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Home My WebLink About08-07-06 (2) -.J 15056041125 REV-1500 EX (06-05) PA Department of Revenue. Bureau of Individual Taxes .. PO BOX 280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year File Number 2 1 0 5 1 0 6 6 Date of Birth 19828 182 1 1 2 0 6 2 0 0 5 122 5 1 9 3 6 Decedent's Last Name Suffix Decedent's First Name MI H Y S E R R I C H A R D B (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Ml Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW [X] 1. Original Return D 4. Limited Estate [X] D 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received D D D D 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) 8. Total Number of Safe Deposit Boxes 2. Supplemental Return D D 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required D 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number H A R 0 L D SIR WIN I I I E S Q Firm Name (If Applicable) 717 - 2 4 3 - 6 0 I R WIN AND BAY LEY REGISTER OF WILLS USE ONL Y"l First line of address 6 4 SOU T H PIT T S T R E E T Second line of address City or Post Office State ZIP Code DATE FILED I __m_.'__m___ ._m CARLISLE P A 17013 Correspondent's e-mail address:irwinlaw@earthlink.net 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 " ..- --~-- - \. ""') ~.-._--., \ .....;....-,.: / ... WALNUT BOTTOM PA 17266 DATE PITT ST CARLISLE LEASE USE ORIGINAL FORM ONLY PA 17013 L 15056041125 15056041125 --.J<r? Side 1 REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME RICHARD B. HYSER STREET ADDRESS 457 OAK FLAT ROAD File Number 1066 CITY NEWVILLE . STATE PA ZIP 17247 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2, Credits/Payments A, Spousal Poverty Credit B, Prior Payments C, Discount (1) 2,175.57 2,500.00 108.85 Total Credits (A + B + C) (2) 2,608.85 3, Interest/Penalty if applicable D. Interest E, Penalty Total Interest/Penalty ( D + E) (3) 4, If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 5, If Line 1 + Line 3 is greater than Line 2, enter the difference, This is the TAX DUE. (5) 0.00 433.28 0.00 B, Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (5B) A. Enter the interest on the tax due, 0.00 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; ...................................................................... 0 [Xl b, retain the right to designate who shall use the property transferred or its income; ............................... 0 [Xl c, retain a reversionary interest; or ................................................................................................ 0 [Xl d. receive the promise for life of either payments, benefits or care? ....................................................... 0 [Xl 2, If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... 0 [Xl 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... 0 [Xl 4, Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................. [Xl 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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 three (3) percent [72 PS. S9116 (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 zero (0) percent [72 P,S, S9116 (a) (1.1) (ii)l. 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 zero (0) percent [72 P.S. S9116(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 four and one-half (4.5) percent, except as noted in 72 PS S9116(1.2) [72 P,S, S9116(a)(1)], The tax rate Imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S, S9116(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. .....J 15056042126 REV-1500 EX 14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . 14. Decedent's Social Security Number 198 2 8 182 1 0 0 0 0 0 0 0 0 0 0 0 0 7 9 5 9 0 4 8 9 1 7 2 5 0 0 1 5 2 0 6 1 1 7 2 8 3 6 0 9 3 1 8 2 6 6 3 9 2 6 6 3 4 6 1 2 4 4 9 0 0 9 4 8 3 4 6 0 0 0 0 0 4 8 3 4 6 0 0 Decedent's Name: R I C BAR DB. BY S E R RECAPITULATION 1. Real estate (Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 2. Stocks and Bonds (Schedule B) ........................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................ 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. 6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested. . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) 0 Separate Billing Requested. . . . . .. 7. 8. Total Gross Assets (total Lines 1-7) ........................... 8. 9. Funeral Expenses & Administrative Costs (Schedule H) . . . . . . . . . . . . . . .. 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . 10. 11. Total Deductions (total Lines 9 & 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . 13. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X.O _ 0 0 0 15. 16 Amount of Line 14 taxable 4 8 3 at lineal rate X .o~ 4 6 0 0 16. 17. Amount of Line 14 taxable 0 0 0 at sibling rate X .12 17. 18. Amount of Line 14 taxable 0 0 0 at collateral rate X .15 18. o 0 0 2 1 7 5 5 7 o 0 0 o 0 0 19. Tax Due . ................ ...........19. 2 1 7 5 5 7 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT [Xl Side 2 L 15056042126 15056042126 .....J REV-1502 EX + (6-98) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER RICHARD B. HYSER 1066 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real orooertv which is iointlv-owned with riaht of survivorshio must be disclosed on Schedule F. SCHEDULE A REAL ESTATE ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH NONE 0.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 REV-1503 EX + (6-98) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RICHARD B. HYSER FILE NUMBER 1066 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH NONE 0.00 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 REV-1504 EX + (6-98) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C ClOSEl V-HELD CORPORATION, PARTNERSHIP OR SOLE-PROPRIETORSHIP ESTATE OF RICHARD B. HYSER FILE NUMBER 1066 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. DESCRIPTION VALUE AT DATE OF DEATH NONE 0.00 TOTAL (Also enter on line 3, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 REV-1507 EX + (6-98) '*' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE D MORTGAGES & NOTES RECEIVABLE ESTATE OF RICHARD B. HYSER FILE NUMBER 1066 All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH NONE 0.00 TOTAL (Also enter on line 4, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 0.00 REV-15G8 EX + (6-98) '* SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RICHARD B. HYSER FILE NUMBER 1066 Include the proceeds 01 litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. DESCRIPTION ADAMS COUNTY/FARMERS NATIONAL BANK OF NEWVILLE #018-883-2 EXHIBIT B F & M TRUST #34-13195 EXHIBIT C ADAMS ELECTRIC COOPERATIVE INC: # 0042753375 PATRONAGE CAPITAL RETIREMENT 1989,1990 VALUE AT DATE OF DEATH 1,913.26 738.54 31.22 1957 CHEVROLET VIN VC57J284057 ROWE'S AUCTION SERVICE 2-11-06 EXHIBIT D 1965 CHEVROLET VIN 164375Y186381 PRIVATE SALE EXHIBIT E 1967 CHEVROLET TRUCK VIN CE247A148445 ROWE'S AUCTION SERVICE 2-11-06 EXHIBIT F 1968 PONTIAC VIN 2376788130318 PRIVATE SALE EXHIBIT G 1991 LAYTON TRAILER VIN 751806230 ROWE'S AUCTION SERVICE 2-11-06 EXHIBIT H 1995 CHRYSLER VIN 1 C3EU4532SF564452 ROWE'S AUCTION SERVICE 2-11-06 EXHIBIT I 1995 CHEVROLET VIN 1GNCT18W9S2157480 ROWE'S AUCTION SERVICE 2-11-06 EXHIBIT J 2003 HONDA MOTORCYCLE VIN JH2RC44F83M100324 ROWE'S AUCTION SERVICE 2-11-06 EXHIBIT K 2005 CHEVROLET TRUCK VIN 1GCEK19T45E205592 ROWE'S AUCTION SERVICE 2-11-06 EXHIBIT L 1998 CHRYSLER VIN 3C3EL55H1WT216092 ROWE'S AUCTION SERVICE 2-11-06 EXHIBIT M TOOLS AND COLLECTIBLE VEHICLE MODELS ("TOYS") ROWE'S AUCTION SERVICE 2-11-06 EXHIBIT N ADAMS ELECTRIC COOPERATIVE INC # 0042753375 FINAL PAYOUT OF PATRONAGE CAPITAL EXHIBIT 0 ADAMS ELECTRIC COOPERATIVE INC UTILITY PAYMENT REFUND 13,000.00 8,000.00 1,400.00 6,000.00 3,100.00 1,300.00 1,800.00 4,200.00 20,600.00 4,700.00 12,109.00 469.01 51.00 TOTAL (Also enter on line 5, Recapitulation) $ (II more space is needed, insert additional sheets 01 the same size) 79,590.48 Continuation of REV-1500 Inheritance Tax Return Resident Decedent RICHARD B. HYSER Decedent's Name Page 1 21 05 1066 File Number Schedule E - Cash, Bank Deposits, & Misc. Personal Property ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 17. NATIONWIDE MUTUAL INSURANCE COMPANY 178.45 POLICY 5837B 630882 REFUND SUBTOTAL SCHEDULE E 178.45 GRAND TOTAL SCHEDULE E $ 79,590.48 REV-1509 EX + (6-98) SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RICHARD B. HYSER FILE NUMBER 1066 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. EVELYN F HINKLE 904 COUGAR COUNTRY BUNA TEXAS 77612 FRIEND B JUNE A HYSER BIGLER POST OFFICE BOX 113 NEWVILLE PA 17241 FORMER WIFE c JOINTLY-OWNED PROPERTY: LETIER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOI NT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATIACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. A. 4-18-97 TAX PARCEL NO. 46-09-0517-057 111,250.00 50. 55,625.00 WEST PENNSBORO TOWNSHIP/CUMBERLAND CTY EXHIBIT P 2 A 7-18-97 TAX PARCEL NO 46-09-0517-042 67,990.00 50. 33,995.00 WEST PENSBORO TOWNSHIP/CUMBERLAND CTY EXHIBIT Q 3 B PRE 97 CUMBERLAND VALLEY MEMORIAL GARDENS: 2,710.00 50. 1,355.00 TWO VACANT BURIAL SPACES: EXHIBIT R (JUNE HYSER BECAME "BIGLER" BY 7/97 SEE DEED) 4 A 12/96 1973 DEROSE MOBILE HOME 1,500.00 50. 750.00 VIN C16001 TOTAL (Also enter on line 6, Recapitulation) $ 91,72500 (If more space is needed, insert additional sheets of the same size) REV-1510 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF RICHARD B. HYSER FILE NUMBER 1066 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV.1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST VALUE (IF APPLICABLE) 1. SOCIAL SECURITY PAYMENT FOR NOVEMBER 2005 954.00 100. 954.00 PRO-RATED TO SEVEN LIVING CHILDREN PER SSA1724 2. STONEBRIDGE LIFE INSURANCE 566.61 100. 566.61 CAPITAL ONE CREDIT CARD PROTECTION POLICY ACCOUNT 4388 6425 0807 8995 TOTAL (Also enter on line 7 Recapitulation) $ 1,52061 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF RICHARD B. HYSER FILE NUMBER 1066 ITEM NUMBER A 1. B. 1. A 2. 3. 4. 5. 6. 7. 8. 9. 10. 11 . 12. 13. Debts of decedent must be reported on Schedule I. DESCRIPTION AMOUNT FUNERAL EXPENSES: EGGER FUNERAL HOME, NEWVILLE, PA 1,456.00 ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative (s) TERRI R P A YN E Social Security Number(s)/EIN Number of Personal Representative(s) Street Address 445 WEST MAIN STREET City WALNUT BOTTOM State PA Zip 17266 Year(s) Commission Paid: 2006 3,957.00 AttorneyFees HAROLD S IRWIN III, IRWIN & BAYLEY 8,663.00 Family Exemption: (If decedent's address is not the same as claimanfs, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip Probate Fees CUMBERLAND COUNTY REGISTER OF WILLS 350.00 Accountanfs Fees Tax Return Preparer's Fees STOTT & STOTT 600.00 CUMBERLAND COUNTY REGISTER OF WILLS: FILE RETURN, FILE INVENTORY JANE ADAMS, ESQ., AUCTION NOTARY UNISHIPPERS: OVERNIGHT VEHICLE PAYOFFS (4) ROWE'S AUCTION SERVICE: COMMISSION CUMBERLAND COUNTY FILING FEE: PETITION RE ASSET LOCATION IRS: ESTIMATED 20051040 IRS: UNDERPAYMENT OF 2004 TAX WITH INTEREST TO APRIL 12, 2006 30.00 150.00 60.63 10,068.00 15.00 1,320.00 1,200.00 TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 31,826.63 Continuation of REV-1500 Inheritance Tax Return Resident Decedent RICHARD B. HYSER Decedent's Name Page 2 21 05 1066 File Number Schedule H - Funeral Expenses & Administrative Costs - 61 ITEM NUMBER DESCRIPTION AMOUNT B. ADMINISTRATIVE COSTS: Personal Representative's Commissions B Name of Personal Representative (s) AARON F MCGLAUGHLIN 3,957.00 Social Security Number(s)/EIN Number of Personal Representative(s) 202-42-6804 Street Address 12 TERRI DRIVE City CARLISLE State P A Zip 17013 Year(s) Commission Paid: 2006 SUBTOTAL SCHEDULE H-B1 3,957.00 REV-1512 EX + (12-03) '* SCHEDULE. DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RICHARD B. HYSER FILE NUMBER 1066 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. CHASE AUTO FINANCE # 10 50 2009 391601 2005 SILVERADO PAYOFF 2. MAC TOOLS # 7807009000000183 CREDIT ACCOUNT 3. M&T BANK: CO-BORROWER ON $34,437.54 DATE-OF-DEATH BALANCE #10000187316620001 MORTGAGE 4. ORCHARD BANK/HOUSEHOLD BANK/OMNIUM # 5440 4550 1435 1871 CREDIT ACCOUNT 5. CHASE BANK # 5544 5620 1078 9270 CREDIT ACCOUNT 6. M&T BANK/MBNA # 4313 0270 1464 7223 CREDIT ACCOUNT 7. BANK OF AMERICA VISA # 4319041008645444 CREDIT ACCOUNT 8. Q CARD # 643 9008 1467 CREDIT ACCOUNT 9. AMERICAN HONDA FINANCE CORP # 31186863 MOTORCYCLE LOAN 10. CAPITAL ONE # 4305 7220 6094 5469 CREDIT ACCOUNT 11. CAPITAL ONE # 5178 0525 0807 9346 CREDIT ACCOUNT 12. CAPITAL ONE # 4305 9822 9414 7536 CREDIT ACCOUNT 13. LOWE'S # 822 2039 086593 7 CREDIT ACCOUNT 14. CINGULAR # 717 440 1551 VALUE AT DATE OF DEATH 28,067.70 2,089.84 17,218.77 1 ,430.40 4,272.21 4,420.31 5,986.48 95.40 4,491.16 4,210.47 704.84 551.58 3,694.45 258.85 15. SUBURBAN ENERGY SERVICES # 0281283800 835.07 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 92,663.46 Continuation of REV-1500 Inheritance Tax Return Resident Decedent RICHARD B. HYSER Decedent's Name Page 3 21 05 1066 File Number Schedule I - Debts of Decedent, Mortgage Liabilities, & Liens ITEM NUMBER 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. DESCRIPTION AMOUNT 106.4 7 SPRINT # 717-776-5398-482 WSI-MID ATLANTIC # 4363142 54.70 ROY E COOK CAR INSURANCE PREMIUM 491.45 COMMONWEALTH OF PA 1965 CHEVROLET REGISTRATION 36.00 ADAMS ELECTRIC COOPERATIVE, INC # 2057203000 196.67 DEBORAH PIPER, TAX COLLECTOR ADAMS COUNTY BANK CHECK 1271 WIRTTEN BEFORE DEATH, CASHED AFTER 1,514.39 SOLLENBERGERS MESSENGER SERVICE # 3147 FEE FOR REPLACEMENT VEHICLE TITLE FOR 1965 CHEVROLET FISHER AUTO PARTS # 442766 CREDIT ACCOUNT JAY HOOVER # 72957 CREDIT ACCOUNT TIM BEACHLEY # 2-70-22 CREDIT ACCOUNT SNAP-ON TOOLS # 105096028 CREDIT ACCOUNT MARTIN MOTORS BALANCE ON 1995 CHEVROLET 39.50 79.83 118.96 51.32 3,138.17 1.003.56 MARTIN MOTORS BALANCE ON CHRYSLER SEBRING 5,406.40 KUHN COMMUNICATION # 001-001068 CABLE JAY TOWNSEND, MD 57.90 11.00 SUBTOTAL SCHEDULE I 12,306.32 Continuation of REV-1500 Inheritance Tax Return Resident Decedent RICHARD B. HYSER Decedent's Name Page 4 21 05 1 066 File Number Schedule I - Debts of Decedent, Mortgage Liabilities, & Liens ITEM NUMBER DESCRIPTION AMOUNT 31. NEWVILLE COMMUNITY AMBULANCE 788.00 12-6-05 SERVICE 32. HOL Y SPIRIT HOSPITAL 650.00 33. ASSOCIATED CARDIOLOGISTS 25.00 12-6-05 34. CAPIT AL ONE 566.61 4388-6425-0807 -8998 CREDIT ACCOUNT SUBTOTAL SCHEDULE I 2,029.61 GRAND TOTAL SCHEDULE I $ 92,663.46 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. TERRI R PAYNE Lineal 445 WEST MAIN STREET 1/7th Residue WALNUT BOTTOM PA 17266 2. JEANNIE GElLING Lineal COUNTRYVIEW ESTATES 117th Residue NEWVILLE PA 17241 3. PENNY JOHNSON Lineal 335 WOLF BRIDGE ROAD 1/7th Residue CARLISLE PA 17013 4. WENDY WOLFE Lineal CIO NELLS MARKET,1706 SPRING GARDEN ROAD 1/7th Residue CARLISLE PA 17013 5. EARL F HYSER Lineal 1603 BENSINGTON COURT 1/7th Residue NORMAL IL 61761 6. RICHARD B HYSER JR Lineal 54 SOUTH HAMIL TON STREET 1/7th Residue MINSTER OH 45865 7. PAUL WAGNER Lineal 2235 WEST AUSTIN DRIVE 1/7th Residue CITRUS SPRING FL 34434 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. NONE 0.00 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. NONE 0.00 TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 '''.''''''.''* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF RICHARD B. HYSER SCHEDULE J BENEFICIARIES FILE NUMBER 1066 (If more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT I, RICHARD B. HYSER, of 457 Oak Flat Road, Newville, Cumberland County, Pennsylvania 17241, do hereby make, publish and declare this to be my last will and testament, hereby revoking all wills heretofore made by me. 1. I direct my personal representative to pay all of my debts, funeral and administrative expenses as soon as convenient after my decease. I direct that all inheritance taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property, whether or not such property passes under this Will, shall be paid by my personal representative out of my estate. 2. I authorize and empower my personal representative to sell any realty and/or personalty owned by me at my death and not specifically devised or bequeathed herein, at public or private sale or sales and to give good and sufficient deeds and/or bills of sale therefore, in fee simple, as I could do if living. My representative is authorized and empowered to engage in any business in which I may be engaged at my death, for such period of time after my death as seems expedient to said representative. 3. give, devise and bequeath ail of my estate of whatever nature and wherever situate as follows: A. My 1968 Pontiac GTO to Terri R. Hyser; B. My 1955 Chevrolet to Aaron F. McLaughlin; and all the B. Rest, residue and remainder I gIve, devise and bequeath to my surviving children, share and share alike. 5. I nominate and appoint Terri R. Hyser and Aaron F. McLaughlin to be the co-personal representatives of my estate, to serve without bond. 6. I suggest that my personal representative retain the services of the Law Offices of Harold S. Irwin, III, Carlisle, Pennsylvania in the settlement of my estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 13th day of July, 2000. /') ') ./' /' /~ /,j!-rj7" ~//:/? /:lL/jQ-e'___ (SEAL) t RICHARD B: HYS-ER <~/ '--- Signed, sealed, published and declared by the above-named person as and for a last will and testament, in our presence, who at said person's request, in said person's presence and in the presence of each other have hereunto set our names as subscribing witnesses. //~~// ,/\ I _ / . , "-------" / . '. ~/- (}/Y)(, [5): ~W L{ .L. '-/"JI /) ACKNOWLEDGMENT AND AFFIDAVIT WE, RICHARD B. HYSER, JOHN J. BARANSKI, JR. and AMY S. CASEY, the testator and witnesses respectively, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his last will and that he had signed willingly, and that he executed it as his free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the will as a witness and that to the best of their knowledge the testator was, at that time, eighteen years of age or older, of sound mind and under no constraint or undue influence. '? /,7. //./7 ,. // ), 4 ./ // / --,/ - / //7 ~.7Z/f, /"'7 ~/ //// 6~ 'RICHARD B. HYSER'1~7' . / ~ '/ ~. ~/~ /,// ~~ ' JO~. 'A/1 NSKI, JR. /'f -, I J/y..,/ /lAC: (b:'~J,.eI/.-.. AMY S. CASEY. () COMMONWEALTH OF PENNSYLVANIA :55: COUNTY OF CUMBERLAND r--' t1Gt3f:,: SSel! \ ;-{~'rr';" c In'flr, F'ublic I r:~';!"~:i;: ~'~,rr", County LY'i;~~~:;';;'~~~~~':::''''::: Sr::~~~2:1 :~~\:r!9" - ." '~.-."'- Subscribed, sworn to and acknowledged before me by RICHARD B. HYSER, the testator herein, and subscribed and sworn to before me by JOHN J. BARANSKI, JR. and AMY S. CASEY, witnesses, this 13TH day of July, 2000. /' ()Z1JvL/'~y Notary Public ~ ~/:erir:'sr ~~ ADAMS COUNlY NATIONAL BANK ~ ;J ~~:7'''' 1 " April 27, 2006 Irwin & Bailey Attorneys at Law 64 S(lIltn Pitt Street Carlisle, P A 17013 Re: Estate of Richard B Hyser Dear Ms. Irwin: The following information is being provided as per your request: 188832 Accrued Interest to D.G.D. $.13 Ownerspip Date Opened Checking Account Principal on D.O.D. $1,913.13 V Inquiries conce11ling ACNB Corporation stock information should be directed to the Registrar and Transfer Company at 1-800-368-5948. If you need any additional information, please contact me at (717)339-5116. Individual 9-9-99 Acet. Type Account No. Sincerely, , / 1/. " ../-... rl '.c \ i I i :'-' Lois Kime Deposit Services \~ 11. Z~ -----"" () )> ~() CD ~ ~---( :J" ::c3 CO CD )> () c.u8 t'c -o.:J ~; <DC 013 0- CD --. -0.0 -o.\:) ---CD ~:J i\5o on> 2m -0.0 N15 i\5en OCD i\50 on> 0- 01 CD W OJ n> -....jiil c.u:J ~() 01 CD ~ W)> () () --, C CD 0.. :J - W---( o Pi -....jOJ c.u~ ~g; Ol() ~CD JJ)> C:S" g ~O n> C 0..2- OJo I~ 6i :J CD ~ _--. en :J 0.. <" a.: c ~ o 055 0> - _0 <D :3 o <D - ..... 02 <D 0> ~:3 :::r-<D JJ 0" I\) ::r d n> 0)0.. d OJ 01 I 6i CD --. o 0> - <D o - o <D 0> - :::r- < 0> c 0> =t. o :::l C/) ROWE'S AUCTION SERVICE 2505 RITNER HIGHWAY CARLISLE, PA 17013 717-249-1978 249-2677 697-4794 February 13,2006 To: Harold S. Irwin III 64 S. Pitt St. Carlisle, P A 17013 From: Rowe's Auction Service 2505 Ritner Highway Carlisle, P A 17013 RE: Richard B. Hyser Estate Auction- February 11,2006 Tools and Toys Less 35% commission $12,109 $4238 $7871 - $37,200 $5580 $31,620 ~ 1957 Chevy Bel Air $13,000 ., Less $250 commission $250 $12,750 Vehicles Less 15% commission Total Due Estate $52,241 /) :!' ~ 'i I, I: ROWE'S AUCTION SERVICE SPECIAL ACCOUNT 2505 RITNER HIGHWAY CARLISLE, PA 17013 ~6 313 106110420 1750 DATE ~,p, ,:> 2.-0u b l -, ) ~ ORRSmWN BANK MEMO R\rj~'fl../:!..y^> '0 U;"':ZJl Ii I' J:03*,,3.S0:HJI: .01; , PAY TO THE I!" ORDER OF ,I ~ !. ~ I" h i~ rJ:;-C7 1,0 I-I ~ I_I ~ il~ i>: ~ , i 1 i , ' 'I , Nil-fLU L-J) 'S, "'-, -2- ilL W t.t) In J $S2j 2,'-\.1 fi::a:r7' 6NJ';. ~OLLAR' 9- :::;::::;:,c.....' s W Q~t;oll.ona.."" '-riA.!,,? 'T-t'kxuI'J,qp -r.. ;., (W IV~~-0 I!2.:s "M.. 77- -~. ~-L . . 0 L. 2 0 II. . 7 5 0 --=:::-:""::_0. ~ -:.;--:.~-~-.. ,.,...~ ~ \ ~- --~~, \', BILL OF SALE SELLER: RICH\H B. HYSER ESTATE \J VEHICLE: 1965 CHEVROLET IMPALA Year Make Model Type VIN: 164375Y186381 BUYER: C\ \J -<- (q ?-) \~\ y '" -f \ Print Name ---J -J \5 h) r (leA (\ e \--\c- \ \ \"I.,~ ' r\c/ Address/Num ber/Street -:) '590<-/1,) d Drivers License/State \ )7 ;),_/ DATE OF PURCHASE: '-, -dD-Oo CONSIDERATION: $ 8,000.00 TERMS As above defined, Seller herein hereby transfers, assigns, grants, and conveys unto Buyer herein the said vehicle for the specified consideration as at the date above. Buyer acknowledges, understands, and agrees that he is purchasing the said vehicle without having driven it or fully inspecting it, but is nevertheless purchasing the said vehicle "as is", with no warranties whatsoever, and with the understanding that said vehicle requires state inspection and insurance and may have mechanical defects. Buyer will pay all sales tax due at the time of purchase, and further acknowledges his sole responsibility for the expense of transporting the vehicle from the purchase location. The Seller warrants that it is the sole owner of the said vehicle free and clear of any liens and/or encumbrances. Buyer understands that any costs, taxes, and/or fees associated with this title transfer are payable by the Buyer alone. V~ S i g n re Buyer c,010Cr //J/{ (I{/ /ltZ?'---./ Witness for Buyer (/--;: ~ Terri R. Payne, Executrix Seller .--- (/---.- ~ ~ P/L;~r;;A ~ Aaron F. McGlaughlin, Executor Seller EXHIBIT 'F' Seller's)PY 't\i::lmp. Buyer's Name : Or t;,Juh1ber : Item or Lot Number i @ $ i REMARKS: 1 Buyer's Name Or Number Item or Lot Number -""~1 @ $ ~EMARKS: --- ..- ----- ~.. ..., This receipt verifies payment and delivery ofthe above. ..' Sold as is, where is. All sales final. Thank yoli; . Reorder Form CT Missouri Auction School 1-800-835-1955 3uyer's Name Jr Number tem or _at Number ; ~- I,' I' "",--'"."..- : -....'''-- ".. ~' f " @ $ $ '..,MARKS: . ~<? This receipt verifies payment and delivery of the above Sold as is, where is. All sales final. Thank you. . Reorder Form CT MiSSOUri Auction School 1-800-835-1955 3uyer's Name )r Number tem or _at Number . .'........,~_.-. @ $ $ lEMARKS. This receipt verifies payment and delivery of the above. Sold as IS, where is. All sales final. Thank you. Reorder Form CT Missouri Auction School 1-800-835-1955 3uyer's Name )r Number tem or _at Number @ $ $ IEMARKS. This receipt verifies payment and delivery of the above. Sold as IS, where is. All sales final. Thank you. Reorder Form CT MiSSOUri Auction School 1-800-835-1955 luyer's Name )r Number :em or .at Number @ $ $ EMJI.RKS This receipt verifies payment and delivery of the above. Sold as IS. where is. All sales final. Thank you. Reorder Form CT MISSOUII Auction School 1-800-835-1955 :uyer's Name )r Number em or at Number @ $ $ EMARKS: This receipt verifies payment and delivery of the above Sold as is, where is. All sales final. Thank you. . 2 3 4 >i 6 $ . This receipt verifies payment and delivery of the above. Sold as is, where is. All sales final. Thank you. Reorder Form CT Missouri Auction Schooi 1-800-835-1955 . (>\0 Buyer's Name Or Number Item or Lot Number 8 @ $ $ REMARKS: · Pt ,\P This receipt verifies payment and delivery of the above. Sold as is, where is. All sales final. Thank you. . Reorder Form CT Missouri Auction SchOOl 1-600-835-1955 9 Buyer's Name Or Number Item ar Lot Number @ $ $ REMARKS: A '0 This receipt verifies payment and delivery of tile above. Sold as is, where is. All sales final. ThanK you. . Reorder Form CT MiSSOUri Auction Schooi "I ~800-835-1955 Buyer's Name Or Number Item or Lot Number \ 10 @ $ $ REMARKS: . . This receipt verifies payment and delivei'y of the abov8:- Sold as is, where is. All sales final. Thank you. Reorder Form CT MiSSOUri Auction School 1-800-835-1955 A;. 1,. 11 Buyer's Name Or Number Item or Lot Number @ $ $ REMARKS: . This receipt verifies payment and delivery of the above. A~7" Sold as is. where is. All sales final. Thank you. Reorder Form CT Missouri Auction School 1-800-835-1955 ,;' 12 @ $ $ REMARKS: . . I . . "/ ~ This receipt verifies payment and delivery of the above. Sold as is; where is. All sales final. Thank SALE NO. PAGE PAGE SALE ~H\ \1' ' BILL OF SALE SELLER: RICHARD B. HYSER ESTATE VEHICLE: 1968 PONTIAC LEMANS CONVERTIBLE VIN: 237678B130318 Year Make Model Type TERRI R. (HYSER) PAYNE Print Name BUYER: 445 West Main Street Add ress/N um ber/Street Drivers License/State WALNUT BOTTOM, PA 17266 City/State/Zip DATE OF PURCHASE: CONSIDERATION: $ 6,000.00 TERMS As above defined, Seller herein hereby transfers, assigns, grants, and conveys unto Buyer herein the said vehicle for the specified consideration as at the date above. Buyer acknowledges, understands, and agrees that he is purchasing the said vehicle without having driven it or fully inspecting it, but is nevertheless purchasing the said vehicle "as is", with no warranties whatsoever, and with the understanding that said vehicle requires state inspection and insurance and may have mechanical defects. Buyer will pay all sales tax due at the time of purchase, and further acknowledges his sole responsibility for the expense of transporting the vehicle from the purchase location. The Seller warrants that it is the sole owner of the said vehicle free and clear of any liens and/or encumbrances. Buyer understands that any costs, taxes, and/or fees associated with this title transfer are payable by the Buyer alone. Signature Buyer Witness for Buyer Terri R. Payne, Executrix Seller Aaron F. McGlaughlin, Executor Seller <~. BILL OF SALE ---- " . SELLER: RICHARD B. HYSER ESTATE TIN: 20-6799874 VEHICLE: 19jJ LA~TDN Year Make WAlltf\ Model Type VIN: 151-<60(0 l30 C;:~~Lp v~. h.~fLJL,'dL Print Name BUYER: Addres~Numbe~Stre~ Drivers License/State City/State/Zip DATE OF PURCHASE: 2-11-2006 CONSIDERATION: $ ~ l Oc-; TERMS As above defined, Seller herein hereby transfers, assigns, grants, and conveys unto Buyer herein the said vehicle for the specified consideration as at the date above. Buyer acknowledges, understands, and agrees that he is purchasing the said vehicle without having driven it or fully inspecting it, but is nevertheless purchasing the said vehicle "as is", with no warranties whatsoever, and with the understanding that said vehicle requires state inspection and insurance and may have mechanical defects. Buyer will pay all sales tax due at the time of purchase, and further acknowledges his sole responsibility for the expense of transporting the vehicle from the purchase location. The Seller warrants that it is the sole owner of the said vehicle free and clear of any liens and/or encumbrances. Buyer understands that any costs, taxes, and/or fees associated with this title transfer are payable by the Buyer alone. L :\":L -iPU /' /1': ~~! -.,.. ;-. f'\ /, 1//" /' 1 . /<~ ---- / \ c..:'----.:- /_- u,,"U.,:';c 7"UC~"y~_.<.?' j . ~ . Signature /Signature - William G. Rowe, Rowe's Auction Service Buyer Ag t~:S~ eh r-f' Q~? Le~~ W'~ss 'si,'--;-7PY , ~lnrnQ e er S:Buy~r's Name I '. lOr NumbE?! j Item or "',~ /' .C,'" . I Lot Number 't'---u ! @ $ '",,,-/-,,/ I ~- : RE~A;KS: ~_ _ /.<": /" c"",--- '_ :'~.?d {J ,~_.> i !\ }/) a/~;) f~l ~~ "'--~ :-~~.. - I ~'__//This receipt verifies payment and deliveryotthe above. .>' Sold as is, where is. All sales final. Thank you. L..' Reorder Form CT Missouri Auction School 1-800-835-1955 1 . , J;(/ Iv.or'[l IIlfJrri~ Or NUiTlber Item or . .~~ , LotN u niber'/I:f ,;i/.) /,,-, c .o- f / 'I i "'.... J ~{.... I .JjJ. ___ __.- ~ ~/'].' I ;~I1;>.L,.' f '/' I J /II'"' ,-, .. . w ~ "', _, ".,.-'" '~~"~""'''''''' ~ @ $ "- $ ~./' . REMARKS: ~..... _..,r ~ r-~':- !! I A C',',i, .!.....-.. I ~~' -. i".~ ..-""" --~ ;~ ~ ~;-e,.-......l ~ ,. -' .. -_..-.........-~------ -> r6.. ~}"T...~H V~...,. ,,-r"" -~... ,-'. ,...~.. .. \...-.,. ~!:~ 1/' ~~-;;>._~ I ..:__~-'(.., ,Jhls'recelpt verifies payment and delivery of'lhe. above. _.~ Sold as IS, where IS. All sales final. Thank yOtl; . Reorder Form CT M,ssoun Auction School 1-800-835-1955 3uyer's Name )r Number tem or .ot Number _~ i 1./ ~ i 'r (_/~ ~ ~ i' ,/1.1 /'}-..L,/J 1/ " l I (.., {'...H"-. \... 2 ,Lj "......... /1 :' t (J/v-!//-r- (' j.l~.:- ./~l y ( / h- @ $ ,/ $ C::MARKS: . F\ fJ ~..j /(.),/ i~_ r / 0< t-/ ",-- This receipt verifies payment and delivery ~f the ab Sold as IS, where is. All sales final. Thank you ave, Reorder_ Form C~ Missouri Aucllon School 1-800-835-1955 . ',uyer's Name lrNumber em or at Number .~. -""... ~~_ - \.. f. \_",_! {i:;_. p_r ,/)~_ ; . (~_<\e,jl1 : _ ./- ,- \. :._c: ('''-'~~ @ $ $ oMARKS: - ! ..-:-. I -' , i 1_" This receipt verifies payment and delivery of the above. R Sold as IS, where IS. All sales final. Thank you. eorder Form oCT M,ssoun Auction School 1-800-835-1955 4 Jyer's Name , Number !m or It Number @ $ $ MARKS: This receipt verifies pa~ment and delivery of the above. Sold as IS, where IS. All sales final. Thank you. Reord_~~_Form CT MISSOUri Auction School 1-800-835-1955 5 yer's Name Number n or : Number @ $ $ 1ARKS: This receipt verifies payment and delivery -of the above. Sold as IS, where IS. All sales final. Thank you "eorder Form CT Missouri Auction School 1-800-835-1955 . fer's Name \lumber 1 or Number 6 @ $ $ A.RKS: --,"' Ii....., j---;;'-,,~.... '-I ./..Y..:.J This receipt v,erifies pa~ment and delivery of the a~ove. Sold as IS, where IS. All sales final. Thank you. ) c~~~c;7 .q ,>7": f / .,",' to- i':/!! ~ ~,~/ ::~~;~:,~:p;~___(:;~~( ! Buyer's Name Or Number Item or Lot Number $ --- ~,,>~--- . ~lt> 8 (~<), -:) - ..L'/fk.~1 '1......~:~,.. ./.. ,~/ ~- .__-:.,'~~=-,.',.~. /_'~..-:..,.___l' " - ~~" ~ .'~ .'.'~,-~;;..~::'-! @ $ REMARKS: . i>l ,\P ,""~ . $ (:./ _.,.....-..--,.--....- 'very of the above. as is, where is. All sales In . order Form CT Missouri Auction Schooi 1-800-835-1955 Buyer's Name Or Number Item or ,/ Lot Number: '-- ,~:1 #" _.//T- .i.t,-_f-,.t,~~ @ $ ,. REMARKS: A ,0 ..-; . - :.-~\. -i~) ~-~ / /- .j,./..-' /";:"'l~f_'" ," '. " ~~./-.--------- $ / ~':2, ,/") f.' -"'" { ~~....... "..... (.) This receipt verifies payment and delivery of tile abov Sold as is, where is. All sales final. Tha rrn CT Missouri Auction School 1 Ii Ii Ii II II I: :1 , I I; I! I i j I: I . I_I ~- : ~ \ 'Buyer's Name Or Number Item or -r, Lot Number ...... ,::-7 :' I ~/ } - .;,( (-II (;;:-~- r..~,) ~/ 10 c~/? ,.~" ; i(>.l /: //l;' 1./ ,i/~- @ $ REMARKS: $ . / t~~() ,~..f1 '-..J This receipt verifies payment and delivery of the above. Sold as is, where is. All sales final. Thank you. Reorder Form CT Missouri Auction School 1-800-835-1955 ! ! i i I I ! ! Buyer's Name Or Number Item or (f Lot Number / ! r--:~D . -'''--,....'~. @ $ REMARKS: A-\\ 11 ~. i J>r-' ",' /'7: , )TJ:~~;~ k~ i. ~ .~""-;) ~'"'_.'~ ,-.- - \<, '..y". $ . . ! i. ....i . (j i) / ! '-,I' A~7 -'l ~. , I' , ....... This receipt verifies payment and delivery of tile above. Sold as is, where is. All sales final. Thank you. . Reorder Form CT Missouri Auction School 1-800-835-1955 1- ., -I i I I I I I I I Buyer's Name Or Number ,,"" t . : Item or (,) ,;i /)! t:;. j Lot Number f\' (A !~ t:' { \.' , --:::z '-,7 j _::-" i A !("'" ./ _ jf /'if:. ,.-; \,,-; ~ .-! i i;' ."f) (::'~~/ -1 \..J/,(:/ --- This receiptv.erifies payment and d:liveryof the ,abR/e., 'J ..~i---;.'.---- . Sold as 19;where IS. All sales final. Thank XSyft,;[/"f . PAGE PAGE SALE J....-:' - _',--~. --,-""7')~ __ .c-. _.,,_-'1' \~.~ "\!.__" @ $ REMARKS: . SALE NO. ~/'<' n ~,<r {~) ""--.....- 12 $ . ~-,._~,-.,_# BILL OF SALE: EXISTING LIEN .-' SELLER: RICHARD B. HYSER ESTATE TIN: 20-6799874 VEHICLE: \9~ e"t:~~Dll:l BUfZIR SW Year Make Model Type VIN: J..GNC.T1~lDqS21S1480 F':L-A~ ' Print Name (5;t;2.1T /E.L.. ['2. ,}) l ~ <B D"l '-\~ fA- Drivers License/State ~'A-/L-'-L ~ '--.7, P vAt-- i -L 0 l S City/State/Zip /. DATE OF PURCHASE: 2-11-2006 CONSIDERATION: $ \ KC5Ci TERMS As above defined, Seller herein hereby transfers, assigns, grants, and conveys unto Buyer herein the said vehicle for the specified consideration as at the date above. Buyer acknowledges, understands, and agrees that he is purchasing the said vehicle without having driven it or fully inspecting it, but is nevertheless purchasing the said vehicle "as is", with no warranties whatsoever, and with the understanding that said vehicle requires state inspection and insurance and may have mechanical defects. Buyer will pay all sales tax due at the time of purchase, and further acknowledges his sole responsibility for the expense of transporting the vehicle from the purchase location. The Seller warrants that it is the sole owner of the said vehicle and that the proceeds of this sale will first be used to satisfy any and all existing liens on the title to the said vehicle. Immediately, upon the satisfaction of any liens and the receipt by the Seller of the title to the said vehicle, Seller will arrange with Buyer to meet at a mutually convenient, appropriate place for the transfer of the title from the Seller to the Buyer. Buyer understands that any costs, taxes, and/or fees associated with this title transfer ar yable by the Buyer alone. ~ ~ . -;:Lrd'1/k Signature Signature William G. Rowe, Rowe's Auction Service Buyer A?1nt for Seller fJt~CVt~~- Witness: XHI IT' , ~ \\r-z~F"'5ALE: ~L-LLfR: EXISTING LIEN RICHARD B. HYSER ESTATE TIN: 20-6799874 VEHICLE: 2003 HONb~ Year Make MOT{)~Cq tL~ Model Type VIN: J1i LJ~ c.. \.f 4 FS3M 1003 7 Lf u (>" " _ ,) D ~ 10\.:> d ,\j iV, "/") L,' ," l'.l f=; /L 0,"-__-,,,,--,, /\ v/"5. r ! Print Name ? 4 ~A <;- L ~--=r Drivers License/State 'po A-- , , C ('~LL')ln:; pi.., L L 0l~ City/State/Zip , DATE OF PURCHASE: 2-11-2006 CONSIDERATION: $ ~Lc~G TERMS As above defined, Seller herein hereby transfers, assigns, grants, and conveys unto Buyer herein the said vehicle for the specified consideration as at the date above. Buyer acknowledges, understands, and agrees that he is purchasing the said vehicle without having driven it or fully inspecting it, but is nevertheless purchasing the said vehicle "as is", with no warranties whatsoever, and with the understanding that said vehicle requires state inspection and insurance and may have mechanical defects. Buyer will pay all sales tax due at the time of purchase, and further acknowledges his sole responsibility for the expense of transporting the vehicle from the purchase location. The Seller warrants that it is the sole owner of the said vehicle and that the proceeds of this sale will first be used to satisfy any and all existing liens on the title to the said vehicle. Immediately, upon the satisfaction of any liens and the receipt by the Seller of the title to the said vehicle, Seller will arrange with Buyer to meet at a mutually convenient, appropriate place for the transfer of the title from the Seller to the Buyer. Buyer understands that any costs, taxes, and/or fees associated with this title transfer are payable by the Buyer alone. !~ ~L' ~ /, . . \, ., - ~ ~' L~~~----- -~ V ---0":----- - ~~ ~?z/~~, Signature Signature William G. Rowe, Rowe's Auction Service Buyer Agent for Seller rl!- A ~~ Witness: 1M / i!J A'~ wf(nes's' / ,1"\ : RICHARD B. HYSER ESTATE TIN: 20-6799874 2.005 C\-\Q/ RDL~T StL\J~\<At:JO VEHICLE: VIN: ~ GCEK19T4S E 205S9 2. Year Make Model Type BUYER: ~e"~.-(,J2- {-f-iZ- (L,'U..JA.-J Print Name R ~ 0 l_1. S J-?, ~vL,V Address/Number/Street 1\, rt .' L~ J---:l) (0 q 2- Drivers License/State '2-. I ~ fA City/State/Zip ~'A-/LL\ S. \.2. , j' 1)4- /LOl3 DATE OF PURCHASE: 2-11-2006 CONSIDERATION: $ 8--0) b~ TERMS As above defined, Seller herein hereby transfers, assigns, grants, and conveys unto Buyer herein the said vehicle for the specified consideration as at the date above. Buyer acknowledges, understands, and agrees that he is purchasing the said vehicle without having driven it or fully inspecting it, but is nevertheless purchasing the said vehicle "as is", with no warranties whatsoever, and with the understanding that said vehicle requires state inspection and insurance and may have mechanical defects. Buyer will pay all sales tax due at the time of purchase, and further acknowledges his sole responsibility for the expense of transpGr-t~ng the vehicle froA"..the purchase location. The Seller warrants that it is the sole owner of the said vehicle and that the proceeds of this sale will first be used to satisfy any and all existing liens on the title to the said vehicle. Immediately, upon the satisfaction of any liens and the receipt by the Seller of the title to the said vehicle, Seller will arrange with Buyer to meet at a mutually convenient, appropriate place for the transfer of the title from the Seller to tho eB. uyer. Buyer understands that any costs, :iJxe , a nd/..or fees associated with this title transfer ar11ayable by the Buyer alone. II _ 1/ ~ t+/~ S~r:a.;~~~~ ./- l~-~ t;gn~re William G. Rowe, Rowe's Auction Service Buyer Agent for Seller 17 /} /2). 1\ a~'-V1v( r~~.Qr-e- , . Witness: "- ~1 ." J ;1ht/7v; , , VI '-- ~/]\ Witness (jj . --------' BILL OF SALE: EXISTING LIEN SELLER: RICHARD B. HYSER ESTATE TIN: 20-6799874 VEHICLE: 19q~ (~R~5L~~ S~)NG (tN\j Year Make Model Type VIN: 2C3 EL.S5~ 1 wT2.1~09 L BUYER: (;; L ~%'LJ-c It- b- DeD \7~"'- 1 ~ d? r"~A-.:L (-"57' Q.>: (1~T C:t~ ! Print Name Address/Number/Street It l ~~,"\ l G .~ c:::, Drivers License/State f\r.- fj--'./ ,'-< "--~\-0~,\ S \~ - :-- City/State/Zip Pit- ) \'lo{~ DATE OF PURCHASE: 2-11-2006 CONSIDERATION: $ Y l DO TERMS As above defined, Seller herein hereby transfers, assigns, grants, and conveys unto Buyer herein the said vehicle for the specified consideration as at the date above. Buyer acknowledges, understands, and agrees that he is purchasing the said vehicle without having driven it or fully inspecting it, but is nevertheless purchasing the said vehicle "as is", with no warranties whatsoever, and with the understanding that said vehicle requires state inspection and insurance and may have mechanical defects. Buyer will pay all sales tax due at the time of purchase, and further acknowledges his sole responsibility for the expense of transporting the vehicle from the purchase location. The Sel!er warrants that it is the sole owner of the said vehicle and that the proceeds of this sale will first be used to satisfy any and all existing liens on the title to t~e said vehicle. Immediately, upon the satisfaction of any liens and the receipt by the Seller of the title to the said vehicle, Seller will arrange with Buyer to meet at a mutually convenient, appropriate place for the transfer of the title from the Seller to the Buyer. Buyer understands that any costs, taxes, and/or fees associated with this title transfer are payable by the Buyer ,aIO'~ft;T~ ~~-,^rJ~' L~_~~ ,_ )\ (~'&/) d' ~. , '----<_~_.--- ~-. ~_ ~-t't::f.:'?;:':t' //..--/vt-r-lukY{~(~ ;>/ Signature "'-Buyer ~ 'l i I // I/~! ~s~// t~~ Signature William G. Rowe, Rowe's Auction Service Agent for Seller l1JL Q /<) () () ,~?/tt;)~> . /1--L "::Q1cz;-'<,- Witness: ROWE'S AUCTION SERVICE 2505 RITNER HIGHWAY CARLISLE, PA 17013 717-249-1978 249-2677 697-4794 February 13,2006 To: Harold S. Irwin III 64 S. Pitt St. Carlisle, P A 17013 From: Rowe's Auction Service 2505 Ritner Highway Carlisle, P A 17013 RE: Richard B. Hyser Estate Auction- February 11,2006 ~OOlS and Toys Less % commission $12.109 $4238 $7871 Vehicles Less 15% commission $37,200 $5580 $31,620 1957 Chevy Bel Air $13,000 Less $250 commission $250 $12,750 Total Due Estate $52,241 /1 ROWE'S AUCTION SERVICE SPECIAL ACCOUNT 2505 RITNER HIGHWAY CARLISLE, PA 17013 60-15036 10~;~0420 1 7 5 0 DATE~?J i ~ l 2.-c:....:;; (, PAY TO THE 11 ORDER OF ff It-l2o L-J) 'S .--,.... , ~ uLWl-t) lCt ' $ I 52 J 2,"-\ -j-;"., H-c<,Vql(L-:2,;) fear,? 6Nh .'7' . A T ~ DOLLARS L!J h<t:-"77 TIAJ/-;:> '-f-lfcAU/1,,<-J! ~ O~WN BANK :';?':'~:~~o :b~r~~t::';~ 201l,~.~-L _.14 PM ADAMS ELECTRIC 717+338+3521 P. 02 ~ Adams Electric ~ Cooperative, Inc. @ A TOllchotone Energy" Cooperacive ~ 1338 Biglerville Road Getlysburg::, PA 17325-1055 T~kphone: 717/334-9211 Fax: 717/334-3980 "Veb Silt.:; www.udarnst.:r.:.com March I, 2006 IRWIN LAW OFFICES ESTATE OF: Richard B Hyser, Sf. PATRONAGE # 42753375 Dear Attorney Irwin: This letter is regarding the above estate and the status of patronage capital derived during the year(s) in which electric service was received from Adams Electric Cooperative, Inc. As a non-profit utility, Adams Electric Cooperative annually allocates patronage capital to its member- consumers based on their electric usage or patronage. Each member's annual patronage capital allocation is added to any prior year allocation and becomes subject to cash retirement as financial conditions permit. Patronage capital is requ.ired by cooperatives for working capital and equity purposes to secure long-term loans necessary to construct reliable electric facilities to serve member-consumers. For the past 24 year::;, the Cooperative has made special retirements of patronage capital to estates on a discounted lump sum basis. Both the general and speci.al retirements are subject to annual authorization by the Cooperative' 5 Board of Directors. The special lump sum early relirement of an estate's patronage capital discot.mts the unretired patronage capital for each year that such amounts are paid in advance. Applying the process to this estate's patronage capital yields an approximate lump sum amount of $ 455.71. In order for the Cooperative to provide the special retirement, please: l~PLt-1TED 10 '1 ~ ()=to \ 1. Complete the enclosed Legal Statements 2. Sign the Legal Statement in the presence of a Notary Public. 3. Return the Legal Statement ($) in the enclosed postage-paid envelope as soon as possible. After return of the completed Legal Statement T will include the estate's patronage for consideration of the special discounted retirement tentatively set for December 2006, but possibly as soon as May 2006 if the account has been disconnected in Mr. Heyser~:;' name. If YO\.l have any questions, please let me know. Otherwise, I look forward to assisting Y()ll with settlement of the estate. 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