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HomeMy WebLinkAbout94-00390 " "r ~l + . .,' f. I "\;'/';,....-1- -",' " PETITION .'OR PROBATE Ilnd GRANT (n' LETTERS No,..C(L~.q!f_~.._ 3 9 D To: Estate of Edna I. .Jio.C.K-QL_____..___. a/so known as ____.__......._........__..._ ---- .-.-..--.-.......-..-.--.... Rcgl~lcr of \tlll~ Wr II~ d .__.____.__. 0('('('(/.11'I/, COllnlY of .....'!ll1.....e r an In thc Soda/ SeCllrlly No, 57 .8-=.38.:: 0 :))~__...... COllnnonwcllllh of I'cnnsylvllnlll Thc petlllon of thc undcrslgncd rcspcctfully rcprcscnls thlll: Your pctllloncr(s), whols/nrc IX ycurs of IIgc or older nnlhc c1ceut~:!:.~Tl 'Wired Inlhc last will of thc abovc dcccdcnt, dnlcd ..._____.._..._..____.__.p~_..____, 19_ and codlcll(s) dlltcd ____tj./b...____.._......____...n.___._.._...____. __ (\Hll~ rc1C\'1I1l1 drCIIIIl'iIlIlKf..'\, c,~, rcnuudllllnn, ~lcalh lIr l'Il,CClllOI, ell',) Dcccndcnl wns domlcllcd nt dClllh In __ CUl!!~el'-!; lan_L_. -.s- Conl\!y, Pennsylvania, wilh her IlIsI family or principnl rcsldcncc nl ..~c!_t\.E':D!P.t Roau, Mechanicsburg, Sil vel' SPdnil...19ynj3hil?L I'enn~y..l vi!.n i.<,!. (llsl MIce!, numher und 1II11I1dpalil~') Dcccndcnl, thcn__~.B_--..nrcllrs oIngc, dlcd _.._____.n.._!!.~~.Pr:~l ,1994, at Renova Con tel', ~.~~~_ls~!l._l.aneL_Mecl~rlJcsuurg, [,ower Allen, Township, Exccptlls follows, dcccdcnl did uolmurry, WII.S nol dlvorccd IInd did not hllvc II child born or adoptcd PA IIftcr cxccullon of thc will offcrcd for problllc; WIlS nollhc victim of II killing nnd was ncvcr adjudlcatcd Incompctcnt: ____ ..___.... Dcccndcntal dcath owucd propcrly wilh cslll11l1lcd vlllucs as follows: (If domlcllcd in Po,) All pcrsonnl propcrty $ 6,000.00 (If not domlcllcd In I'll.) Pcrsonal propcrlY in Pcnnsylvllnlll $. (If not domicilcd In I'll.) Pcrsonnl PiO[lCrlY in County $. Value of real cstalc In I'cnnsylvllnin $ 75 , 000. 00 sltuatcd as follows: ._.J_E..Jlem~Road, Mechanicsbur.lI..L~~. ( 1'rust) WHEREFORE, pClitloncr(s) rcspectfully 'f~ll,ftt~s~JI~\gr~ybnte of thc Insl will and codlcll(s) prescnted hcrcwlth and thc grnnl of Icllers theron. (ICSllImclllnry; udmlnl'ilrulion C.t.O,i mlmlnlstr.ulon d,b.ll.c.l.o,) i '0- 0" o:~ '!l.g ~'€ ..... lr~ ~ 0 i VI . RITA JEAN BREHM 51 <?v.IM......-Rtntu. ~MA,(/ l,'OAl) Carlisle. PA ~7013 ~ :' .;:~- .. c~.... C&-.-- ~~ ." _ 4.- ......,c; .. . OATH OF PERSONAL REPRESENTATIVE COMMONWI<:AI,TH 011 PENNsnv ANIA }' as COUNTY OF . CUMBERLAND The pctitioncr(s) obove-nnmcd swcnr(s) or nffirm(s) that thc slalcmcnts in thc forcgoing pctitlon arc truc nnd \'orrccttothc bcst of Ihc knowlcdgc IInd bcllef of pClillllncr(s) IInd Ihatns [lcrsonal rcprrscll- tllllvc(s) of thc nbovc dcccdcnl pctilloncr(s) will wcllllnd truly mlmlnistcr Ihc cstatc IIccording to law. Sworn 10 or l\ffirn~9 ~lI1d subscribcd bcforc mc 11~ll1JTL-~.L--..-.- d~14 of '_(4- -----Jl:.t..f!};rn/c ___-' J..l,.1J.<2.f_...____.JIJ.C AR C, LEWI S Re!:is/(' 14 - J{)5' I III lilJl!~~.;!EAl'! B-R]?IIM__-=--==== ~' ~~~. .r~(~.~,..~.Cll-k.:..:.::....._.-- ,., " ". ( "'. .. " '7 ""---z' <L.~,_LU_~~~:'''='-_,,_,,__ ~ --..---"----------- ~ lUll!! 111 f!fV ~ 1111 IHl 'Oil HII~ C(:JlW/l;~lt:f.lI)j11 \VAIININc\: II I'; ILU1,/\1 111/\1111'; !Itl:, j Ill'\, Iii; (0 I.HJI'I.I(./\'II': (IV 1111<1111:,//,1 'Iii 1'11\)ill(dl,-d/1. COMMONWEAL TlI OF I'1'NNSVlVANIA OEPAI1TMENT Of IIFAlTlI VITAL I1FCorWS LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT. NO. 2061600 . ....Aoril..20..__L9.9.4..._ .o~u 1llluIIII or 'rH~ r,\'rtllIL~II;jn Name of Docodont --.._.....__._.__h__._.....__.. _EDNA. . L fll" .. .HOCKER. ............._......_____.___...________ ~1,'ll't' IMl Sex -_E.emala..._.Soclal Seourlty NO,.......57.8. ...38 . 0334...____... Dato of Doath_.._Apr.il_ Hi. .1..9_9.4... Date 01 Birth Dec~_5......_Ul.05..___. Blrthplaco ...... .-.........Ober lin.....PA..__..______..__ Place of Death RClllOJla..c.entar..1.------.C',umhe.xland._.......__Law.ecAUou..:.r.W.D ..-,---~J:9.1) n~'ffi[lln. f4C1"'; ~IMII'1 (.,,\<,,11 CI1;. IlJI<J"llh {,r I"",ffiiil' Race h.-.--Whito........Occupatlon ._...Nu.r.ae..,..US ..Gav I.t. .Armod Forces? (Yos or NO)..__.._Na.._._____ Decodont's Mnrltal Status .8.inglo... _ .__.. Mailing Address ..2t7..HempLRaad ...Nochallicsbura.___pA......1..'l_05.~_._._ 111",111/ ~,I'''IJI (;,,.. (]I 1.?;;'i fil110) Part I: Immediate Cause Informant --.Rota.J1r.ohm.... ...........n........._. Funol al Diroctor ........... .D..Duke--C'.ucJ~Q.vic..l__J..r.,..L....s..up_t.L_ Name and Address 01 Funeral EstabllshmerK .-..M......Knight..EulleraLllomo. _ 31....Secand..S.t......JUghspirol......N\......L7.0 3-4___. : Intorval Between : Onset and Death I I (a) .._Ro8.pir.a.t.Qr.y._F.ailu.r.e.~...___....._. ...... '_"__"___"_'_",,, __h...... _..:__.._....._________ I I (b) -------....---..---..--.-.---.u..._____.......~.___..._u_..._......._...... .__:......._..._ , I (C)--_._.___.____.......__._......._....c............._........__....___"'n'" _'............_:.._,__....__..___..... . I I , I _____.___4__ _'__n'___,___,__ -...-~-.._._..._.n. _._ .1._._4_~_..._..__.._.__. (d) _ Part II: Other Significant Conditions --!:'.Qmp.r.l:lli.S.i(llLF...t:a.c.t.u.re..._W/.a.,._vt.__......_........~.......__'_n' ......_._.......____....._......__.___ Manner of Death: Doscrlbe how Injury OCCllrred: Natural J{lOx Accident 0 Suicide [J Homicide fJ Pending Investigation 0 Could not be Delormll1od 0 .._.__._u.__.___~..._._"_.._._~.~__._......__.~__.___..________ . ..-----...---..-___.'M.._.__.__u..______. ....'___.__._______ Name and Title of Certifier --_._lHc:hlleLL ....GL.ucl;,_u....M..D..., "'''''' .... ........... _......_......._ __..._ . (M.D., D.O., Coroner, M.E,) Address -_.L08...Lautho r_S.t.rec.t.L.......... .............L erno.y.ne. ..... I'll ....17.042... .._..... ....._.__...____.._ This Is to certlly that tho informal Ion 110ro glvol1 death dUly IIled with rno as Local RoglstrAr. Tho Vital Records Office for permftnOnt filing. Is Gorroclly Goplod from 1111 original certificate of oll(linal corlltlcato will bo forwnrdod to tho Stato --'7, ( j / (/',..~,-",..)t//l2::i<It..l~[..,:~ .. t.,.,IIII"I'IIr.p"f'/,ltl/!"'.,"11 .....22:-22.6 f) \1111111[' J\.D r.J..L2.0.L.1CJ. 9.4.._ 'fl:11llfJ""'iQ'lh/II,;_.lIflr>ll"I!M 120 ~;prl1Co St"n Mj.c1<HotQwn.... 1'1\..1.705.7... !o11l'..I,,'I,lr,.;, ,',:otlllrl'""111I 11''>;1'11111' ,. - )')1 , (/ , R!VoIlOO I'. 1'.9jl INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEAlTH Of PENNSYLVANIA (TO BE FILED IN DUPLICATE DIPAI1~WT2~J~!IVflWE WITH REGISTER OF WILLS) HAAIIIIUIO. P!- 11 28.~601 . COU~TY COO.E. OEClD!NT'S NAMf llA~'. fiRST, AND MIDDtllNITlAII OECEOHlI'S COMPleTE ADDllfS5 HOCKER, F.dna 1. 217 Ilempt Road m !OC"~~~U~I~8~~~~4--"----1~/~~/~~---I1~/~/~~-- eM" Me~~~~~~~~~g, PA l7055 __~ I" 'm'c."":",~"oo "O"lO"W:i '''''=~~~::'' "":'"]:"AI ~~U"IYNU~'" --_-=t'OU~i~~~[",~ ISfI INmU'"0NSI !{J I. Original RelUln [I 2. Supplemenlal Relurn [] 3. Remainder RelUln lIar dol.. 01 deolh prior 10 12.1 3.821 [J 4. limited Ellale [J 40. Fulure InlerOlI Comp,omhe LJ 5. Federal ElIale To, Relurn Required (lor dalOl 01 dealh oller 12.12.821 gj 6. Decedenl Died Tellale [] 7. Decedenl Malnlalned 0 lI"ng Trull _Q. 8. Talal Numbo, 01 Sole Depa.1t Bo,.. (Allach copy 01 Willi IAllach copy 01 Tru'l) ALL CORIlISPONOINCI AND CONPlOINTIAL TAX INPORMATION IHOULD II OIRICTID TO. COM PUlE MAIliNG ADOIIE 5 Esquire 78 West pomfre~iflireet ----- Carlisle, PA ~3 \d - -- .c.. ~ 86 000.00 !. , II) .u____...L_.u__________ p (21 ____1!.2~9.,~.__._ ( :' 13 I --.---___~_ . ! (4) .___......______.... [' ~ ~ (5 I ----..2,J02..DL_____ :;; M. 1. Real E.lale (Schedule AI 2. Slack. and Bond, ISchedule B) 3. CIOIOly Held Slock/Parlnershlp Inler"IIScheclule CI 4. Morlgage. and Nole. Recel,able (Schedule D) 5. COlh, Bank Depollh & MIscellaneoul Perlonal Property (Schedule EI 6. Jolnlly Owned P,operty (Schedule FI 7. Tranller. (Schedule G) (ScI,edulo II 8. Tolal Grall Aile" (lolalLlne' 1.71 9. Funeral Expenlu, Admlnlltrall'le COlli, Milcellaneoul Expen.e. ISchedule H) 1 D. Deb I., Morlgage L1abllllle., lien. (Schedule I) 11. TOlol Declucllonl(lolalllne. 9 & 101 12. Nel Value 01 E.lalo (llno 8 mln" Llno II) 13. Cho,ltablo and Gove,nmenlal Bequ.." (Schod"le JI 14. Nel Value Subjeclla Tax Illne 12 mlnUl L1n! 131 15. SpoulOl Tranll... (lor da'e. 01 dealh oller 6.30.941 Setl Inllructlonl for Ar,pllcable Percentage on Reverie 1151__ Side. Ilnclude val"e. 'om Schedule K or Schedule M.I 16. Amounl of LIne 14 taxable al 6% rate (Include valu.. from Schedule K 0' Schedule M.I 17. Amount of line 14 tall.able at 15% rote (Incl',de valu.. Irom Schodulo K or Schedule M.) 18. Principal lox due (Add lox I,om Lln.. 15, 16 and 17.) 19. Crtdill Spoulal Poverty Credil Prlor Poymenh ....-... + -----.---- + 20. If Line 19 Is grealer than line 18, enle, Ihe differ. nee on line 20. Thl. II Iho OVERPAYMENT, II[] 21. If lIn. 18 II grealer Ihan line 19, enler Ihe dllle,enco on line 21. This II Ih. TAX DUE, A. Enter the Inlerolt on the balance due on line 21 A. B. Enler Ihe 10101 01 Line 21 and 21 A on Line 21B. Thl. II Ih. BALANCE OUE, Mak. Ch"k Payabl. '0' R.gl.I'! of Will., Ag.nt L- . >- >- IUURITO ANSWER ALL QUISTIONI O~ RIVIRSESIOEAND TO RICHECK MATH <II( <II(~' Under penaltlel of perlury, I declare thaI I have eKanllned thil return, IncludIng accompany-lng ,chodulel and Ilalemenh, and to the bell of my knowledgft and beUef, It " Irue, correct and completo. I duclare that all real estate has been reporled 01 true market vallie. Declaration of preparer other than the personal reprolentatlve h bated on all Information of which Dreparer hal any knowledge. $10 EO' PERSON RfSPONSI8L[ fOf'l No~iifT" ---M}[J.~fff--5r--COrnr&ln Ha-ao ... c ._~i!rlis1~.r[Ll.7013________ .00"''' 78 1'1. POI\lfret Street .___.l.:arH.s1e ,..l'lL.l1.01L. .. ~. , I!! ",lie III IE 9 51'" ~m ili" 8~ 243-0123 z " ;: :I ! a: z i 8 S .... ........ -'." .... 'OR OATIS O' DIATHAmR 12/3119T CHICK HIRE If A SPOUSAL POVIRTY CRIDIT IS CLAIMID 0 PILI NUMiIR----.---. 2l 94 0390 YEAR NUMBER c::l C":l N 1.0 :0 :Ore I~ S ,", ". (u' <'.li' ..\ 1.1 I:.~. '. ':0 16) ___________ (7) -0 N U'1 0\ i~; ~;,' vi 0 ~ 7,418.64 (e I 91,261. 30 19)_ (101_~,221.~._ (111 8,639.70 (12) -.-a2.,.62.L 60 (131 (14) ~..6.2l~ ___)(._1:1 (161___. (171 n_.~r6~1.60 _~ .06 = ~ .15 = 12,393.24 (18) 12,393.24 --------- Dhcounl Inter8l1 (19) (201 Ch(!(~ Ill"€', jf you (lit! rl.'ctul'\ling 0 fefund 0' yom oVNflClynwnt. ...J..2.1.~ 3 . 2..1..._.______ (211 121AI (21BI .~X2;~9:I.~~C~=-== . OAT~W- 7;~/- P,o.",. O""'pllon UNIFORM RESIOENTIAL APPRAISAL REPORT fll, No. -2.' . "'" . ~ -'.'.~!ft_~~.'.rlll. 217 .lIotllPt. Road .. c:( Mcchll,jCib\,lri !l'm l'A I,~"ct 170" .!!1~Q!I.~'P~"Dud.IQok )l'B, rlll16~; Sllvor SVllnll" 'I'wp '.."~ Comberland to! .~!tmrt!~~~~~~.o..._38'_21'0295'006 . llJ.!U' 93/9/4 ~Ulltl . all ,.~~, St't~I~IAuwml~lI.. '.tli. . 'Bo"Mf.~~::' Irllnll Ilof'knr ......u.. C.o'~101l1' Sa!!lD O"..PIMI O"'~" rV' 't",nl I VW"l 'lotIell', '.1 ~lIU.1 O'IIII~. ,.. "/!lOlt lllll'O'j 'rc 1:1' " ~~'l CJ'lC'" ," r<1''''J.,AQ~' l "0A.' .\10 ..~!!1~~!~f 0' ~'~f.l."'~, N. /,Iv ~1'f'I;1 J 1 ' 029, C"I,~ 'fl:I 0118 , 00 14ft "Ieq ... N. Om a' b. tie ')11(1 ~,,)" 1\1 t ,~. 1,"1 t' ".'!" ;'Jljll',l',':UI."'II'i:' eM a/II'" tIp r .l~'~i~~;~.1.1 >>rll. JOin lIrvh~ Al:U, ,1 L'orllm/111 HCluJ, Corllnltl, I^ 1/01:1 '..,;"". r. IS. """ 'n Ilortl, 1100"'"'' C..\I.". PA 111111 LOClrlQn ~ U/~I~ ~ '~~~IC'~ ..... ~"'" :lmr~w' .!.~.I!f "IlI.I, ~O~lll~:. '11I'~IIt~d Ill'" lIRd VII 1~IAU '1 'ulll~' OVI"" ~ U-15~. .._ "'~~I'HI, 'W) 11'11 O't'I" Y 60 Ijn1i14'. X lilt ,'( QIQwtIIlltI. R..,,~... IUOI, '_ "0.... .1 OA'.' J~ ,~~ Now ~'!I"'II 0 ,I~~I",W ~ PIOI>tII~VI'Utl IncftUI~1 ~ ,rWI ~ Dtcl~'~ ~_,"'I'I l~O HI" ~.~Q., 1,I.1~1'!I",11 0 10 RculdontJ.l ; Otm'MII~llO~ IhOIlI~'.~ Ine,l,nit ~ OVIII.Olf .X,VIWIlOS',1 [.. .'~II!""'*"1 . 'CO'NrI1tIJI 10 ~ ....t1I'lI~o~ml UnW)mOII J'6rnUl o~'le"';I"'I:I'1 ',. \'I'~O:: HI V....C'lIfll )n -.,,: flNe..C IN 'Hl,llIllI'UIUU "lU ..10..,,...111', "I'UI,lul1IC1Oll ;; ,,,I'h~'I'oOO~~~fllill..n~~nl'W'IIIli(1 Route 11 to tho n(lr~h, ll.o\ltu Ci1tl to thu UIJ\lth, IlOI'.OUloWIl Road tc .th1_1'IL. .L-QCUIt_ eo!nLRo.d ~o t~o ,....08\, ~:.u.bIIHhtJd rllf; IdQn~ j al HUll, 'eelOlI 1~1111'lt;1 tII. 1II1'lllnl'l'y or I~' D'O~I'U ,n I,~l "'I'~1"!;Ol Il"IT"i '0 f"'~C,-,\' I"d 1""1'1 '""'~Iro'l'! III', 'Ii .:~u !~ r'I'H! '1:1 S.u.bJ~l.prQPart)'_h JocRtQd .~ lllLh from R01.He It peCCi/I., :;hopplll& ":I(J olhol ,Ul(lIdliol: tn' w.ltlUQ._'__lhQ,u._.drlv!lli.dlElt.nce, S~hool ll)'stalt1 iu CUllIberland Valluy Dlntricl allo &ludcllt41 ara bllud.Tha,o..lfl.nowhomou. undo, .conSHuct;on within on. .110, SMS^ 32/,0 :,,1\11' , Mar_.' COn',!IO/III, \.II, I~OitCl ~II~~~'~OO~ (1'~I.~rll.PM'1 /J' I-I no" t:-(',I'Ort "rl'H', !'I 1,,'11' p'eCI'fl \1'~11 fl""~:I,W)' l~~ ~1&'1",": 1"'1 ,. I~(~ II '&11 Oll (OI'\ptldrv. P'OotIHI fOI In I", ~'j'to1l"ll '''''r''c' ,'f '" ~"llf'a f" 1111 I': '~,~:,': ~J':'ItO"1 11:1 P.((U~Qrty _v.luoe Uo currontly lltublo \o'ith &11'\ flVCHai,lJ 1~'IlI~('t 11~c. limn for [lrovloUII QUlln~r 88 .4JYJo..JnlOUI\. '.I\OIU.~ Inc ,..,lna, i'..' "11"11111111I11111111 'UDI (If IPPII;lOlll'" It \~, 4t1l'Q~"f'J. 11"~ 'Q~110'~' I" I/?"'I OM'II All':'1l0~ ("OAI' ~/OIlmlll W"I ftUmblf 01 ~~ltll~ l~. 1~b.lCl PIOIHl U4 AWOI,mlTlloU' r, "~' ot ~~,lIlo' 111111 lr, I~~W ~JOIW "lC"~ ,,,,m,,, ",m.." I"' "'"'' "''' '''''''01 1/.' .. Olml~llo~1 tOO.Jl_.2Q_O.{frOOl .tu recordll) l~tO;'IQ~i l.~vol "ltlfll ,~6_"H.1J fjI(~, C:"",CI "II X:"'~ III Typical for Ufl8 'PtC'I'CIOMiCIUl.t._mQl1I~lGIHWO~ ~'~ RQ&~dl1rltlal lU.!1t.1o t~jly \-1(' Il(lctongulllr 10nlnGcom~I'i~(' Ij(-] III" , '1 U;'I~o~~O~roll"l~~ I~l'll"'l,'" "'11' '.~I,'l 0'1''''1' Adoqualo t!'i~.H1H!n~H.!~_m-21~'L_7,PIII,-nl~'" Otnl',Il('n"~) ~h A....oraso UI1t1t111 P~I)lIC Oln" OIl'U111I11Ul1lm.~1t ',;1 ~..=: J,./,'f l~"I:&Q ,; Avoragt1 1III(IJ\(I'1 ~._.__ m..... _. 5'/111 H.~adtlll ~, '~1 Ololl''llf!ijrtw Hacadalll GII __ ______ ev'b!I.I~" tlQfl.~L. _ ,_ _ AmllnIUIlM,,"1l .liOGtI. .J.n~!s.tto:d~_. _ WII" _WQJl. .._______.. S~hn tlono . ._, I!\lASIHC'.",OOlHUI'fAru V,. X;\O IlnIll","." . ._.,h,PJ;AC-___ ,_.__ ,r'.1ll1 i~1l None,_ . ."../ nl,lA l~, C '.'t~ (WI ~. ~ ' 83 .~t9~~-'~~lf_. ... AI'I1. lIone lI1,1A'll~"" It I:OIl 0,\ ; COlTl""~I. !1~PI',nl U11'1I Hum,nll '~:'OWrt'I'11 I~':' Hltll"'''\ r:t ."1\ fl' 1 II' t....~"','"..; WI;;,1f I!:, Woll/Soptic ',~O~Q_G_(QL,'-rO" _.nd.h,vo,09 lId~'f\HlfQ oCfqc\ Otl mHku~aLillty. Th~re .ru r1UAp,parerll ~dvnnH? . . 'nto. ..'.o"b.n.tA 0' otlln, "Iv"". 'Mdl' Ion. ~,,\I"," olIO'" B...." B.CI r".. aI/URAL OiSCI\I~IIO~ [XHRIO~ Oilt~IPTIO'" 'OI,~)AIIO" aAu....r~l 1',51 LA'"" ,.- ~o OIU~lll _L_~n_.. 'O~"~llo~ Concr.e\e alo,~ 51~ NO{\O A'US~ fl ,J ,992 KCQI ~ool'lonu _1_ hl.no/WIIII .J'rlc~ C'v'S:m NOflO .. ',',n,l~'~ 5o.~ _ CI,I..y 'i ""10lllAlII ItJ!Ii.\:h_od_ Roo"~llm .1h.iflt.,hL alll"I'1 fu~l.. 'q C"~I Dr.QP Vh Willi D4llfllllh"l _u.R.ln~h Gl'll'/I'Oll~IP!l _^_\umJnuPl '."~'.'11~ Yf}Jl \'rIll Panel. '100' hllllnftP/oPO!U Ytx.!.._Uni. w,ndOwl,PI Q,Il, Wood JI~:'III NOI',!! Ir~' Vinyl Tilo .,~"' A~'IVnl __.3'_yrIL SlQIml1:!ttnl _'(oil/Yes S,I'I""I Nor,c ., O.!lJli"', . tlQ uwo~~ If:'W'~IA"IV'11 14'16 I,lI"jIW.'I'Ue,1l I/o -fll'l:C' tlor,!! - .~~~L ._ _~~!~.___ _J_~~i.._ .O!'.!L .C:I:'.I~ )1' Il~., h Rt: II.. '\Il'C)':' , 81!~1 ,~~:ff= "'''"_4_____ .. __L_ _~_-Iro_ .... I I ..lli!!.L ---. -____. __.4~_.__ __ _ "-n _I. pI! N, I" XI ~-1 .- ,... ..1 ',""1') aroa o~", I "'U~; I! l 1 . ~ ~\~ 1,092 -;i~-Jj~'-~I;li' ~"-i-4a-':d'l (~,il:n~"' -.,- - -,. 5 Rooml 1~1(~101I illlluljll!CO~O IIC~ tlU1I~O '''''1 lI~dLV\"yl ... _ '101 W~1I1 u.QrYWlU.. .... r~ll "IIII"I'II~ WQoQ_. ... .__. tQ~~,lO,' 111~flQOl _ ~VtD..Y.1 ".__ COO\I~Q lIlll WII~lCo' ,_0: rY-"llllL.Co ,tJ.l!l.t CI~UII !ll. I O~m _..WO.Q(_. ". ... . Olr" .tlll. Aver.ae r.Ofld J t ion C~'HQn tla AUlllOnl1 IUlvJII (lP4CIII '~t/if Ifllcl'~1 1111'1'1, II: I uni..It,_.. __......~.. .. I (;00'1'11101I or l~t Imp'VVl~l~ll O,pI.e'll,on (~~/llll I.~C'O'I II!tP.r.QYf!l!Ie:n~~._~rl!. ~n.l!I""_lI~a&(1 condit lOll .. f'N^ 0J) AvS 3 8111>.J"lt ~,lc~r" fO~lt ArT,e :j, f',~, " ~J' "l "f lll'I,Q/lI A "1'1 :)1:011 0'.1[;1" J I' IIU'" _.' S:.~'f fl~~OOl _x~, _:O~, Y:'Oll&,' ,~, ~fII" /.''''f'.:)",. f,OI'IJ .Jronl. hill ( QC roof hllS bf}~fl u hlnril AI,lI~IN9 . . . I.OQ2 Iq.llllr"IOfOlm~lVinaArIl CA~ ~101l~O' 1"':Ht!lI' 'I'r 1. ~, "l~'. . ~. ~C' ~" ""a ;C~ SIOOUS I'ep 1a~~od, ,,"'_ nl'~ I' .. AI!ll',ll I .. ~, ,ltll:"tl . ~, ~,'I!,I~ ,., (;1""\ X O'lfIIl )~ amp.clqc~r~c 'r'WI 100. 1"'1..flnl'l r'U'1 ~'Illl Q,I''Y et '0""1"1)' r.'''qH ~11~t'l'l ll~ '..1tll no physlt.: ':r fUIlt'tlol,ltl l'lldequac:lcfI IIppuont. MvlIU Inyl'or'l!1t~1IJ ;O'KO~I (h:t, II Im'llU'.I' ~ICIMY 01 I~l Mrt:l proOlJtf ~.1 ~CII'T\'!l~ II liU':Ojl _J\'f1 10'; l,tl"':" ":1 ,'lit' 1 I'. r':I~II"I'I' 0' '"t ,.. ~Q '~VOrGij on....~ron~antal condJtionu ,rQ appurnnt/dluclOGCtd, 0' " 1\, ''*....ICI..~,.ltI 'HII "',(::1 ~. ..l I ':' ~'l Ill": III 1" 1 r':~, 1/1 :"1 I,"'U"", ':'11 il: V.I..U...."I.. U'I"'AUOll1lV'\~U( ~' 1II11,IJ,1I0 IU'AODIJCIIOI/ CO'l.Ij(W'OII\,lP"'OV[Vf~l' i O"III~f .....L09Z_ It '10' 1.8,00" ~2 ,1116 I !ualanLL09l" II", Il,OO I l,IO', l'Oi'i~kl~;OIl'::J ii 't, II", .lO, 00 6 .ll~: IOlM[IUl1llltOCOII~U .s 11.1~O HI! 15, 3\ 'rlyll(~1 111CI O~II jl:t"l DI'!U'~liQ1l ...1J,OOd . .\ II.O~)O O"rlel'!" V,I~, 01 ImplO'lIfl\INt . S 60, 76 U , 'AHI'VII~1Q1"14ll1lpI0'Itl1ll~tI . S ) I ~ 00 ~ IIIOICA1tDYAlUIIYCOITA",'OACH d 89 266 .Ii .. ._.. .i.'.'.\4. __.. _~~aJ~c' . COW.\IlAU ~o , ! CO~'A~Aall \0 I , CO\m"'~B.~ "0 J " 217 UlDlpt Raid 1] 110 g\l lit o.....n Raid I'll) f.ut Hllrbh St, : ~29 Hogolllown ROld :.. ~;.~::~!~::~~.!~~l~~~~:..::: : 1~~~~~~I~CSbU(iL I~O~~~~iC5bUr& ;.~;~~~.~~.C..blu rB -'''"''~! ,... I. . III "_ :. II.O~O. II lI.lOOi. .. ... ..' ,. ..90,lOO. ".!""~'!".!~.''''..I 71.76 '/,' 11"J81[1l,OO . 16,01/11,00 " 61,Il tUl.,O.O..... \' D.IUIl4/QI InlpectJon ,Hl.S/Counhllo Rucords HLS/Courthlio Rocords HLS/Courthr,e Roc'ord, ',' _.'{'!I!IC..I~~,~I~'--. Deed I.CIH~ .- VALUI AOJUlIME~1I OUCIl'~"O~ om~,Jf 0.. JII) ,PI ; m:R'I'I,O~ ... . .--.. ......- _"'_'_'_'n _H I + "ItIO"I~I~el~t j'lOnO, Conv '110110, (;orn' VA , ~..'~~:"'~.. ----.---- DOM I', I~OHO 'IOOU~ i J1!'!~!!'!1"'_.. llflf.j.L__ l/91,1/19l ... ..,.1/19L. ~ ~om:9~__.,.__.~..... Aye:Uit _ _ .-i^\'OU&O ;l!Voruo_ ;Avauso. _~!m~C!~~~.'!.~P!L._ fce_Shlph _;y~o .Slmplo. f.'OQ Stlr,pIc .,fot! ,S!lIlpl~ I" .I'tL___.__..___.. AVQt'se. :^ver"'lo ,Average Avcr.s,e .~'tL . ^VQra&o ,AvOrlto ,^verago ^vCr!8C .g'I!I!~!,pept.I!_ __. R'Ill;,hNIYl! ,Ranch/l\vt', ,Hs/lcldAvg ,Ran~h/^vs _O.V.I~'~_O.r.~~Il!I~~~~ ftr!.c;:k ,~('!r.k AJllnllBr!ck ~~,5001.vll1yl/~rlck i -!I'......... lS yrs ,Jl yr' ..11 ;',2 ;-r. .lS 1''' I .c9~~~,P".. --.--... AVQrago, ,^VOrl~(J Avorago ,Morag(! . ~b9!tG!I.~..,,_.-.... b:I..,~.~, &l.~, III ~:'I. ~'_I 1J..1 . J::l., ~rl.~ _.. _ i.!I!.....!I.~I_..~.:I _;. i L...L..Ll.i.L.l.,I.. '1,000 I ..3..;1. 'I,OOO..6..l.~.l. ._, '1,000 '_~;~~;;~~!.l!_.".._ IlQ_n_. SUI..j ,9~O S~II +1.,980 91, SIli +2,700,I.H8 '~'I '3.~_~O. 1 blltmt~IUi~tl~11 .'ull DSGlt 'Full Rsmt }'ull 6slnt f'uI1 ~Ilrnt I ,,,,,,,,,.,0'", SQ~o Flplvt',VIl(inl.hod '1,\00 VpfJlliah,d '1,\OO,So.n f'jnl.h , -~~~~~~Ii:'~-=~..- ~_~'~1.~:~:~ . --..:~~~_!~:q 1 ~~~~~~~ 2, 000 :~~~~i~.~ A lrt~.t~~!~~.!!!~L.. TYP~l;.l . ...T)'pttI1 ,TypjqJ .1yplCI1., f. .9lf.Ulil!~'.P.t1!L__..._ L CarhOU'ia!tuP_9rt "'1..QOO,tI9IlC +2.500,1 CII,r GsraaQ, . Por(~,PlhO,O'~., Stoops I Stoops Stoop. Porch '1,000 !~'.'!!,~I~:!"-....... NQ1\lL.._--..1"POJ..... ........__ .. .. ..fIIPIle. ...... ,.1.fj.uP\I~'.... ...'l...QQO. ~ ',"et,POCI,UC _JiQnt.._.___....,n~DL. . ,UQno . ,tlonQ. __'.. __. ':~~,~9:~.;~~:~_.. ...._...===1~~.~ 6,B\.1 \./'80io~~.~11,;\' 8,100'OrOlll/8~! 7,JO) . _~co.m,.,,!:~,.u__. ~..__...._.....JHU.__ 6.n.~1 86,,90[/1'1 10,1\.' 86.700111\ B.l\ I, 8J,19l Comm4~U 0" SII,. CO,'l\~,rllon 11~~I~j"~ I~' ',~,W ~'J~t'r(l co"~n ,:, !O !., 'llr;,..v: 41: I ',.' I th iHIJ I,lS tlllOIl t ll, all O.Q.;PUIUtJl..rQ 1.~c'Pllhl. fof. IItI. ao.ly'I., R,n&c or Valu. i. $83.000 to $81,000, UNIFORM RESIDENTIAL APPRAISAL REPORT ",. No --.:!.i-"11 ,J 2 ~. OO'J. ';'r "'l~!l t' (J!l A:I"oW /1.-' " 10'.':1 Il' tOll lItmli' I"~ .1'10' ll.l" f~o' (I'("",r, "l 'j' 1"'10 ,/..1, I"J h"A, !It "I'W,,l '1'''11', ",11'011: I-I, ~, I~' ~:Jrllrfl COlJt now fro. Hor,"all SwHt VIluItIQI! 'Ory),... I lIandbQQ' '"~ 10cII. ~"t 1011y,IO, 1.ln~ valu. rro~ MarkOI .001' CQ~porl'Qo, llop1orjlH'Jon b(l8(ld on dl~O Jlfu obuQrvu~ tOlldltioll and HIH~et Pita An,lnls, \':stllnlltou Itonlltlnlne, Lcullomlc LIft) (1~'50 yrs, "H'" (I\;!.\''' nmAIP1'o~ , , II ~', 1'1" 2,263 '2,500 '2,009 '-"'-".,-,-,-,-,,- ."---'--'_"'_"_ _ _'H. __ ...'-.-.-----...--.--.. ---~_._- . > --jf'~--...l---suaJicT .-- ,- - ~O\I~AqAa.t '0; to\UHlq \Q 1 CO\1'AIlH,i ~o J "D,ii Pf~ti"-dOII~--' 8/15/86 .: it/30/n' 12ljO/~1 Un/82' kvre',ror DllQr UIII $/j7,600 '929,000 $n,~OO SH,OOO ..!~I~jnmfOI!9.9'!Iul Couqhs't ~cc Counhouvo f(Qcordli . ~;OllrthO\ISC Rocoroll COllrthOUIlO ~(lcor~s A~I~111 01 In~ Cutrl"II~'"m,nl 0111" Opt on, or 'I! ~l1! !'I t ",W ~'c:t'r, I'JI"' ,II c' j', l' :' l~ 111' I ,l/:' "l ~11 ":JII~ III, 1"" 1" 'Ill' ~,(., WI c! l~O'I'U ~.!.I.blq~~_.2I.QPfl__n.Y.JS._fl.9t..Cu.trontly lifltf~d or ull4cr CQII'.r.r.t: flu prior /lalcG 'o(llhin one year. I_OICAflO YAlUl1Y SALIS COMPAAIION "'PAOACH , ~._ _$6. O_OQ_ IIIOICAI(O YAlUr IY IIICOMr ""ROACH 1'.1:0 'a~'11 fll "'Ill' ~'t'utAI~! $ .vo I e'oll AI~I~.lt 'I' . S TPill~~'lllllll mUI X I '1111' J I.C1t:!la 1"1 'Ia"1 '!"I!O'1 "I:I:!O"I 0' ::'1' ,., II" eto. h~.Wto :(''''~''O' Cl!; "1,1"0 I:lP,i'tO,11 CQnfollOnIOfA~~!II"1 ThQ..PliOPOttY..l.las bellO appr.i.6od in ('\HrOn~ condit lon, SI!Q attathed lldtlQlldum. ";~'II~R.~~i'liito~' G08~ and Her~,(lt An.1Ylili; c:>n,'jr.tont1i' fiul,pon'my QUllmlltod mlll'Kr.t vlll~IP, GPH I NI'~YP.~'.!llIfI 'Quod InlpprollrJato for this ilnalYllill, (:1"(1IItOlll 'tIoJr,hl Ir. apJ.litld tlJ the Market O",._An,lYBh, Supporting (JIo Ill(ormatloll t;UbSllln:lllloil tl,c/on \'Dtim8lo11, 1~4 p.olMIl oll~ll U;HI UI '110 urNtll~1 i'l'1',IIII.1 'J! t'l 'it Q'~wt, "'1'1"1" f;' ", "" 'II-JI' 'lUl 0" '~t l~~,l (~"l"I,\' "J. "'. ',':I,.J'O'. ;J11~.;I'l I~~ hrlllt"~ '~~llhO'I. '~:1 r-ll'14l1' ,11Il'" !~~ \",1 ~'f I'm, , 1"1 JI'WI~ "tJ:. ~II: 'ei'!' III :,"r 4 ~Ill 'O'~, IC(JH l~h'll~ ~1?J . ,l IIWI) IIIIIllATI Ill( IWlm VAlUE, AI 0111I110, 0' TH( RUt '~O'(kn 1HA' I' 'HE IUIJICT 0' lH11 R'POIU,AI a' 5/10/9/1 (WHICH II lHI OAll 0' U,'PIClIOII AIID IHf IHICIIYf OAll 0' IHII A!POIIII 10 J''''- 86 ,~." , '. , m"."".,/, /.: . , .1/ "",,".nl"IMIII'l'lJ'^'iQ"'lOi-I1 l'I~~!~!!--Ld-J.fd,H....t:.I.tL(..;I"t.,k,...qr- ~pl"l -.') "-- !..J. ~ ( J, X l)'~"l~ ~,!m,_ _CM.~^,~DM _Gf{QCKY.TT "l"f S'i'!:VIW l,.', MkRETT, SP,A, Skill\ '"IDI:I ~'~Cfltl Q't4.1I.1i?O!II.'I"H.)l.IO/9Ij ln~', ~i II ~,'j(,/fj" SII!.Ctlll,:,rro~' ~L'(lOJ)/,a'l. \'1'1 1'1\ \'nf."" "(i', :.Hi/<j~ I. 'i'.I" I'A OISut'I!~.^Il' 'ill~l !"~""l ,j III HII'Il/{,{J}! A '11.t11 p^ "lIlt Ill! h'.'~ III II CIt fI~' I ;, I 'I" I lIu.;' 1;;. ,t III S"" It III t ~Il !lll (11'1'11111 .~. - ,"-".~.... '''.J' !,.....,.,'. "", , . ...-... ... O'/,j .IIY,1l011K+ 14.141 ~...l,~. 'tW COMMON~IAL1~ 0' PlNNIYWANIA INHI ITAN I TAM IIlU!N /I IDIN DIClDINT IIrATI 0' SCHEDULE B STOCKS AND BONDS EDNA I. HOCKER .ILI NUMBIR 21-94..0390 -- lA11 property lolntly.~wn.d with Right of Survivorship must b. dlscl.lld on Schodulo '.1 ITEM NUMBER DESCRIPTION VALUE AT DATE OP DEATH 1. 133 Shares CCfl'IfOn Stock-Potarac Electric Co. @ 22.25/Share 2,959.25 , , ,. , " "Ii' <", , " i", ,. ',. , , , ,. , , " ., ,. ,. ,. " ;.' ',. "" ,I' ,. ,. ., , ,I ',!' " " "i' ',. , r i(; '" ,,' it,' ,. ,. . I..j", , ;, !' " "i '/. , " ," ,I, " " ,. ,". .,. ,. " , ,. /' " " ".. ,. " " TOTAL (Aho ont" an IIn. 2, Rocapltulatlonl_ III mOil spoco/. nlldod, Inll" addillanal sho," a' lama ,'u,) $ 2,9~9. 25 ,. j' , 1\;;':"'''/!;'j1,,:, , l'Ne 1I1111k, N"I, ~ ,I:H:! (;!ll'll~ll' Pj~I' <:1111'1' 11111. 1'.\ lIlli" , " ',I 1,'1 " ','I " I' ';", " ", eNClBANK. . , '~IH' ;J. HIGI., , , " , 1', GElOl'ge. A, V.!Illulm. IJ.l And",:!!, V!:Iughn & 13/1111.5=. 525 North Twelfth Str~~t L.~lIloYllt. Pr,'I'lm'y 1 vII/'ll (, 1 :).j::;f::, ," 00' n:;))~ %;;1 V~:::f,!J l,f:'" U " m~: Ecl n 1:\ 1. Ik'd:'II' DOlt€! of D0"t\.: AI:"';]' lG" 'WEI,! ,~kl(::ial :'3I;Jl.IUPl t.~I" 1~1.J'.: 570. ;~Ii:~ .CI:);::.~ " , ,'11 D~""r HI',' VI)Ui~bl': " ^~~ rHH~ Yl.na rt.1:,lil:..,1,: :'\~-J\i In-r'l.~l;lmiaL~\'j'Jl l';Jll &t,~~:'~'\1nt',B' t.iWI. tl~"I,. Vt~:, 1'C.\;t?I't';\l'Io.::d d,:,(.'~'d('nt !:,;",,\'l wi; \,.)'/,11<3" \',11,; :l1l:'t:'rI\H.\'~ion ;l"1 ,''''', fL"1 :.'(IW,";' Chi.~~l~illt~ 1\l.'c;.',('~:1I1\ :;l.'/, ~\:J'701:1~<;1)0j'1 1.)'"II,H1HHI l~~,/:"(,iC,'~',' in; fht~ 11!",1l1i.r,' ~:,f EdllCl 1. Hut,) I';(il', BlI.: 1:\I.c'" 'i, l; , dl' ~'" ,;',f d'lL' \'.1I :'. $~,'; 11. 70. ' Al"(~ \'\W,\. lIt If l ", '( . t J ' ' ',t" ,"" ' n~t"r'~lq3': ..i,",h.,. ,1.....11' 1,'I,\'l.,'lI.\'tl', "t,E')'~)\I.l\,: ~)J(t.,",I~ll, ' " '" t f 1 C:<IIl. L.,l,; f c.ny 1.~rllJt.&'01.." nH'~ 1,1'", (',' \1,','1 " t, f1 ~~ J ' :. b~' I' ,It' ~I J ,II t. (;'1/ i : t,:" '~' ,'~':(.t t:~ ~:I;i<,',; r.'~ \:'i,,\i.~' '.... I ' d\) . 11.~Il. ,.'1::'1: _ ' jjl~\\.1. \,~,,\~,~" t.\,1 .' ,,' .. " , \ ii' I. ., " I " " 'I' ", " , '1; , " , , " I" ;! _~.I..Il\'iI>S'" ~.~/ /' ," ~<Y. /<..'~,... /~ tll''''\~ J. ~:j .,1/1, 'IiJ,'(' Af~~,d,~.T,l\lll V!.':';" ;"1 ':'.:,~ .,.I:.~' BIHllt (ll"i;'X',!;t ;".'I'~ 1" , " .P', ' Ii 'I' , 'J" 'I .), I 1/.IlH:~ " , , "" " ''''"11'' II.'" . COMMONWIAUH 0' "NNnlVA,NIA IHHUIIANCI '''II InUIN .UIOINT DICIOINI i.TATB OF lTlM NUMIIIR 1. 6. ~ SCHEDULE I DEBTS OF DECEDENT, _ MORTGAGE LIABILITIES AND LIENS PI.a.. Print or T ,..' i FILl NU~IIIR. 21-94-0390 EDNA I.. HOCKER ----.------- DESCRIPTION AMOUNT Checking Account Transaction in PNC Bank Account No. 5070092097 (Item 1, Schedule E) prior to death and outstanding on date of death Transaction Date Check #2721 4/14/94 Payee Holy Spirit Hos~ital Arrount 117.07 117 ~ 07 78.84 6.20 38.90 62.05 2. Mechanicsburg Rehab-Medical Expense Renova Center-Medical Expense National Modi-Vans, Inc.-Medical Expense Holy Spirit Hospital-Medical Expense 3. 4. 5. . , Andes, Vaughn & Bangs, Attorneys-OUtstanding bill for legal services perforrred prior to death. 918.00. ,. ,. TOTAL lAlla enlor on IInl 10, Rlcapllulol/on) {II mo", 'poco I. nlldld. In.or/ addillonallh.." 0' .aml .lzl,} $ 1,221.06 I!. f.' . , '.. , , 1'1 .'..", ' " I 'Ibe preceding :lnstrulllent, consisting' of th:ls nnd three other typewritten pnges, ea.ch :ldentified by the signature of tho 1;oFJtal:l'jx IIIlf'l UI1 the cia to thol'(!of Signtld, . publ:lshed, nnd declared by EDNA I, IlOCKER, tho tostl!.trix them in nrurod, as and for 11(1)' lQst will, in the presence of us, \\ho at her request, in her preSel1<1(~, Etnel in the presence of each other, have sutscribed Ollr nlll\l8s as wltnnsseA hereto, 'f' -# . &? Ya;;L-;; 11JJ{/~ I;' I', " ,', ,. , . " " ,. f' ' I"" , , ' ,. i I' . . .' ,. ,,' " .' . ,. t ';'P 3 " .' PRINCIPAL Receipts: Balance of Prior Account This Account Page 0.00 313.00 3 Net {Jain (or l.cas) on Sales cr Other Disposition/Principal 0.00 Less: General Disbursements Fees 312,00 0.00 ........... .. 313,00 4 .......................... 312,00 Balance before Distributions Distrib. to Beneficiaries Principsl Balence on Hand For Information: Investments Hade Chenges in Investment Holdings INCOME Receipts: Balance of Prior Account This Account Net Gain (or Loss) on Sales or Other Disposition/Income Less: Disbursements Balance Before Distribution Distributions to Beneficiaries Income Balance on Hand For Informat.ion: Investments Hade Changes in Investment Holdings Combined Balance on Hand .2. 1.00 0.00 ............. 1.00 5 .0.00 1,829.00 6 0,00 ............. 1,829,00 1,829,00 7 ............... O.QO 0,00 ."............ 0.00 8 1.00 RECEIPTS OF PRINCIPAL Ducdption Fiduciary Aoquisition Value Ouh: 1993.02-10 Edna 1. Hooker. Cash for OVerdraft and Trustee', Fee 312.00 .".......~... 312.00, Realty: 1986.10.21 217 Hempt Road, Hechanicsburg, PA 1,00 ..'............ 1,00 ....,.......,... Total ReceiptsofPrincl.pal 313,00 I' " .' ", I., . , \. ~ ' " ,\ I. " I, ,. , " .' " "I do " " ,." '" I' " .3- .. I " ,. I""~ ;J, " '. 1993.01.06 1993.02.22 ..." I',. " " I' ,. I'L ,'I '" " ., I', ,. ,.-.... DISBURSEMENTS OF PRINCIPAL General Disbursements: Marsh & MoLennan Co. Insurance Premium Dauphin Deposit Bsnk and Trust Co. . 1992 Trustee', Fee ,..~... !III "-...., , ' I ~........ _ oo-~.".~: \t.,~ .."....., Total Disbursements of Principal ,. 1,1 ;1 " I' ,",' '. ,. , '. ,. , , . ", I' ,. " I" , , , , ,. , , I " , " " H " .4. ,. , ., " " , 12.00 300,00 312,00 ................ , , .j_ I: " ,.1' " ,I,' ,. I" ; 1', I_I; ,. " ,.! .'-, ,. 'j.' ~ : .............. 312.00 " , 'd' " " , , , , ," , , " ", ,. 'i, , ':1' , , I,' " , ,I' J, I', 1'\ , " ,:P " , 1-,: "i' .. ,.P 'I" ".[, I' "I 'I, 'fi, ,'"" I, , 'I ."/ " " ;.'1 ", " )-, \. ,'1' '. Real Eat:ate: .,....,......... PRINOIPAL BALANCE ON HAND ~17 Hempt Road, ~eahania.burg, PA ,. , ." ! " ",. ,'I' ,"J' to' "I' " ,. 'I " ,. , , " Ii i,1 , , , , "il " , , ,',I , / .' ,. I; , , , H,; " , I'" '1 j. , '" ./' '.': ,,' ,. I. ' '.-1' ~ I' , , 111 I' " "" ,. ,. 'ii' !! '1;, !i C\lrrent Valuo 05/05/94 .. .. .-............. 1,00 Fiduciary Acqu1ait:ion Value ............'. ............ ............ 1.00 1.00 1.00 " " ",.-, '1 'j " ji " ,. " ;.1' ~ ; \'. ,. ;, I, " ,. I, '\1 ",tl j. '" " ", .. , 'j, " ,,, ,. I' '\. ,. '" ,i jlll j ,. " " '.',/ " " " If, '. (I ,." 1991.07.17 .1992.02.04 1994.01.28 1,";1- , " " ,. " ,0" ., RECEIPTS OF INCOME Other: Edna I. Hooker Trus tee's Fees Edna I. Hooker Trustee's Fee Oash for Oash for Edna I. Hooker . Oash for OVerdraft and Trustee's Fee Total Receipts of Income :'\' ,', ", "I " " , ., ,. , " '. " "I' ,. . , " I. I" I It " " , , ," , ' I ", , ",. .' , , , , I , , " ., ',,':. ~,200.00 300,00 329.00 ............. ", '" ,. ,. '1,1' 'Ie' I,d , " ,. I'. , " " , ., , " , " I. ,. Ii, " , . " 'I, 'I, .6. .. . " ,. " " '" " ". 1,829.00 ....................... .. 1,829.00 ",' "" " , . '" " ,. , "'.Ii " ," d' " ,. ,I' " Ij." " ,. ',. : ~ , " INCOME,BALANOE ON RAND current Value 05/05/94 F1~uc iat'Y' Aoquisition Value .......... ............ 'Oalhl 0.00 0.00 ............ ....'......... .... " . , 'None 0,00 o.po - "I - ,!' .,. ,'. " ,;' " " " " , 'II "I ,. , , ,:' " i.1 " " j;' III " " I' ;1'," ", " 0',1 Ii", ".' n ,. 'I "j " , , " , " " , , ,. " ," " ,. I' , , ," ;', 'II. ,I, " il' " I. II. ''ii' I' ',I " .',: ~ ,. " ., ." ,; ,. .' " I' \, , " I , , '".j , ,. " ,'" .,. ,. j'L ,.' " Ij' I,: ,. " " I' ,'I '" I, , " " , ;, 'Ii "', ,'. 'i' , , " 1,\, .!, " ',. " ,,; " ,Ii " " " ,. ,. " ,. . , \ ,. , I' ',' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUN'rY, PENNSYLVANIA ORPHANS' COURT DIVISION FIRST AND FINAL ACCOUNT for Trust under Agreement dated August 15, 1986 with Edna I. Hocker, Settlor, now deceased Stated by: ,Oauphin Deposit Bank and Trust Company, Trustee PROPOSED DISTRIBUTIONS TO BENEFICIARIES Current Value 05/05/94 Fiduciary Acquisition Value ................. To: The Estate of Edna I. Hocker Entire Balance Real Estate: .............. 217 Hampt Road, Mechanio sburg, PA 1,00 1.00 .............. ............ 1.00 1.00 - ,I " ' , ' I,' ',', ," . .. .' I" I- ',), ,10 " '" , 1," " , ,,' , ' " 'I , , '", SAIDIS & GUIDO 26 W, High Street Ca,lIole, Po. '" " 1 - . . IRREVOCABLE TRUST THIS AGREEMENT OF TRUST executed in duplicate this /5;,1 day of AJ)~~.J r. 1986, between EDNA I. HOCKER, of Silver Spring Township, Cumberland County, Pennsylvania (hereinafter called Settlor) and DAUPHIN DEPOSIT BANK AND TRUST COMPANY, of Harrisburg, Pennsylvania (hereinafter called Trustee), WIT N E SSE T H : 1. Settlor hereby establishes with Trustee a trust consisting of the property described as 217 Hempt Road, Silver Spring Township, Cumberland County, Pennsylvania, which is about to be conveyed to Trustee by the Deed of Berniece C. Holler with the investments, reinvestments, and proceeds thereof, and such anditions as may from time to time be made, to be held by Trustee, IN TRUST, for the following uses and purposes and subject to the terms and conditions of this agreemen t. 2. Trustee will permit EDNA I. HOCKER to have the full use and occupancy of said real estate, 217 Hempt Road, Mechanicsburg, Pennsylvania, for her life so long as she desires to reside therein. If the property is sold during the lifetime of the Settlor, and upon her request, the Trustee is authorized to purchase another property in substitution thereof, provided that the cost of such substituted property shall not exceed the amount of the net proceeds realized from the sale of the property for which it is substituted; the substituted property to be held under the same provisions as the original property was held. I .. I I I I I 3. Settlor agrees to assume responsibility for the cost of all repairs, whether ordinary or extraordinary, all real estate taxes, hazard insurance and all costs of upkeep and maintenance during the ped-od of her use and occupancy. Settlor further agrees to pay the liability insurance as Ibilled by Trustee after the placement of the property on Trustee's Master Policy. The cost and expense involved in the conveyance of the real estate including, but not limited to, deed preparation, recording fees and transfer tax will be Settlor's r""'p""''' ~ h~ 1 i ry I -- -~~--~:~st~e may apply the net income of this trust for 10lS & GUIDO W. High Stree, Carll.le, Po, the support of the Settlor should she by reason of age, illness or any other cause in the opinion of Trustee be incapable of disbursing it; and Trustee is further authorized to expend or apply from the principal of this trust such sums as it in its sole discretion may from time to time think advisable for the support of Settlor to maintain her in the station of life to which she is accustomed at the creation of this trust or during illness or emergency. 5. This trust shall terminate at the death of EDNA I. HOCKER and all then remaining accumulated income and principal thereof shall be distributed to the personal representative of her estate or to her estate. 6. The interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation. - 2 - 10lS & GUIDO 6 W. High 81"01 Carll,lo, Po. 7. Trustee shall have the following powers in addition to those vested in it by law and by other provisions hereof applicable to all property, principal and income, including property held for minors, eKercisable without court approval, and effective until actual distribution of all property: A. To retain the property hereby transferred to this trust as well as any or all property that may be added to this trust hereafter by Settlor or others, real or personal, including stock of Trustee, without regard to any principal of risk, diversification or productivity. B. To invest in all forms of property including, but not by way of limitation, all types of stocks and bonds, shares of investment companies, participation in common trust funds and mortgage investment funds operated by Trustee or by others, without being confined to legal investments and without regard to any principle of risks, diversification or productivity. C. To compromise claims. D. To sell at public or private sale for cash or credit or partly for each, to exchange, or to lease for any period of time, any r.eal or personal property, and to give options for sales, exchanges or leases. E. To distribute in cash or kind or partly cash. F. To allocate receipts and expenses to principal or income or partly to each as Trustee from time to time thinks proper in its sole discretion. - 3 - . I .. G. To hold property in its name without designation of any fiduciary capacity or in the name of a nominee or I unregistered. 8. Subject to the approval of Trustee anyone may add property, real or personal, to the principal of this trust by deed, will, or otherwise, 9. Trustee shall receive compensation for the performance of its functions hereunder in accordance with its standard schedule of fees in effect from time to time during the period over which its services are performed. 10. Settlor has had explained to her the consequences of an Irrevocable Trust and hereby declares that she intends this trust to be irrevocable. 11. The situs of this trust for adminis~rative and accounting purposes shall be in the County of Cumberland and Commonwealth of Pennsylvania, and all questions pertaining to the construction or validity of the provisions of this instrument shall be governed by the law of that Commonwealth. IN WITNESS WHEREOF, Settlor has hereunto set his hand the day and year above written and trustee has executed this instrument and caused its corporate seal to be affixed hereto. IDIS & GUIDO W, High Stroot Carllolo, Po, ,~~A:Sh- ItA (" J !k~k/ Edi'fa . Hocker 1 1"'0' ~ j/-;/?! Attest: .$~..-..c7/1';,',. :~J~L.- VlCE PRESIDENT. TRUST OFFICER B , . VICE PRESIDENT. TRUST - 4 - COMMONWEATH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND On this ,(.,tl. day of 1/"1" ~/. , 1986, before me, the subscriber, a Notary Public in and for the Commonwealth of Pennsylvania, residing in the County of Cumberland, personally appeared the above named EDNA I. HOCKER, and in due form of law acknowledged the foregoing Indenture or Deed of Trust to be her act and deed and desired the same to be recorded as suoh. WITNESS my hand and Notarial Seal the day and year aforesaid. ~cnI'6: ~ ~~SEAL) Notary pub1 ~ . . ~ANOll. lENKER, Notary Public . C~,II::I, C~mblrland Co.. Pa. Mv' Commllllon Elcplru Feb. 20. 1959 10lS & GUIDO W. High Slrut C.,IIII.. PI, ,. i;,':'\:".'~" 't. -~'!I~~'" ",~" :;''-I',;U~ 1,1~1\_-,I;nl~;"'_, j'~'i 'f. . ,....;"11... '''.,'''-',i/\I'''' t ,,,1\ \ ';' '.. 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','" ,,\ ,'.,'. :',," ,; ,', '.~ ') ! f ; . , ,:,,':~\.,' ",'", ,,. i,i',' I '",,1 ". '.';", ", ',.,1;,:,,' ; ",,I :., :".', ',.; ", ," .. j , I 'I, ' " . f ' 1 '\ . , ," . I '~, ,I, ' , .; f ,':.. . (- /', ; ';, ;, ';, ;. ~ ,: _ . ". :.: - :".' ,; / ;' ~. ': .',:~" j". ' j' :',- ": ,:().', :'j ..,.i,l,,: . 111" t. 'J',' " I ,'\, ,1..- "1 ", , ," " , '. \,11 " ,. ", ., '.' ',' .:J 1 , "t' " ,.: ir'-, " 1',''-,; "J' ", .. . '~-" , . IN RE: ~STATE OF EDNA I. HOCKER, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-94-0390 FIRST AND FINAL ACCOUNT and SCHEDULE OF PROPOSED DISTRIBUTION OF RETA JEAN BREHM, EXECUTRIX OF THE ESTATE OF EDNA I. HOCKER, LATE OF SILVER SPRING TOWNSHIP, CI~BERLAND COUNTY PENNSYLVANIA, DECEASED Date of Death: Letters Granted: Advertisement of Letters: The Sentinel - 5/11, 5/18, 5/25/94 ~berland Law Journal - 5/13, 5/20, April 16, 1994 April 28, 1994 5/27/94 Account Stated as Final SUMMARY & INDEX PRINCIPAL Paoe No. Receipts Less Disbursements Balance Before Distributions Distributions to Beneficiaries . Principal Balance Remaining $ 107,854.49 21.84~ $ 86,005.00 0.00 $ 86,005.00 INCOME Receipts Less Disbursements Balance Before Distributions Distributions to Beneficiaries Income Balance Remaining Paoe No. $ $ 0.00 0.00 0.00 0.00 $ 0.00 COMBINED BALANCE REMAINING $ 86,005.00' ~CEIPTS OF PRINCIPAL (Value as of Date of Receipt unless otherwise indicated) B,ealtvl ALL THAT CERTAIN tract of land situate in Silver Spring Township, Cumberland County, Pennsylvania, having thereon erected a one-story brick dwelling house known as 217 Hempt Road, Mechanicsburg, PA, 17055. See Cumberland County Deed Book C, Volume 32, Page 566. Appraised Value $ 86,000.00 QMili : 1. Checking Account, PNC Bank, Account No. 5070092097 .1,219.36 2. PA Life & Health Ins. Guaranty Assoc. - Medical Payment 3 . PA Life & Health Ins. Guaranty Assoc. - Medical Payment 4. PA Life & Health Ins; Guaranty Assoc. - Medical Payment 300.00 65.70 97.20 5. .U.S. Office of Personnel Management Final Lump Sum Payment from Civil .Service Retirement 426.82 6. Federal Employees Group Life Insurance Proceeds payable to Estate 2,811.02 7. Legg Mason-Proceeds from Sale of 133 shares of Common Stock of Potomac Electric Co. 2,701.52 8. Potomac Electric Co.-Dividend 55.20 9. Reta Jean Brehm, advance to the Estate by the specific devisee of real estate, to pay inheritance taxes, partial debts of the estate, administration expenses and 5 specific bequests of $1.00 each. 14.177.67 TOTAL RECEIPTS OF PRINOIPAL' $107.854d~ 2 IllBBURSgMBN'ULOli' PRINCIPAL .J.lli 4/18 K. M. Knight Funerlll llol1lo-fJorviooe 6/10 Register of Wille-Short CnrtJficlItea 6/10 Steven W, Barrott-Hoal Rotate Appraisal 4/27 Debra Basehore WJoul/ 'l'ax Collector- 1994 County & 'I'ownnhJ.p Ronl I'~!ltate 'I'ax€ls 5/19 Mechanicnbur9 Rehab-Medicol Rxpenee 5/19 Renova Center-Medicnl Expenee 7/27 U,S. Office of Personnol Management- Repayment of civil 8orvico Retirement 8/2 Andes, Vaughn & Ban9B, Attorneys- Partial attorney' fJ [OOB 8/2 Andes, Vaughn & Bango, Attorneys- Reil1lburoomont for probato fees and costs of advertiain9 National Modi-Vano-Medical Expenee Holy spirit Hospital-Medical Expense 8/25 12/9 12/9 Andes, Vaughn " Bange / Attorneys Outstanding bIll for legal services rendered prior to dellth 12/27 Register of Willa, Agent-PA inheritance taxes illi Andrews & Johlwon, At torneys Balanoe of logal fooa Andrews & Johnoon, Attorneys Reimbureelllont I'm" coats advanced Reserved I Closing & Iii ling fOOfJ for Firat & Final Aocollnt and Sohedule of Proposed DistributIon, rocording fee for Decree Awarding Real Estate 'l'O'l'AL DISBURSEMEN'l'S OF PRINCIPAL 3 3,220.00 6.00 250.00 182.44 78.84 6.20 $ 918.62 1,312.50 447.20 38.90 62.05 ~18.00 12,393.24 1,637.50 28.00 350.00 $ 21.849.4~ IN REI ESTATE OF EDNA I. HOCKER, DECEASED ,I IN THE COURT OF COMMON PLEAS OF I CUMBERLAND COUNTY, PENNSYLVANIA I ORPHANS' COURT, DIVISION NO. 21-94-0390 SCHEDULE OF PROPOSED DISTRIBUTION combined Balance for Distribution Remaining as Per First and Final Account $ 66.005.00 , Per Item II of Will TO: Berniece C. Holler Specific Bequest Per Item III of Will TO: Emma Jane Snavely , Specific Bequest Per Item IV of Will TO: June Rhan Specific Bequest Per Item V of Will ,TO: Jim Fisseel Specific Bequest Per ltem VI of Will TO: Shirley Denlinger Specific Bequest $ 1'.00 $ 1.00 $ 1. 00 $ 1.00 $ 1.00 Per Item VIr of Will TO: Reta Jean Brehm Specific Bequest of ALL THAT CERTAIN tract of land situate in Silver Spring Township, Cumberland County, Pennsylvania, having thereon erected a one-story brick dwelling house known as 217 Hempt Road, Mechanicsburg, PA, 17055 $ 86.000.00 TOTAL DISTRIBUTION $ 66.005.00 \ \ .<>0 ~ ~ "- \0'\ "- ) ,} ~~ 11 ~ I i I, WIlL 011 EDNA I. IKX]{ER I I EIJfA 1. II:XXm, of Silver Spring' 'J'O\\nship, Currberlnnd County, Pennsylvania, declare this to be rv lae.t will and revoke any will previously made by mo, lTElf I. I direct that all my :lU111. dobl.H and J'u1IL'J'1l1 "xponr;I'I;, j IIdudJnl( my inl>osed by any goverrunental body as a result of my death, whether on property passinp; under this will 01' otherwise, shall be paid from my residuary estate as soon as practi- cable after my decease as a part of the expense of the actninistration of my estate, I'lBI II. I give and bequeath the swn of Q1e ($1,00) Dollar, and no mere, to my niece, BERNIOCE C, HOLLER, provided she survive my death by sixty (60) days, I leave her this bequest only because she is n IT'fjirber of ~' fumil Y , ITFJI III. I give and bequeath the swn of Clle ($1,00) Dollar, and no mere, to rv niece, EM"lA JANE SNAVELY, provided slw survive my denth by sixty (60) days, I leave her this bequest on 1y beclllLse she is Il,merrb01' of I11Y family. I'lBI IV. I give and bequeath the SWll of CllO ($1,00) Dollar, and no 001'8, to rv niece, JUNE RHAN, provided she survive 111)' death by sixty (GO) days, I leave 001' this bequest only because she is a moIT/Je1' of my fruni ly, ITEM V. I give and bequeath the swn of CllO ($1,00) [bllar, ruld no 11'01'0, to my nephew, JIM FISSEL, provided he survil'o my death by sixty (GO) days, r 'I Ii I leavs him this bequest on ly because 1m is it ITBnbe1' oj' my frunily. II .1 I :1 II I'IDl VI. I give and bequeath tilt) sum of Ont: ($1,00) [uUnr, one! no OO1'e, to my niece, SHIRLIlI' DENLINJER, provided she survi.\'(J my don th by sixty (60) duys, [ loa ve her this bequest only because she is II nDlrbeJ' 01' my family, 1 Ii " . , ITa( VII. , I give, devise, tlnel bequeath my real clstateand reRidenco at: 217 Hempt Road in Mechanicsburg, J:\3nnsylvania, to RITA JEAN BRilIM, provided she survlvfl my death by sixty (60) days. ITEII VIII. I give, devis(~, ancl bHqueath all the r08!., rOFddue, Ilnd rnmainder of my possessions and estate of every nature und wherever situate llH follows: A. Fifty (50%) percent thcreof to FAYE UHIC11 provided she survive my death by sixty (60) days Rnd, if she cloes not. so filll'VivCl my dei\th, th(Jll to such of reI' issue, pel' sth'pes, as survive my death by sixty (eO) duys; !\/ld B. Fifty (50%) percent thereof to RITA JF~N BREHM provided she AUrvive i' my death by sixty (60) days and, if she does not so suI'vive my death, then to I !II such of her issue, pel' stirpes, as survive my deuth hy sIxty (GO) days. I I'InI IX. I appoint RITA JEAN BREHM executrix of this my last will. I I, Ii not be required to give bond for the faithful pc.)rfolrnance of their c1utJ.os in II , i :1 i of 1'InI X. I direct that my personal representatIves and fiduciaries shall any jurisdiction. I.'.A' IN WI'INESS v.mmxF, f/ cyv~) ,1988. 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"II " , ~" . ',. ,II: .', I' , ,1,1., -,;'11, ,> '\ ,. "1,"\:;,:;,-'1" <>'/:. , .; '1 I. ."" I , '1' , " ,"~I' ,,"t, '. '.','.' 'j" ". .' " ,0' .', .1. , " .Ii, ',I " \ ,: ,",> ,. '. "", " ....;:.~._--_...-..,. , t. . I', '. I. Ate, &d: "1 ~'P5 j /I.,jYJ5 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PA ORPHANS COURT DIVISION .:STAn: NO. 21.94.390 IN THE ESTATE OF .:DNA I. HOCKER, DECEASED AND NOW, this m:CRE.: AWARDING RF;AL ESTATE I( 1/-1 dllY of Junc, 1995, thc First IInd Flnlll Accountllnd Schcdulc of Proposcd Dlstrlhutlon of Rctll Jcan Brchm, Exccutrlx of thc Estatc of Edna I. Hockcr, having hcen confirmed hy the Court and dlstrlhutlon ordcrcd, IT IS THEREFORE ORDERED AND DECREED that In accordancc with Ihe said First and Final Account and Sehedulc of Proposcd Dlstrlhutlon, as conl1rmcd hy the Court, thc dlstrihutlon of allthc right, tltlc and Intcrest of Edna I. Hoekcr and Rcla Jean Brchm as Exccutrix of thc Estatc of Edna I. Hocker In the following real eslatc to R\~tn JClln Brchm, Individually, Is hcrehy conl1rmed, and the same is awarded to Reta Jean Brehm, hcr heirs and assigns: ALL THAT CERTAIN trnct of lllnd sltullte In SlIvcr Spring Township, Cumhcrlllnd County, Pennsylvania, hounded and descrlhed a5 follows, to wit: BEGINNING at l\ point In the center of thc puhllc road known as Legislative Route 21018 leading from the Carllsle-Harrlshurg Pike to Trlndle Road, said point bclng at the corner of land now or . late of W, W. Klncr and being further rcfercnced thc distance of 457 fcet in a northerly direction from the center Iinc of the Pennsylvania Rallrolld Company right.of.way; thcnce by said lond now or late of W. W, Kiner, South 88 degrees 30 minutes West 200 feet to a point; thcnee hy land now or late of Samuel L. Simmons and Marlnn E, Simmons, his wife, North 01 degrce 30 minutes West 100 feet to II point; thence by land now or latc of Samucl L. Simmons and Marian E, Simmons, his wife, North 88 dllgrees 30 minutes East 200 feet to a point In thc center of the puhlle road aforesaid; thence by the center of said public road, South 01 dcgrccs 30 mlnutcs East 100 fcetto a point, the place of BEGINNING. HA VINO thereon crected a one-story brick dwclling housc known as 217 Hcmpt Road, Meehanlesburg, Pennsylvania, BEING the same premises which Edna I. Hockcr, single woman, grantcd and conveyed to Bernlcee C, Holler hy deed datcd May 8, 1985, and rccordcd in the Ofl1ec of thc Rceorder of Deeds In and for Cumberland County in Decd Book G, Volume 31, Page 52, and bclng the samc premises which Berniece C. Hollcr, widow, hy her deed datcd July 28, 1986, and recorded August 16, 1986, in Ihe Ofl1ec of the Rccordcr of Dceds aforcsald In Deed Book C, Volume 32, Page 566, ~ranted and eonvcycd unto DlIuphln Dcposlt Bank & Trust Company, Trustee In Trust for Edna I. Hocker, single womnn, Gralllor hcrcln, And bclng thc samc premises which Dauphin Deposit Bank & Trust Company, Trustcc In Trust for Edna I. Hockcr, by Its decd datcd Scptcmbcr 26, 1994, and recordcd In thc Oft1cc of thc Rccorder of Decds in and for Cumhcrland County In Dccd Book 113, Pagc 1092, Jlstrlhutcd to thc Estalc of Edna l. Hocker. BY THE COURT: (t( (~(. \ B J, , ~I 'I' l' I II I ~11147 EX AFP 112.94)* J!k?J'- / VR~~ALlII OF P1!HHSVLVAIHA ACN 101 DEPAATt'LHT OF AEYEHOE NOTICE OF INHERITANCE TAX I~EAU OF IHOIYIDIIAL lAKES APPRAISEHENT, ALLOWANCE OR DISALLOWANCE ~miS:~~~lpA 17\28-060\ OF DEOUCTIONS AND ASSESSHENT OF TAX DATI 03-27-95 mAtTop HOCK~R - ~ FILE NO. 2['94-0390 DATI! OF DEATH 04-16-94 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX PAVHENT TO THE REGISTER OF WILLS, HAKE CHECK PAVABLE TO "REOISTER OF WILLS. AGENT" REMIT PAVMENT TOl RONALD E JOHNSON ESQ 78 W POMFRET ST CARLISLE PA 17013 ~v- v - REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 [-Amount R.n~ CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... iiiY: isi'-,. iii'. Afop.f 12": 94T .iloYi Ii r .op. i"NHiiii f AliCE .YAx - APPRA'i ii iifEilr;. Ai. i."owAHc E .oR' -... ........ -<< -.. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE Of HOCKER EDNA I FILE NO. 21 94-0390 ACN 101 DATE 03-27-95 If an a.....m.nt was i..u.d pr.viously, line. 14, 15 and/or 16. 17 and 18 will r.n.ot figure. that includ. the total of ALL r.turns a......d to date. ASSESSMENT OF TAXI lS, Anount 01 Lln. 14 .t Spou..l r.t. 16, Anount 01 Lln. 14 t.x.bl. .t Lln..l/Cl... A r.t. 17, Anount 01 Lln. 14 tox.bl. .t Coll.t.r.l/Cl... B r.t. le, Prlnolp.l T.x Du. TAX CREDITS I PAVHENT DATE 12-29-94 TAX RETURN WASI I Xl ACCEPTED AS FILEO RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED aNI ORIGINAL 1. R..l E.toto lSoh.dul. A) (1) 2, stook. .nd Bond. (Soh.dul. Bl 121 5, Clollly H.ld Stook/p.rtn'rlhlp Intorllt (Sch.dulo Cl (Sl 4, Hort...../Not.. R.o.lv.bl. ISch.dul. 01 (4) S, Cuh/B.nk D.po.1 II/Hho, p.rlono! Prop.rty (Sch.dulo E I IS) 6, JointlY O.n.d Prop.rty ISch.dul. Fl (6) 7, Tr.n.I.r. ISoh.dul. 01 171 e, Totol Au.II APPROVED DEDUCTIONS AND EXEMPTIONS I 9, Fun.r.l Exp.nll./Ado, Co.to/Hllo, Exp.n.u tSch.dul. HI (9) 10, D.bll/Hort.... L hblll tllI/Ll.n. (Sch.dul. 11 110 I 11. Totol O.duotlon. 12, N.t V.lu. 01 Tox R.turn 15, Ch.rlt.bl./Gov.rnn.nt.l D.qu..t. ISch.dul. J) 14, N.t V.1U. 01 E.toto Subj.ct to To. NOTE I 1151_ 1161 1171 RECEIPT NUIIOER AAOZ2655 OISCOUHT ('1 INTEREST 1-) ,00 I ) CHANGED 86.000,00 2,959,25 ,00 ,00 2,30Z,QS .00 ,00 Ie) 91.261,30 7.418,64 1.2Z1.06 tlll 1121_ 1151 (14) R,6:'\9 70 8Z.621,60 .00 8Z.621,60 ,00 X ,00, ,00 X ,06. 8Z,621,60 X ,15. Ilel ,00 .QL lZ, 393,24 lZ.393,24 AHOUNT PAID 12,393,24 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE lZ,393,Z4 ,00 ,00 ,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, IF TOTAL DUE IS LESS THAN II, NO PAVHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR1. YOU HAV BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,I ~~ t51 :.tl :Urn <to o. "., '(.) If.'! (1 \. :." ". d ?O ~ ,.. , .', ;.~;: I -" (ii' ol1 (; 0 )>;.. .~:'\ -,. .....f RESERYATIONI Elte't. of Uloed'nt. d~l"g on or blfor. Dlca.b'r 12, 1982 .. If tnv tutur. tnt.r..t In Ine ~.t.t. I, trln'f,rr.d In pon.ulon or ,,'jay..nt to CI,.. B (collat,raU bln,flal,rJ.. of thl dlcld'nt Ifttr the IMplratJon at tny ut"t. far 11f. or for v..r., the Co..on~..lth hereby 'KprG..l~ r...rv.. thl rJaht to appr,t.. bOd ...... trln.f.r Inherltlnoo rlMI' at the liwful Cia.. e (ooll,t,rl1) rlt. on any luoh future tnt.rut, PURPOSE OF NOTICE, PAYNENT, REFUND (CRll OIJECTlONS' AIIflIN ISTRATlYE CORRECTIONS' DISCOUNT' INTEREST. To fu1f1l1 the ,'.qulr...nta of Slctlon 2140 of the Inh.rlhnol and E'18t, TaM Aot, Act 22 of 1991. 12 P,S. Slotlon 2140. Dttlch thl top portlon of thll Notlee end lublllt ",lth your pav..nt to the RIghttr of Willi prJntld on the rever.. .tde. --H.kl ch.ck or 1II0nlY ord.r payabll tOI REDIS"I'EA OF HILLS I ADENT All pay.entl received Iholl flr.t be tlppllld to any Int.r..t which nay be dUI with any rualnder appUed to the taM. A refund of a tax crldlt, which wal not rtqua.tad on tht Tax R,turn, lIIay bl r.qu..ted by cOlllpletlng an "Application fcr Refund of Plnn'Ylvanla InhtrihlnclI tnd Eltat. rax" (REY-U13J. Appllcatlonl art Ivalhbl. at thll Offlo. of the Atgl.tlr of Will., any of the 21 R.Vlnue DI.trlct Offtce., or bv calling th. sPlolal 24-hour anlwerlng service nUlllb,rs for forlll. orderlngl In Penn3ylv$nJa 1~800-36Z42050, out.ld, P,nn'Ylvanla and wJthln local Harrhburg arn (117) 787~8094, TOOl (1171 71242252 IHearlng hpalrld Only), Any p.rty In Inter..t not .~tJ.fled with thl appralOllllent, .llowancl cr dl.allowan~1 of dlductlon., or a.......nt nf talC (Including dltccunt or Intlrut) II shown on thlt Notlu .u.t objlct within .hcb (60) dlW' of rlcllpt of this Notlcl bYI 44wrlttan prct..t to th, PA n.part..nt of R.v.nu., Ilolrd of Appul., D.pt, ZBI021, tlarl'lsburg, PA 17128-1021, OR -41110tlon to have the .att.r dlt.rllllnld at audit of th. tlccount of th, p.r.onal r.pres.ntatlv., OR -4IPP.al to thl Orphans' Court. Faolllll Itrorl dhcov"ld on thlt a.......nt .hould be Ilddr....d In wrltJng tOI PA D.partlllnt of Alv.nut, Ilurllu of IndJvldual Tal<.. , ATTNI POlt A.......nt A,vlew UnJt, D.pt, 280601, Harrhburg, PA 1712840601 Phone (717) 787-6505. S.. pagl 3 of the booklet "In.truotlon. fcr Inh.rltanc. Tax R.turn for a Resld'nt Oec.d,nt" (REY~1501) for ftn explanation of Id.lnlltratlv.ly correctable error.. If any tax dUI h peld within thru (1) cal.ndar lonthl afhr the decedlnt'. death, a flvlI pore.nt U:O dheount of the taM paid J. allowed. tnterftlt It l.:harg.d be"lnnlng with Utlt day of dellnqu.ncy, or nln. (9) "ooths and on. (I) day frol the date cf d..th, to the datI of paYI,nt, TaMu which beeal. delln~t b.forl January I, 1982 b.ar Interllt at the ratl of IJIC (6%) percent p., allnUI calculatld at a dalh ratl of ,000164, All t/lXlI which bICII., dellnqu.nt on and .fhr Jenulry I, 19.7. will b.er Int.r..t .t a rllt, which will vary fro. callndllr Vlar to Cftllndllr year with thet ratl Innouneld by the PA D.part..nt of R.v.nu.. Th' .ppllolbll Int.r..t rat'l for 198~ through 199~ ar'l '!!!r tnterut Rate Dally Int"..t Factor !!!r Intlrllt Rate DailY Inttrut Pllotor 1982 20X .0005411 1917 9% .000247 1985 16X .0004311 191~-1991 11% ,DOOm 1914 IlX .000301 1992 9% .000247 1985 UX ,000156 190H99\ 7% ,000192 1986 lOX ,Doom 1005 9% ,000247 uInt,,"t I. calculatld al followll INTEREST . SA LANCE OF TAX UNPAID X NUNBER OF DAVS DELINQUENT X DAILV INTEREST FACTOR 4-Any Hotlc. I"ued after the taM bleo... dellnqulnt will r.fleot IIn Int,r..t calcullltlon to fift,." (IS. dllVI b.vond th. date of the .....III.nt. Jf plV.lnt It I'",d. after thl Interllt cOlputatlon dlltl .hown on th. HoUel, IddlUonal Intartlt IUlt be calcullhd.