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I)ETlTlON FOR PROnATE Illld GRANT 01<' LETTERS eX 1-1Lf _"I at . -. -_...,._--,.__._,------._~..~..- ":\'1(11" of ",J9OO, I;;"S9U\'llberge,!: No, II/SO kilo 11'11 liS ~__.... ~_ ,~, ,. _.._ ~_.~ To: ___,_,,,____ "u ____.' ,_" . ...,,____ Kegisler of Wills for the _..____._....u'u_u'. ,/)1'('('1/\/'11, ('ouuly of _.,_C_lL~llJR.li.\@'_ in the Sod(// S/'l'lIrlty No, , ~ 0,,4 - ~ 0.-715 7 _ ('ollllllonwellllh of I'ennsylvllnia The pellllon of Ihe undersigued respeelfully replesenls Ihal: Yuur pelilioner(s), who is/lire IH years of age or older lIuthe exeeIlL_QL~______ namcd 1:1 Ihe lusl will of Ihe IIhove deel'denl, dllled,SePt~~t"_.lI).,_,.___u__._._,_,_______, 19...22- IInd eodlcil(s) duled .__July.2.4.1. ~ 1~91 u.... u._ OO_OO'UOUOU_" _______.._______ :~~:rrciiii>~J:9:.E:i:<~c.ufotJn Will ,)c1aH~~"s.~lJ~rif~.i~~~--~~ nem deceased"'''' htall' rd\'\'lllll Wl'llIlhllllh:l',. l',g. Il'II11Ill'iutloll, Ill'lIlh Ill' l"l'Clllur, clc,) Decendcnl was dOllllciled III delllh In _.. no _QJ,ml:lerJ,HOO___ __ County, Pennsylvania, wllh h..ilL___ IIISI fllllllly nr principal residence III _n_61L~!,J,.ijl.\LYU~L P .0. Box 2105-,--- Me.chaniCfJourg,.,Uppe r~ .Allen .TQI{fl6h.ip~._C:l.Il1be.rlandJ;;Qunty "JA (lhl '1Il'Cl, llumbl'llIIHlllllllldpillil)1 Decendenl, Ihcn ._.7.8.. __ hears of age, died __!lllg\l.st_l~L_..._____, 19 94 _, lit .lk'.s!!.ta.!L'LilJ~l ~~ f.1eq"CI[l JCf3QlU:,g, . PgJ}J]sylval1tg",________ , Excepllls follows, deeedenl did nollllllrry, WIlS nol divorced IInd did nOI hllve II child horn or IIdopled lifter execlltloll of Ihe will offercd for prohllle; WIIS no! Ihe I'icllm of II killing IIl1d \I'llS ncvcr IIdjudicalcd Incompelelll: .. _~..._~'._ .___ .__, ....,..+ "..u...___,__,,___....___..____ Dcccndclltllt dcalh owncd propel'lY wilh eslilllllled I'alues liS follows: (If domiciled In I'll,) All persolllll properlY (I I' not domiciled ill I'll,) I'ersolllll propel'lY ill l'ellnsyll'lInlll (If not domicilcd IIII'll,) Pcrsolllll properlY ill COllnty Vulue of real cst lite illl'cnnsY!l'allill sltuuled liS follows; .".__"..__..._OU...._,_...._.____ LTI!hQQO.OO $ $- $ WHEREFOKE, pelilioner(s) respcI'lfully reqllest(s) Ihe prohllle of Ihe 11151 will IInd codleil(s) presellled herewith IInd the grulll of lellers__,,___'l'f.Q1M~ (11:\lllllll'llIur)'; ndllll/li\lrnlll1ll ~',1,1I,; lldmlnlsunlloll d.b.n.c.t.a,) Ihcron, i 'Q- 'o~ ~~ "C,g ~,. _t: _0.. ll'~ ~o ~ Vi I .JJ '-, /' ~~:Pw:~~~~~~~:?(~=_:=:,~~== 6080_Cunberl~nd Hiqhways COOI~r;!lb!'y:g. PA 1720L ---.-"--'_._..'_'-----'---"._----- .. ._.~~_.___,_________,_. ____n OATH m' I)ERSONAL REPRESENTATIVE COMMONWEALTH OF I'ENNSYLV ANIA } 1:18 COUNTY OF __~lJ.t1fH:.B,=-~ND Thc pelilioner(s) ahol'~'lIallled swear(s) or affirm(s) lhlll Ihe sllllemenls in Ihc foregoing pClltion arc truc IIl1d correclllllhe hesl of Ihe knowledge alld helief of pelltioner(s) und thllt liS pcrsonll! rcprescn. tUlive(s) of the IIhol'e dcccdl'1I1 pelilioller(s) will wellllnd Irllly administer Ihe CSllltc according to law, Sworn III or affirlttcll ~1J!d sllhsnihed . \( J ,~. L V ,-~"J') ,. 2JI<D ' i AVERYW-'-Aul\' -.---.~ . ~: heforc m'A~i&UST~' .. '. ~ ~ dll94,I . . -- p' -'..--, nu__'________ ~ /LI'/.J.~,.I. 'A(R:Y' c~c::-'-', "L:IE:W[~1 S'I' , " /19, 00' ( .l".. -.~--. .:m______,_..__u_..______._, i: 1M: 1I(,~f:I;,/' /",<:;L',::===::::=.=:---- ~ tll0611211lVIl-8d IH!E f'On TillS ClATlfIf;A Il U 001 WAliNING: 11 I:; IL.I.U.M 1(1 ^' I fI: III!; IUI'V Oil TO DIJI'L.ICA'Il' flV 1'1il'Jlll:iIAI ()!, I'IIIHOOIIAI'II. COMIWNWI:AI 111 01 f'I'NN!lYl.VAN'A OEPAHlMWT OF III AI. HI VllAL ntCOHIlB LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT. NO, 2200523 AuguJ.>t 14, 1994 .-. li4111 oi1;W;ii1Ji;ii'Ci.rll',~.tIOll --., l,1-.IoII" SOLLENBERGER .. ...._--, ..-.--.---.--.-j',;;r---- Name of Decedent _____ ___",)Q/i.N.__ lu,' .E. Sex .~_.______ _.Soclal Socurlty No,._.201:30-71 $.7 ..____.__Dote of Death,___~11Ll'1..~~,_ Dato of Birth _..Q5J1.W_9J.L.._____ Blrlhplace.J'llie,tte\iit{e, ,FIt~n4{,{t'- ~Q!J.f(!,(!~J,,!ltvat!,{~_________ Placo ot Death MeJ"J,,{ah vataqe NI0J,bIR_G(!,tlt0, 'lIelll!, N.llltt _UJJp(1)( A,fe~tll'2I!!t!.'~!IjPI Cumbelttand CountJL!~n!l~la C"'II',:, Cdl IldrULlljt,ur T<J/lnlnll' '.'_ _._ .Armecl Forcos? (Yes or No) __' No Race __.cllMW~_<<IL, Occupation _J2<<1'H1JMIlI0___ __ Dococlont's Marital Stat liS _MMlt_{e.Q,_ ____.__, Mailing Acldross . _n (>H, II"IOI!"I' .. H~m.eqc.k _ ._HiJ{,._Jie1.~{g,~._l'..-iJta~ecllall{c.J"buJt.E.L 'ilt.,,,t ell, 0' Tow" Slllo Informant ...A1!J',!tJLW--'-4QQL_____n___.... _ . Funorol Director ... J ..L~~~y._,C.()c1lEn..__fJL..QLQ.~_~_1.:l..________ Name and Address at Funeral Establishment _QQQKWLfJ1NfRALHQM~ ,__30 N! Part I: Immediate Cause . Clte~t.!ut.$t! L 12{{{1.bUJr..gLl~. ,.L"LO 19 -_QigL___.__ : I nterval Between : Onset and Death , , (alAdw....cuLll\!1!l____ _..___n_...._.. ._,_ -..,-----,---------------i----- , (blM't.U,gI1MUt~Wt_g_Lf~~!.l~{ol!.l!I{~!! .!t.~:~I!JJ.IIljPP.X.~L___,__,____j I I , ,......_.. _... __..__......_..u.__,__l-~.___ , , I 1_,_. (cl________.____________..__ _ ___..._.. __,_. Part II: (d) ______________.___.___._...__,_ Other Slgnlllcant Conditions Cancelt o~ P J: OJ"tM&.:_~()It.()n'0.!L~~_c_ue.aJr._ p:i ~~~e___ ".___. _____. .~ Manner of Death: Natural 00 o D Describe how Injury occurred: Accident Suicide Homlcido Pending Invostlgatlon Could not be Dotormlnod r.J o [J Name and Title of Certlflor ___.___@!!!l._~.9-!II_l!(VttZ L _M. PL_ Address ____2JALL.(4&lLRg_qd'-J,fJ?,~!<<!t{cJ,,_b!lltg L _PA..... I} 0 SS.. -------(M.'6~,-b,o,. Coroner, M,E~) This Is to certify that tho Information horn (llvon Is corroctly copied from an original certlllcate of death duly flied with mo as Local HO~Jlstrm. Tho ollnln,,1 Gorllficato will bo forwardod to the Stato Vital Rocorcls Office for pormnnont lllin(l, __~!!glJ,~_LH,_J9H . 114l~ 11<.'-')'\1111111 j" "I 11"11,,,,,\1 Ihpv./f{t~.t4.. T&'d~C: ....0Z_t..'!._rf 1""11""'11'1' ""'III.j("''''ll . lhll'jf:"lt/' . ? J:\ ') 1((11.-/ /3<cf./ ' , J;:^-44i6~;.ifL'3=-J,7'()/ / ",,::m,~J "'" """""i"'"'''''' ': ,. '" , ','. " ,\' " ,. ,. '" I, " ,. " " " " ,", I", ,{ .j, j" I, ,'j " ,\ ,,', ,. , " i. ,.' " " ,',\' I I " ", ','I', (,I '1 . , " .. (,I ,. " . ,. ,. " .', (', ' ,. , " ,. " , '. , " I "II: J.'j ,e' .~ 4 '''t 'I" .~., ..., ,,_ . , " I" " ,'I !Io " " , I" \,:, ..I. 'I ! i I I " ,. ~~>',L',~/.. ,~~., HQ ....)\1:';;1,1(, \~ ", / ,<~l'~i~"1' ./u_;t\- . 4" l . 0 .. (,;.I.,(j,,1 "o.,.~~ )-i,... "Ml1" /l~--,(i~ . .'j~o""~~ I ') I ! ;(..,. f.). ...l."".c.., . ( , . r}:-V.-r..lLu,L i , :1 (, q ~. , (l~')' ( <;IY\Q. "~. .:..1. ..7- , f'(' ('. . ;I:inf. ~ 4'" ,,<" I ) ,}.IY J.' J )' " t ':7 ) .... \~'O\}1J.I'~' ( :, I\~, I'~''''~'''' \' ' / J<f--'~I.h (H~>-t,,~~~(~,l,I),':/.' PAi!~~ul)-r-; ._"ru;",9.,d:;,..l" ":~"</J~' ;~L. ,(,:/}"")'L. ,.) I t ,if, "')'/..') ,I, (/. ('/' ',/ ex. 11 /, ^1 \ \ ' Jcfvwl: J,~~trI~(/FT , " I J" , ' , '. " ,. ,. I '," , I /I.'~"i' ,I' ','.l,l,'(ll I' , I' ,. " ,. ,.",' (,., " ' ., , ,/ " , ;/'l' " ,. . -"--rt"' ,'---,'-" ~ '. " " "I " ',-f', ('I'" I'; I. I I I,'. f' Il " ,.', ',' ., ,. " " " " " "J ,'. I. ;f " .," , .~ 'f '\1 ,I'. f' ~ (' I' I, , L) ; 'j.' ., I ',,;" ;.t\' 'it I" (, , . ;. f 'I 'I ."';:, " :,''. d. ~ ,\ lJ'" Ii I " ' 'I I ~-' 0\ " " '';t;I' ,,-I I' ,'. , , ,. \ .J ,. '." , ' ., " ......,...- ....~M.~ _,-'Th-' , 4< ,\ .' 'I I /. , \ I .\ ,I ,.> ,': / " . " .' .. 1 \ L..t will .n4 TI.t..snt OF JOHN E. SOLLENBERGER I, JOHN E. SOLLENBERGER/ of Messiah Village, Upper Allen Township, Cumberland County, pennsylvania, being of sound mind and disposing memory, realizing the uncertainty of this life, but with confidence in God and trust in His Son, my Lord and Savior, Jesus Christ who died for my sins upon the cross and rose again to justify me and give me eternal life, do hereby revoke any prior wills and codicils and declare this to be my will. ITEM I. EXPENSES AND TAXES. I direct the payment from my estate of all my just debts, expenses incident to my illness and my funeral expenses as soon as may be convenient after my decease, and I direct my Executors to pay all state and federal inheritance and estate taxes from the residue of my estate on property includable in my gross estate for federal estate tax purposes, whether the same passes under my will or by operation of law, or by virtue of contracts of life insurance or otherwise, and I waive on behalf of my estate the right to recover for my estate any part of the taxes so paid. ITEM II. .!lURIAI, PROVISIONS. I direct that my remains be buried in our lot in the Air Hill Brethren in Christ Cemetery. I give the sum of Five Hundred ($500.00) Dollars to the aforesaid Air Hill Brethren in Christ Cemetery / in trust, the entire income from which is to be perpetually applied to the care and preservation of the lot in which my remains shall be buried. ITEM III. XANGIBLE PERSONAL PROPERTY. I give my tangible personal property in the nature of household goods and personal effects and motor vehicles owned by me at my death, together with insurance thereon, to Ida M. Sollenberger, my spouse/ if she survives mel if my said spouse fails to survive me, I direct that my tangible personal property be added to my residuary estate. ITEM IV. RESIDUE TO SEQ~. I give the residue of my estate to Ida M. Sollenberger, my spouse/ if she survives me. 1 of 4 . , , . . , . IT!N V. DISPOSITION IF SPOUSE FAILS TO SURVIVE. If Ida M. Sollenberger, my spouse, fails to survive me, then I direct that the residue of my estate be distributed as followsl (~uand .beQUellththftll\lm of (tha IlIAI\lilN4 ,Tbov..M'ld .........~:..-,- . ($1011,11\/: .ec) Doii~efld~~CoU.qa,. Grimth!l,lll, -pennsyl vanilll til~ihl1:1de4-to--,th. $XUltlnil~:_~ provide fat' the ongoing proqrlllll;-OP:e~~,~.J~r'. &rid llIaintll~ncp'o~:tijjl,J.o. Ihl). E. ~nd--IdaM;' --::.:~:-::.'. " O"'lf~\- t 1.'(j'~(;(t11/{~' t ". 'Scl'fl\;b-e!'qer~P!tft.1i4::::c.Eititer. 'tI- / O?- If '1-- '. (B) The residue of my estate I give and bequeath to Messiah College, Grantham, Pennsylvania, to be added to the scholarship endowment fund now existing in my name. ITEM VI. FIDUCIARY POWERS. In addition to the powers conferred by law, any Fiduciary appointed under this will, including any Trustee, any Financial Guardian, and any Executor (unless specifically provided otherwise), shall have the following expressed powers I (A) To hold any property, including real estate, secudties arId especially inclUding stock of a Corporate Fiduniary, delivered to it in kind as long as said Fiduciary deems the same to be for the best interest of said estate. (B) To invest and reinvest in such securities as my Fiduciary deems to be for the best interests of said estate without being restricted to such investments as are considered legal for Fiduciaries under the laws of the Commonwealth of Pennsylvania, and without regard to the principle of diversification. (C) To invest in any common trust fund administered by a Corporate Fiduciary. (D) To buy investments at a premium or discount I to join in any recapitalization, merger, reorganization, oonsolidation, or voting trust plan affecting investments I to subscribe for stock and bond privileges I to give proxies and generally to exercise all rights of II seourity holder I to carry investments in the name of II nominee or in bearer ~orm. 2 of 4 " " " " (E) To manage, operate, repair, alter, improve, partition or divide real estute or other property and to lease real estate and other property upon such terms and for such periods as may be considered advisable I and to sell real and personal property for !lny proper purpose at public or private sale for cash and/oJ: credit without Order of Cou~t and to make, execute, acknowledge and deliver good and sufficient deed o~ deeds and other assurances therefor, (F) To borrow money and to pledge or mortgage real or personal property as security and to make, execute, acknowledge and deliver good and sufficient pledges, mortgages and other instruments to effectuate the same. (G) To compromise claims without Order of Court or consent of any beneficiary, (H) To make distribution either in cash or in kind. ITEM VII. EXECUTOR. I appoint Ida M. Sollenberger, my spouse, anct Avery W. Zook, or the survivor thereof, as Executors. If they do not qualify or cease to act, or fail to survive me, I appoint D. Ray Hostetter, President of Messiah College of Grantham, Pennsylvania, as Alternate Executor. ITEM VIII. NO BOND. I direct that no fiduciary appointed hereunder shall be required to post bond in this or any other jurisdiction. IN WITNESS WHEREOF, I, JOHN E. SOLLENBERGER, the Testator, . Ilf have hereunto set my hand and seal this !b, day of September, 1992. "' "//) fl,p' ';0/"'_,(/,/1 ~/.' John E. Soll~ erger (SEAL) signed, seal.ed, published and declared by the above named JOHN E. SOLLENBERGER as and for his last will, in the presence of us and each of us, who, at his request and in his presence and in the presence of each other, have hereunto subscribed our names as witnesses thereto the day and year last above written. , j L;f.". . " _.' . '. .' ..,?"''Yl~1.A-i'' (-, , )lIoy,"',(/ residlng at ,0, ") q 1'1', V.) ( 11" ..11, II 11'I' '~_,A." ~b 1-/ ,Yo of /" t1 In/ I'll / '/ rv. 7 . 7Ci?/ ~I ~ C. )" C, rt ,f~:;,;w",./ . ~ ." If / , ..... >- .... f:Jiu:;f:;r.'J1 d!- /7tJ.2 7 . / ' ~ " ..-:;:? . -' (::'/~~/~---- residing at 3 of 4 ,," , ' " ': ,/': 1\' ". 'I,' "'" , \ ,":,," 'I,' _ I L " ""J, " , , 1.1'-'.' ., , ,I ", .,' 1..' ;; ." ',',. " '/, 'I, "" t ". d' /1 " :,' ,I " " . ,.j ,. i:I,:,I",' ',I :\, '1,,1 ',-, "\ ", , ' I, " I ~ (I ,('I, '.' . ,,~ i " .t. i' .~ ',','1 '1': ". I',' \: 1'/,' '; ~ L I " II, \ " I"'''' ,,', ,~l .It,:'" ,', " , ,-,,' ,,.., ',., " " ;',' " '. " t",' " . 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'.. 1 ,I" ,i( " .' Inventory of the real and personal estate of JOHN E. SOLLENBERGER deoeased SEE ATTACHED SHEETS I,;, " " ," , "j, 'I' ,. " ,. , " ,I" ,'1, , , ", . , ,,, ," \' ,1\ " 'f" ,. \, , , 'i i.' ,. " " .' " .. , , , " , " \, " ,. "L, I,', , i-.; :1 ., .... ~ t:;( o ,m :;1 a: 0 1., ,. Q) ir-1 lC? , , ,U;~: d 'I, :'i n " Kl .(, t. "1 ll. ( ~ :~, l" t " l..,. , :~ ~W' fR g~ a::CJ: t5 " .,. ,. , .. ,I.; .., " I, , I. .. , j,-, , ' ,. ", 'I, COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND \ I , II; Av€'r:y W. Zo.ok --,._._-,_.--~...._--_.-....-.._._._..-.--_....-_._,... ' -,._..,..~.. ...- bolng duly. .__sworn.. ._. occordlng!o law, doposes and toys that ho ..is,.Ule.,exacutor ..--.- .. . ._ of tho Esloto of ...,_~John,~-,-.~Q).lE'-'l~~~.L.,-._._-- late of .. . Upp€' r: AU€'n ~'ownship. . .. -, ., Cumborlond County, Po., decoasod end that the within Is on Invontory modo by. ' Ave.ryW. Zook..... --, tho sold_El<<'cut.or--.....- of the ontlro ostato of sold docodont, consisting of 011 tho porsonol prop"rty and real ostote, e.cept rool ostote outside the Commonwoelth of Ponnsylvonlo, and that tho flguros opposlto ooch Itom of tho Inventory represent It's fair velue as of tho doto of docodont's doath, Sworn to __ ..d "b",'b.d b.I... m', \ _At~~. . kL ZJ:.,-~k ,- ._n EM 01' Admlnht..tol . Av€',y W. Zook ..6 OJ\.O_G~fJl.l2.~ r:J?!.DQ.JJ Jg!lwa VEl,___ Chambf'r:sbur:g, PA 17201 .~-_.._.-. ~~l ( i /'._ 19_-.~ I (' I I' 1 : ~\ '-l.~ i' I II ' . , I . ( ......,.,i,'.\ --- 1,') , I \ I, \" (:,: \ ,- ~_.. -' .,.- -- .... .---.........---.------. -,.--.-------'---... Add.." , tlOl MIA\. DEAL CRVCT^L R. PlIOmn, Notary Public Chambcl~buro Ooro, Franklin Co" Pa. My Commln~lon Explrll Oc:t.1 1998 .J\}l9.lI.!lt. Month 199'\ .,--~.-...._----_._...-------- --......-' Vea, Dete of Death . 12 DIY ...-- ---.,--.- INSTRUCTIONS I, An Inventory must be flied within threo months after oppolntrnent of personal reprelonlotlve. 2. A lupplement Inventory must bo filed within t~lrty days of dhcovory of additional oueh, 3. Addltlonalsheeh may be attached 81 to personalty or roolty 4, See Article IV, FiducIaries Act of 1949, ~\ P, 'rl W .0\ C-' Ul ~ i:l ~ ~ tli E m 0 i ,~ .... 7-: E-< ~ ~ p ~ ';( ~\ i:l '" 0' .... .. 0.. In tli u .. Ul 2 ~ .. ~ w Q 1lI t-~ ~ ~ :. 0.. ... U. ..: :. E u. -' j) 0 " o ;. \JJ W I-l ~~ ~ 0 ~ ~ ~\ tli i: o Q P, c ,..I P, " :J: - Vl z gl ::J <3 0 ffi c( ~ z \ , "- I "" ~ c - ~ i:l 0 ~ Jl .... III .. E "" ,.., .. .. 0 j " it 0 u '" . SOLLENBERGER ESTATE ASSETS: PERSONAL MORTGAGES: 1. Ross H. MoCoy, Jr. and Judy L. MoCoy, dated 01/08/87, Amount: $77,640.00; Amount owed at date of death: $64,080.54. 2. Christian Edward Oberholser & Betty June Oberholser, dated 01/15/92, Amount: $27,000.00; Amount owed at date of death: $22,168.23. 3. Earl E. Sollenberger and Gwendolyn J. Sollenberger, dated 01/15/88, Amount: $70,000.00; Amount owed at date of death: $36,854.24. ~ROMISSORY NOTES: 1. Dennis R. Harne, Jr. and Barbara Harne, dated 03/01/91, Amount: $10,000.00; Balanoe due at date of death: $7,783.06. 2. Ja~k J. Williams and Yvonna E. Williams, dated 11/13/90, Amount: $10,000.00; Balance due at death: $7,297.15. 3. Barbara Harne, original debt amount: $10,000.00, As of 4/14/94, Amount due: $9,848.11. 4. Karl Oherholser, dated 08/10/94, Amount: $10,930.94, monthly payments $151.81 to begin 01/01/95, ending 12/01/2000. THE JACOB ENGLE FOUNDATION. INC. : 1. Certificate #5919, Now #10144 - $20,000.00 - Maturity date: 12/22/94/ (New Guilford BIC Church received) 2. certificate #8243, Now #10226 - $30,000.00 - Maturity date: 01/26/95/ (New Guilford BIC Church Received) 3. Certificate #8022, Now #10036 - $30,000.00 - Maturity date: 10/21/94/ (New Guilford BIC Church Received) THE STEWARDSHIP INVESTMENT CERTIFICATE FOR THE JACOB ~ FOUNDATION. INC. BROTHERHOOD LOAN FUND: 1. certificate #960~ - $15,000.00 - Date: 02/28/94; (Messiah College Received) ffi ~ c N -,~.3 I . '/ INHERITANCE TAX RETURN RESIDENT DECEDENT CO~~ONWIA"" 01 PlNNSYIVANIA (TO BE FILED IN DUPLICATE oe'AUMINT 0' rUVINue OF WILLS) 'OSI O"'CIIO, Il21 WITH REGISTER COUNTY CODe HAUISlURG, ,,, 11105,8321 N' NAM [LA ,I ,AND MIODl INI IALI ~D!ceOfNT'S COMPleH ~oORlSr- SOLLENBERGER, JOHN E. 612 Hemlock Hill o lA' "iI" NUMm I DATI 01 OW" ,OAlI 01 ,,,,,, Messiah Village 204-30-7157 06/12/94 I OS/25/16 Icl:1.~c~IlAiB~P~~R., PA 17055 __ l. Original Relurn 2, Supplomenlal Relurn ~ J. Remainder Relurn (lor dOle. of deolh p,io, 10 12.13.821 _ 5. Federol EIIOI. Tox Rtlurn Required -18. TOlol Number 01 Sole Oepolll Boxe. RIV.llDO IX. 12-11) IQ. II line 18 i. greoler Ihon line 17, enle, 'he diHerence on Iin. IQ, Thi. i"he OVERPAYMENT, me::: 120. II line 17 i. oreoler Ihon Iin. 18, enle, Ihe diHe,.."e on IIn. 20. Thl. i"he TAX DUe, ~, EnllH Ihe inletell on the balance due on line 20A. B. Enler 'he 10101 of line 20 ond 20A on line 20B. Thi. i. Ihe BALANCe Due, Make Chock Pavable lal Regl,III 0/ Will., Ageot . .BI SURI TO ANSWIR ALl. QUemONS ON UVIRSI SIDI AND TO RICHICK MATH.. Under Pllnalli.. 0/ perjury, t dldore lnOll hove examined Ihil relurn, incluaing accompanying 1en.dul., and lIollm'r1II, and 10 rh. be" QI my knowledge C1nd belie~ it is trut, correcl and comple", I d.clClre rhol all real ellolt has been re~orted at true rnark., ....alue, Decloralion of prtporer olh.r Inon the 1"'101'101 ropr.len1oli....J II baltd on all information 0: which preDO rho, any knowledge, SIGNA Otl A! 0 SI. OR Q ETUAN AODAESS OAn 'Cumberland Highways, Chambers,burg, PA 17201 II I') 1f. SfNfAfiVE -'OORess ()j.rr- _______ _tJ / \ '1(. 1 S. Baltimore Street, Dillsburg, PA 17019 ... ~ :.c-IIl u..:.c ","U :z:oo u..... ..Ill .. <l '% ::I... ..c "z 00 u.. PILI NUMIIR . 21 94 0738 VEAR NUMBER _ Ja, futuro InllUolI Compromise I'or dOl.. 01 deolh olter 12.12,821 ,X 6. Deced.nl Died Tellalt = 7, Decedenl Mainlalned 0 Li....ing Trull :AIIOCh cooy 01 Willi (Alloch copy of TruIII ALL CORRUPONDENCE AND CONPIDINTlAL TAX INFONMAYlON SHOULD BE DIRECTED Tal NAMf .COMPLETe MAiliNG ...DD~ES5 _ 4, Limiled Ellale I ',- Jan M. Wiley, Esquire :lel'fJiiO'NfNuMsEA 1 1 S. Baltimore St. Dillsburg, PA 17019 Lll) l 432-9666 z o ;:: ~ :l a ... .. 1 leol Ellole ISchedule AI I II 2. l,ock. ond Bund. (Schedule BI I 21 _ 3, Clo,ely Held SlocklPollnellhip Inleltll ISchedule CI (31 ~. MOllgog.. ond NOle' R"eivable IScheaule 01 ( ~I I 5. Cain, Bank Depolits & Ml1collaneoul Penonal Properfy( 51 (Schedule EI , 6, Joinlly Owned Propelly (Schedule FI 7. T,onsfer. (Schedule GI (Schedule LI 8, TOlol Groll Aile" Ilolallin.. 1.7) Q. Funeral Expenlel, Adminillrali....e COlli, Mileellon,oul I Q) ,xpe".. ISchedule HI 10, Deb", MOllgage liobilifi... lien. ISchedule I} II. TOlol Oeductio" 1101ollin.. Q & 10} 112. Net Yolue 01 Ellole (line 8 mi~u, line"~ III 113, Chori'oble ond Governmenlol aequell' (Schedule JI IA. Net Yolue Sublectlo Tox (line 12 minUlllne 13\ 1115, Amounl 01 line 14 loxoble 0,6% 'ole Ilnclude ,olu.. Irom Schedule K ar SChedule M,I 16, Amounl 01 Iin. I A loxable 01 I ~% role (Include volu.. from SChedule K or SChedule M,I 17. Principol lox due lAud lox Irom line 15 ond I,om line 16.1 118, C"dill Prior Paymonll + Oiscounl 1181 (IQI (20) 0 . 00 (20AI _ (20BI _.__0... 00 lR n';",41 . 156,962.27 ?1q.I>QI> 41 ( 61 ( 71 I 81 416.724_1) 41,257.:111 (IO) 4 qR2.21 115} 1111 46,239.49 1121---16.8,4R4 64 1131 -16...8.4R4 1>4 1141 ,0 nn X ,06 = 1161 X .15. z o ;:: <l .. :l .. ~ o u ~ .. (17) Inlettll CllI.'cJt herl' if you n;c Icqul!\ting 0 refund of your ov('.pnvmf~nt. ~ ~ III ... i 0 Iii ~ Ii '-.j .. ~ ~ z 0 ~ Ii i z ::> i! " 0 Z u i I ~ ~ ... ~ -. ::> 0 ::! ~ i ~ ~o~ ~ J__~ ~ III Q~ ZIlC g~ -z ~U1 u> ~! < Z ~IU ... ~::> ~ "'z zw i1 ~~~~ .. '. oog~ J, I ~z~ci ~'"" .. lII;!d~ ~" <II z~ ii QU' ~ ~o _ ~ ~ o () ~ ~ }, . I z ~ I e I il ~ dj!; :.> Zll I) '\J' II..........' " ' "It WllJ aa4 ~..t"IDt or JOliN E. SOLLENBERGER I, JOliN E. AOLLENbERGER, at Hudah VUlaqe, Upper Allen TOWn.hlp, Cu.berl.nd county, p.nn.ylvania, b.inq of lound mind .nd di.po.inq m..ory, r.alilin9 tha unc.rtainty of thi, lit., but lIith oonfid.n.,. III God and tru.t ln Hie son, illY Lord and Savior, Juue chrl.t IIho died for my dns upon the crcss and rose aqain tll ju.t,lfy m. and qiv. m. eternal life, do hereby revoke any prior 11111. and codloll. and deolare this to be my '01111. ITIM I. E~KaES AND TAXED. I direct tho payment from my ..t.t. of all my just d.bto, exp.nee, incident to my illne.. and my fun.nl .xp.n... as soon as may be convenient after my d.o...., and I diroot my Exeoutors to pay all stats and federal Inherltano. anrl utat. thxe. frol1l the residue of my estate on prop.rty Inolud.bl. in my qro,s eltate for federal ~state tax purpoI'I, IIh.th.r the .ame passel under my will or by operation at lall, or by vir'''' of oontracts ot Ufe insurance or otherwiss, .nd 1 llaivl on behalf ot my elltate the right to recover tor my ..t.t. any part at the taxes so paid. IT!H II. BURIAL PROVISIONS. I direct that my remains be burlld in our lot in the Air lUll Brethren in Christ cemetery. I qiv. the .UIII at Five lIundred ($500.00) Dollars to the aforesaid Alt' 11111 Brethren in Christ cemetery, in trust, the entire inoome from whioh il to be perpetually applied to the oare and prlllrvation of the lot in whioh my remaine shall be buried. IT!M III. rAVGIBLE PERSONAL PROPERTY. I give my tanqible p.rlonal property in the nature of household goods and personal .tt.otl .nd motor vehicles owned by me at my death, toqether with insurano. theroon, to Ida H. Sollenberger, my spous., if she .urvivel m., if my said spouse fails to survive me, I direot that my tangible persons 1 property bA added to my reeiduary sstate. IT!M XV. RESIDUE TO SPOQs~. I give the residue of my ..tste to Ida H. Sollenberger, my spouse, if she survives me. 1 of 4 . , . , . . ,. IT!" V. DISPOSITION IF SPOUSE FAILS TO SURVIVE. If Id~, M. Sollenberger, my epouee, faile to survive me, then I direot that the reeidue of my estate be distributed as folloWSl 'Clbbjha aua::ab81.J.....U..W9;l ~""I),..1!d ~/,. .' lI.Ylvanill, :..---' a-f~...:PJ!9!'.!M~ B=and-fd!4rr .s C, 'g-/O'-' cr'f of my estate I give and bequeath to Heseiah il;,,~ (8) 'fhe res idue College, Grantham, pennsylvania, to be added to the soholarship endowment fund now ellisting in my name. ITE" VI. FIDUCIARY POWERS. In addition to the powere oonferrad by law, any Fiduoiary appointed under thie will, inolUding any Trustee, any Finanoial Guardian, and any Exeoutor (unless specifically provided otherwise), shall have the fallowing expressed powersl (A) TO hold any property, including real estate, s.ouriti.. and ep"-~ially inclUding stock of a corporate Fiduciary, delivr 'to it in kind as long as said Fiduciary deems the UIII. to b. for the best interest of said estate. (8) TO invest and reinvest in such securities as my Fiduciary deems to bs fer the best interests cf said estate without being restricted to such investments as are ccnsidered legal for Fiduoiaries under the laws of the Commonwealth of Pennsylvania, and without regard to the principle of diversifioation. (C) TO inveet in any common truet fund administered by a corporate Fiduoiary. (D) To buy investments at a premium or disoountl to join in any recapitalization, merger, reorganization, oonsolidation, or voting trust plan affeoting investments, to subsoribe for stook and bond privileges, to give proxies and generally to exerci.. all rights of a seourity holder, to carry inveetment. in the name of a nominee or in bearer fcrm. 2 of 4 .'" -.- (E) To manage, operate, repair, alter, improve, partition or divide real e.tate or othor property and to lease real estate and other property upon .uoh terms and for suoh periods a. may be oonsidered advisable, and to sell real and personal property for any proper purpo.e at publio or private sale for cash and/or oredit without ordsr ot Court and to make, exscute, aoknowledge and deliver good and sUffioiant doed or dseds and other aesuranoas therefor. (F) To borrow money and to pledge or mortgage real or personal property aa seourity and to make, execute, aoknowledge and deliver good and suffioient pledgsa, mortgages and other instrumenta to effeotuate the same. (G) To oompromise olaims without order of court or oon.ent ot any benefioiary. (H) To nlska distribution either in oaeh or in kind. ITEH VII. EXECUTOR. I appoint Ida H. Sollenbergsr, my .pouae, and Avery W. Zook, or the survivor theraot, as Exsoutors. It they do not quality or csase to aot, or fail to survive me, I appoint D. Ray Hoetetter, President ot Mesaiah Collsge of Grantham, pennsylvania, as Alternate Executor. ITEH VIII. NO BOND. I direct that no fiduoiary appointed hereunder shall be required to post bond in this or any other jurisdiotion. IN WITNESS WHEREor, I, JOHN E. SOLLENBERGER, the Testator, have hereunto set my hand and seal this /r pL day ot September, 1992. 9.cll" I. ../ 4~.A~./1 j John E. Solltp erger (SEAL) Signed, sealed, published and declared by the above named JOHN E. SOLLENBERGER a. and tor his laet will, in the presenoa ot us and eaoh ot us, who, at his request and in his preeence and in the presence ot each other, hav~ hereunto subsoribed our namea as witneues thereto the day and year last above written. ~ A->'>.HI .1.1. ('/ AK\.HY residing at q()f( JJ~ .I.uv-P "C. JJ/l .. M +.AJ-m/ t>fI. /7 N. 7 ~~7 fi;1t:?$k~ residing at 3 ot 4 ......111.. V.... '* COMMQNWIAUIt 0' "NNSVLVANIA INHUITANCI TAX mUSN IIIIOINT OICIOINT 5CHIDULI H FUNIRAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES PI.a.. Print or T . JOHN E. SOLLENBERGER 2194-0738 ITIM NUMBIR A. Puneral Expln..., B. 4. C. 1, 2, 3, 4, 5, 6, 7, 8, DESCRIPTION AMOUNT 1. 2. 3. 4. 5. 6. 7. 8. Dr. Lucille Wingert (Funeral Music Honorarium) Rev. Ronald Burgard (Funeral Honorarium) Lane Sollenberger (Funeral Music Honorarium) Janice Stauffer (Funeral Music Honorarium) Rev. Dr. Robert Verno (Funeral Honorarium) Air Hill Brethren in Christ Church (funeral) Rev. Charles Byers (Funeral Honorarium) Avery Zook (reimbursement for funeral.meal expense) Aclmlnl.tratlv. CO.tll P.rsonal R,pl'Is.nlall.. Commlulnnl Avery W. Zook Social Security Number 0/ Personal Repr.senlallve: V.ar Commlulonl paid __ 100.00 50.00 50.00 50.00 50.00 250.00 100.00 523.68 1. 20,000.00 2. Anorney F.II Jan M. Wiley, Esquire 20,000.00 3. Family Ex.mptlon Claimant Addl1l11 0/ Claimant at dec.dent's death S'IM' Addl1lu City Slale __ Zip Cad. Relallonlhlp Probal' Fell Registe~ of Wills 347.50 Mllc.llaneou. Ex.,.n.." Cumberland Law Journal (advert ising) 4'0.00 Patriot News Co. (advertising) 142.10 Register of Wills (additional Short Certificates) 9.00 Filing Fee 25.00 Notary fee 20.00 Escrow for future anticipated medical costs 1,500.00 TOTAL lAlla .nler on line 9, R.capltulatlonl 543 ,257 .28 (If mOrl .pac. I. ntld.d, InHrt addltlanallhltt. of sam. "11.) I="r-, _~~~!_Ro-;'I!tod l HAKE CHECK PAYABLE AND REHIT PAYHENT TOI REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV: is'47" IX" "A pi;' i oi": 9 iY"Noi'" i c r .oF. "iNH Iii i;: ilifc!' i'"A x. 'ApiiilA"i ii l;.fENT ~.. A [, Uiwilifc i" "(jli."""""".."""..""" DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF "AX ESTATE OF SOLLENBERGER JOHN E FILE NO. 21 91,-0738 ACN 101 If an ......mant was i"u.d previou.ly, lin.. 14, 15 and/or 16. 17 and 18 will r.fleot figure. that inoludo the total of ~ r.turn. a.....ed to dat.. ASS~SSHENT OF TAXI 15. Aoount of Llno 14 .t Spou.ol r.t. liS) 16. Anount of Line 14 tlNlblo It Lln..l/C1I.I A rlto (16) 17, Alount of Llno 14 tlNlblo ot Coll.torll/C1I.. a roto (17) 18, Pr 1...lpIl ToN Duo TAX CREDITS I PAYHEHT DATE /.') ,UI. l SURE AU Of INPIVIDUAL TAMES INHERIIANCE lAM DIVISION DEPI, 180601 tlARRlSftURO, PA 171Za.0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE Of INHERITANCE TAM APPRAISEHENT, ALLOWANCE OR DISALLOWANCE Of DEDUCTIONS AND ASSESSHENT Of TAX JAN M WILEY ESQ 1 S BALTIMORE ST DIlLSBURll DATE ESTATE OF DATE OF DEATH FILE NUH8ER COUNTY ACN PA 17019 TAX RETURN WAS, I X) ACCEPTED AS fILED RESERVATION CONCERNING FUTunE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. Rill E.t.to ISehodull A) 2. Steok. .nd Send I ISoh.dull a) S. Clol.ly Hold Steok/Plrtnlr.hlp Intlro.t ISehodul. C) 4. Hertg.go./Noto. Roollvlbll ISehldulo D) 5. CI.h/alnk D.po.lt./HI.e, Por.enll Prop.rty (Sohodul. E) 6. JointlY Dwnld Preporty ISoh.dulo F) 7. Trln.for. (Sehodulo 0) a. Tetol Auoto 11) (2) IS) (4) 15) (6) (7) APPROVED DEDUCTIONS AND EXEMPTIONS I ,. Fun.rll ENpln..,/Ad., Ce.Io/Hlao, EN.ln..1 (Sohodule H) (9)- 10. Dlbt./Hertglge Lllbllltlo./Llon. (Sohldule I) (10) 11. Totll Doduotlenl 12. Nit V.luI of Tlx R,turn IS, Chlrltlblo/Oovorn..nt.l aequo.t. ISohedull J) 14, Not Veluo of E.tlto Subject to TIN NOTE I RECEIP1' NUHBER DISCOUNT I +l INTEREST/PEN PAID I') ( .',,> 07-14-97 SOLLENBERGER 08-12-94 21 94-0738 CUMBERLAND 101 I ) CHANOED .00 18.065,43 ,00 158.962,27 239.696,43 ,00 ,00 la) 43,257,28 4.982,21 Ill) _ (12) (15) . (14) ,00 ,00 ,00 X .03, X .06, X .15, (18) AHOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE , If PAID AfTER DATE INDICATED, SEE REVERSE fOR CALCULATION OF ADDITIONAL INTEREST, *' IIf,lhlll'''lIH'' .JOHN E DATE 07-14-97 NOTEI To inJurl prop.r Qr.~it to ~our *ccount, .ub.lt thl upplr portlen ef thll forn with yeur hx PIYlllnt, 41 6 , 7 2 "t.:.ll 48,n9 49 368,484,64 368,484,64 ,00 ,00 .00 .00 ,00 ,00 ,00 ,00 .00 I If TOTAL DUE IS LESS THAN 61, NO PAYHENT IS REQUIRED. If TOTAL DUE IS REFLECTED AS \ "CREDIT" ICR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) IYI ~_,J ',I, I' i ,..-. N 1!1, U. .. /'.., p, .:'~ ~ '.,)() RESERYATlONI htltl' of d.o.dlntl dYing on or b.forl Dectllbtr 12, 1912 ~- If eny futurl Intlrllt In tht IItltl 11 tran,flrred In po.....ion or .nJnyltnt to ClI.. a (coU_tlral) blntftollr III of thl dlc.dlnt Iftlr th, IlCplrttlon of lH1Y ..t.t. for lifl or for yurt, thl Co_onwlalth hlreby tlCprtllh "Itrll" the right to .ppreh. and a..... trlnlftr Inherltlno, rlk.. It thl lawful Cl... a (coll.tart}) rata on any such futurt Int.rllt. P\.llPOSE OF NOTICE I To fuUlli the rtquirt..ntl of Stctlon Z1~0 of the Inherltanct and Eltlt. TlIC Aot, Act Zl of 1"5. (72 P.'. S.ctlon 9140), PAYHENTI Detlch thl top portion of thh Hotlcl arid IUtHIlt with your PIYHnt to thl n.gllttr of IHlll prlnttd on thl rtlllr.. I1dl. --H... chick or 10nlY order p.y.bl. tal REGISTER OF MILLS, AOENT REFUND (CA) I A rtfund af a tllC credit, whJch WII not requllted on the Tlk A.turn. IIY b. requllttd by cOIPI.tlng an "Appllcltlon for A.food of P.nn,ylvanll IMIr !tanc. and Elt.t. Tu" (REY- U13), Application. er. IlIlihbll at thl Offlc. of the A.glstar of Willi, MY 0' the 2S Allv.nut District OffiCII, or by culling thl Ip.ctal 24-hour In.w.rlng ..rvlcl nuabtr. for fori' ordlrlngl In P.nn.vlvanla l-aan-362-2050, out,Jd. P.nn.Ylvania and within lClUl Herrhburg er.. (117) 787-8094, TOOl (717) 172-2252 (Hllrlng ilPllred Only), OBJECTIONS I Any party In Int.r..t not ,.tl.fl.d with the .ppr.I....nt, al10wlnc. or dl,allowlnc. of d.ductlon., or ........nt of talC (Including dhcount or Jntutlt) II .hown on thh Notlc. IUlt obJIClt wUhln .lktv UO) d.y. of r,cllpt of thh Hotlcl bVI "wrlttln prot..t ta th. PA Dep.rt..nt of R.v.nuI. Bo.rd of Appull, Dlpl. Z81021, Harrisburg, PA 11128-1021, OR --Il.ctlon to hav. thl litter d.t.raln.d at audit of th. account 0' th. p.rson.1 reprtllntltlll., OR --appul to thl Orphan.' Caurt. AIlltIH ISlRATlVE CORRECTlOHSI Factu.l .rror. dl,covlr.d on thl. al......ht Ihoutd bt .ddr....d In wrltlnu tal PA D.p.rl-.nt of RIV.nut, Bur..u of Indlllldu.1 T.~.., ATTNI Po.t A.......nt R.vl~~ Unit, D.pt. 280601, H.rrl.burg, PA 17124-0601 Phont (7111 787-6505. S.. p.gt 5 of tht bookl.t ''In.truct1lJn. fnr InhtrU.nc. TalC R.turn for a Ruld.nt Dee.dlnt" (REY-1SOlJ for an 'lCphnatlon of act.lnlltr.t1v.tv correct.bl. .rrorl. OIICOUIHI If .nv talC due 11 Plid within thrll (]) ctlender tonth. .ftar the dtcldent'. d..th, a fly. p.rc.nt (5:<) dhcount of thl t.1C ptJd I. allow.d. PENALTYI Th. 15~ ttlC Itnt.tV non"p.rtlclp.tlon p.naltv J, ~o.put.d on thl tot.l of th. t.1C and Int.rl.t 1.....Id, end not Plld blfore J.nutrV 18. 1996, th. first d.v after the Ind of thl t.1C ..n..ty period. This non-PlrtlolpatJon Pln.lty II IpPllllbl. In the .... IInnar 'lMd In th. thl ..t tI.. per lod a. you would appIII thl t.1C and Interllt thlt hll btln .......d u Indlcltld on thlt notlc.. INTEREST. Internt Is chtrgld beginning with flret d.y of ciellnquencv, or nlntl (9) aOl,tht end ant (1) dl", frOl the dtt, of duth, to thl d.tt of Ply..nt. TUII vhlch b.c... d.llnqutnt b.fors Janu.ry I, 1982 bur Int"..t .t thl rlt. of .Ik U~) p.rc.nt per .MUII calcullltl/d at . d.lly ret. ('If .DOOI6~. All talCII which b.c... dtllnqu.nt on tnd .fter January I, 1982 will bur Intarllt It a ratl which wllJ Vlllry fro. c'l.ndar Y.lr ta cltMld.r Yllr wUh th.t rite IIf'If'ICX.nCItd by the PA O.pertHnt of R'II'nu., Th. appllctbl' Int"ut rat.. for 1982 through 1997 "II '!!!r Intlrnt Rat. n.l1v Int.rut Flctor ~ Intorllt Alt. D.lly Int.r..t F!2.!!! 1911 lO:< .0005\1 19'7 9X ,DOOm 190$ lOX .000431 191"1"1 III ,000501 19'~ IlX .000501 1991 9X ,ooom 19U ISX .ooom 1991-1994 7X ,000191 1910 lOX .000274 I99S'I997 9X .ooom "" Internt I. a.lcut.tla .. folloll" INTEREST n BALANCE Of TAX UNPAlD X NUNBER Of DAYS OELINQUENT X DAILY INTEREST fACTOR --Any Notlc. I"utd .ft.r thl tl. b.co... dlllnquent will r.fl,ct an Int.rl.t c.lcul.tlon tp fifteen (15) diY' beyond th. datt 0' thl ........nt. If PI.,.."t II 'H' 1ft" thl Int"..t CoeputltlOf1 dltt .hown on thl Hotlel, tddltlonll Int.r..t MIlt b. celcullttd. Ii " ~TUS REPORT UNDER RULE 6.12 01 i, . , , IJi) l '/.(, ,\\ :\7 &, 5'(J.1J.g,n h e r (} (J I' !,l,l .J Name of Decedent I--J() hn , 0 Date of Deathl d" 011- :!l.~L GIL "I CUI: I-I;, Will No, I '1 q l/ -' cJO 7 3? Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-c~ptioned estatel 1. State whether administration of the estate is complete I ves-'i_ No__ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be completel 3. If the answer to No, 1 is Yes, state the following I a. Did the personal representative file a final account with the Court? Yes No-L.__' b, The separate Orphan!\' Court No, (i f any) for the personal representative's account iSI c. Did the personal representative state an account informally to the parties in interest? Yes X No d, Copies of receipts, releases, joinders and approvals of formal or informal accounLs may be filed with the Cerk of the Orphans' Court and may be attached to this report. (.." Dat.e I &'1) 'I q(,., ~ .- '\ ~ (.~) .9--.... Signature --; LTo.n N, lA)' \C'Lj f:iJJl' Name (Please type hr pr<.l!nt) ~ 5. 'BCl..1l. t,CYll.J(<'... ..s+, Address D I \\S\J"") ef\ \, tllf.) ( 71'7 I (1:1, ') . fj~ (., Tel, No, capacitYl ____personal RApreaentative \.-0' Counsel for personal rElpresent.ative (MAH I rmf / AM3)