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HomeMy WebLinkAbout02-22-06 - CHARLES E. SHIELDS, III ATTORNEY-AT-LAW 6 CLOUSER ROAD Corner ofTrindle and Clouser Roads MECHANICSBURG, PA 17055 GEORGE M. HOUCK (1912-1991) TELEPHONE (717) 766-0209 FAX (717) 795-7473 February 21, 2006 Register of Wills Cumberland County Court House 1 Court Square Carlisle, P A 17013 Re: Estate of Virginia F. Brechbiel No. 21-05-00212 Dear Register of Wills: Please find enclosed 2 copies of the Inheritance Tax Return along with Check No. 1070, in the amount of$4,951.91 for the Inheritance Tax, Check No. 1071, in the amount of $290.00, for the additional probate fee, and Check No. 1072, in the amount of $15.00 for filing fee due. Thank you for your kind attention to this matter. Very truly yours, ~;::~ r Charles E. Shields, III Attorney-At-Law CES/mjj Enclosures REV-1500 EX (6-00) REV-1500 COMMONWEALTH OF . PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 INHERITANCE TAX RETURN RESIDENT DECEDENT .... Z W C W () W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) 13 R~ CH 81 E' L~ VII(G IN/A F. DATE OF DEATH (MM-DD-YEAR) iJ:2 - ';;0 - .;; ooS DATE OF BIRTH (MM-DD-YEAR) OS- 3/- /9/7 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) AI //1- W I- ~:$U) ur:t~ wo..u zoo ur:t-l 0.. III 0.. c( IZJ 1. Original Return o 4. Limited Estate i25J 6. Decedent Died Testate (Attach copy of Will) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (date of death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy ofTrust) o 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) . OFF;CLA.L USE: {)NLY ----<.._~"~- FILE NUMBER ..2L - -pS COUNTY CODE YEAR CJ 0 2 1 z ----- NUMBER SOCIAL SECURITY NUMBER /,f / 01 /72/ THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER o 3. Remainder Return (date of death prior to 12-13-82) o 5. Federal Estate Tax Return Required / 8. Totai Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) NAME S/f/ELDS COMPLETE MAILING ADDRESS efl/l-/lLES E: Sh'le4JS 1lI G eL PtlSE7t Rp/fi) .dJEc2/1/1;J//CS1'3 L.l1f'6/ /7-"1 /70$5' I- Z w Q Z o 0.. U) w r:t r:t o U (! H/I-/tL ES /II /A E. 7!!: FIRM NAME (if Applicable) TELEPHONE NUMBER 7/7- ~~ -02CJ? 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (1) (2) (3) (4) (5) "f / "~I :,7;t). DO ~ /3. tJOQ.78 . CJ o , I .< . t)c'7. I' o ~ 51 J../o.7:J. , 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) z o ~ -oJ :J t: Q. ~ () w 0::: 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested (6) 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) (7) 1.;28 , 11 I. 9. Funeral Expenses & Administrative Costs (Schedule H) (9) (10) 7" 8'. .3 ~ ft~S.'7 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) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES Z 15. Amount of Line 14 taxable at the spousal tax 0 0 x.O~ ~ rate, or transfers under Sec. 9116 (a)(1.2) (15) 1;).d.1 /5 3. 63 xO~ (16) ~ 16. Amount of Line 14 taxable at lineal rate :J t9 Q. 17. Amount of Line 14 taxable at sibling rate x .12 (17) :E 0 18. Amount of Line 14 taxable at collateral rate 0 x .15 (18) () X (19) j! I OFFf~/AL USE ONLY I 1 ---- (8) ., J S/~ 1f7. fp' (11) (12) (13) i- 3 () J f4 3 'I. & 3 'f :l:2. " IS 3. 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S (J1Cl(]'+' ..3 IV !)A/t17 hoE: SS3ClOO\l133Cl1S :ssaJPP'V alaldwo:) s,luapa~a( COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 28060' HARRISBURG, PA 17128-0601 RECEIVED FROM: SHIELDS CHARLES E III 6 CLOUSER ROAD MECHANICSBURG, PA 17055 uh____ fold REV-1162 EX(11-96) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT ESTATE INFORMATION: SSN: 181-01-1721 FILE NUMBER: 2105-0212 DECEDENT NAME: BRECHBIEL VIRGINIA DATE OF PAYMENT: OS/20/2005 POSTMARK DATE: OS/20/2005 COUNTY: CUMBERLAND DATE OF DEATH: 02/20/2005 REMARKS: CHECK#1022 SEAL NO. CD 005350 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $4,750.00 , I I I I I I I TOTAL AMOUNT PAID: INITIALS: JA RECEIVED BY: TAXPAYER $4,750.00 GLENDA FARNER STRASBAUGH REGISTER OF WILLS REv-1502EX. (1-97) ESTATE OF SCHEDULE A REAL ESTATE 2/-C)S'2/2- COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Bk'ECJf/6/EZ / Y//fG//f///! ~ FILE NUMBER All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly>owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION ~. j;.AGt '" IMld c.n~I' ~ ""119 sr fA.pprox. 00.70 A-er"l!. "" Monroe. TOw/lship, Cl.c..mbU'J~ CoLl,n'?Ji Pt-nna., be-;n8 ;mp,.olleOl w;ff. t). duJ~Il,'i1a hDUS~ htUl"ng an tLddreLS eJ 30'1 LDn8tnLAdow .street: m~c,hAni,s:",,~, flll/70SS ?a.rc:.t..-/ # ;l ~ _ ;;, 4 - () 7 ~S" -/:)08. (Set. 4 S54!.ssm. 4 H-.. c-huI) P"'PPl-"'~ ht1.s an o..ppra.i:.e-cI &..0.01. VfL\lot.e (J( f J (,~ J ()(>O I DO (See. t1ppra.'ISo,l of fYla.rjc. e. f..L'I~, PI't.P4~tlln4ff I~) JotJS; +r,r d. o. d. value. {)f {:eb. 2() I 2DO!:' ~ 4fftJ..LJ. ~ . C .l.. fots I v1~L I.t.>>tics bfAr'l CW1~.+.er'llJsn. T~f'{z) t-fYJe-f~ L- 11/<<41 U J @ Sl>O. DO VALUE AT DATE OF DEATH "', ""loa'). 00 ., 5'00, DO TOTAL (Also enter on line 1, Recapitulation) $ ) '" I 5'00, CO (If more space is needed, insert additional sheets of the same size) FacetWin Screen Print for recdeeds, from ICAMA_Login" 4/26/2005 9:01:04 AM DISTRICT: 22 - MONROE TOWNSHIP CUMBERLAND COUNTY ASSESSMENT OFFICE 2004 BASEYEAR CONTROL # 22001680 NEIGHBORHOOD: 2271 I I jShort Name I LAST NAME I FIRST NAME Ic/o NAME IADDRESS1 IADDRESS2 IpOST OFFICE: ISTATE & ZIP: I BRECHBIEL, VIRGINIA BRECHBIEL VIRGINIA C/O PAT DAVIS 7652 CARLISLE PIKE SD: 4 PARCEL: 22-24-0785-008. I SPEC ID: LOT: L--.., Tback: 1 PROPERTY TYPE: R I I SALES I DEED BK/PG..... I DATE OF SALE... I SELLING PRICE: I I J YORK SPRINGS PA 17372 Situs: 304 LONGMEADOW STREET Prop Descrip.: POINT COMFORT LAND DESC: LAND LAND USE TYPE: DEEDED ACRES: 101 .70 I CURRENT J Assessed FMV - 159580 C&G - approved? _> VALUES Fair L - B - T - I Market " 40000 I 119580 I 159580 I Screen 1 Enter Selection > Number -Switch Screens, X -Exit, J -Jump Mode, Down Arrow -Next Entry, Up Arrow -Previous Entry, Record: 88568 F -Forms, I -Image ? -Screens, B -Browse ,. Mark E. Hilbert & Associates 05-117M1M Fie No. 05-117M1M APPRAISAL OF LOCATED AT: 304 Longmeadow Street Mechanicsburg, PA 17055 FOR: Charles Shields III, Esquire 6 Clouser Road Mechanicsburg, PA 17055 BORROWER: Virginia Brechbiel AS OF: May 17, 2005 -t:I...L ,J. kf'ort rib. 20, ~{)s - M tJ!. duff.. vtLtw. BY: Mark E. Hilbert Mark E. Hilbert & Associates Mark E. Hilbert & Associates Prooertv Descriotion File No. 05-117M1 M Property Address 304 Lonofneadow Street City Mechanicsburo State PA Zio Code 17055 Leaal Descriotion See Attached-Tax Report County Cumberland Assessor's Parcel No. 22-24-0785-008 Tax Year 04/05 R.E. Taxes $ 2000 EST Soecial Assessments $ NI A Borrower Virainia Brechbiel Current Owner Estate Occuoant: Tx TOwner 1 Tenant r 1 Vacant .. PrODertv riahts aDoraised IX 1 Fee SimDle 1 Leasehold 1 Proiect Tvoe T T PUD 1 T Condominium IHUDNA onlvl HOA$ NI A IMo. Neiohborhood or Proiect Name Monroe Township Mao Reference NI A Census Tract 115 Sale Price $ Estate Date of Sale NI A Descriotion and $ amount of loan charaes/concessions to be oaid bv seller NI A Lender/Client Charles Shields III Esauire Address 6 Clouser Road Mechanicsbura. PA 17055 Aooraiser Mark E. Hilbert Address 219 East Main Street Mechanicsbura PA 17055 Location TI Urban [RJ Suburban D Rural Predominant Single family housing Present land use % Land use change Built up o Over 75% o 25-75% 0 Under 25% occupancy PRICE AGE One family 61% o Not likely o Likely $(000) (yr,) Growth rate o Rapid 00 Stable o Slow 00 Owner 125 Low New 2-4 family 2% o In process Property values 0 Increasing o Stable o Declining o Tenant 250 Hiah 75 Mult~family 1% To: Demand/supply 0 Shortage 0 In baIao1ce o Over suppty o Vacant(0-5%) l.r'ii'rl'\l!'t Predominant ~ ,Commercial 1% Marketina time n Under 3 mos. fXl 3-6 mos. n Over 6 mos. n Vacant (over 5%1 175 T 40 V. Land 1 35% Note: Race and the racial composition of the neighborhood are not appraisal factors. Neighborhood boundaries and characteristics: Subiect Prooertv is located alona Lona Meadow Street in Monroe Townshio, Cumberland . Countv. Pennsvlvania. . . Factors that affect the marketability of the properties in the neighborhood (proximity to employment and amenities, employment stability, appeal to market, etc.): . The subiect propertv has aood access to area emolovment and amenities. . .. Market conditions in the subject neighborhood (including support for the above conclusions related to the trend of property values, demand/supply, and marketing time - - such as data on competitive properties for sale in the neighborhood, description of the prevalence of sales and financing concessions, etc.): Financina is readilv available from a varietv of sources and with imorovina markets sellers are not reauired to offer sales or financina related concessions. . Project Information for PUDs (If applicable) - - Is the developer/builder in control of the Home Owners' Association (HOA)? UYES !KfNO . Approximate total number of units in the subject project N/A Approximate total number of units for sale in the subject project N/A Describe common elements and recreational facilities: N/A Dimensions See Attached Tax-Reoort Topography Basicallv Level Site area 0.70 Acres +1- Corner Lot TI Yes 0 No Size 0.70 Acres +1- Specific zoning classification and description Residential Shape Rectanaular Zoning compliance 0 Legal fX)O Legal nonconming (Grandfathered use) TIlllegal D No zoning Drainage Appears adequate HiQhest & best use as improved: X Present use Other use lexolainl N/A View Residential Utilities Public Other Off-site Improvements Type Public Private Landscaping Adeauate Electricity o 100-AMP Street Macadam 0 0 Driveway Surface Macadam Gas o None Curb/gutter None 0 0 Apparent easements Typical-Utilitv Water 0 Sidewalk None 0 0 FEMA Special Flood Hazard Area DYes 00 No Sanitary sewer ~ Street lights Yes ~ R FEMA Zone "C" Map Date 06/02/92 Storm sewer Allev None FEMA Map No. 420364# Comments (apparent adverse easements, encroachments, special assessments, slide areas, illegal or legal nonconforming zoning, use, etc.): There are no aooarent adverse easements encroachments, soecial assessments or zonina that would have a neoative impact on the value of the subiect orooertv. subiect however to reservations easements conditions and riaht of wa\ of record. GENERAL DESCRIPTION EXTERIOR DESCRIPTION FOUNDATION BASEMENT INSULATION No. of Units One Foundation Block Slab No Area Sq.Ft. Roof 0 No. of Stories 1-Storv Exterior Walls Brick CraI'ASpace No % Finished 50% Ceiling Cncld 0 Type (Del./Att.) Detached Roof Surface Composition Basement Full Ceiling C- Tile/Joist Walls 0 Design (Style) Ranch Gutters & Dwnspts. Aluminium Sump Pump Floor Drain Walls Panel/Block Floor Cncld 0 Existing/Proposed Existina Window Type Double-Huna Dampness None noted Floor Vnvl/Concte None 0 Age (Yrs.) 46 Storm/Screens Yes I Yes Settlement None noted Outside Entry Yes Unknown 0 Effective Aae Yrs. I 4-6 Manufactured House No Infestation None noted . ROOMS Fover Livina Dinino Kitchen Den Familv Rm. Rec. Rm. Bedrooms # Baths Laundrv Other Area So.Ft. 0 Basement 1 1 Sta 1 772 . Level 1 1 1 1 1 3 2.50 1,678 . Level 2 ~ . i Finished area above arade contains: 6 Rooms; 3 Bedroom sl; 2.5 Bathls): 1 678 Sauare Feet of Gross Livina Area I INTERIOR Materials/Condition HEATING KITCHEN EQUIP. ATTIC AMENITIES CAR STORAGE: Floors Hardwood I Good Type H/W Refrigerator 0 None 0 Fireplace(s) # _ 0 None 0 . Walls Dry-Wall I Good Fuel Oil Range/Oven 0 Stairs 0 Patio Large 0 Garage # of cars Trim/Finish Wood I Good GonditionA va. Disposal 0 Drop Stair 0 Deck 0 Attached 2 Bath Floor Vinyl I Good COOLING Dishwasher 0 Scuttle 0 Porch 0 Detached Bath Wainscot Fiberolass I Good Central Yes Fan/Hood 0 Floor 0 Fence 0 Built-In Doors Hollow-Corel Good Other None Microwave ~ Heated R Pool ~ Carport GonditionA va. Washer/Dryer Finished Sun-Room Drivewav 6 Additional features (special energy efficient items, etc.): None Noted Condition of the improvements, depreciation (physical, functional, and external), repairs needed, quality of construction remodeling/additions, etc.: No maior reoairs noted. No evidence of functional or external obsolescence. Adverse environmental conditions (such as, but not limited to, hazardous wastes, toxic substances, etc.) present in the improvements, on the site, or in the immediate ViCinity of the subject property: There are no visible or aooarent adverse environmental conditions that would neaativelv imoact the value of the subiect prooertv. Mark E. Hilbert & Associates UNIFORM RESIDENTIAL APPRAISAL REPORT 05-117M1M PAGE 1 OF 2 PlOduced using ACI software, 800.234.8727 WWW.aciweb.com Fanni. Ma. Form 1004 6-93 Idie Mac Form 70 6-93 . Valuation Section Mark E. Hilbert & Associates UNIFORM RESIDENTIAL APPRAISAL REPORT 05-117M1M File No 05-117M1 M ESTIMATED SITE ~ALUE. . . : . . . . . . . . . . . . . . . . . . . . . . = $ 75,000 Comments on Cost Approach (such as, source of cost estimate, ESTIMATED REPRODUCTION COST-NEW OF IMPROVEMENTS: site value, square foot calculation and for HUD, VA and FmHA, the Dwelling 1,678 Sq. Ft. @$ 38.78 = $ 65,073 estimated remaining economic life of the property): Basement 1 772 Sq. Ft. @ $ 12.21 = 21,636 In the reoroduction cost of imorovements, Marshall & Swift . Patio. Sun-Room 4,500 Residential Cost Handbook and local contractors are . = . GaragelCarpcrt ~Sq.Ft. @$ 9.76 = 5,153 referenced. . . = $ 96,362 . TO"'8"m"'dC,"INi ...... ./........ Less Physical Functional External Est. Remaining Econ. Life: . Depreciation $5 145 = $ 5,145 Depreciated Value of Improvements . . . . . . . . . . . . . . . . . . . = $ 91,217 Estimated remainina economic life is 30-35 years. "As-is" Value of Site Improvements. . . . . . . . . . . . . . .... . = $ 3000 INDICATED VALUE BY COST APPROACH. . . . . . . . . . . = $ 169 200 ITEM SUBJECT COMPARABLE NO.1 COMPARABLE NO.2 COMPARABLE NO.3 304 Longmeadow Street 202 E. Winding Hill Road 5 Rife Drive 410 Fairway Drive Address Mechanicsbur Mechanicsbura PA 17055 Mechanicsbura PA 17050 Mechanicsbura PA 17055 Proximitv to Subiect 1.31 Miles +/- 0.78 Miles +/- 1.41 Miles +/- Sales Price $ Estate iiii' .i :I}ylY $ 154:900 $ 164 000 $ 164 900 PticeJGross Liv. Area $ 0.00 ill $ 115.94 ill iii[ $ 126.54 ill $ 107.50 ill Data and/or Inspection C.P.M.L./Assessment C. P.M. L./Assessment C.P.M.L./Assessment Verification Sources Insoection AaenVTax Records AaenUTax Records AaenUTax Records VALUEADJUSll/ENTS DESCRIPTION DESCRIPTION T + (-) $ Adjustment DESCRIPTION T + (-) $ Adjustment DESCRIPTION 1 + (-) $ Adiustment 15 DOM ~ 53 DOM , 11 DOM , Sales or Financing , , I I Conventional , Conventional I Conventional , Concessions , , , Date of SalelTime 03/15/05 , 03/31/05 I 12101/04 , , , I Location Suburban Suburban , Suburban , Suburban : LeasehokWee Sirde Fee Simole Fee Simole , Fee Simole I Fee Simofe , , , , Site 0.70 Acres +/- 0.52 Acres +/- , 0.28 Acres +/- I 0.34 Acres +/_ , I , , View Residential Residential , Residential I Residential , Desian and Appeal Ranch / Good Ranch / Good I Ranch / Good , Ranch / Good I , , , ! 0Jaitv of Cooslructi::n Brick Brick I Brick I Alum / Brick , , , , Aae 46 Yrs +/- 53 Years +/- : 35 Years +/- : 29 Years +/- I Good Good , Good , Good , Condition I I I Above Grade T alai I Bdrms I Baths T clal I Bdrms I Baths , T clal I Bdrms I Baths , T atal ' Bdrms I Baths , I I , . Room Count 6: 3: 2.50 6: 3: 2.00 ' +1,000 6: 3: 1.00 I +3,000 8: 3: 2.00 : +1,000 Gross Livina Area 1,678 SoH 1,336 SoFt. , +3,400 1,296 SaH I +3.800 1,534 SoH I + 1 ,400 . , , I Basement & Rnished Fuf/ Basement Full Basement , Full Basement , Full Basement I , I I . FmIY/Ofce/Bedrm : , Family/Bedroom i Rooms Below Grade RecRm/Lndrv/Sto -2 500 Familv Room , +500 -1,500 . Functional Utilitv Averaoe Averaoe , AveraQe I Averaoe I . , , , . Heatino/Coolina Oil H/W / ClAir Oil H/W / ClAir , Oil H/W / CIA I Elec BB / CIA I , , , . Averaae Averaoe .- Averaae Averaae Enemv Efficient Items : : , Garaoe/Caroort 2-Car Garaae Off-Street I +10,000 1-Car Garaoe I +5 000 2-Car Garaoe , I I , Porch, Patio, Deck, Patio Cvrd Patio/Porch I -4,500 Deck/CovrdStoop i -7,500 Patio / Porch , -3,000 . , I Fireolacels\, etc. , Fireolace , Fireolace Fireplace I Fireolace I : Sun-Room None I + 3 500 None , +3500 None , +3 500 Fence, Pool, etc. , I , I I , , , I Net Adi. Itotall X + - '$ 10.900&' 8300., 1400 Adjusted Sales Price of Comparable $ 165.800 $ 172.300 $ 166 300 Comments on Sales Comparison (including the subject property's compatibility to the neighborhood, etc. ): See Attached Addendum. ITEM SUBJECT COMPARABLE NO.1 COMPARABLE NO.2 COMPARABLE NO.3 Date, Price and Data None None None None Source for pria' sales N/A N/A N/A N/A .,.,;thin vear of aooraisal Tax-Assessment C.P.M.L./Court House C.P.M.L./Court House C.P.M.L./Court House Analysis of any current agreement of sale, option, or listing of the subject property and analysis of any pria' sales of subject and comparables .,.,;thin one year of the date of appraisal: The sales comoarison aooroach carries the most weiqht in determinina market value as it is based on historical information and is not as subiective as the income apProach. INDICATED VALUE BY SALES COMPARISON APPROACH. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 166 000 INDICATED VALUE BY INCOME APPROACH Ilf Aoolicable\ Estimated Market Rent $ N/A /Mo. x Gross Rent Modtiplier N/A = $ N/A This appraisal is made lET "as is" 0 subject to the repairs, alterations, inspections or conditions listed below 0 subject to completion per plans and specifications. Conditions of Appraisal: The sales comoarison aooroach carries the most weiaht in determinina market value as it is based on historical information and is not as subiective as in the income approach nor as deoendent on economic conditions as the cost aonroach. Final Reconciliation: The market annroach reinforced bv the cost approach is a aood indicator of fair market value. The fact that the seifer is or is not Davina anv portion of the closina costs has no effect on this aooraisal. The purpose of this appraisal is to estimate the market value of the real property that is the subject of this report, based on the above conditions and the oerti1ication, contingent and limiting conditions, and market value definition that are stated in the attached Freddie Mac Form 439/Fannie Mae Form 10048 (Revise\l 6/93 ). I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE REAL PROPERTY THAT IS THE SUBJECT OF llilS REPORT, AS OF Mav 17. 2005 (WHICH IS THE DATE OF INSZ AND THE EFFECTIVE DATE OF THIS REPORT) TO BE' 166.000 . APPRAISE1I'~~ ~ ~ '" SUPERVISORY APPRAISER (ONLY IF REQUIRED): Sianature 1:7 Signature oDid oDidNat Name Mark E. Hilbert 7 . ( Name Inspect Property Date Report Signed May 17 , 2005 Date Report Sianed State Certification # RL-000388-L State PA State Certification # State ::Jr State License # RB-029755-A State P A Or State License # State · Mac Fam 70 6-93 rvfarKEl1ITDert ""&Associates Fannie Mae Fam 1004 6-93 Mark E. Hilbert and Assoc. PAGE20F2 Produced using ACl software, 800234.8727 www.aciweb.com REV-l503 Ex. (1-97) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF --a ok?E~/Y4/EZ,I j//~6/,AI/A F FILE NUMBER ...2/- t!) S . 2/2. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH ~. a,s, S-4YfIlfCS i30N/)5} SlE~l€J ~ lJ€lI/oM/IIA-7/tw'S RuNN/NG Fdom .JULY ,Q7r Tr/Rou'GH oCToI5ER. /'17'1 (S6E: ;JIlINf{;trr Or /rFAf/ZeD j//fLtlES A-TT/fMG1J /lB!!C7J) bf ~ha~~ ()f 6>1UMD"fJ 5~k,J. mEr L;ck I I1f1G ~ {).,ve. p..i c..~ - 'J.4.D,II1:3 (see pritlt ()~ts tJ,~kd) .,/O~ '53..2.'1 ':I, 3 S'b. sc.f TOTAL (Also enter on line 2, Recapitulation) $ I '3 I 00 q. 1~ (If more space is needed, insert additional sheets of the same size) . Savings Bond Calculator I::: S+Oo.-T6 (j-f V l'j 1ft. i tt 6 feLh b j el Page 1 of 4 Vallie As Of 0212005 Bond Info EBonds Results # Bonds 89 ~...--~ Serial Number L q6366647850e ~. q636663647ge q6366624980e q6338081258e :.q6338069337e .. q6338057222e q632723289ge q632722056ge . q6327207946e q6306815195e q6306802271e q6304850963e r. 3((1./ ~~ nile- q63U48377i7e q6293350355e q6293336881e q6281100592e q628108687ge q6256489148e q6256475457e q6240359830e q624034619ge q6240332436e q6233452621e q6233438670e q6226273976e q622626449ge q6212712227e q6212697967e Savinc Update CALCU ....ftlJl. Series Denomination Serial Number Issue Date $25 Total Price $1,668.75 Total Interest $8,984.49 Total Value $10,653.24 YTD In! 5 Q) $47.! .b'-/Z Issue Interest Next Final Issue Date Series Denom Price Interest Value Rate Accrual Maturity 10/1979 E $25 $18.75 $71.15 $89.90 4.00% 04/2005 10/2009 09/1979 E 25 18.75 71.15 89.90 4.00% 03/2005 09/2009 08/1979 E 25 18.75 72.95 91.70 4.00% 08/2005 08/2009 07/1979 E 25 18.75 72.95 91.70 4.00% 07/2005 07/2009 06/1979 E 25 18.75 72.95 91.70 4.00% 06/2005 06/2009 06/1979 E 25 18.75 72.95 91.70 4.00% 06/2005 06/2009 05/1979 E 25 18.75 72.73 91.48 4.00% OS/2005 OS/2009 04/1979 E 25 18.75 71. 86 90.61 4.00% 04/2005 04/2009 03/1979 E 25 18.75 71.86 90.61 4.00% 03/2005 03/2009 02/1979 E 25 18.75 73.67 92.42 4.00% 08/2005 02/2009 01/1979 E 25 18.75 73.67 92.42 4.00% 07/2005 01/2009 12/1978 E 25 18.75 73.66 92.41 4.00% 06/2005 12/2008 11/1978 E 25 18.75 73.41 92.16 4.00% OS/2005 1112008 1 0/1978 E 25 18.75 72.55 91.30 4.00% 04/2005 10/2008 09/1978 E 25 18.75 72.55 91.30 4.00% 03/2005 09/2008 08/1978 E 25 18.75 74.37 93.12 4.00% 08/2005 08/2008 07/1978 E 25 18.75 74.37 93.12 4.00% 07/2005 07/2008 07/1978 E 25 18.75 74.37 93.12 4.00% 07/2005 07/2008 06/1978 E 25 18.75 74.35 93.10 4.00% 06/2005 06/2008 05/1978 E 25 18.75 74.12 92.87 4.00% OS/2005 OS/2008 04/1978 E 25 18.75 77.30 96.05 2.59% 04/2005 04/2008 03/1978 E 25 18.75 77.30 96.05 2.59% 03/2005 03/2008 02/1978 E 25 18.75 95.31 114.06 4.00% 08/2005 02/2008 0111978 E 25 18.75 95.31 114.06 4.00% 07/2005 0112008 12/1977 E 25 18.75 95.31 114.06 4.00% 06/2005 12/2007 11/1977 E 25 18.75 94.99 113.74 4.00% OS/2005 11/2007 10/1977 E 25 18.75 105.28 124.03 4.00% 04/2005 10/2007 09/1977 E 25 18.75 105.28 124.03 4.00% 03/2005 09/2007 http://wwws.publicdebt.treas.gov/BC/SBCPrice 4/1/2005 Savings Bond Calculator Page 2 of 4 : q6198821561e 08/1977 E 25 18.75 107.76 126.51 4.00% 08/2005 08/2007 q6192519050e 07/1977 E 25 18.75 107.76 126.51 4.00% 07/2005 07/2007 q6192504653e 07/1977 E 25 18.75 107.76 126.51 4.00% 07/2005 07/2007 q618541840ge 06/1977 E 25 18.75 107.78 126.53 4.00% 06/2005 06/2007 q6178584097e 05/1977 E 25 18.75 107.51 126.26 4.00% OS/2005 OS/2007 q6171161650e 04/1977 E 25 18.75 106.28 125.03 4.00% 04/2005 04/2007 "I "3~~203 03/1977 E 25 18.75 106.28 125.03 4.00% 03/2005 03/2007 _> [qel~2 203e , t.-q6152744615e 02/1977 E 25 18.75 108.78 127.53 4.00% 08/2005 02/2007 !-.q6145127955e 01/1977 E 25 18.75 108.78 127.53 4.00% 07/2005 01/2007 _ q6145113186e 12/1976 E 25 18.75 108.78 127.53 4.00010 06/2005 12/2006 '-' q6136206251e 11/1976 E 25 18.75 108.42 127.17 4.00% OS/2005 11/2006 q6128979251e 10/1976 E 25 18.75 107.19 125.94 4.00% 04/2005 10/2006 .' q6124116076e 09/1976 E 25 18.75 107.19 125.94 4.00% 03/2005 09/2006 v-q6084548817e 04/1976 E 25 18.75 108.24 126.99 4.00% 04/2005 04/2006 ;...q6078635555e 03/1976 E 25 18.75 108.24 126.99 4.00% 03/2005 03/2006 " q6077455904e 02/1976 E 25 18.75 110.78 129.53 4.00% 08/2005 02/2006 ;.. q606451791ge 01/1976 E 25 18.75 110.78 129.53 4.00% 07/2005 0112006 q6059113700e 12/1975 E 25 18.75 110.77 129.52 4.00% 06/2005 12/2005 q6051619373e 11/1975 E 25 18.75 110.48 129.23 4.00% OS/2005 11/2005 q6025736221e 09/1975 E 25 18.75 109.23 127.98 4.00% 03/2005 09/2005 q6019075625e 08/1975 E 25 18.75 111. 79 130.54 4.00% 08/2005 08/2005 q6019058762e 08/1975 E 25 18.75 111.79 130.54 4.00% 08/2005 08/2005 q6017535985 07/1975 E 25 18.75 111. 79 130.54 4.00% 07/2005 07/2005 q6011305333e 06/1975 E 25 18.75 111. 79 130.54 4.00% 06/2005 06/2005 q6009434734e 10/1975 E 25 18.75 109.23 127.98 4.00% 04/2005 10/2005 q5251380452e 04/1975 E 25 18.75 110.24 128.99 4.00% 04/2005 04/2005 q5247277790e 03/1975 E 25 18.75 110.24 128.99 4.00% 03/2005 03/2005 q5240234942e 02/1975 E 25 18.75 112.82 131.57 02/2005 q5233968078e 01/1975 E 25 18.75 112.82 131.57 01/2005 q5232750957e 12/1974 E 25 18.75 112.84 131.59 12/2004 / q5227227505e 11/1964 E 25 18.75 213.86 232.61 11/2004 >' q5220704005e 10/1974 E 25 18.75 111.27 130.02 10/2004 ;..-q5212346497e 09/1974 E 25 18.75 111.27 130.02 09/2004 .- q520660281 Oe 08/1974 E 25 18.75 111.27 130.02 08/2004 S20~ 392.~31 08/1974 E 25 18.75 111.27 130.02 08/2004 '.,: y5266J 2 J7c q5200392981e 07/1974 E 25 18.75 11 1.27 130.02 07/2004 q5192552731e 05/1974 E 25 18.75 110.96 129.71 OS/2004 http://wwws.publicdebt.treas.gov/BC/SBCPrice 4/1/2005 Savings Bond Calculator Page 3 of 4 q5185310623e 05/1974 E 25 18.75 11 O. 96 129.71 OS/2004 '- q5184698345e 04/1974 E 25 18.75 109.73 128.48 04/2004 k q5169033851e 03/1974 E 25 18.75 109.73 128.48 0312004 q5169015j93e 02/1974 E 25 18.75 109.73 128.48 02/2004 ~15a7~ l.t:e- E 25 18.75 109.73 128.48 01/2004 E_ q 15 7 65 01/1974 - q5146779988e 12/1973 E 25 18.75 109.73 128.48 12/2003 q5146051083e 11/1973 E 25 18.75 113.01 131. 76 11/2003 /- q5138252121e 10/1973 E 25 18.75 113.01 131.76 10/2003 q5048547227e 12/1972 E 25 18.75 109.58 128.33 12/2002 ". q5048539777e 11/1972 E 25 18.75 109.30 128.05 11/2002 1.-- q5014142200e 07/1972 E 25 18.75 109.02 127.77 07/2002 c/ q5014134492 06/1972 E 25 18.75 107.79 126.54 06/2002 /q5005261736e 05/1972 E 25 18.75 107.44 126.19 OS/2002 ~~~DI ~'~ ~7e. 04/1972 E 25 18.75 107.44 126.19 0412002 >~: q2 01 6 37, y q2630 148721 e 03/1972 E 25 18.75 107.44 126.19 03/2002 ~'q2617370842e 02/1972 E 25 18.75 107.42 126.17 02/2002 1/ q2610507945e 01/1972 E 25 18.75 107.13 125.88 01/2002 q2610500011e 12/1971 E 25 18.75 107.91 126.66 12/2001 02599154081e 11/1971 E 25 18.75 107.61 126.36 11/2001 / q2593238108e 10/1971 E 25 18.75 107.61 126.36 10/2001 q2593230084e 10/1971 E 25 18.75 107.61 126.36 10/2001 q2591691137e 09/1971 E 25 18.75 107.61 126.36 09/2001 q2585785045e 08/1971 E 25 18.75 107.61 126.36 08/2001 q257801792ge 07/1971 E 25 18.75 107.31 126.06 07/2001 View 10 I Viewing Bonds 1-89 le(end Note Description NI Not Issued NE Not Eligible for Payment P5 Includes 3-rnonth interest penalty MA Matured and Not Earning Interest Please rate this service. (please print and/or save this page before submitting your survey) Service Excellent Good Fair Poor Savings Bond Calculator http://wwws.publicdebt.treas.govIBC/SBCPrice 4/1/2005 " Savings Bond Calculator [ Submit SUlvey II Reset I http://wwws.publicdebt.treas.gov/BC/SBCPrice Page 4 of4 4/1/2005 MetLife Stock Account Information System Perform another Search Results for Social Security Number "xx-xxx-1721II as of April 14, 2004 Investor 10 806464421023 Policy xxxxx6342 SSN Certified? Shares 58 Yes Number of Certified Shares. . . . . . . . . . . . . . . . . . . . . . . . . . .. 58 Number of Uncertified Shares. . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 ~ W ~,-) --=-=-- ~--~ Total Shares. . . . . . . . . . . . . . . . . . . . . . . . . . .. 58 Cs ~~[ ~ {rv ~ ~~t"" ~ C ~ '<C-"-<--C" ~ ! c:.'J< < <---'-"=~ >C L~(-i-tf\'~+-~ -- ~ l5 https:/ /www.nefapps.nefn.comIDemutShares/ default. cfm Page 1 of 1 4/18/2005 MET: Historical Prices for METLlFE INC - Yahoo! Financc V( f.. G" / IIJ I A- 8l!ECH t3 I t;Z. 4/26/05 4:01 PM Yahoo! Mv Yahoo! Mail YAHOO!~., F I NANC E ~~~nU~~? Siqn UD EiJ Se.:.rch I th~ W~b i I ?~arCh' Finance Home - .!::!gill Tuesday, April 26, 2005, 3:58PM ET - U.S. Markets close in 2 minutes. To track stocks & more, Reaister Quotes & Info Enter Symbol(s): I e.g. YHOO, ^DJI ! I GO J Symbol Lookup I Finance Search MetLife Inc (MET) []] Waterhouse Gt:.t trad.?s COMMISSION.FREE AMf~laADf ^ Get Free Streamer - ODell a No Fee IRA Active Trader At 3:38PM ET: 38.17 .... 0.87 (2.23%) Free' research and tools. Free Trades Historical Prices Get Historical Prices for: ~ SET DATE RANGE ADVERTISEMENT I Get Prices I @Daily o Weekly o Monthly o Dividends Only Start Date: I Feb End Date: I Feb ~ I f171200! Eg. Jan 1, 2003 * If23I200! hi ~,t I Prev I Nexll Last CJick H.re; for AtiiiPPf ~o~ . PRICES Date Open High Low Close Volume Adj Close* 23-Feb-05 40.43 40.62 40.03 40.50 1.469,100 40.50 22-Feb-05 40.85 41.01 40.10 40.14 2,685,500 40.14 18-Feb-05 40.55 41.09 40.33 4108 2,576,100 41.~ 17-Feb-05 41.38 41 .40 40.41 40.42 2,338,800 40.42 * Close price adjusted for dividends and splits. I iJ :illl';(J'/ II~ext I Last ~>, Download To Spreadsheet ziti/OS" :2.!zz/tJ)" hi' L/I.or h,' ~/. 01 /t; h f6.33 7 7#fA./:' ~ ~~/O J ~ ,. t:?,A/C ;; ~.? ~J teleflora. 100/0 OFF M . 'th' 'rro ',', , g, e $ ?,ay , 'is Maya, ' ' 8 Add to Portfolio ';,.i' Set Alert L:J Email to a Friend http://finance,yahoo,com/q/hp?s=MET &a~O I &b= 17&c=2005&d~0 I &e=23&f=2005&g=d Page lof2 .. MET: Historical Prices for METLlFE INC - Yahoo! Finance 4/26/05 4:01 PM Get Historical Prices for Another Symbol: ~ Symbol Lookup . Stock Screener . Splits . Merqers & Acquisitions Copyright @ 2005 Yahoo! Inc. All rights reserved. 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By accessing the Yahoo! site, you agree not to redistribute the information found therein. http://finance.yahoo.com/q/hp?s~MET &a~O 1 &b~ 17&c~2005&d~0 1 &e~23&foo2()05&g~d Page 2 of2 COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF -D. Y1 , LJ DKE(]f!o/EZ / REV.1&l8 EX. (1-97) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY I FILE NUMBER t'l/f'G/ A///f r: c2/-tJS - 2/2 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. .:2.. .~. 4f: s. t.. DESCRIPTION ~efuntl 1M j1e1"SMa/ /tJ9'tJ II?,S A7ekrl1 hr ~,,~ Rekd p~ - AI~ 'AeFuYlcJ GG Yk'IJtg 'Ba.Mk} 3. C. PUltl~ C I TI Z.C;N,J BANI( ,4. S4tlIIV6S A-e~:r. #, 'II/- o/~ 7f' 9z 11. IAlT: A-etll. ~ .1>.~..tJ. 4f".-'1-. ~, CHECklN6 ~C:r. AID, ~/O 070 .30 .37 (SElF 1/,f/-tAUf-7jl14' LeTre7l O~ ~/nZ/ii]l/S I!J#AlK 11-7r;1-t!HSV). 199/ f:ord 7Q.urus l+ems of Per.sona.l.f-y (.see :rnve.rUO') a.JrD.du.J) VALUE AT DATE OF DEATH ...c ~/ ~. Po ~ 9.S[) ,. Lf~, 76. " / ~/ 3~7. 'I' ~ s: 2!' ,: 1 35. 9/ ,J. /7 aot). t)D ~] JIL{.Z:;> I TOTAL (Also enter on line 5, Recapitulation) $ :1./, (), 1. / " (If more space is needed, insert additional sheets of the same size) III 2 :l 0 b 7111 P 932,276,155 'tY/ ,r)v~, 1/1. _ -'--' ;, ,,' "i -.,;..,-..... v,J~'Jv'rf Check No. ":.;;-; ':-14'; 'fIt l1f~ "'; "<=~~: AA':,~ 04 15 05 3 AUSTIN, TEXAS 2306 88007227 2306 88007227 20092800 130 OBREC PHILA TAX REFUND 1...1111'11..11, 111.1..1.111111.1.1...111.1..1.1,1.,.1.11.11.1 PATRICIA V DAVIS VIRGINIA F BRECHBIEL DECD 7652 CARLISLE PIKE YORK SPRINGS PA 17372-9524 DEPOSIT TICKET / I L-fL ) o! Q;" -":.:it: 0T;-i[:::H ruH ADDI ;iur~A,- BE SURE EACH ITEM IS PROPERLY ENDORSED TOTAL ITEMS 12/04 27 $****410*00 FF':iJ.)tl,\1 ('I~:r.IIP'.:III')"'FWF.F VOID AFTER ONE YEAR lTISi'i.'fiII'I'I!'!!IEi~;;I::;I';; ;U 98Ipi='~~'-I;;;gnfl!iqlfJj~=I,I:+Z:-'-I;li !Imj!!::,c.i1 Jlilllao11Iolr'-'ie!=II;!;li'=r;i[I:': =-II';'Ffl,;o;I:lIJj=/",Lm h'--I~I;TI'III!'i2-I'll"'~' gJ';-j1I' 'i=-~~'=[,' ;i:;c.'I-,I.iliIJI-'I;!gFI~-I;g-I~!i!im 1_ .1- -.11- I .1- '" I ( -,. '-1'- ,-.- _11.'_'. FI~;:,li:I'~:2i1m! -'*~I:~ '1!=~--I'I:IOTIII~1~:~~~I~'~IW~1 :t-I!~lIm I.hi i'~5:41ihlffi!!ifi I H Uki! TtW:m,idtr~ii@l~i ,u,U:!:!fm ':0000005.8.: 880072 270111 0 L,O L,O 5 ~~ Citizens Bank Pennsylvania DATE - r 'ECr:~ .,{,[j :~Tflf:i' iE;ii:-i A!1["if-;U,I'J[D i'GH CE?t):-" ]~UrjJl'C; 1;_ I' il, iF THt: '_'~JlhJRM 1_':)i\1Mt;HCIAL ',_;UDf: GR t.,:-ri -\I-'PUCAbLF :JEPOSITS ,\1AY ~IOT dl:::WAllABLt': FOR IMMEUIArE \"'lTf-1DHA~','Al ESTATE OF VIRGINIA F. BRECHBIEL PATRICIA V. DAVIS, EXE. I: 5 bOO III . . 5 51: b 20 . g 7 g 5 7 7111 liST CHeCKS -;INGu ~h ,::.r'!-..:....',., '_.:' ''': URRE~,JC'l ~ I~'C!~~ ,.. ..-HEr,:r<: ... L1 Tg;~~:~I~~ ~ $ '-j i) . ~' .. "Tl o ~ ;:: "'" " (3 C .. :l 5l- :;- o 3 '< o S; a. ." ;ti"8 .., ~. _. ~ ~3 '" '" ~. '< g 5 '" ~ ~g a.~ ~. ~ a.'" 5' ;: ~ - ;;0 ." ~ 2 3" m3 '" ." '" a. ~~ ~ ." ~~ ~[ -. ~ o '" :l :< '" '" a=- g.~ ." - ",,,, '" '" :l :l ?"~ ~ o. ~ ~ .!...-.:-1..:. ~.... ~. ;~: !€ 9. .::::- 1_ r-..~ :J> ...r~ Z t...) n rr1 rr1 ~ -tA- .::;::. -~ t-~ ::2 .+:ao ~(.11 '-' C. 0-- 0--"" t..~ .;:::. Co :0:::: ""-I t-~ -.(]00 (.11- ::::8 ~:jI '" .. n :l ~ '" -. '" " n ~~ o 0 :l :l ~~ o ." C ~ Z C 3 rr ." ~ ~ (j - ..., - N t'Tj Z en &: Z ~ .~ .0 ~..j t=' 0- r-..~ :J> <: :J> r :J> l:O .- rr1 l:O :J> .- ~..... ~;:: i:Ro? ~: ~ (...~ ....... :> 3 o C ~ n r:: III ... o 3 (l) .., ::tl (l) n (l) ii" ..... '" ;;; '" C 0- n;. ~ 8" IP 0- r-..~ .r>> 0-- ~.~ "'"U ~ (l) '" '" '" '" n ." ~.r::r o ." :l '" _. C :l ~ '< ." o ~ C 0 ~ ." ~ :l ." ~ n ." o ~ a..:;- '" _. . '" ;:: <1l 3 0- !!i "Tl o n JCPENNEY P. O. BOX 964 ~TLANTA GA 30301-9998 P3V 000000465 0001777124 0406 011 1",111,,, 111""1,1"1,1,1,1,,1,,,1,,11,,1,1,11,,,.11... .1,11 VIRGINIA BRECHBIEL C/O CHARLES E SHIELDS,III 6 CLOUSER RD MECHANICSBURG PA 17055-9735 Dear 07/12/05 VIRGINIA BRECHBIEL Your satisfaction is very important to us. Therefore, attached please find the credit balance refund check from your account. Thank you for your business. Sincerely, Customer Service CKCWQ6 02.28.05 Please detach before negotiating check GE Money Bank RE: CG88 8901 06319247 CHECK NO. 0001777124 51-44 119 JCPENNEY FORTY FOUR AND 76/100 DOLLARS DATE OF CHECK 07/12/05 PAY TO THE ORDER OF VIRGINIA BRECHBIEL C/o CHARLEs E SHIELDS, III 6 CLOUSER RD HECHANICSBURG PA 17055-9735 CHECK AMOUNT $44.76 Fleet Bank CONNECTICUT, N.A. HARTFORD, CONNECTICUT ~!ff 11.0 0 0 .. 7 7 7 .., 2 "'". I: 0 .' ... gOO... ... 51: 70 28011" ~ , ~ :. 'f" C, ..~.r 'I~. 525 William Penn Place Suite 153-2510 Pittsburgh, PA 15219 January 3, 2006 CHARLES E SHIELDS III 6 CLOUSER ROAD CORNER OF TRINDLE & CLOUSER RDS MECHANICSBURG PA 17055 Estate of V IRG [NL\ IIZECHB !I::L Date of D:ath: Feb'=(J. =005 SSN: ]81-01-1721 Dear Sir/Madam: In accOI'dance with your request, the attached inlormatiu!1 sheet has been provided in the above decedent's name as of his/her date of death. For IL or LC aCCOU!1ts.:ontact our Loan Depart!~lent at l-ROO-70S-6680. F)r all other inquiries. please call ]-8 S S -999-()8 8c; Sincerely, / >, LI'~' '. j), ,. /' i L tk I, ('- '-1 L' '. I v {, '-f . /1 / Carole Gmggiy ,) . _ Operatiulls Services f (' '. ~ e Account Number 6140167892 Account Title VIRGil'JIA F BRI~CHBIEL Date Opened 11/1511971 Account Type Savings Principal Balance as of DOD $18347.46 Interest from Last Posting to DOD $5,28 Account Balance as of DOD $18352,74 YTD Interest to DOD $35,86 "".e'.' ~. 'fit CLOSED 3/18/05 Account Number Account Tille Date Opt::led Account Type Principal Balance ~IS (J! DOD Interest from Last Posting to DOD Account Balance as 01' DOD YTD Interest to DOD 6100703037 VIRGINIA F BR:::CHBIEL 5/] 5/] 9S0 Checking $135.91 $ .00 $135.9J $ .00 Schedule E Items of Personalty Virginia Brechbiel Livin!! Room Upholstered chair Stool Round table Lamp Vase Pair of small end tables Set of table lamps 3 seater couch Upholstered massage chair Small square table Small drop leaf 2 Upholstered chairs (@ $20.00 each) Old RCA TV TV Cabinet Knick Knacks (essentially junk values) Set of TV lap trays (misc. not a set) Rocking Chair Wall mount eagle Small table Small table clock Assorted World Books yearbooks, cookbooks, etc. Square moon table for corner TOTAL LIVING ROOM Dininf! Room Wheely tray Plastic organizer 4 Chairs purchased at JC Penney Wood chair 2 Padded wooden chairs from JC Penney Small dining room table - only 1 leaf Pressboard cabinet I bar Old reproduction of "Last Supper" TOTAL DINING ROOM Hallwav Small square table with planter TOTAL HALLWAY $ 20.00 2.00 8.50 5.00 1.50 5.00 9.50 50.00 30.00 2.00 25.00 40.00 5.00 40.00 4.00 2.00 8.00 1.50 1.00 1.00 5.00 2.50 $ 248.50 $ 1.00 1.50 8.00 5.00 5.00 18.00 2.00 2.50 $ 43.00 $ 3.00 $ 3.00 Page 1 Kitchen Toshiba TV $ 20.00 Reproduction wall clock 1.00 Old kitchen table - Formica top 5.00 4 Kitchen chairs - JC Penney 1.00 Refrigerator 50.00 Kitchen utensils, etc. 5.00 Steel tray with wheels 1.00 TOTAL KITCHEN $ 83.00 Bedroom 1 lC. Penney bedroom suite $ 75.00 Miniature Highboy reproduction 15.00 Small filing cabinet 1.00 Pressboard cabinet 2.00 TOTAL BEDROOM 1 $ 93.00 Bathroom 1 Old clothes hamper $ 1.00 Waste can 0.25 TOTAL BATHROOM 1 $ 1.25 Bathroom 2 Waste can $ 0.25 TOTAL BATHROOM 2 $ 0.25 Bedroom 2 4-piece bedroom suite - modest quality and size $ 65.00 Roll top desk reproduction (pressboard) 20.00 Butler dish - dimes, quarters, etc. 97.25 2 lamps and knick knacks 2.50 Quilt rack 6.50 Old upholstered chair 2.00 Book rack 2.50 TOTAL BEDROOM 2 $ 195.75 Bedroom 3 4-piece bedroom suite - modest quality $ 67.50 Owl lamp 1.00 TOTAL BEDROOM 3 $ 68.50 Sunroom One table and 6 chairs $ 65.00 Old sewing machine 25.00 Small table 4.00 TOTALSUNROOM $ 94.00 Page 2 Basement Recliner chair Old sofa 2 old upholstered chairs and stool 2 end tables Folding wooden table with eagle Old round table and 4 chairs Old extension table Assorted Christmas decorations Old washer and dryer Lawn mower TOTAL BASEMENT $ 15.00 20.00 18.00 1.00 3.00 45.00 35.00 25.00 15.00 85.00 $ 262.00 Avon Costume Jewelry $ 2.00 GRAND TOTAL $1,114.25 Page 3 ~""~.,"" .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF 8leEelf8/el, Vlt<.Ctl'l/,1 F FILE NUMBER :U-os- 212- This schedule must be ccmpleted and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY %OF ITEM INCLUDE THE NAME OF THE TRANSFEREE. THEIR RElATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE ATTACH A COPY OF THE DEED FOR REAl. ESTATE. VALUE OF ASSET INTEREST IIF APPLICABLE) NUMBER 1. 5YMt:.tra ,4I1(1U;~ VOOOO"()8~O ! /ooic JI SO, 2/0/7;1. -0- ~ 2./0. 7:Z ( See Va/uonon Ie. er Qt+-lJ.cheJ) ..t -r;.~,. ster IVj~;'l one. ( I) ~ of delL Ht. 10 ~ rtUlJ dttLl~"t~r CS ue. frn" /V1 c. C a. r1j lDtfi7 1) tI \LIYJ ~ A.r NorfolK, VA- 335"1 B ~ IDOTo I".. I!Il: ~ G:f{ by clv ck. Lf, ()()O,OO "5,OOf). I,ooo.<<l TOTAL (Also enter on line 7, Recapitulation) $ 51" ;}/O/ 7~ (If more space is needed, insert additional sheets of the same size) . SYM~TRASM FINANCIAL April 29, 2005 Charles E. Shields, III 6 Clouser Road Mechanicsburg, P A 17055 RE: Symetra Annuity V000040880 for Virginia Brechbiel, Deceased Dear Charles E. Shields, III: The date of death value on the above-mentioned annuity was a follows: Date of Death Value February 20, 2005 $50,210.72 We have received Beneficiary Option Form. It is currently being reviewed by a Claims Examiner. Please allow 10 business days from the above date for their request to be processed. Thank you for providing the certified copy of the death certificate. Weare now returning the original to you. If you have any questions, please call us at 1-877-SYMETRA or 1-877-796-3872. Press option 2 for Retirement Services and then option 3 for the lRAlNQ Department to speak to a representative. Sincerely, Individual Retirement Plans Retirement Services Symetra Insurance Company II VL-flOO2iLlF (,1/04 REV-1511EX. (1-97) ESTATE OF SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT 'E,eE0Y~Ja/ H/f't5'/AI//f F Debts of decedent must be reported on Schedule I. ITEM NUMBER A. 1. .7. :3 DESCRIPTION FUNERAL EXPENSES: myer:s lU/Zer4/ ~me 1)/ /J1ee/UI//IC5'.lJU'l ;Ji/J1~.s ,f. ~':1Jr;cJ, /}feJ1(I)";a./s. i>r /11 oS (!/'; / 6~h Cost 01 FLt.nU"Q.,1 rn~o.l B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) 2. 3. 4. 5. 6. 7. 8'_ Cf. I;. fl. 1.2. W AlII E"D Social Security Numbe~s) I EIN Number of Personal Representative(s) Street Address City State Year(s) Commission Paid: Attomey Fees Chllr/u. E. <::Shle/~ 7il Family Exemption: (If decedenfs address is not the same as c1aimanfs, attach explanation) Claimant /VtJ/f'G Street Address City Relationship of Claimant to Decedent State FILE NUMBER Zip Zip Probate Fees rw.J or;il1a' iS$Lt~ of .short cert,'r;'co..t-e.s Accountanfs Fees '" 'f JCt"e+ Et71ck6~11, H fR 7S{oc.k of nl€e..Ltl.lM;c.sb~5 TaxRetumPreparer'sFees "P~ 1040, Pit 1P, /04-1, fJlf If' (e$h;"'A~) IJ-d/lfl'tiS/n'l 1'1 Cu.m kr/tLJ1d law Jburl1a/ u /ltfrl'l"hs;'!f //1 {J,r(,S/e &l1f,:n~1 /f/t'klcftfl.lf/ll!.f .tItltI;}"At/1 .sAp!"t eerf//cafes t(l1tf~/ WIl far fJjJ~L. MpllrtJe IWfJ- /J1t(/J/c,iJ,d /l-p(~pr;Iy;.Jetuer (C!.81tIJ", ) TOTAL (Also enter on line 9, Recapitulation) $ d 8, 7 tf I. 3 G. (If more space is needed, insert additional sheets of the same size) 2/~~ S. 2/~ AMOUNT ~ 9.1 O/tJ,b/) ~ / L:>o. DO ~ 3 ~S.e10 lvA-flleD i IO~ ill, 9; $10 NONE l' 9s.t/f) " 3So.~ " 7 s: tJO ~ /2Z. S'/ l' / :Z,f)t) l' ~,70 ~ SS:l.R ~ 193. SlJ :5eHGD../I. ~;;, E..s 7: o,c 6/li:t!//g/ EZ./ }///I(;(/t//I E /3. mar)' /I. /Jt~rr~, /~ &~ehr J'.:T .5kellz,n .,h;.e/ t7/( YSVUJA' wa.ibJ /JJ~ . Ihrt/S FfU1U'II/ Home fr;r rust, t9rder(l.dMd. tt~(s . A/tt~;A/(//de.ht.JtlrvJlc.~ -~mpJ/k Ins. hI ~rfids~#kI. jJ/lI-L ~" ~r ~f flll /6. /1 /7, Ii. qJ(). :11. 2~. ~3. ,/1.{. ~s: ':'6. 'J. 7. ~J. ..<r. 30. ..51. 3:1. 33., 3r.; 3.r.1 J/',I 31.: 3K'. 3r., tfo. tit. 'I'" I 13., tI'l It. 15: j/~;ZtJI1 tJfJ'L s . tblH~jf _ ~ 7iv/?'__~ ~ J/&, iZ.Nl #I1f1rR JI,'lkr( I!u/ U.&" ~W/ .T.:Y. ~Ke.I.n,11 - FI4~1 oil ~lJfe45t /:J ~ 1 L /I~r;~J1 tv d j{;, lJ1an~ - fr.tt7h fJ,'l:.k-"'f1 fJ(J;L /J1 tJrY A. fl1 urrA.j, ~ & 1/ telir G; 4.,J:. <Sf" It. - t3 'if BmnkJ.s ~ e I ; "'; "ate Verizon (!glJfta~t &MfA~ ~ Nab ,f flit fJl'~L vtri Un ~ JA.ofk rf PA !fm. /hit/en, -:J;,sur: to. - /-IouSt Jnsur. f!,,'.{.i &ns ~fJIH/I. - fHl'tt ~xe CItu.ks . W4St(, In~ ~ at hoU't 2./ -os -~2./Z. ~ 37.3./S ~ 3~7: S-(, ~ 73./7 .1 Sf.. 3b '::</ '5'. oD ~?:SZJ 'f'1.f~7f ~,.SD ~ 73. I{Z "'37. "7 ~ ~Z_~, ~ q ~.. Sb ~ a'l."~ % .3L; t:) . t)/) ., 301/. 1,;0 ~ ~~.It;r" ~'i().:l3 '!1~7,a3 ~ 5/.36 ~ 7(,.'1'1 'P I) Lf9C;. /3 ~ 11.41 , S:(.b2 ~4:l." '~:i." ~ :;. 'b 11 I {p 9. oS' ~5/. tr ,. b. 7" ~7 7 D. 00 ~ ~1.b'l ~ SI. .3b ,. SeHEJ) N, oorU ~esr;.~;.= I3Ita11#t€l / J/I~/II/(Il b. ;Z1'O&-~/~_.. Jf~-:.. fel'lz,11 ~~,..JZ 'Tt. PflfL tJl~ 7.()7- J(7,:.oI..J. S Re/~"~ ~I ~/I ~ 673. 2.7 , 't 8:. .iuuIiI jJ,. 'I ;/,f 1t ~ . 7~._ .... 'If,. J/l/1iZh( ~Lf',3~._ 5iJ.__ . .~e ~P'H ~.. '/ If!)".. l{~_.._... 5/... _ Uw:/U ~ " ,.. 7~ ...... ._.5~._. ... . _. fJ fJ fL. 4",1'"0 ._._...____.._~J~ __..._.[".J: stt./~~L twJ();,l.__......_.__. .__...._. . .._. ..~.=~~~z..'t)_.=~.= ... __ 5f..._..._ VO-t'/~/1. _......_....._.....__ .... ._.__.._.__<J1!i~'.2l>.__.___ -..-......-... . Ss;...____.t4lM.,t . . _.__...___...._...._____....__. .. ___ ...._....~L~~..r ~ __. f"k~_ jJ P Ii.: .__._.................... ..___....._.. ~ 39. "-__...__ 57. A-,,~'f,"I)"d/ fJ~,!~,jj. fie~_.- '.__ 1 fl70. DD Sf. F/t1J1 k kJ'. ~ ;f~h,rl1 Fe~. ~f ~ ~t/ ,yl. !?ellHbttf'>C_ t e/z~rkLE.Sh,'<<d} .ll( ~r -,;1ie Absfl;. bP.Sar'~'IxT~:::;j :1Z~t$ 7'~~~ds -C {.~ cu-t.'{;'e,j '5-~.tJ' t(\a: 1l11~, ~s{~ I pho+O~:r:6,.en. (e,,,h',.,.) (,/ u~ N~ ~. ,T;;: s/~ ,LUd tJ.d / ~rl ztJn ~st flp{ L ..IMJU Wa& ~. ~OlllJt~ I ~lk. :T J: sltdtin ,.,LUdW c;.f~ sf"n, 6r.I.i~-#f,lIfh {u.JlJ vv IliA. (JPIL (lun e .?f 7fh. 1,. 11., 1'3. ~ 3~. ~o .r /I.o~ ~ ~~ r. 6/ ~ $7), 7.3 , tf~ 3~__.__... R 37.1tJ , , , 7~.'._.-. "73, 7/1.__._ ~ '-I" .l,g. __. , ;26 I). 1:Z 1t I, '1'1 ~" 1~ '~S:tjl " 'i :lItH, 62. 63.__ H _ _GI/._.. 65. ,,<-.... . b~.. . ..._~ 3:.. Gr... COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF -0 -D'R Et]lI~ /EZ,/ REV-1512 EX. (1-97) SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS !.///fC;/AI//f F -21- os . 2/2.. FILE NUMBER Include unreimbursed medical expenses. ITEM NUMBER 1. :2. 3~ 'I. s. G. 7. 3". 1. ((1, I I. 12. DESCRIPTION AMOUNT 'I .270 ~o <t 7~(),3/ ~ Llf,o/ .x c. Ii""er C,...ee/.'-! Card. J. J SKe./~~- ,t;e/ 1/:/ &/J/Ct1 51 tkJ It tt/J/fetl haler ,tJ /l L hrs rJrect'f {'arc! .,. ~S.o7 ., ..57. 97 ~ .2LJ, f)O ~73. 55 7' ~ '/'1 ~ 1..j 2. t, b PLf 2. (,h rel';zp/J A- r ~ T &1lSt(1tl1~ L i!4.5i'7j U/t/Cqst ~h~. ~IJ1Cf{st 6{~/(.. J. c . Pe" n e:J Cre..cl; t C a..rd S e.ClrS eo..l Clr'l C e. Su-I/"c.~s ~s 35.t-f ~;) 5Lf. 77 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) REV-1513 EX + (1-97) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT 'R>((,E CH t!J( el, VIII. G-IIf)M F. I FILE NUMBER d-1-OS.2/2- AMOUNT OR SHARE OF ESTATE ESTATE OF NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) RELATIONSHIP TO DECEDENT Do Not list Trustee(s) 1. III-Ill/CIA I/. .])/!-Y/S 7(;,52 tJl1/UI5L€ fJIK€.1 ~R-r SObIll6S" ;;/1 17312 DA-tI6NT6l!. y2. ,<. C. GLENN 13/CgCffI3IElJ:JR. cft;77 C/f1eLISLG";J;~ y~/?,(' .5P,e;N6~ PA /7372. S6N '/2- ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II - ENTER TOT AL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) l' liT L hill, 'lL3'J'i,lJt;llJ' 01" VIRGIlTL"_ BEE(HBIEL , J: f. '_ iJ I L. b 1"'. 1', d B l L:; L 1.'1: th~ 'l'cpnship of Hcnr,)<:;, Ccunty of '. 'j L .cl,LL,.j, :i11'J S t d' .~ ..' t l'cnus,rlvania, bc.:inr.:l of sound and ._l,i~.1 JlJ.fi.-t c\rlcl ur;,lCi:S tandinc::f I 1:1 c) rnaKe i pUbliSJ, and ::; .1 1 211. -.: 1.n1 ::. j'. ,:', L;c I jd;j I. \".' , " l L J ...L a1ld T G S talL ,_' nt, hereby levoklnq :l ,J 3.1,_:t nc{ i CL'I d J L [':'1[[e1 i ii Ls J):y In(; at any time heretofore .Jc L . ]ll:;CL II I.' ,[ .', i=, 11 uf ci 11 yr:y ~,ust debts and f\.,lLo1: a 1 C, 11.C C :. -'1;3 ,~ L 'L, ..Jl ulcntLy may be after my decease. ".) _-:..L _ r: 1, "- L ...: S I~ L:;::l :1 d c; dJ1lj L2mainder or ,ny Estats. real, '__l... .:.; '.,111 l.L d.i. :(j J, ~ _ '- {.} J! a c s ") c;'...- r.::: 1 dl1d Hhe1:c'SOeV21 sit u at,? I I CT i ve ; -'1. .. j, f'!.;--,: L '111..i 1.1, J.L Lt.:.:! J_ share ::; unto nj-fJ' -",4 S(lt~ Ie. G-l;.=;D.l1 L '. :;, ;, L~c ~! J.. :i. i ~ 1.1 I (j . >_ d'cl cJ ':11, t '" L ['dtli,~'ia Davis. j . i.,. !. L,c '. Ill. I, '. '_ \i c l, t L d t j"V 5(;n should p r '';; d ,:;: C i: a :3 ,::: ,c, C,. I J c; 1. Co - " L ..1 L.: , 1 '.' ~ :d. 1, Lis c. r, 'cO b .'ll1: s 11 are 0 t rn y S ':Ll d E SI: 'i t c t c , .. '.1 .j.J' ::: 1 1:1 t '- 1 .! '~:I [l _1 \J J~; Ln the ,2vent that my dauCjht.t-.O:i. also .l ,_ c., '_ '_ _ i L ,-J c \/ 1. S .:..: and b2qu2 c; t t, iny S()E'S GL,-,--'bi'tl.t -.:.. t ~t L '_ .JI 1~.: I. .:t 1. 'II dlJ,jcl,:ildren, G 1 en fl c' ~~ lJa\l:i.s dr~\j Sue:: ~ ~ [..I. 1_I..:i L 1 I..L r .:.:l"1t II 0; 1./ ,~; '/ 1 I Ll1ilL ,flY d a '[,q h tel S h ,) u 1 d r' L to ds c .::: as e L ; .1 .1'.c .' ~ ,_ Cl j ::J I c If '.1 < ':, i: i J b 1 un,,,-h:'llf Sfldre ur i'lY 3aid ~..o L:ll. '0 ',' L~.:i. L. L 1.1 1.. t~" <', 1 ':'; i i :1 UaV1S and S".le r.nn [,avj.s. 5. LI t l'li:; 'I t r L d t ))<) t h ~'li V S Ull and dauqh t i::::C prede C2 ,', S ,= :i'!<:' , I '[L,j-l.i'IC tn,= l~':;'!;il,' "r!':;.;I[IL tldtional Bclnk tel be th,,, G U:.'l r j i a '" c f IE Y -, .L :.t ii :1:; ,1". d 1 d'l 's r U Ii i sit I: Ii c y a :c 2 s t i 1. 1 mill 0 'L' 5 . 6. n ,) .ill r. a t ,c; , JJ::; tL t 11 l i.c ':Ol1lij appoint ,'oy son, c. G1 elm b. :;; '. ,).::'1. c; 1 ,J 1:. :it i .1 I 'r ,:1 d 1 1</ h [ '= 1, L" a 1:. 1:' i cia D a \7 i Sit c b e _. 1 n ... .. .:.. - I:_-:c: d t <)rE '.'[ )"!1 Y E:S(dtL In the event that th0Y shall be "cd.. Lc: : 1. di..fill.1-l;.:! t ;:i i;;: 1 In S d C t'l capai:'i ty, (hen I appoint t1-,.<:: " L 'e :-l 1 [i., 11 -cl J,:- I c',.l 1\ d ,11: d :.; E;:, c cut Ci r 1 Xl t 11 e i r pIa c e is n d s t. co ad. !: ; [,- I:! 1_' L d; 1 . li,:[1 f[.:',l"",r t]-,"'l!l shall be ri~quired tc, file bond .' L 1.1':,--1. ;3~. ':.!.ll 1 1 11, 1'11,: (,[ri or the Register of Wills for the '. t .l :L, j " 1 ,:' ~ 1. 1 j, liI'i E:;::: I' ate. ! L ;:[ 1.1 j- rl._" l. i .." 1 ! c,r, '.foe: 1.' ;'[1,/ pelsonal c e pr ,c:; s e n tat '- '" ,,-' d i J. ii. I ',_.L.L _J ~1 _ :",oj t L ::; _-J. ij t L cli CL el Jen iC' r,111'Cnc~St, 01 othi:1P1.Se . ~ ! j .. ,~ ::i L ~i ~t',ll!l .11,' Lll ;o;:'C:il,,:nt.::: 1)[ 'ihii:h :r ..lie ::.;eiZi:'ct, :1. dIJ'i .i.. -~ i. J rer.J,.;!lc:.lL Ij' " '-'-1.1y ()[ c,JlY rldl:\.lre; t,) 5<::'11, li.:'(J.sc. !"']edqc:"r :.:1.'--.-,'..:.:: t L' d 11 S t c: J jlclfl'I':O, '.il Spl)Se 1)1" or )raL t :")})ti 11S lL~ .1 ~-_;;;;. L~.J C () Ci rl_{ :1 l! r.1. U L' <c. j t / (if dLy Lind ton"j Lq d part 1)[ LV -., I ~i C ,_ L ,_ '!-. S'I,:L I. c,: 1 ,'[ L ..! ;:;; \1'.: L p 1. i c:.= S d S tb,=~/ l!!ay d'::'::;"l fid'i i.:c~:~bll:O.. f L L 1. ' ~:: ,_~,; I ~ (; () 1 cd]{ pilJpc,s"s connected \oJ} tL th<:: pr':ltt.ctic,n :.:-;:: (' / ';i L.l i'; t iI! E ,:c c1 t 10 ~ortgaqe or pledqe any ~.' ;~ c1 .1 I'; r '- L ;: "_ d .:;. 1 t-.' L "_ l-' c.; L " /' [ iL ,! I {I, f ;.i pel I. (; f Hi yEs tat <:;, 0 r t Co j 0 } II llt:;r -' t I .L - -::.:; ;~ i _ ij ':1 L L 1 L -1 \.." 1-~ r .:.i de!' I' '_ I. I ,))HJJ1()!ltiSv any claims or d'~;!taL.js L "" " de.'... c\ '! .:1 1 (1;c I t h '-' 1:3 0 1 (if u t 11 i:r S a oJ ,d Ii stY!! yEs t d t,,'; t ;) :.J.'... 11.:,cLlr;"l.l,,1 III Lilli ',lIL! t:) '>'ause any sh,1l. 2 t:;) J) ~= ':';1' (ie';:::;~ ct '.L:;L. t.' L 1=', 1. r I j, 1 L l.li,,:i \i j ,jucl flacticr'Cll Sljal<.~; ] il P Or'd. ty Ci''...L ;1.": Lll l.i,,! .L _..... aLl' ':' t hel. ~;hace ,; dI1\.l t c, e ~ : c ;~. tl j _ a j 1 d -,,,::.j -'- cL such l1,SI:l.l.i!'..;lll~ d~, 'i,:c,y be necessary to car:cy cue !:Jfly <;1 il___ [.i L].~rs~ 1,: I I '1'1 iE;' ~ i i f t~; P t~;l:_:j F [ hdV2 heri.::unto ::J ~:; L 111~i{ harF'! Cllld s,=.:'I1 .i. ~ .. ,.:;: c2 tj :/t1' 'i :1 'I' ~4cr:iC-: A.D. J987 /~I "f ~' Ji/ ' .. .' ~~4 n ~11LdL"~ . . ... ..."? .._.~_. \ SEAL ..:i i qrl'-= d , s c cO L>] . pulJ 1 is hed cd1cl (lee L.:lred by the 8.bov~.;' namect '!"";I;iL; BRt:ChBIEL, dS and fc,r !ler Last I.-fiLL and T',:;stami;;i1t, III lL..; j.d. .;:..ie,1,::::<. ,~.r: U;:c, l'ILl;) at he,] request and in hel r,resencl" and 1. de,; c.: ::' L c s ell r:: 'c..' Lea " ! j " t ! 1 ':.. r tl d If ..:.' her e'u n t c sub s c rib e d D U:.. n a J1'<:; s ;! .~ ;. 1 i.. n .--.: ::i ;3 c:;:; ~ ...: ,r:h<l'd!~L_.._a:L!-~.__ (j1V . _'~~~.L_/! . ; . () {! ;' J -:'f-I,J."LL,Lr:.L_.. ... .._d,b:l,'.~~L.'H ~ \llUjllIPE"'.L'.lH (It. L~t.jJli..:':tL\j,'.jl1A' dJ!JT.L i )1:' ~3 S . Ul1bt:~ i ....1 il I _1 . I R i ~~11 J L-c b l:t~, Ii t1 TEL I T! i.:; S tat r i:( i i'" h 0 s e n a In e ] Cc ,s i g n e d c 0 Ol d,.lJ,,,,d Iii r Il <,-,lUIJ jnSI'lIE!!Cnt, havin9 been duly qualiflf..'d L .] j il, J: 0:. le, ' .' .. ,h. 11 c 1 <:.; t, y a c k n 0 H 1 ,,' d q cO; t 11 a tIs i q n e d and - '.1 r j d,. j 1L.' , L ''''. ", 11 t: d ;j illY Las t Hi 11 i t 11 a tIs i <:]' n e d. i t L1 l1.i .L! d !l >:1 i. i Lei S j f 11'.011 ita S Hi i' f t. '':' e and. vol u n tar y act f l) r i. ,c 1. '. l 1. 1" ,'~'..:.: (-,;::) T n. -_~ 1. .1 1 J c- ; }:.l} c ~:.~ ~j t.:; 0: t . -= l: (~l t L 1 (',J./. d I tt/[ ~ J i /f? // -_# 7~?~t<d.... .U2/J.e2t?44:.r:ce--f;/.... .. aCb'll)Hl~Cd befol e me by the abc1ve K/e.d-' A . D. 1 98'7 . /' 7'7 v' . ~ Y4l ' l~/c4E'___~~~~:h' Notary Public ILlY of , J.~ 1 ~ ',-;__ :0 t t 1 l. 1! r L L s L I',') dnd I, Iii L1 ( d 1\ j Li f-. L'Ili I: "f .Ji.!] iT'i , .If (:11 liB Ef: Lid rI, ..:-' (' ".1 l~) I Il'li.,';: J1jy C.. JJ:i! , ;' '\ "':"",1'././ U" "I i :;" 0 J hilt 2u, 1~J& Fbi 1 f S 1 J, V.:, (.[ I 1, : \f: cTew..., n. Shi"dc1s and Elizabf>th A. Curll - -. ..,~-- '-'-'-" ---..--.-..., "- ~~"'_.~.-. _. - ",.~-.,..- _.~.> ' 'C (,i', r L .c S S co ,;; '..' t, )::. '" i'l ,:U!; Eo S d r c ~.; i g n c d 1:. 0 the a t t a c h e d (I r :E 01:' t.. q () l n 9 ,;c;;:,l'l.>"Ll 1--"J.11') .'il;1.: '.jlllli.f.i"d dccr..;.rdinq to lav,r, do di:;<f)oSe and ::',lY l.ua!_ \.J" \.'eIc ljI'.o"'.clJ1. cHId ::>e1'-.' VIEGI1,fIA BRECHBIEL, Testatriz, .0 1. (Ji', .otlE! ;2X,c..U{,;, lile i,lstCi.liiieIll as her Last Hill; that VIRGIlTLA cK.8IHtJ:r~L;;Xe(:lit <..J! il as her fre'a and voluntary cret for the ['<[.cD...,::;.:S 1:h leL, e fJ):.;;s:;.:;ed; that each of LlS. in t11,= hearinq Cind .'~' ',,'- .t Vii'(~'I!L-. 6F'.ECHBTEL, 'Jlestatrix, siC;lned the (hII as l:''-'~':;;,c-,S; dil.! t:tidl 1" the Jkst of our lOloHl",dqe, the Testatrix <~ :i( CLdt ri",ec cJ.<llJl.'c';'(J (18) o:c more years of age, of sound .i 1\ (,.j UL:L::i II :_ Jj,S L J.dLnt or undLk: influence, 1.1 ' ')fe;;e';cl .0 /J IJ r /1 1 1c0.4.~L6-,~..~L~:a/ (/ /!''/' ...l,..') Q C,'i/ l_-,L.:.. ,j.4.'Le.<...iLt:::;fL. '.. --~._...d"L:1.gL, Clihi SIILJsC'cibed before nic this ,;z9iq ;t"D. 19:n. e~ ~. :_ rf41{&~l &.___ ~fl:t;t=];> lIota:ry Public ,~-" "" 1\,Dl\~~ flul lb. '. ..,[',.~r1 ',;.1I1\Y "- :' t\ t)ll..,l.~...... - ',,2' ,'J\,';,'\'i3n'.co\!'.IIJ, .'. '., J'I,-'I; ~\J, IJ' J , _ .,' " " '_'-i\',." tJl~ t\.};1I{II:~S;lH I_^I '"