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HomeMy WebLinkAbout94-00185 WAIINlflG: I' I~; ILI.U;AI III Al.llIl llH!; COpy "11 TO DUl'llCAl i.'. ny PIIOI'I.>S'1 A" (>11 1'110 roc ,JIM'II. COMMONWEAL nt OF PENNSYLVANIA DEPARTMENT OF HEALTH VITAL RECORDS LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT, NO, 2034746 1- 11- 91 -'-"'-om-ol'iii;;,-;-iillh;tt:eiiif,,::.~'-- fll t ~I,,\II~. l,lll ~,~ J/ sex___-=;t .Soclal Socurlty No._iL~-:i\]~l.1..^n._Date of DeAth .__f'::.f.J,Tj..fJ:.ct... Date ot Birth _.!ft:J.j.~IrJbBlrlhPIAceu._1Wlirt.J..d.Ju7 j/l..-_ PlacG of Death. ~fJ&1htLI_u___C:l&lJ,jL~_u.c{~.. _ e.efl~YlYllD_i!!. fa:"'l,tl \ -:-1/" l.l"'!, (:oIt hJ""l~"",To...nlllr' It. Race-1J)~._occ patlon_____......:)1e.wI...:z:;~u .. Armocl Forces? (Yos or No) .._.__ L~_ Decedent's \.. .. I '. ' Marital Status --'.J_____.. MAiling Address ._h..L.i,.'iJr,':1\ '1' / -(, d1 ..Ll~:I.,l~~~___ ~ O' ,""..,.., .iI"'"'' ,,,,,,.,,,",, ,...... Informant <.4-1___l~~~iJ/tI..-J.. _____ Funoral Director a kL_,-_Q-/J~Ld../i" -- Name and Address of, 1/ ?--'/ -- .' Funeral Establishment J .-Jjl~L.-tLtJ,.jINl41... . a'LdcbJd;.- I-:f!..__-- .. __[~ J r--7 : ~t;;~~een P,," Imm::~l, 1 <Lt-.7~--__+~:"""d D."h :.:- ;t.",~~~--=~~--~~=-=====~---------- , (d) ~ ..-.-----..---n----r-----------~.- . Part II: Other SI=nlflcant~~--I---tX-:-iJt--~..Ll~.u Manner of ~h: ~Psc~~e how Injury occurred: Natural Homicide 0 _____________.___.______ o o AccldE1nt 0 o Pending Investigation Could not be Determined Suicide Name and Title of Certifier ~ / .V? J () Add"" _~~=~;,,:.- (M.D.. D.D, O,,,",,,-.,',} This Is to certify that the Information horo givon is correctly copied from An original certificate of death duly filed with me AS Local Registrar, T~e original certificate will be forwarded to the State Vital Records Office for pE1rmanent filing, ! ~~7..?22 ! ~ 10 . f( J',' I (, ... ~-l-,.,,~I+fj:~11'11n;-:;r.v;1;1-i1l.:-.,I(i1---..- ---.-..----- --'IT.i;;;;Tilo'--- ------ri\it;l-;;;:-n....~d hi j.\:z.iii!~,il,v--- .i'I___.J_,.__..'..__~ ,) ; ~;tH'lI ^"dr"" +h'__" -----.". .-(:;;;.ii;.~f~;,;lj;-;.[O;illl~l~~-- L ~ .. ,I, , ' .'. :,1 In' ;'1,"' "' ,'j' " ! ,. . " , ,'" " ~':, I' f/ 'i '. III, '" , " ',i' \' " ',\' ~ , <I, i," ;/ t. ",' " "..'\ "I " d, ',' ,1'1 ,""{\ ,,' If /,I, ",' ,I,' ,,.'.\,' :"11 " ,'II' :.." ' :!: :\':H: .," J :1., , ,', 1,',' ,',Il " , .., , ",L "', "L' :"" ;, ,. ",1,\ 1 'J" 1"/":" ,\': "\', t", , " ,II, ,. , , ,,1" h "I, .1, " '1"1':;' ,'" ,. , ,l:: '."'" ",' 'I' ,\ :\' _, ,..".' 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"1, , " (\' , "',,1"/ :'1 ,'!", "I, .. ~' i," ': \ ' ;'i\ ,,,,'1, .i /:."'~ :;), I:" ' , ~ ',"1..... " "".'1, !' .,' '.\,;:,':'.; T~\~; ,: ,>, ," , , ,". ,,'," ,,' ':(:::';:;1:1:/.''.:'::';<.'';::' .\\':' " " ",' " ,,' "". ",I'." I'"~ , . " ,t" , ., .'1, " ,)1,\ ,I:'"~ Jl" 'I" " " ,<' ~ " " ') " '" ,;" , '" II " ,,'I c , " ',: .," " '\\",', :j', I' ,,' " ," Lot.. I: " i, , " " , ,. "'1,1 " ''', '} " .,' :1, I,' 'I' 'L", I', " " ~ II " " " '" I,:, , '. ,I, :', ,~ ; ,,(. . 1 ;, :1,\.1':':/" " ",!'- ' I'i",ll: i , ~q '';,..i' ., i r " " , . I()'I ,\ I '+' 1 "''') :: l, I"~ I 'I 1 ~ , ' " ; ) 'I' '" J' ;",' , ~,' ,., ,I': '.1 "1,.'" 1': ' fl'{ " '(~ " /:/:,;. ... .~\ ..,' """". ;'(,11."", ,,,", ". '/,1, "I,' ,"r.": ,n ". .}: ., ,,' , ,;,. 'l: ':;1 'r" '" ' . j ~ ; ',l ~', I' ,,/;; , " .\.: ',' 'f', " .1' , ". ,,.1.' (. . ',," "" ,',. ~p " , ',,' ". II: '1,',)'-- " .,1,.1 ' , , ,."" " " 'I' ,'\ .. I, ,\ ',' ~ i," :.' I,' :: .:/t'::;~'1 'l,,',{ , ,J I / ,I ~ , " ) I ~ II, ",' " !.. \'. ,',,:- ':/', :\' ., I' J,.., , ",j I, '," , , II: " , , ",1:1, .,., ',' I',' 'I" I.'" f,::,I', 'l d',' " ,\',' '.' 'l"tI',"" '",)' "(I'f.\,. .,,".' ,", ,1'1, . . ",. ,,~:,;',\:\)~,?,t:i';:i!./;!V':',':'il\;"': ::'", ,t' ',J. '" I' . \ . ~, ~" " 0 ~ I .' , ' ' :(< .,)':.:;, '~/'I" I. :t~.','!_~,.~~'f,_,;:,-.',! 'I' .., ""'1'. ,', ' 1"_'" ~:;It,"'~~l' ',', " ' , , , ", 1 . ~ " e: ~~;;.'~ ~:~'K ::'~~I" ;,,' .',' , l ' ., (" " L',.' ~ l';} .. ,; '..' " .," · .." ~. ." .::;:,<\l , I, II', j "( 011'.,", l.;) - , "::J..:,<;'fll~;:.\.ff'/':'1,l.~+)],j1 , ' \,', '.' l'~t{., li'f":".J1':-i,i ",,"I','I,l,t':'~~"'\")A:ttfJtfZ:':';-': "t,,,:' ,I,',', ":. oj,! , " , , , .. , LAST WILL AND TESTAMENT ~ NETA E. BERRY I, NETA E. BERRY, of Lowet. Paxton Township, Dauphin County, Pennsylvania, being of sound mind, memory and under- standing, hereby revoking any former Wills by me heretofore made, publish and declare this my last Will and Testament in mannet. as follows: I direct my executor hereinafter named to pay ~ll my just debts, funeral and burial expenses as soon after my de- cease as practicable, as well as all inheritance taxes, whether State or Federal, which may be assessed against my estate, or on any property passing as a result of my death, whether or not forming part of my estate, as part of the costs of administration. I give, devise and bequeath all my property, real, personal and mixed, of whatsoever sort and wheresoever situate, to my husband, George I. Berry, absolutely. In the event my said husband should predecease me, or our deaths should occur simultaneously, or as a result of common disaster, I direct my hereinafter named executor to sell and convert all my property, real, personal and mixed, including my home &t 4910 Constitution Avenue, Lower Paxton Township, Dauphin County, Pennsylvania, if I shall still own it, into cash and to divide the net proceeds derived therefrom as hereinafter provided. I direct that my children and grandchildren shall have the right and privilege of making a selection of any of my items contained in my home before the general sale of property of my estate. , (. , . " . , " ~. . I give and bequeath a one-fourth (1/4) portion thereof to my .grandchildren, steven R. Crawford and Michele R. Crawford, in equ&l shares, owing to the fact that their mother, Dolores J. Crawtord, has predeceased me. I give and bequeath a one-fourth (1/4) portion thereof to my son, Thomas R. Berry, R.D. #2, Turner, Maine 04282. I give and bequeath the remaining one-half (1/2) portion thereof to my living grandchildren, being children of my aforesaid children, share and share alike per capita and not per stirpes. At the present time there are four grandchildren, namely, steven R. Crawford and Michele L. Crawford, children of my deceased daughter, Dolorea J. Crawford, and Daniel R. Berry and Richard A. Berry, children of my son, Thomas R. Berry, Should my son, Thomas R. Berry, also predecease me, then I direct that the share or portion of my estate herein given to my deceased child shall be given to his children, share and share alike, per stirpes. I nominate, constitute and appoint my said husband, George I. Berry, Executor of this my last Will and Testament. I~ the event of his prior death, then I nominate, con- stitute and appoint my two grandchildren, Steven R. Crawford and Michele L. Crawford, or the one of them who survives me, Co- Executors of this my last Will and Testament, as well as Testa- mentary Guardians of the separate estates of any and all minor children for whom such Guardianship may be required by law, including the right to inva~e the principal of said Guardianship estate whenever in the opinion of the said Guardian the same shall be necessary or advisable for any purpose relating to the general welfare of said minors. -2- '..... .~ ~.-..,., \.. ~..... f',.....,., '.. . t. "- I" I , ,I, j , I, ,l,i, "- ", " ., 'I, ,Ii \",'1; , '" ,,' "" j; . ,"t' , I;" ,. ", , " I( "'1\ " l' jI" ; i ., " ", " /, l> "1' ," .,. /1' I' ,. , , !' \'" 'I' ," ~ 'll "( ;,1 ," " "" I' fj,.:"', ,,:, 'iJi1 ,_,~!'t?I.\~:'-;-'-:i' _'~~'.:',i'l r'; ,<;tl "'\~ ~~-'i_l "',;Jiltf'I" ,l~' !h'.(' ."'. ," " ! ~ .\'. ,I' h ",l" I' ;.,.{ "1';"-'" , "f\CCOum NUMI~~---__~._l-l'_"- "L~I~'~I~ ~)b653~H), l,anA 'I! m!flllY ___ _____.___- _____.__ .----0-.-.- Of:ti,cnwt IOU I!STATI! 0387314 .. ,__,_,_,~_~,~___,-,---''''''''''-'-\.(}^Ti'''' -- - ...---- , U:i\ 194 -' ---~_.-.-..-_.--_.- ~_.~...._.- .-,.- ....-- .~...--- 'loi'loi'X"loi2, 565; 00 " FULTON BANK -' TRUST DIVISION 111,'11'0\ Illl"I,'llIj,jl'll~ \11 h"I{I''', CrUe"-l STATI:: INI'IE:r~ITANC:I:: TAX PREPAYMENT ON .45888 NO \994-88~85 Ij-J A. I , , . _",,,,~,,,,,,,.~_,,,,,,,!, _ ...".,........... t.,~....j....j' " :\ " .1 " " "f" ',' \ I ,I' I I" I' "'.-;.. " , ,..' " " " " " , " ", ," : ,. " , ,. " " " , ,. " " "I if' 'I' ,. , .'f, ,J I ( I,' " r- ,I' I:: .1 ~ . j, \-f, },'" ' ,~ , 1 , ,., '. I: " I I d'-if h' " i'" :" !;l~) , " ! ," '\ ,. " ., ,l '-, I . , , ,,',l " I " ,.\ " ',', 1 t'., . , , !' , il,: ,'~ " " ,. ,. I, , " '/. "I I ,I \1' f, ' ,. f; " '. ". , . . . , ..-" I'" :! ........... ~_. ~~ -7, .J '.'. 'f "", '--,,,,,'l_" -- ,""'. ....., i'~"'''~~ .\-\, / " ,~.. "II " "!~-= \ FlIlton.Bank p, 0, BOX 4B87, LANCASTER, PENNSYLVANIA 17604 TAUST DIVISION WRIT'm's OmECT DIAL NlJMBeR' " 717-291-2719 " Maroh31, 1994 Register of Wills of Cumberland County cumberland County Courthouse Carlislo, PA 17013 Re: Estate of Neta E. Berry, Deceased No. 1994-00185 Dear sir/Madam: Enclosed is a check payable to your order representinq a prepayment of inheritance tax for the above estate. Please send your receipt of payment to me at the above address. Thank you for your assistance. sincerely yours, c.aA....e. ,k?, 7h.~~ Carol R. Fahnestock Estate Officer CRF/aw , Enclosure c: Charles J. DeHart, III, Esquire ~(") Id 10 - .. ,I>. .. . !T ii, :)'-' !' [1:1 ..:I:J .. I ,I" , , t~ \ l: C) )? c, , (Ji ';:\ U'l, , :n :D ~T\ (\',0 "-. c " {. J,. ..' " . :.:....' (I" r:. ",' ,. Ill,'," '" .. , .:t. .-,_,...,'V""_>I1...,-'...... .,~~~ 1':-' ,~w.. , "', J" 'l ... I " ., " ... I 1 " Ii' , , " ,it. I,' " " I' ." ;,' ", , " l I ,.' .",! ,)' ," " .\~ " " " \j' ,.. I'" ,. ,1 , ~ ,. " ", "" " ( .' '1' e ;~.-~:: '~\i..-'~.:h.,lllf.li:\~:;~;'i !'U} " '" ' Ii j, if! ;~,:mllty~V_~~~AW\~~j~~~~Jm1i~t~:,(,;iI1~JJJ~:f;i!~~t);~-i'tlfN~.;1_~1'.\';-~~~~'1';!i\li~~t~:~\,~.!,!.;, -..... "" ' . ""i" 'Pd.1toD~ " "A.._I .. . . . . . . . . . . . . "". . P,O, BOX 4887 LANCASTER, PENNSYLVANIA 17604 FAHNESTOCK \;.l~':\t:.l'I'i!>'l!.~. '" " '[I'! ,,';,~ . ~, ., " Regieter of Wills " of cumberland County g~~'I' Cumberland County Courthouse Carliele. PA 17013 . .\It r'/\ . , "I' I'" ',; 111111 1111111,101111,111,111111,1,11,1 . '1 " '. ' ~u.:.'~lf~I~I"".'.,",-I---""~"'''''-'''-1~Mj>''''~~~fHflti~tvIM~'''~'Rl.-"\I..,t...",\'_"""l"~''''lj''''-''''';'I~If''h..m.J''tA\Ii''\l'''~~III~'f-..~-t , ), " ' , I' ,\' \ I ," \ 1:4 , I " I 'iU " '. LJ.~' 1/ II . .~ I"~ ~. ,~, q' ,./ " e If , j , I'~ " 1 " .\ , , 'I . , , " ~ I '1 " , " .;' ".'~ .~ I I " ':", I , ',. " ,I' .1 ,. " } I \" , , \ " " '>, " ," ". ,: 'i " " ,,' , ", ,. , . .. r '. 'f'" ... ... -~" }....., ........ . ,......-' ~ -' " '~. \. , ,I , \ '~ I I I , .J ~ ",:".-...<-:-r :,,~'.'-;"~" ".""t~J~ , ,. I '. . ", ~ -----.-.......- .-.---..--- .-.-.-...-.--- -..., .-.-,. .-~--_....._---.. .:1 .' , , , .... " .. i: "l'~""'(':" .-.. r."" ""rltl\.,...." ,~.I.... "I.~':" . :; ",'~\~, I , ':J. ~~\$ , ,I '. fJ'." 41t,~, ,I ... " h " I , I; ..... i " In lhUOVQnt or lho prlOI' death,o' OOLh Stovon R. CI'Jw(rll'd ",,~t ~11\.'lHll" t.. CrJwlol'd" or slw'uld th('V bo unw11Ung or untlblc to 9''''YO in that capllcllY lhon 1 nominato, constituto .11ld ^PPl.lllll tho.' ru1HI" lillnK, Thln' ~nd cdldcH !;lr('otn, Barris- burg, rQ"n'r~Vdnio11 1;)(OCULCll' (IC lhill my ),,&t.. Wt.11 And T(l'tAm(mt, .u woll at' Tl.'Sl.\;n.Hlt.dl)' OUd:'dun o( ,"tny and all minor chlldl'on "nd wHh llk" P:WtHS .'5 C\(Ol"09dld. :~: ',,'1 :':t::::;,!i 'n'l l::r, I:lir I 1 \1.lVO thl t'ount 0 sol my ha nd and soal Lo this m)' last \/ill and Tostamont, this I~-<f(,' day of /1"':-. , (\,'r'{,'~ ..:' 4/ , 1978, 7)"t. , I' . ~ .' I.j.-.,V,* ~.ta E. Dorry _ (~EAL) .sl.;'~~dj ,Nala:ij p.:blish~c.l "nd doclAlOd b'l thu a~v. namod tlota E, Darry, tho TostAtrlx,u .nd for his l.st Will and Tostam.~t. in ~hO pr.s.nce 0' os, who hava horeunto subscribed our ~amos, at his roquast. AI wHnoaort! thOl'oto, in the prosonce DC the said ToaLIlt.1".l x', and of oach othor. .... ,. ) , , I I'" " l-" ---~ (I"",',,) - ,. ,', I" 'jl '''' . {t. . 'I,~</ r i?- t" . ,. . . ..lLt.,)t </ " . , , -J- , ~ ,\, Fulton~~~Ths p, 0, ~OX 4887, LAN,CASTER, PENNSYLVANIA 17604 , I:', ,. , 'Il TRUST ~IVISION wmTUl'811Hltcr Olo\t NUMDEfI " U.../ (7171291-2719 'll:': ~j;:;r., ':; : 1 'il ') ;' ,.,. CI: . ,')'l ('ll ".j ) :" ,,1\ September 30, 1994 Register of Wills Cumberland County Court House Carlisle, PA 17013 RE: Estate of Neta E. Berry, Deceased No. 1994-00186 , Dear Sir/Madam: Enclosed for filing In the above-captioned estate are four caples of the Pennsylvania Inhorltance Tax Return and four caples of the Inventory. Also enclosed Is a check for $421.40 representing the balance of Inheritance tax and a , second check for $25.00 representing the filing fee for the Inheritance tax return and Inventory. Please time stamp all of the enclosed copies and return two copies of the tax return and Inventory to me In the envelope enclosed. Thank you for your assistance. Sincerely yours, ,. ~l.-i-"'e. P. :;A...~...~ . Carol R, Fahnestock Estate Officer crf Enclosures c Charles J. DeHart, III, Esquire '" ~. ,:,', . ,,'" ' " " ~ ,... f"4 :$ i! ~ ~z ! d~ . ! ~; z 1'1 .\ r:- , , 1 , i,.\." l' " I , \ jl I' I':, :1 I \, 1" , , 1 I I I', .' 'I" "4"11" Ii r "I ( I 1,1 :;; f! I "<t" ) '1 II I : I ,r~1 r~: ~1~\\iit1ff:~ ~\~ r. " t- OJ .. ",' " '0 ,. ,., 'I.'; ,j, '\ ;,1 " " ", "" .r, ,i" ",,',1' ,I, 1,.'/,' QJ III ~ u IJ:l ~ k ~ o UM r-I III >.0 r-i~"" r-il'lr-l OM ~ t1:3.., 4-< p., O'tl I'l . k nl4J' QJr-ir-i ~klll lJ)Q.lI,.j 'rof,Q H bOEl k QJ~nl I"lUu "I' '" " " , ,,' " :r 0 1" I'- '" " >>' 'f' I'- 'i .... ., ,': I ',," I'- , " , ..' 'I N , , , I. , " .' , ", ,Ii, .' 1,'1, " I' '.; I, ,. , >> " , " ,', " " , , " 'il ,,1-' ). 1.1' \, . , " ',. I,' :1" ',-, ! " , '\ \-,1 ," , "I ,. ." " ,. ,Ii, ~ 1f, ' " !! " ""j I' " ,!- ,. I,., " '" ',:.'\',' , , I,' 1 1'.1"',, ,"!i'-'"" f'; "" " " '-o',!" .. I, . ii .. " , " ': " '11"1' ,I' I ~;' ,!" " ;, --.~.\ .' ,I' , ' II,'. , I I ,','\ '~ I I \ i I ,! / , , " . --' " Personal Property I' 1.. Fulton Bank certificates of Deposit: CD# ' 100-002229 @ 7.6% due 12/3/94 '$1,000.00 Aocrued interest to d/o/d 7.08 CD# 100-002365 @ 6.75% due 5/8/95 5,000.00 Aocrued interest to d/o/d 54.55 CD' 100-002452 @ 4.74% due 10/15/99 1,000.00 Aocrued interest to d/o/d 10.78 CD# 100-002534 @ 5.25% due 3/17/96. 1,000.00 Aocrued interest to d/o/d 2.88 CD# 100-025032 @ 4.5% due 1/4/97 1,000.00 Aocrued interest to d/o/d .25 CD' 100-025176 @ 4.45% due 6/17/97 1,000.00 Aocrued interest to d/o/d 2.44 CD# 100-025183 @ 4.35% due 7/1/97 1,000.00 Aocrued interest to d/o/d ,60 CD# 100-028605 @ 4.35% due 9/2/97 1,000.00 Aocrued interest to d/o/d 4.17 CD# 100-028617 @ 4.26% due 10/3/97 1,000.00 Aocrued interest to d/o/d ' ,35 CD# 100-028747 @ 7.6% due 3/3/94 2,000,00 Accrued interest to d/o/d 14.16 CD# 100-0371~9 @ 6.75% due 4/3/95 1,000.00 Accrued interest to d/o/d .55 I CD# 180-037386 @ 6.75% due 4/16/95 2,000.00 I Accrued interest to d/o/d 30.33 I 2. The Church of God Home - refund of nursing home expense 1,795.47 I' 3. capital Blue Cross - refund of unearned I I premium 228,20 4. capital Blue Cross presoription reimbursement 2/24 - 12/28/93 1,250.00 , 5. Brookie Healthcare - reimbursement 40.10 6. 'Metropolitan Life Insurance Company -4673,95 I ' TOTAL PERSONAL PROPERTY $25,115.86 I r ., " ,1' "., ,.,. ; . ' , " ". III _ I 113 t ) '!V.'IOO IX + (""I I ~O. OAYlJ O'DIA1H Ann 12/31/91 CHICK HI" <: 1 INHERITANCE TAX RETURN f'O~::$,mDIlISCLAIMID rJ ,. ", ;.~ RESIDENT DECEDENT ,iLl NUMiu"-.-------'----- (QMMO"W'^tllI '" "''''\YI...II^ (TO BE FILED IN DUPLICATE 211 ""4 0185 OCPAlIIMftH Of R(VENUE 0 WILLS) " "^",\~J:~. ~~or!:~80601 WITH REGISTER F. ____ CpUNTY CODE YEAR, NUMBER ....j-'JiNf'i;.,AMf (lA~"i. ;I~si: ~ND -MIDDlE INI 1M . . M1:'OMPlfH ADORlS$ I!! ~~e :z:00 u..... ...Ill ~ ~ffi ..a OZ u 0 ... z o 3 E ~ .. z o j:: S ~ 8 ~ ,3 ,I 'd-\ I) .. ai ~ a 801 North lIanovor Carlisle, P^ C'"'' Cumber land stroet lJerr'l t{cta socfAT"f(cmmVNUM8flf I~ f"Aff;~~~-~f~:-r~ ;'18;; 12 - [J 2, suppl.m.n'al Relurn 1..1 3, R.moinde, R,'u,n Ifor do'el of d.olh prio, 10 12.13.821 [] 5, F.derol ellol. TaK R.lurn Required .!... 8, Tolol Number of sof. D.po.i1 80xe. 189-07-8928 [j/ 1. Original Rolurn [] 4. lImll.d Ellol. 040. FUlu,e In'"ell Comp,aml.e Ifa, dOl" of deolh oke, 12.12.821 Iii! 6, Doced.nl DI.d T.llole [I 7, Deced.nl Malnloined 0 living T,uII {Auoch copy of Willi (Allach copy of TMII ALL eORRUPONDINel AND CONPIDINTlAL TAX INPORMATlON SHOULD II DIRIClID TO. tlAMf M MA 0 A John E. Garry fliIfHQ N!'il1JMil R Fulton Bank, Trust Dept. P.O. Box 3215 Lancaster, PA 17604-3215 .Ul.7 1291::2726 '- 1. R.ol Ella'e {schedul. AI ( 1) 2, Slack! and 80nd. ISch.dule 8) I 21 3, Clo,ely Held s'ockIPortn",hlp Inle,e.' (sch.dule C) (3) 4, MO'lgog" and Nole. Receivabl. Ischedul. 01 I 41 ___ 5. Co.h, Bonk Depo.i1. & MI"ellaneou. Pe"onol P,ope,'y{ 5) 21 , 441 .9 L- (Schedulo E) 6, Jolnll, Owned P'operly (s,hedul. FI 7, T,on,'e" (schedul. G) Ischedule l) 8, T 0101 G,ou Aue', (10101 line. 1.71 9. Funeral eKpen..., Admlnhl,alive CO.II, Mhcollaneou. ( 9) EKpenl" (schedul. fll 10. D.bll, Morlgage lIobllltl.., llenl Ischedul. II 11. Tolol Deductlonl (Iolollln.. 9 & 10) 12. Nel Value of Ello'ollint 8 mlnu.llne 111 13. Cho,i'oble and Governmental 8.que," (Schedul. J) 14. Nor Value sublectlo Tax IlIne 12 mini" Iln. .131 15. Amount of line 14 taxable 01 6% role Ilnclude vuluol f,om Schedul. K or Schedul. M,) 16. Amount of lino 14 lallable 01 15% role (includ. volue, tram Schedule K or Sch.dul. M,) 17, Principal 'UK duelAdd lox ',om Iln. 15 and from line 16,} 18. Credils SpoUltll Povorty Credil Prior Paymon" Discount Inlefoll .-.-.- .-. + 2/565,._ + __J l~-,_ .. ____'h___ 19. If lin. 1811 g,eo'er Ihon line 17, onle, ,ho difference on line 19, Thl,I,'ho OVERPAYMENT. mfJ I 61 ( 7) 37,957.90 ( 81 59,399.81 1.J75.93 (10) 2M.. 63 7,376.56 52LQ.;/3.25 (151__---21.,023.25 (111 (12) (13) (141 52...0llL2.5 X ,06 D __..lL1.~.l,.1__0____._ (16)_. .__X .15 D (17) -___...3-1J21.._1.12__ 'U'H. 2,}OQ,..DO.__n___ (181 (191 ..-.--.-.---.----. -..---.-.-.---- Chock'huro If you 0;0 fuquo'ling n rofund of you, ovorfHlvmenl, "VIIOIIIt UI1\ l SCHEDULE E CASH, BANK DEPOSITS AND , MISCELLANEOUS PERSONAL PROPERTY - - -- .-.. . Ploale Print ar Ty~e FilE NUMBEIl .21-1994 -0185 ~. ~h:-,1'9" ....:.\~W.:..,.. COMMONWr4111l 01 p[UNnW4NIA INHIIIIANCI1AX "'UIN . ~I.I.I~IN'_DICIDIN!" h esTATE OF . Neta E. Berry IAII p"p.ny lolnll,.ownod with lh. RI~ht of Su,vlvonhlp mUll b. dllCloud on Sch.dul. PI ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH No. 180"037386/ 6.75%/ due 4/16/95 2,000.00 Interest accrued to date of death 30.33 2 3 Refund from Churoh of God Nursing Home Refund of premium from capital Blue Cross Reimbursement of medioa1 expense .from Capital Blue Cross Refund Brookie Healthoare 1,795.47 228.20 4 1,250.00 5 40.10 ,. . ,. ,. " 'j, I'., " , . - S 21,441.91 I""ach addlllonoI8\1" )c, 11" .heelllf mOIl Ipac.l, n..'dld., ,. , ~ ' I CD N '. BALANC E ACC. INT. RATE OPEN ROLL OVER MATURITY 100.002229 , 1,000 7.08 7.6 12/3/82 12/3/90 ,12/3/94 , 100.002365 5,000 54.55 6.75 5/8/83 5/8/91 5/8/95 100.002452 1,000 10.78 4,74 10/15/8310/15/93 ' 10/15/99 100.002534 1,000 2.88 5,25 3/17 /84 3/17/92 3/17/96 100.025032 1,000 .25 4.li 1/4/85 1/4/93 1/4/97 100.025176 1,000 2.44 4.45 6/17/85 6/17/93 6/17 /97 100.025183 1,000 ' .60 4.35 7/1 /85 7/1/93 7/1/97 100.028605 1,000 4.17 4.35 9/2/85 9/2/93 9/2/97 100.028617 1,000 .35 4.26 10/3/85 10/3/93 10/3/97 100.028747 2,000 14;16 7.6 3/3/82 3/3/90 3/3/94 100-037139 1,000, . ,55 6',75 4/3/83 4/3/91 4/3/95 ,180-037386 2,000 30,33 6.75 4/16/83 4/16/91 4/16/95 ,. **All CDs have Powers of Attorney Mie,helle L. Bee ker & Steven Crawford. " '" I ,1\ ,; ,; " ':, " , , , , 1', 'I ,." ,I, '"" ""/'" " " " '.- ',' I ,. "I " , 1 " " 'I i , " " , ' . , " , 'I., . " ". , " " " ( /: r Ii II 'I , I, I j', " '1 I, I ! Ut'.UO'JUtjllUI 1_ I PILE NUMBER 21-1994-0105 "~il~,'~,, '.~\~Ii~.v.. COMMONWEAlTH Of PENNmVANIA INHERITANCE TAX RETURN mlDENT DECEDENT ESTATE OF-- Neta E. Berry Joint tononl(.), SCHEDULE F JOINTLY.OWNED PROPERTY .__ __.. _..~._____~.......~._.o___. ____ '0_'_' _ NAME A. Michelle L. Becker ADDRESS 10 Oak AVenue Halifax, PA 17032 RELATIONSHIP TO DECEDENT Grandchi ld B. C, Jolntly.ownod p,opo,tYI ITEM LEnER DATE FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBE~ JOINT MADE DESCRIPTION OP PROPERTY TENANT JOINT OP ASSET % INT. DECEDENT'S INTEREST 1. A 11/28 Checking account no. 1,859.06 50% 929.93 ' 1986 1068-30182 with Fulton Bank 2. A 10/10 Pennsylvania State 74,055.94 . 50% 37,027.97 1990 Employees Credit Union account no. 0189078928 , , , " , " ., , , , " , , . .. , , , , , , , .. , , , " , , , , , .-- ------- ..._.~----_.-. ---..----.-.---.- TOT AL (Aha 0,',10' on IIno 6, Rocopllulallon) S 37 957. 90 __o____..u,_________o._._..__._.__ _~.._.._.._~_. _'0 _0__ (If mora ',P"'O i. noodod in.o,' addllionvl.h.oll 011<1010 .ilO) I , I I I l ! , IIVI\lIl', If HI ,~>l. ':-'~W~ SCHEDULE H FUNERAL ~XPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMf)tlwr Mitt Of PfWI\lIVMlIA l'UI[IIt'^,I(( fA~ k(flnPl ~l!lllllN' Of(lOHH mATi OF uu"_ Neta E. Berry N~~~EJ--'-"-'-'------'---'''---~S~RI;TI~~---' _______.__.___._0-4 A. Funllal hpln'''l Jesse H. Geigle Funeral Home Ploa.. Print ar TYPI '~-lroMBER _ 21-1994-0185 1. B, Admlnlltratlvl Ca"11 4. C. 1. 2, 3. 4, 5. 6, 7. 9. 1. Fulton Bank Administrator 23-!92842t Per.onal Repre.enlallve Commllllan. Social Socurlty Number of Per,onal Reprl'lnlallYI' Year Comml"lon, paid 2. Caldwell & Kearns Allorney Feel 3, Family Exemplion Claimant Addrell of Clalmanl al docedent', death SIree' Addre" Rolallonlhlp City ____, SIale Zip Codo Probate Feol Register of Wills Cumberland County MI.e.llaneou. Expen.e.. Register of Wills Cumberland County Short Cert. Pennsylvania Dept. of Health Death certifioate Cumberland County Law Journal Advertise Estate Carlisle Sentinel Advertise Estate _u_ ___.... _.... ...____. _~_._.. _______.. .. .._.._...__ _._ ..___,_.__..__ ___._.. _. _.___._ _____ __. __,._ _.____. TOTAL (>\110 onlor on line Q, Rocopilulalionl (II mora 'paeo I. noodod, la...t additional ,hoot. o',amo sl.o.) AMOUNT 4,415.00 1,500.00 1,072.09 74.00 3.00 3.00 40.00 68.94 s 7,175.93 .,- '. 'i.,I,~' , ,'.,. '".;1;1' '\'h,h'M\'II<..-". "\ .::~:ltl'.;i'\"':' .,,', .' . ....... ..... ......' ..--...,.,..... " '. I i, 1" 1, , F" , I', i'. ~ ,.' r- ;~ f~' I: " t"J 'I , " "- ,:(1 , ,., ". .. ~ I, ., . .' ........~ . .r LAST WILL AND TESTAMENT Q! NETA E. nERIIY I, NETA E. DERIIY, of Lower Paxton Township, Dauphin County, Pennsylvania, boing of sound mind, memery and undsr- standing, hereby revoking any fonner \~j lls by me hsretofore made, publish and doclare this my last Will and Te.tament in manner ao follows, I diroot my oxecutor hereinafter named to pay .all my just debts, funeral and burial exponses as soon after my de- coass as practicablo, as well os all.inheritance taxe., whether State or Federal, which moy be assessed against my estate, or cn any property passing as a result cf my death, whether or nct fcnning part of my estate, es pert of the costs of edmJ.nistratien. I give, devise end bequeath ,ell my p,'eperty, real" personal and mixod, of whAtsoevor sort and WhOl"OSOOV01' aituato, to my hUSband, Oeorgo I, Dorry, absolutoly. In tho ovont my said husband should p"o~ocoa." mo, or our doaths should occur 81mu1 tanooualy, or its a l'08U1 t of common dilh\:llol', I dil'oct my horuinlletor Ilr.lmod oxoautot' tQ, 8011 Ilnd convort oJll my propel'ty, 1'0111, pOl'oonal lWei mixod, inclUding my homo at' 4910 Conntitution ^vonuo, J.owor Paxton' Townnhip, D,Ulphin County, I't1nnu'rlwmir.l, !C 1 dth,11 HUll l1wn it., inlo c..l.sh i1l1d to divido tho not. (ll'OOIWdn dUl'ivoc.J thpl'ofl'(l/ll cHI Ihll'Olrhll Lor pt\)\'ldlld. dit"oct. t.h.lt. my childl'lHl ;lnd l(L\ll1dchi1dl'ol1 llh~l1 h.Wl) t.ho qght ,md privilt.\qo of III1-1k1nCJ ,I :1t11oet.ioll ~l~' ,my L)( my it.omd cOI1t.d.inod in lilY homu bo(ol'U thu 1101101,11 IhaltJ of prOlh'l'Ly tll my f'"l,,'ll.', ~,"~~t""~-~~r"-,,,,~'''_''''''_'_'''.~' '. . ~ "'''''---"..-. jREV01S47 EX AFP 108094* COMMONWEAl Ttl OF PENNSYlVANIA DEPARIHEHI OF R':VEHUE NOTICE OF INHERITANCE TAX aUREAU OF IHD1VIDUAL Ims APPRAISEHENT, ALLOWANCE OR DISALLOWANCE ~mis:~:~~1 PA 17118'0601 . OF DEDUCTIONS AND ASSESSHENT OF TA~ DATE 01-10 - 9 5 ESTATI!-=o,:=--BERR FILE NO. 2T 94-0185 DATE OF DEATH 01-06-94 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYHENT TO THE REGISTER OF WILLS, HAKE CHECX PAYABLE TO "REGISTER OF WIL LS, AGENT" REMIT PAYMENT TO: I / ft 2- 7 IL'- f./ JOHN E GARRY FULTON BANK TRUST DEPT PO BOX 3215 LANCASTER PA 17604 v ACN 101 ReGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 A~ou';t Ra~1 Had . CUT ALONG THIS LINE .. RETAIN LOWER PORTIOll FOR YOUR RECORDS .. R 'EV: i iiiii. EX. i. j: ii- (oii: 94 T. Noff c r 'OF - "iNHEFif;: A N-C E. T"AX - ii p Ii Riif sEi-f€iir; - i.i.l"iiWA NeE .cili... - -. _....0...._ DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BERRY NET A E FILE NO. 21 94-0185 ACN 101 DATE 01-10-95 If an allellment wal illued previoully. linel 14. 15 and/or 1&. 17 and 18 will reflect figurel that include the total 01' ALL returnl alselled to date. ASSESSMENT OF TAXI 15. A~ount of L1na 14 at Spou..l rata 115 I 16. A~ount of Llna 14 ta.abla at LlnaaI/Cla.. A rata 1161 17, AMount of Llna 14 ta.abla at CollataraI/Cla.. B rata 1171 18. Prlnolpal T.. Dua DISCOUNT I t I IHTFREST 1.1 135,00 L 2,565,00 ,00 (,21.40 I TOTAL TAX CREDIT r I BALANCE OF TAX DUE I lINTER EST r-roTAL DUE TAX RETURN WAS I I X I ACCEPTED AS FllF.D RESERVATION CONCERNING FUTURE INTEREST 0 SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL I. Rul Eatah ISohadula Al 2, Stook. and Banda ISohadula BI 3. Clouly Hald Stook/Partnar.hlp Intarut ISohadula CI 4, Hortgaga./Hota. Racalyabla ISohadula 01 5, C.sh/Bank D.po.itI/H~.o, Plrlonll Proplrty (Sohadull E) 6, Jointly Own.d Proparty ISohadula F) 7, Tran.far. ISohadula GI 8, Total AII.h APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funaral e~p.ni../Adn. COltl/Hi,o, E~p.n"1 (Soh.dull HI 10, Oabh/Hol'tg.ga LhblllUu,Llanl ISohadula II 11, Total D.duoUon. l~. H.t Value of TIX R.turn 13, Charlt.bla/GoYarn~antal Baqua.t. ISohadula J) 14, Nat Valu. of Eltata SUbjaot to Tax NOTEI TAX CREDITS I PAYHENT DATE 04-01-94 09-30-94 RECEIPT NUHBER XA885926 MM913018 I I CHANGED III 121 (3) 14) 151_ 161_ 171 ,00 .00 ,00 ,00 21.441. 91 37,957.90 ,00 (8) 59,399.81 (9) 1101 7,175.93 200,63 Ill) 1121 113 ) 114 ) 7,~7~ J;6 52,023.25 ,00 52,023,25 ,00 X ' 0 O. 52,023,25 X ,06, ,0~X,15. 1181 .00 3,121,40 ,00 3,121.40 AHDUNT PAID 3,121,40 .00 ,00 ,00 . IF PAID AFT~R DATE INDICATED, SEE REVERDE FOR CALCULATION OF ADDITIONAL INTEREST, I IF TOTAL DUE IS LESS THAN tl, HD PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REFUND, SEE REVERSE SIDE Of THIS FORM FOR INSTRUCTIONS, I - DEI (1'1~ , ,-,:.... 'I"~ .-:' .1 (:- '~::~ , 'f.' l_ rl~ to "~.1 t~ ~'& a: a: co :o:r .- lie ~~ Q l: d ,t., () l. , n I. ,d o .... ~ ~ , (111) ",,tl 'eo E od RESERVATlONI Elltat.. of dlc.lt.nt. dying on or b,'a" Dlc."btr 12, 1912 .. If .nv future Interllt In thl I.tat, It t'ln,'urld In pouII.lon or ."Joy..nt to CI... B (coll1t,reU bln,flailrl.. 0' thl dlcldent 8ft" the tMPlraUon of any ..t-.t. for 11ft or for 'III", the Co..onw..lth h.rftby IlI:P'lItly "u,vu thl right to apprais, Ind u.... tran,'" Inh.rltancl TeMII at the lawful CI... 8 (~olht.r.l) r.to on .nv luch future Intl,..t, PURPOSE OF NOTICE I To fulfill the ,.qul"lInt. of Slttlen 21(10 of th, Inh'rltlnol and Eltat. TaM Aot, Act 22 of 1991. 12 P.S, Section ZIC.O. PAY"EHTI o,tach 'I.' tOJJ portlon of thll Notlol and tub.1t with your ply..nt to the Rtolltllr 0' WUII prlnttd on the "Vlrll lid,. --Hakl chick or lIonlY ord.r pavabl. tOI REGISTER Q~' HILLS, AGENT All Ply,..nh rlcelv.d Ihall flrlt bl apPII'd to any In'lr..t ~hlch IIlIY bl dUI with any rl..lndtr IPpll.d to UII taM. RI!FUHO (CRII A rlfund of a tllM orldlt, whJch 101" not rlqu..hd on 'h. TaM RI'urn, uy bl rlqu..tld by QOlfpl,Ung an "Application for R.fund of p,nnlvl"lnla Jnhlrit.nc. and Eltat. Till" (REY~U13), AppllclUonl ar. Ivall'blt at thl OffICI of 'hi RIghtlr of Willi, any of thl Z:S RlVlnu. OhHlct OffiCII, or bv clUing thl 'Plclal Z4-hour anlwerlng urvlcl nu.blr. for far.. ord.rlngl In Plnnlvlvanh l'000'36Z.Z050, outsld. Plnn.ylvanl_ and within local Harrhburg "rea (711) 761-8094, TOOl (17) 77Z-ZZ5Z (Hlarlng "palrld Only), OBJECTIONS I Any party In Int"rll' not ..thflld with thl appr.I....nt. allowanCI or dh.llow.nca of d.ductlon., or au.....nt of talC (Including dhccunt or Int.rll" al .hown on thl. Hotlc. lIult obJ.ct within Ibtv (60) dlv, 0' rlollpt of this HctlcI bYI --wrltUn prot..t to the PA D.p"rt..nt of Rlvlnul, Board of Appuh, DEPT. Z810Z1. Harrhbura, P'I71Z8.10Zl, OR ..tllctlon to havI 'hi IIllttlr dlterMlnld at audit of 'h. account 0' thl plrtonal rlpr...ntetlvt, OR e"app..1 to thl Orphan,' Court. AD"IN ISTRATIVI' CORRECTIONS I Faotu.1 .rror. dhcover.d on thh ...."..nt Ihould b. Iddr....d In writing tOI PA O.plrtllnt of R,vlnul, Surtlu of Indivldu.l Till", ATTNI Po.t AI....14.nt RIVtlW Unit, DEPT. Z80601, HlIrrhbUrg, PA 11128.0601 Phon. 17111 7a7~6505. S.. p.gl :s of 'hi bookllt "lnltrueUon. for Inhlrltl"el T.lK Rlturn for 8 R"ldlnt Olcld.nt" (REY.1501) 'or an Ixplanatlon 0' ad.lnl.tratlvI1Y corrl~tlbl1 Irrorl. DISCOUNT, If any till dUI II paid within threl (3) clIlInd.r lonthl after thl dloldlntl. death, . f1vl plrelnt lS~) discount of the talC paid II allowed. INTEREST, Inhr.., It chargld blglnnlng with ftrst day of dlllnqulncy, or nlnl (9) IIcnthl Ind onl (lJ day frOI thl dill 0' duth, to tha dati of paV"lnt. TalC" Whtch blcUI dlllnqu.nt blforl January I, 1982 b..r Inter..t It 'hi retl of III( (6%1 perctnt plr annu. calculatld at a dalh ra'l of .00016lt. All tlllll whlc:h b.ea.. dlll:o\quent on and tftlr January I, 1911Z will b.ar Int.r..t at . r.tl whiCh will vlry fro. callndlr Yilt to cahnder ynr with thlt retl i1n"ounCld by the PA O'Plrt.tnt of Rlvlnul. Thl appllcabll Intlr..' rltll for 198Z '"rough 1995 trll '!!!!; Intltllt RU. Cally I"tlrll'~ Vllr Jntlrll' Ratl DallY Intlr..t Flotor 19a7 ZO% .000548 1961 9% ,000241 19U 16% .DOOU. 1956-1991 IIX ,ooom 19114 11% ,000101 19'1Z n ,000141 19a5 U% .000556 1993.199lt 1% ,000197 19a6 10% .000274 199~ 9% ,000141 . .Inttrllt ,. Cllleulltld .. follow, 1 INTERr.ST . BALANCE or TAX UNPAID X NUNSER or DAYS DELINqUENT X DAILY INTEREST FACTOR "Anv Notlcl t..uld Ift.r 'hi tllC bloo." dlllnqulnt will rlfllot IIn Intlrut cllculatlon to flftlln (1S) clIY. blyond thl dltl of tht a........nt. If pa'1"lnt I. /II.dt after thl Intlr..' co.putatton data .ho,," 011 thl Notlet, IlddltJonal lrottr..t ~u.t bl c.lroul.tld. .,:; {: :f;;','1 , ~, : ' " ,\ ; , , ,"I, ~ -" .;.:,; '(,i' r'" , ! <,-r,f,'.',.;,:::""': ", !I' '\1 ,i':-"'! .' :~-,','- J: ,,/ _ I' " " '1-'1, I/;!:'.I' '{, , ,1,,1' .! ,"-,;/ . ,"!f, '-,1: 'i'\'. _\i\" l<,,~. .'.- ',,-' /',~,~/ .' , , ,. I' ., "1 , , , . , , H.. ,/ '1. 'I., ,,' ,/,,'.\\"" 'I'}' .1,' I \!:..:,. ,.,,': 'I ",\ 'il' ,. '\"\"1" ".' ',' /. ~ ' " ~ i'I t':.,:;,"; , ' . 'I \ ..' " "e'-" ',: '~, ~. ':,5', III Ill.' '1>01 :~, ,.~ ,=' , . . Ill;. , ,~" ='.,,' ",,/;.:,\::: ; . ~ ' i.', , ,LP,' ,\1 " ,.', ,.,t" \" I' " , ' ~: I!' \",',:," :', : " .',' I , ) r~ ~. I,,' ','i. " II , ," (!' ,:,\" . T' ," ,.1" I},,' '~f' - " " ,"/<1',',:;" , F' ~ ' I: ",'_:,;'.' /. ).1' ~ \.1 " 1','! ~ !1 It: 1 I ~, ,\ , jl: i'~J:r'qi',,'_::' {",""I'-'\ i (~Il:, ;"\' " : ~~'I/" I'. tl.; ;': ;,~ ." (, , .-,:['-:'!;', ,,:.. ,-- -. .~. s - i~1.. ~~~ , ilw " " , '~ -.'; ~ ' , .. ,. ,r- " . Ii, ~ ~ 1,.,;.:.... ,'" , ..1:.... ',,'1.\ ;j I," '.. '-'.! ,Ii,',,' ,I ," ", ., \,"- . \ :' ~ 1 " '.',' " "Ii,' " !'" .., ';1' , , ,', I, ',".' " 1.....1'. ',\1. " ,", :1 .:~t " I ',- I I'~i,; 1.:'1'" , ,.1' ", ..I l' ";,,; " ':' , " ,t" ..'r , ,I '" ,If, I, d' ': ,. ,,:1, " .-,'" .1, , ' , " ,. , , " ',',' , I, "',.'1 'I. '.. ,/:,'-1; i( /. 'i"I' p,.,1 _',' 'I' , , ,,' .' "" , .:.", ''', ~,i-' ,. " ,,',, " 1"',' ,I,',': ': \,1' " "", ", ,.,',,' " 'i ..'II. ,~ 'f 1-'" '0'--,': ;, ''',' '.:\' " ~ . ',I I . '., ':J . ' "I~' !' ": '"' , j,' 1'" " "! -~_.~.. j"" /, r,l., I.,.' " '!I' (" "I, I ii'cn :l:" J. lCI' 'Ill III "e ,= "~ ':.' ).: I.', " ,. 104 11< I'f III I/'U' ,= ;.1" . , . " " ',r " ',l ,,:' ;,\,1- ;1" cr.' ,;."'- ~ ' , ; ~ .-:.' :,' ,: ':/:: .' (" " ' , ' ,1 , .~' .- ,,' :1', ...-< " II' , .' ': . \ \ ~.' , " II-:_l , ',,: i'" ,,;,, ,,' 1'1,(1. ~ \ ", '.1' "1.'.11 'I)' ,,' '" ,':. '''11,1 'J; ," , " ',! '\\: ,. ':!, "j: ',1 " I".' ,. .,; , .'( i"'" ';11 <I,' ." ',!i I, " , . . ',\ ~! f ; , ;!. ~ " '.,! '," '. , ''-,' 'f"" , .j' " ,', ( ~ i ,., , , j"-... '," ',I, I"')', ", j' ~ : .,: . , " , " I' ,:1. Ii' \-.: 'I" , ,". " '! " ".,'!. i.' '~'\I":::\' . '," " ,. " II "," 1,-',:, , '.1" ',') I '1_1"fi :1 . ( '; _ t'i I'! ;, ' , ~ :1'0:,1,:1,:" ,lfl' ~ ~:. ~ j J " l!! !1"I' .~~ [1:'\" .' 'I" \ ,. . '1,,' j' j. '~1 \" dn CJ'\ . ,C::,'. ,,:' 0'.'" ~[I, :~~',"'~! '\1> I,: '1 II,,' f!" 'I" < ':,;' I ,':! "./,:'.,:fll' ,( d''', , , ,'..~, ,; ';"'. ~ I', "; . , " " I',' ,,' \" ", 'I" ;,)' ,':,t.,' ,I.' :p'. J, ",,1:,;'1;, .- ", , .;' . ,: ;'~;;- -\<:: ., . _.,t. ':. -'1 '1,- .,,~t). ," ' ;";':. ,I" :":\' :.f', I." " " ',1 ,. ~ .. i 1\:' . I ~! " ./,.' "/::' " I' \ I., 1: ~ ... .1 ',,' ", '.~ " ';( . ." /,\ ;'. "i;' .'1' 'I"" " " " ,; " ,,'.'J,' " , " ., "" ,. , .,,' I"~ " ,'1' ~ i I. IN, THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY , ORPHANS' COURT DIVISION STATE OF PENNSYLVANIA IN THE ESTATE OF NETA E. BERRY, DECEASED NO. 0185 of 1994 RECEIPT AND RELEASE AGREEMENT WHEREAS, Fulton Bank is executor under the will of Neta E. Berry dated October 12, 1978, and WHEREAS, Neta E. Berry died on January 6, 1994, and WHEREAS, The will of Neta E. Berry states: "In the event my said husband should predecease me, ...I direct my hereinafter named executor... and to divide the net proceeds derived therefrom as herein provided." "I give and bequeath a one-fourth (1/4) portion thereof to my grandchildren, Steven R. Crawford and Michele R. Crawford, in equal shares, owing to the fact that their mother, Dolores J. Crawford, has predeceased me. I give and bequeath a one-fourth (1/4) portion thereof to my son, Thomas R. Berry, R.D.#2, Turner, Maine 04282. I give and bequeath the remaining one-half (1/2) portion thereof to my living grandchildren, being children of my aforesaid children, share and share alike per capita and not per stirpes. At the present time there are four grandchildren, namely, Steven R. Crawford and Michele L. Crawford, children of my deceased daughter, Dolores J. Crawford, and Daniel R. Berry and Richard A. Berry, children of my son, Thomas R. Berry." wm~REAS, George I. Berry, husband of Neta E. Berry, died November 15, 1986. WHEREAS, Michelle L. Becker has examined the attached accounting and acknowledges that it is complete and accurate, hereby waiving any right to demand the filing of a formal court accounting by the fiduciary, and approves the acts and transactions of the fiduciary in the administration of the estate, and I, ,. WHEREAS, it is the desire of the parties hereto that distribution of the balance of principal and income be made without the formality of the filing of an accounting in any Court having jurisdiction, and WHEREAS, Fulton Bank is willing to make such distribution upon receipt of the Release and Indemnification provided for in this agreement. NOW THEREFORE, KNOW ALL MEN BY THESE PRESENTS that the undersigned does hereby request Fulton Bank to make distribution of the balance of the estate without the filing of an accounting for audit and approval by the Court having jurisdiction. The undersigned, in consideration of the payment and delivery to her of the following: Principal Cash Income Cash $11,314.27 583.78 the receipt of which is hereby acknowledged, for herself, her heirs, personal representativeB and assigns does remise, release, quit-claim and forever discharge Fulton Bank, individually and as executor aforesaid, its successors and assigns, of and from all actions, suits, nayments, accounts, claims and demands whatsoever or by reason thereof, and from any suit, payment, claim or liability arising from the administration of any common fund by the fiduciary or arising fr.om any losses on investments in any common fund administe>red by the fiduciary, and hereby agrees that any court having jurisdiction may by its decree discharge Fulton Bank as executor. The undersigned further agrees to indemnify and hold harmless Fulton Bank, its successors and assigns, from and against any and all claims, loss, liability or damage which it may suffer or to which it may be subjected by reason of the settlement of its account and the distribution of assets of the said estate without approval of the court having jurisdiction. In consideration of the distribution to the undersigned of the property described above, the undersigned agrees to pay the fiduciary any amount up to the value of the property that may be necessary in the future to discharge any liabilities of the estate. The undersigned further declares that it is her intention to be legally bound by the execution of this Agreement. IN WITNESS WHEREOF, the undersigned has hereunto set her hand and seal this I{,' (/1 day of /r.'[\A>WIA>Y , 1995. Witness: 771_. ' /') ~L) ~~~;("LA""A A '. M , ' I, , STATE OF PENNSYLVANIA : :SS: # COUNTY OF. On this /6. T/-I day otf'r/V',JIII!Y I 1995/ before me, a Notary Public, personally appeared Michelle L. Becker known to me (or satisfaotorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN WITNE.SS WHEREOF, I hereunto set my hand and seal. ~ /\fl '711( ( 7,Y.t-->,k-<-.A. Y PUBl,TC . MY COMMISSION EXPIRES: " NoIIlll:lJSoaJ MoM C, Relrllard, ~ P\bIo M ~lll.I'l\>,p.,DauPhln IllY y m!ssloo Explros May 13, 1996 , llIVlSy bon I , , ' , " ., " ". , ',I .. .. I'; , , " I' ,. ,. I" i' I , ' . , " ..' " , , , .'1' " 'I 'I' " " I, ,I I; I" ,Ij_' , .' " . ' , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION STATE OF PENNSYLVANIA " IN THE ESTATE OF NETA E. BERRY, DECEASED NO. 0185 of 1994 RECEIPT AND RELEASE AGREEMENT WHEREAS, Fulton Bank is executor under the will of Neta E. Berry dated October 12, 1978, and WHERF.AS, Neta E. Berry died on January 6, 1994, and WHEREAS, The will of Neta E. Berry states: "In the event my said husband should predecease me,...I direct my hereinafter named executor... and to divide the net proceeds derived therefrom as herein provided." "I give and bequeath a one-fourth (1/4) portion thereof to my grandchildren, Steven R. Crawford and Michele R. Crawford, in equal shares, owing to the fact that their mother, Dolores J. Crawford, has predeceased me. I give and bequeath a one-fourth (1/4) portion thereof to my son, Thomas R. Berry, R.D.#2, Turner, Maine 04282. I give and bequeath the remaining one-half (1/2) portion thereof to my living grandchildren, being children of my aforesaid children, share and share alike per capita and not per stirpes. At the present time there are four grandchildren, namely, Steven R. Crawford and Michele L. Crawford, children of my deceased daughter, Dolores J. Crawford, and Daniel R. Berry and Richard A. Berry, children of my son, Thomas R. Berry." WHEREAS, George 1. Berry, husband of Neta E. Berry, died November 15, 1986. WHEREAS, Steven R. Crawford has examined the attached accounting and acknowledges that it is complete and accurate, hereby waiving any right to demand the filing of a formal court accounting by the fiduciary, and approves the acts and transactions of the fiduciary in the administration of the estate, and " WHEREAS, it is the desire of the parties hereto that distribution of the balance of principal and income be made without the formality of the filing of an accounting in any Court having jurisdiction, and WHEREAS, Fulton Bank is willing to make such distribution upon receipt of the Release and Indemnification provided for in this agreement. NOW THEREFORE, KNOW ALL MEN BY THESE PRESENTS that the undersigned does hereby request Fulton Bank to make distribution of the balance of the estate without the filing of an accounting for audit and approval by the Court having jurisdiction, The undersigned, in consideration of the payment and delivery to him of the following: Principal Cash Income Cash $11,314.27 583,78 the receipt of which is hereby acknowledged, for himself, his heirs, personal representatives and assigns does remise, release, quit-claim and forever discharge Fulton Bank, individually and as executor aforesaid, its successors and assigns, of and from all actions, suits, payments, accounts, claims and demands whatsoever or by reason thereof, and from any suit, paymen t, claim or liability arising from the administration of any common fund by the fiduciary or arising from any losses on investments in any common fund administered by the fiduciary, and hereby agrees that any court having jurisdiction may by its decree discharge Fulton Bank as executor. The undersigned further agrees to indemnify and hold harmless Fulton Bank, its successors and assigns, from and against any and all claims, loss, liability or damage which it may suffer or to which it may be subj ected by reason of the settlement of Hs account and the distribution of assets of the said estate without approval of the court having jurisdiction. In consideration of the distribution to the undersigned of the property described above, the undersigned agrees to pay the fiduciary any amount up to the value of the property that may be necessary in the future to discharge any liabilities of the estate. The undersigned further declares that it is his intention to be legally bound by the execution of this Agreement. IN WITNESS and seal this WHEREOF, the undersigned has hereunto / ?'f), day of -'le/;rucA,(-Y , 1995. set his hand, Witness: ~..) \ (. ~. r-- . -,\,,,. " -~'T5 h.,.j t,,~ct.al-l " IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION STATE OF PENNSYLVANIA IN THE ESTATE OF NETA E. BERRY, DECEASED NO. 0185 of 1994 RECEIPT AND RELEASE AGREEMENT WHEREAS, Fulton Bank is executor under the will of Neta E. Berry dated October 12, 1978/ and WHEREAS, Neta E. Berry died on January 6, 1994, and WHEREAS, The will of Neta E. Berry states: "In the event my said husband should predecease me,...I direct my hereinafter named executor... and to divide the net proceeds derived therefrom as herein provided." "I give and bequeath a one-fourth {1/41 portion thereot to my grandchildren, Steven R. Crawford and Michele R. Crawford, in equal shares, owing to the fact that their mother, Dolores J. Crawford, has predeceased me. I give and bequeath a one-fourth (1/4) portion thereof to my son, Thomas R. Berry, R.D.H2, Turner, Maine 04282. I give and bequeath the remaining one-half (1/2) portion thereof to my living grandchildren, being children of my aforesaid children, share and share alike per capita and not per. stirpes. At the present time there are four grandchildren, namely, Steven R. Crawford and Michele L. Crawford, children of my deceased daughter, Dolores J. Crawford, and Daniel R. Berry and Richard A. Berry, children of my son, Thomas R. Berry." WHEREAS, Geor.ge I. Berry, husband of Neta E. Berry, died November 15, 1986. WHEREAS, Daniel R. Berry has examined the attached accounting and acknowledges that it is complete and accurate, hereby waiving any right to demand the filing of a formal court accounting by the fiduciary, and approves the acts and transactions of the fiduciary in the administration of the estate/ and WHEREAS, it is the desire of the parties hereto that distribution of the balance of principal and income be made without the formality of the filing of an accounting in any Court having jurisdiction, and WHEREAS, Fulton Bank is willing to make such distribution upon receipt of the Release and Indemnification provided for in this agreement. NOW THEREFORE, KNOW ALL MEN BY THESE PRESENTS that the undersigned does hereby request Fulton Bank to make distribution of the balance of the estate without the filing of an accounting for audit and approval by the Court having jurisdiction. The undersigned, in consideration of the payment and delivery to him of the following: Principal Cash Income Cash $5,657.14 291.89 the receipt of which is hereby acknowledged, for himself, him heirs, personal representatives and assigns does remise, release, quit-claim and forever discharge Fulton Bank, individually and as executor aforesaid, its successors and assigns, of and from all actions, suits, payments, accounts, claims and demands whatsoever or by reason thereof, and from any sui t, payment, claim or liability arising from the administration of any common fund by the fiduciary or arising from any losses on investments in any common fund administered by the fiduciary, and hereby agrees that any court having jurisdiction may by its decree discharge Fulton Bank as executor. The undersigned further agrees to indemnify and hold harmless Fulton Bank, its successors and a,'3signs, from and against any and all claims, loss, liability or damage which it may suffer or to which it may be subjected by reason of the settlement of its account and the distribution of assets of the said estate without approval of the court having jurisdiction. In consideration of the distribution to the undersigned of the property described above, the undersigned agrees to pay the fiduciary any amount up to the value of the property that may be necessary in the future to discharge any liabilities of the estate, The undersigned further declares that it is his intention to be legally bound by the execution of this Agreement. IN WITNESS WHEREOF, the under.signed has hereunto set his hand and seal this ..:l u f/", day of r.1'/J/('(I)/rf'r , 1995. Witness: ...,~.... DY;,Q,.,.,~) ~~ 'H?7' , ~ ,na ( _ {....uV1.-y' Dan e1 R. Berry I IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION STATE OF PENNSYLVANIA IN THE ESTATE OF NETA E. BERRY, DECEASED NO. 0185 of 1994 RECEIPT AND RELEASE AGREEMENT WHEREAS, Fulton Bank is executor under the will of Neta E. Berry dated October 12, 1978, and WHEREAS, Neta E. Berry died on January 6, 1994/ and WHEREAS, The will of Neta E. Berry states: "In the event my said husband should predecease me, ...1 direct my hereinafter named executor... and to divide the net. proceeds derived therefrom as herein provided." "I give and bequeath a one-fourth (1/4) portion thereof to my grandchildren, St.even R. Crawford and Michele R. Crawford, in equal shares, owing to the fact that their mother, Dolores J. Crawford, has predeceased me. I give and bequeath a one-fourth (1/4) portion thereof to my son/ Thomas R. Berry, R.D.#2, Turner, Maine 04282. I give and bequeath t.he remaining one-half (1/2) portion thereof to my living grandchildren, being children of my aforesaid children, share and share alike per capita and not per stirpes. At the present time there are four grandchildren, namely, Steven R. Crawford and Michele L. Crawford, children of my deceased daughter, Dolores J. Crawford, and Daniel R. Berry and Richard A. Berry, children of my son/ Thomas R. Berry." WHEREAS, George I. Berry, husband of Neta E. Berry, died November 15/ 1986. WHEREAS, Richard A. Berry has examined the attached accounting and acknowledges that it is complete and accurate, hereby waiving any right to demand the filing of a formal court accounting by the fiduciary, and approves the acts and transactions of the fiduciary in the administration of the estate/ and WHEREAS, it is the desire of the parties hereto that distribution of the balance of principal and income be made without the formality of the filing of an accounting in any Court having jurisdiction, and WHEREAS, Fulton Bank is willing to make such distribution upon receipt of the Release and Indemnification provided for in this agreement. NOW 1'HEREFORE, KNOW ALL MEN BY THESE PRESENTS that the undersigned does hereby request Ful ton Bank to make distribution of the balance of the estate without the filing of an accounting for audit and approval by the Court having jurisdiction. The undersigned, in consideration of the payment and delivery to him of the following: Principal Cash Income Cash $5,657,14 291. 89 the receipt of which is hereby acknowledged, for himself, him heirs, personal representatives and assigns does remise, release, quit-claim and forever discharge Fulton Bank, individually and as executor aforesaid, its successors and assigns, of and from all actions, suits, payments, accounts, claims and demands whatsoever or by reason thereof, and from any suit, payment, claim or liability arising from the adrninistration of any common fund by the fiduciary or arising from any losses on investments in any common fund administered by the fiduciary, and hereby agrees that any court having jurisdiction may by its decree discharge Fulton Bank as executor. The undersigned further agrees to indemnify and hold harmless Fulton Bank, its successors and assigns, from and against any and all claims, loss, liability or damage which it may suffer or to which it may be subj ected by reason of the set tlement of its account and the distribution of assets of the said estate without approval of the court having jurisdiction. In consideration of the distribution to the undersigned of the property described above, the undersigned agrees to pay the fiduciary any amount up to the value of the property that may be necessary in the future to discharge any liabilities of the estate. The undersigned further declares that it is his intention to be legally bound by the execution of this Agreement. IN WITNESS WHEREOF, the undyrs}gned has hereunto set his hand and seal this ~O day of ~ , 1995. Witness: ~~~A(} R' c 1ar A. Berry STATE OF NEW YORK COUNTY OF L e aM On this ,~d ~ day of 1;61:111i~Y , 1995, before me/ a Notary Public, personally appeared Richard A. Berry known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he executed the same for the purposes therein contained. :SSI IN WITNESS WHEREOF, I hereunto /1/",' lI' /)/. , tI .4ttti-JU "f, .itllL NOTARY PUBLIC MY COMMISSION EXPIRES: -Jull ,~!, )'/'1(, set my hand and seal.' VIVIAN L, HILL ~llIr1 Public, SI.III! Ntw VOl' L"Y~ CCtln~ NO. 4U2aQZ , MyCommbl~n..(Il,~" ,0\: JuIW1'."~ .'. ',\ I , , " i. " " " i 1;,1 " , Ii , I " , , , j, ", " , III " 1\, 1" "\) I' 'I,. ". '\" ' " ,i ' t, " , , ,'1' i Ii " ; " ,. " ,. ','\ !, "I , ,"j. ('I'. I,', ". ", " " " ., i,', I , ,,;' ';" " I '. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ORPHANS' COURT DIVISION STATE OF PENNSYLVANIA IN THE ESTATE OF NETA E. BERRY, DECEASED NO. 0185 of'1994 RECEIPT AND RELEASE AGREEMENT WHEREAS, Fulton Bank is executor under the will of Neta E. Berry dated October 12, 1978, and WHEREAS, Neta E. Berry died on January 6, 1994, and WHEREAS, The will of Neta E. Berry states: "In the event my said husband should predecease me, ...1 direct my hereinafter named executor... and to divide the net proceeds derived therefrom as herein provided." "I give and bequeath a one-fourth (1/4) portion thereof to my grandchildren, Steven R. Crawford and Michele R. Crawford, in equal shares, owing to the fact that their mother, Dolores J. Crawford, has predeceased me. I give and bequeath a one-fourth (1/4) portion thereof to my son, Thomas R. Berry, R.D.#2, Turner, Maine 04282. I give and bequeath the remaining one-half (1/2) portion thereof to my living grandchildren, being children of my aforesaid children, share and share alike per capita and not per stirpes. At the present time there are four grandchildren, namely, Steven R. Crawford and Michele L. Crawford, children of my deceased daughter, Dolores J. Crawford, and Daniel R. Berry and Richard A. Berry, children of my son, Thomas R. Berry." WHEREAS, George I, Berry, husband of Neta E. Berry, died November 15, 1986. WHEREAS, Thomas R. Berry has examined the attached accounting and acknowledges that it is complete and accurate, hereby waiving any right to demand the filing of a formal court accounting by the fiduciary, and approves the acts and transactions of the fiduciary in the administration of the estate, and \. . WHEREAS, it is the desire of the parties hereto that distribution of the balance of principal and income be made without the formality of the filing of an accounting in any Court having jurisdiction, and WHEREAS, ~ulton Bank is willing to make such distribution upon receipt cf the Release and Indemnification provided for in this agreement. NOW 'fHEREFORE, KNOW ALL MEN BY THESE PRESENTS that the undersigned does hereby request Fulton Bank to make distribution of the balance of the estate without the filing of an accounting for audit and approval by the Court having jurisdiction. The undersigned, in consideration of the payment and delivery to him of the following: Principal Cash Income Cash $11,314.27 583.78 the receipt of which is hereby acknowledged, for himself, his heirs, personal representatives and assigns does remise, release, quit-claim and forever discharge Fulton Bank, individually and as executor aforesaid, its successors and assigns, of and f.rom all actions, suits, payments, accounts, claims and demands whatsoever or by reason thereof, and from any sui t, payment, claim or liability arising from the administration of any common fund by the fiduciary or arising from any losses on investments in any common fund administered by the fiduciary, and hereby agrees that any court having jurisdiction may by its decree discharge Fulton Bank as executor. The undersigned further agrees to indemnify and hold harmless Fulton Bany, its successors and assigns, from and against any and all claims, loss, liability or damage which it may suffer or to which it may be subjected by reason of the settlement of its account and the distribution of assets of the said estate without approval of the court having jurisdiction. In consideration of the distribution to the undersigned of the property described above, the undersigned agrees to p~y the fiduciary any amount up to the value of the property that may be necessary in the future to discharge any liabilities of the estate, The undersigned further declares that it is his intention to be legally bound by the execution of this Agreement. IN WITNESS WHEREOF, the undersigned has hereunto set his hand and seal this .),g'rl- day of 15/~Jt'.:(!/f'r ,1995. Witness: UlwCi"l'\l,,Q 'CJ 't1:~lM-o. \i{ ~.l{!t'~ , Tomas R. Berry \j " " I, 'i I. ,. . . :88: set my hand and seal. IC MY COMMISSION EXPIRES: MYCOMMISSIONEXPIAES MARCH 23. 1999 I'; I" :(. ,I I' , ' ". " ,I " " (;0, ,,' . II ,i j, ,; j 'I'; ", " 1\. '!.I' " '. " ,. l' " I, " , \' " " , 'I " I'" " 1 I ~ J , ii, I., 1,'_' ,1:'\ ,., " !/ " v, " , ' , " '. , .. lj. " ,,'I ;. j, " ,'.j, I " i II I ", " " , ,,: "j" iI " 'i" ",I 'j " ,. . ,., , ';1 ,-,' " " " I " " 'I..; I" " " , ",' </,,' .I, " PRINCIPAL RECEIPTS 2/28/~4 Personal Property Listed on Inventory , Fulton Bank Checking Account 1068-30182 date of death value Fulton Bank Checking Account - interest received after date of death Met~Life Pension deposited to checking 2/1/94 Pa, State Employees Credit Union - proceeds savings account TOTAL PRINCIPAL RECEIPTS ,$25,115.86 1,859~86 5.61 30.50 , 64,308.72 $91,320.55 CONVERSION SCHEDULE Gain Loss 3/9/94 $2,000 'Fulton Bank CertHi.. cate of Deposit #020747 Proceeds $2,000.00 Inventory 2,000.00 -- -- -- . ,. 12/5/94 $1,000 Fulton Bank Certifi- cate of Deposit #022229 Proceeds $1,000.00 Inventory 1,000.00 -- -- . , 1/20/95 ' , $1,000 Fulton Bank Certifi- cate of Deposit #028617 Proceeds $1,000.00 Inventory 1,000.00 --,.-- $ltOOO Fulton Bank Certifi~ ca e of Deposit #028605 Proceeds $1,000.00 Inventory 1,000.00 -- -- -- , . $1,000 Fulton Bank Certifi- cate of Deposit #025183 Proceeds $1,000.00 Inventory 1,000.00 -- -- ""- -- "., . ' $1,000 Fulton Bank Certifi- cate of Deposit #025176 Proceeds $1,000.00 Inventory 1,000.00 -- -- , . $1,000 Fulton Bank Certifi~ cate of Deposit #025032 Proceeds $1,000.00 '1 ' Inventory 1,000.00 -- ,... -- --, . . 1/20/95 $1,000 Fulton Bank Certifi- cate of Deposit #002534 Proceeds $1,000.00 Inventory 1,000.00 -- -- ' -- -- . . $5,000 Fulton Bank Certifi- cate of Deposit #002365 Proceeds $5,000.00 Inventory 5,OOO.OQ --,.-- -- -- . $2,000 Fulton Bank Certifi- cate of Deposit #037386 Proceeds $2,000.00 Inventory 2/000.00 --.-- -- -- . $1,000 Fulton Bank Certifi- cate of Deposit #03" 139 Proceeds $1/000.00 Inventory 1,000.00 -.. -- . $1,000 Fulton Bank Certifi- cate of Deposit #002452 Proceeds $1,000.00 Inventory 1/000.00 -- -- -- -- . . 2/28/94 3/4/94 3/8/94 3/11/94 3/31/94 4/20/94 4/22/94 4/26/94 6/10/94 8/30/94 9/30/94 PRINCIP.~ DISBURSEMENTS Register of Wills - short certificate Pa. Department of Revenue - death certi- ficate Metropolitan Life - return February 2 annuity payment Jesse H. Geigle Funeral Horne - funeral bill Caldwell & Kearns - reimbursement probate cost Register of Wills - prepayment of Pa. Inheri- tance Tax Fulton Bank - preparation 1993 income tax return Pease Pharmacy - prescription expense Pa. Department of Revenue - adjustment on 1990 income tax Three Springs Family Practice - professional medical services Caldwell & Kearns - reimbursement estate publication notices Register of Wills - file inventory & Pd. Inheri- tance Tax Return Register of Wills - balance due Pa. Inheritance Tax $ 3.00 3.00 30.50 4,415.00 74.00 2,565.00 45.00 6.00 167.81 26.82 108.84 25.00 , 421. 40 , I.. . I Reserve for possible Pa. Income Tax Reserve for recording releaoes Caldwell & Kearns - attorney fee Fulton Bank - executor commission. TOTAL PRINCIPAL RECEIPTS 500.00 100.00 1,072.09 1,500.00 $11,063.46 PRINCIPAL DISTRIBUTIONS 6/29/94 Richard A. Berry - partial distribution Daniel R. Berry - partial distribution Thomas R. Berry - partial distribution Steven R. Crawford - partial distribution Michelle L. Becker - partial distribution TOTAL PRINCIPAL DISTRIBUTIONS $ 4,375.00 4,375.00 8,750.00 8,750.00 8,750.00 $35,000.00 INCOME RECEIPTS 1/18/94 Fulton Bank Certificate of Deposit #002452 - interest after date of deClth $ 1. 24 Fulton Bank Certificate of Deposit #037386 - interest after date of death 3.70 2/8/94 Fulton Bank Certificate of Deposit #002365 - interest after date of death 30.52 3/2/94 Fulton Bank Certificate of Deposit #028605 - interest after date of death 6.61 3/3/94 Fulton Bank Certificate of Deposit #002229 - interest after date of death 11. 66 Fulton Bank Certificate of Deposit #028747 - interest after date of death 23.31 3/9/94 Fulton Bank Certificate of Deposit #028747 - interest . 1.17 3/23/94 Fulton Bank Certificate of Deposit #025032 - interest after date of death 10.72 Fulton Bank Certificate of Deposit #002534 - interest after date of death rO.07 4/4/94 Fulton Bank Certificate of Deposit #025183 - interest after date of death 10.18 4/8/94 Fulton Bank Certificate of Deposit #037139 - interest after date of death 16.09 Fulton Bank Certificate of Deposit #028617 - interest after date of death 10.21 ' Fulton Bank Certificate of Deposit #025032 - interest after date of death 11.10 4/14/94 Fulton Bank Certificate of Deposit #002452 - interest 11.76 4/18/94 Fulton Bank Certi Ucate of Deposit #037386 - j,nterest 33.29 5/9/94 Fulton Bank Certificate of Deposit #002365 - interest 82.29 , .I -'. .'. '~ 0'-....' .. . ~', ,. ,~ " 6/7/94 Fulton Bank Certificate of Deposit #028605 - interest 11. 02 6/9/94 Fulton Bank Certificate of Deposit #002229 - interest 19.16 6/16/94 Fulton Bank Certificate of Deposit #025176 - interest after date of death 8.78 Fulton Bank Certificate of Deposit #002534 - interest 13.23 6/30/94 Fulton Bank Certificate of Deposit #025183 - interest 10.90 7/11/94 Fulton Bank Certificate of Deposit #025032 - interest 11. 22 7/13/94 Fulton Bank Certificate of Deposit #037139 - interest 16.83 F'ulton Bank Certificate of Deposit #028617 - interest 10.68 7/14/94 Fulton Bank Certificate of Deposit #002452 - interest 11.89 7/15/94 Fulton Bank Certificate of Deposit #037386 - interest 33.66 8/8/94 Fulton Bank Certificate of Deposit #002365 - interest 85.07 9/6/94 Fulton Bank Certificate of Deposit #002~29 - interest 19.16 Fulton Bank Certificate of Deposit #028605 - interest 11. 02 9/21/94 Fulton Bank Certificate of Deposit #002534 - interest 13.23 Fulton Bank Certificate of Deposit #025176 - interest 11. 22 9/30/94 Fulton Bank Certificate of Deposit #025183 - interest 11. 02 10/5/94 Fulton Bank Certificate of Deposit #025032 - interest 11.34 Fult.on Bank Certificate of. Deposit #028617 - interest 10.79 Fulton Bank Certificate of DeposH #037139 - interest 17.01 10/17/94 Fulton Bank Certificate of Deposit #037386 - interest 34.03 Fulton Bank Certificate of Deposit #002452 - interest 12.02 11/8/94 Fulton Bank Certificate of Deposit #002365 - interest 85.07 12/5/94 Fulton Bank Certificate of Deposit #028605 - interest 10.90 Fulton Bank Certificate of Deposit #002229 - interest 18.92 12/19/94 Fulton Bank Certificate of Deposit #002534 - interest 13.09 Fulton Bank Certificate of Deposit #025176 - interest 11. 09 1/3/95 Personal Property Tax Free Fund - interest 10.04 . , 1/5/95 Fu1 ton Bank Certificate of Deposit - #025183 interest 11.02 Fulton Bank Certificate of Deposit - #037139 interest 17.01 Fulton Bank Certificate of Deposit - #028617 interest 10.79 Fulton Bank Certificate of Deposit - #025032 interest 11.34 1/17/95 Fulton Bank Certificate of Peposi t .. #037386 interest 34.03 Fulton Bank Certificate of Deposit - #002452 interest 12.02 1/20/95 Fulton Bank CertIficate of Deposit - #028617 interest 2.00 Fulton Bank Certificate of Deposit - #028605 interest 5.87 Fulton Bank Certificate of Deposit - #025183 intereot 2.29 Fulton Bank Certificate of Deposit - #025176 interest 4.15 Fulton Bank Certificate of Deposit #025032 interest 1. 97 Fulton Bank Certificate of Deposit - #002534 interest 4.90 Fulton Bank Certificate of Deposit - #002365 interest 67.49 Fu1 ton Bank Certificate of Deposit - #037386 interest 1. 45 Fulton Bank Certificate of Deposit - #037139 interest 3.16 Fulton Bank Certificate of Deposit - #002452 interest .64 U. S. Treasury Bill Money Market Fund - interest 3/1/94 - 3/31/94 $ 154.76 4/1/94 - 4/30/94 176.36 5/1/94 - 5/31/94 198.63 6/1/94 - 6/30/94 199.13 7/1/94 - 7/31/94 106.05 8/1/94 - 8/31/94 111. 08 9/1/94 - 9/30/94 118.93 10/1/94 - 10/31/94 123.33 11/1/94 - 11/30/94 130.58 12/1/94 - 12/31/94 142.49 1,461.34 TOTAL INCOME RECEIPTS $ 2,457.78 INCOME DISBURSEMENTS Fulton Bank - income commissions TOTAL INCOME DISBURSEMENTS $ 122.66 $ 122.66 . \." F ; . STATUS REPORT UNDER RULE 6.12 Name' of Decedent I Noti'l E. B(>rr:y Date of Deathl ,Tam'i'l"Y 6, 1994 Will No. Admin, No. 21-1994-185 ----- 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 estatel 1. State whether administration of the estate is complete I Yes X No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be completel.___ 3. If the answer to No, 1 is Yes, state the followingl a. Did the personal representative file a final account with the Court? Yes No X b. The separa te Orphans' Court No. (if any) for the personal representative's account iSI c, Did the personal represontative 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 Cerk of the Orphans' Court and may be attached to this report. Date I 2. - 1.1 '7 (, ( ) ,- ,,' -J.-.........r-..... Signature / Na~~r]t';I~aS~I~~~tpe I~~. ~~~~~t) 3631 North Front street Hi'lrrisbuIl;J, I'll 17110 Address (717) 232-7661- Te I. No, CapacitYI Personal Representative (MAH I rmf / AM3) X Counsel for personal representative