Loading...
HomeMy WebLinkAbout12-07-06 REV-1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER II 06 00278 _ _ --1_ _ .' J;.OJLNlY coos YEAR____ NUMBER DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER REED, ROBERT S. DATE OF DEATH (MM-DD-YEAR) 162-22-6436 I- Z W C W o W C DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 02-25-2006 11-12-1927 REGISTER OF WILLS SOCIAL SECURITY NUMBER (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL) 01 Original Return 0 2 Supplemental Return 0 3. Remainder Return (date of death prior to 12-13-82) w I- 04. 0 0 :.::!en Limited Estate 4a. Future Interest Compromise (date of death after 5. Federal Estate Tax Return Required 00:::': 12-12-82) wo..o ",00 06 Decedent Died Testate (Attach 0 7. Decedent Maintained a Living Trust (Attach 8. Total Number of Safe Deposit Boxes 00::-' 0..1D copy of Will) copy of Trust) 0.. <( 09 Litigation Proceeds Received 0 10. Sf-ousal Pove~ Credit (date of death between 0 11. Election to tax under See, 9113(A) (Attach Sch 0) 1 -31-91 and 1-1- 5) I- Z W C Z o 0.. en w 0:: 0:: o o NAME Jan M. Wiley FIRM NAME (If applicable) Wiley, Lenox, Colgan, & Marzzacco, P.C. COMPLETE MAILING ADDRESS TELEPHONE NUMBER 717 -432-9666 -'~! I I ---I i 130 W. Church St Dillsburg, PA 17019 1. Real Estate (Schedule A) (1 ) None OFFICIAL USE ONLY 2. Stocks and Bonds (Schedule B) (2) 1'-.> 89,409.64 C) = =;:, ::;0 0-' 3. Closely Held Corporation, Partnership or Sole-Proprietorship (3) None :-;:J CJ -0 m 4. Mortgages & Notes Receivable (Schedule D) ,-:CC) c-') (4) None .~I:; c~~ J ~ _'_.J -.J 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) 126,283.06 . ,~,-~,.) /', (Schedule E) -0 ~'-~~ ~i~ Z 6. Jointly Owned Property (Schedule F) (6) 161,781.97 :Ii:: .'- "'r-) 0 o Separate Billing Requested C') t= N :-Tl ~ 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) None -;'~ -- :::l (Schedule G or L) 0 Separate Billing Requested ~ , . l- ii: 8. Total Gross Assets (total Lines 1-7) (8) 377,474.67 <( 0 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 32,208.71 ~-~----- w a: 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 487.54 11. Total Deductions (total Lines 9 & 10) (11 ) 32,696.25 12. Net Value of Estate (Line 8 minus Line 11) (12) 344,778.42 -------- 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) (13) 0.00 (14) 344,778.42 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15.Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15) or transfers under Sec. 9116(a)(1.2) z 0 .045 (16) t= 16.Amount of Line 14 taxable at lineal rate 0.00 x ~ :::l a. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17) :a: 0 0 18. Amount of Line 14 taxable at collateral rate 344,778.42 x .15 (18) x ~ 19. Tax Due (19) 0.00 0.00 0.00 51,716.76 51,716.76 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. <(:~f' "";?':;;j;Y';-"-- '. ~> BE{&UR~foAN'SWERAllQUESTlONS ON REVERSE SIDE AND RECHECK MATH << . c.:'.-,_....._....".'.'.~~~~~..._,_,"-'-.~.~__~';c~+_-'------.:...:..:."'..;;...'--,-'-.~~"-'-~~~__....:...'.:.::..:.,..::i.:cZ....:....:....-'-~--:....__ Copyright 2002 form software only The Lackner Group, Inc. Fo~ REV-15oo EX (R,,_ 6-0~ Decedent's Complete Address: STREET ADDRESS 51 KONHAUS ROAD I STATE PA IZIP 17050 CITY Mechanicsburg Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 51,716.76 42,037.50 2,212.50 Total Credits (A + B + C) (2) 44,250.00 3. InteresVPenalty if applicable D. Interest E. Penalty TotallnteresVPenalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) 7,466.76 (5A) (5B) 7,466.76 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;....... ...................... .................................................. [J ~ 1"1 I.:l b. retain the right to designate who shall use the property transferred or its income;.................................... L.J ~ c. retain a reversionary interest; or............................... .......................................................... ....................... 0 ~J I"' I.' d. receive the promise for life of either payments, benefits or care?.............................................................. I_J LX.! 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.................. .................. ..................................................................... .............. [] [!] ~ [J 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?..................................................................................................................... 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. 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 FlUNG RETURN ADDRESS MA Y ANN BAN DATE 104 EAST MAPLEWOOD AVENUE Mechanicsburg, PA 17050 12./6 C. /0 c.. 'DATE ' ADDRESS \/1__ ?r J~ SIGN U PARER OTHER THA REPRESENTATIVE n M. Wiley ADDRESS I .2../ b I.. roC. I DATt " 130 W. Church St DiIIsburg, PA 17019 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. 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 0% [72 P.S. S9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 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 4.5%, except as noted in 72 P.S. 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 12% [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. LAST WILL AND TESTAMENT OF ROBERT S. REED I, ROBERT S. REED, of the TOWNSHIP OF SILVER SPRINGS, COUNTY OF CUMBERLAND, STATE OF PENNSYLVANIA, being in good bodily health and of sound and disposing mind and memory, and not acting under duress, menace, fraud, or undue influence of any person whomsoever, merely calling to mind the frailty of human life, and being desirous of disposing of' my worldly goods while I have the strength and capacity so to do, I do make, publish and declare this my LAST WILL AND TESTAMENT. I hereby revoke, cancel and annul all my former Wills and Testaments, including codicils thereto, by me at any time made, and declare this alone to be my LAST WILL AND TESTAMENT. AS TO SUCH ESTATE AS IT HAS PLEASED GOD To ENTRUST ME WITH IN THIS LIFETIME, I DISPOSE OF THE SAME AS FOLLOWS, VIZ: ITEM 1. discharge I direct that my Executors hereinafter named, pay and all of my just debts, funeral and testamentary expenses. ITEM 2 . I own, I order and direct that situate at the ROLLING I be buried in a lot which GREEN CEMETERY, CAMP HILL, PENNSYLVANIA. ITEM 3. All the rest, residue and remainder of my entire estate, wheresoever situate, and whatsoever it may consist of, I give, devise, and bequeath, absolutely, and in fee, to MARY ANN BANKS, per stirpes. ITEM 4. I order and direct that my personal representative(s) hereinafter named, use JAMES M. BACH, ESQUIRE, as the Attorney for my Estate. ITEM 5. I nominate and appoint MARY ANN BANKS as Executrix of this my Last Will. ITEM 6. I direct that my personal representatives, as well as their successors, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. I2~An ~ ROBERT S. Page 1 of 3 ITEM 7. I direct that all estate, succession, legacy, inheritance or other transfer taxes, however designated that shall become payable: by reason of my death in respect of all property comprising my gross estate for tax purposes, whether or not such property passes under this Last'Will, shall be paid by my Executor out of' my residuary estate. ITEM .8. I grant to' my personal representatives herein named, in addition to, but: not in limitation of those powers vested by law, to be exercised without prior application to or approval of any court, the power and authority to retain indefinitely any property, to invest and reinvest any assets or the proceeds derived from the sale of assets, although said investments may not be of the character prescribed by law, to sell, convey, assign, transfer and encumber any property, to pay, settle or compromise all claims, to make distribution or divisions in cash or in kind, and in general to exercise all powers in the management of any property hereunder which any individual could exercise in the management of similar property owned in his own right, and to execute and deliver any and all instruments and to do all acts whlch may be deemed necessary and proper. (ll{krJ/W' ROBERT S. REED WITNE~~ ~_.L(;(WITNESS Uv' rt"7/~ \I / =============================== END =====~======================= Page 2 of 3 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND I, ROBERT S. REED the TESTATOR whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknow- ledge that I signed and executed the instrument as my LAST WILL; that I signed it willingly; and that I signed it as my free and voluntary act for the purpose therein expressed. Sworn to or affirmed and acknowledged before me, by: ROBERT S. REED the TESTATOR, 1996 . this 24th day of January IXdiJ~ . STATOR SI ATURE) NOTARIAL SEAL ATTORNEY JAMES M. BACH, Notary Public CUmberland County My Commission ExplresMay 13, 1999 NOTARY PUBLIC chanicsburg, PA 17055 mmission Expires: 05/13/99 My A F F I D A V I T COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND We, ESME GOODSIR and YURI GASPAR , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw TESTATOR sign and execute the instrument has his LAST WILL; that the TESTATOR signed willingly and that he executed it as his free and voluntary act for the purpose therein expressed; that each witness in the hearing and sight of the TESTATOR signed the WILL as witnesses; and that, to the best of our knowledge, the TESTATOR was, at the time, 18 or more years .of age, of sound mind and under no constraint or undue influence. Sworn to o~ affirmed and acknowledged before me, by: ESME GOODSIR and YURI GASPAR witnesses, this 24th day of January ,1996. WITN~~ ~ WITNESS -f!ii' !lYJ/~ V / NOTARIAL SEAL ATTORNEY JAMES M. BACH. Notary Public CUmberland County My My Commission expires May 13, 1999 Page 3 of 3 Rev-1503 EX+ (6-98) . SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REED, ROBERT S. FILE NUMBER 21-06-00278 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 Cumberland Valley Cooperative Association: 150.00 2 Ferris Baker Watts, Inc. holdings Account #8369-4193 89.259.64 (See Attached): TOTAL (Also enter on Line 2, Recapitulation) 89.409.64 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) III ..lI:: C cu lJJ c c < ~ u cu .=::2: -0 ~ 20..... "iiil-"t ~~m "'Q)M ~o::c:o ~cn~ en 1:: :J .- Q) 0 ... ..c .- ... 0 (:) ~o::< ..- co (j)(J)(J) Q) l!) ....NM Q)..-foh Cfoh 'C Q) :J .... CJ CJ < ~ E ;sJ V COONCOl!) COO..-~"<t Ml!)NI'-(J) O"-I'-COM Mfohfohfohfoh foh (J)(J) co 0 MO foh co co foh CU CU -- -- c C NCO 00000l!)..-l!) MI'-NOOOl!)OM'<:!:l.() ~COCOI'-OOOI'-Ol'-o(J) N l!)COl!)O 01'-001'-1'- CU . N. M. N.. ~ o. o. o. . '? l!). >o"-l!)oooooo..-co C~~~"'C"'-~-r--'T"-~~E:,q.CX) Ofohfoh fohfohfohfohfohfoh foh o - 1-:;:;- =:l :J 0...0... .r:::. .r:::. coco Q) Q) 00 ------ ~ Nl!)O(J) ou('?o~o~ "-~~1q:LY<( O~cb5:(9fr:J, 9: I'-..-CDNN"<t..- (J)M(J)CO..-"<tCOM :Jl!)I'-I'-COO..-1'- u~~~~~~&5 - :J 0... .r:::. co Q) o --- (J)l.()Q) w6~ I-MCU . I ~ a...z (J) CD >- co..-Q)cu O'>-r-c.... l.() N 0 0 (J)(J)~I- c .Q co c .Ql CIl Q) o ':J- -.0 0=- VI flS C :J o (.) (.) <( o o I- a.> > CU .r:::. -0 c CIl a.> o o "0 C CU l!) ..- CD ..- M =l:t: C :J o (.) (.) <( .. ~ :if n L- a.> "0 c :J en :J ~ ~ a. CU o "0 c a.> "0 :~ o co "0 a; .r::: .~ .c .C :J (.) a.> CIl .~ .r::: I- a.> -0 z i< Cumberland Valley Cooperative Association 908 MT. ROCK ROAD POST OFFICE BOX 350 ~ SHIPPENSBURG, PENNSYLVANIA 17257 TELERHONE: 717 532-2197 FAX: 717 532,4353 April 3,2006 The Wiley Group Jan M. Wiley, Esq. 130 W. Church Street, Suite 100 Dillsburg, Pa. 17019 Re: Estate of Robert S. Reed Dear Jan: I can confIrm that Robert's holdings included not only CertifIcate # 9754, which . you sent me a copy of, but also 2 additional certificates, as follows: Certificate # 3968 Certificate # 7654 1 share 8 shares Common Stock Preferred Stock 1972 1972 His total holdings were 14 shares Preferred Stock and I share Common Stock. All stock is valued at $10 per share, and the value does not change. It is our policy to buy back Common and Preferred Stock from estates. Upon receipt of the 3 original certificates, properly endorsed by the Executor, we will issue a check to the estate for $150.00. You indicated fmding only one certificate. If the others can not be found, let me know. I'll send another form for the Executor to sign that allows us to redeem the stock without actually having the certificates turned in. It is frequently the case that certificates are lost or misplaced. If you have any further questions, I can be reached at the number above. Cooperatively, nrfL Merle Harnish, Controller ------ - -- DATE 04/27/06 074327 CUMBERLAND VALLEY COOPERATIVE ASSN. REFERENCE DATE DESCRIPTION VOUCHER AMOUNT 04/25/06 STOCK PURCHASE 068515 10.00 04/25/06 STOCK PURCHASE 068516 80.00 04/25/06 STOCK PURCHASE 068517 60.00 REED ESTATE, ROBERT S. 150.00 ~ CUMBERLAND VALLEY COOPERATIVE ASSN. 908 MT. ROCK ROAD P.O. BOX 350 SHIPPENSBURG, PA 17257 PH: 717-532-2191 ORRSTOWN BANK EAST KING STREET OFFICE SHIPPi::NSBURG, PA 17257 60-1503-313 . No. 074327 074327 04/27/06 ******150.0 One hundred fifty and NO/100 PAY TO THE ORDER OF ROBERT S. REED ESTATE C/O THE WILEY GROUP 130 W. CHURCH ST., SUITE 100 DILLSBURG, PA 17019 //~ !)/~ ~~ AUTHORIZE .......... II' 0 ? ~ 3 2 ? II' I: 0 3 ~ 3 ~ SO 3 b I: ~ 0 g 2 b bill Rev-1508 EX+ (6-98) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REED, ROBERT S. FILE NUMBER 21-06-00278 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jolntly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 Direct TV Magazine (refund): VALUE AT DATE OF DEATH 33.30 2 Hardy's Auction (personal property sale) 18.370.35 3 Kalmbach Publishing Co. (refund): 75.22 4 Lester Erb Oil (refund): 246.64 5 Penn Propane (refund): 251.79 6 PNC Bank CD: 31400273984: 10.211.78 7 PNC Bank Checking Account: 5070085428: 64.081.64 8 Reminisce Magazine (refund): 9.99 9 St. Anthony's Messinger (refund): 16.64 10 The Federal Times (refund): 33.58 11 The Patriot News (refund): 180.60 12 The Sentinel (refund): 112.87 13 The Sporting News (refund): 58.95 14 US Office of Personnel Management - Retirement: 3.593.35 15 USA Today (refund): 92.65 16 Verizon (refund): 4.06 17 Westfield Group Insurance (refund): 158.66 18 Inheritance due from the Estate of Dorothy M. Reed: 28,750.99 Total of Continuation Schedule(s) See attached page TOTAL (Also enter on Line 5, Recapitulation) 126,283.06 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) FINAL SETT,LEMENT l." r (~).! i /'j . ERNAME . \:::.(,~,o+ . 'r\OD.~c\)K:e -p d 'DRESS. 51.. K d n hCtlt \. (2 d l\!J\ f) LA (\ .,.,,~ )CA lION .OF SALE . '::;; {i /(LZ.. 5,/;;U/Uh DATE Of SALE PHONE /'A ()! i .' . ZIP / 7 () <:;,'0 UCTIONEER ! \. . \J )JC\ C::( \/, cl~ PHONE. - . . ._---, 1&>370,3 ( PROFESSIONAL FEES AUCTIONEER I CJ 3. C;U} tV-- \ r70 O{ C€ vi ~~ s -h:G. CLERK. $ 1&5} ?Y! $ /935 dV- CASH $ j 0bU,;;C:; CHECKS $ /(;7/0./0 CASHIER $ OTHER RECEIPTS OTHER EXPENSES. .1 C//] CD .> if'l /-((ll'Yll'~ Lj . (Y;~). $ /5; I 0 5' . ~ '?t') /1f1i/c;ut?,~iAn/-;vJi JJavJ (/d$ 1/'/50 , /J II . i Z' be 7"1 s b,fY. i/Jf.9-~ $ . ~ 1(luIIV(j)-:~.. .. '0$ . // .J. '[1 vI '-1/'95/ '\ i', I /' j' ') / '~~QUI{;./o...e ,..4~ +/Iu J i'.eu ()/'t....\#$ ;"(p().lf 0 .jlv.JJJ 0 d V$ / 7 b {i;J ..', -- -' , [,/ ,~ j p 7p~ r ... J I f{,-/J;Jh" $ $ $ Il);} It, . d VLIJ /05 UJ ,/1 I j (<J I U'{1 H ifJ" l . I Check ~r J! 3lod I). to V /"101 / -In : ~~k/~ L, /l:;rdy /93 0(<:. /x,~ k Ke! $ 01 /1 s h Lt /'(J.. P.. 'fl..' /7Q/9 (j TOTAL RECEIPTS $ -1 , $ .$ $ $ 151 dO .$ $ JD{) . 00 ..$ . I I I fiep 450. ()O /' y 77J. ~r: u? . $ $ LESS TOTAL EXPENSES $ I (or we), the seller,accepfthisseftJement andacknowledgereceiptriLthet:qbove specified net pwceeds from the auction of my goodsaf1cJpr()p~rty sold on the aboyedate;1 caccept=alL responsibility for providing 'merchantable title toall'goqds,..and'property s6ld,~andfor.delivery of title to the purcpaser. . >:. ~. . . '. .. .... F"// i ..'ji' /' /) l ~>?J:.{f.;;t;:/70:t/!/0!- . 'll}la/~!) ()AeJ/t,/1)(!t1 1~t:P/ /Date .5:lJo!o(P ',,<" / tuctione~r or Cashier's Signature ; ~eller's Signature) . r I . / -:) /:/'<0/1.::-, (/) . Date, Date (Seller's Signature) o PNCBAN< April 17,2006 Jan M. Wiley, Esquire 130 W. Church Street, Suite 100 Dillsburg, PA 17019 RE: Estate of Robert S. Reed, deceased SSN: 162-22-6436 DOD: 3/25/2006 Dear Attorney Wiley: In response to your request for Date of Death balances for the customer noted above, our records show the following: Certificate of Deposit Account #31400273984 Established 09/13/2005 .. lO,2-IL18 ROBERT S REED DOD balance: $10,197.51 + $14.27 accrued interest Checking Account Account #5070085428 Established 01101/1978 -tt LILt, O~ I.ue{ ROBERT S REED DOD balance: $64,060.00 + $21.64 accrued interest Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do not process any financial transactions or provide statements. If you need assistance with any of these items, please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, @;~JtJJk ultJ-k- Rachelle Wells 1-800-762-1775 P7 -PFSC-04-F 500 first Ave. Pittsburgh PA 15219 Member FDIC TOTAL P.01 .. U.S.'pOSTA U.S. Office of Personnel Management Retirement Programs Retirement Operations Center Boyers. PA 16017 OFFICIAL BUSINESS PENALTY FOR PRIVATE USE, $300 FORWARDING SERVICE REQUESTED MARY A BANKS ADM ESTATE ROBERT S REED 104 E MAPLEWOOD AVE MECHANICSBURG PA 17055 i705S+4255-G4 COiS 1"1/11.,,'1'...,1,1,.1.1..'..1. . 1.1.,. J ,.1.1." , 1"" . ,.. I. /I I - - _-:-. ~ - - __I I---~ :.-.-_--, I L- --".'-= FINAL STATEMENT OF LUMP SUM DEATH BENEFIT PAYMENT You are entitled to a lump sum payment because of the death of a former employee. This payment, shown in Block 5, covers only benefits due from the Civil Service Retirement and Disability Fund and consists of any unused contributions the former employee made to the Fund or any accrued annuity payable at the time of his or her death, or the Basic Employee Death Benefi payable to a surviving spouse under the Federal Employees Retirement System. 1. Name of Deceased Federal Employee 2. Claim Number 3. Date of Birth 4. Date REED ROBERT S CSF 3026679 11/12/27 06/15/06 5. You Will Receive a Lump Sum Payment For 6. ToBe Sent By 7. Interest (Included in Item 5) 8. Tax Withheld $ 3593.35 06/29/06 $ NONE $ NONE 9. Remarks n-=> <::PD rouorroo ..i.fn 1_. :____..__.& :_~ _ ___ _..~ R125. HARRY L. BRICKER, JR. ATTORNEY AT LAW 407 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17101-1296 AREA CODE 717 233-2555 E-MAIL -HLBLAW@VERIZON.NET FAX 233-8555 September 27, 2006 Mr. Paul W. Reed 203 Palace Court Conway, SC 29526 j Estate of Robert S. Reed, Deceased clo Jan M. Wiley, Esq. The Wiley Group 130 W. Church Street, Suite 100 Dillsburg, PA 17019 Ms. Gale T. Ensminger 3557 Elmerton Avenue Harrisburg, PA 17109 Ms. Lois Reed 229 S. 15th Street Camp Hill, PA 17011 Mr. Robert F. Taylor 2120 W. Carroll Place Tampa, FL 33612 Mr. Michael D. Taylor 150 White Birch Circle Mechanicsburg, PA 17050 Mr. Mark Taylor 200 S. Crestwood Drive Danville, PA 17821 Ms. Linda Reed 10842 Beeler Street Henderson, CO 80640 Holy Spirit Hospital 503 N. 21st Street Camp Hill, PA 17011 Ms. Esther M. Taylor 1955 Bolin Road North Agusta, SC 29841 Ms. Kathie Merritt 7742 Paseo Del Rey #2 Playa Del Rey, CA 90293 Ms. Patricia Reed 5491 Kenwood Avenue Harrisburg, PA 17112 Ms. Mary E. Count 1955 Bolin Road North Agusta, SC 29841 Ms. Joanne Saylor 52 Cullens Run Pittsford, NY 14534 Mr. Matthew A. Taylor 199 Birch Lane Carlisle, PA 17013 Ms. Loraine Taylor 237 Arkansas Avenue Toms River, NJ 08753 Mr. Scott Reed 1612 Crestleigh Court Finksburg, MD 21048 Our Lady of Lourdes Roman Catholic Church 225 Salt Road Enola, PA 17025 Page 2 September 27,2006 American Heart Association P.O. Box 8835 Camp Hill, PA 17001 Covenant House Planned Giving 346 West 17th Street New York, NY 10011 Blue Army of Our Lady of Fatima P.O. Box 976 Washington, NJ 07882 Bishop McDevitt High School 2200 Market Street Harrisburg, PA 17103 National Shrine of Our Lady of the Snows c/o U.S. Province of the Missionary Oblates of Mary Immaculate, Inc. Office of Charitable Gifts 9480 North De Mazenod Drive Belleville, IL 62223 American Red Cross 1804 North 6th Street Harrisburg, PA 17102 St. Jude Children's Research Hospital 501 St. Jude Place Memphis, TN 38105 Cathedral Parish of St. Patrick 212 State Street Harrisburg, PA 17101 Pennsylvania Association for the Blind 90 E. Shady Lane Enola, PA 17055 American Cancer Society National Office of Probate and Trust Management Services Attn: Bill M. Roberts P.O. Box 720366 Oklahoma City, OK 73162 Re: Estate of Dorothy M. Reed, Deceased Social Security No. - 204-01-8948 Date of Death - December 15, 2004 Estate No. - 0057-2005 Tax 1.0. No. - 43-6920192 Dear Folks: In lieu of preparing and lodging a formal accounting with the Court, we are submitting an informal accounting to each of you at this time. If we would file a formal accounting, the estate would incur additional fees and filing expenses. Enclosed with each correspondence is a photocopy of the Last Will and Testament of Dorothy M. Reed. Page 3 September 27, 2006 This correspondence is to set forth the assets of the above estate as we know them to be and the expenses as we know them to be. The assets will appreciate, however, they are in an interest bearing account which pays approximately $60.00 per month and hence, the distributive shares will reflect these figures. Our assets are as follows: 1. $50.00 Series EE Savings Bond Certificate No. - L38617011EE, Dated 3/1989 $ 60.74 2. Citizens Bank: $ 24,403.05 A. Certificate of Deposit AccountNo.-6140896347 B. Certificate of Deposit Account No. - 6140701651 C. Savings Account No. - 6140193877 3. PNC Bank: A. Certificate of Deposit AccountNo.-21001022251 $ 54,491.39 B. Certificate of Deposit AccountNo.-21001022340 $ 19,432.05 C. Savings Account No. - 5130008636 $ 1,243.09 D. Savings Account No. - 5130134472 $ 19,668.96 E. Savings Account No. - 5130135037 $ 78,946.61 4. PNC Investments - Money Market Account Account No. - 6166-3428 $ 7,239.28 5. Holy Spirit Hospital - Refund of Overpayment $ 50.00 6. CNA - Continental Casualty Company - Refund of unearned premium Policy No. - 076447028 $ 1,268.66 Page 4 September 27,2006 7. Internal Revenue Service - Refund for 2004 Income Tax $ 1,190.00 8. Transfer from sub account AccountNo.-0000005140051662 $ .29 9. Interest on Estate Checking Account $ 629.55 $208,623.67 Our debts are as follows: 1. Register of Wills - Probate $ 438.00 2. The Paxton Herald - Advertisement $ 35.50 3. Dauphin County Reporter - Advertisement $ 65.00 4. Vital Records - Death Certificates $ 108.00 5. MCI - Telephone Service $ 70.89 6. Seligman, Friedman & Company, P.C. - Preparation of 2004 Income Tax Returns $ 400.00 7. Register of Wills - 2 Short Certificates $ 12.00 8. U.S. Postmaster - Certified Mail $ 5.11 9. Esther M. Taylor - Reimburse for Advance of Retainer $ 500.00 10. Harry L. Bricker, Jr. - Attorneys Fees $ 24,169.57 11. Harry L. Bricker, Jr. - Photocopy, postage and phone charges $ 153.06 12. Register of Wills, Agent - Pennsylvania Inheritance Tax $ 15,394.98 13. United States Treasury - 2005 Income Tax $ 11.00 14. PA Department of Revenue - 2005 Income Tax $ 20.00 Page 5 September 27, 2006 15. Seligman, Friedman & Company - Preparation of 2005 Income Tax Returns $ 550.00 16. Register of Wills, Agent - Additional Pennsylvania Inheritance Tax $ 17,867.82 17. Register of Wills, Agent - Additional Interest re: Pennsylvania Inheritance Tax $ 67.82 $ 59,868.75 Accordingly, you can see that our distributive estate is in the amount of $148,754.92. This does not including the payments made directly to the beneficiaries from jointly held assets and the payments made to the beneficiaries from the various annuities nor does it include direct payments from a mutual fund. The assets retained by Esther, Paul and Robert that were not deposited into the Estate Account are as follows: 1. PNC Bank Checking Account No. - 5140051662 (Joint with Esther) $ 7,461.48 2. $100.00 Series EE Savings Bond - Certificate No. - C3729167EE (Joint with Esther) 237.24 $ 3. $100.00 Series EE Savings Bond- Certificate No. - C139954504EE (Joint with Esther) 146.28 $ 4. Allstate Life and Annuity Claims No. - GA207388 (Beneficiaries - Esther, Robert and Paul) $ 4,756.99 5. Allstate Life and Annuity Claims No. - GA 00015137 (Beneficiaries - Esther, Robert and Paul) $ 21,015.26 6. American Express Annuities: (Beneficiaries - Esther, Robert and Paul) A. No. - 93001875361 4 004 B. No. - 93002478533 7 004 C. No. - 93004108082 9 004 $ 41,061.79 $ 31,984.92 $ 12,134.94 Page 6 September 27,2006 7. American Express Mutual Fund (Beneficiaries - Esther, Robert and Paul) No. - 012414257183002 $ 15.725.58 $134,524.48 The debts expended by, I believe, Esther and not the Estate are as follows: 1. Funeral Expenses: A. Paid Newspaper Notice $ 84.92 B. Grave Opening and Closing C. Tent & Grave Servicing D. 4 Additional Death Certificates E. Opening and Closing $ $ $ $ $ 150.00 110.00 8.00 485.00 837.92 It is my understanding that because of the funds received directly by Esther, Paul and Robert that no reimbursement is being requested for the above stated five (5) expenditures and some of the assets retained by Esther, Paul and Robert may have been greater or lesser than we stated. We only had the date of death balances for some of those accounts. The decedent had a pre-paid funeral through Musselman Funeral Home & Cremation Services, Inc. There was a life insurance policy through Nationwide Life Insurance Company in which Esther was the beneficiary. Those proceeds were directly sent to Esther. It is my understanding that Esther, Paul and Robert have chosen to waive the Co- Executor's Fee. Having said all this, we believe that we are in a position to make a full and final report and distribution. Please go over this correspondence and certainly, if you have any questions at all, please feel free to call. We are enclosing with each correspondence a Release in the following amounts: 1. Gale T. Ensminger $ 5,000.00 2. Our Lady of Lourdes Roman Catholic Church $14,375.49 $14,375.49 3. Holy Spirit Hospital Page 7 September 27,2006 4. Esther M. Taylor $28,750.99 5. Paul W. Reed $28,750.99 6. Estate of Robert S. Reed, Deceased $28,750.99 7. Patricia Reed $ 1,250.05 8. Lois Reed $ 1,250.05 9. Mary E. Count $ 1,250.05 10. Robert F. Taylor $ 1,250.05 11. Joanne Saylor $ 1,250.05 12. Gale T. Ensminger $ 1,250.04 13. Michael D. Taylor $ 1,250.04 14. Matthew A. Taylor $ 1,250.04 15. Mark Taylor $ 1,250.04 16. Loraine Taylor $ 1,250.04 17. Linda Reed $ 1,250.04 18. Scott Reed $ 1,250.04 19. Kathie Merritt $ 1,250.04 20. American Cancer Society $ 1,250.04 21. American Red Cross $ 1,250.04 22. Covenant House $ 1,250.04 23. National Shrine of Our Lady of the Snows c/o U.S. Province of the Missionary Oblates of Mary Immaculate, Inc. $ 1,250.04 Page 8 September 27, 2006 24. St. Jude Children's Research Hospital $ 1,250.04 $ 1,250.04 $ 1,250.04 $ 1,250.04 $ 1,250.04 $ 1,250.04 25. Blue Army of Our Lady of Fatima 26. Cathedral Parish of St. Patrick 27. Bishop McDevitt High School 28. American Heart Association 29. Pennsylvania Association for the Blind We will appreciate all of you signing and dating the Releases, having your signatures witnessed and notarized, and return all the Releases to this office using the enclosed self-addressed, stamped envelope. As soon as we receive all of the Releases, we will immediately forward the checks. It indeed has been a pleasure to work with all of you. Certainly, if anyone has any questions, please feel free to call. Very truly yours, ~~~ Harry L. Bricker, Jr. HLB, Jr.lbld Enclosures fvl~ MEMBERS 1st FEDERAL CREDIT UNION ~ ______.1 'I SAVINGS ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner Date Joint Ownership Established 3156 -00 11/01/1954 $425.74 $.28 $426.02 Mary A. Banks 04/23/1996 LIFE SAVINGS ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner Date Joint Ownership Established 3156 -04 02/01/2001 * $3,900.00 $2.56 $3,902.56 Mary A. Banks 02/01/2001 MONEY MANAGEMENT ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner Date Joint Ownership Established 3156 -05 04/28/1995 $125,284.08 $203.48 $125,487.56 Mary A. Banks 04/23/1996. :G~ ,BCRS 1ST l=EnCD^L ('"'Dent. Ul\1I0'" '" '~/' dit3;,"~ ~"~~,, '" " enise A. Wolfe :),:1- Insurance servicehupervisor April 12, 2006 Estate of: ROBERT S. REED Date of Death: 03/25/2006 Social Security Number: 162-22-6436 5000 Louise Drive . Po. Box 40 . Mechanicsburg, Pennsylvania 17055 . (717) 697-1161 . www.members1st.org Rev-1509 EX. (6-98) .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF REED, ROBERT S. FILE NUMBER 21-06-00278 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 A. Mary Ann Banks ADDRESS RELATIONSHIP TO DECEDENT Friend 104 East Maplewood Ave. Mechanicsburg, PA 17055 B. C. JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY %OF DATE OF DEATH LETTER DATE ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET INTEREST DECEDENT'S INTEREST JOINTLY-HELD REAL ESTATE. 1 A 2/1/2001 Members 1st FCU Life Savings Account: 3.902.56 50.000% 1.951.28 3156-04: 2 A 4/23/1996 Members 1st FCU Money Management 125.487.56 50.000% 62.743.78 Account: 3156-05: 3 A 4/23/1996 Members 1st FCU Savings Account: 426.02 50.000% 213.01 3156-00: 4 A 4/25/1996 Real Estate sale - property situate at 51 193.747.79 50.000% 96.873.90 Konhaus Road, Mechanicsburg, PA & Tax Proration due estate: TOTAL (Also enter on Line 6, Recapitulation) 161.781.97 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) ~ A. Settlement Statement 69 East MIddle Streot U.S. Department of Housing and Urban Development Gettysburg, PA 17325 OMB No. 2502-0265 fexoires 9/30/2006) (717) 334-921 B B. TYPE OF lOAN FAX (717) 334-5108 1. OFHA 2. OFmHA 3. DConv. Unins. ~INC. 4. OVA 5. DConv. Ins. 6. FILE NUMBER 17. LOAN NUMBER 14516678 7476795 8. MORTGAGE INSURANCE CASE NUMBER C. Note: I~:~s ~~~d u'1P~~~~}~~r~e:a~~ ~u~~~~n;~~ c~O~C;:~;~hse~m.:,:~~~s::;;r:%~~~~~~~~~ ~~~Js:e 1l~~l~~~~~t ::,gc~~~:~el~h::~otals 1 TitleExpress Settlement System ~~~~~o~: ~~~s I~~I~~: :~~~~~~P~D~:~~~~~~ }~:~r:::aw: :~e~n~:I~:du~~t~~~: ~~~tiO:na~60~~~~ S~~~I:~~o1~'O~enaUles upon . Printed 06/28/2006 at 13:26 NJM D. NAME OF BORROWER: JEFFREY V. NULL and GEORGE K. NULL ADDRESS: 114 BERLIN ROAD NEW OXFORD PA 17350 E. NAME OF SELLER: ROBERT S. REED ESTATE and MARY ANN BANKS ADDRESS: F. NAME OF LENDER: ADAMS COUNTY NATIONAL BANK ADDRESS: 675 OLD HARRISBURG ROAD P. O. BOX 3129 GETTYSBURG PA. 17325 G. PROPERTY ADDRESS: 51 KONHAUS ROAD, MECHANICSBURG, PA 17050 ALSO: 2795 CARLISLE PIKE NEW OXFORD PA Townshio of Silver Sprinas H. SETTLEMENT AGENT: Adams Abstract Associates, Inc., Telephone:' 717.334.9216 Fax: 717.334.5108 PLACE OF SETTLEMENT: 69 East Middle Street. Gettvsbura. PA 17325 I. SETTLEMENT DATE: 06/29/2006 J. SUMMARY OF BORROWER'S TRANSACTION: K. SUMMARY OF SELLER'S TRANSACTION: 100. GROSS AMOUNT DUE FROM BORROWER 400. GROSS AMOUNT DUE TO SELLER 101. Contract sales nrice 193 500.00 401. Contract sales orice 193 500.00 102. Personal Prooertv 402. Personal Prooertv 103. Settlement charoes to borrower Iline 140m 9 473.26 403. 104. 404. 105. 405. Adiustmeots for items paid by seller in advance Adiustments for items oaid bV seller in advance 106. Citv/lown taxes 06/29/06 to 12/31/06 61.79 406. City/town taxes 06/29106 to 12/31/06 61.79 107. County taxes 06/29/06 to 12/31/06 177.70 . 407. County taxes 06/29/06 to 12/31 /06 177 .7 0 108. School Taxes 06/29/06 to 06/30/06 8.30. 408. School Taxes 06/29/06 to 06/30/06 8.30 109. 409. 110. 410. 111. 411. 112. 412. 120. GROSS AMOUNT DUE FROM BORROWER 203221.05 420. GROSS AMOUNT DUE TO SELLER 193747.79 200. AMOUNTS PAID BY OR ON BEHALF OF BORROWER 500. REDUCTIONS IN AMOUNT DUE TO SELLER 201. DepOsit or earnest money 19 350.00 501. Excess Deoosit (see instructions) 202. Principal amount of new loans 201 200.00 502. Settlement charnes to seller (line 1400) 1 945.00 203. Existino loanls) taken subiect to 503. E,('Jstino loanls) taken subiect to 204. 504. Pavoff of First Mortoaoe Loan 205. 505. 206. 506. 207. 507. 208. 508. 209. 509. Adiustments for items unpaid bv seller Adiustments for items unpaid bv seller 513. ... 213. .. 214. 514. 215. 515. 216. 516. 217. 51.7. 218. 518. 219. 51.9. 220. TOTAL PAID BY/FOR BORROWER 220 550.00 520."rbT AL REDUCTION AMOUNT DUE SELLER 1 945.00 300. CASH AT SETTLEMENT FROM OR TO BORROWER 600. CASH AT SETTLEMENT TO OR FROM SELLER 301. Gross amount due from borrower (line 120) 203 221.05 601. Gross amount due to seller Iline 420\ 193747.79 302. Less amounts oaid bvlfor borrower (line 22m 220 550.00 602. Less reduction amount due seller (line 520) 1 945.00 303. CASH TO BORROWER 17 328.95 603. CASH TO SELLER 191 802.79 . '. farm HUD-1 (3/86) ref Handbook 4305.: SUBSTITUTE FORM 1099 ShELLER ,S,TATE1,M, ..EN1Tm: ThOS..d'nofr:mYOauuf,n~I~~~~~~ ~e8qr~:~e~ ::;'~~~:;~~~d]~~~~~~~~ ~~~~~~l:;~~rr::~:~ ~~:~~~~t~~~~rt~~~e~: ~~~~~~t ~~~~ ~~ic~e~~~:~bt:JI~~ a return a negligence penalty or at et sane on w p line 401 above constitutes the Gross Proceeds of this transaction. (F d Tax ID No' ) with your correct taxpayer Identification number. If you do not provide your correct taxpayer identification ~~~~~~.r;:,I~:y b~el::b~~f.:r:~~~~~ ~~~i~f~~~~~r:s I~posed by la~. Under penalties of perjury, I certify that the number shown on this statement Is my correct taxpayer Idenlificatlon number. TIN:_"_._'___._ SEllER(SISIGNATUR~IS~':, J SELlER(SI NEW MAILING AODRESS: SEllER(SI PHONE NUMBERS: (HI (WI L. SEn~HARGES TilleExoress Settlement Svslem printed 06127/2006 at 14-.48 LGM PAID FROM PAID FROM ,"0. ,0"'" "",,~'ROK',"' COM","'ON "... " - $I" 500.00" ,."" " BORROWER'S SELLER'S Division 01 commission lIine 700\ as tollows: FUNDS AT FUNDS AT 701. --:~ to SETTLEMENT SETTLEMENT 702.S to 703. commission oaid at settlement 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. Loan Orioination Fee % 802. Loan Discount % ADAMS COUNTY NATIONAL BANK 3018.00 B03. . Annraisal Fee to ADAMS COUNi'l NATIONAL BANK 400.00 B04. Credit Reoorl to ADAMS COUNTY NATIONAL BANK 15.00 805. Lender's Insnection Fee 806. Morloaoe Anolication Fee B07. Assumotion Fee BOB. doc nreo to ADAMS COUNi'l NATIONAL BANK 85.00 B09. ~ood cerl to ADAMS COUNTY NATIONAL BANK 22.00 B10. underwritino to ADAMS COUNT'( NATIONAL BANK 245.00 B11- 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 90\. Interest From to @$ Idav 902. Morloaoe Insurance Premium for to 903. Hazard Insurance Premium for to 904. : 905. 1000. RESERVES DEPOSITED WITH LENDER FOR 1001. Hazard Insurance mo.li1l$ Imo 1002. Morlaaoe Insurance mo~(ii)$ Imo 1003. City ProoerlV Tax m;(ii)$ 10.11 Imo 1004. County Prooerlv Tax mo)ffi $ 29.06 Imo 1005. School Taxes mo~(ii)$ 126.38 Imo 1009. Annr""ate Analvsis Adiustment 1100. TITLE CHARGES 0.00 0.00 \101. 1102. Abstract or tille search to Adams Abstract Associates Inc. 1103. Title examination 125.00 1104. Title insurance binder 1105. Document preoaration 1106. 1107. Attomev's tees !includes above items No' 110B. TItle Insurance . to Adams Abstract Associates.lnc. I --'-- !includes above ilems No' ii09. Lender's Polic" . \ ' 368.15 1110 Owner's Pollcv 201 200.00 .4000 iiii End 100 1935' 1\\2 End 300 ~710 E d 00.00 .132B 75 1 n toM!msAb t . 1\:~ co." ,~'" ""'" "',oct"" I" - - . GOVER .- ",,, R NMENTREeOR" Ad'''''Ab~- ecordin 01 s ra . ~.;""" 38." NGANOTRANSFE:~~'I" Inc, ~ I-- Samn~ _ Mon ~ @ 1UO ES ~ ,n, ~ ~~ . File Number. 14516678 ~.s. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 5EiilEMEN1 51 A 1EMEN1 . . I. . . I ~ ~:Ilo ~: t . t . \:I~ <omlll S 1204. record mort-Adams Co. . . . o. 0.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT File Number: 14516678 lurl" nULl., t~/OOI rcr nanCODOK4.JU::J..; TitleExoress Settlement Svstem Printed 06/27/2006 at 14:48 lGM L. SETTLEMENT CHARGES PAID FROM I PAID FROM 700. TOTAL SALESIBROKER'S COMMISSION based on nrice $193 500.00@0.000= BORROWER'S SELLER'S Division of commission (line 7001 as follows: FUNDS AT FUNDS AT 701. $ to I 702. $ to SETTLEMENT I SETTLEMENT 703. Commission oaid at SetUement I 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. loan Orioination Fee % 802. loan Discount %ADAMS COUNTY NATIONAL BANK 3 018.00 803. Aooraisai Fee to ADAMS COUNTY NATIONAL BANK 400.00 804. Credit Rennrt to ADAMS COUNTY NATIONAL BANK 15.00 805. lender's Insooction Fee 806. Mortoaoe Aoolication Fee 807. Assumntion Fee 808. doc nreo to ADAMS COUNTY NATIONAL BANK 85.00 809. flood cert to ADAMS COUNTY NATIONAL BANK 22.00 810, underwritino to ADAMS COUNTY NATIONAL BANK 245.00 811. 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE 901. interest From to iAl$ Idav 902, Mortoaoe Insurance Premium for to 903. Hazard Insurance Premium for to 904. , 905, , 1000. RESERVES DEPOSITED WITH LENDER FOR 1001. Hazard Insurance mo.iAl ~ Imo 1002. Mortoaoe insurance mo.iAl $ Imo 1003, Citv Prooertv Tax mo. iAl $ 10.11 Imo 1004. Countv Pronertv Tax mO,iAl ~ 29.06 Imo 1005. School Taxes mo.iAl~ 126.38 Imo 1009, Annr""ate Analvsis Adiustment 0.00 0.00 1100. TITLE CHARGES 1101. 1102, Abstract or title search to Adams Abstract Associates Inc. 125.00 1103. Title examination 1104. Tille insurance binder 1105. Document Preoaration 1106. 1107. Attornev's fees lincludes above items No: \ 1108. Tille Insurance 10 Adams Abstract Associates Inc. 1 368.75 lincludes above items No: 1 1109. Lender's Policv 201 200.00 .40.00 1110. Owner's Policv 193500.00 -1 328.75 1111. End 100 End 300 End 710 Endto Adams Abstract Associates Inc. 200.00 1112. 1113. Closino Svc Ltr to Adams Abstract Associates Inc, 35.00 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recordino Fees Deed $ 38.50 . Mortnaoe $ 74.50 ' Release $ 113.00 1202. CitvlCountv tax/stamns Deed $1 935.00 . Mortnane $ 1 935.00 1203. State Tax/stamps Deed $1 935.00 . Mortnane $ 1 935.00 1204. record mort-Adams Co. to RECORDER OF DEEDS 100.00 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survev 1302. Pest Insnection 1303. tax cert to Silver Sorine Two. Tax Collector 10.00 1304. tax cert to LORETTE M. NACE 20.00 1305. courier to Adams Abstract Associates Inc. 25.00 1306. ESTIMATED 2006/07 SCHOOL T~)oEBRA BASEHORE WIEST 1 766.51 1307. 1308. 1400. TOTAL SETTLEMENT CHARGES I enter on lines 103 Section J and 502 Section K\ 9473.26 1.945.00 PAGE 2 HUO CERTIFICATION OF BUYER AND SELLER 27!&!!jtkvz1~fJv/. ~~yYuL WARNING: IT IS ACRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMIlAR FORM. PENALTIES UPON CONVlcnON CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAlLS see lll1.E 18: U.S. CODE SECTION 1001 AND SEC1l0N 1010. TIlE Wll.,EY GROUP ATTORNEYS AT LAW 130 W. CHURCH STREET SUITE 100 DILLSBURG, PA 17019 FILE COPy Tax Parcel No. 3804-0539-027 A INDENTURE THIS INDENTURE, made the ~14ay of ~--'- 2006, BY AND BETWEEN, MARY ANN BANKS, EXECUTRlX, under the Last Will and Testament of ROBERT S. REED, late of 51 Konhaus Road, Mechani'csburg, Pennsylvania, -and- MARY ANN BANKS, single person, of 104 East Maplewood Avenue, Mechanicsburg, Pennsylvania, herein referred to as GRANTORS of the One Part, AND JEFFREY V. NULL and JACQUELINE C. NULL, husband and wife, tenants by entirity of a Y:z interest, and GEORGE K. NULL and ALICIA A. NULL, husband of wife, tenants by entirity of a ~ interest, each Y:z interest to be held as tenants in common, hereinafter referred to as GRANTEES, of the Second Part. WHEREAS, RO BERT S. REED, departed this life on March 25,2006, having first made his Last Will and Testament in writing; and WHEREAS, MARYANN BANKS was appointed and constituted as Executrix of the , Estate of said Robert S. Reed by Item # 5 of said Will; and WHEREAS, MARYANN BANKS, pursuant to the power granted to her, and MARY ANN BANKS, INDIVIDUALLY, is desirous of conveying said piece or parcel of real estate described herein, owned by the Estate of ROBERT S. REED and MARY ANN BANKS. WITNESSETH That the said Grantors for and in consideration of the sum afONE HUNDRED NINETY- THREE THOUSAND FIVE HUNDRED ($193,500.00) DOLLARS lawfulmaneyafthe United THE WILEY GROUP ATTORNEYS AT LAW 130 W. CHURCH SfREEf SUITE 100 DlLLSBURG, PA 17019 States of America, unto her well and truly paid by the Grantees at or before the sealing and delivery hereof, the receipt whereof is hereby acknowledged, has granted, bargained, and sold, aliened, enfeoffed, released and confirmed and by these presents do grant, bargain and sell, alien, enfeoff, release and confirm unto Grantees, their heirs, successors and assigns: ALL THAT CERTAIN piece or parcel of land situated in the Township of Silver Spring, County of Cumberland and Commonwealth of Pennsylvania, more particularly bounded and described in accordance with a survey made by William B. Whitlock, a professional Engineer, on August 19,1969, as follows, to wit: BEGINNING at a point in the center of public Township Road T -566, Konhaus Road, at comer of other lands of the Grantors herein, of which the tract herein described was formerly a part, said point being located and referenced a distance of two thousand, three hundred fifty-three (2,353) feet, measured along the center line of said Konhaus Road, in a northwardly direction from the center line ofTrindle Road (P A Route No. 641); thence along said remaining other lands ofthe Grantors herein, the following three (3) courses and distances: (1) South seventy-seven (77) degrees, thirty (30) minutes West, a distance of six hundred forty and fifty-nine one hundredths (640.59) feet to a point; (2) North twelve (12) degrees, thirty (30) minutes West, a distance of three hundred forty (340) feet to a point; (3) North seventy-seven (77) degrees, thirty (30) minutes East, a distance of six hundred forty and fifty-nine one-hundredths (640.59) feet to a point in the center of public Township Road T -566, Konhaus Road, first mentioned above; thence along the center line of said Konhaus Road, South twelve (12) degrees, thirty (30) minutes East, a distance of three hundred forty (340) feet to a point in the same, the point and place of BEGINNING. CONTAINING five (5) acres ofland. IT BEING the same premises that Robert S. Reed, by deed dated April 25, 1996, and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania on April 25, 1996, in Deed Book 138, Page 108, granted and conveyed unto Robert S. Reed and Mary Ann Banks, as Joint Tenants with the Right of Survivorship. The said Robert S. Reed died on March 25,2006, and by his Last Will and Testament duly probated in the Office of the Register of Wills in and for Cumberland County, Pennsylvania, on March 29, 2006, did nominate, constitute and appoint as his Executrix, Mary Ann Banks. MARY ANN BANKS, AS EXECUTRIX OF THE ESTATE OF ROBERT S. REED, AND MARY ANN BANKS, INDIVIDUALLY, IS THE GRANTOR HEREIN. TO HAVE AND TO HOLD the said piece or parcel of land above described with I I buildings and improvements thereon erected, hereditaments and premises hereby granted and I ATfORNEYSATLAW I 130 W. CHUROI STREET SUITE 100 I DlLLSBURG, PA 17019 I I II I I I TIIE WILEY GROUP released, or mentioned and intended so to be, with the appurtenances, unto the said Grantees, their heirs, successors and assigns, to and for th only proper use and behoof of the said Grantees, their heirs, successors and assigns forever. AND the said MARY ANN BANKS, EXECUTRIX, ofthe Estate of ROBER T S. REED and MARY ANN BANKS, IND IVID U ALL Y, for herself and her successors, do hereby by these presents covenant, promise and agree to, and with the said Grantees, their heirs, successors and assigns, that they the said Grantors have not done, committed or knowingly or willingly suffered to be done, or committed any act, matter or thing whatsoever whereby the premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged or encumbered, in title, charge, estate or otherwise howsoever. IT WITNESS WHEREOF, the said MARY ANN BANKS, in her fiduciary capacity as aforesaid and in her own right has caused this Indenture to be executed, attested to and dated the day and year first above written. WITNESS: ESTATE OF ROBERT S. REED 1~/NIJ-8 (SEAL) by: MARY ANN BANKS, EXECUTRIX !-5/.1V7 ~ (SEAL) MARY ANN BANKS, INDIVIDUALLY THE WILEY GROUP ATIORNEYSATlAW I 130 w. CHURCH SfREET SUITE 100 OD..LSBURG, PA 17019 I I I 'I COMMONWEALTH OF PENNSYL VANIA SS COUNTY OF YORK On this the day of , 2006, before me, the undersigned officer, personally appeared MARY ANN BANKS, Executrix of the Estate of ROBERT S. REED, and INDIVIDUALLY, known to me (or satisfactorily proven), to be the person(s) whose name(s) is/are subscribed to the within deed, and acknowledged that she executed the foregoing Indenture for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal the day and year first above written: NOTARY PUBLIC MY COMMISSION EXPIRES: I hereby certify that the precise address of the Grantee (s) herein is: ATTORNEY FOR GRANTEE (S) 11 I I I I I REV-1151 EX+ (12-99) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REED, ROBERT S. FILE NUMBER 21-06-00278 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 2,460.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State Zip - Year(s) Commission paid 2. Attorney's Fees Wiley, Lenox, Colgan, & Marzzacco, P.C. 21,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Register of Wills: 464.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 8,284.71 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 32,208.71 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1502 EX+ (6-98) *' SCHEDULE H-A FUNERAL EXPENSES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REED, ROBERT S. FILE NUMBER 21-06-00278 ITEM NUMBER DESCRIPTION AMOUNT 1 Gingrich Memorials: 340.00 2 Musselman's Funeral Home & Cremation Services: 2.120.00 Subtotal 2,460.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev-1502 EX+ (6-98) '*' SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REED, ROBERT S. FILE NUMBER 21-06-00278 ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland Law Journal (advertise estate): 75.00 2 Hardy's Auction (Auctioneer fee for sale of real estate & personal property & costs advanced: 5,287.89 3 Kevin's Lawn Service: 800.00 4 Members 1st FCU (estate checks): 10.75 5 Settlement costs - sale of real estate@51 Konhaus Road, Mechanicsburg, PA: 1,945.00 6 The Patriot News (advertise estate): 166.07 Subtotal 8.284.71 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) Rev-1512 EX+ (6-98) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF REED, ROBERT S. FILE NUMBER 21-06-00278 Include unrelmbursed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 DIRECTV: 28.02 2 Penn Fuel Propane: 58.71 3 PP&L: 192.79 4 Verizon: 59.36 5 Westfield Insurance ( homeowners): 148.66 TOTAL (Also enter on Line 10, Recapitulation) 487.54 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) REV-1513 EX+ (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER REED, ROBERT S. 21-06-00278 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (WDrds) ($$$) Do Not List Trustee(s) I. TAXABLE DISTRIBUTIONS [include outright sProusal aistributions, and ransfers under Sec. 9116(a)(1.2)] Mary Ann Banks Friend one hundred 104 E. Maplewood Ave. percent Mechanicsburg, PA 17055 Total Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98)