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HomeMy WebLinkAbout01-0983 PETITION FOR PROBATE and GRANT OF LETTERS Estate of Martha G. Chestnut a/so known as N/A, Deceased. Social Security No.: 189-09-4368 No. 21 - 2001 - oqg-!> To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioners who are 18 years of age or older and the Executors named in the last will of the above decedent, dated September 28, 1993, and codicil(s) dated N/A. Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last family or principal residence at 4462 Enola Road, Newville, Pennsylvania 17241 (Upper Franklin Township.) Decedent, then 89 years of age, died September 29,2001, at 550 Opossum Lake Road, Carlisle, Pennsylvania 17013. Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: No exceptions. Decedent at death owned property with estimated values as follows: Of domiciled in P A) All personal property $ Unestimated Of not domiciled in P A) Personal property in Pennsylvania $ (If not domiciled in PA) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: 4462 Enola Road, Newville, Cumberland County, Pennsylvania 17241 (Upper Franklin Township) WHEREFORE, petitioners respectfully request the probate of the last will and codicil(s) presented herewith and the grant of letters Testamentary thereon. I} ak JiM . s;;k, 7L" r Vada M. Shughart 33 Kelly Road Shippensburg, P A 17257 717-776-5310 ~~~tf~~~ nald P. Che ut 550 Opossum Lake Road Carlisle, P A 17103 717-243-8713 OATH OF PERSONAL REPRESENTATIVE COMMONWEAL TH OF PENNSYL VANIA ) ) SS COUNTY OF CUMBERLAND ) The petitioners above-named swear or affirm that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioners and that as personal representatives of the above decedent petitioners will well and truly administer the estate according to law. Sworn to or affirmed and subscribed befure me .-Ja4 /tl. H M this .. . ~ Vada M. Shughart ber 01.'. "//"/... - .-- ..~ ~t"A/~ ;Pl'Y1dtd!J (~A~ - ~ MalY. Lewis, Register Doriald P. Chestnut /7-/0-1 S? NO. 21- 2001- OQ83 Estate of Martha G. Chestnut, Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW October 29 t h . 200 I, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated September 28, 1993, described therein be admitted to probate and filed of record as the last will of Martha G. Chesb1ut and Letters Testamentary are hereby granted to Vada M. Shughart and Donald P. Chestnut. FEES Probate, Letters, Etc. . . . . . . . . $ 200.00 Short Certificates (:). ....... $ 9.00 ~nunciation............. .$ x-Pages (2) $ JCP TOTAL $ 6.00 5.00 220.00 Filed: October 2 0 t,tQOO I CALLED ATTORNEY ROBERT R. BLACK /', u cLJ~?I ~(l(jJ~ Robert R. Black, Esquire 36 South Hanover Street Carlisle, PA 17013 (717) 243-3727 (06267) ''''~ <::"~ ":'''=\. '" '':'r, Th' 's to certify that the information here given is correctly copied from an original certificate of death dul~ filed with Lo~~ll Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. me as No. 2\..0_ ~.~~~~ Local Registrar Fee for this certificate, $2.00 p 7714001 OCT 1 2001 Date 21-2001-0983 H105.143 R.". 2187 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH INT ,NT 'II( NAMe OF DECEDENT (F.... Middle. LMI Martha 1. G. Chestnut sex I.Female STATE FILE NUMllER SOCIAL 1ECURITY NUMBER 3. Itj9 - 09- 2001 ~i Cumberland White AGE (La$I 8it1I'<lIYl UHOeR I YEAR __ 0.-,. UNDER I DAY _ ! MInuI.. DEceDENT' USUAl. UPI010N ~"'=:~O:='::~:'r . llL Homemaker 11.. Own Home DECEDENT'S MAILING ADDRESS (Slr-. CiIy(Town. Stale. rop Codel DECeoeNT's ACTUAl. 550 Opossum Lake Road :.~~ 1~arlisle.Penna. 1701) ~~_l FAfHER.sNAME(F"....M_.~amuel E. Armol t 11. lHFORMANT'sDon~ld P. Chestnut METHOOOFOISPOSIT!v O - c:reiMIian 0 R-.I fnlIllSW.O DDnetian 0IIler I . 1:1.. . SIGNATURE SUAVlVING SPOUSl IN ""'e. QIY8"""""'''''''''\ lWp. 1711. citylllcrc. NoIB \) (." '^ C. rQ.. ...\'\.. C A- DUE 10 (OR AS A CONSEOUENeE OF): H. I A4lcJtOlimele 'inI__ : 0llMI ancI deelll I I PART II: OIlIer signitIcanl_ corwrtlollIng 10 c1eelll,lluI fIOl_1ng In IIle Ufldef1ying _ ~ in PART I. () iV'..... l: DUE TO (OR AS A CONSEOUE NeE OF): DUE TO (OR AS" CONSEOUENCE OF): WERE AU'IOf'SY FlNOING$ MANNER OF OE,IO'H DATE OF INJURY ~kE PAIOA1O (Mon.., Oey, _I COMPLETION OF CAUSE Natural ~ Homicide 0 OF DEATH? - PenclinlIl..-Jgel1on 0 HoD SuIcide 0 Could IlOl be del.....ined 0 TIME OF INJUAY INJURY ,10' WORK? DESCRIBe HOW INJURY OCCURRED. "" D NoD 'MEDlCAl. EXAMINEAlCORONI!R On tII. b.... of ...min.lIon .nd/or In"..tlgatlOn.ln my opinion, duth occurred at th. time, de'., .nd pl.c., .nd d".lo llle cau..(a} and mMnef ..It.led.. . .. . . . . . . ... . . ... . . .. " . .. .. . .. .. .. . .. . . . . .. . .... .... ... . . . . . . . .. . . . ... .. . .. .......... ... .. .. .. . 311. REGISTRAR'S SlGN,IO'UfIl! AND ~.~~~~ -. 2tll. H. ClltTIl'IEIt (CI1ed< cny onel 'Cl!RTlI'YlNG PHYSICIAN (Ph~ '*""tin9....... d __ _....,.,., gIlyoociln l\U poonouncea _ ana cClmllleled 111m 231 Tollle_",,,,y~,.__""'IO""''''Ml.,.ndme,,"....ell'I".................................................... . 'PRONOUNClHG AND Cl!RTII'YINO PHYSICIAN (Pl\yOlCIlln boIh _f1C1f19 dNlh and certJfyw1Q 10 C""," Of death) To tile _ 01 my kllOwIedQe. _ occ:_ lOt .... time. _. _ pIKe, ond duwlO lI1e c.......,_ m.nner.. atatecl.. . . . . . . . . . . . . . . . . . . . . . . !riJ II~ II!)I DATe FIlED (MonIIl. Oev, .,...,1 ~, 34. ~oo 21_2001-0983 '. LAST WILL AND TESTAMENT OF MARTHA G. CHESTNUT I, MARTHA G. CHESTNUT, of Upper Frankford Township, Cumberland County, Pennsylvania, make this will, revoking all my former wills and codicils. ITEM I: I direct that all my just debts, funeral expenses, and administration expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. ITEM II: I bequeath the amounts or items herein specified to each of the fOllowing-named beneficiaries who survive me: a. To Gary Lee Chestnut, the sum of Two Thousand ($2,000.00) Dollars: Each bequest to a beneficiary who does not survive me shall be distributed to such beneficiary's issue, per stirpes, who survive me. ITEM III: I devise and bequeath the residue of my estate, or every nature and wherever situate, in equal shares to my six (6) children, Vada M. Shughart, Donald P. Chestnut, Barry B. Chestnut, Larry G. Chestnut and Robert L. Chestnut, or their issue, per stirpes. It is my direction that the share of my deceased son, Harold Chestnut, go to his children, per stirpes. I direct that the share of my son, Robert L. Chestnut, be reduced by Five Hundred ($500.00) Dollars, and the share of my son, Barry B. Chestnut, be reduced by Five Hundred ($500.00) Dollars, for property received by them during my lifetime. ITEM IV: I direct that all taxes which may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. ITEM V: I appoint my children, Vada M. Shughart and Donald P. Chestnut, or the survivor thereof, Executors of this, my Last will. ~~L initials '" ITEM VI: I direct that none of my Executors shall be required to give bond for the faithful performance of their duties in any jurisdiction. ,~~~ IN WIT~NW . E . F, I have hereunto set my hand this ~~-day of _____________ , 1993. ." ,/)J ~~ 4t'!~ MARTHA G. CHESTNUT ( SEAL) The preceding instrument, consisting of this and other typewritten pages, each identified by the signature of the Testatrix, Martha G. Chestnut, was, on the day and date thereof, signed, published, and declared by Martha G. Chestnut, the Testatrix therein named, as and for her Last Will, in the presence of us, who, at her request, in her presence and in the presence of each other, have subscribed our names as witnesses thereto. ~~ fL13t~ ~ Il.~rI?/Yt . . '.. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . We, Martha G. Chestnut, Robert R. Black, and ltNO~ A.~Q~ff. , the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will, and that she had signed willingly (or willingly directed another to sign for her), and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness, and that to the best of their knowledge the Testatrix was at the time eighteen years of age or older, of sound mind and under no constraint or undue influence. '-11; f~"- ~ ~~~/... Testatrix Martha G. Chestnut ~~ witness Robert R. Black L/ . ~ t::f trndo.. // !c~ fl"t.. witness Subscribed, sworn to and acknowledged before me by Martha G. Chestnut, Testatrix, and subscribed and sworn to before me by Robert R. Black,,,"aDQ. LINOA A,'K.~Jw(Y\ , witnesses, this {Ac.g.vr day of ~ 1993. Public NOTARIAL SEAL SUSAN K. GUYER, Notary Public Carlisle, Cumberland County My Commission Expires Sept. 4. 1995 f ~ CERTIFICATION OF NOTICE UNDER RULE 5.6 (e) Name of Decedent: Martha G. Chestnut Date of Death: September 29,2001 Will No.: 21-01-0983 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: November 14,2001. Name Vada M. Shughart Donald P. Chestnut Robert L. Chestnut Barry B. Chestnut Larry G. Chestnut Leonard L. Chestnut Dennis H. Chestnut Chloe D. Rupp Randy E. Chestnut Cindy L. Hackman Dean W. Chestnut Christine E. Cohick Gary L. Chestnut Address 33 Kelly Road, Shippensburg, PA 17257 550 Opossum Lake Road, Carlisle, P A 17013 37 Mountain View Terrace, Newville, PA 17241 415 Springfield Road, Shippensburg, P A 17257 431 Nealy Road, Newville, P A 17241 Six Oak Leaf Circle, Shrewsbury, P A 17361 Eight Grandview Drive, Duncannon, P A 17020 133 Oak Flat Road, Newville, P A 17241 249 Carlisle Road, Newville, P A 17241 HC-61, Box 29F, Capon Bridge, WV 26711-9702 105 Church of God Road, Newville, P A 17241 III Long Lane Road, Newville, P A 17241 CME 122, Newville, P A 17241 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None. Date: II IN fn/ ~t~Jz 36 South Hanover Street Carlisle, Pennsylvania 17013 Telephone (717) 243-3727 Capacity:_ Personal Representative -X... Counsel for Personal Representative INRE: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF MARTHA G. CHHSTNUT Deceased ORPHANS' COURT DIVISION NO. 21 - 01 - 0983 FIRST AND FINAL ACCOUNT OF V ADA M. SHUGHART AND DONALD P. CHESTNUT, EXECUTORS OF THE ESTATE OF MARTHA G. CHESTNUT LATE OF UPPER FRANKFORD TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA Date of Death: Letters Testamentary Granted: Letters Advertised: Sentinel- Cumberland Law Journal - Account Stated as Final September 29, 2001 October 29,2001 October 23, December 6 & 13,2001 December 7, 14, & 21, 2001 SUMMARY & INDEX PRINCIPAL PAGE 2 135,157.35 Receipts Conversions (Gain) or (Loss) Less Disbursements 4 - 28.858.14 Balance Before Distributions Advancements to Beneficiaries Principal Balance Remaining INCOME Receipts Less Disbursements Income Balance Remaining 4 4 267.03 - 0.00 COMBINED BALANCE REMAINING 106,299.21 0.00 106,299.21 106,566.24 106,,566.24 RECE~TSOFPmNC~AL 2001 11/8 Allfirst Bank, close checking account no. 22443258 1,792.28 11/8 Allfirst Bank, close savings account no. 6900577 7.11 11/8 Allfirst Bank, proceeds, certificate of deposit no. 8100502277 6,251.14 11/8 Proceeds, sale of 1993 Dodge automobile 1,500.00 11/8 Refund, Capital Blue Cross 106.15 11/29 Proceeds, unpaid balance of Agreement of Sale of mountain land to 2,200.00 Donald and Joyce Chestnut 11/29 Refund, Erie Insurance Exchange, automobile insurance 165.00 12/17 Down payment, sale of real estate 11,700.00 12/17 Proceeds, public sale of personal property 6,635.00 2002 1/14 Balance net proceeds, sale of real estate 104,520.64 1/15 Rebate, Citi Financial 1.60 1/15 Rebate, Adams Electric Co-Op 42.43 1/24 Refund, Erie Insurance Exchange, homeowners policy 206.00 4/29 Proceeds, Cumberland Valley Co-Op, three (3) shares of stock 30.00 Total Receipts of Principal 135,157.35 DISBURSEMENTS OF PmNC~AL 2001 11/8 Adams Electric Co-Op, invoice 11/8 Ewing Brothers, funeral bill 148.01 5,402.00 2 11/8 MCI, invoice 11/8 Sprint, invoice 11/8 Citi-Financial, invoice 11/8 Allfirst, Harper Laughman loan, payment as Endorsee 11/29 Adams Electric Co-Op, invoice 11/29 Citi-Financial, pay-offloan no. 67380041-0500371 12/10 George Ebener Agency, invoice, appraisal of real estate 12/17 Register of Wills, Agent, payment on account, Pennsylvania inheritance tax 12/28 Groff Septic, invoice 2002 1/8 Septa-Kleen, invoice 1/9 Shetron Auction Service, services, public sale 1/14 Carlisle Regional Medical Center, invoice 1/14 Donald Chestnut, reimbursement, hardware invoice and dumping fees 1/14 Adams Electric Co-Op, invoice 1/31 Allfirst Bank, pay-off of loan, Tiffany L. Laughman, payment required as Accommodation Endorsee 2/11 Landis & Black, invoice for fees and costs advances 2/11 Carlisle Regional Medical Center, invoice 2/11 Adams Electric Co-Op, invoice 4/15 Register of Wills, Agent, balance, Pennsylvania inheritance tax Reserved: Vada M. Shughart, executrix fee Donald P. Chestnut, executor fee Landis & Black, balance of attorneys fees and costs, estimated 3 21.96 18.63 60.66 106.4 7 38.01 2,058.50 250.00 4,000.00 60.00 45.90 2,657.30 345.00 253.44 26.39 960.05 3,556.85 180.00 25.65 183.32 3,203.00 3,203.00 1,500.00 Closing and filing Releases Total Disbursements or Principal RECEIPTS OF INCOME 11/25/200 1 thru 6/25/2002 Orrstown Bank, interest on estate bank account no. 108- 005802-0123 Total Receipts or Income DISBURSEMENTS OF INCOME 200 1 thru 2002 None Total Disbursements or Income 4 500.00 28,858.14 267.03 267.03 0.00 SCHEDULE OF PROPOSED DISTRIBUTION Combined Balance for Distribution Remaining 106,566.24 as per First and Final Account TO: Gary Lee Chestnut (Item II of Will) 2,000.00 Vada M. Shughart 18,102.70 Donald P. Chestnut 18,102.71 Barry B. Chestnut (less $700 per Item III of 16,727.71 Will and Letter) Larry G. Chestnut 18,102.71 Robert L. Chestnut (less $2,000 as per Item 15,427.71 III of Will and Testaments instructions Leonard L. Chestnut 2,586.10 Dennis H. Chestnut 2,586.10 Chloe D. Rupp 2,586.10 Randy E. Chestnut 2,586.10 Cindy L. Hackman 2,586.10 Dean W. Chestnut 2,586.10 Christine E. Cohick 2,586.10 TOTAL BALANCE FOR DISTRIBUTION SI06..566.24 Vada M. Shughart and Donald P. Chestnut, Executors under the Last Will and Testament of Martha G. Chestnut, deceased, hereby declares under penalties of perjury that they have fully and faithfully discharged the duties of their office; that the foregoing First and Final Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that the first complete advertisement of the grant of letters was more than four months from the date the account was filed; that, to their knowledge, there are no claims now outstanding against the Estate; and that all taxes presently due from the estate have been paid. They understand that false statements herein are made subject to the penalties of 18Pa. C.S.A. 4904 relating to unsworn falsification to authorities. , Jf-(lJ~ \~ --1/1, -J (IV ?lC-Ja jJ I. ~ -MA{g--~~ Vada M. Shughart, Executrix )1 rw/~jI/J cry:? ~ Donald P. Chestnut, Executor . 21-2001-0983 LAST WILL AND TESTAMENT OF MARTHA G. CHESTNUT I, MARTHA G. CHESTNUT, of Upper Frankford Township, Cumberland County, Pennsylvania, make this Will, revoking all my former wills and codicils. ITEM I: I direct that all my just debts, funeral expenses, and administration expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. ITEM II: I bequeath the amounts or items herein specified to each of the following-named beneficiaries who survive me: a. To Gary Lee Chestnut, the s~m of. Two Thousand ($2,000.00) Dollars: Each bequest to a beneficiary who does not survive me shall be distributed to such beneficiary's issue, per stirpes, who survive me. ITEM III: I devise and bequeath the residue of my estate, or every nature and wherever situate, ~n equal shares to my six (6) children, Vada M. Shughart, Donald P. Chestnut, Barry B. Chestnut, Larry G. Chestnut and Robert L. Chestnut, or their issue, per stirpes. It is my direction that the share of my deceased son, Harold Chestnut, go to his children, per stirpes. I direct that the share of my son, Robert L. Chestnut, be reduced by Five Hundred ($500.00) Dollars, and the share of my son, Barry B. Chestnut, be reduced by Five Hundred ($500.00) Dollars, for property received by them during my lifetime. ITEM IV: I direct that all taxes which may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction impos~d, shall be paid from my residuary estate as a part of the expense of the administration of my estate. ITEM V: I appoint my children, Vada M. Shughart and Donald P.. Chestnut, or the survivor t~ereof, Executors of this, my Last will. mfiL initials ~," " .. ITEM VI: I direct that none of my Executors shall be required to give bond for the faithful performance of their duties in any jurisdiction. ,~(/'~ IN WITNEp)? ~~E9F, I have hereunto set my hand this k:!l da y 0 f /~oxe.r-...lA./!.A.J , 199 J . .; .) '-PI'l C{>~~ ~/t!~~J!YV4'/v MARTHA G. CHESTNUT ( SEAL) The preceding instrument, consisting of this and other typewritten pages, each identified by the signature of the Testatrix, Martha G. Chestnut, was, on the day and date thereof, signed, published, and declared by Martha G. Chestnut, the Testatrix therein named, as and for her Last Will, in the presence of us, who, at her request, in her presence and in the presence of each other, have subscribed our names as witnesses thereto. _WM~u~ r.>idCL Il1f.rtn.. , ,/ " . . COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND We, Martha G. Chestnut, Robert R. Black, and L.I!'JO" A.l{-;.)\.lu" , the Testatrix and the witnesses, respectively, whose names are signed to the attached ~r foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will, and that she had signed willingly (or willingly directed another to sign for her), and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness, and that to the best of their knowledge the Testatrix was at the time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~ ~"t?/~.I 1; J ?t.-t.,Z/I..k- -. c...: /;?c- --7lJ~L/1- Testatrix Martha G.-Chestnut ~ Ji(3tJc witness Robert R. Black (.1f/)~dCL /1. ~.J ff~ witness Subscribed, sworn to and acknowledged before me by Martha G. Chesthut, Testatrix, and subscribed and sworn to before me by Rc;>bert R. Bla,?k, ,~11<;l. L..!I\JOA (~. ~~)N(y' . ~ Wl tnesses, thls :~6j...J'-7 day of ~<).~:.b./y~t}-~-,'L) 1993. \ L-' - "\ (JU~,iLi~ Notary Public I NOTARIAL SEAL SUSAN K. GUYER Notary Public Carlisle, Cumberland County My Commission Expires Sept. 4, 1995 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96l RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT BLACK ROBERT R 36 S HANOVER STREET CARLISLE, PA 17013 -------- fold EST A TE INFORMATION: SSN: 189-09-4368 FILE NUMBER: 21-2001- 0983 DECEDENT NAME: CHESTNUT MARTHA G DA TE OF PAYMENT: 1 2/ 1 8/2001 POSTMARK DATE: 0010010000 COUNTY: CUMBERLAND DATE OF DEATH: 09/29/2001 NO. CD 000652 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $4,000.00 I I I I I I I I TOTAL AMOUNT PAID: $4,000.00 REMARKS: VADA M SHUGHART CHECK# 111 SEAL INITIALS: DO RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS /?-/h - /~ ~ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ROBERT R BLACK ESQ LANDIS & BLACK 36 S HANOVER ST CARLISLE '02 APR 19 DATE ESTATE OF DATE OF DEATH FILE NUMBER ')1') CPNNTY , !!- At:N 04-15-2002 CHESTNUT 09-29-2001 21 01-0983 CUMBERLAND 101 * REV-15~7 EX AFP <01-021 MARTHA G Allount Rellitted C,s'i PA 17013 GlllDt:<.. 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=is4j-Ex-AFP--fol-:ozi--NoYlcE--OF-.rNHEifITANci-YAx-APPRA-iiEi'-ENT~--Ai:.ioWAN-ci-oi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CHESTNUT MARTHA G FILE NO. 21 01-0983 ACN 101 DATE 04-15-2002 TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED 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 CR D RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly OWned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets ll) (2) (3) (4) (5) Ha) (7) 106.721.00 .00 .00 .00 16.675.00 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) llO) 21,843.00 3.912.00 lll) ll2) ll3) ll4) NOTE: .00 X 00 = 97,641.00 X 045= .00 X 12 = .00 X 15 = + INTEREST/PEN PAID (-) 210.53 AMOUNT PAID 4,000.00 DATE 12-18-2001 NUMBER CD000652 PAYMENT MUST BE MADE BY 06-29-2002*. TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 123,396.00 2~.7~~ 00 97,641.00 .00 97,641.00 ll9)= .00 4,393.85 .00 .00 4,393.85 4,210.53 183.32 .00 183.32 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A '"CREDIT'" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) 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 BLACK ROBERT R 36 S HANOVER STREET CARLlSLE1 PA 17013 -------- fold ESTATE INFORMATION: SSN: 189-09-4368 FILE NUMBER: 2101-0983 DECEDENT NAME: CHESTNUT MARTHA G DATE OF PAYMENT: 04/24/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 09/29/2001 NO. CD 001107 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $183.32 I I I I I I I I TOTAL AMOUNT PAID: $183.32 REMARKS: ROBERT BLACK ESQUIRE CHECK#122 SEAL INITIALS: VZ RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS \ 1"7-/6 -/~ \I BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. Z80601 HARRISBURG I PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT * REV-liD7 EX AFP (o1-D2) .02 l'lfW 31 ROBERT R BLACK ESQ LANDIS & BLACK 36 S HANOVER ST L_ CARLISLE P~\ 11'1013 P 1 :52 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-28-2002 CHESTNUT 09-29-2001 21 01-0983 CUMBERLAND 101 AlIOunt R...i tted MARTHA G 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, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=i6ijf-EX-AFP--(Or:02)-------...--iNH-Eii~fANCE-TAX--STA-fEME-NT-OF'-Accouiif--...---------------- ----- ESTATE OF CHESTNUT MARTHA G FILE NO. 21 01-0983 ACN 101 DATE 05-28-2002 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: 04-15-2002 P R I NC I PAL TAX DUE: ........................................................................................................................................................................................................................... 4,393.85 PAYMENTS (TAX CREDITS): PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 12-18-2001 CDOO0652 210.53 4,000.00 04-24-2002 CDOOI107 .00 183.32 TOTAL TAX CREDIT 4,393.85 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 . 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" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) CJ~~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Martha G. Chestnut Date of Death: September 29, 2001 Will No. 2001-00983 Pursuant to Rille 6.12 of the Supreme Court Orphans' Court Rilles, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 181 No 0 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 fmal account with the Court? Yes 181 No 0 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 181 No 0 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. ,:) {-..J ~.~oJ-, Robert R. Black, Esquire 36 South Hanover Street Carlisle, Pennsylvania 17013 (717) 243-3727 Date: ?lt14 / CJ3 i(1 : _ ~l ~ ~2 v-~ ,~ Capacity: _ Personal Representative X Counsel for Personal Representative REV-1500 EX IO-DO) ,#r REV-1500 ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 11-1'../~ <--'"--,~_.~".~.-------_._------~ --~--~--~"._~._-~----- INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 2 1 - 0 1 o 9 8 3 COUNTY CODE YEAR NUMBER .... Z W C W (.) W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Chestnut, Martha G. DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) September 29, 2001 February 17, 1912 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) N/A THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER N/A SOCIAL SECURITY NUMBER 189 09 4368 W I- lI:::$U) uO:lI:: wQ.u J:OO uO:...J Q.al Q. el: ~ 1. Original Return o 4. Limited Estate o 6. Decedent Died Testate (Attach copy of Will) o 9. Litigation Proceeds Received o 3. Remainder Return (date of death prior to 12-13-82) o 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) o 2. Supplemental Return o 4a. Future Interest Compromise (date of death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy ofTrust) o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) I- Z W C Z o Q. U) w 0: 0: o U NAME.. l<.obert R. Black, FIRM~~&glica~e) Black TELEPHONE NUMBER 717-243-3727 Esq. COMPLETE MAILING ADDRESS Landis & Black 36 South Hanover Street Carlisle, PA 17013 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (1) 106,721.00 ...... ..... I~--- OFFICIAL USE ONLY --l ~ ~ ~ 1K3 I (2) 0.00 (I" --1 I I (3) 0.00 I i (4) 0.00 "'--. J (5) 16,675.00 I....n (6) 0.00 cc j-;' CI (7) 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) z o ~ ..J ~ !::: D.. <( (.) W e::: 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) (11) 25,755.00 (12) 97,641. 00 (13) 0.00 (14) 97,641. 00 (8) 123,396.00 (9) (10) 21,843.00 . 3,912.00 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 REVERSE SIDE FOR APPLICABLE RATES z o ~ ~ ~ D.. :E o (.) ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) x.O _ (15) 97,641. 00 x.O _ (16) x .12 (17) 4,393.85 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate x .15 (18) 19. Tax Due (19) 4,393.85 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT SCHEDULE A REAL ESTATE Chestnut, Martha G. File Number 21-01-0983 Estate of AD real property owned solely or lIS a tenant In common must be reported at falr market value. Fair market value is defmed 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 jolntly-owned with right of survivorship must disclosed on Schedule F. Item Number Description Value at Date of Death 1. Tract of land with buildings and improvements thereon erected situated in Upper Frankford Township, Cumberland County, Pennsylvania, being part of the same premises as contained in Cumberland County Deed Book "K", Volume 12, Page 393, known as and numbered 4462 Enola Road, Newville, Pennsylvania 17241. Parcel No. 43-05-0415-006. Assessment $97,620.00. Sold at Public Sale. See settlement sheet attached hereto. Net proceeds $104,520.64. Unpaid balance. Tract of mountain land. Copy of Installment Contract with Donald P. Chestnut and Joyce Chestnut, dated July 21, 1998, and recorded in Cumberland County Miscellaneous Record Book 583, Page 950. Unpaid balance as of date of death - $2,200.00 $104,521.00 2. $2,200.00 TOTAL (Also enter on line 1, Recapitulation) $106,721.00 '. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY Estate of Chestnut, Martha G. File Number 21-01-0983 Include the proceeds of litigation and the date the proceeds were received by the estate. All property Jolntly-owned with the right or lurvlvonhlp must be disclosed on Schedule F. Item Number Description Value at Date of Death 1. Proceeds - A1lfirst Bank, checking account 22443258. See attached letter. 2. Proceeds - A1lfirst Bank, passbook account 87004906900577. See attached letter. 3. Proceeds - A1lfirst Bank, certificate of deposit 87008100502277. See attached letter. 4. Proceeds - Sale, 1993 Dodge. See copy of attached title. 5. Refund - Capital Blue Cross. 6. Refund - Erie Insurance Exchange, auto insurance. 7. Proceeds - Public Sale of personal property. 8. Rebate - Citi Financial. 9. Rebate - Adams Electric Co-Op. 10. Refund - Erie Insurance Exchange, homeowners insurance policy. $1,791.00 $7.00 $6,221.00 $1,500.00 $106.00 $165.00 $6,635.00 $2.00 $42.00 $206.00 TOTAL (also enter on line 5, Recapitulation) $16,675.00 .. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Estate of File Number Chestnut, Martha G. 21-01-0983 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Ewing Brothers Funeral Home, invoice. $5,402.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions $2,968.00 Donald P. Chestnut Social Security Number of Personal Representative: 550 Opossum Road, Carlisle, PA 17013 Year Commissions paid: 2002 Personal Representative Commissions $2,968.00 Vada Shughart Social Security Number of Personal Representative: 33 Kelly Road, Shippensburg, P A 1;7257 Year Commissions paid: 2002 2. Attorney Fees $6,000.00 Landis & Black, estimated. 3. Family Exemption None. 4. Probate Fees $494.00 5. Accountant's Fees $0.00 6. Tax Return Preparer's Fees $0.00 7. Adams Co-Op Electric Co. $38.00 8. George Ebener Agency, real estate appraisal. $250.00 9. Groff Septic Services, invoice. $60.00 10. Shetron Auction Services, sale of real and personal property. $2,658.00 11. Donald Chestnut, reimbursement of sale costs. $353.00 12. Adams Co-Op Electric Co., invoice. $26.00 13. Adams Co-Op Electric Co., invoice. $26.00 14. Reserve for closing and filing Releases. $600.00 TOTAL (Also enter on line 9, Recapitulation) $21,843.00 SCHEDULE I DEBTS OF DECEDENT MORTGAGE LIABILITIES, & LIENS Estate of Chestnut, Martha G. File Number 21-01-0983 Include unreimbursed medical expenses. Item Number Description Amount 1. Allfirst Bank, loan pay-off, account 20000000030552. 2. Adams Co-Op Electric Co., invoice. 3. MCI, invoice. 4. Sprint, invoice. 5. Citi Financial, loan payment. 6. Citi Financial, loan pay-off. 7. Septa-Clean, invoice. 8. Carlisle Regional Medical Center, invoice. 9. Carlisle Regional Medical Center, invoice. $1,032.00 $148.00 $22.00 $19.00 $61.00 $2,059.00 $46.00 $345.00 $180.00 TOTAL (Also enter on line 10, Recapitulation) $3,912.00 '. SCHEDULE J BENEFICIARIES Estate or File Number Chestnut, Martha G. 21-01-0983 Relationship to Decedent Amount or Share Number Name and Address of Person(s) Receiving Property Do Not LIst Trustee(s) of Estate I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. ". 9116(a)(1.2)] 1. Vada M. Shughart Daughter 1/6 33 Kelly Road, Shippensburg, PA 17257 SSN: 208-24-2426 2. Donald P. Chestnut Son 1/6 550 Opossum Lake Road, Carlisle, PA 17103 SSN: 197-30-4388 3. Robert L. Chestnut Son 1/6 less $500 37 Mountain View Terrace, Newville, PA 17241 SSN: 192-30-1690 4. Barry B. Chestnut Son 1/6 less $500 415 Springfield Road, Shippensburg, PA 17257 SSN: 172-36-1824 5. Larry G. Chestnut Son 1/6 431 Nealy Road, Newville, PA 17241 SSN: 174-46-6944 6. Leonard L. Chestnut Grandson 1/42 6 Oak Leaf Circle, Shrewsbury, PA 17261 SSN: 172-36-2245 ENTER DoLlAR AMOUNTS FOR DISTRIBUTIONS 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. 1. B. Charitable and Governmental Distributions .. 1. TOTAL OF PART 11- Enter Total Non-Taxable Distributions on Line 13 of REV 1500 Cover Sheet CONTINUED SCHEDULE J BENEFICIARIES Estate of File Number Chestnut, Martha G. 21-01-0983 Relationship to Decedent Amount or Share Number Name and Address of Person(s) Receiving Property Do Not List Trustee(s) of Estate I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] 7. Dennis H. Chestnut Grandson 1/42 8 Grandview Drive, Duncannon, PA 17020 SSN: 172-36-2224 8. Chloe D. Rupp Granddaughter 1/42 133 Oak Flat Road, Newville, PA 17241 SSN: 182-46-3370 9. Randy E. Chestnut Grandson 1/42 249 Carlisle Road, Newville, PA 17241 SSN: 196-48-1650 10. Cindy L. Hackman Granddaughter 1/42 HC-61, Box 29F, Capon Bridge, WV 26711-9702 SSN: 196-48-1661 11. Dean W. Chestnut Grandson 1/42 105 Church of God Road. Newville. PA 17241 SSN: 196-48-1672 12. Christine E. Cohick Granddaughter 1/42 111 Long Lane Road, Newville, PA 17241 SSN: 196-48-1683 13. Gary L. Chestnut Grandson CME 122. Newville, PA 17241 $2.000 SSN: 204-50-4373 . . " LAST WILL AND TESTAMENT OF MARTHA G. CHESTNUT I, MARTHA G. CHESTNUT, of Upper Frankford Township, Cumberland County, Pennsylvania, make this Will, revoking all my former wills and codicils. ITEM I: I direct that all my just debts, funeral expenses, and administration expenses, including my grave marker, shall be paid from the assets of my estate as soon as practicable after my decease. ITEM II: I bequeath the amounts or items herein specified to each of the following-named beneficiaries who survive me: a. To Gary Lee Chestnut, the sum of Two Thousand ($2,000.00) Dollars: Each bequest to a beneficiary who does not survive me shall be distributed to such beneficiary's issue, per stirpes, who survive me. ITEM III: I devise and bequeath the residue of my estate, or every nature and wherever situate, in equal shares to my six (6) children, Vada M. Shughart, Donald P. Chestnut, Barry B. Chestnut, Larry G. Chestnut and Robert L. Chestnut, or their issue, per stirpes. It is my direction that the share of my deceased son, Harold Chestnut, go to his children, per stirpes. I direct that the share of my son, Robert L. Chestnut, be reduced by Five Hundred ($500.00) Dollars, and the share of my son, Barry B. Chestnut, be reduced by Five Hundred ($500.00) Dollars, for property received by them during my lifetime. ITEM IV: I direct that all taxes which may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. ITEM V: I appoint my children, Vada M. Shughart and Donald P.. Chestnut, or the survivor thereof, Executors of this, my Last will. mfiL initials ITEM VI: I direct that none of my Executors shall be required to give bond for the faithful performance of their duties in any jurisdiction. 'Z<61Jtday I~f WIT$~:e~ I have he~e~~~~. set my hand this ",. 'i 'd/ "--J; J C2---~~ ..-flc/'Ztf-"JJ!?/.-4v/v MARTHA G. CHESTNUT (SEAL) The preceding instrument, consisting of this and other typewritten pages, each identified by the signature of the Testatrix, Martha G. Chestnut, was, on the day and date thereof, signed, published, and declared by Martha G. Chestnut, the Testatrix therein named, as and for her Last Will, in the presence of us, who; at her request, in her presence and in the presence of each other, have subscribed our names as witnesses thereto. ~~u~ ~>i~clh.. /(.l, 1?rt? /yt COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND . We, Martha G. Chestnut, Robert R. Black, and LItJo"l A. T{~,)"'lr('. , the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will, and that she had signed willingly (or willingly directed another to sign for her), and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness, and that to the best of their knowledge the Testatrix was at the time eighteen years of age or older, of sound mind and under no constraint or undue influence. L.;!/ / ?tA.L/l..:..- ~ t!hc.~1-h<-(..../... Testatrix Martha G. Chestnut aJJW (L,&Jc. witness Robert R. Black /7L,,;clcc /y', 7?r.rll.fYf. Witness Subscribed, sworn to and acknowledged before me by Martha G. Chestnut, Testatrix, and subscribed and sworn to before me by Rc;:>bert R. Bla,?k"C3,l1<;:l. LII\JOA (~.'K~)N(Y' , ' Wl tnesses, thls .:;A'6.J..>l' day of \..$.~~b./y.t.._.\j.e...'L) 1993. \ C:'d J." ,f "" ) ~"i,0 Notary Public NOTARIAL SEAL SUSAN K. GUYER, Notary Public Carlisle, Cumberland County My Commission Expires Sept. 4, 1995 1'~~~:~.17rr~::::~:i1li'm~ - A. ~/).r."TIenl Slalement U.S. I)el'>illllmenl 01 11"",sl,,!,! Ind U,b.." Oevelopmenl ~ ,r R. lyPf' of lo.m 1.0 filA OMA No. 2502-0265 2.0 fnlLA 3.0 Conv. Unin,.lile Nllnber 1UR11I SONM LOem Number MorLgdqe I nsurrlnce Case tlullt)f'r '1. 0 VA 5.0 Conv. Ins. C. NOTE: ThiS form is furnished to give you a statement or actual settlement costs. Amounts paid to and by (he settlement agent are shown. Items marked "p.o.c," were paid outside at closing; they are shown here ror informalional purposes and are nol Included in Ihe lola/s. D. NAME AND ADDRESS OF BORROWER: . fIlCllAELA.MONlmON.KAHEN L.MONRISON. SIEVE A.IIUHLEY..nd SUSAN C. IIUlilf.Y 2090 ENOLA RONl: CARI.ISLf. PA 17013 E. NAME AND ADDRESS OF SELLER: MAlmLA G. CIIESINlJI [SlATE IIPPER fRANKfORO T~SlIlr. NEWVIlIJ. PA 1/2.11 F. NAME AND ADDRESS OF LENDER: G. PROPERTY 4462 fNOIA ROAD LOCATION: NEWVlll.r. rA 1/741 H. SETTLEMENT AGENT: PLACE OF SETTLEMENT: (lIN ?:I.I,nS!,)!) r. SETTLEMENT DATE: mWIN. f1cKNIGllf /. 1l1.K;IIE$ 60 WESf rwmo STREET, CAAllSLE. PA.17013 J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION loo. GROSS AMOUNT DUE FROM BORROWER: OO. GROSS AMOUNT DUE TO SELLER: 101, l:onl"Cl ...Iea p,lce 117,000.00 401. Conll,1ct ute. prlc. .. 117,000.00 10.7. ,-....!In...al ptop"..., 0:1. Pellonal p.nro.")' 10J. Selll"",en' Char51I" 10 bOrlow.r; 403. ('rom II"" 1400) 1,951.50 ... '"' 404. l~~. 40!'i. ADJUSTMENTS FOR ITEMS PArD BY SELLER IN ADVANCE: ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: loe. Clly/lown 1.1.... .. .. ',:' .cO&.Chy/lown lar.. '. t. 107 (:ou"ly la.es .. 401. CntJnl, Iln.<< .. W, AflSl'tSsm.,,11I 1/14 02.. 6/30 02 398.32 . .': 40il. A.....rn.nl. 1/1':1/02.. 6/30 02 398.32 .og 409. '" .c'O. '" .ell. '" "" 120. GROSS AMOUNT DUE FROM BORROWER: 119,349.82 420. GROSS AMOUNT DUE TO SELLER: 117,398.32 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: '" U."n." III ..1ln.sl mn".y 11, '/00.00 501. Erc".. dltpollll (... '''IIII\lCllo...) 1I,7UO.UU :1(1.7, (>,if!l;ip,11 amount 0' n.w 10In(l) S02. SetU.m"fll f':1""9". 10 Soli.., (lin. '400) 1,170.00 ;>01 '.III""g loafl(.)lak"fl ellbjffcl 10 .03. r.IIUng 1"."1"1 l'k." .ub"'r;l 10 ;>'l4 504. pa.,ol! 01 'ir.1 mortgage 10oll" ..' ;:>05. !>o~. "".,o'f 01 Sllcond mOflgagll tn,," 708. soe. . ... ..... .. ,,, 501. ;00111 soa. <'OR !>OR ADJUSTMENTS FOfl ITEMS UNPAID BY SELLEn: ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: ;no alr!lnw" I...n, 10 510. C1ly/lown l.alllll, .. 211. Count., lax.. 1/ 1 0210 1/14 02 .... 7.68 511; COunly 1.111111'. 1/1/02" 1/14/02 7.68 'I,? AII'''''''''flll"I" 10 51;>. ^".....mfl"IS 10 ll;'. 51:1. . "loI. 514. 2'5. . .. .. ..' S1S, .' ... <'16. 516. 211, 511. ,,, !"o'1! 21'1. . 519. 220. TOTAL PAID I3Y/FOR 11,707.68 520. TOTAL REDUCTIONS t2,877.68 nORROWER, IN AMOUNT DUE SELLER: 3oo. CASH AT SETTLEMENT FROMITO BORROWER: 600. CASH AT SETILEMENT TOIFROM SELLER, :101. tlruss ankJllnt (1uc frOO! borrower I in" 120) 119,349.82 501 Gross ,1mount. due:> to seller (1 ine .120' 117,398.32 10:) I r.... .'''''''111 n.lil1 It '/lnr !tornW'r (11no (20) 11 707.68 60?~ lPc,!>rMuct'ns in dmL \'111E'spl1r.1-(l'n~ S?O' I? 1177.68" 303. CASH ( @FROM) (0 TO) BORROWER: 107,642.14 603. CASH ( [MTO) ( o FROM) SELLER: 104,520.64 tJafllJrlrV 14 ?OO? HUD-l (3-86) - RESPA, HB 4305.2 PAGE 1 ~ ~ '11101 (Ildv 3/1161 L ~ ~ ~~(~<...'(". ~c.~~t~- OM" No, ~~f)'...O'\. :~~~ ~~ <'L,\'!I~:-t '~O<i!ti G~~'; a Receipt. El J~ 8iU with Payment. FOf \IL___~,j>f'r..r;~~~ SETTLEMENT CHARGES 700. TOTAl SALESISROKEfl'S COMMISSION PAID FROM -{~.~ PAl ""6"\'''' OA9[0 ON Pillet: . .. "'. BORROWER'S SEl,,!',,""" FUNDS FU-r DIVISION OF COMMISSION (LINE 7(0) AS FOLLOWS: AT A'I ~ 101.! ,. SETTLEMENT SETTLE~" un. .!; .. ~iOll paid .III nUl.menl '" 800 HEMS PAYAOtE IN CONNECTION WITH lOAN" ao1. lOlln ofi I,...alion I" .. .. 1102. to an dlScounl .. 1103. ^ .aitall.. to: '" C'fldrl lep(,,' 10; 805. lende,', InslleClior\ loe 1106. Motlq.aQIl '"turollllC" apl,lh;:'\lon lee 10 801. Auum lIon I... '06 '09 ". 811. 900. ITEMS HEQUIRED BY LENDER TO [IE PAID IN ADVANCE: OOI.lntefn' 110m .. @$ d. 9O? Mt)\lqllQe m1iou.ance f>llImrUm 1m m.. I. U1l3. Huard In,u/lInee nfj,millm 10f v,.. fa QO.... flood mSI,IUr,Ce "'emlUm fm " I. d" 1000. RESEnVES DEPOSITED WITH LENDER: 1001. 11il,n'd insuranc. 1001. Mo,1 a ,i,u.\.IfanCe .!QQ3. 01'1' p.op"ly lall8S 100"C:0~1.!.!.!11;!I.,,'l 1005. An"ual ;!Ise.umen'5 month, (AI S monlh. iW S monthll (;9 $ p" malllh p" manit! P" mOlllh p'" m"nln ptlr AIOillh P'" monlh p" monlh pll mOlllh munlhi rOlI:$ manlhll ([~ s monthl ''4~ S 1001. monlhl vi! S IIIonllll ~ll S Aq( n~(Jcjlt' At:COlllll.itl'l (scrr,.,"1 Ad 'u'}tlllt~nl '100. TITLE CHAIlGES: 1101. Selll.m.nl o. eto.in "010 1101_ Ab&lncl 0' Iilto ,1;!I,eh 10 1103. Tille Iumin;llion 10 110". Tilll! In.uu,,ee bind.f 1'1 1l0S.0ocum,,,l f. alation 1'1 1106. Noloi' 1..10 NOTARY PUI3I.JC 1107. AllO"'.,', 'iii" 101M/I / LANIJI S & BLACK ($I'OC) 4.00 750.00 iflc:ludn abovI lIeml Numb.lS: 11011. Till. Ir1lu,;lnee 10 ~udes above n.m, Numb." 1109. l."do,'s Co!Or;Jdtl .!..!~!!'!tlla" 1111 1111. 1200 GOVEHNMENT '.lECORDING AND TIlANSFER CHARGES' 120t. U.Co'dinq Iltl': need s 27.50 . Mo,lqaQO" '11,le;l1l60- 27.50 I pO:? t;;h!o:;ounlr 1...!r;.IOIImpI: Oud S 1.170.00 . MO'I ale 1 170.00 1203. Stale la."Iam .: U...d ~ 1 170.00 . Mo. I a iii.. 1 170.00 I:?O.. 1;>0~ .' .' \ 301. g\lI'46~ to 1301. Pe,1 Inl ..cUon 10 t303. 1301. 13a5. . "",, 13a1. 1400. TOTAL SElTlEMENT CHARGES 1,951.50 1,170.00 1300 ADUlIlONAl SE111 fMENf CIfAHGcS I h~ve C.I,elully "Vlttw"d lhe lUIO.\ SO;Illlement Slalomenl and to 'he be.t 01 my knowlldoe and "elill, 11 II I I,ue .Ind accuuI. ola'emenl 01 III IIcelple .Ind dl.bullemen'l "';ld" on m, .Ie&o"nl or Ly me In ,hll ".Inuclion. I 'u'lhl' cen,I, 'h;'!1 I h.ve '"celved .I cop, 01 Ihe IIlJO.1 Sellllln"nl Nu,Iemonl, 1/14/02 s.".. d'~ . ~ Aglnl: - r.Clll., C<.[ eL- /7/. 1/14/02 ::::::01 Sauowe,: 0.1'0: 0.." 1/14/02 " D.I'I: ,epated Ie .. Irue and aCCUl.ille "Ccoun! 01 Ihll lJanl;lC!ion. I have cau'ed Of win cau." Ihe lundl 10 b. dlebuned In aCCo,da"Ce O.ale: _ Selllemenl "Il.nl: 1/4 /3. c{t<..-. O.all: 0y;". WARNING: II I. a clime 10 knowlnllly makl '.al.. elallm.nll 10 Ih. Unlled Slal.1 on 11'111 01 Iny oth.r ,Imil" 101m, P.na i.. l/pon conviChon can Includo .. tine and Imprllon. menl. FlU dliaill ..0: fill. 11 U.S. Codl SIC lion 1001 Ind S.cllo" lOla, l lAX. AMOUNT DUE- If Paid On :~ ~~~~~e ~!.i~200T If NOT rAID D COLLt:CTI( CI..J\lM eURF..\U FOR yOUR PROPEllT'l. .,1 l \ l~ 'II"."l"'!'';'!''l'~''M-'"'''''''' r{ c :~ ~~ ~~: r ~,). ~~ lEG L E R r{~COi~D[H IF DEEDS C I: M B [ R L A riD C 0 lJ NT':' - f' ^ /,/ / / '98 JUL 27 PPl 3 19 AGREEMENT OF SALE ARTICLES OF AGREEMENT, made this 'Z /Jday of Iv,! , 1998, between Martha G. Chestnut, widow, of 4462 Enola Road, Newville, Pennsylvania 17241, hereinafter (whether singular or plural) caHed "SELLER", AND Donald P. Chestnut and Joyce Chestnut, his wife, of 550 Opposwn Lake Road, Carlisle, Pennsylvania 17013, hereinafter (whether singular or plural) called "BUYER." WITNESSETH: That the paliies hereto, for the consideration hereinafter described, intending to be legaJJy bound hereby, agree as follows: 1. Salc and Purchasc. SELLER, for the consideration hereinafter mentioned, agrees to sell and convey unto the BUYER, their heirs and assigns, and BUYER agrees to purchase and accept, aJJ that certain tract of land with the improvements thereon erected, more particularly described pursuant to Exhibit "A," attached hereto and incorporated herein by reference thereto. 2. Purchase Price. In consideration whereof, the said BUYER agrees to pay to the said SELLER therefor, the sum of Ten thousand ($10,000.00) Dollars, as follows: Ten thousand ($10,000.00) Dollars in Fifty (50) monthly installments of Two hundred ($200.00) Dollars. First payment to me made on or before August 1, 1998. /J r50 (300/< 583 rf}je ~ '. . ... j/ 3. Prepayment. BUYER shall have the privilege of paying as much more than the required monthly installment of principal and interest as they desire, and nothing contained in this Agreement shall be construed to limit them to said amount. 4. Taxes, Insurance, Assessments, Repairs and Charges. In addition to the said monthly installments on account of purchase price, said BUYER agrees to pay the taxes and municipal assessments, and utility charges (if any). 5. Place of Payment. All payments shall be made to SELLER at such address as said SELLER shall supply to said BUYER. 6. Possession. It is also agreed between the parties hereto that possession of said premises shall be delivered to said BUYER on the 21st day of July, 1998, and that said BUYER shall be entitled to receive rents, issues and profits therefrom from said date of delivery of possession, subject to the conditions set forth herein. BUYER has inspected the property, including the improvements thereon, immediately prior to signing this Agreement, and accepts said property in its present condition. 7. Alterations. BUYER agrees not to make any substantial alteration of the condition of the premises, or of the buildings thereon erected, without first securing the written consent and approval of the SELLER. 8. Title. Upon compliance with the foregoing tenns and conditions and upon payment of the said purchase price in full by the said BUYER, the said SELLER will, at -2- ~ , her own proper cost and charge, make, execute and ,deliver to BUYER a good and sufficient Deed for the proper conveying and assuring of the said premises, in fee simple, free from all encumbrances, dower and right of dower, subject only to easements and building and use restrictions and conditions visible or of record, such conveyance to contain the usual covenants of special warranty and otherwise insurable by a licensed title insurance company at regular rates, without exception. 9. Tax Proration and Transfer Taxes. Taxes for the CUITent year shall be prorated between the parties hereto using the fiscal years of the taxing authorities as the basis, and, July 21, 1998 as prorating date. When legal title is taken by BUYER, SELLER shall pay one-half (Yz) of the state and local transfer taxes, and BUYER shall pay the remainder. 11. Breach by Purchaser; Remedies of SELLER. In the event BUYER shall fail to make said monthly payments as aforesaid for the space of thirty (30) days after the same shall have become due and payable by the terms hereof, or if a breach of any of the other foregoing conditions be made by the BUYER and not cured within ten (10) days of receipt of written notice from SELLER of said breach, SELLER, at his option, may: a. Declare a forfeiture of BUYER's rights hereunder and cancellation of this Agreement. On such election, all right, title and interest of BUYER hereunder shall cease and detennine, and all payments theretofore made by BUYER shall be retained by SELLER as liquidated damages and as rental for the use and occupancy of the property, and, in such event, the ProthonotalY or any attorney of allY -3- ". '. .,-. ';~',;'/ i ft~>. i ..l1:..l:: ~;~..' '1 Court of Record of Cumberland County is hereby authorized to appear for and confess judgment in an amicable action of ejectment against the said BUYER, his heirs, assigns, executors, administrators or lessees, and in favor of the SELLER, his heirs, assigns, administrators and executors, for the premises herein described, mld to direct the immediate issuing of Writ of Possession with Writ of Execution for costs, including an attomey's fee of ten (10%) percent of the unpaid balance of the purchase price, without notice and without asking leave of Court; b. In lieu of declm'ing a fOlfeiture, accelerate mld confess judgment, or accelerate and bring an action for the balance of the purchase price remaining due, or for any other relief available in law or equity, including suit to recover any payment or payments made by SELLER and repayable by BUYER hereunder, it being stipulated and agreed that such obligation to repay is a separate and independent covenant of BUYER hereunder. No action to recover any payment or payments so made by SELLER shall constitute a waiver by SELLER of his right to proceed othelwise with respect to any subsequent default. BUYER hereby authorizes any Prothonotary or attomey to appear for and confess judgment against the BUYER and in favor of the SELLER for the cntire unpaid balancc of the purchase price, together with costs, interest, insurance payments, etc., and with ten (10%) percent added as an attomey's fee. 12. No Waiver. Acceptance by SELLER of any of the aforesaid monthly payments after the same shall have become past due and in default, or any failure to enforce any of the rights herein reserved to the SELLER, or any of the penalties, forfeitures, damages or conditions herein contained, shall not in any wise be considered a waiver of the right to enforce the same at any time, without notice whatsoever, and any attempt to collect the amount due by one proceeding shall not be considered a waiver of -4- ~. I~ . the right to enforce any of the other proceedings herein contained, but all of the rights of the SELLER and all forfeitures, penalties, damages and conditions may be enforced, together or successively, at the option of SELLER. 13. Amendment. No amendment or modification of this Agreement shall be valid unless the same shall be in writing and signed by both parties. 14. Entire Agreement. This Agreement constitutes the entire agreement between the parties and supersedes any prior written or oral agreements between them respecting the within subject matter. There are no warranties, representations, agreements, arrangements or understandings, oral or written, between and among the parties hereto relating to the subject matter of this Agreement which are not fully expressed herein. 15. Assignment. The interest of the BUYER in this Agreement shall not be assignable, by sale, assignment, lease, subleasing or otherwise, in whole or in part, without the prior written consent and approval of SELLER, and if such assignment is attempted, all rights arId remedies of the SELLER set forth herein, or which the SELLER might otherwise have, shall immediately accrue to the SELLER. Transfer of title by Will, survivorship or by descent shall not be regarded as an assignment requiring the consent and approval of SELLER. SELLER agrees not to unreasonably withhold a requested consent. - 5 - .,.. ......-: ~- " ~-/ - , ,:.0/" .,j:;~}w~.,.j ~~'J .~ MJ ,/ 'II / ----... ,.. . 16. Recording. This Agreement may be filed of record in any public office, as appropriate. 17. Time of the Essence. It is the agreement of the parties hereto that time shall be of the essence. 18. Binding Effect. This Agreement is to extend to and be binding upon the heirs, successors, executors, administrators and assigns of the paIiies hereto. IN WITNESS WHEREOF, the parties hereto have set their hands and seals, intending to be legally bound, on the day and year first above written. WITNESS: / 0/ ~~~ )\ ~,ku.{~'l/ ~ ~~~ Martha G. Chestnut Jt;1ALP~f ~a~- Donald P. Chestnut t'.L (I LluJ;;-,~)-- hestnut -6- .' , I, . COMMONWEALTH OF PENNSYLVANIA ) SS. COUNTY OF CUMBERLAND ) sf 2?1 ' .On this, the ,1/ -day of ~.~ /(/({r ' 1998, before me, the undersIgned officer, personally appe ed Martha G. Chestnut, Donald P. Chestnut, and Joyce Chestnut, known to me (or satisfactorily proven) to be the persons whose names are subscribed to the within instrument, and acknowledged that they executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. (c()(!e:J ;1-(Y{t~ Notary Public (SEAL) NOTARIAL SEAL ~ R. BLACK, NOTARY PUBUC SLE 80RO.. CUMBERlAND co PA. If)' COMMISSION EXPIRES SCpt 10, "200] -7- ~~W '.",).."1' ,.................'...'.',..'...;.:: . .' ....~~~'_: . ,,/:,~,.' ;ri.J' j"P . . ':;"11.. .. Exhibit "A" ALL THE FOLLOWING described tract ofland situated in Upper Frankford Township, Cumberland County, Pennsylvania, bounded and described as follows: BEGINNING at stones; thence by land now or formerly of Jolm Heikes, North 70% degrees East 21.7 perches to stones; thence by land now or fonnerly of Rudolph Heberlig's heirs, South 39Y-i degrees East 47.3 perches to stones; thence by land now or formerly of Samuel Armold's heirs, South 35Y-i degrees West 37.5 perches to stones; thence South 39 degrees East 43.3 perches to stones; thence by land now or fonnerly of Mathias Kamarer, South 31 Y2 degrees West 8.7 perches to black oak; thence by land now or fonnerly of Peter Myers, North 24 degrees West 6 perches to a chestnut; thence South 88 degrees West 35 perches to stones; thence by land now or fonnerly of Jacob Burtnett, North 8Y. degrees West 97.4 perches to the place of Beginning. CONTAINING 21 acres and 36 perches, strict measure. BUT within the boundaries of the aforesaid tract of land is included a small tract of 3 acres and 5 perches sold by Samuel Bear to Samucl Annolt adjoining the Myers and BUlinctt lines, which said small tract is hereby exceptcd and rcserved. BEING thc same premises which Jennie E. Annolt, widow, by her dced datcd June 24, 1944, and recorded in the Cumberland County Recorder's Office in Deed Book "U", Volume 12, Page 463, granted and conveyed unto Bruce R. Chestnut and Matiha G. Chestnut, his wife. The said Bruce R. Chest1lut died on the 4th day of October, 1990, thereby vesting fee simple title, by operation of law in his surviving widow, Matiha G. Chestnut. -8- ;/ !l aI/first January 15,2002 AllfirsL Financial Center N.A. I~O. 130x 900 Millsburo, DE 19966 Landis & Black Att: Robert R. Black 36 South Hanover Street Carlisle, PA 17013 RE: Estate of Martha G. Chestnut Date of Death: September 29,2001 Social Security Number: 189-09-4368 Dear Mr. Black: In response to your request, please be ad~sed that at the time of death, the above- named decedent had on deposit with this bank the following accounts. 1. Account Type..... ...... ................ Golden Age Checking Account Account Number....................... 0022443258 Ownership (Names oj)............... Martha G. Chestnut Opening Date.. ............... ..... ..... 08/28/64 Balance on Date ofDeath.........$ 1,791.18 Accmed Interest $ 00.00 Total. . .. .. .. .. . .. .... .. . .. . .. . .. .. .. .. .. .. . $ 1,79 1. 18 2. Account Type........................... Passbook Savings Account Account Number....................... 87004906900577 Ownership (Names oj}............... Martha G. Chestnut Opening Date.. ........ ......... ........ 10/26/90 Balance on Date of Death....... ..$ 7.10 Accmed Interest $ .00 Total..... ..... . ... .................. ... .... $ 7.10 '" . Page 2 January 15, 2002 3. Account Type........................... Personal Unsecured Loan Account Account Number....................... 20dodo00030552 Ownership (Names of)............... TIffany L. Lauglunan, Pri-Borrower; Martha G. Chestnut, Co-maker Opening Date.... ......... .............. 02/26/99 Payoffon Date of Death.............$ 1,032.17 4. Account Type............................ Certificate of Deposit/9 MOS/4.670000 Account Number.... ... . ...... ......... 87008100502277 Ownership (Names of)............... Martha G. Chestnut Opening Date........................... 12/09/94 Balance on Date ofDeath..........$ 6,203.52 Accrued Interest $ 17.46 Total.......................................$ 6,220.98 "This response does not apply to any assets held with AlI1irst Brokerage, where Allfrrst Bank is seIVing as a trustee, nor to any credit cards owned by Bank of America bearing AlI1irst Bank's name." If you have any further questions on these accounts, please contact the branch of record: 812 1/2 West High Street, Carlisle, PA 17013, telephone 717-240-6717. Sincerely, 1ft,t:? ~. Mary Anne Macielag Associate IICIS (302) 934-2240 DEPARTMENT OF TRANSPORTATION CERTIFICATE OF TITLE FOR A VEHICLE 962530021003991-001 lB3XP28D8PNS80268 OODY TYPE OUP S(AT CAP 93 DODGE I 46800644904 CH V[M1 MAKE OF V(lIICl( TITLE NUMUEU I NY I ~/30/96 039488 0 Pll10R TIllE STATE ODOM. PIlOCD. DATE ODOM. MilES ODOM. STATUS I I I UNLAOEN W[IGtU GVWn Gcwn TIllE DflANDS V[IIICL( In[tJ IIFIGATI(JN NIJMB(n o 9/30/96 DArE PA TITlED O^' I: or ISSUE :;L ODOMETER STATUS 0'" ACTUAL Mll(AGf. I . '..llIl[A(i[ EXCEEUS fl,l[ MECHAUlCAl ...' LIMITS . 7 tIll' NOr TilE ACTlMLMII..EAGE 3" NOT TltE ACTU^L MllEAGE.oouMtT(R TAMPERING VERIFlf:O \ .... EXEMPT FROM OOOME~En OtSClOsunE neGI51EflED OWNWISI , TITLE ORANDS ^ .. ANTIouE VEIIICLE ~: ~i~C~~~~ "/ G - ontGlNAllY Mf'OU. fOR NON-U.$. OISTRIfJl'TION Ii" AlJ1ICUUUl1Al... V(ltlClE l - tOGGING VE IlICtE P .. rOftMlIlI.V ^ POI.teE VElIlClE n - nH:oN~1fIUCI'EO S ... 5f11EtT 1100 T .. RECOVH1(O lIlEFT vE,nClE v - VEIIICLE CONTA*NS R(ISSUED V1N W -FLOOl) VEHICLE X - FOflMEnlY A TAXI MARTHA CHESTNUT 446'2 ENOLA RD NEWVILL~ PA 17241 flflST llEN fAVOR OF' SECOND lI[N rAVOf1 OF: DAUPHIN DEPOSIT BANK & CO ","\1 DAlE $. ., . ,. ,; I.' ",'. ,.~','\VFi'-\~ 1>-."(',10 '''.''-~ r-;,'!', _~, l:'C;' " '1" OY AUIllOfUllU 1\I;I'IIESEN,^lJV( DAUPHIN DEPOSIT BANK & TRUST CO POBOX 4190 3607 DER.R Y ST HARRISBURG PA 17111 I Getllfy ill! of 1tle .JiJ1t! tlr i.,~,,.), IIHt offil:.lttl rnconJ:J of Iho Pol1n:aylvanio Oopnrlnvtnl of lraOSIJOf lalion reflecllhLlt lhe pet'son(s) or company named herein is the lawful owner .. 01100 said vehicle. \ . BRADLEY L MALLORY MO 11^V Vf^" When AOIJfyiug lot tilJe wilh R cQ-OWnP.f, olher U...,n your snousn, Gheck OM 01 lltesp. blocks, II no block I." checked, hUe wiQ bA issued as ~Tenanls in Common", ^ 0 Joint Te"....015 wilh Right of Survfvolship (on death 01 one owner, title goes \ 10 Ihe !U'vivinO owner). U 0 rennols trI Common Ion dfmth of one owner, intemsl of dcceasM owner ~5 10 hi~ Of hP.r l'lAin~, Of pslnlttl. ~~k ~tl^ltlnJ: 0'- 1" II::P'-I ^p~,mW;T( "INe. OAtil UrN OArE: fllml U[NIIOlO(;ft; IF NO LIEN CHECK llOX o NAME SfIlECT Gnv The 'JflIk'lfSM"lI~II~,('hy makrt:<> ;t,......;;llIoII "If CmlillCnle or Ill1p In Ihl! """lick) do~.c,ilJ(}d above, subtccllo lhr. L"'K;umlwartLu$ .JIlIl olhl" It~" rJaim." f.t~II(Jrlh hore STATE UEN DAlE: SECONU U[NU~O€n NAME 7n> IF NO LIEN GII[GK BOX o STHEET SlI.flAlUm: or ""I'tIC^,H (Ill Atllllfll1l1rn ~1(~rJ[H CITY SlAle liP . ,~;,',~