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Home My WebLink About10-31-05 ,..,---- f !., ~\ Hd Iii' !\} 11,1, ',c' , , i ~ I \ t \:i:~ \, f.t ' . i ~ ::' i \ it I" \~ \ Ii If , " IIi, i..c!~\\\ \\~ Ii l \Ij" \ I ~j! \h;::' :!G;~' ".. ~;l(' ,'....", tlo': '1~' \ .~-~ i:: :', ;,~\ ~:\~:; /) '\. ;1 ('.1 ..'~ ..:; (:):} l' .:) In :) !"".~A ~':;' ,:.,0.- ,I' ~l.' ,'-'" r'.,. '>-1') '. . " l' k ',,' ,.. ....; c}" .1..- ___ ~nnr:: L')I," '\",. ,...., r . ,t ~ r?) t; 8 \ - ~ ~ OF r-,rl1 tr-:.; 1 ~ ~ ~ ~~ ~& ~6 ~S ~< ~ ~ ~ x 0 o u ~ ~ -l :::l . >- >-~ <:lJL. ~~ OJ 00 (5 u -.- u ~ o o . OJ ."t: Cj'l :J,.- <flo . r--.. tJ:( ~o... <fl , ..c ~ U :J ~.CJ :J <r> ..c - u= .0 S o rt"I . ~__='~-o~ :;r.' -- " Il) m ~ o ~ o Il) U ~ ~ .c c::r ~ ~cIl_ <Il~Il)O -Oml"- :-:::U~....... ~"'do<t: '-8,€p... o ~ ~ ~ ~~o~ tii ,.J::J U ,~ 'On S ~ ~ Il)~,-.,., p::u,-,,,-,, Jan M. Wiley David J. Lenox Timothy J. Colgan Christopher J. Marzzacco II ;)t-05-0Qrl 11 I ~avid E. Hershey ~radley A. Winnick lhomas M. Clark .{ri D. Weitzman THE WILEY GROUP Attorneys at La"\N" October 27,2005 Wiley, Lenox, Colgan & Marzzacco, P.c. Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 In Re: Estate of Pauline E. Eppley, deceased Dear Register: Enclosed for filing please find an estate information sheet. the inheritance tax return in duplic~te, the original Last Will and Testament, an original death certificate and the status report with regard to the above captioned estate. Also, enclosed is a check in the amount of $18,700.17 representing the tax due, and a check in the amount of ~O representing the filing fee. 15.00 Please return the recording receipt to my attention in the enclosed envelope. Thank you for your cooperation. Sincerely, (~:-) , "'-j"':l -;) (~) ill COo) -...J ' I 0, , ~ 130 W. Church Street, Suite 100 . Dillsburg, PA 17019 · Phone: (717) 432-9666 · (800) 682-4250 · Fax: (717)432-0426 Offices in Harrisburg · York · Carbondale www.wileygrouplaw.com ~ 1111" V", pr:'\ This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $6.00 D ~'; " ~ r" " . . D- r J. 4 J ;') ,-' ". . ..... ,,' No. ~~ J?( {;:~~ Local Reaistrar b , l"~) MAY.~ 5 Z~ Date .:'). " ~+i . , t <co :'!,,) cO ''\ ....1.... ....'."1- 1-':) t-,"1 C:J ~n :~: .....~- ..,t- O? 1-13 Rev. 2167 JI-05-0C1S<6' COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER NAME OF DECEDENT (Fir.~ Middle. la.t) 5. COUNTY OF DEATH 92 Vrs. 2. f BIRTHPLACE (City and P F State or Foreign Countt'J) HOSPITAL.: Inplllilnt 0 EAIOutpatient 0 7.York County a.. FACILITY NAME (If not institution, give street and number) ab. DECEDENrs USUAL OCCUPATION (~II::"~ofllf~~:' ~ U:~&)l Dauphin Co. Susquehanna ac. KIND OF BUSINESS IINDUSTRV Tw S.C. AS DECEDENT EVER IN U.S. ARMED FORCES? ve.O NO~ 12. Slane Hospice Residence 111. school teacher llb. education DECEDENrs MAILING ADDRESS (Street. CityITOW11, State, Zip C_) DECEDENT'S ACTUAL RESIDENCE (See instructions on other side) 102 S. 22nd. Camp Hill, 17.. Slate P",nn elf 1 va '1 i iil.~ed<..t Cumberland :~:"~:ip? MARITAL STATUS. Married, Never Married, WidOWed, Diva<<:ed (Specify) 1411ever marrie 17c, 0 Yes, decedent lived In twp. Street PA17011 17b. Countv cttylboro. L. Weir Eo 1e DATE OF DISPOSITION (Monlh, Day, ViUr) Sequentially list conditions ;r any, leading to immediate cause, Enter UNDERLVING CAUSE (Disease or injury thai tnitiated 8yenf$ resulting on death) LAST ~l ';\.....; DATE S ED (Month, D~y, Ve.r) I 23b. 23c. WAS CASE REFERRED TO A MEDICAL EXAMiNER /CO ONER? 28. Ve. 0 0 )i::L . Approximate PART II: : interval between . onset and death . 24. 27. PART J: E,,* U'l. dl8......lnjurl.. or complication. which cauud the eN.th. Llaa onl)' one cau.. on ..eh IIn.. I: d. DUE TO (OR AS A CONSEQUENCE' OF): DUE TO (OR AS A CONSEQUENCE OF): WAS AN AUTOPSY WERE AUTOPSY FINDINGS MANNER OF DEATH PERFORMED? AVAILABLE PRiOR TO ~ 0 COMPLETION OF CAUSE Natural Homicide OF DEATH? 0 Accident Pending Investigation Ve.O No Ye.D NoD Suicide 0 Could not be detennined 0 DATE OF INJURY (Month, Day. Yaar) TIME OF INJURY INJURY AT WORK? DESCRIBE HOW INJURY OCCURRED. .MEDICAl EXAMINER/CORONER ~~::~::I:::.~~~I.~~.~I~. .~~,~~r. .I~~~~~~~.~~~~: .I~ .~~ ~~I.~~~.~: .~~~~~ .~~~.~:~~.~ .~~. ~~.~ .~.~~:. ~~~~:. ~~~ .~~~.~~'. ~~~ .~.~~..t~ .~~.~~.~~~.~~~ .~~~.. 0 318, REGISTRAR'SSIGNATURE~NUMBER m ~ 33. ~ /'(' /~-?-~;;te-.. r'1/~l/yl 34. 2... 2ab. CERTIFIER (Check only one) .l~~tW~~IGor~~t~~~~scf.::r.. cg~~crd~:''t: ~e.a~h.~~:~(:r~~3r,g~x~~a~. h:t~c,~~~~~~ .~~~~~.~~~ .~~~~.I~.~.i.t~~.~~.~ ....... ....., .... 0 29. 300. 30b. PLACE OF INJURY - At home, farm, street, factory, building. et(:. ISpltGity) 300. *P:OO~~:.~I:~m~Nk~;:I::rs:.~~e~~~~:~~~: ~~~:~i~e~~:~~~;fil~.d:~~hda:.d t~e~Z~:.~~~~~ dr::~~8f as .tat.d.... ........ ...... ,... 0 REV-1500 EX + (6-00) 7 *' REV.1500 II OFFICIAL USE ONLY COMMONWEAL TH OF PENNSYLVANIA !FILEN-UMBER---------- DEPARTMENT OF REVENUE INHERITANCE TAX RETURN I' 21 05 DEPT. 280601 HARRISBURG, PA 17128-0601 RESIDENT DECEDENT _--'- COUNTY CODE YEAR DECEDENT'S NAME (LAST. FIRST. AND MIDOlE INITIAL) - ---!SOC,AL SECURITY NUMBER Eppley, Pauline E. I 198-10-3754 O~T;~; ;~~~~7D'YEAR) ---r~~o: ;'~~~(;~D;'YEAR) ----------------~---I THIS RETU~NE~;~~~I~~NFD~'~:~ WITH THE (IF APPliCABLE) SURVIVING SPOUSE'S NAME ( lAST, FIRST AND MIDDLEINiTiAL-) -- ----- ---to-SOCiAL SECURITY NUMBER [!] 1. Original Return --- ------- - [r2--S~PPle~~~~~I-R~h;r-~--- _______u ----T::r;- R~~';;;;d~r Relum (d;~ of death priorilo 12.13-82) --- O 4_ Limited Estate 0 4a_ Future Inlerest Compromise (date of death after [J_ 5_ Federal Estate Tax Return Required 12-12.82) [!] 6_ Decedent Died Testate (Attach 0 7. Decedent Maintained a Living Trust (Attach copy of Will) copy of Trust) O 9_ Litigation Proceeds Received 'i 10 Spousal of death between L---, - 12.31-91 I- Z W a w u w a W I- ,,~II) uG<:" wQ.u ;rOO uG<:..l Q.lD Q. 0( cq5~ NUMBER 8. Total Number of Safe Deposit Boxes [J 11_ Election to tax under Sec_ 9113(fA.) (Attach Sch 0) NAME Jan M. Wiley I- Z W o z o Q. m w G<: ~ o u FIRM NAME (If applicable) Wiley, Lenox, Colgan, & Marzzacco, P.C. 130 W. Church 5t Dillsburg, PA 17019 TELEPHONE NUMBER 717-432-9666 1_ Real Estate (Schedule A) ~j'-...) None OF.-fICIALW'sE O~L.Y1 ~; ; -, ' ~::~ ,-__".::J ,~_.) I. l (1 ) (2) (3) (4) (5) (6) (7) None 2. Stocks and Bonds (Schedule B) 3_ Closely Held Corporation, Partnership or Sole-Proprietorship None z o i= S ::> l- ii: 5 w a: 4. Mortgages & Notes Receivable (Schedule D) 5_ Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Properly (Schedule G or L) 0 Separate Billing Requested 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10_ Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 4,077.30 _______..a._u __'_on 6,853.66 None 1,000.00 165,765.67 None .' \.. - ,- < J (1) (8) 1 66,765.67 (9) (10) 11. Total Deductions (total Lines 9 & 10) (11 ) --- ---..----1--..-____________..__________ ___ _...__________. J I SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Ii 15.Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(a)(1.2) I I 16.Amount of Line 14 taxable at lineal rate I 117. Amount of Line 14 taxable at sibling rate 118. Amount of Line 14 taxable at collateral rate /19, Tax Due 120.0 12. Net Value of Estate (Line 8 minus Line 11) (12) 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) (13) (14) 0.00 x .00 (15) --.-----,-- --.-------.-1------ 0.00 z o i= ~ ::> a.. :::E o U x ~ 0.00 x .045 (16) x .12 (17) 155,834.71 0.00 x .15 (18) 10,930.96 155,834.71 0.00 155,834.71 0.00 I I , ~'--i---'- --~---_. --- , '8,700.17 (19) 0.00 ~8,700.17 ~~_._-----+-----_._~----~ CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ,.; ;:~; ~::...:-)};-::L-::>8~jtj:..t,if'j,t~.;~IJ~;;~~;G}fP,;::: ;>.;;~iilil!f~U~~"T()i^~,SW\aR'~~,'Jlll1E~il'!.Q~$,ONR~asE S1DEANI)~RE(;aeGK MATH~ Form REV.1500 EX (Rev. 6-00; Copyright 2002 form software only The Lackner Group, Inc. 'L pecedent's Complete Address: STREET ADDRESS 101 S. 22nd St. CITY Camp Hill . -.- ~.--- ____n___~_.. ..-..--~-'--"---'-- '-r:~'- !STATE PA IZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 18,700.17 0.00 Total Credits (A + 8 + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (0 + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) 18,700.17 18,700.17 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.................................................................................. D [!J b. retain the right to designate who shall use the property transferred or its income;.................................... [] [!J c. retain a reversionary interest; or.................................................................................................................. D [!J d. receive the promise for life of either payments, benefits or care?.............................................................. D [!J 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.. .................... .................... .................. ..................................... ..... ................ [J r~J L. [!J [!J 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?........ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?...................................................................................................................... D [!J IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE REiJ'URN. Under penalties of pe~ury, I declare that I have examined this retum, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Dedaration of preparer other than the personal representative is based on all information of which preparerha..s. any ~nowle<!2.e~._._.____.~_~_~_ SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS Sara M. Eppley P. 5 ~I 1M G il.k~-1. SIGNATURE OF PERSON RESPONSIBLE FOR FILING R61'URN DATE 101 S. 22nd St. Camp Hill, PA 17011 . ----.---.---lo/-~~AtJ T ADDRESS SI~TURE OF P.....EPARER OTHER THAN-REPRESE-"JTATIVE---------. an M. Wily ~ P'M. {--J ADDRESS DATE 130 W. Church St Dillsburg, PA 17019 Fo (Ja 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 ing spouse is 3% [72 P.S. 39116 (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. 39116 (a) (1.1) (ii)l. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements fpr 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 u$e of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 39116 (a) (1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in .72 P.S. 39116 1.2) [72 P.S. 39116 (a) (1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 39116 (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. IDnstllill nun ffi251nm2ut OF PAULINE E. EPPLEY BE IT REMEMBERED, that I, PAULINE E. EPPLEY, of 102 South 22nd Street, Camp Hill, Cumberland County, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last will and Testament, hereby revoking and making null and void any and all wills and Testaments and writings in the nature thereof by me at any time heretofore made. ITEM 1: I direct that all my just debts and funeral expenses be paid as soon after my demise as may be convenient. ITEM 2: All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, whether it be real, personal or mixed, including property over which I have a power of appointment, I give, devise and bequeath unto my sister, SARA M. EPPLEY, absolutely, provided she survives me for a period of thirty (30) days. ITEM 3: Should my sister, SARA M. EPPLEY, fail to survive me for a period of thirty (30) days, or should we die simultaneously, I then give, devise and bequeath my e~tire residuary estate as follows: (A) I give ten percent (10%) thereof to THE SALVATION ARMY, 1122 Green Street, Harrisburg, Pennsylvania. (B) I give ten percent (10%) thereof to THE BET~ESDA MISSION, 611 Reily street, HarrisJ,urg, Pennsylvania. (C) I give the remaining ninety percent (90%) th$reof to my nieces and nephews, DAVID M.. EPPLEY, RIG:HARD L.. -1- E. EPPLEY, LOIS ANN HOFFMAN, MARIAN FEARS, ELAINE FOSTER, NANCY GROVE NICHOLS, CAROL KNISELY and SARA JANE WICKARD, in equal shares, per capita. ITEM 4: I direct my hereinafter named Executrix to sell all of my property, both personal and real, converting the same to cash, and distributing the same in accordance wi~h this my Last will and Testament. ITEM 5: I direct my hereinafter named Executrix to pay all inheritance, estate, succession and legacy taxes of whatsoever nature and kind, to which my estate or the transfer of any property passing hereunder or otherwise passing by reason of my demise, may be subject and to charge such taxes against my residuary estate, it being my intention that none of the aforesaid taxes, either federal or state, on any property required to be included in my gross estate, under the provisions of any state or federal law now in force or hereafter enacted, shall be prorated among the persons interested in my estate to whom such property is or may be transferred or to whom any benefit accrues. ITEM 6 : I appoint my sister, SARA M. EPPLEY, as Executrix of this my Last Will and Testament. Should my sister predecease me, fail to qualify, cease to act or renounce probate, I then appoint my nieces, NANCY GROVE NICHOLS and SARA JANE WICKARD, as alternate Co-Executrixes of this my Last will and Testament. ITEM 7: I direct that my Executrix or her successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and, seal this /~tn day of fl~- , 2000. cl' . _:Aa;::::~~ g , (pEAL) -2- \ I COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF YORK We, PAULINE E. EPPLEY, JAN M. WILEY, ESQUIRE and PATRICIA A. BELLUSCIO, 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 Testament and that she had signed willingly (or willing~y 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 this Last will and Testament as witness and that to the best of their knowledge the Testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. fb~ C.C~ ~~..:/.Y ( ~~aA~~._/ WITNESS Sworn to and subscribed before me this ~ day of ~~OJ~ b~~' NOTARY PUBLIC MY COMMISSION EXPIRES: Rev-16G8 EX+ (6-98) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Eppley, Pauline E. FILE NUMBER 21-05- ESTATE OF Include the proceeds of litigation and the date the proceeds were received by the estate. All property Jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 Sovereign Bank Account #1051080444: VALUE AT DATE OF DEATH 1.000.00 TOTAL (Also enter on Line 5, Recapitulation) 1.000.00 (If more space is needed. additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) R,evo1509 EX+.(5-98/ . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF Eppley, Pauline E. FILE NUMBER 21-05- If an asset was mada joint within one year of the decedent's date of death, It must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP Toi DECEDENT A. Sara M. Eppley 102 S. 22nd St. Camp Hill, PA 17011 Sister B. C. JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY %OF DATE OF DEATH LETTER DATE ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET INTEREST DECIWENT'S INTEREST JOINTLY-HELD REAL ESTATE 1 A 1998 1998 Chevrolet Lumina: 5,415.00 50.000% 2.707.50 2 A 6/22/1965 Real Estate situate at 102 South 2nd St., 103.870.00 50.000% 51.935.00 Camp Hill, PA: 3 A 10/20/1998 Sovereign Bank Account #1051073863: 193.755.23 50.000% 96.877 .62 4 A 11/17/1998 Sovereign Bank Account #1051074258: 28.491.10 50.000% 14.245.55 , , , , , , , , , TOTAL (Also enter on Line S, Recapitulation) 165.765.67 I (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) Rev-1502 EX+ \6-98) *' SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYLVANIA INHERIT ANCE TAX RETURN RESIDENT DECEDENT Eppley, Pauline E. FILE NUMBER 21-05- ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Musselman Funeral Home: 478.40 2 Nancy Nichols (funeral reception & dinner): 189.00 3 Reverend Marshall: 100.00 Subtotal 767.40 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) REV-1151 EX+ (12-99) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Eppley, Pauline E. Debts of decedent must be reported on Schedule I. FILE NUMBER 21-05- ESTATE OF ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 767.40 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State Zip - Year(s) Commission paid 2. Attorney's Fees 2,500.00 See continuation schedule(s) attached 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 809.90 See continuation schedule(s) attached , TOTAL (Also enter on line 9, Recapitulation) , 4,077.30 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1502 EX+ (6-98) . SCHEDULE H-B2 ATTORNEY'S FEES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Eppley, Pauline E. FILE NUMBER 21-05- ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Wiley, Lenox, Colgan, & Marzzacco., P.C.: 2.500.00 , Subtotal 2.500.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H.B2 (Rev. 6-98) Rey-1502 EX+ J6-981 SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Eppley, Pauline E. FILE NUMBER 21-05- ESTATE OF ITEM NUMBER DESCRIPTION , AMOUNT , 1 Camp Hill Fire Company: 20.00 2 Nancy Nichols (Life Alert): 789.90 Subtotal 809.90 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) Rev-1512 EX+ (6-98) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT ESTATE OF Eppley, Pauline E. FILE NUMBER 21-05- Include un reimbursed medical expenses. ITEM NUMBER DESCRIPTION 1 AIG Insurance: VAUUE AT DATE OF DEATH 2,035.40 2 Comcast Cable (Total - $31.68) 1/2: 15.84 3 Compassionate Care (vitamins): 41.85 4 CVS Pharmacy: 18.19 5 Dr. D. Tanner (last illness): 50.26 6 Dunkleberger (hearing aid): 60.00 7 Faircloth Plumbing & Heating (repairs Total - $77.00) 1/2: 38.50 8 Health Advantage (vitamins): 80.00 9 Health Center (last illness): 98.86 10 Hospice of PA (last illness): 2,700.00 11 Janet Miller, Tax Collector (Total - $1253.97) 1/2: 626.98 12 Lowers (Stove Repair - Total $61.30) 1/2: 30.65 13 Magazine Subscriptions: 156.76 14 Miles Kimball (cards): 23.96 15 Mutual of Omaha: 59.40 16 PA American Water Co. (Total - $109.50) 1/2: 54.75 17 Penn Waste (Total - $40.74) 1/2: 20.37 18 PP&L Electric (Total $224.88) 1/2: 112.44 Total of Continuation Schedule(s) See attached page TOTAL (Also enter on Line 10, Recapitulation) 6,853.66 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) Rev-1512 EX+.(6-98) . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Eppley, Pauline E. FILE NUMBER 21-05- ITEM VALljIE AT DATE NUMBER DESCRIPTION Of DEATH 19 Quest Diagnostics (medical bill): 26.23 20 State Farm Insurance: 415.48 21 UGI Gas (Total- $136.11) 1/2: 68.05 22 Verizon Phone (Total $55.61) 1/2: 27.80 23 Walter Drake (cards): 91.89 , TOTAL (Also enter on Line 10, Recapitulation) 6.853.66 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) REV-1513 EX+ (9-00) . , SCHEDULE .J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Eppley, Pauline E. 21-05- NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($f$) Do Not List Trustee(s) I. TAXABLE DISTRIBUTIONS [include outright SFrousal distributions, and ransfers under Sec. 9116(a)(1.2)] Sara M. Eppley Sister one hundred PA percent I , Total Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I 0.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) 209.XT-Deed. Execut.ors. F1duuinr161'l A(,t Henry HaU, Inc., Indiana. Pa. oCu;Q 21 rAb[ 142- ~bt5 3lnbenture, MADE THE 22'u/) day of JUAJE' in the year of our Lord one thousand nine hundred sixty five (1965) ; by and between HENRY FRANKLIN BELL aiso known as Executor under the Last Will and Testament of ETHEL EARLY BELL/E~.hel Earley Be deceased, late of Camp Hills Cumberland County, pennsylvan:\.as GRANTOR and I SAR4 M. EPPLEY, Single, and PAULINE E. EPPLEt, Single, i oj R. D. No.' 1, York, York County, pennsylvania! GRANTEES I as joint tenants with right of survivorship and not a~ tenants in common. WHEREAS, the said Ethel Early Bell i was vested in her lifetime with title to premises hereinafter described, situate in the Borough of Camp Hillt County of Cumberland , Commonwealth of Pennsylvania; and Ethel Early Bell WHEREAS, the said , January 13, 1965, andher Last Will and Testament was of Cumberland ; and died testate on duly probated in the Register of Wills ~ffice in the Count; WHEREAS, the said real estate hereinafter described was not specifically de~ised, and the said Henry Franklin Bell ! qualified as execut Dr of the Last Will and Testament; : I I , , NOW THEREFORE, This Indenture Witnesseth that the said Henry Fra$lin Bell , Executo~ as aforesaid, f01' and in consideration of the sum of Sixteen T'housand ($16,000.100) , Dollars, Lawful money of the United States to him in hand paid by the said Sara! M. Eppley, and Pauline E. Eppley, at and before the ensealing a~ delive1"y hereof, the receipt whereof is her.eby acknowledged, haS granted, bargained, sold, al,ened, released and confirmed, and by these presents, by virtue of the power and authority inhimvefted by ,the Fiduci- aries Act of the Commonwealth of Pennsylvania, does grant, bargain, sell; alie" release and con- firm unto the said Sara M. Eppley and Pauline E. Eppley, , I theirheirs and assigns, All that certain lot of ground situa~e in the Borough. of Camp Hills Cumberland County, Pennsylvania, 1 bounded and . d,esc.ribed...as_.folio,ws~ to w:J.t: BEGINNING at a point on the western line of 22nd Stree~, said point being 100 feet south of a pin at the southwe~terly corner of the ~ntersection of 22nd and Chestnut Streets; thenbe in a west- erly direction 115.2 feet to a point on the line of lap.ds of Camp Hill Civic Club;:-thence along sai'd lands ina southerl'Y direction 79.4 feet to an iron pin; thence by lands of P. C. Romberger in an easterly direction 109.2 feet to an iron pin; thence bV the westerly side of 22nd Street in a northerly direction 61.5 feet: to the place of BEGINNING. BEING the same premises which Richard H. Rouse and Edn~ Mae Rouse, his wife, by their deed dated the 11th day of Ju~y, 1961, and recorded in Deed Book "G", Vol. 20, Page 233, Cumb~rland County records; granted and conveyed to Ethel Earley Bell, also known as , ; Ethel Early Bell, \ I TO HA VE AND TO HOLD the said messuage or tenement and tract of land, hereditaments and premises hereby granted and released, or mentioned and intended so to be, with the appurtenances, unto the said grantee s, tbefuirs and assigns, to a,nd for the only proper use and behoof"of the g1'antees ,tbe irheirs and assigns forever. AND the said grantor ,execut or , as aforesaid, bis heirs, executors'and. administratQrs do e s covenant, promise and agree to and with the said grantee s, thei1teirs and fJ,Ssigns, by these presents, that the grantor hct3 not done, committed any act, matter or thing what'soever whereby the premises hereby granted, or any part thereof, is, are, shall or mall be impeach'~d, charged or encumbered in title, or otherwise howsoever. -.-' Ethel E~rly Bell herein, ha. ~ hereunto set IN WITNESS WHEREOF, the said Execut or of the Estate of deceased, Grantor his hand and seal the day and year first above written. li-l\l"rll. &rBldl auillflrllumll .) __ /;/~ ~~_ ~_ ~~___/~_____ ~ In tlJr tlrr&rrtn of ( ~~1<-7--r.dLz ~ ~ tu...t"" t<- ~ . ____________________________________________________________________1,_____________ ~ -.-.--.-.-/..-.-.'"-....-......------.-.-...~l~"'~' or 01 th, E.ta" 01 c;;y;;J -....-------;:;::;;-[~;:~:~b.-~:-;. o_-;;;.:~~~:~~'~>-4id.- 1,.. Rul E.taie Tran.fer Tu 10/0 Rul E:~a't~~;"'fer Tat D.'~~-~.a.~ftl!'-t g4.(~' Dale ~-;).:z.~"f'~' , 2{) <$( ! Cumh. ~J~.~~ . Cum~. bi~o~~~ P~~:f~~ /01 ~ :22d ~, Ceuvf) H~, 'tl. . O;~~ ~~~ 19~s J I ~; ~~i .,.r ~~'_~~ ''''..'~ 'f.:;-., . t"\- ,.".Oc..<,>, i~;~ t~" . Co' ~;(;g :;,:'.:= . ..L.. . "" ~ ~'~~l'.--r- r is:! -< Q ~..r -':~'v . :~. ~\~ t" -'- ~ ii:'~ ,~ ~. ffi!'~~ ~ ",;~~~ I . f:,--' "::.~ ('. T.:> ;:.Y .,' ro'" I ...::I.\"~) (i'" I~_; J;~ ; 1 .-- . ~-~,jq.(;~ (tjJ 11~~~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF On this, the CUMBERLAND J2JJD a notary public } s~. day of .J/JAJE , 19 ~5 , before me j I I in and for said County and State, the unde~signed officer, personally appea.red Henry Franklin Bell , known to me (or satisfa#orily proven) to be the person described in the foregoing instrument, and acknowledged that; 'he . ex- ecuted the same in the capacity therein stated and for the purposes therein contained...... . ..;..:,; ; ,.:, ..... ., IN WITNESS WHEREOF, I hereunto set mY~and official seal. :-"~~-;'::'i"';",,-,, _ I ) " ~I -l.r,:. .h. _ K. . v.~' _m..____ ---------.n-..--jii.iES-j(iiiNOlii;-NOTiRY-P~B~.i k I 0 ~:~;;~:. .... tAMP Hill BORDUGH. CUMBERlAtIll ~lITt '-~ fI' 'ph; ..-----..MrCOMlillssrorrEXP/1lES-VfCEMmi=~r.:w~.;,.IR-;::-... -".' /1i-' -;,,'v-IfJ.'14i. '"'t~__ ~~~~; ,..' ""I;~~:~~i~.,~ . I"jt II -4U t\ 'f ;:.,.:'0:'6( l.i (A~[: 143 COMMONWEALTH OF PENNSYLVANIA '} ss. day of ,,19 , before me COUNTY OF On this, the in and fm' said County and State, theu7ldersigned offioer, personally appeared , known to me (or .i!ati:Jfaotorily proven) to be the person desoribeq, in the foregoing instrument, and aoknowledge{f,'that . . ex- eouted the same in the oapaoity therein stated and for the purposes therein oon~ained. IN WITNESS' WHEREOF, I hereunto set my hand and official seal. ..m__,.. _._;__m_____m m___..____._ ..--:-----------,. mm -.---..:--:--- -----,----, e , I ' ..- -_____ ____:_____. - .____m___. _ .,,_. .____ ___.m__:-j:____<'.____" ._____:_____ c.~. , _. Title of Offioer E ---~---.-----_._----------~-------":-----,;,---,----_._.----- ", I . . . i~. . ',:. ;'." !..\ ~. ,; . .f; 1'/:. .. .'ll 1.,,"'" ~ , ~ \..:J ..J! "J'! ~! ~ 4 lu ~i ~ ~ q! ~ /:j Qi Ji \ui ~ ~i ..... ~ ~i~ ~i Uti "t: .... q, ~: ~ ~ Ie-. .: ~! ~: l.li . ..... ll!1 ~! -...: ~ ~ !~ 4 'a" "".t--- ~ ~ \ ~i ~! ~! ~ ~ '<'0 tui ~: -..I.: 'i ~ ~ .....: Q::i ~i ~ ~ ~ (Qi ~ .....: \5 ,Qt. ~ N! ~ ~! '~ \;): ~i COMMONWEAfJTH OF PE/fNSYLVANIA..: COUNTY OF ~ } S8. RECORDED on this :?;;. ~ day Of~ A. D. 19 &5, in the Reoorder's office of the said County, in . cQ .. ...: .....VoC :;;l,1 , Page /C/~ . Gi... und~ my hand ~ :__....~~::::2Z:;::;~:.~~'R:: I' TAX YEAR :00S-06 'PERSONAL TAX NOTICE CAMP HILL SCHOOL DISTRICT UCE CHECKS PAYABLE TO: DATE ** SCHOOL ** JULY 1 2005 ASSESSMENT BILL NO. C 1 1434 JANET L MILLER, TAX COLLECTOR 1939 WALNUT STREET CAMP HILL PA 17011 PHONE 717-763-0177 SCH P TOo/.P M 4.90 5.00 5.50 I. JUL-OCT 31 WED 10-2 4-6 SPECIAL HRS AUG 25&26 2-6 AUG 29&30 10-2 CALL FOR APPT NOV THRU FEB CLOSED HOLIDAYS %P P'.CCUJjl ANP ~.IIALTY ~AVE PEEN CCMPIlTED fCR yi>u~ CCNVElIlENcE . 10.00 11.00 jUL s'2Olfi LAST DATE FOR EXONER~TION 12/15/05 IF UNPAID BY 12/13/0~ TAXES WILL BE TURNED OVER ~O DEL I NQUENT COLLECTOR!. ACCT # 001-0000602 SS# 198-10-3754 D DB TITLE IS 90 DAYS FROM DATE OF BILL ALL 240-6365 OR 697-0371 EXT 6365 OR 532-7286 EXT 6365. 1....""(" ' 'nillC'lr "'"" r.l'I\ q 0 EPPLEY, PAULINE E. 102 S. 22ND ST. CAMP HILL PA 17011 TAX YEAR 2005-06 PERSONAL TAX NOTICE CAMP HILL SCHOOL DISTRICT MAKE CHfCKS PAY ABLE TO: DATE ** SCHOOL ** JULY 1 2005 ASSESSMENT BILL NO. C 1 JANET L MILLER, TAX COLLECTOR 1939 WALNUT STREET CAMP HILL PA 17011 PHONE 717-763-0177 I. JUL-OCT 31 WED 10-2 4-6 SPECIAL HRS AUG 25&26 2-6 AUG 29&30 10-2 CALL FOR APPT NOV THRU FEB! . CLOSED HOLIDAYS 1435 LAST DATE FOR EXON~RATION 12/15/05 IF ~NPAID BY 12/13~05 TAXES WILL BE TURNED OVE~ TO DELINQUENT COLLECTdR. ACCT # 001-0000603 SS# 165-36-4052 D OB TITLE IS 90 DAYS FROM DATE OF BIDL CALL 240~6365 OR 697-0371 EXT 6365 OR 532-7286 EXT 6365. \'J JUl -? 2005 EPPLEY, SARA M. . , 1\I\'J1(\r''':,,;<CI'''I~OJ 102 S. 22ND ST. '~"p.t, ..10'1\;1", .. CAMP HILL PA 17011 M 9.80 10.00 11.00 %P M "loP M %P ISCOUNT ACE ENALTY SCH P C 10 "loP SCH RES 10%p SCH OCC M 4.90 5.00 5.50 PI ['\ 'W TAX YEAR 2005-06 REAL ESTATE TAX NOTICE CAMP HILL SCHOOL DISTRICT MAKE CH.ECK~ i'A't'A&lE T0; JANET L MILLER, TAX COLLECTOR 1939 WALNUT STREET . CA-M-P- HTLL-Pk-17-011 PHONE 717-763-0177 DATE ASSESSMEt-lT BILL NO. C 1 ** SCHOOL ** JULY 1 2005 103,87[0 788 . .1~~g:~$~~l~~;~DJ~G :dt~~:~~:eL _HR~ CLOSED HOLIDAYS . I %P DISCOUNT CE NALTY 07/01-08/31 09/01-10/31 FTER 10/31 1,224.57 1,249.56 1,374.52 ri~~~UJ. 1,224.57 1,249.56 --------l:..!,]_74 . 5 2 ACCT NO 01-21-0271-593 "loP ... ... .. ... "loP M DURING THIS PERIOD PAY THIS AMOUNT 102 S 22ND STREET EPPLEY, SARA M & 102 SOUTH 22ND STREET CAMP HILL PA 17011 LOT Residential Building IF~mn.J~'~[~~~~w~ THIS BILL TO YOUR MORTGAGE COMPANY IF UNPAID BY 12/13/05 TAXES WILL BE TURNED OVER TO CUMBERLAND CO. TAX CLAIM BUREAU. $1.00 FEE FOR ADD'L RECEIPTS REOUESTED .00188100 14 3. B2 2 % 191. 47 I' bill Uale: 3/01/2005 Total 103 870 Face Penal 10 % 208.36 229.20 10 % 18.69 20.56 10 % 195.38 214.92 $422.43 $464.68 MAP NO: 01-21-0271-593 102 S 22ND STREET ACRES .180 lOT Residential Building RESIDENTIAL LonllUJ Ho; UUl - 001129 Assessed Land Values 27 410 COUNTY OF CUMBERLAND Rates .00200600 COUNTY R/E 54.98 Rates .00018000 COUNTY LIB 4.93 BOROUGH OF CAMP HILL Rates .00188100 MONIC. R/E 51.56 2005 ~latement 01 Real Estate laxes Improvement Mineral 76 460 0 ISLE ,.JANET l~ MilLER, TAX COLLECTOR 1939 WALNUT STREET CAMP HILL, PA 17011 .00200600 153.38 .00018000 13.76 Discount 2 t 204.19 2 t 18.32 TAX AMOUNT DUE-> $413.98 R EPPLEY, SARA M & PAULINE E 102 SOUTH 22ND STREET CAMP Hill PA 17011 :If Paid On or After 5 :If Paid On or Before 4/30/2005 6/3 /2005 IF NOT PAID BY 12/1512005 THIS Blli WILL BE RETURNED TO AX CLAIM BUREAU FOR COliECTJON AND RUNG OF A UEN Awf,INST YOUR PROPERTY. ,lanet L. Miller. fax Collector 12/1312005 .. SEE REVERSE SIDE OF BILL FOR A BREAKDOWN OF YOUR COUNTY TAX DOLLARS .. P A 10 MAR 1 5 2005 :E WEDNESDAY 10AM-2PM & 4PM-6PM IS: SPEC HRS: THUAS 04/2810AM-2PM; FRI 04/29 2PM-6PM; CASH ONLY AFTER 12/5/05 PH:(717) 763-0177 Return Bill with Payment. For a Receipt, Enclose Self Addressed Stamped! Envelope. 1418 ** TAXPAYER COPY ** BILL DATE 3/01/2005 BILLiNO 1418 JANET L MILLER, TAX COLLECTOR 1939 WALNUT STREET CAMP HILL, PA 17011 2005 PERSONAL TAX NOTICE COUNTY OF CUMBERLAND BOROUGH OF CAMP HILL CASH ONLY AFTER 12/05/05 UNPAID TAXES SUBMITTED TO EPPLEY, PAULINE E. 102 S. 22ND ST. CAMP HILL PA 17011 P A' 0 MAR 1 5 2005 : ~l~7.1~ Jallel L. Miller. rax Co\\e~1r~TY ~~/C- . DELINQUENT COLL 12/13/05 i ~.':"4;:.+~t.~.~...... ,. I. I ~.fl... . , ~. ~ " ' t,.;.s ~ I .;: ,,1, i1:. ii-Ii Ii 'I:ii ,,11ffll-'1,:-O: <II: n r~lJ!I;, ,r ll' ,i;1l;] \;..1"1' J Ii iR""'" ;;r~iil~;'! 'IIlMlIjl:!I!I;;: l: n ~:J 'i: /, l' I ' , I CNTY piC 5.00000 4.90 I ! I 5.00 5. CTL SSN l 602 J98-10-3754 4.90 5.00 F~CE 5/01/2005 1'0 b/3cp/200S 5.5 2.0% 10.0% DISCOUNT 3/01/2005 TO 4/3U/20U5 PENALT'x AFTER 6;30/20 WEDNESDAYS 10AM-2PM & 4PM-6PM SPECIAL HOURS-THURS 04/28 10-2 & FRIDAY 4/29 2PM-6PM PHONE (717) 763-0177 1419 ** TAXPAYER COPY ** BILL DATE 3/01/2005 . BII),L NO 141 JANET L MILLER, TAX COLLECTOR 193.9. _WALNUT.__S.TREET. CAMP HILL, PA 17011 2005 PERSONAL TAX NOTICE COUNTY OF CUMBERLAND BOROUGH OF CAMP HILL _CASH_..oNLY~AFTER__12LQ51n5__.._ _ _ un __~n' ___ UNPAID TAXES SUBMITTED TO DELINQUENt COLL 12/13/05 I- i' i CTL SSN 1 603 165-36-405? - I I! !'ftl;)'.l:H:II;.;i1.JiI.J;;lii,r~I":"n;;J:i; f,\ F!'l""l!lIl!iiJ~"i'l ;lI'R.lll~i;l!lll~ rflf.""".1 'i :~~,'.l ~. i;l!;l 1:. P A I 0 CNTY pic I 5.00000 4.901 5.00j MAR 1 5 2005 I I I I Jallel L MillN r;1Y r:f1I1AdIJjr ~1,"jr:.l~r~t~:J~\',~n~~~ 4.90 I 5.00 CNTY PIC 2.0% 10.0% DISCOUNT FACE I 3/01/2005 5101/2005 I 4.13'5~200':J 6/3CS2005 6/30/: I ...1__ I 5 EPPLEY, SARA M. 102 S. 22ND ST. CAMP HILL PA 17011 PENAL' AFTE: WEDNESDAYS 10AM-2PM & 4PM-6PM SPECIAL HOURS-THURS 04/28 10-2 & FRIDAY 4/29 2PM-6PM T-'lT,......."".,.T:1 ,.."-1....,, """lr"") n..,...,., II Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: Pauline E Eppley 198-10-3754 May 23, 2005 Account #: 1051073863 Type: Checking In the name of: Pauline E Eppley or Sara M Eppley Date of Death Balance: $193,754.97 Int.(YTD) from 1/1/2005 to 5/20/2005 Accrued interest to date of death: $0.26 Other Info: Open date: 10/20/19~8 $19.70 Account #: 1051074258 Type: Checking In the name of: Sara M Eppley or Pauline E Eppley Datc of Death Balance: $28,940.46 Int.(YTD) from 1/1/2005. to 5/912005 Accrued interest to date of death: $0.54 Other Info: Open date: 11/l7/19~8 $10.97 Account #: 1051080444 Type: In the name of: Pauline E Eppley Date of Death Balance: Int.(YTD) from 1/1/2005 to Accrued interest to date of death: Other Info: Money Market Open date: 8121/20q.L $1,000.00 4/30/2005 $91.06 $586.29 Page 1 of 1 I' .... ~'Ol... 1 '-.--.1_ USED CARS Cldvertisement Kelley Bile Blok THE TRtJ5TfD USOlJRCE klrh.tAlll What is New (or Blue Book@? BLUE BOOK- RETAil REPORT Pennsylvania. October 14, 2005 BL~E BOOK 4 ~pfth Used .( 1998 Chevrolet Lumina LS Sedan 40 1 ' , ~~ ~~ " ~ <i-'!r-;=<"",>",~ ~ 'h' I St;!arch Listin_~fOl.This Car F rE!g. GARFA?<8E!9() rc!GOE!91< Auto Loans from .5.09% APR In$lJIC::InC:E!.QljQtE! Payment Calculator Review of This Car Q~ickly brow 6QO,OOO use, to! find exact yqu want. 4D adVE Engine: V6 3.1 liter Trans: Automatic Drive: FWD Mileage: 43,373 w Equipment Air Conditioning Power Steering Power Windows Power Door Locks Tilt Wheel AM/FM Stereo Cassette Dual Front Air Bags ASS (4-Wheel) Alloy Wheels N G~.UllY.9_i<;:~_~_MSgf'.. qn...N~w..(;i:lr$ ( B Retail Value Search Local Listinqs for This Car $5,415 The Kelley Blue Book Suggested Retail Value is representative of dealers' asking prices and is the starting point for negotiation between a consumer and a dealer. This Suggested Retail Value assumes that the vehicle has been fully reconditioned and has a clean title history. This value also takes into account the dealers' profit, costs for advertising, sales commissions and other costs of doing business. The final sale price will likely be less depending on the vehicle's actual condition, popularity, type of wa rra nty 'offered-and local-ma rket. cond itions~ G_~L9J:rl\@IT!_P_ilr:1:Y\'QIV~ Get a 15 Minute Response When You Apply for a Blank Check@ Auto Loan Copyright @ 2005 by Kelley Blue Book Co., All Rights Reserved. Sep-Oct 2005 Edition. The specific information required to determine the value for this particular vehicle was supplied by the person generating this report. http://www.kbb.comlkb/ki.dll/kw.kc.ur?kbb.P A;687575;P A133& 170 19;+r&277;Chevrol... 10/14/2005 ./ I . lliust lIill ann ill-eshtm.eut '7~1 OF t. .) PAULINE E. EPPLEY BE IT REMEMBERED, that I, PAULINE E. EPPLEY, of 102 South 22nd Street, Camp Hill, Cumberland County, ()) Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making null and void any and all Wills and Testaments and writings in the nature thereof by me at any time heretofore made. ITEM 1 : I direct that all my just debts and funeral expenses be paid as soon after my demise as may be convenient. ITEM 2: All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, whether: it be real, personal or mixed, including property over which I have a power of appointment, I give, devise and bequeath unto my sister, SARA M. EPPLEY, absolutely, provided she survives me for a period of thirty (30) days. ITEM 3 : Should my sister, SARA M. EPPLEY, fail to survive me for a period of thirty (30) days, or should we die simultaneously, I then give, devise and bequeath my entire residuary estate as follows: (A) I give ten percent (10%) thereof to THE SALVATION ARMY, 1122 Green Street, Harrisburg, Pennsylvania. (B) I give ten percent (10%) thereof to THE BETHESDA MISSIO~~ , 611 I<.eily str'eet., IIi.ircislJurg, Pennsylvania. (C) I give the remaining ninety percent (90%) thereof to my nieces and nephews, DAVID IB,. EPPLEY, RICHARD L.. ~s:.. W~ C2/,..,.~Lu{.~ l;-'t,"A~u L ;;f~) PAULINE E. EPPLE -1- . " E. EPPLEY, LOIS ANN HOFFMAN, MARIAN FEARS, ELAINE FOSTER, NANCY GROVE NICHOLS, CAROL KNISELY and SARA JANE: WICKARD, in equal shares, per capita. ITEM 4: I direct my hereinafter named Executrix to sell all of my property, both personal and real, converting the same to cash, and distributing the same in accordance with this my Last Will and Testament. ITEM 5: I direct my hereinafter named Executrix to pay all inheritance, estate, succession and legacy taxes of whatsoever nature and kind, to which my estate or the. transfer of any property passing hereunder or otherwise passing by reason of my demise, may be subject and to charge such taxes against my residuary estate, it being my intention that none of the aforesaid taxes, either federal or state, on any property required to be included in my gross estate,' under the provisions of any state or federal law now in force! or hereafter enacted, shall be prorated among the persons interested in my estate to whom such property is or may be transferred or to whom any benefit accrues. ITEM 6 : I appoint my sister, SARA M. EPPLEY, as Executrix of this my Last Will and Testament. Should my sister predecease me, fail to qualify, cease to act or renounce probate, I then appoint my nieces, NANCY GROVE NICHOLS and SARA JANE WICKARD, as alternate Co-Executrixes of this my Last will and Testament. ITEM 7: I direct that my Executrix or her successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this /~tn day of (~-' , 2000. ~ ( SEAL) PAULINE E. EPP -2- o . COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF YORK We, PAULINE E. EPPLEY, JAN M. WILEY, ESQUIRE and PATRICIA A. BELLUSCIO, 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 Testament 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 this Last ~ill and Testament as witness and that to the best of their knowledge the Testatrix was at the time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. ~~~ ~:~~'~ u Sworn to and subscribed before me this l;f~ day of ~~~ ~~;;:;. NOTARY PUBLIC MY COMMISSION EXPIRES: II COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. CD 005948 WILEY JAN M 130 W CHURCH ST DILLSBURG, PA 17019 ACN ASSESSMENT CONTROL NUMBER AMOUNT __n____ fold 101 $18, 700i. 17 ESTATE INFORMATION: SSN: 198-10-3754 FILE NUMBER: 2105-0958 DECEDENT NAME: EPPLEY PAULINE E DA TE OF PAYMENT: 10/31/2005 POSTMARK DATE: 10/27/2005 COUNTY: CUMBERLAND DATE OF DEATH: OS/23/2005 TOTAL AMOUNT PAID: $18,700.17 REMARKS: CHECK# 0289 SEAL INITIALS: JA RECEIVED BY: GLENDA FARNER STRASBAiUGH REGISTER OF WILLS REGISTER OF WILLS