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1 Pa. O.C. Rule 6.12 S//TATUS REPORT REGISTER OF WILLS OF ~~~l~y`~~/'1 COUNTY, PENNSYLVANIA Name of Date of Death: File Number: ~ ~~~ , G~ ~~ Pursuant to Pa. O.C: Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete :.................... ^ Yes ~No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: ~~~~ / rte{ ~~ 7 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... ^ Yes ^ No b. The separate Orphans' Court No. (if any) for the personal - representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... ^ Yes ^ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date ~ ~ ~ ~ ~ ~ G~ Q's~~G~c~c..- Signature of Person Filing this Form Capacity: ^ Personal Representative Counsel G~ , s~ ~~~~G-mss ,,, _ ,,, J~ ,I ,11 Form RW-10 rev. 10.13.Ob - - - Name of Person Filing this Form Aaaress Telephone Register of Wills o~ Cumberland County STATUS REPORT UNDER RULE 6.12 Name of Decedent: ` h' G =S ~, _ Date of Death: `' ~ ~ v, ., . ~. Estate No.: / ~ `7 ~ ' "/ ~c~. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes ^' No 2. If the answer is No, state when the personal representative rea~or~ably believes that _ the administration will be complete: .~ ~ ~~ ~--~~ 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative'file afinal account with the Court? Yes II No [] b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in .interest? Yes ^ No c. .Copies of receipts, releases, joinders and approval 'of formal or informal accounts maybe filed with the Clerk of the OrBha~' Court and maybe attached to this report. 1 /~ ,.- _, Date: 2- Gam' .. " / "~' -~ ~.-~--- Signature n ~'f R & DANiEIS 1 WEST HIGH ST. STE. 205 6A~61S6c os t~n~~ Address --. .. T _" Telephone No. '' ~ i° ''~ ~-~ ~- `=- ~' ' - - - Capacity: []Personal Representative Counsel for personal representative , 15056051047 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes ~ INHERITANCE TAX RETURN PO BOX 280601 ,,.~ / ~ 8 C Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth Z/ 4 i z ~Y 2`~ o~ ~9 l ~ ~8 ~ ~d g l 9'a G Decedent's Last Name Suffx Decedent's First Name MI Y~ ~ ~ ~ s T ~~~ N ~< (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) ® 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number n Firm Name If A licable ( PP ) REGISTER WILLS llSE ONLY' L L.S A ~~ _,-___ ~; First line of address ~~ --~ -= Second line of address ~ -- ^~ _t DATE FILED City or Post Office State ZIP Code Correspondent's a-mail address: 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. SIGN UR F PERSON RESPONSII~~ FOR FILING RETURN DATE +-, SIGNA E OF Pfrtt~ EF~OTHER THAN DATE H~~tJJ Wt 1~~C// V ~ ~ ~~~C ~O/ ~ VY'J/c..Ljr ~ / / "/ f / - /~"~ PLEASE USE ORIGINAL FORM ONLY L 15056051047 Side 1 15056051047 ~" V LAST WILL AND TESTAMENT OF FRANK ., YEING ST I, FRANK YEINGST, single man, presently residing at Gard- ners, R. D. 2, Pennsylvania 17324, being of sound mind and memory, do hereby make this my Last Will and Testament, revoking and making void all wills, codicils, and other testamentary dispositions, by me at any time heretofore made. First, I direct my Executor to pay all of my ,just debts, the expenses of my last illness, and interment, of suitably marking my place of interment, and the costs of administration as promptly after my decease as may be convenient. , I authorize and empower my Executor to pay unto any person who, he shall determine, shall have cared for me during my last ill- ness such sum as my Executor may deem appropriate in consideration of such service rendered me, but not in excess of One Thousand ($1,000.00} Dollars. I give and bequeath unto the First Methodist Church of Steelton (located at Fourth and Pine Streets) the sum of Five Hundred ($500.00) Dollars. All the rest, residue and remainder, of my estate, real and personal property, of•whatever nature and wherever situate, I direct my Executor to sell and to convert into cash and for the 1 purpose thereof, I authorize and empower my Executor to sell at public or private sale or sale~,~without bond and without Order of Court, any or all of my real estate. When my estate shall have been converted into cash as aforesaid, I direct my Executor to divide the same into ten (10) equal shares among my brothers and :~ sisters (there being nine of them) and my niece, Peggie Y. Brown, of Carlisle R. D. #1, Pennsylvania. In case any of such benefi- ciaries shall.,fafl to survive me for a period of thirty (30) days (my deceased 'brother, Paul, being in said category), the issue of such beneficiary (living at my 'death) shall take, per stirpes, the share of such beneficiary. In default of such issue, the share of such beneficiary shall lapse and be distributed among the other beneficiaries or their issue as above defined. Lastly, I make, nominate and appoint my nephew, James Hazen, to be the Executor of this my Last Will and Testament. In case the said Jame s, Hazen should be unable or unwilling too qualify and act and continue to act as executor, then, and in such event, I make, nominate and appoint Dauphin Deposit Bank and Trust Company to be the Executor of this my Last Will and Testament. It is a condition of the Executorts appointment that Harold R. Prowell be employed as attorney in the settlement of my estate. This document has been prepared and executed in trip licate, and each of the three copies shall be considered an original. Furthermore, the disappearance of one dopy shall not be construed as a destruction, modification, cancellation, ter- mination or revocation of this document, and it is my intention that this document shall not be destroyed, modified, cancelled, terminated or revoked except by actual destruction of all three copies or by another document in writing. ~''(~ SEA L ) Y ~~W Signed, , seale,c~',~p ~gh~at end .declared by the said Frank Yeingst, singley_man,.as.:afid for his Last Will and Testament, .. w1 in the presence of us,. who, in his presence, and in the presence of each other, have' hereunto set our hands as attesting witnesses, we believing him to be. of sound mind, and memory. ~' ,e•ror i 1 a t ~:ti ~ ~ S y,; r , ,~ ,j ; p 1 -3- REV-1502 EX+ (6-98) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the pace at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is Jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE All IAARFR DESCRIPTION OF DEATH 1. iv /t~u ~ri,dcn4L 9 yo K- ~~ ~r ~ ~~cv ,~c~r~c-,e c~c~' , ~- _ O 32J 039 .~ Zs?z~,~r~, ad TOTAL (Also enter on line 1, Recapitulation) I $ ~,j ~j ,3O >~. ~ (If more space is needed, insert additional sheets of the same size) e A. .S@tt~@f11@Ilt .S~t@Rl@Ilt U.S. Department of Housing l t opmen and Urban Deve OMB Approval No. 2502-0265 B_ Type of Loan ^ ^ .__-~. 8. Mort9a9e lnsuro a File Number 7. Loan Number -----.--- nce Case Number CenV. UNns. FmHA 3. 1. ^ FHA 2. 4. ^ VA 5. ^ Conv, Ins. - C. Note: This form Is tumiahed to glue you a statement of actual settlement casts. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.c.)" were paid outside closing; they are shown here for Informational purposes and not included in the totals. _- D. Name and Addnas d Bprrower E. Name and Addnaa of Seller F. Nam. and Adtlrna of Under Harry H. Fox, Jr. The Estate of Frank Yiengst James B. Hazen, Exocutor ~ 15 Montego Court 1 W. High St. PA 17018 Dillsburg Carlisle PA 17013 __,__ ____,_ _ ____,_ `__ _ 0 Praputy Looatbn H. Settlement Apent 4 Separate tracts, adjacent to Myerstown Rd. plus John C. Zeppr 111 940 Myerstown Rd. Place of Settlement I Settlement Date t3ardnars PA 17324 205 Farmers Trust Building 9/14!99 • Carlisle PA 17013 Dlebursemenl Cate Lot stock: 9/1499 J, Summary of Borrower's Tranaaetlon K. Summary oT Sellers Transaction __,__ .,,,. ...--- '--.._....,_ e•......_......._, snn r..,..a em~rr~t n.re r° suer 101. Contred ulss dce 257 500.00 401. Contract sales rice ~ 257,500.00 Pan_wnal 0 102. 402, Personal roe ,_ _ ____ _ 103 Settlement cherQes to borrower (line 1400) 3,337.50 403. __^___`_,J___.____ ______,_ __ __ 104. ~ 404. -~-_~..__-_^ 105__-__-__._-~ a05. __ _ _ _ Adjustments fo_r Items paid by aNler In advance Ad ustmenb for Items aid b seller In advance toe. C sawn fazes 9/1499 to 12/31/99 2.39 qp8, d Aown taxes 9/14199 to 12/31/99 2.38 107. Coun taxes 9/1499 l0 12/31/99 124.17 407. Coun taxes 9H499 to 12!31!99 124.17 108. Asseeamenls to 408. Assessments to tog. School 9/14499 t9 8/30/00 1 940.09 409. School 9114!99 to 8/30!00 1,940.08 110. Libra 9/14/99 to.12/31/99 22.67 a1o. Libra 9(1499 • to 12/31199 _ 22.87 111. to 411. to 112. to 412. to _ _ _ 113. l0 413. to 111. to 414. to _ ' 115. 10 415. _ lo_ _ _ _ _ _ ____ _ _ _ 120. Gross Amount Due From Borrower __ 282,928.82 420. Gross Amount Due To Seller 259,589.32 200. Amounts Psld By Or In Behalf Of Borrower _ 600. Reductions In Amount Due To Seller _ __ eposil or earnest money 201 D 21,000.00 501. Excess deposit (see Inslructions)______ __,____ _ _ 202. Pdndpel amount of new loan(s) 502. Settlement cherpes to seller (line 1400 _v- _ _ _i 7,713.00 203. Exlatl bans taken sub ecl to 503. Exlatln loan s) taken sub ecl to _ 204. 504. Pe o8 of first mort a e loan _ _ 205. 505. Pa olI of second mort e e loan 206. 506. 207. 507. -- - ----~ 208.- --- 508. _ __ 09. 2 509. _ _ _ Ad~ustOrents for Items unpaid b seller A ustments for Items unpaid b seller 21_0. CiyAown fazes to 510. Ci /town lazes tO 211. Coun taxes tO 511. County taxes 10 212. Assessments to 512. Assessments Io 13. to 2 513. to - - _ 214. l0 514. to _ ,. __ -_ 215. Io 515. `-to _ -, -- _ -_ -_ 216. to _ 516. ~o _ 217-~- __-- b 517. 10 -_«< _ _ 218. l0 ------- 518. to --- - - -- to 219. --~ - 514 ~o - Z20. Total Pald BylFOf Borrower 21,000.00 520. Total Reduction Amount Due Seller 17,713.00 300. Cash At Settlement FromlTO_ Borrower 600. Cash At Settlement TolFrom Seller _ ___ _ 301. Gross Amount due from borrower (line 120) 282,926.82 _ 801. Gross amount due to seller (line 420) __ _ _ 259, 589.3_2 302. Less amount paid Aor borrower (line 220) 21,000.00) 602, Less reductions In amt. due seller (line 520) ( __ 17,713.00 303. Cash ©From ^ To Borrower 241,928.82 603. Cash Q To ^ From Salter 241,878.32 I ne unaeralpned Mrety acknavledge the rsoelpl of a Completed copy or pages 1 ai U this statement a any etteChments referred 1o herein. I HAVE CAREFULLY REVIEWED THE HUD-1 SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IT RUE AND ACCURATE STATEMENT OF ALL RECEIPTS AND DISBURSEMENTS MADE ON MY ACCOUNT OR BY ME IN THIS TRANSACTION. I FURTHE ER FY THAT I HAVE RECENED A COPY OF THE HU0.1 SETTLEMENT STATEMENT. ~ Z BORROWER SELLER ~ t.L~'.... ~, L'T ~ . TO THE BEST OF MV KNOWLEDGE, THE HUO-t SETTLEMENT STATEMENT WHICH 1 HAVE PR ARED IS A' RUE AND ACCURATE ACCOUNT OF THE FUNDS WHICH WERE RECENED AND HAVE BEEN OR WILL BE DISBURSED BY THE UNDERSIGNED AS A PART OF THE SETTLEMENT OF THIS TRANSACTION. BORROWER SELLER a+-- G'X ~~ ~' 3 ~~ WARNING: IT IS A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTK)N CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE: TITLE 18 U.S. CODE SECTION 1001 a SECTION 1010 . Previous Edlt(on Is Obsolete HUD-1 (3-86) RESPA, HB 4305.2 7_00. Total SaleaBroker's Commission based on rice S 250 000.00 6.00 y. ~ 15,000.00 paid From Pafd From Division of Commission line 700 as follows: Borrowai a Sellefa 701. ; '~ to Fonda At Funds AI - Selilemenl Settbmenl Realtors 1400. Hams Payable In Conneetlon With Loan 801. Loan Orlplnallon Fee % 802. Loan Discount % 803. Appraisal Fee ~ io 801. Credg Re n to 805. Lender's I Ion Fse 808. Mon Insurance licelion Fee to 807. Assumption Fee 808. 809. 810. 811. 812 813. 800. hems R ulred B Lander To ea Pald In Advance Emlude teal da in celes -line 901 901. Mlsrest from to S Ida 902. Mon Inaurenea Premium f« monlha to 903. Hazard Insurance Premium f« ears to 901. en to 905. 1000. Reserves Deposited Wtth Lender 1001. Hazard Insurance months ; r month 1002. Mort insurance months ; r month 1003. C taxes ~ ~ months S r month 1001. 'Coon taxes months S r month 1005. Mnual acsoasmenls months ; r month 1006.' - ~~ monlha ; r month 100E ~ ~ ~ ~ months S r month 1008. r ets AccounOn Ad ualmenl 1700. TIUe Charges 1101. Sgllsmenl «closi fee to John C. Zsp 111 Es 635.00 1102. AMUacI «titls search to 1103. TSIe examinalbn to 1101. Tilk in:urence binder to 1105. Document a relion to 1108. Nokry fees to 1107. Mlomey'afees to WilliaRrrs Daniels Qncludes above Ilema numbers: 110_8. 78k insurance to __ ncludas above Nema numbers: 1109. Lenders covers e ; 1110. owner': coverage S 1111. _ 1t1z. 1113. ' 1200. Government Recording and Transfer Charges 1201. Recording fees: Deed ; ~ 127.50 MoA a e i ; Releases ; 127.50 1202. C /coon tex/stam s: Deed ; 2,575.00 ;Mort a s"" 2,575.00 1203. Swe ler/gem :Deed ; 2 575.00 • Mon a s ; 2,575.00 1ztu. 1205. 1300. Addhlonal Settlement Charges 1301. Survey to 1302. Psq inspsctlon_ to Penn Pest 35.00 13_03. Water to Penn Psst 53 .00 1301. Septte Cart to Peck's Septic _ 50.00 1305. ~ ~ - ------~----- - -- -- 130_6 -- ----- ---- 1307. - 1308. ~ - - -_._- _ 1100. Total Settlement char es (enter on Ilnes 103, section J and 602, Section K) I HAVE CAREFULLY REVIEWED THE HU0.1 SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND B 3 337.50 ELIEF. IT IS A T A 17 713:00 N ACCURATE STATEMENT OF ALL RECEIPTS AND DISBURSEMENTS MADE ON,MY ACCOUNT OR BY ME 8J THIS TRANSACTION. I FURTHER CER FY THA I HAVE RECENED A COPY-O7~F¢TJ~{E H~U~0.~ 1S(ET~TLEMENT STATEMENT. ~~~ BORROWER _`r '^~--~~~ SELLER v~CE__ \ Harry H. Fox, Jr. The Estate f Frank Yiengst BORROWER SELLER James B. Hazen, Executor TO THE BEST OF MY KNOWLEDGE, THE HU0.1 SETTLEMENT STATEMENT WHICH I HAVE PREPARED 19 A TRUE AND ACCURATE ACCOUNT OF THE FUNDS WHICH WERE R D WILL BE DISBURSED BY THE UNDERSIGNED AS A PART OF THE SETTLEMENT OF THIS TRANSACTION. John C. Zepp, 111 ' WARNING: IT CR4ME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND NAPRISONMENT. FOR DETAILS SEE: TITLE 18 U.S. CODE SECTION 1001 d SECTION 1010. u.t. aovraxarxr rswnn arm: »n r.ruru ~ ~1 ~ ~ ~~ REV•1503 EXt (4.861 ULE B D SCHE COMMONWEALTH Of PENNSYLVANIA INHERITANCE TAX RETURN T I~ A S I OCKS AND BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER (All property ( ointlyawned with Riyht of Survivorship must be disclosed on Schedule F.) ITEM NUMBER DESCRIPTION vAOFEDEATN TE 1. s /~20U @ v~T/, ~12i5/S~, 7`7~C- ~'i ivG 1~/7~ C~ .~~ ~ fig. 72.~ ~ ~ SAS . 8~ ~'~~ ~ ~ ~-~ , o ~, -~~ ~~-s ~ x ~ i~ .T •,~ G ~ y3. 3 '~-.s-~f~ P~ . G ~ ~a ~ ~ Z S~ ~~ sus ~, ~oZ, ~ ~ G 3 / ~ ~5-/rG /~ G sus @ ~ /, y3~ ~ ~~ ~ ~S- s~z. ~ 3 s.~s C ~, ,~~ CorzP @ ~ 3/s~ a~ ~ zf` ~ ~ /Z `~- S~s ~ ~ ~~ yr /2 s~ SSC1 Z G ~ ~/ ~'~ S , ~ ~~ x x o~ti C~ ~~/s~ ~ 9, ~~a, ~G 3 zv ~s ~ 3 ~~ ~ `~ 1~, ~ ~- ~.~~-~~ O 3 ~ ~ ~-~ . ~ ~- rz.~ ~ , ~ Utiiorv C/~2~iJE ~G~t~ ~ ~iG, 93~~~s~ ~~ ayo, ~ 3 / ,~~ ,~~3 ~~~~~s 7a~ ~,5's ~ `~ ~. / o ~ UCG-~/J" ~-C-ff ~ 9 3 , SYi/~~ ~Z~ C t/. D G TOTAL (Also enter on line 2, Recapitulation) L;~ ~ -~ S Jf more space is Headed, insert additional sheets of same size.) Edward Jones • 21 West High Street Carlisle, PA 17013 (717)258-4688 Law Offices Humer & Daniels 205 Farmers Trust Bldg One West High Street Carlisle PA 17013 l~- ~- ~'~ EdwardJones Dear Mr. Daniels: April 29, 1998 This is regarding your recent request concerning the date of death values for the account registered to Frank Yeingst. Re: Date of Death Values for Frank Yeingst Social Security No.: 210-12-8429 Date of Death: Feb 9, 1998 i r y s (i y s ,~ ~~ Shares Security Art Amundsen Investment Representative Cusip Value Totals 473 AT&T Corp 001957109 63.1875 29,887.69 306 Bellsouth Corp 079860102 58 17,748.00 40 Comsat Corp 20564D107 26.4375 1,057.50 136 Dial Corp New 25247D101 21.4375 2,915.50 320 Exxon Corp 302290101 62 19,840.00 60 Finova Group Inc 317928109 50.8125 3,048.75 306 Lucent Technologies 549463107 93.50 28,611.00 150 Praxair Inc 740O5p104 43.375 6,506.25 150 Union Carbide Corp 905581104 46.9375 7,040.63 80 United Technologies 913017109 84.375 6,750.00 127 Viad Corp 925528109 23 2,921.00 126,326.32 You requested the respective amounts of income credited from each corporation from January 1 until Mr. Yeingst's date of death. No income was credited to the account during this time. If you need any further information, please contact me. Sin rely, /f Art Amundsen n n ARAimmr Estate of: FRANK YEINGST Itm No. Description 1 60 SH FINOVA GROUP 2 80 SH UNITED 'I'ECIINOLtJGIES 3 40 SH COMSAT CORP 4 150 SH PRAXAIl2 INC 5 1316.4892 SK PRAXAIR DIV F:EINVEST 6 473 SH AT&T G24 7 136 SK DIAL CORP 44 8 127 SH VTAn CORP 9 320 SH EXXON 10 2209.2689 SH EXXON DIV F:E~INVFST 11 306 SH BELISOUTH 12 548.0616 SH BELL SOUTH DIV F:EINVES'I' 13 150 SH UNION CARBIDE CORD 14 1511.7 SH UNION CARBIDE DIV REINVEST 15 306 SH LUCENT TECEINOLOGIES SCHEDULE B -- Stocks and Bonds CUSIP Unit Alt. Val. Alternate NtnnbPx Value Date Value 50.8125 84.375 26.4375 43.375 43.375 63.1875 21.4375 23 62 62 58 58 46.9375 46.9375 93.5 Page 2 210-12-8429 Value at Date of Death 3,049.00 6,750.00 1,058.00 6,506.00 57,103.00 29,888.00 2,916.00 2,921.00 19,840.00 136,975.00 17,748.00 31,788.00 7,041.00 70,955.00 28,611.00 TOTAL.(Carry forward to main schedule) 423,149.00 REV-1S08EX+(2-875 SCHEDULE E ` CASHr BANK DEPOSITS AND COMMONWEALTH OF PENNSYLVANIA MISCELLANEOUS INHERITANCE TAX RETURN PERSONAL PROPERTY Please Print or T e RESIDENT DECEDENT ESTATE OF FILE NUMBER i ~, G S'T-i ~2 ~ ,v /~. ~i yam' -G/ ~ (All property jointly-owned with the Right of Survivorship must be disclosed on Scheduls F) ITEM DESCRIPTION VALUE AT NUMBER DATE OF DEATH ~ ~~S /9Q~ ~~-c. fix. ,r~-~c~ o?,-~iGc~ . cc J Z c~~v~~ j ~~ ~L~ Gsi T ~'S'41~/~ `, yy G, ~3' p ~ 9 ~ . ~-8 t:,~ .~ ~,_ yG~~. ~ ~~y ti. ~ . ~~ ~`- 3 r 6 oG O ~ 5-C 5 ~- ~ ~ 3 ~-38,22_ ~ ~ ~~ oo ~a sz l/ ~~ SU ` ~ ~ r ~U `~` ~`' S,~ LC ~~ 3 ~j- ~J 3 °~ j % ~ nr .c ~~/ c°~S' ~''''..s"csr~~- ~ r,~ ~ d Gam'. ~' i iv C~/~c~~ ~/ BOG, ~ ~c~, ~ C~ ~~ ~, 0 2. 2 o~q 3Z / ~a~'. ~ 5 TOTAL (Also enter on line 5, Recapitulation) $ l ~ '~ (Attach additional 8~1z" x 11" sheets if more space is needed.) Dauphin Deposit bank anti Trust Company EI, .:~~~~:.,,~ :,:>>~ ~ ~~~_,.. I~. ,, ~~ ~, ,~~,., I~•:,~ March 25, 1998 William S. Daniels 1 W. High St. 205 Farmers Trust Bldg. Carlisle, PA 17013 Re: Estate of - Frank Yeingst SSN - 210-12-8429 DOD - 02/09/98 Dear Mr. Daniels: Thank you for your request concerning date of death balance information. for all accounts held by Mr.-Daniels: The enclosed listing is for any accounts which may have been held at Dauphin Deposit Bank, Farmers Bank, Valleybank, and Bank of Pennsylvania. We are happy to supply this information to you. Also, if additional information, research, or file copies are needed, they can be provided for a service charge of $20.00 per hour (one hour minimum) and .25 per copy. If you have any further questions, please call me at (717) 255-2054. Sincerely, I'"~. c ~~ Amy L. Haivor Customer Management Information Department alh P.O. Pc)~ 2~J6L H:~RR[sG~~lu;, 1'.~ 1~IOi;-_9tii l~i~; F:I'Iitl:~i~E i 17 255-2121 hrtE,:,%;'~~v~,v auc~imrh;rnl..cum Daupi iir~ uuposit Bank and Trust Company and Hopper Soliday & Co., Inc. are ,ubs~duine~ of Firs! N a }ia.d E ~ ~~~ Bank of Pennsylvania, Farmers Bank and Valleybank are divisions of Dauphin Deposit Bank, Member FDIC. Eastern Morigaye Seniras, Iu: i ,~c:>, . ,,; ~,; D.,rr;t~:n u~,h~ sit Eiank. Decedent Confirmation Re: Estate of SSN DOD - Frank Yeingst - 210-12-8429 - 02/09/98 Description Account Account Account Account No. 92161286 8100681821 81009676285 Account Type Checking Certificate of Deposit Certificate of Deposit Date Opened or Issued Unknown 04/10!95 08/16/95 Date Closed or Matured 03/20/98 06/10/00 (M) 08/16/99 (M) Date of Death Balance $3,446.85 $2,434.51 $11,077.44 PLUS PLUS PLUS PLUS Date of Death Accrued Int. $1.09 $9.82 $255.16 Joint Owners (if any) None Edith Y. Nordine Thelma N.Gruver Date of Joint Ownership 04/10/95 08/16/95 Special Comments: N/A Description Account Account Account Account No. 8100967636 8100967644 8100681813 Account Type Certificate of Deposit Certificate of Deposit Certificate of Deposit Date Opened or Issued 08/16/95 08/16!95 04/10/95 Date Closed or Matured 08/16/99 (M) 08/16/99 (M) 06/10/00 (M) Date of Death Balance $11,077.44 $11,077.44 $2,434,51 PLUS PLUS PLUS PLUS Date of Death Accrued Int. $255.16 $255.16 $9.82 Joint Owners (if any) Edith Y. Nordine Ethel Y. Wilson Ethel Y. Wilson Date of Joint Ownership 08/16/95 08/16/95 04/10/95 Special Comments: N/A Date Prepared: March 25, 1998 Prepared by: Amy L. Haivor (Rev 1/8/~8~ Page: 2 ~'otal_Ban~i.ng Statement PNCI~~~T1[~ NC Bank, Central PA ~; , i y i '/~ For the period 01/23!1998 to 02/19!1898 Number of enclosures: 0 FRANK YEINGST C/0 PEGGY Y BROWN 1967 WALNUT BOTTOM RD CARLISLE PA 17013-9624 telationship Over~riew dank Deposit Accounts ascription Account Number tterest Checking 51-4040-2734 ,ertificate(s) Of Deposit Total of 2 'otai Deposits priority 50 Plus FrankYeingst merest Checking Account Summary ccount number: 51-4040-2784 Primary account number. 51-4040-2784 Page 1 of 2 a For 24-hour customer service or current rates: Call 1-800-537-2262 ®Write to: Customer Service PO Box 609 Pittsburgh PA 15230-9738 Watch for our new E-Mail address Visit us at www.pncbank.com TDD terminal: 1-800-531-1648 For Bearing impaired clients only Deposit Balance 5,956.69 11,888.93 17,845.62 Please see the Activity Detail section for additional information. balance Summary Beginning balance 4,135.83 'ransaction Summary Checks paid/ withdrawals 0 Deposits and Checks and other other additions deductions 1,822.86 2.00 Average monthly balance 5,082.68 ATM Bank card/POS transactions transactions 0 0 P"JC Bank MAC Non-PP:C Sark MAC transactions transactions Ending balance 5,956.69 Charges and fees .00 Teller transactions 2 Non-MAC ATM transactions 0 0 0 tttereSt Summary As of 02/19, a total of $14.58 in interest Annual Percentage Number of days Average collected Interest Earned was earned this year. Yield Earned (APYE) in interest period balance for APYE this period 1.541 28 5,024.9G 5.91 -cti~ity Detail leposits and Other Additions ate Amount Description 1/28 545.79 Deposit Reference No. 22533920 ?/09 1,271.16 Deposit Reference No. 26642853 ?%19 5.91 Interest Paytnent °-- There were 3 Deposits and Other Additions totaling $7,822.86. ~otal~ S an~ring Statement ~fi1 ]I~ PNC ]~ 9 For ~. P~r,od a~~~~~ S For 24-hour customer service: FRANK YEINGST Cail: 1-800-537-2262 Primary account number. 51-4040-2784 interest Checking Account number: 51-4040-2784 -continued Page 2 of 2 inline and Electronic Banking Deductions There was 1 Online or Electronic Banking Deduction totaling $x.00. ate Amount Description /05 2.00 Direct Payment -Feb Dues Priority 50 Plus 019072100000 IailY Balance Detail ate Balance Date Balance 135.83 02/05 4,679.62 / I/`?3 4 Date 02/19 Balance 5,956.69 , 1/28 4,681.62 02/09 5,950.78' 0 ROTH OR NOT TO BOTH, THAT lS THE QUESTION. PNC BANK lS READY TO ANSWER YOUR QUESTIONS ABOUT THE NEW BOTH OR DUCATION IRAS. CALL US TODAY AT 1-888-PNC-IRAs. :ertificates of Deposit Frank Yeingst .vestment Description Maturity date Interest Original or Current rate renewal value value umber 1600085657 Ready Access CD 04/30/1993 4.67% 4,140.64 4,150.71 1001052311 24 Month(s) Fi.Yed Rate 09/03/1998 4.90% 7,204.26 7,73$.22 Total currant ralua 11,888.93 REV-1509 EX+ (12-86) •~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOfNTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Joint tenant(s): NAME r r Jointly-owned property: ADDRESS ~ O~ .~,~~-~ s'~'. yo ~.,z ~~ ~.~ ~~ ,~,~ ~~~~2 S.,_tl` RELATIONSHIP TO DECEDENT si s ~~~ ~ ~ ,.5 / s ~C iz--- ITEM NUMBE LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY TOTAL VALUE OF ASSET DECD'S % INT. DOLLAR VALUE OF DECEDENT'S INTEREST ;7 ~~ / ~3 '~~ r/4~i7_. /~ C<~ ~ ~'%c-'~=`%~ ~~/:3 ~: i// 'Y32 CC' Ste' h C~ G .3~°~ G '7 /~C- / TOTAL (Also enter on line 6, Recapitulation) I $ rC~ Ley 7 ~~ (If more space is needed insert additional sheets of same size) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA ]7128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE REY-15~S Ez AFi U-951 FILE N0. 21 98-0178 ACN 98123457 DATE 05-29-98 EDITH Y NORDINE RR 2 BOX 199D GARDNERS PA 17324 TYPE OF ACCOUNT EST. OF FRANK YEINGST ~ SAVINGS S.S. N0. 210-12-8429 ~ CHECKING DATE OF DEATH 02-09-98 ~ TRUST COUNTY CUMBERLAND XC~ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT H OUSE CARLISLE, PA 17013 DAUPHIN DEPOSIT BK 8 TR CO has provided the Department with the information listed below which has bean used In calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling (717) 787-8327. COMPLETE PART 1 BELOW x ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8100681821 Date 04-10-95 Tc insure proper credit to your account, two Established (2) copies of this notice must accompany your 2, 444.33 Payment to the Register of Wills. Make check Account Balance payable to: ^Register of Wills, Agent^. Percent Taxable K 50.000 NOTE: If tax payments are made within three Amount Subject t0 TaX 1 , 222.17 (3) months of the decedent's date of death, TaX Rate X ,1 rj you may deduct a 5% discount of the tax due. 1 8 3.3 3 any inheritance tax due will become delinquent Potential TaX DUe nine (9) months after the data of death. P~T TAXPAYER RESPONSE ~ >FA3LURE t0 RESpt1ND WILL RESi1LT TN AN OFFYCYAL TAX ASSESSNEN7»8ASED ON TNIS``N~TICE<. A. ^ The above information and tax due is correct. 1. Vou may choose to remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or you may check box ^A^ and return this notice to the Register of O N E Wills and an official assessment will be issued by the PA Department of Revenue. B L 0 C K ~ 8. The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y ~~/111111-----~~~~~~ to be filed by the decedent's representative. C. ~ The above information is incorrect and/or debts and deductions were paid by you. You roust complete PART 2~ and/or PART 3^ below. PART If you indicate a different tax relationship to decedent: TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due e, please state your OF TAX ON JOINT/TRUST ACCOUNTS 1 2 3__~S 4 5 6 7_~ 8 PAD OFFICIAL 'USE ONLY. [] AAf PA DEPARTMENT OF ffEVENUE Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of ny knowledge and belief. HOME C ) WORK ( ) TAV~AVr'O rTI~~Ip T~~n r• - PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAin .ACTH OF PENNSYLVANIA WENT OF REVENUE INFORMATION NOTICE FILE N0. 21 98-0178 J OF INDIVIDUAL TAXES . zao6al TAXPAYERNRESPONSE ACN 98123456 ..~tRISBURG, PA 17128-0601 DATE 05-29-98 REV-1545 EM 1F0 <7-951 THELMA N GRUVER 349 POPLAR ST STEELTON PA 17113 TYPE OF ACCOUNT EST. OF FRANK YEINGST ^ snvINCs S.S. N0. 210-12-8429 ^ CHECKING DATE OF DEATH 02-09-98 ^ TRUST COUNTY CUMBERLAND XD CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT H OUSE CARLISLE, PA 17013 DAUPHIN DEPOSIT BK & TR CO has provided the Department with the information listed below wY.ich has bean used in calculating the potential tax due. Their records indicate that at the death of the above decadent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxab'.e in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by calling 1717) 787-8327. COMPLETE PART 1 BELOW * * * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 81009767628 Date 08-16-95 Ta insure proper credit to your account, two Established (2) copies of this notice must accompany Your payment to the Register of Wills. Hake check Account Balance 11 , 332.6 0 payable to: ^Register of Mills, Agent^. Percent Taxable X 50.0 0 0 N07E: If tax payments are made within three Amount Subject to Tax 5, 666.30 (3) months of the decedent's date of death, Tax Rate X , 1 rj You may deduct a 5% discount of the tax due. Any inheritance tax due will become delinquent Potential Tax Due 849.95 nine (9) months after the date of death. PART TAXPAYER RESPONSE ';FAIL1iRf TO RESPLiND 4~tLG RESULT' IN AN OFFICIAL TA3( ASSESSMEli7> BASED ON T~iZS lVC-TY~E A. ^ The above information and tax due is correct. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, ar you may check box ^A^ and return this notice to the Register of C 0 N E ~ Hills and an official assessment will be issued by the PA Department of Revenue. BLOCK B. The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return 0 N L Y ~to be filed t+y the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. Vou must comolote PART 2^ and/or PART ~ below. PART If you indicate a different tax rate, please state your DFFICIAL USE ONLY ^ AAF relationship to decedent: PA DE#'ARTMENT DF REVENUE TAX RE TURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS PAD LINE 1. Date Established 1 1 2. Account Balanee 2 2 3. Percent Taxable 3 X ____ 3 4. Amount Subject to Tax 4 ~+ 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 b 7. Tax Rate 7 X 7 8. Tax Due 8 8 PART DEBTS AND DEDUCTIONS CLAIMED 0 Under penalties of perjury, I declare that the facts I have reported above ar• true, comet and complete to the best of ay knoMladQa and belief. HOME C WORK c ~ nw ,rn c~Tn w~ ~ r - ~ ~~~~--- DATE PAID PAYEE DESCRIPTION AMOUNT PAID CDNNONMEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE I N F O R MATI O N N O T I C E DEPTAU280601DIVIDUAL TAXES ANp FILE N0. 21 98-0178 HARRISBURG, PA 17128-0601 TAXPAYER RESPONSE ACN 98123455 DATE 05-29-98 REV-1545 E% 6P t7-951 TYPE OF ACCOUNT EST. OF FRANK YEINST ^ savlNGs S.S. N0. 210-12-8429 ^ CHECKING DATE OF DEATH 02-09-98 ^ TRUST COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: EDITH Y NORDINE REGISTER OF WILLS RR 2 BOX 199D CUMBERLAND CO COURT HOUSE GARDNERS PA 17324 CARLISLE, PA 17013 DAUPHIN DEPOSIT 8K & TR CO has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Nuestions may be answered by calling i'717) 787-85t!. COMPLETE PART 1 BELOW ~ ~ * SEE REVERSE 5IDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8100967936 Date OS-16-95 To insure proper credit to your account, two Established (2) copies of this notice must accompany your Account Balance 11 , 332.60 Payment to the Register of Wills. Make check payable to: ^Register of Nills, Agent^. Percent Taxable X 50.000 5,666.30 NOTE: If tax payments are made within three Amount Subject to Tax (3) months of the decedent's date of death, Tax Rate X 1 rJ you may deduct a 5% discount of the tax due. 8 4 9 . 9 5 Any inheritance tax due will become delinquent Potential Tax Due nine (9) months after the date of death. PART TAXPAYER RESPONSE FAILLiRE TQ RESPOND WILL RESi1l7 IN AN OFFICIAL TAX ASSESSf9ENT BASED ON THIS N07'r0~ A. ^ The above information and tax due is correct. 1. You may choose to remit payment to the Register of Ni11s with two copies of this notice to obtain CHECK a discount or avoid interest, or you may check box ^A^ and return this notice to the Register of 0 N E Nills and an official assessment will be issued by the PA Department of Revenue. BLOCK ONLY B. ^ The above asset has been or will ba reported and tax paid with the Pennsylvania Inheritance Tax return ~ to be filed by the decedent's representative. C. ^ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART 2^ and/or PART ~ below. PART It You indicate a different tax rate, please state your OFFICIAL USE ar1LY i AAF relationship to decedent: PA DEPARTMENT OF REVENUE TAX RETURN - COMPUTATION OF TAX ON JOINTiTRUST ACCOUNTS I pAD LINE 1. Date Established 1 1 2. Account Balance 2 2 3. Percent Taxable 3 X 3 4. Amount Subject to Tax 4 ~ 5. Debts and Deductions 5 - 5 6. Amount Taxable 6 6 7. Tax Rate 7 X 8. Tax Due 8 8 Under penalties of perjury, I declare that the facts I hav reported above are true, correct and complete to the best of ny knowledge and belief. HOME ( ) WORK ( ) TAVOAVCO CTnuwTlln ~„~~,~ ~,, ,~,~~,,,~ - PART DEBTS AND DEDUCTIONS CLAIMED a DATE PAID PAYEE DESCRIPTION AMOUNT PAIII COMMONWEALTH OF PENNSYLVANIA DEPARTNENT OF REVENUE INFORMATION NOTICE DEPTAU2806010IVIDUAL TAXES AND FILE NO. 21 98-0178 HARRISBURG, PA 171za-Dbol TAXPAYER RESPONSE ACN 98123454 REV-15aS Flt CFO ~~_,S, DATE 05-29-98 TYPE OF ACCOUNT EST. OF FRANK YEINGST ^ SAVINGS S.S. N0. 210-12-8429 ^ CHECKING DATE OF DEATH 02-09-98 ^ TRUST COUNTY CUMBERLAND 0 CERTIF. REMIT PAYMENT AND FORMS T0: ETHEL Y WILSON REGISTER OF WILLS RR 1 CUMBERLAND CO COURT HOUSE GARDNERS PA 17324 CARLISLE, PA 17013 DAU PHZN DEPOSIT 8K & TR CO has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at the death of the above decadent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a copy to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania.- Questions may be answeretl by calling (717) 787-8327. COMPLETE PART 1 BELOW ~ ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8100967644 Date 08-16-95 To insure proper credit to your account, two Established (2) copies of this notice must accompany your 1 1 3 3 2. 6 0 Payment to the Register of Mills. Make check Account Balance , payable to: ^Register of Nills, Agent^. Percent Taxable X 50.000 Amount Subject to Tax 5 666 .30 NOTE: If tax payments are made within three ~ (3) months of the decedent's date of death, Tax Rate X , 1 rj You may deduct a 5% discount of the tax due. 8 4 9 ,9 5 Any inheritance tax due will become delinquent Potential Tax Due nine (9) months after the date of death. P~T TAXPAYER RESPONSE ~ `FAILURE TO' RESPQND -WILL RESULT IN AN flF~3CIAt TAX ASSfSSMEN7 'SASED>`at~' THIS NOTICE A. ^ The above information and tax due is correct. 1. You may choose to remit payment to the Register of Mills with two copies of this notice to obtain CHECK a discount or avoid interest, or you may check box ^A^ and return this notice to the Register of 0 N E Wills and an official assessment will be issued by the PA Department of Revenue. [ B L 0 CK ~ B. ® The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance lax return 0 N L Y to b e filed by the decedent's representative. C. ^ The abovm information is incorrect and/or debts and deductions were paid by you. You must complete PART 2^ and/or PART 3^ below. PART If you indicate a different tax rate, please state your relationship to decedent: TAX RETURN - COMPUTATION OF TAX ON JOINTiTRUST ACCOUNTS PAD LINE 1. Date Established 1 2. Account Balance 2 3. Percent Taxable 3 X 4. Amount Subject to Tax 4 5. Debts and Deductions 5 6. Amount Taxable 6 7. Tax Rate 7__X 8. Tax Due 8 OFFICIAL USE ONLY []'AAF PA DE#'~iRTMENT OF REVENUE PART DEBTS AND DEDUCTIONS CLAIMED 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I deelar• that the facts I have reported above are true, correct and complete to the best of ny knowledge and belief. HOME C ) WORK ( ) TAVDAVG'D CTf~-,ATttn ~ ~.~..-.. ... .._-~- -- COMMONiIEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE REV-1543 EX AFP (7-95) FILE N0. 21 98-0178 ACN 98124301 DATE 06-06-98 ETHEL Y WILSON RR 1 GARDNERS PA 17324 TYPE OF ACCOUNT EST. OF FRANK YEINGST ^ savlNGs S.S. N0. 210-12-8429 ^ CHECKING DATE OF DEATH 02-09-98 ^ TRUST COUNTY CUMBERLAND ~ CERTIF. REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 DAUPHIN DEPOSIT BK & TR CO has provided the Department with the information listed below which has been used in calculating the potential tax due. Their records indicate that at th e death of the above decedent, you were a joint owner/beneficiary of this account. If You feel this information is incorrect, please obtain written correction from the financial instit to this form and return it to the ab ti u on, attach a copy ove address. This account is taxable in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answeredby calling C7I7) 787-8327 COMPLETE PART 1 BELOW . ~ ~( ~( SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8100681813 Date 04-10-95 To insure proper credit to your account, two Established (2) copies of this notice must Account Balance accompany your 2, 444.33 payment to the Register of Nills. Make check Percent Taxable X payable to: ^Register of Nills, Agent^. 50.000 Amount Subject to TaX 17 NDTE: If tax payments are made within thr 1 222 Tax Rate , . ee C3) months of the decedent's date of death x Potential Tax DUe , . 1 5 You say deduct a 5% discount of the tax due. 33 Any inheritance tax due will become d 183 li PART . e nquent nine (9) months after the date of death. TAXPAYER RESPONSE --_._ A. ^ The above information and tax due is correct. 1. You may choose to remit payment to the Register of Nills with two copies of this notice to obtain CHECK a discount or avoid interest, or you may check box ^A^ and return this notice to the Register of C 0 N E ~ Wills and an official assessment will be issued by the PA Department of Revenue. BLOCK B. The above asset has been or will be re orted and tax 0 N L Y to be filed by the decedent's representative. paid with the Pennsylvania Inheritance Tax return PART If you indicate a differs relationship to decedent: TAX RETURN - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due PART DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Computation) $ Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the best of my knowledge and belief. HOME ( ) TAXPAYER ST~NaTIIRF WORK ( ) TCI CDUn~(r uu.... ~.. C. ^ The above information is incorrect and/or debts and deductions were paid by you. You must complete PART ~ and/or PART ~ below. tax rate, please state your EV-sitDC.rt~ CAMLIONVVEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. C i ,J.S'ON -- /J/~~/~i,~s-,- ~C~.vLz,~./~L ~rr,L ~~~ / O G . Gb L'/ri-+ .a v ~ Q~.q~' ,j'T~ ,so- ~oCi iv~ ~ ~'y'9 ~'~C d' ~ /iL_ / J` , Z C/~2 L~ S /~ /f)~~-.-,ter. ~ ljr ~ ~ ~L / ~~t.-G.~ ~~92~Ce f- ~! ~~~ ` G~'3 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissbns Name of Personal Representatlve (s) -?'9 '"'''.~ s ~~/~ ZG 'V Social Security Numbers} I EIN Number of Personal Representative(s) _ Street Address ~ '~-O to /~ q/Lm .O ~'tLL ~ V[= . Crty i~i9rr/s ~~.-,y state f ~ Zip j ~- / / Z Year(s) Commissbn Paid: 2, Attorney Fees Lv, %~~~ ~; ~/lj /I/ /L L,S' 3, Family Exemptbn: {If decedent's address is not the same as ciaimanPs, attach explanation) ~p ,vG Claimant Street Address CttY State Zlp Relationship of Claimant to Decedent 4. Probate Fees ~~ is 1.c-r ~ Ci/i y/S 5, Aooountant's Fees ~jo~.er ~ ~ ~ ~-¢ y-, C/~~j1 g, Tax Return Preparer's Fees 9, /~1,sf..~~. ~ ~, /~~ S~ht c~-~/ ~~ r~S lG. J-G51"~Y3- c I-- ~ st' / G~f~- ~~bo, dd ~G,szt.Qo </G2 . GO ~ ~~ .oo G O, OD G 8 . ~{ ~, Qo p,, o0 O . UO ~• g8 TOTAL (Also enter on line 9, Recapitulation) ~ S C~ ~~ d~~ ~`r/ (If more space Is needed, Insert additional sheets of the same size) ,~ ,, REV-1511 EX~ (12-99) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ' ESTATE OF 1 /~~~~ ~ ~i ~~~~~ FILE NU~~ ~~ ~ O f ~~ " Debts of decedent must be reported on Schedule 1. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. t 2. 3. 4. 5. 6. ~3 . /s/ fy . •/ . / ~. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: Attorney Fees, 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 Probate Fees Accountant's Fees Tax Return Preparer's Fees /~~ ~u~-~T~Y ~`..~: /fir '~/°~'"'~~s'~ L- ~Zc~Z% G'~ ,Q~t~s~'~2. ~ yes, /~ ~~-s ,25, ~ v~ od TOTAL (Also enter on line 9, Recapitulation) $ f j ~--~.5', (If more space is needed, insert additional sheets of the same size) ~~ if i ~f' ,~ Z.. ~ Z ~ REV-1312 EY• (10.161 SCHEDULE' I DEBTS OP DECEDEN?, `°"` w~E 1T~~E ,~ TARN""U MORTGAGE LIABLtTIES AND LIENS ~. 1ESIOENT L)EGEDEHT ' ESTATE OF FILE NUMBERS ITEM NUMBER DESCRIPTfON AMOUNT ~ . ~' /r~ ~ ~ ~~% ~ ~ ~ ins. ~ i~e~~ ~ /~~~° ~`~ ~c, oC~ 2 , /~7/~'.vG/ZGt /a/LG- /7~C'/~ G)`fj' ~ YC S ~ ~iv/~/ 6i /~~°~ ~~ 2 ~/ ~ ZQ t~~-X -e- S '~ ~ 1, ~ 6 ~ /J? CC_ ~ ~f~z~a~r> ,-e S' S ~ e rri .,c, I c~G/ C~GG-v>S' ~J, 2 2-- ~~ - ~ 5 , ~~ . ~ ~, i3 ~'xor~~/ ~s ~ c ~s G ~~,, ~ ~~- /~ ~ ~G ~ c.._ 5'a c/ ?`~~ ~ ~S °` Grr~~.s L=ors, ~.~,~ • ~i / , 7~/ ~~ ~~.~~ TOTAL (Also enter on line 10, Recapitulation) $ 'r ~ ~ (~/~ ~~~ (If more spcce is needed insert additional sheets of some size) REV.IS I2 Ex. paee~ COMMONWEALTH Of -ENNSYlYAN1A INHERITANCE TAX RETURN RESIOENi0ECE0ENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABLITIES AND LIENS ,~ E5TATE OF FILE NUMBER ITEM DESCR{PTION NUMBER I ` i'rm /vo v s-e- ~I /~ C / L L ,~ rCiS , S,~G , / /7t d ~/ //v~J"U r/~%T'CL ~~ I ,~ p-ov /< i G~ j /h G w/ N q ,~ / ~~~ ~~ c~ -~ ~-~ 5 l/ ~~ /~ / ~,"~ .~/ r S TOTAL (Also entsr on line 10, Recapitulation) (!f more spoce u nsadad Insert additional shoats of some size) ,~ T ,~ ... 2 AMOUNT 3 i/. ~o ~~~ 6~ s' .~ ~/, z ~~fiG , o/ ,sue. ~.5- ~ ~, ~ ~ 3 ao , G'~ GC 2, 5~ ~y ~5 Z_3 z. , 8, l~ ~~. 00 ~2, i~1. ! ~ 3 0 ~ , 9/ ~D, tEV.1S12 EY• (10J0~ SCHEDUIE• i DEBTS OF DECEDENT, CAM WNER ~T«`~~E SRN""'" ~ MORTGAGE IIABLITIES AND LIENS 3 ~, RESIDENT DECEDENT f~/~ ESTATE OF ~Ji ~ _ ~,~ ~~' / " Y ~ FIL~/M~ ~ ~ O/ ~ l„ ITEM DESCRIPTION NUMBER /~L ~- / j_ ~~' ~~ ~~~ ~ ~~T', s~,o~~ C ,S res 3 ~ ~ ~~ cis' i 3 8 ~~-~vn/ i .2-~-T,i~,I ~'ts, r-~ 'v .s~ N /" r ` ~y. ~ ~ . ~:~s. . TOTAL (Also snter on line 10, Recapitulation) (If more space is needed Insert additional sheets of same size) « •, ~^ ~ .5-; ~ $ 3z- 9 ~ ~. yy ~' 3 ~ 3 ~'~ AMOUNT ~~/33,~~ 8~ 3,c1-v. ~~ ~,;r~~°~ z~s, oa ,~3. ca ~. 3 ~~ !~'G. ~ e t i A..S@tt~glTlgllt $~t@Rlgfit U.S. Department of Housing and Urban Development ~ ~r OMB Approval No. 2502-0265 8. T a of Loan __ -- YP ~-~- t. ^ FHA 2. ^ FmHA 3. ^ COnv. Unina. e. File Number 7 Loan Number 8. Modaaae Insurance Case Number 4. ^ VA 5. ^ Conv. Ins. C. Note: This form is furnished to glue you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Ilema marked "(p.o.e.)" were paid outside closing; they are shown here for Informational purposes and not included in the totals. D, Neme end Addnea d aMOwN E. Name and Aodnss of S•INr F. Name ono Adoreu W Lmdu Harry H. Fox, Jr. ~Ths Estate of Frank Ylengst James B. Hazen, Executor 15 Montego Court 1 W. High St. Dills_bu_rg PA 17019 Carlisle PA 17013 G. Property Location H. Settlement Ayent ----- -~--~~~-~ ~------~--~ 4 Separate tracts! adjacent to Myerstown Rd. plus John C. Zeppr 111 _ 940 Myerstown Rd. Place of Settlement l1. Settlement Date Gardners PA 17324 205 Farmers Trust Building 19!14!99 Carlisle PA 17013 Dieburaemenl Dale LoL ~ Bbck: 9/1d/99 J. Summary of Borrower's Transaetion K. Summary of Seller s Transaction 100. Grose Amount Due From eorrewer don Gross emnnnr nne Tn Q•II•r 101. Contract ules4rics 257 500.00 q01. Contract Gales rice _____ ,__ 2571500.00 102. Personal property 402. Personal property _ ` 103., settlement charges to borrower Nne 1400 3 337.50 403, 104. ' ----------- 404. 105 405. _--__--__-- _ Adjustmsnts for Items paid by seller In advance Ad uatmenb for Items aid b seller In advance toe. cl nown laze. 9M499 l0 12/31199 2.38 _ qOg, cu nown taxes 9/14!99 to 12/31/99 2.39 107. County taxes 9/14!99 to 12/31!89 124.17 407. court lazes 9114198 l0 12131199 124.17 108. Assessments to 408. Assessments to 100. School 9114)99 to 6130100 1 940.09 409. School 9/14199 to t3/30/00 11940.09 110. Libra 9/14189 to 12/31/99 , 22.67 410. Libra 8114189 •Io 12131/89 22.137 111. fo 411. to 112. l0 412. to 113. _ l0 _ 413. to 111. to 414. to 115.,______._, to 415. to 120. Oroas Amount Dua From Borrower 26219213.82 _ _ ____ _____ 120. Gross Amount Due To Seller 2591589.32 200. A_mounta Pald B Or In Behalf Of Borrower 500. Reductions to Amount Due To Seller 201._De i~os t a earnest mono 21 r000.00 501. Excess deposll (sae Instructions) _ 202. Prlnclpal amount d new loans _ 502. Settlement charges to teller (Ilne 1400) __ ___ `17x713.00 203. ExiallnQ loan(s) taken subject l0 __ ___ 503. Existing loan s) taken subject to _ 204._ _ 504. Payoff of first mortgage loan 205. __ _ 505. Payoff of second mortgage loan ___ 206._ 5p8, 207. 507. J 208. _ ~ 508. - -'- 209. 509. --- Adjustments for Items un aid b seller Adjustments for Items un aid b seller 210. Citynown lazes b 510. Citynown taxes to _ 211_County taxes to 511. County taxes to 212. Asseumenls to 512. Assessments to 213. b 513. to .- 211. b 514, to -- 215. l0 515. to 2_18. l0 516. to 217, l0 - _- 517. to to 218 - --- 518. 10 - to 219. 220. Total Pald BylFOr Borrower 211000.00 519. ~o -- -__-- -~ 520. Total Reduction Amount Due Seller --- --- 17 713.00 100._ G_sh At Settlement From7To Borrower 600. Cash At Settlement To/From Seller 301. Gross Amount due Irom borrower (line 120) 2821926.82 601. Gross amount due to seller (Ilne 420) 2591589.32 302. less amount paid /for borrower (line 220) 211000.00) 602. Less reducllons in amt. due seller (line 520) 171713.00) ( 303. Cash ®From ^ To Borrower 241,926.82 603. Cash ~ To ^ From Seller _ _, 2411$78,32 eraryr,eu nerauy rcanumeage me recelpx a a comptele0 copy or pages 162 of mis statement 8 any attachments referred to herein. I HAVE CAREFULLY REVIEWED THE HU0.1 SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IT RUE AND ACCURATE STATEMENT OF ALL RECEIPTS AND DISBURSEMENTS MADE ON MY ACCOUNT OR BY ME IN THIS TRANSAGTION. I FURTHE ER FY THAT I HAVE RECENED A COPY OF THE HU0.1 SETTLEMENT STATEMENT. ~ ~, ~~ BORROWER ____ SELLER //`~~~~'~~'~~ BORROWER SELLER ~a_/_~X ~`_ 70 THE BEST OF MY KNOWLEDGE, THE HU0.1 SETTLEMENT STATEMENT WHICH I HAVE PR ARED IS A RUE AND ACCURATE ACCOUNT OF THE FUNDS WHICH WERE RECENED AND HAVE BEEN OR WILL BE DISBURSED BY THE UNDERSIGNED AS A PART OF THE SETTLEMENT OF THIS TRANSACTION. ~f) , 3 "' WARNING: IT IS ACRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE: TITLE 18 U.S. CODE SECTION 1001 6 SECTION 1010 . Previous Edition Is Obso{ete HUD-1 (3-86) RESPA, HB 4305.2 t, • 7110. Total SalaslBrokefs Commisaton based on rice S 250 000.00 6.00 %: 18,000.00 paid From I Peld From , Div)sbn of Commluion pine 700) ea follavs. Borrowefa SeOefs 701 = to Funds AI Funds At ---~ Settlement Settlement 703 CommisalonpafdatSettloment Wolfe & Shearer Realtors >f5,vuu.uu Ta - 801 Lwn origination Fr % 802. loan Discount % 803. aisal Fee to 861. Credit RepoA to 805. Ladafs Ins bn Fes 808. Mori Insurance licatfon Fes to 807. Auum Ion Fee 808. - 809. 810. 811. 812. 813. 900. Kama R ulrsd B Lsndsr To Be Paid In Advmes Exoiuds lest de In celos - Ilns 901 901. Interest from to S / de 902. s e Insurance Premium for months to 903. Hazard Insurance Premium fa era to 901. ears to 905. 1001. Hazard Insurance months S r month 1002. • Insurence months S r month 1003 City property taxes ~ ~ monthc~i per month 1001. ~Coun o taxes months S er month 1008. Mnual asseuments months S r month t00e. - ~ months S er month 1007 ~ ~ ~ ~ ~ monlhs~t per month 1008. Aggrspale Accounting Adjustment. _ _ _ 1101 Settbmentorolosingfes 1o John C. Zepp, III, Esq. 635.00 1102. Abslrwl of title searoh to 1103. TKIs examination to 1101. TBIe tnsunncs Wader to 1105 Document preparalbn to 1108. Not fees to 1107. Atom sfees ~ to Willilmt Daniels pnoludes above Items numben: _ _ 1108. Tilb ksurance to ncludu above gems numbers: 1109. Lendefa covers e S 1110. Owns/s covers e S 7111. 1112. 1113. gem n..............r o.,•,..nin,. and T.anafw Ch.rn.a t201. Recording teas: Deed S 127.50 Mongege S ; Releases 3 127.50 1202. c /ooun laxlstem s: Deed i 2 575.00 ; Mort e e S~ 2,575.00 1203. Stale tax/Nam Deed i 2 575.00 ; Mon a e S 2,575.00 tza. 1205. 1300. Addttbnal Settlement Charges 1301. S to uoz. pssllnspeGbn to Penn Psst 35.00 03. Water to Penn Pest 13 53.00 _ 1361. Septic Cert to Peck's Septic - 50.00 1305. - 1306._------- -_ ---- 13oT. - - - 1306. - - - 1100. Total Settlement char ea enter on Ilnss 107, section J and 602, Seaton K) 3 337.50 17 713.00 I HAVE CAREFULLY REVIEWED THE HU0.1 SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND B ELIEF. IT 13 A T A N ACCURATE BORROWER '~'s"2-~!'~!/C SELLER v_5!~__ -- Harry H. Fox, Jr. Ths Estate f Frank Yiengst BORROWER SELLER James B. Hazen, Executor TO THE BEST OF MY KNOWLEDGE, THE HUD-1 SETTLEMENT STATEMENT WHICH I HAVE PREPARED IS A TRUE AND ACCURATE ACCOUNT OF THE FUNDS WHICH WERE R D WILL BE DISBURSED BY THE UNDERSIGNED AS A PART OF THE SETTLEMENT OF THIS TRANSACTION. John C. Zepp, If) WARNING: fT CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON CONVICTION CAN INCLUDE A FINE AND NIPRISONMENT. FOR DETAILS SEE: TITLE 18 U.S. CODE SECTK)N 1001 8 SECTION 1010. S lAl EMErxr a ALL riECiEIP TS AND UI59URSEMEN75 NNUE Or•1 MY A(:000N I Ulf nl IJIt IM I t11J I rWfVSAU I IUfV. 1 rVlt I Atli LACK r'T I rw 11'1AVc RECENED A COPY OF TytE HUD-1 SETTLEMENT STATEMENT, /L _ ~ ~+OCf/ j~~/ ' ~ u.s. oovrsxraxr rnwrsn arxE: rrn rawra .. ,. 0.EV~1513 E%+ ~2~87) 1' SCHEDULE J COMMONWEALTH Of PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN ESTATE OF ITEM I NAME AND ADDRESS OF BENEFICIARY NUMBER FILE NUMBER RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxable Bequests: ~~ ~~ Z .. /'~ ~ ~ ~1 , ,C~ ~Z Get ~ mot/ AMOUNT OR ITEM NAME AND ADDRESS OF BENEFICIARY SHARE OF ESTATE NUMBER B. Charitable and Governmental Bequests: ~ ~. ~~L,v ~ c-r~~~,o~sf- ~ ~~~/, Uri ,. CC,~, rz ~~,yrz C ~/ U2 G~f ~li'p~j O2c,y.Qz~.~ ~/~~ t~c~ TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $ ,JT~'C% , CJ ~7 (If more space is needed, insert additional sheets of same size) ~~ ; '~ ' .~~ '~~ r ~ ~, ~,` ,. : ~ r ~~~ ~ ~ '. t~,t Names and..Addr~ss~ ..~ B. ~ ~~x~.~s ~ ,.. _.. th~~a}tsx'o'~f`' Frank Yeingst , No. 2198-0178 surviving brothers and sis;texs': ~ ~ Lester Yeingst - %cr 2532 Trigg Dr. Del City, Oklahoma 73115`: Ethel Wi 1 son ~ ~/ro 14.5 Frost Rd. Gardners, PA 17324 Edith Nordine ~ Q. -,$a.E~ f •~ Z ~:, ~ f a a~xncd~reTS, PA 3-9'32' y~o'~ ~S'~~ ~S'~" G/t~C sro.c~.~S I~ ~ T Z Thelma Gruver ~ 349 Poplar St. !/o Steelton, PA 17113 ;`: Deceased brother. Paul Ygi~xtq,~t • ' Sur~ivincr issue: Elmer Yeingst ~ ~ /~~ ~ 124 "I" St. n Carlisle, PA 17013 Richard Yeingst 136 Goodyear Rd. Gardners, PA 17324 Alverta Yeingst 137 Goodyear Rd. Gardners, PA 17324 ~4 a 1 ~~ Q ::K.~ f ~; X Sherman Yeingst ;'~ ;-~ t ~ ~gO 256.5. Washingtan.3t:.. Gettysburg, PA' 17325'' , . Jeffrey Yeingst. ~ '~~~ 112 Cider Dr., Bax 1?2 York Springs, PA•17372::.~~ Deceased brother, Ben ~'ei~g,~g~;~ gtl~v~~,~}q i,~sue: --~~ Marline Glessner ~3d 1460 Goodyear Rd. Gardners, PA 17324 Deceased, EXHIBIT "A" ~ . V N .: ~~~ .. Jeanne Mattern ~,~;;;- ; ~` !/3 4 3 Airport Dr. New Cumberland, PA 170:7;0 Carolyn Smyers ~~ %a ~ ` `~ 363$ Carlisle Rd. , Box``:52., ~a~ . Idaville, PA 17337 ~ • Dec°~e°~ hrntht±r_ S am Ye~nast su rvivinv issue: Samuel L. Yeingst', Jr. 181 Shatto Dr. Carlisle, PA 17013 until end of March , then: ~ Samuel L. Yeingst, Jr. l9G Citrus Park 8-43 25501 First Blvd. Benita Springs, FL34135 Betty A. Smith 45 Oxford Rd. Gardners, PA 17324 190 Peggy Y. Brown ~ ~ ' 1967 Walnut Bottom Rd. ~~cj~ Carlisle, PA 17013 George E. Yeingst 4612 S.E. 41st St. ~~} G Del City, OK 73115 Doris L. Jumper 1055 Myerstown Rd. Gardners, PA 17324 ~/~~ Deceased nephew, James •Yeinas't;'`survivina issue: Matthew Yeingst• ~ •.• 3 ~3G0 P a. ~~ 8 ~ ~ ~-GG S^ Gam.=ezs-r-a~--•~ x-2.4 In. 7'; ~~'~l Sf''''', "~ si /'/f Jason Yeingst / 4201 Carlisle Rd•:~. `~:'-, :~ r :: ~ <3 Gd Gardners, PA 17324:•• Christine Yeingst ~3 6 d 223 Arch St. Carl isl a ~, PA 17013 Kenneth Yeingst ,i c x y:, , y; • ~ ,. ~ „~~L, ~r,-~'r-ter rL~-, /°~ ~~"O<3 .. ~ .~_ ~ ~,. F' fem.. Y T t 5~~ ~~ ( 1 7L J',' ~;'~ r ~ r~,~ ~r.,'~ 4 { r Byron Starner ' ~ J ~ ~"gi 1325 Goodyear Rd. ~ `, Gardners, PA 17324 ~ r °''y~` a " :;~i' ~a. ~. ;. . Deceased niece Irene St'arn~r.`~Yiad no children ,~ ~:; , .~ Harry E. Yeingst ;, ~`. ~ 3724 Hedgegrove Dr. ~ `+. ~:~ ~~ ~ : ~g Q North Las Vegas Nevada~',89030„ ~ .y`~' "" `F.' Roy A. Yeingst ~. ''+~~~ '~' f 21 Pine Knob Rd. ~'" r:, ~ ~;r~. `,;'~1'z,'`.- ~~ Q Newville, PA 17241 '~ ~ ,.~~ ~ '~ r..RSr. .. ~,... Deceased sister, Marv 8'tarner f~ssue:~ Robert E. Yeingst :' ~ ~ 45 Ma 1e Ave. zY, ,1kx `4~' " /f Gettysburg, PA 17~32~5 ~'~:~~" ~~w,~~~ d i f r t l s ~"~~ ~."' r r ~ ~. ~~,.~ '~~ ~ `~ Chester Yingst ~~, 92735 Nohona St. HI 96707-1164 Kapolei 'r~ o: iS ,, ''~~ "~~ - , ~ ~~~~r~,~`; ;«r, a Kenneth Yingst ~~ : ~~~ ;~ 927 35 Nohona St . , ~ ~` ~ y ~ t '~~ ,~'`~~ ~k"' Kapolei, HI 96707-1164 ~~y,~y~ ~~,~,`t David Yingst ,,a ~,~;r~~K;r~ ;~'~~°~,~,~,wr' o ~ 92735 Nohona 3t. ~~" 'j ~ ~~~ `° ~ ~ Kapolei , HI 96707-1164 ' ~~~; '~^~,~~>'~' '~' `` k~ } r t Debbie Carcamo 'ti ~ ;~~~ ' 822 Sand Hi11 Dr. a r. .r ~ ~ ,,~, „ ,,;~,~s,,~~,~; Newport, NC 28570-67 b`8 ~ ~ ~ ', ~t;Nr~ ,. r, I~ 1 ~Z' d ~4 U ~4 O /~ 1. ;; ' ~`~ ~. r~~~ ~ . .,',; "_, EXHIBIT "A" COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE . ,. _, _ NO 7ICE`-bF`INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES APPRAISEMfNT,`ALLOWANCE OR DISALLOWANCE INHERITANCE"fAX DIVISION DF'DEDUCTIONS AND ASSESSMENT OF TAX PO BOX 280601 HARRISBURG P~4 17128-0681 REV-1547 EX AFP <06-05) ?~`v~ ~~F' ~ ~ f~.:'t ~~ lp~DATE 09-22-2008 ESTATE OF YEINGST FRANK (~' «+~ ~ DATE OF DEATH 02-09-1998 v7~i'~ -~~''~ FILE NUMBER 21 98-0178 ('~ ' `~ ~ ~ '' ~~~ COUNTY CUMBERLAND WILLIAM S DANIELS ACN 101 HUMMER 8, DANIELS APPEAL DATE: 11-21-2008 1 W H I G H S T S T E 2 0 5 (See reverse side under Objections ) CARLISLE PA 17013 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALCING THIS LINE --L RETAIN LOWER PORTION FOR YOUR RECORDS E'er ------------------------------------------------------------------------------------------- REV-15~i7 EX AFP C03-05~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF YEINGST FRANK FILE N0. 21 98-0178 ACN 101 DATE 09-22-2008 TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) (1) 257,500.00 2. Stocks and Bonds (Schedule B) C2) 423 ,409.20 3. Closely Held Stock/Partnership Interest (Schedule C) C3) .00 4. Mortgages/Notes Receivable (Schedule D) C43 .00 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) 4 8 ,157.67 6,. Jointly Owned Property (Schedule F) C6) 19 ,443.23 7. Transfers (Schedule G) C7) .00 8. Total Assets C8) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 748,510.10 APPROVED DEDUCTIONS AND EXEMPTIONS: 67,080.23 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule N) C9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) C10) 42.849.16 11. Total Deductions C11) 109.929.39 lc'. Net Value of Tax Return (12) 638,580.71 13. Charitable/Governmental Bequests; Non-elected 9113 Trus ts (Schedule J) (13) 500.00 lei Net Value of Estate Subject to Tax (14) 638,080.71 . NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate (15) • 00 X 00 = . 00 16. Amount of Line 14 taxable at Lineal/Class A rate (16) •00 X 06 = .00 17. Amount of Line 14 at Sibling rate C17) • 00 X 00 = . 00 18. Amount of Line 14 taxable at Collateral/Class B rate C18) 638,080.71 X 15 = 95,712.11 Principal Tax Due 1 9 C19)= 95,712.11 . . I"'1rTTTl+_ ~" PAYMENT~~ DATE RECEIPT NUMBER DISCOUNT C+) INTEREST/PEN PAID C-) AMOUNT PAID 05-08-1998 AA270058' 4,785.61 95,000.00 TOTAL TAX CREDIT 99,785.61 BALANCE OF TAX DUE 4,073.50CR INTEREST AND PEN. .00 TOTAL DUE 4,073.50CR ~ IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN 61, NO PAYMENT IS REpUIRED. rno reicULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE e aFFUND. SEE REVERSE SIDE OF THIS FORM FDR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA ss DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ~~,~;'~~ .Ij~~i'~.!,~~NFC~RITANCE TAX INHERITANCE TAX DIVISION ~_'_i tr tit STA'~E~IENT OF ACCOUNT PO BOX 280601 I ^-~-,!.%•:..,+ v,~ _... HARRISBURG PA 17128-0601 L~~U ~~ Y ` I f ~ ~~• ~Q c~~x a~ oR~~~~s couRr ~t~C t ,~tT'1 WILLIAM S DANIELS ~`~tr`_,~i~~~~a~ .,~„ HUMMER 8~ DANIELS 1 W HIGH ST STE 205 CARLISLE PA 17013 REV-1607 EX AFP (03-05) DATE 10-27-2008 ESTATE OF YEINGST FRANK DATE OF DEATH 02-09-1998 FILE NUMBER 21 98-0178 COUNTY CUMBERLAND ACN 101 Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ --------------------------------------------------------------------------- REV-1607 EX AFP (03-05) *** INHERITANCE TAX STATEMENT OF ACCOUNT *** ESTATE OF YEINGST FRANK FILE N0. 21 98-0178 ACN 101 DATE 10-27-2008 THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 09-15-2008 PRINCIPAL TAX DUE: PAYMENTS CTAX CREDITS): 95,712.11 PAYMENT DATE RECEIPT NUMBER DISCOUNT (+) INTEREST/PEN PAID C-) AMOUNT PAID 05-08-1998 AA270058`~ 4,785.61 95,000.00 10-08-2008 REFUND ~ .00 4,073.50- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ~ IF PAID AFTER THIS DATE, SEE REVERSE I TOTAL DUE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN S1, ND PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), voii Mnv BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ) 95,712.11 .00 .00 .00 .. Name of Decedent: Register of Wills o~ Cumberland County ~rti C.1°T Date of Death: ~ ~,. Estate No. ~ ~' ~--- ~'4/ rte- ~ Pursuant to Rule 6.'12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estatc is complete: Yes ^ t No ,~] 2. If the answer is No, state when the personal re resentative reasonably believes that the administration will be complete: ~ ~•. ~ Off' 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative' file a final account with the Court? Yes Q No b. The separate Orphans' Court No. (if any) for the pcrsonal representative's account is: c. Did the personal representative state an account informally to the parties in .interest? Ycs ^ No Q c. Copies of receipts, releases, joinders and approval'of formal or informal accounts maybe filed with the Clerk of the Orp ' ' ourt and may be attached to-this report. - ~C~ ' Date: ~ .~---~%~ Signature Name ~ "'d3 C11~'.~~~~8Vif1~ ' l~(~ S,MdHdMO ~0 ~~~~ i Z ~~ Nd Z- 83.E 6902 HUMER & DANfELS A~~~LE, PA~11013 ~~v Telephone No. Capacity: ^ Personal Representative ~' Counsel for pcrsonal representative , Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 ~.~ Phone: (717) 240-6345.~,_~~~_' fi f~~,-'~ `~ ~';~ ~ ,. a ~ ~i ~. 2010 JA1'~ 2~ A~ 10~ 45 Date: 1/27/2010 JAMES HAZEN 7706 FARMDALE AVENUE HARRISBURG, PA 17112-3822 RE: Estate of YEINGST FRANK File Number: 1998-00178 Dear Sir/Madam: CLLR"~ 0= QRPHP~~~~~~ ~n~~P This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with t:he Register of wills a Status Report of completed or uncompleted administration. This filing is due by: 2/09/2010 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaug Clerk of the Orphans' Court cc: File Counsel Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013.-~~~' ~~"`~ ; -!(_;!--'_~'~ Phone: (717) 240-6345 ~~ ,~ Z~10 ~~f7 ~7 111 t ~V~ `TtJ R[~C~F~~~ nf. O{ ~i 1 1,'V V ~'1 VV~~~T Date: 1/27/2010 DANIELS WILLIAM S ONE W HIGH STREET STE 205 CARLISLE, PA 17013 RE: Estate of YEINGST FRANK File Number: 1998-00178 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COUF:T RULES, N0. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with t:he Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/09/2010 Please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, ~~-~~a Glenda Farner Strasbaugh Clerk of the Orphans' Court cc: File Personal Representative(s) i~~CI~TEi-: OF Fri:' LS Gi= ____Z..i' 1 C:OL~:vTi', PF.:`~`;~~'L~~•~.'~~,.a. )V3tlle CI DeCedeni:` _ ~, ~ _ _________--._.-~-, - --- Date : D_ath: C~Z ~ 09 ~`~ g i_ File Nu:-~be:.. Z ' ~~q ~ ~ l7 $~ i~i~.,i~iaiit tv D%. v.~. i~Lli'. v. i~, i r.°.wrt t :_° f.,l{.`1snr.~• u:itn rvep~;' t~1 C(ttT:~l?;'tiny !?f the 2wiT:'t;lltl'3f10n Ol !+ - • o - tile above-ca~tioued estate: 1. State whether administration of file estate is complete :.................... ~ 1'es ~'hi~~ 2. If the an'swet is 1~'0, state when the personal representative reasonably believes th at the ad~rrinistration will be comple~e. • ~ ~~ ~// 3. If the ailswer to I~'o. l is YES, state Lle follo«•in;: a. Did the personal representative file a final~accot:nt with the Court? ....... Yes Q No b. The separate Orphans' Court No. (if any) for the persrnll representative's account is: c. Did the personal representative sate an account infom?airy to the parties in interest? .:.................:........... ~ [.~ ;'es ~No d. Copies of receipts, releases, joinders and approvals of formal or informal ac~a!~ults maybe filed with the Clerlt of the Orphans' Court and may be a~ ached to this repoil. ~, ~. `, - ~a.;. -" ~_,. C_ -1 -_ ~ r L J ( ~1 L, ~~- ~ Q Sl~nrr.:re of Pt:rsou Fair; this Form • ~-- rz ~ ~ ~. :~ . t_a_ ~'? ~--: d- O C_ ~ r ~':n~ .? ~: =.' . ~- i ~ ~ ~, V © L1.. ,-. Cl' _y ~ ~ Q Ca};acoty: ~]Perso.^.all?eprese;itati~e rtim::e ra~Pzrsar filir.; this for•nr ~ ~ l~~ SCI ~,~Lrr2;5 ~/ ~-/~~-(may / i~/~ Telr;.;mrrr _ - i _1 F.E~ISTE1; trF ti~~i'? LS G~=1~~ ~ _ CGU:vT i~, PF.:~~;5~'L~G".~.~:1?. 1. State whether administration of file estate is complete :.................... ©~'eS K'Y "o 2. If the an'sweris ;v'o, state when the personal representative reasonably L-elieves ti at the administration tivil] be complete: / ~"` ~.a/ 3. If the airs-.ver to I~'o. l is YES, state Lie following: a. Did the personal representative : le a f nal~accottnt with the Court? ....... Yes Q No 1v3me ci Dzcedet:t: Date .:Death: r~Z f O`I /`~ g File i`iu:"?,.,.. 2 - /~9 ~ ' y ~7 ..-~~T~- _.. P . _. •~ D.. (1 (` L% la f, 17 T.-~-~~~t ~~~ ~~~ t ~ 73.?~ i t t ~ i i..a~iaiu ~u • u. v.~.. i~ua., v.as., .. r+'v. t' f~ll,v~xj~n.7 ~;:a:: r°C71a::. tQ G4*r: _',iQ_1 of .~~~. ~l~il Il .itl'3 101 Ot .J tine above-ca;~tionzd estate: • b. The separate O~hans' Court No. (if any) far the personal representative's account is: ~ ~~ ' lr .; - G -; ~_~__ -' ~ -~ ~_. ~~ c. Did the personal representative siat~ an account . iufotn~aliy to the parties in interest? .:............................. ~ (Yes C7N0 d. Copies of receipts, reli:ases, joinders and approvals of foirnal or infonna] accio:~nts may be filed with the Cierlc of the Otphan~' Court and maybe a~,ached to this repotl (V .cC Signr:r.:re of"Per:pn f:fL:; ri:ir form -! F-- ~ ~' ~ ~-.; a- C~ :..~ tiJJ -, ~ _ F- U2!-.; ti__; ~ ~ G ~. .~ 0 Capacity: ~]Pesu::al Representative ounscl P:m:a of Pzrsar filir.; chit fa'm ~ fir. 1~~~ .~, ~ ~S~'.~ ~s~ „da,.t,s ~ C~-pus- / ~/~ Telz;.~:onz Pa. O.C. Rule 6.12 STATUS REPORT 1 REGISTER OF WILLS OF~~.~~~D;,~ COUNTY, PENNSYLVANIA Name of Decedent:_ ~~ ~~~~rC.S'~ / ~~~~~~~ Date of Death: File Number: ~~ o ~~ ~'`~ Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to c~znpletion of the administration of the above-captioned estate: •, 1. State whether administration of the estate is complete :.................... ©Yes ~No 2. If the answei'is N~o, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. ~1 is YES, state the following: a.. Did the personal representative file a final account with the Court?~ ....... Yes ~No b. The separate Orphans' Court No. (if any) for the personal representative's account is: ,, - !~- c. Did the personal representative state an account informally to •the parties in interest? .............................. ©Yes ©No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts maybe filed with the Clerk of the Orphans' Court and maybe attached to this ort. Signature ojPerson Filing this Form (z~._. ~~ Capacity: QPersonal Representative ~ounsel ~.~_ • - ~: ~ Ri ~ Nnme of Person Filing this Form ~ v`. ' ~ J, • ~' ~ • / ~~r t-=~ ~~' ;:- _~L~1MER & DANIELS ~`~~-~ ~-~. r - '~gd'V~EST HIGH 8T. STE 205 . ~:~:, ~~' '~~ c~ -~--, - ~ CARLISLE, PA 17013. r ~ `; _, _ . y - Telephone Form R W-10 rev, i G7.1 ~. 00 4 ~~` . , Jv Pa. O.C./Rule 6.12 STATUS REPORT REGISTER OF WILLS OF(, ~~-,~~~. ~ COUNTY, PENNSYLVANIA Name of Decedent: ~'~/1/C.S~ ~~/,I ~/ ~' Date of Death: File Number: ~~~-•-~~~ ~~~ Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete :.................... ^Yes ~] No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: ~~ ~ Th ~j Z--- 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... ^Yes ^ No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... ^Yes ^No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attach tot 's report. o~t~ 2, / ~~~-~-~i~-z- 1 ; ' i ~/r~G.~-~ ignalure o Per on Filing this Form -- Capacity: ^Personal Representative Counsel /jam r - = = I f , L t ~ ~ _ Nnme of Person Filing this Form _ ~/ --_ ~l ~ ---- cc ~ % _ rt ~ ~ ~ ~ Address ~ -~/ ~/Z~G~ ~ --~ ~ ~ ~~ /~F ~. . Telephone Form RW-/0 rev. /0. /3.0G Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OFD--~l~ ~z~ l/ ~ COUNTY, PENNSYLVANI_A Name or Decedent: ~~`~/~~~~ i / " 1~~--~~~~ Date of Death: File Number: ~, ~~ ! C,. ~ Pursuant to Pa. O.C.. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned. estate: j~,~' 1. State whether administration of the estate is complete :.................... ^Yes ~ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? ....... ^Yes ^No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? ............................... ^Yes ^ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be atta to this report. s J _ .P Dater'.^~ ~~ _ t3.f ... C' ~ ~;, j ~, f Signnture oJPersai Filing this Form c-> i.~ ,..a_ i.1... S ~ ... . .,, .c. .cis ~'"` ~ lu.J ~ J c::a ~ -._ t~ ~ W L:: t ^ ~~ W ~- m ~ U ~ ~ o ~ ~ M ~ ~ Capacity: ^Personal Representative Counsel Nnme oJPerson Filing this Form -,~ Gv , /~IG~-c5 /' :S~ ~ ~ ~'S- Address Telephone Forn: RW-l0 rev. l0. /3.OCi Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone : (717) 240-6345 mi 0� "D :c � r" so � o >> r N m m z rn s o Date : 1/14/2014 U? o 0 DANIELS WILLIAM S o ° ._1 ONE W HIGH STREET STE 205 M C- ) rr m N Cn CD CARLISLE, PA 17013 N RE : Estate of YEINGST FRANK File Number: 1998-00178 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6 . 12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHANS ' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992 , the personal representative or his counsel, within two (2) years of the decedent ' s death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/09/2014 Please feel free to contact this office with any questions you may have . If you have already filed your Status Report, please disregard this notice. Sincerely, /Lisa M. Grayson, E Clerk of the Orphans ' Court Pa. O.C. Rule 6.12 STATUS (REPORT l /YriJ 0/I[ll,c �h REGISTER OF WILLS OF ( OIJNTY, PENNSYLVANIA Name of Decedent: Vk,( n G��( Date of Death: 2 -' 9z — File Number:_ Pursuant to Pa. O.C. Rule 6.12,1 report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . . . ❑Yes XNo 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . . . ❑Yes ❑No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑Yes ONO d. Copies of receipts, releases,joinders and approvals of formal ormal accounts may be -tiled with the Clerk of the Orphans' Court and may be att ed to is report. Ls, cc a 0D Dflte_ L, Signature nfPerson Filing t u Donn 4. Li., ll O f.} C.) - z Capacity: ❑Personal Representative [ 'Counsel ru W T W " 'er "'Ill""" C.] F— J Q �_"d. pCry � V 0. Uj' Name of Person Filing this Form Q. w o X HUNTER& DANIELS `C ` AddrAM S7 HIGH ST. STE.205 CARLISLE,PA 17013 Forn:,71%44 J rei.JOJ3.46 n n(Ln Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone : (717) 240-6345 Date : 1/14/2015 DANIELS WILLIAM S ,C M ONE W HIGH STREET STE 205 C> c_„ e> ; =0 2 O CARLISLE, PA 17013 _ M rn CSD RE: Estate of YEINGST FRANK vj `-n ) File Number: 1998-00178 ) Dear Sir/Madam: This notice is . to serve as a reminder that the Status Report by Personal Representative under Rule 6 . 12 is due on the below listed date . As per the AMENDMENTS TO SUPREME COURT ORPHANS ' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. 1, for decedents dying on or after July 1, 1992 , the personal representative or his counsel , within two (2) years of the decedent ' s death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 2/09/2015 Please feel free to contact this office with any questions you may have . If you have already filed your Status Report, please disregard this notice. Sincerely Lisa M. Grayson, Esq. Clerk of the Orphans ' Court Pa. O.C. Rule 6.12 STATUS REPORT REGISTER OF WILLS OF hMh1VLf) d__-- COUNTY, PENNSYLVANIA Name of Decedent: i I n Date of Death:A to h M3 Number: �U i l s Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: . . . . . . . . . . . . . . . . . . . . ❑Yes ❑No 2. If the answer is No, state when the personal representative reasonably believes that the administrat}on will be complete: 3. If the answer to No. 1 is YES, state the following: a. Did the personal representative file a final account with the Court? . . . . . . . ❑Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑Yes ❑No d. Copies of receipts, releases,joinders and approvals of fonnal or inforinal accounts may be filed with the Clerk of the Orphans' Court and may be ached to this report. Date2Z( / Signature of Person Filing this Form C) Cl) CVD Capacity: ❑Personal RepresentativeCounsel �. �--' : C� C A Name of Person Filing this Fora: Address n Telephone Form RW-10 rev. 10.13.06