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Home My WebLink About94-00864 "'I ~., ';--,'/i.l .1m ;;.,Pi,~' 1S....(.1{J' .",: .,'{A~~'''''# q '~"-<::-''; !~, '{',: ,~,-'il"O'iI~'"';'" . .'. ,li.:::"),:i.!.:..~~t"::' {,;.r:......"f"Ir'\:.k :i"'! ~H,:-:fu:UI,~.f -: ~ ",:;' I?~; -.,":1, ,,\,.~",~../~<t~.:~:1iI. r;, 'i j ," '. ' , "....lW..,....,,,f.'. ".' ,f.';" ,o,,,..y..,,,, ,'" .:',..."'.,.','i ..., .' .,;f- 'i"""V~,,!,,';.f',""';;"/'" '. ....!.' ";,, ,,- .. ).;i--\ .~J-'; , , ~,-,' ;<- ;,-", r . ,> (-' .,J ;'-t;~.~~: ~~' ' : ~ .' PETITION FOR I)ROBA TE and GRANT OF LETTERS 0/.. I - q L/- - tR (p t.f l Estate of JtJ.OI1'; B;;I.'f4wt-&:'$i.~ also kllllll'/1 os L/&uJm.G: XlL No. To! Regl,ter or Will, rOt the Deceq.,,'d. County or CUMBEKLAND io the Sodal Security No. ~ - 0'7- 9;;:1.8'0 Conuuonweullh or Pennsylvania The petition or Ihe undersigned respeelrully repre,ent' thllt: Your petltloner(,), who I./are 18 yellr' or age or ulder nn the exeeu""", In the IlIst 1'111 or the above decedent, dllted ,....V., J.!1d> 6".-<. .r- / and eodlcll(s) dated named , 19~ (slatc rdC\'BI1I drClIltI'lltnCl:S, e.g. 1l.'1I11111:1:IIIUI1, dClllh ur 1."<<1110., etc.) Deeendent was domiciled lit death In It ",6""!,,..J,f It PA... lost rllmlly or prlnciPll1 residence at ~_~ ..A ~ '7D~ ~ County, pennsylvonl% w~ LA.-IP ~~~n (11\. mCCI, nUl11ht:r UI1lII1lUlu:lpalll)') O~./<'J""d. / ,r ,19 9~ , Deeend nt then . ?'l y,ellrs ,?r g', died at'S Except 0. 01101", decedent did not marry, I'll' not divorced lInd did not have a child born or adopted arler execution or the will orrered ror prol ute; was not the vlcllm or a killing and was never adjudicated incompetent: Deeendenl at death owned property with esthnated values a' rollows: (lr domiciled in Pa.) All personal properlY (lr not domiciled in Pa.) Person III properlY In Pennsylvania (lr not domiciled In I'll.) Personal properly in Connty Value or real estOle In Pennsylvania situated as rollow.: N"Ne. s,ykiO~JCJC' S S $ WHEREFORE, petltioner(s) respeetrull>' reQ1l!l~L')MtIWT[lRrQ~ote or the lost 1'111 and codiell(s} presented herewith and the gront or lelters -I t~TA EN A:Y (1C:!oIOmrnlor)'; admlnlslrallDn c.l.a.i odmlnlurollon d.b.n.c.I.D.) theron. b $1jJjM~ ':i~ ~~ .0 1l '" Vi C,/lJ"J.",,,1 ;:;'"n/( OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA }' l:lS COUNTY OF CUMBERI AND The petltloner(.) lIbove-named swellr(s) or arrlrm(,) that the stalements In the roregolng petition arc true and correct to the best or the knowledge and belier or pelltloner(s) and that as personal represen, tllllve(.) or the lIbove decedent petltloner(,) 1'111 \Yell lInd trnly administer the estate according to low. (! ~~<<-/X",..L 94' '" 00' " l:l ~ " ~ ~ A (Ii- - ~LJO- 3 ReRister No. 21 - 94 - B64 J , Estate of NAOMI ELIZABETH STAUFFER a/k/a . Deceased NAOMI E. STAUFFER DECREE OF PROBATE AND GRANT OF LETTERS :t AND NOW OCTOBER 12. 19.11.-, In consideration or the petition on the reverse side hereor, sot Is rectory proor havlns been presented berore me, IT IS DECREED that the Instrument(s) dated NOVEMBER 5. 1993 described therein be odmlued toprobote and n1ed or record os the lost will or NAOMI ELIZABETH STAUFFER a/k/a NAOMI E. STAUFFER and Leuers TESTAMENTARY arc hereby sranted to C, MICHAEL FRANK i f\ -4 (} L ~ Dtn. t!i:a a:h,. o Rtllaleror'WiIIl 'T7J MARY C, LEWIS 's' ~' 1, ft. ~ iX 1~~ rli ~ ~f ~1. ~J Ii ':,,~ U H. FEES Probate, Letters, Etc. ......... S Short Certlfieotes( 5) .. .. .. .... $ Rellunclotion ................ $ .X-pages $ lZ.UU JcP 5.60 TOTAL _ $ 112.00 Flied ..... .9~.~q~~R.1?...m~.......... BO.OO 15.00 ATTORNEY tSup. Ct. 1.0. No.) ADDRI!SS PHONE (( ~;~ ,',I , ") '.' r~: 'l ,.\ r;: i'{ li\ I ,- r"! , ;-, ) ~t~ "1 t~1 ] '".1 f' !: " ;~ r ;J c.:L. .~ ~ uu Mailed letters and order to Executor on 10-12-94, Ill"....'. Ill"'i'" This i, 10 n:rtil) Ih.1I IIll' inlollll.lIillll IIl'll' gi\"('n i'i tOllntl)' IIIJlII'II IIIIIll ,lllllrigin.1I u.'lilii.i1ll' tll "('.1111 duly filt.'d wilh me "'\ I.m:;l) Ill'gislr,lf. Till' ori~ill." u.'r1ilil.\I(' willl1l' lorw;udt.d III lhl' S!illt. Vil.d Hl'lllnl'i (Hlut' 1111 pt'I'IIWlt'llt lilill~, WARNING: Ills Illegal 10 dupllcale this copy by photostat or photograph. FCl' fOf 11th. Il.nHiclll', $1.00 2612334 No, av?u ~~4~~r7JZ .("_ . -......_. -.----..-.-. "-~....--'."-- ._---- l.lk.11 nt'.L\I~trilf OCT 0 319M u__ ___. _..~ _._-- - - -. --. _.---~~ 1l.1'" ""....7 COMMONWEALTH 0' PEHNSYLVANIA . OEPARTMENT OP HEALTH' VITAL RECORDS CERTIFICATE OF DEATH I, ,W,,,,MJIIIUI IV! IOCW. KCUlUt'l' HUUKIlo E. stauffer ,.Female . 207 07 9280 CNI""H MTlV'I.ACI,:..... f'UC1IDf'~RHtCl'cII 11oIo'ft0ty...., SWlIl'O'tr\e.u.It w.: 10/24/16 Harr e urg, _('1 .__0 Pa ,.. , pll'd___......""'~, CUll ,.. ..... LMQ ...- 77 Yo< 'al Of. '1t:JUCR1ON E. pennsboro .....=r.:r:.o::-=:r Housswife tu:I~'MM.JNQAPClN"__~""~COdiII 1 22 summs r Lane Enola, pa 17025 ... .......-.............. Davi:1 Shsttsl . -.. Lin:1a Deraolea ,,'. ~~m'~ -- nk tl-4C1' I' Widow t...[%...............r ................. ......~--....... ~sAt PennAboro DlClm"rl '0"'" I<>lHCll -- -- pennsvlvania Pol - .... Oumberlan~ ........' t7,o~-==::,,, wcn......NAW~.Il.IlIodlI.~..,..,.. u....... n.. _0 I -..wO Ct.--XX~........O -- '58 A::htor:1 ION......... Elaie Langletz - r., a, pa 17025 ..- .. o ....... Or,...., .0Hf.... Oat 3, 1994 East <"-F:'D,011897-L Hbg crematory ~ AHOADONIIOI fIILlIJn sullivan F. H. ,51 """....... Harrisburg, pa N, Enola Pr.,Fftola,Pa ......,... ..........- .. ..lUl>t ..... .......... llIUIl Die....... ., ,..-.....-.. .. . I........ ...., ,r. If.PIUf1' l/Uflllit...-......._____................... OI.-ent.,,__".,.,.to&ftM...IMI. UII.",...~"'~.... MIIIMIac:AUII,... -g- ,-*","'-.j-- ..,...I'lHI'l...... .....".." . L -..- :::. ._ ':""'IMO CAUlleo--CII....' ..-~ ........"'.....w, I: OUIlOlCJ'ASACOlSlOlAHCI Of): .....NtN.J'1Clf'tY .. """""",-... llWttC"OIIDU1H .......... ....... """" .. COW'\.nQol Of CAUII ..... l<l' "'....."' ...- 0 ",0 ..L2l' ...0 ..0 - 0 OAJIOI~'- ~.o.,.""'l .-. ",0 ..Et" ....,,, ~~................... lIICll,................._.-lII""". flWlDf'I'UUIlo' IlJI.JftYRWOM' DllCl'lllttOWlNJUIII'JOCCUf'ND. - '-- e..... ftCII"'--...... o o o 1'\.AGf00HNAY."._.--...."'.I....... W. ........ -'" .... .. No. .... c:urr......o............ .CIItI...,...'"'UCUM".,...,~_........'"'*'_~flMllll7CU'Ud""'""""'~....l.1l ...........,~.._-..rM""'..IIlit---c.,....~......... .................................................... '. J elf lIAHOc..nW'nNQ......IIClMI.......-ldIp~..........~IIt-*"'......1 ........... .,.................-........ .......... ....,.............. "'~'I""-"""""""""""""""'" '1lIIDICAL IlAU*MINCOfM)fdIlll o.....................atI1IIftf kIl'f.au,....,..Ilil ""........ """eKe,,"" ..tMUIM. u... "'" ,&M.. _III. '-11M .........,.. _...U.I..................................................................................................... 'I.. I.l,/~ v,..( I ... 0 ",0 o o ... ..... .. 21 - 94 - 864 ~,;'",-.~ - " '"l ~:J~.\- '. " ';S-:'; t(ti"- <1'0: a: ~-- ,--p, '. f~, , .i u .,.~g UU .i ": "; " "'.-' -',}' ,', - ,,,,'. "',' LAST WILL AND TESTJ\MENl' of NAOMI ELIZABETH STAUFFER a!k/a NAOMI E. STAUFFER I, NIlOII R1'.T9.Il1U!'ftl Sl'AlJPlIIlR a/k/a NIlOII B. Sl'AlJPlIIlR, of East Pennsboro Township, Cumberland County, PennsYlvania, do make, pUblish and declare this to be my Last Will and Testament, hereby revoking and making void any and all fonner Wills made by me. I. I direct that all my legal debts and funeral expenses and all expenses of my last illness, shall be paid from my residuary estate as soon as practical after my decease as part of the expense of the administration of my estate. II. I bequeath my household goods, personal effects and other tangible -.", personalty of a like nature (not including cash or securities), together with any existing insurance thereon, to my children, BONNIE A. FARLING, LI~ M. DERACLEA, KAREN L. SOLOBY, SHARON L. CULHANE, MARY B. FRANK AND STEDMAN p. STAUFFER, to be divided among them by my Executor with due regard for their personal preferences in as nearly equal shares as practical. III. I devise and bequeath the residue of my estate of every nature and wherever situate, in equal shares, to my children, BONNIE A. FARLING, LINDA M. DERACLEA, KAREN L, SOLOBY, SHARON L. CULHANE, MARY B. FRANK AND STErMAN P. STAUFFER, provided each shall survive. In the event that any of my children, BONNIE A, FARLING, LINDA M. DERACLEA, KAREN L. SOLOBY, SHARON L. CULIlANE or STEDMAN P. STAUFFER, shall predecease me, I devise and bequeath his or her share to his or her then living issue, per stirpes, and in default of said issue, his or her share shall be added to the share or shares of my surviving children or their then living issue, per stirpes, as applicable. IV. I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY, of Harrisburg, Pennsylvania, guardian of any property which passes, either under this will or otherwise, to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done son, provided that this appointment of a guardian shall not apply to property distributable to a minor for whom I have otherwise made special provision and provided further that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor'S support and education (inClUding college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor, V, ! I i , i , I direct that all taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed shall be paid from my residuary estate as part of the expense of the administration of my estate. I I. , , i VI. I appoint c. MICHAEl. FRJ\NK, Executor of this, my last Will. Should C. MICHAEL FRANK fail to qualify or cease to act, then I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Executor of this, my last Will. VII. I direct that my Executor and Guardian or their successors shall not be required to post bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I hereuto set my hand and seal this .5" ~, day of 7ur; , 1993. '"'k.~ ~~~A"tA- &/~(SEAL) NAOMI ELOmBF:rH &rAUFF'ff'I ~~&rfu;F~ (SEAL) Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence of each other have hereunto subscribed our names as witnesses. d4 /' //l~~ / ~ ?h~ ,~.tf?~ I I. I , -. -" "c., ...._......~~_....~."".'....O~""".>"I(""';....<..,.."..,;."."."..,.,;,.,..:Ot:,4''}i ~'''f'.,\,:~~,. ~,' ACKNOWLEIlG~1ENl' COMl-I)NWEALTII OF PENNSYLVANIA COUNT'{ OF CUMBERLAND ss I, NAOMI ELIZABImI STAUFFER a!k/a NAOMI E. STAUFFER, Testatrix, whose nama is signed to the foregoing instrument, having been dUly qualified according to law, do hereby aclmowledge that I signed and executed the instrument as my Last Will and Testamentl that I signed it willinglYI and that I signed it as my free and voluntary act for the purposes therein expressed. k,;,~~~ ~fl~ NAOMI IZABImI STAUF ~v c?,~ NAOMI ~E'l'tt STA Sworn or affirmd to and aclmowledged before me, by NAOMI ELIZABImI sTh STAUFFER, a/k/a NAOMI E. STAUFFER, 'N \)\1 iL f"\ he '<' , 1993. the Testatrix, this day of ~L~. 'tf\. C. NCYI'ARY PUBLIC NOTARIAl SUI. r.tlElEN H. GRImm, HOTArt .....C .....T PEHHSBORO llIP. ClItI(~;, H'I COIfISSIOH (XPIIlU "NIL '" i& . AFFIDAVIT C<MfONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss We, J;i", f? m'(OAJAJ~// . and #,e-411/) E ev/4/!/V ~ , the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the foregoing instrument as her Last Will and Testament I that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that to the best of our knowledge, the Testatrix was that time at least 18 years of age, of sound mind and under no constraint or undue influence. ~ I" /1l/{~ / ~~~ and No 'I ~ \'1\ \:,\l,r , 1993. and subscribed to before me by \So h~tV 1''''t,LL , witnesses, this 5 ,h day of SWorn or affirmed to \\~L l1\. C.~. ~~, NOTARY PUBLIC NOTARIAL SEAL I HElEN n. GRiffITH, NOTARY I'UlLIC jrAST PEN',SBORO 11IP. COHllERlAlID al. ',MY COIIIISSIO:I UP/RES APRtL 18. 1996 >. ..'J"':' :;.';'~!1:.:;;:1!fg~~~~;tf:l~~f~;:~~:~:ft:} ~i,~X/ it )".-' ",," -;' '-"~:'~:]~1~~:." .." }J,;H:d~~~:;:;;;~" ;:"" ':" ['" ~','t 'H;~.. ol',', ;oil-I' ;; I.~'t (' j;:':::}:~iR2~~~~1~;1r\f\; .., " .',." ',",t;. .. .. , e. '-,n NJIa-II ELIZN3ETH STAUFFER, a/k/a NJIa-II E. STAUFFER OC'fOBER I, 1994 Admin. No. I r CERTIFICATION OF NOTICE UNDER RULE 5.61al Name of Decedent I Date of Deathl 2194-0B64 Will No. To the Register. I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court ~ules was served on' or mailed to the following beneficiaries of the above-captioned estate on 10/20;/94 I Name ~tPrlmAn P. Stauffer ~hArnn I,. Culhane Linda Deraclea Bonnie A. Farling MAry RAth Frank !<aren L. Soloby Notice has now been Rule 5.6(a) except t.rlNP. Date. 10/25/94 Address 242 S. Enola Dr., Apt. 2 C, Enola, PA 17025 400 State Rd., West Fairview, PA. 17025 58 Ashford Dr., Enola, PA 17025 119 East Dauphin, Enola, FA ! tU.l:> 197 Enola St.. Enola, PA 17025 2521 Boas St., Harrisburg, FA !/!U" given to all persons entitled thereto under /It} (17' (I /{/;, AlII (' pL~~<--\./'- ~re (I Name Robert E. Myers Address 100 Old York Rd. New Currt>erland, PA 17070 Telephone~ 774-3163 Capacity. Personal Representative Counsel for personal representative x \ _.-. ...._r--.,_.. ~ 'tt~I_____~________________'________'_"'___ RECEIVED FROM; I ACN ASSESSMENT II' CONTROL ~ NUMBER AMOUNT C MICHAEL FRANK 197 ENOL A ST IV! .'f. J~c.;:Jo ENOLA PA 1702:5 ,QO HII' '010 Hllf ESTATE tNFORMATION, m M6 E1 II A m 21-199/,-0964 BeN 207-07-9290 M STAUFFER NAOMI ELIZABETH A ON CUM9ERLAND m TOTAL AMOUNT PAID SEAL CHECKII 1 t'" RECEIVED BY .4 .1S2 .:56 W REMARKS C. MICHAEL FRANK REGISTER OF WILLS MARY C. LEW REGISTER OF. WILLS ,. 1oI~- _ -- ~-- ---- ~ --- -- ~- -- ---- - --- -~------- --~ -,...--- ,,' .' ~\ I " ; . . .----- \. ._, ___._.___".....~ ....-,;,. ~AV .~,,-.'... 1,0' ,- - -- ..' " , ' .. . Rl'l.t~~ u.t II Plll ~ ~ c ~ ~fg o~;l ~ ~~ l:lc oz VO , ... I '1 . Z " 0 3 , E i ~ '" v .. ., ~r;...r.l r" ~'\~'/h.. COMMOHWfA.t1H 0' PEHHSYLVANIA DEPARTMEHT O' RlVINUI DIPT.2I0601 HAUIUURO ,.. 1712J.()bOl .... :......... 1I....~I. fiRST, AND MIDDLI I t.f - d- l( 6 - .3 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) ?-\ COUNTY COOE 1'1'4 ~ YEAR ~w, fOR DATlS Of DIATH AnlR 12/21/91 CHICK HIli If A SPOUSAL POYIRTY CIIDIT IS CLAIMID 0 fiLl HUM"R ~l)lo.,\HUMlfk ~TA'~ l Of .Wlt \6A1T(jfijR11 10- - Ii 1(l.2~~1 o 2. Supple menial Relu,n 1 ~~ 6'""''''tll- LANe eIVO..... , Pt.. - 110~' em' l!>Ge&.Ll\.'O o 3. Remainder Return (10' dole. of deolh p,lor 1012.13.82) o 5. Federal E,'ole Tax Return Required Q.. 8, Tolol Number 01 Sol. Depo.1I Box.. D(! 1. Orlglnol Return o Aa. Futur. Int.rel' Compromise (lor dot.. 01 deolh oher 12.12.B21 9 6. DlCed,nl Died T.,tate 0 7. Decedent Malnlalned 0 living Trull (Alloth to 01 Will (Atloth cop 01 T'u,') ALL CORRESPONDENCE AND CONPlDENnAL TAX INFORMATION SHOULD Be DIRECTED TO. M M A o 4. lImlled E.tote r~ II M 100 lJ6~ ROflo Ne.,:rlA.~r;~JIIJP, r... 17010 1. Reol Ellole (Sthedule A) ( 1) 2. Sloth and Bond. (Sthedul. BI ( 2) - 3, Clo.ely Held StotklPo~nenhlp tnler..t (Sthedule C) (3) - 4, Mo~g09" and Nole. Receivable (Schedule D) ( 41 - 5, Co,hl Bonk D.po.lll & MI"elloneou. Penonol Property( 51_1..1,1,56',"'\ (Stnedule E) 6, Jolnlly Own.d Pro?e~y (Sthedule F) I 6) 7. T,on,le" (Sthedute G) (Sthedule Ll ( 7) B. Tolol Gro.. A..ell (10101 line. 1.7) 9. Funeral Exp.n..., Admlnlllrollve Co.II, MI"elloneou. ( 9) -~- Expen... (Schedule H) 10. Debl', MO~9ag. 1I0bllltle., ll.n'ISehedute II 11. Tolol Dedudlon. (Iololllne. 9 & 10) 12, Nel Volue 01 E.lole (IIn. B mlnu.lln. 11) 13. Chorltobl. and Governmenlol Bequ.'IIISthedule J) 14, Nel Value Sub ed to Taxllln. 12 mlnUlllne 13 15. Amount of I1no 14 taxable at 6% rate {Indude value. Irom Sthedule K or Sthedule M,I 16. Amounl 01 line 14 loxable ot15% ,ole (Indude value. I,om Sthedule K or Sthedule M,) 17. P,lndpollax due (Add lax from IIn. 15 and from line 16,) 18. Cr.dits Spousal poverty Credit + P2f~y~nl' Obcounl Interenl ~ +~.lleL - 19, II line 18 It grealer Ihan line 17, .nler the diKerene. on line 19, Thl. 11 the OVERPAYMENT, gO."""'''''"'- ,,,""""".............l..n............ 20, II line 17 It g,eoter thon IIn. 18, .nler the diKe..nte on line 20. Thl.l.the TAX DUE, A. Enter the Inter..' on the balance due on line 20A. B. Enter the 10101 01 line 20 and 20A on line 208. Thl. 11 th. BALANCE DUE. Make Check Payoble '01 Reglet.r of wme. Agonl ...... 81 SURltO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH...... : 'jr',~~'m Under penohie. 01 perlury, I dedore Iholl hove examined Ihll ,elurn,lntluding ottomponying "hedule. and .,o,emenll, and 10 Ihe be,' 01 my knowledge and belief, h I. Irue, torre" and tomplele. I dedo,e thaI 011 ,eol ..Iole hot been repo'led ollru. morkel value, Oetlorotlon 01 prepor.. olher Ihon the pen.not rep,e.enlotlve I, bo.ed on olllnformollon of whIch pr.pare, has Gny knowledg.. I A U I I . A. . bAll C; 11n~ 1'- ?-?5..- Q ~ll ~ V'I...'/b'lb L=-~rq~ - ( 8) n'l!iS,q'\ (10) - '7 'Z';'!), :tL\ "1.~ IfO:>'.b'l 111) (12) (13) (14) - "'1 '>1103,6" U lfcill.-1-'l (15) '7 '3 4-,t>3~~ )( .06 &:I (16) .X .15" z o ~ .. ::l ... 2: o V ~ .. (171 (IB) (19) !llt~ Db (20) (20A) (20B) 11M- ., PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (".) IN THE APPROPRIATE BLOCKS. 1. Did decedent make a tran~fer and: a. retain the use or income of the property transferred, ....................................... b. retain the right to designate who sholl use the property tran~ferred or its income, c. retain a reversionary interest or .................................................................... .YES. NO, d. receive the promise for life of either payments, benefits or core? ....................... 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................. 3. Did decedent own an 'in trust for' bank account at his or her death?..................... ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ...\\ <=> N N o. .., N ffi .... l.a '" l~ :n ...Q -=E "';;I uu O.m il' ~:;; ~. ;;. S~ 'l () . o '0 ,;;';'''':.''' .- -' ,', '.' ~ '" .lJ 'U :; 8.!~J wo: 0: ~ I ....._....:.yo.-~._;---"-.... ,......,..... ,. . I , I . , ~'r:~.~ ., O.-rr- I... ,~ ~ ~ ~ ~.r1;/-9t.J-f't/,\ I C) , : Vr1 wJL, lIlf'2,r6 67. V"'- 73. '3 ff.lr ~b-V;"O JI. ;J..~ t:!g>O~? I ~ /)./ "'F-.;2 1)- i . r;::;'I-e dJ 19fr- OO~(/;t.j 1(11/4. g loe #I ~f7LI- () &>~{I I ......... > --",'.--.-- , .i; " j' Pa.Jf/J l/jI8J,. 6~ I-lciJ -/01 M'f/3:lfi"'.:3 . (JtWJ /:J'1J~.'1'1 " '~'-~'j"j7 ,~ '. - "U1l!{It~t. ~"-'*~ "-'-"~--.'r'lj~'''-:' . il. ~~ r.; "i. ~~r-' '1 ." ill . i ,; ~. . ........ " /' . ".*- . , .. \ ., { .. "I' '1 . . , ,. '.'1 :".;~ ,... .. . . "'-f . ...." j :' it -:.r; ~ .} ',1 l' -:. - '. 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I . . , " 1 __ ;,,; , . ~." :,:<'"",,',',, \ \ ~">1 . . .... ;' .. ......'_: ..' ....,. ,..... .. '; _, : '. '.. ,:.. '. '. '.: ...., ,.'. :.. l~i 'J" '.~....../ : ',:' :~.:.""" ,::"'.", ::;.'.;., i~~1 . '.' '();::ic;,,,:' ",:,;', ..'... . .:. · ',,", . ";, ;. l(f ':"~:::';":' ;c, _..' :.....:. . f5j., .:'. ",.' "" ,;', i~; L, :~~ ". ". 'r: ,,_ .. ' '.. .,... ,'-' ,: ,:' ::, '.: , :';,:<:,},:'-:. j ,2'~':::::t::x-~' "..". _ ^" . t' , , \'. i I , I I l I ( . ( ! \,' . I' " .. . ., -.,.,-." to. 1" '{.~. " - '.r" ., . ";-- " " ~ - ,\ IlV1SotU.IJI1I - -. .,.. '.,.' _. .~ . ., ~~ COMMONWfAtfH O' PfNN$VlVAN,A INHllnAHCI TAX InUIN IUIDINT DlelDINT SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Plea.e PrInt or T e FILE NUMBER ESTATE OF /l!Mfr\ \ f-. <;;'-rfl "" F t:-r: R IAII p,operty lolnltyoowned with the RIghi of Su,vlvo,.hlp mu.1 be dlulo.ed on Schedule P) jljy # tJY/,4 ITEM NUMBER /, ~. 3.. It, S L, 7. f "[, 10 Jl /'J- r!> 11/, I" J'. J7. n. DESCRIPTION r,p-s-r (e:OCll.I\L Of IM~Rl~(3Il..~b - A((/J4'.f'l1 # d').SJ':J;~;:;1 Ottlo\PHI/J ()ep~'6/r SilO/<. '(~/,I.S1 Ii - - c,A :r: tJff Il r; oS r /. .. C/lfcXttJ6- ;rrK1iil&>r I' - ~IJB'OI<' :JAv/tlJ65 ~IIJT EA.(S r W ~"",li ftJ6R.s ~ 1l"~nM'Il'e~" r"'R.tJrlUk~ /31.c..c {r?bH (8L"e SIi/ELD 1'u N 4~ r SAMMIf1l5 " /' ,. I, ., I, ( , II ~I /, RE.f/'(N 0 tl II II I, f2r1C6/U. '!rlS v.r\A(IIc.... ,- P.P'IL ,. ,\ e;fZN~(l.AL ~'C.'Pr:.NI 54.O<\foIE'A.fJ Al.l: ,APMTl'll1ntlS' 8RN/<. i 1t"-sr;; - G .P. DJ1eiRIZST CO, ]:NT6~r:Gr Co O. !J.>TEIlE~T I' D~v.PHlrJ Dt:PO$I-r II I' ---- ,I " \I /1 ~ ( 1\ ., I. " " BE. LL Ii; LE. PH~AJ IZ ,RpftMJ () F~Arvp,^.Rt: 1'1'13>- c.HbllrMei 6150 TOTAL AI.a enter on line 5, Reco lIulotlan (AlIoch additionol aYaH )( 11" ,hee'l If mote IpOC. I. needed.) VALUE AT DATE OF DEATH /5, OM, DD " 'II /0,000. tl.:l 3t1,~Y' 1.?~f,o. :J,"l' I 0, bDd . 40 UtlD 11/.30 /~?~O U.~5 11.1~ 33,40 ZS5 47,00 l{I{!;.tJd J o,oao. db 33S6 I tl, ObO.M 3So!il 10,0c>0.00 ~',3' '~"4 ,aUi 8S'O,DO .tv.,," t.. 1'"1 ESTATE OF ITEM , NUMBER ~:J~l"~(\ -UU; COMMONWEAltH Of ,fNNSYLVANIA INHunANCf TAX UTURN .!SIDfNT DfCfDfNT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Plla.1 Prlnl or T I IFILE~~~~8~:1~4 \ E. , IAPfE~ DESCRIPTION AMOUNT A, Funlral Explnllll I. 51.\.\.\..IU 1\1\1 F~rV6ftf\1- I1m/S S'J.~.(JO B. Admlnl'lratlvl Co.11I C. 1. P.roonal R.pr...ntaliv. Camml..lan. Social s.curlty Number 01 P.roonal R.pr...ntalivo: J11 V.ar Camml..lan. paid \q'l'; - 4'1 - gn'-. Ii Ot. ')., ,'to 2. Allorn.y F... :l.LI SJ. ' L'r 3. Family Ex.mplion ClaImant R.lalian.hlp /V.6fi1r< Addr... of Clalmanl at d.c.d.nl'. d.alh slreel Addr... City Slat. Zip Cad. 4. Probal. F.o. 1I'lo.uo 1. MI,clllanoau. Exp.n..., C&{MllSR.LANO LAw JO'ARNM_ - AOV~Rn~E: El>Tllrf 'T1i~ 66fJ'flllltr,.. t," f' P i L - .,/.t:c nlGlf'1 - A"'o..oJr" I./O,DO 11@ t6:ff" If,JV ,q,1U '3"q 10', dD 2. 3. 4. .sAM/"IDfo/~ ..-. fu Acc....rJ-r 5. (3eLl... T/!ll-"P~u"'f, - "'""...~"T" .." h CI.F\~j)' ~ ()J.l~ A5,S.6(1~"le.5 - 41PPIlAI5AI.. ~ f(CblS'T"tl. "f WILLS FI/.E :t.1V1I~1l4<l).^,'6 f^'" ~rM'" ~" .. 11IU'fJTOfl.~ /5,00 10.DO 6. 7. e. " TOTAL IAI.o .nlor an IIno 9, Rucapltulalian) $ (If mare .pacI I. nlldld, In..rt additional .h..I. 01 .aml .In.) 5G~\i:O \.\L.t:: 1-1.. (oNT II\.h....~D AJ Ao (V\. , J; I ST A l\ r- F'~ it. ~,'t" -"VI", ~6GI>n{l.. of Wll.l..S - t<li L~A"'1i 5 I(GGOI\.Op/l. Or DeeDS . R~f)fl.D fAMl1.J /.Jlitl'IiMI#I/i c.nSP-,,\ I... W \ \, o~ - IU r>'i f\~'j lli'Oo lIlJ, llo r. tlo - !i1,..,- 7 vS:t, ~4 IIY.'~I'.1t lJ"l ~'i;g.,(l 1';<. , -. (O"'....OI."""'ITH or U'.NUWAtlIA ......."ANe. II.I InuI.. "~ID'''I DIUDINI iSTATE OF SCHEDULE J I BENEFICIARIES ~ FlU NUMBER ITlM NUMBER I. ~ J, ~. ITEM NUMBER I. tJADl!1Lt. C; -r/W F f E & '" !i.4..:1J!I 1-( NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ISTATE ~ b. A. Taxable Beque,..: ST~Ol'\1'.tV p, 51i1V\FflS p.. ~ 24.;/ ([) JEIIJ"~I'. f1W J\pru~ I>tIIOL~~'/'7~;' SIlAR~ l. C,d..tlANt: 1/00 SnIT' ~N>' Wt:ST ffolll.vlt1>>. i\o l'7oi5 LINDA Pl!fl.AC,L,l!A !Sr AsllrlAO .o~\IIf1, eN"l-A I f/l. - /10 ~ 5" BOr/HIe. A- PARtIr/Co ... /Ie>, PAS., DI\\4.PHIN Sr. t:./Vol.A.O\ - 171~ ~A~~ B",-rt1 f't<AN~ -.Jj1 f.N~ 51.- ,...vDlJ\, f~ - no?.') KA~l'J /... SOl..06~ 0lS1J BoAS Gr, )lA~15&R61f'1\ - /?O/:! 1/ SOIJ 1/(, 1/" 1/' 1/" lit 1/1, OAIWlfi!1t. II II " " NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Governmental Bequ"fll TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Allo onte, on IIno 13, Recopi.ulo'lon) S III more .pac. f. needed, 1""1t additional .hlltl of lame II..) '.. ...... LAST WILL AND TESTlIMEm' of NAOMI ELIZABETH STAUFFER a/k/a NAOMI E. STAUFFER I, lWI1I R1';rv.altRTll STADPl'JIR a/k/a lWI1I E. STADl'l'ER, of East Pennsboro Township, CUmberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void any and all former Wills made by me. 1. I direct that all my legal debts and funeral expenses and all expenses of my last illness, shall be paid from my residuary estate as soon as practical after my decease as part of the expense of the administration of my estate. II. I bequeath my household goods, personal effects and other tangible .~ personalty of a like nature (not including cash or securities), together with any existing insurance thereon, to my children, BONNIE A, FARLItu, LINDA M. DERACLEA, KAREN L. SOLOBY, SHARON L. CULHANE, MARY B. FRANK AND STELMl\N P. STAUFFER, to be divided among them by my Executor with due regard for their personal preferences in as nearly equal shares as practical. III. I devise and bequeath the residue of my estate of every nature and wherever situate, in equal shares, to my children, BONNIE A. FARLING, LINDA M. DERACLEA, KAREN L. SOLOBY, SHARON L. CULHANE, MARY B. FRANK AND S'l'EtMl\N P. STAUFFER, provided each shall survive. In the event that any of my children, BONNIE A. " .... . , . FARLING, LINDA M. DERJ\CLETI, KAREN L. SOLOBV, SHARON L, CUIJIANE or STEt'MAN P. STAUFFER, shall predecease me, I devise and bequeath his or her share to his or her then living issue, per stirpes, and in defaUlt of said issue, his or her share shall be added to the share or shares of my surviving children or their then living issue, per stirpes, as applicable. IV. I appoint DAUPHIN DEPOSIT BANK AND TRUST COMPANY, of Harrisburg, PcMsylvania, guardian of any property which passes, either under this will or otherwise, to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done son, provided that this appointment of a guardian shall not apply to property distributable to a minor for whom I have otherwise made special provision and provided further that this appointment of a guardian shall not supersede the right of any fiduciary in its discretion to distribute a share where possible to the minor or to another for the minor's benefit. Such guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including college education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the , . minor's parent or to any person taking, care of the minor. V. I direct that all taxes that may be assessed in consequence of my death of , whatever nature and by whatever jurisdiction imposed shall be paid from my residuary estate as part of the expense of the administration of my estate. \ r-' I r ,.' ..... VI. I appoint c. MICHAEL FRANK, Executor of this, my last Will. Should C. MICHAEL FRANK fail to qualify or cease to act, then I appoint Dl\UPHIN DEPOSIT BANK l\ND TRUST COMPANY, Executor of this, my last Will. VII. I direct that my Executor and Guardian or their successors shall not be required to post bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I hereuto set my hand and seal this !J ~, day of 1uv: ' 1993. ~ ~~~_(SFAL) Nl\OMI EL ETIl STl\t ~ 8,~ (SFAL) NAOMI E. STl\UFFER Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who, at her request, in her presence and in the presence of each other have hereunto subscribed our names as witnesses. , . d~ L ~~~ /?LL~~~ .: . ACKNOWLEOOHENT COMI<<lNWEALnt OF PENNSYLVANIA COtlNTY OF CUMBERLAND I I SS I I, NAOMI ELIZABml STAUFFER a!k/a NAOMI E. STAUFFER, Testatrix, whose name ie signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament I that I signed it willinglY I and that I signed it as my free and voluntary act for the purposes therein expressed. "k.; ~ #~ I~ NAOMI IZABE'm STA . ~~~I~ NAOMI ~ETIt STA SWOm or affirtOOd to and acknowledged before me, by NAOMI ELIZABml sTh the Testatrix, this day of STAUFFER, a/k/a NAOMI E. STAUFFER, 'N O\{ {l. t'I he. 'f , 1993. ~.t!\.C~ NOl'ARY PUBLIC ;'j -'[ I,' , 'J! :.1i :1j .., 1 . ~ I "'1 NOTARIAL SEAL w'L~~':~:Jr~~', ~-=c 11'1 ClHUSSlIlH [XPIRU APRIL .1, a :' , . AFFIDAVIT ca-tMONWEAI11ll OF PENNSYLVANIA COUNTY OF CUMBERLAND ss We, :Jdj~ f'mi./O,UA//?// . and /l,e.~/lI') IE Cv141!~ t:. , the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the foregoing instrument as her Last Will and Testament, that she signed willinglY and that she executed it as her free and voluntary act for the purposes therein expressed, that each of us in the hearing and sight of the Testatrix signed the Will as witnesses, and that to the best of our Imowledge, the Testatrix was that time at least 1B years of age, of sound mind and under no constraint or undue influence. ~ I' /Il/{~ / ~~ Sworn or affirmed to and subscribed and ~; ('~ "'r L~. C tAu, "'Nt>, witnesses, this N(J,,-et"l\.~'{' , 1993. to bef~re me by ~o h.~N IVt.LL S"r\-.. day of \W...., 11\. C'd ~,~, N:nARY PUBLIC I 1 NOTARIAL SEAL HELEN H. GRIFflTII, NaTAllY PUtlIC lUST '[HHSBORD TlIP. Cl&UlAllD llI. I.HV COtIlsslOIl EXPIRES APRIL 1110 199& \ . CLAUDE C. WOLFE & ASSOCIA YES AUCTIONf:ERS & ESTATE APPRAISliRS 113 OLD FORD DRIVE. CAMP HILL, PA 17011 717.737.0734 October 7, 1994 Appraisal for the Estate of Naomi 122 Summer Lane, Enola, PA E, Stauffer 17025 AUTOHOBILE 11/ 131993 Geo Hetro ,2 door coupa.~utOIllR.t-'iCl,,""7BB-mrt&6.~,...-;;..;..$"'!I',.2e0...1il0. I LIVING ROOH KS Bl'Ol1ll l"'c'line~ 3 Piece brown & sheep 50.00 75.00 15.00 7.50 25.00 3.00/: 8.00 140.00 35.00 3.00 7.50/ 1.00 2.00 1. 50 2.00 ..-.- . J( white plaid living room suite !J!f ..' ..' "c. Drass table lamp :I;I{: End cable 1<5AUh cray 'stand.', ',ie Floor lamp 1<5zeni ch .color 14t' .'por~able.;;UY- I , i < Co l'Il<: r cable ,,'-;'.:' 'Hisce llaneous animal figurines --..---". - . r);'r:) 1:lluccr,ic-fan " li(l( Clothes basket " - r I"'" Puzzles .; /.,I'IL Knick-knack shelf ~5 Lout suppe~'pi~ure,J 1)16 1I0u,,;: cttitUe 1<. S S..oretary desk,"wi,th."uppec bO'Clk?a.e /:, , Uall clock ,J " /'/0 Live plan-t' / Miscellaneous ash trays /),. Telephone " . ;YIl5coin col1:ection'""-' 'penn,wp,.r.-n.ol""kA'1'I!-". 2.50;' 200.00 2.00 3.00; .50 6.00 25.00'. ' KITCHEN /1... Kitchen stool 1(5 Ele<.:crio;:hand' 'mixer 5.00 3.001t> . CLAUDE C. WOLFE & ASSOCIA YES AUCTIONEERS & b'STATE APPRAISb'RS 113 OLD FORD DRIVE. CAMP HILL, PA 17011 717.737.0734 Stlout .'" L' appraisal Palle 3 BEDROOH - continued /116 Livo 1.l"Ilt."S A11.rm "lock ,I,SDreuclll' , . . . I<STraah cz.n . )C51);,d \liell qUll~n 1l:!-~Jll.1ell~~:oard I<S Ol'ienc{1l style.oase Hiccellaneous stuffed animals . . . . . 5.00 : . . . . . 1.00 . . 35.00 . . . . . . 1. 00' . . 100.00 , . . " . . 3.00' . 5.00 . . . . . . . . . . . . . . . . . . . Appraisal total $6,151.00 This appraisal is true and correct to the best of my ability as an auctioneer and appraiser with 25 years experience. CLAUDE C. WOLFE & ASSOCIATES \,J'\.ttD7,- \~ . d\~- Wilton K, Chapman (!Jf '-vI".. M~ \::',1.' M) ,.'.. '.,\ \,J,)(" ~ )'".. '" ~~\...:~ w.., "",,,^,,~vl "J '.. .~~ \'~.y :\.-\ ..ti~i~\ .~J \~~~ L :Vd 1...,,;t\:"L..!. 1"'(9 ]().tT7? . .,.~e/ ?~-. on> "y t?S' - 117) I -' I ,'\ . . " CLAUDE C. WOLFE & AsSOCIA YES AUCTIONliERS & b'STATE APPR,I/SERS 113 OLD FORD DRIVE. CAMP HILL, PA 17011 717-737-0734 Scauff~r appraisal Page 2 KITCHEN- continued f/16Jto.J...lill\l -v in 'f'( Utensils '. B.00 I' 10.00 2.00 ;<<; 2.00t~-.- 15.00 10.00,1' 2.00 3.00 1.00 " KSTo.a..-kL" , /<S Clan,i..r.,..;-s-e.t, '.' Miscellaneous flatware '. lIiscellaneous cookware Miscellaneous ~veryday dishes GE poreable radio Can opener Hiscellaneous contents of kitchen 5.00111 HALL CLOSET Hoover electric broom 1<5 Hoover upright- vacuum.s:le~~ . PJORound mirJ:.Or Ironing board " Potty soat Lawn chair Hiscellaneous Christmas 7.50, 10,00 12.00 1.00 5.00 2.00 15.00 } I ~e~o~a~1~n~~:. y..:.PC " Wl!H. Miscellaneous linens 5.00 BEDROOH Hamper 111I3!leclin"r Desk ,', Round table 1(5 2 T"1J1,, lamps Selling machine .' 1.00 30.00, 15.00 2.00 5.00 10.00 Account No. Type Date Opened or Issued Date C10SAd or Matured ID Dauphin Deposit Bank and Trust Company MAIN OFFICE' 213 MAnKET mIlEET, HAnmsnuno. PENNSYlVANIA 11101 117 '~!>>.2121 Decedent Confirmation Name: Naomi E. Stauffer Social Security No.: 207-07-9280 Dato of Death (000): 10/01/94 8100249946 8100249970 8100250111 ------------------------ ------------------------ ------------------------ Certificate of Deposit Certificate of Deposit Certificate of Deposit ------------------------ ------------------------ ------------------------ 09/08/94 09/08/94 09/08/94 ------------------------ ------------------------ ------------------------ 09/00/97 (Matured) 09/08/90 (Matured) 09/08/95 (Matured) ------------------------ ------------------------ ------------------------ Date of Death Balance $10,000.00 PLUS $10.000.00 $10,000.00 ------------------------ ------------------------ ------------------------ Date of Death Accrued Int. $33.86 $35.51 $26.30 ------------------------ ------------------------ ------------------------ Joi nt Oovners (if any) None Date of Joint Oovnership ------------- None None ------------------------ ------------------------ ------------------------ ------------------------ ------------------------ ------------------------ ------------- ------------------------ ------------------------ ------------------------ Special Convnents: N/A Date Prepared: November 9, 1994 Preparod by: Carolyn A. Berkebile Additional information .va;labl. at $20.00 pvr hour. OnM hour Minimum. Customer Managemp.nt Information Dept. (CMI) farm 00-020-216 (REV 7/93) Telephone No. (717) 255-2054 Page 1 of 2 , DAUPtUN DEPOSIT BANK AND TnU~T COMPANY. HAlHlI'iIJUnO. PJ!NN5VLVANIA 2 of 2 Robert E, Myers PAGE No. To Name: Naomi E. Stauffer SSN: 207-07-9280 000: 10/01/94 Account No. 8100250138 0081410336 Type Date Opened or Issued Certificate of Deposit Checking 09/08/94 08/28/64 Date Closed or Matured 09/D8/96 (Matured) Date of Death Balance $10,000.00 $9,228.62 PLUS Date of Death Accrued Int. $30,58 $3.76 Joint ~ers (if any) None None Date of Joint ~ership Special CormIents: NIA PA.3 4600366522 Passbook Savings 09/08/94 10/20/94 (Closed) $10,000.00 $16.10 None Date Prepared: November 9. 1994 Prepared by: Additional inrorMation availabl. at $20.00 per hour. One hour miniMuM. Carolyn A. Berkebile Customer Management Information Oept. (OMI) Telephone No. (717) 255-2054 ^ ,",' ~ ,n ~.'i<,,~"~_ ,_",..F' ..,;",--.,....>- , ,~ -....I '..-".,.I --: -"~ I j :i[]~ S"f[ t, EEDEB~I!. L_ _ of HARRISBURG October 27, 1994 Robert E. Myers lOO Old York Rd New Cumberland, PA l7070 RE: ESTATE OP NAOMI B. STAUPPER SOCIAL SECURITY NUMBER: 207-07-V280 DATE OF DEATH: October 1, 1V94 ACCOUNT NUMBER: 0256147738 TYPE OF ACCOUNT: certificate OPENING DATE: 7/26/93 ACCOUNT TITLE: Individual PRINCIPAL BALANCE AT DATE OF DEATH:$15,ODO.00 ACCRUED INTEREST TO DATE OF DEATH: $1.91 TOTAL BALANCE AT DATE OF DEATH: $15,001.91 INTEREST 1/1/94 TO DATE OF DEATH: $524.55 COMMENTS: The account listed above was rolled over from aooount #0216920205 which opened on 7/26/77. The date of last interest payment was 9/30/94. She was receiving monthly interest checks. Enclosed is a change notice to change the address so future correspondence will be forwarded to your attention. If this is your intention please sign and return. If not discard of notice properly. If you should have any further questions or need addi- tional information please do not hesitate to contact me. sCMe/~k fu~efri 'h'O~Ck '. ---- Assistant Manager operations Center ;" I II' ,1,111 "CONI) !; II lrr-T , PO nox 1111 '11Mn1SOUna, PA 17108 . (717) 232,6001 .In;r~foF..~r ..,-. -. - - ..' -, - . _,1".-__ ____ _ _ __ __ -___._ -- -- - -- - - -- --. - - - -- _.- ,-- ~- - _. - - -- - ----- 61'--- ~tJ S'I.t?~ ~ I D' "', '::A, 'A"0228'62 COMMONWEALTH OF PENNSYLVANIA ~o. '. DEPARTMENT OF REVENUE :"~1I" ..1...., OFFICIAL RECEIPT.' PENNSYLVANIA INHERITANCE AND ESTATE TAX RECEIVED FROM: a ACN ASSESSMENT Ii' CONTROL 1:,1 NUMBER AMOUNT ROBERT E. MYERS, ESQUIRE 100 YORK ROAD 101 ..I.ae NEW CUMBERLAND PA 17070 _ 1010 flltl fOlD flUf "',j,;, ESTATE INfORMATION: ';;'~':m filE NUMBER 21-1994-0B64 SSN 207-07-92eO I:t NAME Of DECEDENT (IASTI (fiRST) (MI) ~ STAUFFER NAOMI ELIZABETH II DATE Of PAYMENT m POSTMARK TE COUNTY CUMBERLAND DATE Of DEATH REMARKS C. MICHAEL FRANK m TOTAL AMOUNT PAID 'z" ~ cA' RECEIVED BY .1.2e REGISTER OF WILLS SEAL CHECK* S -.---<--------- -- ----------------- ----- ------------------ .....~ t ,I ; -. , " . " {\, .~ / " , ~ . ' ~ . . - .~. -~. .., ~ _ f-"""-- ---.__-:-.-"'---.._.lI ~ ~~r ~"T-"~- 1...... I ' "Jr"' ....- - .. ..-.- . ~-_..-.-,~- 4.u 7 1>al..-11.5~ Pg J> I L/ - ). ,-/0 . .> ~-1547 EX AFP (12-94* ~~~ONWEAlTH DF PENNSYLVANIA DEPARTHEHT OF REVENUE BUREAU OF INDIVIDUAL TAMES DEPT. 280601 IIARAlSBURIJ, PA 171211.0601 ACN 101 NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE 05-08-95 ESTATE OF FILE NO. DATE OF DEATH 10-01-94 COUNTY CUMBERLAND NDTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX PAYHENT TO THE REOISTER OF WILLS, HAKE CHECK PAYABLE TO "REOISTER OF WILLS, AGENT" REMIT PAYMENT TOI ROBERT E MYERS 100 YORK RD NEW CUMBERLAND PA 17070 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r- A.aunt R...lthd CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ Rifli:is4j-Ex-iiFP-iiz---9tjj-iiiiflcE--cii1-YNHERli'liNcn"Jiin"ppjiirisEHEiW;-,H.i."ciiiliNci-iili -.. _m - - - - - - - -.- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF STAUFFER NAOMI E FILE NO. 21 94-0864 ACN 101 DATI 05-00-95 TAX RETURN WAS. I X I ACCEPTED AS FILED APPROVED DEDUCTIONS AND EXEMPTIONS I 7,852.24 9. fune,.al Expans../Ada. Calts/HiIC. Expans.. (Schedule H) (,) 10. Debts/Hartg.ga LJabJ11tl../Llanl (Schedule IJ nO) ,00 11. Tot.l Deduction. ell) 7.AIiI' ?^ 12. N.t Volu..f T.. R.turn 1121 73,<,03,69 13. CharUabla/Gov...nllanbl Bequa.t, (Schedul. J) US)' 00 14. N.t Volu. .f E.t.t. Subj..t t. T.. 1141 73 , 403 , 69 NOTE I If an assessment W6S issued previously, lines 14, 15 and/or 16, 17 .nd 18 will reflect figures that include the tDtal Df ahh returns .......d to date. ASSESSMENT OF TAXI 15. Allount of Lina 14 at Spouul rat. USJ 16. Anount of Lin. 14 taxable .t Lin..l/Cla.. A rat. (16) 17. Anount of Lin. 14 tax.ble at Collat.raI/Cla.. 8 rat. (17) 18. Principal Tax Du. TAX CREDITS: PAYHENT DATE 12-13-94 02-24-95 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real E.tate (Schedul. A) II) 2. stock. and Bond. (Schedule B) (2) 3. Clo.aly Held Stock/Partner.hip Inter.at (Schedule C) (5) 4. Hortuaua./Nota. Receivable (Schedule D) (4) 5. Ca.h/Sank Depoaita/Hisc. Parsonal Property (Sch.dul. E) 15) 6. J~intlY Owned Property ISchadul. F) (6) 7. Transfers ISchedule 0) (7) 8. Total A.sets , RECEIPT NUHBER MM913283 AA022862 DISCOUNT (+ I INTEREST (-I 220.13 ,DO '!l , . 00 ~:. .00 .... ,00 ,\, ( .00 81,255.93 'u \ .00 ,'A ), "'.00 v,J III Ih, 01,255.93 - .00 73,403.69 .00 N ,OS. H106. N ,15. 1111 , DO 4,40i,,22 ,DO i, ,<,Oi" 22 AHOUNI PAID ~-.--r02--;-~r- 1. 22 TOTAL TAX CRIDIT BALANCI OF TAX DUI INTlRIST TOTAL DUI PAVMENT MUST BE MADE BY 07-02-95-. 4,403.91 .31 .00 ,31 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LUI IIIAN II, NO ~AYHENI 11 REQUIRED. IF TOTAL DUE 11 REfLECUD AI A "CREDn" ICRI, YOU HAY BE DUE A REFUND, SEE REVERSE SlOE cr TIIII rORH rOR INSTRUCTIONS. I .,.~.- '..,.,.... RESERVATION. E.t.t.. of d...dont. d.l.. on 0' ..fo,' 0......' I', 19" .- If on. futu" Int.,..t In tho ..t.t. I. t,on.,.".d In po.....lon or .njoy.ant to C1I" I (collatlral) ban.flclarl.. of the decld.nt aftlr th. ..plratlon of any ..t.t. for llf. or for y.ar., th. co..onwealth her.by ..pr...ly ra..rvI. the right to appral.. and ...... tran.fer Inh.rltanc. Ta..1 .t the lawfUl Cl... I (collat.ral) rat. on any .uch futur. lnt.r..t. pURPOSE OF HOTICEI To fulfill thl r.qUlr...nt. of Slctlon Zl40 of the Inhlrltanc' and E.t.t. Ta. Act, Act 22 of 1991. 72 P.S. S.cUon 2140. PAY",NT. O.t.ch tho top po,tlon 0' thl. Notl.. and .u..lt with .OU' .....nt to tho R..I.t., of Will. p,lnt.d on tho ,...,.. .Id.. .-"akl chIck or ~nlY ordlr payabl. tal REGISTER OF MILLS, ADENT All ply.ant. rac.lved .hall flr.t b. appll.d to any Intar..t which .ay bl dua with any r..alndar applied to th. ta.. REFUND (CR). A ,.fund of . t.. .,.dlt, whl.h w.. not ,.qu..t.d on tho T.. R.tu,n. ... .. ,.....ted .. .o.pl.tl.. on .Appll..tlon 'for R.fund of Pann.ylvanl. InharltBnC. and E.tat. T.." (REY-1313). Application. ar. avallabla at the OfficI of thl Rlalatlr of will., any of the 25 R.vlnue Dl.trlct Offlc.., or by calling thl .paclal 24-hour an,wlrlna ,lrvlcl nuabar. for for.' ordlrlnQI In p.nn.ylvanla 1-800-562-2050, out. Ida penn.ylvanla and within local Harrl.bUra ara. (717) 787-8094, TDDI (717) 772-2252 (Haarlna lapalr.d Only). OBJECTIDNS. An. p.,t. In Int.,..t not ..tl.fl.d with tho ...,.I....nt. ollowon.. 0' dl..llowon.. 0' d.duotlon., 0' ........nt of ta. (Includlna dl.count or Intlr..t) .. .hown on thl. Hotlcl .u.t objeot within .I.tv (60) day' of recllpt of this Hotlc. byl --wrltt.n prot..t to the PA Dlp.rt..nt of Rav.nue, loard of ApP..l., Dapt, zalO21, Harr1lbura, PA 17121!1-1021, OR .-.llotloo to have the ..tt.r d.t.raln.d at audit of the account of the p.r.onal r.prl..ntatlve, OR ._app.al to th. Orphan.' Court, ADHIH lSlRATlVE CORREcnONSI Factual .rror. dl.cov.r.d on thl. "'I....nt .hould be .ddr....d In wrltlna tal PA a.p.rt.ant of R.venue, lur.au of IncUvldual Ta.." AllNI po.t A.......nt R.vl.w Unit, aapt. Z80601, UarrhbUra, PA 171Z8-06Dl Phonl (717) 787-6505, S.e ploa 5 of the bookl.t "In.tructlon. for Inh.rlt.nce Ta. R.turn for a R..ldlnt alcldant" (REV-1S01) for an I.planatlon of adalnl.tratlv.lY corrlotabl. Irror.. If any ta. dua I. pftld within thrll (3) callndar .onth' aftlr thl dac.dant'. d.ath, a flv. p.rcant (5X) dl.count of th. ta. paid I. allowld. Intlre.t I. chargad blolnnlna with flr.t day of dlllnqu.ncy, or nlnl (9) aonthl and one (1) day fro' the data of d..th, to t~ date of pay.ant. T..a. which bee... delinquent be forI Janu.r~ 1, 198Z be.r Int.r.at at the rat. of .Ix (6X) parc.nt p.r annua calculat.d at . d.lly rat. of .000164. All tax.. which beca.. delinquent on and aft.r Januarv I, 1982 will baar Intar..t at a rat. which will vary frol calendar yaar to calend.r y..r with that rat. announc.d by tha PA Dapart.ant of Rev.nua. tha appllcabl. Intar..t rat.. for 1982 through 1995 ar.1 DISCOUNt s INTEREST I ~ Inter".t Rate aally Int.re.t Factor !!!! tnt.rast Rate DallY tnt.rut Factar - 191!1Z ..X .000S4l!l 1987 9X .000247 1983 lOX ,OO04ta 1988"1991 IIX ,000501 1984 IIX ,000501 199' 9X ,000247 1985 uX .000556 1995-1994 7X .00019Z 1986 lOX .000274 1995 9X .0OOZ47 ..-Inter..t 11 calculatad .. folloWII INTEREST a BALANCE OF TAX UNPAID ~ NUNBER OF DAYB OELINQUEKT X DAILY INTEREST FACTDR --Any Hotlca I..ued after tho tax baeo... d.llnquent will r.flact an Intar..t calculation to flftaan (IS) day. b.yond t~ data of the a"I...ant, If pavaant I. .ad. aft.r thl Intar..t coaputatloo data shown on thl Hotlca, additional Int.r..t au.t ba c.lculat.d. \ _ -. _ ... r ~. '_^.'. . ...... 1- I' " .,) ~.(o(J1 ,/ S,d 115 f(j Y ;z /- Y'I-I -S'!,- / FAMILY AGREEMENT THIS AGREEMENT, made as of the 24th day of February, 1995, by and between STEDMAN P. STAUFFER, SHARON L. CULHANE, LINDA DERACLEA, BONNIE A. FARLING, MARY BETH FRANK and KAREN L. SOLOBY, being all of the children of NAOMI E. STAUFFER, deceased and C. MICHAEL FRANK, Executor of the Estate of Naomi E. stauffer, deceased. , '. WIT N E SSE T H: The parties hereto intending to be legally bound hereby declare, promise and agree as follows: 1. The said Naomi E. Stauffer died Testate, an unremarried widow on october 1, 1994, leaving a Last Will and Testament. 2. The said Last will and Testament dated November 5, 1993 was probated by the Register of Wills of Cumberland County, on october 12, 1994, and Letters Testamentary were granted to C. Michael Frank, one of the parties hereto. 3. The said Last will and Testament of Naomi E. Stauffer provided for the payment of all debts and funeral expenses. 4. A state Inheritance Tax Return has been filed on or about February 22, 1995 with a determination thereon normally not completed until approximatelY 120 days from filing date of Return. 5. The State Inheritance Tax return showed Inheritance Tax due of $4,404.22 of which $4,403.00 was paid at discount and $1.22 was paid with Return. <<' ., " 6. The Estate of Naomi E. Stauffer was advertised according to Law in the cumberland Law Journal and The sentinel newspaper. 7. The said Last will and Testament of Naomi E. Stauffer orders that her household goods, personal effects and other tangibles of like nature to be divided equally as practical between her children above named which has been done to the satisfaction of all parties in interest hereto and with the residue of her property to go equally to her children above named. B. The Parties hereto desire and agree to finally and permanently settle their respective interests in the Estate of Naomi E. Stauffer without the formalities of filing of a First and Final Account and the Adjudication thereof and have distributed to themselves their respective shares in the assets of the said Estate as hereinafter set forth. 9. The Parties hereto being all of the persons named in the Last will and Testament of Naomi E. Stauffer do hereby agree that the distribution of the net assets of the Estate of Naomi E. Stauffer shall be distributed equally between them as set forth in said Will. 10. C. Michael Frank, is retaining the sum of Two Thousand Five Hundred Fifty Dollars and 00/100 ($2,550.00 in escrow for the payment of any bills that may hereafter be presented including inheritance and income taxes hereafter determined and with any unused funds to be distributed equally between the Parties in interest hereto at a later date. :" ~~ .. .. ASSETS I First Federal of Harrisburg - Acct I 0256147739 Intsrest Dauphin Deposit Bank & Trust Co. - C.D. Interest Dauphin Deposit Bank & Trust Co. - Checking Interest $15,000.00 1.91 10,000.00 30.58 9,228.62 3.76 Dauphin Deposit Bank & Trust Co. - Passbook Savings Interest 10,000.00 16.10 111.30 127.20 16.25 17.79 33.00 Refund - Wayne Myers - Auctioneer - Furniture Refund - Blue Cross & Blue Shield Refund - TV Host Refund - Sammons Cable Refund - Donegal Insurance Co. Refund - P.P. & L. 25.33 Refund - General Accident 47.00 445.00 Refund - Summerdale Apartment Dauphin Deposit Bank & Trust Co. - C.D. Interest Dauphin Deposit Bank & Trust Co. - C.D. Interest 10,000.00 33.86 10,000.00 35.51 Dauphin Deposit Bank & Trust Co. - C.D. Interest 10,000.00 26.31 Refund - Bell Telephone Furniture 19.14 837.27 1993 - Chevrolet GEO TOTAL ASSETS 5,200.00 709.64 $81,965.57 Interest Income DEBTS I TOTAL DEBTS: $ 824.00 4,062.80 2,452.68 112.00 40.00 77.50 55.55 18.38 19.14 3.19 100.00 15.00 10.00 14.00 40.00 8.00 4,404.24 2.500.00 $14,756.48 sullivan Funeral Home Administrative Costs Attorney Fees Probate Fees Cumberland Law Journal - Advertise Estate The Sentinel - Advertise Estate P.P. & L. - Electricity Account Sammons - TV Account Bell Telephone - Account Bell Telephone - Account Claude E. Wolf Associates - Appraisal Register of Wills - File Inheritance Tax Return Register of wills - File Inventory Register of wills - Releases Recorder of Deeds - Record Family Agreement Cheryl Wilday - Notary Inheritance Tax Reserved for all tax and other claims - any balance to be distributed at a later date . RBCAPITULATION: TOTAL FOR DISTRIBUTION $81,965.57 14.756.48 $67,209.09 Total Assets: Less Total Debts: SCHEDULE OF DISTRIBUTION: BALANCB FOR DISTRIBUTION $67,209.09 KARBN L. SOLOBY 2521 Boas street Harrisburg, PA 17013 In Kind - Furniture In Cash $ 554.00 10,647.52 BONNIE A. FARLING 119 East Dauphin street Enola, PA 17025 In Kind - Jewelry In Cash 170.00 11,031.52 STBDMAN P. STAUFFER 242 So. Enola Drive Apt. 2C - Enola, PA 17025 In Kind - picture In Cash 2.00 11,199.52 MARY BETH FRANK 197 Enola Street Enola, PA 17025 In Kind - Furniture In Kind - Geo Metro Automobile In Cash 93.00 5,200.00 5,908.51 SHARON L. CULHANE 400 State Road West Fairview, PA 17025 In Cash 11,201.51 LINDA DERACLBA 58 Ashford Drive Enola, PA 17025 In Cash TOTAL 11. 201. 51 $67,209.09 12. We and each of ue hereby accept, approve and agree that the said accounting of the assets, liabilities and Schedule of Distribution shall have the same force and effect as if a First and Final Account has been filed in the office of the Register of Wills of Cumberland County, Pennsylvania, by C. Michael Frank, the Executor with a propoeed Schedule of Distribution as if the said First and Final Account had been adjudicated and confirmed absolutely by the Court of Common Pleas of Cumberland County, Pennsylvania, orphans' Court Division, and the said Court approved the said Schedule of Distribution. 13. There are no liabilities of Naomi E. stauffer, deceaeed, known by the Parties hereto except those herein set forth; and in the event any legal .claims hereafter appear, the Parties hereto agree to refund to C. Michael Frank, on demand, or to any claimant pro rata any amount of the shares received or hereafter received in pursuance to this Agreement as may be necessary in the future to discharge any such liabilities not specifically listed herein of which we may hereafter receive notice. 14. We and each of us do hereby release the said C. Michael Frank, of and from any and all claims known or unknown to us which we have against the said Estate of Naomi E. stauffer and against the said C. Michael Frank, acting as herein set forth. 15. This is the entire agreement between the Parties hereto and shall be binding upon them, jointly and severally and their heirs and assigns. :: IN HITNESS HHEREOr, we, the Parties hereto, have hereunto set our hands and seals as of the day and year first above written. HITNt Cc'2f~- M ~ dJ tul'LJ-.-/ / ~ ' ,x'~6!.~, . ~ cdl tL M Y BETH FRANK ALL.w.d ':.a/;"7 , BONNIE A: FAR NG L;~-,,- ) 50h'lM f~-4./ LINDA DERACLEA 3,1;(.,-">,; .1-. /({Jkt-l' SHARON L. CULHANE J;J:;l~_ /), \)T:il- STEDMAN'P. STAUFFER ~.~~f~~ , I I i I . STATUS REPORT UNDER RULE 6.12 Name of Decedent I j1JA0I11; r 5' I.4U r,/;,d. Deathl /0-1- 9ij . C( 4- - 'tlt Lj Admin. No. Date of Will 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-captioned estatel 1. State ~ether administration of the estate is complete: Yes V No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete I 3. If the answer to No, 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No V . b, The separate Orphans' Court No. (if any) for the personal representative's account iSI , c. Did the personal representative sta>e an account informally to the parties in interest? Yes~ No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may~e ttached to this report. Date: q-l,o,CfL ( _rlh~ S.i: nacure U .,.,ROClf{J:r t }A.'!JEP-!:. Name (Please type or print) -' () u "\0 f!--\( fA fd:) o~5WGt\f!J1T(l1 II /.if) I~ Addr~~ I , Ilvl j) (7{7) 77~ ';- ?,L1,.3 Tel. No. '.0 ~~ ~... ., r .,,~ , ll_ f'. I I- :5 " ' ~~ illr.- o:~ ;1.) F ~_ :.:J UU Capacity: Personal Representative ~counsel for personal representative (MAH: rmU AH3)