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HomeMy WebLinkAbout94-00956 .- L,:'/a/I' qJ u Be~trice also kllOIl'1I a.I' . PETITION 1I0R PIWIJATE llnd <mANT (W LETTERS AI-?l/ -.CfS!?,. ___._ K. lIattenbach No, lo: Socia/ S('('lIri(I' No, 11('('('(/s('d. 294-44-6853 Ih'~illl'l of Wills for the ('OUllly of Cumberland. In the ('olllmonwcahh of l'eulI\ylvunlu Thl' l"'lilion ollhe nndl'rliglled lell"'l'i1nlly !'l'lneIL'1lI1 Ihul: Yom Pl'lilionel(I), \l'ho blaH' IX yeaI'I 01 a~e 1lI oldl'l anlhl' e,\el'nl rlx In Ihe hili will of Ihe ahO\'1' deeedelll, daled May 19, . nnd eodkil(,) dilled NI A,. .,. .. _. u_"___ nllmed ..~., 19..7L ::.',iJihe named Co-Executor ,N(lncy Bergstrom, _._"'!lnay Dunbrook, has renounced he,r right f ormor ly.,.known..as...._ to llcrvc.as__Co.::I::XOQutor. (\I,lh' rl'lt'\.lIlt \"illllllhl,ltll'l'\, l'd~. fi'lllllll'iilliOIl, Ill-lull oll'\l'\,'ll!or, ell',) / IJceelllknl lIal dOlllicikd al lkalh ill Cumberland ('OIlIllY I'cnnsylvllnln, with h..er lall lamill' 01 !,rilldpal lelidmee ill Mcssi.ah Vi.l,lage.llOj\._!o\.t..,._l.'\"ll~IL!lr. , __.Meohanicsblirg, . Upper Allen 'l'wp., C\lmberl_andCQunt,y.,__l'^-_ (Ihl ',[ll'\'I, 1I1111lhrr alld rlllll1dp,llit~1 Ikeendelll,telh 84 l'eal.1 01 agl', dicd September 13, . ....__.._, 19,J~,_, III _uu Mess a Village I CUDlberland County, PA.. _____m_._______, E,xeepl '" 1'011<1\\'1, dl'l'l'lklll did JIllI Ina;'lY, lIal nol divllIced alld did nol have a child horn or adopted lIf1cll'xl'I'nlion ollhe IIi II ollclcd 1,,1' prohall': \l'al 11ll1111l' viclim 01 a killin~ lInd WIIS never lIdjudlellted inconlpelenl: N/A.. ." .._ _._ __._____..____.__. DeeclIlknl al dealh o\l'ned pro!,l'lIy willi ellimalcd 1'1Ihlel 1I1 I'ollo\l's: (II domiciled in I'a,) All pel'I<'lHlI property (II' nOI domicile" ill l'a,1 I'l'rlonld property in l'ennsyll'lInin (If nol dOllliciled ill l'a,l !'l'rsonal propCllY in Counly Ynlne of rcall'.I!lI1e in I'cnnsylvania sltullled III 1'0110\1'1: . nfU\e . $ 147,000 $---~.- $ $ \\'III,I(EFORI', pelilloner(s) lelpel'll'nlly I'e~ucslt) Ihe ~rohllte of Ihe IlIst will alld codlcll(s) presenled hercwilh and the ~1'H1I1 of leltcrs _____m.~~.._~_I!I~!LE.r..Y__.._.___ (1{''iIl\Illl.'lIliH~'; ndmlnhlTnl!t11l c,l,a.; uLlmlnhlTlltlon d.h.n.c.I.B,) Iheron, i \J ,,- 'o~ O:M "CI,g ;j,~ ~~ r.~ 30 g, iJi ~f~~ti'~41tl~~'- __._u!... ,u-11)O'ifEilmollt-Averii:i'e-- --.- --.... - Megi1~niCJ.fj6iirg~-:i>~ _u :iI6~~ ----~_.-._._-_._- ---...------ _ .__._____._______ u. ___________..,_. OATI-I Oil PERSONAL REPRESENTATIVE COMMONWEALTII OFl'ENNsnv ANIA l HH COlJNTY OF .__.C::!JM.BER~!,~J)___...____ .._m. J .. The Pl'lilionel'(l)ahOl'l'.nllmed swear(l) Ill' allirm(l) Ihallhe 1IIIIcIIICnts illlhc forcgolng petition lire Irne alld correcllolhe hell of IIIl' knowledAI' .lIId helieI' of pelilioner(l) nnl! Ihlll ns personal reprcsen. IlIliw(.I) of llie IIbol'e del'cdl'lIl pl'lilioncr(..I) will \l'ell allll trllly adlllinixlcr Ihe cSlllte lIeeordlng to Inw, , , / I'f,(, SWOIII 10 01 all'IIl11ed all" llihlCli~lled ))/(("t.'..&/#~L;.." _ ,_____._ III o ~' he 1'011' lill' Ihix / d:J\ o. . ,_ .. ____.__ ~ ml:::;!t1/~~ t.J-ufJ.,!/ ~(. . - ':::.' =::-~ :==:: I "'MAia C, LEWIS !legl\/J'" d, . - - --..---.. ~ J..' 21 - 94 - 956 RENUNCIATION In Re Estate of BRATRICE K. IIATTENBACfI _ deceased, " . To the Resister of Wills of CUMBERI.AND County, Pennsylvania. The undersigned NANCY BERGSTROM, formerly known as Nanoy Dunbrook, the dauqhter of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters Testamentary Lc Issued to MARCIA K. WEJ.SfI WITNESS my hand this j..~"day of --.bJcJtHBfg;9~, Sworn and Subscribed to before ~e this :J. <;;-r day of -11.J~.et.~ , 1994. S1~~ NOTARY PUBLIC, My Commission Expires I R.8 ,C), 19 q){' x~ as NAN fI.C. f Elgin, nown 85611-9718 (Add,...) (Sllnllure) ," (Addrlll) ~.-:I (Slln.,ure) "'f.( " , !) ~ " ') ,U:, CJ (Address) ';~.' ej ..; .,[(: I:' I"i'.: 6J 1'/',:),'-/0 -1' ,,~.',",II~,~J,J'~A INHERITANCE TAX RETURN 'l;l'.," RESIDENT DECEDENT COMMONWEALTH Of PENNSVlVANIA (TO BE FILED IN DUPLICATE O!PARIM!NIOF Rfl'ENUE 21 _ 94 _ 0956 IIARmfJI6, ~~ol'!1280601 WITH REGISTER OF WILLS) COUNIY CODE YEAR '"DECEDENT'S NAME i1.4Si,piRS"~^NO-Mfil1m1m"Aq ECEDEN-"S COMPLETE ADOMr~S------ - IIAT'l'ENBACII, BEA'l'RICE K. Messlah Village . SOCI"lS!CURifniuMlw - ..----.----r.fr01ii,.iil..... TAi;-Ofl1iRiii-----'- ~~~h:~:i.cZ~~~~, [)f,~ ve 17055 __~ 9 4 -4 ~_-::~. 85 3_____ ..___,____9/:1y_~~___~nlLO__,_ ~"~~!L.....Q!!mQ9J:::land_Countv--_.______.. IXJ 1. O,lolnal Rolllrn U 2, Supplomontol ROlurn [J 3, Romolndor Rolurn Ifor dolo. of doalh prior 10 12.13.02) [I 5, Fodoral Ellalo TaK ROlu,n Roqulrod _. B, Tolal Numbor of Safo Dopo.1t BOKO' , " ( AEV,IlllO IX. !II,9IJ 19, If IIno IB iI groalor Ihan IIno 17, onlor Iho dlfforonco on IIno 19, Thl.I.lho OVERPAYMENT, II 0 Rftm!llllffl"I.II,:I.UI'tllla.l'n1111ol.'IIIIt.l.rlilmmn~TlhJ.I~'MWlT~tlr~UII 20, If IIno 171. grealor than IInft lB. onlo, Iho dlfforonco on lino 20, Thl.I. Iho TAX DUE. A, Enlo' :ho Inloroll on tho balonco duo on lino 20A. B. Enl" Iho 10101 of Ilno 20 and 20A on Ilno 20B, Thil l'lho BALANCE DUE, ~akl ChICk Payabll tal Rlgl.t" of WIU., Aglnt , ..IISURI TO ANSWIR ALL QUISTIONS ON RIV.UISIDI AND TO RICHICic MATH.... Und.r p.naltlll of perjury, I declare thai I have tlKomlned Inll relurn, Including -accompanying lene'dulel and lIalemen". and 10 Ihe bOil of my ~n,,'wledge and belief, It II true, corree! and completf. I declare Ihat all real ellale hal been reporled allrue market value. Declmatlon of pre parer ol~f)r Ihan Ihe perlonal reprelentatlv, II baled on alllnformallon 01 which prepare' hal Clny knowlfldge. Ji'OmJimoffffibi'fiiEsPoNSiiTU?5R'fHINO RlfURN-- .--Aiioms----..--------.....---- --...-. ..--------..--. -- --..---. ----------.-.- iiAW-..------.---. . ~r;{~j~,.'''.....:;~.:==!~::";v:; ~:M::~:::::;:::.:^I~;;;::5"i,,~~~:~~:.... ffi ~ Q l!! ~I~ ...1Il ~ 'ffi ~Q OZ U 2 z o i z ~ 5 ~ 8 ; [] 40, FUlu,o Inlo,o.1 Campraml.o Ifar dOlo. of doalh ahor 12.12.B21 IKI 6. DOCldonl Dlod rollato [J 7, Docodonl Molntalnod a Living Tru'l IAttach copy of Will) 1~lIach copy of Tru'll ALL CORRISPONDINCI AND CONPlDINTIAL TAX INPOAMATfON SHOULD II DIIICTID TOI M - COMPlETE MAILING ArJDRESS Jill M. Wlneka, Esquire 1719 North Front Street mlPHONENUMPIR Harrisburg, PA 17102 ..o,=.=,f'}{.) C ",. 1. Roal E'latolSchodulo AI ( 11--------..-__.._____...... .______ 2, Slack. nnd Bond. ISchodulo B) I 21 .--.!!~1.!?_I.~..!~____ 3, Clo.oly H.ld Slock/Pa'tno"hlp Intoro'IISchodulo C) (3) _________.._..___, 4, MangaO" and Nolo. Rocolvablo (Schodulo 01 I 41 __.._.___________.__ 2 409 64 5. Ca.h, Bank Dopa,lI. & Mlreollan,oul P."anal Proporly( 5) _.__!...~___ (Sch.dulo EI 6, Jointly Ow nod Praporly ISchodulo F) 7, T,nndo" (Schodulo GI ISchodulo L) B, Total 0'011 AlloII Ilololllno. 1.7) 9, Funoral Expon..., Admlnl.trattvo CO'". Milcollanoou. ( 9) ---.33,600.61 Ex..on", ISchodulo H) 10, Dobl., Mortgagollablllllo.. Llon'ISchodulo I) 1101 5,221.21 11. T 0101 Dlductlon. Italalllno. 9 & 10) 12, No' Valuo of E.tato (lino B mlnu.llno II) 13, Ch'Jlllabl. and Gavornmonlol Boquo," ISchodulo J) 14, Not Valu, Sub/oct 10 TOK (IIno 12 mlnu.llno 131 15, Amount of lino 14 laxablo 01 6% ralo (Includo voluo. from Schodulo K or Schodulo M,I 16, Amounl of IIno 14 taKablo at 15% ralo Ilncludo voluo. from Schodulo K or Schodulo M.I 17, PrlnclpalloK duo (Add laK from IIno 15 and from Ilno 16,) 1B, Crodll. Spau.al P"o,'y C,odll Prior Pnymonll OllCaunl --~-------- + .__~?OQ_,J!'Q L_~o1.~.,U _ ________ [] 4, lImll.d E.lato 7l7~4-4178 I 61 ______.____ ( 7) ________________ 115) _...!.! '9, ..944.98 116} lnleroll In ~DlATH AmR 12/31/91 CHICK HUI I'OVmYv&iDIT IS CLAIMID 0 ',.LiNiiMita -. _NUM,B,fR --, In III .:-:0 ..:JIII :' ~? :1. on :~tl -. ..J 'U ). .1 (') 1": , ,..~ (" (, .:" 148,766.80 ( B) _._____.~___ (111 28,821.82 (12) -W.....9_U_..9.lL_.._~ (131__. (14) --!..li.Jl_H_JJ 8 _~__.. ~ ,06.. - 7,196. ~!l_.___ ~ ,15 .. (171 ___ 7,19.!i..:!_0_h___ (181 ..---_-6,.8..4.2....l1.._..____ 119) -._--------....~_.._n____ 354.59 1201 .__ ..__.__.___._.. ____ _ _..... 120A) -- ----______m__._. (20BI ..-______.354.59 . \' I UV,lJOIU+IHll ~.' 'j~" '9f.. l SCHEDULE E ~ CASH, BANK DEPOSITS AND CQ~~NWIAU~ O. tINNIY~ANIA MISCELLANEOUS 1Itllt.NUtC.:eVNI PERSONAL PROPERTY hTATE OF - - -...- - -- ESTATE OF BEATRICE K. HATTENBACH _ Ploale Print or Type_ Fllf. NU~OR. 21-94-0956 IAIl p'opOlty lolntly_nod wllh 'ho Right !~~r~~i'll~Ip'~_~;,~~~i;i~~~..n Sc~od.l;pj- DESCRIPTION VALUE AT DATE OF DEATH Pensyl vania State Employees Credit Union Acoount No.' 0294446853 l 2,021.85 Smith Barney Money Fund~, Ino. 387.79 ;'1 , ;j, /, " , I " , , I' " "j " " , " , , " , " t. ,;,', j 'q "I , , \ , ,. , " " , li" , , < I: , , 'j' ' " " I , , I. " " " , " " , 1, " " , , I " ", " --~ -r-- __.~_.._ TOrAl lAlla enter on line 5, Rec~e~lulallo~L 1-__~ ,409.64 (Attach tlddlllannl 8Yl" K 11" thoellll more 'PQc.l~ ntld.d,1 ".1 .' , IIY,lillll. ("'II I ...,....._-...'-..-....... -.... , SCHEDULE H J ~J~k FUNERAL EXPENSES, COMMONWfAJlII O. P1NNlYlV^,,,^ I ADMINISTRATIVE COSTS AND H INI~\~:~~~~WC'!~!~~R~ _. .'_. M~SCEllANEOUS EXPENSE~ ____'_ Ploa.. Print a, Tvpa urATE OF ~fi[EN1lMii'IDi ESTATE OF BEATRICE K. HATTENBACH--'-~1-94-0956 ----- ----_._---------~.-_.,' .- -... .-... -. ......-.-- -------.-.---------- -.---- --.----.---.--.-. ITEM NUMlIER -- -----------. A. 1. 2. 3. 4. 5. B. 1. 2, 3, 4, C. 1. 2, 3, 4. S, 6, 7, 8, DESCRIPTION - ...-._____..'__._..__..____h_n________________.__h__ _.___.__ AMOUNT Funt/al EMpen""1 Neill Funeral Home, Ino. Saxton-Parker-Daniels Funeral Chapels, Ino. Maroia Welsh (Exeoutrix travel expenses - PA to Ohi ) Nancy Bergstrom (Renounced Exeoutrix travel expenses - Arizona to Ohio) Sun-Sentinel (Florida publioation of obituary) Admlnlltratlve COlt II Personal RoprOlontallvo Cammlllians Social Socurlty Numbor of Porsanal Ropro.onlallvoJ _ Year Cammllllans paid __ Allarnoy Fo.. Family EMompllan Claimant Rolallanshlp Addros, of Clalmanl 01 docodont's death Streel Addrell City _Slale Zip Cado Prabale Fo.. Mllcellaneoul bpenlell Register of Wills (Short Cert~fioates) Register of wills (Fee for Renunoiation of Executrix Register of wills (JCP Fee) The Sentinel (Advertising of Letters) Cumberland Law Journal (Advertising of Letters) Miohael Fuller, CPA - Prep. of Decedent's Final Ind'l Inoome Tax Return-State & Federal (estimated) Smith Barney (Broker's commissions, SEC fees and Servioe fee) . RESERVEDl 1994 Pa Income Tax (estimated) Filing of Inheritance Tax Return, Family Agreement & Misc. Costs 6,269.30 3,965.79 1,465.32 1,973.20 175.00 7,000.00 241.00 30.00 5.00 5.00 68.84 40.00 925.00 889.08 248.00 300.00 -.. .. __._.u.___n______._____.__.______..__._.__. _. .._ ... . .._.__n__.__..___...._.. (If maro .paco I. noodod, In.o,' addlllonallhooh of sal110 11,0,) TOTAL (Allo onlor on lino 9, flocopllolntlon) S 23,600.61 ____._An_____.__. ...-______________.__.__..._ _____u___.... ____.__._.__.___...__._, t " , 01''0' 1\111\'111'1 J:/~'i- ,~VbJ' (()l,\MmIWUll' 01 'hlln"...,ulIA INHUI1AH.;( lAX ..,UIN . . ...~~~Ol~!_~~~.~!~.'+__ .._._..... ESTAiloF SCHEDULE J BENEFICIARIES u ........ ... _ ... _ __ ... '"_.._ . ...__ -------- FILE NUMBER ESTATE OF BEATRICE K. HATTENBACH . n' ~... .. _ _ . . .+ .u_+..___ 21-94-0956 ITEM NUMBER RELATIONSHIP AMOUNT OR SHARE OF ESTATE NAME AND ADDRESS OF BENEFICIARY A, Ta,ablo BoquOIII! I. Maroia K. Welsh 708 Belmont Avenue Mechanicsburg, PA 17055 Daughter SOt 2. Nancy Bergstrom f/k/a Nanoy Dunbrook H.C. *1, Box 360 Elgin, Arizona 85611-9718 Daughter SOt --~ ----_._---'----.~_.._---~---- ITEM NUMBER NAME AND ADDRESS OF BENEPICIARY AMOUNT OR SHARI OF ESTATE ______-l___ B, Charllable and Gavernmonlal Bequo"" I. -+-,+_.- --.--------------.---.-.--...-. ...--.-.....--------...----. -----_.---- _.__._;_.u. TOTAL CHARITABLE AND GOVERNMENTAL BEqUESTS lAlla on'~r on lin. 13, Rocaphulallonl S ... "--".. --'{ii';;;';;;;;;~~ i; '~;~d~d, In...' addlti~nal .h~oi;-~i;~;,,~-;i;;l I I rAR 22 '95 02115PM t, . I,' MEMPHIS POWER l. LIGHT CO. DlsJolvcd lrll939 MEMPHIS STEAM lAUNDRV-tWllEIl, INC. erN) Complelely lIquldalod at26161 &ch llwc PrdclTCd 1100 pi! excb.lneed for 11m and fINl dJ.llribudon of SIDO wh MEMPHIS STREGT RAILWAY CO. (TN) PAch sh&ro ." Pmcned SIOO pi! e~. ch&nitd for (16) ilwt:s Ccmmou IS par and m In cub In 1949 NlIDe ehanlCd to MCIIIIlIW TIIlIlII Co, 4/1151 whlc'b c"'.pltlClf liqui4tioo ./6(66 MEMPHIS TR.lIlSIT CO, (Tll) Uquidallo. complclod IlIcllIhuc Co/IlIIlOQ $! par swnP"4 10 b1J"le Inllial dl.IlribwlOll 01 54 Q.\h 216/61 PAdl slwc SlIDIpcd Commo. SS par IIImDCd to lcdi~ KCOI1d dlsuibulio. of SO,15 C&th 1211/61 PAdlIhuc SlILl[*l Cot!IIIlOll s.s pat $wnped 10 lcdi"IC lhlrd diltribulioA of 50,50 cash 1:J16/62 P4ch share Slamped Commo. S5 pi! u. clw1led fo.r fOllllh and l1AaI dlaribudon of $0,735 cash 4/6/66 MEMPHIS TR CO (IN) l!ach _ Conuooo 55 par cxchanced fO'l (0,002) !hare Commoo S~ pi! ~110(79 MUc iDIaut cJimlnalcd MBMSOO MINING CO, L TO, (ONT) DecWod diaolved 6/1/64 NoS1OCkholdels'I/lUlty MEMTEI< CORP (MAl MerJcd laID Ho~ RtsoWC4 ~ IIlCIIl Co., lnc. .mm 81ch shIle Corwuolll' pII CIclwllcd rot 50,0775 cash MeNASCO M'O CO (CA) Mclecd InIO Cob lridusams, ItJC. (PI,) ~sh&ro CornulcG SI par whuncd fO! 10,475> .w, Common SI pIl' SCiC ColcllldUSlllcl W:, (p&.)) MENASHA PRINTING' CARTON CO, Acquired by Marllhon PlpII MUll Co, In 1m (500 MIlnlhoII PIper MUll Co,) MENOON LEASINQ CORP (NY) MOIled Into CLM MeIler Corp, S(2'l{19 PAcb aIwo Collll1\On st par uchallced fot S6wh MENOON RESEARCH. DEWLOPMENT .... ",... 'OI'~ P.2/4 , ' MENORAH MINES L TO (QUE) . NIllIO _led 10 Mello" llC.lOurces Inc, .fl8/81 MENSH CORP (DE) NIlllC elwICcd 10 LilIden Corp. 1/1/6? (5<4 Uodc. CoIp,) MENSH INVf , OEV moo INC (DE) Name chanced to MCIIlh Corp, ~:2 M to , 111/69 (5<4 Linlkn Corp,) MlmSlLVO MIN!S, L TO, (ONT) Owtu ~Ilod 6/1/M MlNTOR CORP (CO) Aslcl$ aWl/dod ill 0llI 01 coun _1-1 IWJO No 1lOCIdloldon' oqulIy MENTOR CORP (OK) LlquldaUOII COIIIplcted EaCh llwc CoaUuoo S 1 pi! cxchaoccd lor lIiIIlIld lWJ dlstributlon 01 u,sn Cilh 6/Ur15 M!HlJ-MATlCS1.INC, (OE) WllUllyawolvcillO/lom MENZIU aHO! . Banbupllo 1928 MEJIfI CORP. (DB) SbaICS l*CIIIlted by (QlI\/IIIlY 2/1$/'1 Ilach allIIe ~ no ... Cxchan.... for 11M,.' clSh r- .... MlRAlANK FED svas II< (I'HOENIXLAZl Mer.cd mill A1.P OrOllll,Inc, 12116/110 Each slwc CoouoOlllt pi! ~ed for SJI,084 CIIb MERACA INOS INC (DE) R.lnoorpoltltd '/11/61 Scale of incOlllOIatIoc1 chan,cd flom (FL) to (DE) .IIIIM NUlO clwI&cd to F'&m Quality CoIp. 9/3O{10 First Quality Corp, chwr ~Iled 4/1~m MERCADO MI(TG CORP (06) Nunc ch&n&ed to COptS Inlctnilloa&l Colp, 615191 COFlS In!l!m.llionll Cotp, ~1L1lltcd as U,S, Bridp Corp, 4t2?/94 MERCANTILE ACCEPTANCE CORP, OF CALIFORNIA (DE) Class A Common S5 plr and Class P Collll1\On SI pat chanlcd 10 COllllllon Sl inl~ ~ , , , MERQANTI.! IIANK . TRUS (NEW YQRK, NI') C10Md hy New YOlk SII10 mid liquidated 4(12133 No sloc:kholdcls equJty MERCANTILE HI< COA (MOil' Common 510 pat chan,cd I addlllonal .Ihuiduucd 1/311 MeTacd !olo NaUonol Bank (Monlrc4l, Quo,) 2113/86 P.ach sIwo f1oIlln, Rale PI ^ Ser, 2 no per cacqed 111 Pmcmd Sfr, 7 no par ~h ~ S2.6I'/$ Plefcm: I 110 pit exchaDccd for (I) PloFeircd Set, 6 no pat I!Ich Ihato Conunori U par (0,3) allan Common 52 par MERCANTILE BANKSHARES n Conv, ClaII A Plefcmd fOI rtdemplloa '/1/83 (AddlUolIIl WO/INllon In J MBRCAN11.! BR . TA CO (I NUllO cbanacd 10 Gull SOUl Co, (Gretna, L&.) 6{tn. MERCANTVJ! DISCOUNT COI Name ehan,ed 10 Men:1lIIIIo CoIp. 611/62 (See lbtlo, for MClCllllilc. I Corp.) r M!RCANTU mfANCE CaRl CIIII1cr (,,,,,,11<<1 and clcclAl Idve and "Old lot non'plY'll 4/1/31 MERCANTILE 'INANCE COAl CIlwt CIllCtlled IIld declAl adve and "Old for non"Jllyn ./1/40 MBRCANTlLI fINANCIAl. co 5.3/." CLus A lit Prefene IOOIusUkd u $03/." Prm. 501, 5 I()O plll3/28/~ ~.3/." CIi.u A lie Prdene SIOO par 1foClaal/lod ., 5-3/ 1964 Scr, SIOO par 12/2'160 611 1.11 Pretcmd 511. ^ SI( rccluslflcd It 6. ~fencd SIOO par 12/28/64 611 Isr!'roftmd Sel. C I1G ICI:lwlflod II 611 'lIlfencd 5100 pit 17{l'/M ! Baeh lIwe ." 2nd PrcfelCl1 m~Qcd fOf (0,00740') .h pIll~I/M Merled Into MelCllldlc lndL 12{~0{10 PAch sh:lrc Common S2 p:II .,.... ..... ~ CIl P~! 'i' ti i II ~ . ~ ~ :: ~J:~I )* . ' .. " : ': \ ~tl i~~:: h~i ' , ,. " ..... . , ~ .. f ' , i 0 ': .~'., ; lt5 0<1: t J !i~~i~ .- ih ii~~~~ E ~ dZ~,:, ~ o:~ ... ~ ... -: -: . -: -: II'" ~ ~ '~O ~ ~~5ii ]~~O(! i~~~a :;~~~~ ..:~.m:t -O(Q U j~u~~ I..': a ~ ~ ~ ~ ~ ~ 5 ~ ~ I 'i.! ; ..~ lB. qtJ\lIi~ iy S i i ~ f'.o1fJ" 0 ::"; .S , . i' ':.'.'1' ~! ~ "" Q" is Q. !l . I'll i ~j .silij . l>l~ ':'.$ ~ .. ..: ~~8 i ~ , . III i1;;; I "@'(1 ! ~ il~ J..t!~ ',g 'i i i ~ i. I 'f.., .... ~ i:1 ~ l' ! ij I ~ i Ii: "i td ~ ~ R:j! ~ ijlljtJ!;iJiH ,gij JH~ ~;~Il~ ID~~I:H .... a ~!ii6J!:lI:dii5I1? ~8U. - ' 'STATE or BEATRICE K. HATTENBACH NO. 21-94-0956 JNVENTORY - CONTINUED Integra A. Hotel & Restaurant Company 1,204 warrants (Worthless Investment per Smith Barney) Alleco Incorporation Senior Seoured Notes 13,723 shares @ $.40/share Sears Credit Aooount o 5,489.20 7,000.00 26,81]3.78 Lord Abbett u.S. Government Mutual Fund 10,068.83 shares @ $2.67/share Putnam American Government Income Mutual Fund 6,464.653 shares @ $B.23/share UTS Government Seourities Inoome 24,602 units @ $.200/unit 53,204.09 4,920.40 Damson 0 & G 12,500 units Corporation (WORTHLESS Investment Smith Barney) ACC/Lincoln Securities - Litigation Settlement Fund o per 182.45. Leanza Class Aotion Settlement Fund for Worthless Stcok pensylvania State Employees Credit Union Aooount No. 0294446853 8.17 , 2,021'.85 Smith Barney Money Funds, Ino. " 387.79 TOTAL $ .148,766.80 a,cJ l( ~ If-':'NG.? RIV.1547 IX AFP (12094* CIlt1HONIIUlTlJ Of PtNN.VlVANU ACN 101 D[PARtItEN! or R[V[Nut: HOTlCE OF IHHERHANCE TAX lUAEAU Of INDIVIDUAl TAME. APPRAISEHENT, ALLOWANCE DR DISALLOWANCE ~:~il:~~~lpA 1 1ll1-O60 I OF DEDUCTIONS AND ASSESSHF.HT OF TAM DATE 06-26-95 mA'frOF RX'f'rENBA'CH "1\ FILl NO. r 94=-o'~!i6 DATI OF DEATH 09-13-94 COUNTY CUMBERLAND HOTEl TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX PAVHENT TO TIlE REGISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER OF HILLS. AGENT" REMIT PAVMENT TO: JILL M WINEKA ESQ 17'19 N FRONT ST HBG PA 17102 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLO.(jA 1 ~013 '11 .. ,. ,(I '.1.. , ~u:ll R..lttl~ . J CUT ALONG THIll LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS ~ 1,1 R iV: iilt.,. iif"AFif. i l'lf: 94 Y. iliii'"i c r -OF -i NH iii i i' ANCE-i'"Ait 'A-p piiA"i BE" ENT~ --A r. l"owAiic E - oR' - - -.. - - - -- - - - - -.- DISALLOWANCE OF DEDUCTION9 AND ASSESSMfNT OF TAX ESTATE OF HATTENBACH BEATRICE K FILE NO. 21 94-0956 ACN 101 DATI 06-26-95 If .n ......m.nt WII i..u.d pr.viou.ly, l:l,n.. 14, 15 and/or 16, 17 .nd 18 wUl r.fl.ot figur.. th.t inolud. the tot.l of ~ r.turn. a......d to d.t., ASSESSMENT OF TAX: 11. Alounl of L1nl 14 .1 SpouIIl r.to US 1 16, A~~I of Llnl 14 II..bl. .t Lln..I/CI... A r.t. 1161 17, Alounl of Llnl 14 II..bl. .1 Collataral/Cl... B rata 1171 18, Prlnolpal T.. DUI TAK RETURH WASJ t X I ACCEPTED AS FUED RESERVATION CONCERNING FUTURE INTEREST 0 SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN '1. RIll E.tol. CSoh.dula AI III 2, SIooka and Bond. (Sohadula BI 121 5, Clollly Held SIook/Partnar.hlp Intar..I ISohadula CI ISI 4, Horlgaaa./Nol.. Rloll..bla ISohldul. 01 141 5, CI.h/Bonk DIPo.II./HI.o, Par.onal Proparly ISoh.dul. EI 151 6, JolnllY O.n.d Proparty ISohadul. FI 161 7, Tran.hr. ISohadula 01 171 8, Totol bllh APPROVED DEDUCTIONS AND EXEMPTIONS: 9, Funaral E,pln.../Ado, Co.t./HI.o, E.p.n.a. ISohadula HI 191 10, Dlbl./Hortgagl Llabllltl../Llan. ISoh.dul. II 1101 11, Totol DaduoHon. l~. NIl V.lu. of Ta. Raturn IS, Charll.bla/Go.arn~.ntal B.qu..t. ISohadula JI 14, Nal VIlul of f..tota Subjlol 10 To. NOTE: TAX CREDITS I PAYHENT DATE 12-13-94 04-13-95 RECEIPT NUHBER MM9l. 3287 AA023055 DISCOUNT It I INTEREST 1-) 342,11 ,00 \" , I-I 1 I CHANGEDJ,' ,00 146.357,16 ,00 ,00 2.409,64 ,00 ,00 t81 148,766,80 23.600,61 5,22.1.21 1111_ U21 USI 1141 '8.8'1 A2 119.944,,!! ,00 119,944.98 ,00 X ,03. 119.944,98 X ,06. , 00' K ,15. U81 ,OD 7,196'LL ,00 7,196.70 AHOUNT PAID 6.500,00 354,59 TOTAL TAX CREDIT - . IALANCI OF tAX DUE INTEREST TOT AL DUE . IF. PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, 7,196,70 ,00 ,00 ,00 IF TOTAL DUE IS LESS THAN fl. NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS, I 'lA' .J.~\.~, ,ell.:. :)~ i I .";). l.~ J;'I,< ". "i ,e i,. .\'( rl 1.-, ""I "~I, 'f' " ...I - <C :I tn tn :3 o " , " a' " " , , , , , " ~ ' " ,I " ! I' , 1_'; , I' !",., " I, " ",' j' " I' 'i! , , fg B . 'l ! .~ J I ~ u. '1. I ,;' I d,' ", -" "'i' ,,'. " "', 'I ;'.; ',1- I, \' I' '" f I' j" 'i" :1. i,l- " 'I " ,I: ',L ;1" I, " ','I II Ii 'I fl-' \' "", I' I """: ',". " I' , ,,'j ,-", " "" Ii, " I, \' ':,/ I"~ " , I I' " , ," ,. " I " ',1,,:'1,' I, , I " I.', \ll'i 'j; i/ " " I' " ,I , 1,:'- ~ a: - , 11.. "'I~'~"f.It-llH.~''''I''' " 1,,1 j- ',' \' , I, ,rt..... oj, " '\' 1"" i" , , , , " "i! " (: ," '1-' ':-,<, d 0" , I' ,I ",'1" .r.,. , 0: " ,,' .' " < 0' , " t, ~ , ': '" IN REI ESTATE OF BEATRICE K. HATTENBACH I . IN THE COURT OF COMMON PLEAS , CUMBERLAND CO., PENNSYLVANIA ,ORPHANS' COURT DIVISION , NO. 1994 -00956 FAMILY S~ AGIlEEM.ENT AlW FlNA~ ~MSE IN ESTA'tB Ql , JlE'ATRIC8.K. HATl'ENBACH. J)ECJl'ASJm . " KNOW ALL MEN BY THESE PRESENTS, that I WHEREAS, Beatrice K. Hattenbach, late of Upper Allen Township Mechanicsburg, Cumberland County, Pennsylvania, deceased, died testate on September 13, 1994; WHEREAB, Letters Testamentary on the Estate of the said deoedent were duly issued by the Register of wills of Cumberland County, Mary C. Lewis to Marcia K. Welsh, Exeoutrix, on November 16, 1994; WHEREAS, the Executrix has gathered the assets of the Estate of the said decedent and the assets oonsist of personal property to a total value of $150,384.53, as Bet forth in Exhibit "A" attaohed herato, 'which is a Statement of Account of the Exeoutrix; WHEREAS, debts, inoluding the payment of Inheritanoe Tax on the said Estate, amount to $25,703.97, leaving a balanoe for distribution of $124,680.56, as set forth in the Statement of Aooount of the Executrix, WHEREAS, the parties signing this Family Settlement Agreement and Final Release each acknowledge reoeipt of $53,000.00 already paid as partial distribution; WIIIRlAS, the balanoe for dbtribution has been reduoed to oash with the exoeption of the oash balanoe of $18.78 remaining in the Smith Barney Estate Aocount No. 7241900518790, whioh the Exeoutrix shall olose out and retain. HOW, THEREFORE, WE, MARCIA K. WELSH and NANCY BERGSTROM, f/k/a NANCY DUNBROOK, being the only perDons entitled to inherit any remaining assets of the Estate of Beatrice K. lIattenbaoh, do hereby aoknowledge that we have th1e day reoeived from the Exeoutrix, in full satisfaotion, all sums of money whioh are given to eaoh of us, by virtue of the Deoedent's Last will and Testament. Furthermore, it is aoknowledged that Nanoy Bergstrom has agreed to relinquish to her sister, Maroia K. Welsh, any additional monies to whioh Nanoy Bergstrom may be entitled in exoess of the partial distribution of $53,000.00. A copy of Nancy Bergstrom's letter indicating her relinquishment is attached hereto as Exhibit "B". Thus, any monies remaining for distribution shall go direotly to Marcia K. Welsh. AHD, we do hereby stipulate that in order to avoid the expense a.nd time involved in the filing of a formal aooount and schedule of distribution, we agree that no acoount is neoessary and we do hereby agree that we do oonsent to distribution being made without the filing of an aooount and schedule of distribution, the same to be with the same force and effeot as if the documents had been filed and oonfirmed by the Orphans I Court Division of the Court of Cumberland County. THIRlrOR!:, we do hereby release and forever disoharge the Exeoutrix, /4aroia K. Welsh, Jill M. Wineka, Esquire and the Law 2 , Firm of Puroell, Krug & Haller, the attorneys for the Estate, their heirs, executors, administrators and assigns, of and from all aotions, suits, payments, aooounts, and olaims whatsoever for or by reason thereof whatsoever, touching upon the Estate of the said Deoedent. We do also agree that should any liability oome due to the Estate of the said Decedent after the signing of this Agreement, eaoh of us do covenant and agree that we will contribute prorata our share of thB Estate whioh we eaoh have reoeived in order to satisfy any and all claims, demands, suits or causes of .aotion which may be suocessfully proeeouted against the said Estate or the aforesaid Exeoutrix after the signing, sealing and delivery of this Family Settlement Agreement and Final Release. It is further understood that any outstanding inoome tax or the cost for preparation of any such Fiduoiary Income Tax Return shall be borne solely by Marcia K. Welsh. IN WITNESS WHEREOF, we have set our hands and seals to the Family. Settlement Agreement and Final Rt,llease on the dates as Indicated beluw. WITNESS, .rr m, rr;.1L~.j(J >77 t'2U!l~K/.d/.'P MARCIA K. WELSH Date, 7- ';"5 - '10- 1 ~ ~ '% . -~ ..-",,-- ;/ .....c' '.._ / . . . 3 l~; _': '_X,,-,- ,:"I_ " ,L ';'/.1'-:1'.';_''-::' : _1"_"",_" __ ,--'; " :-', 'I--f, _' ,.n:: 1::},llU':;'~-J"I~\\ri:'t"J,-~-, 1~\Ji\{i '\.'lt~~!J~,~\~\~_~1i.~~~~J~I~~~(f\i<<~~~,~~~;;~,,' UTS'Government Securities Income + aocrued bond interest (value at time of liquidation - 1/6/95) Alleco Incorporation Senior Secured Notes , (value at date of tender - 1/23/95) Mentor Corporation - Colorado 315 Shares of Common Stock Worthless Investment 5,040.70 . 5,489.20 . , ' " o Integra A. Hotel & Restaurant Company 1,204 Warrants Worthless Investment o '" Uamson 0 & G Corporation 0 12,500 Units Worthless Investment Estate Cking - Corestates Hamilton Bank Acot *62610573 204.80 (Accrued Interest from 11/23/94 through 7/19/95) Smith Barney Accounta *7241900518790 & *7241839112790 4.397.1% (Pividends, Interest, Accrued Intereet Reoeived and Money Funds Earninge from 9/13/94 through 6/30/95) - TOTAL AlSITS $150,386.53 JmlDI Neil Funeral. Home, Ino. Funeral Bill Saxton-Parker-pan!ele Funeral Chapels,' Inc. Funeral aill . Sun-Sentinel Florida Publication of Obituary Purcell, Krug & Haller Attorneys Fees through 4/10/95 Register of Wills Probate Fees " ,$ 6,269.38 3,965.79 175.00 790.50 241.00 30.00 Reg~8ter of Wills Short Certificates " " .' '. ", 1,' TOTAL ASSETS TOTAL DI!1BTS $ 150,384.53 25.703.97 BALANCE FOR DISTRIBUTION $ 124,680.56 PARTIAL DISTRIBUTION TO MARCIA K. WELSH $ .53,000.00 PARTIAL DIS~RIBUTION TO NANCY BERGSTROM s 53~OOO.OO, rINAL BALANCE REMAINING rOR DISTRIBUTION $18,680.56~ .' The balance of $18,680.56 to be distributed to Marcia K. Welch per Nanoy Bergstrom's relinquishment of any further sums as set forth in Nancy Berg~trom's letter dated July 3, 1995 which is attached as Exhibit "B". j ,/ I 'i I~ I'" ,I , / ''', 1 I." Iii , '< " .' , . Ij ", , I, " ' '" . i l, ;~ ~~, , . , , , ','j " 'I,'" " ,I" , " , .' , , ,', I'" , ,I , , ., I" " , ,. "j'