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",; "",' .';"', "'," II,' :';\\..'J J, ,:,1 'I, , " ': ':/ 'I ' ~ ' "','l/, "., \'.' .-, '"I', c, , E:sltlle of _~I!r:.!1_,!.!::g_~~_.__ BrJ._r:!~erh~rL II/SO kl/olVl/ liS .___.___.____._______._________ PETITION I<'OR IJROUATE Ilnd GRANT ()I<' unTERS No. _ ____,q L__(r.'L~ (_(Ij________ To: __________.mn.________.___" n_"_____ J{egislcr or ~llIs ~H Ilic _____m__m__________.._____, [)('('('usetl. COllllly or _.IlI1~..€l.r_.an~___ III Ihe Sodal Security Nil. .__..2_Q7.:=.0_7.",113..4___.___ COllllllllllwellllh or I'clIlIsylvlIlIllI Thc pelilloll of Ihe IIl1derslglled respeclflllly reprcscllls Ihlll: YOllr pClillollcr(~ who 1<<11I111: 18 yellrs of IIgc 0I8Id~'I~ Ihc ef'!fIlLL.llL..-.-----lIl1f~ed IlIlhe IlIsI will of Ihe IIhovc decl'tlelll, dilled .___."~.._o___El.r.,,,_._,,______,,_______, 19__ CllO~c:oodl(ll)(lIall:c.1 _________.._ ____________.____________.______.__. t'llIlC n'll'vulll cimllmlnIlC~''i, c.~. rCl1t1lH.:iutloll, demh (IF c~cculnr, CI~',) [)eeelldelll WIIS dOllllcllcd III "elllh III ...---.Q\lm~~~albg,---- st-- C~urlllC l'ellns~1~11a, wilh ~rrolt~ fllllllljl or nrl"elpill r~sldellc~_1I1 _"'__r_,___,___~El~_~__ree_!..._ amp , ______ &__ /Jia:lltfi4~!(.LL.tl.({"!o.<1A<j1-!_- ___ _ _____________ , (Iht Slll'l'l, 1l1ltllbCI lIlld lIIU1lt:ipallty) [)ccclldelll, Ihen__..19____ yeilrs of ilgc, dicd ..____.QE3,g~m!?S!_r 23 ,19 96 al JldilllL_Ci.l.t:\LNurfiitLq_HQffiSL________ -0______'_ ______ "'_ . ExccplllS follows, deccdclIl did 1I0lmllrry, WIIS IIllI divorced IIl1d did 1101 hllve II child born or ildopted after cxccllllolI of Ihe will offercd for prohlllc: WIIS lIollhc victim of II killing IIml was nevcr Illljudlellled IlIcompclelll: no exc_epti.Qns.......____ ."'_n_.__"__m_..__________. [)ecelldenl al delllh oWllcd propcrly wllh eSllmilled vllhrcs as follows: (If domlellcd 1111'11.) All pcrsolllll Pl'UpcrlY (If nol domiciled In I'll.) I'crsorllll propcl'y IlIl'ellnsylvlIlIllI (If not domlcllcd In I'll.) I'ersorllll properly 111 Counly Vuluc of relll eslllle III I'r.l1us.vlVIIIIIII sltulllcd liS follows: J:>'l2 Green Stree_~_~a~p__~!~_, $ __~_Q'y . 00 $ 0 ~ 40,008.00 p~ WHEJ{EFORE, pellllollerli)( respcelfully lcquesl(sl Ihq probllle of Ihe lusI wllllAK\1:ltll4ll4~X presented herewllh und I.hc grunl of lellers_ testamentary (Icstlllllclllnry: admlnlslratloll c.l.n.; (uJmlllhtratloll d,b,n,c,l.a.) theron. ~ ~ 11 5 'tI~ 'i1 ~ ~l '\l." ~'e ~.. I'o I Iii ,;9:,.;/;) ~~~l:',.~fi-~~ _ L _C: ,.in", s...,...-A.L~0:' //] / .p\/. .L~ .i-~~G.( i~'" . /'7 e-./i~~~ OATH 01<' PERSONAL REPRESENTATIVE COMMONWEAL'I'H (W J>ENNS\'LV ANIA } 88 COUN'I'Y (W _C(,!MBER:!J'.ND _ The petlllollcrli)(uhove'lIl1mcd swcilr(s) or lIff1rm(s) Ihlll thc sllllell1cnls IlIlhe foregoing pelltlon lire Irue IInd correcllo the bcsI of Ihe kl\(lwlcdgc ilnd hellef of pClilloncr(l(/'<lllld 1111\t liS personal rcpresen- 1IIIIve(s) of Ihe ubove deccdelll pelltloncr(s) will wcll}J1~ Iruly IIdmllllsler Ihe eSlllle lIecordlng 10 IlIw. / /) . /7 .-:::::?? Sworn 10 or lIff1rtllc41 IInd snbserlbcd ~. ~-~:,~"'...,.((~& /(!!~..,<...... !!1 bcforc me Ihls _______.___ dllY of __________ ~ ~~~~.15.----- JP.-fLL. ------------- ~ . ~~ApJ ----- 1>>.. Mary C ,ewls RI'MI.I'ler __,,______ ~ /5- /53 "I:.{ No. . 21-94-917 Estllte of BERNARD F. BRINKERHOFF , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW January 14 f 19~, In consideration of the pelltlon on the reverse side hereof, satisfactory proof having been presented before me, IT IS DIlCREED Ihatthe Inslrumenl~l'dated Optober] 5, 1973, described therclll bc admlttcd 10 probate and flied of rccOld us li\c last will of _Bs!,.I).ard F. Brinkerhoff and Letters Te.stamentary are hereby granted to Bernadet te B. Mar ino FEES Probate, Letters, Etc,....".". $ 80.00 Shorl Certlflcates(] ) .... .. .. .. $ 9.00 Renunciation)" .. " .. .. " "" $. x-Pages (1 J.IJU JCP $-;; Ull TOTAL _ $ . . Flied.., .~~!l.~:r;y, ,1,~~ ~~.9.~".. .~? :?~" James D. Cameron, Esq. Supreme Court 1.0. No. 58998 ATI'OIlN!!Y (Sup. CI. I.ll. No.) 1327 North Front Street Harrisburq. PA 17102 AJlDR1!SS (717) 236-3755 PHON!! ~~ ~ ::o~ n ~.~ C).I ~ i!.;.CJ , , , C' o.l (l' ;, " e. n I c r,i (Xl "'. e . r, t,," . -0 <,' ~' (. -, ) I'} UJ Vie ~~ .. w - \J1 Mailed Letters and Order to Attorney on 1-15-97. REGISTER (W WILLS 01" . COUNTY OATH 01.' SUDSCRIIIING WITNESS , codicil (ellch) a subscrlbillg wilness tu the will presellled herewilh, (ellch) bclllg duly qUllllrled IIccordlllg 10 IIIW, dcpose(s) alld SIlY(S) Ihlll ",:::~_________presclIl Rlld saw Ihe tcstIlL__, slgllthc Sllllle IImlllllll _.___-'-_.___...______________, slgllcd liS II willless 1I11he reqllest of Icsllll..__ In h____.__ prcscncc IImJ (Inlhc prcscnce ot' ellch olhcr) (1lIlhe presence of the othcr subscriblllg wllllm(t's)). Swurn to ur arnrlllcd IIl1d subscribcd bet'ore IIIC this _____________.._____ dllY ot' _ 19___ (NUlIIl') fAddms) Register . - ooo 0)'= {.)~ ~f~ .... ("j'd -/, .- l: ~ l\' p;~! ~i (Nume) \0 t:~ t'I ':11.1.; 1"'\ I) ( Acldress) 0- ,) (j 1(.''1 co I .. .::\ 2 . ~. . i&Gls'~n 01<' WILLS 01< CUMBERLAND._ COUNTY P; . ~TH 01<' NON.SUDSCIUlIING WITNESS oC:S . Irene Mendock and Bernadette B, Marino (each) II subscriber herelo, (each) belllg duly qUllllfled IIccordillg to IIIW, depose(if IIl1d say(SJ that __---.!.h~_ is . fallllllar wilh lhe siglllllUrc of.-1leJ:1lilrn F. RriYlIc",rhoff. lCWl1ll1K will testal-2L- of !(IllKX04'x1dlCloullllllxltklllxftKDI:lt'ICK1411Jx thc prescllleu hcrewilh and llotlliJllX ___ believes the signature on Ihe will Is in lhe halldwrillng of Ihal~ . B~rll!!!:dF ,_I!r i nM.t'_h2.fL-- 10 Ihe beslof ...__I1.f!~_. knowledgc nml bcllcf. .,-? . ~~ ' Sworn to or IIfflrllled and subscrIbed before ~~~~ , /-1 ~(A"<""-' . me this Bth _,,_ dllY of , _ (N I e) r " ---p " January 19. 97 / ;,z,,_. '/'1. /..~ ,d.e(. 7li0~IL~f..a~~ /1 7(Acldre,!~. / . Mary c@ewisl !leglster . '~~<-L.:. ~'?tl/?d<,{..!i..c.L ...-?lI7.Jli.rt.m c.e.~ r?cCj (Addfl'.I'.!) ; ! "~I' " ".; ,t'.'l:'(t ,\ ". ,10 3~ ., '5. ' M ~l l"'1 ~ . , 0.. .,J . ,;8 cp ',' , ~ '}:' ~';tl I;)' , . r ~ i, rij I.,', i ' ."" ,. jl ' ' . ' , ,fj\ . 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"I' !i',:;,'~ \ ir'~;il\t.f;~'~'j.~ ',\,', ;:,' "'b " , \- ~1~,t J "{.i ' ';, \'1 I',' ,11:1 I, !!'.J ,ljhl;\f'~'t~\'j \,!, , "I\~, ",/1",,,, , .. "/I~" ~~\ 'I" "lll" 'I"'!"" t, ,11t:.'.'J,,' . "I '" '.'.'1' " I " '" " y ("', " . I' ,. .. .// ,. " , : i. , ,. I ,'\ , I " . " " " " "'."1 " ... " , 1-., '-'j' , , j" 'j' ','," (Ii 1 ,I' ,'I, II , " " I; " , ..' ':1 ji 'j', ), " ,I"" ll; 'i, "",'" " 'i ;''- ;', " 1,\ " , . t. .1 ,,- , :. ," i , ., " " , " , " ,. , , I II , , ,. " , /1" . 'ji .;""u..,......;...~, . ',I " .. ,. " J~''',j.I:''?I' (~OOI'IlIR. t'RIIODMAN .. t'RIIOIUI;\l\r In re BERNARD F. BRINKERHOFF, an alleged incapacitated perso!,\ . IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. OF 1994 FINAL ORDER OF COURT APPOINTING PLENARY GUARDIAN AND NOW, this ____ day of this case having been held on , 1994, a hearing in ., it appearing to the Court that Bernar'd F. Brinkerhoff was served with a Citation and Notice of his hearing on 1994, and that he was present at the hearing, the Court finds from the testimony: 1. That Bernard F. Brinkerhoff suffers from Parkinson's disease and dementia, a condition or disability which totally impairs his capacity to receive and evaluate information effectively and to make and communicate decisions concerning his management of financial affairs or to meet essential requirements for his physical health and safety. 2. That because of the execution of a purported Revocation and a purported new Power of Attorney there are insufficient supports available to assist Bernard F. Brinkerhoff in such decisions and that there exists no other less restrictive alternative mechanism for decision making. 3. That based on the total incapacity of Bernard F. Brinkerhoff to reoeive and evaluate information and to make or oommunicate decisions, a plenary Guardian of the Person and a plenary Guardian of the Estate are required on a permanent basis. " NOW, THEREFORE, based on the clear.and convincing evidence ,supporting the foregoing findings it is ORDERED, ADJUDGED and .DBCRBBD that Bernard F. Brinkerhoff be and is hereby adjudged a totally incapacitated person and Bernadette B. Marino is appointed Plenary Permanent Guardian of the Person and Plenary Permanent Guardian of the Estate. The named Guardian, as attorney-in~fact, may continue to enter any safe deposit box in th~ name of the incapacitated person alone or in the names of the incapacitated person and another or others as if no guardian had been named. The named guardian may otherwise continue to act as attorney-in-fact in the same manner as she has heretofore. An Inventory must be filed within ninety (90) days. A report by the Guardian shall be filed within twelve (12) months, and annually thereafter. Bernard F. Brinkerhoff, an incapacitated person, has the right to appeal this Order of Court by filing exceptions within ten days of this date or to petition this Court for. a review hearing to modify or terminate the guardianship herein estab1 ished. IT IS HEREBY FURTHER ORDERED AND DECREED that the Revocation dated August 29, 1994, and the Power of Attorney dated August 29, 1994, are hereby declared to be invalid and void, and the Power , of Attorney dated September 3, 1992, naming Bernadette B. MarinQ " , . In re Bernard F. Brinkerhoff, an alleged,inoapaoitated person IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION I I' NO. OF 1994 CITATION YOU ARE HEREBY NOTIFIED THAT THE ATTACHED PETITION FOR THE APPOINTMENT OF A GUARDIAN HAS BEEN FILED WITH THE ORPHANS' COURT OF CUMBERLAND COUNTY AND THAT A HEARING ON THE PETITION HAS BEEN SCHEDULED BEFORE , IN COURTROOM NUMBER ___, LOCATED IN THE CUMBERLAND COUNTY COURTHOUSE, AT 1 COURTHOUSE SQUARE, CARLISLE, PENNSYLVANIA, ON THE ______ DAY OF , 1994, AT O'CLOCK _.M. (PREVAILING TIME). THE PURPOSE OF THIS HEARING IS TO DETERMINE: 1. WHETHER YOU SUFFER FROM ANY MENTAL OR PHYSICAL IMPAIRMENT WHICH WOULD AFFECT YOUR ABILITY TO RECEIVE AND EVALUATE INFORMATION EFFECTIVELY AND COMMUNICATE DECISIONSI AND 2. WHETHER SUCH IMPAIRMENT, IF ANY, IS SIGNIFICANT ENOUGH TO RENDER YOU PARTIALLY OR TOTALLY UNABLE TO MANAGE YOUR FINANCIAL RESOURCES OR TO MEET ESSENTIAL REQUIREMENTS FOR YOUR PHYSICAL HEALTH AND SAFETY. 3. WHETHER THE COURT SHOULD DECLARE THE PURPORTED DOCUMENTS, AT'l'ACHED TO THE PETI'rION AS EXHIBIT "A", PREPARED BY ATTORNEY BROWN TO BE INVALID UNDER SECTION 715(4) OF THE PENNSYLVANIA ESTATES AND FIDUCIARIES CODE. AT THE TIME OF THE HEARING, THE COURT WILL RECEIVE EVIDENCE ABOUT YOUR ALLEGED INCAPACITIES OR FUNCTIONAL LIMITATIONS. IF THE COURT DETERMINES THAT INCAPACITIES OR FUNCTIONAL LIMITATIONS EXIST, THE COURT MAY APPOINT A GUARDIAN TO ACT ON YOUR BEHALF. THE APPOINTMENT OF A GUARDIAN IS A MATTER OF GREAT IMPORTANCE SINCE IT WOULD RESTRICT AND INFRINGE UPON YOUR LEGAL RIGHT TO PERFORM CERTAIN ACTIVITIES OR TO MAKE CERTAIN DECISIONS, POSSIBLY INCLUDING THE RIGHT TO HANDLE YOUR OWN MONEY AND TO DECIDE WHERE YOU LIVE. DUE TO THE SERIOUSNESS OF THIS PROCEEDING, YOU HAVE THE RIGHT TO REQUEST THE APPOINTMENT OF COUNSEL AND TO HAVE COUNSEL APPOINTED IF THE COURT DEEMS IT APPROPRIATE. IF YOU CANNOT AFFORD COUNSEL, YOU HAVE THE RIGHT TO HAVE SUCH COUNSEL PAID FOR BY THE COUNTY. 7. Petitioner estimates the alleged inoapacitated person's annual income to be $l3,968.00, including monthly social Security benefits of $403.35. 8. The name and address of the institution now providing residential services to Bernard F. Brinkerhoff is Cumberland crossing, 1 Langdorf Way, carlisle, Pennsylvania 17013. 9. Bernard F. Brinkerhoff was never a member of the Armed services of the United states. Bernard F. Brinkerhoff is not receiving benefits from the united states Veterans' Administration. 10. Petitioner asks that she, Bernadette B. Marino, be appointed as guardian of the estate and of the person of Bernard F. Brinkerhoff. The proposed guardian is a sister to Bernard F. Brinkerhoff. 11. The proposed guardian has no interest which is adverse to the interests of Bernard F. Brinkerhoff. 12. Petitioner believes, and therefore avers that no Court has ever assumed jurisdiction in a proceeding to determine whether Bernard F. Brinkerhoff is incapacitated. 13. Petitioner believes, and therefore avers, that Bernard F. Brinkerhoff does not have a guardian already. 14. The reasons why this guardianship is sought are as follows: a. Petitioner has been acting as attorney-in-fact for Bernard F. Brinkerhoff since 1991. During that time, she has diligently fulfilled this duty with the best interest of Bernard being her only oonoern. She and Bernard have always had a olose relationship, and he depended upon her even before he beoame inoapacitated by his illness. b. Their sisters, Irene Mendock and Dolores Looker, have reoently become interested in Bernard's affairs, particularly his finances. On August 29, 1994, Irene Mendock and Dolores Looker took Bernard to the offices of Attorney Jan L. Brown in order to cause him to execute an alleged Revocation of the Power of Attorney held by Petitioner for the past 21 years, and to execute an alleged new Power of Attorney designating all three sisters, Irene Mendock, Delores Looker, and Petitioner, as Respondent's agents. A copy of the alleged Revocation and alleged new Power of Attorney is attached hereto as "Exhibit A". 'l'his was done without informing Petitioner until after the faot, through a letter from Attorney Brown, a copy of which is attached hereto as "EXhibit B". c. Being close to Bernard and familiar with his condition, and after examining the 'alleged new documents and conSUlting with Bernard's doctors, Petitioner believes that Bernard lacked the capaoity neoessary to request and exeoute the documents prepared by Attorney Brown and that they were the product of fraud, duress, and undue influence exerted by Irene Mendoch and Delores Looker. Petitioner also has concerns about the future implications of any action her sisters may take pursuant to the purported new Power of Attorney, including possible "gifting". " " " ' d. The existenoe of thase doouments, and their purported ,legal effeot, are oreating diffioulty in the administration of Bernard's affairs. Petitioner believes the alleged new Power of Attorney to be invalid, and her attorney has advised Dauphin Deposit Bank ancl Trust Company, which holds many of Bernard's assets, not to honor the said alleged Power of Attorney. Unfortunately, the Bank must now take the position that it will honor neither the original nor the alleged new Power of Attorney , until the Court resolves this matter. Aooordingly, Petitioner seeks a rUling from this Court regarding the validity of the purported Revooation, the purported new Power of Attorney, and of any other purported legal documents executed at the behest of Irene Hendoolc and Delores Looker, Petitioner believes the eBtablishment of a guardianship to be the only remaining way to ensure that the best interests of Bernard are proteoted, as it is the only guarantee that the same or similar doouments will not be "exeouted" again in the fut.ure. 15. The funotional limitations and physioal and mental condition of Bernard F. Brinkerhoff are that he has Parkinson's disease and dementia, which make him dependent on others for assistanoe regarding his daily life. 16. There are no less restrictive alternatives to the appointment of a guardian for the reasons alluded to in Paragraph . Fourteen above. , ., ,17. Petitioner requests that the quardian be granted power to aot for Bernard F. Brinkerhoff in all matters regarding his finances and his daily life. 18. The proposed guardian has the following qualifications: Petitioner is the sister of Bernard F. Brinkerhoff, and has acted on his behalf as power of Attorney for the past four years. She cares for him deeply, and has nothing but his best interest at heart. She is familiar with his affairs, both personal and finanoial, and she wishes only to do what is right for Bernard. WHEREFORE, Petitioner respectfully requests that the Court/ under section 5511 of the probate, Estates and Fiduciaries Code, issue a oitation to Barnard F. Brinkerhoff, Bernard F. Bril'\kerhoff's next of kin, and to such other persons as the Court directs, to show cause why Bernard F. Brinkerhoff should not be adjudged to be an incapacitated person and plenary guardian of his person and his estate be appointed. Further, pursuant to section 715(4) of the Pennsylvania Estates and Fiduciaries Code, Petitioner respectfully requests the Court to declare the purported doouments prepared by Attorney Brown to be invalid. . Date:J.':t.1. 2<;, /9'io( Respectfully submitted, ~. \ /'/ 7- I ( . ''l//((IJ!1^--' ,. /' ,~. D. Cameron 32 North Front street risburg, PA 17102 -'l17) 236-3755 Attorney I.O. No. 58998 Attorney for Petitioner , ,.' ,,' '. /, ',j " \ '\ "'I i I '1;. ii,,' S\ '\",jl.! ., IS\I,' .'_ " i', /1' , ,1:1,<',\'-, .', ",i-' " " I' " VERIFICATION The undersigned hereby certifies that the foregoing statements which are within my personal knowledge are true and thcse which are based on information received from others is believed to be true. It is understood that false statements herein are made sUbject to the penalties of 18 Pa. C.B.A. ~ 490~, relating to unsworn falsification of authorities. ,I' ~r~Jd:- /1. ~ ",. BERNADETTE B: MARINO . , , . " " P, , , , , ',.' , , , ," rI" ,. " . , . " , 'I, I ". ,. " :J , .' , " jf, ,I, , , : , " , , , , I I' , ,. " 1\';' ,\ ,. , , " , I' , , "j. /. I, iI', ,.', " ; " .. " CERTIFICATE OF SERVICE James D. Cameron, Attorney for peti tionerl hereby certifies, that he. served a oopY of the foregoing Petition for Adjudioation 'of Incapaoity'and Appointment of Guardian of the Person and 'the Estate by mailing a oopy of same by ordinary mail on the 25th day of Ootober, 1994, addressed as follows: " " "I' I,,' Ii" /"", ", I,' " " " j.. h , I'. I' I i ,', , , I , " '. ,. , , I' , , , , , " .,..i', 'j; ,,' '1, " I "." " \', I' .J.' <j' 'I. d. ; 'I...." " . I' I; , , " ,'.' , I " Jan L. Brown Attorney-at-Law 5440 Jonestown Road, Post.Offioe Box 6362 HarriSburg, PA 17112 .' D. Cameron North Front Street iSburg, PA 17102 (717) 236-3755 Attorney I.D. No. 58998 Attorney for Petitioner ." " , i' .,. ,"," " I. , , " .. I';, "l " " ;,., ,.j, ,'ii, ,. ,. ,,, " I' I" " , , \. " 1" " , ". 11,.\ "I'. ,. 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"1,1, - ' ~.' , 1 ',,' I" --n__'I",i I-i.,', :,1\' .1 .1 'I; I, ,.I '" "I' I f;!II: ., 1;: :,' , , <I", 'jt ...\( ,,)'/11'(';,;,' I, /, " "I. ,,' I, I ~ .. ,~ ", , i ( ~ ~. :i ,.J " , Ij, , , , "" If: ;\\ Ii" " tlb'I~IIllQA~I~ft(). l'Il'Jf';~IO 1~li ;v.jCT~i~, @ " " ;"1. "1' ,. .j I' ;,: I II' , "",i, \1'.'- (,,' f." (, ,(':' 'i. 'i,', ,. ". ',I ,,', ~ \' : ',,' " , ";"" , , ,;1 '\ " " ,. 'fl. ,'1- d, 1'; .' . , I, ,'1 i" " ,';~p ;\:,1 I' :1 ,'.": ",.i'I', I ~ ',' /. .'..' ", " f,',; "f'.. 'il:. '.' ',I' \;'1 " "I",'. 'II' :;" " " i" '",' <!' ", " ,.'1'1"( I, " j. ~, "I' .. 'I,' !. ,. , (.11' 1'1' I' ,. " ,.,';,' ",I ,. ,I ,.. i' I, ',' q " " ",i ", 1'1' .' " 'I, I,': (" "~I'"~ " ',. /, "" I, " '" j-" I, "1, , " , " I.i l' II , 'jl; '"'l I I" " ,. "'Ii " '\" ,,(., " " 'r. ,I. 'I " 'I" '. ;, '11'1' , ,. /'.',' , ," ~ ! j' 1,-, .':" , , " " ";/1" , ,iI, Ii , " " ;,j ,. ,,' ,. , 'I q: ". , " " " ('11 "! ",' " ""i' /,,11\ ".,. 'I,' ). ;' " , '\1 \f " /, . .' .'. 'It /'(, , I' :1,' j' ',I' ". " , " , " ',1' q, .. , :., , , , Iii , I', il; ,. I; " <;Ii. ' "\1 " '1,1,," " , ." , " I,ll' ",',- ,(,' " , I', .' ,I ,,' " " I'., "I I' I;' "r',f', ,I , I' '1 ',,1'\' ,. " I'i'; , " ;. " " " " ,'.' " ,,' " ." f; " ,. ,I' u" , I I' '1_, ,,, 'j " ,. .1 " , I' 'jd , (I" 'I. 1/' " ,I 1'1 \. ,.'," ,', '," "" I' I'" , , ",I, i,' '-.'.J: i" ,,' .t.,' ,I. ,. I: ", '.t. ", '1"1' ,. j, ,.t' ',; " 'I (' I " " ,t "I; " ,. " '1,1' ,1.'.1' ," I,' " ". 'i 1- , 'Il,jl' II" ,.. '1, , ' " I;, II ,,' " '" ",. ! ~ ';' , , . " I, 'I. 1.-' ,,' " :' , , , ,i,I". 'i.;1 "t, , " . ~ ' '" ,. ,-)'~' , ' ''!'I " , '"f ,I; i '1' ~ - I J " " .. Ii , '.-:' ",', ',,' , ,. "'I 1/1"'(,', " ,I,;, , ,. " " 'I ,. ,. ,. '.'Ii' I'" 1""'1 "\1 , ,. I, J: , , ,. " "'-i ~ ',,' " '::1 / ; !) ~I__' ." " 1/, I; ",', ,'j, -"i ,', " j' ,.(., , ,1";') ,,' ,." " \" ,I j. .. " " " ,I " " " " , , ',' ,. " ':' ,. .j 'I" ','.t< '",'.' " ",.,1' '; ,',i " (,J: " , " '" ,. ,. ',II ," i' " .' I' ,. ,", , I' , " .I',' ",,,, ,. ,.' II ~ ,,; " .' I' ,I, 'I .., 4,', ;" " ". d,:, 'I. " , " , I' 1\, ", ,I ,': " .'. "", .' " f ~l) , I'" ,':' "I' II :\ " t\"." ',1'- " " I, " , ,I" "1, ",' 'l.rI. " ,I" ';)'\"', ;;/::' ,I j,. , ~ ',I " I,ll' '. ,,'; '.'. .;01.1'.' ),1 -\ "n :,1' oI' ,," 1",' ,., " ",' "" 'I' idJ " " I ~ '. I ' ,,[. " .-,',' './' ,': i" 'I,: 1;"" .. ., 1 1,/' " " " ," 1'(, ,I,' "" ,. " " , I' ';,,1,' II ',10 , , 'II " ,. ,1.1 ,'" ,,' 1': ,. " " f'" " , " . 09/22/94 10!30 . tt410 260 3066 , . I' 1al002 ,0 REVOCATION OF POWER OF ATTORNEY . . I, BERNARD BRINKERHOFF do hereby revoke the Power of Attorney appointment ot' BERNEDETTE MARINO This REVOCATION Is effective on the date of signing and notIce of this termination of Power of Attorney will be made by delivering or mailing a copy oltllis revocation 10 Bernedette Marino, I, BERNARD BRINKERHOFF believe that it is in my best interest to have all my sisters act Jointly on my behalf and as such will execule a new POWllr of Altorney naming my three sisters, Bernooelte Marino, Delores Looker, and Jrene Mendock as my attorneys in fact Daled: ~J'I.~r~' 29~' " (JDrVI"'-r!:~ . 1 ~d Brinkerhoff 1994 Wltnes~s: , ~~4~ P' W&LV{ lJJ~ STArE OF t'ENNSYL VANTA I IS. COUNTY OF DAUPffiN On this !2~ day ofA'1ltJhm, before me the undersigned uftl~l, per~onally lIppeared Bernard tlrinkt:1hofT, known to me to be the person whos~ name Is subscribed to the . toregolnB instrument, and acknowledged thllt he executlld il fol' Ihe purposes thereIn contained. Witness my hand and omcial saal tlte day and year aforesaid, if~Yt. Notary Public My Commission Expire~. . NOTAAIAI. SIAl. ~.'N /-A. BOMOAACNER. NoIaIy PulIlIo CIIY 01 HMlloW\Itv. OIup/lln CoIny /-AyCo 151 I. I, :-""-~"l"'''_~''''''.'''''' , '._"","""h"" '., . " !' "':"j' , 09/22/94 10:31 ,0410 250 3056 ~OO4 POWER OF A TTORNEY OF BERNARD BRINKERJ/OFF r, BER.II1ARD BRINKERHOFF of CUMBERLAND COUNTY. PENNSYLVANIA, hereby appoint lRENE MENDOCK, DELORES LOOKER, AND BER.lI.lEDETTE MARINO, hcrcinaftel' (referred 10 liS "my attarneys") to act jomtly as my altomcys for me and in my name and place to. trAnsact IllI my btlsJness and to. manage all my property and affairs u completely as I myself might do if perscnally presonl, including but not lunited to., exercisiog the follawing pow~ra: I, ExtcutiQrt of C/HltrQcts To. enter into., perform, modity, extend, cancel, compromise, enforce, or otherwise act with respect to any ~cnlract Df any sort whatscever .. InclUding but not limited to., leases lInd martgages -. and to pay any mcney ar to. transfer title and pos9llM~ion to. any real or p~rsonal property that may be required to be plUd or transferred by any contract or In the perft\nnanee of any ebligaticn entered into. or incurred by me ar on my behalf J. llH'ei1/mertts To. invest in all farms of real and personal prDperty wit.hout any re$trictiDIl WhatsDever a.~ to thtl kind of investment, mcluding, but not limited to, United State~ Trell.'lury Bands which are redeemable at par in payment of federal estate taxes. ]. ReNMratlon of' ProDtrt~, To. hold property unregistered Dr in the name af a nominee. 4, ferso.paJ hYDerft!.. To. buy or sell at public or private sale for cash or credit or parlly for each, exchange, pledge, lease, give ar acquire options far sales or exchanges ar lell.'les, or by lUly other means Whatsoever tll acquire, dispose ot; repair, alter or manage tangible or intangible persona.! property or any interest therein; and, without limitation, with respect to any securities, to comply with any securities laws or regulations, to execute indemnity agreements, to purchase inS\lfllnCe anti III pay commissians or discounts reqUired by any underwriting. $, Rellj Properly, To buy ar sell 8t public or private sale tor cash or credit or partly for each. exchange, martgage, encumber, lease for any period of'time, glve or acquire options for sales, purchases, exchanges or leases, dedicate, or by any other means whatsoever; 10 acquire or dispose of real property OJ' any interesl therein; 10 partitian and subdivide real property; to manage real pJ'openy; to repair, aller, ertel, or lear dawn any structure ar part thereof; and to. liIe such plans, applicaticns, or other documents in connection therewith and do. such other acts as may be requClited by any government Dr other authority having or pUlparting to have jurisdiction. 6, SeCllritiel., To. VOle in persoll or by proxy at any meeting, to jain in any merger, reor8ani~jon, veting-trust plan or ot.her concerted action of Sl:curity holders, to. make payments in connectian therewith, and in general to exercise all rights of a security holder. 7. /tJ.SU1aJfCe. To procure, alter, extend cr cancel insurlllce allainst any and all risks affecting praperty and persons, and against liability, damage c;r claJm of any sort. \ 09/22/94 lO~3~ 'Zt410 250 3056 IaJ005 I~, l.oan,~ To borrow money In such amounts tor 11uCIJ periods and upon such terms Il.\ my attorney shall deem proper and to secure any loan by the mortgage or pledge of any property, and I specifically authon:.~e my anomey to borrow money and to pledge property as collateral {Of the purpuse of purchasing United States Treasury Bonds which are redeemable at par In payment of' federal ~stare taxes 9. Bank tkCOUnLt To sign checks, drafts and other instruments or otherwise rrutke withdrawals {rom any checlung, saVIngs, transaction or other deposit account in my name, and to endorse checks payable to me and ItJcelVC thc pruceeds thereof in cash or otherwise; to open and close checking, savings, tranll8ctkm or other deposit accounts in my name; to purchase and redeem saving~ certificates, certificates of' depo~i I or similar instruments in my name; to exercise and deliver receipts tor any funds withdrawn or certificates redeemed; llId to do all acts regarding any checking accounl, savings account, savings certificate, certificate of deposit or similar instrumenl which I nuw h"ve or may hereafter acquire. the same as I could do if personally presenr. Any linanclaJ Institution nlay cuntinue: to rely on ,this power of attorney until It receives wntten notice from me that this power of attorney is revoked or actual notice 01' my death and shall be indemnified and held harmless by mC' and my estate, personal representatives and heirs agamst any liabihty or loss, including lawyers' fees, cosu of suit and claims of third parties, which it might incur by relying on thiS powcr after tconinallon or revocation but before it receivC5 5uch notice, or any time because of wrongful acts, omissions or representations of my attorney with respect to transaCllons covered by tltis power of attorney, My attorneys shall be subject to whatever bank rules and regulations I would be subject [0, 10, Individual Retirement tlc~lUnl, To request and receive distributions from any of my Individual Retirement Accounts; to gIve in~1ructions for the purchase and sale of securities in tho~e accounts; to execute on my behalf allY powers of attorney 01'. other instruments needed tor those purpose~; and to endorse nOles, checks, drafts and bills of I'Ixchange, and to make contributions 10 those accounts. 11. 5,i[e De"O$II BI).'fe~. To have access to and control over the contents of any safe deposit box remed by me, to rent llllfe deposit boxes in my name, to close out and execute and deliver I'eceipl~ fur Slife depOSIt boxes in my name, and to do all acts regarding any safe deposit boxes tn my name, which I IIUW bave or may hereafter acquire, the same as I could do if personally presenr; provided that my attorneys shall not deposit or keep in any Buch safe deposit box any property In which my l\\tomeys have a personal interest, Any financial institution may conWlUe to rely UII tIllS puwer of attorney until it receives written notice ITom me that this power of attorney is revoked or actual notice of my death and shall be indemnified and held harmless by me and my estate, personal reprtSe1\18lives and h~rs against any liability or loss, Includmg lawyers' fees, costs of suit and claims of third panICS, which it might incur by relying on this power after teTlT1irlation of revocation but before it receives such notice, or at any time because of' wrongful acts, omissions or representations of my allorneys with respect to Iransaclioll8 covered b~' thIS power ot' at'tornc~', My attorneys shall be subject to whatever bank rules and regulations I would be subJecl. . 08/22/84 10: 33 C.l1 0 ;~50 3056 f1JOO6 J 2. Recei(lb and Approval ot' ACqlUIlLl TI.) fI:c~ive a paymllnt of any land, including a ~~YUl!SI, dl!viSl!, Sin or other transfer of real or pmonnl property to me In my own right or as a fiducilllY fur IIIluth!!r, and to Blve full rec~ipl Illld acquillllllce therelor, or a refunding bond Ihl!:reful, lu UI'I"UV~ lIc-counts ot' any buslnM~, Mtllle, trust, partnership or other U'tnsaC1ion whats\'Jever III whl~1i I rfJay hKV~ any interest of any narure whatsoever, and to enter Into any compromise and release in regard thereto, /J. ~romise and Arhitration uf Clqllll.~ To compromise Or arbitrate any claim in wllich I llIay be in any mllnner interested, and for lhat purpose (0 enter into agreement to compromtse or arbitrate, and either through cuunsel or otherwise 10 carry on such compromise or arbitrlltion and perform or enforce any award entered In arbitration. 14. Institution and J)e(tnse of Claims, To institute. prosecute, defend, compromise, or otherwise dispose of, and tu appear for me in, any proceedmgs at law or in equity or otherwise before any lribunal ror Ihe entbrcement or for the defense of any claim. either alone or In cOI1Junction with other persons, relating to me or to any property of mine or any other ptrson (Includi08 the authoflty to sue If this power of attorney is nc>t honored), and to retain, discharge and substitute counsel and authorize appearance of such counsel to be entered for me in any such action or proceeding 15. IitsD.. To prcparc, cxecute and 61e in my name and on my behalf any relurn, report, protest, IIpplicatlOn lor correction of assessed valuation of real or other property, appeal, bne~ claim for refund, or petition, including petition to Ihe United States Tax Court, in connection with any tax imposed or purported to be imposed by any government, authority or agency, or churned, levied or lISsessed by any government. authotlty or agency and to pay any such tax and to obtain any extension of time for arlY of the foregoing; to execute waiven 01' restrictions on the assessment and collection of delicilmcy in MY tax, to execute closing agreements and all other documents, insl\1lmenls and papers relating to any la:< liability of mine of any sort; to institute and carry on either throug.h counsel 01 otherwise any proceeding in connection with contesting any such tax or to recover any tax paid, or 10 resist any claim for additional ta.'( or any proposed a:I~mment or levy thereot~ and tn enter into ally agreements 01' stipulations for compromise or other adjustment or disposition of any tax. J6. D/sc/aJmt!., To execute, deliver and file or record disclaimers of any part or all of any property, power or interest passmg to or for me under any will, deed or trust or otherwise; and to direct my spouse's Ilxecutor to elect 10 qualitY or to elect nOl to qualify for the marital deduction any portion or all of a marital deduction trust created for me by my epouse, 17. pnwlovment or Others. To employ accountants, Bnorneys.at.law, investment counsel, custexllans, agents, servanl~, and others, and \0 delegate to them, to remove them, and to pay lhem such remuneration liS my altomey shall deem proper. 18. Eucution of DOCllml!nt.1 To execute. deliver, file for record, cancel, modify, end\lIstl, IIcquire 01 dispuse of any instrument Including, but not IimJted 10, stock and bond . ,Ii' ",' \,.'" " 'I!' ,', if " ,,. " ii, .,. . , " . ~t\.i;4'''UI.l~'lIJf'lrnl l..,mM'~ 1111\' .':"I;IIO,"@ " ',\ " " " 'i< ;' ,,' Jif,'" I , I" I!" ", :\, " , ' 1,...1 " ,. " , " II " ,." \\ ,,, , Y' "J ,. !' " Ii '"I' 1\ " ,I; " ",1-,\' 1_., ,"'1 " "I ,1' " ,i' " " ,', ." I, ,. t,l' I;' " ,. I:! '1'1' " .. ,',', ,. ,. ,. '" /'1 ' i\, " '..1 II', 1.1: .. I" ,. J !, , " ,,' " " , ,. " " ,j, ',' ,. '" " ,oj' ,I iil; p ,./, 'I " '.1 i,t},~ Pf ,Ij(,; qt' I'. ,,' ,I, "i ,It 1'.'"" ,. ,. I' "" ',. (-, .I,. ,,' " ,. ,. ,I' , " " '''. 'j I j" I,' ,. Ilthiblts , , ,. I,P " ,I ~ " ,. , , , ,,' Ii' , d; I' I. ,\,H " ,i, ,. ,. I. " i,l 'I'" I:, /, " " " j! " , I, ,. ,"1 ,! ,. , . If' " .1 L ,. j\. 'i, i,J , , 1"I'j' 'I.,', :1 ,. '-',I " i! "I !I,I ,. , , J'" , " ,:' " d' " , " ,.,( " " if i,," 'j, 1,1' , '1.1 " (il'I' I! ", , 1 q !: :.. "i: ., " , ", ,. , " ~ ,\l " I . If II. 1_1 1.-, , , ,. , 1'.1 J.I' , ;" "'j, Ii 'I ,., ,<I " ,,'1. I ",'," " .\ , -;/ i , .. '.; " ,I.; " ., 'Ii ,. q It, , '" " " ,I. 'q, " '.1' ,. , ,. If " ;;1 .. " ,. ,! !i ".J , i.'" , 'I' I" " ': :'1' !. ., ". Ii , .' Ii " " , " 1"1' f""f . " t" " " i',I' " '''1/ i'. "i , , ., ,. , ';1 '" .' ".1' , ,. '\ ,1\ " I' H1 I " ,. ,'1- , " " '.' " d " .. i' 'j< '.1' q, , I, pi I' II'i' f\' "" "Ii, ,.t- -' I"'j " " i\' I' " " j\' II, " " " I; " I'" I, ,. ., ," , , i,"', ,ll,t ,Ii ,. " " ""/ \,' 'I, " i. ' ,. In re BERNARD F. BRINKERHOFF, an alleged incapaoitated person IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA. ORPHANS' COURT DIVISION . I I NO. 917 OF 1994 AND ,NOW, this (,'fli' () . day QRDBB of December, 1994, the Petition for Adjudioation of Incapacity and for the Appointment of Guardian of the Person and the Estate is hereby withdrawn. IT IS HEREBY FURTHER ORDERED AND DECREED that the appearance of James D. Cameron, Esq., attorney for petitioner is hereby . withdrawn. BY T!'IE COURT I , ' " " "1' ,II 'f , , .. " ,!' " .., , I " , , ,. " , , " I , I' " " "j ,.',', , " " , ,. " " , " , , " ,i , , .'''i .,. '; , "II , I , , " " IN REI BERNARD F. BRINKERHOFF, an alleged in~apa~itated person , In the Court of Common Pleas , Cumberland county, pennsylvania , Orphans' Court Division , , No. 917 of 1994 CITATION WE COMMAND, you that laying aside all business and ex~uses whatsoever, you be and appear in your proper person before the Honorable Judges of the Common Pleas Court, orphans' Court Division at a session of the said Court there to be held, for the County of Cumberland to show ~ause why he should not be adjudged an in~apa~itated person and plenary guardians of his estate and pereon be appointed, said Citation returnable 1994 at o'~lonk, . m.prevailing time. The ti me and p lane of head ng on the peti Hon for appoi ntment of a guardian of the eetae and person of the alleged innapanitated person are fixed for Denember 20,1994, at 1:00 o'nlonk, P.M., prevalling ti.me, in the orphans' Court Divjsion, Cumberland ~ounty, Courthouse, Carlisle, Pennsylvania. At least twenty days' written notine of the hearing shall be given to Bernard F. Brinkerhoff, the alleged lnnapanitated person, by serving him personally with the Citation and this ~raer of Court and a nopy of the foregoing Petition together with an explanation of the nontent and terms of the petitioll' and at least days' written notine of the petition and hearing shall also be given to the next of kin and to the fOllowing parties in interest by first nlass maJI: Irene Mendonk and Delores Looker (~/o Jan L. Brown, Esq.) 7 Robert Fox, Charles Fox, Gary Fox, Bernadette Pierre. Witness my hand and Pennsylvania this 28th offinJal seal of offine day of Ontober, 1994. at Carli sle, Mary Clerk f Orphans' Cumberland County CarHsle,Pa. , " " /' d' ,. .. '. , !' " , . CERTIFICATE OF SE~VICE 'Ja'mes O. Cameron I Attorney for Pet! tioner I hereby 'oertHies that he served a oopy of the foregoing Proof of Servioe of citation by mailing a copy of same bi ordinary mail on the 23rd day o,f November I 1994 I addressed as follows: :: r. , ,. ". ." .\'" " , , , !', , , (, 1 .' ,. , , " I;, " " ,. , " I' '. " i. ,', '/1; ,. ,,'; " ," 1.1 :,',1-;, { ; I ~ ., (, " " .. 'I ,/ 1"1,''1' "I'\" ,. ,. Jan L. Brown Attorney-at-Law 5440 Jonestown Road Post Office Box 6362 I!arrisburg I PA J. 7112 .~ I' m s O. Cameron North Front Street risburg I PA 17102, (717) 236-3755 Attorney 1.0. No. 58998 Attorney for Petitioner " , :f! , " " " ,. " 1\, ," ,i' .,1' , ' " " ". ;",j' " \: "I " , ,Ii, , "j I' 11 ).' I. " , 1-"\1 ,.1' I. 'I; ". ';/ " ,,-If " ,'j'I', Ii '1) " " , {: ,.' " 1\ , " " ,I' , I', I" . ;1 '" , ~ REI BERNARD F. BRINKERHOFF, I I an .11..~ Incllpaeltlled penon I. I I I 1 ' OFFICE OF REGISTER OF WILLS CLERK OF TOE ORPHAN'S COURT CUMBERLAND COtlNTY, PENNSYLVANIA . NO, 91"1994 To Relllster of Wills and Clerk of the Orphan's Court " ,I' , ~ " Sir, ploase enter the appearance of JAN L BROWN, BSQUIRE, whose address is 5440 Jonestown Road, P. 0, Box 6362, Harrisburg, PA 17112, as counsel for BERNARD F. , BRINKERHOFF, the alleged Incapacitated person, In the above captioned case, ~ated:IV~~ Z~/I~~ , . ' , .. 11,. .\ (;". '.' f,~,' .-\ /t .' U.J ,. "..' 11' , . ,l; \0 'I. ~~~: .'';1'' " ' ,", ,I \' . "~,"~, : l. I" ,. !'. 1 .t., :1\ ,.:; (J~ ,eI: I , ~' p-', ; I~., '.'~. L.i ,(J() I" , , I,i I " " ".' ,. " i " , \ I, " 1'1 .' Respectfidly submitted: f&r-. J L, Brow I Esquire 4 0 Jonestown Road . BOll 6362 Harrisburg. PA 17112.0362 (717) 541-5550 Allorney for the A1leaed Incapaoltated Person " ',I " I.' .1 " , , .' '1'11 1",1 :' , , "1' ", " , I " ,../ " 1,.1 '" 'I ! ' I I I, ',I' " I " , , ,. ',' I ,.NoUeehas now };leen given to all persons entitled thereto under , RUle 5.6'( a) exoept Date I f/I"1 20, 1'197 " ;,' ,capacitYI , .', I, " , ,', " ,['1,1,,' , Ii "'~' '" ,. I'. " , ,,' \' 1,,-, ,,' , " ,. , I,_ " 'h , ", ,. ;,[ " , ,1; ... ,,' " 'I' ./ /, '/ " ,. . , (I' , , " " ,I'!' , ., "I " ,. , I .. ,/ , " .. , , , ,. , , " , , , " " i, ,,' ", , ,/ " " s N t"~~ D. ~Illeron Address 1325 N. Front st. Harrisburq. PA 17102 Telephone (717) 236-3755 I' , ." :' iI' "1,' " , .,. " Personal Representative x Counsel for personal representative ,I 'I '" ,,' ",. f( , " " I, " I' " . Ii' ,., ; " / ,. " " " ,. " ,. , ", I,. ,. ii', " , " " . ~{- - ") }J;~f!)J."';i'Jl'~ ~!I:';;",\/J';i"'h\:'~';il~:J</jr~6i;;I-~~di~,t'lkrj _ __ ~ T I - _ - ~\ ']!X.f. ,l\.~" '!~/;/.;.'\'_i:r'I"'!_""_:(' ',tL -"'f- J' ,~l"- j" i,.'II!;t,~t t ,L, Ii Nf~.~J't ~rVt"I~' \1'IJ>;'~fi1(:l' ',:!l.\'~:': :/ r:,,':'):',.' !f- "~-I 'H'" k; ,";1.' 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AND A88E88KEN't OF TAM ON JOINTL HELD or TRU8T ~88ET8 CATI ESTATE OF DATI OF DEATH FILE NUHBER OOUNTY SSNIDC ACN . j.' C\lIT ALn~(l THtll I. tl<l'! .. li'TAT~1 LtI\oIRR 'P"~TtO~1 FOR YOUR rECORDS ~. ..:.:..:.-...."!."!'.!'!."!;"'._................~.,....!"~."'-:~_~...,~.__~~'.":~~I._:";.':::',~,...,:".~~.....":... .~. .,.-....................... ......... ........ ....' 1 '1-' :1 " , ,', ,\ ',J'I , , , ,li 'II i.cl 'Ii 'Ii:' I' I, t' " " , , ,- , '/," ,. " ". .,.... "',1' .. ,....... . -1...... ~.-._,-.- " , ' ,. " " 'i " ,.r ",I :' '* 1Iv.alUumlll.1II BERNARD F . I . ~ ., I> I . " j~', . I' " t,A , , '. -f I. '. . ... "j t I " . ,fr." ,rf .. " ~ ~f ~, ) . , '1,4' ' J' I \,"' , . .., ~ ' , 't\ ''':1'' ) . 'J "I;' . ".\ I. .1" I' .1. , . ,"ft';. , ,',,'" ,- , , ',~ ,.... ~'; '?' 'f J , , , . I \, 'f --.:.~". ,;,~!, +:"I..--..~J! "f '. " I,r "L ,_",.!"t(,.J:p";'!, ,t - '-"I,~:_i'!"' ,1 " ... T-~ ..:. ~- I-J:\1' -:~.I' . . I '/ 't"\ , . - . "-~.:. . 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',I .{"" I t,"t,(< ~, .,). ., 11',"\ , . .. ,I"~ ," ,l 'j ,r r '..1 jl,i '" f . - ~q > . '- " '" \ .~ ~.' " .. I .j' '~II' . ~ . \ I ,,'d,f ':!~, :.' -, I" ':, 1 ~-' I, ,- 'q ,.\ 'i I, .. p ., .;. I ., ~' .,1 , , . .' 1.,1, I' ". .., ~. t , ;( r-w. '" . ........... , <I, . r y, "I , i ,.,' I. '1",-' ! I' I I , ! , , }, I , " , \ \ ~ ! ( .J /5 -/';;'3 - /.~ INHERITANCE TAX RETURN RESIDENT DECEI>ENT ITO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) RIVoIlOO IX. 11'.'1 (UMMut~WfAllll or rlIHHYIVAl411\ UEPAR1MUH 0' !fVENUf UIPf l8060I IlMRISIURO. M 11 19.0601 {jnluHlFfiill\f1iiir~fi~~eAfjo Miii"ftifffiilfXij Bd nkerhof f, IJernard I'. i_~~i? ~g~~;i;U;.~i' h____. ~- m j"Ai; ~;/;~;/~6 ..: IV!;; ~iOi~~i17 II' ..,'lI(....1ll IUhIWII'(J ,'OU" , /lAI,lI (I"" fl_" AIm Mllllllf 1111I1.1.11 ISUUA( S!CURII1 tHJMBfR l1/a . - . -- ~ k I 1 OflU1nul Relvlll [ I 2. SupplOmnnltllltnlurrl w~B n 4. L1mll.d E,lol. 1.1 4u, ful". 1111"..1 CO'"I'''''"I1. :t: 0 9 ~- 1'01 dOle, of dnolll lIlIo! 12, I 'J.lI'll u~c:a K16. (lnCtldllnl Olnd '.nlllle I J 7. Ontetlnnt Mullllflluod u U....iIlU l'Ull (Alloch cOI'Y 0' Willi . IAII'leh cOI'Y ollru'l) ...---.-- All CORRESPONii'iNCE AND CONPIDENTIAl TAX INFORMATION SHOULOSEiiiRECTED TO, tbffi H4Mr-"'---'~------_u_-"'-_u_-_u_'_~__h'_'__'_" c:u;,riii;j; ~~;'iijiHi.i.iliiiriH .-.. _""_. "'Q James IJ. Call1erol1, r,:sq. 1325 North !"rol1t street B~ i!iiriluiiiiiUMii'.----.---.--..---...--.. -..---..-.-.... 1/1IlTisbur<), I'A 1'1102 -----~- ~~~.Z.17.L_..~},G_.3755 '--~"-~~O~-"'.~~c.. . I. Reol Ellule ISd.edule AI 2. Slocl. Olld BOlld. (Sch.dul. B) 3. ClolOly 11.ld Slocl/PO'III",hll' Inl....IISch.dul. q ..t. Morlgngol and Nolel Recel~ohle ISd.nclule DI 5. COlh, 8on~ Dnpoll" & MhcellorH!IOUt Pellonal Properly ISch.dul. E) 6, Jollllly OWII.d P,op..ly ISch.dul. fl 7, hono'". IScI"dul. 01 ISch.dul. I) O. Tolal Oroll Aile" llolalllne. 1.7) 9. funeral EKperlllll, Atlmlnhlrallve Cotll, Mhullalleoul (9) . E.p.no.. IScI"dul. H) 10. O.hll. MOIIB08' Llobllill.., L1.n. ISch.dul. I) 11. 10101 O.dvelloll' (loloILlII.. 9 & 101 12, Nol Volu. 01 bioi. ILlne B mlllu.lln. 111 13. Charllubl. ond Gavo,nmenlal Boquo'IIISch.dulo JI 14. N., Vol" Subleclla 10'. (L111' 12 mln" L111. 13) 15. Spaulolholl"O" Ifor dol.. 01 d.alh oiler 6.30.94) See 'nllrudlonl for Applicable Pertenlage an Revette 51.10. IIIIdud. valueo from Sch.dul. K or Sch.dulo M,) 16, AmouIII oILlII' 14 lo.abl. 01 6% lul. (Includ. volu.. from Sch.dul. K or Sch.dul. M,I 17. Amounl of L111. 14 la.abl.uI15% ral. flnclud. volu.. Irom S,h.dul. K 0' Sch.dul. M.I 18. Prlnclpullo, duo (Add 10' Irom IIn.. 15, 16 and 17.1 19. Credllt Spoutal Po~erly Crodlt Prior Payments Olttounl ___-=.Q~___ + ___-=-_0- ___. +___.._.:.Q.:......_ 20. II IIn. 19 h 8"0101 Ihan Line 18, onler Ih. dlll"once on Line 20, lhlll"h. OVERPAYMltlT, II!] 21. II LillO 18 h 8"alor IIIUn L1n. 19, .nler II" dlll...nco Oil L1n. 21. lhh II Ih. lAX DUE. A. Enler Ihe lnlere.t Olllh. balan" due on lInl 21A. 8, Enler Ih'lolol of L1n. 21 ond 21A Oil L111. 218. !hll 1,lh. BALANCE DUE, Mal. ,:~"k Povabl. 101 Rlgl,t" 0' Willi. Aglnl "......n_. %iJ, ffi ffi W Q z ~ :5 ! '" Z Q r:: .. f II B a e 'OR DAllS 0' 1I1AIIt A'T1R U/31191 CHICK HIRI I' A SPOUSAL POVIRlr CRIIIIIIS CIAIMIII I I Flli NuMHIR ... . '!1 94 0917 cuulm COllE V!^" NUMBER --.----~-;:..;:..:=..=-:.~.fj-rliiiiiiF'~.tu~i~iiW~iii,Ri~$ "---.-::-:....:...=c:;.;.:.:.;.:.::.=..:.:==~=;.;,._~ 3542 G1'Oell SlxlJet Calllp 11111, PA 17011 l"""'(.. . \:lJili!Jol:iall~ .\:(l\!II~Y._._.______...._..._ ""'""I RlllIVl1I11I1 IIlSl!uclIUII'1 'n. ..._____m._._ I I J. Rnmttlnd", ""llJlll 1101 dul.. 01 doulh I"lor 10 12.13,821 I. I 5. fode/ol Ellule TOIt Rlllu,n Recluh,d J)u lulul t~uU1lH" 0' SuI, DDJlO'U BOlt" --...--------.---.-- 42,409.40 .... -0::- -0., .... ....- '::0- 1,727.20 -~...__....__._-------. _ ... uu.____.____......_.__. III 12 I . 131 14 I 151 16) . ill -0- -0- (10) 7,576.33 3,043.40 181 44,136.68 (III .._11.d.1.~73 _______ 112) __..32.716.95 (13) ._.._.__.:..0.::__..____.___. ..-------___J..1.~::_- ~2, 716.95 liS) __...::..o~_..._._...______..__. .....__= 1161 '.__ :0:,,_. ..._. ,06 = 32,716.95 117) .....-.__......__._......._...._... .15 = -0- --------------- -0- I -------.-.._.J+--___ 4,907.54 4,907. 54 1101 Inlorell -0::.... .._._......:..~---- 1191 1201 . ..--....---.-------.---..-.-. 1111 121AI 121RI 4,907.54 -D- . '1~907.~"54-h----.--- , ~. BE SUR. TO ANSWER ALL QUESTIONS ON REVERSESioEANO'TO-iiECHECiO,iATH ~-oo( Und.r ","aiiiilOiporfu-;;Td;ciolll,;;;j'1 hove ..amln.d'ihill.lurn. I",i;'-dlng ;;;c-~mp~-~ii~g ,ci,"liul,i';,;,;jilul;'n;,~ii~;'-IIlii~-,il.'i,'''loj;;;Y~no;'1.JijO;,;;;fGOii,i: ~ h true, torrltl and complele. I dec:lare 11101 nil real !Illale hot been repolled nlhue nHu~ol volue Ultdmatlon of "flJflorer 01111" Illon Ih. perianal reprlllfllallvl I, Cf;t~;;,,;~i)J.J.i:~:;~; :";?~1\:,;;-;;,;;,;",;,. "" '""''' .. ..,,; 1;~/<1--- ~'1 U/ f~;{\?. i""""iAliv{' A""'iii IIAli _ . \/'''' ~c:ct/.(?~- _ .__ _1?~5..North 1;'rOllt Street, I/nrrJabur<), PA 1'1102 7i'.~{f.7. ._. ._._.. ActU8 of 1994 prol/ld.1 for the r.ductlon of the lax ra'.llmpol.d on Ih. n.I valu. of Irand.n 10 or for Ih. UI. of Ih. IpOUI.. Th. rat.. 01 pr.lcrlb.d by Ih. IIalul. will bl! · 30/0 1.(J3) will b. appllcabl. for .1101.1 of d.c.d.nll dying on or alt.r 7/1/94 and b.for. 1/1/96 · 20/0 1.02) will b. appllcabl. for .1101.. of d.Cld.nll dying on or aft.r 1/1/96 and b.for. 1/1/97 · 10/0 (.01) will b. appllcabl. for .1'01.. of d.c.d.nll dying on or after 1/1/97 and b.for. 1/1/98 · Spoulal Irand.r. occurring on or afl.r 1/1/98 will b. exempl from Inherllanc. lax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (.--) IN THE APPROPRIATE BLOCKS. 1, Old decedent make a transfer and: c, retain the use or income of the property transferred, """....,...;,."",.,....""".",......""....". x b. retain the right to designate who shall use the property transferred or Its Income, ......."...... x c. retain a reversionary Interest; or ",.....""..".............,,,,,,,,.,,,,...,..,,,............,,.....,...""...., x d. recelvllthe promise for IIf. of either payments, benefits or care' ............,,,,,"............,,...... 2. If death occurred on or before December 12, 1982, did decedent within two years preceding dealh transfer properly wllhoul receiving adequate conslderallon' If death occurred alter December 12, 1982, did decedent transfer property within one year of dealh without receiving adequate consideration'.........." '''lot''.''...,,,,.., """""....",.".""".,."".",,, ,,,,,,,,..,...,,,, ,,,,,,.. x x X 3. Old decedent own an 'In trust for' bank account at his or her deathL.."..".""."............,,...... 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. : I " r,. ,~, ~ ._1 '",:' "--:1 ", I' :.i lL: ~ "1\ " ije;, REV.l470EX f~.9<t) PROBA T~ I JBA '* . INHERITANCE TAX EXPLANATION OF CHANGES COMMONIM:Al TH OF PENNSYlVANIA DEPARTMCNT or HEVENUE eU~l!Au 0' INDlVlOUAL TAXES OPPT 21\0601 HARRISOUfli PA 11118.0001 IFILE DEcEDENr!l' N ~E Bernard F. Brinkerhoff 2194-0917 ACN 97000159 SCHEDULE ITEM EXPLANATION OF CHANGES NO. This appralsllment reflects the taxation for Pennsylvania Inheritance tax of US Saving Bonds held by the decedent as, "".Payable on Death", to Bernadette B. Marino, the decedent'd sister. The value of the bonds were supplied by Attorney James D. Camero - - - .. - - -. TAX EXAMINER: J Paul Dibert PAGE 1 FILE Copy I. n.. 0' IAAIt I. f "M I, II r.u 1.11 Con't. Utlh'll. FIlA IIUKlI~ ~LO.UlNUMl'" ..~ I" ItOIl.NMI 1111 CAli IVMIU to I J YA '.1 IC,,,,,, 1/1" lJIU'" J.,. tI, ItmlVtlh1ini AI ''''nh'''. to ,h.,CI\l I ".,..,.., D. IeItllll ,,'U"'nt. con.. A.Clun" p.ld \0 Ind b, r.;h u'U..-.\ ."", ... Ikown, Ih.. ,".IIM t,.OCI" "n. ,.ld OI.t'l1d, t"'- 0&041"" th., ... thQ'llIl hi" ... Infu..U.nd pu.,.... 1114 ... fII' hold.lIb 'h.,.tll.. '.0 to... II/UIIU". 0, ~ AIIO UOUII (I' lOW... I. "AMI AltD AOOUU 0' "Wit. " 1IAM1 AltD ADDU" 0' LlItIlIJI MO' u.... IIrAn IllUtAAD P, '1lIMU'Ulo" <An /Y?/I~/i' ;t,lkl., '0 ""o.un LOCAtiO.. .. In'TlJIKlJIl' AalllT U.HUUt I. I I'rTLIKlWI' oil. n UU au.. ''PIn "IOUAU U'TMCT COM,,"f CAMI ICU, fA UOU HI, II, 1111 CUHIIllWo COllnt,. 'A 'LACI or IInlJUtlMr Uti MAJ." nUll CMf UL.L, ". 17011 ,. '1ItltWl., 0' 10M""''''' tIlAltlAt'TIO" ~. f1JKIWl.t 0' IIUI"'. rUllIACTIOH I". ."ou AHOIIln' DVI rAOM K'MOWI" no. ORa" MOlin OVI to ULLlIl. U1. e.",..., .41.. ,.... ". too,o~ 401. Con'lIot'du"ln to,''',OO JU, ....."d ",.n" 401. ""o"d "oP"" . 101, IIU1..",\ Cllu,.. to lonow.. U"IUOO ',uo.n 40J. lU. 404. - 101, 40'. MJnt.."" hr U... plld b, hUu 111 .d""II. AdJnt.."u hr It... plld br hUu in ad'f'lU' 104, CU,I'",,, ,,," " (U. Cltr/tow" tUtl ., 101. CO\lI\\, tUII OI~It~n to 01.01_" U,lf 401. eOIl"t, "III o,_u_" to 01_01.11 41,17 101, IIIhooltuu 0I~1t-t1 '0 01-01-11 S1." 401. 'lIhooltu.. OS-It_t1 \0 O1~OI_t1 !I.II lOt. "WIf . lIhll .ro II., OS_II.t1 \0 01~01~I 1 (I.U (01. I."" , 1111\1.. '10 111\ OS.It-t1 to OJ_OI_t1 ...U lt~. 410. 111. -- tll. 111. 412, 110, CMot. MOlMI' DU' rlloM IOU-OWlII ("III.U 410, 011011 AAl)UKl DUI to nw" to,UO." 100, AHOU1m .AID II 011 IN hlllJ' 0' toMO""" '00, MDUCTI0MA III AHOIIIlT DUI 1'0 III.LIII. 101, ",,.Il' It lUll'" aon., 1,000,00 101, '1111.. D.po,U I'" l""f\loUlntl au, 'rl"otpd AaOIl'" 01 "'" Lo.nl" SOl, Inthaent C:llu,1I to Idllr U"IUOO U,IU." IOJ, hh'IrI,Lo''''I' t.lto" 'lIbjn' \0 'OJ, Id.tln,. 1.<lult'''n hbJIOl to '04, to.. ",oU 01 Uut ..r',.,. loan 101, 50S. ",oU of UOOM I'Ul,.,. loa" U(. '01, 10l, '01, CDlpotlt dhblllnd II prooud., In, tot. 101. ID.. AdjUUt"" lor l\"'Il"pl1db~'u Adjll"'I"h lor Itr.. Il"paid b, ~ 110, CUrl''''''' 'un ., 510, ehr/'own 'un ., IU, Ce\ln" 'un " .U.Colln',\..... \0 - 'U. 'ohoo'Tn:. \0 sn. 'ohoolTun .. III. '11. U(. '14. ",, sn. 114. su. IU, ,". . UI, Sll. JU, SU, '10, 'I01'AL 'AID If/'OIlIOMOtfIII 1,000.00 no, TOTAL "DUCTIOIl MOUIt1' DUI liLLII'. U,IU... no, WI lit ImLllCIlI't 'IIOM/to IOMOtfIA 100. CUI AT 'I1TLIKUT 'tO/nQH IIWII 10l, 0.... ...., DIl. h_ lorrovu l11n. no, '11111.11 (Ol. Groll MOIl"l D\l. ,,1.Uor Ill,,, (Jo, n,uo,,. 101, ..... "" .lId brlfor Ionew.. Ilin. nOI I 11000.001 (01.1.411 _.duoUo"l tIIl'lolitr lib. SIO, I 14,111,", 101, .... III UoH I I to toMOWlII IO,III.JJ IOJ, l;UII 1111 to 11''''0" IlL.... 11,401,.0 1111 ud"d'll.d hlnb, lOllnll'llltd,. ~Th"d Ol)p)' 01 p.,n In 01 l.hh .,.,.,.", I '''7 ,,",oM.n',' ,d""4 '0 ""11", fl.l. / ,. (;:" /Z;7' /,J~1 . >"'; 101lII.0IIIl' - "LLlI'. -" i.(IId.....l'l ".~ f(''''''~._,.I'.. D.u.D. D. LIJl IIlAn IWMO ,. IIlI"UlUIO,r ... A. SB'rl'LBKENT STATgH8NT' "~!J2< jQ.J U.'. rUMfH." or lOU'INO AIlO UUM DIVILO'HIII'I' OHl 110. J!OI.OII1 tfi' "1.LIII.__ IUD_I 11.1t, PoIIPIl, U UOI,) .mUM'" l'ATlKln rAG, I L. 'nn.MI" CWO" '" I.'., .11..1....... r._lul.... 111M ." 'dl. . I I,UI.OO JAIO nOM .Al0 'aoM Dhhl.. .. c~..I" jlla, fOOl u follow'l toQOIfIA .. IIJJ.U" "I. I I,IU.OO to .JACIt llAVI1U. QAl.fQA rvllO' At IVRt At 701. I .. .mt.lMIl" IIrrLllCIl1 1OJ. C~...." hid ., .."I..", J,U',oo .u. In. nut .A',\ILI II COPlenDfl Wltl LoOM lOt. ....."Od."'.U.",.. . .. IU. WI" llhlou'" . .. ",. a"lllhll ,.. I. ",. c.14n ..,.., I. 10.. lAlldll" .".pu''''o" '" .. 10'. Mo.t,.,. h.. a". ,.. .. 10'. lnupU." ,.. .. "". - ".. uo. - III. '00. InN UQVIQD I' LI'OIA TO II 'AID III lDVAllCl tot. I"'....' h_ ,. II Id'rl d.r. \) IOJ. MOn,.,. I"n.."" ,.taJ,u 'or ao..t'" to toJ. IU... hl\ll&"" ,.taJ,u. 'or 1.0'.... .. to.. ,. UJ. 1000. NIIAVI. DIIOIlnD win LlIftI.... 1001. ......I"."Uallo. lIOn'''. , , pt'Illl,,'h UDJ. KG",.,.IIIIl1''''Of .on'h. , I pt..ollth 1001. CUtltown 'UII aMtlll " pll~\l'h IODI. COIl"" 'U.. .o,,'h. " plllIOn'h 1001. ..h001 tUII IIOn'h. " pfllIOn'h - aon'hI , I 1''' aon'h lOO', 100l. aon'hI , I pt'lon'h 1001. 1100. tlnl CIlAlt.OU 1101. .."1...", o. Clod", ,.. \a Hlll.Un U'1'UCT COKrW n.oo IIOJ. >>.tu" or TUh ....." ,. '''''"bwnIUon - 110J. " llU. ''''COI' h. hhlll\antt'u ta JAKI' OlllfIA CAMlIlOM. "~UII .,aoo,oo UOl. Dtt4 ,..,.nU." 'a yAXI' DUl,U. Cl.UUIl.OM, "QUIU '''' - nu. Ilotlry .... ,. un. "",u.," r... to lbdodu 1lIHrt. it.. "-'Ul I 110" '1\11 IIIIU'&&'. 'a MJOItoln UI1'UC"l,nf.W" MIOItAtI lJ.1UC'I COIOAllt 114.n Iho1adlllllHrt.U..lIll11J1u. un 1101 NID 1104 I uu. Lllldfl"CO"f'u'" , 1110. OII'III"CO"f'''''' , 10,'00.00 un. KINtln oUI1'UCT COMPAJll 1111. ""AU ,., "CUI '.00 un. HlM1' ra t.~1 1,00 nlo. 00'IDIQCII"l' Q(OlDIllQ .., nAIl.,... (LUAU 1I0l. l"....lIt,. r.... tit" , lI.n 'Kort.... . ,kill.... , 11.10 UOI. cu,/COII.', fu/n...... .... I U..OO ,1401"'" . 101,00 Ildl. '\1" flJl/"....... .... , 101.00 ,Mor',I,_ , tos.OO 1101. 1101. noD. ADOltlOlWo II'lTLItlPf cwo.. nOI. .,,"., " IIOJ. ,.., I".,..\h" " 'UJII'UI. no. 10,00 uu. IIn COIIa"/fOll'1l.hl,IU.. .. r.AtDTlI I. .I'tMW, fUUw.n 100,n 1104. tlIbUo ".Uan elld.- .. DDMlICIJl'1' O. ,UtloIC nLrW n,t...OI 11111. II.,.. . ....u.. ,. LUCIDO 'I'OW1IIIU A11I'IOtUn "'.11 1410. I'OUIo .1trLIHIIf1 CWGII II.'.. Oft 1010.. 101, II,U'II .I lAd 'n. 'I.Ua" a, l,uo.n 14,111.11 rt d,d.. ..,. I .f '1\.11 ""MlII', U. ","I"ri.. .lkllOWIId,1 ....I.' o. I ...h\lld ItPf .t ,.,. I .. 'hh Wa; 11/1oIIIlb1 C.IUUtd \0 '" . \AI .", ""llltA' A,,,,, ''''''''''.'''' CLAUDE C. WOLFE & ASSOCIATES AUCTIONEERS & ESTATb' APPRAISERS 113 OLD FORD DRIVE . CAMP HILL, PA 17011 717.737,0734 February 5, 1997 Appraisal for the Estate of Bernard Brinkerhoff 3542 Green Street, Camp Hill, PA 17011 LIVING ROOll Wall l~irror , . 1. 00 2.1'J0 1.01'J 1.1'J0 1. 1'J1'J 1.01'J, 1.1'J1'J . I I . . . . t , . . . . I I Brown plaid sofa and chair - worn Blue ohair - worn . . . . t . .. I' f . . , End table - scratched , . Coffee table - scratched Pole lamp B&W tv TV stand Brown l'ocker . , " , . t . . . , . . , , . . . . t . I' . , . I I , . , . , , . " , worthless , . . , . ' . worthless , . worthless , , , . . . . , .1.1'J1'J Yard ohair Large picture , . Table and chairs - poor Frigidaire refrigerator Electric can opener . . KITCHEN condition . . . , . . , - poor condition & old . . I . . . , I I I . I , . 5.1'J0 10,1'J1'J 1.1'J1'J LAUNDRY & STORAGE ROOM Speed Queen wringer/washer - old Whirlpool washer - poor condition Hisc, oontents of room . . , , . , , , . , . . l,l'Jl'J 1.1'J1'J 3.1'J1'J , . . . ,.f , , " . . . FRONT BEDROOH Table - poor condition , . . . . . . . , , , . . , 1.1'J1'J 2 Piece bedroom suite - poor condition , , , , , , , , 25.1'J1'J Double bed - soiled . . , 5.1'J0 Zenith color tv - stereo , , , . . 225,00 Eleotric fan . . . " . , . , , . , , . 1.1'J0 Two small metal .boxes , , , . . . , , , 2,00 '-~'r.....-'..,.,.I_.-...t.'., leVUIIU, I','" '....l' ., .- -.~,... -""-'''''-- ~-'.... ....-,.. ~l:~'~ '!~':~lW~.:1' COMMOHWfAllllOf rUIU5YlvANI^ ItUl~RI,^NCf ,^'( REtuRN n[SIUW' DICEU!NI mAllO' " --- -- --- Bernard F. Brinkerhoff, deceased SCHEDULE H FUNERAL EXPF.NSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES PI.al. Prlnl a' TVI'. .----~~==.~,c~~ ~ILffJ(jI;i"Brll~=:-='=-~=-"".--' 2194-0917 ITEM NUMBER _____.____ _.__... u___.__...._. ... ._n__ ..__..... _._ _. ....___ _.____._____.._.__ ... AMOUNT DESCRIPTION A, -----.-. ... -...-...-.........._._._._._H_._ . . ..-- ---. .... --_...._--.------ .-'-'- . ~- .....- I. 2 :J Fun.ral hp.nl'" Hoover F'uneral Heene R.J. Romberger & Sona (gravemarker) 589.69 720.00 F\meral r,uncheon 134.48 B. Ad",lnll'ratlv. COlh, 3. A. C, I. 2. 3. 4. 5. 6, 7. 8. I. Personal Repre.enlallve Commllllon. Sodol 50curlly Number of Pellonol Ropro.onlallvo: Yem COll1ml..lon. paid _________..,___... -0- 2. Alloll1ey Fee. JaJnes D. Cameron, Esq. Family exumpllon Clahnanl .........._.. _ _______...._.________. Rolollon.hlp Addre.. of Clolmonl 01 decedenl'. deulh 51r981 Addre.. _____________._______...._m. -0- 5,000.00 Clly ----_________._____5Iale _..__..__ Zip Cade__ Probale fee. Register of Wills of Cwriberland COunty Mlle.llan.oul hp.n.." The Patriot-News (legal advertising) The Cumberland Law Journal (legal advertising) PP&L (final utility bill, January-May, 1997) UGI (final utility bill, January-May, 1997) Claude C. Wolfe & Associates (appraisal and auction fee) Claude C. Wolfe & Associates (reimbursement for cleaning and advertising costs) Register of Wills of CUmberland COunty (filing fee) Register of Wills of Cumberland COunty (filing fee) 97.00 57.18! 60.00, 41.79 158.94 450.00 242.05 10.00 15.00 TOTAL (AI.a enler on line 9, Recapitulation) (If mort 'pac. II n..d.d, In..,' additional Ih..11 of la"" Ill..) s 7,5:6.33 Warren R. /loover, Jr. 6011 Llnglestown Road . Llngleslown, PA 17112 . ,(717) 652.8888 ~nnb.er JIf un.ernl ;Hume SIlO/doli K. /loover, Superv/.or .1225 W. Ohocolate Ave, P.O. Box 475 Hershey, PA 17033 (717) 533,7100 January 18, 1997 " To: Bernade~te Marino Refl Funeral Expenses of Bernard F. Brinkerhoff: Professional Services, Use of Facilities, Automotive Equipment and Necessary Documents $ 1.800,0,.0 ~andisc Selected 20 Gauge Steel. Casket Grave Liner Vault TOTAL FUNERAL HOME CHARGES 1270:00 ---.11!L..Q.Q $ 3540.00 Cash Advanced Items Certified copies of death oertifioa,te Flowers Clergy, Cemetery Lowering Device, Greens, Tent $ 12.00 100,00 50,00 675.00 '70.00 TOTAL CASH ADVANCED CHARGES S 907.00 $ 4447.00 3857.11 , $ 589 . 89 ., TOTAL FUNERAL & C~SH ADVANCED CHARGES . CREDITS ON ACCOUNT BALANCE DUE " II ,'u-~k vl.,,1}I! ' ' .... . . (Il,o U I . , '. III . ,0 +t /) ;!i:tu.'( . I:JLc.A~ -1.{/ . 'I ", ',' " " " 'I" ,', Estate of Bernard F. Brinkerhoff I File Number 2194-0917 ' Taxable Bequests: ,,' " , ~! ,. i , , I , "r"' I'.... , "I, to,' ,. , !L" ". , " " ' ., ,', " '. ,," 'Ii , ,. l,.' ."1 /' ",' " '1,]' "1-, I', ,'. I' ,. 'I'; '" .' I' ,,, , . " " " " deceased " , . ., SCHEDULE J,(cont'd) .j .', ',,' I' "'i " 'I " " " ,. ! ' ,. II> I'. , , I, " " " I' " 'j" .. Ii : I " , '-, ", 'j , .' 'i' " " ;.; 'I " , " " , ,. , I ',jl_ , :1 <Ii j't' .,. " niece nephew " il I" " , , II ,. , p I , " , ,,') ". , , " l,i':! t,.. " , " <I' \';i ", i )' I, 'I: 'j-' ;. ",' ,', " , .. ,I. ,. " In " 'i, '1-; 'I', " ',', ,. ,. .,; ", I: , I ,I ; 6.25% 6.25% " '. , ., , " ," .' '. ,,' " I' , " ,. , , .1' I,,! " " ,." " 'lLl " ,J; .,t. , " , I' ,,' " r' , , " I ", " 1'\, ., " " I' 11/- l.ti 3 . / ,~ IUREAU OF INDIVIDUAL TAKES INHfRITANCr TAM DIVISION DEP!. 110601 IlARRISlURO, PA 17121'0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAK APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAK DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN JAMES D CAMERON 1325 N FRONT ST HBG ESQ PA 17102 10-27-97 BRINKf.RHOFF 12-23-96 21 94-0917 CUMBERLAND 101 AMount RIMitlad ~ [ ll. ~* 111.1141 II m m.tII BERNARD F MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .. R!V: isiii' iX"AFP""I09': 97T "NoYi c r OF "YNH iiii f AiiC'K "fAx' A'PPRA'i siifliNi'~" A i:i."owAiiC' i' o.Ii.."" ........." -.. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BRINKERHOFF BERNARD F FILE NO. 21 94-0917 ACN 101 DATE 10-27-97 APPROVED DEDUCTIONS AND EXEMPTIONS 1 7,576.33 9. Funlrll E.pln.I./Ado. COlto/HlIo. E.pln... (SOhldull H) (9) 10. Oobto/Hortglgl UlbUIU../Uln. (Sohldull Xl (10) 3.843.40 11. Totll Dlduotlonl (11) 12. Nit VIluo of To. Rlturn (12) 15. Chlrltlbll/Govlrnolntll IlquI.t'l Non-Illotld 9115 Tru.t. (Sohldull J) (lS) ___ l~ , Not Vlluo of Elt.to Subj..,t to To. U~) If .n ......m.nt w.. i..u.d pr.viou.ly, lin.. 14/ 15 .nd/or 16, 17 .nd 11 will r.fl.ct figur.. th.t includ. the tot.l of 6bh r.turn. .......d to d.t.. ASIESSMENT OF TAXI lS. A..unt of Llnl l~ .t Spou.ll rltl (1&) 16. Aoount of Llnl 14 tl.lbll .t Llnlll/Cl... A rltl (16) 17. Aoount of Line 14 t..obll .t Collltlrll/Cl... I rltl (17) 11. Prlnolpll TI. Du. TAX CREDITS I PAVMENT OATE 07~16'97 TAK RETURN WAS. (X I ACC~PTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. Rill Eltltl (Soh.dul. A) 2. Stook. and londl (Sohldull I) S. Clo,"ly HIld Stook/P.rtnlr.hlp Intlrl.t (Sohedull C) ~. HortglglG/Notl1 Rlo.lvlbll, (Sohldull 0) i. C..h/lank Dlpo.ltI/HI.o. Plr.onll Proplrty (Sohldull E) 6. Jointly Dwnld Prop.rty (Sohldull FI 7. Tran.flr. (Sohldul. G) I. Totll Alllto NOTEI RECEIPT NVHtif.R AAZ1l548 DISCOUNT (+) INTEREST/PEN PAID (-) .00 . If PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( ) CHANGED U) (2) (51 (~) (S) (6) (71 42.409.40 .00 .00 ,00 1, 727 .28 .00 .00 (I) NOTE. To InGurl proplr orldlt to your looount, 'UbMl'l tho upplr portion of thll foro with your tlx pIYllentl 44,136.68 11.419.n 32,716,95 .00 32,716.95 .00 .00 4,907,54 4,907~ 0\,907.54 .00 .00 .00 IF TOTAL OUE IS LESS THAN II, NO PAVHENT IS REQUIRED. If TOTAL OUE IS REFLECTED AS A "CREDIT" (CR), VOU MAV IE OUF. A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS.) .OOK'OO. ,00 K' 06. 32,716ill K .15. UI) AHOUNT PAID 4,907.54 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE RUERVATlOlh _llt' IIOTlCE, PAYHEHT, REFI.!lO (CRl' OIJECTlOHS. AIlItIH IITRATlVI! CORRECTlOHSo DIICOUNT. PlMALTV, IHTEIlfIT I 'il r:- " i \"-,J .....J' ~ . I" \ I,' .. , " r.. N ..< ,. 1'_"1 ,"\ ." " I.... I' 11_. ';-'\ "I j I.C lJu E.t.t.. af deotdent. dying on or blfor. Dlc.~r 12, 1.12 .- If any future int.r..t In the ..te'. 1. ,rln",rted In po.....lon or InJovaent to CI... . (coll.t,r,l) bIne'lol.rl,. of thl dIe.dlnt .,t.t thl Ixpiratlon of InY IAt.t, for l1f. or for V.,r., the C~lth her.by IkPr...lv r".r~" thl right to ."r,I.. Ind I"'" tran,'.r JnhlrltlnG' Tlk.. It thl lwful ell" I (oolllt.rfl1) r.t. on MV .uch future Int.rllt. To fulfUl thl rlquir,.."tt of SlOtlon 21~O of the Inherltlncl and Estlte TI. Aot, Aot 21 0' 1991. (71 P.I. ...lIon 91401. Detloh U~ top portion 0' thlt Notlc. and lubIllt with your ply..nt to thl RIght.r of Will. prlntld on the r.vlr.. .Jde. ..Hokl check or ..n., ordlr p.,lbll 10' REOISTER OF MILLS I AOEN! A r.fund of . tlM orldlt, whlon WI' not r.que.t.d on tne r'K R.turn, "V b. r.queit.d bvo~lltlnt In "Applloltlon far RI'und of P.nn.ylvlnla Inh.rltftno. end F..tlt, llK" (REV-IllS). .ppllcltlon. Ir. IVllllbl. It thl 0"10' 0' the Rllhtu 0' Wl1l1~ anv 0' thl U R.Vtnue Dhtrlct Offla.., ar by olUlnl thtl ,p.alal Zlt.hour In.werlnt I.rvlal hUIbIrl for for.. orderlnll In Pennlvivlnll l-aOO.56~-Z050, out.ld. Ptnn.ylvlnlt and .IIMn 1..11 llarrltburo orll (117) 717-1094. TOOl (717) 772-2252 (Holrl... IIIfll1rod OnlYl. Any p.rty In Intlr..t not ..tllfled with thl appr.I'I.-nt, Illoweno. or dl..llawanae of deductIonl, or ......lInt 0' tlM Clnoludlng dl.count or Interllt) a. lhown on thh Notlo. .u.\ obJlot w5thln .JMh (60) dI)'. of realIpt of Ihlo HollOI bV' ~-wrltt'" protltt to the P. DaplrtlMtnt 0' Rlvenue, 10lrd of Appllll, Dlpt. %lIOn, Hlrr!lburl, PA l1UI-lOU, OR ...llCItlon to hlv' the ..Uar dlt"IIMd at IUdlt 0' the ICcount of tnl p.r'OMI repr..ent.tlvlt, OR --appl.1 to thl Orphan.- Court. FaotUlI .rror. dl.covlred on thl. ......lInt lhould be addr'llld In writIng tal PA Dapart.ent of R.VInUl, IurllU of Indlvldull TIXt" ArlMI po.t A.......nt Alvl.w Unit, D.pt. Z10601, HlrrlabUrl, PA 171ta.0601 Phone (717) 187"6501. '" Pili 5 of thl bookl,t "In.truotlona 'or Inhlrltencl 11M Rlturn for I Alaldlnt Dactdant" ,tREV-nOl) for In IMplenatlon of _lnlttratJvtlv corrlCtlbll Irrort. If InV tlM duI I. ptld within tnr.. (5) cllendar IOOth. .,tlr thl dtcadlnt'l dlath, . flv. parclnt (IX) dltcount af lho tl. ,"Id II 1110w0d. The ISX t.K' ..nt.tv non-partlolp~tlon PtnIlty I. coaputld on thl totll of thl tlK end Intlrawt .1....Id, and not paid bafor. JlnUlrv II, 1996, thl flr.t dlv Ift.r thl tnd of thl tlM .-na.tv plrlod. Thll non-p"tlclp,tlon penalty It 'app"llbll In the ... HMlr Ind In thl the .... U.. par Sod II vou would 1iPPM~ thl tlM and tntarllt that hat bttn ......Id .. Indlolt.d on thl. nntlol. Int.r..t I. charted btllnnl", ~Ith flr.t d.V of dtllnquencv, ar nlnl e,) IOnth. and one el) dlv frol the dltl af' doth, to the det. 0' PIYMnt. "MII which bee... dlllnquent bafurt J..uarv 1, 1.12 Hit Int,,"t .t thl rlt. of 11M ('X) paroent per annul o.ltUllttd at I dlllv rete of .000164. All tIMI' which btc... delinquent on and aftlr Januerv 1, 1982 Mill bll, Int.r..t It . rltt which ~lll Vlry froa c.ltndlr V'lr to Q.lendtr V'lr with thit rltl tnhOUhCld by thl PA OIplrt.-nt of Rlv.nue. The appll~abl. Int.r..t rlt.. far 1912 throuth 1997 .r.. 'WI: Intar..t A,t, u.llv lntlrl.t Factor X!!r tntar..t R,tl U.llv Int.r..t Fie tor III! 20X .ooml 1917 9X .000247 IllS 16X .000451 1981-1991 1IX .000501 19" IIX .000501 1992 9X .000147 1911 UX .000556 1991-1". 7X .00019! 19.. lOX .000174 1991-1997 'X .000147 --Intarllt I, olAcullttd .. followll IMTBllBlT . IALAMeE OF TAX UNPAID X NUftlER OF DAY. DELINQUENT K DAILY INTERBlT FACTO. uAny MoUat IliuM Iftar thl tn bee,,1 dllInquent wUl r.fleet In Intarllt ulcUltUon to flft"" (11) dt~' beyond the nt. 0' thl .....uant. If ptYMnt It HdI Iftar thl Inter..t CoaputlUon dlt, Ihown on the NoUo., ldelltlnl Intullt IUlt ba a.lculated. ,',,' ,,' 't, ' I, , " ,. ,'I' " "", sgMMARY AND INDEX . 'f Current Value Fiduoiary Aoquisi tion Value .t' Page , , "'. , . ' Proposed Distributions to Benefioiaries 27',500.32 27,500.32 8 Prinoipal Reoeipts j 44,136.68 44,136.68 Net Gain (or Loss) on Sales '4 -0- -0- " Less Disbursementsl Debts of Deoedent 4 3,784.18 3,784.18 Funeral Expenses 4 1,444.37 1,444.37 Adm.i\listration Expenses 5 1,307.66 1,307.66 Federal & state Taxes' 5 4,907.54 4,907.54 Fess & Commissions ..5 5,000.00 5,000.00 Balanoe Before Distributions 27,692.93 27,692.93 Distributions to Ben~fioiaries 6 379.00 379;00 Prinoipal Balance on Hand 6 27,313.93 27,313.93 Inco.e Receipts 7 186.39 186.39 Less Disbursements 7 -0- -0- Balance Before Distributions 186.39 186.39 Distributions to Beneficiaries 7 -0- -0- Inoome Balancp on Hand 186.39 186.39 Combined Balarlve on Hand 27,500.32 ~7,500.32 " 2 " , '" " , , , ;, , " ",11 " " (l .,' :1' , ., II." ,'\. .. , l' '.,' :1' " " " . II ., , " GAINS ORLOSSIS OM. SALES OR OTHER DISPOSITIONS' None ,\1" , 'I DISBURSRMBHTS OF PRINCIPAL . , Debts of Decedent , Totals 12/27/96 12/31/96 06/06/97 ManorCare Health Services" (nursing home co-payment)* UGI (\11 til i ty payment) * . Manorcare Health Services (nursing home co-payment) 984.03 20.00 2.780.15 . . I 3,784.18 . Funeral Expenses 06/06/97 ' " Hoover Funeral Home (balance due) 58!h89 06/06/97 Irene Mendock (reimbursement for funeral lUncheon) 44.8,3 : ,06/06/97 Dolores. Looker (reimbursement for funeral 1 uncheon) . 44.83 06/06/9.7 Bernadette B. Marino (reimbursement for funeral luncheon) 44.82 06/06/97 R.J. Romberger & Sons 720.'00 " . (gravemarker) 1,444.37 ., '.,1 , )., , . " *Denotes checks written prior to tha death of the decedent: which cUd:,not olear until after the date of death ' ' "" , , ,4 " I, . , ,"," " , " " " . . '! , ,', i, ,.'" D~STRIBUTIONS OF PRINCIPAL TOBBHEFICIARIES 'TOI Bernadette B. MarinQ, 14 Hartford Way, Lewes, Delaware, " per Item 2 of the Last will and Testament ot Bernard F. Brinkerhoff 'j. Cash Tangible personal property $379.00 ~~AL DISTRIBUTIONS OF PRINCIPAL: 9379..Q.2. , PRINaI~AL BALANCE ON.HAHD Current Value Fiduoiary, Aoquisit~on :' . '" $27,313.93 $27,313.93 INFORMATION SCHEDULES-PRINCIPAL Cost' Invesc.ents Hade " None , , " ,. '>;, " , " , , " " , , " ,. " , ,'. I,' " , .. , , ';; , ,. , ., , I " , I' " ,. " , ,. , I, ,. " i! " 'It " " I, ( , :.11, , ,;1, " , " I' .', !-j , . .; j ~ ,j ',. 'J ,. " , .'. 6 " ;- (' , ' , , , " " " " P" ,"' 1,\' ,. , ' " \'. " I ,. ,I' , ',.' ", ' " ".:" . , ' I.' , , ,. ,. , , I , " ,. " i , . " i /, " " I " ,," I " , ,. I ,. , 'i';i ,I ,I I' ! " "(';. I.' j ..r",I; 'I' i " , (,.,.' ,-, , "'I',f'" 'I !" " " " ''''''1. ." , , ,.1, DISBURSEMENTS OF INQOME None " . ., 'DISTRIBUTIONS OF INCOME TO BENEFICIARIES . " -II' "I " " .jt ., None ,. ,I I ," _, 'I" 1.1 I I-I;; , ,I' ;! ,b., f. ., j , " ,'r I ., , i,' l' ,,' , , ,',' , , ,. ? ,,11 ,'I , , ". " \1 'I, ! ,.; . ,I""!' ,,;' , , .' I 'I , 'il , , " , . , ,. ",'1",". ., , , ' " ,\. . , " I',' \i.'