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Home My WebLink About06-05-06 ,.-------.- -- ?n(~ !1;'! ...-....-........._--~---_... I I I I I I !i: wi !::! ~I ::E ~ ~ I __I :I: WI;:: 6\::1~ 1-0 wOI~ Q. ~ I ~ 91 >Ol~ zu.. ~ ~I.. .. Owl..... ~ ~ II i-:- I- 0 .... ~~I~ a: a: I .-. ~:Jlcr: ~~Il.. en ~ I ..... ~ 1-111 ... ~~I"" Q. I I I I I I I I ~ '-:7- o ) 3- Q I - ~ U1 cO 0- .:r ...D ...D ("- ru ...D Cl Cl Cl Cl n n rn rn Cl Cl ("- ~ ::z::'" U ~ O~ (/) ~ ~ ~ ~ o z ~ g :S ~ ~ ~ ~ ; , 'OFF'CI: f'ii- i'~..I \.. . I '- "h -ie \^/H j ~ .....: 4 ~ . ~. \ Pit 12: !5 cJ ~ 00 ~ ~ d M 0""," 00 ......,...... w...... 1-<( Sz ~~ 0-1 <(>- OW c:::Z <(Z ~~ ~ - :::>w ~~ MO ......~ ~w -1 ~ o~ - 5- ~ Q) ~ 0:::Q).r; +""rJJC) c.:J:J 0- 0 CtS ~.r;..a Q) t rJJ I'V :J CtS "' ""'"- LLO.=~CO c:UCI)~M :; ~ ~ o-cr Q)C~CI)M I'V :J L.. "' T- LLoCtS""o 'Uu.~,...... - T- oas -c ~ ~ <( :E;c:ta. -c "t: J!:!:J ~ Q)Q)(!)OQ) tt::..a UCi) :e E ,.:..: Q) 0 ~ Q):JJ-C:CtS UU<(OU o ~ .., ...... .-. REV-15oo EX (6-00) OFFICIAL USE ONLY COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER OL1 - c.}\p _Ql{~1 COUNTY CODE YEAR NUMBER SOCIAL SECURllY NUMBER 181-01-2041 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE I- Z W C W U w C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Malesie William DATE OF DEATH (MM-DD- YEAR) DATE OF BIRTH (MM-DD- YEAR) 3/12/2006 5/7/1919 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Malesie, Betty J. [X] 1. Original Retum D 4. Limited Estate D 6. Decedent Died Testate (Attach ccpy of Will) D 9. Litigation Proceeds Received J REGISTER OF WILLS SOCIAL SECURITY NUMBER W I- :.:: :!(I) oil:::':: wo-o :I: 00 01l::....J O-lD 0- < D 2. Supplemental Retum D 3. Remainder Retum (date of death prior to 12-13-82) D 4a. Future Interest Compromise (date of death after 12-12-82) D 5. Federal Estate Tax Retum Required D 7. Decedent Maintained a Living Trust (Attach copy of Trust) _ 8. Total Number of Safe Deposit Boxes D 10. Spousal Poverty Credit (date of deeth between 12-31-91 and 1-1-95) D 11. Election to tax under Sec. 9113(AliAttach Sch 0) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS I- Z W C Z o 0- m w lr lr o U Mark E. Halbruner, Es ire FIRM NAME (If Applicable) Gates, Halbruner & Hate, PC TELEPHONE NUMBER 1013 Mumma Road, Suite 100 Lemoyne, PA 17043 717-731-9600 1. Real Estate (Schedule A) (1) OFFICIAL USE ONL v.'_~ 2. Stocks and Bonds (Schedule B) (2) c:; 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) 4. Mortgages & Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) Z 6. Jointly Owned Property (Schedule F) (6) 0 D Separate Billing Requested ~ ~ 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) ::::) (Schedule G or L) I- ei: 8. Total Gross Assets (total Lines 1-7) <( U W 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 0:: 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) i .J J:- 140,538 13. Charitable and Governmental Bequests/See 9113 Trusts for v.f1ich an election to tax has not been made (Schedule J) 18,596 121,942 o 14. Net Value Subjectto Tax (Line 12 minus Line 13) 121,942 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax z rate, or transfers under Sec. 9116 (a)(1.2) o i= < 16. Amount of Line 14 taxable at lineal rate I- ::::> ~ 17. Amount of Line 14 taxable at sibling rate o o 1 B. Amount of Line 14 taxable at collateral rate >< ~ 19. Tax Due 20. D 58,500 63,442 o o x.O L(15) x .0 45 (16) x .12 (17) x .15 (18) (19) o 2,855 o o 2,855 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECKIYIATH< < 3W4645 1.000 Estate of . . 181-01-2041 Executors (Page 1) Name Address Tax ID Thomas W. Malesic 2443 N. 4th Street Harrisburg, PA 17110- 209-56-9078 Decedent's Com lete Address: STREET ADDRESS 2443 N. 4th Street CliY Harrisbur STATE PA ZIP 17110- Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 2,855 o 2.712 143 3. Interest/Penalty if applicable D. Interest E. Penalty Total Credits (A + B + C) (2) 2.855 o o Total Interest/Penalty (D + E) (3) o 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) o 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) o A. Enter the interest on the tax due. (5A) o B. Enter the total of Line 5 + 5A. This is Make (5B) o AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1 . Did decedent make a transfer and: a. retain the use or income of the property transferred;. . . . . . . . . . . . . . . b. retain the right to designate who shall use the property transferred or its income; . c. retain a reversionary interest; or . . . . . . . . . . . . . . . . . . . . . . . . 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? . . . . . . . . . . . . . . . . . . . . . . . . . . .. IKJ 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 DATE ~J v.J.~ Thomas W. Malesic 6/2/2006 ADDRESS Yes No D D D D og og ua ua D []g 2443 N. 4th Street S~~~RE OF 7EPARER OTHER THAN REPRESENTATIVE .r~L~....~ ADDRESS Harrisburg, PA 17110 DATE 6/2/2006 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.9 9916 (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. 9 9116 (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 retum are still applicable even ~ 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. 9 9116(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. 9 9116(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. 3W4646 1.000 REV-1502 EX + (6-98) . SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER William J. Malesic 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 v.A1ich property lMJuld 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. None DESCRIPTION VALUE AT DATE OF DEATH 3W46951.000 TOTAL (Also enter on line 1, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ o REV-1503 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE B STOCKS & BONDS FILE NUMBER William J. Malesic All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. None DESCRIPTION VALUE AT DATE OF DEATH 3W4696 1.000 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) o REV-1504 EX + (6-98) . SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP OR SOLE-PROPRIETORSHIP COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN ESTATE OF FILE NUMBER William J. Malesic Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships. ITEM NUMBER 1. None DESCRIPTION VALUE AT DATE OF DEATH 3W4697 1.000 TOTAL (Also enter on line 3, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ o REV-1507 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF William J. Malesic SCHEDULE D MORTGAGES & NOTES RECEIVABLE FILE NUMBER All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH None TOTAL (Also enter on line 4, Recapitulation) $ o 3W46AC 1.000 (If more space is needed, insert additional sheets of same size) REV-1508 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF William J. Malesic FILE NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH None 3W46AD 1000 TOTAL (Also enter on line 5 Recaoitulationl $ (If more space is needed, insert additional sheets of the same size) o REV-1509 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF William J. Malesic SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER 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. Malesic, Betty L 68 Oliver Road, Enola, PA 17025 Surviving Spouse B. Malesic, Thomas W 2443 N. 4th Street, Harrisburg, PA 17110 Son c. JOINTLY-OWNED PROPERTY: lETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE I NCLUDE NAME OF FINMK::IAlINSTJTUTION AN) BAN< ACCOLM" DATE OF DEATH DECD'S VALUE OF f'WBERQR SIMILAR IDENTIFYING NUMBER ATTACH DEED FOR NUMBER TENANT JOINT JQ1NT'LY+ELDREAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST 1. A. 1 B 2/19/2003 PNC Bank Checking Account#5004133487 13,618 50.0000 6,809 2 A 7/22/1953 Real Property at 68 Oliver Road, Enola, PA 17025 - jointly owned with spouse Betty L. Malesic on the date of death. (Settlement of sale of property on 04/27/2006) 11 7,000 50.0000 58,500 3 B 6/2/2004 Sovereign Bank Savings Account #1054024375 25,258 50.0000 12,629 TOTAL (Also enter on line 6 Recanitulationl $ 77 . 938 3W46AE 1.000 (If more space is needed, insert addijional sheets of the same size) . REV-1510 EX + (6-98) . SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF William J. Malesic FILE NUMBER ITEM NUMBEF 1. 3W46AF 1.000 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTlON OF PROPERTY If'CLLCE TI-E NAME OF TI-E TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AN) Tl-E DATE OF TR,6J\SFER ATTPCHACOP'f OF TI-E DEED FOR REAL ESTATE DATE OF DEATH VALUE OF ASSET % OF DECO'S INTEREST Automobile - 2003 Ford Taurus 4-Door Sedan - gifted to daughter Barbara L. Parsons on 02/22/2006. 8,600 100.0000 2 Cash gifted to Allan Parsons within one year of death 12,000 100.0000 3 Cash gifted to Barbara L. Parsons within one year of death 12,000 100.0000 4 Cash gifted to Meagan E. Malesic within one year of death 12,000 100.0000 5 Cash gifted to Melanie Parsons within one year of death 12,000 100.0000 6 Cash gifted to Ryan T. Malesic within one year of death 12,000 100.0000 7 Cash Gifted to Thomas W. Malesic within one year of death 12,000 100.0000 TOTAL (Also enter on line 7, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) EXCLUSION {IF APPUCABLEl o 3,000 3,000 3,000 3,000 3,000 3,000 TAXABLE VALUE 8,600 9,000 9,000 9,000 9,000 9,000 9,000 62.600 REV-1511 EX + (12-99) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF William J. Malesic ITEM NUMBER A. B. FILE NUMBER Debts of decedent must be reported on Schedule I. DESCRIPTION FUNERAL EXPENSES: 1. Funeral Reception 2 ~scellaneous Funeral Expenses Total from continuation schedules 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) I EIN Number of Personal Representative(s) Street Address City State P A Zip Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip 4. Probate Fees Relationship of Claimant to Decedent 5. Accountant's Fees 7. 6. Tax Return Preparer's Fees 1 2 3W46AG 1.000 Consumer Service Fee to Broker Document Preparation for sale of residence Total from continuation schedules TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) $ AMOUNT 324 39 6,220 1,750 295 100 9,868 18 596 . Estate of: William J. Malesic Item No. 3 4 Schedule H Part 1 (Page 2) Description Richardson Funeral Home Inc. Southwest Airlines - Reimbursement travel expense for Funeral Services Total (Carry forward to main schedule) . 181-01-2041 Amount 5,505 715 6,220 . Estate of: William J. Malesic Schedule H Part 7 (Page 2) 3 Furnace Repair 4 Lending Tree LLC Referral fee 5 ~chael Albright, Electrician - repairs to bring electrical service up to code 6 Prudential Wood Brokers' Commissions 7 Real property tax adjustment paid on sale of residence 8 Recording of Power of Attorney 9 Seller Assistance to Buyer on sale of real property 10 State Transfer Tax on sale of residence 11 Stationary and Postage 12 Tax Certification Fee 13 Tax Search and Courier Fees Total (Carry forward to main schedule) . 181-01-2041 115 296 1,100 4,968 92 31 2,000 1,170 55 6 35 9,868 REV-1512 EX + (12-03) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF William J. Malesic Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH None 3W46AH 2.000 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) o REV-1513 EX+ (9-00) . SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF William J Malesic NUMBER I NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Betty L. Malesic 68 Oliver Road Enola, PA 17025 1 Real Property at 68 Oliver Road, Enola, PA 17025 - jointly owned with spouse Betty L. Malesic on the date of death. (Settlement of sale of property on 04/27/2006) 2 Meagan E. Malesic 2443 N. 4th Street Harrisburg, PA 17110 3 Ryan T. Malesic 2443 N. 4th Street Harrisburg, PA 17025 . RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Surviving Spouse Granddaughter Grandson FILE NUMBER AMOUNT OR SHARE OF ESTATE 58,500 9,000 9,000 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 3W46A11.000 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET (If more space IS needed, Insert additional sheets of the same size) $ o . Estate of: William J. Malesic Item No. 4 5 6 7 Description Thomas W. Malesic 2443 N. 4th Street Harrisburg, PA 17110 Allan Parsons 421 NE 103 St. Apt. 1-E Kansas City, MO 6415-5 Barbara L. Parsons 129 Lee Ann Court Enola, PA 17025 Melanie Parsons 129 Lee Ann Court Enola, PA 17025 Schedule J Part 1 (Page 2) Son Grandson Daughter . 181-01-2041 Relation Amount 9,842 9,000 17,600 Granddaughter 9,000 . . Estate of William J. Malesic Pennsylvania Inheritance Tax Return Form REV-1500 EXHIBIT A Copy of the Certified Death Certificate of the Decedent - ,'~:I.' (") , - '->-.1 ......'--'l-'...\.~'-~ Ll.Vll1 ~Ul V1151.LldJ \...CllLllCdLt Ul UectLfl C;.l.HY TIlea Wltl1 TI1e as ' " t I" ~ 'eo ,~ I'/'p "C"'"l~"te \/1' ta,] R,e'coa- r';,~fi('P 1-01',l.JPI'manel,'11, ""1'1';11,Q:, ']ng"", Ccqiiicae wi; oe iorwacn ''v,' '" , e , , ':!..t"w . " . , WJ\"N:N~: '.iI:~'9:"'O d"~I;C.'" lhi. copy by photos,.' or photograph. 'Fee for this certificate, $6,00 p 12409026 ..~.__.__._---------- No, ev.Ol106 INTiN ~ENT INK I Name 01 Deceden~(Firsl. middle, /as!) ~fr/~,u~~ Local Registrar liAR 1 5 2006 Date COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH STATE FILE NUMBER William J, Malesic 86 y" 8. Bit1h lace C" andslaleorlor 3, Social SecurilyNt.ll"Ttler 4. Dale 01 Death (J-.iiXiUi, day, year) march I~}, 2006 5 Age (Lasl bit1hdaYJ' Steel ton PA 7. Dale of Sinh Monlh, da . 5/7/1919 Bb. County 01 Dealh 181 01 Cumberland Camp Hill Care Center 13. Decedenl's Educalioll S &C. BemenlarylSecollda/Y{G-12) 9 other. o !EflXlu1 alienI 0 DOA ..-..Nursin Home 0 N~si.1l!nce 0 O'J"ler. S 9. Was Decedent 01 Hispani: Origin? ~ l'J. Race: American Indian. Black. ,^'h~e. ere ~ No 0 Yes (Ilyes,specily Cuban, ! (Specilj1 Mexican. Puer10 Rean, Ble.) I . I Hlll te hi nesl radeco ~ 14. MarilaIStatus:Mal'ried,N.evermarried. "":i.'i. Surviving Spouse (II wife. give rT\?'jlje.nnameJ College (1-4 or S+1J W!ldowed, Drvort:ed {Specifyj , Married I,Bett 'loa O~Dececlenl l.N!lina 17c. 0 Ye.s.DeCedenllilladin_ Twp T(MVflShp? East Pennsboro 11, Decedenl's Usual Occ ation Kind 01 work done durin masl 01 wolkin life. do nol slale (elue<! 12. Kind 01 Work Kind 0/8usine.ssllndustry Electrician Conrail 15. Decedenl's Mailing Mdress (Streel, city"'own, slale. zip code) 20 N, 12st, Essexhouse Lemo ne FA 17043 16 Falhet's Name (Fitst. middle, IaSI) 17a. Slale PA I7b Co,"1y Cumb e ria nd Anton Malesic 20a. Illformanl's Name (Type/prill I) 19. Mother's Name (FIlS!, middle, maiden surname) Johanna Krasevic 2Ob. Informanrs Mairlng Address (Slreet, city"'own. slale, zip code) Barbara L, Parsons 17d.O ~l~~~~~~edwrthin Lemgyne .CityiBoro o Removaf trom Stale 21b. Dale 01 Disposilion (Monlh, day, yeal) 129 Lee Ann Court Enola, PA 17025 16, 2006 21c. Place (If Ois~s~jon IName of csmeler/. ::::!......:v.~i VI 0:11a; p:c.ce) 2id. Location (Cilylluwr., stale. zip Code) East Hanover 1\.1p, PA 17003 lndiantown Gap National, Cerretery 22c. Name and Mdress 01 Faciffl'y o Donation /J-ec-vtL J( 1It/ Richardson F.H. Inc. 29 S, Enola Dr. Enola, PA 17025 ems 24-26 musl be compleled by person 'ho pronoullces death. 24, fvneolDealh /1,Cj.,s 4 M, CAUSE OF DEATH (See instructions Clnd elampres) em 27. Parll: Enrer Ihe ~ - diseases, injufies, or comptications -lhal difeclly caused lhe dealh. DO NOT entellerminal evenls such as cardiac arias!. !SPi.r ',lOry arres!, 0,' ""1'",01" 'b,ill"~" .ilhoUl ,ho'~g Ih. ""logy, DO NOT ,bb"~,I.. Enl.. oifty 0 a cause 011 a line. AMED1ATE CAUSE (Final disease or /.'/1 (. . c.:",I (V ...... '- >nclilronresullillgllldealhj -7 a. \:.. ? equenlially tisl condilions, it allY, b. Due 10 (or as a l:onsequebO~ ) f /" {...A. L -Tr v,-- U,/' e....~ / c:.... ading 10 lhe causelisled onLine a. 0 I ( a c u Q. , /1 --'-.-L /'_ ,lerlheUNDEALYfNGCAUSE . ue 0 Of sa onseq enc;. .t{..t-f -f;.:.. r.........O f7?~( <.. ~ :;~~s~~~~~~1nt~~taj~ii~~~he Due 10 (01 as a consequence oQ: . Approximaleinlerval: : on~ello death la. Wasan AUIOpsy Performed? o Yes ~o d, JOb. Were Autopsy Findings Available PIQr lo~telion ~c~~:eo~o 32b. Describe how Injury OccUIled: 31. Ma rofDealh Natural 0 Homicide o Accidenl 0 Pending1nveslioation o Suicide 0 Could Nol Be Derermirlcd 32a. Dale of Injury (Monlh. day, year) 32d. Time or Injury a Cer1ifier (check only onel Cer1ifylng physic tan (Physician cel1itying cause 01 death when IInolher physician has pronounced dealh and IXHnpleled l1em 2J) TO Ine basI of my ImOWledge, dealh occurred due 10 lhe-cause(s) and manner as staled '_'_",_,__._ Pronouncing~.nd certIfying physician (Physician bolh pronouncing dealh and cet1ifyillQlo cause of dealh) To ll'le besl of my know1e-dgl!, dCOIlh occurred at the lime. dale, and placE!., and due 10 Ihe c.;use(s) and manner as slated_. MedicOlI eXOlmlner/coroner On lhe basis of examination and/or Investigalion, In my opinion, death occurred althe lime, dille, and ptace, and due 10 lhe cause(s} and manner <IS sLaled .~_.o M, ..,..,.....,......---.._,.._,0 23b. l.X:eflse Number 231:. ,1)"10 Signed (Month. day, yea /5C;J 330 L C;3 IleA CJ,6 25 W?:s Case Referred 10 a Medical Examiner/Coroner? " o Yes V""No Part tJ: Enle!f oIlier sionilicanl CDndrtiOlls conlnbubno 10 death, bur I\O! resuHling in !he underlying cause giveo in Part l 28. Did Toba Ci ( No se Conlnbute to Dealh? o Probably o Unknown 29,I1Ferr.:ale: o NOlpregnanlwi1hinpaslyea, o Pregnant allime or death o Nolplegnanl,bLIlpregnanlwithin42days ofdealh [1 Notpregnanl.butpreQnanl43daYSlu1 Ve.lr beforedealh C1 Unknown if prp,gnant within Ihe pasl year 32c, ~>lace or Injury: Home. Farm, SUeel, Faclory. Office BIJ~amg. elc. (Spedfyj 32g. localioil (Slfcel. cityl1own. slale) 3Jd. Oal~ ~;r.,'ed (MOIl!h, day, year) ] /~(~O(, c 34. Name and Ad(t;l:-ess 01 Person VoIho CofTllJeled Cause of Dealt! (Item l7) I )'lJer'Prinl Jt;.~( ,r{.. He/l1 """""--:7 ZO:;'- /-!OCAV- r'lv<- G;:l-~-/ /fr'(( FA-/lvl/ __,L_ 1....(1/ 1 eo{ I / I /1 (See instructions and examples on reverse) . . Estate of \ViHiam J. l"ialesic Pennsylvania Inheritance Tax Return Form REV -1500 EXHIBIT B Documentation of Assets . . 0PNCBAl'JK May 3, 2006 Gates, Halbruner& Hatch, P.C. Attn: Valerie Long 1013 Mumma Road Suite 100 Lemoyne, PAl 7043 Dear Ms. Long, I am writing in response to your letter requesting information for the estate of William 1. Malesic. I have the listed the information below per your request: 1. The exact title of the checking account; William J. Malesic Thomas W. Malesic 129 Lee Ann Ct Enola, P A 17025 2. See above for the names of the joint owners. 3. The date the account was established is February 19,2003. 4. There was no changes of ownership within one year of the date of death. 5. The date of death balance was $13,617.75. 6. The interest earned from January 1, 2006 to the date of death is $17.30. 7. Mr. Malesic does not have any credit or loan accounts with PNC Bank. If you should require any further information please submit a letter of request in writing to my attention at the address listed below. Sincerely, C}i /;< ';--1+-" ,< / / ....,J.:-..-L-'l '-/1 ~ ,/74 ..... I V{/?\ ../" Y Keith A. Mahaffey Branch Manager, Enola Office (717) 732-5388 .\ n'lG:'nbi;-:r 0; The Pi\lC fin2ilci;.:]l .se(vic~!s Group l35 :\I;)rt!'. Enoi.a RO,3d Enola Pennsylvania : 7025 . '1 Balli{ Success fs {;o;rv'kit;;,KfJ, \.ft, Ci<lt:l 1X:~)')/(tU get a)(~-e:'l Court Ordered Processing / MA 1 MB3 02-10 P.O. Box 841005 Boston, MA 02284 May 10, 2006 Law Offices of Gates, Halbruner & Hatch, P.c. 1013 Mumma Rd., Ste. 100 Lemoyne, PA 17043 RE: Estate of: William 1. Malesic Date of Death: March 12, 2006 Dear Mr. Halbruner: Per your request, enclosed please find the account information as of date of death for the above-named decedent. Please note the balances do not include accrued interest. If you should have any further questions, please do not hesitate to call. Very truly yours, lO 0 ,- 7)f~(cX1JJej~~-- Linda Spavento OAG Team Leader (617) 533-1789 (617) 533-1931-fax . . Sovereign Bank ESTATE OF SOCIAL SECURITY #: DATE OF DEATH: William J Malestic 181-01-2041 March 12,2006 Account #: 1054024375 Type: Savings In the name of: William Malesic or Thomas William Malesic Date of Death Balance: $25,229.08 Int.(YTD) from 1/1/2006 to 3/12/2006 Accrued interest to date of death: $29.39 Other Info: Open date: 6/2/2004 $0.00 Page 1 of 1 ,ETTLEMENT STATEMEfH express Financial Services, Inc. ~75 Grandview Avenue 3uite 103 :;amp Hill, PA 17011 800) 422-4169 :"" ^ I 111lr"\~ . , 0 FHA 2. D FMHA 4. 0 VA 5. IXJ CONV. INS 6. ESCROW FILE NUMBER' 00030397-003 YS 3 DCON I,S 7 LOAN R 0789855789 8. MORTGAGE INSURANCE CASE NUMBER: 'OTE: This form is furnished /0 give you a statement of actual settlement costs Amounts paid to and by the settlement agent are shown. {terns marked "(PO.C.)" were paid outside the closing; they are shown here for informational purposes and are not included in the fotafs lAME OF BORROWER lAME OF SELLER Kathy A. Milliken 68 Oliver Road Enola, PA 17025 Betty L. Malesic ,DDRESS OF BORROWER' \DDRESS OF SELLER ~AME OF LENDER HSBC Mortqaqe Corporation 2929 Walden Avenue Depew, New York 14043 68 Oliver Road Enola, PA 17025 Cumberland County 09-13-1002-020 ,DDRESS OF LENDER 'ROPERTY LOCATION SETTLEMENT AGENT: Express Financial Services, Inc. PLACE OF SETTLEMENT 275 Grandview Avenue, Suite 103. Camp Hill, PA 17011 SETTLEMENT DATE 4/27/2006 PRORATION DATE' SUMMARY OF BORROWER'S TRANSACTION IK SUMMARY OF SELLER'S TRANSACTION I!ii.'GRHssrAMdUNJ;DU'E'FR&M!BOFfR6WER:~;&~t\~~t.%~r:~l&:ii~1lif:ATi~'Nf~~j4Por;j1!3RosS':AMb.D.N'tlQnE.IT:Oi:SEitiEE~:::Ig'€'"11~Y1it*t'i;#'!k'\'~~i~:l!i)k~if;f;<:iisj~:(:;,!~f~; I Contract Sales Price 117,000.00 401. Contract Sales Price 1 17,00000 , Personal Property 402. Personal Property I. Settiement charges to Borrower (iine 1400) 5,114. .n _no " "UO I Payoff to 2006 County Tax 289.88 404. ; Payoff to East Pennsboro Towns 115.00 405. DISBURSEMENT DATE: 4/27/2006 ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE' ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE' ; CilyrTown Taxes 406. CityrT own Taxes ,. County Taxes 407. County Taxes 3. Assessments 04/27106 to 06130106 189.06 408 Assessments 04/27/06 10 06/30106 189.06 9 409. O. 410. 1 411. 2 412 ] 413. , 4. 414. 5. 415. O. GROSS AMOUNT DUE FROM BORROWER: 122,708.13 420. GROSS AMOUNT DUE TO SELLER: 1 17,189.05 ii':\'1Ar;r9Xm:TS5,~'4.i?Ji3',y~.QRrl~?B~H'Am6ffi.~q[R'QW.~H\l~~~i~1jlt~tt.;j{i~I~QQtjffi.~.6l[q[@fg~[~jAM'g;[tIill1PQ~4fi1.~.~@g:~zfl.f14!it!~ii.j}~i"~~~\1W)f:i'~"il 1. Deposit or earnest money 2,000.00 501. Excess deposit (see instructions) 2 Principal amount of new loan(s) 92,000.00 502 Settlement charges 10 Seller (line 1400) 6,84304 3. Existing loan(s) taken subject to 503. Existing loan(s) taken subject 10 '4 504. Payoff of first mortgage loan 15. 505. Payoff of second mortgage loan 16 seller assist 2,000.00 506. seller assist 2.00000 17 507. - IS. SOB. I ----- 19. 509 ADJUSTMENTS FOR ITEMS UNPAID BY SELLER' An IIIC::p~-="JTC:: H....P IT~T,IIC:; , ltJPAIO RY SELLER. ....."'........ ",.......,...... -" "-".- _.. - , 0 CilyrTown Taxes 510. CitvrTown Taxes .1 County Taxes 01101106 In 04127/06 92.13 511. County Taxes 01101106 to 04/27/06 92.13 12. Assessments 512 Assessments 13 513 14. 514. 15. 515. 16 516. 17 517 18. 518. 19. r 519. ,0 TOTAL PAID BY/FOR BORROWER: 96,092.13 I 520 TOTAL REDUCTIONS IN AMOUNT DUE SELLER: 8,93517 )b'W9A.~'i{:A'J',:,s Eftl:E~E~t,'FR6MfTQ . BClBRbWi:"R:'?!!~PW"::;,\'0i;T:ifij')i'.~QC':t'1jASH!t:f;s}:TI!1grt._gj{rj;r:QZ~BQM.;$~~Ui;:~:'f~\;*:'J::;n;~w!; "';:'8f~,Di;;1 )1 Gross amount due from Borrower ( line 120) 122,70813 601. Gross amounl due to Seller {line 4201 1 17,189.06 ._._~--- )2 Less amounl paid by/for Borrower ( line 220) 96,09213 602 Less reduction in amount due Seller (line 5201 8,935,17 ---._---- )3 CASH ( I&JFROM ) ( 0 TO ) BORROWER: 26,61600 603 CASH ( 0 FROM ) ( 00 TO ) SELLER: 108,25389 .'J.':IU'I', :),L\\:..:t:;:)/,tj r-<.Ut\.t:t'\:~..l.;UNIIYII~ ;)JUN; >:c.;',. .I:.<~~';"~--~~.," :;~,..:..::.~"j:,~i 'C\"::"-'-{"'_;".~;,..,,:., ',< "".j',-J. ':.",;~;::;~. U; \.:i ;",~~::,.';+~~.,:.-..! ','~ ,,:,t:-i':'~"~<:Yl'~;;r:::::*~:~,;"(c.;<.:,.;>"":r:'.::.'i+, ;:,~;,.~ ~,,:; i:;.~; I -..-. -. . '~. ,--,,', ~,'".-;. . . ., "':"'"":-.. ,"',,"" , ;<".!, --:~,'".:,.,., ,-_,....i~;"i'. ~"':~"",. "L' ~'C,," ,,,,. ,~C':,' ." ""; BASED ON PRICE$ 117,00000 @ . $4,967.52 PAID FROM 10 FROM DIVISION OF COMMISSION (LINE 700) AS FOLLOWS BORROWER'S FUND ELLER'S 2.653.80 AT SETTLEMENT UNDS AT 1. $ 10 Brokers ReallY SETTLEMENT 2 $ 2.900.00 10 Prudential Thompson Wood 3 Commission paid at settlement 4,96752 4 1. Loan 'Origination Fee 2 Loan Discount Fee 3 Appraisal Fee 4. Credit Report 5. Lenders Inspection Fee 6. Mortgage Insurance Application Fee 7. Assumption Fee 8 broker fee to ACA Mortgage Co. 500.00 9 commitment fee to HS8C Mort9age Corporation 525.00 0 processing fee to ACA Mortgage Co. 495.00 1. "See attached for breakdown (1,541.00) 53.95 1. Interest From 04/27/06 10 05/01/06 @ $16.611 l/day % ( 4 days) 66.44 2 Mortg age Insurance Premium for Month(s) to 3. Hazard Insurance Premium lor 1 Years(s) to Grove Insurance (299.00) ~. 'aA sef\iice ,-- to First ,t.,meriC2f1 79.00 ,cc 5. flood cert fee to Timberlink 18.00 ;p}WJ{Jr~'$'Ry:~~q~:p,{:r$lfiI~p.~W!;t."H.t~~N.'Q.~~~~1?~}~r~~~~i~l}~kffiif~*;TI~~~~~~J0~}~~~~~tt!!'t;~~~{~~~i~tf~~~~~1~h1l:;W~ffi~~~~.~~t~~~~1ifjf,;Th1iv;~~'CtY~~~~1~~~1 1. Hazard Insurance 3 months @ $ 24.92 per month 74.76 2 Mortgage Insurance months @ $ per month 3 City Property Taxes 3 months @ $ 23.68 per month 71.04 -4. County Property Taxes months @ $ 24.16 per month 5 Annual Assessments months @ $ 89.85 per month '6. months @$ per month 17. school 11 months @ $ 89.82 per month 988,02 18. Aggre9ate Adjustment -194.40 )1. Settlement or closing fee )2. Abstract or title search )3. Titte examination )4. Title insurance binder )5 Document preparation to Express Financial Services, tnc. 100.00 06. Notary fees 07. Attorney's Fees (includes above items numbers' ) J8. Title Insurance to Express Financial Services, Inc. 999.38 (includes above items numbers: 8.1+100+300 reissue ) )9. lenders coverage $ 92,00000 10. Owner's coverage $ 1 17,00000 11. tax search fees to Express Financial Services, Inc. 5.00 12. courier fee to Express Financial Services, Inc. 30.00 13. cst to stewart title 35.00 ~P.~11~@M1;BNM.~H~~:~QQ,B,tUNG;,iA.N~Q1it.M1{~f.l;t~t98A8.G.~$3n~}t~rii{ji~~~~~11.~t~~*!~~~:6i~~~i!lm~~.&lg~~~~~~~ift.~~~~J~{f~{f0Jt$i~~~t!f$~1 )1. Recording Fees: Deed $ 38.50 Mort9age $ 64.50 Release $ 103.00 )2 CitY/County tax/stamps Deed $ Mortaaae $ 1,170.00 1,170.00 )3 State tax/stamps Deed $ Mortaage $ 1,170.00 1,170.00 )4. POA to Recorder of Deeds 30.50 )5 )1 Su rvey j2 Pest Inspection --- _. )3 )4. --.. consumer service fee la Brokers Reaity I 295.00 J5. referral fee to Lending Tree LLC 296.26 J6. tax cert fee to Bambi Neville 6.00 J7 '.See attached for breakdown 130.00 -5724 JO TOTAL SETTLEMENT CHARGES (Enter on line 103,Section J - and line 502, Section K) 5,1 14.19 6,843.04 ve carefully reviewed the HUQ.l Settlement Statement and to the best of my knowledge and belier, it is a true and accurate statement of all receipts and disbursements made ny account or by me in this transaction. I further certify that I have received a copy of the HUQ.1 Selllement Statement. -' I ~O7'1/0 /)?lli!)!~\..) 'Y A. Millikeb (~" j,l,-q~ t Betty L. Malesic (l '.. .' j U,j\..~ () 'f\..~ POI*- Borro\....ers e and accurate ar:count of lhis transaction Seller.') or will cause the funds 10 be disbursed in accordance Set1lement ,ll,gent Date RN1NG II is a crime to knowingly make false \emenls to the United S:at.:-s on this or any similar form Penalties upon conviction can include.;: fine and imprisonmenL FQr !ilS see Title 16 U.S Code Sedan 1001 and Section 1010 Escrow Number' 00030397-003 YS . . HUD 811 DETAILED BREAKDOWN OF ITEMS PAYABLE IN CONNECTION WITH LOAN Description 812. Mtg Broker fee pd by Indr to ACA Mortgage Co 813. ,~ppraisal Waiver Fee to HSBC Mortgage Corporation 814. MERS recording fee to HSBC Mortgage Corporation P.o.C. (1,541.00) Buyer ."'mount Total as shown on HUD page 2 Line #811 50.00 3.95 53.95 HUD 1200 DETAILED BREAKDOWN OF GOVERNMENT RECORDING AND TRANSFER FEES Buyer Amount Seller Amount 1202. City & County Tax/Stamps City Tax/Stamps: Mortgage 1 $1,170.00 Total as shown on HUD page 2 Line #1202 1,170.00 Buyer Amount Seller Amount 1203. State Tax/Stamps State Tax/Stamps: Mortgage 1 $1,170.00 Total as shown on HUD page 2 Line #1203 1,170.00 HUD 1307 DETAILED BREAKDOWN OF ADDITIONAL SETTLEMENT CHARGES Total as shown on HUD page 2 Line #1307 Buyer Seller Amount Amount ri 379.00 ~, 125.00 5.00 5.00 -441.24 130.00 -57.24 Description 1308. home warranty to Glode Home Warranty 1309. transaction fee to Prudential 1310, patriot search fee to Express Financial Services, Inc. 1311. credit from Castco to customer ::scrow Number 00030397-003 YS I BRE.A.I-<:DOWN OF PJl..YOFF ON HUO Lif'. E 104 2006 County Tax . Description Amount 289.88 Total Payoff 289.83 Total as shown on HUD line 104. 289.88 BREAKDOWN OF PAYOFF Ot'J HUD LINE 105 East Pennsboro Township 98 South Enola Orive Enola, PA 17025 Total as shown on HUD line 105 Description Amount apri!/may/june Total Payoff 115.00 115.00 115.00 t ? ~ "lil V'.J L J U ..L U L. ORIGINAL PLATE V Check One g'TRANSFER OF PREVIOUSLY ISSUED PLATE D PLATE TO SE ISSUED BY 0 TRANSFER & RENEWAL OF PLATE ~~~~~t~~g sO: ~~_- 0 TRANSFER & REPLACEMENT OF PLATE TACHED) 0 TRANSFER OF PLATE & REPLACEMENT OF STICKER EXCHANGE PLATE TO BE '72"""""""" T ClREASON FOR REPLACEMENT ISSUED BY BUREAU",,, ',..' .....1 o LOST 0 DEFACED 0 STOlEN TEMPORARY PLATE EXPiRES 2 ^' l DNEVER RECEIVED (LOST IN MAIL! . ISSUED BY FULL AGENT Monlh 0 Year LJ 7 NOTE: If "NEVER RECEIVED" block is checked aoolicant must comnlete Form MV-44 '.' .:.... TRANSFERRED FROM TITLE NO. /VIN ......,....., ....... 60362694303 MA 1 FAFP55U23G24C:;804 ........ ':. ,.. ....: '" SIGNATURE OF PERSON FROM: ~SIIGN HERE l\ . vI", (', /' 1._ IIRELATIONSHIP TO APPLICANT IT ...... Tn..,'<" WHOM PLATE IS BEING TRANS- , r . '\ .,. jt') ^^ V"> ,.... .; \.. "':~ ''C',:.'' .... FERRED (IF OTHER THAN APPLICANT)" \....lL/~. ,,( ~ Father VEHICLE PURCHASED ~ GW I UNLADEN WEIGHT I REQ. REG. GROSS WT (/ I REQ. REG. GROSS COMB xn~~L~t~LE) y I I INCLUDING LOAD 'WT (IF APPLICABLE) L INSURANCE COMPANY NAME !POllCY NO (OR IpOllCY EFFECTIVE /POllCY EXPIRATION Rockingharn Casualty ATIACH~NOER) FA10017282 ID-21'-22-06 DA8'-22-06 I CERTIFY THAT ON MONTH .,..::; DAY.:./. if--.. YEA"'! r..' ISSUI~43 NaENT (Piillf T NA~1.,^-", I Y IAGENTm:-.J...-7> t? 77 ~~~~G I HAVE CHECKED TO DETERMINE 'rH~ THE VEHR:;L~ IS INSURED AND I... _I (' VI" ,U 7../1/;,( ~ ('" .A"\. I ~J '( rf1..L) ItlFOR ISSUED TEMPORARY REGISTRATION TO THE ABOVE APPLICANT IN IS.q('ffj;Ii1fAGENT SIG~~ IITUR~ ,-'7 i"T." I TE E . ,,<:; =~~~~~!~p=~:==CODE "~~f Ih./ /} "i'I',_ t-'/! /CAl.;!/C-< ~~&;l~~~ G. I/WE CERTIFY T~~AT III E HAVE EXAMINED AND SIG~IED THIS FORM AFTER ITS COMPLETIOb(,ND THAT THE INFORMATION GIVEN is IRUE f,ND CORRECT IF AN EXEMPTION IS CLAIMED, THE PUR ASER FURTHER CERTIFIES THAT HEISHE IS AUTHORIZED TO CLAI~M~ /rH13 EXEMPTION IIWE ACKNOWLEDGE THAT IIWE MAY LOSE MY lOUR OPERATI~IG PRIVILEGE(S) OR V HICLE REGISTRATION(S) FOR FAILURE TO MAINTAIN FINANCIAL RE pm SIBILlTY ON THE CURRENTLY REGISTERED VEHICLE FOR lHE PERIOD OF ~}L~~T~1~12~E~~ ;H:f~'0~\^i-;f~~~:~~Tsl~2ig~'~AY BE SUBJECT TO A FINE NOT EXC EDI JG $S,OOO AND IMPRISONMENT OF NOT MORE TH~~I TWO YEARS FOR ANY I . :3i~,W[e of Fi,~t Purchoser or AlPoriZ!l~!-!:gner,. _ TELEPHONE NUMBER . Signatu;:e of ~eller \; '1~' _ \ t~ ~ ~ ~ 1 ST V t) ,>--J. '-C'--'.- 1:'-- v\ . r .c U'.... S; U'v' "- ~ '"d/17'-30 _ ~b' . . j { )...-'\"'Y\.. ''\. 1 J ctXQ..iJL."0 i; ASSIGN- 1"7 ..~ /'1' MENT Signature of Co-PurchaserfTitle of AuthOrized Signer V Signal~'" of Co-Seller j '- ar:~'W,~ ~;\. a WW -'(/) ~~ ::Z:;U We: >::> 0. I B. I ffi I ~ I- C. Z W " ~, e t , PA TITLE NUMBER (AS SHOWN ON ATTACHE CHASE ICE (See note on relJerse) " " l . . . . . . ~ . .....3/\ .... '< . : . Ii 18 See bnd.c. 22.Sp . . . . . - :- -c-> ....... 1< .... 0 .' . . 6.00. . , . . . . MAKE OF VEHICLE MODEL YEAR 60362694303 MA Ford CONDITIO~I 200 VEHICLE IDENTI,CICATIOi'I NUMBER 1FAFP55U23G245804 LESS TRADE-IN [ThOOD FIRST NAME o FAiR o POOR MIDDLE INITIAL TAXABLE AMOUNT LAST NAME (OR FULL BUSINESS NAME) MALESIC WILLIAM J CO-SELLER 1, Sat ,s Tax Due x i~:'~ or reverse). m..~~~~>t'J'..-t~ LAST NAME (OR FULL BUSINESS NAME) FIRST NAME MIDDLE INITIAL I:DATE ACQUIREDI PURCHASED 2 22 06 .... "~,,, . -. . as, n PARSONS BARBARA L CO.PURCHASER .' STREET COUNTY CODE ') /1 2. Title Fee 1 29 LEE ANN COURT 11 CITY STATE ZIP CODE REFER TO COUNTY CODES LISTING ON REVERSE srDE OF PINK COPY MIDDLE INITIAL I DATE ACQUIREDI ,PURCHASED 4. Registration or Processing Fee ENOLA PA 17025 3. Lien Fee D. LAST NAME (OR FULL BUSINESS NAME) FIRST NAME I- Z W a: " z w c:J '" <( Vi J: (/) () <( a: 0 ::J ~ 0.. 0 ~ E. ~~ ~g CO-PURCHASER R"r~'''- -".- . . STREET I COUNTY CODE 5. Duplicate Reg 4l! T Fee f[' No. of Cards _ CITY STATE ZIP CODE REFER TO COUNTY CODES LISTING ON REVERSE SIDE 6. Transfer Fee OF prNK COPY MAKE OF VEHICLE 1 VEHICLE IDENTIFICATION NUMBER I BODY TYPE (CP, TK, ETC) I CONDITION o GOOD FAIR D POOR 8. Replacement Fee 7. Increase Fee MODEL YEAR o 1-. 9. 10. TOTAL PAID (Add 1 thru 8) 28.5Q '" Oz "-0 ~fi ti~ 0- ~~ <( D D l1.GRAND TOTAL (Add 9 & 10.) Send One Check in This Amount .. 28.50 z o ~ o u: ;:: '" W o Signature of Second Purchaser or Authorized Signer Signature of Seller TELEPHONE NUMBER 2ND ASSIGN- NT Signature of Co-Purchaser/Title of Authorized Signer Signature of Co-SeHer ~ H. z I ~IOTt:: If a co-purchaser other than your spouse is listed and you want the title to be listed as "Joint Tenants With ~ 0 RighI of SurVivorship" (On death of one owner, title goes to survIving ownel ) CHEel< HERE 0 OtherWise, the tllle til ~ ~S J ' 0 ., ~ l=~ Will be Issued as "Tenants In Common' ( 'n death of one owner, Interest 0; c1eceased owner goes to nls/her heirs or l'1 ~ g estate) ~; ~ =::; NOTE IF THE vEHICLE IS TO BE USED N:, ADAk'! REr-JT,'-iL OR L:::AScO VEHICLE CHECI, THIS BLOC! 0 IF BLQCK IS Cf1~CKEO COMPLETE:: AIIO A'ib.,CH F,IRM M\/~IL f~l 1ttJi:.~f7 'l~&.f..~"1!'.:l.ii'A<::-:f'v.:..=s;-g::~~~~&>5~~~iSu.;:fu~r~..1"5-~~~P~,>~;tf;f9~~iE" z ~~S~~',',,;:t;,~~~:-""'I.~E:q,,~~f;,..~.3~~~'F~1~i i\/lESSENGEf~ f\lUiVl8E;Q; ';. g~JHE.<.\U :Ji:: lVj'::~TG:n \t~H!\CLr:;:o; ~ . r ,. Autos vehkl.idng & Information . Classic Cars r"'lotorcycles Boats Recreation Vehicles Manufactured Homes Buy a Price Gl.l Take aSh, New Car Used Car Search Listings I Reviews I Compare Vehicles I Tips & Advice I New Car Dealer Quote . 2. S inWiop car Shop the largest selection of cars... " ddv~..Vl(:(:,d sC'.jt'cl-'1 tocds .. :h,ci1pful btlY(':"' tips .__~=~,"-,.w""""""""",...,.......,,"_=,,<>>-,,,=.,..= Body Style Make Year Model & Trim Mileage & Options Value Report Used Car Report ~ 4-Door Sedan 2003 Ford Taurus-V6 Sedan 4D LX Find Your Car Ford ZIP 17025 F'ow(JH!'d by AutoTraderG!f Vehicle History Report Check the history of a vehicle Press GO or Enter VIN Im2i ./AutoCh;'~Ji Estimated Payment $256.54/Month" "based on S WOO dovm 6,99';" interest rate, 8,25'1, sales tax, 36 mont!ls Apply for a loan now Trusted Partners gI;JCi)_lD~JdL'!D,Q~_Q_\,IQt~, Check Your CreQJ! Donate Your Y~hicl~ Iin~_!5!._B~gistra!i9_0_,EQ!ms Sell Your Car I[~I POwerc'd by AutoTraderl':;fl1;'/ Free Dealer Price Quote N~WCaLQI3-,jJ~LQjJQt~ Auto Resources Articles Tuesday, May 16,2006 ~ print this page lI,'Lerag~ Trad.!!-In Average Retail Base Price $6,850 $8,600 Mileage 48,500 miles TOTAL PRICE N/A $6,850 $8,600* Next Steps New Car Prices, Reviews & Info E[~I3_.Q~.E~LE'ri~~_QJd9J~ Get DMV Forms to transfer title Free VIN Check LQ.Clr1..r;:lt?$a~J.Q.""-_Cl~2Jl~% 6.PR Find this Vehicle Se II Y-9JJLC._<!I Save Hundreds on Insurance FREE Credit Report & Score QQDjlJ~LY our Ve111cle @ ~_mail-9Jci.I31Ei ~ Rrln.Ltb&.Q.2~ The free consumer values on nadaguides,com are based on the Consumer edition of the NADA Official Used Car Guide @, and should not be utilized for industry purposes, The consumer values may vary from the N.AD.A Official Used Car Guide @ values presented to you by insurance companies, banks, credit unions, government agencies and car dealers due to vehicle condition, regional market differences and frequency of updates, Average Trade-In An Average Trade-In vehicle should be clean and without glaring defects, Tires and glass should be in good condition, The paint should match and have a good finish. The interior should have wear in relation to the age of the vehicle, Carpet and seat upholstery should be clean and all power options should work, The mileage should be within the acceptable range for the model year. The "Average Trade-In" value is a national average calculated from the Official Used Car Guide's ten regions, The "Average Trade-In" value for your vehicle could be higher or lower than the national average due to your local market conditions, Average Retail Value An average retail vehicle should be clean and without glaring defects. Tires and glass should be in good condition, The paint should match and have a good finish. The interior should have wear in relation to the age of the vehicle, Carpet and seat upholstery should be clean, and all power options should work. The mileage should be within the acceptable range for the model year, An Average Retail vehicle on a dealer lot may include a limited warranty or guarantee, and possibly a current safety and/or emission inspection (where N/A Get tl }IOU' a1 grea1 A check I in as Ii 24 II !r~!t: ~---,_.- RADICALL' ~APPLYI :....u :::> :...v :0 :n '.1:) +::::. ~ '. I'.) CX> ~ <..D (J') ill C) W VVJ-\nl'lII'lU-' LWLllf""\L..,I\I...L...J Wlr\IL- l-r\vv,-" ..,--.-...- ...... (ODOMIER READING) IN CONNECTION WITH THE TRANSFER OF OWNERSHIP. F-!'ILU 0 COMPLETE OR PR(0VIDING A FALeTATEMENT MAY RESULT IN FINES D/OR IMPRISONM~NT. IMPORTANT NOTICE Please be advised that in lieu of notarization on this form, verification of a person's signature by an issuing agent who is licensed as a vetlicle dealer by the Pennsylvania State Board of Vehicle Manufacturers, Dealers and Salespersons, or its employee is acceptable. The signature and printed name of the issuing agent or the issuing agent's employee, date of verification, the issuing agent/licensed dealership's dealer identifi- cation number (DIN) and business name, must be listed in the space provided for notarization. Vehicle seller and purchaser must sign only in the presence of an officer empowered to administer oaths or an authorized agent as identified above. --1 "" <( ~ w sUJ "" >- :;; SELLER MUST HANDPRINT NAME HERE c. 0 ,cf:lF9f<JjfORF\l=f\P!,,1,1S::~TlqN..fOFl. [)E~LEF11Trl,EAN{)Gq!y!pLETFsECTION p,TJTLlNGFEES $ . . Cashier's Check ~ PNC13ANK l'NC Bank. N'Hit>l\,d Assuci;lli"n St>t\thccntc.1 p-\ 1'\J 0 . l <. 60-12.73/:11,' :OR\\t1\ 'LOb- lo',nS5.UGOG Date f"' i _~ ~ .', !...~ ,~',! ::.::' .',!I; ---- l"dY to the OI'c1t~\ of ;1' . ' ;11 "(>\-.. ,,~'~,!!~"'.t,~j;\"II":" ~;it:;'~ ,\ ;;" "":,, \'",,,:,',i:,~,, ";,f.. ':' 'f ,,,..,.:: . l+\llbl"..i.'t'.i. I <HiAf"\\lt i, "1! 1\ I.., ' .11 \ ~,,'\' 1',10',,/>.1 \Id.l".,\ r:I~"1 \ ;:~:.i'" ;::,'L~.tL::::-'''':-:::'-~;:';...2..;~.,~' -,'--, -.--'-:,.~,.,:-":. ~-:.):,.;:;,~';)'-' \$ "';' i 'i' .i..T I :\::'t:A,', {D '\. o'!' :'1-' T T' .'~'. '1', Dollars .,", it': REMITTER PNC Ball k, NctLion/1 ,-\sJiociatinn " // /~~' " ..::.::..---- . ~_ /l , // 1/ I I" ,r / /.." " r, '--'__I-X (-'." ,~~Al.L .,.;A:i":_.-!I...-i'v-, I ~. ;tv-'\...-- , v ~-~. - '" - - . (, ..' .' .-" - - .. '_/6FFiciA{S'IGI~ATURE i't ;'r: :).1_ :r';,if \t'i'\ i-.>.;;I.(n.,tr....!r.:: \r) II" ~ 20 9 5 B 2 115 I: 0 ~ ~ ~ ~ 2 7 ~ B I: 5 ~ ~ q q q 0 7 ~ ~ II" t--- ~ 0 = C) --q- (0 cry UJ 00 cry 0 = C> C> 0 (0 0 N C) -.q- ~ C> C> D C'~ c:> C> C> C> 0 ~ (") N c:> 0 ("oJ ~ 0' LU ~ L!') N~ 0.. LO 0 L 3 '" ~ 0) w- e"') U 'I. u.: +-' = ill ~f-iO Cl. ..:.:: C> >. 0.. N N ..0 "' .~ t---CL~ N L 0 \ t--- E rn co ~ U 10 Q,;? w- .n To .C) ~ '" Cl) ill = = :::J Co '" '" ~LU 0 :::J <C LL1 = on co -D U ..c L D 0 a, ~ --' <J: ill c.J '- ..0 .. en = l.L. '0 ro = en CL X iX Q)iXWCl Ql = 0> ,g (l) ill TO <0 U --q- =f-i 0 0) 0 w- 0. U,J----.J-l..o ..D LL (l)~~::E e"') c ~ C) Cl) cO E c: w '" co OiX-'..r:: (f) ~ .~ D ill u -= :::J ..Y: u on CL<J:l-<(f) cO 0 = o..=E= N :::J '0 w +-> ::E:u::r:~ r .~ <J:(lJLL 0 0- D co ,l-, 7 U (lJ +-' ill <J:NCL .... +-' +-' c: -' = '- ..c: CD 0::: C I.J '- -' I-- '* en (11 ::C-.q-::::;;:: .... c: <Cl :::J CD c.J >- = a: N :::l = G) 0 0 <i: LL ..0 ~ w :g :..J <J: 0.. :----l W c -'= -.q- L) E E Cl E [J) E -.q- "' :::J CD <J: :::J -0 if> 0 (J) = c: ,~ ~ D .0 -<C ~ 00 ~ 0 <Cl ill :::J 0. ~ ;Q 0 ..c: (J) 'l~ LL --- ~ w -0 0 cO C ill = ill :; ;0 ~ :g +-' en LL co ~.~ '- .c :::J 4- <a =- = '0 :::J 0 0 0 = """' = CL '- U ill C'J In C" :::J U (l) E = <a Co ~ ~ OJ 0.. <I: 0 :;; 00 ~ "' CD >-l .c ..r:: u .0 '- +-' 0 U '0 -= LL :::J (f) (J) +-' c. ~, 0 ill 0 >. ---- to :::J en en en == CL ;::: co -'= 00> .... . . Cashier's Check ~PNCBANK PNC'Bank, NClti<'''l<d ,<\;;s,xiatioll SO\lthcenlral P.\ No. (1 ~ ~ :::1 , .... .: ~.~> 60.1273/JI J ORIv1120ti.103755.0505 :1 "..1 i j. ' Date I' >,.}:i'>l. 1(,"'" . :?I...li,,:i(, "(\:n:. 1 II" ..'if'. : !J;' I,':"'~,r'<~~!!, ~~;~": ;'~i.j~';~:~'>:I~' <. . \';'''::'jd,;, , . ~;;\fi<'i; "~:~~~}'" r.[,W' . :~<::Y,~,II '.1 ',',. ',iI~;1 ',[I ?'I ::.1:.' ,,;~, 1:.,1, I,? C,! "tJ C\ LJ71'.'!tf !~j l'k;{~!~~~:~:L":,:~' '::~E5l\S!,~:'4~~~g~I" ,'I\\'~~:'i" J, ,-\-.+1', ,t, .'1', ..I" ..I, Ii""/" ,\' .1" Do II a rs tD Pay to the Oruer of I" , ~;. f '!l";; ':,':i . ,'~' \ : '-. REMITIER p'NC Bank, Nalional,Awf;)c!alion II . / // /' J'i c:-.--' 1f" '~:I . //~'{Y. ! . . 'r:;/'. ,;" ',' ,_ / 1./"'J"l/},....cS:'-'lu>i '__.' f-.. -?L. /.~ ._' . _ _ ~__.::-~=:":":..._ / ~ w-. .2 ~ ~.. _.._...___.._.H.. , .."'--...----- .......;; 'oFFicIAl-sIGNATURE / ,/ II" ~ 20 g 5 B 7 II" I: 0 j ~ j ~ 2 7 j B I: 5 ~ L. q q q 0 7 ~ ~ II' = ~ = = (0 C> = 0> 0= C) = CD = '6 0= == 0 0.1 = 0= == ...... v> ~ t- -= C'-J t:: 0 '" o:J (") C'-J = L ...... 0 '+- U ..c:: Lf) 0.1 ~ C':l ill '" +-' UJ ~ m - ~ 0.1 C'-J ..Cl '0 '" :::.::::~ +-' = >. E -= .0 -= 0 =:J =:J .0 ,.--..I-i = 0.. .Y 0.1 L = <l: - = :::J = ." en t- CL I~ .~ U <0 Cf') 0 L1.J = = '0 ~ .0 =:J p.j C'-J ill OJ ::J 0::: LL '" ~ 0 .... ~ UJ = u ..c: L <C L :::E: ill ~ ...... = ..c:: co ,..-- --1 <C ill L.) L ..0 -- CL m U 0- ~ U) '" ~ Cf') 0... X 0::: Q) Q) ill (l) 0 '<OJ' s::: '" '" "" 0 +-' 0::: u .0 ...... '" :Z:~---IE .D LL ~~+-'LL (}) u <n 0- .... U V (}) <0 E ..::.::: C'-J :::J m '" ...... ro 0 LL10:::-l..c: (f) .~ ::J b: <l: 'E f- (,) ..c: cr C> '" +-' ::I co U '" Cl<l:I-i(f) <0 U = .- (1) (f) ill ~ <U ~uIc3 ..c: .~ (1) +-' o:::(1)LL L ..c: <0 * en '" = '=' o '+- +-' +-' s::: <l:0:::1-i (l) U L.) ...... '" m = c:l co .<:: E 0 ~ <C0.lCL '- '+- s::: <0 :::J ..0 ill '" ...... '" IV:::E: :::J= (1)0 C) 0::: <l: E (J) (f) E """ e '" (',J <C CL E E <C ~~~ J-- >. .s .~ m +-' '0 ~ "<t' L.) ::J (1) <l: en f- ~ 0- '" m (,) (j) ::l :::J ......_~ (1) '0 0 ~ 0 <0 ill +-' L1... L1... (l) = (l) ~ co 0- -= rn <U i: -= Cl ..c: (fJ c +-' Cf) L1... = III (,) <0 :::J '+- Y-- <0 :3: co L ..c: 0 0 0 Cl3 = (l) 0 U) ::J U U C':l (f) 0 ...... -'"' '" ~ 0.... L U (1) ill E 0 <0 0- m to ...... III .. :::J <l: (,) U ill j--i ..c: ..c: w u <0 rn ::> '0 .0 CL L L +-' U U ~ LL :::J :::J (f) en +-' '- +-' 0 0 0 >, ____ <0 ::J .<:: '" ..c:: '" t:: Cf') cn Cf) cn 3: en CL ...... ::> ...... =:J . :-\ ,:! ~.PNCBANK PNC B:lllk. Naliun,ll Association SOUI!1CC n Ira! 1.':\ FOlll\i1120G-I0375S.0505 Cashier's Check . No. Date 1- ."'.F.:;!,',:: ~, j Pay to the ...... ".;;.' ,....",., I I $ ~c::c ;:\: ~~;~:;~l~r t~l.r~;1~~~'.lli;t:.f :!]g~;t.&;f~i[~liJI~6i! tUlti/liNi ,\:.".':~:"."l;~t'~~:?;~'~!~,:~;;-'~;LP--'(:~~__ .._/~:i7:::-\::,:::'i-';jLr-'~l-~';'" ,~'. ""I\; i I. I I '1 i" !\::.:!1'\ !'~.:(<ii!i':::.H"! REMITTER II" ~ 2 0 q 5 B 5 II" I: 0 J ~ J ~ 2 7 J B I: ~ p:) U ~ ~ o v o LJ.J ~ ~~ r=~~~ :=LJ.J~8 ~ --' <C C/) D- X :Z::~--.J..8 LJ.J=--l.-C o-<C~U) 9=U:I:m <i:C'-lD-u :I:ooc::r:.:E N <C VU .. +-' D.. ..Y U l1.l l1.l U ...c Q) U 0::: l1.l co (j).~ m u ..c .~ u_ I.... _ ::J 0 a.. CD o C> o C> C'-l C> l..C) co "'J C"-J Lf) C'-l ~ OJ tB- C> >. (""'...! L- <0 ::J l- I.... ..0 Q) Q) ..0 '-'- E ::J = Q) +-' +-' +-' c: c: co :::l ~= Q ::JQ)~ U (j) acoQ) o..c en U co I.... ..c: ::J U a.. I- :::l CL 60-'127:;'" ; -I ',,' .'1 ;1.:. Doliars en YNC Bank, Na;i~:1aJli~ssOC:::~_ 01," --r;i . 'A;{/--!~~-'r g;.!"X:/ " 4d~.:.L.t~:Q ~_:..4~~::J:-4./..""':'o_:,""$..--'~-~:_' o' j ~..li- OFFICIAL SIGI\IATURE I' 5 ~ .... 9 9 9 0 7 ~ ~ II" C> C> D- c..:> C> I-t D- C/) = LJ.J = --' <C <CI....= (l)=Ul= (l) +-'-;- ~w~~ D-=:ij,-,- (3=t;:: <C I-t ~ = <C C> C> C> C> C> C> W- C> C> N tB- ~ . u..c: L'~ ;g CU U U ..0 E en UJ ::J LJ LJ =c:c: :::l :::l +-' '-'- '-'- C ::J__ a 0 0 u U (l) Q) <LUU I.... I- '-'- :::l :::l 000 en u) C/) ro co CD C) 00 C> C) C-~ I.... M Q) N ..0 E =::J C) LJ..J = C> '-'- (l) 0 CD U ffi- v C Ql N :::l IT ill * C/) (l) Ev .~ r--- f- ~ -~ Q) ::r:: +-' en <03: = 3: o Ul [Y) (n E = iO QJ ~ r (- 4-J UU (f) en ~ L- A_ co ::J (f) 3:: co 0.... 4- o cu Q) '-'- o ..... U> L. co C. ..... 0...... u w ~ I'D -g <n o. ""r"l ~ ('[J :::J ~wQ-g~~~ (D OJ C U .L:::l +-> a.J U V') 0.. ~ IU OJ +-' (0 D W ~ .2 c ~ UJ cu ;;;. e:: ~ ~ Vl >... 0....... IU Z ~ .......... V.J (0 'C) D L. ~~~~'CJ a +-' OJ '" ..c: '" .g..a L. = = >- C D ~ +-' cu a.rac+->UJ ~U..2It:l:> ii; ~ ~ :5 ~ c =" fORM 1 :Wo-l03755-0505 :: ':!! Cashier's Check . ~PNCBANK PNC Bank, Nation,d AlSociatinl1 Snnthcentrall'A . No. Date r:: 1.'::1'-/: ll:.,r.;" ,,_.J "'> (~j ~._) 6~~ ~~ ~~ e " >'~'r:':\~t~fl) :".;~:i'l~:t'.~~'~s;l}::; "idC! i,n.:, I\BIIi':li~i'jil!: ~HJI'.'" tit :\:",=,. \:. i {~"rfr'-:-:-.,:'.:.':;=n~',"~~)/-ll~~1- ..\. : -, :~.~~I'f-,.e '''' 1$ {!;~::::::t,',,:; "i~:;~7;;~i:',J, ',>:ih. ',i;F\;kY",,; 'J";' 'fl':,!>':I;' ,{, '::':!.' ',':' ,), ':i: .:.:::,::: \' + ~,~.J!I:,', 'IV!I' ,'f~,~d:&B;.r:.,~" ""'t,J'-1i}~,:I", I, 'I' ,I., i ,I" I" ,,,' ,',,'," " ~\~~',.;,".,r'~";:".$,r ~'<'.~: ~;':' ri~(, '" l'I,i,': r"! 1::,'I','I,i,d, ::'i':<(:.' '11"'1:',::"';:,' \),'-,t';:.:, ....:: REMITTER '- Dollars 60-12/3/ ':'!i-: ;' CD :' f?~C Bank, Nati(?pal~~~~ocidtioil t/ , ~~' ':....---- ". i'~ /~ ~ .,w~"e-","'i- -:te>ic~ ;'O,~:2--LlL""'L,'- III ~ 209 5 B =) III .: 0 :1 . :3 . 2 7 :1 a.: 5 . L. g 9 90 7 . . III ~ p::J U ~ ~ LLJ ""=::~ ----. I-i a t-- CL t-- ~ ~N ~LLJ a '---' -..J -<C a CfJCLx -.q-=I-i 0 a LLJ -..J -..J --0 oCl::-..J...c: CL-<CI-i({) zu::r::<o -<CN u ::r::-.q-& N -<C -.q- U '. +-' 0. .::L U OJ UJ U...c: OJu 0::: OJ <0 ({)-~ ru u .r: U "I- '--"I- :::JO Q a COO a = a a C")N= COC")N en N~ ~>-.~ ~ NL. CfJ CL <0 = 0 ::::J Cl = .. L. CfJ _ _ -<C ~{3 a.;~ ~~ ~LL ~Q1::;z ::::J ru LLJ -_ a za.;":";Q~iliff 1:;~5 50::f- Q)Oo Lu LL E E Z ...... BB5-<c ~ alUQ) <C O..c U) Uru L...c ::::J U CL L. ::::J Q .::L U..c UJ({) '--..c <0 J5C)C) E U) (() ::Juu =cc ::J:::J -:=LLLL ::J "I- "I- 8 0 a UUJQ) -<Cuu L. L. LL::J::J aDo CfJCfJCfJ a = a a a a ~ a a N (0 cogs 00 =0 N L. C")Q) N --0 E a:l::J Lu :2: LL Q) Nu "'<Tc UJ N:::J 0- Q) *CfJ Q) E"'<T -- r--. I- _ ------,~ Q) Q) ::r:: UJ +->cn LL t1J 3:: .-- a3::0UJ EO('r) ~ 21-f...c...c (j) (I") -4~ ~ >.......... ru ::J cn2:COCL ~ ~ ..... a .8 (r.J ""D c: C) -::; 0 4- W w........ ~ co a a a ~ 'n ~~-2WL- ~u~lU3 '0 '" rn 5 ~ -5 ~ ~ =0 . . ,1\111206-103755-0505 -;''';11 ~ PNCBANK No. ~_.~)~." C' L'. 60- -127:3/313 Cashier's Check PNC Bank. N'llionaJ Association S"lIlhccntJ'a] P..\ Date :"':'1,:'::'; i',": - ""..I.:. Pay to the Order of ., i. I', Dollars CD f" 1'1' (d-'! l~':~:: ~',[UJ\:'!I:.' REI\I1ITIER -BNC Bank, Ndti;::Olnl A",ssociation / .iI ,,-/ __,/" , /(--. / .v-' r~4 ..;giZt~{Z1i~'4"1cC_.o. '- II". ?ng 5B~II. I~O ~ ~:!!: 27 :!B!: c: 1 L [J [J [J n 'J 1 1 II. ...J ..., I I IU I . ... 0 0 r---- ~ CD 0 C> OJ C> 0 C> C> CD 0 4- 0 C> 0 C> 0 0 N 0 00 C> C> +--' en ~ V ffi- C> N c: 0 ill OJ ("')N 0 '- +--' CJ -.- U -<.:: LD N~ CL ("') (lJ w ~ LJ..j en ffi- 0 C'J C'J ..0 <D W .D .D .D ::.:: -l~ 0 :>-. u CL E => => .0 ---. ....... 0 0.. ...Y N L I-i ~ ffi- CO :J 0 on '" r---- u CO LU = C> "-' r----CL en -0 '0 6 N (lJ (lJ ::J LU <t: LL ~ ;:; p:) ~ LLJ 0 o ..c L L= ill 0 -= -U:i ~-----l <t: iD Ll L ..0 ~::;!: (lJ= "'" U ffi- ,,,,- c: U:'.'i W <D ill C c:>'"-"'cn 0... X n:: (lJ ill +--'= "'" C u -= -s: w 0 ..Cl LL (lJ--=--- (lJ :i: UJ ,~ U v=....... ---' ..D iD CO E :>-. +--'= .::L. N ::J "-' +--' 1(;; OLU-----l 0 ill +~ 0= ---' ..c [f) .~ ::J ~I- E = U ..c cr => c: '--' 0...<1: ....... (J) CO U = (lJ LL (lJ [f) Q) w ::c ra ..c: -~ (lJ +--' '-- -<:: ra * en ~ = =Ll C == l- +--' "-' '" => u U '+- +-' +-' <t: CD U U c: -= "" 0 ~ <I: 0J CL '-- '+- C CO i3, >- LL ..D CD ~ ~ ::c "'<t' = ::J C) (lJ 0 I-i E (j) ill E "'" .-" = ~ CJ +--' m 0J <t: 0.. E E = ::J <:J <:J '~r---- ro +--' ro "'<t' u ::J CD <t: ~ C C I- ~ D- U, U (f) <I: ::J ::J ---- ~ (lJ '0 0 -0 co 0- 0 CO ill +--' LL LL ().J :r:: UJ ::J U U ("') (f) 0 +--' .- W CL L U (lJ (lJ E 0 CO 0- <D c: ~ ~ e ill '--' -. ---- CO ::J ..c: '" ..c: 2 l~ UJ UJ cn UJ 3: coo.. -:> +--' :':l . . ~ 'T \ .1 ;,.;; I ; GPNC13ANK No. ,t' i .~". , ; , ",-', <) () 60-'1273/313 FORM 120ti-11l:J755-0505 Cashier's Check FNC B~I1k. N,uioll"l :\.ssociatioll SOllthcelllr,tl FA Date j.. .. J::f':~!.J:: j-.: I" ,,. -" I.. ,I ~ _ .I <, PdY Lo the '\"! Ii'" I,' ' , -,', I $ Order of ,- , """1", !d, ;':.." I' '" . ..::,:;'l.~~'~~~~~I,~~, ." "~'?r"":\i:-:'''!(:L 'n ,;i~,i~:~',':':...-~t'~ _~';i:~r""';"tN' ":,~t.. 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'" :5 '" u CO lD L..- ..c: :::J 4- 4- <O3:~ :3 :::J U 0 0 C) 03:0 OJ on ~ 0... I- U C'J (f) '" .... ~ a.> '- ::J U ill OJ E Cl ro :i'; <D :ii .... a> -c:x: u u Q.) I--t ...c ..r:: '-' no ::> 0... L..- L..- +-' U U -= .0 lL. :::J ::J (f) en +-' I- ~ Cl 0 C) >'_<0 :::J '- e .... en en (/) (J') 3: CO 0.... >= ~ :5 c: ~ ......"."~.."..,.,......_,...h._'. - . No. 330-Fcc Sanple Deed-Tvpewnt.:r Printed and ~Qld by )"1'0 & Luhn! Co 11 N. 13th St. and 719 Walnut St. P . Jlti5 ~1tdtntttrt jAARbe tbe _-" 6--,..U )/ ~:;.':?~.;') t#(..f1 . i ! day of / ( .r . /. <:.-r/L-~:7~ f:lfty-three (1953); .I. i in the year of our Lord one t:houwlld nine ]ietwern BERTRAM R. PRICE, singlernan, hundred aild of Phils.c1e1ph~a, Pa.. (hereinafter called the Grantor ). of the one part, and WILLIAM J., MALSSIC and BETTY L., hi s wife, of E:ast Pennsboro Township, CUIl1berland County, PP. (hereinafter called the GHlDtee ), of the other part: Wit nC55ctl), That the said Grantor for and in consideration of the BUID of Nine thousand Seven hundred snd fifty Dollars lawful mone)' of the United States of America, unto him well and truly paid by the said Grantee at and hefore the sealing and delivery of these presents, the receipt whereof is hereby acknowledged, has granted, bargained, sold, aliened, e)J-feoffed, released and contlnned, and hy these presents do es grant, bargain, !;eIL a lien, enfeoff, release .and confirm unto the sHid GranteeS, their Heirs and Assigns, as: tenants by the entireties; ft~L THAT CE:RTAIN lot or piece of ground with the buildings and improvements thereon erected SITUATE in East Pennsboro Township, Cumberland CountJ, State of Pennsylvania, and described according to Plan of Lots, Louis Park, 'made by D. P. Raffens-perger, Registered Surveyor, on December 21, 1951 B,nd recorded in the Office of the Recorder of Deeds, Carlisle, Penna. in Plan Book No. 5 -p8.ge 50, as follo171s, to wit: BEGINNING at a point on the Northeast side of Oliver Road (Fifty feet wide) at the dist~~ce of Six hundred Eighty-two and Ninety-six One-hundredths feet measured along same South Forty-six de'grees No minutes East from its point of intersection with th'3 Southeast side of Louis Lane (North) (Sixty feet wide). CONTAINING in front or breadth on the said Oli ver Road Sixty-four feet measured South Forty-six degrees No minutes East :from said beginning point and extending of that width in length or depth North Forty-four degrees No mInutes East between parallel lines at right angles to the seid Oliver Road One hundred Ten feet; BEING Lot No. 63 on seid Ple.n; " !. . . Being part of the same premises which Louis Park, Inc., by Indenture bearing date the First day of August, A.D. 1952 and recorded at Carlisle, Fa., in the Office for the Recording of Deeds in and for the COlmty of Cumberland in Deed Book B-15 page 21.7, granted and conveyed unto the said Bertrsm R. Pri.ce, in fee; UNDE:R AND SUBJECT to oertain covenants, conditions and restrictions as of record; /' /' tYIoQ;ctuer . "",, with ,dl and siugulai buildings, improvements, . 2treets, alleys, passages, waters, water. courses, rights, liberties, privileges, b~reJitailleIJt6 and appurtenunces whatsoever thereunto belonging, or in any wise appertaining, and the reversioIJ3 aud remaiuders, rents, issues and profit;; thereof, and all tbe estate, rigbt, title, interest, property, claim and demand whatsoever of the said Grautor ,Ill law, equity, or otherwise howsoever, rilf, in, and to the same and every part thereof. 1.[0 babe anb to fJorD tbe said lot or. piece of ground above described witb the buildings ana improvements thereon erected, bereditaments and premises hereby granted, or mentioned and intended so to be, with the appurtenances, unto the said Grantee s, t.heir Heirs aDd Assigns, to and for the only proper use and behoof of the said Grantees, their Heirs and A ssigns forever. UNDER AND SaBJECT as aforesaid; 6''/ '.l'o . r:,t 11.>.; the, .aul Gra.ntor, for himself, his Heirs. E\:ccutor.>, aud Administrators !:w3sby to aId with tb.c Baill Grantee s, their Hei rs He tbe said Grantor, hi s thc8e preEent.3 covenant, grant and agree, and Assigns, that Heirs, all ~JJd .;illg\.lLno t"l.:tc uereditfiJD.Cut8 aDd pre.n.lises herein ue.scriheJ. '-\11("1 granted, or mentioned amI iutcuJ(;d so to} be, mIll the appnrtcmmee:!, unto the said Grantees, their Heirs and Assigns, against him tbe said Grantor, hi s (" Heirs, ,md (Ji',,,iust all and every other PerSall and Persons whomEoever lawfully claiming or to clnin: the o,\lilC OT l1D)' par! thereof, by, from or under him, her, them, or auy of lh'2m, Shall and Will, subj ect as aforesaid, \'\fARRANT al'cl fOl'l':ver DEF:E:t'fD. 3Jn l~Hnttz Wbenof the said party hereunto oct his band and sea] of the first part to these presents Dated the day and year first above written. g.i~11l(,ll. g.fu!r!l n,," JSdinrrro } IN THE PRRSti:NCE OF us: /.j 1~:"p\.A/VlAj\/\)\../ ' ....-..----..,.-.-...--_...........-. Bertram R. Price ~ ~ f) ./l7/!11 / c/ I,.:", ,J ,',.....~..- ~!3'6LJk nrrE i,h;i!iJi~.,t,1)~;i ~~= '..:.... R EC E [VE DOli the ddY 0] the dale of Lite! nb01..'e Jllden"~l'e (I] t.he t1bovc'-UI1I1U:d Gi"anfcc S, mentioned consj.deration money in full. the hereinbefore WI':. ..N. ESS ^ T SIGNIN., G: . } /.//1. 7.n .":11 j o;;::;::/r3."~ f..J -, f ~UL~,GV\/V /(; . Bertram R. Price. I:, '>\./.t2 Olv' T/-JE ~ /-, ,-~ day of h Commonwealth of PennE;yl'mnia, A11IIv Lh.'1II1"n.l 19 53, ~~r:I{jn' me, the s"nserin,,-, a NotaD' Public for the of Philadelphia, pl!1"SDl/a/ly ap}r:!I."rd (lit nOO'i.'C.i.'amtd BE.RTRA.t~ R. PPtlCE:, residing in the City singleman, I1fa'cllt1,re fa be: his Glld ill- due (C i"J II l:f law ackllo,o/edg-ed the abot-'e art aud d,J(d, a1id dcsl1"t:d th~~ SG'IHt' might be t'Ecorded OJ S1lCh. rV17.1.VESS 1/1)' //rHld n:Zd Notarial seal tire dtt.v and yem" afo;'esnid. /) I Il I}/ l1-o-~~!~ t;/Y--<--~ NOTARY PUBLIC My Commis"on expires Jan. 7, 1955 The ,",sid,,,.., of IIIe u,iilll'''-1Iamd C"",,/,-, I. Oliver Read, E;ast Pe?n, sbo!,',? Twp. C~P7rland Co. Pa. O " . . 'd r t ' / ' / 11 t't'l1aU (lJ Sdl l.:r,'all ,a. I,. it.>./ ,-..i ~~/ .(' f ~="~~\~"'~=~="."==~~=c==,=~-=="'~==~~==,,==,====="====~=~~====.===cfl~~~~~~::'::=~~.'~---=,_.ti)'=.=~c~~~;~"J="~"""f== I "(j ( . \ "I L ~ t 0 OJ "';~:;:'~~~'" \ : ~ 0 l~., t.e' "~j ~ ~ ~ {~ ..:) r': "\ es org .:~~, L ~ ~~p;'?-?, ; ~ Q).-4 i .A-. .. o I>-. Z+'+' +' ~ ~..... o eLl 0 ~ t) .. I ~ 'g 00 oj oj <IJ A-. .--l 01 H -g~Jl ~ g ~ A-.~t) ~ :', :.. i~ I ~\ +' <IJ , :~..t I " l':,j 1\"" it--- 1'(';:, I Cil U ~ P-, o +' .. t) H en eLl ~ Vl -" p.;! ..., i. = ~ !r: Cil ~ ~ H ~ ~ ~ c U ~ ~ !~ \:;; ~ ~ f, zr I ~ I., :~ RECORDED in the Office for Recording of Deeds in and for CUM8E RLAND in Deed Book J No. 15 page 123 1..1~.C. WITNESS my hand and seal of Office this 6 day of AUGUST Anno Domini 1953 . . Estate of William J. Malesic Pennsylvania Inheritance Tax Return Form REV-1500 EXHIBIT C Documentation of Expenses ~ tcharcLson CJ u.neral CJlorne, CJ nc. I EONOvLA~ PA'j7'025 -... .- . (717)732-0587 MICHAEL G. MURRAY ST A TaT OF lFlJNERAL GOODS AND SERVI ELECTED SUPERVISOR . . Charges are only for those items that you selected or that are required. If we are required by law or by a cemetery or crem"cory co use any ItemS, we Will explain in writing below. If you selected a funerallhar may require embalming, such as a funeral with viewing, you may have to pay for embalming. You do not have to pay for embalming you did not approve if you selected arrangements such as a direct cremation or immediate burial. If we cha'lsed for embalming, we will explain why below. For the ServIce of ~: II/c; ".". .~. /'>7 (/ /r , .' L Dale of Death ,I> .... - n /' "C /) 'l~ dI <' Charge to: f3or//4"'~ L, ,ifYC{/SeJ/)S /~ '1 kef:. /~.')/;' (7('4'" (". E:?,.,r:::.. /J,9 /70;;;.<:- Name Address City State . s_ i iJ 1:'/'( / / {lei 0.. ,'jl... l~~ I..' .j..../"/ I~J'" r' 'J"" REASON FOR Et'lBALMING .j! 1..?{ _ ? - ~ 1" . , ~ /(7 ,,;1-1'(7 \ f,~ J . 7~'<<<:! _.~..,..' - G) If any law: cemetetY. or cref)1~(ory require':"e:ns hav/~equif(qlthe purchase of any of the items listed above the law or requirement is e.q,L:lined below. A. CHARGE FOR SERVICES SELECTED: 1. PROFESSIONAL SERVICES Services of Funeral Director/Staff . Embalming . Other preparation of body Other clothing $-711/ C= SpV';;'-- Cremation urn . . (Description) OTHER I SUB.TOTAL OF PROFESSIONAL SERVICES. .... Al 1_ FACILITIES AND SERVICES Use of facilities and services for viewing (VisitationlWake). S ::;l7':i/c:.--- Use of facilities and ser/ices for funeral ceremony I__ Use of Facilities and services for Memorial Service Use of equipment and s<rvices for graveside service. S--:-. Other use of facilities TOTAL MERCHANDISE SELECTED.. C. SPECIAL CHARGES: Forwarding Of remains to (Funeral Home) Receiving of remains from (Fun<ral Home) Immediate Burial. Direct Cremation. SUB-TOTAL OF SPECIAL CHARGES D. CASH ADVANCED Opening Grave Cemetery Equipment. . Lot and Deed. Newspaper Notices-Local Newspaper Noticos-Out-of-,own . Telephone & Telegrams Airfare. . . . . . . . . . . . . Clergy/Mass Offering. Pallbearers .. .......... Certified Copies of the De'th Certific,ate . Police Escort r.> Flowers... i.\. ; c~i ';j.' Vault Service Charge. I SUB"TOTAL OF FACILITIES/EQUIPMENT. 3 AUTOMOTIVE EQUIPMENT Vehicle to transfer remains to Funeral Holl).e-- Local. .. ....................... I..L /'//G. Hearse (Casket Coach) Local. . Limousine Local. . Family car Local. . . . . . . . . . . . . . . Flower car or floral disposition Local Lead car/clergy car Local. . Car For pallb<arers Local. . . . . . . . . . . Out of town transportation A2S_ IZ'/VC 1_ /-'-/d ,') 0,'" (.."7~. (.{. r ....{ 1 ~ .,~ 5 ~rcoi , ~ Z ;:{:f . /)( J ,<-1"//",4-' / I ,7;-;/0 I S 1_ / I SUB-TOTAL OF AUTOMOTIVE EQUIpMENT. . TOTAL OF PROFESSIONAL SERVICES, FACILITIES AND AUTOMOTIVE EQUIPMENT A31_ SUB.TOTAL OF ADVANCES. . We charge you for our servicos in obtaining: (specify casb advances tbat are marked-up) B. CHARGE FOR MERCHANDISE SELECTED: Casket. . ..hk/..(e:/J L.-/ /J. ? . .. I ~-...-.;/.:;/ (Description) ~f7?.//i-l- A/ ~ L/ 6'-.<::'-= J/c.VC",/,J/E'/ Other !feceptacl? . . . . . . . . .. ....,__ (Description) Outer burial container. (Description) Acknowledgement card" Register book(s) Memory Folders Prayer cards Temporary grave marker Burial clothing. I : :z::::: 1"............ i y;:r-- ~- 1_- B I (1_ 1)//0:..- I I 1/'\O,cJ'" I I I I;) -(Ci ,,'" I $ $ S 1~;1 u d~(()" .j DI~"~ s)110"::"'-' s7:BO-.JO S~.~ <:0, S I agree that I h,ve examined the items of goods ,nd services selected ,bove ,nd found them to be correct and according to the arrangements I h,ve requested. I,cknowledge "-. rewpt of, copy of this Statement of Funeral Goods and Services Selected. I represent that I have suff,cient funds avail,ble for p'yment of the cash pm" for tho goods ,nd services selected. I ,Iso agree to make p'yment of 1 ~.... within _ ....- d,ys. I agree to be joinlly and severally li,blewith ,nyone else who signs below. A 1m charge of _ / per month ,mounting to .,; per year will be appli~d to the unp,id b,l,nce beginning dap from the date of this agreement. I will ,Iso pay to the Funer;t1 Director ali reasonable costs paid by the FuneralO"ector to coliect amOllnts I ol\'e under this agreement. Thos~ costs may include attorneys' fees, court costs and other COSts. Any Jdditional services or merchandise ordered or requested 2fter the date- of this agreemenl will be considered part of this agreement)'," d the:,\ost thereof wili be refleered on the fin,l bili or statement. ~.. . / '-'-\J , +-- '-0 c '} '7,- Of (Seal) ,-;:j" , 'J(" , .. k' I -'-^-) f,v,- \, . '- L '. \..c (purchaser) ....-;!. . ,;( '~e) ,-;? ....' (Se,l) e:22~~_A-.---~~", ..;::;;:;t.;";"':-~ (Purchaser) (Licensed Funeral Director) / / (!) Pcnnsylvmia funeral Directors AS50chlion WHITE Funeral Director YELLOW Funeral Director V form - 600 Revised 4/94 .J ,J't t;j......j ~~ ~-) ,g ~~\ ::_) J >;J. '~- j~\ {, , ' ?<='4\ \ ,--' .:J ,-.J ~, ~ .~ ")' ~ : C> """ '" '" '" z-a:<s> ~---,r-- t;:j~~ W ~ l.JJ ~ ...-t CJ~ _ f1J ~gsS(J) "':z:o z :z: ~... UJ "'" a:,,- UJ 0< . ."'::t ':!:"i ," . , \ ::E I Q.. ,-l -Q) 0 0 0 <D>. ,-l lUO '<T '<T '\ 0>- ~ i c-- lUC r-- .- L cry cry (") 0> +-'0 cry LL Q.. 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'00 <Xl +-' ro 'O(f) Q)C)(J) Q) 0- L <C ----- om +-' .- L TIroO"'''O~-Q.) (") LQ) r-- ~ 0 roID L I Ul ro e.-- 0 Q..D Vl- co f-- Q.. 0.. O,-l:::l- ..- CO U " ~ ' ;.:".1 , '::::'1 C~:' i..:. ~:::> .~~ G> ." co '" ~ ..--4 r- <-c> r- r- oo ....-. mm <-c> <-c> __ -= = .... -~ C> :> ~ >- >- -a: 0. C> o => - WOW", >- w ~ - (\,I:::.::::Z' e:z: o-a:-a: ..,:c In I-- W ~ :0- '-' <I: :c ... <s> .... <s> <s> "" '" ;S ~ '" ." '" (1)'" """": "" , o~-5 .- .... ..... "::"MIIJ ~""'" 00 m OC> <:s:> -=- <:s:> <..L> m OC> r- ... ... ... ... ... ... ... ... ... ... ... ... 8 ..%; ~ o . -a:: ..,~ 'u_ Z ==- ..., -= C> <-> '- 0. 0. -== n:J -+--' C> ~ -. . \ The Catholic Shop 5285 Devonshire Road Harrisburg, PA 17112 717-657-8747 Thank You for Shopping with Us Today! Store Hours: M - W & Sat. 9:30 - 5:00 pm Thurs. & Fri. 9:30 - 7:00 pm 14-Mar-06 4:25 PM Clerk: Ellen Register' 4 Trans. .5674 * - Non Taxable Items '. HBTMCOEWCD 1 $16.98 On Eagle's Wings Total Items: 1 $16.98 Sub-Total: Tax @ 6.000%: Total: Total Tendered: Change Due: $16.98 $1.02 $18.0Q,,_~ $18.00 " '''1o--:-~ Payment Via: CHECK // .-- ~\ - ($18.00 ) '~ Returns within 30 Days with a Receipt. in New, Resellable Condition are Cheerfully made. . t \ \ USPS. ENOL A ENOLA, Pennsylvania 170259998 4134870025-0097 03/22/2006 (800)275-8777 01:49:28 PM Sales Receipt Product Sale Unit Final Description Qty Price Price 39c Ndn Lib/Flag PSA ENOLA PA 17025 First-Class 2.50 oz. 3 $0.39 $1.17 $0.87 -------- -------- Issue PVI: KANSAS CITY MO 64155 Priority - Flat Rate Env 8.50 oz. $0.87 $4.05 -------- -------- Issue PVI: $4.05 8 7.80 Ndn Lib/Flag PS Bk 1 $7.80 Total: $13.89 , Paid by: Personal Check $13.89 Order stamps at USPS.com/shop or call 1-800-Stamp24. Go to USPS.com/clicknship to print shipping labels with postage. For other' information call 1-800-ASK-USPS. Bill#: 1000301777701 Clerk: 22 __ All sales final on stamps and postage. Refunds for guar'anteed ser'v ices only. Thank you for your business. Customer Copy "S/pharmacy'" Expect something ext'l'l- 12TH & MARKET ST. LEMOYNE. PA PHARMACY. 761-1995 STORE. 761-6355 REGIlQ 2~1l065403 STRll1622 ---------- U I G IT A L 4 X 6 -------~--_ .29 9.57T . DIGITAL 4X6 .29 3.19T nm-r3 6 6 BRKR BP C 15ST .99F 45 ITEMS SUBTOTAL 13.75 PR 6.0% TAX -'-7 . I I TOTAL 14.52 CASH 20.00 CHANGE 5.48 1111111111111111111111111111111111 5162 2608 2227 6029 RETURNS WITH RECEIPT THRU OS/22/2006 MARCH 23. 2006 3.19 PM ExtraCare balances as of 03/15 1ST QTR NON-RX SPENDING: HALLMARK VTD TOTAL: 55.46 1 ************************************** Enter Our Monthly 52,500 Drawing! lell Us How We Are Doing, :CALL TOll FREE NOW: , -800-998-170'1 HablaMos espana! RECEIPI ID ~: 35~ 8~O ~01 CUSIOMER #: 750 ~17 36 Offer expires at the end of the ~onth See official rules in store for details. Open to US reSidents. age 18 and older. No purchase neceS5ar~. Void where prohibited b~ law *********************************.***1 THANK YOU FOR SHOPPING WITH US ~(-:;D("i;' ,_..Jil~ ;;? )!, 1 ~ Compose Mail Inbox (354) Starred <{~? Chats Co') Sent Mail Drafts All Mail Spam (551 Trash Contacts ..... Quick Contacts .""""_ 'k"N"'''''''''''''''>>>>'+''''''''~''''''''''''>>>--~''''>o.~.''''''''''''''' ;Search, add, or invit ,gi, barbara parsons I ~;- :-~---;----,--J \ ,:,el S~~l~~_r_~tj ""'-. \ Allan Parsons Sorry, I ran out for Add contact Show all ..... Labels ?l!~r~ons (14} AJ1,Com . -......--...~--_._-~ bambi neville {11 beth eBav (2} epocrates.com (6) H21\ Personals --,_.-.......~...._-----_......_........_-- Hallmark r~~C!t~h .c_Q!}u,!:iQl nmichaelian (33) ptaxo P) tjguet f1owers~ robert davis (9) sandy warner~ Slores vonaqc(481 f: (jiU9l)_~;b ..... Invite a friend Give Gmail to: Send Invite 100 left [JLevL~~nvit~ . barbie.parsons@gm.om \ Settin~s I Help \ Siqn out Search Mail Search Show search opliuI1S Create a filte r ESPN.com _ Maqazine: WBC druq testinq is not up to code - 9 hours Web Clip I_~J \_?,J << Back to Inbox ,_..t.~E~l~~j......~.~E?rt..~~~"J More actions... < Newer 5 of 522 Older) Grandpop's Funeral (Travel Info) ~Q.box ~~lJ2ar~oll~ Allan Parsons <'MtilJ(\lmxo(jl~aj\:l1\aJ1lT1IZ.(:2ttJ.ays:;ag:m)Vlelanie, me \ I I \ MELANIE (Confirmation: BKFQQA) ------ --------- -------- ------- ----------- ------------- ----- DEPART: 3/15/2006 @ 9:20P from PVD (flight 1876) ARRIVE: 3/15/2006 @ 1 035P BVVI " DEPART: 3/18/2006 @ 6:25P from BWI (flight 2310) ARRIVE: 3/18/2006 @ 7:35P at PVD COST: $227.10 ------------------------ ------------------------ ALLAN (Confirmation: BRWQQL) ------------------------------ ------------------------ DEPART: 3/15/2006 @ 7:25 from KCI (flight 1987) ARRIVE: 3/15/2006 @ 10:40P at BWI DEPART: 3/18/2006 @ 5:50P from BWI (flight 435) CONNECT: 3/18/2006 @ 7:55 at MOW (flight 2770) ARRIVE: 3/18/2006 @ 9:20P at KCI COST: $487.40 TOTAL "cost: $714.50 "'------.- ..../. ..' "J ----------------.-------- ------------------------ They wouldnt let me put both tickets on my rapid rewards account. I booked both tickets through SWABIZ, and therefore you should earn double points (4 for me, 4 for melanie). So, since I couldnt put melanie's points on my account, I made sure they added them to her account. 2 - 3 days after you fly, make sure the points are applied to your account, Melanie Southwest's phone number is 800-435-9792. Also, since I couldnt get a hold of you Melanie, I booked your return flight right around the same tim~ as mine so that it is convenient for Mom (or 3/15/200G I: \ 3 p~ EnUIPME~T SE~VICE REPAWND EVALUATION FORM Date /!..f ( ! ;) I "~)((j.C,,:.. Work Req.uest&.. ()! rgo ~I ( t ,I <--rr- '1/1" ! Customer Name './.jQZ'frl..-1 ')j?IU':.lAA..~ , ;1 Ce. C'i \(~l ~( c Address L( CJ -' .iL L'-c'.;( '4 '1-,' C- . 'lg t-I I..~ HEATING' COOl/NO L ,.' /1 ....1/( .<1 -'(:'f..-_, 1-800-322-6013 Phone Number Account# '1 .I . r l 'fll (~<A..Z- ;4'({rGf.;;U' , ,) - ...-- 'J' (/ : '.._",..>-1/It....1..",,>-I.. "',."',-.....A'''(. 1/1/, Customer Request: /1 '[:2-1__-'- ///1 (/ //~ I~ Ok-i~ >-<::><. ~ ~._;-L~___ - IN HOME RECOMMEDATION Appox. Fuel Equipment Type Type Age * Manufacturer Replace Maintenance Service Agreement House Heater Central AIC ~._.__. Water Heater Room Heater * NG=Natural Gas, LP=Propane, E=Electric, 0= Oil, W=Wood, C=Coal lime Arrived: Time Left: COST FOR SERVICE CAlL Parts C. _sc,:':... ---..... () {,?C,_. (i -/' : I//.,,/A //. /-1' / /. :' './' /.' . . ..' "'-, /.', / (/ j (:( y, /___ J t \ ~.: ,'[/ ~._ l.. - -- "'''. Labor Service Technician Signature Tax Total C'f'{.\ ---.--- o Service Agreement Customer -- No Charge ""~',,"'~ ,<:"") "'r.""';',,,'A~ r'~ .~~-"'iI'''''''''''' ," ~.:......, '~iJ~ oJt~~-", \l,. - O~ De Customer Signature o Check o Cash Expiration Date / / O.O,-0417JO, WHITE - Customer YELLOW - Local Office PINK - Headquarters rv1ichael Albright. . INVOICE 171 South Enola Drive Enola, Pa 17025 Phone (717) 554-71450 DATE: April 18, 2006 INVOICE # 100 BILL TO: Barbara Parsons FOR: Service Upgrade 68 Oliver Road Enola Pa 17025 DESCRIPTION JOB LOT AMOUNT Change panel, extend wires and upgrade to meet 2006 electrial 1.00 1100.00 $ 1,100.00 code Square D Homelite panel including breakers misc materail PAID IN FULL 4/18/06 I SUBTOTAL $ TAX RATE SALES TAX OTHER 0.00% TOTAL $ 1,100.00 Make all checks payable to Michael Albright Total due in 30 days. Overdue accounts subject to a service charge of 10% per month. Any/all returned checks are subject to a $20.00 fee and the 10% service charge. THANK YOU FOR YOUR BUSINESS! ~press Financial Services, Inc 75 Grandview Avenue uite 103 amp Hill, PA 17011 100) 422-4169 !NAL . L-J ' ,....... l.. ~ "''','' , 0 VA 5. iii CONV. INS 6 ESCROW FILE NUMBER: 00030397-003 YS 7. LOAN NUl 0789855 )C I 'l.C"I'C'~ I ,J' r-'\ I c,."c..'.' 8. MORTGAGE INSURANCE CASE NUMBER: HE: This form is fumished to give you a statement of actual settlemen! COSls. Amounts paid to and by tile seNlement agent are shown. Items man<ed "(P. O. C.)" were paid outside the closing; fhey are shown here for intormational purposes and are not included in the totals. JORESS OF BORROWER' Kathy A. Milliken 68 Oliver Road Enola, PA 17025 Betty L. Malesic ,ME OF BORROWER ~ME OF SELLER: DORESS OF SELLER: ROPERTY LOCA nON HSBC Mortqaoe Corporation 2929 Walden Avenue Depew, New York 14043 68 Oliver Road Enola, PA 17025 Cumbeiland County G8-13-1002-020 AME OF LENDER DORESS OF LENDER ;ETTLEMENT DATE: SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION r.rc;R6'ss*M0UNJ;D1JgFRciMrB0R-R0WEW:';;;~1:t\fj~t\;0~b:({jf:f,;$i;r,:Nf~~'4~o:O~'G R'6s~iJlMQWNED:.' 'EqJj:;S~EtmER!.1's~!\\;j<!~)1f<'f(.'tJ;:,\\\'~l'~~fA(:1;~!q;.'tif;~S; Contract Sales Price 117,000.00 401. Contract Sales Price 117,000.00 Express Financial Services, Inc. 275 Grandview Avenue, Suite 103. Camp Hill, PA 17011 4/27/2006 PROP.^.TlON D!>.TE: DISBURSEMENT DATE: 4/27/2006 ;ETTLEME~n AGENT, 'LACE OF SETTLEMENT: Personal Property Settiement charges to Borrower (iine ,400) Payoff to 2006 County Tax Payoff to East Pennsbora Towns ADJUSTMENTS FOR ITEMS PAlO BY SELLER IN ADVANCE, Cityrrown Taxes 7. County Taxes 3. Assessments 04/27/06 to 06130106 9. O. 1. 402. Personal Property 5,114.19 403. 289.88 404. 115.00 405. ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: 406. Clt rrown Taxes 407. Counl Taxes 169.06 408. Assessments 04127106 to 06/30106 409. 410. 411. 169.06 4. 412 413. 414. 415. O. GROSS AMOUNT DUE FROM BORROWER: 122,708.13 420. GROSS AMOUNT DUE TO SELLER: 117,189.06 o~1Ar;;j?j]).Bi~\i~;4Ipi~XiQR;WX~~H:A~~fo:F;:igQfr~'QW@}'[~~~~'t~'1jj~~~i!G{:{{~QQ'~]g.qiiQi\'[Qil:~!ftltA.&i~g:gEillrQ~~]M~g!Jg~~X$~~i~~f~~;BiiQ;\~~}j 1. Deposit or earnest money 2,000.00 501. Excess deposit (see instructions) 2. Principal amounl of new loan(s) 92,000.00 502. Settlement charges to Seller (line 1400) 3. Existing loan(s) lakensubjectto 503 Existing loan(s) taken subject to '4 504. Payoff of first mortgage loan IS. 505. Payoff of second mortgage loan 16. seller assist 2,000.00 506 seller assist ~. 507. IS 508. 19. 509. 6.643.04 2.000 00 AOJUSTMEt-lTS FOR iTEMS UNPAID BY ScLLc~ o CityrT(ll,'m la:!ec. ADJUSTMf:NTS FOR !TEMS UNP.A.!O BY SEl.lER I 1 County Taxes 01101/06 In 04/27106 92.13 511 County Taxes 01101106 10 04127106 92.13 12 Assessments 512 Assessments .~ 13 513 ..- 14 514. -- 15 515 16. 516 17 517 lB. 516 19. 519 ~O. TOTAL PAID BY/FOR BORROWER' 96.09213 520 TOTAL REDUCTIONS IN AMOUNT OUE SELLER. 6.935.17 ,,,,'~,,"H )1 Gross amount due from Borrower ( line 120) 122,70813 601. Gross amount due to Seller (line 420) 117,189.06 )2. Less amounl paid bylfor Borrower ( Ime 220) 96,09213 602 Less reduction in amount due Seller (line 520) a,935.17 )] CASH ( ~ FRor~ ) ( 0 TO ) BORROWER I 26.61500 603 CASH (0 FROM) IIiJ TO) SELLER' i 103.25389 510 CllyfTown Taxes b.,SEo ON PRICES 117.000.00 @ lIVISION OF COMMISSION (LINE 700) AS FOLLOWS: $ 2.653.BO to Brokers Realtv $ 2.900.00 to Prudential Thomason Wood Commission paid at settlement 54.967.52 BOR.;;~~E~'\~~~NDSI AT SETTLEMEtH SELLER'S i= NOS AT EMENT 4,967.52 Loan 'Origination Fee Loan Discount Fee Appraisal Fee Cred',t Report Lenders Inspection Fee Mortgage Insurance Application Fee Assumption Fee i. broker ree 10 ACA Mortgage Co. 500.00 I. commitment ree to HSBC Mortgage Corporalion 525.00 ) processing fee to ACA Mortgage Co. 495.00 I "See attached for breakdown (1,541.00) 53.95 ~i~i;,r;~M,S~8i;,ql.l.iR~P'iJi3;y:?~gt)J::i,@\IQj~J:,ieft,!Q}!~iif:9Y.AN9 i':;\t~%':,,;~~.~;'~?}~:l~\;(F:~~;11tt:S"f~~'}{8*:zt;M'!F~q;g'~it~~!;,'-tT~f0?Jt~~'i;f(<}!?"~'~;,~!!i{;!~::j-;if*Wi:rft.~,;,%j] I. Interest From 04/2710610 05/01/06 @ $16.6111/day % (4 days) 66.44 ~ Mortgage Insurance Premium for Month(s) to 1 Hazard Insurance Premium for 1 Years(s) 10 Grove Insurance (299.00) ~ ldA 5ervice fee In F:rst,6,mer!C:2~ 79.00 ; flood cert fee 10 Timberlink 18.00 O~~REfS'ERYI~i;6.~p,i:f~i:(EqlWli8tC!E(Ntl~'R;*'W~(tt1~~~"%~~~~ti[;ff1f.c*;:~mtt~$t?'Mg'~i;fi;;'~1ii:t,;1i{~\j~1~j):*\~~~X~0J@~1~rlf,~~~t-jjff'i5~4:1;i';it,I@!~i;;,"ti'{i{) 1. Hazard Insurance 3 months@ $ 24.92 per monlh 74.76 2. Mortgage Insurance months @ :$ per month 3 City Property Taxes 3 monlhs @ $ 23.68 per monlh 71.04 4. County Property Taxes months @ $ 24.16 per month 5. Annual Assessments months @ $ 89.85 per month 6. months @ $ per month 7. school 11 months@$ 89.82 per monlh 988.02 8. Agg regale Adjustment -194.40 }1. Settlement or closing fee Abstract or Iitle search Title examination Title insurance binder Document preparation Notar; lees Attorney's Fees (includes above items numbers' 08. Title Insurance to Express Financial Services, Inc. (includes above items numbers: 8.1 +1 00+300 reissue Og. Lenders coveraqe $ 92,000.00 10. Owner's coverage $ 117.00000 11 tax search lees to Express Financial Services, tnc. 12. cauner fee to Express Financial Services, Inc. 13. csl to stewart title 35.00 OH.~\';c:;,Qg~.@ME~:D;'8'~99E6.Xt:i~~AN.P.];tW;f:l.Sf~R'~9BA8q:g~t1%'!tW'~f,t~~1l1~t~~~~t~,~ii~f!*:$~f~il~}~*,!\;gjp~jg!~~I~~;Ji1.B~)i';;3~;~~'{[:l:'ttr1tl~i$rt"~ )2. )3 )4 ;)5. 06. 07. 100.00 to Express Financial Services, Inc. 999.38 . ) 5.00 30.00 01 02. 03 04. '05. looj~:ADDIT\ONAL,sE#G~0ENiiCH"3':GE~;;i;:,;L Recording Fees: Deed $ City/County taxlstamps State tayJstamps POA 10 Recorder of Deeds 38.50 Mortgage $ Deed $ Deed $ 64.50 Retease $ Mortqage $ 1,170.00 Mortgaae$ 1,170.00 103.00 1.170.00 1,170.00 3050 :;::\:~;:)' /l5D~~~t..~71:': d\:~,:~'~,r;\~f: A,"~:i{L~..~~;:':;i.(iif.i.<,'. t~;;)W~;~~j~~mi~s~,~;pi~,;;iiE2,i~;~:~\1Ti~~\;;' E~f.~f~~~,~~jNI!::~:~"1t,"~;~{fij.k;:~;vt,~Nn:8 ----t- '\ I 1- I --I \ I 295.00 29620 6.00 -57 24 6.843.04 i01 102 l03. 104 Survey Pest inspection ~.o:. consumer service fee referr~l f8e to Brokers Reaity l06 l07 '00 tax cert fee -.See attached ior breakdown TOTAL SETTLEMENT CHARGES (Enter on line 103,Section J - and -line 502. to lending Tree LLC to Bambi Neville Section K) 130.00 5.114.19 ave carefully reviewed the HUO-1 Selllement Statement and 10 the best of my knowledge and belief. it is a \rue and accurate statement of all receipts and disbursements made my account or by me "In this transaction. I further cel1ify that \ have received a copy of the HUO-1 Setllemenl Statement . i / ., () r)) ., ..1. L., ~ ~o'Xf!t/ 0 // LcV~U.d!2/! 0 Ithy A. Mlilikeb 12, ,-P I j', ~J-(.,-L.\''-- b. Betty L. Malesic I) . reef\,. '> c ,c',\ POi\. P::nallies upon con'/lction can lr.cludc <: :'10':; and ,mprisollrT.,?:ll For IARNING :\2;15 se= scrow Number 00030397-003 YS -IUD 811 DET,~ILED BRE;t..KDOV.F iTEMS P.A.Y ABLE iN CONNE.~'! W1TH LOAN Buyer Description P.O.C. Amount 812. Mtg Broker fee pd by Indr to ACA Mortgage Co 813 ,l\ppraisal Waiver Fee to HSBC Mortgage Corporation 814 MERS recording fee to HSBC Mortgage Corporation (1)54'1.00) 50.00 3.95 53.95 Total as shown on HUD page 2 Line #811 HUD 1200 DETAILED BREAKDOWN OF GOVERNMENT RECORDiNG AND TRANSFER FEES Buyer Amount Seller Amount 1202. City & County TaxfStamps City Tax/Stamps: Mortgage 1 $1,170.00 Total as shown on HUD page 2 Line #1202 1,170.00 Buyer Amount Seller Amount 1203. State Tax/Stamps State Tax/Stamps: Mortgage 1 $1,170.00 Total as shown on HUD page 2 Line #1203 i ,HO.OO HUD 1307 DETAILED BREAKDOWN OF ADDITIONAL SETTLEMENT CHARGES Total as shown on HUD page 2 Line #1307 Buyer Seller Amount Amount ~ 379.00 fr 125.00 5.00 5.00 -441.24 130.00 -57.24 Description 1308. home warranty to Glode Home Warranty 1309. transaction fee to Prudential 1310. patriot search fee to Express Financial Services, Inc. 1311. credit from Costco to customer ;crow Number 00030397 -003 YS \PE.A.KDOWN OF Pp..YOFf- ON HUD U.4 006 County Tax Description . Amount 289.88 Total Payoff 239.88 Total as shown on HUD line 104. 289.88 BREAKDOWN OF PAYOFf ON HUD LINE 105 Amount East pennsboro Township 98 South Enola Orive Eno\a, PA 17025 Descri ption 115.00 apri!/may/june Total Payoff 115.00 Total as shown on HUD line 105 115.00 i f ;2 j -otp.- OY~1 LAW OFFICES OF GATES, HALBRUNER ~HATCH, P.C. 1013 MUMMA ROAD. SUITE 100 · LEMOYNE, PENNSYLVANIA 17043 (717) 731-9600 . FAX: (717) 731-9627 LOWELL R. GATES, LL. M. LL M. in Taxation Also Admitted to Massachusetts Bar MARK E. HALBRUNER CRAIG A. HATCH, CELA Certified as an Elder Law Attorney by the National Elder Law Foundation MATTHEW J. ESHELMAN Board Certified in Creditors' Rights Representation by the American Board of Certification CLIFTON R. GUISE Also Admitted to practice before the U.S. Patent & Trademark Office June 2, 2006 BRANCH OFFICE: 3 WEST MONUMENT SQUARE, SUITE 304 LEWISTOWN, PA 17044 (717) 248-6909 WEB SITE: www.GatesLawFirm.com CORRESPONDENCE ADDRESS: Lemoyne Office STACEY L. NACE Paralegal/Office Manager TRACI L SEPKOVIC Paralegal VALERIE LONG Paralegal Certified Mail - Return ReceiDt Reouested Cumberland County Courthouse A TT: Glenda Famer-Strasbaugh, Register of Wills One Courthouse Square Carlisle, P A 17013-3387 RE: Estate of William J. Malesic - Date of Death: March 12, 2006 Dear Ms. Famer-Strasbaugh: I am writing with further reference to the estate of William J. Malesic who died on March 12, 2006. Please note that no probate proceedings were required for this estate. Enclosed please find the following: 1. Two (2) original copies and one (1) photocopy of the Form REV-1500 and all accompanying schedules. Please date-stamp the copy o/the Form REV-1500 and return same to our office in the envelope which is also enclosed 2. The following exhibits to Form REV-1500: · Copy of the Death Certificate · Documentation of Assets · Documentation of paid expenses. 3. Check in the amount of$2,712.00 in payment of the net amount ofPA Inheritance Tax due at this time, and a check in the amount of $15.00 in payment of the filing fees for the Form REV-1500. If anything further is required, please contact my office. Thank you. Sincerely, I ~~; 1 CAH:vl:Encl cc: Thomas W. Malesic Barbara L. Parsons ~2~ Mark E. Halbruner, Esq. ~ C) . ~ I '_ =;":'1 ~ ;;,~ ~>~) N 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 HALBRUNER MARK E 1013 MUMMA ROAD SUITE 100 LEMOYNE, PA 17043 ----__n fold ESTATE INFORMATION: SSN: 186-28-7054 FILE NUMBER: 2106-0484 DECEDENT NAME: MALESIC WILLIAM J DA TE OF PA YMENT: 06/05/2006 POSTMARK DATE: 06/02/2006 COUNTY: CUMBERLAND DATE OF DEATH: 03/12/2006 NO. CD 006787 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,712.00 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK#1018 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $2,712.00 GLENDA FARNER STRASBAUGH REGISTER OF WILLS