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Home My WebLink About97-0910 .. .-J 15056051058 REV-1500 EX (06-05) PA Department of Revenue . Bureau of Individual Taxes PO BOX 280601 Ha~~,PA17128~1 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year File Number 21 97 0910 Date of Birth 202-20-1850 08/28/1997 03/10/1926 Decedent's Last Name Suffix Decedent's First Name Campbell Jessie MI L (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 Retum 2. Supplemental Retum 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Retum Required t:t, C=J 4a. Future Interest Compromise (date of death after 12-12-82) c:::~ 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 8. Total Number of Safe Deposit Boxes 4. Limited Estate 26 West High Street (717) 243-6222 REGISTER ~ILLS USE O@ :>-0 en. ">:0 7:)..,... <::) . '1 v ('"') . I ;:r.: (") -f ~~[~~ W "'C', '-, ,-50 '~'i ,~ 1'1 ~ .::0 - iirE1:ILED -- <::) ;:0 ::::orn rIlCJ (;;0 (j) ,-:-).:J. -....:~ c~ I .I! rr) -"-J 0 C) . f~~ tj') (::) _.....~ , , James D. Flower, Jr. Firm Name (If Applicable) Saidis, Flower & Lindsa First line of address Second line of address City or Post Office State ZIP Code Carlisle PA 17013 Correspondent's e-mail address:jflowerjr@sfl-Iaw.com Under penalties of perjury, I declare that I have ell8m1ned this return, including accompanying schedules and statements, and to the best of my knowledge and belief, It Is true, correct and complete. Declaration of prepareran the personal representative is based on all information of which preparer has any knowledge. SIGNA: E 0 RSON SPON ILlNG RETURN DATE 8 -/0 -() b DATE ~".~~.~- nIl) _=I;> .-6 Side 1 L 15056051058 15056051058 ....J v ) --.J 15056052059 REV-1500 EX Decedent's Social Security Number Decedent's Name: RECAPITULATION Jessie L Campbell 202-20-1850 2. Stocks and Bonds (Schedule B) .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 2. 37,500.00 0.00 0.00 0.00 645.02 0.00 0.00 38,145.02 25,257.29 1. Real estate (Schedule A). ............................................ 1. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . .. 3. 4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5. 6. Jointly Owned Property (Schedule F) Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) c:::::;) Separate Billing Requested.. . . . . .. 7. 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8. 9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . .. 9. 11. Total Deductions (total Lines 9 & 10)... . . . . . . . . . . . . . . . . . . . . . .. . . . " . . .. 11. 10. Debts of Decedent, Mortgage Liabilities, & liens (Schedule I). . . . . . . . . . . . . . . . 10. 12. Net Value of Estate (line 8 minus Line 11) . . . . . ., . . . . .. . . . . . . . . . ..... . . . 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. 14. Net Value Subject to Tax (line 12 minus line 13) . . . . . . . . . . . . . . . . . . . . . . . . 14. TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Une 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a){1.2) X .0_ 0.00 16. Amount of line 14 taxable at lineal rate X.O _ 0.00 17. Amount of line 14 taxable at sibling rate X .12 0.00 18. Amount of line 14 taxable at collateral rate X .15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15. 16. 17. 18. 19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 fD ~o 10 I/w iJ A PO L 10056052059 ....J J REV-1500 EX Page 3 Decedent's Complete Address: DECEDENrs NAME Jessie L Campbell STREET ADDRESS 209 Wolfs Bridge Road fll, Nl,lm~.'r 0910 DECEDENrs SOCiAl SECURITY NUMBER 202-20-1850 CITY Carlisle STATE PA ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Une 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 0.00 0.00 0.00 0.00 Total Credits (A + 8 + C ) (2) 0.00 3. InterestlPenalty if applicable D. Interest E. Penalty 0.00 0.00 TotallnterestlPenalty ( D + E ) (3) 4. If Une 2 is greater than Une 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 0.00 0.00 0.00 0.00 5. If Une 1 + Une 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (SA) 8. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;.......................................................................................... 0 [i] b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 [i] c. retain a reversionary interest; or.......................................................................................................................... 0 [K] d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [K] 2. If death occurred atter December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 [i] 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 [i] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ 0 [i] IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. ~9116 (a) (1.1) (i)). For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. ~9116 (a) (1.1) (ii}J. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. ~9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. ~9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. t Rev-1502 EX+ (6-98) '* SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA NHERrrANCE TAX RETURN RESDENT DECEDENT Campbell, Jessie Lee FILE NUMBER 21..97..0910 ESTATE OF All real pl'OJ*1.Y owned solely or as a te..nt In conanon must be reported at fair market value. Fair lTllIIkel value Is defined as the price at which property would be exchanged between a v.iIIing buyer and a willing seller. neither being COf'Ill8Iled 10 buy or sell, both havlng reasonable knO\!/\edge of the relevant fads. Real property which Is Jolntly-owned with right of survivorship must be dlsclOHd on schedule F. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH Real Estate located at 209 Wolfs Bridge Rd. - value based on sale price (see settlement sheet attached.. sale to executor approved by the Court) 37,500.00 TOTAL (Also enter on Line 1, Recapitulation) 37,500.00 (If more space is needed, additional pages of the same size) "'--. -'_h' I~\ ')flfl? fnlTl1 !':flftware onlv The Lackner Group, Inc. FOnTl PA-1500 Schedule A (Rev. 6-98) . Rev-1508 EX+ (6-98) . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY CONMONWEAllH OF PENNSYlVANIA NtERITANCE TAX RETURN RESIlENT DECEDENT Campbell, Jessie Lee FILE NUMBER 21-97..0910 ESTATE OF Include the proceeds of Utlgalion and the dale the proceeds were received by the estate. All property jol~ned with the right of survivorship must be dlsclOtled on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Dauphin Deposit Bank .- see attached letter 10.02 2 1980 Chevy Citation, junk value 35.00 3 1985 Chevy Cavalier 200.00 4 1986 Oldsmobile, in poor condition needs repairs 300.00 5 Misc. personal property and furniture 100.00 TOTAL (Also enter on Line 5, Recapitulation) 645.02 (If more space is needed, additional pages of the same size) r.nnvrinht (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) t REV-1151.EX+ (12-99) '* .eHEDULI! H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEAlTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Campbell, Jessie Lee Debts of decedent must be reported on Schedule I. FILE NUMBER 21-97-0910 ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 1,522.40 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 1,875.00 2. Attorney's Fees Said is, Shuff, Flower & Lindsay 2,375.00 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 100.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 19,384.99 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 25,257.39 Copyright (e) 2002 fonn software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) " Rev.1502 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA NlERITANCE TAX RETURN RESDENT DECEDENT SCHEDULE H.B1 PERSONAL REPRESENTATIVE'S COMMISSIONS continued ESTATE OF Campbell, Jessie Lee FILE NUMBER 21.97..()910 ITEM NUMBER DESCRIPTION 1 James E. Barnhart . executor's commission AMOUNT 1,875.00 Subtotal 1,875.00 Copyright (c) 2002 form software only The Lackner Group. Inc. Form PA.1500 Schedule H-B1 (Rev. 6-98) '- Rev.1502 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA NERITANCE TAX RETURN RESDENT DECEDENT SCHEDULE H';'82 ATTORNEY'S FEES continued ESTATE OF Campbell, Jessie Lee FILE NUMBER 21-97-0910 ITEM NUMBER DESCRIPTION 1 Said is, Shuff, Flower - Paid at settlement of real estate AMOUNT 500.00 2 Said is, Shuff, Flower & Lindsay - atty fees related to estate administration 1,875.00 Subtotal 2,375.00 Copyright (e) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B2 (Rev. 6-98) I Rev.1502 p+ (6088) . SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNS'l\.VANIA INHERITANCE TAX RE'T\lRN RESIlENT DECEDENT Campbell, Jessie Lee FILE NUMBER 21-97 -0910 ESTATE OF ITEM DESCRIPTION AMOUNT NUMBER 1 Cumberland County Law Journal, estate notice 60.00 2 Mortgage payments for real estate pending court approval of sale and litigation 15.878.00 regarding validity of mortgage lien. 34 pmts. of $467.00 3 R & A Bender for tractor removal 114.50 4 Real Estate Tax payments to tax collector Nancy Shiebley pending sale of real 2.462.81 estate after litigation: 698.32,217.12, 761.45, 785.92 5 Register of Wills- filing fee for insolvent inheritance tax return 10.00 6 Register of Wills- filing fees for Petitions 31.00 7 Register of Wills- filing of First and Final Account 130.00 8 The Sentinel, estate notice 73.68 9 Steven W. Barrett, real estate appraisal 250.00 10 Transfer taxes relating to sale of real estate 375.00 Subtotal 19.384.99 Copyright (c) 2002 fonn software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) . . Rev.1512 EX+ (6-98) '* SCHI!DULI! I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMOlIlWEAL TH OF PENNSYLVANIA NiER/TANCE TAX RETURN RESDENT DECEDENT Campbell, Jessie Lee FILE NUMBER 21-97 -0910 ESTATE OF Include unrelmbursed medical expenses. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH 1st Mortgage payoff- Household Finance - see copy of Court Order determining that this debt is a debt of the estate (amt. based on settlement sheet attached) 20,334.75 2 Bankcard Assoc. acct. #427003208005730 - bal. on credit card 2,554.31 3 Carlisle Community Ambulance, acct. #970329-70 60.13 4 Carlisle Hospital, - accts. #3396777, 3292208, 3480670, 354769, 3216306 1 ,263.80 5 Carlisle Imaging Assoc. - medical expense 112.68 6 Chase Gold Visa, acct. #4226900102346666 4,542.82 7 Chase Manhattan Bank, acct. #4226910004916284 4,545.80 8 County and school taxes - paid at time of settlement 380.74 9 Direct Merchant Bank, 1,221.51 10 Graham Medical Clinic - acct. #00582620 23.36 11 Keystone Financial . Loan #20007 266.75 12 MBNA America, acct. #4270-0326-0800-5730 2,554.31 13 Mobil Oil Credit Corp. 155.38 14 Moffit, Pease & Um Assoc. Acct. #033904126 - medical expense 40.10 15 Montgomery Ward clo - Acct. #0339041126 690.72 16 NBlTexaco,acct.#374224515 755.10 Total of Continuation Schedule(s) See attached page TOTAL (Also enter on Line 10, Recapitulation) 52,401.86 (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) It Rev-1512 EX+ (6-98) COMMCNWEALTH OF PENNSYLVANIA NfERITANCE TAX RETURN RESIlENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS continued Campbell, Jessie Lee FILE NUMBER 21-97 -0910 ESTATE OF ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 17 Orthopaedic Surgery of Carlisle, Inc. - medical bill 78.66 18 Penn Financial Limited 49.10 19 Penn State Geisinger Health Group - medical expense 17.92 20 Pinnacle Health, outpatient - medical expense, acct. #20473371 125.40 21 Pinnacle Health/Harrisburg Hospital - medical bill 54.34 22 PNCBank,acct.#5458000191068382 2,554.31 23 PPL Electric Utilities 1,168.22 24 R&A Bender, Inc. 49.50 25 Roberts Medical, Inc. - medical expense 15.21 26 Sears Roebuck and Co., acct. #5898404481 6,124.35 27 Shell Mastercard/Chase Manhattan Bank - acct. #5369933570120788 2,356.59 28 State Farm Insurance, c/o John J. Zampelli, Jr. 185.00 29 Travelers ABS, retail premium acct. 121.00 TOTAL (Also enter on Line 10, Recapitulation) 52,401.86 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98) . REV.1513 EX+ (9-00) '* SCHEDULE .. BENEFICIARIES COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT NUMBER Campbell, Jessie Lee NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS Onclude outright spousal Clistributions, and transfers under Sec. 9116(a)(1.2)] RELATIONSHIP TO DECEDENT Do Not List Trusteefsl FILE NUMBER 21-97 -0910 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) ESTATE OF I. 1 James E. Barnhart 209 Wolfs Bridge Road Carlisle, PA 17013 Teresa Ann Campbell Searfoss 226 Reno Ave. New Cumberland, PA 17070 Son 1/2 of residue 2 Daughter 1/2 of residue 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 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) .. .. W ILL I, JESSIE LEE CAMPBELL, of Route 10, Box 130, Carlisle, Pennsylvania; Middlesex Town- ship, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM ONE. I direct that all my debts and funeral expenses, including my gravemarker, shall be paid from my residuary estate as soon as practicable after my decease, as a part of the expense of the administration of my estate. ITEM TWO. I give, devise and bequeath my entire estate to my husband, ARTHUR WILLIAM CAMPBELL, if he survives me by 60 days. In the event that my husband, ARTHUR WILLIAM CAMPBELL, predeceases me or is not then living on the 6lst day after my decease, then I give, devise and bequeath my entire estate to TERESA ANN CAMPBELL, my adopted daugh- ter; and to JAMES E. BARNHART, my son, equally, share and share alike, per capita. ITEM THREE. I appoint my husband, ARTHUR WILLIAM CAMPBELL, Executor of this my last will. Should he fail to qualify or cease to act as Executor, I appoint JAMES E. BARNHART, to act as Executor with the same rights, powers and duties. ITEM FOUR. I appoint JAMES E. BARNHART guardian of the person of each minor child of mine. If he should fail to qualify or cease to act as such guardian, I appoint LARRY BARNHART, JR. to act as guardian of the person of each minor child of mine with the same rights, powers and duties. Should LARRY BARNHART, JR. fail to qualify or cease to act as guardian, I appoint LEROY ECKEL of Hagerstown, Maryland to act as guardian of the person of each minor child of mine with the same rights, powers and duties. ITEM FIVE. I appoint JAMES E. BARNHART guardian of any property which passes to any child under the age of 21 years and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so. Said guardian shall have the power to use income from time to time for the minor's education, support and welfare without regard to his or her parent's ability to provide for such education, support or welfare, or to make payment for these purposes, without further responsibility, to c the child or to the child's parents or to any person taking care of the child. Said ~ guardian shall administer the separate and equal share of each child until he or she becomes 21 years of age, at which time the share of each child remaining in the guar- ~ dianship account shall be paid to said child in full. In the event of the death of ~ any minor after my decease and prior to reaching the age of 21 years, his or her share f,Shall be distributed equally to the surviving children or child to be administered in accordance with this guardianship provision. Should he fail to qualify or cease to act as guardian, I appoint LARRY BARNHART, JR. to act as guardian with the same rights, O~ powers and duties. Should LARRY BARNHART, JR fail to qualify or cease to act as guardian, \J I appoint LEROY ECKEL of Hagerstown, Maryland to act as guardian with the same rights, powers and duties. ,~_ ITEM SIX. All estate, inheritance, succession and other taxes, imposed or payable by I ~ reason of my death, and interest and penalties thereon, with respect to all property comprising my gross estate for tax purposes, whether or not such property passes under ~ this will, shall be paid out of the principal of my residuary estate, without apportion- ment or right of reimbursement. ITEM SEVEN. I direct that my personal representative or guardian shall not be required ~to give bond for the faithful performance of their duties in any jurisdictione ~.ITEM EIGHTo In addition to the rights and powers giv~n to fiduciaries by law and else- where in this will, I give to my Executor during the full time necessary for the admin- istration of my estate the following rights and powers to be exercised in his sole discretion. Ao To retain any real or personal property which may at any time form a part of my Page one of three pages It" . estate so long as he or she deems it advisable. B. To invest in any real or personal property without restriction to legal invest- ments. C. To repair, alter, improve or lease for any period of time any real or personal property and to give options for leases. D. To sell at public or private sale, for cash or credit, with or without security, to exchange or to partition real or personal property and to give options for leases. E. To make distribution in kind. F. To compromise claims. IN WITNESS WHEREOF, I have hereunto set my hand this;2 ~,.kday of Aff Jt.-c l 1980. 0- '# ~aL-.d:P SIGNED / ,', .4~<.c./ ~ .e.~' - , D/ The preceding instrument, consisting of this and two other typewritten pages, each idenfitied by the signature of the Testatrix, JESSIE LEE CAMPBELL, was on the day and date thereof signed, published and declared by JESSIE LEE CAMPBELL, the Testatrix therein named as and for her last will, in the presence of us, who at her request, in her presence and in the presence of each other have subscribed our names. ?)l~~ / lJ ~ (~~ ;/ ~(.c'l< COMMONWELATH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND We o/Id,.p~ X )j ~1: and ~ / ~1/cl( the witnesses whose names are signed to e attached or foregoing instrument being duly qualified according to law, do depo and say that we were present and saw the Testatrix sign and execute the instrument as her last will; that JESSIE LEE CAMPBELL signed willingly and JESSIE LEE CAMPBELL executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the will as witnesses; and that to the best of our knowledge the Testatrix was at the time 18 or more years of age, of sound mind and under'no constraint or undue influence. 96.d~ij,{ 11 ~ ~bz/k-/~ :r: ~0AA/'r. \' Sworn to and subscribed before me thisJr~day of ~ ' 1980. ~~#~~ W .. ~ .. OTABY, Pu&1.d'" 4 NDI7th Hanover Street Carlisle, Cmnberland County ~y. Commission Expires October '8, t9 f( Page two of three pages ... . . .... COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND I, JESSIE LEE CAMPBELL, Testatrix, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge 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 purposes therein expressed. Sworn and affirmed ~ ~~J'cknow1edged before me by JESSIE LEE CAMPBELL, Testatrix, this ~a:a' day of ~ ,1980. "l. t~; !'::-~/' . ( ~.A- /~-G1_I.<-- .'~ Oe-. -~...__ 4,ESSIE LEE CAMPBELL (,/ ~~~~~_Af WANDAK: HtJNTEit,lfOTARY PUBLIC . 4 North Hanover ~treet Carlisle; Cumberland Cn.,Mo. " My Com~ lit- . ....-3, ~ '. "" ..""" .. _~ires October I, do/' '. , . . ~' . ,l.. . . Page three of three pages 4 SETTLEMENT STATEMENT U. S. DEPARTMENT OF HOUSIlIG AND ORBAN DEVELOPMENT 250.2-0265 [ ] FHA 2. { ] FmHA 3. [ ] Conv. Unis. 16. FILE NUMBER 17. LOAN nuMBER [ ] VA 5 . [ ] Conv. Ins. I BARNHARD. BUY NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the are shown. Items marked" [Poe] " were paid outside the closing; they are shown here for inforrnati.ona- Sett~ement agent not included in the totals. 4.1 12-94 (7/BARNHARD.BUy) .J.. purposes and are NAME AND ADDRESS OF BORROWER E. NAME AND ADDRESS OF SELLER F. NAME AND ADDREss OF LENDER TYPE OF LOAN OMB NO qr fa" MOR.'I'GAG E INS CAsE NUMBER - - James Barnhart, Executor of t~ "- --.'\ Est,;..looC ? Lles~ie B. Barnhart } .., ~ 4 (,.. .Ptf9 'Ililf' s Bndge Road C t:lr-'ff!I) (; /" Car+-isle, PA 17013 ,,.,f,. r I ~.~ 232267691 James Barnhart 209 Wolf's Bridge Road Carlisle, PA 17013 '. PROPERTY LOCATION 209 Wolf's Bridge Road Carlisle, PA 17013 CUmberland County, PA H. \t,E'l"I'LEMENT ~ Broujos & Gilroy, PC PLACE OF SETTLEMENT 4 North Hanover Street Carlisle, PA 17013 J. SUMMARY OF BORROWER I S TR:UTSACTION ~_O. ;;P.OSS AMOUNT DUE FROM BORROWER lvl. ~onLra~~ 5dlec r~lc~ '102. Personal Pronertv 103. Settlement Charaes to Borrower 104. 105. 37 SOC.Ot' line 1400 1 368.50 Ad;u.;tments for City/town Taxes County taxes School Taxes items Daid bv Seller in to 10-10-20 to 01-01-20 10-10-20 to 07-01-20 45.59 530.84 advance PNC Bank 180 Nob~e Boulevard Carlis~e, PA 17013 J: "[- {;::=---,,-. -""""1'IT DATE -......... ....."'\ , ~_~:tober 10, 2000 ) "'---~~/ K . SUMMARY OF SELLER'S TRJl.NC!" --C'I'ION 400. GROSS AMOUNT DUE TO SELLER \ I J"::'~'-~i ";01. Cuntrac::. Sa~!: ?rice - 402. 403. 404. 405. Personal Property -------.. ~ ""j ---- Ad;ustments for City/town Taxes County taxes School Taxes items Daid bv Seller to 10-10-20 to 01-01 20 10-10-20 to 07-01-20 in adVance 106. 107. 108. 109. 110. IlL 112. 120. GROSS AMOUNT DUE FROM BORROWER 406. 407. 408. 409. 410. 411. 412. 39,444.93 420. GROSS AMOUNT DUE TO SELLER TOTAL REDUCTION AMOUNT DOE SELLER CASH AT SETTLEMENT TO/FROM SELLER..._____ _.., Gross Amount Due to Seller (1' ~ne 420) (line 520) ( SELLER copy of pages 1k2 of this stalzeme t & any att 15,909.51 aChments referred to herein. SELLER 7",_ .- t.7:2' ./ ___ J~ Barnhart, EX :200. 201- 202. 203. 204. 205. 206. 207. 208. 209. AMOUNTS PAID BY OR IN BEHALF OF BORROWER Denosit or earnest money Prir.cinal Amount of New Loan/sl Existina Loan/s1 Taken Sub'iect to 40 000.00 . Ad;ustments for City/town Taxes County taxes School Taxes unoaid to to to bv Seller items 210. 21l. 212. 213. i :',.. . 215. 216. 217. 218. 219. 220. TOTAL PAID BY/FOR BORROWER 300. CASH AT SETTLEMENT FROM/TO BORROWER 40,000.00 520. 600. 39,444.93 60l. 40,OOO.00l 602. 555.07 603. 301. Gross lImt Due from Borrower 302. Less Arnt Paid by/for Borrower (line 120) (line 220) 303. CASH [ ] FROM BORROWER {X] TO The undersigned hereby aCknOWledge~rec 'pt of a completed BORROWER ~~ f __~ 7es Barnhart I' BORROWER 45.59 530.84 -'- 500. SOL 502. 503. 504. 505. 506. 507, SOB. 509. 38,076.43- REDUCTIONS IN AMOUNT DUE TO SELLER Excess DeDosit (see instructions I Settlement Charqes to Seller Existinq Loans Taken Sub; ect to Payoff l.at....MtCl"..to 'HotIffen:olir';':p~e ~ Pavoff of second mortaaae loan ./ ..... ,- /--- r"')....1 ..........- ,... line 1400 1 832.17- - 20 334.75 ') 1..)01- J"1 J, t- ,r, (, ). r.~J( ~"I. ! .~" -'-, -[ : , . ,...., ',. . ~ unpaid bv Seller to to to ", c:-:. - 510. 511. 512. 513. '514. 515. 516. 517. 518. 519. Ad;ustments for Cityltown Taxes County taxes School Taxes items --:-;~ , i ., .. w- ..... -', 'r.~ f " // C} .~1' \, ...... "'{I~ _I '-' ... ~/l~,i - .. !-.._ -c- . /' - ~ 2;(,166.92 Less Reductions Due Seller 38,076.43 22,166.92) CASH [X] TO [ ] FROM or SELLER Estate of Jessie B. Barnhart HIJD-l (3-86) RESPA, liB 4305.2 ., " SETTLEMENT STATEMENT PAGE 2 L. SE'I'TLEMENT CHARGES 700. Total Sal.es/Brokers Commissions Based on Price S PAID FROM PAID FROM Division of commiRsion Cline 700\ as follows: BORROWER'S SELLER'S 701. S to FUNDS AT FUNDS AT 702 S to SETTLEMENT SETTLEMENT 703. Commission Paid at Settlement 704. 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801. . Loan Oricrination Fee % to 802. Loan Discount % to 903. Annraisal Fee to 904. Credit Renort to B05. Lender's rnsnection Fee to 806. Mortcracre Ins. Ann. Fee to B07. Assumotion Fee to 90B. 809. Doc Pren Fee/Recordino Fee to PNC Bank 114.50 910. UL 900. ITEMS RBQUIRED BY LENDER TO BE PAID IN ADVANCE 90L Interest from to e~ /dav( davs %\ 902. Mortoacre Insurance Premium for months to 903. Hazard Insurance Premium for 1 years to 904. -~--.- _. 0- to 90S. ------. h___ -----.J 1000. RESERVES DEPOSITED WITH LENDER 1001. Hazard Insurance months @ S ner month 1002. Mortcraae Insurance months @ S oer month 1003. City/town Taxes months @ S oer month 1004. County taxes months @ 5 oer month 1005. School Taxes months @ S oer month 1006. m"'nths @ s oer month 1007. months @ S oer month 1009. months @ $ per month 1100. TITLE CHARGES 1101. Settlement or Closincr Fee to 1102. Abstract or Title Search to Brou;os & Gilroy, PC 525.00 1103. Titl.e Examination to 1104. Titl.e Insurance Binder to 1.105. Attornev Fees to Saidis Shuff Flower & Lindsay 500.00 1.106. Notarv Fees to Cash 3.50 1107. Attorney's Fees to Brou;os & Gilroy PC 325.00 Cincl.udes above item numbers: 1 1108. Title Insurance . to Commonwealth Land Title Insurance Como (incl.udes above item numbers: 1 1109. Lender' s Coveracre S ) I'! !""''''J ._/1 1110. OWner's Coveraae S f ( ..) ",,' ..J' ,'" , 1.111. 1112. Insured Closincr Letter 1:'13. Endorsements 100,300, 8.1 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201. Recordin'" Fees: Deed 5 25.50 "Mort"'&"'e S 'Releases $ 25.50 1202. Citv/Countv Tax/Stamns: Deed S 375.00 'Mortcracre S 375.00 l~O~. St.:::. C '!'i:X.' St,:...':t::;s : .need to 375. GO . t-Iv:ctaaot 5 375.00 ... 1204. 1205. 1300. ADDITIONAL SETTLEMENT CHARGES 1301. Survey to 1302. Pest Insnection tD 1303. 2000 County Taxes to Nancv R. Sheiblev 223.25 1304. 2000/01 School. Taxes to Nanev R. Sheibley . 733.92 1305. 1400. TOTAL SETTLEMENT CHARGES (Enter On Lines 103, Section J and 502, Section Kl 1,368.50 1,832.17 ~ By signing page l. of this statement, the signatories acknowledge receipt .~ co~. ~py 0....... age 2 of this 2 page statement. (7 /BARNHARD. BOY) THIS IS CERTIFIED TO BE A TRUE ANI> CORRECT COPY. Dauphin Deposit Bank and Trust Company )I FARMERS BANK · VALLEYBANK BANK OF PENNSYLVANIA HOPPER SOLIDAY & Co., INC. EASTERN MORTGAGE SERVICES, INC. December 11,1997 Law Offices Flower, Morgenthal, Flower & Lindsay 11 East High Street Carlisle, P A. 17013 Attn: James D. Flower, Jr.. Re:Estate of SSN DOD Jessie B. Campbell 202-20-1850 08-28-97 Dear: Mr. Flower Thank you for your request concerning date of death balance information for all accounts held by Mr. Campbell. 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, ~j)Lu~ Benita t>. Wright Customer Management Information Department bdw P.O. Box 2961 · HARRISBURG, PA 17105-2961 TELEPHONE 717 255-2121 · http://www.anytimebank.com Dauphin Deposit Bank and Trust Company and Hopper Soliday & Co., Inc. are subsidiaries of First Maryland Bancorp. Bank of Pennsylvania. Farmers Bank and Valleybank are divisions of Dauphin Deposit Bank. Member FDIC. Eastern Mortgage Services, Inc. is a subsidiary of Dauphin Deposit Bank. Decedent Confirmation m Name Social Security No Date of Death Jessie B. Campbell 202-20-1850 08-28-97 Description Account Account Account Account Number 71638792 Account Type Checking Date Opened or Issued 08-02-96 Date Closed or Matured 09-17-97 Date of Death Balance $10.02 PLUS PLUS PLUS PLUS Date of Death Accrued Int. - 0- Joint Owners (if any) none Date of Joint Ownership Special Comments: N/A Date Prepared: December 11, 1997 Prepared by: Benita D. Wright (Rev 12/9/97) Page: 2 , ,...._"...... .._.~~"_..._.___A'''''''''' ............-.....-.-........ ...'---".~..................-_--- 2sno JAMES :E.BARNHART 20e'WOLF'SBRIDGE RD. CARLISLE, PA'17013 60"1273/313 176 L- /'Y_~,...- ..1Ja/." .. i= ,$, u Pa)'JO thl' , ~ OYdrJ" of I~ I.~ ,-,,',,'.;'. . ...,'.. '. 'J/ " ~ . . ....,.'Pl'_.~i.;.".m " A'~rt!h..- ~ Dollars'U!r=.::'aOa";" ~~~4<,:",:~~{:';i.~:::::t~~."-,.; j\ ,..'. :2Z~~~'.:~~"1 ,', ~~~:...-~.~:~.'" ..$ ../? . .'1 '-;;?-~' " "', ,-', .' // F ,..7. V'~ /J p~.-1--" t' LA~' /A~ ~._/.L-1"~> P"'NCB" .A ~'~'-:;;-:':-".'::::1r.::"'....e'=::!:~':'::2~':2 _ _.' . <, .~l~ ~.. .,..,.......,._.:.r"...........;..MI'.:.-.....-.. ~.,.-.. ,.....~- PNC Bank, N.A. ,.II!> Ceuttal PA 040 ~/ {7 .;' CI '" ~ $ ," '40 . For 7117/5~-o~' - 'f'~'(;,J ( 7'1,.. .:2- I:D:1. :1.1 2938'1::2'5DO ,M' ~,".'~l'...."_,..'''~'''''''' '"p.................., ,/ 1I.'SlI.01..2'371...51f1 /~ . " " I. 1..r...M.'.r_..."..-'h.......-...."........ ." ...,........._...................._...~.....w..-..._I......_.. ..,........,,~..,~......,."..,.'.....-..,.- ,.........~...,....""..."~ _...................w_...,.....~.....,.......;..."'-....................'--........."..-.-----....-.. .. 2274 JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 19 '1'7 .. 1$ y {..7 C)~~ 1<-;-' ~. ~--- - ""'':'~' DOLLARS SC:1"'~ .. ~. JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 2313 Dall; -- '/i / /'(i. ~. / 97 60-1273/313 176 ,. r1 ~ ,~ - Pav:tothC'i:: ;g,[JiiJrro{ " I:Q'>.':. 'ffi'" i~ . $ ;Z. 3 s:- CJc;>' (" 4/ (} }/1 I ~ , '../2' ~n1...A'~/ . L- ~_T' ',...,' . ," , 1/ ,,:;':;";1)F"i:'::'~4.2v ~~~ ~ '~~ 7/!~ L t/ -:;:~DoIlars ffI== i~ PNCBAN]f{ ti 'PNCBaJik;~N:A:;. ..,;,', ..18> ; . Central :;l'A . \'040'. ..; < ; ";,,';;'" .~\r~~!~;;~tt~~;~~;iiiiila;r . -'III/' ITIl]14Im~rJ3:;Bti~~1!~~' ,., 3':C/~ ::J.>;;:O;6/~;~.:;::;..~ '-. : 'i,i';~, :i::";S::}j;': .,-',:.,': ," .--' :'~:',~~Vf5~.~; :;;;);;:~'::[.:!::lr7~\.:;:~L{';i,~'~[1f';;~i'::;.~::I ;::L~::'~::\."t ;'," .. , . ,,::::{:,!.:"'-",P'I.' . '. . . , " ~ '-, ,. "'\.':,:';:2,-,,~::1...: ;./,"':;:,:,?;l1ii'&' l\".\ :~\._:,.., 60-1273176 313 L 5140~!23745 /__/ /2- /' A:., .- -./ ~_ /.::-....~. ,.. 19 i" 7 2254 JAMES E. BARNHART 209 WOLF'S BRIDGE RD, CARLISLE, PA 17013 )\;.PAYTOT:HE~ .' ,., , j":fC'lRDERDF ~/) s; "'~~.fIO ~ ~..v c::.;.. I $ '7 r: 7. <:1 '" ;('..".:, ~t:'" Y"'~ _.~L'~/L.. PNC~ANK PNCBanLNA SouthcentralPA 040,.., MEMO :'372900 r::" / () / I f: 0 3 . 3 .. 2 7 3 B I: 2 2 5 1.. III 5 .. r... 0 L. 2 3 7 1.. DOLLARS -;} ~':~ $1'-...... ~ -.: ..r;..V,Jl''''- -' 'M' r: 0 3 ~ 3 . 2 7 3 B.: -- JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE., 'PA17013 60-1273/313176 . 9~I<J~ 0~~' .. ,~' : '--.. ~ : 'Dale 2 '" ,'" " "..i........?pm_r/lJ thc~ _t!......;P ~ "f';,;j..,:(;., !~.' 'Omero{ Y'::>~~ f"'" I,:, ~~' ~~~~ -- ':")>.:$ .~ '7G?:cJ~ Dollars:m=."""" ",,'-""-'.. :.!E', :f '" 0,." P,NC'lBANK PNC Barik,N.A. 040 lB. Central P A , ..... For ~,t/?' If";""- O.C! -~ cg.~ 31' - .2- ,.,:;..:.l.....'., .I;:'~..~ ,;._~."2 ~~~3:B' r:..,::t:.'::~;F::9.,,;..:i)1I~:1~;it'~'.~:~;{~:~:ffi:~:-~.,'. :::'~,L.. ., . ' .' '.'" ,'.,LCf:~: '2:::~:L;;:{~/,'.' ',:S":';::~'~~i~:L:2:'iL;;iA'!i;.~~' ;;;:::::::....! 'fi;~ ~ :.. ...-.; ~i::.~:.;-,_~~~.:;:;L::'_'~~: . JAMES E. BARNHART:' 209 WOLF'S BRIDGE RD,::;' CARLISLE, PA 17013 ,- ' 2553 -' ~ ~.- "-.'''''.,'' .'~ .~#.iothi j,Il!. _.,'..fr~'.O.{. , ~.., ~r>>' :3"-::' ;!;f;~" Dale 8' - / ~- _0:. v 60-1273/313 176 1$ YC7.~'" ; ~::?... }'f.' :<;'_:'.\::: " : ,. ,," '. .;.. . '._','. '. ~ I':. ",;f:tj/:,#-f:iY:;'2JI'.'ii.,: :".'-> - - ..;_-- >. -',',<;\_;..,;:;:"';"",:!_~.\~,-" . :';-,'_;:"i,;' ,_,.;. "~~~;~~,,~!t~~3i~;," -.IIP' - i;;,':':~F;.~~t':f/~:-!/ ,"',. , ~ JAMES E.BARNHART;'. 209 WOLF'S BRIDGE RD. ....,-;r CARLISLE. PA 17013 "---"',~ 2545 Date 7-/ o--c'*" . - 6CJ.:1273/313176 $ "( C7. ,'.:- ,Do~'s f!le......=. 2499 . JAME& E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 60-1273/313 176 n -1 nn ~ 37c;-- . . AlIe "g -,2.. '1',.. C/O - - '-/'-r 1., ; ,_,'0 .3 i U t 5 1. 4. .~. 0 i 437 $ 7' 5' j-: 92- PNCBAN"K PNC Bank, N.A. ~ Central PA 040 For iTo'5'r,.- Cd;?,!} .,.-,L r4K' 1:03. ~. 2? 381: 2~~~ III 5 .~o~ 2 3?~ 511~"/ ",,,,/-,",r ,..~. ' 1:;~~i:/ .<-- ; - :t,1~'I" Em- ~:_"-;'.;;-' :;.~;."tl:D 3~a *f2"i~31a.J::. ...:.~~<.... .,' 0".,. _ _. _ _' ,,:'~__\:!__,);;.~;,~;~::'-" "- - ,-,.. ::l~"'-'-i -~~ <'}..:' ,. ,:,:" : .' 'k};':,;,-~-,.:_:, . ~:,.:-,,:,--;.'-.' ,.'" "."".' " ,. '. - .. ' , , .\ ~(~::~~~':1~~A ~~~~~,,~~~~RT ,...... <....'.D... E~""L:~'.:..:.:.".'.'~.,...j....~.,:'..,.'.,."."~.fl..'.i.;..'....'.:.".:.:'...'. ..'. J..,.......'.y.............>....~,.......'..'..............:..Y!.,....:.!..'...,.....~.........:i6~t2;.~t313.17,J..~)1.; . ~\'~~~~\ .;..........,:.~0~,.~~~~~;~.{-~T'$ lli!:- _H - - -----~-- -:r.~~~~'~,~~ ,;,' PNClBAN~ .... :J;~M" .'......., , / ~.\'L,. '" ",".. PNC Bank,N.A. .;. /J r../ ~j~u.J,." I g'" Central PA 040 ff-r (. S'H" i. .. 1- ~ 9 'L CJ'pt;:-/Y ..'/I/!5'J.v (7- cc, p/ioxlft ~ .~.r'; '''',: 0 'I ~ H ~ Ha,: n 21:, II. 5 ~ I, 0" n l' ~7"'" , ,',- __ O~_:~ :~ . ..... ,,"'. ,"." ......... ...,' ......"4.....~.~,.._-".".. .....~..."...._'----7",-._....7',....."."..._.~_.""....._.. JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 ~176 313 51404f3745 2289 /~;9 7" ~'7' 6~6~E:~ .1zc; c, LJYi7~c PNC$ANK PNC Bank,N.A. :Southcentral PA 040 J$ /..1(,..(." DOLLARS MEMO ~~~~ :J ::l. ?'L C; III ",,<;~,;d"EfDO 0.0 0 0 0 1,1 ----....'.n. .. . '. .. . JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 2499 60-1273/313 176 ~ n -: (}n,~ ,":{ 7 'r ,_ J41IC L -.:L '7'-- c/o :! ~~~;~A,i1diU : ;;1 ~::8~;; .~ '" PNe1R~~~;,/,';,;:"" .; ..:.... ,..,i..'....'.."fi'. ,,,,, i PNC Bank, N.A. " ' "'. ;i .., ..c. o Central PA040 . " . "",' FOl' ut:~'/Y",- C,:,Qr,""l) ~-,,~' r"-lx' / I: 0 ~ ~ 3 ~ 2 ? 3 81: 2 L, cP1 III 5 ~ L, 0 L, 2 3 ? L, 5It~/ ./ ./ ,:., ';..",i, ':,~'~~:; . ". ... 60~1273'17'6 JAMES E. BARNHART 313.:: 209 WOLF'S BRIDGE RD 5140423745 : ,: " .... ~ CARLI,~Ll;, '~~ 1.7013 ~?~ /S~~'~9 "7-'Y ~ , J ":,' ___ 6~6~6~V~:-~>'?..-;Z<'>..:~ i::~~ /:Ll"~ _~---:*I-$ y{ 7: cJ~ ...,/ . '.. .--.....--- '" ;I;4{- ';~ ;"-~.,:"::,: - -, DOLLARS . /if Southcentra1 p~.;e '.. _ . ..~~ ME~8'1:i 906 301,:) ! I _______.___ -;r<~~::iy~~ --a:o 3 " 3 . 2 7 3 a I: 2 2 5 . III 5 . L. 0 L. 2 3 ?)t~ III 000 L. b 7 0 -0 .1' JAMES E.BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 60-1273176 2280 313 5140423745 81 6 19 77 ~,p 1:03.3.27381: 2288 ~-onOL. b 700." --- ------ . . j .& ~ 60-1273176 313 514042374:. ?2H"/ / Y " 2294 JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 19 '1'7 , PAY TO THE ORDER OF c~-_ I $ yr:; 1: CJ ,;; DOLLARS ,.....u. '. '-JiO' .... d P!NCBANK - - '"'- ~~U~h~:~~;.~P~ 040 /' Bf2 . ,. MEMO 7'/'3;lo~- GO -'1'9Y77.2.- '7 _____.::./~ './~ I: 0 :1 . :1 . 2 7 :1 8 I: 2 2 g ~ III 5 . ~ 0 ~ 2 3 7 ~ ,~Jti> ", 0 0 0 0 0 ... b 700," ,/ ".. o j 1:[,""'." < ..., ''0 '1~~.i;' For ~ 1~''3,d5;.dJ>2:9i}'Yr7.z,-':7'''. . . . '1: 0 3,. 3.:2 '7 ~3.ai~:~ 3. ,'!p J;~'II~<511.~~:lJ:i.-:i2'3'~J-<'5:1" ~~~',~~~~~.",,_', ,,_~,''-~<'.~~,.:~~~.~2~~~':~~;--'-''_::-~~~'~~'J&~~'~~~~~~~~~""~~~~...~.. ~';",':;:~c_~<_~_,-;;,-,'-~;:_,(;/:,,_:, /-,:~:_'.::/':,:..; :,',\~;::J<:; : ';:,,~;:'-:,'_'~ :~; :x:"-J,,: -- ~;r!i:'~:.':::/:;;:~ff%tXi~;_:: ~ 2369 JAMES E. BARNHART:. 209 WOLF'S BRIDGE RD. :':'."'.., CARLISLE, PA17013 jJ60-1273/313176 Datr..- t7~ /( - ~r ~~~_ $ .f"?: (id ~ >= ~ w ? "'" ,g.,...., ',ffi::/L~' ..2 ; ~'I( o. z ::s a:. ';1 .0'. ,,;'. . · I . JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 2359 il' " '0 ""<c ry- / Y _ rv731313 176 Pa:yt~lhc d/ . , ..II lif.. r r-~.....~ I $ ,(j~ 7~ ".~ On/Clot ~~~~.A""'" ~ ,7 '~p' N'C' B_fNB.A.4~~4~;t~tr,;.},f.;.:~,~2~jJ~~~~/~~1,~...,;{;~.~,:,-.,.~.~..!:-..,.,'.'..;,,:,~~.. ~ .;,;,,\.;',_,'i,"","."" Central PA 040 For 71'3 '?o '3 -Dei -,. ~ Y??Z-7 I: 0 3 . 3 . 2 ? 381: 2 3 5 t1 II- 5 . L, 0 L, 2 3 ? L, 5,"-" ~. JAMES E. BARNHART 209 WOLF'S BRIDGE RD. . CARLISLE, PA 17013 2353 D~, ,14 ,/ 60-1273/313 176 //_ 9' j/ J_;/i:...^.;;'~: n':I);\:!;.-i :t .. ' $ y~ 7. ~ e 5L 5' ~l . .... ..,i.;O""":'<:::::; n ~. '. '.' . ..< .' For 71...~.' !3.t?1>....Clo-~~ri7~..... '( ,i..... ......,')<..........'................ ........... ..... '. .................... _-.:~:O!~:~_:_~~_~:.~1:.j.~2t~.u:.l:::LJ,;:&~;~~._{..__c~____,.:L:..;; ".;.", . 'I . ._........"........~'-,-._..........-"".'.,....-,...._...._'._.,~........__..~-............,-----------.- ..... ~:.-.:;;,;:-~' 2337 ~ ~ II! r ,c', . :.!:! 'I. Il JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLlSL: = 170~~ ' . 4~" 9 'y - :? r 127~3" 176 .~~ .~ Z)t::~.~~", ~I $ 'T'(' 7. O~ ~L.LJ:~y '/"_,,,"", ~ L>>n,~ lilr=:,::= PNC18AN][{ ,. PNC Bank,N+ . . .,l!!l Central..PA_ "?040 ;:":':'-:;t~~_(,'.:' . .. :~ g :< o .,For 7/q~'(J3:o~'~:~::"'i~r~?.2.'::i~:"""""""" ..,........,. ;:1.:..0'3 .:. ..3.....:2 ....7. .3...l;h:,.,:j~:~'~'~'ii)...i!I.~~;~;\~rg4~~7,31i'i~;;.': ";...:~:qt~.J~If;~~>:~~!f1~, .-",". -,-,"~.~,- - .-';,..,;,-. -. ~,-,. .-.. '- ~,}_:_,~~~,:;.,~~:i.:~~~: ',', _ ."1 ".'''y_' -,:- ~~'i~:..~-; :_';:.-_.';_:;_~':.i';-<:,','-/':':~ .',~.~~,,~4'.,~~ i.~i ~- ~::~~:., ::'S'f::;'~"' '. '-;:_~"i.~:;~::i:~,:'d~~-"':' ';;':Vl'.~:~I~:~~i:'., -._--,...'"...'"....~........_.._..-...._._......._.__~..__.. ""'..1"1'". ""1,,' __~..;:;.~;.,_.....:.::.._.;..._.......:.:..._~..:.:.....;~..,..;....;.....__.....:.:;..;;;. i;~::l:,~" - .".\~~.'::;~'f>;._~;;' ~"".;Jf, JA'MESE~ ,BARNHART 209 WOLF'S 'BRIDGE RD. CARLlSLE,PA 17013 2"3;2.;"$'-" ',';-':.0";::"'-' .-.i,,;".,"',.",:, . , , : ' - . , .'::' ':':'" '. '- -~ ' " ' : ".-'" "'. ,.................................'..'.'...........'.:...'.............~.:....'.'.:. )....V'. .......:~....... ....:.... ...........:.'.. /;.,.'6..............'.._............0';.. ...i.....~..........................1....2:......7.,.......3. /313 .Dafr'" ." r',1 '.' TiiJ' " -'.' '. ,-',. - - : " . ..... :,.:,.$ . '(6(, QV ~) ,;~ ~,i'i: .~.:;" .' j'",'i , ~ .;./ 2 '! '~ o .it ~,i !:PNC,RA.N~ ~.. .;PNC B_I'N.A.:' .... ......,'~" ..... ......, Central P A 040< :','~;if:> n"'~" Fo,-7/ '3j()S-~~~.1jyf;r 7 z.. 7 ..... .... ..... ". .. ......>> ........ '. .....p ..... .....',/.. .':0 3.. ~ .."2.?:H};15.:j2,~.,',.~"'~~:~;~,.2'~7~. '.' ............,... ............ ............., '.':;i;.:.' .-.......----...-.-.... ,.,...~~w---~~-_.."-_.~:)(--=.,.__...,._-.._----.--7.'~~::=c.:.j~j;~~J};:'2~,~ 'M>- ~ JAMES E. BARNHART' 209 WOLF'S BRIDGE RD.' ., CARLISLE, PA 17013 . 2317' Date #?~ / t1 60-1273/313 176 '7'9' ~ ;:: ~ P~'to the /2 -1 ~ ."em1eTo . '1'rl==~.:~f...?t;:..~...... :' ... . . ~. .,. 'PNCBaDk.:'N~':>,..<s,,/ '.. ....x;.....:- O' .' Central,:~A<;!040;.:-;:;2;'................. ct" .:./ /'..,.- I!'" 0 \J) ~f;.I" ff" .:For . 'I , .. ':...t;;.~y,:, JAMES E. BARNHART, 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 2309 ~ Dale ,..L.~ V 60-1273/313 176 /y- 'r"X ~ ~ ~ .: ,g li I $ ~'7. u (;I ~ Dolla,-s f.!] ~::i?t~'7' ~;''i ~ /::::;;L _0 ~ ~ :z: '0 PC.JBAN'~E~G~3i 45:5". PNCBaDk,N;A:.' ,..,.'. ,(;ll!> CentraLPA ;<040 '\ .' ...............',....,...... ..,............' '. . .,..~i!Wi~i'" .. FO,-7,/~;:O.~..,OtJ:;y:$!~rrr~....'~,.... ..',' '.', .,.... :'....'... .'.'." .'....... " ,.."~:I]3".3 ...,EW:3t1'.:.;~i;~~",~~~,;.;:i'il:/I~;:~:1f,~~~~/;f~~'~' ,"':-;; ~'k'i:~L .rn>, {<I '.;, ':i ,':>:,~y;( D.\..:.dJl~ "P,,?{).Ol1l":i\'; -.', , ;:' .:", _',,'i '::"'.-\lI::t.-,',_ ,'(:",,_, :::i,:. :;_~, ;.J:;,,":~; . ""~"":'I,::- "'-r .:,'..,/"'!' . ';:-"':)~!:' ~ 2301 JAMES E. BARNHART ,. 209 WOLF'S BRIDGE RD. ., CARLISLE, PA 17013 / ~ DaLe ~- i ~i.W'R~ .~ / ;~':::~.~~,~.,~,~!: , ~ <f"'~ 7~k.- 1;:~'~.,~);~2:;~~1?~~~ ,J ~ ~~~ _.~-- ~4~ ~ 'p,N€~~"'L,cwo~, "" '" '-'''' oLlt>b ~'" PNCR .',' '0 Centralm 60-1273/313 176 ItJ 9'$' $ :r , 7.. (h./ Dollars m :f"..:t"'~ 0etatIs on baCk; S..t:t'96 ,for ~:~;~~,c~I:I:L~ ~fi '~.ir'~'3B;: , :' ::_*:~r~7i';i.~.~:-;: ~." ;,- -~ -~~i~<\: >,:~;~.,;'~\~:'~' ;: -,-;' - ',:' '-'"\-,;:''' '~;:~:';';;:;.;':,M;<ii~.:,,.ht'::~"'t;);if::~,~,;;ii~;;:i~:;:;",;;~i::~/;:t~>, .,., "'.~;:;::i;:i:,:s:~~i:)~~JH:\~~~::L~:!(,':,U[t.~.F'.~:~;c'~~~ ':..: ,(c".-i ,.,..,' ;J.MES <E~;fa1tRNHABT :Z09iWOIiF';S'iBRlDGE RD. CAR LlSL:E..J~~':F.Q13 ;,~~:,.:'::'pi;?': ,.';:',.,.. ",~3::~;;;;'::\i ,c'::"..-':'y;:::;;}~}:-:i_~:'.,:',-,: ,_";" 0 +.+ ; , - . _ -~\"'~~::51' ''', .- ~;ii~i~~~ m1~.~~1."i9::\2:313 ~~~1 "".0'." '~~7';>.1:'t';-,,'_-,;;r-_ '."':''-~- .:." .....;;..;': ';",'",t- -'. '.'. '_",/< , :~, .r:.:~:tf .:--:,'.'. '"'''"'''; ~.:'. 8;":':~~_': ii' ~ lU :z: .. .:' Q" ffi.,"_':.": :': ;~::~~:.;"..~.. j~~';i ;'~;i(~'; (/ .r c z ':I' ~.'.. 0'" -"';;".... .' <;~::~<(;,' ~- :. -.' ',' ,"',:. ',,~,,)..:~,. ,For 71 '-170':/ _ tJ (') -9 'gV 97 L': '7 '.:0 3 .~ :i 'i2?3 8I:?:i,8L......!II.~S.,!..EP....~21'1':.. :?"'" .. 'I t ,. JAMES E. BARNHAR;J" 209 WOLF'S BRIDGE RD. CARLISLE, PA',17013 ~. Dale J.~. ~ il~~~~Js=f~T"-." .: .,'~~,~/;~~: !~., PNctiAN~~;'<<'16~~ .; (1 (ii',': ;:;r:;~, 9DoUm>m~..~!, ] PNCBank/N.A. i!!l. . .11 Central PA 040 JAMESE.;SARNHART 209'WOLF'BBRIDGE RD. CARLlSLE,'PA 17013 ~ ~ i~t '. " /f;~/;.i~&>.-..;t; 4-~ ~....;rJ . ., .....# Cv'7 n' i'~C:;:"7 ~:.)h. ,(_.S .. 'J::;,/ A!::l~ . .' 4' -~./.- ~:t./;,~:r ';;'F?'j.~~ ~~~.v - J. PNC.BANK./.........>i.':l~" & ..... 'PNC Bank,N.A. J"@' /)/10'1"/ '0' Central PA 040111" (. .... S,ft!' iJ (' . IOV,,~ l, ..' . .For :l- yy-1.. c/f'EIv ....... 11/ Cl.v .....Il- ~.<.NO.W "'1:03.. 3..2?lS.:...,2.32.... ".5.'~Gl,23?'.~ -...............,.........................",..... ...,...,.....,.....,.,.="~..~~............ .......~..N..,;...._.;::~~.~.......,....L..~~.,."......., / -i ..!3~3!.52'5Dolkirsm=-... '...,.i...../ '.. .'.' &1~?.;:'i;<?~.{..;../.'..:,:~..Q":; .". .i';-~~,;"-':~ A~~~.:. ,.'-;;;$'<0,. ~i;.i~" JAMES'E.BARNH'A~~ 209 WOLF'SBRIDGERDk" CARLISLE, PA.17013'\"t 2272 19 9' 7' $ /0. c>,. ~~~i:(" .. . PN C BanlC;'N.A. ""'T"'A v' i':. SouthcentralPA U40""'7J"'. . ~f;~R":"~~MD . r:I/,~.cWDS.;4)h DL E .sc-=-lC: DOLLARS ,.fir', l. oj ">>-,; ",'..-,:.>,':-;; ,,' 1:03.3.27381: .. · I ... ,. JAMES E. BARNHART 209 WOLF'S BRIDGE RD, CARLISLE, PA 17013 60-1273176 313 51404..23745 2289 /~.;8 ~.~ , < I' ~~~~1~: ,~?; 1- ~~~~~ c r e...~ PNCBANK Pl\lt~~lIJ'l)'''<r-l A. SO\.lthl:epJ~~lPA . . 040 "r-('" it,:,,:;: ~,r.i $ / t' ('. ( " DOLLARS M~O<~.: . 1:0 j ,,3 " 27381: 2 28 ClIII 5 .1..0 I.. 23 ?L. Sill ......:::~::~rll~CiOD~Do.OOOO,I, c~-~~:~~::->,...-, JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 60-1273176 313 /C 723745 C-(/N / 'J 18 r 7 2282 $ 6 7'9: .32.. __3~. ~;)--r //. }~~~:~~pf 7"~~:';' '~~2; 2:~'~~'~ ~~-~~'j 7~1~: j 2~ V'/'/ DOLLARS f)~Jz~~~" - . - -. "':;'."" :-., ""~'~ . ,:,,:,<, ...J' ::> .~ . . .... .' , lll>,Pa.xJO the ;~. Onle" ;'~';'--:::")~:' 'W ' <' ;~~';::;~;.~ '",,: J '~ -g' .. . I . -...-.........-,.........~...........--........."'-'"'..,.._............_........'..........~,......,.",-...,..,._.......-'.......--............---- ~(~ JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 2537 {-'/G'-C<~ 60-1273/313 176 ~ ~ III Pay to the i~ "OIUno! 'i'/:~:.': :r..., ~ ::. f.:::". f :::,'.'1-",'...:" i 'D Dale );.......~~~~_/7 PNfiA~~~j;{~5:~ "'..,:.,',"'.;....;'... :" .,;/lIIi j' ..~c;~i~j~;~.:~::~~;:.~~.,I!t!;.,.,,7' 1$ y C 7. c-.::" -~ RI Secwtty 1aaIUres Dollars W =~ back. . iULiT""""JFo:i }i'~ -'.ii~ '1W.'~.'~ ,>For .?11,;7:/l~:...~:~-P:(J;:~~1~~, "':;,: " ,":;': ',:::'.'.: .",,:. "i'." i "',.,,' 0 3 . 3.*.2.r~'8i(:~.;53 :1" 'jlr''5'~~:O\.r.2 ii. fr'!\4j , .;:> r.(: ; ".", " ,';, ,j. ,,:;, .,', .'. .' .', . ,,".,~r::' '.:......,.',......:::':i:{;;.:(/3:);".;/ /,~j::i::::~.:-:::..<I;') ~;~'~~''''';''~' . ,,,:!'.':_~~'':'.'':-:'~;<1-~::;' . _ _i.;.,:':.),~,~,/;~:~':~.,"~ ,. ,:~,{~.:,'~;~~:'~i~,~;:k~;:,;,~,.';':i" ;., r ,~.::~t/\~-_~~:~:~;':~",._".; _~. JA'MESE.BARNHART 209 WOLPSBRIDGE RD. CARLlSLE./PA'17013 I':': ", :l " ":,~,~':'i' :. .,'"j, ~~ZJ- ~f~-4-.;~ 1$.. Y ~ 7..,:.... ~ __~_ .~~ ___ ---~..'...'DOl~im:~~:::'- ~I,\,~ .....!~f...N'A~1!,r~~~b...;l';;i~.<';. .i2:;: ",CO,; Lo. :.!' , Central '"'PA ..:(4:,~'~':'> ,For '7 11''Tl"r'-::' t:J~:..{fb'9? '3 gr.-2-' ' '-J:03. .j;.....2..7...~.al:.....:2.5 ',2b .n.:5....'~Di...23'7,~~)' ~,..~.._.~~~"...."'~ML'.'.~I~'. ~_~~.._""~..:___.""',,'.L';.K.":.~:~.J_~~:~~.:~.~.~.~~~'''''"'"'-"""~~"'~~':~~'~".~~'~,~~'~":"-;,"""~T'~':,-:'7'~'...~~\~".~:~::~~. . -- ....... -':-_.' -', ','.' -- ....,~ ',~'~r~:G:~7~~~i~~~~.!~~7:~_~'~"~-:~'~'-:-:':.,~,';,::-"""~~,~'~;:.~:""~,:",,,,:~ ,,::::;;~;~_.~...;,;.;;;.~..,~~~._;~,-~.~.."..;;2...i,_.~--.,;;:s~:,.c..,. "":~,\'; (:~~";~',::'" ".:, :(~. :';"':;;'_~?,~'it "2"'5' '1"'.0 'C", ': -,:: ,. ',':, , ';:o'~:~~). JAMES;E.;BARNHART 209.WOI..\F~SBRIDGE' RD. CA Rli.I$L'E':I?~'170 13" ~, ,"if>;;. , , ;', r{-I?- ,~~' ..;.:;~ ,. ,'!' " -. . ,6&:1273/313'176' .;'.' ..;::~-,..i;'lc'/i.,;' " \i-'.-':~;;'1.:i-I,r' . ':-, -. -,-.-.".-." . - . ",; -: -!,;,," ~. , -,"-"-, ,-";,''','', .: '<'7:~ - '-','; ;,~;,~'_::~;'~~..:-_;~i-;-';~-,:~ ',,,,' "" .::,~.t.;..; s" ~ ~ ,P~to the ~, 'Ofderof ~ '-:-~'~ if .", lv: ,.":-, ,~:,' i" -, "'1:' . Date , r:~'- "-.'."..'..--':"-' ,":" -i:-;, _--,-: , . -. .~ - ' .' ',' -- -' ,. ,- " ~~~ 1$ '7 {'7. c.; .~ t'PN'CJS^""H:"\[~~~~~~3i!~;;; ,~ ' MC Bank,N.A,/ .. '04(j,;::>illjl,~.., . ' 'c. 'c, o Central P A ':',l'"'l,!!,n';: - :For 71171-~:',,~-$ ';'o'~k37 - .1..: '1:0.3.3 . ~2? '3,~:I:~_,~:.:,.~~,,,.,~.~~.~:_~;~:.~,~.=;~:;.~._~.~,,.., ..._....." ,M" ""--_._....--....-~........_....._......,............. 23SlJ . JAMES E. BARNHART I ~:A~,~t~..p~A;~g; AD' """~~ rr ___ r y 6O-,2781ll13176 17,~~' ~du4/ ~~~ c'~;P. I $ 'It 7. O( il[,i.. .~ ~;>: ~ .~ ~~-DllnrSm=,..I..." .. .q:?- " ~~::,'" ~.-'~ ,y t _. ~'Q>"""" , DoI,.;loonbod<. ;. , ~ ' ~"\,Wi" 'twT....:T...f...''1-:.... i" - ''$i' -" ~;it - . - =-= .fi" ~ ' ,P 'e '1Jl) A.~T '@''''"','''..' i~. _ ID>.ft\..l~ ... ~ :z: PNC BanlCN.A. o Central P A 040 FOI'7'1 ;SO 9_(.?U-,Srr7:L-( ..... .... ......... . ......... .... _ ,""', ' 1: 0 3,. 3 ..~2?3a(:i'2 .3:gP. '. .,II."S~.~[):t,2 3 _?~~~1l'~_.___.~ ----............-...'-~....., .' ,- ,. '.. ,,'....' .................-.-'- .. · I l ,..;.......;..,..-'..._~..........._~_.,_i-~_",..,' .--,' ..',',~,.,:~,..",-; ":,,~;,;,,,,-~----,-,:,,'c,;-'-"'-"'-"~-;-~.---''''~r' .--....-~ ..:.:....,,/:".'-, . '?""~~ ..:,;!,J<;r~7'-?~~';'" n ''''~r' l ~ '",':-:::,,':",:_\,',:,<. ~~';;~ ::'-~;:;,,:~~Si!:ifi~.~. .,_.....:".';"::,.:,'.'i ~- " --;',:..d.:"_',~~',,",C .,', '~'3" ~:'~:(',,'.: . JAMES E. BARNHARl' 209 WOLF'S BRIDGE RD. CARLlSLE,:Pp':'17013 . -. ;~''-~:<i' i'-"!,:,:,_.':".._~i ",~"'~ j~:;':{,l!I~: ~\:::~;;~':,ii:;::~;::<..;". __ ~ _~~LS~:~Lh"~~~ _"_..J__~'~~_' __..~_ ~ _ "" '_0>_ _. __ ~.-!t'''''"'. ,....__,~, ____ .., . ;':'::~,~:~I}~Ql0i1,~~:_. " . ".;,,:;,;,,;:,,;-<;.~: 0." . .~._;...---~_.__.:._-~._-,.;:....:._......:~_.~...:.:-.;;:.::: ';<;:::,1i - :":;' ,- 24', "'0, '4';!t~~ . - ..J._:';'; ;".. ,;,- '~':':\-;--:::~'2~""'~ . . " . Date , :',:~t...,/ ,dAMES .E;;BARNHART 2Q9WOUF:S"l3RIDGE .RD. CARLlSLE,BA17013 '" ~ ,.,--,:,,;, I ..r:z:.:r . 3f~a>~ .~ . I $ y. 7. c~ ., tf2. ...~ ~ L~~~~~"~J~d.'<".~1Heir' ~. ,..PNCJIiANK ....,..... :;""'"--~'.:~,-''':1i~7''-';':''''''''''''''' ..,.,...... '..' r ,.......PN'CBank,..N A .' ...,~ '0' .: 'T' . . oA. ' Central PA 040 For '7 / :3 30 3-0" ...~S y /' ? '- - 7 " ..', " "", , .../ 1:0 ;j. ;j.2?;j81: 21.01. II.S~ r.O...2;j ?r.~1f. . ,..I1!-L1 / .......-- ".~_'''.'''I-''''~__" .""..'.".'.. ,_,,, ,_ ,.'-'~' ''''''''_~"_ _ "":'.I.;;;.:~"- . ',-,,"__.... ',- _ . ~'.,".,..;..I,. '..........".""."...,.. "..,'.r._'_ .,,,..,,,,,. J.-. ~,,~ ,_ ..- ..-. ... 4, .. JAMESE. ;BARNHART 209 WOLF'S .BRIDGE RD. CARLlSLE.PA 17013 2420 c z ;i i:r 1'0 .' --"-..; I:;wg '.... .: :ib~~?C . '7/f.2~~?;;-iL ~ .7+-~;~'Y.i1 P.NCBANK . ..... ......... PNC Bank,:N.A... .......... ..:',$) Central PA 040 Date "/-/J!. -'7 '.~ 60-1273/313 176 ','~ For 7 i/7/ ~-:"oCl-rQf.?'l 3 f- 2- I: 0 3..:1 . 2 ? '381': '2:;1..20 111'5:.'\.0'" .2i??....Siii '--.,' ".:'-''''.:.., .', lf~~~'b~~N(Y;P,;~'~5:.+ . /'".-.......... . ..........~.../.......................:...'A..........-~/.... . ..~~. I. $ 7 (1. Co u . 2431 JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 60-1273/313 176 Dale ~--_IC-- /''' -' ::> ~ ~ <'.i~,-: Q.', . u;....,.,_ :~.~. Pay 10 the omer or 1$ ,/G'Z oe For 7// 7Ir_cc -.;""t>'3'~f,'-'1- I: 0 3 . 3 . 2 7 3 81: 2 I.. 3. III 5 11.. 0 I.. 2 3 71.. 2439 JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARl;t~E, PA 17013 Date 6' - / 7- Cf 7 $ 60-1273/313 176 . Pay. to the aider of For 711 71r-CJ~-ro )" "!?{?..2- 1 : 0 3 . 3 . 2 7 iB 1 : 2 I.. 3 g III S . I.. 0 I.. 2 3 7 I.. Sill' """"';..\.''-'" :' "'lIi......I...'~ i ,,~~:' , ", ~',i::' ',~". ~::'.\'.;;t.(~i~';' ; . '~"ti' ",'.';1..' L':."~""':" (t7:.~~~:i:'~*{~"1~f-:;!~r:."'-.',' " .... .: I , . 'h ....t:':.: .... '~~ 2455 JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 Date <j -I? 79" 60-1273/313 176 :> I Pay to the A~... / ~ Oidero( ~_~~ l;! ~ ' / r7':','~ii,./ . -- :.:Y..o~ 2'4 -"-1f- -d~...,~ : "', < 'p (.tft~~ Kf t ';':.., ~. ,f'f .>> I -!/Ill;'" .'. '. '.'- H'. o ~~~ N.A.040 '... '" '", !/'.("'ii1il? ,/", '!~-,::,:,'.;..., '".i--:-~;J;,<:" 1$ y 6. '7, ".~ ~" ,.. s..c..r.v*t.... . . '.. Dol1i1rs L!J 1noludOil" .. r' .", "",,/ ~;'l>Ic:ki" :. ....,~ >~,..,., , .- ,'~/~q . For 7/17/5 ... ~J-50:>t> '.~p - ,'2-- I: 0 ~ * ~ * 2 ? ~ B I: 2 L. 5 5 III 5 * L. 0 L. 2 ~ ? L. 511~,/ -' ~..- 2471 JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 ~ i ~ .c,.-.' I}.;, Date /d -1/- ?' ,. 60-1273/313 176 I $ Y"?, <.-"<- ~';". . .- '.!-,--,. "_::"".''''~:~:'l For '71/7/ s-_oo-f'o3' 3f-Z-...... 1:0 ~ U I. 2 Hal: 21, 71. II' 51.1,01, n 7~ 'OIIJ.,,::::-~" 2477 .... ~) , JAMES E. BARNHART 209 WOLF'S BRIDGE RD. . CARLISLE, PA 17013 60-1273/313 176 . -' ::> ! !Ii Pa.y tpthe !toran' of I,~?:;:'_:_\ i1' Dal.f //-/S-- 7"'7 "~ < :r "0 .- ~ /.-- 7-< /4~7...d ~l_/ ~':"'/5___~':\i"~ r""I~~- .iN~I~2::~~~g'::i~bi~}EJ"" 1 I'lg99 l'eenNCtralBarik.,._........:n..................'.....ii....N..:..,..;..:..:...:'......,.~,_'.........._...'..1"'.,..'._...:...'..~.....,'.."~. . ''''. '" ... LPA. .w~.,~~~f:\0' I $ '7' 7. c v 1'''''''- ~.e"- Dollarsffi =~lea= :(.:.J,.~";"" .!-IFt I~ . t!f'!;..~;,. ;:~)..-! ;i :rn:DIO~l.;:b}j![jd~I.:t, "':":" ;:'::'.'.;:, ',-; ,.:::': :;.: ~~;:;.!;::'.:::::;.)::,f;-;.;;J,.:::.uu~:~ .M' "--,"", ,'I . , ',,' ',::~':, ~;:f.lL;,~~~:..i"l2'!.:.2~:~:j'~ ~i~U',2t;:< '-: ":-:~ ':,':" ':;t}:':f::~H~H:" ~ 248'5," JAMESE. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013' IL-/~-- ,"''1' Dale 60-1273/313 176 $ ytz ~c. JAMES E. BARNHART 209 WOLF'S BRIDGE RD. CARLISLE, PA 17013 2 4{91 ~)\( r..... .... I ~ -~ -'. 60-1273/313 17<6 /- 7-()O -~-, .uale $ y 6" 7. Ct~ For 7117/'-: pc.. J,CI'?'~st- .,2J...., 1:0 31 ~ 31 ~ 27318.:2 I... g ~ illS ~ 1...0 I... 2 317....S-"~;/ ,/_/ 12-04-2006 CAMPBELL 08-28-1997 21 97-0910 CUMBERLAND 101 APPEAL DATE: 02-02-2007 ( See reverse side under Objections) Amount Remitted I J MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE~ PA 17013 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- ------------------------------------------------------------------------------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLONANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JESSIE L FILE NO. 21 97-0910 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX ZIl0601 HARRISBURG PA 171Z8-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX PE.r. '~..., " ~..' , ,,-.~~ (,lLLOWANCE OR DISALLOWANCE ",~'~;:~:,:~~~~~~ AND ASSESSHENT OF TAX r';~!-":I",)! C.:l (,-"i~'. "1-\/iL'm) 20U6 DEe -8 PM /2: 07 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN JAMES D FLOWER JR SAIDIS ETAL 26 W HIGH ST CARLISLE CLERK OF ORPHAN'S COURT CII' ,'~':-":' '. rJ,\ ~Ii"/I~ ... ". " . , I'h PA 17013 ESTATE OF CAMPBELL *' REV-1547 EX AFP (06-05) JESSIE L TAX RETURN WAS: (X) ACCEPTED AS FILED ( ) CHANGED DATE 12-04-2006 I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: 15. A.aunt of Line 14 at Spousal rate (15) 16. ABount of Line 14 taxable at Lineal/Class A rate (16) 17. A.ount of Line 14 at Sibling rate (17) 18. A.ount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TS: RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Hortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Hisc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) 37~500.00 .00 .00 .00 645.02 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Ad.. Costs/Hisc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/GovernBental Bequestsj Non-elected 9113 Trusts 14. Net Value of Estate Subject to Tax 25~257.29 (9) ClO) 52.401.86 Ul) (2) (3) (4) (Schedule J) NOTE: .00 X 00 = . 00 X 06 = .OOXOO= .00 X 15 = DATE + INTEREST/PEN PAID (-) AHOUNT PAID NUHBER · IF PAID AFTER DATE INDICATED~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE NOTE: To insure proper credit to your account~ subIIi t the upper portion of this for. with your tax p~t. 38~145.02 77.659 15 39~514.13- .00 39~514.13- Cl9)= .00 .00 .00 .00 .00 .00 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN $l~ NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ..CREDIT" (CR) ~ YOU HAY BE DUE(\- 't\.. A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) '-'~ . Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 N f D d t Jessie Lee Campbell ame 0 ece en : Date of Death: August 28, 1997 Estate No.: 21-97-0910 Pursuant to Rule 6.12 ofthe 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 l8] No 0 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 0 No 0 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? Y es ~ No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. es D. Flower, Jr., Esquire Name Said is, Flower & Lindsay 26 West High Street, Carlisle, PA 17013 Address Date: April 19, 2007 ('0..) 717 -243-6222 Telephone No. N V\ Capacity: o Personal Representative .0 Counsel for personal representative ~