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Home My WebLink About94-00835 " r ,\' , n 'p .,., " ~Ilf."'i) ':" !, 1:',1':,:: I'>' '.ii'" , "I' j" ' REV,1500 !X. I;'~" , ~:J~~\\ "'!>~'f!J~ COMMONWEALTH or PfNN$VlVANIA OEPAUMel'U Of REveNUE D!P1110001 HARRI18URO, PA 1~11I,0601 C D N' NAMf IlASI. fIRS , ,HID MID Lf INITIAl! BTRBBT-,-- MARGARET R. SOC1"~ S!cultllV NUMil1t --'~DAu 0' OfA1H 200-36-3430 ---------1 7-6-94 \1' "',lICAIUj 'Uhl~INO "ou'''' tlJ,MI IlA". 'IHI "NO M'OOlllWll411 ~ il! //1 'I'} 1'/ ' 1 , 5, INHERITANCE'tAx RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) .0. DATIIO. DIATH A"I. 1"31191 CHICK HIli If A SPOUSAL 0 POVIUY CUIlIT I. CLAIMID PILI NUM". 021-1994-0635 COUNTY CODE YEAR NUMBER m III a Ofe DIN '5 CQM'L f AOOIt Bothany' Vll1a\to 325 WeS10~ Drlvo Moohanlos urll, PA Covnl {Jum orltlnd AMOUNT ItICllVfD ISU INSTRUCTIONS! 5-19-94 17055 [)( 1. Original R.lurn o 2, Suppl.menlal R.lurn [J 3, R.malnd" R.lurn (for dolll of d.olh prior 1012.13.82) o 5, F.d"al E.lal. To. R.lurn R.qul"d J!. 8, Tolal Numb" 01 Saf. D.po.lt Ba... i~ fl~ o 4, lImll.d E,lal. 0 40, Fuluro Inl.".1 Camp rami.. liar d011l of d.alh a~" 12.12.82) ~ 6, D".denl DI.d Tlllal. ~ 7, Doctd.nl Maln/aln.d a ll,lng Tru'l IAllach copy of Will) (Allach copy 0 Trulll ALL CORRUPONDENCE AND CONPlDENTIAL TAX IN.ORMATION.SHOULD 81 DIRICTIDTOt ;,j\~,~W';iJi!~";'F'iVH"l\', . ;\ ..,.1, N M Sue Ma uory OM"11I MA'''N ADDR ss ABBt. Vlco President/Trust Offloor Dauphin Doposlt Bank 80 Trust Company ""PHON'NUM'" P.O. Box 2961 ng . :u 717 I 255-2051 HarrlsburR', PA ~ ~-7105~961 ~~n 1. R.al EllaIlISch.dul. A) III Nono ( ') I--; ,1,. ,{ 2, Slock. and 8and'ISch.dul. BI 121 __No_no ,_! ~ '.i ;; (3) None (.,' I . ", 3, Clo..ly ~1.ld Slocl/Parlnonhlp Inl""IISch.dul. q U1 " .. I (41 None --,r.,.,' 4, Morlgagll and NOli. Roc.l,abl. Sch.dul. 01 -0 :~ 5, Cath, Bank D.po.ll. & MI,collanoou. P.nonal Properly (51 __,6,140.89 ,'.' N CIl~ 0'" (Sch.dul. EI ~ ~ U'I .'h 6, Jolnlly Owned Prop.rty ISch.dul. F) I 6 ) __. None "'" 7, Trantf", (Sch.dul. GIISch.dul. LI (71 85,3~4 .12 8, Talal Grall AII.I.llolalllnll 1.71 9, Fun"al E.pon,", Admlnl'lrati" CO,", MI.collan.aUl 191 E.p."" ISch.d"l. HI 10, D.bt., Morlgag. liablllllll. ll.n. ISch.uul. II 11. Total D.dudlonlllolallln" 9 & 101 12, N.I Valu. 01 E.lal.lllno 8 mlnu.llno 11) 13, Char~abl. and Gomnm.ntol B.quIIII ISch.dul. JI 14, N.t Valu. Sub["llo Tax 11Ino 12 mlnu. lln. 131 15, Spou.al Trantl... Ifor dOl.. 01 d.olh alt" 6.30.941 S.. Inllrudlan. lor Appllcabl. P"conlag. an Roy".. (15) Sid., I'nclud. 'a lUll Iram Sch.dul. K or Sch.dul. M,I 16, Amounl 01 line 14 la.abl. 01 6% ral. (Includ. ,alu" !rom Sch.dul. K ur Sch.dul. M,I 17, Amaunl 01 llno 14Io.abl. 0115% ral. Ilnclud. ,alulI from Sch.dul. K or Sch.dul. M.l Ifl, Principal 10' duo (Add 10. frum llnll 15, 16 and 17,1 19, C"dlll Spaulal Pa,,,ty C"dll Prior Paym.nll Dlleounl Inl""1 + 11,400. _ + 600. __ ao, If l~" 19 I. g"al" than lIn. 18. .nl" tho dlHmnco an lIn. 20, Thh h Ih. OVUPAYMENT. 110 ~ I 3,568.20 181 91,535.01 (10) 683.21 111) (121 - (13) (14) 4.251.41 87,283.60 Nono 87,283.60 None None )(,-- Nono Nono x ,06. (161 (17) __~7 ,283.60 x ,15 . 13,092.54 ; . fl S (1S) None (19) 1201 12,000.CO None (ht,(k 11t'1l' If you CUll 1('(1"1'\1111(1 U 1l,luncl ,.1 yom OIlI"IIC1Yllll'nl. 21. If lln. 18 I. groallr than lln. 19, .nl" Ih. dlHmnCt on llno 21. Thl. h Ihl TAX DUE. (21) 1 .092 . 54 A, Enl" Ih.lnllrlll an tho balanco duo on Llno 21A, 121A) None B, Enl" Ih. 10101 of llno 21 and 21 A on line 21B, Thh I. tho BALANCE DUll. 1218) 1,092 . 54 Mak. Chock Payabl. to. ..g'"'' .. Will., Ag.nt None tl.'iI,;il:'G'i ),-:'.',J " >-)- 8E ~llRI TO ANSWIR ALL QUISTlONS 'ONRIVIRSISIDE AND TO ,RICHlCl(r~~~ Under Plnahl.. of p.rlury, I dlclar. that I have Ixamln.d Ihls rllu,", IncludIng accompanying .chedulll and .tal.m.n", and to thC' bit' of my knowl.dg. and b.lI,f, Ills tru., corr.et and cnnlpl"I, I dlclarl thaI all r.al IUal. hOI been r.ported- allru. markc I value, O,clarollon of pr'parlr other Ihan thl p.rlonr:JI r.prl..ntall"" I, bo,.d on all Inform allan of which pr.partr hat any ~nawl.dg., "'V/~ \ IIl1NAlul~1 ~1Rl.QN IUPO~ IIUfOI 'JUNO m~l~ tOD~,\l T t / A - t OAII . lJw'Wth~'ar\i:~Fg 1 IJ K ~f1a .I'UBI>.lt Bd~ull1~ll~H~~I~~8~g, PA 17105 _rlII/lMIlOIUllili. ' ~~, ADDRm OAII BY' , -- I I . \.'. .' 'I " , '/ ABBt. vtae ProsldulIl/ T,'u"r Offb.,f ICY.,,,.... ,..,. cllMMo~11.l Of PlNNII'IVAIIIA -- '1ll1W,~I~:l~~1H SCHEDULE "0" TRANSFERS flLl UMiat MARGARET R. STREET 1/21-1994-0835 nlllSCHIDULI Mun II COMPLlTID AHD PlLlO If THI AIlSWI.'0 ANV O' THI QUISTIOHI ON lHl.MIIIIIOI OflHl COV" IHIn II VU. IlI~D. 8?p~~\~wy~ - nlt,\ DISC.,PT,ON 0' 'ROPUTY IXCLUIION TOTAL VALUI HUMII. 0' AIIIT I~ Dauphin Deposit Bank and Trust Co., Trustee under Agreemenet with Margaret R. Street f!1!lcipal , , Caah 50.82 Capital Reaerve Acct. 5,400.00 Accrued Income 3.54 7,217 units ~ixed Income Collective Investment Fund 74,751.58 . Accrued income 409.75 I 289 un1,ts U.S. Govt. . Fixed Income Fund 2,925.23 Accrued Income 12.11 . Income " , Cash 106.05 I , . Capital ,Reserve Acct. 1,800.00 , . LeSSI Fee 64.96 85,394.12 " " . " , , , " , " . , , ' , , , " " , ., , " . , " " , ,: 10TAL W.. ...'" ... IN 7. .... I 85.394.12 (11_ "... ~ MtdtoIlnIttI ~l."., "'"" rI_ ...., '~,i~ COMMONWIAl'H 01 'INNIYlVANIA IN"III1AHCI 1.+JlIllUIH IlIIDI,!"OIClOIHl bTATl O' SCHEDULE H fUNERAL EXPENSES, ADMINISTRATIV5 COSTS AND MISCELlANEOUS EXPENSES ITEM NUMBER A. \. 8. \. 2. ~. C. \, 2. 3. 4. 5. 6. 7. 8. Pleoll ',Inl.o' T\'1"__ == MARGARET R. STREET 1/2l-l994-0835 DESCRIPTION ----.------.. Funelol hpen.." Reeee Funoral Home Dr. J. V. Ballantyne - additional intermant fee at Woodlawn Cemetery Dorothy B. Milliken - reimbureement for organiet at Memorial Servl,ces $50.00 and Pastor at Graveaide services $25.00 AMOUNT l,677.20 25.00 75.00 Admlnhtrotlvl Co.hl D/luphin Deposit Bank and Truat CQmpany - fee to prepare lnhetitance Tax Return and Final Accouht Pwonal Roprelontallvt Commlllionl SOdol Socurily Numbor of Pellonol Rop,eltnlotlvtl _____11. _- 193 - 8833 l ,000.00 Voor Com,"llIlonl paid ___ 3. Allornoy fot' Johnson, Duffie, Stewart & Weidner fomlly ex.mptlon Claimant ___ Addrell of Cloimont 01 decedent', deoth Street Addrell _.______ R.lollonlhlp __ CUy ______.__51011 ___ Zip Codl_,__ Probatl f.e1 MhcIllanloul Exp.n.." Register of Wills - record trust and certify copies Vital Statistics . seven Death Certificates for relatives Oregon Health Division - Death Certificate for Reginald Jyde Daweon Vital Statistics - Desth Certificate for Berthel Eugene Dawson V1.tal Statistics - Death Csrtificate for Carl RiRg Ballantyne 700.00 42.00 21. 00 13.00 8.00 7.00 TOTAL (Aha Into, on IInl 9, Rocopltulalion) $ 3,568.20 (If molt IpoCt h nhdod, In..11 additional ,hUh of lame II...) , ' .' . , 1/19 1/2 Cathleen Shelburne Clayton 6201 South Cornell , Apt. 827-C Chioago, Illlrlols 60616 1/2 Janet Shelburne Graves 21 W. South Avenue Redlands, CA 92373 1/19 1/6 Robert H. Brown (D.O.D. 10/20/66) 116 Katherine Brown 375 Craig St. Apt. 1401 Moorehead Towers Pittsburgh, PA 15213 1/6 Nanoy Brown 4410 MUgate Street Pittsburgh, PA 15224 1/6 Peter Brown 212 Stanton Dr. I Bldg. 6, Apt. 2 New Stanton, PA 15672 1/6 Jeannette Brown 536 Aspen Street Pittsburgh, PA 15224 .1/6 Susan Brown MoHenry 8415-2B Bridgeway Lane Ft. Wayne, IN 46816 , ., 7/19 Reginald D. Street (D.O.D. 3/16/79) 1/7 Deoedants of Eleanor NIxon Barnes Survived by: 1/3 Jean Frantz 9412 New York Avenue - 844 Hudson, Florida 34667 1/3 WlIUam Barnes (D.O.D. 8/26/71)' Survived by: Carol Davis 1228 Woodrldge Dr.. N. W. Atlanta, OA 30339 I, Kenneth W. Barnes 202 Ooean Blvd. Isle of Palms, se 29451 Janet Elaine Keller 73 Bvergreen Terrace Unlontown, PA 15401 .', ," " 1/19 " ,. I' ,. /-i- ,. , , ,. '.' ,. " 1/7 Irene Street Troxell 'Survived bYl (D.Q.D. 1-, Jayne Zane 202 Reading Avenue OapoMay, NJ 08204 William Troxell Survived bYl (D.O.D. WUUam Thomas Troxell, Jr. 1075 Red Rook Canyon Drive Katy, TX 77450 Helon Margaret Cooper 471 Bethany Drive Meohaniosburg, PA 17055 II' 'I. I" to " ,,' " i-, 'I ., ,,' I, ,. ,. ,\:- .,1, 'I " j;' "I t, 1'./ " '" ., ,,' ,'.II 1_ " " I' .r "I. " ,. , 1<" 11'1 i.' !!' ,,'" " .,. , " ;1' d ,1< !; " i''!' ',' ,. il,"j "I " ," I'" " " " s/1&/SO) 3/10/87) ,;, !' I, I , ",i" , ", 'j,: 1,1, ',-" " ,"'; " , " to 'I; , , ,!; ,. " Ii' I' ,. I." ,. " .,.1 " , ,',. ,. " I, f,t " t.j- , " ',1 '"i; :", " ,. 'I " 1-' I.! , , ,. ,. , '" " " I' ,1' , " " " i,i' , , 'j, ,'. ,. , " " ,. , " '-I , " : \1 I " ,/' , ,. I' " ,,' , , " " Ll ",. i"- ,. " , ' " " " .' ._-..,-_ _~-'~'-'M. J "A. '1'0 Charitable BeneCioiariee, fifty peroent (50') thereof al followl' (1) Forty percent (40') of the remainder Ihall be diatributed in et/ud sheru to the following institutions I Carnegie-Hellon University Eaetern College, St. Davids, PA Eastern Baptist Theologioal Seminary Buoknell University , Denison UniversitYr Granville, Ohio (2) Ten peroent (10') thereof Ihall be dis- tributsd in equal shares to the following in- stitutions. Oberlin College Colgate-Roohester Divinity Sohool Should the Settlor or George T. Street, Jr. , individually or jointlYr have during their or either of their li fetimes made gifts of approx- imately equivalent amount to any of the named institutionsr either outright or in the form of a remainder after a lifetime annuity or inoome intsrest, the gift to auch institution shall be considered satiafied and the amount whioh would have boen distributed to thet institutuion shall be added to the amount to be distributed under the following seotion. B. To IndiVidual Benefioiariesr fifty peroent (50') thereof as follows." 4. There shall bo added to the Deed of Trust the follOWing prOVision. FOURTEENTH, Whsre a beneficiary is deosased at the time for distributionr and distribution is direoted to -2-. bD made to his descendants pDr stirpesr the TrusteD is , "" authorized to make distribution to those persons deemed by it to be entitled after such good faith investigation as the Trustee deems satisfactory, and without liability for a distribution made on suoh basis which io ultimately shown to have been erroneous/ the inton~ion of the SDttlor being that undue administrative expense shall be avoided, and that no resort to formal audit or judicial determination of the identity of such bene- ficiaries shall be had. Should a benefioiary be a ml.nor at the timo of the distribution to himr the TrustDe is author.ized to make such distribution by depositing the same in an interest bearing insured ", '.' aocount at a savings institution in the name of a ~ suitable adult deemed by the Bank to be appropriate to aot as natural guardian of the minor with in- structions to ths depository to psrmit no withdrawal. from such account until the minor attains majority without court order. Ths Trustee is authorized to accept as full discharge of its obligation hereunder the reoeipt of such natural. guardian with evidence of the making of such deposito and in the caee of distributions made pursuant to this paragraph to the "descendants" of a deceaoed benefioiary/ the Trustee is authorized to accept as full discharge of its obligations hereunder the receipt and re- lease of the distributee. determined in accordance with this paragraph. IN WITNESS MIEREOF/ the parties have executed this inotru- ment as of the day and year first above written intsnding to be legally bound. ,\\ I 1(, \ 'I " , 1/ ?/Z;t-1-fl4<,U:jj ;11<7 :xftL(:~/ (SEAL) 1.largar.llt Rigg s~et DAUPHIlI DEPOSIT BliNK' TRUST COI',PANY I " r'. '\+'+Tl " r'lfl .~! I .,,'" I I . B,Y '''::'. .,..l !\ /:: c t'tlJ'(\..._.. ',." S~ \ Annlntnnt TrQn~\lrnr By ~ ~~~Pt..,,~~_/, . e P eei entD .. '.' (01 One-elRhteonth (I/18th) thereat to'Joltn E. BaUantyne prOYtded h. ohall be IIvlnl!" at th.. time the truat Ihall tennlnat.. and It he be then' not llrinlf then uld 1/18th Ihare Ihall be dllltrlbuted to hll deoendantl pel' lItlrpul (d) One-elRhteenth (I/18th) thereot to Jameo V. H. BallaDlyne prnvtded h.. ohall he UvllIIl at the time the trullt ,hall terminate and It h.. b.. then not Uvlnl! then oald t/ J,8th ehare ohall be dllltrlbuted to hlo decendant. per atlrpeaT (..) On..-eIRhteenth (t/18th) thereat to Rlgl( Ballantyne provided he Ihall b..llvlnl( at the time the tr"Bt .hall terminate and It he be then not llrin. then Slid 1./ 18th ohare Bhall be- dlBtrlbuted to hi. deDendantB per Btlrpa., (t) One-eighteenth (I/18th) thereot to Jooeph W. Lewle provided be .hall be II vlng at the tlmu the truntlhall terminate- and If he be- then not 1Iv1111 then Slid 1/18th ohare shall be dlBtrlbuted to hll deoeudanto per otlrpeal (II) One-eighteenth (l/IBth) thereat to ,TallO L. Greenhall(h provided .he ,hall'be- Uvlnl( .1 the time- thlt trull Bhall terminate and It Ihe b.. then not living then uld 1/18th Ihare Ihall be dlltrlbuted to her decendant. per lIttrpe'J (h) One-IiIRhteeath.(t/18th) thereot to Vlrl!lnJa B. B.nklon provided Ihe ,haU be IIvlnv, at the tlm.. the trult .hall terminate and It Ihe be then not , i I I I , I I,. I I living then laid I/1Bth share Ihall be distributed to her deoendantl per .tll'pIll (ll One-eighteenth (t/IBth) thereot to MarRaret RIRR provided Ihe thall be Uvlnl( at the time the truot Ihall terminate and It Ihe be then not llvilllthea laid 1/18th share shall bit added to the sharel In wbparal1'aph. (a) through (hI 8Dd (j) through (1) Dt thle Paral1'aplt Nlntlll (j) One-eighteenth (1/18th) thereat to Cathleen Shelburne ClaytOllllld Janet Shelburne Graven, In equal sharu or to th.. IUrrivDr ot them and It neither ot them be then llvin. then uld 1/IBth share ehan be added to thO' ,hare I In sUbpar.graphs (a) through (I) and (k) through (1l ot thle Paral1'8Ph Nlnthl (k) Ore-ell(hteenth (1/1 8th) thereat to Robert H. Brown, KatherIDa n"'"m" '1,,",", ""''''1'''' ,,".."". n........" '11>,,""."" ""'"...." "'",. q.,'Q,\'" "..1"1....... In . . , . (I) Seven-elRhteenths (7/IAths) Ihereot to ReRlnald D. Street provided he shall be \lvlnll at the time thO' trust ftholl terminate Md It he hlP then not lIv1nl! then uld 7/IRlhA Ahare shall bll' dlAlrlbuted aA tolloWA' 1. One-sevlPnth (1/7thl therlPot 10 the decendanllJ ot Elunor Nixon Barnes, Decsased, per stirpes! 2. One-sevenlh (1/7th) thereot to nerthel DawAon provided she Ihall blP living at thlP tlmlP the trullt shall terminate and It shlP be then not\lvlng thlPlt uld 1/7th share shall bO' distributed to her decendantA per atlrpel! 3. OnlP-Aeventh (l/7Ih) thereot to ReRlnald Dawson provldlPd he shall blP lIvlnll' ot th.. time the trust sholl terminate and It he be' then notllvlllfl thelt uld t 17th sharO' shall bO' dlstrlbuled 10 his decendanlA per stirpes! 4. One-seventh (1/7th) thereot to George C. DawAon provided he shall be llvlnR at thlt tltn.. thlP trllftl AhAlllermlnat.. and It he be Ihen not \lvlng then said 1/7th share shall bit addlHllo the Ahares In AubparaRraph (I). sub-lIUb- .' paragraphs 1 thrDuRh S alld' 5 throtlgh''T or thill' ParaRraph Nlnlhl i' ".". 5. One-seventh (t/7lhllhereot 10 Warren DaWRon provided hlP ., . 'j. Ihal1 be living at Ihe time the trust Ahal1lermlnate ahd It he ho Ihen not \lring then said 11 7th aharll' shalt be dlslrlhuled 10 hlA decnndants per stlrpesl 8. One-seventh (l/7Ihr thereorto Edith Streel Cell provided she ,',' ... :,:,1,:,.';. :'~\:':~;. ::.: :. .1 .;~.,~..1/;1.),..j,. :'.. " ~. 'f~,':';, ," ~l;;'.{l.~,\" .. ~. ~. ~,'.l,,~ _ 'I" >..'~: ;.(.'...;'.::::.....:;:. ..;~:,~~,:;;::...~I..';,'-.:~ ,~..;: . I ':'. . ",.\,.. I,\:, r . , ..... t:X.~:'.;,.~.';',..:~'~~:..l'\X2. ~ :}.:.,.": .:'" . y;J..!...'\Y'....I\..~....,l.)~.~~".I,.., . <:;,::~':::{';!?>~:':;,:: .' " . .. i"", ," Ihall be living at the tlmlt Ihe truAt Ahall terminate and It .he be then not living thlPn said t/7th sharlP Ahall be addlPd lei the shares In Allbparagraph (I), sub-lIUb- paragraph A L IhrouRh 5 and '1' or thIs Paragraph Ninth! , ,- ,~ '?,,:",';"." ,-'; ',' " i -, . ;t~/(;:.,i;/;:);;~!:';:.;' , ,"'1\.., ~.t. .'. ~ . ....),.~ ,~, .,~ .'."',"i ~ ," "'~.' ' . :!.J:' ~.'~' :"," :: ',' . T. One-sevllllth (1/71hl thereot to Irene Slreet' Troxell provided IhO' shan bO' lIv1nll a t thO' tlm.. the mlAt Ahal1 terminate and It Mhe be then not Uvlull' then salet t 1'Tlh Ahare shall be dl.trtbutlPd to her declPndantA per stlrpe.; TENTffr ThO'Settlor, may at any time and trom Umlt to lime, .~J;'i:'.\~,::~?;: ,:,,:'.'. ',: ,', ;" ':" j'- .il; tranAte!" and deliver to \he TrulJtelt addltlonal CBAh or other property acceptabl& to It and In addltlon the SlPltlor, by Iler tBAt WllI llIId TeAtament or the Settlor'. husband, Georlllt T. Streot. Jr.. hy hlH taAt Will and TeAtament may add addltlonal caAh or othe!" proplPrt:r aor..plabte to thlt '1'NAtee which Ahalltherllupon "'.".....-... ~ _RoO' -, .1.... ......., "'~....... ......1 ..1,..1' \.... ~...1,1 .,...~ ,ll.,~....,,",.l "'~H .h. 'T' I "'lCl "" <..:"-/11' ) ,) (EV.1547 EX AFP 112"94* COMMONWEALTH OF PEMHSYLYAMIA OEPARlHEHI Of REYEHUE IUREAU OF IHOIYIOUAl I'XES OEP!. 110601 . HARRISIUll1l. PA 17111-0601 /~. );;/6 ,-/ c 010 NOTICE OF INHERITANCE TAM APP~AISEHENT, ALLOWANCE O~ OISALLOWANCE OF DEDUCTIONS ANO ASSESSHENT OF TAW ACN 101 DATE 03-06-95 -- FILE NO. DAT! OF DEATH 07-06-94 COUNTY CUMBERLAND HOTEl TO INSU~E PROPER C~EDIT TO VOU~ ACCDUNT, SUSHIT TNE UPPER PORTION OF THIS FORH WI TN VDUR TAM PAYHENT TO TilE REalSTER OF WILLS, HAKE CHECK PAYABLE TO "REaISTE. OF WILLS, AaENT" REMIT PAYMENT TOI SUE MAUERY DAUPHIN DEPOSIT BK & TR PO BOX 2961 HBG PA 17105 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r A.ount RI.1ttod 1 CU" ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .... it YV: iS47 "iic- -A foP- ii '2-:94 T "iloT"ici""o F "i"NHEiiifANCE" T" AX" 'A-p PR'A-i9EifENi'~--Ai. UiWAN-CE -iili" - - -....."" - -. -.. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF STREET flARGARET R FILE NO. 21 94-0835 AtN 101 DATE 03-06-95 T~II RETURN WAS, (X I ACCEPTED AS FILEO RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1. R.Il E.tlt. ISohldull Al 2. Staok. Ind Band. ISohldull S) 3. Clauly H.ld Stook/Plrtntr.hlp Inhr'ut ISoh.dull C I 4. Hortglgl./Notll RIOI1.lbll ISoh.dull 01 6. CI.h/Blnk Dlpa.lt./Hllo, P.r.on.1 Prop.rty ISoh.dull E) 6. JointlY Own.d Proplrty ISoh.dul. FI 7. Trlnlflr' ISohldull al B. Totol AUlto APPROVED DEDUCTIONS AND EXEMPTIONS I 3,568.20 9, FUnlrll E.p.n.I./Ad.. Ca.t./Hl.o. EHp.nl.. (Sohldul. H) (9) 10, Dlbto/Horlglgl LlIblllUu/Llln. ISohldull II (10) G83, 21 11. Totol DlduoUon. 1111 12. Nit VIlul of TI. Rlturn 112) 13. Chlrltlbl./ao..rn..ntll B.quo.t. ISohlclul. J) 1131 14. Nit V.lul of E.tltl SubjlOt to TI. 114) NOTEI If.n ......m.nt WI' i..u.d pr.viou.ly, lin.. 14, 15 .nd/or 16, 17 .nd 18 will rlfl.ct figur.. th.t includ. th. tDtll of Abk r.turn. I......d to dlt.. ASSESSMENT OF TAXI 15, A.ount of Llnl 14 It Spou..l rlt. (16) 16, A.ount of Llnl 14 to.lbll It Llnul/Cllu A rltl 116l. 17, A.ount of Lln. 14 tl.lbll It Collltlrll/C1I'" Brit. 117l lB. Prlnolpll TI. DUI I CHANGED 00 c: -, In III ,. ~DO UI 121 (";" .OJ I3l ,00 :1: ;.-, 141 .00 :';~J 16) 6.19?,89 I (h C61 " ,00 85.394,12 -i) I7l :01. IB) , P" .t.o. -1 ::rJ pl (r'! .~~I ~: . " ~~535. 01 4,'lil 41 87,283.60 .00 87.283.60 .00 11,03. ,00 M ,06. 87.283.60 II .15. I1BI .00 -:00 13.092,54 13.092.54 TAX CREDITS I PAYHENT DATE 09-29-94 01-05-95 RECEIPT NUHSER MM913016 AA022682 DISCOUNT 1+ l INTEREST 1.1 600.00 .00 AHOUN1' PAID 11.400,00 1,092,54 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 13,092.54 .00 .00 .00 . IF PAID AFTE~ DATa INDICATED, SEE REVERSE FO~ CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS ~ESS THAN II. NO PAYHENT IS REQUIRED. IF TOTAL DUE rs REFLECTED AS A "CREDIT" (CR), YOU HAY SE DUE A REFUND. SEE REVERSE sloe OF THIS FORH FOR INSTRUCTIONS.) \ RESERVATIONI e.t.tl. of dlcldent. dying on or blforl Dlc.-blr 12, 1912 .. If Iny futurl Jntlrl't In tnft I.tltl I. trtn,f.rrld In po.....lon or InJoy.."t to Cle.. a (collataral) ben.fJoJlrll. of thl dlcldlnt Ift.r the IMplr.tlon of InY I.t.t. for 11'. or for y.~r', the COI.onw.llth hereby Ixpr."ly r.,.rv.. the right to ,pprll.. end ...... trln.f.r Inh.rltlne. TIM" It the IlNful Cia., a (colllt,rel) rete on Iny Juch future Int.r.et, PURPOSE OF NOTICE I To fulfill the rlqulr..ent. of SlctJon 2140 of the Inh.rltlno, Ind E.t,t. TaM Aot, Aot 22 of 1991. 72 P.S, Stotlon 2140. PAVHENTI D.tech th, top portion of thl, Hotlel and lubllt with your ply..nt to thl R.gl,t.r of Willi prlntld on th. r.v,r., .Id" --H.', chock or ..... order p.vobl. tOI REGISTER OF HILLS, AGENT All PIVHfltl rtctlv.d .hlll flr.t b, appllld to any Intlrllt wtllch '\ly bl dUI '11th ,ny "..Inder Dt'pll'd to the t'M, REFUND (CAli A refund of a tlM orldlt. whleh wa. not r.quI.tld on the Tlx Rlturn, 'IV be r.qu..tld bv cOlpl,tlng In "Application for A,fund of P,nn.ylvenl. Inh,rltlnc. and Elt.t. TIM" (REY-)3)3), Appllcltlon, arl .v.llabll It the OffiCI of the A.gI.t,r of NlIII, Inv of the 23 Rev.nuI Ol,trlct OffiCI., or by calling the ,ploiel 24-hour 'hlw.rlng ..rvlcl ~b.r' for for., ordlrlngl In Penn.vlvanll 1.800-362-2050, out.ldl Plnn.vlvanll ~ within locel Hlrrl.burg .rl' (717) 717-1094, TDDI (717) 772-2252 (Hlftrlng Iapalrld Only). OIJECTIOHSI Any plrty in Int.r,.t not .ttl.fltd with the approl.,.,nt, allowancl or dl.llloweno. of dlductlon., or ......lent of taM (including dl.oount or Int.r..t) a. .hown on thi. Hotlc. .u.t obj.ot within IIMty (60) dlY, of ra:.lpt of thh Hotlel bYI 4-wrltt.n prot.lt to the PA D.part..nt of AIVlnue, Board of APP'lls, DIPt. 2510ZI, Hlrrllburg, PA 11121.IU21, OR "11.cUon to have th. ..tter dlt.reln.d et audit of the .ccount cf the p.rtonal "pr...ntltlv., OR 4-IPP111 to thl Orph.n.' Court. lOltIN IITRATlV! COAAECTlOHt. Flotu.1 ~rror. dl.covlr.d on this ........nt .hould b. .ddr....d In writing tal PA Dlpart,.nt of Rav.nuI, BurllU of Indlvidull TftM.., ATTNI Po.t A.......nt R.vl,w Unit, D.pt. 280601, Harrl.burg, PA 17128.0601 Phone (717) 167-6505. S.. p.g. $ of the book lit "In.truotlonl for Inhlrltanc. TIM Alturn for e R..ldent OIe.dlnt" (REY.1501) for In IMplanetJon of adlJnJ.tr.tlvIIY correctlblD .rrorl. OISCOUHT. INTEREST. If any tlM due I. Plld within thr.. (3) cel.nd.r IOnth. .ft.r thl d.c.d'nt'. d.eth, . five ptrclnt (5~) dllcount of the tlM p,Jd II Illow.d, Intlr..t II cnlrg.d beginning with flr.t dlv of d.llnqu.ncy, or nlnl (9) lonth. end one (1) d.y fro, the dlt. of d.,th, to thl d,t. of ply,.nt. T'M" which ble... delinquent blfor. J.nuary 1, 1982 bl.r Int.r..t at the r.t. of ,1M (6~) p.re.nt per annUl ollculat.d at . d.ll~ rlt. of .000164. All tIX" which blOI'1 d.llnqutnt on and .ft.r JlnUlry I, 1982 will b..r Int.r,.t et I rlt. which will v.ry frol c.l.nd,r y,.r to CII.ndar y..r with thet rlt. IInnounc.d by thl PA Dlpart"nt of R.v.nuI. Thl applicable Jntlrut retu for 1982 through 1995 1"1 '!!!! Inhr..t Rlt. ~ Int.r..t Factor ~ Intlrut Alt, Dlllv Internt F.otor 198/ lOX .000548 191/ 9X .000141 1981 16X .0DDIt31 19"-1991 llX .ooom 1914 ll~ .000101 1991 9X .000141 1911 lSX .0001S6 1991-1994 1X .000192 1986 lOX .000114 1995 9X .000241 4.ln\arllt I. ollculltld ,. followlI INTEREST . BALANCE OF TAX UNPAID X NU"BER OF DAVS DELINQUENT X DAILV INTEREIT FACTOR 4-Anv Hotlcl I..ued .ft'r the tlM b.co..s d.llnquent will r.fl.ot an Intlr..t clloulltlon to flft"" (11) d.V' b.yond the date of the ........nt, If p.y..nt I. .Ide .ft.r thl Inter.st coeput,tlon date .hown on thl NoUc., Iddltlonll Intarllt aust b. cftlcullt.d, J i , 'I' t',\' , 1,1 I ';J I ,. " , ,. " ." ~T , , ,', .-, " .,......,"~_~"',."'1,.,f'o'~.. ,. '\1' " , " ,~ !'~ ,I -.I" ,j I' . ....'... , ,', ,'.j " p,: U ", ,~ f ",_.1' ,. " ., I,' "!f JP I, ;'-';' ',,/ DETAOH AND RETAIN THIS PO~T/ON FOR YOUR RECORDS ., AlC NAME Margaret R', Streetr ,T/A <></9$t.13 f DATE June 1'4, 1995 AlC N.O, . 1104855005 REMITTANOE AMOUNT. " INCOME PRINOIPAL $157,00 FOR Coat to file Fira.t & Final ,Acccunt , ! , ( '1 D DoU~~~Ba,* ~~~~~ . , ".' , ", ~WAi~\:.U'J~..~IJ.',",i-~ .'" ,-., ~.,'~ ..,,,,, "',' "'IJ,tjt-;",.,:~";'--:;';-';j~';i.\UI(tl;lf~"";j'M&.i.iID(lJ;44Wii~tiil\""'",Oii/lIt.o>;.._........,, ..,j. . , , , , " \ " , , ,,' " .', , , '\';1/ ,. ,j " " " ". , , '!i ,J' I"" ' " " '" " " ",' j.' I. "" " ,. ,I', 1-', " ,,~,. ....(h " q ,. " ''Vi " ". , " Ii , , , , " ,. 'i, .,'\ ..\;1' " .,t. " "r .' " ,." \.. , ..:' ',' " ',', )' L.__ I, 'I " " " n."""..~.:..~,...-.. \, ~'''''''''''''4_'''''''''' ,......' '~", 1 'i' . II , '.' 'I " d' 1-;. 'I iAt I' , , ,\. .~. , ,,,I. I' , I I I , " I' ( ,.,\. ", l\" '," ~ " ,.\ , i! . 'I .' ,'*, ~' . 'i . i' lil"l'", .. . ,. ,I f' , I~"~! ,<l, ,. j ',~: 'I. !", " . ','Il, " , , ' " , 't~' " ,,~ , ) I , : " \ II , , I, . ,', ." ,.....~ ..- ;,',..-. ~._...;.'";,..,..,,~ . _ r ~ _ ~ . t.') . "I ''.\, -1' r I , I I .,::1.\ (' ;:1,,1; i', ~~~J!~I{~Y~'Mt.~~\i~":rt~~;N,W~~ t LAW OFFICE OF WILLIAIIl L. ROSS, JR. 221 NORTH CAUSEWAY NEW SMYRNA BIlACfl, FLORIDA 321 eg,e23g i'l ,'~ t/JI ((J '.'.._._.."'".-<l.......,...~... .1'...;......, -~., ,.. ; "~. , ,\ ',. , " ',. .", , " ,. ,. " , . " ,,, ,\ \), {1 i).,') ; ..-/~'v, I i~ '--'1..:~-o 'J I\i <.'It{ t'- 1~:W(I{~'Hf~\~j~i\;~'&'j.~rl,'Jjvh1~l1i~/.\!;f', ~', !'\' I',,' - '...- j-' .01.. ,,-.-'" .'-" -/ ' ." ,.-, .',,- , . -,1 "," ,..... -.'.rfl,-.... '.' ',__ '.- "', , I "'\l,_,.;A.j'l-"~\,_,,,,!ii {t.\ -', j' '. . ___ '. . . : ',f, -'~" "\ ,.J, r.~:-,\ ,~i'~'t':~;jtl"II\\'"'''-'''''-''''''''' .,'.'-';' ..........-..'."..,....., ..... ...~...,.-_..~,...... _........~_..". uJt~.....,... .....~_n'...... ...1....,.............,....., ' ,._,.~,... .....""'.... ... .... countYCQ1;17thou!le probatt:! lJepartment and High Streets PA 17013 'Cumberland Attent.ionl Hanover carlisle.. i;"C.' i'':> /,..,.."';/,,, ,,oJ ....',. :;J::;r...;;} 11I111I1111I1111IIIIIIIIlII,IIIIII'II,llllillllllllll,ltlll,1l I'. .-............._"_....-"".....~......-....----...1-""'-.~ , .. .' !II,," , .~ I' ,;,~ I 1.- h', /' ",i- f .f 'I ..,., ~~........~I;""1Wl'lIl...- ._~~~fft,,~-...rl.......~..~,WeirlU.~~M..... , 'I f I,., I :"1'. ~ ( . lit :<1 , I I'll I ,I "I j ~ i t , , " " 1"1. " . '. 1,1,' ,'. , ~ I t 1 , f~~' ,J ~ , ,. iI- " "f, " " "e, ~ . '. 'I , " . lA', " .~ 'I' "-"" .\ .~ ,~ . " .'. ,,,J , ,0, , .' , , ,. , :~~ 01 , " ,J I y' ,. ,. ,', " ,,'.~., ' .. '" , " "1, 1,1 " , " II i.' ',. " " " 'j " ,(, -', ,I " " \: ".' \. ,'I . " ... _J~' '" - ~"1r I .' ., ~ ""f .~ - -.... 1,....4.. . "._~. -.J; .. . .---....r.."~ ,....17't~ 1'....... "~.h..#..._', ,. ' .' ';.'-'" ,: 1,1 'J!I." , .j !' I"" '/ " (. . . . -. , , ) \ I I ,I I .... ji ,j , }, RECEIPTS OF PRINCIPAL Fiduciary Acquisition Description Value Received from Margaret Street as per Schedule A 150 shares American Metal 4,411,42 Climax Inc, 240 ahares American Telephone 11,897.85 and Telegraph 100 shares Continental Can 4,328.09 51 ahares Cerro Corp, 1,744.00 210 shares Dana Corp. 4,590.98 125 shares E.1. DuPont De 1,177.20 Nemours 300 shares F.W. Woolworth CD. 6,622.98 100 shares General Motors 7,391.11 Corp. 111 shares International Paper 3,476.23 CD. 100 share a Mobil Corporation 3,015.00 100 shares Nabisco 3,951.00 200 shares Pennsylvania Power 5,104.23 Ex Light Co. 120 shares Republic Steel 4,351.24 Corp. 211 shares Thiokol CD. Report 2,487.91 ........................ .. 64,549.24 Cash: 1974.05.31 Margaret R. Street Cash 9.06 1979.10.11 Margaret R. Street Cash 25,000,00 1981.07.23 Margaret R. Street Cash 20,000.00 1982.03.31 Margaret R. Street Cash 2,500,00 1982.10.29 Margaret R, Street Cash 5,000.00 . ). , , " I' 1983-09-12 Margaret R. Str~et . Cesh 5,000.00 1984-03-29 Transferred from Income 1,235.28 1985.03.08 Margaret R. Street - Cash 4,000.00 1985.04-11 Transferred from Income 2,070.41 1985-05-10 Transferred from Income 9.71 1985-05.22 Margaret R. Street - Cash 4,059.14 1985-06-10 Transferred from Ir.come 634.10 1985-07,10 Transferred from Income 1,379.36 1985-07-22 Margaret R. S tree t - Cash 4,400.00 1985-08-12 Transferred from Income 1,329.28 1985-09-10 Transferred from Income 494.58 1985-10.10 Transferred from Income 1,283.48 1985-11.08 Margaret R. S tree t - Cash 2,000.00 1985-11-12 Transferred from Income 1,352.05 1985-12-10 Transferred from Income 1,153.75 1986-01-10 Transferred from Income 317.09 1986-01.14 Margaret R. Street - Cash 3,700.00 1986.02-10 Transferred from Income 1,218,20 1986-02.14 Margarot R. Street Cash 400.00 1986-03.10 Margaret R. Street Cash 692.82 1986-03-10 Transferred from Income 1,113.98 1986-05-12 Transferred from Income 5,424.90 1986.06-10 Traneferred from Income 1,522.11 1986-06-11 Margeret R. Street . Cash 300.00 1986-07.10 Transferred from Income 510.62 1986-08-11 Transferred from Income 877.98 1986-09-10 Tunsferred from Inc'ome 667.54 1986-10-10 Transferred from Income 2,905.22 -4- , " ,. " ,,' , \ '1994.07.06 .1994.01:06 " q " ',. oj. ., " " " i,'l i..' ,I ,,! .,. ,,' " " " " " , , Adjustment to Carrying Values: Increase Value of 7,217 units Fix Income Collective Investment Fund Deorease Value of 289 units Dauphin Deposit U.S. Government Fixed Income Fund Total Receipts of Prinoipal I ~:,' I,; " " 'I" , i'- , .' 1/" I. ,," .,',', ,. , \-, ,. , "I\, " , , , " ,I " ., , " , " I,;, , , " " ~ ' 'I,j , " J' ,\ " , !" I,' 'I , ~ ' ,. " Ii .7. ,. , '" Ii ",.., '" "I. " '., \. ri.,',', 9,741,85 (73.26) , , " ,1-' .1' .. .............. , ,\,' ,II ,,1' , I' ,. " ,.j( ,. ., , ,if " ,. ,H ". ,. " I',: , '. ".'j " ," 9,66/1,59 ......"!........ 229,724.45 " (I i " , , , , , , ,. " ." ( ,. , I Ii , " " " , i' " " ,. , I" " , " 'I, <Ii " 01 , " -Ii " , ''- '" .' j', -'",. 'i,' , " ." ., " , ,/ .,' .,1;' , , ,/ " ,I , " " " ,. , GAINS AND LOSSES ON SALES OR OTHER DISPOSITIONS/PRINCIPAL Gain Loss 1974-06.21 150 shares American Metal Climax Inc, Net Proceeds 6,031.09 f'id. Acq. Value 4,1.11.42 1,619.67 0,00 1974-06-21 51 shares CerrD Corp. Net Proceeds 799.60 Fid. Acq. Value 1,745.28 0,00 945.68 1974-06-21 125 shares E.I. DuPont De NeIRours Net Proceeds 2,004.21 Fid, Acq, Value 1,177.20 827.01 0.00 1974-06-21 120 shares Republic Steel Corp. Net Proceeds 2,684.12 Fid, Acq, Value 4,351.24 0.00 1',667.12 1974-06-21 211 shares Thiokol Corp. Ne t Proceeds 3,164.49 Fid. Acq. Value 2,493.19 691.30 , 0.00 " '1974-07-10 111 shares International Paper Co. Net Proceeds 5,330.49 Fid, Acq, Value 3,479.01 1,851. 48 . .0,00 1974-08-20 $20,000 U.S, Treasury Bills due 10/10/74 Net Proceeds 19,601. 00 Fid, Acq. Value 19,601.00 0.00 0,00 -8- , 1974-11-15 $20,000 Federal Home Loan Discount Notes 10.10% due 11/14/74 Net Proceeds 19,517.44 Fid. Aoq. Value 19,517,44 0.00 ' 0.00 1974-11.18 D.R. Horn 7.5% Mortgage Net Proceeds 500.00 Fid. Acq. Value 500,00 0.00 0,00. 1975.01'15 $20,000 Dauphin Deposit Bank and Trust Company Certificate of Deposit 8.38% due 01/14/75 Net Proceeds 20,000.00 Fid. Acq. Value 20,000,00 0'.00 0.00 1975.04.15 $20,000 Federal National Mortgage Association 6.86% due 04/14/75 Net Pro~eeds 19,660.82 Fid. Acq. Value 19,660.82 0.00 0.00 1975-04-17 Glenn L. and Shirley A. Cline Mortgage Net Proceeds 350.00 Fid. Acq. Value 350.00 0.00 0.00 1975.05.02 $20,000 U.S. Treasury Bills due 05/01/75 Net Proceeds 19,959.58 Fid. Acq. Value 19,959,58 0.00 0,00 1980-05.13 100 shares Continental Group Net Proceeds 2,949.88 Fid. Acq. Value 4,330.59 0.00 1,380.71 1980.05.13 300 shares F.W. Woolworth Co. Net Proceeds 7,193.34 Fid. Acq. Value 6,622.98 570.36 0.00 -9. 1980-05-13 200 shares Nabisco Inc. Net Proceeds 4,398.10 Fid. Acq. Value 3,951.00 447,10 0,00 1983.03-02 240 shares American Telephone and Telegraph Net Proceeds 16,188.66 Fid, Acq. Value 11,897,85 4,290.81 0.00 ' 1983-03-04 200 shares Pennsylvania Power & Light Co. Net PrDceed~ 4,681. 04 Fid. Acq. Value 5,104.23 0.00 423.19 1984-07-27 630 shares Dana Corp, Net Proceeds 13,638.43 Fid. Acq. Vlllue 4,590.98 9,047:45 0.00 1984-07-31 100 shares General Motors Corp. Net Proceeds 6,475.78 Fid, Acq. Value 7,391.11 0,00. 915 '.33 " , 1985-01-08 1,735 units Common Stock Collective Investment Fund Net Proceeds 17,170.61 Fid, Acq. Value 15,429.67 1, 740 , 94, 0,00 198';-01-10 400 shares Mobil Corporation Net Proceeds 10,411.65 Fid. Acq, Value 3,015.00 7,396,65 ' 0,00 1985-07.05 518 units Fixed Income Collective Investment Fund Net Proceeds 5,009.22 Fid, Mq. Value 4,526.03 483,19 0.00 ,. .10- I " 1986-01-07 . 197 units Fixed Income Collective Investment Fund Net Proceeds 2,003.31 Fid. Acq. Value 1,721.29 282.02 0.00 1986-03-05 480 units Fixed Income Co11ectj,ve Investment Fund Net Proceeds 5,008,29 rid. Acq. Value 4,194,00 814.29 0,00 . 1986.07 -07 473 units Fixed Income Collective Investment Fund Net Proceeds 5,009.06 Fid, Acq. Value 4,132.84 876,22 0,00 1987-09-03 202 units Fixed Income Collective Investment Fund Ne t Proceeds 2,004.42 Fid. Acq. Value 1,764.98 239.44 0.00 1987-10-02 311 units Fixed Income Collective Investment Fund Net Proceeds 3,001.18 rid. Acq, Value 2,717.36 283.82 0.00 1988-05-03 309 units Fixed Income Collective Investment Fund Net Proceeds 3,000.65 Fid. Acq. Value 2,699.89 300.76 0.00 ' 1988-10-04 208 units Fixed Income , Collective Investment Fund Net Proceeds 2,005,03 rid. Acq. Value 1,817.40 187.63 0.00 1989-04-04 532 units Fixed Income Collective Investment Fund Net Proceeds 5,007,53 rid. Acq. Value 4,660.89 346.64 ,0.00 -11- .1990-04-03 520 units F1.xed Income Collective Investment Fund Net Prooeells 5,007.45 Fid. Acq. Value 4,555.76 451. 69 0.00 1990.10-03 520 units Fixed Income Collective Investment Fund Net Proceeds 5,008.18 Fid. Acq. Value 4,555.76 452.42 0.00 1991-07-02 303 units Fixed Income Col1active Investment Fund Net Proceeds 3,003.58 Fid. Acq. Value 2,6511.60 348.98 .' 0.00 1991.11-05 482 units Fixed Income Collective Investment Fund Net Proceeds 5,006.62 Fid. Acq. Value 4,222.83 783.79 0.00 1992.01.06 466 units Fixed Income Collective Investment Fund Net Proceeds 5,003.48 Fid. Acq. Value 4,082.66 920.82 0.00 1992-05-05 484 units Fixed Income Collective Investment Fund Net Proceeds 5,004.18 Fid. Acq. Value 4,240.36 763.82 0,00 1992-06-03 478 units Fixed Income Collective Investment Fund Net Proceeds 5,006.57 Fid. Acq. Value 4,187.79 818.78 0.00 1992-09-03 461 units Fixed Income Collective Investment Fund Net Proceeds 5,004.06 Fid. Acq. Value 4,038.85 965.21 0.00 -12- 1992.12.02 473 units Fixed Income Collective Investment. Fund Net Proceeds 5,008.80 Fid. Acq. Value 4,143,98 864.82 0,00 . ]993.05.05 455 units Fixed Income Collective Inve.9tment Fund Net Procceds 5,010.37 Fid. Acq. Value 3,986,29 , 1,024.08 0,00 ' 1993.06.03 458 units Fixed Income Collective Investmcnt Fund Net Proceeds 5,000.60 Fid. Acq. Value 4,012,57 988,03 0,00 1993.10.05 193 units Dauphin Deposit U.S. Government Fixed Income Fund Net Proceeds 2,000.68 Fid. Acq. Value 2,002,45 O.qo 1.-77 . 1993.12.02 456 units Fixed Income Collective Investment Fund Net Proceeds 5,002,50 894.92 Fid. Acq, Value 4,107.58 0.00 1994-04.05 474 units Fixed Income Collective Investment Fund Net Proceeds 5,002.51 Fid, Acq. Value 4,269.73 732.78 0,00 I. 1994.07.05 487 unite Fixed Income Collective Investment Fund Net Proceeds 5,009,91 Fid, Acq, Value 4,386.63 623,08 0,00 1994.08.03 289 units Dauphin Deposit U.S, Government Fixed Income Fund Net Proceeds 2,925,23 Fid. Acq, Value 2,925.23 0.00 0.00 -13. ,,' ,. >,1' " , .' .'1; " ". , 1994-08-03 " i." '" ", ,. ,;. , , ., I, " ~ I ' "'j I. ,. I, j,I " . ,. \\ ,. I " ,. ,,' , , I', " " I'. , " " " 7, ~17 units Fixed Inoome ODtleotive Investment Fund Net Prooeods Fid, Acq. Value 74,751.58 74,751.58 Total Gains and Losses/Principal ,Less Loss , ,. ':','1 '; l' Net Gain , 'Ii' .' ., " " I. , I' 'i Ii , ~ '; " ,,(;' " " " ,'" , , ,," I' " " " I, " , , " , , \'1' .1 ,.' ,j, ,. ,. .14. " ,. li,\ " 1\ " (.' ,. ," ,; ". :.j, ..1. 0,.00 42,9.30,00 5,333,80 ........................ .. 37 1596 ,20. -- , , " , , , , I' " " 1'1 " ,d' ,\( " t, " I'; I' ,1:/ " , I"; ,,'. ',," 'I ,. I' I, .' -- " " 'd. , '1", ti, ," 0,00 5 ,333 ,'80 '.' .,', " , ;(, , " ('. I" Hi 'I ,. '-j .' 1'-' ,. I" "1; " "'" ,. ,', " 1- q, DISBURSEMENTS OF PRINCIPAL General Disbursements: 1984.03.26 Internal Revenue Servlce 1,243.00 1983 Fedsral Incomo Tax Payment 1985.01.17 United Methodlst Homes for the 3,467,48' Aging Inc. . Convalescent Home Expense for George T, Street 1985.01.17 Uni ted Me thodis t Homes for the 1, 171. 80 Aging Inc, . Convalescent Home Expense for Margaret R, Street 1985.01.25 Transferred to Income 61,89 1985.02.19 Unlted Methodlst Homes for the 1,776.80, . Aging Inc. . Convalescent Home Expense for George T, Street 1985.02.19 United Methodist Homes for the 1,155.30 Aging Inc, . Convalescent Home Expense for Margaret R. Street 1985.03.11 United Methodist Homes for the 1,975.30 Aging Inc, . Convalescent Home Expense for George T, Street 1985.04.15 United Methodist Homes for the 877 . 60 Aging Inc, . Convalescent Home Expense for OeDrge T. Street 1985.04.15 United Methodlst Homes for the 1, 144 . 50 Aglng Inc. . Convalescent Home Expense for Margaret R, Street 1985.04.19 Transferred to Income 94.86 1985.05.15 United Methodlst Homes for the 1,940.70 , Aglng Inc. . Convalescent Home Expense for George T, Street 1985.05.15 United Methodlst Homes for the 1,171:80 Aging Inc. . Convalescent Home Expense for Margaret R. Street 1985.06.25 Transferred to Income 2,000,00 1985.07.17 Unlted Met.hodlst Homes for the 1,955.70 Aglng Inc, . Convalescent Home Expense for George T, Street .15. 1985.07.17 United Methodist Homes for the 1,171.80 Aging Inc. . Convalescent Home Expense for Margaret R, Stree~ 1985.07-24 Tranaferred to Income 99,61 1985.08-14 United Methodist Homes for the 1,967.00 Aging Inc, . Convalescent Home Expense for George T. Street 1985.08-14 United Methodist Homes for the 1,171,80 Aging Inc, . Convalescent Home Expense for Margaret R. Street 1985-09.17 Transferred to InCDl11e 3,045.70 1985.09.25 Trsnsferred to Income 80,77 1985.10.16 Transferred to Income 3,128,50 1985-10.24 Transferred to Income 96,31 1985.11.13 United Methodist Homes for the 1,891.50 Aging Inc, . Convalescent Home Expense for George T, Street 1985.11.13 United Methodist Homes for the 1,139.00 Aging Inc. . Convalescent Home Expense for Margaret R. Street 1985.12.13 United Methodist Homes for the 1,987.70 Aging Inc. . Convalescent Home Expense for George T. Street 1985-12.13 United Methodist Homes for the 1,171.80 Aging Inc, . Convalescent Home Expense for Margaret R, Street 1986.01.16 United Methodist Homes for the 2,152.80 Aging Inc. - Convalescent Home Expense for George T, Street .1986.01-16 United Methodist Homes for the 1,269.10 Aging lnc, . Convalescent Home Expense for Margaret R. Street 1986.01-23 Transferred to Income 81. 60 1986.02-27 Transferred to Income 3,247.32 1986-03.12 United Methodist Homes for the 2,461. 30 Aging Inc, . Convalescent Home Expense for George T, Street .16. 1986.03-12 United Methodist Homes for the 1,258,60 Aging Inc. - Convalescent Home Expense for Margaret R. Street 1986.03-19 Transferred to Income 90.53 1986-04.14 Transferred to Income 2,752.90 1986-05-13 United Methodist Homes for the 2,367.30 Aging Inc. . Convalescent Home Expense for George T, Street 1986.05-13 United Methodist Homes for the 1,258.60 Aging Inc, . Convalescent Home Expense for Margaret R. Street 1966.06.13 Transferred to Income 3,569,07 1986-07.21 Transferred to Income 3,730,19 1986-08-19 Transferred to Income 1,200.00 1986.09.16 Transferred to Income 1,260.17 1986-09.24 Reese Funeral Home, Inc. 629.77' Funeral Expense for George Street 1986-10.10 United Methodist Homes for the 639.10 Aging Inc. - Convalescent Home Expense for George T. Street Final Payment 1986.10.10 United Methodist Homes for th~ 1,258.60 Aging Inc. . Convalescent Home Expense for Margaret R, Street 1986-10.16 Transferred to Income 369.69 1986-11-13 Transferred to Income 5,600.00 1987.09.10 Transferred to I nc Dme 2,000.00 1987-11.20 Transferred to Income 5,000,00 1988.05 - 06 Transferred to Income 3,000.00 1988-10.26 Transferred to Income .2,500.00 1989.04-05 Transferred to Income 5,000,00 1989-07.24 Transferred to Income 2,400.00 1990.04.25 Transferred to Income 5,000,00 1990.10.18 Transferred to Income 10,000.00 .17- , I 1991.02.19 Transferred to Income 8,000,00 1991.07.25 Transferred to In'Dme .3,000.00 1991.11.1, Transferred to Income 5,000,00 199~.01-31 Transferred to Income 5,000.00 1992.05.13 Transferred to Income 2,500,00 1992.05-29 Transferred to Income 2,500.00 1992.06.30 Transferred to Income 5,000,00 1992.09-25 Transferred to Income 5,000.00 1992.12.22 Transforred to Income 5,000,00 1993.04.15 Trllnsferred to Income 61.62 1993-05.05 Transferred to IncDmo 5,000.00 1993.06.25 Transferred to Income 5,000,00 . 1993-09.27 Transferred to Income 4.0B 1993-09.28 Transferred to Income 60.00 1993-09.30 Transferred to Income 31. 03 1993.10-12 Transferred to Income 896.10 1993.11.15 Transferred to Income 1,607.35 1993.11.17 Transferred to Income 101.53 1993.11.30 Transferred to Income 134.98 1993.12.02 Transferred to Income 2,000.00 1993-12-22 Transferred to Income 5,000,00 1994.01.24 Transferred to Income 1,200,00 1994-04-13 Transferred to Income 362.09 1994.04.21 Transferred to Income 6,000.00 1994.07.14 Reese Funeral Home, Inc. 1,677.20 Funeral Expense for Margaret Street .18. . " .. '1994.08.09 Vital Statistics - Death Certificate for Carl Rigg Ballantyne 1994.08.16 Equitable Life Assurance Society - Adjustment to July's Annuity Payment After Date of Death 1994.08-30 Vital Statistics - Death Certifir.ate for W1J.l1am Thomas Troxe 11 1994-09.28 Cumberland County Register of Wills . PA Inheritance Tax Payment $12,000.00 . Less 5% Discount 600,00 1995.01.04 Cumberland County RDgiater of Wills . Cost of Fil1ng Pa Inheritanr.e Tax 1995.01.04 Cumberland County Register of Wills . Pa Inheritance Tax Payment 1995-03.24 Internal Revenue Service . 1994 Fiduciery Income Tax Payment 1995-03.27 PA DepartmDnt of Revenue . 1994 Fiducisry Income Tax Payment Reserves: Cumberland County Register of Wills . Cost of Filing First and Final Account Dauphin Deposit Bank and Trust Co. . Trustee's Fee for filing PA Inheritance Tax Return and First and Final Account Johnson, Duffie, Stewart and Werdner - Attorney's Fee 7.00 28,26 3','Oq, 11,400,00 15,00 1 ,092 . 54 197.00 , 22.00 . 500,00 1,000',00 700.00 ' ............~. 1~3,041.59 Total Disbursements \If Principal .20. 193,041. 59 ---."'.------- j'" , ' 0, '0 " ; " </' Oashl ".':'.. PRINOIPAL BALANCE ON,HAND Uninvested, 'Oapital' 'Reserve, Acccunt " " ... " .' ,. I,' " ',i " " ". 'i_I' , ,. ,I' " ,. " " ,: ,01 "".i' " " .., " j" " " '" ".j , , l; 'l; " , " ," 0 , 0 , " , " ,. '; " " " \' 'j. II' "j. , " , 'I Ilij ,'I;' , , , 0' " " " ." H, " , ", ''-j H' ;,1.' (, " , 1 "',t l-" , ,ii, , ,. " ,1- ,,' ',I !i 'j I;: p ,I' , iI' ( ,"", ',. :,j 'I' ,,(. '" .21. ,. " \.1 Current Value 05/11/95 ........... 79.06 74,200.00 Fiduoiary Aoquisi tion Va lUll .................... 79,06 74,200,00 .................... ................... 74,279,06 74,279,06 ------------ ------------ I,' ,. .1 " Ii ,}, " " " ,. '.' j. ,.,\ I:" ,I. " " 0' " 'I: 0, !i ll_ , , 'I I ,.. ,. ,,' ,. " ,. " ,,' , " " . Ij ,. ,il , " ,. DISBURSEMENTS OF INCOME 1994.07.14 Transferred to Principal 1,841.09 1994.07.18 Ba1an~e as of Date of Death 27.71 Dauphin Deposit Bank and Trust CD. . Commiss ion 1994.08.16 Dauphin Deposit Bank and Trust 56.64 CP. . Commission 1994.09.15 Dauphin Deposit Bank and Trust 70.26 Co. . Commission 1994'10.17 Dauphin Deposit Bank and Trust 66.14 Co. . Commission 1994.11.16 Dauphin Deposit Bank and Trust 65.70. Co. . Commission 1994.12.15 Dauphin Deposit Bank and Trust 66,03 Co. . Commission 1995.01.17 Dauphin Deposit Bank and Trust 67.10 Co, . Commission 1995.02.15 Dauphin Depooit Bank and Trust ,69.09 Co, . Commission 1995.03.15 Dauphin Deposit Bank and Trust . 67.,60 Co. . Commission 1995.0~.27 PA Department of Revenue 12.00, 1994 Fiduciary Income Tax Payment 1995.04-17 Dauphin Deposit Bank and Trust 69.96 00. . Commission .................... 2,479.32 . ............... Total Disbursements of Inol>me 2,479.32 --------- .25- Oash: INCOME BALANOE ON HAND ...... ,. I. Uninvll8ted Oapital Reserve Aooount " , (, 'I '1,'- " ,., " Iii , i ., " , "'1' '/' " " , u! , " " "I t. ',i' '" ,. '-,I' .,1', , ,1" ,-,I , , i' '" " , , I,.,' I," ,. ,( ,. ." ',. " ,. ,; .\, " " d' I"~ " Our rent Value' 05/11/95 .......... 88,14 2,100,00 .............. 2,198,14 , p " . , , ,.. ,', ,. , 'I" ,; ,. " 'I" " ,I' !' n I. II' " , , , , Ff.duoiary Aoquis i tion Value ' ............... 88,14 2,100,00 ............ 2,188.14 - (: ,. 'i, '. " " , ,. " " " ,. ". " ,.1' ,. 'J,I. '," f.. ,. " ,) ,.','1 " " , " ',1 '." " " . -....." ,.. . . Edith Street Cell (died 05/09/87) as per Article Ninth (1)6. of the No Issue - 1/7 of 7/19 share of Residue Trust Agreoment dated OS/24/74, Irene Street Troxell (dLed 08/15/80) - 1/7 of 7/19 sharn of Residue as per Article Ninth (1)7. of the Trust Agreement dated OS/24/74 Survived by: a) Jayne Zane - 1/2 of 1/7 of 7/19 share of Reoidue as pe~ Article Ninth (1)7. of tho Trust Agreoment dated OS/24/74 Prinoipal : ............. Cash Income 2,407,19 2,407,19 Cash 70,91 70.91 .. ................. ...................... 2,478,10 2,478.10 ~_____M_____ ____________ b) William TroKell (died 03/10/87) - 1/2 of 1/7 of 7/19 share . of Residue as per Article (1)7, of the Trust Agreement dated OS/24/74 Survived by: 1) William Thomas Troxell, Jr. - 1/2 of 1/7 of 7/19 share of Residue os per Article Ninth (1)7. of the Trust Agreement dated OS/24/74 Principal: ............... Cash Income: 2,407,19 2,407.19 Cash 70.91 70.91 .................... .............. 2,478.10 2,478.10 _____n_~____ ________~~_~ To: Helen Margaret Cooper - 1/19 ehares of Residue as per Paragraph 1 of the Amendment to Trust Agreement dated 08/21/80 Principal : ............. cash Inoome: 4,126.61 4,126,61 .......... Cash 121.55 121.55 ..................... ................. 4,248.16 4,248.16 _____M______ ____________ 76,467.20 76,467.20 ....------..--- ------------ -36. , , , ' ~i t I U" 11 's, ... 11 " Ii. ~Ll i I ..~ , ~ ~ td! 1" ! ." I .," i: r I ~1 B Ii .~ I~. ~J 11 0 ~ = ll'l III ), .t"d 7(f!Jr ' ,II '. 1111 ~ '1lIlMIJIIl' uOllnQII"IP ~oC't 'plllDB p9&DdOJd l/llM aousplODDB Ul peBlOep UDl\nQpIBI~ pUB A10WhfJ . POWJUUOO \UnDOO'{!:b bT 17' 'r; " 'I'. , "~" H,f , i,.J. .,.,',~".. . i.j .. : \' ' I.~' "I, , .' '. I- . " I',' " " " '\, " '. I' ,. . ,. , . , ;' o! i, ,-, I ~t,-t,. , ' \'1' ';-,'~\ ,\ , \',:1\ . "fly,'lt' ..,J,\ , , II, , . .....' , . .",." .. , .. 'l( '. ., 'I," I :~ ~'. '" . ..:l D DaUP~r1PJ=Bank ',:{1- 9'1~f:{?~;' ,.I. I,