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HomeMy WebLinkAbout94-00538 Estate of II;},;, / / also klloll'lI as PETITION FOR PIWUATE and GRANT OF LETTlmS II; vlNJ()ll N.o, _c?J~~t .' 53JL_____ -r 10: Register of W lis for Ihe ___ f)1'ceased, Counly of '1/ .'l:t:L.!Ll/L. in Ihe Sodal Security No, /9:2 - ::JLi -1.1..3,') / Commonweallh (If I'ennsylvllnla The pelition of the undersigned respect full>' represenls Ihlll: Your petitioner(s), who Is/ure 18 years of IIge or older anlhe execuL~__, In the last will of the lIbove decedent, dated (.'('(&.'t.L.u. and codlcil(s) (hued nllml:d ,192.;,L (,tate relc~'anl Cit~'hI1lSlaIlCC\, e,~. rClltll1~ialioll, death (If I'\CClllnr, etc.) [)eeendent Was domiciled III death In ('/JlIl/Jillflllt! ht'r IlIst family or principal residence lit ~ (). bf/11t' u"o/"l,(IJ./J/J' I~'/U)x~< /)!/)/J.',II////J/),IJ . , (ll~l 'lreel, I1umher llud lIIunl,'Ir";,liIYI ._ Connly, I'ennsylvllnia, wllh 5oJ/..l..d.. /.t'IY}/JII),tJ , ()eeendent, the!l Y J years of age, die~ ll};l'/ ::)(1 , 19 94 at __..et.o<\jll? (1/1"U, /./J/ilh' l}jli.1.L..!/)/J it!~" il. I /-i / r~tJLXL-&~1.'fY . Except as follows, decedent did nOlmarry, WIIS nOI dll'['rccd IInd did not hlll'e II child horn or IIdopted after execution of Ihe will offered for prohale; \\'IIS notlhe I'lclim of 1I killing IInd \\'lIS nel'er IIdjudicllled incompelent: ()ecendent at dealh owned propcrlY wllh ,'slimnted I'alues as follows: (If domiciled in I'll,) All personal pl(lperl)' (If nol domiciled in I'a,) I'ersonlll propen)' In l'en1l\yll'IInlll (If not domiciled la I'a.) I'ersonlll propeny In Connty Value of real eSlale in I'ennsyll'ania 1 silualed as follows: L.(,,;l, :.'>'Tkrlc .:>I, ).P~ltJiIl./f!.f>//r; /,,( 'I S1tiT( sr~ ' I7cJ:!S $ " I '<"0(> , $ $ $ __~6/~ WHEREFORE, pctilloner(s) respectfully requesl(s) Ihe prohnte of the IlIst wlil and codlcil(s) presented herewllh and Ihe grant of ICllClS_ _ ~iIla.Jt./JX/)/)1 (lc~lnlllcnlltr~': iHlmlnlsltilliUll l',t.n., adlllinhlralion d,h,n.l',l.n,) theron. ~ 5 '0- '~~ .,b c 'O,~ ~,c ':i~ u~ ~o a Iii ,; J ...J.j II/I. ./ .:.. 'IJ .. :;.1 R.'c.llllf'() k'D ..11.!..JJ1fIliK.Lili.'!i("" flit 7 <,I,j'-'L- OATH OF PERSONAL ImPlmSENTATIVE COMMONWEALTII OF I'ENNSYI.\' ANIA } 8S COUNTY OF (J({fIJ/'t'/ /tU)t.l The petilioner(s) nbol'e"1Ilmcd swear(s) or afflrm(s) Ihallh~' slmemenls In Ihe foregoing petition lire true llnd correellO Ihe besl "I' Ihe kllowledgc and l~CI c( ~f petllloner(. IIl1d that liS personal represen. tlllll'e(s) of Ihe ahol'e decedenl pelllioller(s) will we an~ru . admin' ter Ihc eSIlI,e a' or 'ng 10 Inw. Sworn to or affirmed and subscribed ,'" J..A....~,(V'\.. , (, I//f, C/l -- before n\l' Jtli~S . __ J!, TJ:L.....~a ' of I // "J', ) .. ",. . ~. ~~_ ~..iL :L.J.UNE ,. r., i . ~ t ~_ \) ~~(I .iJil J..~~ til"1 ___0_ ~ MA'tfc. LEWIS ( RI'ci.lfl" ~/f;1___.. B: III., ,:J/II I:.', LAST WILL !lND 'l'ES'l'lIMEN'l' OF HAZEL I. UPDI~GRA(i'F I, HAZEL I. UPDEGRlIFF, a resident of l,emoyne, Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this as and for My Last Will and Testament, hereby revoking and making null and void any and all Wi Us and Testaments r or writings in the nature thereof by me at any time heretofore made. ITEM I - I direct my hereinafter named Exocutor to pay all my just debts and expenses as soon as may be conveniently done after my death. ITEM II - I give, devise and bequeath my entir.e estate, whether real, personal or mixed and \~heresoever situate unto my husband, ARTHUR UPDEGRlIFF. ITEM III - If my husband, ARTHUR llPDrWRlIFF, should predecease me, then and in that event, I give, devise and bequeath my entire estate, what- ever the nature of such property may be, whether real, personal or mJ.xed and wheresoever situate unto my throe (3) sonfl, AR'l'IlUR J. UPDEGRAFF, WAYNE W. UPDEGRAFF and LARRY E. UPDEGRAFF, share and share alike. ITEM IV - I nominate, constitute and appoint my husband, ARTHUR UPDEGRAFF, as Executor of this My Last \1ill and Testament. In the event my husband, ARTHUR UPDEGRAFF shou ld predecease me, I then nominate, con- sti tute and appoint my son, ARTHUR J. UPDEGRAFF, as Executor of this My Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal this Ian day of OCTOBER, A. D. One 'l'housand Nine Hundred Seventy-seven (1977). lltj iJI' I ( .~ // (t< I {" -. l .,!{ ,(, /f{., -~ f1AZEJ,i I. UPDEGRAFF, ' i I (SEAL) Signed, sealed, published and declared by tho above named 'l'estatrix, as and for her Last Will and 'l'estament, in our presence, who, in her pres- enoo, at her request'r and in the presence of eae)! othe r, have hereunto set our hands as attosting witnesses. / ) c---~f;:. - . - >/ .:f ,>1';, ~j '~}:llkL-<~ClI 11,(; ., " " " ,. .. 'j" /,;' (n' " 0,,1,1 , \ ()l i' ;)1 ",I; ,1'. 1, ce . I I' ,I' "I' ',,' ,l.' ;i ..,1 , ,. "'i i, ;, '.I, "0 V,~, {"I l:fl, , , ,. ,. , f' ',", ',',I' ,. .' tn ""'1 Rj,." "'J "? ~,..--'" {r-, " ., ,I'; " (.,' , . " ," 'j;' 'I,' ". 'I ", 1"1. t~'.( r~ n.,\~ ';"\',',i lr 'J ,1,.,;-1,\8 \;4':> G, t), p' " , ,. ,. t,,; ). \< ,: J ,j, i", ,. " II' " "~I' " . . . 'l' I' ,. /. ", I' , " d ' 'j; ,,, ,,, ,. l' .oj '''' Ji , , , " " " ., j,I'" ,'",1;' 1'1_, " " L " , " , ,.. , ,. ,. .1 I' 1 , , \ ii" "'.' .' o i.1 'Iii )" I, ,. l' \: " P, ;, Itf \1- 'l/ 11' 0', \'i ", I,. I' '.. " .. 'j' 0, , 11 .. " ,,'- " I,; It, i_I. "I' ,. Ii ji H, . ,. ii, ." 'j' " I' ii' I, OJ, " , "I 1 ,~ (I .t., o' Il ", '" ,. ,. .-,- " " I' i ," '.I .. "I ;, " ", j,i I' \. ': '!", ,I: ji ., q " <iI' ,. ,. oj" ;j j'J 1'" I I'. 1 I , " "I, -,I ,. . , " . 1 . I' '-,; , . ,,! \. \. .. ,. , , "" .. .. I'. " " ;'_'1 " , Register of Wills of ~~~ County, Pennsylvania INVENTORY !:SIRto of _IIAZI':!. !..~ll!~~\9RAJ~_.__..m____ No. 1.9..2!I::Q05JL, _-.........__- .--' _______._._..'... Docoasod Datil of DORth __513!l/').L_........;..___ Social SoCurilY No. 1:.1.2.::.10.::0321 also known as __nO -----J:. A r 1'llllL.l._llp.d~L.__...._-.-____...._-_...__.._.___. __..m.__'" ..--___ - ..--.-.... ....--_. PotllOllal ROPflHlflfltllllVO(HI olllllllllJOVIJ EHlllln, dllr.nmlUd. vMlly lhullho ihUll!l lippI/UtilI" III 11111 lolloWUl\lllWulllory 1I111ludo 1111 ullhll I'O"lUllllllllHUlIII WllUlllVIlI lullluln umJ 1111 tlllhl! rIlllt IHllnlo Ulthu CCHlmWIlWlIllllh 01 POllnllylvllIuu of !Wld DlIondunl, 111111 thu vlllualwll plm:lld OPlJU!i1l1J onch 110m 01 Stlld InvtJnlury (tIptllHlllllH lis Ill" vnlun IHl uf11lll dulu (d lhu Dillloclnllf's dUlIlh, IHld lhul Oooodol11 ownnd no roul URlulll C1Ul9ldd 011110 CUrlH1ll1llWllllllh of PUllIlllVlllllnlll tlltllOplthll1 whwh ll"fIIJIH~ HllllllolllOrlllllhu!\ lit tho ol1d ollhi9 jlll/olltorv. IIW" vO'IIV HuJllhll ~llllul1111nl!i IIlmJIIII, lhlll hl'lu111o(y urullllll Illld tJUlIlWI. I/Wu wldurlllurl (1'.11 Inluu HltItumonls hotojn 11I0 l11udo Hllhjuol lu Ihll J1l1nnl1wtl uf 18 Pn, C,S. Suollo" 4904 rlllulll\llo lIIltl'v'\lllln lullulll. I' ,It, lHllhulltitHl. NOnlU 01 Al1orllov; A(i~d))1 ,-lJ ,lirl' _._,___au ~. ._..... _._____ ...... __ ,_. . ._; .._ Bridg t fl. Whitley, Er,', ,..33580'--"H' ....... -- .. Keefer, Wood, Allco & Rnhn! -21O..Walnut, P.. a,.llox 11963 IInrrisburg, PAI7!OR-!963 f'''+I'''~''II'''''' "1""". ) . '~.. . [Allt~-. ''L1.1C~'''.fi -,.ltC(' . Arthur ,1. U degrnff, Ilxecuto. . 1.0, No,: AddroRR: OIIHtd. 1j.:l7/95 Tol'I'hono: (717) 255-R027 ~__...'_H"_U__'__'."" Dllllt:flplHlll ,VItIIW Inventory (119 par nttnclwd) $184,811,)2 ~~. t:A :0 :o~ (tl ~ f 1,1 1'.1 'e: II' ;'j .:' tfl ,1, i' t , , , (.'. I ) OJ l. , ...... , ~ I f') "" ~-. q '"I \(,1 'Iii () '0'; UI ...., ')> ;:I- th TOIIII: IR4,RII.)2 (II II Ill:" AlIrIilllllll.1 fihools ,I noellsSillyl Nil II I hn MUUlllIlllHlllrH III fflllt 1I~1"tu 0111<;1(111 It\!! C:lHIUIIOII,'..",1l1. ul 1'1I1111;~lvill'ld I'I,I~ ,II till' Idl'rlulI\ lit lilt. lllll'd>lI,,1 '11111'1"'1111.,11..., IIWIlIl'" tllu v.,hl/llll O.,dlllllll1, hlll 'lwll lllllllU!, ,11011111 IlIlI III' 1"INlIhrill!lIO Uw Inl.1101 til" III~nllllll~ nW-1l 1 " , .. " ,. ,I '" ," '", Est~te of: .Hazel I, Updegraff Date'of Death: May 30, 1994 Oounty: Oumberland . " .. .. .. .. .. .. .. .. .. .. .. .. '., .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. i .. .. .. " .. ~.' ,,'.'~ .. '.I, .. .. ~' .'.',,;.. .. ~":",!,. . .. .. .i !' '..'" .. ~ ..... , , , II 'i ,. prooeeds.of sale Subtotal INVENTORY .., I' I" I' 'j I. ., ,., .............. ............. " I , .',108,,295,51 ,. , ',. I' ;. ,J; "j' I," i'84,8U,32 I" Tot!!l Inventory / " " ;'" , , " , ,. .1 :\ , Ii 'I I ,. , " I " .. ., , 1,1 ,. , 1 \,. I, ,I, " ,!j" " ,. I' " I. I' ,." " , ,. " :,'1 ii " '" ,;1: ;,1 'i\,' . ", .. " i!" .1 " ", I ,I I, H 11"l. ,', 'Ii ," ., " , 'I. " I" " ,. " I' " ;,~; , ii' ,. , !' " '/.' . .. I. " " I" ,. ,. ,. " " I, ,. I " I, " " I " " " " I "\ ,., Ii ,. ,',f, ". I,i: ,,, I. " I II! " ,. , ,. , , i/ Ii,': ,'.j "~I I, ,I' I' iI' ii, ," ,,/1\], ," ii' i I, " , I, " ,. , ,. " .. ,,' ;i, , I, 1'1 ; ... 1'" ,\ '" ,i' "j' " -3. ,,' ". I. ,I " I, 2, Supplomonlal Rolurn 41, Fuluro Inlo,ool Comp,on.,o (10' dOlo, 01 doalh aNor 12-12-82) []] 6, Docodonl Dlod To"olo 0 7, Docodonl Malnlalnod a Living TrU,I _ (ANaeh copy 01 Willi (Allach a copy 01 T,u,l) C P ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: R ~ NAME COMPLETE MAILINO ADOHESS() () R 0 Brid ot M. WhIt1oy, Esq, Keefor, Wood, 'AHon ~\Raha1 11:? ~ ij TElEPfWNENUMoEn no Walnut, p,.O. Box 11963,': T 717 255-8027 lIarrisbur PA 17108-~963 1, Roal E.,.to (Schodulo A) (1) 0 '-"-'-" '" 2, Slack. .nd Bond. (Schedulo B) (2) None I '(J 3, Clo'ely Hold Stock/P.nnorshlp Into,o,t (Schodulo Cj (3) None 4, Mong.go, and Nato, Rocolv.ble (Schodulo D) (4) Nona 5, C.sh, B.nk Doposlls & Ml,collanoous Porsonnl Proporly (Scl1. E) (5) 64 ;.281 6. Jolnlly Ownod Proporly (Schodulo F) (6) 3 ; ? 7 6 7, Trnnslors(Schodulo G) (Schodulo L) (7) 9 , 235 8, Tolal G'099 A'aols (total L1nno 1-7) 9, Funoral Expon,o" Admlnlslrotlvo Co,I" Mlscoll.noou, Expon,o, (Schodulo H) 10, Dahl', Mong.go L1ablllllo" Lion, (Schodulo I) 11, Tolsl Doducllon, (tolal L1no, 0 & 10) 12. Not Valuo 01 E.lnlo (L1no 8 mlnu, Uno 11) 13. Charltabls and Govornroontal Boquo'l' (Schodulo J) 14, Not Valuo Sub ocllo Tax (L1no 12 mlnu, L1no 13) 15, Spou,al T,an,lors (lor dalo, of doalh allor 8-30-04) Soo In'lrucllon, fa, Appllcablo Porconlago on pago 2. (Includo valuo,lrom Schoduln K or Schodulo M,) 16, Amounl 01 Llno 14 taxablo at 8% 'ala (Includo v,'uos from Schodulo K 0' Schodulo M.) 17, Amount 01 L1no 14 toxablo al15% rota (Includo valuo, Irom Schodulo K or Schodulo M.) 18, Principal lax duo (Add lax from L1no 15, 18 ond 17.) 10,C,odlt,/Sp POVOfly Prlo, Payrnonts DI,counl 0+ 8,550 + /.50 20. II Uno 191s groator Ihan L1no 18, onlor Iho dllloronco on L1no 20, Thl,l,lho OVERPAYMENT, [[] 0 ICheck here<< you..e reque.!lng a r.lund 01 your overpay!!!!!!!:] 21, II L1no 18 Is gro.lo, Ihon Linn 19, ontor 1110 dilloronco on L1no 21, Thl,'. Iho TAX DUE. A. Enlor Iho Intoro,' onlho bol.nco duo on Linn 21A. B, Entor Iho 101., 01 L1no 21 and 21A on Uno 21B. Thlsl,lho BALANCE DUE, M.ke Check Pa able to: Re laler 01 Willa, Agent ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH . . Underpln.IUII of plrJury, I dlclArelha\1 have e.Amlnld thiS r.lurn, Including accomp&nYl/Ig SCIHHlulu and slalllmllnll, and 10 lhll bul 01 myknow!lIdgll and blllll, II iaHuI, cOII.eland compl"I.1 dlCtarllhal all"alulalll hU bllln reported&! hUll mafkel v.,lulI. DIICI,vallon ul I!reparer olhtr lhlln lhll pllrsonal"prullnl&II.....I. baud onaUlnlolmallon 01 whlchprepartrhll.nyknowt.dg., CAB H P L E PO C R C K 0 K P S , J INHERITANCE TAX RETURN RESIDENT DECEDENT cOM~P~X/;~~'i'\od,';flt~'il'b~ANIA (TO BE FILED IN DUPLICATE ~. '00601 "AHHIS 10, M """0601 WITH REGISTER OF WILLS COUNTY CO,,[ OECEOENT'n NAME (LAST, FIRST, AND MIOtILE INITIAl) DECEDENT'S COMPLETE ADDRESS U do raff lIa7.o 1 I, 662 S ta te Road SOCIAL Sk::CURITYNUMotA DATE or: DlATtI OATE or (WITt! Lomoyne, PA 170{~3 192-30-0121 05/30/1994 08/20/19]2 I" /./ . REV., 1500 EX .17~\l4) o E C E o E N T (IF APPLICAOLE}SURVIVINO SPOUSE'S NAME (l.AST,F1AST ANO Mlumr INIIIAL) ERR Xl. 4. - O"g'nol Rolllro L1mltod Ealato R E C A P I T U L A T o N T A X C o M C T T o N SIO~AT~fE OF (lrA( IN AESPONSHH.E FOA 'I~} a HrTunN CUI)" L/.ft! (. ',~ ",' I V/,I. SlONATUAf OF PRE ARER A[)OHrSs 21 Richard Road M~.c-I;~;ii~~i;tirp,': ',;;""j iO'55 _... --. --.. .-.... - --... AnOfl[SS Keofor, Wood A110n & Rahal . . . . . . . . . . . . . _ _ J . . . . . . . . . . . _ . . _ . . ~ . . . . . _ . . . . . . . . . . . . . 210 Walnut, p, 0, Box 11963 Harrisburg, PA 17108-1963 Cllpytlghl(CI ,gg4 form .oll'lfall only CPSyslllms, Inc. " (I. 01\ rOR DAHsOr DEATH AFTtA 1lI3119t CHECK HEAE 11' A SPOUSAl. n ,10 Eflh'CHfnITISCLAIMfO l-.L.-.__ FILE NUMBER 7.19/,-0538 VEAR NUMBER County Cumberland SOCIAl fJECURITY NUMIIEtl AMOUNT RECEIVEO(SEE INSTRUCTIONSl o 05, 1 8. Romalndo, Roluro (for datos 01 doalh p,lo, to 12-13-82) Fodoral Eatalo Tax Rolurn Roqul,od Total Numbor 01 Salo Ooposlt Boxo, \::: v~, (, . , \','1 I" " (6) 185,388 (0) 11,122 (10) 927 (11) (12) (13) 14 12,048 173,340 Nono 173 340 (15) Ox , o (16) 173,340 X ,06 , 10,400 (17) o X .15 , o (18) 10 ,/,00 Intoroal o (10) (20) 9,000 o (21)___ (21A) (21B) 1,400 o 1,400 OAT[ . ~i/();I- [lATE FOlm 1600 IA.v. 7.&4) I ':1 I " ;:r-. ;.1 I LAST WILL AND ~AMENT OF HAZEL I. UPDEGRAFF I, HAZEL I, UPDEGRAFF', a resident of Lemoyne, Pennsylvania, being of sound mind, memory and understanding, do make, plililish and declare this as and for My Last \'Iill and Testament, hereby revoking and making null and void any and all Wi 11s and Tes taments, or writings in the nature thereof by me at any time heretofore made. ITEM I - I direct my hereinaft.er named Executor to pay all my just dehts and expenses as soon as may be conveniently done after my death. ITEM II - I give, devise and bequeath my entire estate, whether "~I real, personal or mixed and wheresoever situate unto my husband, ARTHUR UPDEGRAFF. lTEr-l III - If my husband, ARTHUR UPDEGRAFF, should predecease me then and in that event, I give, devise and bequeath my entire estate, what' ever the nature of such property may be, whether real, personal or mixed and wheresoever situate unto my three (3) sons, ARTHUR J. UPDEGRAFF, \'IAYNE W. UPDEGRAFF and LARRY E. UPDEGRAFF, share and share alike. ITEli..}V - I nominate, constitute and appoint my husband, ARTHUR UPDEGRAFF, as Executor of this ~ly Last I~ill and Testament. In the event my husband, ARTHUR UPDEGRAFF shou Id predecease me, I then nominate, con- stitute and appoint my son, ARTHUR J. UPDEGRAFF, as Executor of this My I' Last Will and Testament. IN IHTNESS WHEREOF, I have hereunto set my hand and seal this ~day of OCTOBER, A. D. One Thousand Nine Hundred Seventy-seven (1977: " ~J.!e~.' Gp~if;fiftl'll' (SEA Signed, sealed, published and declared by the above named Testatrix, as and for her Last Will and Testament, in our presence, who, in her pres- enoe, at her request, and in the presence of e other, have hereunto I ; set our hands as attesting witnesses. , ~-~. .-. /' ,g~d7 Ie 1_ _ / / I I ,. ", ,. I j. .',. Ii' ,!' ,. . (" .,j '1 " ,,' " " /. I, .,. I' .. " n " I' " "'J j" h \, " ,If, i'j', Ii I ,. " ..' ('IJ i; j" '1,', I. " I' , ;1- ,. " '" ,. ,. ,', I' ('Ii ,. " Ii ,1\ , ',' , " ,. " ,. ,. , , I; , 1/" 'j,'; " 'I'; i," i ,~ '1 I;" ,( , ,I' l,i:,':i i ~ , .. ,I " " \' , , " ,,! I, ,. ,. .. \,1 ,. " I' I. " " " " ," " ',.,'- ,. 'I " " 'r' (.J' " il," j' , ",. Jr' It' ,. ," ,I'" I' ,I", '\' I.; I I ., j,'.j ,.' . hi' " '1 ".\\ ", '" 'Ii' " " , I '\ .., ,. " t.; , /: " 'u' ., ,. " h ,,' 1," ',', ,;!" j'". " ., . ., i" "; , " " , , I' .. , , " , ',\ ',,', ,. " j, I . , ,. , I , ,. " " .. Ii II" .,1' " ,j, " I. .' , ,. ,. ,. I I, " ,. , , , , .' I. I' " Ii" , , " , I' " 'I ,. , ", " , ... ''i ;'1" , ,. I' I' " " 11(',1 ;," ',.j , ,. 1-'; I' ';. .. 1\, "~I' I_! "., I,'., " ,. '''''"'' 1"11 ~.L~ .Q "~'~IIMs' cOMIW"W~ll1!l 0' HWI11l't'AlUA OI'A..jlllllO'IIVltWI tHtlll11 flCe U.. DIVIIIOH om U060t ____~~.I~'~.~'O_~~'.'~'~O':'_.__.h.. .. _ .._ ._ .._ __ _ _._ . JI!~~!_!rlnt or Typ.!.-__ ____.___.__.....__. .._._u.._____~ .___'_____'''''__ .._ ......... ._.. _ __.. ... ,- ..H_' ...... .--'- --..-- MUST 8E COMPlllED 81 nerRflflllAllVf Of flllMlCIAlIII\lIIlJIIOII WIlER! 1M! llrPlJI1I n,,; 1\ IOCAIEI) MIO REIURNEO TO A80VE ADDRESS -::r::;':U:^M!llmmil~iD~~~~:U~"-~R'.~'.~-~=:~~~.~'~-S~.~~Ls;c1;'~~~t::~i~i:~~,;.~ NUM~ER__. ._______ __.__Ut. tJ.U:.L~IJt.f.___jltJ2 t:._!-.::...__.J.:...- .... .. -.... -. rh... .....LJ.::..Y -':::----.,- ADDRIII Of DECEDENI IIlIHlI ICII'I 11"'11 Il" COOII __._.__h_ __(,(~.t.-_. jI/){f h" .~[_ hU_ _ .___'h ._h' .... .Lf/~'~J.'-~"--_.____-.....J...!:.?-~ ?""(-t.!.~ NAME AND ADDRIII OF PERSON REQUESTING IIU OPENING OF THE SAfE DIrOStT BOX INAMII __._fnC__.i! f' tJ':C:~1Jl!! ___.__h___...____.____. .... .....h_h.__..__________.____ IIIRHlAoORrl51 ICII'I 111A"1 111P COOII ____2' ___/I.! ('I /ll/~ r?lJ (2- ... .... .____. _........ .. ../!!!.-'!!.I1..~!.~HJ!.:~!(:- _._/..~L......!? S::~_ NAME, AEDRES~IE..R~~!ION~~l'!~~~L!.()..~.E.CED!NT ,~!..!.E~S.<'~!S!P.~~~!N'.AT.!~!-O()~()P.!!!!NG ------.---- G, IHAMlI 1~f1"llOtHlllrl _tJ.(1fJl~,~!...t-f_--.-L!.t.J2.{- {~!..!!!I.L___.___.::..~~, IIIREIl AOOR!\II ICiI'1 _..--I.L..J1' I.'/{ l.!nO /1 /')_____....:::.!I.(~I/fJ._:J (')' II (/It b, INAMII IRHAlIONllllPl ,,('flY (. . I SAFE DEPOSIT BOX INVENTORY IIIAIII 1"17 IZIP COOII 17:' J'L ~OORllll ---.------------------..------.- ICII'I 11"111 111P COOII ---_._-------~.-._---_.. IR!t^IIOHSIHr) --- I, IllAM11 ------.-- IIIAlII IZIP cOOl1 IIIRIU AOORIIII ICllYl ______0.__--.. .--------- NAME AND ADDRESS Of P1NANCIALINSTITUTlON WHIRE THE SAfE DEPOSIT ftOK II LOCATIO ..----- INAMII ,;! (, j\I (' IlIRlliToDiiiij--.--.-..-----..--.--. ------jc,i,j.-..--------lii;,'11 , NAME Of PERiJa~AK;N:{ria:;~y-7L-- m~~ii':N~f~i~;:iri~f~i~f /11, ..-A (I I u(lJJ(c.,-1flI'F. L. iF '1'( 1,(,'1'0') DATI Of ~~~.fj~~~~~~:~~~~_UM8i~/~~(i~=~=~E@-~~~D~R.~~~:.~::.~~~,;~~~;~~;_/!!!f7~!1 Vt//~ ~.~~ NAME AND ADDR!SS Of PERIOJliSI HAVIII~ fleem TO BOX o. t~~AMfl ___..______uu________ h~.fti^MEr----u-... ----------- IIIP COOII J 71' ?/l -- IIIREIl AOORlIII ---------.---- i\im'..liii~-..--- ICI1YI IIIAtEl IIIP COOEI i,mY- IllAtEl I"P COOII NAME AND T111(OFTt.\PiOYE Ti\Klil'OTHEINVENTo'Rr---'" '7JD:YLd.5:""jz-l.! (<;:..:f.' 1~2_J1LUL, - WAS A WilL IN THE 80K? a.r(u UNO 1/ y", a. Dal. _f willi ...-----..---------.----.. h. Nam. and add,." 0' p,nonol "plt.tnlallve. If namld In lh, will INAMII nllT/Nl -r 1..-(',,11.'(:::/,/(V'(' __...1__ _,J___,__.____.___._...._.__..____.__.___..____.___ II1RHl AOO"I\1 IClIYI ___~!J'!:.!'!.1!.~2__(11? ___.. ......__._______..__(..t1J'({ljl~!.!..1.(,,1J'~ c, Nam. and add,... of allofntVI II ony l'IAMII ---- IllRHl.AtiOillll -W AlII /17 I'" cOOl) { 1:';-.s~ --'I(I1YI--- IS;AlII II" C~ ------------..-.' rage .._..._..._ of ___._ SAFE DEPOSIT BOX INVENTORY iN'~T R UcfLQji~=--==_~:'_~::__.... ...._ _ .. ......_.~:~~..::~::-:~:.:~-: :~==~==~ 11) Cn.h I Reporl 10101 only, (2) Stockll Li.1 In deloil every common or prolorrod cortificnlo, worronl or olhor righlllouod In ho,. Slock. are 10 be do,ignoled by nomo of (OmpClny, cortHkolo numbnr, dolo 01 corlifiCCllo, nomo in which slock h reght"red, and numbor of Ihoro. ood clOll of <lock. (3) Obligation. of U. 5, Government: Numbor "I ilon1\, dnlo 01 illuo. 1"'0 voluo, nOlTle. in which regl'lered aod Iype of ownership. i.n" joinlly hold. pllYClbln 00 dOlllh, olc. (4) Bondll DOlignole by nome, nmount. .eriClI number, or olhor dOli!!nCllion. IBoaror BondI) (5) Bonk and Saving. and Loon POllbook.. 51010 noOlo 01 dopositor, nlllTlbor 01 book, IClII dote oppeorlngln book, nome of bank and brooch, and balance. (6) J.welry, Coin., Stamp., Monu.crlpts, ele: Lill Clnd de",ibe ClI fully (J\ pOllible, (7) Deed., Mortgages, Curr.nt In.urance Pollcle. or other evidence. of Indebt.dne"l L1sl and dewlbe a. , fully 01 pOllible. (8) All othe, contents. ITEM NO, ITEM OESCNIPTION _;j~fl __?..C: ,I ~!~J! ~~C..~.1.::.c._::'=~1/~,}'f~!.2: ._..t.rr::.r:!""I'2'--:::'fJT-1./lI,7~' ..J~ttt1~j"v ~__f!J___<O:.'..:'::\?_?'...'l-_~_[:~....:./?f~f':?:::':::('~'1.L3...?.=:....~,_____.__. () tt: /J I~'.-f!..L1:....r_S.!.IJ_'!~._~.!:..~'2.rrl?._;? [_ (.~L!.-'-~?.!Ilr'::.j /1.._~/-:'..?(i/l r /'''2...._ fll2.!.!.() __U.~_2_?'1 _.Cc"'-LL~~.'._.1fl(LI1_C~'I,--r..'ni/"':..}:__1{ C, I /J. r f /J rc /1 r (It l( ~'!.)lft:..J.,c. <:'._,:(l.['."1..2 ./I.r. 6c;_'L._. .5!/!!.!.1/'.___C/Ar" Y'~ I /'~__ /) (., __ ___u,/2llrrl::::,_i:f.:l::.b.E.___.c':_0::!__n .<!::_(...("'. n ...nr]f;1r?_/..~,:~~"~__C.'--..l.LJ...C:l.2...___ I CiiiliFY uNDiR PENAL 'Y OFPERj'URi'-,tiii,iH'E ';'BOVEiii'cORDIS.' PERi6f-r RECEiVING cop'V'oi--.--n.... CORRECT AND CO~Pl!!.!..10 THE.~._E".Sl.Q!'ll\lJ<J!C?~~J~_G!~ND B_El!!F S . p( PEPOSIT B. OX~. VENTORY, #: . IIONAlU!'0"1/)/,<',t _/V '_n._ .- !.1!t/r::....:- r~~--l?-- "__- . /rnlTtlAMr- '-.-.----- ./t..!..._. ..... . . .... .... .. .-- 'Pli.r ".,11 "((,(,;11;--' '~orl,fr'llji)m " ..-------. /r;;iT1iTir.z]/"~.~U_-J1-.II" '[l'_/) ,1,f. M~(\;5H !Cg:..[)f.j).E:C~ ~ (\ fE_____..__ [..IE .wllo.l,d-l I JAdmini,t'fl'orltrl/l1 J 1" (' t:) L J[HU!" Rllpll'llllrllntivll fJ Joinl owner of 101, rf.pOllt bo~ NOTEI -Ai"~~-h-';dditi~-~~I'iil;;;,~"~'i-''-'' .heet ('1 If n'~'"ary or u.e dupllcat.. o"lhl'.pag~'~f-ior;":'''---'-------'- ~ ~ g .. ... Z III '" :Ii Z '" z 0 ~ u i!: .. ~ ~ i ~ VI o '" ~ ~ ~ ~ s ~ '^ - ~! .. ii ~ ... ~ : g ~ .. .. N .. .... ':i; ----.---------.--- - --.-.------- . t 1\ '("':l' ~...~.()"".,t ~:J .... 't I~ , Olfl..... ."'- ., IQ'" ,;" VI t\ '" I Y........:' ':"\ .to'........ ... :j.:" ..... ------- -- - .-- - "-. '--- --- .. ~ :> ~ z Q IS' ..... III z l' ~ I ..... Q>o \., '" r<\ ZIlli ..., ~ gf2 '-0 ...... "< ~ b' ..... .... .....Z ~III u> a! --- j \! I ~ \j u \.} ~ ~w ~ z~ ~ ---. z~~5 l:l '1:\ h i~"~ ~ .. '. \. . ~~ ~ 1il P~q..,,\ d ' ~~ii:g t:; I:: ~v'" h l a t ~ ~ ~, ~~~ ~ \) \i . J* ~ - -_. .-- -- .-._-. I~ J U \ I II ~ b ~ \J ~ ~ v ! ,t"- It) , \) .~ ^ U 9 l1f.rAnfMHlI or ItOI/!\1NO .Ilr! unnMI Df.VEl.Orl,leNT _____..---'~[TTI.[MHlI SIlIlEMI'Nr SECURED LAND TRANSFERS, INC. ''/: ':~IIMIlo:""', I ,;\fi1~:'~~J .. . '~.,. , ' '.'II'~"~"~1~.J.t '. ~. IllVPl' Dr I.OIIN 3800 Markot Stroot Camp Hili, PA 17011 Phono: 761-77011 111m" 2 IlrMHA, 311t:otN.Utlltl5 411"''\ 61 I CotN.1t/5 nmrt/UMnrrl -~~- .___~_5Gl~L---1_ ^ Mom, IW, eMr 110 ' -...---.----.-----., ---------.--.-- r. NOfF' llil~ IOUll I, IlJfnl~llOd In giyn you n \lnllllnnnl ol nr.luill ~1l11l1)!llfllll co\I. ^lIIntJlltr, pnld 10 Aod hy llin \1I11I911Hlol nvnnl AlA sllo.....n 1101'" f11ftlk'l(j '(p (J 0)' welA Illlld ouls((jn Ihll do.ioU. thllY ;tllllholllllllt)I" IOf Ifl/olll1/\llnn..1 pUlpnsn, nnd AlO nollllr.lllded lutllo lnlnl, [I, II^,"!: Mm^~iilEr.~or (lOnnOWEn --- ~AF ^,i'i)i;~~i1~- -- 7t/I\I,lE Mjll^f)Onf511 orl FtlOrn poggy 'tI;~Ill'maker IIrl:hul' ,], Updegraff, York Federal SavingR John R ,\ l1amokor I ~lr., Executor I EFltnte of 1Ii'\7.el rc I,oan "Rnoe, I, Updegraff il/k/a lIazol 101 S, George St, Irone Updegraff York PII 17405 n rnOl'l:llrVIOl:^"OtI II !ifIIlWfllIAOF,tll' ISEITlEI.IF.HTtl^,E' &&2 Stilte Street Lemoyne llol'oll~Jh CUMIlF.RI,IINIJ COllllty Soctlred Land 'l'l.'anoCors, Inc. I'lM:[OrSEIIlEMnll J900 r'lary.et St. Camp 11111 10/17/94 PII 17011 ------------------ .~-._------+-~- ------- J. 811MM~nV or nanROWEn's TnAIl9MTIOII~ K. 9U~IMAnv OF SEUlln's TRANSAOTlO/II ""iOOnii098 AMOUtlT QUE rnoi:4oonnom--------------- 4;)onos9AMOiJliT ouiTO"5Ei.LiA--- WI eOllllnl;l~~o' 'lflr;O .-__~~-=~I----=b1Oliq,~~---. ~ffll coi,;i,~Piko. _~mo.-60 101 flMtO'1011 fl/npo.:y lIl1 flnf501HII prop'''I,! ..!!'~_~_I~~~nrcT.IH~~.lollori~wor ~/ln l~~~L.__ ==~-':H~9~. 5~~ '~I)l -===--=-=-==--==--=--- _ IOl lOt ~---._----------.~--- lO~1 - --- =--_. ^(~~~II1l~_I~~~r 11fll~1 pnid hY-I.oller In!~~nllr.o -== =-_~tf~~nlllllol item. paid by 101lQI III ndvence 1(1(, 1111111ol'1l,ln~ 10 lOll Cil,i10ll'lll.11 to .,;;C;;,;;;;,~;--TIi7T7~1;;-n7jr;Jj1 ------".".;-..g' .~"';--TIi7I'77~.ji0IT7n79<1 2 2 ,2&- -IO_'^-;;,,;;;-;;;;ji-'--- 10 -------~- -;;;;A"o'trnonlt !n - -- '" ',h'~1 lni'T'l7Jj1~1i7,7mr.;, ---n6.'ilr .,,';;;;;;;'--"IOTI77Jj1;;;(lbl!~., 2 2 & , 0 1" :!!~"_1!9E~217,'i::..~~al,-1.9 l7.1!r~ =~==~~1.7-:-T~~ :~,ReJ::;;}TLq eiiilill~1~n1 =--=-~'I._ III HI '" <II 1'0 aROSH MdoU/IT OUB rnot.! BORnoWBR 6SAO 1, 9g HO OR099 AI.lOlHlr DUE TO SELLER 63215,39 100 Al.lOUIlT9 PAID BY OR III 8EIIAlF OF BORROWSR SIlO nEOUoTloIl91t/ AMOUtH DUE TO SELllIA 101 (JOIlO,11 or 1J1l1l1l1l111\(JIlIlV - ---TblHr:on- 'UI ExcolS dn[w,illllJO in,lwcllonl) IO;-rlilldpnl nlll/)lml 01 /lOW klHn(., ~-n'.rntilr{j-:-o1r- 601 fillllllllnenl chalUl'lllo nllollhno 14(0) ;oiof..'ti,li.,O Ioftll(~lln~~~~IIlCTIO . ---~---_. -Sl)l E~I'lll1U lonn(.) lakn.l.ub!ltCllo tnl --- -------- WI'/1YlJll~iiMtlllqllgnlon" NONE '"' -.------- --.------ -;;':Pftyolfnr Sorondl,tnllqAQllloll1l '" "" '" '" '" .---------.----- '" "" "" ------.^ltjll~lnIO.I" IOf limns unrllll! hy 11)11;,--------- -~---f\(rjUltrnnflf. 1m ilol"l UllPAld by 1811el Ii; Clllllo......, t~~ --t;)--.----- ----------. ~;n;;n III 10-~ .~iYt;;---~--.i,;"---- ------- 611~-' 10 iiT^UOllIllllll'l 10 . --------- -.U^UOUIMlllt 10 ----- .--- 111 10 ~11 10 --------- . --~---- --- 1I1 ~u ---.---------- --------- . 'I~ ~I~ ..--.-- ---- II~ ~,~ .---- . -00______- 11/ ~1I ---...----- ---.-.-0-__-- _.__ II~ ... -..--____ 0_- __.________ _..___..____. II' ~It .---------..--..-.--- .-.---.---.. --~.._--_._-- un TOTAL rAID BY/fon FlonnOWER 39000,00 b'O TOTM nE(lUOlfoIlAlolOUPlT nllE SELLEn 9621.10 "McAiilATiETTLEMEi(i rnoM on TOioniioWEn.-.--.-....----~ .;;;(: c.,\iii Alielli.BMUlT"lo OR FROM BELLEn ~l~Ilii(;.,liIriOcmiij,;nliOiiiiiOiioW;r(iiWj'i~iil--- ---b~rrnr.9"~- ~. (lln,. OIllnlJllI (Illll I;;.~iq, llin(; ol20) . . 0 !~i~!~~~~~nl ii~Ei~J!~!~i!.~~,_~iiinE?~i=_... ~~~=l~~~~~~~~ ~~I~~l~!~!!~~ A!nn'~ fiunlllll_It! (line 620) ---~~I:1~ ",011"'110<1 rnOM) II 1101 DonnOWEn 2(, oa1 ,95 '" O^"'I(IXI TOIIII fnOM) nEtLOn 53&54,29 .-.------.-.-.------.-------------. ...--.-..-------.---. .------ -..--...-..-.-..------ ---- _....----.-..~_. .._..._..-~.. .......--...-.--.-.-.....- 'h1ftll<l11l<lIH'\\Il"''',1\II1WIlIl r,n!..",r,lU1HI'lIn I.IIIJIRovMft8 .,,- *;.: h ., ~. , :.\ , " ',~ , , lJ!I nrrAfl1MF.m or HOlmltHl ^1m llf1n^,1 DrVfI Opml/T BElII.WUII !;IAIIMIJII L~Be1i-lcMENTciIAnoii91'!i63'26---" ------.---.--..-.--'---.---. -'--~ll~rl!l\ll- - <--.."-- ---.......-.--.-------.---- -. ---- BOnnOWIR't lco 10U1~ll9ll1ilO~~~~~~ud.n!lIlnl _6JOOO..:..QQ._.~_O FUNDIAT .. .. llr.-i,lo/lor Commhtion (Ilfl' 100) ulollnwt Total: ih 410.00 unllWIHT ..!~T- 4 4.lQ.-,-'!.Q~_ '0 -:. Jack Gaughan R~altor 102 , 10 10) Commtnlon paid It S.llI.mlnt 70. eoo ITUIS ''''(AlliiN CONN.OTION Wlnt LOAN 1101 loanO,lgfllIIonF.. ... tal lOin Ot'coonl 'II. io3 ArlP,.'ul ~"'o AOt. C..dll n,po,l to lOf.lltld." IntPlcl'onF.. lot 1J0,I0lgI Inaur.ne. Applu~.tioo Fu 10 fa'. AuumpliOIl r.. f~ ~~~:: ~i~--- -~~~~~g~~~*il~I~rl1~~-~~I;i. ~-.~=-~}H~ :=---- ",Nan-Fee .-Real-r:ntiiEo-~fol't9Eige Ren.,' 25.,00_____ ~!. Do~:.....!'re!L..______ _.J~.9~lli'[llDlQ.QL -=-~:=~ ~______ 000 lUlU REaUIRID BV LEtIClIR TO BE PAID It I AOVAtICE Wi In"'''' ;,,'" -rD]I..7 /9,1 -;;;ljlD.!.Z2:1.-Of-5-:2'I::!~~!::':"-=-_='_=___~'-~' of ---- Q02 MoHo~o.lf1Illt&nc. Pfemlum lor /nO In ~) II.Jllrn ImlrrllncoP,emlwl1lof 'Y'~------------'- ~7---~~------=yii-~~=-__ ____~==:~==-=. --==--=--- ----~_=_-=~ ." cOO AIURVUOEPO!ITI!OWlTIlLEIlOIIRFOR ____m________ - ImI~It~---2-mo.OS- 15.00 Imn 30,00 ioo2MOrlgag~'finc. roo os Iron ------------- ---'- IN)l-r.lly{lnwnIM roo 0' IrM ----. 1004-COIll1lyJ;;- 10 roo 0$ 9.-03 Imll ~---- 90.30 lo;;5'Attftt"m;;rl~-----n;;or--'---;m;l-------~ -.----. -.------- looo-sCfiooY Tax 5 mn oi-~26,--05 .h;;n----.--------- - 134.1.~ loo;--------.-n..orr----~----_.--- I(.(I~ 11\0 0 $ Imo iloo 111llloiiiA~-----------~------'-- ~----- ~Ol gniiiiif;i&lItnlcIOlinOlftelo --- I i-rii Alltlracl olllll. hl&rcl~lo- I iOi- TIIII Uanllrlltlinn 10 1104 TllIlllntwanc. hlnd,1I I.' iifiS-i'iOCi;mQ;lt 111'natatlon 10 --------wITrflim-~nlTCi?([lOc.-Srrr- ------ ---- lIOOflolarylrn--to-----Cash--------------- iI07,AII0IOO;""'00l 10 ~----- (Inc1u(lo1 "hove II ern, ;:;0.:) II~; TllIlllml"ArlCe 10 So cured IJa'i'l'd'i'rA 11 0 fors __.~(mCi;j(jOi';j~ITOJ EndfJ 110Qfl.QOI.J.....1[710 ~~~ lend&l',r.ovl),'aon' 30l002.. 1110 Oil'l1OI'. c{werlgnS 63t!.QO iiil'MiiIl Foe i\i21iTiJb, Fae York Federa av ngs & .0 R, E. Narc, Ron, (f?-!;ol'5C) - R, E-:Mor't, .B..'!8 -(;;IOOl'DC[ 5,00 5 ~OO- SeCl1rea I,nnd Tralls(el's ___. sec,!!ed ),.and 'l'E!!!!!!.r.~E.'L.... _____ _ ~::oo ': 1111 llOO-~iiiTRI!OOROltla AtlO lRAt/SFliR'OHARO!9 ;rolnocOfdlllg ,... nl/ld' 1.1.00 MO:lgooe $ 24,00 Mile $ ~ 37,00 ~! Cilylcounlyl".I,'nmra nllerl$_~=-~~O ,Q.Q_~'otlonOIl1-- --- 630.00_ \~L SIIlIIl.IIl./tlornr, Ooed$ 63.Q~.QMnflgaQ~_____.._____.___ 120~ ---- ~ - --.-- 12M 1100 AODll10llAlUTTLEI.4EtnCHAROES --- lioj'S;my-- 10 ---.-----~- 1102-p;jiii;ap~-,~---- Aoworn~-iiofJt Contro--r--- 704.!'J0 'lOlFinal Sew, ----norougllofI,emoyne-- 43,20 ,,<;!'RflOZIITI'2 norollUfi01.I.emoyne----. 33,00 111;" -r:;BC:~ rilfiTai securccfT,nrnrifrannforn -----. -37ifO:"OO 14~~TOT~!!!TlEMINl OIlAROI!I f.ult! onl,nn 101,fI(j SO'. s.c~~~~i---=--=-===-= - 2606 . 56 -9621, 10 ",,1''1 .g.u I~,I N'U~~t'" .'''''''''<1I.yhll''''''I.1 A~., '~I H.. ,rr'uI~y~' "'~''''lt''''''''~III.~., I,y """'1 'I 'I....... ~~U...IIl'!J I hll,,",,"~1 nt,I"''''~1 hB"'.".1 AIl""II,'t.t>y"r'''tly '"1.....1 II.. !",,',II~ "',"'U ,., '"'~'''''I C.""cl,.tt.. ,~d"uI"!,'.' WIt" "'t"'1l l,,,,'w'i1 "(.".' In, "d<l'."" "1"'." .'tll"'......d',ln.o1ol '''Y l,t."11IIlII,n'<1t.l41"om 'et~II.1 '1.,.1..,.,1 .,.....'."ul".IOI".........:.IInIl."I".II(III. 11I/0 OEATIf'ICA1101l OF OIlYlln, AIIO 9EllEnll II'A~' C,,.,,,II\' ...'II"'(U' 1111111110. I f..lIt.mlln! !i1,IIIWIlOl ~"d'l) 11.11 hotl nl.ny.nn....I,'r:~1l 11111 hll""', II" 1l""1I 'till ac~ur.IIlII"ltm"nl 0' .11 r.ctlrll'l'Hl c!llhUfI.mllnlt '~~.d.~\'::~"~'~":~.~~;."\"~~'''''' 11"""..t)'I''''''''''''''''''''''PY(;4'''''"''''"~' '''''.m'''~''''''m.'' -- r~C()/~:'\ ~ '-'......\,,-~--- . -- :-' - L' ,?~I ~-k....tL ___,__.____ L/. :-b-_, ,{. :.,('( _-OH c ~_ ::: ' ;'.'~:'::;:,~~:~""" ...:: :,:::L.., "" ~ 630-,00 " \ -..-----.-------------------- r,.. 11110 I ~"I,~~.~~l ~.,.."'.., fl',k'h I ~'''J''r'''''11l ~ 1,," "". ".,.','.11 "t( ~"". ~I II,.. h,,,,,, ,"", II",.. "'10,1 ..I "Ill, "IH 1I"",n<11 ."t., ,loll""Ur'., "(01""",, ",,, I"" "..."'.., ____.!.... \:1:.&..._ I~~" (/,/~____..... _...._ ~(JII'.}.':.(r.Y......__._..___._________ ~.."....!'..'III"'I~I ~ Ill'" W.IIII1"11~': j:';.l~:.::;:_;l!:!.,*~ ~~~'~rlll:~.1~llll'I~1l,ft ll"~."',hl.t '''' U.., M "1 ""~U I.,,,,, 1'...,1.., "f". (,.ft,. .,,~, I' ','~,,11, I.,. '~,l'nr<t""."..,' "., ,..",'" IU IllIll 10.. ~I~~ I, settlement, statament 11.1, Ofrlfl...l1t of 1IM1.lllg .,d lIdlln O(t\(,lrlJ"l'lnt OH. Mn. 2502,0U,~ .. IYlIt of loa;--- ______040__.._.___._____...___._______.___ l'lj-;ii~ l.(~:lXl c~;:_u~lill;:_Il~-1n;iliiNT'---..-]1~1W{iiiiN;--J-A, Morll.ifTn.. c... Ihll'Mr \,0 VI ',0 'o<W, I"', KERRZ --- -- -.------- ------ C, thh for. II furnhh,d n I .UttHllt of .ctuII utt\tlMnl CMU. "IMmll r-1d In It'll by tht ultlfjl'oful .g'1l1 .r. .hown, IUt'" ..,~td (J1,o,cl w.r. p"ld otlUhl, "" cloelF'091 Ih.y Ir. .hown 'or InlorNllMll rwro'" .rv:t .r. nol Inch..Jtd In toUII, (), WMlf IlId AMr." of~- ~ .nd A'..lr....-oT1i1r;;:---- ...,:N'~ Adrj,... 01 l'Mtr -.- FRt:tlERICK C, KERR ^UTlIlIlI ,1, UI'IlEOU^FF F^RHERn TRURT COHPMIV RIIIRl,EV ^, KERR Exocutol' of ttw r.ntoto I Wr.R1' 111011 RTRr.E1' 1It:1,F.1I llPllr.OUM',' CMI,IHt,,:, I'^ 1'/01] (I, Proptrly loc.tlon - ------ TiiTIT~nl AQ!nt MlJRRF:I, R. WM,1'ERH III, t;SQ. 664 ST^1'r. m'REF.1' "1Tic"".01smf~iir-.----.-.I;-iiTIl"""'nt Di'ii I,F.MOVNF., P^ 1'1043 54 r., H^ltI RTUEF.T 09/30/94 HECIIMlICSnllaO, P^ 17055 J. SlMtAl't or 1C*llMI'S TUIlIACIlOWI k. SlH4Al't Of mLU'S UAIlIACIIO'U 100, GIOII f OlJl '1Cf11011~"" ~OO, l'I~OU ~Il' our: to I!UU-- 101.c~..I"rrle' 60,000.00 - '01.ContrICl..l..pr~' 60,000,00 102. r,r.onet prOfMlrlY 40l,r.'.OMlpfflP4lrl.,. -- 10J. 1I"I_nl ch.rll" to borrow.rlll", 14001 _.-1;116,01'1_ -101:-------- 104, ~- 10', ... 'OS, - AdlutllllCn'. fo~ lltffll floIld by nlt.r In .dv.nc. - Ad!lJIINni,'or Ittmt p.ld by nll.r In..!,dv'nc,-_ 106. Clt.,./town tUII '0 406, C!ty/lolln Inll '0 101. CCUI'Y U... 091S0/9' to 12/]\/94 -2i~- -4Of. ~1iiIi--09iio/94 loUIll/94 21,0' 108, A.....Mnll 09/10/94 lo06/l.0/~ . 237.01 .- 401l.A.........nll 09/l0/94 to 06110/95 211,01 -,09. '09. 110, 410. - 111. 41\. - 112 m no. CIIOU AHCUNl 011& nCi( InUMII 61,980,11 120, GIICU ,l,MCtJllf nUllO IU.lU 60,264.12 200. ~1I PAID If OR III IEIlAU 0' BOIIII~'U '00. UDUCtlo;ct III ~N' Clllt 10 UUtll lOI. Olpolll or ..rn..t MnlY 3,000.00 Sill. (le..1 dtpo.ltlul InBruttlo"l) 201. Principii IlMU"lt of n.W \l\ln(l) ~~ SOl. Stlll_nt cllltll" to ..lI.rlll", 1400) ',6ll.90 203, (~I.tlng 'o.nl').~;bJi.tit;- 501, (1111100 lo.nlt) UUn .LtJJICI 10 21'14. .. .. 'iGlo, PI~" of lint mrtll'II' lOin 205. 50S. '.yoH 01 mord IMrtglg' \O.n 206, --- SO~, 21'11, 501, - 203, 50ft, 209. 10'1, AdJutl..nU for IlflTd t''(I.ld hy ..\In "dlu"""ntl for It"'" ~Id by ull., ~~IIY/tO\l'lt..... ,. SID. CItY/IOlln tI... to a11. COlI'll.,. tun \0 511,COt.rllyum to cU, A.......nU '0 ~U. ..,..,a.-.nll " lIl. Ill, ~_2", Ill, -- - In, SI~. 216, ~16, -- ....ftT;--- 511. ~- --. II!, 219, 119, 220, fOllL 'liD mlOllIDUMI S1,000.00 llO. 101lL mUCIIOll />lOON! bIJI mlU ',612.90 100, CAlK AT IET1UMEWf ..~"O BOI\IMII 600, CUM AT U1TLENINT TO/UCf4 lUlU ]01, (Iron alIlOUlt ~ frMl borrow.rUIM UOI 61,9M.U 601. Gro.. MIOUII <<m to "U,r(\ 11\1 1020) 6O,2~.U ]OZ. l.n I/ItOlI1t ",Id by/for borrow'r(ll~~~ ( 51,000'~2 602. Un rPdlellon I/IlOl.nt 6Jt IIllernln. 510) << ',612,90 ) 303, '1IHloo rlCltllO lOllOllIMI 10,980.12 603, 'lIM!J.iJ~Q ,.0Il) IIlLU SIo,641.2a the lnlofNtllon conti in.!! in Block, F !I, " Itrvl I !trYlolI Iln. 401(nr, II 'tM '011. "l.rt,kld 11,," ~03 .rvl40~) II hl'porttrlt lilt tnforllllltlon.rvl I' being lutnl'h.d 10 Ih. Inlfflllll l,v'f'Ill' Itr...lel. If )OtJ II" n~lrtd 10 fll.. return\ I ",gllltne. fllln.llly or olk" lItl('tltlfl will be 1"11O,,,d on ~Ol/ II Ihlt It... It mt,lrtd to be rfflOrtld.nrl the III d.ur_ MI lh.t t "n nol hun r'plltlfd. IUJ.U UllUMflH ,,"UHrlll o CMfII1Ur I.,...lc.. Irvl cnn.ulUnll 1'1Dl'MHIDO Estilte, of: .ITEM # I' I ,. I Hazel I~ Updegraff SS# 192-30.0321 05/30/1994 CONTINUATION SCHEDULE Continuation of Schedule F. DESCRIPTION #166399T081482 (valued per sales price) 25 1980 ChevetteVehic1e Identification #lB089A6143293 I' ;' , , . " ',\ iid' ", " 'j, I ~ ,. I" '," I' , " 1-" ,. I', 'H 'I. 'it ,\ I .1 ,,; I, 'I l,.. ,. " I' I. ,,- " , j:' " ,t. I I , I " , ,. ii I' I' ,. " I' I' "I'j ,. , "I' ,. I I' ,I " i, " ,,'- '1. I' i ,. 'I '" ,;.1' ,. I VALUE AT DATE OF DEATH I' )' I. 'I:, " , ", I" .1 . .1';450 ;.,................... .. 38,075 '" ,. " " ." I' 'I' '" H"~'" "'"''''''O''fFJ''''' it,:; -' ..~. --J ' 'k'r.?,.!. STb--._..-,=~ i\:""."""'" II!!EDEB'VA'II [.'...... ....,i.;..:.,.',r:',::..' r.;:J..[__:.<....h'J\__~.~ "J,'I.-"\,:::..", -". .~~~,:_:......_,. of HARRISBURG July 7, 1994 Arthur J. Updegraff 21 Richard Rd. Mechanicsburg, PA 17055 RBI BSTATB or HAZBL I. UPDESRArr SOOIAL SBOURITY NUMBBRI 192-30-0321 DATB or DEATH: May 30, 1994 I. ACCOUNT NUMBER: 0201505788 0238023872 TYPE OF ACCOUNT: Passbook Certificate OPENING DATE: Pr!or 1/75 6/1/78 ACCOUNT TITLE: Individual Individual PRINCIPAL BALANCE AT DATE OF DEATH: $595.48 $13,000.00 ACCRUED INTEREST TO DATE OF DEATH: $1. 22 $85.75 TOTAL BALANCE AT DATE OF DEATH: $596.70 $13,085.75 INTEREST 1/1/94 TO DATE OF DEATH: $6.10 $428.76 I, COMMENTS: Mrs. Updegraff was receiving monthly inter~st checks on account #0238023872. Eno10sed is a ohange notioe to change the address on the listed aooounts. Any future correspondence including check would then be forwarded on to you. If this is you intention please sign and return the notica. If not please discard of the notice properly. Thank you for your assistance in this matter. If you should have any further questions or need additional information please do not hesitate to contact me. Sincerelr ~ CZ:5lLf~- ", Sherr! Houck Assistant Manager Operations Center ;<.1<1 t,IOIITII ol.CONI) 01111.11, I' 0 [lOX 1111. 11^lmISlJlI/IO, 1'/\ 111011 ' 17111 232.11001 'ir~r~1~~'~r REI'. 1500 EX' I'H" I. SCHEDULE F JOINTLY-OWNED PROPERTY COM\1Rlt'XM:H~"<lf. ~~Wm.hYAN'A iUslbh'tofcEbE'NT ESTATE OF Hazel I. Updegraff 55# 192-30-0321 Joint t.n.nl(l): A. NAME Arthur J. Updegraff B. C, JolnUy.ownld prop.rty: 05/30/1994 .....' FILE NUMBER 219/1-0538 ADDRESS 21 Richar.d Road . Mechanicsburg, PA 17055 RELATIONSHIUO DECEDENT Son ITEM LETTER DATE TOTAL VALUE DECO'S DOLLAR VALliE OF FOR MADE DESCRIPTION OF PROPERTY NUMBER .JOINT OF ASSET % INT. ~ECEDENTINTEREST TENANT JOINT 1 A 1980 Dauphin Deposit Bank & 7,151 50.00% 3,575 Trust, Checking Account #0087025515 2 A 1980 Dauphin Doposit Bank & 2 50.00% 1 Trust, Chocking Account #0087025515, accrued interest , , , , , , . , TOTAL (Also ontor on IIno 6, Rooaollulallon) . 3 576 (II moro apaco I. noodod, Insort addlllonal.hoot. of .ame .'zo.) Copyright (el 1114 101m loftW." only CPSy.llml, Inc. Farm 1500 .ch,d,', F IA,v, 'HI' .. 1m ,~I.\:If'((,1I11 'i',(,,',', cP'ljll.', . . . Slncnrnly, n. jM1-~ ~'-~..)'>i/~Qf_' 6~or8inn ~~R()n IDS 'F.nRt Snrvlr.n TnnM ponox 53/, HlnnanpollR I HN SnrvJcn Jlnlplfnn - ,~ ,~ ItII () (612) 611-3m' 1/19 61621 " ,. ,. '1' ,. ,. ,. ,... " ,.. .1,' " ,. ,: ,., " ,. " ," "I I', " ,,, ,,, .., ,. " t'i:I,"'(, I "1, .1 ,\; '" ,. .,f' II "JI ',1' , 111..,:,1 t , "I" " /. 'I' 1'1 " ',-. , ,. " " 1"1 II " , " 'i. I',' .1. I " I. ,. I" I " 0612 00971 ,., , , . I' \, , , , " ,/' .r'" .. , .. " ,. " , " , I' I: ;1\ j. ., , I' .' ,. I, ., " ,.' .,. " I:. ,. I' ,. " ," " ,I' p;' " " I " " " ,. ,'l' ;j I,. I' , \ " ,. " I " " "" 1",/' " " I , " " "l , ,. " "" ,/ (' , .. I' of: Hazel 05/30/1994 , Estate Updegraff SS# 192.30.0321 CONTINUATION SCI/EDULE Continuation of Sohedule I. H.A ITEM # DESORIPTION AMOUNT 3 Fune~~l expenses, R & L Quality Oatering, funeral reception 4 Funeral expenses, Rolling Green Oemetery 493 25 " 518 " ,," " " .., " "', II,,' I', ,. , " , I, , " fl' t. ., .. II " 1'.'. I' !' ." " fl'lt"I' I,," ., 1" ,( .,' " , , , , , , 'I " " " " " t. " " ,. O' ,. , " , , ,,, ;;-1 I. .1' I, 'Ii " ,. \ I: , , " ,;' ,.' ,. " L, ,,', ,., ,j,. ." ,i,' . . 2state of I, I lIazel 1. Updegraff ITEM /I DESCRIPTION " , '" . ~ ,,, SS# 192.30.0321 05/30/1994 CONTINUATION SOIlEDULE Continuation of Sohedu1e 11.0 \, 'II ,,!, " ., ,. " ,. ,. '.' , , :1"1" I" ., 'I!, " ,. 'I ,. " ,e ,I' " " " " " "j\. ! ", ", I'" I' '.1; ." ,. ,. " ,. " " . .,' II 1,'\. , 'II' I', 11<, " ,; I. " ,I 1-,. ", " ,. , " I d,. , I,. ,. . " ,. ,. \'-1, ," ,. ". ." ,., ", " /. " ,. ,.' . " " "', , , " ,I ,. I'. " ". ,. , , /' q AMOUMT -, 2,643 'I'i, ,. " " /, '/., ,., ,. ,. I. '. '" " " ,i .' \;, " ,. " , ,. " , GENERAL INFORMATION 1, FAILURE TO RESPONO WILL RESULT IN AN OFFICIAL TAM ASSESSHENT .Ith ""pllealll. Int"..t ....01 on tnl"..t1on ..Itt~ by the '100001.1 .Inttltutlon. Z. Im.rltenc:. tu becOM' cMillnquent nine IoOnthl after the decedent', cUlt, of d..th. 5. A Joint KCOW1t II tlllllblt ,yen thDU9h the dlctdlnt', OMCI Wftl lidded ftI .. ..tt.t of convenl.net. 4. AccOU'It. tlnoludlng thol. hlld bltw.." hUlbflOd Md wU,1 which thl dludent put In Joint M'" within 0'" Y'Rr prior '0 d'8th art fully tawabl. a. trenlf.r.. S. Accooot. ..hblllhtd Jointly b.twen ht.tbend ond wit_ ~r. thfW'l ant '1..r prior to d..th art IIot 'nllllbl.. 6. Accmrttt h.Jd bv " dlcltd."t "In tru.t for" IVlC1ther or athtr. ar. t"lCebl, full~, REPORTING INSTRUCTIONS - PART 1 - TAXPAVER RESPONSE I. !lOCI( A ~ If thl II,IClt.lltlon nnd COllflutltlrm In tht notlcl nt. corrlol Md d.ductloru IIrI not bllnt ol.INd, plMI In ")(" In block "II" of Plitt 1 of thl "Ift....plll/.t R..pcn.... ..(;tloll. 51;n two copl.. and .u~1t th.. with .JOllr check for the MOunt of till te the RIglttn of will. 0' the county Intllcftt.d. Thl lJ.p"rh~t 0' R,v.OIA will I..u. ftIl official u....Hn\ IFar. REV-l!l48 f)lJ upon r....lpt of the Ht'turn 'rol the R.gI.t., 0' Will.. 2, BLOCK B - If th41 luut .pevlfl.d on Hd. nutlc. ha. heen or will h. r.port.d /lnd tll)( paid with the P.nn.ylllanla Inherltanc. TIlK R.turn fll.d by the dlc.d.nt', rlJlfuen\ltlve, plllc, tin "I(" In block "!I" of Pllrt I of the "Tup.y., H..pon.." ..o"on, Sign ~ roopyand rlturn to thl PA U'PMt..nt of R.venul, Burellu of Individual TIlKe., Dltpt 280601, Ildrrltburg, I1A 17128-0601 In the envllope provldld, 5, BlOCI( C - If thl notlc. Inforllltlon It Incorrllll nnd/or deduction. ",I bel"9 dllll,d, chick block "C" ItOd co.,l.t. Parts 2 and] lIeeordln; to thl In.trUCltlon. b,lew. Sign two copl.. line! tubllt th.. with 'iour chick for thl IlllOOl'lt 0' tll)( pllyabll to tht Right., of WHit of thl comty lndlcatld. Thl IIA Uepnrhl"t of R.v.nu. 101111 I..ut IIn official ".......nt (fOri RF.V~IS'18 [XI upon rllCllpt of the return frol the AIgl.ter uf will.. TAX RETURN - PART 2 - TAX COMPUTATION LINE I. Enter HOTEl the diU thl ,ccooot orlgln,l1y Wl!ll ..tabl\Jh,d or titled In the nnner uhtlng It dati of duth. for a dec.dlnt dying after IUIUAi'1 Account. which the dlcodent put In Joint n"'... within OM 11) y.,r of dllth lire hubl. 'ull'1l1l trlwu"r.. IlowlVlr, th.re I. Nl IKclullon not to ..clld H,OOO l'I,r tran.f.r.. rlg.rdl... of the 1I,1uI of thl Ilccooot or the nUlb" of Ilccounh jl.ld. 11 a deubh lI.t"llk (Illl) IIprlll,. bl'orl '1lKlr first fl&.1 In thl &ddr... portion of thl. notlcl, thl H,OOO u)(olulloo alrntJy hI' bun dlductld 'rei thl account b&l&ne. III rlported by thl flnllnclftl In.tltutlon. 2, Ent.r thl total bahncI of thl "ccount Including Int"ut IIceruld to the dllt' of dnth. S, Thl Plre.nt ef the IIcclK",t that h taobll for 8&ch lurvlvor II det".lnld III follow. I A. TtMt PIrCll1t taobll 'or Joint alut. .Itabll,h.d liar. thNl onl ynr IIrlor to the d.c.dlnt's d"thl DIVIDED B'1' TOTAL HIA1BER OF JOINT OWNERS fXMlPhl A joint a"lt reght.r.d OIVIOf.O !IV TOTAL HUMBER OF )( 100 . Pf.RtENT TAI(ABLE SU~YIVIHO JOIHT OWNERS In the nM" of the (llcld~t /V\d two olh4lr p".OOI. 1 DIVIDED BV S lJOIHT OWNERSI OIVlorD BY l (SURVIYORS) . ,161 X tOO. 16./% {TAXABlE fOR EACtl MVIVOAI B, The percll1t tllllabh for IIt..t. crlllt.d within nn. vlar of the d.e.dent'l death or IICCOunt. ownld by the dlclu.nt but hlld in tru.t 'or IInother Indlyldlutl(11 (tru.t bln"lchrl..}1 I DIVIDED BY TOTAL HU~BER OF SURylYIHO JOIHT OWtoERS OR TRUST ![HErtC tARIES lC 100 . P[RCI:HT TAXULl E)(UPIIl Joint /lccount rlghllrell In the nlll, of thl d~ldlnt l'lnd two athtr ""'001\ and ",tablhh4ld within onl 'lIar 0' dlllth by thl dlc.dlnl. 1 DIVIDED BV l. lSURVIVORS) . .50 lC 100 . 50:': (TAlCU\[ rOR tACH SURYlyORI 4. Thl ~t .ubJ~t to tax <lIne 41 It dlt,,"lnId hy ItlJltlplyln; thl IICCooot bllhncl (line 1) by thl perc."t tlxlbl. (line ]), !i. [r,t,:- tli~ t:lhl ,,/ tt-.. la.~.U b.w...! u.".....Uu;,r 1l,l'u I.; .11, t !.. 6. ThI HOUnt taKabh (llnl 6) h dlt.r.lIl1d b'l .ubtrllctlng the dlbl. afld deduction. (1\,.,. ~l 'rol thl ('lIIount Subject to tax Ulnl 4), 7. Ent.r the appreprlat. t.)( rltl (llnl 1) al det.rllned bllow. A, Tran.fI,. to 1\"..1 de.undlll1h Including father, loth", husband. wlf., lon, dlKJQhttr, grBndchlldren, lonolnolaw, daught.r-Il\-l..., .hpchlld IInd th.lr 1..11. arl tllxllbla lit .IK perc.nt (6~1. B, Tran.f." to 111 otherl Including brother, Illtlr. u,..eh, MInt, nlphlw find nlecl lire tllublt lit flft..... percent 115:0. C, If you chM'lOl thl 11')( rlltl, pin.. IP~lh YlKlr relatlonlhlp to thl d.c.d.nt In the nrlll provld.d. a, The.-ount af tiC due (line 81 11 dlt.,alned by lultlplylng thl IlIH.U'!t taKebl1 lllne 61 by the tllK ratl (line 7). CLAIMED DEDUCTIONS - PART 3 OEBTS AND DEDUCTIONS CLAIMED 411owlibl. debt. ftnd deduotlon. lire d.t.,llnld"1 fo110w'l A. Veu leoalh are rupon.lbl. for pll)'Hnt, or the ..tatl ubjltCt to "dllinlllr.tlon by a P41rtonal rlpr...nUtlv. It Intufflolent to PlY thl deduCtlbl. It.... I. You ~tu.lly PllIld the Mbt. aft.r lIntn of IhI dltCldent nod een 'urnlth Pf()(l' of PIlYIIl1t. C, D~t. baing c!.I..d lIY.t h. It..ll.d fully In Pllrt S. If additional .pacl I. needed, Uti plain pepar 8 t/l" x 11". Proof of P'YMnt IIY b. reque.tld hy thl "A OltPlrt..nt of RlvltnUtI. TAXPAVER ASSISTANCE IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANV REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR CAll THE aURIiAU OF lIlDIVIDUAl TAXES, TAXPAVER INQUIRV UNIT IN HARRISBURG AT (717) 787-8327, . REV-1543 EX AFP (8-941,* co...,tNf:A1. HI Of PU/HSYlVAHIA OEPARTHfHT 01' IU:VfNUl BUREAU OF lHDIVlllUAl TAIU:S DEPT. 28D601 tlARRISlUMQ, p" 171ZA'0601 INFORMATION NOTICE AND TAXPAYER R~SPONSE FILE NO. 21 94-0538 ACN 94136769 DATE 08-22-94 TVPE OF ACCOUNT I ~. SAVINGS X CHECKING TRUn CERTIfICATE REHIT PAVHENT AND fORHS TO. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 HAZEL ESTATE OF UPDEGRAFF S,S, NO, 192-30-0321 DATE OF DEATH 05-30-94 COUNTY CUMBERLAND UPDEGRAFF 21 RICHARD RD MECHANICSBURG ARTHUR J PA 17055 DAUPHIN DEPOSIT OK & T hat provldld tho nllPart..nt with thl lnfarlatlon Ihtod b,lnw which hu blon ulld In calculating the potential taM due. Thlllr record. Indicate that at the death of the above decldent, YOU were a Joint uwner/benlflclary of thl, account. If you fI,l thh Inforutlon I. lncorrect, r>!QIIII obtaIn written correction frol thll financial Institution, IIthch It copy to thl. for. ::.:-.:1 :,:~ur:", It t: ~t:c t~.~..', n:l-Jrno:", 'hIt ,,.,.,,,,,,t I. +'I....t>l~ I" ...~n,.'h"n,.fl ...It" thlll IflhlllrltlV\t:. Iflll '",W, of \h. C:o..nnw.tllth of Pln"'"lvl'lnltl, QUI.tlon. .ay bl an,wlred by calling (1111 131-3321, COMPLETE PART 1 BELOW M M M SEE REVERSE SIDE FOR FILING AND PAVMENT INSTRUCTIONS Aoooun, No. 00B7025515 Olto 12-18-80 E.hbllshld Aooount 8olonol 7,152.80 Plrolnt Toxlbll X 50 , 000 Anount SubJlot to TIX 3,576,40 Tox Rltl K ,06 Polontlol Tox OUI 214,58 PART TAXPAYER RESPONSE COI FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSNENT BASED ON THIS NOTICI 1 To Inlure proplr crlldl t to your Ilecount, two (ll copllll of thl. nollcl .u.t IlcCOlpnny your pIlY'I"t to the Rtghtllr of Wlllt, Hnkl check IUlYllbl1 tal "RIgllhr 0# Willi, Allent", NOTtl If taJol plly.."t, are .&d. within three 0) lonths of tha dICldl"t" dati of duth. you .ay deduct a 5% dl.count of the taJol dUI, Any Inherllllncl tllJol dUI will baco.. delinquent nine (9) lIonth, Illler the date of dlllth. [CHECK J ONE BLOCK ONL V - A, 0 Thl abovl Inforutlon ,,"d tIlJol dUI I, correct. 1. You lIfty chooll to relIt plWI,nt to the Rlghtlr of Will, with two copl" of thl, notlcl to obtllln It dl.count or Iwold Intlll"e.t, or yoU IIIlY ChIck boJol "A" /lnd return thlo notlco to thl RIgl'hr of ..JH11.llnd atl offlcllll ..,lIu'.lnt will be I"uld hy the PA nlpuh"nt of RevenuI. a, ~e IIboVI allllt hili hltn or will ba reported Ilnd till( PlIld with the Ponn,ylvllnlll Inhoritancl TaJol return to be #Illd by thll dlcldlnt', rClprl"ntatlvt. C, 0 Tht IIboVI Infor'lItlon I. Incorrect lind/or dabts nnd daductlon. wart p"ld by you. You .u.t co.plltt PART CD lind/or I'ART ['J bIlow, If you indiclt. . differlnt tax rlt., pl.... .tlt. YOYr rllationlhip to dec.dent, ___.___~ OFFICIAL USE ONL V 0 AAF PA DEPARTMENT OF REVENUE PART [?J i'Ai. LINE kfTURN - CO~?UIAI.ON I, Oltl E.tlblllhld 2, ACQoynt allane. 3, Plrcent Tlxable 4, Anount SubJlot to Tlx S, Olbh Ind Dlduotlonl 6. Anount Tlxlbll 7, Tox Rlto 8, Tlx Dye OF TAX C~ JOI~T/T~U3T ACCOU"TO PART ~ DATE DEBTS AND DEDUCTIONS ;:kfi 1 ? 3 4 5 6 7 8 CLAIMED I 2 3 K 4 5 6 7 X 8 PAID PAVEE DESCRIPTION AMOUNT PAID J l TOTAL (Ent.r on Lin. 5 of TIX co~put.tion) . f.ct. I have rlportld aboVI Ir. fH!!'!L. ( ')!) ) :'(, t.' WORK ( ) TELEPHONE NUMBER try., correct and , . ., I ))' 1" w. ~.. . "-. ..., . I;J, ~ " .' ~,,~, .... ',<.\ .I. EV-1547 EX AFP (12-94~ COHHOHWEAI TIl OF PEHH'Vl VAHIA . OEPARTHEHT OF REVEHUE BUREAU OF INDIVIDUAL TA~ES OEPT. 180601 tIARRISIURO, PA l11i!8'06Dl ESTATE OF-UPlJ~firf=~-- - IlAZI: DATE OF DEATH 05-30-94 /i/,i-./7'/~ \\~)V. / \/ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE DR DISALLOWANCE OF OEOUCTl~NS AND ASSESSM~NT OF TAX ACN 1 0 1 FILE NO. COUNTY DATE 05- 01-95 T94 - (lm- CUMBERLAND NOTEI TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE REOISTER OF WILLS. MAKE CHECK PAYABLE TO "REOISTER OF WILLS, AGENT" REMIT PAYMENT TO: BRIDGET M WHITLEY ESQ KEEFER ETAL PO BOX 11963 HBG PA 17108-5228 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 E- Anount Ro..lttod _ J CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV: is'4-; - E if -is F P -" l' IF 94 T" NoYi c E" "oF - "fN'HEiii i' A 'fie E - TAX - A P PRA' is E i.fENr; -is L i."owAN"C E - OR - - - - -" --"""""""." DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT ~~(!AX . ESTATE OF UPDEGRAFF HAZEL I FILE NO. 21 94-0538 ACW: '101 ",. DAT!!"l05-01-95 1 AX RETURN WAS I (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONl ORIGINAL 1, Rill E.tltl (Sohldull Al 2, stook. Ind Bonds ISohldul. BI 3, Clollly HIld Stook/Plrtnlr.hlp Intorut (Sohldul. CI 4, Mortglgl./Notl. Rlollv.bl. ISohldull 01 5, CI.h/Blnk Olpo.lt./MI.o. Plr,onll proPlrty (Sohldul. E) ~, Jointly Oonld Proplrty (Sohldull FI 7, Trln.flr. ISohldull 01 8, Totol A..lh APPROVED DEDUCTIONS AND EXEMPTIONSl 9, Funerel Expen.../Ad". Cost./Hho, Expenses (Schedull H) (9) 10. Olbh/Hortg.gl Llobllltlu/Llln. (Sohldull II 110) 11. Totll Olduotlon. 12. Nit VIlul of TI. Rlturn 13. chlrlt.bl./Govlrnnlnt.1 Blqu..t. ISohldul. JI 14, N.t V.lu. of E.tlt. Suhjlot to TI. ( I CHANOED 111_ (21 (31 (41 151 161 171 "J ..J 108,296,00 ,00 .00 ~I' 'I 00 1, II 64.281.00 3,576.00 9,235.00 181 :. j 185,388.00 1~.o(,8 DO 173,340,00 ,00 173,340.00 , , 11,122,00 927,00 1111 1121 1131 1141 If an aGsessment was issued previously, lines 14, 15 and/or 1&, 17 and 18 will reflect figures that include the total of abh returns assessed to date. ASSESSMENT OF TAX: 15, Anount of Lln. 14 It Spou..l rltl 1151 16. Anount of Lln. 14 tl.lbl. .t LlnIII/Cll.. A rlt. 1161 17. Anount of Lln. 14 tl.lbl. .t Colllt.r.l/Cll.. B r.tl 1171 18, Prlnolpll Tn. Du. NOTEI TAX CREDITS I PAYHENT DATE 08-29-94 02-07-95 RECEIPT NUHBER . MM912871 AA022809 DISCOUNT I + I INTEREST 1- I 450,00 .00 . IF PAID AFTER DATE INDICATED, ~F.E REVERGE FOR cALcULATION OF AODITIONAL INTEREST. .00 X ,00, 173,340.00 X ,06. .00 X .15. 1181 AHOUHT PAID 8,550,00 1,400,00 TOTAL TAX CREDIT ~----_._--_. BALANCE OF TAX bUE INTEREST TOTAL DUE ,00 10,400.00 .00 10,400.00 " 10,400.00 .00 .00 .00 IF TOTAL DUE IS LESS THAN II, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THJS FORH FOR INSTRUCTIONS, I RESERVITIOfl' PURPOSE Of' NOllCE. PAVNENT, REFUND (CR), OIJECTlONS, AONIN ISTRITIVE CORRECTIONS' DISCOUNT' INTEREST. " 'I ' ,[. ; " , , Eltat.. of dlcldlnh dvlng on or blforl Dlc,.bt" 12, 1982 ... If any future Int.r..t in thl ..t.t. II tran"lrred In po.....lon O~ enjoYMent to el... 8 (col1at.ral) blntflel.rl,. of thl dlcedlnt .ft,r thl .~plr.tlon of any ..tat. for lIf. or for Ylar., the Co..onwlI1th h"lbY upr...h r..er..... thl right 'to appral.. and a..... tranllf.r Inh.rUanol TllClI at thl lawful CIa.. 8 (collat,ral) rat. on any luoh future lnt.r..t. To fulfill thl rlqulrl..ntl of SlctJon 2140 of thl Inherltancl and Eatntl fa~ Act, Act 22 of 1991. 72 P.S. SllcHon 21~O. Detach thl top portion of thl, Notlet and IUb,lt with your paV"nt to thl Rlgl.ter of Willi printed on thl rIV.r.. ,Ide. uHakl chick or 1l0nlY ordlr payable tOI REGISTER OF MILLS, AGENT All pay.ent. recelvtd .hall fir.t be appll,d to any Int,r,.t which .Iy b, due with any r'.alndlr a~pll,d to the teK. A rlfund of a taK credit, which was not rtquI.twd on thl TaK Rlturn, .ay bl rlqul.tld bv cc.plttlng an "ApplJcatlon for Refund of P.nn.vJvanla InhtrJtanc. and Estat, TaM" (REV-13Il), Application. art avallabll at thl Offlc, of the Rtglsttr of Will., any of the 2l R.v.nut Oittrlot Offlc,., or by calling tht s~'clal 24-hour an,wlring ..rvlcA nu.b.rt for for.. orderlngl In P.nnsYlvanla Iw800-362-20S0, out.ld. P.nntvlvanl, and withIn looal Harrisburg arn Oil} 787-809(1, TDD. (7171 nz-zzsz Wearing I.palred Dnh), Any party In Jnt.rlst not .atl.fJld with the appral....nt, allowanc. or dlsallowanct of deductions, or a.......nt of taM (Including dlsoount or Intlr..tl a. .hOWl on thll NoUe. .uot objlct within .1Mh (60) day. of rlo.lpt of thll Notlel by, -"wrltt.n prot..t to the PA nlParh.nt of RIVtnu., Board of Appnh, Olpt. 281021, Harrhburg, PA 17IZ8.10ZI, OR .....I.ctlon to havI the ~att.r deter.lnld at audit of thl account of the Plr.onal rlprt..ntatlve, OR --apPIII to the Orphftn.' Court. Factual Irrors dlscoverld on thit a.......nt .hould be addre...d In wrlUng tOI PA O.part..nt of Rtv.nue, Surtlu of Individual TaM", AnNI Po.t h....Mnt Rlvl.w Unit, Oept. 2110601, Ilarrlsburg, PA 17128-0601 Phon. (7171 787-6505. S" pagl 1 of the booklet "In.tructlon. for tnhlrltance TaM R.turn f~r a R.,jdlnt Dlcldont" (REY-ISO!) for an IMplan.tlon of adltlnlstratlv.1y conlehbl. errors. If any taM dvt 11 paid within thru (3) caltndlr _onth. after the d.old.nt', duth, a flYII perotnt (5%) discount of thl taK paid I. allow.d. tnterllt 11 chargld beginnlnll with fIrst day of d.Unqu.ncv, or nlnl (9) Month. and on.. (1) day fro. the dati of d"th, to the date of palt..n\, TaMil which btcIH dlllnquent beforl Januarv I, 198Z b.ar Int""t at the rat, of t1M (6iO perc.nt per annul oalculatlld at a dallv rete of .00aI6G, All talClt which bllca.. dlllnqulnt on and after Januery 1, 198Z will btar tnterllt at a rat. which will vary frol calendar Yllr to callndtr y..r with that raU announc.d by thl PA O.pnrt..nt of R.y.nu.. The applJcable Inter..t rat.. for 1981. thrcugh 1995 arl1 ~ tnt.rllt Rate OaBv Intlr..t Factor V..r Intllr..t Rat. Oallv Intlr..t Factor 191Z ZOX .000548 1917 9X ,000241 1985 16X ,000438 m8-199l IlX ,000301 1984 m .000301 1992 9% ,000247 1985 m ,0003\6 1993-1994 7X .00019Z 1986 lOX .OO027t. 19?5 9X .000241 ...tnterllt Is calculatld .. followlI INTEREST . BALANCE OF TAX UNPAID X NUftBER DF DAYB DELINQUENT X DAILY INTEREBT FACTOR -~Anv Hotlcl I.tu.d after the hM b'CD." dlllnctUlnt will refllct "" Intlrt'.t calculatIon to flftlln'(IS)'daVl b.vond thl dati of thl ".......nt. If pay_,"t I, .adl "ft.r the Intlr..t co.putatlon dati .hown on tha Notice, additional Inttrut liIu.t bl calculattd. '/ the Estate informally in order to avoid the expense and delay in- volved with the formal adjudication of a First and Final Aooount by the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania (the "Court"). 5. The Benefioiaries desires to forever settle and oompro- mise any and all claims and rights which they may possess, now or hereafter, in the Estate and to confirm their aoceptance of the Informal Account (the "Account") and the Schedule of Distribu- tions and Proposed Distributions (the "Schedule") which are attached hereto as Exhibits "A" and "B", respectively, and incorporated herein by this reference. 6. The Beneficiaries wish to release the Executor and to indemnify him against any and all claims that may be asserted against the Estate or the Executor after the date hereof. 7. The Executor is willing to settle the Estate informally in consideration of the indemnifications hereinaftur provided by the Beneficiaries. NOW, THEREFORE, in consideration of the foregoing and intending to be legally bound, jointly and severally, the Beneficiaries, for themselves, their successors and assigns: 1. Represent and warrant that they have read and understand this Agreement and confirm that the facts set forth above are true and correct, to the best of their knowledge, information and belief. 2. Declare that they have sufficient information to make an informed waiver of their right to a formal accounting with the Court, and do hereby waive the filing and aUditing of the same. -2- REOEIPTS OF PRINOIPAL Descriptiun Fiduciary Acquisition Value I Oash: 1994-06.01 Dauphin Deposit Bank & Trust, 3,576,40 Account #0087025515. This represents one-half of the bslsnr.e of this sccount which was joilltly held by the decedent and Arthur J. Updegraff at date of death and " therefore, was not included in the inventory 1995-03.01 Internal Revenue Service, 1994 500,00 , Form 1040, refund receivable 1995.02-26 Pennsylvania Department of .64.00 Revenue, 1994 Form PA40R, refund receivable 1994.06-01 Various refunds' 54,97 4,195',37 Miac, Personal Pr.operty: ,1994-12-28 IDS Bond Fund, capital gains 253,71 distribution , , 253,71 Total ~eceipts of Principal 4,449,08 ' " I. " .1 '1., .1- , , 1995-01-17 ,..j ,. , , " I' I' " /, .' '. . I', ;;- , . '. , ,.1 " " 'I " " " " GAINS 'AND LOSSES ON SALES OR OTHER DISPOSITIONS/PRINOIPAL 2665,78 shares, IDS Bond. Fund, distributed to Arthur J. Updegraff Net Proceeds Fid, Acq, Value 12,395,88 13,133,61 Total Gains and Losses/Prinoipa1 Less 1-oss Net Gain f ;; " " " 'I ,: " " , " , I' " i', 'd' " '0' " .., il' 'H " -2- Gain 0,.00 ,- " ,0,00 737,73 (737.73)' " ;, , " , , \'; ,. Loss , ,. 737,73 m,73 ", ,. .' .' " , i,.:I; I, ." '. ILl ,.I ." ,,' DISTRIBUTIONS OF PRINCIPAL TO BENEFICIARIES 1994-09-01 Arthur Updegraff, cash 982,79. distribution 1994.12.29 Arthur Updegraff, princpa1 40,873,03 cash distribution 1995.01.17 2,665,78 shares of IDS Bond 12,395,88 Fund distributed to Arthur J, Updegraff (valued at $4.65 per share for s total value of $12,395.88) I , 1994.12.29 Larry Updegraff, principal 12,196,47' , cash distribution 1994.12-29 Larry Updegraff, prinicpa1 40,873,03 cash distribution 1994.09.01 Larry Updegraff , cash 982;79 distribution 1994.09-01 Wayne Updegraff, cash 982,79 distribution 1994.12.29 \'Iayne Updegraff, principal 12,196,47 cash distribution 1994.12.29 Wayne Updegraff, principal 40,873,03 , , cash distribution 162,356,28 ,. , .. " I' 'I.', 'i ;' .8- ", '",' , ,I Ii, #0125194, interest 1994.06.18 PNC Bank Corporation, 17 ,87 Certifioate of Deposit #0125194, interest 1994.07.18 PNC Bank Corporation, 17,87 Certifoate of Deposit. #0125194, interest 1994.07.18 PNC Bank Corporation, ' ' 66,67 Certifioate of Deposit #0120221, interest 1994-08-09 PNC Benk Corporation, 64,52, Certificate of Deposit #0120221, interest. 1994-09-18 PNC Bank Corporation, 66,67 Certificate of Deposit #0120221, interest 1994.09-18 PNC Bank Corporation, 18.47 Certificate of Deposit #0125194, interest 1994-10-11 PNC Bank Corporation, 18,48 Certficate of Deposit #0125194, interest 1994.~0.11 PNC Bank Corporation, 64,52 Certificate of Deposit #0120221, interest 1994-11.03 PNC Bank Corporation, .17,87 Certificate of Deposit #0125194, interest 19.94-11-03 PNC Bank Corporation, 9,54 Certificate of Deposit #0125194, interest 1994.11.10 PNC Bank Corporation, 66,67.. Certificate of Deposit #0120221, interest 1,541.45 " Total Reoeipts of Income 2,266,02 .13. "1, .1 " I'. It ,.Oashl ,.J' "" '1 ", I. ",'. \' , , , i I' 'I"~ .1.1 ,\ , . ';, ", "I , . I' " " , I"~ , , " II' ," , I' I' 'I, " ". " " I' " I,. ", " I: ,I (. 1,'\ " I. " I. " PRINOIPAL BALANOE ON HAND " " TOTAL---..-----.-> .{ \' I',., ," I' I' ,I' I '( " , " " , ,\1 " " .' "'I " ,,'. I' ,', I' " I, " " I 'I I. I' I' ;,1 Iii, I' -1'4- ,. , " .' I. ,,", I "1' I' " to '.i, .. I. I' ';.i ;j' I',' I' I " ' 'I " I' I " I' I' I' I'" L I' .!Ii" I, .' II ,I" '" i"i' !.l : ~ !. ;i , , .0' ';'1 f.' " ,::1, i,i , , ;!I/' , . f . ,,', ,,'I" I J. 143' 00: 'l'.' t,., " .... .'. ... ....... ". 4 ~143 ,,00 ,1',' , I. t. I{"I " 1,' '.f' h,. "I " I' ;\' ,,: I;' ,.! ' I' ,. , " I I' , 1', . . .' ,I' ,,' i, ','" 'I;' .'it I, .' I," II' , ,. 9~~~dl... ';. I, , ii,' " " I' f. (, " " , , .,H ,i. " I. .h i,,' 'II " i/. i,";l ,t , " ,.1' ! i> , ,. .' " " " , I " iI' , " , I' I' .. ", , 1'/, " " " .. , Ii. " .. , , I'.,. "" I q h Ii, .,. \'i. '_-I " t" INOOME BALANOE, ON HAND II"L ,t"'" " ", "'.' '" I I, I. t', " ,!] ,. "," /I' , 'L' I' i')',i' >r, ,. " " " ",')' ,. I', ,. , "'I q. I' ," ii' , i " ,I " " " Ii I" " ,I' -15- " " ", , , 'ji, t" ,. Ie h , " ',i, , " ',. 'I' , " , " 1\, Ii Hi '.' , .. ,. " \.,' 2, ~66i02 , ,. . ". ',. .'.........,...... i. ." :, 2,266,02 \. "", f:.. I'. I' I " I ,. " -,I 'I "1: 'I " ;'., :',I:i , ,t-, ,,, H ,'-' " l' ',I; ,I' , , II, ., , I , " " , " ";1 " " I' 1\ " I ,: ,. '. I" 'il \; . ',. " " Ii' ,.".1' I'" ,. " " \ ,.', ',.I' I " "'l"" " i/;r:'I( :~~'I'r';i II} I"":., I' i,'II ...... ,:t.l :;; ;(:~~I I' ;~ 'It:' (fl')" . r.', " ,.:': t:.::. 11 I ;.1 j.l' I!, /" . (,4\ ~\! \;;:"~'.~I\:>;'1. ;~' ~ \i' ,\ '..';) j; 1.11 \',/ " , " , \. I ' , , ,. .",: ~"4:' ,I .~, '..., I"':;' I')"" l,t~ ij (. :. ' :'; \'I'! L: \',;- " " \ \ I I . J I / ,.' ...."h~. I- I&l tIl ::> U) ~ ..... '1=icfa: ,~ ~ - If,' u "" 0 .'7 .~ ::>.... j2 01 tIl ~ 0'0 ',. C>t:; c:c :',,; lJ.L ~ tIl"- l~~ ~';a. . .... I&l .t_'l) co Otll l) I ,:\-0 u::>< r ,( ~ I<< OPo< ~ p"- ~~;~ .. ,,- t ;~~ ~ ~. ~~~~ -l cl: 1: ~ , ,.1' t.6 f')' ~ ~8 ~ ..~ .,. f') 0 e J~ lD E Ol ~ c(!- :;. ~ c.c"'\ ,. ~ ~. "-1"> o .::1 '\ ~ 8i d ~ "I ~ -:::r , ~~ 0: m <:S" III 1C .~ . ~ . " ,. 0:: " IIJ ~ II. IIJ ,. IIJ , .1 .~ 'I,