Loading...
HomeMy WebLinkAbout01-0930 PETITION FOR PROBATE and GRANT OF LETTERS Estate of AL'CQ_3:, SWle- No. 21-01-930 also known as To: Register of Wills for the \ County of ~bG in the 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 executrl~ in the last will of the above decedent, dated ~ ~3 and codicil(s) dated /Ii I k t Deceased. Social Security No. ,Zo8 -..24- /u tt named , ~ Zool (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in 6MY\~'i\.C~ he-r last family or principal residence at __ -,til g,J.. nOlO (fJ. ~u.'^"b, fl,r.,ro) (list street, number and muncipality) CO~y, penn~nia, with ) Nt?.u) ~\Ah "'..r-\LUfV \ ) A4 years of age, died , ~~66 J , at rVev--- C Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the wi offered for probate; was not the victim of a killing and was never adjudicated incompetent: If./ 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: ~2.3 7 '/-Y\ ~-free+ /vi' I,; CU ^'" Vl pit .-.. (1 $ ~ OC(), o-cP $ $ $ 'i'CV VOO. 00 q070 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters -h:>~ -h f'r\,f' ^ 1,; r-~ (testamentary; aJimmlstratlOn c. La.; adminIstratIon d. b.n.c. La.) theron. '" or i~ ~~li~1 cx::g -g.g i~ 1111;;:r:/;/):;)dj P-A J 71) If) -;.271// 50 C;; c OIl Vi OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA I ss 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 de(;edent petitioner(s) will well and truly administer the estate according to law. Sworn to. 0.. r affi.rmed and subscribed { ~~~aH~/ ~ before me this 9 th day of v;;S ~ O~CR -2ilill ~ . 'Li/(. . ((~~4/<)jf~ /.-<<.an;lep ~ / R~~~ ~ ~o. 21-01-910 Estate of ALICE J SHADLE , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW OCTOBER 10, 2001-____ __ _ }{~___. in consideration ( "< iC";(',(' ')ll , the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated MARCH 23, 2001 described therein be admitted to probate and filed of record as the last will of ALICE J SHADLE and Letters TESTAMENTARY are hereby granted to BETTY J RAVIS 7'Y(/ ~{{.::.""JA )j~n'7 Re rer of Wi 5 FEES JCP $ $ $ $ 'J.OO TOTAL _ $ 112.00 .9... .2Q01. . . . . . . . . . . . . . . 80.00 Probate, Letters, Etc. .....,... Short Certificates( )......,... R~;t~8~flon ................ 1.00 24.00 ATTORNEY (Sup. C:. LD, No,) ADDRESS Filed ..... OC:r. PHONE 21-01-930 LAST WILL AND TEST AMENT OF I, ~ a citizen and resident oftu.lYlbw County, J A-- , being of sound and disposing memory, do hereby make, publish and declare this instrument as my Last Will and Testament, hereby revoking any and all Wills, Codicils and letters of testamentary import I formerly may have made. ARTICLE I SPECIAL DESIGNATION I direct that upon my death: t:>$i S\ Rf\-U6 'S.\.o re..cR-\\1 Q. - 1<"aJ e.~e- ~J"\OMe... a...4- ~:;23 7!:iJ ~~'I N. ~l~b. PA 17070 .. All QC>t'\~Q.v\.\-S 0.( hoMe... SAock.s. - CoV\6,S - Man ~ ~roM N (I.> F~.IL~ A-CCOlM\-\- S - Jj \ So I '" ~ "'('~. ~1 IJ" th, J Q. All ;~ c< ~ (h '1 E",euki at fY\.l lu d I, ARTICLE II TAXES, DEBTS AND EXPENSES OF ADMINISTRA nON I direct that all debts which I am legally obligated to pay at the time of my death, including my last illness and funeral expenses, taxes and costs of administration of my estate shall be paid as soon as practicable after my death. ARTICLE III WRITTEN MEMORANDUM From time to time I may prepare a written memorandum regarding the disposition of all .. 1 .. ) fl ; ~ , - ~~, or part of my tangible personal property which I might own at the time of my death. I direct that, notwithstanding any other provision of this Will, my Personal Representative distribute such tangible personal property as directed in any memorandum if such memorandum is signed by me, dated, references this Will, and is associated with a copy of this Will. If more than one such memorandum is located, only the memorandum bearing the latest date shall be valid. If no such memorandum has been located within ninety (90) days following the appointment of my Personal Representative, it shall be presumed conclusively that no such memorandum exists, even if a purported memorandum as described herein later is produced. ARTICLE IV DISPOSITION OF RESIDUE I devise and bequeath all the rest, residue and remainder of my property of whatsoever kind or character and wheresoever situate, whether presently owned or hereafter acquired by me, to b e +~Jj J. Q 1\\).); however, if that person is under the age of eighteen (18) years at the time \ such property is available to be distributed, then I devise and bequeath all of such property to the Trustee hereinafter named, IN TRUST, nevertheless, to be held, managed and distributed in the following manner: I~ A. Distribution of Income and Principal for Care of Child: Commencing as soon as practical following my death and continuing until the termination of this trust as hereinafter provided, the Trustee, at any time and from time to time, shall distribute to and among or for the benefit of the minor beneficiary, such portion or all or none of the income or principal or both of this trust as the Trustee, in his absolute discretion, deems necessary or desirable to provide for the proper health, education, maintenance and support of said child. Any income of this trust not so distributed shall be accumulated and added to the principal of this trust. I realize that the respective needs and educational programs of the beneficiary under this paragraph may vary or change from time to time. Accordingly, the Trustee, in his discretion, shall determine the amount of income or principal or both to be distributed to or expended for the benefit of said beneficiary - 2 - based on the beneficiary's respective needs at that time. B. Distribution Upon Termination of Trust: When the minor beneficiary attains the age of eighteen (18) years, the then remaining principal and undistributed income of this trust shall be distributed absolutely to that person. If, however, upon the death ofthat person before the age of eighteen (18) years, the then remaining principal and undistributed income of this trust shall be distributed absolutely to N{A In the event that the minor beneficiary should not survive me, then in that event, I devise and bequeath all the rest, residue and remainder of my property of whatsoever kind or character and wheresoever situate, whether presently owned or hereafter acquired by me, to {vIa. ARTICLE V DISCHARGE OF LIEN In the event any property or interest in property passing under this Will, by operation of law or otherwise, by reason of my death, shall be encumbered by a mortgage or lien, or shall be pledged to secure any obligation (whether the property or interest in property so encumbered or pledged shall be owned by me jointly or individually), it is my intention that such indebtedness shall not be charged to or paid by my estate, but that the devisee, beneficiary, or joint owner taking by survivorship, shall take such property or interest in property subject to all encumbrances existing at the time of my death. ARTICLE VI FIDUCIARIES .~ A. Personal Representatives: I appoint Be.. *1-.]' ~ as Personal Representative of this Will. In the event he should be or become unable or unwilling for any reason to serve as such Personal Representative, I appoint as Personal Representative f. ~.~ c;kJl~ B. Trustees: I appoint 6~*, ,:). ReA-u:j as Trustee of the trust created under this Will. In the event [he/she] should become unable or unwilling for any reason to serve as Trustee, - 3 - I appoint ~"\c.i"~ ShlA,ib to serve in such capacity. C. Guardians: In the event my child is a minor at the time of my death, I appoint f'J I ~ as Guardian of the person and property of such minor. In the event he shall be or become unable or unwilling for any reason to serve in such capacity, I appoint (Ii l Pr as such Guardian. D. Waiver of Bond: I direct that no Personal Representative, Trustee or Guardian named in this Article shall be required to furnish any bond or other security in any jurisdiction for the faithful performance of his duties as such, the same being specifically waived hereby. E. Waiver of Qualifications of Trustees: I hereby waive compliance by the Trustee appointed hereunder with the provisions of applicable state law, as that Chapter now exists or may be amended hereafter, and I specifically waive compliance with any other law now or hereafter in effect requiring qualification, administration or accounting by said Trustee to any Court. ARTICLE VII POWERS OF FIDUCIARIES In addition to and not in limitation by way of implication or otherwise of the powers and '6fp discretions elsewhere herein granted or those conferred by law, I give and grant to my Personal Representatives and Trustees the power and authority to do any of the following as in their unrestricted judgment and discretion they deem advisable for the better management and preservation of my property, without resort to any person or Court for further authority: A. Retain Property: To retain property as an investment without regard to the proportion such property or property of a similar character so held may bear to the entire estate; B. Sell and Exchange Property: To sell property at either public or private sale for cash or on credit; to exchange property and to grant options for the purchase thereof; C. Invest and Reinvest: To invest and reinvest in any property, including, but not by way of limitation, bonds, notes, debentures, mortgages, certificates of deposit, common and - 4 - preferred stocks, mutual funds, common trust funds, shares or beneficial interests in mortgage trusts or real estate investment trusts, real estate or any interest therein, and other property, real or personal, of every kind or nature, without being limited to the class of investment in which fiduciaries are authorized by law or any rule of Court to invest funds; D. Participate in Reorganization: To consent to and participate in any plan of reorganization, consolidation, merger, combination or other similar plan, and to consent to any contract, lease, mortgage, purchase, sale or other action by any corporation pursuant to such plan; E. Vote Stock: To exercise all conversion, subscription, voting and other rights of whatsoever nature pertaining to any such property, and to grant proxies, discretionary or otherwise, in respect thereof; F. Borrow: To borrow money and to pledge or mortgage any property as security therefor; G. Compromise Claims: To extend the time of payment of any obligation held by him, and to release, compromise, settle or submit to arbitration any claim upon such terms as may seem proper; H. Use of Nominee: To cause any securities or other property held to be registered and held in the name of a nominee. 1. Allocation Between Principal and Income: To appoint or allocate between principal or income any and all receipts of money or other property paid or delivered to him, any and all capital gains and losses on estate assets, and any and all expenses, including taxes, incurred by them with respect to any action taken or payments made in reliance thereon. J. Distribution in Cash or in Kind: To satisfy any general legacy or any part thereof in kind; and in the division or distribution of my property or any part thereof, to make partition, division or distribution of property in kind; and for any such purposes, to determine the value of any property, which determination shall be conclusive and not subject to review; - 5 - K. Collect Property: To collect and receive any and all sums and any and all property of whatsoever kind or nature due and owing or belonging to them in their fiduciary capacity, and to give full discharge and acquittance therefor; L. Insurance Policies, Premiums and Options: To retain as an asset of the estate and to pay premiums on all policies of insurance, including life insurance, held by them, and to elect any options or settlements or exercise any rights under such policies; M. Joint Income Tax Returns and Gifts of Spouse [ex-Spouse]: Without duty to give or obtain consideration therefor, to join with my spouse [ex-spouse] or my spouse's [ex-spouse's] estate in filing of any Federal Income Tax Return for any year for which I have not filed such return prior to my death and to consent to gifts made by my spouse [ex-spouse] as being made half by me for the purpose of the Federal gift tax law, even though such action may result in additional liabilities for my estate; any income and gift taxes due on such returns, and any deficiencies, interest or penalties thereon shall be allocated between my estate and my spouse [ ex -spouse] or my spouse's [ex -spouse's] estate, or all to any ofthem, in such manner as my Personal Representative or Trustee, in my their sole discretion, shall deem equitable and proper. N. Lend: On any terms deemed advisable, to lend trust funds to any borrower, including the Personal Representative of my estate and the beneficiary of any trust created hereunder, and to change the terms of such loans. This authorization includes the power to extend such loans beyond maturity with or without renewal and without regard to the existence or value of any security therefor, to facilitate payment thereof, to change the interest rate thereof, and to consent to the modification of any guarantee relating thereto; O. Deal With Property As Absolute Owner: To do all such acts, take all such proceedings and exercise all such rights and privileges, although not hereinbefore specifically mentioned, with relation to such property as if the absolute owners thereof. ARTICLE VIII DEFINITIONS - 6 - Whenever used in this Will, unless the context of any passage thereof required otherwise: A. Singular Includes Plural: The singular includes the plural and the plural includes the singular. B. Personal Representative: The term "Personal Representative" shall include any and all Personal Representatives of my estate, whether in connection with the domiciliary or any ancillary administration thereof, and whether male or female, and whether one or more than one, as well as their substitutes and successors. C. Income: The term "income" shall mean net income after the payment of all administrative expenses and taxes other than beneficiary income taxes. D. Property: The term "property" as used herein shall include both real and personal property. ARTICLE IX CONSTRUCTION OF WILL The headings and subheadings used throughout this Will are for convenience only and have no significance in the interpretation of the body of this Will, and I direct that they be disregarded in construing the provisions of this Will. IN WITNESS WHEREOF, I have subscribed my name to this my Last Will and Testament consisting of ~ pages, this included, on the margin of each of which I have placed my initials for the purpose of identification this J'3 day of 0lCA.,ch. ,.~ ;)00 I 1 /}lMQrl.~~~ [Name] 11 ATTESTATION In our presence, the Testator signed, sealed, published and declared the foregoing - 7 - instrument as and for [his/her] Last Will and Testament, and upon request and in [his/her] presence and in the presence of each other, we hereunto subscribe our names as attesting witnesses at Cu. rY\'vH\",\county, ~ C\ , this ?- ') day of ~wGh , ~. doG I '~l~~f 'Ln Cn.se-MbJ ~ l ~~) iJ~ CJ--vuJofW~ ~ v'tuul '1J.~v of )j /I fnO--fJf1t-illfJ \-9. .fJ() X 38 5wn[J1erdo.1~,!JA J1()q.a CtwnbulandJ1 ) I 0(\ SELF-PROOF OF WILL STATE OF ~ \\ COUNTY OF Lv. '" ~(~v,J\ We, [Name of Testator], -=A L u: "0 > Sha.!I-e and ('\-jo-.()OJ't..+ OeCl.('l<T' * JCA./H+ Co-floro, the Testator and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do declare to the undersigned officer that the Testator signed this instrument voluntarily as [his/her] Last Will and Testament and that each of the witnesses in the presence of the Testator, upon request, and in the presence of each other, signed this Last Will and Testament as a witness and that to the best of the knowledge of each witness, the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. /"/ ......, r)~ ..','!" {;, y/ , ')J.v:"t1 '(.'~/ .. . /. Testatot' ~ ~~.~ Witness STATE OF PA COUNTY OF C'--'.-.'\ ~t..rl~J - 8 - SUBSCRIBED and ACKNOWLEDGED before me by -A'"u J' 5Ut, the Testator, and SUBSCRIBED and SWORN to bef~re me by 0:Gt.rjcve-\- O-eotl'\(r and JGt^-Li- G,,,,, Ilorr) , the wItnesses, on thIS :1~l\A dayof~t\,..c-"'- ,J~. ~o'" \ \\'\.0..1\-'-\ ~ ~ NOTARY PbB"DlC Printed Name: ~~ c-.... :r. \"'r\: \.,\.c:. vi: c ~ Commission No: c 'l '1\'-\ 3 "\:5 My Commission Expires: ~J l-l.1 >::l '-t Personally known ' OR Produced Identification i/ (notary check one) Type of Identification Produced: d. c- ,-v ..... r ~ \..... \-' C. .... Y'-.~ <.it Notarial Seal C Mary J. MiIJovich, Notary Public M aCmp Hill Boro, Cumberland County om mission Ex ires Feb. 16,2 Member, Pennsylvania AssOCiatiOn ot Notaries - 9 - REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that present and saw the testat , sign the same and that signed as a witness at the request of testat_ in h presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed before me this day of 19_ (Name) (Address) Register (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS ~~J.e S~\(~)Le ~ PJPi-~ ~(),S , (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that they are familiar with the signature of AT.TC.F. T SHAnT.F. ~kxxxx testat~ of ~x~xmeo~t)1JorimJl~X~lK~X the will presented herewith and aOOm~ that they believes the signature on the will is in the handwriting of ALICE J SHADLE to the best of their knowledge and belief. ~/' A Sworn to or affirmed and subscribed before ~4' me this 9th day of ~OCTOBER ~~2001 -=l~vl-,</A~K0~ Reg/st r 9!k ~~~~ (Name) (Address) [ ."- ---- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Alice J. Shadle Date of Death: October 1. 2001 Will No. Admin. No. 21-01-0930 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 Name Address Rudv K. Shadle Bettv J. Ravis 171 Old Willow Mill Road. Mechanicsburg. PA 18 Crescent Drive. New Cumberland. P A Notice has now been given to all persons entitled thereto under Rule 5.6(a). Date: \ 2_lr~ -0\ f4lt! / 4L- Signature Elizabeth J. Goldstein Name 415 Fallowfield Road Camp Hill. PA 17011 Address \0 r;") (717) 612-5803 Telephone d: Capacity: Personal Representative oo:t - :::~": ':i u o I,:~.J ~ Counsel for Personal Representative g.g) U GJ' CJ)a:: a: p .....," I".U , ..a .::~ (I.) = '",- ~ uu ,--- - iJ: iJ: il " .J"- ru [J"" ::T IT1 to IT1 to to r-'l CJ CJ CJ CJ IT1 Lr1 r-'l CJ li;t- c I"'- _I _I' ~: 5' &ii" ClJI UJ, <t ..I: 0: I-I! (/)1 a:r -I LLI '-0 o '"0 O"l ro ~ o I 0::: ~ '"OC'lO ~ot- ._1"""""I't"""""'I ....... ~2~ 0......- :=:;::::l ~ roC/):=: ~ ...... tn ::c ,......, 0- ~ E ro u $00 c<3 ~ ~"'CS=...... ~o~~ ~ 0- cu :::d~:;;:=: tf.l ...:l ...:l H =- Il<< , Orz:l ~tf.l rz:l= H~ tf.lH H~ ~= rz:l0 ~Urz:l ~~eilM ZH=..-l =zao o =tf.l I' ,,0 ..-l ......Urz:l '::U::l tf.l < ~~~~ ;l;~~ rz:lrz:l=H ~ ~~8~ UU..-lU .. HEATH L. ALLEN N. DAVID RAHAL CHARLES W. RUBENDALL II ROBERT L. WELDON EUGENE E. PEPINSKY. ..JR. ..JOHN H. ENOS m GARY E. FRENCH DONNA S. WELDON BRADFORD DORRANCE ..JEFFREY S. STOKES ROBERT R. CHURCH STEPHEN L. GROSE R. SCOTT SHEARER WAYNE M. PECHT ELYSE E. ROGERS CRAIG A. LONGYEAR DONALD M. LEWIS III BRIDGET M. WHITLEY ..JOHN A. FEICHTEL ANN McGEE CARBON ELIZABETH ..J. GOLDSTEIN BARBARA A. GALL STEPHANIE KLEINFELTER KEEFER WOOD ALLEN & RAHAL. LLP 415 F' ALLOWF'IELD ROAD. SUITE 301 CAMP HILL. PA 17011-4906 ESTABLISHED IN 1878 OF COUNSEL: SAMUEL C. HARRY PHONE 717-612-5800 FAX 717-612-5805 HARRISBURG OFFICE: 210 WALNUT STREET HARRISBURG. PA 17101 EIN No. 23-0716135 www.keeferwood.com PHONE 717-255-8000 June 28, 2002 717-612-5808 cswindler@keeferwood.com Via: Certified Mail Cumberland County Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, P A 17013 J -~ Re: Estate of Alice J. Shadle File #21-01-0930 Dear Sir/Madam: Enclosed herewith for filing please find the following: 1. Pennsylvania Inheritance Tax Return (filed in duplicate;) 2. Inventory; 3. Check in the amount of $25.00 in payment of your filing fee; 4. Check in the amount of $2,039.88 in payment of tax due. Kindly acknowledge receipt of these documents by time-stamping the enclosed copy of this letter and returning it to our office. Thank you. /cds 90685 Enclosure Sincerely yours, CL~&\r&r ~l: D. Swindler, Legal Assistant to Elizabeth J. Goldstein HEATH L. ALLEN N. DAVID RAHAL CHARLES W. RUBENDALL II ROBERT L. WELDON EUGENE E. PEPINSKY. JR. JOHN H. ENOS m GARY E. FRENCH DONNA S. WELDON BRADFORD DORRANCE JEFFREY S. STOKES ROBERT R. CHURCH STEPHEN L. GROSE R. SCOTT SHEARER WAYNE M. PECHT ELYSE E. ROGERS CRAIG A. LONG YEAR DONALD M. LEWIS III BRIDGET M. WHITLEY JOHN A. FEICHTEL ANN McGEE CARBON ELIZABETH J. GOLDSTEIN BARBARA A. GALL STEPHANIE KLEINFELTER KEEFER WOOD ALLEN & RAHAL, LLP 415 F ALLOWFIELD ROAD, SUITE 301 CAMP HILL, PA 17011-4906 ESTABLISHED IN 1878 OF COUNSEL: SAMUEL C. HARRY PHONE 717-612-5800 FAX 717-612-5805 HARRISBURG OFFICE: 210 WALNUT STREET HARRISBURG, PA 17101 EIN No. 23-0716135 www.keeferwood.com PHONE 717-255-8000 June 28, 2002 717-612-5808 cswindler@keeferwood.com Via: Certified Mail Cumberland County Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Re: Dear Sir/Madam: Estate of Alice J. Shadle File #21-01-0930 J _.~ Enclosed herewith for filing please find the following: 1. Pennsylvania Inheritance Tax Return (filed in duplicate;) 2. Inventory; 3. Check in the amount of $25.00 in payment of your filing fee; 4. Check in the amount of $2,039.88 in payment of tax due. Kindly acknowledge receipt of these documents by time-stamping the enclosed copy of this letter and returning it to our office. Thank you. /cds 90685 Enclosure Sincerely yours, /-'r f' '. C' \ (: ~ .-' ~l-"- \\:) ~ 1{Ql(d QSle D. Swindler, Legal Assistant to Elizabeth J. Goldstein v' Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of Alice J. Shadle No. 21 -01 -0930 also known as Date of Death 1 % 1/01 Deceased Social Security 208-24- 1669 No. Bettv J. Ravis 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 Attorney: I.D. No.: Elizabeth J. Goldstein [~'Al1<1 &~ 73779 Personal Representative: Betty J. Ravis Address 415 Fallowfield Road, Suite 301, Camp Hill, PA 17011 ~~(1,uj Dated: to- ;l7~o~ Telephone: 717-612-5801 DESCRIPTION ,_. VALUE 1. 423 yth Street, New Cumberland, PA $49,500.00 2. 83.409 shares of PP&L stock $ 2,704.54 I 3. NCFCU Savings Account #10752 $ 1,052.30 __.....l. 4. NCFCU Checking Account #10752 $ 941.87 5. November 2001 Social Security Check $ 735.00 6. New Cumberland Federal Credit Union check $ 63.36 Total $54,997.07 (Attach Additional Sheets If Necessary) 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. Form RW-7 (Dauphin County) - Rev. 9/92 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 KEEFER WOOD ALLEN & RAHAL LLP 415 FALLOWFIELD ROAD CAMP HILL, PA 17011 n___n_ fold ESTATE INFORMATION: SSN: 208-24-1669 FILE NUMBER: 2101-0930 DECEDENT NAME: SHADLE ALICE J DATE OF PAYMENT: 07/01/2002 POSTMARK DATE: 06/28/2002 COUNTY: CUMBERLAND DATE OF DEATH: 10/01/2001 NO. CD 001355 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,039.88 I I I I I I I I TOTAL AMOUNT PAID: $2,039.88 REMARKS: BETTY J RA VIS C/O KEEFER WOOD & ALLEN CHECK#100 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS . REV-1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 DECE- DENT CHECK APPRO- PRIATE BLOCKS COR- RE- SPON DENT RECA- PITULA- TION REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) OFFICIAL USE ONLY FILE NUMBER 21 2001 0930 NUMBER COUNTY CODE YEAR SOCIAL SECURITY NUMBER Shadle, Alice J. 208-24-1669 DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE 10/01/01 12/01/1928 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER ~ 1. Original Return 4. Limited Estate 6. Decedent Died Testate (Attach copy of Will) 9. Litigation Proceeds Received ~ 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach a copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and H-95) 3. Remainder Return 8 (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes O 11. Election to tax under Sec. 9113{A) (Attach Sch 0) mm~ijMQ$tijij~j$l!P;:f$ijpQijijn$.PQ.~ie.QijflQiIftIAtW~jijijQijMit#im$ijQUYiijijp~R'gn;pf.4W NAME COMPLETE MAILING ADDRESS Elizabeth J. Goldstein, E lYe 415 Fallowfield Road, Suite 301 FIRM NAME (If Applicable) Canp Hill, PA 17011 Keefer Wood Allen & Rahal, LLP TELEPHONE NUMBER 717-612-5803 NTF 29755 Copyright 2000 GreatlandlNelco LP - Forms Software Only 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) SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0 (15) TAX 16. Amount of Line 14taxableatlineai rate 45,330.73 x.o 45 (16) COMPU- 17. Amount of Line 14 taxable at sibling rate 0.00 x.12 (17) T A TION 18. Amount of Line 14 taxable at collateral rate 0 . 00 X .15 (18) 19. Tax Due (19) 20. 0 I.Q~PKijgR.g..'f.tQti.AR~..ti~QQ~$1jkQ..j;:Re.a:lN():Qt.Aij.~R.p.iMNt...I 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested (1 ) (2) (3) (4) (5) (6) 49,500.:0:0' 2,704 :54 None None OFFICIAL USE ONLY 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) (7) 2,792.53 None c. 19.27 (8) 9,359.81 325.80 (11 ) (12) (13) 55,016.34 9,685.61 45,330.73 None (14) 45,330.73 2,039.88 0.00 0.00 2,039.88 ':~~$.$$.Qljlj~:tt>AN$.WiWAli#~Q~I9.MtQN:f'A$~gANttljljI!QBgQKMAtH;%?q q o PA15001 . . Estate of: Alice J. Shadle SUMMARY OF .AI...liX:'ATIONS 'ID BENEFICIARIES Taxable at lineal rate Betty J. Ravis Rudy K. Shadle 45,321. 09 9.64 45,330.73 21-2001-0930 PA REV-1500 EX (6-00) d C . . Page 2 A d Dece ent's omplete dress: STREET ADDRESS 18 Crescent Drive CITY I STATE I ZIP New CUmberland PA 17070 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 2,039.88 Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (D + E) 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 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + SA. This is the BALANCE DUE. Make Check Payable to: REGISTER OF WillS, AGENT 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ I ~: ~::::~ :;e~~~~i~n:~ii~~:r:s;:~ ~~~~I.~S.~ ~~~ ~~~~~~ ~r~~~~~r~~~ .~r.i~s. i~~~~~;. . . : : : : : : : : : : : : : : : . . 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? ................................................... 8 ~ 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? ........................................................ ~ 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 return including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration 0/ preparer other than the personal representative is based on information of which preparer has any knowledge. SIGN U OF E SON RES ONSI LE FOR FILING RETURN DATE . ~-.J1- O;;,} ADDRESS See Schedule attached SIGNATURE O~'pRE ARER ~THER THAN REPRESENTATIVE -.r~~{~OJk4 ADDRESS 415 Fal owfield Road, Suite 301, Camp Hill, PA 17011 (3) 0.00 (4) (5) 2,039.88 (5A) 0.00 (5B) 2,039.88 DATE ~ ~7-q:( use [72 P.S. 8 9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995. the tax rate is imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 89116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a sUNiving spouse from tax, and the statutory requirements for disclosure 01 assets and filing a tax return are still appjjcabl~ even jf the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net vaiue of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent. an adoptive parent, or a stepparent of the child is 0% [72 P.S. 89116(a)(1.2)]. The tax rate imposed on the net value of transfers to or lor the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72.P.S. ~ 9116(1.2) [72 P.S. i9116(a)(I)]. 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. 89116(a)(1.3)). A sibling is defined. under Section 9102. as an individual who has at least one parent in common with the decedent, whether by blood or adoption. o PA15002 NTF 29756 Copyright 2000 Greatland/Nelco LP . Forms Software Only . . Estate of: Alice J. Shadle 21-2001-0930 'Ihe following person(s) are signing the return as representative(s) of the estate: Betty J. Ravis 18 Crescent Drive New Cumberland, PA 17070-2701 EXHIBIT A REV-1502 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Alice J. Shadle SCHEDULE A REAL ESTATE . FILE NUMBER 21-2001-0930 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 right of survivorship must be disclosed on Schedule F. ITEM NO. DESCRIPTION VAL.UE AT DATE OF DEATH 1 423 7th Street, New CUrrt:erland, Pennsylvania 49,500.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 49,500.00 7 CPA21 NTF 10904 Copyright Forms Software Only, 1997 Nelco, Inc. . APPRAISAL REPORT . 06242002 File No Raviscu Piro Associates APPRAISAL OF LOCATED AT: 423 Seventh Street New Cumberland, Pa 17070 FOR: NA f Betty Ravis 18 Crescent Drive New Cumberland, Pa. 17070 BORROWER: Ravis, Belly ASOF: June 24. 2002 BY: Victor C. Piro, MRA - . . . Piro Associates 06242002 File No Raviscu NA I Betty Ravis 18 Crescent Drive New Cumberland, Pa. 17070 File Number: Raviscu Dear Client, In accordance with your request, I have personally inspected and appraised the real property at: 423 Seventh Street New Cumberland, Pa 17070 The purpose of this appraisal is to estimate the market value of the subject property, as improved. The property rights appraised are the fee simple interest in the site and improvements. In my opinion, the estimated market value of the property as of June 24, 2002 is: $49,500 Forty-Nine Thousand Five Hundred Dollars The attached report contains the description, analysis and supportive data for the conclusions, final estimate of value, descriptive photographs, limiting conditions and appropriate certifications. Respectfully, ;' I ~): L' ,:-t.; l 1/ /l (). ( . \ Victor C. Piro, MRA u -., UNII-_ Kt:~IUt:N' IAL APPRAISAL REPORT . PrODertv Oescrlollon File No. Raviscu Pronerlv Address 423 Seventh Street Citv New Cumberland State Pa __ Zip Cod~_11070 ____ Leoal Descriotion Deed Book 15 S Paoe 37 County Cumberland ________ Assessor's Parcel No. 26-24-0811-304 Tax Year 2002 R.E. Taxes $ 1 054.56 Special Assessments $ 0 BOlTOW'" Ravis BeUv Current Owner Alice Shadle (Deceased) mother Occupant: I I Owner I I enant [xl Vac;;;;! .. Pronertv riGhts annraised I X I Fee Simole I I Leasehold I Proiect Tvoe I I PUD I 1 Condominium (HUDNA onlyL- HOA$ o IMo Neiohborhood or Proiect Name New Cumberland Map Rererence ADC 21-A-4 Census Tract 107 Sale Price $ Market Value Date of Sale NA Descriplion and $ amount of loan charges/concessions to be paid by seller NA Lender/Client NA / Belly Ravis Address 18 Crescent Drive New Cumberland, Pa. 17070 Aooraiser Victor C. Piro MRA Address Lewisbern Pa. Location (EJ Urban o Suburban 0 Rural Predominant Single lamlly housing Present land use % land use change Built up lRJ Over 75% o 25-75% 0 Under 25% occupancy PRICE AGE One family -lQ lRJ Not likely o Likely 1(00l) {:tfs} Growth rate o Rapid lRJ Stable o Slow lRJ Owner ~Low~ 24 family 10 o III process Property values o Increasing lRJ Stable o Declimng o Tenant 150 Hioh 100 Multi-fan>1y ~_.~ To: Demand/supply o Shortage lRJ In baIanoo 0 ().a" supply fEl VaG3I1t (0-5%) Predominant Commercial ~ -------- MarketinQ rime n Under 3 mos fXj 3 6 mas n Over 6 mos Vacant OV9l'5%J 50-80 180-90 J Nole: Race and the racial composllion 01 the neighborhood are not appralsallactors. Neighborhood boundaries and characteristics: Subject property is located 1 mile N of Rt. 114, 1.3 miles E of 1-83,5 blocks W the Susquehanna . River in New Cumberland Borough, a quiet residential area of high density. . . Factors that affect the marketability of the properties in the neighborhood (proximity to employment and amenities, employment stability, appeal to marke!, etc.): . Subiect propertv has easv access to Route 114 and 1-83 leadino to other maior routes for employment in Harrisburg, Camp Hill and . .. other urban and suburban areas. Convenience to schools, Shopping and recreational facilities are typical for this _market place. The adequacy of pUblic transportation has no significant affect on market values. Employment appears to be stable._The subject property is__ compatible and appealing to Ihe market. --~~-- Market condilions in the subject neighborhood (including support for the above conclusions related to the trend of property values, demand/supply, and marketing time - - such as data on competitive properties for sale in the neighborhood, description of Ihe prevalence of sales and financing concessions, etc.) The subiects market area has settled 2 049 properties in four Quarters of 2001 with an averaoe sellled price of $147582. Marketing time average is 73 days in this area. Sales receive 98% of their listing price on average. This information is taken from the Central Penn Multi- List Service. Most loans are conventional and without seller assistance. Interest rates remain attractive for buyers and some refinancing owners. . Project Information lor pues (If applicable) - - Is the developer/builder in control of the Home Owners' Association (HOA)? l_J YES UNO Approximate lotai number of unils in Ihe subject project NA Approximate total number of unils for sale in the subject project NA Describe common elements and recrealional tacilities: This is not a PUD or PRD. Dimensions 25 X 105 Topography Level Site area 2625 Sq.Ft. Corner Lot o Yes lRJ No Size T ypical for area Specific zoning classification and description Sinole familv residential (RA) Shape Rectangular Zoning compliance lRJ Legal rR Legal nonco,~ (G.-andfalhered use) LJ Illegal U No zoning Drainage Appears adequate Hiohest & best use as imoroved: X Present use Olher use lexolain) View Residential Utilities Public Other Off-site Improvements Type Public Private Landscap<'9 Minimal Electricity 00 100 Amp rnl __ Street Asphalt lRJ 0 Driveway Surface None __._ _. Gas 00- - Curb/guller Concrete lRJ 0 Apparent easements Typical utilitb __ Water 00 Sidewaik Concrete lRJ 0 FEMA Special Flood Hazard Acea Yes ~ Sanitary sewer 00 Slreet lights Incandescent lRJ R FEMAZone ~_ MapDale02/16/7~_ Storm sewer lxl---- AIIev Asphalt [Xl FEMA Map No. 420366 Comments (apparent adverse easements, encroachments, special assessments, slide areas, illegal or legal nonconforming zoning, use, etc.): There are no aooarent adverse easements, encroachments soecial assessments slide areas or other adverse conditions noted. GENERAL DESCRIPTION EXTERIOR DESCRIPTION FOUNDATION BASEMENT INSULA nON No. of Units ~- Foundation Stone Slab 0 Acea Sq.Fl. 720 Roof Unkn 0 No. of Stories ---.L_ Exterior Walls Vinvl Clav.l Space 0 % Finished 0% Ceiling ~O Type (Del.lAlt.) Semi-Det Roof Surface Asoh. Shn. Basement 100% Ceiling Joist Walls Unkn 0 Design (Style) Colonial Guiters & Dwnspts. Alum/Alum Sump Pump No/Floor drain Walls Stone Floor None lRJ Existing/Proposed Existino Window Type Wd DH So Oampness None noted Floor Concrete None -0 Age (Yrs.) 85 ml __ Storm/Screens Alum/Alum Settlement None noted Outside Entry Yes Unknown ===0 Effective Aoe Vrs) 20-25 Manufactured House No Infestation None noted Bilco . ROOMS Fover Livino DininQ Kitchen Oen Familv Rm. Rec. Rm. Bedrooms # Baths Laundry Ollie, Acea SqFt. Basement x 720 Levell 1 1 1 720 --- . Level 2 3 1 720 . Finished area above orade contains: 6 Rooms; 3 Bedroom s); 1.00 Balh(s); 1 440 Sauare Feet of Gross Livina Acea INTERIOR Materiats/Condition HEATING KITCHEN EQUIP. ATTIC AMENITiES CAR STORAGE: Floors Crpt Vnl/Avo- Type HW Re~igerator IE] None 0 F<eplace(s)# _ [Q] None lRJ . Walls Plst Pnl/Avo Fuel Gas Range/Oven (EJ Stairs 00 Palio [Q) Garage # of cars Trim/Finish Wd/Avg ConditionNot work Disposal lXJ Drop Stair 0 Deck [Qj Attached --- Bath Floor CrpUAvg- COOLING Dishwasher [Qj Scuttle 0 Porch FronURear lRJ Detached ~. Bath Wainscot Crme/Avo- Centrai No Fan/Hood 00 Floor 00 Fence [Qj Buill-In ~ Doors Solid/Avg Other None Microwave ~ Heated R Pool [Qj Carport ~ ConditiOllNA Washer/Drver Finished llx18 Shed iXi Drivewav None Additional features (special energy efficient items, etc.): Properly has been vacant for four years. Furnace is not working. Water in basement durung heavy rains per Mrs. Ravis. Oil tank at bsmt is empty, was switched to gas 1977 ml. See addendum. Condition of the improvements, depreciation (physical, functional, and external), repairs needed, quality of construction remodeling/additions, elc.. Property reflects physical depreciation with deficiencies noted. No: functional or external inadeQuacies exist. Repairs needed,modernizations or factors that adversely affect marketability exists See Cost Approach and Addendum for further comments. . Adverse environmental condilions (such as, but not limited to, hazardous wastes, toxic substances, etc.) present in the improvements, on the site, or in the immediate vicinity of the subject property: There is no apparent evidence of adverse environmental conditions on the site or in the imorovements. F,edc:ieMar;Fllfm70 6-93 PAGE I OF 2 This !OIln was poduced Qf1 the ACI Do.olopmenl Re~I<:IFl)'ms Srst&m(600}234 6721 FannieMaeF<<ml0046-93 Valuation Section .NO UNIt-" t<E5IDENTIAL APPRAISAL REPORT ESTIMATED SITE VALUE ESTIMATED REPRODUCTION COST.NEW OF IMPROVEMENTS . = $ = $ 79,200 = 7,200 = _ 7,000 = 0 = $ 93,400 Est. Remaining Econ. Lile: = $ 41,096 = $ = $ = $ COMPARABLE NO.1 516 Fourth St New Cumberland 4 blocks S ml Dwelling 1 ,440 Sq. FI. @ $ 55.00 8sm\. 720 Sq. Ft. @ $ 10.00 . Porch 11x18 Shed - Garage/Carpcxt _ Sq. Ft. @ $ _~._ Total Estllnaled Cost New Less 60 Physical IFu~~t;onal I Ext~rn~1 · Depredation $41 096 Depreciated Value of Improvements . "As.is" Value of Site Improvements INDICATED VALUE BY COST APPROACH iTEM I SUBJECT 423 Seventh Street Address New Cumberland Proximilv to Subiecl Sales Price PricelGross Uv. "'ea Data and/Of Verification Sources VALUEADJUSTMENfS Sales or Financing Concessions Date of SalefTime Location Leaseld:Jifee Simle Site View Desian and Aooeal (Am of CalstnJ<fu1 Aoe Condition Above Grade Room Counl Gross Livinn Nea . Basement & Finished Rooms Below Grade I Functional Utility Heatino/Coolina Energy Efficientllems Garage/Carport Porch, Palio, Deck, Fireplace(s), etc. Fence, Pool, etc. . $ Market Value $ $ 0.00 \1'J $ 46.80 \1'J Inspection MLS/Ext. Inspection Public Records Public Records DESCRIPTION DESCRIPTION Conventional None known NA 12/01 ml13 Urban Urb/Eqv Fee Simple Fee Sirnole ~~_ .07 Ac/Eqv Resider!tial Res/Eqv Colonial/Semi-Del Colon Setni/Eqv ~ Average Avg/Eqv 85 Yrs. rnl 72/Eqv ~w Averaae Avo/~ ~Bams I Baths lotal : Bams: Baths 9 6: 3 : 100 6: 3 : 1.00 : 1 ,440 SqFl 1 280SaFl -, Full Full/Eqv Unfinished Unfn/Eav Aver~_____.Avg/Eqv Gas HW . OHW/S~ , IYei~_._ .Iyp/Eqv None .__ None Porch Porch/Eqv None None Shed Fence/Eqv COMPARABLE NO.2 328 Third St New Cumberland 5 blocks ml $ $ 31.25 \1'J MLS/Ext. Inspeclion Public Records DESCRIPTION I FHA None known 07/01mt 119 Sub/Eqv Fee Simple .08 Ac/Eov Res/Eqv Colon Semi/Eav Avo/Eov 85ml/Eav -3,000 Avo./Eav 59 900 1 +{.)$Adiustrnenl + 1 400 -3,000 Raviscu 5000 Comments on Cost Approach (such as, source 01 cost estimate, sile value, square fool calculaliall and for HUD, V" and rmllA, Ihe estimated remaining economic life of the plOperty) The Appraiser utilized the Marshall and Swill Residen!@!.~_. Cosl handbook and known local cosUaclor~ !~.tl~!'!.II.!'!.j1~_._ eslimalion of value frorn the Cost Apl!!oach.c.. ._.~_..___ The remaining economic life of the sub~llll~I!Yll;_.____ estimaled la be 25.35 years. See allaclledfIQQlQ@r.!..__._. addendum, A 44% deduction is taken intheC;C()~~QProach__ for physical depreciation using the age life '!!l:lI!I~..____. 40 52,304 1500 58 800 lotat. Barns' COMPARABLE NO.3 -----._._,-------_._-~- ----- 203 Market St .New Cun!~I~______ 6 blocks I!'L.... _.____~..__ _ ..1 50,000 $__ 2959.!Q_______. MLS/Exl.lnspection ~Y~li(;.Rl:l(;()r<ols./fulf-r ais~ Re<,.. t (-j $ Adjustment _~,~fllEJJQ~ I. _~H~_~dJlJshl\(~_ Conventional None known_ _.,._.___ ___~__. __ 05/0~.!!ltJJnkl!. ___.__ Sub/E..9.II.___ _ ..'--__.__ fee SirnplQ.... _ _.______ :09 AciEqll.._. . ,._.______. {-----__ .Res/E911... ;-.--.-.- ~. Se!!!!/!".tll.'.u___ .,-----__ j\vg/Eqv_. __...__._.__ 90rnllEqll.. .. .___~.__._ Avo./Eqv, _.,___...__ ~~~~--:- ~--~~~----: 7: 4 : 100 ' 0 -1 ,400 --~:l.690 ~'lil.~L__..:lJoo Full/Eqv Unfn/~II.. __ .fu'flI.E qv .' .3,000 GFA.~l~_ I~9I.'..~ .1,000 None Porch/Eqv None . None/Euv 50,000 Baths 7: 3 : 1.QQ.....; 1 t600 Sq.Ft. : Full/Eqv Unfn/Eav Ava/Eav OHW/Spv T vo/Eav 1 Car/SDv Porch/Eqv None None/Eav - ; ------"._-------- ...-- .---.--- ~_._--_.__.._-- : : NelAdUtotal\ I 1+ LM.:.--.i.$ 4600 r + [xl. : $ 5,400TT;-Txr:--:i.'~-=~-=:~dOO AdjusledSalesPrice Gross: 12.4% Gross: 10.8% Gross: 4.6% ofComnarable Net: .8% $ 55,300 Net: -11% $ 44,600 Net: .__:..~o&..1..._..___.11200 Comments on Sales Comparison (including Ihe subject property's compatibility to the neighborhood, etc.): All sales are from the subject area. Tiley ~!'!....- the most recent and most comparable sales available. All sales were appropriately adjusled for all measurable value influenci!.lfL____ dissimilarities. All were fee simple eslates and unaffecled by CDmmon amenities. The adjusled values accuratel~acket~l\\a\ket - value of lhe subject. Most weighl is given to sale #3 far having lhe least adjustments. A weighted means is used to helgdetennine tile final value. ' COMP"RABLE NO.1 See below COMPARABLE NO.2 See Below ls'~o::~~~~ :~- ITEM SUBJECT Dale, Price and Dala 4/13/1954 Source fa Jlfio( saies $7,500 ..;thin ve,.. of anrvaisal Deed "nalysis of any currenl agreement of sale, oplion, or listing of the subject properly and analysis of any prior sales of subject and comparables wilhin one year of Iile date of aplXaisa/: To lhe besl of my knowledge comparable sales have nol sold ane year prior their last seltlernenl date. The sW!l~r::.!l@.~, n __________ INDICATED VALUE BY SALES COMPARISON APPROACH $ .________ 49,500 . INDICATED VALUE BY INCOME APPROACH IIf Annlicablel Estilll~ted Ma;kei Re~i$ . NA /Mo. x GlOSS Rent MolliDli~ NA = $ NA This appraisal is made 00 "as is" 0 subject 10 the repars, alt~ations, inspeclions or ooflditions listed below 0 subject to cofllpletKm per plans and spedlications. Conditionsof/lllJlfaisa/: This is a Summary Report of a complete appraisal as defined by USPAP. Repairs recornrnended ..._.___ Final Reconcilialion: The Sales Cornparison Approach measures actual buyer.seller activities in the rnarket and is the most reliable indicator of residenlialmarkel value. The Cosl Approach provides good confirmation for new construction. Tile IncomeAQI![<JaclU~J.l2!....__..__ . developed due ta lhe lack of data. . ___. n...._____.___. The purpose of Ihis appraisal is to esllmale the market value 01 the real property that is the subjecl 01 Ihis reporl, based on the above conditions and the cer Ilfica""I, conlingent and limiting oondilions, and market value definition that are slated in tile allad\ed Freddie Mac Fcrm43glFannie Mae F0I11110G4B (Revised ~~l_ __ .. .__ ). . I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE REAL PROPERTY THAT IS THE SUBJECT OFTHISREPORT, AS OF Juneg,!, :2,002._ ._.._ IWIIICH IS THE DATE OF INSPECTION AND THE EFFEfi:TIVE DATE OF THIS REPORT) TO BE $ 1!;l,500 , . A.PPRAISER: ")/." \ } SUPERVISORY APPRAISER (ONLY IF REQUIRED}: Signature :_ c '- r., ( ( ',' Signature .__... Name Victor C, Piro,' MRA . Name Date Report Signed 06/26/2002 Date Report Signed Stale Cerllficalian # RL.00'1026.L Stale Pa Slate Certificalion # Or State License # Slate Or State License # Freddie Mac Feirn 70 693 I JUid [ .lUlu Nol IlIspect Plopelty ~Ie......._... State PAGE 2 OF 2 lhis lam 10<15 plOOulC:l 011 the ,Il,CI OevBlopfTl6l11 ),ap,df crms system (OOO)234-S127 FallnieMaaFofll110001 093 ADDENDUM Borrower: Ravis, Betty Property Address: 423 Seventh Street City: New Cumberland Lender: NA I Betty Ravis Slate: Pa File No.: Rav\scu Case No.: 06242002 ZijJ:!Z9Z9 The Cost Approach does not represent market value and is seldom used by the typical buyer. This approach is used to support the Sales Comparison Approach in Particular cases, and is not to be used for market value. A thorough search for comparable sales was made to find ones with identical amenities. After considering localion, dates of sale, and physical differences, it is niy 9pinion the sa-Ies selected are the best available indicators. The appraiser is unable to verity the insulation "R" factor. Any insulation informaiion slated in the report is provided by inspection, the owner or owner's agent, and presumed to be accurate. One or more comparables are over six months since settled. Although there may be comparable properties in the immediate area none have sold recently enough to be considered good data. No personal properly has been inCluded in this valuation. The Appraiser considered only those items Ihal are prernently attached to the real estate. Any items not so affixed, such as refrigerators, ranges, washers, dryers, above groundpools, spas, et cetera, were not included in the estimate of market value. All comparable sales are settled to the best of the Appraiser's knowledge. Verification was with County and/or Realtor services. Adjustments for condition is made 10 comparable one due to the assumed condition variance of the comparable as compared to the subject and to represent the typical market reaction. Thele was evidence of water damage at the front bedroom ceiling, Mrs. Ravis said problem was fixed 1999. Also, there is ceiling damage at the bathroom with exposed wood, broken plaster and peeling paint. Cost to Cure: estimated cost to cure items mentioned in the body of the report and addendum are as follOWS; replace furnace $4000, repair damaged ceilings $2500, general clean-up and paint $1500, tolal = $8000. Mechanical systems (plumbing and electrical) appear 10 be in working order visually. No warranties are implied. THE APPRAISER IS NOT AWARE OF THE PRESENCE OF RADON GAS AND/OR RADON DAUGHTERS, AND IS NOT CERTIFIED TO EVALUATE SAME. IF A FUTURE TEST SHOWS UNACCEPTABLE LEVELS OF THE GAS, THE APPRAISED MARKET VALUE MAY BE ADVERSELY AFFECTED. THE SUBJECT WAS BUILT PRIOR TO 1978. THE APPRAISER IS NOT AWARE OF THE PRESENCE OF LEAD BASE PAINT AND IS NOT CERTIFIED TO EVALUATE SAME. IF FUTURE TESTS SHOW UNACCEPTABLE LEVELS OF THE PAINT, THE APPRAISED MARKET VALUE MAY BE ADVERSELY AFFECTED. Victor C. Piro, MRA 717-938-2446 /:Jorrower: Revis, Belly ~ Property Address: 423 Seventh Streel CiIV: New Cumberland lender: NA I Bell Ravis Slale: Pa =-______. }~~HIF;.':c:o- ir' ". . u".' ". '.' l~ ~ ., ~~m.ut:l ' IW'.~' '. '~-'='fl~"I>'"",",,,,,,;:,,;,... ~ - ;,,";yrIJi: '0 i~3111' ...... 1.....-. .'J":~;;)::\~f. ~\:'.i ~: ;~; '."i_. \:f~ g..ll I~';;ll ',' (':1, "~ T,lj .... , ' - , . , - ' ~ ":= .--- --.-..----- -- ,f' 6i~:~~~02u-u-------~-== \ ,,~E:Jl()IQu-----=.J FRONT VIEW OF SUBJECT PROPERTY Appraised Dale: June 2'1, 2002 Appraised Vallie $ 4!:1,50[) REAR VIEW OF SUBJECT PROPERTY STREET SCENE '\. Slate: Pa File Raviscu Case No.: 06242002 Zip: 17070 Interior Photos Dining 100m F ronl bedroom wi ceiling damage Bath room wi ceiling and wall damage ~ " ......... . ...... .,.................. . .....UL..L; MUU':;".' Iil \ I Case No 06242002 P-,~rtI ~dre~~~3 S~v!ntl~.!itr.~ City New Cumber!,,-~ Borrower ___~!!_ ~ncJ~r1~~I,! .~I.R:avl~ ~ep~~~~_~~~ v. Piro ~.~~!!!Y S:~~ber~~ _.Slale. PA lip 17070 Porch Balcony Bedroom Kitchen Bath I!llHllmnn IIIIIIJII II U Ii b Dining (ij b (ij <Xi ~ <Xi ~ 'l" ~ 'l" Bedroom ~ t\l t\l D- o.. Living Room Bedroom . Porch 15.0' 15.0' Comments: Scale: 1 = 15 AREA CALCULATIONS SUMMARY , LIVING AREA BREAKDOWN Code Description Size Totals Breakdown Subtotals GU1 First Floor 120.00 120.00 First Floor GLA2 Second Floor 120.00 120.00 15.0 46 .0 120. 00 Second Floor 15.0 46.0 720.00 TOTAL LIVABLE (rounded) 1440 2 Areas Total (rounded) 1440 APEX SOFTlNARE 600-"'" 9958 Ap_8100-w Aplllll ;f.~ r~ COMPAeE SALE #1 516 Fourth SI New Cumberland Sale Date: 12/011\11 13 Sale Price $ 59,9tH) COMPARABLE SALE #2 328 Third SI New Cumbeliand Sale Dale: 07/01 ml 119 Sale Price $ 50,000 COMPARABLE SALE #3 203 Markel SI New Cumberland Sale Date: 05/02 1\11 Unkn Sale Price: $ 50,000 fd.jtl,' t<avISClJ DEFINITION OF MARKET VA. The most probable price which a properly stlOuld bring i.npelili"e and open mark"t under all conditions requisite to a fa , the buyer and seller, each acting prudently, knowledgeab d assllllling tile price is not affected by undue stimulus. Implicit in this definition is the consummation of a sale as of a specified date and tile passing ollille (rom seller fo buyer under conditions whereby: (1) buyer and seller are Iypically motivated; (2) both parties are well in(",med 01 well ad"ised, and each actin9 ill whal he considers his own uest intelest; (3) a reasunable time is allowed (0\ eXpDS\IIe in the "l'ell IIlork,,', (4) paYlnenl is made in terms of cash In U.S. dollars or in terllls of financial arrangements comparable thereto; alld (5) the price rel"esellts Ihe norlllal consideration for the plopelty sold unaffected by special or creative financing or sales concessions' granted by anyone asslldated with Ihe sale. 'Adjustments to the cOlnparaules lIIuSt ue made for special or crealive financing or sales concessions. No adjusllllents are lIecessary [Ill those costs which are nurmally paid by sellers as a result of tradition or law in a market area; these costs ale leadily idelllifiaule since lIle seller pays Ihese costs in virtuaily ail sales transactions. Special or creative financing adjustmenls can ue made 10 lIle (:I ""pal able plOpelly by comparisons 10 financlug lerms offered uy a third pally institutional lender that is not already involved in lite property 01 trallsaction. Any adjustment should nol be calculated on a meclrallical dollar for dollar cost of the financing 01 cOllcessioll bul Ihe <I, Mill alllo<lIlt of allY adjustment should approxilllale tlte market's reaction to the financing or concessions based on the Appraiser's judglnent STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERlIFICAllON CONTINGENT AND LIMITING CONDlTlONS:l he appraiser's celtificatioll tllat appears ill tlie applaisallel'"r[ is sulljed to \he following condilions: 1. The appraiser will not l)e lesponsiule lorlllallers of a leyal nalure that allect either tlte plopelty ueiufj applaised l" the title 10 il Ihe appraiser assumes Ihal the litle is good and malketaule and, therefore, wiil not render any opinions about the litle. the plopelly is appraised on the basis of it being under lesponsible ownelsltip. 2. The appraiser has provided a sketch in the appraisai leport to show approximale dimensions of the impru"emellls and lite sketch is included only to assist the reader 01 the repolt in visualizing the properly and understanding the appraiser's delermination of its sile 3. The appraiser has exanlined tlte available flood maps that ale pro"ided by Ihe Federal Emergency Managelllcllt AgelH;y (or otliel data soU/ces) and has noted in the appraisal report whelher the subject site is located in an Identified Special Flood lIalilld AI"a Becanse the appraiser is not a sUlveyor, he or she makes 110 guar antees, express or implied, regarding this determination. 4. Tile appraiser will not give testimony or appear in COUlt uecause lie or she made an appraisal of tile property in queslillll, ullless specific arrangemenls to do so have ueen made befm ehaud. 5. The appraiser has estimaled Ihe value olll1e land in IIle cas I approach at its highest and best lIse and tile illlplllvelnellts at IIleil contributory value. These separate valualiolls of the land alld impro"ements musl not be used in conjullctillll Willi allY IIll1er apPI aisal and are illvalid if they are so used. 6. Ttle appraiser liaS noted intlie appraisal report any adverse conditions (such as, needed repairs, depreciailou, tlie IJlesence of liazalllous wastes, toxic substances, etc. ) observed dwing IIle inspection of Ihe subject property or III at he or she became awale of dllliny the IIollnal research involved in pel forming the appraisal. Ulliess otherwise stated in the appraisal report, tlie appraiser has 110 knowledge of allY hidden or unapparent conditions of the plOperty or ad"erse environmental conditions (Including the presence of Ilazar dous wastes, toxic substances, etc. ) thai would make Il1e property more or iess vaiuable, and has assumed tllat there are 110 sucli conditions and makes no guarantees or warranties, express or implied, regarding the condition of the properly. The appraiser will IIUt be lesl'lI11sible fOI allY such condilions that do exist or lor any engineeriny Ollesliny 111 at miylit be required to discover wlielller sucli conditions exist. Because Ihe appraiser is not an expert in Ihe field of environmentalliazards, the appraisal reporlmust not be considered as an envilolllllelltal asseSSlnellt of Ille property. 7. The appraiser obtained tile information, estimales, alld oplniolls that were expressed in the applaisal report froru sOlllces tltilt he or slle considers to be reliable and uelieves them to be true and COIlec\. The appraiser does II0t assume resp'ollsilJilily for lite acclllacy of such items that were lurnislled by otl1er pal lies. 8. The appraiser will not disclose the cOlltents ollhe appraisal report except as provided for in tile Uniform Slalldalds of I'lOfessional Appraisal Practice. 9. The appraiser has based his or her apPlaisalleporl and valuation conclusion for an appraisallhat is subject to sahsfad<IIY completioll, repairs, or alterations on the assumption that conlplelion of the improvements will be perlormed in a workmanlike manner. 10. Tile appraiser must pro"ide his or her Jllior written cOllsenl before IIle lender/Glient specified in tire appraisalreplllt can disllibute the appraisal reporl (including conclusions about tlie properly value, the appraiser's identity and professional designations, and references 10 any professiollal appraisal organizations or the firm wilh which Ihe appraiser is associated) to allyone otlier Ihall tile bOll ower; tlie mortgagee or its successors and assigns; IIle mortgage insurer; consuitants; professional appraisal OIganizatilllls; allY stale 01 feder ally apPIO"ed financial institution; or any deparlrnent, agency, or instrumentality of the United Slates or any slale 01 tire Ilistriel uf Columbia; except thatlhe lender/client may distribute the property description section of Ihe reporl only to data collection DI lepullillg selvice(s) without having to obtain the applaisel's prim wliltell consent. The appraiser's written consent anu apPlovallnusl alsDt>e Dblained befule the appraisal can be conveyed by anyone to the public lIl/ough advertising, public relations, news,' sales, or ollrer media Freddie Mac FOIm 439 6-93 Page 1 of 2 [-anuie Mile rDlrn IOU4B 6-93 ~. 1 . APPRAISERS CERTIFICATION: The Appraiser certifies and agrees that .\10 rlo. Ra~iscu 1. I have researched the subject market area and have selected a minimum of three recent sales of properties most similar and proximate to the subject property for consideration in the sales comparison analysis and have made a dollar adjustment when appropriate to reflect the market reaction 10 those items of significant variation. If a significant item in a comparable property is superior to , or more favorable than, the subject property, I have made a negative adjustment to reduce the adjusted sales price of the comparable and, if a significant item in a comparable property is inferior to, or less favorable than the subject property, I have made a positive adjustment to increase the adjusted sales price of the comparable. 2. I have taken into consideration the factors that have an impact on value in my development of the estimate of market value in the appraisal report. I have not knowingly withheld any significant information from the appraisal report and I believe, to the best of my knowledge, that all statements and information in the appraisal report are true and correc\. 3. I stated in the appraisal report only my own personal, unbiased, and professional analysis, opinions, and conclusions, which are subject only to the contingent and limiting conditions specified in this form. 4. I have no present or prospective interest in the property that is the subject to this report, and I have no present or prospective personal interest or bias with respect to the participants in the transaction. I did not base, either partially or completely, my analysis andlor the estimate of market value in the appraisal report on the race, color, religion, sex, handicap, familial status, or national origin of either the prospective owners or occupants of the subject property or of the present owners or occupants of the properties in the vicinity of the subject property. 5. I have no present or contemplated future interest in the subject property, and neither my current or future employment nor my compensation for performing this appraisal is contingent on the appraised value of the property. 6. I was not required to report a predetermined value or direction in value that favors the cause of the client or any related party, the amount of the value estimate, the attainment of a specific result, or the occurrence of a subsequent event in order to receive my compensation andlor employment for performing the appraisal. I did not base the appraisal report on a requested minimulTl valuation, a specific valuation, or the need to approve a specific mortgage loan. 7. I performed this appraisal in conformity with the Uniform Standards of Professional Appraisal Practice that were adopted and promulgated by the Appraisal Standards Board of The Appraisal Foundation and that were in place as of the effective date of this appraisal, with the exception of the departure provision of those Standards, which does not apply. I acknowledge that an estimate of a reasonable time for exposure in the open market is a condition in the definition of market value and the estimate I developed is consistent with the marketing time noted in the neighborhood section of this report, unless I have otherwise stated in the reconciliation section. 8. I have personally inspected the interior and exterior areas of the subject property and the exterior of all properties listed as comparables in the appraisal report. I further certify that I have noted any apparent or known adverse conditions in the subject improvements, on Ihe subject site, or on any site within the immediate vicinity of the subject property of which I am aware and have made adjustments for these adverse conditions in my analysis of the property value to the extent that I had market evidence to support them I have also commented about the effect of the adverse conditions on the marketability of the subject property. g. I personally prepared all conclusions and opinions about the real estate that were set forth in the appraisal report. If I relied on significant professional assistance from any individual or individuals in the performance of the appraisal or the preparation of the appraisal report, I have named such individual(s} and disclosed the specific tasks performed by them in the reconciliation section of this appraisal report. I certify that any individual so named is qualified to perform the tasks. I have not authorized anyone to make a change to any item in the report; therefore, if an unauthorized change is made to the appraisal report, I will take no responsibility for it. SUPERVISORY APPRAISER'S CERTIFICATION: If a supervisory appraiser signed the appraisal report, he or she certities and agrees that: I directly supervise the appraiser who prepared the appraisal report, have reviewed the appraisal report, agree with the statements and conclusions of the appraiser, agree to be bound by the appraiser's certifications numbered 4 through 7 above, and am taking full responsibility for the appraisaf and the appraisal report. ADDRESS OF PROPERTY APPRAISED: 423 Seventh Street, New Cumberland, Pa 17070 APPRAISER: SUPERVISORY APPRAISER (only if required) Signature: ) "l t~z Name: Victor C. Piro, MRA Date Signed: 06/26/2002 State Certification #: RL-001026-L or State License #: State: Pa Expiration Date of Certification or License: /} I.., \. , . . L Signature: Name: Date Signed: State Certification #: or State License #: State: Expiration Date of Certification or License: 06/30/2003 o Did 0 Did Not Inspect Property Freddie Mac Form 439 6-93 Page 2 of 2 Fannie Mae Form t004B 6-93 ".. .' ."lte \ , \ E Joins Map 1/ F . G It .~ "- . 1 i I( A B C D 16'52'30' 76.~2'3U i'6n~I'4]' B J 1L"~0'1~' 16"49'JO' iP~ -4~ ~ ~ ~ \,M'!~~-c >-' f;/ .r~~ i~ \ '- ''-\ "'7'~ A stShoro Y CA Camp 6 I'- 'f lli: '\ V WIPA R.dio Tower . ,----...,.... ~0// 1./ ----.,-\1: ..,,/ ~\~ lA '. 16.52']0' 76952'30' 16'51"45' 2.250,000 F1 76'51'00' 16"!llrlS' 1&'4Y']O' r J' I{ A B c o E Joins Map 311= G u '~ 1\ 1 . . I ;:~d' $ cd.. T/D( i 0, I 3 I EfL >< 30( ,,(,~ II- ( CJ ::::'-'-/, :...:t. THIS IS NOT A TAX BILL MAILING DATE, July 1, 2000 Parcel Identifier: 26-24-0811-304. District: 26 - NEW CUMBERLAND 2UD WD School..: WEST SHORE SO Location: 423 SEVENTH STREET LAND 2000 Markel Value 15,000 83,180 98,180 Old Assessed Value (1974 Malkel x 25%) 500 3,250 3,750 Assessed Value (2000 Markel x 100%) 15,000 83,180 98,180 Land Buildings TOTAL TAXABLE 2000 Clean and Green Values Land Size....: .06 acres Land Buildings TOTAL NOT APPLICABLE NOT APPLICABLE NOT APPLICABLE Property Type; R Residential With Buildings Clean and Green values apply to some farm and forest land. Such values' become effective only upon application and approval. All applications must be received by the Assessment Office by 4:30 p.m, on October 15, 2000, T1rose previously approved for Clean and Green do not need to re-apply, Control No: 26001869 CUKABPCH Pennsylvania law requires lila/ all real estate be valued as of tile most recent county-~icle reassessmsnt. Tile last reassessment, or tax base year, was 1974. Since the last reassessment in 1974, properties lIave been assessed at 25% of tlie 1974 value (the "Pre-Determined Ratio'? Tile new tax base year will be the Year 2000, witll tile new assessed values becoming effective for tile 200 t tax year. The Pre-Determined Ratio lias been cllanged to 100%. Your new assesse<l value equals your Year 2000 market value, It is very important for you to know tllat wilen tile new 2000 tax base is determined after tilis reassessment, all taxing districts are required by taw to tower tile millage rate by tile same proportion that tile tax base went up, The law provides tllat in tile first year after reassessment (2001), the county and all townships and boroughs may not increase overall revenue by more tllan five percent (5%) and schoof districts, may not increase overall revenue by more tllan ten percent (10%). Tile county and tile otller taxing bodies will make IIlese deCisions next year, and may choose not /0 increase overall revenue. Of course, some individual's taxes will go up or down by more than llJOse percentages. The essential point is that an increase in market values does not necessarily mean a corresponding Increase in taxes. Individual changes in taxes will depend upon a specific property's change as compared to the overall change for the taxing district. The ESTIMATED impact statement printed below is our best estimate of change, based on 2000 COUNTY tax figures, This estimate does not include any borough, township, or school district impact. ESTIMATED COUNTY TAX IMPACT, Current 2000 County mills Adjusted 2000 County mills = 27.500 1. 858 $ $ 103 182 2000 County Tax BEFORE Reassessment. 2000 County Tax AFTER Reassessment. !\ I 1 \ 1 tIlt day of fU'IiU, in the yC((!' of om' Lord one thousand nine, hundred fifty-fuur il.ctlUC.cU "iiI 1 ,'j'I':H ;::. \ ;i\ll ,l';'I','3 anc'! T/!\LI)I I-V,," 1:'1i II",": " I ' 'I, ' Ii' 1111' Estate u,i' ""illll;1 ,I. I!U'I.ll't~:;, l1e,:celeJecl, J,tte 01' LII'; 1,:111',,,,, II i I I ('I!I'llll'I'-- lU.nd uUll :;1,:1," "I' 1"'IIII:',"[V'llli,l, partJ'::3 Oi' 1,11" I'h',:, ," I I anl1 nUlJY c. 1~)]I!\[)I,I~ ii/lit I\T,-ICl'; r.1. ;~l]ADLE, lrLu \'vJ.r(~~, l'n"Jtll Ill' Ill' ,Ii I 1'1' Harrls1111l',":, 1:IIIIIII,y III' IJ,t1lidli 1\ dill) :~;t,lte of l'C:llllc;\,!lv II Ii :1. ,,'1/'1 "1 :: "I' Illl' S(:cOl1ll pal' I, . flJ/l'lJ."lll'lSt !':lllltla ,T.I\(\i .I.(:t~3, by vJrtue 1)1' lU\jl,I':: !('" I " '1""\' 1111"::: "tlxl aS3Ur,U!I'tI,': ,ill Jal'!, dilly IJild and exccut(:il, 1,,'I':Uill' ill I" I Iii, illl" seisecl ill II':]' t1C:III'~311l;, a:, uf f'c;c, amongst otllc;l' I"lld:, "' "'II i'l 'I cel'tel.in II\\::::HFWC 0,\' tC\lC'IW::ill, or tract oJ:' lanel, ,;11,11:11,' ill illt, 1',"1"1111:"11 or 1'iL~w 1'~llJliI'I'J' 1:llliI, CUIIIII;\, ll!' CllfillJcrland aJ'ol",;~;,Li<l, I ""'! II 'I I ' " , ;, \!, ~ I I I. II ,street, ['JI:':I r:1illIlJ"I'I'1!1l1, 1"~I\ll'C,"lval1ia; ett1\llwfllr :':'111"1 '"" " d. 1i1'1111; Ile1' Li(;\ Vii 1,1 :ill!! 1,l~:I:11I1I;jlL JlJ nriU,n[':,. 1'\}Cll'ill:' d:lt" III" "'11'1,' 'I,ll, dclY of j\]ll'i I, !\.D. U!I\; LlIIII!:::I]]([ nine Jl1mdn:d eLml fi 1'1, 1111"", ':/II'I"ill anti WllelOl'IJ,\', ;ll'l"II't':[; (lUIl'I' Lllill{':S, ~;lle onlerCll tlull III' '''JI'' I, "I 11"1' real (:;[,:t:ILI: ~~llul'J<I IIE~ sold II.': tier Executors tl":}l'l;J11:11'["I' 11,11'1,,,1, III wlli,;I, saLcl w:Ll1 ::111: il/III(lilll;!;d ~\fnll,(;l' S. [:adl:ts n.nd IW11'1\ "i. \'..,i 1"1 1,',:r,"lltlll':, , as in and II,',; 1\\1; :'::lid rcci tell \Till, sinee 1181' d"c,"'":,, (/111, "1 ,,' "". ,'11111 rCI:lctJ,n:i,lli ill 1.11'-; 1!1~:,"j::~t('l'l,S office at Cc:.r:U:::1e, I""I!I,"I\/"I';'I 1":1""11'::'; lHI:ilJ{': tlll:)"'IIIILr! 11:[tl, :,1jllil',lrt}:, __~_.~_,,~__.____.n_ . _ .._..+_._~------ ~.. t n '.d~lln;:D !JY111;:: '''~'''''':I '1/: /1 r '\"'1 r,,,!,"]rol/ir'f) . t ,,::\.-,,:-... ,; fi.... lJV l.l ..0. l !.\ /,f4~ ,/ ~_..."n'''_h_ 1'),~ --r;,-;;' ...;l "I ,..,..,'~~.~~;;;,...,,' ___,.....~_,~....,__.____ "'".""_'~"'''.''''''~' ~~--- , t 1 " l' ~ Now tbill Ifnilrnt& wihtr!3llrt11, That the said 'IIttl.~;. I',it"! \(;'\'3 R" .~-' , 1- \ \ anrl lia] I'll W. Bcli Ie ts, Executors as aforesaj.cl, for amI }n l:()l\~;'l(ll;ratlon for and in considemtion 0/ the Slllll 0/ ~ll':Vl!:!'J 'J'!iOUSArm FIV1~ llUNDFiED (:11:7,500.00) DOLLi'd1S lawful money of the United States, to them well and truly paid by the said J1 art j e s 0 f t11 e second purt at and before the sealing and delivery hereof, the receipt whereof is hereby acknowledged, have gmnted, bargained, sold, aliened, released, and confirmed und by these presents, l10 grant, bargain, sell, alien, release and connml unto the sai(l llarties ur the second part, tl\elr 11ej n; amI assigns: ALL TllNI' CI!:r;'NlT N lot and Tlarce 1 of land, toget1wl' Vii tll t118 improv- ements tllereoll erected, situated on t]18 nortl1erly s:Lde of S(~velltll stree I; in tile Jlur'Ollrl1 of !,Jew Cumberland, county of Cumberlanel and ~3tate of Pellll:,ylvunLa, liein{" tl1(; .'Jestern one-half of Lot NO. 411 on 1.118 Plan of 1.11 tilE: OITLce fur tile Hecordlng of Deeds in and roY' CLunberJanrl County, prOl'lorty of Levi l~r[Llldtl~state, Imown as "Seven Llarles no. 1" as record(~d I ! penw3vlv:lnia ill plan Boole no. 1 at page 94, more part:iclll;u']y bO\1I1l1ed anel 1l(-~3crit)HI ~IS follows, to wit: Tlf,:m II! InlG at a point 011 tile nortllerly Hne of ~-JcvcnUl street, as Sl"10'o'JIi on 1118 Plan or Lots above mentloned, at tile dj.vLsi on Hne IJctween Lots ]')l)8. 4U and 41 on s:;ic1 plan; tllence at r:Lrllt an{cles to Seventl1 ~;tn;et at t.lll~ [ELj cl poLnt one' Ilundred .anci nve (105') feet to a ten (101' feet wi tit~ Cl L I c,,!; tlwnce eastwardly b,,/ tile southerly 11ne of said alley tw(;tlL~I-rive (2,~!I) I'cct to a point; tlwnce soutlll'lanl1y at ri{':llt an["\es to tile :~;,iri "'Iillt cm tile ten (101) f(~et w~Llle u_Lley one 111l11,ij'(~11 and fLve ( II l~J I ) 1'<:1;1 to tll(: nort:lerl:f line ()f ,Scventll ,(3tn~(;t a'nd \, lIenee wl~,',l~ wunl.y alon{" t11l~ Ilortllel']Y li.ne of Seventh Street twenty-fj v(~ (2~) 1) feet to a point, tile place of DDJ-FFiU1G. It being t1le western 1wlf of Lot No. 40 on tile PIon of Lots of "::Jevcn Maples 1'10. 1" and having tllereon erected OI11~-llidl' 1.11' a doulile frame two and one-Ilalf story frcune c1\:-1e111n[" 1101\.'3e i:HIII l;nIW!ll :1.:, cll"icl num1)ered 42~) Seventl1 ::.itreet, new CumlJer'limd, pennsvl- v:: II i :1. .1'1' I+! ,.J(; IJe,d, U.t.' the S:_l.In8 preml::.>cs wIILcl1 Harvey Fl. E'Ji lets, slngle Ina,l, by 111s cleeel datecl April 8, 1930 granted and conveYe(1 unto CI1arles E. J3cJi lets and EffUil2. ,J. nai.Jets, !lis wife, as tenants by tllC entireties anll t11l~ ~;:, i d C1Jil)" les E. nal lets and Emma J. Ba~i.1ets, t1i~3 wi fe, llcing Lllt:I'elJ!' :t~L;I:(I, CllarlE::s E. Ballet,s d:i.ed leavinr, i:l ti.tle jll i'flu ~;illlple ill !';Iilllld ,T. ;,,:.'j ]LI.S, non deccn.sed, and l)~r !leI' liJ.st Will LJlld r['estament il!1!)(lintiJI," ;'\I:I."ltIT's. Boilets and Balrli W. Ballets, i';;,(~ClltcJr,s, I~rantors )}t,l',:'in fli.iIIICtl. 'J'lle su:L(] deed is recorcled in ;tlll, OJ'.!'1'c.c Cor 11](, liecord:i_lll' oj' fh;edsi!l ~lllli J\)r CUiril)erlancl county, Pennsylvania 111 Deled TJook lID", '1,1\. 11, 11:1.' '(0 ~)t['/. !, referencc~ tlIC)n::llJ1to 111i\:1 lx, j lac!. unci. :i t wi 11 more .i'lIII" :111'\ :Ii -Inr:.'(; anneal'. It i,J Jien;l).'f distinctly understood between Ule ]JurU_es to Uri::.; (lee Ll!il.l. LlII; southern boundary of tile property herein conveyed pasfws tl1roui:1l l.lle Inl tit!:i I) oJ' lti visi on Viall between tile property ltere:i 11 conveyecl and LIlt; \lru!"'I'ty ill1lllecUatel:l adJoinin/? it on tIle uoUt.ll. '".. .. , , llrugetJrcr with a. sinyular . r I ways. waters. water-counes, rights, liberties, pdvileyes, her'e,li/lImen/s IInd appurtenances whatsoever thereunto belonging, or ill any wille appertaining. IIIltl the "clJersillns alld remainders, rents, issues and profits thereof; and also, all tile estate, right. tille. intercst, use, trust, propel'ty, possession, claim and demand wliatsoever, in law, equity, or otherwise howsoever, of; in, to, or (JIlt or lIle same: QI:u l1tlUC nuu tu llUlu the said hereditaments ami Pl'emises here/'ll gnl1lterl alld released, or mentiolled and intended so to be, with the uppurtena/lces, "1110 tile said l'urti es Ill' l.\ 1\ \ ;;':~CI)l H1 part, 1'.111,"1 r l'leirs and assigns, to alld for the ollly proper /lse uurl belluof or lire suid parties 1'[' till' ,:,'C(11\1I \leU'!', tlll,~j,r llejrs lIurlllssillllS rOrelleT. AllU tlzeBairl Waltc:f' ;_;. lli.rLJets anli Halpl1 W. Ualh'l.:J, \,::",'111"1'; "I LIlt: J~state of 1':lIl1llil ,T. '\:Lih:ts, (1('.I~eased, Jl3rtic~; uf tl\l: fil'::I, 1"1\'1, do covenant, promise alllt ugree, to (lI/,lrvilll /he BlIid Hucly C. Sl'j:J(llc; LUlll [,1:1.ce ,1, ;~jkllIJe, JiLJ V;:i.re,J1:II'ti,.:: ,,, I!", ,,,,,' 11111 part, Llll):L I' hl'i I": (1/1(1 1I8sil/1I8, that tl1CYthesaid I"ialtu' ,', !'<,-,:L:lot[; andl';:11pI1 W.I\ili h;\.':, ","'1":11",,,: (II' tile j':statc 01' j';li\ilIa ,10 I'lcri)l:t;:. (lCCe~l:,C:ll, )1U.l't:il:,; ill 1,1i" ,il ,I 'il'l , ] Jctve /lot dOlle, cOl1lmitted, or knowingly or willingly suffered to be dOlle or committed, (IllY act, matter or thillg whatsoever, whereby the premises hereby granted, or allY part tlwI'eof, ill. are, shall, or I1lUV be impeached. charged or incumbered, in title. charge, estate. or otherwise howsoever. :IIll JIllIitnC55 rJlU,ereuf thesuid \'''LlltL:l' S. T'a:ilcl~~] ,1.11:1 Ji;'I"I, Exc(;uLon; uJ' \.ll(~ ";:;L1LI' of Jo:IIICl,-, LT. Bclllets, Jc:ccc1::;cil, 1\:'1/" hereunto set tlIL".:i rJ/(md3 and .eaW the day alld year first above writtell. :) i If 1,(:, ~~...4ac~~"&<4F e ,.uu~t:;/~~~~4;2:' ~ ~:;.~) .... .. I ! 1Uccriuci:l. tlte day Qr tlte er the allol~R Im/eutll)'c, of the ,,!>ol'e.nomed . State of \'ennS,v Ivunia } 88. Coullty of CllIllIJ(:l'land 011 this, the. {;fa . the 111ldersigned officer, personally appeared iVnltcl' :;. pre i lets A!lrl.l . 19 :'4 . IlCji,/,() 1I1e. day of a Not'::lry Pull}ic and I,\rlA~lStX!ref1;<i.lets, Executors or tlle Estate of Emma J. ];clil c;ts, dee 'I d ICJI01VlI to me (or sa.tisfactorily 1)roven) to be the pe1'S0113 described in the forego'iJlY instrument, and in cont.a'ined. acknowledged that t lley executed the same in the capacity the?'ein stated and for the pm'poses t here- ..H;"'~"" ."..' fit'iWitnes8 Whereof, I hereunto set my hand and official selll. c.1.f'E ....,.,~ ..::" " . L 'j~,,'J!;::' \J! .lo~ \. q.,T I'l:-:.~'~6~; ~l':;" .~._~J I ~ : .' ~, ~..."4: t.I";'i ,. ,.~1" ~ :i '~ ,(~,~i;.~Me&~~~e~s of the within-named Grantee , .. i~~~~ T'~11~:~,~~eYenttLstr:.e.et..........._._........._............ .;;Htili).Cll~I\~;rlancl, rennsy lvania ...........i;\,V.~~;~II~i~:.;~t~.;.......................... -- \.ft ~ '" A ~ ~ ~ 'H o'd Q) 0) lfJ P nJ ~j <II Q) r: ~-.J 0 (\.I "l (ll c'] (.J If] f::-' t(j OJ ~ ~:~-j KII i~ 12 f I >- (ll "f. I-j (i-~I ,-I PI ~.~ u,@ Ul P.I [j) .~ :-,:: CJ . r 1~~ ~- +..J l-J i ,1 :r: ;::5 [-I PI 0 (II ,..1 I-J ~~ q ~:. D~; i'7lI~J o 10-' lfJ .,-1 fO .c~ >.~ m ..;: ISI ~j ~- gr;l .~" :J:: ~.L~ en tn 27JTi!~r~ .......... ...." .....N.\!. ~.~!t.{P\.\ P. U. C" Title of Officer M:',T Comrnli;siOJ! t:}~!"1 rei: ?lL:V~)~) Q.> e'l '[) co ~ I '" I' f1 I \:t '%: \ ' 11 ':i ~,' II' ~ '" :S;' ,:,;,'1(\1 :\.w'" r!.~ L\ :a f3 ti <l .<l ~ .1-",) U i,l :>\ 0 R:~ 1.1-1 ~"I..t 1,1 I. I I. 1.\\\ I:J CW't: hil <D lC) <0 iRl!tllf'l'lt'l'l ill the Offlce for Recordillg of Deeds ill and for ~~~t ~ ill Deed Book I s:' No. S page 31 &~. t'lllittt1!SS my hand alld seal of Offlce this /.s-~ day of ~ AmlO Domilli 19'=:'-o/ C~tfliHe'/ ~4 Deputy Recorder r............""""'".,,.,'" '. .- 1\1 EXHIBIT B REV-1503 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Alice J. Shadle SCHEDULE B STOCKS & BONDS . FILE NUMBER 21-2001-0930 All property Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NO. DESCRIPTION VALUE AT DATE OF DEATH 1 83.409 shares of PP&L common stock at $32.425/share 2,704.54 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 2,704.54 7 CPA31 NTF 10905 Copyright Forms Software Only, 1997 Nelco, Inc. . Estate valuation . Date of Death: 10/01/2001 Valuation Date: 10/01/2001 Processing Date: 06/22/2002 Estate of: Estate of Alice Shadle Account: 90685 Report Type: Date of Death Number of Securities: 1 File ID: Shadle, Alice Estate Shares or Par Security Description High/Ask Low/Bid Mean and/or Div and Int Adjustments Accruals Security Value 1) 83.409 PPL CORP (709051106) NYSE 10/01/2001 32.85000 32.00000 H/L 32.425000 2,704.54 Total Value: Total Accrual: Total: $2,704.54 $2,704.54 $0.00 Page 1 This report was produced with EstateVal, a product of Estate Valuations & Pricing Systems, Inc. If you have questions, please contact EVP Systems at (818) 313-6300. (Revision 6.3.3) . . . PPl CORPORATION TWO NORTH NINTH STREET - ALLENTOWN, PA 18101 DIVIDEND REINVESTMENT PLAN - STATEMENT OF ACCOUNT ACCOUNT NUMBER 3075873945 TAX In 208-24-1669 ALICE J SHADLE 423 7TH STREET NEW CUMBERlND PA 17070 QUARTERLY DIVIDEND COMMON STOCK: 26.5~ * RETAIN THIS STATEMENT * * FOR YOUR RECORDS * REINVESTED DIVIDENDS PAID 10/01/01 BASED ON RECORD DATE 09/10/01 STOCK TYPE SHARES DIVIDEND C0t1l1ON : HELD BY YOU HELD FOR YOU $21.92 24.000 58.735 DETAIL OF SHARES PURCHASED AND HELD FOR YOU - DATE OF TYPE OF SHARES THIS TOTAL SHARES ADDRESS ALL INQUIRIES ALLOCATION TRANSACTION AMOUNT PRICE TRANSACTION HELD FOR YOU AND CORRESPONDENCE TO: PREV BALANCE 57.364 PPL 01102/01 PLAN DISr $21.56 $44. 065 0.489 57.853 INVESTOR SERVICES 04/021.01 PLAN DtST $21 . 6'1 $4{t, 775 0.484 58.337 THO NORTH NINTH ST 07/02/01 PLAN DISr $21.82 $5"..796 0.398 58. 735 ALLENTO...... PA 18101 le/0l/01 PLAN UIST . $21. 92 $32.532 0.04 59.409 OR CALL TOLL FREE: 1-800-345-3085 INVESTMEtlT DIVIDENDS OPTIONAL TAX TOTAL Cott1ISSION SlM'tANY REINVESTED PAYMEtrrS WITHHELD INVESTED PAID BY CD. i---- - CURRENT PERIOD $21.92 $21.92 $0.03 - 2001 YEAR-TO-DATE $86.90:; $86.99 $0.05 ALICE J SHADLE 423 7TH STREET NEH CUHBERLND PA 17070 RD ACCOUNT 3075873945 TO MAKE AN OPTIONAL CASH PAYMENT. RETURN THIS STOO HITH CHECK PAYABLE TO m AGENT. PAYMENT MUST BE RECEIVED BEFORE THE 25TH DAY OF THE MONTH. (MAXIMUM $80.000 PER YEAR) AMOUNT ENCLOSED: $ If YOU mm:! TO HITHPRAH OR SEl!,. ~: ~ APPROPRIATE ~. SIGN !t:m RETURN ~ ONLY. TERHlt~TE PARTICIPATION IN PLAN: CONTINUE PARTrCIPATION IN PLAN: ISSUE AND MAIL CERTIFICATE FOR ALL FULL SHARES AND CHECK FOR FRACTIONAL SHARE. D ISSUE AND HAIL CERTIFICATE FOR FULL SHARES. D o o SELL ALL SHARES HELD FOR tiE AND MAIL CtlECK. o SELL __________ FULL SHARES HELD FOR HE AND MAtL CHECK. ISSUE CERTIFICATE FOR ______ FULL SHARES. SELL REMAINING SHARES AND HAIL CERTIFICATE AND CHECK. TELEPHCNE (___) _______ 01 SIGNATURE (S) _____ f EXHIBIT E REV-1508 EX + (1-97) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Alice J. Shadle SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21-2001-0930 Include proceeds of litigation & date proceeds were received by the estate. All prop. Jointly-owned with right of survivorship must be disclosed on Sch. F. ITEM VALUE AT NO. DESCRIPTION DATE OF DEATH 1 NCFCU Savings AcCOlIDt #10752 1,052.30 2 NCFCU Checking ACCOlIDt #10752 941.87 3 September 2001 Social Security Check 735.00 4 New CUrrit.erland Federal Credit Union check 63.36 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 2,792.53 7 CPA81 NTF 10908 Copyright Forms Sohware Only, 1997 Nelco, Inc. New Cumberland Federal Credit Union P.O. Box 658 New Cumberland, PA 17070-0658 Phone: (717) 774-7706 . 1-800,716-2328 . Fax: (717) 774-7996 . Web: www.ncfcuonline.org December 5, 2001 Cayle D. Swindler 415 Fallowfield Road, Suite 102 Camp Hill, Pa 17011-4906 NAME Ii L,,):D( :::Y. 5NAf) /,,6 I D "lS- J- 1.uS-J:3u I \0 ! ~d-- gq ( .C{i ACCOUNT NUMBER BALANCE AT TIME OF DEATH (INCLUDING ACCRUED INTEREST) TYPE OF ACCOUNT ~ YJtv[; ~ d-u.;6 c.Hfcr~G d 6 .L{ 0 N rJ tvf- ACCRUED INTEREST JOINT OWNER NJ/l/f3- '-- -_.. DATE JOINT OWNERSHIP ESTABLISHED Sincerely ~;U1 Craig Soulliard Y$.IlIBl'I G - REV-1510 EX + (1-97) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Alice J. Shadle SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21-2001-0930 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY %OF EXCLUSION ITEM INCLUDE NAME OF THE TRANSFEREE, THEIR DATE OF DEATH DECD'S (IF TAXABLE VALUE RELATIONSHIP TO DECD & DATE OF TRANSFER. NO. ATTACH COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST APPLICABLE) 1 US Treasury, Civil Service 19.27 100% 19.27 Retirerrent and Disability Fund proceeds Beneficiaries: Decedent's children, Betty J. Ravis and Rudy Keith Shadle TOTAL (Also enter on line 7, Recapitulation) $ 19.27 7 CPA01 NTF 10910 (If more space is needed, insert additional sheets of the same size) Copyright Forms Software Only, 1997 Nelco, Inc. .. TO OPEN - INSERT FINGER AND CAREFULLY SLIDE UNDER THIS EDGE .. U.S. Office of Personnel Management . Retirement Programs Retirement Operations Center Boyers. PA 16017 .,>, '1 ';Ji ~--~j~r;.~~~~q/i?1:f:~;'~7#~::i . . .~' J~ f \ ~J~-'''') .... \( Ji.K 1 !,'O,' ) ~d~~.n~ ::; fJ ~ 4 ::; I ~t!-~'iL..:Jl .'.} ... "v' " ' rJr} '" 'II rlUEfi h j!dldl){J .~:n~'._~~2_E;..2:!:~~~:.,. OFFICIAL BUSINESS PENALTY FOR PRIVATE IJSE, $300 FORWARDING SERVICE REQUESTED BETTY J RAVIS 18 CRESCENT DRIVE NW CUMBERLAND PA 17070 17070+2701 i1 1111111111111111111 ,111111111111111111111111111111111111111111 \'- - t_ . _._ __I FINAL STATEMENT OF LUMP SUM DEATH BENEFIT PAYMENT You are entitled to a lump sum payment because of the death of a former employee. This payment, shown in Block 5. covers only benefits due from the Civil Service Retirement and Disability Fund and consists of any unused contributions the former employee made to the Fund or any accrued annuity payable at the time of his or her death. or the Basic Employee Death Benefit payable to a surviving spouse under the Federal Employees Retirement System. 1. Name of Deceased Federal Employee 2. Claim Number 3. Date of Birth 4. Date SHADLE ALICE J CSF 2702682 12/01/28 01/14/02 5. You Wi II Receive a Lump Sum Payment For 6. To Be Sent By 7. Interest (Included in Item 5) 8. Tax Withheld $ 19.27 01/28/02 $ NONE $ NONE 9. Remarks THIS LUMP SUM IS TO BE DIVIDED EQUALLY AMONG YOU AND RUDY.THIS MONEY IS NOT PART OF THE ESTATE. 1Er See reverse side for important information. R125-17 (R2S170J 04120101 . . S2010 IMPORTANT INFORMATION If any portion of this payment was subject to Federal income tax, we will send you a Form 1099R in January of the year following the date of payment. If you have questions about taxes, please contact your local office of the Internal Revenue Service or your State tax collector's office, as appropriate. If you need to contact us further about this case, please give the full name, date of birth. and claim number of the former employee shown on the reverse side. You may write to us at the address shown at the bottom of this statement or call 1-888-767-6738 Monday through Friday from 7:30 a.m. to 7:45 p.m. Eastern Time. US OFFICE OF PERSONNEL MANAGEMENT RETIREMENT PROGRAMS RETIREMENT OPERATIONS CENTER BOYERS. PA 16017 R125-17 {R2S17RJ OS10BIOO EXHIBIT H REV-1511 EX + (1-97) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Alice J. Shadle SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21-2001-0930 Debts of decedent must be reported on Schedule I. ITEM NO. DESCRIPTION A. FUNERAL EXPENSES: AMOUNT 1 Nightgown and slippers for funeral 54.00 2 Stone and Murray, funeral hare 3,459.00 3 Dawn Spangler, Pastor 100.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN No. of Personal Representative(s) Street Address City State 0.00 Zip Year(s) Commission Paid: 2. Attorney Fees Narre: Keefer Wcx:x:i Allen & Rahal, LLP 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Betty J. Ravis Street Address 18 Crescent Drive City New CUmberland State PA Zip 17070 Relationship of Claimant to Decedent Daughter 1,500.00 3,500.00 4. Probate Fees 112.00 5. Accountant's Fees 0.00 6. Tax Return Preparer's Fees 0.00 7 NCFOJ, return rrail fee 2.00 8 Boyd E. Diller, Inc., trash rerroval 32.50 9 The Sentinel, legal advertising 100.31 10 Cumberland Law Jouxnal, legal advertising 75.00 11 Miscellaneous expenses to close estate 150.00 12 Piro Associates, real estate appraisal 275.00 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 9,359.81 7 CPA11 NTF 10911 Copyright Forms So1tware Only, 1997 Nelco, Inc. .c" 'I . Piro Associates ********* INVOICE ********* File Number: Raviscu Betty Ravis Borrower: Ravis, Betty Invoice It : Order Dale: June 18,2002 Reference/Case # : 06242002 PO Number: 423 Seventh Street New Cumberland, Pa 17070 Full URAR for inheritance tax Invoice Tolal Stale Sales Tax @ Deposit Deposit Amount Due Terms: Paid by check Please Make Check Payable To: Piro Associates Fed. I.D. #: . 06242002 Fila No Raviscu $ $ 275.00 $ $ ($ ($ --...--....------ $ 0.00 275.00 0.00 275.00 ) ) - -- r,..".., ",,' """"""""".',',' ",.".,',,""" " t'!!, , . ;., \ EXHIBIT I REV-1512 EX + (1-97) . . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Alice J. Shadle Include unreimbursed medical expenses. ITEM NO. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21-2001-0930 DESCRIPTION AMOUNT 1 c.w. Fritz Co. 2 Radiator Supply, angle valve 3 Verizon 4 PP&L 5 PAWC 6 illI 7 Borough of New CUmberland 115.50 12.15 5.51 21.02 20.07 94.12 57.43 7 CPA12 NTF 10912 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 325.80 Copyright Forms Software Only, 1997 Nelco, Inc. EXHIBIT J REV-1513 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF . SCHEDULE J BENEFICIARIES FILE NUMBER Alice J. Shadle No. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 21-2001-0930 RELATIONSHIP TO DECEDENT AMOUNT OR Do Not LIst Trustee(s) SHARE OF ESTATE 1 Betty J. Ravis 18 Crescent Drive New CUmberland, PA 17070-2701 Daughter 45,321. 09 2 Rudy K. Shadle 171 old Willow Mill Road Mechanicsburg, PA 17050 Son 9.64 ENTER DOLLAR AMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 17 AS APPROPRIATE ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE None B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS None TOTAL OF PART 11-- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0.00 7 CPA13 NTF10913 (If more space is needed, insert additional sheets of the same size) Copyright Forms Software Only, 1997 Nelco, Inc. . . LAST WILL AND TESTAMENT 21-01-930 OF I, ~ a citizen and resident oftv,lY\\~W County, r A- , being of sound and disposing memory, do hereby make, publish and declare this instrument as my Last Will and Testament, hereby revoking any and all Wills, Codicils and letters of testamentary import I formerly may have made. ARTICLE I SPECIAL DESIGNATION I direct that upon my death: ~$i S, Rtt~tS ,~+o fe..c.P-'\I Q. - 1~~a1 t~e....- ~J.\OMQ~ od ~c?, 3 7i:!J St., t-L ~-L{M.~1 fA 17070 - A \I CC>t\"\.Qr...\-s. o.c hoM<L skck.s. - 'Do V\~ s - h1.on ~ ~ ro \'Yl /J (I / Fe .n., A- ((DlM\ -\- 5. . Ji \ SoL C< ~ "'1' fliWd. -"& 0i' ~ ;:) Q. AU ;5 (, ~ {k> '1 J; )'ecA.,k.! at- ""-l Lv :il, ARTICLE II TAXES, DEBTS AND EXPENSES OF ADMINISTRATION I direct that all debts which I am legally obligated to pay at the time of my death, including my last illness and funeral expenses, taxes and costs of administration of my estate shall be paid as soon as practicable after my death. ARTICLE III WRITTEN MEMORANDUM From time to time I may prepare a written memorandum regarding the disposition of all - 1 - f t f~/ (> "I' ..' . . or part of my tangible personal property which I might own at the time of my death. I direct that, notwithstanding any other provision of this Will, my Personal Representative distribute such tangible personal property as directed in any memorandum if such memorandum is signed by me, dated, references this Will, and is associated with a copy of this Will. If more than one such memorandum is located, only the memorandum bearing the latest date shall be valid. If no such memorandum has been located within ninety (90) days following the appointment of my Personal Representative, it shall be presumed conclusively that no such memorandum exists, even if a purported memorandum as described herein later is produced. ARTICLE IV DISPOSITION OF RESIDUE I devise and bequeath all the rest, residue and remainder of my property of whatsoever kind or character and wheresoever situate, whether presently owned or hereafter acquired by me, to bi'.+~ J' KAU','); however, if that person is under the age of eighteen (18) years at the time I such property is available to be distributed, then I devise and bequeath all of such property to the Trustee hereinafter named, IN TRUST, nevertheless, to be held, managed and distributed in the I~ following manner: A. Distribution ofIncome and Principal for Care of Child: Commencing as soon as practical following my death and continuing until the termination of this trust as hereinafter provided, the Trustee, at any time and from time to time, shall distribute to and among or for the benefit of the minor beneficiary, such portion or all or none of the income or principal or both of this trust as the Trustee, in his absolute discretion, deems necessary or desirable to provide for the proper health, education, maintenance and support of said child. Any income of this trust not so distributed shall be accumulated and added to the principal of this trust. I realize that the respective needs and educational programs of the beneficiary under this paragraph may vary or change from time to time. Accordingly, the Trustee, in his discretion, shall determine the amount of income or principal or both to be distributed to or expended for the benefit of said beneficiary - 2 - . . based on the beneficiary's respective needs at that time. B. Distribution Upon Termination of Trust: When the minor beneficiary attains the age of eighteen (18) years, the then remaining principal and undistributed income of this trust shall be distributed absolutely to that person. If, however, upon the death of that person before the age of eighteen (18) years, the then remaining principal and undistributed income of this trust shall be distributed absolutely to tJlPr , In the event that the minor beneficiary should not survive me, then in that event, I devise and bequeath all the rest, residue and remainder of my property of whatsoever kind or character and wheresoever situate, whether presently owned or hereafter acquired by me, to fv/A- ARTICLE V DISCHARGE OF LIEN In the event any property or interest in property passing under this Will, by operation of law or otherwise, by reason of my death, shall be encumbered by a mortgage or lien, or shall be pledged to secure any obligation (whether the property or interest in property so encumbered or pledged shall be owned by me jointly or individually), it is my intention that such indebtedness shall not be charged to or paid by my estate, but that the devisee, beneficiary, or joint owner taking by survivorship, shall take such property or interest in property subject to all encumbrances existing at the time of my death. ,~ ARTICLE VI FIDUCIARIES A. Personal Representatives: I appoint f3e.~.J' ~ as Personal Representative of this Will. In the event he should be or become unable or unwilling for any reason to serve as such Personal Representative, I appoint as Personal Representative ~. re.+h, c;Wf--e... B. Trustees: I appoint 6~ #, .:). RA-u: j as Trustee of the trust created under this Will. In the event [he/she] should become unable or unwilling for any reason to serve as Trustee, - 3 - . I appoint ~_ k.k.-'R shLActli to serve in such capacity. C. Guardians: In the event my child is a minor at the time of my death, I appoint . ~I~ as Guardian of the person and property of such minor. In the event he shall be or become unable or unwilling for any reason to serve in such capacity, I appoint IV l f\- as such Guardian. D. Waiver of Bond: I direct that no Personal Representative, Trustee or Guardian named in this Article shall be required to furnish any bond or other security in any jurisdiction for the faithful performance of his duties as such, the same being specifically waived hereby. E. Waiver of Qualifications of Trustees: I hereby waive compliance by the Trustee appointed hereunder with the provisions of applicable state law, as that Chapter now exists or may be amended hereafter, and I specifically waive compliance with any other law now or hereafter in effect requiring qualification, administration or accounting by said Trustee to any Court. ARTICLE VII POWERS OF FIDUCIARIES In addition to and not in limitation by way of implication or otherwise of the powers and ( ~ discretions elsewhere herein granted or those conferred by law, I give and grant to my Personal Representatives and Trustees the power and authority to do any of the following as in their unrestricted judgment and discretion they deem advisable for the better management and preservation of my property, without resort to any person or Court for further authority: A. Retain Property: To retain property as an investment without regard to the proportion such property or property of a similar character so held may bear to the entire estate; B. Sell and Exchange Property: To sell property at either public or private sale for cash or on credit; to exchange property and to grant options for the purchase thereof; C. Invest and Reinvest: To invest and reinvest in any property, including, but not by way of limitation, bonds, notes, debentures, mortgages, certificates of deposit, common and - 4 - . . preferred stocks, mutual funds, common trust funds, shares or beneficial interests in mortgage trusts or real estate investment trusts, real estate or any interest therein, and other property, real or personal, of every kind or nature, without being limited to the class of investment in which fiduciaries are authorized by law or any rule of Court to invest funds; D. Participate in Reorganization: To consent to and participate in any plan of reorganization, consolidation, merger, combination or other similar plan, and to consent to any contract, lease, mortgage, purchase, sale or other action by any corporation pursuant to such plan; E. Vote Stock: To exercise all conversion, subscription, voting and other rights of whatsoever nature pertaining to any such property, and to grant proxies, discretionary or otherwise, in respect thereof; F. Borrow: To borrow money and to pledge or mortgage any property as security therefor; G. Compromise Claims: To extend the time of payment of any obligation held by him, and to release, compromise, settle or submit to arbitration any claim upon such terms as may seem proper; H. Use of Nominee: To cause any securities or other property held to be registered and held in the name of a nominee. 1. Allocation Between Principal and Income: To appoint or allocate between principal or income any and all receipts of money or other property paid or delivered to him, any and all capital gains and losses on estate assets, and any and all expenses, including taxes, incurred by them with respect to any action taken or payments made in reliance thereon. J. Distribution in Cash or in Kind: To satisfy any general legacy or any part thereof in kind; and in the division or distribution of my property or any part thereof, to make partition, division or distribution of property in kind; and for any such purposes, to determine the value of any property, which determination shall be conclusive and not subject to review; - 5 - . . K. Collect Property: To collect and receive any and all sums and any and all property of whatsoever kind or nature due and owing or belonging to them in their fiduciary capacity., and to give full discharge and acquittance therefor; L. Insurance Policies, Premiums and Options: To retain as an asset of the estate and to pay premiums on all policies of insurance, including life insurance, held by them, and to elect any options or settlements or exercise any rights under such policies; M. Joint Income Tax Returns and Gifts of Spouse [ex-Spouse]: Without duty to give or obtain consideration therefor, to join with my spouse [ex -spouse] or my spouse's [ex -spouse's] estate in filing of any Federal Income Tax Return for any year for which I have not filed such return prior to my death and to consent to gifts made by my spouse [ex-spouse] as being made halfby me for the purpose of the Federal gift tax law, even though such action may result in additional liabilities for my estate; any income and gift taxes due on such returns, and any deficiencies, interest or penalties thereon shall be allocated between my estate and my spouse [ex-spouse] or my spouse's [ex-spouse's] estate, or all to any ofthem, in such manner as my Personal Representative or Trustee, in my their sole discretion, shall deem equitable and proper. N. Lend: On any terms deemed advisable, to lend trust funds to any borrower, including the Personal Representative of my estate and the beneficiary of any trust created hereunder, and to change the terms of such loans. This authorization includes the power to extend such loans beyond maturity with or without renewal and without regard to the existence or value of any security therefor, to facilitate payment thereof, to change the interest rate thereof, and to consent to the modification of any guarantee relating thereto; O. Deal With Property As Absolute Owner: To do all such acts, take all such proceedings and exercise all such rights and privileges, although not hereinbefore specifically mentioned, with relation to such property as if the absolute owners thereof. ARTICLE VIII DEFINITIONS - 6 - . . Whenever used in this Will, unless the context of any passage thereof required otherwise: A. Singular Includes Plural: The singular includes the plural and the plural includes the singular. B. Personal Representative: The term "Personal Representative" shall include any and all Personal Representatives of my estate, whether in connection with the domiciliary or any ancillary administration thereof, and whether male or female, and whether one or more than one, as well as their substitutes and successors. C. Income: The term" income" shall mean net income after the payment of all administrative expenses and taxes other than beneficiary income taxes. D. Property: The term "property" as used herein shall include both real and personal property. ARTICLE IX CONSTRUCTION OF WILL The headings and subheadings used throughout this Will are for convenience only and have no significance in the interpretation of the body of this Will, and I direct that they be disregarded in construing the provisions of this Will. IN WITNESS WHEREOF, I have subscribed my name to this my Last Will and Testament consisting of 9 pages, this included, on the margin of each of which I have placed my initials for the purpose of identification this :13 day of f)-)c..rrh ,~ ;)00 I J O/.J,tllL~~~ [Name] 11 ATTESTATION In our presence, the Testator signed, sealed, published and declared the foregoing - 7 - . . instrument as and for [his/her] Last Will and Testament, and upon request and in [his/her] presence and in the presence of each other, we hereunto subscribe our names as attesting witnesses at C\J, rn"o.t,\It\county, ~ \\ , this d- ') day of f't--wc-~ ,~. dOo I .~lli~f :~ ~=~~ R l~~~ v'tL/uJ 'iJ.~ of )j II fnO-U/lt-O.Jf1 SJ. .[30 X 3~ Ju..m (Y1 erd.u.l-e / (J {J 11 oq .3 C 6>>nbu (McL (1 ) o (\ SELF-PROOF OF WILL STATE OF ~ \\ COUNTY OF ClA"'~(\wl We, [Name of Testator], _--A \ ~ L..( "J. S hovrl l-e and 01 cv3I.\r~'+ Oea.f1<J '\"" :JC4'\~+ Co, /lo('(}, the Testator and the witnesses, respectively, whose names are signed to the foregoing instrument, being first duly sworn, do declare to the undersigned officer that the Testator signed this instrument voluntarily as [his/her] Last \Vill and Testament and that each ofthe witnesses in the presence of the Testator, upon request, and in the presence of each other, signed this Last Will and Testament as a witness and that to the best of the knowledge of each witness, the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. /^"j ('7~ . ;., ! {l ..... ,; '".]v{J1 y--- .; testatofrf ~ ~YJ.~ Witness STATE OF PA COUNTY OF Cv....., \.:Jt..rl~J - 8 - . . SUBSCRIBED and ACKNOWLEDGED before me by -Ii \"U J' 5U, the Testator, and SUBSCRIBED and SWORN to bef~re me by 0:lv;c.v-<-t- O~(),I'\(r and In^~i- G...tlorn , the wItnesses, on thIS :1.~M. dayof'N'.l\:re-\.-. ,J~. ;;to,-> I ~~~tJBflc ~ ~ ~. .~ Printed Name: ~Pt r..... :S-. ~: l \..c:. v . c h. Commission No: c '\. '1\1-\ ;3 "\ :5 My Commission Expires: ~ I ~ ~ t .:> L-\. Personally known ' OR Produced Identification i/ (notary check one) Type of Identification Produced: do c '" V -L r :<. L- ~. c. e. ",-.s ~ .. - 9 - /?-/...:3 - / \ BUREAU OF INDIVIDUAL TAXES INHERITANCE 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 ELIZABETH J GOLDSTEIN ESQ KEEFER HAL 415 FALLOWFIELD RD 30 CAMP HILL PA 17011' 08-12-2002 SHADLE 10-01-2001 21 01-0930 CUMBERLAND 101 '* REY-1547 EX AFP lDl-02l ALICE J Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ REY=is'4'-E3f-i.FP-foY:02Y-NOYicE--OF-YNHEiiiTAifcE-Yiic-A-ppRA-isEMENT-,--i.Ll-owANCE-cfli----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SHADLE ALICE J FILE NO. 21 01-0930 ACN 101 DATE 08-12-2002 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. 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 (1) (2) (3) (4) (5) (6) (7) 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 Tax (9) (10) 49,500.00 2,704.54 .00 .00 2,792.53 .00 19.27 (8) 9,359.81 325.80 NOTE: 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. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 X 00 = .00 45,330.73 X 045 = 2,039.88 .00 X 12 = .00 .00 X 15 = .00 (19)= 2,039.88 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 55,016.34 Ul) (2) (3) (4) 9.685 6] 45,330.73 .00 45,330.73 , ... .n.... ".......u. l+J AHOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) INTEREST IS CHARGED THROUGH 08-27-2002 TOTAL TAX CREDIT .00 AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 2,039.88 REVERSE SIDE OF THIS FORM INTEREST AND PEN. 19.07 TOTAL DUE 2,058.95 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( 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.) RESERVATION: Estates of decedents dying on or before December 12, 1982 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) beneficiaries of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer Inheritance Taxes at the lawful Class B (collateral) rate on any such future interest. PURPOSE OF NOTICE: To fulfill the requirements of Section 2140 of the Inheritance and Estate Tax Act, Act 23 of 2000. (72 P.S. Section 9140). PAYMENT: Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. nMake check or money order payable to: REGISTER OF HILLS. AGENT REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-13l3). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices, or by calling the special 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT only). OBJECTIONS: Any party in interest not satisfied with the appraisement, allowance, or disallowance of deductions, or assessment of tax (including discount or interest) as shown on this Notice must object within sixty (60) days of receipt of this Notice by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of the account of the personal representative, OR --appeal to the Orphans' Court. ADMIN- ISTRATIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601 Phone (717) 787-6505. See page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-150l) for an explanation of administratively correctable errors. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (570) discount of the tax paid is allowed. PENALTY: The 1570 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. This non-participation penalty is appealable in the same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (670) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2002 are: Year Interest Rate Daily Interest Factor Year Interest Rate Daily Interest Factor 1982 2070 .000548 1992 970 .000247 1983 1670 .000438 1993-1994 77- .000192 1984 1170 .000301 1995-1998 970 .000247 1985 1370 .000356 1999 77- .000192 1986 1070 .000274 2000 870 .000219 1987 970 .000247 2001 970 .000247 1988-1991 1170 .000301 2002 670 .000164 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. /?_/gwl 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-16D7 EX AFP (Di-DU ELIZABETH J GOLDSTEIN ES~j' KEEFER ETAL 415 FALLOWFIELD RD 30 CAMP HILL PA 170OC~ 'j i."t I. DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-12-2002 SHADLE 10-01-2001 21 01-0930 CUMBERLAND 101 ALICE J Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REv=i6'ifj-Ex--AFPToY=o2Y------...--ZNHERITANCE--fAx-sTA"fEHE-N'f-OF-ACfcOliiff--...------------------ - -- ESTATE OF SHADLE ALICE J FILE NO.21 01-0930 ACN 101 DATE 08-12-2002 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: 08-12-2002 P R I NCI PAL TAX DU E : .......................................................................................................................................................................................................................... 2,039.88 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 06-28-2002 CDOO1355 .00 2,039.88 TOTAL TAX CREDIT 2,039.88 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 If IF PAID AFTER THIS DATE, SEE REVERSE TOTAL DUE .00 SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRJ, YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. J PAVMENT: Detach the top portion of this Notice and submit with your payment made payable to the name and address printed on the reverse side. If RESIDENT DECEDENT make check or money order payable to: REGISTER OF WILLS, AGENT. If NON-RESIDENT DECEDENT make check or money order payable to: COMMONWEALTH OF PENNSYLVANIA. REFUND (CR): A refund of a tax credit, which was not requested on the Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-13l3). Applications are available at the Office of the Register of Wills, any of the 23 Revenue District Offices or from the Department's 24-hour answering service for forms ordering: 1-800-362-2050; services for taxpayers with special hearing and I or speaking needs: 1-800-447-3020 (TT only). REPLV TO: Questions regarding errors contained on this notice should be addressed to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 280601, Harrisburg, PA 17128-0601, phone (717) 787-6505. DISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5Z) discount of the tax paid is allowed. PENALTV: The l5Z tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, the first day after the end of the tax amnesty period. INTEREST: Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became delinquent before January 1, 1982 bear interest at the rate of six (6Z) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through 2002 are: Vear Interest Rate Daily Interest Factor Vear Interest Rate DailY Interest Factor 1982 20Z .000548 1992 9Z .000247 1983 l6Z .000438 1993-1994 7Z .000192 1984 HZ .000301 1995-1998 9Z .000247 1985 l3Z .000356 1999 7Z .000192 1986 10Z .000274 2000 8Z .000219 1987 9Z .000247 2001 9Z .000247 1988-1991 HZ .000301 2002 6Z .000164 --Interest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment. If payment is made after the interest computation date shown on the Notice, additional interest must be calculated. l' \) / /"J(' II -' STATUS REPORT UNDER RULE 6.12 Name of Decedent: Alice J. Shadle Date of Death: October 1. 2001 Will No. Admin. No. 21-01-0930 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: Yesl 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 Clerk of the Orphans' Court and may be attached to this report. [4.k-L 1 ~ SIgnature Date: Cf - \ ltt' O~ Elizabeth J. Goldstein, Esauire Name (Please type or print) 415 Fallowfield Road, Suite 301 Address Camp HilL PA 17011 (717) 612-5803 Telephone Capacity: _ Personal Representative X Counsel for Personal Representative