------------- SEE REVERSE SIDE FOR AGREEMENT AND CONDITIONS AND AN EXPLANATION OF CODED SYMBOLS RELATING TO TRANSACTIONS. Clearing Through iClearing LLC Member NASD/SIPC. 70 Hudson Street, Jersey City. NJ 07302 END OF CONFJRMA TJON .n.., .T"OI"."TO 0ll0Q,..., "",m .m.. 694-6457 Mr. Randy Boyer 321 West Main Street Shiremanstown PA 17011-6333 IRA Deposit Slip o Contribution OR 0 Rollover Tax Year of Contribution (required to have contribution deposited correctly) Please include your Datek Online UserName, Account Number, and Tax Year for ContributIon on all checks. Please make checks payable to: Datek Online Please list all checks separately Check 1 sl Check 2 sl Check 3 sl Check 4 sl 1111111111.1111'1111.11"11111111111.1.1....11. J. J I'" J I. J 1111 A TIN: Cashiering-IRA Clerk Oatek Online PO Box 4151 Iselin, NJ 08830-4151 :J:' o ::1 cT "'" tr.I~t< :;fWl\l !-'-I-'~ ~~~ a' IJl ~ 3:0 lDl\l'< cT !-'-(\I 0::111 ~tr.I , cT IQ :J:' I-' ...,J o I-' I-' 8 ; ~ ~ ~ 8 11 =: "< o c:: tl:I ~~ tl Q) 8 11 =: " t"1 t"1 i " t"1 tl 8 t"1 :z: tl o t' t' ~ tr.I <1 r ~ ~', ." .... r"\ .... ~ Q ., .... ~ ~ " ~ tl toJ ...,J n tll lz: 8 tr.I -n zo UI O:D I-' -l..( (l) UI -nO llo W Oc llo I-' UI v.> I-' I-' Jl:D 0 (l) u:D v.> "- UI I-' (.J1 toJ mm t-> 0'1 I-' "lj() 0 "- p 00 w tv 0 0) Ul::o 0 -u -J I-' U1 \ -lUl N p . Jacot) Internet funa FIRSTAR BANK NA CUST RANDY D BOYER ROTH IRA 321 W MAIN ST SHIREMANSTOWN, FA 17011 CONFIRMATION DATE: ~ QUESTIONS ON YOUR ACCOUNT CAll: 1-888-522-6239 HEARING IMPAIRED: 1-800-684-3416 Page 1 ot 1 - . ~ A - ACCOUNT NO. 152-152-1520049474 ;'A~~~unt~~mm'~" DISTRIBUTION OPTIONS DIVIDENDS: REINVEST CAPITAL GAINS: REINVEST YEAR TO DATE . DIVIDENDS CAPITAL GAINS ACCOUNT VALUE AS OF 10/15/01 TOTAL SHARES ~ooo SHARE PRICE $0.72 MARKET VALUE $0.00 The IRA and 403(b) Plan annual custodial fees will be withdrawn from your accounts on October 26, 2001. This fee Is $12.50 per account per socIal security number at a maxImum of $25.00. Please contact our Mutual Fund SelVlce Center to pay the custodial fees by personal checx. Transaction Detan'~: Date 01/01/01 10/15/01 Transaction Dollar Amount Share Price BALANCE FORWARD TRANSFER OUT TO ACCOUNT 1520179546 414.29 141.37 2.11 0.72 TransactIon Shares 0.000 196.345 Total Shares 196.345 0.000 End Of TransactIon Detail Add iiicng II nvestmenf Form Jacob Internet Fund F1RSTAR BANK NA CUST RANDY 0 BOYER ROTH IRA ACCOUNT NUMBER 152-152-1520049474 Return this coupon and your check made payable to the fund. Write In amount of cheek ( $100.00 Minimum). :cr overnight/ express mailing: for regular mailing: DIITIJ.rn JACOB INTERNET FUND INC F;rstcr Mutual Fund Services, LLC 6 '15 E. Michigan Sf. :vlilwcukee WI 53202 Check appropriate box If this contribution JACOB INTERNET FUND INC Is not for the current year. FIRSTAR MUTUAL FUND SVCS, LLC P.O. BOX 701 D D D MAINTENANCE MIL W AUKEE WI 53201-0701 TAX YEAR ROLLOVER FEE (ANNUAl) ::00001 TRANSACTION 000000000 0000 0000 0000 5090 15215201520049474 PSE(~ the financiallinkTM October 31, 200 I Account # 0170364536 -~ JAMES D BOGAR ONE WEST MAIN ST SHIREMANSTOWN, PA 17011 Dear MR BOGAR: The following is the status of RANDY D BOYER's account with PSECU as of the date of death. Joint Owner's Name Date Established Date of Death Date of Birth NONE 01.15.1978 09.24.2001 05.18.1948 Share(s) Regular Shares (S 1 ) Vacation Shares (S2) Checking Shares (S4) Share 55 12 Month Roth Certificate Balance $43,836.10 0.00 10,076.31 18.524.4 7 Accrued Dividend $75.13 0.00 6.17 78.87 Loan(s) Personal Service Loan (L 1 ) VISA (L9) Balance $ 0.00 0.00 Accrued Interest $ O.OC 0.00 The Non-IRA dividend earned from January 1.2001 through the date of death was $1.134.28: the IRA dividend earned during the same period was $821.17. We do not have safe deposit boxes for our members. If you have any questions. please call 234-8484 in Harrisburg or our toll-free number. (800) 237-7328. At the menu prompt, enter 6 and then extension 2227. Sincerel:,.'_ f ,., '. - .' ;/. '~r-/':',l.""......"t.L/_ I .' i . I Meacie Fairfax Member Service Represemative Finance Support Unit P5NNSYLVANIA STATE EMPLOYEES CREDIT UNION Main Adaress: 1 Credit Union Place. Harrisburg, PA 17110-2990' (717) 234-8484 . (800) 237-7328 Mallirg Address POBox 57013, Harrisburg, PA 17106-7013' (7',7) 777-2100 (TOO) . (800) 472-1967TDD\ Web Address: NWW.QSecu,com Savings 'eaerally insured up to 5100.000 cry the National Credit Union Adminostration, REV-1511 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF RANDY D. BOYER Debts of decedent must be reported on Schedule I. ITEM NUMBER A. B. SS11 170 - 36 -4536 FILE NUMBER 21-01-0900 09/24/2001 DESCRIPTION AMOUNT 1 FUNERAL EXPENSES: Cremation Society of Pennsylvania - Funeral 1,390.00 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. 3. Attorney's Fees James D. Bogar Esquire Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address 7,262.50 City Relationship of Claimant to Decedent State Zip 4. Register of Wills Probate Fees 261.00 5. Accountant's Fees 6. Tax Return Preparer's Fees Greenawalt & Company, Mechanicsburg, PA 2001 Personal Income Tax Returns 200.00 7. 1 Other Administrative Costs AT&T - Telephone Bill - Final 5.99 2 Lower Allen Township - Sewer 24.00 3 PA American Water - Water Bill - Final 14.92 4 PP&L - Electric Bill - Final 118.45 5 Recorder of Deeds - Realty Transfer Tax 1,300.00 6 RESERVES: - Cost to conclude administration of Estate including filing fee for PA Inheritance Tax Return, Inventory and related; 850.00 Total of Continuation Schedule(s) 58.47 TOTAL (Also enter on line 9, Recapitulation) $ 11 ,485 . 33 (If more space is needed, insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc. Form REV-1S11 EX (Rev. 1-97) Estate of: RANDY D. BOYER Soc Sec #: 170-36-4536 Date of Death: 09/24/2001 Continuation of Schedule H-B7 (Other Administrative Costs) Item II Description Amount preparation of Fiduciary Income Tax Return 7 u.s. Postal Service - Certified Mail - IRS, PA Dept. of Revenue, Filing of 2001 Personal Income Taxes 11.82 8 Verizon - Telephone Bill - Final 14.94 9 Waste Management - Trash - Final Bill 31.71 58.47 REV -1512 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RANDY D. BOYER SCHEDULE I DEBTS OF DECEDENT, MORTGAGE liABiliTIES, AND LIENS SSff 170-36-4536 09/24/2001 FILE NUMBER 21-01-0900 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1 Andrews & Patel - Medical AMOUNT 186.00 2 Ford Credit - Account No. JJ A287 L052, pay-off of loan due on account of lLNHM87A1YY878789 9,956.57 3 PA Department of Revenue - 2001 Personal Income Tax, Balance Due 33.00 4 Sear's Master Card - Final Payment 71.86 5 Susquehanna Surgeons - Final Medical Bill 140.00 TOTAL (Also enter on line 10. Recapitulation) $ 10,387.43 (If more space is needed. insert additional sheets of the same size) Copyright (c) 1996 form software only CPSystems, Inc, Form REV-1512 EX (Rev. 1-97) REV-1513 EX + (9-00) SCHEDULE J BENEFICIAR IES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RANDY D. BOYER SS# 170-36-4536 09/24/2001 RELATIONSHIP TO DECEDENT Do Not List Trustee{s} NUMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a}(1.2}] 1 Larry V. Boyer 1020 Tunbridge Lane Mechanicsburg, PA 17050 Brother FILE NUMBER 21-01-0900 AMOUNT OR SHARE OF ESTATE Rest, residue and remainder of Estate ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18. AS APPROPRIATE. ON REV 1500 COVER SHEET II. NON- TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) C"oyright (c) 2000 form software only The Lac~ner Group, Inc. 0.00 Form REV-1513 EX (Rev. 9-00) . . LAST WILL AND TESTAMENT OF RANDY D. BOYER ( I, RANDY D. BOYER, of Shiremanstown, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, to my brother, LARRY V. BOYER, provided, however, that should he predecease me, then to his wife, MARY BETH BOYER. SECOND: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all fo~s of property, including stocks, common trust funds and mortgage investment funds, without ~ ~ ~ ---' ~ '- ~ II I I' ~ restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. ~ (G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law pe~its them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. THIRD: I direct that all inheritance, estate, trans- fer, succession and death taxes, of any kind whatsoever, which may te payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. FOURTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distribut- able, shall not be subject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. FIFTH: I nominate and appoint LARRY V. BOYER, Executor , -/~ ......, -3 --...J - 2 , .., I I.. of this, my Last will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said LARRY V. BOYER, I nominate and appoint MARY BETH BOYER, Executrix of this, my Last will and Testament. I direct that my Executor or Executrix, as the case may be, and their successors, shall not be required to post security or a bond for the perfor- mance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this lotl.." day of D <.J'Ck/ , 2000. RAN~ ~o~r- (SEAL) Signed, sealed, published and declared by the above- named Testator as and for his Last Will and Testament in our presence, who, at his request, in his presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ,/2, IJ B~k- ( '" - LP/ 1-- /{ 4Afr,/I/,J I ~7'i-jl i...... f . ' L. 1"-' U '- -/ -/ - v Address Address 3 J