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HomeMy WebLinkAbout94-00883 ,. ." \ I > ~ , "c ,_, _\i~;! . ~ ~, .If, '~'~ r ' ':: ',;~. ; ',"'; ".,. " <.' ~ . 'i ,; ~ J;.: " (:~},~;::- t~:; '" ".-t~.~ ~" p,',' \:..'\ ;, 'J'" .i, ~J I'ETITION FOlt I'HonATE 1I11t1 G!tANT OF LETTEItS .. _ c2l-:..'l~-gt 3 Ii.,""" "' .._Yj:'iln!t.Il.. Gettys Nil, "'.1<1 kll,;w/I II.' __ _.... .... ... 'III: _____._......... Ill'IlI"el III' Will. fur 11'e ___.__. _......, /)"(l'.,,,'rI. ('lIl1l1ly ur ..~L.!!..~___ III Slid." Sr'I'/Iril)' Nil. _.197-..01::-512B .. t'IIIl1Il1I1I1Wellllh ur l'ellll.ylvlIlIllI The I'ellllllll ur Ihe IIl\llelSllllle" le'I'.-\:IIIIII)' 1l'I"ewlIl, ,hili: YUill I'ellllllllel(~), whll hlllle 1M )'ell" IIll1gC lit III"CI IIl1lhc cxccIIL2.J;Lrix IlIlhe ""I will III' Ihe IIlmve "ecl'''elll. tllllctI ._ _.S~pt.~t"..2_..__ nlld el~ dnled ----.-...-.-..........--- Ihe ... 1I0011Cd .19-81- ~ -.-.---- ---_.-_.~._-~----- ~/' ." I V ~-.-._---------_._-- C\lnlC' IrlC\'nlll d";Il111\II1I1U'\, r.ll. IClllllldnllull, deAth ur c\tClllur, elc.} Decelldelll WII. dllmleiled III delllh 111...__ ~land I. is _III~I rllllllly or 1'lllIcll'nllC~ldellCC III _],00 Mt. J\11en Pennsylvania p055 ---....---.--.-. (Ii" \lIrl.'l. 1I1111lhl'1 AlIlllllllllth'nlll)') ClIlllllY. Pellllsylvnlllo, wllh Drive. Mechanicsbura. DecelldclIl. Ihell-1!.~_. YClIIS III' III1C. dlell___Q;;,1;9Wr 11 . 19 94 ol--Mell.sia1L\1illage__.... ... -...-.-...--.-----.-. ' Excepllls rnllnws. decclklll did 11I1111I1111 )', WII. IInl dlvnlccd IIt1ll did IInl hove n child blllnnr IIdn"led IIftel execllllllllnr Ihe will uflelcd fur I'lnhllle; WI" lIullhe vlclllllnr n kllllllg nlld \Vos lIever ndJlldlcnlcd IIICOl1lpelellt: -......... ..-..-...... .... lJecclldellllll delllh nWlled IlIn"clly wllh e~lllIlIlIell mllles liS lullnws: (II' dllmicllcd III I'll.) All pCISnllllll'llIl'CllY (lr 1I0ldol1llelled IIII'll.) l'elSnllllll'IlIl'e,lY III I'clIlI~ylvlIIIIII (II' lIuldul1llclled IlIl'n,) PCISlllllllllln"ellY 111 ClllIlIlY Vnllle or Icnl eslnle III PCllllsylvlIlIl1I sltunled ns rollows: S less than $100.000.00 S S S WIIElUlFORIl. I'ellllllllel(s) rC'l'cclfllll)' IClI"C,I(.) IlIe 111nllll\e or Ihe Insl will olld~) plescllled helewllh nlllllhe IIlnlllof Icllc"____tE!!3~.!I~ (1t'\lnlIlCI'IIII~': Admlnl\t,nllnn c.l.n.: Admlnlstrntlun d,b.n.c.t.R.) lhelllll, (3~~a.~&'4.~ Florence J. Hertzler/Reese '-.me-iITIson Avenue ~~~"MeChanicsburq. PA 17055 ....._..t1.l.7J....16.6::35.02 f;:( ::~H?!r:r_~:~d''''-'--' ~Lb N. LeWl~~ry I~ Mechanicsbui9J~~-=-i7b55::.~=_~ . ( 717l 766- ;3.!.iBB_____........ .....__u t ~t 1J! t~ Vi _.__._^_.,~- ----~ OATil OF I'EHSONAL HEI'lmSENTATIVI~ COMMONWEALTII OIII'ENNS\'LVANIA l 9 COUNTY OJ! Cumberland J H. L- The pelltlnller(s) nbnve-lIl1l11ed swelll(') or 1I1f11111(') Ihnl Ihe 'InlclI'ellls in Ihe rOleglllllg "ellllon ole lIne olld cnrreelIn Ihe bc.1 nr Ihe kllnwlcdge 1111I1 hellef nr I'ellllnller(s) nlld Ihnl ns l'erSlIllllllepresell- Inllvc(s) or Ihe IIbllve dece"ellll'elillnller(s) will well(~lId hilly IIdmill1slellhe eslllle ncclIIdlllg 10 Inw. ~ Swomln lIr IIffllllle"1~~~ Sllbm~lhe".. c;J~~/_ /I./...""~ dt~/. J~'___ be rille lIIe Ihi. . dll)' I' ~~. Rd. on Avenue 7. ~ O~T~ER --W'v _. Mechanicsburg. P1\ 1705e; Mec csburg, PA 17055 1'""~' c~r!..a.,j:'u~...m' . '(1.11L7.66::35BB (717) ~66-3502 MAR . LEWIS /lI'n/.II"" ':I.'}f___. :E: 1'-1.-.91../1-(0 . (j Nil. I 21 - 94 _ BB 3 K'llulc IIr FR/INl< n. GE'1'l'YS , I)cccuscd DEClmE OF l'IwnATE ANI) GnANT OI~ L1~rl'E1{S AND NOW OCTOBER 19, 19-2.L. III conslllelntlon of the petition on lhe reverse side hCleof, sallsfoelOlY 11111111' hovl1l8 bcell 11Iesclltell before me. IT IS DI.!CRI!I.!D Ihnllhe IlIslllllllelll(s) doled SEPTEMBER 2. 19B7 lIescllbelllhelelll be ollmllled 10 plobnle llllll fIIcd of record os the last will or FRANK B. GETTYS TESTAMENTARY EARL W.HERTZLER and FLORENCE J. HERTZLER/REESE onll Lellers ale heleby 81anlelllo , I'I.!I!S I'lobnle, Lellen, I.!le. ".""" $ 200.00 Sholl Celllflcoles( 3) . , . . . . . . '. 5----9....00_ ~n~"clatlllll .,.,..,.,....... $ - ages $ 9.00 JCP 5.00- TOTAl 5 , OCTOBER 191994 223.00- Filet! . .t............ to, .'... It' ....... .t. ,iK/)' q('h /j). ~~ ( ".' if~....n 'U-' t Jr yt<_ttr . ~"I.I.r 01 Will. ~RJ::C~~/rN. Charles E. Shields. III. Esauire #38513 ^,,'IURNIlY (SUp, 1:1, 1,1>. No,) Mellon 13ank Building 2 ~1. Main Street. MecMnicRhllrq. Pll 17055 AI>I>HBSS (717) 766-0209 PIIONIl 1.-;: ;-\ ud Mailed letters and order to attorney on 10-19-94. , I 1 , l' ( ! i , I This h 10 n:nil)' Ih.11 IIll' illlllflll;ldull ht'll' ,L:i\l'll ... Ulllt'\ II)" t 11111(',11111111 .111 Pl'i~~lll.d n'lIifii..i1l' or 1lt',IIII \Iul)' fill-II willi lilt' ilS l.oc.i1lh'gj'tll.lr Till' 01 i.~ill.11 I l'lIJ1il,I!t' willlw IIlI'W,lIdt.\1III l!lt' SI,lh' Vil,1I Hn.uld't (Hlill' lor pl'llll.lIll"1l1 H1illJ..:. WARNING: It Is IlIegolto duplicate thIs copy by photostat or photogroph. Fn' (ur Ihb H'l'lilif,lIl.'. Sl.OO -R~u.""w~ ~~:IISu~._ I.olill ~::iM"'lr r-~_ni 2489117 {2Cf,.,/u...l.'.U(.IH:I____ ),11(" Nu. Il.DtIU,," ,.It COUMONWEAllH OF PEHNaYL\/ANIA. DiPAA'MENr O'HEALfH. VITAL RECORDS CERTIFICATE OF DEATH ",........, . HNiI......Nf ."'o. ...... 01 (It" .........h. I Frank 8. 6Glll...._.. "' . Hale '" _liL _0 ::::"0 """" ""- ...."".......c.....-.I ,~9 ,'. " 114 .,--:..~-=-.:::;x:T Iii Warehouse Clerk c.ct....,........H:lAIlOI'llI..eso...tolt"-_,..CuoIoI .....w:.__'1'~ --.. Wfdower -- ----- ... ......f.e.nnulytn14 ,,.G1..._........ Doer en owns I~C".._ _~RmberJan!! ... - -.. --, 1,..0 ::...-.::::..:::.. ual....".""'...'.....,............_.. ) 100 Mt. Allen Drive ,~ech.nlcsbur PA 17055 '1lII1lll'_"..""'UooU.. ~"ii~.m.'i..~~l Gettvs E.rl lIertl!er ........""'""'" g~ni1iWi.l~ - _~I c.-..ll_..._....ll ......"..._. ~~_1.I "":~~_." ".=-" .. .:;:;:::;;::;::-,,11 It.ll't1bor.-u...1U4 UilI\Iol 11<41 ,,--.c::"'ull to ua......_..II _. '",-CJL~t!.- --'\I - ......--.,. ...........'7"".....-.;..-;;.....,...._.. ......-. ..-..-..- "" ...r_/~ r/. /. .....,.-..- ~_ ~(kli_{ - 1"--__.., ~ii~". ..--..-- 01 ,'3tJ 111. ... If) ........--_....____lhI ....n....._......_-;i.....~ -.....- llllll....._._...fMIl... __ 1--- '--'-iNo",,,,,,""...4~~...-/--....._.._.:-;; r /-J--/ ,.---- _.uu.-tOiiiiA,&iI.....~l~~.!./-._L~t'..! !}frfl'!I&.t'9,LL&kKLL; : AP. . ----Oi... rU,i."Aji~.,U.-llo-:;rt!';l /ttll/&L . -.-~~ -- -.- -- +--.:!;U . . - _...1___ ",.uuuftii,,- WI~'''.C , _II OIA'" 0Al.0lI....""'" '....01__' ""'~UI ....,...~k) ._..111'_1 r-'-lI'IllI'IOl'I;.&u\l 1{ 1 CWOtNto' _01 '.......... J ......... r ......,,_......._ '-I ........ n c-,...U"_"4"" [J ~ii:#.;w..,;",......-...~...~....'" .........-",..... .. OIlC1UMlooro-..JUII'~O '1 MA ~~I' ~ .." _ 516 Nnrth I ewtsber...v ~1ClI'l".......~c:.--. ....- Sl.te IIfll Cerneter ot.WI'IID u "' Vel" n....S.tr.l:!r!t. UC''''M,,"-,-II 17011 i&,b Carn 11\~ PA ... 11I'4 tJ .. ... -. __,NlfIoO'lII' I & J _ CJ ...n .ttt....- __'_' 1It.-_. \UCAlICll'lI~_ """'-'-.. * 1O_\>OlI.woollllIOfU."I!""'~~ ."._ ..,,~ _ ..~'" /11S 'lC''''M~II . 0 ~ [/ ",.I!'~. eY~~/I". ~_...... .,,-_.t" , V OWOlu.oAClC.llOl"Uf"'"~-otouro.. IDCAUIIOI .lito / '1IIOfCA'..-'.....U'CUllotllll ,..".1\',......... ~.J1""'''IlJ 7~~tk"l/PitJ ~ ~-;;~;::::::;..==~:...~~~':'.:.:'..~::~..:::~~~~~,.'''.:.::~'~I~':' IJ !1ITOjo=.........;;t.i..(-,i:;.r N. r - " ULJ"Ld.W._~tc/1cJ.!..&F} U1II.21.....u .. c robe"'- If1/9 *)4, ...u ...[J ... '" .. UII'i...II.U....."'.... -.--,.---- 'C:II"",_ ""11lQA1Il~",,, ...'."...,'...... ."..'...... .......... ..".... I......... .....' ."".'0-+_"'" r....-..................___....._Of__..'_ . .'____AHl.IU.,.._"'lklUt.U'......h"".........,..,..."................. .....',...., ,....._...,.................._........._,_._,.... --.............,-..-........ -. p .. -:;:~::11~.'2:"It~\~::'F~{J~j~,l~~:,:~:-\~:';~~~ti~~~-~~~~i?~t,,0~~!~~~--' ; "~~':;.- .,'',;f:-'''''j;'\>C' , t \ 21 - 94 - 883 t , r-~. - . ~~. n _-? <> .",- HO - (J:, . .--'> (i\ t,.,_ -J <!' ',,-1 ;-; Gu , . " . , " LAST WILL AND T~STANEtlT OF FRAI.UL~-,-.gJ~T.T.Y2 I' ".' ':1\ ~ ~1' ; .t !~. :1, ~S i y, ! ~, ,1::-; fi; ',.r.. ~:( {t, I, FRANK B. GETTYS, of tho Borouqh of Mechanicsburq, County of Cumberland, and State of Ponnsy1vania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all former wills by me at any time heretofore made, 1. I direct the payment of all my just debts and funeral expenses as soon as conveniently may be after my decease. 2. , :~' ft. \. ~:: !(, " ~. :~ ...- S -.t'- ~ ~ ~. I: t All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give, devise and bequeath to my beloved wife, Nargretta B. Gettys, to her own use and benefit absolutely. 3, In the event, however, that my said wife shOUld predecease ',~.: ~ i\ f i ~.. ? >::- ~ ;:.! me, or should die at about the same time as I die, such as in a disaster common to both of us, I direct that the following disposition of my Estate be made: (a) Any articles. such as dishes and the furniture i l , which have a name either written thereon or pasted on with paper, shall be given to the persons whose names appear thereon. (b) I give and bequeath the sum of Two Thousand Five Hundred ($2.500.00) Dollars to the Slate Hill " Mennonite Church, R.D, #3, Mechanicsburq. Pennsylvania. (c) I give and bequeath the sum of Two Thousand Five Hundred ($2,500.00) Dollars to the Salem (Strayer's) Lutheran Church, Dover. R.D. #2. York County, Pennsylvania. (d) The remaininq balance or residue of my Estate shall be divided equally among my nieces and nephews: Earl W. Hertzler. currently of Bowmansdale; Florence Jane -1- HDrtzlD~. currently I/(m.: Thornton, currently of H[~hanicsburq: Emma Jane of Hochanicsbura; James N. Hertzler currently of Kinzer, Pennsylvania; Edno Hae Litwiller currently of Scotda1e, Pennsylvania and Donald E. Hertzler, currently of West Liberty, Ohio. Should any of the above-named nieces and nephews predecease me then their share is to be divided equally amonq their issue. 4. I nominate, constitute and appoint my wife, Hararetta B. Gettys, to be the Executrix of this my Last Will and Testament. If she should predecease me, or for any other reason be unable to act as such Executrix, I appoint my nephew. Earl W. Hertzler, and my niece, Florence J. Hertz1e~, to be the Executors in her place ~u~e and stead. If both of them should predecease me, or for any other reason be unable to act as Executors, I appoint the First Bank and Trust Company of Mechanicsburg to be the Executor in their place and stead. I further direct that none of them shall be required to file bond or other security in the Office of the Register of Wills for the purpose of administering my Estate. 5. I authorize and empower my personal representative. in her sole and absolute discretion, to purchase or otherwise acquire and retain any investments of Which I die seized. or any real or personal property of any nature; to sell, lease, pledge. mortgage. transfer, exchange, dispose of. or grant options in regard to any or all property of any kind forming a part of my Estate for such terms and such prices as she may deem advisable; to borrow money for any purposes connected with the protection and preservation of my Estate; to mortgage or pledge any real or personal property forminq a part of my Estate. or to join in or secure the partition of same; to compromise any claims or demands of my Estate aaainst others or of others against my Estate; to make distribution in kind and to cause any share to be composed of cash, property in undivided fractional shares in property different in kind from any other share: and to execute and -2- ,. such instruments ao may be necessary to carry out any of these powers. IN WITNESS WHEREOF, I have hereunto set my hand and seal this :;lI.d day of September. A.D. 1987. ~ '71 Jlvt'vyt./! P3 I ~,t;z.,t'ftJ (SEAL) Signed. sealed, pUblished and declared by the above-named FRANK B. GETTYS, as and for his Last will and Testament. in the presence of us. who have hereunto subscribed our names at his request as witnesses thereto, in the presence of the eaid Testator and of each other. Jt4'1L' (!>. Jt:r.W -,I Edj d /,,+ j, t2, a'J> ./.1 .' "i- ''',_ oj -3- " . .' COMNONWEALTH OF PENNSYLVANIA: 55. COUNTY OF CU11BERLAND I, FRANK B. GETTYS, Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledQe that I signed and executed the instrument as my Last Will: that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein expressed. ,,-;- -J;.-1,("I1~A I). /~j."U{j,/fJ.' Sworn or affirmed to and Testator this ~IlJ acknowledged before day of ~f(llllbe... me by the above . A.D. 1987. 1/uudtJJ) ~. .~t..d(d.u .ill Notary Public fj:JlMl'I ?UULlC Mnh:micslHr:., r.\ C\I;n'i!flp'lld CoJnt1 hlf COII,ml",cn upil.. Me 20, 1m COMMONWEALTH OF PENNSYLVANIA: 55. COUNTY OF CUMBERLAND We, ;rtJA)~ B. .5'1I1t!i'lU' and ~/./ZIl-/Jt'Td /t, 0.'t<U~ , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw FRANK B. GETTYS. Testator, sign and execute the instrument as his Last Will; that FRANK B. GETTYS executed it as his free and voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of FRANK B. GETTYS, Testat~r, signed the Will as Ilitnesses; and that to the best of our knowledge, the Testator was at that time eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. ~~ Sworn or affirmed to day of 4iCi,tk.. and subscribed before me this ~II~I , A.D. 1987. eJ,u..!t..v E..:-x/d~~t'u:.I ~ Notary Public " """ L .. '"",.,. 'L' ",' r,-,,:, . :. '-..'" L: .,.;: ..I '. ,r, '~'1'j '-, I, [,OTi.\'( PLH1"t" MJCh'''::;iOJI' !JO ,'1 I, ,,-\ ....:.").ru.:fCiJJ III Mj Co;;Wi::'~II;'1 u(r~.: Juno 20. J9&I ;.- Q .~ ~ ~.... . ~. ..~' , .' ...' t.,-'- -. ~ , .. J- . ".. .-,.~ -. , I . 1Zl. ~ ...... 'f ._~----' .' , .'t',' '-\-:,> " '-.', ,,'~, ~ ~~ ---'-..,.......,.............-.- --::-:"""' ,..J ~- r" ". e: CERTIFICATION OF NOTICE UNDlilt RULE 5,6(n) Nnme of Deccdent: Frnnk 0, GClIys Dnlc of Dcnlh: October II, 1994 Will No. rJ/-qJ/ -J7.f3 Admin, No. TO 'mE REGISTER: I cenify lhnl notlcc of bcncOclnl inlcresl required by Rule 5.6(n) of lhe OrphWls' Coun Rules wns served on or mijilcd 10 the following beneOclnries of Ihe nbove.cnplloncd eslnte on O~'o, r 31 Iqq..., : , ~ Addrcss Slnle Hill Mcnnonlte Chureh Salem LUlheran Church Earl W. Henzler Florence Jnne HenzIerlReesc Emmn Jnne TIlomton James N. Henzler Ednn Mne Litwiller Donnld E. Henzlcr 1352 Slnlc HlII Rond. Cnmp HlII, PA 1701 I 2705 W. Cnnnl Road, Dovcr, PA 17315 516 N, Lcwisberry Rond. Mcchnnicsburg, PA 17055 40R Alison Avenuc, Mechnnicsburg. PA 17055 612 Wingen Drive, Mechnnicsburg, PA 17055 4893 Newport Road, Kinzer, PA 17535 1105 Loucks Avenue, Scollsdnle, PA 15683 20R Lindcn Slreet, WCSl LiberlY, Ohio 43357 Notice hns now been glvcnlo nil persons elllhlcd lhcrelo under Rule 5.6(0) excepl_NDNE... Dnle: II~/- '1" . --... ~E'.~d~ CHARLnS E. SHIELDS, III Mcllon (]nnk Dldg" 2 W. Moln Sl. Mcchnnlcsburg, PA 17055 Telcphone: (717) 766-0209 Counsel for Personol Represenlntlve Lr-j -. I ;O'.j I~ --; :.) ClO ". . .., " ., <( CERTIFICATION OF NOTICE UNDER RUllI 5.6(u) NUlIle of Deccllent: Fmnk LJ. GCllys Dnte of Denlh: Oclobcr II, 1994 WlII No. Admin. Nu. .J/ qt/ - 0 ~~3 TO THfi REGISTER: I certify that notice of bcneliclnlinlcrcst rel(ulrcllby Rule 5.6(n) of the OJphnns' Court Rules wns sClVell on or mnllclllu thc folluwing bcneliciuries of the nlJovc-cnplloncll estnte on r::>a.h.bi/";:1.( IqQ~/_: I :t ~ Address Slote Hili Mcnnolllte Church Sulelll Luthcmn Church Earl W. Hertzlcr Florence Jnne Hertzler/Reese EIIUlln Jnne '11lonllun Jnmes N. Hcrtzlcr Ednn Mne Litwillcr Donald E. Henzlcr 1352 Slnle I IlII Rund. COlllJlllIIl, I'A 17011 2705 W. Cnnnl Ronll, Duvcr,l'A 17315 516 N. Lcwlsbcny Rond, Mechnnlcsburg, PA 17055 40K Allsun Avenuc, Mcchnnlcsburg, PA 17055 612 Wlllgert Drive, Mechnnlcsburg.l'A 17055 4893 Newpurt Rond, Klnzer,l'A 17535 1105 Loucks Avenue, Scottsdale, PA 15683 208 Linden Street, West Liberty, Ohio 43357 Notice hos now been glventu 011 persons entltlclltherelo unller Rule 5.6(n) except WCl~~ I I i I Dnte: II-;If,ff/ CI'I{f/~~~~ Mellon Bnnk Bldg., 2 W. Maln St. Mechnnlcsburg, PA 17055 Telephone: (717) 766-0209 Counsel for Persunnl Represenlntive I' ,...) t " ;1 .,1 >'1, j. ,Ie, "C. '4' ~i~ COMMottWfAl1U or 'ruU~VlVAUIA OlPARlMUII o. A\VIHUI Of" AO IlAUIUUItO, ~A 'f, U 0&01 1lI( D U ' flAM I IIASf. f1UI, AfIl;~;VIlH lI'i'I~1I 11I-'?-lf /-(, INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILIlD IN DUPLICATE WlTli REGISTER OF WILLS) fOR DATlS Of DEATIt A"ER 12/31/91 CHECK HER I If ^ SPOUSAL ... POVIRIY CREDIr IS CLAIMED LJ fiiiiiui.iiij--- 21 IIlV.ISOO u.. l,q", 20. If line 19 II o,eal., thon line 18. enter Ihe djff,uence on lIno 20. fhil I,lh. OVERPAYMENT. elO 21. If L1na 18 I, o,eal., Ihan line 19, enl.r th, diU.,ence on line 21. Thl, II ,he TAX DUE. A. Enle, Ih. Inl.,..t on Ih. balance doe on Line 21 A. B. Enlll ,ho 10101 olllno 21 ond 21 A on lIno 21 B, Thl. " Iho BALANCE DUE, Moh Chick Payabl. tal Reght.,. of Will" Ag.nt ___.. >- >- BE SURE TO AN~~~,!.~LL .'lUE5.TlONS ON REVERSE SIDE AND TO RECHECK MATH -< -< _ Under pOllolllc" of perjury. I declor. Ihall tmve uomlnfld Illh ,elurn, llltluding accompanying "hlldulo, and ,lolemen'l, and to Ih. h." of my knowledge and beliflt It I. !rue, catted and eomplele, I d.c1ole Ihol 011 real ellole 1'0' been reporled allrue mUlkel 'tolue. Oeclo,olion 01 preporer olher Ihan Ihe p,,.onal r'prlllntoU'te i ba..d on alllnlormotlon of which prtparer 1101 any ~nowl'c!.Q"' '1.1 C_~L~LJ~ AIU/lf Of l ~ f N~ V. ~f~\~~ ruu~ AUOllUt;-r--C llJ:rIa-c:;-;~rr~~ DATE 1/-1/' __ .___...'10 c2 c...J, mai" Sf, Il1~Mic.:;,/;j)L'1. flil/70.ss 4//tJ!QS ilo r ,,,,.riAllfll (,,~'.t.U~IA~'VI._ "llllJll\!O -r- /~ DATE' ~____.__<L.0!.:.. If ktjfl~.L{tl}!dJQ!J/~r.$...hj)1lI117~ 1jlojQS' ~ ..::5tl ~1E9 ,",co u"'.. ll: ... lillii "'co "'z B~ ...Q~l.2'Y~d'l~l{ n. ,oc,.,$I(U"," I<UM'lO -riAii oj iliAh,-" "'T'Aii ell ii,,,,--' ...- I" ~~;~?,?";:.~,~A~;;U.ii;ii.i'iiii'ii;"'" JRI~';i,~~~41'Ol'.' ;?i;J,i;~?u~!a,.. e9 1. Original R.lurn rJ 2. Supplemental Relurn o 4. lImll.d Ellol. I] 40. fulure Inlerllt Compromlur Ifor dole. of dealt. ofter 12.12.82) 6{1 6. Oec,denl Died Tellale I" 7. Ollcr'denl Malnlalnlld 0 living Trull (Allacl1 copy 01 Will) _ (Allnch copy of T,ulll ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO..! "AMI jCOMPU II MAllttlO ADDml 0 c-, c: \{l Charles E. Shields, III 2 W. /obin Street? if. '.11 '"!PIIOIOI IIUMIIO .....-1 'b .\. 170cr, 717 I 766-0209 ,......... mn1CS urg, I'll :)?,,~ I. Rool E,I.'o (Schodulo AI 2, S'ock. .nd Bond. ISchodulo BI 3. Clollly Held Stoc~/Poftn.,.hlp Inlere.' (Schedule q 4. Morlgag'. and Nol.. Receivable (Sehodule DI S. COII1, Bonk Depollll & Mllelllon.ou. Perianal Properly (Slhodulo E) 6. Jolnlly Ownld Prop.rty 15eh.dule F) 7, T'."''''ISchodulo GIISchoduloll 8. Tolol Grall An.h (tolollln.. 1.71 9. Funeral EJlpen..., Admlnhlrollv. Co.II, Mllulloneou. hpen... ISthedul. Ii) 10. D.bh, Morlgag. lIabllitl.s, Uen. (Scl1edule II 11. Tolal Oeductlons (total line. 9 & 101 12. Nel Value of Eslal. (line 8 mlnu. Line 111 13. Charltabl. and Governmenlal Bequluh (Schedule J) 14. Nel Value Sublecllo To", (line 12 mlnu.Une 131 15. Spoulollran,fe" tfor dol.. a' deall1 after 6.30.94) See In.lrutllon, lor Ar,pllcoble Percentage on Rnvene Sldl. (In dude yalulI rom Schedulo K or Schedule M.I 16. Amount of line 14 10 Koble 01 6% '01. (lndudo valu., from Schedule K or Schodulo M.I 17. Amounl of line 14 lakcble 01 ISIlt. rule (Indude volu.. from Schedule K or Schedule M.) 18. Principal 10'" duelAdd 10'" from line. 15, 16 and 17.1 19. C"dill Spoulol Poverty Credit Prior Paymenh OilCounl NONE + _$J?,J!_2~...!l~ __$J!7.5" OJL Iii fil ~ co z co 5 g ~ '" z S i'! ie :II co u ~ 0- COUIHY COUE ift lI'l~j I;':' li:;,.mliFiiffi.i\, 94 YEAR 083 NUMBII 100 Nt. ^llen Ddvc (Upper Mien '1\01 McchnnlcAbunJ, I'^ 17055 (."I'ij,~;~I~tR~;hlmlij';i'i;(j'Ojj;j--'--'-" . [) 3. R.malnder RIlurn . (for dole. of dlall1 prior 10 12-13.81 rJ 5. Federal hlal. TOA R.1Ur" R.qulfld -1. 8, Tolol Numb.r of Safe Olpolll Bou. _u :1.J r.J <:t' ~. ~ , ~. ., (1)_0 121_-0 (3) 0 (4) _ 0 (5 I .$],29,.155. 73 ~ - . "'1 - '" -uc: Vi ~;. )>;.1 ~ (6) 171 o o I B) ..Jl~ 155. 73 (9) .$-18.,.622..26 (10) i.....1,.897. 98 (111 ~ 23,520.24 (12) $105,635.49 1131 -$ 5.000.00 11~ $100,635.49 NONE NONE )(.~.. 115) NONE (161_______M 1171 .$1.Q!l,.63.~,.1.9____M .06. NONE $ 15,095.32 .15. liB) _U5,.Q95.32 Inlere.1 119) ---L!3..,J00.00 (20) 0 Choe~ hero If you aro ,equosllng a rofund of your overpayment. (21) $ 1,595.32 121A) 0 121B) _$.-l,.5.25...J2 Act #48 of 1994 provide. for the reduction of tho tax rate. Impo.ed an the net value of frande,. to or for the u.e of the .pou.e. The rate. a. pre.crlbod by the .tatute will bel · 3% (.03) will b. applicable for o.tat.. of d.codent. dyIng an or aft.r 7/1/94 and before 1/1/96 · 2% (.02) will b. applicable for e.tate. of dec.denll dying an or after 1/1/96 and before 1/1/97 · 1% (.01) will be applicable for e.tate. of decedent. dying an or after 1/1/97 and before 1/1/98 · Spou.al tran.fer. occurring on or after 1/1/98 will be exompt from Inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS. IS 0 1. Old decedent make a transfer and: o. retain the use or Income of the property transferred, ....................................................... x b. retain Ihe right to deslgnale who shall use the property Iransferred or Its Income, ............... x c. retain a reversionary Interest; or .................................................111............................... x d, receive the promise for life of either paymenls, benefits or careV ....................................... 2. If death occu"e'3 on or before December 12, 1982, did decedent within two years preceding deoth transfer property wilhout receiving adequale conslderatlonV If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration'. .... ..... ............ to...........to.... H..... to .to...... ............ It ........ ....... It It....... x x x 3. Old decedent own an 'In trust for' bank account 01 his or her death"'.................................... x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. uv.150....IJ.l7J ESTATE OF ,. * SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY COMMONWEAUft OF PENNSYlVANIA INftUnANCI 'AX ...UIN IUIDINY DleIDIN' , ' Pleo.e Pd"1 or Type FilE NUMBER tAli prop.rty lolnlly-own.d wllh the RIght of Survlvonhlp mu.t be dlnto..d on Sch.dul. ') ITEM NUMBER 1. DESCRIPTION JlSSORTED COINS FRCM SAFE DEPOSl'r IJOX, etc. (see Inventory and !\ppraisa1 Sheet prepared by D. & S. Coins attached hereto) . 3. 2. INVENTORY OF PERSCWIL ITEMS 1\T MESSIl\II VILLl\GE 4. 5. 6. 7. 8. 9. CERTIFICI\'l'ES OF DEPOSIT 1\T PNC BlINK, N. 1\. a.) # 0463270173201 b.) TIcer. into to d.o.d. c.) # 0463240184051 d.) TIcer. into to d.o.d. e.) # 0463270184333 f.) l\ccr. into to d.o.d. g.) # 0463270184390 h.) TIcer. into to d.o.d. i.) # 1123270158213 j.) l\ccr. into to d.o.d. k.) # 1123270158238 1.) TIcer. into to d.o.d. m.) # 1153220015550 n.) TIcer. into to d.o.d. Checking l\cct. # 5070079781 l\ccr. into to d.o.d. on Item 4 Cl\PITAL BWE CROSS REEUND CSRS Survivor's l\nnuity paynent 1Idjustrrents to valuation of Item 1 brought about by private auction sale among beneficiaries 1Idjustrrents to valuation of Item 2 brought about by private auction sale among beneficiaries tAllach additIonal 8Yt" )( II" ,h..I' If more 'pac. II n..d.d,l VALUE AT DATE OF DEATH $ 313.55 $10,000.00 $ 1.48 $25,000.00 $ 69.44 $10,000.00 $ 19.56 $20,000.00 $ 32.87 $25,000.00 $ 77.40 $10,000.00 $ 35.97 $10,000.00 $ 10.82 $17,457.16 $ 21. 57 $ 186.40 $ 402.60 $ 9.72 $ 517.19 S 129,155.73 I, FURNITURE USTlNG Telephone Slend wllh 4 drawers Gray Recliner Melal BedsIde Lamp 1 Blue Telephone 1 Chest 01 Drawers 1 Desk 1 Rocking Chair, Cain Sealed 1 T.V. (old) 1 End Table 1 Hassock 2 Floor Lamps Mantel Clock $ 4,00 $ 12.00 $ 1.00 $ 2.60 $ 26.00 $ 36.00 $ 20,00 $ 26.00 $ 6.00 $ 6,00 $ 12.60 S; 3,00 Tolal $161.00 ," .,' {~)". 1)'ld0.3 I'NO ".uk, N.^. .1:N2 (~ull,h'I'lkt. (~1I111' IIIII,I'^ 171111 I>NClBANK November J, 1994 Charles E. Shields III Mellon Bank Bulldln9 2 West Main Street Mechanlcsburg, PA 17055 RE: Frank B. Gettys Date of Death: October 11, 1994 Social Security No.: 197-07-5128 Dear Mr. Shields: As per your request for Information on accounts the above referenced decedent held with us, the Information 15 as follows: - Certificate of Deposit Account No.0463270173201 opened 8-11-93 In the name of Frank B. Gettys. Balance at date of death: $10,OOO.UU. Accured Interest: $1.48. - Certificate of Deposit Ilccount No. 046324U184U51 opened 3-22-93 In the name of Frank B. Gettys. Balance at date of death: $25,OOU.00. Accured Interest: $69.44. - Certificate of Oeposit Account No. 0463270184333 opened 6-28-93 In the name of Frank B. Gettys. Balance at date of death: $1O,UUU.UO. Accured Interest: $19.56. - Certificate of Ueposlt Account No. U46J27UIU43YU opened 7-JU-YJ In the name of Frank B. Gettys. Balance at date of death: $20,OOU.UU. Accured Interest: $32.U7. - Certificate of Deposit Account No. 112327015U213 opened 3-22-93 In the name of Frank D. Gettys. Dalance at date of death: $25,UUO.UO. Accured Interest: $77.40. - Certificate of Deposit Account No. 1123270158238 opened 6-18-93 In the name of Frank D. Gettys. Balance at date of death: $lU,OUO.OO. Accured Interest: $35.97. ~~.~;;;4j::,'~:t;t~.~,)'~~r?~;i~~~'t;>ii'~i',~;AY}"'Y'~:'""lliflo'L-~~(#~~~t~~,.......-,-,.~..-+-_.~-. .. ''''.'-'. ,."....- ~.. I'Ne 1I.lIk. N,^, 'I~'I~ 1l1l1l.h'I'lkl' Illllll,lllll, I'^ 17UII Page 2 PNClBANK Mr. Shields: - Certificate of Deposit Account No. 1153220015550 opened 1-2-U5 ill the names of Margetta B. Gettys, Frank U. Gettys. Balance at date of death: $10,000.00. Accured interest: $10.82. _ Checking Account No. 5070079781 opened 1-1-79 in the names of Frank B. Gettys, Margetta B. Gettys. Balance at date of death: $17,457.16. Accured interest: $21.57. Mr. Getty held a safe deposit box at our Messiah Vl1lage Office, Box , 5. If I can be of any further assistance, please do not hesitate to contact me at (717) 730-2313. Sincerely, ~9~'/ Drew J. Kishbaugh Assistant Vice President Bank Operations DJK/et ,.,.J..:.... .,,:.~_."' ',_. ,'r,." !f'+' ~ ;'''~''''''..\~;-<:.,....:. ..i".. _ T 11-,3- 'i'l Get / ;:eMN,v6- -I. ~.,,~ 'J3 'lfJ,'fI?lC, -- v\\r:,,~l', t"l \ ,)tV<..1 f=;+cE ..f;7.~ +J1..... '" .: '1:/1.,.0 '1,#1> - ~/"'''''' ~ ~p" L ~.s;- tv" 1, StMi1> PII-Gt:-rorA<.... , - t, eq..so " " .<',.. .j) {J{Jffl1('f// c1 I"" YP Y J'f' A e. IpS?"I'!" /I C IpS7 hiP? 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(9(,'( I' 1'1"'1 t. 19~'1 .' /9'1"- WIIJIIINO'lPN OI-eJ;/Irr/nlltlJ/lfl- :f 191~ " 1 K.. 1.' t: 1,1( 7 1f1" ., ~. 1'17" " 1'11(, " If7~ " If7' " ..... ! , ;. . ~ po ~,t1fJ. ~,xr NIC/CtEl-S, ~ (/'lo~ 11. ') IPn.. ,. ,. 19o5" 1'10(, ~/qo(;, :z.) l'foi' ~c.IW S I~II ~ { .e.tJ.-Lt-, ,. " I' ... " II' 11A6e l' '101lt{. .:::" 'I1'l,o~ " . ....- ~ r.ll l~\C.\:..Els ,.....l'.I, \'\~(" ~Fr:/ll." " ''\~1 r'l.J I. ./ ~ 10 X. '2S:::: .(.50 n.J. ,. {~!J ..J, ',. :). h..I, .. .. ~ 'l.cI, I' 11..1. f' n...I. .. f, 'l.J, f /.~-V ql<I\-/l.~R. > /.s-V. ,~-<!) nlmu.flY ;f :)S.Da P€1V{l/JE5 18"/7 I.I<6tm:ry 'r IS-'ll- /8"SlJ (?) ". /'117 t.INC.~L II I'I'/J /1'13 I 'ft./'Z.. ,qftJ " ., If 3. UO :rNJ>/ -I.,v fit!!1lPs J8i'l (? ) Itff' ,.. Ilfl. I ?o.:J (~.) l~.J (0:) ( ?) ( 1) ". 1P11/i..., Pn&€ :; '3o.11f) . " . .',- '.' _I~.a-u_ ). rI. 't''''''' . o-D +. .- /I -S~{ft.ll t,' . f'S I [ II If. utJ CIlN,\\)\I\ IJ 1'II",vJt(;S h (~) L{ , 0'( ./ 1'I~fl/j)li5tI!IIJr (J/'/) c;WI.v (~/.ftQ"l{' .fIll:) p,fGE ~.d ~ 7P'7A' a To (1II.5eEtI..,MaJllJ /ii"RF..t;i\J CVINS ~E-(!/tP"'UL.N- 17ptJ( f. I ... 1>/1? StJ ;J :: '7/.- o zz ~/?tJS' ".:: "30..... oS"'" If. trO Gr1A#~ 7P1At." ~31 $.SS" ~i-- D & B OOINS ' '1 22~ "III Blleol NIW OUIIlIlDllolIll, M 17070 , I(~~,q~f ' , ' ", " /. . " ESTATE OF FMNK B. GETTYS ITEM NUMBER A. Funeral Expen..., UY.ISIlU+I'.UI 1, 2. \ :'l c. ~'..:!. ,. .....~......... . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES Plea.e Print ar Type F LE NUMBER 21-94-883 COMMONWEAlTH Of PENNSVIVANIA INtlUIIANC( TAX RETURH RESIDENT CECEDENT DESCRIPTION AMOUNT MYERS FUNERAL HCME Baughman Memorials - grave inscription $5,232.38 $ 65.00 1. B. Administrative Ca.l" $3,228.89 2, 3. 4, Penanal Repre.entative Camml..lans Earl W. Hertzler (~ 1/2%) _ Social Securlly Number 01 Penanal Representative: 186 24 8567 Year Camml..lans paid 1995 Allarney Fee. Florence J. Hertzler/Reese (2 Charles E. Shields, III 204-26-9185 5% 100,000 4 % balance 1/2%) $3,228.89 $6,166.22 Family exemption Clalmanl NONE Addr... al Clalmanl at decedenl's dealh Slreel Addr... Relationship NOOE Clly SIal. Zip Code Prabat. F.es and short certificates $ 223.00 C. Mlleellaneaus Exponse.. 1, Additional probate fee $ 35.00 2. Additional short certificates $ 9.00 3, IIdvertising in Harrisburg Patriot Metro-West $ 52.38 4. Ad\'E!rtising in CUmberland law Journal $ 40.00 5, Filing 1\ccount (estirn.) $ 105.00 6. Filiilg.i,Inheritance'Tax RetUrn ".. ,," $ 15.00 7. Certified Mailing to Beneficiaries $ 16.50 e, Photocopies, mailing accounts, etc. to beneficiaries (estim.) $ 20.00 TOTAL IAlsa .nl.r an IIn. 9, R.capllulatian) S (If mare space Is needed, In,erl additional shee" of same size.) .. .........._-........--....__.~ Estate of FRl\NK B. GE'l'l'YS File Number 21-94-883 i ! ' I , 9. 10. II & R Block Preparation personal incarc tax return II & R Block Preparation fiduciary income \:ax return $ 60.00 $ 125.00 'fOl'AL (l\1so enter on line 9, Recapitulation) $18,622.26 .1 . ............. .'. "'_" -,.W~ . . .-.. .... ,-"~.- - -.~----...-.._..... ---~-_.-~...-.....-.:.- " , , '.' ....' ---.... - . . f.' . ,.' i ""JI"""", '*' . COMMQNWUUHOf PfNIUftVANIA IHHllllAHCllAXIUUIH IIIIDIHIDICIDINI SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS PI. a.. Prlnl ar T . iLE N MBER 21-94-883 ! j, , I I I I I I , ESTATE OP FMNK B. GmTYS ITEM NUMBER DESCRIPTION AMOUNT 1, 2. 3. 4. MESSIAH VILIlIGE (for Pharmacy & Nursing Care) MESSIAH VIUllGE (additional c1ose-out bill) I.R.S. personal incare taxes Pa. Dept. Revenue personal incorre taxes $3,408.10 $1,221.88 $ 248.00 $ 20.00 " TOTAL (AlIa .nl., on IIn. 10. R.cap"ul."an) (II more spoce Is n..d.d, Ins.rl oddilionol sh..ls 01 Jom. size.' $ 4,897.98 ..,>_.~,....,'.;.;.i:'..:~...u,; ,...; c~~;..'" ,,' N ....._-~._-...--.--- ~ ......- -, UV HUI.."", t!~ (OMMOt4WUUH 01 ,hUd\'lVANIA INHtlltAHCI r.. "'UIN 1"10114' DICIOIN' SCHEDULE J BENEFICIARIES ESTATE OF FIWIK B. GmTYS ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY A, Taaabl. S.quIIIIl 1. EARL. W. IIERTZLER 516 N. Iewisberry Rd., Mechanicsburg, PA 17055 2. FLORENCE JANE IIERTZLE!VREESE 408 Alison Ave., Mechanicsburg, PA 17055 3. EM>lA JANE THORN'lm 612 Wingert Dr., Mechanicsburg, PA 17055 4 . J1IMES N. IlERl'ZLER 4893 Newport Rd., Kinzer, PA 17535 5. EDNA MAE LI'lWILLER 1105 Loucks Ave., Scottsdale, PA 15683 6 . DC.W\ID E. IlERl'ZLER 208 Linden St., West Liberty, OH 43357 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY 8. Cho,llable and Governmenlal aequI.hl 1. SlATE IIILL MENNONITE CIlURCII 1352 Slate Hill Rd., Carrp Hill, PA 17011 SALEM IA1l'IlERAN CIlURCH 2705 W. Canal Rd., Dover, PA 17315 2. . , -~~-"---- . "'to.':;' ^",,:. FILE NUMBER 21-94-883 RELATIONSHIP AMOUNT OR SHARE OF ESTATE Nephew 1/6 Niece 1/6 Niece 1/6 Nephew 1/6 Niece 1/6 Newphew 1/6 AMOUNT OR SHARE OF ESTATE $2,500.00 $2,500.00 TOTAL CHARITABLE AND GOVERNMENTAL SEQUESTS IAha .nl.r an /in. 13. R.capllulallun) S (If more Ipace II n..d.d, Inl.rt addlllonal.h..11 af .am. Ill.) .~.--'\ "~',".<",,,,.c._', _....,......., fll'V ....~.I"IIC'.111 'Jr tl~l\llt. U. fJE'I"!'i'S 'II- '1"1.'1,"11' I 11,0:11 III t ',"'1"1111. "'''lilt V 1'1111",.'....011, h..t"'1 "1 ""nll,loud 1. H',\1I1' I' .:rn.I.... -I of ':\lI"I'r.!1 I ,lilt!. ,wi ~t II' ., ,li !J1'1'''':i 11'1 ",111'1. .... ",' '1,1 rl',e I "r" tit! '" I. I, .. 't' I." I 'I'" ,.., "H' 11'1'1. .1.. ,,,,b. 1'"ltll"h 1111'1 1"1"',' 11;,\,.,1:1111' \';11 Ill" I...'...., III nnd mnldut, \lnbl /\11 mndr.> . r. I I"'" Iflll!"l )\~. 1'11) ~t ""Y t lrnlt hurutl.'[ol"U "I~~ 'll!tot" owl rUllernl 1 dll (r;t 111'1 """':""111 .1' '11 "'\' lJ:ll"HI"!lI!rI "., "",'''11 '"I ,.,_.".., Ill. "I I',' !""i" t.n ',(I r:'l Ill',' 01"':"0:'1", .\11 'll" ".,P, 1....1.'., Ill" ";'''''1,,'1'''' nr p',' F;'lI:ntrJ, "9ftl. llfnD~.'IIt11 nn'l l.d::-." t'Il,I",,,, .-., "'1" ..'...II.!"....'.....I "jl.IIOI.I.'. 1 uivo, tj',vir', 111,,1 I" '1'1,.,,111'" . 1.1".....101 r". ll".p'!t.':ll [I, fh~l:f;y!', I:r:o hOl' o'll! ~lf'I'.' '111'1 I" lIr (,11 ,,1..,.,1111., 1 \'. "IV 'ud.1 lIlf,' 1111"11 ld pl"JlIeccnno ,J l ~. nllr:oh fin ill n JII lIll! ,......'IJf.. 11.)".'.'....1. ',lpll mo. 0" r-hOlll'l .H.. dlnn!Jll'l' COI'lrl'JIl 1'.1 , h" "'''''! .. i"", '1r '11 '11"1111 I 1".'111 ..I 'lll'''r:''- th.,1. tllrJ lollowlllo Ill!. dlDPll~il i'.'1I "e I'I\, r."I:,1 ,. I... "",1-,: 1,1 "tll.l, ", "'Ir:h .,~ '.IJ.I'II1'.':'I '111'1 I,h'.' [Ilrnlllu'o ,'Ill\' uhlr:h Itl\Vl " 1\"1'1'.' '11fl".I IIl'lf "~11 Ihr.lroon or "tlol:,.tI on \lllh pnl"H', !'hnll hr' r,I',".'n I.,:, I.h'! p'JI""I1!':l ",II!).,,} III\IIlI!!f I1I1PfJnr lhl'l"O"n. (hi t utv~ nml t"~'llI'}:'1I:h 111'" I'll'", .,r '1',,('1 'l'hr.'l\l~nllrt Flv'.! lIulllh.'I]'.1 !S;L~UI~.fll)1 l'nJ 1'1I~ !r., the 51nlo Iii) 1 Ihmnolltl ~ '"11\11',:"1,, ,. ,11 I' I 1I'.".h :1fl1-:-:"I'111 ',I. r"tHl!'!',' \ 'J '1 11 J n. It) 1 ui",~ :"111.1 1""I'~r"lh th~ 11I1l'I of "'''0 "hOllrllll1d Fivo II'JI1'h~" ($~.~,f)n.IH.l1 Ihl11"1'J t..~ th~ r,I'Illl", 15lrnver'sl IIUUl'Hnn (1I11lC'h, P,:\" I 1',1', If'l ""11: "'I\'III\,. r'lI1l1rV)VflUin. (.11 '1'11',' 1'" ,"'l 11111\" 1,,1 'III"" "I I "!'I 1'111" "( ,"v r::~1 I'It:~ alll'l11 1", d I t' J '1.-.1 'Pt'I" II'" r"'''lIfl I'IV III '..~'.'" '11111 Ilr.nlt""'r: E"t 1 11. llrol I; J "I'. "'11 I 1:11' I j' ..r 11,.....rl"t1~'I" I',: FJ "('1'110:" ~f,,"~ .'~' .:'''''T -...._.---~ " " . IIl'J'l1.!'_I,.. ';IHI'~lltl\' "I 111 ':"Ilnnlf flt.l!1 III t.ll\m"' .Jnll.... lIittk. Th'.'llIlnll. <;111"1"1111,'''' 11...11\111....1.111.1: '''''''''' II. 1I"lltl"1' I'UI' '.'111 I 'I' ',II 1'"_",' t '.1'''....1.....''1.1; "11,., I'" 111-..111. CIIII-I'lIt 1)' ,,! .!..'"I.'11 1'-. 1'''1'11'' t' '''11111, 11,,1 11"11'1 'I! f,. Ikll1.\pl'. ' 'II' '_'lit I'.' ..I \I"", 1.'1""' t -,', '11111. -:11"111.' nllV r;of Up' ,I." /I ,-,,,',1 hi.. .. HI I 11 I" ..,,'" 1" "'I'~"I'I"'" 1'1 111I!!1 t.lwlr !'Ill/ul' II' I,. b' "i'-\.I..l '''1'11111\' 'WOlltl lIlt'll ifll[luP'. 4. 1l'J",lnnt '!. ">')'!l1 it 111.-: ,",1 lltn,,',,' "V ,.,11'" IInr(Jtol.tn It. OettYB, to h.,- llll.' 1'::;IJ""I'IJ-~ ...( ',hi" !It, I,~~I \lill n11'1 'rustnmeut. If ahe shoulll I't.~dc':l'n~f: r"- '_1 f,'r 1111\' oth.l' l'I'nr'lr"lll hr: UIIRblo to act aD BIlch F.::o':'ltrl:~, '11'w"lll', PI~' nr'I'h'~~I, font 1 \'. Il'lrtzlur. ami my nifJr.c. ,,'J(,I'.'II"" ,', 11o;lt;:I."". 1,,1',.. 111'" f,):~"lIl",n III Itllr pln('f~ !."'.If' II ,,,..1.11,.1 f 1t"'1I <t11":>1I1,1 I" ,"I!!"-"''''':' nlf!. "1 (or noy 8nd s tf'~.I. othCl: 111.1'1r:'1I I..: '11111'1'. '':' .,,'. ~!'" 1~:~r:I:'II"I", I "I't"yilll 11t" r:ll'Al Danl: nl\ll '1'1 '11'11. "'.""1"'''\' ....f 1I,,,..h"III"''''III'1 ." ,,,. t.h'l F::t'!"=tll.ol' III thai.. pi rt':.; ....11.1 .,1 '.'0'1, "'1'1.. I ,I t I",~I 11Int 11"11" Ilr I 'Will "h~ II hI) ....,,.11'-,..1 In rt I.. 1'''11'1 "I ...'h'n "''''7'11 il Y III Ih. Olfl,',. '.'[ '11't Roais'IJl fll 1I111n I':'... tht 1'1111'''''''' -,I tttl,,,I,,I..II" \Ilfl my F.ntnlll. " 1 "I,thot,- i I.'. ::'11'1 ':I"I,-:.'~':'t "'Y 1"'I!l'll1nl 11;'1',.~nr:'lI':ttlvf" ill her nolI) ,wl ollnr.Ii'II,: rll:'I..,..1 1'111, I'~, 1"lr.Il/I!"" "I ''';h'"r'd!uJ ncqu1r', nnd t"~t"in 'IllY in"f'"tll'l!lIlr. ..I nhl"1l 1 rlj", .",i..:,,,I. '.:11' ""V run! nr pernonnl pt','I''''1 t., ')' I.\l1j' 1',11;'11"': I.... !Jntt. In''~'?, IlIad'll}. rnortanuo. tlnnnf.CI'. 1.!::chnmJl.'. dl!JPQ:l(, (..r. or Uf'nlt' QptiOI1B :111 reaard 1,0 nlli' (11' nIl l'It:>'....rt,' ';'I[ 'In, l:tll'I ["1'1"111" "POl't o[ my Estntc [')f n'Ich ll.'1ln9 "lld !,IIr;h 1'1' I <:'" ~ 11" nh'! 11l1Y rl'~o'n "dvisnblIJ: to borroll Ill~Il'.'\' f'H' 111\' 1"1I1"~""~ ':",'1111').:1."" ..,tt;1l th... pt'otcction nnd Pl'UGU1'vntion (I[ mi-' font "u!: le' nll':'rl"lf1IJ'~ t'l' pt.H1tJO mw renl Qr personal pt ol"nl ',' lc.'l'l'lllII'J " "1' t. ')[ II'" 1::," IIl'J. t:'t t f) j,,111 in Qr oucur" llllJ f1nr t, 1 t: i '.'11 '.'1 n r\ln"; t " ';('1"1'1 tlnl i!1" 011\' f~ 1 oj 11'!) or demonds of my EDtntc nu,11lnt "tll~l'~ ~I f,.1 ..01.11'/1 ~ '\'.1'1111'11; I"V Estato: to mal~o diBtrlhutlt'll in Idll'J ow.l t.c ,=n11fH 'lilY ~h"I" t~, b.,' compos'!d of cooh. prol"Jl"ty in 1l1ldi':ld,..rl 11':1r:'I.i'..nl1 t n prClpc1.ty ~1ll'H'J!J ditfcr~nt ill l~in1 ff')1l 11111 "~Il' :'11"1": '"1,1 t', r.y'fH:II'.'! "lid , .~....,.. Buch !l1otrUI'IIJnlD "" tI'1')' hI,,' 111'~I,,!'"nl'Y lr.J cI\rry out "11\' of thone l)oWura. 111 ~1t'l'IItUHl UllhPI:f~''''. h'..... 11"1 "lIl1t.. flH. IllV h'1,,1I ""t1 110Al thlo ;;MI ,.1n\' 1(., ',;"I'llll!.wl-, li.ll. ")11'/. , 'j1.,I!....l'.L1~.!.-=:.:';(, 0L~) IUF.^LI 510110'1. rUJ '11 ",'11, '.1111 11 "'hi'" 1'111'1 .1".: 1111IJd 11\' t 1111 nhove-n",""rJ FR^UK n. urnrV!l."" '111'1 f''1 hi" I".,l Ulll !lIltJ 1'IJRtMI'Jllt, in thf! pres en co of tJr:. uho h"'/~ h'~II.'Ul1to nllIH,I:ll1ltlt] our IHlmOD at h1s requoBt no wi tU'IP,1I1" t.h'!r.II.u. iu lh'l preAOlleo Qf tho Bald Tostntor Rlld of Qn~11 O~III'I'. if7 " , , ., I ,.) ,1)(:t'}LQ.P~-,;;; ~u.c..~J._. ..7 ct!.;/. ,t...i<..t.,(.,. a..,..du..I.L_. . J. '.,.\1.:-', , -, ~' -- . .---- . ~_...' \ ..-/r " COllIlOlIlIEAlml l'f' I'EliIlS\,I.YMII ^, I COUII1'V uf' CUIII":~I.I.III' I 55. I, fl'P.hllt', n. 'HrI"l"(tl, '1"1..,1,,1"1. '1It1)"" lI'\nll.' in !1llHlml to till) ntl.nr:hl,'1 Ill' rnt1fl'llllfliIl111111nl'1I1. h'lVIIIl' I IIt'J II dulV flunll[!"!) nC'col,llllu t,) Inw. ,10 ht'lul", ndwtlWl(.oItJlt t.hnl [ ol<ll1od lUlU QKfJo:ul,p..l tho 11I111"UrlQllt: '1n 111\' 1'l1nl \11111 thn' I niallflu it wllllll1ll\' nll'l lhl\1 I "Itllll'" il "" t"V f'l~o nn,l vQluntnry "c:t fo.' lhu 1'lll'1HJDtJlJ lhllll,l" m:l't"I'!t',I!'I, SWOI'" Ot' nCCinlllJd t" nwl TostRtor lhln Juri .. 'lt~.~!'!:I~hn~!. ~Jy..J!1J' , ,', f\r;ol:nowll.tJUr,ll bolol'!J ,Joy a[ ':'~:(J';'''~t. 11111 hV tho above . A.V. 1981. f!.d(/,xtI!.JJ.B .,yj((<!:~u ~ 11I)I:nry puhlir. 1"'I',:",'ll'.l1U t.~"ll,," tI, lit. I' '~I " "Ii"~' e....., ""t'II...II,....:lIlljlilh hlfttl9."U COlIlIOIIUEAlml OF f'EIIIIS\'I.v^III^' t S:;. COUIITY Of' CUIWERLAIIIJ \/0. ....l!!fl..J!..J!!!":.~i!.-:. ......... .""'1 J";ll.(f,~U'!....II. C<lIlU . tho witnu8seR \<111m..,., IInrnf;'B nrf\ "tulI'HI to the nllnchetl or (areaoina inottumont. blJIIIIJ ,hllY '1""llrt,...1 n~c')rrl1llf.J 1.0 InNI dt) depose nnd flny thnt Wf~ "'nr'" "rl)s~l1t I1IH1 ""'" FP^III~ n, OF-TTVS. TootntOl", ,dnn nnd oxer:ut" tho iUfltrUm'1nt RS hiD I,nnl W 111: thnt FRAIIK B. GETTYS exocuted it 1\" IIIR (ron 1\11'.1 volunl"ry nel for tho purpose" than'ln e:lJ1p!"ned: ':11,,1. "nell 1';'[ 119. I" I h'l hcnrtna nlld tllaht of FR^1JK D. OF:rTYS. 'rentAl"l". "10110.1 UP1 Ul11 nn ",llnennBRr nnd thnt to the hoot oC our IlI1o",ll1,1tI". t;h~ 'rut1tnlol' ""'" nl; thftt time eillhtocn f 18) 01' ",oro Y'?'U.flI co( ntlfJ, o( Round ",i lid fwd under no constl'nlllt or 1111'\110 In[ lUI,'nr:f!. Sworn at' a[{i,.tllad to nnd dRY o( j I" ~Y('f((t/l't.."l . " "., " .~,"J ....' /}/I II J I -(1 J~_I.l:...-4- J~..t.l:.tk:1I.: (;.l..:"P,""'-..u.(.,_a~Jl-d.J:___- Auuru:..lb,.',1 h"(('1rt'J mil thin .;I"cl A, IJ. J 987. . .e&?JJJ:.I/ Ji.., ..#~' ;~~.":l1D lIotnl.'Y P1Jbl ie ", f:.. . I: ....". . " .' ,. ("''"';,/'I'l'II'' ''''''If~ HI! 'I~ ,,' . "1 ,'" .n. t .,c..'1I1 t n.......~...~1 !'II" :"lIl 111, 1M. .,! .., """.' " . ., ",-,-"" DN~.AA022679 . COMMOND~~~~~T ~~ ~~:~~YLVANIA . OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ~~ 1 -#,'" ~--.' -, "- . . - f '.\'1,''; . _':I- __ - - - -- -~~-- --- - - - - --- -- -- - - -- --.-- - - - - - -- --- - - -- - -- - -- ,_.UV.U6211Ij,"1 RECEIVED FROM, D ACN ASSESSMENT Ii' CONTROL .:.I NUMBER AMOUNT SHIELDS CHARLES E III e W MAIN STREET 101 .II~ , BI!:5. 00 MECHANICSBURG PA 170~~ _ /O'D Kill /O,D KIl' ESTATE INFORMATION. ~ FILE NUMBER ~ 21-1994-0BB3 ~ NAME OF DECEOENT (LAST) I;l1 GETTVS FRANK B ~ DATE OF PAYMENT iii 01/0~/95 m POS1MARK DAlE COUNTY CUMBERL.AND DAlE OF DEATH 10/11/94 REMARKS EARL. W. HERTZL.ER FLORENCE J. HERT~L.ER/REESE CHECK" b BeN 197-07-~leB (fiRST) (MI) m .1e.Be~.oO c {, SEAL RECEIVED BY REGISTER OF WILLS WIL.L.S - ~ L___-----------~---------------------------~----- .., 4~ , / .... . . 1 : ..--." ~~ .. -;::....----~........_.....A.. t.. _._(~ ~.:~ , ' -.. -. .- _.' _. '._'~ . .... ~,.,,", I _.- ------------y-T--~--- ----- - -----.- -"- -- - -- -- - --.--- -- . RECEIVED BY.' /,1/ / /,1 __ ( . / f ... . :. ,", ) 'i SIGNATURE, I ~~~rS!fERLB~Ia{~L~/' '~c~1 //1 ~---------------------~------------------~-:---7-- '_-.'.1...... --:'-.-'~,:"t?\:~:t""_'l_: .. D~.c:i.AAog302~ COMMOND~~~~~~T ~~ R~~~~:YLVANIA OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX .~J.~~_ 'riwm ;:U.W6:t.......I. RECEIVED FROM, I ACN ASSESSMENT P;'I CONTROL i::I NUMBER AMOUNT SHIELDS CHARLES E III 2 W MAIN STREET lu1 .l,;:)'t;).~t:' MECHANICSBURG PA 170~~ lOtDHfI' '\ ESTATE INFORMATION. II!:'I FilE NUMBER ~ J 21-1994-0883 E1 ~AME OF DECEDENT (LAST) II DATE OF PAYMENT m POSTMARK E COUNTY SSN 197-07-~1e8 (FIRST) (Mil .: DATE OF DEATH REMARKS m TOTAL AMOUNT PAID .1.~9~.3e PB SEAL EARL W HERTZLER & FLORENCE G HERTZLER CHECK" 9 REESE REGISTER OF WILLS t~; " . .----- . __4,----.;-.'...--..~H~ _ "111....-..,.:. I , , ,: I 1/.- .;Ii/!- 7 V R!V-1S47 !X AFP (12-941*, COHHOHVEAtTH OF PENNSYLVANIA DEPAA1~Hl OF REVENUE BUREAU or INDIVIDUAL TAMES DEPT. ZlD60l tlARAlSlURO, PA 17121.0601 NOTICE Of INHERITANCE TAX APPRAISEHENT. ALLOWANCE DR DISAllOWANCE 01' DEDUCTIONS AND ASSESSHENT 01' TAX ACN 101 DAT! 07-10-95 STAT! 0 FIL! NO. DATE OF DEATH 10-11-94 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION Of THIS fORH WITH YOUR TAX PAYHENT TO THE REGISTER OF WILLS. HAKE CHECK PAYABLE TO "REOISTER Of WILLS. AGENT" REMIT PAVMENT TO: CHARLES E SHIELDS III 2 W MAIN ST MECHANICSBURG PA 17055-0229 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 Allount R...ltbd e..- CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... iiili:i54TEX-jiFP-iW:94Y-iioTiCE--cij:-YliiiEiiiTANCE-TAi("APpiiiiisEHE"ii;--;-jiLi."ciWAHciriili----------------- DISALLOWANC! OF D!DUCTIONS AND ASSESSMENT OF TAX ESTATE OF GETTYS FRANK B FILE NO. 21 94-08B3 ACN 101 DAT! 07-10-95 TAX RETURN WASI (X I ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l e.t.t. (Schadule A) (l) 2. stack. and Bondi (Schadule B) (2) 5. Clo..lY Hald stock/partnarship Int.r..t (Schedull C) (3) 4. Hortg.gal/Hot.. Raceivable (Schadull D) 14) 5. Ca.h/Bank Daposita/HI.e. Parlonal Proparty (Schadull E) IS) 6. JointlY Ownad Property (Schadull f) (6) 7. Tranlfar. (Schadule OJ (1) 8. Total A...t. TAX CREDITS: PAYHENT OATE 01-05-95 04-11-95 RECEIPT NUHBER AA022679 AA023026 D1SCOUNT 1+1 INTEREST I-I 675.00 .00 I CHANGED .00 .00 .00 .00 129.155.73 .00 .00 (BI 129.155.73 ?:>I.0;?0 ?4 105.635.49 5,000.00 100.635.49 will .00 .00 100.635.49 X .03. X.06. K .15. (lBI .00 .00 15.095.32 15.095.32 AHOUNT PAID 12,825.00 1.595.32 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 15,095.32 .00 .00 .00 . If PAID AfTER DATE INDICATED, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. If TOTAL DUE IS lESS THAN .1. NO PAYHENT IS REqUIRED. If TDTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YGU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I APPROVED DEDUCTIONS AND EXEMPTIONS: 18.622.26 9. Funeral Expan.../AdM. Coat./Hilc. Expan,.' (Schedule Hl (9) 10. Oobh/HortO.Oo LlobUlU.o/Lhno (Sch.dul. II \101 4.897.98 11. Tot.l O.duotlono (Ill 12. H.t Value of Tax R.turn (12) 13. Ch.rlhbl./Gov.rn.oRt.1 B..u.oh (Schodub JI \131 14. N.t Value of elt.t. Subjeot to Tax (14) NOTE: If an assassmont was issued previouslY. linos 14. IS and/or 16. 17 and 18 rofloct figuros that includo tho total of ALL roturns assossed to dato. ASSESSMENT OF TAX: 15. Allount of Lin. 14 .t Spou..l rat. nS) 16. Allount of Lina 14 taxable .t Lin..l/Cl... A rat. (16) 11. Allount of Lln. 14 t.x~l. .t Collateral/Cl... Brat. (171 la. Principal rax DUI " \ \f) ,-A \ VI ';0: " , , r .J i h...' "" .- ~ " q ~-j ,,) ~ I': <.l.J tJ' ::1 :'J 0;" uU RESERV.TION, E...'" .t dacad.... d.ln. .R .r b.t.,. D......r 17. 19.7 "" It on. 'u'ur. In..r..' In .ho ...... I. 'ron.,.rr.d In .......1.. .r .nJ....n. .. Cl..' . 1..ll...r.ll b.n.,I.I.rl.. .t .h. d...d... .,..r ,ho .,.lr.'lon ., ... ...... '.r lit. .r '.r ...r.. .h. c....n...I.h h.,.b. .,.,...1. r...rv" .h. rlgh' .. ...r.I" and ...... .r...,.r I...rl..... 1.'" at tha l.w,ul C1I" . (colla'.rall rat. an InY ,uch future Int.r..t. _EOF HQnCEI T. tultlll .h. r.qulr...... ., ,...Ion .1" .t .h. I...rl..... and E."" T., .... ... 7. .t 19'1. 7. '.S. secUon 2140. D...ch .ho ... ..r'l.n ., .hl. H..I.. and ....1. .I.h .aur .....n. .. .ho ...I...r ., Will. .rln..d .. .h. r.v.r.. .Id.. ..-"aka check ar pney order payable tal REGISTER OF MILLS, AGENT .11 ..y..... roc.lvad .holl fir.' b. ...II.d .. ... In..r..' unl.h ... .. due .I.h on. ,...Ind.r oppll.d .. ,ho .... . r.tund .f . ... .radlt. unl.h ... no' r........d an ,ho 1.' ...urn. ... b. r......ad .. ._I.tI.. on "'ppll..Uon t.r ..tund .f .......IVIl1I. l"""rI..... and Eo"" TII- '.EV.ISISI. ...lIutlon. or. .voll"l. .. .ho DflI.' of thl Rlglat.r of WIlli, ."y of the Z1 Rlvlnu. DI.trlct OffiCI., or by calling the ,piC II. Z'-hoUr on...rln. ..rvl" nuob.r. f.r '.r.. .rd.,I..' In ......lvll1l. I.............. au..I.. ......lvIl11. ond within IOCII UarrisbUrg .n. (711) 117-109', TOOl (117J 77Z-Zz.sZ (H..rlno l~.lnd OnlY). ... ..r', In In..r..' no' ...I.fl.d .I,h .h. ...,.1....... .11...... .r dl..ll...... ., deduC.lon.. .r .......... .f ... llnoludln. dl..oun' .r In..,..'1 .. .h." .R .hl. H..I.. au" .bloo' .1,hIR .I,'y 1..1 d... .f r...I.. .f this Natlu byl ...rltton .r.'''' .. ,h. PI Do..r',,,' .f ..v...... .00rd .f "...1.. D..'. ZIIDZ1. Hmh'..... .. 171...1071. OR ...I..u.n .. h.v, .h. utt.r d.....ln.d .. ....It .f .ho moun' .f .h. .."on.1 ","'II1"UV'. OR --appa.l to thl Drph""" Court. .oo.u.l .rr.r. dl...v.r.d .n .hl. ........n. .haUld .. odd,...ad In .rl'ln. .., 'A ....r...n' .f ..v..... .ur.au .t Indlvldu.1 T."'. 'TTH' .... ........nl R.vl" Unl'. D.... .....1. H.rrl.bu'.." 171......1 PhOn. 17171 7.7."'" S.. .... . .t .ho ....1.. "In..ruc'l.n. f.r I"""rl..... T.' R,'u,n f.r . R..ld... D~.d.nt. (REY~15Dl) for en Ixplanatlon of adalnl.tratlvllv corr.ctlble .tror.. It on. ... dUo I. ..1. wl'hln 'h'" 1.1 ..I.nd.r ..n'h. .f,.r .h. d...d.n'" d",h. . flv. ..r...' "Xl dl...un' .f the t.le peld I. eUow.d. In'.r." I. .h.r..d ...Innl.. .I.h tlr.' d.. .f ..11........ .r nino 1'1 oon.h. and one III d.. 'r.. .hO d... .t d...h. .. .ho d.t. .f ........ T.'" whl.h b..... ..llnquon' b.,.,. Janu'" I. l.a. ...r In""" .. .hO ,... .t .1. I.Xl ..r..n' ..r onnuo ..I.ul...d .. . d.ll. r." .f ....1... .11 ..,.. whl.h ...... d.llnquon' on and .t..r Janu." 1. I.a. will ...r In..r..' .. . ,... .hl.h .111 v.,y 'r.. ..lond.r y..r .. ..l....r y..r .1,h .hO. r." ennounced bv the PA D.p.rt..nt af A.v.nu.. The .ppllc~l. Int.r..t ret.. for 19.2 through 1995 .rel '!.!!! Int.re.t R.t. DellV tnt.r..t r.ctor ~ tnt.r..t A.te D.lly tnt.r..t Ftctor l'az ZOiC .000541 1917 'X .OOOZ'" l,n I6X .00041' 19ea.l'" IIX .000SOI 1914 llX ,OOOSOI 199Z 'X ,OOOIU 1915 ISX .OODSS' .99S.l,," 7X .000192 1986 lOX .000214 1995 'X .0DOIU --Inttr..t it eeleul.ted .. faHow'l INTEREST . BALANCE OF TAX UNPAID X NU"BER OF DAYS OELINQUENT X OAILY IKTEREST FACTOR ..... H..I.. I..'" .f'.r .ho ... ....... d.llnquon' will r.tloc' .. In..r..' ..lcul..lon .. flf'''' 11'1 d.y. ..._ .ho d... .t .ho ........... If ....... I. ..... .".r .ho In..r..' ........t1on d... ...... on .ho Notice, _cUUon.' Int.,..t ....t b. celcuhttd. PAVHEHTI REf\JHD (tAl I DIlJECl1DHSI ADHIN ISTAAT1VE CORRECTIONS I D I SCOUHT , INTEREST' 1'-'~-'C;~;::"" ..i_?_~'.~ ,'",'-'. '.~ '.;lh;ct;.,' - , ..,. . '~.Wi"~~~~f~:\~","~"W>l~~Jltn "";..,- '<:k"~>';'-".. IN REI ESTATE OF FRANK B. GETTYS IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-94-BB3 ORDER OF COURT AND NOW, August lOt1995t the within account is confirmed and distribution directed i.n accor.dance with the schedule. It;;Jj~:gk p.j. ., Estate No. 21.94.883 .' . . FIRST AND FINAL ACCOUNT INCLUDING PROPOSED ~1~IBlJTION OF FARL W. HERTZI ER AND FEE JANE HERTZLERlREESE. CQ.EXECIIrORS OF THE ESTATE OF FRANK B GElTYS. LATE OF UPPER ALLEN TOWNSHIP. CUMBERLAND C'..QlJNTV. PENNSYLVANIA. DECEASED ------------------------------------------------------------------ , . , Date of Death: Letters Granted: Dates of Publishing Notices In the Harrisburg Patriot- Metro West Dates of Publishing Notices In the Cumberland Law Journal Covering the Period October 11, 1994 October 19, 1994 November 8, 15, 22. 1994 November 11,18, 26, 1994 October 11, 1994 to May 9, 1995 ------------------------------------------------------------------ ~. ;;r,: R f purpose of the Account: Earl W. Hertzler and Florence Jane Hertzler/Reese, Co.Executors, offer this account to acquaint Interested parties with the transactions that have occurred during their administration. The account also Indicates the proposed dlstrlbtulon of the estate. It Is Important that thli account be carefully examined. Requests for additional Information or questions or objections can be discussed with Earl W. Hertzler and Florence Jane Hertzler/Reese, clo Charles E. Shields, III, Esquire, 2 West Main Street, Mechanlcsburg, PA 17055. , , --~., ".,......,..,. SUIJMARVOF AN".nI NT PRINCIPAL Receipts Less Disbursements: Funderal Expenses Fees and Commissions Family Exemption Misc. Probate and Admin. Exp. Inherltance and Estate Taxes Debts of Decedent Total Disbursement of Principal INCOJIE fa 1 ~ $131,829.43 1 2 2 2 2 2 2 $ 5,297.38 $ 12,624.00 toe $ $ $ $ 700.88 14,420.32 4,897.98 37,910.58 3 $ 2,546.18 SlJtJMARV OF ACCOlNT PRINCIPAL faaa ~ Receipts Less Disbursements: FunderalExpenses Fees and Commissions Family Exemption Misc. Probate and Admin. Exp. Inheritance and Estate Taxes Debts of Decedent Total Disbursement 01 Principal 1 $131,829.43 $ 5,297.38 $ 12,624.00 N:N: $ $ $ $ 1 2 2 2 2 2 2 700.68 14,420.32 4,897.98 37,910.56 I~E $ 2,546.18 3 __..:.~<>;~~i'~"f~~_!#j.i....~~~~:~~\':;""" i:.' ,._,:' _ ".' ....,~h'.--:~--' RECEIPTS OF PRINCIPAL Cash and Miscellaneous: 1. Assortad Coins from Safe Deposit Box, etc. 2. Inventory of Personal Items at Messiah Village 3. Certificates of Deposit al PNC BANK, N. A. a.) #0463270173201 b.) Acer. Int. to d.o.d. c.) # 0463240184051 d.) Acer. Int. to d.o.d. e.) # 0463270184333 f.) Acer. Int. to d.o.d. g.) # 0463270184390 h.) Acer. Int. to d.o.d. I.) # 1123270158213 j.) Acer. Int. to d.o.d. k.) # 1123270158238 I.) Accr. Int. to d.o.d. m.) # 1153220015550 n.) Acer. Int. to d.o.d. 4. Checking Acet. # 5070079781 5. Acer. Inl. to do.od. on Item 4 6. Capital Blue Cross Refund 7. CSRS Survlvor's Annuity Payment 8. Adjustments to valuation of Item 1 brought about by private auction sale among beneficiaries 9. Adjustments 10 valuation of Item 2 brought about by private auction sale among beneflclalres 10. 'Federal Ufe Insurance Proceeds 'non-probate assets to be distributed per will. TOTAL RECEIPTS OF PRINCIPAL DISBURSEMENT OF PRINCIPAL Funaral Expenses: 1. Myers Funeral Home, Inc. 2. Baughman Memorials - grave Inscrlpllon 1 . ':'';:-C:2,-'l}''~''"''~_:(:-~~':._~~_,,;-..ri~_~:~:~_-- "'''z'_''-to.< $ 313.55 $ 151.00 $ 1 0,000.00 $ 1.48 $ 25,000.00 $ 69.44 $ 1 0,000.00 $ 19.56 $ 20.000.00 $ 32.87 $ 25,000.00 $ 77.40 $ 1 0,000.00 $ 35.97 $ 1 0,000.00 $ 10.82 $ 17,457.16 $ 21.57 $ 1 88.50 $ 402.60 $ 9.72 $ 517.19 S 2.522.60 $131,829.43 $ 5,232.38 $ 65.00 $ 5,297.38 FOOA And CommlAslons: 1. EHecutor's fee to Earl W. Hertzler $ 3,228.69 2. EHecutor's fee to Florence Jane Hertzler/Reese $ 3,228.69 2. Charles E. Shields, III S; 8.188.22 $ 12,624.00 Family EHemptlon: N:N: Miscellaneous Probete end Admlnlstrallve EHpenses: A. Probate Fees and Short Certificates $ 223.00 1. Additional Probate fee $ 35.00 2. Additional Short Certificates $ 9.00 3. Advertising In Cumberland Law Journal $ 40.00 4. Advertising In Harrisburg Patrlot.News $ 52.38 5. Filing Account (estlm.) $ 105.00 6. Filing Inheritance TaH Return $ 15.00 7. Cartlfled Mailing to Beneficiaries $ 16.50 8 Photocopies, mailing accounts, etc. to beneficiaries $ 20.00 9. H & R Block Preparation personal Income taH return $ 60.00 10. H & R Block Preparstlon fiduciary Incoma taH return $ 125.00 $ 700.88 Inherltence and Stata Taxes: 1. On account $ 12,825.00 2. Final payment $ 1.595.32 $ 14,420.32 Debts of Decedent: 1. Messiah Village (for Pharmacy & Nursing Care) $ 3,406.10 2. Messiah Village (additional close.out bill) $ 1,221.88 3. I.R.S. personal Income taxes $ 248.00 4. Pa, Dept. Revenue personal Income taxes $ 20.0OS: 4.897.98 TOTAL DISBURSEMENT OF PRINCIPAL ~ 37.910.56 PRINCIPAL BALANCE ON HAND $ 93,918.67 2 ," ;' . ;",~<:..l:_!, '.-:"'--.".'z1it', INCOME RECEIVED: 1. Deposit CD Interest 11/9/94 $ 41.92 2. Deposll CD Inleresl 11/17/94 $ 72.32 3. Deposit CD Interest 11/27/94 $ 224.14 4. Deposit CD Interest 12/9/94 $ 117.40 5. Deposit CD Interest 12/14/94 $ 44.38 6. Deposit CD Interest 12/22/94 $ 44.96 7. Deposit CD Interest 12/23/94 $ 220.26 6. Deposit CD Interest 3/1/95 $ 186.40 9. Deposit CD Interest 3/1/95 $ 157.65 10. Deposit CD Interest 2/8195 $ 225.92 11. Deposit CD Inleresl 2/16/95 $ 196.48 12. Deposit CD Inlerest 2/27/95 $ 150.63 13. Deposit CD Interest 3/14/95 $ 169.56 14. Deposit CD Interest 4/6/95 $ 319.26 15. Deposit CD Interesl 4/20/95 $ 92.33 16. Deposit CD Inleresl 5/2/95 $ 232.42 17. Deposit CD Interesl 5/9/95 S; 50.15 9l 2.546.18 INCOME DISBURSED ~ RECAPITULATION: TOTAL PRINCIPAL RECEIPTS $131,829.43 TOTAL PRINCIPAL DISBURSEMENTS $ 37,910.56 TOTAL PRINCIPAL BALANCE $ 93,918.87 TOTAL INCOME RECEIPTS $ 2,546.18 TOTAL INCOME DISBURSEMENTS ~ BALANCE ON HAND FOR DISTRIBUTION (PRINCIPAL $93,918.87 + INCOME $2,546.18) . $ 96,465.05 DISTRIBUTIONS: 1. Slale Hili Mennonite Church (per paragraph 3(b) of will) $ 2,500.00 2. Salem Lutheran Church (per paragraph 3(c) of will) $ 2,500.00 FINAL BALANCE AVAILABLE FOR DISTRIBUTION $91,465.05 3 PROPOSED DISTRIBUTIONS PER RESIDUARY PARAGRAPH OF WILL: 1. Earl W. Hertzler 2. Florence Jane Hertzler/Reese 3. Emma Jane Thornton 4. James H. Hertzler 6. Edna Mae Litwiller 6. Donald E. Hertzler 1/6 share . $16,244.17 1/6 share. $16,244.17 1/6 share. $16,244.17 1/6 share . $16,244.18 1/6 share. $16,244.18 1/6 share. $16,244.18 4 ';;' .. fi' J. ~ , ~~ :ul: ,-!--: T: . :;;. :J:., (: . EARL W. HERTZLER and FLORENCE JANE HERTZLER/REESE, Co.Executors oftha Estate of Frank S. Gettys, deceased I hereby declare under oath that they have fully and faithfully discharged the duties of their olllce, that foregoing First and Final Account Is true and correct and fully discloses all the significant transactions occurring during the accounting perlodi that all claims now outstanding against the Eslate; and that all taxes presently due from the Estate have been paid. ~Tz~------------- a~~ _ On~ ).L:::ft-!R..(.~,,~ FLORENCEJANE~F*IEE~"--==f-' Sworn and subscribed to belore me this ...J..!.:!1. day of ~ A.D. 1995. _~..L:~~ :;r Notary Public NoIDI1aI SooI Cha/1OlI E, StookJs 111, NoIarY Pt.IJio Mocho......... ~ Ilo<o. CIJTtle<1iIrd CounIY Mi~ e.pItesJune 20, 1900 , 0l1fl5)MV1ilI IanOS 5 '. I. H',\1I1 ft. Hr.""lY':, "I Ih' 11"1'''1'111 ,.r 1I....lt'"'I~..hlll'n. r',llllly o[ l:lIr'lll'II;11Il1. '11"1 :It,ltl, ,,' 1"IIIP'\ I ""11,. hl'lllfl "r DfllJIl.J ntlll tJIDpus lilt; 1!\1",1. Wlt"'.'. j' Ill" ,,",1"1 "t,IlII'I I 11I1. 'It:' 1,'1:1'. l'"h1lrth nllll dlJeln1"fI l.hlD 1,0;' I..' ,.\. '.,....,1. 11111 11101 '1'''''.''''11111, h'.'I'll,\' Il'\'nlllUfl nnll mftklnu Vl')lt, n11 ["I mOL "IIII' I,V 1'11'1 I1l "flY llnllJ horolu[ol'U madp-. I. t dln'cl t 110 ",....' f'l1I.11I 1 .,r " 1 "'\' 1~lnt ~IJI'ln ftn~ (llnernl onJ1~u!JI~a "D 9"nl1 tiP "':'11"1 1I11'nl,1 y nlll',' hi,' '1[ II" Iny ,"":ltnsl1. .\11 I.h~ 1"'-'11., ".'1":1.111' 111" t""-''1lll.1..t',...r 1"\' E'Jtntlt. I'Qtd I p8lsonnJ nnd rlla?'J, l'h.,f.~,_,~",~l' nll.1 ,,oh'_'. ra'~"Vt:l njt.URlul 1 \1iVOI dllVif1? 1111'1 l.r't1lt'ttfh h:, t",' ".,1"'1"'1 ,"r... lI"IfI"J'-t'f\ rl. Gettys, to hol' uwn UI".' 1111'1 Ju.nr:flf; l1hntlllll"ly, '. 111 tlll~ C~fllt, 11~WI'V'l. LI1'" MY ~nid I'i[~ pJI?'lld l)rQdo~OndO me. Ol' stJr.1tllo.1 .\if] "t "1"'11t f, "'f ""!'l'J I; i',o "l' I d if] I such nil in " diDn!Jlcl' conrl('lI to bC'f.Il ,., tiP. 11l1'I'!r:t thl'll. tho CollowinQ dlsposithm nf mv r.l'If,nfl~ ..... 'TI""": tn) .\11i" 111 i.l':Jfln, "lr;-h Of' lll!l"~!' "w.l the fllrnit'Jro whieh htlVl' 11 11I"m', of. t IIlj 1 IJI'll f I,ll '.11"1 (>(111 (.11' rn!' tad fJn with lH'I''1r. nh,,11 b~ 01'/on 1,"J thl! p"".,OI\O who"" nil'"'''' n"T'flnr thfl'COII. l1.d t 01vl'> 1\11,1 b<:"lu?nf:h lh'~ !"Ill'" "C Twt,' 'rlu:l\iBnl\lt Fivo llulld\"cd ($:!,500,OU) Uf.'JI~I'!J tlJ t.ho Slnlo lIi11 1I~1I11,.,,,lt,., 1:1111I"'11, ~,tl, 1'.1. lI'!',h'lllr:!1I'"I1~', r'lI\11'J','I'/nI1j". (r;:) I 'Ii"" nllll "''''1IIIJ"th thl? r"lI' or "Ul') Thounnnd Fivo IIIJIIlh"tJ1,I ($,:1.':")1.'.110) ll'.llj'U!1 t.0} lll'~ nl1JlJm (Slrnyor1a) Luthp.rnll Church. Pt:.'VI!l', ",". It;!, "it"tl: COtlllty. Ponnpylvnnin. (dl Thl1 re:TI"Lllll1~ tJ~l"II''''' ~,'t J'I.'nltluo of MY r.stntl! ohnll hlJ divided 'l'IUnlli" f!1l"JlleJ I'IV nlt>r.'t.n nnll IIp.phewsl Enrl 11, n..,rtzll1r. r.'lllcnnt:ly t)[ D~...mnnDdnl~: Floron.;" J'I1D .). ,.1,,;'1, ......--.--- ........"..... ..,'.1' , .,' '. '. l .' ... . ' ..0;1\......1/. '.HII'/lIl') UI ,"\"II~lI'ltlIJUIIr: r.mm" .111111.' I~~()t 'rhrJllIlPII, CIlI'~lllIV ..f 1I"';h '" \':011111 'I: ,tFl'l\I!OI 11, lI'flt,.lor I:UlllJlltlv <)1 1_lu~':I, "'II".,yl'I;1II\''': 1"111;' 1''1' I \t"'III'1 c:Utt'lntly....t '.11:0:1..1,,1.'. r...I'nn.'l'!'IIII., "I,'ll"1I1'1\11 F;, lI'll.t~ll'l'. Cl1I1Cl1l1'/ III \11111'. 1.1_"", I.',', 1.1111(1, ~.Il"ld.l f\llV o{ t.ho "b.wl.- '"'''''1)''' II 1 I!'.". " ,",1 Ii ..1.'fWPI 1'1'1""';'.""10.' "l" 111'111 lhl'h' all/HO in llJ h Ill"I.II," 1"llllllJ~' nll'UIlO lIwh jI'I[lup., 4. J lIornlllnllJ, 1.:ol~nl Plitt. ~h'l .'J!p',dlll Py ~Illll. IInrurolln H. OOtlYOI to 1m till! !;J::"(:.'llli:. '.'[ l,hi'1 II"; Ij.,~I. "ill "n,I'rustnmullt. It sho ahoultl Itrr:llt',llnoc Ilt'i, l:'1 lut 'IIlV ',".h~1" t"n!H)1I "r. unnlllo to net ns "1lch F.:un'qll"l::. .l 111'1'<:1111'. my 1l1}l'hr:.w. f.ntl U. lI"rtzlorl nnd my nior.lJ. FJol'-,nC'l J. 1lt'll~l':I/. I... I If; U"'Jr' I [ I,ll''''' '.1[ t.lI'''ll ~ht'Jut.' t,hlJ F,):,.,rllt [\1 n In hlJr Illnco nutI str."tI. "t o.tl!r:"~'l.(! nit.' ,ot' [or t1ny olher 10"90n III: tllubl,! I.CI l'lr.l n~ t:;',,",r:lltfH"t', 1 ~l'l'otnt thll F'l1'sl Dank nud 'flU"' ':C"!lIf'''''Y r:or IIl".:h"nl,=ohul'J t (1 I"~ t.h"! F.xlJculor 1n tllolr pincu nlltl nlQn1, I (\11 Ihl~l' .lil'l>:\. t,lIot, 111)111) o[ 1hol" OIH,li b" t'lJrl'li""fl t'n ril~ "':"II,j '.11' t;lUI'lr ~11r:'.Il HI' ill '.h' 'Hi lce of t.hl! Realslur of Ull10 [or lht r'J\Jlt;'9~ ')( ntlftdnlnln.dll11 Iny Rotate. ~ . I n1Ithori;:': nlllt Cr.lI'''ITt '''',' P':I'ft"nrd ..~tll'f.'"r:'II'nlivp.1 III het' solI] 'lwl nblJl:'llll." '.llft'.'r..tl'.'Il, t.... 1"lr'.IJlH"~ '.'t l;oI.h'H"Iif1e ncquiro nnt! r('lllin .,UY ,tll\'I'~'-"'(lllt!"1 "'1 ~,lti~'h I die n,dz,"t. ot nl1V run! or personnl Pl'l'I'IJrl'; '.'( /;'lilY Ilnt111.:1J: I.') ~~11. tqnOI). (lledul), rnortOiVJC, tl"n!1{n. t?::rhiH\'.t'~. dl!:ll1oftC' (1(. rn qp\lll optlonn 1n t'ountd 1;0 any ,=,t nil I'rnl"'rl.,' '.'{ t\ln" 1:i1l'1 f"tmiH'1 "pnt.t of my Estnto (,,1' ouch tr.rins (lml !"llr:h pdr:';~ "'J eh'J 11111Y rluo'!1 ndvlDRbllJ: to l:lOrl'uH 111011':Y f'H' :'III',' 1"11 P'''I'1'' '7'."III,,'~III'l '..rlt:h th" ptQt~ction and PL'usot'vntlon (J[ rny t'11 "~I~: Lt' rn'.lrI. tJ'ltH' 01' pll).JtI'l I\UY renl. fJr perSOlln! l'lOl"!l't,j' ['':1'rllIl'J 'I rH.t, '_Ii I"" F:9t.lltQ, D1' t.1') .t!')in In or ol,curo lln portilioll 1)[ !l'lI'If!: I') ~tll"I'f1)ndf".' 011\' ,!lninlS ot. dt.',',nudo of my Enlf\tl.' nfJ't!nl'lt C\lh~t!:T 'H f,'( ..1,11')1. '" "fl'tlll~t lI'y Ealnto: to Jlll,lta lliou-llJutitm in Idlld nllll 1,0 cnllfl1~ OilY !:'lIllll' h. 'Ill cvmpaoot! o( cnDh. proplJrli' in \lIldi':hlt.'u [l"lI:tlt1",1 !lhl1L'tHJ in prC"porlY dltte1'unl 111 I:in~ IrQrr 11111 otll~r ~111l1~: nll~ tQ "~OCllln nnd ~. ..I "...,' " ,',~ ,., ',p, . j .~, l.~ ., "il '" I I,'ll ~i\ ~: tl ( " \ >i . . r: lucll i.,.trUmQllte ns ~ay bo "ceo.aary to enrry out any of tl,oa8 power.. 111 \UTIIF.Da \lIIEREOF'. 1 II,'J" h'" fJllnt," 81ft rtlV hAW! owl dual thlo ;,; MI dnv at S\'l't,,'nl.HJr. A.lI. l1J8", ~:J.1:.:\-'-'.J!jJ\..,1 ~l Ilw ISf.^LI slanod. nenl'ldi 11lIhl1,lIoll "nr1 rllJd"IOd ")' th~ nhOVe-I1I\Inffd FRAtllt D. GF.1'TYS. "a 1\11'1 fn. 11\" IJ""t \IUl "lid "qBtftT\lllntl in thfJ pre.enco at ur.. who hn'/n h"l'punt" R\lblll:llhlJll our n~mes at his requost nl witnul"'" th~r'Jto. ill lhfl p.'''68111:0 of the aBicJ Teltator and o[ IJnch othtU'. , .1& I flu J :', , 'jct'ILI:J.I=!.. .u,t:.. . ~.). .....~...~a.~d....LL ..)- ,0,;;,". , ., ~I .' .. 7. " ,; i. ,. , , COIlIIOIIWE^LTII Of' FEIIIISYLV^1I1A, t S6. COUIITY 01' CUIISERLAIIO , I. fP.^lIt'. n. OF,'I"'V9. 'l'""t,I\lnr I ",h')"1] """,n in niunnd to the nttn-:hu,lo1' [onunll1o innlt1I1l1QIIlI h,wll1l1 lm'HI uuly qunl1flud nccotrUIlU t'J In\l, I'" hl!.."I,,! nr:hll"",l~llalJ thAI. 1 Dlunnd nfHI OKocutOll lh,., 11l"l'.nIMQlll ,," nl\' I.'l"l "111: lhnt I "iOIlOtI it wil11nul\' ,,1111 lhAl l 9tlfn~,1 U ,," rn\' (tlJIJ nnd volulltnt'Y net lor the PUtl'0808 ll\"foJII QXlll'l'ngQ'1. _'/J-tf!.1!.p IJ. ,.,!J~,-,"0.J' .:~ Sworn or nf(irme~ l~ And Testator this Juri ncl:nowlo']u"f.I "oCaro dRY of ~r(F.lI~t. nUl hy the nbovo . A.O. 1987. _eluvJe"J.E..,/j(~I!:'tdu "1lI""" 1I"t;"ry puhlic l"I.;'.,'ll'Ju;,; I,~ !,.Il 1'1< tI, "f. I' "I ",,.l',.d e.JIll, ~\I t'\.IIlIi....:fI fJjotilh JllItlO.llU COIIIIOIIIIEALTII OF PEIIIISYLV^1I1A, I 5S. COUIITY Of' CUIIOERL^IIU , 110. _1!!t::E.!J:.E!I';'!>.~ __ ."" ."",'JiU.!.II.!Ufi 1/, C<flm . the witn"sSOf' "'h('l!J1J IInrnQD "n' "hmflf) to tht.! nttnched or foroqoina instrumont. bulna dulY '1tlt\11UL111 nr.'conlillQ to 1,lW, do depose nnd ony that w', Wnrro pr~Bnllt ntH' fI"W FRMll~ F\. nETT"'';, Tcatntorl sian and execute thl! illotrumtJnt no his l~nDt Willi thnt FRAIIK B. GETTYS executed it ns hio (rol] Ano] voluntnry Bel [or tho purposes thor~in exrrQ"nodl that oneh "f tis. in lho hel'lrlnCJ alld siuht of FRAIIK D. GETTYS. Tootnlur. uJdnt!,1 tlHf "ill 8S wllnODlJeBf nnd thnt to tho beot of out. knowlp.'lal!. th'l TFJ~t;nlor "'"R nt that timo eiahtoon C1B) ot' lTIoro Y'!I1"S o[ nuo. o[ Rotlnd "'iud and undor no constrnint or unduo In( ilJ,well, Sworn or of[irmod to day of A'l'f/c'/'/t:. ~_,;JJL.eJ~) 4~~.Ll. t?,# nnd Bubocribo(1 h'!foro mo this ';/UC/ . A.D. 1987. J!jyu,.&f-!_El~y(;!.,! (kw''":i.iD 1I0ta..y publio . ~'I I". ! !.."~..'< 'II ~ .. ,:' .1' ,r. '.\11.., I'.'e~, J't""!t' '.1'1'*"1""','''' . "I" .'1., 'flle''/1l1 , C'\.,..,J~'''''I !'IIl' !lIjlaN, Uti '," , ,. -, .., '-::-:.':". 1, . '.> '.-., ':::;,;,<", I'! .," '\;f'/':~::' ,'\ ",: -, ". ; ,j. It! Ilt~' !/ Ii! ~I) i;!SI~t. 'SliSs 2'~ 5i ~18j.~i13 ~:JC!!~ 'Si:5J~i lj~l&l '.1, jc.'8 ~tl- 'l~lf.- i'Q t~ sl:5 ~!~ ,,'-:5 1:-'"t:Sc-5ti fj"':i!l!I'"152! 1;~ u.15 ~ EIs 1 i f.l.- J:.!o J:,"s'8~s.! " l"l 00 cp ... .'~ ~ 1 .\i, . ,. ',;," .~, l . . ".'.' , '--:,:~" ;; :' -,',,' .'; .i-;'<r i-: "-r,' ,:t::'< "i,:, " ,. ',' ~ -;,' ;'-t..,_, U.:'.-::_"""._: ~ - ~:~ ,( :i~~::~f~~~:~ i' ",.,:;: <;.,. , ,.:" '.' ,:;,:,\-','r;-;' --I ,;'," n" _ '.,_..'" .;. :\:)':'-~:\:: ,,: ';,,.,-t'.'-'. " " ~\ :t; "", .' ...'" . - ..- ~::" , . ~,; \ .. ;-, "",".',,,,,,,,,:,";''1'1...,,,.... ItHOISTlm 01' WII.I.S 01' CUMOHItLAND COUH1'Y Itlll'OltT 01' STATUS 01' AUMINIBTltA110H lI'or Iteshlcnl 1J0ccdcnts lIylng Aflcr July I, 1984) RSTATIl NO. 21-!li: 123 t / NalllO or Dcucdcn!: Soulol Socurlty ^uoount F c.C!.tJJ:. ~"_ a,,1./V\ No.:.-dJ..- 07- ,n[}~ I Dolc or Dcath: 10. J/ .q.( Namc or Pcrsonul Ilcprcsenlntlvc(s): t;..ar/ w J-Ierlc.-//!.;" F/()(UlCe. .J. I-Ierlder//(v!ese.- . ,~-, Capacity (ehcek one) Hxcculor Administrator '>I . Administrator c.I.a. Admllllstrotor d.b.n. :;;.. r;r ;~ Is thc odmllllstrlltlon or Ihu ostntel:ollllllelo'l Yes Y_ No ;i ~, ~'ow WIIS Iho Ildllllnlslrlltlun elldcd? (chcek olle) oy courl IlcoOUlltllI1l ny IlCeoullt 5111 led 10 pllrtles III IlIlerest nld the pllrtles relellse the porsollul reprcselllntlve? Othcr (cxplaln) _ 'Ol"[l ~r' ':"-' ' .. '0 \.II :II -;no .,,,, to-. : ( ~ , <- f \,.oJ .... i ~'. 1 --Ji! ; "0\ ,:,fl .,..;c ,.. Tolul 1I1110Ullt pllld to dllte to uredltors IInll ror fUllcral nnd ndllllnlstrntlye eXpellse $ / rf. J C~r;;tf ):1 'I'otlll vlllue or dlsli-lhutlolIS 10 dllle 10 honerlulllrles $ $ If Ildllllnlstrlltlon Is 1101 "olllplete, eslllllllled vllloe or Ilssets stili III Ildmllllslrlltloll NOTH: This stotus report Is duc no IlIter \IlDn the due dolo for f111"gthe Pellnsylvonla Inhcrltanee Tax Return or, Ir no Inhcritanee Tax Rcturn Is required, nine (9) monlhs after the dale or death; Ir the administration or Ihe eslote has not heen concluded. a summary report sholl be flied annually thereafter until the administration Is complete. I uel',lfy ullder pellllily of porJury thlll the forollolllg IlIrorlllutloll Is correct to the best or lilY knowledllc, IlIforllllltlon Illld belief. .".// ' Ilule: 2:...l.J....___, III.tS- (!,;;~A,. f!( . ~(..~.:zn::- . -"ersonal-llellresentatlVl!" , ^ Horney ror Hstntu ':111:: ~epo~t mllst be cl,;ned b:; the personal representative, or one of them when more thon onc. or by counsel for the cslnte.