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HomeMy WebLinkAbout01-31-07 (2) --.J 15056041125 REV -1500 EX (06-05) PA Department of Revenue '* Bureau of Individual Taxes .. . INHERITANCE TAX RETURN PO BOX 280601 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY County Code Year 2 1 0 5 File Number o 3 9 1 Date of Birth 20707 613 7 04182 0 0 5 05221914 Decedent's Last Name Suffix Decedent's First Name DEARDORF ROB E R T 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 o o ~ o 2. Supplemental Return o o 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death 0 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 Daytirne Telephone Number 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received ~ o o o o 8. Total Number of Safe Deposit Boxes 4. Limited Estate CALDWELL & KEARNS 232 -76~~1 c:::> -_ -s . REGIST~~qf WILLS \JSE ONL '( .. j." :,~ CAR L G. WAS S First line of address w Firm Name (If Applicable) 3 6 3 1 NORTH FRONT STREET -0 -."'. Second line of address City or Post Office State ZIP Code N CJ1 DATE FILED H A R R I S BUR G P A 17110 Correspondent's e-mail address:cwass@;lCaldwellkearns.com ECH., PA 17050 10 CLAYSTONE RD YORK PA 17404 07 FRONT STREET HARRISBURG PLEASE USE ORIGINAL FORM ONLY PA 17110 Side 1 L 15056041125 15056041125 --.J ---I 15056042126 REV-1500 EX Decedent's Name: ROBERT L. DEARDORF RECAPITULATION 1. Real estate (Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 2. Stocks and Bonds (Schedule B) .................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages & Notes Receivable (Schedule D) .... . .. . . . '" .... . ...... 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. 6. Jointly Owned Property (Schedule F) 0 Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) 0 Separate Billing Requested. . . . . .. 7. 8. Total Gross Assets (total Lines 1-7) ........................... 8. 29999.54 9. Funeral Expenses & Administrative Costs (Schedule H) . . . . . . . . . . . . . . " 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . . . . . . . . . . . . 10. 11. Total Deductions (total Lines 9 & 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . 14. TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X.O _ 16. Amount of Line 14 taxable at lineal rate X.O 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 o . 0 0 15. o . 0 0 16. o . 0 0 17. 15599.71 18. 19. Tax Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT f{0 'j{ ~~ ~~~ Side 2 L 15056042126 Decedent's Social Security Number 207076137 29999.54 29999.54 14399.83 1 5 5 9 9.7 1 O. 0 0 O. 0 0 O. 0 0 2 3 3 9.9 6 2 3 3 9.9 6 o 15056042126 -.J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 05 0391 DECEDENT'S NAME ROBERT L. DEARDORF STREET ADDRESS 812 MARKET STREET CITY I STATE I ZIP LEMOYNE PA 17043 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 2,339.96 Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 Total Interest/Penalty ( D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference, This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 232.32 584.99 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 817.31 0.00 3,157.27 A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (5B) 3,157.27 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ...................................................................... 0 \Xl b, retain the right to designate who shall use the property transferred or its income; ............................... 0 \Xl c. retain a reversionary interest; or ................................................................................................ 0 \Xl d. receive the promise for life of either payments, benefits or care? ....................................................... 0 \Xl 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... 0 \Xl 3, Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... 0 \Xl 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .................................................................................................. 0 \Xl 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)]. 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, s9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption, REV-1508 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF ROBERTL.DEARDORF FILE NUMBER 21 05 0391 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. SUPPLEMENTAL ADDITIONS TO ORIGINAL RETURN 16. Receipts from sale of Van Kampen Mutual Fund Account -- Proceeds received and 18,319.54 deposited to personal checking account of decedent prior to death, ("backed-out" by bank, THUS not reported in original return in Schedule E, Item 2, Exhibit #3); however, bank subsequently redeposited the funds but when checking account of decedent was liquidated, the return by redeposit was OVERLOOKED as assets necessary to report. 17. Proceeds received from Commonwealth of Pennsylvania, Treasury Department, Bureau 11,680.00 of Unclaimed Property, after notice received by estate and application made therefor (Exhibit #13) TOTAL (Also enter on line 5, Recapitulation) $ 29,999.54 (If more space is needed, insert additional sheets of the same size) REV-1513 EX + (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ROBERT L. DEARDORF SCHEDULE J BENEFICIARIES FILE NUMBER 21 05 0391 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE 1. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Malcolm G. Wakefield, Jr. & Lucille Wakefield Collateral 899.98 3 Waverly Drive pre-tax Hummelstown, PA 17036 (3% of residue) 2. George R. Severine Collateral 899.98 1247 Danielle Drive pre-tax Frederick, MD 21703 (3% of residue) 3. David N. Severine Collateral 899.98 342 Abby Terrace pre-tax Drexel Hill, PA 19026 (3% of residue) 4. Patricia McConegly & John McConegly Collateral 899.98 138 Jonathan Drive pre-tax Canonsburg, PA 15317-3041 (3% of residue) 5. Lucinda Wakefield Collateral 899.98 111 Hallmark Street pre-tax Hershey, PA 17033 (3% of residue) 6. Darrell Williams & Linda Williams Collateral 4,499.92 10 Claystone Road pre-tax York, PA 17404 (15% of residue) 7. Reverend Richard Feeser & Ruth Feeser Collateral 6,599.89 5 N. 25th Street pre-tax Penbrook, PA 17103 (22% of residue) ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. Calvary United Methodist Church 5,999.93 700 Market Street Lemoyne, PA 17043 (20% of residue) 2. Zembo Temple 2,399.98 2801 N. 3rd Street Harrisburg, PA 17110 (8% of residue) 3. Masonic Village at Elizabethtown, c/o William L. Kingsbury, Esq. 2,399.98 Montgomery, McCracken, Walker & Rhoads, LLP, 123 South Broad Street Philadelphia, PA 19109 (8% of residue) TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 14,399.83 (If more space is needed, insert additional sheets of the same size) Continuation of REV-1500 Inheritance Tax Return Resident Decedent ROBERT L. DEARDORF Decedent's Name Page 1 21 05 0391 File Number Schedule J - Beneficiaries - 2B 4. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS American Red Cross, PA Cap. Region 1804 N. 6th Street Harrisburg, PA 17102 (2% of residue) Salvation Army, Inc., col Richard D. Allen, Assistant Corporate Secretary The Salvation Army, Legal Dept., 440 West Nyack Road, P.O. Box C-635 West Nyack, NY 10994-1739 (2% of residue) American Heart Association, clo Colleen M. Marshall, Bequest Administrator P. O. Box 8835 Camp Hill, PA 17001-8835 (2% of residue) PA Association for the Blind 90 E. Shady Lane Enola, PA 17025 (2% of residue) Bethesda Mission 611 Reily Street Harrisburg, PA 17102 (2% of residue) American Cancer Society, clo Vicki J. Harbin, Legacy Paralegal Pennsylvania Division, Inc., Route 422 and Sipe Avenue, P. O. Box 897 Hershey, PA 17033-0897 (2% of residue) 599.99 599.99 5. 599.99 6. 599.99 7. 599.99 8. 599.99 9. SUBTOTAL SCHEDULE J-2B 3,599.94 REV-1500 Discount, Interest and Penalty Worksheet Discount Calculation Total Amount Paid within three calendar months of the decedent's date of death: Discount: ____~_ 0.00 Interest Table Year Days Delinquent Balance Due Interest this time period this year this period Before 1981 1982 1983 1984 1985 1986 1987 1988 throuah 1991 1992 1993 throuQh 1994 1995 throuah 1998 1999 2000 2001 2002 2003 2004 2005 2006 346 2 339.96 155.45 2007 15 2 339.96 76.87 TOTALS 361 232.32 Penalty Calculation If the decedent's date of death was on or before March 31, 1993, insert the applicable amount: Total Balance Due on January 17,1996: Penalty: * ,= , , , , '- = .= - .= = ) J )- )- )- , ,- ,- ,- ,- .- = .- = ':== , ,- ,- ,- .- Remittance Advice Acct. Purchase Order Invoice Invoice Control Number Number Date Number WE ARE PRESENTING THIS CHECK FOR YOUR UNCLAIMED PROPERTY, CLAIM #99717152 o 0 09/15/2006. 99717152 Payment Amount $11,680.00 IF YOU HAVE ANY QUESTIONS CONCERNING THIS PAYMENT CALL 1-800-222-2046 Total Payment Amount - $11,680.00 DETACH CHECK AT PERFORATION 00785444 481969 TO THE ORDER OF VOID AFTER 180 DAYS S* :'*.~~..**~~;~..~..~~11....,.fiijO.~.OO 000101 DEARDORF ROBERT ESTATE OF DONALD SHOVER JR &DARREll WilLIAMS CO EX C/O CALDWEll & KERNS ATTN CARL WASS 3631 NORTH FRONT ST HARRISBURG PA 17110 :~R-~-EI;jj~S\;i:VP:I~I-- _/~'u__ EXHIBIT 1110 0 2 2 7 0 . . III I: 0 :l j, :l j, j ,. /3 o j, 2 9 a.. :l B III CALDWELL & KEARNS A PROFESSIONAL CORPORATION .JAMES R. CLIPPINGER CHARLES .J. DEHART. III .JAMES D. CAMPBELL. .JR. .JAMES L. GOLDSMITH P. DANIEL ALTLAND .JEFFREY T. MCGUIRE' STANLEY .J. A. LASKOWSKI DOUGLAS 1<' MARSICO BRETT M. WOODBURN RAY .J. MICHALOWSKI DOUGLAS L. CASSEL ATTORNEYS AT LAW OF COUNSEL RICHARD L. I<EARNS CARL G. WASS 3631 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17110-1533 THOMAS D. CALDWELL. .JR. 11928-20011 March 30, 2006 -BOARD CERTIFIED CIVIL TRIAL ADVOCATE 717- 232-7661 FAX: 717-232-2766 thefirm@caldwellkearns.com Mary Beth Stringent, Director Research Department Bureau of Unclaimed Property. P.O. Box 1837 Harrisburg, PA 17105-1837 RE: Robert L. Deardorf Date of Death - April 18, 2005 SSN: 207-07-6137 Claim No. 99717152 Dear Ms. Stringent: We thank you, and the folks in your Department for your prompt response to our February 24, 2006, inquiry regarding the above claim number. Pursuant to subsequently-received directions from your office, we now enclose the following documents: 1. Affidavit and Indemnification Agreement signed by both co-executors of the Estate of Robert L. Deardorf, deceased, and notarized. 2. Completed "Owner Claim Form" (please note that the address is that of the deceased, Robert L. Deardorf, but that real estate has been transferred to the name of the beneficiary set forth in the Last Will and Testament of Robert L. Deardorf, so, is no longer a valid mailing address). 3. A photo ID of both of the co-executors. If any further information or proof of authenticity is required, please do not hesitate to contact the undersigned. Very truly yours, Carl G. Wass CALDWELL & KEARNS CGW:dmg Enclosures 05-268f100118 Commonwealth of Pennsylvania Treasury Department Bureau of Unclaimed Property AFFIDAVIT AND INDEMNIFICATION AGREEMENT Robert P. Casey, Jr. State Treasurer CLAIM NUMBER 99717152 STATE OF pennsyl vanj F.l COUNTY OF BEING first duly sworn,R~~~T~lR Wi kA~~~~, ag~ DF.llJphjn ("Claimant(s)") deposes and represents as follows: THATClaimant(s) resides at 10fli Pphhlp r'nllrt-, Mp~h;:lni~!=;hllrCJ PA 170C;OC; . (Shover, co-executor mailinq address) THAT Claimant(s) has made a claim for unclaimed property held by the Treasury Department; THAT ClaiITlant(s) is unable to present to the Treasury Department, as proof of entitlement to the Unclaimed Prope/iy, the following original property information: Property ID Property Description Cash Claimed ~hares Issue Name Holder 5916723 DIVIDENDS $1,680.00 0.00 b t CHASE MANHATTAN CORP 5916724 REDEMPTION $10,000.00 0.00 Ro er L. CHASE MANHATTAN CORP because such property described above has been lost, stolen, destroyed, misplaPelf~&~~v~treceived and Claimant, his/her heirs, assigns or successors have not received or enjoyed any benefit from the property or proceeds therefrom; THAT Claimant(s), in exchange for payment by the Treasury Department of said claim, agrees to at all times indemnify, save, defend, and keep harmless the Treasury Department, its employes and representatives, from and against any and all claims, demands, actions, or suits against them, whether groundless or otherwise, and any and all losses, damages, liabilities, costs and fees arising out of or in any way connected with the payment of the claim, particularly by reason of a claim for payment to any third person claiming an ownership interest therein or who may hereafter come into possession of the original security, regardless of whether such claims, actions, losses, damages, suits or linbility arise in whole or in part from the gross negligence or willful misconduct of the Treasury Department; THAT Claimant(s) agrees that this Affidavit and Indemnification Agreem It shall be construed in accordance with the laws of the Commonwealth of Pennsylvania; and THAT Claimant(s) acknowledges and understands that any information and/or documentation supplied with the claim, if false, will subject Claimant to prosecution under 18 Pa. C.S.~4904, relating to unsworn falsification to authorities; the conviction of which could subject Claimant to a prison term of.up to two years and a fine of up to $5, //1 {/ f\' i) r'rz - !\ 000. r{{<'#11 4:..IA' It.-, Y:f-ltt.---t.t...c."r-. (;f" 'S) ~ ~)~"''-''-< Donald R. Shover, Jr. Signature ofGlaimant(s) Darrell Williams Donald R. Shover, Jr. and BEFORE ME, the undersigned authority, on this day personally appeared Dri rrp 1 1 Nil 1 i ri me:: , known to me (or introduced to me by 'J3 ~ A . 61 ~..cl L0 ), to be the persorowhose name.;j.s "xC subscribed to the foregoing instrument, and acknowledged so he/she executed the same for the purposes and cons~'deraf~r therein expressed and SUBSCRIBED AND SWORN T E this the d3IU- day of _/tlLd._ A.D. 20 0& . '... /If},, '~ Notary Signature: 'ovt'.t.l1.ltfd/o My Commission Expires: NOTARY STAMP . NOTARIAL SEAL BETH A. GIOVANNIELLO, Notary Public Susqueh<l!m~ Tli"P., Dauphin County My CommISSion E)(pir€ls Oct 6, 2007 Commonwealth of Pennsylvania Treasury Department Bureau of Unclaimed Property 11111111111111111111111111111111111111111111111111 99717152 OWNER CLAIM FORM , PLEASE PRINT I:GLAIMANJIN FORMATION PLEASE COMPLETE ALL INFORMATION BELOW: NAME OF CLAIMANT: Estate of Robert L. Deardorf SOCIAL SECURITY NUMBER: EIN: 56- 6 6 5 2 6 6 0 DATE OF BIRTH: 5/22/1914 DATE OF DEATH: 4/18/2005 ADDRESS: R 1? M;:n"kpr Srrppr CITY: Lemoyne PHONE NUMBER: (717) 761-7302 Donald R. Shover, Jr. I certify that I am legally entitled to claim the property, as stated, that has been reported and delivered to the Treasury Department, Bureau of Unclaimed Property. STATE: PA EMAIL ADDRESS: ZIP: 1704:1 I i~rther certify that the information provided, herein, is true and correct and subject to th~ penalties of 18 C.S. Sec. 4904, relatin9 to unsworn falsification to authorities. ~ SIGNATURE OF CLAIMANT (IN INK): 14Irn(~/ L /{l, Cl::i.A..C""U'-U't: ' DATE: BIz- B"/ 0 ~ Donald ~ Shover, (J[,., .--Co-Executor I ( / SIGNATURE OF ADDITIONAL CLAIMANT (IN INK)~ ~ \-0",-~~':or- DATE: 3 /,.~ / 0 Co Darrell Williams, Co-Executo~ I State law limits the fee a third party can charge an owner for the recovery of unclaimed property to 15 percent of the property value. Please contact the Bureau of Unclaimed Property at 1-800-222-2046 with any additional questions. ,DONOTWR1TE1N:.T<HISBOX:.;TREASURY USEDNLY,.. ,'," ':O:QOOO",",$t1,680.0Q., PROCESSED BY: APPROVED BY: DATE: DATE: CALDWELL & KEARNS A PROFESSIONAL CORPORATION JAMES R. CLIPPINGER CHARLES J. DEHART. III JAMES D. CAMPBELL. JR. JAMES L. GOLDSMITH P. DANIEL ALTLAND JEFFREY T. McGUIRE" STANLEY J. A. LASKOWSKI DOUGLAS K. MARSICO BRETT M. WOODBURN RAY J. MICHALOWSKI DOUGLAS L. CASSEL -BOARD CERTIFIED CIVIL TRIAL ADVOCATE ATTORNEYS AT LAW OF COUNSEL RICHARD L. KEARNS CARL G. WASS 3631 NORTH FRONT STREET HARRISBURG. PENNSYLVANIA 17110-1533 THOMAS D. CALDWELL. JR. 11928-20011 January 25, 2007 717-232-7661 FAX, 717-232-2766 thefirm@caldwellkearns.com Glenda F. Strausbaugh, Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013-3387 Re: Estate of Robert L. Deardorf Dear Ms. Strausbaugh: Enclosed please find the original and two copies of a Supplemental Inheritance Tax Return filed in the Estate of Robert L. Deardorf. Accompanying the three tax returns, you will find also a check in the amount of$3, 157.27, the sum to be applied toward the payment of the additional inheritance tax, plus interest and penalty. Please cause first two copies to be filed and please record the payment ofthe additional tax, penalty and interest. Please time stamp the third copy, deliberately highlighted for my own purposes, and return that copy to the undersigned by use of the enclosed, self-addressed, stamped envelope. Thank you for your courtesy and cooperation. Very truly yours, ~ Carl G. Wass CALDWELL & KEARNS CGW:th Enclosure cc: Darrell Williams Rev. Donald R. Shover, Jr. 111809 CALDWELL & KEARNS A PROFESSIONAL- CORPORATION ATTORNEYS AT LAW 3631 N. FRONT STREET HARRISBURG, PENNSYLVANIA 17110 717-232-7661 <:7'l1uno from tlad g. <Wau ':h, W 0.. '^- d 0..... -z.. "'- ~ ~ "'-" K~', ~ ~,\ :'^-~ <;::'.....~ ~ S v... " '\ \....... "'^ "'- '^- \:: 0....\ - \<-lL ~ ""' \.AA... r ~ ~ ~ ~ ~ '<'"' \~""- l:)~ K~ ~ ~~ L, ~~QJL'd ~ ,,~. c+ 4 0-' C \ \~ --z... \. ~ - \)~C\ \ ~~~~~l ~ ~ ~sS:~