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Home My WebLink About05-15-06 Medical Scientist . :,'tj~ "'~,.. '~~,\, ~;~' ':'~ '8 ~~ 1/ y.:~L' . <:> .~ \ .. .~.. c.' '..,_' A J,'" (~ t, ." . .~ ~j' ]' // ~ o tJ- C'c.rj j UJ -::.'; <....) s:';;: EE ~:'~ oc:' OL'C: UJ LLl ~~~ o C.) C)u.J LLJ 0:: 0:: N x: 0- tr. ~ >-., .: ~L u E:, C"" .~ I ,.t h') :J1 J If) '-> \ OJ Ul ::J o .r: +1 L ::J OJ o L U m (I) ::J~ >, cr 0 +1UlI'- C ~ ::J OJ o Ul U::J<( lJ- 0 0... O"D.r: C .f-J L ra L OJ ...-I ::J m +1 L 0 l) L'I OJ U C .r-! .D OJ OJ E ...-I OJ ::J (!)(Cu .r: m ::J CO .D ill CO L UJ +1...-1 Ul...-l .r-! L 3 Q) C L ru lL OJ ...-I Ul .r-! ...-I OJ L C ro ou ., '.~ "',~' - .- r- ...,....-- r-- r-- r-- .:'{:t'.,' ,':/<:":;3,. '" . ; i~ - '. ;;,,,,. '~'f':(~I,'A' ....J, ';~(7';"'~.?,r'r~,~;'F~1~-~J~ .... . --~ ~ ROBERT P. KLINE, ESQ. May 12, 2006 Glenda Farner Strasbaugh, Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 (J-l o Re: Estate of Clara G. Eisley No. 2005-00535 Dear Glenda: Enclosed with this letter you will find an original and one copy of an Inventory and an original and two copies of an Inheritance Tax Return in the above referenced estate. Please file the Inventory and return the copy, time-stamped, to my office. Please file the original and one copy of the Inheritance Tax Return and return a copy, time-stamped, to my office. A return envelope with postage has been enclosed for the return of the time-stamped copies to my office. I am also enclosing a check payable to you in the amount of $30.00 to cover the filing fee for these documents. A check in the amount of $2,967.66 is also enclosed payable to you as "Agent" for the Department of Revenue, representing the inheritance tax due. If you have any questions concerning this matter, please do not hesitate to contact me at my office. ~OillS' Robert P. Kline, Esquire RPKJsrf Enclosures cc: Suzanne E. Vanderbilt ~. , REV - 1500 EX + (6-G0} 1. w .... ~:!CI) (,)O::~ WQ.,(') :cOO (,)0::...1 Q.,lD Q., c( *' OF+iC!!\l.. USE ONL.Y I REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER 21 05 COUNTY CODE YEAR SOCIAL SECURITY NUMBER COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 00535 NUMBER .... Z W o W (,) W o DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Eisley, Clara G 171-28-4181 DATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 06/02/2005 02/13/1909 REGISTER OF WillS SOCIAL SECURITY NUMBER (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL) ~ 1. Original Return o ~ D 2. Supplemental Return o 3. Remainder Return (date of death prior to 12-13-82) o 5. Federal Estate Tax Return Required 1 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch O) o 6. Decedent Died Testate (Attach copy 0 of Will) 9. Litigation Proceeds Received D 4. Limited Estate .... z ~ IRM NAME (If applicable) t5 Kline Law Office Q., 714 Bridge Street P.O. Box 461 New Cumberland, P A 17070 (1 ) 182,000.00 (2) 56,047.41 (3) None ' , . . (4) None (5) 10,380.02 (6) C:) 9,634.17 (7) 10,359.70 (8) 268,421.30 (9) 18,017.63 (10) 1,164.14 ELEPHONE NUMBER 717/770-2540 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) z o j:::: 5 ;:) .... ~ < (,) W 0:: 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage liabilities, & liens (Schedule I) 11. Total Deductions (total lines 9 & 10) (11 ) 19,181.77 12. Net Value of Estate (line 8 minus line 11) (12) 249,239.53 1,000.00 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (line 12 minus line 13) (13) (14) 248,239.53 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a){1.2) z 248,239.53 .045 (16) 0 16.Amount of line 14 taxable at lineal rate x j:::: < .... ;:) Q., 17. Amount of line 14 taxable at sibling rate .12 (17) ~ x 0 (,) >< 18. Amount of line 14 taxable at collateral rate < x .15 (18) .... 19. Tax Due (19) 11,170.78 11,170.78 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. IBIII;llllil~~ Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STREET ADDRESS 332 Sixteenth Street CITY New Cumberland I STATE PA I ZIP 17070 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 11,170.78 7,834.70 368.42 Total Credits (A + B + C) (2) 8,203.12 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) 0.00 (4) (5) 2,967.66 (5A) (58) 2,967.66 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;.................................................................................. ~ I ~: ~::::~ ~h~e~;~;i~~:~s:~~;~s~~~. .~~~.I~. ~~~. ~~~. :.~.~.~.~.~~. ~.~~~~.~~~~~~. ~~ .i~.~. ~~~~~~~:::::::::::::::::::::::::::::::::::: d. receive the promise for life of either payments, benefits or care?.............................................................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?....................................................................................................................... D ~ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... ~ D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?...................................................................................................................... D ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS ]I.. Suzanne Elaine Vander~ ';t: SIGNATUR OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS DATE 320 Avenue E Redondo Beach, CA 90277 )( 5-/0e:200b DATE SIGNA T Robert ADDRESS 714 Bridge Street P.O. Box 461 New Cumberland, PA 17070 DATE 5 - , L- Lt)()~ For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116 (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. 99116 1.2) [72 P.S. 99116 (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. 99116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. . SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF I FILE NUMBER 21 - 05 - 00535 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 wimng 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. Eisley, Clara G ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH 182,000.00 332 Sixteenth Street, New Cumberland, Cumberland County, PA 17070 (value based upon sale price - settlment sheet attached) TOTAL (Also enter on Line 1, Recapitulation) 182,000.00 . SCHEDULE B STOCKS & BONDS COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Eisley, Clara G I FILE NUMBER 21 - 05 - 00535 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION UNIT VALUE VALUE AT DATE OF NUMBER DEATH 1 The Dow Chemical Co. 45.48 2,319.48 2 Delhaize Group 60.44 2,417.60 3 Exelon Corporation 48.17 48,170.00 4 Met Life, Inc 44.23 3,140.33 TOTAL (Also enter on line 2, Recapitulation) 56,047.41 . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF E. 1 CI G IS ey, ara I FILE NUMBER 21 - 05 - 00535 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 US Savings Bonds - Series EE (3) DESCRIPTION VALUE AT DATE OF DEATH 1,446.00 2 US Savings Bonds - Series HH 2,000.00 3 PNC Bank CD#31300079437 1,555.00 4 PNC Bank Savings Account #5000988445 5,379.02 TOTAL (Also enter on Line 5, Recapitulation) 10,380.02 . SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Eisley, Clara G I FILE NUMBER 21 - 05 - 00535 If an asset was made 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 TO DECEDENT A Suzanne E. Vanderbilt Daughter B Sarah Ellen Desmond Daughter JOINTLY OWNED PROPERTY: LETTER DESCRIPTION OF PROPERTY %OF ITEM DATE Include name of financial institution and bank account number DATE OF DEATH DATE OF DEATH FOR JOINT MADE DECO'S VALUE OF NUMBER TENANT JOINT or similar identifying number. Attach deed for jointly-held real VALUE OF ASSET INTEREST DECEDENT'S INTEREST estate. 1 A 03/01/2001 US Savings Bonds - Series EE (3) 1,446.00 50% 723.00 2 B 03/01/2001 US Savings Bonds - Series EE (3) 1,446.00 500/0 723.00 3 01/01/1978 PNC Bank Checking Acct #5140018117 24,566.97 33.330/0 8,188.17 TOTAL (Also enter on line 6, Recapitulation) 9,634.17 . SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Eisley, Clara G FILE NUMBER 21 - 05 - 00535 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF Include the name of the transferee, their relationship to decedent and the date of transfer. VALUE OF ASSET DECD'S EXCLUSION TAXABLE V ALU E NUMBER Attach a copy of the deed for real estate. (IF APPLICABLE) INTEREST 1 PNC Bank CD#31700215213 10,359.70 100% 10,359.70 TOTAL (Also enter on line 7, Recapitulation) 10,359.70 . SCHEDULE H FUNERAL EXPENSES & ADlVllNISTRA lIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Eisley, Clara G I FILE NUMBER 21 - 05 - 00535 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT FUNERAL EXPENSES: Parthemore Funeral Home & Cremation Services, Inc. 2 Lang Monument Company, Inc. B. ADMINISTRATIVE COSTS: Personal Representative's Commissions 1. Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City Year(s) Commission paid State Zip 2. Attorney's Fees Kline Law Office 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent Probate Fees Register of Wills Cumberland Law Journal Patriot News 5. Accountant's Fees State Zip 4. 6. Tax Return Preparer's Fees Carey Associates 7. 1 Other Administrative Costs Settlement Costs Sale of 332 16th St., New Cumberland (settlement sheet attached, adjusted for prorated taxes/assessments) 2 Weist Hardware Total of Continuation Schedule(s) TOTAL (Also enter on line 9, Recapitulation) 1,319.00 180.20 4,500.00 452.00 75.00 77.96 55.00 10,800.08 4.97 553.42 18,017.63 *' Schedule H FlI1eraI Expenses & Adminislrative Costs cootinued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Eisley, Clara G I FILE NUMBER 21 - 05 - 00535 3 Lisa Baldwin (mowing) 50.00 4 UGI 79.16 5 Verizon 82.47 6 PPL 147.01 7 P A American Water 27.78 8 US Treasury (2005 income tax) 155.00 9 PA Dept of Revenue (2005 income tax) 12.00 Page 2 of Schedule H l . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF E. I CI G IS ey, ara I FILE NUMBER 21 - 05 - 00535 Include unreimbursed medical expenses. ITEM NUMBER 1 Pinnacle Health DESCRIPTION AMOUNT 14.79 2 NCFD Ambulance 3 CP 02 Bill Center 4 Hershey Pharmacy 5 Susquehanna Twp EMS 6 Westfield Insurance Group 7 Medical Billing Services, Inc. 312.00 47.40 198.70 121.50 433.00 36.75 TOTAL (Also enter on Line 10, Recapitulation) 1,164.14 R~V.1513 EX+ (9-00) *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Eisley, Clara G I FILE NUMBER 21 - 05 - 00535 RELATIONSHIP TO AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE n_ "'_+ I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 Suzanne Elaine Vanderbilt Daughter One-half of Remainder 320 A venue "E", Redondo Beach, CA 90277 2 Sarah Ellen Desmond Daughter One-half of Remainder 3 Glenn Ridge Lane, Pittsburgh, P A 15243 3 Robert Eisley Desmond Grandson 10,000.00 401 Botetourt # 1, Norfolk, V A 23510 4 Duncan S. Vanderbilt Grandson 10,000.00 4779 Park Drive #114, Mukilteo, WA 98275 5 Michelle E. Vanderbilt Granddaughter 10,000.00 3456 Garnet Street #340, Torrance, CA 90503 6 Richard E. Desmond Grandson 10,000.00 lIOn East 40th Avenue, Eugene, OR 97405 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 1 Baughman United Methodist Church 1,000.00 228 Bridge Street, New Cumberland, P A 17070 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 1,000.00 ru~~ijJ ~~ruru ~~~ ijJ![~ijJ~4ffil![~ijJ <IDJtf CLARA G. EISLEY prepared by Daniel Pollock, Esq. 3105 Old Gettysburg Road Camp Hill. Pa. 17011 ~31 /5 Leb i ~~- 0030 LAST WILL AND TESTAMENT OF CLARA G. EISLEY I. I, Clara G. Eisley, residing at New Cumberland, Pennsylvania, being of sound mind ;.J ,""'1 in the contemplation of the certainty of death, do hereby declare t~ ..;1strument to be my last will and testament. I direct that !y executor, hereinafter named, shall pay all my just debts and funera_ expenses as soon as practical after my demise. II. I hereby revoke all previous wills and codicils. III. I direct that the disposition of my remains be as follows: I DIRECT THAT MY REMAINS BE CREAMATED and be buried next to my husband's remains in the family plot located in East Oak Grove cemetary in Morgantown, West Virginia. IV. I give all the rest and residue of my estate as follows: To Suzanne Elaine Vanderbilt $10,000 of my estate IN TRUST NEVERTHELESS FOR Duncan S. Vanderbilt, TO HOLD AND INVEST FOR, UNTIL Duncan shall reach 35 YEARS OF AGE. At which time the corpus and proceeds of this trust shall be given to Duncan. Prior to Duncan's 35th Birthdate, the trustee shall have broad discretion to use the earnings of this trust as well as the corpus in order for Duncan to purchase a home, continue education, and for medical or other unforseen situations where this money could be of some help to Duncan. To Suzanne Elaine Vanderbilt $10,000 of my estate IN TRUST NEVERTHELESS FOR Mlchelle E. Vanderbilt, TO HOLD AND INVEST FOR, UNTIL Michelle shall reach 35 YEARS OF AGE. At which time the corpus and the proceeds of this trust shall be given to Michelle. Prior to Michelle's 35th Birthdate, the trustee shall have broad discretion to use the earnings of this trust as well as the corpus in order for Michelle to purchase a home, continue education, and for medical or other unforseen situations where this money could be of some help to Michelle. To Sarah Ellen Desmond $10,000 of my estate IN TRUST NEVERTHELESS FOR Richard E. Desmond, TO HOLD AND INVEST FOR, UNTIL Richard shall reach 35 YEARS OF AGE. At which time the corpus and proceeds of this trust shall be given to Richard. Prior to Richard's 35th Birthdate, the trustee shall have broad discretion to use the earnings of this trust as well as the corpus in order for Richard to purchase a home, continue education, and for medical or other unforseen situations where this money could be of some help to Richard. To Sarah Ellen Desmond $10,000 of my estate IN TRUST NEVERTHELESS FOR Robert Eisley Desmond, TO HOLD AND INVEST FOR, UNTIL Robert shall reach 35 YEARS OF AGE. At which time the corpus and proceeds of this trust shall be given to Robert. Prior to Robert's 35th Birthdate, the trustee shall have broad discretion to use the earnings of this trust as well as the corpus in order for Robert to purchase a home, continue education, and for medical or other unforseen situations where this money could be of some help to Robert. To the Baughman United Methodist Church located now or formerly at 228 Bridge Street New Cumberland, Pa. 17070.: $1,000 to be used by the leaders of the church in such a manner as to fulfill the church's ministries. To Sarah Ellen Desmond: 50% of rest and remainder of my estate per Stirpes To Suzanne Elaine Vanderbilt: 50% of the rest and remainder of my estate per Stirpes If Sarah Ellen Desmond is unable or unwilling to act as trustee over Richard's or Robert's Trusts mentioned above, then Suzanne Elaine Vanderbilt shall act as trustee. If Suzanne Elaine Vanderbilt is unable or unwilling to act as trustt over Duncan's or Mlchelle's Trusts mentioned above, then Sarah Ellen Desmond shall act as trustee. If Neither Suzanne Elaine Vandrbilt nor Sarah Ellen Desmond are able or willing to act as trustee over the trusts mentioned above, then the executor of this will, or the administrator of my estate, shall act as trustee of the above mentioned trusts. Should my Estate have any value after the dispersements listed above are completed, I give all the rest and residue of my estate to my heirs as determined by the laws of the Commonwealth of Pennsylvania, relating to descent and distribution. V. I appoint Robert Eisley Desmond, to act as the executor of this will, to serve without bond. Should Robert Eisley Desmond be unable or unwilling to serve, then I appoint Sarah Ellen Desmond to act as executor of this will. Should neither Robert Eisley Desmond nor Sarah Ellen Desmond be able or willing to serve, then I appoint Suzanne Elaine Vanderbilt to act as the executor of this will. I herewith affix my signature to this will on this the day of , 2000 at , in the presence of the following witnesses, who witnessed and subscribed this will at my request, and in my presence. ~fl~7 Clara G Eisley ATTESTATION CLAUSE On the date above written, Clara G. Eisley, well known to us declared to us, and in our presence, that this instrument, consisting of 4 pages, is her Last Will and Testament, and Clara G. Eisley, then signed this instrument in our presence, and at Clara G. Eisley's request we now sign this will as witnesses in each other's presence. Further that Clara G. Eisley, appeared to us to be of sound mind and lawful age, and under no undue influence. Witness: ~ ~.Ii~ Address~ d n / ~ th ~ ~ 6Ufl}~~ Q / 11(J70 Witness: ~~. Cl., ~~ ~d~/7l1L. Address: !?-3b /~ Ib~lt 7/.wr~~' 17070 c17d Address: &a..q N Luc: ~ ,;;;- C af f. 5(~/R. (700 y '" { COMMONWEALTH OF Pennsylvania COUNTY OF Cumberland Before me, the undersigned authority authorized to take acknowledgments and administer oaths, personally appeared: Clara G. Eisley who after being having duly sworn or affirmed to tell the truth, stated: 1. That Clara G. Eisley declared this instrument to be her last will and testament to the witnesses. 2. That Clara G. Eisley signed this instrument in their presence. 3. That the witnesses signed as witnesses in the presence of Clara G. Eisley and each other. 4. That Clara G. Eisley is well known to the witnesses, and the witnesses believe Clara G. Eisley to be of lawful age, of sound mind and under no undue influence or constraint. 'tJJ:. ; ./:.", i L0'k /t'~,. .. Officer Title of Officer: fUl'Y~t My Commission Expires: e - I J - v \ Notarial Seal William L. Grubb, Notary Public Lower Allen Twp., Cumberland County My Commission Expires Aug. 13, 2001 f) ~ LC'-f D~ COUNTY OF.CUMRERLAND )S5: . ~ STATE OF. PENNSYLVANIA I ~ j ON THE 7TH DAY bF JUNE~ 1947, REFORE ME,' "THE 'UNDERSIGNED OFFICER, ,PE~SONALLY APPEARED C.LANpIS I CURRY AND K. KARIN CURRY, KNOWN TO.ME (OR SATISFACTORILY PROVEN) TO BE THE PERSONS WHOSE NAMES ARt SUBSCRIBED TO THE WITHIN INSTRUMENT, AND ACKNOWlEDGED TH~T THEY EXE9UT~D THE SAME ~OR TH~ PYRPO~Er THERE IN CONTAINEO, AND DESIRED T~E SAME ,MIGHT BE RECORDED A~~~.. I " I IN ,WITNESS WHij:REOF, I HEREUNTO SET MY HAND AND O~FICI '~{l~\t I I I , G. LE ARD O~~S GER N.P. I , PA. THE ADDRESS OF T.HE WI TI;i I N-NAMEO"GRAN1EE 15322 E. IWILLIA~ R. MARK .ATTY ON BEHALF OF THE GRANTEE M /' 4 REGISTERED by THE I ~ 1liIRlIU;! Of NEW CUMBEltAND I I I ' y 1 MADE THE 24TH DA~ OF JU~E IN THE YEAR OF OUR ~ 2~' JUNE I 47 HARVEY G. 9WEITZER,IET UX y '\ 9,-- LORD ONE THOUSAND NIN~ HUNDRED AND FORTY-SEV N, A B. PAUL MOWREY y I, (1?47), 0, ~- , BETWEEN HARVEY G. 5~EITZER, ANDICORDILLA uaml snUl CONS: $1.00 0 $14.20 HGS- HISIWIFE, OF THE .BOR~GH OF NEW CUMBE~LAND, LOC: I NEW CUMBERLAND, PA. 0 HtlfMij, ~ COUNTY OF CUMBERLAND AND STATE QF PENNSYLVAN lA, ~RANT RS, I 6-24-47 DATED: 24 JUNE 1947 ~ ~IT' ~ARTIES OF T~E FIRST PART, AND FNTFRED. 24 JUNE 1947 FREEMAN L~ EISLEY AND:CLARA G. EISLEY, HIS WIFE, OF THE BOROUG~ OF NEW CUMBERLAND, COUNTY OF CUMBERLAND', AND STATE OF PENNSYLVANIA, GRANTEES. PARTIES OF THE I SECOND PART, ... I I WITNESSETH, THAT THE SAID PARTIES OF THE/FIRST PART, FOR AND IN CONSIDERATION OF THE SUM OF I O~E ($1.00) DOLLAR.AND OTHER VALUABlE CON~'DERATIONS, LAWFUL MONEY OF THE UNITED STATES pF AMERICr, WELL AND TRULY PAID BY THE SAID PART1ES OF THE SECOND PART TO THE SAID PARTIES OF THE1FIR8T PART,I AT AND BEFOBE THE SEALING AND DELIVERY OF THESE PRESENTS, THE RECEIPT WHEREOF IS HEREBY ACKNOW- I LEDGED, HAV~lGRANTEO, RARGAJNED~ SO~D~ A~I~NED~ ENFEOFFED, RELEASED, CONVEYEp AN~ C~NFIRMED, AND I BY THESE PRESENTS DO GRANT, BARGAIN, SELL, ALIEN, ENFEOFF, RELEASE, CONVEY AND CONFIRM UNTO THE rt~AIO PARTIES OF THE SECOND PART, THEIR HEIRS AND ASSIGNS, ALL THOSE TWO CERTAIN TRACTS OF LAND SITUATE IN THE BOROUGH OF NEW CUMBE~LAND, COUNTY OF ~ II CUMBERLAND AND STATE OF PENNSYLVANIA, MORE PARTICULARLY BOUNDED AND DESCR'IBEO AS FOLLOWS, TO WIT: TRACT NO. 1. BOUNDED ON THE NORTH AY SIXTEENTH STREET; ON THE EAST BY THE EASTERN HALF OF i LQT NO. ~,I SECr"IU,~ "E", mJ THE PLAN OF LOTS HEREINAFTER MENTIONED; ON 'THE' SOUTH BY OTHER LANDS 0 1(~RA\jTOR~-; N THE WEST flY LOT NO.5. SECTION I"E", OF PLAN HEREINAFTER' MENTIONED; !sAID LOTI HAVING I ' A ONTAGE OF FIFTY (50) FEET ON SIXTEENTH STREET AND EXTENDING BACK AN EVEN WIDTH ONE HUNDRED FIFTEEN (1"15) FEET, BEING A PART OF THE WESTERN F'IFTY (50), FE;T OF lOT NO.4, SECTION "e, PLAN F HILLS I DE, SA I D PLAN BE I NG RECORDED IN 111..fE RECORDER'S OFF I CE I N AND FOR ,Cl{MBERLAND COUNTIY I ~ PLAN BOOK~ 1, PAGE 75.. . TO NO 104~1 THIS INDENTURE DEED FREEMAN LL EISlEY, ~T UX BEIN~ THE SA~ PREMISES W~ICH ETHEL W. MADDEN AND JOHN L. MADDEN, JR., HER HUS8AND, BY DEED QATEDl\UGUST.. 2, 1<.141 AND .RECO~DED IN THE ICUr-JBERLAND COUNTY If\ECORD~R'S OFF ICE IN DE~D, BOOK "JII, I VOL. 12, PAGE 559. GRANTED AND CONVEYED UNTO HARVEY G. SWEITZER AND CORDILLA SWEI~ZER~ HIS WIFE, I PARTIES OF THE FIRST PART HERETO. n '. I rr TRt\CT NO.2. REGINNING ON THE OIVIDINGIL:INE BETWEEN LOTS. NOS. 4 AND 5, SECTION "E", PLAN 01 i HllLSIIDE, ~AID POINT REING ONE HUNDREO FIFTEEN (115) FEET MEASURED ALONG SAID DIVIDING LINE IN A , I SOUTHEASTERL Y DIRECTION FROM THE SOUTHERN LINE OF SIXTEENTH STREET; THENCE IN A SOUTHEASTERLY I ji I DIRECTION ALONG ~AID DIVIDING LINE TWO HUNDRED FIFTY (250) FEET TO LOT NO. 34, SECTION "E", ON II Sl\ID PLAN; THENCE IN A NORTHEASTERLY DIRECTION ALONG LOT NO. 34, SECTION "E", ON SAID PLAN ONE I : HUNDRED (100) FEET TO LOT NO. ). SECTION "E"; THENCE IN A NORTHWESTERLY DIRECTION ALONG THE I <. DIVIDING LINE BETWEEN LOT:-; NOS. :; AND 4, SECTION liE", TWO HUNDRED FIFTY (2~O) FEET TO A POINT AT 'l": \ LAND 0, f O~. .~,~ f., U"G,lf; ,T" HENCE I. N J\ SO, .U. .THWESTERL Y 0,1 RECT I ON ALONG THE LAND OF GEORGE R. NAUGLE I :.,' __....~ND IG~NE H_UNDREDL....( 100) F~~~~ ~.. ~~~~O~-=..~__SEC~~~ ~~~~~D PLA~~E I NT TH~~ ..l___~ : .I ....1 V -....... ) jSOllTHERN TI.&/O HUNDRED FI'FTY (?50) FEET TO LOT NO.4, SECTION "E" ON SAI:D PLAN OF HILLSIO~ ~ 8EING THE S~ME PREMISES WHICH ETHEL W. MADDEN AND JOHN L. MADOEN, JR., HER HUS8AND, BY I iOEEO'DATED SEPTEMRER 15, 1944 AND RECORDED IN THE CU~BERLAND COWNTY R~CORDER'S OFFICE IN DEED ;BOOK "Y", 'VOL. 12, PAGE 31 , GRANTED AND CONVEYED UN'fO H!\RVEY G. Sl.aJE 1 TlER AND CORD I LLA. SWE I TZER, IHIS WIFE, PARTIE~ OF tHE FI~s1 PART HERETO. r TOf,ETHER WITH ALL ANI) SINGl:lLAR, THE 8UILOINr,S, IMPROVEMENTS, ""OODS, WAYS, RIGHTS, L1F\E~TIES 'PRIVILEGES, HEREDITAMENTS AND Af'>PlJRTENAjlJCES, TO THE SAME 8ELONGING, OR IN.ANYWISE APPERTAINING, I . . ~ND THE REVERSI~N'AND REVERSIONS, REMAINDER AND REMAINDERS, qENTS, ISSUES AND PROFITS THEREOF, ~ND OF EVERY PART AND PARCEL'THEREOF~ AND ALSO, ALL THE ESTATE, RIGHT, TITLE, INTEREST, PRCPERTY I POSS[~SION, CLAIM AND DEMAND WHATSOEVER; BOTH IN'LAw AND 'EQUITY, OF tHE SA 10 :PARTIES OF THE I "" FIRST PART, OF, IN, TO OR OUT OF THE'SAID'PREMISES, AND EVF:RY PART AND PARCEl THEREOF, WITH THE ~PPURTENANCES: I TO HAVE AND TO HOLD THE SAID PREMISES, WITH AND SINGULAR THE APPURTENANCES,. UNTO HE SAID i PARTIES OF THE SECOND PART, THEIR HEIRS AND ASSIGNS, TO AND FOR THE ONLY PROPER USE, BENEFIT ~ND ~~HOOF~OF' THE'SAID'PARTIEB O~ THE SECtiND PART, THEIR HEIRS AND ASSIGNSFFOREVER. ! AND THE SAID PARTIE~ OF THE FIRST PART, THEIR HEIRS, EXECUTORS AND ADMINISTRATORS, ~O BY ! ' . ~HESE PRESENTS, COVENANT, GRANT AND A~REE, TO AND WITH THE SAID PARTIES OF THE SECOND PART, 'ITHEIR HEI~S AND A~SIGNS FOREVER, THAT THEY THE SAID PARTIES OF THE FIRST RART, THEIR HEIRS,ALL AND SINGULAR THE HEREDITAMENTS AND.PR[MIS[S HEREIN 'ABOVE_.DESC~IBED AND GRANTED OR MENTIONED,. lAND I NlENDED 'SO TO BE, WITH THE APPURTENANCES, UNTO THE SAID PA~TIES OF THE SECOND PART,THEIR IHEIRS. AND ASSIGNS, AGAINST THE SAID IPARTIES OF THE FIRST PART AND THE'IR HEIRS, AGAINST All. ~ND 'EVERY OTHER PERSON OR'PERSONS,WHOMSOEVER, LAv.'FULLY C~AIr.1ING .OR TO CLA'IM THE SAME OR ANY PART THEREOF, SHAl.L! AND WJ LL, BY THEbE PRESENTS, WARRANT AND F9P EVER DEFEND. IN WITNESS Vv+-iEREOF, THE SAID PARTIES OF THE FIRST PART TO THES PRESENTS HAVE HER~UNTO THEIR HANDS AND SEALS 'DATED THE SIGNED, SEALEb AND DELIVERED I I N THE PRESENCE or '... P. E. CUYER I ., 'SET I , i RUSSEL B. UPDEGRAfF DAY AND YEARI FIRST ABOVE WRITTEN. , I I, HARVEY G. SWEITZER (SEAL) CORD-I LLA M. SWEITZER (SEAL) I STATE OF PENNSYLVANIA ) COUNTY OF CUMBERl.AND )SS; ; f ON THIS 24TH DAY OF JUNE IN THE YE4R ONE THOUSA,ND NINE HUNDRED AND ofORTY-SE.VEN. (19.47) BEFORE ME, A NOTARY PUBLIC, TH~ UNDERSIGNED OFFI,CER, PERSONALLY APPEARED HARVEY G. SWEITZER AND CORDILLA SWEITZER, HIS \<lIFE, KN.O\<lN TO ME (OR SATISFACTORILY PROVEN) TOI BE THE PEflSO'NS . . I ,. _ WHOSE NAMES ARE SUBSCRIBED TO THE WI~HIN INSTRUMENT, AND ACKNOwlEDGED THAT THEY EXECUTED THE SAME FQR THE PURPOS~ T~EREIN CONTAINED, AND DESIRED THE SAME MIGHT BE RECORDED AS SUCH. I~ WITNESS WHEREOF, I HEREUNTO SET MY HA~D AND NO~AijIALES.. ~ V IOLA B GGMLT~ COMM EX JAN. 7, 1 1. WITHIN GRA~~" . 322 N .fl.. HEREBY CERTIFY THAT 1HE PRECISE RE$IDENCE OF THE . ! , . . I CUMBERLAND, PA. . 16TH .ST., NEW RUSSEL B. U~DEGRAFF .IAT~O~NEY FOR GRANTEE , I 'I MLS '1'1 j , \ .1 I: i I 'I . A. Settlement Statement OMS No. 2502-0265 U.S. Department of HousinQ and Urban Development ~ ,r B. Type of Loan 1. 0 FHA 4. OVA 2. 0 FmHA 5. 0 Conv. Ins. 3. ~ Conv. Unins File Number 27229 - P Loan Number 109234611 Mortgage Insurance Case Number C. NOTE:This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "p.o.c" were paid outside of closing; they are shown here for informational purposes and are not included in the totals. D. NAME AND ADDRESS OF BORROWER: NICOLE LeMA Y 316 MANCHESTER ROAD, CAMP HILL, PA 17011 E. NAME AND ADDRESS OF SELLER: THE ESTA TE OF CLARA G. EISLEY ~~~fcJXTEENTH STREET, NEW CUMBERLAND, PA COUNTRYWIDE HOME LOANS 1600 GOLF ROAD, SUITE 300, ROLLING MEADOWS, IL 60008 332 SIXTEENTH STREET NEW CUMBERLAND, PA 17070 F. NAME AND ADDRESS OF LENDER: G. PROPERTY LOCATION: H. SETTLEMENT AGENT: PLACE OF SETTLEMENT: TIN: I. SETTLEMENT DATE: CEDAR CLIFF ABSTRACT AGENCY, INC. J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION 100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER: 101. Contract Sales Price ~182 000.00 401. Contract Sales Price $182 000. 00 102. Personal Property 402. Personal property 103. Settlements charges to borrower: 403. (from line 1400) $7,340.50 104. 404. 105. 405. ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: 106. City/town taxes 07/14/2005 to 12/31/2005 $143.64 406. City/town Taxes 07/14/2005 to 12/31/2005 $143.64 107. County Taxes 07/14/2005 to 12/31/2005 $171.00 407. County Taxes 07/14/2005 to 12/31/2005 $171.00 108. Assessments 07/14/2005 to 06/30/2006 $1,312.96 408. Assessments 07/14/2005 to 06/30/2006 $1,312.96 109. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER: $190,968.10 420. GROSS AMOUNT DUE TO SELLER: $183,627.60 200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER: 201. Deposit or earnest money $3,000.00 501. Excess deposit (see instructions) 202. Principal amount of new loan(s) $136,500.00 502. Settlement charges to seller (line 1400) $12,391.68 203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to 204. 504. Payoff of first mortgage loan 205. 505. Payoff of second mortgage loan 206. PROCEEDS APPLD FROM 2ND MTG $36,066.50 506. 207. 507. 208. 508. 209. 509. ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: ADJUSTMENTS FOR ITEMS UNPAID BY SELLER: 210. City/town taxes to 510. City/town taxes to 211. County taxes to 511. County taxes to 212. Assessments to 512. Assessments to 213. REFUSE - 07/01/05 - 07/14/05 $5.88 513. REFUSE - 07/01/05 - 07/14/05 $5.88 214. SEWER - 04/01/05 - 07/14/05 $30.12 514. SEWER - 04/01/05 - 07/14/05 $30. 12 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. TOTAL PAID BY/FOR $175,602.50 520. TOTAL REDUCTIONS $12,427.68 BORROWER: IN AMOUNT DUE TO SELLER: 300. CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER 301. Gross amount due from borrower (line 120) $190,968.10 601. Gross amount due to seller (line 420) $183,627. 60 302. Less amount paid by/for borrower (line 220) $175,602.50 602. Less reductions in amI. due seller (line 520) $12,427.68 303. CASH ( ~FROM ) ( 0 TO ) BORROWER: $15,365.60 603. CASH ( 0 FROM) ( ~ TO ) SELLER: $171,199.92 23-2133165 07/14/2005 I RESCISSION DATE: HUD-1 (3-J36) - RESPA, HB 4305.2 PAGE 1 . HUD-1 (Rev. 3/86) ~ L. OMB No. 2502-0265 700. TOTAL SALES/BROKER'S COMMISSION PAID FROM PAID FROM BASED ON PRICE $182,000.00 @ 5%=$9,100.00 BORROWER'S SELLER'S FUNDS FUNDS DIVISION OF COMMISSION (LINE 700) AS FOLLOWS: AT AT 701. $4.525.00 to THE HOMESTEAD GROUP SETTLEMENT 702. $4 575.00 to RE/MAX REALTY ASSOCIATES SETTLEMENT INC. 703. $0.00 to 704. $0.00 to 705. Commission paid at settlement $9,100.00 706. THE HOMESTEAD GROUP - ADDmL .51 COMMISSION $910.00 801. Loan origination fee % to COUBTRYWIDE HOME LOANS $675.00 802. Loan discount 0.7500 % to COUNTRYWIDE HOME LOANS $1,023.75 803. Appraisal fee to: LANDSAFE - $300.00 - POCB $145.00 804. Credit report to: COUNTRYWIDE HOME LOANS $35.00 805. Lender's inspection fee COllNTRYWIDE HOME LOANS 806. Mortgage insurance application fee to COUN'l'RYWIDE HOME LOANS 807. Assumption fee COUNTRYWIDE HOME LOANS 808. LANDSAFE FLOOD - FLOOD CHECK FEE $26.00 809. COUNTRYWIDE - TAX SERVICE FEE $90.00 810. COUNTRYWIDE - DOC PREP FEE $100.00 811. 812 813 814 815 816 817 818 819 820 SETTLEMENT CHARGES 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 900 ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE' 901. Interest from 07/14/2005 to 0870172005 @ $21. 50 / day $387. 00 902. Mortgage insurance premium for mos. to 903. Hazard insurance premium for yrs. to 904. Flood insurance premium for yrs. to 905. 1000. RESERVES DEPOSITED WITH LENDER: 1001. Hazard Insurance months @ per month 1002. Mortgage insurance months @ per month 1003. City property taxes months @ per month 1004. County property taxes months @ per month 1005. Annual assessments months @ per month 1006. Flood insurance months @ per month 1007. months @ per month 1008. months @ per month 1009. Aggregate Accounting Escrow Adjustment 1100 TITLE CHARGES: 1101. Settlement or closing fee to 1102. Abstract or title search to 1103. Title examination to 1104. Title insurance binder to 1105. Document preparation to 1106. Notary fees to CASH $25.00 1107. Attorney's fees to (includes above items Numbers: ) 110B. Title insurance 10 CEDAR CLI1!'F ABSTRACT AGENCY, INC. $1,268.75 (includes above items Numbers: TITLE INS - BASIC ) 1109. Lender's coverage $136,500.00 ( $136,500.00 ) 1110. Owner's coverage $182,000.00 ( $182,000.00 ) 1111. CEDAR CLI1!'F - ENDORS 100, 300 & 900 $150.00 1112. CEDAR CLI1!'F - INSURED CLOSING LETTER $35.00 1113. S'I'ONE LAFAVER - COURIER/WIRE FEE $40.00 1200 GOVERNMENT RECORDING AND TRANSFER CHARGES' 1201. Recording fees: Deed $38.50 ; Mortgage $66.50 ; Releases $105.00 1202. City/county tax/stamps: Deed $1,820. 00 ; Mortgage $910.00 $910.00 1203. State tax/stamps: Deed $1,820.00 ; Mortgage ; Other $910.00 $910.00 1204. 1205. 1300 ADDITIONAL SETTLEMENT CHARGES' 1301. Survey to 1302. Pest inspection to ENVIROQUES'I' ( $410.00 P.O.C.) 1303. AMERICAN HOME SHIELD $405.00 1304. REHAK - TAX CERT $5.00 1305. THE HOMESTEAD GROUP - TRANS FEE $100.00 1306. ROBIN GASPERE'I'TI - 05/06 SCHL TXS $1,341.68 1307. RE/MAX - TRANS FEE $125.00 1400. TOTAL SETTLEMENT CHARGES $7,340.50 $12,391.68 I have car~ully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made . on my a=,,' or by me in lh" tra""""Ioo. I '",lher oo"'fy tha' I ha", "'001""" a _ of the HUO-~:"t. Bo"ower. '1/~ 5!~ oa..7/~) :~.o~~~. oa..'1--!14ld5 NICOLE LeMA Y THE ESTA TE OF CLARA G. E/SLEY l Seller or Borrower: Date: Agent: Seller or Borrower: Date: Agent: Seller or Borrower: Date: Agent: Date: Date: Date: Date: "'",. t 'tdS. to be disbursed in accordance Da~ (7~) / The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I with this statement. WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprison- ment. For details see: Title 18 U.S. Code Section 1001 and Section 1010. 3 .. Pc\-- {) ({"'("' . (~C" .~~ - 3iD 00 ~PD - 50,00 ~ ~. ~(o 2- . -----.- r.1.. Register of Wills of Cumberland County, Pennsylvania INVENTORY , Deceased No. 21 - 05 - 00535 Date of Death 6/2/2005 Social Security No. 171-28-4181 Estate of Eisley, Clara G also known as Suzanne Elaine Vanderbilt The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true and correct. I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Personal Representative Signature: X~/Y741~ ~AkLt. Suzan e Elame VanderbIlt Signature: Attorney: Robert P. Kline I.D. No.: 58798 Signature: Address: Address: 320 Avenue E Redondo Beach, CA 90277 714 Bridge Street P.O. Box 461 New Cumberland, P A 17070 Telephone: 717/770-2540 Telephone: 310-316-2683 Dated: " S.-j D- c200 10 Personal Property The Dow Chemical Co. :;2:,,319.48 Delhaize Group ~ 2~417.6(r Exelon Corporation 4.&.170.001 Met Life, Inc k~ " 1 =3~140.33: US Savings Bonds - Series EE (3) --1;446.00' :~~~~ o US Savings Bonds - Series HH 2,000.00 PNC Bank CD#31300079437 1,555.00 PNC Bank Savings Account #5000988445 5,379.02 Total Personal Property $66,427.43 (Attach additional sheets if necessary) Total Personal Property and Real Estate $248,427.43 ~ r,'. Register of Wills of Cumberland County, Pennsylvania INVENTORY continued , Deceased No. 21 - 05 - 00535 Date of Death 6/2/2005 Social Security No. 171-28-4181 Estate of Eisley, Clara G also known as Real Estate 332 Sixteenth Street, New Cumberland, Cumberland County, P A 17070 182,000.00 Total Real Estate $182,000.00 2 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT KLINE ROBERT P 714 BRIDGE STREET P.O. 461 NEW CUMBERLAND, PA 17070 ______n fold ESTATE INFORMATION: SSN: 171-28-4181 FILE NUMBER: 2105-0535 DECEDENT NAME: EISLEY CLARA G DATE OF PAYMENT: 05/15/2006 POSTMARK DATE: 05/15/2006 COUNTY: CUMBERLAND DATE OF DEATH: 06/02/2005 NO. CD 006692 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,967.66 I I I I I I I I TOTAL AMOUNT PAID: $2,967.66 REMARKS: CHECK# 3024 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS