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Home My WebLink About06-21-05 (2) LAW OFFICES C. WALTER WHITMOYER, JR. 303 GOLF ROAD MYERSTOWN. PA 815 CUMBERLAND STREET LEBANON, PENNSYLVANIA 17042-5266 FAX (717) 270-9570 (717) 272-3011 (717) 866-5880 E-MAIL cwwjrlaw@verizon,net July 13, 2005 Glenda Farner-Strasbaugh, Register Register of Wills Office Cumberland County Court House One Courthouse Square Carlisle, Pennsylvania 17013 RE: (") Co ~:J:J CO" :r, :r ("') Estate of Lloyd Thomas cci~~ 2005-00017~~;8~ ,,-),- , ::0 _-I _w .1> ...... <= c= c.n c- c: r- ~~s () c-.") :j) CJ ITl r:.J CJ ,., ".-'Tl ';0 , .: rn (~--J t-~ ~-:j:J U1 -0 ::z: Dear Ms. Farner-Strasbaugh: o +" Enclosed please find the following in regard to the above estate: 1. An original and one (1) copy of the Inheritance Tax Return which was prepared by my client and forwarded to me for filing in your office. 2. Check for $17,363.48, payable to you as agent, being the amount of the inheritance tax. 3. Check to you for $15.00 in payment of the filing fee for the Inheritance Tax Return. 4. Copy of the Inheritance Tax Return, along with a self-addressed, stamped envelope. Please time-stamp this copy and return it to me in the envelope. Please contact me if you have any questions. Thank you for your attention to the above. Yours tmly, C I '-D~~ ~\..;~~tnlO~)-' I (fl. /--l~ C. Walter Whitmoyer, Jr. CWW:bjw Enclosures cc: Tamara K. McLaughlin, Executrix REV 1500 EX (6-00) w I- lI:~lI) UO:lI: Wl1.U ,,00 UO:.J l1.1Il l1. <I: z o ~ ...J :::l l- e: <C U w D:: z o < ~ :::l a. ::!: o U ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT I- Z W C w U w C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ (\ l--iL.~ E \. I- L D \_ () -- t hC'fu(\S DATE OF DEATH (MM.DD.YEAR) IJ-- )1- .)0::).+ DATE OF BIRTH (MM.DD-YEAR) It -2'l- \1"b'i, OFFICIAL USE ONLY FILE NUMBER ,?,. \ - <..) '::., COUNTY CODE YEAR U (I C) "L ---- NUMBER (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ 1. Original Return D 4. Limited Estate ~ 6. Decedent Died Testate (Attach copy of W;lI) D 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (date of death after 12-12-82) D 7. Decedent Maintained a Living Trust (Attach copy of Trusl) D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) I- Z W Cl Z o l1. lI) W 0: 0: o U SOCIAL SECURITY NUMBER 3 ~ "') - L II LtD (( THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER D 3, Remainder Return (dateofdealh prior to 12-13-82) D 5. Federal Estate Tax Return ReqUIred I B. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) . , l--J L I f-J f.'A;> l '(;(\-\"1. h\. \ 4&C>~7 NAME T~ A- PJ\. (Y\ (' L A-U..G t-t L.t w COMPLETE MAILING ADDRESS Sd1 e ~\)LIA-L (1) (2) (3) (4) (5) 11-1 l? () ;). :3 ).. , 10 d--- ~ ,-{ 0 . lrl'::J OFFICiA~SE ONLy o <= =u Co CJ1 "T] ,n :<:: C- (L> (:J ;T)~ c:: 'e,l ~~ '-.'n~o I (..i.~ ...:J :0 r ... C,1 - (T1 ! Tl f-n 1> _ ::0 c.n .J CJ C-. en 7'- '-..) c.') .~:Joo -0 Cr. .:." CJ O"":x ='-:1 ",)c C) :- ::0 _ iTl _or...,:-..t .. t-':...'":' CO) ::::~ CJ "h z:- FIRM NAME (If Applicable) TELEPHOi'!E N,UMBER ,- ,t r--] C-' r-. ...J. 4'2:, - .)~. l-' .J 1 \.J 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole. Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter.Vivos Transfers & Miscellaneous Non.Probate Property (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) (6) 0, o ql C ~ ,-" v.. 0'1 \ I ?J~0.qs (7) \ )... () J.. 9. d. c.) '3 ~ C)Y. OL\-d.,'1-7 (11) i '9. i 1,'1. lo,)... (12) ?>'S (" s, c.:., c:;. l~ .J (13) c..' I Ol-:l (14) -~ B [;; ~:::>'-5. IS , if. ~lP-~ '-f~ (19) \ II 3lo-? t+~ (9) (10) (8) Illt.4<.4;,S\ \ Ol+~. &.\ 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 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of line 14 taxable at collateral rate 19. Tax Due 3 ~'j S..:, CJ I <; x .0_ (15) xO L.I~ (16) x .12 (17) x .15 (18) CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 20. D Decedent's Complete Address: STREET ADDRESS \.)..0 w. c\ <l.cq~V l{' 0~; tJ(I\.l~ CITY (t,"mO \4 ell I STATE rA- I ZIP I('Dt I I Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) \"1 '?l.~, tf~ Total Credits ( A + B + C ) (2) 3. InteresVPenalty jf applicable D. Interest E. Penalty TotallnteresVPenalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) A. Enter the interest on the tax due. (5) (SA) Il, ~\P?, 4-t 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 'Il 3lo~.4~ , PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS .....~ 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. 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred;.... ...................... ............................................. 0 b. retain the right to designate who shall use the property transferred or its income;. ... ............... 0 c. retain a reversionary interest; or..... .......................... ..................................... 0 d. receive the promise for life of either payments, benefits or care? ........................ ............ 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death wifhout receiving adequate consideration? .......... ..................................... ................... ......................... 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?. 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property Which contains a beneficiary designation? ........................... .. .......................................... i ~ ~ Under penalties of perjury, I declare thaI I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge SIGNATURE OF. PP~S SOONNRESPONSIBLE FOR fh~~ ~0-e---\..a..f<. , ADDRESS ~"-. o. --U .':) 02 '1 f CJ (h Cd.4-<- Tl SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DAr! - f.s, 4 oS (}Q OV'.K, rn J t/-gO(o DATE ADDRESS For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the survivin9 spouse is 3% [72 PS. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. s9116(a)(1.2)]. The tax rafe imposed on the net value of transfers to or for the use ot the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116{1.2) [72 P.S. 99116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use at the decedent's siblings is 12% [72 P.S. 99116(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. ... .!iIlJ., QE LLOYD THOf'l'.AS CONLEY I, LLOYD THOMAS CONLEY, presently of Cumberland County, Pennsylvania, declare this to be my will and hereby revoke all prior wills and codicils made by me. 1. Personalty. I bequeath such items cf my tangible personal property as are specifically itemized on the list, if any, in my handwriting, signed and dated by me at the end thereof, and attached to this, my will, to the persons named thereon to receive such items. I bequeath all my remaining tangible personal property not used in business or for the production of income, including without limitation, furniture, furnishings, clothing, jewelry, objects of art and decoration, and the like, and any motor vehicles which I own, together with the insurance thereon, to those of my daughters, Tamara K. MCLaughlin and Teresa L. Bro_m, who survive me, to be divided as they may agree. If my said daughters cannot agree on the division, then such property shall be distributed in equal shares on the basis of choices determined by lot and rotation. If such property is distributed on the basis of lot and rotation, the values as finally determined for state death tax purposes shall be determinacive with regard to the values of the property passing hereunder and any disparity shall be equalled by such payments from my estate or between my said daughters as may be necessary. My executor(s) may sell any and all items not chosen by my daughters as aforesaid, and any and all items as necessary to equalize shares between said daughters if required hereunder. and distribute the proceeds. 2. Residue. I bequeath, devise, and appoint all the rest of my property, of whatever nature and wherever situated, including property over which I hold a power of appointment, in equal shares to my daughters, Tamara K. McLaughlin and Teresa C. Brown. If either of my said daughters does not survive me, then that daughter's share shall pass per stirpes to those of her issue who survive me, or, if none, to my other daughter (or per stirpes to ~he issue of my other daughter if my other daughter is not then living). 1. Survival. If any beneficiary should die within sixty (60) days after me, then such beneficiary shall be deemed to have predeceased me for all purposes of this will. 4. SDendthrift Clausf'>. No interest (whether in income or principal, whether or not a remainder interest, and whether vested or contingent) of any beneficlary hereunder shall be subject to anticipation, pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have power in any manner to charge or encumber his or her said interest, nor shall the said interest of any beneficiary be liable or subject in any manner while in the possession of my fiduciaries for any liability of such beneficiary, whether such liability arises from his or her debts, contracts, torts, or other engagements of any type. ::J. Facilitv of Payment for Mino!'-s or I:1capacitated Pen.;on;;. Any amounts or assets which are payable or distributable to a minor or incapacitated person hereunder may, at the discretion of my fiduciaries, be paid or distributed to the parent or guardian of such minor or incapacitated person, to the person with whom such minor or incapacitated person resides, to a trust existing primarily or exclusively for the benefit of such minor or ... "" - , incapacitated person, or directly to such minor or incapacitated person, or may be applied for the use or benefit of such minor or incapacitated person. 6. Powers. In additien to such other powers and duties as may be granted elsewhere herein or which may be granted by law, my fiduciaries hereunder shall have the following powers and duties, without the necessity of notice to or consent of any court, but subject to any applicable requirements of ordinary due care: (a) To retain all or any part of my property, real or personal, including any closely held business in which I have an interest and the stock of any corporate fiduciary hereunder, if ever any, in the form in which it may be held at the time of its receipt, as long as in the exercise of their discretion it may be advisable so to do, notwithstanding that said property may not be of a character authorized by law. (b) To invest and reinvest any funds held hereunder in any property, real or personal, including, but not by way of limitation, bonds, preferred stocks, common stocks and other securities of domestic or foreign corporations or investment trusts, mortgages or mortgage participations, mutual funds with or without sales or redemption charges, and common trust funds, even though such property would not be considered appropriate or legal for a fiduciary apart from this provision. (c) To sell, convey, exchange, partition, give options to buy or lease upon, or otherwise dispose of any property, real or personal, at the time held by them, at public or private sale or otherwise, for cash or other consideration or on credit, and upon such terms and for such price as they may determine, and to convey such property free of all trusts. (d) To borrow money from any person, including any fiduciary hereunder, for any purpose in connection with the administration hereof, to execute promissory notes or other obligations for amounts so borrowed, to secure the payments of such amounts by mortgages or pledges of any property, real or personal, which may be held hereunder, and to receive property encumbered by debts and mortgages and to take subject to and/or assume same. (e) To make secured loans (or unsecured loans if to any trust established by me or if to a child of mine). in such - 3 - . amounts, upon such terms, at such rates of interest, and to such persons, firms, or corporations as they may deem advisable. (f) To renew or extend the time for payment of any obligation, secured or unsecured, payable to or by them as fiduciaries, for as long a period or periods of time and on such terms, as they may determine, and to adjust, settle, and arbitrate claims or demands in favor of or against them. (g) In dividing or distributing any property, real or personal, included herein, to divide or distribute in cash, in kind, or partly in cash and partly in kind. (h) Without limitation of powers elsewhere granted herein, to hold, manage and develop any real estate which may be held by thern at any time, to mortgage any such property in such amounts and on such terms as they may deem advisable, to lease any such property for such term or terms and upon such conditions and rentals as they may deem advisable, whether or not the term of any such lease shall exceed the period permitted by law or the probable period of retention under this instrument; to make repairs, replacements and improvements, structural or otherwise, in connection with any such property, to abandon any such property which they may deem to be worthless or not of sufficient value to warrant keeping or protecting, and to permit any such property to be lost by tax sale or any other proceedings. (i) To employ such brokers, banks, custodians, investment counsel, attorneys, accountants and other agents, and to delegate to them such duties, rights and powers as they may determine, and for such periods as they think fit. (j) names I in indicating To register any securities at any time in their om, their names as fiduciary, or in the names of nominees, the trust character of the securities so registered. (k) With respect to any securities forming a part of my estate or otherwise held hereunde]~1 tc vcte upon any proposition or election at any meetlng of the corporation isslllng such securities, and to grant proxies, discretionary or otherwise, to vote at any such meeting; to join or become a party to any reorganization, readjustment, merger, voting trust, consolidation or exchange, and to deposit any such securities with any committee, depository, trustee or otherwise, and to payout of the assets held hereunder, any fees, expenses and assessments incurred in connection therewith, to exercise conversion, subscription or other rights, and to receive or hold any new securities issued as a result of any such reorganization, readjustment, merger, voting trust, consolidation, exchange or exercise of conversion, - 4 - . subscription or other rights and generally to take all action with respect to any such securities as could be taken by the absolute owner thereof. (1) To engage in sales, leases, loans, and other transactions with any trust established by me, even if they are fiduciaries or beneficiaries thereof. (m) To make all necessary proofs of death under the insurance policies (if any) of which they are the beneficiary, to execute any receipts for the proceeds and to institute any action to collect said proceeds and to make adjustments of any claim thereunder; provided, however, that they need not institute any ac:~ion unless they shall have been indemified against all expenses and liabilities to which they may become subject as a result thereof. If, however, they desire to institute such action without indemnification, they are hereby authorized to be reimbursed for all expenses and liabilities incurred as a result thereof from any amounts which may be held hereunder then or t.hereafter. (n) To exercise any and all elections available to them with respect to income, gift, estate, irilleritance and other taxes, including without limitation execution of joint income tax returns, election to deduct expenses in computing one tax or another, election to split gifts, and election to payor to defer payment of any tax, in all events without their being bound ~o require contribution from any other person. (0) To operate, own, or develop any business or property held hereunder in any form, including without limitation sole proprietorship, limited or general partnership, corporation, association, tenancy in common, condominium, or any other, whether or not they have restricted or no management rights, as they in their discretion think best. 7. Taxes. I direct that all estate, inheritance, and succession t:.dxes Lha:... n~a::r be assessed in consequence of my death, or whatever nature and by whatever jurisdiction imposed, other than generation-skipping taxes, shall be paid out of the principal of my general estate to the same effect as if said taxes were expenses of administration, and all other property includible in my taxable estate for federal or state tax purposes, whether or not passing under this will, shall be free and clear thereof; provided, however, that my - s - . executor(s) may in the discretion of my executor(s) request that any portion or all of said taxes (i.e., any or all taxes to be paid out of the principal of my general estate) shall instead be paid out of the principal of any trust established by me, to the extent expressly authorized under the terms of said t.rust. 8. Fiduciaries. I appoint as Executrix hereunder my daughter. Tamara K. McLaughlin, presently of Royal Oak, Michigan. If my daughter, Tamara, is unable or unwilling to ser'Ve or to complete the administr-ation of my estate, then I appoint my daughter, Teresa L. Brown, presently of Grosse Point, Michigan, to serve in her place. My fiduciaries shall serve as guardian of the property of any minor beneficiaries hereunder, under any instrument of trust executed by me, under any policies of insurance on my life, and in any other situation in which the power to make such appointment exists under the laws of Pennsylvania. No individual fiduciary shall be liable for the acts, omissions or defaults of any agent appointed and r:etained with due care or of any co-fiduciary, if ever any. No fiduciary named herein shall be required to furnish bond or other security for the proper performance of their duties hereunder. 9. Interpretation. Unless the context indicates otherwise, any use oi Lhe rnasc'i.ll ine gender- her-ein shall a.l.:3u inr.lude t_ne feminine and neuter genders, and vice versa, and the singular shall include the plural and the plural the singular. IN WI~~SS WHEREOF, I, LLOYD THOMAS CONLEY, herewith set my hand to this, my last Will, typewritten on eight (8) sheets of paper including the - 6 - self-proving attestation clause .. ) , i_::....,,) -+.:', 1;~.__J~_!~'jr and signatures of witnesses, chis '7 day of , 1997. 1/ i ;'} .( .... ;,.." (SEAL) ....,' ~ .11 i //.'./../1/'" '\ '-'..'!'Y{'~;l /.,'" ,.,. LLOYD THOMAS CONLEY Nitnessed: , -/t,~ residing at / ;I ':/1: 2-t..;; t...~>{ {"L/i ./,1 f /~/I residing at ~B\\\\ ~~ - 7 - . COMMONWEALTH OF PENNSYLVANIA COUNTY OF .oft... f Ii /.0 55: LLOYD THOl"'iAS CONLEY, (the testator), SH1'l-RorV R. f'AJ<.Ttl....J and QttE..R1.j l t. €. PIS HE:.R.. (the witnesses), whose names are signed to the foregoing instrument, being first duly sworn, each hereby declares to the undersigned authority that the testator signed and executed the instrument as his last will in the presence of the witnesses and that he had signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as witness and that to the best of his knowledge the testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. WITNESS: TESTATOR: /1 ,_ '- - . -, -' ~.- //1)'''1 . '"'"\ ,~ jl.'/(;" ./:' -I r ,/J~~_' LLOYD )THOMAS CONLEY > ~~ I a''-!I } /,," r ;l-;(-/rn w~~' (\ ~- ~\1~ Subscribed and sworn to before me by LLOYD THOMAS CONLEY, the testator, and subscribed and sworn before me by S++A--Rtl.u R .pPl')C\t),j and Q ~~&~ F\ S. \-K.f.... l'Ju.J'CJ'v\8~ 1 9 9 -; - the witnesses, this~day of NOTARIAL SEAL CAROL A, KOPPENHAVER, Notary Public Harrisburg. PA Dauphin County My Com!11iss:OI: Expire/; March 6, 2000 ~~~~~ Notary Pub . (SEAL) - 8 - REV-1502 EX+ (6-98) SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF . 1 - FILE NUMBER l-\O~ct ~ "-oV"'~ u:'Y\~ ~l-OS - 001'7 All real property owned so e y 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 NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH VIO~,)~ (\.1 \X^ S 0 V'O~ \c).,o VJQ~-l ~ w...u.. (%~c:.z L;\- ds, q-~4'\t. (~L \.~ L::J I ~l<t i'1 \)( l 4- 1211.22" I :; ,\.0 L TOTAL (Also enter on line 1, Recapitulation) $ i 2.1 ) 23>:;1. l.o~ (If more space is needed, insert additional sheets of the same size) OMS NO 2502 0265 ~ . 1r A. B. TYPE OF LOAN: U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT 1-DFHA 2nFmHA 3. ~CONV. UNINS. 4.0VA 5.0CONV INS. 6. FILl:: NUMBER~ 17. LOAN NUMBER: SETTLEMENT STATEMENT WENGER, BRIAN 424-50 8. MORTGAGE INS CASE NUMBER: C. NOTE~ This form is furnished to give you a statement of actual seltfement costs. Amounts paid to and by the settlement agent are shown. Items marked "[POC]" were paid outside the closing; they are shown here for informational purposes and are not included in the totals. '.0 3198 (WENGER. BRIAN 424.frJ697.PFDIWENGER. BRIAN 424.501 D. NAME AND ADDRESS OF BORROWER: E. NAME AND ADDRESS OF SELLER: F. NAME AND ADDRESS OF LENDER: Brian M. Wenger and Estate of Lloyd T. Conley Members 1st Fed Credit Union Camille Wenger G. PROPERTY LOCATION: H. SETTLEMENT AGENT: 25-1590084 I. SETTLEMENT DATE: 120 West Clearview Dlive Riverfront Settlement SelVlces, Inc. Camp Hill, PA 17011 May 13. 2005 Cumberland County, Pennsylvania PLACE OF SETTLEMENT 305 North Front Street Harrisburg, PA 17101 J. ,( ut- ,~ , ..v.. K. (Y ut- .IIUN 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 101. Contract Sales Price 130.000.00 401. l.:ontract :::iales "rice 130,000.00 102. Personal Property 402. Personal Property 103. Settlement l.:harges to I;lorrower (Line 1400) 4.737,19 403. 104. 404. 105. 405. Adjustments For Items Paid By :seller in advance Aajustments ror Items paia t1y seifer in advance 106. City Tax to 406. City Tax to 107. county Taxes 05/13/05 to 01/01/06 195.75 407. County Taxes 05/1",05 to 01/01/06 195.75 108. School Tax 05113/05 to 07/01/05 139.87 408. School Tax 05/13105 to 07l01i05 139.87 109. 409. 110. 41U. 111. 411. I 112. 412. i 120. GROSS AMOUNT DUE FROM BORROWER 135,072.81 420. GROSS AMOUNT DUE TO SELLER i 130,33562 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500, REDUCTIONS IN AMOUNT DUE TO SELLER: 201. LJepos,t or earnest money 1,500.00 501. Excess Deposit (See Instructions) 202. Principal Amount of New Loan(s) 130,000.00 502, Settlement Charges to Seller (Line 1400) 1 9,103.00 203. Existing loan(s) taKen SUOJecl to 503. Existing loan(s) taken subjecl to -~ 204. 504. Payoff of tirst Mortgage 205. +------.-----.-.--- 50". ",aye,. at ,econcl Mortgage 206. 506. 207. 507. (Deposit disb. as proceeds) 208. I 508. 209. 509. Adjustmellts For lIems Unpaid By ::.elier Adjustments For Items Unpaia t1y Seller 210. City Tax 10 I 51u. Uty rax 10 211 County Taxes to , 511. County Taxes to 212. School Tax to , 512. School Tax to 1 213. - 51J. I 214. 514. 215 515. I 216. 516. , 217. 517. 218. 518. 219 519. 220. TOTAL PAID BY/FOR BORROWER 131,500.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 9,103.00 1300. CASH AT SET! r"vlYI/lv : 1i0U, l;A:::iH AT :::il:: I I : 301. Gross Amount Due From Borrower (line 120) 135,072.81 601. Gross Amount LJue o Seller (Une 420) I 130,335.62 302. Less Amount Paid By/For Borrower (Line 220) 131,500.00 602. Less Reductions Due ::.eller (Line 5LO) 1\ 9,103.00 303. CASH ( X FROM) ( TO) BORROWER 3,572.81 603. CASH ( X TO) ( FROM) SELLER I 121,232.62 The undersigned hereby acknowledge receipt ot a completed copy of pages 1 &2 of this statement & any attachments referred to herein. Borrower ~ ~-,-....- Seller Estafe of Lloyd T. Conley , , . ... '700 TOTAL COMMISSION Based on Pric" $ D i \';,~:/oii--:;rl~~~Tij~Th;:;l0i/7!7r0]7!Ji1~,-i.s-'rGTiO~~----- j"'7.T:r.E751'j.:y' ----t;::~~x Realty Associates, lnc~-'-'----" 7r,'!--~--]_q:'S_OC ----~--t3.-Walker Healty ---,,--.....----..------ -"" ~~:lihinissi6r'i-PaR]ctrS-eme;T1.e!ir-----.- ...=~===~'----- -----. --to L. SETTLEMENT CHARGES ;0000 13: ll~;.cl.;AI (l"! !~ OLD:) ';: PAlO FROM BO RRQWEH'S FUNDS AT SETTLEMENT PAID J-.R.UM st::LUJ"r$ Nu!-[~:C,-r,e7-i5T-in.c-llj-de~ Adjustment of ----~For- 17CR.-- i 800 ITEMS PAYABLE IN CONNECTION WITH LOAN j". !~D1. Loan Ungin.a\lon ~ee " to " - _.-~._--_.- ----.-- , 802. LOdfl Discount '" to 1M3 App,Il.:'JTI011Tee - to Members1SfFed Credit Union 350.00 1-804. UndecNriting Fee -----. to MemDers1SfFed Credll Ul1Ion (0.00 j 805. ()oc:Jrnent Preparation to Members 151 Fed Credll UnIon 275.00 r:~~~"rtgag~l1~ ~r>:i~e~__~__.__ to , _ ssurnptlon ce to -_.~.- I !-gu8. ___on. -.. 11lNr"Trans3 cbone 88 to ReMax Realty ASSOCiates 195.00 ilfra:--- ~--- :-1J11. 1900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 1901. Interest From 05/13/05 to 06101/05 @ $ 22.118100/day ( 19 days %) 420.24 -9Ti!:rJOi1g,~(fe.rnsuiancePiem"Jm lor months to 1-903. Hazara-'rlsurancePremium for 1.0 years to i. 904. I 90S. 11000, RESERVES DEPOSITED WITH LENDER I 1001. Hazard Insurance 3.000 months @ $ 37.92 per month 113.76 : " 1002. Mortgage Insurance--' months @ $ per month I 1003. City Tax months @ ~ per month i 1004. County Taxes 4.000 months @ $ 25.55 per month 102.20 I 1005. School Tax 12.000 months @ ~ 86.62 per month 1,041_84 lU06. monms If!! :i> per monm 1007. months @ $ per month 1008. AtibHl:tiA It: ADJUSTMENT months @ $ per month -215.91 ! 1100. TITLE CHARGES ~01. Settlement or Closing Fee to :' 1102. Transaction ree to ! 1103. Title Examination to 1-;-,04. Title Insurance Binder to 1105. Document Preparation to TI06. Notary Fees to Riverfront Settlement Services, Inc. 20_00 TI67. Overnight Mail to Rivertronl ;;eltlement ;;ervices, Inc. 15.50 (mcludes above Item numbers: ) 1108. I itle Insurance to Riverfront Settlement Services, Inc. 25% 756.56 (inCIUOes soove item numbers: ) 11 O~. Lenoers voverage :i> l~U,UUU.UU 1 i HJ. UWner s voverage :i> 1 ;jU,UUU.UO l,006J5 1111. l:ndorsements to Rivertront ;;emement ;;ervlces, Inc. 10U.UU 111.l. Insuroo '...oslng Lener to Lawyers Title Insurance Company 35.00 111;j. 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recording Fees: Deed $ 36.50; Mortgage $ 64.50; Releases $ 103.00 I 1 LUL. LoIlY/Looumy I aX/::.ramps: ueed 1,300.00; Mortgage 1,300.00 Ii 1203. State Tax/Stamps: Revenue Stamps 1,300.00; Mortgage 1.300.00 . 1204. 1205. 1300. ADDITIONAL SETTLEMENT CHARGES , 1301. Survey to i 1302. Pest Inspection to Home Spec Inspections PUG $40.00 1303. AH::; Home Warranty to American Home Shield POC $405.00 1304. Tax Certification to Marie Huber, Treasurer 10-21-0279-0611 3.00 1305. 1400. TOTAL SETTLEMENT CHARGES (Enter on Lines 103, Section J and 502. Section K) 4,737.19 9,103.00 By S/;;Jfllng page 1 of thIS statement ti18 ~gn8lorlOS acil.oowlad1lG ro,~pl of a ~let:e<j f;opy of j;)i1g8 2 of thiS two pagtl statemenl Riverfront Settlement Services, Inc. Settlement Agent Certified to be a true copy. REiJ.i503E:<'+(1-9;') SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF w 0 ~d. ThoVV\o-c", CoV\I-e~ FILE NUMBER d-I- 0':; - 001 ( All property jointly-owned with right of sUNivor.;hip must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION i2J.Jch-oVl 10 boto-'- S'-'tS-k--mS COlp'Oro.t--.c1l' CPVr. \"ot'VC>V\ c~-tod:.. q, cJ~ '> y/.l..-.\ \J (".JJ._'.JL ~,() ~ C~<,,\.. if 2 '1 '~lol,q \ ~1.0 ... D + VALUE AT DATE OF DEATH t z,Y,. ~ ~ ,;2. ~<.G)"\.eAc....O~ \"tI.O-toVS (J:;\?~(C~LD~ Go(\>>.. 'vr-OV\ oS ~cct q, <1 s ho-\.1 <:.. Ch....":>1.?'1\)~>t..;;l...- \<::l - Lf ~ S" 10. :, d-- '.1-/ \)<J....'\0O'~ 4 I 3 3 DC2.lp~L Co~r.--~h ",,+OcL tJV.,..":>I? j 1..\-11 d-"- tO~ \.g \ s h /?-..U <;. 6).S'. d-.I ~. +-\: ~ 'b 0 vA So \ d-. Q 4 \,OX>- rn~ I ~ 11 q 1. -- ~ lRl ~1'go't [.)...\ Dl'::p-- s '\JO-A.LOv....> S ~c~s S- c.-I.J-_",,,-~ ~ ~cl \.Ltr~ - ~ (h -\T,--~lul. SCh.W"-h \lst-'-~ L\'-l:) S CO.:>I. )... L{ 19. 0&~?~L s~-o, L cL\J'liv.d- c1-.".k~ ~o~-^t ~-\.u n \ ~~tA-ut \ -" COy~ clo.-K- (d- )...\)h)~ Vo...:,ol ll,~\ D; <-t' ~'l 1 Dwct "Tv 0,'~') Lf y S ~ O-u./\..- ..;)S4-.S?l to le t.o S.d---\- TOTAL (Also enteron line 2, Recapitulation) $ too I ~y..(). (p 0 (If more space is needed, insert additional sheets of the same size) 'Ul Financial Partners 1 S ck cL~L e, .-ti I -3 /\priJ I L 2005 Taml McLaughlin 529 Ea:st Lmcoln Rvyal Oak, MI 48067 Dear Tami: Please allow this len,;,;r to serve as a surrunary of the valuation of all tho: date of death vahlt~s for tbe estate of L10vd Conk). Stock EDS OM Delphi Federal Express Waypoint Financial 12/27/04 Average $23.04 $39.89 $8.61 $98.615 $28.19 # of Shares 8 88 fit 72.37 :233.5577 Total Value $184.32 $351032 $525.21 $7,136.77 $6,5ln.99 \~ of I '2 ]/05 Wa)'Point Financial merged into Sovereign Bancorp. Please call me if you have :1n) qllt'stioDS Sinc<.:rdv. (~/~~ Gilbert R. Toth Final1\:ial Consultant SeCUrities and Irwestmert .'Idvlsory Services oftered through Cambndge investment Research. In:;.. a Registered Rrnk,,,iD.,,,iw Member NASD/SIPG and a Federally Registered investment Adviser Cambnri(Jp. InveSlment R6seacch. I"" and Genesis Financial Partners are riot affilialed. ct27(J5 (3'-anri i-(IVf::'f ::;uite ~?O i New,. MI 483/0 OttICE' ::aX V4HI:F41i11Y (24D} 444-Y;-l4;" ~... ;"" f\ ~~" \\, \ ;~ \ \ ~ -," , . ."1- \\ '\ K ~<," ~." (' :-,~ ~~" , ".,~ f->: :,.;~';~ ..., rn';,~ t--I'lI::O ~,:>jE fo.oi' ~,rn ;,.... -< )?;,- I c,. x :t:i '" m '" -< 'ii m (I; -< :r ~ er, r- ...1, ,.., C") ~ e;) a: - C") ~ ~ ~ ~ ~ s:: CI) C":l c:::. :tJ ~ c:::. ~ n 0 ::! ;: ;: C;) 0 ::it z ~ n '" '. '- '" .:: ',J '.;J . .... " JJ o ~.:;; :" !?, : ~ " " m .... q. :r .... " ,. " " '" " .. ~,,' I ~ ~,. " (i ~ }.; m " <<: Q t i m ~ i " ? Of; c. 7 ,'., ~ Ji is '; 15 z o 'Z " i- , " " ,., " u, p E ,If' '* ... *.0 .Ji:'1C ..q .".0 .*** '. d ..*,*~"~ *.*. if- if '. I;j..' **,*,*o>i)'l if .-,1t. t()i!l:-~ ::.'~; :'~ (n*** tit. 0'< .. *'1f if * ,. *" . .. .. * *if .. * .. .. * . * *- * ff, . ..~ * ...- .... *' . t ~~" ~ ~~" .... ,,-, " ~. ~~' ~ ~ ~ ~~~~. ~. ~ i~ :::'~" ~ 'i,...... "- ~ :\~ ~ ~ ~. ;::- ~ ~ ~ t:. ~:..... ,. 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'.' ,"'l"l'~"_!-:;~..': r.;'-"" ;::j 'j. :;:- ,!.;i,t 'r'~~'~ 'h 11: i((i,( :a' ""-'..,. = z '0 2. tr1 ;: "'i!! -; , .. 0 C z m [j , .; I ; > < "f' ~ ~ = ~ = == en ~ = = ~ = I 0 , n .; c I IA ~ ,.., W 'D ~ .; ~ W , .~ - ~ 0 -" = 0 .c '" , > <---' Z ~ 0 > Ln ~ ~-L. ::z CO) OJ o <:) o <..0 OJ * '~\l :g JJ < }> r c [T1 Ul ~ ;::~ "'-'- '---:" I\l W ~ ~ ~"'. !M'" c c:- ~". 0'" . c c: c: ... ... ~ .7' ('.lJAitti /.~~ 1~" ': ",-I n ""'I I)~ ~ 0 ~ :,:tl f1l z ~ c. , c' ~ ;; " " ,~ Transfer Agent: BANKBOSTON,N.A. 1 80u :S60" leiS P.O. BOX 9450 BOSTON, MA. 02205-9450 \ 19 to ?--=I ~ 00 DIRECT REGISTRATION CONFIRMATION {\\~ ~ -v,.J,..-4~ "1~~~~'S~-1~ \-{~~~M\~~ t).- 3 IRSP i - -g 0 D - 1/ ~ - ~-s/i (7 Registration: 1".111".111."",11".11,1,.111..",1.1,.1.111,"11..,..1.11 ****************** 3-DIGIT 170 002-0000-0480-0000 LLOYD T CONLEY 120 W CLEARVIEW DR CAMP HILL PA 17011 4022 Company: DELPHI AUTOMOTIVE 1)\~\~ f"'\ l ') CUSIP: 247126105 ~w Iv. ~1(' '\ V"'S\~~1.(Jn ~~(l~tJ Transfer Agent Account No.: 036677555 p~ GJctt"[. ~(A tL. DATE OS/28/99 SPitNOftf: TRANSACTION DESCRIPTION TRANSACTION QUANTITY TOTAL SHARES HELD BY AGENT BROKER/DEALER INFORMATION. Only applies when you have transferred to or from your Broker/Dealer: Your Broker/Dealer: Your Broker/Dealer ID No.: Your Broker/Dealer Account No.: This confirmation is your record of the share transaction affecting your account on the books of the Company as part of a Direct Registration System. It should be kept with your Important documents as a record of your ownership of these shares which are held by the Transfer Agent and no further action is required. DETACH HERE TRANSACTION REQUEST FORM (See reVerse side for transaction requests) Company: CUSIP: Account No: DELPHI AUTOMOTIVE 247126105 4103-10 036677555 If you do not wish to make any changes to your account, no action is required. Otherwise, follow the Instructions on the reverse side of this form to request one of the transactions and mail it to the address below. LLOYD T CONLEY 120 W CLEARVIEW DR CAMP HILL PA 17011 4022 BANKBOSTON,N.A. P.O. BOX 9450 BOSTON, MA. 02205-9450 00012410310036677555900000000000000000010 DEFINITIONS Book-Entry: A statement-based form of ownership in which your shares have been registered electronically with the Company in which you have invested. Direct Registration System: A system to electronically facilitate transfer of your shares between the books and records of the Company and your Broker/Dealer. CUSIP: A number used to identify the shares covered by this confirmation. Broker/Dealer 10: A number that identifies the Broker/Dealer that initiated the transaction for your account. Broker/Dealer Account Number: The number used to identify your account on the records of your Broker/Dealer. Please use it when inquiring about your account at your Broker/Dealer. Transfer Agent: Boston EquiServe Limited Partnership (Boston EquiServe); (as servicing agent for BankBoston. NA or State Street Bank and Trust Company. as applicable). Transfer Agent Account Number: The number used to identify your book-entry account on the records of the Company. Please use it when inquiring about your account at the Transfer Agent. Medallion Guarantee: A form of signature verification which can be obtained through a qualified Broker/Dealer such as a commercial bank. trust company, securities Broker/Dealer, credit union or savings institution participating in a Medallion Program approved by the Securities Transfer Association, Inc. INSTRUCTIONS FOR USING THE TRANSACTION REQUEST FORM TO REQUEST A CERTIFICATE Please call the Transfer Agent at the telephone number indicated on the front of this form. or To reQuest a certificate for ALL of your shares, mark an "X" in the box next to CLOSE MY BOOK-ENTRY ACCOUNT. To request a certificate for a portion of your shares, indicate the number of shares to be issued under the PARTIAL TRANSACTION section. TO SELL YOUR SHARES To reQuest a sale for ALL of your shares, mark an "X" in the box next to CLOSE MY BOOK-ENTRY ACCOUNT. To reQuest a sale for a Dortion of your shares, indicate the number of shares to be sold under the PARTIAL TRANSACTION section. or Please call the Transfer Agent at the telephone number indicated on the front of this form. TO ELECTRONICALLY TRANSFER YOUR SHARES TO YOUR BROKER/DEALER When no Broker/Dealer is indicated on the front of this form, or if you would like to transfer to a different Broker/Dealer. Complete the form below by indicating the number of shares to be transferred to a designated Broker/Dealer. Your Broker/Dealer information is also required below and the form must be medallion guaranteed to be valid. To the Broker/Dealer indicated on the front of this form, call the Transfer Agent and tell the representative you want to transfer shares through The Direct Registration System, or you may indicate the number of shares to be Transferred to a Designated Broker/Dealer on the form below and mail the request to the Transfer Agent. Please verify your Broker/Dealer Account Information, Boston EquiServe must rely entirely on the Broker/Dealer Account Number currently shown in its records and will not be responsible for any error that may occur in the transfer of your shares due to an inaccurate Account Number furnished by you or your BrokerlDealer. To supplY Broker/Dealer information for a later transaction, check the Add/Change Broker/Dealer Information box below and supply your Broker/Dealer name, ID No. (4 digit DTC No.) and your account number with your Broker/Dealer. A medallion guarantee is required to add this information. OTHER TRANSACTIONS TO TRANSFER YOUR SHARES ON THE BOOKS OF THE COMPANY Please call the Transfer Agent at the telephone number indicated on the reverse side on this form for instructions on how to transfer ownership of your shares. TO DEPOSIT CERTIFICATES INTO YOUR BOOK-ENTRY ACCOUNT Mail your certificates with a letter stating "Deposit the enclosed certificates into my Book-Entry Account", to the address indicated on the front on this form. We recommend that you mail them via registered or certified mail, insured for 2% of the market value. Do not endorse the certificates. There may be rights, privileges, restrictions or conditions attached to the shares covered by this confirmation. A full copy of these can be obtained by writing to the Secretary of the Company. Transfer To Designated Broker/Dealer (Indicate Number of Shares) PARTIAL TRANSACTION (DO NOT CLOSE MY BOOK-ENTRY ACCOUNT) 0001 ISSUE A CERTIFICATE FOR A PORTION OF MY SHARES SELL A PORTION OF MY SHARES L Broker/Dealer information required. if not previously provided (INDICATE NUMBER OF SHARES IN BOXES ABOVE) MAIL TO ADDRESS INDICATED ON FRONT OF FORM CLOSE MY BOOK- ENTRY ACCOUNT: (MARK ONE) ISSUE CERTIFICATE FOR ALL FULL SHARES and a check for any fractional share, if applicable SELL ALL 0'...' SHARES D'. ... held by .. _ n_ agent Medallion Guarantee Stamp Below for Add/Change of Broker/Dealer (Notary Public Is Not Acceptable) SIGNATURE(S) All joint owners must sign Names must be signed exactly as shown on the front of this statement. 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(0 S' (fl 0.. 0 C ::J (fl (fl ::J I>l ro I>l ~ ::J ~ co ~ n iJJ (IJ 0. 0. :::,- I>l '< 0. I>l 0. (IJ (0 ::J I>l ~ (fl ro (0 < 0. !:';. 0. I>l m ~ (0 0. ~ ::J Z 0. "TI I>l 0- c (fl 0 n "TI I>l ::J ~ x :3 ~ I>l a 0. ~ :3 ro c n '< ~ :::,- 0 (fl ::J C I>l (0 :::,- (0 ::J 0 ~ 0- '< (IJ Cl" CD (fl 0. ::i- "TI (0 0 0. (0 I>l :::,- (fl ~ 0. 0. ::J < n _ro I>l I>l 0.: c ::J 0 ro ~ (fl 0- :::,- (l) S' ro (fl 0 ::J (IJ ::J c< "2 c ::J I>l c 0. (fl- (IJ :3 0. "TI ~ (IJ OIl 0- '" '" 0. Y'l Way~ql!lKt ------ 'S~~~ tL (p PO Box 1711. Harrisburg. Pennsylvania 17105-1711 Mf!:Ttrp.rF-ilC STATEMENT DATE 1-20-05 LDye T CONLEY 20 W CLEARVIE~ DR AMP HILL PA 17011 4022 0:7-29 ENJOY THE WONDERS WINTER HAS TO OFFER WITH A HOME EQUITY LOAN OR LINE OF CREDIT. WHETHER IT'S FOR GIFTS, TRAVEL OR OTHER HOLIDAY ACTIVITIES. LET THE EQUITY IN YOUR HOUSE HFLP YOU HANDLE YOUR HOLIDAY SPENDING. ACCOUNT TYPE OF ACCOUNT 100163285 RELATIONSHIP CHECKING AVERAGE BALANCE 61.24912 PRFVIOUS BALANCE DEPOSITS ~ITHDRA;'.US CHARGES INTEREST ENDING B.AL.ANCE 61.24835 . ..4.....27 61.289.16 o(f 3654 00 * . . - - - . - - - - -INTEREST SUMMARY- - INTEREST EARNED FROM 1/09/05 TO 1/20/05 D,AYS IN PERIOD l'iHREST EARNED ANNUAL PERCENTAGE YIELD EARNED INTEREST PAID THIS YEAR INTEREST WITHHELD THIS YEAR TRANSACTION SUMMARY. DEPOSITS/ C (fJ1> . 11 36.54 2.00 % 143.00 00 * OA TE l/ 18 11 20 ]! 20 TRANSACTION DESCRIPTION ELECTRONIC TRANSACTION DELPHI CORPORAT! DIVIDEND CLOSE OUT WITHDRA~AL ]~TEREST PAYMENT CHECKS! DEBITS BALANCE 61252.62 36.54- 00 '.-'3h.Vi v.~ --.-" 61289.16 THANK YOU FOR BANKING AT ~AYPOINT BANK POD"502,:8.'02; Customer Service Toll-Free 1-866-WAYPOINT (1-866-929-7646) . In York Area 717/815-4500 www.waypointbank.com Inves':or Facts C)E:LPHI '.- . . . I., ,.,.., ,-> ~ f " , ~ ..". ;~~:~l::,":r;t~I~~rJ'.;:I!::'~:~Ki DELPHI Harne : EiERRCH 6-i.p - Page 1 of 2 P " AIOUT THE SITE 11:1:1111 m!:I!I ~:=I IN'lIIUI'I'OA INn:lANATlOIiI ~.~..0!I~_I'" ~liIIlIIIiiiiiIIiiii ._\.~....lWJ DIVIDEND HISTORY Dividend Summary for ticker DPH Delphi Declared Record Payable Amount Type 3/23/2005 4/4/2005 5/2/2005 $0.03 Regular Cash 12/8/2004 ~/20/20~ ~ 1/18/20~ C~o;qp Regular Cash ~ $0.07 Regular Cash 9/9/2004 9/20/2004 10/19/2004 6/22/2004 7/6/2004 8/3/2004 $0.07 Regular Cash 3/1/2004 3/15/2004 4/12/2004 $0.07 Regular Cash 12/3/2003 12/15/2003 1/14/2004 $0.07 Regular Cash 9/3/2003 9/15/2003 10/14/2003 $0.07 Regular Cash 6/18/2003 6/30/2003 7/29/2003 $0.07 Regular Cash 3/26/2003 4/7/2003 5/5/2003 $0.07 Regular Cash 12/4/2002 12/16/2002 1/15/2003 $0.07 Regular Cash 9/4/2002 9/16/2002 10/15/2002 $0.07 Regular Cash 6/27/2002 7/8/2002 8/5/2002 $0.07 Regular Cash 3/13/2002 3/25/2002 4/22/2002 $0.07 Regular Cash 12/5/2001 12/17/2001 1/16/2002 $0.07 Regular Cash 9/5/2001 9/17/2001 10/16/2001 $0.07 Regular Cash 6/27/2001 7/9/2001 8/6/2001 $0.07 Regular Cash 3/7/2001 3/19/2001 4/16/2001 $0.07 Regular Cash 12/6/2000 12/18/2000 1/18/2001 $0.07 Regular Cash 9/6/2000 9/18/2000 10/16/2000 $0.07 Regular Cash 6/14/2000 6/26/2000 7/25/2000 $0.07 Regular Cash 3/15/2000 3/24/2000 4/24/2000 $0.07 Regular Cash http://www.corporate-ir.net/ireyelic site. zhtm l?ticker=DP H&script= 1700 5/1/2005 DT\!: His':orica! prces '<or THE DIRECTTV GROUP I - Yahoo! Finance SC ~.-<. l~ ~ +*, Yahoo' My Yahoo! Mail '~.~]:-IOC.' FINANCE ~~~llJ~~~? Sign Up D age 1 o~ 4 Sea rch Finance Home - Help Saturday, June 4,2005, 12: 15PM ET - U.S. Markets Closed. (jlJ otE~~i .~~ I n to Enter DO!(,): e G ('-~(J() [<'"II \-"'_1 The Directv Group Inc (DTV) ~ScoitraiJe I .Z7 Online Trades I'JQ Inactivity Fees! **** aarron', ZOO5 bb" Trade fREE for a month. iJ]w_- ...nHilRAO! ^. ~t;lQQ Cash 130QuS Free Trades Historical Prices To . Symbol Lookup i finance Sei!tch OnJun3: 15.00 "'0.18(1.19%) ~.Il!!ade5 n..3:=::~ Ac:.tiveIri'lder Get Historical Prices for: iii SET DATE RANGE Start Date: Dee Eg. Jan 1, 2003 . Daily e Weekly e Monthly e Dividends Only 23 2003 End Date: Dee :31 2004 First I I t-JE:lxt I Last PRICES Date Adj Close* Open High Low Close Volume 31-Dec-04 16.70 16.78 16.55 16.74 865,100 16.74 30-Dec-04 16.58 16.80 16.52 16.77 1,126,300 16.77 29-Dec-04 16.41 16.57 16.33 16.49 1,081,300 16.49 28-Dec-04 16.21 16.48 16.20 16.48 726,400 16.48 ~7 -Dec-04 16.26 16.45 16.17 16.20\ 1,095,700 16.20 23-Dec-04 16.31 16.49 16.28 16.35 1,310,200 16.35 22-Dec-04 16.26 16.44 16.14 16.34 1,878,000 16.34 21-Dec-04 16.60 16.61 16.44 16.46 1,048,200 16.46 20-Dec-04 16.65 16..76 16.35 16.46 1,457,200 16.46 17-Dec-04 16.85 16..90 16.56 16.60 1,089,900 16.60 16-Dec-04 16.59 16.96 16.58 16.92 2,169,900 16.92 15-Dec-04 16.26 16.70 16.26 16.69 2,442,200 16.69 A-id I to, ~ I v.. 4 ~hQJUl S CcS.d.-'4 ADVERTISEMENT http://finance.yahoo.com/q/hp?s=DTV&a= 11 &b=23&c=2003&d=11 &e=31 &f=2004&g=d 6/4/2005 c;; ~ W<-6 ::t1 7 ThiS check is in payment of the ~ale of YOlir share(s) 5-131110 0057505855 COMPANY ACCOUNT NO. DAn: THE DIRECTV GROUP, INC. 4006 3667-7555 03/04/05 16571 NET PRIGe FEE TAX WI THHELD PAY TO HIE ORDER OF CHECK NO 15.0600 8.00 0.00 NET AMOUNl LLOYD T CONLEY 120 W CLEARVIEW DR CAMP HILL PA 17011-4022 :l::t::t::U()l::l(:l:$52 . 24 To Fleet National Bank, Boston. MA r(~ AL.' ~'JP.'l=U ':Jt'I'I(:IAL Equi$erve, Inc. ~ ir\'tPORT..\NT ';A:< :-qE~'l_l;1f\; ::)O('::"irvn=r,p' ,ATTt\CHF:O "l'5c;r!l,c,qAqRnt 11"0000 H,S 7 1."" 1:0 I. 1.000 I. 381: 00575 0585 SII' DEPARTMENT OF THE TREASURY - INTERNAL REVENUE SERVICE B~~~-~~:~~ ;;:;er --TO~BON~ ~ 545C715 1a ;~;:~gSeal. 0' I ; ~~I; ~L--~O 6 T~~StD~' h,""5ei~'~p~~~c liE Exchange Form 1099-8 i 03/04/05 : Transaction5 4 Fllderal income tax withheld Accour~'. fI.... TtJ~f 1 Description x- Gross proc,ooe(j:> Gm~<; pri""ceed<; 185;' commissions a~vj 'Jption p'emiLm~ Copy B For Recipient HilS is InljX)rtant tal, RECIPIENT'S Mme. ~ddrA5s ~it'{. st~l(, ?r.o ZIP (',d<'\' - ']'UTIlClkm and IS ts:ng furrished to the llitemal RevenJe Serli::e. jf you <ire renLJlrea to file a return, 8 reghgerc:e I pfJndl'i or other sanctiDn I may be iMposed on Y'JU ! if th:s mccrre is taxable I ."..nd the IRS detpnri'l1;'~ [h,'It i1 has 'lol teer: reoorted. _u_ ,_,_,_ REC!?IENrS ;jer'tiftcalic,n number 0.00 4006 3667-7555 SALE OF STOCK - GEORGESON ODD-LOT 1-877-288-3896 PX'l'ER'S rrarle. <lddr(>5~_ cily_ slcJc. Z,p rode LLOYD T CONLEY 120 W CLEARVIEW DR CAMP HILL PA 17011-Q022 EQUISERVE, INC. THE DIRECTV GROUP, INC. P.O. BOX 43033 PROVIDENCE, R.I. 029QO-303 2;Jd f1:--.1 nOUf'f'Hion , PA VCR'S ;:-edeml :denti1ic.aticn -rlumber Form 1099-6 385-40-2611 43-1912740 INSTRUCTIONS FOR RECIPIENT ON REVERSE SIDE DETACH BEFORE CASHING CHECK REV-1508EX+(t-971 ' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY C-oY1l Qct FILE NUMBER "')I~ OS - OD/'1 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT L\ OjdT. Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ESTATE OF 1. S,'L;S:i-- 2. b ~ ~. \0. '1. 10 II t q q 'S (J-.~. LTv It t Bl u.~ ( U\.n ~ ~h~ ~ 5~~i* ~PUSl* Boy- t.\& g" 2,0 \AS ~ s"-b~ ckpv":>lt BG,/- \0 rt-- ~1 ~~~ ( o~s.- I ~ , Cj to~ I GlAJV\.l..V\ ~ ~S\)i'\.oL ~s CoY\^-.~t - r-5L~~ ~* ::>~ pr-tpCI-vL bAU(cJLJ ~ Leo Ho~ ~ \.) , u. s- Y' Jt t.-.....b w .J.. 0f- . .. ~ ~'-- p"'\L V> Cl.AcL ~ ~ UL .:; f\ C<.. \. r (.u Melt \to 1'1 ~ -t +-VJ\~~~ 0 ~3,9(o ( S C'f.9S: Au '5;\- (O..t -(,- r ~ hU--\,q..v <:...o-A.-"# <"", l>-"l 0, h Gt.... L-j.~.'10 ~. W~Vi)~t I SO\1~ B~~ <- t Prt. (--t +i I J.. () '1 s I ~ g 1 (g1,41.o~iO(P q A.~tL ~~'!,t lD l.o . (Po - WI P DLvtt ~v.~~u(J. I~S. ~ckn v ~ l}lil..to,ZO M siu..t-Q. - rQ...-j t\--b~ .f+:>L\.AA... Jh1s lv\1A n Cz..., qS:-,DD TOTAL (Also enter on line 5, Recapitulation) $ 1 0) 2> 0(0. err (If more space is needed, insert additional sheets of the same size) I<e!'ey 81:;12 Book - Pr'vate Party Pricing Report - Shevrolet, Blazer S~~ E # I Page 1 Of 2 11.' " IIIl!I ~il:' ~~ KE,llle" Blue flook '(l,;, ,~) lIil: TRllSTfD neS()UIKE -... khb.,orn t-' _ 1.' ~ "",I,....',: A"T~:~~~~:::r'i. AC'<!CL fiW,C "'.' ',S!:;'",-, :!1~~ .,.. t.. . . +.. II. ... ~:~~I~r::!ilim ~ U.VourCar br8tl& Search Dealer Inventory View Current Offers, Request a Quote, BLUE BOOK PRIVATE PARry REPORT Pennsylvania · March 20, 2005 1998 Chevrolet Blazer Sport Utility 40 r- . -' ... .-, ',I Search Li~tLo~J.QLlbj$Car lisLYOLJrCar .For Sale QnUne Quick New Car Price Quote FreeC8RfAx. Record Checl< .A.utol._o~D$J[Qm 4.39% APR In$LJr~nce Quote P[iot"For Sale" Sign Payment Calculator .,.....--.......~ ,.- . '. .... . .~ Engine: V6 4.3L High Output Trans: Automatic Drive: 4 Wheel Drive Mileage: 77,000 Equipment LS Air Conditioning Power Steering Power Windows Power Door Locks Tilt Wheel Cruise Control AM/FM Stereo Cassette Single Compact Disc Dual Front Air Bags ABS (4-Wheel) Roof Rack Privacy Glass Consumer Rated Condition: Good ilm Buvlh\\ cr ~ Your ("'-ar. Your choice. Your way. BLUE BOOK ClI\SSIFIEDS" <n':I' i_'o~r 'T ~'L: QUickly browse through over 600,000 used vehicle listings to find exactly the car or truck you want. ZJ,j \'ert. :~,,' r CHEVROLET Search Dealer Inventory , View Current Offers, Request a Quote, "Good" condition means that the vehicle is free of any major defects. This vehicle has a clean tjtle._bistQry , the paint, body and interior have only minor (if any) blemishes, and there are no major mechanical problems. There should be little or no rust on this vehicle. The tires match and have substantial http://www.kbb.com/kb/ki.dll/kw.kc.ur?kbb.PA;058216;PA041 &17011 ;suv+p&723;Chevrolet; 19... 3/20/2005 rIIBuvlb,\er ~ y",. c... Your choice_ Your way. '<:'e"ey Blue Book - Private Party Pricing Repor': - Chevrolet, Blazer Page 2 of 2 tread wear left:. A "good" vehicle will need some reconditioning to be sold at retail. Most consumer owned vehicles fall into this category. SearctLLocal ListingsJQLIbls_Car $5,935 Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. Private Party Value Get a USE!d Car Trade-::In Value Get Invoice & MSRP 00 NeWC::Clrs Get a Person to PersooAuto Loan c, Copyright @ 2005 by Kelley Blue Book Co., All Rights Reserved. Mar- A.p!" ZOOS Edition. The specific information required to determine the value for this particular vehicle was supplied by the person generating this report. Vehicle valuations are opinions and may vary from vehicle to vehicle. Actual valuations will vary based upon market conditions, specifications, vehicle condition or other particular circumstances pertinent to this particular vehicle or the transaction or the parties to the transaction. This report is intended for the individual use of the person generating this report only and shall not be sold or transmitted to another party. Kelley Blue Book assumes no responsibility for errors or omissions.(v.05033) http://www.kbb.com/kb/ki.dll/kw.kc.ur?kbb.PA;058216;PA041 &17011 ;suv+p&723;Chevrolet; 19... 3/20/2005 5ck~ E #/fJ Date: 05-02-2005 ELMER MURRY AUCTIONS, INC. 287 LIMEROCK ROAD LITITl, PA 17543 ELMER MURRY - AUCTIUNE~R - AU648L PHONE 717 626-2636 FAX 717 627-6757 WEB WWW.HOLLINGERPHUTO.COM Settlement Selle'n 1 Lloyd Conley Est. Attn. Tama~a K McLaughlin 529 East Lincoln Avenue Royal Oak I'll 48067 Page: 1 Item Desc'ription P'rice (~ty Total Radio 1 10.00 16:25:10 Bench & binocula'rs 1 1.00 16:25:55 Gi shovel 1 1. 0k\ 16:2&:31 Tools-bucksaw 1 4.00 16:27:12 IT'on boa'rd and golf clubs 1 8.00 16:27:47 Picnic table 1 1.00 16:28:13 Reel & golf stuff 1 1.00 16:28:40 Bamboo pole 1 4.00 16:29:12 Fibe'rglass pole 1 2.00 16:29:36 Fishing ~od 1 :).00 16:2'3:58 Fishing rod 1 1.00 16:31!J:22 Misc lot ~eels 1 4.00 16:30:51 Edge'r 1 14.00 16:31:13 Lawn items 1 2.00 16:31:32 Lawn items 1 :'.00 16:32:01 UmbT'ella 1 :5.00 16:32:21 Lawn lot wheel barr'ow 1 10.01!J 16:32:~j8 Hose & ~eel 1 :).00 16:33:31 Lawn mower 1 2.00 16:33:46 Gas can 1 1.00 16:34:04 Lamp shelf 1 3.00 16: 34: 4::; Lamp 1 7.00 17:05:52 Grill 1 1.00 17:06:0~5 BOOft 1. 00 3 3.00 17:06:37 BOOft 1 1.00 17:06:55 Books 1 1.00 1"7:07:06 Box lots 1 1.00 17:07:::.4 Luggage/mise 1 1.00 1 7 : 08 : 13 Box lot 1 1.011 17:08:23 Box lot 1 8.110 17:08:43 Quilt/box lots 1 1. 013 17:09:04 Decoys 1 1.00 17 :1:')'3: 20 Box lots 1 1.00 17: 0'3: 3'3 Floo'ring 1 1. 00 ll:09:52 Box lot 1 1.I:J0 17:10:07 Coffee pot 1 1.00 11:10:30 Box lot 1 J.01!J 17:14:28 Weed eate'r 1 3.00 1"7:17:133 Co'rd 1 1.00 17:17:23 Candles 1 2.00 17: 17: 3'3 Hi nde'rw 1 1.00 17:11:::'3 Table 1 1.00 1"7:18:13 "'--'-=--=-0;:- --. . .'.---c~~' .--- <...;"-_.....,_.. '""-- _..~,.--"-"" <Sck~ E ~~ ANTIQUES APPRAISAL Apnl 11,2005 OWNER: Lloyd T. Conley 120 West Clearview Dr. Camp Hill, PA 17011 Date Of Death: 12/27/04 This appraisal completed as per requested to determine a fair market value of the following items. 1.0ak bedroom suite $225.00 2.School Desk $55.00 3. Books $5.00 4.Suit Case $10.00 5. Bookcase $15.00 6.Platform Rocker $70.00 7.Side By Side Desk $600.00 a.Exercise Bench No Value 9.Tools $5.00 10.Toro Snow blower $50.00 Upon observation of the aforementioned items, it is to th~.ges1 otmy_~nowledge and belief that one thousand and thirty five ($1,035.00) dolla nts a fair market value. / Submitted b~( Richard P. Muriy 608 Thrush Court Mechanicsburg, PA 17050 Phone: 691-9481 Fax:790-2240 5ck~ E 4:L <6 #9 Sovereign Bank ESTATE OF SOCIAL SECTRITY #: DATE OF DEATH: r .Ioyd Thomas COil ley 385-40-261 I December 2.7,2004 Account #: 0771039697 Type: Money Market In the name of: Lloyd 1. Con Icy or Till11ara K. McLaughlin Date of Death Balance: $9,035.02 Int.(YTIl) from 1/]/2004 to 11/30/2004 Accrued interest to date of death: $1.03 Other Info: formerly Waypoint #703005606 Open date: 9/2/1998 $26.S0 Account #: 1201751484 Type: Checking In the name of: Lloyd T. Conley Date of Death Balance: $61.463.06 Int.(YTD) from 1/1/2004 to ]2/8/2004 Accrued interest to date of dcath: $66.60 Other Info: Closed 1/20/05, formerly Waypoint #100163286 Opcn date: 12/1 4/200 1 $] ,051.94 Page 1 of 1 #.3 SAFE DEPOSIT BOX INVENTORY INSTRUCTION-S~- (1) Cash: Report total only. (2) Stocks: List in detail every common or preferred certificate, warrant or other rights found in box. Stocks ore to be designated by nome of company, certificate number, date of certificate, nome in which stock is registered, and number of shores and closs of stock. (3) Obligations of U. S. Government: Number of items, dote of issue, face value, names in which registered and type of ownership, i.e, jointly held, payable on death, etc. (4) Bonds: Designate by nome, amount, serial number, or other designation. (Bearer Bonds) (5) Bank and Savings and Loan Passbooks: State nome of depositor, number of book, lost dote appeoring in book, nome of bonk and bronch, ond balance. (6) Jewelry, Coins, Stamps, Manuscripts, etc: List and describe os fully os possible. (7) Deeds, Mortgages, Current Insurance Policies or other evidences of indebtedness: List and describe os fully os possible. (8) All other contents. I' ITEM NO. '~1$19,568.00 in cash (U.S. 1 i $299.00 in cash i--~j $169,00 in cash i '[' bill of a I : 3 $12,000.00 Series HH Bonds 5d..L~ \..Q. E Poge '____' of ITEM DESCRIPTION currency), (Canadian currency) (including 4-$1,00 silver certificates and 1-$5,00 larger size - U.S. currency) i i .~ I (see attached stocks/Bonds Inventory) 6 13 Eisenhauer Silver Dollars I ~,El...._!'..!'thOny Dollars 1 i 12 50~ pieces j------ .- -t -.-. - - _______m________________ . I ~+-- ------ ----.----------..---. 8.~/1.~sce 1 .19-l1c()us _obsolet~__,E~Eson~Lpaper.:> , monetary value 1'__'+11--' ""i ...-- , ! EJ -. ~n~_n_ ~-= ------------------~~~---=~=~'~~~ I , and,_i~mily reco.J:".,<:!~_.of no .; I , I i I j I - ---------1 I CERTIFY UNDER PENALTY OF PERJURYTHATTHE''''-WVERECORO IS PERSON RECEIVING COPY OF CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BEliEF, SAFE DEPOSIT BOX INVENTORY: ~'iGNATURE---'----~- Sl~ '(v\ IL ~ -- 'PRINS'iJ/f-~ ~Il----,..,~~ (~ PR'NT NA'/E A"D C ICCK ^,"PRO~~~'-'Ir----'--- C.Walter WhitrnQY,g,r.., ,Jr. , ES<I.1d..ir5'___ _1'.Sl_rnara K. ~lcLaughUI1_ ______ PRINT TIne ICHEO: APPROPRJ,ATE BOx, i KJ E ll.ecUlc,r(trixl -]Adminisfrator(lrix'l Attorney for Estate 1-,. " __ _ "___ _J_~~~~:~",-_~epre:s.entotive i Join! owner of safe dt"po~it bo;r. NOTE: Attach addltlanal 8'12" x I I" $heet (s) if necenary or U$e duplicates of thi$ page of form.~ .. ":"~".,~ '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF LI o~d. nO~~S, C-onlQ ~~ If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. FILE NUMBER cJ..1-OS - 00 17 SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. T c.. t\-\~ -K . fY' C LeA ~h II;'" 8. S~ '1 El-I N C.<)l, tJ K>CL\ A1- Oh-f1, r\I\ I +~()lPl ~W)h~ r- c. JOINTLY.OWNED PROPERTY: :3 LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. Attach DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT deed for jointly,held real estate. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. ~Ior w~~-c S~L( S~l~~ -t{) \lb ~~c .,)33.55'71 ~ \.oS~~.9q So ~ 2 ~'l - ~ODI '3 tc<'L Cu.Sl-? ~ ~ ~ Sl1 OSlO . A ~ Kc1L\O-l Gte f>'\.t~<;, s-\-ocL QlJM-k~ l~(f~ .\~ .b1 (N r'I'-~n S -toe t. \.13lo.11 ljO 35lo~. ~q Q-'h9l ~ stoc:t:- P~L~~~ A \Wq~ \,.)~u~* ~~'t:- s G.L"-'if ~~T '4= l03001.)(,,\J1o '1 c>=?5,u 2 So '+Sll. t; I . it \;)G.4W OW' -t- 'P lM.-L ~)..A,..fLL ~",-t Las 5:0 ,~.J. /' A P-J.A. rill '5 toe t.- -i{f\')s d tv lC~~ S,Ul $'0 ;J,5"3 TOTAL (Also enter on line 6, Recapitulation) $ iI,3~().qr:; ;} 4 s (If more space is needed, insert additional sheets of the same size) 04/11/2005 15:34 FAX 12484499346 GENESIS FINANCIAL SG~~~l-l \f" [4J 002 April II, 2005 Tami McLa.ughlin 529 East Lincoln Royal Oak, MI 48067 Dear Tami: Please allow this letter to serve as a sununary of the valuation of all the date of death values for the estate of Lloyd Conley. Stock EDS GM Delphi Federal Express - .,jUI.v\{ Waypoint Financial -Jbv....--\ 12/27/04 Avera.g.e $23.04 $39.89 $8.61 $9&.615 $28.19 # of Shares 8 88 61 72.37 233.5577 Total Value $184.32 $3,510.32 $525.21 $7,136.77 $6,583.99 As of 1/21/05 Waypoint Financial merged into Sovereign Bancorp. Please ca1l me Ifyou have any questions. Sincerely, r:td.J/~ Gilbert R. Toth Financial Consultant Securities and Investment Advisory Services offered through Cambridge Investment Research. Inc" a Registered Broker/Dealer, Member NASD/SIPC and a Federally Registered Investment Adviser Cambridge InveSTment Research. Inc. and Genesis Financial Partners are not affiliated, 42705 Grand River. Suite 201 Novi. MI 46375 Office (248) 374-1818 Fax (248) 449-9346 CJckc~ P Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: Lloyd Thomas Conley 385-40-2611 December 27,2004 Account #: 0771039697 Type: Money Market In the name of: Lloyd T. Conley or Tamara K. McLaughlin Date of Death Balance: $9,035.02 v/ Int.(YTD) from 1/1/2004 to 11/30/2004 Accrued interest to date of death: $1.03 1.-/ Other Info: formerly Waypoint #703005606 Open date: 9/2/1998 $26.80 Account #: 1201751489 Type: Checking In the name of: Lloyd T. Conley Date of Death Balance: $61,463.06 Int.(YTD) from 1/1/2004 to 12/8/2004 Accrued interest to date of death: $66.60 Other Info: Closed 1/20/05, formerly Waypoint #100163286 Open date: 12/14/2001 $1,051.94 Page 1 of 1 0chck~ F ...:-..-1 - ~::...-.c (omputershare + ;;;""", UEJ FOX C C(Y~tvutershare Trust CiJ in;:- F n 80;.: !,;j(il tdisc.:n, \C'ti J81 sey 038 '18--7S0? \\llt"ilr! :/le US, C:Jrn~:~_; (! ['Uf.' to RICC. SOC J7f.. h i SC Out- dA :he U~ Crm:v~::, t f-iU2fHl Rice 73; 4~-) 1 o[.o~ ll~~~:: '':'.t>,;\Pi\'',' us rO[licuoersh;:]ff: - ~Jntempiove2 - ......... ==== ~ LLOYD THOMf\S CONLEY & TAMARA K MCLAUGHLIN JT TEN 120 WEST CLEARVIEW DR CAMPHILLPA 17011.40n For a change of a::.jress please:- cali the above number or '.'ISlt us at W'N','li compulerSh3re,::;onl - n____ .:.;;;:;;:: Holder Account Number 1",111,"111"""11",11,1"111,",,1,1.,1,1.,1,111",11,,,1 C 0385402611 INO - === 1111111111111111111111111111111111I1111111111111 i_!n:-;r.>1ii'2'J J::::'1UCl ; alf-:' s:lbjec! t(i '.'.ittv')l)!d'f1,f tax2~ 01 O)',Ilo.-:nr raymen:.s an,: 3dles oroc.eecs Iff ~iPpll':abie~ Record Dale Check Number SSNITIN Cert,fied 13 Dee 2004 0000001087 Yes III\'::C~:~)..I 1'01\1 i ;.\.'\ ~'I'II~'" '1,"I!'l\~\I!~1.'l~ItJI~~h"l ......__""'_,'~_..';:;r""""r_'?{Ilm'l\..."""""_,,~..trn'...,,"_~;"""__~,,__.:>-""'."$h<>l\""""'''''''_'f~''''h""'..,.""",''''__'''~''__'~'''':''' "-"",,-E+-_'\_~._<"'~"""'''';'~'_''_''''''':'''')-_''''~'''_ -",,,,,__;__,.,.,.,,.,_,.,,,'.~'~""""',",__"'^_"~"__'E""V FedEx Corporation ESPP - Dividend Payment _~="''''''''t"''''_'''''''''''",".~i\~':1iIH-_'''1'"",,,,,,<\;___,,,_,,,,<>,,,_,,t~''.4>'''4:''F*);l~'I~IW"J'i="""",_,."",_",~""",_~",'_""''''''~''''fi'''''''''''''''-''_"-.~"""_""~"''''''.'~-.''''',..''' _,_.._,_,.,"_......_,__.."_.._.....~_~...,,'._._w-._,,;,-;'V> Dividend Confirmation Payment Date Class Description Participating Shares/Units Dividend Gross Deduction Deduction Rate Dividend ($) Amount ($) Type son ~) :~,? G_OO N.A Net Dividend ($) ~~~i J(j~ 200S - :):iMMOh 72_37 5.07 . 1 U 0 C F D X + Pi FA"Sf :::ASi-{l:'L-'(>/1 ",-('::,.>;;(;1' F'Pry,w~~~ REV-151OEX+(1-97) SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON.PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF tJ J' ()~ ITEM NUMBER 1. ,;2. 3 1:- ~ O\lW^. C'''' FILE NUMBER Ol-l- Os - 0011 (D~~ 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 INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER ATTACH A COPY OF THE DEED fOR REAL ESTATE. %OF DATE OF DEATH DECO'S VALUE OF ASSET INTEREST EXCLUSION TAXABLE VALUE IF APPliCABLE) TN(:y ~-e~Ct~ ~L\ Od-? 01 100 '&L/-, Cl.;.l~. u7 -T<>-wOJ\IL (Y\ c J...cu...~\-j ~ I ~~k~ \ 'J ~ ~)".AP-\d Cor-o ltf r-<- ,I... 0./-- ~'f Xi ro~ kY\ t&.~ ~+ '5(VJ~ p~ ~'\'\--R-\\~~{'::.__ ~k\-c.r-~ \~'::>O.... ~"rO"""::>/\ \ " \ 0- tv-.O'-'\J.L /'y\C I-"'~ ~Ll..-Ln (Do .2 -s: q 4-c:J. 70 J 'S^ ~ rJ..;). 10 ()\ F S -- r-R- (T ~~fl~<t lG,"0iLo.1l, IC\:'IIo.lln lDD - T R-w-.~~ l^V\cL~k~ ~~~~ AA (0~ts ~ -\0 ~b~ c:U <^-Th ~...H\~~ULd.. ~~ TOTAL (Also enter on line 7, Recapitulation) $ I ~~ ;) s d.. ~ 3 (If more spaoe is needed, insert additional sheets of the same size) ING Jli) Sck~ b-- March 4, 2005 Tamara McLaughlin 529 E Lincoln Ave Royal Oak MI 48067 RE: 1544648-0P Lloyd Thomas Conley To Whom It May Concern: Golden does not issue IRS Form 712 for this product type, however we are happy to provide the following information in lieu of IRS Form 712: Ownerl Annuitant Value as of December 27, 2004 Cost Basis Primary Beneficiary I Lloyd T Conley I $ 84,023.07 I $76,670.03 I Tamara McLaughlin Should you have any questions please contact our Customer Service Center at 1-800-366-0066 and a representative would be happy to help you. Sincerely, ~l!Ccl1n~ Variable Post Issue Customer Service Dept. 909 [,oeust Street Des Moines, IA 50309-2899 iI:b " '. .--, .... .......\...... .' ,', r'.":,,, _. ., .~ Sd..(~.1. & THEVanguaJ"djROUP@ February 8, 2005 Ms. Tamara K. McLaughlin 529 E Lincoln Avenue Royal Oak, MI 48067 Re: Lloyd T. Conley FedEx Corporation Retirement Savings Plan Dear Ms. McLaughlin: We have received the Beneficiary Determination Form and have transferred the proceeds into an account in your name. When you would like to take a distribution from this account, please contact our Participant Services Department at the number below. Please be aware that you may not need to take a distribution at this time. If the balance in the account is greater than $5,000.00, then the following applies: · Spousal beneficiaries may leave the money in the FedEx Retirement Savings Plan until December 31 st of the year the deceased would have attained age 70. · Non-spousal beneficiaries may leave the money in the Plan until December 31 st of the year containing the 5th anniversary of the participant's death. If the balance in the account is $5,000.00 or less, you may not defer distribution. If you do not respond within 60 days, a check will be mailed to you. Per your request, we have also enclosed balances for Mr. Conley's account as of December 27, 2004. Should you have any questions, please call Vanguard Participant Services at 1-800-523-1188, Monday through Friday, 8:30 a.m. to 9:00 p.m. Eastern Time. An Associate will be pleased to assist you. Sincerely The Vanguard Group Vanguard Instimtional Retirement Plan Services Post Officc Box 2900, Valley Forge, Pennsylvania '9482-2900 (800) 662-0106 . www.vanguard.coIIl VESTED BALANCES Statement Date Participant Name SSN December 27,2004 Lloyd T. Conley 385-40-2611 FEDEX CORPORATION RETIREMENT SAVINGS PLAN Pre-tax/401 (k) Account Employer Match Employee Stock Ownership Plan Stock Distribution Account After-tax Account Profit Sharing Plan Account Total Balance Loan Balance $5,728.37 $1,642.52 $12,665.48 $1,991.78 $0.00 $3,914.55 $25,942.70 $0.00 mmllll@ S('k~ G- INVESTMENT MANAGEMENT MFS SERVICE CENTER, INC. (MFSC) P.o. Box 55~24 BOSTON. MA 02205-5R24 1-800-225-2606 www.mfs.com February 7, 2005 TAMARA K MCLAUGHLIN 529 E LINCOLN AVE ROYAL OAK MI 48067-3301 Reference: 01407614 Mass Investors Growth Stock Fund-B Account Number 8187521772-0 Account Number 8187521842-8 MFS Heritage Trust Co TTEE IRA AIC Lloyd T Conley Dear Ms. McLaughlin: Thank you for requesting written verification of the values of the referenced MFS Individual Retirement Accounts (IRAs) as of December 27, 2004. The IRAs were redeemed to you as the primary beneficiary on January 26,2005. The share balance of the referenced IRA account, number 213-8189624896, as of December 27,2004, was 764.256 shares. The net asset value of the Massachusetts Investors Growth Stock Fund-B as of that date was $11.26 per share. Therefore, the total value of the account was $8,605.52. CD The share balance of the referenced IRA account, number 213-8187521842, as of December 27, 2004, was 151.975 shares. The net asset value of the Massachusetts Investors Growth Stock Fund-B as of that date was $11.26 per share. Therefore, the total value of the account was $1,711.24.@ If you have any questions, please call our Retirement Plan Services Department at 1-800-637-1255 any business day between 8 a.m. and 8 p.m. Eastern time. One of our representatives will be happy to assist you. In addition, you may obtain fund and account information 24 hours a day by calling our automated line at 1-800-MFS-TALK or visiting our website at www.mfs.com. Sincerely, If' - \0 '), I '-.- \ -' \ '-Pi Go> ~~~ William Brennan Client Services Enclosure(s): Postage-Paid Envelope REV-t511EX+(1-97) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF J-l Ojd ThQV\^(~ Debts of decedent must be reported on Schedule I. CA':...y\ ~ FILE NUMBER .;).1 - OS" - OOr, ITEM NUMBER A. 1, B, 1. 2 3. 4. 5, 6, 7. '6 ~. 10. \ \. \2... DESCRIPTION AMOUNT FUNERAL EXPENSES: \>OJ\. t~ e ~O-\i._ ~"\.Q/\v.Q.. t\u\i~..... NQ..~ C~~~l\ ~J \ VA ~N-AoSl ~\Jt<:"(! f U\-'::.~t) <hAtk. y\ otl uS , J~. \~,,';:> 'll ~ L\ t . d-d.... ADMINISTRATIVE COSTS: Personal Representative's Commissions TArn-f\tQ..v\ K. (h(LAL(~4L-iN 313 -1 (, " Lj. (p () -6 -0- Name of Personal Representative (s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address 5;).. c, E.. I-- I N (,c.L~N City ~ o'--{ A-L () A-\4.. Zip 4-'S 0<.0\ State MI Year(s) Commission Paid: y, \Do-- Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address .-- C.y"- City Relationship of Claimant to Decedent State Zip Probate Fees - ~'^-'" t-~ ' - ~ ~ '(\.0 \l (,u, 4~O"- cl?- lo, CS'.? --0-- Accountant's Fees ld.S, GO Tax Retum Preparers Fees u... -6..\..'- ~s k t. \ 6-0 W. c..lsu-J\ ~ 'v:) l,OCSv..-1'~ Y fbf--"'t...\ \.-c.. v..:;.v) ? Q\c. '-0<;' t ~'~.:) 1\90, -- Ss>..A. 0\ t...L .~ p ~ ~~l>"V'C ('JL\)C\...L .- ") rs,:o-- ~? (''''-^'?u...L C.fi.:pJS T Y'Q,--,<,t .i2<{~.v6l!.~_ ( N-^ \u:. 0 G~G~c..j,.,) I 3J..;;t. $0 " ~v~~ \ ()t!~ ~~ " ...(-e~ <)'~,'61 TOTAL (Also enter on line 9, Recapitulation) $ I { \ I W 4. Q I (If morE' space IS needed) Insert additional sheets of the same size) REI..151?EX. (1.9?\' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS L-I 0 J J 1h 0 V\\.o..~ (.0 ~ lo-.-k FILE NUMBER ~ 1- OS - Q()\-l COMMONWEALTH OF PENNSYLVANIA INHERIT ANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1. (J.l~r~ c~~ &k~~ \JA C-~( ~j A~ct ~i~ '1/- u0I 0 02- TOTAL (Also enter on line 10, Recapitulation) $ (0 L{.- d.-. g I (If more space is needed, insert additional sheets of the same size) C~cr6 Q~~ LLQ~L AAlL ~ dxac tJ. , "iiWOO 5 5 3 8 -- M~. 12 -/J.-# ;:;::: (Jh1.rAf: ~ I slf]" 1 ~-a;;JICc_~~ ------ OOLCAR' 6\ Ci::- .vi~ ~ _ J.q~dJfL-:C;Z ___ _ C~~1~?~ia?C01001'~~a'~ 553B DOOOOO~~OD~ I.LO\'D T. CONLEY 1:>0 . CU:;AIIW'W DR t".AWF'l41.." 11'rlU 12117 I 04 5538 43.00 z.. "'-r?r -rq/ LLO\'O "T. CONLEY lliD W CLEAfMF"N fIR CMilP HI.L. PA 11'011 ~ 5539 =p.-M . ::.;.;::;'W-~ ... . -! $ 37cr 1 ~--=----==-DOLCAR' f,) =-.-::- ;;~~~?B~'1r:D1001U~IH,'" ~~~j'i'_:~ 12/17/04 5539 39.15 21-- (f>r" /6r UOYD T. COM..EY ~ 5540 11OWCt..I.4IMeWOIl R.'" ""'"'..... PO """ ......J1L- -/'1#/ , ;,;:~_~ 1$ 3?1l9Y !~ _ ?'l$;--oou,A.. fil == VIWay~ .JfI~L . :;";3&3? ~3a?':O~~~~3 <aF.~~~~ 12115104 5540 370.98 LLOYD T. CONLEY 120 w a..ENMD'f ~. CAMP ttl\.L PA 'lOll ~ 5541 1l.'Cl'elI ....__l~ 1S:61 ;;.-;;.~;;-t! rL____.__.i $)5'* , .---,- ! -- '.- :_'-_~ ~____.OLU.' ~ _._ ;;~~1~I;a?':o 100 ~F. 3 ~8F."-5~~~OO; 12/27104 5541 25.00 'Sck~T Account # 100163286 Page # 4 ~cJ~ ~ 55'2 """" ""'- PA """., _ J7>0.."//P ..n.. i",._L~~_l. iL"f.-; t =e:: '--_._~.._^.- -- _" I ! ~~_'i:-~c-c---_;.. ,,' -."- ~ ",IL ~3.3?~3B?CO.OD1&3?BF..- 55~~lR~~~~~~;~ 12121104 6642 73.20 UOYD T. COIA..EY 120 W CleNME'W ~ CAAIP HaL PA non ~~ 55A3 M..j2~1__:t:>Lf .~.__I $ 7/.0 [J /~UOLL"" fL ~_7:" .....,TlJ..... \ 1 it l~ ! - --~---- VI IIA:. -ss~i ~o?;on: 5543 l1DYD T. CONlEY '''W~Dn CMII"~I."'''' t7O'I1 "iJ!l'ro 5544 ,- ~L2~.:z.7-(),/ . ::;..':~.. UC,I _____ _ ..J $ 'lUx) ! ';.A.~I<L.t~__~~__--"~.OLL'" f\::-::- W~ _u~__. Uill?C01DOlla~8r.. 55.... o"oooopoarlloo" -~. 5544 - scr~~~ r . u I a r. ::Jw..uu. -- -- =::::aATrAT Wireless - QuesliOn$ or Changes? . iIltWIrelell1l.com . Toll Free 1 868 293-4634 . 611 from your wir" phone . TTY ueerIl - 1 868 4-AWS- TTY LLOYD CONLEY LLOYD CONLEY 120 W CLEAAVIEW DR CAMP HILL PA 17011-4022 , \. ~ > \:', f"~ I L."(''---/ Date of InV~ber 27.~ SUMMARY OF MONTHLY CHARGES FOR ACCOUNT 0032151860 r-----.--.---;--.~ -"-r"'-""''''''~'-'.'---'-~~~~r.---'"..~.~......m.......".'-'~---"-"Y"T""~--'""'""""'-"'-''''''"-'''-''''~-'''-~-~-"T-'''"'~~''_'_M_.~''''''''''''-''''''''''''''''''''uw""":, : PrevIoua _ Payment8 I Late Payment I Account I Balance ! Current Monthly : , Balance i ReceIved ! Charge I Adjustment. I Forward ! Chargea " ,._..~__,.._'^.^.q...______~_.~_~_...."^+..u.,._..,..,.._.'u~w....~,...~ ._.~--'---.,~.-r- . -;-..-.--.....-.----.---...~t.."~....---..=.-----~.,---...~.-_t-.-"M,........~"..~.y.~---..--.- -,- ~ ,___._!!:!~....,__..L~-=!~.S2__ 1 0.00 ' _.~___~:.o~_____.__.~~:oo _.__.<.___~..__.__~:!!__. . Total L_Arnount D~~__< Your billing cycle began on November 27.2004 and ended on December 26.2004 Current Monthly Charges 72.99 L____~____""___... SubscrIber Adjustments Monthly Service Monthly Usage Charges Credits Government Fees and Taxes 000 59.98 0.40 1.67 0.00 10.94 72.99 Total Current Monthly Charges DUE UPON RECEIPT TOTAL AMOUNT DUE 72.99 OUR BILLING SYSTEM PREVENTS CREDITS GREATER THAN THE ACCOUNT BALANCE TO BE APPLIED TO YOUR ACCOUNT. APPLICABLE SERVICE CREDITS WILL BE APPLIED TO YOUR ACCOUNT FOR AS MANY BILL CYCLES AS IT TAKES TO FULFILL THE ENTIRE CREDIT. Note: => We Print on e._.__ __... M__' s c~ ,L..-.l.R-l "ei Account: Telephone Number' 2BX25504 717731-1496 Statement Date: 12/27/04 Page 1 of 4 .1 888 624-5622 Customer Service: ,Q, www.mci.com/service Me. Summary of Charges PrevIous Cflarges .. ... ........ Payments through 12/26/04 . BalanCe Forward ....... $34.32 $3432 Cr $.00 Get $1 off your monthly bill! Current Charges ..... $6427 With EasyPay with eA'ert. your monthiY charges will be automatlcaliy billed to your cred,t card, You'll receive an e-mail surnrnarizlng your btH With a link to ,'our Interactive sta1ementJ To sign-up, cali 1-888-MCI-LOCAL 01 sign up online at www mcLcorn/EasyPay. Total Amount Due ..................................... $64.27 Payment Due Date.................................... 01/20/05 (i \) - >J.- .t"'::?) REMINDER: A 1.20% late payment charge will apply to any unpaId balance as of January 26, 2005 . _'0 . pl:E~rOLO.aaOWANDDrrACH.RETUAN{)NLY.THEl...bWERPORTION. Dee 8 10:DSp M~dfo;d, OR 541734--D905 24Hr 22 3.08 Dec 9 7:280 Detrol1. MI 313882-35G7 24Hr 1 ,14 Dec9 7:29p RoyalOak,MI 248547-570424Hr 1 ,14 Dec 9 8:38" Royal Oak , MI 248547-5704 24Hr 13 1.82 Dee 9 8:51p Detroit MI 313882-3567 24Hr 4 .56 Dee t6 7'5tip Det'Olt, MI 31~1882-3567 24Hr 1 .14 Dec19 8:10p Detroit.MI 313690-9146 24Hr 1 ,14 Dec20 7:29p RoyalOak,MI 248547-5704 24Hr 3 .42 Dee 21 /':59p Detroit. MI 313882-3567 24Hr 5 .70 Dec 22 /':39p New York, NY 917453-3943 24Hr 5 .70 Dee 22 7:49r) New York. NY 917453-3943 24Hr 1 .14 C)C'c 23 751p Royal Oak ,MI 248547-5704 24Hr 2 .28 Dee 23 7:59p Brookiyn.rJY 718783-1723 24Hr 9 1.26 Dec 25 4:20p Fredeeksbg, VA 540834-4139 24Hr 9 1.26 Dee 26 8'50p Me,iford. OR 541 734--D905 24Hr 3 .42 Dee 26 8:['4p Detloit, MI 313882-356/ 24Hr 19 2,6G Dec 26 9:22p Royal Oak, MI 24854/'-5704 24Hr 5 .70 Total Calls from 717 731-1496 $24.08 , '" Total Long Distance $24.08 Invoice Continues on Reverse ... 'S c J.z rLu.fz -t Customer Account Information Billing Summary For Service To: Lloyd T CQPJgy-' 120 W C1earview Dr Account Number: 24-0651326.3 Premise Number: 24.0384636 --..-----Prior Balance---..---------------- Balance from last bill Payments prior to Dee 28.2004. Thanks' Total prior balance, Dec 28, 2004 ----..-.Currenl Water Charges-.......- Service Charge Water Volume ($.005735 x 3.200) STAS PAWC Water 0.04% OSlo PAWC Charge 0.82% Total water charges, Dec 28, 2004 .---------Other Current Charges---------- Mthly Water Line Protection Total other charges, Dec 28, 2004 (- I I I $35.69 -35.69 .00 Billing Period & Meter Information Billing Date: Dec 28. 2004 Billing Period: Nov 19 to Dec 22 (33 days) Next reading on/about: Jan 24. 2005 Rate Type: Residential 11. 50 18.35 .01 .24 ~-_._- 30.10 Meter readings in current billing period: Meter Number N000037904 is a 5lB-inch meter. Present-actual 510600 Lastaclual 507400 Gallons used 3200 5.00 5.00 .-.--..AMOUNT DUE --------------------- $ j5.J~1 , Do not send payment. Total Amount 0 will be deducted trO/l1'your bank aecount on Jan 18,2005 '. VI. ,,' ,. " , .,. i,. /1 ,', I 1 I I I I ". Water Usage Comparison Monthly u<age in hundred gallons - 0~- .... .., ~ rc - ..... ,.,.. ..,. ..., i I" .', I.' I, " 1 1< ;: f rr" -: , 0 Ie I l.~_ 'i,f" C -f-.-.t. ""-'''1''' ,. 2 o o 3 D J F e . . c n b M A ~ r M J a tl y 11 JASON Ll U e C 0 I 9 P t v D 2 e 0 c 0 4 l I _~J Messages to you from Pennsylvania American Customers may use their credit card. debit card or pay by electronic check only by calling loll free: Customers may also pay on-line at wwwwaterpaymybill.com. A service tee will apply . Approximately 4.72 percent or $1.42. of State taxes are mcluded in your current bill. I . Effective April 1. 2004. the Stale Tax Adjustment Surcharge (STAS) is now 04%. . , . Arrangements to disconnect your service just got easier. Log on to pawccom and follow Ihe I urn.Off Program /m~. . Effective October I. 2004, the Distribution System Improvemenl Charge (fJSICI increases from .37% I 10.82%. Tills charge funds the replacement of water distribution facilities. , , I 1-866.211-552~. Customer Service & Emergencies 1-800-565-7292 (24 Hours) For Hearing Impaired Customers TDD 1-800-300-6202 (24 Hours) Visit us on the INTERNET: www.pawc.com At"1 2614)1 . TAR" PL^llNUM l~LV"'- fh. ...... f'4~1I4~1I www.mbnanetaa:ess.com ..... """"" 1...111.1..1..1,1.,1..11..,1,1..,1,11..1.1,1.,,1..11 yobIo t>; MBNA AMERICA P.O. BOX 15289 WILMINGTON, DE 19886-5289 CARDHOLDER SINCE 1991 7C~WJ./r ~COUNT NUlIBER I C-4~~-2811 ~78895 I PAYMENT DUE DATE NEWB~ 1-01/23/~S~1 l_ '- ~0061j) TOTJIL _UM PAY!AiiNT DUE MOUNT ENCLOSED L~:.:~J [ .~_-.J DET,ocH TOP PORTION AND RETURN wrTH PAYMENT -- - ==:Iii """"""'" ~ ~ =- :::::::: iiii! For .ccount lnformlllion cd 1-800-789-6685 Pl10t chUlge of addr"' 0( new lelephonlt numb6r below LLOYD T CONLEY 120 W CLEARVIEW CAMP HILL PA DR 17011-402220 Addreas CIIy ~ ) Home phone State Zlp ( ) WOI1< p/lone~-'--'- 20 00060061000015000004264281146478895 ....... Jrcot:wJrtNufrlbe" __ __ _ _ __ CtfldllLiIlll c..halCIfld1f.~~ SHlI"llc,. 4264281146478895 I $15,000.00 $14,399.39 r .~~.- 12/22/04 P-;;-aUn~ -lr~~R_or...c:;; [Cord ! G.;.;g~ Tron..c:uon. DECEMeER 2004 STATEMENT Date Octo Number Type I -- --~ PURCHASES AND ADJUSTMENTS 12/18 12/17 8993 VS 12/21 12/21 12/18 12/19 KARNS QUALITY FOOD MECHANICSBURGPA oo618192411VS1Y4000061937 0491 VS C OUTBACK #3921 MECHANICSBURGPA 5345 VS C OLD SLED WORKS ANTIQUE OUNCANNON PA TOTAL FOR BILLING CYCLE FROM 11/23/2004 THROUGH 12/22/2004 G IMPORTANT NEWS T*M/rJI""",Pa~Cbo Pa,nwtCboD* _~_15 o~t 01/23./0..5..._..._ Charg.. Cnodlto (CA) 40.23 110.00 25.12 $625.59 $460.110 CR INTRODUCTORY OFFER! SAVE $10 ON YOUR FIRST BOX QF FLORIDA GIFT CITRUS FROM FAMILY FARMS. VISIT ENvOYCITRUS.COM. OR CALL j-888-231-2450 OEPT. 103X, ..--....-l AL'S , SUIIIMARY OF TRANSACTIONS TOTAl. "'NIIIUM I'1Itt"ENT DUE $625.59 (+) TranNClloo Fee II: (-) New BaJ~~ F1IWICE CHARGES T.,.... $0.00 I $600.61 P... Due Alnount ,....."....."" Gorront payment ,,,..,,,,,,,,,,,,, T """ ....nImum Poymonl Duo...........................",..... $0.00 $l~.OO FOR YOUR SATISFACTION, EVERY HOUR, EVERY DAY for ('.usfom9r Satisfaction and up to Ill! minute automated mormation indudinO batau:e, availableU"edt, plIyfOOl)tsrecelVed. payrnool$li:Je. due ~P!i~~I~_ odr...."for"",licn. ..lor..,...' dupIicoto._.., coI HI!lOcl~ F!I' TOO (1 e4ec0mmunicalion Device fa the Oea~ aswl.-ace, ... 1.000-346-3178. MoiIP"YltlEOlts It): _AMERICA. P.O. BOX ls;>1l!l, WilMINGTON, Ot 1_.52ll9 BiIliog .iyhts "'I""".."od oo~ bV 1IIfIlt"" .",rily Moil billing i>qIririos. u<ilg Iorm 00 the bad ood othet' ~n. 10 ..~RICA PO ROX 15026 WILMINGTON, DE 450 OOX Y OHO 0508 1303 00 4264 2811 4647 8895 PAGE 2 OF 2 Prevlouli B81ance (+) CallI Ar:Svancea (+) PLlrd'l.... and (+) Partodkl Rate __ F1IWICE ClWlQU (-) Pay,"""" find c-. $435.92 $460.90 $0.00 $0.00 ANANCECHARGEICHEDULE Calegofy Cash Advances PorI<>dIc_ Cotreapondln" AMulli PIN"Centag8 FWte Bat.nee Sulljeot to Fln.nc.e Charge A. BALANCE TRANSFERS. CHECKS.0.046301% DLY' B. ATM. BANK.................0,046301%DLY* C, PURCHASES,., ,0.040821% DLY' 16.90% 16.80% 14.90% $0.00 $0.00 $0.00 FOR THIS BILLING PERIOD; SEE ABOVE ANNUAL PERCENTAGE RATE................... . PerIodic Rala May V81Y PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. USE010 $15.00 464. ..7....8895 . ,.. (_LiI>>$' 15.000.-.-~~."~ '_'I...(Mh"'$~-:,::.":9 -----L. ~~~!~2/04__. ,on~- R.~- C;;dT~"IIory'l Tr"";'oU';"'" DECEMBER 2004 STATEMENT Number Type --- - . AND CREDITS 3707 VS .1 9890 VS .<<:HASE S AND AD.JUSTMENTS ,1/29 11/28 5543 VS C 11/30 11/27 7084 VS C 12/01 11/29 6804 VS C 12/03 12/01 4077 VS C 12/04 12/03 7996 VS C 12/10 12/09 0296 VS C 12/15 12/13 8016 VS C 12/15 12/13 7935 VS C 12/16 12/14 5421 VS C 12/16 12/15 5106 VS C 12/18 12/16 8150 VS C IMPORTANT NEWS . $15,00 01/23/05 CtadIlB (CR) OIlorg.. OUNHAMS N056 05604335 PAYMENT - THANK YOU 24,98 CR r; c'{-. 0':7-, '" ~< MECHANICSBURGPA l, ~~~] 435,92 CR BJ WHOLESALE R F FAGER CO OUNHAMS 11056 CVS PHARMACY 111639 Q03 JUNO ONLINE SVCS T1XDB886CX14 HONEY BAKED HAM 1 HARRISBURG PA BDN-TDN-CAMP-HILL #003 CAMP HILL PA BON-TON-CAMP-HILL #003 CAMP HILL PA WEIS MARKETS #58 SH MECHANICSBURGPA 06176380058VS1Y7oooo84900 NML PHILLIPS SEAFOOD 800-782-2722 MD 00000577 BJS FUEL #9025 #0025 wax HARRISBURG PA CAMP HI LL PA MECHANICSBURGPA MECHANICSBURGPA WWW,JUNO,COM CA 47,05 30,7B 24,98 29,66 9,95 52,69 15,90 57,96 101,17 59,90 WOX HARRISBURG PA 20,20 ENJOY THE ENCLOSED CHECKS, NEED EXTRA MONEY FOR THE HOLIDAYS? TAKE A MOMENT TO REQUEST YOUR PIN, CALL 1-866-357-0227 FROM YOUR HOME PHONE TO SELECT YOUR PINI -, I SIMPLIFY TAX TIME WITH A 2004 YEAR-END SUMMARY OF MONTHLY SPENDING BY CATEGORY, AVAILABLE BY REQUEST ONLY, CALL 1-866-491-1141 NDW FOR DELIVERY BY FEBRUARY 1, PAY YOUR BILL QUICKLY WITH PAY-BY-PHONE SERVICE, CALL 1-866-297-925B TO USE THIS AUTOMATEO SERVICE, PAYMENTS POST THE SAME OR NEXT BUSINESS DAY, RNANCECHARGESCHEDULE Calegory Cash Advances A, BALANCE TRANSFERS, CHECKS,0,046301% DLY* B. ATM, BANK.",..""...... ,0.046301% DLY* C PURCHASES,. ,...,,'., '0,040821% DLY* $UAfAfARY OF TRANSACTIONS PrMilOU$ a.lance (.) Paymorrts and Credits $4l~.97. $460.90 TOTAL MINIMUM /'J/tMENT DUE 1+)CNh AdvlUlCM (+)~-:Uand ~~ ~.~. {a) New' Balenee T_ $0.00 $15,00 Past Due AmOWlt .. Current P.-yment Total Minimum Paylllent Due""""."",,,,,,, $15.00 so.oo 5625.59 $0.00 $0.00 $600.61 Pertodlc FWe Comtspoodmg An.,...j Pef'c<<JtaV- RadB FOR YOUR SATISFACTION, EVERY HOUR, EVERY DAY F.. Cu.,OJOOr Salislactoon ..d up 10 the....UI. aulomeled "lcrm~ ",,*,<fing, balence, lWaitabIe credit. pavmenls ,~t'd. payment; due, due date p~nlt:1nl address informatioo. or tD f8(f'ed tktpk:ate statements, cal1-BOO-789..8685 F .. roD 11 eIoc<lmna_.' o..,lCO ,.. 111. Deaf) _1Mce, ceIIl.8QO-346--3178 Iotoilpaymenls 10: lot_AMERICA, P.O. BOX 1~B!l, WilMINGTON, DE 19006-5289 IllIIrng "gills ... pr.....ed ooly by wr~lm '''''''1 Iotoil bilrog ,,"'_, US"'ll lcrm 00 Ill. bock ..d _~... /0: MBNAAME'A1CA PO ROX 15026 WlI.MINGLQfII,DE 1985Q,5Q26, 450 OOX Y OHO 0509 1303 00 4264 2811 4647 B895 PAGE 1 OF 2 Balan"" Subject to Finance ~. 16.90% 16,90% 14,90% $0.00 $0.00 $0.00 FOR TIllS BlLUNG PERIOD: ANNUAL PERCENTAGE AATE._m.._......... SEE ABOVE . P.riodic Rot. May Vary PLEASE SEE REVERSE SIDE FOR IMPORTAr-lT INFORMATION. USE010 5cJ--uL..~ -r ,.' . ,~. . -,... ~,. 'i" ~.. C-/ ..es ~Iectric Service For; LLOYD THOMAS CONLEY 120 W CI.FARVIEW DR CAMP lilLL PA 17011 PPL Electric Uiililies ClIsiomef Servke X27 Hausman Rd. Allentown,I'A 18104-9392 1-800-342-5775 or 484-634-4900 W\\,w.pplw"bxom General Information N"x( Older r"adin" on or ~)ut I:eh 11 ?~-L ppl Pag" -' VOlttBlll ^(...~nU1tt t\lJmNI 38880-71004 U(;.:.wh~n~allitl'" 01' WJllin" '1ii/lll/i-om Lasl Hzll Parl/lel!t Received LIeI' Jf) - Thallk You I $ 51. Q 2 $ 54. 92 Billing Details Halanct' as IIf Jan 11,2005 S; i).OO Current Charges Charges for - PPL E _ _ R~~id~l\tial Rate: RS ix Dee DistribullOn Charl!e: CU~h)lIl"r Chai"e 200 KWH at 1.928:.'3200,-, per KWH 366 KWH at 1.72399900~ per KWH P A lax AdjSurcharg~ at IUW2666UO% lransllllssion Chargc: 'i(,6 KWH at O.4)9332()O~ rer KWH f'A Tax Adj Surcharge at O.794666UO% Transition Charge: 200 KWH atl.3S8~)l)XOO~ per KWIl 366 KWH at 1.23InO()(I.: ~r KWII PA Tax Adj Surcharge al 0.79466600"/;' Generatioll Cliarce: Capa\:ily and Enemv 200 KWH al S.iJ773320W per KWH .166 KWH al 446066S00~ reI' KWH PA lax Ad.i Surcharge at 0.79466600% lotal PPL LLEClRIC UTILITIES Chargcs (1.9R J.g(, (131 0.14 2.4() 0.ll2 27g 451 (),Of, IO.l~ 16..H 0.21 u 5> S3.R4 I ParThii.A.mO'Il~tNo l.llter'fhanVeb 1, lOllS Account Balance $53.841 $ 53.84 l~e Ill'! j6\) WI Generation prices and charges are set bv lhe ele\:lfic \leneratioll suppli....r you haw chosen. The PlIblic Utility Ci"mmissioll realllales dislribUlJ(,n prices and services. The Federal Eilergy kegulalOry T'ommissioll regulates tranSllllS~IOn pnces and servIces. PPI. 1;lectnc Utilities llses ao(\ut $3.(,2 ofthis bill 1(1 pay state taxes. In aeklilloll. about $3.17 of thi" bill pays the P A Gross Rcc.:ipls lax. Ihe Transition Charge IlIcludes an lulllnglbl" Transition Cl]arge (lle) dlIel the apphcable gl'(ls~ 1'e(;elplS t,l.'I. whICh rog.ethcr amount to S6JH. lhe III is a pcr lIsage clwrgc apr.rowd bv the Pufih(; Utility COIIIIUis,;ioll wlllch Pl'l. Flcctnc Utilille's collecl~ as 'agellt ti,l' PPL L:lcctnc UIllities -I talls\tioll Belnd Company LLC and whIch tliat company llses k' seniced",bt IIlcurr.:J to I'e~o\'~r a pOl1i"IIOf !)PL Fk~tnc Uti_Ftlcs' stranded ~osts. C[ he g!ll~s . recelflS t1lX, wlllch IS colkcted fill' the ( oll1lllonwealth ot PCllnsvlvallla. IS cqlla leI 5.9% oflhe ITC ' For vour convemencc, you cann"w pay your bill tlsiui; YO\ll' Visa. MasterCard. Dlsco\'er.-or ATM Canl. '('all Bill.\btrix al I-R(JO-672-24U. BiIIMatrix will charge your cr"dit alld ATM card a service tcc li'f making tin:; payment. REV-1513 EX+ (9-00) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER I 1.-.\ O~~ \h oYv\o..s. (0 vJ~-~ '" NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)) FILE NUMBER .)..\-0<;- RELATIONSHIP TO DECEDENT Do Not LislTrustee(s) 0011 AMOUNT OR SHARE OF ESTATE 1. T~ A- ~ A- r<). f\'\ C L A<< 0 1+ L-IlJ 5dq E L-I N WL-J ~O~A1-- Orw;, YV\ I 4 \Q\ol dJ4~ k -k (-' s:-o /0 ), TE~.2.E SA- L. -i3~ow t-l 5d-.5" LttIL IS LJ4 JJ P ~ossr::; PI::> I }J T f J jo/I. I 4~2...~<J <>i ~J.- k y ~o '0 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, 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 II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV~1 162 EX(11~96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 005572 MCLAUGHLIN TAMARA K 529 E LINCOLN AVE ROYAL OAK, MI 48067 ACN ASSESSMENT CONTROL NUMBER AMOUNT n_n_._ fold 101 $17,363.48 ESTATE INFORMATION: SSN: 385-40-2611 DECEDENT NAME: 2105-0017 CONLEY LLOYD THOMAS 07/15/2005 07/13/2005 CUMBERLAND FILE NUMBER: DATE OF PAYMENT: POSTMARK DATE: COUNTY: DATE OF DEATH: 12/27/2004 TOTAL AMOUNT PAID: $17,363.48 REMARKS: CHECK# 249 SEAL INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS